Lab & pathology prices at Tioga Medical Center
Tioga, ND · every code in this section with a posted price and a Medicare benchmark.
501 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $137 | $137 | 12.3× |
| Acth (82024) range across 2 matching MRF lines |
$400–$1,010 | $400–$1,010 | varies |
| Acute hepatitis panel (80074) | $470 | $470 | 9.9× |
| Albumin Fluid (82042) | $130 | $130 | 16.7× |
| Albumin serum (82040) | $70 | $70 | 14.1× |
| Aldolase (82085) | $106 | $106 | 10.9× |
| Aldosterone urine (82088) | $421 | $421 | 10.3× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$98–$127 | $98–$127 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $137 | $137 | 17.2× |
| Allergen specific ige (86003) range across 54 matching MRF lines |
$91–$96 | $91–$96 | varies |
| Allergen specific igg (86001) | $225 | $225 | 28.8× |
| Allg Spec Ige Recomb Ea (86008) | $118 | $118 | 6.6× |
| Alpha-1-antitrypsin phenotype (82104) | $151 | $151 | 10.4× |
| Alpha-1-antitrypsin total (82103) | $142 | $142 | 10.6× |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$145–$173 | $145–$173 | varies |
| Alt (sgpt) (84460) | $60 | $60 | 11.3× |
| Aminolevulinic acid (ala) (82135) | $131 | $131 | 8.0× |
| Ammonia (82140) range across 2 matching MRF lines |
$113–$175 | $113–$175 | varies |
| Amylase urine (82150) range across 4 matching MRF lines |
$96–$168 | $96–$168 | varies |
| Ana Titer (86039) | $73 | $73 | 6.5× |
| Androstenedione (82157) | $187 | $187 | 6.4× |
| Angiotensin converting enzyme csf (82164) | $151 | $151 | 10.3× |
| Anti-Phospholipid Antibody (86148) | $202 | $202 | 12.6× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $350 | $350 | 27.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $175 | $175 | 11.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$154–$269 | $154–$269 | varies |
| Antibody Encephalitis California La Crosse (86651) | $140 | $140 | 10.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $85 | $85 | 6.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $150 | $150 | 9.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $165 | $165 | 9.1× |
| Antibody haemophilus influenza (86684) | $100 | $100 | 6.3× |
| Antibody helicobacter pylori (86677) range across 3 matching MRF lines |
$141–$173 | $141–$173 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $120 | $120 | 8.3× |
| Antibody Herpes Smplx Type 1 (86695) | $112 | $112 | 8.5× |
| Antibody HIV-1&HIV-2 single result (86703) | $101 | $101 | 7.4× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$227–$246 | $227–$246 | varies |
| Antibody identification leukocyte antibodies (86021) | $336 | $336 | 22.3× |
| Antibody Titer (86886) | $164 | $164 | 31.7× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$90–$98 | $90–$98 | varies |
| Antibody; encephalitis, st. louis (86653) | $140 | $140 | 10.6× |
| Antigen typing (86905) | $139 | $139 | 36.3× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $88 | $88 | 15.4× |
| Antinuclear antibodies (86038) | $150 | $150 | 12.4× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$85–$99 | $85–$99 | varies |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$80–$223 | $80–$223 | varies |
| Antithrombin iii antigen (85301) | $288 | $288 | 26.6× |
| Apolipoprotein a1 (82172) | $170 | $170 | 8.1× |
| Arsenic (82175) range across 3 matching MRF lines |
$150–$198 | $150–$198 | varies |
| Aspergillus ag eia (87305) | $115 | $115 | 9.6× |
| Assay activated protein c (85307) | $220 | $220 | 14.4× |
| Assay Blood Carbon Dioxide (82374) | $60 | $60 | 12.3× |
| Assay Nephelometry Not Spec (83883) range across 4 matching MRF lines |
$146–$228 | $146–$228 | varies |
| Assay of 5-hiaa (83497) | $178 | $178 | 13.8× |
| Assay of blood/uric acid (84550) | $84 | $84 | 18.6× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$88–$121 | $88–$121 | varies |
| Assay of cpk in blood (82552) | $142 | $142 | 10.6× |
| Assay of estrone (82679) | $212 | $212 | 8.5× |
| Assay of g6pd enzyme (82955) | $201 | $201 | 20.7× |
| Assay of gammaglobulin igm (82784) range across 9 matching MRF lines |
$78–$316 | $78–$316 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$124–$207 | $124–$207 | varies |
| Assay of manganese (83785) | $212 | $212 | 8.0× |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$108–$175 | $108–$175 | varies |
| Assay of serotonin (84260) | $249 | $249 | 8.0× |
| Assay of serum potassium (84132) | $83 | $83 | 17.4× |
| Assay of urea nitrogen (84520) | $60 | $60 | 15.2× |
| Assay of urine vma (84585) | $160 | $160 | 10.3× |
| Assay of vitamin b-1 (84425) | $311 | $311 | 14.6× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$28–$91 | $28–$91 | varies |
| Assay spec xcp ur&breath ia (82077) | $118 | $118 | 6.8× |
| Atomic Absorption (82190) | $158 | $158 | 9.9× |
| Automated Leukocyte Count (85048) | $52 | $52 | 20.5× |
| B cells total count (86355) | $313 | $313 | 8.3× |
| Bcr/abl1 gene major bp (81206) | $1,310 | $1,310 | 8.0× |
| Bcr/abl1 gene minor bp (81207) | $949 | $949 | 6.6× |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$202–$456 | $202–$456 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$87–$161 | $87–$161 | varies |
| Beta Lactamase (87185) | $82 | $82 | 17.3× |
| Beta-2 Microglobulin (82232) | $202 | $202 | 12.5× |
| Bile acids total (82239) | $126 | $126 | 7.4× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$68–$84 | $68–$84 | varies |
| Bilirubin total (82247) | $68 | $68 | 13.5× |
| Blastomyces antibody (86612) | $117 | $117 | 9.1× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) range across 2 matching MRF lines |
$496–$694 | $496–$694 | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $304 | $304 | 1.7× |
| Bleeding time test (85002) | $88 | $88 | 18.3× |
| Blood Count Red Blood Cell Automated (85041) | $56 | $56 | 18.5× |
| Blood count reticulocyte automated (85045) | $84 | $84 | 21.1× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 3 matching MRF lines |
$68–$89 | $68–$89 | varies |
| Blood gas (82803) | $269 | $269 | 10.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $137 | $137 | 8.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$49–$50 | $49–$50 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $67 | $67 | 10.6× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$56–$80 | $56–$80 | varies |
| Bordetella antibody (86615) | $175 | $175 | 13.3× |
| Brca1&2 gen full seq dup/del (81162) | $11,606 | $11,606 | 6.4× |
| Breath Alcohol Test (82075) range across 2 matching MRF lines |
$52–$183 | $52–$183 | varies |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$266–$426 | $266–$426 | varies |
| C-Peptide (84681) | $216 | $216 | 10.4× |
| C-reactive protein (86140) | $104 | $104 | 20.1× |
| Ca 19-9 (86301) | $200 | $200 | 9.6× |
| Cadmium (82300) | $241 | $241 | 10.2× |
| Calcitonin (82308) | $297 | $297 | 11.1× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$117–$119 | $117–$119 | varies |
| Calcium total (82310) range across 3 matching MRF lines |
$60–$84 | $60–$84 | varies |
| Calculus Spectroscopy (82365) | $137 | $137 | 10.6× |
| Calprotectin Fecal (83993) | $382 | $382 | 19.5× |
| Cancer Antigen 125 (86304) | $273 | $273 | 13.1× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$216–$372 | $216–$372 | varies |
| Carbamazepine total (80156) | $171 | $171 | 11.7× |
| Carboxyhemoglobin (82375) | $101 | $101 | 8.2× |
| Carcinoembryonic antigen (82378) | $210 | $210 | 11.1× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$187–$201 | $187–$201 | varies |
| Carnitine Quantitative Each Specimen (82379) | $123 | $123 | 7.3× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$215–$262 | $215–$262 | varies |
| Ccp antibody (86200) | $146 | $146 | 11.3× |
| Cell count csf (89051) | $188 | $188 | 33.6× |
| Cell marker study (88182) | $380 | $380 | 7.1× |
| Ceruloplasmin (82390) | $112 | $112 | 10.4× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$104–$295 | $104–$295 | varies |
| Chlamydia antibody (86631) | $124 | $124 | 10.5× |
| Chlamydia Igm Antibody (86632) | $137 | $137 | 10.8× |
| Chloride Serum (82435) | $60 | $60 | 13.0× |
| Chloride urine (82436) range across 2 matching MRF lines |
$45–$88 | $45–$88 | varies |
| Cholesterol total (82465) | $98 | $98 | 22.5× |
| Cholinesterase rbc (82482) | $150 | $150 | 15.3× |
| Cholinesterase Serum (82480) | $117 | $117 | 14.9× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$127–$155 | $127–$155 | varies |
| Chromogenic Substrate Assay (85130) | $147 | $147 | 12.4× |
| Chromogranin a (86316) | $228 | $228 | 11.0× |
| Chromosome Analysis 15-20 (88262) | $1,027 | $1,027 | 8.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $318 | $318 | 9.1× |
| Citric acid urine (82507) | $288 | $288 | 10.4× |
| Ckmb (82553) range across 2 matching MRF lines |
$147–$155 | $147–$155 | varies |
| Coccidioides antibody (86635) range across 4 matching MRF lines |
$84–$212 | $84–$212 | varies |
| Cold agglutinin titer (86157) | $92 | $92 | 11.4× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$124–$351 | $124–$351 | varies |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$415–$421 | $415–$421 | varies |
| Compatibility test antiglob (86922) | $422 | $422 | 2.4× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$117–$130 | $117–$130 | varies |
| Complement Total (Ch50) (86162) | $173 | $173 | 8.5× |
| Complement/Function Activity (86161) range across 3 matching MRF lines |
$123–$253 | $123–$253 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) | $544 | $544 | 3.1× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $274 | $274 | 5.1× |
| Coombs direct (86880) | $88 | $88 | 16.3× |
| Copper urine (82525) | $127 | $127 | 10.2× |
| Cortisol free (82530) | $238 | $238 | 14.2× |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$178–$189 | $178–$189 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$59–$96 | $59–$96 | varies |
| Creatinine blood (82565) range across 3 matching MRF lines |
$68–$85 | $68–$85 | varies |
| Creatinine clearance (82575) | $119 | $119 | 12.6× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$88–$126 | $88–$126 | varies |
| Crossmatch immediate spin (86920) | $296 | $296 | 1.7× |
| Crp High Sensitivity (86141) | $121 | $121 | 9.3× |
| Cryofibrinogen (82585) | $96 | $96 | 6.8× |
| Cryoglobulin (82595) | $88 | $88 | 13.6× |
| Cryptococcal Antigen (87327) | $124 | $124 | 9.2× |
| Cryptococcus ag titer (87899) | $123 | $123 | 7.7× |
| Cryptosporidium ag eia (87328) | $141 | $141 | 10.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $88 | $88 | 10.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$113–$202 | $113–$202 | varies |
| Culture afb (87116) | $113 | $113 | 10.5× |
| Culture Anaerobic (87075) | $137 | $137 | 14.5× |
| Culture blood (87040) | $155 | $155 | 15.0× |
| Culture csf (87070) range across 7 matching MRF lines |
$101–$124 | $101–$124 | varies |
| Culture fungus (87102) | $146 | $146 | 17.4× |
| Culture screen only (87081) range across 4 matching MRF lines |
$78–$161 | $78–$161 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$106–$123 | $106–$123 | varies |
| Culture urine (87086) | $99 | $99 | 12.3× |
| Cystatin C (82610) | $122 | $122 | 6.6× |
| Cytogenetics 100-300 (88275) | $350 | $350 | 6.8× |
| Cytomegalovirus igg (86644) | $150 | $150 | 10.4× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$148–$173 | $148–$173 | varies |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$205–$220 | $205–$220 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $336 | $336 | 6.3× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $113 | $113 | 0.6× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 3 matching MRF lines |
$193–$204 | $193–$204 | varies |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $190 | $190 | 6.4× |
| Deoxyribonuclease antibody (86215) | $142 | $142 | 10.7× |
| Detect Agent Nos Dna Amp (87798) range across 5 matching MRF lines |
$244–$394 | $244–$394 | varies |
| Detect Agent Nos Dna Quant (87799) | $355 | $355 | 8.3× |
| Detect agnt mult DNA ampli (87801) | $512 | $512 | 7.3× |
| Dhea (82626) | $263 | $263 | 10.4× |
| Dhea-S (82627) | $183 | $183 | 8.2× |
| Dibucaine number (82638) | $126 | $126 | 10.3× |
| Dipropylacetic Acid Free (80165) | $120 | $120 | 8.9× |
| Dna Antibody Native/Double Stranded (86225) | $146 | $146 | 10.6× |
| Drug assay acetaminophen (80143) | $127 | $127 | 6.8× |
| Drug Assay Everolimus (80169) | $101 | $101 | 7.4× |
| Drug Assay Infliximab (80230) | $275 | $275 | 7.1× |
| Drug Assay Lacosamide (80235) | $185 | $185 | 6.8× |
| Drug Screen Quant Zonisamide (80203) | $137 | $137 | 10.3× |
| Drug Screen Quantitative Gabapentin (80171) | $150 | $150 | 6.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $189 | $189 | 14.3× |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$202–$213 | $202–$213 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $109 | $109 | 8.2× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $173 | $173 | 10.3× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$134–$423 | $134–$423 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $106 | $106 | 8.4× |
| Electrolyte panel (80051) | $113 | $113 | 16.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $419 | $419 | 6.8× |
| Encephaltis East Eqne Anbdy (86652) | $140 | $140 | 10.6× |
| Encephaltis West Eqne Antbdy (86654) | $140 | $140 | 10.6× |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$236–$489 | $236–$489 | varies |
| Enzyme histochemistry (88319) | $550 | $550 | 0.7× |
| Eosinophil Smear (89190) | $121 | $121 | 20.9× |
| Erythropoietin (82668) | $299 | $299 | 15.9× |
| Estradiol serum (82670) | $289 | $289 | 10.3× |
| Estriol (82677) | $205 | $205 | 8.5× |
| Estrogens fractionated (82671) | $238 | $238 | 7.4× |
| Ethosuximide (80168) | $201 | $201 | 12.3× |
| Exam Synovial Fluid Crystals (89060) | $91 | $91 | 12.4× |
| F2 Gene (81240) | $439 | $439 | 6.7× |
| Factor v leiden mutation (81241) | $500 | $500 | 6.8× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$120–$202 | $120–$202 | varies |
| Factor xi activity (85270) | $241 | $241 | 13.5× |
| Factor xiii screen (85291) | $154 | $154 | 16.9× |
| Fat stain feces urine/respir secretions (89125) range across 3 matching MRF lines |
$88–$120 | $88–$120 | varies |
| Fat/Lipids Feces Quantitative (82710) | $184 | $184 | 11.0× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $311 | $311 | 47.6× |
| Ferritin (82728) | $144 | $144 | 10.6× |
| Fetal Fibronectin (82731) | $776 | $776 | 12.0× |
| Fibrin degradation products (85362) | $124 | $124 | 18.0× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$145–$180 | $145–$180 | varies |
| Fibrin dgradj products d-dimer qual/semiquan (85378) range across 2 matching MRF lines |
$145–$274 | $145–$274 | varies |
| Fibrinogen activity (85384) | $104 | $104 | 10.7× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $104 | $104 | 6.7× |
| Flow cytometry first marker (88184) | $339 | $339 | 0.9× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$191–$308 | $191–$308 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 10 matching MRF lines |
$89–$296 | $89–$296 | varies |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$225–$263 | $225–$263 | varies |
| Folic Acid Serum (82746) | $152 | $152 | 10.3× |
| Follicle Stimulating Hormone (83001) | $193 | $193 | 10.4× |
| Frozen Section (88331) | $157 | $157 | 0.9× |
| Fungi Identification Yeast (87106) | $109 | $109 | 10.6× |
| G6pd gene analysis full gene sequence (81249) | $4,089 | $4,089 | 6.8× |
| Gammaglobulin ige (82785) | $171 | $171 | 10.4× |
| Gases blood ph only (82800) | $91 | $91 | 8.3× |
| Gastrin (82941) | $183 | $183 | 10.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 3 matching MRF lines |
$557–$3,193 | $557–$3,193 | varies |
| Gentamicin (80170) | $170 | $170 | 10.4× |
| Ggt (82977) | $88 | $88 | 12.2× |
| Giardia antigen (87329) | $141 | $141 | 11.8× |
| Glucagon (82943) | $165 | $165 | 11.5× |
| Glucose Blood Test (82962) | $23 | $23 | 7.0× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$78–$87 | $78–$87 | varies |
| Glucose Serum (82947) | $60 | $60 | 15.3× |
| Glucose tolerance test (gtt) (82951) | $123 | $123 | 9.6× |
| Gonadotropin Chorionic Qualitative (84703) | $101 | $101 | 13.4× |
| Growth hormone (83003) | $445 | $445 | 26.7× |
| Gtt-added samples (82952) | $52 | $52 | 13.3× |
| Haptoglobin (83010) | $150 | $150 | 11.9× |
| Hbb Full Gene Sequence (81364) | $2,211 | $2,211 | 6.8× |
| Hdl Cholesterol (83718) | $68 | $68 | 8.3× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$105–$274 | $105–$274 | varies |
| Helminth Antibody (86682) | $304 | $304 | 23.4× |
| Hematocrit (85014) range across 2 matching MRF lines |
$48–$110 | $48–$110 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$48–$110 | $48–$110 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$71–$108 | $71–$108 | varies |
| Hemoglobin Chromotography (83021) | $157 | $157 | 8.7× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$155–$158 | $155–$158 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $141 | $141 | 17.2× |
| Hemosiderin urine (83070) | $106 | $106 | 22.3× |
| Hep a ab igm (86709) | $112 | $112 | 9.9× |
| Heparin assay (85520) | $221 | $221 | 16.9× |
| Hepatitis a antibody total (86708) | $139 | $139 | 11.2× |
| Hepatitis b core ab igm (86705) | $112 | $112 | 9.5× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$123–$131 | $123–$131 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$112–$115 | $112–$115 | varies |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$81–$130 | $81–$130 | varies |
| Hepatitis Be Antibody (86707) | $108 | $108 | 9.3× |
| Hepatitis Be Antigen (87350) | $277 | $277 | 24.0× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$119–$155 | $119–$155 | varies |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
$1,879–$2,059 | $1,879–$2,059 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $657 | $657 | 18.7× |
| Hepatitis C Revrs Trnscrpj (87522) | $758 | $758 | 17.7× |
| Herpes simplex type 2 (86696) | $161 | $161 | 8.3× |
| Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) | $117 | $117 | 15.9× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$56–$83 | $56–$83 | varies |
| Hfe Gene (81256) range across 2 matching MRF lines |
$247–$808 | $247–$808 | varies |
| Histamine urine (83088) | $201 | $201 | 6.8× |
| Histoplasma antibody (86698) | $117 | $117 | 8.5× |
| Histoplasma antigen urine (87385) | $422 | $422 | 31.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $176 | $176 | 7.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$680–$716 | $680–$716 | varies |
| Hla ii typing 1 locus lr (81376) | $978 | $978 | 8.0× |
| Hla Typing Dr/Dq Single Antigen (86816) | $304 | $304 | 10.1× |
| Hla-b27 (86812) | $267 | $267 | 10.3× |
| Homocysteine (83090) | $342 | $342 | 19.1× |
| Homovanillic acid urine (83150) | $152 | $152 | 6.8× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$255–$296 | $255–$296 | varies |
| Hsv Dna Amp Probe (87529) | $278 | $278 | 7.9× |
| Hydroxyprogesterone 17-d (83498) | $278 | $278 | 10.2× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $130 | $130 | 9.3× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $244 | $244 | 7.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $256 | $256 | 7.3× |
| Iadna Cytomegalovirus Quantification (87497) | $342 | $342 | 8.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $481 | $481 | 11.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $256 | $256 | 7.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $318 | $318 | 9.1× |
| Ig Light Chains Free Each (83521) | $64 | $64 | 3.7× |
| Igg subclasses (82787) | $156 | $156 | 19.5× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $2,130 | $2,130 | 7.2× |
| Immunfix e-phorsis/urine/csf (86335) | $316 | $316 | 10.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 8 matching MRF lines |
$124–$263 | $124–$263 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 27 matching MRF lines |
$110–$130 | $110–$130 | varies |
| Immunoassay nonantibody (83516) range across 9 matching MRF lines |
$92–$588 | $92–$588 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $232 | $232 | 10.0× |
| Immunofixation electrophoresis (86334) | $232 | $232 | 10.4× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $409 | $409 | 2.3× |
| Immunohistochemistry (88342) range across 9 matching MRF lines |
$287–$666 | $287–$666 | varies |
| In situ hybridization 1st probe stain (88365) range across 3 matching MRF lines |
$529–$549 | $529–$549 | varies |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $375 | $375 | 7.3× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $266 | $266 | 7.6× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$113–$130 | $113–$130 | varies |
| Inhibin A (86336) | $115 | $115 | 7.4× |
| Inhibin b (83520) range across 18 matching MRF lines |
$114–$678 | $114–$678 | varies |
| Insulin antibodies (86337) | $188 | $188 | 8.8× |
| Insulin free (83527) | $104 | $104 | 8.0× |
| Insulin total (83525) | $119 | $119 | 10.4× |
| Intrinsic factor antibody (86340) | $160 | $160 | 10.6× |
| Iron (83540) | $88 | $88 | 13.6× |
| Iron Binding Capacity (83550) | $99 | $99 | 11.3× |
| Islet cell antibody (86341) | $531 | $531 | 22.5× |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$583–$669 | $583–$669 | varies |
| Koh Prep (87220) range across 2 matching MRF lines |
$68–$82 | $68–$82 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$48–$88 | $48–$88 | varies |
| Lactoferrin fecal qualitative (83630) | $206 | $206 | 10.5× |
| Ldh Isoenzymes (83625) | $139 | $139 | 10.9× |
| Lead (83655) range across 3 matching MRF lines |
$98–$126 | $98–$126 | varies |
| Legionella antibody (86713) | $150 | $150 | 9.8× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$113–$137 | $113–$137 | varies |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$88–$243 | $88–$243 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $93 | $93 | 3.1× |
| Level ii surg pathology grossµscopic exam (88302) | $210 | $210 | 5.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $930 | $930 | 2.5× |
| Lidocaine (80176) | $152 | $152 | 10.3× |
| Lipase (83690) | $99 | $99 | 14.4× |
| Lipoprotein A (83695) | $98 | $98 | 6.8× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $231 | $231 | 6.8× |
| Lithium (80178) | $99 | $99 | 15.0× |
| Luteinizing Hormone (Lh) (83002) | $198 | $198 | 10.7× |
| Lyme disease antibody (86618) | $175 | $175 | 10.3× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$59–$91 | $59–$91 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$165–$175 | $165–$175 | varies |
| Mercury urine (83825) range across 4 matching MRF lines |
$129–$536 | $129–$536 | varies |
| Methotrexate (80204) | $252 | $252 | 6.5× |
| Methylmalonic acid serum (83921) | $405 | $405 | 19.1× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$96–$106 | $96–$106 | varies |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$101–$198 | $101–$198 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) | $188 | $188 | 8.8× |
| Molecular Pathology Procedure Level 6 (81405) | $2,053 | $2,053 | 6.8× |
| Mopath procedure level 4 (81403) | $1,262 | $1,262 | 6.8× |
| Mopath procedure level 5 (81404) | $1,872 | $1,872 | 6.8× |
| Mopath procedure level 7 (81406) | $1,927 | $1,927 | 6.8× |
| Mopath procedure level 8 (81407) | $5,766 | $5,766 | 6.8× |
| Mrsa Pcr (87641) | $266 | $266 | 7.6× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$106–$162 | $106–$162 | varies |
| Mycobacteric Identification (87118) | $142 | $142 | 9.7× |
| Mycophenolic Acid (80180) range across 2 matching MRF lines |
$55–$234 | $55–$234 | varies |
| Mycoplasma antibody (86738) | $124 | $124 | 9.4× |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$137–$197 | $137–$197 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$285–$300 | $285–$300 | varies |
| Neutralization Test Viral (86382) | $259 | $259 | 15.3× |
| Nk cells total count (86357) | $313 | $313 | 8.3× |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
$121–$188 | $121–$188 | varies |
| Occult Blood Other Sources (82271) | $50 | $50 | 9.4× |
| Osmolality serum (83930) | $101 | $101 | 15.3× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$52–$145 | $52–$145 | varies |
| Osteocalcin (83937) | $243 | $243 | 8.1× |
| Ova and parasites smears (87177) | $124 | $124 | 13.9× |
| Oxalate urine (83945) | $147 | $147 | 10.2× |
| Pancreatic Elastase Fecal (82656) | $546 | $546 | 47.4× |
| Parvovirus antibody (86747) | $75 | $75 | 5.0× |
| Ph urine (81003) | $33 | $33 | 14.7× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$105–$141 | $105–$141 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$144–$155 | $144–$155 | varies |
| Phenytoin free (80186) | $155 | $155 | 11.3× |
| Phosphatase acid prostatic (84066) | $121 | $121 | 12.5× |
| Phosphatase alkaline (84075) | $68 | $68 | 13.1× |
| Phospholipid Neutralization Hexagonal (85598) | $443 | $443 | 24.6× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$82–$84 | $82–$84 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$39–$87 | $39–$87 | varies |
| Pinworm exam (87172) | $150 | $150 | 35.1× |
| Platelet count automated (85049) range across 2 matching MRF lines |
$63–$82 | $63–$82 | varies |
| Platelet neutralization (85597) | $155 | $155 | 8.6× |
| Porphobilinogen, urine; quantitative (84110) | $71 | $71 | 8.4× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $190 | $190 | 12.9× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$32–$88 | $32–$88 | varies |
| Primidone (80188) | $171 | $171 | 10.3× |
| Procalcitonin (Pct) (84145) | $202 | $202 | 7.4× |
| Progesterone (84144) | $216 | $216 | 10.4× |
| Prolactin (84146) | $212 | $212 | 10.9× |
| Protein body fluid (84157) | $99 | $99 | 24.8× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$250–$819 | $250–$819 | varies |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$130–$232 | $130–$232 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$126–$127 | $126–$127 | varies |
| Protein S Free (85306) range across 3 matching MRF lines |
$238–$372 | $238–$372 | varies |
| Protein s total (85305) | $372 | $372 | 32.0× |
| Protein total serum (84155) range across 3 matching MRF lines |
$50–$89 | $50–$89 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$61–$99 | $61–$99 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $93 | $93 | 23.6× |
| Protoporphyrin rbc quantitative (84202) | $205 | $205 | 14.3× |
| PSA free (84154) | $191 | $191 | 10.4× |
| Pth Intact (83970) | $426 | $426 | 10.3× |
| Quantiferon tb gold plus (86480) | $509 | $509 | 8.2× |
| Quantitative assay drug (80299) range across 9 matching MRF lines |
$165–$333 | $165–$333 | varies |
| Quinidine (80194) | $151 | $151 | 10.3× |
| Rbc antibody elution (86860) | $302 | $302 | 1.7× |
| Rbc antibody identification (86870) | $589 | $589 | 1.6× |
| Rbc antibody screen (86850) | $166 | $166 | 17.0× |
| Rbc pretreatment serum (86978) | $137 | $137 | 2.3× |
| Reagent Strip/Blood Glucose (82948) | $34 | $34 | 6.7× |
| Renin activity plasma (84244) | $227 | $227 | 10.3× |
| Reptilase test (85635) | $124 | $124 | 12.6× |
| Resp virus 12-25 targets (87633) | $3,042 | $3,042 | 7.3× |
| Rh (86901) range across 2 matching MRF lines |
$59–$82 | $59–$82 | varies |
| Rheumatoid Factor Qualitative (86430) | $113 | $113 | 18.4× |
| Rheumatoid factor quant (86431) | $113 | $113 | 19.9× |
| Rickettsia antibody (86757) | $146 | $146 | 7.5× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$84–$141 | $84–$141 | varies |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$101–$115 | $101–$115 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$145–$150 | $145–$150 | varies |
| Rubeola antibody (86765) | $126 | $126 | 9.8× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$64–$109 | $64–$109 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $184 | $184 | 3.6× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $143 | $143 | 3.5× |
| Sedimentation rate (85651) range across 2 matching MRF lines |
$48–$68 | $48–$68 | varies |
| Sensitivity mic (87186) | $104 | $104 | 12.0× |
| Sex Hormone Binding Globulin (84270) | $198 | $198 | 9.1× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$40–$130 | $40–$130 | varies |
| Sirolimus (80195) | $191 | $191 | 13.9× |
| Skin test tuberculosis intradermal (86580) range across 4 matching MRF lines |
$31–$49 | $31–$49 | varies |
| Smear acid fast (87206) | $112 | $112 | 20.8× |
| Smear gram stain (87205) | $88 | $88 | 20.6× |
| Smear Special Stain (87207) | $83 | $83 | 13.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $60 | $60 | 10.3× |
| Sodium Serum (84295) | $68 | $68 | 14.1× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$37–$88 | $37–$88 | varies |
| Somatomedin (84305) | $201 | $201 | 9.5× |
| Special Stains Group 1 (88312) | $360 | $360 | 6.8× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$302–$393 | $302–$393 | varies |
| Stool cultr aerobic bact ea (87046) | $84 | $84 | 8.9× |
| Strep a assay w/optic (87880) | $113 | $113 | 6.8× |
| Strep b DNA amp probe (87653) | $380 | $380 | 10.8× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$110–$183 | $110–$183 | varies |
| Sulfate urine (84392) | $35 | $35 | 6.4× |
| Surg path level iii (88304) | $253 | $253 | 4.8× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$333–$350 | $333–$350 | varies |
| Surgical pathology level vi (88309) | $1,325 | $1,325 | 1.6× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $117 | $117 | 24.6× |
| Syphilis Test Non-Trep Quant (86593) | $32 | $32 | 7.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $410 | $410 | 8.7× |
| T cells total count (86359) range across 2 matching MRF lines |
$329–$594 | $329–$594 | varies |
| T3 Free (84481) | $175 | $175 | 10.3× |
| T3 reverse (84482) | $126 | $126 | 8.0× |
| T3 Total (84480) | $114 | $114 | 8.0× |
| T4 Free (84439) | $99 | $99 | 11.0× |
| T4 total (84436) | $88 | $88 | 12.8× |
| Tacrolimus (80197) | $255 | $255 | 18.6× |
| Testosterone Bioavailable (84410) | $375 | $375 | 7.3× |
| Testosterone total (84403) range across 2 matching MRF lines |
$267–$289 | $267–$289 | varies |
| Testosterone, Free (84402) | $285 | $285 | 11.2× |
| Theophylline (80198) | $158 | $158 | 11.2× |
| Thrombin Time (85670) | $115 | $115 | 19.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $106 | $106 | 16.4× |
| Thyroglobulin (84432) | $178 | $178 | 11.1× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$98–$146 | $98–$146 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $405 | $405 | 8.0× |
| Tobramycin peak (80200) | $168 | $168 | 10.4× |
| Topiramate (80201) | $217 | $217 | 18.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $60 | $60 | 11.6× |
| Transferrin (84466) | $120 | $120 | 9.4× |
| Triglycerides (84478) range across 3 matching MRF lines |
$68–$85 | $68–$85 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$178–$188 | $178–$188 | varies |
| Troponin, qualitative (84512) | $108 | $108 | 10.7× |
| Tumor Immunohistochem/Manual (88360) | $333 | $333 | 1.9× |
| Ugt1a1 gene analysis common variants (81350) | $1,594 | $1,594 | 6.8× |
| Urea nitrogen urine (84540) | $37 | $37 | 6.7× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$88–$141 | $88–$141 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $19 | $19 | 8.8× |
| Urine Albumin Semiquantitative (82044) range across 2 matching MRF lines |
$42–$50 | $42–$50 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$59–$110 | $59–$110 | varies |
| Valproic acid (80164) range across 2 matching MRF lines |
$120–$168 | $120–$168 | varies |
| Vancomycin (80202) | $189 | $189 | 14.0× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$113–$137 | $113–$137 | varies |
| Vasopressin (84588) | $297 | $297 | 8.8× |
| Viral Culture (87252) range across 3 matching MRF lines |
$220–$269 | $220–$269 | varies |
| Virus antibody nos (86790) range across 3 matching MRF lines |
$104–$675 | $104–$675 | varies |
| Virus inoculate tissue addl (87253) range across 2 matching MRF lines |
$174–$210 | $174–$210 | varies |
| Viscosity serum (85810) | $249 | $249 | 21.3× |
| Vit D 1 25-Dihydroxy (82652) | $325 | $325 | 8.4× |
| Vitamin A (84590) | $121 | $121 | 10.4× |
| Vitamin b-12 (82607) | $155 | $155 | 10.3× |
| Vitamin B2 (Riboflavin) (84252) | $236 | $236 | 11.7× |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$187–$365 | $187–$365 | varies |
| Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines |
$202–$252 | $202–$252 | varies |
| Vitamin E (84446) | $130 | $130 | 9.2× |
| Vitamin K (84597) | $390 | $390 | 28.4× |
| Volatiles (84600) | $166 | $166 | 9.7× |
| West nile virus ab igm (86788) | $84 | $84 | 5.0× |
| Zinc (84630) | $101 | $101 | 8.9× |
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.