Lab & pathology prices at Tri Valley Health System
Cambridge, NE · every code in this section with a posted price and a Medicare benchmark.
540 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $202.50 | $225 | 8.9× |
| Acetylcholine receptor binding antibody (86041) | $201.60 | $224 | 11.0× |
| Acetylcholine receptor blocking antibody (86042) | $70.20 | $78 | 3.8× |
| Acth (82024) | $416.70 | $463 | 10.8× |
| Actin smooth muscle antibody each (86015) | $107.10 | $119 | 8.9× |
| Acute hepatitis panel (80074) | $435.60 | $484 | 9.1× |
| Acylcarnitines Quant (82017) | $342.90 | $381 | 20.3× |
| Albumin Fluid (82042) | $89.10 | $99 | 11.5× |
| Albumin serum (82040) | $73.80 | $82 | 14.9× |
| Aldolase (82085) | $126 | $140 | 13.0× |
| Aldosterone urine (82088) | $322.20 | $358 | 7.9× |
| Alkaline phosphatase isoenzymes (84080) | $180.90 | $201 | 12.2× |
| Allergen spec ige qual multiallergen screen (86005) | $161.10 | $179 | 20.2× |
| Allergen specific ige (86003) | $89.10 | $99 | 17.1× |
| Allg Spec Ige Recomb Ea (86008) | $26.10 | $29 | 1.5× |
| Alpha-1-antitrypsin phenotype (82104) | $269.10 | $299 | 18.6× |
| Alpha-1-antitrypsin total (82103) | $183.60 | $204 | 13.7× |
| Alpha-Fetoprotein Serum (82105) | $153.90 | $171 | 9.2× |
| Alt (sgpt) (84460) | $149.40 | $166 | 28.2× |
| Amikacin trough (80150) | $161.10 | $179 | 10.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $572.40 | $636 | 33.9× |
| Ammonia (82140) | $204.30 | $227 | 14.0× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $217.80 | $242 | 2.2× |
| Amylase urine (82150) | $135.90 | $151 | 21.0× |
| Ana Titer (86039) range across 2 matching MRF lines |
$118.80–$120.60 | $132–$134 | varies |
| Anca screen each antibody (86036) | $160.20 | $178 | 13.3× |
| Androstenedione (82157) | $95.40 | $106 | 3.3× |
| Angiotensin converting enzyme csf (82164) | $196.20 | $218 | 13.4× |
| Antibody aspergillus (86606) | $145.80 | $162 | 9.7× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $148.50 | $165 | 11.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $270.90 | $301 | 17.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $174.60 | $194 | 13.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $153 | $170 | 10.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $162 | $180 | 8.9× |
| Antibody Fungus Not Elsewhere Specified (86671) | $151.20 | $168 | 12.3× |
| Antibody helicobacter pylori (86677) | $179.10 | $199 | 10.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $179.10 | $199 | 12.4× |
| Antibody Herpes Smplx Type 1 (86695) | $200.70 | $223 | 15.2× |
| Antibody HIV-2 (86702) | $217.80 | $242 | 16.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $467.10 | $519 | 24.1× |
| Antibody identification leukocyte antibodies (86021) | $327.60 | $364 | 21.8× |
| Antibody Treponema Pallidum (86780) | $117 | $130 | 8.8× |
| Antibody; influenza virus (86710) | $113.40 | $126 | 8.4× |
| Antigen typing (86905) | $127.80 | $142 | 33.4× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $71.10 | $79 | 12.4× |
| Antinuclear antibodies (86038) | $175.50 | $195 | 14.5× |
| Antistreptolysin o titer (86060) | $145.80 | $162 | 20.0× |
| Antithrombin iii activity (85300) | $293.40 | $326 | 24.8× |
| Arsenic (82175) | $243 | $270 | 12.8× |
| Assay Blood Carbon Dioxide (82374) | $83.70 | $93 | 17.2× |
| Assay Nephelometry Not Spec (83883) | $182.70 | $203 | 13.4× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$139.50–$146.70 | $155–$163 | varies |
| Assay of blood/uric acid (84550) | $87.30 | $97 | 19.3× |
| Assay of calcium in urine (82340) | $90.90 | $101 | 15.1× |
| Assay of g6pd enzyme (82955) | $246.60 | $274 | 25.4× |
| Assay of gammaglobulin igm (82784) | $132.30 | $147 | 14.2× |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$162–$169.20 | $180–$188 | varies |
| Assay of manganese (83785) | $132.30 | $147 | 5.0× |
| Assay of metanephrines (83835) | $289.80 | $322 | 17.1× |
| Assay of proinsulin (84206) | $372.60 | $414 | 14.0× |
| Assay of serum potassium (84132) | $92.70 | $103 | 19.5× |
| Assay of sweat sodium (84302) | $103.50 | $115 | 21.3× |
| Assay of urea nitrogen (84520) | $87.30 | $97 | 22.1× |
| Assay of urine vma (84585) | $331.20 | $368 | 21.4× |
| Assay of vitamin b-1 (84425) | $290.70 | $323 | 13.7× |
| Automated Leukocyte Count (85048) | $50.40 | $56 | 19.8× |
| B cells total count (86355) | $119.70 | $133 | 3.2× |
| Bcr/abl1 gene major bp (81206) | $1,444.50 | $1,605 | 8.8× |
| Beta 2 glycoprotein i antibody each (86146) | $216 | $240 | 8.5× |
| Beta Lactamase (87185) | $69.30 | $77 | 14.6× |
| Beta-2 Microglobulin (82232) | $126 | $140 | 7.8× |
| Bile acids total (82239) | $172.80 | $192 | 10.1× |
| Bilirubin direct (82248) | $90 | $100 | 17.9× |
| Bilirubin total (82247) | $90 | $100 | 17.9× |
| Bilirubin total transcutaneous (88720) | $119.70 | $133 | 23.8× |
| Biotinidase (82261) | $67.50 | $75 | 4.0× |
| Blastomyces antibody (86612) | $99.90 | $111 | 7.7× |
| Bld Typing Serologic Rh Phnt (86906) | $281.70 | $313 | 36.3× |
| Bleeding time test (85002) | $118.80 | $132 | 24.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $90 | $100 | 23.7× |
| Blood count spun microhematocrit (85013) | $107.10 | $119 | 15.3× |
| Blood gas (82803) | $348.30 | $387 | 13.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $111.60 | $124 | 7.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $68.40 | $76 | 15.6× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $108 | $120 | 6.6× |
| Blood typing serologic abo (86900) | $91.80 | $102 | 30.7× |
| Body fluid cell count (89050) | $135.90 | $151 | 28.8× |
| Bordetella antibody (86615) | $200.70 | $223 | 15.2× |
| Brucella antibody (86622) | $289.80 | $322 | 32.5× |
| C diff amplified probe (87493) | $210.60 | $234 | 5.7× |
| C-Peptide (84681) | $94.50 | $105 | 4.5× |
| C-reactive protein (86140) | $113.40 | $126 | 21.9× |
| Ca 19-9 (86301) | $279.90 | $311 | 13.5× |
| Cadmium (82300) | $176.40 | $196 | 7.5× |
| Calcitonin (82308) | $246.60 | $274 | 9.2× |
| Calcium ionized (82330) | $145.80 | $162 | 10.7× |
| Calcium total (82310) | $87.30 | $97 | 16.9× |
| Calculus Spectroscopy (82365) | $207 | $230 | 16.0× |
| Calculus Xray Diffraction (82370) | $207 | $230 | 16.5× |
| Calprotectin Fecal (83993) | $522.90 | $581 | 26.6× |
| Calr gene com variants (81219) | $735.30 | $817 | 6.0× |
| Cancer Antigen 125 (86304) | $252 | $280 | 12.1× |
| Cancer Antigen 27.29 (86300) | $248.40 | $276 | 11.9× |
| Carbamazepine total (80156) | $205.20 | $228 | 14.1× |
| Carboxyhemoglobin (82375) | $48.60 | $54 | 3.9× |
| Carcinoembryonic antigen (82378) | $268.20 | $298 | 14.1× |
| Cardiolipin ab iga (86147) | $146.70 | $163 | 5.8× |
| Carnitine Quantitative Each Specimen (82379) | $462.60 | $514 | 27.4× |
| Carotene (82380) | $166.50 | $185 | 18.1× |
| Catecholamines fractionated (82384) | $270.90 | $301 | 10.7× |
| Ccp antibody (86200) | $243.90 | $271 | 18.8× |
| Cell count csf (89051) | $135.90 | $151 | 24.3× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $531 | $590 | 3.9× |
| Ceruloplasmin (82390) | $94.50 | $105 | 8.8× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$234–$315 | $260–$350 | varies |
| Chloride other source (82438) | $103.50 | $115 | 20.7× |
| Chloride Serum (82435) | $81 | $90 | 17.6× |
| Chloride urine (82436) | $69.30 | $77 | 12.1× |
| Cholesterol total (82465) | $67.50 | $75 | 15.5× |
| Cholinesterase Serum (82480) | $125.10 | $139 | 15.9× |
| Chorionic gonadotropin test (84702) | $162 | $180 | 10.8× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $229.50 | $255 | 6.9× |
| Chromium serum (82495) | $162 | $180 | 8.0× |
| Chromogranin a (86316) | $294.30 | $327 | 14.1× |
| Chromosome Analysis 15-20 (88262) | $750.60 | $834 | 6.0× |
| Chromosome Analysis 20-25 (88264) | $501.30 | $557 | 3.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $153 | $170 | 4.4× |
| Citric acid urine (82507) | $290.70 | $323 | 10.5× |
| Ckmb (82553) | $196.20 | $218 | 17.0× |
| Clostridium Difficile (87324) | $200.70 | $223 | 16.8× |
| Clot Factor VIII Multimetric (85247) | $417.60 | $464 | 18.2× |
| Cns DNA amp probe type 12-25 (87483) | $1,821.60 | $2,024 | 4.4× |
| Coccidioides antibody (86635) | $67.50 | $75 | 5.9× |
| Cold agglutinin titer (86157) | $150.30 | $167 | 18.6× |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$403.20–$945.90 | $448–$1,051 | varies |
| Compatibility Each Unit Incubation (86921) | $144.90 | $161 | 0.8× |
| Compatibility test antiglob (86922) | $273.60 | $304 | 1.5× |
| Complement Antigen Each Component (86160) | $164.70 | $183 | 13.7× |
| Complement Total (Ch50) (86162) | $130.50 | $145 | 6.4× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $153.90 | $171 | 4.0× |
| Coombs direct (86880) | $126.90 | $141 | 23.5× |
| Copper urine (82525) | $91.80 | $102 | 7.4× |
| Cortisol free (82530) | $192.60 | $214 | 11.5× |
| Cortisol saliva (82533) | $166.50 | $185 | 10.2× |
| Creatine kinase total (82550) | $127.80 | $142 | 19.6× |
| Creatinine blood (82565) | $108 | $120 | 21.1× |
| Creatinine clearance (82575) | $27.90 | $31 | 2.9× |
| Creatinine Urine (82570) | $90 | $100 | 17.4× |
| Crossmatch immediate spin (86920) | $272.70 | $303 | 1.5× |
| Crp High Sensitivity (86141) | $127.80 | $142 | 9.9× |
| Cryoglobulin (82595) | $48.60 | $54 | 7.5× |
| Cryptococcus ag titer (87899) | $122.40 | $136 | 7.6× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$145.80–$268.20 | $162–$298 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $120.60 | $134 | 14.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $120.60 | $134 | 14.9× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $833.40 | $926 | 3.8× |
| Culture afb (87116) | $163.80 | $182 | 15.2× |
| Culture Anaerobic (87075) | $174.60 | $194 | 18.4× |
| Culture blood (87040) | $281.70 | $313 | 27.3× |
| Culture chlamydia (87110) | $312.30 | $347 | 15.9× |
| Culture csf (87070) range across 2 matching MRF lines |
$176.40–$375.30 | $196–$417 | varies |
| Culture fungus (87102) | $180.90 | $201 | 21.5× |
| Culture screen only (87081) | $119.70 | $133 | 18.1× |
| Culture stool (87045) | $191.70 | $213 | 20.3× |
| Culture typing if ea antiserum (87140) | $317.70 | $353 | 57.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $95.40 | $106 | 18.4× |
| Culture typing other methods (87158) | $182.70 | $203 | 23.6× |
| Culture urine (87086) | $120.60 | $134 | 14.9× |
| Cyclosporine (80158) | $173.70 | $193 | 9.6× |
| Cystatin C (82610) | $106.20 | $118 | 5.7× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $3,122.10 | $3,469 | 2.7× |
| Cytomegalovirus igg (86644) | $173.70 | $193 | 12.1× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $155.70 | $173 | 7.7× |
| Cytopath Cell Enhance Tech (88112) | $189 | $210 | 3.5× |
| Cytp Concentration Smears & Interpretation (88108) | $255.60 | $284 | 6.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $159.30 | $177 | 2.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $277.20 | $308 | 7.1× |
| Deoxycortisol (82634) | $193.50 | $215 | 6.6× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$287.10–$288 | $319–$320 | varies |
| Detect Agent Nos Dna Quant (87799) | $295.20 | $328 | 6.9× |
| Dgp Antibody Each Ig Class (86258) | $95.40 | $106 | 7.9× |
| Dhea-S (82627) | $217.80 | $242 | 9.8× |
| Digoxin (80162) | $163.80 | $182 | 12.3× |
| Dna Antibody Native/Double Stranded (86225) | $150.30 | $167 | 10.9× |
| Dna/Rna Amplified Probe (87150) | $265.50 | $295 | 7.6× |
| DNA/RNA direct probe (87149) range across 4 matching MRF lines |
$126–$473.40 | $140–$526 | varies |
| Drug assay acetaminophen (80143) | $538.20 | $598 | 28.9× |
| Drug assay felbamate (80167) | $74.70 | $83 | 4.0× |
| Drug Assay Lacosamide (80235) | $261.90 | $291 | 9.7× |
| Drug Assay Vedolizumab (80280) | $376.20 | $418 | 9.8× |
| Drug assay voriconazole (80285) | $148.50 | $165 | 5.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $324 | $360 | 24.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $338.40 | $376 | 25.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $274.50 | $305 | 20.7× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $173.70 | $193 | 10.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$194.40–$270.90 | $216–$301 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $95.40 | $106 | 7.6× |
| El-1 Fecal Quantitative (82653) | $135.90 | $151 | 5.9× |
| Electrolyte panel (80051) | $175.50 | $195 | 25.0× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $189.90 | $211 | 3.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $128.70 | $143 | 10.6× |
| Enterovirus Antibody (86658) | $277.20 | $308 | 21.3× |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$277.20–$301.50 | $308–$335 | varies |
| Eosinophil Smear (89190) | $87.30 | $97 | 15.1× |
| Erythropoietin (82668) | $253.80 | $282 | 13.5× |
| Estradiol serum (82670) | $202.50 | $225 | 7.2× |
| Estriol (82677) | $223.20 | $248 | 9.2× |
| Estrogens fractionated (82671) range across 2 matching MRF lines |
$187.20–$243.90 | $208–$271 | varies |
| Ethosuximide (80168) | $254.70 | $283 | 15.6× |
| Exam Synovial Fluid Crystals (89060) | $101.70 | $113 | 13.9× |
| F2 Gene (81240) | $463.50 | $515 | 7.1× |
| Factor ix activity (85250) | $595.80 | $662 | 31.3× |
| Factor v leiden mutation (81241) | $295.20 | $328 | 4.0× |
| Factor viii assay (85240) | $290.70 | $323 | 16.2× |
| Factor xi activity (85270) | $492.30 | $547 | 27.5× |
| Fat stain feces urine/respir secretions (89125) | $61.20 | $68 | 10.4× |
| Fat/Lipids Feces Quantitative (82710) | $279.90 | $311 | 16.7× |
| Ferritin (82728) | $202.50 | $225 | 14.9× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $271.80 | $302 | 1.8× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $239.40 | $266 | 12.7× |
| Fetal screen rosette (85461) range across 2 matching MRF lines |
$71.10–$194.40 | $79–$216 | varies |
| Fibrin degradation products (85362) | $81 | $90 | 11.8× |
| Fibrin Degradation Quant (85379) | $219.60 | $244 | 21.6× |
| Fibrinogen activity (85384) | $127.80 | $142 | 13.1× |
| Flow cytometry first marker (88184) | $252 | $280 | 0.7× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$203.40–$230.40 | $226–$256 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $125.10 | $139 | 10.4× |
| Folic acid rbc (82747) | $162 | $180 | 9.2× |
| Folic Acid Serum (82746) | $204.30 | $227 | 13.9× |
| Follicle Stimulating Hormone (83001) | $160.20 | $178 | 8.6× |
| Francisella tularensis (86668) | $309.60 | $344 | 21.9× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $69.30 | $77 | 0.4× |
| Fungi Identification Yeast (87106) | $183.60 | $204 | 17.8× |
| Galactose (82760) | $54 | $60 | 4.8× |
| Galactose transferase test (82776) | $67.50 | $75 | 5.7× |
| Gammaglobulin ige (82785) | $109.80 | $122 | 6.7× |
| Gases blood ph only (82800) | $149.40 | $166 | 13.6× |
| Gastrin (82941) | $251.10 | $279 | 14.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $755.10 | $839 | 1.8× |
| Gentamicin (80170) | $192.60 | $214 | 11.8× |
| Ggt (82977) | $149.40 | $166 | 20.8× |
| Giardia antigen (87329) | $275.40 | $306 | 23.0× |
| Glucose 2 hr pp (82950) | $122.40 | $136 | 25.8× |
| Glucose Blood Test (82962) | $74.70 | $83 | 22.8× |
| Glucose body fluid (82945) | $42.30 | $47 | 10.8× |
| Glucose Serum (82947) | $87.30 | $97 | 22.2× |
| Glucose tolerance test (gtt) (82951) | $231.30 | $257 | 18.0× |
| Gonadotropin Chorionic Qualitative (84703) | $192.60 | $214 | 25.6× |
| Growth hormone (83003) | $120.60 | $134 | 7.2× |
| Gtt-added samples (82952) | $97.20 | $108 | 24.8× |
| Haptoglobin (83010) | $158.40 | $176 | 12.6× |
| Hdl Cholesterol (83718) | $88.20 | $98 | 10.8× |
| Helicobacter Pylori Stool (87338) | $333.90 | $371 | 23.2× |
| Hematocrit (85014) | $71.10 | $79 | 30.0× |
| Hemoglobin (85018) | $61.20 | $68 | 25.8× |
| Hemoglobin a1c (83036) | $120.60 | $134 | 12.4× |
| Hemoglobin Chromotography (83021) | $126 | $140 | 7.0× |
| Hemoglobin electrophoresis (83020) | $129.60 | $144 | 10.1× |
| Hemoglobin plasma (83051) | $167.40 | $186 | 22.9× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $306 | $340 | 32.7× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $249.30 | $277 | 28.4× |
| Hemolysins&Agglutinins Incubated (86941) | $249.30 | $277 | 20.6× |
| Hep a ab igm (86709) | $179.10 | $199 | 15.9× |
| Heparin assay (85520) | $282.60 | $314 | 21.6× |
| Hepatitis a antibody total (86708) | $177.30 | $197 | 14.3× |
| Hepatitis b core ab igm (86705) | $129.60 | $144 | 11.0× |
| Hepatitis b core ab total (86704) | $192.60 | $214 | 16.0× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$162–$189 | $180–$210 | varies |
| Hepatitis B Surface Antigen (87340) | $120.60 | $134 | 11.7× |
| Hepatitis Be Antibody (86707) | $195.30 | $217 | 16.9× |
| Hepatitis Be Antigen (87350) | $224.10 | $249 | 19.4× |
| Hepatitis C Antibody (86803) | $183.60 | $204 | 12.9× |
| Hepatitis c antibody confirmatory test (86804) | $591.30 | $657 | 38.2× |
| Hepatitis C Genotype (87902) | $815.40 | $906 | 3.2× |
| Hepatitis C Revrs Trnscrpj (87522) | $721.80 | $802 | 16.8× |
| Herpes simplex type 2 (86696) | $200.70 | $223 | 10.4× |
| Heterophile Antibody Screen (86308) | $112.50 | $125 | 21.7× |
| Hfe Gene (81256) | $477.90 | $531 | 7.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $99 | $110 | 12.8× |
| Histoplasma antibody (86698) | $243 | $270 | 17.6× |
| Histoplasma antigen urine (87385) | $400.50 | $445 | 30.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $143.10 | $159 | 5.9× |
| Hiv-1 Antibody (86701) | $110.70 | $123 | 12.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $537.30 | $597 | 6.3× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $437.40 | $486 | 5.9× |
| Homocysteine (83090) | $324.90 | $361 | 18.1× |
| Homogenization Tissue (87176) | $97.20 | $108 | 16.5× |
| Homovanillic acid urine (83150) | $258.30 | $287 | 11.5× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $159.30 | $177 | 2.3× |
| Hsv Dna Amp Probe (87529) | $297.90 | $331 | 8.5× |
| Hydroxyprogesterone 17-d (83498) | $207 | $230 | 7.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $126 | $140 | 3.6× |
| Iaad ia shiga-like toxin (87427) | $189 | $210 | 15.8× |
| Iaad Ia Streptococcus Group A (87430) | $98.10 | $109 | 5.8× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $560.70 | $623 | 16.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $176.40 | $196 | 5.0× |
| Iadna Cytomegalovirus Quantification (87497) | $338.40 | $376 | 7.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $564.30 | $627 | 8.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $537.30 | $597 | 15.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $176.40 | $196 | 5.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $214.20 | $238 | 6.1× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $277.20 | $308 | 1.9× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $720 | $800 | 2.7× |
| Ig Light Chains Free Each (83521) | $330.30 | $367 | 19.1× |
| Igg subclasses (82787) | $99 | $110 | 12.3× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,533.60 | $1,704 | 5.2× |
| Immunfix e-phorsis/urine/csf (86335) | $231.30 | $257 | 7.9× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $382.50 | $425 | 20.8× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $231.30 | $257 | 15.4× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$200.70–$267.30 | $223–$297 | varies |
| Immunodiffusion Ouchterlony (86331) | $78.30 | $87 | 6.5× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $170.10 | $189 | 7.4× |
| Immunofixation electrophoresis (86334) | $240.30 | $267 | 10.8× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $431.10 | $479 | 2.4× |
| Immunohistochemistry (88342) | $379.80 | $422 | 2.1× |
| In situ hybridization 1st probe stain (88365) | $667.80 | $742 | 3.8× |
| Influenza a/b ag eia (87400) | $164.70 | $183 | 11.7× |
| Influenza assay w/optic (87804) | $126 | $140 | 7.6× |
| Influenza DNA amp probe (87502) | $278.10 | $309 | 2.9× |
| Inhibin A (86336) | $205.20 | $228 | 13.2× |
| Inhibin b (83520) range across 3 matching MRF lines |
$175.50–$449.10 | $195–$499 | varies |
| Insitu hybridization manual (88368) | $687.60 | $764 | 1.8× |
| Insulin antibodies (86337) | $149.40 | $166 | 7.0× |
| Insulin total (83525) | $232.20 | $258 | 20.3× |
| Iron (83540) | $106.20 | $118 | 16.4× |
| Iron Binding Capacity (83550) | $113.40 | $126 | 13.0× |
| Irradiation Blood Product Each Unit (86945) | $94.50 | $105 | 2.4× |
| Islet cell antibody (86341) | $360 | $400 | 15.3× |
| Jak2 gene analysis p.val617phe variant (81270) | $820.80 | $912 | 9.0× |
| Koh Prep (87220) | $86.40 | $96 | 20.2× |
| L/s ratio (83661) | $292.50 | $325 | 13.3× |
| Lactate (ld) (ldh) enzyme (83615) | $101.70 | $113 | 16.8× |
| Lactoferrin fecal qualitative (83630) | $109.80 | $122 | 5.6× |
| LDL direct (83721) | $92.70 | $103 | 8.8× |
| Lead (83655) | $125.10 | $139 | 10.3× |
| Legionella antibody (86713) | $235.80 | $262 | 15.4× |
| Legionella antigen urine (87449) | $187.20 | $208 | 15.6× |
| Leukocyte Assessment Fecal (89055) | $83.70 | $93 | 19.6× |
| Level I Surg Pathology Gross Examination Only (88300) | $35.10 | $39 | 1.2× |
| Level ii surg pathology grossµscopic exam (88302) | $138.60 | $154 | 3.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $335.70 | $373 | 0.9× |
| Lidocaine (80176) | $63.90 | $71 | 4.3× |
| Lipase (83690) | $159.30 | $177 | 23.1× |
| Lipoprotein A (83695) | $199.80 | $222 | 14.0× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $160.20 | $178 | 3.5× |
| Lithium (80178) | $143.10 | $159 | 21.6× |
| Luteinizing Hormone (Lh) (83002) | $155.70 | $173 | 8.4× |
| Lyme disease antibody (86618) | $252.90 | $281 | 14.9× |
| Lymphocyte transformation (86353) | $1,357.20 | $1,508 | 27.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $1,210.50 | $1,345 | 6.8× |
| M/phmtrc alys ishquant/semiq (88374) | $719.10 | $799 | 4.1× |
| Macroscopic Exam Parasite (87169) | $99 | $110 | 23.0× |
| Magnesium Urine (83735) | $112.50 | $125 | 16.8× |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$159.30–$185.40 | $177–$206 | varies |
| Meat fibers, feces (89160) | $273.60 | $304 | 56.4× |
| Mercury urine (83825) | $235.80 | $262 | 14.5× |
| Methotrexate (80204) | $232.20 | $258 | 6.0× |
| Methylmalonic acid serum (83921) | $360 | $400 | 17.0× |
| Microalbumin, quantitative (82043) | $167.40 | $186 | 29.0× |
| Microsomal Antibodies Each (86376) | $152.10 | $169 | 10.5× |
| Mitochondrial Antibody Each (86381) | $79.20 | $88 | 3.1× |
| Molecular Pathology Procedure Level 3 (81402) | $612 | $680 | 4.1× |
| Mononuclear cell antigen (86356) | $170.10 | $189 | 6.4× |
| Mopath procedure level 4 (81403) | $689.40 | $766 | 3.7× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $504 | $560 | 2.7× |
| Mrsa Pcr (87641) | $398.70 | $443 | 11.4× |
| Mthfr Gene Analysis Common Variants (81291) | $269.10 | $299 | 4.1× |
| Mumps antibody (86735) | $238.50 | $265 | 18.3× |
| Muscle-Specific Kinase Antb (86366) | $1,335.60 | $1,484 | 72.6× |
| Mycobacteric Identification (87118) | $246.60 | $274 | 16.9× |
| Mycoplasma antibody (86738) | $180.90 | $201 | 13.7× |
| Mycoplasma culture (87109) | $135 | $150 | 8.8× |
| Myoglobin urine (83874) | $179.10 | $199 | 13.9× |
| Natriuretic peptide (83880) | $349.20 | $388 | 8.9× |
| Neisseria Dir Na Probe (87590) | $149.40 | $166 | 5.6× |
| Nfct ds bv&vaginitis DNA alg (81515) | $501.30 | $557 | 1.9× |
| Nk cells total count (86357) | $176.40 | $196 | 4.7× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$149.40–$315 | $166–$350 | varies |
| Obstetric panel (80081) | $352.80 | $392 | 4.7× |
| Occult blood feces (82272) | $54 | $60 | 12.8× |
| Oncology Prostate Prob Score (81539) | $1,323.90 | $1,471 | 1.7× |
| Organic acids urine (83918) | $362.70 | $403 | 15.4× |
| Osmolality serum (83930) | $139.50 | $155 | 21.1× |
| Osmolality Urine (83935) | $136.80 | $152 | 20.1× |
| Ova and parasites smears (87177) | $111.60 | $124 | 12.5× |
| Oxalate urine (83945) | $185.40 | $206 | 12.8× |
| Parvovirus antibody (86747) | $141.30 | $157 | 9.4× |
| Ph urine (81003) | $56.70 | $63 | 25.2× |
| Phenobarbital Level (80184) | $211.50 | $235 | 13.8× |
| Phenylalanine (84030) | $207 | $230 | 37.6× |
| Phenytoin (Dilantin) (80185) | $204.30 | $227 | 15.4× |
| Phenytoin free (80186) | $189.90 | $211 | 13.8× |
| Phosphatase alkaline (84075) | $73.80 | $82 | 14.2× |
| Phosphorus Serum (84100) | $83.70 | $93 | 17.7× |
| Phosphorus urine (84105) | $34.20 | $38 | 5.9× |
| Pinworm exam (87172) | $64.80 | $72 | 15.2× |
| Platelet Antibodies (86022) | $741.60 | $824 | 40.4× |
| Platelet count automated (85049) | $81 | $90 | 18.1× |
| Porphobilinogen, urine; quantitative (84110) | $126 | $140 | 14.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $150.30 | $167 | 10.2× |
| Potassium Urine (84133) | $45.90 | $51 | 9.7× |
| Prealbumin (84134) | $175.50 | $195 | 12.0× |
| Pregnenolone (84140) | $304.20 | $338 | 14.7× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $91.80 | $102 | 1.5× |
| Primidone (80188) | $219.60 | $244 | 13.2× |
| Procalcitonin (Pct) (84145) | $268.20 | $298 | 9.9× |
| Progesterone (84144) | $176.40 | $196 | 8.5× |
| Prolactin (84146) | $194.40 | $216 | 10.0× |
| Protein body fluid (84157) | $90 | $100 | 22.5× |
| Protein C Activity (85303) | $467.10 | $519 | 33.8× |
| Protein c antigen (85302) | $323.10 | $359 | 26.9× |
| Protein Electrophoresis Urine (84166) | $191.70 | $213 | 10.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $191.70 | $213 | 17.8× |
| Protein S Free (85306) | $420.30 | $467 | 27.4× |
| Protein s total (85305) | $334.80 | $372 | 28.8× |
| Protein total serum (84155) | $76.50 | $85 | 20.8× |
| Protein Total Urine (84156) | $90 | $100 | 24.5× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $135 | $150 | 34.3× |
| PSA free (84154) | $225.90 | $251 | 12.3× |
| Pth Intact (83970) | $234.90 | $261 | 5.7× |
| Q Fever Antibody (86638) | $54.90 | $61 | 4.5× |
| Quantiferon tb gold plus (86480) | $240.30 | $267 | 3.9× |
| Quantitative assay drug (80299) | $612 | $680 | 32.8× |
| Quantitative Screen Metals (83018) | $115.20 | $128 | 5.2× |
| Quinidine (80194) | $175.50 | $195 | 12.0× |
| Rbc antibody elution (86860) | $189 | $210 | 1.1× |
| Rbc antibody identification (86870) | $196.20 | $218 | 0.5× |
| Rbc antibody screen (86850) | $150.30 | $167 | 15.4× |
| Rbc pretreatment serum (86978) | $450.90 | $501 | 7.4× |
| Reagent Strip/Blood Glucose (82948) | $69.30 | $77 | 13.8× |
| Receptor assay estrogen (84233) | $456.30 | $507 | 5.2× |
| Receptor assay progesterone (84234) | $368.10 | $409 | 5.7× |
| Renin activity plasma (84244) | $149.40 | $166 | 6.8× |
| Resp virus 12-25 targets (87633) | $741.60 | $824 | 1.8× |
| Reticulocyte Count (85046) | $90 | $100 | 16.2× |
| Reticulocyte Count Manual (85044) | $73.80 | $82 | 17.1× |
| Rh (86901) | $99 | $110 | 33.1× |
| Rheumatoid factor quant (86431) | $83.70 | $93 | 14.8× |
| Rickettsia antibody (86757) | $210.60 | $234 | 10.9× |
| Ristocetin cofactor (85245) | $277.20 | $308 | 12.1× |
| Rotavirus ag eia (87425) | $437.40 | $486 | 36.5× |
| Rpr qualitative (86592) | $61.20 | $68 | 14.3× |
| Rsv ab (86756) | $306 | $340 | 19.3× |
| Rubella Antibody (86762) | $112.50 | $125 | 7.8× |
| Rubeola antibody (86765) | $155.70 | $173 | 12.1× |
| Russell Viper Venom Time Diluted (85613) | $73.80 | $82 | 7.7× |
| Salicylate Level (80179) | $462.60 | $514 | 24.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $361.80 | $402 | 7.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $137.70 | $153 | 3.3× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $667.80 | $742 | 4.7× |
| Sedimentation rate (85651) | $71.10 | $79 | 16.7× |
| Selenium (84255) | $162 | $180 | 6.3× |
| Semen Anal Sperm Detection (89321) | $118.80 | $132 | 9.9× |
| Semen analysis motility and count (89310) | $282.60 | $314 | 32.8× |
| Sensitivity mic (87186) | $198 | $220 | 22.9× |
| Sex Hormone Binding Globulin (84270) | $180.90 | $201 | 8.3× |
| Sickling of rbc reduction (85660) | $158.40 | $176 | 28.7× |
| Skin test tuberculosis intradermal (86580) | $27.90 | $31 | 0.9× |
| Smear acid fast (87206) | $103.50 | $115 | 19.2× |
| Smear complex stain (87209) | $129.60 | $144 | 7.2× |
| Smear gram stain (87205) | $86.40 | $96 | 20.2× |
| Smn1 Gene Dos/Deletion Alys (81329) | $297.90 | $331 | 2.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $71.10 | $79 | 12.2× |
| Sodium Serum (84295) | $63 | $70 | 13.1× |
| Sodium Urine (84300) | $76.50 | $85 | 15.1× |
| Soluble Transferrin Receptor (84238) | $303.30 | $337 | 8.3× |
| Somatomedin (84305) | $217.80 | $242 | 10.2× |
| Special Stains Group 1 (88312) | $161.10 | $179 | 3.0× |
| Special Stains Group 2 (88313) | $140.40 | $156 | 1.0× |
| Specimen infect agnt concntj (87015) | $97.20 | $108 | 14.6× |
| Spectrophotometry (84311) | $275.40 | $306 | 34.0× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $174.60 | $194 | 1.0× |
| Stool cultr aerobic bact ea (87046) | $97.20 | $108 | 10.3× |
| Strep b DNA amp probe (87653) | $88.20 | $98 | 2.5× |
| Surg path level iii (88304) | $143.10 | $159 | 2.6× |
| Surgical pathology level IV (88305) | $414 | $460 | 7.7× |
| Surgical pathology level vi (88309) | $512.10 | $569 | 0.6× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $189.90 | $211 | 25.4× |
| Syphilis Test Non-Trep Quant (86593) | $104.40 | $116 | 23.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $246.60 | $274 | 5.2× |
| T cells total count (86359) | $133.20 | $148 | 3.5× |
| T3 Free (84481) | $200.70 | $223 | 11.8× |
| T3 reverse (84482) | $234.90 | $261 | 14.9× |
| T3 Total (84480) | $159.30 | $177 | 11.2× |
| T3 Uptake (84479) | $95.40 | $106 | 14.7× |
| T4 Free (84439) | $145.80 | $162 | 16.2× |
| T4 total (84436) | $91.80 | $102 | 13.4× |
| T4-neonatal (84437) | $61.20 | $68 | 9.5× |
| Tacrolimus (80197) | $279.90 | $311 | 20.4× |
| Testosterone total (84403) | $183.60 | $204 | 7.1× |
| Testosterone, Free (84402) | $195.30 | $217 | 7.7× |
| Theophylline (80198) | $173.70 | $193 | 12.3× |
| Thrombin Time (85670) | $90 | $100 | 15.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $69.30 | $77 | 10.7× |
| Thyroglobulin (84432) | $211.50 | $235 | 13.2× |
| Thyroglobulin Antibody (86800) | $146.70 | $163 | 9.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $456.30 | $507 | 9.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $119.70 | $133 | 10.4× |
| Tissue Culture (88233) | $750.60 | $834 | 5.3× |
| Tissue culture bone marrow (88237) | $536.40 | $596 | 3.7× |
| Tissue Culture Lymphocyte (88230) | $693 | $770 | 5.9× |
| Tobramycin peak (80200) | $204.30 | $227 | 12.7× |
| Toxoplasma ab igm (86778) | $174.60 | $194 | 12.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $103.50 | $115 | 20.0× |
| Transferrin (84466) | $144.90 | $161 | 11.4× |
| Trg gene rearrangement anal (81342) | $936.90 | $1,041 | 4.6× |
| Trichinella Antibody (86784) | $487.80 | $542 | 38.8× |
| Trichomonas Vaginalis Amplif (87661) | $150.30 | $167 | 4.3× |
| Triglycerides (84478) | $81 | $90 | 14.1× |
| Troponin Quant (84484) | $277.20 | $308 | 22.2× |
| Troponin, qualitative (84512) | $229.50 | $255 | 22.7× |
| Tumor immunohistochem/comput (88361) | $297 | $330 | 0.8× |
| Tumor Immunohistochem/Manual (88360) | $300.60 | $334 | 1.7× |
| Urea nitrogen urine (84540) | $86.40 | $96 | 15.5× |
| Uric acid other source (84560) | $88.20 | $98 | 17.4× |
| Urinalysis Microscopic Only (81015) | $56.70 | $63 | 18.6× |
| Urinalysis Volume Measure (81050) | $38.70 | $43 | 10.6× |
| Urine Bacteria Culture (87088) | $132.30 | $147 | 16.4× |
| Urine Pregnancy Test (81025) | $132.30 | $147 | 15.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $87.30 | $97 | 27.5× |
| Valproic acid (80164) | $225.90 | $251 | 16.7× |
| Vancomycin (80202) | $229.50 | $255 | 16.9× |
| Varicella-zoster antibody (86787) | $193.50 | $215 | 15.0× |
| Very Long Chain Fatty Acids (82726) | $52.20 | $58 | 2.6× |
| Viral Culture (87252) | $76.50 | $85 | 2.9× |
| Virus antibody nos (86790) | $324 | $360 | 25.2× |
| Viscosity serum (85810) | $207 | $230 | 17.7× |
| Vit D 1 25-Dihydroxy (82652) | $428.40 | $476 | 11.1× |
| Vitamin A (84590) | $300.60 | $334 | 25.9× |
| Vitamin b-12 (82607) | $202.50 | $225 | 13.4× |
| Vitamin B6 (84207) | $324.90 | $361 | 11.6× |
| Vitamin D 25-Hydroxy (82306) | $150.30 | $167 | 5.1× |
| Vitamin E (84446) | $155.70 | $173 | 11.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $208.80 | $232 | 17.3× |
| Von willebrand factor ag (85246) | $259.20 | $288 | 11.3× |
| Wbc Alkaline Phosphatase Count (85540) | $214.20 | $238 | 24.9× |
| West nile virus ab igm (86788) | $252 | $280 | 15.0× |
| West Nile Virus Antibody (86789) | $252 | $280 | 17.5× |
| Zika Virus Dna/Rna Amp Probe (87662) | $330.30 | $367 | 6.4× |
| Zinc (84630) | $158.40 | $176 | 13.9× |
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.