Lab & pathology prices at The University of Toledo Medical Center

Toledo, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Albumin Fluid (82042) $51 $85 6.6×
Albumin serum (82040) $29.40 $49 5.9×
Aldolase (82085) $38.40 $64 4.0×
Allergen specific ige (86003)
range across 2 matching MRF lines
$13.20–$18 $22–$30 varies
Allergen specific igg (86001)
range across 2 matching MRF lines
$15–$15.60 $25–$26 varies
Allg Spec Ige Recomb Ea (86008) $31.80 $53 1.8×
Alpha-1-antitrypsin total (82103) $75 $125 5.6×
Alpha-Fetoprotein Serum (82105) $66.60 $111 4.0×
Alt (sgpt) (84460) $21.60 $36 4.1×
Ammonia (82140) $107.40 $179 7.4×
Amylase urine (82150) $55.20 $92 8.5×
Ana Titer (86039) $37.20 $62 3.3×
Anca screen each antibody (86036) $45 $75 3.7×
Antibody aspergillus (86606) $27 $45 1.8×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $70.20 $117 4.5×
Antibody Cytomegalovirus Cmv Igm (86645) $47.40 $79 2.8×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663)
range across 2 matching MRF lines
$41.40–$134.40 $69–$224 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $99.60 $166 6.5×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 5 matching MRF lines
$46.20–$70.80 $77–$118 varies
Antibody Fungus Not Elsewhere Specified (86671) $46.20 $77 3.8×
Antibody Herpes Smplx Type 1 (86695) $46.80 $78 3.5×
Antibody Hla Class I High Definition Panel Qual (86832) $372.60 $621 1.2×
Antibody Hla Class I Phenotype Panel Qualitative (86830) $361.80 $603 3.8×
Antibody Titer (86886) $167.40 $279 32.3×
Antibody Treponema Pallidum (86780) $43.20 $72 3.3×
Antibody; campylobacter (86625) $14.40 $24 1.1×
Antigen typing (86905) $259.20 $432 67.7×
Antinuclear antibodies (86038) $75 $125 6.2×
Antistreptolysin o titer (86060) $31.80 $53 4.4×
Antithrombin iii activity (85300) $108.60 $181 9.2×
Assay activated protein c (85307) $103.20 $172 6.7×
Assay Blood Carbon Dioxide (82374) $27 $45 5.5×
Assay Nephelometry Not Spec (83883)
range across 2 matching MRF lines
$95.40–$100.20 $159–$167 varies
Assay of 5-hiaa (83497) $134.40 $224 10.4×
Assay of blood/uric acid (84550) $46.20 $77 10.2×
Assay of calcium in urine (82340) $45.60 $76 7.6×
Assay of gammaglobulin igm (82784) $63 $105 6.8×
Assay of lactic acid (83605) $125.40 $209 10.8×
Assay of serum potassium (84132) $39 $65 8.2×
Assay of sweat sodium (84302) $74.40 $124 15.3×
Assay of urea nitrogen (84520) $18 $30 4.6×
Assay Ph Body Fluid Nos (83986) $28.20 $47 7.9×
Autol Bld/Component Collj Storage Predeposited (86890) $342 $570 2.1×
Autol bld/component collj storage salvage (86891) $1,170 $1,950 1.5×
Automated Leukocyte Count (85048) $34.20 $57 13.5×
B cells total count (86355) $103.20 $172 2.7×
Bcr/abl1 gene minor bp (81207) $600 $1,000 4.1×
Beta 2 glycoprotein i antibody each (86146) $58.80 $98 2.3×
Beta hydroxybutyrate (82010) $35.40 $59 4.3×
Beta Lactamase (87185) $23.40 $39 4.9×
Bilirubin direct (82248) $29.40 $49 5.9×
Bilirubin total (82247) $30 $50 6.0×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $246 $410 1.5×
Bld Typing Serologic Rh Phnt (86906) $102.60 $171 13.2×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $61.80 $103 12.2×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $37.20 $62 9.8×
Blood count spun microhematocrit (85013) $37.80 $63 5.4×
Blood gas (82803)
range across 2 matching MRF lines
$159.60–$160.20 $266–$267 varies
Blood gases w/02 saturation (82805) $188.40 $314 2.4×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $22.20 $37 5.1×
Blood Type Antigen Donor Reagent Serum Each (86902) $259.20 $432 40.8×
Blood typing serologic abo (86900) $96.60 $161 32.3×
Braf gene analysis (81210) $313.80 $523 1.8×
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) $594 $990 1.4×
Breath Alcohol Test (82075) $45 $75 1.5×
C diff amplified probe (87493) $66.60 $111 1.8×
C-reactive protein (86140) $35.40 $59 6.8×
Calcium ionized (82330) $70.80 $118 5.2×
Calcium total (82310) $31.80 $53 6.2×
Calculus assay quant (82360) $90.60 $151 7.0×
Calprotectin Fecal (83993) $125.40 $209 6.4×
Cancer Antigen 125 (86304) $84.60 $141 4.1×
Candida Dna Dir Probe (87480) $57 $95 2.8×
Carboxyhemoglobin (82375) $88.80 $148 7.2×
Carcinoembryonic antigen (82378) $75.60 $126 4.0×
Cardiolipin ab iga (86147) $91.80 $153 3.6×
Cell count csf (89051) $74.40 $124 13.3×
Cell marker study (88182) $370.20 $617 7.5×
Ceruloplasmin (82390) $105.60 $176 9.8×
Cftr gene com variants (81220) $524.40 $874 0.9×
Chemiluminescent assay (82397) $140.40 $234 9.9×
Chloride other source (82438) $39.60 $66 7.9×
Chloride Serum (82435) $40.80 $68 8.9×
Chloride urine (82436) $48.60 $81 8.5×
Cholesterol total (82465) $27 $45 6.2×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$41.40–$76.80 $69–$128 varies
Chromosome Analysis 15-20 (88262) $350.40 $584 2.8×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $154.20 $257 4.4×
Ckmb (82553) $82.20 $137 7.1×
Clostridium Difficile (87324) $45.60 $76 3.8×
Coagulation time activated (85347) $75.60 $126 17.7×
Compatibility test antiglob (86922) $237 $395 1.5×
Complement Antigen Each Component (86160)
range across 4 matching MRF lines
$86.40–$90.60 $144–$151 varies
Consltj&Reprt Material Requiring Prepj Slides (88323) $160.80 $268 3.2×
Coombs direct (86880) $110.40 $184 20.5×
Copper urine (82525) $81 $135 6.5×
Cortisol free (82530) $68.81 $114.69 4.1×
Cortisol saliva (82533) $70.80 $118 4.3×
Creatine kinase total (82550) $45.60 $76 7.0×
Creatinine blood (82565) $24.60 $41 4.8×
Creatinine Urine (82570) $51 $85 9.8×
Crossmatch immediate spin (86920) $229.20 $382 1.4×
Crp High Sensitivity (86141) $66.60 $111 5.1×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $83.40 $139 6.4×
Cryptococcal Antigen (87327) $64.20 $107 4.8×
Cryptococcus ag titer (87899) $54 $90 3.4×
Cryptosporidium ag eia (87328)
range across 2 matching MRF lines
$55.20–$67.20 $92–$112 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $53.40 $89 6.6×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $69.60 $116 8.6×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $37.80 $63 4.9×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $680.40 $1,134 3.1×
Culture afb (87116) $98.40 $164 9.1×
Culture Anaerobic (87075) $113.40 $189 12.0×
Culture blood (87040) $99 $165 9.6×
Culture csf (87070)
range across 17 matching MRF lines
$58.80–$64.20 $98–$107 varies
Culture fungus (87102) $91.20 $152 10.8×
Culture fungus blood (87103) $84 $140 4.1×
Culture screen only (87081)
range across 7 matching MRF lines
$36.60–$38.40 $61–$64 varies
Culture stool (87045)
range across 2 matching MRF lines
$55.80–$72.60 $93–$121 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $37.20 $62 7.2×
Culture urine (87086) $45.60 $76 5.7×
Cyclosporine (80158) $65.40 $109 3.6×
Cytomegalovirus igg (86644) $48.60 $81 3.4×
Cytopath Cell Enhance Tech (88112) $137.40 $229 2.8×
Cytp Concentration Smears & Interpretation (88108) $119.40 $199 3.4×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $307.80 $513 6.2×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $378.60 $631 2.3×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $158.40 $264 4.5×
Detect Agent Nos Dna Amp (87798)
range across 4 matching MRF lines
$81.60–$92.40 $136–$154 varies
Detect Agent Nos Dna Quant (87799) $202.80 $338 4.7×
Detect agnt mult DNA ampli (87801) $66.60 $111 0.9×
Dgp Antibody Each Ig Class (86258) $28.80 $48 2.4×
Digoxin (80162) $100.80 $168 7.6×
Dihydrotestosterone (82642) $87 $145 3.0×
Dna Antibody Native/Double Stranded (86225) $78 $130 5.7×
Dna/Rna Sequencing (87153)
range across 5 matching MRF lines
$285.60–$317.40 $476–$529 varies
Drug Assay Everolimus (80169) $82.80 $138 6.0×
Drug Assay Infliximab (80230) $465 $775 12.1×
Drug Assay Leflunomide (80193) $133.80 $223 3.5×
Drug Assay Posaconazole (80187) $127.20 $212 4.7×
Drug Assay Vedolizumab (80280) $490.80 $818 12.7×
Drug Test Prsmv Chem Anlyzr (80307)
range across 5 matching MRF lines
$35.40–$53.40 $59–$89 varies
Drug Test Prsmv Dir Opt Obs (80305) $55.20 $92 4.4×
Electrolyte panel (80051) $45 $75 6.4×
Electron Microscopy (88348) $1,032 $1,720 1.3×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $258 $430 4.2×
Endomysial Antibody Each Immunoglobulin Class (86231) $49.80 $83 4.1×
Enzyme histochemistry (88319) $595.20 $992 0.8×
Eosinophil Smear (89190)
range across 3 matching MRF lines
$27–$31.80 $45–$53 varies
Ethylene Glycol (82693) $59.40 $99 4.0×
Exam Synovial Fluid Crystals (89060) $60 $100 8.2×
F2 Gene (81240) $243.60 $406 3.7×
Factor ii activity (85210) $53.40 $89 4.1×
Factor Inhibitor Test (85335)
range across 2 matching MRF lines
$52.80–$72 $88–$120 varies
Factor ix activity (85250) $72.60 $121 3.8×
Factor v activity (85220) $67.80 $113 3.8×
Factor v leiden mutation (81241) $248.40 $414 3.4×
Factor vii assay (85230) $231 $385 12.9×
Factor viii assay (85240) $55.80 $93 3.1×
Factor X (85260) $100.80 $168 5.6×
Factor xi activity (85270) $127.20 $212 7.1×
Fat stain feces urine/respir secretions (89125) $52.80 $88 9.0×
Ferritin (82728) $51 $85 3.7×
Fibrin dgradj products d-dimer qual/semiquan (85378) $75.60 $126 7.8×
Fibrinogen activity (85384) $61.80 $103 6.4×
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$229.20–$280.20 $382–$467 varies
Fluorescent antibody screen (86255)
range across 8 matching MRF lines
$36.60–$61.80 $61–$103 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 5 matching MRF lines
$85.80–$95.40 $143–$159 varies
Folic Acid Serum (82746) $57.60 $96 3.9×
Follicle Stimulating Hormone (83001) $76.80 $128 4.1×
Frozen Section (88331) $297 $495 1.8×
Fungi Identification Mold (87107) $91.80 $153 8.9×
Fungi Identification Yeast (87106) $78 $130 7.6×
Gammaglobulin ige (82785) $59.40 $99 3.6×
Gardner vag DNA dir probe (87510) $57 $95 2.8×
Gases Blood O2 Saturation Only Direct Meas (82810) $74.40 $124 7.6×
Ggt (82977) $46.80 $78 6.5×
Giardia antigen (87329) $52.80 $88 4.4×
Glucose 2 hr pp (82950) $31.80 $53 6.7×
Glucose Blood Test (82962) $21 $35 6.4×
Glucose body fluid (82945) $46.80 $78 11.9×
Glucose Serum (82947) $28.80 $48 7.3×
Glucose tolerance test (gtt) (82951) $87 $145 6.8×
Gonadotropin Chorionic Qualitative (84703) $76.20 $127 10.1×
Gtt-added samples (82952) $30.60 $51 7.8×
H pylri clrthmcn rst amp prb (87513) $333 $555 9.5×
Haptoglobin (83010) $84.60 $141 6.7×
Hdl Cholesterol (83718) $47.40 $79 5.8×
Helicobacter Pylori Stool (87338) $54 $90 3.8×
Hematocrit (85014)
range across 2 matching MRF lines
$21–$22.20 $35–$37 varies
Hemoglobin (85018)
range across 3 matching MRF lines
$18–$19.20 $30–$32 varies
Hemoglobin a1c (83036) $51.60 $86 5.3×
Hemoglobin Chromotography (83021) $51.60 $86 2.9×
Hemoglobin electrophoresis (83020) $134.40 $224 10.4×
Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) $23.40 $39 2.4×
Hemolysins&Agglutinins Auto Screen Each (86940) $46.20 $77 5.3×
Hemolysins&Agglutinins Incubated (86941) $67.20 $112 5.5×
Hemosiderin urine (83070) $24.60 $41 5.2×
Hep a ab igm (86709) $50.40 $84 4.5×
Heparin assay (85520) $105 $175 8.0×
Hepatitis b core ab igm (86705) $55.80 $93 4.7×
Hepatitis b core ab total (86704) $63.60 $106 5.3×
Hepatitis B Surface Antibody (86706) $48.60 $81 4.5×
Hepatitis B Surface Antigen (87340) $63.60 $106 6.2×
Hepatitis Be Antigen (87350) $41.40 $69 3.6×
Hepatitis C Antibody (86803) $63 $105 4.4×
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$157.20–$165 $262–$275 varies
Herpes simplex type 2 (86696) $68.40 $114 3.5×
Heterophile Antibody Screen (86308) $37.80 $63 7.3×
Hiv Genotype (87901) $228 $380 0.9×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines
$91.80–$96.60 $153–$161 varies
Hiv-1 Quant&Revrse Trnscrpj (87536) $238.80 $398 2.8×
Hla Class I Typing Low Resolution One Locus Each (81373) $238.20 $397 1.9×
Hla class i&ii antibody qual (86828) $239.40 $399 3.7×
Hla class ii high defin qual (86833) $447.60 $746 1.4×
Hla class ii typing high resolution one locus ea (81382) $274.80 $458 2.2×
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $489.60 $816 4.5×
Hla Typing a/B/C Multiple Antigens (86813) $516.60 $861 8.9×
Hla Typing Dr/Dq Multiple Antigens (86817) $737.40 $1,229 6.9×
Hla Typing Dr/Dq Single Antigen (86816) $233.40 $389 7.7×
Hla-b27 (86812) $135.60 $226 5.3×
Homocysteine (83090) $78.60 $131 4.4×
Homogenization Tissue (87176) $42 $70 7.1×
Hpv High-Risk Types (87624) $106.20 $177 3.0×
Hpv Types 16 & 18 Only (87625) $160.80 $268 4.0×
Hsv Dna Amp Probe (87529)
range across 3 matching MRF lines
$109.80–$115.20 $183–$192 varies
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $78.60 $131 7.6×
Iaad ia shiga-like toxin (87427) $78 $130 6.5×
Iaadi pneumocustis carinii (87281) $35.40 $59 3.0×
Iadna Cytomegalovirus Quantification (87497) $105.60 $176 2.5×
Iadna hepatitis b virus amplified probe tq (87516) $90.60 $151 2.6×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $153.60 $256 4.4×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $29.40 $49 0.6×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $592.20 $987 2.3×
Ig Light Chains Free Each (83521) $54.60 $91 3.2×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $515.40 $859 1.5×
Immune Complex Assay (86332)
range across 3 matching MRF lines
$141.60–$148.80 $236–$248 varies
Immunfix e-phorsis/urine/csf (86335)
range across 3 matching MRF lines
$130.20–$136.80 $217–$228 varies
Immunoassay Analyte Quant Radioimmunoassay (83519) $115.20 $192 6.3×
Immunoassay nonantibody (83516) $41.40 $69 3.6×
Immunodiffusion Ouchterlony (86331) $18 $30 1.5×
Immunofixation electrophoresis (86334) $115.20 $192 5.2×
Immunofluorescence per spec 1st singl antb stain (88346) $245.40 $409 1.5×
Immunohistochemistry (88342)
range across 3 matching MRF lines
$268.80–$282 $448–$470 varies
In situ hybridization ea multiplex probe stain (88366) $726.60 $1,211 4.5×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $145.20 $242 2.1×
Influenza assay w/optic (87804) $46.20 $77 2.8×
Influenza DNA amp probe (87502) $193.20 $322 2.0×
Insitu hybridization manual (88368) $396 $660 1.2×
Insulin total (83525) $70.20 $117 6.1×
Iron (83540) $43.20 $72 6.7×
Iron Binding Capacity (83550) $61.20 $102 7.0×
Islet cell antibody (86341)
range across 4 matching MRF lines
$121.20–$355.80 $202–$593 varies
Jak2 gene analysis p.val617phe variant (81270) $281.40 $469 3.1×
Jak2 Gene Trgt Sequence Alys (81279) $318.60 $531 1.7×
Koh Prep (87220) $22.80 $38 5.3×
Lactate (ld) (ldh) enzyme (83615) $39.60 $66 6.6×
Legionella antigen urine (87449) $103.20 $172 8.6×
Leukocyte Assessment Fecal (89055) $24.60 $41 5.8×
Leukocyte Histamine Release (86343) $131.40 $219 10.5×
Level I Surg Pathology Gross Examination Only (88300) $64.80 $108 2.4×
Level ii surg pathology gross&microscopic exam (88302) $108.60 $181 3.1×
Level V Surg Pathology Gross&Microscopic Exam (88307) $315.60 $526 0.9×
Lipase (83690) $67.80 $113 9.8×
Luteinizing Hormone (Lh) (83002) $82.20 $137 4.4×
Lyme disease antibody (86618) $45.60 $76 2.7×
Lymphocytotoxicity Assay (86805) $298.80 $498 1.6×
M. Genitalium Amp Probe (87563) $197.40 $329 5.6×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $339.60 $566 2.1×
Magnesium Urine (83735) $54.60 $91 8.1×
Metabolic panel ionized ca (80047) $101.40 $169 7.4×
Microalbumin, quantitative (82043) $73.80 $123 12.8×
Microsomal Antibodies Each (86376) $70.20 $117 4.8×
Mlh1 Gene (81288) $494.40 $824 2.6×
Mpl gene common variants (81338) $318 $530 2.1×
Mrsa Pcr (87641) $121.80 $203 3.5×
Mthfr Gene Analysis Common Variants (81291) $132.60 $221 2.0×
Mumps antibody (86735)
range across 2 matching MRF lines
$31.80–$73.80 $53–$123 varies
Mycophenolic Acid (80180) $77.40 $129 4.3×
Myoglobin urine (83874) $101.40 $169 7.8×
Natriuretic peptide (83880) $189 $315 4.8×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $474 $790 3.7×
Nfct Ds Bv&Vaginitis Dna Alg (81514) $394.20 $657 1.5×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $114 $190 0.9×
Niacin (84591) $81.60 $136 4.8×
Nk cells total count (86357) $98.40 $164 2.6×
Nuclear antigen antibody (86235) $56.40 $94 3.1×
Occult blood feces (82272) $36 $60 8.5×
Occult Blood Other Sources (82271) $52.80 $88 9.9×
Osmolality serum (83930) $67.80 $113 10.3×
Osmolality Urine (83935)
range across 2 matching MRF lines
$55.20–$58.20 $92–$97 varies
Oxalate urine (83945) $39.60 $66 2.7×
Pancreatic Elastase Fecal (82656) $88.80 $148 7.7×
Particle Agglutination Screen Each Antibody (86403) $67.80 $113 5.9×
Path Consltj Surg Cytologic Exam Initial Site (88333) $883.80 $1,473 1.2×
Pdgfra Gene Analys Targeted Sequence Analys (81314) $674.40 $1,124 2.0×
Ph urine (81003) $26.40 $44 11.7×
Phenobarbital Level (80184) $80.40 $134 5.3×
Phenotype Infect Agent Drug (87900) $114 $190 0.9×
Phenytoin (Dilantin) (80185) $95.40 $159 7.2×
Phenytoin free (80186) $82.80 $138 6.0×
Phosphatase alkaline (84075) $32.40 $54 6.3×
Phosphorus Serum (84100) $41.40 $69 8.7×
Phosphorus urine (84105) $31.80 $53 5.5×
Platelet Aggregation (85576) $93.60 $156 3.8×
Platelet Antibodies (86022)
range across 4 matching MRF lines
$232.20–$243.60 $387–$406 varies
Platelet count automated (85049) $54 $90 12.1×
Platelet neutralization (85597) $90 $150 5.0×
Pooling blood platelets (86965) $163.20 $272 1.0×
Potassium Urine (84133) $36 $60 7.6×
Prealbumin (84134) $57.60 $96 3.9×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $171 $285 1.1×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $82.80 $138 1.5×
Pretx serum rbc antibody identification dilution (86976) $135 $225 4.9×
Procalcitonin (Pct) (84145) $186.60 $311 6.9×
Prolactin (84146) $150 $250 7.7×
Protein body fluid (84157) $42.60 $71 10.7×
Protein C Activity (85303) $99 $165 7.2×
Protein c antigen (85302) $96.60 $161 8.0×
Protein Electrophoresis Urine (84166) $127.20 $212 7.1×
Protein Electrophoretic Fractj&Quantj Serum (84165) $102.60 $171 9.6×
Protein S Free (85306) $99 $165 6.5×
Protein s total (85305) $84.60 $141 7.3×
Protein total serum (84155) $42 $70 11.4×
Protein Total Urine (84156) $40.20 $67 11.0×
Protein Western Blot Test (84182) $156.60 $261 5.4×
Prothrombin Time Substitution Plasma Frctj Each (85611) $35.40 $59 9.0×
PSA free (84154)
range across 2 matching MRF lines
$55.80–$58.80 $93–$98 varies
Pth Intact (83970)
range across 2 matching MRF lines
$87.86–$146.40 $146.43–$244 varies
Quantiferon tb gold plus (86480) $155.40 $259 2.5×
Quantitative assay drug (80299) $106.20 $177 5.7×
Rbc antibody elution (86860) $212.40 $354 1.3×
Rbc antibody identification (86870) $370.80 $618 1.1×
Rbc antibody screen (86850) $76.80 $128 7.9×
Rbc pretreatment serum (86978) $108 $180 1.9×
Rbc pretx incubatj w/enzymes (86971) $245.40 $409 1.5×
Rbc serum pretx incubj drugs (86975) $136.20 $227 0.3×
Reagent Strip/Blood Glucose (82948) $19.20 $32 3.8×
Reticulated Platelet Assay (85055) $64.33 $107.22 1.8×
Reticulocyte Count (85046) $33.60 $56 6.0×
Reticulocyte separation (86972) $138 $230 0.9×
Rh (86901) $70.20 $117 23.5×
Rheumatoid factor quant (86431) $46.20 $77 8.1×
Ristocetin cofactor (85245) $97.20 $162 4.2×
Rpr qualitative (86592) $39.60 $66 9.3×
Rubella Antibody (86762)
range across 3 matching MRF lines
$44.40–$50.40 $74–$84 varies
Rubeola antibody (86765) $32.40 $54 2.5×
Russell Viper Venom Time Diluted (85613) $59.40 $99 6.2×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$138–$145.20 $230–$242 varies
Sars-Cov-2 Covid19 W/Optic (87811) $72.60 $121 1.8×
Sarscov2 & inf a&b amp prb (87636) $156 $260 1.1×
Sedimentation rate (85651) $32.40 $54 7.6×
Semen analysis motility and count (89310) $48.60 $81 5.6×
Sensitivity mic (87186)
range across 4 matching MRF lines
$58.20–$87.60 $97–$146 varies
Sickling of rbc reduction (85660) $96.60 $161 17.5×
Sirolimus (80195) $91.20 $152 6.6×
Skin test tuberculosis intradermal (86580) $25.80 $43 0.9×
Smear acid fast (87206) $50.40 $84 9.4×
Smear gram stain (87205) $49.80 $83 11.7×
Smr Prim Src Wet Mount Nfct Agt (87210) $28.80 $48 4.9×
Sodium Serum (84295) $39.60 $66 8.2×
Sodium Urine (84300) $37.80 $63 7.5×
Special Stains Group 1 (88312) $109.20 $182 2.2×
Special Stains Group 2 (88313) $115.80 $193 0.9×
Specific gravity body fluid (84315) $25.20 $42 7.7×
Specimen infect agnt concntj (87015) $48 $80 7.2×
Spectrophotometry (84311) $37.80 $63 4.7×
Staph a DNA amp probe (87640) $77.40 $129 2.2×
Stool cultr aerobic bact ea (87046)
range across 2 matching MRF lines
$35.40–$64.80 $59–$108 varies
Strep a assay w/optic (87880) $59.40 $99 3.6×
Surg path level iii (88304) $157.80 $263 3.2×
Surgical pathology level IV (88305) $137.40 $229 2.8×
Surgical pathology level vi (88309) $717 $1,195 0.9×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $25.80 $43 5.4×
Susceptibility Study Antimicrobial Disk Method (87184) $64.80 $108 8.7×
Syphilis Test Non-Trep Quant (86593) $48 $80 10.9×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $153.60 $256 3.3×
T cells total count (86359) $103.20 $172 2.7×
T3 Free (84481) $78.60 $131 4.6×
T3 Uptake (84479) $31.80 $53 4.9×
T4 Free (84439) $39 $65 4.3×
Tacrolimus (80197) $99 $165 7.2×
Tb ag response t-cell susp (86481) $170.40 $284 1.7×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $810 $1,350 1.4×
Thawing and expansion of frozen cells, each aliquot Facility (88241) $97.20 $162 8.0×
Thrombin Time (85670) $51 $85 8.8×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $35.40 $59 5.5×
Thyroglobulin (84432) $119.40 $199 7.4×
Thyroglobulin Antibody (86800) $78 $130 4.9×
Tiss Trnsgltmnase Ea Ig Clas (86364) $32.40 $54 2.8×
Toxoplasma ab igm (86778) $51.60 $86 3.6×
Toxoplasma antibody (86777) $53.40 $89 3.7×
Transferase Aspartate Amino Ast Sgot (84450) $21.60 $36 4.2×
Transferrin (84466) $67.80 $113 5.3×
Trichomonas vagin dir probe (87660) $67.20 $112 3.4×
Triglycerides (84478) $46.80 $78 8.2×
Troponin Quant (84484) $82.80 $138 6.6×
Tumor Immunohistochem/Manual (88360)
range across 4 matching MRF lines
$246–$266.40 $410–$444 varies
Urea nitrogen urine (84540) $52.20 $87 9.4×
Uric acid other source (84560) $48 $80 9.4×
Urine Bacteria Culture (87088) $62.40 $104 7.7×
Urine Pregnancy Test (81025) $75.60 $126 8.8×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $5.40 $9 1.7×
Valproic acid (80164) $82.80 $138 6.1×
Vancomycin (80202) $97.80 $163 7.2×
Varicella-zoster antibody (86787)
range across 3 matching MRF lines
$43.20–$87.60 $72–$146 varies
Virus antibody nos (86790) $58.80 $98 4.6×
Vitamin b-12 (82607) $60 $100 4.0×
Vitamin B6 (84207) $99 $165 3.5×
Vitamin D 25-Hydroxy (82306) $108.60 $181 3.7×
Volatiles (84600) $73.20 $122 4.3×
Von willebrand factor ag (85246) $104.40 $174 4.6×
West nile virus ab igm (86788) $87 $145 5.2×
Xm Archive Tissue Molec Anal (88363) $76.80 $128 2.8×

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.