Lab & pathology prices at W J Mangold Memorial Hospital
Lockney, TX · every code in this section with a posted price and a Medicare benchmark.
408 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $96 | $96 | 8.6× |
| Acth (82024) | $237 | $237 | 6.1× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$358–$369 | $358–$369 | varies |
| Acylcarnitines Quant (82017) | $128 | $128 | 7.6× |
| Agglutinins Febrile Each Antigen (86000) | $54 | $54 | 7.7× |
| Albumin serum (82040) | $51 | $51 | 10.3× |
| Aldolase (82085) | $83 | $83 | 8.5× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$310–$339 | $310–$339 | varies |
| Alkaline phosphatase isoenzymes (84080) | $76 | $76 | 5.1× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$43–$55 | $43–$55 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $109 | $109 | 7.5× |
| Alpha-1-antitrypsin total (82103) | $104 | $104 | 7.7× |
| Alpha-Fetoprotein Serum (82105) | $143 | $143 | 8.5× |
| Alt (sgpt) (84460) | $64 | $64 | 12.1× |
| Amikacin trough (80150) | $129 | $129 | 8.6× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $140 | $140 | 6.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $128 | $128 | 7.6× |
| Ammonia (82140) | $138 | $138 | 9.5× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $499 | $499 | 5.1× |
| Amylase urine (82150) | $57 | $57 | 8.8× |
| Androstenedione (82157) | $204 | $204 | 7.0× |
| Angiotensin converting enzyme csf (82164) | $126 | $126 | 8.6× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$61–$121 | $61–$121 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $71 | $71 | 4.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$94–$99 | $94–$99 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 3 matching MRF lines |
$88–$128 | $88–$128 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$116–$152 | $116–$152 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$72–$88 | $72–$88 | varies |
| Antibody helicobacter pylori (86677) | $73 | $73 | 4.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $118 | $118 | 8.2× |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$103–$104 | $103–$104 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $134 | $134 | 9.8× |
| Antibody Treponema Pallidum (86780) | $76 | $76 | 5.7× |
| Antibody; encephalitis, st. louis (86653) range across 2 matching MRF lines |
$71–$95 | $71–$95 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $48 | $48 | 8.4× |
| Antinomyces antibody (86602) | $71 | $71 | 7.0× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$87–$104 | $87–$104 | varies |
| Antistreptolysin o titer (86060) | $63 | $63 | 8.6× |
| Antithrombin iii activity (85300) | $92 | $92 | 7.8× |
| Apolipoprotein a1 (82172) | $134 | $134 | 6.4× |
| Arsenic (82175) range across 4 matching MRF lines |
$146–$363 | $146–$363 | varies |
| Assay Blood Carbon Dioxide (82374) | $42 | $42 | 8.6× |
| Assay Blood Catecholamines (82383) | $214 | $214 | 7.4× |
| Assay Nephelometry Not Spec (83883) | $104 | $104 | 7.6× |
| Assay of 5-hiaa (83497) | $41 | $41 | 3.2× |
| Assay of blood/uric acid (84550) | $40 | $40 | 8.8× |
| Assay of calcium in urine (82340) | $52 | $52 | 8.6× |
| Assay of cpk in blood (82552) | $104 | $104 | 7.8× |
| Assay of estrone (82679) | $206 | $206 | 8.3× |
| Assay of gammaglobulin igm (82784) range across 6 matching MRF lines |
$73–$80 | $73–$80 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$83–$101 | $83–$101 | varies |
| Assay of metanephrines (83835) | $128 | $128 | 7.6× |
| Assay of serum potassium (84132) | $40 | $40 | 8.4× |
| Assay of Sialic Acid (84275) | $84 | $84 | 6.3× |
| Assay of urea nitrogen (84520) | $35 | $35 | 8.9× |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$110–$132 | $110–$132 | varies |
| Assay of vasoactive intestinal peptide (84586) | $119 | $119 | 3.4× |
| Assay of vitamin b-1 (84425) | $59 | $59 | 2.8× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $5,089 | $5,089 | 6.1× |
| B cells total count (86355) | $209 | $209 | 5.5× |
| Bacterial antigens 87802 (87802) | $93 | $93 | 7.3× |
| Beta 2 glycoprotein i antibody each (86146) | $146 | $146 | 5.7× |
| Beta hydroxybutyrate (82010) | $64 | $64 | 7.8× |
| Beta Lactamase (87185) | $37 | $37 | 7.8× |
| Beta-2 Microglobulin (82232) | $121 | $121 | 7.5× |
| Bilirubin direct (82248) | $43 | $43 | 8.6× |
| Bilirubin total (82247) | $43 | $43 | 8.6× |
| Bleeding time test (85002) | $36 | $36 | 7.5× |
| Blood count reticulocyte automated (85045) | $37 | $37 | 9.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $30 | $30 | 7.9× |
| Blood gases w/02 saturation (82805) | $220 | $220 | 2.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $124 | $124 | 7.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $29 | $29 | 6.6× |
| Blood typing serologic abo (86900) | $48 | $48 | 16.1× |
| Body fluid cell count (89050) | $37 | $37 | 7.8× |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$104–$114 | $104–$114 | varies |
| C diff amplified probe (87493) | $267 | $267 | 7.2× |
| C-Peptide (84681) | $178 | $178 | 8.6× |
| C-reactive protein (86140) | $49 | $49 | 9.5× |
| Ca 19-9 (86301) | $176 | $176 | 8.5× |
| Cadmium (82300) | $176 | $176 | 7.4× |
| Calcium ionized (82330) | $117 | $117 | 8.6× |
| Calcium total (82310) | $44 | $44 | 8.5× |
| Calculus assay quant (82360) range across 3 matching MRF lines |
$99–$101 | $99–$101 | varies |
| Calculus Spectroscopy (82365) | $80 | $80 | 6.2× |
| Calprotectin Fecal (83993) | $164 | $164 | 8.4× |
| Cancer Antigen 125 (86304) | $176 | $176 | 8.5× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$158–$176 | $158–$176 | varies |
| Carbamazepine total (80156) | $125 | $125 | 8.6× |
| Carboxyhemoglobin (82375) | $106 | $106 | 8.6× |
| Carcinoembryonic antigen (82378) | $163 | $163 | 8.6× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$68–$194 | $68–$194 | varies |
| Carotene (82380) | $73 | $73 | 7.9× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$193–$194 | $193–$194 | varies |
| Ccp antibody (86200) | $97 | $97 | 7.5× |
| Cell count csf (89051) range across 2 matching MRF lines |
$48–$96 | $48–$96 | varies |
| Ceruloplasmin (82390) | $93 | $93 | 8.7× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$92–$99 | $92–$99 | varies |
| Chlamydia antibody (86631) | $92 | $92 | 7.8× |
| Chlamydia Igm Antibody (86632) | $43 | $43 | 3.4× |
| Chloride Serum (82435) | $40 | $40 | 8.7× |
| Chloride urine (82436) | $43 | $43 | 7.5× |
| Chlorinated Hydrocarbons Screen (82441) | $49 | $49 | 8.2× |
| Cholesterol total (82465) | $39 | $39 | 9.0× |
| Chorionic gonadotropin test (84702) | $110 | $110 | 7.3× |
| Chromium serum (82495) range across 2 matching MRF lines |
$128–$143 | $128–$143 | varies |
| Chromogranin a (86316) range across 4 matching MRF lines |
$161–$178 | $161–$178 | varies |
| Chromosome Analysis 15-20 (88262) | $1,062 | $1,062 | 8.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $275 | $275 | 7.8× |
| Citric acid urine (82507) | $238 | $238 | 8.6× |
| Ckmb (82553) | $110 | $110 | 9.5× |
| Clostridium Difficile (87324) | $93 | $93 | 7.8× |
| Coccidioides antibody (86635) | $83 | $83 | 7.2× |
| Cold agglutinin titer (86157) | $70 | $70 | 8.7× |
| Column Chromotography Quant (82542) | $140 | $140 | 5.8× |
| Compatibility test antiglob (86922) | $785 | $785 | 4.6× |
| Complement Fixation Tests Each Antigen (86171) range across 2 matching MRF lines |
$50–$80 | $50–$80 | varies |
| Complement Total (Ch50) (86162) | $161 | $161 | 7.9× |
| Complement/Function Activity (86161) range across 3 matching MRF lines |
$93–$103 | $93–$103 | varies |
| Coombs direct (86880) | $43 | $43 | 8.0× |
| Copper urine (82525) range across 2 matching MRF lines |
$97–$106 | $97–$106 | varies |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$128–$140 | $128–$140 | varies |
| Creatine kinase total (82550) | $57 | $57 | 8.8× |
| Creatinine blood (82565) | $44 | $44 | 8.6× |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$73–$74 | $73–$74 | varies |
| Creatinine Urine (82570) | $43 | $43 | 8.3× |
| Crossmatch immediate spin (86920) | $763 | $763 | 4.5× |
| Crp High Sensitivity (86141) | $97 | $97 | 7.5× |
| Cryptococcus ag titer (87899) | $132 | $132 | 8.2× |
| Cryptosporidium ag eia (87328) | $104 | $104 | 7.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $66 | $66 | 8.6× |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$66–$74 | $66–$74 | varies |
| Culture blood (87040) | $81 | $81 | 7.8× |
| Culture chlamydia (87110) | $152 | $152 | 7.8× |
| Culture csf (87070) range across 5 matching MRF lines |
$58–$75 | $58–$75 | varies |
| Culture screen only (87081) | $58 | $58 | 8.7× |
| Culture stool (87045) | $81 | $81 | 8.6× |
| Culture urine (87086) | $70 | $70 | 8.7× |
| Cyclosporine (80158) | $154 | $154 | 8.5× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$99–$124 | $99–$124 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$143–$158 | $143–$158 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$273–$534 | $273–$534 | varies |
| Deoxycortisol (82634) | $176 | $176 | 6.0× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$242–$300 | $242–$300 | varies |
| Detect Agent Nos Dna Quant (87799) | $261 | $261 | 6.1× |
| Dhea (82626) | $216 | $216 | 8.5× |
| Digoxin (80162) | $127 | $127 | 9.6× |
| Dna Antibody Native/Double Stranded (86225) | $118 | $118 | 8.6× |
| Drug Screen Quantitative Gabapentin (80171) | $117 | $117 | 5.4× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$104–$105 | $104–$105 | varies |
| Drug Screen Quantitative Levetiracetam (80177) | $152 | $152 | 11.5× |
| Drug Test Prsmv Chem Anlyzr (80307) | $436 | $436 | 7.0× |
| Drug Test Prsmv Instrmnt (80306) | $394 | $394 | 23.0× |
| Electrolyte panel (80051) | $60 | $60 | 8.6× |
| Electron Microscopy (88348) | $990 | $990 | 1.2× |
| Enterovirus PCR (87498) | $242 | $242 | 6.9× |
| Enzyme cell activity (82657) | $140 | $140 | 6.3× |
| Eosinophil Smear (89190) | $41 | $41 | 7.1× |
| Estradiol serum (82670) | $239 | $239 | 8.6× |
| Estriol (82677) | $201 | $201 | 8.3× |
| Estrogen total (82672) | $182 | $182 | 8.4× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$55–$61 | $55–$61 | varies |
| F2 Gene (81240) | $412 | $412 | 6.3× |
| Factor ii activity (85210) | $104 | $104 | 8.0× |
| Factor v leiden mutation (81241) | $460 | $460 | 6.3× |
| Factor viii assay (85240) | $140 | $140 | 7.8× |
| Factor X (85260) | $140 | $140 | 7.8× |
| Fat stain feces urine/respir secretions (89125) | $33 | $33 | 5.6× |
| Fecal Fat Qualitative (82705) | $44 | $44 | 8.6× |
| Ferritin (82728) | $117 | $117 | 8.6× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $932 | $932 | 6.1× |
| Fibrin Degradation Quant (85379) | $149 | $149 | 14.6× |
| Fibrinogen activity (85384) | $73 | $73 | 7.5× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$83–$94 | $83–$94 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 4 matching MRF lines |
$80–$104 | $80–$104 | varies |
| Folic acid rbc (82747) | $109 | $109 | 6.2× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$105–$129 | $105–$129 | varies |
| Follicle Stimulating Hormone (83001) | $160 | $160 | 8.6× |
| Gammaglobulin ige (82785) | $141 | $141 | 8.6× |
| Gastrin (82941) | $151 | $151 | 8.6× |
| Gentamicin (80170) | $140 | $140 | 8.5× |
| Ggt (82977) | $63 | $63 | 8.8× |
| Giardia antigen (87329) | $103 | $103 | 8.6× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$37–$41 | $37–$41 | varies |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$25–$28 | $25–$28 | varies |
| Glucose body fluid (82945) | $96 | $96 | 24.4× |
| Glucose Serum (82947) | $35 | $35 | 8.9× |
| Glucose tolerance test (gtt) (82951) | $112 | $112 | 8.7× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$49–$65 | $49–$65 | varies |
| Growth hormone (83003) | $129 | $129 | 7.7× |
| Gtt-added samples (82952) | $31 | $31 | 7.9× |
| H Pylori (C-13) Breath (83013) | $575 | $575 | 8.5× |
| H Pylori Drug Admin (83014) | $61 | $61 | 7.8× |
| Haptoglobin (83010) | $108 | $108 | 8.6× |
| Hdl Cholesterol (83718) | $71 | $71 | 8.7× |
| Helicobacter Pylori Stool (87338) | $109 | $109 | 7.6× |
| Hemagglutination Inhibition (86280) | $64 | $64 | 7.8× |
| Hematocrit (85014) range across 2 matching MRF lines |
$19–$21 | $19–$21 | varies |
| Hemoglobin (85018) | $21 | $21 | 8.9× |
| Hemoglobin a1c (83036) | $83 | $83 | 8.5× |
| Hemoglobin Chromotography (83021) | $112 | $112 | 6.2× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$85–$87 | $85–$87 | varies |
| Hepatitis a antibody total (86708) | $109 | $109 | 8.8× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$92–$94 | $92–$94 | varies |
| Hepatitis b core ab total (86704) | $104 | $104 | 8.6× |
| Hepatitis B Surface Antibody (86706) | $132 | $132 | 12.3× |
| Hepatitis B Surface Antigen (87340) | $132 | $132 | 12.8× |
| Hepatitis Be Antibody (86707) | $97 | $97 | 8.4× |
| Hepatitis Be Antigen (87350) | $97 | $97 | 8.4× |
| Hepatitis C Antibody (86803) | $121 | $121 | 8.5× |
| Hepatitis C Genotype (87902) | $2,142 | $2,142 | 8.3× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $291 | $291 | 8.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $358 | $358 | 8.4× |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$132–$150 | $132–$150 | varies |
| Heterophile Antibody Screen (86308) | $112 | $112 | 21.6× |
| Hfe Gene (81256) | $400 | $400 | 6.1× |
| Hiv-1 Antibody (86701) | $70 | $70 | 7.9× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $545 | $545 | 7.3× |
| Homocysteine (83090) range across 2 matching MRF lines |
$132–$145 | $132–$145 | varies |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$172–$267 | $172–$267 | varies |
| Hpv low-risk types (87623) | $156 | $156 | 4.4× |
| Hpv Types 16 & 18 Only (87625) | $172 | $172 | 4.2× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$242–$267 | $242–$267 | varies |
| Human Epididymis Protein 4 (86305) | $176 | $176 | 8.5× |
| Iaad ia shiga-like toxin (87427) | $103 | $103 | 8.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $242 | $242 | 6.9× |
| Iadna Cytomegalovirus Quantification (87497) | $261 | $261 | 6.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $363 | $363 | 5.2× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $242 | $242 | 6.9× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$267–$303 | $267–$303 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$112–$116 | $112–$116 | varies |
| Immunoassay infectious agent (86318) | $101 | $101 | 5.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$117–$129 | $117–$129 | varies |
| Immunoassay nonantibody (83516) | $92 | $92 | 8.0× |
| Immunodiffusion not elsewhere specified (86329) | $72 | $72 | 5.1× |
| Immunodiffusion Ouchterlony (86331) | $83 | $83 | 6.9× |
| Immunoelectrophoresis Serum (86320) | $174 | $174 | 5.8× |
| Immunofixation electrophoresis (86334) | $170 | $170 | 7.6× |
| Immunohistochemistry (88342) | $267 | $267 | 1.6× |
| Influenza assay w/optic (87804) | $104 | $104 | 6.3× |
| Influenza DNA amp probe (87502) | $363 | $363 | 3.8× |
| Inhibin A (86336) | $134 | $134 | 8.6× |
| Inhibin b (83520) range across 3 matching MRF lines |
$99–$109 | $99–$109 | varies |
| Insulin antibodies (86337) | $149 | $149 | 7.0× |
| Insulin free (83527) | $97 | $97 | 7.5× |
| Insulin total (83525) range across 2 matching MRF lines |
$83–$97 | $83–$97 | varies |
| Iron (83540) | $64 | $64 | 9.9× |
| Iron Binding Capacity (83550) | $76 | $76 | 8.7× |
| Koh Prep (87220) | $38 | $38 | 8.9× |
| L/s ratio (83661) | $171 | $171 | 7.8× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$48–$96 | $48–$96 | varies |
| Lactoferrin Fecal Quantitative (83631) | $121 | $121 | 6.2× |
| Ldh Isoenzymes (83625) | $109 | $109 | 8.5× |
| LDL direct (83721) | $82 | $82 | 7.8× |
| Lead (83655) range across 3 matching MRF lines |
$83–$104 | $83–$104 | varies |
| Legionella antibody (86713) range across 2 matching MRF lines |
$119–$131 | $119–$131 | varies |
| Legionella antigen urine (87449) | $103 | $103 | 8.6× |
| Leukocyte Assessment Fecal (89055) | $37 | $37 | 8.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $127 | $127 | 4.4× |
| Level ii surg pathology grossµscopic exam (88302) | $248 | $248 | 6.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $1,168 | $1,168 | 3.2× |
| Lipase (83690) | $59 | $59 | 8.6× |
| Lithium (80178) | $58 | $58 | 8.8× |
| Luteinizing Hormone (Lh) (83002) range across 3 matching MRF lines |
$127–$158 | $127–$158 | varies |
| Lyme disease antibody (86618) | $85 | $85 | 5.0× |
| Magnesium Urine (83735) | $58 | $58 | 8.7× |
| Mercury urine (83825) | $128 | $128 | 7.9× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$131–$134 | $131–$134 | varies |
| Microalbumin, quantitative (82043) | $55 | $55 | 9.5× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$109–$125 | $109–$125 | varies |
| Mucin Clot Body Fluid (83872) | $51 | $51 | 8.7× |
| Mumps antibody (86735) range across 4 matching MRF lines |
$102–$113 | $102–$113 | varies |
| Mycoplasma antibody (86738) | $114 | $114 | 8.6× |
| Myoglobin urine (83874) | $109 | $109 | 8.4× |
| Natriuretic peptide (83880) | $290 | $290 | 7.4× |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$104–$131 | $104–$131 | varies |
| Nk cells total count (86357) | $209 | $209 | 5.5× |
| Nuclear antigen antibody (86235) | $99 | $99 | 5.5× |
| Oligoclonal bands (83916) | $157 | $157 | 5.7× |
| Organic Acids Qualitative Each Specimen (83919) | $128 | $128 | 7.8× |
| Osmolality serum (83930) | $43 | $43 | 6.5× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$39–$55 | $39–$55 | varies |
| Ova and parasites smears (87177) | $76 | $76 | 8.5× |
| Oxalate urine (83945) | $97 | $97 | 6.7× |
| Particle Agglutination Screen Each Antibody (86403) | $80 | $80 | 6.9× |
| Phenobarbital Level (80184) | $99 | $99 | 6.5× |
| Phenylalanine (84030) | $336 | $336 | 61.1× |
| Phenytoin (Dilantin) (80185) | $114 | $114 | 8.6× |
| Phosphatase acid prostatic (84066) range across 2 matching MRF lines |
$58–$83 | $58–$83 | varies |
| Phosphatase alkaline (84075) | $44 | $44 | 8.5× |
| Phospholipid Neutralization Hexagonal (85598) | $121 | $121 | 6.7× |
| Phosphorus Serum (84100) | $43 | $43 | 9.1× |
| Pinworm exam (87172) | $37 | $37 | 8.7× |
| Platelet neutralization (85597) | $125 | $125 | 7.0× |
| Potassium Urine (84133) | $37 | $37 | 7.8× |
| Pregnenolone (84140) | $128 | $128 | 6.2× |
| Primidone (80188) | $142 | $142 | 8.6× |
| Procalcitonin (Pct) (84145) | $292 | $292 | 10.7× |
| Progesterone (84144) | $179 | $179 | 8.6× |
| Prolactin (84146) | $165 | $165 | 8.5× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$32–$96 | $32–$96 | varies |
| Protein C Activity (85303) | $118 | $118 | 8.5× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$140–$152 | $140–$152 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$85–$93 | $85–$93 | varies |
| Protein S Free (85306) | $105 | $105 | 6.9× |
| Protein s total (85305) | $92 | $92 | 7.9× |
| Protein total serum (84155) range across 3 matching MRF lines |
$28–$116 | $28–$116 | varies |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$28–$49 | $28–$49 | varies |
| PSA free (84154) | $140 | $140 | 7.6× |
| Pth Intact (83970) range across 2 matching MRF lines |
$281–$310 | $281–$310 | varies |
| Q Fever Antibody (86638) | $146 | $146 | 12.0× |
| Quantiferon tb gold plus (86480) | $467 | $467 | 7.5× |
| Quantitative assay drug (80299) range across 7 matching MRF lines |
$106–$173 | $106–$173 | varies |
| Quantitative Screen Metals (83018) | $170 | $170 | 7.7× |
| Quinidine (80194) | $126 | $126 | 8.6× |
| Rbc antibody identification (86870) | $1,375 | $1,375 | 3.8× |
| Rbc antibody screen (86850) | $125 | $125 | 12.8× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$154–$170 | $154–$170 | varies |
| Reticulocyte Count Manual (85044) | $33 | $33 | 7.7× |
| Rh (86901) | $48 | $48 | 16.1× |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$44–$71 | $44–$71 | varies |
| Rheumatoid factor quant (86431) | $43 | $43 | 7.6× |
| Rickettsia antibody (86757) | $165 | $165 | 8.5× |
| Rotavirus ag eia (87425) | $129 | $129 | 10.8× |
| Rpr qualitative (86592) | $37 | $37 | 8.7× |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$99–$124 | $99–$124 | varies |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$77–$97 | $77–$97 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$54–$73 | $54–$73 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$242–$303 | $242–$303 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $303 | $303 | 7.2× |
| Sedimentation Rate, Automated (85652) | $31 | $31 | 11.5× |
| Semen Anal Sperm Detection (89321) | $51 | $51 | 4.2× |
| Semen analysis complete (89320) | $69 | $69 | 5.6× |
| Sensitivity mic (87186) | $75 | $75 | 8.7× |
| Sex Hormone Binding Globulin (84270) | $182 | $182 | 8.4× |
| Sickling of rbc reduction (85660) | $48 | $48 | 8.7× |
| Sirolimus (80195) | $104 | $104 | 7.6× |
| Skin test tuberculosis intradermal (86580) | $33 | $33 | 1.1× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$43–$47 | $43–$47 | varies |
| Smear complex stain (87209) | $139 | $139 | 7.7× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$37–$43 | $37–$43 | varies |
| Smear Special Stain (87207) | $49 | $49 | 8.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $37 | $37 | 6.4× |
| Sodium Serum (84295) | $42 | $42 | 8.7× |
| Sodium Urine (84300) | $42 | $42 | 8.3× |
| Soluble Transferrin Receptor (84238) | $283 | $283 | 7.7× |
| Somatomedin (84305) | $146 | $146 | 6.9× |
| Somatostatin (84307) | $140 | $140 | 7.7× |
| Special Stains Group 1 (88312) | $104 | $104 | 2.0× |
| Special Stains Group 2 (88313) | $370 | $370 | 2.8× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$50–$55 | $50–$55 | varies |
| Spectrophotometry (84311) | $60 | $60 | 7.4× |
| Stool cultr aerobic bact ea (87046) | $73 | $73 | 7.7× |
| Strep a assay w/optic (87880) | $93 | $93 | 5.6× |
| Strep a DNA amp probe (87651) | $297 | $297 | 8.5× |
| Strep b DNA amp probe (87653) | $242 | $242 | 6.9× |
| Surg path level iii (88304) | $494 | $494 | 9.4× |
| Surgical pathology level IV (88305) | $494 | $494 | 9.4× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $41 | $41 | 8.6× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $54 | $54 | 7.2× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$35–$39 | $35–$39 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $285 | $285 | 6.1× |
| T cells total count (86359) | $209 | $209 | 5.5× |
| T3 Free (84481) | $146 | $146 | 8.6× |
| T3 reverse (84482) | $73 | $73 | 4.6× |
| T3 Total (84480) | $121 | $121 | 8.5× |
| T3 Uptake (84479) | $57 | $57 | 8.8× |
| T4 Free (84439) | $77 | $77 | 8.5× |
| T4 total (84436) | $59 | $59 | 8.6× |
| Tacrolimus (80197) | $96 | $96 | 7.0× |
| Testosterone total (84403) | $222 | $222 | 8.6× |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$194–$217 | $194–$217 | varies |
| Theophylline (80198) | $121 | $121 | 8.6× |
| Thrombin Time (85670) | $49 | $49 | 8.5× |
| Thromboplastin Inhibition Tissue (85705) | $73 | $73 | 7.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $44 | $44 | 6.8× |
| Thyroglobulin Antibody (86800) | $134 | $134 | 8.4× |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$382–$385 | $382–$385 | varies |
| Tobramycin peak (80200) | $138 | $138 | 8.6× |
| Topiramate (80201) | $103 | $103 | 8.6× |
| Tpmt gene com variants (81335) | $1,060 | $1,060 | 6.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $44 | $44 | 8.5× |
| Transferrin (84466) | $80 | $80 | 6.3× |
| Trichomonas Vaginalis Amplif (87661) | $267 | $267 | 7.6× |
| Triglycerides (84478) | $51 | $51 | 8.9× |
| Troponin Quant (84484) | $143 | $143 | 11.5× |
| Tumor Immunohistochem/Manual (88360) | $1,120 | $1,120 | 6.5× |
| Uric acid other source (84560) | $41 | $41 | 8.1× |
| Urinalysis Microscopic Only (81015) | $27 | $27 | 8.9× |
| Urine Albumin Semiquantitative (82044) | $40 | $40 | 6.4× |
| Urine Pregnancy Test (81025) | $55 | $55 | 6.4× |
| Valproic acid (80164) | $116 | $116 | 8.6× |
| Vancomycin (80202) range across 4 matching MRF lines |
$105–$182 | $105–$182 | varies |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$71–$80 | $71–$80 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$263–$290 | $263–$290 | varies |
| Viral Culture (87252) range across 2 matching MRF lines |
$152–$218 | $152–$218 | varies |
| Virus antibody nos (86790) | $106 | $106 | 8.2× |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) | $168 | $168 | 8.6× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$291–$292 | $291–$292 | varies |
| Vitamin A (84590) | $73 | $73 | 6.3× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$116–$129 | $116–$129 | varies |
| Vitamin B6 (84207) | $213 | $213 | 7.6× |
| Vitamin D 25-Hydroxy (82306) | $249 | $249 | 8.4× |
| Vitamin E (84446) | $121 | $121 | 8.5× |
| Wbc Alkaline Phosphatase Count (85540) | $75 | $75 | 8.7× |
| West nile virus ab igm (86788) | $66 | $66 | 3.9× |
| West Nile Virus Antibody (86789) | $128 | $128 | 8.9× |
| Zinc (84630) | $92 | $92 | 8.1× |
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.