Lab & pathology prices at Wabash General Hospital 1
Mount Carmel, IL · every code in this section with a posted price and a Medicare benchmark.
486 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $260.63 | $260.63 | 23.4× |
| Acth (82024) | $839.55 | $839.55 | 21.7× |
| Actin smooth muscle antibody each (86015) | $134.17 | $134.17 | 11.1× |
| Acute hepatitis panel (80074) | $120.03 | $120.03 | 2.5× |
| Acylcarnitines Quant (82017) | $437.50 | $437.50 | 25.9× |
| Albumin Fluid (82042) | $22.56 | $22.56 | 2.9× |
| Albumin serum (82040) range across 2 matching MRF lines |
$24.64–$98.74 | $24.64–$98.74 | varies |
| Aldolase (82085) | $182.94 | $182.94 | 18.8× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$96.56–$225 | $96.56–$225 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$116.76–$120.26 | $116.76–$120.26 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $43.06 | $43.06 | 5.4× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$10.40–$40.80 | $10.40–$40.80 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $75 | $75 | 5.2× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$34.40–$148.32 | $34.40–$148.32 | varies |
| Alpha-Fetoprotein Serum (82105) | $155.32 | $155.32 | 9.3× |
| Alt (sgpt) (84460) | $56.49 | $56.49 | 10.7× |
| Aluminum (82108) | $397.82 | $397.82 | 15.6× |
| Amikacin trough (80150) | $97.51 | $97.51 | 6.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$178.05–$466.35 | $178.05–$466.35 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$353.48–$501.80 | $353.48–$501.80 | varies |
| Amino Acids Quant 2-5 (82136) | $322.78 | $322.78 | 16.5× |
| Aminolevulinic acid (ala) (82135) | $219.04 | $219.04 | 13.3× |
| Ammonia (82140) range across 2 matching MRF lines |
$27.94–$206.32 | $27.94–$206.32 | varies |
| Amylase urine (82150) | $177.80 | $177.80 | 27.4× |
| Anca Titer Each Antibody (86037) | $53.54 | $53.54 | 4.4× |
| Androstanediol Glucuronide (82154) | $32.47 | $32.47 | 1.1× |
| Angiotensin converting enzyme csf (82164) | $157.61 | $157.61 | 10.8× |
| Anti-Phospholipid Antibody (86148) | $208 | $208 | 12.9× |
| Antibody aspergillus (86606) | $16.70 | $16.70 | 1.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $16.70 | $16.70 | 1.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $164.21 | $164.21 | 10.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $98.83 | $98.83 | 5.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $85.43 | $85.43 | 5.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$59.62–$69.62 | $59.62–$69.62 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $16.70 | $16.70 | 1.4× |
| Antibody helicobacter pylori (86677) | $54.75 | $54.75 | 3.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $72.40 | $72.40 | 5.0× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$41.74–$51.74 | $41.74–$51.74 | varies |
| Antibody HIV-2 (86702) | $243.16 | $243.16 | 18.0× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$50.14–$167.48 | $50.14–$167.48 | varies |
| Antigen typing (86905) | $153.15 | $153.15 | 40.0× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $38.59 | $38.59 | 6.7× |
| Antinomyces antibody (86602) | $16.06 | $16.06 | 1.6× |
| Antinuclear antibodies (86038) | $159.86 | $159.86 | 13.2× |
| Antistreptolysin o titer (86060) | $154.11 | $154.11 | 21.1× |
| Antithrombin iii activity (85300) | $142.97 | $142.97 | 12.1× |
| Apolipoprotein a1 (82172) | $40 | $40 | 1.9× |
| Arsenic (82175) range across 2 matching MRF lines |
$152.28–$209.42 | $152.28–$209.42 | varies |
| Assay activated protein c (85307) | $488.44 | $488.44 | 31.9× |
| Assay Blood Carbon Dioxide (82374) | $52.31 | $52.31 | 10.7× |
| Assay of 5-hiaa (83497) | $188.24 | $188.24 | 14.6× |
| Assay of blood/uric acid (84550) | $72.38 | $72.38 | 16.0× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$29.69–$30.58 | $29.69–$30.58 | varies |
| Assay of cpk in blood (82552) | $100.86 | $100.86 | 7.5× |
| Assay of estrone (82679) | $200 | $200 | 8.0× |
| Assay of g6pd enzyme (82955) | $155.66 | $155.66 | 16.0× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$25–$40 | $25–$40 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$45–$47.78 | $45–$47.78 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$397.60–$546.35 | $397.60–$546.35 | varies |
| Assay of proinsulin (84206) | $181.31 | $181.31 | 6.8× |
| Assay of serum potassium (84132) | $42.69 | $42.69 | 9.0× |
| Assay of urea nitrogen (84520) | $106.84 | $106.84 | 27.0× |
| Assay of vitamin b-1 (84425) | $136.69 | $136.69 | 6.4× |
| Assay Ph Body Fluid Nos (83986) | $24.02 | $24.02 | 6.7× |
| Assay spec xcp ur&breath ia (82077) | $378.62 | $378.62 | 21.9× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$59.26–$69.26 | $59.26–$69.26 | varies |
| Bcr/abl1 gene major bp (81206) | $285.28 | $285.28 | 1.7× |
| Bcr/abl1 gene minor bp (81207) | $529.92 | $529.92 | 3.7× |
| Beta 2 glycoprotein i antibody each (86146) | $67.96 | $67.96 | 2.7× |
| Beta hydroxybutyrate (82010) | $199.50 | $199.50 | 24.4× |
| Beta-2 Microglobulin (82232) | $195.24 | $195.24 | 12.1× |
| Bile acids total (82239) | $65.82 | $65.82 | 3.8× |
| Bilirubin direct (82248) | $58.88 | $58.88 | 11.7× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$63.92–$142.47 | $63.92–$142.47 | varies |
| Biotinidase (82261) | $173.38 | $173.38 | 10.3× |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$22.92–$311.69 | $22.92–$311.69 | varies |
| Blood count reticulocyte automated (85045) | $91.70 | $91.70 | 23.0× |
| Blood gas (82803) | $210.55 | $210.55 | 8.1× |
| Blood gases w/02 saturation (82805) | $218.97 | $218.97 | 2.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $80.34 | $80.34 | 5.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$28.08–$59.02 | $28.08–$59.02 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $228.75 | $228.75 | 36.0× |
| Blood typing serologic abo (86900) | $35.39 | $35.39 | 11.8× |
| Bone marrow smear interpretation (85097) | $190.63 | $190.63 | 0.2× |
| Braf gene analysis (81210) | $301.45 | $301.45 | 1.7× |
| Breath Alcohol Test (82075) | $70 | $70 | 2.3× |
| C diff amplified probe (87493) | $107.29 | $107.29 | 2.9× |
| C-Peptide (84681) | $87.86 | $87.86 | 4.2× |
| C-reactive protein (86140) | $94.54 | $94.54 | 18.3× |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$97.75–$104.90 | $97.75–$104.90 | varies |
| Calcitonin (82308) range across 2 matching MRF lines |
$113.30–$113.80 | $113.30–$113.80 | varies |
| Calcium ionized (82330) | $164.80 | $164.80 | 12.0× |
| Calcium total (82310) | $65.92 | $65.92 | 12.8× |
| Calculus assay quant (82360) | $429.64 | $429.64 | 33.4× |
| Calculus Spectroscopy (82365) | $329.64 | $329.64 | 25.6× |
| Calprotectin Fecal (83993) | $544.65 | $544.65 | 27.7× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$73.01–$83.01 | $73.01–$83.01 | varies |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$55.59–$63.97 | $55.59–$63.97 | varies |
| Carbamazepine free (80157) | $182.10 | $182.10 | 13.7× |
| Carbamazepine total (80156) | $182.10 | $182.10 | 12.5× |
| Carbohydrate Deficient Transferrin (82373) | $325.37 | $325.37 | 18.0× |
| Carboxyhemoglobin (82375) | $80.76 | $80.76 | 6.6× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$62.14–$130.35 | $62.14–$130.35 | varies |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$57.96–$60.28 | $57.96–$60.28 | varies |
| Carnitine Quantitative Each Specimen (82379) | $60.84 | $60.84 | 3.6× |
| Carotene (82380) | $214 | $214 | 23.2× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$191.22–$254.69 | $191.22–$254.69 | varies |
| Catecholamines total urine (82382) | $124.96 | $124.96 | 4.6× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$55.21–$65.21 | $55.21–$65.21 | varies |
| Cell count csf (89051) | $69.65 | $69.65 | 12.4× |
| Ceruloplasmin (82390) | $221.69 | $221.69 | 20.6× |
| Chemiluminescent assay (82397) | $251.48 | $251.48 | 17.8× |
| Chloride other source (82438) | $62.16 | $62.16 | 12.4× |
| Chloride Serum (82435) | $50.28 | $50.28 | 10.9× |
| Chloride urine (82436) | $62.63 | $62.63 | 10.9× |
| Chlorinated Hydrocarbons Screen (82441) | $243.45 | $243.45 | 40.5× |
| Cholesterol total (82465) | $125.15 | $125.15 | 28.8× |
| Cholinesterase rbc (82482) | $61.29 | $61.29 | 6.2× |
| Cholinesterase Serum (82480) | $105.71 | $105.71 | 13.4× |
| Chorionic gonadotropin test (84702) | $185.79 | $185.79 | 12.3× |
| Chromium serum (82495) | $107.20 | $107.20 | 5.3× |
| Chromogranin a (86316) | $220 | $220 | 10.6× |
| Chromosome Analysis 20-25 (88264) | $365.98 | $365.98 | 2.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $141.91 | $141.91 | 4.0× |
| Citric acid urine (82507) | $343.74 | $343.74 | 12.4× |
| Ckmb (82553) | $201.05 | $201.05 | 17.4× |
| Clotting factor xii hageman (85280) | $516.07 | $516.07 | 26.7× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$77.94–$265.20 | $77.94–$265.20 | varies |
| Compatibility Each Unit Incubation (86921) | $33.92 | $33.92 | 0.2× |
| Compatibility test antiglob (86922) | $78.67 | $78.67 | 0.4× |
| Complement Antigen Each Component (86160) | $355.39 | $355.39 | 29.6× |
| Coombs direct (86880) | $72.91 | $72.91 | 13.5× |
| Copper urine (82525) | $254.60 | $254.60 | 20.5× |
| Cortisol free (82530) range across 2 matching MRF lines |
$109.25–$302.83 | $109.25–$302.83 | varies |
| Cortisol saliva (82533) | $302.83 | $302.83 | 18.6× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$75.71–$77.98 | $75.71–$77.98 | varies |
| Creatinine blood (82565) | $98.80 | $98.80 | 19.3× |
| Creatinine clearance (82575) | $252.75 | $252.75 | 26.7× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$62.63–$76 | $62.63–$76 | varies |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$23.38–$43.38 | $23.38–$43.38 | varies |
| Crp High Sensitivity (86141) | $144.80 | $144.80 | 11.2× |
| Cryofibrinogen (82585) | $88.17 | $88.17 | 6.2× |
| Cryoglobulin (82595) | $235.31 | $235.31 | 36.4× |
| Cryptococcus ag titer (87899) | $98.50 | $98.50 | 6.1× |
| Cryptosporidium ag eia (87328) | $181 | $181 | 13.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$94.90–$113.98 | $94.90–$113.98 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $142.39 | $142.39 | 17.6× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $71.40 | $71.40 | 9.3× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $534 | $534 | 2.4× |
| Culture afb (87116) | $138.03 | $138.03 | 12.8× |
| Culture Anaerobic (87075) | $135.05 | $135.05 | 14.3× |
| Culture blood (87040) | $206.97 | $206.97 | 20.1× |
| Culture csf (87070) | $194.58 | $194.58 | 22.6× |
| Culture screen only (87081) | $99.30 | $99.30 | 15.0× |
| Culture stool (87045) | $73.89 | $73.89 | 7.8× |
| Culture urine (87086) | $148.51 | $148.51 | 18.4× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $172.43 | $172.43 | 12.0× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$234.64–$242.05 | $234.64–$242.05 | varies |
| Cystatin C (82610) | $280.80 | $280.80 | 15.2× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,704 | $2,704 | 2.3× |
| Cytomegalovirus igg (86644) | $120.01 | $120.01 | 8.3× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $80 | $80 | 3.9× |
| Cytopath Cell Enhance Tech (88112) | $187.29 | $187.29 | 3.4× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$64–$80.08 | $64–$80.08 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $195.85 | $195.85 | 4.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$179.73–$180.86 | $179.73–$180.86 | varies |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $80.08 | $80.08 | 4.3× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $58.86 | $58.86 | 1.9× |
| Deoxycortisol (82634) | $184.52 | $184.52 | 6.3× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$132.48–$213 | $132.48–$213 | varies |
| Detect Agent Nos Dna Quant (87799) | $452.93 | $452.93 | 10.6× |
| Detect agnt mult DNA ampli (87801) | $213 | $213 | 3.0× |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$37.39–$45 | $37.39–$45 | varies |
| Dhea (82626) | $325.59 | $325.59 | 12.9× |
| Dhea-S (82627) | $241.02 | $241.02 | 10.8× |
| Digoxin (80162) | $243.50 | $243.50 | 18.3× |
| Dihydrotestosterone (82642) | $274.23 | $274.23 | 9.4× |
| Dipropylacetic Acid Free (80165) | $238.30 | $238.30 | 17.6× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$88.21–$209.26 | $88.21–$209.26 | varies |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$50–$52 | $50–$52 | varies |
| DNA/RNA direct probe (87149) | $298.90 | $298.90 | 14.9× |
| Dna/Rna Sequencing (87153) | $680.80 | $680.80 | 5.9× |
| Drug assay acetaminophen (80143) | $304.40 | $304.40 | 16.3× |
| Drug assay adalimumab (80145) | $2,080 | $2,080 | 53.9× |
| Drug Assay Amiodarone (80151) | $221.36 | $221.36 | 11.9× |
| Drug Assay Everolimus (80169) | $176.80 | $176.80 | 12.9× |
| Drug assay felbamate (80167) | $343.11 | $343.11 | 18.4× |
| Drug Assay Infliximab (80230) | $416 | $416 | 10.8× |
| Drug Assay Itraconazole (80189) | $832 | $832 | 30.7× |
| Drug Assay Lacosamide (80235) | $346.78 | $346.78 | 12.8× |
| Drug Screen Quant Clozapine (80159) | $362.85 | $362.85 | 18.0× |
| Drug Screen Quant Zonisamide (80203) | $338.57 | $338.57 | 25.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $207.99 | $207.99 | 15.7× |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$80–$182.48 | $80–$182.48 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $208.83 | $208.83 | 15.8× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $206.97 | $206.97 | 12.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$307.56–$319.20 | $307.56–$319.20 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$18.80–$62.40 | $18.80–$62.40 | varies |
| Drug Test Prsmv Instrmnt (80306) | $351.29 | $351.29 | 20.5× |
| El-1 Fecal Quantitative (82653) | $533.07 | $533.07 | 23.2× |
| Electrolyte panel (80051) | $176.36 | $176.36 | 25.2× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $45 | $45 | 3.7× |
| Enzyme cell activity (82657) range across 3 matching MRF lines |
$520–$634.40 | $520–$634.40 | varies |
| Erythropoietin (82668) | $222.36 | $222.36 | 11.8× |
| Estradiol serum (82670) | $244.40 | $244.40 | 8.7× |
| Estrogen total (82672) | $250 | $250 | 11.5× |
| Ethosuximide (80168) | $105.18 | $105.18 | 6.4× |
| Ethylene Glycol (82693) | $167.40 | $167.40 | 11.2× |
| Exam Synovial Fluid Crystals (89060) | $42.69 | $42.69 | 5.8× |
| Factor vii assay (85230) | $252.27 | $252.27 | 14.1× |
| Factor X (85260) | $418.08 | $418.08 | 23.4× |
| Factor xiii screen (85291) | $171.60 | $171.60 | 18.8× |
| Fat stain feces urine/respir secretions (89125) | $23.35 | $23.35 | 4.0× |
| Fat/Lipids Feces Quantitative (82710) | $72.74 | $72.74 | 4.3× |
| Fatty acids free (82725) | $76.38 | $76.38 | 4.1× |
| Fecal Fat Qualitative (82705) | $218.94 | $218.94 | 42.9× |
| Ferritin (82728) | $133.70 | $133.70 | 9.8× |
| Fibrin Degradation Quant (85379) | $209.23 | $209.23 | 20.6× |
| Flow cytometry first marker (88184) | $340.29 | $340.29 | 0.9× |
| Fluorescent antibody screen (86255) | $218.40 | $218.40 | 18.1× |
| Fmr1 Gene Charac Alleles (81244) | $332.80 | $332.80 | 7.4× |
| Fmr1 gene detection (81243) | $332.80 | $332.80 | 5.8× |
| Folic acid rbc (82747) | $156 | $156 | 8.8× |
| Folic Acid Serum (82746) | $134.08 | $134.08 | 9.1× |
| Follicle Stimulating Hormone (83001) | $349.80 | $349.80 | 18.8× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $42.99 | $42.99 | 0.2× |
| Frozen Section (88331) | $67 | $67 | 0.4× |
| Fungi Identification Yeast (87106) | $133.26 | $133.26 | 12.9× |
| Gammaglobulin ige (82785) | $46.02 | $46.02 | 2.8× |
| Gastrin (82941) | $120 | $120 | 6.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$867.67–$868 | $867.67–$868 | varies |
| Gentamicin (80170) | $186.36 | $186.36 | 11.4× |
| Ggt (82977) | $148.51 | $148.51 | 20.6× |
| Glucagon (82943) | $264.53 | $264.53 | 18.5× |
| Glucose 2 hr pp (82950) | $114.82 | $114.82 | 24.2× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$38.94–$41.60 | $38.94–$41.60 | varies |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$25–$100.82 | $25–$100.82 | varies |
| Glucose Serum (82947) | $66.58 | $66.58 | 16.9× |
| Glucose tolerance test (gtt) (82951) | $122.28 | $122.28 | 9.5× |
| Glutathione (82978) | $236.43 | $236.43 | 15.3× |
| Glycated Protein (82985) | $117.27 | $117.27 | 7.0× |
| Gonadotropin Chorionic Qualitative (84703) | $46.50 | $46.50 | 6.2× |
| Gonadotropin releasing hormone (83727) | $615.08 | $615.08 | 35.8× |
| Growth hormone (83003) | $214.34 | $214.34 | 12.9× |
| Gtt-added samples (82952) | $22.42 | $22.42 | 5.7× |
| H Pylori (C-13) Breath (83013) | $307.54 | $307.54 | 4.6× |
| Haloperidol (80173) | $471.09 | $471.09 | 29.9× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$92.03–$94.79 | $92.03–$94.79 | varies |
| Hdl Cholesterol (83718) | $104.53 | $104.53 | 12.8× |
| Helicobacter Pylori Stool (87338) | $173.75 | $173.75 | 12.1× |
| Hematocrit (85014) | $33.34 | $33.34 | 14.1× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$33.28–$33.34 | $33.28–$33.34 | varies |
| Hemoglobin a1c (83036) | $114.83 | $114.83 | 11.8× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$37.80–$71.78 | $37.80–$71.78 | varies |
| Hemoglobin plasma (83051) | $42.23 | $42.23 | 5.8× |
| Hemosiderin urine (83070) | $125.60 | $125.60 | 26.4× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$77.42–$79.74 | $77.42–$79.74 | varies |
| Hepatitis b core ab igm (86705) | $249.12 | $249.12 | 21.2× |
| Hepatitis b core ab total (86704) | $69.21 | $69.21 | 5.7× |
| Hepatitis B Surface Antibody (86706) | $101.88 | $101.88 | 9.5× |
| Hepatitis B Surface Antigen (87340) | $101.88 | $101.88 | 9.9× |
| Hepatitis Be Antigen (87350) | $65.86 | $65.86 | 5.7× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$44.77–$53.47 | $44.77–$53.47 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $728 | $728 | 20.7× |
| Hepatitis C Revrs Trnscrpj (87522) | $379.93 | $379.93 | 8.9× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$41.74–$51.74 | $41.74–$51.74 | varies |
| Heterophile Antibody Screen (86308) | $113.85 | $113.85 | 22.0× |
| Hfe Gene (81256) | $169.94 | $169.94 | 2.6× |
| Hgb Quantitative Transcutaneous (88738) | $32.84 | $32.84 | 6.5× |
| Histamine urine (83088) | $575.41 | $575.41 | 19.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $332.51 | $332.51 | 13.8× |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$41.10–$164.42 | $41.10–$164.42 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $313.72 | $313.72 | 3.7× |
| Homocysteine (83090) | $221.52 | $221.52 | 12.4× |
| Hpv High-Risk Types (87624) | $222.88 | $222.88 | 6.4× |
| Hpv Types 16 & 18 Only (87625) | $130 | $130 | 3.2× |
| Hsv Dna Amp Probe (87529) | $162.86 | $162.86 | 4.6× |
| Hydroxyprogesterone 17-d (83498) | $258.52 | $258.52 | 9.5× |
| Hydroxyproline free (83500) | $144.56 | $144.56 | 6.4× |
| Hydroxyproline total (83505) | $144.56 | $144.56 | 5.9× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $211.98 | $211.98 | 17.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$77.50–$156 | $77.50–$156 | varies |
| Iaad ia shiga-like toxin (87427) | $58.77 | $58.77 | 4.9× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $336 | $336 | 9.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $380.86 | $380.86 | 10.9× |
| Iadna Cytomegalovirus Quantification (87497) | $280.80 | $280.80 | 6.6× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $363.50 | $363.50 | 10.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $91.23 | $91.23 | 2.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $141.91 | $141.91 | 4.0× |
| Ig Light Chains Free Each (83521) | $128.96 | $128.96 | 7.5× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$37.54–$40 | $37.54–$40 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $78.18 | $78.18 | 2.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $131.51 | $131.51 | 7.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $101.88 | $101.88 | 6.8× |
| Immunoassay nonantibody (83516) range across 5 matching MRF lines |
$33.92–$158.17 | $33.92–$158.17 | varies |
| Immunodiffusion Ouchterlony (86331) | $26.70 | $26.70 | 2.2× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$54.53–$62.94 | $54.53–$62.94 | varies |
| Immunohistochemistry (88342) | $230.84 | $230.84 | 1.3× |
| In situ hybridization 1st probe stain (88365) | $325.48 | $325.48 | 1.8× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) range across 2 matching MRF lines |
$80–$80.60 | $80–$80.60 | varies |
| Influenza assay w/optic (87804) | $109.36 | $109.36 | 6.6× |
| Inhibin A (86336) | $570.92 | $570.92 | 36.6× |
| Inhibin b (83520) range across 6 matching MRF lines |
$53.54–$371.64 | $53.54–$371.64 | varies |
| Insulin antibodies (86337) | $228.92 | $228.92 | 10.7× |
| Insulin total (83525) | $66.86 | $66.86 | 5.8× |
| Iron (83540) | $131.84 | $131.84 | 20.4× |
| Iron Binding Capacity (83550) | $109.86 | $109.86 | 12.6× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$142.86–$271.60 | $142.86–$271.60 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $405.70 | $405.70 | 4.4× |
| Koh Prep (87220) | $54.22 | $54.22 | 12.7× |
| Kras Gene Analysis Additional Variant(S) (81276) | $483.01 | $483.01 | 2.5× |
| Kras Gene Variants Exon 2 (81275) | $575.97 | $575.97 | 3.0× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$34.77–$114.32 | $34.77–$114.32 | varies |
| Ldh Isoenzymes (83625) | $153.51 | $153.51 | 12.0× |
| LDL direct (83721) | $91.60 | $91.60 | 8.7× |
| Lead (83655) range across 3 matching MRF lines |
$36.31–$132.94 | $36.31–$132.94 | varies |
| Legionella antigen urine (87449) | $269.47 | $269.47 | 22.5× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$10.95–$91.51 | $10.95–$91.51 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$16.73–$192 | $16.73–$192 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$197.78–$592 | $197.78–$592 | varies |
| Lipase (83690) | $243.95 | $243.95 | 35.4× |
| Lipoprotein A (83695) | $166.73 | $166.73 | 11.6× |
| Lipoprotein Bld Quan Part (83704) | $83.16 | $83.16 | 2.4× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $63.63 | $63.63 | 1.9× |
| Lithium (80178) | $195.70 | $195.70 | 29.6× |
| Luteinizing Hormone (Lh) (83002) | $449.39 | $449.39 | 24.3× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$48.67–$235.04 | $48.67–$235.04 | varies |
| M. Genitalium Amp Probe (87563) | $70.18 | $70.18 | 2.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $421.57 | $421.57 | 2.3× |
| M/phmtrc alys ishquant/semiq (88374) | $629.68 | $629.68 | 3.4× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$27.94–$158.16 | $27.94–$158.16 | varies |
| Mercury urine (83825) | $54 | $54 | 3.3× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$229.05–$229.26 | $229.05–$229.26 | varies |
| Microalbumin, quantitative (82043) | $101.55 | $101.55 | 17.6× |
| Microsatellite instability (81301) | $527.44 | $527.44 | 1.5× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$72–$72.25 | $72–$72.25 | varies |
| Mitochondrial Antibody Each (86381) range across 2 matching MRF lines |
$160–$163.07 | $160–$163.07 | varies |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $2,340 | $2,340 | 3.5× |
| Mopath procedure level 1 (81400) | $767.68 | $767.68 | 12.0× |
| Mopath procedure level 4 (81403) | $1,582.31 | $1,582.31 | 8.5× |
| Mopath procedure level 5 (81404) | $2,053.64 | $2,053.64 | 7.5× |
| Mthfr Gene Analysis Common Variants (81291) | $192.40 | $192.40 | 2.9× |
| Mumps antibody (86735) | $44.75 | $44.75 | 3.4× |
| Mycophenolic Acid (80180) | $255.46 | $255.46 | 14.2× |
| Myoglobin urine (83874) | $80.81 | $80.81 | 6.3× |
| Natriuretic peptide (83880) | $185.85 | $185.85 | 4.7× |
| Nfct ds chrnc hcv 6 assays (81596) | $350.06 | $350.06 | 4.8× |
| Nras gene variants exon 2&3 (81311) | $625.74 | $625.74 | 2.1× |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$23.92–$172.86 | $23.92–$172.86 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$55.91–$59.02 | $55.91–$59.02 | varies |
| Occult Blood Other Sources (82271) | $25 | $25 | 4.7× |
| Oligoclonal bands (83916) | $34.64 | $34.64 | 1.3× |
| Osmolality serum (83930) | $73.73 | $73.73 | 11.2× |
| Osmolality Urine (83935) | $102.20 | $102.20 | 15.0× |
| Ova and parasites smears (87177) | $104.47 | $104.47 | 11.7× |
| Ph urine (81003) range across 2 matching MRF lines |
$29.20–$42 | $29.20–$42 | varies |
| Phenobarbital Level (80184) | $83.26 | $83.26 | 5.4× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$75.10–$78.10 | $75.10–$78.10 | varies |
| Phenytoin (Dilantin) (80185) | $56.23 | $56.23 | 4.2× |
| Phenytoin free (80186) | $56.23 | $56.23 | 4.1× |
| Phosphatase alkaline (84075) | $58.88 | $58.88 | 11.4× |
| Phospholipid Neutralization Hexagonal (85598) | $220.94 | $220.94 | 12.3× |
| Phosphorus Serum (84100) | $147.63 | $147.63 | 31.1× |
| Pinworm exam (87172) | $83.26 | $83.26 | 19.5× |
| Platelet count automated (85049) | $70.62 | $70.62 | 15.8× |
| Potassium Urine (84133) | $58.88 | $58.88 | 12.4× |
| Prealbumin (84134) | $85.34 | $85.34 | 5.8× |
| Pregnenolone (84140) | $155.08 | $155.08 | 7.5× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $109.02 | $109.02 | 1.7× |
| Primidone (80188) | $110.43 | $110.43 | 6.7× |
| Procalcitonin (Pct) (84145) | $326.56 | $326.56 | 12.0× |
| Progesterone (84144) | $187.20 | $187.20 | 9.0× |
| Prolactin (84146) range across 2 matching MRF lines |
$102.67–$105.78 | $102.67–$105.78 | varies |
| Protein body fluid (84157) range across 2 matching MRF lines |
$22.52–$189.43 | $22.52–$189.43 | varies |
| Protein C Activity (85303) | $253.62 | $253.62 | 18.3× |
| Protein Electrophoresis Urine (84166) | $44.29 | $44.29 | 2.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $25.43 | $25.43 | 2.4× |
| Protein S Free (85306) range across 2 matching MRF lines |
$82.80–$253.62 | $82.80–$253.62 | varies |
| Protein s total (85305) range across 2 matching MRF lines |
$82.80–$253.62 | $82.80–$253.62 | varies |
| Protein total serum (84155) range across 2 matching MRF lines |
$25.43–$98.74 | $25.43–$98.74 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$34.40–$35.43 | $34.40–$35.43 | varies |
| PSA free (84154) | $104.80 | $104.80 | 5.7× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $2,021.22 | $2,021.22 | 3.4× |
| Pth Intact (83970) | $171.39 | $171.39 | 4.2× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$170.06–$175 | $170.06–$175 | varies |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$300–$634.40 | $300–$634.40 | varies |
| Quantitative Screen Metals (83018) | $118.22 | $118.22 | 5.4× |
| Quinidine (80194) | $136.44 | $136.44 | 9.3× |
| Rbc antibody elution (86860) | $251.62 | $251.62 | 1.4× |
| Rbc antibody identification (86870) | $182.60 | $182.60 | 0.5× |
| Rbc antibody screen (86850) | $116.63 | $116.63 | 11.9× |
| Rbc pretreatment serum (86978) | $171.54 | $171.54 | 2.7× |
| Rbc pretx incubatj w/enzymes (86971) | $34.32 | $34.32 | 0.2× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$93.55–$311.74 | $93.55–$311.74 | varies |
| Reticulocyte Count (85046) | $88.17 | $88.17 | 15.8× |
| Reticulocyte separation (86972) | $314.53 | $314.53 | 1.7× |
| Rh (86901) | $35.39 | $35.39 | 11.8× |
| Rheumatoid Factor Qualitative (86430) | $63.27 | $63.27 | 10.3× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$63.27–$65.17 | $63.27–$65.17 | varies |
| Rpr qualitative (86592) | $77.67 | $77.67 | 18.2× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$109.36–$304.40 | $109.36–$304.40 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$46.09–$55.75 | $46.09–$55.75 | varies |
| Rubeola antibody (86765) | $44.75 | $44.75 | 3.5× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$171.63–$176.78 | $171.63–$176.78 | varies |
| Salicylate Level (80179) | $347.40 | $347.40 | 18.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $479.44 | $479.44 | 9.3× |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$104–$214 | $104–$214 | varies |
| Sars-Cov-2 Covid19 W/Optic (87811) range across 2 matching MRF lines |
$80.08–$80.60 | $80.08–$80.60 | varies |
| Sedimentation Rate, Automated (85652) | $52.14 | $52.14 | 19.3× |
| Selenium (84255) | $96.70 | $96.70 | 3.8× |
| Sensitivity mic (87186) | $85.70 | $85.70 | 9.9× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$101.70–$108.74 | $101.70–$108.74 | varies |
| Sirolimus (80195) | $310.84 | $310.84 | 22.6× |
| Skin test tuberculosis intradermal (86580) | $29.14 | $29.14 | 0.9× |
| Smear acid fast (87206) | $71.40 | $71.40 | 13.2× |
| Smear complex stain (87209) | $104.47 | $104.47 | 5.8× |
| Smear gram stain (87205) | $62.40 | $62.40 | 14.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$61.12–$62.95 | $61.12–$62.95 | varies |
| Sodium Serum (84295) | $57.13 | $57.13 | 11.9× |
| Sodium Urine (84300) | $62.63 | $62.63 | 12.4× |
| Somatomedin (84305) | $276.73 | $276.73 | 13.0× |
| Somatostatin (84307) | $60 | $60 | 3.3× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$63.83–$315 | $63.83–$315 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$63.83–$270 | $63.83–$270 | varies |
| Specimen infect agnt concntj (87015) | $32.03 | $32.03 | 4.8× |
| Stool cultr aerobic bact ea (87046) | $58 | $58 | 6.1× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$21.63–$85.34 | $21.63–$85.34 | varies |
| Strep a DNA amp probe (87651) | $87.29 | $87.29 | 2.5× |
| Sulfate urine (84392) | $27.94 | $27.94 | 5.1× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$27.45–$212 | $27.45–$212 | varies |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$89.35–$274 | $89.35–$274 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$346.63–$524 | $346.63–$524 | varies |
| T3 Free (84481) | $143.94 | $143.94 | 8.5× |
| T3 reverse (84482) | $162.35 | $162.35 | 10.3× |
| T3 Total (84480) | $70.11 | $70.11 | 4.9× |
| T3 Uptake (84479) | $208 | $208 | 32.1× |
| T4 Free (84439) | $180.13 | $180.13 | 20.0× |
| T4 total (84436) | $163.97 | $163.97 | 23.9× |
| Tacrolimus (80197) | $200.27 | $200.27 | 14.6× |
| Test for acetone/ketones (82009) | $61.35 | $61.35 | 13.6× |
| Test for urine cystines (82615) | $28.78 | $28.78 | 3.0× |
| Testosterone total (84403) range across 2 matching MRF lines |
$120–$131.99 | $120–$131.99 | varies |
| Testosterone, Free (84402) | $125.33 | $125.33 | 4.9× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $4,488.83 | $4,488.83 | 7.5× |
| Theophylline (80198) | $136.44 | $136.44 | 9.6× |
| Thiopurine methyltransferase (84433) | $594 | $594 | 26.8× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$168.33–$175.06 | $168.33–$175.06 | varies |
| Thromboplastin Inhibition Tissue (85705) | $51.88 | $51.88 | 5.4× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$123.64–$196.44 | $123.64–$196.44 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$157.82–$167.82 | $157.82–$167.82 | varies |
| Thyroglobulin Antibody (86800) | $372.28 | $372.28 | 23.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $362.61 | $362.61 | 7.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $45 | $45 | 3.9× |
| Tobramycin peak (80200) | $221.04 | $221.04 | 13.7× |
| Topiramate (80201) | $239 | $239 | 20.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $58.88 | $58.88 | 11.4× |
| Transferrin (84466) | $137.44 | $137.44 | 10.8× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $122.54 | $122.54 | 0.6× |
| Trg gene rearrangement anal (81342) | $503.80 | $503.80 | 2.5× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$137.78–$141.91 | $137.78–$141.91 | varies |
| Triglycerides (84478) | $125.15 | $125.15 | 21.8× |
| Troponin Quant (84484) | $224.48 | $224.48 | 18.0× |
| Tumor immunohistochem/comput (88361) | $180.96 | $180.96 | 0.5× |
| Tumor Immunohistochem/Manual (88360) | $182.47 | $182.47 | 1.0× |
| Urea nitrogen urine (84540) | $71.62 | $71.62 | 12.9× |
| Uric acid other source (84560) | $137.33 | $137.33 | 27.0× |
| Urinalysis Microscopic Only (81015) | $43.92 | $43.92 | 14.4× |
| Urinalysis Volume Measure (81050) | $13.42 | $13.42 | 3.7× |
| Urine Albumin Semiquantitative (82044) | $50.84 | $50.84 | 8.2× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$34.58–$36.50 | $34.58–$36.50 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $57.41 | $57.41 | 18.1× |
| Valproic acid (80164) | $168.65 | $168.65 | 12.5× |
| Vancomycin (80202) | $200.72 | $200.72 | 14.8× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$236.18–$269.83 | $236.18–$269.83 | varies |
| Vasopressin (84588) | $87.18 | $87.18 | 2.6× |
| Viral Culture (87252) | $485.49 | $485.49 | 18.6× |
| Vit D 1 25-Dihydroxy (82652) | $516.40 | $516.40 | 13.4× |
| Vitamin A (84590) | $70 | $70 | 6.0× |
| Vitamin b-12 (82607) | $121 | $121 | 8.0× |
| Vitamin B2 (Riboflavin) (84252) | $259.13 | $259.13 | 12.8× |
| Vitamin B6 (84207) | $252.93 | $252.93 | 9.0× |
| Vitamin c (82180) | $50 | $50 | 5.1× |
| Vitamin D 25-Hydroxy (82306) | $332.24 | $332.24 | 11.2× |
| Vitamin E (84446) | $318.44 | $318.44 | 22.5× |
| Vitamin K (84597) | $75 | $75 | 5.5× |
| Zinc (84630) | $290.80 | $290.80 | 25.5× |
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.