Lab & pathology prices at Wayne County Hospital

Corydon, IA · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $59 $59 5.3×
Acth (82024) $378 $378 9.8×
Acth Stimulation Panel Adrenal Insufficiency (80400) $244 $244 7.5×
Acute hepatitis panel (80074) $424 $424 8.9×
Acylcarnitines Quant (82017) $199 $199 11.8×
Adenovirus antibody (86603) $137 $137 10.6×
Albumin Fluid (82042) $57 $57 7.3×
Albumin serum (82040)
range across 2 matching MRF lines
$53–$67 $53–$67 varies
Aldolase (82085) $101 $101 10.4×
Aldosterone urine (82088) $402 $402 9.9×
Alkaline phosphatase isoenzymes (84080) $152 $152 10.3×
Allergen specific ige (86003)
range across 2 matching MRF lines
$35–$67 $35–$67 varies
Allergen specific igg (86001) $85 $85 10.9×
Allg Spec Ige Recomb Ea (86008) $83 $83 4.6×
Alpha-1-antitrypsin total (82103) $134 $134 10.0×
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$111–$206 $111–$206 varies
Alt (sgpt) (84460)
range across 3 matching MRF lines
$29–$82 $29–$82 varies
Aluminum (82108) $255 $255 10.0×
Amikacin trough (80150) $157 $157 10.4×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $325 $325 19.3×
Amino Acids Multiple Qualitative Each Specimen (82128) $140 $140 10.1×
Amino Acids Quant 2-5 (82136) $84 $84 4.3×
Aminolevulinic acid (ala) (82135) $165 $165 10.0×
Ammonia (82140) $158 $158 10.8×
Amniotic fluid protein test on cervicovaginal fluid (84112)
range across 2 matching MRF lines
$100–$213 $100–$213 varies
Amylase urine (82150) $70 $70 10.8×
Ana Titer (86039) $115 $115 10.3×
Anca screen each antibody (86036) $226 $226 18.8×
Anca Titer Each Antibody (86037) $86 $86 7.1×
Androstenedione (82157) $291 $291 9.9×
Angiotensin converting enzyme csf (82164) $150 $150 10.3×
Antibody aspergillus (86606) $157 $157 10.4×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $102 $102 6.6×
Antibody Cytomegalovirus Cmv Igm (86645) $172 $172 10.2×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $132 $132 10.1×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $157 $157 10.3×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $183 $183 10.1×
Antibody Fungus Not Elsewhere Specified (86671) $93 $93 7.6×
Antibody helicobacter pylori (86677) $66 $66 3.9×
Antibody Herpes Smplx Non-Specific Type Test (86694) $144 $144 10.0×
Antibody Herpes Smplx Type 1 (86695) $144 $144 10.9×
Antibody Hla Class I High Definition Panel Qual (86832) $949 $949 2.9×
Antibody Protozoa Nes (86753)
range across 2 matching MRF lines
$178–$226 $178–$226 varies
Antibody Titer (86886) $122 $122 23.6×
Antibody Treponema Pallidum (86780) $54 $54 4.1×
Antibody; influenza virus (86710) $135 $135 10.0×
Antigen typing (86905) $38 $38 9.9×
Antinuclear antibodies (86038) $123 $123 10.2×
Antistreptolysin O Screen (86063) $75 $75 13.0×
Antithrombin iii activity (85300) $112 $112 9.5×
Antithrombin iii antigen (85301) $112 $112 10.4×
Apolipoprotein a1 (82172) $120 $120 5.7×
Arsenic (82175) $189 $189 10.0×
Assay Blood Carbon Dioxide (82374)
range across 2 matching MRF lines
$52–$69 $52–$69 varies
Assay Nephelometry Not Spec (83883)
range across 3 matching MRF lines
$142–$546 $142–$546 varies
Assay of 5-hiaa (83497) $79 $79 6.1×
Assay of blood/uric acid (84550) $66 $66 14.6×
Assay of calcium in urine (82340) $84 $84 13.9×
Assay of cpk in blood (82552) $134 $134 10.0×
Assay of estrone (82679) $216 $216 8.7×
Assay of g6pd enzyme (82955) $105 $105 10.8×
Assay of gammaglobulin igm (82784) $96 $96 10.3×
Assay of lactic acid (83605) $107 $107 9.2×
Assay of manganese (83785) $204 $204 7.7×
Assay of metanephrines (83835) $172 $172 10.2×
Assay of phosphatase acid total (84060) $102 $102 13.4×
Assay of proinsulin (84206) $188 $188 7.0×
Assay of pyruvate (84210) $105 $105 7.3×
Assay of serotonin (84260) $306 $306 9.9×
Assay of serum potassium (84132)
range across 3 matching MRF lines
$33–$69 $33–$69 varies
Assay of sweat sodium (84302) $34 $34 7.0×
Assay of urea nitrogen (84520)
range across 4 matching MRF lines
$28–$62 $28–$62 varies
Assay of urine vma (84585) $158 $158 10.2×
Assay of vasoactive intestinal peptide (84586) $102 $102 2.9×
Assay of vitamin b-1 (84425) $213 $213 10.0×
Assay Ph Body Fluid Nos (83986) $39 $39 10.9×
Assay spec xcp ur&breath ia (82077) $163 $163 9.4×
Automated Leukocyte Count (85048)
range across 2 matching MRF lines
$7–$42 $7–$42 varies
B cells total count (86355) $183 $183 4.9×
Bartonella antibody (86611) $82 $82 8.1×
Bcr/abl1 gene major bp (81206) $641 $641 3.9×
Bcr/abl1 gene minor bp (81207) $566 $566 3.9×
Beta 2 glycoprotein i antibody each (86146) $105 $105 4.1×
Beta hydroxybutyrate (82010) $48 $48 5.9×
Beta-2 Microglobulin (82232) $135 $135 8.3×
Bile acids total (82239) $187 $187 10.9×
Bilirubin direct (82248)
range across 2 matching MRF lines
$53–$88 $53–$88 varies
Bilirubin total (82247) $88 $88 17.5×
Bilirubin total transcutaneous (88720)
range across 3 matching MRF lines
$10–$33 $10–$33 varies
Biotinidase (82261) $172 $172 10.2×
Blastomyces antibody (86612) $132 $132 10.2×
Blood Count Automated Differential Wbc Count (85004) $95 $95 14.7×
Blood Count Red Blood Cell Automated (85041) $35 $35 11.6×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $38 $38 10.0×
Blood gas (82803)
range across 2 matching MRF lines
$4–$431 $4–$431 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 2 matching MRF lines
$52–$57 $52–$57 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $10 $10 2.3×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $70 $70 4.3×
Blood typing serologic abo (86900) $57 $57 19.1×
Bordetella antibody (86615)
range across 2 matching MRF lines
$76–$132 $76–$132 varies
Braf gene analysis (81210) $500 $500 2.9×
Brucella antibody (86622) $93 $93 10.4×
C diff amplified probe (87493) $161 $161 4.3×
C-Peptide (84681) $209 $209 10.0×
C-reactive protein (86140) $108 $108 20.8×
Ca 19-9 (86301) $209 $209 10.0×
Cadmium (82300) $229 $229 9.7×
Calcitonin (82308) $264 $264 9.9×
Calcium ionized (82330) $135 $135 9.9×
Calcium total (82310) $79 $79 15.3×
Calculus Spectroscopy (82365) $79 $79 6.1×
Calprotectin Fecal (83993) $401 $401 20.4×
Cancer Antigen 125 (86304) $209 $209 10.0×
Cancer Antigen 27.29 (86300) $209 $209 10.0×
Candida Dna Dir Probe (87480) $51 $51 2.5×
Carbamazepine total (80156) $170 $170 11.7×
Carboxyhemoglobin (82375) $137 $137 11.1×
Carcinoembryonic antigen (82378) $189 $189 10.0×
Cardiolipin ab iga (86147) $105 $105 4.1×
Carnitine Quantitative Each Specimen (82379)
range across 2 matching MRF lines
$199–$216 $199–$216 varies
Carotene (82380) $135 $135 14.6×
Catecholamines fractionated (82384) $252 $252 10.0×
Ccp antibody (86200) $144 $144 11.1×
Cell count csf (89051)
range across 2 matching MRF lines
$76–$129 $76–$129 varies
Ceruloplasmin (82390) $135 $135 12.6×
Cftr gene com variants (81220) $371 $371 0.7×
Chemiluminescent assay (82397)
range across 2 matching MRF lines
$150–$193 $150–$193 varies
Chlamydia antibody (86631) $54 $54 4.6×
Chlamydia Igm Antibody (86632) $58 $58 4.6×
Chloride Serum (82435)
range across 2 matching MRF lines
$48–$83 $48–$83 varies
Chloride urine (82436) $62 $62 10.8×
Cholesterol total (82465)
range across 4 matching MRF lines
$14–$62 $14–$62 varies
Cholinesterase rbc (82482) $122 $122 12.4×
Cholinesterase Serum (82480) $83 $83 10.5×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$57–$157 $57–$157 varies
Chromium serum (82495) $150 $150 7.4×
Chromogranin a (86316) $209 $209 10.0×
Chromosome Analysis 20-25 (88264) $1,674 $1,674 11.6×
Chromosome analysis, 5 (88261) $1,728 $1,728 6.5×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $83 $83 2.4×
Citric acid urine (82507) $278 $278 10.0×
Ckmb (82553) $144 $144 12.5×
Clotting factor xii hageman (85280) $179 $179 9.3×
Coccidioides antibody (86635) $250 $250 21.8×
Collagen crosslinks (82523) $206 $206 11.0×
Column Chromotography Quant (82542)
range across 2 matching MRF lines
$157–$324 $157–$324 varies
Compatibility test antiglob (86922) $94 $94 0.6×
Complement Antigen Each Component (86160) $123 $123 10.3×
Complement Total (Ch50) (86162) $202 $202 9.9×
Complement/Function Activity (86161) $123 $123 10.3×
Coombs direct (86880) $57 $57 10.6×
Copper urine (82525)
range across 2 matching MRF lines
$90–$124 $90–$124 varies
Cortisol free (82530) $170 $170 10.2×
Cortisol saliva (82533)
range across 2 matching MRF lines
$122–$170 $122–$170 varies
Creatine kinase total (82550)
range across 2 matching MRF lines
$87–$88 $87–$88 varies
Creatinine blood (82565)
range across 2 matching MRF lines
$33–$67 $33–$67 varies
Creatinine clearance (82575) $96 $96 10.1×
Creatinine Urine (82570)
range across 2 matching MRF lines
$21–$62 $21–$62 varies
Crp High Sensitivity (86141) $132 $132 10.2×
Cryoglobulin (82595) $67 $67 10.4×
Cryptococcus ag titer (87899) $51 $51 3.2×
Cryptosporidium (87272) $123 $123 10.3×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $76 $76 9.4×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $89 $89 11.5×
Culture afb (87116) $170 $170 15.7×
Culture Anaerobic (87075) $204 $204 21.5×
Culture blood (87040) $129 $129 12.5×
Culture csf (87070)
range across 2 matching MRF lines
$30–$88 $30–$88 varies
Culture fungus (87102) $89 $89 10.6×
Culture screen only (87081)
range across 3 matching MRF lines
$29–$97 $29–$97 varies
Culture stool (87045) $96 $96 10.2×
Culture urine (87086)
range across 2 matching MRF lines
$40–$84 $40–$84 varies
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $184 $184 12.8×
Cyclosporine (80158) $216 $216 12.0×
Cystatin C (82610) $84 $84 4.5×
Cytogenetics 100-300 (88275) $170 $170 3.3×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,062 $1,062 0.9×
Cytomegalovirus igg (86644) $144 $144 10.0×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $92 $92 4.5×
Cytopath Cell Enhance Tech (88112) $120 $120 2.4×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $120 $120 4.5×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $120 $120 3.3×
Deoxyribonuclease antibody (86215) $128 $128 9.7×
Detect Agent Nos Dna Amp (87798)
range across 4 matching MRF lines
$92–$158 $92–$158 varies
Detect Agent Nos Dna Quant (87799) $411 $411 9.6×
Detect agnt mult DNA ampli (87801) $391 $391 5.6×
Dhea-S (82627) $221 $221 9.9×
Digoxin (80162) $150 $150 11.3×
Diphtheria antitoxoid (86648) $278 $278 18.3×
Dna Antibody Native/Double Stranded (86225) $135 $135 9.8×
Dna Antibody Single Stranded (86226) $123 $123 10.2×
Dna/Rna Amplified Probe (87150) $144 $144 4.1×
DNA/RNA direct probe (87149) $69 $69 3.4×
Drug assay acetaminophen (80143) $225 $225 12.1×
Drug Assay Amiodarone (80151) $134 $134 7.2×
Drug Assay Everolimus (80169) $434 $434 31.6×
Drug Assay Itraconazole (80189) $456 $456 16.8×
Drug Assay Vedolizumab (80280) $225 $225 5.8×
Drug Screen Quant Clozapine (80159) $102 $102 5.1×
Drug Screen Quant Zonisamide (80203) $120 $120 9.1×
Drug Screen Quantitative Gabapentin (80171) $86 $86 4.0×
Drug Screen Quantitative Lamotrigine (80175) $192 $192 14.5×
Drug Screen Quantitative Levetiracetam (80177) $192 $192 14.5×
Drug Screen Quantitative Oxcarbazepine (80183) $115 $115 8.7×
Drug Screen Quantitative Procainamide Metabolite (80192) $170 $170 10.1×
Drug Test Prsmv Chem Anlyzr (80307) $134 $134 2.2×
Drug Test Prsmv Dir Opt Obs (80305)
range across 2 matching MRF lines
$124–$150 $124–$150 varies
Drug Test Prsmv Instrmnt (80306) $121 $121 7.1×
Ehrlichia antibody (86666)
range across 3 matching MRF lines
$83–$462 $83–$462 varies
Electrolyte panel (80051) $115 $115 16.4×
Enterovirus Antibody (86658) $93 $93 7.1×
Enterovirus PCR (87498) $226 $226 6.4×
Enzyme cell activity (82657) $524 $524 23.6×
Enzyme histochemistry (88319) $625 $625 0.8×
Eosinophil Smear (89190) $62 $62 10.7×
Erythropoietin (82668) $238 $238 12.7×
Estradiol serum (82670) $278 $278 9.9×
Estriol (82677) $68 $68 2.8×
Estrogens fractionated (82671) $88 $88 2.7×
Ethosuximide (80168) $164 $164 10.0×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines
$16–$76 $16–$76 varies
F2 Gene (81240) $296 $296 4.5×
Factor Inhibitor Test (85335) $58 $58 4.5×
Factor ix activity (85250) $132 $132 6.9×
Factor v activity (85220) $135 $135 7.6×
Factor v leiden mutation (81241) $476 $476 6.5×
Factor vii assay (85230) $135 $135 7.5×
Factor viii assay (85240) $287 $287 16.0×
Factor X (85260)
range across 2 matching MRF lines
$305–$376 $305–$376 varies
Factor xi activity (85270) $179 $179 10.0×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $367 $367 21.3×
Fecal Fat Qualitative (82705) $89 $89 17.5×
Ferritin (82728) $135 $135 9.9×
Fetal screen rosette (85461) $52 $52 5.6×
Fibrin Degradation Quant (85379) $105 $105 10.3×
Fibrinogen activity (85384) $108 $108 11.1×
Flow cytometry first marker (88184) $447 $447 1.3×
Fluorescent antibody screen (86255)
range across 3 matching MRF lines
$198–$226 $198–$226 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $462 $462 38.3×
Fmr1 gene detection (81243) $629 $629 11.0×
Folic acid rbc (82747) $298 $298 16.9×
Folic Acid Serum (82746) $150 $150 10.2×
Follicle Stimulating Hormone (83001) $185 $185 10.0×
Francisella tularensis (86668) $93 $93 6.6×
Frozen Section (88331) $172 $172 1.1×
Fungi Identification Mold (87107) $105 $105 10.2×
Galactose transferase test (82776) $88 $88 7.5×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $204 $204 9.7×
Gammaglobulin ige (82785) $164 $164 10.0×
Gardner vag DNA dir probe (87510) $51 $51 2.5×
Gases blood ph only (82800) $84 $84 7.6×
Gastrin (82941) $176 $176 10.0×
Gentamicin (80170) $164 $164 10.0×
Ggt (82977)
range across 2 matching MRF lines
$39–$89 $39–$89 varies
Gluc-6-phosphate dehydrogenase screen (82960) $13 $13 2.1×
Glucagon (82943) $140 $140 9.8×
Glucose 2 hr pp (82950)
range across 2 matching MRF lines
$21–$26 $21–$26 varies
Glucose Blood Test (82962) $13 $13 4.0×
Glucose body fluid (82945) $55 $55 14.0×
Glucose Serum (82947)
range across 3 matching MRF lines
$16–$55 $16–$55 varies
Glucose tolerance test (gtt) (82951)
range across 2 matching MRF lines
$21–$105 $21–$105 varies
Glycated Protein (82985) $157 $157 9.4×
Gonadotropin Chorionic Qualitative (84703) $32 $32 4.3×
Gonadotropin releasing hormone (83727) $307 $307 17.9×
Growth hormone (83003) $170 $170 10.2×
Gtt-added samples (82952) $42 $42 10.7×
H Pylori (C-13) Breath (83013) $191 $191 2.8×
Haloperidol (80173) $170 $170 10.8×
Haptoglobin (83010) $124 $124 9.9×
Hdl Cholesterol (83718)
range across 2 matching MRF lines
$27–$89 $27–$89 varies
Helicobacter Pylori Stool (87338) $164 $164 11.4×
Hematocrit (85014)
range across 2 matching MRF lines
$6–$29 $6–$29 varies
Hemoglobin (85018)
range across 2 matching MRF lines
$16–$29 $16–$29 varies
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$46–$105 $46–$105 varies
Hemoglobin Chromotography (83021) $147 $147 8.1×
Hemoglobin electrophoresis (83020) $147 $147 11.4×
Hemoglobin Methemoglobin Quantitative (83050) $118 $118 14.4×
Hemosiderin urine (83070) $95 $95 20.0×
Hep a ab igm (86709) $115 $115 10.2×
Hepatitis a antibody total (86708) $150 $150 12.1×
Hepatitis b core ab igm (86705) $150 $150 12.7×
Hepatitis b core ab total (86704) $123 $123 10.2×
Hepatitis B Surface Antibody (86706) $122 $122 11.4×
Hepatitis B Surface Antigen (87340) $101 $101 9.8×
Hepatitis Be Antibody (86707) $117 $117 10.1×
Hepatitis Be Antigen (87350) $117 $117 10.1×
Hepatitis C Antibody (86803) $144 $144 10.1×
Hepatitis C Genotype (87902) $1,265 $1,265 4.9×
Hepatitis C Revrs Trnscrpj (87522) $419 $419 9.8×
Herpes simplex type 2 (86696) $74 $74 3.8×
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$35–$41 $35–$41 varies
Hfe Gene (81256) $817 $817 12.5×
Histamine urine (83088) $291 $291 9.9×
Histoplasma antibody (86698) $124 $124 9.0×
Histoplasma antigen urine (87385) $124 $124 9.4×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $134 $134 5.6×
Hiv-1 Quant&Revrse Trnscrpj (87536) $832 $832 9.8×
Hla class ii high defin qual (86833) $949 $949 2.9×
Hla class ii typing high resolution one locus ea (81382) $1,993 $1,993 16.1×
Hla I Typing 1 Allele Hr (81381) $765 $765 4.5×
Hla-b27 (86812) $258 $258 10.0×
Homocysteine (83090) $172 $172 9.6×
Hpv High-Risk Types (87624) $158 $158 4.5×
Hpv sep hi-rsk typ&pool rslt (87626) $316 $316 4.5×
Hsv Dna Amp Probe (87529) $144 $144 4.1×
Hydroxyprogesterone 17-d (83498) $271 $271 10.0×
Iaad Ia Escherichia Coli 0157 (87335) $123 $123 9.7×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420)
range across 2 matching MRF lines
$32–$63 $32–$63 varies
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426)
range across 2 matching MRF lines
$42–$159 $42–$159 varies
Iaad ia shiga-like toxin (87427) $123 $123 10.3×
Iaadi giardia (87269) $201 $201 14.8×
Iaadiadoo trichomonas vaginalis (87808) $102 $102 6.7×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $348 $348 9.9×
Iadna Candida Species Amplified Probe Tq (87481) $138 $138 3.9×
Iadna chlamydia pneumoniae amplified probe tq (87486) $280 $280 8.0×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $204 $204 5.8×
Iadna Cytomegalovirus Quantification (87497) $239 $239 5.6×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $123 $123 1.8×
Iadna Hepatitis B Virus Quantification (87517) $343 $343 8.0×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $225 $225 6.4×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $83 $83 2.4×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $83 $83 2.4×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $1,184 $1,184 4.5×
Igg subclasses (82787)
range across 2 matching MRF lines
$44–$55 $44–$55 varies
Igh@ Variable Region Somatic Mutation Analysis (81263) $1,325 $1,325 4.5×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $324 $324 0.9×
Immune Complex Assay (86332) $244 $244 10.0×
Immunfix e-phorsis/urine/csf (86335) $291 $291 9.9×
Immunoassay Analyte Quant Radioimmunoassay (83519) $407 $407 22.1×
Immunoassay infectious agent (86318)
range across 2 matching MRF lines
$32–$66 $32–$66 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines
$160–$278 $160–$278 varies
Immunoassay nonantibody (83516)
range across 3 matching MRF lines
$175–$250 $175–$250 varies
Immunodiffusion not elsewhere specified (86329) $165 $165 11.7×
Immunofixation electrophoresis (86334) $223 $223 10.0×
Immunofluorescence per spec 1st singl antb stain (88346) $340 $340 2.1×
Immunohistochemistry (88342) $324 $324 2.0×
Influenza a/b ag eia (87400) $47 $47 3.3×
Influenza assay w/optic (87804)
range across 2 matching MRF lines
$59–$66 $59–$66 varies
Influenza DNA amp probe (87502)
range across 2 matching MRF lines
$280–$289 $280–$289 varies
Inhibin A (86336)
range across 2 matching MRF lines
$52–$150 $52–$150 varies
Inhibin b (83520)
range across 7 matching MRF lines
$59–$407 $59–$407 varies
Insulin antibodies (86337) $216 $216 10.1×
Insulin total (83525) $135 $135 11.8×
Intrinsic factor antibody (86340) $157 $157 10.4×
Iron (83540) $69 $69 10.7×
Iron Binding Capacity (83550) $93 $93 10.6×
Islet cell antibody (86341)
range across 2 matching MRF lines
$93–$157 $93–$157 varies
Jak2 gene analysis p.val617phe variant (81270) $599 $599 6.5×
Jak2 Gene Trgt Sequence Alys (81279) $781 $781 4.2×
Ketosteroids 17 total (83586) $128 $128 10.0×
Koh Prep (87220) $21 $21 4.9×
Lactate (ld) (ldh) enzyme (83615)
range across 3 matching MRF lines
$42–$72 $42–$72 varies
Lactoferrin fecal qualitative (83630) $216 $216 11.0×
Lamellar Body Count (83664) $87 $87 4.5×
Ldh Isoenzymes (83625) $128 $128 10.0×
LDL direct (83721)
range across 2 matching MRF lines
$19–$81 $19–$81 varies
Lead (83655)
range across 3 matching MRF lines
$42–$123 $42–$123 varies
Legionella antibody (86713) $157 $157 10.3×
Legionella antigen urine (87449)
range across 4 matching MRF lines
$104–$228 $104–$228 varies
Leptospira antibody (86720) $98 $98 6.0×
Level I Surg Pathology Gross Examination Only (88300) $67 $67 2.4×
Level ii surg pathology gross&microscopic exam (88302) $134 $134 3.7×
Level V Surg Pathology Gross&Microscopic Exam (88307) $461 $461 1.3×
Lipase (83690) $96 $96 13.9×
Lipoprotein A (83695) $132 $132 9.2×
Lipoprotein Bld Quan Part (83704) $151 $151 4.4×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $189 $189 5.6×
Lithium (80178) $105 $105 15.9×
Luteinizing Hormone (Lh) (83002) $185 $185 10.0×
Lyme disease antibody (86618) $87 $87 5.1×
Lysozyme serum (85549) $132 $132 7.0×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $721 $721 4.4×
M/phmtrc alys ishquant/semiq (88374) $721 $721 4.4×
Macroscopic exam arthropod (87168)
range across 2 matching MRF lines
$17–$69 $17–$69 varies
Macroscopic Exam Parasite (87169) $19 $19 4.4×
Magnesium Urine (83735) $93 $93 13.9×
Mass Spectrometry Quant (83789)
range across 2 matching MRF lines
$380–$455 $380–$455 varies
Mercury urine (83825) $163 $163 10.0×
Methylmalonic acid serum (83921) $164 $164 7.7×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$26–$88 $26–$88 varies
Microsomal Antibodies Each (86376) $150 $150 10.3×
Mitochondrial Antibody Each (86381) $226 $226 8.9×
Molecular Cytogenetics Dna Probe Each (88271) $32 $32 1.5×
Molecular Pathology Procedure Level 3 (81402) $795 $795 5.3×
Molecular Pathology Procedure Level 6 (81405) $2,553 $2,553 8.5×
Mononuclear cell antigen (86356) $109 $109 4.1×
Mopath procedure level 2 (81401) $758 $758 5.5×
Mrsa Pcr (87641) $117 $117 3.3×
Mthfr Gene Analysis Common Variants (81291) $292 $292 4.5×
Mumps antibody (86735) $132 $132 10.1×
Mycophenolic Acid (80180) $324 $324 18.0×
Mycoplasma antibody (86738) $134 $134 10.1×
Myoglobin urine (83874) $140 $140 10.8×
Natriuretic peptide (83880) $336 $336 8.6×
Neutralization Test Viral (86382) $201 $201 11.9×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $578 $578 4.5×
Nfct ds bv&vaginitis DNA alg (81515) $642 $642 2.4×
Niacin (84591) $263 $263 15.4×
Nk cells total count (86357) $183 $183 4.9×
Nuclear antigen antibody (86235)
range across 2 matching MRF lines
$226–$250 $226–$250 varies
Occult blood feces (82272)
range across 3 matching MRF lines
$10–$15 $10–$15 varies
Occult Blood Other Sources (82271) $52 $52 9.8×
Organic acids urine (83918) $293 $293 12.4×
Osmolality serum (83930) $70 $70 10.6×
Osmolality Urine (83935) $70 $70 10.3×
Osmotic Fragility RBC Unincubated (85555) $70 $70 9.4×
Ova and parasites smears (87177) $114 $114 12.8×
Oxalate urine (83945) $157 $157 10.9×
Pancreatic Elastase Fecal (82656) $175 $175 15.2×
Particle Agglutination Screen Each Antibody (86403) $150 $150 13.0×
Parvovirus antibody (86747) $157 $157 10.4×
Ph urine (81003)
range across 3 matching MRF lines
$10–$33 $10–$33 varies
Phenobarbital Level (80184) $122 $122 8.0×
Phenytoin (Dilantin) (80185) $161 $161 12.2×
Phosphatase acid prostatic (84066) $157 $157 16.3×
Phosphatase alkaline (84075)
range across 3 matching MRF lines
$35–$88 $35–$88 varies
Phosphorus Serum (84100)
range across 2 matching MRF lines
$48–$69 $48–$69 varies
Phosphorus urine (84105) $107 $107 18.5×
Pinworm exam (87172) $11 $11 2.6×
Platelet Aggregation (85576) $339 $339 13.6×
Platelet Antibodies (86022) $162 $162 8.8×
Platelet count automated (85049) $57 $57 12.7×
Porphyrins Urine Quantitation & Fractionation (84120) $248 $248 16.9×
Potassium Urine (84133) $47 $47 9.9×
Prealbumin (84134) $150 $150 10.3×
Pregnancy-Associated Plasma Protein-A (84163) $47 $47 3.1×
Pregnenolone (84140) $189 $189 9.1×
Primidone (80188) $170 $170 10.2×
Procalcitonin (Pct) (84145) $121 $121 4.4×
Progesterone (84144) $209 $209 10.0×
Prolactin (84146) $192 $192 9.9×
Protein body fluid (84157) $62 $62 15.5×
Protein C Activity (85303) $132 $132 9.5×
Protein Electrophoresis Urine (84166) $179 $179 10.0×
Protein Electrophoretic Fractj&Quantj Serum (84165) $140 $140 13.0×
Protein S Free (85306) $158 $158 10.3×
Protein total serum (84155)
range across 3 matching MRF lines
$35–$57 $35–$57 varies
Protein Total Urine (84156) $62 $62 16.9×
Protoporphyrin rbc quantitative (84202) $157 $157 10.9×
PSA free (84154) $221 $221 12.0×
Pth Intact (83970) $408 $408 9.9×
Q Fever Antibody (86638) $55 $55 4.5×
Quantiferon tb gold plus (86480) $158 $158 2.5×
Quantitative assay drug (80299)
range across 11 matching MRF lines
$108–$770 $108–$770 varies
Quantitative Screen Metals (83018) $258 $258 11.7×
Quinidine (80194) $150 $150 10.3×
Rbc antibody identification (86870) $315 $315 0.9×
Rbc antibody screen (86850) $90 $90 9.2×
Rbc pretreatment serum (86978) $123 $123 2.2×
Reagent Strip/Blood Glucose (82948)
range across 2 matching MRF lines
$13–$28 $13–$28 varies
Renin activity plasma (84244) $221 $221 10.1×
Reticulocyte Count (85046) $62 $62 11.1×
Rh (86901) $66 $66 22.1×
Rheumatoid factor quant (86431) $62 $62 10.9×
Rickettsia antibody (86757)
range across 2 matching MRF lines
$88–$89 $88–$89 varies
Ristocetin cofactor (85245) $229 $229 10.0×
Rotavirus ag eia (87425) $123 $123 10.3×
Rpr qualitative (86592) $53 $53 12.4×
Rubella Antibody (86762) $144 $144 10.0×
Rubeola antibody (86765)
range across 2 matching MRF lines
$29–$75 $29–$75 varies
Russell Viper Venom Time Diluted (85613) $134 $134 14.0×
Russell Viper Venon Time Undiluted (85612) $101 $101 5.8×
Salicylate Level (80179) $87 $87 4.7×
Salmonella antibody (86768) $132 $132 10.0×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$189–$231 $189–$231 varies
Sars-Cov-2 Covid19 W/Optic (87811) $56 $56 1.4×
Sedimentation rate (85651) $70 $70 16.4×
Selenium (84255) $117 $117 4.6×
Semen analysis complete (89320) $123 $123 10.0×
Semen analysis motility and count (89310) $88 $88 10.2×
Sensitivity mic (87186) $108 $108 12.5×
Sex Hormone Binding Globulin (84270) $217 $217 10.0×
Sickling of rbc reduction (85660)
range across 2 matching MRF lines
$57–$59 $57–$59 varies
Skin test tuberculosis intradermal (86580) $42 $42 1.5×
Smear acid fast (87206) $5 $5 0.9×
Smear complex stain (87209) $44 $44 2.4×
Smear gram stain (87205)
range across 2 matching MRF lines
$20–$53 $20–$53 varies
Smear Special Stain (87207) $95 $95 15.9×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$16–$48 $16–$48 varies
Sodium Serum (84295)
range across 2 matching MRF lines
$33–$66 $33–$66 varies
Sodium Urine (84300) $47 $47 9.3×
Soluble Transferrin Receptor (84238) $118 $118 3.2×
Somatomedin (84305) $394 $394 18.5×
Special Stains Group 1 (88312) $185 $185 3.7×
Special Stains Group 2 (88313) $149 $149 1.2×
Specific gravity body fluid (84315) $33 $33 10.1×
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$15–$16 $15–$16 varies
Spectrophotometry (84311) $147 $147 18.1×
Stool cultr aerobic bact ea (87046) $96 $96 10.2×
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$35–$59 $35–$59 varies
Strep a DNA amp probe (87651)
range across 2 matching MRF lines
$105–$144 $105–$144 varies
Strep b DNA amp probe (87653) $225 $225 6.4×
Sugars Single Qual (84376) $59 $59 10.7×
Sulfate urine (84392) $108 $108 19.7×
Surg path level iii (88304) $138 $138 2.8×
Surgical pathology level IV (88305) $188 $188 3.8×
Surgical pathology level vi (88309) $552 $552 0.7×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $216 $216 4.6×
T cells total count (86359) $183 $183 4.9×
T3 Free (84481) $172 $172 10.2×
T3 reverse (84482) $161 $161 10.2×
T3 Total (84480) $159 $159 11.2×
T4 Free (84439) $115 $115 12.7×
T4 total (84436) $82 $82 11.9×
Tacrolimus (80197) $165 $165 12.0×
Tb ag response t-cell susp (86481) $194 $194 1.9×
Test for urine cystines (82615) $84 $84 8.8×
Testosterone Bioavailable (84410) $183 $183 3.6×
Testosterone total (84403) $90 $90 3.5×
Testosterone, Free (84402) $93 $93 3.7×
Tetanus antibody (86774) $278 $278 18.8×
Theophylline (80198) $144 $144 10.2×
Thrombin Time (85670) $72 $72 12.5×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $134 $134 20.7×
Thyroglobulin (84432) $163 $163 10.1×
Thyroglobulin Antibody (86800) $161 $161 10.1×
Thyroid Stimulating Immunoglobulin (84445) $502 $502 9.9×
Thyroxine binding globulin (84442) $152 $152 10.3×
Tissue Culture (88233) $1,373 $1,373 9.8×
Tissue Culture Lymphocyte (88230) $1,218 $1,218 10.5×
Tobramycin peak (80200) $163 $163 10.1×
Topiramate (80201) $132 $132 11.1×
Toxoplasma ab igm (86778) $174 $174 12.1×
Toxoplasma antibody (86777) $174 $174 12.1×
Transferase Aspartate Amino Ast Sgot (84450)
range across 4 matching MRF lines
$29–$79 $29–$79 varies
Transferrin (84466) $128 $128 10.0×
Trb@ Rearrangement Anal Amplification Method (81340) $294 $294 1.4×
Trg gene rearrangement anal (81342) $294 $294 1.5×
Trichinella Antibody (86784) $244 $244 19.4×
Trichomonas vagin dir probe (87660) $51 $51 2.5×
Trichomonas Vaginalis Amplif (87661) $138 $138 3.9×
Triglycerides (84478)
range across 3 matching MRF lines
$19–$88 $19–$88 varies
Troponin Quant (84484) $161 $161 12.9×
Tumor Immunohistochem/Manual (88360) $324 $324 2.0×
Urea nitrogen urine (84540) $52 $52 9.4×
Uric acid other source (84560) $107 $107 21.1×
Urinalysis Microscopic Only (81015) $33 $33 10.8×
Urine Albumin Semiquantitative (82044) $29 $29 4.7×
Urine Bacteria Culture (87088) $29 $29 3.6×
Urine Pregnancy Test (81025)
range across 3 matching MRF lines
$27–$39 $27–$39 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$18–$46 $18–$46 varies
Valproic acid (80164) $135 $135 10.0×
Vancomycin (80202) $176 $176 13.0×
Varicella-zoster antibody (86787) $128 $128 9.9×
Vasopressin (84588) $336 $336 9.9×
Viral Culture (87252) $260 $260 10.0×
Virus antibody nos (86790)
range across 2 matching MRF lines
$201–$217 $201–$217 varies
Vit D 1 25-Dihydroxy (82652) $378 $378 9.8×
Vitamin A (84590) $117 $117 10.1×
Vitamin b-12 (82607) $157 $157 10.4×
Vitamin B6 (84207) $280 $280 10.0×
Vitamin c (82180) $171 $171 17.3×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$68–$361 $68–$361 varies
Vitamin E (84446) $144 $144 10.2×
Vitamin K (84597) $135 $135 9.8×
Von willebrand factor ag (85246) $229 $229 10.0×
West nile virus ab igm (86788) $201 $201 11.9×
West Nile Virus Antibody (86789) $201 $201 14.0×
Zinc (84630)
range across 2 matching MRF lines
$117–$128 $117–$128 varies

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.