Lab & pathology prices at Wentworth-Douglass Hospital
Dover, NH · every code in this section with a posted price and a Medicare benchmark.
498 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $36 | $60 | 3.2× |
| Acetylcholine receptor binding antibody (86041) | $119.40 | $199 | 6.5× |
| Acetylcholine receptor blocking antibody (86042) | $39 | $65 | 2.1× |
| Acetylcholn Rcptr Modlg Antb (86043) | $78 | $130 | 6.5× |
| Acth (82024) | $124.80 | $208 | 3.2× |
| Actin smooth muscle antibody each (86015) | $79.20 | $132 | 6.6× |
| Acute hepatitis panel (80074) | $405.60 | $676 | 8.5× |
| Albumin Fluid (82042) | $54.60 | $91 | 7.0× |
| Albumin serum (82040) | $42 | $70 | 8.5× |
| Aldolase (82085) | $31.20 | $52 | 3.2× |
| Aldosterone urine (82088) | $132.60 | $221 | 3.3× |
| Alkaline phosphatase isoenzymes (84080) | $51.60 | $86 | 3.5× |
| Allergen specific ige (86003) | $42.60 | $71 | 8.2× |
| Allg Spec Ige Recomb Ea (86008) | $152.40 | $254 | 8.5× |
| Alpha-1-antitrypsin phenotype (82104) | $47.40 | $79 | 3.3× |
| Alpha-1-antitrypsin total (82103) | $43.20 | $72 | 3.2× |
| Alpha-Fetoprotein Serum (82105) | $55.20 | $92 | 3.3× |
| Alt (sgpt) (84460) | $44.40 | $74 | 8.4× |
| Ammonia (82140) | $124.20 | $207 | 8.5× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $412.20 | $687 | 4.2× |
| Amylase urine (82150) | $55.80 | $93 | 8.6× |
| Ana Titer (86039) | $36 | $60 | 3.2× |
| Anca screen each antibody (86036) | $83.40 | $139 | 6.9× |
| Androstenedione (82157) | $94.20 | $157 | 3.2× |
| Angiotensin converting enzyme csf (82164) | $47.40 | $79 | 3.2× |
| Anti-Phospholipid Antibody (86148) | $132 | $220 | 8.2× |
| Antibody aspergillus (86606) | $48.60 | $81 | 3.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $49.80 | $83 | 3.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $55.20 | $92 | 3.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $42.60 | $71 | 3.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $48.60 | $81 | 3.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $58.80 | $98 | 3.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $155.40 | $259 | 12.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $46.20 | $77 | 3.2× |
| Antibody Herpes Smplx Type 1 (86695) | $42.60 | $71 | 3.2× |
| Antibody Protozoa Nes (86753) | $40.20 | $67 | 3.2× |
| Antibody Titer (86886) | $42 | $70 | 8.1× |
| Antibody Treponema Pallidum (86780) | $112.20 | $187 | 8.5× |
| Antigen typing (86905) | $37.20 | $62 | 9.7× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $19.20 | $32 | 3.4× |
| Antinuclear antibodies (86038) | $39 | $65 | 3.2× |
| Antistreptolysin o titer (86060) | $23.40 | $39 | 3.2× |
| Antithrombin iii activity (85300) | $41.40 | $69 | 3.5× |
| Antithrombin iii antigen (85301) | $39 | $65 | 3.6× |
| Apolipoprotein a1 (82172) | $56.40 | $94 | 2.7× |
| Aquaporin-4 Antb Cba Each (86052) | $83.40 | $139 | 6.9× |
| Arsenic (82175) | $61.20 | $102 | 3.2× |
| Aspergillus ag eia (87305) | $103.80 | $173 | 8.7× |
| Assay activated protein c (85307) | $49.80 | $83 | 3.3× |
| Assay Nephelometry Not Spec (83883) | $43.80 | $73 | 3.2× |
| Assay of 5-hiaa (83497) | $41.40 | $69 | 3.2× |
| Assay of anti-mullerian hormone (82166) | $81 | $135 | 2.1× |
| Assay of blood/uric acid (84550) | $39 | $65 | 8.6× |
| Assay of calcium in urine (82340) | $51 | $85 | 8.5× |
| Assay of cpk in blood (82552) | $113.40 | $189 | 8.5× |
| Assay of estrone (82679) | $81 | $135 | 3.2× |
| Assay of g6pd enzyme (82955) | $31.20 | $52 | 3.2× |
| Assay of gammaglobulin igm (82784) | $79.20 | $132 | 8.5× |
| Assay of lactic acid (83605) | $91.20 | $152 | 7.9× |
| Assay of metanephrines (83835) | $55.20 | $92 | 3.3× |
| Assay of proinsulin (84206) | $69.60 | $116 | 2.6× |
| Assay of serotonin (84260) | $214.20 | $357 | 6.9× |
| Assay of serum potassium (84132) | $39.60 | $66 | 8.3× |
| Assay of urea nitrogen (84520) | $34.20 | $57 | 8.7× |
| Assay of vitamin b-1 (84425) | $69 | $115 | 3.3× |
| Automated Leukocyte Count (85048) | $22.20 | $37 | 8.7× |
| B cells total count (86355) | $157.80 | $263 | 4.2× |
| Babesia microti amp prb (87469) | $235.20 | $392 | 6.7× |
| Bartonella antibody (86611) | $42.60 | $71 | 4.2× |
| Bcr/abl1 gene major bp (81206) | $531 | $885 | 3.2× |
| Bcr/abl1 gene minor bp (81207) | $999.60 | $1,666 | 6.9× |
| Bcr/Abl1 Gene Other Bp (81208) | $568.20 | $947 | 2.6× |
| Beta 2 glycoprotein i antibody each (86146) | $81.60 | $136 | 3.2× |
| Beta hydroxybutyrate (82010) | $69.60 | $116 | 8.5× |
| Beta-2 Microglobulin (82232) | $51.60 | $86 | 3.2× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $663.60 | $1,106 | 5.1× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $663.60 | $1,106 | 5.1× |
| Bile acids total (82239) | $56.40 | $94 | 3.3× |
| Bilirubin direct (82248) | $43.20 | $72 | 8.6× |
| Bilirubin total (82247) | $42.60 | $71 | 8.5× |
| Bld Typing Serologic Rh Phnt (86906) | $265.80 | $443 | 34.3× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $37.20 | $62 | 7.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $28.20 | $47 | 7.4× |
| Blood gas (82803) | $184.80 | $308 | 7.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $144 | $240 | 9.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $31.80 | $53 | 7.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $370.20 | $617 | 58.3× |
| Blood typing serologic abo (86900) | $29.40 | $49 | 9.8× |
| Borrelia Antibody (86619) | $47.40 | $79 | 3.5× |
| C diff amplified probe (87493) | $181.20 | $302 | 4.9× |
| C-Peptide (84681) | $66.60 | $111 | 3.2× |
| C-reactive protein (86140) | $43.80 | $73 | 8.5× |
| Ca 19-9 (86301) | $66.60 | $111 | 3.2× |
| Cadmium (82300) | $74.40 | $124 | 3.1× |
| Calcitonin (82308) | $87 | $145 | 3.2× |
| Calcium ionized (82330) | $116.40 | $194 | 8.5× |
| Calcium total (82310) | $43.80 | $73 | 8.5× |
| Calculus Spectroscopy (82365) | $88.80 | $148 | 6.9× |
| Calprotectin Fecal (83993) | $121.20 | $202 | 6.2× |
| Calr gene com variants (81219) | $394.20 | $657 | 3.2× |
| Cancer Antigen 125 (86304) | $66.60 | $111 | 3.2× |
| Cancer Antigen 27.29 (86300) | $66.60 | $111 | 3.2× |
| Candida Dna Dir Probe (87480) | $84.60 | $141 | 4.2× |
| Carbamazepine total (80156) | $124.20 | $207 | 8.5× |
| Carboxyhemoglobin (82375) | $85.20 | $142 | 6.9× |
| Carcinoembryonic antigen (82378) | $162 | $270 | 8.5× |
| Cardiolipin ab iga (86147) | $216.60 | $361 | 8.5× |
| Carotene (82380) | $63 | $105 | 6.8× |
| Catecholamines fractionated (82384) | $81.60 | $136 | 3.2× |
| Ccp antibody (86200) | $109.80 | $183 | 8.5× |
| Cell count csf (89051) | $46.80 | $78 | 8.4× |
| Ceruloplasmin (82390) | $35.40 | $59 | 3.3× |
| Cftr gene com variants (81220) | $1,461 | $2,435 | 2.6× |
| Chemiluminescent assay (82397) | $45 | $75 | 3.2× |
| Chloride urine (82436) | $42.60 | $71 | 7.4× |
| Cholesterol total (82465) | $37.20 | $62 | 8.6× |
| Chorionic gonadotropin test (84702) | $127.80 | $213 | 8.5× |
| Chromogranin a (86316) | $66.60 | $111 | 3.2× |
| Chromosome Analysis 15-20 (88262) | $517.20 | $862 | 4.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $181.20 | $302 | 5.2× |
| Clostridium Difficile (87324) | $82.80 | $138 | 6.9× |
| Clotting Funct Activity (85397) | $213.60 | $356 | 6.9× |
| Cns DNA amp probe type 12-25 (87483) | $2,875.20 | $4,792 | 6.9× |
| Coccidioides antibody (86635) | $48 | $80 | 4.2× |
| Cold agglutinin screen (86156) | $34.80 | $58 | 4.3× |
| Collagen crosslinks (82523) | $60.60 | $101 | 3.2× |
| Column Chromotography Quant (82542) | $100.80 | $168 | 4.2× |
| Complement Antigen Each Component (86160) | $102.60 | $171 | 8.5× |
| Complement Total (Ch50) (86162) | $66 | $110 | 3.2× |
| Coombs direct (86880) | $52.80 | $88 | 9.8× |
| Copper urine (82525) | $40.80 | $68 | 3.3× |
| Cortisol free (82530) | $54.60 | $91 | 3.3× |
| Cortisol saliva (82533) | $138.60 | $231 | 8.5× |
| Creatine kinase total (82550) | $55.80 | $93 | 8.6× |
| Creatinine blood (82565) | $43.20 | $72 | 8.4× |
| Creatinine Urine (82570) | $43.80 | $73 | 8.5× |
| Crossmatch electronic (86923) | $146.40 | $244 | 0.8× |
| Crossmatch immediate spin (86920) | $226.80 | $378 | 1.2× |
| Crp High Sensitivity (86141) | $109.80 | $183 | 8.5× |
| Cryoglobulin (82595) | $20.40 | $34 | 3.2× |
| Cryptococcal Antigen (87327) | $42 | $70 | 3.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $42 | $70 | 5.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $42 | $70 | 5.2× |
| Culture afb (87116) | $51.60 | $86 | 4.8× |
| Culture Anaerobic (87075) | $48.60 | $81 | 5.1× |
| Culture blood (87040) | $52.80 | $88 | 5.1× |
| Culture csf (87070) | $44.40 | $74 | 5.2× |
| Culture fungus (87102) | $64.20 | $107 | 7.6× |
| Culture screen only (87081) | $34.80 | $58 | 5.2× |
| Culture typing if ea antiserum (87140) | $25.80 | $43 | 4.6× |
| Culture typing other methods (87158) | $33 | $55 | 4.3× |
| Culture urine (87086) | $42 | $70 | 5.2× |
| Cyclosporine (80158) | $58.80 | $98 | 3.3× |
| Cyp2c19 gene analysis common variants (81225) | $771.60 | $1,286 | 2.6× |
| Cystatin C (82610) | $127.20 | $212 | 6.9× |
| Cytomegalovirus igg (86644) | $46.20 | $77 | 3.2× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $141.60 | $236 | 7.0× |
| Cytopath Cell Enhance Tech (88112) | $405.60 | $676 | 7.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $184.80 | $308 | 6.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $270.60 | $451 | 4.9× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,561.80 | $2,603 | 8.6× |
| Deoxyribonuclease antibody (86215) | $42.60 | $71 | 3.2× |
| Detect Agent Nos Dna Amp (87798) | $112.80 | $188 | 3.2× |
| Detect Agent Nos Dna Quant (87799) | $138 | $230 | 3.2× |
| Detect agnt mult DNA ampli (87801) | $484.80 | $808 | 6.9× |
| Dgp Antibody Each Ig Class (86258) | $79.20 | $132 | 6.6× |
| Dhea (82626) | $81.60 | $136 | 3.2× |
| Dhea-S (82627) | $72 | $120 | 3.2× |
| Digoxin (80162) | $112.80 | $188 | 8.5× |
| Dihydrotestosterone (82642) | $201.60 | $336 | 6.9× |
| Dna Antibody Native/Double Stranded (86225) | $117 | $195 | 8.5× |
| Dna/Rna Amplified Probe (87150) | $147 | $245 | 4.2× |
| Dna/Rna Sequencing (87153) | $484.20 | $807 | 4.2× |
| Drug assay acetaminophen (80143) | $127.80 | $213 | 6.9× |
| Drug assay adalimumab (80145) | $265.80 | $443 | 6.9× |
| Drug Assay Everolimus (80169) | $94.20 | $157 | 6.9× |
| Drug Assay Infliximab (80230) | $265.80 | $443 | 6.9× |
| Drug Assay Lacosamide (80235) | $186.60 | $311 | 6.9× |
| Drug Assay Vedolizumab (80280) | $265.80 | $443 | 6.9× |
| Drug Screen Quant Clozapine (80159) | $139.80 | $233 | 6.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $42.60 | $71 | 3.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $42.60 | $71 | 3.2× |
| Drug Test Prsmv Chem Anlyzr (80307) | $495.60 | $826 | 8.0× |
| Ehrlichia antibody (86666) | $33.60 | $56 | 3.3× |
| El-1 Fecal Quantitative (82653) | $103.80 | $173 | 4.5× |
| Electrolyte panel (80051) | $60 | $100 | 8.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $83.40 | $139 | 6.9× |
| Enterovirus PCR (87498) | $172.20 | $287 | 4.9× |
| Enzyme cell activity (82657) | $153 | $255 | 6.9× |
| Erythropoietin (82668) | $60.60 | $101 | 3.2× |
| Estradiol serum (82670) | $91.20 | $152 | 3.3× |
| Estrogens fractionated (82671) | $222.60 | $371 | 6.9× |
| Ethosuximide (80168) | $52.80 | $88 | 3.2× |
| Exam Synovial Fluid Crystals (89060) | $64.80 | $108 | 8.8× |
| F2 Gene (81240) range across 2 matching MRF lines |
$171.60–$212.40 | $286–$354 | varies |
| Factor ii activity (85210) | $77.40 | $129 | 6.0× |
| Factor ix activity (85250) | $66 | $110 | 3.5× |
| Factor v activity (85220) | $58.20 | $97 | 3.3× |
| Factor v leiden mutation (81241) | $198.60 | $331 | 2.7× |
| Factor viii assay (85240) | $58.20 | $97 | 3.3× |
| Factor X (85260) | $58.20 | $97 | 3.3× |
| Factor xi activity (85270) | $86.40 | $144 | 4.8× |
| Fecal Fat Qualitative (82705) | $35.40 | $59 | 6.9× |
| Ferritin (82728) | $115.80 | $193 | 8.5× |
| Fetal Fibronectin (82731) | $585 | $975 | 9.1× |
| Fibrin Degradation Quant (85379) | $87 | $145 | 8.5× |
| Fibrinogen activity (85384) | $77.40 | $129 | 8.0× |
| Flow cytometry first marker (88184) | $197.40 | $329 | 0.5× |
| Fluorescent antibody screen (86255) | $39 | $65 | 3.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $39 | $65 | 3.2× |
| Folic Acid Serum (82746) | $47.40 | $79 | 3.2× |
| Follicle Stimulating Hormone (83001) | $157.80 | $263 | 8.5× |
| Francisella tularensis (86668) | $52.20 | $87 | 3.7× |
| Frozen Section (88331) | $270.60 | $451 | 1.5× |
| Fungi Identification Yeast (87106) | $52.80 | $88 | 5.1× |
| Gammaglobulin ige (82785) | $140.40 | $234 | 8.5× |
| Gardner vag DNA dir probe (87510) | $84.60 | $141 | 4.2× |
| Gastrin (82941) | $57 | $95 | 3.2× |
| Genet Virus Isolate Hsv (87255) | $210.60 | $351 | 6.2× |
| Ggt (82977) | $61.20 | $102 | 8.5× |
| Glucose 2 hr pp (82950) | $33.60 | $56 | 7.1× |
| Glucose Blood Test (82962) | $22.20 | $37 | 6.8× |
| Glucose body fluid (82945) | $34.20 | $57 | 8.7× |
| Glucose Serum (82947) | $34.20 | $57 | 8.7× |
| Glucose tolerance test (gtt) (82951) | $109.20 | $182 | 8.5× |
| Glycated Protein (82985) | $48.60 | $81 | 2.9× |
| Gonadotropin Chorionic Qualitative (84703) | $67.80 | $113 | 9.0× |
| Growth hormone (83003) | $54.60 | $91 | 3.3× |
| Haptoglobin (83010) | $40.80 | $68 | 3.2× |
| Hdl Cholesterol (83718) | $69.60 | $116 | 8.5× |
| Helicobacter Pylori Stool (87338) | $69 | $115 | 4.8× |
| Helminth Antibody (86682) | $42.60 | $71 | 3.3× |
| Hematocrit (85014) | $21 | $35 | 8.9× |
| Hemoglobin (85018) | $21 | $35 | 8.9× |
| Hemoglobin a1c (83036) | $82.80 | $138 | 8.5× |
| Hemoglobin Chromotography (83021) | $74.40 | $124 | 4.1× |
| Hemoglobin electrophoresis (83020) | $57.60 | $96 | 4.5× |
| Hep a ab igm (86709) | $95.40 | $159 | 8.5× |
| Hepatitis a antibody total (86708) | $105.60 | $176 | 8.5× |
| Hepatitis b core ab igm (86705) | $100.80 | $168 | 8.6× |
| Hepatitis b core ab total (86704) | $103.20 | $172 | 8.6× |
| Hepatitis B Surface Antibody (86706) | $91.80 | $153 | 8.5× |
| Hepatitis B Surface Antigen (87340) | $88.20 | $147 | 8.5× |
| Hepatitis Be Antibody (86707) | $38.40 | $64 | 3.3× |
| Hepatitis Be Antigen (87350) | $38.40 | $64 | 3.3× |
| Hepatitis C Antibody (86803) | $121.80 | $203 | 8.5× |
| Hepatitis C Genotype (87902) | $834.60 | $1,391 | 3.2× |
| Hepatitis C Revrs Trnscrpj (87522) | $179.40 | $299 | 4.2× |
| Herpes simplex type 2 (86696) | $61.80 | $103 | 3.2× |
| Heterophile Antibody Screen (86308) | $51 | $85 | 9.8× |
| Hfe Gene (81256) | $212.40 | $354 | 3.2× |
| Hgb Quantitative Transcutaneous (88738) | $23.40 | $39 | 4.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $63 | $105 | 8.2× |
| Histamine urine (83088) | $94.80 | $158 | 3.2× |
| Histoplasma antibody (86698) | $58.20 | $97 | 4.2× |
| Histoplasma antigen urine (87385) | $58.20 | $97 | 4.4× |
| Hiv Genotype (87901) | $834.60 | $1,391 | 3.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $204.60 | $341 | 8.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $276 | $460 | 3.2× |
| Hla class ii typing high resolution one locus ea (81382) | $778.20 | $1,297 | 6.3× |
| Hla-b27 (86812) | $84.60 | $141 | 3.3× |
| Homocysteine (83090) | $55.20 | $92 | 3.1× |
| Hpv High-Risk Types (87624) | $163.80 | $273 | 4.7× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $435.60 | $726 | 6.2× |
| Hsv Dna Amp Probe (87529) | $147.60 | $246 | 4.2× |
| Hydroxyprogesterone 17-d (83498) | $87.60 | $146 | 3.2× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $63 | $105 | 6.1× |
| Iaadi herpes smplx virus type 2 (87273) | $49.80 | $83 | 4.2× |
| Iaadi inffluenza a virus (87276) | $44.40 | $74 | 2.8× |
| Iaadi not otherwise specified each organism (87299) | $44.40 | $74 | 2.8× |
| Iaadi parainfluenza virus each type (87279) | $45 | $75 | 2.7× |
| Iaadi respiratory synctial virus (87280) | $39.60 | $66 | 3.0× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $234.60 | $391 | 6.7× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $112.80 | $188 | 3.2× |
| Iadna Candida Species Amplified Probe Tq (87481) | $136.20 | $227 | 3.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $153 | $255 | 4.4× |
| Iadna Cytomegalovirus Quantification (87497) | $179.40 | $299 | 4.2× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $281.40 | $469 | 4.0× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $234.60 | $391 | 6.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $174 | $290 | 4.1× |
| Iadna Herpes Virus-6 Quantification (87533) | $217.80 | $363 | 5.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $181.20 | $302 | 5.2× |
| Ig Light Chains Free Each (83521) | $120 | $200 | 6.9× |
| Igg subclasses (82787) | $25.80 | $43 | 3.2× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $541.20 | $902 | 1.4× |
| Immunfix e-phorsis/urine/csf (86335) | $121.20 | $202 | 4.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $48 | $80 | 2.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $48 | $80 | 3.2× |
| Immunoassay nonantibody (83516) | $97.80 | $163 | 8.5× |
| Immunodiffusion Ouchterlony (86331) | $82.80 | $138 | 6.9× |
| Immunofixation electrophoresis (86334) | $73.20 | $122 | 3.3× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$188.40–$195 | $314–$325 | varies |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $40.80 | $68 | 2.8× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $41.40 | $69 | 3.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $115.20 | $192 | 3.3× |
| Influenza assay w/optic (87804) | $69.60 | $116 | 4.2× |
| Influenza DNA amp probe (87502) | $351 | $585 | 3.7× |
| Inhibin b (83520) | $120 | $200 | 6.9× |
| Insulin antibodies (86337) | $69 | $115 | 3.2× |
| Insulin total (83525) | $36.60 | $61 | 3.2× |
| Interleukin-6 (83529) | $120 | $200 | 6.9× |
| Intrinsic factor antibody (86340) | $48.60 | $81 | 3.2× |
| Iron (83540) | $55.80 | $93 | 8.6× |
| Iron Binding Capacity (83550) | $74.40 | $124 | 8.5× |
| Irradiation Blood Product Each Unit (86945) | $81 | $135 | 2.0× |
| Islet cell antibody (86341) | $64.20 | $107 | 2.7× |
| Jak2 gene analysis p.val617phe variant (81270) | $297 | $495 | 3.2× |
| Jak2 Gene Trgt Sequence Alys (81279) | $1,165.20 | $1,942 | 6.3× |
| Lactate (ld) (ldh) enzyme (83615) | $51.60 | $86 | 8.5× |
| Lactoferrin fecal qualitative (83630) | $63 | $105 | 3.2× |
| LDL direct (83721) | $81 | $135 | 7.7× |
| Lead (83655) | $40.20 | $67 | 3.3× |
| Legionella antigen urine (87449) | $61.80 | $103 | 5.2× |
| Leukocyte Assessment Fecal (89055) | $39 | $65 | 9.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $125.40 | $209 | 4.1× |
| Level ii surg pathology grossµscopic exam (88302) | $125.40 | $209 | 3.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $477.60 | $796 | 1.2× |
| Lipase (83690) | $58.80 | $98 | 8.5× |
| Lipoprotein A (83695) | $41.40 | $69 | 2.9× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $319.80 | $533 | 6.9× |
| Lithium (80178) | $57 | $95 | 8.6× |
| Luteinizing Hormone (Lh) (83002) | $157.80 | $263 | 8.5× |
| Lyme disease antibody (86618) | $145.20 | $242 | 8.5× |
| Lymphocyte transformation (86353) | $338.40 | $564 | 6.9× |
| M. Genitalium Amp Probe (87563) | $289.20 | $482 | 8.2× |
| M/phmtrc alys ishquant/semiq (88374) | $808.80 | $1,348 | 4.4× |
| Magnesium Urine (83735) | $57.60 | $96 | 8.6× |
| Mass Spectrometry Quant (83789) | $63 | $105 | 2.6× |
| Mercury urine (83825) | $52.80 | $88 | 3.2× |
| Metabolic panel ionized ca (80047) | $94.20 | $157 | 6.9× |
| Methylmalonic acid serum (83921) | $56.40 | $94 | 2.7× |
| Microalbumin, quantitative (82043) | $48.60 | $81 | 8.4× |
| Microsomal Antibodies Each (86376) | $124.20 | $207 | 8.5× |
| Mitochondrial Antibody Each (86381) | $176.40 | $294 | 6.9× |
| Molecular Pathology Procedure Level 3 (81402) | $413.40 | $689 | 2.7× |
| Molecular Pathology Procedure Level 6 (81405) | $1,895.40 | $3,159 | 6.3× |
| Mononuclear cell antigen (86356) | $112.20 | $187 | 4.2× |
| Mopath procedure level 4 (81403) | $1,165.20 | $1,942 | 6.3× |
| Mopath procedure level 5 (81404) | $1,895.40 | $3,159 | 6.9× |
| Mopath procedure level 7 (81406) | $1,186.20 | $1,977 | 4.2× |
| Mpl gene common variants (81338) | $945.60 | $1,576 | 6.3× |
| Mrsa Pcr (87641) | $163.80 | $273 | 4.7× |
| Mumps antibody (86735) | $111 | $185 | 8.5× |
| Muscle-Specific Kinase Antb (86366) | $114 | $190 | 6.2× |
| Mycoplasma antibody (86738) | $42.60 | $71 | 3.2× |
| Myelin basic protein csf (83873) | $56.40 | $94 | 3.3× |
| Myoglobin urine (83874) | $41.40 | $69 | 3.2× |
| Natriuretic peptide (83880) | $288.60 | $481 | 7.4× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $441 | $735 | 3.4× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $897.60 | $1,496 | 6.3× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $1,600.80 | $2,668 | 6.1× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $421.20 | $702 | 3.3× |
| Nk cells total count (86357) | $214.20 | $357 | 5.7× |
| Nuclear antigen antibody (86235) | $152.40 | $254 | 8.5× |
| Oligoclonal bands (83916) | $91.80 | $153 | 3.4× |
| Organic acids urine (83918) | $195.60 | $326 | 8.3× |
| Osmolality serum (83930) | $57 | $95 | 8.6× |
| Osmolality Urine (83935) | $58.20 | $97 | 8.5× |
| Osteocalcin (83937) | $206.40 | $344 | 6.9× |
| Ova and parasites smears (87177) | $46.20 | $77 | 5.2× |
| Parvovirus antibody (86747) | $48.60 | $81 | 3.2× |
| Ph urine (81003) | $19.80 | $33 | 8.8× |
| Phenotype Infect Agent Drug (87900) | $899.40 | $1,499 | 6.9× |
| Phosphatase alkaline (84075) | $43.80 | $73 | 8.5× |
| Phosphorus Serum (84100) | $40.80 | $68 | 8.6× |
| Phosphorus urine (84105) | $43.80 | $73 | 7.6× |
| Pinworm exam (87172) | $21.60 | $36 | 5.1× |
| Platelet Aggregation (85576) | $69.60 | $116 | 2.8× |
| Platelet count automated (85049) | $40.80 | $68 | 9.1× |
| Pneumcysts jirovecii amp prb (87594) | $217.80 | $363 | 6.2× |
| Potassium Urine (84133) | $36.60 | $61 | 7.7× |
| Prealbumin (84134) | $124.20 | $207 | 8.5× |
| Pregnenolone (84140) | $142.80 | $238 | 6.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $260.40 | $434 | 4.1× |
| Procalcitonin (Pct) (84145) | $205.80 | $343 | 7.6× |
| Progesterone (84144) | $178.20 | $297 | 8.5× |
| Prolactin (84146) | $165 | $275 | 8.5× |
| Prostaglandin (84150) | $288 | $480 | 6.9× |
| Protein body fluid (84157) | $31.20 | $52 | 7.8× |
| Protein C Activity (85303) | $44.40 | $74 | 3.2× |
| Protein c antigen (85302) | $39 | $65 | 3.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $35.40 | $59 | 3.3× |
| Protein S Free (85306) | $51.60 | $86 | 3.4× |
| Protein total serum (84155) | $31.20 | $52 | 8.5× |
| Protein Total Urine (84156) | $31.20 | $52 | 8.5× |
| Protein Western Blot Test (84182) | $201 | $335 | 6.9× |
| PSA free (84154) | $59.40 | $99 | 3.2× |
| Pth Intact (83970) | $351 | $585 | 8.5× |
| Quantiferon tb gold plus (86480) | $201 | $335 | 3.2× |
| Quantitative assay drug (80299) range across 8 matching MRF lines |
$61.80–$162.60 | $103–$271 | varies |
| Quantitative Screen Metals (83018) | $71.40 | $119 | 3.3× |
| Rbc antibody elution (86860) | $226.20 | $377 | 1.2× |
| Rbc antibody identification (86870) | $226.20 | $377 | 0.6× |
| Rbc antibody screen (86850) | $78.60 | $131 | 8.0× |
| Renin activity plasma (84244) | $71.40 | $119 | 3.2× |
| Reticulated Platelet Assay (85055) | $262.20 | $437 | 7.3× |
| Reticulocyte Count (85046) | $49.80 | $83 | 8.9× |
| Rh (86901) | $29.40 | $49 | 9.8× |
| Rheumatoid factor quant (86431) | $48 | $80 | 8.5× |
| Rickettsia antibody (86757) | $61.80 | $103 | 3.2× |
| Ristocetin cofactor (85245) | $74.40 | $124 | 3.2× |
| Rpr qualitative (86592) | $41.40 | $69 | 9.7× |
| Rsv Assay W/Optic (87807) | $61.80 | $103 | 4.7× |
| Rubella Antibody (86762) | $123 | $205 | 8.5× |
| Rubeola antibody (86765) | $109.20 | $182 | 8.5× |
| Russell Viper Venom Time Diluted (85613) | $31.20 | $52 | 3.3× |
| Salicylate Level (80179) | $127.80 | $213 | 6.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$90–$160 | $112–$160 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $214.80 | $358 | 1.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $286.80 | $478 | 2.0× |
| Sedimentation rate (85651) | $31.80 | $53 | 7.4× |
| Sedimentation Rate, Automated (85652) | $16.80 | $28 | 6.2× |
| Selenium (84255) | $176.40 | $294 | 6.9× |
| Semen analysis complete (89320) | $108.60 | $181 | 8.8× |
| Semen analysis motility and count (89310) | $78 | $130 | 9.1× |
| Sensitivity mic (87186) | $96.60 | $161 | 11.2× |
| Serpina 1 gene (81332) | $174 | $290 | 4.0× |
| Sex Hormone Binding Globulin (84270) | $71.40 | $119 | 3.3× |
| Sickling of rbc reduction (85660) | $46.80 | $78 | 8.5× |
| Sirolimus (80195) | $51.60 | $86 | 3.8× |
| Skin test tuberculosis intradermal (86580) | $48 | $80 | 1.6× |
| Smear acid fast (87206) | $22.20 | $37 | 4.1× |
| Smear complex stain (87209) | $83.40 | $139 | 4.6× |
| Smear gram stain (87205) | $21.60 | $36 | 5.1× |
| Smear Special Stain (87207) | $55.20 | $92 | 9.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $24 | $40 | 4.1× |
| Sodium Serum (84295) | $40.80 | $68 | 8.5× |
| Sodium Urine (84300) | $41.40 | $69 | 8.2× |
| Somatomedin (84305) | $69 | $115 | 3.2× |
| Special Stains Group 1 (88312) | $186.60 | $311 | 3.4× |
| Special Stains Group 2 (88313) | $156 | $260 | 1.1× |
| Specimen infect agnt concntj (87015) | $33.60 | $56 | 5.0× |
| Staph a DNA amp probe (87640) | $181.20 | $302 | 5.2× |
| Stone Analysis (82355) | $38.40 | $64 | 3.3× |
| Stool cultr aerobic bact ea (87046) | $48.60 | $81 | 5.1× |
| Strep a assay w/optic (87880) | $69.60 | $116 | 4.2× |
| Strep a DNA amp probe (87651) | $164.40 | $274 | 4.7× |
| Strep b DNA amp probe (87653) | $147 | $245 | 4.2× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $61.80 | $103 | 0.7× |
| Surg path level iii (88304) | $270.60 | $451 | 4.9× |
| Surgical pathology level IV (88305) | $270.60 | $451 | 4.9× |
| Surgical pathology level vi (88309) | $667.20 | $1,112 | 0.8× |
| Syphilis Test Non-Trep Quant (86593) | $41.40 | $69 | 9.4× |
| T cells absolute cd4 count (86361) | $87 | $145 | 3.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $152.40 | $254 | 3.2× |
| T cells total count (86359) | $122.40 | $204 | 3.2× |
| T3 Free (84481) | $55.20 | $92 | 3.3× |
| T3 reverse (84482) | $108.60 | $181 | 6.9× |
| T3 Total (84480) | $46.20 | $77 | 3.3× |
| T3 Uptake (84479) | $55.80 | $93 | 8.6× |
| T4 Free (84439) | $76.80 | $128 | 8.5× |
| T4 total (84436) | $58.80 | $98 | 8.6× |
| Tacrolimus (80197) | $43.80 | $73 | 3.2× |
| Tau phosphorylated each (84393) | $434.40 | $724 | 3.4× |
| Testosterone total (84403) | $219.60 | $366 | 8.5× |
| Testosterone, Free (84402) | $81.60 | $136 | 3.2× |
| Thiopurine methyltransferase (84433) | $148.20 | $247 | 6.7× |
| Thyroglobulin Antibody (86800) | $51.60 | $86 | 3.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $164.40 | $274 | 3.2× |
| Thyroxine binding globulin (84442) | $48 | $80 | 3.2× |
| Tissue Culture Lymphocyte (88230) | $825.60 | $1,376 | 7.1× |
| Toxoplasma ab igm (86778) | $46.20 | $77 | 3.2× |
| Toxoplasma antibody (86777) | $46.20 | $77 | 3.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $43.80 | $73 | 8.5× |
| Transferrin (84466) | $41.40 | $69 | 3.2× |
| Trichomonas vagin dir probe (87660) | $84.60 | $141 | 4.2× |
| Trichomonas Vaginalis Amplif (87661) | $163.80 | $273 | 4.7× |
| Triglycerides (84478) | $48.60 | $81 | 8.5× |
| Troponin Quant (84484) | $86.40 | $144 | 6.9× |
| Tumor Immunohistochem/Manual (88360) | $271.20 | $452 | 1.5× |
| Urea nitrogen urine (84540) | $40.80 | $68 | 7.3× |
| Uric acid other source (84560) | $40.80 | $68 | 8.0× |
| Urinalysis Microscopic Only (81015) | $24.60 | $41 | 8.1× |
| Urinalysis Volume Measure (81050) | $25.20 | $42 | 6.9× |
| Urine Pregnancy Test (81025) | $59.40 | $99 | 6.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $28.20 | $47 | 8.9× |
| Valproic acid (80164) | $115.20 | $192 | 8.5× |
| Vancomycin (80202) | $115.20 | $192 | 8.5× |
| Varicella-zoster antibody (86787) | $109.20 | $182 | 8.5× |
| Vasopressin (84588) | $109.20 | $182 | 3.2× |
| Very Long Chain Fatty Acids (82726) | $136.20 | $227 | 6.9× |
| Viral Culture (87252) | $84.60 | $141 | 3.2× |
| Virus antibody nos (86790) | $41.40 | $69 | 3.2× |
| Virus inoculation, shell via (87254) | $85.80 | $143 | 4.4× |
| Vit D 1 25-Dihydroxy (82652) | $124.80 | $208 | 3.2× |
| Vitamin A (84590) | $38.40 | $64 | 3.3× |
| Vitamin b-12 (82607) | $48.60 | $81 | 3.2× |
| Vitamin B2 (Riboflavin) (84252) | $155.40 | $259 | 7.7× |
| Vitamin B6 (84207) | $91.20 | $152 | 3.2× |
| Vitamin c (82180) | $67.80 | $113 | 6.9× |
| Vitamin D 25-Hydroxy (82306) | $253.20 | $422 | 8.6× |
| Vitamin E (84446) | $97.80 | $163 | 6.9× |
| Vitamin K (84597) | $94.20 | $157 | 6.9× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $126.60 | $211 | 10.5× |
| Von willebrand factor ag (85246) | $74.40 | $124 | 3.2× |
| West nile virus ab igm (86788) | $55.20 | $92 | 3.3× |
| West Nile Virus Antibody (86789) | $46.20 | $77 | 3.2× |
| Zinc (84630) | $36.60 | $61 | 3.2× |
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.