Lab & pathology prices at West Holt Memorial Hospital
Atkinson, NE · every code in this section with a posted price and a Medicare benchmark.
448 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) range across 2 matching MRF lines |
$57–$342 | $71–$428 | varies |
| Acute hepatitis panel (80074) | $345 | $431 | 7.2× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$38–$71 | $48–$89 | varies |
| Albumin serum (82040) | $53 | $66 | 10.7× |
| Aldolase (82085) | $48 | $60 | 4.9× |
| Aldosterone urine (82088) | $270 | $338 | 6.6× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$54–$87 | $68–$109 | varies |
| Allergen specific ige (86003) range across 14 matching MRF lines |
$31–$114 | $39–$143 | varies |
| Allergen specific igg (86001) range across 3 matching MRF lines |
$64–$114 | $80–$143 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 3 matching MRF lines |
$34–$36 | $43–$45 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $222 | $278 | 15.4× |
| Alpha-1-antitrypsin total (82103) | $82 | $103 | 6.1× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$109–$118 | $136–$147 | varies |
| Alt (sgpt) (84460) | $64 | $80 | 12.1× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $158 | $197 | 6.9× |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$22–$140 | $28–$175 | varies |
| Ammonia (82140) | $127 | $159 | 8.7× |
| Amylase urine (82150) range across 2 matching MRF lines |
$81–$98 | $101–$123 | varies |
| Ana Titer (86039) | $73 | $91 | 6.5× |
| Anca screen each antibody (86036) | $158 | $198 | 13.1× |
| Androstenedione (82157) | $60 | $75 | 2.0× |
| Angiotensin converting enzyme csf (82164) | $77 | $96 | 5.3× |
| Antibody aspergillus (86606) range across 3 matching MRF lines |
$34–$61 | $42–$76 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $34 | $42 | 2.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
$106–$263 | $132–$329 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $113 | $141 | 6.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $78 | $97 | 5.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $99 | $124 | 5.5× |
| Antibody Herpes Smplx Type 1 (86695) | $107 | $134 | 8.1× |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
$59–$136 | $74–$170 | varies |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$97–$108 | $121–$135 | varies |
| Antigen typing (86905) | $52 | $65 | 13.6× |
| Antinuclear antibodies (86038) | $94 | $118 | 7.8× |
| Antistreptolysin o titer (86060) | $78 | $97 | 10.7× |
| Antithrombin iii activity (85300) | $245 | $306 | 20.7× |
| Antithrombin iii antigen (85301) | $355 | $444 | 32.8× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$90–$97 | $112–$121 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$41–$247 | $51–$309 | varies |
| Aspergillus ag eia (87305) | $155 | $194 | 12.9× |
| Assay activated protein c (85307) | $224 | $280 | 14.6× |
| Assay of 5-hiaa (83497) | $156 | $195 | 12.1× |
| Assay of blood/uric acid (84550) | $66 | $82 | 14.6× |
| Assay of calcium in urine (82340) | $60 | $75 | 10.0× |
| Assay of estrone (82679) | $270 | $337 | 10.8× |
| Assay of g6pd enzyme (82955) | $103 | $129 | 10.6× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$57–$74 | $71–$92 | varies |
| Assay of lactic acid (83605) | $145 | $181 | 12.5× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$154–$386 | $192–$482 | varies |
| Assay of proinsulin (84206) | $377 | $471 | 14.1× |
| Assay of serotonin (84260) | $58 | $73 | 1.9× |
| Assay of serum potassium (84132) | $58 | $73 | 12.2× |
| Assay of Tyrosine (84510) | $102 | $128 | 9.6× |
| Assay of urea nitrogen (84520) | $62 | $77 | 15.7× |
| Assay of vitamin b-1 (84425) | $200 | $250 | 9.4× |
| Assay Ph Body Fluid Nos (83986) | $54 | $67 | 15.1× |
| Assay spec xcp ur&breath ia (82077) range across 2 matching MRF lines |
$167–$182 | $209–$228 | varies |
| Automated Leukocyte Count (85048) | $47 | $59 | 18.5× |
| B cells total count (86355) | $110 | $138 | 2.9× |
| Bartonella antibody (86611) | $49 | $61 | 4.8× |
| Bcr/abl1 gene major bp (81206) | $240 | $300 | 1.5× |
| Bcr/abl1 gene minor bp (81207) | $610 | $763 | 4.2× |
| Bcr/Abl1 Gene Other Bp (81208) | $203 | $254 | 0.9× |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$54–$56 | $68–$70 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$51–$52 | $64–$65 | varies |
| Beta Lactamase (87185) | $42 | $52 | 8.8× |
| Beta-2 Microglobulin (82232) | $143 | $179 | 8.8× |
| Bile acids total (82239) | $93 | $116 | 5.4× |
| Bilirubin direct (82248) | $68 | $85 | 13.5× |
| Bilirubin total (82247) | $66 | $83 | 13.1× |
| Biotinidase (82261) | $7 | $9 | 0.4× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$34–$192 | $43–$240 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$62–$64 | $77–$80 | varies |
| Blood gas (82803) | $238 | $298 | 9.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 3 matching MRF lines |
$40–$46 | $50–$58 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $232 | $290 | 36.5× |
| Blood typing serologic abo (86900) | $67 | $84 | 22.4× |
| Body fluid cell count (89050) | $56 | $70 | 11.9× |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$74–$100 | $92–$125 | varies |
| C diff amplified probe (87493) range across 3 matching MRF lines |
$154–$178 | $193–$222 | varies |
| C-Peptide (84681) | $123 | $154 | 5.9× |
| C-reactive protein (86140) range across 3 matching MRF lines |
$85–$89 | $106–$111 | varies |
| Ca 19-9 (86301) | $220 | $275 | 10.6× |
| Cadmium (82300) range across 2 matching MRF lines |
$41–$118 | $51–$148 | varies |
| Calcium ionized (82330) | $86 | $107 | 6.3× |
| Calcium total (82310) range across 2 matching MRF lines |
$51–$62 | $64–$78 | varies |
| Calculus Spectroscopy (82365) | $133 | $166 | 10.3× |
| Calprotectin Fecal (83993) | $367 | $459 | 18.7× |
| Cancer Antigen 125 (86304) | $187 | $234 | 9.0× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$197–$202 | $246–$253 | varies |
| Candida antibody (86628) | $175 | $219 | 14.6× |
| Candida Dna Dir Probe (87480) | $46 | $58 | 2.3× |
| Carbamazepine total (80156) | $107 | $134 | 7.3× |
| Carboxyhemoglobin (82375) | $104 | $130 | 8.4× |
| Carcinoembryonic antigen (82378) | $130 | $163 | 6.9× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$53–$141 | $66–$176 | varies |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$77–$275 | $96–$344 | varies |
| Ccp antibody (86200) | $117 | $146 | 9.0× |
| Cell count csf (89051) range across 3 matching MRF lines |
$51–$91 | $64–$114 | varies |
| Ceruloplasmin (82390) | $114 | $142 | 10.6× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$66–$277 | $83–$346 | varies |
| Chlmy trch&neisra gonor mult (87494) | $138 | $172 | 2.0× |
| Cholesterol total (82465) | $69 | $86 | 15.9× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$56–$108 | $70–$135 | varies |
| Chromogranin a (86316) | $166 | $207 | 8.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $138 | $172 | 3.9× |
| Clostridium Difficile (87324) | $109 | $136 | 9.1× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$36–$182 | $45–$227 | varies |
| Collagen crosslinks (82523) | $134 | $168 | 7.2× |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$58–$100 | $72–$125 | varies |
| Compatibility test antiglob (86922) range across 3 matching MRF lines |
$165–$180 | $206–$225 | varies |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$87–$95 | $109–$119 | varies |
| Coombs direct (86880) | $58 | $73 | 10.8× |
| Copper urine (82525) | $157 | $196 | 12.7× |
| Cortisol free (82530) range across 2 matching MRF lines |
$152–$298 | $190–$373 | varies |
| Cortisol saliva (82533) range across 6 matching MRF lines |
$83–$112 | $104–$140 | varies |
| Creatine kinase total (82550) | $111 | $139 | 17.1× |
| Creatinine blood (82565) | $66 | $82 | 12.9× |
| Creatinine clearance (82575) | $85 | $106 | 9.0× |
| Creatinine Urine (82570) | $59 | $74 | 11.4× |
| Crp High Sensitivity (86141) | $83 | $104 | 6.4× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$66–$102 | $82–$127 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$99–$100 | $124–$125 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$55–$62 | $69–$77 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$66–$123 | $82–$154 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $81 | $101 | 10.5× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) range across 2 matching MRF lines |
$400–$492 | $500–$615 | varies |
| Culture afb (87116) | $142 | $177 | 13.1× |
| Culture Anaerobic (87075) | $83 | $104 | 8.8× |
| Culture blood (87040) range across 2 matching MRF lines |
$138–$151 | $172–$189 | varies |
| Culture csf (87070) range across 4 matching MRF lines |
$50–$94 | $62–$118 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$82–$133 | $103–$166 | varies |
| Culture fungus blood (87103) | $81 | $101 | 4.0× |
| Culture screen only (87081) range across 4 matching MRF lines |
$52–$65 | $65–$81 | varies |
| Culture stool (87045) | $107 | $134 | 11.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $59 | $74 | 11.4× |
| Culture urine (87086) | $73 | $91 | 9.0× |
| Cystatin C (82610) | $202 | $252 | 10.9× |
| Cytomegalovirus igg (86644) | $113 | $141 | 7.9× |
| Cytopath Cell Enhance Tech (88112) | $94 | $117 | 1.7× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $96 | $120 | 3.6× |
| Cytp Concentration Smears & Interpretation (88108) | $98 | $123 | 2.5× |
| Detect Agent Nos Dna Amp (87798) range across 7 matching MRF lines |
$22–$458 | $28–$572 | varies |
| Detect Agent Nos Dna Quant (87799) | $224 | $280 | 5.2× |
| Detect agnt mult DNA ampli (87801) | $167 | $209 | 2.4× |
| Dgp Antibody Each Ig Class (86258) | $58 | $72 | 4.8× |
| Dhea (82626) | $197 | $246 | 7.8× |
| Dhea-S (82627) | $120 | $150 | 5.4× |
| Digoxin (80162) | $106 | $132 | 8.0× |
| Dna Antibody Native/Double Stranded (86225) | $74 | $93 | 5.4× |
| Dna/Rna Amplified Probe (87150) | $182 | $227 | 5.2× |
| DNA/RNA direct probe (87149) | $92 | $115 | 4.6× |
| Dna/Rna Sequencing (87153) | $134 | $168 | 1.2× |
| Drug assay acetaminophen (80143) | $229 | $286 | 12.3× |
| Drug assay adalimumab (80145) | $266 | $332 | 6.9× |
| Drug Assay Infliximab (80230) | $262 | $328 | 6.8× |
| Drug Assay Itraconazole (80189) | $111 | $139 | 4.1× |
| Drug Assay Lacosamide (80235) | $113 | $141 | 4.2× |
| Drug assay voriconazole (80285) | $86 | $108 | 3.2× |
| Drug Screen Quant Zonisamide (80203) | $166 | $207 | 12.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $142 | $178 | 10.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $82 | $102 | 6.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$75–$102 | $94–$127 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$136–$747 | $170–$934 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 3 matching MRF lines |
$140–$146 | $175–$182 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$174–$178 | $218–$222 | varies |
| El-1 Fecal Quantitative (82653) | $82 | $103 | 3.6× |
| Electrolyte panel (80051) | $122 | $152 | 17.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$58–$118 | $73–$148 | varies |
| Enterovirus Antibody (86658) range across 2 matching MRF lines |
$187–$234 | $234–$292 | varies |
| Erythropoietin (82668) | $170 | $213 | 9.0× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$43–$155 | $54–$194 | varies |
| Estrogen total (82672) | $251 | $314 | 11.6× |
| Exam Synovial Fluid Crystals (89060) | $61 | $76 | 8.3× |
| F2 Gene (81240) | $154 | $193 | 2.3× |
| Factor v activity (85220) | $263 | $329 | 14.9× |
| Factor v leiden mutation (81241) | $258 | $322 | 3.5× |
| Factor viii assay (85240) | $235 | $294 | 13.1× |
| Fat stain feces urine/respir secretions (89125) | $57 | $71 | 9.7× |
| Fat/Lipids Feces Quantitative (82710) | $286 | $358 | 17.0× |
| Fecal Fat Qualitative (82705) | $77 | $96 | 15.1× |
| Ferritin (82728) range across 2 matching MRF lines |
$130–$134 | $162–$168 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $530 | $662 | 3.5× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$115–$157 | $144–$196 | varies |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $108 | $135 | 11.1× |
| Fibrinogen activity (85384) | $102 | $128 | 10.5× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $59 | $74 | 3.8× |
| Flow cytometry first marker (88184) | $135 | $169 | 0.4× |
| Fluorescent antibody screen (86255) range across 8 matching MRF lines |
$32–$392 | $40–$490 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $85 | $106 | 7.1× |
| Fluoride serum (82735) | $154 | $193 | 8.3× |
| Folic acid rbc (82747) | $269 | $336 | 15.2× |
| Folic Acid Serum (82746) | $97 | $121 | 6.6× |
| Follicle Stimulating Hormone (83001) | $108 | $135 | 5.8× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $162 | $202 | 0.9× |
| Frozen Section (88331) | $77 | $96 | 0.4× |
| Fungi Identification Mold (87107) | $96 | $120 | 9.3× |
| Fungi Identification Yeast (87106) | $81 | $101 | 7.8× |
| Galactose (82760) | $7 | $9 | 0.6× |
| Galactose transferase test (82776) | $7 | $9 | 0.6× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$57–$104 | $71–$130 | varies |
| Gardner vag DNA dir probe (87510) | $43 | $54 | 2.1× |
| Gastrin (82941) | $50 | $62 | 2.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 3 matching MRF lines |
$183–$491 | $229–$614 | varies |
| Ggt (82977) | $58 | $73 | 8.1× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$97–$116 | $121–$145 | varies |
| Glucose 2 hr pp (82950) range across 4 matching MRF lines |
$53–$66 | $66–$83 | varies |
| Glucose Blood Test (82962) | $15 | $19 | 4.6× |
| Glucose body fluid (82945) | $58 | $72 | 14.8× |
| Glucose Serum (82947) range across 6 matching MRF lines |
$46–$59 | $58–$74 | varies |
| Glucose tolerance test (gtt) (82951) | $132 | $165 | 10.3× |
| Glycated Protein (82985) | $122 | $152 | 7.3× |
| Gonadotropin Chorionic Qualitative (84703) | $120 | $150 | 16.0× |
| Growth hormone (83003) | $166 | $207 | 10.0× |
| Gtt-added samples (82952) | $55 | $69 | 14.0× |
| H Pylori (C-13) Breath (83013) | $297 | $371 | 4.4× |
| Haptoglobin (83010) | $111 | $139 | 8.8× |
| Helicobacter Pylori Stool (87338) | $166 | $208 | 11.5× |
| Hematocrit (85014) range across 2 matching MRF lines |
$14–$44 | $18–$55 | varies |
| Hemoglobin (85018) | $42 | $52 | 17.7× |
| Hemoglobin a1c (83036) | $94 | $118 | 9.7× |
| Hemoglobin electrophoresis (83020) | $7 | $9 | 0.5× |
| Hemoglobin Methemoglobin Quantitative (83050) | $50 | $62 | 6.1× |
| Hep a ab igm (86709) | $96 | $120 | 8.5× |
| Heparin assay (85520) | $129 | $161 | 9.9× |
| Hepatitis a antibody total (86708) | $95 | $119 | 7.7× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$68–$74 | $85–$93 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$86–$90 | $107–$112 | varies |
| Hepatitis B Surface Antibody (86706) | $94 | $117 | 8.8× |
| Hepatitis B Surface Antigen (87340) | $82 | $102 | 7.9× |
| Hepatitis C Antibody (86803) | $99 | $124 | 6.9× |
| Hepatitis c antibody confirmatory test (86804) | $390 | $487 | 25.2× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$114–$324 | $142–$405 | varies |
| Hepatitis Delta Agent Antibody (86692) | $281 | $351 | 16.4× |
| Herpes simplex type 2 (86696) | $74 | $92 | 3.8× |
| Heterophile Antibody Screen (86308) | $83 | $104 | 16.0× |
| Hfe Gene (81256) | $394 | $493 | 6.0× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$36–$101 | $45–$126 | varies |
| Histoplasma antigen urine (87385) range across 3 matching MRF lines |
$123–$212 | $154–$265 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $64 | $80 | 2.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $104 | $130 | 1.2× |
| Hla class ii typing high resolution one locus ea (81382) | $274 | $343 | 2.2× |
| Hla I Typing 1 Allele Hr (81381) | $263 | $329 | 1.5× |
| Hla-b27 (86812) | $72 | $90 | 2.8× |
| Homocysteine (83090) | $195 | $244 | 10.9× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $91 | $114 | 1.3× |
| Hsv Dna Amp Probe (87529) | $200 | $250 | 5.7× |
| Hydroxycorticosteroids 17 (83491) | $208 | $260 | 11.6× |
| Hydroxyprogesterone 17-d (83498) range across 3 matching MRF lines |
$7–$247 | $9–$309 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$34–$74 | $42–$93 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $252 | $315 | 5.9× |
| Iadna Hepatitis B Virus Quantification (87517) | $118 | $148 | 2.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$34–$74 | $42–$93 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $136 | $170 | 3.9× |
| Ig Light Chains Free Each (83521) | $198 | $248 | 11.5× |
| Igg subclasses (82787) | $138 | $173 | 17.2× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $255 | $319 | 0.7× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$113–$118 | $141–$147 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$75–$241 | $94–$301 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 4 matching MRF lines |
$62–$166 | $77–$208 | varies |
| Immunoassay nonantibody (83516) range across 23 matching MRF lines |
$7–$214 | $9–$268 | varies |
| Immunofixation electrophoresis (86334) | $66 | $82 | 3.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $29 | $36 | 0.2× |
| Immunohistochemistry (88342) | $78 | $98 | 0.4× |
| In situ hybridization 1st probe stain (88365) | $267 | $334 | 1.5× |
| Influenza assay w/optic (87804) | $37 | $46 | 2.2× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$235–$293 | $294–$366 | varies |
| Inhibin A (86336) | $278 | $347 | 17.8× |
| Inhibin b (83520) range across 11 matching MRF lines |
$106–$237 | $133–$296 | varies |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$54–$122 | $67–$152 | varies |
| Insulin total (83525) | $118 | $148 | 10.3× |
| Intrinsic factor antibody (86340) | $138 | $173 | 9.2× |
| Iron (83540) | $46 | $57 | 7.1× |
| Iron Binding Capacity (83550) | $46 | $57 | 5.3× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$54–$432 | $67–$540 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $357 | $446 | 3.9× |
| Ketosteroids 17 total (83586) | $194 | $242 | 15.2× |
| Koh Prep (87220) | $46 | $58 | 10.8× |
| Lactate (ld) (ldh) enzyme (83615) | $56 | $70 | 9.3× |
| LDL direct (83721) | $65 | $81 | 6.2× |
| Lead (83655) range across 4 matching MRF lines |
$41–$66 | $51–$82 | varies |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$170–$204 | $213–$255 | varies |
| Leukocyte Assessment Fecal (89055) | $74 | $93 | 17.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $54 | $67 | 1.8× |
| Level ii surg pathology grossµscopic exam (88302) | $99 | $124 | 2.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $307 | $384 | 0.8× |
| Lipase (83690) | $115 | $144 | 16.7× |
| Lipoprotein A (83695) | $179 | $224 | 12.5× |
| Lithium (80178) | $70 | $88 | 10.6× |
| Luteinizing Hormone (Lh) (83002) | $101 | $126 | 5.5× |
| Lyme disease antibody (86618) | $128 | $160 | 7.5× |
| Lysozyme serum (85549) | $76 | $95 | 4.1× |
| Macroscopic exam arthropod (87168) | $78 | $97 | 18.3× |
| Macroscopic Exam Parasite (87169) | $62 | $77 | 14.4× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$82–$89 | $102–$111 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$7–$78 | $9–$98 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$41–$208 | $51–$260 | varies |
| Methylmalonic acid serum (83921) | $301 | $376 | 14.2× |
| Microalbumin, quantitative (82043) | $66 | $82 | 11.4× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$100–$160 | $125–$200 | varies |
| Mopath procedure level 2 (81401) | $7 | $9 | 0.1× |
| Mrsa Pcr (87641) | $106 | $132 | 3.0× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$91–$99 | $114–$124 | varies |
| Muscle-Specific Kinase Antb (86366) | $646 | $808 | 35.1× |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$120–$400 | $150–$500 | varies |
| Mycophenolic Acid (80180) | $91 | $114 | 5.0× |
| Mycoplasma antibody (86738) | $85 | $106 | 6.4× |
| Myoglobin urine (83874) | $128 | $160 | 9.9× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$203–$282 | $254–$352 | varies |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$142–$266 | $178–$333 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $333 | $416 | 2.6× |
| Nfct ds bv&vaginitis DNA alg (81515) | $139 | $174 | 0.5× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $878 | $1,098 | 6.8× |
| Nk cells total count (86357) | $110 | $138 | 2.9× |
| Nuclear antigen antibody (86235) range across 17 matching MRF lines |
$54–$110 | $67–$138 | varies |
| Occult blood feces (82272) | $46 | $58 | 10.9× |
| Osmolality serum (83930) | $77 | $96 | 11.6× |
| Osmolality Urine (83935) | $75 | $94 | 11.0× |
| Ova and parasites smears (87177) | $80 | $100 | 9.0× |
| Particle Agglutination Screen Each Antibody (86403) | $99 | $124 | 8.6× |
| Parvovirus antibody (86747) | $133 | $166 | 8.8× |
| Ph urine (81003) range across 2 matching MRF lines |
$42–$65 | $53–$81 | varies |
| Phenobarbital Level (80184) | $114 | $142 | 7.5× |
| Phenylalanine (84030) | $102 | $128 | 18.5× |
| Phenytoin (Dilantin) (80185) | $109 | $136 | 8.2× |
| Phenytoin free (80186) | $119 | $149 | 8.6× |
| Phosphatase alkaline (84075) | $57 | $71 | 11.0× |
| Phospholipid Neutralization Hexagonal (85598) | $96 | $120 | 5.3× |
| Phosphorus Serum (84100) | $65 | $81 | 13.7× |
| Pinworm exam (87172) | $28 | $35 | 6.6× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$246–$346 | $307–$433 | varies |
| Platelet count automated (85049) | $64 | $80 | 14.3× |
| Porphobilinogen, urine; quantitative (84110) | $22 | $28 | 2.6× |
| Porphyrins Feces Quantitative (84126) | $206 | $258 | 5.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 3 matching MRF lines |
$22–$190 | $28–$237 | varies |
| Potassium Urine (84133) | $43 | $54 | 9.1× |
| Prealbumin (84134) | $101 | $126 | 6.9× |
| Pregnenolone (84140) | $135 | $169 | 6.5× |
| Procalcitonin (Pct) (84145) | $361 | $451 | 13.3× |
| Progesterone (84144) | $103 | $129 | 4.9× |
| Prolactin (84146) range across 2 matching MRF lines |
$119–$200 | $149–$250 | varies |
| Protein body fluid (84157) | $43 | $54 | 10.8× |
| Protein C Activity (85303) | $277 | $346 | 20.0× |
| Protein c antigen (85302) | $306 | $383 | 25.5× |
| Protein Electrophoresis Urine (84166) | $62 | $78 | 3.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $101 | $126 | 9.4× |
| Protein S Free (85306) | $290 | $363 | 18.9× |
| Protein s total (85305) | $306 | $383 | 26.4× |
| Protein total serum (84155) | $62 | $78 | 16.9× |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$48–$54 | $60–$67 | varies |
| Protoporphyrin rbc quantitative (84202) | $54 | $68 | 3.8× |
| PSA free (84154) | $119 | $149 | 6.5× |
| Pth Intact (83970) range across 2 matching MRF lines |
$88–$194 | $110–$243 | varies |
| Q Fever Antibody (86638) | $92 | $115 | 7.6× |
| Quantiferon tb gold plus (86480) | $224 | $280 | 3.6× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$117–$177 | $146–$221 | varies |
| Rbc antibody identification (86870) | $149 | $186 | 0.4× |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$26–$108 | $33–$135 | varies |
| Renin activity plasma (84244) | $136 | $170 | 6.2× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$34–$55 | $42–$69 | varies |
| Reticulocyte Count Manual (85044) | $63 | $79 | 14.6× |
| Rh (86901) | $67 | $84 | 22.4× |
| Rheumatoid Factor Qualitative (86430) | $64 | $80 | 10.4× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$56–$64 | $70–$80 | varies |
| Rickettsia antibody (86757) | $130 | $163 | 6.7× |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$112–$186 | $140–$232 | varies |
| Rpr qualitative (86592) | $46 | $57 | 10.8× |
| Rsv Assay W/Optic (87807) | $37 | $46 | 2.8× |
| Rubella Antibody (86762) | $62 | $78 | 4.3× |
| Rubeola antibody (86765) | $59 | $74 | 4.6× |
| Russell Viper Venom Time Diluted (85613) | $117 | $146 | 12.2× |
| Rx metab gen seq alys pnl 6 (81418) | $224 | $280 | 0.2× |
| Salicylate Level (80179) | $229 | $286 | 12.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 5 matching MRF lines |
$130–$208 | $163–$260 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$57–$74 | $71–$93 | varies |
| Sars-Cov-2 Covid19 W/Optic (87811) | $37 | $46 | 0.9× |
| Sc std carbapenem resist gen (87183) | $120 | $150 | 3.4× |
| Sedimentation Rate, Automated (85652) | $63 | $79 | 23.3× |
| Selenium (84255) | $119 | $149 | 4.7× |
| Semen Anal Sperm Detection (89321) | $91 | $114 | 7.6× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$87–$229 | $109–$286 | varies |
| Sex Hormone Binding Globulin (84270) | $178 | $222 | 8.2× |
| Sickling of rbc reduction (85660) | $50 | $62 | 9.1× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$37–$116 | $46–$145 | varies |
| Smear acid fast (87206) range across 3 matching MRF lines |
$57–$76 | $71–$95 | varies |
| Smear gram stain (87205) | $50 | $63 | 11.7× |
| Smear Special Stain (87207) | $75 | $94 | 12.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $62 | $77 | 10.7× |
| Sodium Serum (84295) | $57 | $71 | 11.9× |
| Sodium Urine (84300) | $49 | $61 | 9.7× |
| Somatomedin (84305) range across 2 matching MRF lines |
$56–$87 | $70–$109 | varies |
| Special Stains Group 1 (88312) | $53 | $66 | 1.0× |
| Special Stains Group 2 (88313) | $107 | $134 | 0.8× |
| Specimen infect agnt concntj (87015) | $36 | $45 | 5.4× |
| Spectrophotometry (84311) | $40 | $50 | 4.9× |
| Strep a assay w/optic (87880) | $37 | $46 | 2.2× |
| Strep a DNA amp probe (87651) | $100 | $125 | 2.8× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $91 | $114 | 1.0× |
| Surg path level iii (88304) | $123 | $154 | 2.3× |
| Surgical pathology level IV (88305) | $146 | $182 | 2.7× |
| Surgical pathology level vi (88309) | $425 | $531 | 0.5× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $50 | $63 | 10.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $81 | $101 | 10.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$40–$110 | $50–$138 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$110–$138 | $138–$173 | varies |
| T3 Free (84481) | $156 | $195 | 9.2× |
| T3 reverse (84482) | $148 | $185 | 9.4× |
| T3 Total (84480) | $116 | $145 | 8.2× |
| T4 Free (84439) range across 2 matching MRF lines |
$90–$104 | $113–$130 | varies |
| T4 total (84436) | $57 | $71 | 8.3× |
| T4-neonatal (84437) | $7 | $9 | 1.1× |
| Tacrolimus (80197) | $111 | $139 | 8.1× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$82–$126 | $102–$158 | varies |
| Testosterone total (84403) range across 5 matching MRF lines |
$78–$82 | $98–$102 | varies |
| Testosterone, Free (84402) | $82 | $102 | 3.2× |
| Thyroglobulin (84432) | $114 | $142 | 7.1× |
| Thyroglobulin Antibody (86800) | $102 | $127 | 6.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $382 | $478 | 7.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $102 | $127 | 8.8× |
| Tobramycin peak (80200) | $113 | $141 | 7.0× |
| Topiramate (80201) | $63 | $79 | 5.3× |
| Toxoplasma ab igm (86778) | $54 | $68 | 3.7× |
| Toxoplasma antibody (86777) | $54 | $68 | 3.8× |
| Transferase Aspartate Amino Ast Sgot (84450) | $70 | $87 | 13.5× |
| Transferrin (84466) | $106 | $132 | 8.3× |
| Trichomonas vagin dir probe (87660) | $46 | $58 | 2.3× |
| Triglycerides (84478) range across 2 matching MRF lines |
$40–$70 | $50–$88 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$194–$242 | $242–$303 | varies |
| Tumor Immunohistochem/Manual (88360) | $139 | $174 | 0.8× |
| Urine Albumin Semiquantitative (82044) | $47 | $59 | 7.5× |
| Urine Bacteria Culture (87088) | $50 | $62 | 6.2× |
| Urine Pregnancy Test (81025) range across 4 matching MRF lines |
$79–$86 | $99–$108 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $34 | $42 | 10.7× |
| Valproic acid (80164) | $122 | $153 | 9.0× |
| Vancomycin (80202) range across 4 matching MRF lines |
$132–$138 | $165–$172 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$101–$149 | $126–$186 | varies |
| Viral Culture (87252) | $145 | $181 | 5.6× |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$88–$160 | $110–$200 | varies |
| Vit D 1 25-Dihydroxy (82652) | $251 | $314 | 6.5× |
| Vitamin A (84590) | $155 | $194 | 13.4× |
| Vitamin b-12 (82607) range across 3 matching MRF lines |
$41–$134 | $51–$168 | varies |
| Vitamin B6 (84207) | $183 | $229 | 6.5× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$125–$190 | $156–$238 | varies |
| Vitamin E (84446) | $171 | $214 | 12.1× |
| Vitamin K (84597) | $458 | $572 | 33.4× |
| Von willebrand factor ag (85246) | $62 | $78 | 2.7× |
| West nile virus ab igm (86788) | $102 | $128 | 6.1× |
| West Nile Virus Antibody (86789) | $102 | $128 | 7.1× |
| Zinc (84630) | $118 | $148 | 10.4× |
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.