Lab & pathology prices at Western Wisconsin Health
Baldwin, WI · every code in this section with a posted price and a Medicare benchmark.
594 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | — | $84 | — |
| Acetylcholine receptor binding antibody (86041) range across 2 matching MRF lines |
— | $35–$176 | — |
| Acetylcholine receptor blocking antibody (86042) | — | $36 | — |
| Acetylcholn Rcptr Modlg Antb (86043) | — | $36 | — |
| Acth (82024) | — | $384 | — |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | — | $323 | — |
| Actin smooth muscle antibody each (86015) | — | $117 | — |
| Acute hepatitis panel (80074) | — | $476 | — |
| Acylcarnitines Quant (82017) | — | $76 | — |
| Albumin Fluid (82042) | — | $36 | — |
| Albumin serum (82040) range across 3 matching MRF lines |
— | $33–$50 | — |
| Aldolase (82085) | — | $93 | — |
| Aldosterone urine (82088) range across 3 matching MRF lines |
— | $173–$210 | — |
| Alkaline phosphatase isoenzymes (84080) | — | $205 | — |
| Allergen specific ige (86003) | — | $43 | — |
| Allg Spec Ige Recomb Ea (86008) range across 8 matching MRF lines |
— | $43–$53 | — |
| Alpha-1-antitrypsin phenotype (82104) | — | $127 | — |
| Alpha-1-antitrypsin total (82103) | — | $94 | — |
| Alpha-Fetoprotein Amniotic Fluid (82106) | — | $88 | — |
| Alpha-Fetoprotein Serum (82105) range across 9 matching MRF lines |
— | $149–$174 | — |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
— | $43–$65 | — |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | — | $78 | — |
| Ammonia (82140) range across 3 matching MRF lines |
— | $153–$163 | — |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
— | $281–$294 | — |
| Amylase urine (82150) range across 4 matching MRF lines |
— | $70–$96 | — |
| Ana Titer (86039) | — | $109 | — |
| Anca screen each antibody (86036) | — | $161 | — |
| Anca Titer Each Antibody (86037) | — | $141 | — |
| Androstenedione (82157) | — | $313 | — |
| Angiotensin converting enzyme csf (82164) | — | $149 | — |
| Antibody aspergillus (86606) | — | $77 | — |
| Antibody Bacterium Not Elsewhere Specified (86609) | — | $45 | — |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 4 matching MRF lines |
— | $102–$128 | — |
| Antibody Cytomegalovirus Cmv Igm (86645) | — | $175 | — |
| Antibody Encephalitis California La Crosse (86651) | — | $83 | — |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | — | $132 | — |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | — | $115 | — |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | — | $116 | — |
| Antibody Fungus Not Elsewhere Specified (86671) | — | $141 | — |
| Antibody helicobacter pylori (86677) | — | $165 | — |
| Antibody Herpes Smplx Type 1 (86695) | — | $102 | — |
| Antibody HIV-1&HIV-2 single result (86703) range across 4 matching MRF lines |
— | $119–$158 | — |
| Antibody HIV-2 (86702) | — | $94 | — |
| Antibody Hla Class I High Definition Panel Qual (86832) | — | $785 | — |
| Antibody Protozoa Nes (86753) | — | $128 | — |
| Antibody Treponema Pallidum (86780) | — | $88 | — |
| Antibody; encephalitis, st. louis (86653) | — | $93 | — |
| Antigen typing (86905) range across 3 matching MRF lines |
— | $99–$206 | — |
| Antinomyces antibody (86602) | — | $71 | — |
| Antinuclear antibodies (86038) | — | $176 | — |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
— | $56–$65 | — |
| Antithrombin iii activity (85300) | — | $150 | — |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
— | $52–$63 | — |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | — | $141 | — |
| Arsenic (82175) | — | $196 | — |
| Aspergillus ag eia (87305) | — | $129 | — |
| Assay activated protein c (85307) | — | $179 | — |
| Assay Blood Carbon Dioxide (82374) range across 4 matching MRF lines |
— | $56–$59 | — |
| Assay myeloperoxidase (83876) | — | $160 | — |
| Assay of 5-hiaa (83497) | — | $56 | — |
| Assay of anti-mullerian hormone (82166) | — | $138 | — |
| Assay of blood/uric acid (84550) | — | $60 | — |
| Assay of calcium in urine (82340) range across 4 matching MRF lines |
— | $74–$81 | — |
| Assay of estrone (82679) | — | $256 | — |
| Assay of g6pd enzyme (82955) | — | $111 | — |
| Assay of gammaglobulin igm (82784) range across 10 matching MRF lines |
— | $44–$105 | — |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
— | $103–$122 | — |
| Assay of manganese (83785) | — | $95 | — |
| Assay of metanephrines (83835) | — | $212 | — |
| Assay of serotonin (84260) | — | $165 | — |
| Assay of serum potassium (84132) | — | $64 | — |
| Assay of Tyrosine (84510) range across 2 matching MRF lines |
— | $79–$119 | — |
| Assay of urea nitrogen (84520) | — | $58 | — |
| Assay of urine vma (84585) | — | $69 | — |
| Assay of vasoactive intestinal peptide (84586) | — | $374 | — |
| Assay of vitamin b-1 (84425) | — | $167 | — |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
— | $45–$48 | — |
| Assay spec xcp ur&breath ia (82077) | — | $61 | — |
| Asy carbamazepin 10,11-epxid (80161) | — | $110 | — |
| Autol Bld/Component Collj Storage Predeposited (86890) | — | $282 | — |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
— | $31–$35 | — |
| B cells total count (86355) | — | $80 | — |
| Babesia microti amp prb (87469) | — | $160 | — |
| Bartonella antibody (86611) | — | $60 | — |
| Bcr/abl1 gene major bp (81206) | — | $720 | — |
| Bcr/abl1 gene minor bp (81207) | — | $435 | — |
| Bcr/Abl1 Gene Other Bp (81208) | — | $357 | — |
| Beta 2 glycoprotein i antibody each (86146) | — | $174 | — |
| Beta hydroxybutyrate (82010) | — | $78 | — |
| Beta Lactamase (87185) | — | $35 | — |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
— | $124–$131 | — |
| Bile acids total (82239) | — | $148 | — |
| Bilirubin direct (82248) range across 2 matching MRF lines |
— | $41–$60 | — |
| Bilirubin total (82247) range across 4 matching MRF lines |
— | $50–$57 | — |
| Bilirubin total transcutaneous (88720) | — | $33 | — |
| Biotinidase (82261) range across 2 matching MRF lines |
— | $51–$63 | — |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) range across 2 matching MRF lines |
— | $209–$363 | — |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
— | $41–$49 | — |
| Blood Count Automated Differential Wbc Count (85004) | — | $42 | — |
| Blood Count Red Blood Cell Automated (85041) | — | $31 | — |
| Blood count reticulocyte automated (85045) | — | $59 | — |
| Blood gas (82803) range across 6 matching MRF lines |
— | $94–$143 | — |
| Blood gases w/02 saturation (82805) range across 2 matching MRF lines |
— | $100–$125 | — |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
— | $33–$35 | — |
| Blood Type Antigen Donor Reagent Serum Each (86902) | — | $118 | — |
| Blood typing serologic abo (86900) | — | $51 | — |
| Brucella antibody (86622) | — | $68 | — |
| C diff amplified probe (87493) | — | $254 | — |
| C-Peptide (84681) range across 2 matching MRF lines |
— | $189–$199 | — |
| C-reactive protein (86140) | — | $96 | — |
| Ca 19-9 (86301) range across 2 matching MRF lines |
— | $212–$224 | — |
| Cadmium (82300) range across 2 matching MRF lines |
— | $111–$225 | — |
| Calcitonin (82308) | — | $203 | — |
| Calcium ionized (82330) range across 3 matching MRF lines |
— | $130–$135 | — |
| Calcium total (82310) range across 2 matching MRF lines |
— | $63–$66 | — |
| Calculus Spectroscopy (82365) | — | $81 | — |
| Calprotectin Fecal (83993) | — | $202 | — |
| Calr gene com variants (81219) | — | $605 | — |
| Cancer Antigen 125 (86304) | — | $258 | — |
| Cancer Antigen 27.29 (86300) | — | $219 | — |
| Candida Dna Dir Probe (87480) | — | $96 | — |
| Carbamazepine free (80157) | — | $100 | — |
| Carbamazepine total (80156) range across 3 matching MRF lines |
— | $119–$169 | — |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
— | $126–$133 | — |
| Carcinoembryonic antigen (82378) range across 3 matching MRF lines |
— | $177–$185 | — |
| Cardiolipin ab iga (86147) | — | $174 | — |
| Carnitine Quantitative Each Specimen (82379) | — | $93 | — |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
— | $80–$261 | — |
| Ccp antibody (86200) | — | $139 | — |
| Cell count csf (89051) range across 3 matching MRF lines |
— | $69–$71 | — |
| Ceruloplasmin (82390) | — | $116 | — |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
— | $1,064–$1,291 | — |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
— | $138–$417 | — |
| Chlamydia antibody (86631) | — | $91 | — |
| Chlmy trch&neisra gonor mult (87494) | — | $211 | — |
| Chloride Serum (82435) range across 2 matching MRF lines |
— | $46–$49 | — |
| Chloride urine (82436) range across 3 matching MRF lines |
— | $44–$46 | — |
| Cholesterol total (82465) range across 3 matching MRF lines |
— | $33–$46 | — |
| Chorionic gonadotropin test (84702) | — | $165 | — |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | — | $80 | — |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | — | $128 | — |
| Chromium serum (82495) | — | $152 | — |
| Chromogenic Substrate Assay (85130) range across 2 matching MRF lines |
— | $183–$192 | — |
| Chromogranin a (86316) range across 2 matching MRF lines |
— | $212–$224 | — |
| Chromosome analys amniotic (88269) | — | $534 | — |
| Chromosome Analysis 15-20 (88262) | — | $613 | — |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | — | $211 | — |
| Citric acid urine (82507) range across 2 matching MRF lines |
— | $144–$175 | — |
| Ckmb (82553) range across 2 matching MRF lines |
— | $109–$117 | — |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
— | $149–$159 | — |
| Clot Factor VIII Multimetric (85247) | — | $279 | — |
| Cns DNA amp probe type 12-25 (87483) | — | $795 | — |
| Coccidioides antibody (86635) | — | $82 | — |
| Cold agglutinin screen (86156) | — | $30 | — |
| Cold agglutinin titer (86157) | — | $58 | — |
| Collagen crosslinks (82523) range across 4 matching MRF lines |
— | $161–$162 | — |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
— | $146–$158 | — |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
— | $180–$218 | — |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
— | $123–$124 | — |
| Complement Total (Ch50) (86162) | — | $187 | — |
| Complement/Function Activity (86161) | — | $96 | — |
| Coombs direct (86880) range across 8 matching MRF lines |
— | $65–$69 | — |
| Copper urine (82525) | — | $136 | — |
| Cortisol free (82530) | — | $57 | — |
| Cortisol saliva (82533) range across 5 matching MRF lines |
— | $135–$216 | — |
| Creatine kinase total (82550) range across 2 matching MRF lines |
— | $55–$79 | — |
| Creatinine blood (82565) | — | $75 | — |
| Creatinine clearance (82575) | — | $118 | — |
| Creatinine Urine (82570) range across 6 matching MRF lines |
— | $73–$76 | — |
| Crossmatch immediate spin (86920) | — | $151 | — |
| Crp High Sensitivity (86141) range across 3 matching MRF lines |
— | $73–$198 | — |
| Cryoglobulin (82595) | — | $76 | — |
| Cryptococcal Antigen (87327) | — | $71 | — |
| Cryptosporidium ag eia (87328) | — | $86 | — |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | — | $69 | — |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | — | $63 | — |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
— | $77–$80 | — |
| Culture aerobic quant other (87071) | — | $54 | — |
| Culture afb (87116) range across 2 matching MRF lines |
— | $76–$115 | — |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
— | $118–$124 | — |
| Culture bacteria anaerobic (87073) | — | $60 | — |
| Culture blood (87040) range across 2 matching MRF lines |
— | $103–$128 | — |
| Culture chlamydia (87110) | — | $80 | — |
| Culture csf (87070) range across 21 matching MRF lines |
— | $74–$108 | — |
| Culture fungus (87102) | — | $76 | — |
| Culture screen only (87081) range across 9 matching MRF lines |
— | $29–$70 | — |
| Culture stool (87045) | — | $91 | — |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | — | $45 | — |
| Culture urine (87086) range across 2 matching MRF lines |
— | $86–$91 | — |
| Cyanide (82600) range across 2 matching MRF lines |
— | $141–$147 | — |
| Cyclosporine (80158) | — | $202 | — |
| Cyp2c19 gene analysis common variants (81225) | — | $831 | — |
| Cystatin C (82610) | — | $83 | — |
| Cytogenetics 100-300 (88275) | — | $242 | — |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | — | $4,226 | — |
| Cytomegalovirus igg (86644) | — | $135 | — |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | — | $116 | — |
| Cytopath Cell Enhance Tech (88112) | — | $360 | — |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | — | $104 | — |
| Cytp Concentration Smears & Interpretation (88108) | — | $194 | — |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | — | $475 | — |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | — | $1,637 | — |
| Deoxyribonuclease antibody (86215) | — | $113 | — |
| Detect Agent Nos Dna Amp (87798) | — | $160 | — |
| Detect Agent Nos Dna Quant (87799) | — | $305 | — |
| Detect agnt mult DNA ampli (87801) range across 4 matching MRF lines |
— | $114–$339 | — |
| Dgp Antibody Each Ig Class (86258) | — | $116 | — |
| Dhea (82626) | — | $274 | — |
| Dhea-S (82627) | — | $227 | — |
| Digoxin (80162) range across 2 matching MRF lines |
— | $139–$146 | — |
| Digoxin free (80163) | — | $60 | — |
| Dihydrotestosterone (82642) | — | $112 | — |
| Dipropylacetic Acid Free (80165) | — | $96 | — |
| Dna Antibody Native/Double Stranded (86225) | — | $144 | — |
| Dna/Rna Amplified Probe (87150) | — | $144 | — |
| Drug assay acetaminophen (80143) | — | $207 | — |
| Drug Assay Amiodarone (80151) | — | $28 | — |
| Drug Assay Everolimus (80169) | — | $228 | — |
| Drug assay felbamate (80167) | — | $97 | — |
| Drug Assay Infliximab (80230) | — | $121 | — |
| Drug Assay Itraconazole (80189) | — | $231 | — |
| Drug Assay Lacosamide (80235) | — | $220 | — |
| Drug assay voriconazole (80285) | — | $157 | — |
| Drug Screen Quant Clozapine (80159) | — | $79 | — |
| Drug Screen Quant Zonisamide (80203) | — | $169 | — |
| Drug Screen Quantitative Gabapentin (80171) | — | $123 | — |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
— | $171–$183 | — |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
— | $71–$115 | — |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
— | $141–$145 | — |
| Drug Test Prsmv Chem Anlyzr (80307) range across 11 matching MRF lines |
— | $194–$267 | — |
| Drug Test Prsmv Instrmnt (80306) | — | $178 | — |
| Ehrlichia antibody (86666) | — | $129 | — |
| El-1 Fecal Quantitative (82653) | — | $144 | — |
| Electrolyte panel (80051) | — | $88 | — |
| Encephaltis East Eqne Anbdy (86652) | — | $117 | — |
| Encephaltis West Eqne Antbdy (86654) | — | $96 | — |
| Endomysial Antibody Each Immunoglobulin Class (86231) | — | $161 | — |
| Enterovirus Antibody (86658) | — | $49 | — |
| Eosinophil Smear (89190) | — | $46 | — |
| Erythropoietin (82668) | — | $230 | — |
| Estradiol serum (82670) range across 4 matching MRF lines |
— | $264–$272 | — |
| Estriol (82677) range across 5 matching MRF lines |
— | $173–$236 | — |
| Ethosuximide (80168) | — | $170 | — |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
— | $60–$70 | — |
| F2 Gene (81240) range across 2 matching MRF lines |
— | $224–$489 | — |
| Factor ix activity (85250) | — | $202 | — |
| Factor v leiden mutation (81241) | — | $408 | — |
| Factor viii assay (85240) range across 2 matching MRF lines |
— | $187–$192 | — |
| Factor xi activity (85270) | — | $192 | — |
| Fat/Lipids Feces Quantitative (82710) | — | $173 | — |
| Fecal Fat Qualitative (82705) | — | $57 | — |
| Ferritin (82728) | — | $163 | — |
| Fetal Fibronectin (82731) | — | $534 | — |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
— | $99–$128 | — |
| Fibrinogen activity (85384) | — | $91 | — |
| Flow cytometry first marker (88184) | — | $503 | — |
| Flt3 Gene (81245) | — | $339 | — |
| Flt3 gene analysis (81246) | — | $424 | — |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
— | $190–$195 | — |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | — | $141 | — |
| Fmr1 gene detection (81243) | — | $450 | — |
| Folic Acid Serum (82746) range across 3 matching MRF lines |
— | $149–$157 | — |
| Follicle Stimulating Hormone (83001) | — | $227 | — |
| Frozen Section (88331) | — | $484 | — |
| Fungi Identification Mold (87107) | — | $74 | — |
| Fungi Identification Yeast (87106) | — | $50 | — |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) range across 2 matching MRF lines |
— | $51–$95 | — |
| Gammaglobulin ige (82785) | — | $152 | — |
| Gardner vag DNA dir probe (87510) | — | $96 | — |
| Gases Blood O2 Saturation Only Direct Meas (82810) | — | $45 | — |
| Gases blood ph only (82800) range across 2 matching MRF lines |
— | $41–$62 | — |
| Gastrin (82941) | — | $183 | — |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | — | $2,700 | — |
| Gentamicin (80170) range across 4 matching MRF lines |
— | $139–$166 | — |
| Ggt (82977) | — | $83 | — |
| Giardia antigen (87329) | — | $95 | — |
| Glucose 2 hr pp (82950) | — | $49 | — |
| Glucose Blood Test (82962) | — | $30 | — |
| Glucose body fluid (82945) | — | $56 | — |
| Glucose Serum (82947) range across 8 matching MRF lines |
— | $52–$55 | — |
| Glucose tolerance test (gtt) (82951) | — | $132 | — |
| Glycated Protein (82985) | — | $76 | — |
| Gonadotropin Chorionic Qualitative (84703) | — | $75 | — |
| Growth hormone (83003) | — | $171 | — |
| Gtt-added samples (82952) | — | $41 | — |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
— | $254–$307 | — |
| H Pylori Drug Admin (83014) range across 2 matching MRF lines |
— | $36–$52 | — |
| Haptoglobin (83010) range across 2 matching MRF lines |
— | $139–$146 | — |
| Hdl Cholesterol (83718) | — | $73 | — |
| Heinz Bodies Direct (85441) range across 2 matching MRF lines |
— | $24–$36 | — |
| Helicobacter Pylori Stool (87338) | — | $147 | — |
| Helminth Antibody (86682) | — | $179 | — |
| Hematocrit (85014) | — | $36 | — |
| Hemoglobin (85018) | — | $40 | — |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
— | $106–$110 | — |
| Hemoglobin Chromotography (83021) | — | $126 | — |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
— | $101–$152 | — |
| Hemoglobin Methemoglobin Quantitative (83050) | — | $45 | — |
| Hemosiderin urine (83070) | — | $65 | — |
| Hep a ab igm (86709) range across 3 matching MRF lines |
— | $117–$123 | — |
| Heparin assay (85520) | — | $105 | — |
| Hepatitis a antibody total (86708) | — | $87 | — |
| Hepatitis b core ab igm (86705) | — | $126 | — |
| Hepatitis b core ab total (86704) | — | $122 | — |
| Hepatitis b surface ag quan (87467) | — | $127 | — |
| Hepatitis B Surface Antibody (86706) | — | $118 | — |
| Hepatitis B Surface Antigen (87340) | — | $126 | — |
| Hepatitis Be Antibody (86707) | — | $107 | — |
| Hepatitis Be Antigen (87350) | — | $119 | — |
| Hepatitis C Antibody (86803) | — | $185 | — |
| Hepatitis C Genotype (87902) | — | $772 | — |
| Hepatitis C Revrs Trnscrpj (87522) | — | $555 | — |
| Herpes simplex type 2 (86696) | — | $110 | — |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
— | $54–$57 | — |
| Hfe Gene (81256) | — | $663 | — |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | — | $129 | — |
| Histamine urine (83088) | — | $303 | — |
| Histoplasma antibody (86698) | — | $93 | — |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
— | $168–$169 | — |
| Hiv Genotype (87901) | — | $753 | — |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | — | $181 | — |
| Hiv-1 Antibody (86701) | — | $94 | — |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | — | $348 | — |
| Hla class ii high defin qual (86833) | — | $626 | — |
| Hla class ii typing high resolution one locus ea (81382) | — | $497 | — |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | — | $599 | — |
| Hla I Typing 1 Allele Hr (81381) | — | $436 | — |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | — | $1,369 | — |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | — | $792 | — |
| Hla ii type 1 ag equiv lr (81377) | — | $368 | — |
| Homocysteine (83090) | — | $196 | — |
| Homogenization Tissue (87176) | — | $50 | — |
| Hpv High-Risk Types (87624) | — | $204 | — |
| Hpv sep hi-rsk typ&pool rslt (87626) | — | $204 | — |
| Hsv Dna Amp Probe (87529) | — | $279 | — |
| Hydroxyprogesterone 17-d (83498) range across 3 matching MRF lines |
— | $162–$280 | — |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | — | $69 | — |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
— | $64–$75 | — |
| Iaad ia shiga-like toxin (87427) | — | $105 | — |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | — | $116 | — |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | — | $146 | — |
| Iadna Candida Species Amplified Probe Tq (87481) | — | $105 | — |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | — | $175 | — |
| Iadna Cytomegalovirus Quantification (87497) | — | $278 | — |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | — | $99 | — |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | — | $116 | — |
| Iadna Hepatitis B Virus Quantification (87517) | — | $369 | — |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | — | $323 | — |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | — | $267 | — |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | — | $138 | — |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | — | $201 | — |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | — | $174 | — |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | — | $789 | — |
| Ig Light Chains Free Each (83521) | — | $150 | — |
| Igg subclasses (82787) | — | $119 | — |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | — | $656 | — |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
— | $223–$235 | — |
| Immunoassay analyte qual/semiqual single step (83518) | — | $20 | — |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | — | $176 | — |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
— | $67–$122 | — |
| Immunoassay nonantibody (83516) range across 10 matching MRF lines |
— | $94–$135 | — |
| Immunodiffusion Ouchterlony (86331) | — | $57 | — |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
— | $210–$211 | — |
| Immunohistochemistry (88342) | — | $386 | — |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
— | $235–$531 | — |
| Influenza a/b ag eia (87400) | — | $69 | — |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
— | $98–$132 | — |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
— | $314–$370 | — |
| Inhibin A (86336) range across 5 matching MRF lines |
— | $121–$158 | — |
| Inhibin b (83520) range across 5 matching MRF lines |
— | $146–$148 | — |
| Insulin antibodies (86337) | — | $186 | — |
| Insulin total (83525) | — | $150 | — |
| Intrinsic factor antibody (86340) | — | $155 | — |
| Iron (83540) | — | $65 | — |
| Iron Binding Capacity (83550) | — | $101 | — |
| Islet cell antibody (86341) | — | $243 | — |
| Jak2 gene analysis p.val617phe variant (81270) | — | $618 | — |
| Jak2 Gene Trgt Sequence Alys (81279) | — | $668 | — |
| Koh Prep (87220) range across 2 matching MRF lines |
— | $56–$58 | — |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
— | $53–$74 | — |
| LDL direct (83721) range across 2 matching MRF lines |
— | $99–$102 | — |
| Lead (83655) range across 6 matching MRF lines |
— | $71–$106 | — |
| Legionella antigen urine (87449) range across 5 matching MRF lines |
— | $112–$136 | — |
| Leptospira antibody (86720) | — | $143 | — |
| Leukocyte Assessment Fecal (89055) | — | $46 | — |
| Level I Surg Pathology Gross Examination Only (88300) | — | $112 | — |
| Level ii surg pathology grossµscopic exam (88302) | — | $300 | — |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | — | $815 | — |
| Lipase (83690) | — | $106 | — |
| Lipoprotein A (83695) | — | $71 | — |
| Lipoprotein Bld Quan Part (83704) | — | $119 | — |
| Lithium (80178) range across 2 matching MRF lines |
— | $73–$76 | — |
| Luteinizing Hormone (Lh) (83002) | — | $202 | — |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
— | $77–$169 | — |
| Lysozyme serum (85549) | — | $96 | — |
| M. Genitalium Amp Probe (87563) | — | $138 | — |
| Macroscopic exam arthropod (87168) | — | $40 | — |
| Macroscopic Exam Parasite (87169) | — | $35 | — |
| Magnesium Urine (83735) range across 4 matching MRF lines |
— | $50–$85 | — |
| Mass Spectrometry Quant (83789) | — | $90 | — |
| Mercury urine (83825) | — | $225 | — |
| Metabolic panel ionized ca (80047) | — | $58 | — |
| Methylmalonic acid serum (83921) | — | $137 | — |
| Microalbumin, quantitative (82043) | — | $81 | — |
| Microsomal Antibodies Each (86376) | — | $184 | — |
| Mitochondrial Antibody Each (86381) | — | $161 | — |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
— | $88–$101 | — |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | — | $200 | — |
| Mpl gene common variants (81338) | — | $983 | — |
| Mrsa Pcr (87641) | — | $166 | — |
| Mthfr Gene Analysis Common Variants (81291) | — | $318 | — |
| Mumps antibody (86735) range across 3 matching MRF lines |
— | $133–$139 | — |
| Mycobacteric Identification (87118) | — | $50 | — |
| Mycophenolic Acid (80180) | — | $197 | — |
| Mycoplasma antibody (86738) | — | $138 | — |
| Myoglobin urine (83874) range across 2 matching MRF lines |
— | $70–$105 | — |
| Natriuretic peptide (83880) range across 4 matching MRF lines |
— | $224–$337 | — |
| Neutralization Test Viral (86382) | — | $143 | — |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | — | $88 | — |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | — | $339 | — |
| Nfct ds chrnc hcv 6 assays (81596) | — | $109 | — |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | — | $781 | — |
| Nk cells total count (86357) | — | $116 | — |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | — | $393 | — |
| Nuclear antigen antibody (86235) | — | $81 | — |
| Occult blood feces (82272) | — | $43 | — |
| Occult Blood Other Sources (82271) | — | $16 | — |
| Oligoclonal bands (83916) | — | $117 | — |
| Osmolality serum (83930) | — | $79 | — |
| Osmolality Urine (83935) range across 3 matching MRF lines |
— | $89–$94 | — |
| Osteocalcin (83937) | — | $159 | — |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
— | $80–$81 | — |
| Oxalate urine (83945) | — | $122 | — |
| Parvovirus antibody (86747) | — | $84 | — |
| Ph urine (81003) range across 16 matching MRF lines |
— | $14–$35 | — |
| Phenobarbital Level (80184) | — | $117 | — |
| Phenotype Infect Agent Drug (87900) | — | $297 | — |
| Phenylalanine (84030) | — | $49 | — |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
— | $133–$140 | — |
| Phenytoin free (80186) | — | $141 | — |
| Phosphatase alkaline (84075) | — | $69 | — |
| Phospholipid Neutralization Hexagonal (85598) | — | $166 | — |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
— | $56–$60 | — |
| Phosphorus urine (84105) range across 2 matching MRF lines |
— | $47–$49 | — |
| Pinworm exam (87172) | — | $44 | — |
| Platelet Aggregation (85576) range across 5 matching MRF lines |
— | $116–$178 | — |
| Platelet Antibodies (86022) | — | $152 | — |
| Platelet count automated (85049) | — | $53 | — |
| Porphobilinogen, urine; quantitative (84110) | — | $80 | — |
| Porphyrins Urine Quantitation & Fractionation (84120) | — | $140 | — |
| Potassium Urine (84133) range across 3 matching MRF lines |
— | $28–$38 | — |
| Prealbumin (84134) range across 2 matching MRF lines |
— | $108–$113 | — |
| Pregnancy-Associated Plasma Protein-A (84163) range across 2 matching MRF lines |
— | $70–$87 | — |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
— | $239–$262 | — |
| Progesterone (84144) | — | $178 | — |
| Prolactin (84146) | — | $283 | — |
| Prostaglandin (84150) | — | $168 | — |
| Protein body fluid (84157) | — | $59 | — |
| Protein C Activity (85303) | — | $207 | — |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
— | $122–$163 | — |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
— | $49–$122 | — |
| Protein S Free (85306) | — | $158 | — |
| Protein total serum (84155) range across 2 matching MRF lines |
— | $48–$50 | — |
| Protein Total Urine (84156) range across 4 matching MRF lines |
— | $46–$48 | — |
| Protein Western Blot Test (84182) | — | $374 | — |
| PSA free (84154) | — | $153 | — |
| Pth Intact (83970) | — | $382 | — |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
— | $193–$241 | — |
| Quantitative assay drug (80299) range across 5 matching MRF lines |
— | $23–$170 | — |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
— | $143–$207 | — |
| Rbc antibody elution (86860) | — | $142 | — |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
— | $146–$223 | — |
| Rbc antibody screen (86850) | — | $118 | — |
| Reagent Strip/Blood Glucose (82948) | — | $50 | — |
| Renin activity plasma (84244) | — | $141 | — |
| Reticulocyte Count (85046) range across 2 matching MRF lines |
— | $55–$58 | — |
| Rh (86901) range across 10 matching MRF lines |
— | $44–$74 | — |
| Rheumatoid Factor Qualitative (86430) | — | $59 | — |
| Rheumatoid factor quant (86431) | — | $66 | — |
| Rickettsia antibody (86757) range across 3 matching MRF lines |
— | $78–$105 | — |
| Ristocetin cofactor (85245) | — | $176 | — |
| Rpr qualitative (86592) range across 2 matching MRF lines |
— | $39–$48 | — |
| Rsv Assay W/Optic (87807) | — | $123 | — |
| Rubella Antibody (86762) | — | $119 | — |
| Rubeola antibody (86765) range across 3 matching MRF lines |
— | $123–$131 | — |
| Rufinamide (80210) | — | $274 | — |
| Russell Viper Venom Time Diluted (85613) range across 6 matching MRF lines |
— | $59–$110 | — |
| Salicylate Level (80179) | — | $88 | — |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | — | $222 | — |
| Sars-cov-2 COVID-19 antibody (86769) | — | $222 | — |
| Sarscov2&inf a&b&rsv amp prb (87637) | — | $234 | — |
| Sedimentation Rate, Automated (85652) | — | $35 | — |
| Selenium (84255) | — | $231 | — |
| Semen Anal Sperm Detection (89321) range across 2 matching MRF lines |
— | $37–$119 | — |
| Sensitivity mic (87186) range across 5 matching MRF lines |
— | $69–$104 | — |
| Sex Hormone Binding Globulin (84270) | — | $185 | — |
| Sickling of rbc reduction (85660) | — | $60 | — |
| Sirolimus (80195) | — | $231 | — |
| Skin test tuberculosis intradermal (86580) | — | $52 | — |
| Smear acid fast (87206) | — | $71 | — |
| Smear complex stain (87209) range across 2 matching MRF lines |
— | $90–$91 | — |
| Smear gram stain (87205) | — | $51 | — |
| Smear Special Stain (87207) | — | $50 | — |
| Smn1 Gene Dos/Deletion Alys (81329) | — | $393 | — |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 4 matching MRF lines |
— | $36–$52 | — |
| Sodium Serum (84295) | — | $54 | — |
| Sodium Urine (84300) range across 5 matching MRF lines |
— | $54–$57 | — |
| Somatomedin (84305) | — | $208 | — |
| Special Stains Group 1 (88312) | — | $319 | — |
| Special Stains Group 2 (88313) | — | $290 | — |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
— | $26–$56 | — |
| Spectrophotometry (84311) | — | $33 | — |
| Staph a DNA amp probe (87640) | — | $135 | — |
| Stool cultr aerobic bact ea (87046) | — | $43 | — |
| Strep a assay w/optic (87880) | — | $80 | — |
| Strep a DNA amp probe (87651) | — | $98 | — |
| Strep b DNA amp probe (87653) | — | $78 | — |
| Sulfate urine (84392) | — | $46 | — |
| Surg path level iii (88304) | — | $360 | — |
| Surgical pathology level IV (88305) | — | $568 | — |
| Surgical pathology level vi (88309) | — | $984 | — |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | — | $37 | — |
| Susceptibility Study Antimicrobial Disk Method (87184) | — | $55 | — |
| Syphilis Test Non-Trep Quant (86593) | — | $42 | — |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 4 matching MRF lines |
— | $145.50–$162 | — |
| T cells total count (86359) | — | $147 | — |
| T3 Free (84481) range across 3 matching MRF lines |
— | $139–$176 | — |
| T3 reverse (84482) | — | $171 | — |
| T3 Total (84480) | — | $92 | — |
| T4 Free (84439) range across 3 matching MRF lines |
— | $126–$133 | — |
| T4 total (84436) range across 3 matching MRF lines |
— | $66–$67 | — |
| Tacrolimus (80197) | — | $203 | — |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
— | $24–$35 | — |
| Testosterone Bioavailable (84410) | — | $379 | — |
| Testosterone total (84403) | — | $244 | — |
| Testosterone, Free (84402) | — | $251 | — |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | — | $2,629 | — |
| Thawing and expansion of frozen cells, each aliquot Facility (88241) | — | $19 | — |
| Theophylline (80198) | — | $118 | — |
| Thiopurine methyltransferase (84433) | — | $160 | — |
| Thrombin Time (85670) range across 2 matching MRF lines |
— | $62–$64 | — |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | — | $39 | — |
| Thyroglobulin (84432) range across 2 matching MRF lines |
— | $197–$209 | — |
| Thyroglobulin Antibody (86800) | — | $170 | — |
| Thyroid Stimulating Immunoglobulin (84445) | — | $422 | — |
| Thyroxine binding globulin (84442) | — | $101 | — |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
— | $102–$136 | — |
| Tissue Culture (88233) | — | $445 | — |
| Tissue Culture Amniotic Fluid (88235) | — | $451 | — |
| Tissue culture bone marrow (88237) | — | $615 | — |
| Tissue Culture Lymphocyte (88230) | — | $599 | — |
| Tobramycin peak (80200) range across 2 matching MRF lines |
— | $166–$174 | — |
| Topiramate (80201) range across 2 matching MRF lines |
— | $146–$150 | — |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
— | $111–$129 | — |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
— | $107–$122 | — |
| Tp53 gene analysis targeted sequence analysis (81352) | — | $1,423 | — |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
— | $66–$68 | — |
| Transferrin (84466) | — | $139 | — |
| Trb@ Rearrangement Anal Amplification Method (81340) | — | $666 | — |
| Trg gene rearrangement anal (81342) | — | $605 | — |
| Trichomonas vagin dir probe (87660) | — | $96 | — |
| Trichomonas Vaginalis Amplif (87661) | — | $157 | — |
| Triglycerides (84478) | — | $58 | — |
| Troponin Quant (84484) range across 2 matching MRF lines |
— | $164–$201 | — |
| Tumor Immunohistochem/Manual (88360) range across 3 matching MRF lines |
— | $366–$553 | — |
| Unlisted Cytogenetic Study (88299) | — | $147 | — |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
— | $33–$34 | — |
| Uric acid other source (84560) range across 4 matching MRF lines |
— | $46–$49 | — |
| Urinalysis Microscopic Only (81015) | — | $31 | — |
| Urine Albumin Semiquantitative (82044) range across 2 matching MRF lines |
— | $45–$47 | — |
| Urine Bacteria Culture (87088) | — | $78 | — |
| Urine Pregnancy Test (81025) | — | $51 | — |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 3 matching MRF lines |
— | $16–$48 | — |
| Urobilinogen urine qual (84578) | — | $13 | — |
| Valproic acid (80164) | — | $160 | — |
| Vancomycin (80202) | — | $146 | — |
| Varicella-zoster antibody (86787) | — | $131 | — |
| Vasopressin (84588) | — | $368 | — |
| Viral Culture (87252) | — | $122 | — |
| Virus antibody nos (86790) range across 3 matching MRF lines |
— | $106–$312 | — |
| Viscosity serum (85810) | — | $90 | — |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
— | $368–$369 | — |
| Vitamin A (84590) | — | $153 | — |
| Vitamin b-12 (82607) range across 3 matching MRF lines |
— | $128–$182 | — |
| Vitamin B2 (Riboflavin) (84252) | — | $35 | — |
| Vitamin B6 (84207) | — | $302 | — |
| Vitamin c (82180) | — | $106 | — |
| Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines |
— | $178–$244 | — |
| Vitamin E (84446) | — | $155 | — |
| Vitamin K (84597) | — | $65 | — |
| Von willebrand factor ag (85246) | — | $233 | — |
| West nile virus ab igm (86788) | — | $92 | — |
| West Nile Virus Antibody (86789) | — | $85 | — |
| Zinc (84630) | — | $123 | — |
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.