Lab & pathology prices at White Rock Medical Center
Dallas, TX · every code in this section with a posted price and a Medicare benchmark.
499 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $223.04 | $328 | 5.8× |
| Actin smooth muscle antibody each (86015) | $132.60 | $195 | 11.0× |
| Acute hepatitis panel (80074) | $597.04 | $878 | 12.5× |
| Albumin Fluid (82042) | $95.20 | $140 | 12.2× |
| Albumin serum (82040) | $122.40 | $180 | 24.7× |
| Aldolase (82085) | $138.72 | $204 | 14.3× |
| Aldosterone urine (82088) | $375.36 | $552 | 9.2× |
| Alkaline phosphatase isoenzymes (84080) | $65.18 | $95.85 | 4.4× |
| Allergen specific ige (86003) | $50.32 | $74 | 9.6× |
| Alpha-1-antitrypsin total (82103) | $91.12 | $134 | 6.8× |
| Alpha-Fetoprotein Serum (82105) | $165.24 | $243 | 9.9× |
| Alt (sgpt) (84460) | $153 | $225 | 28.9× |
| Amikacin trough (80150) | $134.64 | $198 | 8.9× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $166.60 | $245 | 7.2× |
| Ammonia (82140) | $214.88 | $316 | 14.7× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $367.20 | $540 | 3.7× |
| Amylase urine (82150) | $207.40 | $305 | 32.0× |
| Ana Titer (86039) | $30.36 | $44.64 | 2.7× |
| Angiotensin converting enzyme csf (82164) | $167.28 | $246 | 11.5× |
| Antibody aspergillus (86606) | $138.04 | $203 | 9.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $124.62 | $183.26 | 8.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $281.52 | $414 | 16.7× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $85.68 | $126 | 6.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $73.45 | $108.02 | 4.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $111.52 | $164 | 6.1× |
| Antibody Fungus Not Elsewhere Specified (86671) | $97.14 | $142.85 | 7.9× |
| Antibody helicobacter pylori (86677) | $146.88 | $216 | 8.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $90.64 | $133.29 | 6.3× |
| Antibody Herpes Smplx Type 1 (86695) | $66.64 | $98 | 5.1× |
| Antibody HIV-1&HIV-2 single result (86703) | $159.12 | $234 | 11.6× |
| Antibody Protozoa Nes (86753) | $96.56 | $142 | 7.8× |
| Antibody Titer (86886) | $201.96 | $297 | 39.0× |
| Antibody Treponema Pallidum (86780) | $165.24 | $243 | 12.5× |
| Antibody; influenza virus (86710) | $119.68 | $176 | 8.8× |
| Antigen typing (86905) | $84.32 | $124 | 22.0× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $87.72 | $129 | 15.3× |
| Antinomyces antibody (86602) | $50.32 | $74 | 4.9× |
| Antinuclear antibodies (86038) | $229.84 | $338 | 19.0× |
| Antistreptolysin o titer (86060) | $136 | $200 | 18.6× |
| Antithrombin iii activity (85300) | $209.44 | $308 | 17.7× |
| Apolipoprotein a1 (82172) | $72.08 | $106 | 3.4× |
| Assay Blood Carbon Dioxide (82374) | $59.16 | $87 | 12.1× |
| Assay Nephelometry Not Spec (83883) | $125.80 | $185 | 9.3× |
| Assay of 5-hiaa (83497) | $54.40 | $80 | 4.2× |
| Assay of blood/uric acid (84550) | $139.40 | $205 | 30.8× |
| Assay of calcium in urine (82340) | $144.84 | $213 | 24.0× |
| Assay of g6pd enzyme (82955) | $78.78 | $115.86 | 8.1× |
| Assay of gammaglobulin igm (82784) | $135.32 | $199 | 14.6× |
| Assay of lactic acid (83605) | $183.60 | $270 | 15.9× |
| Assay of metanephrines (83835) | $193.80 | $285 | 11.4× |
| Assay of proinsulin (84206) | $177.46 | $260.97 | 6.6× |
| Assay of serotonin (84260) | $229.47 | $337.46 | 7.4× |
| Assay of serum potassium (84132) | $127.16 | $187 | 26.7× |
| Assay of urea nitrogen (84520) | $111.52 | $164 | 28.2× |
| Assay of urine vma (84585) | $53.04 | $78 | 3.4× |
| Assay of vitamin b-1 (84425) | $129.20 | $190 | 6.1× |
| Assay Ph Body Fluid Nos (83986) | $57.80 | $85 | 16.1× |
| Assay spec xcp ur&breath ia (82077) | $102 | $150 | 5.9× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $378.76 | $557 | 2.2× |
| Beta 2 glycoprotein i antibody each (86146) | $44.20 | $65 | 1.7× |
| Beta hydroxybutyrate (82010) | $118.32 | $174 | 14.5× |
| Beta Lactamase (87185) | $77.52 | $114 | 16.3× |
| Beta-2 Microglobulin (82232) | $85.68 | $126 | 5.3× |
| Bile acids total (82239) | $109.48 | $161 | 6.4× |
| Bilirubin direct (82248) | $121.04 | $178 | 24.1× |
| Bilirubin total (82247) | $129.20 | $190 | 25.7× |
| Bilirubin total transcutaneous (88720) | $37.21 | $54.72 | 7.4× |
| Bl Smear W/O Diff Wbc Count (85008) | $49.64 | $73 | 14.5× |
| Blastomyces antibody (86612) | $100.64 | $148 | 7.8× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $262.48 | $386 | 1.5× |
| Bld Typing Serologic Rh Phnt (86906) | $91.80 | $135 | 11.8× |
| Blood Count Red Blood Cell Automated (85041) | $16.95 | $24.93 | 5.6× |
| Blood count reticulocyte automated (85045) | $116.28 | $171 | 29.1× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $55.08 | $81 | 14.5× |
| Blood gas (82803) | $252.28 | $371 | 9.7× |
| Blood gases w/02 saturation (82805) | $641.24 | $943 | 8.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $118.05 | $173.60 | 7.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $103.36 | $152 | 23.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $147.56 | $217 | 23.2× |
| Blood typing serologic abo (86900) | $103.36 | $152 | 34.6× |
| Body fluid cell count (89050) | $77.52 | $114 | 16.4× |
| Bone marrow smear interpretation (85097) | $213.52 | $314 | 0.3× |
| Braf gene analysis (81210) | $323 | $475 | 1.8× |
| Breath Alcohol Test (82075) | $81.60 | $120 | 2.7× |
| Brucella antibody (86622) | $65.28 | $96 | 7.3× |
| C diff amplified probe (87493) | $258.40 | $380 | 6.9× |
| C-Peptide (84681) | $125.80 | $185 | 6.0× |
| C-reactive protein (86140) | $191.76 | $282 | 37.0× |
| Ca 19-9 (86301) | $204 | $300 | 9.8× |
| Calcitonin (82308) | $284.92 | $419 | 10.6× |
| Calcium ionized (82330) | $244.80 | $360 | 17.9× |
| Calcium total (82310) | $159.12 | $234 | 30.8× |
| Calculus assay quant (82360) | $65.28 | $96 | 5.1× |
| Calculus Spectroscopy (82365) | $107.30 | $157.80 | 8.3× |
| Calprotectin Fecal (83993) | $229.84 | $338 | 11.7× |
| Cancer Antigen 125 (86304) | $305.32 | $449 | 14.7× |
| Cancer Antigen 27.29 (86300) | $100.64 | $148 | 4.8× |
| Carbamazepine total (80156) | $80.31 | $118.11 | 5.5× |
| Carboxyhemoglobin (82375) | $130.56 | $192 | 10.6× |
| Carcinoembryonic antigen (82378) | $275.40 | $405 | 14.5× |
| Cardiolipin ab iga (86147) | $74.80 | $110 | 2.9× |
| Catecholamines fractionated (82384) | $131.24 | $193 | 5.2× |
| Ccp antibody (86200) | $93.32 | $137.24 | 7.2× |
| Cell count csf (89051) | $164.56 | $242 | 29.4× |
| Ceruloplasmin (82390) | $105.40 | $155 | 9.8× |
| Cftr gene com variants (81220) | $106.76 | $157 | 0.2× |
| Chemiluminescent assay (82397) | $123.76 | $182 | 8.8× |
| Chlamydia antibody (86631) | $84.32 | $124 | 7.1× |
| Chlamydia Igm Antibody (86632) | $80.92 | $119 | 6.4× |
| Chloride other source (82438) | $4.76 | $7 | 1.0× |
| Chloride Serum (82435) | $75.48 | $111 | 16.4× |
| Chloride urine (82436) | $97.92 | $144 | 17.0× |
| Cholesterol total (82465) | $104.72 | $154 | 24.1× |
| Chorionic gonadotropin test (84702) | $293.08 | $431 | 19.5× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $242.68 | $356.88 | 7.3× |
| Chromosome Analysis 20-25 (88264) | $730.66 | $1,074.50 | 5.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $202.64 | $298 | 5.8× |
| Citric acid urine (82507) | $74.12 | $109 | 2.7× |
| Ckmb (82553) | $267.92 | $394 | 23.2× |
| Clostridium Difficile (87324) | $325.72 | $479 | 27.2× |
| Clotting factor xii hageman (85280) | $208.08 | $306 | 10.8× |
| Clotting Funct Activity (85397) | $101.32 | $149 | 3.3× |
| Coagulation time activated (85347) | $95.88 | $141 | 22.4× |
| Coccidioides antibody (86635) | $63.48 | $93.36 | 5.5× |
| Cold agglutinin screen (86156) | $119.68 | $176 | 14.8× |
| Cold agglutinin titer (86157) | $61.88 | $91 | 7.7× |
| Collagen crosslinks (82523) | $153.68 | $226 | 8.2× |
| Column Chromotography Quant (82542) | $213.52 | $314 | 8.9× |
| Compatibility test antiglob (86922) | $201.96 | $297 | 1.2× |
| Complement Antigen Each Component (86160) | $228.48 | $336 | 19.0× |
| Complement Total (Ch50) (86162) | $146.20 | $215 | 7.2× |
| Complement/Function Activity (86161) | $136.68 | $201 | 11.4× |
| Coombs direct (86880) | $96.56 | $142 | 17.9× |
| Copper urine (82525) | $100.64 | $148 | 8.1× |
| Cortisol free (82530) | $101.06 | $148.62 | 6.0× |
| Cortisol saliva (82533) | $201.28 | $296 | 12.3× |
| Creatine kinase total (82550) | $188.36 | $277 | 28.9× |
| Creatinine blood (82565) | $114.92 | $169 | 22.4× |
| Creatinine clearance (82575) | $228.48 | $336 | 24.2× |
| Creatinine Urine (82570) | $65.28 | $96 | 12.6× |
| Crossmatch electronic (86923) | $134.64 | $198 | 0.8× |
| Crossmatch immediate spin (86920) | $134.64 | $198 | 0.8× |
| Crp High Sensitivity (86141) | $104.72 | $154 | 8.1× |
| Cryoglobulin (82595) | $71.13 | $104.61 | 11.0× |
| Cryptococcus ag titer (87899) | $79.56 | $117 | 5.0× |
| Cryptosporidium ag eia (87328) | $93.23 | $137.11 | 6.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$22.95–$161.84 | $33.75–$238 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $123.76 | $182 | 15.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $104.72 | $154 | 13.6× |
| Culture afb (87116) | $72.13 | $106.07 | 6.7× |
| Culture Anaerobic (87075) | $335.24 | $493 | 35.4× |
| Culture blood (87040) | $265.88 | $391 | 25.8× |
| Culture csf (87070) range across 11 matching MRF lines |
$162.78–$210.12 | $239.38–$309 | varies |
| Culture screen only (87081) | $155.72 | $229 | 23.5× |
| Culture stool (87045) | $255 | $375 | 27.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $97.92 | $144 | 18.9× |
| Culture urine (87086) | $203.32 | $299 | 25.2× |
| Cyclosporine (80158) | $244.12 | $359 | 13.5× |
| Cystatin C (82610) | $104.79 | $154.11 | 5.7× |
| Cytomegalovirus igg (86644) | $281.52 | $414 | 19.6× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $106.08 | $156 | 5.2× |
| Cytopath unlstd proc (88199) | $439.96 | $647 | 8.4× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $114.92 | $169 | 4.3× |
| Cytp Concentration Smears & Interpretation (88108) | $229.16 | $337 | 6.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $348.84 | $513 | 6.7× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $373.32 | $549 | 2.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $137.36 | $202 | 3.7× |
| Deoxycortisol (82634) | $83.43 | $122.69 | 2.8× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$240.40–$363.80 | $353.53–$535 | varies |
| Detect Agent Nos Dna Quant (87799) | $439.96 | $647 | 10.3× |
| Detect agnt mult DNA ampli (87801) | $296.48 | $436 | 4.2× |
| Dhea (82626) | $126.48 | $186 | 5.0× |
| Dhea-S (82627) | $145.33 | $213.72 | 6.5× |
| Digoxin (80162) range across 2 matching MRF lines |
$70.72–$264.52 | $104–$389 | varies |
| Dna Antibody Native/Double Stranded (86225) | $289.68 | $426 | 21.1× |
| Dna Antibody Single Stranded (86226) | $57.80 | $85 | 4.8× |
| DNA/RNA direct probe (87149) | $152.32 | $224 | 7.6× |
| Dna/Rna Sequencing (87153) range across 2 matching MRF lines |
$187–$204 | $275–$300 | varies |
| Drug assay acetaminophen (80143) | $112.04 | $164.76 | 6.0× |
| Drug Assay Amiodarone (80151) | $133.10 | $195.73 | 7.1× |
| Drug Assay Itraconazole (80189) | $119.68 | $176 | 4.4× |
| Drug Assay Lacosamide (80235) | $133.28 | $196 | 4.9× |
| Drug assay voriconazole (80285) | $340 | $500 | 12.5× |
| Drug Screen Quant Clozapine (80159) | $105.40 | $155 | 5.2× |
| Drug Screen Quant Zonisamide (80203) | $104.03 | $152.98 | 7.9× |
| Drug Screen Quantitative Gabapentin (80171) | $127.16 | $187 | 5.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $109.48 | $161 | 8.3× |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$108.80–$206.04 | $160–$303 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $160.48 | $236 | 12.1× |
| Drug Screen Quantitative Tiagabine (80199) | $152.32 | $224 | 5.6× |
| Drug Test Prsmv Chem Anlyzr (80307) | $215.56 | $317 | 3.5× |
| Drug Test Prsmv Dir Opt Obs (80305) | $215.56 | $317 | 17.1× |
| Egfr Gene Analysis Common Variants (81235) | $557.60 | $820 | 1.7× |
| Electrolyte panel (80051) | $184.96 | $272 | 26.4× |
| Enterovirus Antibody (86658) | $85 | $125 | 6.5× |
| Enterovirus PCR (87498) | $165.24 | $243 | 4.7× |
| Eosinophil Smear (89190) | $69.36 | $102 | 12.0× |
| Erythropoietin (82668) | $208.08 | $306 | 11.1× |
| Estradiol serum (82670) | $131.92 | $194 | 4.7× |
| Estrogen total (82672) | $167.28 | $246 | 7.7× |
| Ethylene Glycol (82693) | $76.16 | $112 | 5.1× |
| Exam Synovial Fluid Crystals (89060) | $98.60 | $145 | 13.5× |
| F2 Gene (81240) | $201.96 | $297 | 3.1× |
| Factor ii activity (85210) | $117.64 | $173 | 9.1× |
| Factor ix activity (85250) | $114.24 | $168 | 6.0× |
| Factor v activity (85220) | $177.48 | $261 | 10.1× |
| Factor v leiden mutation (81241) | $194.48 | $286 | 2.7× |
| Factor vii assay (85230) | $204.68 | $301 | 11.4× |
| Factor viii assay (85240) | $80.24 | $118 | 4.5× |
| Factor X (85260) | $109.48 | $161 | 6.1× |
| Factor xi activity (85270) | $193.12 | $284 | 10.8× |
| Fecal Fat Qualitative (82705) | $67.32 | $99 | 13.2× |
| Ferritin (82728) | $184.28 | $271 | 13.5× |
| Fetal Fibronectin (82731) | $550.12 | $809 | 8.5× |
| Fetal hemoglobin assay qual (83033) | $21.08 | $31 | 2.6× |
| Fibrin degradation products (85362) | $129.20 | $190 | 18.8× |
| Fibrin Degradation Quant (85379) | $305.32 | $449 | 30.0× |
| Fibrinogen activity (85384) | $163.20 | $240 | 16.8× |
| Fibrinogen antigen (85385) | $39.33 | $57.84 | 2.7× |
| Flow cytometry first marker (88184) | $297.84 | $438 | 0.8× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $140.76 | $207 | 11.7× |
| Folic acid rbc (82747) | $116.31 | $171.04 | 6.6× |
| Folic Acid Serum (82746) | $225.08 | $331 | 15.3× |
| Follicle Stimulating Hormone (83001) | $286.28 | $421 | 15.4× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $59.16 | $87 | 0.3× |
| Frozen Section (88331) | $226.44 | $333 | 1.3× |
| Fungi Identification Mold (87107) | $107.44 | $158 | 10.4× |
| Fungi Identification Yeast (87106) | $129.88 | $191 | 12.6× |
| Gammaglobulin ige (82785) | $167.28 | $246 | 10.2× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $217.60 | $320 | 22.3× |
| Gastrin (82941) | $113.56 | $167 | 6.4× |
| Genet Virus Isolate Hsv (87255) | $104.04 | $153 | 3.1× |
| Gentamicin (80170) | $173.40 | $255 | 10.6× |
| Ggt (82977) | $180.20 | $265 | 25.0× |
| Giardia antigen (87329) | $65.52 | $96.36 | 5.5× |
| Glucose 2 hr pp (82950) | $72.08 | $106 | 15.2× |
| Glucose Blood Test (82962) | $29.24 | $43 | 8.9× |
| Glucose body fluid (82945) | $106.08 | $156 | 27.0× |
| Glucose Serum (82947) | $106.08 | $156 | 27.0× |
| Glucose tolerance test (gtt) (82951) | $257.72 | $379 | 20.0× |
| Glycated Protein (82985) | $51.68 | $76 | 3.1× |
| Gonadotropin Chorionic Qualitative (84703) | $161.16 | $237 | 21.4× |
| Gonadotropin releasing hormone (83727) | $292.77 | $430.55 | 17.0× |
| Growth hormone (83003) | $59.84 | $88 | 3.6× |
| H Pylori (C-13) Breath (83013) | $262.48 | $386 | 3.9× |
| Haptoglobin (83010) | $189.04 | $278 | 15.0× |
| Hdl Cholesterol (83718) | $92.48 | $136 | 11.3× |
| Helicobacter Pylori Stool (87338) | $142.12 | $209 | 9.9× |
| Hematocrit (85014) | $65.96 | $97 | 27.8× |
| Hemoglobin (85018) | $66.64 | $98 | 28.1× |
| Hemoglobin a1c (83036) | $189.72 | $279 | 19.5× |
| Hemoglobin electrophoresis (83020) | $135.32 | $199 | 10.5× |
| Hemoglobin Methemoglobin Quantitative (83050) | $89.08 | $131 | 10.9× |
| Hep a ab igm (86709) | $142.80 | $210 | 12.7× |
| Heparin assay (85520) | $193.12 | $284 | 14.8× |
| Hepatitis a antibody total (86708) | $75.03 | $110.34 | 6.1× |
| Hepatitis b core ab igm (86705) | $221.68 | $326 | 18.8× |
| Hepatitis b core ab total (86704) | $252.28 | $371 | 20.9× |
| Hepatitis B Surface Antibody (86706) | $199.92 | $294 | 18.6× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$57.36–$164.56 | $84.36–$242 | varies |
| Hepatitis Be Antibody (86707) | $66.06 | $97.15 | 5.7× |
| Hepatitis Be Antigen (87350) | $82.28 | $121 | 7.1× |
| Hepatitis C Antibody (86803) | $255.68 | $376 | 17.9× |
| Hepatitis c antibody confirmatory test (86804) | $242.08 | $356 | 15.6× |
| Hepatitis C Genotype (87902) | $523.19 | $769.40 | 2.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $388.57 | $571.43 | 9.1× |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$81.60–$109.45 | $120–$160.96 | varies |
| Heterophile Antibody Screen (86308) | $106.08 | $156 | 20.5× |
| Hfe Gene (81256) | $252.96 | $372 | 3.9× |
| Histoplasma antibody (86698) | $63.92 | $94 | 4.6× |
| Histoplasma antigen urine (87385) | $314.84 | $463 | 23.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $129.20 | $190 | 5.4× |
| Hiv-1 Antibody (86701) | $143.48 | $211 | 16.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $299.88 | $441 | 3.5× |
| HIV-2 probe&revrse trnscripj (87538) | $427.72 | $629 | 12.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $342.04 | $503 | 4.6× |
| Hla I Typing 1 Allele Hr (81381) | $413.44 | $608 | 2.4× |
| Homocysteine (83090) | $358.36 | $527 | 20.0× |
| Homogenization Tissue (87176) | $31.29 | $46.01 | 5.3× |
| Hpv High-Risk Types (87624) | $159.12 | $234 | 4.5× |
| Hsv Dna Amp Probe (87529) | $389.64 | $573 | 11.1× |
| Htlv-I Antibody (86687) | $79.56 | $117 | 8.8× |
| Htlv-ii antibody (86688) | $65.28 | $96 | 4.7× |
| Iaad ia shiga-like toxin (87427) | $123.76 | $182 | 10.3× |
| Iadna Bartonella Amplified Probe Technique (87471) | $655.93 | $964.60 | 18.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $176.80 | $260 | 5.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $206.04 | $303 | 5.9× |
| Iadna Cytomegalovirus Quantification (87497) | $241.40 | $355 | 5.6× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $96.56 | $142 | 1.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $281.52 | $414 | 8.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $236.64 | $348 | 6.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $166.60 | $245 | 4.7× |
| Ig Light Chains Free Each (83521) | $114.24 | $168 | 6.6× |
| Igg subclasses (82787) | $34 | $50 | 4.2× |
| Immunfix e-phorsis/urine/csf (86335) | $310.76 | $457 | 10.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $210.12 | $309 | 11.4× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $79.56 | $117 | 5.3× |
| Immunoassay nonantibody (83516) | $113.73 | $167.25 | 9.9× |
| Immunofixation electrophoresis (86334) | $283.56 | $417 | 12.7× |
| Immunohistochemistry (88342) | $381.48 | $561 | 2.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $191.19 | $281.16 | 2.7× |
| Influenza assay w/optic (87804) | $116.96 | $172 | 7.1× |
| Influenza DNA amp probe (87502) | $206.72 | $304 | 2.2× |
| Inhibin A (86336) | $162.93 | $239.60 | 10.5× |
| Inhibin b (83520) | $150.96 | $222 | 8.7× |
| Insulin antibodies (86337) | $81.60 | $120 | 3.8× |
| Insulin total (83525) | $222.36 | $327 | 19.5× |
| Iron (83540) | $195.84 | $288 | 30.3× |
| Iron Binding Capacity (83550) | $215.56 | $317 | 24.7× |
| Irradiation Blood Product Each Unit (86945) | $112.88 | $166 | 3.0× |
| Islet cell antibody (86341) | $161.40 | $237.35 | 6.8× |
| Jak2 Gene Trgt Sequence Alys (81279) | $499.12 | $734 | 2.7× |
| Lactate (ld) (ldh) enzyme (83615) | $172.72 | $254 | 28.6× |
| Lead (83655) | $65.78 | $96.73 | 5.4× |
| Legionella antibody (86713) | $114.92 | $169 | 7.5× |
| Legionella antigen urine (87449) | $243.44 | $358 | 20.3× |
| Leukocyte Assessment Fecal (89055) | $116.28 | $171 | 27.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $150.28 | $221 | 5.2× |
| Level ii surg pathology grossµscopic exam (88302) | $157.08 | $231 | 4.2× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $393.04 | $578 | 1.1× |
| Lipase (83690) | $186.32 | $274 | 27.0× |
| Lipoprotein A (83695) | $102 | $150 | 7.1× |
| Lithium (80178) | $227.12 | $334 | 34.4× |
| Luteinizing Hormone (Lh) (83002) | $168.64 | $248 | 9.1× |
| Lyme disease antibody (86618) | $177.48 | $261 | 10.4× |
| Lysozyme serum (85549) | $91.80 | $135 | 4.9× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $119.68 | $176 | 3.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $465.12 | $684 | 2.7× |
| M/phmtrc alys ishquant/semiq (88374) | $503.88 | $741 | 2.9× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$37.48–$159.12 | $55.12–$234 | varies |
| Mercury urine (83825) | $105.56 | $155.23 | 6.5× |
| Metabolic panel ionized ca (80047) | $486.20 | $715 | 35.4× |
| Methylmalonic acid serum (83921) | $237.32 | $349 | 11.2× |
| Microalbumin, quantitative (82043) | $153.68 | $226 | 26.6× |
| Microbe Suscept Macrobroth (87188) | $123.76 | $182 | 18.6× |
| Microsatellite instability (81301) | $537.25 | $790.08 | 1.5× |
| Microsomal Antibodies Each (86376) | $117.64 | $173 | 8.1× |
| Mrsa Pcr (87641) | $172.04 | $253 | 4.9× |
| Mumps antibody (86735) | $111.52 | $164 | 8.5× |
| Mycoplasma antibody (86738) | $231.20 | $340 | 17.5× |
| Myelin basic protein csf (83873) | $110.16 | $162 | 6.4× |
| Myoglobin urine (83874) | $125.12 | $184 | 9.7× |
| Natriuretic peptide (83880) | $339.32 | $499 | 8.6× |
| Nuclear antigen antibody (86235) | $156.40 | $230 | 8.7× |
| Occult Blood Other Sources (82271) | $53.04 | $78 | 10.0× |
| Oligoclonal bands (83916) | $163.88 | $241 | 6.0× |
| Osmolality serum (83930) | $48.96 | $72 | 7.4× |
| Osmolality Urine (83935) | $184.96 | $272 | 27.1× |
| Ova and parasites smears (87177) | $105.40 | $155 | 11.8× |
| Oxalate urine (83945) | $87.72 | $129 | 6.1× |
| Pancreatic Elastase Fecal (82656) | $282.20 | $415 | 24.5× |
| Parvovirus antibody (86747) | $76.84 | $113 | 5.1× |
| Pathology Consultation During Surgery (88329) | $95.88 | $141 | 1.6× |
| Ph urine (81003) | $82.96 | $122 | 36.9× |
| Phenobarbital Level (80184) range across 3 matching MRF lines |
$72.76–$127.19 | $107–$187.05 | varies |
| Phenytoin (Dilantin) (80185) | $331.16 | $487 | 25.0× |
| Phenytoin free (80186) | $112.88 | $166 | 8.2× |
| Phosphatase alkaline (84075) | $126.48 | $186 | 24.4× |
| Phospholipid Neutralization Hexagonal (85598) | $82.28 | $121 | 4.6× |
| Phosphorus Serum (84100) | $150.28 | $221 | 31.7× |
| Phosphorus urine (84105) | $50.32 | $74 | 8.7× |
| Platelet Antibodies (86022) | $358.36 | $527 | 19.5× |
| Platelet count automated (85049) | $120.36 | $177 | 26.9× |
| Pooling blood platelets (86965) | $139.40 | $205 | 0.8× |
| Porphobilinogen, urine; quantitative (84110) | $76.16 | $112 | 9.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $114.24 | $168 | 7.8× |
| Potassium Urine (84133) | $147.56 | $217 | 31.2× |
| Prealbumin (84134) | $74.80 | $110 | 5.1× |
| Primidone (80188) | $76.77 | $112.89 | 4.6× |
| Procalcitonin (Pct) (84145) | $231.88 | $341 | 8.5× |
| Progesterone (84144) | $90.44 | $133 | 4.3× |
| Prolactin (84146) | $255.68 | $376 | 13.2× |
| Protein body fluid (84157) | $131.24 | $193 | 32.8× |
| Protein C Activity (85303) | $195.84 | $288 | 14.2× |
| Protein c antigen (85302) | $173.63 | $255.34 | 14.5× |
| Protein Electrophoresis Urine (84166) | $329.80 | $485 | 18.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $299.88 | $441 | 27.9× |
| Protein S Free (85306) | $203.32 | $299 | 13.3× |
| Protein total serum (84155) | $135.32 | $199 | 36.9× |
| Protein Total Urine (84156) | $108.80 | $160 | 29.6× |
| Pth Intact (83970) | $205.36 | $302 | 5.0× |
| Quantiferon tb gold plus (86480) | $159.12 | $234 | 2.6× |
| Quantitative assay drug (80299) | $166.60 | $245 | 8.9× |
| Rbc antibody elution (86860) | $201.96 | $297 | 1.2× |
| Rbc antibody identification (86870) | $316.88 | $466 | 0.9× |
| Rbc antibody screen (86850) | $172.04 | $253 | 17.6× |
| Rbc pretreatment serum (86978) | $238 | $350 | 4.0× |
| Rbc pretx incubatj w/enzymes (86971) | $71.40 | $105 | 0.4× |
| Reagent Strip/Blood Glucose (82948) | $106.08 | $156 | 21.0× |
| Renin activity plasma (84244) | $318.92 | $469 | 14.5× |
| Resp virus 12-25 targets (87633) | $1,073.04 | $1,578 | 2.6× |
| Resp Virus 6-11 Targets (87632) | $382.84 | $563 | 1.8× |
| Reticulocyte separation (86972) | $120.36 | $177 | 0.7× |
| Rh (86901) | $76.84 | $113 | 25.7× |
| Rheumatoid factor quant (86431) | $154.36 | $227 | 27.2× |
| Rickettsia antibody (86757) | $98.60 | $145 | 5.1× |
| Ristocetin cofactor (85245) | $165.92 | $244 | 7.2× |
| Rotavirus ag eia (87425) | $88.97 | $130.84 | 7.4× |
| Rpr qualitative (86592) | $111.52 | $164 | 26.1× |
| Rsv Assay W/Optic (87807) | $137.36 | $202 | 10.5× |
| Rubella Antibody (86762) | $101.32 | $149 | 7.0× |
| Rubeola antibody (86765) | $100.64 | $148 | 7.8× |
| Russell Viper Venom Time Diluted (85613) | $102 | $150 | 10.6× |
| Salicylate Level (80179) | $112.04 | $164.76 | 6.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$106.76–$174.45 | $157–$256.55 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $72.08 | $106 | 1.7× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $112.55 | $165.52 | 2.7× |
| Sarscov2 & inf a&b amp prb (87636) | $260.47 | $383.04 | 1.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $260.47 | $383.04 | 1.8× |
| Sedimentation rate (85651) | $26.33 | $38.72 | 6.2× |
| Sedimentation Rate, Automated (85652) | $129.88 | $191 | 48.1× |
| Sensitivity mic (87186) | $170.68 | $251 | 19.7× |
| Sex Hormone Binding Globulin (84270) | $87.20 | $128.23 | 4.0× |
| Sickling of rbc reduction (85660) | $81.60 | $120 | 14.8× |
| Sirolimus (80195) | $130.80 | $192.35 | 9.5× |
| Skin test tuberculosis intradermal (86580) | $66.61 | $97.96 | 2.3× |
| Smear acid fast (87206) | $46.31 | $68.11 | 8.6× |
| Smear complex stain (87209) | $95.88 | $141 | 5.3× |
| Smear gram stain (87205) | $93.84 | $138 | 22.0× |
| Smn1 Gene Dos/Deletion Alys (81329) | $477.87 | $702.75 | 3.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $66.64 | $98 | 11.5× |
| Sodium Serum (84295) | $116.96 | $172 | 24.3× |
| Sodium Urine (84300) | $110.16 | $162 | 21.8× |
| Somatomedin (84305) | $136.15 | $200.22 | 6.4× |
| Special Stains Group 1 (88312) | $252.28 | $371 | 4.8× |
| Special Stains Group 2 (88313) | $173.40 | $255 | 1.3× |
| Specimen infect agnt concntj (87015) | $61.67 | $90.69 | 9.2× |
| Spectrophotometry (84311) | $227.12 | $334 | 28.0× |
| Stool cultr aerobic bact ea (87046) | $254.32 | $374 | 26.9× |
| Strep a assay w/optic (87880) | $261.12 | $384 | 15.8× |
| Strep b DNA amp probe (87653) | $150.96 | $222 | 4.3× |
| Sulfate urine (84392) | $35.36 | $52 | 6.4× |
| Surg path level iii (88304) | $254.32 | $374 | 4.9× |
| Surgical pathology level IV (88305) | $367.20 | $540 | 7.0× |
| Surgical pathology level vi (88309) | $629 | $925 | 0.8× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $99.96 | $147 | 13.7× |
| Syphilis Test Non-Trep Quant (86593) | $125.80 | $185 | 28.6× |
| T cells absolute cd4 count (86361) | $114.92 | $169 | 4.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $519.52 | $764 | 11.1× |
| T cells total count (86359) | $130.42 | $191.79 | 3.5× |
| T3 Free (84481) | $308.04 | $453 | 18.2× |
| T3 reverse (84482) | $82.28 | $121 | 5.2× |
| T3 Total (84480) | $272 | $400 | 19.2× |
| T3 Uptake (84479) | $135.32 | $199 | 20.9× |
| T4 Free (84439) | $214.88 | $316 | 23.8× |
| T4 total (84436) range across 2 matching MRF lines |
$33.65–$174.08 | $49.49–$256 | varies |
| Tacrolimus (80197) | $463.08 | $681 | 33.7× |
| Testosterone total (84403) | $254.32 | $374 | 9.9× |
| Testosterone, Free (84402) | $284.92 | $419 | 11.2× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $1,626.90 | $2,392.50 | 2.7× |
| Theophylline (80198) | $297.16 | $437 | 21.0× |
| Thrombin Time (85670) | $57.12 | $84 | 9.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $64.60 | $95 | 10.0× |
| Thyroglobulin (84432) | $80.92 | $119 | 5.0× |
| Thyroglobulin Antibody (86800) | $78.78 | $115.86 | 5.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $158.44 | $233 | 3.1× |
| Tiss cul neo disorders solid tumor (88239) | $769.08 | $1,131 | 5.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $252.96 | $372 | 21.9× |
| Tissue culture bone marrow (88237) | $296.48 | $436 | 2.1× |
| Tobramycin peak (80200) | $269.28 | $396 | 16.7× |
| Topiramate (80201) | $228.48 | $336 | 19.2× |
| Touch prep (88161) | $113.56 | $167 | 3.9× |
| Toxoplasma ab igm (86778) | $94.85 | $139.49 | 6.6× |
| Toxoplasma antibody (86777) | $79.55 | $116.99 | 5.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $160.48 | $236 | 31.0× |
| Transferrin (84466) | $209.44 | $308 | 16.4× |
| Trichomonas Vaginalis Amplif (87661) | $151.64 | $223 | 4.3× |
| Triglycerides (84478) | $210.12 | $309 | 36.6× |
| Troponin Quant (84484) | $300.56 | $442 | 24.1× |
| Tumor immunohistochem/comput (88361) | $239.60 | $352.36 | 0.7× |
| Tumor Immunohistochem/Manual (88360) | $340.68 | $501 | 2.0× |
| Urea nitrogen urine (84540) | $118.32 | $174 | 21.3× |
| Uric acid other source (84560) | $91.12 | $134 | 17.9× |
| Urinalysis Volume Measure (81050) | $38.08 | $56 | 10.5× |
| Urine Bacteria Culture (87088) | $95.88 | $141 | 11.9× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$249.56–$293.08 | $367–$431 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $127.84 | $188 | 40.3× |
| Valproic acid (80164) | $253.64 | $373 | 18.7× |
| Vancomycin (80202) | $274.72 | $404 | 20.3× |
| Varicella-zoster antibody (86787) | $133.96 | $197 | 10.4× |
| Vasopressin (84588) | $196.95 | $289.63 | 5.8× |
| Viral Culture (87252) range across 2 matching MRF lines |
$102.68–$195.16 | $151–$287 | varies |
| Virus antibody nos (86790) | $110.84 | $163 | 8.6× |
| Virus inoculation, shell via (87254) | $111.68 | $164.23 | 5.7× |
| Viscosity serum (85810) | $74.20 | $109.12 | 6.4× |
| Vit D 1 25-Dihydroxy (82652) | $308.72 | $454 | 8.0× |
| Vitamin A (84590) | $134.64 | $198 | 11.6× |
| Vitamin b-12 (82607) | $218.96 | $322 | 14.5× |
| Vitamin B2 (Riboflavin) (84252) | $141.44 | $208 | 7.0× |
| Vitamin B6 (84207) | $184.96 | $272 | 6.6× |
| Vitamin c (82180) | $90.44 | $133 | 9.1× |
| Vitamin D 25-Hydroxy (82306) | $354.28 | $521 | 12.0× |
| Vitamin E (84446) | $104.72 | $154 | 7.4× |
| Vitamin K (84597) | $206.52 | $303.71 | 15.1× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $236.05 | $347.13 | 19.6× |
| Von willebrand factor ag (85246) | $75.48 | $111 | 3.3× |
| West nile virus ab igm (86788) | $112.88 | $166 | 6.7× |
| West Nile Virus Antibody (86789) | $94.52 | $139 | 6.6× |
| Zinc (84630) | $65.96 | $97 | 5.8× |
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.