Lab & pathology prices at Woodlawn Hospital
Rochester, IN · every code in this section with a posted price and a Medicare benchmark.
451 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | $52.50 | $70 | 2.9× |
| Acetylcholine receptor blocking antibody (86042) | $72.75 | $97 | 4.0× |
| Acetylcholn Rcptr Modlg Antb (86043) | $86.25 | $115 | 7.2× |
| Acth (82024) | $345 | $460 | 8.9× |
| Actin smooth muscle antibody each (86015) | $27 | $36 | 2.2× |
| Acute hepatitis panel (80074) | $435 | $580 | 9.1× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $42.75 | $57 | 2.6× |
| Albumin serum (82040) | $55.50 | $74 | 11.2× |
| Aldolase (82085) | $128.25 | $171 | 13.2× |
| Aldosterone urine (82088) | $193.50 | $258 | 4.7× |
| Alkaline phosphatase isoenzymes (84080) | $121.50 | $162 | 8.2× |
| Allergen specific ige (86003) | $71.25 | $95 | 13.6× |
| Allg Spec Ige Recomb Ea (86008) | $67.50 | $90 | 3.8× |
| Alpha-1-antitrypsin phenotype (82104) | $27.75 | $37 | 1.9× |
| Alpha-1-antitrypsin total (82103) | $119.25 | $159 | 8.9× |
| Alpha-Fetoprotein Serum (82105) | $164.25 | $219 | 9.8× |
| Alt (sgpt) (84460) | $63 | $84 | 11.9× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $42.75 | $57 | 3.1× |
| Ammonia (82140) | $216 | $288 | 14.8× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $185.25 | $247 | 1.9× |
| Amylase urine (82150) | $114.75 | $153 | 17.7× |
| Anca screen each antibody (86036) | $186.75 | $249 | 15.5× |
| Anca Titer Each Antibody (86037) | $23.25 | $31 | 1.9× |
| Androstenedione (82157) | $159 | $212 | 5.4× |
| Angiotensin converting enzyme csf (82164) | $170.25 | $227 | 11.7× |
| Anti-Phospholipid Antibody (86148) | $111.75 | $149 | 7.0× |
| Antibody aspergillus (86606) | $91.50 | $122 | 6.1× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $139.50 | $186 | 9.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $131.25 | $175 | 7.8× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $119.25 | $159 | 7.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $137.25 | $183 | 7.6× |
| Antibody Fungus Not Elsewhere Specified (86671) | $123.75 | $165 | 10.1× |
| Antibody Herpes Smplx Type 1 (86695) | $134.25 | $179 | 10.2× |
| Antibody Titer (86886) | $93.75 | $125 | 18.1× |
| Antibody Treponema Pallidum (86780) | $123.75 | $165 | 9.3× |
| Antigen typing (86905) | $315 | $420 | 82.2× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$48.75–$145.50 | $65–$194 | varies |
| Antistreptolysin o titer (86060) | $62.25 | $83 | 8.5× |
| Antithrombin iii activity (85300) | $338.25 | $451 | 28.5× |
| Apolipoprotein a1 (82172) | $165 | $220 | 7.8× |
| Arsenic (82175) | $99.75 | $133 | 5.3× |
| Assay activated protein c (85307) | $128.25 | $171 | 8.4× |
| Assay Blood Carbon Dioxide (82374) | $45.75 | $61 | 9.4× |
| Assay Nephelometry Not Spec (83883) | $199.50 | $266 | 14.7× |
| Assay of 5-hiaa (83497) | $111.75 | $149 | 8.7× |
| Assay of anti-mullerian hormone (82166) | $114.75 | $153 | 3.0× |
| Assay of blood/uric acid (84550) | $62.25 | $83 | 13.8× |
| Assay of calcium in urine (82340) | $87 | $116 | 14.4× |
| Assay of cpk in blood (82552) | $178.50 | $238 | 13.3× |
| Assay of estrone (82679) | $138.75 | $185 | 5.6× |
| Assay of g6pd enzyme (82955) | $118.50 | $158 | 12.2× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$66–$117.75 | $88–$157 | varies |
| Assay of lactic acid (83605) | $149.25 | $199 | 12.9× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$236.25–$295.50 | $315–$394 | varies |
| Assay of proinsulin (84206) | $137.25 | $183 | 5.1× |
| Assay of serotonin (84260) | $230.25 | $307 | 7.4× |
| Assay of serum potassium (84132) | $55.50 | $74 | 11.7× |
| Assay of urea nitrogen (84520) | $51 | $68 | 12.9× |
| Assay of urine vma (84585) | $252.75 | $337 | 16.3× |
| Assay of vitamin b-1 (84425) | $176.25 | $235 | 8.3× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$27–$36 | $36–$48 | varies |
| Assay spec xcp ur&breath ia (82077) | $43.50 | $58 | 2.5× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $199.50 | $266 | 1.1× |
| Automated Leukocyte Count (85048) | $65.25 | $87 | 25.7× |
| B cells total count (86355) | $168.75 | $225 | 4.5× |
| Bartonella antibody (86611) | $54 | $72 | 5.3× |
| Bcr/abl1 gene major bp (81206) | $789 | $1,052 | 4.8× |
| Bcr/abl1 gene minor bp (81207) | $387.75 | $517 | 2.7× |
| Beta 2 glycoprotein i antibody each (86146) | $117.75 | $157 | 4.6× |
| Beta hydroxybutyrate (82010) | $110.25 | $147 | 13.5× |
| Beta Lactamase (87185) | $38.25 | $51 | 8.1× |
| Beta-2 Microglobulin (82232) | $166.50 | $222 | 10.3× |
| Bile acids total (82239) | $35.25 | $47 | 2.1× |
| Bilirubin direct (82248) | $65.25 | $87 | 13.0× |
| Bilirubin total (82247) | $63 | $84 | 12.5× |
| Biotinidase (82261) | $42.75 | $57 | 2.5× |
| Blastomyces antibody (86612) | $99.75 | $133 | 7.7× |
| Bld Typing Serologic Rh Phnt (86906) | $231 | $308 | 29.8× |
| Blood gas (82803) | $318.75 | $425 | 12.2× |
| Blood gases w/02 saturation (82805) | $318.75 | $425 | 4.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$21–$48 | $28–$64 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $252 | $336 | 39.7× |
| Blood typing serologic abo (86900) | $114 | $152 | 38.1× |
| Body fluid cell count (89050) | $66 | $88 | 14.0× |
| Bone marrow smear interpretation (85097) | $60.75 | $81 | 0.1× |
| Breath Alcohol Test (82075) | $30.75 | $41 | 1.0× |
| C diff amplified probe (87493) | $186 | $248 | 5.0× |
| C-Peptide (84681) | $81 | $108 | 3.9× |
| C-reactive protein (86140) | $121.50 | $162 | 23.5× |
| Ca 19-9 (86301) | $202.50 | $270 | 9.7× |
| Cadmium (82300) | $96.75 | $129 | 4.1× |
| Calcium ionized (82330) | $149.25 | $199 | 10.9× |
| Calcium total (82310) | $75 | $100 | 14.5× |
| Calculus Spectroscopy (82365) | $134.25 | $179 | 10.4× |
| Calprotectin Fecal (83993) | $375 | $500 | 19.1× |
| Calr gene com variants (81219) | $590.25 | $787 | 4.9× |
| Cancer Antigen 125 (86304) | $217.50 | $290 | 10.5× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$176.25–$200.25 | $235–$267 | varies |
| Candida antibody (86628) | $63.75 | $85 | 5.3× |
| Carbamazepine total (80156) | $165.75 | $221 | 11.4× |
| Carboxyhemoglobin (82375) | $177 | $236 | 14.4× |
| Carcinoembryonic antigen (82378) | $231.75 | $309 | 12.2× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$111.75–$125.25 | $149–$167 | varies |
| Catecholamines fractionated (82384) | $235.50 | $314 | 9.3× |
| Ccp antibody (86200) | $111.75 | $149 | 8.6× |
| Cell count csf (89051) | $64.50 | $86 | 11.5× |
| Ceruloplasmin (82390) | $132 | $176 | 12.3× |
| Chemiluminescent assay (82397) | $199.50 | $266 | 14.1× |
| Chlmy trch&neisra gonor mult (87494) | $326.25 | $435 | 4.6× |
| Chloride Serum (82435) | $46.50 | $62 | 10.1× |
| Cholesterol total (82465) | $57.75 | $77 | 13.3× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$195.75–$235.50 | $261–$314 | varies |
| Chromogranin a (86316) | $216 | $288 | 10.4× |
| Chromosome Analysis 20-25 (88264) | $771 | $1,028 | 5.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $111.75 | $149 | 3.2× |
| Ckmb (82553) | $165 | $220 | 14.3× |
| Clostridium Difficile (87324) | $38.25 | $51 | 3.2× |
| Cold agglutinin screen (86156) | $39 | $52 | 4.8× |
| Collagen crosslinks (82523) | $221.25 | $295 | 11.8× |
| Column Chromotography Quant (82542) | $471.75 | $629 | 19.6× |
| Compatibility test antiglob (86922) | $294 | $392 | 1.6× |
| Complement Antigen Each Component (86160) | $138.75 | $185 | 11.6× |
| Coombs direct (86880) | $87.75 | $117 | 16.3× |
| Copper urine (82525) | $141.75 | $189 | 11.4× |
| Cortisol saliva (82533) | $173.25 | $231 | 10.6× |
| Creatine kinase total (82550) | $81.75 | $109 | 12.6× |
| Creatinine blood (82565) | $58.50 | $78 | 11.4× |
| Creatinine clearance (82575) | $171 | $228 | 18.1× |
| Creatinine Urine (82570) | $75.75 | $101 | 14.6× |
| Crossmatch electronic (86923) | $186.75 | $249 | 1.0× |
| Crossmatch immediate spin (86920) | $234.75 | $313 | 1.3× |
| Crp High Sensitivity (86141) | $79.50 | $106 | 6.1× |
| Cryptococcus ag titer (87899) | $150.75 | $201 | 9.4× |
| Cryptosporidium ag eia (87328) | $68.25 | $91 | 4.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $84.75 | $113 | 10.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $100.50 | $134 | 12.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $124.50 | $166 | 16.1× |
| Culture afb (87116) | $120.75 | $161 | 11.2× |
| Culture Anaerobic (87075) | $189.75 | $253 | 20.0× |
| Culture blood (87040) | $207 | $276 | 20.1× |
| Culture csf (87070) | $162 | $216 | 18.8× |
| Culture screen only (87081) | $123.75 | $165 | 18.7× |
| Culture stool (87045) | $121.50 | $162 | 12.9× |
| Culture urine (87086) | $115.50 | $154 | 14.3× |
| Cyclosporine (80158) | $279.75 | $373 | 15.5× |
| Cyp2d6 gene com variants (81226) | $429.75 | $573 | 1.0× |
| Cystatin C (82610) | $166.50 | $222 | 9.0× |
| Cytogenetics 100-300 (88275) | $162.75 | $217 | 3.2× |
| Cytomegalovirus igg (86644) | $111 | $148 | 7.7× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $65.25 | $87 | 3.2× |
| Cytopath Cell Enhance Tech (88112) | $230.25 | $307 | 4.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $139.50 | $186 | 5.2× |
| Cytp Concentration Smears & Interpretation (88108) | $190.50 | $254 | 4.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $264 | $352 | 4.8× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $153 | $204 | 0.8× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $144 | $192 | 3.6× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $633 | $844 | 11.5× |
| Detect Agent Nos Dna Amp (87798) | $124.50 | $166 | 3.5× |
| Detect Agent Nos Dna Quant (87799) | $386.25 | $515 | 9.0× |
| Detect agnt mult DNA ampli (87801) | $326.25 | $435 | 4.6× |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$99.75–$129 | $133–$172 | varies |
| Dhea (82626) | $166.50 | $222 | 6.6× |
| Dhea-S (82627) | $231.75 | $309 | 10.4× |
| Digoxin (80162) | $203.25 | $271 | 15.3× |
| Dna Antibody Native/Double Stranded (86225) | $129.75 | $173 | 9.4× |
| Drug assay acetaminophen (80143) | $213.75 | $285 | 11.5× |
| Drug Assay Amiodarone (80151) | $289.50 | $386 | 15.5× |
| Drug Assay Lacosamide (80235) | $304.50 | $406 | 11.2× |
| Drug assay voriconazole (80285) | $574.50 | $766 | 21.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $203.25 | $271 | 15.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $347.25 | $463 | 26.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $168.75 | $225 | 12.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$190.50–$240.75 | $254–$321 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $45 | $60 | 3.6× |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$45–$309.75 | $60–$413 | varies |
| El-1 Fecal Quantitative (82653) | $134.25 | $179 | 5.8× |
| Electrolyte panel (80051) | $109.50 | $146 | 15.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $57.75 | $77 | 4.8× |
| Enzyme histochemistry (88319) | $645.75 | $861 | 0.8× |
| Erythropoietin (82668) | $226.50 | $302 | 12.1× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$68.25–$219 | $91–$292 | varies |
| Estriol (82677) | $181.50 | $242 | 7.5× |
| Estrogen total (82672) | $48 | $64 | 2.2× |
| Ethosuximide (80168) | $210 | $280 | 12.9× |
| Exam Synovial Fluid Crystals (89060) | $67.50 | $90 | 9.2× |
| F2 Gene (81240) | $470.25 | $627 | 7.2× |
| Factor ii activity (85210) | $228.75 | $305 | 17.6× |
| Factor v leiden mutation (81241) | $227.25 | $303 | 3.1× |
| Factor viii assay (85240) | $214.50 | $286 | 12.0× |
| Factor X (85260) | $221.25 | $295 | 12.4× |
| Fecal Fat Qualitative (82705) | $75 | $100 | 14.7× |
| Ferritin (82728) | $118.50 | $158 | 8.7× |
| Fetal Fibronectin (82731) | $373.50 | $498 | 5.8× |
| Fetal screen rosette (85461) | $187.50 | $250 | 20.0× |
| Fibrin Degradation Quant (85379) | $243 | $324 | 23.9× |
| Fibrinogen activity (85384) | $156 | $208 | 16.0× |
| Flow cytometry first marker (88184) | $1,080 | $1,440 | 2.8× |
| Fluorescent antibody screen (86255) | $230.25 | $307 | 19.1× |
| Folic acid rbc (82747) | $199.50 | $266 | 11.3× |
| Folic Acid Serum (82746) | $138 | $184 | 9.4× |
| Follicle Stimulating Hormone (83001) | $228.75 | $305 | 12.3× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $128.25 | $171 | 0.7× |
| Frozen Section (88331) | $304.50 | $406 | 1.7× |
| Fungi Identification Yeast (87106) | $111 | $148 | 10.8× |
| Galactose (82760) | $21.75 | $29 | 1.9× |
| Galactose transferase test (82776) | $42.75 | $57 | 3.6× |
| Gammaglobulin ige (82785) | $152.25 | $203 | 9.2× |
| Gases blood ph only (82800) | $79.50 | $106 | 7.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,218 | $1,624 | 2.9× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$84.75–$86.25 | $113–$115 | varies |
| Gentamicin (80170) | $239.25 | $319 | 14.6× |
| Ggt (82977) | $63.75 | $85 | 8.9× |
| Giardia antigen (87329) | $68.25 | $91 | 5.7× |
| Glucagon (82943) | $82.50 | $110 | 5.8× |
| Glucose 2 hr pp (82950) | $67.50 | $90 | 14.2× |
| Glucose Blood Test (82962) | $15 | $20 | 4.6× |
| Glucose body fluid (82945) | $88.50 | $118 | 22.5× |
| Glucose Serum (82947) | $55.50 | $74 | 14.1× |
| Glucose tolerance test (gtt) (82951) | $185.25 | $247 | 14.4× |
| Glycated Protein (82985) | $132 | $176 | 7.9× |
| Gonadotropin Chorionic Qualitative (84703) | $129 | $172 | 17.2× |
| Growth hormone (83003) | $129 | $172 | 7.7× |
| Gtt-added samples (82952) | $45 | $60 | 11.5× |
| H Pylori (C-13) Breath (83013) | $319.50 | $426 | 4.7× |
| H Pylori Drug Admin (83014) | $199.50 | $266 | 25.4× |
| Haptoglobin (83010) | $129 | $172 | 10.3× |
| Hdl Cholesterol (83718) | $97.50 | $130 | 11.9× |
| Helicobacter Pylori Stool (87338) | $311.25 | $415 | 21.6× |
| Hematocrit (85014) | $44.25 | $59 | 18.7× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$44.25–$52.50 | $59–$70 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$57–$113.25 | $76–$151 | varies |
| Hemoglobin electrophoresis (83020) | $53.25 | $71 | 4.1× |
| Hep a ab igm (86709) | $119.25 | $159 | 10.6× |
| Hepatitis a antibody total (86708) | $159 | $212 | 12.8× |
| Hepatitis b core ab igm (86705) | $234 | $312 | 19.9× |
| Hepatitis b core ab total (86704) | $35.25 | $47 | 2.9× |
| Hepatitis B Surface Antibody (86706) | $117.75 | $157 | 11.0× |
| Hepatitis B Surface Antigen (87340) | $100.50 | $134 | 9.7× |
| Hepatitis C Antibody (86803) | $150.75 | $201 | 10.6× |
| Hepatitis C Genotype (87902) | $944.25 | $1,259 | 3.7× |
| Hepatitis C Revrs Trnscrpj (87522) | $528 | $704 | 12.3× |
| Herpes simplex type 2 (86696) | $126.75 | $169 | 6.6× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$55.50–$86.25 | $74–$115 | varies |
| Hfe Gene (81256) | $934.50 | $1,246 | 14.3× |
| Histamine urine (83088) | $414.75 | $553 | 14.0× |
| Histoplasma antibody (86698) | $117.75 | $157 | 8.5× |
| Histoplasma antigen urine (87385) | $365.25 | $487 | 27.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $46.50 | $62 | 1.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $590.25 | $787 | 6.9× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $141 | $188 | 1.1× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $57.75 | $77 | 0.8× |
| Hla-b27 (86812) | $303 | $404 | 11.7× |
| Homocysteine (83090) | $201 | $268 | 11.2× |
| Hpv High-Risk Types (87624) | $225.75 | $301 | 6.4× |
| Hpv Types 16 & 18 Only (87625) | $147 | $196 | 3.6× |
| Hsv Dna Amp Probe (87529) | $458.25 | $611 | 13.1× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$71.25–$121.50 | $95–$162 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $67.50 | $90 | 1.9× |
| Iaad ia shiga-like toxin (87427) | $64.50 | $86 | 5.4× |
| Iadna Cytomegalovirus Quantification (87497) | $569.25 | $759 | 13.3× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $187.50 | $250 | 2.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $111.75 | $149 | 3.2× |
| Ig Light Chains Free Each (83521) | $72.75 | $97 | 4.2× |
| Immunfix e-phorsis/urine/csf (86335) | $174.75 | $233 | 6.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$42–$113.25 | $56–$151 | varies |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$21.75–$186.75 | $29–$249 | varies |
| Immunofixation electrophoresis (86334) | $182.25 | $243 | 8.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $128.25 | $171 | 0.7× |
| Immunohistochemistry (88342) | $256.50 | $342 | 1.4× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $135 | $180 | 1.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) | $38.25 | $51 | 1.9× |
| Influenza a/b ag eia (87400) | $27 | $36 | 1.9× |
| Influenza assay w/optic (87804) | $61.50 | $82 | 3.7× |
| Inhibin A (86336) | $203.25 | $271 | 13.0× |
| Inhibin b (83520) | $189 | $252 | 10.9× |
| Insulin antibodies (86337) | $172.50 | $230 | 8.1× |
| Insulin total (83525) | $151.50 | $202 | 13.3× |
| Intrinsic factor antibody (86340) | $145.50 | $194 | 9.6× |
| Iron (83540) | $90.75 | $121 | 14.0× |
| Iron Binding Capacity (83550) | $99.75 | $133 | 11.4× |
| Irradiation Blood Product Each Unit (86945) | $141.75 | $189 | 3.6× |
| Islet cell antibody (86341) | $243.75 | $325 | 10.3× |
| Jak2 gene analysis p.val617phe variant (81270) | $1,188 | $1,584 | 13.0× |
| Jak2 Gene Trgt Sequence Alys (81279) | $372.75 | $497 | 2.0× |
| Lactate (ld) (ldh) enzyme (83615) | $84.75 | $113 | 14.0× |
| Lactoferrin fecal qualitative (83630) | $126 | $168 | 6.4× |
| LDL direct (83721) | $150 | $200 | 14.3× |
| Lead (83655) | $99.75 | $133 | 8.2× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$112.50–$201 | $150–$268 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $104.25 | $139 | 3.4× |
| Level ii surg pathology grossµscopic exam (88302) | $170.25 | $227 | 4.3× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $448.50 | $598 | 1.2× |
| Lipase (83690) | $135.75 | $181 | 19.7× |
| Lipoprotein A (83695) | $238.50 | $318 | 16.7× |
| Lipoprotein Bld Quan Part (83704) | $112.50 | $150 | 3.3× |
| Lithium (80178) | $123.75 | $165 | 18.7× |
| Liver ds alys 3 bmrk srm alg (81517) | $571.50 | $762 | 3.2× |
| Luteinizing Hormone (Lh) (83002) | $205.50 | $274 | 11.1× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$60.75–$129 | $81–$172 | varies |
| Lysozyme serum (85549) | $99 | $132 | 5.3× |
| Macroscopic Exam Parasite (87169) | $60 | $80 | 13.9× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$38.25–$93.75 | $51–$125 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$45.75–$199.50 | $61–$266 | varies |
| Mercury urine (83825) | $164.25 | $219 | 10.1× |
| Methylmalonic acid serum (83921) | $129 | $172 | 6.1× |
| Microalbumin, quantitative (82043) | $129 | $172 | 22.3× |
| Microsomal Antibodies Each (86376) | $163.50 | $218 | 11.2× |
| Mitochondrial Antibody Each (86381) | $140.25 | $187 | 5.5× |
| Molecular Cytogenetics Dna Probe Each (88271) | $162.75 | $217 | 7.6× |
| Mopath procedure level 1 (81400) | $431.25 | $575 | 6.7× |
| Mpl gene common variants (81338) | $590.25 | $787 | 3.9× |
| Mrsa Pcr (87641) | $137.25 | $183 | 3.9× |
| Mthfr Gene Analysis Common Variants (81291) | $465.75 | $621 | 7.1× |
| Mumps antibody (86735) | $84.75 | $113 | 6.5× |
| Mycoplasma antibody (86738) | $69.75 | $93 | 5.3× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $562.50 | $750 | 3.2× |
| Natriuretic peptide (83880) | $239.25 | $319 | 6.1× |
| Nfct ds chrnc hcv 6 assays (81596) | $357.75 | $477 | 5.0× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$132–$137.25 | $176–$183 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$35.25–$65.25 | $47–$87 | varies |
| Occult Blood Other Sources (82271) | $58.50 | $78 | 11.0× |
| Oligoclonal bands (83916) | $211.50 | $282 | 7.7× |
| Osmolality serum (83930) | $87.75 | $117 | 13.3× |
| Osmolality Urine (83935) | $94.50 | $126 | 13.9× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $645.75 | $861 | 0.8× |
| Ph urine (81003) range across 2 matching MRF lines |
$25.50–$44.25 | $34–$59 | varies |
| Phenobarbital Level (80184) | $215.25 | $287 | 14.1× |
| Phenytoin (Dilantin) (80185) | $215.25 | $287 | 16.2× |
| Phosphatase alkaline (84075) | $69 | $92 | 13.3× |
| Phospholipid Neutralization Hexagonal (85598) | $165.75 | $221 | 9.2× |
| Phosphorus Serum (84100) | $61.50 | $82 | 13.0× |
| Platelet Antibodies (86022) | $356.25 | $475 | 19.4× |
| Platelet count automated (85049) | $65.25 | $87 | 14.6× |
| Platelet neutralization (85597) | $94.50 | $126 | 5.3× |
| Potassium Urine (84133) | $63.75 | $85 | 13.5× |
| Prealbumin (84134) | $117.75 | $157 | 8.1× |
| Pregnenolone (84140) | $165 | $220 | 8.0× |
| Primidone (80188) | $183.75 | $245 | 11.1× |
| Procalcitonin (Pct) (84145) | $453 | $604 | 16.6× |
| Progesterone (84144) | $168.75 | $225 | 8.1× |
| Prolactin (84146) | $213 | $284 | 11.0× |
| Protein body fluid (84157) | $69.75 | $93 | 17.4× |
| Protein C Activity (85303) | $446.25 | $595 | 32.2× |
| Protein c antigen (85302) | $123 | $164 | 10.2× |
| Protein Electrophoresis Urine (84166) | $33.75 | $45 | 1.9× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $104.25 | $139 | 9.7× |
| Protein S Free (85306) range across 2 matching MRF lines |
$264–$518.25 | $352–$691 | varies |
| Protein s total (85305) | $123 | $164 | 10.6× |
| Protein total serum (84155) | $49.50 | $66 | 13.5× |
| Protein Total Urine (84156) | $75.75 | $101 | 20.6× |
| PSA free (84154) | $104.25 | $139 | 5.7× |
| Pth Intact (83970) | $323.25 | $431 | 7.8× |
| Quantiferon tb gold plus (86480) | $123 | $164 | 2.0× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$222–$297 | $296–$396 | varies |
| Rbc antibody elution (86860) | $235.50 | $314 | 1.3× |
| Rbc antibody identification (86870) | $325.50 | $434 | 0.9× |
| Rbc antibody screen (86850) | $120 | $160 | 12.3× |
| Rbc pretx incubatj w/enzymes (86971) | $128.25 | $171 | 0.7× |
| Renin activity plasma (84244) | $204.75 | $273 | 9.3× |
| Reticulocyte Count (85046) | $87.75 | $117 | 15.8× |
| Rh (86901) | $75.75 | $101 | 25.3× |
| Rheumatoid factor quant (86431) | $90 | $120 | 15.9× |
| Rotavirus ag eia (87425) | $218.25 | $291 | 18.2× |
| Rpr qualitative (86592) | $74.25 | $99 | 17.4× |
| Rsv Assay W/Optic (87807) | $46.50 | $62 | 3.5× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$96.75–$111 | $129–$148 | varies |
| Rubeola antibody (86765) | $96 | $128 | 7.5× |
| Russell Viper Venom Time Diluted (85613) | $91.50 | $122 | 9.6× |
| Salicylate Level (80179) | $213.75 | $285 | 11.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $138.75 | $185 | 2.7× |
| Sars-cov-2 COVID-19 antibody (86769) | $130.50 | $174 | 3.1× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $69.75 | $93 | 1.7× |
| Sarscov2 & inf a&b amp prb (87636) range across 2 matching MRF lines |
$163.50–$273.75 | $218–$365 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $356.25 | $475 | 2.5× |
| Sedimentation Rate, Automated (85652) | $65.25 | $87 | 24.2× |
| Selenium (84255) | $102.75 | $137 | 4.0× |
| Semen Anal Sperm Detection (89321) range across 2 matching MRF lines |
$24.75–$129 | $33–$172 | varies |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $19.50 | $26 | 2.0× |
| Sensitivity mic (87186) | $94.50 | $126 | 10.9× |
| Sex Hormone Binding Globulin (84270) | $120 | $160 | 5.5× |
| Sickling of rbc reduction (85660) | $54 | $72 | 9.8× |
| Sirolimus (80195) | $186.75 | $249 | 13.6× |
| Smear acid fast (87206) | $105.75 | $141 | 19.6× |
| Smear gram stain (87205) | $75.75 | $101 | 17.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$17.25–$72 | $23–$96 | varies |
| Sodium Serum (84295) | $53.25 | $71 | 11.1× |
| Sodium Urine (84300) | $61.50 | $82 | 12.2× |
| Soluble Transferrin Receptor (84238) | $183 | $244 | 5.0× |
| Somatomedin (84305) | $204.75 | $273 | 9.6× |
| Special Stains Group 1 (88312) | $58.50 | $78 | 1.1× |
| Special Stains Group 2 (88313) | $118.50 | $158 | 0.8× |
| Specimen infect agnt concntj (87015) | $28.50 | $38 | 4.3× |
| Spectrophotometry (84311) | $67.50 | $90 | 8.3× |
| Strep a assay w/optic (87880) | $29.25 | $39 | 1.8× |
| Strep a DNA amp probe (87651) | $118.50 | $158 | 3.4× |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$67.50–$141.75 | $90–$189 | varies |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $127.50 | $170 | 1.4× |
| Surg path level iii (88304) | $237 | $316 | 4.3× |
| Surgical pathology level IV (88305) | $309 | $412 | 5.6× |
| Surgical pathology level vi (88309) | $645.75 | $861 | 0.8× |
| Syphilis Test Non-Trep Quant (86593) | $30 | $40 | 6.8× |
| T cells absolute cd4 count (86361) | $165.75 | $221 | 6.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $276 | $368 | 5.9× |
| T cells total count (86359) | $246 | $328 | 6.5× |
| T3 Free (84481) | $272.25 | $363 | 16.1× |
| T3 reverse (84482) | $261.75 | $349 | 16.6× |
| T3 Total (84480) | $151.50 | $202 | 10.7× |
| T3 Uptake (84479) | $86.25 | $115 | 13.3× |
| T4 Free (84439) | $149.25 | $199 | 16.5× |
| T4 total (84436) | $105.75 | $141 | 15.4× |
| Tacrolimus (80197) | $278.25 | $371 | 20.3× |
| Test for acetone/ketones (82009) | $54.75 | $73 | 12.1× |
| Testosterone total (84403) | $177.75 | $237 | 6.9× |
| Testosterone, Free (84402) | $262.50 | $350 | 10.3× |
| Thrombin Time (85670) | $83.25 | $111 | 14.4× |
| Thromboplastin Inhibition Tissue (85705) | $80.25 | $107 | 8.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $82.50 | $110 | 12.8× |
| Thyroglobulin (84432) | $156 | $208 | 9.7× |
| Thyroglobulin Antibody (86800) | $151.50 | $202 | 9.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $372.75 | $497 | 7.3× |
| Thyroxine binding globulin (84442) | $75.75 | $101 | 5.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $80.25 | $107 | 7.0× |
| Tissue culture bone marrow (88237) | $771 | $1,028 | 5.4× |
| Toxoplasma ab igm (86778) | $106.50 | $142 | 7.4× |
| Toxoplasma antibody (86777) | $106.50 | $142 | 7.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $63 | $84 | 12.2× |
| Transferrin (84466) | $144 | $192 | 11.3× |
| Trichomonas Vaginalis Amplif (87661) | $111.75 | $149 | 3.2× |
| Triglycerides (84478) | $68.25 | $91 | 11.9× |
| Troponin Quant (84484) | $335.25 | $447 | 26.9× |
| Tumor Immunohistochem/Manual (88360) | $387 | $516 | 2.1× |
| Urea nitrogen urine (84540) | $62.25 | $83 | 11.2× |
| Urinalysis Volume Measure (81050) | $27 | $36 | 7.4× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$29.25–$93.75 | $39–$125 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$24.75–$105.75 | $33–$141 | varies |
| Valproic acid (80164) | $211.50 | $282 | 15.6× |
| Vancomycin (80202) | $240.75 | $321 | 17.8× |
| Varicella-zoster antibody (86787) | $137.25 | $183 | 10.7× |
| Viral Culture (87252) | $196.50 | $262 | 7.5× |
| Virus inoculation, shell via (87254) | $114 | $152 | 5.8× |
| Viscosity serum (85810) | $114.75 | $153 | 9.8× |
| Vit D 1 25-Dihydroxy (82652) | $253.50 | $338 | 6.6× |
| Vitamin A (84590) | $138 | $184 | 11.9× |
| Vitamin b-12 (82607) | $144 | $192 | 9.5× |
| Vitamin B2 (Riboflavin) (84252) | $381 | $508 | 18.8× |
| Vitamin B6 (84207) | $144 | $192 | 5.1× |
| Vitamin c (82180) | $79.50 | $106 | 8.0× |
| Vitamin D 25-Hydroxy (82306) | $193.50 | $258 | 6.5× |
| Vitamin E (84446) | $137.25 | $183 | 9.7× |
| Von willebrand factor ag (85246) | $246.75 | $329 | 10.8× |
| Zinc (84630) range across 2 matching MRF lines |
$43.50–$148.50 | $58–$198 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.