Lab & pathology prices at Androscoggin Valley Hospital
Berlin, NH · every code in this section with a posted price and a Medicare benchmark.
350 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) | $63.63 | $101 | 3.5× |
| Acetylcholine receptor blocking antibody (86042) | $63.63 | $101 | 3.5× |
| Acetylcholn Rcptr Modlg Antb (86043) | $82.53 | $131 | 6.8× |
| Acth (82024) | $221.76 | $352 | 5.7× |
| Actin smooth muscle antibody each (86015) | $42.21 | $67 | 3.5× |
| Acute hepatitis panel (80074) | $354.69 | $563 | 7.4× |
| Albumin serum (82040) | $44.10 | $70 | 8.9× |
| Aldolase (82085) | $35.91 | $57 | 3.7× |
| Aldosterone urine (82088) | $257.04 | $408 | 6.3× |
| Alkaline phosphatase isoenzymes (84080) | $94.50 | $150 | 6.4× |
| Allergen specific ige (86003) | $34.02 | $54 | 6.5× |
| Alpha-1-antitrypsin phenotype (82104) | $52.92 | $84 | 3.7× |
| Alpha-1-antitrypsin total (82103) | $49.77 | $79 | 3.7× |
| Alpha-Fetoprotein Serum (82105) | $60.48 | $96 | 3.6× |
| Alt (sgpt) (84460) | $19.53 | $31 | 3.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $100.80 | $160 | 4.4× |
| Ammonia (82140) | $52.92 | $84 | 3.6× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $353.43 | $561 | 3.6× |
| Amylase urine (82150) | $23.94 | $38 | 3.7× |
| Anca Titer Each Antibody (86037) | $44.10 | $70 | 3.7× |
| Angiotensin converting enzyme csf (82164) | $93.24 | $148 | 6.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $107.10 | $170 | 6.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $47.88 | $76 | 3.6× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $56.07 | $89 | 3.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $66.15 | $105 | 3.6× |
| Antibody Herpes Smplx Type 1 (86695) | $84.42 | $134 | 6.4× |
| Antibody HIV-1&HIV-2 single result (86703) | $50.40 | $80 | 3.7× |
| Antibody Protozoa Nes (86753) | $44.73 | $71 | 3.6× |
| Antinuclear antibodies (86038) | $44.10 | $70 | 3.6× |
| Antistreptolysin o titer (86060) | $27.09 | $43 | 3.7× |
| Antithrombin iii activity (85300) | $80.64 | $128 | 6.8× |
| Antithrombin iii antigen (85301) | $40.32 | $64 | 3.7× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$39.69–$76.86 | $63–$122 | varies |
| Arsenic (82175) | $109.62 | $174 | 5.8× |
| Assay Nephelometry Not Spec (83883) | $86.31 | $137 | 6.3× |
| Assay of 5-hiaa (83497) | $82.53 | $131 | 6.4× |
| Assay of anti-mullerian hormone (82166) | $52.92 | $84 | 1.4× |
| Assay of blood/uric acid (84550) | $17.01 | $27 | 3.8× |
| Assay of calcium in urine (82340) | $39.06 | $62 | 6.5× |
| Assay of estrone (82679) | $90.09 | $143 | 3.6× |
| Assay of gammaglobulin igm (82784) | $58.59 | $93 | 6.3× |
| Assay of lactic acid (83605) | $42.21 | $67 | 3.6× |
| Assay of metanephrines (83835) | $61.11 | $97 | 3.6× |
| Assay of serum potassium (84132) | $17.64 | $28 | 3.7× |
| Assay of urea nitrogen (84520) | $31.50 | $50 | 8.0× |
| Assay of vitamin b-1 (84425) | $78.12 | $124 | 3.7× |
| Babesia microti amp prb (87469) | $127.26 | $202 | 3.6× |
| Beta hydroxybutyrate (82010) | $29.61 | $47 | 3.6× |
| Bile acids total (82239) | $61.74 | $98 | 3.6× |
| Bilirubin direct (82248) | $18.90 | $30 | 3.8× |
| Bilirubin total (82247) | $18.90 | $30 | 3.8× |
| Blood count reticulocyte automated (85045) | $26.46 | $42 | 6.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $13.86 | $22 | 3.6× |
| Blood gases w/02 saturation (82805) | $283.50 | $450 | 3.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$57.96–$100.80 | $92–$160 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$15.12–$16.38 | $24–$26 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $23.31 | $37 | 3.7× |
| Blood typing serologic abo (86900) | $11.34 | $18 | 3.8× |
| C diff amplified probe (87493) | $134.82 | $214 | 3.6× |
| C-Peptide (84681) | $131.67 | $209 | 6.3× |
| C-reactive protein (86140) | $63.63 | $101 | 12.3× |
| Ca 19-9 (86301) | $131.67 | $209 | 6.3× |
| Calcium ionized (82330) | $50.40 | $80 | 3.7× |
| Calcium total (82310) | $18.90 | $30 | 3.7× |
| Calculus assay quant (82360) | $47.25 | $75 | 3.7× |
| Calprotectin Fecal (83993) | $71.19 | $113 | 3.6× |
| Cancer Antigen 125 (86304) | $131.67 | $209 | 6.3× |
| Cancer Antigen 27.29 (86300) | $131.67 | $209 | 6.3× |
| Candida Dna Dir Probe (87480) | $73.08 | $116 | 3.6× |
| Carbamazepine total (80156) | $248.22 | $394 | 17.0× |
| Carboxyhemoglobin (82375) | $70.56 | $112 | 5.7× |
| Carcinoembryonic antigen (82378) | $120.96 | $192 | 6.4× |
| Cardiolipin ab iga (86147) | $92.61 | $147 | 3.6× |
| Carnitine Quantitative Each Specimen (82379) | $61.11 | $97 | 3.6× |
| Catecholamines fractionated (82384) | $91.98 | $146 | 3.6× |
| Ccp antibody (86200) | $47.25 | $75 | 3.6× |
| Cell count csf (89051) | $34.02 | $54 | 6.1× |
| Ceruloplasmin (82390) | $68.67 | $109 | 6.4× |
| Cftr gene com variants (81220) | $1,202.67 | $1,909 | 2.2× |
| Chemiluminescent assay (82397) | $51.66 | $82 | 3.7× |
| Chlamydia antibody (86631) | $43.47 | $69 | 3.7× |
| Chlamydia Igm Antibody (86632) | $46.62 | $74 | 3.7× |
| Cholesterol total (82465) | $16.38 | $26 | 3.8× |
| Chorionic gonadotropin test (84702) | $54.81 | $87 | 3.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $164.43 | $261 | 4.7× |
| Ckmb (82553) | $66.78 | $106 | 5.8× |
| Clostridium Difficile (87324) | $43.47 | $69 | 3.6× |
| Compatibility test antiglob (86922) | $173.88 | $276 | 1.0× |
| Complement Antigen Each Component (86160) | $43.47 | $69 | 3.6× |
| Coombs direct (86880) | $19.53 | $31 | 3.6× |
| Copper urine (82525) | $45.99 | $73 | 3.7× |
| Cortisol free (82530) | $60.48 | $96 | 3.6× |
| Cortisol saliva (82533) | $102.69 | $163 | 6.3× |
| Creatine kinase total (82550) | $41.58 | $66 | 6.4× |
| Creatinine blood (82565) | $18.90 | $30 | 3.7× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$17.64–$35.28 | $28–$56 | varies |
| Crossmatch immediate spin (86920) | $163.80 | $260 | 0.9× |
| Crp High Sensitivity (86141) | $47.25 | $75 | 3.6× |
| Cryptococcus ag titer (87899) | $58.59 | $93 | 3.6× |
| Cryptosporidium ag eia (87328) | $69.30 | $110 | 5.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $29.61 | $47 | 3.7× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $28.35 | $45 | 3.7× |
| Culture Anaerobic (87075) | $60.48 | $96 | 6.4× |
| Culture blood (87040) | $94.50 | $150 | 9.2× |
| Culture csf (87070) | $31.50 | $50 | 3.7× |
| Culture screen only (87081) | $24.57 | $39 | 3.7× |
| Culture urine (87086) | $29.61 | $47 | 3.7× |
| Cytomegalovirus igg (86644) | $90.72 | $144 | 6.3× |
| Cytopath Cell Enhance Tech (88112) | $349.65 | $555 | 6.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $158.76 | $252 | 6.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $403.83 | $641 | 7.3× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$119.07–$127.26 | $189–$202 | varies |
| Detect Agent Nos Dna Quant (87799) | $154.98 | $246 | 3.6× |
| Detect agnt mult DNA ampli (87801) | $270.90 | $430 | 3.9× |
| Dgp Antibody Each Ig Class (86258) | $42.21 | $67 | 3.5× |
| Dhea (82626) | $91.98 | $146 | 3.6× |
| Dhea-S (82627) | $81.27 | $129 | 3.7× |
| Digoxin (80162) | $84.42 | $134 | 6.4× |
| Dihydrotestosterone (82642) | $151.83 | $241 | 5.2× |
| Dna Antibody Native/Double Stranded (86225) | $87.57 | $139 | 6.4× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$68.67–$127.26 | $109–$202 | varies |
| Drug assay adalimumab (80145) | $219.24 | $348 | 5.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $76.86 | $122 | 5.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $76.86 | $122 | 5.8× |
| Drug Test Prsmv Chem Anlyzr (80307) | $180.18 | $286 | 2.9× |
| Drug Test Prsmv Instrmnt (80306) | $61.74 | $98 | 3.6× |
| Ehrlichia antibody (86666) | $37.80 | $60 | 3.7× |
| El-1 Fecal Quantitative (82653) | $50.40 | $80 | 2.2× |
| Electrolyte panel (80051) | $52.92 | $84 | 7.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $44.10 | $70 | 3.6× |
| Erythropoietin (82668) | $118.44 | $188 | 6.3× |
| Estradiol serum (82670) | $100.80 | $160 | 3.6× |
| Estriol (82677) | $87.57 | $139 | 3.6× |
| Exam Synovial Fluid Crystals (89060) | $44.73 | $71 | 6.1× |
| F2 Gene (81240) | $306.81 | $487 | 4.7× |
| Factor v activity (85220) | $112.14 | $178 | 6.4× |
| Factor v leiden mutation (81241) | $264.60 | $420 | 3.6× |
| Factor viii assay (85240) | $64.89 | $103 | 3.6× |
| Ferritin (82728) | $114.03 | $181 | 8.4× |
| Fibrin Degradation Quant (85379) | $37.80 | $60 | 3.7× |
| Fibrinogen activity (85384) | $35.91 | $57 | 3.7× |
| Fluorescent antibody screen (86255) | $44.10 | $70 | 3.7× |
| Folic acid rbc (82747) | $64.26 | $102 | 3.6× |
| Folic Acid Serum (82746) | $53.55 | $85 | 3.6× |
| Follicle Stimulating Hormone (83001) | $118.44 | $188 | 6.4× |
| Frozen Section (88331) | $370.44 | $588 | 2.0× |
| Gammaglobulin ige (82785) | $59.85 | $95 | 3.6× |
| Gardner vag DNA dir probe (87510) | $73.08 | $116 | 3.6× |
| Gases blood ph only (82800) | $40.32 | $64 | 3.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,080.45 | $1,715 | 2.6× |
| Genet Virus Isolate Hsv (87255) | $122.85 | $195 | 3.6× |
| Ggt (82977) | $47.25 | $75 | 6.6× |
| Giardia antigen (87329) | $43.47 | $69 | 3.6× |
| Glucose 2 hr pp (82950) | $17.64 | $28 | 3.7× |
| Glucose Serum (82947) | $14.49 | $23 | 3.7× |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$44.10–$47.25 | $70–$75 | varies |
| Glycated Protein (82985) | $86.94 | $138 | 5.2× |
| Gonadotropin Chorionic Qualitative (84703) | $27.72 | $44 | 3.7× |
| Growth hormone (83003) | $60.48 | $96 | 3.6× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$13.86–$14.49 | $22–$23 | varies |
| Haloperidol (80173) | $93.24 | $148 | 5.9× |
| Haptoglobin (83010) | $80.01 | $127 | 6.4× |
| Hdl Cholesterol (83718) | $29.61 | $47 | 3.6× |
| Helicobacter Pylori Stool (87338) | $52.29 | $83 | 3.6× |
| Hematocrit (85014) | $9.45 | $15 | 4.0× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$9.45–$15.75 | $15–$25 | varies |
| Hemoglobin a1c (83036) | $61.74 | $98 | 6.4× |
| Hemoglobin electrophoresis (83020) | $112.14 | $178 | 8.7× |
| Hep a ab igm (86709) | $41.58 | $66 | 3.7× |
| Hepatitis a antibody total (86708) | $44.73 | $71 | 3.6× |
| Hepatitis b core ab igm (86705) | $42.84 | $68 | 3.6× |
| Hepatitis b core ab total (86704) | $44.10 | $70 | 3.7× |
| Hepatitis B Surface Antibody (86706) | $39.69 | $63 | 3.7× |
| Hepatitis B Surface Antigen (87340) | $38.43 | $61 | 3.7× |
| Hepatitis Be Antibody (86707) | $66.78 | $106 | 5.8× |
| Hepatitis Be Antigen (87350) | $71.82 | $114 | 6.2× |
| Hepatitis C Antibody (86803) | $52.29 | $83 | 3.7× |
| Hepatitis C Genotype (87902) | $1,472.31 | $2,337 | 5.7× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$154.98–$245.70 | $246–$390 | varies |
| Hepatitis Delta Agent Antibody (86692) | $101.43 | $161 | 5.9× |
| Herpes simplex type 2 (86696) | $122.22 | $194 | 6.3× |
| Heterophile Antibody Screen (86308) | $18.90 | $30 | 3.6× |
| Hfe Gene (81256) | $376.74 | $598 | 5.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $143.64 | $228 | 6.0× |
| HIV-1 p24 antigen (87390) | $87.57 | $139 | 3.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $307.44 | $488 | 3.6× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $268.38 | $426 | 3.6× |
| Hla I Typing 1 Allele Hr (81381) | $371.07 | $589 | 2.2× |
| Hla ii type 1 ag equiv lr (81377) | $392.49 | $623 | 4.1× |
| Homocysteine (83090) | $64.89 | $103 | 3.6× |
| Hpv Types 16 & 18 Only (87625) range across 2 matching MRF lines |
$58.59–$238.14 | $93–$378 | varies |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$119.07–$221.13 | $189–$351 | varies |
| Hydroxyprogesterone 17-d (83498) | $98.28 | $156 | 3.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $51.03 | $81 | 3.7× |
| Iaad Ia Streptococcus Group A (87430) | $61.11 | $97 | 3.6× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $127.26 | $202 | 3.6× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $127.26 | $202 | 3.6× |
| Iadna Hepatitis B Virus Quantification (87517) | $154.98 | $246 | 3.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $238.14 | $378 | 6.8× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $308.70 | $490 | 2.2× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $946.89 | $1,503 | 3.6× |
| Ig Light Chains Free Each (83521) | $49.77 | $79 | 2.9× |
| Igg subclasses (82787) | $52.29 | $83 | 6.5× |
| Immunfix e-phorsis/urine/csf (86335) | $106.47 | $169 | 3.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $66.78 | $106 | 3.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $86.94 | $138 | 5.8× |
| Immunoassay nonantibody (83516) | $42.21 | $67 | 3.7× |
| Immunofixation electrophoresis (86334) | $140.49 | $223 | 6.3× |
| Immunohistochemistry (88342) | $621.81 | $987 | 3.4× |
| Influenza assay w/optic (87804) | $80.64 | $128 | 4.9× |
| Inhibin A (86336) | $56.70 | $90 | 3.6× |
| Inhibin b (83520) | $201.60 | $320 | 11.7× |
| Insulin antibodies (86337) | $78.75 | $125 | 3.7× |
| Insulin total (83525) | $71.82 | $114 | 6.3× |
| Iron (83540) | $41.58 | $66 | 6.4× |
| Iron Binding Capacity (83550) | $54.81 | $87 | 6.3× |
| Islet cell antibody (86341) | $85.68 | $136 | 3.6× |
| Jak2 gene analysis p.val617phe variant (81270) | $527.31 | $837 | 5.8× |
| Koh Prep (87220) | $16.38 | $26 | 3.8× |
| Lactate (ld) (ldh) enzyme (83615) | $39.06 | $62 | 6.5× |
| Lactoferrin Fecal Quantitative (83631) | $71.19 | $113 | 3.6× |
| LDL direct (83721) range across 3 matching MRF lines |
$36.54–$60.48 | $58–$96 | varies |
| Lead (83655) | $44.10 | $70 | 3.6× |
| Legionella antigen urine (87449) | $43.47 | $69 | 3.6× |
| Leukocyte Assessment Fecal (89055) | $16.38 | $26 | 3.8× |
| Level I Surg Pathology Gross Examination Only (88300) | $98.28 | $156 | 3.2× |
| Level ii surg pathology grossµscopic exam (88302) | $221.13 | $351 | 5.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $609.21 | $967 | 1.6× |
| Lipase (83690) | $57.96 | $92 | 8.4× |
| Lipoprotein A (83695) | $52.29 | $83 | 3.7× |
| Lithium (80178) | $24.57 | $39 | 3.7× |
| Luteinizing Hormone (Lh) (83002) | $67.41 | $107 | 3.6× |
| Lyme disease antibody (86618) | $61.74 | $98 | 3.6× |
| M. Genitalium Amp Probe (87563) | $120.96 | $192 | 3.4× |
| Magnesium Urine (83735) | $53.55 | $85 | 8.0× |
| Mass Spectrometry Quant (83789) | $87.57 | $139 | 3.6× |
| Mercury urine (83825) | $59.22 | $94 | 3.6× |
| Methylmalonic acid serum (83921) | $103.95 | $165 | 4.9× |
| Microalbumin, quantitative (82043) | $83.16 | $132 | 14.4× |
| Microsatellite instability (81301) | $2,646 | $4,200 | 7.6× |
| Microsomal Antibodies Each (86376) | $52.92 | $84 | 3.6× |
| Mitochondrial Antibody Each (86381) | $54.81 | $87 | 2.2× |
| Mrsa Pcr (87641) | $127.26 | $202 | 3.6× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$44.73–$47.88 | $71–$76 | varies |
| Mycoplasma antibody (86738) | $48.51 | $77 | 3.7× |
| Natriuretic peptide (83880) | $141.75 | $225 | 3.6× |
| Nfct ds bv&vaginitis DNA alg (81515) | $491.40 | $780 | 1.9× |
| Nuclear antigen antibody (86235) | $134.19 | $213 | 7.5× |
| Occult blood feces (82272) range across 3 matching MRF lines |
$15.12–$20.16 | $24–$32 | varies |
| Osmolality serum (83930) | $24.57 | $39 | 3.7× |
| Osmolality Urine (83935) | $25.83 | $41 | 3.8× |
| Ova and parasites smears (87177) | $32.13 | $51 | 3.6× |
| Parvovirus antibody (86747) | $94.50 | $150 | 6.3× |
| Ph urine (81003) | $9.45 | $15 | 4.2× |
| Phenobarbital Level (80184) | $71.19 | $113 | 4.7× |
| Phenytoin (Dilantin) (80185) | $76.86 | $122 | 5.8× |
| Phosphatase alkaline (84075) | $32.76 | $52 | 6.3× |
| Phospholipid Neutralization Hexagonal (85598) | $102.69 | $163 | 5.7× |
| Phosphorus Serum (84100) | $17.64 | $28 | 3.7× |
| Phosphorus urine (84105) | $21.42 | $34 | 3.7× |
| Platelet count automated (85049) | $17.01 | $27 | 3.8× |
| Prealbumin (84134) | $52.92 | $84 | 3.6× |
| Procalcitonin (Pct) (84145) | $98.91 | $157 | 3.6× |
| Progesterone (84144) | $120.33 | $191 | 5.8× |
| Prolactin (84146) | $69.93 | $111 | 3.6× |
| Protein C Activity (85303) | $51.03 | $81 | 3.7× |
| Protein c antigen (85302) | $44.10 | $70 | 3.7× |
| Protein Electrophoresis Urine (84166) | $64.89 | $103 | 3.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $68.67 | $109 | 6.4× |
| Protein S Free (85306) | $56.07 | $89 | 3.7× |
| Protein s total (85305) | $42.84 | $68 | 3.7× |
| Protein total serum (84155) | $24.57 | $39 | 6.7× |
| Protein Total Urine (84156) | $13.86 | $22 | 3.8× |
| PSA free (84154) | $66.78 | $106 | 3.6× |
| Pth Intact (83970) | $260.19 | $413 | 6.3× |
| Quantiferon tb gold plus (86480) | $223.65 | $355 | 3.6× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$35.28–$68.04 | $56–$108 | varies |
| Rbc antibody identification (86870) | $201.60 | $320 | 0.5× |
| Rbc antibody screen (86850) | $124.11 | $197 | 12.7× |
| Renin activity plasma (84244) | $139.23 | $221 | 6.3× |
| Resp virus 12-25 targets (87633) | $1,641.15 | $2,605 | 3.9× |
| Rh (86901) range across 2 matching MRF lines |
$11.34–$40.32 | $18–$64 | varies |
| Rheumatoid factor quant (86431) | $21.42 | $34 | 3.8× |
| Ristocetin cofactor (85245) | $83.16 | $132 | 3.6× |
| Rpr qualitative (86592) | $16.38 | $26 | 3.8× |
| Rubella Antibody (86762) | $52.29 | $83 | 3.6× |
| Rubeola antibody (86765) | $47.25 | $75 | 3.7× |
| Russell Viper Venom Time Diluted (85613) | $34.02 | $54 | 3.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$73.08–$162.54 | $116–$258 | varies |
| Sars-Cov-2 Covid19 W/Optic (87811) | $115.92 | $184 | 2.8× |
| Sedimentation Rate, Automated (85652) | $10.71 | $17 | 4.0× |
| Semen Anal Sperm Detection (89321) range across 2 matching MRF lines |
$41.58–$44.10 | $66–$70 | varies |
| Sensitivity mic (87186) | $31.50 | $50 | 3.6× |
| Sex Hormone Binding Globulin (84270) | $79.38 | $126 | 3.7× |
| Sickling of rbc reduction (85660) | $34.02 | $54 | 6.2× |
| Smear acid fast (87206) | $34.02 | $54 | 6.3× |
| Smear complex stain (87209) | $64.89 | $103 | 3.6× |
| Smear gram stain (87205) | $27.72 | $44 | 6.5× |
| Smear Special Stain (87207) | $22.05 | $35 | 3.7× |
| Smn1 Gene Dos/Deletion Alys (81329) | $493.29 | $783 | 3.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $22.05 | $35 | 3.8× |
| Sodium Serum (84295) | $18.27 | $29 | 3.8× |
| Sodium Urine (84300) | $18.90 | $30 | 3.7× |
| Somatomedin (84305) | $132.93 | $211 | 6.3× |
| Special Stains Group 1 (88312) | $756 | $1,200 | 13.6× |
| Special Stains Group 2 (88313) | $609.21 | $967 | 4.3× |
| Strep a DNA amp probe (87651) | $120.96 | $192 | 3.4× |
| Surg path level iii (88304) | $269.64 | $428 | 4.8× |
| Surgical pathology level IV (88305) | $297.36 | $472 | 5.3× |
| T cells absolute cd4 count (86361) | $97.02 | $154 | 3.6× |
| T3 Free (84481) | $107.10 | $170 | 6.3× |
| T3 reverse (84482) | $90.72 | $144 | 5.8× |
| T3 Total (84480) | $51.66 | $82 | 3.6× |
| T3 Uptake (84479) | $41.58 | $66 | 6.4× |
| T4 Free (84439) | $100.80 | $160 | 11.2× |
| T4 total (84436) | $40.32 | $64 | 5.9× |
| Tacrolimus (80197) | $50.40 | $80 | 3.7× |
| Testosterone total (84403) | $93.87 | $149 | 3.6× |
| Testosterone, Free (84402) | $92.61 | $147 | 3.6× |
| Thrombin Time (85670) | $21.42 | $34 | 3.7× |
| Thromboplastin Inhibition Tissue (85705) | $35.91 | $57 | 3.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $23.94 | $38 | 3.7× |
| Thyroglobulin (84432) | $100.80 | $160 | 6.3× |
| Thyroglobulin Antibody (86800) | $57.96 | $92 | 3.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $183.96 | $292 | 3.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $42.21 | $67 | 3.7× |
| Topiramate (80201) | $80.64 | $128 | 6.8× |
| Transferase Aspartate Amino Ast Sgot (84450) | $18.90 | $30 | 3.6× |
| Trichomonas vagin dir probe (87660) | $73.08 | $116 | 3.6× |
| Trichomonas Vaginalis Amplif (87661) | $127.26 | $202 | 3.6× |
| Triglycerides (84478) | $21.42 | $34 | 3.7× |
| Troponin Quant (84484) | $120.96 | $192 | 9.7× |
| Tumor Immunohistochem/Manual (88360) | $725.13 | $1,151 | 4.0× |
| Uric acid other source (84560) | $27.72 | $44 | 5.5× |
| Urinalysis Volume Measure (81050) | $19.53 | $31 | 5.4× |
| Urine Pregnancy Test (81025) | $31.50 | $50 | 3.7× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $43.47 | $69 | 13.7× |
| Valproic acid (80164) | $86.31 | $137 | 6.4× |
| Vancomycin (80202) | $49.77 | $79 | 3.7× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$44.10–$47.25 | $70–$75 | varies |
| Viral Culture (87252) | $94.50 | $150 | 3.6× |
| Virus antibody nos (86790) | $47.25 | $75 | 3.7× |
| Vitamin A (84590) | $93.87 | $149 | 8.1× |
| Vitamin b-12 (82607) | $90.09 | $143 | 6.0× |
| Vitamin B6 (84207) | $101.43 | $161 | 3.6× |
| Vitamin D 25-Hydroxy (82306) | $209.79 | $333 | 7.1× |
| Vitamin E (84446) | $93.87 | $149 | 6.6× |
| Vitamin K (84597) | $87.57 | $139 | 6.4× |
| Von willebrand factor ag (85246) | $83.16 | $132 | 3.6× |
| Zinc (84630) | $41.58 | $66 | 3.7× |
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.