Lab & pathology prices at Appleton Area Health

Appleton, MN · every code in this section with a posted price and a Medicare benchmark.

377 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $141.10 $166 7.7×
Acth (82024) $100.30 $118 2.6×
Actin smooth muscle antibody each (86015)
range across 2 matching MRF lines
$49.30–$70.55 $58–$83 varies
Acute hepatitis panel (80074) $316.20 $372 6.6×
Albumin Fluid (82042) $27.20 $32 3.5×
Albumin serum (82040) $81.60 $96 16.5×
Aldolase (82085) $42.50 $50 4.4×
Aldosterone urine (82088)
range across 2 matching MRF lines
$129.20–$171.70 $152–$202 varies
Alkaline phosphatase isoenzymes (84080) $78.20 $92 5.3×
Allergen specific ige (86003)
range across 6 matching MRF lines
$31.45–$111.35 $37–$131 varies
Alpha-1-antitrypsin total (82103) $40.80 $48 3.0×
Alpha-Fetoprotein Serum (82105) $47.60 $56 2.8×
Alt (sgpt) (84460) $81.60 $96 15.4×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $330.65 $389 19.6×
Ammonia (82140)
range across 2 matching MRF lines
$62.90–$260.10 $74–$306 varies
Amylase urine (82150) $110.50 $130 17.1×
Ana Titer (86039) $38.25 $45 3.4×
Anca screen each antibody (86036)
range across 2 matching MRF lines
$101.15–$113.05 $119–$133 varies
Angiotensin converting enzyme csf (82164) $47.60 $56 3.3×
Antibody aspergillus (86606) $110.50 $130 7.3×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $136 $160 8.8×
Antibody Cytomegalovirus Cmv Igm (86645) $100.30 $118 6.0×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $134.30 $158 8.8×
Antibody Fungus Not Elsewhere Specified (86671) $205.70 $242 16.8×
Antibody Herpes Smplx Type 1 (86695) $30.60 $36 2.3×
Antibody Protozoa Nes (86753) $71.40 $84 5.8×
Antibody Treponema Pallidum (86780) $42.50 $50 3.2×
Antigen typing (86905) $72.25 $85 18.9×
Antinuclear antibodies (86038) $143.65 $169 11.9×
Antistreptolysin o titer (86060)
range across 2 matching MRF lines
$27.20–$66.30 $32–$78 varies
Antithrombin iii activity (85300) $94.35 $111 8.0×
Apolipoprotein a1 (82172) $56.95 $67 2.7×
Arsenic (82175) $100.30 $118 5.3×
Assay activated protein c (85307) $147.90 $174 9.7×
Assay Blood Carbon Dioxide (82374) $68 $80 13.9×
Assay Nephelometry Not Spec (83883)
range across 2 matching MRF lines
$62.05–$83.30 $73–$98 varies
Assay of 5-hiaa (83497) $75.65 $89 5.9×
Assay of blood/uric acid (84550) $111.35 $131 24.6×
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$56.10–$59.50 $66–$70 varies
Assay of gammaglobulin igm (82784)
range across 2 matching MRF lines
$35.70–$51.85 $42–$61 varies
Assay of lactic acid (83605) $153 $180 13.2×
Assay of metanephrines (83835)
range across 3 matching MRF lines
$68.85–$336.60 $81–$396 varies
Assay of serum potassium (84132) $119.85 $141 25.2×
Assay of urea nitrogen (84520) $99.45 $117 25.2×
Assay of urine vma (84585) $66.30 $78 4.3×
Assay of vitamin b-1 (84425) $210.80 $248 9.9×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$19.55–$141.95 $23–$167 varies
Assay spec xcp ur&breath ia (82077) $47.60 $56 2.8×
Automated Leukocyte Count (85048) $58.65 $69 23.1×
B cells total count (86355) $58.65 $69 1.6×
Babesia microti amp prb (87469) $22.95 $27 0.7×
Bcr/abl1 gene major bp (81206)
range across 2 matching MRF lines
$295.80–$1,075.25 $348–$1,265 varies
Bcr/abl1 gene minor bp (81207)
range across 2 matching MRF lines
$295.80–$308.55 $348–$363 varies
Bcr/Abl1 Gene Other Bp (81208)
range across 2 matching MRF lines
$316.20–$351.90 $372–$414 varies
Beta 2 glycoprotein i antibody each (86146) $100.30 $118 3.9×
Beta Lactamase (87185) $57.80 $68 12.2×
Bilirubin direct (82248) $53.55 $63 10.7×
Bilirubin total (82247) $66.30 $78 13.2×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $117.30 $138 0.7×
Blood Count Automated Differential Wbc Count (85004) $94.35 $111 14.6×
Blood count reticulocyte automated (85045) $73.95 $87 18.5×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $76.50 $90 20.1×
Blood gases w/02 saturation (82805) $342.55 $403 4.3×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $120.70 $142 7.6×
Blood Type Antigen Donor Reagent Serum Each (86902) $80.75 $95 12.7×
Blood typing serologic abo (86900) $73.95 $87 24.7×
Body fluid cell count (89050)
range across 3 matching MRF lines
$33.15–$198.90 $39–$234 varies
Borrelia miyamotoi amp prb (87478) $73.10 $86 2.1×
Breath Alcohol Test (82075) $74.80 $88 2.5×
C diff amplified probe (87493) $204.85 $241 5.5×
C-Peptide (84681) $158.10 $186 7.6×
C-reactive protein (86140) $110.50 $130 21.3×
Ca 19-9 (86301) $219.30 $258 10.5×
Cadmium (82300) $50.15 $59 2.1×
Calcium ionized (82330) $116.45 $137 8.5×
Calcium total (82310) $123.25 $145 23.9×
Calculus Spectroscopy (82365) $125.80 $148 9.8×
Calprotectin Fecal (83993) $496.40 $584 25.3×
Calr gene com variants (81219) $1,014.05 $1,193 8.3×
Cancer Antigen 125 (86304) $190.40 $224 9.1×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$63.75–$70.55 $75–$83 varies
Carbamazepine total (80156) $48.45 $57 3.3×
Carboxyhemoglobin (82375) $69.70 $82 5.7×
Carcinoembryonic antigen (82378) $243.10 $286 12.8×
Cardiolipin ab iga (86147) $57.80 $68 2.3×
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$110.50–$124.10 $130–$146 varies
Ccp antibody (86200) $130.90 $154 10.1×
Cell count csf (89051)
range across 3 matching MRF lines
$31.45–$40.80 $37–$48 varies
Ceruloplasmin (82390) $183.60 $216 17.1×
Cftr gene com variants (81220) $481.10 $566 0.9×
Cftr gene dup/delet variants (81222) $385.90 $454 0.9×
Chloride Serum (82435) $99.45 $117 21.6×
Chloride urine (82436) $48.45 $57 8.4×
Cholesterol total (82465) $111.35 $131 25.6×
Chorionic gonadotropin test (84702) $136.85 $161 9.1×
Chromogranin a (86316) $96.05 $113 4.6×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $153 $180 4.4×
Citric acid urine (82507) $133.45 $157 4.8×
Ckmb (82553) $206.55 $243 17.9×
Cns DNA amp probe type 12-25 (87483) $1,052.30 $1,238 2.5×
Coccidioides antibody (86635)
range across 3 matching MRF lines
$50.15–$138.55 $59–$163 varies
Column Chromotography Quant (82542)
range across 2 matching MRF lines
$164.05–$210.80 $193–$248 varies
Compatibility test antiglob (86922) $63.75 $75 0.4×
Complement Antigen Each Component (86160)
range across 2 matching MRF lines
$56.10–$101.15 $66–$119 varies
Complement Total (Ch50) (86162) $70.55 $83 3.5×
Consltj&Reprt Material Requiring Prepj Slides (88323) $570.35 $671 10.6×
Consltj&Reprt Slides Prepared Elsewhere (88321) $559.30 $658 14.5×
Coombs direct (86880) $56.95 $67 10.6×
Copper urine (82525) $118.15 $139 9.5×
Cortisol free (82530) $55.25 $65 3.3×
Cortisol saliva (82533) $165.75 $195 10.2×
Creatine kinase total (82550) $155.55 $183 23.9×
Creatinine blood (82565) $131.75 $155 25.7×
Creatinine clearance (82575) $33.15 $39 3.5×
Creatinine Urine (82570)
range across 3 matching MRF lines
$22.95–$73.95 $27–$87 varies
Crossmatch immediate spin (86920) $158.95 $187 0.9×
Crp High Sensitivity (86141) $102 $120 7.9×
Cryofibrinogen (82585) $87.55 $103 6.2×
Cryoglobulin (82595) $105.40 $124 16.3×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$85–$159.80 $100–$188 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines
$47.60–$317.90 $56–$374 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines
$86.70–$120.70 $102–$142 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $72.25 $85 9.4×
Culture afb (87116) $141.95 $167 13.1×
Culture Anaerobic (87075) $190.40 $224 20.1×
Culture blood (87040) $194.65 $229 18.9×
Culture csf (87070)
range across 4 matching MRF lines
$38.25–$132.60 $45–$156 varies
Culture fungus (87102) $51 $60 6.1×
Culture fungus blood (87103) $140.25 $165 6.9×
Culture screen only (87081)
range across 2 matching MRF lines
$62.90–$93.50 $74–$110 varies
Culture stool (87045) $120.70 $142 12.8×
Culture urine (87086) $40.80 $48 5.1×
Cytogenetics 100-300 (88275) $353.60 $416 6.9×
Cytomegalovirus igg (86644) $59.50 $70 4.1×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $173.40 $204 6.5×
Cytp Concentration Smears & Interpretation (88108) $121.55 $143 3.2×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $124.10 $146 2.3×
Deoxyribonuclease antibody (86215) $50.15 $59 3.8×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines
$62.90–$511.70 $74–$602 varies
Detect Agent Nos Dna Quant (87799) $236.30 $278 5.5×
Dhea (82626) $235.45 $277 9.3×
Dhea-S (82627) $78.20 $92 3.5×
Digoxin (80162) $162.35 $191 12.2×
Dna Antibody Native/Double Stranded (86225) $62.90 $74 4.6×
Dna/Rna Amplified Probe (87150) $70.55 $83 2.0×
Drug assay acetaminophen (80143) $71.40 $84 3.8×
Drug assay felbamate (80167) $105.40 $124 5.7×
Drug Assay Infliximab (80230) $288.15 $339 7.5×
Drug Screen Quant Zonisamide (80203) $136 $160 10.3×
Drug Screen Quantitative Lamotrigine (80175) $210.80 $248 15.9×
Drug Screen Quantitative Levetiracetam (80177) $232.05 $273 17.5×
Drug Screen Quantitative Oxcarbazepine (80183) $66.30 $78 5.0×
Drug Test Prsmv Instrmnt (80306) $105.40 $124 6.1×
Ehrlichia antibody (86666) $51.85 $61 5.1×
El-1 Fecal Quantitative (82653) $248.20 $292 10.8×
Electrolyte panel (80051) $98.60 $116 14.1×
Erythropoietin (82668) $171.70 $202 9.1×
Estradiol serum (82670) $68.85 $81 2.5×
Estrogens fractionated (82671) $73.10 $86 2.3×
Exam Synovial Fluid Crystals (89060) $41.65 $49 5.7×
F2 Gene (81240)
range across 2 matching MRF lines
$491.30–$521.90 $578–$614 varies
Factor v leiden mutation (81241) $175.10 $206 2.4×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $178.50 $210 27.3×
Fecal Fat Qualitative (82705) $33.15 $39 6.5×
Ferritin (82728) $139.40 $164 10.2×
Fetal Chrmoml Aneuploidy (81420) $1,599.70 $1,882 2.1×
Fetal Congenital Abnor Assay Four Anal (81511) $94.35 $111 0.6×
Fibrin Degradation Quant (85379) $158.95 $187 15.6×
Fibrinogen activity (85384)
range across 2 matching MRF lines
$48.45–$87.55 $57–$103 varies
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390)
range across 2 matching MRF lines
$73.10–$117.30 $86–$138 varies
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$47.60–$100.30 $56–$118 varies
Folic Acid Serum (82746) $174.25 $205 11.9×
Follicle Stimulating Hormone (83001) $167.45 $197 9.0×
Fungi Identification Mold (87107) $136.85 $161 13.3×
Fungi Identification Yeast (87106) $88.40 $104 8.6×
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$45.90–$52.70 $54–$62 varies
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507)
range across 2 matching MRF lines
$870.40–$923.95 $1,024–$1,087 varies
Ggt (82977) $17 $20 2.4×
Glucose 2 hr pp (82950) $107.10 $126 22.5×
Glucose body fluid (82945) $50.15 $59 12.8×
Glucose Serum (82947) $92.65 $109 23.6×
Glucose tolerance test (gtt) (82951) $173.40 $204 13.5×
Gonadotropin Chorionic Qualitative (84703) $113.90 $134 15.1×
Gtt-added samples (82952) $30.60 $36 7.8×
Haptoglobin (83010) $111.35 $131 8.9×
Hdl Cholesterol (83718) $74.80 $88 9.1×
Helicobacter Pylori Stool (87338) $176.80 $208 12.3×
Hematocrit (85014) $68.85 $81 29.1×
Hemoglobin (85018) $64.60 $76 27.3×
Hemoglobin a1c (83036) $107.10 $126 11.0×
Hep a ab igm (86709) $124.10 $146 11.0×
Hepatitis a antibody total (86708) $62.90 $74 5.1×
Hepatitis b core ab igm (86705) $119.85 $141 10.2×
Hepatitis b core ab total (86704) $94.35 $111 7.8×
Hepatitis B Surface Antibody (86706) $99.45 $117 9.3×
Hepatitis B Surface Antigen (87340) $110.50 $130 10.7×
Hepatitis Be Antibody (86707) $68 $80 5.9×
Hepatitis Be Antigen (87350) $51.85 $61 4.5×
Hepatitis C Antibody (86803) $132.60 $156 9.3×
Hepatitis C Revrs Trnscrpj (87522) $400.35 $471 9.3×
Hereditary brst ca-related gen seq analys 10 gen (81432) $5,415.35 $6,371 4.2×
Herpes simplex type 2 (86696) $50.15 $59 2.6×
Heterophile Antibody Screen (86308) $80.75 $95 15.6×
Hfe Gene (81256) $523.60 $616 8.0×
Histamine urine (83088) $310.25 $365 10.5×
Histoplasma antibody (86698) $35.70 $42 2.6×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $185.30 $218 7.7×
Hiv-1 Quant&Revrse Trnscrpj (87536) $230.35 $271 2.7×
Homocysteine (83090) $158.10 $186 8.8×
Hpv High-Risk Types (87624) $138.55 $163 3.9×
Hsv Dna Amp Probe (87529) $181.90 $214 5.2×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $212.50 $250 6.0×
Iaad Ia Streptococcus Group A (87430) $87.55 $103 5.2×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $73.10 $86 2.1×
Iadna chlamydia pneumoniae amplified probe tq (87486) $34.85 $41 1.0×
Iadna Cytomegalovirus Quantification (87497) $204 $240 4.8×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $73.10 $86 2.1×
Iadna Hepatitis B Virus Quantification (87517) $354.45 $417 8.3×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $34.85 $41 1.0×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $479.40 $564 13.7×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $93.50 $110 2.7×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $210.80 $248 1.5×
Ig Light Chains Free Each (83521) $143.65 $169 8.3×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $469.20 $552 1.3×
Immunoassay nonantibody (83516)
range across 5 matching MRF lines
$51–$118.15 $60–$139 varies
Immunofixation electrophoresis (86334) $147.90 $174 6.6×
Immunofluorescence per spec 1st singl antb stain (88346) $70.55 $83 0.4×
Immunohistochemistry (88342) $347.65 $409 2.0×
Influenza assay w/optic (87804)
range across 2 matching MRF lines
$72.25–$94.35 $85–$111 varies
Influenza DNA amp probe (87502) $192.10 $226 2.0×
Inhibin b (83520)
range across 3 matching MRF lines
$83.30–$194.65 $98–$229 varies
Insitu hybridization manual (88368) $357 $420 1.0×
Insulin antibodies (86337) $122.40 $144 5.7×
Insulin total (83525) $53.55 $63 4.7×
Iron (83540) $75.65 $89 11.7×
Iron Binding Capacity (83550) $113.90 $134 13.0×
Islet cell antibody (86341)
range across 2 matching MRF lines
$65.45–$213.35 $77–$251 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 3 matching MRF lines
$736.95–$868.70 $867–$1,022 varies
Koh Prep (87220) $68 $80 15.9×
Lactate (ld) (ldh) enzyme (83615) $115.60 $136 19.1×
Lactoferrin fecal qualitative (83630) $120.70 $142 6.1×
LDL direct (83721) $85.85 $101 8.2×
Lead (83655)
range across 2 matching MRF lines
$30.60–$90.10 $36–$106 varies
Legionella antigen urine (87449)
range across 2 matching MRF lines
$118.15–$323 $139–$380 varies
Level I Surg Pathology Gross Examination Only (88300) $105.40 $124 3.5×
Level ii surg pathology gross&microscopic exam (88302) $178.50 $210 4.6×
Level V Surg Pathology Gross&Microscopic Exam (88307) $423.30 $498 1.1×
Lidocaine (80176) $434.35 $511 29.6×
Lipase (83690) $106.25 $125 15.4×
Lipoprotein A (83695) $55.25 $65 3.9×
Lithium (80178) $123.25 $145 18.6×
Luteinizing Hormone (Lh) (83002) $101.15 $119 5.5×
Lyme disease antibody (86618) $119 $140 7.0×
Magnesium Urine (83735) $95.20 $112 14.2×
Mercury urine (83825) $28.05 $33 1.7×
Methylmalonic acid serum (83921)
range across 2 matching MRF lines
$117.30–$130.90 $138–$154 varies
Microalbumin, quantitative (82043) $105.40 $124 18.2×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$84.15–$99.45 $99–$117 varies
Mitochondrial Antibody Each (86381)
range across 2 matching MRF lines
$45.05–$68.85 $53–$81 varies
Molecular Cytogenetics Dna Probe Each (88271) $159.80 $188 7.5×
Mononuclear cell antigen (86356) $328.10 $386 12.3×
Mopath procedure level 4 (81403) $1,477.30 $1,738 8.0×
Mpl gene analysis sequence analysis exon 10 (81339) $739.50 $870 4.0×
Mrsa Pcr (87641) $148.75 $175 4.2×
Mumps antibody (86735) $73.95 $87 5.7×
Muscle-Specific Kinase Antb (86366) $1,592.05 $1,873 86.5×
Mycoplasma antibody (86738)
range across 2 matching MRF lines
$31.45–$141.95 $37–$167 varies
Myoglobin urine (83874) $266.05 $313 20.6×
Natriuretic peptide (83880)
range across 2 matching MRF lines
$248.20–$263.50 $292–$310 varies
Neutralization Test Viral (86382) $379.10 $446 22.4×
Nfct ds bv&vaginitis DNA alg (81515) $447.10 $526 1.7×
Nk cells total count (86357) $47.60 $56 1.3×
Nuclear antigen antibody (86235)
range across 3 matching MRF lines
$57.80–$119 $68–$140 varies
Occult blood feces (82272) $117.30 $138 27.7×
Osmolality serum (83930) $32.30 $38 4.9×
Osmolality Urine (83935)
range across 2 matching MRF lines
$75.65–$81.60 $89–$96 varies
Ova and parasites smears (87177) $119.85 $141 13.5×
Oxalate urine (83945) $66.30 $78 4.6×
Ph urine (81003) $57 $57 25.3×
Phenytoin (Dilantin) (80185) $162.35 $191 12.3×
Phenytoin free (80186) $116.45 $137 8.5×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$19.55–$93.50 $23–$110 varies
Phosphorus Serum (84100) $72.25 $85 15.2×
Phosphorus urine (84105) $28.90 $34 5.0×
Platelet count automated (85049) $64.60 $76 14.4×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $1,623.50 $1,910 8.0×
Potassium Urine (84133) $47.60 $56 10.1×
Prealbumin (84134) $77.35 $91 5.3×
Procalcitonin (Pct) (84145)
range across 2 matching MRF lines
$254.15–$377.40 $299–$444 varies
Progesterone (84144) $180.20 $212 8.6×
Prolactin (84146) $146.20 $172 7.5×
Protein body fluid (84157)
range across 2 matching MRF lines
$50.15–$51 $59–$60 varies
Protein C Activity (85303)
range across 2 matching MRF lines
$85.85–$101.15 $101–$119 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $136.85 $161 12.7×
Protein S Free (85306)
range across 3 matching MRF lines
$102–$162.35 $120–$191 varies
Protein s total (85305) $68 $80 5.9×
Protein total serum (84155) $64.60 $76 17.6×
Protein Total Urine (84156) $24.65 $29 6.7×
PSA free (84154) $107.95 $127 5.9×
Pth Intact (83970) $271.15 $319 6.6×
Quantiferon tb gold plus (86480) $234.60 $276 3.8×
Quantitative assay drug (80299) $192.95 $227 10.4×
Rbc antibody identification (86870) $112.20 $132 0.3×
Rbc antibody screen (86850) $125.80 $148 12.9×
Renin activity plasma (84244) $64.60 $76 2.9×
Resp virus 12-25 targets (87633) $880.60 $1,036 2.1×
Resp Virus 6-11 Targets (87632) $233.75 $275 1.1×
Reticulocyte Count (85046) $33.15 $39 6.0×
Rh (86901) $64.60 $76 21.6×
Rheumatoid factor quant (86431) $118.15 $139 20.8×
Rpr qualitative (86592) $73.10 $86 17.1×
Rubella Antibody (86762) $94.35 $111 6.6×
Rubeola antibody (86765) $88.40 $104 6.9×
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$47.60–$79.90 $56–$94 varies
Salicylate Level (80179) $125.80 $148 6.7×
Sars-Cov-2 Covid-19 Amp Prb (87635) $212.50 $250 4.1×
Sars-cov-2 COVID-19 antibody (86769) $119 $140 2.8×
Sedimentation Rate, Automated (85652) $66.30 $78 24.6×
Sensitivity mic (87186) $116.45 $137 13.5×
Sex Hormone Binding Globulin (84270) $86.70 $102 4.0×
Sickling of rbc reduction (85660) $123.25 $145 22.4×
Skin test tuberculosis intradermal (86580) $118.15 $139 4.0×
Smear acid fast (87206) $57.80 $68 10.7×
Smear complex stain (87209) $58.65 $69 3.3×
Smear gram stain (87205) $62.05 $73 14.5×
Smr Prim Src Wet Mount Nfct Agt (87210) $53.55 $63 9.2×
Sodium Serum (84295) $119.85 $141 24.9×
Sodium Urine (84300)
range across 2 matching MRF lines
$21.25–$96.90 $25–$114 varies
Somatomedin (84305) $105.40 $124 5.0×
Special Stains Group 1 (88312) $299.20 $352 5.6×
Special Stains Group 2 (88313) $191.25 $225 1.4×
Specimen infect agnt concntj (87015) $152.15 $179 22.8×
Stool cultr aerobic bact ea (87046) $88.40 $104 9.4×
Strep a assay w/optic (87880) $56.95 $67 3.4×
Strep a DNA amp probe (87651) $153.85 $181 4.4×
Strep b DNA amp probe (87653) $153.85 $181 4.4×
Sulfate urine (84392) $21.25 $25 3.9×
Surg path level iii (88304) $250.75 $295 4.7×
Surgical pathology level IV (88305) $266.05 $313 4.9×
Susceptibility Study Antimicrobial Disk Method (87184) $36.55 $43 4.9×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $58.65 $69 1.2×
T cells total count (86359) $47.60 $56 1.3×
T3 Free (84481) $199.75 $235 11.8×
T3 Total (84480) $165.75 $195 11.7×
T4 Free (84439) $110.50 $130 12.3×
T4 total (84436) $115.60 $136 16.8×
Testosterone total (84403) $200.60 $236 7.8×
Testosterone, Free (84402) $139.40 $164 5.5×
Theophylline (80198) $136 $160 9.6×
Thrombin Time (85670) $42.50 $50 7.4×
Thyroglobulin (84432) $80.75 $95 5.0×
Thyroglobulin Antibody (86800) $123.25 $145 7.7×
Thyroid Stimulating Immunoglobulin (84445) $224.40 $264 4.4×
Touch prep (88161) $62.90 $74 2.1×
Transferase Aspartate Amino Ast Sgot (84450) $79.90 $94 15.4×
Transferrin (84466) $158.95 $187 12.5×
Triglycerides (84478) $119.85 $141 20.9×
Troponin Quant (84484)
range across 3 matching MRF lines
$136.85–$196.35 $161–$231 varies
Tumor Immunohistochem/Manual (88360) $338.30 $398 1.9×
Unlisted Transfusion Medicine Procedure (86999) $591.60 $696 19.8×
Urea nitrogen urine (84540) $105.40 $124 19.0×
Uric acid other source (84560) $21.25 $25 4.2×
Urinalysis Microscopic Only (81015) $42.50 $50 13.9×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $94.35 $111 29.8×
Valproic acid (80164) $158.10 $186 11.7×
Vancomycin (80202) $183.60 $216 13.6×
Varicella-zoster antibody (86787) $162.35 $191 12.6×
Vasopressin (84588) $236.30 $278 7.0×
Vit D 1 25-Dihydroxy (82652) $299.20 $352 7.8×
Vitamin A (84590) $62.90 $74 5.4×
Vitamin b-12 (82607) $178.50 $210 11.8×
Vitamin B6 (84207)
range across 2 matching MRF lines
$86.70–$187.85 $102–$221 varies
Vitamin c (82180) $89.25 $105 9.0×
Vitamin D 25-Hydroxy (82306) $204.85 $241 6.9×
Vitamin E (84446) $62.90 $74 4.4×
Vitamin K (84597) $209.10 $246 15.2×
Zinc (84630) $74.80 $88 6.6×

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.