Lab & pathology prices at Arkansas Valley Regional Medical Center
La Junta, CO · every code in this section with a posted price and a Medicare benchmark.
335 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $105 | $175 | 2.7× |
| Albumin Fluid (82042) | $59 | $98 | 7.6× |
| Albumin serum (82040) | $50 | $83 | 10.1× |
| Aldolase (82085) | $10 | $16 | 1.0× |
| Aldosterone urine (82088) | $7 | $11 | 0.2× |
| Alpha-1-antitrypsin total (82103) | $74 | $123 | 5.5× |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$12–$88 | $20–$146 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$8–$59 | $13–$98 | varies |
| Amikacin trough (80150) | $5 | $8 | 0.3× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$211–$225 | $352–$375 | varies |
| Ammonia (82140) | $113 | $189 | 7.8× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $88 | $146 | 0.9× |
| Amylase urine (82150) | $53 | $88 | 8.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $55 | $91 | 3.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $61 | $102 | 4.6× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $25 | $42 | 1.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $25 | $42 | 1.4× |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$28–$122 | $46–$203 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $254 | $424 | 17.7× |
| Antibody Herpes Smplx Type 1 (86695) | $62 | $103 | 4.7× |
| Antibody identification leukocyte antibodies (86021) | $122 | $203 | 8.1× |
| Antibody Titer (86886) | $77 | $128 | 14.9× |
| Antinuclear antibodies (86038) | $99 | $165 | 8.2× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$4–$57 | $6–$95 | varies |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$107–$131 | $179–$218 | varies |
| Assay activated protein c (85307) | $205 | $341 | 13.4× |
| Assay Blood Carbon Dioxide (82374) | $53 | $88 | 10.9× |
| Assay of 5-hiaa (83497) | $98 | $163 | 7.6× |
| Assay of blood/uric acid (84550) | $60 | $100 | 13.3× |
| Assay of calcium in urine (82340) | $71 | $119 | 11.8× |
| Assay of cpk in blood (82552) | $97 | $161 | 7.2× |
| Assay of gammaglobulin igm (82784) | $61 | $102 | 6.6× |
| Assay of lactic acid (83605) | $121 | $202 | 10.5× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$24–$143 | $40–$238 | varies |
| Assay of prostate specific antigen complexed (84152) | $30 | $50 | 1.6× |
| Assay of serotonin (84260) | $68 | $114 | 2.2× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$7–$53 | $12–$89 | varies |
| Assay of urea nitrogen (84520) | $53 | $89 | 13.4× |
| Assay of urine vma (84585) | $89 | $149 | 5.7× |
| Assay of vitamin b-1 (84425) | $184 | $307 | 8.7× |
| Assay Ph Body Fluid Nos (83986) | $24 | $40 | 6.7× |
| Automated Leukocyte Count (85048) | $25 | $42 | 9.8× |
| Bacterial antigens 87802 (87802) | $226 | $376 | 17.8× |
| Beta 2 glycoprotein i antibody each (86146) | $136 | $226 | 5.3× |
| Beta Lactamase (87185) | $76 | $127 | 16.0× |
| Bile acids total (82239) | $4 | $6 | 0.2× |
| Bilirubin direct (82248) | $29 | $48 | 5.8× |
| Bilirubin total (82247) | $50 | $83 | 10.0× |
| Bilirubin total transcutaneous (88720) | $19 | $31 | 3.8× |
| Bleeding time test (85002) | $62 | $103 | 12.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $11 | $19 | 2.9× |
| Blood count spun microhematocrit (85013) | $29 | $49 | 4.1× |
| Blood gas (82803) range across 7 matching MRF lines |
$39–$152 | $65–$253 | varies |
| Blood gases w/02 saturation (82805) | $166 | $276 | 2.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $32 | $53 | 2.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $37 | $62 | 8.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $40 | $66 | 6.3× |
| Blood typing serologic abo (86900) | $48 | $80 | 16.1× |
| C-Peptide (84681) | $79 | $132 | 3.8× |
| C-reactive protein (86140) | $49 | $82 | 9.5× |
| Ca 19-9 (86301) | $11 | $19 | 0.5× |
| Calcium ionized (82330) | $82 | $137 | 6.0× |
| Calcium total (82310) | $50 | $83 | 9.7× |
| Calculus assay quant (82360) | $85 | $142 | 6.6× |
| Calprotectin Fecal (83993) | $88 | $147 | 4.5× |
| Cancer Antigen 125 (86304) | $29 | $48 | 1.4× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$11–$13 | $19–$22 | varies |
| Carbamazepine total (80156) | $109 | $182 | 7.5× |
| Carboxyhemoglobin (82375) | $97 | $161 | 7.9× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$11–$31 | $19–$51 | varies |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$97–$104 | $161–$173 | varies |
| Catecholamines fractionated (82384) | $174 | $290 | 6.9× |
| Ccp antibody (86200) | $10 | $16 | 0.8× |
| Cell count csf (89051) range across 2 matching MRF lines |
$81–$88 | $135–$146 | varies |
| Cell marker study (88182) | $193 | $322 | 3.5× |
| Chloride other source (82438) | $62 | $103 | 12.4× |
| Chloride Serum (82435) | $62 | $103 | 13.5× |
| Chloride urine (82436) | $53 | $88 | 9.2× |
| Chorionic gonadotropin test (84702) | $151 | $251 | 10.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $22 | $37 | 0.6× |
| Citric acid urine (82507) | $169 | $282 | 6.1× |
| Ckmb (82553) | $71 | $119 | 6.1× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$91–$99 | $151–$165 | varies |
| Cold agglutinin titer (86157) | $79 | $132 | 9.8× |
| Compatibility Each Unit Incubation (86921) | $184 | $307 | 1.0× |
| Compatibility test antiglob (86922) | $184 | $307 | 1.0× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$20–$106 | $34–$177 | varies |
| Complement Total (Ch50) (86162) | $137 | $229 | 6.7× |
| Coombs direct (86880) | $64 | $107 | 11.9× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$4–$115 | $6–$192 | varies |
| Creatine kinase total (82550) | $43 | $71 | 6.6× |
| Creatinine blood (82565) | $50 | $83 | 9.8× |
| Creatinine clearance (82575) | $124 | $206 | 13.1× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$88–$96 | $146–$160 | varies |
| Crossmatch immediate spin (86920) | $184 | $307 | 1.0× |
| Cryoglobulin (82595) | $226 | $376 | 34.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$12–$79 | $20–$131 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $49 | $81 | 6.1× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $64 | $107 | 8.3× |
| Culture afb (87116) | $136 | $226 | 12.6× |
| Culture Anaerobic (87075) | $175 | $291 | 18.5× |
| Culture blood (87040) | $122 | $203 | 11.8× |
| Culture csf (87070) range across 12 matching MRF lines |
$64–$85 | $107–$142 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$75–$134 | $125–$223 | varies |
| Culture fungus blood (87103) | $125 | $208 | 6.1× |
| Culture screen only (87081) range across 2 matching MRF lines |
$75–$82 | $125–$136 | varies |
| Culture stool (87045) | $90 | $150 | 9.5× |
| Culture urine (87086) range across 2 matching MRF lines |
$11–$62 | $18–$103 | varies |
| Cyclosporine (80158) | $123 | $205 | 6.8× |
| Cystatin C (82610) | $16 | $27 | 0.9× |
| Cytomegalovirus igg (86644) | $55 | $91 | 3.8× |
| Cytp Concentration Smears & Interpretation (88108) | $56 | $93 | 1.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 2 matching MRF lines |
$36–$39 | $60–$65 | varies |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$66–$86 | $110–$144 | varies |
| Detect Agent Nos Dna Quant (87799) | $62 | $104 | 1.4× |
| Detect agnt mult DNA ampli (87801) | $22 | $37 | 0.3× |
| Dhea (82626) | $64 | $107 | 2.5× |
| Dhea-S (82627) | $36 | $60 | 1.6× |
| Digoxin (80162) | $109 | $181 | 8.2× |
| Dipropylacetic Acid Free (80165) | $79 | $132 | 5.8× |
| Dna Antibody Native/Double Stranded (86225) | $57 | $95 | 4.1× |
| Dna/Rna Amplified Probe (87150) | $1,502 | $2,504 | 42.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $155 | $258 | 11.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $38 | $64 | 2.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 12 matching MRF lines |
$34–$280 | $56–$467 | varies |
| El-1 Fecal Quantitative (82653) | $62 | $104 | 2.7× |
| Electrolyte panel (80051) | $75 | $125 | 10.7× |
| Erythropoietin (82668) | $54 | $90 | 2.9× |
| Estriol (82677) | $99 | $165 | 4.1× |
| Estrogen total (82672) | $66 | $110 | 3.0× |
| Estrogens fractionated (82671) | $90 | $150 | 2.8× |
| Ethosuximide (80168) | $71 | $119 | 4.3× |
| F2 Gene (81240) | $173 | $288 | 2.6× |
| Factor vii assay (85230) | $178 | $296 | 9.9× |
| Factor viii assay (85240) | $207 | $345 | 11.6× |
| Fat/Lipids Feces Quantitative (82710) | $83 | $139 | 4.9× |
| Fecal Fat Qualitative (82705) | $5 | $8 | 1.0× |
| Ferritin (82728) | $89 | $149 | 6.5× |
| Fetal Fibronectin (82731) | $257 | $428 | 4.0× |
| Fibrin Degradation Quant (85379) | $95 | $159 | 9.3× |
| Fibrinogen activity (85384) | $99 | $165 | 10.2× |
| Fluorescent antibody screen (86255) | $104 | $173 | 8.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $97 | $162 | 8.0× |
| Folic acid rbc (82747) | $141 | $235 | 8.0× |
| Folic Acid Serum (82746) | $91 | $152 | 6.2× |
| Follicle Stimulating Hormone (83001) | $84 | $140 | 4.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $374 | $623 | 2.1× |
| Fungi Identification Mold (87107) | $27 | $45 | 2.6× |
| Fungi Identification Yeast (87106) | $27 | $45 | 2.6× |
| Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) | $10 | $17 | 0.1× |
| Gammaglobulin ige (82785) | $18 | $30 | 1.1× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $595 | $992 | 1.4× |
| Genet Virus Isolate Hsv (87255) | $13 | $22 | 0.4× |
| Gentamicin (80170) | $209 | $349 | 12.8× |
| Ggt (82977) | $64 | $106 | 8.9× |
| Giardia antigen (87329) | $55 | $92 | 4.6× |
| Glucose 2 hr pp (82950) | $66 | $110 | 13.9× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$62–$70 | $103–$117 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$64–$66 | $107–$110 | varies |
| Glucose tolerance test (gtt) (82951) | $79 | $132 | 6.1× |
| Glycated Protein (82985) | $7 | $12 | 0.4× |
| Gonadotropin Chorionic Qualitative (84703) | $48 | $80 | 6.4× |
| Gtt-added samples (82952) | $28 | $47 | 7.1× |
| H Pylori Drug Admin (83014) | $61 | $101 | 7.8× |
| Haptoglobin (83010) | $58 | $96 | 4.6× |
| Hdl Cholesterol (83718) | $123 | $205 | 15.0× |
| Helicobacter Pylori Stool (87338) | $50 | $83 | 3.5× |
| Hematocrit (85014) range across 2 matching MRF lines |
$4–$28 | $6–$47 | varies |
| Hemoglobin (85018) | $28 | $47 | 11.8× |
| Hemoglobin a1c (83036) | $61 | $102 | 6.3× |
| Hemoglobin electrophoresis (83020) | $113 | $189 | 8.8× |
| Hemoglobin Methemoglobin Quantitative (83050) | $110 | $183 | 13.4× |
| Hep a ab igm (86709) | $244 | $407 | 21.7× |
| Hepatitis a antibody total (86708) | $73 | $121 | 5.9× |
| Hepatitis b core ab igm (86705) | $61 | $102 | 5.2× |
| Hepatitis b core ab total (86704) | $62 | $103 | 5.1× |
| Hepatitis B Surface Antibody (86706) | $129 | $215 | 12.0× |
| Hepatitis B Surface Antigen (87340) | $111 | $185 | 10.7× |
| Hepatitis Be Antibody (86707) | $59 | $98 | 5.1× |
| Hepatitis Be Antigen (87350) | $59 | $98 | 5.1× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$5–$251 | $8–$419 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $99 | $165 | 2.8× |
| Hepatitis C Revrs Trnscrpj (87522) | $214 | $356 | 5.0× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$62–$67 | $103–$111 | varies |
| Heterophile Antibody Screen (86308) | $94 | $156 | 18.1× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $53 | $89 | 6.9× |
| Hiv-1 Antibody (86701) | $79 | $131 | 8.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $437 | $728 | 5.1× |
| Hla-b27 (86812) | $118 | $196 | 4.6× |
| Homocysteine (83090) | $56 | $93 | 3.1× |
| Hsv Dna Amp Probe (87529) | $31 | $52 | 0.9× |
| Hydroxycorticosteroids 17 (83491) | $75 | $125 | 4.2× |
| Iaad Ia Escherichia Coli 0157 (87335) | $32 | $53 | 2.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $82 | $136 | 5.9× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $194 | $323 | 16.2× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $53 | $88 | 2.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $82 | $136 | 1.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $22 | $37 | 0.6× |
| Immunfix e-phorsis/urine/csf (86335) | $50 | $83 | 1.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $135 | $225 | 7.3× |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$60–$158 | $100–$264 | varies |
| Immunoelectrophoresis Serum (86320) | $211 | $352 | 7.1× |
| Immunohistochemistry (88342) | $73 | $122 | 0.4× |
| Influenza assay w/optic (87804) | $100 | $167 | 6.0× |
| Insulin total (83525) | $135 | $225 | 11.8× |
| Iron (83540) | $35 | $59 | 5.4× |
| Iron Binding Capacity (83550) | $40 | $67 | 4.6× |
| Islet cell antibody (86341) | $59 | $98 | 2.5× |
| Ketosteroids 17 total (83586) | $56 | $94 | 4.4× |
| Lactate (ld) (ldh) enzyme (83615) | $59 | $98 | 9.8× |
| Lactoferrin fecal qualitative (83630) | $62 | $103 | 3.1× |
| Ldh Isoenzymes (83625) range across 4 matching MRF lines |
$41–$74 | $68–$123 | varies |
| LDL direct (83721) range across 3 matching MRF lines |
$49–$68 | $82–$113 | varies |
| Lead (83655) | $54 | $90 | 4.5× |
| Legionella antigen urine (87449) | $68 | $113 | 5.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $49 | $82 | 1.6× |
| Level ii surg pathology grossµscopic exam (88302) | $68 | $114 | 1.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $223 | $371 | 0.6× |
| Lipase (83690) | $61 | $102 | 8.9× |
| Lipoprotein A (83695) | $8 | $14 | 0.6× |
| Lithium (80178) | $61 | $102 | 9.2× |
| Luteinizing Hormone (Lh) (83002) | $84 | $140 | 4.5× |
| Lyme disease antibody (86618) | $154 | $256 | 9.0× |
| Magnesium Urine (83735) | $50 | $83 | 7.5× |
| Metabolic panel ionized ca (80047) | $19 | $31 | 1.4× |
| Microalbumin, quantitative (82043) | $56 | $94 | 9.7× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$19–$116 | $32–$194 | varies |
| Mumps antibody (86735) | $11 | $19 | 0.8× |
| Mycoplasma antibody (86738) | $88 | $147 | 6.6× |
| Myoglobin urine (83874) | $65 | $109 | 5.0× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$59–$64 | $98–$106 | varies |
| Neisseria Dir Na Probe (87590) | $53 | $88 | 2.0× |
| Neutralization Test Viral (86382) | $70 | $116 | 4.1× |
| Nuclear antigen antibody (86235) | $60 | $100 | 3.3× |
| Osmolality serum (83930) | $91 | $152 | 13.8× |
| Osmolality Urine (83935) | $67 | $111 | 9.8× |
| Oxalate urine (83945) | $70 | $117 | 4.8× |
| Ph urine (81003) | $23 | $38 | 10.2× |
| Phenylalanine (84030) | $148 | $246 | 26.9× |
| Phenytoin (Dilantin) (80185) | $127 | $211 | 9.6× |
| Phosphatase alkaline (84075) | $59 | $98 | 11.4× |
| Phosphorus Serum (84100) | $56 | $93 | 11.8× |
| Pinworm exam (87172) | $62 | $103 | 14.5× |
| Platelet count automated (85049) | $35 | $58 | 7.8× |
| Platelet neutralization (85597) | $134 | $223 | 7.5× |
| Potassium Urine (84133) | $52 | $86 | 11.0× |
| Prealbumin (84134) | $61 | $101 | 4.2× |
| Procalcitonin (Pct) (84145) | $94 | $156 | 3.5× |
| Progesterone (84144) | $90 | $150 | 4.3× |
| Prolactin (84146) | $116 | $194 | 6.0× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$59–$89 | $98–$149 | varies |
| Protein C Activity (85303) range across 3 matching MRF lines |
$14–$191 | $23–$318 | varies |
| Protein c antigen (85302) | $214 | $357 | 17.8× |
| Protein Electrophoresis Urine (84166) | $82 | $137 | 4.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $73 | $121 | 6.8× |
| Protein S Free (85306) range across 2 matching MRF lines |
$169–$185 | $281–$309 | varies |
| Protein s total (85305) | $184 | $306 | 15.8× |
| Protein total serum (84155) | $55 | $92 | 15.0× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$57–$89 | $95–$149 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $37 | $61 | 9.4× |
| PSA free (84154) | $83 | $139 | 4.5× |
| Pth Intact (83970) | $11 | $19 | 0.3× |
| Quantiferon tb gold plus (86480) | $32 | $54 | 0.5× |
| Rbc antibody identification (86870) | $169 | $282 | 0.4× |
| Renin activity plasma (84244) | $8 | $13 | 0.4× |
| Resp virus 12-25 targets (87633) | $836 | $1,393 | 2.0× |
| Reticulocyte Count Manual (85044) | $61 | $101 | 14.2× |
| Rh (86901) | $48 | $80 | 16.1× |
| Rheumatoid factor quant (86431) | $3 | $5 | 0.5× |
| Rotavirus ag eia (87425) | $18 | $30 | 1.5× |
| Rpr qualitative (86592) | $2 | $3 | 0.5× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$10–$73 | $16–$122 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$11–$109 | $18–$182 | varies |
| Russell Viper Venom Time Diluted (85613) | $84 | $140 | 8.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $71 | $118 | 1.4× |
| Sedimentation rate (85651) | $37 | $61 | 8.7× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $68 | $114 | 6.9× |
| Sensitivity mic (87186) | $127 | $212 | 14.7× |
| Sex Hormone Binding Globulin (84270) | $13 | $21 | 0.6× |
| Sirolimus (80195) | $28 | $46 | 2.0× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$76–$82 | $126–$137 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$10–$51 | $16–$85 | varies |
| Smear Special Stain (87207) | $62 | $103 | 10.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $40 | $66 | 6.9× |
| Sodium Serum (84295) | $46 | $77 | 9.6× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$54–$59 | $90–$98 | varies |
| Soluble Transferrin Receptor (84238) | $188 | $313 | 5.1× |
| Somatomedin (84305) | $42 | $70 | 2.0× |
| Special Stains Group 1 (88312) | $78 | $130 | 1.4× |
| Special Stains Group 2 (88313) | $60 | $100 | 0.4× |
| Specific gravity body fluid (84315) | $23 | $38 | 7.0× |
| Stool cultr aerobic bact ea (87046) | $26 | $44 | 2.8× |
| Strep a assay w/optic (87880) | $51 | $85 | 3.1× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$63–$89 | $105–$149 | varies |
| Surg path level iii (88304) | $88 | $146 | 1.6× |
| Surgical pathology level IV (88305) | $118 | $196 | 2.1× |
| Surgical pathology level vi (88309) | $281 | $468 | 0.3× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $110 | $183 | 14.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $116 | $194 | 2.5× |
| T3 Free (84481) | $136 | $226 | 8.0× |
| T3 Total (84480) | $96 | $160 | 6.8× |
| T3 Uptake (84479) | $105 | $175 | 16.2× |
| T4 Free (84439) | $73 | $121 | 8.1× |
| T4 total (84436) | $85 | $142 | 12.4× |
| Tacrolimus (80197) | $200 | $333 | 14.6× |
| Test for acetone/ketones (82009) | $57 | $95 | 12.6× |
| Testosterone total (84403) | $158 | $264 | 6.1× |
| Testosterone, Free (84402) | $152 | $254 | 6.0× |
| Theophylline (80198) | $132 | $220 | 9.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $39 | $65 | 6.0× |
| Thyroglobulin Antibody (86800) | $121 | $201 | 7.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $39 | $65 | 0.8× |
| Tobramycin peak (80200) | $77 | $129 | 4.8× |
| Topiramate (80201) | $199 | $332 | 16.7× |
| Toxoplasma antibody (86777) | $67 | $111 | 4.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $73 | $121 | 14.1× |
| Transferrin (84466) | $66 | $110 | 5.2× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$22–$32 | $37–$53 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$52–$100 | $86–$166 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$19–$57 | $31–$95 | varies |
| Urea nitrogen urine (84540) | $55 | $92 | 9.9× |
| Uric acid other source (84560) | $88 | $146 | 17.3× |
| Urinalysis Microscopic Only (81015) | $31 | $52 | 10.2× |
| Urinalysis Volume Measure (81050) | $11 | $18 | 3.0× |
| Vancomycin (80202) | $130 | $217 | 9.6× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$15–$95 | $25–$159 | varies |
| Vasopressin (84588) | $230 | $383 | 6.8× |
| Viral Culture (87252) range across 2 matching MRF lines |
$140–$154 | $234–$256 | varies |
| Virus antibody nos (86790) | $106 | $176 | 8.2× |
| Virus inoculation, shell via (87254) range across 8 matching MRF lines |
$20–$326 | $33–$543 | varies |
| Vit D 1 25-Dihydroxy (82652) | $160 | $266 | 4.2× |
| Vitamin b-12 (82607) | $25 | $41 | 1.7× |
| Vitamin B6 (84207) | $7 | $12 | 0.2× |
| Vitamin D 25-Hydroxy (82306) | $137 | $229 | 4.6× |
| Zinc (84630) | $24 | $40 | 2.1× |
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.