Lab & pathology prices at Ascension St. Vincent Warrick
Boonville, IN · every code in this section with a posted price and a Medicare benchmark.
531 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $178.80 | $298 | 16.0× |
| Acth (82024) | $299.40 | $499 | 7.8× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $95.40 | $159 | 2.9× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$91.20–$367.20 | $152–$612 | varies |
| Acylcarnitines Quant (82017) | $181.20 | $302 | 10.7× |
| Albumin Fluid (82042) | $67.20 | $112 | 8.6× |
| Albumin serum (82040) range across 2 matching MRF lines |
$16.80–$24.60 | $28–$41 | varies |
| Aldolase (82085) | $130.80 | $218 | 13.5× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$390.60–$396 | $651–$660 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$48.60–$61.20 | $81–$102 | varies |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$22.80–$119.40 | $38–$199 | varies |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$15–$25.20 | $25–$42 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$36.60–$51 | $61–$85 | varies |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$58.80–$64.20 | $98–$107 | varies |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$81–$87.60 | $135–$146 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$105–$212.40 | $175–$354 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$14.40–$25.80 | $24–$43 | varies |
| Aluminum (82108) | $87 | $145 | 3.4× |
| Amikacin trough (80150) | $82.80 | $138 | 5.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $102.60 | $171 | 6.1× |
| Ammonia (82140) | $126.60 | $211 | 8.7× |
| Amylase urine (82150) range across 2 matching MRF lines |
$16.20–$90 | $27–$150 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$153–$157.80 | $255–$263 | varies |
| Androstenedione (82157) | $121.80 | $203 | 4.2× |
| Angiotensin converting enzyme csf (82164) | $186 | $310 | 12.7× |
| Anti-Phospholipid Antibody (86148) | $68.40 | $114 | 4.3× |
| Antibody aspergillus (86606) | $46.20 | $77 | 3.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $46.20 | $77 | 3.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$145.20–$164.40 | $242–$274 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$99.60–$258.60 | $166–$431 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$118.20–$127.80 | $197–$213 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$87–$94.80 | $145–$158 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$138.60–$179.40 | $231–$299 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$49.80–$88.80 | $83–$148 | varies |
| Antibody helicobacter pylori (86677) | $145.20 | $242 | 8.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$58.80–$113.40 | $98–$189 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$96–$105.60 | $160–$176 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$52.80–$125.40 | $88–$209 | varies |
| Antibody HIV-2 (86702) | $57 | $95 | 4.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$65.40–$187.20 | $109–$312 | varies |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$40.20–$136.80 | $67–$228 | varies |
| Antibody nocardia (86744) | $27.60 | $46 | 1.7× |
| Antibody Protozoa Nes (86753) | $22.20 | $37 | 1.8× |
| Antibody Treponema Pallidum (86780) | $109.20 | $182 | 8.2× |
| Antigen typing (86905) range across 2 matching MRF lines |
$82.20–$124.20 | $137–$207 | varies |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$32.40–$165.60 | $54–$276 | varies |
| Antistreptolysin o titer (86060) | $61.20 | $102 | 8.4× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$40.20–$360 | $67–$600 | varies |
| Antithrombin iii antigen (85301) | $37.80 | $63 | 3.5× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$70.80–$109.80 | $118–$183 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$79.80–$117 | $133–$195 | varies |
| Aspergillus ag eia (87305) | $167.40 | $279 | 14.0× |
| Assay Blood Carbon Dioxide (82374) | $21.60 | $36 | 4.4× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$56.40–$64.80 | $94–$108 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$42.60–$79.80 | $71–$133 | varies |
| Assay of blood/uric acid (84550) | $24.60 | $41 | 5.4× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$13.20–$79.20 | $22–$132 | varies |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$45.60–$209.40 | $76–$349 | varies |
| Assay of estrone (82679) range across 2 matching MRF lines |
$41.40–$105 | $69–$175 | varies |
| Assay of g6pd enzyme (82955) | $96.60 | $161 | 10.0× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$39–$124.80 | $65–$208 | varies |
| Assay of lactic acid (83605) | $109.80 | $183 | 9.5× |
| Assay of manganese (83785) | $82.80 | $138 | 3.1× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$44.40–$241.20 | $74–$402 | varies |
| Assay of proinsulin (84206) | $73.20 | $122 | 2.7× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$45.60–$46.20 | $76–$77 | varies |
| Assay of sweat sodium (84302) | $32.40 | $54 | 6.7× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$23.40–$52.20 | $39–$87 | varies |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$170.40–$184.80 | $284–$308 | varies |
| Assay of vasoactive intestinal peptide (84586) | $168.60 | $281 | 4.8× |
| Assay of vitamin b-1 (84425) | $163.20 | $272 | 7.7× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$12.60–$33.60 | $21–$56 | varies |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$6.60–$36 | $11–$60 | varies |
| B cells total count (86355) | $160.80 | $268 | 4.3× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$88.20–$97.20 | $147–$162 | varies |
| Bcr/abl1 gene major bp (81206) | $343.20 | $572 | 2.1× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$61.20–$240 | $102–$400 | varies |
| Beta hydroxybutyrate (82010) | $94.20 | $157 | 11.5× |
| Beta Lactamase (87185) | $47.40 | $79 | 10.0× |
| Beta-2 Microglobulin (82232) | $64.80 | $108 | 4.0× |
| Bile acids total (82239) | $56.40 | $94 | 3.3× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$19.80–$26.40 | $33–$44 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$34.80–$75.60 | $58–$126 | varies |
| Biotinidase (82261) | $66.60 | $111 | 3.9× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$42.60–$46.80 | $71–$78 | varies |
| Blood Count Automated Differential Wbc Count (85004) | $37.80 | $63 | 5.8× |
| Blood Count Manual Cell Count Each (85032) | $21.60 | $36 | 5.0× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $55.20 | $92 | 10.9× |
| Blood count reticulocyte automated (85045) | $26.40 | $44 | 6.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$14.40–$40.20 | $24–$67 | varies |
| Blood gas (82803) range across 2 matching MRF lines |
$48–$186 | $80–$310 | varies |
| Blood gases w/02 saturation (82805) | $198 | $330 | 2.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $64.80 | $108 | 4.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $14.40 | $24 | 3.3× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$68.40–$125.40 | $114–$209 | varies |
| Bordetella antibody (86615) | $45 | $75 | 3.4× |
| C diff amplified probe (87493) | $194.40 | $324 | 5.2× |
| C-Peptide (84681) | $243.60 | $406 | 11.7× |
| C-reactive protein (86140) | $56.40 | $94 | 10.9× |
| Ca 19-9 (86301) | $156.60 | $261 | 7.5× |
| Cadmium (82300) | $79.20 | $132 | 3.4× |
| Calcitonin (82308) | $225.60 | $376 | 8.4× |
| Calcium ionized (82330) | $189 | $315 | 13.8× |
| Calcium total (82310) range across 2 matching MRF lines |
$22.80–$32.40 | $38–$54 | varies |
| Calculus Spectroscopy (82365) | $224.40 | $374 | 17.4× |
| Calprotectin Fecal (83993) | $256.20 | $427 | 13.1× |
| Cancer Antigen 125 (86304) | $166.20 | $277 | 8.0× |
| Cancer Antigen 27.29 (86300) | $81.60 | $136 | 3.9× |
| Candida antibody (86628) | $46.20 | $77 | 3.8× |
| Candida Dna Dir Probe (87480) | $75 | $125 | 3.7× |
| Carbamazepine total (80156) | $145.20 | $242 | 10.0× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$128.40–$132 | $214–$220 | varies |
| Carcinoembryonic antigen (82378) | $150 | $250 | 7.9× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$60–$338.40 | $100–$564 | varies |
| Carnitine Quantitative Each Specimen (82379) | $247.20 | $412 | 14.7× |
| Carotene (82380) | $78.60 | $131 | 8.5× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$106.80–$267 | $178–$445 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$43.80–$133.80 | $73–$223 | varies |
| Cell count csf (89051) | $94.80 | $158 | 16.9× |
| Ceruloplasmin (82390) | $109.80 | $183 | 10.2× |
| Chemiluminescent assay (82397) | $144 | $240 | 10.2× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$41.40–$67.80 | $69–$113 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$12–$53.40 | $20–$89 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$18.60–$39 | $31–$65 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$31.20–$216.60 | $52–$361 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $123.60 | $206 | 3.7× |
| Chromium serum (82495) | $66 | $110 | 3.3× |
| Chromogranin a (86316) | $300.60 | $501 | 14.4× |
| Chromosome Analysis 15-20 (88262) | $648.60 | $1,081 | 5.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$121.80–$161.40 | $203–$269 | varies |
| Ckmb (82553) range across 2 matching MRF lines |
$127.80–$155.40 | $213–$259 | varies |
| Clostridium Difficile (87324) | $108.60 | $181 | 9.1× |
| Clot Factor VIII Multimetric (85247) | $159 | $265 | 6.9× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$43.80–$58.80 | $73–$98 | varies |
| Column Chromotography Quant (82542) | $108.60 | $181 | 4.5× |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$66–$70.20 | $110–$117 | varies |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$163.80–$172.80 | $273–$288 | varies |
| Complement Total (Ch50) (86162) | $176.40 | $294 | 8.7× |
| Coombs direct (86880) range across 2 matching MRF lines |
$66–$82.80 | $110–$138 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$80.40–$109.80 | $134–$183 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$55.80–$108 | $93–$180 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$59.40–$69 | $99–$115 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$15.60–$41.40 | $26–$69 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$21.60–$33 | $36–$55 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$9–$21 | $15–$35 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$18–$19.80 | $30–$33 | varies |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$22.80–$27.60 | $38–$46 | varies |
| Crossmatch electronic (86923) | $138 | $230 | 0.8× |
| Crossmatch immediate spin (86920) | $139.80 | $233 | 0.8× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$43.80–$87 | $73–$145 | varies |
| Cryoglobulin (82595) | $37.80 | $63 | 5.8× |
| Cryptococcal Antigen (87327) | $63.60 | $106 | 4.7× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$50.40–$112.80 | $84–$188 | varies |
| Cryptosporidium (87272) range across 2 matching MRF lines |
$88.80–$96 | $148–$160 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$38.40–$68.40 | $64–$114 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$68.40–$69.60 | $114–$116 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$48.60–$105 | $81–$175 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $123.60 | $206 | 16.0× |
| Culture aerobic quant other (87071) | $89.40 | $149 | 9.0× |
| Culture afb (87116) range across 2 matching MRF lines |
$151.80–$189.60 | $253–$316 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$16.80–$141.60 | $28–$236 | varies |
| Culture blood (87040) | $145.80 | $243 | 14.1× |
| Culture csf (87070) range across 2 matching MRF lines |
$94.20–$145.80 | $157–$243 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$19.20–$133.80 | $32–$223 | varies |
| Culture fungus blood (87103) | $147.60 | $246 | 7.2× |
| Culture screen only (87081) range across 2 matching MRF lines |
$30–$63.60 | $50–$106 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$38.40–$127.80 | $64–$213 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$48.60–$61.20 | $81–$102 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$18.60–$78 | $31–$130 | varies |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $119.40 | $199 | 8.3× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$34.80–$205.20 | $58–$342 | varies |
| Cystatin C (82610) | $106.20 | $177 | 5.7× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,573.20 | $2,622 | 1.4× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$58.80–$126 | $98–$210 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$69.60–$156 | $116–$260 | varies |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$73.80–$212.40 | $123–$354 | varies |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $75 | $125 | 4.0× |
| Deoxycortisol (82634) | $268.80 | $448 | 9.2× |
| Deoxyribonuclease antibody (86215) | $63.60 | $106 | 4.8× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$162.60–$189.60 | $271–$316 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$123–$279 | $205–$465 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$174–$448.20 | $290–$747 | varies |
| Dhea (82626) | $179.40 | $299 | 7.1× |
| Dhea-S (82627) | $280.20 | $467 | 12.6× |
| Digoxin (80162) | $88.80 | $148 | 6.7× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$36–$157.20 | $60–$262 | varies |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$118.20–$177.60 | $197–$296 | varies |
| Drug assay acetaminophen (80143) | $35.40 | $59 | 1.9× |
| Drug Assay Everolimus (80169) | $183 | $305 | 13.3× |
| Drug Screen Quant Clozapine (80159) | $144.60 | $241 | 7.2× |
| Drug Screen Quantitative Gabapentin (80171) | $169.20 | $282 | 7.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $232.80 | $388 | 17.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $88.80 | $148 | 6.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $126.60 | $211 | 9.6× |
| Drug Test Prsmv Chem Anlyzr (80307) | $193.20 | $322 | 3.1× |
| Drug Test Prsmv Instrmnt (80306) | $97.20 | $162 | 5.7× |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$120–$200.40 | $200–$334 | varies |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$33.60–$39 | $56–$65 | varies |
| Enterovirus Antibody (86658) | $43.80 | $73 | 3.4× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$82.80–$480 | $138–$800 | varies |
| Enzyme cell activity (82657) | $253.20 | $422 | 11.4× |
| Erythropoietin (82668) | $237 | $395 | 12.6× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$93–$255 | $155–$425 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$88.20–$109.20 | $147–$182 | varies |
| Estrogen total (82672) | $66 | $110 | 3.0× |
| Ethosuximide (80168) | $75.60 | $126 | 4.6× |
| Exam Synovial Fluid Crystals (89060) | $52.80 | $88 | 7.2× |
| F2 Gene (81240) range across 2 matching MRF lines |
$66–$276.60 | $110–$461 | varies |
| Factor ii activity (85210) | $127.80 | $213 | 9.8× |
| Factor ix activity (85250) | $127.80 | $213 | 6.7× |
| Factor v activity (85220) | $127.80 | $213 | 7.2× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$69–$286.20 | $115–$477 | varies |
| Factor vii assay (85230) | $105 | $175 | 5.9× |
| Factor viii assay (85240) | $187.80 | $313 | 10.5× |
| Factor X (85260) | $127.80 | $213 | 7.1× |
| Factor xi activity (85270) | $105 | $175 | 5.9× |
| Fecal Fat Qualitative (82705) | $71.40 | $119 | 14.0× |
| Ferritin (82728) range across 2 matching MRF lines |
$39–$94.20 | $65–$157 | varies |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$34.20–$119.40 | $57–$199 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$133.80–$146.40 | $223–$244 | varies |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$55.80–$172.20 | $93–$287 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $226.20 | $377 | 18.8× |
| Folic acid rbc (82747) | $186.60 | $311 | 10.6× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$89.40–$194.40 | $149–$324 | varies |
| Follicle Stimulating Hormone (83001) | $133.80 | $223 | 7.2× |
| Fungi Identification Mold (87107) | $82.20 | $137 | 8.0× |
| Fungi Identification Yeast (87106) | $81.60 | $136 | 7.9× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$55.20–$66.60 | $92–$111 | varies |
| Gardner vag DNA dir probe (87510) | $75 | $125 | 3.7× |
| Gardner Vag Dna Quant (87512) | $119.40 | $199 | 2.9× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $91.80 | $153 | 9.4× |
| Gases blood ph only (82800) | $79.20 | $132 | 7.2× |
| Gastrin (82941) | $175.80 | $293 | 10.0× |
| Genet Virus Isolate Hsv (87255) | $118.80 | $198 | 3.5× |
| Gentamicin (80170) | $187.20 | $312 | 11.4× |
| Ggt (82977) range across 2 matching MRF lines |
$18–$73.20 | $30–$122 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$38.40–$67.80 | $64–$113 | varies |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$46.80–$73.20 | $78–$122 | varies |
| Glucose Blood Test (82962) | $13.20 | $22 | 4.0× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$52.80–$57 | $88–$95 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$31.80–$44.40 | $53–$74 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$54–$67.20 | $90–$112 | varies |
| Glycated Protein (82985) | $64.20 | $107 | 3.8× |
| Gonadotropin Chorionic Qualitative (84703) | $95.40 | $159 | 12.7× |
| Growth hormone (83003) | $121.80 | $203 | 7.3× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$13.20–$21.60 | $22–$36 | varies |
| H Pylori (C-13) Breath (83013) | $283.80 | $473 | 4.2× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$27–$174 | $45–$290 | varies |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$28.20–$47.40 | $47–$79 | varies |
| Helicobacter Pylori Stool (87338) | $175.20 | $292 | 12.2× |
| Hematocrit (85014) range across 2 matching MRF lines |
$15–$18 | $25–$30 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$15–$18 | $25–$30 | varies |
| Hemoglobin a1c (83036) | $48 | $80 | 4.9× |
| Hemoglobin Chromotography (83021) | $115.20 | $192 | 6.4× |
| Hemoglobin Methemoglobin Quantitative (83050) | $67.80 | $113 | 8.3× |
| Hemoglobin plasma (83051) | $67.20 | $112 | 9.2× |
| Hemosiderin urine (83070) | $48 | $80 | 10.1× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$67.80–$73.20 | $113–$122 | varies |
| Heparin assay (85520) | $69.60 | $116 | 5.3× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$50.40–$54.60 | $84–$91 | varies |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$82.20–$88.80 | $137–$148 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$45.60–$121.20 | $76–$202 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$24.60–$69 | $41–$115 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$25.80–$152.40 | $43–$254 | varies |
| Hepatitis Be Antibody (86707) | $44.40 | $74 | 3.8× |
| Hepatitis Be Antigen (87350) | $46.80 | $78 | 4.1× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$54–$132 | $90–$220 | varies |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$489.60–$1,026.60 | $816–$1,711 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$123–$485.40 | $205–$809 | varies |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$69.60–$105.60 | $116–$176 | varies |
| Heterophile Antibody Screen (86308) | $40.20 | $67 | 7.8× |
| Hfe Gene (81256) | $314.40 | $524 | 4.8× |
| Histamine urine (83088) | $172.80 | $288 | 5.9× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$43.80–$199.80 | $73–$333 | varies |
| Histoplasma antigen urine (87385) | $336 | $560 | 25.4× |
| Hiv Antigen W/Hiv Antibodies (87806) range across 2 matching MRF lines |
$63–$133.20 | $105–$222 | varies |
| Hiv Genotype (87901) | $1,026.60 | $1,711 | 4.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$51–$145.80 | $85–$243 | varies |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$57–$176.40 | $95–$294 | varies |
| HIV-1 p24 antigen (87390) | $45.60 | $76 | 1.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $417 | $695 | 4.9× |
| HIV-2 probe&revrse trnscripj (87538) | $97.80 | $163 | 2.8× |
| Hla class ii typing high resolution one locus ea (81382) | $323.40 | $539 | 2.6× |
| Hla I Typing 1 Allele Hr (81381) | $336.60 | $561 | 2.0× |
| Hla ii typing 1 locus lr (81376) | $195 | $325 | 1.6× |
| Hla-b27 (86812) | $271.80 | $453 | 10.5× |
| Homocysteine (83090) range across 2 matching MRF lines |
$45–$244.80 | $75–$408 | varies |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$91.20–$147 | $152–$245 | varies |
| Hpv Types 16 & 18 Only (87625) | $127.20 | $212 | 3.1× |
| Hsv Dna Amp Probe (87529) | $154.80 | $258 | 4.4× |
| Hsv Dna Quant (87530) | $77.40 | $129 | 1.8× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$121.20–$142.80 | $202–$238 | varies |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $153.60 | $256 | 12.8× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $44.40 | $74 | 4.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $121.80 | $203 | 8.8× |
| Iaad ia shiga-like toxin (87427) | $40.20 | $67 | 3.4× |
| Iaad Ia Streptococcus Group A (87430) | $58.80 | $98 | 3.5× |
| Iaadi not otherwise specified each organism (87299) range across 2 matching MRF lines |
$102–$109.80 | $170–$183 | varies |
| Iaadiadoo trichomonas vaginalis (87808) range across 2 matching MRF lines |
$56.40–$72.60 | $94–$121 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) | $105.60 | $176 | 3.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$82.80–$381 | $138–$635 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $318.60 | $531 | 7.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $171 | $285 | 2.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $179.40 | $299 | 4.2× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $82.80 | $138 | 2.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $177 | $295 | 5.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $261 | $435 | 6.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$121.80–$141 | $203–$235 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$25.20–$80.40 | $42–$134 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$169.80–$237 | $283–$395 | varies |
| Immunoassay analyte qual/semiqual single step (83518) | $18.60 | $31 | 1.9× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$39–$155.40 | $65–$259 | varies |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$59.40–$140.40 | $99–$234 | varies |
| Immunodiffusion Ouchterlony (86331) | $50.40 | $84 | 4.2× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$99.60–$255 | $166–$425 | varies |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$372–$382.80 | $620–$638 | varies |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) range across 2 matching MRF lines |
$53.40–$57.60 | $89–$96 | varies |
| Influenza assay w/optic (87804) | $50.40 | $84 | 3.0× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$208.80–$286.80 | $348–$478 | varies |
| Inhibin A (86336) | $61.20 | $102 | 3.9× |
| Inhibin b (83520) range across 2 matching MRF lines |
$55.20–$270 | $92–$450 | varies |
| Insulin antibodies (86337) | $89.40 | $149 | 4.2× |
| Insulin total (83525) range across 2 matching MRF lines |
$32.40–$119.40 | $54–$199 | varies |
| Iron (83540) | $81 | $135 | 12.5× |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$36–$46.80 | $60–$78 | varies |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$82.20–$129.60 | $137–$216 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $385.20 | $642 | 4.2× |
| Koh Prep (87220) | $81.60 | $136 | 19.1× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$15.60–$60 | $26–$100 | varies |
| Lactoferrin fecal qualitative (83630) | $59.40 | $99 | 3.0× |
| Lactoferrin Fecal Quantitative (83631) | $522.60 | $871 | 26.6× |
| LDL direct (83721) | $55.20 | $92 | 5.3× |
| Lead (83655) range across 2 matching MRF lines |
$32.40–$102 | $54–$170 | varies |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$69–$110.40 | $115–$184 | varies |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$29.40–$31.80 | $49–$53 | varies |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$67.80–$69.60 | $113–$116 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$201.60–$850.20 | $336–$1,417 | varies |
| Lipase (83690) | $94.20 | $157 | 13.7× |
| Lipoprotein A (83695) | $108 | $180 | 7.5× |
| Lipoprotein Bld Quan Part (83704) | $130.80 | $218 | 3.8× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) range across 2 matching MRF lines |
$56.40–$87 | $94–$145 | varies |
| Lithium (80178) | $99 | $165 | 15.0× |
| Luteinizing Hormone (Lh) (83002) | $141.60 | $236 | 7.6× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$156–$175.20 | $260–$292 | varies |
| Lysozyme serum (85549) | $66.60 | $111 | 3.6× |
| Macroscopic exam arthropod (87168) | $17.40 | $29 | 4.1× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$81.60–$82.20 | $136–$137 | varies |
| Mass Spectrometry Quant (83789) | $69.60 | $116 | 2.9× |
| Mercury urine (83825) range across 2 matching MRF lines |
$72.60–$96.60 | $121–$161 | varies |
| Methylmalonic acid serum (83921) | $304.80 | $508 | 14.4× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$50.40–$66 | $84–$110 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$102–$133.80 | $170–$223 | varies |
| Mitochondrial Antibody Each (86381) | $45.60 | $76 | 1.8× |
| Mopath procedure level 2 (81401) | $217.80 | $363 | 1.6× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$91.20–$148.80 | $152–$248 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $183 | $305 | 2.8× |
| Mucin Clot Body Fluid (83872) | $62.40 | $104 | 10.6× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$52.20–$83.40 | $87–$139 | varies |
| Mycophenolic Acid (80180) | $185.40 | $309 | 10.3× |
| Mycoplasma antibody (86738) | $143.40 | $239 | 10.8× |
| Myoglobin urine (83874) | $148.20 | $247 | 11.5× |
| Natriuretic peptide (83880) | $157.20 | $262 | 4.0× |
| Neutralization Test Viral (86382) | $72.60 | $121 | 4.3× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $69.60 | $116 | 2.4× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $367.80 | $613 | 1.4× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $256.80 | $428 | 1.8× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $529.80 | $883 | 4.1× |
| Niacin (84591) range across 2 matching MRF lines |
$54–$58.20 | $90–$97 | varies |
| Nk cells total count (86357) | $160.80 | $268 | 4.3× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$109.20–$113.40 | $182–$189 | varies |
| Occult blood feces (82272) | $14.40 | $24 | 3.4× |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$17.40–$19.20 | $29–$32 | varies |
| Organic acids urine (83918) | $106.20 | $177 | 4.5× |
| Osmolality serum (83930) | $71.40 | $119 | 10.8× |
| Osmolality Urine (83935) | $79.80 | $133 | 11.7× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$30–$82.80 | $50–$138 | varies |
| Pancreatic Elastase Fecal (82656) | $194.40 | $324 | 16.9× |
| Particle Agglutination Screen Each Antibody (86403) | $67.20 | $112 | 5.8× |
| Parvovirus antibody (86747) | $59.40 | $99 | 4.0× |
| Ph urine (81003) range across 2 matching MRF lines |
$5.40–$24 | $9–$40 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$155.40–$168 | $259–$280 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$90.60–$97.80 | $151–$163 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$76.20–$82.80 | $127–$138 | varies |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$21.60–$43.80 | $36–$73 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$17.40–$70.20 | $29–$117 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$55.20–$60 | $92–$100 | varies |
| Pinworm exam (87172) | $37.80 | $63 | 8.9× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$94.80–$190.20 | $158–$317 | varies |
| Platelet Antibodies (86022) | $289.20 | $482 | 15.7× |
| Platelet count automated (85049) | $26.40 | $44 | 5.9× |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$123.60–$132.60 | $206–$221 | varies |
| Porphobilinogen, urine; quantitative (84110) | $140.40 | $234 | 16.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $72.60 | $121 | 4.9× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$12–$58.80 | $20–$98 | varies |
| Prealbumin (84134) | $116.40 | $194 | 8.0× |
| Pregnenolone (84140) | $87 | $145 | 4.2× |
| Primidone (80188) range across 2 matching MRF lines |
$82.20–$88.80 | $137–$148 | varies |
| Procalcitonin (Pct) (84145) | $133.20 | $222 | 4.9× |
| Progesterone (84144) | $150.60 | $251 | 7.2× |
| Prolactin (84146) range across 2 matching MRF lines |
$37.20–$212.40 | $62–$354 | varies |
| Protein body fluid (84157) | $49.20 | $82 | 12.3× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$56.40–$244.80 | $94–$408 | varies |
| Protein Electrophoresis Urine (84166) | $58.80 | $98 | 3.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$36–$67.80 | $60–$113 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$63.60–$250.80 | $106–$418 | varies |
| Protein Total Refractometry Any Src (84160) range across 2 matching MRF lines |
$16.80–$27.60 | $28–$46 | varies |
| Protein total serum (84155) range across 2 matching MRF lines |
$12–$23.40 | $20–$39 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$45–$59.40 | $75–$99 | varies |
| Protein Western Blot Test (84182) | $52.80 | $88 | 1.8× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$48.60–$71.40 | $81–$119 | varies |
| PSA free (84154) range across 2 matching MRF lines |
$61.80–$102 | $103–$170 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$183–$265.20 | $305–$442 | varies |
| Quantiferon tb gold plus (86480) | $205.20 | $342 | 3.3× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$232.80–$251.40 | $388–$419 | varies |
| Quantitative Screen Metals (83018) | $63.60 | $106 | 2.9× |
| Rbc antibody identification (86870) | $234.60 | $391 | 0.6× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$72–$107.40 | $120–$179 | varies |
| Reagent Strip/Blood Glucose (82948) | $79.80 | $133 | 15.8× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$73.80–$231.60 | $123–$386 | varies |
| Resp virus 12-25 targets (87633) | $1,454.40 | $2,424 | 3.5× |
| Reticulocyte Count (85046) | $57 | $95 | 10.2× |
| Reticulocyte Count Manual (85044) | $18.60 | $31 | 4.3× |
| Rh (86901) range across 2 matching MRF lines |
$63–$75 | $105–$125 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$92.40–$121.20 | $154–$202 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$89.40–$108.60 | $149–$181 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$76.80–$113.40 | $128–$189 | varies |
| Rotavirus ag eia (87425) | $109.80 | $183 | 9.2× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$11.40–$46.20 | $19–$77 | varies |
| Rsv Assay W/Optic (87807) | $144.60 | $241 | 11.0× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$58.80–$71.40 | $98–$119 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$65.40–$78 | $109–$130 | varies |
| Russell Viper Venom Time Diluted (85613) | $106.80 | $178 | 11.1× |
| Salicylate Level (80179) | $35.40 | $59 | 1.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$94.80–$319.20 | $158–$532 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $63.60 | $106 | 1.5× |
| Sedimentation rate (85651) | $28.20 | $47 | 6.6× |
| Sedimentation Rate, Automated (85652) | $26.40 | $44 | 9.8× |
| Selenium (84255) | $102.60 | $171 | 4.0× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$59.40–$61.80 | $99–$103 | varies |
| Serpina 1 gene (81332) | $148.20 | $247 | 3.4× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$73.20–$155.40 | $122–$259 | varies |
| Sickling of rbc reduction (85660) | $80.40 | $134 | 14.6× |
| Sirolimus (80195) | $209.40 | $349 | 15.3× |
| Skin test tuberculosis intradermal (86580) | $50.40 | $84 | 1.6× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$70.20–$81.60 | $117–$136 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$76.80–$93.60 | $128–$156 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$63–$68.40 | $105–$114 | varies |
| Smear Special Stain (87207) | $48 | $80 | 8.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $45 | $75 | 7.7× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$51.60–$57.60 | $86–$96 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$12–$62.40 | $20–$104 | varies |
| Soluble Transferrin Receptor (84238) | $309.60 | $516 | 8.5× |
| Somatomedin (84305) | $365.40 | $609 | 17.2× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$222–$228 | $370–$380 | varies |
| Specimen infect agnt concntj (87015) | $54.60 | $91 | 8.2× |
| Spectrophotometry (84311) | $40.20 | $67 | 5.0× |
| Staph a DNA amp probe (87640) | $91.20 | $152 | 2.6× |
| Stone Analysis (82355) | $88.80 | $148 | 7.7× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$58.20–$62.40 | $97–$104 | varies |
| Strep a assay w/optic (87880) | $104.40 | $174 | 6.3× |
| Strep b DNA amp probe (87653) | $82.80 | $138 | 2.4× |
| Sugars Single Qual (84376) | $52.20 | $87 | 9.5× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$115.80–$133.20 | $193–$222 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$115.80–$285.60 | $193–$476 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $48 | $80 | 10.1× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $56.40 | $94 | 7.5× |
| Syphilis Test Non-Trep Quant (86593) | $17.40 | $29 | 4.0× |
| T cells absolute cd4 count (86361) | $255.60 | $426 | 9.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$163.20–$197.40 | $272–$329 | varies |
| T cells total count (86359) | $160.80 | $268 | 4.3× |
| T3 Free (84481) | $267.60 | $446 | 15.8× |
| T3 reverse (84482) | $160.80 | $268 | 10.2× |
| T3 Total (84480) range across 2 matching MRF lines |
$133.20–$144 | $222–$240 | varies |
| T3 Uptake (84479) range across 2 matching MRF lines |
$33–$66 | $55–$110 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$60.60–$63.60 | $101–$106 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$34.20–$63 | $57–$105 | varies |
| Tacrolimus (80197) | $187.80 | $313 | 13.7× |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$18–$43.80 | $30–$73 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$88.80–$172.80 | $148–$288 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$72.60–$180 | $121–$300 | varies |
| Tetanus antibody (86774) | $42 | $70 | 2.8× |
| Theophylline (80198) | $133.80 | $223 | 9.5× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$76.80–$95.40 | $128–$159 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $61.20 | $102 | 9.5× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$53.40–$75 | $89–$125 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$127.80–$139.80 | $213–$233 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $232.20 | $387 | 4.6× |
| Thyroxine binding globulin (84442) | $80.40 | $134 | 5.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $22.20 | $37 | 1.9× |
| Tissue Culture Lymphocyte (88230) | $289.80 | $483 | 2.5× |
| Tobramycin peak (80200) | $190.20 | $317 | 11.8× |
| Topiramate (80201) | $50.40 | $84 | 4.2× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $71.40 | $119 | 3.6× |
| Toxoplasma ab igm (86778) | $71.40 | $119 | 5.0× |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$58.80–$174.60 | $98–$291 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$16.80–$34.20 | $28–$57 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$87–$94.20 | $145–$157 | varies |
| Trichomonas vagin dir probe (87660) | $75 | $125 | 3.7× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$100.20–$309.60 | $167–$516 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$28.20–$36.60 | $47–$61 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$24.60–$70.20 | $41–$117 | varies |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$10.80–$46.80 | $18–$78 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$33.60–$43.80 | $56–$73 | varies |
| Urinalysis Microscopic Only (81015) | $38.40 | $64 | 12.6× |
| Urinalysis Volume Measure (81050) | $14.40 | $24 | 4.0× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$34.20–$36.60 | $57–$61 | varies |
| Urine Pregnancy Test (81025) | $87 | $145 | 10.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $40.20 | $67 | 12.7× |
| Valproic acid (80164) | $122.40 | $204 | 9.0× |
| Vancomycin (80202) | $240 | $400 | 17.7× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$27–$61.80 | $45–$103 | varies |
| Vasopressin (84588) | $177 | $295 | 5.2× |
| Very Long Chain Fatty Acids (82726) | $415.80 | $693 | 21.1× |
| Viral Culture (87252) range across 2 matching MRF lines |
$78.60–$167.40 | $131–$279 | varies |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$43.80–$179.40 | $73–$299 | varies |
| Virus inoculation, shell via (87254) | $141 | $235 | 7.2× |
| Vit D 1 25-Dihydroxy (82652) | $364.20 | $607 | 9.5× |
| Vitamin A (84590) | $109.80 | $183 | 9.5× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$53.40–$102 | $89–$170 | varies |
| Vitamin B2 (Riboflavin) (84252) | $79.80 | $133 | 3.9× |
| Vitamin B6 (84207) | $134.40 | $224 | 4.8× |
| Vitamin c (82180) | $93.60 | $156 | 9.5× |
| Vitamin D 25-Hydroxy (82306) | $192 | $320 | 6.5× |
| Vitamin E (84446) range across 2 matching MRF lines |
$147.60–$159.60 | $246–$266 | varies |
| Vitamin K (84597) | $247.80 | $413 | 18.1× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $35.40 | $59 | 2.9× |
| Von willebrand factor ag (85246) | $109.20 | $182 | 4.8× |
| West nile virus ab igm (86788) | $43.80 | $73 | 2.6× |
| West Nile Virus Antibody (86789) | $61.20 | $102 | 4.3× |
| Western Blot Test (84181) | $168 | $280 | 9.9× |
| Zinc (84630) | $165 | $275 | 14.5× |
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.