Lab & pathology prices at Atrium Health Floyd Polk Medical Center

Cedartown, GA · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $136 $272 7.4×
Acetylcholine receptor blocking antibody (86042) $136 $272 7.4×
Acetylcholn Rcptr Modlg Antb (86043) $161 $322 13.4×
Acth (82024) $181 $362 4.7×
Actin smooth muscle antibody each (86015) $96 $192 8.0×
Acute hepatitis panel (80074) $356.50 $713 7.5×
Albumin serum (82040) $104 $208 21.0×
Aldolase (82085) $39.50 $79 4.1×
Aldosterone urine (82088) $141 $282 3.5×
Alkaline phosphatase isoenzymes (84080) $55.50 $111 3.8×
Allergen specific ige (86003) $22 $44 4.2×
Allg Spec Ige Recomb Ea (86008) $50.50 $101 2.8×
Alpha-1-antitrypsin phenotype (82104) $140.50 $281 9.7×
Alpha-1-antitrypsin total (82103) $65.50 $131 4.9×
Alpha-Fetoprotein Serum (82105) $70.50 $141 4.2×
Alt (sgpt) (84460) $118.50 $237 22.4×
Amikacin trough (80150) $138.50 $277 9.2×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $340 $680 20.2×
Ammonia (82140) $127 $254 8.7×
Amylase urine (82150) $210 $420 32.4×
Anca screen each antibody (86036) $37.50 $75 3.1×
Anca Titer Each Antibody (86037) $37.50 $75 3.1×
Angiotensin converting enzyme csf (82164) $41 $82 2.8×
Antibody aspergillus (86606) $32.50 $65 2.2×
Antibody Bacterium Not Elsewhere Specified (86609) $61.45 $122.90 4.8×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $114 $228 8.7×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $116.50 $233 7.6×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $116.50 $233 6.4×
Antibody Fungus Not Elsewhere Specified (86671)
range across 2 matching MRF lines
$38–$60.50 $76–$121 varies
Antibody Herpes Smplx Type 1 (86695) $80 $160 6.1×
Antibody htlv/HIV antibody confirmatory test (86689) $156 $312 8.1×
Antibody identification leukocyte antibodies (86021) $165 $330 11.0×
Antibody Treponema Pallidum (86780) $41 $82 3.1×
Antinomyces antibody (86602) $70.43 $140.85 6.9×
Antinuclear antibodies (86038) $74.50 $149 6.2×
Antithrombin iii activity (85300) $22.50 $45 1.9×
Antithrombin iii antigen (85301) $20 $40 1.9×
Apolipoprotein a1 (82172) $62.50 $125 3.0×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $416.50 $833 11.0×
Arsenic (82175) $65.50 $131 3.5×
Assay Blood Carbon Dioxide (82374) $53.50 $107 11.0×
Assay of 5-hiaa (83497) $161 $322 12.5×
Assay of anti-mullerian hormone (82166) $99 $198 2.6×
Assay of blood/uric acid (84550) $161 $322 35.6×
Assay of calcium in urine (82340) $65 $130 10.8×
Assay of cpk in blood (82552) $39.50 $79 2.9×
Assay of estrone (82679) $116 $232 4.6×
Assay of gammaglobulin igm (82784) $101 $202 10.9×
Assay of lactic acid (83605) $156 $312 13.5×
Assay of manganese (83785) $102.50 $205 3.8×
Assay of metanephrines (83835) $446 $892 26.3×
Assay of proinsulin (84206) $82 $164 3.1×
Assay of serotonin (84260) $83.50 $167 2.7×
Assay of serum potassium (84132) $74.50 $149 15.7×
Assay of urea nitrogen (84520) $88 $176 22.3×
Assay of vitamin b-1 (84425) $103 $206 4.9×
Assay Ph Body Fluid Nos (83986) $44 $88 12.3×
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) $2,071.50 $4,143 2.5×
Automated Leukocyte Count (85048) $36.50 $73 14.4×
B cells total count (86355) $49 $98 1.3×
Babesia microti amp prb (87469) $107.50 $215 3.1×
Bartonella antibody (86611) $32 $64 3.1×
Beta 2 glycoprotein i antibody each (86146) $35 $70 1.4×
Beta hydroxybutyrate (82010) $142 $284 17.4×
Beta Lactamase (87185) $17 $34 3.6×
Beta-amyloid; 1-42 (abeta 42) (82234) $632 $1,264 4.9×
Bilirubin direct (82248) $118.50 $237 23.6×
Bilirubin total (82247) $52.50 $105 10.5×
Bl Smear W/O Diff Wbc Count (85008) $48 $96 14.0×
Blood count reticulocyte automated (85045) $23.50 $47 5.9×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $37 $74 9.7×
Blood gas (82803) $200 $400 7.7×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $59.50 $119 13.6×
Blood typing serologic abo (86900) $68.50 $137 22.9×
Body fluid cell count (89050) $86.50 $173 18.3×
Borrelia miyamotoi amp prb (87478) $107.50 $215 3.1×
C diff amplified probe (87493) $33.50 $67 0.9×
C-Peptide (84681) $64.50 $129 3.1×
C-reactive protein (86140) $159.50 $319 30.8×
Ca 19-9 (86301) $81.50 $163 3.9×
Cadmium (82300) $73.50 $147 3.1×
Calcium ionized (82330) $151 $302 11.0×
Calcium total (82310) $151.50 $303 29.4×
Calculus Spectroscopy (82365) $107.50 $215 8.3×
Calprotectin Fecal (83993) $316.50 $633 16.1×
Cancer Antigen 125 (86304) $81.50 $163 3.9×
Carbamazepine total (80156) $123.50 $247 8.5×
Carboxyhemoglobin (82375) $80 $160 6.5×
Carcinoembryonic antigen (82378) $178.50 $357 9.4×
Cardiolipin ab iga (86147) $47.50 $95 1.9×
Catecholamines fractionated (82384) $93.50 $187 3.7×
Ccp antibody (86200) $201 $402 15.5×
Cell count csf (89051) $67.50 $135 12.1×
Ceruloplasmin (82390) $41 $82 3.8×
Chemiluminescent assay (82397) $181 $362 12.8×
Chloride Serum (82435) $44.50 $89 9.7×
Cholesterol total (82465) $59.50 $119 13.7×
Chorionic gonadotropin test (84702) $309.50 $619 20.6×
Chromium serum (82495) $289.50 $579 14.3×
Chromosome Analysis 15-20 (88262) $280 $560 2.2×
Chromosome analysis, 5 (88261) $727 $1,454 2.8×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $128.50 $257 3.7×
Ckmb (82553) $140 $280 12.1×
Clostridium Difficile (87324) $35.50 $71 3.0×
Collagen crosslinks (82523) $102.50 $205 5.5×
Column Chromotography Quant (82542) $242 $484 10.0×
Compatibility test antiglob (86922) $230.50 $461 1.3×
Complement Antigen Each Component (86160) $50 $100 4.2×
Complement Total (Ch50) (86162) $39 $78 1.9×
Coombs direct (86880) $84 $168 15.6×
Copper urine (82525) $39 $78 3.1×
Cortisol free (82530) $52.50 $105 3.1×
Cortisol saliva (82533) $74 $148 4.5×
Creatine kinase total (82550) $131.50 $263 20.2×
Creatinine blood (82565) $77 $154 15.0×
Creatinine clearance (82575) $164 $328 17.3×
Creatinine Urine (82570) $100.50 $201 19.4×
Crossmatch electronic (86923) $173.50 $347 1.0×
Crossmatch immediate spin (86920) $91 $182 0.5×
Crp High Sensitivity (86141) $40 $80 3.1×
Cryoglobulin (82595) $112 $224 17.3×
Cryptococcus ag titer (87899) $59.50 $119 3.7×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $54.50 $109 6.7×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $55.50 $111 6.9×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $24 $48 3.1×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $269 $538 1.2×
Culture afb (87116) $17 $34 1.6×
Culture Anaerobic (87075) $129.50 $259 13.7×
Culture blood (87040) $137 $274 13.3×
Culture csf (87070) $127.50 $255 14.8×
Culture fungus (87102) $140.50 $281 16.7×
Culture screen only (87081) $49.50 $99 7.5×
Culture stool (87045) $101.50 $203 10.8×
Culture typing if ea antiserum (87140) $30 $60 5.4×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $29.50 $59 5.7×
Culture typing other methods (87158) $24 $48 3.1×
Culture urine (87086) $54 $108 6.7×
Cyclosporine (80158) $300 $600 16.6×
Cystatin C (82610) $146 $292 7.9×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,621.50 $3,243 1.4×
Cytogenomic neo microra alys (81277) $2,552 $5,104 2.2×
Cytomegalovirus igg (86644) $36 $72 2.5×
Cytopath Cell Enhance Tech (88112) $163.50 $327 3.1×
Cytp smrs any oth src extnd std > 5 slides (88162) $207 $414 3.9×
Detect Agent Nos Dna Amp (87798)
range across 5 matching MRF lines
$96–$1,362 $192–$2,724 varies
Detect Agent Nos Dna Quant (87799)
range across 3 matching MRF lines
$121–$357.50 $242–$715 varies
Detect agnt mult DNA ampli (87801) $217 $434 3.1×
Dgp Antibody Each Ig Class (86258) $37.50 $75 3.1×
Dhea (82626) $78 $156 3.1×
Dhea-S (82627) $60.50 $121 2.7×
Digoxin (80162) $92 $184 6.9×
Dna Antibody Native/Double Stranded (86225) $39.50 $79 2.9×
Dna/Rna Amplified Probe (87150) $34 $68 1.0×
Dpyd gene common variants (81232) $384.50 $769 2.2×
Drug assay acetaminophen (80143) $118.50 $237 6.4×
Drug Assay Everolimus (80169) $145 $290 10.6×
Drug assay voriconazole (80285) $74.50 $149 2.7×
Drug Screen Quant Clozapine (80159) $72 $144 3.6×
Drug Screen Quantitative Levetiracetam (80177) $63 $126 4.8×
Drug Screen Quantitative Oxcarbazepine (80183) $41 $82 3.1×
Drug Test Prsmv Chem Anlyzr (80307)
range across 3 matching MRF lines
$127.50–$361 $255–$722 varies
Electrolyte panel (80051) $118.50 $237 16.9×
Endomysial Antibody Each Immunoglobulin Class (86231) $56 $112 4.6×
Estradiol serum (82670) $134.50 $269 4.8×
Estrogen total (82672) $119 $238 5.5×
Exam Synovial Fluid Crystals (89060) $48.50 $97 6.6×
Exome Sequence Analysis (81415) $4,896.50 $9,793 1.0×
Factor v leiden mutation (81241) $90.50 $181 1.2×
Factor vii assay (85230) $117.50 $235 6.6×
Factor viii assay (85240) $103.50 $207 5.8×
Fatty acids free (82725) $51.50 $103 2.7×
Fecal Fat Qualitative (82705) $106.50 $213 20.9×
Ferritin (82728) $89.50 $179 6.6×
Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal… (81509) $3,272 $6,544 2.2×
Fibrin Degradation Quant (85379) $96 $192 9.4×
Fibrinogen activity (85384) $88 $176 9.1×
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$197.50–$208 $395–$416 varies
Fluorescent antibody screen (86255) $91 $182 7.6×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $37.50 $75 3.1×
Folic acid rbc (82747) $138.50 $277 7.8×
Folic Acid Serum (82746) $95 $190 6.5×
Follicle Stimulating Hormone (83001) $254.50 $509 13.7×
Fungi Identification Yeast (87106) $32.50 $65 3.1×
Gammaglobulin ige (82785) $48.50 $97 2.9×
Gastrin (82941) $27 $54 1.5×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $391.50 $783 0.9×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $1,941 $3,882 0.7×
Genet Virus Isolate Hsv (87255) $28 $56 0.8×
Gentamicin (80170) $104 $208 6.3×
Ggt (82977) $118.50 $237 16.5×
Giardia antigen (87329) $37 $74 3.1×
Glucagon (82943) $72.50 $145 5.1×
Glucose 2 hr pp (82950) $42 $84 8.8×
Glucose body fluid (82945) $83 $166 21.1×
Glucose Serum (82947) $84 $168 21.4×
Glucose tolerance test (gtt) (82951) $137.50 $275 10.7×
Glycated Protein (82985) $40 $80 2.4×
Gonadotropin Chorionic Qualitative (84703) $186.50 $373 24.8×
Gtt-added samples (82952) $48.50 $97 12.4×
H pylri clrthmcn rst amp prb (87513) $1,371.50 $2,743 39.1×
Haptoglobin (83010) $32.50 $65 2.6×
Helicobacter Pylori Stool (87338) $74 $148 5.1×
Hematocrit (85014) $22.50 $45 9.5×
Hemoglobin (85018) $27.50 $55 11.6×
Hemoglobin a1c (83036) $100 $200 10.3×
Hemoglobin Chromotography (83021) $1,091.50 $2,183 60.4×
Hemoglobin electrophoresis (83020) $128.50 $257 10.0×
Hemoglobin plasma (83051) $114.50 $229 15.7×
Hemoglobin quan tc per day carboxyhemoglobin (88740) $29.50 $59 3.1×
Hemolysins&Agglutinins Auto Screen Each (86940) $44.50 $89 5.1×
Hep a ab igm (86709) $56 $112 5.0×
Hepatitis a antibody total (86708) $30 $60 2.4×
Hepatitis b core ab igm (86705) $51 $102 4.3×
Hepatitis b core ab total (86704) $24.50 $49 2.0×
Hepatitis b surface ag quan (87467) $46 $92 1.8×
Hepatitis B Surface Antibody (86706) $152.50 $305 14.2×
Hepatitis B Surface Antigen (87340) $81.50 $163 7.9×
Hepatitis Be Antibody (86707) $34.50 $69 3.0×
Hepatitis Be Antigen (87350) $35.50 $71 3.1×
Hepatitis C Antibody (86803) $198 $396 13.9×
Hepatitis C Genotype (87902) $393.50 $787 1.5×
Hepatitis C Revrs Trnscrpj (87522) $187.50 $375 4.4×
Hepatitis d quantification (87523) $962.50 $1,925 22.5×
Herpes simplex type 2 (86696) $80 $160 4.1×
Heterophile Antibody Screen (86308) $130.50 $261 25.2×
Hfe Gene (81256) $428 $856 6.5×
Histoplasma antigen urine (87385) $41 $82 3.1×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $25 $50 1.0×
Hiv-1 Quant&Revrse Trnscrpj (87536) $255.50 $511 3.0×
Hla class i&ii antibody qual (86828) $287 $574 4.5×
Hla I Low Resolution One Antigen Equivalent Each (81374) $218.50 $437 2.9×
Hla ii type 1 ag equiv lr (81377) $70 $140 0.7×
Homocysteine (83090) $98 $196 5.5×
Homogenization Tissue (87176) $68.50 $137 11.6×
Hpv sep hi-rsk typ&pool rslt (87626) $191 $382 2.7×
Hsv Dna Amp Probe (87529) $102 $204 2.9×
Hsv Dna Quant (87530) $130 $260 3.0×
Hydroxyprogesterone 17-d (83498) $84 $168 3.1×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $121 $242 11.7×
Iaad ia shiga-like toxin (87427) $37.50 $75 3.1×
Iaad Ia Streptococcus Group A (87430) $111.50 $223 6.6×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $107.50 $215 3.1×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $107.50 $215 3.1×
Iadna Cytomegalovirus Quantification (87497) $448.50 $897 10.5×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $183.50 $367 2.6×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $107.50 $215 3.1×
Iadna Hepatitis B Virus Quantification (87517) $398.50 $797 9.3×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $1,461 $2,922 19.0×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $125.50 $251 3.6×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $48 $96 0.9×
Ibmfs sequence analysis panel at least 30 genes (81441) $6,033 $12,066 2.5×
Idh1 common variants (81120) $476 $952 2.5×
Idh2 common variants (81121) $729 $1,458 2.5×
Ig Light Chains Free Each (83521) $46 $92 2.7×
Igg subclasses (82787) $260.50 $521 32.5×
Immunfix e-phorsis/urine/csf (86335) $139 $278 4.7×
Immunoassay Analyte Quant Radioimmunoassay (83519) $371.50 $743 20.2×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $120 $240 8.0×
Immunoassay nonantibody (83516)
range across 5 matching MRF lines
$35.50–$181.50 $71–$363 varies
Immunodiffusion Ouchterlony (86331) $33 $66 2.8×
Immunoelectrophoresis Serum (86320) $82 $164 2.7×
Immunofixation electrophoresis (86334) $54.50 $109 2.4×
Inhibin b (83520)
range across 2 matching MRF lines
$174.50–$289 $349–$578 varies
Insulin antibodies (86337) $58 $116 2.7×
Insulin free (83527) $71 $142 5.5×
Insulin total (83525) $55 $110 4.8×
Iron (83540) $111 $222 17.2×
Iron Binding Capacity (83550) $143.50 $287 16.4×
Islet cell antibody (86341) $84.50 $169 3.6×
Jak2 gene analysis p.val617phe variant (81270) $481.50 $963 5.3×
Lactate (ld) (ldh) enzyme (83615) $62.50 $125 10.3×
Lactoferrin fecal qualitative (83630) $112 $224 5.7×
LDL direct (83721) $38.50 $77 3.7×
Lead (83655) $35.50 $71 2.9×
Legionella antigen urine (87449) $47.50 $95 4.0×
Leptospira antibody (86720) $146.75 $293.50 9.1×
Leukocyte Assessment Fecal (89055) $54 $108 12.6×
Lipase (83690) $248 $496 36.0×
Lipoprotein A (83695) $234 $468 16.3×
Lipoprotein Bld Quan Part (83704) $103 $206 3.0×
Lithium (80178) $57 $114 8.6×
Liver ds alys 3 bmrk srm alg (81517) $387.50 $775 2.2×
Luteinizing Hormone (Lh) (83002) $250.50 $501 13.5×
Lyme disease antibody (86618) $24.50 $49 1.4×
Macroscopic exam arthropod (87168) $11.50 $23 2.7×
Macroscopic Exam Parasite (87169) $13.50 $27 3.1×
Magnesium Urine (83735) $70 $140 10.4×
Mercury urine (83825) $65.50 $131 4.0×
Methylmalonic acid serum (83921) $185 $370 8.7×
Microalbumin, quantitative (82043) $94 $188 16.3×
Microbe Suscept Macrobroth (87188) $20.50 $41 3.1×
Microsomal Antibodies Each (86376) $51 $102 3.5×
Mitochondrial Antibody Each (86381) $188 $376 7.4×
Mopath procedure level 2 (81401) $1,195.50 $2,391 8.7×
Mopath procedure level 4 (81403) $842.50 $1,685 4.5×
Mrsa Pcr (87641) $50.50 $101 1.4×
Mumps antibody (86735) $153.50 $307 11.8×
Muscle-Specific Kinase Antb (86366) $1,237.50 $2,475 67.3×
Mycobacteric Identification (87118) $40 $80 2.7×
Mycophenolic Acid (80180) $128 $256 7.1×
Natriuretic peptide (83880) $53 $106 1.3×
Neurofilament light chain (83884) $546 $1,092 4.7×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $76.50 $153 2.6×
Nfct Agent Genotype Hepatitis B Virus (87912) $272 $544 1.1×
Nfct ds bv&vaginitis DNA alg (81515) $392.50 $785 1.5×
Nfct ds chrnc hcv 6 assays (81596) $222.50 $445 3.1×
Nk cells total count (86357) $85 $170 2.3×
Nuclear antigen antibody (86235) $51 $102 2.8×
Occult blood feces (82272) $10 $20 2.4×
Occult Blood Other Sources (82271) $35.50 $71 6.7×
Oncoprotein dcp (83951) $177 $354 2.7×
Osmolality serum (83930) $113.50 $227 17.2×
Osmolality Urine (83935) $146 $292 21.4×
Ova and parasites smears (87177) $9 $18 1.0×
Ph urine (81003) $61.50 $123 27.3×
Phenobarbital Level (80184) $92 $184 6.0×
Phenotype Infect Agent Drug (87900) $195 $390 1.5×
Phenytoin (Dilantin) (80185) $104.50 $209 7.9×
Phenytoin free (80186) $108 $216 7.8×
Phosphatase alkaline (84075) $55.50 $111 10.7×
Phospholipid Neutralization Hexagonal (85598) $23.50 $47 1.3×
Phosphorus Serum (84100) $42 $84 8.9×
Platelet count automated (85049) $51.50 $103 11.5×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $1,119 $2,238 5.4×
Pneumcysts jirovecii amp prb (87594) $1,841.50 $3,683 52.5×
Porphobilinogen, urine; quantitative (84110) $26.50 $53 3.1×
Potassium Urine (84133) $115.50 $231 24.4×
Prealbumin (84134) $146.50 $293 10.0×
Primidone (80188) $106.50 $213 6.4×
Procalcitonin (Pct) (84145) $728.50 $1,457 26.8×
Progesterone (84144) $98 $196 4.7×
Prolactin (84146) $288.50 $577 14.9×
Protein body fluid (84157) $114 $228 28.5×
Protein C Activity (85303) $38.50 $77 2.8×
Protein Electrophoresis Urine (84166) $54.50 $109 3.1×
Protein Electrophoretic Fractj&Quantj Serum (84165) $70 $140 6.5×
Protein total serum (84155) $118.50 $237 32.3×
Protein Total Urine (84156) $118.50 $237 32.3×
Protoporphyrin rbc quantitative (84202) $58.50 $117 4.1×
PSA free (84154) $58.50 $117 3.2×
Pth Intact (83970) $240 $480 5.8×
Quantiferon tb gold plus (86480) $326.50 $653 5.3×
Quantitative assay drug (80299)
range across 2 matching MRF lines
$70.50–$525.50 $141–$1,051 varies
Quantitative Screen Metals (83018) $172.50 $345 7.9×
Rbc antibody identification (86870) $143.50 $287 0.4×
Rbc antibody screen (86850) $101 $202 10.3×
Reagent Strip/Blood Glucose (82948) $28.50 $57 5.7×
Renin activity plasma (84244) $100 $200 4.5×
Rh (86901) $68.50 $137 22.9×
Rheumatoid Factor Qualitative (86430) $129.50 $259 21.1×
Rheumatoid factor quant (86431) $129.50 $259 22.8×
Rickettsia antibody (86757) $189.50 $379 9.8×
Ristocetin cofactor (85245) $150.50 $301 6.6×
Rotavirus ag eia (87425) $81 $162 6.8×
Rpr qualitative (86592) $62 $124 14.5×
Rubella Antibody (86762) $76 $152 5.3×
Rubeola antibody (86765) $42 $84 3.3×
Rx metab gen seq alys pnl 6 (81418) $1,829.50 $3,659 2.0×
Salicylate Level (80179) $111 $222 6.0×
Sars-Cov-2 Covid-19 Amp Prb (87635) $100 $200 1.9×
Sars-cov-2 COVID-19 antibody (86769) $38.50 $77 0.9×
Sarscov2 & inf a&b amp prb (87636) $391 $782 2.7×
Sarscov2&inf a&b&rsv amp prb (87637) $259 $518 1.8×
Sedimentation Rate, Automated (85652) $66.50 $133 24.6×
Selenium (84255) $149.50 $299 5.9×
Sensitivity mic (87186) $52.50 $105 6.1×
Sickling of rbc reduction (85660) $35 $70 6.4×
Skin test tuberculosis intradermal (86580)
range across 3 matching MRF lines
$38–$496.03 $76–$992.05 varies
Smear acid fast (87206) $17 $34 3.2×
Smear complex stain (87209) $62 $124 3.4×
Smear gram stain (87205) $45.50 $91 10.7×
Smr Prim Src Wet Mount Nfct Agt (87210) $49.50 $99 8.5×
Sodium Serum (84295) $73.50 $147 15.3×
Sodium Urine (84300) $86 $172 17.0×
Somatomedin (84305) $65.50 $131 3.1×
Special Stains Group 1 (88312) $74 $148 1.4×
Special Stains Group 2 (88313) $117 $234 0.9×
Specimen infect agnt concntj (87015) $22 $44 3.3×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $177.50 $355 1.0×
Stool cultr aerobic bact ea (87046) $71 $142 7.5×
Strep a assay w/optic (87880) $76 $152 4.6×
Strep b DNA amp probe (87653) $91.50 $183 2.6×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $1,012 $2,024 11.0×
Surg path level iii (88304) $191 $382 3.6×
Surgical pathology level IV (88305) $290 $580 5.5×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $49.50 $99 10.4×
Syphilis Test Non-Trep Quant (86593) $13.50 $27 3.1×
T cells absolute cd4 count (86361) $82 $164 3.1×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $66.50 $133 1.4×
T cells total count (86359) $49 $98 1.3×
T3 Free (84481) $70 $140 4.1×
T3 Total (84480) $145.50 $291 10.3×
T3 Uptake (84479) $94 $188 14.5×
T4 Free (84439) $155 $310 17.2×
T4 total (84436) $178.50 $357 26.0×
Tacrolimus (80197) $164 $328 11.9×
Tau phosphorylated each (84393) $632 $1,264 4.9×
Test for urine cystines (82615) $26.50 $53 2.8×
Testosterone total (84403) $147.50 $295 5.7×
Testosterone, Free (84402) $79 $158 3.1×
Tgsap hl neo 5-50 RNA alys (81451) $1,871.50 $3,743 2.5×
Tgsap so/hl 51/< RNA alys (81456) $7,193.50 $14,387 2.5×
Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) $1,474 $2,948 2.5×
Thiopurine methyltransferase (84433) $69 $138 3.1×
Thyroglobulin (84432) $99 $198 6.2×
Thyroglobulin Antibody (86800) $50 $100 3.1×
Thyroid Stimulating Immunoglobulin (84445) $288.50 $577 5.7×
Tiss Trnsgltmnase Ea Ig Clas (86364) $35.50 $71 3.1×
Tissue Culture Lymphocyte (88230) $457.50 $915 3.9×
Total Tau (84394) $632 $1,264 4.9×
Touch prep (88161) $134 $268 4.6×
Tp53 gene analysis full gene sequence (81351) $1,412 $2,824 2.2×
Transferase Aspartate Amino Ast Sgot (84450) $118.50 $237 22.9×
Transferrin (84466) $74.50 $149 5.8×
Trichomonas Vaginalis Amplif (87661) $107.50 $215 3.1×
Triglycerides (84478) $103.50 $207 18.0×
Troponin Quant (84484) $252 $504 20.2×
Urea nitrogen urine (84540) $101 $202 18.2×
Urinalysis Microscopic Only (81015) $33 $66 10.8×
Urinalysis Volume Measure (81050) $11.50 $23 3.2×
Urine Albumin Semiquantitative (82044) $17 $34 2.7×
Urine Bacteria Culture (87088) $70.50 $141 8.7×
Urine Pregnancy Test (81025) $163 $326 18.9×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $137.50 $275 43.4×
Valproic acid (80164) $106.50 $213 7.9×
Vancomycin (80202) $104.50 $209 7.7×
Varicella-zoster antibody (86787) $71.50 $143 5.6×
Virus inoculation, shell via (87254) $44 $88 2.2×
Vit D 1 25-Dihydroxy (82652) $294 $588 7.6×
Vitamin b-12 (82607) $96 $192 6.4×
Vitamin B6 (84207) $352 $704 12.5×
Vitamin D 25-Hydroxy (82306) $302.50 $605 10.2×
Voltage-Gated Calcium Channel Antibody Each (86596) $36.50 $73 3.0×
Von willebrand factor ag (85246) $96.50 $193 4.2×
Zinc (84630) $51.50 $103 4.5×

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.