Lab & pathology prices at Audubon County Memorial Hospital

Audubon, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $50 $50 2.7×
Acetylcholn Rcptr Modlg Antb (86043) $35 $35 2.9×
Acth (82024) $405 $405 10.5×
Actin smooth muscle antibody each (86015) $25 $25 2.1×
Acute hepatitis panel (80074) $442 $442 9.3×
Albumin Fluid (82042) $26 $26 3.3×
Albumin serum (82040) $55 $55 11.1×
Aldolase (82085) $104 $104 10.7×
Aldosterone urine (82088) $155 $155 3.8×
Alkaline phosphatase isoenzymes (84080) $155 $155 10.5×
Allergen spec ige qual multiallergen screen (86005) $25 $25 3.1×
Allergen specific ige (86003) $25 $25 4.8×
Alpha-1-antitrypsin total (82103) $30 $30 2.2×
Alpha-Fetoprotein Serum (82105) $180 $180 10.7×
Alt (sgpt) (84460) $75 $75 14.2×
Ammonia (82140) $153 $153 10.5×
Amylase urine (82150) $80 $80 12.3×
Anca screen each antibody (86036) $36 $36 3.0×
Angiotensin converting enzyme csf (82164) $155 $155 10.6×
Antibody aspergillus (86606) $45 $45 3.0×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $46.50 $46.50 3.0×
Antibody Cytomegalovirus Cmv Igm (86645) $181 $181 10.7×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $70 $70 4.6×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $82 $82 4.5×
Antibody Fungus Not Elsewhere Specified (86671) $25 $25 2.0×
Antibody Herpes Smplx Type 1 (86695) $30 $30 2.3×
Antibody Hla Class I High Definition Panel Qual (86832) $450 $450 1.4×
Antibody john cunningham virus (86711) $35 $35 2.1×
Antibody Protozoa Nes (86753) $37 $37 3.0×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$42–$143 $42–$143 varies
Antigen typing (86905) $200 $200 52.2×
Antinuclear antibodies (86038) $110 $110 9.1×
Antistreptolysin O Screen (86063) $62 $62 10.7×
Antithrombin iii activity (85300) $63 $63 5.3×
Apolipoprotein a1 (82172) $77 $77 3.7×
Arsenic (82175) $56 $56 3.0×
Aspergillus ag eia (87305) $25 $25 2.1×
Assay Blood Carbon Dioxide (82374) $55 $55 11.3×
Assay Nephelometry Not Spec (83883)
range across 2 matching MRF lines
$100–$250 $100–$250 varies
Assay of 5-hiaa (83497) $75 $75 5.8×
Assay of blood/uric acid (84550) $47 $47 10.4×
Assay of calcium in urine (82340) $65 $65 10.8×
Assay of cpk in blood (82552) $143 $143 10.7×
Assay of gammaglobulin igm (82784) $50 $50 5.4×
Assay of lactic acid (83605)
range across 2 matching MRF lines
$80–$112 $80–$112 varies
Assay of metanephrines (83835) $180 $180 10.6×
Assay of serum potassium (84132)
range across 2 matching MRF lines
$15–$50 $15–$50 varies
Assay of urea nitrogen (84520) $55 $55 13.9×
Assay of vitamin b-1 (84425) $225 $225 10.6×
Assay Ph Body Fluid Nos (83986) $18 $18 5.0×
Assay spec xcp ur&breath ia (82077) $35 $35 2.0×
Automated Leukocyte Count (85048) $35 $35 13.8×
B cells total count (86355) $128 $128 3.4×
Babesia microti amp prb (87469) $50 $50 1.4×
Bartonella antibody (86611) $68 $68 6.7×
Bcr/abl1 gene major bp (81206) $590 $590 3.6×
Beta 2 glycoprotein i antibody each (86146) $270 $270 10.6×
Beta hydroxybutyrate (82010) $86 $86 10.5×
Beta Lactamase (87185) $20 $20 4.2×
Beta-2 Microglobulin (82232) $145 $145 9.0×
Bilirubin direct (82248) $55 $55 11.0×
Bilirubin total (82247) $55 $55 11.0×
Blood Count Red Blood Cell Automated (85041) $32 $32 10.6×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $40 $40 10.5×
Blood gas (82803)
range across 2 matching MRF lines
$28–$100 $28–$100 varies
Blood gases w/02 saturation (82805) $210 $210 2.7×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $20 $20 4.6×
Blood Type Antigen Donor Reagent Serum Each (86902) $25 $25 3.9×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $75 $75 4.6×
Blood typing serologic abo (86900) $60 $60 20.1×
Bone marrow smear interpretation (85097) $133 $133 0.2×
Bordetella antibody (86615) $25 $25 1.9×
Borrelia miyamotoi amp prb (87478) $50 $50 1.4×
Breath Alcohol Test (82075) $44 $44 1.5×
C diff amplified probe (87493) $105 $105 2.8×
C-Peptide (84681) $220 $220 10.6×
C-reactive protein (86140) $61 $61 11.8×
Ca 19-9 (86301) $160 $160 7.7×
Calcium ionized (82330) $144 $144 10.5×
Calcium total (82310) $55 $55 10.7×
Calculus Xray Diffraction (82370) $132 $132 10.5×
Calprotectin Fecal (83993) $210 $210 10.7×
Cancer Antigen 125 (86304) $220 $220 10.6×
Cancer Antigen 27.29 (86300) $160 $160 7.7×
Candida Dna Dir Probe (87480) $42 $42 2.1×
Carbamazepine total (80156) $153 $153 10.5×
Carboxyhemoglobin (82375) $45 $45 3.7×
Carcinoembryonic antigen (82378) $145 $145 7.6×
Cardiolipin ab iga (86147) $270 $270 10.6×
Carnitine Quantitative Each Specimen (82379) $51 $51 3.0×
Catecholamines fractionated (82384) $264 $264 10.5×
Ccp antibody (86200) $139 $139 10.7×
Cell count csf (89051) $60 $60 10.7×
Ceruloplasmin (82390) $36 $36 3.4×
Chemiluminescent assay (82397) $35 $35 2.5×
Chlmy trch&neisra gonor mult (87494) $90 $90 1.3×
Chloride Serum (82435) $50 $50 10.9×
Chloride urine (82436) $18 $18 3.1×
Cholesterol total (82465)
range across 2 matching MRF lines
$45–$50 $45–$50 varies
Chorionic gonadotropin test (84702) $100 $100 6.6×
Chromogenic Substrate Assay (85130) $63 $63 5.3×
Chromogranin a (86316) $31 $31 1.5×
Chromosome Analysis 20-25 (88264) $175 $175 1.2×
Chromosome analysis, 5 (88261) $325 $325 1.2×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $150 $150 4.3×
Citric acid urine (82507) $35 $35 1.3×
Ckmb (82553) $110 $110 9.5×
Clostridium Difficile (87324) $155 $155 12.9×
Clot Factor VIII Multimetric (85247) $45 $45 2.0×
Clotting Funct Activity (85397) $68 $68 2.2×
Collagen crosslinks (82523) $66 $66 3.5×
Column Chromotography Quant (82542) $190 $190 7.9×
Compatibility Each Unit Incubation (86921) $57 $57 0.3×
Compatibility test antiglob (86922) $108 $108 0.7×
Complement Antigen Each Component (86160) $129 $129 10.8×
Complement Total (Ch50) (86162) $60 $60 3.0×
Coombs direct (86880) $53 $53 9.8×
Copper urine (82525) $130 $130 10.5×
Cortisol free (82530) $176 $176 10.5×
Cortisol saliva (82533) $175 $175 10.7×
Creatine kinase total (82550) $75 $75 11.5×
Creatinine blood (82565) $54 $54 10.5×
Creatinine clearance (82575) $35 $35 3.7×
Creatinine Urine (82570) $52 $52 10.0×
Crossmatch immediate spin (86920) $215 $215 1.3×
Crp High Sensitivity (86141) $139 $139 10.7×
Cryptococcus ag titer (87899) $32 $32 2.0×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $50 $50 6.2×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $300 $300 1.4×
Culture Anaerobic (87075) $63 $63 6.7×
Culture blood (87040) $80 $80 7.8×
Culture csf (87070) $100 $100 11.6×
Culture fungus (87102) $62 $62 7.4×
Culture screen only (87081) $78 $78 11.8×
Culture urine (87086) $65 $65 8.1×
Cyclosporine (80158) $190 $190 10.5×
Cystatin C (82610) $80 $80 4.3×
Cytomegalovirus igg (86644) $155 $155 10.8×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $25 $25 1.2×
Cytp Concentration Smears & Interpretation (88108)
range across 2 matching MRF lines
$170–$220 $170–$220 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 2 matching MRF lines
$250–$495 $250–$495 varies
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $180 $180 5.0×
Detect Agent Nos Dna Amp (87798) $95 $95 2.7×
Detect Agent Nos Dna Quant (87799) $455 $455 10.6×
Detect agnt mult DNA ampli (87801) $90 $90 1.3×
Dgp Antibody Each Ig Class (86258) $30 $30 2.5×
Dhea-S (82627) $155 $155 7.0×
Digoxin (80162) $140 $140 10.5×
Dna Antibody Native/Double Stranded (86225) $145 $145 10.6×
Dna/Rna Amplified Probe (87150) $30 $30 0.9×
Drug assay adalimumab (80145) $49 $49 1.3×
Drug Assay Infliximab (80230) $60 $60 1.6×
Drug Assay Lacosamide (80235) $77 $77 2.8×
Drug Assay Vedolizumab (80280) $55 $55 1.4×
Drug Screen Quant Clozapine (80159) $68 $68 3.4×
Drug Screen Quantitative Lamotrigine (80175) $145 $145 10.9×
Drug Screen Quantitative Levetiracetam (80177) $145 $145 10.9×
Drug Screen Quantitative Oxcarbazepine (80183) $32 $32 2.4×
Drug Test Prsmv Chem Anlyzr (80307) $250 $250 4.0×
Drug Test Prsmv Dir Opt Obs (80305) $70 $70 5.6×
Ehrlichia antibody (86666) $35 $35 3.4×
El-1 Fecal Quantitative (82653) $50 $50 2.2×
Electrolyte panel (80051)
range across 2 matching MRF lines
$30–$75 $30–$75 varies
Endomysial Antibody Each Immunoglobulin Class (86231) $22 $22 1.8×
Enzyme cell activity (82657) $97 $97 4.4×
Eosinophil Smear (89190) $15 $15 2.6×
Erythropoietin (82668) $200 $200 10.6×
Estradiol serum (82670) $100 $100 3.6×
Estrogen total (82672) $233 $233 10.7×
Estrogens fractionated (82671) $300 $300 9.3×
Exam Synovial Fluid Crystals (89060) $75 $75 10.2×
F2 Gene (81240) $525 $525 8.0×
Factor ii activity (85210) $25 $25 1.9×
Factor Inhibitor Test (85335) $25 $25 1.9×
Factor ix activity (85250) $145 $145 7.6×
Factor v activity (85220) $145 $145 8.2×
Factor v leiden mutation (81241) $650 $650 8.9×
Factor viii assay (85240) $145 $145 8.1×
Factor xi activity (85270) $42 $42 2.3×
Fat stain feces urine/respir secretions (89125) $46 $46 7.8×
Fat/Lipids Feces Quantitative (82710) $30 $30 1.8×
Ferritin (82728) $125 $125 9.2×
Fibrin Degradation Quant (85379) $90 $90 8.8×
Fibrinogen activity (85384) $90 $90 9.3×
Flow cytometry first marker (88184) $154 $154 0.4×
Fluorescent antibody screen (86255)
range across 2 matching MRF lines
$20–$23 $20–$23 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $130 $130 10.8×
Fmr1 gene detection (81243) $70 $70 1.2×
Folic Acid Serum (82746) $125 $125 8.5×
Follicle Stimulating Hormone (83001) $197 $197 10.6×
Fresh Frozen Plasma Thawing Each Unit (86927) $32 $32 0.2×
Frozen Section (88331)
range across 2 matching MRF lines
$103–$150 $103–$150 varies
Gammaglobulin ige (82785) $65 $65 3.9×
Gardner vag DNA dir probe (87510) $42 $42 2.1×
Gases blood ph only (82800) $87 $87 7.9×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $385 $385 0.9×
Ggt (82977) $77 $77 10.7×
Glucose 2 hr pp (82950) $51 $51 10.7×
Glucose Blood Test (82962) $10 $10 3.0×
Glucose body fluid (82945)
range across 3 matching MRF lines
$20–$40 $20–$40 varies
Glucose Serum (82947) $42 $42 10.7×
Glucose tolerance test (gtt) (82951) $108 $108 8.4×
Gonadotropin Chorionic Qualitative (84703) $80 $80 10.6×
Growth hormone (83003) $40 $40 2.4×
Haptoglobin (83010) $135 $135 10.7×
Hdl Cholesterol (83718) $86 $86 10.5×
Helicobacter Pylori Stool (87338) $128 $128 8.9×
Helminth Antibody (86682) $39 $39 3.0×
Hematocrit (85014)
range across 2 matching MRF lines
$23–$31 $23–$31 varies
Hemoglobin (85018) $31 $31 13.1×
Hemoglobin a1c (83036) $75 $75 7.7×
Hemoglobin plasma (83051) $78 $78 10.7×
Hep a ab igm (86709) $121 $121 10.7×
Hepatitis a antibody total (86708) $135 $135 10.9×
Hepatitis b core ab total (86704) $130 $130 10.8×
Hepatitis B Surface Antibody (86706) $115 $115 10.7×
Hepatitis B Surface Antigen (87340) $104 $104 10.1×
Hepatitis C Antibody (86803) $130 $130 9.1×
Hepatitis C Genotype (87902) $490 $490 1.9×
Hepatitis C Revrs Trnscrpj (87522) $460 $460 10.7×
Herpes simplex type 2 (86696) $40 $40 2.1×
Heterophile Antibody Screen (86308) $55 $55 10.6×
Hfe Gene (81256) $118 $118 1.8×
Histamine urine (83088) $310 $310 10.5×
Histoplasma antibody (86698) $62 $62 4.5×
Histoplasma antigen urine (87385) $27 $27 2.0×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $77 $77 3.2×
Hiv-1 Antibody (86701) $70 $70 7.9×
Hiv-1 Quant&Revrse Trnscrpj (87536) $185 $185 2.2×
Hla class ii high defin qual (86833) $455 $455 1.4×
Hla-b27 (86812) $205 $205 7.9×
Homocysteine (83090) $180 $180 10.0×
Homogenization Tissue (87176) $15 $15 2.6×
Hpv High-Risk Types (87624) $115 $115 3.3×
Hsv Dna Amp Probe (87529) $370 $370 10.5×
Hydroxyprogesterone 17-d (83498) $290 $290 10.7×
Iaad Ia Entamoeba Histolytica Grp (87337) $27 $27 2.3×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426)
range across 2 matching MRF lines
$70–$105 $70–$105 varies
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $50 $50 1.4×
Iadna Cytomegalovirus Quantification (87497) $128 $128 3.0×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $85 $85 1.2×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $50 $50 1.4×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $160 $160 4.6×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $148 $148 4.2×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631)
range across 2 matching MRF lines
$170–$185 $170–$185 varies
Ig Light Chains Free Each (83521) $52 $52 3.0×
Immune Complex Assay (86332) $92 $92 3.8×
Immunfix e-phorsis/urine/csf (86335) $310 $310 10.6×
Immunoassay Analyte Quant Radioimmunoassay (83519) $145 $145 7.9×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $42 $42 2.8×
Immunoassay nonantibody (83516) $120 $120 10.4×
Immunodiffusion Ouchterlony (86331) $36 $36 3.0×
Immunofixation electrophoresis (86334) $100 $100 4.5×
Immunohistochemistry (88342)
range across 2 matching MRF lines
$125–$200 $125–$200 varies
In situ hybridization 1st probe stain (88365) $415 $415 2.5×
Influenza assay w/optic (87804)
range across 2 matching MRF lines
$50–$100 $50–$100 varies
Influenza DNA amp probe (87502) $120 $120 1.3×
Inhibin b (83520)
range across 2 matching MRF lines
$90–$115 $90–$115 varies
Insulin total (83525) $120 $120 10.5×
Intrinsic factor antibody (86340) $157 $157 10.4×
Iron (83540) $65 $65 10.0×
Iron Binding Capacity (83550) $75 $75 8.6×
Irradiation Blood Product Each Unit (86945) $85 $85 2.4×
Islet cell antibody (86341) $225 $225 9.5×
Jak2 gene analysis p.val617phe variant (81270) $305 $305 3.3×
Lactate (ld) (ldh) enzyme (83615) $64 $64 10.6×
Lactoferrin fecal qualitative (83630) $205 $205 10.4×
LDL direct (83721) $79 $79 7.5×
Lead (83655) $93 $93 7.7×
Leukocyte Assessment Fecal (89055) $15 $15 3.5×
Leukocyte Histamine Release (86343) $36 $36 2.9×
Level I Surg Pathology Gross Examination Only (88300)
range across 2 matching MRF lines
$40–$90 $40–$90 varies
Level ii surg pathology gross&microscopic exam (88302)
range across 2 matching MRF lines
$65–$115 $65–$115 varies
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines
$450–$560 $450–$560 varies
Lipase (83690) $90 $90 13.1×
Lithium (80178) $80 $80 12.1×
Luteinizing Hormone (Lh) (83002) $195 $195 10.5×
Lyme disease antibody (86618) $180 $180 10.6×
M. Genitalium Amp Probe (87563) $148 $148 4.2×
Magnesium Urine (83735) $69 $69 10.3×
Mass Spectrometry Quant (83789) $190 $190 7.9×
Mercury urine (83825) $49 $49 3.0×
Metabolic panel ionized ca (80047) $55 $55 4.0×
Methylmalonic acid serum (83921) $175 $175 8.3×
Microalbumin, quantitative (82043) $75 $75 13.0×
Microsomal Antibodies Each (86376) $155 $155 10.7×
Mitochondrial Antibody Each (86381) $50 $50 2.0×
Molecular Cytogenetics Dna Probe Each (88271) $230 $230 10.7×
Mrsa Pcr (87641) $95 $95 2.7×
Mthfr Gene Analysis Common Variants (81291) $123 $123 1.9×
Mumps antibody (86735) $142 $142 10.9×
Muscle-Specific Kinase Antb (86366) $50 $50 2.7×
Mycophenolic Acid (80180) $32 $32 1.8×
Natriuretic peptide (83880) $155 $155 3.9×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $195 $195 1.5×
Nfct ds bv&vaginitis DNA alg (81515) $180 $180 0.7×
Niacin (84591) $57 $57 3.3×
Nk cells total count (86357) $128 $128 3.4×
Nuclear antigen antibody (86235) $50 $50 2.8×
Occult blood feces (82272) $15 $15 3.5×
Occult Blood Other Sources (82271) $35 $35 6.6×
Organic acids urine (83918) $175 $175 7.4×
Osmolality Urine (83935) $73 $73 10.7×
Ova and parasites smears (87177) $26 $26 2.9×
Ova1 (81503) $1,000 $1,000 1.1×
Oxalate urine (83945) $28 $28 1.9×
Ph urine (81003) $40 $40 17.8×
Phenobarbital Level (80184) $45 $45 2.9×
Phenytoin (Dilantin) (80185) $75 $75 5.7×
Phenytoin free (80186) $148 $148 10.8×
Phosphatase alkaline (84075) $55 $55 10.6×
Phosphorus Serum (84100) $48 $48 10.1×
Phosphorus urine (84105) $16 $16 2.8×
Pinworm exam (87172) $15 $15 3.5×
Platelet Antibodies (86022) $197 $197 10.7×
Platelet count automated (85049) $48 $48 10.7×
Potassium Urine (84133) $15 $15 3.2×
Prealbumin (84134) $145 $145 9.9×
Pregnenolone (84140) $40 $40 1.9×
Procalcitonin (Pct) (84145) $180 $180 6.6×
Progesterone (84144) $98 $98 4.7×
Prolactin (84146) $205 $205 10.6×
Protein body fluid (84157)
range across 2 matching MRF lines
$16–$41 $16–$41 varies
Protein C Activity (85303) $140 $140 10.1×
Protein Electrophoresis Urine (84166) $80 $80 4.5×
Protein Electrophoretic Fractj&Quantj Serum (84165) $75 $75 7.0×
Protein S Free (85306) $164 $164 10.7×
Protein s total (85305) $124 $124 10.7×
Protein total serum (84155) $39 $39 10.6×
Protein Total Urine (84156) $42 $42 11.4×
PSA free (84154) $195 $195 10.6×
Pth Intact (83970) $275 $275 6.7×
Quantiferon tb gold plus (86480) $97 $97 1.6×
Quantitative assay drug (80299) $72 $72 3.9×
Rbc antibody identification (86870) $185 $185 0.5×
Rbc antibody screen (86850) $60 $60 6.1×
Renin activity plasma (84244) $90 $90 4.1×
Reptilase test (85635) $26 $26 2.6×
Reticulocyte Count (85046) $25 $25 4.5×
Reticulocyte Count Manual (85044) $46 $46 10.7×
Rh (86901) $36 $36 12.0×
Rheumatoid factor quant (86431) $61 $61 10.8×
Rickettsia antibody (86757) $26 $26 1.3×
Ristocetin cofactor (85245) $45 $45 2.0×
Rpr qualitative (86592) $46 $46 10.8×
Rsv Assay W/Optic (87807) $128 $128 9.8×
Rubella Antibody (86762) $152 $152 10.6×
Rubeola antibody (86765) $137 $137 10.6×
Russell Viper Venom Time Diluted (85613) $73 $73 7.6×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$95–$100 $95–$100 varies
Sars-cov-2 COVID-19 antibody (86769) $40 $40 0.9×
Sedimentation Rate, Automated (85652)
range across 2 matching MRF lines
$37–$48 $37–$48 varies
Selenium (84255) $116 $116 4.5×
Semen analysis complete (89322) $53 $53 3.4×
Semen analysis motility and count (89310) $25 $25 2.9×
Sensitivity mic (87186) $80 $80 9.2×
Sex Hormone Binding Globulin (84270) $235 $235 10.8×
Sickling of rbc reduction (85660) $18 $18 3.3×
Sirolimus (80195) $148 $148 10.8×
Skin test tuberculosis intradermal (86580) $20 $20 0.7×
Smear acid fast (87206) $25 $25 4.6×
Smear complex stain (87209) $36 $36 2.0×
Smear gram stain (87205) $44 $44 10.3×
Sodium Serum (84295)
range across 2 matching MRF lines
$15–$52 $15–$52 varies
Sodium Urine (84300) $31 $31 6.1×
Soluble Transferrin Receptor (84238) $64 $64 1.8×
Somatomedin (84305) $228 $228 10.7×
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$150–$270 $150–$270 varies
Special Stains Group 2 (88313)
range across 2 matching MRF lines
$113–$200 $113–$200 varies
Spectrophotometry (84311) $30 $30 3.7×
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$85–$95 $85–$95 varies
Strep a DNA amp probe (87651)
range across 2 matching MRF lines
$45–$75 $45–$75 varies
Sulfate urine (84392) $16 $16 2.9×
Surg path level iii (88304)
range across 2 matching MRF lines
$100–$115 $100–$115 varies
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$160–$170 $160–$170 varies
Surgical pathology level vi (88309)
range across 2 matching MRF lines
$650–$865 $650–$865 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $15 $15 3.2×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $197 $197 4.2×
T cells total count (86359) $128 $128 3.4×
T3 Free (84481) $165 $165 9.7×
T3 reverse (84482) $169 $169 10.7×
T3 Total (84480) $135 $135 9.5×
T3 Uptake (84479) $69 $69 10.7×
T4 Free (84439) $85 $85 9.4×
T4 total (84436) $75 $75 10.9×
Tacrolimus (80197) $148 $148 10.8×
Tb ag response t-cell susp (86481) $128 $128 1.3×
Testosterone Bioavailable (84410) $270 $270 5.3×
Testosterone total (84403) $90 $90 3.5×
Testosterone, Free (84402) $270 $270 10.6×
Theophylline (80198) $155 $155 11.0×
Thyroglobulin (84432) $172 $172 10.7×
Thyroglobulin Antibody (86800) $170 $170 10.7×
Thyroid Stimulating Immunoglobulin (84445) $410 $410 8.1×
Tiss Trnsgltmnase Ea Ig Clas (86364) $34 $34 2.9×
Tissue culture bone marrow (88237) $180 $180 1.3×
Tobramycin peak (80200) $45 $45 2.8×
Topiramate (80201) $128 $128 10.7×
Transferase Aspartate Amino Ast Sgot (84450) $80 $80 15.4×
Transferrin (84466) $110 $110 8.6×
Trg gene rearrangement anal (81342) $330 $330 1.6×
Trichomonas vagin dir probe (87660) $42 $42 2.1×
Trichomonas Vaginalis Amplif (87661) $56 $56 1.6×
Triglycerides (84478) $65 $65 11.3×
Troponin Quant (84484) $160 $160 12.8×
Tumor Immunohistochem/Manual (88360)
range across 2 matching MRF lines
$195–$300 $195–$300 varies
Urea nitrogen urine (84540) $17 $17 3.1×
Uric acid other source (84560) $50 $50 9.8×
Urinalysis Microscopic Only (81015) $15 $15 4.9×
Urinalysis Volume Measure (81050) $35 $35 9.6×
Urine Pregnancy Test (81025) $19 $19 2.2×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $50 $50 15.8×
Valproic acid (80164) $125 $125 9.2×
Vancomycin (80202) $145 $145 10.7×
Varicella-zoster antibody (86787) $138 $138 10.7×
Viscosity serum (85810) $112 $112 9.6×
Vit D 1 25-Dihydroxy (82652) $408 $408 10.6×
Vitamin A (84590) $125 $125 10.8×
Vitamin b-12 (82607) $120 $120 8.0×
Vitamin B2 (Riboflavin) (84252) $62 $62 3.1×
Vitamin B6 (84207) $300 $300 10.7×
Vitamin c (82180) $35 $35 3.5×
Vitamin D 25-Hydroxy (82306) $200 $200 6.8×
Vitamin E (84446) $152 $152 10.7×
Vitamin K (84597) $40 $40 2.9×
Von willebrand factor ag (85246) $45 $45 2.0×
West nile virus ab igm (86788) $37 $37 2.2×
West Nile Virus Antibody (86789) $33 $33 2.3×
Zinc (84630) $120 $120 10.5×

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.