Lab & pathology prices at Avera Holy Family Hospital

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acth (82024) $516.04 $532 13.4×
Actin smooth muscle antibody each (86015) $73.72 $76 6.1×
Acute hepatitis panel (80074) $648.93 $669 13.6×
Albumin serum (82040) $60.14 $62 12.1×
Aldolase (82085) $88.27 $91 9.1×
Aldosterone urine (82088) $529.62 $546 13.0×
Allergen specific ige (86003) $40.74 $42 7.8×
Alpha-1-antitrypsin phenotype (82104) $150.35 $155 10.4×
Alpha-1-antitrypsin total (82103) $96.03 $99 7.1×
Alpha-Fetoprotein Serum (82105) $93.12 $96 5.6×
Alt (sgpt) (84460) $66.93 $69 12.6×
Amikacin trough (80150) $161.99 $167 10.7×
Ammonia (82140) $128.04 $132 8.8×
Amylase urine (82150) $104.76 $108 16.2×
Ana Titer (86039) $166.84 $172 14.9×
Anca screen each antibody (86036) $89.24 $92 7.4×
Androstenedione (82157) $209.52 $216 7.2×
Angiotensin converting enzyme csf (82164) $168.78 $174 11.6×
Antibody aspergillus (86606) $42.68 $44 2.8×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $138.71 $143 9.0×
Antibody Cytomegalovirus Cmv Igm (86645) $70.81 $73 4.2×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $49.47 $51 3.8×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $108.64 $112 7.1×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $112.52 $116 6.2×
Antibody Herpes Smplx Non-Specific Type Test (86694) $210.49 $217 14.6×
Antibody Herpes Smplx Type 1 (86695) $93.12 $96 7.1×
Antibody Identification Platelet Immunogl Assay (86023) $190.12 $196 15.3×
Antibody Protozoa Nes (86753) $92.15 $95 7.4×
Antibody Treponema Pallidum (86780)
range across 4 matching MRF lines
$30.07–$161.02 $31–$166 varies
Antigen typing (86905) $355.99 $367 92.9×
Antistreptolysin o titer (86060) $86.33 $89 11.8×
Antithrombin iii activity (85300) $158.11 $163 13.3×
Antithrombin iii antigen (85301) $206.61 $213 19.1×
Arsenic (82175) $222.13 $229 11.7×
Assay activated protein c (85307) $64.99 $67 4.2×
Assay Blood Carbon Dioxide (82374) $57.23 $59 11.7×
Assay of anti-mullerian hormone (82166) $433.59 $447 11.2×
Assay of blood/uric acid (84550) $61.11 $63 13.5×
Assay of calcium in urine (82340) $104.76 $108 17.4×
Assay of estrone (82679) $99.91 $103 4.0×
Assay of gammaglobulin igm (82784)
range across 4 matching MRF lines
$37.83–$185.27 $39–$191 varies
Assay of lactic acid (83605) $48.50 $50 4.2×
Assay of metanephrines (83835) $485 $500 28.6×
Assay of proinsulin (84206) $158.11 $163 5.9×
Assay of serum potassium (84132) $40.74 $42 8.6×
Assay of urea nitrogen (84520) $40.74 $42 10.3×
Assay of vitamin b-1 (84425)
range across 2 matching MRF lines
$110.58–$299.73 $114–$309 varies
Assay Ph Body Fluid Nos (83986) $42.68 $44 11.9×
Assay spec xcp ur&breath ia (82077) $169.75 $175 9.8×
B cells total count (86355) $327.86 $338 8.7×
Bartonella antibody (86611) $83.42 $86 8.2×
Beta 2 glycoprotein i antibody each (86146) $171.69 $177 6.7×
Beta hydroxybutyrate (82010) $93.12 $96 11.4×
Bilirubin direct (82248) $48.50 $50 9.7×
Bilirubin total (82247) $86.33 $89 17.2×
Blastomyces antibody (86612) $52.38 $54 4.1×
Blood count reticulocyte automated (85045) $110.58 $114 27.7×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $74.69 $77 19.7×
Blood gas (82803) $154.23 $159 5.9×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $37.83 $39 8.6×
Blood Type Antigen Donor Reagent Serum Each (86902) $355.99 $367 56.1×
Blood typing serologic abo (86900) $131.92 $136 44.1×
C diff amplified probe (87493) $434.56 $448 11.7×
C-Peptide (84681) $256.08 $264 12.3×
C-reactive protein (86140) $104.76 $108 20.2×
Ca 19-9 (86301) $177.51 $183 8.5×
Cadmium (82300) $255.11 $263 10.8×
Calcitonin (82308) $87.30 $90 3.3×
Calcium ionized (82330)
range across 2 matching MRF lines
$84.39–$111.55 $87–$115 varies
Calcium total (82310) $65.96 $68 12.8×
Calculus Spectroscopy (82365) $38.80 $40 3.0×
Calprotectin Fecal (83993) $356.96 $368 18.2×
Cancer Antigen 125 (86304) $166.84 $172 8.0×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$94.09–$136.77 $97–$141 varies
Candida Dna Dir Probe (87480) $33.95 $35 1.7×
Carbamazepine total (80156) $155.20 $160 10.7×
Carboxyhemoglobin (82375) $456.87 $471 37.1×
Carcinoembryonic antigen (82378) $241.53 $249 12.7×
Cardiolipin ab iga (86147) $131.92 $136 5.2×
Ccp antibody (86200) $113.49 $117 8.8×
Cell count csf (89051) $92.15 $95 16.5×
Ceruloplasmin (82390) $70.81 $73 6.6×
Chemiluminescent assay (82397)
range across 2 matching MRF lines
$142.59–$325.92 $147–$336 varies
Chlamydia antibody (86631) $52.38 $54 4.4×
Chlamydia Igm Antibody (86632) $52.38 $54 4.1×
Cholesterol total (82465) $57.23 $59 13.2×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$111.55–$199.82 $115–$206 varies
Chromosome Analysis 15-20 (88262) $914.71 $943 7.3×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $104.76 $108 3.0×
Ckmb (82553) $166.84 $172 14.4×
Clostridium Difficile (87324) $136.77 $141 11.4×
Clot Factor VIII Multimetric (85247) $356.96 $368 15.6×
Coccidioides antibody (86635) $71.78 $74 6.3×
Collagen crosslinks (82523) $192.06 $198 10.3×
Compatibility test antiglob (86922) $169.75 $175 1.0×
Complement Antigen Each Component (86160) $157.14 $162 13.1×
Coombs direct (86880)
range across 3 matching MRF lines
$68.87–$105.73 $71–$109 varies
Copper urine (82525)
range across 2 matching MRF lines
$97–$113.49 $100–$117 varies
Cortisol free (82530) $104.76 $108 6.3×
Cortisol saliva (82533) $209.52 $216 12.9×
Creatine kinase total (82550) $116.40 $120 17.9×
Creatinine blood (82565) $46.56 $48 9.1×
Creatinine clearance (82575) $104.76 $108 11.1×
Creatinine Urine (82570) $112.52 $116 21.7×
Crossmatch immediate spin (86920) $177.51 $183 1.1×
Crp High Sensitivity (86141) $84.39 $87 6.5×
Cryoglobulin (82595) $97.97 $101 15.1×
Cryptococcal Antigen (87327) $118.34 $122 8.8×
Cryptococcus ag titer (87899)
range across 3 matching MRF lines
$40.74–$83.42 $42–$86 varies
Cryptosporidium ag eia (87328) $90.21 $93 6.5×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$69.84–$93.12 $72–$96 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $244.44 $252 30.3×
Culture afb (87116) $90.21 $93 8.4×
Culture Anaerobic (87075) $150.35 $155 15.9×
Culture blood (87040) $149.38 $154 14.5×
Culture csf (87070) $81.48 $84 9.5×
Culture screen only (87081) $59.17 $61 8.9×
Culture stool (87045) $110.58 $114 11.7×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $203.70 $210 39.3×
Culture urine (87086) $91.18 $94 11.3×
Cystatin C (82610) $699.37 $721 37.8×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $2,757.71 $2,843 2.4×
Cytomegalovirus igg (86644) $201.76 $208 14.0×
Cytopath Cell Enhance Tech (88112) $333.68 $344 6.7×
Deoxyribonuclease antibody (86215) $115.43 $119 8.7×
Detect Agent Nos Dna Amp (87798)
range across 4 matching MRF lines
$166.84–$1,163.03 $172–$1,199 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$470.45–$686.76 $485–$708 varies
Dgp Antibody Each Ig Class (86258) $100.88 $104 8.4×
Dhea (82626) $126.10 $130 5.0×
Dhea-S (82627) $289.06 $298 13.0×
Digoxin (80162) $158.11 $163 11.9×
Dipropylacetic Acid Free (80165) $161.02 $166 11.9×
Dna Antibody Native/Double Stranded (86225) $219.22 $226 16.0×
DNA/RNA direct probe (87149) $238.62 $246 11.9×
Drug assay acetaminophen (80143) $235.71 $243 12.6×
Drug Assay Lacosamide (80235) $373.45 $385 13.8×
Drug Assay Vedolizumab (80280) $1,135.87 $1,171 29.4×
Drug Screen Quantitative Lamotrigine (80175) $128.04 $132 9.7×
Drug Screen Quantitative Levetiracetam (80177) $203.70 $210 15.4×
Drug Screen Quantitative Oxcarbazepine (80183) $177.51 $183 13.4×
Drug Test Prsmv Chem Anlyzr (80307) $113.49 $117 1.8×
Drug Test Prsmv Instrmnt (80306) $177.51 $183 10.4×
Ehrlichia antibody (86666)
range across 2 matching MRF lines
$135.80–$334.65 $140–$345 varies
El-1 Fecal Quantitative (82653) $353.08 $364 15.4×
Erythropoietin (82668) $280.33 $289 14.9×
Estradiol serum (82670) $62.08 $64 2.2×
Estriol (82677) $235.71 $243 9.7×
Estrogens fractionated (82671) $319.13 $329 9.9×
Factor v leiden mutation (81241) $247.35 $255 3.4×
Factor viii assay (85240)
range across 2 matching MRF lines
$135.80–$243.47 $140–$251 varies
Fecal Fat Qualitative (82705) $60.14 $62 11.8×
Ferritin (82728) $180.42 $186 13.2×
Fetal screen rosette (85461) $177.51 $183 19.0×
Fibrin degradation products (85362) $247.35 $255 35.9×
Fibrin Degradation Quant (85379) $180.42 $186 17.7×
Fluorescent antibody screen (86255) $291 $300 24.1×
Folic acid rbc (82747) $91.18 $94 5.2×
Folic Acid Serum (82746) $138.71 $143 9.4×
Follicle Stimulating Hormone (83001) $61.11 $63 3.3×
Fungi Identification Yeast (87106)
range across 2 matching MRF lines
$67.90–$71.78 $70–$74 varies
Gammaglobulin ige (82785) $194.97 $201 11.8×
Gardner vag DNA dir probe (87510) $33.95 $35 1.7×
Gentamicin (80170) $177.51 $183 10.8×
Ggt (82977) $119.31 $123 16.6×
Giardia antigen (87329) $90.21 $93 7.5×
Glucose 2 hr pp (82950) $118.34 $122 24.9×
Glucose body fluid (82945) $62.08 $64 15.8×
Glucose Serum (82947)
range across 2 matching MRF lines
$40.74–$89.24 $42–$92 varies
Glucose tolerance test (gtt) (82951) $197.88 $204 15.4×
Glycated Protein (82985) $88.27 $91 5.3×
Gonadotropin Chorionic Qualitative (84703) $93.12 $96 12.4×
Growth hormone (83003) $197.88 $204 11.9×
Gtt-added samples (82952) $79.54 $82 20.3×
Haptoglobin (83010) $282.27 $291 22.4×
Helicobacter Pylori Stool (87338) $162.96 $168 11.3×
Hematocrit (85014) $40.74 $42 17.2×
Hemoglobin (85018) $40.74 $42 17.2×
Hemoglobin a1c (83036) $91.18 $94 9.4×
Hep a ab igm (86709) $104.76 $108 9.3×
Heparin assay (85520) $91.18 $94 7.0×
Hepatitis a antibody total (86708) $107.67 $111 8.7×
Hepatitis b core ab igm (86705) $106.70 $110 9.1×
Hepatitis b core ab total (86704) $97 $100 8.0×
Hepatitis B Surface Antibody (86706) $183.33 $189 17.1×
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines
$43.65–$119.31 $45–$123 varies
Hepatitis Be Antibody (86707) $128.04 $132 11.1×
Hepatitis Be Antigen (87350) $129.01 $133 11.2×
Hepatitis C Antibody (86803)
range across 2 matching MRF lines
$42.68–$96.03 $44–$99 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $91.18 $94 2.6×
Hepatitis C Revrs Trnscrpj (87522) $485.97 $501 11.3×
Herpes simplex type 2 (86696) $93.12 $96 4.8×
Hfe Gene (81256) $550.96 $568 8.4×
Histoplasma antibody (86698) $52.38 $54 3.8×
Histoplasma antigen urine (87385)
range across 2 matching MRF lines
$288.09–$471.42 $297–$486 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines
$59.17–$83.42 $61–$86 varies
Hiv-1 Quant&Revrse Trnscrpj (87536) $463.66 $478 5.4×
Hla-b27 (86812) $206.61 $213 8.0×
Homocysteine (83090) $158.11 $163 8.8×
Hsv Dna Amp Probe (87529) $929.26 $958 26.5×
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines
$36.86–$198.85 $38–$205 varies
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $49.47 $51 1.4×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $299.73 $309 8.5×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $385.09 $397 11.0×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $231.83 $239 3.3×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $299.73 $309 8.5×
Iadna hepatitis b virus amplified probe tq (87516) $91.18 $94 2.6×
Iadna Hepatitis B Virus Quantification (87517) $380.24 $392 8.9×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $91.18 $94 2.6×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $98.94 $102 2.8×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $356.96 $368 2.5×
Igg subclasses (82787)
range across 4 matching MRF lines
$91.18–$116.40 $94–$120 varies
Immunfix e-phorsis/urine/csf (86335) $221.16 $228 7.5×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 2 matching MRF lines
$381.21–$441.35 $393–$455 varies
Immunoassay infectious agent (86318) $78.57 $81 4.3×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $77.60 $80 5.2×
Immunoassay nonantibody (83516)
range across 6 matching MRF lines
$85.36–$258.99 $88–$267 varies
Immunofixation electrophoresis (86334) $340.47 $351 15.2×
Immunohistochemistry (88342) $458.81 $473 2.8×
Influenza DNA amp probe (87502) $256.08 $264 2.7×
Inhibin b (83520)
range across 4 matching MRF lines
$130.95–$256.08 $135–$264 varies
Insulin total (83525) $150.35 $155 13.2×
Iron (83540) $90.21 $93 13.9×
Iron Binding Capacity (83550) $115.43 $119 13.2×
Islet cell antibody (86341)
range across 3 matching MRF lines
$157.14–$260.93 $162–$269 varies
Koh Prep (87220) $56.26 $58 13.2×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$32.01–$121.25 $33–$125 varies
Lactoferrin fecal qualitative (83630) $106.70 $110 5.4×
LDL direct (83721) $112.52 $116 10.7×
Lead (83655) $79.54 $82 6.6×
Legionella antigen urine (87449)
range across 4 matching MRF lines
$233.77–$700.34 $241–$722 varies
Leukocyte Assessment Fecal (89055) $60.14 $62 14.1×
Level ii surg pathology gross&microscopic exam (88302) $97.97 $101 2.7×
Lipase (83690) $104.76 $108 15.2×
Lithium (80178) $61.11 $63 9.2×
Luteinizing Hormone (Lh) (83002) $61.11 $63 3.3×
Lyme disease antibody (86618) $215.34 $222 12.6×
Lymphocyte transformation (86353) $1,532.60 $1,580 31.3×
Macroscopic Exam Parasite (87169) $30.07 $31 7.0×
Magnesium Urine (83735)
range across 2 matching MRF lines
$71.78–$144.53 $74–$149 varies
Mercury urine (83825) $190.12 $196 11.7×
Metabolic panel ionized ca (80047) $238.62 $246 17.4×
Methylmalonic acid serum (83921) $162.96 $168 7.7×
Microalbumin, quantitative (82043) $103.79 $107 18.0×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$127.07–$156.17 $131–$161 varies
Mitochondrial Antibody Each (86381) $153.26 $158 6.0×
Mrsa Pcr (87641) $67.90 $70 1.9×
Mthfr Gene Analysis Common Variants (81291) $543.20 $560 8.3×
Mumps antibody (86735) $18.43 $19 1.4×
Mycophenolic Acid (80180) $370.54 $382 20.5×
Myoglobin urine (83874)
range across 2 matching MRF lines
$103.79–$176.54 $107–$182 varies
Natriuretic peptide (83880)
range across 2 matching MRF lines
$205.64–$244.44 $212–$252 varies
Niacin (84591)
range across 2 matching MRF lines
$853.60–$1,109.68 $880–$1,144 varies
Nk cells total count (86357) $269.66 $278 7.1×
Nuclear antigen antibody (86235)
range across 6 matching MRF lines
$8.73–$158.11 $9–$163 varies
Occult blood feces (82272)
range across 2 matching MRF lines
$52.38–$55.29 $54–$57 varies
Occult Blood Other Sources (82271) $57.23 $59 10.8×
Osmolality serum (83930) $78.57 $81 11.9×
Osmolality Urine (83935) $62.08 $64 9.1×
Ova and parasites smears (87177) $217.28 $224 24.4×
Parvovirus antibody (86747) $166.84 $172 11.1×
Ph urine (81003) $29.10 $30 12.9×
Phenobarbital Level (80184) $193.03 $199 12.6×
Phenytoin (Dilantin) (80185) $167.81 $173 12.7×
Phosphatase alkaline (84075) $128.04 $132 24.7×
Phosphorus Serum (84100) $66.93 $69 14.1×
Platelet count automated (85049) $39.77 $41 8.9×
Potassium Urine (84133) $46.56 $48 9.8×
Prealbumin (84134) $184.30 $190 12.6×
Pregnenolone (84140) $228.92 $236 11.1×
Primidone (80188) $79.54 $82 4.8×
Procalcitonin (Pct) (84145) $320.10 $330 11.8×
Progesterone (84144) $70.81 $73 3.4×
Prolactin (84146) $232.80 $240 12.0×
Protein body fluid (84157) $73.72 $76 18.4×
Protein C Activity (85303) $158.11 $163 11.4×
Protein Electrophoresis Urine (84166) $157.14 $162 8.8×
Protein Electrophoretic Fractj&Quantj Serum (84165) $157.14 $162 14.6×
Protein S Free (85306) $151.32 $156 9.9×
Protein total serum (84155) $100.88 $104 27.5×
Protein Total Urine (84156) $147.44 $152 40.2×
Protein Western Blot Test (84182) $247.35 $255 8.5×
PSA free (84154) $212.43 $219 11.6×
Pth Intact (83970) $376.36 $388 9.1×
Q Fever Antibody (86638)
range across 2 matching MRF lines
$61.11–$74.69 $63–$77 varies
Quantiferon tb gold plus (86480) $71.78 $74 1.2×
Quantitative assay drug (80299)
range across 4 matching MRF lines
$372.48–$1,129.08 $384–$1,164 varies
Rbc antibody identification (86870) $355.99 $367 1.0×
Rbc antibody screen (86850)
range across 2 matching MRF lines
$52.38–$131.92 $54–$136 varies
Renin activity plasma (84244) $269.66 $278 12.3×
Rh (86901)
range across 2 matching MRF lines
$37.83–$52.38 $39–$54 varies
Rheumatoid Factor Qualitative (86430) $39.77 $41 6.5×
Rheumatoid factor quant (86431) $93.12 $96 16.4×
Rickettsia antibody (86757) $167.81 $173 8.7×
Ristocetin cofactor (85245) $197.88 $204 8.6×
Rotavirus ag eia (87425) $166.84 $172 13.9×
Rpr qualitative (86592) $118.34 $122 27.7×
Rubella Antibody (86762)
range across 2 matching MRF lines
$45.59–$129.98 $47–$134 varies
Rubeola antibody (86765) $18.43 $19 1.4×
Rx metab gen seq alys pnl 6 (81418) $173.63 $179 0.2×
Salicylate Level (80179) $159.08 $164 8.5×
Sars-Cov-2 Covid-19 Amp Prb (87635) $150.35 $155 2.9×
Sarscov2 & inf a&b amp prb (87636) $471.42 $486 3.3×
Sarscov2&inf a&b&rsv amp prb (87637) $508.28 $524 3.6×
Sedimentation Rate, Automated (85652) $46.56 $48 17.2×
Sensitivity mic (87186) $104.76 $108 12.1×
Sex Hormone Binding Globulin (84270) $183.33 $189 8.4×
Sickling of rbc reduction (85660) $96.03 $99 17.4×
Smear acid fast (87206) $64.99 $67 12.1×
Smear complex stain (87209) $132.89 $137 7.4×
Smear gram stain (87205) $41.71 $43 9.8×
Smear Special Stain (87207) $442.32 $456 73.8×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$46.56–$61.11 $48–$63 varies
Sodium Serum (84295) $42.68 $44 8.9×
Sodium Urine (84300) $73.72 $76 14.6×
Soluble Transferrin Receptor (84238) $131.92 $136 3.6×
Somatomedin (84305)
range across 2 matching MRF lines
$126.10–$174.60 $130–$180 varies
Special Stains Group 1 (88312) $423.89 $437 8.5×
Specimen infect agnt concntj (87015) $38.80 $40 5.8×
Stool cultr aerobic bact ea (87046)
range across 2 matching MRF lines
$49.47–$60.14 $51–$62 varies
Strep a DNA amp probe (87651) $166.84 $172 4.8×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $34.92 $36 0.4×
Surg path level iii (88304) $135.80 $140 2.7×
Surgical pathology level IV (88305) $373.45 $385 7.5×
Susceptibility Study Antimicrobial Disk Method (87184) $97 $100 13.0×
Syphilis Test Non-Trep Quant (86593) $174.60 $180 39.7×
T cells absolute cd4 count (86361) $557.75 $575 20.8×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $231.83 $239 4.9×
T cells total count (86359) $206.61 $213 5.5×
T3 Free (84481) $231.83 $239 13.7×
T3 reverse (84482) $116.40 $120 7.4×
T3 Total (84480) $156.17 $161 11.0×
T4 Free (84439)
range across 2 matching MRF lines
$74.69–$98.94 $77–$102 varies
T4 total (84436) $148.41 $153 21.6×
Tacrolimus (80197) $153.26 $158 11.2×
Test for acetone/ketones (82009) $50.44 $52 11.2×
Testosterone total (84403)
range across 3 matching MRF lines
$165.87–$220.19 $171–$227 varies
Testosterone, Free (84402) $163.93 $169 6.4×
Thromboplastin Inhibition Tissue (85705) $54.32 $56 5.6×
Thyroglobulin (84432) $228.92 $236 14.3×
Thyroglobulin Antibody (86800) $165.87 $171 10.4×
Thyroid Stimulating Immunoglobulin (84445) $274.51 $283 5.4×
Tiss Trnsgltmnase Ea Ig Clas (86364) $177.51 $183 15.4×
Tissue Culture Lymphocyte (88230) $914.71 $943 7.9×
Toxoplasma ab igm (86778) $173.63 $179 12.0×
Toxoplasma antibody (86777) $169.75 $175 11.8×
Transferase Aspartate Amino Ast Sgot (84450) $66.93 $69 12.9×
Transferrin (84466) $112.52 $116 8.8×
Trichomonas vagin dir probe (87660) $33.95 $35 1.7×
Triglycerides (84478)
range across 2 matching MRF lines
$83.42–$150.35 $86–$155 varies
Troponin Quant (84484)
range across 2 matching MRF lines
$160.05–$177.51 $165–$183 varies
Tumor Immunohistochem/Manual (88360)
range across 2 matching MRF lines
$169.75–$1,536.48 $175–$1,584 varies
Urea nitrogen urine (84540) $94.09 $97 16.9×
Urinalysis Microscopic Only (81015) $64.99 $67 21.3×
Urine Pregnancy Test (81025) $93.12 $96 10.8×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $61.11 $63 19.3×
Valproic acid (80164) $166.84 $172 12.3×
Vancomycin (80202) $147.44 $152 10.9×
Varicella-zoster antibody (86787)
range across 3 matching MRF lines
$117.37–$120.28 $121–$124 varies
Viral Culture (87252) $364.72 $376 14.0×
Virus antibody nos (86790) $138.71 $143 10.8×
Vit D 1 25-Dihydroxy (82652) $323.01 $333 8.4×
Vitamin A (84590) $110.58 $114 9.5×
Vitamin b-12 (82607) $138.71 $143 9.2×
Vitamin B2 (Riboflavin) (84252) $1,059.24 $1,092 52.3×
Vitamin B6 (84207) $155.20 $160 5.5×
Vitamin D 25-Hydroxy (82306) $201.76 $208 6.8×
Vitamin E (84446) $95.06 $98 6.7×
Vitamin K (84597) $233.77 $241 17.0×
Voltage-Gated Calcium Channel Antibody Each (86596) $131.92 $136 10.9×
Von willebrand factor ag (85246) $291 $300 12.7×
West nile virus ab igm (86788) $148.41 $153 8.8×
West Nile Virus Antibody (86789) $121.25 $125 8.4×
Zinc (84630) $102.82 $106 9.0×

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.