Lab & pathology prices at Avera St. Anthony's Hospital
O'Neill, NE · every code in this section with a posted price and a Medicare benchmark.
347 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $356.96 | $368 | 9.2× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $315.25 | $325 | 9.7× |
| Acute hepatitis panel (80074) | $596.55 | $615 | 12.5× |
| Albumin Fluid (82042) | $95.06 | $98 | 12.2× |
| Albumin serum (82040) | $95.06 | $98 | 19.2× |
| Aldosterone urine (82088) | $255.11 | $263 | 6.3× |
| Allergen specific ige (86003) | $85.36 | $88 | 16.4× |
| Alpha-Fetoprotein Serum (82105) | $253.17 | $261 | 15.1× |
| Alt (sgpt) (84460) | $106.70 | $110 | 20.1× |
| Amikacin trough (80150) | $117.37 | $121 | 7.8× |
| Ammonia (82140) | $294.88 | $304 | 20.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $224.07 | $231 | 2.3× |
| Amylase urine (82150) | $137.74 | $142 | 21.3× |
| Ana Titer (86039) | $189.15 | $195 | 16.9× |
| Anca screen each antibody (86036) | $217.28 | $224 | 18.0× |
| Androstenedione (82157) | $264.81 | $273 | 9.0× |
| Angiotensin converting enzyme csf (82164) | $187.21 | $193 | 12.8× |
| Antibody aspergillus (86606) | $64.99 | $67 | 4.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $100.88 | $104 | 7.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $109.61 | $113 | 7.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $196.91 | $203 | 10.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $273.54 | $282 | 19.0× |
| Antibody john cunningham virus (86711) | $260.93 | $269 | 15.4× |
| Antibody Titer (86886) | $169.75 | $175 | 32.8× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$40.74–$95.06 | $42–$98 | varies |
| Aspergillus ag eia (87305) | $345.32 | $356 | 28.8× |
| Assay activated protein c (85307) | $647.96 | $668 | 42.3× |
| Assay Blood Carbon Dioxide (82374) | $93.12 | $96 | 19.1× |
| Assay of 5-hiaa (83497) | $274.51 | $283 | 21.3× |
| Assay of anti-mullerian hormone (82166) | $427.77 | $441 | 11.1× |
| Assay of blood/uric acid (84550) | $95.06 | $98 | 21.0× |
| Assay of calcium in urine (82340) | $68.87 | $71 | 11.4× |
| Assay of g6pd enzyme (82955) | $161.02 | $166 | 16.6× |
| Assay of gammaglobulin igm (82784) | $178.48 | $184 | 19.2× |
| Assay of lactic acid (83605) | $89.24 | $92 | 7.7× |
| Assay of metanephrines (83835) | $250.26 | $258 | 14.8× |
| Assay of serotonin (84260) | $240.56 | $248 | 7.8× |
| Assay of serum potassium (84132) | $103.79 | $107 | 21.8× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$75.66–$90.21 | $78–$93 | varies |
| Assay of vitamin b-1 (84425) | $238.62 | $246 | 11.2× |
| Assay Ph Body Fluid Nos (83986) | $64.99 | $67 | 18.2× |
| Assay spec xcp ur&breath ia (82077) | $208.55 | $215 | 12.1× |
| Beta 2 glycoprotein i antibody each (86146) | $164.90 | $170 | 6.5× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$45.59–$164.90 | $47–$170 | varies |
| Beta-2 Microglobulin (82232) | $252.20 | $260 | 15.6× |
| Bile acids total (82239) | $171.69 | $177 | 10.0× |
| Bilirubin direct (82248) | $75.66 | $78 | 15.1× |
| Bilirubin total (82247) | $75.66 | $78 | 15.1× |
| Biotinidase (82261) | $46.56 | $48 | 2.8× |
| Blastomyces antibody (86612) | $99.91 | $103 | 7.7× |
| Blood count reticulocyte automated (85045) | $99.91 | $103 | 25.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $62.08 | $64 | 16.3× |
| Blood gas (82803) | $435.53 | $449 | 16.7× |
| Blood gases w/02 saturation (82805) | $137.74 | $142 | 1.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $67.90 | $70 | 4.3× |
| Blood typing serologic abo (86900) | $131.92 | $136 | 44.1× |
| Braf gene analysis (81210) | $6,269.11 | $6,463 | 35.7× |
| C diff amplified probe (87493) | $305.55 | $315 | 8.2× |
| C-Peptide (84681) | $178.48 | $184 | 8.6× |
| C-reactive protein (86140) | $149.38 | $154 | 28.8× |
| Ca 19-9 (86301) | $208.55 | $215 | 10.0× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$146.47–$235.71 | $151–$243 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$59.17–$95.06 | $61–$98 | varies |
| Calculus Spectroscopy (82365) | $169.75 | $175 | 13.2× |
| Calprotectin Fecal (83993) | $931.20 | $960 | 47.4× |
| Cancer Antigen 125 (86304) | $297.79 | $307 | 14.3× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$164.90–$177.51 | $170–$183 | varies |
| Candida Dna Dir Probe (87480) | $57.23 | $59 | 2.9× |
| Carbamazepine total (80156) | $212.43 | $219 | 14.6× |
| Carcinoembryonic antigen (82378) | $242.50 | $250 | 12.8× |
| Cardiolipin ab iga (86147) | $207.58 | $214 | 8.2× |
| Catecholamines fractionated (82384) | $385.09 | $397 | 15.3× |
| Ccp antibody (86200) | $253.17 | $261 | 19.5× |
| Cell count csf (89051) | $201.76 | $208 | 36.0× |
| Ceruloplasmin (82390) | $212.43 | $219 | 19.8× |
| Chloride Serum (82435) | $95.06 | $98 | 20.7× |
| Chorionic gonadotropin test (84702) | $209.52 | $216 | 13.9× |
| Chromogranin a (86316) | $390.91 | $403 | 18.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $302.64 | $312 | 8.6× |
| Ckmb (82553) | $203.70 | $210 | 17.6× |
| Clostridium Difficile (87324) | $180.42 | $186 | 15.1× |
| Cns DNA amp probe type 12-25 (87483) | $1,231.90 | $1,270 | 3.0× |
| Coccidioides antibody (86635) | $151.32 | $156 | 13.2× |
| Collagen crosslinks (82523) | $401.58 | $414 | 21.5× |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$392.85–$1,326.96 | $405–$1,368 | varies |
| Compatibility test antiglob (86922) | $249.29 | $257 | 1.4× |
| Complement Antigen Each Component (86160) | $129.98 | $134 | 10.8× |
| Complement Total (Ch50) (86162) | $216.31 | $223 | 10.6× |
| Coombs direct (86880) | $90.21 | $93 | 16.7× |
| Copper urine (82525) | $409.34 | $422 | 33.0× |
| Cortisol free (82530) | $284.21 | $293 | 17.0× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$131.92–$201.76 | $136–$208 | varies |
| Creatine kinase total (82550) | $148.41 | $153 | 22.8× |
| Creatinine blood (82565) | $95.06 | $98 | 18.6× |
| Creatinine clearance (82575) | $115.43 | $119 | 12.2× |
| Creatinine Urine (82570) | $118.34 | $122 | 22.8× |
| Crossmatch immediate spin (86920) | $268.69 | $277 | 1.5× |
| Crp High Sensitivity (86141) | $153.26 | $158 | 11.8× |
| Cryptococcal Antigen (87327) | $333.68 | $344 | 24.9× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$178.48–$187.21 | $184–$193 | varies |
| Cryptosporidium ag eia (87328) | $132.89 | $137 | 9.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $129.01 | $133 | 16.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$77.60–$244.44 | $80–$252 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $2,421.12 | $2,496 | 11.1× |
| Culture afb (87116) | $255.11 | $263 | 23.6× |
| Culture Anaerobic (87075) | $135.80 | $140 | 14.3× |
| Culture blood (87040) | $323.01 | $333 | 31.3× |
| Culture csf (87070) | $201.76 | $208 | 23.4× |
| Culture fungus (87102) | $329.80 | $340 | 39.2× |
| Culture screen only (87081) | $115.43 | $119 | 17.4× |
| Culture stool (87045) | $209.52 | $216 | 22.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$56.26–$64.99 | $58–$67 | varies |
| Culture urine (87086) | $150.35 | $155 | 18.6× |
| Cystatin C (82610) | $699.37 | $721 | 37.8× |
| Cytomegalovirus igg (86644) | $150.35 | $155 | 10.4× |
| Cytopath Cell Enhance Tech (88112) | $166.84 | $172 | 3.1× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $113.49 | $117 | 4.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $298.76 | $308 | 5.5× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$345.32–$483.06 | $356–$498 | varies |
| Detect Agent Nos Dna Quant (87799) | $384.12 | $396 | 9.0× |
| Dgp Antibody Each Ig Class (86258) | $276.45 | $285 | 22.9× |
| Dhea (82626) | $273.54 | $282 | 10.8× |
| Dhea-S (82627) | $252.20 | $260 | 11.3× |
| Digoxin (80162) | $166.84 | $172 | 12.6× |
| Dna Antibody Native/Double Stranded (86225) | $189.15 | $195 | 13.8× |
| Drug assay acetaminophen (80143) | $205.64 | $212 | 11.0× |
| Drug Assay Amiodarone (80151) | $277.42 | $286 | 14.9× |
| Drug Assay Infliximab (80230) | $1,806.14 | $1,862 | 46.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $366.66 | $378 | 27.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $238.62 | $246 | 18.0× |
| Drug Test Prsmv Instrmnt (80306) | $800.25 | $825 | 46.7× |
| Electrolyte panel (80051) | $221.16 | $228 | 31.5× |
| Enterovirus Antibody (86658) range across 2 matching MRF lines |
$29.10–$178.48 | $30–$184 | varies |
| Enzyme cell activity (82657) | $46.56 | $48 | 2.1× |
| Erythropoietin (82668) | $228.92 | $236 | 12.2× |
| Estradiol serum (82670) | $459.78 | $474 | 16.5× |
| Estrogens fractionated (82671) | $446.20 | $460 | 13.8× |
| Exam Synovial Fluid Crystals (89060) | $158.11 | $163 | 21.6× |
| Factor ii activity (85210) | $377.33 | $389 | 29.1× |
| Factor v leiden mutation (81241) | $631.47 | $651 | 8.6× |
| Factor viii assay (85240) | $243.47 | $251 | 13.6× |
| Ferritin (82728) | $276.45 | $285 | 20.3× |
| Fetal Fibronectin (82731) | $1,295.92 | $1,336 | 20.1× |
| Fetal screen rosette (85461) | $138.71 | $143 | 14.8× |
| Fibrin Degradation Quant (85379) | $289.06 | $298 | 28.4× |
| Flow cytometry first marker (88184) | $355.99 | $367 | 1.0× |
| Fluorescent antibody screen (86255) | $497.61 | $513 | 41.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $189.15 | $195 | 15.7× |
| Folic acid rbc (82747) | $226.01 | $233 | 12.8× |
| Folic Acid Serum (82746) | $185.27 | $191 | 12.6× |
| Follicle Stimulating Hormone (83001) | $179.45 | $185 | 9.7× |
| Francisella tularensis (86668) | $175.57 | $181 | 12.4× |
| Fungi Identification Mold (87107) | $208.55 | $215 | 20.2× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$68.87–$144.53 | $71–$149 | varies |
| Galactose (82760) | $46.56 | $48 | 4.2× |
| Galactose transferase test (82776) | $46.56 | $48 | 4.0× |
| Gammaglobulin ige (82785) | $177.51 | $183 | 10.8× |
| Gardner vag DNA dir probe (87510) | $57.23 | $59 | 2.9× |
| Gastrin (82941) | $286.15 | $295 | 16.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $688.70 | $710 | 1.7× |
| Gentamicin (80170) | $207.58 | $214 | 12.7× |
| Ggt (82977) | $74.69 | $77 | 10.4× |
| Giardia antigen (87329) | $218.25 | $225 | 18.2× |
| Glucose 2 hr pp (82950) | $96.03 | $99 | 20.2× |
| Glucose body fluid (82945) | $72.75 | $75 | 18.5× |
| Glucose Serum (82947) range across 3 matching MRF lines |
$32.01–$93.12 | $33–$96 | varies |
| Glucose tolerance test (gtt) (82951) | $193.03 | $199 | 15.0× |
| Gonadotropin Chorionic Qualitative (84703) | $67.90 | $70 | 9.0× |
| Growth hormone (83003) | $295.85 | $305 | 17.7× |
| Gtt-added samples (82952) | $61.11 | $63 | 15.6× |
| Haptoglobin (83010) | $175.57 | $181 | 14.0× |
| Helicobacter Pylori Stool (87338) | $697.43 | $719 | 48.5× |
| Hematocrit (85014) | $75.66 | $78 | 31.9× |
| Hemoglobin (85018) | $68.87 | $71 | 29.1× |
| Hemoglobin a1c (83036) | $128.04 | $132 | 13.2× |
| Hemoglobin Chromotography (83021) | $375.39 | $387 | 20.8× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$46.56–$145.50 | $48–$150 | varies |
| Heparin assay (85520) | $161.02 | $166 | 12.3× |
| Hepatitis b core ab total (86704) | $188.18 | $194 | 15.6× |
| Hepatitis B Surface Antibody (86706) | $189.15 | $195 | 17.6× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$56.26–$101.85 | $58–$105 | varies |
| Hepatitis Be Antigen (87350) | $187.21 | $193 | 16.2× |
| Hepatitis C Antibody (86803) | $177.51 | $183 | 12.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $559.69 | $577 | 13.1× |
| Histoplasma antibody (86698) | $160.05 | $165 | 11.6× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$343.38–$471.42 | $354–$486 | varies |
| Hiv Antigen W/Hiv Antibodies (87806) range across 2 matching MRF lines |
$70.81–$392.85 | $73–$405 | varies |
| Hla-b27 (86812) | $304.58 | $314 | 11.8× |
| Homocysteine (83090) | $221.16 | $228 | 12.3× |
| Hpv High-Risk Types (87624) | $140.65 | $145 | 4.0× |
| Hpv Types 16 & 18 Only (87625) | $142.59 | $147 | 3.5× |
| Hsv Dna Amp Probe (87529) | $413.22 | $426 | 11.8× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$34.92–$46.56 | $36–$48 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $54.32 | $56 | 1.5× |
| Iadna Cytomegalovirus Quantification (87497) | $314.28 | $324 | 7.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $232.80 | $240 | 3.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $482.09 | $497 | 11.3× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $743.02 | $766 | 17.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $253.17 | $261 | 7.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $302.64 | $312 | 8.6× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $436.50 | $450 | 1.2× |
| Immunfix e-phorsis/urine/csf (86335) | $163.93 | $169 | 5.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $1,033.05 | $1,065 | 56.1× |
| Immunoassay infectious agent (86318) | $141.62 | $146 | 7.8× |
| Immunoassay nonantibody (83516) range across 5 matching MRF lines |
$62.08–$265.78 | $64–$274 | varies |
| Immunofixation electrophoresis (86334) | $153.26 | $158 | 6.9× |
| Immunohistochemistry (88342) | $242.50 | $250 | 1.4× |
| Influenza assay w/optic (87804) | $145.50 | $150 | 8.8× |
| Influenza DNA amp probe (87502) | $257.05 | $265 | 2.7× |
| Inhibin b (83520) range across 3 matching MRF lines |
$105.73–$367.63 | $109–$379 | varies |
| Insulin total (83525) | $135.80 | $140 | 11.9× |
| Iron (83540) | $104.76 | $108 | 16.2× |
| Iron Binding Capacity (83550) | $128.04 | $132 | 14.6× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$257.05–$388.97 | $265–$401 | varies |
| Koh Prep (87220) | $76.63 | $79 | 17.9× |
| Lactate (ld) (ldh) enzyme (83615) | $105.73 | $109 | 17.5× |
| Lactoferrin fecal qualitative (83630) | $168.78 | $174 | 8.6× |
| LDL direct (83721) | $161.02 | $166 | 15.3× |
| Lead (83655) | $146.47 | $151 | 12.1× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$137.74–$637.29 | $142–$657 | varies |
| Leukocyte Assessment Fecal (89055) | $94.09 | $97 | 22.0× |
| Level ii surg pathology grossµscopic exam (88302) | $109.61 | $113 | 2.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $685.79 | $707 | 1.8× |
| Lipase (83690) | $180.42 | $186 | 26.2× |
| Lipoprotein A (83695) | $157.14 | $162 | 11.0× |
| Lithium (80178) | $124.16 | $128 | 18.8× |
| Luteinizing Hormone (Lh) (83002) | $342.41 | $353 | 18.5× |
| Lyme disease antibody (86618) | $257.05 | $265 | 15.1× |
| Lysozyme serum (85549) | $70.81 | $73 | 3.8× |
| M/phmtrc alys ishquant/semiq (88374) | $742.05 | $765 | 4.2× |
| Magnesium Urine (83735) | $129.01 | $133 | 19.3× |
| Mass Spectrometry Quant (83789) | $46.56 | $48 | 1.9× |
| Methylmalonic acid serum (83921) | $257.05 | $265 | 12.1× |
| Microalbumin, quantitative (82043) | $78.57 | $81 | 13.6× |
| Microsomal Antibodies Each (86376) | $270.63 | $279 | 18.6× |
| Mononuclear cell antigen (86356) | $152.29 | $157 | 5.7× |
| Mrsa Pcr (87641) | $261.90 | $270 | 7.5× |
| Mumps antibody (86735) | $134.83 | $139 | 10.3× |
| Myoglobin urine (83874) | $172.66 | $178 | 13.4× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$253.17–$388.97 | $261–$401 | varies |
| Nfct ds bv&vaginitis DNA alg (81515) | $482.09 | $497 | 1.8× |
| Nuclear antigen antibody (86235) range across 8 matching MRF lines |
$143.56–$278.39 | $148–$287 | varies |
| Occult blood feces (82272) | $40.74 | $42 | 9.6× |
| Osmolality serum (83930) | $79.54 | $82 | 12.0× |
| Osmolality Urine (83935) | $73.72 | $76 | 10.8× |
| Ova and parasites smears (87177) | $104.76 | $108 | 11.8× |
| Ph urine (81003) range across 2 matching MRF lines |
$44.62–$46.56 | $46–$48 | varies |
| Phenytoin (Dilantin) (80185) | $183.33 | $189 | 13.8× |
| Phosphatase alkaline (84075) | $100.88 | $104 | 19.5× |
| Phospholipid Neutralization Hexagonal (85598) | $281.30 | $290 | 15.6× |
| Phosphorus Serum (84100) | $95.06 | $98 | 20.1× |
| Platelet count automated (85049) | $46.56 | $48 | 10.4× |
| Prealbumin (84134) | $224.07 | $231 | 15.4× |
| Procalcitonin (Pct) (84145) | $516.04 | $532 | 19.0× |
| Progesterone (84144) | $323.01 | $333 | 15.5× |
| Prolactin (84146) | $259.96 | $268 | 13.4× |
| Prostaglandin (84150) | $1,541.33 | $1,589 | 36.9× |
| Protein body fluid (84157) | $95.06 | $98 | 23.8× |
| Protein C Activity (85303) | $226.01 | $233 | 16.3× |
| Protein Electrophoresis Urine (84166) | $177.51 | $183 | 10.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $259.96 | $268 | 24.2× |
| Protein S Free (85306) | $257.05 | $265 | 16.8× |
| Protein total serum (84155) | $95.06 | $98 | 25.9× |
| Protein Total Urine (84156) | $95.06 | $98 | 25.9× |
| PSA free (84154) | $168.78 | $174 | 9.2× |
| Pth Intact (83970) | $465.60 | $480 | 11.3× |
| Quantiferon tb gold plus (86480) | $248.32 | $256 | 4.0× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$260.93–$340.47 | $269–$351 | varies |
| Rbc antibody identification (86870) | $355.99 | $367 | 1.0× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$52.38–$156.17 | $54–$161 | varies |
| Renin activity plasma (84244) | $174.60 | $180 | 7.9× |
| Rh (86901) range across 2 matching MRF lines |
$37.83–$94.09 | $39–$97 | varies |
| Rheumatoid factor quant (86431) | $84.39 | $87 | 14.9× |
| Rickettsia antibody (86757) | $179.45 | $185 | 9.3× |
| Ristocetin cofactor (85245) | $402.55 | $415 | 17.5× |
| Rotavirus ag eia (87425) | $219.22 | $226 | 18.3× |
| Rpr qualitative (86592) | $40.74 | $42 | 9.5× |
| Rsv Assay W/Optic (87807) | $183.33 | $189 | 14.0× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$55.29–$61.11 | $57–$63 | varies |
| Rubeola antibody (86765) | $141.62 | $146 | 11.0× |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$163.93–$172.66 | $169–$178 | varies |
| Rx metab gen seq alys pnl 6 (81418) | $182.36 | $188 | 0.2× |
| Salicylate Level (80179) | $134.83 | $139 | 7.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $150.35 | $155 | 2.9× |
| Sarscov2 & inf a&b amp prb (87636) | $495.67 | $511 | 3.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $493.73 | $509 | 3.5× |
| Sedimentation Rate, Automated (85652) | $94.09 | $97 | 34.8× |
| Semen Anal Sperm Detection (89321) | $135.80 | $140 | 11.3× |
| Sensitivity mic (87186) | $189.15 | $195 | 21.9× |
| Sex Hormone Binding Globulin (84270) | $478.21 | $493 | 22.0× |
| Skin test tuberculosis intradermal (86580) | $55.29 | $57 | 1.8× |
| Smear acid fast (87206) | $64.99 | $67 | 12.1× |
| Smear complex stain (87209) | $157.14 | $162 | 8.7× |
| Smear gram stain (87205) | $98.94 | $102 | 23.2× |
| Smn1 Gene Dos/Deletion Alys (81329) | $46.56 | $48 | 0.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$76.63–$117.37 | $79–$121 | varies |
| Sodium Serum (84295) | $95.06 | $98 | 19.8× |
| Sodium Urine (84300) | $58.20 | $60 | 11.5× |
| Soluble Transferrin Receptor (84238) | $221.16 | $228 | 6.0× |
| Somatomedin (84305) | $208.55 | $215 | 9.8× |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
$213.40–$480.15 | $220–$495 | varies |
| Special Stains Group 2 (88313) | $268.69 | $277 | 1.9× |
| Stool cultr aerobic bact ea (87046) | $137.74 | $142 | 14.6× |
| Strep a assay w/optic (87880) | $124.16 | $128 | 7.5× |
| Strep a DNA amp probe (87651) | $174.60 | $180 | 5.0× |
| Strep b DNA amp probe (87653) | $241.53 | $249 | 6.9× |
| Surg path level iii (88304) | $161.02 | $166 | 3.0× |
| Surgical pathology level IV (88305) | $132.89 | $137 | 2.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $184.30 | $190 | 24.6× |
| T3 Free (84481) | $356.96 | $368 | 21.1× |
| T3 reverse (84482) | $384.12 | $396 | 24.4× |
| T3 Total (84480) | $305.55 | $315 | 21.5× |
| T3 Uptake (84479) | $139.68 | $144 | 21.6× |
| T4 Free (84439) range across 2 matching MRF lines |
$100.88–$162.96 | $104–$168 | varies |
| T4 total (84436) | $83.42 | $86 | 12.1× |
| T4-neonatal (84437) | $46.56 | $48 | 7.2× |
| Tacrolimus (80197) | $575.21 | $593 | 41.9× |
| Testosterone total (84403) | $256.08 | $264 | 9.9× |
| Testosterone, Free (84402) | $380.24 | $392 | 14.9× |
| Thrombin Time (85670) | $175.57 | $181 | 30.4× |
| Thyroglobulin (84432) | $217.28 | $224 | 13.5× |
| Thyroglobulin Antibody (86800) | $202.73 | $209 | 12.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $929.26 | $958 | 18.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $409.34 | $422 | 35.5× |
| Topiramate (80201) | $397.70 | $410 | 33.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $106.70 | $110 | 20.6× |
| Transferrin (84466) | $167.81 | $173 | 13.2× |
| Trichomonas vagin dir probe (87660) | $91.18 | $94 | 4.5× |
| Trichomonas Vaginalis Amplif (87661) | $579.09 | $597 | 16.5× |
| Triglycerides (84478) | $68.87 | $71 | 12.0× |
| Troponin Quant (84484) | $321.07 | $331 | 25.7× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$213.40–$1,536.48 | $220–$1,584 | varies |
| Urinalysis Microscopic Only (81015) | $34.92 | $36 | 11.4× |
| Urine Pregnancy Test (81025) | $109.61 | $113 | 12.7× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $98.94 | $102 | 31.2× |
| Vancomycin (80202) | $255.11 | $263 | 18.8× |
| Varicella-zoster antibody (86787) | $230.86 | $238 | 17.9× |
| Very Long Chain Fatty Acids (82726) | $46.56 | $48 | 2.4× |
| Viral Culture (87252) | $110.58 | $114 | 4.2× |
| Viscosity serum (85810) | $142.59 | $147 | 12.2× |
| Vit D 1 25-Dihydroxy (82652) | $463.66 | $478 | 12.0× |
| Vitamin b-12 (82607) | $258.99 | $267 | 17.2× |
| Vitamin B6 (84207) | $246.38 | $254 | 8.8× |
| Vitamin D 25-Hydroxy (82306) | $340.47 | $351 | 11.5× |
| Von willebrand factor ag (85246) | $291.97 | $301 | 12.7× |
| West nile virus ab igm (86788) | $67.90 | $70 | 4.0× |
| West Nile Virus Antibody (86789) | $67.90 | $70 | 4.7× |
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.