Lab & pathology prices at Baylor Medical Center at Trophy Club
Trophy Club, TX · every code in this section with a posted price and a Medicare benchmark.
376 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $121.20 | $202 | 3.1× |
| Acute hepatitis panel (80074) | $316.20 | $527 | 6.6× |
| Albumin Fluid (82042) | $109.80 | $183 | 14.1× |
| Albumin serum (82040) | $55.80 | $93 | 11.3× |
| Aldolase (82085) | $87 | $145 | 9.0× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$107.40–$198.60 | $179–$331 | varies |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$127.20–$152.40 | $212–$254 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $153 | $255 | 10.6× |
| Alpha-1-antitrypsin total (82103) | $106.20 | $177 | 7.9× |
| Alpha-Fetoprotein Serum (82105) | $174 | $290 | 10.4× |
| Alt (sgpt) (84460) | $99 | $165 | 18.7× |
| Ammonia (82140) | $121.20 | $202 | 8.3× |
| Amylase urine (82150) | $152.40 | $254 | 23.5× |
| Ana Titer (86039) | $84 | $140 | 7.5× |
| Angiotensin converting enzyme csf (82164) | $381.60 | $636 | 26.1× |
| Antibody aspergillus (86606) | $90.60 | $151 | 6.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $96.60 | $161 | 5.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $123 | $205 | 8.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$123–$126 | $205–$210 | varies |
| Antibody helicobacter pylori (86677) | $109.80 | $183 | 6.5× |
| Antibody Herpes Smplx Type 1 (86695) | $108.60 | $181 | 8.2× |
| Antibody HIV-1&HIV-2 single result (86703) | $165.60 | $276 | 12.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $165.60 | $276 | 8.6× |
| Antibody identification leukocyte antibodies (86021) | $121.20 | $202 | 8.1× |
| Antibody Titer (86886) | $393 | $655 | 75.9× |
| Antigen typing (86905) | $240 | $400 | 62.7× |
| Antinuclear antibodies (86038) | $24.60 | $41 | 2.0× |
| Antithrombin iii antigen (85301) | $57 | $95 | 5.3× |
| Arsenic (82175) | $73.80 | $123 | 3.9× |
| Assay Blood Carbon Dioxide (82374) | $55.80 | $93 | 11.4× |
| Assay Nephelometry Not Spec (83883) | $129.60 | $216 | 9.5× |
| Assay of blood/uric acid (84550) | $77.40 | $129 | 17.1× |
| Assay of calcium in urine (82340) | $24.60 | $41 | 4.1× |
| Assay of cpk in blood (82552) | $130.80 | $218 | 9.8× |
| Assay of g6pd enzyme (82955) | $109.20 | $182 | 11.3× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$123–$152.40 | $205–$254 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$51.29–$55.80 | $85.49–$93 | varies |
| Assay of metanephrines (83835) | $202.20 | $337 | 11.9× |
| Assay of serum potassium (84132) | $87 | $145 | 18.3× |
| Assay of urea nitrogen (84520) | $77.40 | $129 | 19.6× |
| Assay of vitamin b-1 (84425) | $174 | $290 | 8.2× |
| Assay Ph Body Fluid Nos (83986) | $9.60 | $16 | 2.7× |
| Automated Leukocyte Count (85048) | $66 | $110 | 26.0× |
| B cells total count (86355) | $138 | $230 | 3.7× |
| Beta 2 glycoprotein i antibody each (86146) | $80.40 | $134 | 3.2× |
| Beta hydroxybutyrate (82010) | $137.40 | $229 | 16.8× |
| Beta-2 Microglobulin (82232) | $121.20 | $202 | 7.5× |
| Bilirubin direct (82248) | $55.80 | $93 | 11.1× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$55.80–$215.40 | $93–$359 | varies |
| Blastomyces antibody (86612) | $75.60 | $126 | 5.9× |
| Bld Typing Serologic Rh Phnt (86906) | $235.80 | $393 | 30.4× |
| Bleeding time test (85002) | $77.40 | $129 | 16.1× |
| Blood count reticulocyte automated (85045) | $55.80 | $93 | 14.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $45.60 | $76 | 12.0× |
| Blood gas (82803) range across 3 matching MRF lines |
$333–$512.40 | $555–$854 | varies |
| Blood gases w/02 saturation (82805) | $473.39 | $788.98 | 6.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$29.40–$45.60 | $49–$76 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $235.80 | $393 | 37.1× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $66 | $110 | 4.0× |
| Blood typing serologic abo (86900) | $169.80 | $283 | 56.8× |
| Bordetella antibody (86615) | $123 | $205 | 9.3× |
| C diff amplified probe (87493) | $276 | $460 | 7.4× |
| C-Peptide (84681) | $99 | $165 | 4.8× |
| C-reactive protein (86140) | $87 | $145 | 16.8× |
| Ca 19-9 (86301) | $152.40 | $254 | 7.3× |
| Calcitonin (82308) | $196.80 | $328 | 7.3× |
| Calcium ionized (82330) | $87 | $145 | 6.4× |
| Calcium total (82310) | $55.80 | $93 | 10.8× |
| Calculus assay quant (82360) | $30 | $50 | 2.3× |
| Calculus Spectroscopy (82365) | $75.60 | $126 | 5.9× |
| Calprotectin Fecal (83993) | $214.20 | $357 | 10.9× |
| Cancer Antigen 125 (86304) | $177 | $295 | 8.5× |
| Cancer Antigen 27.29 (86300) | $147 | $245 | 7.1× |
| Candida Dna Dir Probe (87480) | $251.40 | $419 | 12.5× |
| Carbamazepine total (80156) | $87 | $145 | 6.0× |
| Carboxyhemoglobin (82375) | $77.40 | $129 | 6.3× |
| Carcinoembryonic antigen (82378) | $165 | $275 | 8.7× |
| Cardiolipin ab iga (86147) | $142.20 | $237 | 5.6× |
| Ccp antibody (86200) | $115.80 | $193 | 8.9× |
| Cell count csf (89051) | $121.20 | $202 | 21.6× |
| Ceruloplasmin (82390) | $45.60 | $76 | 4.2× |
| Chlamydia antibody (86631) | $26.40 | $44 | 2.2× |
| Chlamydia Igm Antibody (86632) | $26.40 | $44 | 2.1× |
| Chloride Serum (82435) | $55.80 | $93 | 12.1× |
| Chloride urine (82436) | $66 | $110 | 11.5× |
| Cholesterol total (82465) | $55.80 | $93 | 12.8× |
| Cholinesterase Serum (82480) | $77.40 | $129 | 9.8× |
| Chorionic gonadotropin test (84702) | $174 | $290 | 11.6× |
| Chromium serum (82495) | $53.40 | $89 | 2.6× |
| Chromosome Analysis 15-20 (88262) | $720 | $1,200 | 5.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$279–$283.80 | $465–$473 | varies |
| Ckmb (82553) | $130.80 | $218 | 11.3× |
| Clostridium Difficile (87324) | $196.80 | $328 | 16.4× |
| Coagulation time activated (85347) | $130.80 | $218 | 30.6× |
| Cold agglutinin screen (86156) | $142.20 | $237 | 17.6× |
| Column Chromotography Quant (82542) | $119.40 | $199 | 5.0× |
| Compatibility test antiglob (86922) | $165.60 | $276 | 1.0× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$73.80–$130.80 | $123–$218 | varies |
| Complement Total (Ch50) (86162) | $130.80 | $218 | 6.4× |
| Complement/Function Activity (86161) | $174 | $290 | 14.5× |
| Coombs direct (86880) | $109.80 | $183 | 20.4× |
| Copper urine (82525) | $45 | $75 | 3.6× |
| Cortisol free (82530) | $99 | $165 | 5.9× |
| Cortisol saliva (82533) | $109.80 | $183 | 6.7× |
| Creatine kinase total (82550) | $109.80 | $183 | 16.9× |
| Creatinine blood (82565) range across 3 matching MRF lines |
$91.46–$99 | $152.44–$165 | varies |
| Creatinine clearance (82575) | $65.40 | $109 | 6.9× |
| Creatinine Urine (82570) | $77.40 | $129 | 14.9× |
| Crossmatch electronic (86923) | $121.20 | $202 | 0.7× |
| Crossmatch immediate spin (86920) | $121.20 | $202 | 0.7× |
| Crp High Sensitivity (86141) | $90.60 | $151 | 7.0× |
| Cryoglobulin (82595) | $219 | $365 | 33.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $121.20 | $202 | 15.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $121.20 | $202 | 15.0× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $109.80 | $183 | 14.2× |
| Culture aerobic quant other (87071) | $121.20 | $202 | 12.3× |
| Culture afb (87116) | $142.20 | $237 | 13.2× |
| Culture Anaerobic (87075) | $174 | $290 | 18.4× |
| Culture blood (87040) | $142.20 | $237 | 13.8× |
| Culture chlamydia (87110) | $207.60 | $346 | 10.6× |
| Culture csf (87070) range across 9 matching MRF lines |
$121.20–$174 | $202–$290 | varies |
| Culture fungus (87102) | $130.80 | $218 | 15.6× |
| Culture screen only (87081) range across 3 matching MRF lines |
$87–$115.80 | $145–$193 | varies |
| Culture stool (87045) | $99 | $165 | 10.5× |
| Culture urine (87086) | $109.80 | $183 | 13.6× |
| Cyclosporine (80158) | $152.40 | $254 | 8.4× |
| Cytomegalovirus igg (86644) | $96.60 | $161 | 6.7× |
| Cytopath Cell Enhance Tech (88112) | $109.20 | $182 | 2.1× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $118.20 | $197 | 0.7× |
| Detect Agent Nos Dna Amp (87798) | $75 | $125 | 2.1× |
| Detect Agent Nos Dna Quant (87799) | $884.40 | $1,474 | 20.6× |
| Detect agnt mult DNA ampli (87801) | $412.80 | $688 | 5.9× |
| Dgp Antibody Each Ig Class (86258) | $165.60 | $276 | 13.7× |
| Dhea-S (82627) | $63.60 | $106 | 2.9× |
| Digoxin (80162) | $165.60 | $276 | 12.5× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$84–$328.20 | $140–$547 | varies |
| Drug Screen Quantitative Lamotrigine (80175) | $87.60 | $146 | 6.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 5 matching MRF lines |
$232.80–$424.80 | $388–$708 | varies |
| Electrolyte panel (80051) | $87 | $145 | 12.4× |
| Enterovirus PCR (87498) | $425.40 | $709 | 12.1× |
| Enzyme histochemistry (88319) | $146.40 | $244 | 0.2× |
| Eosinophil Smear (89190) | $72.60 | $121 | 12.5× |
| Estradiol serum (82670) | $177.60 | $296 | 6.4× |
| Estrogen total (82672) | $144 | $240 | 6.6× |
| Estrogens fractionated (82671) | $152.40 | $254 | 4.7× |
| Exam Synovial Fluid Crystals (89060) | $121.20 | $202 | 16.5× |
| F2 Gene (81240) | $124.80 | $208 | 1.9× |
| Factor v activity (85220) | $174 | $290 | 9.9× |
| Factor v leiden mutation (81241) | $124.80 | $208 | 1.7× |
| Factor vii assay (85230) | $72 | $120 | 4.0× |
| Factor viii assay (85240) | $214.20 | $357 | 12.0× |
| Factor X (85260) | $362.40 | $604 | 20.2× |
| Ferritin (82728) | $109.80 | $183 | 8.1× |
| Fibrin degradation products (85362) | $99 | $165 | 14.4× |
| Fibrin Degradation Quant (85379) | $174 | $290 | 17.1× |
| Fibrinogen activity (85384) | $130.80 | $218 | 13.5× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$222–$228.60 | $370–$381 | varies |
| Folic acid rbc (82747) | $102 | $170 | 5.8× |
| Folic Acid Serum (82746) | $109.80 | $183 | 7.5× |
| Follicle Stimulating Hormone (83001) | $152.40 | $254 | 8.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $85.20 | $142 | 0.5× |
| Gardner vag DNA dir probe (87510) | $251.40 | $419 | 12.5× |
| Gases blood ph only (82800) | $55.80 | $93 | 5.1× |
| Gastrin (82941) | $109.80 | $183 | 6.2× |
| Genet Virus Isolate Hsv (87255) | $283.80 | $473 | 8.4× |
| Ggt (82977) | $55.80 | $93 | 7.7× |
| Giardia antigen (87329) | $196.80 | $328 | 16.4× |
| Glucose Blood Test (82962) | $66 | $110 | 20.1× |
| Glucose body fluid (82945) | $109.80 | $183 | 27.9× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$24.60–$49.80 | $41–$83 | varies |
| Glutathione (82978) | $67.80 | $113 | 4.4× |
| Gonadotropin Chorionic Qualitative (84703) | $121.20 | $202 | 16.1× |
| Hdl Cholesterol (83718) | $99 | $165 | 12.1× |
| Hematocrit (85014) range across 2 matching MRF lines |
$18–$24.60 | $30–$41 | varies |
| Hemoglobin (85018) range across 4 matching MRF lines |
$22.20–$24.60 | $37–$41 | varies |
| Hemoglobin a1c (83036) | $130.80 | $218 | 13.5× |
| Hemoglobin Chromotography (83021) | $77.40 | $129 | 4.3× |
| Hepatitis a antibody total (86708) | $77.40 | $129 | 6.2× |
| Hepatitis b core ab igm (86705) | $45.60 | $76 | 3.9× |
| Hepatitis B Surface Antibody (86706) | $99 | $165 | 9.2× |
| Hepatitis B Surface Antigen (87340) | $99 | $165 | 9.6× |
| Hepatitis C Antibody (86803) | $77.40 | $129 | 5.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $177 | $295 | 4.1× |
| Hepatitis G Dna Quant (87527) | $345 | $575 | 8.3× |
| Herpes simplex type 2 (86696) | $106.20 | $177 | 5.5× |
| Heterophile Antibody Screen (86308) | $109.80 | $183 | 21.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $49.80 | $83 | 2.1× |
| Hiv-1 Antibody (86701) | $121.20 | $202 | 13.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $49.80 | $83 | 0.6× |
| Hla-b27 (86812) | $122.40 | $204 | 4.7× |
| Homocysteine (83090) | $130.80 | $218 | 7.3× |
| Hsv Dna Amp Probe (87529) | $541.20 | $902 | 15.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $99 | $165 | 9.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) range across 2 matching MRF lines |
$32.40–$150 | $54–$250 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $74.40 | $124 | 2.1× |
| Iaad ia shiga-like toxin (87427) | $99 | $165 | 8.3× |
| Iaad Ia Streptococcus Group A (87430) | $99 | $165 | 5.9× |
| Iaadiadoo trichomonas vaginalis (87808) | $52.20 | $87 | 3.4× |
| Iadna Cytomegalovirus Quantification (87497) | $374.40 | $624 | 8.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $283.80 | $473 | 8.1× |
| Igg subclasses (82787) | $123 | $205 | 15.3× |
| Immunfix e-phorsis/urine/csf (86335) | $210 | $350 | 7.2× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $57.06 | $95.10 | 3.8× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$144–$299.40 | $240–$499 | varies |
| Immunodiffusion not elsewhere specified (86329) | $114 | $190 | 8.1× |
| Immunofixation electrophoresis (86334) | $77.40 | $129 | 3.5× |
| Immunohistochemistry (88342) | $87 | $145 | 0.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $67.20 | $112 | 4.2× |
| Influenza assay w/optic (87804) | $55.80 | $93 | 3.4× |
| Inhibin b (83520) range across 2 matching MRF lines |
$157.20–$247.20 | $262–$412 | varies |
| Insulin total (83525) | $43.80 | $73 | 3.8× |
| Iron (83540) | $108.60 | $181 | 16.8× |
| Iron Binding Capacity (83550) | $66 | $110 | 7.6× |
| Islet cell antibody (86341) | $186 | $310 | 7.9× |
| Koh Prep (87220) | $78.60 | $131 | 18.4× |
| Lactate (ld) (ldh) enzyme (83615) | $55.80 | $93 | 9.2× |
| Ldh Isoenzymes (83625) | $96 | $160 | 7.5× |
| LDL direct (83721) | $121.20 | $202 | 11.5× |
| Lead (83655) | $73.80 | $123 | 6.1× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$145.20–$196.80 | $242–$328 | varies |
| Leukocyte Assessment Fecal (89055) | $9.60 | $16 | 2.2× |
| Leukocyte Histamine Release (86343) | $157.80 | $263 | 12.7× |
| Leukocyte transfusion (86950) | $1,236.60 | $2,061 | 7.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $84 | $140 | 2.9× |
| Level ii surg pathology grossµscopic exam (88302) | $190.20 | $317 | 5.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $307.20 | $512 | 0.9× |
| Lipase (83690) | $152.40 | $254 | 22.1× |
| Lipoprotein A (83695) | $8.59 | $14.32 | 0.6× |
| Lipoprotein Bld Quan Part (83704) | $112.20 | $187 | 3.3× |
| Lithium (80178) | $99 | $165 | 15.0× |
| Luteinizing Hormone (Lh) (83002) | $109.80 | $183 | 5.9× |
| Lyme disease antibody (86618) | $142.80 | $238 | 8.4× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$66–$69.60 | $110–$116 | varies |
| Mass Spectrometry Quant (83789) | $82.80 | $138 | 3.4× |
| Mercury urine (83825) | $121.20 | $202 | 7.5× |
| Metabolic panel ionized ca (80047) range across 3 matching MRF lines |
$111.86–$121.20 | $186.43–$202 | varies |
| Methylmalonic acid serum (83921) | $234 | $390 | 11.0× |
| Microalbumin, quantitative (82043) | $55.80 | $93 | 9.7× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$108.60–$207 | $181–$345 | varies |
| Mopath procedure level 4 (81403) | $595.20 | $992 | 3.2× |
| Mthfr Gene Analysis Common Variants (81291) | $227.40 | $379 | 3.5× |
| Mucin Clot Body Fluid (83872) | $152.40 | $254 | 26.0× |
| Mumps antibody (86735) | $75 | $125 | 5.7× |
| Mycoplasma antibody (86738) | $78 | $130 | 5.9× |
| Myelin basic protein csf (83873) | $152.40 | $254 | 8.9× |
| Myoglobin urine (83874) | $130.80 | $218 | 10.1× |
| Natriuretic peptide (83880) | $448.20 | $747 | 11.4× |
| Neisseria Dir Na Probe (87590) | $45.60 | $76 | 1.7× |
| Niacin (84591) range across 2 matching MRF lines |
$134.40–$157.80 | $224–$263 | varies |
| Nk cells total count (86357) | $133.80 | $223 | 3.5× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$84–$144 | $140–$240 | varies |
| Occult Blood Other Sources (82271) | $45.60 | $76 | 8.6× |
| Oligoclonal bands (83916) | $152.40 | $254 | 5.6× |
| Osmolality serum (83930) | $109.20 | $182 | 16.5× |
| Osmolality Urine (83935) | $109.80 | $183 | 16.1× |
| Ova and parasites smears (87177) | $145.80 | $243 | 16.4× |
| Particle Agglutination Screen Each Antibody (86403) | $99 | $165 | 8.6× |
| Ph urine (81003) range across 4 matching MRF lines |
$7.80–$77.40 | $13–$129 | varies |
| Phenobarbital Level (80184) | $87 | $145 | 5.7× |
| Phenytoin (Dilantin) (80185) | $165.60 | $276 | 12.5× |
| Phosphatase alkaline (84075) | $55.80 | $93 | 10.8× |
| Phospholipid Neutralization Hexagonal (85598) | $94.20 | $157 | 5.2× |
| Phosphorus Serum (84100) | $55.80 | $93 | 11.8× |
| Platelet Aggregation (85576) | $77.40 | $129 | 3.1× |
| Platelet Antibodies (86022) | $220.80 | $368 | 12.0× |
| Platelet count automated (85049) | $66 | $110 | 14.7× |
| Platelet neutralization (85597) | $43.80 | $73 | 2.4× |
| Potassium Urine (84133) | $77.40 | $129 | 16.4× |
| Prealbumin (84134) | $55.80 | $93 | 3.8× |
| Pregnenolone (84140) | $126 | $210 | 6.1× |
| Procalcitonin (Pct) (84145) | $283.80 | $473 | 10.4× |
| Progesterone (84144) | $121.20 | $202 | 5.8× |
| Prolactin (84146) | $152.40 | $254 | 7.9× |
| Protein body fluid (84157) | $9.60 | $16 | 2.4× |
| Protein C Activity (85303) | $578.40 | $964 | 41.8× |
| Protein Electrophoresis Urine (84166) | $45.60 | $76 | 2.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $45.60 | $76 | 4.2× |
| Protein S Free (85306) | $709.20 | $1,182 | 46.3× |
| Protein s total (85305) | $165.60 | $276 | 14.3× |
| Protein total serum (84155) | $66 | $110 | 18.0× |
| Protein Total Urine (84156) | $19.80 | $33 | 5.4× |
| PSA free (84154) | $109.20 | $182 | 5.9× |
| Pth Intact (83970) | $196.80 | $328 | 4.8× |
| Quantiferon tb gold plus (86480) | $216.60 | $361 | 3.5× |
| Quantitative Screen Metals (83018) | $53.40 | $89 | 2.4× |
| Rbc antibody elution (86860) | $219.60 | $366 | 1.3× |
| Rbc antibody identification (86870) | $251.40 | $419 | 0.7× |
| Rbc antibody screen (86850) | $128.40 | $214 | 13.1× |
| Rbc pretreatment serum (86978) | $130.80 | $218 | 2.2× |
| Rbc pretx incubatj w/enzymes (86971) | $130.80 | $218 | 0.8× |
| Reagent Strip/Blood Glucose (82948) range across 3 matching MRF lines |
$22.80–$53.40 | $38–$89 | varies |
| Renin activity plasma (84244) | $97.80 | $163 | 4.4× |
| Reticulated Platelet Assay (85055) | $77.40 | $129 | 2.2× |
| Reticulocyte Count Manual (85044) | $66 | $110 | 15.3× |
| Reticulocyte separation (86972) | $191.40 | $319 | 1.1× |
| Rh (86901) | $169.80 | $283 | 56.8× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$40.20–$55.80 | $67–$93 | varies |
| Ristocetin cofactor (85245) | $162 | $270 | 7.1× |
| Rpr qualitative (86592) | $109.80 | $183 | 25.7× |
| Rsv Assay W/Optic (87807) | $54 | $90 | 4.1× |
| Rubella Antibody (86762) | $24.60 | $41 | 1.7× |
| Rubeola antibody (86765) | $54 | $90 | 4.2× |
| Russell Viper Venom Time Diluted (85613) | $121.20 | $202 | 12.7× |
| Salicylate Level (80179) | $130.80 | $218 | 7.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $74.40 | $124 | 1.5× |
| Sars-cov-2 COVID-19 antibody (86769) | $79.20 | $132 | 1.9× |
| Sedimentation rate (85651) | $77.40 | $129 | 18.1× |
| Sedimentation Rate, Automated (85652) | $55.80 | $93 | 20.7× |
| Sensitivity mic (87186) | $77.40 | $129 | 8.9× |
| Sex Hormone Binding Globulin (84270) | $77.40 | $129 | 3.6× |
| Sickling of rbc reduction (85660) | $127.80 | $213 | 23.2× |
| Smear acid fast (87206) | $45.60 | $76 | 8.5× |
| Smear complex stain (87209) | $146.40 | $244 | 8.1× |
| Smear gram stain (87205) | $99 | $165 | 23.2× |
| Smear Special Stain (87207) | $99.60 | $166 | 16.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $84 | $140 | 14.4× |
| Sodium Serum (84295) | $55.80 | $93 | 11.6× |
| Sodium Urine (84300) | $77.40 | $129 | 15.3× |
| Somatomedin (84305) | $138.60 | $231 | 6.5× |
| Special Stains Group 1 (88312) | $118.20 | $197 | 2.3× |
| Special Stains Group 2 (88313) | $118.20 | $197 | 0.9× |
| Specimen infect agnt concntj (87015) | $87 | $145 | 13.0× |
| Spectrophotometry (84311) | $9.60 | $16 | 1.2× |
| Stone Analysis (82355) | $30.60 | $51 | 2.6× |
| Stool cultr aerobic bact ea (87046) | $96.60 | $161 | 10.2× |
| Strep a assay w/optic (87880) | $31.80 | $53 | 1.9× |
| Surg path level iii (88304) | $254.40 | $424 | 4.9× |
| Surgical pathology level IV (88305) | $276 | $460 | 5.3× |
| Surgical pathology level vi (88309) | $318 | $530 | 0.4× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $25.20 | $42 | 5.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $133.80 | $223 | 2.8× |
| T cells total count (86359) | $133.80 | $223 | 3.5× |
| T3 Free (84481) | $87 | $145 | 5.1× |
| T3 reverse (84482) | $196.80 | $328 | 12.5× |
| T3 Total (84480) | $77.40 | $129 | 5.5× |
| T3 Uptake (84479) | $87 | $145 | 13.4× |
| T4 Free (84439) | $87 | $145 | 9.6× |
| T4 total (84436) range across 5 matching MRF lines |
$84–$87 | $140–$145 | varies |
| Tacrolimus (80197) | $20.49 | $34.15 | 1.5× |
| Test for acetone/ketones (82009) | $45.60 | $76 | 10.1× |
| Testosterone total (84403) | $142.20 | $237 | 5.5× |
| Testosterone, Free (84402) | $142.20 | $237 | 5.6× |
| Thyroglobulin (84432) | $78.60 | $131 | 4.9× |
| Thyroglobulin Antibody (86800) | $75 | $125 | 4.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $196.80 | $328 | 3.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $133.80 | $223 | 11.6× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $99 | $165 | 5.0× |
| Toxoplasma antibody (86777) | $55.80 | $93 | 3.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $99 | $165 | 19.1× |
| Trichomonas vagin dir probe (87660) | $251.40 | $419 | 12.5× |
| Trichomonas Vaginalis Amplif (87661) | $251.40 | $419 | 7.2× |
| Triglycerides (84478) | $45.60 | $76 | 7.9× |
| Troponin Quant (84484) | $196.80 | $328 | 15.8× |
| Uric acid other source (84560) | $66 | $110 | 13.0× |
| Urinalysis Microscopic Only (81015) | $9.60 | $16 | 3.1× |
| Urine Albumin Semiquantitative (82044) | $54 | $90 | 8.7× |
| Urine Bacteria Culture (87088) | $109.80 | $183 | 13.6× |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$58.80–$87 | $98–$145 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $77.40 | $129 | 24.4× |
| Valproic acid (80164) | $87 | $145 | 6.4× |
| Vancomycin (80202) | $219 | $365 | 16.2× |
| Varicella-zoster antibody (86787) | $127.80 | $213 | 9.9× |
| Viral Culture (87252) | $145.80 | $243 | 5.6× |
| Virus inoculation, shell via (87254) | $196.80 | $328 | 10.1× |
| Vit D 1 25-Dihydroxy (82652) | $270 | $450 | 7.0× |
| Vitamin A (84590) | $99.60 | $166 | 8.6× |
| Vitamin b-12 (82607) | $77.40 | $129 | 5.1× |
| Vitamin B2 (Riboflavin) (84252) | $138.60 | $231 | 6.8× |
| Vitamin D 25-Hydroxy (82306) | $234.60 | $391 | 7.9× |
| Vitamin E (84446) | $109.20 | $182 | 7.7× |
| Vitamin K (84597) | $251.40 | $419 | 18.3× |
| Volatiles (84600) | $240 | $400 | 14.0× |
| Von willebrand factor ag (85246) | $184.80 | $308 | 8.1× |
| West nile virus ab igm (86788) | $142.80 | $238 | 8.5× |
| West Nile Virus Antibody (86789) | $142.80 | $238 | 9.9× |
| Zinc (84630) | $87 | $145 | 7.6× |
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.