Lab & pathology prices at Baylor Scott and White Surgical Hospital at Sherma

Sherman, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $48 $80 4.3×
Acth (82024) $165 $275 4.3×
Actin smooth muscle antibody each (86015) $46.80 $78 3.9×
Acute hepatitis panel (80074) $812.40 $1,354 17.1×
Albumin Fluid (82042) $24.60 $41 3.2×
Albumin serum (82040) $55.20 $92 11.2×
Aldosterone urine (82088) $114.60 $191 2.8×
Alkaline phosphatase isoenzymes (84080) $32.40 $54 2.2×
Allergen specific ige (86003)
range across 4 matching MRF lines
$46.20–$228.60 $77–$381 varies
Allergen specific igg (86001) $21 $35 2.7×
Allg Spec Ige Recomb Ea (86008) $118.80 $198 6.6×
Alpha-1-antitrypsin phenotype (82104) $315.60 $526 21.8×
Alpha-1-antitrypsin total (82103) $57 $95 4.2×
Alpha-Fetoprotein Serum (82105) $260.40 $434 15.5×
Alt (sgpt) (84460) $55.20 $92 10.4×
Aminolevulinic acid (ala) (82135) $73.20 $122 4.4×
Ammonia (82140) $141.60 $236 9.7×
Amylase urine (82150) $85.20 $142 13.1×
Angiotensin converting enzyme csf (82164) $276 $460 18.9×
Anti-Phospholipid Antibody (86148) $31.20 $52 1.9×
Antibody aspergillus (86606) $56.40 $94 3.7×
Antibody Bacterium Not Elsewhere Specified (86609) $48.60 $81 3.8×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $67.20 $112 4.3×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $204.60 $341 13.4×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $228.60 $381 12.6×
Antibody Fungus Not Elsewhere Specified (86671) $86.40 $144 7.1×
Antibody haemophilus influenza (86684) $50.40 $84 3.2×
Antibody helicobacter pylori (86677) $220.80 $368 13.1×
Antibody Herpes Smplx Non-Specific Type Test (86694) $204.60 $341 14.2×
Antibody Herpes Smplx Type 1 (86695) $204.60 $341 15.5×
Antibody HIV-1&HIV-2 single result (86703) $180.60 $301 13.2×
Antibody identification leukocyte antibodies (86021) $55.20 $92 3.7×
Antibody Protozoa Nes (86753) $170.40 $284 13.8×
Antibody Treponema Pallidum (86780) $47.40 $79 3.6×
Antigen typing (86905) $97.20 $162 25.4×
Antinuclear antibodies (86038) $157.20 $262 13.0×
Antistreptolysin o titer (86060) $24.60 $41 3.4×
Antithrombin iii activity (85300) $50.40 $84 4.3×
Apolipoprotein a1 (82172) $95.40 $159 4.5×
Arsenic (82175) $63 $105 3.3×
Assay Blood Carbon Dioxide (82374) $55.20 $92 11.3×
Assay Nephelometry Not Spec (83883) $47.40 $79 3.5×
Assay of 5-hiaa (83497) $154.20 $257 12.0×
Assay of blood/uric acid (84550) $55.20 $92 12.2×
Assay of calcium in urine (82340) $78.60 $131 13.0×
Assay of cpk in blood (82552) $180.60 $301 13.5×
Assay of estrone (82679) $106.80 $178 4.3×
Assay of g6pd enzyme (82955) $46.20 $77 4.8×
Assay of gammaglobulin igm (82784) $157.20 $262 16.9×
Assay of lactic acid (83605)
range across 2 matching MRF lines
$139.05–$150.60 $231.75–$251 varies
Assay of metanephrines (83835) $138 $230 8.1×
Assay of serotonin (84260) $79.20 $132 2.6×
Assay of serum potassium (84132) $55.20 $92 11.6×
Assay of urea nitrogen (84520) $55.20 $92 14.0×
Assay of vasoactive intestinal peptide (84586) $90.60 $151 2.6×
Assay of vitamin b-1 (84425) $252 $420 11.9×
Autol Bld/Component Collj Storage Predeposited (86890) $381 $635 2.2×
Automated Leukocyte Count (85048) $63 $105 24.8×
B cells total count (86355) $162 $270 4.3×
Bartonella antibody (86611) $69 $115 6.8×
Bcr/abl1 gene major bp (81206) $615 $1,025 3.8×
Beta 2 glycoprotein i antibody each (86146) $283.20 $472 11.1×
Beta hydroxybutyrate (82010) $27 $45 3.3×
Beta Lactamase (87185) $78.60 $131 16.5×
Bilirubin direct (82248) $55.20 $92 11.0×
Bilirubin total (82247)
range across 2 matching MRF lines
$55.20–$78 $92–$130 varies
Blastomyces antibody (86612) $48.60 $81 3.8×
Bleeding time test (85002) $102.60 $171 21.3×
Blood Count Automated Differential Wbc Count (85004) $21 $35 3.2×
Blood count reticulocyte automated (85045) $78.60 $131 19.7×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $63 $105 16.6×
Blood gas (82803)
range across 3 matching MRF lines
$203.94–$248.40 $339.90–$414 varies
Blood gases w/02 saturation (82805) $229.90 $383.16 2.9×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $55.20 $92 12.6×
Blood Type Antigen Donor Reagent Serum Each (86902) $42 $70 6.6×
Blood typing serologic abo (86900) $187.20 $312 62.6×
C diff amplified probe (87493) $417 $695 11.2×
C-Peptide (84681) $315.60 $526 15.2×
C-reactive protein (86140) $85.20 $142 16.4×
Ca 19-9 (86301) $213 $355 10.2×
Calcitonin (82308) $386.40 $644 14.4×
Calcium ionized (82330) $165.60 $276 12.1×
Calcium total (82310) $63 $105 12.2×
Calculus Spectroscopy (82365) $213 $355 16.5×
Calprotectin Fecal (83993) $390 $650 19.9×
Cancer Antigen 125 (86304) $236.40 $394 11.4×
Cancer Antigen 27.29 (86300) $236.40 $394 11.4×
Candida antibody (86628) $34.80 $58 2.9×
Carbamazepine total (80156) $363 $605 24.9×
Carboxyhemoglobin (82375) $36.60 $61 3.0×
Carcinoembryonic antigen (82378) $260.40 $434 13.7×
Cardiolipin ab iga (86147) $283.20 $472 11.1×
Catecholamines fractionated (82384) $68.40 $114 2.7×
Ccp antibody (86200) $198 $330 15.3×
Cell count csf (89051) $94.80 $158 16.9×
Ceruloplasmin (82390) $180.60 $301 16.8×
Cftr gene com variants (81220) $1,048.20 $1,747 1.9×
Chemiluminescent assay (82397) $80.40 $134 5.7×
Chloride Serum (82435) $55.20 $92 12.0×
Chloride urine (82436) $55.20 $92 9.6×
Cholesterol total (82465) $55.20 $92 12.7×
Cholinesterase Serum (82480) $55.80 $93 7.1×
Chorionic gonadotropin test (84702) $189 $315 12.6×
Chromium serum (82495) $83.40 $139 4.1×
Chromogranin a (86316) $92.40 $154 4.4×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $151.20 $252 4.3×
Ckmb (82553) $119.40 $199 10.3×
Clostridium Difficile (87324) $141.60 $236 11.8×
Coagulation time activated (85347)
range across 3 matching MRF lines
$33.99–$36.60 $56.65–$61 varies
Coccidioides antibody (86635) $44.40 $74 3.9×
Cold agglutinin screen (86156) $85.20 $142 10.6×
Compatibility test antiglob (86922) $283.20 $472 1.6×
Complement Antigen Each Component (86160) $50.40 $84 4.2×
Complement Total (Ch50) (86162) $198 $330 9.7×
Complement/Function Activity (86161) $72 $120 6.0×
Consltj&Reprt Material Requiring Prepj Slides (88323) $203.40 $339 3.9×
Consltj&Reprt Slides Prepared Elsewhere (88321) $187.20 $312 5.0×
Coombs direct (86880) $73.80 $123 13.7×
Cortisol free (82530) $63 $105 3.8×
Cortisol saliva (82533) $228.60 $381 14.0×
Creatine (82540) $24.60 $41 5.3×
Creatine kinase total (82550) $63 $105 9.7×
Creatinine blood (82565)
range across 4 matching MRF lines
$24.60–$55.20 $41–$92 varies
Creatinine clearance (82575) $141.60 $236 15.0×
Creatinine Urine (82570) $78.60 $131 15.2×
Crossmatch electronic (86923) $292.20 $487 1.7×
Crossmatch immediate spin (86920)
range across 3 matching MRF lines
$283.20–$292.20 $472–$487 varies
Crp High Sensitivity (86141) $119.40 $199 9.2×
Cryoglobulin (82595) $119.40 $199 18.5×
Cryptococcus ab (86641) $34.80 $58 2.4×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $126 $210 15.6×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $133.20 $222 16.5×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $109.80 $183 14.2×
Culture aerobic quant other (87071) $126 $210 12.7×
Culture afb (87116) $133.20 $222 12.3×
Culture Anaerobic (87075) $133.20 $222 14.1×
Culture blood (87040)
range across 2 matching MRF lines
$122.40–$126 $204–$210 varies
Culture csf (87070) $119.40 $199 13.9×
Culture fungus (87102) $119.40 $199 14.2×
Culture fungus blood (87103) $119.40 $199 5.8×
Culture screen only (87081)
range across 4 matching MRF lines
$78.60–$115.20 $131–$192 varies
Culture stool (87045) $126 $210 13.3×
Culture typing if ea antiserum (87140) $94.80 $158 17.0×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $22.20 $37 4.3×
Culture urine (87086) $109.80 $183 13.6×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $76.20 $127 5.3×
Cystatin C (82610) $243.60 $406 13.2×
Cytogenetics 100-300 (88275) $159.60 $266 3.1×
Cytomegalovirus igg (86644) $213 $355 14.8×
Cytopath Cell Enhance Tech (88112) $162 $270 3.1×
Cytopath Fl Nongyn Filter (88106) $42.60 $71 1.5×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $200.40 $334 3.8×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $417 $695 2.4×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $162 $270 4.3×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines
$87–$151.20 $145–$252 varies
Detect Agent Nos Dna Quant (87799) $495.60 $826 11.6×
Dgp Antibody Each Ig Class (86258) $180 $300 14.9×
Dhea (82626) $377.40 $629 14.9×
Dhea-S (82627) $330.60 $551 14.9×
Digoxin (80162) $377.40 $629 28.4×
Dihydrotestosterone (82642) $110.40 $184 3.8×
Diphtheria antitoxoid (86648) $50.40 $84 3.3×
Dna Antibody Native/Double Stranded (86225) $58.20 $97 4.2×
Drug Assay Infliximab (80230) $765 $1,275 19.8×
Drug Assay Lacosamide (80235) $177.60 $296 6.6×
Drug Screen Quantitative Levetiracetam (80177) $122.40 $204 9.2×
Drug Screen Quantitative Oxcarbazepine (80183) $92.40 $154 7.0×
Drug Test Prsmv Chem Anlyzr (80307)
range across 4 matching MRF lines
$40.20–$191.40 $67–$319 varies
Drug Test Prsmv Dir Opt Obs (80305) $25.80 $43 2.0×
Electrolyte panel (80051) $180.60 $301 25.8×
Electron Microscopy (88348) $1,300.80 $2,168 1.6×
Enzyme histochemistry (88319) $1,300.80 $2,168 1.6×
Estradiol serum (82670) $260.40 $434 9.3×
Estrogen total (82672) $44.40 $74 2.0×
Euglobulin lysis (85360) $103.80 $173 12.3×
Exam Synovial Fluid Crystals (89060) $40.20 $67 5.5×
F2 Gene (81240) $315 $525 4.8×
Factor v activity (85220) $63 $105 3.6×
Factor v leiden mutation (81241) $311.40 $519 4.2×
Factor viii assay (85240) $221.40 $369 12.4×
Factor X (85260) $361.80 $603 20.2×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $94.80 $158 12.3×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $212.40 $354 12.4×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $82.20 $137 12.6×
Fecal Fat Qualitative (82705) $38.40 $64 7.5×
Ferritin (82728) $180.60 $301 13.3×
Fibrin degradation products (85362) $84.60 $141 12.3×
Fibrin Degradation Quant (85379) $174 $290 17.1×
Flow cytometry first marker (88184) $141.60 $236 0.4×
Fluorescent antibody screen (86255) $40.20 $67 3.3×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $51 $85 4.2×
Folic acid rbc (82747) $74.40 $124 4.2×
Folic Acid Serum (82746) $204.60 $341 13.9×
Follicle Stimulating Hormone (83001) $298.80 $498 16.1×
Fresh Frozen Plasma Thawing Each Unit (86927) $260.40 $434 1.5×
Frozen Section (88331) $429.60 $716 2.5×
Fungi Identification Yeast (87106) $119.40 $199 11.6×
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$60.60–$228.60 $101–$381 varies
Gases Blood O2 Saturation Only Direct Meas (82810) $33.60 $56 3.4×
Gastrin (82941) $228.60 $381 13.0×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,530 $2,550 3.7×
Genet Virus Isolate Hsv (87255) $109.80 $183 3.2×
Gentamicin (80170) $377.40 $629 23.0×
Ggt (82977) $55.20 $92 7.7×
Giardia antigen (87329) $165.60 $276 13.8×
Glucose Blood Test (82962) $55.20 $92 16.8×
Glucose body fluid (82945) $213 $355 54.2×
Glucose Serum (82947) $63 $105 16.0×
Gonadotropin Chorionic Qualitative (84703) $119.40 $199 15.9×
Growth hormone (83003) $63 $105 3.8×
H Pylori (C-13) Breath (83013) $175.80 $293 2.6×
Haptoglobin (83010) $175.80 $293 14.0×
Hdl Cholesterol (83718) $94.80 $158 11.6×
Helicobacter Pylori Stool (87338) $390 $650 27.1×
Hematocrit (85014)
range across 2 matching MRF lines
$40.20–$47.40 $67–$79 varies
Hemoglobin (85018)
range across 3 matching MRF lines
$45–$47.40 $75–$79 varies
Hemoglobin a1c (83036) $61.20 $102 6.3×
Hemoglobin Methemoglobin Quantitative (83050) $30 $50 3.7×
Hep a ab igm (86709) $48.60 $81 4.3×
Hepatitis a antibody total (86708) $165.60 $276 13.4×
Hepatitis b core ab igm (86705) $165.60 $276 14.1×
Hepatitis b core ab total (86704) $51 $85 4.2×
Hepatitis B Surface Antibody (86706) $141.60 $236 13.2×
Hepatitis B Surface Antigen (87340) $141.60 $236 13.7×
Hepatitis Be Antibody (86707) $38.40 $64 3.3×
Hepatitis Be Antigen (87350) $38.40 $64 3.3×
Hepatitis C Antibody (86803) $213 $355 14.9×
Hepatitis C Genotype (87902) $589.80 $983 2.3×
Hepatitis C Revrs Trnscrpj (87522) $94.80 $158 2.2×
Herpes simplex type 2 (86696) $204.60 $341 10.6×
Heterophile Antibody Screen (86308) $85.20 $142 16.4×
Hfe Gene (81256) $236.40 $394 3.6×
Histamine urine (83088) $377.40 $629 12.8×
Histoplasma antibody (86698)
range across 2 matching MRF lines
$30.60–$47.40 $51–$79 varies
Histoplasma antigen urine (87385) $63 $105 4.8×
Hiv-1 Antibody (86701) $150.60 $251 16.9×
Hiv-1 Quant&Revrse Trnscrpj (87536) $276 $460 3.2×
Hla I Low Resolution One Antigen Equivalent Each (81374) $180 $300 2.4×
Hla I Typing 1 Allele Hr (81381) $355.20 $592 2.1×
Hla-b27 (86812)
range across 2 matching MRF lines
$282.60–$291.60 $471–$486 varies
Homocysteine (83090) $213 $355 11.9×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $72 $120 5.2×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $84.60 $141 2.4×
Iaad ia shiga-like toxin (87427) $141.60 $236 11.8×
Iaad Ia Streptococcus Group A (87430) $109.80 $183 6.5×
Iadna chlamydia pneumoniae amplified probe tq (87486) $87 $145 2.5×
Iadna Cytomegalovirus Quantification (87497) $417 $695 9.7×
Iadna Hepatitis B Virus Quantification (87517) $95.40 $159 2.2×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $92.40 $154 2.6×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $151.20 $252 4.3×
Ig Light Chains Free Each (83521) $311.40 $519 18.0×
Igg subclasses (82787) $496.20 $827 61.9×
Igh gene rearrange amp meth (81261) $789.60 $1,316 4.0×
Igk rearrangeabn clonal pop (81264) $913.20 $1,522 5.3×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $402 $670 1.1×
Immunfix e-phorsis/urine/csf (86335) $121.80 $203 4.1×
Immunoassay Analyte Quant Radioimmunoassay (83519) $252 $420 13.7×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $119.40 $199 8.0×
Immunoassay nonantibody (83516) $165.60 $276 14.4×
Immunodiffusion Ouchterlony (86331) $45.60 $76 3.8×
Immunofixation electrophoresis (86334) $95.40 $159 4.3×
Immunofluorescence per spec 1st singl antb stain (88346) $263.40 $439 1.5×
Immunohistochemistry (88342) $181.80 $303 1.1×
In situ hybridization 1st probe stain (88365) $122.40 $204 0.7×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $82.20 $137 5.1×
Influenza assay w/optic (87804) $157.20 $262 9.5×
Influenza DNA amp probe (87502) $358.80 $598 3.7×
Inhibin b (83520) $72 $120 4.2×
Insulin total (83525) $189 $315 16.5×
Intrinsic factor antibody (86340) $92.40 $154 6.1×
Iron (83540) $55.20 $92 8.5×
Iron Binding Capacity (83550) $85.20 $142 9.7×
Islet cell antibody (86341) $150 $250 6.4×
Koh Prep (87220) $72 $120 16.9×
Lactate (ld) (ldh) enzyme (83615) $55.20 $92 9.1×
Lead (83655) $141.60 $236 11.7×
Legionella antigen urine (87449) $133.20 $222 11.1×
Leukocyte Assessment Fecal (89055) $78.60 $131 18.4×
Leukocyte Histamine Release (86343) $69 $115 5.5×
Level I Surg Pathology Gross Examination Only (88300) $105.60 $176 3.6×
Level ii surg pathology gross&microscopic exam (88302) $203.40 $339 5.4×
Level V Surg Pathology Gross&Microscopic Exam (88307) $429.60 $716 1.2×
Lipase (83690) $109.80 $183 15.9×
Lipoprotein A (83695) $32.40 $54 2.3×
Lipoprotein Bld Quan Part (83704) $75.60 $126 2.2×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $75.60 $126 2.2×
Lipoprotein-Associated Phospholipase A2 (83698) $100.80 $168 2.2×
Lithium (80178) $220.80 $368 33.4×
Luteinizing Hormone (Lh) (83002) $150.60 $251 8.1×
Lyme disease antibody (86618) $204.60 $341 12.0×
Lymphocyte transformation (86353) $209.40 $349 4.3×
M. Genitalium Amp Probe (87563) $212.40 $354 6.1×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 2 matching MRF lines
$184.80–$448.80 $308–$748 varies
Magnesium Urine (83735) $78.60 $131 11.7×
Mass Spectrometry Quant (83789) $115.20 $192 4.8×
Mercury urine (83825) $236.40 $394 14.5×
Metabolic panel ionized ca (80047)
range across 3 matching MRF lines
$203.94–$220.80 $339.90–$368 varies
Methylmalonic acid serum (83921) $60.60 $101 2.9×
Microalbumin, quantitative (82043) $24.60 $41 4.3×
Microsatellite instability (81301) $1,154.40 $1,924 3.3×
Microsomal Antibodies Each (86376) $198 $330 13.6×
Mitochondrial Antibody Each (86381) $59.40 $99 2.3×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $286.80 $478 1.4×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $957 $1,595 1.4×
Molecular Cytogenetics Dna Probe Each (88271) $84 $140 3.9×
Mopath procedure level 4 (81403) $1,055.40 $1,759 5.7×
Mopath procedure level 5 (81404) $606 $1,010 2.2×
Mrsa Pcr (87641) $346.20 $577 9.9×
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $301.80 $503 1.4×
Msh2 Gene Analysis Full Sequence Analysis (81295) $541.20 $902 1.4×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $337.80 $563 1.4×
Msh6 Gene Analysis Full Sequence Analysis (81298) $909.60 $1,516 1.4×
Mthfr Gene Analysis Common Variants (81291) $198 $330 3.0×
Mumps antibody (86735) $180.60 $301 13.8×
Myelin basic protein csf (83873) $63 $105 3.7×
Myoglobin urine (83874) $189 $315 14.6×
Natriuretic peptide (83880) $315.60 $526 8.0×
Nk cells total count (86357) $161.40 $269 4.3×
Nuclear antigen antibody (86235) $57 $95 3.2×
Occult Blood Other Sources (82271) $55.20 $92 10.4×
Oligoclonal bands (83916) $72 $120 2.6×
Osmolality Urine (83935) $126 $210 18.5×
Ova and parasites smears (87177) $119.40 $199 13.4×
Pancreatic Elastase Fecal (82656) $115.20 $192 10.0×
Particle Agglutination Screen Each Antibody (86403) $40.20 $67 3.5×
Path Consltj Surg Cytologic Exam Initial Site (88333) $105.60 $176 0.1×
Pathology Consultation During Surgery (88329) $105.60 $176 1.8×
Ph urine (81003)
range across 2 matching MRF lines
$63–$72 $105–$120 varies
Phenytoin (Dilantin) (80185) $143.40 $239 10.8×
Phenytoin free (80186) $49.80 $83 3.6×
Phosphatase alkaline (84075) $55.20 $92 10.7×
Phosphorus Serum (84100) $55.20 $92 11.6×
Platelet Aggregation (85576) $92.40 $154 3.7×
Platelet Antibodies (86022) $42 $70 2.3×
Platelet count automated (85049) $63 $105 14.1×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $288 $480 1.4×
Pms2 gene full seq analysis (81317) $1,002 $1,670 1.5×
Porphobilinogen, urine; quantitative (84110) $49.20 $82 5.8×
Porphyrins Urine Quantitation & Fractionation (84120) $73.20 $122 5.0×
Potassium Urine (84133) $63 $105 13.3×
Prealbumin (84134) $157.20 $262 10.8×
Procalcitonin (Pct) (84145)
range across 2 matching MRF lines
$190.20–$190.80 $317–$318 varies
Progesterone (84144) $276 $460 13.2×
Prolactin (84146) $276 $460 14.2×
Protein body fluid (84157) $72 $120 18.0×
Protein C Activity (85303) $330.60 $551 23.9×
Protein c antigen (85302) $165.60 $276 13.8×
Protein Electrophoresis Urine (84166) $63 $105 3.5×
Protein Electrophoretic Fractj&Quantj Serum (84165) $198 $330 18.4×
Protein S Free (85306) $346.20 $577 22.6×
Protein s total (85305) $189.60 $316 16.3×
Protein total serum (84155) $55.20 $92 15.0×
Protein Total Urine (84156) $16.20 $27 4.4×
Protein Western Blot Test (84182) $150 $250 5.1×
Protoporphyrin rbc quantitative (84202) $43.20 $72 3.0×
PSA free (84154) $78.60 $131 4.3×
Pth Intact (83970) $449.40 $749 10.9×
Quantiferon tb gold plus (86480) $204.60 $341 3.3×
Quantitative assay drug (80299) $76.20 $127 4.1×
Quantitative Screen Metals (83018) $107.40 $179 4.9×
Rbc antibody elution (86860) $292.20 $487 1.7×
Rbc antibody identification (86870) $429.60 $716 1.2×
Rbc antibody screen (86850) $178.20 $297 18.2×
Rbc pretreatment serum (86978) $178.20 $297 3.0×
Rbc pretx incubatj w/enzymes (86971) $292.20 $487 1.7×
Reagent Strip/Blood Glucose (82948)
range across 5 matching MRF lines
$7.20–$63 $12–$105 varies
Renin activity plasma (84244) $67.20 $112 3.1×
Resp virus 12-25 targets (87633) $1,095 $1,825 2.6×
Rh (86901) $25.20 $42 8.4×
Rheumatoid factor quant (86431) $25.20 $42 4.4×
Rickettsia antibody (86757) $138 $230 7.1×
Ristocetin cofactor (85245) $103.80 $173 4.5×
Rotavirus ag eia (87425) $133.20 $222 11.1×
Rpr qualitative (86592) $72 $120 16.9×
Rsv Assay W/Optic (87807) $157.20 $262 12.0×
Rubella Antibody (86762) $109.80 $183 7.6×
Rubeola antibody (86765) $189 $315 14.7×
Russell Viper Venom Time Diluted (85613) $157.20 $262 16.4×
Sars-Cov-2 Covid-19 Amp Prb (87635) $153.60 $256 3.0×
Sars-cov-2 COVID-19 antibody (86769) $156 $260 3.7×
Sars-Cov-2 Covid19 W/Optic (87811) $81 $135 2.0×
Sedimentation rate (85651) $63 $105 14.8×
Sedimentation Rate, Automated (85652) $63 $105 23.3×
Selenium (84255) $115.20 $192 4.5×
Semen Anal Sperm Detection (89321) $37.20 $62 3.1×
Sensitivity mic (87186) $94.80 $158 11.0×
Sex Hormone Binding Globulin (84270) $322.80 $538 14.9×
Smear acid fast (87206) $78.60 $131 14.6×
Smear complex stain (87209) $78.60 $131 4.4×
Smear gram stain (87205) $72 $120 16.9×
Smear Special Stain (87207) $126 $210 21.0×
Smr Prim Src Wet Mount Nfct Agt (87210) $63 $105 10.8×
Sodium Serum (84295) $55.20 $92 11.5×
Sodium Urine (84300) $72 $120 14.2×
Special Stains Group 1 (88312) $199.20 $332 3.8×
Special Stains Group 2 (88313) $279 $465 2.1×
Specimen infect agnt concntj (87015) $94.80 $158 14.2×
Spectrophotometry (84311) $119.40 $199 14.7×
Stool cultr aerobic bact ea (87046) $126 $210 13.3×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $483.60 $806 5.3×
Surg path level iii (88304) $276 $460 5.3×
Surgical pathology level IV (88305) $276 $460 5.3×
Surgical pathology level vi (88309) $689.40 $1,149 0.8×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $72 $120 15.2×
T cells absolute cd4 count (86361) $115.20 $192 4.3×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $157.20 $262 3.3×
T cells total count (86359) $121.80 $203 3.2×
T3 Free (84481) $260.40 $434 15.4×
T3 reverse (84482) $31.20 $52 2.0×
T3 Total (84480) $198 $330 14.0×
T3 Uptake (84479) $94.80 $158 14.7×
T4 Free (84439) $141.60 $236 15.7×
T4 total (84436)
range across 3 matching MRF lines
$30–$78.60 $50–$131 varies
Tacrolimus (80197) $456.60 $761 33.3×
Test for acetone/ketones (82009) $78.60 $131 17.4×
Testosterone total (84403) $220.80 $368 8.6×
Testosterone, Free (84402) $307.20 $512 12.1×
Tetanus antibody (86774) $55.80 $93 3.8×
Thyroglobulin (84432) $228.60 $381 14.2×
Thyroglobulin Antibody (86800) $204.60 $341 12.9×
Thyroid Stimulating Immunoglobulin (84445) $669.60 $1,116 13.2×
Tiss Trnsgltmnase Ea Ig Clas (86364) $180 $300 15.6×
Tobramycin peak (80200) $81.60 $136 5.1×
Topiramate (80201) $76.20 $127 6.4×
Toxin/Antitoxin Assay Tissue Culture (87230) $198 $330 10.0×
Tpmt gene com variants (81335) $817.20 $1,362 4.7×
Transferase Aspartate Amino Ast Sgot (84450) $55.20 $92 10.7×
Trb@ Rearrangement Anal Amplification Method (81340) $731.40 $1,219 3.5×
Trg gene rearrangement anal (81342) $263.40 $439 1.3×
Trichomonas Vaginalis Amplif (87661) $212.40 $354 6.1×
Triglycerides (84478) $55.20 $92 9.6×
Troponin Quant (84484) $150.60 $251 12.1×
Tumor immunohistochem/comput (88361) $166.80 $278 0.5×
Tumor Immunohistochem/Manual (88360) $85.20 $142 0.5×
Urinalysis Microscopic Only (81015) $55.20 $92 18.1×
Urine Albumin Semiquantitative (82044) $102.60 $171 16.5×
Urine Bacteria Culture (87088) $109.80 $183 13.6×
Urine Pregnancy Test (81025) $119.40 $199 13.9×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $72 $120 22.7×
Valproic acid (80164) $346.20 $577 25.6×
Vancomycin (80202) $370.20 $617 27.3×
Varicella-zoster antibody (86787) $180.60 $301 14.0×
Viral Culture (87252) $85.20 $142 3.3×
Virus inoculation, shell via (87254) $83.40 $139 4.3×
Viscosity serum (85810) $49.80 $83 4.3×
Vit D 1 25-Dihydroxy (82652) $393.60 $656 10.2×
Vitamin A (84590) $48 $80 4.1×
Vitamin b-12 (82607) $198 $330 13.1×
Vitamin B6 (84207) $141.60 $236 5.0×
Vitamin c (82180) $123.60 $206 12.5×
Vitamin D 25-Hydroxy (82306) $370.20 $617 12.5×
Vitamin E (84446) $55.80 $93 3.9×
Von willebrand factor ag (85246) $120.60 $201 5.3×
West nile virus ab igm (86788) $204.60 $341 12.1×
West Nile Virus Antibody (86789) $204.60 $341 14.2×
Zinc (84630) $40.20 $67 3.5×

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.