Lab & pathology prices at Baylor Scott & White Texas Spine & Joint Hospital
Tyler, TX · every code in this section with a posted price and a Medicare benchmark.
379 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $624 | $1,040 | 16.2× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$402–$590.40 | $670–$984 | varies |
| Albumin Fluid (82042) | $459 | $765 | 59.0× |
| Albumin serum (82040) range across 3 matching MRF lines |
$6.60–$925.20 | $11–$1,542 | varies |
| Aldolase (82085) | $299.40 | $499 | 30.8× |
| Aldosterone urine (82088) | $682.80 | $1,138 | 16.8× |
| Allergen specific ige (86003) | $130.20 | $217 | 24.9× |
| Alpha-1-antitrypsin phenotype (82104) | $298.80 | $498 | 20.7× |
| Alpha-Fetoprotein Serum (82105) | $75 | $125 | 4.5× |
| Alt (sgpt) (84460) | $187.20 | $312 | 35.3× |
| Amikacin trough (80150) range across 2 matching MRF lines |
$336.60–$342 | $561–$570 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) | $508.20 | $847 | 22.1× |
| Ammonia (82140) | $306.60 | $511 | 21.0× |
| Amylase urine (82150) | $294 | $490 | 45.4× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$293.40–$385.20 | $489–$642 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$57–$267.60 | $95–$446 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $38.40 | $64 | 2.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $419.40 | $699 | 23.1× |
| Antibody helicobacter pylori (86677) | $180 | $300 | 10.7× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$112.20–$123 | $187–$205 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $274.80 | $458 | 20.0× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $579 | $965 | 29.9× |
| Antibody Titer (86886) range across 3 matching MRF lines |
$215.40–$237 | $359–$395 | varies |
| Antigen typing (86905) range across 4 matching MRF lines |
$55.80–$345 | $93–$575 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $342 | $570 | 59.8× |
| Antinuclear antibodies (86038) | $316.20 | $527 | 26.2× |
| Antistreptolysin o titer (86060) | $222 | $370 | 30.4× |
| Antithrombin iii activity (85300) | $586.20 | $977 | 49.5× |
| Aquaporin-4 Antb Elisa (86051) | $244.80 | $408 | 21.2× |
| Arsenic (82175) range across 2 matching MRF lines |
$267.60–$553.80 | $446–$923 | varies |
| Assay Blood Carbon Dioxide (82374) | $235.80 | $393 | 48.3× |
| Assay Nephelometry Not Spec (83883) | $849 | $1,415 | 62.4× |
| Assay of blood/uric acid (84550) range across 4 matching MRF lines |
$7.80–$187.20 | $13–$312 | varies |
| Assay of calcium in urine (82340) | $177.60 | $296 | 29.5× |
| Assay of cpk in blood (82552) | $367.20 | $612 | 27.4× |
| Assay of estrone (82679) | $607.20 | $1,012 | 24.3× |
| Assay of gammaglobulin igm (82784) | $190.80 | $318 | 20.5× |
| Assay of lactic acid (83605) | $246 | $410 | 21.3× |
| Assay of phosphatase acid total (84060) | $204 | $340 | 26.7× |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
$33–$195.60 | $55–$326 | varies |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$187.20–$221.40 | $312–$369 | varies |
| Assay of urine vma (84585) | $465.60 | $776 | 30.0× |
| Assay of vitamin b-1 (84425) | $552.60 | $921 | 26.0× |
| Autol bld/component collj storage salvage (86891) | $631.20 | $1,052 | 0.8× |
| Automated Leukocyte Count (85048) | $106.80 | $178 | 42.0× |
| Beta 2 glycoprotein i antibody each (86146) | $60.60 | $101 | 2.4× |
| Beta hydroxybutyrate (82010) | $52.20 | $87 | 6.4× |
| Bilirubin direct (82248) | $187.20 | $312 | 37.3× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$170.40–$187.20 | $284–$312 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $99 | $165 | 28.9× |
| Bld Typing Serologic Rh Phnt (86906) | $55.80 | $93 | 7.2× |
| Bleeding time test (85002) | $242.40 | $404 | 50.3× |
| Blood count reticulocyte automated (85045) | $92.40 | $154 | 23.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $117 | $195 | 30.8× |
| Blood gases w/02 saturation (82805) | $725.40 | $1,209 | 9.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $136.20 | $227 | 31.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 6 matching MRF lines |
$105–$294 | $175–$490 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $136.20 | $227 | 8.3× |
| Blood typing serologic abo (86900) range across 4 matching MRF lines |
$62.40–$100.80 | $104–$168 | varies |
| Body fluid cell count (89050) | $213 | $355 | 45.1× |
| Brucella antibody (86622) | $270.60 | $451 | 30.3× |
| C-reactive protein (86140) | $249 | $415 | 48.1× |
| Calcium ionized (82330) | $243 | $405 | 17.8× |
| Calcium total (82310) | $187.20 | $312 | 36.3× |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$105–$1,210.80 | $175–$2,018 | varies |
| Cancer Antigen 125 (86304) | $177 | $295 | 8.5× |
| Cancer Antigen 27.29 (86300) | $439.20 | $732 | 21.1× |
| Candida Dna Dir Probe (87480) | $31.20 | $52 | 1.6× |
| Carbamazepine total (80156) | $302.40 | $504 | 20.8× |
| Carboxyhemoglobin (82375) | $370.80 | $618 | 30.1× |
| Carcinoembryonic antigen (82378) | $381.60 | $636 | 20.1× |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$201.60–$402 | $336–$670 | varies |
| Catecholamines fractionated (82384) | $710.40 | $1,184 | 28.1× |
| Ccp antibody (86200) range across 3 matching MRF lines |
$99.60–$221.40 | $166–$369 | varies |
| Cell count csf (89051) | $213 | $355 | 38.0× |
| Ceruloplasmin (82390) | $393.60 | $656 | 36.6× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$103.20–$704.40 | $172–$1,174 | varies |
| Chlamydia Igm Antibody (86632) | $347.40 | $579 | 27.4× |
| Chloride Serum (82435) | $188.40 | $314 | 41.0× |
| Chloride urine (82436) | $155.40 | $259 | 27.0× |
| Cholesterol total (82465) | $187.20 | $312 | 43.0× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$242.40–$346.80 | $404–$578 | varies |
| Chromium serum (82495) | $565.20 | $942 | 27.9× |
| Chromogranin a (86316) | $249 | $415 | 12.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$75–$258.60 | $125–$431 | varies |
| Ckmb (82553) range across 4 matching MRF lines |
$222–$402.60 | $370–$671 | varies |
| Clotting Funct Activity (85397) | $474.60 | $791 | 15.4× |
| Coccidioides antibody (86635) | $220.20 | $367 | 19.2× |
| Cold agglutinin screen (86156) | $277.80 | $463 | 34.4× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$21–$420 | $35–$700 | varies |
| Compatibility Each Unit Incubation (86921) | $292.80 | $488 | 1.7× |
| Compatibility test antiglob (86922) | $277.80 | $463 | 1.6× |
| Complement Antigen Each Component (86160) | $221.40 | $369 | 18.5× |
| Complement Fixation Tests Each Antigen (86171) | $274.80 | $458 | 27.5× |
| Complement Total (Ch50) (86162) | $311.40 | $519 | 15.3× |
| Complement/Function Activity (86161) | $366 | $610 | 30.5× |
| Coombs direct (86880) range across 5 matching MRF lines |
$165.60–$253.20 | $276–$422 | varies |
| Copper urine (82525) | $412.20 | $687 | 33.2× |
| Cortisol free (82530) | $399.60 | $666 | 23.9× |
| Cortisol saliva (82533) | $412.20 | $687 | 25.3× |
| Creatine kinase total (82550) | $264 | $440 | 40.6× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$174–$187.20 | $290–$312 | varies |
| Creatinine clearance (82575) | $248.40 | $414 | 26.3× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$105.60–$190.20 | $176–$317 | varies |
| Crossmatch electronic (86923) | $249.60 | $416 | 1.5× |
| Crossmatch immediate spin (86920) | $249.60 | $416 | 1.5× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$39–$286.80 | $65–$478 | varies |
| Cryoglobulin (82595) | $81.60 | $136 | 12.6× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$45.60–$118.80 | $76–$198 | varies |
| Cryptosporidium ag eia (87328) | $248.40 | $414 | 18.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $51 | $85 | 6.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $51 | $85 | 6.3× |
| Culture afb (87116) | $87 | $145 | 8.1× |
| Culture Anaerobic (87075) | $164.40 | $274 | 17.4× |
| Culture blood (87040) | $274.80 | $458 | 26.6× |
| Culture csf (87070) range across 11 matching MRF lines |
$10.80–$259.80 | $18–$433 | varies |
| Culture fungus (87102) | $283.20 | $472 | 33.7× |
| Culture fungus blood (87103) | $226.80 | $378 | 11.1× |
| Culture screen only (87081) range across 2 matching MRF lines |
$96.60–$259.80 | $161–$433 | varies |
| Culture stool (87045) | $246 | $410 | 26.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $33 | $55 | 6.4× |
| Culture urine (87086) | $211.80 | $353 | 26.2× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $413.40 | $689 | 28.9× |
| Cytomegalovirus igg (86644) | $38.40 | $64 | 2.7× |
| Cytopath Cell Enhance Tech (88112) | $99 | $165 | 1.9× |
| Detect Agent Nos Dna Amp (87798) range across 22 matching MRF lines |
$52.80–$616.80 | $88–$1,028 | varies |
| Detect Agent Nos Dna Quant (87799) | $418.80 | $698 | 9.8× |
| Dhea (82626) | $118.20 | $197 | 4.7× |
| Dhea-S (82627) | $320.40 | $534 | 14.4× |
| Digoxin (80162) | $291.60 | $486 | 22.0× |
| Dihydrotestosterone (82642) | $732 | $1,220 | 25.0× |
| Dna Antibody Native/Double Stranded (86225) | $413.40 | $689 | 30.1× |
| Drug Assay Leflunomide (80193) | $211.20 | $352 | 5.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $369.60 | $616 | 27.9× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $499.20 | $832 | 29.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$115.80–$442.80 | $193–$738 | varies |
| Ehrlichia antibody (86666) | $99.60 | $166 | 9.8× |
| Electrolyte panel (80051) | $253.20 | $422 | 36.1× |
| Enterovirus PCR (87498) | $52.80 | $88 | 1.5× |
| Eosinophil Smear (89190) | $146.40 | $244 | 25.3× |
| Erythropoietin (82668) range across 2 matching MRF lines |
$344.40–$363.60 | $574–$606 | varies |
| Estradiol serum (82670) | $367.80 | $613 | 13.2× |
| Estrogen total (82672) | $694.20 | $1,157 | 32.0× |
| Exam Synovial Fluid Crystals (89060) | $225.60 | $376 | 30.8× |
| Factor v leiden mutation (81241) | $589.20 | $982 | 8.0× |
| Factor xiii screen (85291) | $347.40 | $579 | 38.1× |
| Fat stain feces urine/respir secretions (89125) | $115.20 | $192 | 19.6× |
| Ferritin (82728) | $226.80 | $378 | 16.6× |
| Fibrin degradation products (85362) | $210.60 | $351 | 30.6× |
| Fibrin Degradation Quant (85379) | $480.60 | $801 | 47.2× |
| Fibrinogen activity (85384) | $211.80 | $353 | 21.8× |
| Flow cytometry first marker (88184) | $177.60 | $296 | 0.5× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$222–$609.60 | $370–$1,016 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$213–$309.60 | $355–$516 | varies |
| Folic acid rbc (82747) | $268.80 | $448 | 15.2× |
| Folic Acid Serum (82746) | $222 | $370 | 15.1× |
| Follicle Stimulating Hormone (83001) | $325.20 | $542 | 17.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) range across 3 matching MRF lines |
$60–$67.20 | $100–$112 | varies |
| Frozen Section (88331) | $243 | $405 | 1.4× |
| Fungi Identification Mold (87107) | $51 | $85 | 4.9× |
| Fungi Identification Yeast (87106) | $51 | $85 | 4.9× |
| Gammaglobulin ige (82785) | $360.60 | $601 | 21.9× |
| Gardner vag DNA dir probe (87510) | $31.20 | $52 | 1.6× |
| Gentamicin (80170) | $432 | $720 | 26.4× |
| Ggt (82977) | $165.60 | $276 | 23.0× |
| Giardia lamblia antibody (86674) | $422.40 | $704 | 28.7× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$3–$59.40 | $5–$99 | varies |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$82.80–$119.40 | $138–$199 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$82.80–$187.20 | $138–$312 | varies |
| Glucose tolerance test (gtt) (82951) | $267 | $445 | 20.7× |
| Glycated Protein (82985) | $62.40 | $104 | 3.7× |
| Gonadotropin Chorionic Qualitative (84703) | $270.60 | $451 | 36.0× |
| Gonadotropin releasing hormone (83727) | $758.40 | $1,264 | 44.1× |
| Growth hormone (83003) range across 2 matching MRF lines |
$102–$186 | $170–$310 | varies |
| Haptoglobin (83010) | $379.20 | $632 | 30.1× |
| Hdl Cholesterol (83718) | $249 | $415 | 30.4× |
| Heavy metal qualitative any analytes (83015) | $512.40 | $854 | 24.5× |
| Helicobacter Pylori Stool (87338) | $175.80 | $293 | 12.2× |
| Helminth Antibody (86682) | $153 | $255 | 11.8× |
| Hematocrit (85014) | $106.80 | $178 | 45.1× |
| Hemoglobin (85018) range across 3 matching MRF lines |
$23.40–$221.40 | $39–$369 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$9–$453.60 | $15–$756 | varies |
| Hemoglobin electrophoresis (83020) | $57 | $95 | 4.4× |
| Hepatitis b core ab igm (86705) | $442.80 | $738 | 37.6× |
| Hepatitis b core ab total (86704) | $516.60 | $861 | 42.9× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$237–$306.60 | $395–$511 | varies |
| Hepatitis B Surface Antigen (87340) | $306.60 | $511 | 29.7× |
| Hepatitis C Antibody (86803) | $306.60 | $511 | 21.5× |
| Hepatitis C Genotype (87902) | $545.40 | $909 | 2.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $613.20 | $1,022 | 14.3× |
| Heterophile Antibody Screen (86308) | $210.60 | $351 | 40.7× |
| Histoplasma antibody (86698) | $184.20 | $307 | 13.4× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$412.20–$771.60 | $687–$1,286 | varies |
| Homocysteine (83090) range across 2 matching MRF lines |
$39–$252.60 | $65–$421 | varies |
| Homogenization Tissue (87176) | $72.60 | $121 | 12.3× |
| Hsv Dna Amp Probe (87529) | $105 | $175 | 3.0× |
| Htlv-I Antibody (86687) | $433.20 | $722 | 47.7× |
| Hydroxyprogesterone 17-d (83498) | $151.20 | $252 | 5.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $50.40 | $84 | 3.6× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $108.60 | $181 | 9.1× |
| Iaadiadoo trichomonas vaginalis (87808) | $45.60 | $76 | 3.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $52.80 | $88 | 1.5× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $264.60 | $441 | 7.5× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $102 | $170 | 1.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $571.20 | $952 | 13.3× |
| Iadna Herpes Virus-6 Quantification (87533) | $1,245 | $2,075 | 29.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $52.80 | $88 | 1.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $75 | $125 | 2.1× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$185.40–$1,153.20 | $309–$1,922 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$404.40–$2,427 | $674–$4,045 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$99.60–$157.20 | $166–$262 | varies |
| Immunoassay nonantibody (83516) range across 5 matching MRF lines |
$163.80–$1,628.40 | $273–$2,714 | varies |
| Immunodiffusion not elsewhere specified (86329) | $422.40 | $704 | 30.1× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $668.40 | $1,114 | 28.9× |
| Immunoelectrophoresis Serum (86320) | $361.80 | $603 | 12.1× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$27.60–$350.40 | $46–$584 | varies |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$62.40–$235.80 | $104–$393 | varies |
| Influenza assay w/optic (87804) | $487.80 | $813 | 29.5× |
| Influenza DNA amp probe (87502) | $250.20 | $417 | 2.6× |
| Inhibin b (83520) range across 7 matching MRF lines |
$110.40–$1,047 | $184–$1,745 | varies |
| Insulin total (83525) | $270 | $450 | 23.6× |
| Iron (83540) | $142.80 | $238 | 22.1× |
| Iron Binding Capacity (83550) | $161.40 | $269 | 18.5× |
| Irradiation Blood Product Each Unit (86945) range across 3 matching MRF lines |
$46.20–$184.20 | $77–$307 | varies |
| Islet cell antibody (86341) | $722.40 | $1,204 | 30.6× |
| Lactate (ld) (ldh) enzyme (83615) | $277.80 | $463 | 46.0× |
| Lactoferrin Fecal Quantitative (83631) | $177.60 | $296 | 9.0× |
| Ldh Isoenzymes (83625) | $187.20 | $312 | 14.6× |
| Legionella antigen urine (87449) | $248.40 | $414 | 20.7× |
| Leptospira antibody (86720) | $396.60 | $661 | 24.5× |
| Leukocyte Assessment Fecal (89055) | $117 | $195 | 27.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $66.60 | $111 | 2.3× |
| Level ii surg pathology grossµscopic exam (88302) | $99 | $165 | 2.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $268.80 | $448 | 0.7× |
| Lipase (83690) | $267 | $445 | 38.8× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) range across 2 matching MRF lines |
$367.80–$439.20 | $613–$732 | varies |
| Lithium (80178) | $284.40 | $474 | 43.0× |
| Luteinizing Hormone (Lh) (83002) | $259.20 | $432 | 14.0× |
| Lyme disease antibody (86618) range across 4 matching MRF lines |
$267.60–$505.20 | $446–$842 | varies |
| Lysozyme serum (85549) | $37.20 | $62 | 2.0× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$14.40–$223.80 | $24–$373 | varies |
| Methylmalonic acid serum (83921) | $681 | $1,135 | 32.1× |
| Microalbumin, quantitative (82043) | $463.20 | $772 | 80.1× |
| Microbe Suscept Macrobroth (87188) | $202.80 | $338 | 30.5× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$284.40–$682.80 | $474–$1,138 | varies |
| Mopath procedure level 2 (81401) | $235.80 | $393 | 1.7× |
| Mrsa Pcr (87641) | $52.80 | $88 | 1.5× |
| Mthfr Gene Analysis Common Variants (81291) | $127.80 | $213 | 2.0× |
| Mumps antibody (86735) | $276 | $460 | 21.1× |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$51–$262.80 | $85–$438 | varies |
| Mycoplasma antibody (86738) | $55.20 | $92 | 4.2× |
| Myelin basic protein csf (83873) | $96.60 | $161 | 5.6× |
| Myoglobin urine (83874) | $22.80 | $38 | 1.8× |
| Natriuretic peptide (83880) | $342.60 | $571 | 8.7× |
| Nuclear antigen antibody (86235) range across 9 matching MRF lines |
$99.60–$417 | $166–$695 | varies |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$88.80–$91.20 | $148–$152 | varies |
| Oligoclonal bands (83916) | $459 | $765 | 16.8× |
| Osmolality serum (83930) | $276 | $460 | 41.8× |
| Osmolality Urine (83935) | $242.40 | $404 | 35.5× |
| Ova and parasites smears (87177) | $248.40 | $414 | 27.9× |
| Particle Agglutination Screen Each Antibody (86403) | $66.60 | $111 | 5.8× |
| Parvovirus antibody (86747) range across 3 matching MRF lines |
$105.60–$209.40 | $176–$349 | varies |
| Pathology Consultation During Surgery (88329) | $67.80 | $113 | 1.1× |
| Ph urine (81003) range across 4 matching MRF lines |
$8.40–$138.60 | $14–$231 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$299.40–$342.60 | $499–$571 | varies |
| Phenytoin (Dilantin) (80185) | $417 | $695 | 31.5× |
| Phenytoin free (80186) | $413.40 | $689 | 30.0× |
| Phosphatase acid prostatic (84066) | $292.80 | $488 | 30.3× |
| Phosphatase alkaline (84075) | $187.20 | $312 | 36.1× |
| Phosphorus Serum (84100) range across 4 matching MRF lines |
$26.40–$249 | $44–$415 | varies |
| Platelet Aggregation (85576) range across 8 matching MRF lines |
$73.80–$392.40 | $123–$654 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) | $442.20 | $737 | 30.1× |
| Potassium Urine (84133) | $232.80 | $388 | 49.2× |
| Prealbumin (84134) | $383.40 | $639 | 26.3× |
| Pregnenolone (84140) | $726 | $1,210 | 35.1× |
| Primidone (80188) | $499.20 | $832 | 30.1× |
| Procalcitonin (Pct) (84145) | $223.80 | $373 | 8.2× |
| Progesterone (84144) | $268.20 | $447 | 12.9× |
| Prolactin (84146) | $280.80 | $468 | 14.5× |
| Protein body fluid (84157) | $119.40 | $199 | 29.9× |
| Protein C Activity (85303) | $549.60 | $916 | 39.7× |
| Protein Electrophoresis Urine (84166) | $333 | $555 | 18.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $393.60 | $656 | 36.6× |
| Protein S Free (85306) range across 2 matching MRF lines |
$450–$746.40 | $750–$1,244 | varies |
| Protein total serum (84155) range across 3 matching MRF lines |
$5.40–$187.20 | $9–$312 | varies |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$30–$434.40 | $50–$724 | varies |
| Pth Intact (83970) | $799.80 | $1,333 | 19.4× |
| Quantiferon tb gold plus (86480) | $460.20 | $767 | 7.4× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$259.20–$478.80 | $432–$798 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$521.40–$598.80 | $869–$998 | varies |
| Quinidine (80194) | $439.20 | $732 | 30.1× |
| Rbc antibody elution (86860) | $252.60 | $421 | 1.5× |
| Rbc antibody identification (86870) | $453.60 | $756 | 1.3× |
| Rbc antibody screen (86850) | $220.80 | $368 | 22.6× |
| Rbc pretreatment serum (86978) | $450 | $750 | 7.6× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$424.80–$598.80 | $708–$998 | varies |
| Rh (86901) range across 4 matching MRF lines |
$95.40–$100.80 | $159–$168 | varies |
| Rheumatoid Factor Qualitative (86430) | $249 | $415 | 40.6× |
| Rickettsia antibody (86757) | $130.20 | $217 | 6.7× |
| Ristocetin cofactor (85245) | $570.60 | $951 | 24.9× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$136.20–$142.20 | $227–$237 | varies |
| Rubella Antibody (86762) | $403.20 | $672 | 28.0× |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$22.80–$375.60 | $38–$626 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$287.40–$501.60 | $479–$836 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $71.40 | $119 | 1.7× |
| Sedimentation rate (85651) | $145.20 | $242 | 34.0× |
| Selenium (84255) | $167.40 | $279 | 6.6× |
| Sensitivity mic (87186) range across 42 matching MRF lines |
$99.60–$129 | $166–$215 | varies |
| Sex Hormone Binding Globulin (84270) | $261 | $435 | 12.0× |
| Sickling of rbc reduction (85660) range across 3 matching MRF lines |
$61.80–$265.20 | $103–$442 | varies |
| Sirolimus (80195) | $60 | $100 | 4.4× |
| Skin test tuberculosis intradermal (86580) | $124.80 | $208 | 4.3× |
| Smear acid fast (87206) | $133.80 | $223 | 24.8× |
| Smear gram stain (87205) range across 3 matching MRF lines |
$67.80–$109.20 | $113–$182 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$105.60–$180 | $176–$300 | varies |
| Sodium Serum (84295) range across 2 matching MRF lines |
$184.80–$202.80 | $308–$338 | varies |
| Sodium Urine (84300) | $232.20 | $387 | 45.9× |
| Somatomedin (84305) | $518.40 | $864 | 24.4× |
| Special Stains Group 1 (88312) | $121.80 | $203 | 2.3× |
| Special Stains Group 2 (88313) | $77.40 | $129 | 0.6× |
| Specimen infect agnt concntj (87015) | $66.60 | $111 | 10.0× |
| Stone Analysis (82355) | $394.80 | $658 | 34.1× |
| Strep a assay w/optic (87880) | $99 | $165 | 6.0× |
| Strep a DNA amp probe (87651) | $52.80 | $88 | 1.5× |
| Surg path level iii (88304) | $207.60 | $346 | 4.0× |
| Surgical pathology level IV (88305) | $121.80 | $203 | 2.3× |
| Surgical pathology level vi (88309) | $268.80 | $448 | 0.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $99.60 | $166 | 21.0× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 31 matching MRF lines |
$99.60–$204 | $166–$340 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$307.80–$1,273.80 | $513–$2,123 | varies |
| T3 Free (84481) | $370.80 | $618 | 21.9× |
| T3 reverse (84482) | $453.60 | $756 | 28.8× |
| T3 Total (84480) | $293.40 | $489 | 20.7× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$15–$283.80 | $25–$473 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$17.40–$298.80 | $29–$498 | varies |
| T4 total (84436) | $417 | $695 | 60.7× |
| Tacrolimus (80197) | $55.80 | $93 | 4.1× |
| Test for acetone/ketones (82009) | $291.60 | $486 | 64.5× |
| Testosterone total (84403) | $448.80 | $748 | 17.4× |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$64.80–$928.20 | $108–$1,547 | varies |
| Theophylline (80198) | $237 | $395 | 16.8× |
| Thyroglobulin (84432) | $313.80 | $523 | 19.5× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$249–$320.40 | $415–$534 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $816 | $1,360 | 16.0× |
| Thyroxine binding globulin (84442) | $427.80 | $713 | 28.9× |
| Tissue Culture Lymphocyte (88230) | $1,387.20 | $2,312 | 11.9× |
| Tobramycin peak (80200) | $486 | $810 | 30.1× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $480.60 | $801 | 24.3× |
| Toxoplasma ab igm (86778) | $261 | $435 | 18.1× |
| Toxoplasma antibody (86777) | $175.20 | $292 | 12.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $187.20 | $312 | 36.1× |
| Transferrin (84466) | $177 | $295 | 13.9× |
| Trichomonas vagin dir probe (87660) | $31.20 | $52 | 1.6× |
| Trichomonas Vaginalis Amplif (87661) | $31.20 | $52 | 0.9× |
| Triglycerides (84478) | $187.20 | $312 | 32.6× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$222–$319.20 | $370–$532 | varies |
| Tumor Immunohistochem/Manual (88360) | $90 | $150 | 0.5× |
| Urea nitrogen urine (84540) | $221.40 | $369 | 39.8× |
| Uric acid other source (84560) | $121.20 | $202 | 23.9× |
| Urinalysis Microscopic Only (81015) | $44.40 | $74 | 14.6× |
| Urine Bacteria Culture (87088) | $51 | $85 | 6.3× |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$10.20–$246.60 | $17–$411 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$127.20–$177.60 | $212–$296 | varies |
| Valproic acid (80164) | $292.80 | $488 | 21.6× |
| Vancomycin (80202) range across 5 matching MRF lines |
$372–$409.80 | $620–$683 | varies |
| Varicella-zoster antibody (86787) | $388.80 | $648 | 30.2× |
| Viral Culture (87252) | $661.20 | $1,102 | 25.4× |
| Vit D 1 25-Dihydroxy (82652) | $647.40 | $1,079 | 16.8× |
| Vitamin A (84590) | $493.80 | $823 | 42.5× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$12.60–$260.40 | $21–$434 | varies |
| Vitamin B6 (84207) | $686.40 | $1,144 | 24.4× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$37.20–$594.60 | $62–$991 | varies |
| Vitamin E (84446) | $480 | $800 | 33.9× |
| Vitamin K (84597) | $445.80 | $743 | 32.5× |
| Wbc Alkaline Phosphatase Count (85540) | $195.60 | $326 | 22.7× |
| West nile virus ab igm (86788) | $302.40 | $504 | 17.9× |
| West Nile Virus Antibody (86789) | $153.60 | $256 | 10.7× |
| Western Blot Test (84181) | $495.60 | $826 | 29.1× |
| Zinc (84630) range across 2 matching MRF lines |
$195.60–$379.20 | $326–$632 | varies |
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.