Lab & pathology prices at Memorial Hospital of Carbon County
Rawlins, WY · every code in this section with a posted price and a Medicare benchmark.
334 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $87 | $116 | 2.3× |
| Actin smooth muscle antibody each (86015) | $45 | $60 | 3.7× |
| Acute hepatitis panel (80074) | $301.50 | $402 | 6.3× |
| Albumin serum (82040) | $37.50 | $50 | 7.6× |
| Aldolase (82085) | $57.75 | $77 | 5.9× |
| Aldosterone urine (82088) | $200.25 | $267 | 4.9× |
| Alkaline phosphatase isoenzymes (84080) | $42.75 | $57 | 2.9× |
| Allergen specific ige (86003) range across 29 matching MRF lines |
$14.25–$42 | $19–$56 | varies |
| Alpha-1-antitrypsin total (82103) | $48.75 | $65 | 3.6× |
| Alpha-Fetoprotein Serum (82105) | $141.75 | $189 | 8.5× |
| Alt (sgpt) (84460) | $45.75 | $61 | 8.6× |
| Aminolevulinic acid (ala) (82135) | $56.25 | $75 | 3.4× |
| Ammonia (82140) | $92.25 | $123 | 6.3× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $222.75 | $297 | 2.3× |
| Amylase urine (82150) | $123.75 | $165 | 19.1× |
| Anca Titer Each Antibody (86037) | $22.50 | $30 | 1.9× |
| Androstenedione (82157) | $66 | $88 | 2.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $125.25 | $167 | 7.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $137.25 | $183 | 9.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $144 | $192 | 7.9× |
| Antibody helicobacter pylori (86677) | $135 | $180 | 8.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $89.25 | $119 | 6.2× |
| Antibody Herpes Smplx Type 1 (86695) | $61.50 | $82 | 4.7× |
| Antibody HIV-1&HIV-2 single result (86703) | $84.75 | $113 | 6.2× |
| Antibody HIV-2 (86702) | $65.25 | $87 | 4.8× |
| Antibody Titer (86886) | $354 | $472 | 68.3× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$63–$137.25 | $84–$183 | varies |
| Antigen typing (86905) | $729.75 | $973 | 190.5× |
| Antinuclear antibodies (86038) | $112.50 | $150 | 9.3× |
| Antistreptolysin o titer (86060) | $135 | $180 | 18.5× |
| Antithrombin iii activity (85300) | $47.25 | $63 | 4.0× |
| Apolipoprotein a1 (82172) | $85.50 | $114 | 4.1× |
| Assay of 5-hiaa (83497) | $78 | $104 | 6.0× |
| Assay of blood/uric acid (84550) | $45.75 | $61 | 10.1× |
| Assay of calcium in urine (82340) | $111.75 | $149 | 18.5× |
| Assay of estrone (82679) | $56.25 | $75 | 2.3× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$67.50–$85.50 | $90–$114 | varies |
| Assay of lactic acid (83605) | $28.50 | $38 | 2.5× |
| Assay of proinsulin (84206) | $60 | $80 | 2.2× |
| Assay of serum potassium (84132) | $29.25 | $39 | 6.1× |
| Assay of urea nitrogen (84520) range across 3 matching MRF lines |
$25.50–$73.50 | $34–$98 | varies |
| Assay of vasoactive intestinal peptide (84586) | $79.50 | $106 | 2.3× |
| Assay of vitamin b-1 (84425) | $108 | $144 | 5.1× |
| Assay Ph Body Fluid Nos (83986) | $46.50 | $62 | 13.0× |
| Bacterial antigens 87802 (87802) | $119.25 | $159 | 9.4× |
| Beta 2 glycoprotein i antibody each (86146) | $69 | $92 | 2.7× |
| Beta hydroxybutyrate (82010) | $42 | $56 | 5.1× |
| Beta-2 Microglobulin (82232) | $152.25 | $203 | 9.4× |
| Bilirubin direct (82248) | $24 | $32 | 4.8× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$17.25–$48.75 | $23–$65 | varies |
| Bilirubin total transcutaneous (88720) | $15 | $20 | 3.0× |
| Blood count reticulocyte automated (85045) | $99.75 | $133 | 25.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$24–$47.25 | $32–$63 | varies |
| Blood gas (82803) | $133.50 | $178 | 5.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $42.75 | $57 | 2.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $50.25 | $67 | 11.5× |
| Blood typing serologic abo (86900) | $261.75 | $349 | 87.5× |
| Body fluid cell count (89050) | $58.50 | $78 | 12.4× |
| Breath Alcohol Test (82075) | $39.75 | $53 | 1.3× |
| C diff amplified probe (87493) | $155.25 | $207 | 4.2× |
| C-Peptide (84681) | $141 | $188 | 6.8× |
| C-reactive protein (86140) | $94.50 | $126 | 18.2× |
| Ca 19-9 (86301) | $96.75 | $129 | 4.6× |
| Calcium ionized (82330) | $138.75 | $185 | 10.1× |
| Calculus Spectroscopy (82365) | $114.75 | $153 | 8.9× |
| Calprotectin Fecal (83993) | $201.75 | $269 | 10.3× |
| Cancer Antigen 125 (86304) | $96.75 | $129 | 4.6× |
| Cancer Antigen 27.29 (86300) | $161.25 | $215 | 7.7× |
| Candida antibody (86628) | $53.25 | $71 | 4.4× |
| Carbamazepine total (80156) | $99 | $132 | 6.8× |
| Carboxyhemoglobin (82375) | $93.75 | $125 | 7.6× |
| Carcinoembryonic antigen (82378) | $115.50 | $154 | 6.1× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$73.50–$78 | $98–$104 | varies |
| Ccp antibody (86200) | $60 | $80 | 4.6× |
| Cell count csf (89051) | $50.25 | $67 | 9.0× |
| Ceruloplasmin (82390) | $94.50 | $126 | 8.8× |
| Cftr gene com variants (81220) | $1,252.50 | $1,670 | 2.3× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$78.75–$102 | $105–$136 | varies |
| Chloride other source (82438) | $38.25 | $51 | 7.7× |
| Chloride urine (82436) | $74.25 | $99 | 12.9× |
| Cholesterol total (82465) | $34.50 | $46 | 7.9× |
| Chorionic gonadotropin test (84702) | $34.50 | $46 | 2.3× |
| Chromium serum (82495) | $45.75 | $61 | 2.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $141.75 | $189 | 4.0× |
| Ckmb (82553) | $84.75 | $113 | 7.3× |
| Clostridium Difficile (87324) | $91.50 | $122 | 7.6× |
| Cold agglutinin screen (86156) | $132 | $176 | 16.4× |
| Column Chromotography Quant (82542) | $194.25 | $259 | 8.1× |
| Compatibility test antiglob (86922) | $354 | $472 | 2.0× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$137.25–$174.75 | $183–$233 | varies |
| Complement Total (Ch50) (86162) | $112.50 | $150 | 5.5× |
| Coombs direct (86880) | $129.75 | $173 | 24.1× |
| Copper urine (82525) | $84.75 | $113 | 6.8× |
| Cortisol free (82530) | $41.25 | $55 | 2.5× |
| Cortisol saliva (82533) | $43.50 | $58 | 2.7× |
| Creatine (82540) | $93.75 | $125 | 20.2× |
| Creatine kinase total (82550) | $58.50 | $78 | 9.0× |
| Creatinine blood (82565) | $34.50 | $46 | 6.7× |
| Creatinine clearance (82575) | $107.25 | $143 | 11.3× |
| Creatinine Urine (82570) | $84.75 | $113 | 16.4× |
| Crossmatch electronic (86923) | $354 | $472 | 2.0× |
| Crossmatch immediate spin (86920) | $354 | $472 | 2.0× |
| Crp High Sensitivity (86141) | $66.75 | $89 | 5.2× |
| Cryptococcus ag titer (87899) | $134.25 | $179 | 8.4× |
| Cryptosporidium ag eia (87328) | $69.75 | $93 | 5.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $26.25 | $35 | 3.2× |
| Culture afb (87116) | $130.50 | $174 | 12.1× |
| Culture Anaerobic (87075) | $79.50 | $106 | 8.4× |
| Culture blood (87040) | $107.25 | $143 | 10.4× |
| Culture csf (87070) | $122.25 | $163 | 14.2× |
| Culture fungus (87102) | $138 | $184 | 16.4× |
| Culture screen only (87081) range across 2 matching MRF lines |
$57.75–$105 | $77–$140 | varies |
| Culture stool (87045) | $135 | $180 | 14.3× |
| Culture urine (87086) | $88.50 | $118 | 11.0× |
| Cytp Concentration Smears & Interpretation (88108) | $30 | $40 | 0.8× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $30 | $40 | 0.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $30 | $40 | 0.8× |
| Detect Agent Nos Dna Amp (87798) | $281.25 | $375 | 8.0× |
| Detect Agent Nos Dna Quant (87799) | $323.25 | $431 | 7.5× |
| Dhea (82626) | $57 | $76 | 2.3× |
| Dhea-S (82627) | $166.50 | $222 | 7.5× |
| Digoxin (80162) | $66 | $88 | 5.0× |
| Dna Antibody Native/Double Stranded (86225) | $31.50 | $42 | 2.3× |
| Drug assay acetaminophen (80143) | $101.25 | $135 | 5.4× |
| Drug Assay Lacosamide (80235) | $141 | $188 | 5.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $110.25 | $147 | 8.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $101.25 | $135 | 7.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$98.25–$186 | $131–$248 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $114.75 | $153 | 9.1× |
| El-1 Fecal Quantitative (82653) | $75 | $100 | 3.3× |
| Electrolyte panel (80051) | $54 | $72 | 7.7× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $22.50 | $30 | 1.9× |
| Enterovirus Antibody (86658) | $56.25 | $75 | 4.3× |
| Enterovirus PCR (87498) | $227.25 | $303 | 6.5× |
| Eosinophil Smear (89190) | $16.50 | $22 | 2.8× |
| Erythropoietin (82668) | $93.75 | $125 | 5.0× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$30–$237.75 | $40–$317 | varies |
| Estriol (82677) | $54.75 | $73 | 2.3× |
| Exam Synovial Fluid Crystals (89060) | $87 | $116 | 11.9× |
| F2 Gene (81240) | $222 | $296 | 3.4× |
| Factor v leiden mutation (81241) | $181.50 | $242 | 2.5× |
| Factor viii assay (85240) | $174.75 | $233 | 9.8× |
| Factor X (85260) | $57 | $76 | 3.2× |
| Fat/Lipids Feces Quantitative (82710) | $120 | $160 | 7.1× |
| Fatty acids free (82725) | $156 | $208 | 8.3× |
| Fecal Fat Qualitative (82705) | $102 | $136 | 20.0× |
| Ferritin (82728) | $106.50 | $142 | 7.8× |
| Fetal Fibronectin (82731) | $803.25 | $1,071 | 12.5× |
| Fetal screen rosette (85461) | $79.50 | $106 | 8.5× |
| Fibrin Degradation Quant (85379) | $163.50 | $218 | 16.1× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) | $10.50 | $14 | 0.8× |
| Fibrinogen activity (85384) | $114.75 | $153 | 11.8× |
| Folic Acid Serum (82746) | $97.50 | $130 | 6.6× |
| Follicle Stimulating Hormone (83001) | $129 | $172 | 6.9× |
| Gammaglobulin ige (82785) | $60 | $80 | 3.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $655.50 | $874 | 1.6× |
| Genet Virus Isolate Hsv (87255) | $100.50 | $134 | 3.0× |
| Gentamicin (80170) | $127.50 | $170 | 7.8× |
| Ggt (82977) | $36.75 | $49 | 5.1× |
| Giardia antigen (87329) | $66 | $88 | 5.5× |
| Glucagon (82943) | $97.50 | $130 | 6.8× |
| Glucose 2 hr pp (82950) | $44.25 | $59 | 9.3× |
| Glucose Blood Test (82962) | $51 | $68 | 15.5× |
| Glucose body fluid (82945) | $41.25 | $55 | 10.5× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$19.50–$25.50 | $26–$34 | varies |
| Glucose tolerance test (gtt) (82951) range across 3 matching MRF lines |
$105.75–$131.25 | $141–$175 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $90 | $120 | 12.0× |
| Haptoglobin (83010) | $57 | $76 | 4.5× |
| Hdl Cholesterol (83718) | $39.75 | $53 | 4.9× |
| Helicobacter Pylori Stool (87338) | $152.25 | $203 | 10.6× |
| Hematocrit (85014) | $19.50 | $26 | 8.2× |
| Hemoglobin (85018) | $48 | $64 | 20.3× |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$8.12–$102.75 | $10.83–$137 | varies |
| Hemoglobin electrophoresis (83020) | $113.25 | $151 | 8.8× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) range across 2 matching MRF lines |
$21.75–$2,498.25 | $29–$3,331 | varies |
| Hep a ab igm (86709) | $78.75 | $105 | 7.0× |
| Heparin assay (85520) | $112.50 | $150 | 8.6× |
| Hepatitis a antibody total (86708) | $99 | $132 | 8.0× |
| Hepatitis b core ab total (86704) | $41.25 | $55 | 3.4× |
| Hepatitis B Surface Antigen (87340) | $73.50 | $98 | 7.1× |
| Hepatitis Be Antibody (86707) | $44.25 | $59 | 3.8× |
| Hepatitis Be Antigen (87350) | $44.25 | $59 | 3.8× |
| Hepatitis C Antibody (86803) | $72.75 | $97 | 5.1× |
| Hepatitis C Genotype (87902) | $579.75 | $773 | 2.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $290.25 | $387 | 6.8× |
| Herpes simplex type 2 (86696) | $78 | $104 | 4.0× |
| Heterophile Antibody Screen (86308) | $105 | $140 | 20.3× |
| Hfe Gene (81256) | $261.75 | $349 | 4.0× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $87 | $116 | 11.3× |
| Histamine urine (83088) | $67.50 | $90 | 2.3× |
| Histoplasma antibody (86698) | $107.25 | $143 | 7.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $543 | $724 | 6.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $210.75 | $281 | 2.8× |
| Homocysteine (83090) | $221.25 | $295 | 12.3× |
| Hpv High-Risk Types (87624) | $150.75 | $201 | 4.3× |
| Hsv Dna Amp Probe (87529) | $152.25 | $203 | 4.3× |
| Iaad ia shiga-like toxin (87427) | $34.50 | $46 | 2.9× |
| Iadna Cytomegalovirus Quantification (87497) | $297 | $396 | 6.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $189.75 | $253 | 2.7× |
| Ig Light Chains Free Each (83521) | $52.50 | $70 | 3.0× |
| Igg subclasses (82787) | $47.25 | $63 | 5.9× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $105 | $140 | 5.7× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $27.75 | $37 | 1.9× |
| Immunoassay nonantibody (83516) | $85.50 | $114 | 7.4× |
| Immunofixation electrophoresis (86334) | $156.75 | $209 | 7.0× |
| Influenza assay w/optic (87804) range across 6 matching MRF lines |
$53.25–$3,074.25 | $71–$4,099 | varies |
| Influenza DNA amp probe (87502) | $220.50 | $294 | 2.3× |
| Inhibin A (86336) | $77.25 | $103 | 5.0× |
| Inhibin b (83520) range across 3 matching MRF lines |
$177.75–$225 | $237–$300 | varies |
| Insulin antibodies (86337) | $121.50 | $162 | 5.7× |
| Insulin total (83525) | $141 | $188 | 12.3× |
| Iron (83540) | $78 | $104 | 12.1× |
| Iron Binding Capacity (83550) | $78 | $104 | 8.9× |
| Islet cell antibody (86341) | $57 | $76 | 2.4× |
| Jak2 gene analysis p.val617phe variant (81270) | $347.25 | $463 | 3.8× |
| Jak2 Gene Trgt Sequence Alys (81279) | $417 | $556 | 2.3× |
| Lactate (ld) (ldh) enzyme (83615) | $57.75 | $77 | 9.6× |
| Lead (83655) | $60.75 | $81 | 5.0× |
| Legionella antigen urine (87449) | $96.75 | $129 | 8.1× |
| Leukocyte Assessment Fecal (89055) | $58.50 | $78 | 13.7× |
| Lipase (83690) | $122.25 | $163 | 17.7× |
| Lipoprotein A (83695) | $66 | $88 | 4.6× |
| Lithium (80178) | $61.50 | $82 | 9.3× |
| Luteinizing Hormone (Lh) (83002) | $129 | $172 | 7.0× |
| Lyme disease antibody (86618) | $100.50 | $134 | 5.9× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$58.50–$96.75 | $78–$129 | varies |
| Microalbumin, quantitative (82043) | $82.50 | $110 | 14.3× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$83.25–$115.50 | $111–$154 | varies |
| Mitochondrial Antibody Each (86381) | $48 | $64 | 1.9× |
| Mumps antibody (86735) | $66.75 | $89 | 5.1× |
| Mycoplasma antibody (86738) | $77.25 | $103 | 5.8× |
| Myelin basic protein csf (83873) | $81.75 | $109 | 4.8× |
| Myoglobin urine (83874) | $78 | $104 | 6.0× |
| Natriuretic peptide (83880) | $116.25 | $155 | 3.0× |
| Niacin (84591) | $95.25 | $127 | 5.6× |
| Nuclear antigen antibody (86235) range across 4 matching MRF lines |
$61.50–$98.25 | $82–$131 | varies |
| Occult blood feces (82272) | $51.75 | $69 | 12.2× |
| Oligoclonal bands (83916) | $108.75 | $145 | 4.0× |
| Osmolality serum (83930) | $66.75 | $89 | 10.1× |
| Osmolality Urine (83935) | $66.75 | $89 | 9.8× |
| Ova and parasites smears (87177) | $166.50 | $222 | 18.7× |
| Ph urine (81003) | $32.25 | $43 | 14.3× |
| Phenytoin (Dilantin) (80185) | $108 | $144 | 8.2× |
| Phosphatase alkaline (84075) | $41.25 | $55 | 8.0× |
| Phosphorus Serum (84100) | $12.75 | $17 | 2.7× |
| Phosphorus urine (84105) | $99.75 | $133 | 17.3× |
| Potassium Urine (84133) | $74.25 | $99 | 15.7× |
| Prealbumin (84134) | $55.50 | $74 | 3.8× |
| Procalcitonin (Pct) (84145) | $167.25 | $223 | 6.1× |
| Progesterone (84144) | $47.25 | $63 | 2.3× |
| Prolactin (84146) | $137.25 | $183 | 7.1× |
| Protein body fluid (84157) | $108 | $144 | 27.0× |
| Protein C Activity (85303) | $39 | $52 | 2.8× |
| Protein c antigen (85302) | $48.75 | $65 | 4.1× |
| Protein Electrophoresis Urine (84166) | $119.25 | $159 | 6.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $83.25 | $111 | 7.8× |
| Protein S Free (85306) | $49.50 | $66 | 3.2× |
| Protein total serum (84155) | $27.75 | $37 | 7.6× |
| Protein Total Urine (84156) | $90 | $120 | 24.5× |
| PSA free (84154) | $134.25 | $179 | 7.3× |
| Pth Intact (83970) | $207.75 | $277 | 5.0× |
| Quantiferon tb gold plus (86480) | $139.50 | $186 | 2.3× |
| Rbc antibody elution (86860) | $354 | $472 | 2.0× |
| Rbc antibody identification (86870) | $729.75 | $973 | 2.0× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$81.75–$99.75 | $109–$133 | varies |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
$138–$148.50 | $184–$198 | varies |
| Renin activity plasma (84244) | $49.50 | $66 | 2.3× |
| Rh (86901) | $68.25 | $91 | 22.8× |
| Rheumatoid factor quant (86431) | $40.50 | $54 | 7.1× |
| Rickettsia antibody (86757) | $53.25 | $71 | 2.8× |
| Ristocetin cofactor (85245) | $235.50 | $314 | 10.3× |
| Rpr qualitative (86592) | $54 | $72 | 12.6× |
| Rubella Antibody (86762) | $75 | $100 | 5.2× |
| Rubeola antibody (86765) | $41.25 | $55 | 3.2× |
| Salicylate Level (80179) | $101.25 | $135 | 5.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$30–$2,295.75 | $40–$3,061 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $81.75 | $109 | 1.9× |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 3 matching MRF lines |
$339–$3,990 | $452–$5,320 | varies |
| Sedimentation rate (85651) | $52.50 | $70 | 12.3× |
| Semen Anal Sperm Detection (89321) | $64.50 | $86 | 5.4× |
| Sensitivity mic (87186) | $150 | $200 | 17.3× |
| Sex Hormone Binding Globulin (84270) | $85.50 | $114 | 3.9× |
| Sickling of rbc reduction (85660) | $66 | $88 | 12.0× |
| Skin test tuberculosis intradermal (86580) | $31.50 | $42 | 1.1× |
| Smear acid fast (87206) | $43.50 | $58 | 8.1× |
| Smear complex stain (87209) | $33.75 | $45 | 1.9× |
| Smear gram stain (87205) | $58.50 | $78 | 13.7× |
| Smear Special Stain (87207) | $238.50 | $318 | 39.8× |
| Smn1 Gene Dos/Deletion Alys (81329) | $465.75 | $621 | 3.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $65.25 | $87 | 11.2× |
| Sodium Serum (84295) | $27.75 | $37 | 5.8× |
| Sodium Urine (84300) | $75 | $100 | 14.8× |
| Somatomedin (84305) | $112.50 | $150 | 5.3× |
| Strep a assay w/optic (87880) range across 3 matching MRF lines |
$52.50–$2,389.50 | $70–$3,186 | varies |
| Strep a DNA amp probe (87651) | $52.50 | $70 | 1.5× |
| T cells absolute cd4 count (86361) | $144 | $192 | 5.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $148.50 | $198 | 3.2× |
| T3 Free (84481) | $119.25 | $159 | 7.0× |
| T3 reverse (84482) | $69.75 | $93 | 4.4× |
| T3 Total (84480) | $155.25 | $207 | 10.9× |
| T3 Uptake (84479) | $79.50 | $106 | 12.3× |
| T4 Free (84439) range across 3 matching MRF lines |
$93–$113.25 | $124–$151 | varies |
| T4 total (84436) | $57 | $76 | 8.3× |
| Tacrolimus (80197) | $245.25 | $327 | 17.9× |
| Test for acetone/ketones (82009) | $60.75 | $81 | 13.4× |
| Testosterone total (84403) | $185.25 | $247 | 7.2× |
| Testosterone, Free (84402) | $150 | $200 | 5.9× |
| Thyroglobulin Antibody (86800) | $39.75 | $53 | 2.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $21.75 | $29 | 1.9× |
| Topiramate (80201) | $115.50 | $154 | 9.7× |
| Toxoplasma ab igm (86778) | $60.75 | $81 | 4.2× |
| Tpmt gene com variants (81335) | $375 | $500 | 2.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $45.75 | $61 | 8.8× |
| Transferrin (84466) | $127.50 | $170 | 10.0× |
| Trichomonas Vaginalis Amplif (87661) | $83.25 | $111 | 2.4× |
| Triglycerides (84478) | $26.25 | $35 | 4.6× |
| Troponin Quant (84484) | $98.25 | $131 | 7.9× |
| Urinalysis Microscopic Only (81015) | $18 | $24 | 5.9× |
| Urine Albumin Semiquantitative (82044) | $19.50 | $26 | 3.1× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$43.50–$63.75 | $58–$85 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $55.50 | $74 | 17.5× |
| Valproic acid (80164) | $79.50 | $106 | 5.9× |
| Vancomycin (80202) | $103.50 | $138 | 7.6× |
| Varicella-zoster antibody (86787) | $126 | $168 | 9.8× |
| Virus antibody nos (86790) | $55.50 | $74 | 4.3× |
| Vit D 1 25-Dihydroxy (82652) range across 3 matching MRF lines |
$20.63–$225.75 | $27.50–$301 | varies |
| Vitamin A (84590) | $45.75 | $61 | 3.9× |
| Vitamin b-12 (82607) | $210.75 | $281 | 14.0× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$150–$225.75 | $200–$301 | varies |
| Vitamin E (84446) | $45.75 | $61 | 3.2× |
| Von willebrand factor ag (85246) | $55.50 | $74 | 2.4× |
| West nile virus ab igm (86788) | $72 | $96 | 4.3× |
| West Nile Virus Antibody (86789) | $77.25 | $103 | 5.4× |
| Zinc (84630) | $110.25 | $147 | 9.7× |
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.