Lab & pathology prices at Centracare - Long Prairie Hospital

Long Prairie, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $145.04 $185.95 6.4×
Acth (82024) $63.49 $81.40 1.6×
Actin smooth muscle antibody each (86015) $45.44 $58.25 3.8×
Acute hepatitis panel (80074) $107.33 $137.60 2.3×
Albumin serum (82040) $32.80 $42.05 6.6×
Aldosterone urine (82088) $72.74 $93.25 1.8×
Alkaline phosphatase isoenzymes (84080) $53.24 $68.25 3.6×
Allergen specific ige (86003)
range across 2 matching MRF lines
$224.64–$6,521 $288–$8,360.25 varies
Allergen specific igg (86001) $363.48 $466 46.5×
Allg Spec Ige Recomb Ea (86008) $88.92 $114 5.0×
Alpha-1-antitrypsin total (82103) $58.70 $75.25 4.4×
Alpha-Fetoprotein Serum (82105) $49.34 $63.25 2.9×
Alt (sgpt) (84460)
range across 2 matching MRF lines
$32.68–$98.05 $41.90–$125.70 varies
Ammonia (82140) $48.56 $62.25 3.3×
Amniotic fluid protein test on cervicovaginal fluid (84112) $173.12 $221.95 1.8×
Amylase urine (82150) $32.68 $41.90 5.0×
Ana Titer (86039) $41.34 $53 3.7×
Anca screen each antibody (86036) $127.06 $162.90 10.5×
Angiotensin converting enzyme csf (82164) $45.44 $58.25 3.1×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 2 matching MRF lines
$89.31–$133.58 $114.50–$171.25 varies
Antibody Cytomegalovirus Cmv Igm (86645) $41.54 $53.25 2.5×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $41.54 $53.25 2.7×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $83.07 $106.50 4.6×
Antibody Herpes Smplx Type 1 (86695) $48.05 $61.60 3.6×
Antibody HIV-2 (86702) $72.54 $93 5.4×
Antibody Protozoa Nes (86753) $50.70 $65 4.1×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$43.88–$106.47 $56.25–$136.50 varies
Antinuclear antibodies (86038) $40.76 $52.25 3.4×
Antistreptolysin o titer (86060) $49.34 $63.25 6.8×
Antithrombin iii activity (85300) $41.73 $53.50 3.5×
Antithrombin iii antigen (85301) $59.48 $76.25 5.5×
Apolipoprotein a1 (82172) $49.34 $63.25 2.3×
Arsenic (82175) $61.04 $78.25 3.2×
Assay Blood Carbon Dioxide (82374) $32.68 $41.90 6.7×
Assay Nephelometry Not Spec (83883) $50.12 $64.25 3.7×
Assay of blood/uric acid (84550) $32.96 $42.25 7.3×
Assay of calcium in urine (82340) $39.59 $50.75 6.6×
Assay of gammaglobulin igm (82784) $186.50 $239.10 20.1×
Assay of lactic acid (83605)
range across 3 matching MRF lines
$43.10–$172.38 $55.25–$221 varies
Assay of metanephrines (83835) $57.92 $74.25 3.4×
Assay of serum potassium (84132) $32.68 $41.90 6.9×
Assay of urea nitrogen (84520) $33.27 $42.65 8.4×
Assay of vitamin b-1 (84425) $64.94 $83.25 3.1×
Assay Ph Body Fluid Nos (83986) $37.64 $48.25 10.5×
Assay spec xcp ur&breath ia (82077) $212.36 $272.25 12.3×
Asy carbamazepin 10,11-epxid (80161) $92.24 $118.25 4.9×
Automated Leukocyte Count (85048) $31.20 $40 12.3×
B cells total count (86355) $212.04 $271.85 5.6×
Babesia microti amp prb (87469) $57.33 $73.50 1.6×
Bcr/abl1 gene major bp (81206) $455.09 $583.45 2.8×
Bcr/abl1 gene minor bp (81207) $383.80 $492.05 2.6×
Bcr/Abl1 Gene Other Bp (81208) $343.79 $440.75 1.6×
Beta 2 glycoprotein i antibody each (86146) $114.27 $146.50 4.5×
Beta hydroxybutyrate (82010) $38.10 $48.85 4.7×
Beta Lactamase (87185) $33.46 $42.90 7.0×
Bile acids total (82239) $79.76 $102.25 4.7×
Bilirubin direct (82248) $32.68 $41.90 6.5×
Bilirubin total (82247) $32.68 $41.90 6.5×
Bilirubin total transcutaneous (88720) $31.20 $40 6.2×
Biotinidase (82261) $49.34 $63.25 2.9×
Blastomyces antibody (86612) $68.60 $87.95 5.3×
Blood count reticulocyte automated (85045) $41.34 $53 10.4×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 2 matching MRF lines
$37.64–$64.55 $48.25–$82.75 varies
Blood gas (82803)
range across 2 matching MRF lines
$67.16–$201.47 $86.10–$258.30 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $38.81 $49.75 2.4×
Blood Type Antigen Donor Reagent Serum Each (86902) $251.16 $322 39.6×
Blood typing serologic abo (86900) $102.18 $131 34.2×
Body fluid cell count (89050) $35.72 $45.80 7.6×
Bordetella antibody (86615) $112.63 $144.40 8.5×
Borrelia miyamotoi amp prb (87478) $57.33 $73.50 1.6×
Brucella antibody (86622) $104.21 $133.60 11.7×
C diff amplified probe (87493)
range across 2 matching MRF lines
$61.04–$73.59 $78.25–$94.35 varies
C-Peptide (84681) $45.44 $58.25 2.2×
C-reactive protein (86140)
range across 2 matching MRF lines
$41.77–$83.54 $53.55–$107.10 varies
Ca 19-9 (86301) $53.24 $68.25 2.6×
Cadmium (82300) $45.44 $58.25 1.9×
Calcium ionized (82330)
range across 2 matching MRF lines
$39.20–$46.22 $50.25–$59.25 varies
Calcium total (82310) $32.68 $41.90 6.3×
Calculus Spectroscopy (82365) $50.90 $65.25 3.9×
Calprotectin Fecal (83993) $229.32 $294 11.7×
Cancer Antigen 125 (86304) $53.24 $68.25 2.6×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$47–$48.17 $60.25–$61.75 varies
Carbamazepine free (80157) $69.62 $89.25 5.3×
Carbamazepine total (80156) $71.18 $91.25 4.9×
Carboxyhemoglobin (82375) $40.17 $51.50 3.3×
Carcinoembryonic antigen (82378) $57.02 $73.10 3.0×
Cardiolipin ab iga (86147) $114.27 $146.50 4.5×
Ccp antibody (86200) $53.24 $68.25 4.1×
Cell count csf (89051) $41.34 $53 7.4×
Ceruloplasmin (82390) $87.56 $112.25 8.2×
Chemiluminescent assay (82397) $96.14 $123.25 6.8×
Chloride Serum (82435) $32.92 $42.20 7.2×
Chloride urine (82436) $36.08 $46.25 6.3×
Cholesterol total (82465) $32.68 $41.90 7.5×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$47–$64.55 $60.25–$82.75 varies
Chromogranin a (86316) $61.82 $79.25 3.0×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $167.70 $215 4.8×
Citric acid urine (82507) $69.62 $89.25 2.5×
Clotting Funct Activity (85397) $151.52 $194.25 4.9×
Coccidioides antibody (86635) $68.25 $87.50 6.0×
Column Chromotography Quant (82542) $351 $450 14.6×
Compatibility test antiglob (86922) $205.92 $264 1.2×
Complement Antigen Each Component (86160) $143.72 $184.25 12.0×
Consltj&Reprt Slides Prepared Elsewhere (88321) $258.49 $331.40 6.7×
Coombs direct (86880) $56.94 $73 10.6×
Copper urine (82525) $53.24 $68.25 4.3×
Cortisol free (82530) $47 $60.25 2.8×
Cortisol saliva (82533) $45.44 $58.25 2.8×
Creatine kinase total (82550)
range across 2 matching MRF lines
$32.68–$65.36 $41.90–$83.80 varies
Creatinine blood (82565) $32.68 $41.90 6.4×
Creatinine Urine (82570)
range across 4 matching MRF lines
$32.96–$83.66 $42.25–$107.25 varies
Crossmatch immediate spin (86920) $350.06 $448.80 2.0×
Crp High Sensitivity (86141) $35.45 $45.45 2.7×
Cryofibrinogen (82585) $51.40 $65.90 3.6×
Cryoglobulin (82595) $61.04 $78.25 9.4×
Cryptococcus ag titer (87899) $71.18 $91.25 4.4×
Cryptosporidium ag eia (87328) $53.04 $68 3.8×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 4 matching MRF lines
$37.64–$266.18 $48.25–$341.25 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $171.41 $219.75 21.2×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $43.88 $56.25 5.7×
Culture Anaerobic (87075)
range across 3 matching MRF lines
$52.73–$105.46 $67.60–$135.20 varies
Culture blood (87040) $119.54 $153.25 11.6×
Culture csf (87070)
range across 4 matching MRF lines
$36.47–$84.63 $46.75–$108.50 varies
Culture urine (87086)
range across 2 matching MRF lines
$62.71–$106.86 $80.40–$137 varies
Cyclosporine (80158) $49.34 $63.25 2.7×
Cytomegalovirus igg (86644) $47.62 $61.05 3.3×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines
$50.90–$54.80 $65.25–$70.25 varies
Cytopath Cell Enhance Tech (88112) $123.32 $158.10 2.3×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines
$84.59–$129.91 $108.45–$166.55 varies
Detect Agent Nos Dna Quant (87799) $103.74 $133 2.4×
Detect agnt mult DNA ampli (87801) $157.37 $201.75 2.2×
Dhea-S (82627) $53.98 $69.20 2.4×
Digoxin (80162) $38.03 $48.75 2.9×
Dihydrotestosterone (82642) $65.72 $84.25 2.2×
Dna Antibody Native/Double Stranded (86225) $44.66 $57.25 3.3×
Dna/Rna Amplified Probe (87150) $57.14 $73.25 1.6×
DNA/RNA direct probe (87149) $39.59 $50.75 2.0×
Drug assay acetaminophen (80143) $257.09 $329.60 13.8×
Drug assay adalimumab (80145) $285.48 $366 7.4×
Drug Assay Lacosamide (80235) $163.41 $209.50 6.0×
Drug Assay Posaconazole (80187) $78.98 $101.25 2.9×
Drug Assay Vedolizumab (80280) $232.56 $298.15 6.0×
Drug Screen Quant Zonisamide (80203) $70.40 $90.25 5.3×
Drug Screen Quantitative Lamotrigine (80175) $72.35 $92.75 5.5×
Drug Screen Quantitative Levetiracetam (80177) $53.24 $68.25 4.0×
Drug Screen Quantitative Oxcarbazepine (80183) $51.68 $66.25 3.9×
Drug Test Prsmv Chem Anlyzr (80307) $202.80 $260 3.3×
Drug Test Prsmv Instrmnt (80306)
range across 2 matching MRF lines
$45.44–$90.87 $58.25–$116.50 varies
Ehrlichia antibody (86666) $90.48 $116 8.9×
Electrolyte panel (80051) $34.71 $44.50 5.0×
Enzyme cell activity (82657) $418.78 $536.90 18.9×
Erythropoietin (82668) $46.22 $59.25 2.5×
Estradiol serum (82670) $49.34 $63.25 1.8×
Estriol (82677) $48.48 $62.15 2.0×
Estrogens fractionated (82671) $52.46 $67.25 1.6×
Ethosuximide (80168) $61.04 $78.25 3.7×
Exam Synovial Fluid Crystals (89060) $45.63 $58.50 6.2×
F2 Gene (81240) $107.21 $137.45 1.6×
Factor v leiden mutation (81241) $119.73 $153.50 1.6×
Factor viii assay (85240) $89.12 $114.25 5.0×
Factor xiii screen (85291) $109.40 $140.25 12.0×
Fat stain feces urine/respir secretions (89125) $41.54 $53.25 7.1×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $80.54 $103.25 12.3×
Ferritin (82728)
range across 2 matching MRF lines
$71.14–$92.04 $91.20–$118 varies
Fetal Congenital Abnor Assay Four Anal (81511) $250.58 $321.25 1.6×
Fetal Fibronectin (82731) $183.92 $235.80 2.9×
Fibrin Degradation Quant (85379) $71.88 $92.15 7.1×
Fibrinogen activity (85384) $41.07 $52.65 4.2×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $80.73 $103.50 5.2×
Flow cytometry first marker (88184) $172.19 $220.75 0.5×
Fluorescent antibody screen (86255) $535.28 $686.25 44.4×
Folic Acid Serum (82746) $41.07 $52.65 2.8×
Follicle Stimulating Hormone (83001) $37.67 $48.30 2.0×
Fungi Identification Mold (87107) $159.51 $204.50 15.5×
Fungi Identification Yeast (87106) $68.84 $88.25 6.7×
Galactose (82760) $316.80 $406.15 28.3×
Galactose transferase test (82776) $42.98 $55.10 3.7×
Gammaglobulin ige (82785) $45.75 $58.65 2.8×
Gases blood ph only (82800) $49.34 $63.25 4.5×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $683.90 $876.80 1.6×
Gentamicin (80170) $72.77 $93.30 4.4×
Ggt (82977) $32.68 $41.90 4.5×
Giardia antigen (87329)
range across 2 matching MRF lines
$49.34–$56.94 $63.25–$73 varies
Glucose 2 hr pp (82950) $41.54 $53.25 8.7×
Glucose body fluid (82945) $32.68 $41.90 8.3×
Glucose Serum (82947)
range across 3 matching MRF lines
$37.71–$377.13 $48.35–$483.50 varies
Glucose tolerance test (gtt) (82951) $41.54 $53.25 3.2×
Gonadotropin Chorionic Qualitative (84703) $63.30 $81.15 8.4×
Gtt-added samples (82952) $37.64 $48.25 9.6×
Haptoglobin (83010) $48.52 $62.20 3.9×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $432.12 $554 2.1×
Helicobacter Pylori Stool (87338) $60.84 $78 4.2×
Hematocrit (85014) $36.66 $47 15.5×
Hemoglobin (85018) $36.66 $47 15.5×
Hemoglobin a1c (83036) $59.67 $76.50 6.1×
Hemoglobin Chromotography (83021) $118.83 $152.35 6.6×
Hemoglobin electrophoresis (83020) $213.37 $273.55 16.6×
Hemoglobin Methemoglobin Quantitative (83050) $38.77 $49.70 4.7×
Hep a ab igm (86709) $44.81 $57.45 4.0×
Heparin assay (85520) $40.13 $51.45 3.1×
Hepatitis a antibody total (86708) $45.24 $58 3.7×
Hepatitis b core ab igm (86705) $41.54 $53.25 3.5×
Hepatitis b core ab total (86704) $43.88 $56.25 3.6×
Hepatitis B Surface Antibody (86706) $62.99 $80.75 5.9×
Hepatitis B Surface Antigen (87340) $36.08 $46.25 3.5×
Hepatitis Be Antigen (87350) $47 $60.25 4.1×
Hepatitis C Antibody (86803) $37.64 $48.25 2.6×
Hepatitis C Genotype (87902) $773.80 $992.05 3.0×
Hepatitis C Revrs Trnscrpj (87522) $113.72 $145.80 2.7×
Herpes simplex type 2 (86696) $45.44 $58.25 2.3×
Heterophile Antibody Screen (86308) $34.55 $44.30 6.7×
Hfe Gene (81256) $228.23 $292.60 3.5×
Histoplasma antibody (86698) $87.36 $112 6.3×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $42.90 $55 1.8×
Hiv-1 Antibody (86701) $56.94 $73 6.4×
Hiv-1 Quant&Revrse Trnscrpj (87536) $139.04 $178.25 1.6×
Hla-b27 (86812) $64.94 $83.25 2.5×
Homocysteine (83090) $53.24 $68.25 3.0×
Hpv High-Risk Types (87624)
range across 2 matching MRF lines
$57.33–$57.68 $73.50–$73.95 varies
Hpv Types 16 & 18 Only (87625) $66.30 $85 1.6×
Hsv Dna Amp Probe (87529) $114.66 $147 3.3×
Hydroxyprogesterone 17-d (83498) $80.57 $103.30 3.0×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $53.04 $68 3.8×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $57.33 $73.50 1.6×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $113.26 $145.20 3.2×
Iadna Cytomegalovirus Quantification (87497) $92.24 $118.25 2.2×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $57.33 $73.50 1.6×
Iadna Hepatitis B Virus Quantification (87517) $156.94 $201.20 3.7×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$57.33–$57.68 $73.50–$73.95 varies
Iadna-Dna/Rna Probe Tq 6-11 (87506) $429.20 $550.25 1.6×
Ig Light Chains Free Each (83521) $122.07 $156.50 7.1×
Igg subclasses (82787) $153.04 $196.20 19.1×
Immunfix e-phorsis/urine/csf (86335) $102.96 $132 3.5×
Immunoassay nonantibody (83516)
range across 2 matching MRF lines
$137.24–$411.72 $175.95–$527.85 varies
Immunohistochemistry (88342)
range across 2 matching MRF lines
$178.23–$356.46 $228.50–$457 varies
Influenza a/b ag eia (87400) $89.31 $114.50 6.3×
Influenza assay w/optic (87804) $44.66 $57.25 2.7×
Inhibin b (83520) $232.28 $297.80 13.4×
Insulin antibodies (86337) $64.74 $83 3.0×
Insulin total (83525) $45.44 $58.25 4.0×
Iron (83540) $33.54 $43 5.2×
Iron Binding Capacity (83550) $34.13 $43.75 3.9×
Islet cell antibody (86341) $194.22 $249 8.2×
Koh Prep (87220) $207.48 $266 48.6×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$32.68–$33.38 $41.90–$42.80 varies
Lactoferrin fecal qualitative (83630) $53.24 $68.25 2.7×
LDL direct (83721) $41.54 $53.25 4.0×
Lead (83655) $41.54 $53.25 3.4×
Legionella antigen urine (87449) $183.65 $235.45 15.3×
Level I Surg Pathology Gross Examination Only (88300) $51.87 $66.50 1.7×
Level ii surg pathology gross&microscopic exam (88302) $152.10 $195 3.9×
Lipase (83690)
range across 2 matching MRF lines
$33.42–$66.85 $42.85–$85.70 varies
Lipoprotein A (83695) $49.34 $63.25 3.4×
Lithium (80178) $41.54 $53.25 6.3×
Luteinizing Hormone (Lh) (83002) $49.34 $63.25 2.7×
Lyme disease antibody (86618) $104.72 $134.25 6.1×
Magnesium Urine (83735)
range across 3 matching MRF lines
$36.86–$76.91 $47.25–$98.60 varies
Mass Spectrometry Quant (83789) $185.33 $237.60 7.7×
Mercury urine (83825) $38.42 $49.25 2.4×
Methylmalonic acid serum (83921) $68.84 $88.25 3.2×
Microalbumin, quantitative (82043) $40.40 $51.80 7.0×
Microsomal Antibodies Each (86376) $52.46 $67.25 3.6×
Mitochondrial Antibody Each (86381) $50.12 $64.25 2.0×
Mononuclear cell antigen (86356) $151.52 $194.25 5.7×
Mrsa Pcr (87641) $70.20 $90 2.0×
Mumps antibody (86735) $48.17 $61.75 3.7×
Natriuretic peptide (83880)
range across 3 matching MRF lines
$80.15–$128.31 $102.75–$164.50 varies
Nk cells total count (86357) $61.62 $79 1.6×
Nuclear antigen antibody (86235) $345.35 $442.75 19.3×
Osmolality serum (83930) $32.96 $42.25 5.0×
Osmolality Urine (83935) $43.68 $56 6.4×
Ova and parasites smears (87177) $51.48 $66 5.8×
Oxalate urine (83945) $49.53 $63.50 3.4×
Parvovirus antibody (86747) $93.60 $120 6.2×
Ph urine (81003)
range across 3 matching MRF lines
$28.67–$57.33 $36.75–$73.50 varies
Phenobarbital Level (80184) $102.41 $131.30 6.7×
Phenotype Infect Agent Drug (87900) $421.59 $540.50 3.2×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$32.68–$35.30 $41.90–$45.25 varies
Phosphorus Serum (84100)
range across 2 matching MRF lines
$33.97–$67.94 $43.55–$87.10 varies
Phosphorus urine (84105) $37.64 $48.25 6.5×
Pinworm exam (87172) $45.24 $58 10.6×
Platelet Aggregation (85576) $104.52 $134 4.2×
Platelet count automated (85049) $36.66 $47 8.2×
Potassium Urine (84133) $36.39 $46.65 7.7×
Prealbumin (84134) $45.44 $58.25 3.1×
Procalcitonin (Pct) (84145)
range across 2 matching MRF lines
$61.04–$122.07 $78.25–$156.50 varies
Progesterone (84144) $39.20 $50.25 1.9×
Prolactin (84146) $114.27 $146.50 5.9×
Protein body fluid (84157) $33.38 $42.80 8.3×
Protein C Activity (85303) $52.46 $67.25 3.8×
Protein Electrophoretic Fractj&Quantj Serum (84165) $45.24 $58 4.2×
Protein S Free (85306) $80.54 $103.25 5.3×
Protein s total (85305) $54.80 $70.25 4.7×
Protein total serum (84155) $32.68 $41.90 8.9×
Protein Total Urine (84156)
range across 2 matching MRF lines
$36.39–$72.77 $46.65–$93.30 varies
Pth Intact (83970) $67.86 $87 1.6×
Q Fever Antibody (86638) $267.58 $343.05 22.1×
Quantiferon tb gold plus (86480) $101.21 $129.75 1.6×
Quantitative assay drug (80299) $151.24 $193.90 8.1×
Quantitative Screen Metals (83018) $79.64 $102.10 3.6×
Rbc antibody identification (86870) $188.76 $242 0.5×
Rbc antibody screen (86850) $163.80 $210 16.8×
Renin activity plasma (84244) $53.24 $68.25 2.4×
Resp virus 12-25 targets (87633) $683.90 $876.80 1.6×
Reticulocyte Count (85046) $40.76 $52.25 7.3×
Rh (86901) $90.48 $116 30.3×
Rheumatoid factor quant (86431) $34.52 $44.25 6.1×
Rpr qualitative (86592) $32.96 $42.25 7.7×
Rubella Antibody (86762) $36.15 $46.35 2.5×
Rubeola antibody (86765) $95.67 $122.65 7.4×
Salicylate Level (80179) $62.71 $80.40 3.4×
Sars-Cov-2 Covid-19 Amp Prb (87635) $83.85 $107.50 1.6×
Sarscov2&inf a&b&rsv amp prb (87637) $262.28 $336.25 1.8×
Sedimentation Rate, Automated (85652) $34.91 $44.75 12.9×
Selenium (84255) $54.02 $69.25 2.1×
Sensitivity mic (87186)
range across 3 matching MRF lines
$53.24–$159.71 $68.25–$204.75 varies
Sex Hormone Binding Globulin (84270) $58.70 $75.25 2.7×
Sickling of rbc reduction (85660) $66.50 $85.25 12.1×
Sirolimus (80195) $49.34 $63.25 3.6×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines
$22.04–$23.79 $28.25–$30.50 varies
Smear complex stain (87209) $33.54 $43 1.9×
Smear gram stain (87205)
range across 2 matching MRF lines
$37.44–$74.88 $48–$96 varies
Smear Special Stain (87207) $135.06 $173.15 22.5×
Sodium Serum (84295) $32.68 $41.90 6.8×
Sodium Urine (84300) $36.08 $46.25 7.1×
Somatomedin (84305) $82.29 $105.50 3.9×
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$203.89–$458.64 $261.40–$588 varies
Special Stains Group 2 (88313) $163.61 $209.75 1.2×
Spectrophotometry (84311) $32.68 $41.90 4.0×
Strep a assay w/optic (87880) $101.21 $129.75 6.1×
Sulfate urine (84392) $36.08 $46.25 6.6×
Surg path level iii (88304) $453.96 $582 8.4×
Surgical pathology level IV (88305)
range across 4 matching MRF lines
$184.86–$1,109.16 $237–$1,422 varies
Syphilis Test Non-Trep Quant (86593) $32.80 $42.05 7.5×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $76.83 $98.50 1.6×
T cells total count (86359) $61.62 $79 1.6×
T3 Free (84481) $44.50 $57.05 2.6×
T3 reverse (84482) $54.80 $70.25 3.5×
T3 Total (84480) $46.72 $59.90 3.3×
T4 Free (84439)
range across 2 matching MRF lines
$36.62–$37.79 $46.95–$48.45 varies
T4 total (84436) $43.49 $55.75 6.3×
Tacrolimus (80197) $61.04 $78.25 4.4×
Testosterone total (84403) $57.14 $73.25 2.2×
Testosterone, Free (84402) $41.73 $53.50 1.6×
Thrombin Time (85670) $36.47 $46.75 6.3×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $60.26 $77.25 9.3×
Thyroglobulin (84432) $45.71 $58.60 2.8×
Thyroglobulin Antibody (86800) $48.56 $62.25 3.1×
Thyroid Stimulating Immunoglobulin (84445) $99.84 $128 2.0×
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines
$32.68–$98.05 $41.90–$125.70 varies
Transferrin (84466) $34.13 $43.75 2.7×
Trichomonas Vaginalis Amplif (87661) $163.80 $210 4.7×
Triglycerides (84478) $32.68 $41.90 5.7×
Troponin Quant (84484) $71.76 $92 5.8×
Urea nitrogen urine (84540) $61.35 $78.65 11.0×
Uric acid other source (84560) $36.08 $46.25 7.1×
Urinalysis Microscopic Only (81015) $28.67 $36.75 9.4×
Urine Pregnancy Test (81025) $40.17 $51.50 4.7×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$36.78–$73.55 $47.15–$94.30 varies
Valproic acid (80164) $36.15 $46.35 2.7×
Vancomycin (80202) $37.36 $47.90 2.8×
Varicella-zoster antibody (86787) $44.42 $56.95 3.4×
Vit D 1 25-Dihydroxy (82652) $62.99 $80.75 1.6×
Vitamin A (84590) $49.34 $63.25 4.2×
Vitamin b-12 (82607)
range across 2 matching MRF lines
$44.77–$48.17 $57.40–$61.75 varies
Vitamin B6 (84207) $58.70 $75.25 2.1×
Vitamin D 25-Hydroxy (82306) $61.04 $78.25 2.1×
Vitamin E (84446) $49.34 $63.25 3.5×
Von willebrand factor ag (85246) $108.30 $138.85 4.7×
Zinc (84630) $53.04 $68 4.7×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.