Lab & pathology prices at CentraCare - Melrose Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Acth (82024) $63.49 $81.40 1.6×
Actin smooth muscle antibody each (86015) $46.22 $59.25 3.8×
Acute hepatitis panel (80074) $107.33 $137.60 2.3×
Albumin serum (82040) $32.80 $42.05 6.6×
Aldolase (82085) $41.54 $53.25 4.3×
Aldosterone urine (82088) $72.74 $93.25 1.8×
Allergen specific ige (86003) $1,969.70 $2,525.25 377.3×
Allergen specific igg (86001) $78.98 $101.25 10.1×
Allg Spec Ige Recomb Ea (86008) $411.84 $528 23.0×
Alpha-1-antitrypsin phenotype (82104) $59.48 $76.25 4.1×
Alpha-1-antitrypsin total (82103) $41.54 $53.25 3.1×
Alpha-Fetoprotein Serum (82105) $45.44 $58.25 2.7×
Alt (sgpt) (84460) $32.68 $41.90 6.2×
Ammonia (82140) $33.74 $43.25 2.3×
Amniotic fluid protein test on cervicovaginal fluid (84112) $320.19 $410.50 3.3×
Amylase urine (82150)
range across 2 matching MRF lines
$32.68–$37.64 $41.90–$48.25 varies
Ana Titer (86039) $49.34 $63.25 4.4×
Anca screen each antibody (86036) $127.06 $162.90 10.5×
Antibody aspergillus (86606) $58.70 $75.25 3.9×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $89.31 $114.50 5.8×
Antibody Cytomegalovirus Cmv Igm (86645) $41.54 $53.25 2.5×
Antibody Fungus Not Elsewhere Specified (86671) $182.52 $234 14.9×
Antibody Herpes Smplx Type 1 (86695) $48.05 $61.60 3.6×
Antibody HIV-2 (86702) $72.54 $93 5.4×
Antibody htlv/HIV antibody confirmatory test (86689) $159.08 $203.95 8.2×
Antibody Protozoa Nes (86753) $50.70 $65 4.1×
Antibody Titer (86886) $82.68 $106 16.0×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$43.88–$88.92 $56.25–$114 varies
Antinuclear antibodies (86038) $40.76 $52.25 3.4×
Antithrombin iii activity (85300) $41.73 $53.50 3.5×
Assay activated protein c (85307) $78.98 $101.25 5.2×
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 g6pd enzyme (82955) $57.72 $74 6.0×
Assay of gammaglobulin igm (82784) $224.52 $287.85 24.1×
Assay of lactic acid (83605)
range across 3 matching MRF lines
$40.76–$86.19 $52.25–$110.50 varies
Assay of manganese (83785) $58.70 $75.25 2.2×
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 vasoactive intestinal peptide (84586) $76.64 $98.25 2.2×
Assay of vitamin b-1 (84425) $64.94 $83.25 3.1×
Assay spec xcp ur&breath ia (82077) $141.57 $181.50 8.2×
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) $269.10 $345 1.6×
Bcr/abl1 gene minor bp (81207) $237.71 $304.75 1.6×
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×
Blastomyces antibody (86612) $68.60 $87.95 5.3×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $79.17 $101.50 0.5×
Blood Count Automated Differential Wbc Count (85004) $34.55 $44.30 5.3×
Blood count reticulocyte automated (85045) $41.34 $53 10.4×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $37.64 $48.25 9.9×
Blood gas (82803)
range across 3 matching MRF lines
$53.24–$134.32 $68.25–$172.20 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $37.64 $48.25 2.4×
Blood typing serologic abo (86900) $99.06 $127 33.1×
Body fluid cell count (89050) $35.72 $45.80 7.6×
Borrelia miyamotoi amp prb (87478) $57.33 $73.50 1.6×
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
$50.90–$83.54 $65.25–$107.10 varies
Ca 19-9 (86301) $53.24 $68.25 2.6×
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×
Calr gene com variants (81219) $751.10 $962.95 6.2×
Cancer Antigen 125 (86304) $53.24 $68.25 2.6×
Cancer Antigen 27.29 (86300) $49.34 $63.25 2.4×
Carbamazepine total (80156) $40.56 $52 2.8×
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×
Carnitine Quantitative Each Specimen (82379) $57.14 $73.25 3.4×
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) $58.70 $75.25 4.2×
Chloride Serum (82435) $32.92 $42.20 7.2×
Cholesterol total (82465) $32.68 $41.90 7.5×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$39.78–$47 $51–$60.25 varies
Chromium serum (82495) $53.24 $68.25 2.6×
Chromogranin a (86316) $61.82 $79.25 3.0×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$100.04–$105.30 $128.25–$135 varies
Ckmb (82553) $35.45 $45.45 3.1×
Clotting Funct Activity (85397) $140.71 $180.40 4.6×
Collagen crosslinks (82523) $62.99 $80.75 3.4×
Column Chromotography Quant (82542) $100.04 $128.25 4.2×
Compatibility test antiglob (86922) $716.04 $918 4.1×
Complement Antigen Each Component (86160) $143.72 $184.25 12.0×
Complement Total (Ch50) (86162) $53.24 $68.25 2.6×
Complement/Function Activity (86161) $78.98 $101.25 6.6×
Consltj&Reprt Material Requiring Prepj Slides (88323) $258.49 $331.40 4.8×
Coombs direct (86880) $96.72 $124 17.9×
Copper urine (82525) $53.24 $68.25 4.3×
Cortisol free (82530) $49.34 $63.25 3.0×
Cortisol saliva (82533) $45.44 $58.25 2.8×
Creatine kinase total (82550) $32.68 $41.90 5.0×
Creatinine blood (82565) $32.68 $41.90 6.4×
Creatinine clearance (82575) $36.39 $46.65 3.8×
Creatinine Urine (82570)
range across 3 matching MRF lines
$40.56–$83.66 $52–$107.25 varies
Crossmatch immediate spin (86920) $350.06 $448.80 2.0×
Crp High Sensitivity (86141) $35.45 $45.45 2.7×
Cryptosporidium ag eia (87328) $53.04 $68 3.8×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$171.41–$228.54 $219.75–$293 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $114.27 $146.50 14.1×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $43.88 $56.25 5.7×
Culture afb (87116) $65.72 $84.25 6.1×
Culture Anaerobic (87075)
range across 2 matching MRF lines
$62.01–$105.46 $79.50–$135.20 varies
Culture blood (87040)
range across 2 matching MRF lines
$101.60–$119.54 $130.25–$153.25 varies
Culture csf (87070)
range across 2 matching MRF lines
$36.47–$84.63 $46.75–$108.50 varies
Culture fungus (87102) $54.60 $70 6.5×
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×
Cystatin C (82610) $64.94 $83.25 3.5×
Cytogenetics 100-300 (88275) $58.11 $74.50 1.1×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,930.77 $2,475.35 1.7×
Cytomegalovirus igg (86644) $220.47 $282.65 15.3×
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×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $783.43 $1,004.40 14.6×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines
$78.78–$93.02 $101–$119.25 varies
Detect Agent Nos Dna Quant (87799) $381.62 $489.25 8.9×
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×
Dipropylacetic Acid Free (80165) $52.46 $67.25 3.9×
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) $128.54 $164.80 6.9×
Drug Assay Everolimus (80169) $64.94 $83.25 4.7×
Drug assay felbamate (80167) $64.94 $83.25 3.5×
Drug Assay Lacosamide (80235) $163.41 $209.50 6.0×
Drug Assay Posaconazole (80187) $78.98 $101.25 2.9×
Drug Screen Quantitative Lamotrigine (80175) $45.44 $58.25 3.4×
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 Instrmnt (80306) $45.44 $58.25 2.7×
Ehrlichia antibody (86666) $115.44 $148 11.3×
El-1 Fecal Quantitative (82653) $103.94 $133.25 4.5×
Electrolyte panel (80051) $34.71 $44.50 5.0×
Endomysial Antibody Each Immunoglobulin Class (86231) $62.60 $80.25 5.2×
Erythropoietin (82668) $46.22 $59.25 2.5×
Estradiol serum (82670) $49.34 $63.25 1.8×
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×
Fat stain feces urine/respir secretions (89125) $45.24 $58 7.7×
Ferritin (82728)
range across 3 matching MRF lines
$63.96–$142.27 $82–$182.40 varies
Fetal Congenital Abnor Assay Four Anal (81511) $250.58 $321.25 1.6×
Fibrin Degradation Quant (85379) $98.79 $126.65 9.7×
Fibrinogen activity (85384) $41.07 $52.65 4.2×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $77.22 $99 5.0×
Flecainide level (80181) $66.50 $85.25 3.6×
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$172.19–$344.37 $220.75–$441.50 varies
Fluorescent antibody screen (86255) $550.99 $706.40 45.7×
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×
Gammaglobulin ige (82785) $45.75 $58.65 2.8×
Gases blood ph only (82800) $49.34 $63.25 4.5×
Ggt (82977) $32.68 $41.90 4.5×
Giardia antigen (87329) $49.34 $63.25 4.1×
Glucose 2 hr pp (82950) $41.54 $53.25 8.7×
Glucose Blood Test (82962) $29.64 $38 9.0×
Glucose body fluid (82945) $32.68 $41.90 8.3×
Glucose Serum (82947)
range across 4 matching MRF lines
$32.68–$377.13 $41.90–$483.50 varies
Glucose tolerance test (gtt) (82951) $41.54 $53.25 3.2×
Gonadotropin Chorionic Qualitative (84703) $36.39 $46.65 4.8×
Growth hormone (83003) $51.68 $66.25 3.1×
Gtt-added samples (82952) $37.64 $48.25 9.6×
H Pylori (C-13) Breath (83013) $109.98 $141 1.6×
H Pylori Drug Admin (83014) $29.64 $38 3.8×
Haptoglobin (83010) $48.52 $62.20 3.9×
Helicobacter Pylori Stool (87338) $60.84 $78 4.2×
Hematocrit (85014) $36.66 $47 15.5×
Hemoglobin (85018)
range across 2 matching MRF lines
$36.66–$109.98 $47–$141 varies
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$44.46–$59.67 $57–$76.50 varies
Hemoglobin Methemoglobin Quantitative (83050) $38.77 $49.70 4.7×
Hep a ab igm (86709) $71.72 $91.95 6.4×
Heparin assay (85520) $40.13 $51.45 3.1×
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) $36.08 $46.25 3.4×
Hepatitis B Surface Antigen (87340) $36.08 $46.25 3.5×
Hepatitis Be Antibody (86707) $46.22 $59.25 4.0×
Hepatitis C Antibody (86803) $37.64 $48.25 2.6×
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×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $76.44 $98 9.9×
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×
HIV-2 probe&revrse trnscripj (87538) $80.34 $103 2.3×
Homocysteine (83090) $53.24 $68.25 3.0×
Hpv High-Risk Types (87624) $57.68 $73.95 1.6×
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) $50.12 $64.25 1.8×
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 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 HIV-1 amplified probe & reverse transcrpj (87535) $80.34 $103 2.3×
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×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $117.39 $150.50 7.8×
Immunoassay nonantibody (83516)
range across 2 matching MRF lines
$169.26–$565.19 $217–$724.60 varies
Immunofluorescence per spec 1st singl antb stain (88346) $230.49 $295.50 1.3×
Immunohistochemistry (88342)
range across 2 matching MRF lines
$178.23–$534.69 $228.50–$685.50 varies
In situ hybridization 1st probe stain (88365) $966.89 $1,239.60 5.5×
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) $84.24 $108 3.9×
Insulin total (83525) $45.44 $58.25 4.0×
Iron (83540) $33.54 $43 5.2×
Iron Binding Capacity (83550)
range across 2 matching MRF lines
$34.13–$68.25 $43.75–$87.50 varies
Islet cell antibody (86341) $67.08 $86 2.8×
Jak2 gene analysis p.val617phe variant (81270) $378.38 $485.10 4.1×
Koh Prep (87220) $103.74 $133 24.3×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$32.68–$65.36 $41.90–$83.80 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 ii surg pathology gross&microscopic exam (88302) $152.10 $195 3.9×
Level V Surg Pathology Gross&Microscopic Exam (88307) $1,016.34 $1,303 2.7×
Lipase (83690)
range across 2 matching MRF lines
$33.42–$96.80 $42.85–$124.10 varies
Lipoprotein A (83695) $49.34 $63.25 3.4×
Lithium (80178) $83.07 $106.50 12.6×
Luteinizing Hormone (Lh) (83002) $49.34 $63.25 2.7×
Lyme disease antibody (86618) $55.38 $71 3.3×
M/phmtrc alys ishquant/semiq (88374) $766.94 $983.25 4.4×
Macroscopic exam arthropod (87168) $57.14 $73.25 13.4×
Magnesium Urine (83735)
range across 3 matching MRF lines
$36.86–$76.91 $47.25–$98.60 varies
Mass Spectrometry Quant (83789) $68.84 $88.25 2.9×
Methotrexate (80204) $57.14 $73.25 1.5×
Methylmalonic acid serum (83921) $68.84 $88.25 3.2×
Microalbumin, quantitative (82043) $40.40 $51.80 7.0×
Microsomal Antibodies Each (86376) $49.34 $63.25 3.4×
Mitochondrial Antibody Each (86381) $50.12 $64.25 2.0×
Molecular Cytogenetics Dna Probe Each (88271) $292.50 $375 13.7×
Mononuclear cell antigen (86356) $345.35 $442.75 12.9×
Mpl gene analysis sequence analysis exon 10 (81339) $322.22 $413.10 1.7×
Mrsa Pcr (87641) $67.86 $87 1.9×
Mumps antibody (86735) $48.17 $61.75 3.7×
Mycophenolic Acid (80180) $57.14 $73.25 3.2×
Myoglobin urine (83874) $54.80 $70.25 4.2×
Natriuretic peptide (83880)
range across 2 matching MRF lines
$80.15–$89.90 $102.75–$115.25 varies
Niacin (84591) $167.47 $214.70 9.8×
Nk cells total count (86357) $62.60 $80.25 1.7×
Nuclear antigen antibody (86235) $685.23 $878.50 38.2×
Occult Blood Other Sources (82271) $49.14 $63 9.2×
Osmolality serum (83930) $32.96 $42.25 5.0×
Osmolality Urine (83935) $32.96 $42.25 4.8×
Ova and parasites smears (87177) $51.48 $66 5.8×
Oxalate urine (83945) $102.18 $131 7.1×
Ph urine (81003)
range across 2 matching MRF lines
$28.67–$57.33 $36.75–$73.50 varies
Phenobarbital Level (80184) $102.41 $131.30 6.7×
Phenytoin (Dilantin) (80185) $41.54 $53.25 3.1×
Phenytoin free (80186) $42.32 $54.25 3.1×
Phosphatase alkaline (84075) $32.68 $41.90 6.3×
Phosphorus Serum (84100)
range across 2 matching MRF lines
$33.97–$67.94 $43.55–$87.10 varies
Platelet count automated (85049) $36.66 $47 8.2×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $540.42 $692.85 2.6×
Prealbumin (84134) $45.44 $58.25 3.1×
Pregnenolone (84140) $83.66 $107.25 4.0×
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) $37.95 $48.65 2.0×
Protein body fluid (84157) $32.68 $41.90 8.2×
Protein C Activity (85303) $52.46 $67.25 3.8×
Protein Electrophoresis Urine (84166)
range across 2 matching MRF lines
$53.24–$64.94 $68.25–$83.25 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $45.24 $58 4.2×
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 3 matching MRF lines
$36.39–$73.24 $46.65–$93.90 varies
Pth Intact (83970) $67.86 $87 1.6×
Quantiferon tb gold plus (86480) $101.21 $129.75 1.6×
Quantitative assay drug (80299) $178.54 $228.90 9.6×
Rbc antibody elution (86860) $275.50 $353.20 1.6×
Rbc antibody identification (86870) $188.76 $242 0.5×
Rbc antibody screen (86850) $81.90 $105 8.4×
Reagent Strip/Blood Glucose (82948) $37.71 $48.35 7.5×
Renin activity plasma (84244) $53.24 $68.25 2.4×
Reticulocyte Count (85046) $40.76 $52.25 7.3×
Rh (86901) $80.89 $103.70 27.1×
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) $83.07 $106.50 6.4×
Salicylate Level (80179) $119.18 $152.80 6.4×
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×
Semen Anal Sperm Detection (89321)
range across 2 matching MRF lines
$114.86–$144.57 $147.25–$185.35 varies
Semen analysis complete (89322) $129.64 $166.20 8.4×
Sensitivity mic (87186)
range across 3 matching MRF lines
$53.24–$212.94 $68.25–$273 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) $23.79 $30.50 0.8×
Smear acid fast (87206) $48.95 $62.75 9.1×
Smear complex stain (87209) $33.54 $43 1.9×
Smear gram stain (87205) $74.88 $96 17.5×
Sodium Serum (84295) $32.68 $41.90 6.8×
Sodium Urine (84300) $34.91 $44.75 6.9×
Somatomedin (84305) $82.29 $105.50 3.9×
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$203.89–$1,019.46 $261.40–$1,307 varies
Special Stains Group 2 (88313) $163.61 $209.75 1.2×
Specimen infect agnt concntj (87015) $77.42 $99.25 11.6×
Strep a assay w/optic (87880) $42.71 $54.75 2.6×
Surg path level iii (88304) $5,334.03 $6,838.50 99.2×
Surgical pathology level IV (88305)
range across 3 matching MRF lines
$178.62–$1,663.74 $229–$2,133 varies
Syphilis Test Non-Trep Quant (86593) $32.80 $42.05 7.5×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $153.66 $197 3.3×
T cells total count (86359) $123.24 $158 3.3×
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
$50.93–$63.53 $65.30–$81.45 varies
T4 total (84436) $43.49 $55.75 6.3×
Tacrolimus (80197) $61.04 $78.25 4.4×
Testosterone total (84403) $98.39 $126.14 3.8×
Testosterone, Free (84402) $41.73 $53.50 1.6×
Thiopurine methyltransferase (84433) $325.88 $417.80 14.7×
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×
Toxoplasma ab igm (86778) $43.10 $55.25 3.0×
Toxoplasma antibody (86777) $45.44 $58.25 3.2×
Transferase Aspartate Amino Ast Sgot (84450) $32.68 $41.90 6.3×
Transferrin (84466) $34.13 $43.75 2.7×
Triglycerides (84478)
range across 2 matching MRF lines
$32.68–$33.38 $41.90–$42.80 varies
Troponin Quant (84484)
range across 2 matching MRF lines
$42.90–$71.76 $55–$92 varies
Tumor Immunohistochem/Manual (88360) $634.14 $813 3.6×
Uric acid other source (84560) $33.38 $42.80 6.6×
Urinalysis Microscopic Only (81015) $28.67 $36.75 9.4×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $28.67 $36.75 13.2×
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) $52.46 $67.25 3.9×
Varicella-zoster antibody (86787) $82.68 $106 6.4×
Virus antibody nos (86790) $176.36 $226.10 13.7×
Vitamin A (84590) $49.34 $63.25 4.2×
Vitamin b-12 (82607)
range across 2 matching MRF lines
$37.64–$44.77 $48.25–$57.40 varies
Vitamin B2 (Riboflavin) (84252) $64.16 $82.25 3.2×
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×
West nile virus ab igm (86788) $47.78 $61.25 2.8×
West Nile Virus Antibody (86789) $60.80 $77.95 4.2×
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.