Lab & pathology prices at Central Montana Medical Center
Lewistown, MT · every code in this section with a posted price and a Medicare benchmark.
524 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | $267.54 | $314.75 | 14.5× |
| Acth (82024) | $338.30 | $398 | 8.8× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $182.11 | $214.25 | 5.6× |
| Actin smooth muscle antibody each (86015) | $83.73 | $98.50 | 6.9× |
| Acute hepatitis panel (80074) | $201.03 | $236.50 | 4.2× |
| Acylcarnitines Quant (82017) range across 2 matching MRF lines |
$97.33–$157.25 | $114.50–$185 | varies |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$22.74–$130.90 | $26.75–$154 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$29.11–$56.53 | $34.25–$66.50 | varies |
| Aldolase (82085) | $72.68 | $85.50 | 7.5× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$294.10–$416.50 | $346–$490 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$141.10–$223.76 | $166–$263.25 | varies |
| Allergen specific ige (86003) range across 11 matching MRF lines |
$15.30–$111.78 | $18–$131.50 | varies |
| Allg Spec Ige Recomb Ea (86008) | $59.08 | $69.50 | 3.3× |
| Alpha-1-antitrypsin phenotype (82104) | $64.60 | $76 | 4.5× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$60.35–$190.61 | $71–$224.25 | varies |
| Alpha-Fetoprotein Serum (82105) | $97.33 | $114.50 | 5.8× |
| Alt (sgpt) (84460) | $89.68 | $105.50 | 16.9× |
| Amikacin trough (80150) | $123.25 | $145 | 8.2× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $363.80 | $428 | 21.6× |
| Amino Acids Quant 2-5 (82136) | $97.33 | $114.50 | 5.0× |
| Aminolevulinic acid (ala) (82135) | $150.03 | $176.50 | 9.1× |
| Ammonia (82140) range across 2 matching MRF lines |
$140.68–$180.84 | $165.50–$212.75 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $426.49 | $501.75 | 4.3× |
| Amylase urine (82150) range across 2 matching MRF lines |
$96.48–$153 | $113.50–$180 | varies |
| Ana Titer (86039) | $63.11 | $74.25 | 5.7× |
| Androstenedione (82157) | $212.50 | $250 | 7.3× |
| Angiotensin converting enzyme csf (82164) | $158.53 | $186.50 | 10.9× |
| Anti-Phospholipid Antibody (86148) | $118.15 | $139 | 7.4× |
| Antibody aspergillus (86606) | $113.69 | $133.75 | 7.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $82.66 | $97.25 | 5.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$157.25–$179.99 | $185–$211.75 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $140.89 | $165.75 | 10.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $104.13 | $122.50 | 6.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $124.95 | $147 | 6.9× |
| Antibody Herpes Smplx Type 1 (86695) | $53.34 | $62.75 | 4.0× |
| Antibody HIV-2 (86702) | $125.16 | $147.25 | 9.3× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $148.75 | $175 | 7.7× |
| Antibody john cunningham virus (86711) | $1,402.50 | $1,650 | 83.0× |
| Antibody Protozoa Nes (86753) | $34 | $40 | 2.7× |
| Antibody Titer (86886) | $131.11 | $154.25 | 25.3× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$63.75–$204.43 | $75–$240.50 | varies |
| Antinuclear antibodies (86038) | $126.44 | $148.75 | 10.5× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$48.66–$59.08 | $57.25–$69.50 | varies |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$135.36–$194.65 | $159.25–$229 | varies |
| Antithrombin iii antigen (85301) | $171.70 | $202 | 15.9× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$136.43–$145.99 | $160.50–$171.75 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $361.25 | $425 | 9.6× |
| Arsenic (82175) range across 3 matching MRF lines |
$92.44–$139.40 | $108.75–$164 | varies |
| Aspergillus ag eia (87305) | $159.16 | $187.25 | 13.3× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$209.10–$275.83 | $246–$324.50 | varies |
| Assay Blood Carbon Dioxide (82374) | $48.03 | $56.50 | 9.8× |
| Assay Nephelometry Not Spec (83883) | $170.21 | $200.25 | 12.5× |
| Assay of 5-hiaa (83497) | $162.56 | $191.25 | 12.6× |
| Assay of anti-mullerian hormone (82166) | $98.81 | $116.25 | 2.6× |
| Assay of blood/uric acid (84550) | $73.53 | $86.50 | 16.3× |
| Assay of calcium in urine (82340) | $90.10 | $106 | 14.9× |
| Assay of cpk in blood (82552) | $100.09 | $117.75 | 7.5× |
| Assay of estrone (82679) range across 2 matching MRF lines |
$45.48–$203.15 | $53.50–$239 | varies |
| Assay of g6pd enzyme (82955) | $126.44 | $148.75 | 13.0× |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$23.80–$58.44 | $28–$68.75 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$109.23–$277.31 | $128.50–$326.25 | varies |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$100.09–$172.34 | $117.75–$202.75 | varies |
| Assay of serotonin (84260) | $92.44 | $108.75 | 3.0× |
| Assay of serum potassium (84132) | $44.41 | $52.25 | 9.3× |
| Assay of Tyrosine (84510) | $145.14 | $170.75 | 13.7× |
| Assay of urea nitrogen (84520) | $52.06 | $61.25 | 13.2× |
| Assay of urine vma (84585) | $93.50 | $110 | 6.0× |
| Assay of vasoactive intestinal peptide (84586) | $204.64 | $240.75 | 5.8× |
| Assay of vitamin b-1 (84425) | $119.64 | $140.75 | 5.6× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$32.30–$89.68 | $38–$105.50 | varies |
| Assay spec xcp ur&breath ia (82077) | $179.99 | $211.75 | 10.4× |
| Atomic Absorption (82190) | $71.40 | $84 | 4.5× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $641.33 | $754.50 | 3.7× |
| B cells total count (86355) range across 3 matching MRF lines |
$107.10–$238.43 | $126–$280.50 | varies |
| Bartonella antibody (86611) | $26.35 | $31 | 2.6× |
| Bcr/abl1 gene major bp (81206) range across 3 matching MRF lines |
$218.24–$562.49 | $256.75–$661.75 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$209.31–$681.28 | $246.25–$801.50 | varies |
| Bcr/Abl1 Gene Other Bp (81208) | $306.64 | $360.75 | 1.4× |
| Beta 2 glycoprotein i antibody each (86146) | $141.10 | $166 | 5.5× |
| Beta hydroxybutyrate (82010) | $124.53 | $146.50 | 15.2× |
| Beta-2 Microglobulin (82232) | $141.10 | $166 | 8.7× |
| Bile acids total (82239) | $79.05 | $93 | 4.6× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$65.24–$69.70 | $76.75–$82 | varies |
| Bilirubin total (82247) | $94.56 | $111.25 | 18.8× |
| Biotinidase (82261) | $97.33 | $114.50 | 5.8× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $155.55 | $183 | 0.9× |
| Bld Typing Serologic Rh Phnt (86906) | $156.19 | $183.75 | 20.2× |
| Blood Count Automated Differential Wbc Count (85004) | $29.75 | $35 | 4.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $43.99 | $51.75 | 11.6× |
| Blood gas (82803) | $487.48 | $573.50 | 18.7× |
| Blood gases w/02 saturation (82805) | $491.94 | $578.75 | 6.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $35.91 | $42.25 | 2.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $20.40 | $24 | 4.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 4 matching MRF lines |
$47.18–$54.19 | $55.50–$63.75 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$46.96–$48.66 | $55.25–$57.25 | varies |
| Bone marrow smear interpretation (85097) | $245.44 | $288.75 | 0.3× |
| Brucella antibody (86622) range across 3 matching MRF lines |
$87.55–$195.50 | $103–$230 | varies |
| C diff amplified probe (87493) | $196.14 | $230.75 | 5.3× |
| C-Peptide (84681) | $144.71 | $170.25 | 7.0× |
| C-reactive protein (86140) | $90.95 | $107 | 17.6× |
| Ca 19-9 (86301) | $130.05 | $153 | 6.2× |
| Cadmium (82300) range across 2 matching MRF lines |
$107.95–$119 | $127–$140 | varies |
| Calcitonin (82308) | $214.63 | $252.50 | 8.0× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$58.65–$138.98 | $69–$163.50 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$82.66–$90.10 | $97.25–$106 | varies |
| Calculus Spectroscopy (82365) | $135.36 | $159.25 | 10.5× |
| Calprotectin Fecal (83993) | $312.38 | $367.50 | 15.9× |
| Calr gene com variants (81219) | $573.75 | $675 | 4.7× |
| Cancer Antigen 125 (86304) | $89.68 | $105.50 | 4.3× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$107.10–$145.99 | $126–$171.75 | varies |
| Candida Dna Dir Probe (87480) | $81.18 | $95.50 | 4.0× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$27.41–$62.48 | $32.25–$73.50 | varies |
| Carboxyhemoglobin (82375) | $63.75 | $75 | 5.2× |
| Carcinoembryonic antigen (82378) | $81.18 | $95.50 | 4.3× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$80.75–$160.65 | $95–$189 | varies |
| Carnitine Quantitative Each Specimen (82379) | $250.11 | $294.25 | 14.8× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$155.76–$221 | $183.25–$260 | varies |
| Ccp antibody (86200) range across 3 matching MRF lines |
$38.25–$71.83 | $45–$84.50 | varies |
| Cell count csf (89051) | $103.28 | $121.50 | 18.4× |
| Ceruloplasmin (82390) | $96.48 | $113.50 | 9.0× |
| Cftr gene com variants (81220) | $1,430.55 | $1,683 | 2.6× |
| Cftr gene dup/delet variants (81222) | $1,118.60 | $1,316 | 2.6× |
| Chemiluminescent assay (82397) | $159.16 | $187.25 | 11.3× |
| Chloride Serum (82435) | $48.03 | $56.50 | 10.4× |
| Chloride urine (82436) range across 2 matching MRF lines |
$53.34–$56.31 | $62.75–$66.25 | varies |
| Cholesterol total (82465) | $66.09 | $77.75 | 15.2× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$107.10–$198.69 | $126–$233.75 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $73.10 | $86 | 2.2× |
| Chromium serum (82495) | $187 | $220 | 9.2× |
| Chromogranin a (86316) | $218.66 | $257.25 | 10.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 5 matching MRF lines |
$100.30–$148.75 | $118–$175 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$234.39–$255 | $275.75–$300 | varies |
| Ckmb (82553) | $180.84 | $212.75 | 15.7× |
| Clot Factor VIII Multimetric (85247) | $285.60 | $336 | 12.4× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$100.09–$181.90 | $117.75–$214 | varies |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$27.20–$29.11 | $32–$34.25 | varies |
| Cold agglutinin titer (86157) | $38.25 | $45 | 4.7× |
| Collagen crosslinks (82523) | $170.21 | $200.25 | 9.1× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$64.60–$151.09 | $76–$177.75 | varies |
| Compatibility test antiglob (86922) | $214.63 | $252.50 | 1.2× |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$63.11–$136.43 | $74.25–$160.50 | varies |
| Complement Total (Ch50) (86162) | $250.11 | $294.25 | 12.3× |
| Complement/Function Activity (86161) | $181.90 | $214 | 15.2× |
| Coombs direct (86880) | $81.81 | $96.25 | 15.2× |
| Copper urine (82525) range across 2 matching MRF lines |
$102–$116.88 | $120–$137.50 | varies |
| Cortisol free (82530) | $206.98 | $243.50 | 12.4× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$66.73–$181.90 | $78.50–$214 | varies |
| Creatine kinase total (82550) | $98.18 | $115.50 | 15.1× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$45.48–$52.06 | $53.50–$61.25 | varies |
| Creatinine clearance (82575) | $143.65 | $169 | 15.2× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$47.18–$69.70 | $55.50–$82 | varies |
| Crossmatch immediate spin (86920) | $66.09 | $77.75 | 0.4× |
| Crp High Sensitivity (86141) | $97.33 | $114.50 | 7.5× |
| Cryofibrinogen (82585) | $60.35 | $71 | 4.3× |
| Cryoglobulin (82595) | $46.54 | $54.75 | 7.2× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$107.31–$640.05 | $126.25–$753 | varies |
| Cryptosporidium (87272) | $63.11 | $74.25 | 5.3× |
| Cryptosporidium ag eia (87328) | $51 | $60 | 3.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $48.45 | $57 | 6.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $103.28 | $121.50 | 12.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$38.25–$89.68 | $45–$105.50 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $869.55 | $1,023 | 4.0× |
| Culture afb (87116) range across 3 matching MRF lines |
$24.23–$48.66 | $28.50–$57.25 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$72.89–$106.46 | $85.75–$125.25 | varies |
| Culture blood (87040) | $158.53 | $186.50 | 15.4× |
| Culture csf (87070) range across 5 matching MRF lines |
$68.21–$84.79 | $80.25–$99.75 | varies |
| Culture fungus (87102) range across 3 matching MRF lines |
$38.25–$83.73 | $45–$98.50 | varies |
| Culture fungus blood (87103) | $78.20 | $92 | 3.8× |
| Culture screen only (87081) range across 2 matching MRF lines |
$16.58–$49.73 | $19.50–$58.50 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$27.20–$104.55 | $32–$123 | varies |
| Culture urine (87086) | $56.53 | $66.50 | 7.0× |
| Cyclic amp (82030) | $233.75 | $275 | 9.1× |
| Cyclosporine (80158) | $234.18 | $275.50 | 13.0× |
| Cystatin C (82610) | $72.25 | $85 | 3.9× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$27.20–$179.99 | $32–$211.75 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $107.95 | $127 | 5.3× |
| Cytopath Cell Enhance Tech (88112) | $119.64 | $140.75 | 2.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $107.95 | $127 | 4.1× |
| Cytp Concentration Smears & Interpretation (88108) | $87.55 | $103 | 2.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $154.91 | $182.25 | 2.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $70.13 | $82.50 | 1.8× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $41.86 | $49.25 | 2.3× |
| Deoxyribonuclease antibody (86215) range across 2 matching MRF lines |
$31.88–$127.50 | $37.50–$150 | varies |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$204.64–$239.49 | $240.75–$281.75 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$127.50–$364.44 | $150–$428.75 | varies |
| Detect agnt mult DNA ampli (87801) | $196.14 | $230.75 | 2.8× |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$80.75–$118.15 | $95–$139 | varies |
| Dhea (82626) | $231.63 | $272.50 | 9.2× |
| Dhea-S (82627) | $95.20 | $112 | 4.3× |
| Digoxin (80162) | $136.43 | $160.50 | 10.3× |
| Dihydrotestosterone (82642) | $270.30 | $318 | 9.2× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$22.74–$161.50 | $26.75–$190 | varies |
| Dna/Rna Amplified Probe (87150) | $216.54 | $254.75 | 6.2× |
| Drug assay acetaminophen (80143) | $166.60 | $196 | 8.9× |
| Drug Assay Everolimus (80169) | $263.93 | $310.50 | 19.2× |
| Drug Assay Infliximab (80230) | $257.55 | $303 | 6.7× |
| Drug Assay Lacosamide (80235) | $140.25 | $165 | 5.2× |
| Drug assay voriconazole (80285) | $170 | $200 | 6.3× |
| Drug Screen Quant Clozapine (80159) | $179.99 | $211.75 | 8.9× |
| Drug Screen Quant Zonisamide (80203) | $141.10 | $166 | 10.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $111.78 | $131.50 | 8.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $131.11 | $154.25 | 9.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $140.46 | $165.25 | 10.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 6 matching MRF lines |
$86.70–$392.88 | $102–$462.21 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$42.08–$101.79 | $49.50–$119.75 | varies |
| Ehrlichia antibody (86666) | $34 | $40 | 3.3× |
| El-1 Fecal Quantitative (82653) | $116.88 | $137.50 | 5.1× |
| Electrolyte panel (80051) | $81.81 | $96.25 | 11.7× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$181.90–$218.88 | $214–$257.50 | varies |
| Enterovirus PCR (87498) | $307.49 | $361.75 | 8.8× |
| Enzyme cell activity (82657) | $141.10 | $166 | 6.4× |
| Erythropoietin (82668) | $177.23 | $208.50 | 9.4× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$45.48–$208.25 | $53.50–$245 | varies |
| Estriol (82677) | $119 | $140 | 4.9× |
| Ethosuximide (80168) | $170.21 | $200.25 | 10.4× |
| Ethylene Glycol (82693) | $131.75 | $155 | 8.8× |
| Exam Synovial Fluid Crystals (89060) | $43.14 | $50.75 | 5.9× |
| F2 Gene (81240) range across 2 matching MRF lines |
$208.25–$1,145.59 | $245–$1,347.75 | varies |
| Factor ii activity (85210) | $393.76 | $463.25 | 30.3× |
| Factor ix activity (85250) | $279.23 | $328.50 | 14.7× |
| Factor v activity (85220) | $279.23 | $328.50 | 15.8× |
| Factor v leiden mutation (81241) | $250.11 | $294.25 | 3.4× |
| Factor vii assay (85230) | $279.23 | $328.50 | 15.6× |
| Factor viii assay (85240) range across 3 matching MRF lines |
$49.30–$393.76 | $58–$463.25 | varies |
| Factor X (85260) | $279.23 | $328.50 | 15.6× |
| Fat/Lipids Feces Quantitative (82710) | $243.31 | $286.25 | 14.5× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $100.09 | $117.75 | 15.3× |
| Ferritin (82728) | $118.79 | $139.75 | 8.7× |
| Fetal Fibronectin (82731) | $286.45 | $337 | 4.4× |
| Fetal screen rosette (85461) | $61.41 | $72.25 | 6.6× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$173.40–$182.33 | $204–$214.50 | varies |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$41.65–$171.70 | $49–$202 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 4 matching MRF lines |
$38.25–$68.21 | $45–$80.25 | varies |
| Flow cytometry first marker (88184) | $72.25 | $85 | 0.2× |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$89.68–$399.50 | $105.50–$470 | varies |
| Folic Acid Serum (82746) | $183.81 | $216.25 | 12.5× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$59.71–$79.48 | $70.25–$93.50 | varies |
| Francisella tularensis (86668) range across 2 matching MRF lines |
$85–$90.95 | $100–$107 | varies |
| Frozen Section (88331) | $68.21 | $80.25 | 0.4× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$110.50–$158.53 | $130–$186.50 | varies |
| Fungi Identification Yeast (87106) | $158.53 | $186.50 | 15.4× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $123.04 | $144.75 | 5.8× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$62.48–$63.11 | $73.50–$74.25 | varies |
| Gardner vag DNA dir probe (87510) | $81.18 | $95.50 | 4.0× |
| Gases blood ph only (82800) | $63.75 | $75 | 5.8× |
| Gastrin (82941) | $155.76 | $183.25 | 8.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $604.35 | $711 | 1.5× |
| Gentamicin (80170) range across 2 matching MRF lines |
$158.95–$163.84 | $187–$192.75 | varies |
| Ggt (82977) | $31.24 | $36.75 | 4.3× |
| Giardia antigen (87329) | $59.08 | $69.50 | 4.9× |
| Glucose 2 hr pp (82950) | $68.64 | $80.75 | 14.5× |
| Glucose Blood Test (82962) | $11.05 | $13 | 3.4× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$18.70–$62.48 | $22–$73.50 | varies |
| Glucose Serum (82947) | $52.06 | $61.25 | 13.2× |
| Gonadotropin Chorionic Qualitative (84703) | $85.43 | $100.50 | 11.4× |
| Gonadotropin releasing hormone (83727) | $267.75 | $315 | 15.6× |
| Growth hormone (83003) | $110.50 | $130 | 6.6× |
| H Pylori (C-13) Breath (83013) | $260.31 | $306.25 | 3.9× |
| H pylri clrthmcn rst amp prb (87513) | $104.55 | $123 | 3.0× |
| Haloperidol (80173) | $189.55 | $223 | 12.0× |
| Haptoglobin (83010) | $82.66 | $97.25 | 6.6× |
| Hbb duplication/deletion variants (81363) | $341.06 | $401.25 | 1.7× |
| Hdl Cholesterol (83718) | $69.70 | $82 | 8.5× |
| Helicobacter Pylori Stool (87338) | $55.25 | $65 | 3.8× |
| Hematocrit (85014) | $23.80 | $28 | 10.0× |
| Hemoglobin (85018) | $23.80 | $28 | 10.0× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$42.50–$135.36 | $50–$159.25 | varies |
| Hemoglobin Chromotography (83021) | $109.23 | $128.50 | 6.0× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$72.89–$76.50 | $85.75–$90 | varies |
| Hemoglobin-Oxygen Affinity (82820) | $300.26 | $353.25 | 22.5× |
| Hep a ab igm (86709) | $55.04 | $64.75 | 4.9× |
| Hepatitis a antibody total (86708) | $59.50 | $70 | 4.8× |
| Hepatitis b core ab igm (86705) | $50.79 | $59.75 | 4.3× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$51.64–$63.11 | $60.75–$74.25 | varies |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$38.89–$97.33 | $45.75–$114.50 | varies |
| Hepatitis B Surface Antigen (87340) range across 4 matching MRF lines |
$41.44–$77.99 | $48.75–$91.75 | varies |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$72.89–$77.99 | $85.75–$91.75 | varies |
| Hepatitis Be Antigen (87350) | $72.89 | $85.75 | 6.3× |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$72.89–$163.84 | $85.75–$192.75 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$163.20–$539.96 | $192–$635.25 | varies |
| Hepatitis d quantification (87523) | $361.25 | $425 | 8.4× |
| Herpes simplex type 2 (86696) | $60.35 | $71 | 3.1× |
| Heterophile Antibody Screen (86308) | $73.53 | $86.50 | 14.2× |
| Hfe Gene (81256) | $530.40 | $624 | 8.1× |
| Histamine urine (83088) | $223.76 | $263.25 | 7.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $103.28 | $121.50 | 4.3× |
| Hiv-1 Antibody (86701) | $82.66 | $97.25 | 9.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $442.43 | $520.50 | 5.2× |
| Hla ii typing 1 locus lr (81376) range across 2 matching MRF lines |
$93.50–$314.50 | $110–$370 | varies |
| Hla-b27 (86812) | $116.88 | $137.50 | 4.5× |
| Homocysteine (83090) | $72.25 | $85 | 4.0× |
| Homogenization Tissue (87176) | $14.66 | $17.25 | 2.5× |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$85–$102 | $100–$120 | varies |
| Hsv Dna Amp Probe (87529) range across 7 matching MRF lines |
$62.48–$297.50 | $73.50–$350 | varies |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$158.95–$200.18 | $187–$235.50 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $188.06 | $221.25 | 13.5× |
| Iaadi giardia (87269) | $67.58 | $79.50 | 5.0× |
| Iaadi pneumocustis carinii (87281) | $59.08 | $69.50 | 4.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $364.44 | $428.75 | 10.4× |
| Iadna Cytomegalovirus Quantification (87497) | $443.91 | $522.25 | 10.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $140.89 | $165.75 | 2.0× |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $25.50 | $30 | 0.9× |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $25.50 | $30 | 0.9× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines |
$99.45–$156.40 | $117–$184 | varies |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$89.68–$96.05 | $105.50–$113 | varies |
| Igg subclasses (82787) | $49.94 | $58.75 | 6.2× |
| Immunfix e-phorsis/urine/csf (86335) | $122.83 | $144.50 | 4.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$116.88–$191.25 | $137.50–$225 | varies |
| Immunoassay nonantibody (83516) range across 9 matching MRF lines |
$17–$321.09 | $20–$377.75 | varies |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$96.05–$204.64 | $113–$240.75 | varies |
| Immunohistochemistry (88342) | $120.70 | $142 | 0.7× |
| In situ hybridization 1st probe stain (88365) | $408.85 | $481 | 2.3× |
| Influenza assay w/optic (87804) | $89.68 | $105.50 | 5.4× |
| Influenza DNA amp probe (87502) | $179.35 | $211 | 1.9× |
| Inhibin A (86336) | $109.23 | $128.50 | 7.0× |
| Inhibin b (83520) range across 8 matching MRF lines |
$38.25–$246.50 | $45–$290 | varies |
| Insitu hybridization manual (88368) | $813.45 | $957 | 2.2× |
| Insulin antibodies (86337) | $29.75 | $35 | 1.4× |
| Insulin total (83525) | $131.11 | $154.25 | 11.5× |
| Intrinsic factor antibody (86340) | $85 | $100 | 5.6× |
| Iron (83540) | $79.48 | $93.50 | 12.3× |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$69.70–$74.59 | $82–$87.75 | varies |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$31.88–$182.11 | $37.50–$214.25 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$255–$546.55 | $300–$643 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $255 | $300 | 1.4× |
| Koh Prep (87220) | $47.60 | $56 | 11.1× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$25.71–$88.40 | $30.25–$104 | varies |
| Lactoferrin fecal qualitative (83630) | $114.75 | $135 | 5.8× |
| Lactoferrin Fecal Quantitative (83631) | $182.75 | $215 | 9.3× |
| LDL direct (83721) | $62.05 | $73 | 5.9× |
| Lead (83655) range across 4 matching MRF lines |
$52.70–$130.48 | $62–$153.50 | varies |
| Legionella antibody (86713) | $95.41 | $112.25 | 6.2× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$68.21–$102 | $80.25–$120 | varies |
| Leptospira antibody (86720) | $72.25 | $85 | 4.5× |
| Leukocyte Assessment Fecal (89055) | $52.06 | $61.25 | 12.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $61.41 | $72.25 | 2.1× |
| Level ii surg pathology grossµscopic exam (88302) | $72.04 | $84.75 | 1.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $168.30 | $198 | 0.5× |
| Lipase (83690) | $79.48 | $93.50 | 11.5× |
| Lipoprotein A (83695) | $167.45 | $197 | 11.7× |
| Lithium (80178) | $94.56 | $111.25 | 14.3× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$79.26–$79.48 | $93.25–$93.50 | varies |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$72.25–$82.66 | $85–$97.25 | varies |
| Lymphocyte transformation (86353) | $323 | $380 | 6.6× |
| Lysozyme serum (85549) | $182.11 | $214.25 | 9.7× |
| Macroscopic Exam Parasite (87169) | $21.25 | $25 | 4.9× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$57.16–$69.70 | $67.25–$82 | varies |
| Mass Spectrometry Quant (83789) | $145.99 | $171.75 | 6.1× |
| Mercury urine (83825) range across 4 matching MRF lines |
$70.13–$106.25 | $82.50–$125 | varies |
| Methylmalonic acid serum (83921) | $177.23 | $208.50 | 8.4× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$31.24–$73.53 | $36.75–$86.50 | varies |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$42.50–$90.95 | $50–$107 | varies |
| Mitochondrial Antibody Each (86381) range across 2 matching MRF lines |
$61.84–$66.09 | $72.75–$77.75 | varies |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $361.25 | $425 | 9.6× |
| Mononuclear cell antigen (86356) range across 6 matching MRF lines |
$113.69–$618.16 | $133.75–$727.25 | varies |
| Mpl gene analysis sequence analysis exon 10 (81339) | $255 | $300 | 1.4× |
| Mrsa Pcr (87641) | $81.81 | $96.25 | 2.3× |
| Mthfr Gene Analysis Common Variants (81291) | $119 | $140 | 1.8× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$41.65–$55.89 | $49–$65.75 | varies |
| Muscle-Specific Kinase Antb (86366) | $480.25 | $565 | 26.1× |
| Mycophenolic Acid (80180) | $194.65 | $229 | 10.8× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$85–$140.25 | $100–$165 | varies |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$72.25–$88.40 | $85–$104 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$113.69–$296.23 | $133.75–$348.50 | varies |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $595 | $700 | 2.3× |
| Nfct ds chrnc hcv 6 assays (81596) | $316.20 | $372 | 4.4× |
| Niacin (84591) | $170 | $200 | 10.0× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$107.10–$126.44 | $126–$148.75 | varies |
| Nuclear antigen antibody (86235) range across 7 matching MRF lines |
$29.75–$87.55 | $35–$103 | varies |
| Obstetric panel (80081) | $489.81 | $576.25 | 6.5× |
| Occult blood feces (82272) | $35.91 | $42.25 | 8.5× |
| Occult Blood Other Sources (82271) | $30.60 | $36 | 5.8× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$100.09–$107.10 | $117.75–$126 | varies |
| Organic Acids Qualitative Each Specimen (83919) | $157.25 | $185 | 9.6× |
| Osmolality serum (83930) | $28.48 | $33.50 | 4.3× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$29.11–$67.58 | $34.25–$79.50 | varies |
| Osmotic fragility rbc incubated (85557) | $127.29 | $149.75 | 9.5× |
| Osteocalcin (83937) | $87.55 | $103 | 2.9× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$25.50–$38.25 | $30–$45 | varies |
| Oxalate urine (83945) range across 2 matching MRF lines |
$76.50–$109.23 | $90–$128.50 | varies |
| Parvovirus antibody (86747) | $89.25 | $105 | 5.9× |
| Ph urine (81003) range across 4 matching MRF lines |
$14.45–$35.91 | $17–$42.25 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$109.65–$117.30 | $129–$138 | varies |
| Phenylalanine (84030) range across 2 matching MRF lines |
$60.99–$72.89 | $71.75–$85.75 | varies |
| Phenytoin (Dilantin) (80185) | $125.59 | $147.75 | 9.5× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$58.44–$77.56 | $68.75–$91.25 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $382.08 | $449.50 | 21.3× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$25.50–$87.55 | $30–$103 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$29.11–$47.18 | $34.25–$55.50 | varies |
| Pinworm exam (87172) | $49.73 | $58.50 | 11.6× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$159.16–$306 | $187.25–$360 | varies |
| Platelet count automated (85049) | $49.73 | $58.50 | 11.1× |
| Platelet neutralization (85597) | $154.70 | $182 | 8.6× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$53.55–$102 | $63–$120 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) | $90.95 | $107 | 6.2× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$45.90–$87.55 | $54–$103 | varies |
| Prealbumin (84134) | $140.04 | $164.75 | 9.6× |
| Pregnenolone (84140) | $106.25 | $125 | 5.1× |
| Primidone (80188) range across 2 matching MRF lines |
$104.55–$111.78 | $123–$131.50 | varies |
| Procalcitonin (Pct) (84145) | $243.31 | $286.25 | 8.9× |
| Progesterone (84144) | $89.46 | $105.25 | 4.3× |
| Prolactin (84146) | $83.09 | $97.75 | 4.3× |
| Protein body fluid (84157) | $73.53 | $86.50 | 18.4× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$163.84–$244.80 | $192.75–$288 | varies |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$29.75–$195.08 | $35–$229.50 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$163.84–$275.83 | $192.75–$324.50 | varies |
| Protein total serum (84155) | $49.73 | $58.50 | 13.6× |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$13.81–$96.48 | $16.25–$113.50 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$41.65–$127.29 | $49–$149.75 | varies |
| PSA free (84154) | $82.66 | $97.25 | 4.5× |
| Pth Intact (83970) | $215.05 | $253 | 5.2× |
| Q Fever Antibody (86638) | $93.50 | $110 | 7.7× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$158.95–$272.64 | $187–$320.75 | varies |
| Quantitative assay drug (80299) | $260.31 | $306.25 | 14.0× |
| Quantitative Screen Metals (83018) | $179.99 | $211.75 | 8.2× |
| Rbc antibody elution (86860) | $116.88 | $137.50 | 0.7× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$21.25–$161.29 | $25–$189.75 | varies |
| Rbc antibody screen (86850) | $155.34 | $182.75 | 15.9× |
| Rbc pretreatment serum (86978) | $131.33 | $154.50 | 2.2× |
| Renin activity plasma (84244) | $156.19 | $183.75 | 7.1× |
| Reticulocyte Count (85046) | $52.06 | $61.25 | 9.3× |
| Rh (86901) range across 3 matching MRF lines |
$52.06–$55.89 | $61.25–$65.75 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$24.65–$38.25 | $29–$45 | varies |
| Ristocetin cofactor (85245) | $195.50 | $230 | 8.5× |
| Rpr qualitative (86592) | $18.28 | $21.50 | 4.3× |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$27.20–$109.23 | $32–$128.50 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$41.65–$110.50 | $49–$130 | varies |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$24.44–$171.70 | $28.75–$202 | varies |
| Salicylate Level (80179) | $96.48 | $113.50 | 5.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$102–$130.90 | $120–$154 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$90.95–$116.88 | $107–$137.50 | varies |
| Sedimentation rate (85651) | $54.40 | $64 | 12.7× |
| Sedimentation Rate, Automated (85652) | $21.25 | $25 | 7.9× |
| Selenium (84255) | $109.23 | $128.50 | 4.3× |
| Semen Anal Sperm Detection (89321) | $73.53 | $86.50 | 6.1× |
| Sensitivity mic (87186) | $77.14 | $90.75 | 8.9× |
| Sex Hormone Binding Globulin (84270) | $90.95 | $107 | 4.2× |
| Sickling of rbc reduction (85660) | $121.55 | $143 | 22.1× |
| Sirolimus (80195) | $140.04 | $164.75 | 10.2× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$50.15–$55.04 | $59–$64.75 | varies |
| Smear acid fast (87206) | $25.93 | $30.50 | 4.8× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$27.41–$82.66 | $32.25–$97.25 | varies |
| Smear gram stain (87205) | $54.40 | $64 | 12.7× |
| Smear Special Stain (87207) | $24.65 | $29 | 4.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $43.14 | $50.75 | 7.4× |
| Sodium Serum (84295) | $48.03 | $56.50 | 10.0× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$43.99–$81.81 | $51.75–$96.25 | varies |
| Soluble fibrin monomer (85366) | $248.20 | $292 | 3.1× |
| Somatomedin (84305) | $141.10 | $166 | 6.6× |
| Special Stains Group 1 (88312) | $104.13 | $122.50 | 2.0× |
| Special Stains Group 2 (88313) | $91.38 | $107.50 | 0.7× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$31.24–$33.58 | $36.75–$39.50 | varies |
| Spectrophotometry (84311) | $187 | $220 | 23.1× |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $318.33 | $374.50 | 6.0× |
| Staph a DNA amp probe (87640) | $81.81 | $96.25 | 2.3× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$29.11–$63.54 | $34.25–$74.75 | varies |
| Strep a assay w/optic (87880) | $57.16 | $67.25 | 3.5× |
| Strep a DNA amp probe (87651) | $77.78 | $91.50 | 2.2× |
| Strep b DNA amp probe (87653) | $196.14 | $230.75 | 5.6× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $409.28 | $481.50 | 35.5× |
| Sugars Single Qual (84376) | $134.30 | $158 | 24.4× |
| Sulfate urine (84392) | $47.18 | $55.50 | 8.6× |
| Surg path level iii (88304) | $80.75 | $95 | 1.5× |
| Surgical pathology level IV (88305) | $110.93 | $130.50 | 2.1× |
| Surgical pathology level vi (88309) | $340.64 | $400.75 | 0.4× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$44.41–$47.60 | $52.25–$56 | varies |
| Syphilis Test Non-Trep Quant (86593) | $36.34 | $42.75 | 8.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$111.78–$177.23 | $131.50–$208.50 | varies |
| T cells total count (86359) range across 3 matching MRF lines |
$107.10–$131.33 | $126–$154.50 | varies |
| T3 Free (84481) | $223.76 | $263.25 | 13.2× |
| T3 reverse (84482) | $129.84 | $152.75 | 8.2× |
| T3 Total (84480) | $104.13 | $122.50 | 7.3× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$34–$36.34 | $40–$42.75 | varies |
| T4 Free (84439) | $126.44 | $148.75 | 14.0× |
| T4 total (84436) range across 2 matching MRF lines |
$53.34–$57.16 | $62.75–$67.25 | varies |
| T4-neonatal (84437) | $62.26 | $73.25 | 9.6× |
| Tacrolimus (80197) | $131.75 | $155 | 9.6× |
| Test for acetone/ketones (82009) | $24.23 | $28.50 | 5.4× |
| Testosterone Bioavailable (84410) | $234.39 | $275.75 | 4.6× |
| Testosterone total (84403) range across 2 matching MRF lines |
$110.71–$126.44 | $130.25–$148.75 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$109.01–$135.36 | $128.25–$159.25 | varies |
| Theophylline (80198) | $59.50 | $70 | 4.2× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$72.68–$99.03 | $85.50–$116.50 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$67.15–$127.29 | $79–$149.75 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$89.68–$308.55 | $105.50–$363 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$38.25–$99.66 | $45–$117.25 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $280.29 | $329.75 | 5.5× |
| Thyroxine binding globulin (84442) | $121.55 | $143 | 8.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$228.65–$244.59 | $269–$287.75 | varies |
| Tissue Culture Lymphocyte (88230) | $338.51 | $398.25 | 2.9× |
| Tobramycin peak (80200) | $72.25 | $85 | 4.5× |
| Topiramate (80201) | $102 | $120 | 8.6× |
| Touch prep (88161) | $76.93 | $90.50 | 2.6× |
| Toxoplasma ab igm (86778) | $85 | $100 | 5.9× |
| Toxoplasma antibody (86777) | $56.95 | $67 | 4.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $89.68 | $105.50 | 17.3× |
| Transferrin (84466) | $54.83 | $64.50 | 4.3× |
| Trichomonas vagin dir probe (87660) | $81.18 | $95.50 | 4.0× |
| Triglycerides (84478) range across 2 matching MRF lines |
$68.64–$272.85 | $80.75–$321 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$168.30–$241.40 | $198–$284 | varies |
| Tumor Immunohistochem/Manual (88360) | $107.10 | $126 | 0.6× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$43.99–$47.18 | $51.75–$55.50 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$47.18–$84.79 | $55.50–$99.75 | varies |
| Urinalysis Microscopic Only (81015) | $30.60 | $36 | 10.0× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$14.45–$68.64 | $17–$80.75 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $45.26 | $53.25 | 14.3× |
| Valproic acid (80164) | $198.69 | $233.75 | 14.7× |
| Vancomycin (80202) range across 2 matching MRF lines |
$215.48–$215.90 | $253.50–$254 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$41.65–$72.25 | $49–$85 | varies |
| Very Long Chain Fatty Acids (82726) | $50.36 | $59.25 | 2.5× |
| Virus antibody nos (86790) | $82.66 | $97.25 | 6.4× |
| Viscosity serum (85810) | $72.25 | $85 | 6.2× |
| Vit D 1 25-Dihydroxy (82652) | $260.31 | $306.25 | 6.8× |
| Vitamin A (84590) range across 2 matching MRF lines |
$159.16–$170.21 | $187.25–$200.25 | varies |
| Vitamin b-12 (82607) | $172.34 | $202.75 | 11.4× |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$76.50–$189.76 | $90–$223.25 | varies |
| Vitamin c (82180) | $187 | $220 | 18.9× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$126.65–$182.11 | $149–$214.25 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$159.16–$170.21 | $187.25–$200.25 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $125.16 | $147.25 | 10.4× |
| Von willebrand factor ag (85246) | $100.09 | $117.75 | 4.4× |
| West nile virus ab igm (86788) | $76.50 | $90 | 4.5× |
| West Nile Virus Antibody (86789) | $93.50 | $110 | 6.5× |
| Zinc (84630) | $82.66 | $97.25 | 7.3× |
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.