Lab & pathology prices at Community Medical Center, Inc
Falls City, NE · every code in this section with a posted price and a Medicare benchmark.
352 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $164 | $248 | 4.2× |
| Actin smooth muscle antibody each (86015) | $96 | $146 | 8.0× |
| Acute hepatitis panel (80074) | $185 | $280 | 3.9× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$29–$67 | $44–$101 | varies |
| Albumin serum (82040) | $43 | $65 | 8.7× |
| Aldolase (82085) | $48 | $73 | 4.9× |
| Aldosterone urine (82088) | $188 | $285 | 4.6× |
| Allergen specific ige (86003) range across 12 matching MRF lines |
$18–$36 | $27–$55 | varies |
| Alpha-1-antitrypsin total (82103) | $106 | $160 | 7.9× |
| Alpha-Fetoprotein Serum (82105) | $184 | $279 | 11.0× |
| Alt (sgpt) (84460) | $44 | $66 | 8.3× |
| Ammonia (82140) | $123 | $186 | 8.4× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $252 | $382 | 2.6× |
| Amylase urine (82150) | $67 | $102 | 10.3× |
| Ana Titer (86039) range across 5 matching MRF lines |
$33–$495 | $50–$750 | varies |
| Androstenedione (82157) range across 2 matching MRF lines |
$159–$178 | $241–$269 | varies |
| Angiotensin converting enzyme csf (82164) | $92 | $139 | 6.3× |
| Anti-Phospholipid Antibody (86148) | $73 | $110 | 4.5× |
| Antibody aspergillus (86606) | $118 | $179 | 7.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $63 | $96 | 4.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $113 | $171 | 6.7× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $104 | $158 | 7.9× |
| Antibody Fungus Not Elsewhere Specified (86671) | $28 | $43 | 2.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $43 | $65 | 3.0× |
| Antibody Herpes Smplx Type 1 (86695) | $53 | $80 | 4.0× |
| Antibody HIV-1&HIV-2 single result (86703) | $75 | $114 | 5.5× |
| Antibody Identification Platelet Immunogl Assay (86023) | $106 | $160 | 8.5× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$46–$51 | $70–$77 | varies |
| Antinuclear antibodies (86038) | $110 | $167 | 9.1× |
| Antistreptolysin o titer (86060) | $77 | $116 | 10.5× |
| Antithrombin iii activity (85300) | $156 | $237 | 13.2× |
| Apolipoprotein a1 (82172) | $280 | $424 | 13.3× |
| Arsenic (82175) | $58 | $88 | 3.1× |
| Assay Nephelometry Not Spec (83883) | $63 | $96 | 4.6× |
| Assay of blood/uric acid (84550) | $55 | $83 | 12.2× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$38–$50 | $58–$75 | varies |
| Assay of estrone (82679) | $20 | $31 | 0.8× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$75–$84 | $113–$128 | varies |
| Assay of lactic acid (83605) | $80 | $121 | 6.9× |
| Assay of metanephrines (83835) | $152 | $231 | 9.0× |
| Assay of proinsulin (84206) | $53 | $81 | 2.0× |
| Assay of serum potassium (84132) | $43 | $65 | 9.0× |
| Assay of urea nitrogen (84520) | $45 | $68 | 11.4× |
| Assay of urine vma (84585) | $63 | $96 | 4.1× |
| Assay of vitamin b-1 (84425) | $135 | $205 | 6.4× |
| Assay Ph Body Fluid Nos (83986) | $36 | $54 | 10.1× |
| B cells total count (86355) | $87 | $132 | 2.3× |
| Bartonella antibody (86611) | $40 | $61 | 3.9× |
| Bcr/abl1 gene major bp (81206) | $465 | $704 | 2.8× |
| Bcr/abl1 gene minor bp (81207) | $465 | $704 | 3.2× |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$102–$218 | $154–$330 | varies |
| Beta-2 Microglobulin (82232) | $92 | $139 | 5.7× |
| Bilirubin direct (82248) | $64 | $97 | 12.7× |
| Bilirubin total (82247) | $64 | $97 | 12.7× |
| Bilirubin total transcutaneous (88720) | $15 | $22 | 3.0× |
| Blastomyces antibody (86612) | $75 | $113 | 5.8× |
| Bld Typing Serologic Rh Phnt (86906) | $216 | $327 | 27.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $39 | $59 | 10.3× |
| Blood gas (82803) | $136 | $206 | 5.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $22 | $33 | 1.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $88 | $134 | 20.1× |
| Blood typing serologic abo (86900) | $43 | $65 | 14.4× |
| C diff amplified probe (87493) | $93 | $141 | 2.5× |
| C-Peptide (84681) | $164 | $249 | 7.9× |
| C-reactive protein (86140) | $67 | $102 | 12.9× |
| Ca 19-9 (86301) | $106 | $161 | 5.1× |
| Calcitonin (82308) | $89 | $135 | 3.3× |
| Calcium ionized (82330) | $106 | $160 | 7.7× |
| Calcium total (82310) | $43 | $65 | 8.3× |
| Calculus Spectroscopy (82365) | $83 | $125 | 6.4× |
| Calprotectin Fecal (83993) | $403 | $611 | 20.5× |
| Cancer Antigen 125 (86304) | $173 | $262 | 8.3× |
| Cancer Antigen 27.29 (86300) | $136 | $206 | 6.5× |
| Candida Dna Dir Probe (87480) | $75 | $113 | 3.7× |
| Carbamazepine total (80156) | $116 | $176 | 8.0× |
| Carboxyhemoglobin (82375) | $50 | $75 | 4.1× |
| Carcinoembryonic antigen (82378) | $142 | $215 | 7.5× |
| Cardiolipin ab iga (86147) | $128 | $194 | 5.0× |
| Carotene (82380) | $75 | $113 | 8.1× |
| Catecholamines fractionated (82384) | $144 | $218 | 5.7× |
| Ccp antibody (86200) | $156 | $236 | 12.0× |
| Cell count csf (89051) | $78 | $118 | 13.9× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 2 matching MRF lines |
$189–$302 | $286–$457 | varies |
| Ceruloplasmin (82390) | $63 | $95 | 5.9× |
| Cholesterol total (82465) | $43 | $65 | 9.9× |
| Chorionic gonadotropin test (84702) | $147 | $223 | 9.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $137 | $208 | 3.9× |
| Ckmb (82553) | $135 | $204 | 11.7× |
| Clostridium Difficile (87324) | $118 | $179 | 9.8× |
| Coccidioides antibody (86635) | $69 | $104 | 6.0× |
| Cold agglutinin titer (86157) | $64 | $97 | 7.9× |
| Collagen crosslinks (82523) | $182 | $275 | 9.7× |
| Compatibility test antiglob (86922) | $183 | $278 | 1.0× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$70–$90 | $106–$137 | varies |
| Complement Total (Ch50) (86162) | $139 | $211 | 6.8× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $143 | $217 | 2.6× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $61 | $93 | 1.6× |
| Coombs direct (86880) | $64 | $97 | 11.9× |
| Copper urine (82525) | $83 | $126 | 6.7× |
| Cortisol free (82530) range across 2 matching MRF lines |
$99–$193 | $150–$293 | varies |
| Cortisol saliva (82533) range across 6 matching MRF lines |
$79–$113 | $119–$171 | varies |
| Creatine kinase total (82550) | $67 | $102 | 10.3× |
| Creatinine blood (82565) | $43 | $65 | 8.4× |
| Creatinine clearance (82575) | $88 | $134 | 9.3× |
| Creatinine Urine (82570) | $58 | $88 | 11.2× |
| Crp High Sensitivity (86141) | $152 | $231 | 11.7× |
| Cryptosporidium ag eia (87328) | $90 | $137 | 6.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $75 | $113 | 9.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $110 | $167 | 14.3× |
| Culture afb (87116) | $44 | $66 | 4.1× |
| Culture Anaerobic (87075) | $116 | $176 | 12.2× |
| Culture blood (87040) | $152 | $231 | 14.7× |
| Culture csf (87070) | $86 | $130 | 10.0× |
| Culture screen only (87081) | $57 | $87 | 8.6× |
| Culture urine (87086) | $65 | $99 | 8.1× |
| Cytomegalovirus igg (86644) | $101 | $153 | 7.0× |
| Cytopath Cell Enhance Tech (88112) | $84 | $127 | 1.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $75 | $114 | 2.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $230 | $348 | 4.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $38 | $58 | 1.0× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $45 | $68 | 2.4× |
| Deoxycortisol (82634) | $80 | $121 | 2.7× |
| Desoxycorticosterone (82633) | $80 | $121 | 2.6× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$195–$264 | $295–$400 | varies |
| Detect agnt mult DNA ampli (87801) | $208 | $315 | 3.0× |
| Dhea (82626) | $152 | $231 | 6.0× |
| Dhea-S (82627) | $150 | $227 | 6.7× |
| Digoxin (80162) | $99 | $150 | 7.5× |
| Dna Antibody Native/Double Stranded (86225) | $74 | $112 | 5.4× |
| Drug assay acetaminophen (80143) | $152 | $231 | 8.2× |
| Drug Assay Everolimus (80169) | $100 | $152 | 7.3× |
| Drug Assay Infliximab (80230) | $528 | $800 | 13.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $129 | $196 | 9.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $129 | $196 | 9.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 9 matching MRF lines |
$20–$211 | $30–$320 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $173 | $262 | 13.7× |
| Enzyme cell activity (82657) | $468 | $709 | 21.1× |
| Estradiol serum (82670) | $203 | $308 | 7.3× |
| Ethylene Glycol (82693) | $87 | $132 | 5.8× |
| Exam Synovial Fluid Crystals (89060) | $81 | $123 | 11.1× |
| F2 Gene (81240) | $161 | $244 | 2.5× |
| Factor v leiden mutation (81241) | $547 | $829 | 7.5× |
| Factor viii assay (85240) | $191 | $290 | 10.7× |
| Factor X (85260) range across 2 matching MRF lines |
$79–$218 | $120–$330 | varies |
| Fecal Fat Qualitative (82705) | $42 | $63 | 8.2× |
| Ferritin (82728) | $116 | $176 | 8.5× |
| Fetal Fibronectin (82731) | $263 | $398 | 4.1× |
| Fibrin Degradation Quant (85379) | $105 | $159 | 10.3× |
| Fibrinogen activity (85384) | $86 | $131 | 8.8× |
| Flow cytometry first marker (88184) | $792 | $1,200 | 2.1× |
| Fluorescent antibody screen (86255) | $145 | $220 | 12.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $93 | $141 | 7.7× |
| Folic acid rbc (82747) | $85 | $129 | 4.8× |
| Folic Acid Serum (82746) | $99 | $150 | 6.7× |
| Follicle Stimulating Hormone (83001) | $184 | $279 | 9.9× |
| Frozen Section (88331) range across 2 matching MRF lines |
$319–$380 | $484–$575 | varies |
| Fungi Identification Yeast (87106) | $99 | $150 | 9.6× |
| Gammaglobulin ige (82785) | $108 | $163 | 6.6× |
| Gardner vag DNA dir probe (87510) | $75 | $113 | 3.7× |
| Gentamicin (80170) | $168 | $255 | 10.3× |
| Ggt (82977) | $38 | $58 | 5.3× |
| Giardia antigen (87329) | $118 | $179 | 9.8× |
| Glucose body fluid (82945) | $32 | $49 | 8.1× |
| Glucose Serum (82947) | $43 | $65 | 10.9× |
| Glucose tolerance test (gtt) (82951) | $123 | $186 | 9.6× |
| Gonadotropin Chorionic Qualitative (84703) | $99 | $150 | 13.2× |
| Growth hormone (83003) | $96 | $146 | 5.8× |
| Gtt-added samples (82952) | $38 | $58 | 9.7× |
| Haptoglobin (83010) | $82 | $124 | 6.5× |
| Helicobacter Pylori Stool (87338) | $152 | $231 | 10.6× |
| Hematocrit (85014) range across 3 matching MRF lines |
$38–$72 | $57–$109 | varies |
| Hemoglobin (85018) | $38 | $57 | 16.0× |
| Hemoglobin a1c (83036) | $67 | $102 | 6.9× |
| Hep a ab igm (86709) | $67 | $102 | 6.0× |
| Heparin assay (85520) | $186 | $282 | 14.2× |
| Hepatitis a antibody total (86708) | $106 | $161 | 8.6× |
| Hepatitis b core ab igm (86705) | $71 | $108 | 6.0× |
| Hepatitis b core ab total (86704) | $67 | $101 | 5.6× |
| Hepatitis B Surface Antibody (86706) | $69 | $104 | 6.4× |
| Hepatitis Be Antibody (86707) | $71 | $108 | 6.1× |
| Hepatitis Be Antigen (87350) | $96 | $146 | 8.3× |
| Hepatitis C Antibody (86803) | $101 | $153 | 7.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $271 | $410 | 6.3× |
| Herpes simplex type 2 (86696) | $80 | $121 | 4.1× |
| Heterophile Antibody Screen (86308) | $61 | $92 | 11.8× |
| Hfe Gene (81256) | $100 | $151 | 1.5× |
| Histoplasma antibody (86698) | $94 | $143 | 6.8× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$219–$235 | $332–$356 | varies |
| Hiv-1 Antibody (86701) | $39 | $59 | 4.4× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $213 | $323 | 2.5× |
| Hla-b27 (86812) | $119 | $181 | 4.6× |
| Homocysteine (83090) | $158 | $240 | 8.8× |
| Homovanillic acid urine (83150) range across 3 matching MRF lines |
$51–$219 | $77–$332 | varies |
| Hydroxyprogesterone 17-d (83498) | $140 | $212 | 5.2× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $75 | $114 | 7.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $58 | $88 | 1.6× |
| Iadna Cytomegalovirus Quantification (87497) | $271 | $411 | 6.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $223 | $338 | 5.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $137 | $208 | 3.9× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $218 | $330 | 0.8× |
| Igg subclasses (82787) | $107 | $162 | 13.3× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $53 | $81 | 0.1× |
| Immune Complex Assay (86332) | $67 | $102 | 2.7× |
| Immunfix e-phorsis/urine/csf (86335) | $132 | $200 | 4.5× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$84–$158 | $128–$239 | varies |
| Immunoassay nonantibody (83516) range across 9 matching MRF lines |
$77–$636 | $116–$964 | varies |
| Immunodiffusion Ouchterlony (86331) | $28 | $43 | 2.3× |
| Immunofixation electrophoresis (86334) | $63 | $96 | 2.8× |
| Immunohistochemistry (88342) | $214 | $324 | 1.2× |
| In situ hybridization 1st probe stain (88365) | $216 | $327 | 1.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $58 | $88 | 0.8× |
| Influenza assay w/optic (87804) | $48 | $72 | 2.9× |
| Influenza DNA amp probe (87502) | $98 | $148 | 1.0× |
| Inhibin b (83520) range across 7 matching MRF lines |
$79–$370 | $120–$561 | varies |
| Insulin antibodies (86337) | $79 | $120 | 3.7× |
| Insulin total (83525) | $114 | $173 | 10.0× |
| Iron (83540) range across 2 matching MRF lines |
$38–$58 | $57–$88 | varies |
| Iron Binding Capacity (83550) | $74 | $112 | 8.5× |
| Islet cell antibody (86341) | $229 | $347 | 9.7× |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$317–$339 | $480–$513 | varies |
| Koh Prep (87220) | $40 | $61 | 9.4× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$44–$58 | $66–$88 | varies |
| Lactoferrin fecal qualitative (83630) | $92 | $139 | 4.7× |
| LDL direct (83721) | $56 | $85 | 5.3× |
| Lead (83655) | $63 | $96 | 5.2× |
| Leukocyte Assessment Fecal (89055) | $55 | $84 | 12.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $44 | $66 | 1.5× |
| Level ii surg pathology grossµscopic exam (88302) | $73 | $110 | 1.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $234 | $355 | 0.6× |
| Lipase (83690) | $70 | $106 | 10.2× |
| Lithium (80178) | $63 | $96 | 9.5× |
| Luteinizing Hormone (Lh) (83002) | $123 | $186 | 6.6× |
| Lyme disease antibody (86618) | $77 | $117 | 4.5× |
| Lymphocyte transformation (86353) | $891 | $1,350 | 18.2× |
| Lysozyme serum (85549) | $77 | $116 | 4.1× |
| Magnesium Urine (83735) | $63 | $96 | 9.4× |
| Mercury urine (83825) | $67 | $102 | 4.1× |
| Methylmalonic acid serum (83921) | $297 | $450 | 14.0× |
| Microalbumin, quantitative (82043) | $44 | $66 | 7.6× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$69–$102 | $104–$154 | varies |
| Mitochondrial Antibody Each (86381) | $96 | $146 | 3.8× |
| Mopath procedure level 4 (81403) | $507 | $768 | 2.7× |
| Mumps antibody (86735) | $70 | $106 | 5.4× |
| Myoglobin urine (83874) | $103 | $156 | 8.0× |
| Natriuretic peptide (83880) | $142 | $215 | 3.6× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $132 | $200 | 1.0× |
| Niacin (84591) range across 2 matching MRF lines |
$54–$162 | $82–$246 | varies |
| Nuclear antigen antibody (86235) range across 8 matching MRF lines |
$26–$116 | $40–$176 | varies |
| Oncology Prostate Prob Score (81539) | $1,056 | $1,600 | 1.4× |
| Osmolality serum (83930) | $67 | $101 | 10.1× |
| Osmolality Urine (83935) | $69 | $104 | 10.1× |
| Ova and parasites smears (87177) | $55 | $84 | 6.2× |
| Parvovirus antibody (86747) | $79 | $120 | 5.3× |
| Phenylalanine (84030) | $143 | $217 | 26.0× |
| Phenytoin (Dilantin) (80185) | $116 | $176 | 8.8× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$57–$58 | $87–$88 | varies |
| Phosphorus urine (84105) | $46 | $70 | 8.0× |
| Platelet count automated (85049) | $48 | $73 | 10.7× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $980 | $1,485 | 4.7× |
| Potassium Urine (84133) | $43 | $65 | 9.1× |
| Prealbumin (84134) | $70 | $106 | 4.8× |
| Procalcitonin (Pct) (84145) | $329 | $499 | 12.1× |
| Progesterone (84144) | $179 | $271 | 8.6× |
| Prolactin (84146) | $117 | $178 | 6.0× |
| Protein body fluid (84157) | $44 | $66 | 11.0× |
| Protein C Activity (85303) | $190 | $288 | 13.7× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$73–$75 | $110–$114 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $199 | $302 | 18.5× |
| Protein S Free (85306) | $183 | $278 | 11.9× |
| Protein total serum (84155) | $48 | $73 | 13.1× |
| Protein Total Urine (84156) | $43 | $65 | 11.7× |
| PSA free (84154) range across 2 matching MRF lines |
$56–$109 | $85–$165 | varies |
| Pth Intact (83970) | $337 | $511 | 8.2× |
| Q Fever Antibody (86638) | $119 | $181 | 9.8× |
| Quantiferon tb gold plus (86480) | $203 | $308 | 3.3× |
| Quantitative assay drug (80299) | $129 | $196 | 6.9× |
| Quantitative Screen Metals (83018) | $118 | $179 | 5.4× |
| Rbc antibody screen (86850) | $81 | $123 | 8.3× |
| Renin activity plasma (84244) | $72 | $109 | 3.3× |
| Reticulocyte Count Manual (85044) | $43 | $65 | 10.0× |
| Rh (86901) | $43 | $65 | 14.4× |
| Rheumatoid factor quant (86431) | $67 | $102 | 11.8× |
| Rickettsia antibody (86757) | $102 | $154 | 5.3× |
| Ristocetin cofactor (85245) | $157 | $238 | 6.8× |
| Rpr qualitative (86592) | $32 | $49 | 7.5× |
| Rsv Assay W/Optic (87807) | $77 | $116 | 5.9× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$48–$86 | $72–$130 | varies |
| Rubeola antibody (86765) | $65 | $99 | 5.0× |
| Russell Viper Venom Time Diluted (85613) | $238 | $360 | 24.8× |
| Salicylate Level (80179) | $99 | $150 | 5.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $116 | $176 | 2.3× |
| Sars-cov-2 COVID-19 antibody (86769) range across 4 matching MRF lines |
$36–$70 | $55–$106 | varies |
| Sedimentation rate (85651) | $43 | $65 | 10.1× |
| Selenium (84255) | $129 | $196 | 5.1× |
| Sensitivity mic (87186) | $90 | $136 | 10.4× |
| Sex Hormone Binding Globulin (84270) range across 4 matching MRF lines |
$73–$102 | $110–$154 | varies |
| Skin test tuberculosis intradermal (86580) | $22 | $33 | 0.7× |
| Smear acid fast (87206) | $58 | $88 | 10.8× |
| Smear gram stain (87205) | $43 | $65 | 10.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $29 | $44 | 5.0× |
| Sodium Serum (84295) | $43 | $65 | 8.9× |
| Sodium Urine (84300) | $40 | $60 | 7.9× |
| Soluble Transferrin Receptor (84238) | $205 | $310 | 5.6× |
| Somatomedin (84305) | $157 | $238 | 7.4× |
| Special Stains Group 1 (88312) | $120 | $182 | 2.2× |
| Special Stains Group 2 (88313) | $103 | $156 | 0.7× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $73 | $110 | 0.4× |
| Strep a assay w/optic (87880) | $67 | $102 | 4.1× |
| Surg path level iii (88304) | $98 | $148 | 1.8× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$145–$159 | $219–$241 | varies |
| Surgical pathology level vi (88309) | $391 | $593 | 0.5× |
| T cells total count (86359) | $87 | $132 | 2.3× |
| T3 Free (84481) | $156 | $236 | 9.2× |
| T3 reverse (84482) | $160 | $242 | 10.2× |
| T3 Total (84480) | $79 | $120 | 5.6× |
| T4 Free (84439) | $94 | $143 | 10.4× |
| T4 total (84436) | $62 | $94 | 9.0× |
| Tacrolimus (80197) | $125 | $190 | 9.1× |
| Tb ag response t-cell susp (86481) | $210 | $318 | 2.1× |
| Test for acetone/ketones (82009) | $55 | $83 | 12.2× |
| Testosterone total (84403) range across 2 matching MRF lines |
$118–$197 | $179–$299 | varies |
| Tetanus antibody (86774) | $109 | $165 | 7.4× |
| Theophylline (80198) | $129 | $196 | 9.1× |
| Thiopurine methyltransferase (84433) | $396 | $600 | 17.9× |
| Thyroglobulin (84432) | $79 | $120 | 4.9× |
| Thyroglobulin Antibody (86800) | $75 | $114 | 4.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $275 | $417 | 5.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $118 | $179 | 10.2× |
| Toxoplasma ab igm (86778) | $86 | $130 | 6.0× |
| Toxoplasma antibody (86777) | $75 | $113 | 5.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $50 | $75 | 9.7× |
| Transferrin (84466) range across 2 matching MRF lines |
$24–$99 | $36–$150 | varies |
| Trichomonas vagin dir probe (87660) | $64 | $97 | 3.2× |
| Triglycerides (84478) | $50 | $75 | 8.7× |
| Troponin Quant (84484) | $118 | $179 | 9.5× |
| Tumor immunohistochem/comput (88361) | $157 | $238 | 0.4× |
| Tumor Immunohistochem/Manual (88360) | $141 | $214 | 0.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $43 | $65 | 13.6× |
| Valproic acid (80164) | $129 | $196 | 9.5× |
| Vancomycin (80202) | $127 | $193 | 9.4× |
| Varicella-zoster antibody (86787) | $99 | $150 | 7.7× |
| Very Long Chain Fatty Acids (82726) | $205 | $311 | 10.4× |
| Vit D 1 25-Dihydroxy (82652) | $215 | $326 | 5.6× |
| Vitamin A (84590) | $102 | $154 | 8.8× |
| Vitamin b-12 (82607) | $94 | $142 | 6.2× |
| Vitamin B6 (84207) | $191 | $289 | 6.8× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$190–$201 | $288–$305 | varies |
| Vitamin E (84446) | $104 | $158 | 7.3× |
| Von willebrand factor ag (85246) | $87 | $132 | 3.8× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$71–$110 | $107–$167 | varies |
| West Nile Virus Antibody (86789) | $162 | $245 | 11.3× |
| Zinc (84630) | $83 | $126 | 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.