Lab & pathology prices at Connally Memorial Medical Center
Floresville, TX · every code in this section with a posted price and a Medicare benchmark.
312 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $268.13 | $357.50 | 6.9× |
| Acute hepatitis panel (80074) | $516.38 | $688.50 | 10.8× |
| Albumin Fluid (82042) | $36.38 | $48.50 | 4.7× |
| Albumin serum (82040) | $35.25 | $47 | 7.1× |
| Aldolase (82085) | $95.25 | $127 | 9.8× |
| Aldosterone urine (82088) | $281.25 | $375 | 6.9× |
| Alkaline phosphatase isoenzymes (84080) | $154.13 | $205.50 | 10.4× |
| Allergen spec ige qual multiallergen screen (86005) | $54 | $72 | 6.8× |
| Allergen specific ige (86003) range across 12 matching MRF lines |
$46.88–$133.50 | $62.50–$178 | varies |
| Alpha-1-antitrypsin total (82103) | $89.63 | $119.50 | 6.7× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$138.38–$192 | $184.50–$256 | varies |
| Alt (sgpt) (84460) | $96.75 | $129 | 18.3× |
| Aluminum (82108) range across 2 matching MRF lines |
$92.25–$153 | $123–$204 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) | $108.38 | $144.50 | 4.7× |
| Ammonia (82140) | $167.25 | $223 | 11.5× |
| Amylase urine (82150) range across 2 matching MRF lines |
$106.13–$114.75 | $141.50–$153 | varies |
| Anca screen each antibody (86036) | $42.38 | $56.50 | 3.5× |
| Anca Titer Each Antibody (86037) | $42.38 | $56.50 | 3.5× |
| Angiotensin converting enzyme csf (82164) | $121.50 | $162 | 8.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $114.75 | $153 | 7.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $126.38 | $168.50 | 9.6× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $126.38 | $168.50 | 8.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$170.63–$175.50 | $227.50–$234 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $43.13 | $57.50 | 3.5× |
| Antibody helicobacter pylori (86677) range across 3 matching MRF lines |
$177.75–$183.38 | $237–$244.50 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $121.50 | $162 | 9.2× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$105.38–$110.63 | $140.50–$147.50 | varies |
| Antigen typing (86905) range across 2 matching MRF lines |
$266.25–$630 | $355–$840 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $378 | $504 | 66.1× |
| Antinuclear antibodies (86038) | $120.75 | $161 | 10.0× |
| Antistreptolysin o titer (86060) | $75.75 | $101 | 10.4× |
| Antithrombin iii activity (85300) | $261.38 | $348.50 | 22.1× |
| Assay Nephelometry Not Spec (83883) | $88.50 | $118 | 6.5× |
| Assay of 5-hiaa (83497) | $141.75 | $189 | 11.0× |
| Assay of blood/uric acid (84550) | $83.63 | $111.50 | 18.5× |
| Assay of calcium in urine (82340) | $79.50 | $106 | 13.2× |
| Assay of cpk in blood (82552) | $88.50 | $118 | 6.6× |
| Assay of estrone (82679) | $165.75 | $221 | 6.6× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$92.63–$95.63 | $123.50–$127.50 | varies |
| Assay of lactic acid (83605) | $106.50 | $142 | 9.2× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$120.75–$325.50 | $161–$434 | varies |
| Assay of serotonin (84260) | $446.25 | $595 | 14.4× |
| Assay of serum potassium (84132) | $67.50 | $90 | 14.2× |
| Assay of urea nitrogen (84520) | $55.13 | $73.50 | 14.0× |
| Assay of urine vma (84585) | $206.63 | $275.50 | 13.3× |
| Assay of vitamin b-1 (84425) | $219.75 | $293 | 10.4× |
| Assay Ph Body Fluid Nos (83986) | $28.13 | $37.50 | 7.9× |
| Bartonella antibody (86611) | $63.38 | $84.50 | 6.2× |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$60.38–$153 | $80.50–$204 | varies |
| Beta-2 Microglobulin (82232) | $121.50 | $162 | 7.5× |
| Bilirubin direct (82248) | $97.50 | $130 | 19.4× |
| Bilirubin total (82247) | $36.38 | $48.50 | 7.2× |
| Blastomyces antibody (86612) | $87.38 | $116.50 | 6.8× |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$255.75–$330 | $341–$440 | varies |
| Bleeding time test (85002) | $73.13 | $97.50 | 15.2× |
| Blood count reticulocyte automated (85045) | $69.75 | $93 | 17.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$33–$120.75 | $44–$161 | varies |
| Blood gas (82803) | $118.88 | $158.50 | 4.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $39.38 | $52.50 | 9.0× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $630 | $840 | 99.2× |
| Blood typing serologic abo (86900) | $307.50 | $410 | 102.8× |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$45.38–$47.63 | $60.50–$63.50 | varies |
| C-Peptide (84681) | $206.63 | $275.50 | 9.9× |
| C-reactive protein (86140) | $87.75 | $117 | 16.9× |
| Ca 19-9 (86301) | $181.88 | $242.50 | 8.7× |
| Calcitonin (82308) | $205.88 | $274.50 | 7.7× |
| Calcium ionized (82330) | $216.38 | $288.50 | 15.8× |
| Calcium total (82310) | $72.38 | $96.50 | 14.0× |
| Calculus assay quant (82360) | $159.75 | $213 | 12.4× |
| Calprotectin Fecal (83993) | $69 | $92 | 3.5× |
| Cancer Antigen 125 (86304) | $239.25 | $319 | 11.5× |
| Cancer Antigen 27.29 (86300) | $143.63 | $191.50 | 6.9× |
| Carbamazepine total (80156) | $133.50 | $178 | 9.2× |
| Carcinoembryonic antigen (82378) | $176.25 | $235 | 9.3× |
| Cardiolipin ab iga (86147) | $160.88 | $214.50 | 6.3× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$87–$92.25 | $116–$123 | varies |
| Ceruloplasmin (82390) | $106.50 | $142 | 9.9× |
| Chloride urine (82436) | $67.50 | $90 | 11.7× |
| Cholesterol total (82465) | $57.75 | $77 | 13.3× |
| Chorionic gonadotropin test (84702) | $177.75 | $237 | 11.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $220.50 | $294 | 6.3× |
| Citric acid urine (82507) | $365.63 | $487.50 | 13.2× |
| Ckmb (82553) | $181.88 | $242.50 | 15.7× |
| Clostridium Difficile (87324) | $82.13 | $109.50 | 6.9× |
| Compatibility test antiglob (86922) | $378 | $504 | 2.2× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$78–$206.63 | $104–$275.50 | varies |
| Complement Total (Ch50) (86162) | $164.63 | $219.50 | 8.1× |
| Complement/Function Activity (86161) | $78 | $104 | 6.5× |
| Coombs direct (86880) | $93 | $124 | 17.3× |
| Copper urine (82525) range across 2 matching MRF lines |
$92.63–$96 | $123.50–$128 | varies |
| Cortisol saliva (82533) | $150.75 | $201 | 9.2× |
| Creatine kinase total (82550) | $100.88 | $134.50 | 15.5× |
| Creatinine blood (82565) | $60.75 | $81 | 11.9× |
| Creatinine clearance (82575) | $154.13 | $205.50 | 16.3× |
| Creatinine Urine (82570) | $62.25 | $83 | 12.0× |
| Crp High Sensitivity (86141) | $243.38 | $324.50 | 18.8× |
| Cryoglobulin (82595) | $62.63 | $83.50 | 9.7× |
| Cryptosporidium ag eia (87328) | $101.63 | $135.50 | 7.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $91.13 | $121.50 | 11.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $125.63 | $167.50 | 16.3× |
| Culture afb (87116) | $143.63 | $191.50 | 13.3× |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$178.13–$192.38 | $237.50–$256.50 | varies |
| Culture blood (87040) range across 6 matching MRF lines |
$133.50–$141 | $178–$188 | varies |
| Culture csf (87070) range across 10 matching MRF lines |
$141–$145.13 | $188–$193.50 | varies |
| Culture screen only (87081) range across 3 matching MRF lines |
$160.88–$165.38 | $214.50–$220.50 | varies |
| Culture stool (87045) | $141.75 | $189 | 15.0× |
| Cytomegalovirus igg (86644) | $141.75 | $189 | 9.9× |
| Cytp Concentration Smears & Interpretation (88108) | $93 | $124 | 2.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $136.50 | $182 | 2.6× |
| Dhea (82626) | $246 | $328 | 9.7× |
| Digoxin (80162) | $129.75 | $173 | 9.8× |
| Dna Antibody Native/Double Stranded (86225) | $150.75 | $201 | 11.0× |
| Dna Antibody Single Stranded (86226) | $253.13 | $337.50 | 20.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $116.63 | $155.50 | 8.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $116.63 | $155.50 | 8.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$210.38–$316.88 | $280.50–$422.50 | varies |
| Electrolyte panel (80051) | $106.50 | $142 | 15.2× |
| Erythropoietin (82668) | $219.75 | $293 | 11.7× |
| Estradiol serum (82670) | $257.25 | $343 | 9.2× |
| Estriol (82677) | $148.50 | $198 | 6.1× |
| Exam Synovial Fluid Crystals (89060) | $159 | $212 | 21.7× |
| F2 Gene (81240) range across 5 matching MRF lines |
$75.75–$192.38 | $101–$256.50 | varies |
| Factor ii activity (85210) | $87 | $116 | 6.7× |
| Factor v leiden mutation (81241) | $303.38 | $404.50 | 4.1× |
| Factor viii assay (85240) | $303.38 | $404.50 | 16.9× |
| Factor X (85260) | $122.25 | $163 | 6.8× |
| Fecal Fat Qualitative (82705) | $120.38 | $160.50 | 23.6× |
| Ferritin (82728) | $177.75 | $237 | 13.0× |
| Fibrin degradation products (85362) | $101.63 | $135.50 | 14.8× |
| Fibrin Degradation Quant (85379) | $135.38 | $180.50 | 13.3× |
| Fibrinogen activity (85384) | $87.75 | $117 | 9.0× |
| Flow cytometry first marker (88184) | $1,205.25 | $1,607 | 3.3× |
| Fluorescent antibody screen (86255) | $97.50 | $130 | 8.1× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 5 matching MRF lines |
$78–$88.50 | $104–$118 | varies |
| Folic acid rbc (82747) | $239.25 | $319 | 13.6× |
| Folic Acid Serum (82746) | $132 | $176 | 9.0× |
| Follicle Stimulating Hormone (83001) | $172.13 | $229.50 | 9.3× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $64.13 | $85.50 | 0.4× |
| Frozen Section (88331) | $136.50 | $182 | 0.8× |
| Fungi Identification Yeast (87106) | $59.63 | $79.50 | 5.8× |
| Gammaglobulin ige (82785) | $118.88 | $158.50 | 7.2× |
| Gastrin (82941) | $165.75 | $221 | 9.4× |
| Ggt (82977) | $69.75 | $93 | 9.7× |
| Giardia antigen (87329) | $131.25 | $175 | 11.0× |
| Glucose 2 hr pp (82950) | $90.75 | $121 | 19.1× |
| Glucose body fluid (82945) | $63.38 | $84.50 | 16.1× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$30–$60.75 | $40–$81 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$136.13–$140.25 | $181.50–$187 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $150.75 | $201 | 20.0× |
| H Pylori (C-13) Breath (83013) | $385.13 | $513.50 | 5.7× |
| Haptoglobin (83010) | $143.63 | $191.50 | 11.4× |
| Helicobacter Pylori Stool (87338) | $97.50 | $130 | 6.8× |
| Hematocrit (85014) | $37.88 | $50.50 | 16.0× |
| Hemoglobin (85018) | $37.88 | $50.50 | 16.0× |
| Hemoglobin a1c (83036) | $129.75 | $173 | 13.4× |
| Hemoglobin electrophoresis (83020) | $95.25 | $127 | 7.4× |
| Hep a ab igm (86709) | $83.63 | $111.50 | 7.4× |
| Hepatitis a antibody total (86708) | $113.25 | $151 | 9.1× |
| Hepatitis b core ab total (86704) | $145.13 | $193.50 | 12.0× |
| Hepatitis B Surface Antibody (86706) | $141 | $188 | 13.1× |
| Hepatitis B Surface Antigen (87340) | $136.13 | $181.50 | 13.2× |
| Hepatitis Be Antibody (86707) | $81.38 | $108.50 | 7.0× |
| Hepatitis Be Antigen (87350) | $81.38 | $108.50 | 7.1× |
| Hepatitis C Antibody (86803) | $150.75 | $201 | 10.6× |
| Hepatitis C Genotype (87902) | $1,570.88 | $2,094.50 | 6.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $450.38 | $600.50 | 12.8× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$798–$822 | $1,064–$1,096 | varies |
| Herpes simplex type 2 (86696) | $125.63 | $167.50 | 6.5× |
| Heterophile Antibody Screen (86308) | $78.75 | $105 | 15.2× |
| Hfe Gene (81256) | $236.25 | $315 | 3.6× |
| Histoplasma antibody (86698) | $101.63 | $135.50 | 7.4× |
| Hiv-1 Antibody (86701) | $167.25 | $223 | 18.8× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $262.88 | $350.50 | 3.5× |
| Homocysteine (83090) | $354 | $472 | 19.8× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $116.63 | $155.50 | 9.7× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $179.63 | $239.50 | 12.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $247.50 | $330 | 3.5× |
| Iadna hepatitis b virus amplified probe tq (87516) | $210 | $280 | 6.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $1,003.50 | $1,338 | 23.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $220.50 | $294 | 6.3× |
| Igg subclasses (82787) range across 4 matching MRF lines |
$34.50–$37.13 | $46–$49.50 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $183.75 | $245 | 6.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$84.38–$183.75 | $112.50–$245 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $283.50 | $378 | 18.9× |
| Immunoassay nonantibody (83516) range across 8 matching MRF lines |
$75–$87.75 | $100–$117 | varies |
| Immunofixation electrophoresis (86334) | $513.75 | $685 | 23.0× |
| In situ hybridization 1st probe stain (88365) | $636.75 | $849 | 3.7× |
| Influenza a/b ag eia (87400) | $82.13 | $109.50 | 5.8× |
| Insulin total (83525) | $159.75 | $213 | 14.0× |
| Intrinsic factor antibody (86340) | $170.63 | $227.50 | 11.3× |
| Iron (83540) | $63.38 | $84.50 | 9.8× |
| Iron Binding Capacity (83550) | $106.50 | $142 | 12.2× |
| Islet cell antibody (86341) | $126.38 | $168.50 | 5.4× |
| Koh Prep (87220) | $31.50 | $42 | 7.4× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$100.13–$103.13 | $133.50–$137.50 | varies |
| Lactoferrin Fecal Quantitative (83631) | $96 | $128 | 4.9× |
| Lead (83655) | $121.50 | $162 | 10.0× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$205.88–$211.88 | $274.50–$282.50 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $51.38 | $68.50 | 1.8× |
| Level ii surg pathology grossµscopic exam (88302) | $93 | $124 | 2.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $630 | $840 | 1.7× |
| Lipase (83690) | $100.13 | $133.50 | 14.5× |
| Lithium (80178) | $79.50 | $106 | 12.0× |
| Luteinizing Hormone (Lh) (83002) | $172.13 | $229.50 | 9.3× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$210.75–$221.25 | $281–$295 | varies |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$67.50–$69.38 | $90–$92.50 | varies |
| Methylmalonic acid serum (83921) | $105 | $140 | 5.0× |
| Microalbumin, quantitative (82043) | $97.50 | $130 | 16.9× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$136.88–$141 | $182.50–$188 | varies |
| Mumps antibody (86735) | $136.13 | $181.50 | 10.4× |
| Myoglobin urine (83874) | $176.25 | $235 | 13.6× |
| Natriuretic peptide (83880) | $213 | $284 | 5.4× |
| Nuclear antigen antibody (86235) range across 8 matching MRF lines |
$116.25–$164.63 | $155–$219.50 | varies |
| Occult Blood Other Sources (82271) | $28.88 | $38.50 | 5.4× |
| Osmolality serum (83930) | $97.50 | $130 | 14.8× |
| Osmolality Urine (83935) | $82.88 | $110.50 | 12.2× |
| Ova and parasites smears (87177) | $116.63 | $155.50 | 13.1× |
| Oxalate urine (83945) | $131.25 | $175 | 9.1× |
| Parvovirus antibody (86747) | $171 | $228 | 11.4× |
| Ph urine (81003) | $60.75 | $81 | 27.0× |
| Phenobarbital Level (80184) | $91.88 | $122.50 | 6.0× |
| Phenylalanine (84030) | $133.50 | $178 | 24.3× |
| Phenytoin (Dilantin) (80185) | $110.63 | $147.50 | 8.3× |
| Phosphatase alkaline (84075) | $66.38 | $88.50 | 12.8× |
| Phosphorus Serum (84100) | $63.38 | $84.50 | 13.4× |
| Phosphorus urine (84105) | $61.50 | $82 | 10.6× |
| Pinworm exam (87172) | $30.75 | $41 | 7.2× |
| Platelet Antibodies (86022) range across 5 matching MRF lines |
$62.63–$292.50 | $83.50–$390 | varies |
| Platelet count automated (85049) | $52.50 | $70 | 11.7× |
| Porphobilinogen, urine; quantitative (84110) | $56.25 | $75 | 6.7× |
| Potassium Urine (84133) | $61.50 | $82 | 13.0× |
| Prealbumin (84134) | $113.25 | $151 | 7.8× |
| Progesterone (84144) | $145.13 | $193.50 | 7.0× |
| Prolactin (84146) | $177.75 | $237 | 9.2× |
| Protein body fluid (84157) | $87 | $116 | 21.8× |
| Protein c antigen (85302) | $82.13 | $109.50 | 6.8× |
| Protein Electrophoresis Urine (84166) | $114.75 | $153 | 6.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $85.50 | $114 | 8.0× |
| Protein S Free (85306) | $322.88 | $430.50 | 21.1× |
| Protein s total (85305) | $132 | $176 | 11.4× |
| Protein total serum (84155) | $59.25 | $79 | 16.1× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$35.25–$82.13 | $47–$109.50 | varies |
| Pth Intact (83970) | $472.88 | $630.50 | 11.5× |
| Quantiferon tb gold plus (86480) | $399 | $532 | 6.4× |
| Rbc antibody identification (86870) | $630 | $840 | 1.7× |
| Rbc antibody screen (86850) | $125.63 | $167.50 | 12.9× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$17.25–$35.25 | $23–$47 | varies |
| Renin activity plasma (84244) | $197.63 | $263.50 | 9.0× |
| Reticulocyte separation (86972) | $108 | $144 | 0.6× |
| Rh (86901) | $93 | $124 | 31.1× |
| Rheumatoid Factor Qualitative (86430) | $87.75 | $117 | 14.3× |
| Rotavirus ag eia (87425) | $101.63 | $135.50 | 8.5× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$73.13–$75 | $97.50–$100 | varies |
| Rubella Antibody (86762) | $190.13 | $253.50 | 13.2× |
| Rubeola antibody (86765) | $150.75 | $201 | 11.7× |
| Russell Viper Venom Time Diluted (85613) | $63.38 | $84.50 | 6.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $180.38 | $240.50 | 3.5× |
| Sedimentation Rate, Automated (85652) | $82.13 | $109.50 | 30.4× |
| Sensitivity mic (87186) | $78.75 | $105 | 9.1× |
| Sex Hormone Binding Globulin (84270) | $76.50 | $102 | 3.5× |
| Sickling of rbc reduction (85660) | $82.88 | $110.50 | 15.0× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$55.88–$57.38 | $74.50–$76.50 | varies |
| Smear complex stain (87209) | $105 | $140 | 5.8× |
| Smear gram stain (87205) range across 4 matching MRF lines |
$55.50–$58.50 | $74–$78 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$75.38–$77.63 | $100.50–$103.50 | varies |
| Sodium Serum (84295) | $60.75 | $81 | 12.6× |
| Sodium Urine (84300) | $60.75 | $81 | 12.0× |
| Special Stains Group 1 (88312) | $130.88 | $174.50 | 2.5× |
| Special Stains Group 2 (88313) | $93 | $124 | 0.7× |
| Stool cultr aerobic bact ea (87046) | $57.75 | $77 | 6.1× |
| Sulfate urine (84392) | $34.50 | $46 | 6.3× |
| Surg path level iii (88304) | $136.50 | $182 | 2.6× |
| Surgical pathology level IV (88305) | $136.50 | $182 | 2.6× |
| Surgical pathology level vi (88309) | $1,582.13 | $2,109.50 | 2.0× |
| T cells absolute cd4 count (86361) | $168 | $224 | 6.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $292.50 | $390 | 6.2× |
| T3 Free (84481) | $189.38 | $252.50 | 11.2× |
| T3 Total (84480) | $129.75 | $173 | 9.2× |
| T3 Uptake (84479) | $72.38 | $96.50 | 11.2× |
| T4 Free (84439) | $131.25 | $175 | 14.6× |
| T4 total (84436) | $87.75 | $117 | 12.8× |
| Tacrolimus (80197) | $230.25 | $307 | 16.8× |
| Test for acetone/ketones (82009) | $62.25 | $83 | 13.8× |
| Testosterone total (84403) | $216.38 | $288.50 | 8.4× |
| Testosterone, Free (84402) | $228 | $304 | 9.0× |
| Theophylline (80198) | $140.63 | $187.50 | 9.9× |
| Thrombin Time (85670) | $104.25 | $139 | 18.1× |
| Thyroglobulin Antibody (86800) | $113.25 | $151 | 7.1× |
| Topiramate (80201) | $126.38 | $168.50 | 10.6× |
| Toxoplasma ab igm (86778) | $93.38 | $124.50 | 6.5× |
| Toxoplasma antibody (86777) | $93.38 | $124.50 | 6.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $96.75 | $129 | 18.7× |
| Transferrin (84466) | $129.75 | $173 | 10.2× |
| Triglycerides (84478) | $104.25 | $139 | 18.2× |
| Troponin Quant (84484) | $167.25 | $223 | 13.4× |
| Tumor Immunohistochem/Manual (88360) | $1,377.75 | $1,837 | 8.0× |
| Uric acid other source (84560) | $125.63 | $167.50 | 24.7× |
| Urine Bacteria Culture (87088) | $114.75 | $153 | 14.2× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $89.63 | $119.50 | 28.3× |
| Valproic acid (80164) | $151.88 | $202.50 | 11.2× |
| Vancomycin (80202) range across 3 matching MRF lines |
$136.50–$143.63 | $182–$191.50 | varies |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$85.50–$87.75 | $114–$117 | varies |
| Viral Culture (87252) range across 2 matching MRF lines |
$155.63–$201.38 | $207.50–$268.50 | varies |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$88.50–$241.13 | $118–$321.50 | varies |
| Vitamin A (84590) | $181.13 | $241.50 | 15.6× |
| Vitamin b-12 (82607) | $147.75 | $197 | 9.8× |
| Vitamin B6 (84207) | $286.13 | $381.50 | 10.2× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$92.25–$186.75 | $123–$249 | varies |
| Von willebrand factor ag (85246) | $230.25 | $307 | 10.0× |
| West nile virus ab igm (86788) | $108.38 | $144.50 | 6.4× |
| West Nile Virus Antibody (86789) | $93.38 | $124.50 | 6.5× |
| Zinc (84630) | $93.38 | $124.50 | 8.2× |
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.