Lab & pathology prices at CrossRidge Community Hospital

Wynne, AR · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acth (82024) — $61 —
Acute hepatitis panel (80074) — $247 —
Agglutinins Febrile Each Antigen (86000)
range across 9 matching MRF lines
— $30–$86 —
Albumin Fluid (82042) — $20 —
Albumin serum (82040)
range across 3 matching MRF lines
— $20–$35 —
Aldolase (82085) — $49 —
Aldosterone urine (82088) — $149 —
Allergen specific ige (86003)
range across 18 matching MRF lines
— $20–$375 —
Allg Spec Ige Recomb Ea (86008) — $65 —
Alpha-1-antitrypsin phenotype (82104) — $55 —
Alpha-1-antitrypsin total (82103) — $50 —
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
— $30–$61 —
Alt (sgpt) (84460) — $20 —
Aluminum (82108) — $94 —
Amikacin trough (80150) — $55 —
Ammonia (82140) — $37 —
Amniotic fluid protein test on cervicovaginal fluid (84112) — $185 —
Amylase urine (82150)
range across 3 matching MRF lines
— $25–$100 —
Ana Titer (86039)
range across 2 matching MRF lines
— $40–$44 —
Androstenedione (82157) — $105 —
Angiotensin converting enzyme csf (82164) — $55 —
Anti-Phospholipid Antibody (86148) — $44 —
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) — $55 —
Antibody Cytomegalovirus Cmv Igm (86645) — $58 —
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) — $52 —
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) — $63 —
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) — $60 —
Antibody helicobacter pylori (86677) — $52 —
Antibody Herpes Smplx Non-Specific Type Test (86694) — $35 —
Antibody Herpes Smplx Type 1 (86695)
range across 3 matching MRF lines
— $30–$35 —
Antibody HIV-1&HIV-2 single result (86703) — $85 —
Antibody htlv/HIV antibody confirmatory test (86689) — $100 —
Antibody identification leukocyte antibodies (86021)
range across 3 matching MRF lines
— $50–$55 —
Antibody rotavirus (86759) — $61 —
Antibody Titer (86886)
range across 2 matching MRF lines
— $185–$255 —
Antibody Treponema Pallidum (86780) — $56 —
Antigen typing (86905) — $370 —
Antihuman Globulin Indir Qual Ea Reagent Cell (86885)
range across 2 matching MRF lines
— $130–$170 —
Antinuclear antibodies (86038) — $45 —
Antistreptolysin O Screen (86063) — $20 —
Antistreptolysin o titer (86060) — $39 —
Antithrombin iii activity (85300) — $44 —
Antithrombin iii antigen (85301) — $39 —
Apolipoprotein a1 (82172) — $50 —
Arsenic (82175) — $72 —
Assay Blood Carbon Dioxide (82374) — $20 —
Assay Nephelometry Not Spec (83883) — $50 —
Assay of 5-hiaa (83497) — $50 —
Assay of blood/uric acid (84550) — $19 —
Assay of calcium in urine (82340) — $22 —
Assay of estrone (82679) — $85 —
Assay of g6pd enzyme (82955) — $40 —
Assay of gammaglobulin igm (82784)
range across 5 matching MRF lines
— $15–$20 —
Assay of lactic acid (83605) — $35 —
Assay of metanephrines (83835) — $61 —
Assay of proinsulin (84206) — $55 —
Assay of serotonin (84260) — $100 —
Assay of serum potassium (84132)
range across 4 matching MRF lines
— $15–$20 —
Assay of urea nitrogen (84520)
range across 3 matching MRF lines
— $23–$26 —
Assay of urine vma (84585) — $85 —
Assay of vitamin b-1 (84425) — $70 —
Assay spec xcp ur&breath ia (82077) — $160 —
Automated Leukocyte Count (85048) — $13 —
Bartonella antibody (86611) — $35 —
Beta 2 glycoprotein i antibody each (86146) — $94 —
Beta hydroxybutyrate (82010) — $15 —
Beta-2 Microglobulin (82232) — $61 —
Bilirubin direct (82248) — $20 —
Bilirubin total (82247) — $20 —
Bl Smear W/O Diff Wbc Count (85008) — $15 —
Blastomyces antibody (86612) — $50 —
Bld Typing Serologic Rh Phnt (86906) — $116 —
Bleeding time test (85002) — $19 —
Blood count reticulocyte automated (85045) — $18 —
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) — $15 —
Blood gas (82803)
range across 2 matching MRF lines
— $98–$100 —
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) — $25 —
Blood Type Antigen Donor Reagent Serum Each (86902) — $370 —
Blood Typing Antigen Screen Patient Serum/Unit (86904) — $65 —
Blood typing serologic abo (86900)
range across 3 matching MRF lines
— $106–$126 —
Body fluid cell count (89050) — $23 —
Bordetella antibody (86615) — $70 —
Brucella antibody (86622) — $33 —
C diff amplified probe (87493)
range across 2 matching MRF lines
— $72–$75 —
C-Peptide (84681) — $77 —
C-reactive protein (86140) — $25 —
Ca 19-9 (86301) — $77 —
Calcitonin (82308) — $99 —
Calcium ionized (82330) — $50 —
Calcium total (82310) — $20 —
Calculus Spectroscopy (82365) — $61 —
Calprotectin Fecal (83993) — $135 —
Cancer Antigen 125 (86304) — $77 —
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
— $76–$77 —
Carbamazepine total (80156) — $56 —
Carboxyhemoglobin (82375) — $91 —
Carcinoembryonic antigen (82378) — $72 —
Cardiolipin ab iga (86147) — $94 —
Catecholamines fractionated (82384) — $94 —
Ccp antibody (86200)
range across 2 matching MRF lines
— $66–$140 —
Cellular Function Assay Stimul&Detect Biomarke (86352) — $454 —
Ceruloplasmin (82390) — $40 —
Chemiluminescent assay (82397) — $120 —
Chlamydia antibody (86631) — $44 —
Chlamydia Igm Antibody (86632) — $50 —
Chloride other source (82438) — $22 —
Chloride Serum (82435)
range across 2 matching MRF lines
— $19–$20 —
Chloride urine (82436) — $22 —
Cholesterol total (82465) — $25 —
Cholinesterase Serum (82480) — $30 —
Chorionic gonadotropin test (84702) — $33 —
Chromium serum (82495) — $66 —
Chromogranin a (86316) — $225 —
Chromosome Analysis 15-20 (88262) — $345 —
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) — $127 —
Citric acid urine (82507) — $99 —
Ckmb (82553) — $43 —
Cns DNA amp probe type 12-25 (87483) — $765 —
Coagulation time activated (85347) — $19 —
Cold agglutinin screen (86156) — $60 —
Cold agglutinin titer (86157)
range across 2 matching MRF lines
— $37–$55 —
Collagen crosslinks (82523) — $45 —
Column Chromotography Quant (82542) — $60 —
Compatibility Each Unit Incubation (86921) — $126 —
Compatibility test antiglob (86922)
range across 3 matching MRF lines
— $145–$157 —
Complement Antigen Each Component (86160) — $44 —
Complement Total (Ch50) (86162) — $77 —
Coombs direct (86880)
range across 4 matching MRF lines
— $32–$125 —
Copper urine (82525) — $40 —
Cortisol free (82530)
range across 2 matching MRF lines
— $35–$79 —
Cortisol saliva (82533)
range across 2 matching MRF lines
— $35–$74 —
Creatine kinase total (82550)
range across 2 matching MRF lines
— $20–$25 —
Creatinine blood (82565)
range across 3 matching MRF lines
— $18–$20 —
Creatinine clearance (82575) — $43 —
Creatinine Urine (82570)
range across 3 matching MRF lines
— $20–$35 —
Crossmatch immediate spin (86920)
range across 3 matching MRF lines
— $130–$305 —
Crp High Sensitivity (86141) — $98 —
Cryoglobulin (82595) — $25 —
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
— $30–$33 —
Cryptosporidium (87272) — $30 —
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines
— $30–$55 —
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines
— $35–$40 —
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) — $20 —
Culture afb (87116)
range across 2 matching MRF lines
— $30–$37 —
Culture Anaerobic (87075) — $37 —
Culture blood (87040) — $43 —
Culture csf (87070)
range across 4 matching MRF lines
— $30–$32 —
Culture fungus (87102) — $37 —
Culture fungus blood (87103) — $43 —
Culture screen only (87081)
range across 6 matching MRF lines
— $21–$49 —
Culture stool (87045) — $49 —
Culture typing if ea antiserum (87140) — $55 —
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 2 matching MRF lines
— $20–$22 —
Culture urine (87086) — $30 —
Cyclosporine (80158) — $69 —
Cystatin C (82610) — $90 —
Cytomegalovirus igg (86644) — $52 —
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) — $30 —
Cytopath Cell Enhance Tech (88112)
range across 2 matching MRF lines
— $250–$275 —
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) — $75 —
Cytp Concentration Smears & Interpretation (88108)
range across 2 matching MRF lines
— $120–$154 —
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) — $95 —
Detect Agent Nos Dna Amp (87798)
range across 8 matching MRF lines
— $127–$358 —
Detect Agent Nos Dna Quant (87799)
range across 5 matching MRF lines
— $90–$420 —
Detect agnt mult DNA ampli (87801) — $171 —
Dhea (82626) — $85 —
Dhea-S (82627) — $75 —
Digoxin (80162) — $49 —
Dna Antibody Native/Double Stranded (86225) — $50 —
Dna/Rna Amplified Probe (87150)
range across 2 matching MRF lines
— $75–$90 —
Drug assay acetaminophen (80143) — $80 —
Drug Assay Everolimus (80169) — $45 —
Drug assay felbamate (80167) — $50 —
Drug Screen Quant Clozapine (80159) — $45 —
Drug Screen Quantitative Gabapentin (80171) — $46 —
Drug Screen Quantitative Lamotrigine (80175) — $58 —
Drug Screen Quantitative Levetiracetam (80177) — $65 —
Drug Screen Quantitative Oxcarbazepine (80183) — $63 —
Drug Screen Quantitative Procainamide Metabolite (80192) — $79 —
Drug Test Prsmv Chem Anlyzr (80307) — $160 —
Drug Test Prsmv Dir Opt Obs (80305)
range across 19 matching MRF lines
— $7–$94 —
Ehrlichia antibody (86666)
range across 4 matching MRF lines
— $39–$80 —
Electrolyte panel (80051) — $25 —
Enterovirus PCR (87498) — $75 —
Eosinophil Smear (89190) — $30 —
Erythropoietin (82668) — $63 —
Estradiol serum (82670) — $91 —
Estriol (82677) — $80 —
Estrogen total (82672) — $86 —
Ethosuximide (80168) — $58 —
Exam Synovial Fluid Crystals (89060) — $56 —
F2 Gene (81240) — $550 —
Factor ii activity (85210) — $70 —
Factor v activity (85220) — $66 —
Factor v leiden mutation (81241) — $180 —
Factor viii assay (85240) — $60 —
Fat/Lipids Feces Quantitative (82710) — $184 —
Fecal Fat Qualitative (82705) — $20 —
Ferritin (82728)
range across 2 matching MRF lines
— $51–$61 —
Fibrin Degradation Quant (85379) — $37 —
Fibrinogen activity (85384) — $32 —
Fluorescent antibody screen (86255)
range across 4 matching MRF lines
— $40–$50 —
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) — $44 —
Folic Acid Serum (82746) — $66 —
Follicle Stimulating Hormone (83001) — $85 —
Francisella tularensis (86668) — $35 —
Frozen Section (88331) — $189 —
Fungi Identification Yeast (87106) — $30 —
Gammaglobulin ige (82785) — $55 —
Gases blood ph only (82800) — $34 —
Gastrin (82941) — $60 —
Genet Virus Isolate Hsv (87255) — $110 —
Gentamicin (80170)
range across 4 matching MRF lines
— $61–$71 —
Ggt (82977) — $37 —
Giardia antigen (87329) — $43 —
Glucose Blood Test (82962)
range across 8 matching MRF lines
— $5–$13 —
Glucose body fluid (82945) — $19 —
Glucose Serum (82947)
range across 3 matching MRF lines
— $19–$20 —
Glucose tolerance test (gtt) (82951) — $49 —
Gonadotropin Chorionic Qualitative (84703) — $32 —
Growth hormone (83003) — $55 —
Gtt-added samples (82952) — $19 —
H Pylori (C-13) Breath (83013) — $90 —
Haptoglobin (83010) — $61 —
Helicobacter Pylori Stool (87338) — $65 —
Hematocrit (85014) — $13 —
Hemoglobin (85018) — $13 —
Hemoglobin a1c (83036) — $43 —
Hemoglobin Chromotography (83021)
range across 4 matching MRF lines
— $11–$54 —
Hemoglobin plasma (83051) — $60 —
Hemoglobin quan tc per day carboxyhemoglobin (88740) — $95 —
Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) — $95 —
Hemosiderin urine (83070) — $58 —
Hep a ab igm (86709) — $56 —
Heparin assay (85520) — $20 —
Hepatitis a antibody total (86708) — $40 —
Hepatitis b core ab igm (86705) — $44 —
Hepatitis b core ab total (86704) — $40 —
Hepatitis B Surface Antibody (86706) — $49 —
Hepatitis B Surface Antigen (87340) — $49 —
Hepatitis Be Antibody (86707) — $40 —
Hepatitis Be Antigen (87350) — $40 —
Hepatitis C Antibody (86803) — $61 —
Hepatitis c antibody confirmatory test (86804) — $103 —
Hepatitis C Genotype (87902) — $806 —
Hepatitis C Probe&Rvrs Trnsc (87521) — $540 —
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
— $148–$166 —
Herpes simplex type 2 (86696)
range across 3 matching MRF lines
— $45–$65 —
Heterophile Antibody Screen (86308) — $20 —
Histoplasma antibody (86698) — $45 —
Histoplasma antigen urine (87385) — $135 —
Hiv Genotype (87901) — $555 —
Hiv-1 Quant&Revrse Trnscrpj (87536) — $450 —
Hla-b27 (86812) — $108 —
Homocysteine (83090) — $74 —
Hpv High-Risk Types (87624) — $70 —
Hsv Dna Amp Probe (87529) — $115 —
Hydroxycorticosteroids 17 (83491) — $273 —
Hydroxyprogesterone 17-d (83498) — $103 —
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) — $50 —
Iaad ia shiga-like toxin (87427) — $30 —
Iaadi giardia (87269) — $30 —
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) — $65 —
Iadna Cytomegalovirus Quantification (87497) — $216 —
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) — $160 —
Iadna Hepatitis B Virus Quantification (87517) — $157 —
Iadna Herpes Virus-6 Amplified Probe Tq (87532) — $50 —
Iadna Multiple Organisms Direct Probe Tq (87800) — $143 —
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 2 matching MRF lines
— $90–$205 —
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) — $115 —
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) — $285 —
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) — $595 —
Immunfix e-phorsis/urine/csf (86335) — $132 —
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 4 matching MRF lines
— $35–$60 —
Immunoassay infectious agent (86318) — $80 —
Immunoassay nonantibody (83516)
range across 11 matching MRF lines
— $20–$65 —
Immunofixation electrophoresis (86334) — $103 —
Immunohistochemistry (88342) — $295 —
In situ hybridization 1st probe stain (88365) — $225 —
In situ hybridization ea multiplex probe stain (88366) — $295 —
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) — $90 —
Influenza a/b ag eia (87400) — $32 —
Influenza DNA amp probe (87502) — $195 —
Inhibin b (83520)
range across 6 matching MRF lines
— $50–$430 —
Insitu hybridization auto (88367)
range across 2 matching MRF lines
— $365–$375 —
Insitu hybridization manual (88368) — $315 —
Insulin antibodies (86337) — $70 —
Insulin total (83525) — $56 —
Iron (83540)
range across 2 matching MRF lines
— $26–$32 —
Iron Binding Capacity (83550) — $49 —
Ketosteroids 17 total (83586) — $58 —
Lactate (ld) (ldh) enzyme (83615) — $25 —
LDL direct (83721) — $35 —
Lead (83655) — $40 —
Legionella antigen urine (87449) — $132 —
Leukocyte Assessment Fecal (89055) — $30 —
Level I Surg Pathology Gross Examination Only (88300) — $55 —
Level ii surg pathology gross&microscopic exam (88302) — $115 —
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines
— $370–$391 —
Lidocaine (80176) — $80 —
Lipase (83690) — $32 —
Lithium (80178) — $32 —
Luteinizing Hormone (Lh) (83002) — $85 —
Lyme disease antibody (86618) — $55 —
Lysozyme serum (85549) — $40 —
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) — $315 —
Magnesium Urine (83735) — $25 —
Mass Spectrometry Quant (83789) — $375 —
Mercury urine (83825) — $58 —
Methotrexate (80204) — $60 —
Methylmalonic acid serum (83921) — $40 —
Microalbumin, quantitative (82043) — $20 —
Microsomal Antibodies Each (86376) — $50 —
Mthfr Gene Analysis Common Variants (81291) — $90 —
Mumps antibody (86735) — $46 —
Mycoplasma antibody (86738)
range across 2 matching MRF lines
— $60–$69 —
Mycoplasma culture (87109) — $40 —
Myoglobin urine (83874)
range across 3 matching MRF lines
— $55–$56 —
Natriuretic peptide (83880)
range across 3 matching MRF lines
— $85–$108 —
Neisseria Dir Na Probe (87590) — $65 —
Niacin (84591) — $35 —
Nuclear antigen antibody (86235)
range across 7 matching MRF lines
— $63–$70 —
Obstetric panel (80081) — $105 —
Occult blood feces (82272) — $15 —
Occult Blood Other Sources (82271) — $15 —
Osmolality serum (83930) — $30 —
Osmolality Urine (83935) — $30 —
Ova and parasites smears (87177) — $37 —
Oxalate urine (83945) — $45 —
Particle Agglutination Screen Each Antibody (86403)
range across 2 matching MRF lines
— $35–$91 —
Parvovirus antibody (86747) — $50 —
Path Consltj Surg Cytologic Exam Initial Site (88333)
range across 2 matching MRF lines
— $541–$1,340 —
Ph urine (81003)
range across 4 matching MRF lines
— $10–$12 —
Phenobarbital Level (80184) — $43 —
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines
— $49–$51 —
Phenytoin free (80186) — $50 —
Phosphatase alkaline (84075)
range across 3 matching MRF lines
— $20–$45 —
Phosphorus Serum (84100)
range across 2 matching MRF lines
— $20–$25 —
Platelet Aggregation (85576)
range across 4 matching MRF lines
— $55–$70 —
Platelet Antibodies (86022)
range across 3 matching MRF lines
— $75–$137 —
Platelet count automated (85049) — $19 —
Potassium Urine (84133) — $19 —
Prealbumin (84134) — $66 —
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) — $145 —
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) — $115 —
Primidone (80188) — $58 —
Procalcitonin (Pct) (84145) — $55 —
Progesterone (84144) — $98 —
Prolactin (84146) — $85 —
Protein body fluid (84157) — $25 —
Protein C Activity (85303) — $145 —
Protein c antigen (85302) — $40 —
Protein Electrophoresis Urine (84166) — $40 —
Protein Electrophoretic Fractj&Quantj Serum (84165) — $39 —
Protein S Free (85306) — $70 —
Protein s total (85305) — $40 —
Protein total serum (84155)
range across 2 matching MRF lines
— $19–$20 —
Protein Total Urine (84156) — $19 —
Prothrombin Time Substitution Plasma Frctj Each (85611) — $15 —
PSA free (84154)
range across 2 matching MRF lines
— $55–$85 —
Pth Intact (83970) — $181 —
Quantiferon tb gold plus (86480) — $135 —
Quantitative assay drug (80299)
range across 3 matching MRF lines
— $58–$65 —
Quantitative Screen Metals (83018) — $85 —
Quinidine (80194) — $66 —
Rbc antibody elution (86860) — $170 —
Rbc antibody identification (86870)
range across 2 matching MRF lines
— $498–$565 —
Rbc antibody screen (86850)
range across 3 matching MRF lines
— $75–$285 —
Rbc pretreatment serum (86978) — $137 —
Rbc pretx incubatj w/enzymes (86971) — $370 —
Reagent Strip/Blood Glucose (82948) — $15 —
Renin activity plasma (84244) — $83 —
Reticulocyte Count Manual (85044) — $19 —
Rh (86901)
range across 3 matching MRF lines
— $38–$75 —
Rheumatoid Factor Qualitative (86430) — $32 —
Rheumatoid factor quant (86431)
range across 5 matching MRF lines
— $22–$69 —
Rickettsia antibody (86757) — $65 —
Ristocetin cofactor (85245) — $148 —
Rpr qualitative (86592)
range across 3 matching MRF lines
— $17–$18 —
Rsv ab (86756) — $49 —
Rsv Assay W/Optic (87807) — $25 —
Rubella Antibody (86762) — $66 —
Rubeola antibody (86765) — $46 —
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
— $20–$32 —
Salicylate Level (80179) — $120 —
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
— $145–$150 —
Sars-cov-2 COVID-19 antibody (86769) — $85 —
Sarscov2 & inf a&b amp prb (87636) — $285 —
Sarscov2&inf a&b&rsv amp prb (87637) — $285 —
Sedimentation rate (85651)
range across 2 matching MRF lines
— $10–$19 —
Sensitivity mic (87186)
range across 8 matching MRF lines
— $20–$22 —
Sex Hormone Binding Globulin (84270) — $70 —
Sickling of rbc reduction (85660)
range across 2 matching MRF lines
— $32–$37 —
Sirolimus (80195) — $103 —
Skin test tuberculosis intradermal (86580) — $58 —
Smear acid fast (87206) — $22 —
Smear complex stain (87209) — $40 —
Smear gram stain (87205)
range across 3 matching MRF lines
— $18–$25 —
Smear Special Stain (87207) — $20 —
Smr Prim Src Wet Mount Nfct Agt (87210) — $19 —
Sodium Serum (84295) — $20 —
Sodium Urine (84300) — $20 —
Somatomedin (84305) — $70 —
Special Stains Group 1 (88312) — $135 —
Special Stains Group 2 (88313) — $115 —
Specimen infect agnt concntj (87015) — $20 —
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) — $130 —
Stool cultr aerobic bact ea (87046) — $35 —
Strep a assay w/optic (87880) — $30 —
Strep b DNA amp probe (87653) — $75 —
Sugars Single Qual (84376) — $15 —
Surg path level iii (88304)
range across 2 matching MRF lines
— $105–$140 —
Surgical pathology level IV (88305)
range across 4 matching MRF lines
— $80–$200 —
Surgical pathology level vi (88309) — $1,340 —
Susceptibility Study Antimicrobial Disk Method (87184) — $25 —
Syphilis Test Non-Trep Quant (86593) — $15 —
T cells absolute cd4 count (86361)
range across 2 matching MRF lines
— $65–$72 —
T Cells Absolute Cd4&Cd8 Count Ratio (86360) — $143 —
T3 Free (84481) — $55 —
T3 reverse (84482) — $62 —
T3 Total (84480) — $50 —
T3 Uptake (84479) — $25 —
T4 Free (84439) — $43 —
T4 total (84436) — $25 —
Tacrolimus (80197) — $114 —
Tb ag response t-cell susp (86481) — $165 —
Test for acetone/ketones (82009) — $19 —
Testosterone total (84403) — $86 —
Testosterone, Free (84402) — $98 —
Theophylline (80198) — $49 —
Thrombin Time (85670) — $25 —
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) — $25 —
Thyroglobulin (84432) — $55 —
Thyroglobulin Antibody (86800) — $55 —
Thyroid Stimulating Immunoglobulin (84445) — $110 —
Tissue culture bone marrow (88237) — $265 —
Tobramycin peak (80200)
range across 4 matching MRF lines
— $58–$74 —
Topiramate (80201) — $61 —
Touch prep (88161) — $70 —
Toxoplasma ab igm (86778) — $58 —
Toxoplasma antibody (86777) — $58 —
Transferase Aspartate Amino Ast Sgot (84450) — $20 —
Transferrin (84466) — $49 —
Triglycerides (84478)
range across 2 matching MRF lines
— $15–$32 —
Troponin Quant (84484) — $56 —
Tumor Immunohistochem/Manual (88360) — $295 —
Urea Nitrogen Clearance (84545) — $35 —
Urea nitrogen urine (84540) — $25 —
Uric acid other source (84560) — $37 —
Urinalysis Volume Measure (81050) — $23 —
Urine Albumin Semiquantitative (82044) — $15 —
Urine Pregnancy Test (81025)
range across 3 matching MRF lines
— $20–$25 —
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) — $19 —
Valproic acid (80164) — $49 —
Vancomycin (80202)
range across 4 matching MRF lines
— $49–$51 —
Varicella-zoster antibody (86787) — $52 —
Viral Culture (87252)
range across 2 matching MRF lines
— $86–$90 —
Virus inoculate tissue addl (87253) — $45 —
Vit D 1 25-Dihydroxy (82652)
range across 2 matching MRF lines
— $125–$313 —
Vitamin A (84590) — $39 —
Vitamin b-12 (82607) — $66 —
Vitamin B2 (Riboflavin) (84252) — $45 —
Vitamin B6 (84207) — $295 —
Vitamin D 25-Hydroxy (82306) — $65 —
Vitamin E (84446) — $50 —
Vitamin K (84597) — $90 —
Von willebrand factor ag (85246) — $75 —
West nile virus ab igm (86788) — $50 —
West Nile Virus Antibody (86789) — $40 —
Zinc (84630) — $40 —

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.