Lab & pathology prices at Dahl Memorial Healthcare Association Inc
Ekalaka, MT · every code in this section with a posted price and a Medicare benchmark.
330 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $243.60 | $243.60 | 6.3× |
| Actin smooth muscle antibody each (86015) | $75.60 | $75.60 | 6.3× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$319–$359.97 | $319–$359.97 | varies |
| Adenovirus antibody (86603) | $197.35 | $197.35 | 15.3× |
| Albumin Fluid (82042) | $49.35 | $49.35 | 6.3× |
| Albumin serum (82040) | $26.46 | $26.46 | 5.3× |
| Aldosterone urine (82088) | $257.25 | $257.25 | 6.3× |
| Alpha-1-antitrypsin phenotype (82104) | $91.35 | $91.35 | 6.3× |
| Alpha-1-antitrypsin total (82103) | $85.05 | $85.05 | 6.3× |
| Alpha-Fetoprotein Serum (82105) | $136.71 | $136.71 | 8.2× |
| Alt (sgpt) (84460) | $33.60 | $33.60 | 6.3× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $215.54 | $215.54 | 12.8× |
| Ammonia (82140) | $242 | $242 | 16.6× |
| Amylase urine (82150) range across 3 matching MRF lines |
$71.50–$98.68 | $71.50–$98.68 | varies |
| Ana Titer (86039) | $70.35 | $70.35 | 6.3× |
| Angiotensin converting enzyme csf (82164) | $115.50 | $115.50 | 7.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$126–$200.66 | $126–$200.66 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $106.05 | $106.05 | 6.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $128.99 | $128.99 | 8.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $146.63 | $146.63 | 8.1× |
| Antibody helicobacter pylori (86677) | $199.99 | $199.99 | 11.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $60.97 | $60.97 | 4.2× |
| Antibody Herpes Smplx Type 1 (86695) | $108.90 | $108.90 | 8.3× |
| Antibody HIV-1&HIV-2 single result (86703) | $86.10 | $86.10 | 6.3× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $402.02 | $402.02 | 20.8× |
| Antibody identification leukocyte antibodies (86021) | $107.80 | $107.80 | 7.2× |
| Antibody Protozoa Nes (86753) | $68.25 | $68.25 | 5.5× |
| Antibody Titer (86886) | $991.20 | $991.20 | 191.4× |
| Antibody Treponema Pallidum (86780) | $106.84 | $106.84 | 8.1× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $991.20 | $991.20 | 173.3× |
| Antinuclear antibodies (86038) | $112.73 | $112.73 | 9.3× |
| Apolipoprotein a1 (82172) | $129.49 | $129.49 | 6.1× |
| Arsenic (82175) | $119.70 | $119.70 | 6.3× |
| Assay activated protein c (85307) | $99.23 | $99.23 | 6.5× |
| Assay of anti-mullerian hormone (82166) | $132 | $132 | 3.4× |
| Assay of blood/uric acid (84550) | $33 | $33 | 7.3× |
| Assay of calcium in urine (82340) | $56.78 | $56.78 | 9.4× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$61.52–$162.07 | $61.52–$162.07 | varies |
| Assay of lactic acid (83605) | $105.60 | $105.60 | 9.1× |
| Assay of metanephrines (83835) | $158.40 | $158.40 | 9.4× |
| Assay of phosphatase acid total (84060) | $103.47 | $103.47 | 13.5× |
| Assay of serum potassium (84132) | $44 | $44 | 9.2× |
| Assay of urea nitrogen (84520) range across 3 matching MRF lines |
$40.70–$43 | $40.70–$43 | varies |
| Assay of vitamin b-1 (84425) | $233.18 | $233.18 | 11.0× |
| Automated Leukocyte Count (85048) | $33.08 | $33.08 | 13.0× |
| Bcr/abl1 gene major bp (81206) | $764.50 | $764.50 | 4.7× |
| Bcr/abl1 gene minor bp (81207) | $1,067.06 | $1,067.06 | 7.4× |
| Beta 2 glycoprotein i antibody each (86146) | $160.65 | $160.65 | 6.3× |
| Beta hydroxybutyrate (82010) | $61.60 | $61.60 | 7.5× |
| Bilirubin direct (82248) | $31.50 | $31.50 | 6.3× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$24.26–$48.51 | $24.26–$48.51 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 3 matching MRF lines |
$29.70–$88.20 | $29.70–$88.20 | varies |
| Blood gas (82803) | $270.60 | $270.60 | 10.4× |
| Blood gases w/02 saturation (82805) | $238.70 | $238.70 | 3.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 4 matching MRF lines |
$33–$66.15 | $33–$66.15 | varies |
| Blood typing serologic abo (86900) | $124.30 | $124.30 | 41.6× |
| Breath Alcohol Test (82075) | $189 | $189 | 6.3× |
| Brucella antibody (86622) | $50.66 | $50.66 | 5.7× |
| C-Peptide (84681) | $131.25 | $131.25 | 6.3× |
| C-reactive protein (86140) | $74.80 | $74.80 | 14.4× |
| Cadmium (82300) | $149.10 | $149.10 | 6.3× |
| Calcium total (82310) | $37.40 | $37.40 | 7.2× |
| Calculus Spectroscopy (82365) | $65.38 | $65.38 | 5.1× |
| Calculus Xray Diffraction (82370) | $250.82 | $250.82 | 20.0× |
| Calprotectin Fecal (83993) | $411.60 | $411.60 | 21.0× |
| Cancer Antigen 125 (86304) | $145.20 | $145.20 | 7.0× |
| Cancer Antigen 27.29 (86300) | $119.90 | $119.90 | 5.8× |
| Candida Dna Dir Probe (87480) | $94.82 | $94.82 | 4.7× |
| Carbamazepine total (80156) | $114.40 | $114.40 | 7.9× |
| Carcinoembryonic antigen (82378) | $174.47 | $174.47 | 9.2× |
| Cardiolipin ab iga (86147) | $160.65 | $160.65 | 6.3× |
| Carnitine Quantitative Each Specimen (82379) | $52.92 | $52.92 | 3.1× |
| Ccp antibody (86200) | $84.70 | $84.70 | 6.5× |
| Ceruloplasmin (82390) | $121 | $121 | 11.3× |
| Chloride Serum (82435) | $413.70 | $413.70 | 89.9× |
| Cholesterol total (82465) | $37.40 | $37.40 | 8.6× |
| Chorionic gonadotropin test (84702) | $127.60 | $127.60 | 8.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $237.22 | $237.22 | 6.8× |
| Citric acid urine (82507) | $138.09 | $138.09 | 5.0× |
| Clostridium Difficile (87324) | $96.47 | $96.47 | 8.1× |
| Clot Factor VIII Multimetric (85247) | $504 | $504 | 22.0× |
| Column Chromotography Quant (82542) | $320.10 | $320.10 | 13.3× |
| Compatibility test antiglob (86922) | $398 | $398 | 2.3× |
| Complement Antigen Each Component (86160) | $94.27 | $94.27 | 7.9× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $241.50 | $241.50 | 1.4× |
| Coombs direct (86880) | $78.10 | $78.10 | 14.5× |
| Copper urine (82525) | $93.50 | $93.50 | 7.5× |
| Cortisol free (82530) | $308.70 | $308.70 | 18.5× |
| Cortisol saliva (82533) | $160.47 | $160.47 | 9.8× |
| Creatine kinase total (82550) | $63.80 | $63.80 | 9.8× |
| Creatinine blood (82565) | $42.90 | $42.90 | 8.4× |
| Creatinine clearance (82575) | $110 | $110 | 11.6× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$41.80–$49.61 | $41.80–$49.61 | varies |
| Cryptococcus ag titer (87899) | $1,050.68 | $1,050.68 | 65.4× |
| Cryptosporidium (87272) | $82.69 | $82.69 | 6.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$60.50–$75.61 | $60.50–$75.61 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $77.73 | $77.73 | 9.6× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $76.13 | $76.13 | 9.9× |
| Culture Anaerobic (87075) | $95.70 | $95.70 | 10.1× |
| Culture blood (87040) | $152.90 | $152.90 | 14.8× |
| Culture csf (87070) | $96.80 | $96.80 | 11.2× |
| Culture stool (87045) | $68.20 | $68.20 | 7.2× |
| Culture urine (87086) | $69.07 | $69.07 | 8.6× |
| Cytomegalovirus igg (86644) | $176 | $176 | 12.2× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $128.10 | $128.10 | 6.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $168 | $168 | 6.3× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $157.50 | $157.50 | 5.3× |
| Detect Agent Nos Dna Amp (87798) | $137.81 | $137.81 | 3.9× |
| Detect agnt mult DNA ampli (87801) | $319.73 | $319.73 | 4.6× |
| Dgp Antibody Each Ig Class (86258) | $71.50 | $71.50 | 5.9× |
| Dhea (82626) | $119.90 | $119.90 | 4.7× |
| Dhea-S (82627) | $139.65 | $139.65 | 6.3× |
| Digoxin (80162) | $106.70 | $106.70 | 8.0× |
| Dna Antibody Native/Double Stranded (86225) | $132.47 | $132.47 | 9.6× |
| Drug assay adalimumab (80145) | $363.83 | $363.83 | 9.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $132 | $132 | 10.0× |
| Drug Test Prsmv Chem Anlyzr (80307) | $291.50 | $291.50 | 4.7× |
| Drug Test Prsmv Dir Opt Obs (80305) | $299.25 | $299.25 | 23.8× |
| Ehrlichia antibody (86666) | $46.20 | $46.20 | 4.5× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$53.90–$132.30 | $53.90–$132.30 | varies |
| Enzyme cell activity (82657) | $507.15 | $507.15 | 22.9× |
| Erythropoietin (82668) | $121 | $121 | 6.4× |
| Estradiol serum (82670) | $208.48 | $208.48 | 7.5× |
| Estrogen total (82672) | $217.19 | $217.19 | 10.0× |
| Ethosuximide (80168) | $132.96 | $132.96 | 8.1× |
| Exam Synovial Fluid Crystals (89060) | $52.80 | $52.80 | 7.2× |
| F2 Gene (81240) | $330 | $330 | 5.0× |
| Ferritin (82728) | $134.51 | $134.51 | 9.9× |
| Fibrin Degradation Quant (85379) | $130.90 | $130.90 | 12.9× |
| Fibrinogen activity (85384) | $115.22 | $115.22 | 11.9× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $74.03 | $74.03 | 4.8× |
| Flow cytometry first marker (88184) | $393.54 | $393.54 | 1.1× |
| Fluorescent antibody screen (86255) | $118.80 | $118.80 | 9.9× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $91.30 | $91.30 | 7.6× |
| Folic Acid Serum (82746) | $92.40 | $92.40 | 6.3× |
| Follicle Stimulating Hormone (83001) | $177.67 | $177.67 | 9.6× |
| Francisella tularensis (86668) | $56.44 | $56.44 | 4.0× |
| Fungi Identification Mold (87107) | $377.06 | $377.06 | 36.5× |
| Fungi Identification Yeast (87106) | $53.75 | $53.75 | 5.2× |
| Gammaglobulin ige (82785) | $103.95 | $103.95 | 6.3× |
| Gardner vag DNA dir probe (87510) | $94.82 | $94.82 | 4.7× |
| Ggt (82977) | $46.20 | $46.20 | 6.4× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$35.28–$45.20 | $35.28–$45.20 | varies |
| Glucose tolerance test (gtt) (82951) | $310.91 | $310.91 | 24.2× |
| Glutathione (82978) | $319.73 | $319.73 | 20.7× |
| Glycated Protein (82985) | $106.05 | $106.05 | 6.3× |
| Gonadotropin Chorionic Qualitative (84703) | $77 | $77 | 10.2× |
| Growth hormone (83003) | $105 | $105 | 6.3× |
| Haptoglobin (83010) | $143.75 | $143.75 | 11.4× |
| Hdl Cholesterol (83718) | $51.45 | $51.45 | 6.3× |
| Helicobacter Pylori Stool (87338) | $154.91 | $154.91 | 10.8× |
| Hematocrit (85014) | $316.05 | $316.05 | 133.4× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$27.50–$38.04 | $27.50–$38.04 | varies |
| Hemoglobin a1c (83036) | $67.10 | $67.10 | 6.9× |
| Hemolysin Acid (85475) | $89.58 | $89.58 | 10.1× |
| Hepatitis b core ab igm (86705) | $112.98 | $112.98 | 9.6× |
| Hepatitis b core ab total (86704) | $157.49 | $157.49 | 13.1× |
| Hepatitis B Surface Antibody (86706) | $103.09 | $103.09 | 9.6× |
| Hepatitis B Surface Antigen (87340) | $116.32 | $116.32 | 11.3× |
| Hepatitis Be Antigen (87350) | $70.61 | $70.61 | 6.1× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$152.31–$161.13 | $152.31–$161.13 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $291.50 | $291.50 | 6.8× |
| Herpes simplex type 2 (86696) | $121.80 | $121.80 | 6.3× |
| Heterophile Antibody Screen (86308) | $67.10 | $67.10 | 13.0× |
| Hfe Gene (81256) | $599.50 | $599.50 | 9.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $151.20 | $151.20 | 6.3× |
| Hiv-1 Antibody (86701) | $127.89 | $127.89 | 14.4× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $536.55 | $536.55 | 6.3× |
| Hla ii typing 1 locus lr (81376) | $380.10 | $380.10 | 3.1× |
| Hla-b27 (86812) | $183.70 | $183.70 | 7.1× |
| Homocysteine (83090) | $159.86 | $159.86 | 8.9× |
| Hpv High-Risk Types (87624) | $207.83 | $207.83 | 5.9× |
| Hsv Dna Amp Probe (87529) | $221.55 | $221.55 | 6.3× |
| Htlv-I Antibody (86687) | $127.89 | $127.89 | 14.1× |
| Hydroxyprogesterone 17-d (83498) | $84.62 | $84.62 | 3.1× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $165 | $165 | 11.9× |
| Iaadi giardia (87269) | $82.69 | $82.69 | 6.1× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $137.81 | $137.81 | 3.9× |
| Iadna Cytomegalovirus Quantification (87497) | $321.20 | $321.20 | 7.5× |
| Ig Light Chains Free Each (83521) | $141.12 | $141.12 | 8.2× |
| Igg subclasses (82787) | $236.25 | $236.25 | 29.5× |
| Immunfix e-phorsis/urine/csf (86335) | $168.30 | $168.30 | 5.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $170.50 | $170.50 | 9.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$294.92–$318.08 | $294.92–$318.08 | varies |
| Immunoassay nonantibody (83516) | $95.70 | $95.70 | 8.3× |
| Immunofixation electrophoresis (86334) | $155.10 | $155.10 | 6.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) | $103.36 | $103.36 | 1.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) | $269.85 | $269.85 | 6.3× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$71.66–$103.95 | $71.66–$103.95 | varies |
| Inhibin A (86336) | $98.70 | $98.70 | 6.3× |
| Inhibin b (83520) | $275.63 | $275.63 | 16.0× |
| Insulin free (83527) | $81.90 | $81.90 | 6.3× |
| Insulin total (83525) | $80.30 | $80.30 | 7.0× |
| Iron (83540) | $62.30 | $62.30 | 9.6× |
| Iron Binding Capacity (83550) | $76.46 | $76.46 | 8.7× |
| Jak2 gene analysis p.val617phe variant (81270) | $1,170.86 | $1,170.86 | 12.8× |
| Lactate (ld) (ldh) enzyme (83615) | $44 | $44 | 7.3× |
| Lactoferrin fecal qualitative (83630) | $249.88 | $249.88 | 12.7× |
| LDL direct (83721) | $68.25 | $68.25 | 6.5× |
| Lead (83655) | $76.65 | $76.65 | 6.3× |
| Legionella antigen urine (87449) | $210.47 | $210.47 | 17.6× |
| Leukocyte Assessment Fecal (89055) | $50.72 | $50.72 | 11.9× |
| Lipase (83690) | $132.30 | $132.30 | 19.2× |
| Lipoprotein Bld Quan Part (83704) | $66 | $66 | 1.9× |
| Luteinizing Hormone (Lh) (83002) | $177.67 | $177.67 | 9.6× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$107.80–$336 | $107.80–$336 | varies |
| Magnesium Urine (83735) | $59.40 | $59.40 | 8.9× |
| Mass Spectrometry Quant (83789) | $152.25 | $152.25 | 6.3× |
| Mercury urine (83825) | $102.90 | $102.90 | 6.3× |
| Metabolic panel ionized ca (80047) | $106.70 | $106.70 | 7.8× |
| Methylmalonic acid serum (83921) | $121 | $121 | 5.7× |
| Microalbumin, quantitative (82043) | $65.27 | $65.27 | 11.3× |
| Microbe Suscept Macrobroth (87188) | $76.07 | $76.07 | 11.5× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$74.80–$105.62 | $74.80–$105.62 | varies |
| Mitochondrial Antibody Each (86381) | $160.65 | $160.65 | 6.3× |
| Mrsa Pcr (87641) | $239.80 | $239.80 | 6.8× |
| Mumps antibody (86735) | $138.31 | $138.31 | 10.6× |
| Mycoplasma antibody (86738) | $189 | $189 | 14.3× |
| Natriuretic peptide (83880) range across 4 matching MRF lines |
$226.60–$492.98 | $226.60–$492.98 | varies |
| Neutralization Test Viral (86382) | $318.62 | $318.62 | 18.8× |
| Niacin (84591) | $362 | $362 | 21.2× |
| Nuclear antigen antibody (86235) | $85.28 | $85.28 | 4.8× |
| Occult blood feces (82272) | $66.15 | $66.15 | 15.6× |
| Osmolality serum (83930) | $82.50 | $82.50 | 12.5× |
| Osmolality Urine (83935) | $82.69 | $82.69 | 12.1× |
| Ova and parasites smears (87177) | $133.96 | $133.96 | 15.1× |
| Oxalate urine (83945) | $79.38 | $79.38 | 5.5× |
| Ph urine (81003) range across 2 matching MRF lines |
$23.49–$35.28 | $23.49–$35.28 | varies |
| Phenobarbital Level (80184) | $143 | $143 | 9.3× |
| Phenytoin (Dilantin) (80185) | $106.70 | $106.70 | 8.1× |
| Phosphatase alkaline (84075) | $38.50 | $38.50 | 7.4× |
| Phosphorus Serum (84100) | $44 | $44 | 9.3× |
| Pinworm exam (87172) | $44.10 | $44.10 | 10.3× |
| Platelet Aggregation (85576) | $184.80 | $184.80 | 7.4× |
| Platelet count automated (85049) | $72.60 | $72.60 | 16.2× |
| Potassium Urine (84133) | $29.40 | $29.40 | 6.2× |
| Prealbumin (84134) | $194.38 | $194.38 | 13.3× |
| Pregnenolone (84140) | $245.30 | $245.30 | 11.9× |
| Progesterone (84144) | $131.25 | $131.25 | 6.3× |
| Prolactin (84146) | $147.14 | $147.14 | 7.6× |
| Protein Electrophoresis Urine (84166) | $129.80 | $129.80 | 7.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $251.10 | $251.10 | 23.4× |
| Protein S Free (85306) | $107.80 | $107.80 | 7.0× |
| Protein total serum (84155) | $43.55 | $43.55 | 11.9× |
| Protein Total Urine (84156) | $40.70 | $40.70 | 11.1× |
| PSA free (84154) | $115.50 | $115.50 | 6.3× |
| Pth Intact (83970) | $385.88 | $385.88 | 9.3× |
| Q Fever Antibody (86638) | $42.11 | $42.11 | 3.5× |
| Quantiferon tb gold plus (86480) | $390.60 | $390.60 | 6.3× |
| Rbc antibody elution (86860) | $58.91 | $58.91 | 0.3× |
| Rbc antibody identification (86870) | $2,042.25 | $2,042.25 | 5.6× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$114.40–$316.05 | $114.40–$316.05 | varies |
| Reagent Strip/Blood Glucose (82948) | $34.18 | $34.18 | 6.8× |
| Renin activity plasma (84244) | $125.40 | $125.40 | 5.7× |
| Resp virus 12-25 targets (87633) | $882 | $882 | 2.1× |
| Reticulocyte Count (85046) | $69.07 | $69.07 | 12.4× |
| Rh (86901) | $214.20 | $214.20 | 71.6× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$56.72–$57.52 | $56.72–$57.52 | varies |
| Rickettsia antibody (86757) | $60.96 | $60.96 | 3.2× |
| Rotavirus ag eia (87425) | $84 | $84 | 7.0× |
| Rpr qualitative (86592) | $45.20 | $45.20 | 10.6× |
| Rsv Assay W/Optic (87807) | $187 | $187 | 14.3× |
| Rubella Antibody (86762) | $90.30 | $90.30 | 6.3× |
| Rubeola antibody (86765) | $136.83 | $136.83 | 10.6× |
| Russell Viper Venom Time Diluted (85613) | $93.71 | $93.71 | 9.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$157.66–$168.68 | $157.66–$168.68 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $265.65 | $265.65 | 6.3× |
| Sedimentation rate (85651) | $53.90 | $53.90 | 12.6× |
| Selenium (84255) | $160.65 | $160.65 | 6.3× |
| Sensitivity mic (87186) | $81.40 | $81.40 | 9.4× |
| Sex Hormone Binding Globulin (84270) | $136.50 | $136.50 | 6.3× |
| Skin test tuberculosis intradermal (86580) | $67.10 | $67.10 | 2.3× |
| Smear complex stain (87209) | $133.96 | $133.96 | 7.5× |
| Smear gram stain (87205) | $52.80 | $52.80 | 12.4× |
| Smear Special Stain (87207) | $82.69 | $82.69 | 13.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $69.18 | $69.18 | 11.9× |
| Sodium Serum (84295) | $45.10 | $45.10 | 9.4× |
| Sodium Urine (84300) | $47.96 | $47.96 | 9.5× |
| Somatomedin (84305) | $147.40 | $147.40 | 6.9× |
| Special Stains Group 1 (88312) | $316.05 | $316.05 | 5.9× |
| Special Stains Group 2 (88313) | $214.20 | $214.20 | 1.6× |
| Specimen infect agnt concntj (87015) | $55 | $55 | 8.2× |
| Staph a DNA amp probe (87640) | $239.80 | $239.80 | 6.8× |
| Stool cultr aerobic bact ea (87046) | $59.85 | $59.85 | 6.3× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$66–$103.95 | $66–$103.95 | varies |
| Surg path level iii (88304) | $731.85 | $731.85 | 13.7× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $28.12 | $28.12 | 5.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $166.10 | $166.10 | 3.5× |
| T cells total count (86359) | $136.40 | $136.40 | 3.6× |
| T3 Free (84481) | $107.82 | $107.82 | 6.4× |
| T3 reverse (84482) | $112.20 | $112.20 | 7.1× |
| T3 Total (84480) | $93.50 | $93.50 | 6.6× |
| T3 Uptake (84479) | $67.10 | $67.10 | 10.4× |
| T4 Free (84439) | $101.55 | $101.55 | 11.3× |
| T4 total (84436) range across 2 matching MRF lines |
$56.10–$101.55 | $56.10–$101.55 | varies |
| Test for acetone/ketones (82009) | $60.50 | $60.50 | 13.4× |
| Testosterone Bioavailable (84410) | $137.50 | $137.50 | 2.7× |
| Testosterone total (84403) range across 2 matching MRF lines |
$130.32–$214.22 | $130.32–$214.22 | varies |
| Testosterone, Free (84402) | $160.65 | $160.65 | 6.3× |
| Theophylline (80198) | $122.21 | $122.21 | 8.6× |
| Thrombin Time (85670) | $34.65 | $34.65 | 6.0× |
| Thyroglobulin (84432) | $100.80 | $100.80 | 6.3× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$154.52–$177.67 | $154.52–$177.67 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $286.26 | $286.26 | 5.6× |
| Thyroxine binding globulin (84442) | $93.45 | $93.45 | 6.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $136.71 | $136.71 | 11.9× |
| Toxoplasma ab igm (86778) | $132.30 | $132.30 | 9.2× |
| Toxoplasma antibody (86777) | $91.51 | $91.51 | 6.4× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 4 matching MRF lines |
$37.40–$37.49 | $37.40–$37.49 | varies |
| Transferrin (84466) | $80.85 | $80.85 | 6.3× |
| Trichomonas vagin dir probe (87660) | $94.82 | $94.82 | 4.7× |
| Triglycerides (84478) | $49.50 | $49.50 | 8.6× |
| Troponin Quant (84484) | $462.50 | $462.50 | 37.1× |
| Uric acid other source (84560) | $56.78 | $56.78 | 11.2× |
| Urinalysis Microscopic Only (81015) | $29.70 | $29.70 | 9.7× |
| Urine Pregnancy Test (81025) | $54.60 | $54.60 | 6.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $47.30 | $47.30 | 14.9× |
| Valproic acid (80164) | $122.93 | $122.93 | 9.1× |
| Vancomycin (80202) | $185.49 | $185.49 | 13.7× |
| Varicella-zoster antibody (86787) | $80.85 | $80.85 | 6.3× |
| Virus antibody nos (86790) | $80.85 | $80.85 | 6.3× |
| Vitamin A (84590) | $73.50 | $73.50 | 6.3× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$84.70–$98.12 | $84.70–$98.12 | varies |
| Vitamin B2 (Riboflavin) (84252) | $98.13 | $98.13 | 4.8× |
| Vitamin B6 (84207) | $157.30 | $157.30 | 5.6× |
| Vitamin D 25-Hydroxy (82306) | $208.49 | $208.49 | 7.0× |
| Vitamin K (84597) | $135.30 | $135.30 | 9.9× |
| West nile virus ab igm (86788) | $106.05 | $106.05 | 6.3× |
| West Nile Virus Antibody (86789) | $90.30 | $90.30 | 6.3× |
| Zinc (84630) | $77 | $77 | 6.8× |
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.