Lab & pathology prices at Dodge County Hospital
Eastman, GA · every code in this section with a posted price and a Medicare benchmark.
597 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | — | $129.83 | — |
| 5 Nucleotidase (83915) range across 2 matching MRF lines |
— | $120.56–$147.52 | — |
| Acth (82024) | — | $289.53 | — |
| Acute hepatitis panel (80074) | — | $180.85 | — |
| Acylcarnitines Quant (82017) | — | $99.70 | — |
| Agglutinins Febrile Each Antigen (86000) range across 7 matching MRF lines |
— | $30.44–$234.47 | — |
| Albumin Fluid (82042) | — | $5.89 | — |
| Albumin serum (82040) | — | $19.67 | — |
| Aldolase (82085) | — | $98.25 | — |
| Aldosterone urine (82088) range across 3 matching MRF lines |
— | $172.16–$242.29 | — |
| Alkaline phosphatase isoenzymes (84080) | — | $80.87 | — |
| Allergen specific ige (86003) range across 7 matching MRF lines |
— | $12.02–$553.55 | — |
| Allg Spec Ige Recomb Ea (86008) | — | $56.28 | — |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
— | $55.36–$63.76 | — |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
— | $94.19–$275.04 | — |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
— | $144.91–$268.09 | — |
| Alt (sgpt) (84460) | — | $113.03 | — |
| Aluminum (82108) range across 2 matching MRF lines |
— | $128.98–$153.03 | — |
| Amikacin trough (80150) | — | $99.70 | — |
| Amino Acids 1 Quantitative Each Specimen (82131) | — | $495.87 | — |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | — | $673.25 | — |
| Amino Acids Multiple Qualitative Each Specimen (82128) | — | $179.11 | — |
| Amino Acids Quant 2-5 (82136) | — | $399.09 | — |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
— | $224.32–$267.49 | — |
| Ammonia (82140) | — | $24.04 | — |
| Amylase urine (82150) range across 2 matching MRF lines |
— | $31.30–$38.55 | — |
| Ana Titer (86039) | — | $140.57 | — |
| Anca screen each antibody (86036) | — | $16.46 | — |
| Angiotensin converting enzyme csf (82164) | — | $153.03 | — |
| Antibody aspergillus (86606) range across 3 matching MRF lines |
— | $261.99–$614.13 | — |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 3 matching MRF lines |
— | $103.48–$244.03 | — |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | — | $59.12 | — |
| Antibody Encephalitis California La Crosse (86651) range across 3 matching MRF lines |
— | $46.15–$250.11 | — |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | — | $424 | — |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | — | $17.48 | — |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
— | $19.67–$424 | — |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
— | $95.65–$657.60 | — |
| Antibody haemophilus influenza (86684) | — | $56.28 | — |
| Antibody helicobacter pylori (86677) range across 4 matching MRF lines |
— | $67.83–$185.47 | — |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
— | $60.53–$64.06 | — |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
— | $86.95–$262.59 | — |
| Antibody HIV-1&HIV-2 single result (86703) | — | $199.96 | — |
| Antibody HIV-2 (86702) | — | $58.26 | — |
| Antibody htlv/HIV antibody confirmatory test (86689) | — | $159.41 | — |
| Antibody identification leukocyte antibodies (86021) | — | $20.55 | — |
| Antibody Lymphocytic Choriomeningitis (86727) | — | $70.14 | — |
| Antibody Protozoa Nes (86753) | — | $195.34 | — |
| Antibody Titer (86886) range across 2 matching MRF lines |
— | $101.72–$120.86 | — |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
— | $57.09–$166.36 | — |
| Antibody; encephalitis, st. louis (86653) range across 3 matching MRF lines |
— | $46.15–$250.11 | — |
| Antigen typing (86905) range across 2 matching MRF lines |
— | $60.56–$72.35 | — |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
— | $31.59–$54.64 | — |
| Antistreptolysin O Screen (86063) | — | $74.20 | — |
| Antithrombin iii activity (85300) | — | $307.21 | — |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
— | $82.31–$114.20 | — |
| Aquaporin-4 Antb Cba Each (86052) | — | $100.28 | — |
| Arsenic (82175) range across 2 matching MRF lines |
— | $19.67–$198.23 | — |
| Aspergillus ag eia (87305) | — | $261.99 | — |
| Assay Blood Carbon Dioxide (82374) | — | $173.89 | — |
| Assay Blood Catecholamines (82383) | — | $214.76 | — |
| Assay Dir Meas Fr Estradiol (82681) | — | $131.28 | — |
| Assay Nephelometry Not Spec (83883) range across 8 matching MRF lines |
— | $39.41–$144.91 | — |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
— | $49.26–$100.86 | — |
| Assay of blood/uric acid (84550) | — | $34.97 | — |
| Assay of calcium in urine (82340) range across 4 matching MRF lines |
— | $26.66–$54.53 | — |
| Assay of cpk in blood (82552) | — | $213.31 | — |
| Assay of estrone (82679) | — | $107.81 | — |
| Assay of feces for trypsin (84490) | — | $91.01 | — |
| Assay of g6pd enzyme (82955) | — | $186.64 | — |
| Assay of gammaglobulin igm (82784) range across 12 matching MRF lines |
— | $27.25–$1,147.98 | — |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
— | $14.78–$65.56 | — |
| Assay of manganese (83785) | — | $106.37 | — |
| Assay of metanephrines (83835) range across 4 matching MRF lines |
— | $91.29–$430.67 | — |
| Assay of phosphatase acid total (84060) | — | $73.90 | — |
| Assay of procainamide (80190) range across 2 matching MRF lines |
— | $95.65–$106.94 | — |
| Assay of proinsulin (84206) | — | $242.87 | — |
| Assay of pyruvate (84210) | — | $170.41 | — |
| Assay of serotonin (84260) | — | $151.57 | — |
| Assay of sweat sodium (84302) | — | $9.57 | — |
| Assay of urine vma (84585) | — | $213.31 | — |
| Assay of vasoactive intestinal peptide (84586) | — | $151.86 | — |
| Assay of vitamin b-1 (84425) range across 3 matching MRF lines |
— | $144.61–$254.74 | — |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
— | $28.41–$69.85 | — |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
— | $59.41–$91.29 | — |
| B cells total count (86355) range across 2 matching MRF lines |
— | $33.88–$40.03 | — |
| Bartonella antibody (86611) | — | $233.87 | — |
| Bcr/abl1 gene major bp (81206) | — | $706.87 | — |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
— | $13.27–$113.91 | — |
| Beta hydroxybutyrate (82010) | — | $71.87 | — |
| Beta-2 Microglobulin (82232) | — | $184.92 | — |
| Bile acids total (82239) | — | $73.32 | — |
| Bilirubin direct (82248) | — | $84.14 | — |
| Bilirubin total (82247) | — | $61.15 | — |
| Blastomyces antibody (86612) | — | $340.54 | — |
| Bld Typing Serologic Rh Phnt (86906) range across 3 matching MRF lines |
— | $60.56–$200.84 | — |
| Bleeding time test (85002) | — | $79.99 | — |
| Blood Count Manual Cell Count Each (85032) | — | $57.09 | — |
| Blood Count Red Blood Cell Automated (85041) | — | $18.14 | — |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 4 matching MRF lines |
— | $16.39–$81.44 | — |
| Blood count spun microhematocrit (85013) | — | $25.50 | — |
| Blood gas (82803) range across 2 matching MRF lines |
— | $41.52–$138.25 | — |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 9 matching MRF lines |
— | $64.62–$1,697.76 | — |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | — | $203.46 | — |
| Blood typing serologic abo (86900) | — | $81.73 | — |
| Body fluid cell count (89050) range across 2 matching MRF lines |
— | $51.60–$81.44 | — |
| Bone marrow smear interpretation (85097) | — | $51.60 | — |
| Bordetella antibody (86615) range across 3 matching MRF lines |
— | $91.29–$747.44 | — |
| C diff amplified probe (87493) | — | $126.75 | — |
| C-Peptide (84681) | — | $698.18 | — |
| C-reactive protein (86140) | — | $148.61 | — |
| Ca 19-9 (86301) range across 2 matching MRF lines |
— | $111.30–$224.61 | — |
| Cadmium (82300) | — | $100 | — |
| Calcitonin (82308) | — | $286.93 | — |
| Calcium ionized (82330) | — | $125.51 | — |
| Calculus assay quant (82360) | — | $172.44 | — |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
— | $405.75–$548.05 | — |
| Cancer Antigen 125 (86304) | — | $226.06 | — |
| Cancer Antigen 27.29 (86300) range across 3 matching MRF lines |
— | $101.72–$131.58 | — |
| Candida antibody (86628) range across 4 matching MRF lines |
— | $39.34–$349.24 | — |
| Carbamazepine total (80156) | — | $226.64 | — |
| Carboxyhemoglobin (82375) range across 4 matching MRF lines |
— | $20.76–$75.35 | — |
| Carcinoembryonic antigen (82378) | — | $148.97 | — |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
— | $6.56–$693.24 | — |
| Carnitine Quantitative Each Specimen (82379) | — | $220.56 | — |
| Carotene (82380) | — | $131.28 | — |
| Catecholamines total urine (82382) range across 2 matching MRF lines |
— | $250.99–$269.53 | — |
| Ccp antibody (86200) | — | $78.26 | — |
| Ceruloplasmin (82390) | — | $119.70 | — |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
— | $293.59–$985.10 | — |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
— | $153.60–$379.95 | — |
| Chlamydia antibody (86631) range across 5 matching MRF lines |
— | $15.30–$253.59 | — |
| Chlamydia Igm Antibody (86632) | — | $16.39 | — |
| Chlamydia trachomatis ag if (87270) | — | $170.41 | — |
| Chloramphenicol level (82415) | — | $172.44 | — |
| Chloride other source (82438) range across 2 matching MRF lines |
— | $9.57–$59.41 | — |
| Chloride urine (82436) | — | $41.44 | — |
| Chlorinated Hydrocarbons Screen (82441) | — | $749.75 | — |
| Cholinesterase rbc (82482) range across 2 matching MRF lines |
— | $159.11–$177.38 | — |
| Cholinesterase Serum (82480) | — | $137.66 | — |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
— | $27.82–$67.83 | — |
| Chrmsm Analysis Addl High Resolution Study (88289) | — | $298.52 | — |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | — | $298.52 | — |
| Chromium serum (82495) range across 2 matching MRF lines |
— | $273.88–$287.79 | — |
| Chromogranin a (86316) range across 3 matching MRF lines |
— | $83.59–$128.98 | — |
| Chromosome analys amniotic (88269) | — | $488.47 | — |
| Chromosome Analysis 15-20 (88262) | — | $1,409.67 | — |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 5 matching MRF lines |
— | $19.67–$84.91 | — |
| Citric acid urine (82507) | — | $381.99 | — |
| Ckmb (82553) | — | $30.60 | — |
| Clot Factor VIII Multimetric (85247) | — | $542.83 | — |
| Clot factor xiii fibrin stab (85290) | — | $100.28 | — |
| Clotting factor xii hageman (85280) | — | $220.85 | — |
| Coagulation time; Lee and White Facility (85345) | — | $72.78 | — |
| Coccidioides antibody (86635) | — | $15.07 | — |
| Collagen crosslinks (82523) range across 4 matching MRF lines |
— | $81.14–$279.09 | — |
| Column Chromotography Quant (82542) range across 4 matching MRF lines |
— | $43.71–$380.83 | — |
| Compatibility Each Unit Incubation (86921) | — | $277.35 | — |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
— | $326.35–$540.51 | — |
| Complement Antigen Each Component (86160) range across 9 matching MRF lines |
— | $31.59–$221.42 | — |
| Complement Fixation Tests Each Antigen (86171) range across 12 matching MRF lines |
— | $99.41–$446.32 | — |
| Complement Total (Ch50) (86162) range across 3 matching MRF lines |
— | $95.65–$228.38 | — |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
— | $142.88–$163.91 | — |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | — | $151.29 | — |
| Coombs direct (86880) | — | $60.56 | — |
| Copper urine (82525) range across 2 matching MRF lines |
— | $127.52–$171 | — |
| Cortisol free (82530) range across 2 matching MRF lines |
— | $64.06–$148.39 | — |
| Cortisol saliva (82533) range across 4 matching MRF lines |
— | $105.19–$312.72 | — |
| Creatinine blood (82565) | — | $32.75 | — |
| Creatinine Urine (82570) range across 5 matching MRF lines |
— | $6.56–$97.66 | — |
| Crp High Sensitivity (86141) | — | $178.23 | — |
| Cryptococcus ab (86641) | — | $91.01 | — |
| Cryptococcus ag titer (87899) | — | $315.60 | — |
| Cryptosporidium ag eia (87328) | — | $113.91 | — |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | — | $203.18 | — |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | — | $29.85 | — |
| Culture afb (87116) range across 4 matching MRF lines |
— | $80.87–$117.08 | — |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
— | $40.57–$240.26 | — |
| Culture blood (87040) | — | $49.17 | — |
| Culture chlamydia (87110) | — | $84.91 | — |
| Culture csf (87070) range across 6 matching MRF lines |
— | $83.91–$228.38 | — |
| Culture fungus (87102) | — | $134.77 | — |
| Culture screen only (87081) range across 3 matching MRF lines |
— | $49.17–$158.82 | — |
| Culture urine (87086) | — | $49.17 | — |
| Culture, typing; identification by pulse field gel typing Facility (87152) | — | $166.36 | — |
| Cyanide (82600) | — | $155.05 | — |
| Cyclic amp (82030) | — | $266.64 | — |
| Cyclosporine (80158) | — | $151.57 | — |
| Cystatin C (82610) | — | $86.95 | — |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
— | $67.24–$162.01 | — |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
— | $67.53–$87.53 | — |
| Cytopath Cell Enhance Tech (88112) | — | $120.86 | — |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | — | $113.91 | — |
| Cytp Concentration Smears & Interpretation (88108) | — | $75.93 | — |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | — | $106.37 | — |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | — | $492.69 | — |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 8 matching MRF lines |
— | $135.06–$197.95 | — |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | — | $51.30 | — |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | — | $49.26 | — |
| Deoxycortisol (82634) | — | $421.98 | — |
| Deoxyribonuclease antibody (86215) | — | $141.43 | — |
| Detect Agent Nos Dna Amp (87798) range across 9 matching MRF lines |
— | $68.30–$692.09 | — |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
— | $747.44–$789.75 | — |
| Detect agnt mult DNA ampli (87801) range across 4 matching MRF lines |
— | $101.43–$358.21 | — |
| Dhea (82626) | — | $407.49 | — |
| Dhea-S (82627) | — | $258.52 | — |
| Digoxin (80162) range across 2 matching MRF lines |
— | $48.08–$95.06 | — |
| Diphtheria antitoxoid (86648) | — | $185.19 | — |
| Dna Antibody Native/Double Stranded (86225) range across 5 matching MRF lines |
— | $35.36–$131.28 | — |
| Drug assay acetaminophen (80143) range across 2 matching MRF lines |
— | $110.36–$372.42 | — |
| Drug Assay Amiodarone (80151) | — | $367.49 | — |
| Drug assay felbamate (80167) | — | $122.01 | — |
| Drug Assay Infliximab (80230) | — | $136.59 | — |
| Drug Assay Leflunomide (80193) | — | $295.03 | — |
| Drug Screen Quant Clozapine (80159) | — | $305.48 | — |
| Drug Screen Quantitative Gabapentin (80171) range across 3 matching MRF lines |
— | $186.93–$223.17 | — |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
— | $50.71–$254.47 | — |
| Drug Screen Quantitative Levetiracetam (80177) | — | $522.83 | — |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
— | $40.57–$122.88 | — |
| Drug Test Prsmv Chem Anlyzr (80307) range across 23 matching MRF lines |
— | $35–$390.68 | — |
| Ehrlichia antibody (86666) | — | $244.03 | — |
| Electrolyte panel (80051) | — | $317.06 | — |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | — | $183.46 | — |
| Encephaltis East Eqne Anbdy (86652) range across 4 matching MRF lines |
— | $46.15–$250.11 | — |
| Encephaltis West Eqne Antbdy (86654) range across 3 matching MRF lines |
— | $46.15–$250.11 | — |
| Enterovirus Antibody (86658) range across 4 matching MRF lines |
— | $152.54–$296.48 | — |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
— | $84.62–$359.08 | — |
| Enzyme cell activity (82657) | — | $39.34 | — |
| Erythropoietin (82668) | — | $200.56 | — |
| Estradiol serum (82670) | — | $140.57 | — |
| Estriol (82677) | — | $213.31 | — |
| Estrogen total (82672) range across 2 matching MRF lines |
— | $220.56–$487.47 | — |
| Ethosuximide (80168) range across 2 matching MRF lines |
— | $111.58–$148.10 | — |
| Ethylene Glycol (82693) | — | $94.48 | — |
| Exam Synovial Fluid Crystals (89060) range across 3 matching MRF lines |
— | $68.08–$114.47 | — |
| F2 Gene (81240) | — | $276.78 | — |
| Factor ii activity (85210) | — | $106.66 | — |
| Factor Inhibitor Test (85335) | — | $26.52 | — |
| Factor ix activity (85250) | — | $202.88 | — |
| Factor v activity (85220) | — | $191.28 | — |
| Factor v leiden mutation (81241) | — | $739.61 | — |
| Factor vii assay (85230) | — | $204.62 | — |
| Factor viii assay (85240) range across 2 matching MRF lines |
— | $211.57–$212.14 | — |
| Factor xi activity (85270) | — | $214.47 | — |
| Fat stain feces urine/respir secretions (89125) | — | $72.16 | — |
| Fat/Lipids Feces Quantitative (82710) range across 2 matching MRF lines |
— | $154.18–$328.37 | — |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | — | $634.42 | — |
| Ferritin (82728) | — | $34.97 | — |
| Fetal hemoglobin assay qual (83033) | — | $69.56 | — |
| Fibrin degradation products (85362) | — | $101.43 | — |
| Fibrin Degradation Quant (85379) | — | $54.64 | — |
| Fibrinogen activity (85384) | — | $176.79 | — |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
— | $492.69–$1,954.54 | — |
| Fluorescent antibody screen (86255) range across 18 matching MRF lines |
— | $31.59–$734.11 | — |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 5 matching MRF lines |
— | $78.57–$277.65 | — |
| Fmr1 Gene Charac Alleles (81244) | — | $255.91 | — |
| Fmr1 gene detection (81243) | — | $2,035.98 | — |
| Folic acid rbc (82747) | — | $238.24 | — |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
— | $37.15–$123.17 | — |
| Follicle Stimulating Hormone (83001) | — | $133.31 | — |
| Frozen Section (88331) | — | $277.35 | — |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
— | $55.36–$162.59 | — |
| Gastrin (82941) | — | $308.37 | — |
| Genet Virus Isolate Hsv (87255) | — | $328.37 | — |
| Gentamicin (80170) range across 2 matching MRF lines |
— | $99.70–$100 | — |
| Ggt (82977) range across 3 matching MRF lines |
— | $105.78–$111 | — |
| Giardia antigen (87329) | — | $72.75 | — |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
— | $22.61–$24.04 | — |
| Glucose body fluid (82945) range across 3 matching MRF lines |
— | $4.71–$95.92 | — |
| Glucose tolerance test (gtt) (82951) range across 3 matching MRF lines |
— | $138.54–$324.89 | — |
| Glycated Protein (82985) | — | $64.62 | — |
| Gonadotropin Chorionic Qualitative (84703) | — | $31.69 | — |
| Gonadotropin releasing hormone (83727) | — | $581.38 | — |
| Growth hormone (83003) range across 2 matching MRF lines |
— | $114.20–$173.61 | — |
| H Pylori (C-13) Breath (83013) | — | $489.21 | — |
| Haloperidol (80173) | — | $196.22 | — |
| Haptoglobin (83010) | — | $95.92 | — |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
— | $61.45–$99.12 | — |
| Heavy metal qualitative any analytes (83015) | — | $170.41 | — |
| Helicobacter Pylori Stool (87338) | — | $83.05 | — |
| Helminth Antibody (86682) range across 2 matching MRF lines |
— | $69.27–$460.52 | — |
| Hemagglutination Inhibition (86280) | — | $314.45 | — |
| Hematocrit (85014) | — | $9.84 | — |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
— | $37.15–$125.78 | — |
| Hemoglobin Chromotography (83021) | — | $211.57 | — |
| Hemoglobin electrophoresis (83020) | — | $135.39 | — |
| Hemoglobin F Fetal Chemical (83030) | — | $75.65 | — |
| Hemoglobin Methemoglobin Quantitative (83050) | — | $31.59 | — |
| Hemoglobin plasma (83051) | — | $53.03 | — |
| Hemoglobin urine (83069) | — | $99.12 | — |
| Hemolysins&Agglutinins Auto Screen Each (86940) | — | $73.90 | — |
| Hemolysins&Agglutinins Incubated (86941) | — | $73.90 | — |
| Hemosiderin urine (83070) range across 2 matching MRF lines |
— | $25.80–$89.85 | — |
| Hep a ab igm (86709) range across 2 matching MRF lines |
— | $108.96–$132.16 | — |
| Heparin assay (85520) range across 2 matching MRF lines |
— | $286.93–$506.61 | — |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
— | $22.95–$46.66 | — |
| Hepatitis b core ab igm (86705) | — | $8.03 | — |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
— | $18.58–$77.11 | — |
| Hepatitis B Surface Antibody (86706) | — | $363.72 | — |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
— | $53.91–$133.02 | — |
| Hepatitis Be Antibody (86707) | — | $8.74 | — |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
— | $77.11–$107.52 | — |
| Hepatitis C Antibody (86803) | — | $27.32 | — |
| Hepatitis C Genotype (87902) | — | $788 | — |
| Hepatitis C Probe&Rvrs Trnsc (87521) | — | $570.07 | — |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
— | $498.50–$1,007.11 | — |
| Herpes simplex type 2 (86696) | — | $78.83 | — |
| Heterophile Antibody Screen (86308) | — | $87.81 | — |
| Hfe Gene (81256) range across 4 matching MRF lines |
— | $91.24–$1,335.20 | — |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | — | $208.67 | — |
| Histamine urine (83088) | — | $384.01 | — |
| Histoplasma antibody (86698) | — | $84.91 | — |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
— | $61.90–$137.66 | — |
| Hiv Genotype (87901) range across 2 matching MRF lines |
— | $617.17–$1,299.55 | — |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | — | $272.14 | — |
| Hiv-1 Antibody (86701) | — | $37.96 | — |
| HIV-1 p24 antigen (87390) | — | $522.83 | — |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 3 matching MRF lines |
— | $85.93–$497.42 | — |
| Hla I Typing 1 Allele Hr (81381) | — | $407.78 | — |
| Hla ii typing 1 allele hr (81383) | — | $471.26 | — |
| Hla Typing a/B/C Multiple Antigens (86813) | — | $1,327.96 | — |
| Hla Typing Dr/Dq Single Antigen (86816) | — | $957.56 | — |
| Hla-b27 (86812) | — | $358.21 | — |
| Homocysteine (83090) | — | $238.82 | — |
| Homovanillic acid urine (83150) | — | $164.04 | — |
| Hpv High-Risk Types (87624) | — | $45.02 | — |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
— | $82.31–$372.42 | — |
| Htt Gene Detc Abnor Alleles (81271) | — | $1,023.36 | — |
| Human Epididymis Protein 4 (86305) | — | $205.43 | — |
| Hydroxycorticosteroids 17 (83491) range across 2 matching MRF lines |
— | $170.41–$630.07 | — |
| Hydroxyprogesterone 17-d (83498) | — | $220.85 | — |
| Hydroxyproline total (83505) range across 2 matching MRF lines |
— | $105.19–$261.71 | — |
| Iaad Ia Escherichia Coli 0157 (87335) | — | $62.28 | — |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | — | $607.56 | — |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | — | $100.56 | — |
| Iaadi inffluenza a virus (87276) | — | $75.35 | — |
| Iaadi not otherwise specified each organism (87299) | — | $305.18 | — |
| Iaadi parainfluenza virus each type (87279) | — | $75.35 | — |
| Iadna Candida Species Amplified Probe Tq (87481) | — | $54.64 | — |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | — | $541.38 | — |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | — | $544.86 | — |
| Iadna Hepatitis B Virus Quantification (87517) | — | $96.16 | — |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
— | $84.91–$531.82 | — |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | — | $492.69 | — |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
— | $84.91–$183.75 | — |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 6 matching MRF lines |
— | $19.67–$84.91 | — |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | — | $472.10 | — |
| Igg subclasses (82787) range across 2 matching MRF lines |
— | $36.05–$284.32 | — |
| Immune Complex Assay (86332) | — | $294.17 | — |
| Immunfix e-phorsis/urine/csf (86335) range across 4 matching MRF lines |
— | $41.74–$1,028.28 | — |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 11 matching MRF lines |
— | $159.97–$1,200.44 | — |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 8 matching MRF lines |
— | $24.04–$887.15 | — |
| Immunoassay nonantibody (83516) range across 13 matching MRF lines |
— | $27.82–$1,629.07 | — |
| Immunodiffusion not elsewhere specified (86329) | — | $75.93 | — |
| Immunodiffusion Ouchterlony (86331) range across 3 matching MRF lines |
— | $60.56–$417.92 | — |
| Immunoelectrophoresis Other Fluids Concentration (86325) | — | $201.72 | — |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
— | $191.33–$448.95 | — |
| Immunohistochemistry (88342) | — | $492.69 | — |
| In situ hybridization 1st probe stain (88365) range across 3 matching MRF lines |
— | $277.35–$383.72 | — |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | — | $75.35 | — |
| Influenza a/b ag eia (87400) | — | $116.23 | — |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
— | $25.13–$85.21 | — |
| Inhibin A (86336) | — | $128.68 | — |
| Inhibin b (83520) range across 16 matching MRF lines |
— | $21.38–$795.84 | — |
| Insulin antibodies (86337) range across 2 matching MRF lines |
— | $75.40–$238.82 | — |
| Insulin free (83527) | — | $55.64 | — |
| Insulin total (83525) | — | $155.33 | — |
| Intrinsic factor antibody (86340) | — | $164.33 | — |
| Iron (83540) | — | $289.83 | — |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
— | $30.60–$65.02 | — |
| Irradiation Blood Product Each Unit (86945) | — | $140.57 | — |
| Islet cell antibody (86341) range across 5 matching MRF lines |
— | $68.22–$292.14 | — |
| Jak2 gene analysis p.val617phe variant (81270) | — | $245.86 | — |
| Ketosteroids 17 total (83586) | — | $187.22 | — |
| Koh Prep (87220) range across 2 matching MRF lines |
— | $33.91–$48.70 | — |
| L/s ratio (83661) range across 4 matching MRF lines |
— | $95.06–$266.05 | — |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
— | $46.99–$165.78 | — |
| Lactoferrin fecal qualitative (83630) | — | $228.38 | — |
| Ldh Isoenzymes (83625) | — | $181.43 | — |
| LDL direct (83721) | — | $116.51 | — |
| Lead (83655) | — | $91.29 | — |
| Legionella antibody (86713) | — | $241.99 | — |
| Legionella antigen urine (87449) range across 5 matching MRF lines |
— | $15.91–$266.34 | — |
| Leptospira antibody (86720) range across 2 matching MRF lines |
— | $59.23–$128.98 | — |
| Leucine Aminopeptidase Lap (83670) | — | $142.29 | — |
| Leukocyte Histamine Release (86343) | — | $42.77 | — |
| Level I Surg Pathology Gross Examination Only (88300) | — | $75.93 | — |
| Level ii surg pathology grossµscopic exam (88302) | — | $167.81 | — |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | — | $492.69 | — |
| Lidocaine (80176) range across 2 matching MRF lines |
— | $102.31–$126.36 | — |
| Lipase (83690) range across 2 matching MRF lines |
— | $41.44–$43.48 | — |
| Lipoprotein A (83695) | — | $114.20 | — |
| Lipoprotein Bld Quan Part (83704) | — | $135.64 | — |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | — | $112.75 | — |
| Listeria Monocytogenes (86723) | — | $179.68 | — |
| Lithium (80178) | — | $141.13 | — |
| Luteinizing Hormone (Lh) (83002) | — | $244.03 | — |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
— | $8.49–$244.32 | — |
| Lysozyme serum (85549) | — | $308.96 | — |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | — | $147.82 | — |
| Magnesium Urine (83735) range across 4 matching MRF lines |
— | $7.65–$1,005.38 | — |
| Mass Spectrometry Quant (83789) | — | $151 | — |
| Mercury urine (83825) | — | $226.64 | — |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
— | $6.83–$82.89 | — |
| Microsomal Antibodies Each (86376) range across 6 matching MRF lines |
— | $37.96–$386.33 | — |
| Mog-Igg1 Antb Cba Each (86362) | — | $100.28 | — |
| Mononuclear cell antigen (86356) | — | $102.01 | — |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
— | $566.88–$695.27 | — |
| Mthfr Gene Analysis Common Variants (81291) | — | $332.71 | — |
| Mucin Clot Body Fluid (83872) | — | $80.10 | — |
| Mumps antibody (86735) range across 2 matching MRF lines |
— | $69.27–$114.47 | — |
| Mycophenolic Acid (80180) | — | $54.64 | — |
| Mycoplasma antibody (86738) | — | $177.66 | — |
| Myelin basic protein csf (83873) range across 2 matching MRF lines |
— | $46.76–$79.12 | — |
| Myoglobin urine (83874) range across 3 matching MRF lines |
— | $31.69–$113.91 | — |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
— | $98.34–$151.89 | — |
| Neisseria Dir Na Probe (87590) | — | $145.21 | — |
| Neutralization Test Viral (86382) | — | $100.28 | — |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | — | $169.37 | — |
| Nfct ds chrnc hcv 6 assays (81596) | — | $358.21 | — |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | — | $1,620.09 | — |
| Niacin (84591) | — | $48.08 | — |
| Nk cells total count (86357) | — | $33.88 | — |
| Nuclear antigen antibody (86235) range across 22 matching MRF lines |
— | $22.71–$334.16 | — |
| Occult blood feces (82272) | — | $7.65 | — |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
— | $14.63–$34.49 | — |
| Oligoclonal bands (83916) | — | $88.40 | — |
| Oncoprotein dcp (83951) | — | $266.35 | — |
| Organic acids urine (83918) range across 2 matching MRF lines |
— | $168.09–$673.25 | — |
| Osmolality serum (83930) | — | $45.51 | — |
| Osmolality Urine (83935) | — | $45.51 | — |
| Osmotic fragility rbc incubated (85557) | — | $191.87 | — |
| Oxalate urine (83945) | — | $151 | — |
| Pancreatic Elastase Fecal (82656) | — | $465.16 | — |
| Particle Agglutination Screen Each Antibody (86403) range across 10 matching MRF lines |
— | $15.36–$179.40 | — |
| Parvovirus antibody (86747) range across 3 matching MRF lines |
— | $64.62–$344.86 | — |
| Ph urine (81003) | — | $88.11 | — |
| Phenobarbital Level (80184) | — | $88.11 | — |
| Phenylalanine (84030) | — | $108.96 | — |
| Phenytoin (Dilantin) (80185) | — | $130.13 | — |
| Phosphatase acid prostatic (84066) range across 2 matching MRF lines |
— | $114.47–$132.16 | — |
| Phosphatidylglycerol (84081) | — | $205.19 | — |
| Phosphorus urine (84105) range across 2 matching MRF lines |
— | $73.05–$635.87 | — |
| Pinworm exam (87172) | — | $73.05 | — |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
— | $304.31–$444.29 | — |
| Porphobilinogen Urine Qualitative (84106) | — | $120.56 | — |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
— | $132.46–$184.92 | — |
| Porphyrins, urine; qualitative (84119) | — | $196.50 | — |
| Potassium Urine (84133) | — | $41.44 | — |
| Prealbumin (84134) | — | $116.23 | — |
| Pregnenolone (84140) | — | $64.47 | — |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | — | $277.35 | — |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | — | $214.47 | — |
| Pretx serum rbc antibody identification dilution (86976) | — | $75.93 | — |
| Primidone (80188) range across 2 matching MRF lines |
— | $72.16–$83.17 | — |
| Procalcitonin (Pct) (84145) | — | $78.83 | — |
| Progesterone (84144) | — | $172.44 | — |
| Prolactin (84146) | — | $226.64 | — |
| Protein body fluid (84157) | — | $11.90 | — |
| Protein C Activity (85303) | — | $259.11 | — |
| Protein c antigen (85302) | — | $259.11 | — |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
— | $35.95–$79.12 | — |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
— | $79.12–$276.78 | — |
| Protein S Free (85306) range across 3 matching MRF lines |
— | $16.88–$259.11 | — |
| Protein s total (85305) | — | $259.11 | — |
| Protein total serum (84155) range across 3 matching MRF lines |
— | $60.76–$95.92 | — |
| Protein Total Urine (84156) range across 4 matching MRF lines |
— | $10.44–$159.69 | — |
| Protein Western Blot Test (84182) | — | $38.74 | — |
| Protoporphyrin rbc quantitative (84202) range across 5 matching MRF lines |
— | $62.02–$135.64 | — |
| PSA free (84154) range across 2 matching MRF lines |
— | $192.43–$195.92 | — |
| Pth Intact (83970) range across 2 matching MRF lines |
— | $76.49–$178.53 | — |
| Q Fever Antibody (86638) | — | $104.63 | — |
| Quantiferon tb gold plus (86480) | — | $483.12 | — |
| Quantitative assay drug (80299) range across 32 matching MRF lines |
— | $74.20–$722.23 | — |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
— | $95.06–$337.94 | — |
| Quinidine (80194) | — | $91.58 | — |
| Rbc antibody elution (86860) | — | $277.35 | — |
| Rbc antibody identification (86870) range across 7 matching MRF lines |
— | $437.85–$492.69 | — |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
— | $67.75–$199.98 | — |
| Rbc pretreatment serum (86978) | — | $149.56 | — |
| Rbc pretx incubatj w/enzymes (86971) | — | $492.69 | — |
| Rbc serum pretx incubj drugs (86975) | — | $85.21 | — |
| Reagent Strip/Blood Glucose (82948) | — | $79.12 | — |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | — | $225.49 | — |
| Receptor assay estrogen (84233) | — | $452.71 | — |
| Renin activity plasma (84244) | — | $290.10 | — |
| Resp virus 12-25 targets (87633) | — | $1,581.54 | — |
| Reticulocyte separation (86972) | — | $277.35 | — |
| Rh (86901) range across 2 matching MRF lines |
— | $59.71–$74.20 | — |
| Rheumatoid Factor Qualitative (86430) | — | $32.02 | — |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
— | $15.07–$24.05 | — |
| Rickettsia antibody (86757) | — | $164.62 | — |
| Ristocetin cofactor (85245) range across 3 matching MRF lines |
— | $397.34–$895.26 | — |
| Rotavirus ag eia (87425) | — | $161.72 | — |
| Rpr qualitative (86592) range across 2 matching MRF lines |
— | $33.04–$34.97 | — |
| Rsv Assay W/Optic (87807) | — | $43.71 | — |
| Rubella Antibody (86762) | — | $175.64 | — |
| Rubeola antibody (86765) | — | $138.82 | — |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
— | $36.80–$264.32 | — |
| Salicylate Level (80179) | — | $110.36 | — |
| Salmonella antibody (86768) | — | $83.46 | — |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
— | $115.93–$260.84 | — |
| Sars-cov-2 COVID-19 antibody (86769) | — | $85.23 | — |
| Sedimentation rate (85651) | — | $120.20 | — |
| Selenium (84255) | — | $28.14 | — |
| Semen Anal Sperm Detection (89321) | — | $52.17 | — |
| Semen analysis complete (89320) range across 2 matching MRF lines |
— | $51.30–$83.17 | — |
| Sensitivity mic (87186) range across 2 matching MRF lines |
— | $22.95–$657.89 | — |
| Sex Hormone Binding Globulin (84270) | — | $249.83 | — |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
— | $48.11–$81.44 | — |
| Sirolimus (80195) | — | $341.13 | — |
| Skin test tuberculosis intradermal (86580) | — | $35.17 | — |
| Smear acid fast (87206) range across 6 matching MRF lines |
— | $29.27–$141.73 | — |
| Smear gram stain (87205) range across 2 matching MRF lines |
— | $19.67–$44.92 | — |
| Smear Special Stain (87207) range across 2 matching MRF lines |
— | $89.85–$125.21 | — |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
— | $21.96–$76.81 | — |
| Snrpn/Ube3a Methylation Analysis (81331) | — | $1,052.92 | — |
| Sodium Serum (84295) | — | $17.48 | — |
| Sodium Urine (84300) | — | $58.26 | — |
| Somatomedin (84305) range across 2 matching MRF lines |
— | $285.18–$327.50 | — |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
— | $67.75–$175.64 | — |
| Special Stains Group 2 (88313) | — | $97.10 | — |
| Specific gravity body fluid (84315) | — | $25.20 | — |
| Specimen infect agnt concntj (87015) range across 4 matching MRF lines |
— | $28.41–$93.03 | — |
| Spectrophotometry (84311) range across 5 matching MRF lines |
— | $13.05–$613.54 | — |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | — | $203.25 | — |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
— | $52.76–$160.63 | — |
| Strep a assay w/optic (87880) | — | $31.69 | — |
| Surg path level iii (88304) | — | $210.12 | — |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
— | $67.75–$251.57 | — |
| Surgical pathology level vi (88309) | — | $1,214.92 | — |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | — | $17.97 | — |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | — | $68.11 | — |
| T cells absolute cd4 count (86361) | — | $219.97 | — |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 4 matching MRF lines |
— | $33.88–$701.65 | — |
| T cells total count (86359) range across 3 matching MRF lines |
— | $33.88–$337.94 | — |
| T3 Free (84481) | — | $110.36 | — |
| T3 reverse (84482) | — | $205.19 | — |
| T3 Total (84480) range across 3 matching MRF lines |
— | $22.95–$245.76 | — |
| T3 Uptake (84479) range across 2 matching MRF lines |
— | $19.67–$68.11 | — |
| T4 Free (84439) range across 5 matching MRF lines |
— | $65.21–$150.79 | — |
| T4 total (84436) range across 2 matching MRF lines |
— | $12.02–$40.57 | — |
| Tacrolimus (80197) | — | $196.22 | — |
| Test for acetone/ketones (82009) range across 3 matching MRF lines |
— | $28.41–$46.66 | — |
| Test for urine cystines (82615) | — | $103.18 | — |
| Testosterone total (84403) range across 2 matching MRF lines |
— | $119.11–$399.95 | — |
| Testosterone, Free (84402) range across 2 matching MRF lines |
— | $173.32–$210.99 | — |
| Tetanus antibody (86774) | — | $185.19 | — |
| Theophylline (80198) | — | $103.18 | — |
| Thrombin Time (85670) | — | $101.72 | — |
| Thyroglobulin (84432) | — | $237.36 | — |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
— | $42.77–$70.71 | — |
| Thyroid Stimulating Immunoglobulin (84445) | — | $770.92 | — |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | — | $539.93 | — |
| Thyroxine binding globulin (84442) | — | $102.60 | — |
| Tissue Culture Amniotic Fluid (88235) | — | $423.20 | — |
| Tissue Culture Lymphocyte (88230) | — | $502.83 | — |
| Tobramycin peak (80200) range across 3 matching MRF lines |
— | $105.49–$177.08 | — |
| Topiramate (80201) range across 2 matching MRF lines |
— | $166.64–$191.28 | — |
| Touch prep (88161) | — | $75.93 | — |
| Toxoplasma ab igm (86778) | — | $53.62 | — |
| Toxoplasma antibody (86777) range across 3 matching MRF lines |
— | $53.62–$193.31 | — |
| Transferase Aspartate Amino Ast Sgot (84450) range across 3 matching MRF lines |
— | $122.31–$1,761.80 | — |
| Transferrin (84466) | — | $150.41 | — |
| Trichomonas Vaginalis Amplif (87661) range across 4 matching MRF lines |
— | $41.52–$106.92 | — |
| Triglycerides (84478) range across 2 matching MRF lines |
— | $34.21–$118.83 | — |
| Troponin Quant (84484) | — | $76.49 | — |
| Tumor Immunohistochem/Manual (88360) | — | $255.91 | — |
| Unlisted Transfusion Medicine Procedure (86999) range across 6 matching MRF lines |
— | $12.35–$864.25 | — |
| Urea nitrogen urine (84540) | — | $84.62 | — |
| Uric acid other source (84560) range across 2 matching MRF lines |
— | $29.85–$65.79 | — |
| Urinalysis Volume Measure (81050) | — | $12.75 | — |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | — | $25.13 | — |
| Urobilinogen, feces, quantitative Facility (84577) | — | $89.56 | — |
| Valproic acid (80164) range across 3 matching MRF lines |
— | $26.22–$88.11 | — |
| Vancomycin (80202) | — | $53.54 | — |
| Varicella-zoster antibody (86787) | — | $68.39 | — |
| Vasopressin (84588) | — | $280.24 | — |
| Viral Culture (87252) | — | $106.94 | — |
| Virus antibody nos (86790) | — | $38.85 | — |
| Virus inoculate tissue addl (87253) | — | $132.74 | — |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) range across 2 matching MRF lines |
— | $139.41–$193.31 | — |
| Viscosity serum (85810) | — | $16.61 | — |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
— | $53.54–$493.57 | — |
| Vitamin A (84590) | — | $190.98 | — |
| Vitamin b-12 (82607) | — | $52.45 | — |
| Vitamin B2 (Riboflavin) (84252) | — | $137.96 | — |
| Vitamin B6 (84207) | — | $351.85 | — |
| Vitamin c (82180) range across 2 matching MRF lines |
— | $77.67–$228.08 | — |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
— | $71.03–$255.04 | — |
| Vitamin E (84446) | — | $60.86 | — |
| Vitamin K (84597) | — | $59.71 | — |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
— | $136.51–$542.83 | — |
| Wbc Alkaline Phosphatase Count (85540) range across 3 matching MRF lines |
— | $114.47–$284.89 | — |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
— | $119.41–$558.76 | — |
| West Nile Virus Antibody (86789) | — | $119.41 | — |
| Xylose Absorption Test (84620) | — | $85.80 | — |
| Zinc (84630) range across 2 matching MRF lines |
— | $61.47–$134.77 | — |
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.