Lab & pathology prices at Eastern Plumas Hospital - Portola Campus
Portola, CA · every code in this section with a posted price and a Medicare benchmark.
313 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) range across 2 matching MRF lines |
$368–$369.60 | $460–$462 | varies |
| Acth (82024) | $171.20 | $214 | 4.4× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$51.20–$387.20 | $64–$484 | varies |
| Acute hepatitis panel (80074) | $211.20 | $264 | 4.4× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $285.60 | $357 | 4.4× |
| Albumin serum (82040) range across 2 matching MRF lines |
$45.60–$280.80 | $57–$351 | varies |
| Aldolase (82085) | $43.20 | $54 | 4.4× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$180.80–$563.20 | $226–$704 | varies |
| Alkaline phosphatase isoenzymes (84080) | $276.80 | $346 | 18.7× |
| Allergen specific ige (86003) range across 7 matching MRF lines |
$17.60–$204.80 | $22–$256 | varies |
| Alpha-1-antitrypsin total (82103) | $60 | $75 | 4.5× |
| Alpha-Fetoprotein Serum (82105) | $33.60 | $42 | 2.0× |
| Alt (sgpt) (84460) | $50.40 | $63 | 9.5× |
| Aluminum (82108) | $86.40 | $108 | 3.4× |
| Ammonia (82140) | $83.20 | $104 | 5.7× |
| Amylase urine (82150) | $59.20 | $74 | 9.1× |
| Anca Titer Each Antibody (86037) | $204.80 | $256 | 17.0× |
| Androstenedione (82157) | $169.60 | $212 | 5.8× |
| Angiotensin converting enzyme csf (82164) | $73.60 | $92 | 5.0× |
| Angiotensin II (82163) | $412.80 | $516 | 20.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $68 | $85 | 4.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $80.80 | $101 | 4.5× |
| Antibody Herpes Smplx Type 1 (86695) | $58.40 | $73 | 4.4× |
| Antibody HIV-1&HIV-2 single result (86703) | $94.40 | $118 | 6.9× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$109.60–$354.40 | $137–$443 | varies |
| Antinomyces antibody (86602) | $137.60 | $172 | 13.5× |
| Antinuclear antibodies (86038) range across 5 matching MRF lines |
$20–$387.20 | $25–$484 | varies |
| Apolipoprotein a1 (82172) | $93.60 | $117 | 4.4× |
| Aquaporin-4 Antb Cba Each (86052) | $1,275.20 | $1,594 | 105.8× |
| Arsenic (82175) range across 2 matching MRF lines |
$84–$176 | $105–$220 | varies |
| Assay Nephelometry Not Spec (83883) | $392.80 | $491 | 28.9× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$57.60–$333.60 | $72–$417 | varies |
| Assay of blood/uric acid (84550) | $44 | $55 | 9.7× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$12.80–$26.40 | $16–$33 | varies |
| Assay of estrone (82679) | $111.20 | $139 | 4.5× |
| Assay of g6pd enzyme (82955) | $43.20 | $54 | 4.5× |
| Assay of gammaglobulin igm (82784) range across 6 matching MRF lines |
$28.80–$348.80 | $36–$436 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$72–$216 | $90–$270 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$100–$164 | $125–$205 | varies |
| Assay of prostate specific antigen complexed (84152) | $179.20 | $224 | 9.7× |
| Assay of serum potassium (84132) | $42.40 | $53 | 8.9× |
| Assay of urea nitrogen (84520) | $37.60 | $47 | 9.5× |
| Assay of vitamin b-1 (84425) | $94.40 | $118 | 4.4× |
| Assay Ph Body Fluid Nos (83986) | $36 | $45 | 10.1× |
| Bartonella antibody (86611) | $163.20 | $204 | 16.0× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$224–$409.60 | $280–$512 | varies |
| Beta-2 Microglobulin (82232) | $76 | $95 | 4.7× |
| Bilirubin direct (82248) | $48 | $60 | 9.6× |
| Bilirubin total (82247) | $48 | $60 | 9.6× |
| Blood count reticulocyte automated (85045) | $37.60 | $47 | 9.4× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $30.40 | $38 | 8.0× |
| Blood gas (82803) | $180 | $225 | 6.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $294.40 | $368 | 18.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $35.20 | $44 | 8.0× |
| Blood typing serologic abo (86900) | $56 | $70 | 18.7× |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$123.20–$246.40 | $154–$308 | varies |
| Brca1&2 gen full seq dup/del (81162) | $4,824 | $6,030 | 2.6× |
| C-Peptide (84681) | $111 | $138.75 | 5.3× |
| C-reactive protein (86140) | $121.60 | $152 | 23.5× |
| Ca 19-9 (86301) | $92 | $115 | 4.4× |
| Cadmium (82300) | $155.20 | $194 | 6.6× |
| Calcium ionized (82330) | $60.80 | $76 | 4.4× |
| Calcium total (82310) range across 2 matching MRF lines |
$23.20–$49.60 | $29–$62 | varies |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$400–$888 | $500–$1,110 | varies |
| Cancer Antigen 125 (86304) | $92 | $115 | 4.4× |
| Cancer Antigen 27.29 (86300) | $92 | $115 | 4.4× |
| Carbamazepine total (80156) | $129.60 | $162 | 8.9× |
| Carcinoembryonic antigen (82378) | $84 | $105 | 4.4× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$225.60–$564 | $282–$705 | varies |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$96–$200.80 | $120–$251 | varies |
| Ccp antibody (86200) range across 3 matching MRF lines |
$57.60–$392 | $72–$490 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$24.80–$51.20 | $31–$64 | varies |
| Ceruloplasmin (82390) | $22.40 | $28 | 2.1× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$62.40–$939.20 | $78–$1,174 | varies |
| Chorionic gonadotropin test (84702) | $139.20 | $174 | 9.2× |
| Chromium serum (82495) | $225.60 | $282 | 11.1× |
| Chromogranin a (86316) | $208.80 | $261 | 10.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$156–$172.80 | $195–$216 | varies |
| Ckmb (82553) | $107.20 | $134 | 9.3× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$73.60–$87.20 | $92–$109 | varies |
| Coccidioides antibody (86635) | $80.80 | $101 | 7.0× |
| Column Chromotography Quant (82542) | $195.20 | $244 | 8.1× |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$59.20–$409.60 | $74–$512 | varies |
| Complement Total (Ch50) (86162) | $90.40 | $113 | 4.4× |
| Copper urine (82525) | $272 | $340 | 21.9× |
| Cortisol free (82530) range across 2 matching MRF lines |
$100–$102.40 | $125–$128 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$72–$256 | $90–$320 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$20.80–$68 | $26–$85 | varies |
| Creatinine blood (82565) | $49.60 | $62 | 9.7× |
| Creatinine Urine (82570) range across 6 matching MRF lines |
$22.40–$102.40 | $28–$128 | varies |
| Cryoglobulin (82595) | $28.80 | $36 | 4.5× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$107.20–$444 | $134–$555 | varies |
| Culture Anaerobic (87075) | $72 | $90 | 7.6× |
| Culture blood (87040) range across 2 matching MRF lines |
$139.20–$278.40 | $174–$348 | varies |
| Culture chlamydia (87110) | $36 | $45 | 1.8× |
| Culture csf (87070) range across 5 matching MRF lines |
$48–$85.60 | $60–$107 | varies |
| Culture screen only (87081) range across 3 matching MRF lines |
$29.60–$88 | $37–$110 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$41.60–$83.20 | $52–$104 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$84–$96 | $105–$120 | varies |
| Cystatin C (82610) | $611.20 | $764 | 33.0× |
| Cytomegalovirus igg (86644) | $64 | $80 | 4.4× |
| Cytopath Cell Enhance Tech (88112) | $261.60 | $327 | 3.9× |
| Detect Agent Nos Dna Amp (87798) | $156 | $195 | 4.4× |
| Detect Agent Nos Dna Quant (87799) | $1,065.60 | $1,332 | 24.9× |
| Dhea (82626) | $42.40 | $53 | 1.7× |
| Dhea-S (82627) | $98.40 | $123 | 4.4× |
| Digoxin (80162) | $124 | $155 | 9.3× |
| Dihydrotestosterone (82642) | $344 | $430 | 11.7× |
| Dna Antibody Native/Double Stranded (86225) range across 5 matching MRF lines |
$56.80–$292.80 | $71–$366 | varies |
| Drug assay acetaminophen (80143) | $188 | $235 | 10.1× |
| Drug assay adalimumab (80145) | $423.20 | $529 | 11.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $59.20 | $74 | 4.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $156 | $195 | 11.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 5 matching MRF lines |
$276–$1,025.60 | $345–$1,282 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $40 | $50 | 3.2× |
| Drug Test Prsmv Instrmnt (80306) | $135.20 | $169 | 7.9× |
| El-1 Fecal Quantitative (82653) | $932.80 | $1,166 | 40.6× |
| Electrolyte panel (80051) | $65.60 | $82 | 9.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $43.20 | $54 | 3.6× |
| Erythropoietin (82668) | $106.40 | $133 | 5.7× |
| Estradiol serum (82670) | $124 | $155 | 4.4× |
| Estrogen total (82672) | $96 | $120 | 4.4× |
| Exam Synovial Fluid Crystals (89060) | $32.80 | $41 | 4.5× |
| Factor viii assay (85240) | $79.20 | $99 | 4.4× |
| Fat/Lipids Feces Quantitative (82710) | $74.40 | $93 | 4.4× |
| Fecal Fat Qualitative (82705) | $83.20 | $104 | 16.3× |
| Ferritin (82728) | $122.40 | $153 | 9.0× |
| Fibrin Degradation Quant (85379) | $87.20 | $109 | 8.6× |
| Fibrinogen antigen (85385) | $439.20 | $549 | 30.4× |
| Fluorescent antibody screen (86255) | $98.40 | $123 | 8.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$53.60–$368 | $67–$460 | varies |
| Folic Acid Serum (82746) | $132 | $165 | 9.0× |
| Follicle Stimulating Hormone (83001) | $30.40 | $38 | 1.6× |
| Gammaglobulin ige (82785) | $72.80 | $91 | 4.4× |
| Genet Virus Isolate Hsv (87255) | $93.60 | $117 | 2.8× |
| Ggt (82977) range across 2 matching MRF lines |
$32–$85.60 | $40–$107 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$23.20–$156 | $29–$195 | varies |
| Glucose 2 hr pp (82950) | $43.20 | $54 | 9.1× |
| Glucose Blood Test (82962) range across 4 matching MRF lines |
$4–$24.80 | $5–$31 | varies |
| Glucose body fluid (82945) | $40 | $50 | 10.2× |
| Glucose Serum (82947) | $37.60 | $47 | 9.6× |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$119.20–$238.40 | $149–$298 | varies |
| Glycated Protein (82985) | $74.40 | $93 | 4.4× |
| Gonadotropin Chorionic Qualitative (84703) | $70.40 | $88 | 9.4× |
| Growth hormone (83003) | $78.40 | $98 | 4.7× |
| Gtt-added samples (82952) | $37.60 | $47 | 9.6× |
| H Pylori (C-13) Breath (83013) | $905.60 | $1,132 | 13.4× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$56–$64.80 | $70–$81 | varies |
| Helicobacter Pylori Stool (87338) | $574.40 | $718 | 39.9× |
| Hematocrit (85014) | $22.40 | $28 | 9.5× |
| Hemoglobin (85018) | $27.20 | $34 | 11.5× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$41.60–$100.80 | $52–$126 | varies |
| Hemoglobin electrophoresis (83020) | $103.20 | $129 | 8.0× |
| Hep a ab igm (86709) | $88.80 | $111 | 7.9× |
| Hepatitis a antibody total (86708) | $55.20 | $69 | 4.5× |
| Hepatitis b core ab igm (86705) | $52 | $65 | 4.4× |
| Hepatitis b core ab total (86704) | $53.60 | $67 | 4.4× |
| Hepatitis B Surface Antibody (86706) | $48 | $60 | 4.5× |
| Hepatitis Be Antibody (86707) | $51.20 | $64 | 4.4× |
| Hepatitis Be Antigen (87350) | $51.20 | $64 | 4.4× |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$26.40–$63.20 | $33–$79 | varies |
| Hepatitis C Genotype (87902) | $1,143.20 | $1,429 | 4.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$572.80–$621.60 | $716–$777 | varies |
| Herpes simplex type 2 (86696) | $85.60 | $107 | 4.4× |
| Heterophile Antibody Screen (86308) | $49.60 | $62 | 9.6× |
| Hfe Gene (81256) | $380.80 | $476 | 5.8× |
| Histamine urine (83088) | $717.60 | $897 | 24.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$111.20–$141.60 | $139–$177 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $1,816 | $2,270 | 21.3× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $330.40 | $413 | 4.4× |
| Hla ii type 1 ag equiv lr (81377) | $528 | $660 | 5.6× |
| Hla ii typing 1 allele hr (81383) | $528 | $660 | 4.8× |
| Homocysteine (83090) | $72 | $90 | 4.0× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$362.40–$732.80 | $453–$916 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $36 | $45 | 1.0× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$52.80–$105.60 | $66–$132 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) | $600 | $750 | 17.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $156 | $195 | 4.4× |
| Iadna Cytomegalovirus Quantification (87497) | $572 | $715 | 13.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $905.60 | $1,132 | 21.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $156 | $195 | 4.4× |
| Ig Light Chains Free Each (83521) range across 4 matching MRF lines |
$136–$1,192 | $170–$1,490 | varies |
| Igg subclasses (82787) | $108 | $135 | 13.5× |
| Immunfix e-phorsis/urine/csf (86335) | $130.40 | $163 | 4.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $806.40 | $1,008 | 43.8× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$96.80–$100.80 | $121–$126 | varies |
| Immunoassay nonantibody (83516) range across 6 matching MRF lines |
$51.20–$1,099.20 | $64–$1,374 | varies |
| Immunofixation electrophoresis (86334) | $99.20 | $124 | 4.4× |
| Influenza assay w/optic (87804) | $33.60 | $42 | 2.0× |
| Inhibin b (83520) range across 5 matching MRF lines |
$76–$1,232.80 | $95–$1,541 | varies |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$104–$258.40 | $130–$323 | varies |
| Insulin total (83525) | $50.40 | $63 | 4.4× |
| Intrinsic factor antibody (86340) | $137.60 | $172 | 9.1× |
| Iron (83540) | $59.20 | $74 | 9.1× |
| Iron Binding Capacity (83550) | $65.60 | $82 | 7.5× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$104.80–$516.80 | $131–$646 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $407.20 | $509 | 4.4× |
| Koh Prep (87220) | $80 | $100 | 18.7× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$26.40–$57.60 | $33–$72 | varies |
| Lactoferrin Fecal Quantitative (83631) | $589.60 | $737 | 30.0× |
| Lead (83655) range across 2 matching MRF lines |
$53.60–$84 | $67–$105 | varies |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$33.60–$36 | $42–$45 | varies |
| Lipase (83690) | $68 | $85 | 9.9× |
| Lipoprotein A (83695) | $80 | $100 | 5.6× |
| Lipoprotein Bld Quan Part (83704) | $356 | $445 | 10.4× |
| Lithium (80178) | $39.20 | $49 | 5.9× |
| Liver ds alys 3 bmrk srm alg (81517) | $1,689.60 | $2,112 | 9.6× |
| Luteinizing Hormone (Lh) (83002) range across 3 matching MRF lines |
$69.60–$281.60 | $87–$352 | varies |
| Lyme disease antibody (86618) | $127.20 | $159 | 7.5× |
| M. Genitalium Amp Probe (87563) | $392.80 | $491 | 11.2× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$61.60–$184.80 | $77–$231 | varies |
| Mass Spectrometry Quant (83789) | $272.80 | $341 | 11.3× |
| Mercury urine (83825) | $84 | $105 | 5.2× |
| Methylmalonic acid serum (83921) | $94.40 | $118 | 4.5× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$20–$25.60 | $25–$32 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$64.80–$88 | $81–$110 | varies |
| Mononuclear cell antigen (86356) | $144 | $180 | 5.4× |
| Mrsa Pcr (87641) | $156 | $195 | 4.4× |
| Mumps antibody (86735) | $57.60 | $72 | 4.4× |
| Muscle-Specific Kinase Antb (86366) | $1,134.40 | $1,418 | 61.7× |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$174.40–$539.20 | $218–$674 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $665.60 | $832 | 9.2× |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$49.60–$2,297.60 | $62–$2,872 | varies |
| Occult blood feces (82272) | $31.20 | $39 | 7.4× |
| Osmolality serum (83930) | $44.80 | $56 | 6.8× |
| Osmolality Urine (83935) | $30.40 | $38 | 4.5× |
| Ova and parasites smears (87177) | $39.20 | $49 | 4.4× |
| Phenobarbital Level (80184) | $56.80 | $71 | 3.7× |
| Phenytoin (Dilantin) (80185) | $124 | $155 | 9.4× |
| Phospholipid Neutralization Hexagonal (85598) | $200 | $250 | 11.1× |
| Phosphorus Serum (84100) | $43.20 | $54 | 9.1× |
| Phosphorus urine (84105) | $13.60 | $17 | 2.4× |
| Platelet count automated (85049) | $41.60 | $52 | 9.3× |
| Potassium Urine (84133) | $14.40 | $18 | 3.0× |
| Prealbumin (84134) | $131.20 | $164 | 9.0× |
| Pregnenolone (84140) | $308 | $385 | 14.9× |
| Progesterone (84144) | $92.80 | $116 | 4.4× |
| Prolactin (84146) | $86.40 | $108 | 4.5× |
| Protein Electrophoresis Urine (84166) | $79.20 | $99 | 4.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 4 matching MRF lines |
$18.40–$346.40 | $23–$433 | varies |
| Protein S Free (85306) | $152.80 | $191 | 10.0× |
| Protein s total (85305) | $152.80 | $191 | 13.2× |
| Protein total serum (84155) range across 4 matching MRF lines |
$18.40–$346.40 | $23–$433 | varies |
| Protein Total Urine (84156) | $20 | $25 | 5.4× |
| PSA free (84154) | $24 | $30 | 1.3× |
| Pth Intact (83970) range across 3 matching MRF lines |
$152.80–$262.40 | $191–$328 | varies |
| Quantiferon tb gold plus (86480) | $222.40 | $278 | 3.6× |
| Quantitative assay drug (80299) | $337.60 | $422 | 18.1× |
| Quantitative Screen Metals (83018) | $226.40 | $283 | 10.3× |
| Rbc antibody screen (86850) | $74.40 | $93 | 7.6× |
| Renin activity plasma (84244) | $97.60 | $122 | 4.4× |
| Rh (86901) | $52 | $65 | 17.4× |
| Rheumatoid Factor Qualitative (86430) | $67.20 | $84 | 10.9× |
| Rheumatoid factor quant (86431) | $35.20 | $44 | 6.2× |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$101.60–$417.60 | $127–$522 | varies |
| Rpr qualitative (86592) | $19.20 | $24 | 4.5× |
| Rubella Antibody (86762) | $64 | $80 | 4.4× |
| Rubeola antibody (86765) | $56.80 | $71 | 4.4× |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$100–$156 | $125–$195 | varies |
| Salicylate Level (80179) | $67.20 | $84 | 3.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $228 | $285 | 4.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 3 matching MRF lines |
$68–$633.60 | $85–$792 | varies |
| Sedimentation rate (85651) | $36 | $45 | 8.4× |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$96.80–$441.60 | $121–$552 | varies |
| Skin test tuberculosis intradermal (86580) | $136 | $170 | 3.7× |
| Smear complex stain (87209) | $80 | $100 | 4.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $40 | $50 | 6.9× |
| Sodium Serum (84295) | $44 | $55 | 9.1× |
| Sodium Urine (84300) | $14.40 | $18 | 2.8× |
| Somatomedin (84305) | $94.40 | $118 | 4.4× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$41.60–$83.20 | $52–$104 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$33.60–$87.20 | $42–$109 | varies |
| Strep a DNA amp probe (87651) | $156 | $195 | 4.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $208.80 | $261 | 4.4× |
| T3 Free (84481) | $75.20 | $94 | 4.4× |
| T3 reverse (84482) | $69.60 | $87 | 4.4× |
| T3 Total (84480) | $29.60 | $37 | 2.1× |
| T3 Uptake (84479) | $28.80 | $36 | 4.5× |
| T4 Free (84439) | $94.40 | $118 | 10.5× |
| T4 total (84436) | $30.40 | $38 | 4.4× |
| Tacrolimus (80197) | $60.80 | $76 | 4.4× |
| Testosterone total (84403) range across 3 matching MRF lines |
$44–$600 | $55–$750 | varies |
| Testosterone, Free (84402) range across 3 matching MRF lines |
$44–$134.40 | $55–$168 | varies |
| Thrombin Time (85670) | $140 | $175 | 24.3× |
| Thromboplastin Inhibition Tissue (85705) | $140 | $175 | 14.5× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$140–$280 | $175–$350 | varies |
| Thyroglobulin (84432) | $126.40 | $158 | 7.9× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$77.60–$126.40 | $97–$158 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $288.80 | $361 | 5.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 4 matching MRF lines |
$43.20–$348.80 | $54–$436 | varies |
| Toxoplasma ab igm (86778) | $58.40 | $73 | 4.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $50.40 | $63 | 9.7× |
| Transferrin (84466) | $56.80 | $71 | 4.5× |
| Troponin Quant (84484) range across 4 matching MRF lines |
$86.40–$305.60 | $108–$382 | varies |
| Urinalysis Microscopic Only (81015) | $27.20 | $34 | 8.9× |
| Urine Albumin Semiquantitative (82044) | $56 | $70 | 9.0× |
| Urine Pregnancy Test (81025) | $26.40 | $33 | 3.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $65.60 | $82 | 20.7× |
| Valproic acid (80164) | $121.60 | $152 | 9.0× |
| Vancomycin (80202) range across 2 matching MRF lines |
$118.40–$127.20 | $148–$159 | varies |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$20–$89.60 | $25–$112 | varies |
| Vasopressin (84588) | $150.40 | $188 | 4.4× |
| Viral Culture (87252) | $116 | $145 | 4.4× |
| Vit D 1 25-Dihydroxy (82652) | $171.20 | $214 | 4.4× |
| Vitamin A (84590) | $52 | $65 | 4.5× |
| Vitamin b-12 (82607) | $135.20 | $169 | 9.0× |
| Vitamin B2 (Riboflavin) (84252) | $271.20 | $339 | 13.4× |
| Vitamin B6 (84207) | $98.40 | $123 | 3.5× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$131.20–$416.80 | $164–$521 | varies |
| Vitamin E (84446) | $63.20 | $79 | 4.5× |
| Vitamin K (84597) | $275.20 | $344 | 20.1× |
| Von willebrand factor ag (85246) | $101.60 | $127 | 4.4× |
| Zinc (84630) range across 2 matching MRF lines |
$50.40–$148.80 | $63–$186 | varies |
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.