Lab & pathology prices at Eastland Memorial Hospital
Eastland, TX · every code in this section with a posted price and a Medicare benchmark.
354 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $102 | $204 | 2.6× |
| Acute hepatitis panel (80074) | $93 | $185 | 2.0× |
| Albumin serum (82040) | $31 | $61 | 6.3× |
| Aldolase (82085) | $29 | $57 | 3.0× |
| Aldosterone urine (82088) | $85 | $170 | 2.1× |
| Allergen specific ige (86003) | $10 | $20 | 1.9× |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$42–$756 | $84–$1,512 | varies |
| Alpha-1-antitrypsin total (82103) | $36 | $71 | 2.7× |
| Alpha-Fetoprotein Serum (82105) | $44 | $87 | 2.6× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$11–$31 | $21–$61 | varies |
| Amikacin trough (80150) | $25 | $49 | 1.7× |
| Ammonia (82140) range across 2 matching MRF lines |
$30–$248 | $60–$495 | varies |
| Amylase urine (82150) range across 2 matching MRF lines |
$13–$42 | $25–$84 | varies |
| Ana Titer (86039) | $22 | $43 | 2.0× |
| Angiotensin converting enzyme csf (82164) | $40 | $79 | 2.7× |
| Antibody aspergillus (86606) | $31 | $62 | 2.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $83 | $166 | 6.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $57 | $114 | 3.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$32–$58 | $63–$116 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $24 | $48 | 2.0× |
| Antibody helicobacter pylori (86677) | $30 | $59 | 1.8× |
| Antibody Herpes Smplx Type 1 (86695) | $41 | $82 | 3.1× |
| Antibody identification leukocyte antibodies (86021) range across 6 matching MRF lines |
$30–$52 | $59–$103 | varies |
| Antibody Treponema Pallidum (86780) | $28 | $56 | 2.1× |
| Antigen typing (86905) | $74 | $147 | 19.3× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $48 | $96 | 8.4× |
| Antinuclear antibodies (86038) | $25 | $50 | 2.1× |
| Antistreptolysin o titer (86060) | $15 | $29 | 2.1× |
| Antithrombin iii activity (85300) | $51 | $102 | 4.3× |
| Arsenic (82175) | $55 | $110 | 2.9× |
| Assay Blood Carbon Dioxide (82374) | $34 | $67 | 7.0× |
| Assay Nephelometry Not Spec (83883) | $53 | $106 | 3.9× |
| Assay of 5-hiaa (83497) | $30 | $59 | 2.3× |
| Assay of blood/uric acid (84550) | $27 | $53 | 6.0× |
| Assay of calcium in urine (82340) | $15 | $29 | 2.5× |
| Assay of cpk in blood (82552) | $24 | $47 | 1.8× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$18–$19 | $36–$38 | varies |
| Assay of lactic acid (83605) | $22 | $44 | 1.9× |
| Assay of metanephrines (83835) | $33 | $66 | 1.9× |
| Assay of proinsulin (84206) | $67 | $133 | 2.5× |
| Assay of serum potassium (84132) | $25 | $50 | 5.3× |
| Assay of urea nitrogen (84520) | $27 | $53 | 6.8× |
| Assay of urine vma (84585) | $30 | $60 | 1.9× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$42–$52 | $83–$103 | varies |
| Automated Leukocyte Count (85048) | $15 | $30 | 5.9× |
| Bcr/abl1 gene major bp (81206) | $354 | $708 | 2.2× |
| Beta 2 glycoprotein i antibody each (86146) | $50 | $99 | 2.0× |
| Beta hydroxybutyrate (82010) | $44 | $87 | 5.4× |
| Beta-2 Microglobulin (82232) | $71 | $142 | 4.4× |
| Bilirubin direct (82248) | $18 | $36 | 3.6× |
| Bilirubin total (82247) | $34 | $68 | 6.8× |
| Bl Smear W/O Diff Wbc Count (85008) | $14 | $27 | 4.1× |
| Blastomyces antibody (86612) | $21 | $42 | 1.6× |
| Blood Count Automated Differential Wbc Count (85004) | $19 | $37 | 2.9× |
| Blood Count Red Blood Cell Automated (85041) | $12 | $24 | 4.0× |
| Blood count reticulocyte automated (85045) | $9 | $18 | 2.3× |
| Blood gas (82803) | $124 | $248 | 4.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 4 matching MRF lines |
$4–$17 | $7–$34 | varies |
| Blood typing serologic abo (86900) | $14 | $28 | 4.7× |
| Bordetella antibody (86615) | $26 | $51 | 2.0× |
| C diff amplified probe (87493) | $68 | $136 | 1.8× |
| C-Peptide (84681) | $45 | $90 | 2.2× |
| C-reactive protein (86140) | $15 | $29 | 2.9× |
| Ca 19-9 (86301) | $48 | $96 | 2.3× |
| Calcium ionized (82330) | $28 | $56 | 2.0× |
| Calcium total (82310) range across 3 matching MRF lines |
$10–$92 | $20–$184 | varies |
| Calculus Spectroscopy (82365) | $33 | $66 | 2.6× |
| Calprotectin Fecal (83993) | $167 | $334 | 8.5× |
| Cancer Antigen 125 (86304) | $67 | $134 | 3.2× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$43–$48 | $86–$96 | varies |
| Candida antibody (86628) | $20 | $39 | 1.7× |
| Carbamazepine total (80156) | $59 | $117 | 4.0× |
| Carboxyhemoglobin (82375) | $26 | $51 | 2.1× |
| Carcinoembryonic antigen (82378) | $37 | $74 | 2.0× |
| Cardiolipin ab iga (86147) | $99 | $197 | 3.9× |
| Catecholamines fractionated (82384) | $49 | $98 | 1.9× |
| Ccp antibody (86200) | $61 | $122 | 4.7× |
| Cell count csf (89051) range across 3 matching MRF lines |
$9–$19 | $18–$37 | varies |
| Ceruloplasmin (82390) | $32 | $63 | 3.0× |
| Chemiluminescent assay (82397) | $62 | $123 | 4.4× |
| Chloride Serum (82435) | $27 | $53 | 5.9× |
| Chloride urine (82436) | $16 | $31 | 2.8× |
| Cholesterol total (82465) | $33 | $65 | 7.6× |
| Chorionic gonadotropin test (84702) | $31 | $62 | 2.1× |
| Chromogranin a (86316) | $59 | $117 | 2.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $35 | $70 | 1.0× |
| Citric acid urine (82507) | $54 | $108 | 1.9× |
| Ckmb (82553) | $44 | $88 | 3.8× |
| Coccidioides antibody (86635) | $19 | $37 | 1.7× |
| Complement Antigen Each Component (86160) | $28 | $56 | 2.3× |
| Complement/Function Activity (86161) | $24 | $47 | 2.0× |
| Coombs direct (86880) | $48 | $96 | 8.9× |
| Copper urine (82525) | $34 | $68 | 2.7× |
| Cortisol free (82530) range across 2 matching MRF lines |
$33–$107 | $65–$214 | varies |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$27–$34 | $53–$67 | varies |
| Creatine (82540) | $20 | $40 | 4.3× |
| Creatine kinase total (82550) | $55 | $110 | 8.4× |
| Creatinine clearance (82575) | $20 | $39 | 2.1× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$9–$34 | $18–$68 | varies |
| Crossmatch immediate spin (86920) | $217 | $434 | 1.3× |
| Cryoglobulin (82595) | $34 | $68 | 5.3× |
| Cryptosporidium ag eia (87328) | $57 | $113 | 4.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$25–$32 | $49–$63 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $32 | $63 | 4.0× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $27 | $54 | 3.5× |
| Culture Anaerobic (87075) | $48 | $96 | 5.1× |
| Culture bacteria anaerobic (87073) | $20 | $39 | 2.1× |
| Culture blood (87040) | $21 | $42 | 2.0× |
| Culture csf (87070) range across 8 matching MRF lines |
$17–$48 | $34–$96 | varies |
| Culture fungus (87102) | $8 | $16 | 1.0× |
| Culture screen only (87081) | $13 | $26 | 2.0× |
| Culture stool (87045) | $19 | $37 | 2.0× |
| Culture urine (87086) | $50 | $100 | 6.2× |
| Cyclosporine (80158) | $56 | $112 | 3.1× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $638 | $1,276 | 0.6× |
| Cytomegalovirus igg (86644) | $39 | $78 | 2.7× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $40 | $79 | 2.0× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$112–$213 | $224–$426 | varies |
| Detect Agent Nos Dna Quant (87799) | $152 | $304 | 3.5× |
| Dhea-S (82627) | $75 | $149 | 3.4× |
| Digoxin (80162) | $62 | $124 | 4.7× |
| Dihydrotestosterone (82642) | $140 | $280 | 4.8× |
| Dna/Rna Amplified Probe (87150) | $150 | $300 | 4.3× |
| DNA/RNA direct probe (87149) | $39 | $78 | 1.9× |
| Drug Screen Quant Zonisamide (80203) | $172 | $344 | 13.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $72 | $143 | 5.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $88 | $176 | 6.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $26 | $52 | 2.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$33–$94 | $65–$188 | varies |
| Drug Test Prsmv Instrmnt (80306) | $112 | $224 | 6.5× |
| Electrolyte panel (80051) | $62 | $124 | 8.8× |
| Erythropoietin (82668) | $46 | $92 | 2.4× |
| Estradiol serum (82670) | $58 | $115 | 2.1× |
| Estriol (82677) | $39 | $78 | 1.6× |
| Estrogen total (82672) | $55 | $110 | 2.5× |
| Factor v leiden mutation (81241) | $76 | $151 | 1.0× |
| Factor viii assay (85240) | $140 | $280 | 7.8× |
| Factor X (85260) | $73 | $145 | 4.1× |
| Fecal Fat Qualitative (82705) | $19 | $38 | 3.7× |
| Ferritin (82728) | $48 | $96 | 3.5× |
| Fibrin degradation products (85362) | $17 | $34 | 2.5× |
| Fibrin Degradation Quant (85379) | $49 | $98 | 4.8× |
| Fibrinogen activity (85384) | $18 | $35 | 1.9× |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$24–$338 | $47–$675 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $24 | $47 | 2.0× |
| Folic Acid Serum (82746) | $29 | $57 | 2.0× |
| Follicle Stimulating Hormone (83001) | $49 | $98 | 2.6× |
| Fungi Identification Yeast (87106) | $20 | $40 | 1.9× |
| Gammaglobulin ige (82785) | $44 | $87 | 2.7× |
| Gastrin (82941) | $31 | $62 | 1.8× |
| Genet Virus Isolate Hsv (87255) | $27 | $53 | 0.8× |
| Ggt (82977) | $34 | $68 | 4.7× |
| Giardia antigen (87329) | $37 | $73 | 3.1× |
| Glucose 2 hr pp (82950) | $27 | $53 | 5.7× |
| Glucose body fluid (82945) | $9 | $18 | 2.3× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$7–$48 | $14–$95 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$48 | $95–$96 | 3.7× |
| Glycated Protein (82985) | $32 | $63 | 1.9× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$6–$45 | $11–$90 | varies |
| Gtt-added samples (82952) | $7 | $14 | 1.8× |
| H Pylori (C-13) Breath (83013) | $184 | $367 | 2.7× |
| Haptoglobin (83010) | $35 | $70 | 2.8× |
| Hdl Cholesterol (83718) | $33 | $65 | 4.0× |
| Helicobacter Pylori Stool (87338) | $90 | $179 | 6.3× |
| Hematocrit (85014) | $14 | $27 | 5.9× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$2–$14 | $4–$27 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$19–$35 | $38–$70 | varies |
| Hemoglobin Chromotography (83021) | $27 | $53 | 1.5× |
| Hep a ab igm (86709) | $23 | $46 | 2.0× |
| Hepatitis a antibody total (86708) | $27 | $53 | 2.2× |
| Hepatitis b core ab igm (86705) | $31 | $62 | 2.6× |
| Hepatitis b core ab total (86704) | $24 | $47 | 2.0× |
| Hepatitis Be Antibody (86707) | $29 | $57 | 2.5× |
| Hepatitis Be Antigen (87350) | $30 | $59 | 2.6× |
| Hepatitis C Antibody (86803) | $28 | $55 | 2.0× |
| Hepatitis C Genotype (87902) | $530 | $1,059 | 2.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $51 | $101 | 1.2× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$10–$28 | $20–$56 | varies |
| Hfe Gene (81256) | $169 | $338 | 2.6× |
| Histoplasma antibody (86698) | $20 | $40 | 1.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $166 | $331 | 2.0× |
| Hla I Typing 1 Allele Hr (81381) | $287 | $573 | 1.7× |
| Hla-b27 (86812) | $59 | $117 | 2.3× |
| Homocysteine (83090) | $151 | $301 | 8.4× |
| Hsv Dna Quant (87530) | $102 | $204 | 2.4× |
| Hydroxyprogesterone 17-d (83498) | $56 | $112 | 2.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $20 | $40 | 1.9× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$72–$86 | $144–$171 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $68 | $135 | 1.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $68 | $136 | 1.9× |
| Iadna Cytomegalovirus Quantification (87497) | $84 | $167 | 2.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $154 | $308 | 3.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $230 | $459 | 6.6× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $72 | $144 | 1.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $68 | $136 | 1.9× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $88 | $175 | 0.6× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $84 | $167 | 0.3× |
| Igg subclasses (82787) | $16 | $31 | 2.0× |
| Immunfix e-phorsis/urine/csf (86335) | $117 | $233 | 4.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 5 matching MRF lines |
$32–$118 | $64–$235 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $29 | $58 | 1.9× |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$23–$118 | $45–$235 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$44–$145 | $87–$289 | varies |
| Influenza assay w/optic (87804) | $29 | $58 | 1.8× |
| Influenza DNA amp probe (87502) | $58 | $116 | 0.6× |
| Inhibin b (83520) range across 4 matching MRF lines |
$30–$73 | $60–$146 | varies |
| Insulin antibodies (86337) | $42 | $83 | 2.0× |
| Insulin total (83525) | $35 | $70 | 3.1× |
| Iron (83540) | $44 | $88 | 6.8× |
| Iron Binding Capacity (83550) | $17 | $34 | 1.9× |
| Irradiation Blood Product Each Unit (86945) | $45 | $90 | 1.2× |
| Islet cell antibody (86341) | $42 | $83 | 1.8× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$13–$46 | $25–$92 | varies |
| Lactoferrin fecal qualitative (83630) | $38 | $76 | 1.9× |
| LDL direct (83721) | $20 | $39 | 1.9× |
| Lead (83655) | $31 | $62 | 2.6× |
| Legionella antibody (86713) range across 2 matching MRF lines |
$34–$41 | $67–$82 | varies |
| Legionella antigen urine (87449) | $24 | $47 | 2.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $71 | $142 | 2.4× |
| Lipase (83690) | $30 | $59 | 4.4× |
| Lipoprotein A (83695) | $27 | $53 | 1.9× |
| Lithium (80178) | $15 | $29 | 2.3× |
| Luteinizing Hormone (Lh) (83002) | $42 | $83 | 2.3× |
| Lyme disease antibody (86618) | $102 | $203 | 6.0× |
| Lysozyme serum (85549) | $39 | $77 | 2.1× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $400 | $800 | 11.4× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$13–$32 | $26–$63 | varies |
| Mass Spectrometry Quant (83789) | $17 | $34 | 0.7× |
| Mercury urine (83825) | $47 | $93 | 2.9× |
| Methylmalonic acid serum (83921) | $172 | $343 | 8.1× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$10–$11 | $20–$22 | varies |
| Microsomal Antibodies Each (86376) | $29 | $57 | 2.0× |
| Mononuclear cell antigen (86356) | $814 | $1,627 | 30.4× |
| Mopath procedure level 4 (81403) | $324 | $648 | 1.7× |
| Mthfr Gene Analysis Common Variants (81291) | $289 | $578 | 4.4× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$23–$31 | $46–$62 | varies |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
$26–$82 | $51–$163 | varies |
| Myoglobin urine (83874) | $25 | $50 | 1.9× |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$49–$87 | $98–$174 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $127 | $253 | 1.8× |
| Nuclear antigen antibody (86235) range across 5 matching MRF lines |
$30–$156 | $59–$312 | varies |
| Occult Blood Other Sources (82271) | $17 | $34 | 3.2× |
| Osmolality Urine (83935) | $17 | $34 | 2.5× |
| Ova and parasites smears (87177) | $23 | $45 | 2.6× |
| Oxalate urine (83945) | $26 | $51 | 1.8× |
| Parvovirus antibody (86747) | $43 | $85 | 2.9× |
| Ph urine (81003) range across 3 matching MRF lines |
$2–$30 | $3–$60 | varies |
| Phenobarbital Level (80184) | $59 | $117 | 3.9× |
| Phenytoin (Dilantin) (80185) | $62 | $124 | 4.7× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$10–$30 | $20–$59 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $35 | $70 | 1.9× |
| Phosphorus Serum (84100) | $25 | $50 | 5.3× |
| Phosphorus urine (84105) | $10 | $20 | 1.7× |
| Platelet neutralization (85597) | $35 | $70 | 1.9× |
| Potassium Urine (84133) | $9 | $17 | 1.9× |
| Prealbumin (84134) | $36 | $71 | 2.5× |
| Pregnenolone (84140) | $72 | $143 | 3.5× |
| Procalcitonin (Pct) (84145) | $375 | $749 | 13.8× |
| Progesterone (84144) | $46 | $92 | 2.2× |
| Prolactin (84146) | $58 | $115 | 3.0× |
| Protein body fluid (84157) range across 4 matching MRF lines |
$7–$16 | $14–$31 | varies |
| Protein C Activity (85303) | $61 | $122 | 4.4× |
| Protein S Free (85306) | $46 | $91 | 3.0× |
| Protein total serum (84155) range across 2 matching MRF lines |
$7–$22 | $14–$44 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$7–$17 | $14–$34 | varies |
| Pth Intact (83970) | $81 | $161 | 2.0× |
| Quantiferon tb gold plus (86480) | $128 | $255 | 2.1× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$60–$125 | $119–$250 | varies |
| Rbc antibody identification (86870) | $92 | $184 | 0.3× |
| Rbc antibody screen (86850) range across 4 matching MRF lines |
$55–$171 | $110–$342 | varies |
| Reagent Strip/Blood Glucose (82948) | $27 | $53 | 5.4× |
| Renin activity plasma (84244) | $15 | $30 | 0.7× |
| Resp virus 12-25 targets (87633) | $150 | $300 | 0.4× |
| Rh (86901) | $48 | $96 | 16.1× |
| Rheumatoid factor quant (86431) | $12 | $23 | 2.1× |
| Rickettsia antibody (86757) | $37 | $73 | 1.9× |
| Rotavirus ag eia (87425) | $21 | $42 | 1.8× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$9–$20 | $17–$39 | varies |
| Rsv Assay W/Optic (87807) | $24 | $47 | 1.8× |
| Rubella Antibody (86762) | $48 | $96 | 3.3× |
| Rubeola antibody (86765) | $25 | $50 | 1.9× |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$19–$56 | $37–$112 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$68–$88 | $135–$175 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $88 | $175 | 2.1× |
| Sedimentation Rate, Automated (85652) | $23 | $46 | 8.5× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$17–$25 | $34–$49 | varies |
| Sex Hormone Binding Globulin (84270) | $45 | $89 | 2.1× |
| Sirolimus (80195) | $80 | $160 | 5.8× |
| Skin test tuberculosis intradermal (86580) | $23 | $45 | 0.8× |
| Smear acid fast (87206) | $11 | $21 | 2.0× |
| Smear complex stain (87209) | $13 | $25 | 0.7× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$7–$9 | $14–$17 | varies |
| Smear Special Stain (87207) | $12 | $23 | 2.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $10 | $20 | 1.7× |
| Sodium Serum (84295) | $10 | $19 | 2.1× |
| Sodium Urine (84300) | $10 | $19 | 2.0× |
| Somatomedin (84305) | $42 | $83 | 2.0× |
| Special Stains Group 1 (88312) | $84 | $167 | 1.6× |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$13–$34 | $26–$68 | varies |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$20–$51 | $40–$102 | varies |
| Strep a assay w/optic (87880) | $29 | $58 | 1.8× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$24–$68 | $48–$136 | varies |
| Surg path level iii (88304) | $77 | $153 | 1.5× |
| Surgical pathology level IV (88305) | $86 | $172 | 1.6× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $9 | $18 | 1.9× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $14 | $27 | 1.9× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$9–$38 | $17–$75 | varies |
| T cells absolute cd4 count (86361) | $55 | $110 | 2.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $97 | $193 | 2.1× |
| T3 Free (84481) | $33 | $66 | 1.9× |
| T3 reverse (84482) | $33 | $65 | 2.1× |
| T3 Total (84480) | $29 | $58 | 2.0× |
| T3 Uptake (84479) | $46 | $92 | 7.1× |
| T4 Free (84439) | $31 | $62 | 3.4× |
| T4 total (84436) | $46 | $92 | 6.7× |
| Tacrolimus (80197) | $165 | $329 | 12.0× |
| Test for acetone/ketones (82009) | $22 | $44 | 4.9× |
| Testosterone total (84403) range across 2 matching MRF lines |
$50–$53 | $100–$106 | varies |
| Testosterone, Free (84402) | $85 | $169 | 3.3× |
| Theophylline (80198) | $28 | $55 | 2.0× |
| Thrombin Time (85670) | $11 | $22 | 1.9× |
| Thyroglobulin (84432) | $39 | $77 | 2.4× |
| Thyroglobulin Antibody (86800) | $39 | $77 | 2.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $107 | $214 | 2.1× |
| Thyroxine binding globulin (84442) | $29 | $58 | 2.0× |
| Tissue Culture Lymphocyte (88230) | $656 | $1,312 | 5.6× |
| Topiramate (80201) | $23 | $46 | 1.9× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $75 | $149 | 3.8× |
| Toxoplasma ab igm (86778) | $52 | $103 | 3.6× |
| Toxoplasma antibody (86777) | $35 | $69 | 2.4× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$10–$34 | $20–$67 | varies |
| Transferrin (84466) | $25 | $50 | 2.0× |
| Triglycerides (84478) | $49 | $98 | 8.5× |
| Troponin Quant (84484) | $58 | $116 | 4.7× |
| Urea nitrogen urine (84540) | $12 | $23 | 2.2× |
| Uric acid other source (84560) | $9 | $18 | 1.8× |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$6–$12 | $12–$24 | varies |
| Urine Albumin Semiquantitative (82044) | $11 | $22 | 1.8× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$15–$33 | $30–$66 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $42 | $83 | 13.2× |
| Valproic acid (80164) | $60 | $119 | 4.4× |
| Vancomycin (80202) | $47 | $94 | 3.5× |
| Varicella-zoster antibody (86787) | $44 | $87 | 3.4× |
| Virus antibody nos (86790) | $75 | $150 | 5.8× |
| Vit D 1 25-Dihydroxy (82652) | $75 | $150 | 1.9× |
| Vitamin A (84590) | $24 | $48 | 2.1× |
| Vitamin B2 (Riboflavin) (84252) | $62 | $123 | 3.1× |
| Vitamin B6 (84207) | $118 | $236 | 4.2× |
| Vitamin D 25-Hydroxy (82306) | $58 | $115 | 2.0× |
| Vitamin E (84446) | $30 | $59 | 2.1× |
| Vitamin K (84597) | $28 | $56 | 2.0× |
| West nile virus ab igm (86788) | $129 | $258 | 7.7× |
| Zika Virus Dna/Rna Amp Probe (87662) | $674 | $1,348 | 13.1× |
| Zinc (84630) | $33 | $66 | 2.9× |
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.