Lab & pathology prices at Edgerton Hospital and Health Services
Edgerton, WI · every code in this section with a posted price and a Medicare benchmark.
573 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $129.94 | $178 | 5.7× |
| Acetylcholine receptor binding antibody (86041) range across 2 matching MRF lines |
$52.56–$161.33 | $72–$221 | varies |
| Acetylcholine receptor blocking antibody (86042) range across 2 matching MRF lines |
$52.56–$161.33 | $72–$221 | varies |
| Acth (82024) | $295.65 | $405 | 7.7× |
| Actin smooth muscle antibody each (86015) | $105.85 | $145 | 8.8× |
| Acute hepatitis panel (80074) | $642.40 | $880 | 13.5× |
| Adenovirus antibody (86603) | $98.55 | $135 | 7.7× |
| Albumin Fluid (82042) | $29.20 | $40 | 3.8× |
| Albumin serum (82040) | $67.16 | $92 | 13.6× |
| Aldolase (82085) | $164.25 | $225 | 16.9× |
| Aldosterone urine (82088) | $317.55 | $435 | 7.8× |
| Alkaline phosphatase isoenzymes (84080) | $199.29 | $273 | 13.5× |
| Allergen spec ige qual multiallergen screen (86005) | $70.08 | $96 | 8.8× |
| Allergen specific ige (86003) range across 8 matching MRF lines |
$37.96–$44.53 | $52–$61 | varies |
| Allergen specific igg (86001) | $68.62 | $94 | 8.8× |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$109.50–$156.95 | $150–$215 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $127.02 | $174 | 8.8× |
| Alpha-1-antitrypsin total (82103) | $181.04 | $248 | 13.5× |
| Alpha-Fetoprotein Serum (82105) | $226.30 | $310 | 13.5× |
| Alt (sgpt) (84460) | $67.89 | $93 | 12.8× |
| Amikacin trough (80150) | $246.01 | $337 | 16.3× |
| Ammonia (82140) | $183.23 | $251 | 12.6× |
| Amylase urine (82150) range across 3 matching MRF lines |
$36.50–$111.69 | $50–$153 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$97.82–$151.11 | $134–$207 | varies |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$15.33–$91.25 | $21–$125 | varies |
| Androstenedione (82157) | $395.66 | $542 | 13.5× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$127.75–$246.01 | $175–$337 | varies |
| Anti-Phospholipid Antibody (86148) | $99.28 | $136 | 6.2× |
| Antibody aspergillus (86606) range across 3 matching MRF lines |
$56.21–$116.80 | $77–$160 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $261.34 | $358 | 16.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $78.84 | $108 | 4.7× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $150.38 | $206 | 11.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $257.69 | $353 | 16.9× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$206.59–$245.28 | $283–$336 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $53.29 | $73 | 4.4× |
| Antibody helicobacter pylori (86677) | $253.31 | $347 | 15.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $208.05 | $285 | 14.5× |
| Antibody Herpes Smplx Type 1 (86695) | $178.12 | $244 | 13.5× |
| Antibody HIV-1&HIV-2 single result (86703) | $231.41 | $317 | 16.9× |
| Antibody HIV-2 (86702) | $118.26 | $162 | 8.7× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $326.31 | $447 | 16.9× |
| Antibody identification leukocyte antibodies (86021) | $254.04 | $348 | 16.9× |
| Antibody Protozoa Nes (86753) | $108.77 | $149 | 8.8× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$45.26–$116.07 | $62–$159 | varies |
| Antibody yersinia (86793) | $32.85 | $45 | 2.5× |
| Antibody; encephalitis, st. louis (86653) | $78.84 | $108 | 6.0× |
| Antibody; influenza virus (86710) | $228.49 | $313 | 16.9× |
| Antigen typing (86905) | $50.37 | $69 | 13.2× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $108.04 | $148 | 18.9× |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$105.85–$169.36 | $145–$232 | varies |
| Antistreptolysin O Screen (86063) | $124.10 | $170 | 21.5× |
| Antistreptolysin o titer (86060) | $64.24 | $88 | 8.8× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$103.66–$164.98 | $142–$226 | varies |
| Antithrombin iii antigen (85301) | $182.50 | $250 | 16.9× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$160.60–$261.34 | $220–$358 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $330.69 | $453 | 8.8× |
| Arsenic (82175) range across 3 matching MRF lines |
$103.66–$320.47 | $142–$439 | varies |
| Aspergillus ag eia (87305) | $105.12 | $144 | 8.8× |
| Assay activated protein c (85307) | $241.63 | $331 | 15.8× |
| Assay Blood Carbon Dioxide (82374) | $91.98 | $126 | 18.8× |
| Assay Dir Meas Fr Estradiol (82681) | $167.90 | $230 | 6.0× |
| Assay Nephelometry Not Spec (83883) | $40.15 | $55 | 3.0× |
| Assay of 5-hiaa (83497) | $218.27 | $299 | 16.9× |
| Assay of anti-mullerian hormone (82166) | $302.95 | $415 | 7.8× |
| Assay of blood/uric acid (84550) | $61.32 | $84 | 13.6× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$76.65–$102.20 | $105–$140 | varies |
| Assay of cpk in blood (82552) | $226.30 | $310 | 16.9× |
| Assay of estrone (82679) | $337.26 | $462 | 13.5× |
| Assay of g6pd enzyme (82955) | $55.48 | $76 | 5.7× |
| Assay of gammaglobulin igm (82784) range across 6 matching MRF lines |
$81.76–$156.95 | $112–$215 | varies |
| Assay of lactic acid (83605) | $194.18 | $266 | 16.8× |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$97.82–$286.16 | $134–$392 | varies |
| Assay of serum potassium (84132) | $67.16 | $92 | 14.1× |
| Assay of sweat sodium (84302) | $27.01 | $37 | 5.6× |
| Assay of transcortin (84449) | $120.45 | $165 | 6.7× |
| Assay of urea nitrogen (84520) | $69.35 | $95 | 17.6× |
| Assay of urine vma (84585) | $261.34 | $358 | 16.9× |
| Assay of vasoactive intestinal peptide (84586) | $167.90 | $230 | 4.8× |
| Assay of vitamin b-1 (84425) | $120.45 | $165 | 5.7× |
| Assay Ph Body Fluid Nos (83986) | $56.94 | $78 | 15.9× |
| Assay spec xcp ur&breath ia (82077) | $251.85 | $345 | 14.6× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $576.70 | $790 | 3.5× |
| Automated Leukocyte Count (85048) range across 3 matching MRF lines |
$48.18–$48.91 | $66–$67 | varies |
| B cells total count (86355) | $214.62 | $294 | 5.7× |
| Babesia microti amp prb (87469) | $266.45 | $365 | 7.6× |
| Bartonella antibody (86611) | $89.06 | $122 | 8.7× |
| Bcr/abl1 gene major bp (81206) | $931.48 | $1,276 | 5.7× |
| Bcr/abl1 gene minor bp (81207) | $822.71 | $1,127 | 5.7× |
| Bcr/Abl1 Gene Other Bp (81208) | $913.96 | $1,252 | 4.3× |
| Beta 2 glycoprotein i antibody each (86146) | $92.71 | $127 | 3.6× |
| Beta hydroxybutyrate (82010) | $82.49 | $113 | 10.1× |
| Beta Lactamase (87185) | $82.49 | $113 | 17.4× |
| Beta-2 Microglobulin (82232) | $141.62 | $194 | 8.8× |
| Bile acids total (82239) | $77.38 | $106 | 4.5× |
| Bilirubin direct (82248) | $67.89 | $93 | 13.5× |
| Bilirubin total (82247) | $83.22 | $114 | 16.6× |
| Bilirubin total transcutaneous (88720) | $56.21 | $77 | 11.2× |
| Blastomyces antibody (86612) | $98.55 | $135 | 7.6× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $233.60 | $320 | 1.4× |
| Bld Typing Serologic Rh Phnt (86906) | $131.40 | $180 | 17.0× |
| Bleeding time test (85002) | $64.97 | $89 | 13.5× |
| Blood Count Automated Differential Wbc Count (85004) | $113.15 | $155 | 17.5× |
| Blood Count Manual Cell Count Each (85032) | $79.57 | $109 | 18.5× |
| Blood count reticulocyte automated (85045) | $91.25 | $125 | 22.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $80.30 | $110 | 21.1× |
| Blood gas (82803) | $236.52 | $324 | 9.1× |
| Blood gases w/02 saturation (82805) | $387.63 | $531 | 4.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $90.52 | $124 | 5.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$29.20–$44.53 | $40–$61 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $86.14 | $118 | 13.6× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $128.48 | $176 | 7.9× |
| Blood typing serologic abo (86900) | $77.38 | $106 | 25.9× |
| Body fluid cell count (89050) | $82.49 | $113 | 17.5× |
| Bone marrow smear interpretation (85097) | $359.16 | $492 | 0.5× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) | $3,947.84 | $5,408 | 8.4× |
| C diff amplified probe (87493) | $404.42 | $554 | 10.9× |
| C-Peptide (84681) | $86.87 | $119 | 4.2× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$29.20–$101.47 | $40–$139 | varies |
| Ca 19-9 (86301) | $301.49 | $413 | 14.5× |
| Cadmium (82300) range across 2 matching MRF lines |
$131.40–$392.01 | $180–$537 | varies |
| Calcitonin (82308) | $451.87 | $619 | 16.9× |
| Calcium ionized (82330) | $214.62 | $294 | 15.7× |
| Calcium total (82310) | $69.35 | $95 | 13.4× |
| Calculus assay quant (82360) | $218.27 | $299 | 17.0× |
| Calculus Spectroscopy (82365) | $148.19 | $203 | 11.5× |
| Calprotectin Fecal (83993) | $251.12 | $344 | 12.8× |
| Cancer Antigen 125 (86304) | $281.05 | $385 | 13.5× |
| Cancer Antigen 27.29 (86300) | $182.50 | $250 | 8.8× |
| Candida antibody (86628) | $32.85 | $45 | 2.7× |
| Carbamazepine total (80156) | $244.55 | $335 | 16.8× |
| Carbohydrate Deficient Transferrin (82373) | $98.55 | $135 | 5.5× |
| Carboxyhemoglobin (82375) | $207.32 | $284 | 16.8× |
| Carcinoembryonic antigen (82378) | $275.21 | $377 | 14.5× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$91.98–$197.10 | $126–$270 | varies |
| Carnitine Quantitative Each Specimen (82379) | $82.49 | $113 | 4.9× |
| Catecholamines fractionated (82384) | $426.32 | $584 | 16.9× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$113.15–$176.66 | $155–$242 | varies |
| Cell count csf (89051) | $120.45 | $165 | 21.5× |
| Cell marker study (88182) | $556.26 | $762 | 11.0× |
| Ceruloplasmin (82390) | $94.17 | $129 | 8.8× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$80.30–$285.43 | $110–$391 | varies |
| Chlamydia antibody (86631) | $98.55 | $135 | 8.3× |
| Chlamydia Igm Antibody (86632) | $98.55 | $135 | 7.8× |
| Chlmy trch&neisra gonor mult (87494) | $419.75 | $575 | 6.0× |
| Chloride urine (82436) range across 2 matching MRF lines |
$28.47–$43.80 | $39–$60 | varies |
| Cholesterol total (82465) | $65.70 | $90 | 15.1× |
| Chorionic gonadotropin test (84702) | $202.94 | $278 | 13.5× |
| Chromium serum (82495) | $177.39 | $243 | 8.7× |
| Chromogranin a (86316) range across 3 matching MRF lines |
$113.88–$182.50 | $156–$250 | varies |
| Chromosome Analysis 20-25 (88264) | $1,870.99 | $2,563 | 12.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$266.45–$572.32 | $365–$784 | varies |
| Citric acid urine (82507) | $469.39 | $643 | 16.9× |
| Ckmb (82553) | $150.38 | $206 | 13.0× |
| Clostridium Difficile (87324) | $206.59 | $283 | 17.2× |
| Clotting factor xii hageman (85280) | $110.23 | $151 | 5.7× |
| Coagulation time activated (85347) | $175.93 | $241 | 41.1× |
| Coccidioides antibody (86635) | $87.60 | $120 | 7.6× |
| Cold agglutinin titer (86157) | $32.85 | $45 | 4.1× |
| Collagen crosslinks (82523) | $163.52 | $224 | 8.8× |
| Column Chromotography Quant (82542) range across 5 matching MRF lines |
$102.20–$283.97 | $140–$389 | varies |
| Compatibility test antiglob (86922) | $235.79 | $323 | 1.4× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$105.12–$162.06 | $144–$222 | varies |
| Complement Total (Ch50) (86162) | $319.01 | $437 | 15.7× |
| Complement/Function Activity (86161) | $105.12 | $144 | 8.8× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 2 matching MRF lines |
$225.57–$240.90 | $309–$330 | varies |
| Coombs direct (86880) | $86.87 | $119 | 16.1× |
| Copper urine (82525) range across 2 matching MRF lines |
$108.77–$139.43 | $149–$191 | varies |
| Cortisol free (82530) | $281.78 | $386 | 16.9× |
| Cortisol saliva (82533) range across 5 matching MRF lines |
$220.46–$225.57 | $302–$309 | varies |
| Creatine (82540) | $127.75 | $175 | 27.5× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$71.54–$93.44 | $98–$128 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$71.54–$82.49 | $98–$113 | varies |
| Creatinine clearance (82575) | $159.14 | $218 | 16.8× |
| Creatinine Urine (82570) | $101.47 | $139 | 19.6× |
| Crossmatch immediate spin (86920) | $140.16 | $192 | 0.8× |
| Crp High Sensitivity (86141) | $174.47 | $239 | 13.5× |
| Cryofibrinogen (82585) | $124.10 | $170 | 8.8× |
| Cryoglobulin (82595) | $56.94 | $78 | 8.8× |
| Cryptococcus ab (86641) | $98.55 | $135 | 6.8× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$124.10–$139.43 | $170–$191 | varies |
| Cryptosporidium ag eia (87328) | $160.60 | $220 | 11.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$140.16–$140.89 | $192–$193 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $135.78 | $186 | 16.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $145.27 | $199 | 18.8× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,210.34 | $1,658 | 5.6× |
| Culture afb (87116) range across 2 matching MRF lines |
$61.32–$182.50 | $84–$250 | varies |
| Culture Anaerobic (87075) | $213.89 | $293 | 22.6× |
| Culture blood (87040) range across 2 matching MRF lines |
$193.45–$236.52 | $265–$324 | varies |
| Culture chlamydia (87110) | $329.96 | $452 | 16.8× |
| Culture csf (87070) range across 5 matching MRF lines |
$104.39–$137.24 | $143–$188 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$95.63–$129.94 | $131–$178 | varies |
| Culture fungus blood (87103) | $152.57 | $209 | 7.5× |
| Culture screen only (87081) | $116.80 | $160 | 17.6× |
| Culture stool (87045) | $175.20 | $240 | 18.6× |
| Culture typing if ea antiserum (87140) | $78.84 | $108 | 14.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$29.20–$45.26 | $40–$62 | varies |
| Culture urine (87086) | $164.25 | $225 | 20.4× |
| Cyclosporine (80158) | $236.52 | $324 | 13.1× |
| Cystatin C (82610) | $142.35 | $195 | 7.7× |
| Cytogenetics 100-300 (88275) | $602.25 | $825 | 11.8× |
| Cytomegalovirus igg (86644) | $194.18 | $266 | 13.5× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$115.34–$196.37 | $158–$269 | varies |
| Cytopath Cell Enhance Tech (88112) range across 3 matching MRF lines |
$164.25–$315.36 | $225–$432 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $372.30 | $510 | 10.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$180.31–$438 | $247–$600 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) range across 2 matching MRF lines |
$189.80–$508.08 | $260–$696 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $283.97 | $389 | 7.8× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $178.12 | $244 | 9.6× |
| Deoxyribonuclease antibody (86215) | $211.70 | $290 | 16.0× |
| Detect Agent Nos Dna Amp (87798) range across 10 matching MRF lines |
$172.28–$445.30 | $236–$610 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$233.60–$243.82 | $320–$334 | varies |
| Detect agnt mult DNA ampli (87801) | $383.25 | $525 | 5.5× |
| Dgp Antibody Each Ig Class (86258) | $108.77 | $149 | 9.0× |
| Dhea (82626) | $143.81 | $197 | 5.7× |
| Dhea-S (82627) | $300.76 | $412 | 13.5× |
| Digoxin (80162) | $179.58 | $246 | 13.5× |
| Dna Antibody Native/Double Stranded (86225) | $232.14 | $318 | 16.9× |
| Drug assay acetaminophen (80143) | $362.08 | $496 | 19.4× |
| Drug assay felbamate (80167) | $163.52 | $224 | 8.8× |
| Drug Assay Infliximab (80230) | $323.39 | $443 | 8.4× |
| Drug Assay Lacosamide (80235) range across 2 matching MRF lines |
$51.10–$237.25 | $70–$325 | varies |
| Drug Assay Vedolizumab (80280) | $285.43 | $391 | 7.4× |
| Drug assay voriconazole (80285) | $237.25 | $325 | 8.8× |
| Drug Screen Quant Clozapine (80159) | $105.12 | $144 | 5.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $178.85 | $245 | 13.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $227.76 | $312 | 17.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $75.19 | $103 | 5.7× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $283.24 | $388 | 16.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$252.58–$275.21 | $346–$377 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $215.35 | $295 | 17.1× |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$71.54–$150.38 | $98–$206 | varies |
| Ehrlichia antibody (86666) | $94.90 | $130 | 9.3× |
| El-1 Fecal Quantitative (82653) | $154.76 | $212 | 6.7× |
| Electrolyte panel (80051) | $156.95 | $215 | 22.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $64.24 | $88 | 5.3× |
| Eosinophil Smear (89190) | $90.52 | $124 | 15.6× |
| Erythropoietin (82668) | $316.82 | $434 | 16.9× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$158.41–$472.31 | $217–$647 | varies |
| Estriol (82677) | $407.34 | $558 | 16.8× |
| Estrogen total (82672) | $292 | $400 | 13.5× |
| Estrogens fractionated (82671) | $183.23 | $251 | 5.7× |
| Ethosuximide (80168) | $235.79 | $323 | 14.4× |
| Ethylene Glycol (82693) | $32.12 | $44 | 2.2× |
| Exam Synovial Fluid Crystals (89060) | $121.18 | $166 | 16.5× |
| F2 Gene (81240) range across 2 matching MRF lines |
$279.59–$575.24 | $383–$788 | varies |
| Factor v activity (85220) | $154.03 | $211 | 8.7× |
| Factor v leiden mutation (81241) | $349.67 | $479 | 4.8× |
| Factor vii assay (85230) | $154.03 | $211 | 8.6× |
| Factor viii assay (85240) | $183.23 | $251 | 10.2× |
| Fat/Lipids Feces Quantitative (82710) | $283.97 | $389 | 16.9× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $109.50 | $150 | 16.8× |
| Fecal Fat Qualitative (82705) | $71.54 | $98 | 14.0× |
| Ferritin (82728) | $182.50 | $250 | 13.4× |
| Fetal screen rosette (85461) | $78.84 | $108 | 8.4× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$109.50–$180.31 | $150–$247 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$85.41–$143.08 | $117–$196 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $135.78 | $186 | 8.8× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$204.40–$1,121.28 | $280–$1,536 | varies |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$53.29–$368.65 | $73–$505 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$68.62–$232.14 | $94–$318 | varies |
| Folic acid rbc (82747) | $132.13 | $181 | 7.5× |
| Folic Acid Serum (82746) | $142.35 | $195 | 9.7× |
| Follicle Stimulating Hormone (83001) | $250.39 | $343 | 13.5× |
| Frozen Section (88331) range across 2 matching MRF lines |
$242.36–$268.64 | $332–$368 | varies |
| Fungi Identification Mold (87107) | $90.52 | $124 | 8.8× |
| Fungi Identification Yeast (87106) | $174.47 | $239 | 16.9× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$190.53–$276.67 | $261–$379 | varies |
| Gases blood ph only (82800) | $114.61 | $157 | 10.4× |
| Gastrin (82941) | $297.11 | $407 | 16.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,210.34 | $1,658 | 2.9× |
| Gentamicin (80170) | $276.67 | $379 | 16.9× |
| Ggt (82977) | $97.09 | $133 | 13.5× |
| Giardia antigen (87329) | $160.60 | $220 | 13.4× |
| Glucose 2 hr pp (82950) | $67.89 | $93 | 14.3× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$32.12–$34.31 | $44–$47 | varies |
| Glucose body fluid (82945) | $68.62 | $94 | 17.5× |
| Glucose Serum (82947) range across 3 matching MRF lines |
$46.72–$52.56 | $64–$72 | varies |
| Glucose tolerance test (gtt) (82951) | $218.27 | $299 | 17.0× |
| Gonadotropin Chorionic Qualitative (84703) | $101.47 | $139 | 13.5× |
| Growth hormone (83003) | $281.05 | $385 | 16.9× |
| Gtt-added samples (82952) | $53.29 | $73 | 13.6× |
| Haloperidol (80173) | $82.49 | $113 | 5.2× |
| Haptoglobin (83010) | $170.09 | $233 | 13.5× |
| Hdl Cholesterol (83718) | $121.91 | $167 | 14.9× |
| Helicobacter Pylori Stool (87338) | $254.04 | $348 | 17.7× |
| Hematocrit (85014) | $57.67 | $79 | 24.3× |
| Hemoglobin (85018) | $59.13 | $81 | 24.9× |
| Hemoglobin a1c (83036) | $109.50 | $150 | 11.3× |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$102.20–$305.14 | $140–$418 | varies |
| Hemoglobin electrophoresis (83020) | $86.87 | $119 | 6.7× |
| Hemoglobin Methemoglobin Quantitative (83050) | $16.79 | $23 | 2.0× |
| Hep a ab igm (86709) | $191.26 | $262 | 17.0× |
| Heparin assay (85520) | $114.61 | $157 | 8.8× |
| Hepatitis a antibody total (86708) | $208.05 | $285 | 16.8× |
| Hepatitis b core ab igm (86705) | $159.14 | $218 | 13.5× |
| Hepatitis b core ab total (86704) | $160.60 | $220 | 13.3× |
| Hepatitis B Surface Antibody (86706) | $145.27 | $199 | 13.5× |
| Hepatitis B Surface Antigen (87340) | $139.43 | $191 | 13.5× |
| Hepatitis Be Antibody (86707) | $101.47 | $139 | 8.8× |
| Hepatitis Be Antigen (87350) | $101.47 | $139 | 8.8× |
| Hepatitis C Antibody (86803) | $240.90 | $330 | 16.9× |
| Hepatitis C Genotype (87902) | $846.80 | $1,160 | 3.3× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$243.82–$578.16 | $334–$792 | varies |
| Herpes simplex type 2 (86696) | $261.34 | $358 | 13.5× |
| Heterophile Antibody Screen (86308) | $86.14 | $118 | 16.6× |
| Hfe Gene (81256) | $371.57 | $509 | 5.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $94.90 | $130 | 12.3× |
| Histoplasma antibody (86698) | $109.50 | $150 | 7.9× |
| Histoplasma antigen urine (87385) | $116.07 | $159 | 8.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $244.55 | $335 | 10.2× |
| Hiv-1 Antibody (86701) | $78.11 | $107 | 8.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $980.39 | $1,343 | 11.5× |
| Hla Class I Typing Low Resolution Complete (81372) | $1,324.95 | $1,815 | 3.3× |
| Hla class ii typing high resolution one locus ea (81382) | $702.26 | $962 | 5.7× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $413.91 | $567 | 5.6× |
| Hla-b27 (86812) | $226.30 | $310 | 8.8× |
| Homocysteine (83090) | $227.76 | $312 | 12.7× |
| Homogenization Tissue (87176) | $32.12 | $44 | 5.5× |
| Homovanillic acid urine (83150) | $235.79 | $323 | 10.5× |
| Hpv High-Risk Types (87624) | $368.65 | $505 | 10.5× |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$199.29–$445.30 | $273–$610 | varies |
| Hydroxyprogesterone 17-d (83498) | $342.37 | $469 | 12.6× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $58.40 | $80 | 5.7× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $208.78 | $286 | 15.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $67.89 | $93 | 1.9× |
| Iaad Ia Streptococcus Group A (87430) | $86.87 | $119 | 5.2× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $202.21 | $277 | 16.9× |
| Iaadi Varicella Zoster Virus (87290) | $99.28 | $136 | 7.4× |
| Iaadiadoo trichomonas vaginalis (87808) | $155.49 | $213 | 10.2× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) range across 2 matching MRF lines |
$266.45–$307.33 | $365–$421 | varies |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $443.11 | $607 | 12.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $58.40 | $80 | 1.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $191.99 | $263 | 5.5× |
| Iadna Cytomegalovirus Quantification (87497) | $243.82 | $334 | 5.7× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $383.25 | $525 | 5.5× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) range across 2 matching MRF lines |
$266.45–$307.33 | $365–$421 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $233.60 | $320 | 5.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $57.67 | $79 | 1.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$243.09–$551.88 | $333–$756 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $83.95 | $115 | 1.6× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,210.34 | $1,658 | 4.6× |
| Ig Light Chains Free Each (83521) | $118.99 | $163 | 6.9× |
| Igg subclasses (82787) | $50.37 | $69 | 6.3× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,673.16 | $2,292 | 5.7× |
| Immunfix e-phorsis/urine/csf (86335) | $301.49 | $413 | 10.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$48.91–$212.43 | $67–$291 | varies |
| Immunoassay infectious agent (86318) | $219 | $300 | 12.1× |
| Immunoassay nonantibody (83516) range across 18 matching MRF lines |
$63.51–$236.52 | $87–$324 | varies |
| Immunodiffusion Ouchterlony (86331) | $91.25 | $125 | 7.6× |
| Immunofixation electrophoresis (86334) | $301.49 | $413 | 13.5× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $164.25 | $225 | 1.0× |
| Immunohistochemistry (88342) | $444.57 | $609 | 2.7× |
| In situ hybridization 1st probe stain (88365) | $218.27 | $299 | 1.3× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $164.25 | $225 | 13.4× |
| Influenza a/b ag eia (87400) | $155.49 | $213 | 11.0× |
| Influenza DNA amp probe (87502) | $465.01 | $637 | 4.9× |
| Inhibin b (83520) range across 11 matching MRF lines |
$15.33–$499.32 | $21–$684 | varies |
| Insitu hybridization manual (88368) | $365 | $500 | 1.0× |
| Insulin antibodies (86337) | $121.91 | $167 | 5.7× |
| Insulin total (83525) | $154.03 | $211 | 13.5× |
| Interleukin-6 (83529) | $151.11 | $207 | 8.7× |
| Intrinsic factor antibody (86340) | $55.48 | $76 | 3.7× |
| Iron (83540) | $105.85 | $145 | 16.4× |
| Iron Binding Capacity (83550) | $148.19 | $203 | 17.0× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$159.14–$206.59 | $218–$283 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $913.96 | $1,252 | 10.0× |
| Koh Prep (87220) range across 2 matching MRF lines |
$24.82–$56.94 | $34–$78 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $111.69 | $153 | 18.5× |
| Lactoferrin fecal qualitative (83630) | $226.30 | $310 | 11.5× |
| Ldh Isoenzymes (83625) | $216.81 | $297 | 17.0× |
| Lead (83655) range across 3 matching MRF lines |
$137.24–$164.25 | $188–$225 | varies |
| Legionella antibody (86713) | $257.69 | $353 | 16.8× |
| Legionella antigen urine (87449) range across 7 matching MRF lines |
$65.70–$160.60 | $90–$220 | varies |
| Legionella pneumophila dfa (87278) | $202.21 | $277 | 13.0× |
| Leptospira antibody (86720) | $31.39 | $43 | 1.9× |
| Leukocyte Assessment Fecal (89055) | $57.67 | $79 | 13.5× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$129.21–$161.33 | $177–$221 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$284.70–$355.51 | $390–$487 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $1,108.87 | $1,519 | 3.2× |
| Lipase (83690) | $121.91 | $167 | 17.7× |
| Lipoprotein A (83695) | $219 | $300 | 15.3× |
| Lipoprotein Bld Quan Part (83704) | $419.75 | $575 | 12.3× |
| Lithium (80178) | $129.21 | $177 | 19.5× |
| Luteinizing Hormone (Lh) (83002) | $250.39 | $343 | 13.5× |
| Lyme disease antibody (86618) | $229.22 | $314 | 13.5× |
| M. Genitalium Amp Probe (87563) | $293.46 | $402 | 8.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$811.03–$1,115.44 | $1,111–$1,528 | varies |
| Macroscopic exam arthropod (87168) | $71.54 | $98 | 16.8× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$51.10–$113.88 | $70–$156 | varies |
| Mass Spectrometry Quant (83789) | $305.14 | $418 | 12.7× |
| Mercury urine (83825) range across 2 matching MRF lines |
$92.71–$274.48 | $127–$376 | varies |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$186.15–$273.02 | $255–$374 | varies |
| Microalbumin, quantitative (82043) | $116.07 | $159 | 20.1× |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$127.75–$196.37 | $175–$269 | varies |
| Mitochondrial Antibody Each (86381) | $222.65 | $305 | 8.7× |
| Mog-Igg1 Antb Cba Each (86362) | $105.85 | $145 | 8.8× |
| Molecular Cytogenetics Dna Probe Each (88271) | $219 | $300 | 10.2× |
| Mopath procedure level 2 (81401) | $798.62 | $1,094 | 5.8× |
| Mrsa Pcr (87641) | $199.29 | $273 | 5.7× |
| Mthfr Gene Analysis Common Variants (81291) | $238.71 | $327 | 3.7× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$74.46–$176.66 | $102–$242 | varies |
| Muscle-Specific Kinase Antb (86366) | $368.65 | $505 | 20.0× |
| Mycobacteric Identification (87118) | $183.96 | $252 | 12.6× |
| Mycoplasma antibody (86738) | $178.85 | $245 | 13.5× |
| Mycoplasma culture (87109) | $168.63 | $231 | 11.0× |
| Myelin basic protein csf (83873) | $291.27 | $399 | 16.9× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$73.73–$218.27 | $101–$299 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$385.44–$409.53 | $528–$561 | varies |
| Neutralization Test Viral (86382) | $285.43 | $391 | 16.9× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $710.29 | $973 | 5.5× |
| Nfct ds chrnc hcv 6 assays (81596) | $329.96 | $452 | 4.6× |
| Niacin (84591) | $195.64 | $268 | 11.5× |
| Nk cells total count (86357) | $213.89 | $293 | 5.7× |
| Nuclear antigen antibody (86235) range across 8 matching MRF lines |
$102.20–$243.09 | $140–$333 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$29.20–$52.56 | $40–$72 | varies |
| Occult Blood Other Sources (82271) range across 3 matching MRF lines |
$24.82–$48.91 | $34–$67 | varies |
| Oligoclonal bands (83916) | $339.45 | $465 | 12.4× |
| Osmolality serum (83930) | $93.44 | $128 | 14.1× |
| Osmolality Urine (83935) | $91.98 | $126 | 13.5× |
| Ova and parasites smears (87177) | $143.81 | $197 | 16.2× |
| Oxalate urine (83945) | $218.27 | $299 | 15.1× |
| Pancreatic Elastase Fecal (82656) | $170.82 | $234 | 14.8× |
| Particle Agglutination Screen Each Antibody (86403) | $162.06 | $222 | 14.0× |
| Parvovirus antibody (86747) | $85.41 | $117 | 5.7× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $2,680.56 | $3,672 | 3.4× |
| Ph urine (81003) range across 3 matching MRF lines |
$48.91–$56.94 | $67–$78 | varies |
| Phenobarbital Level (80184) | $186.88 | $256 | 12.2× |
| Phenytoin (Dilantin) (80185) | $216.81 | $297 | 16.4× |
| Phosphatase acid prostatic (84066) | $163.52 | $224 | 16.9× |
| Phosphatase alkaline (84075) | $81.03 | $111 | 15.6× |
| Phospholipid Neutralization Hexagonal (85598) | $102.20 | $140 | 5.7× |
| Phosphorus Serum (84100) | $83.22 | $114 | 17.6× |
| Phosphorus urine (84105) | $86.87 | $119 | 15.0× |
| Pinworm exam (87172) | $71.54 | $98 | 16.8× |
| Platelet Antibodies (86022) | $235.79 | $323 | 12.8× |
| Platelet count automated (85049) | $75.92 | $104 | 16.9× |
| Porphobilinogen, urine; quantitative (84110) | $142.35 | $195 | 16.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $248.93 | $341 | 16.9× |
| Potassium Urine (84133) | $71.54 | $98 | 15.1× |
| Prealbumin (84134) | $113.15 | $155 | 7.8× |
| Pregnenolone (84140) | $117.53 | $161 | 5.7× |
| Primidone (80188) | $280.32 | $384 | 16.9× |
| Procalcitonin (Pct) (84145) | $373.03 | $511 | 13.7× |
| Progesterone (84144) range across 2 matching MRF lines |
$105.85–$313.90 | $145–$430 | varies |
| Prolactin (84146) | $260.61 | $357 | 13.4× |
| Protein body fluid (84157) | $64.97 | $89 | 16.2× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$109.50–$218.27 | $150–$299 | varies |
| Protein c antigen (85302) | $202.94 | $278 | 16.9× |
| Protein Electrophoresis Urine (84166) | $145.27 | $199 | 8.1× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $186.88 | $256 | 17.4× |
| Protein S Free (85306) range across 4 matching MRF lines |
$81.03–$224.84 | $111–$308 | varies |
| Protein s total (85305) | $195.64 | $268 | 16.9× |
| Protein total serum (84155) | $80.30 | $110 | 21.9× |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$21.17–$80.30 | $29–$110 | varies |
| Protein Western Blot Test (84182) | $46.72 | $64 | 1.6× |
| PSA free (84154) range across 2 matching MRF lines |
$104.39–$247.47 | $143–$339 | varies |
| Pth Intact (83970) | $556.99 | $763 | 13.5× |
| Q Fever Antibody (86638) | $31.39 | $43 | 2.6× |
| Quantiferon tb gold plus (86480) | $474.50 | $650 | 7.7× |
| Quantitative assay drug (80299) range across 9 matching MRF lines |
$146–$295.65 | $200–$405 | varies |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
$124.10–$192.72 | $170–$264 | varies |
| Quinidine (80194) | $246.01 | $337 | 16.9× |
| Rbc antibody elution (86860) | $295.65 | $405 | 1.8× |
| Rbc antibody identification (86870) | $295.65 | $405 | 0.8× |
| Rbc antibody screen (86850) | $148.19 | $203 | 15.2× |
| Renin activity plasma (84244) | $297.11 | $407 | 13.5× |
| Resp virus 12-25 targets (87633) | $1,107.41 | $1,517 | 2.7× |
| Resp Virus 6-11 Targets (87632) | $1,163.62 | $1,594 | 5.3× |
| Reticulocyte Count (85046) | $91.25 | $125 | 16.4× |
| Rh (86901) | $68.62 | $94 | 22.9× |
| Rheumatoid Factor Qualitative (86430) | $100.01 | $137 | 16.3× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$49.64–$100.01 | $68–$137 | varies |
| Rickettsia antibody (86757) range across 3 matching MRF lines |
$105.12–$326.31 | $144–$447 | varies |
| Ristocetin cofactor (85245) | $129.94 | $178 | 5.7× |
| Rotavirus ag eia (87425) | $160.60 | $220 | 13.4× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$59.13–$94.90 | $81–$130 | varies |
| Rubella Antibody (86762) | $194.18 | $266 | 13.5× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$113.15–$175.20 | $155–$240 | varies |
| Russell Viper Venom Time Diluted (85613) range across 5 matching MRF lines |
$83.95–$159.87 | $115–$219 | varies |
| Salicylate Level (80179) | $244.55 | $335 | 13.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$124.10–$178.85 | $170–$245 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $82.49 | $113 | 2.0× |
| Sarscov2 & inf a&b amp prb (87636) | $143.08 | $196 | 1.0× |
| Sedimentation rate (85651) | $67.89 | $93 | 15.9× |
| Sedimentation Rate, Automated (85652) | $73 | $100 | 27.0× |
| Selenium (84255) | $145.27 | $199 | 5.7× |
| Semen Anal Sperm Detection (89321) | $145.27 | $199 | 12.1× |
| Sensitivity mic (87186) | $185.42 | $254 | 21.4× |
| Serpina 1 gene (81332) | $382.52 | $524 | 8.8× |
| Sex Hormone Binding Globulin (84270) | $365.73 | $501 | 16.8× |
| Sickling of rbc reduction (85660) | $48.18 | $66 | 8.7× |
| Sirolimus (80195) | $78.11 | $107 | 5.7× |
| Skin test tuberculosis intradermal (86580) | $49.64 | $68 | 1.8× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$47.45–$91.25 | $65–$125 | varies |
| Smear complex stain (87209) | $243.09 | $333 | 13.5× |
| Smear gram stain (87205) range across 4 matching MRF lines |
$69.35–$77.38 | $95–$106 | varies |
| Smear Special Stain (87207) | $52.56 | $72 | 8.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $56.94 | $78 | 9.8× |
| Sodium Serum (84295) | $64.97 | $89 | 13.5× |
| Sodium Urine (84300) | $66.43 | $91 | 13.1× |
| Soluble Transferrin Receptor (84238) | $207.32 | $284 | 5.7× |
| Somatomedin (84305) | $358.43 | $491 | 16.9× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$492.75–$615.39 | $675–$843 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$410.26–$512.46 | $562–$702 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$54.75–$67.16 | $75–$92 | varies |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$70.81–$537.28 | $97–$736 | varies |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$56.21–$127.02 | $77–$174 | varies |
| Strep a assay w/optic (87880) | $124.83 | $171 | 7.6× |
| Strep a DNA amp probe (87651) | $149.65 | $205 | 4.3× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$341.64–$426.32 | $468–$584 | varies |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$164.25–$614.66 | $225–$842 | varies |
| Surgical pathology level vi (88309) | $1,527.16 | $2,092 | 2.0× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 3 matching MRF lines |
$82.49–$382.52 | $113–$524 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $116.80 | $160 | 15.6× |
| Syphilis Test Non-Trep Quant (86593) | $24.82 | $34 | 5.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $267.18 | $366 | 5.7× |
| T cells total count (86359) | $214.62 | $294 | 5.7× |
| T3 Free (84481) | $259.88 | $356 | 15.3× |
| T3 reverse (84482) | $137.97 | $189 | 8.8× |
| T3 Total (84480) | $191.99 | $263 | 13.5× |
| T3 Uptake (84479) | $108.04 | $148 | 16.7× |
| T4 Free (84439) | $215.35 | $295 | 23.9× |
| T4 total (84436) | $93.44 | $128 | 13.6× |
| Tacrolimus (80197) | $252.58 | $346 | 18.4× |
| Test for acetone/ketones (82009) | $64.24 | $88 | 14.2× |
| Testosterone Bioavailable (84410) | $474.50 | $650 | 9.3× |
| Testosterone total (84403) | $340.18 | $466 | 13.2× |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$289.81–$342.37 | $397–$469 | varies |
| Theophylline (80198) | $240.17 | $329 | 17.0× |
| Thrombin Time (85670) range across 3 matching MRF lines |
$50.37–$98.55 | $69–$135 | varies |
| Thyroglobulin (84432) | $91.25 | $125 | 5.7× |
| Thyroglobulin Antibody (86800) | $213.89 | $293 | 13.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $392.74 | $538 | 7.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$103.66–$123.37 | $142–$169 | varies |
| Tissue culture bone marrow (88237) | $747.52 | $1,024 | 5.2× |
| Tobramycin peak (80200) | $272.29 | $373 | 16.9× |
| Topiramate (80201) | $104.39 | $143 | 8.8× |
| Touch prep (88161) | $242.36 | $332 | 8.6× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $224.11 | $307 | 11.4× |
| Toxoplasma antibody (86777) | $243.82 | $334 | 16.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $69.35 | $95 | 13.4× |
| Transferrin (84466) | $210.24 | $288 | 16.5× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$102.93–$199.29 | $141–$273 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$32.12–$108.04 | $44–$148 | varies |
| Troponin Quant (84484) | $229.22 | $314 | 18.4× |
| Tumor immunohistochem/comput (88361) | $440.19 | $603 | 1.3× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$330.69–$431.43 | $453–$591 | varies |
| Ugt1a1 gene analysis common variants (81350) | $281.78 | $386 | 1.2× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$61.32–$90.52 | $84–$124 | varies |
| Uric acid other source (84560) | $81.03 | $111 | 16.0× |
| Urinalysis Microscopic Only (81015) | $73 | $100 | 23.9× |
| Urinalysis Volume Measure (81050) | $63.51 | $87 | 17.4× |
| Urine Bacteria Culture (87088) | $109.50 | $150 | 13.5× |
| Urine Pregnancy Test (81025) | $132.13 | $181 | 15.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$69.35–$75.19 | $95–$103 | varies |
| Valproic acid (80164) | $222.65 | $305 | 16.4× |
| Vancomycin (80202) range across 2 matching MRF lines |
$162.06–$202.94 | $222–$278 | varies |
| Varicella-zoster antibody (86787) | $81.03 | $111 | 6.3× |
| Vasopressin (84588) | $573.05 | $785 | 16.9× |
| Viral Culture (87252) range across 2 matching MRF lines |
$328.50–$572.32 | $450–$784 | varies |
| Vit D 1 25-Dihydroxy (82652) | $519.03 | $711 | 13.5× |
| Vitamin A (84590) | $140.89 | $193 | 12.1× |
| Vitamin b-12 (82607) | $116.80 | $160 | 7.7× |
| Vitamin B6 (84207) | $159.14 | $218 | 5.7× |
| Vitamin c (82180) | $86.87 | $119 | 8.8× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$150.38–$219 | $206–$300 | varies |
| Vitamin E (84446) | $240.17 | $329 | 16.9× |
| Vitamin K (84597) | $174.47 | $239 | 12.7× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $105.85 | $145 | 8.8× |
| Von willebrand factor ag (85246) | $129.94 | $178 | 5.7× |
| West nile virus ab igm (86788) | $98.55 | $135 | 5.8× |
| Xm Archive Tissue Molec Anal (88363) | $89.79 | $123 | 3.2× |
| Zinc (84630) | $140.16 | $192 | 12.3× |
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.