Lab & pathology prices at Ellsworth County Medical Center
Ellsworth, KS · every code in this section with a posted price and a Medicare benchmark.
350 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $253 | $253 | 6.6× |
| Actin smooth muscle antibody each (86015) | $74 | $74 | 6.1× |
| Albumin serum (82040) | $46 | $46 | 9.3× |
| Aldolase (82085) | $69 | $69 | 7.1× |
| Aldosterone urine (82088) | $173 | $173 | 4.2× |
| Alkaline phosphatase isoenzymes (84080) | $130 | $130 | 8.8× |
| Allergen spec ige qual multiallergen screen (86005) | $72 | $72 | 9.0× |
| Allergen specific ige (86003) | $22 | $22 | 4.2× |
| Alpha-1-antitrypsin total (82103) | $114 | $114 | 8.5× |
| Alpha-Fetoprotein Serum (82105) | $119 | $119 | 7.1× |
| Alt (sgpt) (84460) range across 3 matching MRF lines |
$39–$45.50 | $39–$45.50 | varies |
| Ammonia (82140) | $125.50 | $125.50 | 8.6× |
| Amylase urine (82150) | $56 | $56 | 8.6× |
| Anca Titer Each Antibody (86037) | $25 | $25 | 2.1× |
| Androstenedione (82157) | $269 | $269 | 9.2× |
| Angiotensin converting enzyme csf (82164) | $70 | $70 | 4.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $147.12 | $147.12 | 9.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $162 | $162 | 9.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $74.25 | $74.25 | 5.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$74.25–$74.50 | $74.25–$74.50 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $80.50 | $80.50 | 4.4× |
| Antibody Fungus Not Elsewhere Specified (86671) | $104 | $104 | 8.5× |
| Antibody helicobacter pylori (86677) range across 3 matching MRF lines |
$54–$81 | $54–$81 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $56 | $56 | 4.2× |
| Antibody HIV-2 (86702) | $82 | $82 | 6.1× |
| Antigen typing (86905) | $111 | $111 | 29.0× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $76 | $76 | 13.3× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$55–$95 | $55–$95 | varies |
| Antistreptolysin o titer (86060) | $17 | $17 | 2.3× |
| Antithrombin iii activity (85300) | $99 | $99 | 8.4× |
| Apolipoprotein a1 (82172) | $115 | $115 | 5.5× |
| Assay Blood Carbon Dioxide (82374) | $42 | $42 | 8.6× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$60–$171 | $60–$171 | varies |
| Assay of 5-hiaa (83497) | $65 | $65 | 5.0× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$33.50–$39 | $33.50–$39 | varies |
| Assay of calcium in urine (82340) | $30 | $30 | 5.0× |
| Assay of cpk in blood (82552) | $104 | $104 | 7.8× |
| Assay of g6pd enzyme (82955) | $35 | $35 | 3.6× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$66–$111 | $66–$111 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$76–$79 | $76–$79 | varies |
| Assay of serum potassium (84132) | $39.50 | $39.50 | 8.3× |
| Assay of urea nitrogen (84520) | $34 | $34 | 8.6× |
| Assay of vitamin b-1 (84425) | $192 | $192 | 9.0× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$30–$63 | $30–$63 | varies |
| Assay spec xcp ur&breath ia (82077) | $75.25 | $75.25 | 4.4× |
| Asy carbamazepin 10,11-epxid (80161) | $207 | $207 | 11.1× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$22–$28 | $22–$28 | varies |
| Bcr/abl1 gene major bp (81206) | $240 | $240 | 1.5× |
| Bcr/abl1 gene minor bp (81207) | $245 | $245 | 1.7× |
| Beta 2 glycoprotein i antibody each (86146) | $55 | $55 | 2.2× |
| Beta hydroxybutyrate (82010) | $204 | $204 | 25.0× |
| Beta-2 Microglobulin (82232) | $86 | $86 | 5.3× |
| Bilirubin direct (82248) | $43.50 | $43.50 | 8.7× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$43.50–$73 | $43.50–$73 | varies |
| Blastomyces antibody (86612) | $205 | $205 | 15.9× |
| Bld Typing Serologic Rh Phnt (86906) | $111 | $111 | 14.3× |
| Bleeding time test (85002) | $39 | $39 | 8.1× |
| Blood Count Red Blood Cell Automated (85041) | $35 | $35 | 11.6× |
| Blood count reticulocyte automated (85045) | $179 | $179 | 44.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $30 | $30 | 7.9× |
| Blood gas (82803) | $138 | $138 | 5.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $85 | $85 | 5.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 3 matching MRF lines |
$15.50–$46.50 | $15.50–$46.50 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $153 | $153 | 24.1× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $77 | $77 | 4.7× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$45–$77 | $45–$77 | varies |
| Bordetella antibody (86615) | $175 | $175 | 13.3× |
| C diff amplified probe (87493) | $154 | $154 | 4.1× |
| C-Peptide (84681) range across 2 matching MRF lines |
$53–$83 | $53–$83 | varies |
| C-reactive protein (86140) | $68 | $68 | 13.1× |
| Ca 19-9 (86301) | $111 | $111 | 5.3× |
| Calcium ionized (82330) | $57.50 | $57.50 | 4.2× |
| Calcium total (82310) | $44.50 | $44.50 | 8.6× |
| Calprotectin Fecal (83993) | $351 | $351 | 17.9× |
| Cancer Antigen 125 (86304) | $111 | $111 | 5.3× |
| Cancer Antigen 27.29 (86300) | $111 | $111 | 5.3× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$99.63–$163.50 | $99.63–$163.50 | varies |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$35–$110 | $35–$110 | varies |
| Catecholamines fractionated (82384) | $175 | $175 | 6.9× |
| Ccp antibody (86200) | $99 | $99 | 7.6× |
| Cell count csf (89051) | $125 | $125 | 22.3× |
| Ceruloplasmin (82390) | $84 | $84 | 7.8× |
| Chloride Serum (82435) | $39.50 | $39.50 | 8.6× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$37–$37.50 | $37–$37.50 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$77–$136 | $77–$136 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $186 | $186 | 5.3× |
| Ckmb (82553) | $122 | $122 | 10.6× |
| Clostridium Difficile (87324) | $124 | $124 | 10.4× |
| Coccidioides antibody (86635) | $153 | $153 | 13.3× |
| Cold agglutinin titer (86157) | $66 | $66 | 8.2× |
| Collagen crosslinks (82523) | $260 | $260 | 13.9× |
| Compatibility test antiglob (86922) | $160 | $160 | 1.0× |
| Complement Antigen Each Component (86160) | $125 | $125 | 10.4× |
| Coombs direct (86880) | $59 | $59 | 10.9× |
| Copper urine (82525) | $34 | $34 | 2.7× |
| Cortisol free (82530) | $42 | $42 | 2.5× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$85.14–$141 | $85.14–$141 | varies |
| Creatine kinase total (82550) | $56 | $56 | 8.6× |
| Creatinine blood (82565) | $31 | $31 | 6.1× |
| Creatinine clearance (82575) | $81.50 | $81.50 | 8.6× |
| Creatinine Urine (82570) | $33 | $33 | 6.4× |
| Crp High Sensitivity (86141) | $120 | $120 | 9.3× |
| Cryptococcus ag titer (87899) | $103.50 | $103.50 | 6.4× |
| Cryptosporidium ag eia (87328) | $124 | $124 | 9.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$61–$105 | $61–$105 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 4 matching MRF lines |
$69.50–$275 | $69.50–$275 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $545 | $545 | 2.5× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$38.75–$105 | $38.75–$105 | varies |
| Culture blood (87040) | $125 | $125 | 12.1× |
| Culture csf (87070) range across 5 matching MRF lines |
$39.50–$137.35 | $39.50–$137.35 | varies |
| Culture fungus blood (87103) | $81 | $81 | 4.0× |
| Culture screen only (87081) range across 3 matching MRF lines |
$29.75–$192 | $29.75–$192 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$50–$94 | $50–$94 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$17–$53 | $17–$53 | varies |
| Cyclosporine (80158) | $100.10 | $100.10 | 5.5× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$53–$130 | $53–$130 | varies |
| Cytopath Cell Enhance Tech (88112) | $79 | $79 | 1.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $96 | $96 | 2.0× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $51 | $51 | 0.3× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $36 | $36 | 1.4× |
| Detect Agent Nos Dna Amp (87798) | $195 | $195 | 5.6× |
| Dhea (82626) | $142 | $142 | 5.6× |
| Dhea-S (82627) | $115 | $115 | 5.2× |
| Digoxin (80162) | $120 | $120 | 9.0× |
| Dna Antibody Native/Double Stranded (86225) | $137 | $137 | 10.0× |
| Dna/Rna Amplified Probe (87150) | $54 | $54 | 1.5× |
| Drug assay acetaminophen (80143) | $75.25 | $75.25 | 4.0× |
| Drug Assay Everolimus (80169) | $200 | $200 | 14.6× |
| Drug Assay Lacosamide (80235) | $385 | $385 | 14.2× |
| Drug Screen Quant Zonisamide (80203) | $162 | $162 | 12.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $227 | $227 | 17.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $82 | $82 | 6.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $67 | $67 | 5.1× |
| Drug Test Prsmv Chem Anlyzr (80307) | $150.08 | $150.08 | 2.4× |
| Drug Test Prsmv Dir Opt Obs (80305) | $70 | $70 | 5.6× |
| Electrolyte panel (80051) | $62 | $62 | 8.8× |
| Erythropoietin (82668) | $160 | $160 | 8.5× |
| Estradiol serum (82670) | $283 | $283 | 10.1× |
| Estrogen total (82672) | $147 | $147 | 6.8× |
| Ethosuximide (80168) | $107 | $107 | 6.5× |
| Exam Synovial Fluid Crystals (89060) | $228 | $228 | 31.1× |
| F2 Gene (81240) | $103 | $103 | 1.6× |
| Factor ii activity (85210) | $179 | $179 | 13.8× |
| Factor v leiden mutation (81241) | $279 | $279 | 3.8× |
| Fat/Lipids Feces Quantitative (82710) | $136 | $136 | 8.1× |
| Fecal Fat Qualitative (82705) | $30 | $30 | 5.9× |
| Ferritin (82728) | $66 | $66 | 4.8× |
| Fibrin Degradation Quant (85379) | $74 | $74 | 7.3× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $109 | $109 | 11.2× |
| Fibrinogen antigen (85385) | $241.50 | $241.50 | 16.7× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$82–$244 | $82–$244 | varies |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$126.50–$140 | $126.50–$140 | varies |
| Follicle Stimulating Hormone (83001) | $124 | $124 | 6.7× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $60 | $60 | 0.4× |
| Frozen Section (88331) | $80 | $80 | 0.5× |
| Gammaglobulin ige (82785) | $112 | $112 | 6.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $639 | $639 | 1.5× |
| Genet Virus Isolate Hsv (87255) | $349 | $349 | 10.3× |
| Gentamicin (80170) | $141 | $141 | 8.6× |
| Ggt (82977) range across 2 matching MRF lines |
$53–$89 | $53–$89 | varies |
| Giardia antigen (87329) | $103.50 | $103.50 | 8.6× |
| Glucose 2 hr pp (82950) | $41 | $41 | 8.6× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$8–$10 | $8–$10 | varies |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$31–$66 | $31–$66 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$30–$34 | $30–$34 | varies |
| Glucose tolerance test (gtt) (82951) | $135 | $135 | 10.5× |
| Gonadotropin Chorionic Qualitative (84703) | $77 | $77 | 10.2× |
| Gtt-added samples (82952) | $66 | $66 | 16.8× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$118–$179 | $118–$179 | varies |
| Hdl Cholesterol (83718) | $70.50 | $70.50 | 8.6× |
| Helicobacter Pylori Stool (87338) | $261 | $261 | 18.2× |
| Hematocrit (85014) | $20.50 | $20.50 | 8.6× |
| Hemoglobin (85018) range across 4 matching MRF lines |
$16.50–$21 | $16.50–$21 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$27–$83.50 | $27–$83.50 | varies |
| Hep a ab igm (86709) | $70.25 | $70.25 | 6.2× |
| Hepatitis a antibody total (86708) | $62 | $62 | 5.0× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$60–$98 | $60–$98 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$63–$105 | $63–$105 | varies |
| Hepatitis B Surface Antigen (87340) range across 4 matching MRF lines |
$25–$124 | $25–$124 | varies |
| Hepatitis Be Antibody (86707) | $163.50 | $163.50 | 14.1× |
| Hepatitis Be Antigen (87350) | $98 | $98 | 8.5× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$60–$131 | $60–$131 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 5 matching MRF lines |
$521–$923 | $521–$923 | varies |
| Herpes simplex type 2 (86696) | $56 | $56 | 2.9× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$44.50–$45 | $44.50–$45 | varies |
| Hfe Gene (81256) | $497 | $497 | 7.6× |
| Histoplasma antibody (86698) | $70 | $70 | 5.1× |
| Histoplasma antigen urine (87385) | $68 | $68 | 5.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $81 | $81 | 3.4× |
| Hiv-1 Antibody (86701) range across 3 matching MRF lines |
$89–$150 | $89–$150 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $88 | $88 | 2.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $190 | $190 | 2.6× |
| Homocysteine (83090) | $72 | $72 | 4.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $120 | $120 | 8.6× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$50–$100 | $50–$100 | varies |
| Iaad Ia Streptococcus Group A (87430) | $77 | $77 | 4.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $80 | $80 | 2.3× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $460 | $460 | 13.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $102 | $102 | 2.9× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $93.50 | $93.50 | 2.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $119 | $119 | 3.4× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $750 | $750 | 5.3× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$46–$77 | $46–$77 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $75 | $75 | 2.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$114–$118 | $114–$118 | varies |
| Immunoassay nonantibody (83516) range across 7 matching MRF lines |
$24–$193 | $24–$193 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$120.25–$131 | $120.25–$131 | varies |
| Immunohistochemistry (88342) | $357 | $357 | 2.3× |
| In situ hybridization 1st probe stain (88365) | $206 | $206 | 1.3× |
| Influenza a/b ag eia (87400) range across 4 matching MRF lines |
$30–$124 | $30–$124 | varies |
| Influenza assay w/optic (87804) | $130 | $130 | 7.9× |
| Inhibin b (83520) range across 3 matching MRF lines |
$47.20–$249 | $47.20–$249 | varies |
| Insulin total (83525) range across 2 matching MRF lines |
$52–$115 | $52–$115 | varies |
| Intrinsic factor antibody (86340) | $113 | $113 | 7.5× |
| Iron (83540) | $58 | $58 | 9.0× |
| Iron Binding Capacity (83550) | $75.50 | $75.50 | 8.6× |
| Koh Prep (87220) | $33 | $33 | 7.7× |
| Lactate (ld) (ldh) enzyme (83615) | $52 | $52 | 8.6× |
| LDL direct (83721) | $82 | $82 | 7.8× |
| Lead (83655) range across 2 matching MRF lines |
$40–$49 | $40–$49 | varies |
| Legionella antibody (86713) | $125 | $125 | 8.2× |
| Legionella antigen urine (87449) | $162 | $162 | 13.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $73 | $73 | 2.7× |
| Level ii surg pathology grossµscopic exam (88302) | $64 | $64 | 1.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $338 | $338 | 1.0× |
| Lipase (83690) | $60 | $60 | 8.7× |
| Lipoprotein A (83695) | $60 | $60 | 4.2× |
| Lithium (80178) range across 2 matching MRF lines |
$37.19–$60 | $37.19–$60 | varies |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$121–$217 | $121–$217 | varies |
| Lyme disease antibody (86618) | $98 | $98 | 5.8× |
| Magnesium Urine (83735) | $59 | $59 | 8.8× |
| Mercury urine (83825) | $129 | $129 | 7.9× |
| Metabolic panel ionized ca (80047) | $85 | $85 | 6.2× |
| Methylmalonic acid serum (83921) | $131 | $131 | 6.2× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$24–$50 | $24–$50 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$109–$114 | $109–$114 | varies |
| Mitochondrial Antibody Each (86381) | $57 | $57 | 2.2× |
| Mthfr Gene Analysis Common Variants (81291) | $246 | $246 | 3.8× |
| Mumps antibody (86735) | $147 | $147 | 11.3× |
| Mycoplasma antibody (86738) | $161 | $161 | 12.2× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$111–$148 | $111–$148 | varies |
| Natriuretic peptide (83880) | $292 | $292 | 7.4× |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$52.26–$190 | $52.26–$190 | varies |
| Occult blood feces (82272) range across 4 matching MRF lines |
$15–$84 | $15–$84 | varies |
| Occult Blood Other Sources (82271) | $28 | $28 | 5.3× |
| Osmolality Urine (83935) | $71 | $71 | 10.4× |
| Ova and parasites smears (87177) | $67 | $67 | 7.5× |
| Parvovirus antibody (86747) | $101 | $101 | 6.7× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $107 | $107 | 0.1× |
| Ph urine (81003) range across 2 matching MRF lines |
$9–$9.20 | $9–$9.20 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$122–$167 | $122–$167 | varies |
| Phenytoin (Dilantin) (80185) | $122 | $122 | 9.2× |
| Phosphatase alkaline (84075) | $44.50 | $44.50 | 8.6× |
| Phosphorus Serum (84100) | $41 | $41 | 8.6× |
| Pinworm exam (87172) | $35 | $35 | 8.2× |
| Platelet count automated (85049) | $38.50 | $38.50 | 8.6× |
| Potassium Urine (84133) | $37 | $37 | 7.8× |
| Prealbumin (84134) range across 2 matching MRF lines |
$65–$125.50 | $65–$125.50 | varies |
| Primidone (80188) | $167 | $167 | 10.1× |
| Procalcitonin (Pct) (84145) | $318.92 | $318.92 | 11.7× |
| Progesterone (84144) | $154 | $154 | 7.4× |
| Prolactin (84146) | $138 | $138 | 7.1× |
| Protein body fluid (84157) | $79.25 | $79.25 | 19.8× |
| Protein C Activity (85303) | $106.25 | $106.25 | 7.7× |
| Protein c antigen (85302) | $82 | $82 | 6.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$54–$91 | $54–$91 | varies |
| Protein S Free (85306) | $31 | $31 | 2.0× |
| Protein s total (85305) | $23 | $23 | 2.0× |
| Protein total serum (84155) range across 4 matching MRF lines |
$12–$91 | $12–$91 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$33–$42 | $33–$42 | varies |
| PSA free (84154) | $31 | $31 | 1.7× |
| Pth Intact (83970) | $70 | $70 | 1.7× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$187.05–$389 | $187.05–$389 | varies |
| Quantitative assay drug (80299) | $153 | $153 | 8.2× |
| Rbc antibody elution (86860) | $139 | $139 | 0.9× |
| Rbc antibody identification (86870) | $147 | $147 | 0.4× |
| Rbc pretreatment serum (86978) | $216 | $216 | 4.0× |
| Rbc pretx incubatj w/enzymes (86971) | $94 | $94 | 0.6× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$120–$207 | $120–$207 | varies |
| Rh (86901) range across 2 matching MRF lines |
$29–$59 | $29–$59 | varies |
| Rheumatoid factor quant (86431) | $58 | $58 | 10.2× |
| Rickettsia antibody (86757) | $157 | $157 | 8.1× |
| Rotavirus ag eia (87425) | $124 | $124 | 10.4× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$20–$52 | $20–$52 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$38.25–$96 | $38.25–$96 | varies |
| Rubeola antibody (86765) | $154 | $154 | 12.0× |
| Russell Viper Venom Time Diluted (85613) | $147 | $147 | 15.3× |
| Salicylate Level (80179) | $71.75 | $71.75 | 3.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$128–$295 | $128–$295 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $105 | $105 | 2.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $231 | $231 | 1.6× |
| Sedimentation rate (85651) | $30.50 | $30.50 | 7.1× |
| Semen Anal Sperm Detection (89321) | $104 | $104 | 8.6× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$53–$70 | $53–$70 | varies |
| Sirolimus (80195) | $100 | $100 | 7.3× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$13–$14 | $13–$14 | varies |
| Smear complex stain (87209) | $120 | $120 | 6.7× |
| Smear gram stain (87205) range across 4 matching MRF lines |
$37–$137.35 | $37–$137.35 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $45 | $45 | 7.7× |
| Sodium Serum (84295) | $41.50 | $41.50 | 8.6× |
| Sodium Urine (84300) | $42 | $42 | 8.3× |
| Somatomedin (84305) | $142 | $142 | 6.7× |
| Special Stains Group 1 (88312) | $96.25 | $96.25 | 2.0× |
| Special Stains Group 2 (88313) | $74.75 | $74.75 | 0.6× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$50–$75 | $50–$75 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$31–$76.09 | $31–$76.09 | varies |
| Surg path level iii (88304) | $144.25 | $144.25 | 3.0× |
| Surgical pathology level IV (88305) | $242.50 | $242.50 | 5.1× |
| Surgical pathology level vi (88309) | $481 | $481 | 0.6× |
| Syphilis Test Non-Trep Quant (86593) | $32 | $32 | 7.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $221 | $221 | 4.7× |
| T3 Free (84481) | $146 | $146 | 8.6× |
| T3 reverse (84482) | $102.75 | $102.75 | 6.5× |
| T3 Total (84480) | $101 | $101 | 7.1× |
| T3 Uptake (84479) | $59 | $59 | 9.1× |
| T4 Free (84439) range across 3 matching MRF lines |
$20–$78 | $20–$78 | varies |
| T4 total (84436) | $37 | $37 | 5.4× |
| Tacrolimus (80197) | $85 | $85 | 6.2× |
| Testosterone total (84403) range across 3 matching MRF lines |
$106–$131 | $106–$131 | varies |
| Testosterone, Free (84402) range across 3 matching MRF lines |
$60–$136 | $60–$136 | varies |
| Thrombin Time (85670) range across 2 matching MRF lines |
$88–$147 | $88–$147 | varies |
| Thromboplastin Inhibition Tissue (85705) | $147 | $147 | 15.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $147 | $147 | 22.7× |
| Thyroglobulin (84432) | $158 | $158 | 9.8× |
| Thyroglobulin Antibody (86800) | $64 | $64 | 4.0× |
| Topiramate (80201) | $152 | $152 | 12.8× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$38–$44.50 | $38–$44.50 | varies |
| Transferrin (84466) | $99 | $99 | 7.8× |
| Triglycerides (84478) range across 3 matching MRF lines |
$16–$49.50 | $16–$49.50 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$71–$103.50 | $71–$103.50 | varies |
| Tumor Immunohistochem/Manual (88360) | $119 | $119 | 0.8× |
| Uric acid other source (84560) | $46 | $46 | 9.1× |
| Urinalysis Microscopic Only (81015) | $26.50 | $26.50 | 8.7× |
| Urine Bacteria Culture (87088) | $56 | $56 | 6.9× |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$21–$54.50 | $21–$54.50 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $12 | $12 | 3.8× |
| Valproic acid (80164) | $125 | $125 | 9.2× |
| Vancomycin (80202) | $116.50 | $116.50 | 8.6× |
| Varicella-zoster antibody (86787) | $150 | $150 | 11.6× |
| Viral Culture (87252) | $119 | $119 | 4.6× |
| Viscosity serum (85810) | $45 | $45 | 3.9× |
| Vit D 1 25-Dihydroxy (82652) | $180 | $180 | 4.7× |
| Vitamin A (84590) | $106 | $106 | 9.1× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$82–$130 | $82–$130 | varies |
| Vitamin D 25-Hydroxy (82306) | $271 | $271 | 9.2× |
| Vitamin E (84446) | $112 | $112 | 7.9× |
| Vitamin K (84597) | $379 | $379 | 27.6× |
| West nile virus ab igm (86788) | $103 | $103 | 6.1× |
| West Nile Virus Antibody (86789) | $103 | $103 | 7.2× |
| Zinc (84630) | $230 | $230 | 20.2× |
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.