Lab & pathology prices at Essentia Health St. Mary's-Detroit Lakes

Detroit Lakes, MN · every code in this section with a posted price and a Medicare benchmark.

350 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Acth (82024) $165.64 $258 4.3×
Acute hepatitis panel (80074) $225.98 $352 4.7×
Acylcarnitines Quant (82017) $159.86 $249 9.5×
Albumin serum (82040) $47.51 $74 9.6×
Alkaline phosphatase isoenzymes (84080) $129.04 $201 8.7×
Allergen specific ige (86003) $19.26 $30 3.7×
Alpha-1-antitrypsin total (82103) $141.24 $220 10.5×
Alpha-Fetoprotein Serum (82105) $94.37 $147 5.6×
Alt (sgpt) (84460) $50.08 $78 9.4×
Ammonia (82140) $107.86 $168 7.4×
Amniotic fluid protein test on cervicovaginal fluid (84112) $165.64 $258 1.7×
Amylase urine (82150)
range across 2 matching MRF lines
$57.78–$76.40 $90–$119 varies
Angiotensin converting enzyme csf (82164) $73.19 $114 5.0×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $77.68 $121 5.0×
Antibody Encephalitis California La Crosse (86651) $46.87 $73 3.6×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $73.19 $114 5.6×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $65.48 $102 4.3×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $74.47 $116 4.1×
Antibody Herpes Smplx Type 1 (86695) $64.84 $101 4.9×
Antibody htlv/HIV antibody confirmatory test (86689) $101.44 $158 5.2×
Antibody Protozoa Nes (86753) $54.57 $85 4.4×
Antibody Titer (86886) $102.72 $160 19.8×
Antibody Treponema Pallidum (86780) $62.27 $97 4.7×
Antibody; campylobacter (86625) $54.57 $85 4.2×
Antibody; encephalitis, st. louis (86653) $46.87 $73 3.6×
Antigen typing (86905) $159.22 $248 41.6×
Antinuclear antibodies (86038) $57.14 $89 4.7×
Antistreptolysin o titer (86060) $52 $81 7.1×
Antithrombin iii activity (85300) $107.86 $168 9.1×
Arsenic (82175) $87.31 $136 4.6×
Assay Nephelometry Not Spec (83883) $108.50 $169 8.0×
Assay of 5-hiaa (83497) $57.14 $89 4.4×
Assay of blood/uric acid (84550) $47.51 $74 10.5×
Assay of calcium in urine (82340) $47.51 $74 7.9×
Assay of gammaglobulin igm (82784)
range across 2 matching MRF lines
$52.64–$65.48 $82–$102 varies
Assay of lactic acid (83605) $86.67 $135 7.5×
Assay of metanephrines (83835) $85.39 $133 5.0×
Assay of serum potassium (84132) $53.29 $83 11.2×
Assay of urea nitrogen (84520) $39.80 $62 10.1×
Assay of vitamin b-1 (84425) $114.28 $178 5.4×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$24.40–$39.80 $38–$62 varies
Automated Leukocyte Count (85048) $30.17 $47 11.9×
Bcr/abl1 gene major bp (81206) $458.39 $714 2.8×
Bcr/abl1 gene minor bp (81207) $222.13 $346 1.5×
Bcr/Abl1 Gene Other Bp (81208) $194.53 $303 0.9×
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines
$82.82–$87.31 $129–$136 varies
Beta Lactamase (87185)
range across 2 matching MRF lines
$21.19–$28.89 $33–$45 varies
Bilirubin direct (82248)
range across 2 matching MRF lines
$39.80–$49.43 $62–$77 varies
Bilirubin total (82247) $52.64 $82 10.5×
Bilirubin total transcutaneous (88720) $21.83 $34 4.3×
Biotinidase (82261) $75.11 $117 4.5×
Bld Typing Serologic Rh Phnt (86906) $69.98 $109 9.0×
Blood count reticulocyte automated (85045) $48.79 $76 12.2×
Blood gas (82803) $157.29 $245 6.0×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $72.55 $113 4.6×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $12.20 $19 2.8×
Blood Type Antigen Donor Reagent Serum Each (86902) $159.22 $248 25.1×
Blood typing serologic abo (86900) $77.68 $121 26.0×
Body fluid cell count (89050) $64.84 $101 13.7×
Braf gene analysis (81210) $523.87 $816 3.0×
C diff amplified probe (87493) $142.52 $222 3.8×
C-Peptide (84681) $74.47 $116 3.6×
C-reactive protein (86140) $75.76 $118 14.6×
Ca 19-9 (86301) $116.20 $181 5.6×
Cadmium (82300) $67.41 $105 2.9×
Calcium ionized (82330) $95.02 $148 6.9×
Calcium total (82310) $58.42 $91 11.3×
Calculus Spectroscopy (82365) $52.64 $82 4.1×
Cancer Antigen 125 (86304) $122.62 $191 5.9×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$71.90–$87.31 $112–$136 varies
Carbamazepine free (80157) $70.62 $110 5.3×
Carbamazepine total (80156)
range across 2 matching MRF lines
$63.56–$92.45 $99–$144 varies
Carboxyhemoglobin (82375) $101.44 $158 8.2×
Carcinoembryonic antigen (82378) $112.35 $175 5.9×
Catecholamines fractionated (82384) $145.73 $227 5.8×
Ccp antibody (86200) $58.42 $91 4.5×
Cell count csf (89051) $76.40 $119 13.6×
Cftr gene com variants (81220) $96.30 $150 0.2×
Chemiluminescent assay (82397) $47.51 $74 3.4×
Chimerism w/comp to baseline w/o cell selection (81267) $439.77 $685 2.1×
Chloride other source (82438) $14.12 $22 2.8×
Chloride Serum (82435) $50.08 $78 10.9×
Cholesterol total (82465) $39.80 $62 9.1×
Chorionic gonadotropin test (84702) $92.45 $144 6.1×
Chromosome analys amniotic (88269) $459.03 $715 2.6×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$86.03–$131.61 $134–$205 varies
Cns DNA amp probe type 12-25 (87483) $346.68 $540 0.8×
Coagulation time activated (85347) $30.82 $48 7.2×
Column Chromotography Quant (82542) $107.86 $168 4.5×
Comparative Anal Str Markers Patient&Comp Spec (81265) $178.48 $278 0.8×
Compatibility test antiglob (86922) $111.71 $174 0.6×
Complement Antigen Each Component (86160) $89.24 $139 7.4×
Complement/Function Activity (86161) $50.08 $78 4.2×
Consltj Compre Review Reprt Referred Matrl (88325) $317.79 $495 1.8×
Consltj&Reprt Material Requiring Prepj Slides (88323) $197.74 $308 3.7×
Consltj&Reprt Slides Prepared Elsewhere (88321) $150.87 $235 3.9×
Coombs direct (86880) $64.20 $100 11.9×
Cortisol free (82530) $78.32 $122 4.7×
Cortisol saliva (82533) $99.51 $155 6.1×
Creatine kinase total (82550) $61.63 $96 9.5×
Creatinine blood (82565) $60.35 $94 11.8×
Creatinine clearance (82575) $89.24 $139 9.4×
Creatinine Urine (82570)
range across 2 matching MRF lines
$9.63–$50.72 $15–$79 varies
Crossmatch electronic (86923) $95.66 $149 0.5×
Crossmatch immediate spin (86920) $107.86 $168 0.6×
Cryofibrinogen (82585) $51.36 $80 3.6×
Cryoglobulin (82595) $54.57 $85 8.4×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $74.47 $116 9.2×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $87.95 $137 10.9×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $38.52 $60 5.0×
Culture aerobic quant other (87071) $60.99 $95 6.2×
Culture Anaerobic (87075) $118.77 $185 12.5×
Culture blood (87040) $144.45 $225 14.0×
Culture csf (87070) $68.69 $107 8.0×
Culture fungus (87102) $115.56 $180 13.7×
Culture screen only (87081) $62.27 $97 9.4×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $21.19 $33 4.1×
Culture urine (87086) $55.85 $87 6.9×
Cyclosporine (80158) $102.08 $159 5.7×
Cystatin C (82610) $36.59 $57 2.0×
Cytogenetics 100-300 (88275) $165.64 $258 3.2×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,239.06 $1,930 1.1×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $77.68 $121 3.8×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines
$258.08–$294.04 $402–$458 varies
Detect agnt mult DNA ampli (87801) $250.38 $390 3.6×
Digoxin (80162) $96.94 $151 7.3×
Dna Antibody Native/Double Stranded (86225) $81.53 $127 5.9×
Dna/Rna Amplified Probe (87150) $90.52 $141 2.6×
Dna/Rna Sequencing (87153) $281.84 $439 2.4×
Drug Assay Everolimus (80169) $167.56 $261 12.2×
Drug Screen Quant Clozapine (80159) $40.45 $63 2.0×
Drug Screen Quant Zonisamide (80203) $42.37 $66 3.2×
Drug Screen Quantitative Gabapentin (80171) $34.03 $53 1.6×
Drug Screen Quantitative Lamotrigine (80175) $34.67 $54 2.6×
Drug Screen Quantitative Levetiracetam (80177) $35.95 $56 2.7×
Drug Screen Quantitative Oxcarbazepine (80183) $38.52 $60 2.9×
Drug Screen Quantitative Tiagabine (80199) $39.80 $62 1.5×
Drug Test Prsmv Chem Anlyzr (80307)
range across 6 matching MRF lines
$41.73–$369.79 $65–$576 varies
Ehrlichia antibody (86666) $96.30 $150 9.5×
Electrolyte panel (80051) $87.95 $137 12.5×
Encephaltis East Eqne Anbdy (86652) $46.87 $73 3.6×
Encephaltis West Eqne Antbdy (86654) $46.87 $73 3.6×
Enterovirus Antibody (86658) $35.31 $55 2.7×
Eosinophil Smear (89190) $23.11 $36 4.0×
Erythropoietin (82668) $78.32 $122 4.2×
Ethosuximide (80168) $51.36 $80 3.1×
Exam Synovial Fluid Crystals (89060) $66.77 $104 9.1×
Ferritin (82728) $141.24 $220 10.4×
Fetal Fibronectin (82731) $386.48 $602 6.0×
Fetal screen rosette (85461) $87.31 $136 9.3×
Fibrin Degradation Quant (85379) $107.21 $167 10.5×
Fibrinogen activity (85384) $79.61 $124 8.2×
Flow cytometry first marker (88184) $182.33 $284 0.5×
Flt3 Gene (81245) $240.11 $374 1.5×
Fluorescent antibody screen (86255) $63.56 $99 5.3×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $71.90 $112 6.0×
Fmr1 Gene Charac Alleles (81244) $141.88 $221 3.2×
Fmr1 gene detection (81243) $277.99 $433 4.9×
Folic Acid Serum (82746) $124.55 $194 8.5×
Follicle Stimulating Hormone (83001)
range across 2 matching MRF lines
$75.11–$91.16 $117–$142 varies
Fungi Identification Mold (87107) $72.55 $113 7.0×
Gammaglobulin ige (82785) $60.99 $95 3.7×
Gases blood ph only (82800) $28.89 $45 2.6×
Ggt (82977) $64.84 $101 9.0×
Glucose 2 hr pp (82950) $48.15 $75 10.1×
Glucose Blood Test (82962) $32.74 $51 10.0×
Glucose body fluid (82945) $54.57 $85 13.9×
Glucose Serum (82947) $47.51 $74 12.1×
Glucose tolerance test (gtt) (82951) $111.71 $174 8.7×
Gonadotropin Chorionic Qualitative (84703) $73.19 $114 9.7×
Gtt-added samples (82952) $32.10 $50 8.2×
H Pylori (C-13) Breath (83013) $264.50 $412 3.9×
Haptoglobin (83010) $88.60 $138 7.0×
Helicobacter Pylori Stool (87338) $160.50 $250 11.2×
Hematocrit (85014) $35.95 $56 15.2×
Hemoglobin (85018)
range across 2 matching MRF lines
$28.89–$29.53 $45–$46 varies
Hemoglobin a1c (83036) $64.20 $100 6.6×
Hemoglobin Chromotography (83021) $75.11 $117 4.2×
Hemoglobin electrophoresis (83020) $69.34 $108 5.4×
Hemoglobin Methemoglobin Quantitative (83050) $54.57 $85 6.7×
Hep a ab igm (86709) $73.19 $114 6.5×
Heparin assay (85520) $107.86 $168 8.2×
Hepatitis a antibody total (86708) $72.55 $113 5.9×
Hepatitis b core ab igm (86705) $87.95 $137 7.5×
Hepatitis b core ab total (86704) $94.37 $147 7.8×
Hepatitis B Surface Antibody (86706) $82.18 $128 7.7×
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines
$55.85–$98.87 $87–$154 varies
Hepatitis Be Antigen (87350) $61.63 $96 5.3×
Hepatitis C Antibody (86803) $98.23 $153 6.9×
Hepatitis C Genotype (87902) $674.10 $1,050 2.6×
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$36.59–$102.72 $57–$160 varies
Hepatitis Delta Agent Antibody (86692) $46.87 $73 2.7×
Herpes simplex type 2 (86696) $73.19 $114 3.8×
Heterophile Antibody Screen (86308) $43.01 $67 8.3×
Histoplasma antigen urine (87385) $52 $81 3.9×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $77.68 $121 3.2×
Hiv-1 Antibody (86701) $37.88 $59 4.3×
Hla class i&ii antibody qual (86828) $80.25 $125 1.3×
Hla I Typing 1 Allele Hr (81381) $365.94 $570 2.2×
Hla ii typing 1 locus lr (81376) $150.87 $235 1.2×
Homocysteine (83090) $167.56 $261 9.4×
Homogenization Tissue (87176) $21.83 $34 3.7×
Hpv High-Risk Types (87624) $126.47 $197 3.6×
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines
$105.29–$149.59 $164–$233 varies
Hydroxyprogesterone 17-d (83498) $102.08 $159 3.8×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $206.08 $321 5.9×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $297.25 $463 8.5×
Iadna Cytomegalovirus Quantification (87497) $250.38 $390 5.8×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$92.45–$136.75 $144–$213 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $184.90 $288 1.3×
Igg subclasses (82787) $71.90 $112 9.0×
Igk rearrangeabn clonal pop (81264) $269.64 $420 1.6×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $231.12 $360 0.6×
Immunoassay Analyte Quant Radioimmunoassay (83519) $106.57 $166 5.8×
Immunoassay nonantibody (83516)
range across 2 matching MRF lines
$75.76–$77.68 $118–$121 varies
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines
$77.68–$140.60 $121–$219 varies
Immunohistochemistry (88342) $173.98 $271 1.0×
Influenza assay w/optic (87804) $55.85 $87 3.4×
Inhibin b (83520) $57.14 $89 3.3×
Insulin total (83525) $53.29 $83 4.7×
Iron (83540) $58.42 $91 9.0×
Koh Prep (87220) $43.66 $68 10.2×
Kras Gene Variants Exon 2 (81275) $957.86 $1,492 5.0×
Lactate (ld) (ldh) enzyme (83615) $57.14 $89 9.5×
Lactoferrin fecal qualitative (83630) $76.40 $119 3.9×
LDL direct (83721) $61.63 $96 5.9×
Lead (83655) $58.42 $91 4.8×
Legionella antigen urine (87449) $112.99 $176 9.4×
Level V Surg Pathology Gross&Microscopic Exam (88307) $392.26 $611 1.1×
Lipase (83690) $52.64 $82 7.6×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $62.27 $97 5.5×
Lithium (80178) $60.99 $95 9.2×
Luteinizing Hormone (Lh) (83002) $126.47 $197 6.8×
Lyme disease antibody (86618)
range across 2 matching MRF lines
$90.52–$93.73 $141–$146 varies
Macroscopic Exam Parasite (87169) $19.90 $31 4.6×
Magnesium Urine (83735) $77.04 $120 11.5×
Mercury urine (83825) $79.61 $124 4.9×
Metabolic panel ionized ca (80047) $90.52 $141 6.6×
Methylmalonic acid serum (83921) $120.05 $187 5.7×
Mgmt methylation analysis (81287) $360.80 $562 2.9×
Microalbumin, quantitative (82043) $68.05 $106 11.8×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$81.53–$96.94 $127–$151 varies
Mlh1 Gene Analysis Full Sequence Analysis (81292) $354.38 $552 0.5×
Molecular Cytogenetics Dna Probe Each (88271) $111.07 $173 5.2×
Molecular Pathology Procedure Level 3 (81402) $577.80 $900 3.8×
Molecular Pathology Procedure Level 6 (81405) $500.12 $779 1.7×
Mononuclear cell antigen (86356) $177.19 $276 6.6×
Mopath procedure level 1 (81400) $181.69 $283 2.8×
Mopath procedure level 2 (81401) $238.82 $372 1.7×
Mopath procedure level 4 (81403) $274.13 $427 1.5×
Mopath procedure level 7 (81406) $2,222.60 $3,462 7.9×
Mycophenolic Acid (80180) $45.58 $71 2.5×
Mycoplasma antibody (86738) $61.63 $96 4.7×
Natriuretic peptide (83880) $177.83 $277 4.5×
Nuclear antigen antibody (86235) $85.39 $133 4.8×
Occult blood feces (82272) $12.20 $19 2.9×
Occult Blood Other Sources (82271) $14.77 $23 2.8×
Organic Acids Qualitative Each Specimen (83919) $136.75 $213 8.3×
Osmolality serum (83930) $65.48 $102 9.9×
Osmolality Urine (83935)
range across 2 matching MRF lines
$37.24–$62.92 $58–$98 varies
Ova and parasites smears (87177) $21.83 $34 2.5×
Ph urine (81003) $34.03 $53 15.1×
Phenobarbital Level (80184)
range across 2 matching MRF lines
$73.83–$76.40 $115–$119 varies
Phenylalanine (84030) $49.43 $77 9.0×
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines
$82.18–$95.66 $128–$149 varies
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$48.15–$59.06 $75–$92 varies
Phosphorus Serum (84100)
range across 2 matching MRF lines
$44.94–$56.50 $70–$88 varies
Platelet Aggregation (85576) $116.84 $182 4.7×
Platelet count automated (85049) $43.01 $67 9.6×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $394.83 $615 1.9×
Porphobilinogen, urine; quantitative (84110) $49.43 $77 5.9×
Porphyrins Urine Quantitation & Fractionation (84120) $47.51 $74 3.2×
Potassium Urine (84133) $38.52 $60 8.1×
Prealbumin (84134) $129.04 $201 8.8×
Primidone (80188) $94.37 $147 5.7×
Procalcitonin (Pct) (84145) $60.35 $94 2.2×
Progesterone (84144) $118.77 $185 5.7×
Prolactin (84146)
range across 2 matching MRF lines
$44.30–$98.23 $69–$153 varies
Prostaglandin (84150) $238.82 $372 5.7×
Protein body fluid (84157)
range across 2 matching MRF lines
$21.19–$48.15 $33–$75 varies
Protein Electrophoresis Urine (84166) $93.09 $145 5.2×
Protein Electrophoretic Fractj&Quantj Serum (84165) $80.89 $126 7.5×
Protein total serum (84155) $55.85 $87 15.2×
Protein Total Urine (84156) $48.15 $75 13.1×
PSA free (84154) $65.48 $102 3.6×
Pth Intact (83970)
range across 2 matching MRF lines
$144.45–$240.75 $225–$375 varies
Quantitative assay drug (80299) $152.15 $237 8.2×
Rbc antibody elution (86860) $133.54 $208 0.8×
Rbc antibody identification (86870) $180.40 $281 0.5×
Rbc antibody screen (86850)
range across 3 matching MRF lines
$84.74–$172.06 $132–$268 varies
Resp Virus 6-11 Targets (87632) $500.76 $780 2.3×
Rh (86901) $46.22 $72 15.5×
Rheumatoid factor quant (86431) $52 $81 9.2×
Rpr qualitative (86592)
range across 2 matching MRF lines
$23.75–$73.19 $37–$114 varies
Rubella Antibody (86762)
range across 2 matching MRF lines
$55.85–$59.06 $87–$92 varies
Sarscov2 & inf a&b amp prb (87636) $138.03 $215 1.0×
Sarscov2&inf a&b&rsv amp prb (87637) $148.94 $232 1.0×
Sedimentation Rate, Automated (85652) $37.88 $59 14.0×
Sensitivity mic (87186)
range across 2 matching MRF lines
$70.62–$71.26 $110–$111 varies
Smear acid fast (87206)
range across 2 matching MRF lines
$20.54–$34.67 $32–$54 varies
Smear complex stain (87209) $15.41 $24 0.9×
Smear gram stain (87205) $44.94 $70 10.5×
Smear Special Stain (87207) $90.52 $141 15.1×
Smr Prim Src Wet Mount Nfct Agt (87210) $40.45 $63 7.0×
Sodium Serum (84295) $57.14 $89 11.9×
Sodium Urine (84300) $50.72 $79 10.0×
Somatomedin (84305) $112.35 $175 5.3×
Special Stains Group 1 (88312) $155.36 $242 2.9×
Strep a assay w/optic (87880) $49.43 $77 3.0×
Strep a DNA amp probe (87651) $74.47 $116 2.1×
Strep b DNA amp probe (87653) $126.47 $197 3.6×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $22.47 $35 4.1×
Sulfate urine (84392) $62.27 $97 11.3×
Surg path level iii (88304) $130.97 $204 2.4×
Surgical pathology level IV (88305) $176.55 $275 3.3×
T3 Free (84481) $136.10 $212 8.0×
T3 Total (84480) $79.61 $124 5.6×
T4 Free (84439) $69.98 $109 7.8×
T4 total (84436) $39.80 $62 5.8×
Tacrolimus (80197) $123.91 $193 9.0×
Tb ag response t-cell susp (86481) $44.94 $70 0.4×
Testosterone total (84403)
range across 2 matching MRF lines
$106.57–$116.84 $166–$182 varies
Testosterone, Free (84402) $105.93 $165 4.2×
Theophylline (80198) $85.39 $133 6.0×
Thyroglobulin (84432) $60.35 $94 3.8×
Thyroglobulin Antibody (86800) $60.35 $94 3.8×
Thyroid Stimulating Immunoglobulin (84445) $220.85 $344 4.3×
Tissue Culture Lymphocyte (88230) $315.86 $492 2.7×
Tobramycin peak (80200) $87.95 $137 5.5×
Topiramate (80201) $81.53 $127 6.8×
Toxoplasma ab igm (86778) $54.57 $85 3.8×
Toxoplasma antibody (86777) $55.85 $87 3.9×
Transferase Aspartate Amino Ast Sgot (84450) $50.72 $79 9.8×
Transferrin (84466) $71.26 $111 5.6×
Trichomonas Vaginalis Amplif (87661) $120.70 $188 3.4×
Triglycerides (84478) $52 $81 9.1×
Troponin Quant (84484)
range across 2 matching MRF lines
$28.89–$123.91 $45–$193 varies
Urea nitrogen urine (84540) $45.58 $71 8.2×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $10.27 $16 4.7×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $34.03 $53 10.7×
Valproic acid (80164)
range across 2 matching MRF lines
$65.48–$97.58 $102–$152 varies
Vancomycin (80202) $111.71 $174 8.3×
Varicella-zoster antibody (86787)
range across 2 matching MRF lines
$52–$69.98 $81–$109 varies
Virus antibody nos (86790) $68.69 $107 5.3×
Vit D 1 25-Dihydroxy (82652) $134.18 $209 3.5×
Vitamin A (84590) $41.09 $64 3.5×
Vitamin b-12 (82607) $92.45 $144 6.1×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$129.68–$166.92 $202–$260 varies
West nile virus ab igm (86788) $75.11 $117 4.5×
West Nile Virus Antibody (86789) $68.05 $106 4.7×

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.