Lab & pathology prices at Fallon Medical Complex Hospital
Baker, MT · every code in this section with a posted price and a Medicare benchmark.
379 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $109 | $109 | 2.8× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$124–$183 | $124–$183 | varies |
| Acylcarnitines Quant (82017) | $150 | $150 | 8.9× |
| Albumin serum (82040) | $49 | $49 | 9.9× |
| Aldolase (82085) | $86 | $86 | 8.9× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$87–$110 | $87–$110 | varies |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$42–$106 | $42–$106 | varies |
| Alpha-1-antitrypsin total (82103) | $67 | $67 | 5.0× |
| Alpha-Fetoprotein Serum (82105) | $69 | $69 | 4.1× |
| Alt (sgpt) (84460) | $50 | $50 | 9.4× |
| Amino Acids Quant 2-5 (82136) | $63 | $63 | 3.2× |
| Ammonia (82140) | $78 | $78 | 5.4× |
| Amylase urine (82150) range across 3 matching MRF lines |
$73–$76 | $73–$76 | varies |
| Ana Titer (86039) | $72 | $72 | 6.5× |
| Androstenedione (82157) | $263 | $263 | 9.0× |
| Angiotensin converting enzyme csf (82164) | $52 | $52 | 3.6× |
| Anti-Phospholipid Antibody (86148) | $78 | $78 | 4.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $61 | $61 | 3.6× |
| Antibody Encephalitis California La Crosse (86651) | $16 | $16 | 1.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $70 | $70 | 5.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $49 | $49 | 3.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $49 | $49 | 2.7× |
| Antibody helicobacter pylori (86677) | $98 | $98 | 5.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $43 | $43 | 3.0× |
| Antibody Herpes Smplx Type 1 (86695) | $45 | $45 | 3.4× |
| Antibody HIV-1&HIV-2 single result (86703) | $70 | $70 | 5.1× |
| Antibody identification leukocyte antibodies (86021) | $64 | $64 | 4.3× |
| Antibody Treponema Pallidum (86780) | $83 | $83 | 6.3× |
| Antibody; encephalitis, st. louis (86653) | $36 | $36 | 2.7× |
| Antigen typing (86905) | $401 | $401 | 104.7× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$44–$71 | $44–$71 | varies |
| Antistreptolysin o titer (86060) | $72 | $72 | 9.9× |
| Antithrombin iii activity (85300) | $109 | $109 | 9.2× |
| Antithrombin iii antigen (85301) | $73 | $73 | 6.8× |
| Apolipoprotein a1 (82172) | $50 | $50 | 2.4× |
| Arsenic (82175) | $78 | $78 | 4.1× |
| Assay Blood Carbon Dioxide (82374) | $48 | $48 | 9.8× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$97–$135 | $97–$135 | varies |
| Assay of 5-hiaa (83497) | $86 | $86 | 6.7× |
| Assay of blood/uric acid (84550) | $64 | $64 | 14.2× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$48–$49 | $48–$49 | varies |
| Assay of g6pd enzyme (82955) | $64 | $64 | 6.6× |
| Assay of gammaglobulin igm (82784) | $83 | $83 | 8.9× |
| Assay of lactic acid (83605) | $116 | $116 | 10.0× |
| Assay of manganese (83785) | $64 | $64 | 2.4× |
| Assay of metanephrines (83835) | $90 | $90 | 5.3× |
| Assay of proinsulin (84206) | $80 | $80 | 3.0× |
| Assay of serotonin (84260) | $64 | $64 | 2.1× |
| Assay of serum potassium (84132) | $49 | $49 | 10.3× |
| Assay of urea nitrogen (84520) | $49 | $49 | 12.4× |
| Assay of vitamin b-1 (84425) | $118 | $118 | 5.6× |
| Automated Leukocyte Count (85048) | $59 | $59 | 23.2× |
| Beta 2 glycoprotein i antibody each (86146) | $97 | $97 | 3.8× |
| Beta hydroxybutyrate (82010) | $59 | $59 | 7.2× |
| Beta-2 Microglobulin (82232) | $73 | $73 | 4.5× |
| Bilirubin direct (82248) | $49 | $49 | 9.8× |
| Bilirubin total (82247) | $49 | $49 | 9.8× |
| Biotinidase (82261) | $55 | $55 | 3.3× |
| Bl Smear W/O Diff Wbc Count (85008) | $55 | $55 | 16.0× |
| Bld Typing Serologic Rh Phnt (86906) | $170 | $170 | 21.9× |
| Blood count reticulocyte automated (85045) | $44 | $44 | 11.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $78 | $78 | 20.5× |
| Blood gas (82803) | $185 | $185 | 7.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 3 matching MRF lines |
$29–$64 | $29–$64 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $170 | $170 | 26.8× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$95–$147 | $95–$147 | varies |
| Body fluid cell count (89050) | $94 | $94 | 19.9× |
| Breath Alcohol Test (82075) | $55 | $55 | 1.8× |
| Brucella antibody (86622) | $62 | $62 | 6.9× |
| C diff amplified probe (87493) | $133 | $133 | 3.6× |
| C-Peptide (84681) | $78 | $78 | 3.7× |
| C-reactive protein (86140) | $74 | $74 | 14.3× |
| Ca 19-9 (86301) | $79 | $79 | 3.8× |
| Cadmium (82300) | $85 | $85 | 3.6× |
| Calcitonin (82308) | $67 | $67 | 2.5× |
| Calcium ionized (82330) | $54 | $54 | 3.9× |
| Calcium total (82310) | $49 | $49 | 9.5× |
| Calculus Xray Diffraction (82370) | $121 | $121 | 9.7× |
| Calprotectin Fecal (83993) | $290 | $290 | 14.8× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$30–$79 | $30–$79 | varies |
| Cancer Antigen 27.29 (86300) | $79 | $79 | 3.8× |
| Carbamazepine total (80156) | $78 | $78 | 5.4× |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) | $52 | $52 | 3.7× |
| Carcinoembryonic antigen (82378) | $78 | $78 | 4.1× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$70–$73 | $70–$73 | varies |
| Carotene (82380) | $87 | $87 | 9.4× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$116–$274 | $116–$274 | varies |
| Ccp antibody (86200) | $99 | $99 | 7.6× |
| Chemiluminescent assay (82397) | $83 | $83 | 5.9× |
| Chloride Serum (82435) | $48 | $48 | 10.4× |
| Chloride urine (82436) | $48 | $48 | 8.3× |
| Cholesterol total (82465) | $50 | $50 | 11.5× |
| Chorionic gonadotropin test (84702) | $109 | $109 | 7.2× |
| Chromium serum (82495) | $78 | $78 | 3.8× |
| Chromogranin a (86316) | $72 | $72 | 3.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $60 | $60 | 1.7× |
| Citric acid urine (82507) | $76 | $76 | 2.7× |
| Ckmb (82553) range across 2 matching MRF lines |
$76–$135 | $76–$135 | varies |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
$44–$60 | $44–$60 | varies |
| Compatibility test antiglob (86922) | $332 | $332 | 1.9× |
| Complement Antigen Each Component (86160) | $66 | $66 | 5.5× |
| Complement Total (Ch50) (86162) | $187 | $187 | 9.2× |
| Coombs direct (86880) | $264 | $264 | 49.0× |
| Copper urine (82525) range across 2 matching MRF lines |
$61–$75 | $61–$75 | varies |
| Cortisol free (82530) | $103 | $103 | 6.2× |
| Cortisol saliva (82533) | $103 | $103 | 6.3× |
| Creatine kinase total (82550) | $78 | $78 | 12.0× |
| Creatinine blood (82565) | $49 | $49 | 9.6× |
| Creatinine Urine (82570) | $49 | $49 | 9.5× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$25–$76 | $25–$76 | varies |
| Cryptosporidium (87272) | $64 | $64 | 5.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $73 | $73 | 9.0× |
| Culture afb (87116) | $85 | $85 | 7.9× |
| Culture Anaerobic (87075) | $107 | $107 | 11.3× |
| Culture blood (87040) | $84 | $84 | 8.1× |
| Culture csf (87070) range across 7 matching MRF lines |
$68–$110 | $68–$110 | varies |
| Culture fungus (87102) | $94 | $94 | 11.2× |
| Culture stool (87045) | $74 | $74 | 7.8× |
| Culture urine (87086) | $90 | $90 | 11.2× |
| Cyclosporine (80158) | $95 | $95 | 5.3× |
| Cytomegalovirus igg (86644) | $61 | $61 | 4.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $118 | $118 | 4.4× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$149–$225 | $149–$225 | varies |
| Detect Agent Nos Dna Quant (87799) | $219 | $219 | 5.1× |
| Dhea (82626) | $75 | $75 | 3.0× |
| Dhea-S (82627) | $73 | $73 | 3.3× |
| Digoxin (80162) | $67 | $67 | 5.0× |
| Dna Antibody Native/Double Stranded (86225) | $109 | $109 | 7.9× |
| Drug assay acetaminophen (80143) | $104 | $104 | 5.6× |
| Drug Assay Lacosamide (80235) | $214 | $214 | 7.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $21 | $21 | 1.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $76 | $76 | 5.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $67 | $67 | 5.1× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $129 | $129 | 7.7× |
| Drug Test Prsmv Chem Anlyzr (80307) | $78 | $78 | 1.3× |
| Drug Test Prsmv Dir Opt Obs (80305) | $74 | $74 | 5.9× |
| El-1 Fecal Quantitative (82653) range across 2 matching MRF lines |
$131–$132 | $131–$132 | varies |
| Electrolyte panel (80051) | $63 | $63 | 9.0× |
| Encephaltis West Eqne Antbdy (86654) | $16 | $16 | 1.2× |
| Erythropoietin (82668) | $61 | $61 | 3.2× |
| Estradiol serum (82670) | $101 | $101 | 3.6× |
| Estriol (82677) | $96 | $96 | 4.0× |
| Estrogen total (82672) | $92 | $92 | 4.2× |
| Ethylene Glycol (82693) | $139 | $139 | 9.3× |
| Exam Synovial Fluid Crystals (89060) | $67 | $67 | 9.1× |
| F2 Gene (81240) | $150 | $150 | 2.3× |
| Factor v leiden mutation (81241) | $123 | $123 | 1.7× |
| Factor viii assay (85240) | $112 | $112 | 6.3× |
| Fat stain feces urine/respir secretions (89125) | $112 | $112 | 19.0× |
| Fat/Lipids Feces Quantitative (82710) | $76 | $76 | 4.5× |
| Ferritin (82728) range across 2 matching MRF lines |
$15–$78 | $15–$78 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $69 | $69 | 0.4× |
| Fibrin Degradation Quant (85379) | $120 | $120 | 11.8× |
| Fibrinogen activity (85384) | $97 | $97 | 10.0× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$93–$134 | $93–$134 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $134 | $134 | 11.1× |
| Folic Acid Serum (82746) | $67 | $67 | 4.6× |
| Follicle Stimulating Hormone (83001) | $78 | $78 | 4.2× |
| Francisella tularensis (86668) | $45 | $45 | 3.2× |
| Fungi Identification Yeast (87106) | $72 | $72 | 7.0× |
| Gammaglobulin ige (82785) | $55 | $55 | 3.3× |
| Gases blood ph only (82800) | $62 | $62 | 5.6× |
| Gastrin (82941) | $99 | $99 | 5.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $724 | $724 | 1.7× |
| Gentamicin (80170) | $85 | $85 | 5.2× |
| Ggt (82977) | $50 | $50 | 6.9× |
| Giardia antigen (87329) | $75 | $75 | 6.3× |
| Glucose 2 hr pp (82950) | $90 | $90 | 18.9× |
| Glucose Blood Test (82962) | $44 | $44 | 13.4× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$48–$84 | $48–$84 | varies |
| Glucose Serum (82947) | $49 | $49 | 12.5× |
| Glucose tolerance test (gtt) (82951) | $225 | $225 | 17.5× |
| Glycated Protein (82985) | $64 | $64 | 3.8× |
| Gonadotropin Chorionic Qualitative (84703) | $55 | $55 | 7.3× |
| Gonadotropin releasing hormone (83727) | $301 | $301 | 17.5× |
| Growth hormone (83003) | $84 | $84 | 5.0× |
| Gtt-added samples (82952) | $50 | $50 | 12.8× |
| H Pylori (C-13) Breath (83013) | $198 | $198 | 2.9× |
| Haptoglobin (83010) | $71 | $71 | 5.6× |
| Hdl Cholesterol (83718) | $99 | $99 | 12.1× |
| Helicobacter Pylori Stool (87338) | $101 | $101 | 7.0× |
| Hematocrit (85014) | $33 | $33 | 13.9× |
| Hemoglobin (85018) | $33 | $33 | 13.9× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$15–$62 | $15–$62 | varies |
| Hemoglobin electrophoresis (83020) | $48 | $48 | 3.7× |
| Hemoglobin Methemoglobin Quantitative (83050) | $55 | $55 | 6.7× |
| Hepatitis b core ab igm (86705) | $58 | $58 | 4.9× |
| Hepatitis b core ab total (86704) | $87 | $87 | 7.2× |
| Hepatitis B Surface Antibody (86706) | $106 | $106 | 9.9× |
| Hepatitis B Surface Antigen (87340) | $87 | $87 | 8.4× |
| Hepatitis Be Antibody (86707) | $62 | $62 | 5.4× |
| Hepatitis Be Antigen (87350) | $67 | $67 | 5.8× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$30–$101 | $30–$101 | varies |
| Hepatitis C Genotype (87902) | $252 | $252 | 1.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $252 | $252 | 5.9× |
| Herpes simplex type 2 (86696) | $45 | $45 | 2.3× |
| Heterophile Antibody Screen (86308) | $50 | $50 | 9.7× |
| Hfe Gene (81256) | $426 | $426 | 6.5× |
| Hla ii typing 1 locus lr (81376) | $204 | $204 | 1.7× |
| Hla-b27 (86812) | $90 | $90 | 3.5× |
| Homocysteine (83090) | $167 | $167 | 9.3× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$59–$119 | $59–$119 | varies |
| Hsv Dna Amp Probe (87529) | $118 | $118 | 3.4× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$93–$201 | $93–$201 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $109 | $109 | 7.8× |
| Iaadi giardia (87269) | $62 | $62 | 4.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $286 | $286 | 8.2× |
| Iadna Cytomegalovirus Quantification (87497) | $400 | $400 | 9.3× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $141 | $141 | 3.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $214 | $214 | 6.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $60 | $60 | 1.7× |
| Ig Light Chains Free Each (83521) | $84 | $84 | 4.9× |
| Immunfix e-phorsis/urine/csf (86335) | $112 | $112 | 3.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $124 | $124 | 6.7× |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$54–$64 | $54–$64 | varies |
| Immunofixation electrophoresis (86334) | $139 | $139 | 6.2× |
| Immunohistochemistry (88342) | $268 | $268 | 1.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) range across 3 matching MRF lines |
$60–$61 | $60–$61 | varies |
| Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) range across 2 matching MRF lines |
$60–$61 | $60–$61 | varies |
| Influenza assay w/optic (87804) range across 4 matching MRF lines |
$50–$80 | $50–$80 | varies |
| Inhibin A (86336) | $120 | $120 | 7.7× |
| Inhibin b (83520) range across 5 matching MRF lines |
$78–$145 | $78–$145 | varies |
| Insulin antibodies (86337) | $98 | $98 | 4.6× |
| Insulin total (83525) | $50 | $50 | 4.4× |
| Iron (83540) | $50 | $50 | 7.7× |
| Iron Binding Capacity (83550) | $50 | $50 | 5.7× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$79–$86 | $79–$86 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $375 | $375 | 4.1× |
| Ketosteroids 17 total (83586) | $116 | $116 | 9.1× |
| Koh Prep (87220) | $76 | $76 | 17.8× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$83–$85 | $83–$85 | varies |
| Lactoferrin fecal qualitative (83630) | $225 | $225 | 11.4× |
| Ldh Isoenzymes (83625) | $250 | $250 | 19.5× |
| LDL direct (83721) | $104 | $104 | 9.9× |
| Lead (83655) | $66 | $66 | 5.5× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$94–$114 | $94–$114 | varies |
| Leukocyte Assessment Fecal (89055) | $67 | $67 | 15.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $73 | $73 | 2.5× |
| Level ii surg pathology grossµscopic exam (88302) | $95 | $95 | 2.5× |
| Lipase (83690) | $78 | $78 | 11.3× |
| Lithium (80178) | $78 | $78 | 11.8× |
| Luteinizing Hormone (Lh) (83002) | $92 | $92 | 5.0× |
| Lyme disease antibody (86618) | $78 | $78 | 4.6× |
| Lysozyme serum (85549) | $93 | $93 | 5.0× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$48–$50 | $48–$50 | varies |
| Mercury urine (83825) | $79 | $79 | 4.9× |
| Methylmalonic acid serum (83921) | $149 | $149 | 7.0× |
| Microalbumin, quantitative (82043) | $62 | $62 | 10.7× |
| Microsomal Antibodies Each (86376) | $74 | $74 | 5.1× |
| Mitochondrial Antibody Each (86381) | $45 | $45 | 1.8× |
| Mrsa Pcr (87641) | $92 | $92 | 2.6× |
| Mumps antibody (86735) | $76 | $76 | 5.8× |
| Mycophenolic Acid (80180) | $73 | $73 | 4.0× |
| Mycoplasma antibody (86738) | $48 | $48 | 3.6× |
| Myoglobin urine (83874) | $77 | $77 | 6.0× |
| Natriuretic peptide (83880) | $135 | $135 | 3.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $317 | $317 | 4.4× |
| Nuclear antigen antibody (86235) range across 8 matching MRF lines |
$62–$63 | $62–$63 | varies |
| Occult blood feces (82272) | $64 | $64 | 15.1× |
| Organic Acids Qualitative Each Specimen (83919) | $81 | $81 | 4.9× |
| Osmolality serum (83930) | $59 | $59 | 8.9× |
| Osmolality Urine (83935) | $59 | $59 | 8.7× |
| Ova and parasites smears (87177) | $52 | $52 | 5.8× |
| Oxalate urine (83945) | $85 | $85 | 5.9× |
| Ph urine (81003) | $40 | $40 | 17.8× |
| Phenobarbital Level (80184) | $83 | $83 | 5.4× |
| Phenytoin (Dilantin) (80185) | $67 | $67 | 5.1× |
| Phosphatase acid prostatic (84066) | $57 | $57 | 5.9× |
| Phosphatase alkaline (84075) | $49 | $49 | 9.5× |
| Phosphorus Serum (84100) | $50 | $50 | 10.5× |
| Phosphorus urine (84105) | $58 | $58 | 10.0× |
| Pinworm exam (87172) range across 2 matching MRF lines |
$54–$60 | $54–$60 | varies |
| Platelet count automated (85049) | $52 | $52 | 11.6× |
| Potassium Urine (84133) | $104 | $104 | 22.0× |
| Prealbumin (84134) | $130 | $130 | 8.9× |
| Progesterone (84144) | $67 | $67 | 3.2× |
| Prolactin (84146) | $67 | $67 | 3.5× |
| Protein body fluid (84157) | $83 | $83 | 20.8× |
| Protein C Activity (85303) | $133 | $133 | 9.6× |
| Protein c antigen (85302) | $115 | $115 | 9.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$85–$118 | $85–$118 | varies |
| Protein S Free (85306) | $181 | $181 | 11.8× |
| Protein total serum (84155) | $49 | $49 | 13.4× |
| Protein Total Urine (84156) | $63 | $63 | 17.2× |
| PSA free (84154) | $78 | $78 | 4.2× |
| Pth Intact (83970) | $118 | $118 | 2.9× |
| Q Fever Antibody (86638) | $43 | $43 | 3.5× |
| Quantiferon tb gold plus (86480) | $151 | $151 | 2.4× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$75–$176 | $75–$176 | varies |
| Quantitative Screen Metals (83018) | $119 | $119 | 5.4× |
| Quinidine (80194) | $113 | $113 | 7.7× |
| Rbc antibody identification (86870) range across 5 matching MRF lines |
$264–$285 | $264–$285 | varies |
| Rbc antibody screen (86850) | $115 | $115 | 11.8× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$60–$90 | $60–$90 | varies |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $116 | $116 | 1.6× |
| Renin activity plasma (84244) | $87 | $87 | 4.0× |
| Rh (86901) | $95 | $95 | 31.8× |
| Rheumatoid Factor Qualitative (86430) | $80 | $80 | 13.0× |
| Rheumatoid factor quant (86431) | $74 | $74 | 13.1× |
| Rickettsia antibody (86757) | $66 | $66 | 3.4× |
| Rotavirus ag eia (87425) | $161 | $161 | 13.4× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$57–$85 | $57–$85 | varies |
| Rubella Antibody (86762) | $51 | $51 | 3.5× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$62–$76 | $62–$76 | varies |
| Russell Viper Venom Time Diluted (85613) | $256 | $256 | 26.7× |
| Russell Viper Venon Time Undiluted (85612) | $256 | $256 | 14.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$76–$166 | $76–$166 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $79 | $79 | 1.9× |
| Sedimentation rate (85651) | $55 | $55 | 12.9× |
| Selenium (84255) | $66 | $66 | 2.6× |
| Semen Anal Sperm Detection (89321) | $101 | $101 | 8.4× |
| Sensitivity mic (87186) | $94 | $94 | 10.9× |
| Sex Hormone Binding Globulin (84270) | $83 | $83 | 3.8× |
| Sickling of rbc reduction (85660) | $130 | $130 | 23.6× |
| Sirolimus (80195) | $54 | $54 | 3.9× |
| Skin test tuberculosis intradermal (86580) | $48 | $48 | 1.6× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$30–$48 | $30–$48 | varies |
| Smear complex stain (87209) | $55 | $55 | 3.1× |
| Smear gram stain (87205) | $76 | $76 | 17.8× |
| Smear Special Stain (87207) | $55 | $55 | 9.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $60 | $60 | 10.3× |
| Sodium Serum (84295) | $50 | $50 | 10.4× |
| Sodium Urine (84300) range across 3 matching MRF lines |
$57–$74 | $57–$74 | varies |
| Somatomedin (84305) | $68 | $68 | 3.2× |
| Special Stains Group 1 (88312) | $229 | $229 | 4.3× |
| Specimen infect agnt concntj (87015) | $63 | $63 | 9.4× |
| Staph a DNA amp probe (87640) | $92 | $92 | 2.6× |
| Strep a assay w/optic (87880) | $57 | $57 | 3.4× |
| Strep a DNA amp probe (87651) | $76 | $76 | 2.2× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$109–$113 | $109–$113 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$138–$140 | $138–$140 | varies |
| T3 Free (84481) | $84 | $84 | 5.0× |
| T3 reverse (84482) | $84 | $84 | 5.3× |
| T3 Total (84480) | $67 | $67 | 4.7× |
| T3 Uptake (84479) | $78 | $78 | 12.1× |
| T4 Free (84439) | $86 | $86 | 9.5× |
| T4 total (84436) | $62 | $62 | 9.0× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$84–$219 | $84–$219 | varies |
| Test for acetone/ketones (82009) | $71 | $71 | 15.7× |
| Testosterone Bioavailable (84410) | $62 | $62 | 1.2× |
| Testosterone total (84403) | $82 | $82 | 3.2× |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$25–$61 | $25–$61 | varies |
| Theophylline (80198) | $98 | $98 | 6.9× |
| Thrombin Time (85670) | $64 | $64 | 11.1× |
| Thyroglobulin (84432) | $80 | $80 | 5.0× |
| Thyroglobulin Antibody (86800) | $79 | $79 | 5.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $210 | $210 | 4.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $90 | $90 | 7.8× |
| Toxoplasma ab igm (86778) | $92 | $92 | 6.4× |
| Toxoplasma antibody (86777) | $92 | $92 | 6.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $50 | $50 | 9.7× |
| Transferrin (84466) | $74 | $74 | 5.8× |
| Triglycerides (84478) | $49 | $49 | 8.5× |
| Troponin Quant (84484) | $118 | $118 | 9.5× |
| Uric acid other source (84560) | $64 | $64 | 12.6× |
| Urinalysis Microscopic Only (81015) | $49 | $49 | 16.1× |
| Urinalysis Volume Measure (81050) | $38 | $38 | 10.4× |
| Urine Bacteria Culture (87088) | $71 | $71 | 8.8× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$32–$55 | $32–$55 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $76 | $76 | 24.0× |
| Valproic acid (80164) | $67 | $67 | 4.9× |
| Vancomycin (80202) | $112 | $112 | 8.3× |
| Varicella-zoster antibody (86787) | $68 | $68 | 5.3× |
| Vasopressin (84588) range across 3 matching MRF lines |
$85–$491 | $85–$491 | varies |
| Viral Culture (87252) | $145 | $145 | 5.6× |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$49–$79 | $49–$79 | varies |
| Vit D 1 25-Dihydroxy (82652) | $122 | $122 | 3.2× |
| Vitamin A (84590) | $71 | $71 | 6.1× |
| Vitamin b-12 (82607) | $61 | $61 | 4.0× |
| Vitamin B2 (Riboflavin) (84252) | $115 | $115 | 5.7× |
| Vitamin B6 (84207) | $68 | $68 | 2.4× |
| Vitamin c (82180) | $66 | $66 | 6.7× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$25–$130 | $25–$130 | varies |
| Vitamin E (84446) | $67 | $67 | 4.7× |
| Vitamin K (84597) | $144 | $144 | 10.5× |
| Von willebrand factor ag (85246) | $187 | $187 | 8.2× |
| West nile virus ab igm (86788) | $57 | $57 | 3.4× |
| West Nile Virus Antibody (86789) | $57 | $57 | 4.0× |
| Zinc (84630) range across 2 matching MRF lines |
$61–$62 | $61–$62 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.