Lab & pathology prices at Fillmore County Hospital

Geneva, NE · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $119 $119 6.5×
Acetylcholine receptor blocking antibody (86042) $119 $119 6.5×
Acetylcholn Rcptr Modlg Antb (86043) $151 $151 12.5×
Acth (82024) $160 $160 4.1×
Actin smooth muscle antibody each (86015) $70 $70 5.8×
Acute hepatitis panel (80074) $281 $281 5.9×
Albumin Fluid (82042) $45 $45 5.8×
Albumin serum (82040) $45 $45 9.1×
Aldolase (82085) $60 $60 6.2×
Aldosterone urine (82088) $110 $110 2.7×
Alkaline phosphatase isoenzymes (84080) $63 $63 4.3×
Allergen specific ige (86003) $20 $20 3.8×
Allg Spec Ige Recomb Ea (86008) $38 $38 2.1×
Alpha-1-antitrypsin phenotype (82104) $95 $95 6.6×
Alpha-1-antitrypsin total (82103) $54 $54 4.0×
Alpha-Fetoprotein Serum (82105) $67 $67 4.0×
Alt (sgpt) (84460) $70 $70 13.2×
Ammonia (82140) $59 $59 4.0×
Amylase urine (82150) $90 $90 13.9×
Anca screen each antibody (86036) $56 $56 4.6×
Androstenedione (82157) $159 $159 5.4×
Angiotensin converting enzyme csf (82164) $98 $98 6.7×
Antibody aspergillus (86606) $62 $62 4.1×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $79 $79 5.1×
Antibody Cytomegalovirus Cmv Igm (86645) $80 $80 4.7×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $40 $40 3.0×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $40 $40 2.6×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $40 $40 2.2×
Antibody Herpes Smplx Non-Specific Type Test (86694) $76 $76 5.3×
Antibody Herpes Smplx Type 1 (86695) $50 $50 3.8×
Antibody htlv/HIV antibody confirmatory test (86689)
range across 2 matching MRF lines
$294–$296 $294–$296 varies
Antibody john cunningham virus (86711) $27 $27 1.6×
Antibody Treponema Pallidum (86780) $75 $75 5.7×
Antigen typing (86905) $104 $104 27.2×
Antinuclear antibodies (86038) $63 $63 5.2×
Antistreptolysin o titer (86060) $70 $70 9.6×
Antithrombin iii activity (85300) $82 $82 6.9×
Apolipoprotein a1 (82172) $74 $74 3.5×
Aqaprn-4 Antb Flo Cytmtry Ea (86053)
range across 2 matching MRF lines
$268–$376 $268–$376 varies
Arsenic (82175) $58 $58 3.1×
Aspergillus ag eia (87305) $314 $314 26.2×
Assay activated protein c (85307) $124 $124 8.1×
Assay Blood Carbon Dioxide (82374) $55 $55 11.3×
Assay myeloperoxidase (83876) $89 $89 1.7×
Assay Nephelometry Not Spec (83883)
range across 3 matching MRF lines
$125–$221 $125–$221 varies
Assay of 5-hiaa (83497) $94 $94 7.3×
Assay of anti-mullerian hormone (82166) $237 $237 6.1×
Assay of blood/uric acid (84550) $65 $65 14.4×
Assay of calcium in urine (82340) $40 $40 6.6×
Assay of g6pd enzyme (82955) $91 $91 9.4×
Assay of gammaglobulin igm (82784) $67 $67 7.2×
Assay of lactic acid (83605) $158 $158 13.7×
Assay of manganese (83785) $142 $142 5.3×
Assay of metanephrines (83835) $89 $89 5.3×
Assay of serotonin (84260) $138 $138 4.5×
Assay of serum potassium (84132) $65 $65 13.7×
Assay of urea nitrogen (84520) $50 $50 12.7×
Assay of urine vma (84585) $94 $94 6.1×
Assay of vitamin b-1 (84425) $117 $117 5.5×
Assay Ph Body Fluid Nos (83986) $69 $69 19.3×
Automated Leukocyte Count (85048) $45 $45 17.7×
B cells total count (86355) $84 $84 2.2×
Bartonella antibody (86611) $61 $61 6.0×
Bcr/abl1 gene major bp (81206) $500 $500 3.0×
Bcr/abl1 gene minor bp (81207) $150 $150 1.0×
Beta 2 glycoprotein i antibody each (86146) $125 $125 4.9×
Beta hydroxybutyrate (82010) $95 $95 11.6×
Beta-2 Microglobulin (82232) $100 $100 6.2×
Bile acids total (82239) $78 $78 4.6×
Bilirubin direct (82248) $64 $64 12.7×
Bilirubin total (82247) $60 $60 12.0×
Bilirubin total transcutaneous (88720) $50 $50 10.0×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $70 $70 18.4×
Blood gas (82803) $230 $230 8.8×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $42 $42 2.6×
Blood Type Antigen Donor Reagent Serum Each (86902) $300 $300 47.2×
Blood typing serologic abo (86900) $75 $75 25.1×
Breath Alcohol Test (82075) $78 $78 2.6×
C diff amplified probe (87493) $180 $180 4.8×
C-Peptide (84681) $95 $95 4.6×
C-reactive protein (86140) $120 $120 23.2×
Ca 19-9 (86301) $65 $65 3.1×
Cadmium (82300) $58 $58 2.5×
Calcium ionized (82330) $135 $135 9.9×
Calcium total (82310) $70 $70 13.6×
Calculus Spectroscopy (82365) $86 $86 6.7×
Calprotectin Fecal (83993) $285 $285 14.5×
Cancer Antigen 125 (86304) $53 $53 2.5×
Cancer Antigen 27.29 (86300) $91 $91 4.4×
Candida Dna Dir Probe (87480) $75 $75 3.7×
Carbamazepine free (80157) $65 $65 4.9×
Carbamazepine total (80156) $65 $65 4.5×
Carboxyhemoglobin (82375) $53 $53 4.3×
Carcinoembryonic antigen (82378) $130 $130 6.9×
Cardiolipin ab iga (86147) $79 $79 3.1×
Carnitine Quantitative Each Specimen (82379) $123 $123 7.3×
Catecholamines fractionated (82384)
range across 3 matching MRF lines
$111–$255 $111–$255 varies
Ccp antibody (86200) $165 $165 12.7×
Cell count csf (89051) $101 $101 18.0×
Cellular Function Assay Stimul&Detect Biomarke (86352) $215 $215 1.6×
Ceruloplasmin (82390) $56 $56 5.2×
Chemiluminescent assay (82397)
range across 4 matching MRF lines
$170–$257 $170–$257 varies
Chlmy trch&neisra gonor mult (87494) $270 $270 3.8×
Chloride Serum (82435) $55 $55 12.0×
Chloride urine (82436) $60 $60 10.4×
Cholesterol total (82465) $45 $45 10.3×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$77–$145 $77–$145 varies
Chromium serum (82495) $88 $88 4.3×
Citric acid urine (82507) $69 $69 2.5×
Ckmb (82553) $182 $182 15.8×
Clostridium Difficile (87324) $130 $130 10.9×
Clot Factor VIII Multimetric (85247) $174 $174 7.6×
Clotting factor viii related antigen (85244) $95 $95 4.7×
Cns DNA amp probe type 12-25 (87483) $592 $592 1.4×
Coccidioides antibody (86635) $75 $75 6.5×
Cold agglutinin titer (86157) $74 $74 9.2×
Collagen crosslinks (82523) $304 $304 16.3×
Compatibility test antiglob (86922) $200 $200 1.1×
Complement Antigen Each Component (86160) $65 $65 5.4×
Complement Total (Ch50) (86162) $72 $72 3.5×
Complement/Function Activity (86161) $123 $123 10.3×
Coombs direct (86880) $89 $89 16.5×
Copper urine (82525) $82 $82 6.6×
Cortisol free (82530) $112 $112 6.7×
Cortisol saliva (82533)
range across 7 matching MRF lines
$83–$99 $83–$99 varies
Creatine kinase total (82550) $100 $100 15.4×
Creatinine blood (82565) $65 $65 12.7×
Creatinine clearance (82575) $110 $110 11.6×
Creatinine Urine (82570)
range across 5 matching MRF lines
$55–$85 $55–$85 varies
Crossmatch electronic (86923) $260 $260 1.5×
Crossmatch immediate spin (86920) $175 $175 1.0×
Crp High Sensitivity (86141) $105 $105 8.1×
Cryoglobulin (82595) $83 $83 12.8×
Cryptosporidium ag eia (87328) $35 $35 2.5×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $113 $113 14.0×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $300 $300 1.4×
Culture afb (87116) $185 $185 17.1×
Culture Anaerobic (87075) $130 $130 13.7×
Culture blood (87040) $198 $198 19.2×
Culture csf (87070) $125 $125 14.5×
Culture fungus (87102) $113 $113 13.4×
Culture fungus blood (87103) $123 $123 6.0×
Culture screen only (87081) $98 $98 14.8×
Culture stool (87045) $80 $80 8.5×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $82 $82 15.8×
Culture urine (87086) $104 $104 12.9×
Cyclosporine (80158) $158 $158 8.8×
Cystatin C (82610) $99 $99 5.3×
Cytogenetics 100-300 (88275) $182 $182 3.6×
Cytomegalovirus igg (86644) $80 $80 5.6×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $130 $130 6.4×
Cytopath Cell Enhance Tech (88112) $125 $125 2.3×
Cytp Concentration Smears & Interpretation (88108) $135 $135 3.5×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $285 $285 5.3×
Detect Agent Nos Dna Amp (87798)
range across 5 matching MRF lines
$120–$189 $120–$189 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$303–$489 $303–$489 varies
Dgp Antibody Each Ig Class (86258)
range across 2 matching MRF lines
$59–$80 $59–$80 varies
Dhea (82626) $88 $88 3.5×
Dhea-S (82627) $68 $68 3.1×
Digoxin (80162) $111 $111 8.4×
Dna Antibody Native/Double Stranded (86225) $60 $60 4.4×
Dna/Rna Amplified Probe (87150)
range across 3 matching MRF lines
$21–$250 $21–$250 varies
DNA/RNA direct probe (87149) $185 $185 9.2×
Dna/Rna Sequencing (87153) $75 $75 0.7×
Drug assay acetaminophen (80143) $325 $325 17.4×
Drug assay adalimumab (80145) $255 $255 6.6×
Drug Assay Infliximab (80230) $279 $279 7.2×
Drug Assay Itraconazole (80189) $245 $245 9.0×
Drug Assay Lacosamide (80235) $155 $155 5.7×
Drug Screen Quant Zonisamide (80203) $171 $171 12.9×
Drug Screen Quantitative Gabapentin (80171) $97 $97 4.5×
Drug Screen Quantitative Lamotrigine (80175) $80 $80 6.0×
Drug Screen Quantitative Levetiracetam (80177) $65 $65 4.9×
Drug Screen Quantitative Oxcarbazepine (80183) $95 $95 7.2×
Drug Test Prsmv Chem Anlyzr (80307) $308 $308 5.0×
Drug Test Prsmv Dir Opt Obs (80305)
range across 2 matching MRF lines
$79–$80 $79–$80 varies
Ehrlichia antibody (86666) $59 $59 5.8×
El-1 Fecal Quantitative (82653) $189 $189 8.2×
Electrolyte panel (80051) $100 $100 14.3×
Endomysial Antibody Each Immunoglobulin Class (86231) $119 $119 9.8×
Enterovirus Antibody (86658) $125 $125 9.6×
Enzyme cell activity (82657) $535 $535 24.1×
Eosinophil Smear (89190) $98 $98 16.9×
Erythropoietin (82668) $101 $101 5.4×
Estradiol serum (82670) $135 $135 4.8×
Estrogens fractionated (82671) $184 $184 5.7×
Ethylene Glycol (82693) $237 $237 15.9×
Exam Synovial Fluid Crystals (89060) $91 $91 12.4×
F2 Gene (81240) $375 $375 5.7×
Factor ii activity (85210) $173 $173 13.3×
Factor ix activity (85250) $131 $131 6.9×
Factor v activity (85220) $113 $113 6.4×
Factor v leiden mutation (81241) $355 $355 4.8×
Factor viii assay (85240) $111 $111 6.2×
Factor X (85260) $237 $237 13.2×
Fat/Lipids Feces Quantitative (82710) $200 $200 11.9×
Fecal Fat Qualitative (82705)
range across 2 matching MRF lines
$57–$85 $57–$85 varies
Ferritin (82728) $140 $140 10.3×
Fetal Congenital Abnor Assay Four Anal (81511) $260 $260 1.7×
Fetal screen rosette (85461) $73 $73 7.8×
Fibrin Degradation Quant (85379) $180 $180 17.7×
Fibrinogen activity (85384) $82 $82 8.4×
Fibrinogen antigen (85385) $183 $183 12.7×
Flow cytometry first marker (88184) $38 $38 0.1×
Fluorescent antibody screen (86255)
range across 5 matching MRF lines
$34–$221 $34–$221 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 6 matching MRF lines
$41–$361 $41–$361 varies
Folic acid rbc (82747) $68 $68 3.9×
Folic Acid Serum (82746) $166 $166 11.3×
Follicle Stimulating Hormone (83001) $80 $80 4.3×
Francisella tularensis (86668) $78 $78 5.5×
Fungi Identification Mold (87107) $60 $60 5.8×
Gammaglobulin ige (82785) $77 $77 4.7×
Gardner vag DNA dir probe (87510) $75 $75 3.7×
Gases blood ph only (82800) $105 $105 9.5×
Gastrin (82941) $174 $174 9.9×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $575 $575 1.4×
Gentamicin (80170) $140 $140 8.5×
Ggt (82977) $72 $72 10.0×
Giardia antigen (87329) $105 $105 8.8×
Glucose body fluid (82945) $37 $37 9.4×
Glucose Serum (82947) $26 $26 6.6×
Glucose tolerance test (gtt) (82951) $150 $150 11.7×
Gonadotropin Chorionic Qualitative (84703) $125 $125 16.6×
Growth hormone (83003) $79 $79 4.7×
Gtt-added samples (82952) $45 $45 11.5×
Haptoglobin (83010) $119 $119 9.5×
Hdl Cholesterol (83718) $45 $45 5.5×
Helicobacter Pylori Stool (87338) $225 $225 15.6×
Helminth Antibody (86682) $97 $97 7.5×
Hematocrit (85014) $45 $45 19.0×
Hemoglobin (85018) $45 $45 19.0×
Hemoglobin a1c (83036) $86 $86 8.9×
Hemoglobin Methemoglobin Quantitative (83050) $72 $72 8.8×
Hemoglobin plasma (83051) $133 $133 18.2×
Hep a ab igm (86709) $65 $65 5.8×
Heparin assay (85520) $105 $105 8.0×
Heparin Neutralization (85525) $183 $183 15.5×
Hepatitis a antibody total (86708) $83 $83 6.7×
Hepatitis b core ab igm (86705) $83 $83 7.1×
Hepatitis b core ab total (86704) $85 $85 7.1×
Hepatitis B Surface Antibody (86706) $85 $85 7.9×
Hepatitis B Surface Antigen (87340) $75 $75 7.3×
Hepatitis Be Antibody (86707) $83 $83 7.2×
Hepatitis Be Antigen (87350) $70 $70 6.1×
Hepatitis C Antibody (86803) $109 $109 7.6×
Hepatitis C Genotype (87902) $407 $407 1.6×
Hepatitis C Revrs Trnscrpj (87522) $237 $237 5.5×
Herpes simplex type 2 (86696) $50 $50 2.6×
Heterophile Antibody Screen (86308) $82 $82 15.8×
Hfe Gene (81256) $275 $275 4.2×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $164 $164 21.2×
Histoplasma antigen urine (87385) $290 $290 21.9×
Hiv Antigen W/Hiv Antibodies (87806) $150 $150 4.6×
Hiv-1 Quant&Revrse Trnscrpj (87536) $229 $229 2.7×
Hla I Low Resolution One Antigen Equivalent Each (81374) $380 $380 5.1×
Homocysteine (83090) $164 $164 9.2×
Homogenization Tissue (87176) $28 $28 4.8×
Hpv sep hi-rsk typ&pool rslt (87626) $174 $174 2.5×
Hsv Dna Amp Probe (87529) $189 $189 5.4×
Hydroxyprogesterone 17-d (83498) $158 $158 5.8×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $119 $119 11.5×
Iaad ia shiga-like toxin (87427) $80 $80 6.7×
Iadna chlamydia pneumoniae amplified probe tq (87486) $125 $125 3.6×
Iadna Cytomegalovirus Quantification (87497) $189 $189 4.4×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $168 $168 2.4×
Iadna Hepatitis B Virus Quantification (87517) $308 $308 7.2×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $125 $125 3.6×
Ig Light Chains Free Each (83521) $160 $160 9.3×
Igg subclasses (82787) $56 $56 7.0×
Igh@ Variable Region Somatic Mutation Analysis (81263) $1,001 $1,001 3.4×
Immunfix e-phorsis/urine/csf (86335) $199 $199 6.8×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 4 matching MRF lines
$41–$175 $41–$175 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 3 matching MRF lines
$35–$69 $35–$69 varies
Immunoassay nonantibody (83516)
range across 16 matching MRF lines
$34–$544 $34–$544 varies
Immunofixation electrophoresis (86334) $199 $199 8.9×
Immunofluorescence per spec 1st singl antb stain (88346) $53 $53 0.3×
Immunohistochemistry (88342) $225 $225 1.3×
In situ hybridization 1st probe stain (88365) $185 $185 1.0×
Influenza DNA amp probe (87502) $225 $225 2.3×
Inhibin b (83520)
range across 5 matching MRF lines
$41–$217 $41–$217 varies
Insulin antibodies (86337) $172 $172 8.0×
Insulin total (83525) $80 $80 7.0×
Iron (83540) $68 $68 10.5×
Iron Binding Capacity (83550) $79 $79 9.0×
Islet cell antibody (86341)
range across 3 matching MRF lines
$159–$300 $159–$300 varies
Jak2 gene analysis p.val617phe variant (81270) $610 $610 6.7×
Koh Prep (87220) $77 $77 18.0×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$37–$60 $37–$60 varies
Lactoferrin fecal qualitative (83630)
range across 2 matching MRF lines
$57–$115 $57–$115 varies
LDL direct (83721) $75 $75 7.1×
Lead (83655) $90 $90 7.4×
Legionella antigen urine (87449)
range across 2 matching MRF lines
$130–$194 $130–$194 varies
Level I Surg Pathology Gross Examination Only (88300) $60 $60 2.0×
Level ii surg pathology gross&microscopic exam (88302) $85 $85 2.2×
Level V Surg Pathology Gross&Microscopic Exam (88307) $299 $299 0.8×
Lipase (83690) $125 $125 18.1×
Lipoprotein A (83695) $106 $106 7.4×
Lithium (80178) $95 $95 14.4×
Luteinizing Hormone (Lh) (83002) $62 $62 3.3×
Lyme disease antibody (86618) $182 $182 10.7×
Lysozyme serum (85549) $83 $83 4.4×
Magnesium Urine (83735)
range across 4 matching MRF lines
$103–$108 $103–$108 varies
Mass Spectrometry Quant (83789) $441 $441 18.3×
Mercury urine (83825) $58 $58 3.6×
Metabolic panel ionized ca (80047) $195 $195 14.2×
Methylmalonic acid serum (83921) $161 $161 7.6×
Microalbumin, quantitative (82043) $122 $122 21.1×
Microbe Suscept Macrobroth (87188) $113 $113 17.0×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$65–$79 $65–$79 varies
Mitochondrial Antibody Each (86381) $77 $77 3.0×
Molecular Cytogenetics Dna Probe Each (88271) $195 $195 9.1×
Mononuclear cell antigen (86356) $84 $84 3.1×
Mthfr Gene Analysis Common Variants (81291) $221 $221 3.4×
Mumps antibody (86735) $65 $65 5.0×
Mycophenolic Acid (80180) $95 $95 5.3×
Mycoplasma culture (87109) $176 $176 11.4×
Myelin basic protein csf (83873) $107 $107 6.2×
Myoglobin urine (83874) $150 $150 11.6×
Natriuretic peptide (83880) $325 $325 8.3×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $295 $295 2.3×
Niacin (84591) $167 $167 9.8×
Nk cells total count (86357) $84 $84 2.2×
Nuclear antigen antibody (86235)
range across 14 matching MRF lines
$60–$65 $60–$65 varies
Nudt15 Gene Common Variants (81306) $304 $304 1.0×
Occult Blood Other Sources (82271) $63 $63 11.8×
Oligoclonal bands (83916) $394 $394 14.4×
Organic acids urine (83918) $313 $313 13.3×
Osmolality serum (83930) $59 $59 8.9×
Osmolality Urine (83935) $65 $65 9.5×
Ova and parasites smears (87177) $36 $36 4.0×
Oxalate urine (83945) $92 $92 6.4×
Particle Agglutination Screen Each Antibody (86403) $59 $59 5.1×
Parvovirus antibody (86747) $57 $57 3.8×
Path Consltj Surg Cytologic Exam Initial Site (88333) $90 $90 0.1×
Ph urine (81003) $39 $39 17.3×
Phenobarbital Level (80184)
range across 2 matching MRF lines
$79–$80 $79–$80 varies
Phenytoin (Dilantin) (80185) $121 $121 9.1×
Phosphatase alkaline (84075) $60 $60 11.6×
Phosphatidylglycerol (84081) $268 $268 16.2×
Phosphorus Serum (84100) $60 $60 12.7×
Phosphorus urine (84105) $60 $60 10.4×
Platelet count automated (85049) $55 $55 12.3×
Platelet neutralization (85597) $57 $57 3.2×
Potassium Urine (84133) $70 $70 14.8×
Prealbumin (84134) $52 $52 3.6×
Pregnenolone (84140) $143 $143 6.9×
Primidone (80188) $83 $83 5.0×
Procalcitonin (Pct) (84145) $270 $270 9.9×
Progesterone (84144) $79 $79 3.8×
Prolactin (84146) $80 $80 4.1×
Protein body fluid (84157) $70 $70 17.5×
Protein C Activity (85303) $205 $205 14.8×
Protein c antigen (85302) $155 $155 12.9×
Protein Electrophoresis Urine (84166) $83 $83 4.7×
Protein Electrophoretic Fractj&Quantj Serum (84165) $125 $125 11.6×
Protein S Free (85306) $174 $174 11.4×
Protein s total (85305) $88 $88 7.6×
Protein total serum (84155) $65 $65 17.7×
Protein Total Urine (84156) $75 $75 20.4×
Protein Western Blot Test (84182) $77 $77 2.6×
Prothrombin Time Substitution Plasma Frctj Each (85611) $68 $68 17.3×
Pth Intact (83970) $250 $250 6.1×
Quantiferon tb gold plus (86480) $210 $210 3.4×
Quantitative assay drug (80299) $249 $249 13.4×
Quantitative Screen Metals (83018) $218 $218 9.9×
Rbc antibody elution (86860) $101 $101 0.6×
Rbc antibody identification (86870) $363 $363 1.0×
Rbc antibody screen (86850) $137 $137 14.0×
Renin activity plasma (84244) $132 $132 6.0×
Resp virus 12-25 targets (87633) $375 $375 0.9×
Reticulocyte Count (85046) $84 $84 15.1×
Rh (86901) $75 $75 25.1×
Rheumatoid factor quant (86431) $75 $75 13.2×
Rickettsia antibody (86757) $72 $72 3.7×
Ristocetin cofactor (85245) $268 $268 11.7×
Rotavirus ag eia (87425) $75 $75 6.3×
Rpr qualitative (86592)
range across 2 matching MRF lines
$47–$54 $47–$54 varies
Rubella Antibody (86762) $69 $69 4.8×
Rubeola antibody (86765) $62 $62 4.8×
Russell Viper Venom Time Diluted (85613) $83 $83 8.7×
Salicylate Level (80179) $284 $284 15.2×
Sars-Cov-2 Covid-19 Amp Prb (87635) $195 $195 3.8×
Sedimentation Rate, Automated (85652) $50 $50 18.5×
Selenium (84255) $88 $88 3.4×
Semen Anal Sperm Detection (89321) $100 $100 8.3×
Sensitivity mic (87186) $110 $110 12.7×
Sex Hormone Binding Globulin (84270) $68 $68 3.1×
Sickling of rbc reduction (85660) $103 $103 18.7×
Smear acid fast (87206)
range across 2 matching MRF lines
$56–$84 $56–$84 varies
Smear complex stain (87209) $36 $36 2.0×
Smear gram stain (87205) $65 $65 15.2×
Sodium Serum (84295) $65 $65 13.5×
Sodium Urine (84300) $50 $50 9.9×
Soluble Transferrin Receptor (84238) $92 $92 2.5×
Somatomedin (84305) $199 $199 9.4×
Special Stains Group 1 (88312) $235 $235 4.3×
Special Stains Group 2 (88313) $200 $200 1.4×
Spectrophotometry (84311) $89 $89 11.0×
Stool cultr aerobic bact ea (87046) $80 $80 8.5×
Strep a DNA amp probe (87651) $140 $140 4.0×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581)
range across 2 matching MRF lines
$182–$299 $182–$299 varies
Surg path level iii (88304) $150 $150 2.8×
Surgical pathology level IV (88305) $200 $200 3.7×
Surgical pathology level vi (88309) $395 $395 0.5×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $53 $53 11.2×
Susceptibility Study Antimicrobial Disk Method (87184) $45 $45 6.0×
Syphilis Test Non-Trep Quant (86593)
range across 2 matching MRF lines
$65–$103 $65–$103 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $84 $84 1.8×
T cells total count (86359) $84 $84 2.2×
T3 Free (84481) $125 $125 7.4×
T3 reverse (84482) $112 $112 7.1×
T3 Total (84480) $120 $120 8.5×
T3 Uptake (84479) $105 $105 16.2×
T4 Free (84439) $127 $127 14.1×
T4 total (84436) $80 $80 11.6×
Tacrolimus (80197) $200 $200 14.6×
Testosterone total (84403) $109 $109 4.2×
Testosterone, Free (84402) $219 $219 8.6×
Theophylline (80198) $97 $97 6.9×
Thiopurine methyltransferase (84433) $363 $363 16.4×
Thrombin Time (85670) $84 $84 14.6×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $90 $90 13.9×
Thyroglobulin (84432) $42 $42 2.6×
Thyroglobulin Antibody (86800) $72 $72 4.5×
Thyroid Stimulating Immunoglobulin (84445) $272 $272 5.3×
Tiss Trnsgltmnase Ea Ig Clas (86364) $88 $88 7.6×
Topiramate (80201) $124 $124 10.4×
Toxoplasma ab igm (86778) $72 $72 5.0×
Toxoplasma antibody (86777) $72 $72 5.0×
Tpmt gene com variants (81335) $289 $289 1.7×
Transferase Aspartate Amino Ast Sgot (84450) $70 $70 13.5×
Transferrin (84466) $68 $68 5.3×
Trichomonas vagin dir probe (87660) $75 $75 3.7×
Triglycerides (84478) $50 $50 8.7×
Troponin Quant (84484) $279 $279 22.4×
Tumor Immunohistochem/Manual (88360) $230 $230 1.3×
Urea Nitrogen Clearance (84545) $49 $49 6.8×
Urea nitrogen urine (84540) $40 $40 7.2×
Uric acid other source (84560) $51 $51 10.0×
Urinalysis Microscopic Only (81015) $37 $37 12.1×
Urine Pregnancy Test (81025) $100 $100 11.6×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $68 $68 21.5×
Valproic acid (80164) $99 $99 7.3×
Vancomycin (80202) $150 $150 11.1×
Varicella-zoster antibody (86787) $89 $89 6.9×
Vasopressin (84588) $119 $119 3.5×
Viral Culture (87252) $228 $228 8.7×
Virus antibody nos (86790) $73 $73 5.7×
Viscosity serum (85810) $89 $89 7.6×
Vitamin A (84590) $55 $55 4.7×
Vitamin b-12 (82607) $168 $168 11.1×
Vitamin B6 (84207) $107 $107 3.8×
Vitamin c (82180) $126 $126 12.7×
Vitamin D 25-Hydroxy (82306) $170 $170 5.7×
Vitamin E (84446) $55 $55 3.9×
Voltage-Gated Calcium Channel Antibody Each (86596) $41 $41 3.4×
West nile virus ab igm (86788) $85 $85 5.0×
West Nile Virus Antibody (86789) $85 $85 5.9×
Zinc (84630) $89 $89 7.8×

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.