Lab & pathology prices at Foothill Regional Medical Center

Tustin, CA · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acth (82024) $133.38 $133.38 3.5×
Acute hepatitis panel (80074)
range across 2 matching MRF lines
$44.41–$164.60 $44.41–$164.60 varies
Albumin Fluid (82042)
range across 4 matching MRF lines
$6.28–$43.82 $6.28–$43.82 varies
Albumin serum (82040)
range across 3 matching MRF lines
$11.94–$164.63 $11.94–$164.63 varies
Aldolase (82085)
range across 2 matching MRF lines
$9–$33.53 $9–$33.53 varies
Aldosterone urine (82088) $140.73 $140.73 3.5×
Alpha-1-antitrypsin total (82103) $46.41 $46.41 3.5×
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$14.43–$57.92 $14.43–$57.92 varies
Alt (sgpt) (84460) $196.86 $196.86 37.1×
Amikacin trough (80150)
range across 2 matching MRF lines
$12.03–$64.23 $12.03–$64.23 varies
Ammonia (82140) $248.66 $248.66 17.1×
Amylase urine (82150)
range across 4 matching MRF lines
$7.74–$214.12 $7.74–$214.12 varies
Ana Titer (86039) $38.54 $38.54 3.5×
Anti-Phospholipid Antibody (86148)
range across 4 matching MRF lines
$10–$188.36 $10–$188.36 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $14.92 $14.92 1.0×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 3 matching MRF lines
$14.92–$62.65 $14.92–$62.65 varies
Antibody Herpes Smplx Type 1 (86695)
range across 3 matching MRF lines
$27.34–$60.18 $27.34–$60.18 varies
Antibody HIV-1&HIV-2 single result (86703) $95.55 $95.55 7.0×
Antibody identification leukocyte antibodies (86021)
range across 2 matching MRF lines
$51.98–$59.35 $51.98–$59.35 varies
Antibody Lymphocytic Choriomeningitis (86727) $46.50 $46.50 3.6×
Antibody Treponema Pallidum (86780)
range across 3 matching MRF lines
$10.04–$58 $10.04–$58 varies
Antigen typing (86905) $41.71 $41.71 10.9×
Antinuclear antibodies (86038)
range across 3 matching MRF lines
$6.06–$55 $6.06–$55 varies
Antistreptolysin O Screen (86063) $126.63 $126.63 21.9×
Antistreptolysin o titer (86060)
range across 2 matching MRF lines
$7.18–$151.96 $7.18–$151.96 varies
Antithrombin iii activity (85300) $40.93 $40.93 3.5×
Assay Blood Carbon Dioxide (82374) $196.86 $196.86 40.3×
Assay Dir Meas Fr Estradiol (82681) $96.50 $96.50 3.5×
Assay Nephelometry Not Spec (83883)
range across 2 matching MRF lines
$46.97–$57 $46.97–$57 varies
Assay of blood/uric acid (84550) $196.86 $196.86 43.6×
Assay of calcium in urine (82340) $20.82 $20.82 3.5×
Assay of gammaglobulin igm (82784)
range across 6 matching MRF lines
$7.76–$35.69 $7.76–$35.69 varies
Assay of lactic acid (83605) $246.36 $246.36 21.3×
Assay of serum potassium (84132) $196.86 $196.86 41.4×
Assay of sweat sodium (84302) $16.78 $16.78 3.5×
Assay of urea nitrogen (84520) $164.63 $164.63 41.7×
Assay of vitamin b-1 (84425) $73.33 $73.33 3.5×
Assay Ph Body Fluid Nos (83986) $12.36 $12.36 3.5×
Assay spec xcp ur&breath ia (82077) $59.64 $59.64 3.5×
Beta 2 glycoprotein i antibody each (86146)
range across 4 matching MRF lines
$10–$87.90 $10–$87.90 varies
Beta-2 Microglobulin (82232)
range across 2 matching MRF lines
$17.85–$55.88 $17.85–$55.88 varies
Bilirubin direct (82248) $196.86 $196.86 39.2×
Bilirubin total (82247) $196.86 $196.86 39.2×
Bleeding time test (85002) $162.32 $162.32 33.7×
Blood count reticulocyte automated (85045) $13.79 $13.79 3.5×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $131.24 $131.24 34.5×
Blood gas (82803)
range across 3 matching MRF lines
$90.03–$575.60 $90.03–$575.60 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $99 $99 22.6×
Blood Type Antigen Donor Reagent Serum Each (86902) $58 $58 9.1×
Blood typing serologic abo (86900) $85.19 $85.19 28.5×
Bone marrow smear interpretation (85097) $2,662.84 $2,662.84 2.6×
C diff amplified probe (87493)
range across 2 matching MRF lines
$43.27–$128.72 $43.27–$128.72 varies
C-reactive protein (86140) $191.10 $191.10 36.9×
Ca 19-9 (86301)
range across 2 matching MRF lines
$12.02–$71.87 $12.02–$71.87 varies
Calcium ionized (82330) $15.41 $15.41 1.1×
Calcium total (82310) $164.63 $164.63 31.9×
Cancer Antigen 125 (86304)
range across 2 matching MRF lines
$12.03–$71.87 $12.03–$71.87 varies
Cancer Antigen 27.29 (86300) $71.87 $71.87 3.5×
Carbamazepine total (80156) $78.28 $78.28 5.4×
Carboxyhemoglobin (82375) $55.78 $55.78 4.5×
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines
$8.66–$72.76 $8.66–$72.76 varies
Cardiolipin ab iga (86147)
range across 5 matching MRF lines
$3–$188.37 $3–$188.37 varies
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$87.20–$206.07 $87.20–$206.07 varies
Ccp antibody (86200)
range across 2 matching MRF lines
$4.11–$44.73 $4.11–$44.73 varies
Cell count csf (89051)
range across 2 matching MRF lines
$22.10–$102.46 $22.10–$102.46 varies
Ceruloplasmin (82390) $37.09 $37.09 3.5×
Chloride other source (82438) $196.86 $196.86 39.4×
Chloride Serum (82435) $164.63 $164.63 35.8×
Chloride urine (82436) $164.63 $164.63 28.6×
Cholesterol total (82465) $164.63 $164.63 37.8×
Chorionic gonadotropin test (84702) $248.66 $248.66 16.5×
Chromogranin a (86316) $47.41 $47.41 2.3×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $121.19 $121.19 3.5×
Ckmb (82553) $248.66 $248.66 21.5×
Clostridium Difficile (87324) $194.55 $194.55 16.2×
Cns DNA amp probe type 12-25 (87483) $1,439.39 $1,439.39 3.5×
Coagulation time activated (85347) $14.78 $14.78 3.5×
Coccidioides antibody (86635) $17.85 $17.85 1.6×
Cold agglutinin titer (86157) $239.45 $239.45 29.7×
Compatibility test antiglob (86922) $605.33 $605.33 2.8×
Complement Antigen Each Component (86160)
range across 4 matching MRF lines
$12.55–$46.05 $12.55–$46.05 varies
Complement Total (Ch50) (86162)
range across 2 matching MRF lines
$15.50–$70.18 $15.50–$70.18 varies
Consltj&Reprt Slides Prepared Elsewhere (88321) $408.68 $408.68 8.5×
Coombs direct (86880) $127.78 $127.78 23.7×
Cortisol free (82530) $57.71 $57.71 3.5×
Cortisol saliva (82533)
range across 2 matching MRF lines
$12–$244.06 $12–$244.06 varies
Creatine kinase total (82550) $180.74 $180.74 27.8×
Creatinine blood (82565) $164.63 $164.63 32.2×
Creatinine clearance (82575) $297.01 $297.01 31.4×
Creatinine Urine (82570)
range across 3 matching MRF lines
$5.50–$164.63 $5.50–$164.63 varies
Cryptococcus ag titer (87899) $15 $15 0.9×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $95.55 $95.55 11.8×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines
$4.67–$27.91 $4.67–$27.91 varies
Culture afb (87116) $37.30 $37.30 3.5×
Culture Anaerobic (87075) $21.98 $21.98 2.3×
Culture bacteria anaerobic (87073) $212.98 $212.98 22.0×
Culture blood (87040) $353.42 $353.42 34.2×
Culture chlamydia (87110) $67.69 $67.69 3.5×
Culture csf (87070)
range across 8 matching MRF lines
$6.54–$321.18 $6.54–$321.18 varies
Culture fungus (87102)
range across 2 matching MRF lines
$4.50–$29.05 $4.50–$29.05 varies
Culture fungus blood (87103) $70.66 $70.66 3.5×
Culture screen only (87081)
range across 4 matching MRF lines
$5–$177.29 $5–$177.29 varies
Culture stool (87045) $230.24 $230.24 24.4×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $17.89 $17.89 3.5×
Cytopath Cell Enhance Tech (88112)
range across 2 matching MRF lines
$25–$207.22 $25–$207.22 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $504.22 $504.22 7.5×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $605.33 $605.33 2.8×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 3 matching MRF lines
$10–$381.05 $10–$381.05 varies
Cytp Smrs Any Oth Src Scr&Interpj (88160) $354.57 $354.57 9.5×
Detect Agent Nos Dna Amp (87798) $121.19 $121.19 3.5×
Digoxin (80162) $239.45 $239.45 18.0×
Dna Antibody Native/Double Stranded (86225) $47.45 $47.45 3.5×
Dna/Rna Amplified Probe (87150) $121.19 $121.19 3.5×
DNA/RNA direct probe (87149) $69.24 $69.24 3.5×
Drug assay acetaminophen (80143) $64.38 $64.38 3.5×
Drug Screen Quant Clozapine (80159) $69.59 $69.59 3.5×
Drug Screen Quantitative Lamotrigine (80175)
range across 2 matching MRF lines
$19.47–$45.77 $19.47–$45.77 varies
Drug Screen Quantitative Levetiracetam (80177)
range across 2 matching MRF lines
$45.77–$47.14 $45.77–$47.14 varies
Drug Test Prsmv Chem Anlyzr (80307)
range across 7 matching MRF lines
$143.91–$412.13 $143.91–$412.13 varies
Electrolyte panel (80051)
range across 2 matching MRF lines
$78.80–$343.06 $78.80–$343.06 varies
Encephaltis East Eqne Anbdy (86652) $46.50 $46.50 3.5×
Erythropoietin (82668)
range across 2 matching MRF lines
$17.88–$64.89 $17.88–$64.89 varies
Estradiol serum (82670)
range across 2 matching MRF lines
$26.78–$96.50 $26.78–$96.50 varies
F2 Gene (81240) $60 $60 0.9×
Factor v leiden mutation (81241)
range across 2 matching MRF lines
$60–$253.39 $60–$253.39 varies
Ferritin (82728)
range across 2 matching MRF lines
$19.21–$248.66 $19.21–$248.66 varies
Fibrin Degradation Quant (85379) $39.08 $39.08 3.8×
Fibrin dgradj products d-dimer qual/semiquan (85378) $162.32 $162.32 16.7×
Fibrinogen activity (85384) $194.55 $194.55 20.0×
Flow cytometry first marker (88184) $100 $100 0.2×
Fluorescent antibody screen (86255)
range across 3 matching MRF lines
$13.67–$41.62 $13.67–$41.62 varies
Folic Acid Serum (82746)
range across 2 matching MRF lines
$10–$81.74 $10–$81.74 varies
Follicle Stimulating Hormone (83001) $9.62 $9.62 0.5×
Frozen Section (88331) $681.51 $681.51 3.1×
Fungi Identification Yeast (87106) $35.65 $35.65 3.5×
Gases Blood O2 Saturation Only Direct Meas (82810) $47.20 $47.20 4.8×
Gentamicin (80170) $239.45 $239.45 14.6×
Ggt (82977) $164.63 $164.63 22.9×
Glucose 2 hr pp (82950) $196.86 $196.86 41.4×
Glucose body fluid (82945)
range across 5 matching MRF lines
$4.85–$196.86 $4.85–$196.86 varies
Glucose Serum (82947) $164.63 $164.63 41.9×
Gonadotropin Chorionic Qualitative (84703) $229.09 $229.09 30.5×
Growth hormone (83003) $57.57 $57.57 3.5×
Gtt-added samples (82952) $164.63 $164.63 42.0×
Haptoglobin (83010)
range across 2 matching MRF lines
$15.13–$43.45 $15.13–$43.45 varies
Hdl Cholesterol (83718) $229.09 $229.09 28.0×
Helicobacter Pylori Stool (87338)
range across 2 matching MRF lines
$68.12–$222.19 $68.12–$222.19 varies
Hematocrit (85014) $131.24 $131.24 55.4×
Hemoglobin (85018)
range across 2 matching MRF lines
$32.23–$131.24 $32.23–$131.24 varies
Hemoglobin a1c (83036) $288.95 $288.95 29.8×
Hemoglobin Chromotography (83021) $132.87 $132.87 7.4×
Hemoglobin electrophoresis (83020) $44.45 $44.45 3.5×
Hemoglobin Methemoglobin Quantitative (83050) $44.84 $44.84 5.5×
Hep a ab igm (86709)
range across 2 matching MRF lines
$11.76–$43.32 $11.76–$43.32 varies
Hepatitis a antibody total (86708)
range across 2 matching MRF lines
$7.20–$42.79 $7.20–$42.79 varies
Hepatitis b core ab igm (86705)
range across 2 matching MRF lines
$7.97–$45.19 $7.97–$45.19 varies
Hepatitis b core ab total (86704)
range across 2 matching MRF lines
$6–$351.12 $6–$351.12 varies
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines
$5–$45.82 $5–$45.82 varies
Hepatitis B Surface Antigen (87340)
range across 3 matching MRF lines
$4.50–$64.54 $4.50–$64.54 varies
Hepatitis C Antibody (86803)
range across 2 matching MRF lines
$6–$54.74 $6–$54.74 varies
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$115–$147.95 $115–$147.95 varies
Herpes simplex type 2 (86696) $60.19 $60.19 3.1×
Heterophile Antibody Screen (86308) $151.96 $151.96 29.3×
Hfe Gene (81256) $180.69 $180.69 2.8×
Histoplasma antibody (86698) $47.63 $47.63 3.5×
Histoplasma antigen urine (87385) $45.77 $45.77 3.5×
Hiv Antigen W/Hiv Antibodies (87806) $113.17 $113.17 3.5×
Hiv Genotype (87901)
range across 2 matching MRF lines
$98–$889.13 $98–$889.13 varies
Hiv-1 Antibody (86701) $30.70 $30.70 3.5×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 3 matching MRF lines
$121.19–$293.90 $121.19–$293.90 varies
Homocysteine (83090) $32 $32 1.8×
Homogenization Tissue (87176) $20.31 $20.31 3.5×
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $138.14 $138.14 3.1×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $177.29 $177.29 12.7×
Iaad ia shiga-like toxin (87427)
range across 2 matching MRF lines
$37.93–$41.38 $37.93–$41.38 varies
Iaad Ia Streptococcus Group A (87430) $206.06 $206.06 12.3×
Iaadi parainfluenza virus each type (87279) $111.45 $111.45 6.8×
Iadna Candida Species Amplified Probe Tq (87481) $121.19 $121.19 3.5×
Iadna chlamydia pneumoniae amplified probe tq (87486) $121.19 $121.19 3.5×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 2 matching MRF lines
$121.19–$125 $121.19–$125 varies
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $242.44 $242.44 3.5×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $121.19 $121.19 3.5×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $203.83 $203.83 4.9×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $121.19 $121.19 3.5×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $121.19 $121.19 3.5×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $100 $100 1.9×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $492.59 $492.59 3.5×
Ig Light Chains Free Each (83521) $22.50 $22.50 1.3×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $90 $90 0.2×
Immunfix e-phorsis/urine/csf (86335)
range across 2 matching MRF lines
$20.92–$101.37 $20.92–$101.37 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $6.52 $6.52 0.4×
Immunoassay nonantibody (83516)
range across 2 matching MRF lines
$16.53–$39.82 $16.53–$39.82 varies
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines
$20.92–$77.15 $20.92–$77.15 varies
Immunohistochemistry (88342)
range across 4 matching MRF lines
$40–$435.15 $40–$435.15 varies
In situ hybridization 1st probe stain (88365) $544.52 $544.52 2.5×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $12.29 $12.29 0.9×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $121.19 $121.19 3.5×
Influenza assay w/optic (87804) $310.82 $310.82 18.8×
Influenza DNA amp probe (87502) $330.85 $330.85 3.5×
Inhibin b (83520) $59.64 $59.64 3.5×
Insulin total (83525) $39.47 $39.47 3.5×
Interleukin-6 (83529)
range across 2 matching MRF lines
$59.64–$172.21 $59.64–$172.21 varies
Iron (83540)
range across 4 matching MRF lines
$4–$229.09 $4–$229.09 varies
Iron Binding Capacity (83550)
range across 2 matching MRF lines
$7.76–$229.09 $7.76–$229.09 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 2 matching MRF lines
$316.55–$350 $316.55–$350 varies
Jak2 Gene Trgt Sequence Alys (81279) $639.60 $639.60 3.5×
Koh Prep (87220) $143.91 $143.91 33.7×
Lactate (ld) (ldh) enzyme (83615)
range across 5 matching MRF lines
$6.50–$196.86 $6.50–$196.86 varies
Ldh Isoenzymes (83625) $44.17 $44.17 3.5×
LDL direct (83721) $230.24 $230.24 21.9×
Legionella antibody (86713) $52.84 $52.84 3.5×
Legionella antigen urine (87449)
range across 3 matching MRF lines
$29.04–$88.64 $29.04–$88.64 varies
Level I Surg Pathology Gross Examination Only (88300)
range across 2 matching MRF lines
$15.43–$163.47 $15.43–$163.47 varies
Level ii surg pathology gross&microscopic exam (88302) $326.95 $326.95 6.8×
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines
$252.55–$844.99 $252.55–$844.99 varies
Lipase (83690)
range across 2 matching MRF lines
$47.58–$196.86 $47.58–$196.86 varies
Lithium (80178) $241.75 $241.75 36.6×
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines
$9.62–$63.96 $9.62–$63.96 varies
Magnesium Urine (83735) $196.86 $196.86 29.4×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$16.81–$19.97 $16.81–$19.97 varies
Mumps antibody (86735)
range across 2 matching MRF lines
$7.20–$23.85 $7.20–$23.85 varies
Mycobacteric Identification (87118) $11.03 $11.03 0.8×
Mycoplasma antibody (86738)
range across 2 matching MRF lines
$45.72–$54.67 $45.72–$54.67 varies
Myoglobin urine (83874)
range across 3 matching MRF lines
$16.53–$248.66 $16.53–$248.66 varies
Natriuretic peptide (83880) $229.09 $229.09 5.8×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $492.59 $492.59 3.5×
Nfct Ds Bv&Vaginitis Dna Alg (81514) $908.27 $908.27 3.5×
Nuclear antigen antibody (86235)
range across 6 matching MRF lines
$8.20–$61.93 $8.20–$61.93 varies
Occult blood feces (82272) $14.61 $14.61 3.5×
Oligoclonal bands (83916) $94.59 $94.59 3.5×
Osmolality serum (83930)
range across 2 matching MRF lines
$8.65–$25.38 $8.65–$25.38 varies
Osmolality Urine (83935)
range across 2 matching MRF lines
$8.65–$26.14 $8.65–$26.14 varies
Ova and parasites smears (87177)
range across 2 matching MRF lines
$8.79–$30.73 $8.79–$30.73 varies
Particle Agglut Antbdy Titr (86406) $36.75 $36.75 3.5×
Particle Agglutination Screen Each Antibody (86403)
range across 2 matching MRF lines
$12.01–$39.86 $12.01–$39.86 varies
Path Consltj Surg Cytologic Exam Initial Site (88333) $2,662.84 $2,662.84 2.6×
Pathology Consultation During Surgery (88329) $504.22 $504.22 6.6×
Ph urine (81003) $133.54 $133.54 59.4×
Phenobarbital Level (80184) $191.10 $191.10 12.5×
Phenytoin (Dilantin) (80185) $239.45 $239.45 18.1×
Phosphatase alkaline (84075) $196.86 $196.86 38.0×
Phosphorus Serum (84100) $196.86 $196.86 41.5×
Phosphorus urine (84105) $196.86 $196.86 34.1×
Platelet Antibodies (86022)
range across 2 matching MRF lines
$12.43–$63.45 $12.43–$63.45 varies
Platelet count automated (85049) $15.47 $15.47 3.5×
Potassium Urine (84133) $196.86 $196.86 41.6×
Prealbumin (84134) $179.58 $179.58 12.3×
Procalcitonin (Pct) (84145) $94 $94 3.5×
Prolactin (84146)
range across 2 matching MRF lines
$13.47–$66.94 $13.47–$66.94 varies
Protein body fluid (84157)
range across 3 matching MRF lines
$5.63–$196.86 $5.63–$196.86 varies
Protein C Activity (85303)
range across 2 matching MRF lines
$47.80–$129.51 $47.80–$129.51 varies
Protein c antigen (85302)
range across 2 matching MRF lines
$35.55–$41.48 $35.55–$41.48 varies
Protein Electrophoresis Urine (84166)
range across 3 matching MRF lines
$5.51–$61.58 $5.51–$61.58 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $37.09 $37.09 3.5×
Protein S Free (85306) $586.23 $586.23 38.3×
Protein total serum (84155) $164.63 $164.63 44.9×
Protein Total Urine (84156)
range across 3 matching MRF lines
$5.50–$164.63 $5.50–$164.63 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $13.61 $13.61 3.5×
Pth Intact (83970) $27.68 $27.68 0.7×
Quantiferon tb gold plus (86480)
range across 2 matching MRF lines
$85–$214.06 $85–$214.06 varies
Rbc antibody identification (86870)
range across 2 matching MRF lines
$77.59–$1,182 $77.59–$1,182 varies
Rbc antibody screen (86850) $102.46 $102.46 10.5×
Reagent Strip/Blood Glucose (82948) $125.48 $125.48 24.9×
Renin activity plasma (84244) $75.94 $75.94 3.5×
Resp virus 12-25 targets (87633)
range across 2 matching MRF lines
$200–$1,439.39 $200–$1,439.39 varies
Reticulocyte Count Manual (85044) $146.20 $146.20 33.9×
Rh (86901)
range across 2 matching MRF lines
$100.15–$137.33 $100.15–$137.33 varies
Rheumatoid Factor Qualitative (86430) $151.96 $151.96 24.7×
Rpr qualitative (86592)
range across 3 matching MRF lines
$2.89–$126.63 $2.89–$126.63 varies
Rubella Antibody (86762)
range across 2 matching MRF lines
$4–$229.09 $4–$229.09 varies
Rubeola antibody (86765)
range across 2 matching MRF lines
$16.11–$44.49 $16.11–$44.49 varies
Russell Viper Venom Time Diluted (85613)
range across 3 matching MRF lines
$10.54–$33.09 $10.54–$33.09 varies
Salicylate Level (80179)
range across 2 matching MRF lines
$53.20–$64.38 $53.20–$64.38 varies
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$70–$177.21 $70–$177.21 varies
Sars-Cov-2 Covid19 W/Optic (87811) $69.07 $69.07 1.7×
Sarscov2&inf a&b&rsv amp prb (87637) $492.59 $492.59 3.5×
Sedimentation rate (85651) $131.24 $131.24 30.7×
Sedimentation Rate, Automated (85652) $9.32 $9.32 3.5×
Sensitivity mic (87186)
range across 5 matching MRF lines
$237.14–$359.18 $237.14–$359.18 varies
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines
$13.77–$32 $13.77–$32 varies
Sickling of rbc reduction (85660)
range across 2 matching MRF lines
$3.70–$19.03 $3.70–$19.03 varies
Smear acid fast (87206)
range across 4 matching MRF lines
$4.50–$25.60 $4.50–$25.60 varies
Smear gram stain (87205)
range across 2 matching MRF lines
$12.25–$177.29 $12.25–$177.29 varies
Smr Prim Src Wet Mount Nfct Agt (87210) $212.98 $212.98 36.6×
Sodium Serum (84295) $196.86 $196.86 40.9×
Sodium Urine (84300) $196.86 $196.86 38.9×
Somatomedin (84305) $14.39 $14.39 0.7×
Special Stains Group 1 (88312)
range across 3 matching MRF lines
$10–$163.47 $10–$163.47 varies
Special Stains Group 2 (88313)
range across 4 matching MRF lines
$10–$123.18 $10–$123.18 varies
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$23.07–$26.13 $23.07–$26.13 varies
Stool cultr aerobic bact ea (87046) $143.91 $143.91 15.2×
Strep a assay w/optic (87880) $57.09 $57.09 3.5×
Strep a DNA amp probe (87651) $121.19 $121.19 3.5×
Surg path level iii (88304) $476.60 $476.60 7.1×
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$41.30–$627.41 $41.30–$627.41 varies
Surgical pathology level vi (88309) $1,089.03 $1,089.03 1.1×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $16.40 $16.40 3.5×
Susceptibility Study Antimicrobial Disk Method (87184) $25.83 $25.83 3.5×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $56.50 $56.50 7.7×
Syphilis Test Non-Trep Quant (86593)
range across 2 matching MRF lines
$1.53–$227.94 $1.53–$227.94 varies
T cells absolute cd4 count (86361)
range across 2 matching MRF lines
$42.24–$92.48 $42.24–$92.48 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $51.33 $51.33 1.1×
T3 Free (84481) $282.05 $282.05 16.6×
T3 Total (84480) $96.71 $96.71 6.8×
T3 Uptake (84479)
range across 2 matching MRF lines
$7.06–$248.66 $7.06–$248.66 varies
T4 Free (84439) $282.05 $282.05 31.3×
T4 total (84436)
range across 2 matching MRF lines
$7.06–$248.66 $7.06–$248.66 varies
Tacrolimus (80197) $47.42 $47.42 3.5×
Test for acetone/ketones (82009) $229.09 $229.09 50.7×
Testosterone total (84403)
range across 4 matching MRF lines
$8.02–$70.22 $8.02–$70.22 varies
Testosterone, Free (84402) $87.96 $87.96 3.5×
Theophylline (80198) $239.45 $239.45 16.9×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $22.34 $22.34 3.5×
Thyroglobulin Antibody (86800) $54.95 $54.95 3.5×
Tobramycin peak (80200) $191.10 $191.10 11.8×
Touch prep (88161) $408.68 $408.68 11.0×
Toxin/Antitoxin Assay Tissue Culture (87230) $160.02 $160.02 8.1×
Toxoplasma ab igm (86778)
range across 2 matching MRF lines
$21.20–$49.77 $21.20–$49.77 varies
Toxoplasma antibody (86777)
range across 2 matching MRF lines
$15.13–$49.69 $15.13–$49.69 varies
Transferase Aspartate Amino Ast Sgot (84450) $196.86 $196.86 38.0×
Transferrin (84466) $44.07 $44.07 3.5×
Trichomonas Vaginalis Amplif (87661) $121.19 $121.19 3.5×
Triglycerides (84478) $248.66 $248.66 43.3×
Troponin Quant (84484) $310.82 $310.82 24.9×
Tumor immunohistochem/comput (88361) $817.35 $817.35 1.8×
Tumor Immunohistochem/Manual (88360)
range across 2 matching MRF lines
$248–$544.52 $248–$544.52 varies
Urea nitrogen urine (84540) $196.86 $196.86 35.4×
Uric acid other source (84560) $196.86 $196.86 38.8×
Urinalysis Microscopic Only (81015) $89.79 $89.79 29.4×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $89.79 $89.79 41.4×
Urinalysis Volume Measure (81050) $52.95 $52.95 14.5×
Urine Bacteria Culture (87088)
range across 4 matching MRF lines
$95.55–$283.19 $95.55–$283.19 varies
Urine Pregnancy Test (81025) $246.36 $246.36 28.6×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $177.29 $177.29 55.9×
Valproic acid (80164) $191.10 $191.10 14.1×
Vancomycin (80202) $239.45 $239.45 17.7×
Varicella-zoster antibody (86787)
range across 2 matching MRF lines
$44.49–$104.01 $44.49–$104.01 varies
Viral Culture (87252) $40 $40 1.5×
Vit D 1 25-Dihydroxy (82652) $132.96 $132.96 3.5×
Vitamin b-12 (82607)
range across 2 matching MRF lines
$18.62–$81.74 $18.62–$81.74 varies
Vitamin D 25-Hydroxy (82306) $49.10 $49.10 1.7×
West nile virus ab igm (86788) $112 $112 6.6×
West Nile Virus Antibody (86789)
range across 2 matching MRF lines
$68–$112 $68–$112 varies
Xm Archive Tissue Molec Anal (88363) $100.12 $100.12 2.7×
Zinc (84630) $7.71 $7.71 0.7×

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.