Lab & pathology prices at Franklin County Memorial Hospital
Meadville, MS · every code in this section with a posted price and a Medicare benchmark.
339 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $46 | $46 | 4.1× |
| Acth (82024) | $222 | $222 | 5.7× |
| Actin smooth muscle antibody each (86015) | $27 | $27 | 2.2× |
| Acute hepatitis panel (80074) | $164 | $164 | 3.4× |
| Albumin Fluid (82042) | $16 | $16 | 2.1× |
| Albumin serum (82040) | $30 | $30 | 6.1× |
| Aldolase (82085) | $33 | $33 | 3.4× |
| Aldosterone urine (82088) | $159 | $159 | 3.9× |
| Alkaline phosphatase isoenzymes (84080) | $40 | $40 | 2.7× |
| Alpha-1-antitrypsin total (82103) | $84 | $84 | 6.3× |
| Alpha-Fetoprotein Serum (82105) | $18 | $18 | 1.1× |
| Alt (sgpt) (84460) | $28 | $28 | 5.3× |
| Amikacin trough (80150) range across 3 matching MRF lines |
$45–$100 | $45–$100 | varies |
| Ammonia (82140) | $78 | $78 | 5.4× |
| Amylase urine (82150) | $40 | $40 | 6.2× |
| Ana Titer (86039) | $53 | $53 | 4.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $65 | $65 | 3.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $90 | $90 | 6.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $92 | $92 | 6.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $100 | $100 | 5.5× |
| Antibody helicobacter pylori (86677) | $114 | $114 | 6.8× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$85–$86 | $85–$86 | varies |
| Antibody HIV-2 (86702) | $92 | $92 | 6.8× |
| Antibody Titer (86886) | $269 | $269 | 51.9× |
| Antibody Treponema Pallidum (86780) | $199 | $199 | 15.0× |
| Antigen typing (86905) range across 2 matching MRF lines |
$213–$776 | $213–$776 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $40 | $40 | 7.0× |
| Antinuclear antibodies (86038) | $66 | $66 | 5.5× |
| Antistreptolysin o titer (86060) | $15 | $15 | 2.1× |
| Assay Blood Carbon Dioxide (82374) | $40 | $40 | 8.2× |
| Assay of 5-hiaa (83497) | $72 | $72 | 5.6× |
| Assay of blood/uric acid (84550) | $28 | $28 | 6.2× |
| Assay of calcium in urine (82340) | $72 | $72 | 11.9× |
| Assay of cpk in blood (82552) | $79 | $79 | 5.9× |
| Assay of g6pd enzyme (82955) | $22 | $22 | 2.3× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$12–$72 | $12–$72 | varies |
| Assay of lactic acid (83605) | $67 | $67 | 5.8× |
| Assay of metanephrines (83835) | $87 | $87 | 5.1× |
| Assay of proinsulin (84206) | $80 | $80 | 3.0× |
| Assay of serum potassium (84132) | $28 | $28 | 5.9× |
| Assay of urea nitrogen (84520) | $16 | $16 | 4.1× |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$33–$86 | $33–$86 | varies |
| Assay of vitamin b-1 (84425) | $92 | $92 | 4.3× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$16–$27 | $16–$27 | varies |
| Assay spec xcp ur&breath ia (82077) range across 2 matching MRF lines |
$38–$60 | $38–$60 | varies |
| Automated Leukocyte Count (85048) | $18 | $18 | 7.1× |
| Beta-2 Microglobulin (82232) | $60 | $60 | 3.7× |
| Bilirubin direct (82248) | $30 | $30 | 6.0× |
| Bilirubin total (82247) | $21 | $21 | 4.2× |
| Bld Typing Serologic Rh Phnt (86906) | $379 | $379 | 48.9× |
| Blood count reticulocyte automated (85045) range across 3 matching MRF lines |
$9–$34 | $9–$34 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $53 | $53 | 13.9× |
| Blood gas (82803) | $126 | $126 | 4.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $20 | $20 | 4.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$114–$228 | $114–$228 | varies |
| Blood typing serologic abo (86900) | $16 | $16 | 5.4× |
| Bordetella antibody (86615) | $170 | $170 | 12.9× |
| C-Peptide (84681) | $92 | $92 | 4.4× |
| C-reactive protein (86140) | $36 | $36 | 6.9× |
| Ca 19-9 (86301) | $100 | $100 | 4.8× |
| Calcium ionized (82330) | $29 | $29 | 2.1× |
| Calcium total (82310) | $30 | $30 | 5.8× |
| Calculus assay quant (82360) | $60 | $60 | 4.7× |
| Calprotectin Fecal (83993) | $600 | $600 | 30.6× |
| Cancer Antigen 125 (86304) | $100 | $100 | 4.8× |
| Cancer Antigen 27.29 (86300) | $100 | $100 | 4.8× |
| Carbamazepine total (80156) | $84 | $84 | 5.8× |
| Carboxyhemoglobin (82375) | $30 | $30 | 2.4× |
| Carcinoembryonic antigen (82378) | $116 | $116 | 6.1× |
| Cardiolipin ab iga (86147) | $83 | $83 | 3.3× |
| Catecholamines fractionated (82384) | $490 | $490 | 19.4× |
| Catecholamines total urine (82382) | $132 | $132 | 4.8× |
| Ccp antibody (86200) | $60 | $60 | 4.6× |
| Cell count csf (89051) | $92 | $92 | 16.4× |
| Ceruloplasmin (82390) | $40 | $40 | 3.7× |
| Chloride Serum (82435) | $40 | $40 | 8.7× |
| Chlorinated Hydrocarbons Screen (82441) | $230 | $230 | 38.3× |
| Cholesterol total (82465) | $16 | $16 | 3.7× |
| Cholinesterase rbc (82482) | $40 | $40 | 4.1× |
| Chorionic gonadotropin test (84702) | $68 | $68 | 4.5× |
| Chromium serum (82495) | $78 | $78 | 3.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $172 | $172 | 4.9× |
| Ckmb (82553) | $56 | $56 | 4.8× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$42–$68 | $42–$68 | varies |
| Cold agglutinin screen (86156) | $40 | $40 | 5.0× |
| Column Chromotography Quant (82542) | $506 | $506 | 21.0× |
| Compatibility Each Unit Incubation (86921) | $86 | $86 | 0.6× |
| Compatibility test antiglob (86922) | $267 | $267 | 1.8× |
| Complement Antigen Each Component (86160) | $48 | $48 | 4.0× |
| Coombs direct (86880) | $26 | $26 | 4.8× |
| Copper urine (82525) | $48 | $48 | 3.9× |
| Cortisol saliva (82533) | $96 | $96 | 5.9× |
| Creatine kinase total (82550) | $38 | $38 | 5.8× |
| Creatinine blood (82565) | $30 | $30 | 5.9× |
| Creatinine clearance (82575) | $53 | $53 | 5.6× |
| Creatinine Urine (82570) | $28 | $28 | 5.4× |
| Crossmatch immediate spin (86920) | $113 | $113 | 0.8× |
| Crp High Sensitivity (86141) | $54 | $54 | 4.2× |
| Cryoglobulin (82595) | $20 | $20 | 3.1× |
| Cryptosporidium ag eia (87328) | $368 | $368 | 26.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $38 | $38 | 4.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $46 | $46 | 5.7× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $27 | $27 | 3.5× |
| Culture afb (87116) | $44 | $44 | 4.1× |
| Culture Anaerobic (87075) | $115 | $115 | 12.1× |
| Culture blood (87040) | $60 | $60 | 5.8× |
| Culture csf (87070) range across 2 matching MRF lines |
$30–$48 | $30–$48 | varies |
| Culture screen only (87081) | $30 | $30 | 4.5× |
| Culture stool (87045) | $60 | $60 | 6.4× |
| Culture urine (87086) | $46 | $46 | 5.7× |
| Cyclosporine (80158) | $49 | $49 | 2.7× |
| Cytomegalovirus igg (86644) | $55 | $55 | 3.8× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $55 | $55 | 2.7× |
| Cytopath Cell Enhance Tech (88112) range across 4 matching MRF lines |
$102–$134 | $102–$134 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $132 | $132 | 4.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $225 | $225 | 5.0× |
| Detect Agent Nos Dna Quant (87799) | $653 | $653 | 15.2× |
| Dhea-S (82627) | $132 | $132 | 5.9× |
| Digoxin (80162) | $78 | $78 | 5.9× |
| Dna Antibody Native/Double Stranded (86225) | $79 | $79 | 5.7× |
| Drug assay acetaminophen (80143) | $100 | $100 | 5.4× |
| Drug Screen Quant Zonisamide (80203) | $243 | $243 | 18.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $291 | $291 | 22.0× |
| Drug Screen Quantitative Levetiracetam (80177) range across 3 matching MRF lines |
$108–$135 | $108–$135 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $30 | $30 | 2.3× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $93 | $93 | 5.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$86–$174 | $86–$174 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$15–$30 | $15–$30 | varies |
| Electrolyte panel (80051) | $38 | $38 | 5.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $264 | $264 | 21.8× |
| Erythropoietin (82668) | $79 | $79 | 4.2× |
| Estradiol serum (82670) | $36 | $36 | 1.3× |
| Estriol (82677) | $46 | $46 | 1.9× |
| Estrogen total (82672) | $122 | $122 | 5.6× |
| Estrogens fractionated (82671) | $146 | $146 | 4.5× |
| Exam Synovial Fluid Crystals (89060) | $29 | $29 | 4.0× |
| Factor v leiden mutation (81241) | $160 | $160 | 2.2× |
| Fecal Fat Qualitative (82705) | $40 | $40 | 7.8× |
| Ferritin (82728) | $82 | $82 | 6.0× |
| Fibrin Degradation Quant (85379) | $50 | $50 | 4.9× |
| Fibrinogen activity (85384) | $53 | $53 | 5.5× |
| Folic Acid Serum (82746) | $80 | $80 | 5.4× |
| Follicle Stimulating Hormone (83001) | $108 | $108 | 5.8× |
| Fungi Identification Mold (87107) | $249 | $249 | 24.1× |
| Fungi Identification Yeast (87106) | $250 | $250 | 24.2× |
| Gammaglobulin ige (82785) | $21 | $21 | 1.3× |
| Gases blood ph only (82800) | $33 | $33 | 3.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $832 | $832 | 2.0× |
| Genet Virus Isolate Hsv (87255) | $64 | $64 | 1.9× |
| Gentamicin (80170) | $88 | $88 | 5.4× |
| Ggt (82977) | $11 | $11 | 1.5× |
| Giardia antigen (87329) | $30 | $30 | 2.5× |
| Glucose Blood Test (82962) | $18 | $18 | 5.5× |
| Glucose body fluid (82945) | $16 | $16 | 4.1× |
| Glucose Serum (82947) | $22 | $22 | 5.6× |
| Glucose tolerance test (gtt) (82951) | $72 | $72 | 5.6× |
| Gonadotropin Chorionic Qualitative (84703) | $46 | $46 | 6.1× |
| Gtt-added samples (82952) | $40 | $40 | 10.2× |
| Haptoglobin (83010) | $25 | $25 | 2.0× |
| Helicobacter Pylori Stool (87338) | $60 | $60 | 4.2× |
| Hematocrit (85014) | $14 | $14 | 5.9× |
| Hemoglobin (85018) | $14 | $14 | 5.9× |
| Hemoglobin a1c (83036) | $58 | $58 | 6.0× |
| Hemoglobin Chromotography (83021) | $72 | $72 | 4.0× |
| Hep a ab igm (86709) | $46 | $46 | 4.1× |
| Hepatitis a antibody total (86708) | $106 | $106 | 8.6× |
| Hepatitis b core ab igm (86705) | $79 | $79 | 6.7× |
| Hepatitis b core ab total (86704) | $63 | $63 | 5.2× |
| Hepatitis B Surface Antibody (86706) | $60 | $60 | 5.6× |
| Hepatitis B Surface Antigen (87340) | $28 | $28 | 2.7× |
| Hepatitis Be Antibody (86707) | $67 | $67 | 5.8× |
| Hepatitis Be Antigen (87350) | $67 | $67 | 5.8× |
| Hepatitis C Antibody (86803) | $80 | $80 | 5.6× |
| Hepatitis c antibody confirmatory test (86804) | $596 | $596 | 38.5× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $255 | $255 | 7.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $306 | $306 | 7.1× |
| Herpes simplex type 2 (86696) | $96 | $96 | 5.0× |
| Heterophile Antibody Screen (86308) | $32 | $32 | 6.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $146 | $146 | 6.1× |
| Hiv-1 Antibody (86701) | $50 | $50 | 5.6× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $69 | $69 | 0.9× |
| Hla-b27 (86812) | $93 | $93 | 3.6× |
| Homocysteine (83090) | $46 | $46 | 2.6× |
| Hsv Dna Amp Probe (87529) | $96 | $96 | 2.7× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $66 | $66 | 4.7× |
| Iadna Bartonella Amplified Probe Technique (87471) | $529 | $529 | 15.1× |
| Iadna Candida Species Amplified Probe Tq (87481) | $105 | $105 | 3.0× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $199 | $199 | 8.7× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $186 | $186 | 5.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $172 | $172 | 4.9× |
| Ig Light Chains Free Each (83521) | $140 | $140 | 8.1× |
| Immunfix e-phorsis/urine/csf (86335) | $132 | $132 | 4.5× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $30 | $30 | 2.0× |
| Immunoassay nonantibody (83516) | $35 | $35 | 3.0× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $125 | $125 | 5.4× |
| Immunoelectrophoresis Serum (86320) | $125 | $125 | 4.2× |
| Immunofixation electrophoresis (86334) | $178 | $178 | 8.0× |
| Immunohistochemistry (88342) | $56 | $56 | 0.4× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $80 | $80 | 1.1× |
| Influenza assay w/optic (87804) | $25 | $25 | 1.5× |
| Inhibin b (83520) | $280 | $280 | 16.2× |
| Insulin antibodies (86337) | $65 | $65 | 3.0× |
| Insulin total (83525) | $56 | $56 | 4.9× |
| Intrinsic factor antibody (86340) | $45 | $45 | 3.0× |
| Iron (83540) | $38 | $38 | 5.9× |
| Iron Binding Capacity (83550) | $56 | $56 | 6.4× |
| Jak2 gene analysis p.val617phe variant (81270) | $388 | $388 | 4.2× |
| Lactate (ld) (ldh) enzyme (83615) | $32 | $32 | 5.3× |
| Lactoferrin Fecal Quantitative (83631) | $126 | $126 | 6.4× |
| Lead (83655) | $86 | $86 | 7.1× |
| Legionella antigen urine (87449) | $42 | $42 | 3.5× |
| Leukocyte Assessment Fecal (89055) | $14 | $14 | 3.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $50 | $50 | 2.0× |
| Lipase (83690) | $44 | $44 | 6.4× |
| Lipoprotein A (83695) | $60 | $60 | 4.2× |
| Lithium (80178) | $44 | $44 | 6.7× |
| Luteinizing Hormone (Lh) (83002) | $106 | $106 | 5.7× |
| Lyme disease antibody (86618) | $132 | $132 | 7.8× |
| Magnesium Urine (83735) | $32 | $32 | 4.8× |
| Methylmalonic acid serum (83921) | $411 | $411 | 19.4× |
| Microalbumin, quantitative (82043) | $40 | $40 | 6.9× |
| Microsomal Antibodies Each (86376) | $16 | $16 | 1.1× |
| Mitochondrial Antibody Each (86381) | $172 | $172 | 6.8× |
| Mumps antibody (86735) | $33 | $33 | 2.5× |
| Myoglobin urine (83874) | $82 | $82 | 6.3× |
| Natriuretic peptide (83880) | $168 | $168 | 4.3× |
| Neisseria Dir Na Probe (87590) | $199 | $199 | 7.4× |
| Nuclear antigen antibody (86235) range across 4 matching MRF lines |
$79–$264 | $79–$264 | varies |
| Occult Blood Other Sources (82271) | $40 | $40 | 7.5× |
| Osmolality serum (83930) | $28 | $28 | 4.2× |
| Osmolality Urine (83935) | $28 | $28 | 4.1× |
| Ova and parasites smears (87177) | $52 | $52 | 5.8× |
| Oxalate urine (83945) | $185 | $185 | 12.8× |
| Ph urine (81003) | $16 | $16 | 7.1× |
| Phenobarbital Level (80184) | $68 | $68 | 4.4× |
| Phenytoin (Dilantin) (80185) | $76 | $76 | 5.7× |
| Phenytoin free (80186) | $59 | $59 | 4.3× |
| Phosphatase alkaline (84075) | $80 | $80 | 15.4× |
| Phosphorus Serum (84100) | $26 | $26 | 5.5× |
| Phosphorus urine (84105) | $17 | $17 | 2.9× |
| Porphobilinogen, urine; quantitative (84110) | $159 | $159 | 18.8× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $139 | $139 | 9.4× |
| Potassium Urine (84133) | $40 | $40 | 8.5× |
| Prealbumin (84134) | $28 | $28 | 1.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $158 | $158 | 3.1× |
| Procalcitonin (Pct) (84145) | $82 | $82 | 3.0× |
| Progesterone (84144) | $102 | $102 | 4.9× |
| Prolactin (84146) | $118 | $118 | 6.1× |
| Protein body fluid (84157) | $20 | $20 | 5.0× |
| Protein c antigen (85302) | $132 | $132 | 11.0× |
| Protein Electrophoresis Urine (84166) | $33 | $33 | 1.9× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $106 | $106 | 9.9× |
| Protein S Free (85306) range across 2 matching MRF lines |
$132–$212 | $132–$212 | varies |
| Protein total serum (84155) | $34 | $34 | 9.3× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$12–$33 | $12–$33 | varies |
| PSA free (84154) | $159 | $159 | 8.6× |
| Pth Intact (83970) | $278 | $278 | 6.7× |
| Quantiferon tb gold plus (86480) | $150 | $150 | 2.4× |
| Quantitative assay drug (80299) | $108 | $108 | 5.8× |
| Quantitative Screen Metals (83018) | $200 | $200 | 9.1× |
| Rbc antibody elution (86860) | $272 | $272 | 1.9× |
| Rbc antibody identification (86870) | $272 | $272 | 0.9× |
| Rbc antibody screen (86850) | $34 | $34 | 3.5× |
| Rbc pretreatment serum (86978) | $189 | $189 | 3.7× |
| Rbc pretx incubatj w/enzymes (86971) | $200 | $200 | 1.4× |
| Renin activity plasma (84244) | $44 | $44 | 2.0× |
| Reticulocyte Count Manual (85044) | $34 | $34 | 7.9× |
| Rh (86901) | $16 | $16 | 5.4× |
| Rheumatoid Factor Qualitative (86430) | $40 | $40 | 6.5× |
| Rheumatoid factor quant (86431) | $40 | $40 | 7.1× |
| Rickettsia antibody (86757) | $96 | $96 | 5.0× |
| Rotavirus ag eia (87425) | $106 | $106 | 8.8× |
| Rpr qualitative (86592) | $14 | $14 | 3.3× |
| Rsv Assay W/Optic (87807) | $53 | $53 | 4.0× |
| Rubella Antibody (86762) | $42 | $42 | 2.9× |
| Rubeola antibody (86765) | $90 | $90 | 7.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $116 | $116 | 2.3× |
| Sars-cov-2 COVID-19 antibody (86769) | $126 | $126 | 3.0× |
| Sedimentation rate (85651) | $22 | $22 | 5.2× |
| Sensitivity mic (87186) | $44 | $44 | 5.1× |
| Sex Hormone Binding Globulin (84270) | $32 | $32 | 1.5× |
| Sickling of rbc reduction (85660) | $30 | $30 | 5.4× |
| Skin test tuberculosis intradermal (86580) | $31 | $31 | 1.2× |
| Smear acid fast (87206) | $22 | $22 | 4.1× |
| Smear gram stain (87205) | $20 | $20 | 4.7× |
| Smear Special Stain (87207) | $43 | $43 | 7.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $22 | $22 | 3.8× |
| Sodium Serum (84295) | $22 | $22 | 4.6× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$10–$41 | $10–$41 | varies |
| Somatomedin (84305) | $278 | $278 | 13.1× |
| Special Stains Group 1 (88312) | $176 | $176 | 3.9× |
| Special Stains Group 2 (88313) | $120 | $120 | 1.0× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $95 | $95 | 0.6× |
| Stone Analysis (82355) | $67 | $67 | 5.8× |
| Stool cultr aerobic bact ea (87046) | $85 | $85 | 9.0× |
| Strep a assay w/optic (87880) | $66 | $66 | 4.0× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $22 | $22 | 4.0× |
| Surg path level iii (88304) | $167 | $167 | 3.7× |
| Surgical pathology level IV (88305) | $61 | $61 | 1.4× |
| Syphilis Test Non-Trep Quant (86593) | $40 | $40 | 9.1× |
| T3 Free (84481) | $104 | $104 | 6.1× |
| T3 reverse (84482) | $152 | $152 | 9.6× |
| T3 Total (84480) | $82 | $82 | 5.8× |
| T3 Uptake (84479) | $40 | $40 | 6.2× |
| T4 Free (84439) | $50 | $50 | 5.5× |
| T4 total (84436) | $93 | $93 | 13.5× |
| Tacrolimus (80197) | $231 | $231 | 16.8× |
| Test for acetone/ketones (82009) | $22 | $22 | 4.9× |
| Testosterone total (84403) | $140 | $140 | 5.4× |
| Testosterone, Free (84402) | $144 | $144 | 5.7× |
| Theophylline (80198) | $79 | $79 | 5.6× |
| Thyroglobulin Antibody (86800) | $54 | $54 | 3.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 4 matching MRF lines |
$38–$43 | $38–$43 | varies |
| Tobramycin peak (80200) | $86 | $86 | 5.3× |
| Topiramate (80201) | $75 | $75 | 6.3× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $82 | $82 | 4.2× |
| Toxoplasma ab igm (86778) | $79 | $79 | 5.5× |
| Toxoplasma antibody (86777) | $105 | $105 | 7.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $30 | $30 | 5.8× |
| Transferrin (84466) | $185 | $185 | 14.5× |
| Triglycerides (84478) | $30 | $30 | 5.2× |
| Troponin Quant (84484) | $58 | $58 | 4.7× |
| Uric acid other source (84560) | $27 | $27 | 5.3× |
| Urine Pregnancy Test (81025) | $28 | $28 | 3.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $20 | $20 | 6.3× |
| Valproic acid (80164) | $86 | $86 | 6.4× |
| Vancomycin (80202) | $79 | $79 | 5.8× |
| Varicella-zoster antibody (86787) | $82 | $82 | 6.4× |
| Virus antibody nos (86790) | $78 | $78 | 6.1× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$80–$344 | $80–$344 | varies |
| Vitamin A (84590) | $40 | $40 | 3.4× |
| Vitamin b-12 (82607) | $90 | $90 | 6.0× |
| Vitamin B6 (84207) | $67 | $67 | 2.4× |
| Vitamin c (82180) | $39 | $39 | 3.9× |
| Vitamin D 25-Hydroxy (82306) | $170 | $170 | 5.7× |
| Vitamin E (84446) | $38 | $38 | 2.7× |
| Vitamin K (84597) | $504 | $504 | 36.7× |
| West Nile Virus Antibody (86789) | $84 | $84 | 5.8× |
| Zinc (84630) | $12 | $12 | 1.1× |
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.