Lab & pathology prices at Golden Plains Community Hospital
Borger, TX · every code in this section with a posted price and a Medicare benchmark.
363 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $85.40 | $122 | 7.7× |
| Acth (82024) | $399 | $570 | 10.3× |
| Acute hepatitis panel (80074) | $226.10 | $323 | 4.7× |
| Acylcarnitines Quant (82017) | $212.10 | $303 | 12.6× |
| Albumin serum (82040) | $151.20 | $216 | 30.5× |
| Aldolase (82085) | $80.50 | $115 | 8.3× |
| Aldosterone urine (82088) | $151.20 | $216 | 3.7× |
| Alkaline phosphatase isoenzymes (84080) | $77 | $110 | 5.2× |
| Allergen specific ige (86003) range across 73 matching MRF lines |
$15.99–$32.90 | $22.84–$47 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $151.20 | $216 | 10.5× |
| Alpha-1-antitrypsin total (82103) | $89.60 | $128 | 6.7× |
| Alpha-Fetoprotein Serum (82105) | $172.90 | $247 | 10.3× |
| Alt (sgpt) (84460) | $66.50 | $95 | 12.5× |
| Ammonia (82140) range across 2 matching MRF lines |
$56–$149.80 | $80–$214 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $200.20 | $286 | 2.0× |
| Amylase urine (82150) | $221.20 | $316 | 34.1× |
| Ana Titer (86039) | $10.09 | $14.41 | 0.9× |
| Anca screen each antibody (86036) | $123.90 | $177 | 10.3× |
| Androstenedione (82157) | $236.60 | $338 | 8.1× |
| Angiotensin converting enzyme csf (82164) | $125.30 | $179 | 8.6× |
| Antibody aspergillus (86606) | $30.10 | $43 | 2.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $77.70 | $111 | 5.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $92.40 | $132 | 5.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $86.10 | $123 | 4.7× |
| Antibody helicobacter pylori (86677) | $202.30 | $289 | 12.0× |
| Antibody Herpes Smplx Type 1 (86695) | $109.20 | $156 | 8.3× |
| Antibody HIV-1&HIV-2 single result (86703) | $65.10 | $93 | 4.7× |
| Antibody identification leukocyte antibodies (86021) range across 4 matching MRF lines |
$72.80–$172.90 | $104–$247 | varies |
| Antibody Titer (86886) | $134.40 | $192 | 25.9× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$91–$151.20 | $130–$216 | varies |
| Antibody yersinia (86793) | $131.60 | $188 | 10.0× |
| Antigen typing (86905) range across 2 matching MRF lines |
$54.60–$102.90 | $78–$147 | varies |
| Antinuclear antibodies (86038) | $121.10 | $173 | 10.0× |
| Antithrombin iii activity (85300) | $667.10 | $953 | 56.3× |
| Antithrombin iii antigen (85301) | $240.80 | $344 | 22.3× |
| Apolipoprotein a1 (82172) | $60.20 | $86 | 2.9× |
| Aquaporin-4 Antb Cba Each (86052) | $605.37 | $864.81 | 50.2× |
| Assay Blood Carbon Dioxide (82374) | $51.80 | $74 | 10.6× |
| Assay of 5-hiaa (83497) | $128.10 | $183 | 9.9× |
| Assay of blood/uric acid (84550) | $144.20 | $206 | 31.9× |
| Assay of calcium in urine (82340) | $28 | $40 | 4.6× |
| Assay of cpk in blood (82552) | $142.10 | $203 | 10.6× |
| Assay of g6pd enzyme (82955) | $99.40 | $142 | 10.2× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$89.60–$102.90 | $128–$147 | varies |
| Assay of lactic acid (83605) | $191.10 | $273 | 16.5× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$142.10–$244.30 | $203–$349 | varies |
| Assay of proinsulin (84206) | $182 | $260 | 6.8× |
| Assay of serotonin (84260) | $358.40 | $512 | 11.6× |
| Assay of serum potassium (84132) | $60.20 | $86 | 12.6× |
| Assay of urea nitrogen (84520) | $176.40 | $252 | 44.7× |
| Assay of vitamin b-1 (84425) range across 3 matching MRF lines |
$11.35–$206.50 | $16.22–$295 | varies |
| Assay Ph Body Fluid Nos (83986) | $44.80 | $64 | 12.5× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$93.80–$123.90 | $134–$177 | varies |
| Bilirubin direct (82248) | $23.10 | $33 | 4.6× |
| Bilirubin total (82247) | $105.70 | $151 | 21.1× |
| Blastomyces antibody (86612) | $93.80 | $134 | 7.3× |
| Blood Count Manual Cell Count Each (85032) | $28 | $40 | 6.5× |
| Blood count reticulocyte automated (85045) | $60.20 | $86 | 15.1× |
| Blood gas (82803) range across 4 matching MRF lines |
$198.10–$366.80 | $283–$524 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $31.59 | $45.13 | 7.2× |
| Blood typing serologic abo (86900) | $60.20 | $86 | 20.1× |
| Brca1&2 gen full seq dup/del (81162) | $2,242.80 | $3,204 | 1.2× |
| C-Peptide (84681) | $172.20 | $246 | 8.3× |
| C-reactive protein (86140) | $65.80 | $94 | 12.7× |
| Ca 19-9 (86301) | $252 | $360 | 12.1× |
| Calcitonin (82308) | $191.10 | $273 | 7.1× |
| Calcium ionized (82330) | $65.10 | $93 | 4.8× |
| Calcium total (82310) | $60.90 | $87 | 11.8× |
| Calculus Spectroscopy (82365) | $114.80 | $164 | 8.9× |
| Calprotectin Fecal (83993) | $293.30 | $419 | 14.9× |
| Cancer Antigen 125 (86304) | $182.70 | $261 | 8.8× |
| Candida antibody (86628) | $52.50 | $75 | 4.4× |
| Carbamazepine total (80156) | $282.10 | $403 | 19.4× |
| Carboxyhemoglobin (82375) | $168 | $240 | 13.6× |
| Carcinoembryonic antigen (82378) | $197.40 | $282 | 10.4× |
| Cardiolipin ab iga (86147) | $155.40 | $222 | 6.1× |
| Ccp antibody (86200) | $122.50 | $175 | 9.5× |
| Ceruloplasmin (82390) | $88.90 | $127 | 8.3× |
| Chemiluminescent assay (82397) | $165.90 | $237 | 11.7× |
| Chloride Serum (82435) | $37.80 | $54 | 8.2× |
| Cholesterol total (82465) | $141.40 | $202 | 32.5× |
| Chorionic gonadotropin test (84702) | $428.40 | $612 | 28.5× |
| Chromosome Analysis 15-20 (88262) | $785.40 | $1,122 | 6.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$43.75–$109.20 | $62.50–$156 | varies |
| Ckmb (82553) | $144.20 | $206 | 12.5× |
| Clostridium Difficile (87324) | $109.20 | $156 | 9.1× |
| Coccidioides antibody (86635) | $58.10 | $83 | 5.1× |
| Cold agglutinin screen (86156) | $121.80 | $174 | 15.1× |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$89.60–$108.50 | $128–$155 | varies |
| Compatibility test antiglob (86922) | $299.60 | $428 | 1.8× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$187.60–$235.20 | $268–$336 | varies |
| Complement Total (Ch50) (86162) | $111.30 | $159 | 5.5× |
| Coombs direct (86880) | $310.10 | $443 | 57.5× |
| Copper urine (82525) | $103.60 | $148 | 8.3× |
| Cortisol free (82530) range across 3 matching MRF lines |
$14.87–$154 | $21.24–$220 | varies |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$49.70–$286.30 | $71–$409 | varies |
| Creatine kinase total (82550) | $99.40 | $142 | 15.3× |
| Creatinine blood (82565) | $201.60 | $288 | 39.4× |
| Creatinine clearance (82575) | $91.70 | $131 | 9.7× |
| Creatinine Urine (82570) range across 8 matching MRF lines |
$70.70–$88.90 | $101–$127 | varies |
| Crp High Sensitivity (86141) | $149.80 | $214 | 11.6× |
| Cryoglobulin (82595) | $65.80 | $94 | 10.2× |
| Cryptococcus ag titer (87899) | $101.92 | $145.60 | 6.3× |
| Cryptosporidium ag eia (87328) | $105.70 | $151 | 7.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $88.20 | $126 | 10.9× |
| Culture blood (87040) | $212.10 | $303 | 20.6× |
| Culture csf (87070) range across 10 matching MRF lines |
$130.90–$134.40 | $187–$192 | varies |
| Culture screen only (87081) range across 2 matching MRF lines |
$88.90–$109.20 | $127–$156 | varies |
| Culture stool (87045) | $130.90 | $187 | 13.9× |
| Culture urine (87086) | $104.30 | $149 | 12.9× |
| Cyclosporine (80158) | $186.90 | $267 | 10.4× |
| Cystatin C (82610) | $132.30 | $189 | 7.1× |
| Cytomegalovirus igg (86644) | $119 | $170 | 8.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $289.80 | $414 | 5.5× |
| Detect Agent Nos Dna Amp (87798) | $255.73 | $365.33 | 7.3× |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$204.40–$299.51 | $292–$427.87 | varies |
| Dhea-S (82627) | $184.10 | $263 | 8.3× |
| Digoxin (80162) | $121.10 | $173 | 9.1× |
| Diphtheria antitoxoid (86648) | $121.10 | $173 | 8.0× |
| Dna Antibody Native/Double Stranded (86225) | $114.80 | $164 | 8.4× |
| Drug Assay Everolimus (80169) | $410.20 | $586 | 29.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $102.90 | $147 | 7.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $114.80 | $164 | 8.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$92.86–$295.40 | $132.66–$422 | varies |
| Drug Test Prsmv Instrmnt (80306) | $234.50 | $335 | 13.7× |
| Electrolyte panel (80051) | $65.80 | $94 | 9.4× |
| Erythropoietin (82668) | $88.90 | $127 | 4.7× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$210.70–$244.30 | $301–$349 | varies |
| Estrogen total (82672) | $85.40 | $122 | 3.9× |
| Ethosuximide (80168) | $128.80 | $184 | 7.9× |
| F2 Gene (81240) | $192.50 | $275 | 2.9× |
| Factor ix activity (85250) | $226.10 | $323 | 11.9× |
| Factor v activity (85220) | $224 | $320 | 12.7× |
| Factor v leiden mutation (81241) | $246.40 | $352 | 3.4× |
| Factor viii assay (85240) | $226.10 | $323 | 12.6× |
| Factor xi activity (85270) | $175.70 | $251 | 9.8× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $179.20 | $256 | 10.4× |
| Fecal Fat Qualitative (82705) | $23.10 | $33 | 4.5× |
| Ferritin (82728) | $102.90 | $147 | 7.5× |
| Fetal screen rosette (85461) | $120.40 | $172 | 12.9× |
| Fibrin degradation products (85362) | $56.70 | $81 | 8.2× |
| Fibrin Degradation Quant (85379) | $95.90 | $137 | 9.4× |
| Fibrinogen activity (85384) | $189 | $270 | 19.4× |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$75.25–$247.72 | $107.50–$353.88 | varies |
| Folic acid rbc (82747) | $170.80 | $244 | 9.7× |
| Folic Acid Serum (82746) | $104.30 | $149 | 7.1× |
| Follicle Stimulating Hormone (83001) range across 3 matching MRF lines |
$118.01–$129.50 | $168.58–$185 | varies |
| Fungi Identification Yeast (87106) | $85.40 | $122 | 8.3× |
| Gammaglobulin ige (82785) | $135.80 | $194 | 8.3× |
| Gastrin (82941) | $93.80 | $134 | 5.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,157.80 | $1,654 | 2.8× |
| Genet Virus Isolate Hsv (87255) | $220.50 | $315 | 6.5× |
| Gentamicin (80170) | $135.80 | $194 | 8.3× |
| Ggt (82977) | $182.70 | $261 | 25.4× |
| Giardia antigen (87329) | $77 | $110 | 6.4× |
| Glucagon (82943) | $149.10 | $213 | 10.4× |
| Glucose 2 hr pp (82950) | $71.40 | $102 | 15.0× |
| Glucose body fluid (82945) | $167.30 | $239 | 42.6× |
| Glucose Serum (82947) range across 3 matching MRF lines |
$63.70–$68.60 | $91–$98 | varies |
| Glucose tolerance test (gtt) (82951) | $107.10 | $153 | 8.3× |
| Gonadotropin Chorionic Qualitative (84703) | $79.10 | $113 | 10.5× |
| Growth hormone (83003) | $137.20 | $196 | 8.2× |
| Gtt-added samples (82952) | $32.20 | $46 | 8.2× |
| H Pylori (C-13) Breath (83013) | $264.60 | $378 | 3.9× |
| Haptoglobin (83010) | $131.60 | $188 | 10.5× |
| Hdl Cholesterol (83718) | $79.80 | $114 | 9.7× |
| Helicobacter Pylori Stool (87338) | $172.90 | $247 | 12.0× |
| Helminth Antibody (86682) range across 3 matching MRF lines |
$161.54–$1,929.20 | $230.77–$2,756 | varies |
| Hematocrit (85014) range across 2 matching MRF lines |
$9.10–$30.80 | $13–$44 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$11.20–$28 | $16–$40 | varies |
| Hemoglobin a1c (83036) | $80.50 | $115 | 8.3× |
| Hemoglobin electrophoresis (83020) | $107.10 | $153 | 8.3× |
| Hep a ab igm (86709) | $58.80 | $84 | 5.2× |
| Hepatitis a antibody total (86708) | $103.60 | $148 | 8.4× |
| Hepatitis b core ab igm (86705) | $131.60 | $188 | 11.2× |
| Hepatitis b core ab total (86704) | $83.30 | $119 | 6.9× |
| Hepatitis B Surface Antibody (86706) | $88.90 | $127 | 8.3× |
| Hepatitis B Surface Antigen (87340) | $85.40 | $122 | 8.3× |
| Hepatitis Be Antigen (87350) | $86.10 | $123 | 7.5× |
| Hepatitis C Antibody (86803) | $147.70 | $211 | 10.4× |
| Hepatitis C Genotype (87902) | $1,225.70 | $1,751 | 4.8× |
| Hepatitis C Revrs Trnscrpj (87522) | $552.30 | $789 | 12.9× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $2,394.70 | $3,421 | 1.8× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$158.90–$217.98 | $227–$311.40 | varies |
| Heterophile Antibody Screen (86308) | $68.60 | $98 | 13.2× |
| Hfe Gene (81256) | $506.10 | $723 | 7.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $107.80 | $154 | 13.9× |
| Histoplasma antibody (86698) | $95.20 | $136 | 6.9× |
| Histoplasma antigen urine (87385) | $130.20 | $186 | 9.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $103.60 | $148 | 4.3× |
| Hiv-1 Antibody (86701) | $70.70 | $101 | 8.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $404.60 | $578 | 4.8× |
| Hla-b27 (86812) | $213.50 | $305 | 8.3× |
| Homocysteine (83090) | $161.70 | $231 | 9.0× |
| Hydroxyprogesterone 17-d (83498) | $158.20 | $226 | 5.8× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $88.90 | $127 | 8.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $102.90 | $147 | 7.4× |
| Iaad ia shiga-like toxin (87427) | $62.30 | $89 | 5.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $197.40 | $282 | 5.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $108.50 | $155 | 3.1× |
| Ig Light Chains Free Each (83521) | $282.10 | $403 | 16.3× |
| Immunfix e-phorsis/urine/csf (86335) | $179.20 | $256 | 6.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$74.94–$245 | $107.06–$350 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$3.28–$566.30 | $4.69–$809 | varies |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$88.38–$124.60 | $126.25–$178 | varies |
| Immunofixation electrophoresis (86334) | $188.30 | $269 | 8.4× |
| Immunohistochemistry (88342) | $160.30 | $229 | 0.9× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$43.88–$81.20 | $62.68–$116 | varies |
| Inhibin b (83520) range across 9 matching MRF lines |
$21.50–$222.60 | $30.72–$318 | varies |
| Insulin antibodies (86337) | $205.80 | $294 | 9.6× |
| Insulin total (83525) | $95.20 | $136 | 8.3× |
| Iron (83540) | $66.50 | $95 | 10.3× |
| Iron Binding Capacity (83550) | $84 | $120 | 9.6× |
| Islet cell antibody (86341) | $186.90 | $267 | 7.9× |
| Jak2 gene analysis p.val617phe variant (81270) | $545.30 | $779 | 5.9× |
| Lactate (ld) (ldh) enzyme (83615) | $87.50 | $125 | 14.5× |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
$86.10–$92.40 | $123–$132 | varies |
| LDL direct (83721) | $44.80 | $64 | 4.3× |
| Lead (83655) | $95.20 | $136 | 7.9× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$39.91–$161.70 | $57.01–$231 | varies |
| Leukocyte Histamine Release (86343) | $208.60 | $298 | 16.7× |
| Level I Surg Pathology Gross Examination Only (88300) range across 3 matching MRF lines |
$65.10–$481.60 | $93–$688 | varies |
| Level ii surg pathology grossµscopic exam (88302) | $146.30 | $209 | 3.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $486.50 | $695 | 1.4× |
| Lipase (83690) | $205.10 | $293 | 29.8× |
| Lipoprotein A (83695) | $128.80 | $184 | 9.0× |
| Lithium (80178) | $65.80 | $94 | 10.0× |
| Liver ds alys 3 bmrk srm alg (81517) | $308 | $440 | 1.7× |
| Luteinizing Hormone (Lh) (83002) | $151.20 | $216 | 8.2× |
| Lysozyme serum (85549) | $117.60 | $168 | 6.3× |
| Macroscopic Exam Parasite (87169) | $65.80 | $94 | 15.3× |
| Magnesium Urine (83735) | $166.60 | $238 | 24.9× |
| Methylmalonic acid serum (83921) | $261.80 | $374 | 12.3× |
| Microalbumin, quantitative (82043) | $70.70 | $101 | 12.2× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$100.10–$106.40 | $143–$152 | varies |
| Mitochondrial Antibody Each (86381) range across 2 matching MRF lines |
$98.18–$103.59 | $140.26–$147.99 | varies |
| Mog-Igg1 Antb Cba Each (86362) | $605.37 | $864.81 | 50.2× |
| Molecular Pathology Procedure Level 3 (81402) | $487.90 | $697 | 3.2× |
| Mopath procedure level 4 (81403) | $481.60 | $688 | 2.6× |
| Mthfr Gene Analysis Common Variants (81291) | $317.10 | $453 | 4.9× |
| Mumps antibody (86735) | $144.20 | $206 | 11.0× |
| Myoglobin urine (83874) | $134.40 | $192 | 10.4× |
| Natriuretic peptide (83880) | $217.70 | $311 | 5.5× |
| Neutralization Test Viral (86382) | $95.20 | $136 | 5.6× |
| Nfct ds chrnc hcv 6 assays (81596) | $424.20 | $606 | 5.9× |
| Nuclear antigen antibody (86235) range across 9 matching MRF lines |
$73.50–$107.80 | $105–$154 | varies |
| Occult blood feces (82272) | $15.40 | $22 | 3.6× |
| Occult Blood Other Sources (82271) | $114.80 | $164 | 21.6× |
| Osmolality serum (83930) | $164.50 | $235 | 24.9× |
| Osmolality Urine (83935) | $98 | $140 | 14.4× |
| Ova and parasites smears (87177) | $228.90 | $327 | 25.7× |
| Particle Agglutination Screen Each Antibody (86403) | $122.50 | $175 | 10.6× |
| Parvovirus antibody (86747) | $112.70 | $161 | 7.5× |
| Phenobarbital Level (80184) | $114.10 | $163 | 7.5× |
| Phenylalanine (84030) | $62.30 | $89 | 11.3× |
| Phenytoin (Dilantin) (80185) | $340.90 | $487 | 25.7× |
| Phosphatase alkaline (84075) | $44.80 | $64 | 8.6× |
| Phosphorus Serum (84100) | $39.90 | $57 | 8.4× |
| Phosphorus urine (84105) | $56 | $80 | 9.7× |
| Platelet Antibodies (86022) | $506.10 | $723 | 27.6× |
| Platelet count automated (85049) | $46.20 | $66 | 10.3× |
| Potassium Urine (84133) | $56 | $80 | 11.8× |
| Prealbumin (84134) | $102.90 | $147 | 7.1× |
| Primidone (80188) | $107.10 | $153 | 6.5× |
| Procalcitonin (Pct) (84145) | $331.80 | $474 | 12.2× |
| Progesterone (84144) | $172.20 | $246 | 8.3× |
| Prolactin (84146) | $301.70 | $431 | 15.6× |
| Protein body fluid (84157) | $240.80 | $344 | 60.2× |
| Protein C Activity (85303) | $232.40 | $332 | 16.8× |
| Protein Electrophoresis Urine (84166) | $144.20 | $206 | 8.1× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $346.50 | $495 | 32.3× |
| Protein S Free (85306) | $270.20 | $386 | 17.6× |
| Protein total serum (84155) | $77.70 | $111 | 21.2× |
| Protein Total Urine (84156) range across 6 matching MRF lines |
$16.10–$31.50 | $23–$45 | varies |
| Protoporphyrin rbc quantitative (84202) range across 2 matching MRF lines |
$96.60–$149.10 | $138–$213 | varies |
| PSA free (84154) range across 2 matching MRF lines |
$9.10–$87.50 | $13–$125 | varies |
| Pth Intact (83970) | $209.30 | $299 | 5.1× |
| Quantiferon tb gold plus (86480) | $328.30 | $469 | 5.3× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$88.38–$121.10 | $126.25–$173 | varies |
| Rbc antibody elution (86860) | $446.60 | $638 | 2.6× |
| Rbc antibody identification (86870) | $445.20 | $636 | 1.2× |
| Rbc antibody screen (86850) | $95.90 | $137 | 9.8× |
| Reagent Strip/Blood Glucose (82948) | $35.70 | $51 | 7.1× |
| Renin activity plasma (84244) | $366.80 | $524 | 16.7× |
| Resp virus 12-25 targets (87633) | $1,116.50 | $1,595 | 2.7× |
| Rh (86901) | $69.30 | $99 | 23.2× |
| Rheumatoid factor quant (86431) | $46.90 | $67 | 8.3× |
| Ristocetin cofactor (85245) | $168.70 | $241 | 7.4× |
| Rpr qualitative (86592) | $47.60 | $68 | 11.1× |
| Rsv Assay W/Optic (87807) | $50.02 | $71.45 | 3.8× |
| Rubella Antibody (86762) | $119 | $170 | 8.3× |
| Rubeola antibody (86765) | $107.10 | $153 | 8.3× |
| Russell Viper Venom Time Diluted (85613) | $129.50 | $185 | 13.5× |
| Sars-cov-2 COVID-19 antibody (86769) range across 4 matching MRF lines |
$102.90–$201.60 | $147–$288 | varies |
| Sedimentation rate (85651) | $128.10 | $183 | 30.0× |
| Selenium (84255) | $155.40 | $222 | 6.1× |
| Sensitivity mic (87186) | $137.90 | $197 | 15.9× |
| Sex Hormone Binding Globulin (84270) | $218.40 | $312 | 10.1× |
| Sickling of rbc reduction (85660) | $58.10 | $83 | 10.5× |
| Silica (84285) | $119 | $170 | 4.7× |
| Sirolimus (80195) | $193.90 | $277 | 14.1× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$9.10–$38.27 | $13–$54.67 | varies |
| Smear gram stain (87205) | $45.50 | $65 | 10.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$21.70–$120.40 | $31–$172 | varies |
| Sodium Serum (84295) | $45.50 | $65 | 9.5× |
| Sodium Urine (84300) range across 5 matching MRF lines |
$57.40–$107.80 | $82–$154 | varies |
| Somatomedin (84305) | $207.90 | $297 | 9.8× |
| Special Stains Group 1 (88312) | $154 | $220 | 2.9× |
| Special Stains Group 2 (88313) | $207.90 | $297 | 1.6× |
| Stool cultr aerobic bact ea (87046) | $69.30 | $99 | 7.3× |
| Strep a assay w/optic (87880) | $51.88 | $74.12 | 3.1× |
| Strep a DNA amp probe (87651) | $93.80 | $134 | 2.7× |
| Sugars Single Qual (84376) | $88.90 | $127 | 16.2× |
| Surg path level iii (88304) | $252 | $360 | 4.8× |
| Surgical pathology level IV (88305) | $523.60 | $748 | 10.0× |
| Surgical pathology level vi (88309) | $1,873.90 | $2,677 | 2.3× |
| T cells absolute cd4 count (86361) | $126 | $180 | 4.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$289.10–$354.90 | $413–$507 | varies |
| T cells total count (86359) | $114.80 | $164 | 3.0× |
| T3 Free (84481) | $80.50 | $115 | 4.8× |
| T3 reverse (84482) | $269.50 | $385 | 17.1× |
| T3 Total (84480) | $110.60 | $158 | 7.8× |
| T3 Uptake (84479) | $312.90 | $447 | 48.4× |
| T4 Free (84439) range across 3 matching MRF lines |
$102.20–$135.80 | $146–$194 | varies |
| T4 total (84436) | $140.70 | $201 | 20.5× |
| Tacrolimus (80197) | $198.10 | $283 | 14.4× |
| Tb ag response t-cell susp (86481) | $258.30 | $369 | 2.6× |
| Test for acetone/ketones (82009) | $37.10 | $53 | 8.2× |
| Testosterone total (84403) range across 3 matching MRF lines |
$242.90–$293.30 | $347–$419 | varies |
| Testosterone, Free (84402) | $401.80 | $574 | 15.8× |
| Tetanus antibody (86774) | $111.30 | $159 | 7.5× |
| Thyroglobulin (84432) | $189 | $270 | 11.8× |
| Thyroglobulin Antibody (86800) | $113.40 | $162 | 7.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $417.20 | $596 | 8.2× |
| Thyroxine binding globulin (84442) | $95.20 | $136 | 6.4× |
| Tissue Culture Lymphocyte (88230) | $297.50 | $425 | 2.6× |
| Topiramate (80201) | $77.70 | $111 | 6.5× |
| Toxoplasma ab igm (86778) | $119 | $170 | 8.3× |
| Toxoplasma antibody (86777) | $119 | $170 | 8.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $62.30 | $89 | 12.0× |
| Transferrin (84466) | $131.60 | $188 | 10.3× |
| Triglycerides (84478) | $126 | $180 | 22.0× |
| Troponin Quant (84484) | $103.60 | $148 | 8.3× |
| Urea nitrogen urine (84540) | $43.25 | $61.78 | 7.8× |
| Uric acid other source (84560) | $51.10 | $73 | 10.1× |
| Urinalysis Volume Measure (81050) | $30.80 | $44 | 8.5× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$43.44–$158.90 | $62.05–$227 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $45.50 | $65 | 14.4× |
| Valproic acid (80164) | $167.30 | $239 | 12.4× |
| Vancomycin (80202) range across 4 matching MRF lines |
$173.60–$175 | $248–$250 | varies |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$69.30–$89.60 | $99–$128 | varies |
| Viral Culture (87252) | $196.70 | $281 | 7.5× |
| Vit D 1 25-Dihydroxy (82652) | $396.90 | $567 | 10.3× |
| Vitamin A (84590) | $130.90 | $187 | 11.3× |
| Vitamin b-12 (82607) | $116.20 | $166 | 7.7× |
| Vitamin B6 (84207) | $231 | $330 | 8.2× |
| Vitamin c (82180) | $78.40 | $112 | 7.9× |
| Vitamin D 25-Hydroxy (82306) | $244.24 | $348.92 | 8.3× |
| Vitamin E (84446) | $159.60 | $228 | 11.3× |
| Vitamin K (84597) | $226.10 | $323 | 16.5× |
| Volatiles (84600) | $105.70 | $151 | 6.2× |
| Von willebrand factor ag (85246) | $214.90 | $307 | 9.4× |
| Zinc (84630) range across 3 matching MRF lines |
$7.82–$74.90 | $11.17–$107 | 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.