Lab & pathology prices at Grisell Memorial Hospital

Ransom, KS · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $44.74 $47.09 2.4×
Acetylcholine receptor blocking antibody (86042) $44.74 $47.09 2.4×
Acetylcholn Rcptr Modlg Antb (86043) $29.30 $30.84 2.4×
Acth (82024) $258.46 $272.06 6.7×
Actin smooth muscle antibody each (86015) $60.98 $64.19 5.1×
Acute hepatitis panel (80074) $295.21 $310.75 6.2×
Afp-l3 fraction isoform & total afp w/ratio (82107) $179.20 $188.63 2.8×
Albumin serum (82040) $26.09 $27.46 5.3×
Aldolase (82085) $58.09 $61.15 6.0×
Aldosterone urine (82088) $269.14 $283.30 6.6×
Allergen specific ige (86003)
range across 2 matching MRF lines
$35.34–$36.76 $37.20–$38.69 varies
Allergen specific igg (86001) $85.37 $89.86 10.9×
Allg Spec Ige Recomb Ea (86008) $13.68 $14.40 0.8×
Alpha-1-antitrypsin total (82103) $117.37 $123.55 8.7×
Alpha-Fetoprotein Serum (82105) $123.30 $129.79 7.4×
Alt (sgpt) (84460) $26.09 $27.46 4.9×
Ammonia (82140) $109.08 $114.82 7.5×
Amylase urine (82150) $56.91 $59.90 8.8×
Ana Titer (86039) $99.59 $104.83 8.9×
Anca screen each antibody (86036) $118.56 $124.80 9.8×
Angiotensin converting enzyme csf (82164) $78.25 $82.37 5.4×
Antibody aspergillus (86606) $118.56 $124.80 7.9×
Antibody Bacterium Not Elsewhere Specified (86609) $114 $120 8.9×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $177.84 $187.20 11.5×
Antibody Cytomegalovirus Cmv Igm (86645) $159.60 $168 9.5×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $138.32 $145.60 10.5×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $143.46 $151.01 9.4×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 2 matching MRF lines
$136.80–$142.27 $144–$149.76 varies
Antibody Fungus Not Elsewhere Specified (86671)
range across 2 matching MRF lines
$71.82–$74.69 $75.60–$78.62 varies
Antibody helicobacter pylori (86677) $84.18 $88.61 5.0×
Antibody Herpes Smplx Type 1 (86695) $148.20 $156 11.2×
Antibody HIV-1&HIV-2 single result (86703) $86.55 $91.10 6.3×
Antibody identification leukocyte antibodies (86021) $60.47 $63.65 4.0×
Antibody Titer (86886) $57 $60 11.0×
Antibody Treponema Pallidum (86780) $124.49 $131.04 9.4×
Antigen typing (86905)
range across 2 matching MRF lines
$60.42–$62.83 $63.60–$66.14 varies
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$95.76–$99.59 $100.80–$104.83 varies
Antistreptolysin o titer (86060) $78.25 $82.37 10.7×
Antithrombin iii activity (85300) $250.80 $264 21.2×
Antithrombin iii antigen (85301) $260.83 $274.56 24.1×
Apolipoprotein a1 (82172) $40.70 $42.84 1.9×
Aspergillus ag eia (87305) $77.35 $81.42 6.5×
Assay Blood Carbon Dioxide (82374) $26.09 $27.46 5.3×
Assay Nephelometry Not Spec (83883)
range across 2 matching MRF lines
$74.10–$77.06 $78–$81.12 varies
Assay of 5-hiaa (83497) $111.44 $117.31 8.6×
Assay of blood/uric acid (84550) $34.38 $36.19 7.6×
Assay of calcium in urine (82340) $52.16 $54.91 8.7×
Assay of g6pd enzyme (82955) $136.80 $144 14.1×
Assay of gammaglobulin igm (82784)
range across 2 matching MRF lines
$110.58–$115.01 $116.40–$121.06 varies
Assay of lactic acid (83605) $113.82 $119.81 9.8×
Assay of metanephrines (83835) $151.75 $159.74 9.0×
Assay of serotonin (84260) $296.40 $312 9.6×
Assay of serum potassium (84132) $26.09 $27.46 5.5×
Assay of urea nitrogen (84520) $26.09 $27.46 6.6×
Assay of urine vma (84585) $141.08 $148.51 9.1×
Assay of vitamin b-1 (84425) $149.39 $157.25 7.0×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$41.50–$103.74 $43.68–$109.20 varies
Assay spec xcp ur&breath ia (82077) $4.79 $5.04 0.3×
Asy carbamazepin 10,11-epxid (80161) $212.22 $223.39 11.4×
Automated Leukocyte Count (85048) $15.41 $16.22 6.1×
Beta 2 glycoprotein i antibody each (86146) $228 $240 9.0×
Beta Lactamase (87185) $45.60 $48 9.6×
Beta-2 Microglobulin (82232) $88.92 $93.60 5.5×
Bilirubin direct (82248) $47.42 $49.92 9.4×
Bilirubin total (82247) $47.42 $49.92 9.4×
Bl Smear W/O Diff Wbc Count (85008) $10.43 $10.98 3.0×
Blastomyces antibody (86612)
range across 2 matching MRF lines
$32.55–$33.85 $34.26–$35.63 varies
Blood Count Automated Differential Wbc Count (85004) $39.90 $42 6.2×
Blood Count Red Blood Cell Automated (85041) $19.38 $20.40 6.4×
Blood count reticulocyte automated (85045) $186.14 $195.94 46.7×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 2 matching MRF lines
$18.24–$18.97 $19.20–$19.97 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 2 matching MRF lines
$36.10–$45.49 $38–$47.88 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $21.34 $22.46 4.9×
Blood Type Antigen Donor Reagent Serum Each (86902) $101.84 $107.20 16.0×
Blood typing serologic abo (86900) $311.22 $327.60 104.1×
C diff amplified probe (87493) $173.89 $183.04 4.7×
C-Peptide (84681) $154.13 $162.24 7.4×
C-reactive protein (86140) $62.83 $66.14 12.1×
Ca 19-9 (86301) $199.18 $209.66 9.6×
Calcium ionized (82330) $103.15 $108.58 7.5×
Calcium total (82310)
range across 3 matching MRF lines
$18.24–$26.09 $19.20–$27.46 varies
Calprotectin Fecal (83993) $213.41 $224.64 10.9×
Cancer Antigen 125 (86304) $115.01 $121.06 5.5×
Cancer Antigen 27.29 (86300) $116.19 $122.30 5.6×
Candida antibody (86628) $70.68 $74.40 5.9×
Carboxyhemoglobin (82375) $112.86 $118.80 9.2×
Carcinoembryonic antigen (82378) $164.80 $173.47 8.7×
Cardiolipin ab iga (86147)
range across 2 matching MRF lines
$166.44–$173.10 $175.20–$182.21 varies
Catecholamines fractionated (82384) $151.75 $159.74 6.0×
Ccp antibody (86200) $194.44 $204.67 15.0×
Cell count csf (89051)
range across 2 matching MRF lines
$92.34–$96.04 $97.20–$101.09 varies
Chloride Serum (82435) $26.09 $27.46 5.7×
Cholesterol total (82465) $20.16 $21.22 4.6×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$134.52–$139.90 $141.60–$147.26 varies
Chromogranin a (86316) $177.84 $187.20 8.5×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $207.48 $218.40 5.9×
Citric acid urine (82507) $230 $242.11 8.3×
Ckmb (82553) $117.37 $123.55 10.2×
Clot Factor VIII Multimetric (85247) $285 $300 12.4×
Coccidioides antibody (86635) $61.41 $64.64 5.4×
Complement Antigen Each Component (86160)
range across 2 matching MRF lines
$123.12–$128.04 $129.60–$134.78 varies
Complement Total (Ch50) (86162) $186.14 $195.94 9.2×
Coombs direct (86880) $44.46 $46.80 8.2×
Cortisol free (82530) $154.13 $162.24 9.2×
Cortisol saliva (82533) $139.90 $147.26 8.6×
Creatine kinase total (82550) $52.16 $54.91 8.0×
Creatinine blood (82565) $26.09 $27.46 5.1×
Creatinine Urine (82570)
range across 2 matching MRF lines
$50.16–$52.16 $52.80–$54.91 varies
Crossmatch immediate spin (86920) $68.40 $72 0.4×
Crp High Sensitivity (86141) $130.42 $137.28 10.1×
Cryptococcus ab (86641) $55.29 $58.20 3.8×
Cryptosporidium (87272) $121.98 $128.40 10.2×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$69.54–$72.32 $73.20–$76.13 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $69.54 $73.20 8.6×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $54.54 $57.41 7.1×
Culture Anaerobic (87075)
range across 2 matching MRF lines
$67.26–$69.95 $70.80–$73.63 varies
Culture blood (87040) $86.55 $91.10 8.4×
Culture csf (87070) $71.14 $74.88 8.3×
Culture fungus (87102) $57 $60 6.8×
Culture screen only (87081) $90.90 $95.68 13.7×
Culture stool (87045) $65.21 $68.64 6.9×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $41.04 $43.20 7.9×
Culture urine (87086) $68.76 $72.38 8.5×
Cyclosporine (80158) $164.80 $173.47 9.1×
Cytomegalovirus igg (86644) $165.98 $174.72 11.5×
Detect Agent Nos Dna Amp (87798) $331.97 $349.44 9.5×
Detect Agent Nos Dna Quant (87799) $1,712 $1,802.11 40.0×
Dhea (82626) $199.18 $209.66 7.9×
Dhea-S (82627) $175.47 $184.70 7.9×
Digoxin (80162) $126.86 $133.54 9.6×
Dna Antibody Native/Double Stranded (86225) $135.66 $142.80 9.9×
Drug assay acetaminophen (80143) $47.42 $49.92 2.5×
Drug Assay Amiodarone (80151) $151.75 $159.74 8.1×
Drug assay felbamate (80167) $151.75 $159.74 8.1×
Drug Assay Lacosamide (80235) $62.22 $65.49 2.3×
Drug Assay Vedolizumab (80280) $437 $460 11.3×
Drug Screen Quantitative Lamotrigine (80175) $151.75 $159.74 11.5×
Drug Screen Quantitative Levetiracetam (80177) $151.75 $159.74 11.5×
Drug Screen Quantitative Oxcarbazepine (80183) $85.37 $89.86 6.4×
Drug Test Prsmv Chem Anlyzr (80307) $197.51 $207.90 3.2×
Drug Test Prsmv Dir Opt Obs (80305) $50.98 $53.66 4.0×
El-1 Fecal Quantitative (82653) $345.80 $364 15.1×
Electrolyte panel (80051) $47.42 $49.92 6.8×
Erythropoietin (82668) $155.32 $163.49 8.3×
Estradiol serum (82670) $289.28 $304.51 10.4×
Estriol (82677)
range across 2 matching MRF lines
$99.18–$103.15 $104.40–$108.58 varies
Estrogen total (82672) $195.62 $205.92 9.0×
Exam Synovial Fluid Crystals (89060) $138.72 $146.02 18.9×
F2 Gene (81240)
range across 2 matching MRF lines
$145.92–$256.50 $153.60–$270 varies
Factor ii activity (85210) $150.58 $158.50 11.6×
Factor v activity (85220) $88.92 $93.60 5.0×
Factor v leiden mutation (81241) $237.12 $249.60 3.2×
Factor viii assay (85240) $143.46 $151.01 8.0×
Fat/Lipids Feces Quantitative (82710) $139.90 $147.26 8.3×
Fecal Fat Qualitative (82705) $97.81 $102.96 19.2×
Ferritin (82728) $124.49 $131.04 9.1×
Fibrin degradation products (85362)
range across 2 matching MRF lines
$79.80–$82.99 $84–$87.36 varies
Fibrin Degradation Quant (85379) $225.26 $237.12 22.1×
Fibrinogen activity (85384) $56.91 $59.90 5.9×
Flow cytometry first marker (88184) $519.29 $546.62 1.6×
Fluorescent antibody screen (86255) $116.19 $122.30 9.6×
Folic Acid Serum (82746)
range across 2 matching MRF lines
$136.80–$142.27 $144–$149.76 varies
Follicle Stimulating Hormone (83001) $164.80 $173.47 8.9×
Fungi Identification Mold (87107) $86.55 $91.10 8.4×
Fungi Identification Yeast (87106) $62.70 $66 6.1×
Gammaglobulin ige (82785) $148.20 $156 9.0×
Genet Virus Isolate Hsv (87255) $167.17 $175.97 4.9×
Gentamicin (80170) $126.86 $133.54 7.7×
Ggt (82977) $46.43 $48.87 6.4×
Giardia antigen (87329)
range across 2 matching MRF lines
$121.98–$126.86 $128.40–$133.54 varies
Glucose 2 hr pp (82950) $52.16 $54.91 11.0×
Glucose Serum (82947) $26.09 $27.46 6.6×
Glucose tolerance test (gtt) (82951)
range across 3 matching MRF lines
$99.18–$103.15 $104.40–$108.58 varies
Gonadotropin Chorionic Qualitative (84703)
range across 2 matching MRF lines
$80.62–$100.78 $84.86–$106.08 varies
Growth hormone (83003) $119.75 $126.05 7.2×
Gtt-added samples (82952) $52.16 $54.91 13.3×
H Pylori (C-13) Breath (83013) $521.66 $549.12 7.7×
Haptoglobin (83010) $119.75 $126.05 9.5×
Hdl Cholesterol (83718) $36.76 $38.69 4.5×
Helicobacter Pylori Stool (87338)
range across 2 matching MRF lines
$33.59–$167.96 $35.36–$176.80 varies
Hematocrit (85014)
range across 2 matching MRF lines
$23.94–$24.90 $25.20–$26.21 varies
Hemoglobin (85018)
range across 3 matching MRF lines
$21.74–$26.09 $22.88–$27.46 varies
Hemoglobin a1c (83036) $84.18 $88.61 8.7×
Hep a ab igm (86709) $104.33 $109.82 9.3×
Hepatitis a antibody total (86708)
range across 2 matching MRF lines
$103.74–$107.89 $109.20–$113.57 varies
Hepatitis b core ab igm (86705) $68.76 $72.38 5.8×
Hepatitis b core ab total (86704) $99.59 $104.83 8.3×
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines
$104.88–$109.08 $110.40–$114.82 varies
Hepatitis B Surface Antigen (87340)
range across 3 matching MRF lines
$52.44–$85.37 $55.20–$89.86 varies
Hepatitis C Antibody (86803)
range across 2 matching MRF lines
$96.90–$100.78 $102–$106.08 varies
Hepatitis C Genotype (87902) $730.33 $768.77 2.8×
Hepatitis C Revrs Trnscrpj (87522) $316.56 $333.22 7.4×
Herpes simplex type 2 (86696)
range across 2 matching MRF lines
$142.50–$153.90 $150–$162 varies
Heterophile Antibody Screen (86308) $42.68 $44.93 8.2×
Histoplasma antibody (86698) $94.85 $99.84 6.9×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $180.36 $189.85 7.5×
Hla-b27 (86812) $107.89 $113.57 4.2×
Homocysteine (83090)
range across 2 matching MRF lines
$391.02–$406.66 $411.60–$428.06 varies
Hydroxyprogesterone 17-d (83498) $177.84 $187.20 6.5×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $126.86 $133.54 9.1×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $177.84 $187.20 5.0×
Iaad ia shiga-like toxin (87427) $203.30 $214 17.0×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$199.50–$207.48 $210–$218.40 varies
Iadna-Dna/Rna Probe Tq 6-11 (87506) $930.70 $979.68 3.5×
Ig Light Chains Free Each (83521)
range across 2 matching MRF lines
$196.08–$203.93 $206.40–$214.66 varies
Igg subclasses (82787)
range across 2 matching MRF lines
$38.09–$39.61 $40.09–$41.69 varies
Immunfix e-phorsis/urine/csf (86335) $130.42 $137.28 4.4×
Immunoassay Analyte Quant Radioimmunoassay (83519) $80.62 $84.86 4.4×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines
$54.72–$99.59 $57.60–$104.83 varies
Immunoassay nonantibody (83516)
range across 3 matching MRF lines
$96.03–$152.76 $101.08–$160.80 varies
Immunodiffusion Ouchterlony (86331) $205.20 $216 17.1×
Immunofixation electrophoresis (86334) $225.26 $237.12 10.1×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $272.69 $287.04 3.9×
Influenza assay w/optic (87804) $126.86 $133.54 7.7×
Inhibin A (86336) $137.94 $145.20 8.8×
Inhibin b (83520)
range across 2 matching MRF lines
$82.99–$376.20 $87.36–$396 varies
Insulin total (83525) $117.37 $123.55 10.3×
Iron (83540) $60.47 $63.65 9.3×
Iron Binding Capacity (83550) $92.34 $97.20 10.6×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$55.72–$55.73 $58.65–$58.66 varies
Lactoferrin fecal qualitative (83630) $148.20 $156 7.5×
LDL direct (83721) $109.08 $114.82 10.4×
Lead (83655)
range across 2 matching MRF lines
$50.16–$52.16 $52.80–$54.91 varies
Legionella antigen urine (87449)
range across 2 matching MRF lines
$102.60–$105.45 $108–$111 varies
Leukocyte Assessment Fecal (89055) $45.25 $47.63 10.6×
Lipase (83690) $65.21 $68.64 9.5×
Lipoprotein A (83695) $54.98 $57.87 3.8×
Lithium (80178) $62.83 $66.14 9.5×
Luteinizing Hormone (Lh) (83002) $162.43 $170.98 8.8×
Lyme disease antibody (86618) $177.84 $187.20 10.4×
Magnesium Urine (83735) $60.47 $63.65 9.0×
Mass Spectrometry Quant (83789)
range across 2 matching MRF lines
$632.70–$658.01 $666–$692.64 varies
Meat fibers, feces (89160) $150.58 $158.50 31.0×
Mercury urine (83825)
range across 2 matching MRF lines
$258.78–$269.14 $272.40–$283.30 varies
Methotrexate (80204) $505.86 $532.48 13.1×
Methylmalonic acid serum (83921) $204.52 $215.28 9.6×
Microalbumin, quantitative (82043) $96.82 $101.92 16.8×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$108.30–$112.63 $114–$118.56 varies
Mucin Clot Body Fluid (83872) $36.48 $38.40 6.2×
Mumps antibody (86735)
range across 2 matching MRF lines
$101.96–$213.41 $107.33–$224.64 varies
Myoglobin urine (83874) $97.22 $102.34 7.5×
Natriuretic peptide (83880) $218.88 $230.40 5.6×
Nuclear antigen antibody (86235)
range across 2 matching MRF lines
$111.72–$116.19 $117.60–$122.30 varies
Occult Blood Other Sources (82271) $29.64 $31.20 5.6×
Osmolality serum (83930) $68.76 $72.38 10.4×
Osmolality Urine (83935) $72.32 $76.13 10.6×
Ova and parasites smears (87177) $116.58 $122.72 13.1×
Oxalate urine (83945) $104.33 $109.82 7.2×
Ph urine (81003)
range across 2 matching MRF lines
$11.93–$45.05 $12.56–$47.42 varies
Phenobarbital Level (80184) $125.68 $132.29 8.2×
Phenytoin (Dilantin) (80185) $126.86 $133.54 9.6×
Phosphatase alkaline (84075) $26.09 $27.46 5.0×
Phosphorus Serum (84100) $26.09 $27.46 5.5×
Phosphorus urine (84105) $42.68 $44.93 7.4×
Platelet count automated (85049) $37.94 $39.94 8.5×
Potassium Urine (84133) $49.80 $52.42 10.5×
Prealbumin (84134) $107.89 $113.57 7.4×
Procalcitonin (Pct) (84145) $278.62 $293.28 10.2×
Progesterone (84144) $158.87 $167.23 7.6×
Prolactin (84146) $182.58 $192.19 9.4×
Protein C Activity (85303) $199.18 $209.66 14.4×
Protein Electrophoresis Urine (84166) $85.37 $89.86 4.8×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$90.06–$93.66 $94.80–$98.59 varies
Protein S Free (85306)
range across 2 matching MRF lines
$240.54–$250.16 $253.20–$263.33 varies
Protein total serum (84155) $26.09 $27.46 7.1×
Protein Total Urine (84156) $45.05 $47.42 12.3×
PSA free (84154) $85.50 $90 4.6×
Pth Intact (83970) $358.06 $376.90 8.7×
Quantiferon tb gold plus (86480) $476.62 $501.70 7.7×
Quantitative assay drug (80299)
range across 2 matching MRF lines
$47.88–$85.21 $50.40–$89.69 varies
Rbc antibody identification (86870) $243.05 $255.84 0.7×
Rbc antibody screen (86850) $102.60 $108 10.5×
Reagent Strip/Blood Glucose (82948) $10.45 $11 2.1×
Renin activity plasma (84244) $286.14 $301.20 13.0×
Resp virus 12-25 targets (87633) $2,006.24 $2,111.83 4.8×
Rh (86901)
range across 2 matching MRF lines
$94.05–$97.81 $99–$102.96 varies
Rheumatoid factor quant (86431)
range across 3 matching MRF lines
$58.14–$60.47 $61.20–$63.65 varies
Rickettsia antibody (86757)
range across 2 matching MRF lines
$281.58–$292.85 $296.40–$308.26 varies
Ristocetin cofactor (85245) $285 $300 12.4×
Rotavirus ag eia (87425) $126.86 $133.54 10.6×
Rpr qualitative (86592) $48.86 $51.43 11.4×
Rsv Assay W/Optic (87807) $126.86 $133.54 9.7×
Rubella Antibody (86762)
range across 2 matching MRF lines
$79.80–$82.99 $84–$87.36 varies
Rubeola antibody (86765) $152.76 $160.80 11.9×
Russell Viper Venom Time Diluted (85613) $60.47 $63.65 6.3×
Sars-Cov-2 Covid-19 Amp Prb (87635) $177.84 $187.20 3.5×
Sars-cov-2 COVID-19 antibody (86769) $237.12 $249.60 5.6×
Sars-Cov-2 Covid19 W/Optic (87811) $127.40 $134.10 3.1×
Sedimentation rate (85651) $33.19 $34.94 7.8×
Sensitivity mic (87186)
range across 2 matching MRF lines
$69.54–$72.32 $73.20–$76.13 varies
Sex Hormone Binding Globulin (84270) $118.78 $125.03 5.5×
Skin test tuberculosis intradermal (86580)
range across 3 matching MRF lines
$30.40–$37.94 $32–$39.94 varies
Smear acid fast (87206)
range across 2 matching MRF lines
$72.96–$75.88 $76.80–$79.87 varies
Smear complex stain (87209) $115.90 $122 6.4×
Smear gram stain (87205)
range across 2 matching MRF lines
$106.40–$110.66 $112–$116.48 varies
Sodium Serum (84295) $26.09 $27.46 5.4×
Sodium Urine (84300) $46.24 $48.67 9.1×
Soluble Transferrin Receptor (84238) $200.88 $211.45 5.5×
Somatomedin (84305) $279.80 $294.53 13.2×
Specimen infect agnt concntj (87015) $84.18 $88.61 12.6×
Spectrophotometry (84311) $117.31 $123.48 14.5×
Stool cultr aerobic bact ea (87046)
range across 2 matching MRF lines
$62.70–$65.21 $66–$68.64 varies
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$88.35–$110.26 $93–$116.06 varies
Sugars Single Qual (84376) $94.85 $99.84 17.2×
Susceptibility Study Antimicrobial Disk Method (87184) $71.14 $74.88 9.5×
T3 Free (84481) $194.44 $204.67 11.5×
T3 reverse (84482) $190.88 $200.93 12.1×
T3 Total (84480) $103.15 $108.58 7.3×
T4 Free (84439)
range across 2 matching MRF lines
$67.26–$69.95 $70.80–$73.63 varies
T4 total (84436) $39.12 $41.18 5.7×
Tacrolimus (80197) $155.32 $163.49 11.3×
Testosterone total (84403)
range across 2 matching MRF lines
$233.70–$243.05 $246–$255.84 varies
Testosterone, Free (84402)
range across 2 matching MRF lines
$240.54–$250.16 $253.20–$263.33 varies
Theophylline (80198) $141.08 $148.51 10.0×
Thyroglobulin (84432) $203.93 $214.66 12.7×
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines
$153.90–$160.06 $162–$168.48 varies
Thyroid Stimulating Immunoglobulin (84445) $1,078.90 $1,135.68 21.2×
Topiramate (80201) $155.32 $163.49 13.0×
Transferase Aspartate Amino Ast Sgot (84450) $26.09 $27.46 5.0×
Transferrin (84466) $179.03 $188.45 14.0×
Triglycerides (84478) $26.09 $27.46 4.5×
Troponin Quant (84484) $264.78 $278.72 21.2×
Uric acid other source (84560) $47.42 $49.92 9.3×
Urinalysis Microscopic Only (81015) $23.71 $24.96 7.8×
Urine Bacteria Culture (87088) $55.86 $58.80 6.9×
Urine Pregnancy Test (81025) $55.73 $58.66 6.5×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $68.76 $72.38 21.7×
Valproic acid (80164) $151.75 $159.74 11.2×
Vancomycin (80202) $346.79 $365.04 25.6×
Varicella-zoster antibody (86787) $154.13 $162.24 12.0×
Viral Culture (87252) $148.20 $156 5.7×
Virus inoculation, shell via (87254)
range across 2 matching MRF lines
$160.74–$167.17 $169.20–$175.97 varies
Vit D 1 25-Dihydroxy (82652) $186.14 $195.94 4.8×
Vitamin A (84590) $59.85 $63 5.2×
Vitamin b-12 (82607) $126.86 $133.54 8.4×
Vitamin B6 (84207) $297.59 $313.25 10.6×
Vitamin D 25-Hydroxy (82306) $501.51 $527.90 16.9×
Vitamin E (84446) $71.82 $75.60 5.1×
Vitamin K (84597) $320.11 $336.96 23.3×
Von willebrand factor ag (85246) $285 $300 12.4×
West nile virus ab igm (86788) $96.90 $102 5.8×
West Nile Virus Antibody (86789) $100.78 $106.08 7.0×

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.