Lab & pathology prices at Hancock County Health System

Britt, IA · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041)
range across 2 matching MRF lines
$61.50–$173.25 $82–$231 varies
Acth (82024) $144 $192 3.7×
Acute hepatitis panel (80074) $203.25 $271 4.3×
Albumin Fluid (82042) $96.75 $129 12.4×
Albumin serum (82040) $26.25 $35 5.3×
Aldolase (82085) $43.50 $58 4.5×
Aldosterone urine (82088) $161.25 $215 4.0×
Alkaline phosphatase isoenzymes (84080) $94.50 $126 6.4×
Allergen specific ige (86003)
range across 3 matching MRF lines
$9–$135 $12–$180 varies
Alpha-1-antitrypsin total (82103) $66 $88 4.9×
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$38.88–$109.50 $51.84–$146 varies
Alt (sgpt) (84460)
range across 2 matching MRF lines
$29.25–$51.75 $39–$69 varies
Ammonia (82140)
range across 2 matching MRF lines
$104.25–$106.50 $139–$142 varies
Amylase urine (82150)
range across 5 matching MRF lines
$9–$115.50 $12–$154 varies
Ana Titer (86039)
range across 2 matching MRF lines
$55.50–$101.25 $74–$135 varies
Anca screen each antibody (86036) $46.50 $62 3.9×
Angiotensin converting enzyme csf (82164) $77.25 $103 5.3×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 2 matching MRF lines
$109.50–$112.50 $146–$150 varies
Antibody Cytomegalovirus Cmv Igm (86645) $27.75 $37 1.6×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $66 $88 4.3×
Antibody helicobacter pylori (86677) $124.50 $166 7.4×
Antibody Herpes Smplx Non-Specific Type Test (86694) $74.25 $99 5.2×
Antibody Treponema Pallidum (86780) $58.50 $78 4.4×
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$42.75–$101.25 $57–$135 varies
Antistreptolysin o titer (86060) $48.75 $65 6.7×
Antithrombin iii activity (85300) $34.50 $46 2.9×
Apolipoprotein a1 (82172) $27.75 $37 1.3×
Assay activated protein c (85307) $34.50 $46 2.3×
Assay Blood Carbon Dioxide (82374) $41.25 $55 8.5×
Assay Nephelometry Not Spec (83883) $138 $184 10.1×
Assay of 5-hiaa (83497) $89.25 $119 6.9×
Assay of blood/uric acid (84550)
range across 2 matching MRF lines
$26.25–$43.50 $35–$58 varies
Assay of calcium in urine (82340) $46.50 $62 7.7×
Assay of g6pd enzyme (82955) $43.50 $58 4.5×
Assay of gammaglobulin igm (82784)
range across 5 matching MRF lines
$4.50–$103.50 $6–$138 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines
$16.50–$71.25 $22–$95 varies
Assay of manganese (83785) $49.50 $66 1.9×
Assay of metanephrines (83835) $136.50 $182 8.1×
Assay of serum potassium (84132) $41.25 $55 8.7×
Assay of urea nitrogen (84520) $40.50 $54 10.3×
Assay of urine vma (84585) $126 $168 8.1×
Assay of vitamin b-1 (84425) $117 $156 5.5×
Assay Ph Body Fluid Nos (83986) $63 $84 17.6×
Automated Leukocyte Count (85048) $74.25 $99 29.2×
Beta 2 glycoprotein i antibody each (86146) $121.50 $162 4.8×
Beta hydroxybutyrate (82010) $80.25 $107 9.8×
Beta-2 Microglobulin (82232) $28.50 $38 1.8×
Bile acids total (82239) $36 $48 2.1×
Bilirubin direct (82248) $49.50 $66 9.9×
Bilirubin total (82247) $51 $68 10.2×
Blastomyces antibody (86612) $80.25 $107 6.2×
Blood count reticulocyte automated (85045) $48.75 $65 12.2×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $15 $20 3.9×
Blood gas (82803) $194.25 $259 7.5×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $41.25 $55 2.6×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 2 matching MRF lines
$38.25–$39.75 $51–$53 varies
Blood typing serologic abo (86900) $53.25 $71 17.8×
Body fluid cell count (89050) $49.50 $66 10.5×
C diff amplified probe (87493) $63.75 $85 1.7×
C-Peptide (84681) $98.25 $131 4.7×
C-reactive protein (86140)
range across 3 matching MRF lines
$82.50–$86.25 $110–$115 varies
Ca 19-9 (86301) $96 $128 4.6×
Calcium ionized (82330) $77.25 $103 5.6×
Calcium total (82310)
range across 3 matching MRF lines
$8.25–$41.25 $11–$55 varies
Calculus Spectroscopy (82365) $93 $124 7.2×
Calprotectin Fecal (83993) $136.50 $182 7.0×
Cancer Antigen 125 (86304) $102.75 $137 4.9×
Cancer Antigen 27.29 (86300) $126 $168 6.1×
Carbamazepine total (80156) $128.25 $171 8.8×
Carboxyhemoglobin (82375) $110.25 $147 8.9×
Carcinoembryonic antigen (82378) $101.25 $135 5.3×
Cardiolipin ab iga (86147) $86.25 $115 3.4×
Catecholamines fractionated (82384) $108.75 $145 4.3×
Ccp antibody (86200)
range across 2 matching MRF lines
$42.75–$51 $57–$68 varies
Cell count csf (89051)
range across 2 matching MRF lines
$60.75–$76.50 $81–$102 varies
Ceruloplasmin (82390) $55.50 $74 5.2×
Chloride other source (82438) $67.50 $90 13.5×
Chloride Serum (82435)
range across 2 matching MRF lines
$42–$67.50 $56–$90 varies
Chloride urine (82436) $67.50 $90 11.7×
Cholesterol total (82465) $45 $60 10.3×
Cholinesterase Serum (82480) $30 $40 3.8×
Chorionic gonadotropin test (84702) $97.50 $130 6.5×
Chromogranin a (86316) $147.75 $197 7.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $101.25 $135 2.9×
Citric acid urine (82507) $130.50 $174 4.7×
Ckmb (82553)
range across 2 matching MRF lines
$101.25–$117 $135–$156 varies
Clostridium Difficile (87324) $63.75 $85 5.3×
Clotting Funct Activity (85397) $273.75 $365 8.9×
Coccidioides antibody (86635) $67.50 $90 5.9×
Cold agglutinin titer (86157) $14.25 $19 1.8×
Compatibility test antiglob (86922) $86.25 $115 0.5×
Complement Antigen Each Component (86160) $72.75 $97 6.1×
Complement Total (Ch50) (86162) $35.25 $47 1.7×
Coombs direct (86880) $60.75 $81 11.3×
Copper urine (82525) $84.75 $113 6.8×
Cortisol free (82530) $69 $92 4.1×
Cortisol saliva (82533) $110.25 $147 6.8×
Creatine kinase total (82550) $67.50 $90 10.4×
Creatinine blood (82565)
range across 2 matching MRF lines
$26.25–$44.25 $35–$59 varies
Creatinine clearance (82575)
range across 2 matching MRF lines
$82.50–$101.25 $110–$135 varies
Creatinine Urine (82570)
range across 5 matching MRF lines
$8.25–$158.25 $11–$211 varies
Crossmatch electronic (86923) $47.25 $63 0.3×
Crp High Sensitivity (86141) $84.75 $113 6.5×
Cryoglobulin (82595) $50.25 $67 7.8×
Cryptococcal Antigen (87327) $105 $140 7.8×
Cryptococcus ag titer (87899)
range across 3 matching MRF lines
$27.75–$101.25 $37–$135 varies
Cryptosporidium ag eia (87328) $51.75 $69 3.7×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $64.50 $86 8.0×
Culture afb (87116) $59.25 $79 5.5×
Culture Anaerobic (87075) $105 $140 11.1×
Culture blood (87040) $132 $176 12.8×
Culture csf (87070)
range across 3 matching MRF lines
$93.75–$205.50 $125–$274 varies
Culture fungus (87102)
range across 2 matching MRF lines
$74.25–$80.25 $99–$107 varies
Culture screen only (87081)
range across 2 matching MRF lines
$65.25–$77.25 $87–$103 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $15.75 $21 3.0×
Culture urine (87086) $77.25 $103 9.6×
Cyclosporine (80158) $132 $176 7.3×
Cystatin C (82610) $58.50 $78 3.2×
Cytomegalovirus igg (86644) $67.50 $90 4.7×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 2 matching MRF lines
$30.75–$51.75 $41–$69 varies
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $46.50 $62 2.5×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $36.75 $49 1.3×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines
$71.25–$77.25 $95–$103 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$106.50–$160.50 $142–$214 varies
Detect agnt mult DNA ampli (87801) $143.25 $191 2.0×
Dhea-S (82627) $98.25 $131 4.4×
Digoxin (80162) $136.50 $182 10.3×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines
$24.75–$83.25 $33–$111 varies
Drug assay acetaminophen (80143) $104.25 $139 5.6×
Drug Assay Amiodarone (80151) $35.25 $47 1.9×
Drug assay felbamate (80167) $125.25 $167 6.7×
Drug Assay Lacosamide (80235) $121.50 $162 4.5×
Drug Screen Quant Clozapine (80159) $69 $92 3.4×
Drug Screen Quantitative Gabapentin (80171) $113.25 $151 5.2×
Drug Screen Quantitative Lamotrigine (80175) $154.50 $206 11.7×
Drug Screen Quantitative Levetiracetam (80177) $151.50 $202 11.4×
Drug Screen Quantitative Oxcarbazepine (80183) $147 $196 11.1×
Drug Test Prsmv Chem Anlyzr (80307)
range across 2 matching MRF lines
$89.25–$104.25 $119–$139 varies
Electrolyte panel (80051) $99 $132 14.1×
Endomysial Antibody Each Immunoglobulin Class (86231) $45 $60 3.7×
Enterovirus PCR (87498) $284.25 $379 8.1×
Erythropoietin (82668) $93.75 $125 5.0×
Estradiol serum (82670) $183 $244 6.5×
Ethosuximide (80168) $95.25 $127 5.8×
Exam Synovial Fluid Crystals (89060) $51 $68 7.0×
F2 Gene (81240) $148.50 $198 2.3×
Factor ii activity (85210) $66.75 $89 5.1×
Factor v leiden mutation (81241) $222 $296 3.0×
Factor viii assay (85240) $213.75 $285 11.9×
Fecal Fat Qualitative (82705) $49.50 $66 9.7×
Ferritin (82728) $125.25 $167 9.2×
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$57–$127.50 $76–$170 varies
Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) $130.50 $174 12.8×
Fibrinogen activity (85384)
range across 2 matching MRF lines
$57–$73.50 $76–$98 varies
Fluorescent antibody screen (86255)
range across 2 matching MRF lines
$30.75–$46.50 $41–$62 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $45 $60 3.7×
Folic Acid Serum (82746) $100.50 $134 6.8×
Follicle Stimulating Hormone (83001) $101.25 $135 5.4×
Frozen Section (88331) $184.28 $245.70 1.1×
Fungi Identification Yeast (87106)
range across 6 matching MRF lines
$51.75–$162 $69–$216 varies
Galectin-3 (82777) $341.25 $455 7.7×
Gammaglobulin ige (82785) $70.50 $94 4.3×
Gases blood ph only (82800)
range across 3 matching MRF lines
$57.75–$194.25 $77–$259 varies
Gastrin (82941) $96.75 $129 5.5×
Gentamicin (80170) $87.75 $117 5.4×
Ggt (82977) $51.75 $69 7.2×
Glucose 2 hr pp (82950) $56.25 $75 11.8×
Glucose Blood Test (82962)
range across 4 matching MRF lines
$25.50–$44.25 $34–$59 varies
Glucose body fluid (82945)
range across 2 matching MRF lines
$42.75–$45.75 $57–$61 varies
Glucose Serum (82947) $26.25 $35 6.7×
Glucose tolerance test (gtt) (82951) $86.25 $115 6.7×
Glycated Protein (82985) $80.25 $107 4.8×
Gtt-added samples (82952) $29.25 $39 7.5×
Haptoglobin (83010) $21 $28 1.7×
Hdl Cholesterol (83718) $60.75 $81 7.4×
Helicobacter Pylori Stool (87338) $135 $180 9.4×
Hematocrit (85014) $30 $40 12.7×
Hemoglobin (85018)
range across 2 matching MRF lines
$74.25–$100.50 $99–$134 varies
Hemoglobin a1c (83036)
range across 3 matching MRF lines
$76.50–$100.50 $102–$134 varies
Hep a ab igm (86709) $101.25 $135 9.0×
Heparin assay (85520) $156 $208 11.9×
Hepatitis a antibody total (86708)
range across 2 matching MRF lines
$103.50–$108.75 $138–$145 varies
Hepatitis b core ab igm (86705) $66.75 $89 5.7×
Hepatitis B Surface Antibody (86706) $68.25 $91 6.4×
Hepatitis B Surface Antigen (87340) $63 $84 6.1×
Hepatitis C Antibody (86803) $92.25 $123 6.5×
Hepatitis C Revrs Trnscrpj (87522) $244.50 $326 5.7×
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$63–$65.25 $84–$87 varies
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $15 $20 1.9×
Histoplasma antibody (86698) $127.50 $170 9.2×
Histoplasma antigen urine (87385) $221.25 $295 16.7×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $101.25 $135 4.2×
Hiv-1 Quant&Revrse Trnscrpj (87536) $324.75 $433 3.8×
Hla-b27 (86812) $82.50 $110 3.2×
Homocysteine (83090) $153 $204 8.5×
Hpv High-Risk Types (87624) $105.75 $141 3.0×
Hpv sep hi-rsk typ&pool rslt (87626) $36 $48 0.5×
Hsv Dna Amp Probe (87529)
range across 3 matching MRF lines
$74.25–$176.25 $99–$235 varies
Hydroxyprogesterone 17-d (83498) $94.50 $126 3.5×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $101.25 $135 2.9×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $279 $372 8.0×
Iadna Cytomegalovirus Quantification (87497) $279 $372 6.5×
Iadna Hepatitis B Virus Quantification (87517) $111 $148 2.6×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $101.25 $135 2.9×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $405 $540 1.5×
Ig Light Chains Free Each (83521) $138 $184 8.0×
Igg subclasses (82787) $66 $88 8.2×
Immunfix e-phorsis/urine/csf (86335) $158.25 $211 5.4×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 2 matching MRF lines
$24–$75.75 $32–$101 varies
Immunoassay nonantibody (83516)
range across 7 matching MRF lines
$29.25–$102 $39–$136 varies
Immunofixation electrophoresis (86334) $101.25 $135 4.5×
Immunohistochemistry (88342)
range across 4 matching MRF lines
$82.22–$551.14 $109.62–$734.85 varies
Influenza assay w/optic (87804) $60.75 $81 3.7×
Influenza DNA amp probe (87502) $99 $132 1.0×
Inhibin b (83520)
range across 4 matching MRF lines
$72.75–$195 $97–$260 varies
Insulin total (83525) $80.25 $107 7.0×
Intrinsic factor antibody (86340) $62.25 $83 4.1×
Iron (83540)
range across 2 matching MRF lines
$51–$64.50 $68–$86 varies
Iron Binding Capacity (83550) $51 $68 5.8×
Islet cell antibody (86341)
range across 2 matching MRF lines
$78–$105.75 $104–$141 varies
Jak2 gene analysis p.val617phe variant (81270) $291 $388 3.2×
Koh Prep (87220)
range across 2 matching MRF lines
$41.25–$53.25 $55–$71 varies
Lactate (ld) (ldh) enzyme (83615) $42 $56 7.0×
Lactoferrin fecal qualitative (83630) $45.75 $61 2.3×
LDL direct (83721) $90.75 $121 8.6×
Lead (83655) $80.25 $107 6.6×
Legionella antigen urine (87449) $57.75 $77 4.8×
Level I Surg Pathology Gross Examination Only (88300) $101.25 $135 3.6×
Level ii surg pathology gross&microscopic exam (88302) $166.50 $222 4.6×
Level V Surg Pathology Gross&Microscopic Exam (88307) $409.05 $545.40 1.2×
Lipase (83690) $106.50 $142 15.5×
Lipoprotein A (83695) $165 $220 11.5×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $107.25 $143 9.5×
Lithium (80178) $60 $80 9.1×
Luteinizing Hormone (Lh) (83002) $101.25 $135 5.5×
Lyme disease antibody (86618)
range across 3 matching MRF lines
$14.25–$101.25 $19–$135 varies
Magnesium Urine (83735) $79.50 $106 11.9×
Metabolic panel ionized ca (80047) $164.25 $219 12.0×
Methylmalonic acid serum (83921) $160.50 $214 7.6×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$51–$66.75 $68–$89 varies
Microsomal Antibodies Each (86376) $78.75 $105 5.4×
Mrsa Pcr (87641) $213 $284 6.1×
Mumps antibody (86735)
range across 4 matching MRF lines
$78–$98.25 $104–$131 varies
Myoglobin urine (83874)
range across 2 matching MRF lines
$101.25–$191.25 $135–$255 varies
Natriuretic peptide (83880)
range across 2 matching MRF lines
$153–$176.25 $204–$235 varies
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505)
range across 2 matching MRF lines
$136.50–$405 $182–$540 varies
Nfct ds bv&vaginitis DNA alg (81515) $236.25 $315 0.9×
Nuclear antigen antibody (86235)
range across 5 matching MRF lines
$7.50–$121.50 $10–$162 varies
Obstetric panel (80081) $61.50 $82 0.8×
Occult blood feces (82272)
range across 2 matching MRF lines
$53.25–$60.75 $71–$81 varies
Occult Blood Other Sources (82271) $39.75 $53 7.5×
Osmolality serum (83930) $51 $68 7.7×
Osmolality Urine (83935) $62.25 $83 9.1×
Ova and parasites smears (87177) $105.75 $141 11.9×
Oxalate urine (83945) $76.50 $102 5.3×
Particle Agglutination Screen Each Antibody (86403) $105 $140 9.1×
Parvovirus antibody (86747) $79.50 $106 5.3×
Ph urine (81003) $46.50 $62 20.7×
Phenobarbital Level (80184) $144.75 $193 9.5×
Phenytoin (Dilantin) (80185) $86.25 $115 6.5×
Phenytoin free (80186) $68.25 $91 5.0×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$55.50–$77.25 $74–$103 varies
Phosphorus Serum (84100) $45.75 $61 9.7×
Phosphorus urine (84105) $38.25 $51 6.6×
Platelet count automated (85049) $74.25 $99 16.6×
Porphobilinogen, urine; quantitative (84110) $140.25 $187 16.6×
Porphyrins Urine Quantitation & Fractionation (84120) $140.25 $187 9.5×
Potassium Urine (84133) $47.25 $63 10.0×
Prealbumin (84134) $82.50 $110 5.7×
Primidone (80188) $71.25 $95 4.3×
Procalcitonin (Pct) (84145) $183.75 $245 6.8×
Progesterone (84144) $132 $176 6.3×
Prolactin (84146) $101.25 $135 5.2×
Protein body fluid (84157)
range across 2 matching MRF lines
$39–$47.25 $52–$63 varies
Protein C Activity (85303)
range across 2 matching MRF lines
$34.50–$106.50 $46–$142 varies
Protein c antigen (85302) $49.50 $66 4.1×
Protein Electrophoresis Urine (84166) $158.25 $211 8.9×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$101.25–$114 $135–$152 varies
Protein S Free (85306)
range across 2 matching MRF lines
$34.50–$47.25 $46–$63 varies
Protein s total (85305) $59.25 $79 5.1×
Protein total serum (84155)
range across 3 matching MRF lines
$6–$46.50 $8–$62 varies
Protein Total Urine (84156) $56.25 $75 15.3×
PSA free (84154) $102.75 $137 5.6×
Pth Intact (83970) $178.50 $238 4.3×
Quantiferon tb gold plus (86480) $189 $252 3.0×
Quantitative assay drug (80299)
range across 3 matching MRF lines
$35.25–$125.25 $47–$167 varies
Rbc antibody identification (86870) $181.50 $242 0.5×
Rbc antibody screen (86850) $115.50 $154 11.8×
Renin activity plasma (84244) $71.25 $95 3.2×
Rh (86901) $48 $64 16.1×
Rheumatoid factor quant (86431) $67.50 $90 11.9×
Rotavirus ag eia (87425) $162.75 $217 13.6×
Rpr qualitative (86592) $58.50 $78 13.7×
Rsv Assay W/Optic (87807)
range across 2 matching MRF lines
$61.50–$64.50 $82–$86 varies
Rubella Antibody (86762) $47.25 $63 3.3×
Rubeola antibody (86765) $81.75 $109 6.3×
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$48–$109.50 $64–$146 varies
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines
$69–$444.75 $92–$593 varies
Sars-cov-2 COVID-19 antibody (86769) $22.50 $30 0.5×
Sarscov2&inf a&b&rsv amp prb (87637) $444.75 $593 3.1×
Sedimentation rate (85651) $45.75 $61 10.7×
Sedimentation Rate, Automated (85652) $45.75 $61 16.9×
Selenium (84255) $105 $140 4.1×
Semen Anal Sperm Detection (89321) $60 $80 5.0×
Semen analysis motility and count (89310) $132 $176 15.3×
Sensitivity mic (87186) $81 $108 9.4×
Sex Hormone Binding Globulin (84270) $33.75 $45 1.6×
Sickling of rbc reduction (85660) $54.75 $73 9.9×
Sirolimus (80195) $134.25 $179 9.8×
Skin test tuberculosis intradermal (86580) $27.75 $37 1.0×
Smear complex stain (87209) $23.25 $31 1.3×
Smear gram stain (87205)
range across 2 matching MRF lines
$68.25–$81 $91–$108 varies
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$41.25–$42.75 $55–$57 varies
Sodium Serum (84295) $42.75 $57 8.9×
Sodium Urine (84300)
range across 2 matching MRF lines
$41.25–$51.75 $55–$69 varies
Somatomedin (84305) $176.25 $235 8.3×
Special Stains Group 1 (88312) $156.75 $209 3.1×
Special Stains Group 2 (88313) $63.75 $85 0.5×
Specimen infect agnt concntj (87015) $59.25 $79 8.9×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $171.75 $229 1.0×
Stool cultr aerobic bact ea (87046) $14.25 $19 1.5×
Strep a assay w/optic (87880) $87 $116 5.3×
Strep a DNA amp probe (87651)
range across 2 matching MRF lines
$87–$92.25 $116–$123 varies
Surg path level iii (88304) $176.25 $235 3.5×
Surgical pathology level IV (88305) $207.75 $277 4.1×
Surgical pathology level vi (88309) $493.09 $657.45 0.6×
T3 Free (84481) $96 $128 5.7×
T3 reverse (84482) $84 $112 5.3×
T3 Total (84480) $78 $104 5.5×
T4 Free (84439) $94.50 $126 10.5×
T4 total (84436) $60 $80 8.7×
Tacrolimus (80197) $156 $208 11.4×
Testosterone total (84403) $137.25 $183 5.3×
Testosterone, Free (84402) $101.25 $135 4.0×
Theophylline (80198) $138.75 $185 9.8×
Thrombin Time (85670) $34.50 $46 6.0×
Thyroglobulin (84432) $57 $76 3.5×
Thyroglobulin Antibody (86800) $95.25 $127 6.0×
Thyroid Stimulating Immunoglobulin (84445) $183 $244 3.6×
Thyroxine binding globulin (84442) $92.25 $123 6.2×
Tobramycin peak (80200) $85.50 $114 5.3×
Topiramate (80201) $125.25 $167 10.5×
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines
$26.25–$44.25 $35–$59 varies
Transferrin (84466) $60 $80 4.7×
Triglycerides (84478) $55.50 $74 9.7×
Troponin Quant (84484)
range across 2 matching MRF lines
$101.25–$136.50 $135–$182 varies
Unlisted Cytogenetic Study (88299) $232.50 $310 4.6×
Urea nitrogen urine (84540)
range across 2 matching MRF lines
$7.50–$45.75 $10–$61 varies
Uric acid other source (84560) $60 $80 11.8×
Urinalysis Microscopic Only (81015) $31.50 $42 10.3×
Urinalysis Volume Measure (81050) $38.25 $51 10.5×
Urine Bacteria Culture (87088) $69 $92 8.5×
Urine Pregnancy Test (81025) $42 $56 4.9×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $87.75 $117 27.7×
Vancomycin (80202) $137.25 $183 10.1×
Varicella-zoster antibody (86787) $86.25 $115 6.7×
Vit D 1 25-Dihydroxy (82652) $58.50 $78 1.5×
Vitamin A (84590) $118.50 $158 10.2×
Vitamin b-12 (82607) $97.50 $130 6.5×
Vitamin B6 (84207) $78.75 $105 2.8×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$48–$147 $64–$196 varies
Vitamin E (84446) $39 $52 2.8×
Von willebrand factor ag (85246) $273.75 $365 11.9×
West nile virus ab igm (86788) $114.75 $153 6.8×
West Nile Virus Antibody (86789) $114.75 $153 8.0×
Zinc (84630) $25.50 $34 2.2×

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.