Lab & pathology prices at Hodgeman County Health Center
Jetmore, KS · every code in this section with a posted price and a Medicare benchmark.
374 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $108 | $135 | 9.7× |
| Acth (82024) | $181.60 | $227 | 4.7× |
| Actin smooth muscle antibody each (86015) | $36 | $45 | 3.0× |
| Acute hepatitis panel (80074) | $203.20 | $254 | 4.3× |
| Acylcarnitines Quant (82017) | $204 | $255 | 12.1× |
| Albumin Fluid (82042) | $30.40 | $38 | 3.9× |
| Albumin serum (82040) | $39.20 | $49 | 7.9× |
| Aldolase (82085) | $59.20 | $74 | 6.1× |
| Aldosterone urine (82088) | $185.60 | $232 | 4.6× |
| Alkaline phosphatase isoenzymes (84080) | $65.60 | $82 | 4.4× |
| Allergen specific ige (86003) | $36 | $45 | 6.9× |
| Allg Spec Ige Recomb Ea (86008) | $139.20 | $174 | 7.8× |
| Alpha-1-antitrypsin phenotype (82104) | $160 | $200 | 11.1× |
| Alpha-1-antitrypsin total (82103) | $85.60 | $107 | 6.4× |
| Alpha-Fetoprotein Serum (82105) | $56 | $70 | 3.3× |
| Alt (sgpt) (84460) | $40 | $50 | 7.5× |
| Ammonia (82140) | $91.20 | $114 | 6.3× |
| Amylase urine (82150) | $74.40 | $93 | 11.5× |
| Ana Titer (86039) | $70.40 | $88 | 6.3× |
| Anca screen each antibody (86036) | $100 | $125 | 8.3× |
| Androstenedione (82157) | $141.60 | $177 | 4.8× |
| Angiotensin converting enzyme csf (82164) | $100 | $125 | 6.8× |
| Antibody aspergillus (86606) | $76.80 | $96 | 5.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $44 | $55 | 3.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $163.20 | $204 | 10.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $120 | $150 | 7.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $101.60 | $127 | 6.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $102.40 | $128 | 5.6× |
| Antibody Fungus Not Elsewhere Specified (86671) | $76 | $95 | 6.2× |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$76–$264 | $95–$330 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $92 | $115 | 7.0× |
| Antibody HIV-1&HIV-2 single result (86703) | $76 | $95 | 5.5× |
| Antibody john cunningham virus (86711) | $49.60 | $62 | 2.9× |
| Antibody Protozoa Nes (86753) | $68 | $85 | 5.5× |
| Antibody Treponema Pallidum (86780) | $86.40 | $108 | 6.5× |
| Antigen typing (86905) | $58.40 | $73 | 15.2× |
| Antinomyces antibody (86602) | $32 | $40 | 3.1× |
| Antinuclear antibodies (86038) | $109.60 | $137 | 9.1× |
| Antistreptolysin o titer (86060) | $56 | $70 | 7.7× |
| Antithrombin iii activity (85300) | $156 | $195 | 13.2× |
| Apolipoprotein a1 (82172) | $64 | $80 | 3.0× |
| Arsenic (82175) | $72 | $90 | 3.8× |
| Aspergillus ag eia (87305) | $204 | $255 | 17.0× |
| Assay activated protein c (85307) | $176 | $220 | 11.5× |
| Assay Blood Carbon Dioxide (82374) | $45.60 | $57 | 9.3× |
| Assay Nephelometry Not Spec (83883) | $127.20 | $159 | 9.4× |
| Assay of anti-mullerian hormone (82166) | $88.80 | $111 | 2.3× |
| Assay of blood/uric acid (84550) | $40.80 | $51 | 9.0× |
| Assay of estrone (82679) | $100.80 | $126 | 4.0× |
| Assay of gammaglobulin igm (82784) | $88.80 | $111 | 9.5× |
| Assay of lactic acid (83605) | $95.20 | $119 | 8.2× |
| Assay of metanephrines (83835) | $107.20 | $134 | 6.3× |
| Assay of serum potassium (84132) | $39.20 | $49 | 8.2× |
| Assay of urea nitrogen (84520) | $48 | $60 | 12.2× |
| Assay of vitamin b-1 (84425) | $84 | $105 | 4.0× |
| Assay Ph Body Fluid Nos (83986) | $28.80 | $36 | 8.0× |
| Automated Leukocyte Count (85048) | $32 | $40 | 12.6× |
| B cells total count (86355) | $160 | $200 | 4.2× |
| Beta 2 glycoprotein i antibody each (86146) | $143.20 | $179 | 5.6× |
| Beta Lactamase (87185) | $24 | $30 | 5.1× |
| Beta-2 Microglobulin (82232) | $50.40 | $63 | 3.1× |
| Bilirubin direct (82248) | $39.20 | $49 | 7.8× |
| Bilirubin total (82247) | $44 | $55 | 8.8× |
| Blastomyces antibody (86612) | $210.40 | $263 | 16.3× |
| Bld Typing Serologic Rh Phnt (86906) | $56 | $70 | 7.2× |
| Blood count reticulocyte automated (85045) | $94.40 | $118 | 23.7× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$36–$37.60 | $45–$47 | varies |
| Blood gases w/02 saturation (82805) | $188 | $235 | 2.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $45.60 | $57 | 2.9× |
| Blood Sulfhemoglobin Assay (83060) | $40 | $50 | 4.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $80 | $100 | 12.6× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $89.60 | $112 | 5.5× |
| Blood typing serologic abo (86900) | $45.60 | $57 | 15.3× |
| C diff amplified probe (87493) | $126.40 | $158 | 3.4× |
| C-Peptide (84681) | $83.20 | $104 | 4.0× |
| C-reactive protein (86140) | $56.80 | $71 | 11.0× |
| Ca 19-9 (86301) | $116 | $145 | 5.6× |
| Cadmium (82300) | $76.80 | $96 | 3.2× |
| Calcium ionized (82330) | $72.80 | $91 | 5.3× |
| Calcium total (82310) | $63.20 | $79 | 12.2× |
| Calculus Spectroscopy (82365) | $92 | $115 | 7.1× |
| Calprotectin Fecal (83993) | $176 | $220 | 9.0× |
| Cancer Antigen 125 (86304) | $89.60 | $112 | 4.3× |
| Cancer Antigen 27.29 (86300) | $95.20 | $119 | 4.6× |
| Carbamazepine total (80156) | $147.20 | $184 | 10.1× |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) | $56 | $70 | 4.0× |
| Carcinoembryonic antigen (82378) | $143.20 | $179 | 7.6× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$94.40–$283.20 | $118–$354 | varies |
| Ccp antibody (86200) | $79.20 | $99 | 6.1× |
| Cell count csf (89051) | $142.40 | $178 | 25.4× |
| Ceruloplasmin (82390) | $72 | $90 | 6.7× |
| Chemiluminescent assay (82397) | $208 | $260 | 14.7× |
| Chloride Serum (82435) | $32.80 | $41 | 7.1× |
| Chloride urine (82436) | $32.80 | $41 | 5.7× |
| Cholesterol total (82465) | $39.20 | $49 | 9.0× |
| Chorionic gonadotropin test (84702) | $98.40 | $123 | 6.5× |
| Chromogranin a (86316) | $118.40 | $148 | 5.7× |
| Chromosome Analysis 15-20 (88262) | $629.60 | $787 | 5.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $85.60 | $107 | 2.4× |
| Clostridium Difficile (87324) | $105.60 | $132 | 8.8× |
| Coccidioides antibody (86635) | $72 | $90 | 6.3× |
| Cold agglutinin titer (86157) | $72.80 | $91 | 9.0× |
| Collagen crosslinks (82523) | $120 | $150 | 6.4× |
| Column Chromotography Quant (82542) | $276 | $345 | 11.5× |
| Compatibility test antiglob (86922) | $84.80 | $106 | 0.5× |
| Complement Antigen Each Component (86160) | $86.40 | $108 | 7.2× |
| Complement Total (Ch50) (86162) | $95.20 | $119 | 4.7× |
| Coombs direct (86880) | $72.80 | $91 | 13.5× |
| Copper urine (82525) | $108 | $135 | 8.7× |
| Cortisol free (82530) | $246.40 | $308 | 14.7× |
| Cortisol saliva (82533) | $98.40 | $123 | 6.0× |
| Creatine kinase total (82550) | $59.20 | $74 | 9.1× |
| Creatinine blood (82565) | $56.80 | $71 | 11.1× |
| Creatinine Urine (82570) | $48 | $60 | 9.3× |
| Crossmatch immediate spin (86920) | $204 | $255 | 1.3× |
| Crp High Sensitivity (86141) | $89.60 | $112 | 6.9× |
| Cryoglobulin (82595) | $40 | $50 | 6.2× |
| Cryptococcus ab (86641) | $116 | $145 | 8.0× |
| Cryptococcus ag titer (87899) | $152.80 | $191 | 9.5× |
| Cryptosporidium ag eia (87328) | $128 | $160 | 9.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $70.40 | $88 | 8.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $51.20 | $64 | 6.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $39.20 | $49 | 5.1× |
| Culture afb (87116) | $79.20 | $99 | 7.3× |
| Culture Anaerobic (87075) | $98.40 | $123 | 10.4× |
| Culture blood (87040) | $104 | $130 | 10.1× |
| Culture csf (87070) range across 2 matching MRF lines |
$60.80–$80 | $76–$100 | varies |
| Culture fungus (87102) | $132.80 | $166 | 15.8× |
| Culture screen only (87081) | $80 | $100 | 12.1× |
| Culture stool (87045) | $91.20 | $114 | 9.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $24 | $30 | 4.6× |
| Culture urine (87086) | $70.40 | $88 | 8.7× |
| Cystatin C (82610) | $112 | $140 | 6.0× |
| Cytomegalovirus igg (86644) | $120 | $150 | 8.3× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$100–$120 | $125–$150 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $80 | $100 | 2.3× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,425.60 | $1,782 | 9.1× |
| Detect Agent Nos Dna Amp (87798) | $267.20 | $334 | 7.6× |
| Detect agnt mult DNA ampli (87801) | $180.80 | $226 | 2.6× |
| Dgp Antibody Each Ig Class (86258) | $100 | $125 | 8.3× |
| Dhea (82626) | $108.80 | $136 | 4.3× |
| Dhea-S (82627) | $124 | $155 | 5.6× |
| Digoxin (80162) | $132 | $165 | 9.9× |
| Dna Antibody Native/Double Stranded (86225) | $100 | $125 | 7.3× |
| Drug assay acetaminophen (80143) | $164.80 | $206 | 8.8× |
| Drug assay adalimumab (80145) | $208 | $260 | 5.4× |
| Drug assay felbamate (80167) | $176 | $220 | 9.4× |
| Drug Assay Lacosamide (80235) | $313.60 | $392 | 11.6× |
| Drug assay voriconazole (80285) | $389.60 | $487 | 14.4× |
| Drug Screen Quant Zonisamide (80203) | $107.20 | $134 | 8.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $152 | $190 | 11.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $51.20 | $64 | 3.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $51.20 | $64 | 3.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$77.60–$240 | $97–$300 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $119.20 | $149 | 9.5× |
| Ehrlichia antibody (86666) | $227.20 | $284 | 22.3× |
| El-1 Fecal Quantitative (82653) | $240 | $300 | 10.4× |
| Electrolyte panel (80051) | $52.80 | $66 | 7.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $102.40 | $128 | 8.5× |
| Erythropoietin (82668) | $108.80 | $136 | 5.8× |
| Estradiol serum (82670) | $199.20 | $249 | 7.1× |
| Estriol (82677) | $84.80 | $106 | 3.5× |
| Estrogen total (82672) | $148 | $185 | 6.8× |
| Exam Synovial Fluid Crystals (89060) | $119.20 | $149 | 16.3× |
| Fecal Fat Qualitative (82705) | $80 | $100 | 15.7× |
| Ferritin (82728) | $103.20 | $129 | 7.6× |
| Fibrin degradation products (85362) | $109.60 | $137 | 15.9× |
| Fibrin Degradation Quant (85379) | $128.80 | $161 | 12.7× |
| Fibrinogen antigen (85385) | $173.60 | $217 | 12.0× |
| Flow cytometry first marker (88184) | $209.60 | $262 | 0.6× |
| Fluorescent antibody screen (86255) | $100 | $125 | 8.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $89.60 | $112 | 7.4× |
| Folic acid rbc (82747) | $76 | $95 | 4.3× |
| Folic Acid Serum (82746) | $104.80 | $131 | 7.1× |
| Follicle Stimulating Hormone (83001) | $115.20 | $144 | 6.2× |
| Fungi Identification Mold (87107) | $61.60 | $77 | 6.0× |
| Fungi Identification Yeast (87106) | $61.60 | $77 | 6.0× |
| Gammaglobulin ige (82785) | $84 | $105 | 5.1× |
| Gastrin (82941) | $101.60 | $127 | 5.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $720 | $900 | 1.7× |
| Ggt (82977) | $64.80 | $81 | 9.0× |
| Giardia antigen (87329) | $96 | $120 | 8.0× |
| Glucose 2 hr pp (82950) | $59.20 | $74 | 12.5× |
| Glucose Blood Test (82962) | $16 | $20 | 4.9× |
| Glucose body fluid (82945) | $52 | $65 | 13.2× |
| Glucose Serum (82947) | $41.60 | $52 | 10.6× |
| Glucose tolerance test (gtt) (82951) | $108 | $135 | 8.4× |
| Glycated Protein (82985) | $50.40 | $63 | 3.0× |
| Gonadotropin Chorionic Qualitative (84703) | $58.40 | $73 | 7.8× |
| Gonadotropin releasing hormone (83727) | $226.40 | $283 | 13.2× |
| Growth hormone (83003) | $80 | $100 | 4.8× |
| Haptoglobin (83010) | $83.20 | $104 | 6.6× |
| Helicobacter Pylori Stool (87338) | $94.40 | $118 | 6.6× |
| Hematocrit (85014) | $40 | $50 | 16.9× |
| Hemoglobin (85018) | $41.60 | $52 | 17.6× |
| Hemoglobin a1c (83036) | $83.20 | $104 | 8.6× |
| Hemoglobin electrophoresis (83020) | $81.60 | $102 | 6.3× |
| Hemoglobin Methemoglobin Quantitative (83050) | $40 | $50 | 4.9× |
| Hep a ab igm (86709) | $82.40 | $103 | 7.3× |
| Hepatitis a antibody total (86708) | $56 | $70 | 4.5× |
| Hepatitis b core ab igm (86705) | $86.40 | $108 | 7.3× |
| Hepatitis b core ab total (86704) | $86.40 | $108 | 7.2× |
| Hepatitis B Surface Antibody (86706) | $76 | $95 | 7.1× |
| Hepatitis B Surface Antigen (87340) | $71.20 | $89 | 6.9× |
| Hepatitis C Antibody (86803) | $94.40 | $118 | 6.6× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$154.40–$572 | $193–$715 | varies |
| Herpes simplex type 2 (86696) | $103.20 | $129 | 5.3× |
| Heterophile Antibody Screen (86308) | $33.60 | $42 | 6.5× |
| Histoplasma antibody (86698) | $376 | $470 | 27.3× |
| Histoplasma antigen urine (87385) | $116 | $145 | 8.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $104 | $130 | 4.3× |
| Hla Typing a/B/C Multiple Antigens (86813) | $223.20 | $279 | 3.8× |
| Hla-b27 (86812) | $80.80 | $101 | 3.1× |
| Human Epididymis Protein 4 (86305) | $382.40 | $478 | 18.4× |
| Hydroxyprogesterone 17-d (83498) | $142.40 | $178 | 5.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $67.20 | $84 | 1.9× |
| Iaad ia shiga-like toxin (87427) | $80 | $100 | 6.7× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $252 | $315 | 7.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $85.60 | $107 | 2.4× |
| Ig Light Chains Free Each (83521) | $240 | $300 | 13.9× |
| Igg subclasses (82787) | $108 | $135 | 13.5× |
| Immunfix e-phorsis/urine/csf (86335) | $327.20 | $409 | 11.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $708 | $885 | 38.5× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $164.80 | $206 | 11.0× |
| Immunoassay nonantibody (83516) | $319.20 | $399 | 27.7× |
| Immunodiffusion Ouchterlony (86331) | $64 | $80 | 5.3× |
| Immunofixation electrophoresis (86334) | $160 | $200 | 7.2× |
| Immunohistochemistry (88342) | $342.40 | $428 | 2.2× |
| Influenza assay w/optic (87804) | $68.80 | $86 | 4.2× |
| Inhibin b (83520) | $201.60 | $252 | 11.7× |
| Insulin free (83527) | $191.20 | $239 | 14.8× |
| Insulin total (83525) | $83.20 | $104 | 7.3× |
| Iron (83540) | $66.40 | $83 | 10.3× |
| Iron Binding Capacity (83550) | $75.20 | $94 | 8.6× |
| Irradiation Blood Product Each Unit (86945) | $26.40 | $33 | 0.8× |
| Islet cell antibody (86341) | $140 | $175 | 5.9× |
| Koh Prep (87220) | $45.60 | $57 | 10.7× |
| Lactate (ld) (ldh) enzyme (83615) | $44.80 | $56 | 7.4× |
| LDL direct (83721) | $54.40 | $68 | 5.2× |
| Lead (83655) | $92 | $115 | 7.6× |
| Legionella antigen urine (87449) | $137.60 | $172 | 11.5× |
| Leukocyte Assessment Fecal (89055) | $56 | $70 | 13.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $23.20 | $29 | 0.9× |
| Level ii surg pathology grossµscopic exam (88302) | $81.60 | $102 | 2.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $352.80 | $441 | 1.1× |
| Lipase (83690) | $62.40 | $78 | 9.1× |
| Lithium (80178) | $72.80 | $91 | 11.0× |
| Luteinizing Hormone (Lh) (83002) | $112.80 | $141 | 6.1× |
| Lyme disease antibody (86618) | $249.60 | $312 | 14.7× |
| Magnesium Urine (83735) | $58.40 | $73 | 8.7× |
| Mercury urine (83825) | $72.80 | $91 | 4.5× |
| Methylmalonic acid serum (83921) | $338.40 | $423 | 16.0× |
| Microalbumin, quantitative (82043) | $75.20 | $94 | 13.0× |
| Microsomal Antibodies Each (86376) | $80 | $100 | 5.5× |
| Mitochondrial Antibody Each (86381) | $60 | $75 | 2.4× |
| Mrsa Pcr (87641) | $96.80 | $121 | 2.8× |
| Mycoplasma antibody (86738) | $85.60 | $107 | 6.5× |
| Myoglobin urine (83874) | $88.80 | $111 | 6.9× |
| Natriuretic peptide (83880) | $207.20 | $259 | 5.3× |
| Niacin (84591) | $104 | $130 | 6.1× |
| Nk cells total count (86357) | $160 | $200 | 4.2× |
| Nuclear antigen antibody (86235) | $108 | $135 | 6.0× |
| Occult blood feces (82272) | $36.80 | $46 | 8.7× |
| Organic Acids Qualitative Each Specimen (83919) | $214.40 | $268 | 13.0× |
| Osmolality serum (83930) | $48.80 | $61 | 7.4× |
| Osmolality Urine (83935) | $52.80 | $66 | 7.7× |
| Ova and parasites smears (87177) | $64.80 | $81 | 7.3× |
| Ph urine (81003) | $45.60 | $57 | 20.3× |
| Phenobarbital Level (80184) | $64 | $80 | 4.2× |
| Phenytoin (Dilantin) (80185) | $88 | $110 | 6.6× |
| Phosphatase alkaline (84075) | $39.20 | $49 | 7.6× |
| Phosphorus Serum (84100) | $40.80 | $51 | 8.6× |
| Platelet Antibodies (86022) | $510.40 | $638 | 27.8× |
| Pooling blood platelets (86965) | $107.20 | $134 | 0.7× |
| Potassium Urine (84133) | $24 | $30 | 5.1× |
| Prealbumin (84134) | $73.60 | $92 | 5.0× |
| Pregnenolone (84140) | $75.20 | $94 | 3.6× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $17.60 | $22 | 0.3× |
| Procalcitonin (Pct) (84145) | $109.60 | $137 | 4.0× |
| Progesterone (84144) | $109.60 | $137 | 5.3× |
| Prolactin (84146) | $127.20 | $159 | 6.6× |
| Protein body fluid (84157) | $22.40 | $28 | 5.6× |
| Protein C Activity (85303) | $140.80 | $176 | 10.2× |
| Protein Electrophoresis Urine (84166) | $66.40 | $83 | 3.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $80.80 | $101 | 7.5× |
| Protein Total Refractometry Any Src (84160) | $48 | $60 | 8.6× |
| Protein total serum (84155) | $39.20 | $49 | 10.7× |
| Protein Total Urine (84156) | $52.80 | $66 | 14.4× |
| PSA free (84154) | $74.40 | $93 | 4.0× |
| Pth Intact (83970) | $256.80 | $321 | 6.2× |
| Quantiferon tb gold plus (86480) | $184 | $230 | 3.0× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$102.40–$260 | $128–$325 | varies |
| Quantitative Screen Metals (83018) | $55.20 | $69 | 2.5× |
| Rbc antibody screen (86850) | $79.20 | $99 | 8.1× |
| Rbc pretreatment serum (86978) | $76.80 | $96 | 1.4× |
| Rbc pretx incubatj w/enzymes (86971) | $40 | $50 | 0.3× |
| Renin activity plasma (84244) | $124 | $155 | 5.6× |
| Reticulocyte separation (86972) | $160 | $200 | 1.0× |
| Rh (86901) | $42.40 | $53 | 14.2× |
| Rheumatoid factor quant (86431) | $68 | $85 | 12.0× |
| Rickettsia antibody (86757) | $197.60 | $247 | 10.2× |
| Rotavirus ag eia (87425) | $45.60 | $57 | 3.8× |
| Rpr qualitative (86592) | $48 | $60 | 11.2× |
| Rsv ab (86756) | $118.40 | $148 | 7.5× |
| Rsv Assay W/Optic (87807) | $104 | $130 | 7.9× |
| Rubella Antibody (86762) | $86.40 | $108 | 6.0× |
| Rubeola antibody (86765) | $220 | $275 | 17.1× |
| Russell Viper Venom Time Diluted (85613) | $100 | $125 | 10.4× |
| Salicylate Level (80179) | $137.60 | $172 | 7.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $132 | $165 | 2.6× |
| Sars-cov-2 COVID-19 antibody (86769) | $80 | $100 | 1.9× |
| Sedimentation Rate, Automated (85652) | $45.60 | $57 | 16.9× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$70.40–$160 | $88–$200 | varies |
| Sex Hormone Binding Globulin (84270) | $202.40 | $253 | 9.3× |
| Sickling of rbc reduction (85660) | $72 | $90 | 13.1× |
| Skin test tuberculosis intradermal (86580) | $44 | $55 | 1.7× |
| Smear acid fast (87206) | $36.80 | $46 | 6.8× |
| Smear complex stain (87209) | $85.60 | $107 | 4.8× |
| Smear gram stain (87205) | $56.80 | $71 | 13.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $45.60 | $57 | 7.8× |
| Sodium Serum (84295) | $39.20 | $49 | 8.1× |
| Sodium Urine (84300) | $23.20 | $29 | 4.6× |
| Somatomedin (84305) | $144 | $180 | 6.8× |
| Special Stains Group 1 (88312) | $138.40 | $173 | 2.9× |
| Special Stains Group 2 (88313) | $112.80 | $141 | 0.9× |
| Specimen infect agnt concntj (87015) | $43.20 | $54 | 6.5× |
| Stool cultr aerobic bact ea (87046) | $80 | $100 | 8.5× |
| Strep a assay w/optic (87880) | $88 | $110 | 5.3× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $480 | $600 | 5.2× |
| Surg path level iii (88304) | $136 | $170 | 2.8× |
| Surgical pathology level IV (88305) | $208.80 | $261 | 4.4× |
| Surgical pathology level vi (88309) | $500.80 | $626 | 0.7× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $22.40 | $28 | 4.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $200 | $250 | 4.3× |
| T cells total count (86359) | $160 | $200 | 4.2× |
| T3 Free (84481) | $159.20 | $199 | 9.4× |
| T3 reverse (84482) | $135.20 | $169 | 8.6× |
| T3 Total (84480) | $73.60 | $92 | 5.2× |
| T3 Uptake (84479) | $32 | $40 | 4.9× |
| T4 Free (84439) | $80 | $100 | 8.9× |
| T4 total (84436) | $36.80 | $46 | 5.4× |
| Tacrolimus (80197) | $65.60 | $82 | 4.8× |
| Testosterone total (84403) | $174.40 | $218 | 6.8× |
| Testosterone, Free (84402) | $174.40 | $218 | 6.8× |
| Thiopurine methyltransferase (84433) | $504 | $630 | 22.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $80 | $100 | 12.4× |
| Thyroglobulin (84432) | $170.40 | $213 | 10.6× |
| Thyroglobulin Antibody (86800) | $93.60 | $117 | 5.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $452.80 | $566 | 8.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $108 | $135 | 9.4× |
| Tissue Culture Lymphocyte (88230) | $705.60 | $882 | 6.1× |
| Topiramate (80201) | $153.60 | $192 | 12.9× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $100 | $125 | 5.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $40 | $50 | 7.7× |
| Transferrin (84466) | $70.40 | $88 | 5.5× |
| Trichomonas Vaginalis Amplif (87661) | $113.60 | $142 | 3.2× |
| Triglycerides (84478) | $39.20 | $49 | 6.8× |
| Troponin Quant (84484) | $140 | $175 | 11.2× |
| Urea nitrogen urine (84540) | $38.40 | $48 | 6.9× |
| Urine Pregnancy Test (81025) | $58.40 | $73 | 6.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $64.80 | $81 | 20.4× |
| Valproic acid (80164) | $106.40 | $133 | 7.9× |
| Vancomycin (80202) | $132 | $165 | 9.7× |
| Varicella-zoster antibody (86787) | $107.20 | $134 | 8.3× |
| Virus antibody nos (86790) | $124.80 | $156 | 9.7× |
| Vitamin A (84590) | $77.60 | $97 | 6.7× |
| Vitamin b-12 (82607) | $98.40 | $123 | 6.5× |
| Vitamin D 25-Hydroxy (82306) | $269.60 | $337 | 9.1× |
| Vitamin E (84446) | $92 | $115 | 6.5× |
| Vitamin K (84597) | $259.20 | $324 | 18.9× |
| Von willebrand factor ag (85246) | $208 | $260 | 9.1× |
| West nile virus ab igm (86788) | $71.20 | $89 | 4.2× |
| West Nile Virus Antibody (86789) | $71.20 | $89 | 4.9× |
| Zinc (84630) | $66.40 | $83 | 5.8× |
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.