Lab & pathology prices at Holdenville General Hospital
Holdenville, OK · every code in this section with a posted price and a Medicare benchmark.
440 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | — | $334 | — |
| Acetylcholn Rcptr Modlg Antb (86043) | — | $436 | — |
| Acth (82024) | — | $242 | — |
| Actin smooth muscle antibody each (86015) | — | $134 | — |
| Acute hepatitis panel (80074) | — | $106 | — |
| Adenovirus antibody (86603) | — | $44 | — |
| Albumin serum (82040) | — | $65 | — |
| Aldolase (82085) | — | $147 | — |
| Aldosterone urine (82088) range across 4 matching MRF lines |
— | $55–$80 | — |
| Alkaline phosphatase isoenzymes (84080) | — | $33 | — |
| Allergen specific ige (86003) | — | $65 | — |
| Allg Spec Ige Recomb Ea (86008) | — | $106 | — |
| Alpha-1-antitrypsin total (82103) range across 4 matching MRF lines |
— | $125–$161 | — |
| Alpha-Fetoprotein Serum (82105) | — | $117 | — |
| Alt (sgpt) (84460) | — | $42 | — |
| Aluminum (82108) | — | $193 | — |
| Amikacin trough (80150) | — | $229 | — |
| Ammonia (82140) | — | $88 | — |
| Amylase urine (82150) | — | $70 | — |
| Ana Titer (86039) | — | $35 | — |
| Anca screen each antibody (86036) | — | $380 | — |
| Androstenedione (82157) | — | $99 | — |
| Angiotensin converting enzyme csf (82164) | — | $113 | — |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | — | $110 | — |
| Antibody Cytomegalovirus Cmv Igm (86645) | — | $59 | — |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | — | $45 | — |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | — | $54 | — |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | — | $71 | — |
| Antibody Fungus Not Elsewhere Specified (86671) | — | $406 | — |
| Antibody helicobacter pylori (86677) | — | $85 | — |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | — | $54 | — |
| Antibody Herpes Smplx Type 1 (86695) range across 5 matching MRF lines |
— | $42–$178 | — |
| Antibody HIV-1&HIV-2 single result (86703) | — | $76 | — |
| Antibody HIV-2 (86702) | — | $114 | — |
| Antibody Protozoa Nes (86753) range across 4 matching MRF lines |
— | $128–$449 | — |
| Antibody Treponema Pallidum (86780) range across 4 matching MRF lines |
— | $30–$93 | — |
| Antibody; influenza virus (86710) | — | $46 | — |
| Antigen typing (86905) range across 25 matching MRF lines |
— | $41–$173 | — |
| Antinuclear antibodies (86038) | — | $35 | — |
| Antistreptolysin o titer (86060) | — | $49 | — |
| Antithrombin iii activity (85300) | — | $95 | — |
| Antithrombin iii antigen (85301) | — | $180 | — |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
— | $54–$106 | — |
| Arsenic (82175) range across 4 matching MRF lines |
— | $44–$373 | — |
| Aspergillus ag eia (87305) | — | $833 | — |
| Assay activated protein c (85307) | — | $102 | — |
| Assay Blood Carbon Dioxide (82374) | — | $37 | — |
| Assay Nephelometry Not Spec (83883) | — | $197 | — |
| Assay of anti-mullerian hormone (82166) | — | $481 | — |
| Assay of blood/uric acid (84550) | — | $47 | — |
| Assay of calcium in urine (82340) | — | $64 | — |
| Assay of estrone (82679) | — | $242 | — |
| Assay of g6pd enzyme (82955) | — | $129 | — |
| Assay of gammaglobulin igm (82784) | — | $53 | — |
| Assay of lactic acid (83605) | — | $105 | — |
| Assay of metanephrines (83835) range across 4 matching MRF lines |
— | $306–$435 | — |
| Assay of serotonin (84260) | — | $331 | — |
| Assay of serum potassium (84132) | — | $35 | — |
| Assay of urea nitrogen (84520) | — | $35 | — |
| Assay of urine vma (84585) | — | $94 | — |
| Assay of vitamin b-1 (84425) range across 4 matching MRF lines |
— | $50–$164 | — |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
— | $13–$111 | — |
| Automated Leukocyte Count (85048) | — | $22 | — |
| Bartonella antibody (86611) | — | $44 | — |
| Beta 2 glycoprotein i antibody each (86146) range across 5 matching MRF lines |
— | $66–$132 | — |
| Beta Lactamase (87185) | — | $13 | — |
| Beta-2 Microglobulin (82232) | — | $221 | — |
| Bilirubin direct (82248) | — | $56 | — |
| Bilirubin total (82247) | — | $77 | — |
| Blastomyces antibody (86612) | — | $211 | — |
| Bld Typing Serologic Rh Phnt (86906) | — | $30 | — |
| Blood count reticulocyte automated (85045) | — | $25 | — |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | — | $19 | — |
| Blood gas (82803) | — | $71 | — |
| Blood Type Antigen Donor Reagent Serum Each (86902) | — | $54 | — |
| Blood typing serologic abo (86900) | — | $24 | — |
| Bordetella antibody (86615) | — | $158 | — |
| C diff amplified probe (87493) | — | $127 | — |
| C-Peptide (84681) | — | $87 | — |
| C-reactive protein (86140) | — | $50 | — |
| Ca 19-9 (86301) | — | $216 | — |
| Calcitonin (82308) | — | $234 | — |
| Calcium ionized (82330) | — | $31 | — |
| Calcium total (82310) | — | $35 | — |
| Calculus Spectroscopy (82365) | — | $222 | — |
| Calprotectin Fecal (83993) | — | $599 | — |
| Cancer Antigen 125 (86304) | — | $75 | — |
| Cancer Antigen 27.29 (86300) range across 4 matching MRF lines |
— | $54–$96 | — |
| Carbamazepine total (80156) | — | $88 | — |
| Carboxyhemoglobin (82375) | — | $129 | — |
| Carcinoembryonic antigen (82378) | — | $91 | — |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
— | $176–$183 | — |
| Catecholamines fractionated (82384) | — | $269 | — |
| Ccp antibody (86200) range across 4 matching MRF lines |
— | $65–$176 | — |
| Cell count csf (89051) range across 5 matching MRF lines |
— | $21–$30 | — |
| Ceruloplasmin (82390) | — | $211 | — |
| Chemiluminescent assay (82397) | — | $191 | — |
| Chlamydia Igm Antibody (86632) | — | $44 | — |
| Chloride urine (82436) | — | $65 | — |
| Cholesterol total (82465) | — | $35 | — |
| Chorionic gonadotropin test (84702) | — | $129 | — |
| Chromium serum (82495) | — | $420 | — |
| Chromogranin a (86316) | — | $210 | — |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | — | $65 | — |
| Citric acid urine (82507) | — | $278 | — |
| Ckmb (82553) | — | $80 | — |
| Clostridium Difficile (87324) | — | $44 | — |
| Clot Factor VIII Multimetric (85247) | — | $169 | — |
| Coccidioides antibody (86635) | — | $181 | — |
| Cold agglutinin titer (86157) | — | $35 | — |
| Collagen crosslinks (82523) | — | $47 | — |
| Column Chromotography Quant (82542) range across 4 matching MRF lines |
— | $219–$349 | — |
| Compatibility test antiglob (86922) | — | $146 | — |
| Complement Antigen Each Component (86160) range across 7 matching MRF lines |
— | $62–$162 | — |
| Complement Total (Ch50) (86162) | — | $107 | — |
| Complement/Function Activity (86161) | — | $160 | — |
| Coombs direct (86880) range across 6 matching MRF lines |
— | $40–$64 | — |
| Copper urine (82525) | — | $105 | — |
| Cortisol free (82530) range across 4 matching MRF lines |
— | $184–$528 | — |
| Cortisol saliva (82533) | — | $98 | — |
| Creatine (82540) | — | $16 | — |
| Creatine kinase total (82550) | — | $59 | — |
| Creatinine blood (82565) | — | $42 | — |
| Creatinine clearance (82575) | — | $79 | — |
| Creatinine Urine (82570) | — | $19 | — |
| Cryoglobulin (82595) | — | $24 | — |
| Cryptococcus ag titer (87899) | — | $35 | — |
| Cryptosporidium ag eia (87328) | — | $41 | — |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
— | $29–$33 | — |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | — | $29 | — |
| Culture afb (87116) | — | $33 | — |
| Culture Anaerobic (87075) | — | $37 | — |
| Culture blood (87040) | — | $64 | — |
| Culture csf (87070) range across 8 matching MRF lines |
— | $32–$97 | — |
| Culture fungus (87102) | — | $32 | — |
| Culture screen only (87081) range across 4 matching MRF lines |
— | $30–$34 | — |
| Culture stool (87045) | — | $37 | — |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 8 matching MRF lines |
— | $19–$24 | — |
| Culture urine (87086) | — | $32 | — |
| Cyclosporine (80158) | — | $181 | — |
| Cystatin C (82610) | — | $128 | — |
| Cytomegalovirus igg (86644) | — | $59 | — |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | — | $100 | — |
| Cytopath Cell Enhance Tech (88112) | — | $176 | — |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | — | $54 | — |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | — | $117 | — |
| Deoxyribonuclease antibody (86215) | — | $146 | — |
| Detect Agent Nos Dna Amp (87798) range across 6 matching MRF lines |
— | $182–$485 | — |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
— | $454–$879 | — |
| Detect agnt mult DNA ampli (87801) | — | $128 | — |
| Dgp Antibody Each Ig Class (86258) range across 5 matching MRF lines |
— | $50–$246 | — |
| Dhea (82626) | — | $512 | — |
| Dhea-S (82627) | — | $45 | — |
| Digoxin (80162) | — | $65 | — |
| Dihydrotestosterone (82642) | — | $94 | — |
| Dipropylacetic Acid Free (80165) | — | $94 | — |
| Dna Antibody Native/Double Stranded (86225) | — | $174 | — |
| Dna Antibody Single Stranded (86226) range across 4 matching MRF lines |
— | $113–$211 | — |
| Drug assay adalimumab (80145) | — | $503 | — |
| Drug Assay Infliximab (80230) | — | $521 | — |
| Drug Assay Lacosamide (80235) | — | $420 | — |
| Drug Screen Quant Clozapine (80159) | — | $310 | — |
| Drug Screen Quant Zonisamide (80203) | — | $232 | — |
| Drug Screen Quantitative Gabapentin (80171) | — | $169 | — |
| Drug Screen Quantitative Lamotrigine (80175) | — | $226 | — |
| Drug Screen Quantitative Levetiracetam (80177) | — | $275 | — |
| Drug Screen Quantitative Oxcarbazepine (80183) | — | $267 | — |
| Drug Test Prsmv Chem Anlyzr (80307) range across 6 matching MRF lines |
— | $113–$481 | — |
| Drug Test Prsmv Dir Opt Obs (80305) | — | $33 | — |
| Ehrlichia antibody (86666) | — | $33 | — |
| El-1 Fecal Quantitative (82653) | — | $783 | — |
| Electrolyte panel (80051) | — | $75 | — |
| Erythropoietin (82668) | — | $59 | — |
| Estradiol serum (82670) | — | $52 | — |
| Estriol (82677) | — | $351 | — |
| Estrogen total (82672) | — | $93 | — |
| Ethosuximide (80168) | — | $270 | — |
| Ethylene Glycol (82693) | — | $158 | — |
| Exam Synovial Fluid Crystals (89060) | — | $25 | — |
| F2 Gene (81240) | — | $658 | — |
| Factor ii activity (85210) | — | $256 | — |
| Factor v activity (85220) | — | $256 | — |
| Factor v leiden mutation (81241) | — | $1,321 | — |
| Factor vii assay (85230) | — | $256 | — |
| Factor viii assay (85240) | — | $45 | — |
| Factor X (85260) | — | $256 | — |
| Fat/Lipids Feces Quantitative (82710) | — | $59 | — |
| Fatty acids free (82725) | — | $135 | — |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | — | $270 | — |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | — | $316 | — |
| Fecal Fat Qualitative (82705) | — | $104 | — |
| Ferritin (82728) | — | $26 | — |
| Fibrin Degradation Quant (85379) | — | $169 | — |
| Fibrinogen activity (85384) | — | $82 | — |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
— | $55–$322 | — |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 10 matching MRF lines |
— | $82–$318 | — |
| Folic Acid Serum (82746) | — | $34 | — |
| Follicle Stimulating Hormone (83001) | — | $65 | — |
| Francisella tularensis (86668) | — | $314 | — |
| Fresh Frozen Plasma Thawing Each Unit (86927) | — | $54 | — |
| Frozen Blood Each Unit Freezing (86930) | — | $228 | — |
| Fungi Identification Mold (87107) | — | $44 | — |
| Fungi Identification Yeast (87106) | — | $44 | — |
| Gammaglobulin ige (82785) | — | $100 | — |
| Gases blood ph only (82800) | — | $54 | — |
| Gastrin (82941) | — | $164 | — |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | — | $905 | — |
| Gentamicin (80170) | — | $75 | — |
| Ggt (82977) | — | $70 | — |
| Giardia antigen (87329) | — | $41 | — |
| Glucose 2 hr pp (82950) | — | $35 | — |
| Glucose body fluid (82945) | — | $14 | — |
| Glucose Serum (82947) | — | $35 | — |
| Glucose tolerance test (gtt) (82951) | — | $35 | — |
| Glycated Protein (82985) | — | $80 | — |
| Growth hormone (83003) | — | $94 | — |
| Gtt-added samples (82952) | — | $22 | — |
| Haloperidol (80173) | — | $393 | — |
| Haptoglobin (83010) | — | $87 | — |
| Hdl Cholesterol (83718) | — | $71 | — |
| Helicobacter Pylori Stool (87338) | — | $234 | — |
| Hematocrit (85014) | — | $24 | — |
| Hemoglobin (85018) | — | $22 | — |
| Hemoglobin a1c (83036) | — | $75 | — |
| Hemoglobin electrophoresis (83020) | — | $123 | — |
| Hep a ab igm (86709) | — | $40 | — |
| Hepatitis a antibody total (86708) range across 4 matching MRF lines |
— | $44–$186 | — |
| Hepatitis b core ab igm (86705) | — | $43 | — |
| Hepatitis B Surface Antibody (86706) | — | $102 | — |
| Hepatitis B Surface Antigen (87340) | — | $102 | — |
| Hepatitis C Antibody (86803) | — | $102 | — |
| Hepatitis C Genotype (87902) | — | $865 | — |
| Hepatitis C Revrs Trnscrpj (87522) | — | $319 | — |
| Herpes simplex type 2 (86696) | — | $73 | — |
| Heterophile Antibody Screen (86308) | — | $47 | — |
| Hfe Gene (81256) | — | $526 | — |
| Histoplasma antibody (86698) | — | $186 | — |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | — | $59 | — |
| Hiv-1 Antibody (86701) | — | $76 | — |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | — | $504 | — |
| Hla Class I Typing High Resolution Complete (81379) | — | $1,245 | — |
| Hla Class I Typing High Resolution One Locus Ea (81380) | — | $679 | — |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | — | $431 | — |
| Homocysteine (83090) | — | $275 | — |
| Hpv High-Risk Types (87624) range across 4 matching MRF lines |
— | $129–$135 | — |
| Hpv Types 16 & 18 Only (87625) | — | $128 | — |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
— | $74–$263 | — |
| Hydroxyprogesterone 17-d (83498) | — | $586 | — |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | — | $54 | — |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | — | $58 | — |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | — | $64 | — |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | — | $538 | — |
| Iadna Candida Species Amplified Probe Tq (87481) | — | $69 | — |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | — | $182 | — |
| Iadna Hepatitis B Virus Quantification (87517) | — | $281 | — |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | — | $65 | — |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | — | $1,100 | — |
| Ig Light Chains Free Each (83521) | — | $280 | — |
| Igg subclasses (82787) | — | $62 | — |
| Immune Complex Assay (86332) | — | $289 | — |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | — | $134 | — |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 6 matching MRF lines |
— | $85–$425 | — |
| Immunoassay nonantibody (83516) range across 11 matching MRF lines |
— | $83–$335 | — |
| Immunofixation electrophoresis (86334) | — | $123 | — |
| Influenza assay w/optic (87804) | — | $39 | — |
| Influenza DNA amp probe (87502) | — | $584 | — |
| Inhibin b (83520) range across 16 matching MRF lines |
— | $73–$518 | — |
| Insulin antibodies (86337) | — | $315 | — |
| Insulin free (83527) | — | $48 | — |
| Insulin total (83525) | — | $75 | — |
| Intrinsic factor antibody (86340) | — | $288 | — |
| Iron (83540) range across 4 matching MRF lines |
— | $36–$106 | — |
| Iron Binding Capacity (83550) | — | $42 | — |
| Irradiation Blood Product Each Unit (86945) | — | $59 | — |
| Islet cell antibody (86341) range across 6 matching MRF lines |
— | $259–$501 | — |
| Jak2 gene analysis p.val617phe variant (81270) | — | $506 | — |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
— | $23–$59 | — |
| Lactoferrin fecal qualitative (83630) | — | $176 | — |
| LDL direct (83721) | — | $76 | — |
| Lead (83655) | — | $91 | — |
| Legionella antibody (86713) | — | $54 | — |
| Legionella antigen urine (87449) range across 6 matching MRF lines |
— | $44–$202 | — |
| Lipase (83690) | — | $65 | — |
| Lipoprotein A (83695) | — | $182 | — |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | — | $96 | — |
| Lipoprotein-Associated Phospholipase A2 (83698) | — | $134 | — |
| Lithium (80178) | — | $71 | — |
| Luteinizing Hormone (Lh) (83002) | — | $48 | — |
| Lyme disease antibody (86618) range across 4 matching MRF lines |
— | $42–$299 | — |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | — | $469 | — |
| Magnesium Urine (83735) | — | $71 | — |
| Mercury urine (83825) | — | $44 | — |
| Metabolic panel ionized ca (80047) | — | $31 | — |
| Methylmalonic acid serum (83921) | — | $246 | — |
| Microalbumin, quantitative (82043) | — | $256 | — |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
— | $111–$140 | — |
| Mitochondrial Antibody Each (86381) | — | $69 | — |
| Mopath procedure level 2 (81401) | — | $209 | — |
| Mopath procedure level 4 (81403) | — | $796 | — |
| Mumps antibody (86735) | — | $58 | — |
| Mycoplasma antibody (86738) | — | $42 | — |
| Myoglobin urine (83874) | — | $216 | — |
| Natriuretic peptide (83880) range across 4 matching MRF lines |
— | $176–$468 | — |
| Nfct ds chrnc hcv 6 assays (81596) | — | $483 | — |
| Niacin (84591) | — | $288 | — |
| Nuclear antigen antibody (86235) range across 21 matching MRF lines |
— | $49–$414 | — |
| Occult Blood Other Sources (82271) | — | $14 | — |
| Osmolality serum (83930) | — | $305 | — |
| Osmolality Urine (83935) | — | $62 | — |
| Ova and parasites smears (87177) | — | $74 | — |
| Oxalate urine (83945) | — | $129 | — |
| Parvovirus antibody (86747) | — | $72 | — |
| Ph urine (81003) | — | $32 | — |
| Phenobarbital Level (80184) | — | $106 | — |
| Phenytoin (Dilantin) (80185) | — | $97 | — |
| Phenytoin free (80186) | — | $65 | — |
| Phosphatase alkaline (84075) | — | $33 | — |
| Phosphorus Serum (84100) | — | $47 | — |
| Phosphorus urine (84105) | — | $65 | — |
| Pinworm exam (87172) | — | $40 | — |
| Platelet Antibodies (86022) | — | $427 | — |
| Porphyrins Urine Quantitation & Fractionation (84120) | — | $176 | — |
| Potassium Urine (84133) | — | $35 | — |
| Prealbumin (84134) | — | $106 | — |
| Pregnenolone (84140) | — | $212 | — |
| Primidone (80188) | — | $88 | — |
| Procalcitonin (Pct) (84145) | — | $147 | — |
| Progesterone (84144) | — | $200 | — |
| Prolactin (84146) | — | $108 | — |
| Protein body fluid (84157) | — | $13 | — |
| Protein C Activity (85303) | — | $94 | — |
| Protein c antigen (85302) | — | $351 | — |
| Protein Electrophoresis Urine (84166) | — | $94 | — |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | — | $105 | — |
| Protein S Free (85306) | — | $291 | — |
| Protein s total (85305) | — | $578 | — |
| Protein total serum (84155) | — | $30 | — |
| Protein Total Urine (84156) | — | $27 | — |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | — | $50 | — |
| PSA free (84154) | — | $84 | — |
| Pth Intact (83970) | — | $163 | — |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
— | $250–$600 | — |
| Quantitative Screen Metals (83018) range across 4 matching MRF lines |
— | $186–$277 | — |
| Rbc antibody identification (86870) | — | $129 | — |
| Rbc antibody screen (86850) | — | $164 | — |
| Rbc pretx incubatj w/enzymes (86971) | — | $245 | — |
| Reagent Strip/Blood Glucose (82948) | — | $34 | — |
| Renin activity plasma (84244) | — | $162 | — |
| Resp Virus 6-11 Targets (87632) | — | $2,013 | — |
| Reticulated Platelet Assay (85055) | — | $77 | — |
| Rh (86901) | — | $29 | — |
| Rheumatoid factor quant (86431) | — | $85 | — |
| Rickettsia antibody (86757) range across 4 matching MRF lines |
— | $185–$304 | — |
| Ristocetin cofactor (85245) | — | $60 | — |
| Rotavirus ag eia (87425) | — | $27 | — |
| Rpr qualitative (86592) | — | $29 | — |
| Rsv ab (86756) | — | $44 | — |
| Rsv Assay W/Optic (87807) | — | $40 | — |
| Rubella Antibody (86762) | — | $71 | — |
| Rubeola antibody (86765) | — | $93 | — |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
— | $277–$690 | — |
| Salmonella antibody (86768) | — | $58 | — |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | — | $201 | — |
| Sedimentation rate (85651) | — | $32 | — |
| Selenium (84255) | — | $54 | — |
| Sensitivity mic (87186) | — | $24 | — |
| Sex Hormone Binding Globulin (84270) | — | $77 | — |
| Sickling of rbc reduction (85660) | — | $21 | — |
| Sirolimus (80195) | — | $263 | — |
| Skin test tuberculosis intradermal (86580) | — | $75.75 | — |
| Smear acid fast (87206) | — | $9 | — |
| Smear complex stain (87209) | — | $63 | — |
| Smear gram stain (87205) range across 4 matching MRF lines |
— | $21–$65 | — |
| Smr Prim Src Wet Mount Nfct Agt (87210) | — | $27 | — |
| Sodium Serum (84295) | — | $35 | — |
| Sodium Urine (84300) | — | $35 | — |
| Soluble Transferrin Receptor (84238) | — | $393 | — |
| Somatomedin (84305) | — | $113 | — |
| Specimen infect agnt concntj (87015) range across 4 matching MRF lines |
— | $20–$25 | — |
| Spectrophotometry (84311) | — | $346 | — |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | — | $304 | — |
| Stool cultr aerobic bact ea (87046) | — | $28 | — |
| Strep a assay w/optic (87880) | — | $42 | — |
| Sulfate urine (84392) | — | $16 | — |
| Surgical pathology level IV (88305) | — | $367 | — |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | — | $27 | — |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 5 matching MRF lines |
— | $25–$34 | — |
| T cells absolute cd4 count (86361) | — | $102 | — |
| T3 Free (84481) | — | $287 | — |
| T3 reverse (84482) | — | $276 | — |
| T3 Total (84480) | — | $47 | — |
| T3 Uptake (84479) | — | $65 | — |
| T4 Free (84439) | — | $140 | — |
| T4 total (84436) | — | $65 | — |
| Tacrolimus (80197) | — | $205 | — |
| Tb ag response t-cell susp (86481) | — | $110 | — |
| Testosterone total (84403) | — | $93 | — |
| Testosterone, Free (84402) | — | $92 | — |
| Theophylline (80198) | — | $106 | — |
| Thiopurine methyltransferase (84433) | — | $921 | — |
| Thrombin Time (85670) | — | $56 | — |
| Thromboplastin Inhibition Tissue (85705) range across 4 matching MRF lines |
— | $34–$35 | — |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | — | $45 | — |
| Thyroglobulin (84432) | — | $166 | — |
| Thyroglobulin Antibody (86800) | — | $56 | — |
| Thyroid Stimulating Immunoglobulin (84445) | — | $468 | — |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | — | $48 | — |
| Topiramate (80201) | — | $176 | — |
| Transferase Aspartate Amino Ast Sgot (84450) | — | $47 | — |
| Transferrin (84466) | — | $117 | — |
| Trichomonas Vaginalis Amplif (87661) range across 4 matching MRF lines |
— | $138–$248 | — |
| Triglycerides (84478) | — | $39 | — |
| Troponin Quant (84484) | — | $69 | — |
| Unlisted Transfusion Medicine Procedure (86999) | — | $37 | — |
| Urea nitrogen urine (84540) | — | $65 | — |
| Uric acid other source (84560) | — | $65 | — |
| Urinalysis Volume Measure (81050) | — | $30 | — |
| Urine Bacteria Culture (87088) | — | $23 | — |
| Urine Pregnancy Test (81025) | — | $27 | — |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | — | $45 | — |
| Urobilinogen urine qual (84578) | — | $26 | — |
| Valproic acid (80164) | — | $129 | — |
| Vancomycin (80202) | — | $76 | — |
| Varicella-zoster antibody (86787) range across 4 matching MRF lines |
— | $30–$59 | — |
| Virus antibody nos (86790) range across 7 matching MRF lines |
— | $105–$496 | — |
| Virus inoculation, shell via (87254) range across 4 matching MRF lines |
— | $44–$68 | — |
| Viscosity serum (85810) | — | $127 | — |
| Vit D 1 25-Dihydroxy (82652) range across 4 matching MRF lines |
— | $289–$368 | — |
| Vitamin A (84590) | — | $42 | — |
| Vitamin b-12 (82607) | — | $122 | — |
| Vitamin B6 (84207) | — | $622 | — |
| Vitamin c (82180) | — | $158 | — |
| Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines |
— | $100–$256 | — |
| Vitamin E (84446) | — | $197 | — |
| Vitamin K (84597) | — | $804 | — |
| Volatiles (84600) | — | $211 | — |
| Von willebrand factor ag (85246) | — | $83 | — |
| West nile virus ab igm (86788) | — | $44 | — |
| West Nile Virus Antibody (86789) | — | $44 | — |
| Zinc (84630) | — | $105 | — |
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.