Lab & pathology prices at Horn Memorial Hospital
Ida Grove, IA · 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 |
|---|---|---|---|
| Acetylcholine receptor blocking antibody (86042) | $340.80 | $426 | 18.5× |
| Acetylcholn Rcptr Modlg Antb (86043) | $476 | $595 | 39.5× |
| Acth (82024) | $394.40 | $493 | 10.2× |
| Acute hepatitis panel (80074) | $269.60 | $337 | 5.7× |
| Albumin serum (82040) | $47.20 | $59 | 9.5× |
| Aldolase (82085) | $103.20 | $129 | 10.6× |
| Aldosterone urine (82088) | $377.60 | $472 | 9.3× |
| Alkaline phosphatase isoenzymes (84080) | $134.40 | $168 | 9.1× |
| Allergen specific ige (86003) | $39.20 | $49 | 7.5× |
| Alpha-1-antitrypsin phenotype (82104) | $84 | $105 | 5.8× |
| Alpha-Fetoprotein Serum (82105) | $147.20 | $184 | 8.8× |
| Alt (sgpt) (84460) | $41.60 | $52 | 7.8× |
| Ammonia (82140) | $120 | $150 | 8.2× |
| Amylase urine (82150) | $62.40 | $78 | 9.6× |
| Ana Titer (86039) | $87.20 | $109 | 7.8× |
| Angiotensin converting enzyme csf (82164) | $153.60 | $192 | 10.5× |
| Antibody aspergillus (86606) | $56 | $70 | 3.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $144.80 | $181 | 9.3× |
| Antibody Fungus Not Elsewhere Specified (86671) | $130.40 | $163 | 10.6× |
| Antibody Treponema Pallidum (86780) | $114.40 | $143 | 8.6× |
| Antinuclear antibodies (86038) | $66.40 | $83 | 5.5× |
| Antistreptolysin o titer (86060) | $80 | $100 | 11.0× |
| Antithrombin iii activity (85300) | $327.20 | $409 | 27.6× |
| Arsenic (82175) | $167.20 | $209 | 8.8× |
| Aspergillus ag eia (87305) | $84 | $105 | 7.0× |
| Assay Blood Carbon Dioxide (82374) | $44.80 | $56 | 9.2× |
| Assay Nephelometry Not Spec (83883) | $125.60 | $157 | 9.2× |
| Assay of 5-hiaa (83497) | $156 | $195 | 12.1× |
| Assay of blood/uric acid (84550) | $41.60 | $52 | 9.2× |
| Assay of calcium in urine (82340) | $70.40 | $88 | 11.7× |
| Assay of cpk in blood (82552) | $188 | $235 | 14.0× |
| Assay of estrone (82679) | $140 | $175 | 5.6× |
| Assay of g6pd enzyme (82955) | $160 | $200 | 16.5× |
| Assay of gammaglobulin igm (82784) | $70.40 | $88 | 7.6× |
| Assay of lactic acid (83605) | $59.20 | $74 | 5.1× |
| Assay of metanephrines (83835) | $423.20 | $529 | 25.0× |
| Assay of serum potassium (84132) | $23.20 | $29 | 4.9× |
| Assay of urea nitrogen (84520) | $23.20 | $29 | 5.9× |
| Assay of vitamin b-1 (84425) | $242.40 | $303 | 11.4× |
| Assay Ph Body Fluid Nos (83986) | $48 | $60 | 13.4× |
| B cells total count (86355) | $87.20 | $109 | 2.3× |
| Bcr/abl1 gene major bp (81206) | $468 | $585 | 2.9× |
| Beta 2 glycoprotein i antibody each (86146) | $136 | $170 | 5.3× |
| Beta hydroxybutyrate (82010) | $142.40 | $178 | 17.4× |
| Beta Lactamase (87185) | $44.80 | $56 | 9.4× |
| Bilirubin direct (82248) | $41.60 | $52 | 8.3× |
| Bilirubin total (82247) | $41.60 | $52 | 8.3× |
| Blood Count Automated Differential Wbc Count (85004) | $33.60 | $42 | 5.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $36 | $45 | 9.5× |
| Blood gas (82803) | $188 | $235 | 7.2× |
| Blood gases w/02 saturation (82805) | $188 | $235 | 2.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $36 | $45 | 8.2× |
| Blood typing serologic abo (86900) | $28 | $35 | 9.4× |
| Body fluid cell count (89050) | $64 | $80 | 13.6× |
| Breath Alcohol Test (82075) | $41.60 | $52 | 1.4× |
| C diff amplified probe (87493) | $96.80 | $121 | 2.6× |
| C-Peptide (84681) | $245.60 | $307 | 11.8× |
| C-reactive protein (86140) | $82.40 | $103 | 15.9× |
| Ca 19-9 (86301) | $196.80 | $246 | 9.5× |
| Cadmium (82300) | $124.80 | $156 | 5.3× |
| Calcium ionized (82330) | $100.80 | $126 | 7.4× |
| Calcium total (82310) | $41.60 | $52 | 8.1× |
| Calculus Spectroscopy (82365) | $120.80 | $151 | 9.4× |
| Calprotectin Fecal (83993) | $353.60 | $442 | 18.0× |
| Cancer Antigen 125 (86304) | $196.80 | $246 | 9.5× |
| Cancer Antigen 27.29 (86300) | $207.20 | $259 | 10.0× |
| Carbamazepine total (80156) | $92 | $115 | 6.3× |
| Carboxyhemoglobin (82375) | $112.80 | $141 | 9.2× |
| Carcinoembryonic antigen (82378) | $128.80 | $161 | 6.8× |
| Cardiolipin ab iga (86147) | $160 | $200 | 6.3× |
| Carotene (82380) | $168 | $210 | 18.2× |
| Catecholamines fractionated (82384) | $357.60 | $447 | 14.2× |
| Ccp antibody (86200) | $197.60 | $247 | 15.3× |
| Cell count csf (89051) | $66.40 | $83 | 11.9× |
| Ceruloplasmin (82390) | $116.80 | $146 | 10.9× |
| Chemiluminescent assay (82397) | $196.80 | $246 | 13.9× |
| Chloride Serum (82435) | $23.20 | $29 | 5.0× |
| Chloride urine (82436) | $40 | $50 | 7.0× |
| Cholesterol total (82465) | $41.60 | $52 | 9.6× |
| Chorionic gonadotropin test (84702) | $130.40 | $163 | 8.7× |
| Chromogranin a (86316) | $326.40 | $408 | 15.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $149.60 | $187 | 4.3× |
| Citric acid urine (82507) | $138.40 | $173 | 5.0× |
| Ckmb (82553) | $122.40 | $153 | 10.6× |
| Coccidioides antibody (86635) | $292.80 | $366 | 25.5× |
| Compatibility Each Unit Incubation (86921) | $28 | $35 | 0.2× |
| Compatibility test antiglob (86922) | $116.80 | $146 | 0.7× |
| Complement Antigen Each Component (86160) | $71.20 | $89 | 5.9× |
| Complement Total (Ch50) (86162) | $262.40 | $328 | 12.9× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $344 | $430 | 9.6× |
| Coombs direct (86880) | $57.60 | $72 | 10.7× |
| Copper urine (82525) | $148 | $185 | 11.9× |
| Cortisol free (82530) | $359.20 | $449 | 21.5× |
| Cortisol saliva (82533) | $172 | $215 | 10.6× |
| Creatine kinase total (82550) | $70.40 | $88 | 10.8× |
| Creatinine blood (82565) | $23.20 | $29 | 4.5× |
| Creatinine clearance (82575) | $66.40 | $83 | 7.0× |
| Creatinine Urine (82570) | $66.40 | $83 | 12.8× |
| Crossmatch immediate spin (86920) | $48 | $60 | 0.3× |
| Crp High Sensitivity (86141) | $124.80 | $156 | 9.6× |
| Cryptococcus ag titer (87899) | $111.20 | $139 | 6.9× |
| Cryptosporidium ag eia (87328) | $142.40 | $178 | 10.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $68 | $85 | 8.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $60 | $75 | 7.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $98.40 | $123 | 12.8× |
| Culture Anaerobic (87075) | $84 | $105 | 8.9× |
| Culture blood (87040) | $132 | $165 | 12.8× |
| Culture csf (87070) | $80 | $100 | 9.3× |
| Culture fungus (87102) | $98.40 | $123 | 11.7× |
| Culture screen only (87081) | $66.40 | $83 | 10.0× |
| Culture stool (87045) | $87.20 | $109 | 9.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $48 | $60 | 9.3× |
| Culture urine (87086) | $80 | $100 | 9.9× |
| Cyclosporine (80158) | $204 | $255 | 11.3× |
| Cytopath Cell Enhance Tech (88112) | $99.20 | $124 | 2.0× |
| Cytp Concentration Smears & Interpretation (88108) | $33.60 | $42 | 0.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $89.60 | $112 | 1.8× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $37.60 | $47 | 1.0× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $69.60 | $87 | 2.5× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$130.40–$330.40 | $163–$413 | varies |
| Detect Agent Nos Dna Quant (87799) | $734.40 | $918 | 17.1× |
| Dgp Antibody Each Ig Class (86258) | $183.20 | $229 | 15.2× |
| Dhea-S (82627) | $244.80 | $306 | 11.0× |
| Digoxin (80162) | $86.40 | $108 | 6.5× |
| Dna Antibody Native/Double Stranded (86225) | $111.20 | $139 | 8.1× |
| Dna/Rna Amplified Probe (87150) | $252.80 | $316 | 7.2× |
| DNA/RNA direct probe (87149) | $77.60 | $97 | 3.9× |
| Drug assay adalimumab (80145) | $319.20 | $399 | 8.3× |
| Drug Assay Amiodarone (80151) | $108.80 | $136 | 5.8× |
| Drug assay voriconazole (80285) | $88 | $110 | 3.2× |
| Drug Screen Quant Clozapine (80159) | $80.80 | $101 | 4.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $116.80 | $146 | 8.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $196.80 | $246 | 14.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $134.40 | $168 | 10.1× |
| Drug Test Prsmv Chem Anlyzr (80307) | $324 | $405 | 5.2× |
| Drug Test Prsmv Dir Opt Obs (80305) | $137.60 | $172 | 10.9× |
| El-1 Fecal Quantitative (82653) | $262.40 | $328 | 11.4× |
| Electrolyte panel (80051) | $92 | $115 | 13.1× |
| Erythropoietin (82668) | $220 | $275 | 11.7× |
| Estradiol serum (82670) | $129.60 | $162 | 4.6× |
| Estrogen total (82672) | $323.20 | $404 | 14.9× |
| Exam Synovial Fluid Crystals (89060) | $81.60 | $102 | 11.1× |
| Factor v leiden mutation (81241) | $802.40 | $1,003 | 10.9× |
| Factor X (85260) | $362.40 | $453 | 20.2× |
| Fat stain feces urine/respir secretions (89125) | $81.60 | $102 | 13.9× |
| Ferritin (82728) | $91.20 | $114 | 6.7× |
| Fibrin Degradation Quant (85379) | $138.40 | $173 | 13.6× |
| Fluorescent antibody screen (86255) | $156 | $195 | 12.9× |
| Folic Acid Serum (82746) | $68 | $85 | 4.6× |
| Follicle Stimulating Hormone (83001) | $116.80 | $146 | 6.3× |
| Fungi Identification Mold (87107) | $77.60 | $97 | 7.5× |
| Fungi Identification Yeast (87106) | $77.60 | $97 | 7.5× |
| Gammaglobulin ige (82785) | $66.40 | $83 | 4.0× |
| Gases blood ph only (82800) | $130.40 | $163 | 11.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $456 | $570 | 1.1× |
| Gentamicin (80170) | $80 | $100 | 4.9× |
| Ggt (82977) | $41.60 | $52 | 5.8× |
| Giardia antigen (87329) | $130.40 | $163 | 10.9× |
| Glucose body fluid (82945) | $48 | $60 | 12.2× |
| Glucose Serum (82947) | $41.60 | $52 | 10.6× |
| Glucose tolerance test (gtt) (82951) | $71.20 | $89 | 5.5× |
| Gonadotropin Chorionic Qualitative (84703) | $67.20 | $84 | 8.9× |
| Gtt-added samples (82952) | $36 | $45 | 9.2× |
| Hdl Cholesterol (83718) | $50.40 | $63 | 6.2× |
| Helicobacter Pylori Stool (87338) | $264.80 | $331 | 18.4× |
| Hematocrit (85014) | $32.80 | $41 | 13.8× |
| Hemoglobin (85018) | $32 | $40 | 13.5× |
| Hemoglobin a1c (83036) | $77.60 | $97 | 8.0× |
| Hep a ab igm (86709) | $60 | $75 | 5.3× |
| Hepatitis a antibody total (86708) | $124 | $155 | 10.0× |
| Hepatitis b core ab igm (86705) | $63.20 | $79 | 5.4× |
| Hepatitis b core ab total (86704) | $95.20 | $119 | 7.9× |
| Hepatitis B Surface Antibody (86706) | $74.40 | $93 | 6.9× |
| Hepatitis B Surface Antigen (87340) | $51.20 | $64 | 5.0× |
| Hepatitis C Antibody (86803) | $96.80 | $121 | 6.8× |
| Hepatitis C Revrs Trnscrpj (87522) | $641.60 | $802 | 15.0× |
| Herpes simplex type 2 (86696) | $110.40 | $138 | 5.7× |
| Heterophile Antibody Screen (86308) | $59.20 | $74 | 11.4× |
| Hfe Gene (81256) | $608 | $760 | 9.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $65.60 | $82 | 2.7× |
| Hla class ii typing high resolution one locus ea (81382) | $418.40 | $523 | 3.4× |
| Hla-b27 (86812) | $206.40 | $258 | 8.0× |
| Homocysteine (83090) | $278.40 | $348 | 15.5× |
| Hsv Dna Amp Probe (87529) | $600.80 | $751 | 17.1× |
| Hydroxyprogesterone 17-d (83498) | $125.60 | $157 | 4.6× |
| Iaad ia shiga-like toxin (87427) | $124.80 | $156 | 10.4× |
| Iadna Cytomegalovirus Quantification (87497) | $578.40 | $723 | 13.5× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $104 | $130 | 1.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $380.80 | $476 | 8.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $607.20 | $759 | 17.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $152 | $190 | 4.3× |
| Ig Light Chains Free Each (83521) | $122.40 | $153 | 7.1× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $629.60 | $787 | 1.8× |
| Immunfix e-phorsis/urine/csf (86335) | $161.60 | $202 | 5.5× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $327.20 | $409 | 17.8× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $526.40 | $658 | 35.1× |
| Immunoassay nonantibody (83516) | $207.20 | $259 | 18.0× |
| Immunofixation electrophoresis (86334) | $138.40 | $173 | 6.2× |
| Immunohistochemistry (88342) | $160 | $200 | 1.0× |
| In situ hybridization 1st probe stain (88365) | $136.80 | $171 | 0.8× |
| Influenza DNA amp probe (87502) | $112 | $140 | 1.2× |
| Inhibin b (83520) range across 2 matching MRF lines |
$182.40–$248 | $228–$310 | varies |
| Insulin antibodies (86337) | $213.60 | $267 | 10.0× |
| Insulin total (83525) | $109.60 | $137 | 9.6× |
| Iron (83540) | $40 | $50 | 6.2× |
| Iron Binding Capacity (83550) | $48.80 | $61 | 5.6× |
| Jak2 gene analysis p.val617phe variant (81270) | $1,595.20 | $1,994 | 17.4× |
| Koh Prep (87220) | $60 | $75 | 14.1× |
| Lactate (ld) (ldh) enzyme (83615) | $50.40 | $63 | 8.3× |
| Lactoferrin fecal qualitative (83630) | $211.20 | $264 | 10.7× |
| Lactoferrin Fecal Quantitative (83631) | $472.80 | $591 | 24.1× |
| LDL direct (83721) | $76.80 | $96 | 7.3× |
| Lead (83655) | $120 | $150 | 9.9× |
| Legionella antigen urine (87449) | $101.60 | $127 | 8.5× |
| Leukocyte Histamine Release (86343) | $150.40 | $188 | 12.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $39.20 | $49 | 1.4× |
| Level ii surg pathology grossµscopic exam (88302) | $49.60 | $62 | 1.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $115.20 | $144 | 0.3× |
| Lipase (83690) | $92 | $115 | 13.4× |
| Lipoprotein A (83695) | $149.60 | $187 | 10.4× |
| Lithium (80178) | $59.20 | $74 | 9.0× |
| Luteinizing Hormone (Lh) (83002) | $77.60 | $97 | 4.2× |
| Lyme disease antibody (86618) | $111.20 | $139 | 6.5× |
| Lysozyme serum (85549) | $75.20 | $94 | 4.0× |
| M. Genitalium Amp Probe (87563) | $130.40 | $163 | 3.7× |
| Macroscopic Exam Parasite (87169) | $63.20 | $79 | 14.7× |
| Magnesium Urine (83735) | $74.40 | $93 | 11.1× |
| Mass Spectrometry Quant (83789) | $278.40 | $348 | 11.5× |
| Mercury urine (83825) | $223.20 | $279 | 13.7× |
| Methylmalonic acid serum (83921) | $361.60 | $452 | 17.0× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$164–$168.80 | $205–$211 | varies |
| Microsomal Antibodies Each (86376) | $230.40 | $288 | 15.8× |
| Mitochondrial Antibody Each (86381) | $173.60 | $217 | 6.8× |
| Mumps antibody (86735) | $206.40 | $258 | 15.8× |
| Mycoplasma antibody (86738) | $66.40 | $83 | 5.0× |
| Myoglobin urine (83874) | $110.40 | $138 | 8.5× |
| Natriuretic peptide (83880) | $312 | $390 | 7.9× |
| Neutralization Test Viral (86382) | $447.20 | $559 | 26.4× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $411.20 | $514 | 3.2× |
| Nfct ds bv&vaginitis DNA alg (81515) | $275.20 | $344 | 1.0× |
| Nfct ds chrnc hcv 6 assays (81596) | $245.60 | $307 | 3.4× |
| Nk cells total count (86357) | $145.60 | $182 | 3.9× |
| Nuclear antigen antibody (86235) | $206.40 | $258 | 11.5× |
| Occult blood feces (82272) | $36 | $45 | 8.5× |
| Occult Blood Other Sources (82271) | $48 | $60 | 9.0× |
| Organic Acids Qualitative Each Specimen (83919) | $280.80 | $351 | 17.1× |
| Osmolality serum (83930) | $50.40 | $63 | 7.6× |
| Osmolality Urine (83935) | $83.20 | $104 | 12.2× |
| Ova and parasites smears (87177) | $72.80 | $91 | 8.2× |
| Oxalate urine (83945) | $112 | $140 | 7.8× |
| Ph urine (81003) | $14.40 | $18 | 6.4× |
| Phenobarbital Level (80184) | $133.60 | $167 | 8.7× |
| Phenytoin free (80186) | $125.60 | $157 | 9.1× |
| Phosphatase alkaline (84075) | $41.60 | $52 | 8.0× |
| Phospholipid Neutralization Hexagonal (85598) | $157.60 | $197 | 8.8× |
| Phosphorus Serum (84100) | $41.60 | $52 | 8.8× |
| Phosphorus urine (84105) | $59.20 | $74 | 10.2× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $163.20 | $204 | 11.1× |
| Potassium Urine (84133) | $48 | $60 | 10.1× |
| Prealbumin (84134) | $101.60 | $127 | 7.0× |
| Primidone (80188) | $124.80 | $156 | 7.5× |
| Procalcitonin (Pct) (84145) | $225.60 | $282 | 8.3× |
| Progesterone (84144) | $79.20 | $99 | 3.8× |
| Prolactin (84146) | $244 | $305 | 12.6× |
| Protein body fluid (84157) | $48 | $60 | 12.0× |
| Protein C Activity (85303) | $292 | $365 | 21.1× |
| Protein c antigen (85302) | $292 | $365 | 24.3× |
| Protein Electrophoresis Urine (84166) | $116.80 | $146 | 6.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $81.60 | $102 | 7.6× |
| Protein S Free (85306) | $235.20 | $294 | 15.4× |
| Protein s total (85305) | $282.40 | $353 | 24.3× |
| Protein total serum (84155) | $41.60 | $52 | 11.3× |
| Protein Total Urine (84156) | $64 | $80 | 17.4× |
| Protein Western Blot Test (84182) | $203.20 | $254 | 7.0× |
| PSA free (84154) | $116 | $145 | 6.3× |
| Pth Intact (83970) | $204.80 | $256 | 5.0× |
| Quantiferon tb gold plus (86480) | $234.40 | $293 | 3.8× |
| Quantitative assay drug (80299) | $84.80 | $106 | 4.5× |
| Rbc antibody identification (86870) | $135.20 | $169 | 0.4× |
| Rbc antibody screen (86850) | $66.40 | $83 | 6.8× |
| Renin activity plasma (84244) | $214.40 | $268 | 9.7× |
| Reticulocyte Count (85046) | $58.40 | $73 | 10.5× |
| Rh (86901) | $28 | $35 | 9.4× |
| Rheumatoid Factor Qualitative (86430) | $62.40 | $78 | 10.2× |
| Rheumatoid factor quant (86431) | $64.80 | $81 | 11.4× |
| Rotavirus ag eia (87425) | $404.80 | $506 | 33.8× |
| Rubella Antibody (86762) | $59.20 | $74 | 4.1× |
| Rubeola antibody (86765) | $188 | $235 | 14.6× |
| Russell Viper Venom Time Diluted (85613) | $64 | $80 | 6.7× |
| Salicylate Level (80179) | $72 | $90 | 3.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $120.80 | $151 | 2.4× |
| Sars-cov-2 COVID-19 antibody (86769) | $93.60 | $117 | 2.2× |
| Sedimentation Rate, Automated (85652) | $44.80 | $56 | 16.6× |
| Semen Anal Sperm Detection (89321) | $66.40 | $83 | 5.5× |
| Sensitivity mic (87186) | $92.80 | $116 | 10.7× |
| Sex Hormone Binding Globulin (84270) | $174.40 | $218 | 8.0× |
| Sickling of rbc reduction (85660) | $80 | $100 | 14.5× |
| Sirolimus (80195) | $218.40 | $273 | 15.9× |
| Smear acid fast (87206) | $66.40 | $83 | 12.3× |
| Smear gram stain (87205) | $39.20 | $49 | 9.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $50.40 | $63 | 8.7× |
| Sodium Serum (84295) | $23.20 | $29 | 4.8× |
| Sodium Urine (84300) | $51.20 | $64 | 10.1× |
| Somatomedin (84305) | $384 | $480 | 18.1× |
| Special Stains Group 1 (88312) | $67.20 | $84 | 1.3× |
| Strep a DNA amp probe (87651) | $46.40 | $58 | 1.3× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $117.60 | $147 | 1.3× |
| Sulfate urine (84392) | $43.20 | $54 | 7.9× |
| Surg path level iii (88304) | $59.20 | $74 | 1.2× |
| Surgical pathology level IV (88305) | $91.20 | $114 | 1.8× |
| Surgical pathology level vi (88309) | $132.80 | $166 | 0.2× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $59.20 | $74 | 12.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $69.60 | $87 | 9.3× |
| T cells absolute cd4 count (86361) | $245.60 | $307 | 9.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $128 | $160 | 2.7× |
| T cells total count (86359) | $136 | $170 | 3.6× |
| T3 Free (84481) | $71.20 | $89 | 4.2× |
| T3 reverse (84482) | $174.40 | $218 | 11.1× |
| T3 Total (84480) | $106.40 | $133 | 7.5× |
| T4 Free (84439) | $94.40 | $118 | 10.5× |
| T4 total (84436) | $64 | $80 | 9.3× |
| Tacrolimus (80197) | $268.80 | $336 | 19.6× |
| Testosterone Bioavailable (84410) | $132 | $165 | 2.6× |
| Testosterone total (84403) | $132 | $165 | 5.1× |
| Testosterone, Free (84402) | $146.40 | $183 | 5.7× |
| Thiopurine methyltransferase (84433) | $265.60 | $332 | 12.0× |
| Thyroglobulin (84432) | $352.80 | $441 | 22.0× |
| Thyroglobulin Antibody (86800) | $236.80 | $296 | 14.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $505.60 | $632 | 9.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $88 | $110 | 7.6× |
| Tobramycin peak (80200) | $122.40 | $153 | 7.6× |
| Topiramate (80201) | $86.40 | $108 | 7.2× |
| Toxoplasma ab igm (86778) | $229.60 | $287 | 15.9× |
| Toxoplasma antibody (86777) | $148 | $185 | 10.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $53.60 | $67 | 10.3× |
| Transferrin (84466) | $88.80 | $111 | 7.0× |
| Trichomonas Vaginalis Amplif (87661) | $391.20 | $489 | 11.1× |
| Triglycerides (84478) | $41.60 | $52 | 7.2× |
| Troponin Quant (84484) | $136 | $170 | 10.9× |
| Urea nitrogen urine (84540) | $36 | $45 | 6.5× |
| Uric acid other source (84560) | $54.40 | $68 | 10.7× |
| Urinalysis Microscopic Only (81015) | $39.20 | $49 | 12.9× |
| Urine Albumin Semiquantitative (82044) | $45.60 | $57 | 7.3× |
| Urine Bacteria Culture (87088) | $60 | $75 | 7.4× |
| Urine Pregnancy Test (81025) | $55.20 | $69 | 6.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $50.40 | $63 | 15.9× |
| Valproic acid (80164) | $133.60 | $167 | 9.9× |
| Vancomycin (80202) | $79.20 | $99 | 5.8× |
| Varicella-zoster antibody (86787) | $154.40 | $193 | 12.0× |
| Vasopressin (84588) | $326.40 | $408 | 9.6× |
| Virus antibody nos (86790) | $108 | $135 | 8.4× |
| Vit D 1 25-Dihydroxy (82652) | $148.80 | $186 | 3.9× |
| Vitamin A (84590) | $215.20 | $269 | 18.5× |
| Vitamin b-12 (82607) | $79.20 | $99 | 5.3× |
| Vitamin B6 (84207) | $359.20 | $449 | 12.8× |
| Vitamin D 25-Hydroxy (82306) | $128.80 | $161 | 4.4× |
| Vitamin E (84446) | $101.60 | $127 | 7.2× |
| Vitamin K (84597) | $240 | $300 | 17.5× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $103.20 | $129 | 8.6× |
| West nile virus ab igm (86788) | $76.80 | $96 | 4.6× |
| West Nile Virus Antibody (86789) | $76.80 | $96 | 5.3× |
| Xm Archive Tissue Molec Anal (88363) | $105.60 | $132 | 3.8× |
| Zinc (84630) | $111.20 | $139 | 9.8× |
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.