Lab & pathology prices at Iowa Specialty Hospital - Belmond
Belmond, IA · every code in this section with a posted price and a Medicare benchmark.
611 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $72.60 | $121 | 6.5× |
| Acetylcholine receptor binding antibody (86041) | $406.80 | $678 | 22.1× |
| Acetylcholn Rcptr Modlg Antb (86043) | $230.40 | $384 | 19.1× |
| Acth (82024) | $211.80 | $353 | 5.5× |
| Acute hepatitis panel (80074) | $222.60 | $371 | 4.7× |
| Acylcarnitines Quant (82017) | $48.60 | $81 | 2.9× |
| Adenovirus antibody (86603) | $6 | $10 | 0.5× |
| Albumin Fluid (82042) | $126 | $210 | 16.2× |
| Albumin serum (82040) | $43.20 | $72 | 8.7× |
| Aldolase (82085) | $27 | $45 | 2.8× |
| Aldosterone urine (82088) | $218.40 | $364 | 5.4× |
| Alkaline phosphatase isoenzymes (84080) | $77.40 | $129 | 5.2× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$18.60–$74.40 | $31–$124 | varies |
| Allergen specific igg (86001) | $38.40 | $64 | 4.9× |
| Allg Spec Ige Recomb Ea (86008) | $52.20 | $87 | 2.9× |
| Alpha-1-antitrypsin phenotype (82104) | $54 | $90 | 3.7× |
| Alpha-1-antitrypsin total (82103) | $54 | $90 | 4.0× |
| Alpha-Fetoprotein Serum (82105) | $162 | $270 | 9.7× |
| Alt (sgpt) (84460) range across 3 matching MRF lines |
$4.80–$48 | $8–$80 | varies |
| Amikacin trough (80150) | $122.40 | $204 | 8.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $255 | $425 | 15.1× |
| Amino Acids Quant 2-5 (82136) | $142.80 | $238 | 7.3× |
| Ammonia (82140) | $119.40 | $199 | 8.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $210 | $350 | 2.1× |
| Amylase urine (82150) | $64.20 | $107 | 9.9× |
| Ana Titer (86039) | $38.40 | $64 | 3.4× |
| Androstenedione (82157) | $51 | $85 | 1.7× |
| Angiotensin converting enzyme csf (82164) | $70.20 | $117 | 4.8× |
| Anti-Phospholipid Antibody (86148) | $119.40 | $199 | 7.4× |
| Antibody aspergillus (86606) | $70.20 | $117 | 4.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $93 | $155 | 6.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $91.20 | $152 | 5.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $67.20 | $112 | 4.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $67.20 | $112 | 3.7× |
| Antibody helicobacter pylori (86677) | $87 | $145 | 5.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $66.60 | $111 | 4.6× |
| Antibody Herpes Smplx Type 1 (86695) | $39 | $65 | 3.0× |
| Antibody HIV-1&HIV-2 single result (86703) | $85.80 | $143 | 6.3× |
| Antibody Hla Class I High Definition Panel Qual (86832) range across 2 matching MRF lines |
$591.60–$1,375.20 | $986–$2,292 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $129 | $215 | 6.7× |
| Antibody Identification Platelet Immunogl Assay (86023) | $19.80 | $33 | 1.6× |
| Antibody Protozoa Nes (86753) | $163.80 | $273 | 13.2× |
| Antibody Titer (86886) | $172.20 | $287 | 33.2× |
| Antibody Treponema Pallidum (86780) | $48.60 | $81 | 3.7× |
| Antibody; influenza virus (86710) | $84.60 | $141 | 6.2× |
| Antigen typing (86905) | $95.40 | $159 | 24.9× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $60.60 | $101 | 10.6× |
| Antinuclear antibodies (86038) | $114.60 | $191 | 9.5× |
| Antistreptolysin o titer (86060) | $81 | $135 | 11.1× |
| Antithrombin iii activity (85300) | $261.60 | $436 | 22.1× |
| Antithrombin iii antigen (85301) | $58.20 | $97 | 5.4× |
| Apc Gene Analysis Known Familial Variants (81202) | $1,145.40 | $1,909 | 4.1× |
| Apc gene dup/delet variants (81203) | $1,400.40 | $2,334 | 7.0× |
| Apolipoprotein a1 (82172) | $153 | $255 | 7.3× |
| Arsenic (82175) | $96 | $160 | 5.1× |
| Aspergillus ag eia (87305) | $486 | $810 | 40.6× |
| Assay activated protein c (85307) | $191.40 | $319 | 12.5× |
| Assay Blood Carbon Dioxide (82374) | $40.80 | $68 | 8.4× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$36.60–$87.60 | $61–$146 | varies |
| Assay of 5-hiaa (83497) | $105 | $175 | 8.1× |
| Assay of anti-mullerian hormone (82166) | $262.80 | $438 | 6.8× |
| Assay of blood/uric acid (84550) range across 3 matching MRF lines |
$4.20–$40.80 | $7–$68 | varies |
| Assay of calcium in urine (82340) | $35.40 | $59 | 5.9× |
| Assay of cpk in blood (82552) | $94.20 | $157 | 7.0× |
| Assay of estrone (82679) | $153 | $255 | 6.1× |
| Assay of g6pd enzyme (82955) | $81 | $135 | 8.4× |
| Assay of gammaglobulin igm (82784) | $86.40 | $144 | 9.3× |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$10.80–$38.40 | $18–$64 | varies |
| Assay of manganese (83785) | $170.40 | $284 | 6.4× |
| Assay of metanephrines (83835) | $151.80 | $253 | 9.0× |
| Assay of proinsulin (84206) | $143.40 | $239 | 5.4× |
| Assay of serotonin (84260) | $87.60 | $146 | 2.8× |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
$4.20–$43.20 | $7–$72 | varies |
| Assay of sweat sodium (84302) | $48 | $80 | 9.9× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$3.60–$43.20 | $6–$72 | varies |
| Assay of urine vma (84585) | $95.40 | $159 | 6.2× |
| Assay of vasoactive intestinal peptide (84586) | $144 | $240 | 4.1× |
| Assay of vitamin b-1 (84425) | $95.40 | $159 | 4.5× |
| Assay Ph Body Fluid Nos (83986) | $91.20 | $152 | 25.5× |
| Assay spec xcp ur&breath ia (82077) | $17.40 | $29 | 1.0× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $99 | $165 | 0.6× |
| Automated Leukocyte Count (85048) range across 3 matching MRF lines |
$19.80–$29.40 | $33–$49 | varies |
| B cells total count (86355) | $202.20 | $337 | 5.4× |
| Bartonella antibody (86611) | $58.20 | $97 | 5.7× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$465 | $10–$775 | 2.8× |
| Bcr/abl1 gene minor bp (81207) | $432.60 | $721 | 3.0× |
| Bcr/Abl1 Gene Other Bp (81208) | $432.60 | $721 | 2.0× |
| Beta 2 glycoprotein i antibody each (86146) | $103.80 | $173 | 4.1× |
| Beta hydroxybutyrate (82010) | $66.60 | $111 | 8.2× |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$5.40–$14.40 | $9–$24 | varies |
| Beta-2 Microglobulin (82232) | $93 | $155 | 5.7× |
| Bile acids total (82239) | $105.60 | $176 | 6.2× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$4.80–$60 | $8–$100 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$4.80–$40.80 | $8–$68 | varies |
| Bilirubin total transcutaneous (88720) | $16.80 | $28 | 3.3× |
| Biotinidase (82261) | $15.60 | $26 | 0.9× |
| Blastomyces antibody (86612) | $70.80 | $118 | 5.5× |
| Bld Typing Serologic Rh Phnt (86906) | $141 | $235 | 18.2× |
| Blood Count Red Blood Cell Automated (85041) | $29.40 | $49 | 9.7× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $85.80 | $143 | 22.6× |
| Blood gas (82803) range across 2 matching MRF lines |
$19.80–$228.60 | $33–$381 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$24.60–$28.80 | $41–$48 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $52.20 | $87 | 8.2× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $35.40 | $59 | 2.2× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$3–$43.20 | $5–$72 | varies |
| Bordetella antibody (86615) | $70.80 | $118 | 5.4× |
| Breath Alcohol Test (82075) range across 5 matching MRF lines |
$18–$28.80 | $30–$48 | varies |
| Brucella antibody (86622) | $84 | $140 | 9.4× |
| C diff amplified probe (87493) | $85.20 | $142 | 2.3× |
| C-Peptide (84681) | $103.80 | $173 | 5.0× |
| C-reactive protein (86140) range across 3 matching MRF lines |
$4.80–$100.20 | $8–$167 | varies |
| Ca 19-9 (86301) | $41.40 | $69 | 2.0× |
| Cadmium (82300) | $41.40 | $69 | 1.8× |
| Calcitonin (82308) | $183.60 | $306 | 6.9× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$12.60–$79.80 | $21–$133 | varies |
| Calcium total (82310) | $44.40 | $74 | 8.6× |
| Calculus Spectroscopy (82365) | $170.40 | $284 | 13.2× |
| Calprotectin Fecal (83993) | $432 | $720 | 22.0× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$33–$115.20 | $55–$192 | varies |
| Cancer Antigen 27.29 (86300) | $123.60 | $206 | 5.9× |
| Candida antibody (86628) | $177 | $295 | 14.7× |
| Candida Dna Dir Probe (87480) | $74.40 | $124 | 3.7× |
| Carbamazepine total (80156) | $89.40 | $149 | 6.1× |
| Carboxyhemoglobin (82375) | $116.40 | $194 | 9.4× |
| Carcinoembryonic antigen (82378) | $128.40 | $214 | 6.8× |
| Cardiolipin ab iga (86147) | $119.40 | $199 | 4.7× |
| Carnitine Quantitative Each Specimen (82379) | $204.60 | $341 | 12.1× |
| Carotene (82380) | $70.80 | $118 | 7.7× |
| Catecholamines fractionated (82384) | $138 | $230 | 5.5× |
| Ccp antibody (86200) | $64.20 | $107 | 5.0× |
| Cell count csf (89051) | $84 | $140 | 15.0× |
| Ceruloplasmin (82390) | $70.20 | $117 | 6.5× |
| Cftr gene com variants (81220) | $687.60 | $1,146 | 1.2× |
| Cftr gene dup/delet variants (81222) | $435 | $725 | 1.0× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$94.20–$133.20 | $157–$222 | varies |
| Chlamydia antibody (86631) | $24.60 | $41 | 2.1× |
| Chlamydia Igm Antibody (86632) | $24.60 | $41 | 1.9× |
| Chlmy trch&neisra gonor mult (87494) | $168 | $280 | 2.4× |
| Chloride Serum (82435) | $38.40 | $64 | 8.3× |
| Chloride urine (82436) | $37.20 | $62 | 6.5× |
| Cholesterol total (82465) range across 4 matching MRF lines |
$4.20–$37.20 | $7–$62 | varies |
| Cholinesterase rbc (82482) | $22.80 | $38 | 2.3× |
| Cholinesterase Serum (82480) | $59.40 | $99 | 7.5× |
| Chorionic gonadotropin test (84702) | $93 | $155 | 6.2× |
| Chromium serum (82495) | $274.20 | $457 | 13.5× |
| Chromogranin a (86316) | $90.60 | $151 | 4.4× |
| Chromosome Analysis 15-20 (88262) | $962.40 | $1,604 | 7.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $81 | $135 | 2.3× |
| Citric acid urine (82507) | $132.60 | $221 | 4.8× |
| Ckmb (82553) | $116.40 | $194 | 10.1× |
| Clostridium Difficile (87324) | $128.40 | $214 | 10.7× |
| Clot Factor VIII Multimetric (85247) | $200.40 | $334 | 8.7× |
| Clotting factor xii hageman (85280) | $214.80 | $358 | 11.1× |
| Clotting Funct Activity (85397) | $193.20 | $322 | 6.3× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $21.60 | $36 | 1.1× |
| Cns DNA amp probe type 12-25 (87483) | $642.60 | $1,071 | 1.5× |
| Coccidioides antibody (86635) | $100.20 | $167 | 8.7× |
| Cold agglutinin titer (86157) | $51 | $85 | 6.3× |
| Collagen crosslinks (82523) | $126.60 | $211 | 6.8× |
| Column Chromotography Quant (82542) | $255.60 | $426 | 10.6× |
| Compatibility Each Unit Incubation (86921) | $58.20 | $97 | 0.4× |
| Compatibility test antiglob (86922) | $166.80 | $278 | 1.0× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$73.80–$77.40 | $123–$129 | varies |
| Complement Total (Ch50) (86162) | $29.40 | $49 | 1.4× |
| Complement/Function Activity (86161) | $117 | $195 | 9.8× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $13.80 | $23 | 0.3× |
| Coombs direct (86880) | $63 | $105 | 11.7× |
| Copper urine (82525) | $127.20 | $212 | 10.2× |
| Cortisol free (82530) | $91.20 | $152 | 5.5× |
| Cortisol saliva (82533) | $163.80 | $273 | 10.0× |
| Creatine (82540) | $66.60 | $111 | 14.4× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$6–$63 | $10–$105 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$4.80–$43.20 | $8–$72 | varies |
| Creatinine clearance (82575) | $44.40 | $74 | 4.7× |
| Creatinine Urine (82570) | $70.80 | $118 | 13.7× |
| Crossmatch immediate spin (86920) range across 3 matching MRF lines |
$46.20–$112.20 | $77–$187 | varies |
| Crp High Sensitivity (86141) | $70.80 | $118 | 5.5× |
| Cryofibrinogen (82585) | $84 | $140 | 5.9× |
| Cryoglobulin (82595) | $84 | $140 | 13.0× |
| Cryptococcal Antigen (87327) | $123 | $205 | 9.2× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$10.80–$61.80 | $18–$103 | varies |
| Cryptosporidium ag eia (87328) | $68.40 | $114 | 4.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$6.60–$64.80 | $11–$108 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $95.40 | $159 | 11.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $124.80 | $208 | 16.2× |
| Culture afb (87116) | $203.40 | $339 | 18.8× |
| Culture Anaerobic (87075) | $95.40 | $159 | 10.1× |
| Culture blood (87040) | $126.60 | $211 | 12.3× |
| Culture csf (87070) range across 2 matching MRF lines |
$9–$85.20 | $15–$142 | varies |
| Culture fungus (87102) | $34.80 | $58 | 4.1× |
| Culture screen only (87081) range across 2 matching MRF lines |
$27–$60 | $45–$100 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$9–$84.60 | $15–$141 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $49.20 | $82 | 9.5× |
| Culture urine (87086) range across 2 matching MRF lines |
$7.20–$66.60 | $12–$111 | varies |
| Cyclosporine (80158) | $99 | $165 | 5.5× |
| Cystatin C (82610) | $266.40 | $444 | 14.4× |
| Cytogenetics 100-300 (88275) | $238.80 | $398 | 4.7× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,325 | $3,875 | 2.0× |
| Cytomegalovirus igg (86644) | $79.80 | $133 | 5.5× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$117–$121.80 | $195–$203 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $107.40 | $179 | 4.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $81 | $135 | 1.6× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $105 | $175 | 2.9× |
| Deoxycortisol (82634) | $196.80 | $328 | 6.7× |
| Deoxyribonuclease antibody (86215) | $112.20 | $187 | 8.5× |
| Detect Agent Nos Dna Amp (87798) | $300 | $500 | 8.5× |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$410.40–$427.20 | $684–$712 | varies |
| Detect agnt mult DNA ampli (87801) | $2,959.20 | $4,932 | 42.2× |
| Dgp Antibody Each Ig Class (86258) | $34.80 | $58 | 2.9× |
| Dhea-S (82627) | $121.80 | $203 | 5.5× |
| Digoxin (80162) | $102 | $170 | 7.7× |
| Diphtheria antitoxoid (86648) | $25.80 | $43 | 1.7× |
| Dipropylacetic Acid Free (80165) | $256.80 | $428 | 19.0× |
| Dna Antibody Native/Double Stranded (86225) | $77.40 | $129 | 5.6× |
| Dna Antibody Single Stranded (86226) | $87 | $145 | 7.2× |
| Dna/Rna Amplified Probe (87150) | $148.80 | $248 | 4.2× |
| Dna/Rna Sequencing (87153) | $13.80 | $23 | 0.1× |
| Dpyd gene common variants (81232) | $2,040 | $3,400 | 11.7× |
| Drug assay acetaminophen (80143) | $18.60 | $31 | 1.0× |
| Drug assay adalimumab (80145) | $307.20 | $512 | 8.0× |
| Drug Assay Amiodarone (80151) | $78 | $130 | 4.2× |
| Drug Assay Everolimus (80169) | $116.40 | $194 | 8.5× |
| Drug Assay Infliximab (80230) | $451.20 | $752 | 11.7× |
| Drug Assay Itraconazole (80189) | $80.40 | $134 | 3.0× |
| Drug Assay Lacosamide (80235) | $24.60 | $41 | 0.9× |
| Drug Screen Quant Clozapine (80159) | $33.60 | $56 | 1.7× |
| Drug Screen Quant Zonisamide (80203) | $186 | $310 | 14.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $186 | $310 | 14.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $186 | $310 | 14.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $186 | $310 | 14.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$87–$133.20 | $145–$222 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 6 matching MRF lines |
$5.07–$240.60 | $8.45–$401 | varies |
| Drug Test Prsmv Instrmnt (80306) | $109.80 | $183 | 6.4× |
| Ehrlichia antibody (86666) | $263.40 | $439 | 25.9× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$6.60–$73.80 | $11–$123 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $141.60 | $236 | 2.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $65.40 | $109 | 5.4× |
| Enterovirus Antibody (86658) | $64.20 | $107 | 4.9× |
| Enterovirus PCR (87498) | $285.60 | $476 | 8.1× |
| Enzyme cell activity (82657) | $283.80 | $473 | 12.8× |
| Erythropoietin (82668) | $74.40 | $124 | 4.0× |
| Estradiol serum (82670) | $177 | $295 | 6.3× |
| Estriol (82677) | $51 | $85 | 2.1× |
| Estrogen total (82672) | $149.40 | $249 | 6.9× |
| Ethosuximide (80168) | $98.40 | $164 | 6.0× |
| Exam Synovial Fluid Crystals (89060) | $51 | $85 | 7.0× |
| F2 Gene (81240) | $282 | $470 | 4.3× |
| Factor Inhibitor Test (85335) | $65.40 | $109 | 5.1× |
| Factor ix activity (85250) | $264.60 | $441 | 13.9× |
| Factor v leiden mutation (81241) | $287.40 | $479 | 3.9× |
| Factor viii assay (85240) | $264.60 | $441 | 14.8× |
| Factor xi activity (85270) | $236.40 | $394 | 13.2× |
| Fat/Lipids Feces Quantitative (82710) | $119.40 | $199 | 7.1× |
| Ferritin (82728) | $99 | $165 | 7.3× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $411.60 | $686 | 2.7× |
| Fetal Fibronectin (82731) | $387.60 | $646 | 6.0× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$7.20–$157.80 | $12–$263 | varies |
| Fibrinogen activity (85384) | $60.60 | $101 | 6.2× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $65.40 | $109 | 4.2× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$665.40–$691.80 | $1,109–$1,153 | varies |
| Fluorescent antibody screen (86255) | $149.40 | $249 | 12.4× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $102.60 | $171 | 8.5× |
| Fmr1 gene detection (81243) | $498 | $830 | 8.7× |
| Folic acid rbc (82747) | $202.20 | $337 | 11.5× |
| Folic Acid Serum (82746) | $99 | $165 | 6.7× |
| Follicle Stimulating Hormone (83001) | $112.20 | $187 | 6.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $33.60 | $56 | 0.2× |
| Frozen Section (88331) | $252.60 | $421 | 1.5× |
| Fungi Identification Mold (87107) | $28.20 | $47 | 2.7× |
| Fungi Identification Yeast (87106) | $70.80 | $118 | 6.9× |
| Galactose transferase test (82776) | $9 | $15 | 0.8× |
| Gammaglobulin ige (82785) | $87 | $145 | 5.3× |
| Gardner vag DNA dir probe (87510) | $74.40 | $124 | 3.7× |
| Gases blood ph only (82800) | $35.40 | $59 | 3.2× |
| Gastrin (82941) | $117 | $195 | 6.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $706.80 | $1,178 | 1.7× |
| Gentamicin (80170) | $84 | $140 | 5.1× |
| Ggt (82977) range across 2 matching MRF lines |
$30–$46.20 | $50–$77 | varies |
| Giardia antigen (87329) | $65.40 | $109 | 5.5× |
| Glucose 2 hr pp (82950) | $48 | $80 | 10.1× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$27–$39 | $45–$65 | varies |
| Glucose body fluid (82945) | $43.20 | $72 | 11.0× |
| Glucose Serum (82947) range across 3 matching MRF lines |
$6–$43.20 | $10–$72 | varies |
| Glucose tolerance test (gtt) (82951) | $117 | $195 | 9.1× |
| Glycated Protein (82985) | $73.20 | $122 | 4.4× |
| Gonadotropin Chorionic Qualitative (84703) | $67.20 | $112 | 8.9× |
| Growth hormone (83003) | $85.80 | $143 | 5.1× |
| Gtt-added samples (82952) | $34.80 | $58 | 8.9× |
| H Pylori (C-13) Breath (83013) | $117 | $195 | 1.7× |
| H Pylori Drug Admin (83014) | $16.20 | $27 | 2.1× |
| Haptoglobin (83010) | $109.80 | $183 | 8.7× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $19.80 | $33 | 0.1× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$7.20–$53.40 | $12–$89 | varies |
| Helicobacter Pylori Stool (87338) | $192.60 | $321 | 13.4× |
| Helminth Antibody (86682) | $145.80 | $243 | 11.2× |
| Hematocrit (85014) range across 2 matching MRF lines |
$3–$29.40 | $5–$49 | varies |
| Hemoglobin (85018) range across 4 matching MRF lines |
$2.40–$29.40 | $4–$49 | varies |
| Hemoglobin a1c (83036) range across 4 matching MRF lines |
$10.80–$176.40 | $18–$294 | varies |
| Hemoglobin Chromotography (83021) | $71.40 | $119 | 4.0× |
| Hemoglobin electrophoresis (83020) | $97.80 | $163 | 7.6× |
| Hemoglobin Methemoglobin Quantitative (83050) | $63 | $105 | 7.7× |
| Hemoglobin plasma (83051) | $69.60 | $116 | 9.5× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $18.60 | $31 | 2.0× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) range across 2 matching MRF lines |
$10.80–$14.40 | $18–$24 | varies |
| Hemosiderin urine (83070) | $53.40 | $89 | 11.2× |
| Hep a ab igm (86709) | $69.60 | $116 | 6.2× |
| Heparin assay (85520) | $65.40 | $109 | 5.0× |
| Hepatitis a antibody total (86708) | $58.20 | $97 | 4.7× |
| Hepatitis b core ab igm (86705) | $70.80 | $118 | 6.0× |
| Hepatitis b core ab total (86704) | $70.20 | $117 | 5.8× |
| Hepatitis B Surface Antibody (86706) | $67.80 | $113 | 6.3× |
| Hepatitis B Surface Antigen (87340) | $70.20 | $117 | 6.8× |
| Hepatitis Be Antibody (86707) | $70.80 | $118 | 6.1× |
| Hepatitis Be Antigen (87350) | $66.60 | $111 | 5.8× |
| Hepatitis C Antibody (86803) | $79.80 | $133 | 5.6× |
| Hepatitis C Genotype (87902) | $157.80 | $263 | 0.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $219.60 | $366 | 5.1× |
| Herpes simplex type 2 (86696) | $44.40 | $74 | 2.3× |
| Heterophile Antibody Screen (86308) range across 3 matching MRF lines |
$34.20–$48 | $57–$80 | varies |
| Hfe Gene (81256) | $436.20 | $727 | 6.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $95.40 | $159 | 12.3× |
| Histamine urine (83088) range across 2 matching MRF lines |
$142.20–$348.60 | $237–$581 | varies |
| Histoplasma antibody (86698) | $69.60 | $116 | 5.0× |
| Histoplasma antigen urine (87385) | $219.60 | $366 | 16.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $66.60 | $111 | 2.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $333 | $555 | 3.9× |
| HIV-2 probe&revrse trnscripj (87538) | $84.60 | $141 | 2.4× |
| Hla Class I Typing Low Resolution One Locus Each (81373) range across 2 matching MRF lines |
$450–$453 | $750–$755 | varies |
| Hla class ii high defin qual (86833) | $578.40 | $964 | 1.8× |
| Hla class ii typing high resolution one locus ea (81382) | $1,174.80 | $1,958 | 9.5× |
| Hla ii typing 1 locus lr (81376) | $453 | $755 | 3.7× |
| Homocysteine (83090) | $89.40 | $149 | 5.0× |
| Homogenization Tissue (87176) | $38.40 | $64 | 6.5× |
| Hpv High-Risk Types (87624) | $129.60 | $216 | 3.7× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $129.60 | $216 | 1.8× |
| Hsv Dna Amp Probe (87529) | $229.80 | $383 | 6.5× |
| Hydroxyprogesterone 17-d (83498) | $135 | $225 | 5.0× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $108 | $180 | 2.4× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) range across 2 matching MRF lines |
$60.60–$171.60 | $101–$286 | varies |
| Iaad ia shiga-like toxin (87427) | $67.20 | $112 | 5.6× |
| Iadna Candida Species Amplified Probe Tq (87481) | $94.20 | $157 | 2.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $229.20 | $382 | 6.5× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $70.80 | $118 | 3.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $251.40 | $419 | 7.2× |
| Iadna Cytomegalovirus Quantification (87497) | $326.40 | $544 | 7.6× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $88.80 | $148 | 1.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $220.80 | $368 | 5.2× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $594 | $990 | 16.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $84.60 | $141 | 2.4× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $119.40 | $199 | 2.7× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $2,125.20 | $3,542 | 44.1× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $370.80 | $618 | 8.9× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $241.20 | $402 | 6.9× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $81 | $135 | 2.3× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $96.60 | $161 | 1.9× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $20.40 | $34 | 0.1× |
| Ig Light Chains Free Each (83521) | $46.20 | $77 | 2.7× |
| Igg subclasses (82787) | $91.20 | $152 | 11.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $16.80 | $28 | 0.0× |
| Immunfix e-phorsis/urine/csf (86335) | $160.20 | $267 | 5.5× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $141.60 | $236 | 7.7× |
| Immunoassay infectious agent (86318) | $97.80 | $163 | 5.4× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $70.20 | $117 | 4.7× |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$128.40–$172.20 | $214–$287 | varies |
| Immunodiffusion Ouchterlony (86331) | $52.80 | $88 | 4.4× |
| Immunofixation electrophoresis (86334) | $160.20 | $267 | 7.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $243.60 | $406 | 1.5× |
| Immunohistochemistry (88342) | $273.60 | $456 | 1.7× |
| In situ hybridization 1st probe stain (88365) | $348 | $580 | 2.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) | $55.80 | $93 | 1.3× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$78–$84.60 | $130–$141 | varies |
| Influenza DNA amp probe (87502) | $267.60 | $446 | 2.8× |
| Inhibin A (86336) | $41.40 | $69 | 2.7× |
| Inhibin b (83520) range across 3 matching MRF lines |
$94.20–$368.40 | $157–$614 | varies |
| Insitu hybridization auto (88367) | $404.40 | $674 | 1.2× |
| Insulin antibodies (86337) | $121.20 | $202 | 5.7× |
| Insulin total (83525) | $153 | $255 | 13.4× |
| Intrinsic factor antibody (86340) | $39.60 | $66 | 2.6× |
| Iron (83540) range across 2 matching MRF lines |
$6–$41.40 | $10–$69 | varies |
| Iron Binding Capacity (83550) | $64.20 | $107 | 7.3× |
| Irradiation Blood Product Each Unit (86945) | $95.40 | $159 | 2.7× |
| Islet cell antibody (86341) | $126.60 | $211 | 5.4× |
| Jak2 gene analysis p.val617phe variant (81270) | $499.80 | $833 | 5.5× |
| Koh Prep (87220) | $43.20 | $72 | 10.1× |
| Lactate (ld) (ldh) enzyme (83615) | $44.40 | $74 | 7.4× |
| Lactoferrin fecal qualitative (83630) | $51 | $85 | 2.6× |
| Ldh Isoenzymes (83625) | $148.80 | $248 | 11.6× |
| LDL direct (83721) range across 2 matching MRF lines |
$7.20–$52.20 | $12–$87 | varies |
| Lead (83655) | $103.20 | $172 | 8.5× |
| Legionella antibody (86713) | $24.60 | $41 | 1.6× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$10.80–$55.80 | $18–$93 | varies |
| Leukocyte Assessment Fecal (89055) | $40.80 | $68 | 9.6× |
| Level I Surg Pathology Gross Examination Only (88300) | $82.20 | $137 | 3.0× |
| Level ii surg pathology grossµscopic exam (88302) | $136.20 | $227 | 3.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $1,421.40 | $2,369 | 4.1× |
| Lipase (83690) range across 2 matching MRF lines |
$6.60–$70.20 | $11–$117 | varies |
| Lipoprotein A (83695) | $84 | $140 | 5.9× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $69.60 | $116 | 6.2× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $137.40 | $229 | 4.1× |
| Lithium (80178) | $51 | $85 | 7.7× |
| Luteinizing Hormone (Lh) (83002) | $66.60 | $111 | 3.6× |
| Lyme disease antibody (86618) | $211.20 | $352 | 12.4× |
| Lysozyme serum (85549) | $93.60 | $156 | 5.0× |
| M. Genitalium Amp Probe (87563) | $120 | $200 | 3.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $6 | $10 | 0.0× |
| M/phmtrc alys ishquant/semiq (88374) | $19.80 | $33 | 0.1× |
| Macroscopic Exam Parasite (87169) | $84 | $140 | 19.5× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$6–$106.20 | $10–$177 | varies |
| Mass Spectrometry Quant (83789) | $141.60 | $236 | 5.9× |
| Mercury urine (83825) | $90.60 | $151 | 5.6× |
| Methylmalonic acid serum (83921) | $204.60 | $341 | 9.6× |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$6–$73.80 | $10–$123 | varies |
| Microsomal Antibodies Each (86376) | $81 | $135 | 5.6× |
| Mitochondrial Antibody Each (86381) | $141.60 | $236 | 5.6× |
| Molecular Cytogenetics Dna Probe Each (88271) | $149.40 | $249 | 7.0× |
| Molecular Pathology Procedure Level 6 (81405) | $6 | $10 | 0.0× |
| Mononuclear cell antigen (86356) | $86.40 | $144 | 3.2× |
| Mopath procedure level 2 (81401) | $805.20 | $1,342 | 5.9× |
| Mopath procedure level 4 (81403) | $573 | $955 | 3.1× |
| Mrsa Pcr (87641) | $173.40 | $289 | 4.9× |
| Msh2 Gene Analysis Known Familial Variants (81296) | $27 | $45 | 0.1× |
| Mthfr Gene Analysis Common Variants (81291) | $451.20 | $752 | 6.9× |
| Mumps antibody (86735) | $91.20 | $152 | 7.0× |
| Muscle-Specific Kinase Antb (86366) | $255 | $425 | 13.9× |
| Mycophenolic Acid (80180) | $103.20 | $172 | 5.7× |
| Mycoplasma antibody (86738) | $54 | $90 | 4.1× |
| Myoglobin urine (83874) | $109.20 | $182 | 8.5× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$31.20–$183.60 | $52–$306 | varies |
| Neisseria Dir Na Probe (87590) | $70.80 | $118 | 2.6× |
| Neutralization Test Viral (86382) | $374.40 | $624 | 22.1× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $408 | $680 | 3.2× |
| Nfct ds bv&vaginitis DNA alg (81515) | $122.40 | $204 | 0.5× |
| Nk cells total count (86357) | $103.80 | $173 | 2.8× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$48–$114.60 | $80–$191 | varies |
| Obstetric panel (80081) | $30 | $50 | 0.4× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$19.20–$28.80 | $32–$48 | varies |
| Oligoclonal bands (83916) | $126 | $210 | 4.6× |
| Organic Acids Qualitative Each Specimen (83919) | $477.60 | $796 | 29.0× |
| Organic acids urine (83918) | $477.60 | $796 | 20.2× |
| Osmolality serum (83930) | $73.80 | $123 | 11.2× |
| Osmolality Urine (83935) | $73.80 | $123 | 10.8× |
| Ova and parasites smears (87177) | $60 | $100 | 6.7× |
| Ova1 (81503) | $1,623.60 | $2,706 | 1.8× |
| Oxalate urine (83945) | $55.20 | $92 | 3.8× |
| Pancreatic Elastase Fecal (82656) | $244.80 | $408 | 21.2× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$66–$106.20 | $110–$177 | varies |
| Parvovirus antibody (86747) | $103.20 | $172 | 6.9× |
| Ph urine (81003) range across 5 matching MRF lines |
$2.40–$36 | $4–$60 | varies |
| Phenobarbital Level (80184) | $77.40 | $129 | 5.1× |
| Phenylalanine (84030) | $208.20 | $347 | 37.9× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$12–$102.60 | $20–$171 | varies |
| Phenytoin free (80186) | $38.40 | $64 | 2.8× |
| Phosphatase alkaline (84075) | $44.40 | $74 | 8.6× |
| Phospholipid Neutralization Hexagonal (85598) | $206.40 | $344 | 11.5× |
| Phosphorus Serum (84100) range across 3 matching MRF lines |
$4.20–$40.80 | $7–$68 | varies |
| Phosphorus urine (84105) | $18 | $30 | 3.1× |
| Pinworm exam (87172) | $55.80 | $93 | 13.1× |
| Platelet Antibodies (86022) | $209.40 | $349 | 11.4× |
| Platelet count automated (85049) | $38.40 | $64 | 8.6× |
| Pooling blood platelets (86965) | $91.20 | $152 | 0.6× |
| Porphobilinogen, urine; quantitative (84110) | $109.20 | $182 | 12.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $61.80 | $103 | 4.2× |
| Potassium Urine (84133) | $41.40 | $69 | 8.8× |
| Prealbumin (84134) | $116.40 | $194 | 8.0× |
| Pregnenolone (84140) | $199.20 | $332 | 9.6× |
| Primidone (80188) | $100.20 | $167 | 6.0× |
| Procalcitonin (Pct) (84145) | $223.20 | $372 | 8.2× |
| Progesterone (84144) | $124.20 | $207 | 6.0× |
| Prolactin (84146) | $124.20 | $207 | 6.4× |
| Protein body fluid (84157) | $41.40 | $69 | 10.4× |
| Protein C Activity (85303) | $158.40 | $264 | 11.4× |
| Protein c antigen (85302) | $41.40 | $69 | 3.4× |
| Protein Electrophoresis Urine (84166) | $84.60 | $141 | 4.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $84.60 | $141 | 7.9× |
| Protein S Free (85306) | $149.40 | $249 | 9.8× |
| Protein total serum (84155) | $40.80 | $68 | 11.1× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$3.60–$60.60 | $6–$101 | varies |
| Protein Western Blot Test (84182) | $237.60 | $396 | 8.1× |
| Protoporphyrin rbc quantitative (84202) | $69.60 | $116 | 4.9× |
| PSA free (84154) | $105.60 | $176 | 5.7× |
| Pth Intact (83970) | $187.80 | $313 | 4.5× |
| Q Fever Antibody (86638) | $53.40 | $89 | 4.4× |
| Quantiferon tb gold plus (86480) | $255 | $425 | 4.1× |
| Quantitative assay drug (80299) | $185.40 | $309 | 9.9× |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$132–$363 | $220–$605 | varies |
| Rbc antibody elution (86860) | $102 | $170 | 0.6× |
| Rbc antibody identification (86870) | $250.80 | $418 | 0.7× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$3.60–$60.60 | $6–$101 | varies |
| Rbc pretreatment serum (86978) | $109.20 | $182 | 1.9× |
| Rbc pretx incubatj w/enzymes (86971) | $327 | $545 | 2.0× |
| Reagent Strip/Blood Glucose (82948) | $34.80 | $58 | 6.9× |
| Renin activity plasma (84244) | $25.80 | $43 | 1.2× |
| Reticulocyte Count (85046) | $25.80 | $43 | 4.6× |
| Rh (86901) range across 2 matching MRF lines |
$3–$46.20 | $5–$77 | varies |
| Rheumatoid Factor Qualitative (86430) | $55.20 | $92 | 9.0× |
| Rheumatoid factor quant (86431) | $66.60 | $111 | 11.7× |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$33.60–$126.60 | $56–$211 | varies |
| Ristocetin cofactor (85245) | $180.60 | $301 | 7.9× |
| Rotavirus ag eia (87425) | $87 | $145 | 7.3× |
| Rpr qualitative (86592) | $39 | $65 | 9.1× |
| Rubella Antibody (86762) | $58.20 | $97 | 4.0× |
| Rubeola antibody (86765) | $124.20 | $207 | 9.6× |
| Rufinamide (80210) | $25.80 | $43 | 1.0× |
| Russell Viper Venom Time Diluted (85613) | $102.60 | $171 | 10.7× |
| Salicylate Level (80179) | $18.60 | $31 | 1.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$192–$469.20 | $320–$782 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $108 | $180 | 2.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $437.40 | $729 | 3.1× |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$3–$49.20 | $5–$82 | varies |
| Selenium (84255) | $204.60 | $341 | 8.0× |
| Semen Anal Sperm Detection (89321) | $34.80 | $58 | 2.9× |
| Semen analysis complete (89322) | $214.80 | $358 | 13.9× |
| Semen analysis motility and count (89310) | $67.20 | $112 | 7.8× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$13.80–$66.60 | $23–$111 | varies |
| Sex Hormone Binding Globulin (84270) | $103.20 | $172 | 4.7× |
| Sickling of rbc reduction (85660) | $44.40 | $74 | 8.1× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$19.80–$24.60 | $33–$41 | varies |
| Smear acid fast (87206) | $16.80 | $28 | 3.1× |
| Smear complex stain (87209) | $130.80 | $218 | 7.3× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$4.20–$35.40 | $7–$59 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $53.40 | $89 | 9.2× |
| Snrpn/Ube3a Methylation Analysis (81331) | $1,046.40 | $1,744 | 20.5× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$4.80–$32.40 | $8–$54 | varies |
| Sodium Urine (84300) | $48 | $80 | 9.5× |
| Soluble fibrin monomer (85366) | $106.80 | $178 | 1.3× |
| Soluble Transferrin Receptor (84238) | $39.60 | $66 | 1.1× |
| Somatomedin (84305) | $141.60 | $236 | 6.7× |
| Special Stains Group 1 (88312) | $203.40 | $339 | 4.1× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$180–$187.20 | $300–$312 | varies |
| Specimen infect agnt concntj (87015) | $98.40 | $164 | 14.7× |
| Spectrophotometry (84311) | $33.60 | $56 | 4.1× |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$9.60–$179.40 | $16–$299 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$64.20–$66 | $107–$110 | varies |
| Strep a DNA amp probe (87651) | $121.20 | $202 | 3.5× |
| Strep b DNA amp probe (87653) | $138.60 | $231 | 3.9× |
| Sugars Single Qual (84376) | $15 | $25 | 2.7× |
| Sulfate urine (84392) | $27 | $45 | 4.9× |
| Surg path level iii (88304) | $144 | $240 | 2.9× |
| Surgical pathology level IV (88305) | $383.40 | $639 | 7.7× |
| Surgical pathology level vi (88309) | $403.20 | $672 | 0.5× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $27 | $45 | 5.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $97.20 | $162 | 13.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $473.40 | $789 | 10.1× |
| T cells total count (86359) | $202.20 | $337 | 5.4× |
| T3 Free (84481) range across 2 matching MRF lines |
$15–$145.20 | $25–$242 | varies |
| T3 reverse (84482) | $54 | $90 | 3.4× |
| T3 Total (84480) | $85.80 | $143 | 6.1× |
| T3 Uptake (84479) | $128.40 | $214 | 19.8× |
| T4 Free (84439) range across 3 matching MRF lines |
$6.60–$50.40 | $11–$84 | varies |
| T4 total (84436) | $48.60 | $81 | 7.1× |
| Tacrolimus (80197) | $141.60 | $236 | 10.3× |
| Tb ag response t-cell susp (86481) | $218.40 | $364 | 2.2× |
| Testosterone Bioavailable (84410) | $221.40 | $369 | 4.3× |
| Testosterone total (84403) | $156.60 | $261 | 6.1× |
| Testosterone, Free (84402) | $124.80 | $208 | 4.9× |
| Tetanus antibody (86774) | $25.80 | $43 | 1.7× |
| Theophylline (80198) | $84.60 | $141 | 6.0× |
| Thiopurine methyltransferase (84433) | $360 | $600 | 16.2× |
| Thrombin Time (85670) | $71.40 | $119 | 12.4× |
| Thyroglobulin (84432) | $94.20 | $157 | 5.9× |
| Thyroglobulin Antibody (86800) | $85.20 | $142 | 5.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $172.20 | $287 | 3.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $34.80 | $58 | 3.0× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$465–$483 | $775–$805 | varies |
| Tissue Culture Lymphocyte (88230) | $452.40 | $754 | 3.9× |
| Tobramycin peak (80200) | $52.20 | $87 | 3.2× |
| Topiramate (80201) | $187.20 | $312 | 15.7× |
| Toxoplasma ab igm (86778) | $70.80 | $118 | 4.9× |
| Toxoplasma antibody (86777) | $70.80 | $118 | 4.9× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 3 matching MRF lines |
$4.80–$44.40 | $8–$74 | varies |
| Transferrin (84466) | $73.80 | $123 | 5.8× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $570 | $950 | 2.7× |
| Trg gene rearrangement anal (81342) | $588 | $980 | 2.9× |
| Trichinella Antibody (86784) | $82.20 | $137 | 6.5× |
| Trichomonas vagin dir probe (87660) | $67.80 | $113 | 3.4× |
| Trichomonas Vaginalis Amplif (87661) | $219 | $365 | 6.2× |
| Triglycerides (84478) | $40.80 | $68 | 7.1× |
| Troponin Quant (84484) | $126.60 | $211 | 10.2× |
| Tumor Immunohistochem/Manual (88360) | $187.20 | $312 | 1.1× |
| Unlisted Cytogenetic Study (88299) | $964.20 | $1,607 | 19.2× |
| Unlisted miscellaneous pathology test (89240) | $41.40 | $69 | 0.8× |
| Unlisted reproductive medicine lab procedure (89398) | $199.20 | $332 | 4.0× |
| Urea Nitrogen Clearance (84545) | $73.80 | $123 | 10.3× |
| Urea nitrogen urine (84540) | $17.40 | $29 | 3.1× |
| Uric acid other source (84560) | $99 | $165 | 19.5× |
| Urinalysis Microscopic Only (81015) | $25.80 | $43 | 8.5× |
| Urinalysis Volume Measure (81050) | $27 | $45 | 7.4× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$7.20–$61.80 | $12–$103 | varies |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$35.40–$53.40 | $59–$89 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$3–$53.40 | $5–$89 | varies |
| Valproic acid (80164) | $80.40 | $134 | 5.9× |
| Vancomycin (80202) | $12 | $20 | 0.9× |
| Varicella-zoster antibody (86787) | $103.20 | $172 | 8.0× |
| Vasopressin (84588) | $60.60 | $101 | 1.8× |
| Viral Culture (87252) | $141 | $235 | 5.4× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$108–$190.20 | $180–$317 | varies |
| Viscosity serum (85810) | $103.20 | $172 | 8.8× |
| Vit D 1 25-Dihydroxy (82652) | $172.80 | $288 | 4.5× |
| Vitamin A (84590) | $85.20 | $142 | 7.3× |
| Vitamin b-12 (82607) | $89.40 | $149 | 5.9× |
| Vitamin B2 (Riboflavin) (84252) | $126 | $210 | 6.2× |
| Vitamin B6 (84207) | $141.60 | $236 | 5.0× |
| Vitamin c (82180) | $36 | $60 | 3.6× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$30–$148.20 | $50–$247 | varies |
| Vitamin E (84446) | $128.40 | $214 | 9.1× |
| Vitamin K (84597) | $122.40 | $204 | 8.9× |
| Von willebrand factor ag (85246) | $139.80 | $233 | 6.1× |
| West nile virus ab igm (86788) | $163.80 | $273 | 9.7× |
| West Nile Virus Antibody (86789) | $163.80 | $273 | 11.4× |
| Western Blot Test (84181) | $237.60 | $396 | 14.0× |
| Zinc (84630) | $69.60 | $116 | 6.1× |
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.