Lab & pathology prices at Iredell Memorial Hospital

Statesville, NC · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acth (82024) $121.50 $450 3.1×
Acute hepatitis panel (80074)
range across 2 matching MRF lines
$16.77–$95.58 $62.12–$354 varies
Adenovirus antibody (86603) $54.92 $203.40 4.3×
Albumin Fluid (82042)
range across 2 matching MRF lines
$16.47–$34.02 $61–$126 varies
Albumin serum (82040) $33.02 $122.30 6.7×
Aldosterone urine (82088) $51.57 $191 1.3×
Allergen specific ige (86003) $12.69 $47 2.4×
Alpha-1-antitrypsin phenotype (82104) $63.72 $236 4.4×
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines
$47.25–$65.34 $175–$242 varies
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$57.78–$60.20 $214–$222.95 varies
Alt (sgpt) (84460) $34.02 $126 6.4×
Amikacin trough (80150)
range across 2 matching MRF lines
$61.56–$62.10 $228–$230 varies
Ammonia (82140) $82.89 $307 5.7×
Amniotic fluid protein test on cervicovaginal fluid (84112) $117.99 $437 1.2×
Amylase urine (82150)
range across 6 matching MRF lines
$39.49–$40.77 $146.25–$151 varies
Ana Titer (86039) $14.04 $52 1.3×
Angiotensin converting enzyme csf (82164) $51.21 $189.68 3.5×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $36.99 $137 2.4×
Antibody Cytomegalovirus Cmv Igm (86645) $112.59 $417 6.7×
Antibody Fungus Not Elsewhere Specified (86671)
range across 3 matching MRF lines
$29.70–$75.06 $110–$278 varies
Antibody Herpes Smplx Non-Specific Type Test (86694) $27 $100 1.9×
Antibody HIV-1&HIV-2 single result (86703) $43.23 $160.10 3.2×
Antibody HIV-2 (86702) $55.90 $207.05 4.1×
Antibody htlv/HIV antibody confirmatory test (86689) $86.62 $320.80 4.5×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$5.40–$22.60 $20–$83.72 varies
Antigen typing (86905) $24.57 $91 6.4×
Antinuclear antibodies (86038) $68.04 $252 5.6×
Antistreptolysin o titer (86060) $40.77 $151 5.6×
Antithrombin iii activity (85300) $107.73 $399 9.1×
Assay Blood Carbon Dioxide (82374) $33.02 $122.30 6.8×
Assay Blood Catecholamines (82383) $108.81 $403 3.7×
Assay Nephelometry Not Spec (83883)
range across 4 matching MRF lines
$10.79–$53.19 $39.95–$197 varies
Assay of blood/uric acid (84550) $34.02 $126 7.5×
Assay of gammaglobulin igm (82784)
range across 7 matching MRF lines
$5.40–$29.43 $20–$109 varies
Assay of lactic acid (83605) $69.39 $257 6.0×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$70.74–$89.37 $262–$331 varies
Assay of procainamide (80190) $93.31 $345.60 1.6×
Assay of serum potassium (84132)
range across 2 matching MRF lines
$5.40–$34.02 $20–$126 varies
Assay of urea nitrogen (84520)
range across 4 matching MRF lines
$33.03–$34.29 $122.35–$127 varies
Assay of vitamin b-1 (84425) $36.72 $136 1.7×
Assay Ph Body Fluid Nos (83986) $4.54 $16.80 1.3×
Assay spec xcp ur&breath ia (82077) $96.39 $357 5.6×
Autol Bld/Component Collj Storage Predeposited (86890) $150.89 $558.84 0.9×
Automated Leukocyte Count (85048)
range across 2 matching MRF lines
$14.23–$24.04 $52.72–$89.05 varies
Bacterial antigens 87802 (87802) $42.58 $157.70 3.3×
Beta-2 Microglobulin (82232) $96.66 $358 6.0×
Bilirubin direct (82248)
range across 3 matching MRF lines
$33.75–$67.23 $125–$249 varies
Bilirubin total (82247) $33.75 $125 6.7×
Bilirubin total transcutaneous (88720)
range across 3 matching MRF lines
$20.57–$21.06 $76.20–$78 varies
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $25.37 $93.95 0.2×
Bleeding time test (85002) $24.04 $89.05 5.0×
Blood Count Red Blood Cell Automated (85041) $7.02 $26 2.3×
Blood count reticulocyte automated (85045) $21.60 $80 5.4×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $17.82 $66 4.7×
Blood gas (82803) $85.05 $315 3.3×
Blood typing serologic abo (86900)
range across 2 matching MRF lines
$15.66–$18.09 $58–$67 varies
Body fluid cell count (89050) $34.02 $126 7.2×
Brucella antibody (86622) $90.90 $336.65 10.2×
C diff amplified probe (87493) $89.64 $332 2.4×
C-Peptide (84681) $104.49 $387 5.0×
C-reactive protein (86140) $116.37 $431 22.5×
Ca 19-9 (86301) $108.81 $403 5.2×
Calcium ionized (82330)
range across 2 matching MRF lines
$15.12–$53.46 $56–$198 varies
Calcium total (82310) $34.02 $126 6.6×
Calculus assay quant (82360) $41.85 $155 3.3×
Calprotectin Fecal (83993) $111.51 $413 5.7×
Cancer Antigen 125 (86304) $72.90 $270 3.5×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$65.88–$78.30 $244–$290 varies
Carbamazepine total (80156) $65.34 $242 4.5×
Carboxyhemoglobin (82375) $43.74 $162 3.6×
Carcinoembryonic antigen (82378) $85.86 $318 4.5×
Cardiolipin ab iga (86147) $98.01 $363 3.9×
Ccp antibody (86200) $23.49 $87 1.8×
Cell count csf (89051)
range across 4 matching MRF lines
$32.40–$44.55 $120–$165 varies
Ceruloplasmin (82390) $55.35 $205 5.2×
Chloride Serum (82435) $33.02 $122.30 7.2×
Chloride urine (82436) $40.77 $151 7.1×
Cholesterol total (82465) $12.46 $46.16 2.9×
Chorionic gonadotropin test (84702) $67.23 $249 4.5×
Chrmsm Breakage Baseline Sister 20-25 Cll (88245) $683.19 $2,530.35 3.9×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $43.47 $161 1.2×
Ckmb (82553) $117.99 $437 10.2×
Clostridium Difficile (87324) $16.98 $62.88 1.4×
Coagulation time activated (85347) $9.18 $34 2.1×
Compatibility test antiglob (86922) $30.24 $112 0.2×
Complement Antigen Each Component (86160)
range across 2 matching MRF lines
$44.55–$48.06 $165–$178 varies
Complement Fixation Tests Each Antigen (86171) $60.20 $222.95 6.0×
Complement Total (Ch50) (86162) $69.40 $257.05 3.4×
Coombs direct (86880)
range across 2 matching MRF lines
$25.11–$32.94 $93–$122 varies
Copper urine (82525) $19.17 $71 1.5×
Cortisol saliva (82533) $52.38 $194 3.2×
Creatine kinase total (82550)
range across 2 matching MRF lines
$37.26–$40.77 $138–$151 varies
Creatinine blood (82565)
range across 2 matching MRF lines
$9.72–$36.72 $36–$136 varies
Creatinine clearance (82575)
range across 3 matching MRF lines
$34.02–$65.34 $126–$242 varies
Creatinine Urine (82570)
range across 3 matching MRF lines
$33.35–$34.02 $123.52–$126 varies
Crossmatch electronic (86923) $160.38 $594 1.0×
Crossmatch immediate spin (86920) $22.41 $83 0.1×
Crp High Sensitivity (86141) $103.68 $384 8.0×
Cryptococcus ag titer (87899) $55.89 $207 3.5×
Cryptosporidium ag eia (87328) $47.79 $177 3.5×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $37.26 $138 4.6×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $20.52 $76 2.5×
Culture Anaerobic (87075) $94.50 $350 10.0×
Culture blood (87040)
range across 2 matching MRF lines
$75.11–$83.70 $278.20–$310 varies
Culture chlamydia (87110) $108.27 $401 5.5×
Culture csf (87070)
range across 13 matching MRF lines
$29.98–$82.35 $111.05–$305 varies
Culture fungus (87102) $143.64 $532 17.1×
Culture screen only (87081)
range across 4 matching MRF lines
$24.54–$71.01 $90.90–$263 varies
Culture stool (87045) $102.87 $381 10.9×
Cyclosporine (80158) $141.21 $523 7.8×
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$28.08–$37.22 $104–$137.85 varies
Cytopath Cell Enhance Tech (88112) $41.85 $155 0.8×
Cytp Concentration Smears & Interpretation (88108) $40.39 $149.60 1.1×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $34.83 $129 0.7×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $14.04 $52 0.1×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $26.46 $98 0.7×
Detect Agent Nos Dna Quant (87799) $149.85 $555 3.5×
Detect agnt mult DNA ampli (87801) $84.35 $312.40 1.2×
Digoxin (80162) $74.25 $275 5.6×
Dihydrotestosterone (82642) $35.13 $130.12 1.2×
Dna Antibody Native/Double Stranded (86225) $46.71 $173 3.4×
Dna/Rna Amplified Probe (87150) $559.17 $2,071 15.9×
Drug Screen Quant Clozapine (80159)
range across 2 matching MRF lines
$27.68–$28.35 $102.52–$105 varies
Drug Screen Quantitative Lamotrigine (80175) $18.36 $68 1.4×
Drug Screen Quantitative Levetiracetam (80177) $27.81 $103 2.1×
Drug Screen Quantitative Procainamide Metabolite (80192) $93.31 $345.60 5.6×
Drug Test Prsmv Chem Anlyzr (80307)
range across 7 matching MRF lines
$46.17–$96.39 $171–$357 varies
Drug Test Prsmv Instrmnt (80306) $44.01 $163 2.6×
Electrolyte panel (80051) $61.29 $227 8.7×
Estradiol serum (82670) $116.91 $433 4.2×
Exam Synovial Fluid Crystals (89060) $19.17 $71 2.6×
F2 Gene (81240) $45.63 $169 0.7×
Factor v leiden mutation (81241) $170.37 $631 2.3×
Factor X (85260) $18.52 $68.60 1.0×
Fat/Lipids Feces Quantitative (82710) $85.40 $316.30 5.1×
Fecal Fat Qualitative (82705) $19.17 $71 3.8×
Ferritin (82728) $50.49 $187 3.7×
Fetal Fibronectin (82731) $116.91 $433 1.8×
Fibrin Degradation Quant (85379) $88.29 $327 8.7×
Fibrinogen antigen (85385)
range across 2 matching MRF lines
$67.63–$69.12 $250.48–$256 varies
Fluorescent antibody screen (86255)
range across 6 matching MRF lines
$33.81–$115.65 $125.24–$428.34 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 4 matching MRF lines
$28.65–$132.30 $106.10–$490 varies
Folic acid rbc (82747) $76.14 $282 4.3×
Folic Acid Serum (82746) $69.39 $257 4.7×
Follicle Stimulating Hormone (83001) $53.46 $198 2.9×
Francisella tularensis (86668) $39.88 $147.70 2.8×
Frozen Blood Each Unit Thawing (86931)
range across 2 matching MRF lines
$53.67–$54.81 $198.76–$203 varies
Frozen Section (88331) $26.19 $97 0.2×
Gammaglobulin ige (82785) $49.14 $182 3.0×
Gases blood ph only (82800)
range across 2 matching MRF lines
$20.52–$25.52 $76–$94.50 varies
Gentamicin (80170) $62.91 $233 3.8×
Ggt (82977) $61.29 $227 8.5×
Glucose 2 hr pp (82950) $50.22 $186 10.6×
Glucose Blood Test (82962) $4.32 $16 1.3×
Glucose body fluid (82945)
range across 4 matching MRF lines
$25.03–$25.92 $92.70–$96 varies
Glucose Serum (82947)
range across 4 matching MRF lines
$4.20–$34.02 $15.55–$126 varies
Glucose tolerance test (gtt) (82951)
range across 4 matching MRF lines
$45.09–$108.89 $167–$403.30 varies
Gonadotropin Chorionic Qualitative (84703)
range across 2 matching MRF lines
$39.42–$50.76 $146–$188 varies
Gtt-added samples (82952) $23.52 $87.10 6.0×
Haptoglobin (83010) $52.38 $194 4.2×
Hdl Cholesterol (83718) $24.88 $92.15 3.0×
Helicobacter Pylori Stool (87338) $19.44 $72 1.4×
Hematocrit (85014)
range across 2 matching MRF lines
$2.70–$11.88 $10–$44 varies
Hemoglobin (85018) $13.23 $49 5.6×
Hemoglobin a1c (83036)
range across 3 matching MRF lines
$14.13–$44.55 $52.35–$165 varies
Hemoglobin Chromotography (83021) $26.73 $99 1.5×
Hemoglobin electrophoresis (83020) $74.52 $276 5.8×
Hemoglobin F Fetal Chemical (83030) $46.80 $173.35 4.4×
Hep a ab igm (86709)
range across 2 matching MRF lines
$5.18–$68.85 $19.20–$255 varies
Heparin assay (85520)
range across 2 matching MRF lines
$51.93–$88.56 $192.35–$328 varies
Hepatitis b core ab igm (86705) $4.91 $18.20 0.4×
Hepatitis b core ab total (86704) $52.38 $194 4.3×
Hepatitis B Surface Antibody (86706) $4.02 $14.88 0.4×
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines
$1.20–$35.10 $4.44–$130 varies
Hepatitis C Antibody (86803)
range across 2 matching MRF lines
$5.48–$63.99 $20.28–$237 varies
Hepatitis C Genotype (87902) $321.79 $1,191.80 1.2×
Hepatitis C Revrs Trnscrpj (87522) $158.76 $588 3.7×
Heterophile Antibody Screen (86308) $32.40 $120 6.3×
Hiv Antigen W/Hiv Antibodies (87806) $27 $100 0.8×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $36.18 $134 1.5×
Hiv-1 Antibody (86701)
range across 2 matching MRF lines
$55.90–$66.42 $207.05–$246 varies
Hiv-1 Quant&Revrse Trnscrpj (87536) $89.10 $330 1.0×
Homocysteine (83090) $108.81 $403 6.1×
Hsv Dna Amp Probe (87529) $89.05 $329.82 2.5×
Hydroxyprogesterone 17-d (83498) $34.83 $129 1.3×
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) $48.96 $181.35 4.1×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $27.54 $102 2.7×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426)
range across 4 matching MRF lines
$21.60–$828.90 $80–$3,070 varies
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $49.14 $182 1.4×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $107.73 $399 3.1×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $53.18 $196.95 0.8×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $180.90 $670 4.3×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $43.47 $161 1.2×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $42.12 $156 0.3×
Immunoassay Analyte Quant Radioimmunoassay (83519) $387.02 $1,433.40 21.0×
Immunoassay infectious agent (86318) $45.85 $169.83 2.5×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines
$38.07–$41.04 $141–$152 varies
Immunoassay nonantibody (83516)
range across 6 matching MRF lines
$14.58–$71.55 $54–$265 varies
Immunodiffusion not elsewhere specified (86329) $71.67 $265.45 5.1×
Immunoelectrophoresis Other Fluids Concentration (86325) $92.34 $342 4.0×
Immunoelectrophoresis Serum (86320) $89.63 $331.95 3.0×
Influenza assay w/optic (87804) $42.58 $157.70 2.6×
Influenza DNA amp probe (87502) $53.18 $196.95 0.6×
Inhibin b (83520)
range across 3 matching MRF lines
$58.59–$131.22 $217–$486 varies
Insulin total (83525) $36.99 $137 3.2×
Iron (83540) $31.59 $117 4.9×
Iron Binding Capacity (83550) $31.59 $117 3.6×
Irradiation Blood Product Each Unit (86945) $44.82 $166 1.2×
Koh Prep (87220) $14.58 $54 3.4×
Lactate (ld) (ldh) enzyme (83615)
range across 3 matching MRF lines
$33.02–$34.02 $122.30–$126 varies
Lead (83655)
range across 2 matching MRF lines
$34.83–$37.10 $129–$137.41 varies
Legionella antibody (86713) $109.93 $407.13 7.2×
Legionella antigen urine (87449)
range across 5 matching MRF lines
$12.69–$139.32 $47–$516 varies
Leptospira antibody (86720) $60.84 $225.35 3.8×
Level I Surg Pathology Gross Examination Only (88300) $14.04 $52 0.5×
Level ii surg pathology gross&microscopic exam (88302) $41.85 $155 1.2×
Level V Surg Pathology Gross&Microscopic Exam (88307) $106.92 $396 0.3×
Lipase (83690) $52.38 $194 7.6×
Lipoprotein Bld Quan Part (83704) $59.40 $220 1.7×
Lithium (80178) $45.36 $168 6.9×
Luteinizing Hormone (Lh) (83002) $58.86 $218 3.2×
Lyme disease antibody (86618) $71.82 $266 4.2×
M/phmtrc alys ishquant/semiq (88374) $189.54 $702 1.1×
Magnesium Urine (83735) $85.59 $317 12.8×
Methylmalonic acid serum (83921) $117.45 $435 5.5×
Microalbumin, quantitative (82043) $48.60 $180 8.4×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$30.02–$87.21 $111.20–$323 varies
Mrsa Pcr (87641) $38.88 $144 1.1×
Myoglobin urine (83874) $54.92 $203.40 4.3×
Natriuretic peptide (83880) $104.22 $386 2.7×
Nfct ds bv&vaginitis DNA alg (81515) $51.32 $190.08 0.2×
Nuclear antigen antibody (86235)
range across 4 matching MRF lines
$18.09–$49.95 $67–$185 varies
Occult blood feces (82272)
range across 2 matching MRF lines
$8.44–$18.90 $31.26–$70 varies
Occult Blood Other Sources (82271)
range across 2 matching MRF lines
$8.56–$14.04 $31.70–$52 varies
Oligoclonal bands (83916) $21.06 $78 0.8×
Osmolality serum (83930) $39.15 $145 5.9×
Osmolality Urine (83935) $39.15 $145 5.7×
Ova and parasites smears (87177) $56.70 $210 6.4×
Ph urine (81003)
range across 2 matching MRF lines
$7.12–$12.42 $26.36–$46 varies
Phenobarbital Level (80184) $62.91 $233 4.1×
Phenytoin (Dilantin) (80185) $62.91 $233 4.7×
Phenytoin free (80186) $76.14 $282 5.5×
Phosphatase alkaline (84075) $34.02 $126 6.6×
Phosphatidylglycerol (84081) $183.59 $679.95 11.1×
Phosphorus Serum (84100) $34.02 $126 7.2×
Phosphorus urine (84105) $39.88 $147.71 6.9×
Platelet Aggregation (85576) $41.56 $153.92 1.7×
Platelet Antibodies (86022)
range across 2 matching MRF lines
$77.22–$310.50 $286–$1,150 varies
Platelet count automated (85049) $24.84 $92 5.5×
Pooling blood platelets (86965) $18.72 $69.34 0.1×
Potassium Urine (84133) $40.77 $151 8.6×
Prealbumin (84134) $85.86 $318 5.9×
Procalcitonin (Pct) (84145) $76.68 $284 2.8×
Progesterone (84144) $53.46 $198 2.6×
Prolactin (84146) $68.58 $254 3.5×
Protein body fluid (84157)
range across 5 matching MRF lines
$17.62–$25.92 $65.25–$96 varies
Protein C Activity (85303) $118.26 $438 8.5×
Protein Electrophoresis Urine (84166) $44.04 $163.10 2.5×
Protein Electrophoretic Fractj&Quantj Serum (84165) $39.15 $145 3.6×
Protein S Free (85306) $124.74 $462 8.1×
Protein total serum (84155) $33.75 $125 9.2×
Protein Total Urine (84156)
range across 3 matching MRF lines
$34.02–$68.04 $126–$252 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $36.72 $136 9.3×
PSA free (84154) $69.93 $259 3.8×
Pth Intact (83970)
range across 2 matching MRF lines
$79.96–$121.50 $296.15–$450 varies
Q Fever Antibody (86638) $88.82 $328.95 7.3×
Quantiferon tb gold plus (86480)
range across 2 matching MRF lines
$92.72–$94.77 $343.40–$351 varies
Rbc antibody elution (86860) $74.82 $277.10 0.5×
Rbc antibody identification (86870) $118.26 $438 0.3×
Rbc antibody screen (86850) $53.73 $199 5.5×
Reagent Strip/Blood Glucose (82948)
range across 2 matching MRF lines
$4.05–$4.32 $15–$16 varies
Renin activity plasma (84244) $34.56 $128 1.6×
Rh (86901) $19.17 $71 6.4×
Rheumatoid Factor Qualitative (86430) $28.35 $105 4.6×
Rickettsia antibody (86757) $69.66 $258 3.6×
Rotavirus ag eia (87425) $56.44 $209.02 4.7×
Rpr qualitative (86592)
range across 2 matching MRF lines
$3.24–$27.81 $12–$103 varies
Rsv ab (86756) $109.78 $406.60 6.9×
Rubella Antibody (86762) $24.30 $90 1.7×
Rubeola antibody (86765) $78.57 $291 6.1×
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$27–$39.15 $100–$145 varies
Sars-cov-2 COVID-19 antibody (86769) $46.09 $170.69 1.1×
Sarscov2 & inf a&b amp prb (87636) $183.60 $680 1.3×
Sarscov2&inf a&b&rsv amp prb (87637)
range across 2 matching MRF lines
$43.20–$204.12 $160–$756 varies
Sedimentation rate (85651) $22.68 $84 5.3×
Semen analysis motility and count (89310) $16.74 $62 1.9×
Sensitivity mic (87186)
range across 3 matching MRF lines
$33.72–$58.05 $124.90–$215 varies
Sickling of rbc reduction (85660)
range across 2 matching MRF lines
$37.50–$38.88 $138.90–$144 varies
Sirolimus (80195) $62.37 $231 4.5×
Skin Test Candida (86485) $8.87 $32.85 0.3×
Skin test tuberculosis intradermal (86580) $8.53 $31.60 0.3×
Skin test unlisted antigen each (86486) $8.87 $32.85 0.3×
Smear acid fast (87206) $29.16 $108 5.4×
Smear gram stain (87205)
range across 3 matching MRF lines
$15.93–$17.82 $59–$66 varies
Smear Special Stain (87207) $7.03 $26.05 1.2×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$14.58–$35.10 $54–$130 varies
Sodium Serum (84295)
range across 2 matching MRF lines
$5.40–$34.02 $20–$126 varies
Sodium Urine (84300)
range across 2 matching MRF lines
$39.88–$40.77 $147.71–$151 varies
Special Stains Group 1 (88312) $46.71 $173 0.9×
Special Stains Group 2 (88313) $49.14 $182 0.4×
Specific gravity body fluid (84315)
range across 2 matching MRF lines
$10.57–$10.80 $39.15–$40 varies
Specimen infect agnt concntj (87015)
range across 3 matching MRF lines
$6.35–$168.48 $23.50–$624 varies
Strep a assay w/optic (87880) $44.01 $163 2.7×
Strep a DNA amp probe (87651) $24.62 $91.20 0.7×
Surg path level iii (88304) $52.65 $195 1.0×
Surgical pathology level IV (88305) $82.62 $306 1.6×
Surgical pathology level vi (88309) $146.88 $544 0.2×
Susceptibility Study Antimicrobial Disk Method (87184) $22.80 $84.45 3.0×
Syphilis Test Non-Trep Quant (86593)
range across 2 matching MRF lines
$10.80–$31.05 $40–$115 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $120.42 $446 2.6×
T3 Free (84481) $131.76 $488 7.8×
T3 Total (84480) $53.46 $198 3.8×
T3 Uptake (84479) $59.47 $220.25 9.2×
T4 Free (84439) $65.61 $243 7.3×
T4 total (84436) $68.88 $255.10 10.0×
Tacrolimus (80197) $40.77 $151 3.0×
Test for acetone/ketones (82009) $16.52 $61.20 3.7×
Testosterone total (84403) $81.54 $302 3.2×
Testosterone, Free (84402) $19.98 $74 0.8×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $27 $100 4.2×
Tissue culture bone marrow (88237) $413.94 $1,533.10 2.9×
Tobramycin peak (80200) $61.56 $228.01 3.8×
Topiramate (80201) $43.74 $162 3.7×
Toxin/Antitoxin Assay Tissue Culture (87230) $97.82 $362.30 5.0×
Transferase Aspartate Amino Ast Sgot (84450) $34.02 $126 6.6×
Transferrin (84466) $43.74 $162 3.4×
Trichomonas Vaginalis Amplif (87661) $19.44 $72 0.6×
Triglycerides (84478) $34.02 $126 5.9×
Troponin Quant (84484) $127.44 $472 10.2×
Tumor Immunohistochem/Manual (88360) $83.70 $310 0.5×
Urea nitrogen urine (84540) $40.77 $151 7.3×
Uric acid other source (84560) $51.53 $190.85 10.1×
Urinalysis Microscopic Only (81015) $12.85 $47.60 4.2×
Urine Bacteria Culture (87088) $54.54 $202 6.7×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $45.09 $167 14.2×
Valproic acid (80164) $112.32 $416 8.3×
Vancomycin (80202)
range across 3 matching MRF lines
$151.74–$168.75 $562–$625 varies
Varicella-zoster antibody (86787) $84.51 $313 6.6×
Viral Culture (87252)
range across 3 matching MRF lines
$19.17–$127.76 $71–$473.20 varies
Virus inoculation, shell via (87254) $11.88 $44 0.6×
Vitamin b-12 (82607) $69.39 $257 4.6×
Vitamin B6 (84207) $121.50 $450 4.3×
Vitamin D 25-Hydroxy (82306) $44.82 $166 1.5×
Wbc Alkaline Phosphatase Count (85540) $43.63 $161.60 5.1×
Xylose Absorption Test (84620) $55.96 $207.25 4.3×
Zinc (84630) $19.98 $74 1.8×

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.