Lab & pathology prices at Jacobson Memorial Hospital Care Center
Elgin, ND · every code in this section with a posted price and a Medicare benchmark.
356 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $54.75 | $73 | 4.9× |
| Acth (82024) | $203.25 | $271 | 5.3× |
| Actin smooth muscle antibody each (86015) | $61.50 | $82 | 5.1× |
| Acylcarnitines Quant (82017) | $274.50 | $366 | 16.3× |
| Albumin serum (82040) | $26.25 | $35 | 5.3× |
| Aldolase (82085) | $51.75 | $69 | 5.3× |
| Aldosterone urine (82088) range across 4 matching MRF lines |
$214.50–$215.25 | $286–$287 | varies |
| Alkaline phosphatase isoenzymes (84080) | $77.25 | $103 | 5.2× |
| Allergen specific ige (86003) | $26.25 | $35 | 5.0× |
| Alpha-1-antitrypsin phenotype (82104) | $71.25 | $95 | 4.9× |
| Alpha-1-antitrypsin total (82103) | $70.50 | $94 | 5.2× |
| Alpha-Fetoprotein Serum (82105) | $89.25 | $119 | 5.3× |
| Alt (sgpt) (84460) | $28.50 | $38 | 5.4× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $114.75 | $153 | 6.8× |
| Ammonia (82140) | $76.50 | $102 | 5.3× |
| Amylase urine (82150) | $33.75 | $45 | 5.2× |
| Ana Titer (86039) | $105.75 | $141 | 9.5× |
| Anca screen each antibody (86036) | $63.75 | $85 | 5.3× |
| Androstenedione (82157) | $153.75 | $205 | 5.3× |
| Angiotensin converting enzyme csf (82164) | $76.50 | $102 | 5.2× |
| Antibody aspergillus (86606) | $76.50 | $102 | 5.1× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $82.50 | $110 | 5.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $69.75 | $93 | 4.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$21–$77.25 | $28–$103 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $14.25 | $19 | 0.8× |
| Antibody Fungus Not Elsewhere Specified (86671) | $62.25 | $83 | 5.1× |
| Antibody Herpes Smplx Type 1 (86695) | $26.25 | $35 | 2.0× |
| Antibody Treponema Pallidum (86780) | $69.75 | $93 | 5.3× |
| Antigen typing (86905) | $21 | $28 | 5.5× |
| Antinuclear antibodies (86038) | $63.75 | $85 | 5.3× |
| Antistreptolysin o titer (86060) | $38.25 | $51 | 5.2× |
| Antithrombin iii activity (85300) | $63 | $84 | 5.3× |
| Antithrombin iii antigen (85301) | $56.25 | $75 | 5.2× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $63 | $84 | 1.7× |
| Arsenic (82175) | $100.50 | $134 | 5.3× |
| Assay of 5-hiaa (83497) | $68.25 | $91 | 5.3× |
| Assay of anti-mullerian hormone (82166) | $90.75 | $121 | 2.3× |
| Assay of blood/uric acid (84550) | $24 | $32 | 5.3× |
| Assay of calcium in urine (82340) | $31.50 | $42 | 5.2× |
| Assay of estrone (82679) | $131.25 | $175 | 5.3× |
| Assay of g6pd enzyme (82955) | $51.75 | $69 | 5.3× |
| Assay of gammaglobulin igm (82784) | $48.75 | $65 | 5.2× |
| Assay of lactic acid (83605) | $57 | $76 | 4.9× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$90–$191.25 | $120–$255 | varies |
| Assay of proinsulin (84206) | $52.50 | $70 | 2.0× |
| Assay of pyruvate (84210) | $72 | $96 | 5.0× |
| Assay of serum potassium (84132) | $24.75 | $33 | 5.2× |
| Assay of urea nitrogen (84520) | $21.75 | $29 | 5.5× |
| Assay of vitamin b-1 (84425) | $111 | $148 | 5.2× |
| Assay Ph Body Fluid Nos (83986) | $18.75 | $25 | 5.2× |
| Assay spec xcp ur&breath ia (82077) | $64.50 | $86 | 3.7× |
| Automated Leukocyte Count (85048) | $13.50 | $18 | 5.3× |
| Bartonella antibody (86611) | $67.50 | $90 | 6.6× |
| Bcr/abl1 gene major bp (81206) | $828 | $1,104 | 5.1× |
| Beta 2 glycoprotein i antibody each (86146) | $129 | $172 | 5.1× |
| Beta hydroxybutyrate (82010) | $43.50 | $58 | 5.3× |
| Beta-2 Microglobulin (82232) | $85.50 | $114 | 5.3× |
| Bilirubin direct (82248) | $26.25 | $35 | 5.2× |
| Bilirubin total (82247) | $26.25 | $35 | 5.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $18.75 | $25 | 4.9× |
| Blood gas (82803) | $129.75 | $173 | 5.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $84 | $112 | 5.3× |
| Blood typing serologic abo (86900) | $15.75 | $21 | 5.3× |
| Body fluid cell count (89050) | $25.50 | $34 | 5.4× |
| C diff amplified probe (87493) | $184.50 | $246 | 5.0× |
| C-Peptide (84681) | $109.50 | $146 | 5.3× |
| C-reactive protein (86140) | $27.75 | $37 | 5.4× |
| Ca 19-9 (86301) | $109.50 | $146 | 5.3× |
| Cadmium (82300) | $122.25 | $163 | 5.2× |
| Calcium ionized (82330) | $72 | $96 | 5.3× |
| Calcium total (82310) | $27.75 | $37 | 5.4× |
| Calprotectin Fecal (83993) | $208.50 | $278 | 10.6× |
| Cancer Antigen 125 (86304) | $109.50 | $146 | 5.3× |
| Cancer Antigen 27.29 (86300) | $109.50 | $146 | 5.3× |
| Candida antibody (86628) | $61.50 | $82 | 5.1× |
| Carbamazepine total (80156) | $76.50 | $102 | 5.3× |
| Carboxyhemoglobin (82375) | $63 | $84 | 5.1× |
| Carcinoembryonic antigen (82378) | $100.50 | $134 | 5.3× |
| Cardiolipin ab iga (86147) | $129 | $172 | 5.1× |
| Carnitine Quantitative Each Specimen (82379) | $85.50 | $114 | 5.1× |
| Catecholamines fractionated (82384) | $60 | $80 | 2.4× |
| Ccp antibody (86200) | $101.25 | $135 | 7.8× |
| Ceruloplasmin (82390) | $56.25 | $75 | 5.2× |
| Chlamydia antibody (86631) | $60.75 | $81 | 5.1× |
| Chlamydia Igm Antibody (86632) | $64.50 | $86 | 5.1× |
| Chloride other source (82438) | $26.25 | $35 | 5.3× |
| Chloride urine (82436) | $29.25 | $39 | 5.1× |
| Cholesterol total (82465) | $23.25 | $31 | 5.3× |
| Chorionic gonadotropin test (84702) | $79.50 | $106 | 5.3× |
| Chromium serum (82495) | $107.25 | $143 | 5.3× |
| Chromogranin a (86316) | $103.50 | $138 | 5.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $184.50 | $246 | 5.3× |
| Citric acid urine (82507) | $146.25 | $195 | 5.3× |
| Clostridium Difficile (87324) | $63.75 | $85 | 5.3× |
| Coccidioides antibody (86635) range across 4 matching MRF lines |
$21–$60.75 | $28–$81 | varies |
| Collagen crosslinks (82523) | $99 | $132 | 5.3× |
| Column Chromotography Quant (82542) | $119.25 | $159 | 5.0× |
| Compatibility test antiglob (86922) | $194.25 | $259 | 1.1× |
| Complement Antigen Each Component (86160) | $63.75 | $85 | 5.3× |
| Complement Total (Ch50) (86162) | $63.75 | $85 | 3.1× |
| Coombs direct (86880) | $29.25 | $39 | 5.4× |
| Copper urine (82525) range across 3 matching MRF lines |
$65.25–$66.75 | $87–$89 | varies |
| Cortisol free (82530) | $87.75 | $117 | 5.3× |
| Cortisol saliva (82533) | $86.25 | $115 | 5.3× |
| Creatine kinase total (82550) | $33.75 | $45 | 5.2× |
| Creatinine blood (82565) | $27.75 | $37 | 5.4× |
| Creatinine clearance (82575) | $49.50 | $66 | 5.2× |
| Creatinine Urine (82570) | $27.75 | $37 | 5.4× |
| Crossmatch electronic (86923) | $28.50 | $38 | 0.2× |
| Crossmatch immediate spin (86920) | $194.25 | $259 | 1.1× |
| Crp High Sensitivity (86141) | $68.25 | $91 | 5.3× |
| Cryoglobulin (82595) | $33 | $44 | 5.1× |
| Cryptococcus ag titer (87899) | $80.25 | $107 | 5.0× |
| Cryptosporidium ag eia (87328) | $69 | $92 | 5.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$21–$43.50 | $28–$58 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $43.50 | $58 | 5.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $41.25 | $55 | 5.4× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,635.45 | $2,180.60 | 7.5× |
| Culture Anaerobic (87075) | $49.50 | $66 | 5.2× |
| Culture blood (87040) | $54 | $72 | 5.2× |
| Culture csf (87070) | $45.75 | $61 | 5.3× |
| Culture fungus (87102) | $45 | $60 | 5.4× |
| Culture fungus blood (87103) | $102 | $136 | 5.0× |
| Culture screen only (87081) | $33.75 | $45 | 5.1× |
| Culture stool (87045) | $49.50 | $66 | 5.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $27.75 | $37 | 5.4× |
| Culture urine (87086) | $60.53 | $80.70 | 7.5× |
| Cyclosporine (80158) | $94.50 | $126 | 5.2× |
| Cytomegalovirus igg (86644) | $71.25 | $95 | 5.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $107.25 | $143 | 5.3× |
| Cytopath Cell Enhance Tech (88112) | $114 | $152 | 2.1× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $139.50 | $186 | 5.2× |
| Detect Agent Nos Dna Amp (87798) range across 6 matching MRF lines |
$184.50–$244.50 | $246–$326 | varies |
| Dhea (82626) | $132.75 | $177 | 5.3× |
| Dhea-S (82627) | $117.75 | $157 | 5.3× |
| Digoxin (80162) | $87.75 | $117 | 6.6× |
| Dna Antibody Native/Double Stranded (86225) | $72 | $96 | 5.2× |
| Dna/Rna Amplified Probe (87150) | $184.50 | $246 | 5.3× |
| DNA/RNA direct probe (87149) | $63 | $84 | 3.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $69.75 | $93 | 5.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $105 | $140 | 7.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $87.75 | $117 | 6.6× |
| Drug Test Prsmv Dir Opt Obs (80305) | $75 | $100 | 6.0× |
| Ehrlichia antibody (86666) | $54 | $72 | 5.3× |
| Electrolyte panel (80051) | $36.75 | $49 | 5.2× |
| Erythropoietin (82668) | $99.75 | $133 | 5.3× |
| Estradiol serum (82670) | $147 | $196 | 5.3× |
| Exam Synovial Fluid Crystals (89060) | $37.50 | $50 | 5.1× |
| F2 Gene (81240) | $324.75 | $433 | 4.9× |
| Factor v leiden mutation (81241) | $363 | $484 | 4.9× |
| Factor viii assay (85240) | $90.75 | $121 | 5.1× |
| Fat/Lipids Feces Quantitative (82710) | $85.50 | $114 | 5.1× |
| Ferritin (82728) | $71.25 | $95 | 5.2× |
| Fibrin Degradation Quant (85379) | $51.75 | $69 | 5.1× |
| Fibrinogen activity (85384) | $48 | $64 | 4.9× |
| Fluorescent antibody screen (86255) | $63.75 | $85 | 5.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $63.75 | $85 | 5.3× |
| Folic Acid Serum (82746) | $77.25 | $103 | 5.3× |
| Follicle Stimulating Hormone (83001) | $97.50 | $130 | 5.2× |
| Francisella tularensis (86668) | $70.50 | $94 | 5.0× |
| Fungi Identification Yeast (87106) | $54 | $72 | 5.2× |
| Gammaglobulin ige (82785) | $87 | $116 | 5.3× |
| Gastrin (82941) | $100.50 | $134 | 5.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $2,171.25 | $2,895 | 5.2× |
| Gentamicin (80170) | $86.25 | $115 | 5.3× |
| Ggt (82977) | $38.25 | $51 | 5.3× |
| Giardia antigen (87329) | $63.75 | $85 | 5.3× |
| Glucagon (82943) | $72 | $96 | 5.0× |
| Glucose 2 hr pp (82950) | $25.50 | $34 | 5.4× |
| Glucose Blood Test (82962) | $17.25 | $23 | 5.3× |
| Glucose body fluid (82945) | $21.75 | $29 | 5.5× |
| Glucose Serum (82947) | $21.75 | $29 | 5.5× |
| Glucose tolerance test (gtt) (82951) | $68.25 | $91 | 5.3× |
| Gonadotropin Chorionic Qualitative (84703) | $14.25 | $19 | 1.9× |
| Gtt-added samples (82952) | $21.75 | $29 | 5.5× |
| Haptoglobin (83010) | $66.75 | $89 | 5.3× |
| Helicobacter Pylori Stool (87338) | $75 | $100 | 5.2× |
| Hematocrit (85014) | $12.75 | $17 | 5.4× |
| Hemoglobin (85018) | $12.75 | $17 | 5.4× |
| Hemoglobin a1c (83036) | $72.83 | $97.10 | 7.5× |
| Hemoglobin plasma (83051) | $38.25 | $51 | 5.2× |
| Hep a ab igm (86709) | $56.25 | $75 | 5.0× |
| Hepatitis a antibody total (86708) | $65.25 | $87 | 5.3× |
| Hepatitis b core ab igm (86705) | $62.25 | $83 | 5.3× |
| Hepatitis b core ab total (86704) | $63.75 | $85 | 5.3× |
| Hepatitis B Surface Antibody (86706) | $56.25 | $75 | 5.2× |
| Hepatitis B Surface Antigen (87340) | $52.50 | $70 | 5.1× |
| Hepatitis Be Antibody (86707) | $61.50 | $82 | 5.3× |
| Hepatitis Be Antigen (87350) | $61.50 | $82 | 5.3× |
| Hepatitis C Antibody (86803) | $75 | $100 | 5.3× |
| Hepatitis C Genotype (87902) | $1,352.25 | $1,803 | 5.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $225 | $300 | 5.3× |
| Herpes simplex type 2 (86696) | $37.50 | $50 | 1.9× |
| Heterophile Antibody Screen (86308) | $27.75 | $37 | 5.4× |
| Histoplasma antibody (86698) | $69 | $92 | 5.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $122.25 | $163 | 5.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $421.50 | $562 | 5.0× |
| Homocysteine (83090) | $89.25 | $119 | 5.0× |
| Hpv High-Risk Types (87624) | $183.75 | $245 | 5.2× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $137.25 | $183 | 2.0× |
| Hsv Dna Amp Probe (87529) | $184.50 | $246 | 5.3× |
| Htt Gene Detc Abnor Alleles (81271) | $678 | $904 | 4.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $92.25 | $123 | 2.6× |
| Iaad ia shiga-like toxin (87427) | $60 | $80 | 5.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $177.75 | $237 | 5.1× |
| Iadna Cytomegalovirus Quantification (87497) | $216.75 | $289 | 5.1× |
| Iadna Hepatitis B Virus Quantification (87517) | $225 | $300 | 5.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $184.50 | $246 | 5.3× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,301.25 | $1,735 | 4.9× |
| Ig Light Chains Free Each (83521) | $34.50 | $46 | 2.0× |
| Igg subclasses (82787) | $41.25 | $55 | 5.1× |
| Immunfix e-phorsis/urine/csf (86335) | $154.50 | $206 | 5.3× |
| Immunoassay nonantibody (83516) | $61.50 | $82 | 5.3× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $184.50 | $246 | 5.3× |
| Influenza assay w/optic (87804) | $82.50 | $110 | 5.0× |
| Influenza DNA amp probe (87502) | $474.75 | $633 | 5.0× |
| Inhibin b (83520) | $85.50 | $114 | 5.0× |
| Insulin antibodies (86337) | $113.25 | $151 | 5.3× |
| Insulin total (83525) | $60.75 | $81 | 5.3× |
| Iron (83540) | $33.75 | $45 | 5.2× |
| Iron Binding Capacity (83550) | $46.50 | $62 | 5.3× |
| Islet cell antibody (86341) | $95.25 | $127 | 4.0× |
| Jak2 gene analysis p.val617phe variant (81270) | $512.25 | $683 | 5.6× |
| Koh Prep (87220) | $23.25 | $31 | 5.4× |
| Lactate (ld) (ldh) enzyme (83615) | $32.25 | $43 | 5.3× |
| Lactoferrin fecal qualitative (83630) | $103.50 | $138 | 5.3× |
| Ldh Isoenzymes (83625) | $67.50 | $90 | 5.3× |
| LDL direct (83721) | $54.75 | $73 | 5.2× |
| Lead (83655) | $63.75 | $85 | 5.3× |
| Legionella antigen urine (87449) | $201 | $268 | 16.8× |
| Lipase (83690) | $36.75 | $49 | 5.3× |
| Lithium (80178) | $36 | $48 | 5.4× |
| Luteinizing Hormone (Lh) (83002) | $97.50 | $130 | 5.3× |
| Lyme disease antibody (86618) | $90 | $120 | 5.3× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$33.75–$40.50 | $45–$54 | varies |
| Mercury urine (83825) | $85.50 | $114 | 5.3× |
| Methylmalonic acid serum (83921) | $105.75 | $141 | 5.0× |
| Microalbumin, quantitative (82043) | $30.75 | $41 | 5.3× |
| Microsomal Antibodies Each (86376) | $76.50 | $102 | 5.3× |
| Mrsa Pcr (87641) | $184.50 | $246 | 5.3× |
| Mumps antibody (86735) | $69 | $92 | 5.3× |
| Mycophenolic Acid (80180) | $91.50 | $122 | 5.1× |
| Mycoplasma antibody (86738) | $69.75 | $93 | 5.3× |
| Myoglobin urine (83874) | $68.25 | $91 | 5.3× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$200.25–$294.45 | $267–$392.60 | varies |
| Nuclear antigen antibody (86235) | $95.25 | $127 | 5.3× |
| Occult Blood Other Sources (82271) | $26.25 | $35 | 4.9× |
| Organic Acids Qualitative Each Specimen (83919) | $84 | $112 | 5.1× |
| Osmolality serum (83930) | $35.25 | $47 | 5.3× |
| Osmolality Urine (83935) | $36 | $48 | 5.3× |
| Oxalate urine (83945) | $6.75 | $9 | 0.5× |
| Parvovirus antibody (86747) | $79.50 | $106 | 5.3× |
| Ph urine (81003) range across 3 matching MRF lines |
$12.75–$15.75 | $17–$21 | varies |
| Phenobarbital Level (80184) | $75.75 | $101 | 5.0× |
| Phenytoin (Dilantin) (80185) | $69.75 | $93 | 5.3× |
| Phosphatase alkaline (84075) | $27.75 | $37 | 5.4× |
| Phosphorus Serum (84100) | $25.50 | $34 | 5.4× |
| Phosphorus urine (84105) | $29.25 | $39 | 5.1× |
| Pinworm exam (87172) | $23.25 | $31 | 5.4× |
| Platelet Aggregation (85576) | $123.75 | $165 | 5.0× |
| Platelet count automated (85049) | $24 | $32 | 5.4× |
| Potassium Urine (84133) | $24 | $32 | 5.1× |
| Prealbumin (84134) | $74.25 | $99 | 5.1× |
| Primidone (80188) | $84 | $112 | 5.1× |
| Procalcitonin (Pct) (84145) | $141.75 | $189 | 5.2× |
| Progesterone (84144) | $109.50 | $146 | 5.2× |
| Prolactin (84146) | $102 | $136 | 5.3× |
| Protein body fluid (84157) | $21 | $28 | 5.3× |
| Protein C Activity (85303) | $72.75 | $97 | 5.3× |
| Protein c antigen (85302) | $63.75 | $85 | 5.3× |
| Protein Electrophoresis Urine (84166) | $93.75 | $125 | 5.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $56.25 | $75 | 5.2× |
| Protein S Free (85306) | $77.25 | $103 | 5.0× |
| Protein total serum (84155) | $18.75 | $25 | 5.1× |
| Protein Total Urine (84156) | $18.75 | $25 | 5.1× |
| PSA free (84154) | $95.25 | $127 | 5.2× |
| Pth Intact (83970) | $217.50 | $290 | 5.3× |
| Q Fever Antibody (86638) | $61.50 | $82 | 5.1× |
| Quantiferon tb gold plus (86480) | $290.25 | $387 | 4.7× |
| Rbc antibody identification (86870) | $429.75 | $573 | 1.2× |
| Rbc antibody screen (86850) | $264.75 | $353 | 27.1× |
| Renin activity plasma (84244) | $115.50 | $154 | 5.3× |
| Reticulocyte Count (85046) | $11.25 | $15 | 2.0× |
| Rh (86901) | $15.75 | $21 | 5.3× |
| Rheumatoid factor quant (86431) | $30 | $40 | 5.3× |
| Ristocetin cofactor (85245) | $121.50 | $162 | 5.3× |
| Rotavirus ag eia (87425) | $63.75 | $85 | 5.3× |
| Rpr qualitative (86592) | $23.25 | $31 | 5.4× |
| Rsv Assay W/Optic (87807) | $65.25 | $87 | 5.0× |
| Rubella Antibody (86762) | $75.75 | $101 | 5.3× |
| Rubeola antibody (86765) | $68.25 | $91 | 5.3× |
| Russell Viper Venom Time Diluted (85613) | $51 | $68 | 5.3× |
| Russell Viper Venon Time Undiluted (85612) | $91.50 | $122 | 5.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $133.50 | $178 | 2.6× |
| Sars-cov-2 COVID-19 antibody (86769) | $109.50 | $146 | 2.6× |
| Sarscov2 & inf a&b amp prb (87636) | $222.75 | $297 | 1.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $222.75 | $297 | 1.6× |
| Sedimentation rate (85651) | $21.75 | $29 | 5.1× |
| Selenium (84255) | $133.50 | $178 | 5.2× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$21–$123.75 | $28–$165 | varies |
| Sex Hormone Binding Globulin (84270) | $114 | $152 | 5.2× |
| Sirolimus (80195) | $72 | $96 | 5.2× |
| Smear gram stain (87205) | $23.25 | $31 | 5.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $29.25 | $39 | 5.0× |
| Sodium Serum (84295) | $25.50 | $34 | 5.3× |
| Sodium Urine (84300) | $25.50 | $34 | 5.0× |
| Soluble Transferrin Receptor (84238) | $192 | $256 | 5.3× |
| Specimen infect agnt concntj (87015) | $33 | $44 | 4.9× |
| Stool cultr aerobic bact ea (87046) | $49.50 | $66 | 5.2× |
| Strep a assay w/optic (87880) | $82.50 | $110 | 5.0× |
| Strep a DNA amp probe (87651) | $263.18 | $350.90 | 7.5× |
| Sugars Single Qual (84376) | $29.25 | $39 | 5.3× |
| Surg path level iii (88304) | $125.25 | $167 | 2.4× |
| Surgical pathology level IV (88305) | $162.75 | $217 | 3.1× |
| T3 Free (84481) | $101.25 | $135 | 6.0× |
| T3 reverse (84482) | $83.25 | $111 | 5.3× |
| T3 Total (84480) | $75 | $100 | 5.3× |
| T4 Free (84439) | $45.75 | $61 | 5.1× |
| T4 total (84436) | $36.75 | $49 | 5.3× |
| Tacrolimus (80197) | $72 | $96 | 5.2× |
| Testosterone Bioavailable (84410) | $261 | $348 | 5.1× |
| Testosterone total (84403) | $135.75 | $181 | 5.3× |
| Testosterone, Free (84402) | $133.50 | $178 | 5.2× |
| Theophylline (80198) | $75 | $100 | 5.3× |
| Thrombin Time (85670) | $36.75 | $49 | 6.4× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$84–$84.75 | $112–$113 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$83.25–$84 | $111–$112 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $267.75 | $357 | 5.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $23.25 | $31 | 2.0× |
| Tobramycin peak (80200) | $85.50 | $114 | 5.3× |
| Topiramate (80201) | $63 | $84 | 5.3× |
| Toxoplasma ab igm (86778) | $75 | $100 | 5.2× |
| Toxoplasma antibody (86777) | $79.50 | $106 | 5.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $27.75 | $37 | 5.4× |
| Transferrin (84466) | $67.50 | $90 | 5.3× |
| Trichomonas Vaginalis Amplif (87661) | $177.75 | $237 | 5.1× |
| Triglycerides (84478) | $30.75 | $41 | 5.4× |
| Troponin Quant (84484) | $93.53 | $124.70 | 7.5× |
| Urea nitrogen urine (84540) | $28.50 | $38 | 5.1× |
| Uric acid other source (84560) | $25.50 | $34 | 5.0× |
| Urinalysis Microscopic Only (81015) | $15.75 | $21 | 5.2× |
| Urinalysis Volume Measure (81050) | $18 | $24 | 4.9× |
| Urine Bacteria Culture (87088) | $43.50 | $58 | 5.4× |
| Urine Pregnancy Test (81025) | $43.50 | $58 | 5.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $16.50 | $22 | 5.2× |
| Valproic acid (80164) | $71.25 | $95 | 5.3× |
| Vancomycin (80202) | $71.25 | $95 | 5.3× |
| Viral Culture (87252) | $138 | $184 | 5.3× |
| Vit D 1 25-Dihydroxy (82652) | $202.50 | $270 | 5.3× |
| Vitamin b-12 (82607) | $79.50 | $106 | 5.3× |
| Vitamin B6 (84207) | $147.75 | $197 | 5.3× |
| Vitamin D 25-Hydroxy (82306) | $192.75 | $257 | 6.5× |
| Vitamin K (84597) | $72 | $96 | 5.2× |
| Von willebrand factor ag (85246) | $121.50 | $162 | 5.3× |
| West nile virus ab igm (86788) | $85.50 | $114 | 5.1× |
| Zinc (84630) | $60.75 | $81 | 5.3× |
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.