Lab & pathology prices at Jersey Community Hospital
Jerseyville, IL · every code in this section with a posted price and a Medicare benchmark.
339 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $403 | $403 | 10.4× |
| Acute hepatitis panel (80074) | $605 | $605 | 12.7× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $745 | $745 | 11.6× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$74–$83 | $74–$83 | varies |
| Albumin serum (82040) | $60 | $60 | 12.1× |
| Aldosterone urine (82088) | $518 | $518 | 12.7× |
| Allergen specific ige (86003) range across 58 matching MRF lines |
$55–$145 | $55–$145 | varies |
| Alpha-1-antitrypsin total (82103) | $172 | $172 | 12.8× |
| Alpha-Fetoprotein Serum (82105) | $215 | $215 | 12.8× |
| Alt (sgpt) (84460) | $69 | $69 | 13.0× |
| Ammonia (82140) | $170 | $170 | 11.7× |
| Amylase urine (82150) | $84 | $84 | 13.0× |
| Anca screen each antibody (86036) | $157 | $157 | 13.0× |
| Anca Titer Each Antibody (86037) | $157 | $157 | 13.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $215 | $215 | 12.8× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $177 | $177 | 11.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $233 | $233 | 12.8× |
| Antibody Fungus Not Elsewhere Specified (86671) | $143 | $143 | 11.7× |
| Antibody helicobacter pylori (86677) | $215 | $215 | 12.8× |
| Antibody Herpes Smplx Type 1 (86695) | $154 | $154 | 11.7× |
| Antibody identification leukocyte antibodies (86021) | $175 | $175 | 11.6× |
| Antibody Titer (86886) | $344 | $344 | 66.4× |
| Antibody Treponema Pallidum (86780) | $139 | $139 | 10.5× |
| Antigen typing (86905) | $1,315 | $1,315 | 343.3× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 3 matching MRF lines |
$314–$328 | $314–$328 | varies |
| Antinuclear antibodies (86038) | $155 | $155 | 12.8× |
| Antithrombin iii activity (85300) | $184 | $184 | 15.5× |
| Arsenic (82175) | $242 | $242 | 12.8× |
| Assay Blood Carbon Dioxide (82374) | $165 | $165 | 33.8× |
| Assay Dir Meas Fr Estradiol (82681) | $435 | $435 | 15.6× |
| Assay Nephelometry Not Spec (83883) | $159 | $159 | 11.7× |
| Assay of blood/uric acid (84550) | $60 | $60 | 13.3× |
| Assay of calcium in urine (82340) | $77 | $77 | 12.8× |
| Assay of estrone (82679) | $261 | $261 | 10.5× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$115–$120 | $115–$120 | varies |
| Assay of lactic acid (83605) | $136 | $136 | 11.8× |
| Assay of metanephrines (83835) | $177 | $177 | 10.4× |
| Assay of serum potassium (84132) | $63 | $63 | 13.2× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$45–$47 | $45–$47 | varies |
| Assay of urine vma (84585) | $180 | $180 | 11.6× |
| Assay of vasoactive intestinal peptide (84586) | $449 | $449 | 12.7× |
| Assay of vitamin b-1 (84425) | $259 | $259 | 12.2× |
| Assay Ph Body Fluid Nos (83986) | $129 | $129 | 36.0× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $361 | $361 | 2.0× |
| Automated Leukocyte Count (85048) | $34 | $34 | 13.4× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$57–$60 | $57–$60 | varies |
| Bilirubin total (82247) range across 3 matching MRF lines |
$63–$66 | $63–$66 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $333 | $333 | 43.0× |
| Blood count reticulocyte automated (85045) | $47 | $47 | 11.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $45 | $45 | 11.8× |
| Blood gas (82803) range across 3 matching MRF lines |
$272–$301 | $272–$301 | varies |
| Blood gases w/02 saturation (82805) range across 2 matching MRF lines |
$272–$301 | $272–$301 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $48 | $48 | 3.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 3 matching MRF lines |
$14–$49 | $14–$49 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 3 matching MRF lines |
$648–$677 | $648–$677 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $78 | $78 | 4.8× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$208–$321 | $208–$321 | varies |
| Breath Alcohol Test (82075) | $90 | $90 | 3.0× |
| C-Peptide (84681) | $265 | $265 | 12.7× |
| Ca 19-9 (86301) | $265 | $265 | 12.7× |
| Calcitonin (82308) | $342 | $342 | 12.8× |
| Calcium ionized (82330) | $175 | $175 | 12.8× |
| Calcium total (82310) range across 5 matching MRF lines |
$53–$68 | $53–$68 | varies |
| Calculus assay quant (82360) | $165 | $165 | 12.8× |
| Calprotectin Fecal (83993) | $205 | $205 | 10.4× |
| Cancer Antigen 125 (86304) | $241 | $241 | 11.6× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$241–$265 | $241–$265 | varies |
| Carbamazepine total (80156) | $186 | $186 | 12.8× |
| Carboxyhemoglobin (82375) | $144 | $144 | 11.7× |
| Carcinoembryonic antigen (82378) | $242 | $242 | 12.8× |
| Cardiolipin ab iga (86147) range across 9 matching MRF lines |
$295–$324 | $295–$324 | varies |
| Catecholamines fractionated (82384) | $322 | $322 | 12.8× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$159–$166 | $159–$166 | varies |
| Cell count csf (89051) range across 7 matching MRF lines |
$67–$98 | $67–$98 | varies |
| Ceruloplasmin (82390) | $138 | $138 | 12.8× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$1,329–$1,389 | $1,329–$1,389 | varies |
| Cholesterol total (82465) | $46 | $46 | 10.6× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$175–$192 | $175–$192 | varies |
| Chromium serum (82495) | $259 | $259 | 12.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$115–$189 | $115–$189 | varies |
| Ckmb (82553) | $136 | $136 | 11.8× |
| Clostridium Difficile (87324) | $140 | $140 | 11.7× |
| Compatibility Each Unit Incubation (86921) | $96 | $96 | 0.5× |
| Compatibility test antiglob (86922) range across 8 matching MRF lines |
$686–$749 | $686–$749 | varies |
| Complement Antigen Each Component (86160) | $154 | $154 | 12.8× |
| Coombs direct (86880) range across 3 matching MRF lines |
$333–$387 | $333–$387 | varies |
| Copper urine (82525) | $152 | $152 | 12.2× |
| Cortisol saliva (82533) | $209 | $209 | 12.8× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$75–$136 | $75–$136 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$59–$62 | $59–$62 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$107–$112 | $107–$112 | varies |
| Creatinine Urine (82570) range across 7 matching MRF lines |
$55–$68 | $55–$68 | varies |
| Crp High Sensitivity (86141) | $68 | $68 | 5.3× |
| Cryptosporidium ag eia (87328) | $140 | $140 | 10.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$95–$103 | $95–$103 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $94 | $94 | 11.6× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $98 | $98 | 12.7× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$120–$121 | $120–$121 | varies |
| Culture blood (87040) range across 3 matching MRF lines |
$100–$120 | $100–$120 | varies |
| Culture csf (87070) range across 11 matching MRF lines |
$92–$112 | $92–$112 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$98–$110 | $98–$110 | varies |
| Culture screen only (87081) | $77 | $77 | 11.6× |
| Culture stool (87045) | $116 | $116 | 12.3× |
| Culture urine (87086) range across 2 matching MRF lines |
$9–$103 | $9–$103 | varies |
| Cyclosporine (80158) | $189 | $189 | 10.5× |
| Cystatin C (82610) | $215 | $215 | 11.6× |
| Cytomegalovirus igg (86644) | $184 | $184 | 12.8× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 4 matching MRF lines |
$275–$340 | $275–$340 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $120 | $120 | 3.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $548 | $548 | 9.8× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) range across 2 matching MRF lines |
$177–$294 | $177–$294 | varies |
| Detect Agent Nos Dna Amp (87798) | $446 | $446 | 12.7× |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$446–$494 | $446–$494 | varies |
| Dgp Antibody Each Ig Class (86258) | $121 | $121 | 10.0× |
| Dhea-S (82627) | $284 | $284 | 12.8× |
| Digoxin (80162) | $155 | $155 | 11.7× |
| Dna Antibody Native/Double Stranded (86225) | $176 | $176 | 12.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $170 | $170 | 12.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $155 | $155 | 11.7× |
| Drug Test Prsmv Dir Opt Obs (80305) range across 5 matching MRF lines |
$41–$69 | $41–$69 | varies |
| Electrolyte panel (80051) | $91 | $91 | 13.0× |
| Erythropoietin (82668) | $196 | $196 | 10.4× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$323–$435 | $323–$435 | varies |
| Estrogen total (82672) | $276 | $276 | 12.7× |
| Exam Synovial Fluid Crystals (89060) | $106 | $106 | 14.5× |
| Factor v activity (85220) | $205 | $205 | 11.6× |
| Factor v leiden mutation (81241) | $932 | $932 | 12.7× |
| Ferritin (82728) | $175 | $175 | 12.8× |
| Fetal Fibronectin (82731) | $517 | $517 | 8.0× |
| Fibrin Degradation Quant (85379) | $119 | $119 | 11.7× |
| Flow cytometry first marker (88184) | $1,229 | $1,229 | 3.2× |
| Fluorescent antibody screen (86255) | $140 | $140 | 11.6× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$150–$158 | $150–$158 | varies |
| Follicle Stimulating Hormone (83001) range across 3 matching MRF lines |
$236–$237 | $236–$237 | varies |
| Frozen Section (88331) | $906 | $906 | 5.0× |
| Gammaglobulin ige (82785) | $64 | $64 | 3.9× |
| Gases blood ph only (82800) | $129 | $129 | 11.7× |
| Gastrin (82941) | $225 | $225 | 12.8× |
| Gentamicin (80170) | $171 | $171 | 10.4× |
| Ggt (82977) | $93 | $93 | 12.9× |
| Giardia antigen (87329) | $140 | $140 | 11.7× |
| Glucose 2 hr pp (82950) | $63 | $63 | 13.3× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$46–$50 | $46–$50 | varies |
| Glucose Serum (82947) range across 4 matching MRF lines |
$42–$165 | $42–$165 | varies |
| Glucose tolerance test (gtt) (82951) | $165 | $165 | 12.8× |
| Glycated Protein (82985) | $215 | $215 | 12.8× |
| Gonadotropin Chorionic Qualitative (84703) | $97 | $97 | 12.9× |
| Growth hormone (83003) | $214 | $214 | 12.8× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$50–$165 | $50–$165 | varies |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$215–$507 | $215–$507 | varies |
| Haptoglobin (83010) | $132 | $132 | 10.5× |
| Helicobacter Pylori Stool (87338) | $184 | $184 | 12.8× |
| Hematocrit (85014) range across 2 matching MRF lines |
$28–$29 | $28–$29 | varies |
| Hemoglobin (85018) range across 3 matching MRF lines |
$27–$29 | $27–$29 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$115–$124 | $115–$124 | varies |
| Hep a ab igm (86709) | $145 | $145 | 12.9× |
| Hepatitis a antibody total (86708) | $145 | $145 | 11.7× |
| Hepatitis b core ab igm (86705) | $150 | $150 | 12.7× |
| Hepatitis b core ab total (86704) | $155 | $155 | 12.9× |
| Hepatitis B Surface Antigen (87340) | $132 | $132 | 12.8× |
| Hepatitis C Antibody (86803) | $183 | $183 | 12.8× |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$473–$494 | $473–$494 | varies |
| Herpes simplex type 2 (86696) | $247 | $247 | 12.8× |
| Heterophile Antibody Screen (86308) | $68 | $68 | 13.1× |
| Hfe Gene (81256) | $679 | $679 | 10.4× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $236 | $236 | 30.5× |
| Histoplasma antibody (86698) | $162 | $162 | 11.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $281 | $281 | 11.7× |
| Hla-b27 (86812) | $329 | $329 | 12.7× |
| Homocysteine (83090) | $228 | $228 | 12.7× |
| Hpv High-Risk Types (87624) range across 3 matching MRF lines |
$363–$446 | $363–$446 | varies |
| Hsv Dna Amp Probe (87529) | $892 | $892 | 25.4× |
| Human Epididymis Protein 4 (86305) | $282 | $282 | 13.6× |
| Hydroxyprogesterone 17-d (83498) | $284 | $284 | 10.5× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $300 | $300 | 29.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $179 | $179 | 12.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $145 | $145 | 4.1× |
| Iaad ia shiga-like toxin (87427) | $140 | $140 | 11.7× |
| Iadna Cytomegalovirus Quantification (87497) | $494 | $494 | 11.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$55–$189 | $55–$189 | varies |
| Ig Light Chains Free Each (83521) | $159 | $159 | 9.2× |
| Immunfix e-phorsis/urine/csf (86335) | $306 | $306 | 10.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$192–$214 | $192–$214 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $192 | $192 | 12.8× |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$121–$188 | $121–$188 | varies |
| Immunofixation electrophoresis (86334) | $260 | $260 | 11.6× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$359–$1,325 | $359–$1,325 | varies |
| In situ hybridization 1st probe stain (88365) | $1,229 | $1,229 | 6.7× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) range across 2 matching MRF lines |
$221–$231 | $221–$231 | varies |
| Influenza assay w/optic (87804) | $51 | $51 | 3.1× |
| Inhibin b (83520) range across 2 matching MRF lines |
$201–$670 | $201–$670 | varies |
| Insitu hybridization auto (88367) | $1,183 | $1,183 | 3.1× |
| Insulin antibodies (86337) | $224 | $224 | 10.5× |
| Insulin total (83525) | $146 | $146 | 12.8× |
| Iron (83540) range across 2 matching MRF lines |
$72–$75 | $72–$75 | varies |
| Iron Binding Capacity (83550) | $102 | $102 | 11.7× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$192–$224 | $192–$224 | varies |
| Koh Prep (87220) | $49 | $49 | 11.5× |
| Lactate (ld) (ldh) enzyme (83615) | $71 | $71 | 11.8× |
| LDL direct (83721) | $136 | $136 | 13.0× |
| Lead (83655) range across 2 matching MRF lines |
$142–$155 | $142–$155 | varies |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$111–$140 | $111–$140 | varies |
| Leukocyte Assessment Fecal (89055) | $49 | $49 | 11.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $268 | $268 | 8.6× |
| Level ii surg pathology grossµscopic exam (88302) | $268 | $268 | 6.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $1,385 | $1,385 | 3.6× |
| Lipase (83690) | $90 | $90 | 13.1× |
| Lipoprotein A (83695) | $166 | $166 | 11.6× |
| Lithium (80178) | $77 | $77 | 11.6× |
| Luteinizing Hormone (Lh) (83002) | $236 | $236 | 12.7× |
| Lyme disease antibody (86618) | $217 | $217 | 12.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $1,602 | $1,602 | 8.8× |
| M/phmtrc alys ishquant/semiq (88374) | $936 | $936 | 5.1× |
| Magnesium Urine (83735) | $78 | $78 | 11.6× |
| Mass Spectrometry Quant (83789) | $281 | $281 | 11.7× |
| Mercury urine (83825) | $208 | $208 | 12.8× |
| Methylmalonic acid serum (83921) | $246 | $246 | 11.6× |
| Microalbumin, quantitative (82043) | $74 | $74 | 12.8× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$186–$437 | $186–$437 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $830 | $830 | 12.7× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$138–$158 | $138–$158 | varies |
| Natriuretic peptide (83880) | $455 | $455 | 11.6× |
| Nfct ds bv&vaginitis DNA alg (81515) | $467 | $467 | 1.8× |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$209–$228 | $209–$228 | varies |
| Occult blood feces (82272) | $49 | $49 | 11.6× |
| Occult Blood Other Sources (82271) | $56 | $56 | 10.5× |
| Osmolality serum (83930) | $70 | $70 | 10.6× |
| Osmolality Urine (83935) | $72 | $72 | 10.6× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$116–$121 | $116–$121 | varies |
| Pancreatic Elastase Fecal (82656) | $136 | $136 | 11.8× |
| Ph urine (81003) range across 6 matching MRF lines |
$9–$31 | $9–$31 | varies |
| Phenobarbital Level (80184) | $179 | $179 | 11.7× |
| Phenylalanine (84030) | $62 | $62 | 11.3× |
| Phenytoin (Dilantin) (80185) | $155 | $155 | 11.7× |
| Phosphatase alkaline (84075) | $63 | $63 | 12.2× |
| Phosphorus Serum (84100) | $56 | $56 | 11.8× |
| Pinworm exam (87172) | $46 | $46 | 10.8× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$204–$214 | $204–$214 | varies |
| Platelet count automated (85049) | $47 | $47 | 10.5× |
| Prealbumin (84134) | $170 | $170 | 11.7× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $296 | $296 | 1.6× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $72 | $72 | 1.1× |
| Pretx serum rbc antibody identification dilution (86976) | $57 | $57 | 1.8× |
| Procalcitonin (Pct) (84145) | $115 | $115 | 4.2× |
| Progesterone (84144) | $265 | $265 | 12.7× |
| Prolactin (84146) | $247 | $247 | 12.7× |
| Protein body fluid (84157) range across 4 matching MRF lines |
$43–$64 | $43–$64 | varies |
| Protein C Activity (85303) | $177 | $177 | 12.8× |
| Protein Electrophoresis Urine (84166) | $186 | $186 | 10.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $124 | $124 | 11.5× |
| Protein S Free (85306) | $179 | $179 | 11.7× |
| Protein total serum (84155) range across 3 matching MRF lines |
$41–$64 | $41–$64 | varies |
| Protein Total Urine (84156) range across 5 matching MRF lines |
$41–$47 | $41–$47 | varies |
| Pth Intact (83970) | $478 | $478 | 11.6× |
| Quantiferon tb gold plus (86480) | $715 | $715 | 11.5× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$194–$216 | $194–$216 | varies |
| Rbc antibody elution (86860) | $309 | $309 | 1.7× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$1,128–$1,179 | $1,128–$1,179 | varies |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$493–$628 | $493–$628 | varies |
| Rbc pretreatment serum (86978) | $90 | $90 | 1.4× |
| Rbc pretx incubatj w/enzymes (86971) | $181 | $181 | 1.0× |
| Renin activity plasma (84244) | $282 | $282 | 12.8× |
| Reticulocyte separation (86972) | $281 | $281 | 1.5× |
| Rh (86901) range across 3 matching MRF lines |
$222–$321 | $222–$321 | varies |
| Rheumatoid factor quant (86431) | $73 | $73 | 12.9× |
| Rickettsia antibody (86757) | $247 | $247 | 12.8× |
| Rpr qualitative (86592) | $49 | $49 | 11.5× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$51–$53 | $51–$53 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$176–$184 | $176–$184 | varies |
| Rubeola antibody (86765) | $158 | $158 | 12.3× |
| Russell Viper Venom Time Diluted (85613) | $114 | $114 | 11.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $168 | $168 | 3.3× |
| Sars-Cov-2 Covid19 W/Optic (87811) range across 2 matching MRF lines |
$45–$47 | $45–$47 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $467 | $467 | 3.3× |
| Sedimentation rate (85651) | $55 | $55 | 12.9× |
| Sedimentation Rate, Automated (85652) | $55 | $55 | 20.4× |
| Semen Anal Sperm Detection (89321) | $155 | $155 | 12.9× |
| Sensitivity mic (87186) | $100 | $100 | 11.6× |
| Sickling of rbc reduction (85660) | $60 | $60 | 10.9× |
| Sirolimus (80195) | $160 | $160 | 11.7× |
| Skin test tuberculosis intradermal (86580) | $32 | $32 | 1.0× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$221–$231 | $221–$231 | varies |
| Smear gram stain (87205) | $49 | $49 | 11.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $69 | $69 | 11.9× |
| Sodium Serum (84295) | $50 | $50 | 10.4× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$53–$62 | $53–$62 | varies |
| Somatomedin (84305) | $222 | $222 | 10.4× |
| Special Stains Group 1 (88312) | $573 | $573 | 10.3× |
| Special Stains Group 2 (88313) | $387 | $387 | 2.7× |
| Specimen infect agnt concntj (87015) | $78 | $78 | 11.7× |
| Stool cultr aerobic bact ea (87046) | $111 | $111 | 11.8× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$51–$53 | $51–$53 | varies |
| Strep a DNA amp probe (87651) | $408 | $408 | 11.6× |
| Surg path level iii (88304) | $573 | $573 | 10.3× |
| Surgical pathology level IV (88305) | $573 | $573 | 10.3× |
| Surgical pathology level vi (88309) | $1,546 | $1,546 | 1.8× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$31–$278 | $31–$278 | varies |
| Syphilis Test Non-Trep Quant (86593) | $154 | $154 | 35.0× |
| T cells absolute cd4 count (86361) | $311 | $311 | 11.6× |
| T3 Free (84481) | $216 | $216 | 12.8× |
| T3 reverse (84482) | $184 | $184 | 11.7× |
| T3 Total (84480) | $181 | $181 | 12.8× |
| T3 Uptake (84479) | $75 | $75 | 11.6× |
| T4 Free (84439) | $117 | $117 | 13.0× |
| T4 total (84436) | $90 | $90 | 13.1× |
| Tacrolimus (80197) | $160 | $160 | 11.7× |
| Test for acetone/ketones (82009) | $53 | $53 | 11.7× |
| Testosterone total (84403) | $329 | $329 | 12.7× |
| Testosterone, Free (84402) | $324 | $324 | 12.7× |
| Thromboplastin Inhibition Tissue (85705) | $114 | $114 | 11.8× |
| Thyroglobulin (84432) | $188 | $188 | 11.7× |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$166–$204 | $166–$204 | varies |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$136–$147 | $136–$147 | varies |
| Tobramycin peak (80200) | $188 | $188 | 11.7× |
| Toxoplasma ab igm (86778) | $162 | $162 | 11.2× |
| Toxoplasma antibody (86777) | $150 | $150 | 10.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $68 | $68 | 13.1× |
| Transferrin (84466) | $148 | $148 | 11.6× |
| Trichomonas Vaginalis Amplif (87661) | $408 | $408 | 11.6× |
| Triglycerides (84478) | $73 | $73 | 12.7× |
| Troponin Quant (84484) | $145 | $145 | 11.6× |
| Tumor Immunohistochem/Manual (88360) | $1,655 | $1,655 | 9.1× |
| Uric acid other source (84560) | $67 | $67 | 13.2× |
| Urinalysis Microscopic Only (81015) | $9 | $9 | 3.0× |
| Urinalysis Volume Measure (81050) | $44 | $44 | 12.1× |
| Urine Bacteria Culture (87088) | $103 | $103 | 12.7× |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$27–$97 | $27–$97 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$31–$42 | $31–$42 | varies |
| Valproic acid (80164) | $157 | $157 | 11.6× |
| Vancomycin (80202) | $157 | $157 | 11.6× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$149–$165 | $149–$165 | varies |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$343–$490 | $343–$490 | varies |
| Vitamin A (84590) | $148 | $148 | 12.7× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$162–$169 | $162–$169 | varies |
| Vitamin B6 (84207) | $340 | $340 | 12.1× |
| Vitamin c (82180) | $116 | $116 | 11.7× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$343–$377 | $343–$377 | varies |
| Vitamin E (84446) | $181 | $181 | 12.8× |
| Zinc (84630) | $146 | $146 | 12.8× |
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.