Lab & pathology prices at Johnson Memorial Hospital
Stafford Springs, CT · every code in this section with a posted price and a Medicare benchmark.
604 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $121 | $220 | 5.3× |
| 5 Nucleotidase (83915) | $41.25 | $75 | 3.7× |
| Acetylcholine receptor binding antibody (86041) | $54.45 | $99 | 3.0× |
| Acetylcholine receptor blocking antibody (86042) | $54.45 | $99 | 3.0× |
| Acetylcholn Rcptr Modlg Antb (86043) | $54.45 | $99 | 4.5× |
| Acth (82024) range across 2 matching MRF lines |
$111.65–$114.95 | $203–$209 | varies |
| Actin smooth muscle antibody each (86015) | $20.90 | $38 | 1.7× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$131.45–$140.80 | $239–$256 | varies |
| Acylcarnitines Quant (82017) | $124.30 | $226 | 7.4× |
| Albumin Fluid (82042) range across 3 matching MRF lines |
$17.60–$18.15 | $32–$33 | varies |
| Albumin serum (82040) | $746.90 | — | 150.9× |
| Aldolase (82085) | $40.15 | $73 | 4.1× |
| Aldosterone urine (82088) | $152.35 | $277 | 3.7× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$56.10–$59.95 | $102–$109 | varies |
| Allergen specific ige (86003) | $37.95 | $69 | 7.3× |
| Allergen specific igg (86001) | $34.65 | $63 | 4.4× |
| Alpha-1-antitrypsin phenotype (82104) | $51.70 | $94 | 3.6× |
| Alpha-1-antitrypsin total (82103) | $40.70 | $74 | 3.0× |
| Alpha-Fetoprotein Serum (82105) | $68.20 | $124 | 4.1× |
| Alt (sgpt) (84460) | $19.80 | $36 | 3.7× |
| Aluminum (82108) | $70.40 | $128 | 2.8× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $133.65 | $243 | 7.9× |
| Ammonia (82140) | $52.80 | $96 | 3.6× |
| Amylase urine (82150) range across 3 matching MRF lines |
$20.90–$56.65 | $38–$103 | varies |
| Ana Titer (86039) | $42.90 | $78 | 3.8× |
| Anca screen each antibody (86036) | $22 | $40 | 1.8× |
| Androstenedione (82157) | $109.45 | $199 | 3.7× |
| Angiotensin converting enzyme csf (82164) | $63.80 | $116 | 4.4× |
| Anti-Phospholipid Antibody (86148) | $52.80 | $96 | 3.3× |
| Antibody aspergillus (86606) | $39.60 | $72 | 2.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $656.15 | — | 42.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $47.30 | $86 | 2.8× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $28.05 | $51 | 2.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $50.60 | $92 | 3.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $99.55 | $181 | 5.5× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$66.55–$73.70 | $121–$134 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $51.70 | $94 | 3.9× |
| Antibody HIV-1&HIV-2 single result (86703) | $49.50 | $90 | 3.6× |
| Antibody HIV-2 (86702) | $23.10 | $42 | 1.7× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $534.05 | $971 | 1.6× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $62.70 | $114 | 3.2× |
| Antibody Identification Platelet Immunogl Assay (86023) | $223.85 | $407 | 18.0× |
| Antibody Protozoa Nes (86753) | $45.10 | $82 | 3.6× |
| Antibody Titer (86886) | $25.30 | $46 | 4.9× |
| Antibody Treponema Pallidum (86780) | $52.25 | $95 | 3.9× |
| Antigen typing (86905) range across 2 matching MRF lines |
$48.40–$606.65 | $88–$1,103 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$9.35–$9.90 | $17–$18 | varies |
| Antistreptolysin O Screen (86063) | $42.90 | $78 | 7.4× |
| Antistreptolysin o titer (86060) | $33 | $60 | 4.5× |
| Antithrombin iii activity (85300) | $37.95 | $69 | 3.2× |
| Antithrombin iii antigen (85301) | $46.75 | $85 | 4.3× |
| Apolipoprotein a1 (82172) | $66 | $120 | 3.1× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $187 | $340 | 5.0× |
| Arsenic (82175) | $58.30 | $106 | 3.1× |
| Aspergillus ag eia (87305) | $132.55 | $241 | 11.1× |
| Assay activated protein c (85307) | $63.25 | $115 | 4.1× |
| Assay Blood Carbon Dioxide (82374) | $13.75 | $25 | 2.8× |
| Assay of 5-hiaa (83497) | $45.65 | $83 | 3.5× |
| Assay of anti-mullerian hormone (82166) | $41.80 | $76 | 1.1× |
| Assay of blood/uric acid (84550) | $20.90 | $38 | 4.6× |
| Assay of calcium in urine (82340) | $24.20 | $44 | 4.0× |
| Assay of cpk in blood (82552) | $52.80 | $96 | 3.9× |
| Assay of estrone (82679) | $63.80 | $116 | 2.6× |
| Assay of g6pd enzyme (82955) | $63.25 | $115 | 6.5× |
| Assay of gammaglobulin igm (82784) | $46.75 | $85 | 5.0× |
| Assay of lactic acid (83605) | $436.15 | — | 37.7× |
| Assay of manganese (83785) | $195.80 | $356 | 7.3× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$81.40–$86.90 | $148–$158 | varies |
| Assay of proinsulin (84206) | $86.90 | $158 | 3.3× |
| Assay of serotonin (84260) | $74.25 | $135 | 2.4× |
| Assay of serum potassium (84132) | $6,998.17 | — | 1470.2× |
| Assay of urea nitrogen (84520) | $14.85 | $27 | 3.8× |
| Assay of urine vma (84585) | $44 | $80 | 2.8× |
| Assay of vitamin b-1 (84425) | $77 | $140 | 3.6× |
| Assay Ph Body Fluid Nos (83986) | $20.90 | $38 | 5.8× |
| Assay spec xcp ur&breath ia (82077) | $55.55 | $101 | 3.2× |
| Automated Leukocyte Count (85048) | $12.65 | $23 | 5.0× |
| Babesia microti amp prb (87469) | $96.25 | $175 | 2.7× |
| Bartonella antibody (86611) | $53.35 | $97 | 5.2× |
| Bcr/abl1 gene major bp (81206) | $443.85 | $807 | 2.7× |
| Beta 2 glycoprotein i antibody each (86146) | $86.35 | $157 | 3.4× |
| Beta hydroxybutyrate (82010) | $55 | $100 | 6.7× |
| Beta Lactamase (87185) | $9.35 | $17 | 2.0× |
| Beta-2 Microglobulin (82232) | $64.90 | $118 | 4.0× |
| Bilirubin direct (82248) | $572 | — | 113.9× |
| Bilirubin total (82247) | $18.70 | $34 | 3.7× |
| Bl Smear W/O Diff Wbc Count (85008) | $9.35 | $17 | 2.7× |
| Bld Typing Serologic Rh Phnt (86906) | $46.75 | $85 | 6.0× |
| Blood count reticulocyte automated (85045) | $17.60 | $32 | 4.4× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $9.35 | $17 | 2.5× |
| Blood gas (82803) | $94.05 | $171 | 3.6× |
| Blood gases w/02 saturation (82805) | $67.10 | $122 | 0.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$25.30–$48.40 | $46–$88 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $13.20 | $24 | 3.0× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $46.20 | $84 | 7.3× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$23.65–$217.25 | $43–$395 | varies |
| Body fluid cell count (89050) range across 3 matching MRF lines |
$11.55–$27.50 | $21–$50 | varies |
| Bone marrow smear interpretation (85097) | $1,723.70 | $3,134 | 1.8× |
| Bordetella antibody (86615) | $36.30 | $66 | 2.8× |
| Brucella antibody (86622) | $41.80 | $76 | 4.7× |
| C diff amplified probe (87493) | $79.75 | $145 | 2.1× |
| C-Peptide (84681) | $80.85 | $147 | 3.9× |
| C-reactive protein (86140) | $27.50 | $50 | 5.3× |
| Ca 19-9 (86301) | $77 | $140 | 3.7× |
| Cadmium (82300) | $74.80 | $136 | 3.2× |
| Calcitonin (82308) | $75.90 | $138 | 2.8× |
| Calcium ionized (82330) | $40.70 | $74 | 3.0× |
| Calcium total (82310) | $353.10 | — | 68.4× |
| Calculus assay quant (82360) | $53.90 | $98 | 4.2× |
| Calculus Spectroscopy (82365) | $27.50 | $50 | 2.1× |
| Calprotectin Fecal (83993) | $123.75 | $225 | 6.3× |
| Calr gene com variants (81219) | $326.70 | $594 | 2.7× |
| Cancer Antigen 125 (86304) | $84.70 | $154 | 4.1× |
| Cancer Antigen 27.29 (86300) | $80.85 | $147 | 3.9× |
| Candida antibody (86628) | $63.80 | $116 | 5.3× |
| Candida Dna Dir Probe (87480) | $56.10 | $102 | 2.8× |
| Carbamazepine total (80156) | $61.05 | $111 | 4.2× |
| Carboxyhemoglobin (82375) | $37.40 | $68 | 3.0× |
| Carcinoembryonic antigen (82378) | $94.05 | $171 | 5.0× |
| Cardiolipin ab iga (86147) | $109.45 | $199 | 4.3× |
| Carnitine Quantitative Each Specimen (82379) | $55.55 | $101 | 3.3× |
| Catecholamines fractionated (82384) | $94.60 | $172 | 3.7× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$47.30–$48.40 | $86–$88 | varies |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $399.30 | $726 | 1.7× |
| Cell count csf (89051) | $20.35 | $37 | 3.6× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $155.10 | $282 | 1.1× |
| Ceruloplasmin (82390) | $34.10 | $62 | 3.2× |
| Cftr gene com variants (81220) | $620.95 | $1,129 | 1.1× |
| Chemiluminescent assay (82397) | $33.55 | $61 | 2.4× |
| Chlamydia antibody (86631) range across 8 matching MRF lines |
$25.30–$36.30 | $46–$66 | varies |
| Chlamydia Igm Antibody (86632) | $27.50 | $50 | 2.2× |
| Chlmy trch&neisra gonor mult (87494) | $116.05 | $211 | 1.7× |
| Chloride Serum (82435) | $17.05 | $31 | 3.7× |
| Chloride urine (82436) | $14.85 | $27 | 2.6× |
| Cholesterol total (82465) | $18.15 | $33 | 4.2× |
| Cholinesterase rbc (82482) | $75.35 | $137 | 7.7× |
| Cholinesterase Serum (82480) | $52.80 | $96 | 6.7× |
| Chorionic gonadotropin test (84702) | $47.30 | $86 | 3.1× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $88.55 | $161 | 2.6× |
| Chromium serum (82495) | $72.05 | $131 | 3.6× |
| Chromogranin a (86316) | $96.25 | $175 | 4.6× |
| Chromosome Analysis 20-25 (88264) | $322.85 | $587 | 2.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$45.65–$99.55 | $83–$181 | varies |
| Citric acid urine (82507) | $102.85 | $187 | 3.7× |
| Ckmb (82553) | $41.25 | $75 | 3.6× |
| Clostridium Difficile (87324) | $1,708.85 | — | 142.6× |
| Clot Factor VIII Multimetric (85247) | $88.55 | $161 | 3.9× |
| Clotting Funct Activity (85397) | $138.60 | $252 | 4.5× |
| Cns DNA amp probe type 12-25 (87483) | $715 | $1,300 | 1.7× |
| Coccidioides antibody (86635) | $46.75 | $85 | 4.1× |
| Cold agglutinin screen (86156) | $15.95 | $29 | 2.0× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$84.15–$87.45 | $153–$159 | varies |
| Column Chromotography Quant (82542) | $112.20 | $204 | 4.7× |
| Compatibility Each Unit Incubation (86921) | $341.55 | $621 | 1.7× |
| Compatibility test antiglob (86922) | $342.10 | $622 | 1.7× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$67.65–$91.30 | $123–$166 | varies |
| Complement Total (Ch50) (86162) | $75.35 | $137 | 3.7× |
| Complement/Function Activity (86161) | $144.10 | $262 | 12.0× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $112.20 | $204 | 1.8× |
| Coombs direct (86880) range across 4 matching MRF lines |
$26.95–$100.10 | $49–$182 | varies |
| Copper urine (82525) | $45.65 | $83 | 3.7× |
| Cortisol free (82530) range across 2 matching MRF lines |
$58.30–$62.15 | $106–$113 | varies |
| Cortisol saliva (82533) | $58.30 | $106 | 3.6× |
| Creatine kinase total (82550) | $334.40 | — | 51.4× |
| Creatinine blood (82565) | $1,681.35 | — | 328.4× |
| Creatinine clearance (82575) | $39.05 | $71 | 4.1× |
| Creatinine Urine (82570) range across 7 matching MRF lines |
$24.20–$25.30 | $44–$46 | varies |
| Crossmatch immediate spin (86920) | $75.90 | $138 | 0.4× |
| Crp High Sensitivity (86141) | $37.40 | $68 | 2.9× |
| Cryofibrinogen (82585) | $28.60 | $52 | 2.0× |
| Cryoglobulin (82595) | $31.90 | $58 | 4.9× |
| Cryptococcal Antigen (87327) | $207.90 | $378 | 15.5× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$62.15–$84.70 | $113–$154 | varies |
| Cryptosporidium (87272) | $37.40 | $68 | 3.1× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$22.55–$24.20 | $41–$44 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $24.20 | $44 | 3.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $24.75 | $45 | 3.1× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $26.95 | $49 | 3.5× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $661.65 | $1,203 | 3.0× |
| Culture afb (87116) range across 2 matching MRF lines |
$50.60–$51.15 | $92–$93 | varies |
| Culture Anaerobic (87075) | $40.15 | $73 | 4.2× |
| Culture blood (87040) | $1,116.77 | — | 108.2× |
| Culture chlamydia (87110) | $66 | $120 | 3.4× |
| Culture csf (87070) | $13,148.13 | — | 1525.3× |
| Culture fungus (87102) | $34.10 | $62 | 4.1× |
| Culture screen only (87081) range across 6 matching MRF lines |
$12.10–$55.55 | $22–$101 | varies |
| Culture stool (87045) | $36.30 | $66 | 3.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $15.40 | $28 | 3.0× |
| Culture urine (87086) | $26.40 | $48 | 3.3× |
| Cyclosporine (80158) | $72.60 | $132 | 4.0× |
| Cyp2c19 gene analysis common variants (81225) | $694.65 | $1,263 | 2.4× |
| Cystatin C (82610) | $216.70 | $394 | 11.7× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$129.25–$134.20 | $235–$244 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,673.65 | $3,043 | 1.4× |
| Cytomegalovirus igg (86644) | $67.10 | $122 | 4.7× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $100.10 | $182 | 4.9× |
| Cytopath Cell Enhance Tech (88112) | $155.10 | $282 | 2.5× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $108.90 | $198 | 4.1× |
| Cytp Concentration Smears & Interpretation (88108) | $87.45 | $159 | 2.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $162.25 | $295 | 2.6× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $112.20 | $204 | 0.5× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $91.30 | $166 | 2.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $621.50 | $1,130 | 3.0× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $42.90 | $78 | 2.3× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $83.60 | $152 | 2.4× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $671 | $1,220 | 3.3× |
| Deoxycortisol (82634) | $99.55 | $181 | 3.4× |
| Deoxyribonuclease antibody (86215) | $52.80 | $96 | 4.0× |
| Desoxycorticosterone (82633) | $196.35 | $357 | 6.3× |
| Detect Agent Nos Dna Amp (87798) | $1,134.10 | — | 32.3× |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$128.15–$152.35 | $233–$277 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$141.90–$155.10 | $258–$282 | varies |
| Dgp Antibody Each Ig Class (86258) | $59.95 | $109 | 5.0× |
| Dhea (82626) | $82.50 | $150 | 3.3× |
| Dhea-S (82627) | $82.50 | $150 | 3.7× |
| Dibucaine number (82638) | $152.90 | $278 | 12.5× |
| Digoxin (80162) | $52.25 | $95 | 3.9× |
| Dihydrotestosterone (82642) | $53.90 | $98 | 1.8× |
| Dipropylacetic Acid Free (80165) | $58.85 | $107 | 4.3× |
| Dna Antibody Native/Double Stranded (86225) | $83.05 | $151 | 6.0× |
| Dpyd gene common variants (81232) | $844.25 | $1,535 | 4.8× |
| Drug assay acetaminophen (80143) | $59.40 | $108 | 3.2× |
| Drug assay adalimumab (80145) | $474.10 | $862 | 12.3× |
| Drug Assay Amiodarone (80151) | $15.40 | $28 | 0.8× |
| Drug Assay Everolimus (80169) | $26.95 | $49 | 2.0× |
| Drug Assay Infliximab (80230) | $266.20 | $484 | 6.9× |
| Drug Assay Lacosamide (80235) | $87.45 | $159 | 3.2× |
| Drug assay voriconazole (80285) | $108.90 | $198 | 4.0× |
| Drug Screen Quant Clozapine (80159) | $63.80 | $116 | 3.2× |
| Drug Screen Quant Zonisamide (80203) | $46.20 | $84 | 3.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $59.95 | $109 | 4.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $77 | $140 | 5.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $55 | $100 | 4.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 7 matching MRF lines |
$74.25–$94.60 | $135–$172 | varies |
| El-1 Fecal Quantitative (82653) | $73.15 | $133 | 3.2× |
| Electrolyte panel (80051) | $23.65 | $43 | 3.4× |
| Electron Microscopy (88348) | $585.20 | $1,064 | 0.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $86.35 | $157 | 7.1× |
| Enterovirus Antibody (86658) | $158.95 | $289 | 12.2× |
| Enterovirus PCR (87498) | $140.25 | $255 | 4.0× |
| Enzyme cell activity (82657) | $197.45 | $359 | 8.9× |
| Enzyme histochemistry (88319) | $315.70 | $574 | 0.3× |
| Eosinophil Smear (89190) | $20.35 | $37 | 3.5× |
| Erythropoietin (82668) | $67.10 | $122 | 3.6× |
| Estradiol serum (82670) | $80.30 | $146 | 2.9× |
| Estrogens fractionated (82671) | $69.85 | $127 | 2.2× |
| Ethylene Glycol (82693) | $47.85 | $87 | 3.2× |
| Exam Synovial Fluid Crystals (89060) | $24.75 | $45 | 3.4× |
| F2 Gene (81240) | $96.80 | $176 | 1.5× |
| Factor ii activity (85210) | $22.55 | $41 | 1.7× |
| Factor ix activity (85250) | $99 | $180 | 5.2× |
| Factor v activity (85220) | $37.95 | $69 | 2.2× |
| Factor v leiden mutation (81241) | $119.35 | $217 | 1.6× |
| Factor vii assay (85230) | $84.15 | $153 | 4.7× |
| Factor viii assay (85240) | $104.50 | $190 | 5.8× |
| Factor X (85260) | $73.15 | $133 | 4.1× |
| Factor xi activity (85270) | $99 | $180 | 5.5× |
| Factor xiii screen (85291) | $15.40 | $28 | 1.7× |
| Fecal Fat Qualitative (82705) | $39.60 | $72 | 7.8× |
| Ferritin (82728) | $54.45 | $99 | 4.0× |
| Fetal Fibronectin (82731) | $234.30 | $426 | 3.6× |
| Fetal screen rosette (85461) | $33 | $60 | 3.5× |
| Fibrin Degradation Quant (85379) | $50.60 | $92 | 5.0× |
| Fibrinogen activity (85384) | $42.90 | $78 | 4.4× |
| Flecainide level (80181) | $14.85 | $27 | 0.8× |
| Flow cytometry first marker (88184) range across 4 matching MRF lines |
$139.70–$141.90 | $254–$258 | varies |
| Fluorescent antibody screen (86255) range across 43 matching MRF lines |
$85.25–$139.70 | $155–$254 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $86.35 | $157 | 7.2× |
| Folic acid rbc (82747) | $48.40 | $88 | 2.7× |
| Folic Acid Serum (82746) | $53.35 | $97 | 3.6× |
| Follicle Stimulating Hormone (83001) | $75.90 | $138 | 4.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $69.30 | $126 | 0.3× |
| Frozen Section (88331) | $143.55 | $261 | 0.7× |
| Fungi Identification Mold (87107) | $31.35 | $57 | 3.0× |
| Fungi Identification Yeast (87106) | $33 | $60 | 3.2× |
| Gammaglobulin ige (82785) | $46.75 | $85 | 2.8× |
| Gardner vag DNA dir probe (87510) | $48.40 | $88 | 2.4× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $59.95 | $109 | 6.1× |
| Gases blood ph only (82800) range across 2 matching MRF lines |
$36.30–$56.10 | $66–$102 | varies |
| Gastrin (82941) | $50.60 | $92 | 2.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,228.15 | $2,233 | 2.9× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,253.45 | $2,279 | 1.7× |
| Gentamicin (80170) | $58.85 | $107 | 3.6× |
| Ggt (82977) | $28.05 | $51 | 3.9× |
| Giardia antigen (87329) range across 3 matching MRF lines |
$47.85–$51.70 | $87–$94 | varies |
| Gluc-6-phosphate dehydrogenase screen (82960) | $25.85 | $47 | 4.3× |
| Glucose 2 hr pp (82950) | $18.15 | $33 | 3.8× |
| Glucose body fluid (82945) range across 5 matching MRF lines |
$33.55–$38.50 | $61–$70 | varies |
| Glucose Serum (82947) | $14.85 | $27 | 3.8× |
| Glucose tolerance test (gtt) (82951) | $45.10 | $82 | 3.5× |
| Glycated Protein (82985) | $89.65 | $163 | 5.3× |
| Gonadotropin Chorionic Qualitative (84703) | $35.20 | $64 | 4.7× |
| Growth hormone (83003) | $55 | $100 | 3.3× |
| Gtt-added samples (82952) | $14.30 | $26 | 3.6× |
| H Pylori (C-13) Breath (83013) | $183.70 | $334 | 2.7× |
| Haptoglobin (83010) | $44 | $80 | 3.5× |
| Hba1/Hba2 Gene (81257) | $208.45 | $379 | 2.0× |
| Hdl Cholesterol (83718) | $30.80 | $56 | 3.8× |
| Helicobacter Pylori Stool (87338) | $79.20 | $144 | 5.5× |
| Helminth Antibody (86682) | $106.15 | $193 | 8.2× |
| Hematocrit (85014) | $10,695.35 | — | 4512.8× |
| Hemoglobin (85018) | $10,695.35 | — | 4512.8× |
| Hemoglobin a1c (83036) | $36.30 | $66 | 3.7× |
| Hemoglobin electrophoresis (83020) | $57.75 | $105 | 4.5× |
| Hemoglobin Methemoglobin Quantitative (83050) | $37.95 | $69 | 4.6× |
| Hemosiderin urine (83070) | $18.15 | $33 | 3.8× |
| Hep a ab igm (86709) | $45.65 | $83 | 4.1× |
| Heparin assay (85520) | $137.50 | $250 | 10.5× |
| Heparin Neutralization (85525) | $26.40 | $48 | 2.2× |
| Hepatitis a antibody total (86708) | $48.40 | $88 | 3.9× |
| Hepatitis b core ab igm (86705) | $41.80 | $76 | 3.6× |
| Hepatitis b core ab total (86704) | $43.45 | $79 | 3.6× |
| Hepatitis B Surface Antibody (86706) | $41.25 | $75 | 3.8× |
| Hepatitis B Surface Antigen (87340) | $39.60 | $72 | 3.8× |
| Hepatitis Be Antibody (86707) | $45.65 | $83 | 3.9× |
| Hepatitis Be Antigen (87350) | $48.40 | $88 | 4.2× |
| Hepatitis C Antibody (86803) | $58.30 | $106 | 4.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $119.35 | $217 | 3.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $149.60 | $272 | 3.5× |
| Hepatitis delta ag (87380) | $69.30 | $126 | 3.8× |
| Hepatitis Delta Agent Antibody (86692) | $60.50 | $110 | 3.5× |
| Herpes simplex type 2 (86696) | $79.75 | $145 | 4.1× |
| Heterophile Antibody Screen (86308) | $23.65 | $43 | 4.6× |
| Hfe Gene (81256) | $167.75 | $305 | 2.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $37.95 | $69 | 4.9× |
| Histamine urine (83088) | $100.10 | $182 | 3.4× |
| Histoplasma antibody (86698) | $101.20 | $184 | 7.3× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$101.20–$108.90 | $184–$198 | varies |
| Hiv Genotype (87901) range across 2 matching MRF lines |
$457.60–$666.05 | $832–$1,211 | varies |
| Hiv-1 Antibody (86701) | $15.40 | $28 | 1.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $187.55 | $341 | 2.2× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $217.80 | $396 | 1.7× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $122.65 | $223 | 1.7× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $569.80 | $1,036 | 1.6× |
| Homocysteine (83090) | $66 | $120 | 3.7× |
| Homogenization Tissue (87176) | $12.10 | $22 | 2.1× |
| Homovanillic acid urine (83150) | $69.30 | $126 | 3.1× |
| Hpv High-Risk Types (87624) | $113.30 | $206 | 3.2× |
| Hpv Types 16 & 18 Only (87625) | $83.60 | $152 | 2.1× |
| Hsv Dna Amp Probe (87529) | $118.80 | $216 | 3.4× |
| Hydroxyprogesterone 17-d (83498) | $77 | $140 | 2.8× |
| Iaad Ia Streptococcus Group A (87430) | $36.30 | $66 | 2.2× |
| Iaadi giardia (87269) | $40.70 | $74 | 3.0× |
| Iaadi pneumocustis carinii (87281) | $45.10 | $82 | 3.8× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $77 | $140 | 2.2× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $160.05 | $291 | 4.6× |
| Iadna Candida Species Amplified Probe Tq (87481) range across 2 matching MRF lines |
$57.75–$155.10 | $105–$282 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $101.20 | $184 | 2.9× |
| Iadna Cytomegalovirus Quantification (87497) | $152.90 | $278 | 3.6× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $72.05 | $131 | 1.0× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $58.30 | $106 | 1.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $154.55 | $281 | 3.6× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $337.70 | $614 | 7.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 3 matching MRF lines |
$216.70–$232.10 | $394–$422 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $148.50 | $270 | 4.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$92.95–$99.55 | $169–$181 | varies |
| Ig Light Chains Free Each (83521) range across 6 matching MRF lines |
$23.10–$24.75 | $42–$45 | varies |
| Igg subclasses (82787) | $41.25 | $75 | 5.1× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $576.40 | $1,048 | 2.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $224.40 | $408 | 0.5× |
| Immune Complex Assay (86332) | $83.05 | $151 | 3.4× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$97.35–$103.95 | $177–$189 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $176.55 | $321 | 9.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$37.95–$55.55 | $69–$101 | varies |
| Immunoassay nonantibody (83516) range across 17 matching MRF lines |
$56.10–$147.95 | $102–$269 | varies |
| Immunofixation electrophoresis (86334) | $72.05 | $131 | 3.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $171.60 | $312 | 0.8× |
| Immunohistochemistry (88342) range across 4 matching MRF lines |
$163.35–$168.85 | $297–$307 | varies |
| In situ hybridization 1st probe stain (88365) | $216.15 | $393 | 1.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $155.10 | $282 | 4.4× |
| Influenza DNA amp probe (87502) | $217.25 | $395 | 2.3× |
| Inhibin A (86336) | $58.30 | $106 | 3.7× |
| Inhibin b (83520) range across 5 matching MRF lines |
$85.80–$122.65 | $156–$223 | varies |
| Insitu hybridization auto (88367) | $541.20 | $984 | 1.3× |
| Insitu hybridization manual (88368) | $276.65 | $503 | 0.6× |
| Insulin antibodies (86337) | $86.90 | $158 | 4.1× |
| Insulin free (83527) | $25.30 | $46 | 2.0× |
| Insulin total (83525) | $42.35 | $77 | 3.7× |
| Interleukin-6 (83529) | $61.60 | $112 | 3.6× |
| Intrinsic factor antibody (86340) | $44 | $80 | 2.9× |
| Iron (83540) | $26.40 | $48 | 4.1× |
| Iron Binding Capacity (83550) | $33.55 | $61 | 3.8× |
| Islet cell antibody (86341) | $89.65 | $163 | 3.8× |
| Jak2 gene analysis p.val617phe variant (81270) | $179.85 | $327 | 2.0× |
| Jak2 Gene Trgt Sequence Alys (81279) | $364.10 | $662 | 2.0× |
| Lactate (ld) (ldh) enzyme (83615) | $22 | $40 | 3.6× |
| Lactoferrin fecal qualitative (83630) | $89.10 | $162 | 4.5× |
| Ldh Isoenzymes (83625) | $86.90 | $158 | 6.8× |
| LDL direct (83721) | $28.05 | $51 | 2.7× |
| Lead (83655) | $30.80 | $56 | 2.5× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$79.20–$84.70 | $144–$154 | varies |
| Leptospira antibody (86720) | $67.10 | $122 | 4.1× |
| Leukocyte Assessment Fecal (89055) | $30.80 | $56 | 7.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $41.80 | $76 | 1.2× |
| Level ii surg pathology grossµscopic exam (88302) | $83.60 | $152 | 1.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $346.50 | $630 | 0.8× |
| Lipase (83690) | $27.50 | $50 | 4.0× |
| Lipoprotein A (83695) | $52.25 | $95 | 3.6× |
| Lipoprotein Bld Quan Part (83704) | $91.85 | $167 | 2.7× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $147.40 | $268 | 3.2× |
| Lithium (80178) | $19.80 | $36 | 3.0× |
| Luteinizing Hormone (Lh) (83002) | $79.20 | $144 | 4.3× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$40.70–$53.90 | $74–$98 | varies |
| M. Genitalium Amp Probe (87563) | $99.55 | $181 | 2.8× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $316.80 | $576 | 1.6× |
| M/phmtrc alys ishquant/semiq (88374) | $323.40 | $588 | 1.6× |
| Macroscopic exam arthropod (87168) | $24.75 | $45 | 5.8× |
| Magnesium Urine (83735) | $199.65 | — | 29.8× |
| Meat fibers, feces (89160) | $30.80 | $56 | 6.4× |
| Mercury urine (83825) range across 3 matching MRF lines |
$28.60–$47.30 | $52–$86 | varies |
| Metabolic panel ionized ca (80047) | $31.90 | $58 | 2.3× |
| Methemalbumin (83857) | $44.55 | $81 | 4.1× |
| Methotrexate (80204) | $155.65 | $283 | 4.0× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$77.55–$217.25 | $141–$395 | varies |
| Microalbumin, quantitative (82043) | $30.80 | $56 | 5.3× |
| Microbe Suscept Macrobroth (87188) | $28.05 | $51 | 4.2× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$90.20–$127.05 | $164–$231 | varies |
| Mitochondrial Antibody Each (86381) | $20.90 | $38 | 0.8× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $484.55 | $881 | 12.8× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$180.95–$188.10 | $329–$342 | varies |
| Mopath procedure level 4 (81403) | $317.35 | $577 | 1.7× |
| Mpl gene analysis sequence analysis exon 10 (81339) range across 3 matching MRF lines |
$540.65–$562.10 | $983–$1,022 | varies |
| Mpl gene common variants (81338) | $200.75 | $365 | 1.3× |
| Mrsa Pcr (87641) | $102.85 | $187 | 2.9× |
| Mthfr Gene Analysis Common Variants (81291) | $110.55 | $201 | 1.7× |
| Mumps antibody (86735) | $67.10 | $122 | 5.1× |
| Muscle-Specific Kinase Antb (86366) | $215.05 | $391 | 11.7× |
| Mycophenolic Acid (80180) | $147.40 | $268 | 8.2× |
| Mycoplasma antibody (86738) | $44.55 | $81 | 3.4× |
| Myoglobin urine (83874) | $45.10 | $82 | 3.5× |
| Natriuretic peptide (83880) | $110.55 | $201 | 2.8× |
| Neutralization Test Viral (86382) | $109.45 | $199 | 6.5× |
| Nfct ds chrnc hcv 6 assays (81596) | $294.25 | $535 | 4.1× |
| Niacin (84591) | $75.90 | $138 | 4.4× |
| Nuclear antigen antibody (86235) range across 22 matching MRF lines |
$35.20–$79.75 | $64–$145 | varies |
| Occult blood feces (82272) | $12.10 | $22 | 2.9× |
| Oligoclonal bands (83916) | $74.80 | $136 | 2.7× |
| Organic acids urine (83918) | $93.50 | $170 | 4.0× |
| Osmolality serum (83930) | $23.65 | $43 | 3.6× |
| Osmolality Urine (83935) | $25.30 | $46 | 3.7× |
| Osmotic fragility rbc incubated (85557) | $95.15 | $173 | 7.1× |
| Ova and parasites smears (87177) | $37.95 | $69 | 4.3× |
| Oxalate urine (83945) | $47.30 | $86 | 3.3× |
| Particle Agglut Antbdy Titr (86406) | $41.25 | $75 | 3.9× |
| Parvovirus antibody (86747) | $59.40 | $108 | 4.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $333.85 | $607 | 0.3× |
| Ph urine (81003) | $304.15 | — | 135.2× |
| Phenobarbital Level (80184) | $40.15 | $73 | 2.6× |
| Phenotype Infect Agent Drug (87900) | $255.75 | $465 | 2.0× |
| Phenytoin (Dilantin) (80185) | $44.55 | $81 | 3.4× |
| Phenytoin free (80186) | $59.95 | $109 | 4.4× |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$18.15–$59.95 | $33–$109 | varies |
| Phosphatidylglycerol (84081) | $63.25 | $115 | 3.8× |
| Phospholipid Neutralization Hexagonal (85598) | $96.25 | $175 | 5.4× |
| Phosphorus Serum (84100) | $199.65 | — | 42.1× |
| Phosphorus urine (84105) | $18.70 | $34 | 3.2× |
| Pinworm exam (87172) | $18.15 | $33 | 4.3× |
| Platelet Aggregation (85576) | $116.05 | $211 | 4.7× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$81.40–$297.55 | $148–$541 | varies |
| Platelet count automated (85049) | $17.05 | $31 | 3.8× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $347.60 | $632 | 1.7× |
| Pooling blood platelets (86965) | $105.60 | $192 | 0.5× |
| Porphobilinogen, urine; quantitative (84110) | $52.80 | $96 | 6.3× |
| Potassium Urine (84133) | $13.20 | $24 | 2.8× |
| Prealbumin (84134) | $46.75 | $85 | 3.2× |
| Pregnenolone (84140) | $106.70 | $194 | 5.2× |
| Procalcitonin (Pct) (84145) | $303.05 | $551 | 11.1× |
| Progesterone (84144) | $68.20 | $124 | 3.3× |
| Prolactin (84146) | $67.65 | $123 | 3.5× |
| Protein body fluid (84157) | $13.20 | $24 | 3.3× |
| Protein C Activity (85303) | $67.65 | $123 | 4.9× |
| Protein c antigen (85302) | $31.90 | $58 | 2.7× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$44.55–$47.30 | $81–$86 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $42.90 | $78 | 4.0× |
| Protein S Free (85306) range across 2 matching MRF lines |
$39.05–$52.25 | $71–$95 | varies |
| Protein s total (85305) | $82.50 | $150 | 7.1× |
| Protein total serum (84155) | $575.30 | — | 156.8× |
| Protein Total Urine (84156) | $19.80 | $36 | 5.4× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $18.70 | $34 | 4.7× |
| Protoporphyrin rbc quantitative (84202) | $52.80 | $96 | 3.7× |
| PSA free (84154) | $72.05 | $131 | 3.9× |
| Pth Intact (83970) range across 3 matching MRF lines |
$70.95–$155.10 | $129–$282 | varies |
| Pyruvate kinase (84220) | $97.90 | $178 | 10.4× |
| Q Fever Antibody (86638) | $50.60 | $92 | 4.2× |
| Quantiferon tb gold plus (86480) | $172.70 | $314 | 2.8× |
| Quantitative Screen Metals (83018) | $103.95 | $189 | 4.7× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$75.90–$288.75 | $138–$525 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$112.75–$606.65 | $205–$1,103 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$41.25–$42.90 | $75–$78 | varies |
| Rbc pretreatment serum (86978) | $85.80 | $156 | 1.2× |
| Renin activity plasma (84244) | $62.15 | $113 | 2.8× |
| Resp virus 12-25 targets (87633) | $501.05 | $911 | 1.2× |
| Reticulocyte Count Manual (85044) | $17.60 | $32 | 4.1× |
| Reticulocyte separation (86972) | $337.70 | $614 | 1.7× |
| Rh (86901) range across 2 matching MRF lines |
$23.65–$66.55 | $43–$121 | varies |
| Rheumatoid factor quant (86431) | $33 | $60 | 5.8× |
| Rickettsia antibody (86757) | $59.95 | $109 | 3.1× |
| Ristocetin cofactor (85245) | $117.70 | $214 | 5.1× |
| Rotavirus ag eia (87425) | $44 | $80 | 3.7× |
| Rpr qualitative (86592) | $15.95 | $29 | 3.7× |
| Rubella Antibody (86762) | $39.60 | $72 | 2.8× |
| Rubeola antibody (86765) | $43.45 | $79 | 3.4× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$55.55–$57.20 | $101–$104 | varies |
| Salicylate Level (80179) | $59.40 | $108 | 3.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $117.15 | $213 | 2.3× |
| Sars-cov-2 COVID-19 antibody (86769) | $96.25 | $175 | 2.3× |
| Sarscov2 & inf a&b amp prb (87636) | $238.15 | $433 | 1.7× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $244.20 | $444 | 1.7× |
| Sedimentation rate (85651) | $15.95 | $29 | 3.7× |
| Sedimentation Rate, Automated (85652) | $15.40 | $28 | 5.7× |
| Selenium (84255) | $75.90 | $138 | 3.0× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$26.40–$28.05 | $48–$51 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$45.65–$61.60 | $83–$112 | varies |
| Sickling of rbc reduction (85660) | $17.05 | $31 | 3.1× |
| Sirolimus (80195) | $72.60 | $132 | 5.3× |
| Smear acid fast (87206) | $22 | $40 | 4.1× |
| Smear complex stain (87209) | $41.80 | $76 | 2.3× |
| Smear gram stain (87205) | $18.70 | $34 | 4.4× |
| Smear Special Stain (87207) | $24.75 | $45 | 4.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $22 | $40 | 3.8× |
| Sodium Serum (84295) | $25.30 | $46 | 5.3× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$18.70–$24.75 | $34–$45 | varies |
| Soluble Transferrin Receptor (84238) | $99 | $180 | 2.7× |
| Somatomedin (84305) | $93.50 | $170 | 4.4× |
| Somatostatin (84307) | $229.35 | $417 | 12.5× |
| Special Stains Group 1 (88312) range across 4 matching MRF lines |
$110.55–$113.85 | $201–$207 | varies |
| Special Stains Group 2 (88313) range across 6 matching MRF lines |
$106.15–$264 | $193–$480 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$26.40–$44.55 | $48–$81 | varies |
| Spectrophotometry (84311) | $109.45 | $199 | 13.5× |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$26.40–$28.05 | $48–$51 | varies |
| Strep a assay w/optic (87880) | $19.25 | $35 | 1.2× |
| Strep a DNA amp probe (87651) | $80.30 | $146 | 2.3× |
| Strep b DNA amp probe (87653) | $82.50 | $150 | 2.4× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $64.90 | $118 | 0.7× |
| Surg path level iii (88304) | $106.70 | $194 | 1.7× |
| Surgical pathology level IV (88305) | $218.35 | $397 | 3.5× |
| Surgical pathology level vi (88309) | $462 | $840 | 0.5× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $11 | $20 | 2.3× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $31.90 | $58 | 4.3× |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $43.45 | $79 | 1.1× |
| Syphilis Test Non-Trep Quant (86593) | $22 | $40 | 5.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $176 | $320 | 3.7× |
| T3 Free (84481) | $58.30 | $106 | 3.4× |
| T3 reverse (84482) | $66 | $120 | 4.2× |
| T3 Total (84480) | $55 | $100 | 3.9× |
| T4 Free (84439) | $55.55 | $101 | 6.2× |
| T4 total (84436) | $27.50 | $50 | 4.0× |
| Tacrolimus (80197) | $58.85 | $107 | 4.3× |
| Test for acetone/ketones (82009) | $17.05 | $31 | 3.8× |
| Testosterone total (84403) range across 2 matching MRF lines |
$97.90–$100.65 | $178–$183 | varies |
| Testosterone, Free (84402) | $86.90 | $158 | 3.4× |
| Thiopurine methyltransferase (84433) | $65.45 | $119 | 3.0× |
| Thrombin Time (85670) | $31.90 | $58 | 5.5× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $34.65 | $63 | 5.4× |
| Thyroglobulin (84432) | $55.55 | $101 | 3.5× |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$42.90–$113.85 | $78–$207 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $141.90 | $258 | 2.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $20.90 | $38 | 1.8× |
| Tissue culture bone marrow (88237) | $405.90 | $738 | 2.8× |
| Tobramycin peak (80200) | $54.45 | $99 | 3.4× |
| Topiramate (80201) | $41.25 | $75 | 3.5× |
| Touch prep (88161) | $88.55 | $161 | 2.6× |
| Toxoplasma ab igm (86778) | $70.40 | $128 | 4.9× |
| Toxoplasma antibody (86777) | $51.70 | $94 | 3.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $19.25 | $35 | 3.7× |
| Transferrin (84466) | $43.45 | $79 | 3.4× |
| Trichomonas vagin dir probe (87660) | $109.45 | $199 | 5.5× |
| Trichomonas Vaginalis Amplif (87661) | $132.55 | $241 | 3.8× |
| Triglycerides (84478) range across 2 matching MRF lines |
$12.10–$17.60 | $22–$32 | varies |
| Troponin Quant (84484) | $41.25 | $75 | 3.3× |
| Tumor immunohistochem/comput (88361) | $242.55 | $441 | 0.6× |
| Tumor Immunohistochem/Manual (88360) | $257.40 | $468 | 1.3× |
| Ugt1a1 gene analysis common variants (81350) | $850.85 | $1,547 | 3.6× |
| Urea nitrogen urine (84540) | $13.75 | $25 | 2.5× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$20.90–$30.80 | $38–$56 | varies |
| Urinalysis Microscopic Only (81015) | $8.80 | $16 | 2.9× |
| Urinalysis Volume Measure (81050) | $11.55 | $21 | 3.2× |
| Urine Bacteria Culture (87088) | $25.85 | $47 | 3.2× |
| Urine Pregnancy Test (81025) | $44.55 | $81 | 5.2× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $205.70 | — | 64.9× |
| Valproic acid (80164) | $50.60 | $92 | 3.7× |
| Vancomycin (80202) | $51.70 | $94 | 3.8× |
| Varicella-zoster antibody (86787) | $41.80 | $76 | 3.2× |
| Vasopressin (84588) | $91.30 | $166 | 2.7× |
| Viral Culture (87252) | $83.60 | $152 | 3.2× |
| Virus antibody nos (86790) | $66 | $120 | 5.1× |
| Viscosity serum (85810) | $44.55 | $81 | 3.8× |
| Vit D 1 25-Dihydroxy (82652) | $119.90 | $218 | 3.1× |
| Vitamin A (84590) | $44 | $80 | 3.8× |
| Vitamin b-12 (82607) | $61.05 | $111 | 4.0× |
| Vitamin B2 (Riboflavin) (84252) | $40.70 | $74 | 2.0× |
| Vitamin B6 (84207) | $91.30 | $166 | 3.2× |
| Vitamin c (82180) | $37.40 | $68 | 3.8× |
| Vitamin D 25-Hydroxy (82306) | $100.65 | $183 | 3.4× |
| Vitamin E (84446) | $55.55 | $101 | 3.9× |
| Vitamin K (84597) | $97.35 | $177 | 7.1× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $61.60 | $112 | 5.1× |
| Von willebrand factor ag (85246) | $117.70 | $214 | 5.1× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$50.60–$54.45 | $92–$99 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$48.95–$52.80 | $89–$96 | varies |
| Western Blot Test (84181) | $34.65 | $63 | 2.0× |
| Xm Archive Tissue Molec Anal (88363) | $42.35 | $77 | 1.2× |
| Zika Virus Igm Antibody (86794) | $174.90 | $318 | 10.4× |
| Zinc (84630) | $33.55 | $61 | 2.9× |
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.