Lab & pathology prices at Legent Orthopedic Hospital
Carrollton, TX · every code in this section with a posted price and a Medicare benchmark.
321 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acute hepatitis panel (80074) | $741.60 | $1,483.20 | 15.6× |
| Albumin serum (82040) | $146.10 | $292.20 | 29.5× |
| Aldosterone urine (82088) | $81.30 | $162.60 | 2.0× |
| Alpha-Fetoprotein Serum (82105) | $295.20 | $590.40 | 17.6× |
| Alt (sgpt) (84460) | $234 | $468 | 44.2× |
| Amikacin trough (80150) | $264.60 | $529.20 | 17.5× |
| Aminolevulinic acid (ala) (82135) | $367.80 | $735.60 | 22.4× |
| Ammonia (82140) | $261.60 | $523.20 | 18.0× |
| Amylase urine (82150) | $434.40 | $868.80 | 67.0× |
| Ana Titer (86039) | $418.50 | $837 | 37.5× |
| Angiotensin converting enzyme csf (82164) | $134.40 | $268.80 | 9.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $140.40 | $280.80 | 9.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $622.20 | $1,244.40 | 36.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $87.30 | $174.60 | 6.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $87.30 | $174.60 | 5.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $434.40 | $868.80 | 23.9× |
| Antibody helicobacter pylori (86677) | $208.80 | $417.60 | 12.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $59.10 | $118.20 | 4.1× |
| Antibody Herpes Smplx Type 1 (86695) | $174 | $348 | 13.2× |
| Antibody HIV-1&HIV-2 single result (86703) | $341.70 | $683.40 | 24.9× |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$149.50–$231.90 | $299–$463.80 | varies |
| Antibody identification leukocyte antibodies (86021) | $318.60 | $637.20 | 21.2× |
| Antibody rotavirus (86759) | $369.60 | $739.20 | 20.3× |
| Antibody Treponema Pallidum (86780) | $311.10 | $622.20 | 23.5× |
| Antigen typing (86905) | $156 | $312 | 40.7× |
| Antinuclear antibodies (86038) | $418.50 | $837 | 34.6× |
| Antistreptolysin o titer (86060) | $498.30 | $996.60 | 68.3× |
| Antithrombin iii activity (85300) | $330 | $660 | 27.8× |
| Assay Blood Carbon Dioxide (82374) | $40 | $80 | 8.2× |
| Assay Nephelometry Not Spec (83883) | $114.24 | $228.48 | 8.4× |
| Assay of blood/uric acid (84550) | $205.80 | $411.60 | 45.5× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$48.90–$350.10 | $97.80–$700.20 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$248.40–$305.40 | $496.80–$610.80 | varies |
| Assay of phosphatase acid total (84060) | $81 | $162 | 10.6× |
| Assay of prostate specific antigen complexed (84152) | $322.80 | $645.60 | 17.6× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$126.90–$224.40 | $253.80–$448.80 | varies |
| Assay of sweat sodium (84302) range across 2 matching MRF lines |
$83.38–$200.10 | $166.75–$400.20 | varies |
| Assay of urea nitrogen (84520) range across 3 matching MRF lines |
$126.90–$209.70 | $253.80–$419.40 | varies |
| Assay of vitamin b-1 (84425) | $106.27 | $212.54 | 5.0× |
| Automated Leukocyte Count (85048) | $75.13 | $150.25 | 29.6× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$66.63–$111.60 | $133.25–$223.20 | varies |
| Bilirubin direct (82248) | $117.30 | $234.60 | 23.4× |
| Bilirubin total (82247) | $317.10 | $634.20 | 63.2× |
| Bleeding time test (85002) | $113.88 | $227.75 | 23.6× |
| Blood Count Automated Differential Wbc Count (85004) | $112.80 | $225.60 | 17.4× |
| Blood Count Manual Cell Count Each (85032) | $64.50 | $129 | 15.0× |
| Blood Count Red Blood Cell Automated (85041) | $67.20 | $134.40 | 22.3× |
| Blood count reticulocyte automated (85045) | $181.80 | $363.60 | 45.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $59.40 | $118.80 | 15.6× |
| Blood gas (82803) | $511.50 | $1,023 | 19.6× |
| Blood gases w/02 saturation (82805) | $630 | $1,260 | 8.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $65.25 | $130.50 | 14.9× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 3 matching MRF lines |
$53.63–$136 | $107.25–$272 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$163.20–$182.57 | $326.40–$365.13 | varies |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$162–$213.30 | $324–$426.60 | varies |
| Breath Alcohol Test (82075) | $189.60 | $379.20 | 6.3× |
| C-Peptide (84681) | $135.90 | $271.80 | 6.5× |
| C-reactive protein (86140) | $187.50 | $375 | 36.2× |
| Ca 19-9 (86301) | $300 | $600 | 14.4× |
| Caffeine (80155) | $141.72 | $283.44 | 3.7× |
| Calcium ionized (82330) | $252.90 | $505.80 | 18.5× |
| Calcium total (82310) | $249.30 | $498.60 | 48.3× |
| Calculus Spectroscopy (82365) | $290.40 | $580.80 | 22.5× |
| Cancer Antigen 125 (86304) | $321 | $642 | 15.4× |
| Candida Dna Dir Probe (87480) | $220.80 | $441.60 | 11.0× |
| Carbamazepine total (80156) | $556.20 | $1,112.40 | 38.2× |
| Carboxyhemoglobin (82375) | $213.30 | $426.60 | 17.3× |
| Carcinoembryonic antigen (82378) | $277.20 | $554.40 | 14.6× |
| Cardiolipin ab iga (86147) | $262.80 | $525.60 | 10.3× |
| Ccp antibody (86200) | $117.60 | $235.20 | 9.1× |
| Cell count csf (89051) | $325.50 | $651 | 58.1× |
| Ceruloplasmin (82390) | $162.60 | $325.20 | 15.1× |
| Chlamydia antibody (86631) | $155.10 | $310.20 | 13.1× |
| Chloride Serum (82435) | $102 | $204 | 22.2× |
| Chloride urine (82436) | $117.30 | $234.60 | 20.4× |
| Cholesterol total (82465) | $138 | $276 | 31.7× |
| Cholinesterase Serum (82480) | $150.30 | $300.60 | 19.1× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$109.25–$262.20 | $218.50–$524.40 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 5 matching MRF lines |
$363.30–$600.30 | $726.60–$1,200.60 | varies |
| Ckmb (82553) | $501.60 | $1,003.20 | 43.4× |
| Clostridium Difficile (87324) | $547.80 | $1,095.60 | 45.7× |
| Cold agglutinin screen (86156) | $49.50 | $99 | 6.1× |
| Compatibility test antiglob (86922) range across 9 matching MRF lines |
$280.50–$289.80 | $561–$579.60 | varies |
| Complement Antigen Each Component (86160) | $402.60 | $805.20 | 33.6× |
| Complement/Function Activity (86161) | $220.80 | $441.60 | 18.4× |
| Coombs direct (86880) | $111.30 | $222.60 | 20.6× |
| Cortisol saliva (82533) | $299.10 | $598.20 | 18.3× |
| Creatine kinase total (82550) | $222.60 | $445.20 | 34.2× |
| Creatinine blood (82565) | $262.20 | $524.40 | 51.2× |
| Creatinine clearance (82575) | $213.30 | $426.60 | 22.5× |
| Creatinine Urine (82570) | $178.80 | $357.60 | 34.5× |
| Crossmatch electronic (86923) | $244.11 | $488.22 | 1.4× |
| Crossmatch immediate spin (86920) | $280.50 | $561 | 1.6× |
| Crp High Sensitivity (86141) | $95.10 | $190.20 | 7.3× |
| Cryptococcus ag titer (87899) | $341.70 | $683.40 | 21.3× |
| Cryptosporidium ag eia (87328) | $159 | $318 | 11.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $61.20 | $122.40 | 7.6× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $330 | $660 | 42.8× |
| Culture afb (87116) | $312.60 | $625.20 | 28.9× |
| Culture Anaerobic (87075) | $485.70 | $971.40 | 51.3× |
| Culture bacteria anaerobic (87073) | $262.80 | $525.60 | 27.2× |
| Culture blood (87040) | $424.80 | $849.60 | 41.2× |
| Culture chlamydia (87110) | $187.80 | $375.60 | 9.6× |
| Culture csf (87070) range across 5 matching MRF lines |
$318.90–$352.80 | $637.80–$705.60 | varies |
| Culture fungus (87102) | $330 | $660 | 39.2× |
| Culture fungus blood (87103) | $413.10 | $826.20 | 20.2× |
| Culture screen only (87081) | $213.30 | $426.60 | 32.2× |
| Culture stool (87045) | $339 | $678 | 35.9× |
| Culture urine (87086) | $373.20 | $746.40 | 46.2× |
| Cytomegalovirus igg (86644) | $622.20 | $1,244.40 | 43.2× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$234.60–$523.50 | $469.20–$1,047 | varies |
| Detect Agent Nos Dna Quant (87799) | $984 | $1,968 | 23.0× |
| Detect agnt mult DNA ampli (87801) | $504.05 | $1,008.10 | 7.2× |
| Digoxin (80162) | $449.40 | $898.80 | 33.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $105 | $210 | 7.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $265.80 | $531.60 | 20.1× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$33.50–$250.50 | $67–$501 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $88.80 | $177.60 | 7.0× |
| Drug Test Prsmv Instrmnt (80306) | $49 | $98 | 2.9× |
| Electrolyte panel (80051) | $357.30 | $714.60 | 51.0× |
| Estradiol serum (82670) | $153.60 | $307.20 | 5.5× |
| Estrogens fractionated (82671) | $221.10 | $442.20 | 6.8× |
| Exam Synovial Fluid Crystals (89060) | $126.90 | $253.80 | 17.3× |
| Ferritin (82728) | $141.60 | $283.20 | 10.4× |
| Fibrin Degradation Quant (85379) | $618.60 | $1,237.20 | 60.8× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $102.75 | $205.50 | 10.6× |
| Fibrinogen activity (85384) | $229.80 | $459.60 | 23.6× |
| Folic Acid Serum (82746) | $236.70 | $473.40 | 16.1× |
| Follicle Stimulating Hormone (83001) | $320.10 | $640.20 | 17.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $960 | $1,920 | 2.3× |
| Genet Virus Isolate Hsv (87255) | $242.40 | $484.80 | 7.2× |
| Gentamicin (80170) | $476.70 | $953.40 | 29.1× |
| Ggt (82977) | $299.10 | $598.20 | 41.5× |
| Giardia antigen (87329) | $172.50 | $345 | 14.4× |
| Giardia lamblia antibody (86674) | $342.19 | $684.38 | 23.2× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$18.38–$44.10 | $36.75–$88.20 | varies |
| Glucose body fluid (82945) | $126.90 | $253.80 | 32.3× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$65.10–$126.90 | $130.20–$253.80 | varies |
| Glucose tolerance test (gtt) (82951) | $213.30 | $426.60 | 16.6× |
| Glycated Protein (82985) | $58.66 | $117.32 | 3.5× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$273.30–$295.20 | $546.60–$590.40 | varies |
| Haptoglobin (83010) | $309.60 | $619.20 | 24.6× |
| Hdl Cholesterol (83718) | $348.60 | $697.20 | 42.6× |
| Helicobacter Pylori Stool (87338) | $523.80 | $1,047.60 | 36.4× |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) | $322.50 | $645 | 4.8× |
| Hematocrit (85014) | $95.10 | $190.20 | 40.1× |
| Hemoglobin (85018) | $95.10 | $190.20 | 40.1× |
| Hemoglobin a1c (83036) | $209.70 | $419.40 | 21.6× |
| Hep a ab igm (86709) | $418.50 | $837 | 37.2× |
| Hepatitis a antibody total (86708) | $357.30 | $714.60 | 28.8× |
| Hepatitis b core ab igm (86705) | $357.30 | $714.60 | 30.4× |
| Hepatitis b core ab total (86704) | $280.50 | $561 | 23.3× |
| Hepatitis B Surface Antibody (86706) | $341.70 | $683.40 | 31.8× |
| Hepatitis B Surface Antigen (87340) | $300.90 | $601.80 | 29.1× |
| Hepatitis C Antibody (86803) | $341.70 | $683.40 | 23.9× |
| Hepatitis C Revrs Trnscrpj (87522) | $516.60 | $1,033.20 | 12.1× |
| Herpes simplex type 2 (86696) | $186.30 | $372.60 | 9.6× |
| Heterophile Antibody Screen (86308) | $203.70 | $407.40 | 39.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $318.90 | $637.80 | 41.3× |
| Histoplasma antigen urine (87385) | $541.20 | $1,082.40 | 40.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $310.50 | $621 | 12.9× |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$204–$352.80 | $408–$705.60 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $297.85 | $595.70 | 3.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $363 | $726 | 4.9× |
| Homocysteine (83090) | $525 | $1,050 | 29.3× |
| Hsv Dna Amp Probe (87529) | $337.20 | $674.40 | 9.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $342.90 | $685.80 | 24.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $432 | $864 | 12.2× |
| Iaad ia shiga-like toxin (87427) | $134.70 | $269.40 | 11.2× |
| Iaad Ia Streptococcus Group A (87430) | $213.30 | $426.60 | 12.7× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $139.80 | $279.60 | 11.7× |
| Iaadi giardia (87269) | $200.40 | $400.80 | 14.7× |
| Iaadi herpes smplx virus type 2 (87273) | $187.20 | $374.40 | 15.6× |
| Iaadi Varicella Zoster Virus (87290) | $298.80 | $597.60 | 22.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $494.70 | $989.40 | 11.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines |
$274.80–$325.50 | $549.60–$651 | varies |
| Immunoassay nonantibody (83516) | $181.80 | $363.60 | 15.8× |
| Immunohistochemistry (88342) | $144 | $288 | 0.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) | $179.63 | $359.25 | 9.0× |
| Influenza a/b ag eia (87400) | $341.70 | $683.40 | 24.2× |
| Influenza assay w/optic (87804) | $336 | $672 | 20.3× |
| Influenza DNA amp probe (87502) | $592.80 | $1,185.60 | 6.2× |
| Inhibin b (83520) | $586.20 | $1,172.40 | 33.9× |
| Iron (83540) | $398.40 | $796.80 | 61.6× |
| Iron Binding Capacity (83550) | $15 | $30 | 1.7× |
| Koh Prep (87220) | $76.80 | $153.60 | 18.0× |
| Lactate (ld) (ldh) enzyme (83615) | $317.10 | $634.20 | 52.5× |
| Lactoferrin fecal qualitative (83630) | $150 | $300 | 7.6× |
| LDL direct (83721) | $156.60 | $313.20 | 14.9× |
| Lead (83655) | $34.80 | $69.60 | 2.9× |
| Legionella antigen urine (87449) | $341.70 | $683.40 | 28.5× |
| Leptospira antibody (86720) | $174 | $348 | 10.7× |
| Leukocyte Assessment Fecal (89055) | $138 | $276 | 32.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $414 | $828 | 14.2× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $389.10 | $778.20 | 1.1× |
| Lidocaine (80176) | $158.10 | $316.20 | 10.8× |
| Lipase (83690) | $252.90 | $505.80 | 36.7× |
| Lithium (80178) | $261.60 | $523.20 | 39.6× |
| Luteinizing Hormone (Lh) (83002) | $290.70 | $581.40 | 15.7× |
| Lyme disease antibody (86618) | $114 | $228 | 6.7× |
| Macroscopic Exam Parasite (87169) | $246.60 | $493.20 | 57.2× |
| Magnesium Urine (83735) | $252.90 | $505.80 | 37.7× |
| Metabolic panel ionized ca (80047) | $402.60 | $805.20 | 29.3× |
| Microalbumin, quantitative (82043) | $295.20 | $590.40 | 51.1× |
| Microsomal Antibodies Each (86376) | $71.10 | $142.20 | 4.9× |
| Mrsa Pcr (87641) | $412.80 | $825.60 | 11.8× |
| Mucin Clot Body Fluid (83872) | $105.60 | $211.20 | 18.0× |
| Mumps antibody (86735) | $400.80 | $801.60 | 30.7× |
| Mycoplasma antibody (86738) | $341.70 | $683.40 | 25.8× |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$197.40–$211.50 | $394.80–$423 | varies |
| Natriuretic peptide (83880) | $339 | $678 | 8.6× |
| Neisseria Dir Na Probe (87590) | $313.20 | $626.40 | 11.7× |
| Neutralization Test Viral (86382) | $504 | $1,008 | 29.8× |
| Occult blood feces (82272) | $65.25 | $130.50 | 15.4× |
| Occult Blood Other Sources (82271) | $95.10 | $190.20 | 17.9× |
| Organic acids urine (83918) | $250.50 | $501 | 10.6× |
| Osmolality serum (83930) | $348.60 | $697.20 | 52.7× |
| Osmolality Urine (83935) | $348.60 | $697.20 | 51.1× |
| Ova and parasites smears (87177) | $238.80 | $477.60 | 26.8× |
| Particle Agglutination Screen Each Antibody (86403) | $295.20 | $590.40 | 25.6× |
| Parvovirus antibody (86747) | $174 | $348 | 11.6× |
| Ph urine (81003) | $44.70 | $89.40 | 19.9× |
| Phenobarbital Level (80184) | $648.60 | $1,297.20 | 42.4× |
| Phenytoin (Dilantin) (80185) | $465.30 | $930.60 | 35.1× |
| Phosphatase alkaline (84075) | $299.10 | $598.20 | 57.7× |
| Phosphorus Serum (84100) | $252.90 | $505.80 | 53.4× |
| Pinworm exam (87172) | $146.70 | $293.40 | 34.4× |
| Platelet Aggregation (85576) | $1.20 | $2.40 | 0.0× |
| Platelet count automated (85049) | $122.70 | $245.40 | 27.4× |
| Porphobilinogen Urine Qualitative (84106) | $144 | $288 | 24.7× |
| Porphyrins, urine; qualitative (84119) | $229.20 | $458.40 | 17.2× |
| Potassium Urine (84133) | $191.70 | $383.40 | 40.5× |
| Prealbumin (84134) | $357.30 | $714.60 | 24.5× |
| Procalcitonin (Pct) (84145) | $254.10 | $508.20 | 9.3× |
| Progesterone (84144) | $153.60 | $307.20 | 7.4× |
| Prolactin (84146) | $134.10 | $268.20 | 6.9× |
| Protein body fluid (84157) range across 3 matching MRF lines |
$187.50–$738 | $375–$1,476 | varies |
| Protein C Activity (85303) | $639.90 | $1,279.80 | 46.2× |
| Protein c antigen (85302) | $71.40 | $142.80 | 5.9× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $223.20 | $446.40 | 20.8× |
| Protein total serum (84155) | $224.40 | $448.80 | 61.1× |
| Protein Total Urine (84156) | $148.50 | $297 | 40.5× |
| PSA free (84154) | $150.30 | $300.60 | 8.2× |
| Pth Intact (83970) | $431.10 | $862.20 | 10.4× |
| Quantiferon tb gold plus (86480) | $505.20 | $1,010.40 | 8.2× |
| Quantitative assay drug (80299) | $234 | $468 | 12.6× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$400.20–$588 | $800.40–$1,176 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$77.45–$282 | $154.89–$564 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $50.33 | $100.65 | 0.3× |
| Reagent Strip/Blood Glucose (82948) | $10.25 | $20.50 | 2.0× |
| Renin activity plasma (84244) | $205.20 | $410.40 | 9.3× |
| Resp virus 12-25 targets (87633) | $1,680 | $3,360 | 4.0× |
| Reticulocyte Count Manual (85044) | $186.60 | $373.20 | 43.3× |
| Rh (86901) range across 3 matching MRF lines |
$87.45–$163.20 | $174.90–$326.40 | varies |
| Rheumatoid Factor Qualitative (86430) | $222.60 | $445.20 | 36.3× |
| Rheumatoid factor quant (86431) | $272.70 | $545.40 | 48.1× |
| Rickettsia antibody (86757) | $76.80 | $153.60 | 4.0× |
| Rotavirus ag eia (87425) | $301.50 | $603 | 25.2× |
| Rpr qualitative (86592) | $200.10 | $400.20 | 46.9× |
| Rsv Assay W/Optic (87807) | $184.50 | $369 | 14.1× |
| Rubella Antibody (86762) | $218.70 | $437.40 | 15.2× |
| Rubeola antibody (86765) | $212.40 | $424.80 | 16.5× |
| Russell Viper Venom Time Diluted (85613) | $661.50 | $1,323 | 69.1× |
| Salmonella antibody (86768) | $44.40 | $88.80 | 3.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $432 | $864 | 8.4× |
| Sars-cov-2 COVID-19 antibody (86769) | $432 | $864 | 10.3× |
| Sedimentation rate (85651) | $52.88 | $105.75 | 12.4× |
| Sedimentation Rate, Automated (85652) | $126.90 | $253.80 | 47.0× |
| Sensitivity mic (87186) | $61.20 | $122.40 | 7.1× |
| Skin test tuberculosis intradermal (86580) | $31.50 | $63 | 1.1× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$221.70–$312.60 | $443.40–$625.20 | varies |
| Smear complex stain (87209) | $236.10 | $472.20 | 13.1× |
| Smear gram stain (87205) range across 4 matching MRF lines |
$138–$318.90 | $276–$637.80 | varies |
| Smear Special Stain (87207) | $313.50 | $627 | 52.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$156.60–$200.10 | $313.20–$400.20 | varies |
| Sodium Serum (84295) | $126.90 | $253.80 | 26.4× |
| Sodium Urine (84300) | $200.10 | $400.20 | 39.5× |
| Special Stains Group 1 (88312) | $707.70 | $1,415.40 | 13.5× |
| Specific gravity body fluid (84315) | $57.60 | $115.20 | 17.6× |
| Stool cultr aerobic bact ea (87046) | $172.50 | $345 | 18.3× |
| Strep a assay w/optic (87880) | $324.30 | $648.60 | 19.6× |
| Strep a DNA amp probe (87651) | $431.10 | $862.20 | 12.3× |
| Surg path level iii (88304) | $172.50 | $345 | 3.3× |
| Surgical pathology level IV (88305) | $1,057.80 | $2,115.60 | 20.2× |
| Syphilis Test Non-Trep Quant (86593) | $242.10 | $484.20 | 55.0× |
| T cells total count (86359) | $420 | $840 | 11.1× |
| T3 Free (84481) | $279 | $558 | 16.5× |
| T3 Total (84480) | $189.90 | $379.80 | 13.4× |
| T3 Uptake (84479) | $99.60 | $199.20 | 15.4× |
| T4 Free (84439) | $449.40 | $898.80 | 49.8× |
| T4 total (84436) | $203.70 | $407.40 | 29.7× |
| Test for acetone/ketones (82009) | $140.40 | $280.80 | 31.1× |
| Testosterone total (84403) | $172.80 | $345.60 | 6.7× |
| Testosterone, Free (84402) | $221.10 | $442.20 | 8.7× |
| Theophylline (80198) | $511.50 | $1,023 | 36.2× |
| Thyroglobulin Antibody (86800) | $240 | $480 | 15.1× |
| Tobramycin peak (80200) | $572.70 | $1,145.40 | 35.5× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $300 | $600 | 15.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $249.30 | $498.60 | 48.1× |
| Transferrin (84466) | $368.10 | $736.20 | 28.8× |
| Trichomonas vagin dir probe (87660) | $220.80 | $441.60 | 11.0× |
| Trichomonas Vaginalis Amplif (87661) | $646.80 | $1,293.60 | 18.4× |
| Triglycerides (84478) | $418.50 | $837 | 72.9× |
| Troponin Quant (84484) range across 3 matching MRF lines |
$430.30–$536.10 | $860.59–$1,072.20 | varies |
| Uric acid other source (84560) | $205.80 | $411.60 | 40.5× |
| Urinalysis Microscopic Only (81015) | $65.10 | $130.20 | 21.3× |
| Urine Bacteria Culture (87088) | $225.60 | $451.20 | 27.9× |
| Urine Pregnancy Test (81025) | $204 | $408 | 23.7× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $163.20 | $326.40 | 51.5× |
| Valproic acid (80164) | $357.30 | $714.60 | 26.4× |
| Vancomycin (80202) | $572.70 | $1,145.40 | 42.3× |
| Varicella-zoster antibody (86787) | $126.90 | $253.80 | 9.9× |
| Viral Culture (87252) range across 2 matching MRF lines |
$218.99–$1,196.10 | $437.98–$2,392.20 | varies |
| Virus inoculate tissue addl (87253) | $200.10 | $400.20 | 9.9× |
| Virus inoculation, shell via (87254) | $343.50 | $687 | 17.6× |
| Viscosity serum (85810) | $95.10 | $190.20 | 8.1× |
| Vitamin A (84590) | $237 | $474 | 20.4× |
| Vitamin b-12 (82607) | $291.30 | $582.60 | 19.3× |
| Vitamin D 25-Hydroxy (82306) | $421.50 | $843 | 14.2× |
| West nile virus ab igm (86788) | $81.30 | $162.60 | 4.8× |
| West Nile Virus Antibody (86789) | $81.30 | $162.60 | 5.6× |
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.