Lab & pathology prices at Madison Valley Medical Center

Ennis, MT · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acth (82024) $266 $266 6.9×
Acute hepatitis panel (80074) $284 $284 6.0×
Acylcarnitines Quant (82017) $103.95 $103.95 6.2×
Albumin Fluid (82042) $96.60 $96.60 12.4×
Albumin serum (82040) $37 $37 7.5×
Aldolase (82085) $72 $72 7.4×
Aldosterone urine (82088) $164.85 $164.85 4.0×
Alkaline phosphatase isoenzymes (84080) $94 $94 6.4×
Allergen specific ige (86003) $38 $38 7.3×
Allergen specific igg (86001) $25 $25 3.2×
Alpha-1-antitrypsin phenotype (82104) $130 $130 9.0×
Alpha-1-antitrypsin total (82103) $106 $106 7.9×
Alpha-Fetoprotein Serum (82105) $85 $85 5.1×
Alt (sgpt) (84460) $31 $31 5.8×
Aminolevulinic acid (ala) (82135) $148.05 $148.05 9.0×
Ammonia (82140)
range across 3 matching MRF lines
$99–$219 $99–$219 varies
Amylase urine (82150) $60 $60 9.3×
Ana Titer (86039)
range across 2 matching MRF lines
$27–$61 $27–$61 varies
Androstenedione (82157) $111.30 $111.30 3.8×
Angiotensin converting enzyme csf (82164) $100 $100 6.8×
Antibody aspergillus (86606) $87 $87 5.8×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $99.75 $99.75 6.4×
Antibody Cytomegalovirus Cmv Igm (86645) $51.45 $51.45 3.1×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $116.55 $116.55 8.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $25.20 $25.20 1.6×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $65 $65 3.6×
Antibody Fungus Not Elsewhere Specified (86671) $178.50 $178.50 14.6×
Antibody Herpes Smplx Type 1 (86695) $87.15 $87.15 6.6×
Antibody HIV-1&HIV-2 single result (86703) $89.25 $89.25 6.5×
Antibody HIV-2 (86702) $236.25 $236.25 17.5×
Antibody Protozoa Nes (86753) $54.60 $54.60 4.4×
Antibody Treponema Pallidum (86780) $86 $86 6.5×
Antigen typing (86905) $654 $654 170.8×
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$54–$86 $54–$86 varies
Antistreptolysin o titer (86060) $50.40 $50.40 6.9×
Antithrombin iii activity (85300) $97.65 $97.65 8.2×
Antithrombin iii antigen (85301) $124.95 $124.95 11.6×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$86–$92 $86–$92 varies
Arsenic (82175) $42 $42 2.2×
Assay activated protein c (85307) $162.75 $162.75 10.6×
Assay Blood Carbon Dioxide (82374) $28.35 $28.35 5.8×
Assay Nephelometry Not Spec (83883)
range across 3 matching MRF lines
$80–$111 $80–$111 varies
Assay of 5-hiaa (83497) $90.30 $90.30 7.0×
Assay of blood/uric acid (84550) $33 $33 7.3×
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$37–$48 $37–$48 varies
Assay of g6pd enzyme (82955) $96.60 $96.60 10.0×
Assay of gammaglobulin igm (82784)
range across 4 matching MRF lines
$93–$94 $93–$94 varies
Assay of lactic acid (83605) $125 $125 10.8×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$95–$108 $95–$108 varies
Assay of proinsulin (84206) $124.95 $124.95 4.7×
Assay of serotonin (84260) $177.45 $177.45 5.7×
Assay of serum potassium (84132) $52 $52 10.9×
Assay of sweat sodium (84302) $48.30 $48.30 9.9×
Assay of urea nitrogen (84520) $33 $33 8.4×
Assay of urine vma (84585) $96.60 $96.60 6.2×
Assay of vitamin b-1 (84425) $140 $140 6.6×
Assay Ph Body Fluid Nos (83986) $43 $43 12.0×
B cells total count (86355) $381.15 $381.15 10.1×
Bartonella antibody (86611) $101.85 $101.85 10.0×
Beta 2 glycoprotein i antibody each (86146) $103 $103 4.0×
Beta hydroxybutyrate (82010) $90 $90 11.0×
Beta Lactamase (87185) $46.20 $46.20 9.7×
Beta-2 Microglobulin (82232) $178 $178 11.0×
Bile acids total (82239) $105 $105 6.1×
Bilirubin direct (82248) $36 $36 7.2×
Bilirubin total (82247) $65 $65 12.9×
Bld Typing Serologic Rh Phnt (86906) $152.25 $152.25 19.6×
Blood Count Automated Differential Wbc Count (85004) $13.65 $13.65 2.1×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 3 matching MRF lines
$8–$19 $8–$19 varies
Blood gases w/02 saturation (82805)
range across 2 matching MRF lines
$155–$195 $155–$195 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $30 $30 6.8×
Blood typing serologic abo (86900)
range across 2 matching MRF lines
$32–$113 $32–$113 varies
Body fluid cell count (89050) $32.55 $32.55 6.9×
Bordetella antibody (86615) $215.25 $215.25 16.3×
Breath Alcohol Test (82075) $25 $25 0.8×
Brucella antibody (86622)
range across 3 matching MRF lines
$44.10–$87.15 $44.10–$87.15 varies
C diff amplified probe (87493) $150 $150 4.0×
C-Peptide (84681) $119 $119 5.7×
C-reactive protein (86140) $46 $46 8.9×
Ca 19-9 (86301) $93 $93 4.5×
Cadmium (82300) $42 $42 1.8×
Calcium ionized (82330) $120 $120 8.8×
Calcium total (82310) $34 $34 6.6×
Calculus Xray Diffraction (82370) $110.25 $110.25 8.8×
Calprotectin Fecal (83993) $351 $351 17.9×
Cancer Antigen 125 (86304) $121 $121 5.8×
Cancer Antigen 27.29 (86300) $109 $109 5.2×
Candida Dna Dir Probe (87480) $200 $200 10.0×
Carbamazepine total (80156) $108 $108 7.4×
Carbon monoxide, (carboxyhemoglobin); qualitative (82376) $63 $63 4.5×
Carcinoembryonic antigen (82378) $74 $74 3.9×
Cardiolipin ab iga (86147) $104 $104 4.1×
Carnitine Quantitative Each Specimen (82379) $128.10 $128.10 7.6×
Catecholamines fractionated (82384) $92.40 $92.40 3.7×
Ccp antibody (86200) $82 $82 6.3×
Ceruloplasmin (82390) $74.55 $74.55 6.9×
Chemiluminescent assay (82397)
range across 4 matching MRF lines
$272–$388 $272–$388 varies
Chloride other source (82438) $48.30 $48.30 9.7×
Chloride Serum (82435) $26.25 $26.25 5.7×
Chloride urine (82436) $48 $48 8.3×
Cholesterol total (82465) $25.20 $25.20 5.8×
Cholinesterase rbc (82482) $72.45 $72.45 7.4×
Chorionic gonadotropin test (84702) $114 $114 7.6×
Chromium serum (82495) $154 $154 7.6×
Chromogranin a (86316) $95 $95 4.6×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $124 $124 3.5×
Citric acid urine (82507)
range across 2 matching MRF lines
$85–$93 $85–$93 varies
Clot Factor VIII Multimetric (85247) $143.85 $143.85 6.3×
Clotting Funct Activity (85397) $329 $329 10.7×
Coccidioides antibody (86635) $96 $96 8.4×
Cold agglutinin titer (86157) $37.80 $37.80 4.7×
Collagen crosslinks (82523)
range across 2 matching MRF lines
$158–$376 $158–$376 varies
Column Chromotography Quant (82542)
range across 8 matching MRF lines
$97.65–$439.95 $97.65–$439.95 varies
Compatibility Each Unit Incubation (86921) $50.40 $50.40 0.3×
Compatibility test antiglob (86922) $409 $409 2.3×
Complement Antigen Each Component (86160) $110 $110 9.2×
Complement Total (Ch50) (86162) $90.30 $90.30 4.4×
Complement/Function Activity (86161) $108.15 $108.15 9.0×
Coombs direct (86880) $81 $81 15.0×
Copper urine (82525) $104 $104 8.4×
Cortisol free (82530) $108.15 $108.15 6.5×
Cortisol saliva (82533) $129 $129 7.9×
Creatine kinase total (82550) $58 $58 8.9×
Creatinine blood (82565) $28 $28 5.5×
Creatinine clearance (82575) $50.40 $50.40 5.3×
Creatinine Urine (82570)
range across 5 matching MRF lines
$42–$46 $42–$46 varies
Crossmatch immediate spin (86920) $126 $126 0.7×
Crp High Sensitivity (86141) $109 $109 8.4×
Cryofibrinogen (82585) $69.30 $69.30 4.9×
Cryoglobulin (82595) $38.85 $38.85 6.0×
Cryptococcus ag titer (87899) $942 $942 58.6×
Cryptosporidium (87272) $96.60 $96.60 8.1×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $71 $71 8.8×
Culture afb (87116) $153 $153 14.2×
Culture blood (87040) $56 $56 5.4×
Culture csf (87070)
range across 7 matching MRF lines
$60–$102 $60–$102 varies
Culture fungus (87102) $100 $100 11.9×
Culture screen only (87081) $51 $51 7.7×
Culture stool (87045) $100 $100 10.6×
Cyclosporine (80158) $96.60 $96.60 5.4×
Cystatin C (82610) $91 $91 4.9×
Cytomegalovirus igg (86644) $48 $48 3.3×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $144 $144 7.1×
Deoxyribonuclease antibody (86215) $246.75 $246.75 18.6×
Detect Agent Nos Dna Amp (87798) $208 $208 5.9×
Detect Agent Nos Dna Quant (87799) $403 $403 9.4×
Detect agnt mult DNA ampli (87801) $235.20 $235.20 3.4×
Dhea (82626) $76.65 $76.65 3.0×
Dhea-S (82627) $123 $123 5.5×
Digoxin (80162) $72 $72 5.4×
Dihydrotestosterone (82642) $118.65 $118.65 4.1×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines
$33–$64 $33–$64 varies
Drug Assay Everolimus (80169) $591 $591 43.0×
Drug Assay Infliximab (80230) $680.40 $680.40 17.6×
Drug Assay Vedolizumab (80280) $289.80 $289.80 7.5×
Drug assay voriconazole (80285) $105 $105 3.9×
Drug Screen Quant Zonisamide (80203) $97.65 $97.65 7.4×
Drug Screen Quantitative Lamotrigine (80175) $86 $86 6.5×
Drug Screen Quantitative Levetiracetam (80177) $111 $111 8.4×
Drug Screen Quantitative Oxcarbazepine (80183) $93.45 $93.45 7.1×
Drug Test Prsmv Chem Anlyzr (80307) $192 $192 3.1×
Drug Test Prsmv Dir Opt Obs (80305)
range across 2 matching MRF lines
$26.25–$62 $26.25–$62 varies
Ehrlichia antibody (86666) $89.25 $89.25 8.8×
El-1 Fecal Quantitative (82653) $168 $168 7.3×
Electrolyte panel (80051) $39.90 $39.90 5.7×
Endomysial Antibody Each Immunoglobulin Class (86231) $106.05 $106.05 8.8×
Enzyme cell activity (82657) $504 $504 22.7×
Erythropoietin (82668) $86 $86 4.6×
Estradiol serum (82670) $134 $134 4.8×
Estriol (82677) $131.25 $131.25 5.4×
Estrogens fractionated (82671) $100.80 $100.80 3.1×
Ethosuximide (80168) $96.60 $96.60 5.9×
Exam Synovial Fluid Crystals (89060) $70 $70 9.5×
F2 Gene (81240) $248.85 $248.85 3.8×
Factor ii activity (85210) $121.80 $121.80 9.4×
Factor ix activity (85250) $116.55 $116.55 6.1×
Factor v activity (85220) $121.80 $121.80 6.9×
Factor v leiden mutation (81241) $163.80 $163.80 2.2×
Factor viii assay (85240) $224 $224 12.5×
Factor X (85260) $121.80 $121.80 6.8×
Factor xiii screen (85291) $175.35 $175.35 19.2×
Fat/Lipids Feces Quantitative (82710) $130.20 $130.20 7.7×
Fatty acids free (82725) $88.20 $88.20 4.7×
Ferritin (82728) $98 $98 7.2×
Fibrin Degradation Quant (85379) $185 $185 18.2×
Fibrinogen activity (85384) $102 $102 10.5×
Fibrinogen antigen (85385) $197.40 $197.40 13.7×
Fluorescent antibody screen (86255) $113 $113 9.4×
Folic Acid Serum (82746) $109 $109 7.4×
Follicle Stimulating Hormone (83001) $135 $135 7.3×
Francisella tularensis (86668)
range across 2 matching MRF lines
$44.10–$87.15 $44.10–$87.15 varies
Gammaglobulin ige (82785) $86 $86 5.2×
Gardner vag DNA dir probe (87510) $95 $95 4.7×
Gases blood ph only (82800) $48.30 $48.30 4.4×
Gastrin (82941) $82.95 $82.95 4.7×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,134 $1,134 2.7×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $3,315.90 $3,315.90 4.4×
Ggt (82977) $39 $39 5.4×
Glucose 2 hr pp (82950) $63 $63 13.3×
Glucose Serum (82947) $45 $45 11.5×
Glucose tolerance test (gtt) (82951) $73.50 $73.50 5.7×
Gonadotropin Chorionic Qualitative (84703) $54 $54 7.2×
Gtt-added samples (82952) $22.05 $22.05 5.6×
H Pylori (C-13) Breath (83013) $166 $166 2.5×
H Pylori Drug Admin (83014) $45.15 $45.15 5.7×
Haptoglobin (83010) $72 $72 5.7×
Helicobacter Pylori Stool (87338)
range across 2 matching MRF lines
$82–$156 $82–$156 varies
Hematocrit (85014) $24 $24 10.1×
Hemoglobin (85018) $23 $23 9.7×
Hemoglobin a1c (83036) $53 $53 5.5×
Hemoglobin electrophoresis (83020) $89.25 $89.25 6.9×
Hemolysins&Agglutinins Auto Screen Each (86940) $107.10 $107.10 12.2×
Hep a ab igm (86709) $144 $144 12.8×
Hepatitis a antibody total (86708)
range across 2 matching MRF lines
$55–$77 $55–$77 varies
Hepatitis b core ab igm (86705) $56 $56 4.8×
Hepatitis b core ab total (86704)
range across 3 matching MRF lines
$36–$106 $36–$106 varies
Hepatitis B Surface Antibody (86706)
range across 3 matching MRF lines
$60–$70 $60–$70 varies
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines
$58–$64 $58–$64 varies
Hepatitis C Antibody (86803) $146 $146 10.2×
Hepatitis C Genotype (87902) $268.80 $268.80 1.0×
Hepatitis C Revrs Trnscrpj (87522) $286 $286 6.7×
Herpes simplex type 2 (86696) $87.15 $87.15 4.5×
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$23.10–$46.20 $23.10–$46.20 varies
Hfe Gene (81256) $384.30 $384.30 5.9×
Histamine urine (83088) $246.75 $246.75 8.4×
Histoplasma antibody (86698) $252 $252 18.3×
Hiv-1 Antibody (86701) $155.40 $155.40 17.5×
Hiv-1 Quant&Revrse Trnscrpj (87536) $287.70 $287.70 3.4×
Hla ii typing 1 locus lr (81376) $339.15 $339.15 2.8×
Hla-b27 (86812) $100.80 $100.80 3.9×
Homocysteine (83090) $117 $117 6.5×
Homogenization Tissue (87176) $23.10 $23.10 3.9×
Hsv Dna Amp Probe (87529) $170 $170 4.8×
Human Epididymis Protein 4 (86305) $498.75 $498.75 24.0×
Hydroxyprogesterone 17-d (83498) $91.35 $91.35 3.4×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $40 $40 1.1×
Iaadi giardia (87269) $96.60 $96.60 7.1×
Iaadi respiratory synctial virus (87280) $115.50 $115.50 8.6×
Iadna Cytomegalovirus Quantification (87497) $292 $292 6.8×
Iadna Hepatitis B Virus Quantification (87517) $286.65 $286.65 6.7×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $195.30 $195.30 4.7×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $119 $119 3.4×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $124 $124 3.5×
Immunfix e-phorsis/urine/csf (86335) $148 $148 5.0×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 3 matching MRF lines
$87.15–$1,064.70 $87.15–$1,064.70 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $68 $68 4.5×
Immunoassay nonantibody (83516)
range across 10 matching MRF lines
$73–$100 $73–$100 varies
Immunofixation electrophoresis (86334)
range across 3 matching MRF lines
$122–$296 $122–$296 varies
Influenza assay w/optic (87804) $40 $40 2.4×
Inhibin b (83520)
range across 8 matching MRF lines
$98–$339 $98–$339 varies
Insulin antibodies (86337) $98.70 $98.70 4.6×
Insulin free (83527) $87.15 $87.15 6.7×
Insulin total (83525) $87 $87 7.6×
Iron (83540) $28 $28 4.3×
Iron Binding Capacity (83550) $35 $35 4.0×
Islet cell antibody (86341)
range across 3 matching MRF lines
$138–$214 $138–$214 varies
Jak2 gene analysis p.val617phe variant (81270) $721.35 $721.35 7.9×
Kit Gene Analysis D816 Variant(S) (81273) $1,332.45 $1,332.45 10.7×
Lactate (ld) (ldh) enzyme (83615) $50 $50 8.3×
Lactoferrin fecal qualitative (83630) $145 $145 7.4×
LDL direct (83721) $65 $65 6.2×
Lead (83655) $51 $51 4.2×
Legionella antigen urine (87449)
range across 2 matching MRF lines
$116–$127 $116–$127 varies
Lipase (83690) $66 $66 9.6×
Lipoprotein A (83695) $162 $162 11.3×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $31.50 $31.50 2.8×
Lipoprotein-Associated Phospholipase A2 (83698) $294 $294 6.3×
Lithium (80178) $61 $61 9.2×
Luteinizing Hormone (Lh) (83002) $127 $127 6.9×
Lyme disease antibody (86618)
range across 2 matching MRF lines
$44.10–$85.05 $44.10–$85.05 varies
Magnesium Urine (83735)
range across 3 matching MRF lines
$36–$97 $36–$97 varies
Methylmalonic acid serum (83921) $388 $388 18.3×
Microalbumin, quantitative (82043) $31 $31 5.4×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$81–$160 $81–$160 varies
Mononuclear cell antigen (86356)
range across 2 matching MRF lines
$270.90–$582.75 $270.90–$582.75 varies
Mrsa Pcr (87641) $329 $329 9.4×
Mthfr Gene Analysis Common Variants (81291) $193.20 $193.20 3.0×
Mumps antibody (86735)
range across 2 matching MRF lines
$47.25–$111.30 $47.25–$111.30 varies
Mycophenolic Acid (80180) $67.20 $67.20 3.7×
Natriuretic peptide (83880) $242 $242 6.2×
Nfct ds chrnc hcv 6 assays (81596) $461 $461 6.4×
Nk cells total count (86357) $46.20 $46.20 1.2×
Nuclear antigen antibody (86235)
range across 12 matching MRF lines
$59–$106 $59–$106 varies
Occult Blood Other Sources (82271) $18.90 $18.90 3.6×
Organic Acids Qualitative Each Specimen (83919) $108.15 $108.15 6.6×
Osmolality serum (83930) $112 $112 16.9×
Osmolality Urine (83935) $102 $102 15.0×
Ova and parasites smears (87177) $82 $82 9.2×
Oxalate urine (83945)
range across 2 matching MRF lines
$58–$124 $58–$124 varies
Parvovirus antibody (86747) $91.35 $91.35 6.1×
Pca3/Klk3 Prostate Specific Antigen Ratio (81313) $446.25 $446.25 1.7×
Ph urine (81003)
range across 3 matching MRF lines
$18–$24 $18–$24 varies
Phenobarbital Level (80184) $89.25 $89.25 5.8×
Phenytoin (Dilantin) (80185) $140 $140 10.6×
Phosphatase alkaline (84075) $38 $38 7.3×
Phosphorus Serum (84100) $54 $54 11.4×
Phosphorus urine (84105)
range across 2 matching MRF lines
$38–$58 $38–$58 varies
Platelet count automated (85049) $27 $27 6.0×
Porphobilinogen, urine; quantitative (84110) $99.75 $99.75 11.8×
Porphyrins Urine Quantitation & Fractionation (84120) $99.75 $99.75 6.8×
Potassium Urine (84133) $37 $37 7.8×
Prealbumin (84134) $90 $90 6.2×
Pregnenolone (84140) $275 $275 13.3×
Procalcitonin (Pct) (84145) $172 $172 6.3×
Progesterone (84144) $124 $124 5.9×
Prolactin (84146) $129 $129 6.7×
Prostaglandin (84150)
range across 3 matching MRF lines
$155.40–$657.30 $155.40–$657.30 varies
Protein body fluid (84157) $64 $64 16.0×
Protein C Activity (85303) $124.95 $124.95 9.0×
Protein Electrophoresis Urine (84166) $151 $151 8.5×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$53–$123 $53–$123 varies
Protein S Free (85306) $90.30 $90.30 5.9×
Protein total serum (84155) $47 $47 12.8×
Protein Total Urine (84156) $79 $79 21.5×
PSA free (84154) $72 $72 3.9×
Pth Intact (83970) $224 $224 5.4×
Q Fever Antibody (86638)
range across 3 matching MRF lines
$44.10–$129.15 $44.10–$129.15 varies
Quantiferon tb gold plus (86480) $205 $205 3.3×
Quantitative assay drug (80299)
range across 4 matching MRF lines
$224.70–$416.85 $224.70–$416.85 varies
Quantitative Screen Metals (83018)
range across 2 matching MRF lines
$184–$432.60 $184–$432.60 varies
Rbc antibody identification (86870) $464 $464 1.3×
Rbc antibody screen (86850) $120 $120 12.3×
Reagent Strip/Blood Glucose (82948) $14 $14 2.8×
Renin activity plasma (84244) $92.40 $92.40 4.2×
Resp virus 12-25 targets (87633) $1,134 $1,134 2.7×
Reticulocyte Count (85046) $19 $19 3.4×
Rh (86901) $32 $32 10.7×
Rheumatoid Factor Qualitative (86430) $69 $69 11.2×
Rheumatoid factor quant (86431) $57 $57 10.1×
Rickettsia antibody (86757) $48.30 $48.30 2.5×
Rpr qualitative (86592) $64 $64 15.0×
Rsv Assay W/Optic (87807) $60.90 $60.90 4.6×
Rubella Antibody (86762)
range across 2 matching MRF lines
$36.75–$111.30 $36.75–$111.30 varies
Rubeola antibody (86765)
range across 2 matching MRF lines
$35–$106 $35–$106 varies
Russell Viper Venon Time Undiluted (85612) $84 $84 4.8×
Sars-cov-2 COVID-19 antibody (86769) $36.75 $36.75 0.9×
Sarscov2&inf a&b&rsv amp prb (87637) $150 $150 1.1×
Sedimentation rate (85651) $51 $51 11.9×
Selenium (84255) $74.55 $74.55 2.9×
Semen Anal Sperm Detection (89321)
range across 2 matching MRF lines
$24.15–$30 $24.15–$30 varies
Sensitivity mic (87186) $61 $61 7.1×
Sex Hormone Binding Globulin (84270) $92 $92 4.2×
Sickling of rbc reduction (85660) $115.50 $115.50 21.0×
Silica (84285) $184.80 $184.80 7.3×
Sirolimus (80195) $96 $96 7.0×
Smear gram stain (87205) $46 $46 10.8×
Smear Special Stain (87207) $94.50 $94.50 15.8×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$48.30–$52.50 $48.30–$52.50 varies
Sodium Serum (84295) $58 $58 12.1×
Sodium Urine (84300) $53 $53 10.5×
Somatomedin (84305) $434 $434 20.4×
Spectrophotometry (84311) $118.65 $118.65 14.6×
Strep a assay w/optic (87880) $40 $40 2.4×
Sulfate urine (84392)
range across 2 matching MRF lines
$36–$55 $36–$55 varies
Susceptibility Study Antimicrobial Disk Method (87184) $76 $76 10.2×
Syphilis Test Non-Trep Quant (86593) $71.40 $71.40 16.2×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $48.30 $48.30 1.0×
T cells total count (86359) $113.40 $113.40 3.0×
T3 Free (84481) $117 $117 6.9×
T3 reverse (84482) $121.80 $121.80 7.7×
T3 Total (84480) $72 $72 5.1×
T3 Uptake (84479) $32.55 $32.55 5.0×
T4 Free (84439) $68 $68 7.5×
T4 total (84436) $38.85 $38.85 5.7×
T4-neonatal (84437) $42 $42 6.5×
Tacrolimus (80197) $105 $105 7.6×
Testosterone Bioavailable (84410) $105 $105 2.0×
Testosterone total (84403) $84 $84 3.3×
Theophylline (80198) $74.55 $74.55 5.3×
Thrombin Time (85670) $111.30 $111.30 19.3×
Thyroglobulin (84432)
range across 2 matching MRF lines
$91–$106 $91–$106 varies
Thyroglobulin Antibody (86800) $64 $64 4.0×
Thyroid Stimulating Immunoglobulin (84445) $124.95 $124.95 2.5×
Toxoplasma ab igm (86778) $84 $84 5.8×
Toxoplasma antibody (86777) $84 $84 5.8×
Transferase Aspartate Amino Ast Sgot (84450) $45 $45 8.7×
Transferrin (84466) $70 $70 5.5×
Trichomonas vagin dir probe (87660) $95 $95 4.7×
Trichomonas Vaginalis Amplif (87661) $78.75 $78.75 2.2×
Triglycerides (84478) $32.55 $32.55 5.7×
Troponin Quant (84484)
range across 4 matching MRF lines
$87–$101 $87–$101 varies
Urea nitrogen urine (84540) $76 $76 13.7×
Uric acid other source (84560)
range across 2 matching MRF lines
$36–$38 $36–$38 varies
Urinalysis Microscopic Only (81015) $25 $25 8.2×
Urinalysis Volume Measure (81050) $22 $22 6.0×
Urine Bacteria Culture (87088) $88 $88 10.9×
Urine Pregnancy Test (81025) $23.10 $23.10 2.7×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$41–$49 $41–$49 varies
Valproic acid (80164) $101 $101 7.5×
Vancomycin (80202) $75 $75 5.5×
Varicella-zoster antibody (86787)
range across 2 matching MRF lines
$52–$83 $52–$83 varies
Virus antibody nos (86790)
range across 2 matching MRF lines
$48.30–$171.15 $48.30–$171.15 varies
Viscosity serum (85810) $193 $193 16.5×
Vitamin A (84590) $97.65 $97.65 8.4×
Vitamin b-12 (82607) $46 $46 3.1×
Vitamin B6 (84207) $116 $116 4.1×
Vitamin c (82180) $91 $91 9.2×
Vitamin D 25-Hydroxy (82306) $123 $123 4.2×
Vitamin E (84446) $98 $98 6.9×
Vitamin K (84597) $249.90 $249.90 18.2×
Voltage-Gated Calcium Channel Antibody Each (86596) $87.15 $87.15 7.2×
Von willebrand factor ag (85246) $213 $213 9.3×
West Nile Virus Antibody (86789) $98.70 $98.70 6.9×
Zinc (84630) $67 $67 5.9×

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.