Lab & pathology prices at McLaren Northern Michigan
Petoskey, MI · every code in this section with a posted price and a Medicare benchmark.
332 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $37.50 | $75 | 1.0× |
| Acute hepatitis panel (80074) | $164.60 | $329.20 | 3.5× |
| Albumin Fluid (82042) | $17.15 | $34.30 | 2.2× |
| Albumin serum (82040) | $15.60 | $31.20 | 3.2× |
| Aldosterone urine (82088) | $39.35 | $78.70 | 1.0× |
| Allergen specific ige (86003) | $20.40 | $40.80 | 3.9× |
| Alpha-1-antitrypsin total (82103) | $18.65 | $37.30 | 1.4× |
| Alpha-Fetoprotein Serum (82105) | $73.85 | $147.70 | 4.4× |
| Alt (sgpt) (84460) | $16.20 | $32.40 | 3.1× |
| Amikacin trough (80150) | $27.75 | $55.50 | 1.8× |
| Ammonia (82140) | $47.90 | $95.80 | 3.3× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $92.35 | $184.70 | 0.9× |
| Amylase urine (82150) | $20.05 | $40.10 | 3.1× |
| Ana Titer (86039) | $32.10 | $64.20 | 2.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $16.35 | $32.70 | 1.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $29.25 | $58.50 | 2.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $14.85 | $29.70 | 1.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $17.65 | $35.30 | 1.0× |
| Antibody Herpes Smplx Type 1 (86695) | $12.75 | $25.50 | 1.0× |
| Antibody HIV-2 (86702) | $63.60 | $127.20 | 4.7× |
| Antibody Treponema Pallidum (86780) | $33.95 | $67.90 | 2.6× |
| Antigen typing (86905) | $11.80 | $23.60 | 3.1× |
| Antinuclear antibodies (86038) | $34.80 | $69.60 | 2.9× |
| Antistreptolysin o titer (86060) | $27.50 | $55 | 3.8× |
| Antithrombin iii activity (85300) | $34.60 | $69.20 | 2.9× |
| Assay Blood Carbon Dioxide (82374) | $18.35 | $36.70 | 3.8× |
| Assay of blood/uric acid (84550) | $14.50 | $29 | 3.2× |
| Assay of calcium in urine (82340) | $16.20 | $32.40 | 2.7× |
| Assay of g6pd enzyme (82955) | $33.95 | $67.90 | 3.5× |
| Assay of gammaglobulin igm (82784) | $30.65 | $61.30 | 3.3× |
| Assay of lactic acid (83605) | $14.75 | $29.50 | 1.3× |
| Assay of serum potassium (84132) | $15 | $30 | 3.2× |
| Assay of sweat sodium (84302) | $17.05 | $34.10 | 3.5× |
| Assay of urea nitrogen (84520) | $13.40 | $26.80 | 3.4× |
| Assay Ph Body Fluid Nos (83986) | $8.90 | $17.80 | 2.5× |
| Assay spec xcp ur&breath ia (82077) | $99.95 | $199.90 | 5.8× |
| B cells total count (86355) | $38.15 | $76.30 | 1.0× |
| Beta 2 glycoprotein i antibody each (86146) | $24.70 | $49.40 | 1.0× |
| Beta hydroxybutyrate (82010) | $20.60 | $41.20 | 2.5× |
| Beta Lactamase (87185) | $10.45 | $20.90 | 2.2× |
| Beta-2 Microglobulin (82232) | $17.70 | $35.40 | 1.1× |
| Bilirubin direct (82248) | $15.60 | $31.20 | 3.1× |
| Bilirubin total (82247) | $15.60 | $31.20 | 3.1× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $20.40 | $40.80 | 5.4× |
| Blood gas (82803) | $33.05 | $66.10 | 1.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $21.60 | $43.20 | 1.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $10 | $20 | 2.3× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $15.40 | $30.80 | 0.9× |
| Blood typing serologic abo (86900) | $21.05 | $42.10 | 7.0× |
| Body fluid cell count (89050) | $21.95 | $43.90 | 4.7× |
| C diff amplified probe (87493) | $82.40 | $164.80 | 2.2× |
| C-Peptide (84681) | $20.20 | $40.40 | 1.0× |
| C-reactive protein (86140) | $31.55 | $63.10 | 6.1× |
| Ca 19-9 (86301) | $62.40 | $124.80 | 3.0× |
| Calcium ionized (82330) | $43.40 | $86.80 | 3.2× |
| Calcium total (82310) | $15 | $30 | 2.9× |
| Calprotectin Fecal (83993) | $19.15 | $38.30 | 1.0× |
| Cancer Antigen 125 (86304) | $72.75 | $145.50 | 3.5× |
| Cancer Antigen 27.29 (86300) | $75.05 | $150.10 | 3.6× |
| Candida Dna Dir Probe (87480) | $75.90 | $151.80 | 3.8× |
| Carbamazepine total (80156) | $47.90 | $95.80 | 3.3× |
| Carboxyhemoglobin (82375) | $39.50 | $79 | 3.2× |
| Carcinoembryonic antigen (82378) | $87.60 | $175.20 | 4.6× |
| Cardiolipin ab iga (86147) | $24.70 | $49.40 | 1.0× |
| Catecholamines fractionated (82384) | $30.15 | $60.30 | 1.2× |
| Ccp antibody (86200) | $32.20 | $64.40 | 2.5× |
| Cell count csf (89051) | $17.25 | $34.50 | 3.1× |
| Ceruloplasmin (82390) | $17.35 | $34.70 | 1.6× |
| Chloride other source (82438) | $18.35 | $36.70 | 3.7× |
| Chloride Serum (82435) | $16.35 | $32.70 | 3.6× |
| Chloride urine (82436) | $13.90 | $27.80 | 2.4× |
| Cholesterol total (82465) | $26.05 | $52.10 | 6.0× |
| Chorionic gonadotropin test (84702) | $78.65 | $157.30 | 5.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $40.20 | $80.40 | 1.1× |
| Clostridium Difficile (87324) | $39 | $78 | 3.3× |
| Cns DNA amp probe type 12-25 (87483) | $366.65 | $733.30 | 0.9× |
| Coagulation time activated (85347) | $13.35 | $26.70 | 3.1× |
| Compatibility test antiglob (86922) | $46.70 | $93.40 | 0.3× |
| Complement Antigen Each Component (86160) | $37.50 | $75 | 3.1× |
| Coombs direct (86880) | $21.85 | $43.70 | 4.1× |
| Cortisol saliva (82533) | $65.40 | $130.80 | 4.0× |
| Creatine kinase total (82550) | $21.15 | $42.30 | 3.2× |
| Creatinine blood (82565) | $15 | $30 | 2.9× |
| Creatinine clearance (82575) | $29.45 | $58.90 | 3.1× |
| Creatinine Urine (82570) | $15 | $30 | 2.9× |
| Crossmatch electronic (86923) | $151.30 | $302.60 | 0.9× |
| Crossmatch immediate spin (86920) | $75.30 | $150.60 | 0.4× |
| Crp High Sensitivity (86141) | $57.55 | $115.10 | 4.4× |
| Cryptococcal Antigen (87327) | $33.75 | $67.50 | 2.5× |
| Cryptococcus ag titer (87899) | $30.90 | $61.80 | 1.9× |
| Cryptosporidium ag eia (87328) | $36.85 | $73.70 | 2.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $26.15 | $52.30 | 3.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $26.15 | $52.30 | 3.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $17.15 | $34.30 | 2.2× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $205.30 | $410.60 | 0.9× |
| Culture afb (87116) | $40.90 | $81.80 | 3.8× |
| Culture Anaerobic (87075) | $31.35 | $62.70 | 3.3× |
| Culture blood (87040) | $24.45 | $48.90 | 2.4× |
| Culture csf (87070) | $28.40 | $56.80 | 3.3× |
| Culture fungus (87102) | $30.55 | $61.10 | 3.6× |
| Culture fungus blood (87103) | $20.95 | $41.90 | 1.0× |
| Culture screen only (87081) | $15 | $30 | 2.3× |
| Culture stool (87045) | $30.65 | $61.30 | 3.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $5.40 | $10.80 | 1.0× |
| Culture urine (87086) | $26.15 | $52.30 | 3.2× |
| Cytomegalovirus igg (86644) | $13.95 | $27.90 | 1.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $45.80 | $91.60 | 2.3× |
| Cytopath Cell Enhance Tech (88112) | $118 | $236 | 2.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $60.15 | $120.30 | 2.3× |
| Cytp Concentration Smears & Interpretation (88108) | $72.70 | $145.40 | 2.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $156.45 | $312.90 | 3.0× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $54.05 | $108.10 | 1.5× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $39.30 | $78.60 | 2.1× |
| Dgp Antibody Each Ig Class (86258) | $13.90 | $27.80 | 1.2× |
| Dhea-S (82627) | $50.30 | $100.60 | 2.3× |
| Digoxin (80162) | $58.75 | $117.50 | 4.4× |
| Dna Antibody Native/Double Stranded (86225) | $44.90 | $89.80 | 3.3× |
| Drug assay acetaminophen (80143) | $99.95 | $199.90 | 5.4× |
| Drug Screen Quantitative Gabapentin (80171) | $27.75 | $55.50 | 1.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $34.80 | $69.60 | 2.6× |
| Drug Test Prsmv Chem Anlyzr (80307) | $58.50 | $117 | 0.9× |
| El-1 Fecal Quantitative (82653) | $22.25 | $44.50 | 1.0× |
| Electrolyte panel (80051) | $20.60 | $41.20 | 2.9× |
| Eosinophil Smear (89190) | $17.70 | $35.40 | 3.1× |
| Erythropoietin (82668) | $57.90 | $115.80 | 3.1× |
| Estradiol serum (82670) | $84.35 | $168.70 | 3.0× |
| Exam Synovial Fluid Crystals (89060) | $13.40 | $26.80 | 1.8× |
| Factor viii assay (85240) | $43.35 | $86.70 | 2.4× |
| Fecal Fat Qualitative (82705) | $4.85 | $9.70 | 1.0× |
| Ferritin (82728) | $78.40 | $156.80 | 5.8× |
| Fetal Fibronectin (82731) | $196.45 | $392.90 | 3.0× |
| Fetal screen rosette (85461) | $26.80 | $53.60 | 2.9× |
| Fibrin Degradation Quant (85379) | $28.40 | $56.80 | 2.8× |
| Fibrinogen activity (85384) | $25.25 | $50.50 | 2.6× |
| Flow cytometry first marker (88184) | $117.35 | $234.70 | 0.3× |
| Fluorescent antibody screen (86255) | $26 | $52 | 2.2× |
| Folic Acid Serum (82746) | $38.40 | $76.80 | 2.6× |
| Follicle Stimulating Hormone (83001) | $69.35 | $138.70 | 3.7× |
| Frozen Section (88331) | $64.25 | $128.50 | 0.4× |
| Fungi Identification Yeast (87106) | $33.45 | $66.90 | 3.2× |
| Gammaglobulin ige (82785) | $63.10 | $126.20 | 3.8× |
| Gardner vag DNA dir probe (87510) | $75.90 | $151.80 | 3.8× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $34.70 | $69.40 | 3.6× |
| Gases blood ph only (82800) | $31.40 | $62.80 | 2.9× |
| Gentamicin (80170) | $36.05 | $72.10 | 2.2× |
| Ggt (82977) | $37.30 | $74.60 | 5.2× |
| Giardia antigen (87329) | $36.85 | $73.70 | 3.1× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$13.45–$13.90 | $26.90–$27.80 | varies |
| Glucose body fluid (82945) | $14.50 | $29 | 3.7× |
| Glucose Serum (82947) range across 7 matching MRF lines |
$13.40–$25.20 | $26.80–$50.40 | varies |
| Glucose tolerance test (gtt) (82951) | $47.85 | $95.70 | 3.7× |
| Gonadotropin Chorionic Qualitative (84703) | $19 | $38 | 2.5× |
| Growth hormone (83003) | $34.65 | $69.30 | 2.1× |
| Gtt-added samples (82952) | $15.75 | $31.50 | 4.0× |
| H Pylori (C-13) Breath (83013) | $80.10 | $160.20 | 1.2× |
| H Pylori Drug Admin (83014) | $7.40 | $14.80 | 0.9× |
| Haptoglobin (83010) | $26.45 | $52.90 | 2.1× |
| Hdl Cholesterol (83718) | $40.40 | $80.80 | 4.9× |
| Hematocrit (85014) | $13.20 | $26.40 | 5.6× |
| Hemoglobin (85018) range across 3 matching MRF lines |
$8.90–$20.95 | $17.80–$41.90 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$37.30–$47.20 | $74.60–$94.40 | varies |
| Hemoglobin electrophoresis (83020) | $17.90 | $35.80 | 1.4× |
| Hemoglobin Methemoglobin Quantitative (83050) | $27.50 | $55 | 3.4× |
| Hep a ab igm (86709) | $33.70 | $67.40 | 3.0× |
| Hepatitis a antibody total (86708) | $36.70 | $73.40 | 3.0× |
| Hepatitis b core ab igm (86705) | $32.30 | $64.60 | 2.7× |
| Hepatitis b core ab total (86704) | $34.35 | $68.70 | 2.9× |
| Hepatitis B Surface Antibody (86706) | $31.20 | $62.40 | 2.9× |
| Hepatitis B Surface Antigen (87340) | $29.25 | $58.50 | 2.8× |
| Hepatitis Be Antibody (86707) | $23.30 | $46.60 | 2.0× |
| Hepatitis Be Antigen (87350) | $23.30 | $46.60 | 2.0× |
| Hepatitis C Antibody (86803) | $52.10 | $104.20 | 3.7× |
| Hepatitis C Revrs Trnscrpj (87522) | $44.05 | $88.10 | 1.0× |
| Herpes simplex type 2 (86696) | $18.75 | $37.50 | 1.0× |
| Heterophile Antibody Screen (86308) | $21.85 | $43.70 | 4.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $29.45 | $58.90 | 3.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $22.95 | $45.90 | 1.0× |
| Hiv-1 Antibody (86701) | $38.70 | $77.40 | 4.4× |
| HIV-1 p24 antigen (87390) | $43.50 | $87 | 1.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $275.25 | $550.50 | 3.2× |
| Homocysteine (83090) | $94.10 | $188.20 | 5.3× |
| Hpv High-Risk Types (87624) | $44.75 | $89.50 | 1.3× |
| Iaad ia shiga-like toxin (87427) | $12.30 | $24.60 | 1.0× |
| Iaadiadoo trichomonas vaginalis (87808) | $44.25 | $88.50 | 2.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $35.10 | $70.20 | 0.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $67.40 | $134.80 | 1.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $40.20 | $80.40 | 1.1× |
| Ig Light Chains Free Each (83521) | $40.80 | $81.60 | 2.4× |
| Igg subclasses (82787) | $7.80 | $15.60 | 1.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $203.10 | $406.20 | 0.6× |
| Immunfix e-phorsis/urine/csf (86335) | $136.25 | $272.50 | 4.6× |
| Immunoassay nonantibody (83516) | $13 | $26 | 1.1× |
| Immunofixation electrophoresis (86334) | $109.20 | $218.40 | 4.9× |
| Immunohistochemistry (88342) | $118.35 | $236.70 | 0.7× |
| Influenza assay w/optic (87804) | $15.70 | $31.40 | 0.9× |
| Influenza DNA amp probe (87502) range across 3 matching MRF lines |
$77.70–$83.65 | $155.40–$167.30 | varies |
| Insulin total (83525) | $48.40 | $96.80 | 4.2× |
| Iron (83540) | $34.65 | $69.30 | 5.4× |
| Iron Binding Capacity (83550) | $40.90 | $81.80 | 4.7× |
| Koh Prep (87220) | $16.35 | $32.70 | 3.8× |
| Lactate (ld) (ldh) enzyme (83615) | $17.80 | $35.60 | 2.9× |
| Lactoferrin fecal qualitative (83630) | $18.55 | $37.10 | 0.9× |
| LDL direct (83721) | $38.85 | $77.70 | 3.7× |
| Legionella antigen urine (87449) | $38.30 | $76.60 | 3.2× |
| Leukocyte Assessment Fecal (89055) | $13.90 | $27.80 | 3.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $21.85 | $43.70 | 0.8× |
| Level ii surg pathology grossµscopic exam (88302) | $54.85 | $109.70 | 1.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $312.40 | $624.80 | 0.9× |
| Lipase (83690) | $22.30 | $44.60 | 3.2× |
| Lithium (80178) | $21.15 | $42.30 | 3.2× |
| Luteinizing Hormone (Lh) (83002) | $73.65 | $147.30 | 4.0× |
| Lyme disease antibody (86618) | $31.50 | $63 | 1.8× |
| Macroscopic Exam Parasite (87169) | $6.70 | $13.40 | 1.6× |
| Magnesium Urine (83735) | $21.15 | $42.30 | 3.2× |
| Methylmalonic acid serum (83921) | $21.10 | $42.20 | 1.0× |
| Microalbumin, quantitative (82043) | $17.25 | $34.50 | 3.0× |
| Microsomal Antibodies Each (86376) | $60.60 | $121.20 | 4.2× |
| Mrsa Pcr (87641) | $33.05 | $66.10 | 0.9× |
| Mumps antibody (86735) | $43.45 | $86.90 | 3.3× |
| Myoglobin urine (83874) | $41.80 | $83.60 | 3.2× |
| Natriuretic peptide (83880) | $110.25 | $220.50 | 2.8× |
| Nk cells total count (86357) | $38.15 | $76.30 | 1.0× |
| Nuclear antigen antibody (86235) | $23.20 | $46.40 | 1.3× |
| Occult blood feces (82272) | $7.60 | $15.10 | 1.8× |
| Occult Blood Other Sources (82271) | $11.80 | $23.60 | 2.2× |
| Osmolality serum (83930) | $22.30 | $44.60 | 3.4× |
| Osmolality Urine (83935) | $22.30 | $44.60 | 3.3× |
| Ova and parasites smears (87177) | $27.15 | $54.30 | 3.1× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $718.65 | $1,437.30 | 0.9× |
| Ph urine (81003) | $8.40 | $16.80 | 3.7× |
| Phenobarbital Level (80184) | $37.35 | $74.70 | 2.4× |
| Phenytoin (Dilantin) (80185) | $42.85 | $85.70 | 3.2× |
| Phosphatase alkaline (84075) | $16.20 | $32.40 | 3.1× |
| Phospholipid Neutralization Hexagonal (85598) | $17.45 | $34.90 | 1.0× |
| Phosphorus Serum (84100) | $13.90 | $27.80 | 2.9× |
| Phosphorus urine (84105) | $13.90 | $27.80 | 2.4× |
| Platelet Aggregation (85576) | $34.65 | $69.30 | 1.4× |
| Platelet count automated (85049) | $27.30 | $54.60 | 6.1× |
| Potassium Urine (84133) | $14.50 | $29 | 3.1× |
| Prealbumin (84134) | $21.40 | $42.80 | 1.5× |
| Procalcitonin (Pct) (84145) | $37.90 | $75.80 | 1.4× |
| Progesterone (84144) | $81.70 | $163.40 | 3.9× |
| Prolactin (84146) | $76.25 | $152.50 | 3.9× |
| Protein body fluid (84157) | $17.15 | $34.30 | 4.3× |
| Protein C Activity (85303) | $15.70 | $31.40 | 1.1× |
| Protein Electrophoresis Urine (84166) | $35.55 | $71.10 | 2.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $35.55 | $71.10 | 3.3× |
| Protein S Free (85306) | $30.10 | $60.20 | 2.0× |
| Protein total serum (84155) | $12.75 | $25.50 | 3.5× |
| Protein Total Urine (84156) | $11.15 | $22.30 | 3.0× |
| PSA free (84154) | $65.40 | $130.80 | 3.6× |
| Pth Intact (83970) | $70.80 | $141.60 | 1.7× |
| Quantiferon tb gold plus (86480) | $78.55 | $157.10 | 1.3× |
| Rbc antibody identification (86870) | $164.75 | $329.50 | 0.5× |
| Rbc antibody screen (86850) | $37.65 | $75.30 | 3.9× |
| Renin activity plasma (84244) | $21.20 | $42.40 | 1.0× |
| Reticulocyte Count (85046) | $16.35 | $32.70 | 2.9× |
| Rh (86901) | $9.40 | $18.80 | 3.1× |
| Rheumatoid factor quant (86431) | $25.35 | $50.70 | 4.5× |
| Rotavirus ag eia (87425) | $43.45 | $86.90 | 3.6× |
| Rpr qualitative (86592) | $16.65 | $33.30 | 3.9× |
| Rubella Antibody (86762) | $55.10 | $110.20 | 3.8× |
| Rubeola antibody (86765) | $37.80 | $75.60 | 2.9× |
| Russell Viper Venom Time Diluted (85613) | $12.95 | $25.90 | 1.4× |
| Salicylate Level (80179) | $99.95 | $199.90 | 5.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $87.90 | $175.80 | 1.7× |
| Sars-cov-2 COVID-19 antibody (86769) | $27.05 | $54.10 | 0.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $273.75 | $547.50 | 1.9× |
| Sedimentation Rate, Automated (85652) | $12.75 | $25.50 | 4.7× |
| Semen analysis motility and count (89310) | $84.40 | $168.80 | 9.8× |
| Sensitivity mic (87186) | $28.40 | $56.80 | 3.3× |
| Sex Hormone Binding Globulin (84270) | $52.40 | $104.80 | 2.4× |
| Sickling of rbc reduction (85660) | $5.40 | $10.80 | 1.0× |
| Skin test tuberculosis intradermal (86580) | $5.30 | $10.60 | 0.2× |
| Smear acid fast (87206) | $23 | $46 | 4.3× |
| Smear gram stain (87205) | $13.90 | $27.80 | 3.3× |
| Smear Special Stain (87207) | $5.50 | $11 | 0.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $16.35 | $32.70 | 2.8× |
| Sodium Serum (84295) | $15 | $30 | 3.1× |
| Sodium Urine (84300) | $15 | $30 | 3.0× |
| Somatomedin (84305) | $26.35 | $52.70 | 1.2× |
| Special Stains Group 1 (88312) | $129.35 | $258.70 | 2.5× |
| Special Stains Group 2 (88313) | $110.75 | $221.50 | 0.8× |
| Specific gravity body fluid (84315) | $10.45 | $20.90 | 3.2× |
| Specimen infect agnt concntj (87015) | $9.40 | $18.80 | 1.4× |
| Strep a DNA amp probe (87651) | $44.05 | $88.10 | 1.3× |
| Strep b DNA amp probe (87653) | $110.35 | $220.70 | 3.1× |
| Surg path level iii (88304) | $60.65 | $121.30 | 1.2× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$109.10–$129.65 | $218.20–$259.30 | varies |
| Surgical pathology level vi (88309) | $434.25 | $868.50 | 0.5× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $4.50 | $9 | 0.9× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $6.90 | $13.80 | 0.9× |
| Syphilis Test Non-Trep Quant (86593) | $4.15 | $8.30 | 0.9× |
| T cells absolute cd4 count (86361) | $25.20 | $50.40 | 0.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $46.60 | $93.20 | 1.0× |
| T cells total count (86359) | $38.15 | $76.30 | 1.0× |
| T3 Free (84481) | $66.75 | $133.50 | 3.9× |
| T3 Total (84480) | $55.80 | $111.60 | 3.9× |
| T3 Uptake (84479) | $36.75 | $73.50 | 5.7× |
| T4 Free (84439) | $78.65 | $157.30 | 8.7× |
| T4 total (84436) | $47.50 | $95 | 6.9× |
| Test for acetone/ketones (82009) | $13.10 | $26.20 | 2.9× |
| Testosterone total (84403) | $88.50 | $177 | 3.4× |
| Testosterone, Free (84402) | $24.20 | $48.40 | 1.0× |
| Theophylline (80198) | $36.05 | $72.10 | 2.5× |
| Thrombin Time (85670) | $10.70 | $21.40 | 1.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $43.35 | $86.70 | 6.7× |
| Thyroglobulin (84432) | $22.80 | $45.60 | 1.4× |
| Thyroglobulin Antibody (86800) | $32.20 | $64.40 | 2.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $16.55 | $33.10 | 1.4× |
| Tobramycin peak (80200) | $36.05 | $72.10 | 2.2× |
| Touch prep (88161) | $84.45 | $168.90 | 2.9× |
| Toxoplasma ab igm (86778) | $16 | $32 | 1.1× |
| Toxoplasma antibody (86777) | $41.55 | $83.10 | 2.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $16.20 | $32.40 | 3.1× |
| Transferrin (84466) | $57.25 | $114.50 | 4.5× |
| Trichomonas vagin dir probe (87660) | $70.80 | $141.60 | 3.5× |
| Trichomonas Vaginalis Amplif (87661) | $33.05 | $66.10 | 0.9× |
| Triglycerides (84478) | $46.65 | $93.30 | 8.1× |
| Troponin Quant (84484) | $32.25 | $64.50 | 2.6× |
| Tumor Immunohistochem/Manual (88360) | $110.40 | $220.80 | 0.7× |
| Urea nitrogen urine (84540) | $17.70 | $35.40 | 3.2× |
| Uric acid other source (84560) | $15 | $30 | 3.0× |
| Urinalysis Microscopic Only (81015) | $2.90 | $5.80 | 1.0× |
| Urine Pregnancy Test (81025) | $20.05 | $40.10 | 2.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $11.15 | $22.30 | 3.5× |
| Valproic acid (80164) | $43.40 | $86.80 | 3.2× |
| Vancomycin (80202) | $43.40 | $86.80 | 3.2× |
| Varicella-zoster antibody (86787) | $32.30 | $64.60 | 2.5× |
| Vit D 1 25-Dihydroxy (82652) | $37.25 | $74.50 | 1.0× |
| Vitamin b-12 (82607) | $53.80 | $107.60 | 3.6× |
| Vitamin D 25-Hydroxy (82306) | $125.95 | $251.90 | 4.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.