Lab & pathology prices at Memorial Community Hospital & Health System

Blair, NE · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $59.20 $74 3.2×
Acetylcholine receptor blocking antibody (86042) $73.60 $92 4.0×
Acetylcholn Rcptr Modlg Antb (86043) $73.60 $92 6.1×
Acth (82024) $209.60 $262 5.4×
Actin smooth muscle antibody each (86015) $60 $75 5.0×
Acute hepatitis panel (80074) $310.77 $388.46 6.5×
Albumin Fluid (82042) $56.80 $71 7.3×
Albumin serum (82040) $37.80 $47.25 7.6×
Aldolase (82085) $32.21 $40.26 3.3×
Aldosterone urine (82088) $204.95 $256.18 5.0×
Alkaline phosphatase isoenzymes (84080) $104.80 $131 7.1×
Allergen specific ige (86003) $62.27 $77.83 11.9×
Alpha-1-antitrypsin phenotype (82104) $109.60 $137 7.6×
Alpha-1-antitrypsin total (82103) $109.60 $137 8.2×
Alpha-Fetoprotein Serum (82105) $106.11 $132.64 6.3×
Alt (sgpt) (84460) $40.11 $50.14 7.6×
Ammonia (82140) $111.08 $138.85 7.6×
Amniotic fluid protein test on cervicovaginal fluid (84112)
range across 2 matching MRF lines
$148–$166.40 $185–$208 varies
Amylase urine (82150) $76.89 $96.11 11.9×
Ana Titer (86039) $80 $100 7.2×
Anca Titer Each Antibody (86037) $57.09 $71.36 4.7×
Androstenedione (82157) $214.40 $268 7.3×
Angiotensin converting enzyme csf (82164) $46.40 $58 3.2×
Antibody aspergillus (86606) $28 $35 1.9×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $163.20 $204 10.5×
Antibody Cytomegalovirus Cmv Igm (86645) $125.28 $156.60 7.4×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $89.33 $111.67 6.8×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $88.53 $110.67 5.8×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $111.95 $139.93 6.2×
Antibody Herpes Smplx Type 1 (86695) $171.20 $214 13.0×
Antibody HIV-2 (86702) $100.80 $126 7.5×
Antibody Treponema Pallidum (86780) $78.68 $98.34 5.9×
Antigen typing (86905) $600 $750 156.7×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $32.80 $41 5.7×
Antinuclear antibodies (86038) $55.40 $69.25 4.6×
Antistreptolysin o titer (86060) $69.60 $87 9.5×
Antithrombin iii activity (85300) $134.40 $168 11.3×
Assay activated protein c (85307) $137.60 $172 9.0×
Assay of 5-hiaa (83497) $42.40 $53 3.3×
Assay of anti-mullerian hormone (82166) $188.80 $236 4.9×
Assay of blood/uric acid (84550) $45.80 $57.24 10.1×
Assay of calcium in urine (82340) $54.40 $68 9.0×
Assay of gammaglobulin igm (82784)
range across 3 matching MRF lines
$84.59–$88.43 $105.73–$110.53 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines
$81.60–$90.11 $102–$112.63 varies
Assay of manganese (83785) $107.20 $134 4.0×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$160.09–$162.40 $200.11–$203 varies
Assay of serotonin (84260) $257.12 $321.40 8.3×
Assay of serum potassium (84132) $40.15 $50.19 8.4×
Assay of urea nitrogen (84520)
range across 2 matching MRF lines
$34.40–$36.27 $43–$45.33 varies
Assay of vitamin b-1 (84425) $174.77 $218.47 8.2×
Assay spec xcp ur&breath ia (82077) $110.83 $138.54 6.4×
Automated Leukocyte Count (85048) $32 $40 12.6×
B cells total count (86355) $113.60 $142 3.0×
Bartonella antibody (86611) $219.20 $274 21.5×
Bcr/abl1 gene major bp (81206) $280 $350 1.7×
Bcr/abl1 gene minor bp (81207) $264 $330 1.8×
Beta 2 glycoprotein i antibody each (86146) $100.80 $126 4.0×
Beta hydroxybutyrate (82010) $52.17 $65.21 6.4×
Beta Lactamase (87185) $40.80 $51 8.6×
Beta-2 Microglobulin (82232) $90.40 $113 5.6×
Bile acids total (82239) $149.60 $187 8.7×
Bilirubin direct (82248) $45.28 $56.60 9.0×
Bilirubin total (82247) $45.80 $57.25 9.1×
Bilirubin total transcutaneous (88720) $44.91 $56.14 8.9×
Biotinidase (82261) $7.20 $9 0.4×
Blood count reticulocyte automated (85045) $48 $60 12.0×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $44.80 $56 11.8×
Blood gas (82803)
range across 2 matching MRF lines
$193.60–$194.63 $242–$243.28 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $28.07 $35.09 6.4×
Blood typing serologic abo (86900)
range across 2 matching MRF lines
$37.79–$44.80 $47.23–$56 varies
Body fluid cell count (89050) $53.60 $67 11.4×
Bordetella antibody (86615) $49.60 $62 3.8×
C-Peptide (84681) $140.80 $176 6.8×
C-reactive protein (86140) $88.43 $110.53 17.1×
Ca 19-9 (86301) $182.40 $228 8.8×
Calcium ionized (82330)
range across 2 matching MRF lines
$92–$92.25 $115–$115.32 varies
Calcium total (82310) $48.15 $60.19 9.3×
Calculus Spectroscopy (82365) $110.40 $138 8.6×
Calprotectin Fecal (83993) $351.20 $439 17.9×
Cancer Antigen 125 (86304) $137.60 $172 6.6×
Carbamazepine free (80157) $109.60 $137 8.3×
Carbamazepine total (80156) $114.40 $143 7.9×
Carboxyhemoglobin (82375) $26.40 $33 2.1×
Carcinoembryonic antigen (82378) $113.33 $141.66 6.0×
Cardiolipin ab iga (86147) $303.20 $379 11.9×
Catecholamines fractionated (82384) $176 $220 7.0×
Ccp antibody (86200) $89.01 $111.26 6.9×
Cell count csf (89051) $93.83 $117.29 16.8×
Cellular Function Assay Stimul&Detect Biomarke (86352) $267.20 $334 2.0×
Ceruloplasmin (82390) $81.60 $102 7.6×
Chloride urine (82436) $9.60 $12 1.7×
Cholesterol total (82465) $50.40 $63 11.6×
Cholinesterase rbc (82482) $33.60 $42 3.4×
Chorionic gonadotropin test (84702) $122.23 $152.79 8.1×
Chromium serum (82495) $48 $60 2.4×
Chromogranin a (86316) $179.80 $224.75 8.6×
Clostridium Difficile (87324) $139.51 $174.39 11.6×
Cns DNA amp probe type 12-25 (87483) $1,344 $1,680 3.2×
Cold agglutinin titer (86157) $82.40 $103 10.2×
Column Chromotography Quant (82542) $168.80 $211 7.0×
Compatibility test antiglob (86922) $95.20 $119 0.5×
Complement Antigen Each Component (86160)
range across 3 matching MRF lines
$65.60–$104.45 $82–$130.56 varies
Complement Total (Ch50) (86162) $164.80 $206 8.1×
Complement/Function Activity (86161) $65.60 $82 5.5×
Coombs direct (86880)
range across 2 matching MRF lines
$41.89–$44.80 $52.37–$56 varies
Copper urine (82525) $80.15 $100.19 6.5×
Cortisol free (82530) $124.80 $156 7.5×
Cortisol saliva (82533) $99.63 $124.54 6.1×
Creatine kinase total (82550) $65.14 $81.42 10.0×
Creatinine blood (82565)
range across 2 matching MRF lines
$52–$54.56 $65–$68.20 varies
Creatinine clearance (82575) $83.20 $104 8.8×
Creatinine Urine (82570)
range across 2 matching MRF lines
$60–$60.29 $75–$75.36 varies
Crossmatch electronic (86923) $169.21 $211.51 1.0×
Crossmatch immediate spin (86920) $102.40 $128 0.6×
Crp High Sensitivity (86141) $97.78 $122.23 7.6×
Cryoglobulin (82595) $92 $115 14.2×
Cryptosporidium ag eia (87328) $98.40 $123 7.1×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $58.72 $73.40 7.3×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $90.97 $113.71 11.3×
Culture afb (87116) $132.65 $165.82 12.3×
Culture Anaerobic (87075) $107.53 $134.41 11.4×
Culture blood (87040) $150.33 $187.91 14.6×
Culture csf (87070)
range across 2 matching MRF lines
$84.67–$105.08 $105.83–$131.35 varies
Culture fungus (87102) $219.67 $274.58 26.1×
Culture screen only (87081) $62.69 $78.36 9.5×
Culture stool (87045) $97.21 $121.51 10.3×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $59.70 $74.63 11.5×
Culture urine (87086) $76.40 $95.50 9.5×
Cyclosporine (80158) $140.80 $176 7.8×
Cystatin C (82610) $108.80 $136 5.9×
Cytomegalovirus igg (86644) $94.40 $118 6.6×
Cytopath Cell Enhance Tech (88112) $112 $140 2.1×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $101.01 $126.26 3.8×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $122.40 $153 2.3×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines
$325.60–$332 $407–$415 varies
Detect agnt mult DNA ampli (87801) $181.22 $226.53 2.6×
Dgp Antibody Each Ig Class (86258) $18.60 $23.25 1.5×
Dhea (82626) $64 $80 2.5×
Dhea-S (82627) $146.25 $182.82 6.6×
Digoxin (80162) $73.20 $91.50 5.5×
Dna Antibody Native/Double Stranded (86225) $105.60 $132 7.7×
Dna/Rna Amplified Probe (87150) $85.60 $107 2.4×
Drug assay acetaminophen (80143) $158.12 $197.65 8.5×
Drug Screen Quantitative Lamotrigine (80175) $146.40 $183 11.0×
Drug Screen Quantitative Levetiracetam (80177) $197.60 $247 14.9×
Drug Screen Quantitative Oxcarbazepine (80183) $199.20 $249 15.0×
Drug Test Prsmv Chem Anlyzr (80307)
range across 3 matching MRF lines
$48–$276 $60–$345 varies
El-1 Fecal Quantitative (82653) $288.80 $361 12.6×
Enzyme cell activity (82657)
range across 2 matching MRF lines
$52–$484 $65–$605 varies
Erythropoietin (82668) $143.20 $179 7.6×
Estradiol serum (82670) $155.22 $194.03 5.6×
Estrogens fractionated (82671) $145.83 $182.29 4.5×
Exam Synovial Fluid Crystals (89060) $41.94 $52.43 5.7×
F2 Gene (81240) $135.20 $169 2.1×
Factor v leiden mutation (81241) $148 $185 2.0×
Factor vii assay (85230) $104.20 $130.25 5.8×
Factor viii assay (85240) $294.40 $368 16.4×
Fat stain feces urine/respir secretions (89125) $9.60 $12 1.6×
Fat/Lipids Feces Quantitative (82710) $129.60 $162 7.7×
Ferritin (82728) $112.59 $140.73 8.3×
Fetal screen rosette (85461) $49.67 $62.09 5.3×
Fibrin Degradation Quant (85379) $106.16 $132.70 10.4×
Fibrinogen activity (85384) $16.44 $20.56 1.7×
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$88–$296.80 $110–$371 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $165.60 $207 13.7×
Folic Acid Serum (82746) $106.90 $133.63 7.3×
Follicle Stimulating Hormone (83001) $117.13 $146.41 6.3×
Fungi Identification Yeast (87106) $96.80 $121 9.4×
Galactose (82760) $9.60 $12 0.9×
Galactose transferase test (82776) $9.60 $12 0.8×
Gammaglobulin ige (82785) $101.08 $126.35 6.1×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $965.81 $1,207.26 2.3×
Gentamicin (80170) $124.80 $156 7.6×
Ggt (82977) $62.40 $78 8.7×
Giardia antigen (87329) $79.20 $99 6.6×
Glucose 2 hr pp (82950) $48.90 $61.12 10.3×
Glucose Blood Test (82962)
range across 2 matching MRF lines
$32.80–$44 $41–$55 varies
Glucose body fluid (82945) $35.73 $44.67 9.1×
Glucose Serum (82947)
range across 2 matching MRF lines
$42.40–$43.42 $53–$54.27 varies
Glucose tolerance test (gtt) (82951) $134.40 $168 10.4×
Glycated Protein (82985) $93.60 $117 5.6×
Gonadotropin Chorionic Qualitative (84703) $109.57 $136.97 14.6×
Growth hormone (83003) $103.20 $129 6.2×
Gtt-added samples (82952) $58.40 $73 14.9×
Haptoglobin (83010) $85.07 $106.33 6.8×
Helicobacter Pylori Stool (87338) $196.80 $246 13.7×
Hematocrit (85014) $28.97 $36.21 12.2×
Hemoglobin (85018) $36.14 $45.18 15.2×
Hemoglobin a1c (83036) $69.89 $87.37 7.2×
Hemoglobin electrophoresis (83020) $9.60 $12 0.7×
Hep a ab igm (86709) $80 $100 7.1×
Heparin assay (85520) $188.29 $235.36 14.4×
Hepatitis a antibody total (86708) $103.20 $129 8.3×
Hepatitis b core ab igm (86705) $102.40 $128 8.7×
Hepatitis b core ab total (86704) $112.93 $141.17 9.4×
Hepatitis B Surface Antibody (86706) $85.08 $106.34 7.9×
Hepatitis B Surface Antigen (87340) $64.18 $80.22 6.2×
Hepatitis C Antibody (86803) $102.81 $128.51 7.2×
Hepatitis C Revrs Trnscrpj (87522) $457.60 $572 10.7×
Herpes simplex type 2 (86696) $124.80 $156 6.4×
Heterophile Antibody Screen (86308) $56.30 $70.38 10.9×
Hfe Gene (81256) $163.20 $204 2.5×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $43.20 $54 5.6×
Histoplasma antibody (86698) $83.20 $104 6.0×
Histoplasma antigen urine (87385) $265.60 $332 20.0×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $92.72 $115.90 3.9×
Hiv-1 Antibody (86701) $100.80 $126 11.3×
Hiv-1 Quant&Revrse Trnscrpj (87536) $677.60 $847 8.0×
Hla-b27 (86812) $162.40 $203 6.3×
Homocysteine (83090) $182.70 $228.38 10.2×
Homogenization Tissue (87176) $23.10 $28.88 3.9×
Hpv High-Risk Types (87624) $116.48 $145.61 3.3×
Hsv Dna Amp Probe (87529) $256 $320 7.3×
Hydroxyprogesterone 17-d (83498) $12 $15 0.4×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $67.20 $84 6.5×
Iaad ia shiga-like toxin (87427) $103.20 $129 8.6×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $76 $95 2.2×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $56 $70 1.6×
Iadna Cytomegalovirus Quantification (87497) $185.20 $231.50 4.3×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $132.80 $166 1.9×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $76 $95 2.2×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $112 $140 3.2×
Ig Light Chains Free Each (83521) $158.40 $198 9.2×
Igg subclasses (82787) $60 $75 7.5×
Immunfix e-phorsis/urine/csf (86335) $47.20 $59 1.6×
Immunoassay Analyte Quant Radioimmunoassay (83519) $52 $65 2.8×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $126.40 $158 8.4×
Immunoassay nonantibody (83516) $128.16 $160.21 11.1×
Immunofixation electrophoresis (86334) $78.94 $98.68 3.5×
Immunohistochemistry (88342) $128.72 $160.91 0.7×
In situ hybridization 1st probe stain (88365) $160.80 $201 0.9×
Influenza DNA amp probe (87502) $163.20 $204 1.7×
Inhibin b (83520)
range across 2 matching MRF lines
$163.20–$165.20 $204–$206.50 varies
Insitu hybridization manual (88368) $442.40 $553 1.2×
Insulin antibodies (86337) $182.40 $228 8.5×
Insulin free (83527) $44.80 $56 3.5×
Insulin total (83525) $102.72 $128.40 9.0×
Iron (83540) $45.03 $56.29 7.0×
Iron Binding Capacity (83550) $65.90 $82.37 7.5×
Koh Prep (87220) $51.80 $64.75 12.1×
Lactate (ld) (ldh) enzyme (83615) $50.22 $62.77 8.3×
Lactoferrin fecal qualitative (83630) $45.87 $57.33 2.3×
LDL direct (83721) $62.40 $78 5.9×
Lead (83655) $57.93 $72.41 4.8×
Legionella antigen urine (87449)
range across 2 matching MRF lines
$177.60–$208.80 $222–$261 varies
Level ii surg pathology gross&microscopic exam (88302) $110.51 $138.14 2.8×
Level V Surg Pathology Gross&Microscopic Exam (88307) $319.20 $399 0.9×
Lipase (83690) $74.78 $93.47 10.9×
Lipoprotein A (83695) $34.76 $43.44 2.4×
Lithium (80178) $65.73 $82.16 9.9×
Luteinizing Hormone (Lh) (83002) $120.71 $150.89 6.5×
Lyme disease antibody (86618) $132 $165 7.8×
M. Genitalium Amp Probe (87563) $87.20 $109 2.5×
Magnesium Urine (83735) $67.58 $84.47 10.1×
Mass Spectrometry Quant (83789) $48.80 $61 2.0×
Metabolic panel ionized ca (80047) $72 $90 5.2×
Methylmalonic acid serum (83921) $260.80 $326 12.3×
Microalbumin, quantitative (82043) $85.09 $106.36 14.7×
Microsomal Antibodies Each (86376) $36.09 $45.12 2.5×
Mitochondrial Antibody Each (86381) $128 $160 5.0×
Mrsa Pcr (87641) $113.40 $141.75 3.2×
Mthfr Gene Analysis Common Variants (81291) $106.40 $133 1.6×
Mumps antibody (86735) $65.60 $82 5.0×
Mycoplasma antibody (86738) $108 $135 8.2×
Myoglobin urine (83874) $115.20 $144 8.9×
Natriuretic peptide (83880) $208 $260 5.3×
Nfct Ds Bv&Vaginitis Dna Alg (81514) $188.77 $235.96 0.7×
Niacin (84591) $24.27 $30.33 1.4×
Nuclear antigen antibody (86235) $100.92 $126.15 5.6×
Obstetric panel (80081) $158.69 $198.36 2.1×
Osmolality serum (83930) $85.11 $106.38 12.9×
Osmolality Urine (83935) $78.80 $98.50 11.6×
Ova and parasites smears (87177) $89.60 $112 10.1×
Ph urine (81003) $36.18 $45.23 16.1×
Phenobarbital Level (80184) $96.80 $121 6.3×
Phenytoin (Dilantin) (80185) $109.60 $137 8.3×
Phosphatase alkaline (84075) $48.80 $61 9.4×
Phospholipid Neutralization Hexagonal (85598) $240 $300 13.3×
Phosphorus Serum (84100) $45.92 $57.40 9.7×
Platelet count automated (85049) $46.40 $58 10.4×
Potassium Urine (84133) $47.20 $59 10.0×
Prealbumin (84134) $84.80 $106 5.8×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $96.80 $121 1.6×
Primidone (80188) $97.60 $122 5.9×
Procalcitonin (Pct) (84145) $198.36 $247.95 7.3×
Progesterone (84144) $106.90 $133.63 5.1×
Prolactin (84146) $146.63 $183.29 7.6×
Protein body fluid (84157) $41.14 $51.43 10.3×
Protein C Activity (85303) $184.80 $231 13.4×
Protein Electrophoresis Urine (84166) $45.60 $57 2.6×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$107.20–$107.55 $134–$134.43 varies
Protein S Free (85306) $310.40 $388 20.3×
Protein total serum (84155) $45.82 $57.27 12.5×
Protein Total Urine (84156) $56.80 $71 15.5×
PSA free (84154) $124.98 $156.23 6.8×
Pth Intact (83970) $215.87 $269.84 5.2×
Quantiferon tb gold plus (86480) $203.55 $254.44 3.3×
Quantitative assay drug (80299)
range across 2 matching MRF lines
$112–$272 $140–$340 varies
Quantitative Screen Metals (83018) $68 $85 3.1×
Rbc antibody elution (86860) $136 $170 0.8×
Rbc antibody identification (86870)
range across 2 matching MRF lines
$48.27–$116 $60.33–$145 varies
Rbc antibody screen (86850)
range across 2 matching MRF lines
$68.36–$78.40 $85.45–$98 varies
Renin activity plasma (84244) $46.62 $58.27 2.1×
Rh (86901)
range across 2 matching MRF lines
$35.20–$37.79 $44–$47.23 varies
Rheumatoid factor quant (86431) $56.09 $70.11 9.9×
Rickettsia antibody (86757) $48 $60 2.5×
Ristocetin cofactor (85245) $117.60 $147 5.1×
Rotavirus ag eia (87425) $125.60 $157 10.5×
Rpr qualitative (86592) $49.60 $62 11.6×
Rubella Antibody (86762) $68 $85 4.7×
Rubeola antibody (86765) $97.60 $122 7.6×
Russell Viper Venom Time Diluted (85613) $126.40 $158 13.2×
Salicylate Level (80179) $158.19 $197.73 8.5×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$104–$106.40 $130–$133 varies
Sedimentation Rate, Automated (85652) $16.07 $20.09 6.0×
Selenium (84255) $54.80 $68.50 2.1×
Sensitivity mic (87186) $85.95 $107.44 9.9×
Sex Hormone Binding Globulin (84270) $164.29 $205.36 7.6×
Sickling of rbc reduction (85660) $44.80 $56 8.1×
Skin test tuberculosis intradermal (86580) $48 $60 1.6×
Smear acid fast (87206) $55.35 $69.18 10.3×
Smear complex stain (87209) $84 $105 4.7×
Smear gram stain (87205) $50.70 $63.38 11.9×
Smr Prim Src Wet Mount Nfct Agt (87210) $45.02 $56.28 7.7×
Sodium Serum (84295) $44.94 $56.18 9.3×
Sodium Urine (84300) $44.95 $56.19 8.9×
Somatomedin (84305) $163.20 $204 7.7×
Special Stains Group 1 (88312) $112.13 $140.17 2.1×
Special Stains Group 2 (88313) $73.60 $92 0.5×
Stool cultr aerobic bact ea (87046) $61.85 $77.31 6.6×
Strep a DNA amp probe (87651) $67.06 $83.82 1.9×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $157.60 $197 1.7×
Surg path level iii (88304) $147.86 $184.82 2.7×
Surgical pathology level IV (88305) $188.15 $235.19 3.5×
Surgical pathology level vi (88309) $356.80 $446 0.4×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $27.43 $34.29 5.8×
Susceptibility Study Antimicrobial Disk Method (87184) $80.83 $101.04 10.8×
T cells total count (86359) $113.60 $142 3.0×
T3 Free (84481) $163.20 $204 9.6×
T3 reverse (84482) $228.27 $285.33 14.5×
T3 Total (84480) $102.40 $128 7.2×
T4 Free (84439) $83.57 $104.46 9.3×
T4 total (84436) $64.35 $80.43 9.4×
T4-neonatal (84437) $20 $25 3.1×
Tacrolimus (80197) $190.40 $238 13.9×
Testosterone total (84403) $130.08 $162.60 5.0×
Testosterone, Free (84402) $150.80 $188.50 5.9×
Thrombin Time (85670) $20.80 $26 3.6×
Thyroglobulin (84432) $174.20 $217.75 10.8×
Thyroglobulin Antibody (86800) $99.73 $124.67 6.3×
Thyroid Stimulating Immunoglobulin (84445) $157.07 $196.33 3.1×
Tiss Trnsgltmnase Ea Ig Clas (86364) $128.52 $160.65 11.1×
Tissue culture bone marrow (88237) $756 $945 5.3×
Topiramate (80201) $93.60 $117 7.9×
Transferase Aspartate Amino Ast Sgot (84450) $41.60 $52 8.0×
Transferrin (84466) $104 $130 8.2×
Trichomonas Vaginalis Amplif (87661) $87.20 $109 2.5×
Triglycerides (84478) $38.24 $47.80 6.7×
Troponin Quant (84484) $144.75 $180.94 11.6×
Tumor Immunohistochem/Manual (88360) $88 $110 0.5×
Urea nitrogen urine (84540) $18.40 $23 3.3×
Urinalysis Microscopic Only (81015) $21.60 $27 7.1×
Urinalysis Volume Measure (81050) $22.40 $28 6.2×
Urine Bacteria Culture (87088) $72.19 $90.23 8.9×
Urine Pregnancy Test (81025)
range across 3 matching MRF lines
$48.25–$54.40 $60.32–$68 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $48.24 $60.29 15.2×
Valproic acid (80164) $117.36 $146.70 8.7×
Vancomycin (80202) $145.52 $181.90 10.7×
Varicella-zoster antibody (86787) $120 $150 9.3×
Very Long Chain Fatty Acids (82726) $39.20 $49 2.0×
Vit D 1 25-Dihydroxy (82652) $221.60 $277 5.8×
Vitamin A (84590) $121.07 $151.33 10.4×
Vitamin b-12 (82607) $60.27 $75.33 4.0×
Vitamin B6 (84207) $89.14 $111.43 3.2×
Vitamin c (82180) $44 $55 4.4×
Vitamin D 25-Hydroxy (82306) $148.52 $185.64 5.0×
Vitamin E (84446) $126.13 $157.67 8.9×
Vitamin K (84597) $133.87 $167.33 9.8×
Von willebrand factor ag (85246) $296.46 $370.57 12.9×
West nile virus ab igm (86788) $102.40 $128 6.1×
West Nile Virus Antibody (86789) $102.40 $128 7.1×
Zinc (84630) $98.20 $122.75 8.6×

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.