Lab & pathology prices at Mount San Rafael Hospital
Trinidad, CO · every code in this section with a posted price and a Medicare benchmark.
627 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | — | $146.50 | — |
| 5 Nucleotidase (83915) | — | $161 | — |
| Abl1 gene analysis kinase domain variants (81170) | — | $2,288 | — |
| Acetylcholine receptor binding antibody (86041) range across 4 matching MRF lines |
— | $590.50–$1,386 | — |
| Acetylcholinesterase Assay (82013) | — | $603 | — |
| Acth (82024) | — | $61 | — |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | — | $565 | — |
| Actin smooth muscle antibody each (86015) range across 4 matching MRF lines |
— | $33.50–$35 | — |
| Acute hepatitis panel (80074) | — | $1,432.50 | — |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | — | $707.50 | — |
| Agglutinins Febrile Each Antigen (86000) | — | $244 | — |
| Albumin Fluid (82042) range across 5 matching MRF lines |
— | $13.50–$135 | — |
| Albumin serum (82040) | — | $95 | — |
| Aldolase (82085) | — | $11.50 | — |
| Aldosterone urine (82088) range across 6 matching MRF lines |
— | $24.50–$201 | — |
| Alkaline phosphatase isoenzymes (84080) range across 6 matching MRF lines |
— | $132–$228.50 | — |
| Allergen spec ige qual multiallergen screen (86005) | — | $121.50 | — |
| Allergen specific ige (86003) range across 119 matching MRF lines |
— | $15.50–$1,011 | — |
| Allergen specific igg (86001) | — | $106 | — |
| Alpha-1-antitrypsin phenotype (82104) | — | $54.50 | — |
| Alpha-1-antitrypsin total (82103) range across 4 matching MRF lines |
— | $137.50–$410 | — |
| Alpha-Fetoprotein Serum (82105) range across 12 matching MRF lines |
— | $23.50–$1,349 | — |
| Alt (sgpt) (84460) range across 4 matching MRF lines |
— | $95–$142 | — |
| Aluminum (82108) | — | $2,750.50 | — |
| Amikacin trough (80150) | — | $172.50 | — |
| Amino Acids 1 Quantitative Each Specimen (82131) | — | $266 | — |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | — | $971.50 | — |
| Amino Acids Quant 2-5 (82136) | — | $412 | — |
| Ammonia (82140) range across 4 matching MRF lines |
— | $68–$237.50 | — |
| Amylase urine (82150) range across 9 matching MRF lines |
— | $18.50–$144 | — |
| Ana Titer (86039) | — | $384 | — |
| Angiotensin converting enzyme csf (82164) range across 4 matching MRF lines |
— | $24.50–$345 | — |
| Anti-Phospholipid Antibody (86148) range across 4 matching MRF lines |
— | $127–$2,396 | — |
| Antibody aspergillus (86606) range across 4 matching MRF lines |
— | $105.50–$323.50 | — |
| Antibody Bacterium Not Elsewhere Specified (86609) | — | $1,570.50 | — |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 6 matching MRF lines |
— | $396–$1,405 | — |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 4 matching MRF lines |
— | $65.50–$107.50 | — |
| Antibody Encephalitis California La Crosse (86651) | — | $127 | — |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 4 matching MRF lines |
— | $74.50–$215.50 | — |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 6 matching MRF lines |
— | $65–$629 | — |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 14 matching MRF lines |
— | $67.50–$177 | — |
| Antibody Fungus Not Elsewhere Specified (86671) range across 5 matching MRF lines |
— | $113–$205 | — |
| Antibody helicobacter pylori (86677) range across 8 matching MRF lines |
— | $130–$456.50 | — |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | — | $476 | — |
| Antibody Herpes Smplx Type 1 (86695) range across 4 matching MRF lines |
— | $63–$151.50 | — |
| Antibody HIV-1&HIV-2 single result (86703) range across 4 matching MRF lines |
— | $26.50–$196 | — |
| Antibody HIV-2 (86702) | — | $507 | — |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 4 matching MRF lines |
— | $638–$967 | — |
| Antibody identification leukocyte antibodies (86021) range across 6 matching MRF lines |
— | $255–$269 | — |
| Antibody neisseria meningitidis (86741) | — | $1,360 | — |
| Antibody Protozoa Nes (86753) range across 6 matching MRF lines |
— | $61–$201 | — |
| Antibody Titer (86886) range across 4 matching MRF lines |
— | $120.50–$374 | — |
| Antibody Treponema Pallidum (86780) range across 17 matching MRF lines |
— | $33.50–$182.50 | — |
| Antibody; encephalitis, st. louis (86653) | — | $127 | — |
| Antinuclear antibodies (86038) range across 20 matching MRF lines |
— | $14.50–$2,062 | — |
| Antistreptolysin O Screen (86063) | — | $93 | — |
| Antistreptolysin o titer (86060) | — | $20.50 | — |
| Antithrombin iii activity (85300) range across 6 matching MRF lines |
— | $95–$362.50 | — |
| Apolipoprotein a1 (82172) range across 16 matching MRF lines |
— | $39–$1,417 | — |
| Aquaporin-4 Antb Elisa (86051) | — | $3,735.50 | — |
| Arsenic (82175) range across 10 matching MRF lines |
— | $187.50–$348.50 | — |
| Aspa gene analysis common variants (81200) range across 11 matching MRF lines |
— | $146.50–$2,672 | — |
| Assay activated protein c (85307) range across 4 matching MRF lines |
— | $187–$227 | — |
| Assay Blood Carbon Dioxide (82374) range across 4 matching MRF lines |
— | $13.50–$116.50 | — |
| Assay myeloperoxidase (83876) | — | $367 | — |
| Assay Nephelometry Not Spec (83883) range across 6 matching MRF lines |
— | $95–$479 | — |
| Assay of 5-hiaa (83497) | — | $336 | — |
| Assay of blood/uric acid (84550) range across 10 matching MRF lines |
— | $14–$665 | — |
| Assay of calcium in urine (82340) range across 8 matching MRF lines |
— | $21.50–$303 | — |
| Assay of cpk in blood (82552) | — | $28 | — |
| Assay of estrone (82679) | — | $50.50 | — |
| Assay of feces for trypsin (84490) | — | $291 | — |
| Assay of g6pd enzyme (82955) range across 8 matching MRF lines |
— | $37.50–$184 | — |
| Assay of gammaglobulin igm (82784) range across 27 matching MRF lines |
— | $13.50–$2,599 | — |
| Assay of lactic acid (83605) | — | $169.50 | — |
| Assay of manganese (83785) | — | $441 | — |
| Assay of metanephrines (83835) range across 6 matching MRF lines |
— | $68–$440 | — |
| Assay of phosphatase acid total (84060) | — | $108.50 | — |
| Assay of phosphatase alkaline heat stable (84078) | — | $91.50 | — |
| Assay of proinsulin (84206) | — | $1,026.50 | — |
| Assay of prostate specific antigen complexed (84152) | — | $68 | — |
| Assay of pyruvate (84210) | — | $5.50 | — |
| Assay of serotonin (84260) range across 4 matching MRF lines |
— | $62–$247 | — |
| Assay of serum potassium (84132) | — | $82 | — |
| Assay of urea nitrogen (84520) | — | $78.50 | — |
| Assay of urine vma (84585) | — | $63 | — |
| Assay of vasoactive intestinal peptide (84586) range across 4 matching MRF lines |
— | $419.50–$424.50 | — |
| Assay of vitamin b-1 (84425) | — | $85.50 | — |
| Assay Ph Body Fluid Nos (83986) range across 6 matching MRF lines |
— | $51.50–$186.50 | — |
| Automated Leukocyte Count (85048) | — | $53.50 | — |
| B cells total count (86355) range across 5 matching MRF lines |
— | $95–$1,139 | — |
| Bartonella antibody (86611) | — | $75 | — |
| Bcr/abl1 gene major bp (81206) range across 4 matching MRF lines |
— | $1,768–$2,102.50 | — |
| Beta 2 glycoprotein i antibody each (86146) range across 8 matching MRF lines |
— | $62–$744.50 | — |
| Beta hydroxybutyrate (82010) range across 6 matching MRF lines |
— | $126–$1,160.50 | — |
| Beta Lactamase (87185) | — | $135 | — |
| Beta-2 Microglobulin (82232) range across 4 matching MRF lines |
— | $54–$491.50 | — |
| Bile acids total (82239) | — | $76 | — |
| Bilirubin direct (82248) | — | $94 | — |
| Bilirubin total (82247) range across 8 matching MRF lines |
— | $22.50–$95 | — |
| Blastomyces antibody (86612) | — | $388.50 | — |
| Bleeding time test (85002) | — | $120.50 | — |
| Blood count reticulocyte automated (85045) range across 4 matching MRF lines |
— | $20–$82 | — |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | — | $118.50 | — |
| Blood count spun microhematocrit (85013) range across 4 matching MRF lines |
— | $7–$54.50 | — |
| Blood gas (82803) range across 6 matching MRF lines |
— | $349.50–$709 | — |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | — | $325 | — |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 4 matching MRF lines |
— | $18–$50.50 | — |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 4 matching MRF lines |
— | $108.50–$533 | — |
| Blood typing serologic abo (86900) | — | $102 | — |
| Bordetella antibody (86615) range across 8 matching MRF lines |
— | $104.50–$624.50 | — |
| Brca1 Gene Analysis Known Familial Variant (81215) | — | $1,821.50 | — |
| Brca1&2 gen full seq dup/del (81162) range across 6 matching MRF lines |
— | $10,034–$13,200 | — |
| Brucella antibody (86622) | — | $46 | — |
| C diff amplified probe (87493) | — | $337 | — |
| C-Peptide (84681) | — | $126 | — |
| C-reactive protein (86140) range across 3 matching MRF lines |
— | $103–$161 | — |
| Ca 19-9 (86301) range across 4 matching MRF lines |
— | $62.50–$215.50 | — |
| Cadmium (82300) range across 4 matching MRF lines |
— | $238.50–$282.50 | — |
| Calcitonin (82308) range across 4 matching MRF lines |
— | $62–$79 | — |
| Calcium ionized (82330) | — | $199 | — |
| Calcium total (82310) | — | $123 | — |
| Calculus assay quant (82360) | — | $56 | — |
| Calculus Spectroscopy (82365) | — | $163.50 | — |
| Calprotectin Fecal (83993) | — | $855 | — |
| Calr gene com variants (81219) | — | $2,327 | — |
| Cancer Antigen 125 (86304) | — | $286.50 | — |
| Cancer Antigen 27.29 (86300) range across 6 matching MRF lines |
— | $18–$328 | — |
| Candida antibody (86628) | — | $694 | — |
| Candida Dna Dir Probe (87480) | — | $369.50 | — |
| Carbamazepine free (80157) range across 3 matching MRF lines |
— | $131–$143 | — |
| Carbamazepine total (80156) range across 6 matching MRF lines |
— | $144–$262 | — |
| Carbohydrate Deficient Transferrin (82373) | — | $869 | — |
| Carboxyhemoglobin (82375) range across 4 matching MRF lines |
— | $277–$284.50 | — |
| Carcinoembryonic antigen (82378) | — | $19 | — |
| Cardiolipin ab iga (86147) range across 8 matching MRF lines |
— | $69.50–$247.50 | — |
| Carnitine Quantitative Each Specimen (82379) | — | $258 | — |
| Carotene (82380) | — | $162 | — |
| Catecholamines fractionated (82384) range across 10 matching MRF lines |
— | $43.50–$242 | — |
| Ccp antibody (86200) range across 8 matching MRF lines |
— | $57–$511 | — |
| Cell count csf (89051) range across 8 matching MRF lines |
— | $190.50–$533 | — |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 4 matching MRF lines |
— | $349.50–$404 | — |
| Ceruloplasmin (82390) | — | $23.50 | — |
| Cftr gene com variants (81220) | — | $5,641.50 | — |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
— | $256–$895.50 | — |
| Chlamydia antibody (86631) | — | $225 | — |
| Chloride Serum (82435) | — | $69 | — |
| Chloride urine (82436) range across 8 matching MRF lines |
— | $19.50–$454.50 | — |
| Cholesterol total (82465) | — | $90.50 | — |
| Cholinesterase Serum (82480) | — | $145.50 | — |
| Chorionic gonadotropin test (84702) range across 6 matching MRF lines |
— | $281.50–$520.50 | — |
| Chromium serum (82495) | — | $495.50 | — |
| Chromogranin a (86316) | — | $886.50 | — |
| Chromosome Analysis 15-20 (88262) | — | $1,159.50 | — |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 11 matching MRF lines |
— | $80–$2,630.50 | — |
| Citric acid urine (82507) range across 4 matching MRF lines |
— | $450–$751.50 | — |
| Ckmb (82553) range across 4 matching MRF lines |
— | $317.50–$359.50 | — |
| Clostridium Difficile (87324) | — | $211 | — |
| Clot Factor VIII Multimetric (85247) range across 4 matching MRF lines |
— | $135–$170.50 | — |
| Clot retraction (85170) | — | $74 | — |
| Clotting factor xii hageman (85280) | — | $822.50 | — |
| Cns DNA amp probe type 12-25 (87483) range across 4 matching MRF lines |
— | $1,399.50–$1,470 | — |
| Coccidioides antibody (86635) range across 4 matching MRF lines |
— | $228.50–$403.50 | — |
| Cold agglutinin screen (86156) | — | $120.50 | — |
| Cold agglutinin titer (86157) | — | $21.50 | — |
| Collagen crosslinks (82523) range across 12 matching MRF lines |
— | $82–$771.50 | — |
| Column Chromotography Quant (82542) range across 14 matching MRF lines |
— | $95–$1,229.50 | — |
| Compatibility test antiglob (86922) | — | $178 | — |
| Complement Antigen Each Component (86160) range across 20 matching MRF lines |
— | $32–$806 | — |
| Complement Total (Ch50) (86162) range across 4 matching MRF lines |
— | $254–$260 | — |
| Complement/Function Activity (86161) range across 4 matching MRF lines |
— | $119.50–$888.50 | — |
| Consltj Compre Review Reprt Referred Matrl (88325) | — | $72 | — |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | — | $947 | — |
| Coombs direct (86880) range across 4 matching MRF lines |
— | $117.50–$3,089.50 | — |
| Copper urine (82525) range across 8 matching MRF lines |
— | $83–$381.50 | — |
| Cortisol free (82530) range across 6 matching MRF lines |
— | $39.50–$345.50 | — |
| Cortisol saliva (82533) range across 16 matching MRF lines |
— | $26–$534 | — |
| Creatine (82540) | — | $97 | — |
| Creatine kinase total (82550) range across 6 matching MRF lines |
— | $17.50–$638.50 | — |
| Creatinine blood (82565) | — | $68 | — |
| Creatinine clearance (82575) | — | $208 | — |
| Creatinine Urine (82570) range across 8 matching MRF lines |
— | $28–$125 | — |
| Crp High Sensitivity (86141) | — | $39.50 | — |
| Cryofibrinogen (82585) | — | $10 | — |
| Cryoglobulin (82595) | — | $25.50 | — |
| Cryptococcus ag titer (87899) range across 6 matching MRF lines |
— | $69–$426.50 | — |
| Cryptosporidium ag eia (87328) | — | $201 | — |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
— | $41.50–$65 | — |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | — | $53.50 | — |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | — | $1,133 | — |
| Culture afb (87116) range across 6 matching MRF lines |
— | $156–$356 | — |
| Culture Anaerobic (87075) | — | $83 | — |
| Culture blood (87040) | — | $384 | — |
| Culture chlamydia (87110) | — | $44.50 | — |
| Culture csf (87070) range across 15 matching MRF lines |
— | $54.50–$596 | — |
| Culture fungus (87102) range across 4 matching MRF lines |
— | $68–$126 | — |
| Culture fungus blood (87103) | — | $382.50 | — |
| Culture screen only (87081) range across 10 matching MRF lines |
— | $53.50–$379.50 | — |
| Culture stool (87045) range across 6 matching MRF lines |
— | $42.50–$336 | — |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | — | $17.50 | — |
| Culture urine (87086) | — | $140 | — |
| Cyanide (82600) | — | $397.50 | — |
| Cyclosporine (80158) | — | $68 | — |
| Cyp2c9 gene com variants (81227) | — | $1,926 | — |
| Cystatin C (82610) | — | $201 | — |
| Cytomegalovirus igg (86644) range across 6 matching MRF lines |
— | $61.50–$125 | — |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | — | $243 | — |
| Cytopath Cell Enhance Tech (88112) range across 3 matching MRF lines |
— | $140–$245 | — |
| Cytp Concentration Smears & Interpretation (88108) range across 6 matching MRF lines |
— | $227–$244 | — |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 4 matching MRF lines |
— | $285.50–$632.50 | — |
| Cytp Slides C/V Mnl Scr Under Phys (88150) range across 4 matching MRF lines |
— | $54.50–$87.50 | — |
| Cytp smrs any oth src extnd std > 5 slides (88162) range across 4 matching MRF lines |
— | $252.50–$434 | — |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | — | $150.50 | — |
| Deoxyribonuclease antibody (86215) | — | $117.50 | — |
| Detect Agent Nos Dna Amp (87798) range across 39 matching MRF lines |
— | $186.50–$1,842.50 | — |
| Detect Agent Nos Dna Quant (87799) range across 6 matching MRF lines |
— | $615.50–$1,212 | — |
| Dhea (82626) range across 4 matching MRF lines |
— | $26.50–$404 | — |
| Dhea-S (82627) | — | $63 | — |
| Digoxin (80162) range across 4 matching MRF lines |
— | $56.50–$236.50 | — |
| Digoxin free (80163) | — | $146.50 | — |
| Dihydrotestosterone (82642) | — | $454.50 | — |
| Dipropylacetic Acid Free (80165) | — | $91.50 | — |
| Dna Antibody Native/Double Stranded (86225) range across 10 matching MRF lines |
— | $29–$230.50 | — |
| DNA/RNA direct probe (87149) | — | $382.50 | — |
| Dpyd gene common variants (81232) | — | $1,544 | — |
| Drug Assay Amiodarone (80151) | — | $118 | — |
| Drug Assay Everolimus (80169) | — | $277 | — |
| Drug Assay Infliximab (80230) | — | $1,759.50 | — |
| Drug Screen Quant Clozapine (80159) | — | $144 | — |
| Drug Screen Quant Zonisamide (80203) | — | $403 | — |
| Drug Screen Quantitative Lamotrigine (80175) | — | $50.50 | — |
| Drug Screen Quantitative Oxcarbazepine (80183) | — | $37 | — |
| Drug Test Prsmv Chem Anlyzr (80307) range across 26 matching MRF lines |
— | $23.50–$1,808 | — |
| Drug Test Prsmv Instrmnt (80306) | — | $75 | — |
| Ehrlichia antibody (86666) | — | $453.50 | — |
| Electrolyte panel (80051) range across 4 matching MRF lines |
— | $15–$186.50 | — |
| Encephaltis East Eqne Anbdy (86652) | — | $127 | — |
| Encephaltis West Eqne Antbdy (86654) | — | $127 | — |
| Enterovirus Antibody (86658) range across 4 matching MRF lines |
— | $918.50–$1,276 | — |
| Enterovirus PCR (87498) | — | $694 | — |
| Enzyme cell activity (82657) range across 8 matching MRF lines |
— | $38.50–$1,464 | — |
| Enzyme histochemistry (88319) | — | $1,016 | — |
| Eosinophil Smear (89190) | — | $95 | — |
| Erythropoietin (82668) | — | $187.50 | — |
| Estradiol serum (82670) range across 6 matching MRF lines |
— | $83–$179 | — |
| Estriol (82677) | — | $165.50 | — |
| Estrogen total (82672) | — | $32 | — |
| Ethosuximide (80168) | — | $53.50 | — |
| Ethylene Glycol (82693) | — | $65 | — |
| Exam Synovial Fluid Crystals (89060) range across 4 matching MRF lines |
— | $24.50–$142 | — |
| F2 Gene (81240) range across 8 matching MRF lines |
— | $229.50–$7,719 | — |
| Factor ii activity (85210) | — | $222.50 | — |
| Factor Inhibitor Test (85335) | — | $181.50 | — |
| Factor ix activity (85250) | — | $1,021.50 | — |
| Factor v activity (85220) range across 4 matching MRF lines |
— | $187–$227 | — |
| Factor v leiden mutation (81241) range across 7 matching MRF lines |
— | $132–$3,556.50 | — |
| Factor vii assay (85230) | — | $211 | — |
| Factor viii assay (85240) range across 4 matching MRF lines |
— | $222.50–$297.50 | — |
| Factor X (85260) | — | $336 | — |
| Factor xi activity (85270) | — | $822.50 | — |
| Fat stain feces urine/respir secretions (89125) | — | $29 | — |
| Fat/Lipids Feces Quantitative (82710) | — | $262 | — |
| Fatty acids free (82725) range across 4 matching MRF lines |
— | $98.50–$179 | — |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) range across 6 matching MRF lines |
— | $120.50–$4,898.50 | — |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | — | $285.50 | — |
| Fecal Fat Qualitative (82705) | — | $41.50 | — |
| Ferritin (82728) range across 4 matching MRF lines |
— | $29.50–$161 | — |
| Fetal Chrmoml Aneuploidy (81420) range across 4 matching MRF lines |
— | $3,737–$4,170.50 | — |
| Fibrin Degradation Quant (85379) | — | $195 | — |
| Fibrinogen activity (85384) range across 9 matching MRF lines |
— | $36–$1,386 | — |
| Fibrinogen antigen (85385) | — | $322.50 | — |
| Flow cytometry first marker (88184) range across 8 matching MRF lines |
— | $647–$5,022 | — |
| Fluorescent antibody screen (86255) range across 20 matching MRF lines |
— | $76–$2,700 | — |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 9 matching MRF lines |
— | $134–$455 | — |
| Folic acid rbc (82747) | — | $190.50 | — |
| Folic Acid Serum (82746) | — | $186.50 | — |
| Follicle Stimulating Hormone (83001) | — | $168 | — |
| Francisella tularensis (86668) | — | $816 | — |
| Fresh Frozen Plasma Thawing Each Unit (86927) | — | $314.50 | — |
| Fungi Identification Yeast (87106) | — | $82 | — |
| Gammaglobulin ige (82785) range across 6 matching MRF lines |
— | $44.50–$324 | — |
| Gardner vag DNA dir probe (87510) range across 4 matching MRF lines |
— | $104.50–$369.50 | — |
| Gastrin (82941) | — | $26.50 | — |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | — | $1,236.50 | — |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | — | $82 | — |
| Genet Virus Isolate Hsv (87255) | — | $86.50 | — |
| Gentamicin (80170) range across 6 matching MRF lines |
— | $308–$468 | — |
| Ggt (82977) range across 4 matching MRF lines |
— | $95–$149 | — |
| Giardia antigen (87329) range across 4 matching MRF lines |
— | $44.50–$195 | — |
| Giardia lamblia antibody (86674) | — | $609 | — |
| Glucose 2 hr pp (82950) | — | $171.50 | — |
| Glucose Blood Test (82962) range across 4 matching MRF lines |
— | $11.50–$48 | — |
| Glucose body fluid (82945) | — | $76 | — |
| Glucose Serum (82947) | — | $101 | — |
| Glucose tolerance test (gtt) (82951) | — | $364.50 | — |
| Glycated Protein (82985) range across 4 matching MRF lines |
— | $25–$37 | — |
| Gonadotropin Chorionic Qualitative (84703) | — | $181.50 | — |
| Gonadotropin releasing hormone (83727) | — | $736.50 | — |
| Growth hormone (83003) | — | $397.50 | — |
| Growth hormone antibody (86277) | — | $397.50 | — |
| Gtt-added samples (82952) range across 6 matching MRF lines |
— | $30–$78.50 | — |
| H Pylori (C-13) Breath (83013) | — | $630 | — |
| Haloperidol (80173) range across 4 matching MRF lines |
— | $112–$707.50 | — |
| Haptoglobin (83010) range across 4 matching MRF lines |
— | $95–$132 | — |
| Hba1/Hba2 Gene (81257) | — | $1,495.50 | — |
| Hbb Full Gene Sequence (81364) | — | $2,845.50 | — |
| Hdl Cholesterol (83718) range across 4 matching MRF lines |
— | $39.50–$154.50 | — |
| Helicobacter Pylori Stool (87338) | — | $926.50 | — |
| Helminth Antibody (86682) range across 6 matching MRF lines |
— | $237.50–$653.50 | — |
| Hematocrit (85014) | — | $57 | — |
| Hemoglobin (85018) range across 5 matching MRF lines |
— | $11.50–$184 | — |
| Hemoglobin a1c (83036) range across 9 matching MRF lines |
— | $24–$126 | — |
| Hemoglobin Chromotography (83021) range across 6 matching MRF lines |
— | $46–$224 | — |
| Hemoglobin electrophoresis (83020) | — | $123 | — |
| Hemoglobin Methemoglobin Quantitative (83050) | — | $39.50 | — |
| Hemoglobin plasma (83051) | — | $42.50 | — |
| Hemosiderin urine (83070) | — | $181.50 | — |
| Hep a ab igm (86709) | — | $171.50 | — |
| Heparin assay (85520) range across 4 matching MRF lines |
— | $274.50–$822.50 | — |
| Hepatitis a antibody total (86708) range across 4 matching MRF lines |
— | $14.50–$118.50 | — |
| Hepatitis b core ab igm (86705) range across 6 matching MRF lines |
— | $14.50–$2,144.50 | — |
| Hepatitis b core ab total (86704) range across 10 matching MRF lines |
— | $14.50–$360.50 | — |
| Hepatitis B Surface Antibody (86706) | — | $314.50 | — |
| Hepatitis B Surface Antigen (87340) range across 4 matching MRF lines |
— | $13.50–$155.50 | — |
| Hepatitis Be Antibody (86707) | — | $327 | — |
| Hepatitis Be Antigen (87350) | — | $13.50 | — |
| Hepatitis C Antibody (86803) range across 9 matching MRF lines |
— | $23–$2,245.50 | — |
| Hepatitis C Genotype (87902) range across 6 matching MRF lines |
— | $581–$2,777 | — |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 6 matching MRF lines |
— | $284.50–$3,889.50 | — |
| Hepatitis C Revrs Trnscrpj (87522) range across 14 matching MRF lines |
— | $541–$2,001 | — |
| Hepatitis Delta Agent Antibody (86692) range across 4 matching MRF lines |
— | $211–$312 | — |
| Herpes simplex type 2 (86696) range across 8 matching MRF lines |
— | $108.50–$495.50 | — |
| Heterophile Antibody Screen (86308) range across 6 matching MRF lines |
— | $40–$132 | — |
| Hfe Gene (81256) | — | $433 | — |
| Histamine urine (83088) | — | $1,182 | — |
| Histoplasma antibody (86698) | — | $95 | — |
| Hiv Genotype (87901) | — | $1,367.50 | — |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 8 matching MRF lines |
— | $25–$291 | — |
| Hiv-1 Antibody (86701) | — | $182.50 | — |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 10 matching MRF lines |
— | $454.50–$2,216 | — |
| HIV-2 probe&revrse trnscripj (87538) | — | $776 | — |
| Hla Class I Typing High Resolution Complete (81379) | — | $1,638 | — |
| Hla class i&ii antibody qual (86828) range across 4 matching MRF lines |
— | $437–$1,175.50 | — |
| Hla class ii typing high resolution one locus ea (81382) | — | $2,271 | — |
| Hla I Low Resolution One Antigen Equivalent Each (81374) range across 6 matching MRF lines |
— | $90.50–$125 | — |
| Hla I Typing 1 Allele Hr (81381) range across 4 matching MRF lines |
— | $390.50–$1,529 | — |
| Hla ii type 1 ag equiv lr (81377) | — | $590.50 | — |
| Hla ii typing 1 locus lr (81376) range across 4 matching MRF lines |
— | $406–$1,049 | — |
| Hla Typing Dr/Dq Multiple Antigens (86817) | — | $421 | — |
| Hla-b27 (86812) | — | $208 | — |
| Homocysteine (83090) | — | $165.50 | — |
| Homogenization Tissue (87176) | — | $228.50 | — |
| Homovanillic acid urine (83150) | — | $499 | — |
| Hpv High-Risk Types (87624) range across 4 matching MRF lines |
— | $62–$195 | — |
| Hpv Types 16 & 18 Only (87625) | — | $301 | — |
| Hsv Dna Amp Probe (87529) range across 9 matching MRF lines |
— | $152.50–$2,964 | — |
| Htlv-I Antibody (86687) | — | $235.50 | — |
| Htlv-ii antibody (86688) | — | $235.50 | — |
| Htt Gene Detc Abnor Alleles (81271) | — | $1,353 | — |
| Hydroxyprogesterone 17-d (83498) range across 4 matching MRF lines |
— | $151.50–$284 | — |
| Iaad Ia Entamoeba Histolytica Grp (87337) | — | $65 | — |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | — | $299.50 | — |
| Iaad ia shiga-like toxin (87427) | — | $169.50 | — |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | — | $128 | — |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | — | $308 | — |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 4 matching MRF lines |
— | $306–$909 | — |
| Iadna Cytomegalovirus Quantification (87497) | — | $389.50 | — |
| Iadna Hepatitis B Virus Quantification (87517) range across 7 matching MRF lines |
— | $428.50–$3,209 | — |
| Iadna Multiple Organisms Direct Probe Tq (87800) | — | $145.50 | — |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | — | $388.50 | — |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 6 matching MRF lines |
— | $40–$118.50 | — |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | — | $1,986 | — |
| Ig Light Chains Free Each (83521) | — | $549 | — |
| Igg subclasses (82787) range across 4 matching MRF lines |
— | $477–$492.50 | — |
| Immunfix e-phorsis/urine/csf (86335) range across 7 matching MRF lines |
— | $79–$641.50 | — |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 21 matching MRF lines |
— | $109.50–$4,230.50 | — |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 12 matching MRF lines |
— | $14.50–$2,241 | — |
| Immunoassay nonantibody (83516) range across 47 matching MRF lines |
— | $26.50–$8,164.50 | — |
| Immunodiffusion Ouchterlony (86331) range across 6 matching MRF lines |
— | $65–$462.50 | — |
| Immunofixation electrophoresis (86334) | — | $285.50 | — |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 4 matching MRF lines |
— | $304.50–$874.50 | — |
| Immunohistochemistry (88342) range across 4 matching MRF lines |
— | $200–$385 | — |
| In situ hybridization 1st probe stain (88365) | — | $639.50 | — |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) | — | $434 | — |
| Influenza a/b ag eia (87400) | — | $169.50 | — |
| Inhibin A (86336) range across 4 matching MRF lines |
— | $117.50–$416 | — |
| Inhibin b (83520) range across 50 matching MRF lines |
— | $72–$2,933 | — |
| Insulin antibodies (86337) | — | $304.50 | — |
| Insulin free (83527) | — | $56 | — |
| Insulin total (83525) range across 6 matching MRF lines |
— | $17.50–$443.50 | — |
| Intrinsic factor antibody (86340) | — | $163.50 | — |
| Iron (83540) range across 4 matching MRF lines |
— | $30.50–$104.50 | — |
| Iron Binding Capacity (83550) range across 4 matching MRF lines |
— | $82–$307 | — |
| Islet cell antibody (86341) range across 11 matching MRF lines |
— | $184.50–$909 | — |
| Jak2 gene analysis p.val617phe variant (81270) range across 7 matching MRF lines |
— | $832–$1,480 | — |
| Jak2 Gene Trgt Sequence Alys (81279) | — | $2,116 | — |
| Ketosteroids 17 total (83586) | — | $146.50 | — |
| Koh Prep (87220) range across 6 matching MRF lines |
— | $25.50–$107.50 | — |
| Lactate (ld) (ldh) enzyme (83615) range across 6 matching MRF lines |
— | $12.50–$99.50 | — |
| Lactoferrin Fecal Quantitative (83631) range across 4 matching MRF lines |
— | $123–$232.50 | — |
| Ldh Isoenzymes (83625) | — | $78.50 | — |
| LDL direct (83721) range across 5 matching MRF lines |
— | $29–$78.50 | — |
| Lead (83655) range across 8 matching MRF lines |
— | $19–$75 | — |
| Legionella antibody (86713) | — | $472 | — |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
— | $83–$132 | — |
| Legionella pneumophila dfa (87278) | — | $206 | — |
| Leptospira antibody (86720) | — | $133 | — |
| Leukocyte Assessment Fecal (89055) | — | $93 | — |
| Level I Surg Pathology Gross Examination Only (88300) | — | $290 | — |
| Level ii surg pathology grossµscopic exam (88302) | — | $209 | — |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | — | $683.50 | — |
| Lipase (83690) range across 4 matching MRF lines |
— | $18.50–$226 | — |
| Lipoprotein A (83695) | — | $97 | — |
| Lipoprotein Bld Quan Part (83704) range across 4 matching MRF lines |
— | $359.50–$396 | — |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | — | $195 | — |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | — | $471 | — |
| Lipoprotein-Associated Phospholipase A2 (83698) range across 6 matching MRF lines |
— | $154–$308 | — |
| Listeria Monocytogenes (86723) | — | $650.50 | — |
| Lithium (80178) | — | $19 | — |
| Liver ds alys 3 bmrk srm alg (81517) | — | $1,583 | — |
| Luteinizing Hormone (Lh) (83002) | — | $19 | — |
| Lyme disease antibody (86618) range across 6 matching MRF lines |
— | $87.50–$178 | — |
| Lysozyme serum (85549) range across 5 matching MRF lines |
— | $63.50–$462.50 | — |
| M. Genitalium Amp Probe (87563) | — | $291 | — |
| Macroscopic exam arthropod (87168) | — | $68 | — |
| Macroscopic Exam Parasite (87169) | — | $23.50 | — |
| Magnesium Urine (83735) range across 8 matching MRF lines |
— | $20–$132 | — |
| Mass Spectrometry Quant (83789) range across 10 matching MRF lines |
— | $209–$288.50 | — |
| Mercury urine (83825) range across 4 matching MRF lines |
— | $78.50–$106.50 | — |
| Methylmalonic acid serum (83921) range across 6 matching MRF lines |
— | $64–$339 | — |
| Microalbumin, quantitative (82043) range across 6 matching MRF lines |
— | $24.50–$85.50 | — |
| Microsomal Antibodies Each (86376) range across 12 matching MRF lines |
— | $43.50–$487 | — |
| Mog-Igg1 Antb Cba Each (86362) | — | $3,173.50 | — |
| Molecular Cytogenetics Dna Probe Each (88271) | — | $2,380.50 | — |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | — | $1,158.50 | — |
| Mopath procedure level 1 (81400) | — | $822.50 | — |
| Mopath procedure level 2 (81401) | — | $1,419.50 | — |
| Mopath procedure level 5 (81404) | — | $5,503.50 | — |
| Mopath procedure level 9 (81408) | — | $12,800 | — |
| Mpl gene common variants (81338) range across 4 matching MRF lines |
— | $2,246.50–$2,538 | — |
| Mthfr Gene Analysis Common Variants (81291) | — | $403 | — |
| Mucin Clot Body Fluid (83872) | — | $39.50 | — |
| Mumps antibody (86735) range across 6 matching MRF lines |
— | $14.50–$133 | — |
| Mycophenolic Acid (80180) | — | $342 | — |
| Mycoplasma antibody (86738) | — | $42.50 | — |
| Mycoplasma culture (87109) range across 4 matching MRF lines |
— | $62.50–$90.50 | — |
| Myoglobin urine (83874) | — | $230.50 | — |
| Natriuretic peptide (83880) range across 6 matching MRF lines |
— | $275–$568 | — |
| Neutralization Test Viral (86382) | — | $291 | — |
| Nfct Agent Genotype Hepatitis B Virus (87912) | — | $1,261.50 | — |
| Nfct ds chrnc hcv 6 assays (81596) | — | $544 | — |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | — | $897.50 | — |
| Niacin (84591) range across 5 matching MRF lines |
— | $362.50–$926.50 | — |
| Nickel level (83885) | — | $184.50 | — |
| Nk cells total count (86357) | — | $95 | — |
| Nuclear antigen antibody (86235) range across 37 matching MRF lines |
— | $46–$8,858 | — |
| Occult blood feces (82272) | — | $32 | — |
| Occult Blood Other Sources (82271) range across 4 matching MRF lines |
— | $18–$54.50 | — |
| Oligoclonal bands (83916) | — | $127 | — |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | — | $1,119.50 | — |
| Organic acids urine (83918) | — | $1,598 | — |
| Osmolality serum (83930) | — | $132 | — |
| Osmolality Urine (83935) | — | $28 | — |
| Ova and parasites smears (87177) | — | $170.50 | — |
| Oxalate urine (83945) range across 4 matching MRF lines |
— | $348–$600 | — |
| Pancreatic Elastase Fecal (82656) range across 4 matching MRF lines |
— | $69–$506 | — |
| Particle Agglutination Screen Each Antibody (86403) | — | $140 | — |
| Parvovirus antibody (86747) range across 4 matching MRF lines |
— | $117.50–$291 | — |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | — | $1,056.50 | — |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | — | $1,671.50 | — |
| Ph urine (81003) | — | $50.50 | — |
| Phenobarbital Level (80184) | — | $56 | — |
| Phenotype Infect Agent Drug (87900) range across 4 matching MRF lines |
— | $897.50–$3,179 | — |
| Phenylalanine (84030) range across 6 matching MRF lines |
— | $17–$310.50 | — |
| Phenytoin (Dilantin) (80185) range across 4 matching MRF lines |
— | $87.50–$237.50 | — |
| Phenytoin free (80186) range across 4 matching MRF lines |
— | $38.50–$108.50 | — |
| Phosphatase acid prostatic (84066) | — | $162 | — |
| Phosphatase alkaline (84075) | — | $95 | — |
| Phospholipid Neutralization Hexagonal (85598) range across 6 matching MRF lines |
— | $2,631.50–$3,626.50 | — |
| Phosphorus Serum (84100) range across 4 matching MRF lines |
— | $14–$76 | — |
| Phosphorus urine (84105) | — | $138 | — |
| Pinworm exam (87172) | — | $82 | — |
| Platelet Aggregation (85576) | — | $50.50 | — |
| Platelet count automated (85049) | — | $95 | — |
| Porphobilinogen, urine; quantitative (84110) | — | $46 | — |
| Porphyrins Urine Quantitation & Fractionation (84120) | — | $181.50 | — |
| Potassium Urine (84133) range across 4 matching MRF lines |
— | $105.50–$138 | — |
| Prealbumin (84134) | — | $19 | — |
| Pregnenolone (84140) | — | $343 | — |
| Primidone (80188) range across 4 matching MRF lines |
— | $40.50–$182.50 | — |
| Procalcitonin (Pct) (84145) range across 4 matching MRF lines |
— | $264–$1,086 | — |
| Progesterone (84144) | — | $18 | — |
| Prolactin (84146) range across 4 matching MRF lines |
— | $19–$105.50 | — |
| Prostaglandin (84150) | — | $1,100.50 | — |
| Protein body fluid (84157) | — | $12.50 | — |
| Protein C Activity (85303) range across 6 matching MRF lines |
— | $78.50–$768.50 | — |
| Protein c antigen (85302) | — | $26.50 | — |
| Protein Electrophoresis Urine (84166) range across 6 matching MRF lines |
— | $38.50–$505 | — |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 10 matching MRF lines |
— | $29–$332.50 | — |
| Protein S Free (85306) range across 4 matching MRF lines |
— | $146.50–$359.50 | — |
| Protein s total (85305) | — | $371 | — |
| Protein total serum (84155) range across 14 matching MRF lines |
— | $33.50–$309 | — |
| Protein Total Urine (84156) range across 4 matching MRF lines |
— | $118.50–$183 | — |
| Protoporphyrin rbc quantitative (84202) | — | $116.50 | — |
| PSA free (84154) | — | $323.50 | — |
| Pth Intact (83970) range across 5 matching MRF lines |
— | $210–$306 | — |
| Pyruvate kinase (84220) | — | $393 | — |
| Q Fever Antibody (86638) range across 4 matching MRF lines |
— | $91–$2,042.50 | — |
| Quantiferon tb gold plus (86480) range across 6 matching MRF lines |
— | $231.50–$294.50 | — |
| Quantitative assay drug (80299) range across 31 matching MRF lines |
— | $83.50–$1,261.50 | — |
| Quantitative Screen Metals (83018) | — | $372.50 | — |
| Rbc antibody elution (86860) | — | $304.50 | — |
| Rbc antibody identification (86870) | — | $451 | — |
| Rbc antibody screen (86850) range across 4 matching MRF lines |
— | $186.50–$273 | — |
| Reagent Strip/Blood Glucose (82948) range across 4 matching MRF lines |
— | $19–$56 | — |
| Renin activity plasma (84244) | — | $257 | — |
| Reptilase test (85635) range across 4 matching MRF lines |
— | $611–$1,635.50 | — |
| Resp virus 12-25 targets (87633) | — | $714 | — |
| Reticulocyte Count Manual (85044) | — | $82 | — |
| Rh (86901) | — | $101 | — |
| Rheumatoid Factor Qualitative (86430) | — | $109.50 | — |
| Rheumatoid factor quant (86431) range across 8 matching MRF lines |
— | $22–$358.50 | — |
| Rickettsia antibody (86757) range across 8 matching MRF lines |
— | $47.50–$211.50 | — |
| Ristocetin cofactor (85245) | — | $476 | — |
| Rotavirus ag eia (87425) | — | $548.50 | — |
| Rpr qualitative (86592) range across 6 matching MRF lines |
— | $9.50–$14.50 | — |
| Rubella Antibody (86762) | — | $13.50 | — |
| Rubeola antibody (86765) range across 8 matching MRF lines |
— | $38.50–$446.50 | — |
| Russell Viper Venom Time Diluted (85613) range across 5 matching MRF lines |
— | $208–$221.50 | — |
| Salicylate Level (80179) | — | $89 | — |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | — | $250 | — |
| Sars-cov-2 COVID-19 antibody (86769) range across 4 matching MRF lines |
— | $213–$350.50 | — |
| Sedimentation rate (85651) | — | $95 | — |
| Selenium (84255) | — | $572 | — |
| Semen analysis complete (89320) | — | $213 | — |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | — | $135 | — |
| Sensitivity mic (87186) range across 4 matching MRF lines |
— | $128–$275 | — |
| Serpina 1 gene (81332) range across 4 matching MRF lines |
— | $989.50–$1,248.50 | — |
| Sex Hormone Binding Globulin (84270) | — | $91.50 | — |
| Sickling of rbc reduction (85660) range across 6 matching MRF lines |
— | $20.50–$41.50 | — |
| Sirolimus (80195) | — | $88.50 | — |
| Skin test tuberculosis intradermal (86580) range across 6 matching MRF lines |
— | $38.50–$76 | — |
| Smear acid fast (87206) | — | $117.50 | — |
| Smear gram stain (87205) range across 4 matching MRF lines |
— | $29–$91.50 | — |
| Smear Special Stain (87207) range across 6 matching MRF lines |
— | $56–$440 | — |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 6 matching MRF lines |
— | $25.50–$91.50 | — |
| Sodium Serum (84295) | — | $78.50 | — |
| Sodium Urine (84300) range across 4 matching MRF lines |
— | $14–$134 | — |
| Soluble Transferrin Receptor (84238) | — | $395 | — |
| Somatomedin (84305) range across 4 matching MRF lines |
— | $34–$113 | — |
| Special Stains Group 1 (88312) | — | $248.50 | — |
| Special Stains Group 2 (88313) | — | $238.50 | — |
| Specimen infect agnt concntj (87015) range across 4 matching MRF lines |
— | $231.50–$411 | — |
| Stool cultr aerobic bact ea (87046) range across 6 matching MRF lines |
— | $121.50–$260 | — |
| Strep a assay w/optic (87880) range across 4 matching MRF lines |
— | $118.50–$120.50 | — |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | — | $500 | — |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | — | $170.50 | — |
| Sugars Single Qual (84376) range across 6 matching MRF lines |
— | $170.50–$251.50 | — |
| Surg path level iii (88304) | — | $390.50 | — |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
— | $254–$345 | — |
| Surgical pathology level vi (88309) | — | $790 | — |
| Syphilis Test Non-Trep Quant (86593) | — | $25.50 | — |
| T cells absolute cd4 count (86361) | — | $111 | — |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 4 matching MRF lines |
— | $187.50–$251.50 | — |
| T cells total count (86359) | — | $1,369.50 | — |
| T3 Free (84481) range across 4 matching MRF lines |
— | $90.50–$190.50 | — |
| T3 reverse (84482) | — | $194 | — |
| T3 Total (84480) range across 4 matching MRF lines |
— | $19–$382.50 | — |
| T3 Uptake (84479) | — | $163.50 | — |
| T4 Free (84439) range across 6 matching MRF lines |
— | $30.50–$137 | — |
| T4 total (84436) range across 10 matching MRF lines |
— | $22.50–$138 | — |
| Tacrolimus (80197) range across 4 matching MRF lines |
— | $184.50–$323.50 | — |
| Testosterone Bioavailable (84410) range across 6 matching MRF lines |
— | $248.50–$1,310.50 | — |
| Testosterone total (84403) | — | $162 | — |
| Testosterone, Free (84402) range across 8 matching MRF lines |
— | $34–$1,561.50 | — |
| Tetanus antibody (86774) | — | $418.50 | — |
| Theophylline (80198) | — | $196 | — |
| Thrombin Time (85670) range across 4 matching MRF lines |
— | $102–$184.50 | — |
| Thyroglobulin (84432) range across 8 matching MRF lines |
— | $126–$374.50 | — |
| Thyroglobulin Antibody (86800) range across 6 matching MRF lines |
— | $37.50–$568.50 | — |
| Thyroid Stimulating Immunoglobulin (84445) | — | $203 | — |
| Thyroxine binding globulin (84442) range across 5 matching MRF lines |
— | $84–$99.50 | — |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | — | $43.50 | — |
| Tissue Culture Lymphocyte (88230) range across 4 matching MRF lines |
— | $728–$1,259 | — |
| Tobramycin peak (80200) | — | $342 | — |
| Topiramate (80201) range across 4 matching MRF lines |
— | $229.50–$605.50 | — |
| Toxoplasma antibody (86777) | — | $53.50 | — |
| Transferase Aspartate Amino Ast Sgot (84450) range across 4 matching MRF lines |
— | $67–$123 | — |
| Transferrin (84466) | — | $127 | — |
| Trb@ Rearrangement Anal Amplification Method (81340) | — | $1,765.50 | — |
| Trichinella Antibody (86784) | — | $384 | — |
| Trichomonas Vaginalis Amplif (87661) range across 4 matching MRF lines |
— | $242–$699 | — |
| Triglycerides (84478) range across 4 matching MRF lines |
— | $12.50–$142 | — |
| Troponin Quant (84484) | — | $286.50 | — |
| Troponin, qualitative (84512) | — | $224 | — |
| Tumor Immunohistochem/Manual (88360) range across 8 matching MRF lines |
— | $192–$1,505.50 | — |
| Urea Nitrogen Clearance (84545) | — | $25.50 | — |
| Uric acid other source (84560) range across 6 matching MRF lines |
— | $15.50–$138 | — |
| Urinalysis Microscopic Only (81015) | — | $74 | — |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | — | $42.50 | — |
| Urinalysis Volume Measure (81050) range across 4 matching MRF lines |
— | $44.50–$181.50 | — |
| Urine Bacteria Culture (87088) | — | $168 | — |
| Urine Pregnancy Test (81025) range across 6 matching MRF lines |
— | $120.50–$160 | — |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | — | $101 | — |
| Urobilinogen urine qual (84578) | — | $28 | — |
| Valproic acid (80164) range across 4 matching MRF lines |
— | $142–$213 | — |
| Vancomycin (80202) range across 4 matching MRF lines |
— | $327–$342 | — |
| Varicella-zoster antibody (86787) range across 6 matching MRF lines |
— | $19–$85.50 | — |
| Vasopressin (84588) | — | $127 | — |
| Viral Culture (87252) range across 8 matching MRF lines |
— | $79.50–$956.50 | — |
| Virus antibody nos (86790) range across 8 matching MRF lines |
— | $231.50–$781.50 | — |
| Virus inoculation, shell via (87254) | — | $330 | — |
| Viscosity serum (85810) | — | $52.50 | — |
| Vit D 1 25-Dihydroxy (82652) | — | $179 | — |
| Vitamin A (84590) | — | $429.50 | — |
| Vitamin b-12 (82607) range across 6 matching MRF lines |
— | $35–$161 | — |
| Vitamin B2 (Riboflavin) (84252) | — | $118.50 | — |
| Vitamin B6 (84207) | — | $78.50 | — |
| Vitamin c (82180) | — | $59.50 | — |
| Vitamin D 25-Hydroxy (82306) range across 5 matching MRF lines |
— | $182.50–$390.50 | — |
| Vitamin E (84446) | — | $48 | — |
| Vitamin K (84597) | — | $544 | — |
| Volatiles (84600) | — | $307 | — |
| Von willebrand factor ag (85246) | — | $336 | — |
| West nile virus ab igm (86788) range across 4 matching MRF lines |
— | $133–$249.50 | — |
| West Nile Virus Antibody (86789) | — | $133 | — |
| Zinc (84630) range across 6 matching MRF lines |
— | $26–$514 | — |
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.