Lab & pathology prices at Nelson County Health System

Mcville, ND · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $76 $76 6.8×
Abl1 gene analysis kinase domain variants (81170) $1,803 $1,803 6.0×
Acth (82024) $251 $251 6.5×
Actin smooth muscle antibody each (86015) $45 $45 3.7×
Acute hepatitis panel (80074) $267 $267 5.6×
Adenovirus antibody (86603) $79 $79 6.1×
Albumin serum (82040) $43 $43 8.7×
Aldolase (82085) $63 $63 6.5×
Aldosterone urine (82088) $239 $239 5.9×
Alkaline phosphatase isoenzymes (84080) $87 $87 5.9×
Allergen specific ige (86003) $32 $32 6.1×
Allergen specific igg (86001) $48 $48 6.1×
Alpha-1-antitrypsin phenotype (82104) $84 $84 5.8×
Alpha-1-antitrypsin total (82103) $78 $78 5.8×
Alpha-Fetoprotein Serum (82105) $98 $98 5.8×
Alt (sgpt) (84460) $47 $47 8.9×
Amino Acids Quant 2-5 (82136) $109 $109 5.6×
Ammonia (82140) $95 $95 6.5×
Amylase urine (82150) $64 $64 9.9×
Ana Titer (86039) $65 $65 5.8×
Anca screen each antibody (86036) $74 $74 6.1×
Anca Titer Each Antibody (86037) $74 $74 6.1×
Androstenedione (82157) $171 $171 5.8×
Angiotensin converting enzyme csf (82164)
range across 2 matching MRF lines
$79–$95 $79–$95 varies
Antibody aspergillus (86606) $92 $92 6.1×
Antibody Cytomegalovirus Cmv Igm (86645) $103 $103 6.1×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $80 $80 6.1×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $83 $83 4.6×
Antibody helicobacter pylori (86677) $101 $101 6.0×
Antibody Herpes Smplx Non-Specific Type Test (86694) $84 $84 5.8×
Antibody Herpes Smplx Type 1 (86695) $80 $80 6.1×
Antibody HIV-1&HIV-2 single result (86703) $70 $70 5.1×
Antibody HIV-2 (86702) $67 $67 5.0×
Antibody Protozoa Nes (86753)
range across 2 matching MRF lines
$67–$75 $67–$75 varies
Antigen typing (86905) $25 $25 6.5×
Antinuclear antibodies (86038) $71 $71 5.9×
Antistreptolysin o titer (86060) $54 $54 7.4×
Antithrombin iii activity (85300) $69 $69 5.8×
Antithrombin iii antigen (85301) $63 $63 5.8×
Arsenic (82175) $111 $111 5.9×
Aspergillus ag eia (87305) $74 $74 6.2×
Assay Blood Carbon Dioxide (82374) $32 $32 6.6×
Assay myeloperoxidase (83876) $199 $199 3.9×
Assay Nephelometry Not Spec (83883) $82 $82 6.0×
Assay of 5-hiaa (83497) $49 $49 3.8×
Assay of anti-mullerian hormone (82166) $72 $72 1.9×
Assay of blood/uric acid (84550) $49 $49 10.8×
Assay of calcium in urine (82340) $45 $45 7.5×
Assay of cpk in blood (82552) $87 $87 6.5×
Assay of gammaglobulin igm (82784)
range across 2 matching MRF lines
$55–$94 $55–$94 varies
Assay of lactic acid (83605) $69 $69 6.0×
Assay of metanephrines (83835) $99 $99 5.8×
Assay of phosphatase acid total (84060) $43 $43 5.6×
Assay of procainamide (80190) $98 $98 1.6×
Assay of serum potassium (84132) $52 $52 10.9×
Assay of urea nitrogen (84520) $55 $55 13.9×
Assay of urine vma (84585) $91 $91 5.9×
Assay of vitamin b-1 (84425) $125 $125 5.9×
Assay Ph Body Fluid Nos (83986) $24 $24 6.7×
Automated Leukocyte Count (85048) $28 $28 11.0×
B cells total count (86355) $232 $232 6.1×
Bcr/abl1 gene major bp (81206) $906 $906 5.5×
Bcr/abl1 gene minor bp (81207) $783 $783 5.4×
Bcr/Abl1 Gene Other Bp (81208) $1,154 $1,154 5.4×
Beta 2 glycoprotein i antibody each (86146) $125 $125 4.9×
Beta Lactamase (87185) $28 $28 5.9×
Beta-2 Microglobulin (82232) $95 $95 5.9×
Bilirubin direct (82248) $48 $48 9.6×
Bilirubin total (82247) $48 $48 9.6×
Bl Smear W/O Diff Wbc Count (85008) $20 $20 5.8×
Blastomyces antibody (86612) $78 $78 6.0×
Blood Count Automated Differential Wbc Count (85004) $38 $38 5.9×
Blood Count Red Blood Cell Automated (85041) $24 $24 7.9×
Blood count reticulocyte automated (85045) $43 $43 10.8×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $40 $40 10.5×
Blood gas (82803) $126 $126 4.8×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $103 $103 6.5×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 2 matching MRF lines
$18–$23 $18–$23 varies
Blood Type Antigen Donor Reagent Serum Each (86902) $25 $25 3.9×
Blood typing serologic abo (86900) $31 $31 10.4×
C diff amplified probe (87493) $216 $216 5.8×
C-Peptide (84681) $122 $122 5.9×
C-reactive protein (86140) $36 $36 6.9×
Ca 19-9 (86301) $129 $129 6.2×
Cadmium (82300) $136 $136 5.8×
Calcium ionized (82330) $89 $89 6.5×
Calcium total (82310) $33 $33 6.4×
Calculus Spectroscopy (82365) $75 $75 5.8×
Calprotectin Fecal (83993) $124 $124 6.3×
Cancer Antigen 125 (86304) $122 $122 5.9×
Cancer Antigen 27.29 (86300) $122 $122 5.9×
Candida Dna Dir Probe (87480) $130 $130 6.5×
Carbamazepine total (80156) $87 $87 6.0×
Carboxyhemoglobin (82375) $75 $75 6.1×
Carcinoembryonic antigen (82378) $122 $122 6.4×
Cardiolipin ab iga (86147) $125 $125 4.9×
Carnitine Quantitative Each Specimen (82379) $34 $34 2.0×
Catecholamines fractionated (82384) $147 $147 5.8×
Ccp antibody (86200) $79 $79 6.1×
Cell count csf (89051) $32 $32 5.7×
Ceruloplasmin (82390) $63 $63 5.9×
Chemiluminescent assay (82397) $103 $103 7.3×
Chloride Serum (82435) $34 $34 7.4×
Chloride urine (82436) $30 $30 5.2×
Cholesterol total (82465) $44 $44 10.1×
Chorionic gonadotropin test (84702) $89 $89 5.9×
Chromogranin a (86316) $122 $122 5.9×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $205 $205 5.8×
Citric acid urine (82507) $163 $163 5.9×
Ckmb (82553) $84 $84 7.3×
Clostridium Difficile (87324) $77 $77 6.4×
Clotting Funct Activity (85397) $161 $161 5.2×
Coccidioides antibody (86635) $55 $55 4.8×
Cold agglutinin titer (86157) $34 $34 4.2×
Collagen crosslinks (82523) $132 $132 7.1×
Column Chromotography Quant (82542)
range across 2 matching MRF lines
$98–$117 $98–$117 varies
Compatibility test antiglob (86922) $180 $180 1.0×
Complement Antigen Each Component (86160) $70 $70 5.8×
Complement Total (Ch50) (86162) $118 $118 5.8×
Coombs direct (86880) $40 $40 7.4×
Copper urine (82525) $80 $80 6.4×
Cortisol free (82530) $98 $98 5.9×
Cortisol saliva (82533) $106 $106 6.5×
Creatine kinase total (82550) $80 $80 12.3×
Creatinine blood (82565) $49 $49 9.6×
Creatinine clearance (82575) $61 $61 6.4×
Creatinine Urine (82570) $30 $30 5.8×
Crossmatch electronic (86923) $180 $180 1.0×
Crossmatch immediate spin (86920) $167 $167 1.0×
Crp High Sensitivity (86141) $76 $76 5.9×
Cryofibrinogen (82585) $50 $50 3.5×
Cryoglobulin (82595) $27 $27 4.2×
Cryptococcus ag titer (87899) $77 $77 4.8×
Cryptosporidium ag eia (87328) $77 $77 5.6×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $52 $52 6.4×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $52 $52 6.4×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $45 $45 5.8×
Culture Anaerobic (87075) $57 $57 6.0×
Culture blood (87040) $80 $80 7.8×
Culture chlamydia (87110) $114 $114 5.8×
Culture csf (87070) $56 $56 6.5×
Culture fungus (87102) $45 $45 5.4×
Culture screen only (87081) $33 $33 5.0×
Culture stool (87045) $56 $56 5.9×
Culture typing if ea antiserum (87140) $33 $33 5.9×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $30 $30 5.8×
Culture typing other methods (87158) $46 $46 5.9×
Culture urine (87086) $52 $52 6.4×
Cyclosporine (80158) $106 $106 5.9×
Cytogenetics 100-300 (88275) $235 $235 4.6×
Cytomegalovirus igg (86644) $84 $84 5.8×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $118 $118 5.8×
Cytopath Cell Enhance Tech (88112) $126 $126 2.4×
Cytp Concentration Smears & Interpretation (88108) $134 $134 3.5×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $110 $110 2.9×
Deoxyribonuclease antibody (86215) $77 $77 5.8×
Detect Agent Nos Dna Amp (87798) $205 $205 5.8×
Detect Agent Nos Dna Quant (87799) $258 $258 6.0×
Detect agnt mult DNA ampli (87801) $438 $438 6.2×
Dgp Antibody Each Ig Class (86258) $70 $70 5.8×
Dhea (82626) $148 $148 5.9×
Dhea-S (82627) $130 $130 5.8×
Digoxin (80162) $88 $88 6.6×
Dna Antibody Native/Double Stranded (86225) $80 $80 5.8×
Dna/Rna Amplified Probe (87150) $190 $190 5.4×
Dna/Rna Sequencing (87153) $676 $676 5.9×
Drug assay adalimumab (80145) $232 $232 6.0×
Drug Screen Quantitative Gabapentin (80171) $65 $65 3.0×
Drug Screen Quantitative Lamotrigine (80175) $65 $65 4.9×
Drug Screen Quantitative Levetiracetam (80177) $65 $65 4.9×
Drug Test Prsmv Chem Anlyzr (80307) $335 $335 5.4×
Drug Test Prsmv Dir Opt Obs (80305) $88 $88 7.0×
Ehrlichia antibody (86666)
range across 2 matching MRF lines
$62–$66 $62–$66 varies
El-1 Fecal Quantitative (82653) $134 $134 5.8×
Electrolyte panel (80051) $55 $55 7.8×
Enterovirus PCR (87498) $77 $77 2.2×
Erythropoietin (82668) $123 $123 6.5×
Estradiol serum (82670) $175 $175 6.3×
Estriol (82677) $141 $141 5.8×
Estrogens fractionated (82671) $124 $124 3.8×
Ethosuximide (80168) $97 $97 5.9×
Exam Synovial Fluid Crystals (89060) $42 $42 5.7×
Factor Inhibitor Test (85335) $75 $75 5.8×
Factor v leiden mutation (81241) $391 $391 5.3×
Factor viii assay (85240) $88 $88 4.9×
Factor xi activity (85270) $106 $106 5.9×
Fat stain feces urine/respir secretions (89125) $22 $22 3.7×
Fat/Lipids Feces Quantitative (82710) $91 $91 5.4×
Ferritin (82728) $97 $97 7.1×
Fibrin Degradation Quant (85379) $75 $75 7.4×
Fibrinogen activity (85384) $51 $51 5.2×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $93 $93 6.0×
Flow cytometry first marker (88184) $240 $240 0.7×
Fluorescent antibody screen (86255) $77 $77 6.4×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $65 $65 5.4×
Folic acid rbc (82747) $101 $101 5.7×
Folic Acid Serum (82746) $105 $105 7.1×
Follicle Stimulating Hormone (83001) $109 $109 5.9×
Fungi Identification Mold (87107) $67 $67 6.5×
Fungi Identification Yeast (87106) $57 $57 5.5×
Gammaglobulin ige (82785) $97 $97 5.9×
Gardner vag DNA dir probe (87510) $130 $130 6.5×
Gastrin (82941) $103 $103 5.8×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,288 $1,288 3.1×
Gentamicin (80170) $96 $96 5.9×
Ggt (82977) $42 $42 5.8×
Giardia antigen (87329) $77 $77 6.4×
Glucose 2 hr pp (82950) $28 $28 5.9×
Glucose body fluid (82945) $23 $23 5.9×
Glucose Serum (82947) $49 $49 12.5×
Glucose tolerance test (gtt) (82951) $110 $110 8.5×
Gonadotropin Chorionic Qualitative (84703) $45 $45 6.0×
Gtt-added samples (82952) $43 $43 11.0×
H Pylori (C-13) Breath (83013) $394 $394 5.8×
H Pylori Drug Admin (83014) $50 $50 6.4×
Haptoglobin (83010) $73 $73 5.8×
Hdl Cholesterol (83718) $45 $45 5.5×
Helicobacter Pylori Stool (87338) $77 $77 5.4×
Hematocrit (85014) $20 $20 8.4×
Hemoglobin (85018) $25 $25 10.5×
Hemoglobin a1c (83036) $80 $80 8.2×
Hep a ab igm (86709) $57 $57 5.1×
Hepatitis a antibody total (86708) $72 $72 5.8×
Hepatitis b core ab igm (86705) $69 $69 5.9×
Hepatitis b core ab total (86704) $70 $70 5.8×
Hepatitis B Surface Antibody (86706) $63 $63 5.9×
Hepatitis B Surface Antigen (87340) $64 $64 6.2×
Hepatitis C Antibody (86803) $93 $93 6.5×
Hepatitis C Revrs Trnscrpj (87522) $232 $232 5.4×
Herpes simplex type 2 (86696) $118 $118 6.1×
Heterophile Antibody Screen (86308) $32 $32 6.2×
Hfe Gene (81256) $424 $424 6.5×
Histamine urine (83088) $173 $173 5.9×
Histoplasma antibody (86698) $66 $66 4.8×
Histoplasma antigen urine (87385) $82 $82 6.2×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $147 $147 6.1×
Hiv-1 Antibody (86701) $67 $67 7.5×
Hla ii typing 1 locus lr (81376) $644 $644 5.3×
Hla-b27 (86812) $151 $151 5.9×
Homocysteine (83090) $108 $108 6.0×
Hpv High-Risk Types (87624) $134 $134 3.8×
Hydroxyprogesterone 17-d (83498) $161 $161 5.9×
Hydroxyproline total (83505) $142 $142 5.8×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $70 $70 5.0×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $98 $98 2.8×
Iadna Cytomegalovirus Quantification (87497) $278 $278 6.5×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $361 $361 5.1×
Iadna Multiple Organisms Direct Probe Tq (87800) $235 $235 5.4×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $227 $227 6.5×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $205 $205 5.8×
Ig Light Chains Free Each (83521) $106 $106 6.1×
Immunfix e-phorsis/urine/csf (86335) $172 $172 5.9×
Immunoassay Analyte Quant Radioimmunoassay (83519) $47 $47 2.6×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $88 $88 5.9×
Immunoassay nonantibody (83516) $152 $152 13.2×
Immunofixation electrophoresis (86334) $131 $131 5.9×
Immunohistochemistry (88342) $176 $176 1.0×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $185 $185 2.6×
Influenza assay w/optic (87804) $82 $82 5.0×
Inhibin b (83520) $105 $105 6.1×
Insulin total (83525) $67 $67 5.9×
Iron (83540) $49 $49 7.6×
Iron Binding Capacity (83550) $55 $55 6.3×
Koh Prep (87220) $26 $26 6.1×
Lactate (ld) (ldh) enzyme (83615) $44 $44 7.3×
Lactoferrin fecal qualitative (83630) $127 $127 6.4×
LDL direct (83721) $56 $56 5.3×
Lead (83655) $78 $78 6.4×
Legionella antigen urine (87449) $77 $77 6.4×
Leucine Aminopeptidase Lap (83670) $54 $54 5.5×
Leukocyte Assessment Fecal (89055) $25 $25 5.9×
Level V Surg Pathology Gross&Microscopic Exam (88307) $277 $277 0.8×
Lipase (83690) $49 $49 7.1×
Lithium (80178) $43 $43 6.5×
Luteinizing Hormone (Lh) (83002) $108 $108 5.8×
Lyme disease antibody (86618) $110 $110 6.5×
Lymphocyte transformation (86353)
range across 2 matching MRF lines
$301–$304 $301–$304 varies
Magnesium Urine (83735) $49 $49 7.3×
Mass Spectrometry Quant (83789) $309 $309 12.8×
Mercury urine (83825) $95 $95 5.8×
Methylmalonic acid serum (83921) $97 $97 4.6×
Microalbumin, quantitative (82043) $59 $59 10.2×
Microsomal Antibodies Each (86376) $85 $85 5.8×
Mitochondrial Antibody Each (86381) $45 $45 1.8×
Molecular Cytogenetics Dna Probe Each (88271) $126 $126 5.9×
Mononuclear cell antigen (86356) $164 $164 6.1×
Mrsa Pcr (87641) $227 $227 6.5×
Mucin Clot Body Fluid (83872) $34 $34 5.8×
Mumps antibody (86735) $76 $76 5.8×
Mycobacteric Identification (87118) $80 $80 5.5×
Mycoplasma antibody (86738) $77 $77 5.8×
Myoglobin urine (83874) $79 $79 6.1×
Natriuretic peptide (83880) $199 $199 5.1×
Neutralization Test Viral (86382) $113 $113 6.7×
Nk cells total count (86357) $232 $232 6.1×
Nuclear antigen antibody (86235) $105 $105 5.9×
Occult blood feces (82272) $21 $21 5.0×
Occult Blood Other Sources (82271) $32 $32 6.0×
Osmolality serum (83930) $39 $39 5.9×
Osmolality Urine (83935) $43 $43 6.3×
Ova and parasites smears (87177) $52 $52 5.8×
Oxalate urine (83945) $83 $83 5.7×
Particle Agglutination Screen Each Antibody (86403) $71 $71 6.2×
Ph urine (81003) $18 $18 8.0×
Phenobarbital Level (80184) $83 $83 5.4×
Phenytoin (Dilantin) (80185) $77 $77 5.8×
Phenytoin free (80186) $85 $85 6.2×
Phosphatase acid prostatic (84066) $72 $72 7.5×
Phosphatase alkaline (84075) $48 $48 9.3×
Phosphorus Serum (84100) $30 $30 6.3×
Phosphorus urine (84105) $34 $34 5.9×
Pinworm exam (87172) $62 $62 14.5×
Platelet Antibodies (86022) $118 $118 6.4×
Platelet count automated (85049) $34 $34 7.6×
Porphobilinogen, urine; quantitative (84110) $49 $49 5.8×
Porphyrins Urine Quantitation & Fractionation (84120) $87 $87 5.9×
Potassium Urine (84133) $35 $35 7.4×
Prealbumin (84134) $33 $33 2.3×
Primidone (80188) $97 $97 5.8×
Procalcitonin (Pct) (84145) $104 $104 3.8×
Progesterone (84144) $128 $128 6.1×
Prolactin (84146) $124 $124 6.4×
Prostaglandin (84150) $146 $146 3.5×
Protein body fluid (84157) $27 $27 6.8×
Protein C Activity (85303) $81 $81 5.9×
Protein c antigen (85302) $70 $70 5.8×
Protein Electrophoresis Urine (84166) $104 $104 5.8×
Protein Electrophoretic Fractj&Quantj Serum (84165) $81 $81 7.5×
Protein S Free (85306) $69 $69 4.5×
Protein total serum (84155) $27 $27 7.4×
Protein Total Urine (84156) $27 $27 7.4×
Protein Western Blot Test (84182) $105 $105 3.6×
PSA free (84154) $141 $141 7.7×
Pth Intact (83970) $265 $265 6.4×
Quantiferon tb gold plus (86480) $381 $381 6.1×
Quantitative assay drug (80299) $113 $113 6.1×
Quinidine (80194) $85 $85 5.8×
Rbc antibody elution (86860) $208 $208 1.2×
Rbc antibody identification (86870) $361 $361 1.0×
Rbc antibody screen (86850) $129 $129 13.2×
Reagent Strip/Blood Glucose (82948) $28 $28 5.6×
Renin activity plasma (84244) $129 $129 5.9×
Reticulated Platelet Assay (85055) $117 $117 3.3×
Rh (86901) $33 $33 11.0×
Rheumatoid Factor Qualitative (86430) $38 $38 6.2×
Rheumatoid factor quant (86431) $33 $33 5.8×
Rotavirus ag eia (87425) $70 $70 5.8×
Rpr qualitative (86592) $26 $26 6.1×
Rubella Antibody (86762) $84 $84 5.8×
Rubeola antibody (86765) $75 $75 5.8×
Russell Viper Venom Time Diluted (85613) $56 $56 5.8×
Sarscov2&inf a&b&rsv amp prb (87637) $376 $376 2.6×
Sedimentation rate (85651) $31 $31 7.3×
Sensitivity mic (87186) $49 $49 5.7×
Serpina 1 gene (81332) $90 $90 2.1×
Sex Hormone Binding Globulin (84270) $133 $133 6.1×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines
$16–$22.50 $16–$22.50 varies
Smear acid fast (87206) $32 $32 5.9×
Smear gram stain (87205) $27 $27 6.3×
Smear Special Stain (87207) $35 $35 5.8×
Smn1 Gene Dos/Deletion Alys (81329) $726 $726 5.3×
Smr Prim Src Wet Mount Nfct Agt (87210) $30 $30 5.2×
Sodium Serum (84295) $41 $41 8.5×
Sodium Urine (84300) $31 $31 6.1×
Soluble Transferrin Receptor (84238) $52 $52 1.4×
Somatomedin (84305) $193 $193 9.1×
Special Stains Group 1 (88312) $191 $191 3.6×
Special Stains Group 2 (88313) $179 $179 1.3×
Specific gravity body fluid (84315) $14 $14 4.3×
Specimen infect agnt concntj (87015) $39 $39 5.8×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $44 $44 0.3×
Stone Analysis (82355) $75 $75 6.5×
Stool cultr aerobic bact ea (87046) $60 $60 6.4×
Strep a assay w/optic (87880) $82 $82 5.0×
Strep a DNA amp probe (87651) $216 $216 6.2×
Sulfate urine (84392) $31 $31 5.6×
Surg path level iii (88304) $140 $140 2.6×
Surgical pathology level IV (88305) $190 $190 3.6×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $28 $28 5.9×
Susceptibility Study Antimicrobial Disk Method (87184) $40 $40 5.3×
T cells absolute cd4 count (86361) $165 $165 6.2×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $287 $287 6.1×
T cells total count (86359) $232 $232 6.1×
T3 Free (84481) $99 $99 5.8×
T3 Uptake (84479) $41 $41 6.3×
T4 Free (84439) $65 $65 7.2×
T4 total (84436) $47 $47 6.8×
Tacrolimus (80197) $52 $52 3.8×
Tb ag response t-cell susp (86481) $489 $489 4.9×
Testosterone Bioavailable (84410) $314 $314 6.1×
Testosterone total (84403) $151 $151 5.9×
Testosterone, Free (84402) $147 $147 5.8×
Theophylline (80198) $92 $92 6.5×
Thrombin Time (85670) $34 $34 5.9×
Thyroglobulin (84432) $94 $94 5.9×
Thyroglobulin Antibody (86800) $93 $93 5.8×
Thyroid Stimulating Immunoglobulin (84445) $185 $185 3.6×
Tiss Trnsgltmnase Ea Ig Clas (86364) $70 $70 6.1×
Tobramycin peak (80200) $95 $95 5.9×
Topiramate (80201)
range across 2 matching MRF lines
$65–$70 $65–$70 varies
Transferase Aspartate Amino Ast Sgot (84450) $52 $52 10.0×
Transferrin (84466) $75 $75 5.9×
Trichomonas vagin dir probe (87660) $130 $130 6.5×
Triglycerides (84478) $37 $37 6.4×
Troponin Quant (84484) $62 $62 5.0×
Urea nitrogen urine (84540) $28 $28 5.0×
Uric acid other source (84560) $28 $28 5.5×
Urinalysis Volume Measure (81050) $19 $19 5.2×
Urine Albumin Semiquantitative (82044) $38 $38 6.1×
Urine Bacteria Culture (87088) $52 $52 6.4×
Urine Pregnancy Test (81025) $46 $46 5.3×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $25 $25 7.9×
Valproic acid (80164) $79 $79 5.8×
Vancomycin (80202) $92 $92 6.8×
Varicella-zoster antibody (86787) $75 $75 5.8×
Viral Culture (87252) $152 $152 5.8×
Virus antibody nos (86790) $77 $77 6.0×
Vit D 1 25-Dihydroxy (82652) $237 $237 6.2×
Vitamin A (84590) $71 $71 6.1×
Vitamin b-12 (82607) $106 $106 7.0×
Vitamin B6 (84207) $170 $170 6.0×
Vitamin D 25-Hydroxy (82306) $192 $192 6.5×
Vitamin E (84446) $87 $87 6.1×
Wbc Alkaline Phosphatase Count (85540) $50 $50 5.8×
West nile virus ab igm (86788) $93 $93 5.5×
Zinc (84630) $74 $74 6.5×

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.