Lab & pathology prices at Newman Memorial Hospital

Shattuck, OK · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $48 $60 2.6×
Acetylcholine receptor blocking antibody (86042) $48 $60 2.6×
Acetylcholn Rcptr Modlg Antb (86043) $48 $60 4.0×
Acth (82024) $139.20 $174 3.6×
Actin smooth muscle antibody each (86015) $32 $40 2.7×
Acute hepatitis panel (80074) $151.20 $189 3.2×
Albumin serum (82040) $34.40 $43 6.9×
Aldolase (82085) $64.80 $81 6.7×
Aldosterone urine (82088) $139.20 $174 3.4×
Alkaline phosphatase isoenzymes (84080) $64.80 $81 4.4×
Allergen specific ige (86003)
range across 18 matching MRF lines
$15.20–$48 $19–$60 varies
Allg Spec Ige Recomb Ea (86008) $54.40 $68 3.0×
Alpha-1-antitrypsin total (82103) $64.80 $81 4.8×
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$57.60–$64.80 $72–$81 varies
Alt (sgpt) (84460) $34.40 $43 6.5×
Aminolevulinic acid (ala) (82135) $192.72 $240.90 11.7×
Ammonia (82140)
range across 2 matching MRF lines
$54.40–$64.80 $68–$81 varies
Amniotic fluid protein test on cervicovaginal fluid (84112) $165.60 $207 1.7×
Amylase urine (82150) $64.80 $81 10.0×
Ana Titer (86039) $48 $60 4.3×
Anca Titer Each Antibody (86037) $48 $60 4.0×
Angiotensin converting enzyme csf (82164) $4.39 $5.49 0.3×
Anti-Phospholipid Antibody (86148) $54.40 $68 3.4×
Antibody Bacterium Not Elsewhere Specified (86609) $76 $95 5.9×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $112 $140 7.2×
Antibody Cytomegalovirus Cmv Igm (86645) $92.80 $116 5.5×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $90.40 $113 6.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $80 $100 5.2×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 4 matching MRF lines
$80–$160 $100–$200 varies
Antibody Herpes Smplx Type 1 (86695)
range across 3 matching MRF lines
$74.76–$80.80 $93.45–$101 varies
Antibody HIV-1&HIV-2 single result (86703) $56 $70 4.1×
Antibody HIV-2 (86702) $56 $70 4.1×
Antibody Protozoa Nes (86753)
range across 3 matching MRF lines
$48–$215.04 $60–$268.80 varies
Antibody Titer (86886) $365.60 $457 70.6×
Antibody Treponema Pallidum (86780)
range across 4 matching MRF lines
$56–$92.80 $70–$116 varies
Antigen typing (86905) $64.80 $81 16.9×
Antinuclear antibodies (86038) $56 $70 4.6×
Antithrombin iii activity (85300) $72 $90 6.1×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$9.36–$56 $11.70–$70 varies
Aquaporin-4 Antb Elisa (86051) $48 $60 4.2×
Arsenic (82175) $96 $120 5.1×
Assay myeloperoxidase (83876) $165.60 $207 3.3×
Assay of anti-mullerian hormone (82166) $54.40 $68 1.4×
Assay of blood/uric acid (84550) $34.40 $43 7.6×
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$41.60–$56 $52–$70 varies
Assay of gammaglobulin igm (82784)
range across 8 matching MRF lines
$64.80–$76.80 $81–$96 varies
Assay of lactic acid (83605) $64.80 $81 5.6×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$27.12–$116.80 $33.90–$146 varies
Assay of serum potassium (84132) $34.40 $43 7.2×
Assay of urea nitrogen (84520) $34.40 $43 8.7×
Assay of vitamin b-1 (84425) $55.20 $69 2.6×
Assay Ph Body Fluid Nos (83986) $28.80 $36 8.0×
Beta 2 glycoprotein i antibody each (86146) $54.40 $68 2.1×
Beta hydroxybutyrate (82010) $54.40 $68 6.7×
Bilirubin direct (82248) $34.40 $43 6.9×
Bilirubin total (82247) $34.40 $43 6.9×
Blood count reticulocyte automated (85045) $48 $60 12.0×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $47.20 $59 12.4×
Blood gases w/02 saturation (82805) $222.40 $278 2.8×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $54.40 $68 3.4×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $34.40 $43 7.9×
Blood Type Antigen Donor Reagent Serum Each (86902) $691.20 $864 108.9×
Blood typing serologic abo (86900)
range across 4 matching MRF lines
$16–$268.80 $20–$336 varies
Bordetella antibody (86615) $134.40 $168 10.2×
Brca1&2 gen full seq dup/del (81162) $2,081.60 $2,602 1.1×
C diff amplified probe (87493) $48 $60 1.3×
C-Peptide (84681) $67.20 $84 3.2×
C-reactive protein (86140) $56 $70 10.8×
Ca 19-9 (86301) $180.80 $226 8.7×
Calcium ionized (82330) $54.40 $68 4.0×
Calcium total (82310) $34.40 $43 6.7×
Calculus Spectroscopy (82365) $82.32 $102.90 6.4×
Calprotectin Fecal (83993) $144.40 $180.50 7.4×
Calr gene com variants (81219) $498.40 $623 4.1×
Cancer Antigen 125 (86304) $164 $205 7.9×
Carbamazepine total (80156) $84 $105 5.8×
Carcinoembryonic antigen (82378) $64.80 $81 3.4×
Cardiolipin ab iga (86147)
range across 5 matching MRF lines
$79.20–$80 $99–$100 varies
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$139.20–$160 $174–$200 varies
Ccp antibody (86200) $56 $70 4.3×
Cell count csf (89051) $148.80 $186 26.6×
Ceruloplasmin (82390) $64.80 $81 6.0×
Cftr gene com variants (81220) $507.20 $634 0.9×
Chemiluminescent assay (82397)
range across 7 matching MRF lines
$55.20–$240 $69–$300 varies
Chlmy trch&neisra gonor mult (87494) $48 $60 0.7×
Chloride urine (82436) $34.40 $43 6.0×
Cholesterol total (82465) $34.40 $43 7.9×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$92.80–$104.80 $116–$131 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 12 matching MRF lines
$9.20–$111.20 $11.50–$139 varies
Citric acid urine (82507) $56 $70 2.0×
Ckmb (82553) $64.80 $81 5.6×
Clostridium Difficile (87324) $56 $70 4.7×
Coccidioides antibody (86635) $304.92 $381.15 26.6×
Column Chromotography Quant (82542)
range across 2 matching MRF lines
$54.40–$283.20 $68–$354 varies
Compatibility test antiglob (86922)
range across 2 matching MRF lines
$99.20–$401.60 $124–$502 varies
Complement Antigen Each Component (86160)
range across 3 matching MRF lines
$56–$124 $70–$155 varies
Consltj&Reprt Material Requiring Prepj Slides (88323) $132 $165 2.6×
Coombs direct (86880)
range across 2 matching MRF lines
$81.60–$92 $102–$115 varies
Copper urine (82525) $80.80 $101 6.5×
Cortisol free (82530) $148.68 $185.85 8.9×
Cortisol saliva (82533)
range across 4 matching MRF lines
$125.60–$139.20 $157–$174 varies
Creatine kinase total (82550) $34.40 $43 5.3×
Creatinine blood (82565) $34.40 $43 6.7×
Creatinine clearance (82575) $64.80 $81 6.8×
Creatinine Urine (82570) $34.40 $43 6.6×
Crossmatch immediate spin (86920) $365.60 $457 2.2×
Crp High Sensitivity (86141) $56 $70 4.3×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $44.80 $56 5.5×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $50.40 $63 6.2×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $50.40 $63 6.5×
Culture afb (87116) $180.80 $226 16.7×
Culture Anaerobic (87075) $50.40 $63 5.3×
Culture blood (87040) $160 $200 15.5×
Culture csf (87070)
range across 8 matching MRF lines
$10.58–$50.40 $13.23–$63 varies
Culture fungus (87102) $44 $55 5.2×
Culture screen only (87081)
range across 9 matching MRF lines
$44–$50.40 $55–$63 varies
Culture stool (87045) $50.40 $63 5.3×
Culture urine (87086) $50.40 $63 6.2×
Cytomegalovirus igg (86644) $92.80 $116 6.4×
Cytopath Cell Enhance Tech (88112)
range across 2 matching MRF lines
$32.42–$132 $40.53–$165 varies
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 4 matching MRF lines
$84–$96 $105–$120 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $132 $165 2.6×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $365.60 $457 2.2×
Detect Agent Nos Dna Amp (87798)
range across 7 matching MRF lines
$64.54–$224 $80.67–$280 varies
Detect Agent Nos Dna Quant (87799) $431.20 $539 10.1×
Detect agnt mult DNA ampli (87801)
range across 7 matching MRF lines
$44–$180.80 $55–$226 varies
Dgp Antibody Each Ig Class (86258) $28 $35 2.3×
Dhea (82626) $81.60 $102 3.2×
Dhea-S (82627) $139.20 $174 6.3×
Digoxin (80162) $84 $105 6.3×
Dna Antibody Native/Double Stranded (86225)
range across 3 matching MRF lines
$48–$76 $60–$95 varies
Drug assay adalimumab (80145) $62.40 $78 1.6×
Drug Assay Infliximab (80230) $168 $210 4.4×
Drug Assay Itraconazole (80189) $688.80 $861 25.4×
Drug Assay Vedolizumab (80280) $92 $115 2.4×
Drug Asy Hydroxychloroquine (80220) $200 $250 10.7×
Drug Screen Quantitative Lamotrigine (80175) $71.20 $89 5.4×
Drug Screen Quantitative Levetiracetam (80177) $71.36 $89.20 5.4×
Drug Screen Quantitative Oxcarbazepine (80183) $71.20 $89 5.4×
Drug Test Prsmv Chem Anlyzr (80307) $199.20 $249 3.2×
Ehrlichia antibody (86666) $95.20 $119 9.4×
El-1 Fecal Quantitative (82653) $246.96 $308.70 10.8×
Electrolyte panel (80051) $61.60 $77 8.8×
Endomysial Antibody Each Immunoglobulin Class (86231)
range across 3 matching MRF lines
$29.60–$200 $37–$250 varies
Estradiol serum (82670) $139.20 $174 5.0×
Estriol (82677) $123.20 $154 5.1×
Estrogen total (82672) $139.20 $174 6.4×
F2 Gene (81240)
range across 2 matching MRF lines
$244–$2,667.60 $305–$3,334.50 varies
Factor v leiden mutation (81241) $508 $635 6.9×
Factor viii assay (85240) $68.80 $86 3.8×
Ferritin (82728) $64.80 $81 4.8×
Fetal Chrmoml Aneuploidy (81420) $507.20 $634 0.7×
Fibrin Degradation Quant (85379) $81.60 $102 8.0×
Fibrinogen activity (85384) $28.80 $36 3.0×
Fluorescent antibody screen (86255)
range across 2 matching MRF lines
$48–$92.80 $60–$116 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $92.80 $116 7.7×
Folic Acid Serum (82746) $64.80 $81 4.4×
Follicle Stimulating Hormone (83001) $137.60 $172 7.4×
Gammaglobulin ige (82785) $48 $60 2.9×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507)
range across 2 matching MRF lines
$155.20–$655.20 $194–$819 varies
Genet Virus Isolate Hsv (87255) $22.40 $28 0.7×
Ggt (82977) $34.40 $43 4.8×
Giardia antigen (87329) $56 $70 4.7×
Glucose 2 hr pp (82950)
range across 2 matching MRF lines
$28.80–$34.40 $36–$43 varies
Glucose Blood Test (82962) $30.40 $38 9.3×
Glucose body fluid (82945) $28.80 $36 7.3×
Glucose Serum (82947) $34.40 $43 8.8×
Glucose tolerance test (gtt) (82951)
range across 2 matching MRF lines
$54.40–$64.80 $68–$81 varies
Gonadotropin Chorionic Qualitative (84703) $76 $95 10.1×
Growth hormone (83003) $139.20 $174 8.4×
Gtt-added samples (82952) $64.80 $81 16.5×
H Pylori (C-13) Breath (83013) $168 $210 2.5×
Haptoglobin (83010) $54.40 $68 4.3×
Hdl Cholesterol (83718) $64.80 $81 7.9×
Helicobacter Pylori Stool (87338)
range across 3 matching MRF lines
$56–$185.64 $70–$232.05 varies
Hematocrit (85014) $44.80 $56 18.9×
Hemoglobin (85018) $42.40 $53 17.9×
Hemoglobin a1c (83036) $57.60 $72 5.9×
Hep a ab igm (86709) $56 $70 5.0×
Hepatitis a antibody total (86708) $89.60 $112 7.2×
Hepatitis b core ab igm (86705) $56 $70 4.8×
Hepatitis b core ab total (86704)
range across 3 matching MRF lines
$48–$56 $60–$70 varies
Hepatitis B Surface Antibody (86706) $56 $70 5.2×
Hepatitis B Surface Antigen (87340)
range across 5 matching MRF lines
$48–$56 $60–$70 varies
Hepatitis C Antibody (86803)
range across 4 matching MRF lines
$80–$92.80 $100–$116 varies
Hepatitis C Genotype (87902) $570.40 $713 2.2×
Hepatitis C Revrs Trnscrpj (87522)
range across 4 matching MRF lines
$123.20–$180.80 $154–$226 varies
Herpes simplex type 2 (86696) $48.80 $61 2.5×
Heterophile Antibody Screen (86308) $56 $70 10.8×
Histoplasma antigen urine (87385) $48 $60 3.6×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 3 matching MRF lines
$76.80–$141.12 $96–$176.40 varies
Hiv-1 Antibody (86701) $48 $60 5.4×
HIV-2 probe&revrse trnscripj (87538) $155.20 $194 4.4×
Hla I Low Resolution One Antigen Equivalent Each (81374) $171.20 $214 2.3×
Hla ii type 1 ag equiv lr (81377) $508 $635 5.4×
Homocysteine (83090) $139.20 $174 7.8×
Hpv High-Risk Types (87624)
range across 3 matching MRF lines
$50.40–$156 $63–$195 varies
Hpv Types 16 & 18 Only (87625)
range across 5 matching MRF lines
$61.98–$155.20 $77.48–$194 varies
Hsv Dna Amp Probe (87529) $280 $350 8.0×
Hydroxyprogesterone 17-d (83498) $123.20 $154 4.5×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $95.20 $119 2.7×
Iaad ia shiga-like toxin (87427) $56 $70 4.7×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $155.20 $194 4.4×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $370.40 $463 10.6×
Iadna Cytomegalovirus Quantification (87497) $155.20 $194 3.6×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $155.20 $194 2.2×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $155.20 $194 4.4×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $257.88 $322.35 6.2×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 8 matching MRF lines
$155.20–$180.80 $194–$226 varies
Ig Light Chains Free Each (83521)
range across 2 matching MRF lines
$54.40–$88.80 $68–$111 varies
Immunfix e-phorsis/urine/csf (86335) $79.20 $99 2.7×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $10.37 $12.96 0.7×
Immunoassay nonantibody (83516)
range across 5 matching MRF lines
$48–$56 $60–$70 varies
Immunofixation electrophoresis (86334)
range across 3 matching MRF lines
$76–$92.80 $95–$116 varies
Immunohistochemistry (88342) $365.60 $457 2.2×
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) $155.20 $194 12.7×
Influenza assay w/optic (87804) $56.80 $71 3.4×
Influenza DNA amp probe (87502) $252.80 $316 2.6×
Inhibin A (86336) $49.60 $62 3.2×
Inhibin b (83520)
range across 6 matching MRF lines
$47.73–$56 $59.66–$70 varies
Insulin antibodies (86337) $151.07 $188.84 7.1×
Insulin free (83527) $104.80 $131 8.1×
Insulin total (83525) $104.80 $131 9.2×
Iron (83540) $34.40 $43 5.3×
Iron Binding Capacity (83550) $64.80 $81 7.4×
Irradiation Blood Product Each Unit (86945) $89.60 $112 2.5×
Islet cell antibody (86341) $80 $100 3.4×
Jak2 gene analysis p.val617phe variant (81270) $453.60 $567 4.9×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$34.40–$35.20 $43–$44 varies
Lactoferrin Fecal Quantitative (83631) $152 $190 7.7×
LDL direct (83721) $57.60 $72 5.5×
Lead (83655) $81.60 $102 6.7×
Legionella antigen urine (87449)
range across 3 matching MRF lines
$56–$100.80 $70–$126 varies
Leukocyte Assessment Fecal (89055) $48 $60 11.2×
Level V Surg Pathology Gross&Microscopic Exam (88307) $691.20 $864 2.0×
Lipase (83690) $34.40 $43 5.0×
Lipoprotein A (83695) $54.40 $68 3.8×
Lipoprotein-Associated Phospholipase A2 (83698) $165.60 $207 3.6×
Lithium (80178) $84 $105 12.7×
Luteinizing Hormone (Lh) (83002) $139.20 $174 7.5×
Lyme disease antibody (86618)
range across 5 matching MRF lines
$92.80–$160 $116–$200 varies
M. Genitalium Amp Probe (87563) $155.20 $194 4.4×
Macroscopic exam arthropod (87168) $42.40 $53 9.9×
Macroscopic Exam Parasite (87169) $48.72 $60.90 11.3×
Magnesium Urine (83735) $30.40 $38 4.5×
Mass Spectrometry Quant (83789) $28.80 $36 1.2×
Mercury urine (83825) $96 $120 5.9×
Methylmalonic acid serum (83921)
range across 4 matching MRF lines
$54.40–$203.20 $68–$254 varies
Microalbumin, quantitative (82043)
range across 3 matching MRF lines
$4.29–$20.80 $5.36–$26 varies
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$92.80–$104.80 $116–$131 varies
Mitochondrial Antibody Each (86381) $12 $15 0.5×
Mog-Igg1 Antb Cba Each (86362) $48 $60 4.0×
Molecular Pathology Procedure Level 6 (81405) $507.20 $634 1.7×
Mopath procedure level 2 (81401) $160 $200 1.2×
Mopath procedure level 5 (81404) $507.20 $634 1.8×
Mopath procedure level 7 (81406) $507.20 $634 1.8×
Mopath procedure level 8 (81407) $507.20 $634 0.6×
Mopath procedure level 9 (81408) $507.20 $634 0.3×
Mpl gene common variants (81338) $453.60 $567 3.0×
Mrsa Pcr (87641) $156 $195 4.4×
Mthfr Gene Analysis Common Variants (81291) $507.20 $634 7.8×
Mumps antibody (86735) $56 $70 4.3×
Myoglobin urine (83874) $54.40 $68 4.2×
Natriuretic peptide (83880) $193.60 $242 4.9×
Nfct ds chrnc hcv 6 assays (81596) $266.28 $332.85 3.7×
Nuclear antigen antibody (86235)
range across 14 matching MRF lines
$79.20–$912.80 $99–$1,141 varies
Occult blood feces (82272) $34.40 $43 8.1×
Osmolality Urine (83935) $28 $35 4.1×
Ova and parasites smears (87177) $50.40 $63 5.7×
Oxalate urine (83945) $28.80 $36 2.0×
Ph urine (81003) $14.40 $18 6.4×
Phenytoin (Dilantin) (80185) $84 $105 6.3×
Phospholipid Neutralization Hexagonal (85598) $68.80 $86 3.8×
Phosphorus Serum (84100) $34.40 $43 7.3×
Phosphorus urine (84105) $34.40 $43 6.0×
Platelet Antibodies (86022) $48 $60 2.6×
Platelet count automated (85049) $48 $60 10.7×
Porphyrins Urine Quantitation & Fractionation (84120) $99.12 $123.90 6.7×
Potassium Urine (84133) $34.40 $43 7.3×
Prealbumin (84134) $64.80 $81 4.4×
Pregnenolone (84140) $24.80 $31 1.2×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $260.80 $326 4.6×
Procalcitonin (Pct) (84145) $263.76 $329.70 9.7×
Progesterone (84144) $104.80 $131 5.0×
Prolactin (84146) $139.20 $174 7.2×
Protein body fluid (84157)
range across 2 matching MRF lines
$5.43–$28.80 $6.79–$36 varies
Protein C Activity (85303) $72 $90 5.2×
Protein Electrophoresis Urine (84166)
range across 3 matching MRF lines
$54.40–$80 $68–$100 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 4 matching MRF lines
$54.40–$336.84 $68–$421.05 varies
Protein S Free (85306) $72 $90 4.7×
Protein total serum (84155)
range across 2 matching MRF lines
$28.80–$34.40 $36–$43 varies
Protein Total Urine (84156)
range across 3 matching MRF lines
$28.80–$36 $36–$45 varies
PSA free (84154) $64.80 $81 3.5×
Pth Intact (83970)
range across 3 matching MRF lines
$118.40–$139.20 $148–$174 varies
Quantiferon tb gold plus (86480)
range across 3 matching MRF lines
$190.68–$215.20 $238.35–$269 varies
Quantitative assay drug (80299)
range across 4 matching MRF lines
$72–$403.20 $90–$504 varies
Quantitative Screen Metals (83018) $47.66 $59.57 2.2×
Rbc antibody elution (86860) $365.60 $457 2.2×
Rbc antibody identification (86870) $691.20 $864 2.0×
Rbc antibody screen (86850)
range across 4 matching MRF lines
$48–$145.60 $60–$182 varies
Rbc pretreatment serum (86978) $81.60 $102 1.4×
Renin activity plasma (84244) $139.20 $174 6.3×
Rh (86901)
range across 3 matching MRF lines
$33.60–$92 $42–$115 varies
Rheumatoid factor quant (86431)
range across 3 matching MRF lines
$48–$56 $60–$70 varies
Rickettsia antibody (86757)
range across 5 matching MRF lines
$80–$120 $100–$150 varies
Ristocetin cofactor (85245) $72 $90 3.1×
Rotavirus ag eia (87425) $48 $60 4.0×
Rpr qualitative (86592)
range across 4 matching MRF lines
$48–$49.60 $60–$62 varies
Rsv ab (86756) $82.40 $103 5.2×
Rsv Assay W/Optic (87807) $50.40 $63 3.8×
Rubella Antibody (86762)
range across 3 matching MRF lines
$48–$49.60 $60–$62 varies
Rubeola antibody (86765) $56 $70 4.3×
Russell Viper Venom Time Diluted (85613)
range across 7 matching MRF lines
$68.80–$72 $86–$90 varies
Salicylate Level (80179) $84 $105 4.5×
Sars-Cov-2 Covid-19 Amp Prb (87635) $84 $105 1.6×
Sars-cov-2 COVID-19 antibody (86769) $48 $60 1.1×
Sedimentation Rate, Automated (85652) $47.20 $59 17.5×
Selenium (84255) $54.40 $68 2.1×
Semen analysis motility and count (89310) $132 $165 15.3×
Sensitivity mic (87186)
range across 3 matching MRF lines
$50.40–$65.60 $63–$82 varies
Sex Hormone Binding Globulin (84270) $88 $110 4.0×
Sickling of rbc reduction (85660)
range across 3 matching MRF lines
$40.80–$68.88 $51–$86.10 varies
Sirolimus (80195) $84 $105 6.1×
Skin test tuberculosis intradermal (86580) $59.90 $74.88 2.2×
Smear acid fast (87206) $50.40 $63 9.4×
Smear complex stain (87209) $160 $200 8.9×
Smear gram stain (87205) $50.40 $63 11.8×
Smn1 Gene Dos/Deletion Alys (81329) $508 $635 3.7×
Smr Prim Src Wet Mount Nfct Agt (87210) $50.40 $63 8.7×
Sodium Serum (84295) $34.40 $43 7.2×
Sodium Urine (84300) $34.40 $43 6.8×
Somatomedin (84305) $216 $270 10.2×
Special Stains Group 1 (88312) $132 $165 2.6×
Special Stains Group 2 (88313) $132 $165 1.0×
Stool cultr aerobic bact ea (87046) $50.40 $63 5.3×
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$44.80–$50.40 $56–$63 varies
Sulfate urine (84392) $28.80 $36 5.2×
Surg path level iii (88304) $132 $165 2.6×
Surgical pathology level IV (88305) $132 $165 2.6×
Surgical pathology level vi (88309) $1,407.20 $1,759 1.8×
T3 Free (84481) $104.80 $131 6.2×
T3 reverse (84482) $118.40 $148 7.5×
T3 Total (84480) $111.20 $139 7.8×
T4 Free (84439) $92.80 $116 10.3×
T4 total (84436)
range across 2 matching MRF lines
$40.32–$92.80 $50.40–$116 varies
Tacrolimus (80197) $84 $105 6.1×
Test for urine cystines (82615) $56 $70 5.9×
Testosterone Bioavailable (84410) $118.40 $148 2.3×
Testosterone total (84403) $139.20 $174 5.4×
Testosterone, Free (84402) $139.20 $174 5.5×
Thrombin Time (85670) $24 $30 4.2×
Thromboplastin Inhibition Tissue (85705) $24 $30 2.5×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $26.40 $33 4.1×
Thyroglobulin Antibody (86800)
range across 3 matching MRF lines
$85.68–$118.40 $107.10–$148 varies
Thyroid Stimulating Immunoglobulin (84445) $197.60 $247 3.9×
Tiss Trnsgltmnase Ea Ig Clas (86364) $32 $40 2.8×
Topiramate (80201) $24 $30 2.0×
Transferase Aspartate Amino Ast Sgot (84450) $34.40 $43 6.6×
Transferrin (84466)
range across 3 matching MRF lines
$54.40–$84.84 $68–$106.05 varies
Trichomonas Vaginalis Amplif (87661)
range across 6 matching MRF lines
$104–$155.20 $130–$194 varies
Triglycerides (84478) $34.40 $43 6.0×
Troponin Quant (84484) $64.80 $81 5.2×
Urea nitrogen urine (84540) $28.80 $36 5.2×
Uric acid other source (84560) $28.80 $36 5.7×
Urinalysis Microscopic Only (81015) $20.80 $26 6.8×
Urinalysis Volume Measure (81050) $20.80 $26 5.7×
Urine Bacteria Culture (87088) $50.40 $63 6.2×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$25.60–$36.80 $32–$46 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $18.40 $23 5.8×
Valproic acid (80164) $84 $105 6.2×
Vancomycin (80202) $84 $105 6.2×
Varicella-zoster antibody (86787) $56 $70 4.3×
Vasopressin (84588) $118.40 $148 3.5×
Virus antibody nos (86790) $195.20 $244 15.2×
Vit D 1 25-Dihydroxy (82652) $193.60 $242 5.0×
Vitamin A (84590) $83.20 $104 7.2×
Vitamin b-12 (82607) $104.80 $131 6.9×
Vitamin B2 (Riboflavin) (84252) $56 $70 2.8×
Vitamin B6 (84207) $56 $70 2.0×
Vitamin c (82180) $56 $70 5.7×
Vitamin D 25-Hydroxy (82306)
range across 3 matching MRF lines
$166.40–$193.60 $208–$242 varies
Vitamin E (84446) $65.60 $82 4.6×
Vitamin K (84597) $65.60 $82 4.8×
Von willebrand factor ag (85246) $68.80 $86 3.0×
West nile virus ab igm (86788) $92.80 $116 5.5×
West Nile Virus Antibody (86789) $92.80 $116 6.4×
Zinc (84630) $95.20 $119 8.4×

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.