Lab & pathology prices at Nexus Childrens Hospital Dallas
Dallas, TX · every code in this section with a posted price and a Medicare benchmark.
370 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $136.50 | $273 | 3.5× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$194.50–$527.50 | $389–$1,055 | varies |
| Acylcarnitines Quant (82017) | $87.50 | $175 | 5.2× |
| Adenovirus antibody (86603) | $54 | $108 | 4.2× |
| Agglutinins Febrile Each Antigen (86000) | $83.95 | $167.90 | 12.0× |
| Albumin serum (82040) | $23.50 | $47 | 4.7× |
| Aldolase (82085) | $33 | $66 | 3.4× |
| Aldosterone urine (82088) | $125 | $250 | 3.1× |
| Alkaline phosphatase isoenzymes (84080) | $33 | $66 | 2.2× |
| Allergen specific ige (86003) | $35.85 | $71.70 | 6.9× |
| Alpha-1-antitrypsin total (82103) | $62 | $124 | 4.6× |
| Alpha-Fetoprotein Serum (82105) | $78.50 | $157 | 4.7× |
| Alt (sgpt) (84460) | $20 | $40 | 3.8× |
| Aluminum (82108) | $86 | $172 | 3.4× |
| Amikacin trough (80150) | $71.50 | $143 | 4.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $90.50 | $181 | 5.4× |
| Ammonia (82140) | $87 | $174 | 6.0× |
| Amylase urine (82150) | $34.50 | $69 | 5.3× |
| Ana Titer (86039) | $41.50 | $83 | 3.7× |
| Androstanediol Glucuronide (82154) | $248 | $496 | 8.6× |
| Androstenedione (82157) | $103.80 | $207.60 | 3.5× |
| Angiotensin converting enzyme csf (82164) | $76 | $152 | 5.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $53.50 | $107 | 4.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $22.50 | $45 | 1.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$26.50–$32 | $53–$64 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $200 | $400 | 16.3× |
| Antibody HIV-1&HIV-2 single result (86703) | $104.50 | $209 | 7.6× |
| Antibody HIV-2 (86702) | $30.50 | $61 | 2.3× |
| Antibody Titer (86886) | $133 | $266 | 25.7× |
| Antigen typing (86905) range across 2 matching MRF lines |
$162–$215.50 | $324–$431 | varies |
| Antinuclear antibodies (86038) | $57 | $114 | 4.7× |
| Antistreptolysin o titer (86060) | $21 | $42 | 2.9× |
| Antithrombin iii activity (85300) | $73 | $146 | 6.2× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$60–$78 | $120–$156 | varies |
| Arsenic (82175) | $54.50 | $109 | 2.9× |
| Assay Blood Carbon Dioxide (82374) | $15.50 | $31 | 3.2× |
| Assay Blood Catecholamines (82383) | $116 | $232 | 4.0× |
| Assay of blood/uric acid (84550) | $40 | $80 | 8.8× |
| Assay of calcium in urine (82340) | $27 | $54 | 4.5× |
| Assay of cpk in blood (82552) | $55 | $110 | 4.1× |
| Assay of gammaglobulin igm (82784) | $54 | $108 | 5.8× |
| Assay of lactic acid (83605) | $49 | $98 | 4.2× |
| Assay of manganese (83785) | $75.70 | $151.40 | 2.8× |
| Assay of phosphatase acid total (84060) | $21.50 | $43 | 2.8× |
| Assay of prostate specific antigen complexed (84152) | $53 | $106 | 2.9× |
| Assay of pyruvate (84210) | $91 | $182 | 6.3× |
| Assay of serum potassium (84132) | $24 | $48 | 5.0× |
| Assay of urea nitrogen (84520) | $19 | $38 | 4.8× |
| Assay of vitamin b-1 (84425) | $78 | $156 | 3.7× |
| Assay Ph Body Fluid Nos (83986) | $14 | $28 | 3.9× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $200 | $400 | 1.2× |
| Automated Leukocyte Count (85048) | $10.25 | $20.50 | 4.0× |
| Beta hydroxybutyrate (82010) | $73 | $146 | 8.9× |
| Beta Lactamase (87185) | $33.50 | $67 | 7.1× |
| Beta-2 Microglobulin (82232) | $55 | $110 | 3.4× |
| Bilirubin direct (82248) | $23.50 | $47 | 4.7× |
| Bilirubin total (82247) | $19 | $38 | 3.8× |
| Bilirubin; feces, qualitative Facility (82252) | $13.50 | $27 | 3.0× |
| Bl Smear W/O Diff Wbc Count (85008) | $13 | $26 | 3.8× |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) | $300 | $600 | 5.7× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $300 | $600 | 10.3× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $300 | $600 | 1.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $16.50 | $33 | 4.3× |
| Blood gas (82803) | $199.50 | $399 | 7.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 4 matching MRF lines |
$155–$270 | $310–$540 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) range across 2 matching MRF lines |
$188–$190 | $376–$380 | varies |
| Blood typing serologic abo (86900) | $95 | $190 | 31.8× |
| Body fluid cell count (89050) | $59 | $118 | 12.5× |
| Brucella antibody (86622) | $60 | $120 | 6.7× |
| C-Peptide (84681) | $78 | $156 | 3.7× |
| C-reactive protein (86140) | $27.50 | $55 | 5.3× |
| Ca 19-9 (86301) | $71 | $142 | 3.4× |
| Cadmium (82300) | $66.50 | $133 | 2.8× |
| Calcitonin (82308) | $91 | $182 | 3.4× |
| Calcium ionized (82330) | $71 | $142 | 5.2× |
| Calcium total (82310) | $21.50 | $43 | 4.2× |
| Cancer Antigen 125 (86304) | $71 | $142 | 3.4× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$48–$74 | $96–$148 | varies |
| Carbamazepine total (80156) | $60 | $120 | 4.1× |
| Carcinoembryonic antigen (82378) | $85.50 | $171 | 4.5× |
| Cardiolipin ab iga (86147) | $271.50 | $543 | 10.7× |
| Carnitine Quantitative Each Specimen (82379) | $115.50 | $231 | 6.8× |
| Catecholamines fractionated (82384) | $110.50 | $221 | 4.4× |
| Ccp antibody (86200) | $113.50 | $227 | 8.8× |
| Cell count csf (89051) | $26 | $52 | 4.6× |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$13.50–$44.50 | $27–$89 | varies |
| Chloride Serum (82435) | $16 | $32 | 3.5× |
| Chloride urine (82436) | $17 | $34 | 3.0× |
| Cholesterol total (82465) | $16.50 | $33 | 3.8× |
| Cholinesterase Serum (82480) | $34 | $68 | 4.3× |
| Chorionic gonadotropin test (84702) | $30 | $60 | 2.0× |
| Chromium serum (82495) | $127.50 | $255 | 6.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $294 | $588 | 8.4× |
| Citric acid urine (82507) | $79 | $158 | 2.8× |
| Ckmb (82553) | $36 | $72 | 3.1× |
| Clot factor xiii fibrin stab (85290) | $300 | $600 | 18.4× |
| Cold agglutinin screen (86156) | $66.15 | $132.30 | 8.2× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$266.50–$499.50 | $533–$999 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$129–$188 | $258–$376 | varies |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$27.50–$40.50 | $55–$81 | varies |
| Complement Fixation Tests Each Antigen (86171) | $93.85 | $187.70 | 9.4× |
| Complement Total (Ch50) (86162) | $164.50 | $329 | 8.1× |
| Coombs direct (86880) | $52.50 | $105 | 9.7× |
| Copper urine (82525) | $56 | $112 | 4.5× |
| Cortisol free (82530) | $86.50 | $173 | 5.2× |
| Cortisol saliva (82533) | $87.50 | $175 | 5.4× |
| Creatine kinase total (82550) | $34.50 | $69 | 5.3× |
| Creatinine blood (82565) | $223 | $446 | 43.6× |
| Creatinine clearance (82575) | $49.50 | $99 | 5.2× |
| Creatinine Urine (82570) | $64.50 | $129 | 12.5× |
| Crossmatch electronic (86923) | $110 | $220 | 0.6× |
| Crossmatch immediate spin (86920) | $120 | $240 | 0.7× |
| Cryoglobulin (82595) | $47.50 | $95 | 7.3× |
| Cryptococcus ag titer (87899) | $76.50 | $153 | 4.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $15.50 | $31 | 1.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $39 | $78 | 5.1× |
| Culture aerobic quant other (87071) | $45.50 | $91 | 4.6× |
| Culture afb (87116) range across 2 matching MRF lines |
$32–$83 | $64–$166 | varies |
| Culture Anaerobic (87075) | $43.50 | $87 | 4.6× |
| Culture blood (87040) | $59.50 | $119 | 5.8× |
| Culture csf (87070) range across 5 matching MRF lines |
$12.50–$142.50 | $25–$285 | varies |
| Culture fungus (87102) | $51.50 | $103 | 6.1× |
| Culture screen only (87081) | $57 | $114 | 8.6× |
| Culture stool (87045) | $66.50 | $133 | 7.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $27.50 | $55 | 5.3× |
| Culture urine (87086) | $39.50 | $79 | 4.9× |
| Cyclosporine (80158) | $74.50 | $149 | 4.1× |
| Cytomegalovirus igg (86644) | $294 | $588 | 20.4× |
| Cytopath Cell Enhance Tech (88112) | $245.70 | $491.40 | 4.7× |
| Detect Agent Nos Dna Amp (87798) | $320 | $640 | 9.1× |
| Detect Agent Nos Dna Quant (87799) | $356 | $712 | 8.3× |
| Dhea (82626) | $94 | $188 | 3.7× |
| Digoxin (80162) | $62 | $124 | 4.7× |
| Diphtheria antitoxoid (86648) | $153.50 | $307 | 10.1× |
| Dna Antibody Single Stranded (86226) | $106 | $212 | 8.8× |
| Drug Screen Quant Zonisamide (80203) | $50 | $100 | 3.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $21.50 | $43 | 1.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $131.50 | $263 | 9.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$50.50–$88 | $101–$176 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$38–$69.50 | $76–$139 | varies |
| Electrolyte panel (80051) | $29 | $58 | 4.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $75 | $150 | 1.2× |
| Eosinophil Smear (89190) | $40 | $80 | 6.9× |
| Erythropoietin (82668) | $87.50 | $175 | 4.7× |
| Estradiol serum (82670) | $105 | $210 | 3.8× |
| Estrogen total (82672) range across 2 matching MRF lines |
$27–$84.50 | $54–$169 | varies |
| Estrogens fractionated (82671) | $93 | $186 | 2.9× |
| Exam Synovial Fluid Crystals (89060) | $61.50 | $123 | 8.4× |
| F2 Gene (81240) | $165 | $330 | 2.5× |
| Factor ix activity (85250) | $221.50 | $443 | 11.6× |
| Factor v leiden mutation (81241) | $165 | $330 | 2.2× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$3–$88.50 | $6–$177 | varies |
| Factor X (85260) | $61 | $122 | 3.4× |
| Factor xiii screen (85291) | $343.50 | $687 | 37.7× |
| Fat/Lipids Feces Quantitative (82710) | $141 | $282 | 8.4× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $53 | $106 | 6.9× |
| Fecal Fat Qualitative (82705) | $141 | $282 | 27.6× |
| Ferritin (82728) | $71 | $142 | 5.2× |
| Fibrin degradation products (85362) | $97 | $194 | 14.1× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $44 | $88 | 4.5× |
| Fibrinogen activity (85384) | $65 | $130 | 6.7× |
| Flow cytometry first marker (88184) | $237 | $474 | 0.7× |
| Fluorescent antibody screen (86255) | $223.50 | $447 | 18.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $40 | $80 | 3.3× |
| Folic acid rbc (82747) | $59 | $118 | 3.3× |
| Folic Acid Serum (82746) | $69 | $138 | 4.7× |
| Follicle Stimulating Hormone (83001) | $76.50 | $153 | 4.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $215.50 | $431 | 1.3× |
| Frozen blood freeze/thaw (86932) | $712.50 | $1,425 | 19.0× |
| Gastrin (82941) | $81.50 | $163 | 4.6× |
| Gentamicin (80170) | $99.50 | $199 | 6.1× |
| Ggt (82977) | $29.50 | $59 | 4.1× |
| Glucagon (82943) | $84 | $168 | 5.9× |
| Glucose body fluid (82945) | $16.50 | $33 | 4.2× |
| Glucose Serum (82947) | $21 | $42 | 5.3× |
| Glycated Protein (82985) | $48 | $96 | 2.9× |
| Gonadotropin Chorionic Qualitative (84703) | $52.50 | $105 | 7.0× |
| Growth hormone (83003) | $69 | $138 | 4.1× |
| H Pylori (C-13) Breath (83013) | $193 | $386 | 2.9× |
| Haptoglobin (83010) | $65 | $130 | 5.2× |
| Hdl Cholesterol (83718) | $60 | $120 | 7.3× |
| Heavy metal qualitative any analytes (83015) | $54 | $108 | 2.6× |
| Hematocrit (85014) | $12 | $24 | 5.1× |
| Hemoglobin (85018) | $12 | $24 | 5.1× |
| Hemoglobin a1c (83036) | $50 | $100 | 5.1× |
| Hemoglobin electrophoresis (83020) | $90.50 | $181 | 7.0× |
| Hemolysins&Agglutinins Incubated (86941) | $550 | $1,100 | 45.4× |
| Hep a ab igm (86709) | $42.50 | $85 | 3.8× |
| Heparin assay (85520) | $410.50 | $821 | 31.4× |
| Hepatitis b core ab igm (86705) | $44.50 | $89 | 3.8× |
| Hepatitis b core ab total (86704) | $105 | $210 | 8.7× |
| Hepatitis B Surface Antibody (86706) | $95.50 | $191 | 8.9× |
| Hepatitis B Surface Antigen (87340) | $55 | $110 | 5.3× |
| Hepatitis Be Antibody (86707) | $106 | $212 | 9.2× |
| Hepatitis Be Antigen (87350) | $88.50 | $177 | 7.7× |
| Hepatitis C Antibody (86803) | $58.50 | $117 | 4.1× |
| Hepatitis c antibody confirmatory test (86804) | $108.15 | $216.30 | 7.0× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $509.50 | $1,019 | 14.5× |
| Hepatitis C Revrs Trnscrpj (87522) | $268.50 | $537 | 6.3× |
| Histoplasma antigen urine (87385) | $214 | $428 | 16.2× |
| Hiv-1 Antibody (86701) | $33 | $66 | 3.7× |
| Homocysteine (83090) | $133.50 | $267 | 7.4× |
| Hsv Dna Amp Probe (87529) | $307.50 | $615 | 8.8× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) range across 2 matching MRF lines |
$25–$56.50 | $50–$113 | varies |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $37 | $74 | 3.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $100 | $200 | 7.2× |
| Iaad ia shiga-like toxin (87427) | $47.50 | $95 | 4.0× |
| Iaadi inffluenza a virus (87276) range across 2 matching MRF lines |
$20–$80.50 | $40–$161 | varies |
| Iaadi not otherwise specified each organism (87299) range across 2 matching MRF lines |
$62.50–$120.45 | $125–$240.90 | varies |
| Iaadi respiratory synctial virus (87280) | $40.25 | $80.50 | 3.0× |
| Iadna Candida Species Amplified Probe Tq (87481) | $44 | $88 | 1.3× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $307.50 | $615 | 8.8× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$53.50–$328 | $107–$656 | varies |
| Iadna hepatitis b virus amplified probe tq (87516) | $101 | $202 | 2.9× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $294 | $588 | 8.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $154 | $308 | 8.4× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $132 | $264 | 8.8× |
| Immunoassay nonantibody (83516) | $100 | $200 | 8.7× |
| Immunofixation electrophoresis (86334) | $150.89 | $301.77 | 6.8× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $40 | $80 | 2.8× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $15.50 | $31 | 1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) | $25.50 | $51 | 1.3× |
| Inhibin b (83520) | $182.50 | $365 | 10.6× |
| Insulin total (83525) | $58.50 | $117 | 5.1× |
| Iron (83540) | $34.50 | $69 | 5.3× |
| Iron Binding Capacity (83550) | $45.50 | $91 | 5.2× |
| Irradiation Blood Product Each Unit (86945) | $200 | $400 | 5.3× |
| Islet cell antibody (86341) | $29.50 | $59 | 1.3× |
| Lactate (ld) (ldh) enzyme (83615) | $31.50 | $63 | 5.2× |
| Ldh Isoenzymes (83625) | $48 | $96 | 3.8× |
| LDL direct (83721) | $85.50 | $171 | 8.1× |
| Lead (83655) range across 2 matching MRF lines |
$26.50–$45.50 | $53–$91 | varies |
| Legionella antibody (86713) | $113.40 | $226.80 | 7.4× |
| Leukocyte Assessment Fecal (89055) | $53.50 | $107 | 12.5× |
| Lipase (83690) | $32.50 | $65 | 4.7× |
| Lipoprotein Bld Quan Part (83704) | $44 | $88 | 1.3× |
| Lithium (80178) | $27.50 | $55 | 4.2× |
| Luteinizing Hormone (Lh) (83002) | $85.50 | $171 | 4.6× |
| Lyme disease antibody (86618) | $179.50 | $359 | 10.5× |
| Magnesium Urine (83735) | $35 | $70 | 5.2× |
| Mercury urine (83825) | $37.50 | $75 | 2.3× |
| Metabolic panel ionized ca (80047) | $117.06 | $234.12 | 8.5× |
| Methylmalonic acid serum (83921) | $138 | $276 | 6.5× |
| Microalbumin, quantitative (82043) | $35.50 | $71 | 6.1× |
| Microsomal Antibodies Each (86376) | $54.50 | $109 | 3.7× |
| Mononuclear cell antigen (86356) | $33.50 | $67 | 1.3× |
| Mycoplasma antibody (86738) | $170 | $340 | 12.8× |
| Mycoplasma culture (87109) | $297.70 | $595.40 | 19.3× |
| Myoglobin urine (83874) | $69 | $138 | 5.3× |
| Natriuretic peptide (83880) | $174 | $348 | 4.4× |
| Nuclear antigen antibody (86235) | $157 | $314 | 8.8× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$11.50–$14 | $23–$28 | varies |
| Occult Blood Other Sources (82271) | $27 | $54 | 5.1× |
| Organic Acids Qualitative Each Specimen (83919) | $138 | $276 | 8.4× |
| Osmolality serum (83930) | $31.50 | $63 | 4.8× |
| Osmolality Urine (83935) | $31.50 | $63 | 4.6× |
| Ova and parasites smears (87177) | $38 | $76 | 4.3× |
| Oxalate urine (83945) | $52.50 | $105 | 3.6× |
| Particle Agglutination Screen Each Antibody (86403) | $61.50 | $123 | 5.3× |
| Phenobarbital Level (80184) | $59.50 | $119 | 3.9× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$45–$56 | $90–$112 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$47.50–$49.50 | $95–$99 | varies |
| Phosphatase alkaline (84075) | $22.50 | $45 | 4.3× |
| Phosphorus Serum (84100) | $25.50 | $51 | 5.4× |
| Phosphorus urine (84105) | $27.50 | $55 | 4.8× |
| Platelet Aggregation (85576) | $210 | $420 | 8.4× |
| Platelet Antibodies (86022) | $436.30 | $872.60 | 23.8× |
| Platelet count automated (85049) | $17 | $34 | 3.8× |
| Platelet neutralization (85597) | $127 | $254 | 7.1× |
| Potassium Urine (84133) | $22 | $44 | 4.7× |
| Prealbumin (84134) | $43.50 | $87 | 3.0× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) range across 2 matching MRF lines |
$122.50–$270 | $245–$540 | varies |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 2 matching MRF lines |
$147.50–$194 | $295–$388 | varies |
| Primidone (80188) | $48 | $96 | 2.9× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$14.50–$230 | $29–$460 | varies |
| Progesterone (84144) | $60 | $120 | 2.9× |
| Prolactin (84146) | $80 | $160 | 4.1× |
| Protein body fluid (84157) | $34 | $68 | 8.5× |
| Protein C Activity (85303) | $273 | $546 | 19.7× |
| Protein Electrophoresis Urine (84166) | $127.50 | $255 | 7.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $53 | $106 | 4.9× |
| Protein S Free (85306) | $273 | $546 | 17.8× |
| Protein total serum (84155) | $31.50 | $63 | 8.6× |
| Protein Total Urine (84156) | $39.50 | $79 | 10.8× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $15 | $30 | 3.8× |
| Pth Intact (83970) | $151 | $302 | 3.7× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$27.50–$217 | $55–$434 | varies |
| Quinidine (80194) range across 2 matching MRF lines |
$35.30–$42 | $70.60–$84 | varies |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$204–$388 | $408–$776 | varies |
| Rbc antibody identification (86870) | $215.50 | $431 | 0.6× |
| Rbc antibody screen (86850) | $149.50 | $299 | 15.3× |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
$199.50–$216 | $399–$432 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $215.50 | $431 | 1.3× |
| Rbc serum pretx incubj drugs (86975) | $550 | $1,100 | 1.2× |
| Renin activity plasma (84244) | $76 | $152 | 3.5× |
| Reptilase test (85635) | $260 | $520 | 26.4× |
| Resp virus 12-25 targets (87633) | $751.50 | $1,503 | 1.8× |
| Reticulocyte Count Manual (85044) | $12.50 | $25 | 2.9× |
| Reticulocyte separation (86972) | $100 | $200 | 0.6× |
| Rh (86901) | $83 | $166 | 27.8× |
| Rheumatoid Factor Qualitative (86430) | $16.50 | $33 | 2.7× |
| Rheumatoid factor quant (86431) | $24.50 | $49 | 4.3× |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$2.56–$75 | $5.12–$150 | varies |
| Rotavirus ag eia (87425) | $40.20 | $80.40 | 3.4× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$33–$64.20 | $66–$128.40 | varies |
| Rsv ab (86756) | $20 | $40 | 1.3× |
| Rubella Antibody (86762) | $49 | $98 | 3.4× |
| Russell Viper Venom Time Diluted (85613) | $639.50 | $1,279 | 66.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $75.50 | $151 | 1.5× |
| Sedimentation rate (85651) | $18.50 | $37 | 4.3× |
| Selenium (84255) | $160.50 | $321 | 6.3× |
| Sensitivity mic (87186) | $29.50 | $59 | 3.4× |
| Sickling of rbc reduction (85660) | $81 | $162 | 14.7× |
| Smear acid fast (87206) | $36.50 | $73 | 6.8× |
| Smear complex stain (87209) | $22.50 | $45 | 1.3× |
| Smear gram stain (87205) | $19.50 | $39 | 4.6× |
| Snrpn/Ube3a Methylation Analysis (81331) | $770 | $1,540 | 15.1× |
| Sodium Serum (84295) | $18.50 | $37 | 3.8× |
| Sodium Urine (84300) | $31.50 | $63 | 6.2× |
| Somatomedin (84305) | $196 | $392 | 9.2× |
| Specimen infect agnt concntj (87015) | $72.50 | $145 | 10.9× |
| Spectrophotometry (84311) | $72 | $144 | 8.9× |
| Splitting Blood/Blood Products Each Unit (86985) range across 2 matching MRF lines |
$84–$129 | $168–$258 | varies |
| Stone Analysis (82355) | $33.25 | $66.50 | 2.9× |
| Stool cultr aerobic bact ea (87046) | $35 | $70 | 3.7× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$20.50–$64.50 | $41–$129 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $16.50 | $33 | 3.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$32–$35.50 | $64–$71 | varies |
| T cells absolute cd4 count (86361) | $180.50 | $361 | 6.7× |
| T3 Free (84481) | $72.50 | $145 | 4.3× |
| T3 Total (84480) | $50.50 | $101 | 3.6× |
| T3 Uptake (84479) | $39.50 | $79 | 6.1× |
| T4 Free (84439) | $69 | $138 | 7.6× |
| T4 total (84436) range across 2 matching MRF lines |
$36–$64.50 | $72–$129 | varies |
| T4-neonatal (84437) | $27.40 | $54.80 | 4.2× |
| Tacrolimus (80197) | $127.50 | $255 | 9.3× |
| Test for acetone/ketones (82009) | $12.50 | $25 | 2.8× |
| Testosterone total (84403) | $105.50 | $211 | 4.1× |
| Testosterone, Free (84402) | $111.50 | $223 | 4.4× |
| Tetanus antibody (86774) | $85 | $170 | 5.7× |
| Theophylline (80198) | $41 | $82 | 2.9× |
| Thrombin Time (85670) | $85 | $170 | 14.7× |
| Thromboplastin Inhibition Tissue (85705) | $74.50 | $149 | 7.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $59.50 | $119 | 9.2× |
| Thyroglobulin (84432) | $86.50 | $173 | 5.4× |
| Thyroglobulin Antibody (86800) | $75 | $150 | 4.7× |
| Tobramycin peak (80200) | $58 | $116 | 3.6× |
| Topiramate (80201) | $42 | $84 | 3.5× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $102 | $204 | 5.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $19.50 | $39 | 3.8× |
| Transferrin (84466) | $57 | $114 | 4.5× |
| Triglycerides (84478) | $26.50 | $53 | 4.6× |
| Troponin Quant (84484) | $46 | $92 | 3.7× |
| Uric acid other source (84560) | $23.50 | $47 | 4.6× |
| Urinalysis Microscopic Only (81015) | $18.50 | $37 | 6.1× |
| Urinalysis Volume Measure (81050) | $56.50 | $113 | 15.5× |
| Urine Pregnancy Test (81025) | $68.50 | $137 | 8.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $20.50 | $41 | 6.5× |
| Valproic acid (80164) | $72.50 | $145 | 5.4× |
| Vancomycin (80202) | $80.50 | $161 | 5.9× |
| Varicella-zoster antibody (86787) | $81.50 | $163 | 6.3× |
| Viral Culture (87252) | $113 | $226 | 4.3× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$68–$136 | $136–$272 | varies |
| Vitamin A (84590) | $39.50 | $79 | 3.4× |
| Vitamin b-12 (82607) | $64.50 | $129 | 4.3× |
| Vitamin c (82180) | $86.50 | $173 | 8.7× |
| Vitamin E (84446) | $74 | $148 | 5.2× |
| Vitamin K (84597) | $17.50 | $35 | 1.3× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $170 | $340 | 1.0× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$3–$88.50 | $6–$177 | varies |
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.