Lab & pathology prices at Northern Rockies Medical Center

Cut Bank, MT · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $25.51 $39.25 1.4×
Acth (82024) $153.56 $236.25 4.0×
Acute hepatitis panel (80074) $180.38 $277.50 3.8×
Acylcarnitines Quant (82017) $30.71 $47.25 1.8×
Albumin Fluid (82042)
range across 2 matching MRF lines
$39.49–$52.32 $60.75–$80.50 varies
Albumin serum (82040)
range across 2 matching MRF lines
$25.19–$52.65 $38.75–$81 varies
Aldolase (82085) $47.61 $73.25 4.9×
Aldosterone urine (82088) $162.66 $250.25 4.0×
Allergen specific ige (86003) $47.45 $73 9.1×
Alpha-1-antitrypsin total (82103) $61.91 $95.25 4.6×
Alpha-Fetoprotein Serum (82105) $86.12 $132.50 5.1×
Alt (sgpt) (84460) $61.75 $95 11.7×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $265.85 $409 15.8×
Amino Acids Quant 2-5 (82136) $29.09 $44.75 1.5×
Ammonia (82140) $97.34 $149.75 6.7×
Amniotic fluid protein test on cervicovaginal fluid (84112) $210.76 $324.25 2.1×
Amylase urine (82150)
range across 5 matching MRF lines
$13.32–$87.10 $20.50–$134 varies
Ana Titer (86039) $15.76 $24.25 1.4×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $107.09 $164.75 6.9×
Antibody Cytomegalovirus Cmv Igm (86645) $103.84 $159.75 6.2×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $240.66 $370.25 18.3×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $81.58 $125.50 5.3×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $94.41 $145.25 5.2×
Antibody Herpes Smplx Type 1 (86695) $91.16 $140.25 6.9×
Antibody HIV-1&HIV-2 single result (86703) $66.46 $102.25 4.8×
Antibody HIV-2 (86702) $125.61 $193.25 9.3×
Antibody Treponema Pallidum (86780)
range across 3 matching MRF lines
$67.11–$80.44 $103.25–$123.75 varies
Antinuclear antibodies (86038) $80.44 $123.75 6.7×
Antistreptolysin o titer (86060) $33.15 $51 4.5×
Antithrombin iii activity (85300) $33.31 $51.25 2.8×
Antithrombin iii antigen (85301) $151.29 $232.75 14.0×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$54.76–$63.54 $84.25–$97.75 varies
Arsenic (82175)
range across 3 matching MRF lines
$71.18–$107.74 $109.50–$165.75 varies
Assay activated protein c (85307) $43.06 $66.25 2.8×
Assay Blood Carbon Dioxide (82374) $39.16 $60.25 8.0×
Assay of 5-hiaa (83497)
range across 2 matching MRF lines
$52.32–$99.78 $80.50–$153.50 varies
Assay of anti-mullerian hormone (82166) $56.71 $87.25 1.5×
Assay of blood/uric acid (84550) $20.96 $32.25 4.6×
Assay of calcium in urine (82340) $67.76 $104.25 11.2×
Assay of estrone (82679) $101.72 $156.50 4.1×
Assay of gammaglobulin igm (82784)
range across 12 matching MRF lines
$14.14–$80.11 $21.75–$123.25 varies
Assay of lactic acid (83605) $147.06 $226.25 12.7×
Assay of metanephrines (83835) $303.55 $467 17.9×
Assay of serum potassium (84132) $53.46 $82.25 11.2×
Assay of urea nitrogen (84520) $58.82 $90.50 14.9×
Assay of vitamin b-1 (84425) $222.14 $341.75 10.5×
Assay spec xcp ur&breath ia (82077) $320.12 $492.50 18.5×
Automated Leukocyte Count (85048) $35.42 $54.50 13.9×
B cells total count (86355) $51.68 $79.50 1.4×
Beta 2 glycoprotein i antibody each (86146)
range across 4 matching MRF lines
$121.71–$123.18 $187.25–$189.50 varies
Beta hydroxybutyrate (82010) $69.06 $106.25 8.5×
Beta-2 Microglobulin (82232) $82.22 $126.50 5.1×
Bilirubin direct (82248) $69.06 $106.25 13.8×
Bilirubin total (82247) $61.75 $95 12.3×
Biotinidase (82261) $34.61 $53.25 2.1×
Blood Count Automated Differential Wbc Count (85004) $16.41 $25.25 2.5×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $45.82 $70.50 12.1×
Blood gas (82803)
range across 3 matching MRF lines
$96.36–$192.40 $148.25–$296 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 2 matching MRF lines
$50.70–$128.38 $78–$197.50 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $63.54 $97.75 14.5×
Blood typing serologic abo (86900) $113.75 $175 38.0×
Breath Alcohol Test (82075) $39.49 $60.75 1.3×
C-Peptide (84681) $148.52 $228.50 7.1×
C-reactive protein (86140) $85.96 $132.25 16.6×
Ca 19-9 (86301) $126.42 $194.50 6.1×
Cadmium (82300)
range across 2 matching MRF lines
$84.82–$90.19 $130.50–$138.75 varies
Calcium ionized (82330) $184.11 $283.25 13.5×
Calcium total (82310)
range across 3 matching MRF lines
$8.45–$69.06 $13–$106.25 varies
Calprotectin Fecal (83993) $195.49 $300.75 10.0×
Cancer Antigen 125 (86304) $105.14 $161.75 5.1×
Cancer Antigen 27.29 (86300) $109.20 $168 5.2×
Carbamazepine total (80156) $106.44 $163.75 7.3×
Carcinoembryonic antigen (82378) $87.10 $134 4.6×
Cardiolipin ab iga (86147) $99.61 $153.25 3.9×
Ccp antibody (86200) $94.41 $145.25 7.3×
Ceruloplasmin (82390) $113.75 $175 10.6×
Chemiluminescent assay (82397) $227.99 $350.75 16.1×
Chloride Serum (82435) $33.15 $51 7.2×
Chloride urine (82436) $58.66 $90.25 10.2×
Cholesterol total (82465) $18.85 $29 4.3×
Chorionic gonadotropin test (84702) $100.91 $155.25 6.7×
Chromogranin a (86316) $179.72 $276.50 8.6×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $180.54 $277.75 5.1×
Citric acid urine (82507) $199.71 $307.25 7.2×
Clostridium Difficile (87324) $40.79 $62.75 3.4×
Clotting Funct Activity (85397) $42.41 $65.25 1.4×
Collagen crosslinks (82523) $67.76 $104.25 3.6×
Column Chromotography Quant (82542) $200.52 $308.50 8.3×
Compatibility test antiglob (86922) $246.84 $379.75 1.4×
Complement Antigen Each Component (86160) $80.44 $123.75 6.7×
Complement Total (Ch50) (86162) $84.82 $130.50 4.2×
Coombs direct (86880) $62.40 $96 11.6×
Copper urine (82525) $123.82 $190.50 10.0×
Cortisol free (82530) $102.38 $157.50 6.1×
Cortisol saliva (82533)
range across 2 matching MRF lines
$46.64–$80.11 $71.75–$123.25 varies
Creatine kinase total (82550) $27.14 $41.75 4.2×
Creatinine blood (82565) $57.04 $87.75 11.1×
Creatinine Urine (82570)
range across 7 matching MRF lines
$8.45–$64.51 $13–$99.25 varies
Crossmatch electronic (86923) $247.16 $380.25 1.4×
Crossmatch immediate spin (86920) $169 $260 1.0×
Crp High Sensitivity (86141) $77.51 $119.25 6.0×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $64.19 $98.75 7.9×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $88.56 $136.25 11.5×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $735.96 $1,132.25 3.4×
Culture Anaerobic (87075) $76.54 $117.75 8.1×
Culture blood (87040) $120.09 $184.75 11.6×
Culture csf (87070)
range across 6 matching MRF lines
$76.21–$87.26 $117.25–$134.25 varies
Culture fungus (87102) $88.56 $136.25 10.5×
Culture screen only (87081) $90.51 $139.25 13.7×
Culture stool (87045) $13.81 $21.25 1.5×
Culture urine (87086) $99.61 $153.25 12.3×
Cyclosporine (80158) $159.74 $245.75 8.8×
Cystatin C (82610) $27.14 $41.75 1.5×
Cytomegalovirus igg (86644) $103.84 $159.75 7.2×
Detect Agent Nos Dna Amp (87798)
range across 3 matching MRF lines
$96.85–$123.66 $149–$190.25 varies
Detect Agent Nos Dna Quant (87799) $110.99 $170.75 2.6×
Dgp Antibody Each Ig Class (86258) $48.42 $74.50 4.0×
Dhea (82626) $208.65 $321 8.3×
Dhea-S (82627) $151.78 $233.50 6.8×
Digoxin (80162) $63.05 $97 4.7×
Dihydrotestosterone (82642) $153.56 $236.25 5.2×
Dna Antibody Native/Double Stranded (86225) $19.01 $29.25 1.4×
Drug assay acetaminophen (80143) $78.16 $120.25 4.2×
Drug assay adalimumab (80145) $377.49 $580.75 9.8×
Drug Assay Everolimus (80169) $280.96 $432.25 20.5×
Drug Screen Quantitative Lamotrigine (80175) $44.20 $68 3.3×
Drug Screen Quantitative Levetiracetam (80177) $50.86 $78.25 3.8×
Drug Screen Quantitative Oxcarbazepine (80183) $135.20 $208 10.2×
Drug Test Prsmv Instrmnt (80306)
range across 2 matching MRF lines
$199.88–$273.32 $307.50–$420.50 varies
El-1 Fecal Quantitative (82653) $115.38 $177.50 5.0×
Electrolyte panel (80051) $73.45 $113 10.5×
Endomysial Antibody Each Immunoglobulin Class (86231) $121.06 $186.25 10.0×
Enterovirus PCR (87498) $54.92 $84.50 1.6×
Erythropoietin (82668) $158.92 $244.50 8.5×
Estradiol serum (82670)
range across 2 matching MRF lines
$101.72–$109.52 $156.50–$168.50 varies
F2 Gene (81240) $185.09 $284.75 2.8×
Factor v activity (85220) $93.28 $143.50 5.3×
Factor v leiden mutation (81241) $265.36 $408.25 3.6×
Factor vii assay (85230) $126.59 $194.75 7.1×
Factor viii assay (85240) $96.20 $148 5.4×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $211.74 $325.75 12.3×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $152.26 $234.25 23.3×
Ferritin (82728) $74.91 $115.25 5.5×
Fetal Congenital Abnor Assay Four Anal (81511) $248.79 $382.75 1.6×
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$28.76–$151.29 $44.25–$232.75 varies
Fibrinogen activity (85384)
range across 2 matching MRF lines
$27.62–$66.62 $42.50–$102.50 varies
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390)
range across 2 matching MRF lines
$42.90–$55.58 $66–$85.50 varies
Fluorescent antibody screen (86255) $18.85 $29 1.6×
Folic Acid Serum (82746) $77.02 $118.50 5.2×
Follicle Stimulating Hormone (83001) $86.12 $132.50 4.6×
Fungi Identification Yeast (87106) $45.99 $70.75 4.5×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $50.70 $78 2.4×
Gammaglobulin ige (82785) $22.59 $34.75 1.4×
Gases blood ph only (82800) $77.02 $118.50 7.0×
Gastrin (82941) $195.49 $300.75 11.1×
Gentamicin (80170) $131.30 $202 8.0×
Ggt (82977) $18.85 $29 2.6×
Glucose 2 hr pp (82950) $56.55 $87 11.9×
Glucose body fluid (82945) $53.62 $82.50 13.6×
Glucose Serum (82947) $49.89 $76.75 12.7×
Glucose tolerance test (gtt) (82951) $81.25 $125 6.3×
Gonadotropin Chorionic Qualitative (84703) $79.79 $122.75 10.6×
Growth hormone (83003) $115.86 $178.25 7.0×
Gtt-added samples (82952) $25.84 $39.75 6.6×
Haptoglobin (83010) $199.71 $307.25 15.9×
Hdl Cholesterol (83718) $50.70 $78 6.2×
Helicobacter Pylori Stool (87338) $85.48 $131.50 5.9×
Hematocrit (85014) $42.74 $65.75 18.0×
Hemoglobin (85018)
range across 3 matching MRF lines
$31.85–$34.61 $49–$53.25 varies
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$66.79–$83.04 $102.75–$127.75 varies
Hemoglobin electrophoresis (83020) $25.84 $39.75 2.0×
Hep a ab igm (86709) $183.79 $282.75 16.3×
Hepatitis b core ab igm (86705) $123.18 $189.50 10.5×
Hepatitis b core ab total (86704) $88.08 $135.50 7.3×
Hepatitis B Surface Antibody (86706) $81.74 $125.75 7.6×
Hepatitis B Surface Antigen (87340) $75.89 $116.75 7.3×
Hepatitis Be Antigen (87350) $102.38 $157.50 8.9×
Hepatitis C Antibody (86803) $105.14 $161.75 7.4×
Hepatitis C Genotype (87902) $781.95 $1,203 3.0×
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$74.75–$123.66 $115–$190.25 varies
Hepatitis d quantification (87523) $94.58 $145.50 2.2×
Herpes simplex type 2 (86696) $96.52 $148.50 5.0×
Heterophile Antibody Screen (86308) $74.91 $115.25 14.5×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines
$29.25–$92.62 $45–$142.50 varies
Hiv-1 Antibody (86701) $82.55 $127 9.3×
HIV-2 probe&revrse trnscripj (87538) $235.30 $362 6.7×
Hla ii typing 1 locus lr (81376) $257.72 $396.50 2.1×
Hla-b27 (86812) $175.34 $269.75 6.8×
Homocysteine (83090) $134.22 $206.50 7.5×
Homogenization Tissue (87176) $33.15 $51 5.6×
Hpv Types 16 & 18 Only (87625) $49.24 $75.75 1.2×
Hsv Dna Amp Probe (87529) $79.79 $122.75 2.3×
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines
$40.79–$92.46 $62.75–$142.25 varies
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $166.24 $255.75 12.0×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $96.85 $149 2.8×
Iadna Candida Species Amplified Probe Tq (87481) $55.09 $84.75 1.6×
Iadna Cytomegalovirus Quantification (87497) $242.61 $373.25 5.7×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $158.76 $244.25 2.3×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $235.30 $362 6.7×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $148.20 $228 4.2×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $280.31 $431.25 2.0×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $356.85 $549 1.4×
Ig Light Chains Free Each (83521)
range across 3 matching MRF lines
$29.09–$227.18 $44.75–$349.50 varies
Immunoassay nonantibody (83516)
range across 6 matching MRF lines
$50.86–$230.26 $78.25–$354.25 varies
Influenza assay w/optic (87804)
range across 4 matching MRF lines
$53.30–$56.06 $82–$86.25 varies
Influenza DNA amp probe (87502) $217.75 $335 2.3×
Inhibin b (83520)
range across 4 matching MRF lines
$157.62–$206.70 $242.50–$318 varies
Insulin antibodies (86337)
range across 2 matching MRF lines
$51.68–$182.65 $79.50–$281 varies
Insulin free (83527) $199.71 $307.25 15.4×
Insulin total (83525) $40.62 $62.50 3.6×
Iron (83540) $62.89 $96.75 9.7×
Iron Binding Capacity (83550) $66.14 $101.75 7.6×
Islet cell antibody (86341)
range across 4 matching MRF lines
$48.59–$282.10 $74.75–$434 varies
Lactate (ld) (ldh) enzyme (83615)
range across 3 matching MRF lines
$18.85–$66.79 $29–$102.75 varies
Lactoferrin fecal qualitative (83630) $94.58 $145.50 4.8×
LDL direct (83721) $101.72 $156.50 9.7×
Lead (83655)
range across 5 matching MRF lines
$58.82–$70.85 $90.50–$109 varies
Lipase (83690) $87.10 $134 12.6×
Lipoprotein A (83695) $69.06 $106.25 4.8×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $40.62 $62.50 3.6×
Lithium (80178) $70.69 $108.75 10.7×
Luteinizing Hormone (Lh) (83002) $78 $120 4.2×
Lyme disease antibody (86618) $67.60 $104 4.0×
Macroscopic Exam Parasite (87169) $90.51 $139.25 21.0×
Magnesium Urine (83735) $66.14 $101.75 9.9×
Mass Spectrometry Quant (83789) $74.91 $115.25 3.1×
Mercury urine (83825)
range across 2 matching MRF lines
$61.26–$66.14 $94.25–$101.75 varies
Methylmalonic acid serum (83921) $98.64 $151.75 4.7×
Microalbumin, quantitative (82043) $49.24 $75.75 8.5×
Microsatellite instability (81301) $786.99 $1,210.75 2.3×
Microsomal Antibodies Each (86376) $91.16 $140.25 6.3×
Mitochondrial Antibody Each (86381) $210.76 $324.25 8.3×
Mononuclear cell antigen (86356) $21.12 $32.50 0.8×
Mopath procedure level 2 (81401) $310.86 $478.25 2.3×
Mrsa Pcr (87641) $106.44 $163.75 3.0×
Mumps antibody (86735)
range across 2 matching MRF lines
$13.81–$160.39 $21.25–$246.75 varies
Natriuretic peptide (83880) $295.91 $455.25 7.5×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $182 $280 1.4×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $200.85 $309 1.4×
Nfct ds chrnc hcv 6 assays (81596) $362.70 $558 5.0×
Nuclear antigen antibody (86235)
range across 8 matching MRF lines
$68.74–$95.22 $105.75–$146.50 varies
Occult blood feces (82272)
range across 2 matching MRF lines
$63.54–$71.66 $97.75–$110.25 varies
Organic Acids Qualitative Each Specimen (83919) $376.19 $578.75 22.9×
Osmolality serum (83930) $74.10 $114 11.2×
Osmolality Urine (83935) $73.29 $112.75 10.7×
Ova and parasites smears (87177) $13.81 $21.25 1.6×
Ph urine (81003)
range across 4 matching MRF lines
$27.14–$31.04 $41.75–$47.75 varies
Phenobarbital Level (80184) $76.21 $117.25 5.0×
Phenylalanine (84030) $38.19 $58.75 6.9×
Phenytoin (Dilantin) (80185) $68.74 $105.75 5.2×
Phosphatase alkaline (84075) $80.11 $123.25 15.5×
Phosphorus Serum (84100) $70.85 $109 14.9×
Phosphorus urine (84105) $70.85 $109 12.3×
Platelet count automated (85049) $41.92 $64.50 9.4×
Potassium Urine (84133)
range across 2 matching MRF lines
$66.79–$67.76 $102.75–$104.25 varies
Prealbumin (84134) $81.25 $125 5.6×
Procalcitonin (Pct) (84145) $85.80 $132 3.2×
Progesterone (84144) $96.36 $148.25 4.6×
Prolactin (84146)
range across 3 matching MRF lines
$54.76–$78 $84.25–$120 varies
Protein body fluid (84157)
range across 2 matching MRF lines
$58.66–$71.66 $90.25–$110.25 varies
Protein C Activity (85303)
range across 2 matching MRF lines
$39.16–$62.24 $60.25–$95.75 varies
Protein Electrophoresis Urine (84166) $48.42 $74.50 2.7×
Protein S Free (85306)
range across 3 matching MRF lines
$43.06–$89.38 $66.25–$137.50 varies
Protein total serum (84155) $36.24 $55.75 9.9×
Protein Total Urine (84156)
range across 6 matching MRF lines
$12.68–$61.91 $19.50–$95.25 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $20.96 $32.25 5.3×
Pth Intact (83970) $197.60 $304 4.8×
Quantiferon tb gold plus (86480) $272.68 $419.50 4.4×
Quantitative assay drug (80299) $152.91 $235.25 8.2×
Rbc antibody identification (86870) $310.70 $478 0.8×
Rbc antibody screen (86850) $135.69 $208.75 13.9×
Reagent Strip/Blood Glucose (82948) $43.88 $67.50 8.7×
Renin activity plasma (84244) $236.44 $363.75 10.8×
Rh (86901) $37.38 $57.50 12.5×
Rheumatoid factor quant (86431) $80.44 $123.75 14.2×
Rickettsia antibody (86757) $74.91 $115.25 3.9×
Rpr qualitative (86592)
range across 3 matching MRF lines
$40.95–$86.78 $63–$133.50 varies
Rubella Antibody (86762)
range across 2 matching MRF lines
$13–$77.68 $20–$119.50 varies
Rubeola antibody (86765)
range across 3 matching MRF lines
$12.68–$92.30 $19.50–$142 varies
Russell Viper Venom Time Diluted (85613)
range across 5 matching MRF lines
$13.32–$24.21 $20.50–$37.25 varies
Salicylate Level (80179) $193.54 $297.75 10.4×
Sars-Cov-2 Covid-19 Amp Prb (87635) $102.38 $157.50 2.0×
Sars-Cov-2 Covid19 W/Optic (87811) $16.41 $25.25 0.4×
Sarscov2 & inf a&b amp prb (87636)
range across 2 matching MRF lines
$75.40–$96.20 $116–$148 varies
Sarscov2&inf a&b&rsv amp prb (87637) $248.62 $382.50 1.7×
Sedimentation Rate, Automated (85652) $43.55 $67 16.1×
Selenium (84255) $126.42 $194.50 5.0×
Semen Anal Sperm Detection (89321) $54.60 $84 4.5×
Sensitivity mic (87186) $106.44 $163.75 12.3×
Sex Hormone Binding Globulin (84270) $32.18 $49.50 1.5×
Skin test tuberculosis intradermal (86580) $297.62 $457.88 10.1×
Smear complex stain (87209) $41.11 $63.25 2.3×
Smear gram stain (87205) $74.91 $115.25 17.5×
Smr Prim Src Wet Mount Nfct Agt (87210) $88.40 $136 15.2×
Sodium Serum (84295) $51.84 $79.75 10.8×
Sodium Urine (84300)
range across 2 matching MRF lines
$66.79–$67.76 $102.75–$104.25 varies
Somatomedin (84305) $77.02 $118.50 3.6×
Staph a DNA amp probe (87640) $106.44 $163.75 3.0×
Stool cultr aerobic bact ea (87046) $13.81 $21.25 1.5×
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$45.34–$47.78 $69.75–$73.50 varies
Strep a DNA amp probe (87651)
range across 2 matching MRF lines
$124.15–$124.31 $191–$191.25 varies
Susceptibility Study Antimicrobial Disk Method (87184) $96.20 $148 12.9×
Syphilis Test Non-Trep Quant (86593) $23.72 $36.50 5.4×
T3 Free (84481) $70.85 $109 4.2×
T3 reverse (84482) $49.24 $75.75 3.1×
T3 Total (84480) $90.19 $138.75 6.4×
T3 Uptake (84479) $60.78 $93.50 9.4×
T4 Free (84439) $71.66 $110.25 7.9×
T4 total (84436) $56.55 $87 8.2×
T4-neonatal (84437) $29.90 $46 4.6×
Tacrolimus (80197) $64.68 $99.50 4.7×
Testosterone Bioavailable (84410) $91.32 $140.50 1.8×
Testosterone total (84403)
range across 4 matching MRF lines
$33.31–$92.46 $51.25–$142.25 varies
Testosterone, Free (84402)
range across 2 matching MRF lines
$32.99–$91.32 $50.75–$140.50 varies
Thrombin Time (85670)
range across 2 matching MRF lines
$16.58–$77.19 $25.50–$118.75 varies
Thyroglobulin (84432)
range across 2 matching MRF lines
$33.48–$127.08 $51.50–$195.50 varies
Thyroglobulin Antibody (86800) $166.72 $256.50 10.5×
Thyroid Stimulating Immunoglobulin (84445) $200.52 $308.50 3.9×
Tiss Trnsgltmnase Ea Ig Clas (86364) $50.70 $78 4.4×
Tobramycin peak (80200) $117 $180 7.3×
Topiramate (80201) $133.09 $204.75 11.2×
Transferase Aspartate Amino Ast Sgot (84450) $59.96 $92.25 11.6×
Transferrin (84466) $126.42 $194.50 9.9×
Trichomonas Vaginalis Amplif (87661) $55.09 $84.75 1.6×
Triglycerides (84478) $18.85 $29 3.3×
Troponin Quant (84484)
range across 2 matching MRF lines
$91.98–$189.15 $141.50–$291 varies
Urinalysis Microscopic Only (81015) $22.26 $34.25 7.3×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$64.02–$72.96 $98.50–$112.25 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $43.88 $67.50 13.8×
Valproic acid (80164) $64.68 $99.50 4.8×
Vancomycin (80202)
range across 2 matching MRF lines
$66.30–$117 $102–$180 varies
Varicella-zoster antibody (86787)
range across 4 matching MRF lines
$12.68–$144.30 $19.50–$222 varies
Viscosity serum (85810) $181.51 $279.25 15.6×
Vit D 1 25-Dihydroxy (82652) $206.05 $317 5.4×
Vitamin A (84590) $153.56 $236.25 13.2×
Vitamin b-12 (82607) $74.91 $115.25 5.0×
Vitamin D 25-Hydroxy (82306) $137.15 $211 4.6×
Vitamin E (84446) $153.56 $236.25 10.8×
Vitamin K (84597) $189.15 $291 13.8×
Von willebrand factor ag (85246) $150.15 $231 6.5×
Zinc (84630) $152.75 $235 13.4×

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.