Lab & pathology prices at Orthopaedic Hospital of Wisconsin
Glendale, WI · every code in this section with a posted price and a Medicare benchmark.
361 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $160.59 | $303 | 4.2× |
| Acute hepatitis panel (80074) | $608.44 | $1,148 | 12.8× |
| Albumin serum (82040) | $28.09 | $53 | 5.7× |
| Aldolase (82085) | $40.81 | $77 | 4.2× |
| Aldosterone urine (82088) | $121.37 | $229 | 3.0× |
| Alkaline phosphatase isoenzymes (84080) | $104.94 | $198 | 7.1× |
| Allergen specific ige (86003) | $8.35 | $15.75 | 1.6× |
| Alpha-1-antitrypsin phenotype (82104) | $10.60 | $20 | 0.7× |
| Alpha-Fetoprotein Serum (82105) | $117.13 | $221 | 7.0× |
| Alt (sgpt) (84460) | $27.03 | $51 | 5.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $89.57 | $169 | 5.3× |
| Ammonia (82140) | $69.96 | $132 | 4.8× |
| Amylase urine (82150) | $37.63 | $71 | 5.8× |
| Ana Titer (86039) | $132.50 | $250 | 11.9× |
| Antibody aspergillus (86606) | $34.45 | $65 | 2.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $118.72 | $224 | 7.7× |
| Antibody Encephalitis California La Crosse (86651) | $24.38 | $46 | 1.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $66.78 | $126 | 3.7× |
| Antibody helicobacter pylori (86677) | $122.43 | $231 | 7.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$27.03–$115.54 | $51–$218 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $51.41 | $97 | 3.7× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $101.76 | $192 | 5.3× |
| Antibody; encephalitis, st. louis (86653) | $24.38 | $46 | 1.8× |
| Antigen typing (86905) | $33.39 | $63 | 8.7× |
| Antinuclear antibodies (86038) | $72.08 | $136 | 6.0× |
| Antistreptolysin O Screen (86063) | $54.06 | $102 | 9.4× |
| Antistreptolysin o titer (86060) | $59.89 | $113 | 8.2× |
| Antithrombin iii activity (85300) | $160.06 | $302 | 13.5× |
| Arsenic (82175) | $154.76 | $292 | 8.2× |
| Assay activated protein c (85307) | $160.06 | $302 | 10.4× |
| Assay Blood Carbon Dioxide (82374) | $50.35 | $95 | 10.3× |
| Assay Nephelometry Not Spec (83883) | $47.17 | $89 | 3.5× |
| Assay of blood/uric acid (84550) | $31.27 | $59 | 6.9× |
| Assay of cpk in blood (82552) | $102.29 | $193 | 7.6× |
| Assay of gammaglobulin igm (82784) | $8.48 | $16 | 0.9× |
| Assay of lactic acid (83605) | $48.76 | $92 | 4.2× |
| Assay of metanephrines (83835) | $84.80 | $160 | 5.0× |
| Assay of serum potassium (84132) | $27.03 | $51 | 5.7× |
| Assay of urea nitrogen (84520) | $25.44 | $48 | 6.4× |
| Autol Bld/Component Collj Storage Predeposited (86890) range across 2 matching MRF lines |
$100.70–$141.51 | $190–$267 | varies |
| Autol bld/component collj storage salvage (86891) | $301.57 | $569 | 0.4× |
| Automated Leukocyte Count (85048) | $41.34 | $78 | 16.3× |
| Beta 2 glycoprotein i antibody each (86146) | $85.33 | $161 | 3.4× |
| Beta hydroxybutyrate (82010) | $40.28 | $76 | 4.9× |
| Beta Lactamase (87185) | $11.13 | $21 | 2.3× |
| Bilirubin direct (82248) | $22.79 | $43 | 4.5× |
| Bilirubin total (82247) | $29.68 | $56 | 5.9× |
| Bl Smear W/O Diff Wbc Count (85008) | $18.55 | $35 | 5.4× |
| Blastomyces antibody (86612) | $29.15 | $55 | 2.3× |
| Bld Typing Serologic Rh Phnt (86906) | $72.61 | $137 | 9.4× |
| Blood Count Automated Differential Wbc Count (85004) | $60.95 | $115 | 9.4× |
| Blood Count Manual Cell Count Each (85032) | $20.14 | $38 | 4.7× |
| Blood Count Red Blood Cell Automated (85041) | $37.10 | $70 | 12.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $21.20 | $40 | 5.6× |
| Blood gas (82803) | $128.79 | $243 | 4.9× |
| Blood gases w/02 saturation (82805) | $87.45 | $165 | 1.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $48.23 | $91 | 3.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $38.16 | $72 | 8.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 6 matching MRF lines |
$9.01–$36.04 | $17–$68 | varies |
| Blood typing serologic abo (86900) | $19.61 | $37 | 6.6× |
| Body fluid cell count (89050) | $34.45 | $65 | 7.3× |
| C diff amplified probe (87493) | $108.65 | $205 | 2.9× |
| C-Peptide (84681) | $240.09 | $453 | 11.5× |
| C-reactive protein (86140) | $47.70 | $90 | 9.2× |
| Ca 19-9 (86301) | $149.46 | $282 | 7.2× |
| Calcium ionized (82330) | $73.14 | $138 | 5.3× |
| Calcium total (82310) | $27.03 | $51 | 5.2× |
| Cancer Antigen 125 (86304) | $122.43 | $231 | 5.9× |
| Cancer Antigen 27.29 (86300) | $69.96 | $132 | 3.4× |
| Carbamazepine total (80156) | $88.51 | $167 | 6.1× |
| Carboxyhemoglobin (82375) | $27.83 | $52.50 | 2.3× |
| Carcinoembryonic antigen (82378) | $73.67 | $139 | 3.9× |
| Cardiolipin ab iga (86147) | $126.14 | $238 | 5.0× |
| Ccp antibody (86200) | $60.42 | $114 | 4.7× |
| Cell count csf (89051) | $65.19 | $123 | 11.6× |
| Ceruloplasmin (82390) | $80.03 | $151 | 7.5× |
| Chloride Serum (82435) | $25.44 | $48 | 5.5× |
| Cholesterol total (82465) | $25.44 | $48 | 5.8× |
| Chorionic gonadotropin test (84702) | $80.56 | $152 | 5.4× |
| Chromium serum (82495) | $30.74 | $58 | 1.5× |
| Chromosome analys amniotic (88269) | $235.85 | $445 | 1.4× |
| Chromosome Analysis 15-20 (88262) | $346.62 | $654 | 2.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$41.34–$161.12 | $78–$304 | varies |
| Ckmb (82553) | $67.31 | $127 | 5.8× |
| Clostridium Difficile (87324) | $84.27 | $159 | 7.0× |
| Clot Factor VIII Multimetric (85247) | $113.95 | $215 | 5.0× |
| Coccidioides antibody (86635) | $25.97 | $49 | 2.3× |
| Compatibility Each Unit Incubation (86921) | $75.26 | $142 | 0.4× |
| Compatibility test antiglob (86922) | $74.73 | $141 | 0.4× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$155.82–$336.02 | $294–$634 | varies |
| Complement/Function Activity (86161) | $336.02 | $634 | 28.0× |
| Coombs direct (86880) | $46.11 | $87 | 8.6× |
| Copper urine (82525) | $51.41 | $97 | 4.1× |
| Cortisol saliva (82533) | $108.65 | $205 | 6.7× |
| Creatine kinase total (82550) | $50.35 | $95 | 7.7× |
| Creatinine blood (82565) | $54.06 | $102 | 10.6× |
| Creatinine Urine (82570) | $54.06 | $102 | 10.4× |
| Crossmatch electronic (86923) | $75.26 | $142 | 0.4× |
| Crossmatch immediate spin (86920) | $88.51 | $167 | 0.5× |
| Crp High Sensitivity (86141) | $121.90 | $230 | 9.4× |
| Cryptosporidium (87272) | $31.80 | $60 | 2.7× |
| Cryptosporidium ag eia (87328) | $52.47 | $99 | 3.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $68.37 | $129 | 8.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $51.41 | $97 | 6.7× |
| Culture afb (87116) | $82.15 | $155 | 7.6× |
| Culture Anaerobic (87075) | $95.93 | $181 | 10.1× |
| Culture blood (87040) | $105.47 | $199 | 10.2× |
| Culture csf (87070) | $95.93 | $181 | 11.1× |
| Culture fungus (87102) | $95.93 | $181 | 11.4× |
| Culture screen only (87081) | $95.93 | $181 | 14.5× |
| Culture stool (87045) | $42.93 | $81 | 4.5× |
| Culture typing if ea antiserum (87140) | $12.19 | $23 | 2.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $14.31 | $27 | 2.8× |
| Culture urine (87086) | $95.93 | $181 | 11.9× |
| Cyclosporine (80158) | $83.21 | $157 | 4.6× |
| Cytomegalovirus igg (86644) | $37.63 | $71 | 2.6× |
| Cytopath Cell Enhance Tech (88112) | $113.42 | $214 | 2.2× |
| Cytp Concentration Smears & Interpretation (88108) | $103.88 | $196 | 2.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $142.04 | $268 | 2.7× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $86.39 | $163 | 0.5× |
| Detect Agent Nos Dna Amp (87798) | $131.44 | $248 | 3.7× |
| Detect Agent Nos Dna Quant (87799) | $59.71 | $112.66 | 1.4× |
| Detect agnt mult DNA ampli (87801) | $329.13 | $621 | 4.7× |
| Dhea (82626) | $172.78 | $326 | 6.8× |
| Dhea-S (82627) | $88.51 | $167 | 4.0× |
| Digoxin (80162) | $73.67 | $139 | 5.5× |
| Dna Antibody Native/Double Stranded (86225) | $68.37 | $129 | 5.0× |
| Dna/Rna Sequencing (87153) | $288.85 | $545 | 2.5× |
| Drug Assay Amiodarone (80151) | $45.05 | $85 | 2.4× |
| Drug Screen Quantitative Gabapentin (80171) | $69.96 | $132 | 3.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $69.96 | $132 | 5.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $29.15 | $55 | 2.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $133.03 | $251 | 10.0× |
| Drug Test Prsmv Chem Anlyzr (80307) | $107.06 | $202 | 1.7× |
| Drug Test Prsmv Dir Opt Obs (80305) | $14.84 | $28 | 1.2× |
| Electrolyte panel (80051) | $37.10 | $70 | 5.3× |
| Encephaltis East Eqne Anbdy (86652) | $24.38 | $46 | 1.8× |
| Enterovirus Antibody (86658) | $65.72 | $124 | 5.0× |
| Enterovirus PCR (87498) | $184.44 | $348 | 5.3× |
| Enzyme histochemistry (88319) | $286.20 | $540 | 0.4× |
| Eosinophil Smear (89190) | $21.73 | $41 | 3.8× |
| Estradiol serum (82670) | $102.29 | $193 | 3.7× |
| Estriol (82677) | $117.13 | $221 | 4.8× |
| Exam Synovial Fluid Crystals (89060) | $102.29 | $193 | 14.0× |
| F2 Gene (81240) | $261.29 | $493 | 4.0× |
| Factor Inhibitor Test (85335) | $83.74 | $158 | 6.5× |
| Factor v leiden mutation (81241) | $261.29 | $493 | 3.6× |
| Factor viii assay (85240) | $52.47 | $99 | 2.9× |
| Fecal Fat Qualitative (82705) | $45.58 | $86 | 8.9× |
| Ferritin (82728) | $115.54 | $218 | 8.5× |
| Fibrin degradation products (85362) | $77.91 | $147 | 11.3× |
| Fibrin Degradation Quant (85379) | $112.89 | $213 | 11.1× |
| Fibrinogen activity (85384) | $31.80 | $60 | 3.3× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$58.30–$59.89 | $110–$113 | varies |
| Fluorescent antibody screen (86255) | $55.65 | $105 | 4.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$18.55–$49.29 | $35–$93 | varies |
| Folic Acid Serum (82746) | $108.65 | $205 | 7.4× |
| Follicle Stimulating Hormone (83001) | $85.86 | $162 | 4.6× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $47.70 | $90 | 0.3× |
| Frozen Section (88331) | $171.19 | $323 | 1.0× |
| Fungi Identification Mold (87107) | $130.38 | $246 | 12.6× |
| Fungi Identification Yeast (87106) | $66.25 | $125 | 6.4× |
| Gammaglobulin ige (82785) | $127.20 | $240 | 7.7× |
| Gases blood ph only (82800) | $53 | $100 | 4.8× |
| Gentamicin (80170) | $55.65 | $105 | 3.4× |
| Ggt (82977) | $37.63 | $71 | 5.2× |
| Giardia antigen (87329) | $47.70 | $90 | 4.0× |
| Glucose Blood Test (82962) | $9.54 | $18 | 2.9× |
| Glucose Serum (82947) | $27.03 | $51 | 6.9× |
| Gonadotropin Chorionic Qualitative (84703) | $45.05 | $85 | 6.0× |
| Growth hormone (83003) | $154.23 | $291 | 9.3× |
| Haptoglobin (83010) | $49.29 | $93 | 3.9× |
| Hdl Cholesterol (83718) | $48.23 | $91 | 5.9× |
| Helicobacter Pylori Stool (87338) | $32.39 | $61.12 | 2.3× |
| Hematocrit (85014) | $29.15 | $55 | 12.3× |
| Hemoglobin (85018) | $15.90 | $30 | 6.7× |
| Hemoglobin a1c (83036) | $87.45 | $165 | 9.0× |
| Hepatitis a antibody total (86708) | $48.23 | $91 | 3.9× |
| Hepatitis b core ab igm (86705) | $49.82 | $94 | 4.2× |
| Hepatitis b core ab total (86704) | $72.08 | $136 | 6.0× |
| Hepatitis B Surface Antibody (86706) | $63.60 | $120 | 5.9× |
| Hepatitis B Surface Antigen (87340) | $65.72 | $124 | 6.4× |
| Hepatitis C Antibody (86803) | $144.16 | $272 | 10.1× |
| Hepatitis c antibody confirmatory test (86804) | $202.99 | $383 | 13.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $637.06 | $1,202 | 14.9× |
| Heterophile Antibody Screen (86308) | $31.27 | $59 | 6.0× |
| Histoplasma antibody (86698) | $28.09 | $53 | 2.0× |
| Histoplasma antigen urine (87385) | $110.24 | $208 | 8.3× |
| Hiv Genotype (87901) | $478.06 | $902 | 1.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $274.54 | $518 | 3.2× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$25.44–$115.01 | $48–$217 | varies |
| Homocysteine (83090) | $96.99 | $183 | 5.4× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$31.80–$48.23 | $60–$91 | varies |
| Hpv low-risk types (87623) | $64.66 | $122 | 1.8× |
| Hsv Dna Amp Probe (87529) | $131.44 | $248 | 3.7× |
| Hydroxyprogesterone 17-d (83498) | $99.64 | $188 | 3.7× |
| Iaad ia shiga-like toxin (87427) | $47.70 | $90 | 4.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $63.60 | $120 | 1.8× |
| Iadna Cytomegalovirus Quantification (87497) | $63.60 | $120 | 1.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $133.30 | $251.50 | 3.1× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $235.85 | $445 | 4.9× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $155.82 | $294 | 3.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$41.34–$161.12 | $78–$304 | varies |
| Igg subclasses (82787) | $18.55 | $35 | 2.3× |
| Immunfix e-phorsis/urine/csf (86335) | $180.20 | $340 | 6.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $7.95 | $15 | 0.5× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$19.08–$93.28 | $36–$176 | varies |
| Immunofixation electrophoresis (86334) | $130.38 | $246 | 5.8× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $161.65 | $305 | 1.0× |
| Immunohistochemistry (88342) | $165.89 | $313 | 1.0× |
| In situ hybridization 1st probe stain (88365) | $180.73 | $341 | 1.1× |
| Influenza DNA amp probe (87502) | $187.62 | $354 | 2.0× |
| Inhibin A (86336) | $60.95 | $115 | 3.9× |
| Inhibin b (83520) range across 2 matching MRF lines |
$57.61–$57.77 | $108.69–$109 | varies |
| Insitu hybridization manual (88368) | $204.58 | $386 | 0.6× |
| Intrinsic factor antibody (86340) | $34.98 | $66 | 2.3× |
| Iron (83540) | $38.16 | $72 | 5.9× |
| Iron Binding Capacity (83550) | $74.73 | $141 | 8.6× |
| Irradiation Blood Product Each Unit (86945) | $43.99 | $83 | 1.2× |
| Islet cell antibody (86341) | $55.65 | $105 | 2.4× |
| Jak2 gene analysis p.val617phe variant (81270) | $627.52 | $1,184 | 6.8× |
| Lactate (ld) (ldh) enzyme (83615) | $64.66 | $122 | 10.7× |
| LDL direct (83721) | $56.18 | $106 | 5.4× |
| Lead (83655) | $39.22 | $74 | 3.2× |
| Legionella antigen urine (87449) | $52.87 | $99.75 | 4.4× |
| Leukocyte Assessment Fecal (89055) | $19.08 | $36 | 4.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $30.21 | $57 | 1.0× |
| Level ii surg pathology grossµscopic exam (88302) | $51.41 | $97 | 1.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $234.26 | $442 | 0.7× |
| Lipase (83690) | $31.27 | $59 | 4.5× |
| Lipoprotein A (83695) | $190.27 | $359 | 13.3× |
| Lipoprotein Bld Quan Part (83704) | $143.63 | $271 | 4.2× |
| Lithium (80178) | $29.15 | $55 | 4.4× |
| Luteinizing Hormone (Lh) (83002) | $97.52 | $184 | 5.3× |
| Lyme disease antibody (86618) | $97.52 | $184 | 5.7× |
| Lymphocyte transformation (86353) | $86.92 | $164 | 1.8× |
| Lysozyme serum (85549) | $91.16 | $172 | 4.9× |
| M/phmtrc alys ishquant/semiq (88374) | $180.73 | $341 | 1.1× |
| Magnesium Urine (83735) | $37.63 | $71 | 5.6× |
| Mercury urine (83825) | $251.22 | $474 | 15.5× |
| Metabolic panel ionized ca (80047) | $118.19 | $223 | 8.6× |
| Methylmalonic acid serum (83921) | $82.15 | $155 | 3.9× |
| Microalbumin, quantitative (82043) | $96.99 | $183 | 16.8× |
| Microbe Suscept Macrobroth (87188) | $111.83 | $211 | 16.8× |
| Microsomal Antibodies Each (86376) | $75.79 | $143 | 5.2× |
| Mrsa Pcr (87641) | $104.41 | $197 | 3.0× |
| Mthfr Gene Analysis Common Variants (81291) | $235.85 | $445 | 3.6× |
| Mumps antibody (86735) | $112.36 | $212 | 8.6× |
| Mycobacteric Identification (87118) | $134.62 | $254 | 9.2× |
| Myoglobin urine (83874) | $57.77 | $109 | 4.5× |
| Natriuretic peptide (83880) | $60.42 | $114 | 1.5× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $226.84 | $428 | 8.7× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $483.89 | $913 | 1.0× |
| Nuclear antigen antibody (86235) | $64.13 | $121 | 3.6× |
| Occult blood feces (82272) | $24.38 | $46 | 5.8× |
| Occult Blood Other Sources (82271) | $48.76 | $92 | 9.2× |
| Osmolality serum (83930) | $51.41 | $97 | 7.8× |
| Osmolality Urine (83935) | $30.74 | $58 | 4.5× |
| Parvovirus antibody (86747) | $74.73 | $141 | 5.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $79.50 | $150 | 0.1× |
| Ph urine (81003) range across 2 matching MRF lines |
$24.38–$27.03 | $46–$51 | varies |
| Phenobarbital Level (80184) | $45.05 | $85 | 2.9× |
| Phenytoin (Dilantin) (80185) | $69.43 | $131 | 5.2× |
| Phenytoin free (80186) | $69.43 | $131 | 5.0× |
| Phosphatase alkaline (84075) | $25.44 | $48 | 4.9× |
| Phosphatidylglycerol (84081) | $133.56 | $252 | 8.1× |
| Phosphorus Serum (84100) | $29.68 | $56 | 6.3× |
| Platelet Aggregation (85576) | $181.26 | $342 | 7.3× |
| Platelet Antibodies (86022) | $216.24 | $408 | 11.8× |
| Platelet count automated (85049) | $29.68 | $56 | 6.6× |
| Platelet neutralization (85597) | $141.51 | $267 | 7.9× |
| Prealbumin (84134) | $27.03 | $51 | 1.9× |
| Procalcitonin (Pct) (84145) | $98.58 | $186 | 3.6× |
| Progesterone (84144) | $77.38 | $146 | 3.7× |
| Prolactin (84146) | $69.43 | $131 | 3.6× |
| Protein C Activity (85303) | $230.02 | $434 | 16.6× |
| Protein Electrophoresis Urine (84166) | $73.67 | $139 | 4.1× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $33.39 | $63 | 3.1× |
| Protein S Free (85306) | $93.28 | $176 | 6.1× |
| Protein Total Refractometry Any Src (84160) | $45.05 | $85 | 8.0× |
| Protein Total Urine (84156) | $57.24 | $108 | 15.6× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $21.86 | $41.25 | 5.5× |
| Protoporphyrin rbc quantitative (84202) | $135.68 | $256 | 9.5× |
| PSA free (84154) range across 2 matching MRF lines |
$68.37–$70.49 | $129–$133 | varies |
| Pth Intact (83970) | $187.09 | $353 | 4.5× |
| Quantiferon tb gold plus (86480) | $111.83 | $211 | 1.8× |
| Quantitative Screen Metals (83018) | $86.92 | $164 | 4.0× |
| Rbc antibody elution (86860) | $104.94 | $198 | 0.6× |
| Rbc antibody identification (86870) | $113.42 | $214 | 0.3× |
| Rbc antibody screen (86850) range across 4 matching MRF lines |
$36.04–$148.40 | $68–$280 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $131.44 | $248 | 0.8× |
| Reticulocyte Count (85046) | $58.83 | $111 | 10.6× |
| Rh (86901) | $19.61 | $37 | 6.6× |
| Rheumatoid Factor Qualitative (86430) | $37.10 | $70 | 6.0× |
| Rheumatoid factor quant (86431) | $87.98 | $166 | 15.5× |
| Ristocetin cofactor (85245) | $113.95 | $215 | 5.0× |
| Rpr qualitative (86592) | $83.74 | $158 | 19.6× |
| Rubella Antibody (86762) | $58.83 | $111 | 4.1× |
| Rubeola antibody (86765) | $76.85 | $145 | 6.0× |
| Russell Viper Venom Time Diluted (85613) | $110.24 | $208 | 11.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $95.40 | $180 | 1.9× |
| Sedimentation Rate, Automated (85652) | $31.27 | $59 | 11.6× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$62.01–$65.72 | $117–$124 | varies |
| Sex Hormone Binding Globulin (84270) | $40.81 | $77 | 1.9× |
| Sickling of rbc reduction (85660) | $18.55 | $35 | 3.4× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$37.10–$72.08 | $70–$136 | varies |
| Smear complex stain (87209) | $64.66 | $122 | 3.6× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$39.75–$46.11 | $75–$87 | varies |
| Sodium Serum (84295) | $28.09 | $53 | 5.8× |
| Sodium Urine (84300) | $22.26 | $42 | 4.4× |
| Soluble Transferrin Receptor (84238) | $174.90 | $330 | 4.8× |
| Special Stains Group 1 (88312) | $39.75 | $75 | 0.8× |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$76.85–$85.33 | $145–$161 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$22.79–$36.57 | $43–$69 | varies |
| Stool cultr aerobic bact ea (87046) | $21.73 | $41 | 2.3× |
| Strep a assay w/optic (87880) | $59.89 | $113 | 3.6× |
| Surg path level iii (88304) | $127.20 | $240 | 2.5× |
| Surgical pathology level IV (88305) | $139.39 | $263 | 2.7× |
| Surgical pathology level vi (88309) | $352.45 | $665 | 0.4× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $20.14 | $38 | 4.2× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $55.12 | $104 | 7.4× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $27.03 | $51 | 3.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $46.64 | $88 | 1.0× |
| T cells total count (86359) | $188.15 | $355 | 5.0× |
| T3 Free (84481) | $116.07 | $219 | 6.9× |
| T3 reverse (84482) | $28.62 | $54 | 1.8× |
| T3 Total (84480) | $70.49 | $133 | 5.0× |
| T4 Free (84439) | $88.51 | $167 | 9.8× |
| T4 total (84436) | $34.45 | $65 | 5.0× |
| Tacrolimus (80197) | $20.15 | $38.01 | 1.5× |
| Tb ag response t-cell susp (86481) | $139.66 | $263.50 | 1.4× |
| Testosterone total (84403) | $148.40 | $280 | 5.7× |
| Testosterone, Free (84402) | $188.68 | $356 | 7.4× |
| Theophylline (80198) | $98.58 | $186 | 7.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $31.27 | $59 | 4.8× |
| Thyroglobulin Antibody (86800) | $91.16 | $172 | 5.7× |
| Tissue Culture Amniotic Fluid (88235) | $163.24 | $308 | 1.1× |
| Tissue culture bone marrow (88237) | $230.02 | $434 | 1.6× |
| Touch prep (88161) | $66.78 | $126 | 2.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $27.03 | $51 | 5.2× |
| Transferrin (84466) | $60.42 | $114 | 4.7× |
| Triglycerides (84478) | $25.44 | $48 | 4.4× |
| Troponin Quant (84484) | $72.61 | $137 | 5.8× |
| Urinalysis Microscopic Only (81015) | $23.32 | $44 | 7.6× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $24.38 | $46 | 11.2× |
| Urinalysis Volume Measure (81050) | $15.37 | $29 | 4.2× |
| Urine Bacteria Culture (87088) | $19.61 | $37 | 2.4× |
| Urine Pregnancy Test (81025) | $18.55 | $35 | 2.2× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $36.04 | $68 | 11.4× |
| Valproic acid (80164) | $63.60 | $120 | 4.7× |
| Vancomycin (80202) | $98.58 | $186 | 7.3× |
| Varicella-zoster antibody (86787) | $76.85 | $145 | 6.0× |
| Viral Culture (87252) | $118.19 | $223 | 4.5× |
| Virus antibody nos (86790) | $24.38 | $46 | 1.9× |
| Virus inoculate tissue addl (87253) | $18.55 | $35 | 0.9× |
| Virus inoculation, shell via (87254) | $64.66 | $122 | 3.3× |
| Vitamin b-12 (82607) | $69.96 | $132 | 4.6× |
| Vitamin D 25-Hydroxy (82306) | $104.94 | $198 | 3.5× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $55.12 | $104 | 0.3× |
| Von willebrand factor ag (85246) | $42.40 | $80 | 1.8× |
| Zinc (84630) | $51.94 | $98 | 4.6× |
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.