Lab & pathology prices at Palestine Regional Medical Center
Palestine, TX · every code in this section with a posted price and a Medicare benchmark.
280 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $195.22 | $650.75 | 5.1× |
| Acute hepatitis panel (80074) | $82.50 | $275 | 1.7× |
| Agglutinins Febrile Each Antigen (86000) range across 6 matching MRF lines |
$18.90–$66.15 | $63–$220.50 | varies |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$51.34–$81.56 | $171.15–$271.85 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$32.70–$110.10 | $109–$367 | varies |
| Alt (sgpt) (84460) | — | $2 | — |
| Amylase urine (82150) | $39.69 | $132.30 | 6.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 9 matching MRF lines |
$15–$51.15 | $50–$170.50 | varies |
| Antibody Encephalitis California La Crosse (86651) | $51.34 | $171.15 | 3.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $44.42 | $148.05 | 3.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $56.38 | $187.95 | 3.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $55.76 | $185.85 | 3.1× |
| Antibody Fungus Not Elsewhere Specified (86671) | $17.96 | $59.85 | 1.5× |
| Antibody helicobacter pylori (86677) | $90.22 | $300.75 | 5.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $66.78 | $222.60 | 4.6× |
| Antibody Herpes Smplx Type 1 (86695) | $38.74 | $129.15 | 2.9× |
| Antibody HIV-1&HIV-2 single result (86703) | — | $2 | — |
| Antibody identification leukocyte antibodies (86021) | $76.54 | $255.15 | 5.1× |
| Antibody Identification Platelet Immunogl Assay (86023) | $78.75 | $262.50 | 6.3× |
| Antibody rotavirus (86759) | $66.15 | $220.50 | 3.6× |
| Antibody; encephalitis, st. louis (86653) | $83.09 | $276.97 | 6.3× |
| Antibody; influenza virus (86710) range across 6 matching MRF lines |
$66.78–$77.80 | $222.60–$259.35 | varies |
| Antinomyces antibody (86602) | $17.96 | $59.85 | 1.8× |
| Antistreptolysin O Screen (86063) | $69.93 | $233.10 | 12.1× |
| Arsenic (82175) | $58.59 | $195.30 | 3.1× |
| Assay Dir Meas Fr Estradiol (82681) | $31.95 | $106.50 | 1.1× |
| Assay Duodenal Fluid Trypsin (84485) | $65.84 | $219.45 | 9.1× |
| Assay of feces for trypsin (84490) | $86.62 | $288.75 | 8.7× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$48.51–$81.56 | $161.70–$271.85 | varies |
| Assay of phosphatase acid total (84060) | $55.76 | $185.85 | 7.3× |
| Assay of pyruvate (84210) | $66.15 | $220.50 | 4.6× |
| Assay of serum potassium (84132) | $81.56 | $271.85 | 17.1× |
| Assay of urea nitrogen (84520) | $37.80 | $126 | 9.6× |
| Assay Ph Body Fluid Nos (83986) range across 6 matching MRF lines |
$12–$26.46 | $40–$88.20 | varies |
| Atomic Absorption (82190) range across 7 matching MRF lines |
$54.60–$84.10 | $182–$280.35 | varies |
| Automated Leukocyte Count (85048) | $44.42 | $148.05 | 17.5× |
| Beta hydroxybutyrate (82010) | $17.32 | $57.75 | 2.1× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$38.74–$81.56 | $129.15–$271.85 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $15.75 | $52.50 | 4.6× |
| Bleeding time test (85002) | $15.75 | $52.50 | 3.3× |
| Blood Count Manual Cell Count Each (85032) range across 2 matching MRF lines |
$45.68–$63.94 | $152.25–$213.15 | varies |
| Blood count reticulocyte automated (85045) | $45.68 | $152.25 | 11.4× |
| Blood count spun microhematocrit (85013) range across 2 matching MRF lines |
$8.58–$10.05 | $28.60–$33.50 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $8.40 | $28 | 0.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$6.93–$26.46 | $23.10–$88.20 | varies |
| Blood Sulfhemoglobin Assay (83060) | $65.84 | $219.45 | 7.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$59.54–$79.20 | $198.45–$264 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $20.48 | $68.25 | 1.3× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$10.20–$31.50 | $34–$105 | varies |
| Body fluid cell count (89050) | $38.74 | $129.15 | 8.2× |
| Bone marrow smear interpretation (85097) | $50.08 | $166.95 | 0.1× |
| Breath Alcohol Test (82075) | $37.80 | $126 | 1.3× |
| Brucella antibody (86622) range across 3 matching MRF lines |
$61.11–$88.83 | $203.70–$296.10 | varies |
| Caffeine (80155) | $105.84 | $352.80 | 2.7× |
| Calcitonin (82308) | $30,000 | $99,999.99 | 1119.8× |
| Cancer Antigen 27.29 (86300) | $81.56 | $271.85 | 3.9× |
| Carbamazepine free (80157) | $80.32 | $267.75 | 6.1× |
| Carotene (82380) | $61.11 | $203.70 | 6.6× |
| Catecholamines total urine (82382) | $59.54 | $198.45 | 2.2× |
| Cell count csf (89051) | $90.22 | $300.75 | 16.1× |
| Cell marker study (88182) | $131.98 | $439.95 | 2.5× |
| Chemiluminescent assay (82397) | $96.39 | $321.30 | 6.8× |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$114.03–$198.45 | $380.10–$661.50 | varies |
| Chloride urine (82436) | $81.56 | $271.85 | 14.2× |
| Chlorinated Hydrocarbons Screen (82441) | $173.25 | $577.50 | 28.8× |
| Cholesterol total (82465) | $48.82 | $162.75 | 11.2× |
| Cholinesterase rbc (82482) | $46.30 | $154.35 | 4.7× |
| Chorionic gonadotropin test (84702) range across 5 matching MRF lines |
$10.08–$110.10 | $33.60–$367 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $20.40 | $68 | 0.6× |
| Citric acid urine (82507) | $146.16 | $487.20 | 5.3× |
| Ckmb (82553) | $38.74 | $129.15 | 3.4× |
| Clotting factor viii related antigen (85244) | $111.20 | $370.65 | 5.4× |
| Coagulation time activated (85347) | $55.12 | $183.75 | 12.9× |
| Cold agglutinin screen (86156) range across 2 matching MRF lines |
$64.89–$73.50 | $216.30–$245 | varies |
| Collagen crosslinks (82523) | $58.54 | $195.14 | 3.1× |
| Column Chromotography Quant (82542) range across 86 matching MRF lines |
$63–$93.87 | $210–$312.90 | varies |
| Compatibility Each Unit Incubation (86921) | $10.35 | $34.50 | 0.1× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$32.25–$80.64 | $107.50–$268.80 | varies |
| Complement/Function Activity (86161) | $71.61 | $238.70 | 6.0× |
| Coombs direct (86880) | $34.96 | $116.55 | 6.5× |
| Copper urine (82525) range across 2 matching MRF lines |
$39.38–$114.18 | $131.25–$380.59 | varies |
| Cortisol free (82530) | $88.20 | $294 | 5.3× |
| Cortisol saliva (82533) | $114.18 | $380.59 | 7.0× |
| Crossmatch immediate spin (86920) | $60.15 | $200.50 | 0.4× |
| Crp High Sensitivity (86141) | $90.22 | $300.75 | 7.0× |
| Cryofibrinogen (82585) | $46.30 | $154.35 | 3.3× |
| Cryptococcus ab (86641) | $108.04 | $360.15 | 7.5× |
| Cryptosporidium (87272) | $154.35 | $514.50 | 12.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $42.52 | $141.75 | 5.3× |
| Culture Anaerobic (87075) | $46.62 | $155.40 | 4.9× |
| Culture csf (87070) range across 16 matching MRF lines |
$15.12–$46.62 | $50.40–$155.40 | varies |
| Culture screen only (87081) range across 3 matching MRF lines |
$17.10–$44.42 | $57–$148.05 | varies |
| Culture typing if ea antiserum (87140) | $47.88 | $159.60 | 8.6× |
| Cyanide (82600) | $59.54 | $198.45 | 3.1× |
| Cystatin C (82610) | $12 | $40 | 0.6× |
| Cytogenetics 10-30 (88273) | $146.16 | $487.20 | 4.2× |
| Cytomegalovirus igg (86644) | $83.16 | $277.20 | 5.8× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $17.40 | $58 | 0.9× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $23.70 | $79 | 1.3× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $88.20 | $294 | 1.7× |
| Deoxycortisol (82634) | $160.65 | $535.50 | 5.5× |
| Deoxyribonuclease antibody (86215) | $23.76 | $79.20 | 1.8× |
| Detect Agent Nos Dna Amp (87798) | $410.32 | $1,367.75 | 11.7× |
| Diphtheria antitoxoid (86648) | $98.60 | $328.65 | 6.5× |
| Drug assay acetaminophen (80143) | $21.30 | $71 | 1.1× |
| Drug assay felbamate (80167) | $21.30 | $71 | 1.1× |
| Drug Assay Itraconazole (80189) | $21.30 | $71 | 0.8× |
| Drug Assay Leflunomide (80193) | $21.30 | $71 | 0.6× |
| Drug Screen Quant Zonisamide (80203) | $98.60 | $328.65 | 7.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 9 matching MRF lines |
$60.15–$90.22 | $200.50–$300.75 | varies |
| Encephaltis East Eqne Anbdy (86652) | $51.34 | $171.15 | 3.9× |
| Encephaltis West Eqne Antbdy (86654) | $51.34 | $171.15 | 3.9× |
| Enterovirus Antibody (86658) | $19.53 | $65.10 | 1.5× |
| Erythropoietin (82668) | $90.22 | $300.75 | 4.8× |
| Estriol (82677) range across 3 matching MRF lines |
$32.70–$68.04 | $109–$226.80 | varies |
| Estrogen total (82672) | $84.42 | $281.40 | 3.9× |
| Factor Inhibitor Test (85335) | $111.20 | $370.65 | 8.6× |
| Fat/Lipids Feces Quantitative (82710) | $195.22 | $650.75 | 11.6× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $163.80 | $546 | 9.5× |
| Fibrinogen activity (85384) | $59.22 | $197.40 | 6.1× |
| Flecainide level (80181) | $21.30 | $71 | 1.1× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$57.96–$104.90 | $193.20–$349.65 | varies |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$58.28–$96.25 | $194.25–$320.83 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 25 matching MRF lines |
$38.40–$168.84 | $128–$562.80 | varies |
| Fluoride serum (82735) | $77.18 | $257.25 | 4.2× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$24–$57.96 | $80–$193.20 | varies |
| Francisella tularensis (86668) | $66.15 | $220.50 | 4.7× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $19.53 | $65.10 | 0.1× |
| Gases blood ph only (82800) | $37.48 | $124.95 | 3.4× |
| Genet Virus Isolate Hsv (87255) | $36 | $120 | 1.1× |
| Glucose 2 hr pp (82950) | $8.82 | $29.40 | 1.9× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$8.25–$8.70 | $27.50–$29 | varies |
| Glucose Serum (82947) | $1.50 | $5 | 0.4× |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$17.70–$44.73 | $59–$149.10 | varies |
| Glycated Protein (82985) | $84.10 | $280.35 | 5.0× |
| Growth hormone antibody (86277) | $91.66 | $305.55 | 5.8× |
| Gtt-added samples (82952) range across 4 matching MRF lines |
$13.23–$13.89 | $44.10–$46.31 | varies |
| Haloperidol (80173) | $90.63 | $302.09 | 5.7× |
| Hdl Cholesterol (83718) | $10.08 | $33.60 | 1.2× |
| Heavy metal qualitative any analytes (83015) | $46.30 | $154.35 | 2.2× |
| Helminth Antibody (86682) | $88.20 | $294 | 6.8× |
| Hemagglutination Inhibition (86280) | $128.20 | $427.35 | 15.7× |
| Hemoglobin (85018) | $23.62 | $78.75 | 10.0× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$12.30–$59.54 | $41–$198.45 | varies |
| Hemoglobin electrophoresis (83020) | $22.68 | $75.60 | 1.8× |
| Hemoglobin F Fetal Chemical (83030) | $34.34 | $114.45 | 3.2× |
| Hepatitis B Surface Antibody (86706) | — | $2 | — |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$14.18 | $2–$47.25 | 1.4× |
| Hepatitis Be Antibody (86707) | $90.22 | $300.75 | 7.8× |
| Hepatitis Be Antigen (87350) | $90.22 | $300.75 | 7.8× |
| Hepatitis C Antibody (86803) | — | $2 | — |
| Hepatitis c antibody confirmatory test (86804) | $113.40 | $378 | 7.3× |
| Heterophile antibodies titer (86309) | $47.56 | $158.55 | 7.4× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $410.32 | $1,367.75 | 53.1× |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$16.80–$93.87 | $56–$312.90 | varies |
| Hla-b27 (86812) range across 2 matching MRF lines |
$64.50–$88.20 | $215–$294 | varies |
| Hydroxycorticosteroids 17 (83491) | $66.15 | $220.50 | 3.7× |
| Iaadi parainfluenza virus each type (87279) | $50.40 | $168 | 3.1× |
| Iaadi respiratory synctial virus (87280) | $70.88 | $236.25 | 5.3× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $14.70 | $49 | 0.6× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $108.04 | $360.15 | 2.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $20.40 | $68 | 0.6× |
| Immune Complex Assay (86332) | $80.32 | $267.75 | 3.3× |
| Immunfix e-phorsis/urine/csf (86335) | $85.36 | $284.55 | 2.9× |
| Immunoassay analyte qual/semiqual single step (83518) range across 2 matching MRF lines |
$26.40–$48.45 | $88–$161.50 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $108.16 | $360.52 | 5.9× |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $192.46 | $641.55 | 7.5× |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$70.88–$105.18 | $236.25–$350.60 | varies |
| Immunodiffusion not elsewhere specified (86329) range across 3 matching MRF lines |
$61.11–$130.72 | $203.70–$435.75 | varies |
| Immunodiffusion Ouchterlony (86331) | $17.96 | $59.85 | 1.5× |
| Immunofixation electrophoresis (86334) | $243.18 | $810.60 | 10.9× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $150.57 | $501.90 | 0.9× |
| Immunohistochemistry (88342) range across 5 matching MRF lines |
$57.02–$80.40 | $190.05–$268 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | $128.20 | $427.35 | 8.5× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $66.15 | $220.50 | 4.6× |
| Inhibin A (86336) | $90.30 | $301 | 5.8× |
| Inhibin b (83520) range across 5 matching MRF lines |
$32.70–$183.02 | $109–$610.05 | varies |
| Irradiation Blood Product Each Unit (86945) | $47.30 | $157.66 | 1.3× |
| Ketosteroids 17 total (83586) | $41.58 | $138.60 | 3.2× |
| Koh Prep (87220) | $4.50 | $15 | 1.1× |
| Lactate (ld) (ldh) enzyme (83615) | $35.91 | $119.70 | 5.9× |
| LDL direct (83721) | $63 | $210 | 6.0× |
| Lead (83655) | $39.69 | $132.30 | 3.3× |
| Legionella antibody (86713) range across 2 matching MRF lines |
$60.15–$105.21 | $200.50–$350.70 | varies |
| Legionella antigen urine (87449) range across 6 matching MRF lines |
$46.62–$64.26 | $155.40–$214.20 | varies |
| Leptospira antibody (86720) | $88.83 | $296.10 | 5.5× |
| Leucine Aminopeptidase Lap (83670) | $37.48 | $124.95 | 3.8× |
| Lidocaine (80176) | $119.73 | $399.11 | 8.2× |
| Lipase (83690) | $87.68 | $292.25 | 12.7× |
| Listeria Monocytogenes (86723) | $173.25 | $577.50 | 13.1× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$8.10–$58.59 | $27–$195.30 | varies |
| Lyme disease antibody (86618) | $70.88 | $236.25 | 4.2× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$6.93–$87.68 | $23.10–$292.25 | varies |
| Mass Spectrometry Quant (83789) | $58.59 | $195.30 | 2.4× |
| Metabolic panel ionized ca (80047) | $3.30 | $11 | 0.2× |
| Methotrexate (80204) | $21.30 | $71 | 0.6× |
| Methylmalonic acid serum (83921) | $140.18 | $467.25 | 6.6× |
| Microalbumin, quantitative (82043) | $85.63 | $285.44 | 14.8× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $165.38 | $551.25 | 3.9× |
| Morphometric Analysis Tumor (88358) | $84.10 | $280.35 | 0.5× |
| Mucin Clot Body Fluid (83872) | $48.51 | $161.70 | 8.3× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$78.75 | $2–$262.50 | 6.0× |
| Mycobacteric Identification (87118) | $57 | $190 | 3.9× |
| Mycophenolic Acid (80180) | $162.22 | $540.75 | 9.0× |
| Neisseria Dir Na Probe (87590) | $14.70 | $49 | 0.5× |
| Niacin (84591) | $58.59 | $195.30 | 3.4× |
| Obstetric panel (80081) | $76.50 | $255 | 1.0× |
| Oncoprotein Her-2/Neu (83950) | $114.98 | $383.25 | 1.8× |
| Organic acids urine (83918) | $91.35 | $304.50 | 3.9× |
| Osmolality serum (83930) | $44.73 | $149.10 | 6.8× |
| Particle Agglutination Screen Each Antibody (86403) range across 10 matching MRF lines |
$23.40–$84.74 | $78–$282.45 | varies |
| Parvovirus antibody (86747) | $146.79 | $489.30 | 9.8× |
| Ph urine (81003) range across 2 matching MRF lines |
$6–$21.10 | $20–$70.35 | varies |
| Phenytoin (Dilantin) (80185) | $64.26 | $214.20 | 4.8× |
| Platelet neutralization (85597) | $34.65 | $115.50 | 1.9× |
| Pooling blood platelets (86965) | $114.03 | $380.10 | 0.7× |
| Potassium Urine (84133) | $81.56 | $271.85 | 17.2× |
| Prolactin (84146) | $10.50 | $35 | 0.5× |
| Protoporphyrin rbc quantitative (84202) | $98.28 | $327.60 | 6.8× |
| Q Fever Antibody (86638) | $63.94 | $213.15 | 5.3× |
| Quantitative assay drug (80299) range across 11 matching MRF lines |
$31.75–$133.56 | $105.84–$445.20 | varies |
| Rbc antibody identification (86870) | $74.34 | $247.80 | 0.2× |
| Rbc antibody screen (86850) | $7.56 | $25.20 | 0.8× |
| Rbc serum pretx incubj drugs (86975) | $39.69 | $132.30 | 0.1× |
| Reagent Strip/Blood Glucose (82948) range across 4 matching MRF lines |
$4.80–$15.90 | $16–$53 | varies |
| Receptor assay estrogen (84233) | $114.98 | $383.25 | 1.3× |
| Receptor assay progesterone (84234) | $114.98 | $383.25 | 1.8× |
| Reticulocyte Count Manual (85044) | $18.90 | $63 | 4.4× |
| Rh (86901) range across 2 matching MRF lines |
$9–$31.50 | $30–$105 | varies |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$9.45–$11.97 | $31.50–$39.90 | varies |
| Rsv ab (86756) | $78.75 | $262.50 | 5.0× |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$11.97 | $2–$39.90 | 0.8× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$17.96 | $2–$59.85 | 1.4× |
| Rufinamide (80210) | $21.30 | $71 | 0.8× |
| Salicylate Level (80179) | $21.30 | $71 | 1.1× |
| Salmonella antibody (86768) | $17.96 | $59.85 | 1.4× |
| Sedimentation rate (85651) | $21.60 | $72 | 5.1× |
| Semen analysis complete (89320) | $74.02 | $246.75 | 6.0× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $14.70 | $49 | 1.5× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$10.20–$56.38 | $34–$187.95 | varies |
| Sickling of rbc reduction (85660) | $10.80 | $36 | 2.0× |
| Smear acid fast (87206) range across 6 matching MRF lines |
$26.46–$59.54 | $88.20–$198.45 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$11.88–$45.68 | $39.60–$152.25 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$93.87–$114.18 | $312.90–$380.59 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$7.88–$34.65 | $26.25–$115.50 | varies |
| Sodium Serum (84295) | $81.56 | $271.85 | 17.0× |
| Sodium Urine (84300) | $81.56 | $271.85 | 16.1× |
| Special Stains Group 1 (88312) range across 5 matching MRF lines |
$52.92–$81.27 | $176.40–$270.90 | varies |
| Special Stains Group 2 (88313) range across 16 matching MRF lines |
$39.69–$45.68 | $132.30–$152.25 | varies |
| Spectrophotometry (84311) range across 13 matching MRF lines |
$8.19–$80.32 | $27.30–$267.75 | varies |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $99.22 | $330.75 | 1.9× |
| Splitting Blood/Blood Products Each Unit (86985) | $15.75 | $52.50 | 0.1× |
| Stool cultr aerobic bact ea (87046) range across 5 matching MRF lines |
$45.68–$50.08 | $152.25–$166.95 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $39.03 | $130.10 | 5.2× |
| T3 Uptake (84479) | $1.50 | $5 | 0.2× |
| T4 Free (84439) | $84.42 | $281.40 | 9.4× |
| T4 total (84436) range across 2 matching MRF lines |
$1.50–$114.18 | $5–$380.59 | varies |
| Test for urine cystines (82615) | $44.73 | $149.10 | 4.7× |
| Testosterone, Free (84402) | $57.96 | $193.20 | 2.3× |
| Tetanus antibody (86774) | $98.60 | $328.65 | 6.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 3 matching MRF lines |
$31.65–$105.52 | $105.50–$351.75 | varies |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $83.16 | $277.20 | 4.2× |
| Toxoplasma antibody (86777) | $61.11 | $203.70 | 4.2× |
| Trichinella Antibody (86784) | $154.35 | $514.50 | 12.3× |
| Trypsin feces qual (84488) | $32.44 | $108.15 | 4.4× |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$8.19–$26.46 | $27.30–$88.20 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 2 matching MRF lines |
$38.74–$47.56 | $129.15–$158.55 | varies |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$13.23–$42.52 | $44.10–$141.75 | varies |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$5.10–$80.64 | $17–$268.80 | varies |
| Urobilinogen, feces, quantitative Facility (84577) | $68.04 | $226.80 | 4.1× |
| Viral Culture (87252) | $119.70 | $399 | 4.6× |
| Virus antibody nos (86790) range across 11 matching MRF lines |
$66.78–$133.95 | $222.60–$446.51 | varies |
| Virus inoculation, shell via (87254) | $146.16 | $487.20 | 7.5× |
| Viscosity serum (85810) | $91.66 | $305.55 | 7.9× |
| Vitamin B2 (Riboflavin) (84252) | $113.12 | $377.06 | 5.6× |
| Vitamin c (82180) | $79.06 | $263.55 | 8.0× |
| Vitamin D 25-Hydroxy (82306) | $9.54 | $31.80 | 0.3× |
| Vitamin E (84446) | $10.38 | $34.60 | 0.7× |
| Volatiles (84600) | $56.38 | $187.95 | 3.3× |
| Xylose Absorption Test (84620) | $68.98 | $229.95 | 5.3× |
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.