Lab & pathology prices at Pawhuska Hospital, Inc

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

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

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ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $18.73 $33.45 1.7×
Acth (82024) $71.12 $127 1.8×
Acute hepatitis panel (80074) $98.56 $176 2.1×
Albumin Fluid (82042) $20.72 $37 2.7×
Albumin serum (82040) $38.08 $68 7.7×
Aldolase (82085) $36.96 $66 3.8×
Aldosterone urine (82088) $75.04 $134 1.8×
Alkaline phosphatase isoenzymes (84080) $103.60 $185 7.0×
Allergen specific ige (86003) $280.34 $500.60 53.7×
Allg Spec Ige Recomb Ea (86008) $33.04 $59 1.8×
Alpha-1-antitrypsin total (82103) $48.72 $87 3.6×
Alpha-Fetoprotein Serum (82105) $45.36 $81 2.7×
Alt (sgpt) (84460)
range across 2 matching MRF lines
$9.52–$40.88 $17–$73 varies
Ammonia (82140)
range across 2 matching MRF lines
$61.04–$101.92 $109–$182 varies
Amylase urine (82150) $23.52 $42 3.6×
Ana Titer (86039) $34.72 $62 3.1×
Anca screen each antibody (86036) $108.89 $194.45 9.0×
Anca Titer Each Antibody (86037) $26.99 $48.20 2.2×
Angiotensin converting enzyme csf (82164) $55.44 $99 3.8×
Antibody aspergillus (86606) $81.34 $145.25 5.4×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $106.40 $190 5.9×
Antibody helicobacter pylori (86677) $47.60 $85 2.8×
Antibody Herpes Smplx Non-Specific Type Test (86694) $32.23 $57.56 2.2×
Antibody Herpes Smplx Type 1 (86695) $66.40 $118.58 5.0×
Antibody identification leukocyte antibodies (86021) $49.28 $88 3.3×
Antibody neisseria meningitidis (86741) $29.55 $52.76 2.2×
Antibody rotavirus (86759) $85.68 $153 4.7×
Antibody; influenza virus (86710) $81.76 $146 6.0×
Antigen typing (86905) $67.76 $121 17.7×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $238.56 $426 41.7×
Antinuclear antibodies (86038) $36.40 $65 3.0×
Antistreptolysin o titer (86060) $70 $125 9.6×
Apolipoprotein a1 (82172) $25.20 $45 1.2×
Arsenic (82175) $42.49 $75.88 2.2×
Assay Blood Carbon Dioxide (82374) $29.12 $52 6.0×
Assay Dir Meas Fr Estradiol (82681) $78.23 $139.70 2.8×
Assay Nephelometry Not Spec (83883) $25.20 $45 1.9×
Assay of 5-hiaa (83497) $24.08 $43 1.9×
Assay of blood/uric acid (84550) $39.20 $70 8.7×
Assay of cpk in blood (82552) $36.40 $65 2.7×
Assay of gammaglobulin igm (82784)
range across 3 matching MRF lines
$17.36–$40.88 $31–$73 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines
$21.28–$67.76 $38–$121 varies
Assay of manganese (83785) $44.77 $79.95 1.7×
Assay of metanephrines (83835) $55.44 $99 3.3×
Assay of phosphatase acid total (84060) $43.68 $78 5.7×
Assay of procainamide (80190) $99.12 $177 1.7×
Assay of serotonin (84260) $52.05 $92.94 1.7×
Assay of serum potassium (84132) $36.40 $65 7.6×
Assay of Tyrosine (84510) $28.76 $51.36 2.7×
Assay of urea nitrogen (84520) $7.28 $13 1.8×
Assay of urine vma (84585) $28.56 $51 1.8×
Assay of vasoactive intestinal peptide (84586) $79.14 $141.32 2.2×
Assay of vitamin b-1 (84425) $59.92 $107 2.8×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$8.40–$12.88 $15–$23 varies
Automated Leukocyte Count (85048) $14.56 $26 5.7×
Bartonella antibody (86611) $17.10 $30.54 1.7×
Beta hydroxybutyrate (82010) $15.12 $27 1.9×
Bilirubin direct (82248) $29.12 $52 5.8×
Bilirubin total (82247) $80.08 $143 16.0×
Blastomyces antibody (86612) $36.12 $64.50 2.8×
Blood Count Red Blood Cell Automated (85041) $17.36 $31 5.7×
Blood count reticulocyte automated (85045) $12.88 $23 3.2×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 2 matching MRF lines
$14.56–$20.16 $26–$36 varies
Blood gas (82803) $135.52 $242 5.2×
Blood gases w/02 saturation (82805) $132.33 $236.31 1.7×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $24.89 $44.45 1.6×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $20.72 $37 4.7×
Blood Type Antigen Donor Reagent Serum Each (86902) $84 $150 13.2×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $61.60 $110 3.8×
Blood typing serologic abo (86900) $44.80 $80 15.0×
Body fluid cell count (89050) $27.44 $49 5.8×
Brca1&2 gen full seq dup/del (81162) $2,475.76 $4,421 1.4×
C-Peptide (84681) $54.88 $98 2.6×
C-reactive protein (86140) $43.68 $78 8.4×
Ca 19-9 (86301) $68.32 $122 3.3×
Calcium ionized (82330) $96.32 $172 7.0×
Calcium total (82310)
range across 2 matching MRF lines
$9.52–$53.20 $17–$95 varies
Calculus assay quant (82360) $76.16 $136 5.9×
Calprotectin Fecal (83993) $20.16 $36 1.0×
Cancer Antigen 125 (86304)
range across 2 matching MRF lines
$38.64–$52.08 $69–$93 varies
Cancer Antigen 27.29 (86300) $68.32 $122 3.3×
Candida antibody (86628) $33.63 $60.05 2.8×
Carbamazepine total (80156) $48.16 $86 3.3×
Carboxyhemoglobin (82375) $37.52 $67 3.0×
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines
$44.24–$127.12 $79–$227 varies
Cardiolipin ab iga (86147) $85.48 $152.64 3.4×
Carnitine Quantitative Each Specimen (82379) $46.66 $83.32 2.8×
Catecholamines fractionated (82384)
range across 3 matching MRF lines
$42.70–$165.20 $76.25–$295 varies
Ccp antibody (86200) $42.56 $76 3.3×
Cell count csf (89051)
range across 4 matching MRF lines
$9.41–$35.28 $16.80–$63 varies
Ceruloplasmin (82390) $40.88 $73 3.8×
Chemiluminescent assay (82397) $39.54 $70.60 2.8×
Chloride Serum (82435) $25.20 $45 5.5×
Cholesterol total (82465) $9.52 $17 2.2×
Cholinesterase Serum (82480) $46.48 $83 5.9×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$49.84–$86.24 $89–$154 varies
Chromogranin a (86316) $38.64 $69 1.9×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$106.96–$194.12 $191–$346.64 varies
Citric acid urine (82507) $51.52 $92 1.9×
Ckmb (82553) $80.64 $144 7.0×
Clot retraction (85170) $21.28 $38 1.3×
Coccidioides antibody (86635) $32.12 $57.35 2.8×
Cold agglutinin titer (86157) $47.60 $85 5.9×
Collagen crosslinks (82523) $104.72 $187 5.6×
Column Chromotography Quant (82542)
range across 2 matching MRF lines
$40.47–$145.60 $72.27–$260 varies
Compatibility test antiglob (86922) $85.68 $153 0.5×
Complement Antigen Each Component (86160)
range across 3 matching MRF lines
$36.96–$91.28 $66–$163 varies
Complement Total (Ch50) (86162) $62.72 $112 3.1×
Coombs direct (86880) $36.96 $66 6.9×
Copper urine (82525) $20.72 $37 1.7×
Cortisol free (82530) $99.12 $177 5.9×
Cortisol saliva (82533) $30.24 $54 1.9×
Creatine kinase total (82550) $19.04 $34 2.9×
Creatinine blood (82565) $35.84 $64 7.0×
Creatinine clearance (82575) $73.92 $132 7.8×
Creatinine Urine (82570) $17.92 $32 3.5×
Crossmatch immediate spin (86920) $297.15 $530.62 1.8×
Crp High Sensitivity (86141) $24.08 $43 1.9×
Cryptococcus ag titer (87899) $39.76 $71 2.5×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $51.52 $92 6.4×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $50.96 $91 6.3×
Culture afb (87116) $73.36 $131 6.8×
Culture blood (87040) $78.40 $140 7.6×
Culture chlamydia (87110) $115.92 $207 5.9×
Culture csf (87070) $70 $125 8.1×
Culture fungus (87102) $59.36 $106 7.1×
Culture fungus blood (87103) $79.52 $142 3.9×
Culture screen only (87081)
range across 2 matching MRF lines
$19.60–$47.04 $35–$84 varies
Culture stool (87045) $98 $175 10.4×
Culture urine (87086) $73.36 $131 9.1×
Cyclosporine (80158) $117.04 $209 6.5×
Cystatin C (82610) $51.86 $92.60 2.8×
Cytomegalovirus igg (86644) $100.80 $180 7.0×
Cytopath Cell Enhance Tech (88112) $141.68 $253 2.8×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $73.27 $130.84 2.8×
Cytp Concentration Smears & Interpretation (88108) $145.60 $260 4.1×
Detect Agent Nos Dna Amp (87798) $182.20 $325.35 5.2×
Detect Agent Nos Dna Quant (87799) $156.74 $279.90 3.7×
Detect agnt mult DNA ampli (87801) $157.25 $280.80 2.2×
Dhea (82626) $56.60 $101.08 2.2×
Dhea-S (82627) $186.13 $332.38 8.4×
Digoxin (80162) $43.68 $78 3.3×
Dna Antibody Native/Double Stranded (86225) $56.56 $101 4.1×
Drug Assay Lacosamide (80235) $119.98 $214.25 4.4×
Drug Screen Quantitative Lamotrigine (80175) $30.24 $54 2.3×
Drug Screen Quantitative Levetiracetam (80177) $43.68 $78 3.3×
Drug Screen Quantitative Oxcarbazepine (80183) $43.68 $78 3.3×
Drug Test Prsmv Chem Anlyzr (80307)
range across 2 matching MRF lines
$123.76–$190.96 $221–$341 varies
Drug Test Prsmv Dir Opt Obs (80305) $97.44 $174 7.7×
Ehrlichia antibody (86666) $77.70 $138.75 7.6×
Electrolyte panel (80051) $45.36 $81 6.5×
Endomysial Antibody Each Immunoglobulin Class (86231) $71.68 $128 5.9×
Erythropoietin (82668) $306.26 $546.90 16.3×
Estradiol serum (82670) $91.84 $164 3.3×
Estriol (82677) $48.19 $86.05 2.0×
Estrogen total (82672) $71.68 $128 3.3×
Factor v leiden mutation (81241) $211.23 $377.20 2.9×
Factor viii assay (85240) $155.12 $277 8.7×
Ferritin (82728) $87.36 $156 6.4×
Fibrin Degradation Quant (85379) $109.12 $194.85 10.7×
Fibrin dgradj products d-dimer qual/semiquan (85378) $49.84 $89 5.1×
Fibrinogen activity (85384) $28 $50 2.9×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $22.40 $40 1.9×
Folic Acid Serum (82746) $48.16 $86 3.3×
Follicle Stimulating Hormone (83001) $120.96 $216 6.5×
Francisella tularensis (86668) $37.52 $67 2.6×
Fresh Frozen Plasma Thawing Each Unit (86927) $237.22 $423.60 1.4×
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$54.32–$97.44 $97–$174 varies
Gases blood ph only (82800) $56 $100 5.1×
Gentamicin (80170) $96.88 $173 5.9×
Ggt (82977) $13.44 $24 1.9×
Glucose Blood Test (82962) $18.48 $33 5.6×
Glucose body fluid (82945)
range across 2 matching MRF lines
$7.28–$15.68 $13–$28 varies
Glucose Serum (82947) $29.68 $53 7.6×
Glucose tolerance test (gtt) (82951) $90.72 $162 7.0×
Glycated Protein (82985) $29.12 $52 1.7×
Growth hormone (83003) $239.82 $428.25 14.4×
Gtt-added samples (82952) $26.88 $48 6.9×
Haptoglobin (83010) $51.52 $92 4.1×
Hdl Cholesterol (83718) $26.88 $48 3.3×
Helicobacter Pylori Stool (87338) $151.07 $269.77 10.5×
Hematocrit (85014) $29.12 $52 12.3×
Hemoglobin (85018) $16.80 $30 7.1×
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$35.84–$39.20 $64–$70 varies
Hemoglobin electrophoresis (83020) $124.32 $222 9.7×
Hepatitis b core ab igm (86705) $48.72 $87 4.1×
Hepatitis b core ab total (86704) $49.28 $88 4.1×
Hepatitis B Surface Antibody (86706) $44.24 $79 4.1×
Hepatitis B Surface Antigen (87340) $42.56 $76 4.1×
Hepatitis Be Antibody (86707) $43.12 $77 3.7×
Hepatitis Be Antigen (87350) $43.12 $77 3.7×
Hepatitis C Antibody (86803) $90.72 $162 6.4×
Hepatitis C Genotype (87902) $454.72 $812 1.8×
Hepatitis C Probe&Rvrs Trnsc (87521) $97.06 $173.32 2.8×
Hepatitis C Revrs Trnscrpj (87522) $75.60 $135 1.8×
Herpes simplex type 2 (86696) $55.44 $99 2.9×
Heterophile Antibody Screen (86308) $35.84 $64 6.9×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $49.84 $89 6.4×
Histamine urine (83088) $49.61 $88.59 1.7×
Histoplasma antibody (86698) $103.04 $184 7.5×
Hiv-1 Antibody (86701) $59.36 $106 6.7×
Hiv-1 Quant&Revrse Trnscrpj (87536) $190.62 $340.40 2.2×
Hla-b27 (86812) $78.40 $140 3.0×
Homocysteine (83090) $55.44 $99 3.1×
Hsv Dna Amp Probe (87529) $106.96 $191 3.0×
Hydroxyprogesterone 17-d (83498) $76.08 $135.85 2.8×
Iadna Cytomegalovirus Quantification (87497) $94.64 $169 2.2×
Iadna Hepatitis B Virus Quantification (87517) $130.48 $233 3.0×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $106.96 $191 3.0×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $419.44 $749 2.9×
Immunoassay Analyte Quant Radioimmunoassay (83519) $94.08 $168 5.1×
Immunoassay nonantibody (83516)
range across 4 matching MRF lines
$21.28–$38.08 $38–$68 varies
Immunofixation electrophoresis (86334) $357.70 $638.75 16.0×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) $118.16 $211 2.0×
Influenza a/b ag eia (87400) $70.56 $126 5.0×
Inhibin A (86336) $247.04 $441.15 15.8×
Inhibin b (83520)
range across 2 matching MRF lines
$30.24–$31.92 $54–$57 varies
Insulin total (83525) $42 $75 3.7×
Iron (83540) $39.20 $70 6.1×
Iron Binding Capacity (83550) $51.52 $92 5.9×
Islet cell antibody (86341) $43.68 $78 1.9×
Koh Prep (87220) $28 $50 6.6×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$11.20–$18.48 $20–$33 varies
Ldh Isoenzymes (83625) $77.28 $138 6.0×
LDL direct (83721)
range across 2 matching MRF lines
$22.96–$31.36 $41–$56 varies
Lead (83655) $71.12 $127 5.9×
Legionella antibody (86713) $97.44 $174 6.4×
Lipase (83690) $23.52 $42 3.4×
Lipoprotein A (83695) $39.20 $70 2.7×
Lipoprotein Bld Quan Part (83704) $63.28 $113 1.9×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $80.08 $143 2.4×
Lipoprotein-Associated Phospholipase A2 (83698) $141.68 $253 3.1×
Lithium (80178) $66.64 $119 10.1×
Luteinizing Hormone (Lh) (83002) $57.12 $102 3.1×
Lyme disease antibody (86618) $56 $100 3.3×
M. Genitalium Amp Probe (87563) $98.25 $175.45 2.8×
Magnesium Urine (83735)
range across 2 matching MRF lines
$22.40–$72.24 $40–$129 varies
Mercury urine (83825) $36.42 $65.04 2.2×
Metabolic panel ionized ca (80047) $97.44 $174 7.1×
Methylmalonic acid serum (83921) $35.84 $64 1.7×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$19.04–$33.60 $34–$60 varies
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$28.56–$59.92 $51–$107 varies
Mopath procedure level 2 (81401)
range across 2 matching MRF lines
$197.12–$1,061.76 $352–$1,896 varies
Mthfr Gene Analysis Common Variants (81291) $110.88 $198 1.7×
Mumps antibody (86735) $103.16 $184.21 7.9×
Mycoplasma antibody (86738) $85.68 $153 6.5×
Myoglobin urine (83874) $36.96 $66 2.9×
Natriuretic peptide (83880)
range across 2 matching MRF lines
$200.48–$342.15 $358–$610.99 varies
Nfct ds chrnc hcv 6 assays (81596) $309.54 $552.75 4.3×
Nuclear antigen antibody (86235)
range across 2 matching MRF lines
$43.12–$55.44 $77–$99 varies
Occult blood feces (82272) $22.96 $41 5.4×
Occult Blood Other Sources (82271) $22.96 $41 4.3×
Osmolality serum (83930) $21.84 $39 3.3×
Osmolality Urine (83935) $22.40 $40 3.3×
Ova and parasites smears (87177) $85.12 $152 9.6×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $94.64 $169 1.9×
Phenobarbital Level (80184) $118.16 $211 7.7×
Phenylalanine (84030) $15.21 $27.16 2.8×
Phenytoin (Dilantin) (80185) $43.68 $78 3.3×
Phosphatase acid prostatic (84066) $56.56 $101 5.9×
Phosphatase alkaline (84075) $33.32 $59.50 6.4×
Phosphorus Serum (84100) $39.20 $70 8.3×
Platelet Antibodies (86022) $60.48 $108 3.3×
Platelet count automated (85049) $31.36 $56 7.0×
Potassium Urine (84133) $16.80 $30 3.6×
Prealbumin (84134) $53.20 $95 3.6×
Primidone (80188) $101.36 $181 6.1×
Procalcitonin (Pct) (84145) $87.92 $157 3.2×
Progesterone (84144) $61.60 $110 3.0×
Prolactin (84146) $79.52 $142 4.1×
Protein body fluid (84157)
range across 2 matching MRF lines
$7.28–$15.68 $13–$28 varies
Protein Electrophoresis Urine (84166) $58.80 $105 3.3×
Protein Electrophoretic Fractj&Quantj Serum (84165) $99.68 $178 9.3×
Protein total serum (84155)
range across 2 matching MRF lines
$25.20–$113.68 $45–$203 varies
Protein Total Urine (84156)
range across 3 matching MRF lines
$15.68–$67.20 $28–$120 varies
PSA free (84154) $34.16 $61 1.9×
Pth Intact (83970) $135.52 $242 3.3×
Quantitative assay drug (80299)
range across 2 matching MRF lines
$174.25–$177.14 $311.16–$316.33 varies
Quantitative Screen Metals (83018) $49.19 $87.84 2.2×
Quinidine (80194) $86.24 $154 5.9×
Rbc antibody screen (86850)
range across 2 matching MRF lines
$73.92–$117.04 $132–$209 varies
Renin activity plasma (84244)
range across 2 matching MRF lines
$40.88–$154.56 $73–$276 varies
Reticulated Platelet Assay (85055) $80.06 $142.96 2.2×
Reticulocyte Count Manual (85044) $25.20 $45 5.8×
Rh (86901) $43.68 $78 14.6×
Rheumatoid Factor Qualitative (86430) $18.48 $33 3.0×
Rheumatoid factor quant (86431) $39.20 $70 6.9×
Rickettsia antibody (86757) $63.28 $113 3.3×
Ristocetin cofactor (85245) $51.39 $91.76 2.2×
Rotavirus ag eia (87425) $113.82 $203.25 9.5×
Rpr qualitative (86592) $37.52 $67 8.8×
Rsv Assay W/Optic (87807) $42 $75 3.2×
Rubella Antibody (86762) $57.12 $102 4.0×
Rubeola antibody (86765) $15.68 $28 1.2×
Sars-Cov-2 Covid-19 Amp Prb (87635) $66.08 $118 1.3×
Sars-cov-2 COVID-19 antibody (86769) $30.24 $54 0.7×
Sedimentation rate (85651)
range across 2 matching MRF lines
$22.40–$24.64 $40–$44 varies
Selenium (84255) $42.89 $76.59 1.7×
Sex Hormone Binding Globulin (84270) $71.68 $128 3.3×
Smear acid fast (87206) $44.24 $79 8.2×
Smear gram stain (87205)
range across 2 matching MRF lines
$15.68–$59.36 $28–$106 varies
Smear Special Stain (87207) $118.16 $211 19.7×
Smr Prim Src Wet Mount Nfct Agt (87210) $30.24 $54 5.2×
Snrpn/Ube3a Methylation Analysis (81331) $85.80 $153.21 1.7×
Sodium Serum (84295) $35.84 $64 7.5×
Sodium Urine (84300) $16.24 $29 3.2×
Special Stains Group 1 (88312) $98.56 $176 2.0×
Special Stains Group 2 (88313) $73.36 $131 0.6×
Spectrophotometry (84311) $138.25 $246.88 17.1×
Stool cultr aerobic bact ea (87046) $30.80 $55 3.3×
Strep a assay w/optic (87880) $43.68 $78 2.6×
Surgical pathology level IV (88305) $110.32 $197 2.2×
T cells absolute cd4 count (86361) $74.98 $133.90 2.8×
T3 Free (84481) $55.44 $99 3.3×
T3 reverse (84482) $51.52 $92 3.3×
T3 Total (84480) $47.04 $84 3.3×
T3 Uptake (84479) $20.72 $37 3.2×
T4 Free (84439) $54.88 $98 6.1×
T4 total (84436) $61.60 $110 9.0×
Tacrolimus (80197)
range across 2 matching MRF lines
$20.72–$44.80 $37–$80 varies
Tb ag response t-cell susp (86481) $171.40 $306.08 1.7×
Test for acetone/ketones (82009) $61.04 $109 13.5×
Testosterone total (84403) $85.12 $152 3.3×
Testosterone, Free (84402) $84 $150 3.3×
Theophylline (80198) $42 $75 3.0×
Thyroglobulin (84432) $53.20 $95 3.3×
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines
$60.48–$102.48 $108–$183 varies
Thyroid Stimulating Immunoglobulin (84445) $386.96 $691 7.6×
Tobramycin peak (80200) $44.60 $79.64 2.8×
Topiramate (80201) $39.20 $70 3.3×
Toxin/Antitoxin Assay Tissue Culture (87230) $116.48 $208 5.9×
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines
$9.52–$50.96 $17–$91 varies
Transferrin (84466) $63.84 $114 5.0×
Trichomonas Vaginalis Amplif (87661) $58.95 $105.27 1.7×
Triglycerides (84478) $10.64 $19 1.9×
Troponin, qualitative (84512) $80.08 $143 7.9×
Urinalysis Volume Measure (81050)
range across 2 matching MRF lines
$20.16–$24.08 $36–$43 varies
Urine Pregnancy Test (81025) $43.68 $78 5.1×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $73.53 $131.31 23.2×
Valproic acid (80164) $94.64 $169 7.0×
Vancomycin (80202) $94.64 $169 7.0×
Varicella-zoster antibody (86787) $36.06 $64.40 2.8×
Viral Culture (87252) $154 $275 5.9×
Virus inoculation, shell via (87254) $127.12 $227 6.5×
Vitamin A (84590) $35.28 $63 3.0×
Vitamin b-12 (82607) $137.60 $245.71 9.1×
Vitamin B2 (Riboflavin) (84252) $61.60 $110 3.0×
Vitamin B6 (84207) $92.40 $165 3.3×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$97.44–$110.88 $174–$198 varies
Vitamin E (84446) $43.12 $77 3.0×
Von willebrand factor ag (85246) $51.39 $91.76 2.2×
West nile virus ab igm (86788) $58.24 $104 3.5×
West Nile Virus Antibody (86789) $49.76 $88.85 3.5×
Zinc (84630) $37.52 $67 3.3×

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.