Lab & pathology prices at Pawnee Valley Community Hospital
Larned, KS · every code in this section with a posted price and a Medicare benchmark.
590 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $40 | $100 | 3.6× |
| Acetylcholine receptor binding antibody (86041) | $60 | $150 | 3.3× |
| Acetylcholine receptor blocking antibody (86042) | $64 | $160 | 3.5× |
| Acetylcholn Rcptr Modlg Antb (86043) | $228 | $570 | 18.9× |
| Acth (82024) | $96 | $240 | 2.5× |
| Actin smooth muscle antibody each (86015) | $40 | $100 | 3.3× |
| Acute hepatitis panel (80074) | $164 | $410 | 3.4× |
| Albumin Fluid (82042) | $32 | $80 | 4.1× |
| Albumin serum (82040) range across 2 matching MRF lines |
$28–$32 | $70–$80 | varies |
| Aldolase (82085) | $36 | $90 | 3.7× |
| Aldosterone urine (82088) | $100 | $250 | 2.5× |
| Alkaline phosphatase isoenzymes (84080) | $44 | $110 | 3.0× |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$16–$368 | $40–$920 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$28–$264 | $70–$660 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $60 | $150 | 4.1× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$48–$52 | $120–$130 | varies |
| Alpha-Fetoprotein Serum (82105) | $72 | $180 | 4.3× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$32–$36 | $80–$90 | varies |
| Amikacin trough (80150) | $64 | $160 | 4.2× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$296–$824 | $740–$2,060 | varies |
| Ammonia (82140) | $68 | $170 | 4.7× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $66 | $165 | 0.7× |
| Amylase urine (82150) | $56 | $140 | 8.6× |
| Ana Titer (86039) | $64 | $160 | 5.7× |
| Androstenedione (82157) | $64 | $160 | 2.2× |
| Angiotensin converting enzyme csf (82164) | $56 | $140 | 3.8× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$56–$64 | $140–$160 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$40–$144 | $100–$360 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$60–$80 | $150–$200 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $64 | $160 | 3.8× |
| Antibody Encephalitis California La Crosse (86651) | $32 | $80 | 2.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $44 | $110 | 3.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $44 | $110 | 2.9× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$64–$120 | $160–$300 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $56 | $140 | 4.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$40–$44 | $100–$110 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $52 | $130 | 3.9× |
| Antibody HIV-2 (86702) | $52 | $130 | 3.8× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $276 | $690 | 0.9× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$64–$72 | $160–$180 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $60 | $150 | 4.8× |
| Antibody Lymphocytic Choriomeningitis (86727) | $32 | $80 | 2.5× |
| Antibody Protozoa Nes (86753) | $40 | $100 | 3.2× |
| Antibody Titer (86886) | $56 | $140 | 10.8× |
| Antibody Treponema Pallidum (86780) | $52 | $130 | 3.9× |
| Antibody; encephalitis, st. louis (86653) | $32 | $80 | 2.4× |
| Antigen typing (86905) | $40 | $100 | 10.4× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $52 | $130 | 9.1× |
| Antinuclear antibodies (86038) | $68 | $170 | 5.6× |
| Antistreptolysin o titer (86060) | $52 | $130 | 7.1× |
| Antithrombin iii activity (85300) | $96 | $240 | 8.1× |
| Antithrombin iii antigen (85301) | $60 | $150 | 5.6× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$36–$72 | $90–$180 | varies |
| Aquaporin-4 Antb Cba Each (86052) | $32 | $80 | 2.7× |
| Arsenic (82175) range across 2 matching MRF lines |
$48–$56 | $120–$140 | varies |
| Assay activated protein c (85307) | $84 | $210 | 5.5× |
| Assay Blood Carbon Dioxide (82374) | $24 | $60 | 4.9× |
| Assay Dir Meas Fr Estradiol (82681) | $38 | $95 | 1.4× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$60–$120 | $150–$300 | varies |
| Assay of 5-hiaa (83497) | $44 | $110 | 3.4× |
| Assay of blood/uric acid (84550) | $32.80 | $82 | 7.3× |
| Assay of calcium in urine (82340) | $28 | $70 | 4.6× |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$40–$44 | $100–$110 | varies |
| Assay of estrone (82679) range across 2 matching MRF lines |
$44–$48 | $110–$120 | varies |
| Assay of g6pd enzyme (82955) | $42 | $105 | 4.3× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$40–$120 | $100–$300 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$48–$52 | $120–$130 | varies |
| Assay of manganese (83785) | $40 | $100 | 1.5× |
| Assay of metanephrines (83835) | $72 | $180 | 4.3× |
| Assay of proinsulin (84206) range across 2 matching MRF lines |
$48–$52 | $120–$130 | varies |
| Assay of serum potassium (84132) | $28 | $70 | 5.9× |
| Assay of sweat sodium (84302) | $20 | $50 | 4.1× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$24–$28 | $60–$70 | varies |
| Assay of urine vma (84585) | $56 | $140 | 3.6× |
| Assay of vasoactive intestinal peptide (84586) | $84 | $210 | 2.4× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$60–$68 | $150–$170 | varies |
| Assay Ph Body Fluid Nos (83986) | $28 | $70 | 7.8× |
| Automated Leukocyte Count (85048) | $24 | $60 | 9.4× |
| Babesia microti amp prb (87469) | $44 | $110 | 1.3× |
| Bartonella antibody (86611) | $32 | $80 | 3.1× |
| Bcr/abl1 gene major bp (81206) | $200 | $500 | 1.2× |
| Bcr/abl1 gene minor bp (81207) | $168 | $420 | 1.2× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$52–$156 | $130–$390 | varies |
| Beta hydroxybutyrate (82010) | $36 | $90 | 4.4× |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$16–$20 | $40–$50 | varies |
| Beta-2 Microglobulin (82232) | $60 | $150 | 3.7× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $88 | $220 | 0.7× |
| Beta-amyloid; 1-42 (abeta 42) (82234) range across 2 matching MRF lines |
$92–$100 | $230–$250 | varies |
| Bilirubin direct (82248) | $36 | $90 | 7.2× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$36–$40 | $90–$100 | varies |
| Bilirubin total transcutaneous (88720) | $20 | $50 | 4.0× |
| Bl Smear W/O Diff Wbc Count (85008) range across 2 matching MRF lines |
$20–$36 | $50–$90 | varies |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$32–$36 | $80–$90 | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $80 | $200 | 0.5× |
| Bld Typing Serologic Rh Phnt (86906) | $60 | $150 | 7.7× |
| Blood Count Red Blood Cell Automated (85041) | $12 | $30 | 4.0× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$32–$48 | $80–$120 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$20.80–$24 | $52–$60 | varies |
| Blood gas (82803) range across 3 matching MRF lines |
$112–$248 | $280–$620 | varies |
| Blood gases w/02 saturation (82805) | $116 | $290 | 1.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 3 matching MRF lines |
$12–$36 | $30–$90 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $24 | $60 | 5.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $40 | $100 | 6.3× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$32–$120 | $80–$300 | varies |
| Body fluid cell count (89050) | $56 | $140 | 11.9× |
| Bordetella antibody (86615) | $68 | $170 | 5.2× |
| Borrelia miyamotoi amp prb (87478) | $36 | $90 | 1.0× |
| Brca1&2 gen full seq dup/del (81162) range across 2 matching MRF lines |
$1,580–$1,700 | $3,950–$4,250 | varies |
| C diff amplified probe (87493) | $100 | $250 | 2.7× |
| C-Peptide (84681) range across 2 matching MRF lines |
$56–$64 | $140–$160 | varies |
| C-reactive protein (86140) | $34.40 | $86 | 6.6× |
| Ca 19-9 (86301) | $84 | $210 | 4.0× |
| Cadmium (82300) range across 2 matching MRF lines |
$56–$64 | $140–$160 | varies |
| Calcitonin (82308) | $72 | $180 | 2.7× |
| Calcium ionized (82330) | $64 | $160 | 4.7× |
| Calcium total (82310) | $32 | $80 | 6.2× |
| Calculus Spectroscopy (82365) | $64 | $160 | 5.0× |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$92–$100 | $230–$250 | varies |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$436–$472 | $1,090–$1,180 | varies |
| Cancer Antigen 125 (86304) | $88 | $220 | 4.2× |
| Cancer Antigen 27.29 (86300) | $76 | $190 | 3.7× |
| Candida Dna Dir Probe (87480) | $44 | $110 | 2.2× |
| Carbamazepine total (80156) | $80 | $200 | 5.5× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$60–$68 | $150–$170 | varies |
| Carcinoembryonic antigen (82378) | $84 | $210 | 4.4× |
| Cardiolipin ab iga (86147) | $72 | $180 | 2.8× |
| Carnitine Quantitative Each Specimen (82379) | $80 | $200 | 4.7× |
| Catecholamines fractionated (82384) | $76 | $190 | 3.0× |
| Ccnd1/Igh Translocation Alys (81168) | $452 | $1,130 | 2.2× |
| Ccp antibody (86200) | $52 | $130 | 4.0× |
| Cell count csf (89051) | $60 | $150 | 10.7× |
| Ceruloplasmin (82390) | $44 | $110 | 4.1× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$48–$56 | $120–$140 | varies |
| Chloride urine (82436) | $32 | $80 | 5.6× |
| Cholesterol total (82465) | $28 | $70 | 6.4× |
| Cholinesterase Serum (82480) | $32 | $80 | 4.1× |
| Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) | $176 | $440 | 3.1× |
| Chorionic gonadotropin test (84702) | $88 | $220 | 5.8× |
| Chromium serum (82495) | $28 | $70 | 1.4× |
| Chromogranin a (86316) | $76 | $190 | 3.7× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$296–$328 | $740–$820 | varies |
| Chromosome Analysis 20-25 (88264) | $236 | $590 | 1.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$76–$84 | $190–$210 | varies |
| Ckmb (82553) range across 2 matching MRF lines |
$61.60–$68 | $154–$170 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$56–$76 | $140–$190 | varies |
| Clot Factor VIII Multimetric (85247) | $100 | $250 | 4.4× |
| Clotting Funct Activity (85397) | $100 | $250 | 3.2× |
| Cns DNA amp probe type 12-25 (87483) | $432 | $1,080 | 1.0× |
| Coagulation time activated (85347) | $44 | $110 | 10.3× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$32–$36 | $80–$90 | varies |
| Cold agglutinin titer (86157) | $36 | $90 | 4.5× |
| Collagen crosslinks (82523) | $48 | $120 | 2.6× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$108–$204 | $270–$510 | varies |
| Compatibility Each Unit Incubation (86921) | $40 | $100 | 0.3× |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$72–$128 | $180–$320 | varies |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$72–$128 | $180–$320 | varies |
| Complement Total (Ch50) (86162) | $64 | $160 | 3.1× |
| Complement/Function Activity (86161) | $60 | $150 | 5.0× |
| Coombs direct (86880) range across 2 matching MRF lines |
$36–$40 | $90–$100 | varies |
| Copper urine (82525) | $40 | $100 | 3.2× |
| Cortisol free (82530) range across 2 matching MRF lines |
$56–$64 | $140–$160 | varies |
| Cortisol saliva (82533) | $80 | $200 | 4.9× |
| Creatine kinase total (82550) | $36 | $90 | 5.5× |
| Creatinine blood (82565) | $23.20 | $58 | 4.5× |
| Creatinine clearance (82575) | $68 | $170 | 7.2× |
| Creatinine Urine (82570) | $36 | $90 | 6.9× |
| Crossmatch immediate spin (86920) range across 3 matching MRF lines |
$80–$144 | $200–$360 | varies |
| Crp High Sensitivity (86141) | $48 | $120 | 3.7× |
| Cryoglobulin (82595) | $40 | $100 | 6.2× |
| Cryptococcus ab (86641) range across 2 matching MRF lines |
$60–$68 | $150–$170 | varies |
| Cryptococcus ag titer (87899) | $116 | $290 | 7.2× |
| Cryptosporidium ag eia (87328) | $40 | $100 | 2.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $28.80 | $72 | 3.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $48 | $120 | 5.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $48 | $120 | 6.2× |
| Culture afb (87116) | $76 | $190 | 7.0× |
| Culture Anaerobic (87075) | $92 | $230 | 9.7× |
| Culture blood (87040) range across 3 matching MRF lines |
$45.60–$91.20 | $114–$228 | varies |
| Culture csf (87070) | $49.60 | $124 | 5.8× |
| Culture fungus (87102) | $60 | $150 | 7.1× |
| Culture fungus blood (87103) range across 2 matching MRF lines |
$68–$76 | $170–$190 | varies |
| Culture screen only (87081) range across 2 matching MRF lines |
$30.40–$32 | $76–$80 | varies |
| Culture stool (87045) | $72 | $180 | 7.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$28–$32 | $70–$80 | varies |
| Culture urine (87086) | $64 | $160 | 7.9× |
| Cyanide (82600) | $48 | $120 | 2.5× |
| Cyclosporine (80158) | $88 | $220 | 4.9× |
| Cyp2c19 gene analysis common variants (81225) | $244 | $610 | 0.8× |
| Cystatin C (82610) range across 2 matching MRF lines |
$52–$60 | $130–$150 | varies |
| Cytogenetics 100-300 (88275) | $116 | $290 | 2.3× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,596 | $3,990 | 1.4× |
| Cytomegalovirus igg (86644) | $64 | $160 | 4.4× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $56 | $140 | 2.8× |
| Cytopath Cell Enhance Tech (88112) | $80 | $200 | 1.7× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $68 | $170 | 2.6× |
| Cytp Concentration Smears & Interpretation (88108) | $72 | $180 | 2.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $104 | $260 | 2.2× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $84 | $210 | 0.5× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $372 | $930 | 2.4× |
| Deoxyribonuclease antibody (86215) | $36 | $90 | 2.7× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$152–$168 | $380–$420 | varies |
| Detect Agent Nos Dna Quant (87799) | $212 | $530 | 4.9× |
| Detect agnt mult DNA ampli (87801) | $240 | $600 | 3.4× |
| Dgp Antibody Each Ig Class (86258) | $24 | $60 | 2.0× |
| Dhea-S (82627) | $72 | $180 | 3.2× |
| Digoxin (80162) | $68 | $170 | 5.1× |
| Diphtheria antitoxoid (86648) range across 2 matching MRF lines |
$48–$56 | $120–$140 | varies |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$64–$72 | $160–$180 | varies |
| Dna Antibody Native/Double Stranded (86225) | $68 | $170 | 4.9× |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$64–$128 | $160–$320 | varies |
| Drug assay acetaminophen (80143) range across 3 matching MRF lines |
$36–$40 | $90–$100 | varies |
| Drug Assay Everolimus (80169) | $72 | $180 | 5.2× |
| Drug Assay Itraconazole (80189) | $200 | $500 | 7.4× |
| Drug Assay Lacosamide (80235) | $48 | $120 | 1.8× |
| Drug assay voriconazole (80285) | $116 | $290 | 4.3× |
| Drug Screen Quant Clozapine (80159) | $72 | $180 | 3.6× |
| Drug Screen Quant Zonisamide (80203) | $68 | $170 | 5.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $64 | $160 | 4.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $72 | $180 | 5.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $64 | $160 | 4.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$68–$84 | $170–$210 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $54.40 | $136 | 4.3× |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$48–$96 | $120–$240 | varies |
| El-1 Fecal Quantitative (82653) | $152 | $380 | 6.6× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$60–$104 | $150–$260 | varies |
| Encephaltis East Eqne Anbdy (86652) | $32 | $80 | 2.4× |
| Encephaltis West Eqne Antbdy (86654) | $32 | $80 | 2.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $16 | $40 | 1.3× |
| Enterovirus Antibody (86658) | $40 | $100 | 3.1× |
| Enterovirus PCR (87498) | $144 | $360 | 4.1× |
| Enzyme histochemistry (88319) | $200 | $500 | 0.3× |
| Erythropoietin (82668) | $60 | $150 | 3.2× |
| Estradiol serum (82670) | $104 | $260 | 3.7× |
| Estriol (82677) | $56 | $140 | 2.3× |
| Estrogen total (82672) range across 2 matching MRF lines |
$68–$76 | $170–$190 | varies |
| Ethylene Glycol (82693) | $64 | $160 | 4.3× |
| Exam Synovial Fluid Crystals (89060) | $44 | $110 | 6.0× |
| F2 Gene (81240) | $168 | $420 | 2.6× |
| Factor ii activity (85210) | $80 | $200 | 6.2× |
| Factor Inhibitor Test (85335) | $80 | $200 | 6.2× |
| Factor ix activity (85250) range across 2 matching MRF lines |
$96–$108 | $240–$270 | varies |
| Factor v activity (85220) | $100 | $250 | 5.7× |
| Factor v leiden mutation (81241) | $160 | $400 | 2.2× |
| Factor viii assay (85240) | $88 | $220 | 4.9× |
| Factor X (85260) | $100 | $250 | 5.6× |
| Factor xi activity (85270) range across 2 matching MRF lines |
$96–$108 | $240–$270 | varies |
| Fat/Lipids Feces Quantitative (82710) | $68 | $170 | 4.0× |
| Fecal Fat Qualitative (82705) | $28 | $70 | 5.5× |
| Ferritin (82728) | $72 | $180 | 5.3× |
| Fetal Fibronectin (82731) | $260 | $650 | 4.0× |
| Fetal screen rosette (85461) | $56 | $140 | 6.0× |
| Fibrin Degradation Quant (85379) | $72 | $180 | 7.1× |
| Fibrinogen activity (85384) | $60 | $150 | 6.2× |
| Flow cytometry first marker (88184) | $100 | $250 | 0.3× |
| Fluorescent antibody screen (86255) | $530 | $1,325 | 44.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $52 | $130 | 4.3× |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$52–$60 | $130–$150 | varies |
| Folic Acid Serum (82746) | $68 | $170 | 4.6× |
| Follicle Stimulating Hormone (83001) | $84 | $210 | 4.5× |
| Francisella tularensis (86668) range across 2 matching MRF lines |
$60–$120 | $150–$300 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $96 | $240 | 0.6× |
| Frozen Section (88331) | $140 | $350 | 0.9× |
| Fungi Identification Mold (87107) | $40 | $100 | 3.9× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$40–$44 | $100–$110 | varies |
| Galectin-3 (82777) | $40 | $100 | 0.9× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$52–$104 | $130–$260 | varies |
| Gardner vag DNA dir probe (87510) | $40 | $100 | 2.0× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $56 | $140 | 5.7× |
| Gases blood ph only (82800) | $40 | $100 | 3.6× |
| Gastrin (82941) range across 2 matching MRF lines |
$56–$64 | $140–$160 | varies |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$456–$492 | $1,140–$1,230 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,016 | $5,040 | 2.7× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$76–$84 | $190–$210 | varies |
| Gentamicin (80170) | $96 | $240 | 5.9× |
| Ggt (82977) | $44 | $110 | 6.1× |
| Giardia antigen (87329) | $40 | $100 | 3.3× |
| Glucagon (82943) | $124 | $310 | 8.7× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$28–$32 | $70–$80 | varies |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$6–$12 | $15–$30 | varies |
| Glucose body fluid (82945) | $36 | $90 | 9.2× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$6–$28 | $15–$70 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$60–$68 | $150–$170 | varies |
| Glycated Protein (82985) | $36 | $90 | 2.1× |
| Gonadotropin Chorionic Qualitative (84703) | $64 | $160 | 8.5× |
| Growth hormone (83003) | $44 | $110 | 2.6× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$20–$24 | $50–$60 | varies |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$92–$156 | $230–$390 | varies |
| H Pylori Drug Admin (83014) | $24 | $60 | 3.1× |
| Haptoglobin (83010) | $60 | $150 | 4.8× |
| Hba1/Hba2 Gene (81257) | $156 | $390 | 1.5× |
| Hdl Cholesterol (83718) | $32 | $80 | 3.9× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$56–$64 | $140–$160 | varies |
| Helminth Antibody (86682) | $84 | $210 | 6.5× |
| Hematocrit (85014) range across 3 matching MRF lines |
$24–$28 | $60–$70 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$6.80–$20 | $17–$50 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$14–$41.60 | $35–$104 | varies |
| Hemoglobin electrophoresis (83020) | $52 | $130 | 4.0× |
| Hemoglobin Methemoglobin Quantitative (83050) | $40 | $100 | 4.9× |
| Hemoglobin plasma (83051) | $36 | $90 | 4.9× |
| Hep a ab igm (86709) | $52 | $130 | 4.6× |
| Heparin assay (85520) | $84 | $210 | 6.4× |
| Hepatitis a antibody total (86708) | $44 | $110 | 3.6× |
| Hepatitis b core ab igm (86705) | $48 | $120 | 4.1× |
| Hepatitis b core ab total (86704) | $52 | $130 | 4.3× |
| Hepatitis B Surface Antibody (86706) | $56 | $140 | 5.2× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$52–$56 | $130–$140 | varies |
| Hepatitis Be Antibody (86707) | $32 | $80 | 2.8× |
| Hepatitis Be Antigen (87350) | $40 | $100 | 3.5× |
| Hepatitis C Antibody (86803) | $72 | $180 | 5.0× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$272–$296 | $680–$740 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$108–$120 | $270–$300 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $76 | $190 | 1.8× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$52–$60 | $130–$150 | varies |
| Heterophile Antibody Screen (86308) range across 3 matching MRF lines |
$9.60–$60 | $24–$150 | varies |
| Hfe Gene (81256) range across 2 matching MRF lines |
$140–$212 | $350–$530 | varies |
| Hgb Quantitative Transcutaneous (88738) range across 2 matching MRF lines |
$24–$28 | $60–$70 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $68 | $170 | 8.8× |
| Histamine urine (83088) range across 2 matching MRF lines |
$72–$80 | $180–$200 | varies |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$44–$88 | $110–$220 | varies |
| Histoplasma antigen urine (87385) | $100 | $250 | 7.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$68–$76 | $170–$190 | varies |
| Hiv-1 Antibody (86701) | $68 | $170 | 7.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $180 | $450 | 2.1× |
| HIV-2 probe&revrse trnscripj (87538) | $35.20 | $88 | 1.0× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $320 | $800 | 2.5× |
| Hla class ii typing high resolution one locus ea (81382) range across 2 matching MRF lines |
$228–$456 | $570–$1,140 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $120 | $300 | 1.6× |
| Hla I Typing 1 Allele Hr (81381) range across 2 matching MRF lines |
$152–$224 | $380–$560 | varies |
| Hla ii typing 1 locus lr (81376) range across 2 matching MRF lines |
$168–$336 | $420–$840 | varies |
| Hla-b27 (86812) range across 2 matching MRF lines |
$72–$80 | $180–$200 | varies |
| Homocysteine (83090) range across 2 matching MRF lines |
$76–$100 | $190–$250 | varies |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$132–$240 | $330–$600 | varies |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$60–$68 | $150–$170 | varies |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $34.80 | $87 | 2.9× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) range across 2 matching MRF lines |
$52–$60 | $130–$150 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $35.60 | $89 | 1.0× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$32–$36 | $80–$90 | varies |
| Iaad Ia Streptococcus Group A (87430) range across 2 matching MRF lines |
$52–$60 | $130–$150 | varies |
| Iaadi inffluenza a virus (87276) | $36 | $90 | 2.2× |
| Iaadi parainfluenza virus each type (87279) | $32 | $80 | 1.9× |
| Iaadi pneumocustis carinii (87281) | $56 | $140 | 4.7× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $60 | $150 | 5.0× |
| Iaadi respiratory synctial virus (87280) | $40 | $100 | 3.0× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $44 | $110 | 1.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $84 | $210 | 2.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $124 | $310 | 3.5× |
| Iadna Cytomegalovirus Quantification (87497) | $176 | $440 | 4.1× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $40 | $100 | 1.1× |
| Iadna Hepatitis B Virus Quantification (87517) | $132 | $330 | 3.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $160 | $400 | 4.6× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $76 | $190 | 2.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$92–$104 | $230–$260 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$76–$84 | $190–$210 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $192 | $480 | 1.3× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) range across 2 matching MRF lines |
$356–$392 | $890–$980 | varies |
| Ig Light Chains Free Each (83521) | $20 | $50 | 1.2× |
| Igg subclasses (82787) | $44 | $110 | 5.5× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $284 | $710 | 1.0× |
| Immunfix e-phorsis/urine/csf (86335) | $80 | $200 | 2.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $280 | $700 | 15.2× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$26–$240 | $65–$600 | varies |
| Immunoassay nonantibody (83516) | $48 | $120 | 4.2× |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$28–$48 | $70–$120 | varies |
| Immunofixation electrophoresis (86334) | $92 | $230 | 4.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $28.80 | $72 | 0.2× |
| Immunohistochemistry (88342) | $120 | $300 | 0.8× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $70.40 | $176 | 1.0× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $36 | $90 | 2.5× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $36 | $90 | 2.9× |
| Influenza a/b ag eia (87400) | $60 | $150 | 4.2× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$52–$104 | $130–$260 | varies |
| Inhibin b (83520) range across 2 matching MRF lines |
$56–$64 | $140–$160 | varies |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$72–$80 | $180–$200 | varies |
| Insulin free (83527) | $36 | $90 | 2.8× |
| Insulin total (83525) | $44 | $110 | 3.8× |
| Intrinsic factor antibody (86340) | $48 | $120 | 3.2× |
| Iron (83540) | $23.20 | $58 | 3.6× |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$33.60–$40 | $84–$100 | varies |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$68–$76 | $170–$190 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $256 | $640 | 2.8× |
| Jak2 Gene Trgt Sequence Alys (81279) range across 2 matching MRF lines |
$152–$164 | $380–$410 | varies |
| Koh Prep (87220) | $28 | $70 | 6.6× |
| Lactate (ld) (ldh) enzyme (83615) | $20.80 | $52 | 3.4× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$36–$40 | $90–$100 | varies |
| LDL direct (83721) range across 2 matching MRF lines |
$32–$36 | $80–$90 | varies |
| Lead (83655) range across 2 matching MRF lines |
$36–$40 | $90–$100 | varies |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$68–$76 | $170–$190 | varies |
| Leukocyte Assessment Fecal (89055) | $28 | $70 | 6.6× |
| Leukocyte Histamine Release (86343) | $60 | $150 | 4.8× |
| Level I Surg Pathology Gross Examination Only (88300) | $44 | $110 | 1.7× |
| Level ii surg pathology grossµscopic exam (88302) | $68 | $170 | 2.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $192 | $480 | 0.6× |
| Lidocaine (80176) | $64 | $160 | 4.4× |
| Lipase (83690) range across 2 matching MRF lines |
$36–$72 | $90–$180 | varies |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$40–$44 | $100–$110 | varies |
| Lipoprotein Bld Quan Part (83704) | $64 | $160 | 1.9× |
| Lithium (80178) | $52 | $130 | 7.9× |
| Luteinizing Hormone (Lh) (83002) | $68 | $170 | 3.7× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$56–$64 | $140–$160 | varies |
| M. Genitalium Amp Probe (87563) | $48 | $120 | 1.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $336 | $840 | 2.1× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$34.40–$40 | $86–$100 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$88–$100 | $220–$250 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$44–$52 | $110–$130 | varies |
| Methylmalonic acid serum (83921) | $104 | $260 | 4.9× |
| Microalbumin, quantitative (82043) | $44 | $110 | 7.6× |
| Microsomal Antibodies Each (86376) | $60 | $150 | 4.1× |
| Mitochondrial Antibody Each (86381) | $64 | $160 | 2.5× |
| Mog-Igg1 Antb Cba Each (86362) | $16 | $40 | 1.3× |
| Molecular Cytogenetics Dna Probe Each (88271) | $80 | $200 | 3.7× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $132 | $330 | 3.1× |
| Mononuclear cell antigen (86356) | $68 | $170 | 2.5× |
| Mopath procedure level 4 (81403) | $376 | $940 | 2.0× |
| Mopath procedure level 7 (81406) | $560 | $1,400 | 2.0× |
| Mpl gene analysis sequence analysis exon 10 (81339) range across 2 matching MRF lines |
$148–$196 | $370–$490 | varies |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$80–$88 | $200–$220 | varies |
| Mthfr Gene Analysis Common Variants (81291) range across 2 matching MRF lines |
$196–$216 | $490–$540 | varies |
| Mumps antibody (86735) range across 2 matching MRF lines |
$40–$44 | $100–$110 | varies |
| Mycobacteric Identification (87118) | $52 | $130 | 3.6× |
| Mycoplasma antibody (86738) | $52 | $130 | 3.9× |
| Mycoplasma culture (87109) | $60 | $150 | 3.9× |
| Myelin basic protein csf (83873) | $72 | $180 | 4.2× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$52–$60 | $130–$150 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$86.40–$96 | $216–$240 | varies |
| Neutralization Test Viral (86382) | $36 | $90 | 2.1× |
| Nfct ds chrnc hcv 6 assays (81596) | $232 | $580 | 3.2× |
| Niacin (84591) | $52 | $130 | 3.0× |
| Nk cells total count (86357) | $68 | $170 | 1.8× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$64–$256 | $160–$640 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$20–$24 | $50–$60 | varies |
| Occult Blood Other Sources (82271) | $24 | $60 | 4.5× |
| Oligoclonal bands (83916) | $72 | $180 | 2.6× |
| Osmolality serum (83930) | $44 | $110 | 6.7× |
| Osmolality Urine (83935) | $44 | $110 | 6.5× |
| Ova and parasites smears (87177) | $44 | $110 | 4.9× |
| Particle Agglutination Screen Each Antibody (86403) | $44 | $110 | 3.8× |
| Parvovirus antibody (86747) | $44 | $110 | 2.9× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $120 | $300 | 0.2× |
| Ph urine (81003) range across 2 matching MRF lines |
$6–$20 | $15–$50 | varies |
| Phenobarbital Level (80184) | $60 | $150 | 3.9× |
| Phenytoin (Dilantin) (80185) | $60 | $150 | 4.5× |
| Phosphatase acid prostatic (84066) | $28 | $70 | 2.9× |
| Phosphatase alkaline (84075) | $28 | $70 | 5.4× |
| Phosphorus Serum (84100) | $30.40 | $76 | 6.4× |
| Phosphorus urine (84105) | $24 | $60 | 4.2× |
| Pinworm exam (87172) | $24 | $60 | 5.6× |
| Platelet Aggregation (85576) | $88 | $220 | 3.5× |
| Platelet Antibodies (86022) | $140 | $350 | 7.6× |
| Platelet count automated (85049) | $36 | $90 | 8.0× |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$64–$84 | $160–$210 | varies |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $288 | $720 | 1.4× |
| Porphobilinogen, urine; quantitative (84110) | $36 | $90 | 4.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $56 | $140 | 3.8× |
| Potassium Urine (84133) | $36 | $90 | 7.6× |
| Prealbumin (84134) | $60 | $150 | 4.1× |
| Pregnenolone (84140) range across 2 matching MRF lines |
$52–$60 | $130–$150 | varies |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $44 | $110 | 0.8× |
| Pretx serum rbc antibody identification dilution (86976) | $44 | $110 | 1.7× |
| Primidone (80188) | $44 | $110 | 2.7× |
| Procalcitonin (Pct) (84145) | $160 | $400 | 5.9× |
| Progesterone (84144) | $72 | $180 | 3.5× |
| Prolactin (84146) | $80 | $200 | 4.1× |
| Prostaglandin (84150) | $42.40 | $106 | 1.0× |
| Protein body fluid (84157) | $40 | $100 | 10.0× |
| Protein C Activity (85303) | $116 | $290 | 8.4× |
| Protein c antigen (85302) | $64 | $160 | 5.3× |
| Protein Electrophoresis Urine (84166) | $64 | $160 | 3.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $64 | $160 | 6.0× |
| Protein S Free (85306) | $100 | $250 | 6.5× |
| Protein s total (85305) | $76 | $190 | 6.5× |
| Protein total serum (84155) | $36 | $90 | 9.8× |
| Protein Total Urine (84156) | $36 | $90 | 9.8× |
| Protein Western Blot Test (84182) | $120 | $300 | 4.1× |
| PSA free (84154) | $48 | $120 | 2.6× |
| Pth Intact (83970) | $108 | $270 | 2.6× |
| Q Fever Antibody (86638) | $32 | $80 | 2.6× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$116–$128 | $290–$320 | varies |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$108–$200 | $270–$500 | varies |
| Quantitative Screen Metals (83018) | $84 | $210 | 3.8× |
| Rbc antibody elution (86860) | $72 | $180 | 0.5× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$100–$108 | $250–$270 | varies |
| Rbc antibody screen (86850) | $56 | $140 | 5.7× |
| Rbc pretreatment serum (86978) | $76 | $190 | 1.4× |
| Rbc pretx incubatj w/enzymes (86971) | $104 | $260 | 0.7× |
| Reagent Strip/Blood Glucose (82948) | $16 | $40 | 3.2× |
| Renin activity plasma (84244) | $68 | $170 | 3.1× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$424–$780 | $1,060–$1,950 | varies |
| Reticulocyte separation (86972) | $104 | $260 | 0.7× |
| Rh (86901) range across 2 matching MRF lines |
$32–$36 | $80–$90 | varies |
| Rheumatoid factor quant (86431) | $44 | $110 | 7.8× |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$68–$88 | $170–$220 | varies |
| Ristocetin cofactor (85245) | $96 | $240 | 4.2× |
| Rotavirus ag eia (87425) | $64 | $160 | 5.3× |
| Rpr qualitative (86592) | $32 | $80 | 7.5× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$20–$52 | $50–$130 | varies |
| Rubella Antibody (86762) | $48 | $120 | 3.3× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$36–$40 | $90–$100 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$60–$104 | $150–$260 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$56–$64 | $140–$160 | varies |
| Sarscov2 & inf a&b amp prb (87636) range across 3 matching MRF lines |
$160–$176 | $400–$440 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 3 matching MRF lines |
$212–$236 | $530–$590 | varies |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$32–$36 | $80–$90 | varies |
| Selenium (84255) | $60 | $150 | 2.4× |
| Semen Anal Sperm Detection (89321) | $36 | $90 | 3.0× |
| Semen analysis complete (89322) | $88 | $220 | 5.7× |
| Sensitivity mic (87186) | $35.20 | $88 | 4.1× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$40–$70 | $100–$175 | varies |
| Sickling of rbc reduction (85660) | $32 | $80 | 5.8× |
| Sirolimus (80195) range across 2 matching MRF lines |
$56–$64 | $140–$160 | varies |
| Skin test tuberculosis intradermal (86580) | $8 | $20 | 0.3× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$40–$44 | $100–$110 | varies |
| Smear complex stain (87209) | $48 | $120 | 2.7× |
| Smear gram stain (87205) | $28 | $70 | 6.6× |
| Smear Special Stain (87207) | $52 | $130 | 8.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $36 | $90 | 6.2× |
| Sodium Serum (84295) | $28 | $70 | 5.8× |
| Sodium Urine (84300) | $32 | $80 | 6.3× |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
$116–$128 | $290–$320 | varies |
| Somatomedin (84305) range across 2 matching MRF lines |
$64–$72 | $160–$180 | varies |
| Special Stains Group 1 (88312) | $76 | $190 | 1.6× |
| Specimen infect agnt concntj (87015) | $32 | $80 | 4.8× |
| Spectrophotometry (84311) | $228 | $570 | 28.1× |
| Staph a DNA amp probe (87640) | $68 | $170 | 1.9× |
| Stool cultr aerobic bact ea (87046) | $36 | $90 | 3.8× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$20–$52 | $50–$130 | varies |
| Strep a DNA amp probe (87651) | $64 | $160 | 1.8× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $116 | $290 | 1.3× |
| Surg path level iii (88304) | $96 | $240 | 2.0× |
| Surgical pathology level IV (88305) | $132 | $330 | 2.8× |
| Surgical pathology level vi (88309) | $248 | $620 | 0.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $120 | $300 | 25.3× |
| Syphilis Test Non-Trep Quant (86593) | $12 | $30 | 2.7× |
| T cells absolute cd4 count (86361) | $64 | $160 | 2.4× |
| T3 Free (84481) | $88 | $220 | 5.2× |
| T3 reverse (84482) range across 2 matching MRF lines |
$44–$48 | $110–$120 | varies |
| T3 Total (84480) | $68 | $170 | 4.8× |
| T4 Free (84439) | $53.60 | $134 | 5.9× |
| T4 total (84436) | $48 | $120 | 7.0× |
| Tacrolimus (80197) | $76 | $190 | 5.5× |
| Tau phosphorylated each (84393) | $84 | $210 | 0.7× |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$32–$36 | $80–$90 | varies |
| Testosterone total (84403) | $92 | $230 | 3.6× |
| Testosterone, Free (84402) | $80 | $200 | 3.1× |
| Tetanus antibody (86774) range across 2 matching MRF lines |
$44–$52 | $110–$130 | varies |
| Thrombin Time (85670) | $36 | $90 | 6.2× |
| Thyroglobulin (84432) | $60 | $150 | 3.7× |
| Thyroglobulin Antibody (86800) | $48 | $120 | 3.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $144 | $360 | 2.8× |
| Thyroxine binding globulin (84442) | $40 | $100 | 2.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$24–$28 | $60–$70 | varies |
| Tissue Culture (88233) range across 2 matching MRF lines |
$188–$208 | $470–$520 | varies |
| Tissue culture bone marrow (88237) | $200 | $500 | 1.4× |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$192–$328 | $480–$820 | varies |
| Tobramycin peak (80200) | $80 | $200 | 5.0× |
| Topiramate (80201) range across 2 matching MRF lines |
$52–$56 | $130–$140 | varies |
| Toxoplasma ab igm (86778) | $44 | $110 | 3.1× |
| Toxoplasma antibody (86777) | $52 | $130 | 3.6× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 3 matching MRF lines |
$28–$56 | $70–$140 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$48–$56 | $120–$140 | varies |
| Trb@ Rearrangement Anal Amplification Method (81340) | $288 | $720 | 1.4× |
| Trichomonas vagin dir probe (87660) | $44 | $110 | 2.2× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$64–$72 | $160–$180 | varies |
| Triglycerides (84478) | $40 | $100 | 7.0× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$65.60–$72 | $164–$180 | varies |
| Tumor Immunohistochem/Manual (88360) | $208 | $520 | 1.3× |
| Urea nitrogen urine (84540) | $40 | $100 | 7.2× |
| Uric acid other source (84560) | $32 | $80 | 6.3× |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$16–$20 | $40–$50 | varies |
| Urine Bacteria Culture (87088) range across 3 matching MRF lines |
$32–$64 | $80–$160 | varies |
| Urine Pregnancy Test (81025) range across 4 matching MRF lines |
$10.80–$40 | $27–$100 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $32 | $80 | 10.1× |
| Valproic acid (80164) | $80 | $200 | 5.9× |
| Vancomycin (80202) | $84 | $210 | 6.2× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$40–$44 | $100–$110 | varies |
| Virus antibody nos (86790) | $60 | $150 | 4.7× |
| Virus inoculation, shell via (87254) | $68 | $170 | 3.5× |
| Viscosity serum (85810) | $36 | $90 | 3.1× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$92–$100 | $230–$250 | varies |
| Vitamin A (84590) | $44 | $110 | 3.8× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$48–$52 | $120–$130 | varies |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$68–$76 | $170–$190 | varies |
| Vitamin c (82180) | $36 | $90 | 3.6× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$108–$124 | $270–$310 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$40–$44 | $100–$110 | varies |
| Vitamin K (84597) | $72 | $180 | 5.2× |
| Volatiles (84600) | $60 | $150 | 3.5× |
| Von willebrand factor ag (85246) | $88 | $220 | 3.8× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$52–$56 | $130–$140 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$52–$56 | $130–$140 | varies |
| Zinc (84630) | $40 | $100 | 3.5× |
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.