Lab & pathology prices at Perkins County Health Services

Grant, NE · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $219 $219 9.6×
5 Nucleotidase (83915) $142 $142 12.7×
Acetylcholine receptor binding antibody (86041) $125 $125 6.8×
Acetylcholine receptor blocking antibody (86042) $121 $121 6.6×
Actin smooth muscle antibody each (86015)
range across 2 matching MRF lines
$148–$331 $148–$331 varies
Acute hepatitis panel (80074) $214 $214 4.5×
Acylcarnitines Quant (82017) $195 $195 11.6×
Albumin Fluid (82042) $63 $63 8.1×
Albumin serum (82040) $54 $54 10.9×
Aldolase (82085) $119 $119 12.3×
Aldosterone urine (82088) $272 $272 6.7×
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines
$153–$156 $153–$156 varies
Allergen spec ige qual multiallergen screen (86005) $29 $29 3.6×
Allergen specific ige (86003)
range across 18 matching MRF lines
$34–$88 $34–$88 varies
Allg Spec Ige Recomb Ea (86008) $89 $89 5.0×
Alpha-1-antitrypsin phenotype (82104) $68 $68 4.7×
Alpha-1-antitrypsin total (82103) $244 $244 18.2×
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$111–$251 $111–$251 varies
Alt (sgpt) (84460) $66 $66 12.5×
Amino Acids 1 Quantitative Each Specimen (82131) $71 $71 3.1×
Ammonia (82140) $225 $225 15.4×
Amniotic fluid protein test on cervicovaginal fluid (84112) $413 $413 4.2×
Amylase urine (82150) $113 $113 17.4×
Anca screen each antibody (86036) $69 $69 5.7×
Angiotensin converting enzyme csf (82164) $164 $164 11.2×
Antibody aspergillus (86606) $29 $29 1.9×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $363 $363 23.4×
Antibody Cytomegalovirus Cmv Igm (86645) $150 $150 8.9×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $150 $150 11.4×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $150 $150 9.8×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $150 $150 8.3×
Antibody Herpes Smplx Type 1 (86695) $145 $145 11.0×
Antibody Protozoa Nes (86753) $103 $103 8.3×
Antibody Titer (86886) $188 $188 36.3×
Antibody Treponema Pallidum (86780) $71 $71 5.4×
Antinuclear antibodies (86038)
range across 3 matching MRF lines
$60–$109 $60–$109 varies
Antistreptolysin o titer (86060) $96 $96 13.2×
Antithrombin iii activity (85300) $364 $364 30.7×
Antithrombin iii antigen (85301) $161 $161 14.9×
Apolipoprotein a1 (82172) $91 $91 4.3×
Arsenic (82175) $116 $116 6.1×
Assay Blood Carbon Dioxide (82374) $58 $58 11.9×
Assay Dir Meas Fr Estradiol (82681) $352 $352 12.6×
Assay Nephelometry Not Spec (83883) $119 $119 8.8×
Assay of 5-hiaa (83497) $110 $110 8.5×
Assay of anti-mullerian hormone (82166) $195 $195 5.0×
Assay of blood/uric acid (84550) $64 $64 14.2×
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$81–$94 $81–$94 varies
Assay of estrone (82679) $316 $316 12.7×
Assay of g6pd enzyme (82955) $96 $96 9.9×
Assay of gammaglobulin igm (82784)
range across 5 matching MRF lines
$121–$179 $121–$179 varies
Assay of lactic acid (83605) $130 $130 11.2×
Assay of manganese (83785) $119 $119 4.5×
Assay of metanephrines (83835) $291 $291 17.2×
Assay of serotonin (84260) $280 $280 9.0×
Assay of serum potassium (84132) $57 $57 12.0×
Assay of urea nitrogen (84520) $57 $57 14.4×
Assay of urine vma (84585) $244 $244 15.7×
Assay of vitamin b-1 (84425)
range across 2 matching MRF lines
$147–$290 $147–$290 varies
Assay Ph Body Fluid Nos (83986) $71 $71 19.8×
Automated Leukocyte Count (85048) $60 $60 23.6×
B cells total count (86355) $107 $107 2.8×
Babesia microti amp prb (87469) $125 $125 3.6×
Bcr/abl1 gene major bp (81206)
range across 2 matching MRF lines
$354–$670 $354–$670 varies
Bcr/abl1 gene minor bp (81207)
range across 2 matching MRF lines
$249–$486 $249–$486 varies
Beta 2 glycoprotein i antibody each (86146) $162 $162 6.4×
Beta-2 Microglobulin (82232) $266 $266 16.4×
Bilirubin direct (82248) $70 $70 13.9×
Bilirubin total (82247)
range across 3 matching MRF lines
$70–$72 $70–$72 varies
Bilirubin total transcutaneous (88720) $94 $94 18.7×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $81 $81 21.3×
Blood gas (82803)
range across 4 matching MRF lines
$101–$255 $101–$255 varies
Blood typing serologic abo (86900) $90 $90 30.1×
C diff amplified probe (87493) $215 $215 5.8×
C-Peptide (84681) $295 $295 14.2×
C-reactive protein (86140)
range across 3 matching MRF lines
$42–$114 $42–$114 varies
Ca 19-9 (86301) $266 $266 12.8×
Cadmium (82300) $109 $109 4.6×
Calcium ionized (82330) $139 $139 10.2×
Calcium total (82310) $63 $63 12.2×
Calculus assay quant (82360) $124 $124 9.6×
Calculus Spectroscopy (82365) $192 $192 14.9×
Calprotectin Fecal (83993) $454 $454 23.1×
Cancer Antigen 125 (86304) $266 $266 12.8×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$186–$266 $186–$266 varies
Carbamazepine total (80156) $153 $153 10.5×
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines
$167–$272 $167–$272 varies
Cardiolipin ab iga (86147) $167 $167 6.6×
Carnitine Quantitative Each Specimen (82379) $138 $138 8.2×
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$214–$352 $214–$352 varies
Ccp antibody (86200) $234 $234 18.1×
Cell count csf (89051) $174 $174 31.1×
Cellular Function Assay Stimul&Detect Biomarke (86352) $325 $325 2.4×
Ceruloplasmin (82390) $158 $158 14.7×
Chemiluminescent assay (82397) $244 $244 17.3×
Chloride Serum (82435) $44 $44 9.6×
Chloride urine (82436) $73 $73 12.7×
Cholesterol total (82465) $66 $66 15.2×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$155–$244 $155–$244 varies
Chromogranin a (86316) $473 $473 22.7×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $91 $91 2.6×
Citric acid urine (82507) $71 $71 2.6×
Ckmb (82553) $225 $225 19.5×
Clostridium Difficile (87324) $119 $119 9.9×
Clotting factor viii related antigen (85244) $363 $363 17.8×
Clotting Funct Activity (85397) $145 $145 4.7×
Coccidioides antibody (86635) $46 $46 4.0×
Cold agglutinin titer (86157) $199 $199 24.7×
Collagen crosslinks (82523)
range across 2 matching MRF lines
$65–$250 $65–$250 varies
Column Chromotography Quant (82542) $649 $649 26.9×
Compatibility Each Unit Incubation (86921) $134 $134 0.8×
Compatibility test antiglob (86922) $218 $218 1.2×
Complement Antigen Each Component (86160) $214 $214 17.8×
Complement Total (Ch50) (86162) $184 $184 9.1×
Complement/Function Activity (86161) $101 $101 8.4×
Consltj&Reprt Material Requiring Prepj Slides (88323) $213 $213 3.9×
Coombs direct (86880) $84 $84 15.6×
Copper urine (82525)
range across 2 matching MRF lines
$114–$151 $114–$151 varies
Cortisol free (82530)
range across 2 matching MRF lines
$137–$228 $137–$228 varies
Cortisol saliva (82533) $281 $281 17.2×
Creatine kinase total (82550) $103 $103 15.8×
Creatinine blood (82565) $63 $63 12.3×
Creatinine clearance (82575) $134 $134 14.2×
Creatinine Urine (82570)
range across 5 matching MRF lines
$63–$124 $63–$124 varies
Crossmatch immediate spin (86920) $169 $169 1.0×
Cryoglobulin (82595) $100 $100 15.5×
Cryptosporidium ag eia (87328) $124 $124 9.0×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines
$97–$120 $97–$120 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $135 $135 17.5×
Cul Typ ID Bld Pthgn 6+ Trgt (87154)
range across 2 matching MRF lines
$239–$255 $239–$255 varies
Culture afb (87116) $244 $244 22.6×
Culture Anaerobic (87075) $194 $194 20.5×
Culture blood (87040)
range across 3 matching MRF lines
$179–$217 $179–$217 varies
Culture csf (87070)
range across 4 matching MRF lines
$139–$194 $139–$194 varies
Culture fungus (87102) $179 $179 21.3×
Culture screen only (87081)
range across 4 matching MRF lines
$73–$89 $73–$89 varies
Culture stool (87045) $113 $113 12.0×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $75 $75 14.5×
Culture urine (87086) $139 $139 17.2×
Cytogenetics 100-300 (88275) $453 $453 8.8×
Cytomegalovirus igg (86644) $290 $290 20.2×
Cytp Concentration Smears & Interpretation (88108) $66 $66 1.7×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $159 $159 4.1×
Detect Agent Nos Dna Amp (87798)
range across 13 matching MRF lines
$106–$219 $106–$219 varies
Detect Agent Nos Dna Quant (87799)
range across 5 matching MRF lines
$303–$868 $303–$868 varies
Dgp Antibody Each Ig Class (86258) $63 $63 5.2×
Dhea (82626) $259 $259 10.2×
Dhea-S (82627) $322 $322 14.5×
Digoxin (80162) $148 $148 11.1×
Dna Antibody Native/Double Stranded (86225) $69 $69 5.0×
Drug assay adalimumab (80145) $310 $310 8.0×
Drug Assay Amiodarone (80151) $218 $218 11.7×
Drug Assay Infliximab (80230) $280 $280 7.3×
Drug Assay Lacosamide (80235) $306 $306 11.3×
Drug Assay Vedolizumab (80280) $619 $619 16.0×
Drug Asy Hydroxychloroquine (80220) $378 $378 20.3×
Drug Screen Quantitative Gabapentin (80171) $241 $241 11.1×
Drug Screen Quantitative Lamotrigine (80175) $184 $184 13.9×
Drug Screen Quantitative Levetiracetam (80177) $340 $340 25.7×
Drug Screen Quantitative Oxcarbazepine (80183) $256 $256 19.3×
Drug Test Prsmv Chem Anlyzr (80307) $270 $270 4.3×
Drug Test Prsmv Dir Opt Obs (80305) $94 $94 7.5×
Drug Test Prsmv Instrmnt (80306) $295 $295 17.2×
Ehrlichia antibody (86666) $179 $179 17.6×
Electrolyte panel (80051) $116 $116 16.5×
Endomysial Antibody Each Immunoglobulin Class (86231) $114 $114 9.4×
Erythropoietin (82668) $174 $174 9.3×
Estradiol serum (82670) $272 $272 9.7×
Estriol (82677) $204 $204 8.4×
Estrogens fractionated (82671) $215 $215 6.7×
Exam Synovial Fluid Crystals (89060) $153 $153 20.9×
F2 Gene (81240) $281 $281 4.3×
Factor v leiden mutation (81241) $347 $347 4.7×
Factor viii assay (85240) $93 $93 5.2×
Factor xiii screen (85291) $116 $116 12.7×
Fecal Fat Qualitative (82705) $108 $108 21.2×
Ferritin (82728)
range across 2 matching MRF lines
$115–$214 $115–$214 varies
Fetal Fibronectin (82731) $540 $540 8.4×
Fibrin Degradation Quant (85379) $196 $196 19.3×
Fibrinogen activity (85384) $124 $124 12.8×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $73 $73 4.7×
Flow cytometry first marker (88184) $252 $252 0.7×
Fluorescent antibody screen (86255)
range across 5 matching MRF lines
$111–$285 $111–$285 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $172 $172 14.3×
Folic acid rbc (82747) $156 $156 8.8×
Folic Acid Serum (82746) $130 $130 8.8×
Follicle Stimulating Hormone (83001) $199 $199 10.7×
Francisella tularensis (86668) $294 $294 20.8×
Fungi Identification Mold (87107) $116 $116 11.2×
Galectin-3 (82777) $401 $401 9.1×
Gammaglobulin ige (82785) $121 $121 7.4×
Gases blood ph only (82800) $101 $101 9.2×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $518 $518 1.2×
Ggt (82977) $75 $75 10.4×
Giardia antigen (87329) $126 $126 10.5×
Glucose 2 hr pp (82950) $77 $77 16.2×
Glucose body fluid (82945) $33 $33 8.4×
Glucose Serum (82947) $20 $20 5.1×
Glucose tolerance test (gtt) (82951) $146 $146 11.3×
Glycated Protein (82985) $68 $68 4.1×
Gonadotropin Chorionic Qualitative (84703) $165 $165 21.9×
Growth hormone (83003) $317 $317 19.0×
Gtt-added samples (82952) $51 $51 13.0×
H Pylori (C-13) Breath (83013) $296 $296 4.4×
Haptoglobin (83010) $375 $375 29.8×
Hdl Cholesterol (83718) $72 $72 8.8×
Helicobacter Pylori Stool (87338) $272 $272 18.9×
Hematocrit (85014) $42 $42 17.7×
Hemoglobin (85018) $24 $24 10.1×
Hemoglobin a1c (83036) $49 $49 5.0×
Hemoglobin Chromotography (83021) $78 $78 4.3×
Hemoglobin electrophoresis (83020) $90 $90 7.0×
Hemoglobin F Fetal Chemical (83030) $76 $76 7.1×
Hemoglobin Methemoglobin Quantitative (83050) $161 $161 19.6×
Hep a ab igm (86709) $129 $129 11.5×
Heparin assay (85520)
range across 2 matching MRF lines
$145–$194 $145–$194 varies
Heparin Neutralization (85525) $51 $51 4.3×
Hepatitis a antibody total (86708) $129 $129 10.4×
Hepatitis b core ab igm (86705) $117 $117 9.9×
Hepatitis b core ab total (86704) $244 $244 20.2×
Hepatitis B Surface Antibody (86706) $139 $139 12.9×
Hepatitis B Surface Antigen (87340) $130 $130 12.6×
Hepatitis C Antibody (86803) $251 $251 17.6×
Hepatitis C Revrs Trnscrpj (87522) $371 $371 8.7×
Herpes simplex type 2 (86696) $145 $145 7.5×
Heterophile Antibody Screen (86308) $30 $30 5.8×
Hfe Gene (81256) $524 $524 8.0×
Histoplasma antigen urine (87385) $239 $239 18.0×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $221 $221 9.2×
Hiv-1 Quant&Revrse Trnscrpj (87536) $550 $550 6.5×
Hla I Low Resolution One Antigen Equivalent Each (81374) $457 $457 6.1×
Homocysteine (83090) $244 $244 13.6×
Homogenization Tissue (87176) $62 $62 10.5×
Hsv Dna Amp Probe (87529) $201 $201 5.7×
Hydroxyprogesterone 17-d (83498) $350 $350 12.9×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $65 $65 4.7×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $271 $271 7.7×
Iaad ia shiga-like toxin (87427) $82 $82 6.8×
Iaad Ia Streptococcus Group A (87430) $100 $100 5.9×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $125 $125 3.6×
Iadna Cytomegalovirus Quantification (87497) $375 $375 8.8×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $125 $125 3.6×
Iadna Hepatitis B Virus Quantification (87517) $401 $401 9.4×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $164 $164 4.7×
Ig Light Chains Free Each (83521) $210 $210 12.2×
Igg subclasses (82787) $82 $82 10.2×
Igh gene rearrange amp meth (81261) $699 $699 3.5×
Immunfix e-phorsis/urine/csf (86335) $133 $133 4.5×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 3 matching MRF lines
$217–$396 $217–$396 varies
Immunoassay infectious agent (86318) $30 $30 1.7×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 25 matching MRF lines
$16–$189 $16–$189 varies
Immunoassay nonantibody (83516)
range across 13 matching MRF lines
$49–$179 $49–$179 varies
Immunodiffusion Ouchterlony (86331) $17 $17 1.4×
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines
$111–$253 $111–$253 varies
Immunohistochemistry (88342) $398 $398 2.2×
In situ hybridization 1st probe stain (88365) $281 $281 1.6×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $145 $145 2.1×
Influenza assay w/optic (87804) $146 $146 8.8×
Inhibin b (83520)
range across 4 matching MRF lines
$152–$451 $152–$451 varies
Insulin total (83525) $228 $228 19.9×
Iron (83540)
range across 2 matching MRF lines
$49–$208 $49–$208 varies
Iron Binding Capacity (83550) $55 $55 6.3×
Islet cell antibody (86341) $172 $172 7.3×
Jak2 gene analysis p.val617phe variant (81270) $674 $674 7.4×
Koh Prep (87220) $66 $66 15.5×
Lactate (ld) (ldh) enzyme (83615) $77 $77 12.7×
Lactoferrin fecal qualitative (83630) $128 $128 6.5×
LDL direct (83721) $57 $57 5.4×
Lead (83655)
range across 2 matching MRF lines
$87–$153 $87–$153 varies
Legionella antigen urine (87449)
range across 2 matching MRF lines
$121–$188 $121–$188 varies
Level I Surg Pathology Gross Examination Only (88300) $88 $88 2.9×
Level ii surg pathology gross&microscopic exam (88302) $195 $195 5.0×
Level V Surg Pathology Gross&Microscopic Exam (88307) $704 $704 1.9×
Lipase (83690) $128 $128 18.6×
Lipoprotein A (83695) $94 $94 6.6×
Lithium (80178) $85 $85 12.9×
Luteinizing Hormone (Lh) (83002) $199 $199 10.7×
Lyme disease antibody (86618) $188 $188 11.0×
Lysozyme serum (85549) $191 $191 10.2×
M. Genitalium Amp Probe (87563) $157 $157 4.5×
Magnesium Urine (83735)
range across 3 matching MRF lines
$84–$94 $84–$94 varies
Mercury urine (83825) $110 $110 6.8×
Metabolic panel ionized ca (80047) $207 $207 15.1×
Methylmalonic acid serum (83921) $167 $167 7.9×
Microalbumin, quantitative (82043) $104 $104 18.0×
Microbe Suscept Macrobroth (87188) $53 $53 8.0×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$110–$121 $110–$121 varies
Mitochondrial Antibody Each (86381) $148 $148 5.8×
Molecular Cytogenetics Dna Probe Each (88271) $270 $270 12.6×
Mopath procedure level 2 (81401) $271 $271 2.0×
Mpl gene analysis sequence analysis exon 10 (81339) $868 $868 4.7×
Mrsa Pcr (87641) $346 $346 9.9×
Mthfr Gene Analysis Common Variants (81291) $181 $181 2.8×
Mumps antibody (86735)
range across 2 matching MRF lines
$120–$228 $120–$228 varies
Natriuretic peptide (83880) $343 $343 8.7×
Neutralization Test Viral (86382) $162 $162 9.6×
Nfct ds bv&vaginitis DNA alg (81515) $212 $212 0.8×
Nk cells total count (86357) $179 $179 4.7×
Nuclear antigen antibody (86235)
range across 11 matching MRF lines
$84–$272 $84–$272 varies
Organic acids urine (83918) $340 $340 14.4×
Osmolality serum (83930) $146 $146 22.1×
Osmolality Urine (83935)
range across 2 matching MRF lines
$83–$133 $83–$133 varies
Ova and parasites smears (87177) $81 $81 9.1×
Oxalate urine (83945) $216 $216 14.9×
Particle Agglutination Screen Each Antibody (86403) $94 $94 8.1×
Parvovirus antibody (86747) $154 $154 10.2×
Ph urine (81003) $20 $20 8.9×
Phenobarbital Level (80184) $154 $154 10.1×
Phenytoin (Dilantin) (80185) $128 $128 9.7×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$60–$115 $60–$115 varies
Phospholipid Neutralization Hexagonal (85598) $80 $80 4.4×
Phosphorus Serum (84100)
range across 3 matching MRF lines
$60–$66 $60–$66 varies
Phosphorus urine (84105) $78 $78 13.5×
Platelet count automated (85049) $64 $64 14.3×
Potassium Urine (84133)
range across 2 matching MRF lines
$72–$75 $72–$75 varies
Prealbumin (84134) $272 $272 18.6×
Pregnenolone (84140) $424 $424 20.5×
Procalcitonin (Pct) (84145) $359 $359 13.2×
Progesterone (84144) $266 $266 12.8×
Prolactin (84146) $295 $295 15.2×
Protein body fluid (84157)
range across 2 matching MRF lines
$72–$80 $72–$80 varies
Protein C Activity (85303) $185 $185 13.4×
Protein c antigen (85302) $395 $395 32.9×
Protein Electrophoresis Urine (84166) $153 $153 8.6×
Protein Electrophoretic Fractj&Quantj Serum (84165) $94 $94 8.8×
Protein S Free (85306)
range across 4 matching MRF lines
$158–$280 $158–$280 varies
Protein s total (85305) $214 $214 18.4×
Protein total serum (84155)
range across 2 matching MRF lines
$74–$90 $74–$90 varies
Protein Total Urine (84156)
range across 5 matching MRF lines
$77–$146 $77–$146 varies
Protein Western Blot Test (84182)
range across 2 matching MRF lines
$103–$359 $103–$359 varies
PSA free (84154) $202 $202 11.0×
Pth Intact (83970) $358 $358 8.7×
Q Fever Antibody (86638) $90 $90 7.4×
Quantiferon tb gold plus (86480) $251 $251 4.0×
Quantitative assay drug (80299)
range across 2 matching MRF lines
$200–$249 $200–$249 varies
Quantitative Screen Metals (83018) $149 $149 6.8×
Rbc antibody identification (86870) $381 $381 1.0×
Rbc antibody screen (86850) $126 $126 12.9×
Reagent Strip/Blood Glucose (82948) $63 $63 12.5×
Renin activity plasma (84244) $152 $152 6.9×
Reticulocyte Count (85046) $45 $45 8.1×
Rh (86901) $71 $71 23.7×
Rheumatoid factor quant (86431) $124 $124 21.9×
Rickettsia antibody (86757) $126 $126 6.5×
Rubella Antibody (86762) $89 $89 6.2×
Rubeola antibody (86765)
range across 3 matching MRF lines
$105–$121 $105–$121 varies
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$134–$185 $134–$185 varies
Sars-cov-2 COVID-19 antibody (86769) $90 $90 2.1×
Sedimentation rate (85651) $59 $59 13.8×
Selenium (84255) $399 $399 15.6×
Semen analysis motility and count (89310) $253 $253 29.4×
Sensitivity mic (87186)
range across 2 matching MRF lines
$98–$139 $98–$139 varies
Sex Hormone Binding Globulin (84270) $196 $196 9.0×
Sirolimus (80195) $395 $395 28.8×
Skin test tuberculosis intradermal (86580) $66 $66 2.2×
Smear acid fast (87206) $96 $96 17.8×
Smear gram stain (87205)
range across 2 matching MRF lines
$66–$90 $66–$90 varies
Smear Special Stain (87207) $157 $157 26.2×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$77–$113 $77–$113 varies
Sodium Serum (84295) $60 $60 12.5×
Sodium Urine (84300) $71 $71 14.0×
Soluble fibrin monomer (85366) $206 $206 2.6×
Soluble Transferrin Receptor (84238) $245 $245 6.7×
Somatomedin (84305) $310 $310 14.6×
Special Stains Group 1 (88312) $281 $281 5.2×
Special Stains Group 2 (88313) $223 $223 1.6×
Stool cultr aerobic bact ea (87046) $76 $76 8.1×
Strep a assay w/optic (87880) $47 $47 2.8×
Sugars Single Qual (84376) $89 $89 16.2×
Sulfate urine (84392) $63 $63 11.5×
Surg path level iii (88304) $236 $236 4.4×
Surgical pathology level IV (88305) $247 $247 4.6×
Surgical pathology level vi (88309) $1,017 $1,017 1.2×
Susceptibility Study Antimicrobial Disk Method (87184) $120 $120 16.0×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $381 $381 8.1×
T cells total count (86359)
range across 2 matching MRF lines
$107–$304 $107–$304 varies
T3 Free (84481) $285 $285 16.8×
T3 reverse (84482) $471 $471 29.9×
T3 Total (84480) $130 $130 9.2×
T3 Uptake (84479) $100 $100 15.5×
T4 Free (84439)
range across 4 matching MRF lines
$30–$120 $30–$120 varies
T4 total (84436) $124 $124 18.0×
Tacrolimus (80197) $290 $290 21.1×
Testosterone total (84403)
range across 2 matching MRF lines
$139–$270 $139–$270 varies
Testosterone, Free (84402) $270 $270 10.6×
Theophylline (80198) $136 $136 9.6×
Thrombin Time (85670) $127 $127 22.0×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $73 $73 11.3×
Thyroglobulin (84432) $221 $221 13.8×
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines
$128–$308 $128–$308 varies
Thyroid Stimulating Immunoglobulin (84445) $525 $525 10.3×
Tiss Trnsgltmnase Ea Ig Clas (86364) $60 $60 5.2×
Tissue culture bone marrow (88237) $1,234 $1,234 8.6×
Toxoplasma antibody (86777) $113 $113 7.9×
Transferase Aspartate Amino Ast Sgot (84450) $66 $66 12.7×
Transferrin (84466) $120 $120 9.4×
Trichomonas Vaginalis Amplif (87661) $141 $141 4.0×
Triglycerides (84478) $91 $91 15.9×
Troponin Quant (84484) $249 $249 20.0×
Tumor Immunohistochem/Manual (88360) $583 $583 3.3×
Urea nitrogen urine (84540) $28 $28 5.0×
Uric acid other source (84560) $70 $70 13.8×
Urinalysis Volume Measure (81050) $31 $31 8.5×
Urine Pregnancy Test (81025)
range across 3 matching MRF lines
$33–$111 $33–$111 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $73 $73 23.0×
Valproic acid (80164) $190 $190 14.0×
Vancomycin (80202) $228 $228 16.8×
Varicella-zoster antibody (86787)
range across 3 matching MRF lines
$146–$244 $146–$244 varies
Vasopressin (84588) $202 $202 6.0×
Viral Culture (87252) $214 $214 8.2×
Virus antibody nos (86790) $108 $108 8.4×
Vit D 1 25-Dihydroxy (82652) $259 $259 6.7×
Vitamin A (84590) $266 $266 22.9×
Vitamin b-12 (82607)
range across 3 matching MRF lines
$30–$130 $30–$130 varies
Vitamin B2 (Riboflavin) (84252) $244 $244 12.1×
Vitamin B6 (84207) $162 $162 5.8×
Vitamin D 25-Hydroxy (82306) $126 $126 4.3×
Vitamin E (84446) $187 $187 13.2×
Vitamin K (84597) $143 $143 10.4×
Von willebrand factor ag (85246)
range across 2 matching MRF lines
$108–$364 $108–$364 varies
West nile virus ab igm (86788) $241 $241 14.3×
West Nile Virus Antibody (86789) $241 $241 16.7×
Zika Virus Dna/Rna Amp Probe (87662) $260 $260 5.1×
Zinc (84630) $103 $103 9.0×

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.