Lab & pathology prices at Providence Cedars Sinai Tarzana Medical Center

Tarzana, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acute hepatitis panel (80074) $161 $460 3.4×
Albumin Fluid (82042) $13.65 $39 1.8×
Albumin serum (82040) $11.20 $32 2.3×
Alpha-Fetoprotein Serum (82105) $36.05 $103 2.1×
Alt (sgpt) (84460) $13.30 $38 2.5×
Amikacin trough (80150) $198.45 $567 13.2×
Ammonia (82140) $52.50 $150 3.6×
Amniotic fluid protein test on cervicovaginal fluid (84112) $112 $320 1.1×
Amylase urine (82150) $53.55 $153 8.3×
Ana Titer (86039) $76.65 $219 6.9×
Antibody helicobacter pylori (86677) $98.35 $281 5.8×
Antibody Herpes Smplx Type 1 (86695) $30.10 $86 2.3×
Antibody HIV-1&HIV-2 single result (86703) $40.60 $116 3.0×
Antibody HIV-2 (86702) $5.15 $14.72 0.4×
Antibody identification leukocyte antibodies (86021) $95.68 $273.36 6.4×
Antibody Identification Platelet Immunogl Assay (86023) $47.25 $135 3.8×
Antibody Titer (86886) $100.10 $286 19.3×
Antibody; influenza virus (86710) $190.05 $543 14.0×
Antigen typing (86905) $194.95 $557 50.9×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $3.85 $11 0.7×
Antinuclear antibodies (86038) $40.60 $116 3.4×
Aspergillus ag eia (87305) $44.08 $125.94 3.7×
Assay Blood Carbon Dioxide (82374) $17.15 $49 3.5×
Assay Dir Meas Fr Estradiol (82681) $42.70 $122 1.5×
Assay Nephelometry Not Spec (83883)
range across 2 matching MRF lines
$46.81 $133.73–$133.74 3.4×
Assay of blood/uric acid (84550) $52.85 $151 11.7×
Assay of calcium in urine (82340)
range across 5 matching MRF lines
$41.65–$46.55 $119–$133 varies
Assay of gammaglobulin igm (82784)
range across 5 matching MRF lines
$22.05–$24.85 $63–$71 varies
Assay of lactic acid (83605)
range across 3 matching MRF lines
$43.05–$52.50 $123–$150 varies
Assay of procainamide (80190) $225.40 $644 3.8×
Assay of serum potassium (84132) $17.85 $51 3.8×
Assay of urea nitrogen (84520) $52.50 $150 13.3×
Assay of vitamin b-1 (84425) $50.63 $144.67 2.4×
Assay Ph Body Fluid Nos (83986)
range across 3 matching MRF lines
$10.50–$19.95 $30–$57 varies
Assay spec xcp ur&breath ia (82077) $223.65 $639 13.0×
Asy carbamazepin 10,11-epxid (80161) $99.05 $283 5.3×
Automated Leukocyte Count (85048) $44.10 $126 17.4×
B cells total count (86355) $30.99 $88.53 0.8×
Bcr/abl1 gene major bp (81206) $61.25 $175 0.4×
Bcr/abl1 gene minor bp (81207) $52.50 $150 0.4×
Beta hydroxybutyrate (82010) $142.10 $406 17.4×
Beta Lactamase (87185) $37.45 $107 7.9×
Bilirubin direct (82248) $10.50 $30 2.1×
Bilirubin total (82247) $10.50 $30 2.1×
Bilirubin total transcutaneous (88720) $6.65 $19 1.3×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $379.75 $1,085 1.7×
Bld Typing Serologic Rh Phnt (86906) $20.83 $59.50 2.7×
Bleeding time test (85002) $109.55 $313 22.7×
Blood Count Manual Cell Count Each (85032) $138.25 $395 32.1×
Blood count reticulocyte automated (85045) $73.15 $209 18.3×
Blood gas (82803)
range across 2 matching MRF lines
$300.30–$398.30 $858–$1,138 varies
Blood gases w/02 saturation (82805) $398.30 $1,138 5.1×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 2 matching MRF lines
$25.55–$28.70 $73–$82 varies
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 8 matching MRF lines
$13.92–$212.45 $39.78–$607 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904) $21.18 $60.50 1.3×
Blood typing serologic abo (86900) $75.60 $216 25.3×
Body fluid cell count (89050) $43.40 $124 9.2×
Braf gene analysis (81210) $63 $180 0.4×
C diff amplified probe (87493) $487.90 $1,394 13.1×
C-Peptide (84681)
range across 2 matching MRF lines
$37.45–$41.30 $107–$118 varies
C-reactive protein (86140) $66.50 $190 12.8×
Ca 19-9 (86301) $68.95 $197 3.3×
Caffeine (80155) $11.20 $32 0.3×
Calcium ionized (82330)
range across 2 matching MRF lines
$34.65–$52.50 $99–$150 varies
Calcium total (82310) $16.45 $47 3.2×
Calculus Spectroscopy (82365) $24.19 $69.10 1.9×
Cancer Antigen 125 (86304) $68.95 $197 3.3×
Cancer Antigen 27.29 (86300) $68.95 $197 3.3×
Carbamazepine total (80156) $198.45 $567 13.6×
Carboxyhemoglobin (82375) $10.84 $30.96 0.9×
Carcinoembryonic antigen (82378) $10.15 $29 0.5×
Ccp antibody (86200) $31.50 $90 2.4×
Cell count csf (89051) $43.40 $124 7.8×
Chloride Serum (82435) $17.15 $49 3.7×
Chloride urine (82436) $45.50 $130 7.9×
Cholesterol total (82465) $19.60 $56 4.5×
Chorionic gonadotropin test (84702) $56.35 $161 3.7×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $32.81 $93.75 1.0×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $43.05 $123 1.2×
Ckmb (82553) $75.25 $215 6.5×
Clostridium Difficile (87324) $80.50 $230 6.7×
Cns DNA amp probe type 12-25 (87483) $1,124.20 $3,212 2.7×
Coagulation time activated (85347) $105.70 $302 24.7×
Cold agglutinin screen (86156) $10.71 $30.60 1.3×
Cold agglutinin titer (86157) $115.85 $331 14.4×
Column Chromotography Quant (82542) $17.50 $50 0.7×
Compatibility Each Unit Incubation (86921) $155.40 $444 0.7×
Compatibility test antiglob (86922) $110.25 $315 0.5×
Complement Antigen Each Component (86160) $31.85 $91 2.7×
Coombs direct (86880) $58.45 $167 10.8×
Cortisol saliva (82533)
range across 4 matching MRF lines
$43.40–$52.85 $124–$151 varies
Creatine kinase total (82550) $51.80 $148 8.0×
Creatinine blood (82565) $15.75 $45 3.1×
Creatinine clearance (82575) $89.95 $257 9.5×
Creatinine Urine (82570)
range across 6 matching MRF lines
$13.65–$47.25 $39–$135 varies
Crossmatch electronic (86923) $224.35 $641 1.0×
Crossmatch immediate spin (86920) $167.65 $479 0.8×
Crp High Sensitivity (86141) $23.45 $67 1.8×
Cryptococcus ag titer (87899)
range across 4 matching MRF lines
$25.20–$173.25 $72–$495 varies
Cryptosporidium (87272) $56.35 $161 4.7×
Cryptosporidium ag eia (87328) $77 $220 5.6×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $50.05 $143 6.2×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $106.05 $303 13.1×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $54.95 $157 7.1×
Culture afb (87116) $77 $220 7.1×
Culture Anaerobic (87075) $209.30 $598 22.1×
Culture blood (87040) $161 $460 15.6×
Culture csf (87070) $209.30 $598 24.3×
Culture fungus (87102)
range across 2 matching MRF lines
$45.15–$54.95 $129–$157 varies
Culture fungus blood (87103) $54.95 $157 2.7×
Culture screen only (87081)
range across 8 matching MRF lines
$27.65–$209.30 $79–$598 varies
Culture stool (87045) $38.15 $109 4.0×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $30.10 $86 5.8×
Culture urine (87086) $209.30 $598 25.9×
Cyclosporine (80158) $36.55 $104.42 2.0×
Cytomegalovirus igg (86644)
range across 3 matching MRF lines
$14.28–$17.85 $40.80–$51 varies
Detect Agent Nos Dna Amp (87798)
range across 3 matching MRF lines
$72.80–$94.50 $208–$270 varies
Digoxin (80162) $149.80 $428 11.3×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines
$4.30–$26.95 $12.29–$77 varies
Dna Antibody Single Stranded (86226) $23.80 $68 2.0×
DNA/RNA direct probe (87149) $21.35 $61 1.1×
Drug assay acetaminophen (80143) $130.55 $373 7.0×
Drug Test Prsmv Chem Anlyzr (80307)
range across 4 matching MRF lines
$8.97–$162.05 $25.62–$463 varies
Drug Test Prsmv Instrmnt (80306) $112 $320 6.5×
Egfr Gene Analysis Common Variants (81235) $139.65 $399 0.4×
Electrolyte panel (80051) $126.70 $362 18.1×
Eosinophil Smear (89190) $76.30 $218 13.2×
Estradiol serum (82670)
range across 3 matching MRF lines
$37.80–$42.70 $108–$122 varies
Exam Synovial Fluid Crystals (89060) $91 $260 12.4×
Factor Inhibitor Test (85335) $79.80 $228 6.2×
Factor viii assay (85240) $120.40 $344 6.7×
Ferritin (82728) $61.25 $175 4.5×
Fetal Fibronectin (82731) $164.85 $471 2.6×
Fetal screen rosette (85461) $131.60 $376 14.1×
Fibrin degradation products (85362) $109.55 $313 15.9×
Fibrin Degradation Quant (85379) $109.55 $313 10.8×
Fibrinogen activity (85384) $103.25 $295 10.6×
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$194.95 $18.75–$557 0.4×
Flt3 Gene (81245) $52.50 $150 0.3×
Flt3 gene analysis (81246) $52.50 $150 0.6×
Fluorescent antibody screen (86255) $21 $60 1.7×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $4.31 $12.30 0.4×
Folic Acid Serum (82746) $47.60 $136 3.2×
Follicle Stimulating Hormone (83001)
range across 2 matching MRF lines
$31.50–$35 $90–$100 varies
Fresh Frozen Plasma Thawing Each Unit (86927) $109.20 $312 0.5×
Fungi Identification Mold (87107) $56.35 $161 5.5×
Fungi Identification Yeast (87106) $45.15 $129 4.4×
Gammaglobulin ige (82785)
range across 5 matching MRF lines
$31.85–$35.35 $91–$101 varies
Gases Blood O2 Saturation Only Direct Meas (82810) $128.10 $366 13.1×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $682.85 $1,951 1.6×
Gentamicin (80170) $198.45 $567 12.1×
Ggt (82977) $12.25 $35 1.7×
Giardia antigen (87329) $77 $220 6.4×
Glucose 2 hr pp (82950) $98 $280 20.6×
Glucose body fluid (82945)
range across 5 matching MRF lines
$14–$21.35 $40–$61 varies
Glucose Serum (82947) $15.75 $45 4.0×
Glucose tolerance test (gtt) (82951) $94.50 $270 7.3×
Gonadotropin Chorionic Qualitative (84703) $56.35 $161 7.5×
Growth hormone (83003) $136.50 $390 8.2×
Gtt-added samples (82952) $24.85 $71 6.3×
Haptoglobin (83010) $39.55 $113 3.1×
Hdl Cholesterol (83718) $41.65 $119 5.1×
Helicobacter Pylori Stool (87338) $142.10 $406 9.9×
Hematocrit (85014)
range across 5 matching MRF lines
$35.35–$44.10 $101–$126 varies
Hemoglobin (85018)
range across 5 matching MRF lines
$29.75–$66.50 $85–$190 varies
Hemoglobin a1c (83036) $21.70 $62 2.2×
Hemoglobin F Fetal Chemical (83030) $36.40 $104 3.4×
Hemolysins&Agglutinins Auto Screen Each (86940) $26.78 $76.50 3.1×
Hemolysins&Agglutinins Incubated (86941) $26.78 $76.50 2.2×
Hep a ab igm (86709)
range across 3 matching MRF lines
$33.25–$36.40 $95–$104 varies
Heparin assay (85520) $222.25 $635 17.0×
Hepatitis b core ab igm (86705) $36.40 $104 3.1×
Hepatitis B Surface Antibody (86706) $36.40 $104 3.4×
Hepatitis B Surface Antigen (87340) $142.10 $406 13.8×
Hepatitis C Antibody (86803) $45.50 $130 3.2×
Herpes simplex type 2 (86696) $30.10 $86 1.6×
Heterophile Antibody Screen (86308) $87.15 $249 16.8×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $115.85 $331 15.0×
Histoplasma antigen urine (87385) $46.03 $131.51 3.5×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $111.30 $318 4.6×
Hiv-1 Antibody (86701) $29.85 $85.28 3.4×
Hla Typing a/B/C Multiple Antigens (86813) $112.46 $321.30 1.9×
Homocysteine (83090)
range across 2 matching MRF lines
$41.30–$45.50 $118–$130 varies
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $289.10 $826 20.8×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $52.85 $151 1.5×
Iadna Candida Species Amplified Probe Tq (87481) $94.85 $271 2.7×
Iadna chlamydia pneumoniae amplified probe tq (87486) $94.50 $270 2.7×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $136.14 $388.97 3.9×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $94.50 $270 2.7×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $43.05 $123 1.2×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $374.85 $1,071 2.6×
Ig Light Chains Free Each (83521) $45.33 $129.52 2.6×
Immunfix e-phorsis/urine/csf (86335) $95.20 $272 3.2×
Immunoassay Analyte Quant Radioimmunoassay (83519) $63.21 $180.60 3.4×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $60.55 $173 4.0×
Immunodiffusion Ouchterlony (86331) $12.60 $36 1.1×
Immunofixation electrophoresis (86334)
range across 4 matching MRF lines
$85.75–$95.20 $245–$272 varies
Immunohistochemistry (88342)
range across 2 matching MRF lines
$15.75–$17.50 $45–$50 varies
In situ hybridization 1st probe stain (88365) $38.50 $110 0.2×
Influenza assay w/optic (87804) $262.85 $751 15.9×
Influenza DNA amp probe (87502) $288.05 $823 3.0×
Inhibin b (83520)
range across 3 matching MRF lines
$15.40–$46.81 $44–$133.74 varies
Insitu hybridization auto (88367) $50.75 $145 0.1×
Insitu hybridization manual (88368) $50.75 $145 0.1×
Insulin total (83525) $24.85 $71 2.2×
Iron (83540) $60.20 $172 9.3×
Iron Binding Capacity (83550) $79.10 $226 9.1×
Irradiation Blood Product Each Unit (86945) $24.85 $71 0.5×
Jak2 gene analysis p.val617phe variant (81270) $64.75 $185 0.7×
Kras Gene Variants Exon 2 (81275) $136.50 $390 0.7×
Lactate (ld) (ldh) enzyme (83615) $24.15 $69 4.0×
LDL direct (83721) $19.60 $56 1.9×
Legionella antigen urine (87449)
range across 4 matching MRF lines
$96.25–$119 $275–$340 varies
Leukocyte Assessment Fecal (89055) $97.30 $278 22.8×
Leukocyte phagocytosis (86344) $224.91 $642.60 21.6×
Lipase (83690) $57.05 $163 8.3×
Lithium (80178) $106.05 $303 16.0×
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines
$31.50–$35 $90–$100 varies
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $101.50 $290 0.5×
M/phmtrc alys ishquant/semiq (88374) $101.50 $290 0.5×
Macroscopic Exam Parasite (87169) $138.25 $395 32.1×
Magnesium Urine (83735)
range across 6 matching MRF lines
$50.40–$64.40 $144–$184 varies
Microalbumin, quantitative (82043) $17.15 $49 3.0×
Microsatellite instability (81301) $168.70 $482 0.5×
Microsomal Antibodies Each (86376) $46.20 $132 3.2×
Mucin Clot Body Fluid (83872) $6.65 $19 1.1×
Mumps antibody (86735) $16.10 $46 1.2×
Myelin basic protein csf (83873) $20.13 $57.50 1.2×
Myoglobin urine (83874) $21.70 $62 1.7×
Natriuretic peptide (83880)
range across 3 matching MRF lines
$42.70–$51.80 $122–$148 varies
Nk cells total count (86357) $30.99 $88.53 0.8×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $105 $300 0.4×
Nuclear antigen antibody (86235)
range across 2 matching MRF lines
$4.30–$35.35 $12.29–$101 varies
Occult blood feces (82272) $25.55 $73 6.0×
Occult Blood Other Sources (82271) $25.55 $73 4.8×
Oligoclonal bands (83916) $20.13 $57.50 0.7×
Osmolality serum (83930) $67.20 $192 10.2×
Osmolality Urine (83935) $67.20 $192 9.9×
Ova and parasites smears (87177) $42 $120 4.7×
Particle Agglut Antbdy Titr (86406) $48.30 $138 4.5×
Particle Agglutination Screen Each Antibody (86403) $36.40 $104 3.2×
Ph urine (81003)
range across 2 matching MRF lines
$50.40–$65.45 $144–$187 varies
Phenobarbital Level (80184) $198.45 $567 13.0×
Phenylalanine (84030) $5.60 $16 1.0×
Phenytoin (Dilantin) (80185) $198.45 $567 15.0×
Phosphatase alkaline (84075) $13.65 $39 2.6×
Phosphatidylglycerol (84081) $174.30 $498 10.6×
Phosphorus Serum (84100) $13.30 $38 2.8×
Phosphorus urine (84105) $42 $120 7.3×
Platelet Aggregation (85576) $269.15 $769 10.8×
Platelet Antibodies (86022) $9.80 $28 0.5×
Platelet count automated (85049) $44.10 $126 9.8×
Pooling blood platelets (86965) $109.20 $312 0.5×
Potassium Urine (84133) $13.30 $38 2.8×
Prealbumin (84134) $41.30 $118 2.8×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $16.80 $48 0.1×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970)
range across 3 matching MRF lines
$13.21–$24.28 $37.74–$69.36 varies
Pretx serum rbc antibody identification dilution (86976)
range across 2 matching MRF lines
$9.45–$13.57 $27–$38.76 varies
Procalcitonin (Pct) (84145) $262.50 $750 9.6×
Progesterone (84144) $31.85 $91 1.5×
Prolactin (84146) $32.20 $92 1.7×
Protein body fluid (84157) $68.95 $197 17.2×
Protein Electrophoresis Urine (84166)
range across 3 matching MRF lines
$43.75–$48.30 $125–$138 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$43.40–$48.30 $124–$138 varies
Protein total serum (84155)
range across 3 matching MRF lines
$7.35–$10.15 $21–$29 varies
Protein Total Urine (84156)
range across 5 matching MRF lines
$16.10–$57.05 $46–$163 varies
PSA free (84154)
range across 3 matching MRF lines
$24.85–$27.65 $71–$79 varies
Pth Intact (83970) $79.10 $226 1.9×
Quantitative assay drug (80299) $30.45 $87 1.6×
Quinidine (80194) $198.45 $567 13.6×
Rbc antibody elution (86860) $28.18 $80.50 0.1×
Rbc antibody identification (86870) $194.95 $557 0.4×
Rbc antibody screen (86850) $135.10 $386 13.8×
Rbc pretreatment serum (86978)
range across 2 matching MRF lines
$23.56–$33.43 $67.32–$95.50 varies
Rbc pretx incubatj w/enzymes (86971) $5.95 $17 0.0×
Rbc serum pretx incubj drugs (86975)
range across 2 matching MRF lines
$46.86–$62.13 $133.88–$177.50 varies
Reagent Strip/Blood Glucose (82948) $27.30 $78 5.4×
Resp virus 12-25 targets (87633) $1,124.20 $3,212 2.7×
Reticulated Platelet Assay (85055) $73.15 $209 2.0×
Reticulocyte Count (85046) $68.25 $195 12.3×
Reticulocyte Count Manual (85044) $73.15 $209 17.0×
Reticulocyte separation (86972)
range across 3 matching MRF lines
$7.14–$32.13 $20.40–$91.80 varies
Rh (86901) $59.50 $170 19.9×
Rheumatoid Factor Qualitative (86430) $21.70 $62 3.5×
Rheumatoid factor quant (86431) $21.70 $62 3.8×
Rickettsia antibody (86757)
range across 2 matching MRF lines
$21.09 $60.26–$60.27 1.1×
Rotavirus ag eia (87425) $119 $340 9.9×
Rpr qualitative (86592) $113.05 $323 26.5×
Rsv Assay W/Optic (87807) $289.10 $826 22.1×
Rubella Antibody (86762) $18.20 $52 1.3×
Rubeola antibody (86765) $16.10 $46 1.3×
Russell Viper Venom Time Diluted (85613) $17.55 $50.15 1.8×
Salicylate Level (80179) $130.55 $373 7.0×
Sars-Cov-2 Covid-19 Amp Prb (87635) $104.30 $298 2.0×
Sars-cov-2 COVID-19 antibody (86769) $47.95 $137 1.1×
Sarscov2 & inf a&b amp prb (87636)
range across 2 matching MRF lines
$296.45–$667.80 $847–$1,908 varies
Sarscov2&inf a&b&rsv amp prb (87637) $560 $1,600 3.9×
Sedimentation rate (85651) $44.10 $126 10.3×
Sedimentation Rate, Automated (85652) $44.10 $126 16.3×
Sensitivity mic (87186) $189.35 $541 21.9×
Sickling of rbc reduction (85660)
range across 2 matching MRF lines
$9.21–$13.12 $26.30–$37.49 varies
Skin Test Candida (86485) $115.70 $330.56 3.1×
Smear acid fast (87206) $42 $120 7.8×
Smear complex stain (87209) $45.15 $129 2.5×
Smear gram stain (87205) $53.55 $153 12.5×
Smear Special Stain (87207)
range across 2 matching MRF lines
$86.80–$116.55 $248–$333 varies
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$42–$53.55 $120–$153 varies
Sodium Serum (84295) $17.15 $49 3.6×
Sodium Urine (84300)
range across 4 matching MRF lines
$11.20–$57.05 $32–$163 varies
Soluble fibrin monomer (85366) $109.55 $313 1.4×
Special Stains Group 1 (88312) $22.75 $65 0.3×
Special Stains Group 2 (88313) $18.90 $54 0.1×
Specific gravity body fluid (84315)
range across 3 matching MRF lines
$8.66–$24.50 $24.73–$70 varies
Specimen infect agnt concntj (87015)
range across 3 matching MRF lines
$22.40–$30.80 $64–$88 varies
Splitting Blood/Blood Products Each Unit (86985)
range across 2 matching MRF lines
$39.20–$85.40 $112–$244 varies
Stool cultr aerobic bact ea (87046) $38.15 $109 4.0×
Strep a assay w/optic (87880) $84 $240 5.1×
Strep a DNA amp probe (87651) $244.65 $699 7.0×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $108.85 $311 22.9×
Susceptibility Study Antimicrobial Disk Method (87184)
range across 3 matching MRF lines
$26.25–$132.30 $75–$378 varies
Syphilis Test Non-Trep Quant (86593) $113.05 $323 25.7×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $38.52 $110.06 0.8×
T cells total count (86359) $30.99 $88.53 0.8×
T3 Free (84481) $47.25 $135 2.8×
T3 Total (84480) $65.10 $186 4.6×
T3 Uptake (84479) $53.55 $153 8.3×
T4 Free (84439) $47.25 $135 5.2×
T4 total (84436) $47.25 $135 6.9×
Test for acetone/ketones (82009) $41.65 $119 9.2×
Testosterone total (84403)
range across 3 matching MRF lines
$35–$38.85 $100–$111 varies
Theophylline (80198) $229.25 $655 16.2×
Thrombin Time (85670) $103.25 $295 17.9×
Tiss cul neo disorders solid tumor (88239) $32.81 $93.75 0.2×
Tissue culture bone marrow (88237) $32.81 $93.75 0.2×
Tobramycin peak (80200) $198.45 $567 12.3×
Toxin/Antitoxin Assay Tissue Culture (87230) $189.35 $541 9.6×
Transferase Aspartate Amino Ast Sgot (84450) $13.30 $38 2.6×
Transferrin (84466) $33.50 $95.70 2.6×
Trb@ Rearrangement Anal Amplification Method (81340) $175 $500 0.8×
Trg gene rearrangement anal (81342) $73.50 $210 0.4×
Triglycerides (84478) $17.15 $49 3.0×
Troponin Quant (84484) $70.35 $201 5.6×
Tumor Immunohistochem/Manual (88360) $21.70 $62 0.1×
Urea Nitrogen Clearance (84545) $47.25 $135 6.6×
Urea nitrogen urine (84540)
range across 3 matching MRF lines
$42–$43.05 $120–$123 varies
Uric acid other source (84560)
range across 5 matching MRF lines
$52.85–$58.80 $151–$168 varies
Urinalysis Qual/Semiquant Except Immunoassays (81005) $50.05 $143 23.1×
Urine Bacteria Culture (87088) $142.45 $407 17.6×
Urine Pregnancy Test (81025) $100.80 $288 11.7×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$160.65–$208.95 $459–$597 varies
Valproic acid (80164) $196.70 $562 14.5×
Vancomycin (80202) $198.45 $567 14.7×
Varicella-zoster antibody (86787) $16.10 $46 1.3×
Viral Culture (87252) $47.75 $136.43 1.8×
Vitamin b-12 (82607) $47.60 $136 3.2×
Vitamin D 25-Hydroxy (82306) $31.50 $90 1.1×
Wbc Alkaline Phosphatase Count (85540) $92.40 $264 10.7×

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.