Lab & pathology prices at Rolling Plains Memorial Hospital
Sweetwater, TX · every code in this section with a posted price and a Medicare benchmark.
610 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $102 | $157 | 4.5× |
| 5 Nucleotidase (83915) | $34 | $53 | 3.0× |
| Acth (82024) | $166 | $255 | 4.3× |
| Actin smooth muscle antibody each (86015) | $38 | $58 | 3.2× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$192–$259 | $296–$398 | varies |
| Acylcarnitines Quant (82017) | $171 | $263 | 10.1× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $188 | $289 | 2.9× |
| Agglutinins Febrile Each Antigen (86000) | $68 | $104 | 9.7× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$38–$47 | $58–$73 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$47–$52 | $72–$80 | varies |
| Aldolase (82085) | $45 | $69 | 4.6× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$131–$174 | $202–$267 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$52–$79 | $80–$121 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $47 | $73 | 5.9× |
| Allergen specific ige (86003) range across 59 matching MRF lines |
$13–$32 | $20–$49 | varies |
| Allergen specific igg (86001) range across 20 matching MRF lines |
$24–$393 | $37–$605 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $99 | $153 | 6.8× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$84–$97 | $129–$149 | varies |
| Alpha-Fetoprotein Serum (82105) range across 4 matching MRF lines |
$84–$105 | $129–$162 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$47–$52 | $72–$80 | varies |
| Aluminum (82108) | $78 | $120 | 3.1× |
| Amikacin trough (80150) | $125 | $192 | 8.3× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$61–$89 | $94–$137 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 4 matching MRF lines |
$216–$500 | $332–$769 | varies |
| Aminolevulinic acid (ala) (82135) range across 3 matching MRF lines |
$71–$84 | $109–$129 | varies |
| Ammonia (82140) | $97 | $149 | 6.7× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $179 | $275 | 1.8× |
| Amylase urine (82150) range across 6 matching MRF lines |
$62–$81 | $95–$124 | varies |
| Ana Titer (86039) | $64 | $99 | 5.7× |
| Anca Titer Each Antibody (86037) | $34 | $53 | 2.8× |
| Androstenedione (82157) | $83 | $128 | 2.8× |
| Angiotensin converting enzyme csf (82164) | $62 | $96 | 4.2× |
| Anti-Phospholipid Antibody (86148) | $77 | $119 | 4.8× |
| Antibody aspergillus (86606) | $55 | $85 | 3.7× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$49–$68 | $75–$105 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $79 | $121 | 5.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$74–$142 | $114–$219 | varies |
| Antibody Encephalitis California La Crosse (86651) | $48 | $74 | 3.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $59 | $90 | 4.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $93 | $143 | 6.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $80 | $123 | 4.4× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$74–$88 | $114–$136 | varies |
| Antibody helicobacter pylori (86677) range across 6 matching MRF lines |
$56–$88 | $86–$135 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $57 | $88 | 4.0× |
| Antibody Herpes Smplx Type 1 (86695) | $70 | $107 | 5.3× |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$66–$77 | $101–$119 | varies |
| Antibody leishmania (86717) | $53 | $81 | 4.3× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$53–$59 | $81–$90 | varies |
| Antibody Titer (86886) | $47 | $72 | 9.1× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$37–$85 | $57–$131 | varies |
| Antibody yersinia (86793) | $110 | $169 | 8.3× |
| Antibody; encephalitis, st. louis (86653) | $48 | $74 | 3.6× |
| Antinomyces antibody (86602) | $193 | $297 | 19.0× |
| Antinuclear antibodies (86038) range across 8 matching MRF lines |
$59–$70 | $91–$107 | varies |
| Antistreptolysin o titer (86060) | $46 | $70 | 6.3× |
| Antithrombin iii activity (85300) | $107 | $165 | 9.0× |
| Antithrombin iii antigen (85301) | $90 | $138 | 8.3× |
| Apolipoprotein a1 (82172) range across 5 matching MRF lines |
$68–$109 | $104–$167 | varies |
| Arsenic (82175) | $47 | $72 | 2.5× |
| Aspergillus ag eia (87305) | $135 | $207 | 11.3× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$47–$52 | $72–$80 | varies |
| Assay Nephelometry Not Spec (83883) | $74 | $114 | 5.4× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$53–$83 | $81–$128 | varies |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$47–$52 | $72–$80 | varies |
| Assay of calcium in urine (82340) | $52 | $80 | 8.6× |
| Assay of cpk in blood (82552) | $117 | $180 | 8.7× |
| Assay of estrone (82679) | $87 | $134 | 3.5× |
| Assay of g6pd enzyme (82955) | $54 | $83 | 5.6× |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$63–$330 | $97–$508 | varies |
| Assay of lactic acid (83605) | $64 | $99 | 5.5× |
| Assay of manganese (83785) | $85 | $130 | 3.2× |
| Assay of metanephrines (83835) | $118 | $181 | 7.0× |
| Assay of phosphatase acid total (84060) | $33 | $50 | 4.3× |
| Assay of proinsulin (84206) | $111 | $170 | 4.2× |
| Assay of serotonin (84260) | $162 | $249 | 5.2× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$34–$38 | $52–$58 | varies |
| Assay of Sialic Acid (84275) | $64 | $98 | 4.8× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$27–$30 | $41–$46 | varies |
| Assay of urine vma (84585) | $81 | $125 | 5.2× |
| Assay of vasoactive intestinal peptide (84586) | $113 | $174 | 3.2× |
| Assay of vitamin b-1 (84425) | $99 | $152 | 4.7× |
| Assay Ph Body Fluid Nos (83986) | $30 | $46 | 8.4× |
| B cells total count (86355) | $116 | $178 | 3.1× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$74–$89 | $114–$137 | varies |
| Bcr/abl1 gene major bp (81206) | $170 | $261 | 1.0× |
| Bcr/abl1 gene minor bp (81207) | $167 | $257 | 1.2× |
| Beta 2 glycoprotein i antibody each (86146) range across 4 matching MRF lines |
$79–$93 | $121–$143 | varies |
| Beta-2 Microglobulin (82232) | $99 | $153 | 6.1× |
| Bile acids total (82239) | $80 | $123 | 4.7× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$47–$52 | $72–$80 | varies |
| Bilirubin total (82247) range across 4 matching MRF lines |
$47–$52 | $72–$80 | varies |
| Bilirubin total transcutaneous (88720) | $34 | $53 | 6.8× |
| Biotinidase (82261) | $81 | $125 | 4.8× |
| Bl Smear W/O Diff Wbc Count (85008) | $16 | $25 | 4.7× |
| Blastomyces antibody (86612) | $49 | $76 | 3.8× |
| Bleeding time test (85002) range across 2 matching MRF lines |
$64–$81 | $98–$124 | varies |
| Blood count reticulocyte automated (85045) | $25 | $39 | 6.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $20 | $31 | 5.3× |
| Blood gas (82803) | $162 | $249 | 6.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$30–$31 | $46–$48 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $14 | $21 | 3.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $56 | $86 | 8.8× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$33–$38 | $50–$59 | varies |
| Body fluid cell count (89050) | $49 | $75 | 10.4× |
| Bone marrow smear interpretation (85097) | $142 | $218 | 0.2× |
| Bordetella antibody (86615) | $69 | $106 | 5.2× |
| Brca1&2 gen full seq dup/del (81162) | $2,751 | $4,232 | 1.5× |
| Breath Alcohol Test (82075) range across 2 matching MRF lines |
$12–$54 | $18–$83 | varies |
| Brucella antibody (86622) | $63 | $97 | 7.1× |
| C diff amplified probe (87493) | $152 | $234 | 4.1× |
| C-Peptide (84681) | $62 | $95 | 3.0× |
| C-reactive protein (86140) | $47 | $73 | 9.1× |
| Ca 19-9 (86301) | $89 | $137 | 4.3× |
| Cadmium (82300) | $62 | $95 | 2.6× |
| Calcitonin (82308) | $118 | $182 | 4.4× |
| Calcium ionized (82330) | $56 | $86 | 4.1× |
| Calcium total (82310) range across 3 matching MRF lines |
$40–$52 | $62–$80 | varies |
| Calprotectin Fecal (83993) | $199 | $306 | 10.1× |
| Calr gene com variants (81219) | $322 | $495 | 2.6× |
| Cancer Antigen 125 (86304) | $125 | $193 | 6.0× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$94–$140 | $145–$216 | varies |
| Candida antibody (86628) range across 4 matching MRF lines |
$60–$68 | $92–$105 | varies |
| Candida Dna Dir Probe (87480) | $75 | $116 | 3.7× |
| Carbamazepine free (80157) | $81 | $124 | 6.1× |
| Carbamazepine total (80156) range across 3 matching MRF lines |
$97–$129 | $149–$198 | varies |
| Carbohydrate Deficient Transferrin (82373) | $168 | $259 | 9.3× |
| Carboxyhemoglobin (82375) | $54 | $83 | 4.4× |
| Carcinoembryonic antigen (82378) | $82 | $126 | 4.3× |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$64–$112 | $98–$172 | varies |
| Carnitine Quantitative Each Specimen (82379) | $117 | $180 | 6.9× |
| Catecholamines fractionated (82384) | $116 | $178 | 4.6× |
| Ccp antibody (86200) | $61 | $94 | 4.7× |
| Cell count csf (89051) range across 4 matching MRF lines |
$42–$68 | $65–$105 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $312 | $480 | 2.3× |
| Ceruloplasmin (82390) | $60 | $93 | 5.6× |
| Cftr gene com variants (81220) | $542 | $834 | 1.0× |
| Cftr gene dup/delet variants (81222) | $669 | $1,029 | 1.5× |
| Cftr gene full sequence (81223) | $163 | $250 | 0.3× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$85–$107 | $130–$165 | varies |
| Chlamydia Igm Antibody (86632) | $48 | $74 | 3.8× |
| Chlamydia trachomatis ag if (87270) | $57 | $88 | 4.8× |
| Chloride other source (82438) | $52 | $80 | 10.4× |
| Chloride Serum (82435) range across 3 matching MRF lines |
$34–$40 | $52–$61 | varies |
| Chloride urine (82436) | $38 | $59 | 6.6× |
| Chlorinated Hydrocarbons Screen (82441) | $188 | $289 | 31.3× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$47–$52 | $72–$80 | varies |
| Cholinesterase rbc (82482) | $46 | $71 | 4.7× |
| Cholinesterase Serum (82480) range across 3 matching MRF lines |
$49–$88 | $75–$136 | varies |
| Chorionic gonadotropin test (84702) | $100 | $154 | 6.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $120 | $185 | 3.6× |
| Chromium serum (82495) | $79 | $121 | 3.9× |
| Chromogenic Substrate Assay (85130) | $159 | $245 | 13.4× |
| Chromogranin a (86316) range across 3 matching MRF lines |
$98–$148 | $150–$228 | varies |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$353–$599 | $543–$921 | varies |
| Chromosome Analysis 20-25 (88264) | $449 | $690 | 3.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $111 | $171 | 3.2× |
| Citric acid urine (82507) range across 2 matching MRF lines |
$111–$138 | $170–$213 | varies |
| Ckmb (82553) | $125 | $193 | 10.8× |
| Clostridium Difficile (87324) | $92 | $141 | 7.7× |
| Clot Factor VIII Multimetric (85247) | $154 | $237 | 6.7× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$48–$63 | $74–$97 | varies |
| Cold agglutinin screen (86156) | $53 | $81 | 6.6× |
| Cold agglutinin titer (86157) | $73 | $113 | 9.1× |
| Collagen crosslinks (82523) range across 4 matching MRF lines |
$131–$910 | $202–$1,400 | varies |
| Column Chromotography Quant (82542) range across 9 matching MRF lines |
$103–$143 | $159–$220 | varies |
| Complement Antigen Each Component (86160) range across 8 matching MRF lines |
$84–$181 | $129–$278 | varies |
| Complement Total (Ch50) (86162) | $55 | $85 | 2.7× |
| Complement/Function Activity (86161) | $79 | $121 | 6.6× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $81 | $124 | 0.5× |
| Coombs direct (86880) | $41 | $63 | 7.6× |
| Copper urine (82525) | $72 | $110 | 5.8× |
| Cortisol free (82530) | $88 | $136 | 5.3× |
| Cortisol saliva (82533) range across 7 matching MRF lines |
$93–$112 | $143–$173 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$65–$72 | $100–$110 | varies |
| Creatinine blood (82565) range across 4 matching MRF lines |
$28–$34 | $43–$53 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$43–$83 | $66–$128 | varies |
| Creatinine Urine (82570) | $52 | $80 | 10.0× |
| Crossmatch immediate spin (86920) | $62 | $96 | 0.4× |
| Crp High Sensitivity (86141) | $64 | $99 | 4.9× |
| Cryofibrinogen (82585) | $47 | $72 | 3.3× |
| Cryoglobulin (82595) | $37 | $57 | 5.7× |
| Cryptococcus ab (86641) | $86 | $132 | 6.0× |
| Cryptococcus ag titer (87899) range across 6 matching MRF lines |
$38–$52 | $58–$80 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$57–$59 | $88–$90 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $63 | $97 | 8.2× |
| Culture afb (87116) | $92 | $142 | 8.5× |
| Culture bacteria anaerobic (87073) | $89 | $137 | 9.2× |
| Culture blood (87040) range across 2 matching MRF lines |
$92–$111 | $142–$170 | varies |
| Culture chlamydia (87110) | $99 | $152 | 5.1× |
| Culture csf (87070) range across 11 matching MRF lines |
$63–$86 | $97–$132 | varies |
| Culture fungus blood (87103) | $70 | $107 | 3.4× |
| Culture screen only (87081) range across 3 matching MRF lines |
$52–$55 | $80–$85 | varies |
| Culture stool (87045) range across 3 matching MRF lines |
$43–$81 | $66–$124 | varies |
| Culture typing other methods (87158) | $40 | $62 | 5.2× |
| Culture urine (87086) range across 3 matching MRF lines |
$51–$60 | $79–$93 | varies |
| Cyanide (82600) | $85 | $131 | 4.4× |
| Cyclosporine (80158) | $131 | $202 | 7.3× |
| Cystatin C (82610) | $84 | $129 | 4.5× |
| Cytogenetics 10-30 (88273) | $174 | $268 | 5.0× |
| Cytogenetics 100-300 (88275) | $166 | $255 | 3.2× |
| Cytomegalovirus igg (86644) | $68 | $105 | 4.7× |
| Cytopath Cell Enhance Tech (88112) | $93 | $143 | 1.8× |
| Cytp Concentration Smears & Interpretation (88108) | $96 | $147 | 2.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $121 | $186 | 2.3× |
| Deoxyribonuclease antibody (86215) | $48 | $74 | 3.6× |
| Detect Agent Nos Dna Amp (87798) range across 24 matching MRF lines |
$23–$345 | $36–$530 | varies |
| Detect Agent Nos Dna Quant (87799) | $300 | $462 | 7.0× |
| Detect agnt mult DNA ampli (87801) | $55 | $85 | 0.8× |
| Dhea (82626) | $109 | $168 | 4.3× |
| Dhea-S (82627) | $96 | $148 | 4.3× |
| Digoxin (80162) | $93 | $143 | 7.0× |
| Dipropylacetic Acid Free (80165) | $85 | $130 | 6.3× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$61–$100 | $94–$154 | varies |
| Dna Antibody Single Stranded (86226) | $55 | $85 | 4.5× |
| Drug Assay Amiodarone (80151) | $125 | $192 | 6.7× |
| Drug Assay Everolimus (80169) | $85 | $130 | 6.2× |
| Drug Assay Infliximab (80230) | $161 | $248 | 4.2× |
| Drug Screen Quant Zonisamide (80203) | $159 | $244 | 12.0× |
| Drug Screen Quantitative Gabapentin (80171) | $110 | $169 | 5.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $97 | $149 | 7.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $103 | $159 | 7.8× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $88 | $135 | 5.3× |
| Drug Screen Quantitative Tiagabine (80199) | $104 | $160 | 3.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 21 matching MRF lines |
$21–$257 | $32–$395 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 3 matching MRF lines |
$23–$87 | $36–$134 | varies |
| Ehrlichia antibody (86666) range across 3 matching MRF lines |
$41–$81 | $63–$125 | varies |
| Electrolyte panel (80051) range across 4 matching MRF lines |
$44–$132 | $68–$203 | varies |
| Encephaltis East Eqne Anbdy (86652) | $48 | $74 | 3.6× |
| Encephaltis West Eqne Antbdy (86654) | $48 | $74 | 3.6× |
| Enterovirus Antibody (86658) | $53 | $81 | 4.1× |
| Enterovirus PCR (87498) | $182 | $280 | 5.2× |
| Enzyme cell activity (82657) range across 6 matching MRF lines |
$143–$391 | $220–$601 | varies |
| Eosinophil Smear (89190) | $33 | $50 | 5.7× |
| Erythropoietin (82668) | $103 | $159 | 5.5× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$120–$156 | $184–$240 | varies |
| Estriol (82677) | $81 | $125 | 3.3× |
| Estrogens fractionated (82671) | $138 | $213 | 4.3× |
| Ethosuximide (80168) | $136 | $209 | 8.3× |
| Ethylene Glycol (82693) | $95 | $146 | 6.4× |
| Exam Synovial Fluid Crystals (89060) | $49 | $76 | 6.7× |
| F2 Gene (81240) | $128 | $197 | 1.9× |
| Factor ii activity (85210) | $133 | $204 | 10.2× |
| Factor ix activity (85250) | $141 | $217 | 7.4× |
| Factor v activity (85220) | $135 | $208 | 7.6× |
| Factor v leiden mutation (81241) | $143 | $220 | 1.9× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$125–$137 | $193–$211 | varies |
| Factor xiii screen (85291) | $79 | $121 | 8.7× |
| Fat/Lipids Feces Quantitative (82710) | $131 | $202 | 7.8× |
| Fatty acids free (82725) | $64 | $98 | 3.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $135 | $207 | 7.9× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) range across 2 matching MRF lines |
$89–$90 | $137–$138 | varies |
| Fecal Fat Qualitative (82705) | $37 | $57 | 7.3× |
| Ferritin (82728) range across 3 matching MRF lines |
$75–$83 | $116–$128 | varies |
| Fetal Fibronectin (82731) | $373 | $574 | 5.8× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $140 | $215 | 7.4× |
| Fetal screen rosette (85461) | $46 | $71 | 4.9× |
| Fibrin degradation products (85362) | $66 | $101 | 9.6× |
| Fibrin Degradation Quant (85379) | $96 | $147 | 9.4× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$68–$74 | $105–$114 | varies |
| Fibrinogen antigen (85385) | $71 | $109 | 4.9× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$88–$290 | $135–$446 | varies |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$89–$97 | $137–$149 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 7 matching MRF lines |
$68–$166 | $104–$255 | varies |
| Fluoride serum (82735) | $87 | $134 | 4.7× |
| Fmr1 Gene Charac Alleles (81244) | $73 | $113 | 1.6× |
| Fmr1 gene detection (81243) | $73 | $113 | 1.3× |
| Folic acid rbc (82747) | $83 | $128 | 4.7× |
| Folic Acid Serum (82746) | $81 | $125 | 5.5× |
| Follicle Stimulating Hormone (83001) | $92 | $141 | 5.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $39 | $60 | 0.2× |
| Galactose (82760) | $52 | $80 | 4.6× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $63 | $97 | 3.0× |
| Gammaglobulin ige (82785) | $77 | $119 | 4.7× |
| Gardner vag DNA dir probe (87510) | $75 | $116 | 3.7× |
| Gastrin (82941) | $77 | $118 | 4.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $632 | $972 | 1.5× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$107–$140 | $164–$215 | varies |
| Gentamicin (80170) range across 4 matching MRF lines |
$70–$104 | $108–$160 | varies |
| Ggt (82977) | $59 | $90 | 8.2× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$57–$64 | $88–$99 | varies |
| Glucose 2 hr pp (82950) range across 5 matching MRF lines |
$40–$56 | $62–$86 | varies |
| Glucose Blood Test (82962) | $20 | $31 | 6.1× |
| Glucose body fluid (82945) | $59 | $90 | 15.0× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$29–$33 | $45–$50 | varies |
| Glucose tolerance test (gtt) (82951) range across 14 matching MRF lines |
$52–$201 | $80–$309 | varies |
| Glucosidase beta (82963) | $62 | $95 | 2.9× |
| Glycated Protein (82985) | $36 | $55 | 2.1× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$43–$47 | $66–$73 | varies |
| Gonadotropin releasing hormone (83727) | $234 | $360 | 13.6× |
| Growth hormone (83003) | $96 | $147 | 5.8× |
| Gtt-added samples (82952) range across 3 matching MRF lines |
$20–$28 | $30–$43 | varies |
| Haptoglobin (83010) | $70 | $107 | 5.6× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$49–$54 | $75–$83 | varies |
| Heavy metal qualitative any analytes (83015) | $380 | $585 | 18.1× |
| Helicobacter Pylori Stool (87338) | $97 | $149 | 6.7× |
| Helminth Antibody (86682) | $88 | $135 | 6.8× |
| Hematocrit (85014) range across 3 matching MRF lines |
$8–$23 | $13–$36 | varies |
| Hemoglobin (85018) range across 3 matching MRF lines |
$17–$23 | $26–$36 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$55–$61 | $85–$94 | varies |
| Hemoglobin Chromotography (83021) | $61 | $94 | 3.4× |
| Hemoglobin electrophoresis (83020) | $86 | $132 | 6.7× |
| Hemoglobin F Fetal Chemical (83030) | $35 | $54 | 3.3× |
| Hemoglobin Methemoglobin Quantitative (83050) | $63 | $97 | 7.7× |
| Hemoglobin plasma (83051) | $25 | $39 | 3.4× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $42 | $65 | 4.5× |
| Hemosiderin urine (83070) | $31 | $48 | 6.5× |
| Hep a ab igm (86709) | $66 | $101 | 5.9× |
| Heparin assay (85520) | $150 | $231 | 11.5× |
| Hepatitis a antibody total (86708) | $66 | $101 | 5.3× |
| Hepatitis b core ab igm (86705) | $77 | $119 | 6.5× |
| Hepatitis b core ab total (86704) | $83 | $128 | 6.9× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$42–$66 | $64–$101 | varies |
| Hepatitis B Surface Antigen (87340) | $64 | $99 | 6.2× |
| Hepatitis Be Antibody (86707) | $53 | $81 | 4.6× |
| Hepatitis Be Antigen (87350) | $53 | $81 | 4.6× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$235–$315 | $362–$484 | varies |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$629–$762 | $967–$1,173 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $345 | $530 | 9.8× |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$54–$250 | $83–$385 | varies |
| Hepatitis Delta Agent Antibody (86692) | $81 | $125 | 4.7× |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$70–$82 | $107–$126 | varies |
| Heterophile antibodies titer (86309) | $25 | $38 | 3.9× |
| Heterophile Antibody Screen (86308) range across 4 matching MRF lines |
$40–$57 | $62–$87 | varies |
| Hfe Gene (81256) | $281 | $432 | 4.3× |
| Histamine urine (83088) | $46 | $70 | 1.6× |
| Histoplasma antibody (86698) | $52 | $80 | 3.8× |
| Histoplasma antigen urine (87385) | $183 | $281 | 13.8× |
| Hiv Antigen W/Hiv Antibodies (87806) | $92 | $141 | 2.8× |
| Hiv Genotype (87901) | $413 | $636 | 1.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 3 matching MRF lines |
$270–$285 | $415–$438 | varies |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $341 | $524 | 2.7× |
| Hla class i&ii antibody qual (86828) | $114 | $175 | 1.8× |
| Hla class ii typing high resolution one locus ea (81382) | $151 | $233 | 1.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $146 | $225 | 2.0× |
| Hla I Typing 1 Allele Hr (81381) | $272 | $418 | 1.6× |
| Hla ii type 1 ag equiv lr (81377) | $296 | $455 | 3.1× |
| Hla ii typing 1 allele hr (81383) | $224 | $344 | 2.1× |
| Homovanillic acid urine (83150) | $137 | $211 | 6.1× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$172–$272 | $264–$418 | varies |
| Htlv-I Antibody (86687) range across 2 matching MRF lines |
$83–$146 | $128–$225 | varies |
| Hydroxyprogesterone 17-d (83498) | $121 | $186 | 4.5× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $55 | $84 | 4.6× |
| Iaad Ia Streptococcus Group A (87430) range across 4 matching MRF lines |
$29–$46 | $45–$70 | varies |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $64 | $98 | 5.3× |
| Iaadi Varicella Zoster Virus (87290) | $94 | $145 | 7.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $235 | $362 | 6.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $25 | $39 | 0.7× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $92 | $142 | 4.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 3 matching MRF lines |
$186–$205 | $286–$315 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $259 | $398 | 6.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $221 | $340 | 5.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $330 | $508 | 9.4× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $157 | $242 | 3.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $25 | $39 | 0.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $109 | $168 | 3.1× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $70 | $107 | 1.4× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $95 | $146 | 0.7× |
| Igg subclasses (82787) | $55 | $85 | 6.9× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $166 | $255 | 0.5× |
| Immune Complex Assay (86332) | $99 | $152 | 4.1× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$73–$385 | $113–$593 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 7 matching MRF lines |
$72–$245 | $110–$377 | varies |
| Immunoassay infectious agent (86318) | $150 | $230 | 8.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 7 matching MRF lines |
$55–$64 | $85–$99 | varies |
| Immunoassay nonantibody (83516) range across 38 matching MRF lines |
$72–$107 | $110–$165 | varies |
| Immunodiffusion not elsewhere specified (86329) range across 3 matching MRF lines |
$79–$101 | $121–$156 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $100 | $154 | 4.3× |
| Immunoelectrophoresis Serum (86320) | $96 | $148 | 3.2× |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$99–$100 | $153–$154 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $231 | $355 | 1.3× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$109–$149 | $167–$229 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) | $40 | $62 | 2.5× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $28 | $43 | 0.8× |
| Influenza assay w/optic (87804) range across 4 matching MRF lines |
$13–$39 | $20–$60 | varies |
| Inhibin A (86336) | $66 | $101 | 4.2× |
| Inhibin b (83520) range across 21 matching MRF lines |
$72–$135 | $110–$207 | varies |
| Insulin antibodies (86337) | $92 | $142 | 4.3× |
| Insulin free (83527) | $46 | $70 | 3.6× |
| Insulin total (83525) | $38 | $58 | 3.3× |
| Intrinsic factor antibody (86340) | $63 | $97 | 4.2× |
| Iron (83540) range across 2 matching MRF lines |
$40–$45 | $62–$69 | varies |
| Iron Binding Capacity (83550) range across 3 matching MRF lines |
$51–$62 | $79–$96 | varies |
| Irradiation Blood Product Each Unit (86945) | $77 | $118 | 2.1× |
| Islet cell antibody (86341) | $135 | $207 | 5.7× |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$135–$256 | $207–$394 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $179 | $275 | 1.0× |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$21–$62 | $32–$96 | varies |
| Lactoferrin Fecal Quantitative (83631) | $144 | $222 | 7.3× |
| Ldh Isoenzymes (83625) | $39 | $60 | 3.0× |
| LDL direct (83721) range across 3 matching MRF lines |
$37–$59 | $57–$90 | varies |
| Lead (83655) range across 10 matching MRF lines |
$16–$53 | $24–$82 | varies |
| Legionella antigen urine (87449) | $105 | $162 | 8.8× |
| Legionella pneumophila dfa (87278) | $80 | $123 | 5.1× |
| Leptospira antibody (86720) | $42 | $65 | 2.6× |
| Leukocyte transfusion (86950) | $174 | $267 | 1.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $69 | $106 | 2.4× |
| Level ii surg pathology grossµscopic exam (88302) | $73 | $113 | 1.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $196 | $301 | 0.5× |
| Lidocaine (80176) | $72 | $110 | 4.9× |
| Lipase (83690) | $86 | $132 | 12.5× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $64 | $99 | 5.7× |
| Lithium (80178) | $57 | $87 | 8.6× |
| Luteinizing Hormone (Lh) (83002) | $97 | $149 | 5.2× |
| Lyme disease antibody (86618) | $133 | $205 | 7.8× |
| Lysozyme serum (85549) | $24 | $37 | 1.3× |
| M. Genitalium Amp Probe (87563) | $75 | $115 | 2.1× |
| Magnesium Urine (83735) range across 5 matching MRF lines |
$51–$71 | $79–$109 | varies |
| Mass Spectrometry Quant (83789) | $121 | $186 | 5.0× |
| Mercury urine (83825) | $49 | $75 | 3.0× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$109–$202 | $168–$310 | varies |
| Microalbumin, quantitative (82043) | $53 | $81 | 9.2× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$60–$104 | $93–$160 | varies |
| Mog-Igg1 Antb Cba Each (86362) | $558 | $858 | 46.3× |
| Molecular Cytogenetics Dna Probe Each (88271) | $130 | $200 | 6.1× |
| Molecular Pathology Procedure Level 6 (81405) | $1,084 | $1,668 | 3.6× |
| Mononuclear cell antigen (86356) | $73 | $112 | 2.7× |
| Mopath procedure level 1 (81400) | $298 | $458 | 4.7× |
| Mopath procedure level 2 (81401) | $80 | $123 | 0.6× |
| Mpl gene common variants (81338) | $472 | $726 | 3.1× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$28–$150 | $43–$230 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $229 | $352 | 3.5× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$59–$77 | $90–$118 | varies |
| Muscle-Specific Kinase Antb (86366) | $644 | $990 | 35.0× |
| Mycophenolic Acid (80180) | $89 | $137 | 4.9× |
| Mycoplasma antibody (86738) | $14 | $22 | 1.1× |
| Mycoplasma culture (87109) | $88 | $135 | 5.7× |
| Myoglobin urine (83874) | $86 | $132 | 6.7× |
| Natriuretic peptide (83880) | $144 | $222 | 3.7× |
| Neutralization Test Viral (86382) | $131 | $202 | 7.7× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $371 | $570 | 2.9× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $368 | $566 | 1.4× |
| Niacin (84591) range across 3 matching MRF lines |
$39–$300 | $60–$461 | varies |
| Nickel level (83885) | $102 | $157 | 4.2× |
| Nk cells total count (86357) | $112 | $173 | 3.0× |
| Nuclear antigen antibody (86235) range across 19 matching MRF lines |
$64–$100 | $98–$154 | varies |
| Occult Blood Other Sources (82271) | $33 | $51 | 6.2× |
| Oligoclonal bands (83916) | $94 | $145 | 3.4× |
| Organic Acids Qualitative Each Specimen (83919) | $159 | $244 | 9.7× |
| Organic acids urine (83918) | $207 | $319 | 8.8× |
| Osmolality serum (83930) | $47 | $73 | 7.1× |
| Osmolality Urine (83935) | $42 | $65 | 6.2× |
| Osteocalcin (83937) | $77 | $119 | 2.6× |
| Ova and parasites smears (87177) | $64 | $99 | 7.2× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$61–$64 | $94–$99 | varies |
| Pancreatic Elastase Fecal (82656) | $222 | $341 | 19.3× |
| Parvovirus antibody (86747) | $47 | $72 | 3.1× |
| Ph urine (81003) range across 3 matching MRF lines |
$29–$33 | $45–$50 | varies |
| Phenobarbital Level (80184) | $96 | $147 | 6.3× |
| Phenotype Infect Agent Drug (87900) range across 2 matching MRF lines |
$382–$545 | $588–$839 | varies |
| Phenylalanine (84030) | $61 | $94 | 11.1× |
| Phenytoin (Dilantin) (80185) | $100 | $154 | 7.5× |
| Phenytoin free (80186) | $72 | $110 | 5.2× |
| Phosphatase acid prostatic (84066) | $42 | $65 | 4.3× |
| Phosphatase alkaline (84075) | $47 | $72 | 9.1× |
| Phosphatidylglycerol (84081) | $89 | $137 | 5.4× |
| Phospholipid Neutralization Hexagonal (85598) | $96 | $147 | 5.3× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$47–$52 | $72–$80 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$40–$52 | $61–$80 | varies |
| Pinworm exam (87172) range across 2 matching MRF lines |
$29–$33 | $45–$50 | varies |
| Platelet Aggregation (85576) | $94 | $145 | 3.8× |
| Platelet Antibodies (86022) | $176 | $271 | 9.6× |
| Platelet count automated (85049) | $40 | $61 | 8.9× |
| Pooling blood platelets (86965) | $66 | $101 | 0.4× |
| Porphobilinogen Urine Qualitative (84106) | $39 | $60 | 6.7× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$42–$49 | $65–$76 | varies |
| Porphyrins Feces Quantitative (84126) | $127 | $195 | 3.2× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $79 | $121 | 5.4× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$35–$41 | $54–$63 | varies |
| Prealbumin (84134) | $70 | $107 | 4.8× |
| Pregnancy-Associated Plasma Protein-A (84163) | $73 | $113 | 4.9× |
| Pregnenolone (84140) | $88 | $135 | 4.3× |
| Primidone (80188) | $66 | $101 | 4.0× |
| Procalcitonin (Pct) (84145) | $249 | $383 | 9.1× |
| Progesterone (84144) | $89 | $137 | 4.3× |
| Prolactin (84146) range across 3 matching MRF lines |
$28–$111 | $43–$171 | varies |
| Protein body fluid (84157) | $52 | $80 | 13.0× |
| Protein C Activity (85303) | $128 | $197 | 9.2× |
| Protein c antigen (85302) | $107 | $165 | 8.9× |
| Protein Electrophoresis Urine (84166) | $77 | $119 | 4.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 4 matching MRF lines |
$63–$74 | $97–$114 | varies |
| Protein S Free (85306) | $120 | $185 | 7.8× |
| Protein s total (85305) | $116 | $178 | 10.0× |
| Protein total serum (84155) range across 4 matching MRF lines |
$19–$52 | $29–$80 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$52–$54 | $80–$83 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $46 | $71 | 11.7× |
| Protoporphyrin rbc quantitative (84202) | $75 | $116 | 5.2× |
| PSA free (84154) | $71 | $109 | 3.9× |
| Pth Intact (83970) | $176 | $270 | 4.3× |
| Quantiferon tb gold plus (86480) | $135 | $207 | 2.2× |
| Quantitative assay drug (80299) range across 28 matching MRF lines |
$81–$157 | $124–$242 | varies |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
$103–$104 | $159–$160 | varies |
| Quinidine (80194) | $68 | $104 | 4.7× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$135–$212 | $208–$326 | varies |
| Rbc antibody screen (86850) | $101 | $155 | 10.3× |
| Renin activity plasma (84244) | $233 | $359 | 10.6× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$97–$442 | $149–$680 | varies |
| Reticulated Platelet Assay (85055) | $64 | $99 | 1.8× |
| Rh (86901) | $25 | $38 | 8.4× |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$55–$82 | $85–$126 | varies |
| Rheumatoid factor quant (86431) range across 7 matching MRF lines |
$42–$72 | $65–$110 | varies |
| Rickettsia antibody (86757) | $52 | $80 | 2.7× |
| Ristocetin cofactor (85245) | $127 | $195 | 5.5× |
| Rotavirus ag eia (87425) | $77 | $118 | 6.4× |
| Rpr qualitative (86592) range across 5 matching MRF lines |
$18–$41 | $28–$63 | varies |
| Rsv ab (86756) range across 4 matching MRF lines |
$62–$90 | $95–$138 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$68–$82 | $104–$126 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$60–$77 | $93–$119 | varies |
| Rufinamide (80210) | $135 | $208 | 5.0× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$70–$138 | $108–$213 | varies |
| Russell Viper Venon Time Undiluted (85612) | $72 | $110 | 4.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $101 | $156 | 2.0× |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$19–$38 | $29–$59 | varies |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$35–$39 | $54–$60 | varies |
| Selenium (84255) | $87 | $134 | 3.4× |
| Semen Anal Sperm Detection (89321) | $26 | $40 | 2.2× |
| Semen analysis complete (89320) | $105 | $162 | 8.5× |
| Sensitivity mic (87186) | $64 | $98 | 7.4× |
| Sex Hormone Binding Globulin (84270) | $70 | $107 | 3.2× |
| Sickling of rbc reduction (85660) | $60 | $92 | 10.9× |
| Sirolimus (80195) | $107 | $165 | 7.8× |
| Skin test tuberculosis intradermal (86580) range across 3 matching MRF lines |
$29–$31 | $44–$48 | varies |
| Smear acid fast (87206) range across 3 matching MRF lines |
$23–$40 | $36–$61 | varies |
| Smear complex stain (87209) | $53 | $81 | 2.9× |
| Smear gram stain (87205) range across 6 matching MRF lines |
$33–$49 | $51–$75 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$45–$71 | $69–$109 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 5 matching MRF lines |
$34–$38 | $53–$59 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $266 | $409 | 5.2× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$34–$38 | $52–$58 | varies |
| Sodium Urine (84300) range across 3 matching MRF lines |
$31–$42 | $47–$65 | varies |
| Soluble Transferrin Receptor (84238) range across 3 matching MRF lines |
$156–$166 | $240–$255 | varies |
| Somatomedin (84305) | $100 | $154 | 4.7× |
| Special Stains Group 1 (88312) | $103 | $159 | 2.0× |
| Special Stains Group 2 (88313) | $64 | $98 | 0.5× |
| Specific gravity body fluid (84315) | $29 | $44 | 8.8× |
| Spectrophotometry (84311) range across 6 matching MRF lines |
$60–$163 | $92–$251 | varies |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $111 | $171 | 0.6× |
| Staph a DNA amp probe (87640) | $28 | $43 | 0.8× |
| Stool cultr aerobic bact ea (87046) | $25 | $39 | 2.6× |
| Sulfate urine (84392) | $34 | $53 | 6.2× |
| Surg path level iii (88304) | $96 | $147 | 1.8× |
| Surgical pathology level IV (88305) | $129 | $198 | 2.5× |
| Surgical pathology level vi (88309) | $248 | $382 | 0.3× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $38 | $59 | 5.2× |
| T cells absolute cd4 count (86361) | $120 | $185 | 4.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $125 | $193 | 2.7× |
| T cells total count (86359) | $89 | $137 | 2.4× |
| T3 Free (84481) | $94 | $145 | 5.5× |
| T3 reverse (84482) | $80 | $123 | 5.1× |
| T3 Total (84480) | $93 | $143 | 6.6× |
| T3 Uptake (84479) | $47 | $73 | 7.3× |
| T4 Free (84439) range across 4 matching MRF lines |
$46–$70 | $70–$108 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$53–$59 | $82–$90 | varies |
| Tacrolimus (80197) range across 2 matching MRF lines |
$128–$177 | $197–$273 | varies |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$27–$33 | $42–$50 | varies |
| Testosterone Bioavailable (84410) | $98 | $150 | 1.9× |
| Testosterone total (84403) range across 5 matching MRF lines |
$97–$204 | $149–$314 | varies |
| Testosterone, Free (84402) | $96 | $147 | 3.8× |
| Theophylline (80198) | $92 | $141 | 6.5× |
| Thrombin Time (85670) | $56 | $86 | 9.7× |
| Thromboplastin Inhibition Tissue (85705) | $89 | $137 | 9.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $57 | $88 | 8.8× |
| Thyroglobulin (84432) | $85 | $130 | 5.3× |
| Thyroglobulin Antibody (86800) | $96 | $148 | 6.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $157 | $242 | 3.1× |
| Thyroxine binding globulin (84442) | $71 | $109 | 4.8× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$98–$411 | $150–$633 | varies |
| Tissue Culture Lymphocyte (88230) | $309 | $475 | 2.7× |
| Tobramycin peak (80200) | $77 | $119 | 4.8× |
| Topiramate (80201) | $81 | $124 | 6.8× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $90 | $138 | 4.6× |
| Toxoplasma ab igm (86778) | $16 | $25 | 1.1× |
| Toxoplasma antibody (86777) | $80 | $123 | 5.6× |
| Tpmt gene com variants (81335) | $304 | $468 | 1.7× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$47–$52 | $72–$80 | varies |
| Transferrin (84466) | $52 | $80 | 4.1× |
| Trichomonas vagin dir probe (87660) range across 2 matching MRF lines |
$75–$100 | $116–$154 | varies |
| Trichomonas Vaginalis Amplif (87661) | $118 | $181 | 3.4× |
| Triglycerides (84478) range across 3 matching MRF lines |
$47–$80 | $72–$123 | varies |
| Troponin Quant (84484) | $111 | $171 | 8.9× |
| Tumor immunohistochem/comput (88361) | $253 | $389 | 0.7× |
| Unlisted Transfusion Medicine Procedure (86999) | $116 | $179 | 4.0× |
| Urea Nitrogen Clearance (84545) | $63 | $97 | 8.8× |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$28–$52 | $43–$80 | varies |
| Uric acid other source (84560) | $52 | $80 | 10.2× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $36 | $55 | 16.6× |
| Urine Pregnancy Test (81025) range across 6 matching MRF lines |
$20–$55 | $31–$85 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$38–$42 | $59–$65 | varies |
| Valproic acid (80164) | $95 | $146 | 7.0× |
| Vancomycin (80202) | $109 | $167 | 8.1× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$77–$86 | $119–$132 | varies |
| Vasopressin (84588) | $153 | $235 | 4.5× |
| Very Long Chain Fatty Acids (82726) | $157 | $242 | 7.9× |
| Viral Culture (87252) range across 3 matching MRF lines |
$133–$134 | $205–$206 | varies |
| Virus antibody nos (86790) range across 9 matching MRF lines |
$62–$92 | $96–$141 | varies |
| Virus inoculation, shell via (87254) range across 4 matching MRF lines |
$69–$116 | $106–$178 | varies |
| Vit D 1 25-Dihydroxy (82652) | $145 | $223 | 3.8× |
| Vitamin A (84590) | $99 | $153 | 8.5× |
| Vitamin b-12 (82607) | $86 | $132 | 5.7× |
| Vitamin B2 (Riboflavin) (84252) | $123 | $189 | 6.1× |
| Vitamin B6 (84207) | $123 | $189 | 4.4× |
| Vitamin c (82180) | $60 | $92 | 6.1× |
| Vitamin D 25-Hydroxy (82306) | $124 | $191 | 4.2× |
| Vitamin E (84446) | $68 | $104 | 4.8× |
| Vitamin K (84597) | $205 | $315 | 14.9× |
| Von willebrand factor ag (85246) | $121 | $186 | 5.3× |
| Wbc Alkaline Phosphatase Count (85540) | $60 | $93 | 7.0× |
| West nile virus ab igm (86788) | $77 | $118 | 4.6× |
| West Nile Virus Antibody (86789) | $68 | $104 | 4.7× |
| Zika Virus Igm Antibody (86794) | $88 | $136 | 5.2× |
| Zinc (84630) | $57 | $87 | 5.0× |
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.