Lab & pathology prices at Roosevelt Medical Center
Culbertson, MT · every code in this section with a posted price and a Medicare benchmark.
367 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $69 | $69 | 1.8× |
| Albumin serum (82040) range across 2 matching MRF lines |
$25–$63 | $25–$63 | varies |
| Aldolase (82085) | $37 | $37 | 3.8× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$79–$96 | $79–$96 | varies |
| Alkaline phosphatase isoenzymes (84080) | $27 | $27 | 1.8× |
| Allergen specific ige (86003) | $25 | $25 | 4.8× |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$197–$360 | $197–$360 | varies |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$26–$155 | $26–$155 | varies |
| Alpha-Fetoprotein Serum (82105) | $29 | $29 | 1.7× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$60–$63 | $60–$63 | varies |
| Amikacin trough (80150) range across 2 matching MRF lines |
$34–$106 | $34–$106 | varies |
| Ammonia (82140) range across 2 matching MRF lines |
$33–$171 | $33–$171 | varies |
| Amylase urine (82150) range across 2 matching MRF lines |
$53–$89 | $53–$89 | varies |
| Ana Titer (86039) | $25 | $25 | 2.2× |
| Anca screen each antibody (86036) | $74 | $74 | 6.1× |
| Angiotensin converting enzyme csf (82164) | $27 | $27 | 1.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 4 matching MRF lines |
$50–$125 | $50–$125 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$55–$70 | $55–$70 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $57 | $57 | 3.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$29–$54 | $29–$54 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $27 | $27 | 2.0× |
| Antibody HIV-2 (86702) | $51 | $51 | 3.8× |
| Antibody john cunningham virus (86711) | $1,888.85 | $1,888.85 | 111.8× |
| Antibody Treponema Pallidum (86780) | $25 | $25 | 1.9× |
| Antinuclear antibodies (86038) | $25 | $25 | 2.1× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$31–$45 | $31–$45 | varies |
| Antithrombin iii activity (85300) | $123 | $123 | 10.4× |
| Antithrombin iii antigen (85301) | $121.50 | $121.50 | 11.2× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$25–$60 | $25–$60 | varies |
| Assay Blood Carbon Dioxide (82374) | $25 | $25 | 5.1× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$60–$76 | $60–$76 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$59–$69 | $59–$69 | varies |
| Assay of anti-mullerian hormone (82166) | $128 | $128 | 3.3× |
| Assay of blood/uric acid (84550) | $61 | $61 | 13.5× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$15–$25 | $15–$25 | varies |
| Assay of estrone (82679) | $52 | $52 | 2.1× |
| Assay of g6pd enzyme (82955) | $62 | $62 | 6.4× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$25–$46.50 | $25–$46.50 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$26–$123 | $26–$123 | varies |
| Assay of manganese (83785) | $62 | $62 | 2.3× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$99–$164 | $99–$164 | varies |
| Assay of pyruvate (84210) | $89 | $89 | 6.1× |
| Assay of serum potassium (84132) | $50 | $50 | 10.5× |
| Assay of urea nitrogen (84520) | $63 | $63 | 15.9× |
| Assay of vitamin b-1 (84425) | $84 | $84 | 4.0× |
| Automated Leukocyte Count (85048) | $25 | $25 | 9.8× |
| Beta 2 glycoprotein i antibody each (86146) | $182.50 | $182.50 | 7.2× |
| Beta-2 Microglobulin (82232) | $32 | $32 | 2.0× |
| Bilirubin direct (82248) | $60 | $60 | 12.0× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$56–$60 | $56–$60 | varies |
| Blood Count Red Blood Cell Automated (85041) | $18 | $18 | 6.0× |
| Blood count reticulocyte automated (85045) | $25 | $25 | 6.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $42 | $42 | 11.1× |
| Blood count spun microhematocrit (85013) | $54 | $54 | 7.7× |
| Blood gas (82803) | $301 | $301 | 11.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $62 | $62 | 14.2× |
| Blood typing serologic abo (86900) | $100 | $100 | 33.4× |
| Brca1&2 gen full seq dup/del (81162) | $313.50 | $313.50 | 0.2× |
| Brucella antibody (86622) | $34 | $34 | 3.8× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$119–$190 | $119–$190 | varies |
| C-Peptide (84681) | $35 | $35 | 1.7× |
| C-reactive protein (86140) | $76 | $76 | 14.7× |
| Ca 19-9 (86301) | $37 | $37 | 1.8× |
| Calcitonin (82308) | $52 | $52 | 1.9× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$28–$39 | $28–$39 | varies |
| Calcium total (82310) range across 3 matching MRF lines |
$39–$78 | $39–$78 | varies |
| Calculus Spectroscopy (82365) | $59 | $59 | 4.6× |
| Calprotectin Fecal (83993) | $175 | $175 | 8.9× |
| Cancer Antigen 125 (86304) | $29 | $29 | 1.4× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$25–$36 | $25–$36 | varies |
| Carbamazepine total (80156) | $28 | $28 | 1.9× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$38–$116 | $38–$116 | varies |
| Carcinoembryonic antigen (82378) | $31 | $31 | 1.6× |
| Cardiolipin ab iga (86147) | $103 | $103 | 4.0× |
| Catecholamines fractionated (82384) | $117 | $117 | 4.6× |
| Ccp antibody (86200) | $113 | $113 | 8.7× |
| Cell count csf (89051) range across 3 matching MRF lines |
$25–$45 | $25–$45 | varies |
| Chlamydia antibody (86631) | $25 | $25 | 2.1× |
| Chlamydia Igm Antibody (86632) | $25 | $25 | 2.0× |
| Chloride Serum (82435) | $45 | $45 | 9.8× |
| Chloride urine (82436) | $25 | $25 | 4.3× |
| Cholesterol total (82465) | $84 | $84 | 19.3× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$41–$123 | $41–$123 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $59 | $59 | 1.7× |
| Ckmb (82553) range across 3 matching MRF lines |
$34–$169 | $34–$169 | varies |
| Clostridium Difficile (87324) | $72 | $72 | 6.0× |
| Coccidioides antibody (86635) | $32 | $32 | 2.8× |
| Collagen crosslinks (82523) | $174 | $174 | 9.3× |
| Column Chromotography Quant (82542) | $46 | $46 | 1.9× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$25–$76 | $25–$76 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$76–$84 | $76–$84 | varies |
| Coombs direct (86880) | $139 | $139 | 25.8× |
| Copper urine (82525) | $25 | $25 | 2.0× |
| Cortisol free (82530) | $52 | $52 | 3.1× |
| Cortisol saliva (82533) range across 5 matching MRF lines |
$33–$63 | $33–$63 | varies |
| Creatine kinase total (82550) range across 3 matching MRF lines |
$34–$87 | $34–$87 | varies |
| Creatinine blood (82565) | $56 | $56 | 10.9× |
| Creatinine clearance (82575) | $25 | $25 | 2.6× |
| Creatinine Urine (82570) range across 8 matching MRF lines |
$25–$65 | $25–$65 | varies |
| Crp High Sensitivity (86141) | $56 | $56 | 4.3× |
| Cryoglobulin (82595) | $31 | $31 | 4.8× |
| Cryptococcus ag titer (87899) | $94 | $94 | 5.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$68–$74 | $68–$74 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $68 | $68 | 8.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $56 | $56 | 7.3× |
| Culture afb (87116) | $51 | $51 | 4.7× |
| Culture Anaerobic (87075) | $96 | $96 | 10.1× |
| Culture blood (87040) | $153 | $153 | 14.8× |
| Culture csf (87070) | $116 | $116 | 13.5× |
| Culture fungus (87102) | $56 | $56 | 6.7× |
| Culture fungus blood (87103) | $56 | $56 | 2.7× |
| Culture screen only (87081) range across 2 matching MRF lines |
$51–$60 | $51–$60 | varies |
| Culture stool (87045) | $25 | $25 | 2.6× |
| Cystatin C (82610) | $135 | $135 | 7.3× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$27–$70 | $27–$70 | varies |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$144–$191 | $144–$191 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$342–$463 | $342–$463 | varies |
| Detect agnt mult DNA ampli (87801) | $144 | $144 | 2.1× |
| Dhea (82626) | $139 | $139 | 5.5× |
| Dhea-S (82627) | $36 | $36 | 1.6× |
| Digoxin (80162) | $28 | $28 | 2.1× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) | $31 | $31 | 0.9× |
| Dna Antibody Native/Double Stranded (86225) | $69 | $69 | 5.0× |
| Drug assay acetaminophen (80143) range across 2 matching MRF lines |
$69–$423 | $69–$423 | varies |
| Drug Assay Amiodarone (80151) | $178 | $178 | 9.5× |
| Drug Assay Infliximab (80230) | $266 | $266 | 6.9× |
| Drug Assay Lacosamide (80235) | $106 | $106 | 3.9× |
| Drug Screen Quantitative Gabapentin (80171) | $80 | $80 | 3.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $46 | $46 | 3.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $82 | $82 | 6.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $89 | $89 | 6.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$82–$260 | $82–$260 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $183 | $183 | 14.5× |
| Electrolyte panel (80051) | $95 | $95 | 13.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $85 | $85 | 7.0× |
| Eosinophil Smear (89190) | $41 | $41 | 7.1× |
| Erythropoietin (82668) | $63 | $63 | 3.4× |
| Estradiol serum (82670) | $87 | $87 | 3.1× |
| Estrogen total (82672) | $115 | $115 | 5.3× |
| Ethosuximide (80168) | $26 | $26 | 1.6× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$39–$71 | $39–$71 | varies |
| Factor v leiden mutation (81241) | $325 | $325 | 4.4× |
| Factor viii assay (85240) | $121 | $121 | 6.8× |
| Fecal Fat Qualitative (82705) | $36 | $36 | 7.1× |
| Ferritin (82728) | $25 | $25 | 1.8× |
| Fibrin Degradation Quant (85379) | $129 | $129 | 12.7× |
| Fibrinogen activity (85384) | $35 | $35 | 3.6× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$35–$104 | $35–$104 | varies |
| Folic Acid Serum (82746) | $48 | $48 | 3.3× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$27–$82 | $27–$82 | varies |
| Francisella tularensis (86668) | $34 | $34 | 2.4× |
| Fungi Identification Yeast (87106) | $30 | $30 | 2.9× |
| Gammaglobulin ige (82785) | $25 | $25 | 1.5× |
| Gases blood ph only (82800) | $61 | $61 | 5.5× |
| Gentamicin (80170) range across 4 matching MRF lines |
$63–$195 | $63–$195 | varies |
| Ggt (82977) range across 2 matching MRF lines |
$60–$94 | $60–$94 | varies |
| Glucose 2 hr pp (82950) | $67 | $67 | 14.1× |
| Glucose Serum (82947) | $80 | $80 | 20.4× |
| Glucose tolerance test (gtt) (82951) | $202 | $202 | 15.7× |
| Glutathione (82978) | $76 | $76 | 4.9× |
| Glycated Protein (82985) | $25 | $25 | 1.5× |
| Gonadotropin Chorionic Qualitative (84703) | $104 | $104 | 13.8× |
| Gtt-added samples (82952) | $67 | $67 | 17.1× |
| H Pylori (C-13) Breath (83013) | $200 | $200 | 3.0× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$27–$60 | $27–$60 | varies |
| Hdl Cholesterol (83718) | $66 | $66 | 8.1× |
| Helicobacter Pylori Stool (87338) | $128 | $128 | 8.9× |
| Hematocrit (85014) | $39 | $39 | 16.5× |
| Hemoglobin (85018) | $42 | $42 | 17.7× |
| Hemoglobin a1c (83036) | $129 | $129 | 13.3× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$44–$48 | $44–$48 | varies |
| Heparin assay (85520) | $177 | $177 | 13.5× |
| Hepatitis a antibody total (86708) | $78 | $78 | 6.3× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$25–$48 | $25–$48 | varies |
| Hepatitis b core ab total (86704) | $25 | $25 | 2.1× |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$25–$48 | $25–$48 | varies |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$25–$34 | $25–$34 | varies |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$30–$54 | $30–$54 | varies |
| Hepatitis C Genotype (87902) | $381 | $381 | 1.5× |
| Hepatitis C Revrs Trnscrpj (87522) | $348 | $348 | 8.1× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$27–$188 | $27–$188 | varies |
| Heterophile Antibody Screen (86308) | $65 | $65 | 12.5× |
| Hfe Gene (81256) | $491 | $491 | 7.5× |
| Histamine urine (83088) | $65 | $65 | 2.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$41–$75 | $41–$75 | varies |
| Hiv-1 Antibody (86701) | $51 | $51 | 5.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $256 | $256 | 3.0× |
| Hla Class I Typing Low Resolution Complete (81372) | $293 | $293 | 0.7× |
| Hla class ii typing high resolution one locus ea (81382) | $128 | $128 | 1.0× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $264 | $264 | 1.2× |
| Hla ii typing 1 locus lr (81376) | $128 | $128 | 1.0× |
| Hla-b27 (86812) | $39 | $39 | 1.5× |
| Homocysteine (83090) | $88 | $88 | 4.9× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$144–$378 | $144–$378 | varies |
| Hydroxyprogesterone 17-d (83498) | $56 | $56 | 2.1× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $327 | $327 | 9.3× |
| Iadna Cytomegalovirus Quantification (87497) | $313 | $313 | 7.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $200 | $200 | 2.8× |
| Iadna Hepatitis B Virus Quantification (87517) | $431 | $431 | 10.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $313 | $313 | 8.9× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $144 | $144 | 3.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $327 | $327 | 9.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $59 | $59 | 1.7× |
| Ig Light Chains Free Each (83521) | $300 | $300 | 17.4× |
| Immune Complex Assay (86332) | $76 | $76 | 3.1× |
| Immunfix e-phorsis/urine/csf (86335) | $120 | $120 | 4.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$148–$215 | $148–$215 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $54 | $54 | 3.6× |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$61–$156 | $61–$156 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$48–$92 | $48–$92 | varies |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$81–$200 | $81–$200 | varies |
| Inhibin b (83520) range across 8 matching MRF lines |
$25–$266 | $25–$266 | varies |
| Insulin antibodies (86337) | $314 | $314 | 14.7× |
| Insulin total (83525) | $25 | $25 | 2.2× |
| Iron (83540) | $25 | $25 | 3.9× |
| Iron Binding Capacity (83550) | $25 | $25 | 2.9× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$77–$314 | $77–$314 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $406 | $406 | 4.4× |
| Koh Prep (87220) | $100 | $100 | 23.4× |
| Lactate (ld) (ldh) enzyme (83615) | $25 | $25 | 4.1× |
| Lactoferrin fecal qualitative (83630) | $86 | $86 | 4.4× |
| Ldh Isoenzymes (83625) | $25 | $25 | 2.0× |
| LDL direct (83721) | $25 | $25 | 2.4× |
| Lead (83655) | $54 | $54 | 4.5× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$40–$72 | $40–$72 | varies |
| Leukocyte Assessment Fecal (89055) | $38 | $38 | 8.9× |
| Lipase (83690) | $84 | $84 | 12.2× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$31–$53 | $31–$53 | varies |
| Lipoprotein Bld Quan Part (83704) | $53 | $53 | 1.6× |
| Lithium (80178) | $25 | $25 | 3.8× |
| Liver ds alys 3 bmrk srm alg (81517) | $425 | $425 | 2.4× |
| Luteinizing Hormone (Lh) (83002) | $27 | $27 | 1.5× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$54–$94 | $54–$94 | varies |
| Magnesium Urine (83735) | $77 | $77 | 11.5× |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$219–$335 | $219–$335 | varies |
| Methylmalonic acid serum (83921) | $132 | $132 | 6.2× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$25–$116 | $25–$116 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$25–$63 | $25–$63 | varies |
| Molecular Pathology Procedure Level 6 (81405) | $313.50 | $313.50 | 1.0× |
| Mopath procedure level 4 (81403) | $406 | $406 | 2.2× |
| Mopath procedure level 5 (81404) | $313.50 | $313.50 | 1.1× |
| Mopath procedure level 7 (81406) | $313.50 | $313.50 | 1.1× |
| Mthfr Gene Analysis Common Variants (81291) range across 2 matching MRF lines |
$321–$373 | $321–$373 | varies |
| Mumps antibody (86735) range across 2 matching MRF lines |
$34–$49 | $34–$49 | varies |
| Mycoplasma antibody (86738) | $33 | $33 | 2.5× |
| Myoglobin urine (83874) | $170 | $170 | 13.2× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$161–$280 | $161–$280 | varies |
| Nk cells total count (86357) | $47 | $47 | 1.2× |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$38–$649 | $38–$649 | varies |
| Occult blood feces (82272) | $47 | $47 | 11.1× |
| Organic acids urine (83918) | $296 | $296 | 12.5× |
| Osmolality serum (83930) | $25 | $25 | 3.8× |
| Osmolality Urine (83935) | $25 | $25 | 3.7× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$39–$110 | $39–$110 | varies |
| Palb2 gene full gene seq (81307) | $313.50 | $313.50 | 0.5× |
| Pancreatic Elastase Fecal (82656) | $280 | $280 | 24.3× |
| Ph urine (81003) range across 2 matching MRF lines |
$42–$44 | $42–$44 | varies |
| Phenobarbital Level (80184) | $55.50 | $55.50 | 3.6× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$28–$153 | $28–$153 | varies |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$27–$60 | $27–$60 | varies |
| Phosphorus Serum (84100) | $67 | $67 | 14.1× |
| Pinworm exam (87172) | $37 | $37 | 8.7× |
| Platelet count automated (85049) | $57 | $57 | 12.7× |
| Porphobilinogen, urine; quantitative (84110) | $35.50 | $35.50 | 4.2× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $35.50 | $35.50 | 2.4× |
| Potassium Urine (84133) | $25 | $25 | 5.3× |
| Prealbumin (84134) | $30 | $30 | 2.1× |
| Procalcitonin (Pct) (84145) | $250 | $250 | 9.2× |
| Progesterone (84144) | $52 | $52 | 2.5× |
| Prolactin (84146) | $37 | $37 | 1.9× |
| Protein body fluid (84157) | $25 | $25 | 6.3× |
| Protein C Activity (85303) | $118 | $118 | 8.5× |
| Protein c antigen (85302) | $121.50 | $121.50 | 10.1× |
| Protein Electrophoresis Urine (84166) | $25 | $25 | 1.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 4 matching MRF lines |
$25–$30 | $25–$30 | varies |
| Protein s total (85305) | $147 | $147 | 12.7× |
| Protein total serum (84155) range across 5 matching MRF lines |
$25–$63 | $25–$63 | varies |
| Protein Total Urine (84156) | $25 | $25 | 6.8× |
| Protein Western Blot Test (84182) | $649 | $649 | 22.2× |
| PSA free (84154) | $62 | $62 | 3.4× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $313.50 | $313.50 | 1.0× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $313.50 | $313.50 | 0.5× |
| Pth Intact (83970) range across 3 matching MRF lines |
$39–$81 | $39–$81 | varies |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$34–$315 | $34–$315 | varies |
| Quantiferon tb gold plus (86480) | $120 | $120 | 1.9× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$67–$115 | $67–$115 | varies |
| Rbc antibody screen (86850) | $148 | $148 | 15.1× |
| Renin activity plasma (84244) | $43 | $43 | 2.0× |
| Resp virus 12-25 targets (87633) | $327 | $327 | 0.8× |
| Resp Virus 6-11 Targets (87632) | $2,047.54 | $2,047.54 | 9.4× |
| Rh (86901) | $105 | $105 | 35.1× |
| Rheumatoid factor quant (86431) | $36 | $36 | 6.3× |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$34–$315 | $34–$315 | varies |
| Rotavirus ag eia (87425) | $42 | $42 | 3.5× |
| Rpr qualitative (86592) | $25 | $25 | 5.9× |
| Rubella Antibody (86762) | $34 | $34 | 2.4× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$34–$79 | $34–$79 | varies |
| Russell Viper Venom Time Diluted (85613) | $37 | $37 | 3.9× |
| Salicylate Level (80179) | $423 | $423 | 22.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$156–$200 | $156–$200 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $81 | $81 | 1.9× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $70 | $70 | 1.7× |
| Sarscov2 & inf a&b amp prb (87636) | $200 | $200 | 1.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $200 | $200 | 1.4× |
| Sedimentation Rate, Automated (85652) | $63 | $63 | 23.3× |
| Sensitivity mic (87186) range across 4 matching MRF lines |
$49–$106 | $49–$106 | varies |
| Serpina 1 gene (81332) | $155 | $155 | 3.6× |
| Sex Hormone Binding Globulin (84270) | $30 | $30 | 1.4× |
| Sickling of rbc reduction (85660) | $25 | $25 | 4.5× |
| Smear acid fast (87206) | $25 | $25 | 4.6× |
| Smear complex stain (87209) | $39 | $39 | 2.2× |
| Smear gram stain (87205) | $64 | $64 | 15.0× |
| Smear Special Stain (87207) | $48 | $48 | 8.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$55–$57 | $55–$57 | varies |
| Sodium Serum (84295) | $45 | $45 | 9.4× |
| Sodium Urine (84300) | $25 | $25 | 4.9× |
| Somatomedin (84305) | $72 | $72 | 3.4× |
| Specimen infect agnt concntj (87015) | $28 | $28 | 4.2× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$25–$50 | $25–$50 | varies |
| Strep a DNA amp probe (87651) | $135 | $135 | 3.8× |
| T cells absolute cd4 count (86361) | $56 | $56 | 2.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $185 | $185 | 3.9× |
| T3 Free (84481) | $97 | $97 | 5.7× |
| T3 reverse (84482) | $69 | $69 | 4.4× |
| T3 Total (84480) | $28 | $28 | 2.0× |
| T3 Uptake (84479) | $25 | $25 | 3.9× |
| T4 Free (84439) range across 2 matching MRF lines |
$27–$57 | $27–$57 | varies |
| T4 total (84436) | $25 | $25 | 3.6× |
| Tacrolimus (80197) | $147 | $147 | 10.7× |
| Test for acetone/ketones (82009) | $117 | $117 | 25.9× |
| Testosterone total (84403) range across 4 matching MRF lines |
$32–$45 | $32–$45 | varies |
| Testosterone, Free (84402) | $32 | $32 | 1.3× |
| Theophylline (80198) | $55 | $55 | 3.9× |
| Thyroglobulin (84432) | $25 | $25 | 1.6× |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$25–$63 | $25–$63 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $262 | $262 | 5.2× |
| Thyroxine binding globulin (84442) | $72 | $72 | 4.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$85–$170 | $85–$170 | varies |
| Tobramycin peak (80200) | $69.50 | $69.50 | 4.3× |
| Topiramate (80201) | $85 | $85 | 7.1× |
| Toxoplasma antibody (86777) | $101 | $101 | 7.0× |
| Tp53 gene analysis full gene sequence (81351) | $313.50 | $313.50 | 0.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $69 | $69 | 13.3× |
| Transferrin (84466) | $25 | $25 | 2.0× |
| Triglycerides (84478) | $44 | $44 | 7.7× |
| Troponin Quant (84484) | $142 | $142 | 11.4× |
| Urea nitrogen urine (84540) | $25 | $25 | 4.5× |
| Urinalysis Microscopic Only (81015) | $31 | $31 | 10.2× |
| Urinalysis Volume Measure (81050) | $27 | $27 | 7.4× |
| Urine Bacteria Culture (87088) | $149 | $149 | 18.4× |
| Urine Pregnancy Test (81025) | $69 | $69 | 8.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $58 | $58 | 18.3× |
| Valproic acid (80164) | $42 | $42 | 3.1× |
| Vancomycin (80202) range across 4 matching MRF lines |
$33–$221 | $33–$221 | varies |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$34–$60 | $34–$60 | varies |
| Vasopressin (84588) | $164 | $164 | 4.8× |
| Virus antibody nos (86790) range across 3 matching MRF lines |
$40–$71 | $40–$71 | varies |
| Vit D 1 25-Dihydroxy (82652) | $88 | $88 | 2.3× |
| Vitamin A (84590) | $81 | $81 | 7.0× |
| Vitamin b-12 (82607) | $25 | $25 | 1.7× |
| Vitamin B6 (84207) | $85 | $85 | 3.0× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$81–$85 | $81–$85 | varies |
| Vitamin E (84446) | $54 | $54 | 3.8× |
| Vitamin K (84597) | $268 | $268 | 19.5× |
| Von willebrand factor ag (85246) | $140 | $140 | 6.1× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$34–$82 | $34–$82 | varies |
| Zinc (84630) | $44 | $44 | 3.9× |
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.