Lab & pathology prices at Rush County Memorial Hospital
La Crosse, KS · every code in this section with a posted price and a Medicare benchmark.
328 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $203.40 | $226 | 5.3× |
| Acute hepatitis panel (80074) | $189 | $210 | 4.0× |
| Agglutinins Febrile Each Antigen (86000) | $62.10 | $69 | 8.9× |
| Aldolase (82085) | $36.90 | $41 | 3.8× |
| Aldosterone urine (82088) | $203.40 | $226 | 5.0× |
| Allergen specific ige (86003) range across 5 matching MRF lines |
$22.50–$225 | $25–$250 | varies |
| Allergen specific igg (86001) | $32.40 | $36 | 4.1× |
| Alpha-1-antitrypsin total (82103) | $89.10 | $99 | 6.6× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$67.50–$99 | $75–$110 | varies |
| Alt (sgpt) (84460) | $24.30 | $27 | 4.6× |
| Ammonia (82140) | $87.30 | $97 | 6.0× |
| Amylase urine (82150) | $52.20 | $58 | 8.1× |
| Ana Titer (86039) | $47.70 | $53 | 4.3× |
| Angiotensin converting enzyme csf (82164) | $87.30 | $97 | 6.0× |
| Antibody aspergillus (86606) | $126 | $140 | 8.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $117 | $130 | 7.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $103.50 | $115 | 6.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $73.80 | $82 | 4.1× |
| Antibody haemophilus influenza (86684) | $113.40 | $126 | 7.2× |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$56.70–$81 | $63–$90 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $93.60 | $104 | 6.5× |
| Antibody HIV-1&HIV-2 single result (86703) | $87.30 | $97 | 6.4× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$31.50–$43.20 | $35–$48 | varies |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$63–$85.50 | $70–$95 | varies |
| Antinuclear antibodies (86038) | $132.30 | $147 | 10.9× |
| Antistreptolysin o titer (86060) | $79.20 | $88 | 10.8× |
| Antithrombin iii activity (85300) | $92.70 | $103 | 7.8× |
| Aspergillus ag eia (87305) | $85.50 | $95 | 7.1× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$63–$127.80 | $70–$142 | varies |
| Assay of 5-hiaa (83497) | $153.90 | $171 | 11.9× |
| Assay of blood/uric acid (84550) | $28.80 | $32 | 6.4× |
| Assay of estrone (82679) | $75.60 | $84 | 3.0× |
| Assay of g6pd enzyme (82955) | $93.60 | $104 | 9.6× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$86.40–$175.50 | $96–$195 | varies |
| Assay of lactic acid (83605) | $83.70 | $93 | 7.2× |
| Assay of metanephrines (83835) | $81 | $90 | 4.8× |
| Assay of serotonin (84260) | $160.20 | $178 | 5.2× |
| Assay of serum potassium (84132) | $35.10 | $39 | 7.4× |
| Assay of urea nitrogen (84520) | $35.10 | $39 | 8.9× |
| Assay of urine vma (84585) | $110.70 | $123 | 7.1× |
| Assay of vasoactive intestinal peptide (84586) | $76.50 | $85 | 2.2× |
| Assay of vitamin b-1 (84425) | $122.40 | $136 | 5.8× |
| Automated Leukocyte Count (85048) | $18.90 | $21 | 7.4× |
| Beta 2 glycoprotein i antibody each (86146) | $81 | $90 | 3.2× |
| Beta Lactamase (87185) | $71.10 | $79 | 15.0× |
| Beta-2 Microglobulin (82232) | $74.70 | $83 | 4.6× |
| Bilirubin direct (82248) | $37.80 | $42 | 7.5× |
| Bilirubin total (82247) | $40.50 | $45 | 8.1× |
| Bl Smear W/O Diff Wbc Count (85008) | $94.50 | $105 | 27.6× |
| Blastomyces antibody (86612) | $125.10 | $139 | 9.7× |
| Blood Count Automated Differential Wbc Count (85004) | $21.60 | $24 | 3.3× |
| Blood count reticulocyte automated (85045) | $104.40 | $116 | 26.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $31.50 | $35 | 8.3× |
| Blood gas (82803) | $121.50 | $135 | 4.7× |
| Blood typing serologic abo (86900) | $43.20 | $48 | 14.4× |
| C diff amplified probe (87493) | $164.70 | $183 | 4.4× |
| C-Peptide (84681) | $98.10 | $109 | 4.7× |
| C-reactive protein (86140) | $58.50 | $65 | 11.3× |
| Ca 19-9 (86301) | $72.90 | $81 | 3.5× |
| Cadmium (82300) | $90.90 | $101 | 3.8× |
| Calcium ionized (82330) | $71.10 | $79 | 5.2× |
| Calcium total (82310) | $40.50 | $45 | 7.8× |
| Calculus Xray Diffraction (82370) | $90 | $100 | 7.2× |
| Calprotectin Fecal (83993) | $43.20 | $48 | 2.2× |
| Cancer Antigen 125 (86304) | $72.90 | $81 | 3.5× |
| Cancer Antigen 27.29 (86300) | $72.90 | $81 | 3.5× |
| Candida antibody (86628) | $72.90 | $81 | 6.1× |
| Carbamazepine total (80156) | $142.20 | $158 | 9.8× |
| Carboxyhemoglobin (82375) | $81 | $90 | 6.6× |
| Carcinoembryonic antigen (82378) | $127.80 | $142 | 6.7× |
| Cardiolipin ab iga (86147) | $90 | $100 | 3.5× |
| Catecholamines total urine (82382) | $142.20 | $158 | 5.2× |
| Ccp antibody (86200) | $62.10 | $69 | 4.8× |
| Cell marker study (88182) | $236.70 | $263 | 4.9× |
| Chemiluminescent assay (82397) | $71.10 | $79 | 5.0× |
| Chloride other source (82438) | $24.30 | $27 | 4.9× |
| Chloride urine (82436) | $37.80 | $42 | 6.6× |
| Cholesterol total (82465) | $35.10 | $39 | 8.1× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$85.50–$109.80 | $95–$122 | varies |
| Chromogranin a (86316) | $99 | $110 | 4.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $82.80 | $92 | 2.4× |
| Ckmb (82553) | $94.50 | $105 | 8.2× |
| Clostridium Difficile (87324) | $63 | $70 | 5.3× |
| Coagulation time; Lee and White Facility (85345) | $59.40 | $66 | 12.7× |
| Coccidioides antibody (86635) | $118.80 | $132 | 10.4× |
| Cold agglutinin titer (86157) | $66.60 | $74 | 8.3× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$71.10–$94.50 | $79–$105 | varies |
| Complement Total (Ch50) (86162) | $99.90 | $111 | 4.9× |
| Coombs direct (86880) | $33.30 | $37 | 6.2× |
| Cortisol free (82530) | $113.40 | $126 | 6.8× |
| Cortisol saliva (82533) | $109.80 | $122 | 6.7× |
| Creatine (82540) | $47.70 | $53 | 10.3× |
| Creatine kinase total (82550) | $58.50 | $65 | 9.0× |
| Creatinine blood (82565) | $40.50 | $45 | 7.9× |
| Creatinine clearance (82575) | $45 | $50 | 4.8× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$37.80–$77.40 | $42–$86 | varies |
| Crossmatch immediate spin (86920) | $91.80 | $102 | 0.6× |
| Crp High Sensitivity (86141) | $144 | $160 | 11.1× |
| Cryoglobulin (82595) | $24.30 | $27 | 3.8× |
| Cryptosporidium ag eia (87328) | $56.70 | $63 | 4.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $66.60 | $74 | 8.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $40.50 | $45 | 5.3× |
| Culture afb (87116) | $92.70 | $103 | 8.6× |
| Culture Anaerobic (87075) | $43.20 | $48 | 4.6× |
| Culture blood (87040) | $81 | $90 | 7.8× |
| Culture csf (87070) range across 2 matching MRF lines |
$43.20–$54 | $48–$60 | varies |
| Culture screen only (87081) | $36 | $40 | 5.4× |
| Culture stool (87045) | $43.20 | $48 | 4.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$28.80–$37.80 | $32–$42 | varies |
| Culture urine (87086) | $62.10 | $69 | 7.7× |
| Cytomegalovirus igg (86644) | $126.90 | $141 | 8.8× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$211.50–$217.80 | $235–$242 | varies |
| Detect Agent Nos Dna Quant (87799) | $307.80 | $342 | 7.2× |
| Dhea (82626) | $109.80 | $122 | 4.3× |
| Dhea-S (82627) | $142.20 | $158 | 6.4× |
| Digoxin (80162) | $94.50 | $105 | 7.1× |
| Diphtheria antitoxoid (86648) | $92.70 | $103 | 6.1× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$72–$75.60 | $80–$84 | varies |
| Dna Antibody Single Stranded (86226) | $85.50 | $95 | 7.1× |
| Dna/Rna Amplified Probe (87150) | $118.80 | $132 | 3.4× |
| Drug Screen Quant Zonisamide (80203) | $113.40 | $126 | 8.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $97.20 | $108 | 7.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $71.10 | $79 | 5.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $94.50 | $105 | 7.1× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$171–$175.50 | $190–$195 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $49.50 | $55 | 3.9× |
| Electrolyte panel (80051) | $37.80 | $42 | 5.4× |
| Erythropoietin (82668) | $124.20 | $138 | 6.6× |
| Estradiol serum (82670) | $161.10 | $179 | 5.8× |
| Estriol (82677) | $123.30 | $137 | 5.1× |
| Estrogens fractionated (82671) | $77.40 | $86 | 2.4× |
| Ethosuximide (80168) | $87.30 | $97 | 5.3× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$83.70–$105.30 | $93–$117 | varies |
| Factor v leiden mutation (81241) | $202.50 | $225 | 2.8× |
| Factor viii assay (85240) | $150.30 | $167 | 8.4× |
| Fat/Lipids Feces Quantitative (82710) | $108.90 | $121 | 6.5× |
| Ferritin (82728) | $117.90 | $131 | 8.7× |
| Fibrin Degradation Quant (85379) | $94.50 | $105 | 9.3× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $77.40 | $86 | 8.0× |
| Flow cytometry first marker (88184) | $202.50 | $225 | 0.6× |
| Fluorescent antibody screen (86255) | $62.10 | $69 | 5.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $100.80 | $112 | 8.4× |
| Folic acid rbc (82747) | $115.20 | $128 | 6.5× |
| Folic Acid Serum (82746) | $136.80 | $152 | 9.3× |
| Follicle Stimulating Hormone (83001) | $125.10 | $139 | 6.7× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$47.70–$147.60 | $53–$164 | varies |
| Fungi Identification Yeast (87106) | $75.60 | $84 | 7.3× |
| Gammaglobulin ige (82785) | $113.40 | $126 | 6.9× |
| Gastric Analy W/Ph Ea Spec (82930) | $47.70 | $53 | 7.1× |
| Gastrin (82941) | $119.70 | $133 | 6.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,206.90 | $1,341 | 2.9× |
| Gentamicin (80170) | $71.10 | $79 | 4.3× |
| Ggt (82977) | $27.90 | $31 | 3.9× |
| Giardia antigen (87329) | $56.70 | $63 | 4.7× |
| Glucose body fluid (82945) | $35.10 | $39 | 8.9× |
| Glucose Serum (82947) | $35.10 | $39 | 8.9× |
| Glucose tolerance test (gtt) (82951) | $90 | $100 | 7.0× |
| Gonadotropin Chorionic Qualitative (84703) | $75.60 | $84 | 10.1× |
| Growth hormone (83003) | $132.30 | $147 | 7.9× |
| Haptoglobin (83010) | $66.60 | $74 | 5.3× |
| Hdl Cholesterol (83718) | $43.20 | $48 | 5.3× |
| Heavy metal qualitative any analytes (83015) range across 2 matching MRF lines |
$4.50–$47.70 | $5–$53 | varies |
| Helicobacter Pylori Stool (87338) | $75.60 | $84 | 5.3× |
| Hematocrit (85014) range across 2 matching MRF lines |
$22.50–$24.30 | $25–$27 | varies |
| Hemoglobin (85018) | $35.10 | $39 | 14.8× |
| Hemoglobin a1c (83036) | $63.90 | $71 | 6.6× |
| Hemoglobin electrophoresis (83020) | $115.20 | $128 | 9.0× |
| Hep a ab igm (86709) | $71.10 | $79 | 6.3× |
| Hepatitis a antibody total (86708) | $90 | $100 | 7.3× |
| Hepatitis b core ab igm (86705) | $63.90 | $71 | 5.4× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$56.70–$63.90 | $63–$71 | varies |
| Hepatitis B Surface Antibody (86706) | $90 | $100 | 8.4× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$30.60–$84.60 | $34–$94 | varies |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$54–$106.20 | $60–$118 | varies |
| Hepatitis C Genotype (87902) | $614.70 | $683 | 2.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $316.80 | $352 | 7.4× |
| Heterophile Antibody Screen (86308) | $45.90 | $51 | 8.9× |
| Hfe Gene (81256) | $432 | $480 | 6.6× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$71.10–$74.70 | $79–$83 | varies |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$106.20–$126 | $118–$140 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $66.60 | $74 | 2.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $129.60 | $144 | 1.5× |
| Hla-b27 (86812) | $71.10 | $79 | 2.8× |
| Homocysteine (83090) | $283.50 | $315 | 15.8× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$85.50–$359.10 | $95–$399 | varies |
| Hydroxycorticosteroids 17 (83491) | $126 | $140 | 7.0× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$106.20–$153.90 | $118–$171 | varies |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $84.60 | $94 | 7.1× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $78.30 | $87 | 5.6× |
| Iaad ia shiga-like toxin (87427) | $63 | $70 | 5.3× |
| Iaadi inffluenza a virus (87276) | $84.60 | $94 | 5.3× |
| Iadna Cytomegalovirus Quantification (87497) | $85.50 | $95 | 2.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$82.80–$94.50 | $92–$105 | varies |
| Igg subclasses (82787) | $80.10 | $89 | 10.0× |
| Immunfix e-phorsis/urine/csf (86335) | $159.30 | $177 | 5.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $75.60 | $84 | 4.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$70.20–$359.10 | $78–$399 | varies |
| Immunoassay nonantibody (83516) range across 6 matching MRF lines |
$56.70–$117 | $63–$130 | varies |
| Immunofixation electrophoresis (86334) | $130.50 | $145 | 5.8× |
| Immunohistochemistry (88342) | $354.60 | $394 | 2.3× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $84.60 | $94 | 6.9× |
| Inhibin b (83520) range across 6 matching MRF lines |
$41.40–$283.50 | $46–$315 | varies |
| Insulin total (83525) | $96.30 | $107 | 8.4× |
| Iron (83540) range across 2 matching MRF lines |
$45–$54.90 | $50–$61 | varies |
| Iron Binding Capacity (83550) | $90.90 | $101 | 10.4× |
| Islet cell antibody (86341) | $99.90 | $111 | 4.2× |
| Jak2 gene analysis p.val617phe variant (81270) | $117 | $130 | 1.3× |
| Koh Prep (87220) | $30.60 | $34 | 7.2× |
| Lactate (ld) (ldh) enzyme (83615) | $49.50 | $55 | 8.2× |
| Lead (83655) | $45.90 | $51 | 3.8× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$63–$110.70 | $70–$123 | varies |
| Leukocyte Assessment Fecal (89055) | $36 | $40 | 8.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $47.70 | $53 | 1.8× |
| Level ii surg pathology grossµscopic exam (88302) | $104.40 | $116 | 3.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $318.60 | $354 | 1.0× |
| Lipase (83690) | $62.10 | $69 | 9.0× |
| Lithium (80178) | $47.70 | $53 | 7.2× |
| Luteinizing Hormone (Lh) (83002) | $122.40 | $136 | 6.6× |
| Lyme disease antibody (86618) | $90 | $100 | 5.3× |
| Lymphocyte transformation (86353) | $234 | $260 | 4.8× |
| Lysozyme serum (85549) | $62.10 | $69 | 3.3× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$45.90–$56.70 | $51–$63 | varies |
| Mass Spectrometry Quant (83789) | $222.30 | $247 | 9.2× |
| Mercury urine (83825) | $71.10 | $79 | 4.4× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$10.80–$47.70 | $12–$53 | varies |
| Microsomal Antibodies Each (86376) | $72 | $80 | 4.9× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $104.40 | $116 | 2.8× |
| Mrsa Pcr (87641) | $189 | $210 | 5.4× |
| Mumps antibody (86735) | $81 | $90 | 6.2× |
| Mycoplasma antibody (86738) | $125.10 | $139 | 9.4× |
| Myoglobin urine (83874) | $99.90 | $111 | 7.7× |
| Natriuretic peptide (83880) | $127.80 | $142 | 3.3× |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$63–$85.50 | $70–$95 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$14.40–$24.30 | $16–$27 | varies |
| Osmolality Urine (83935) | $67.50 | $75 | 9.9× |
| Ova and parasites smears (87177) | $45.90 | $51 | 5.2× |
| Particle Agglutination Screen Each Antibody (86403) | $28.80 | $32 | 2.5× |
| Phenobarbital Level (80184) | $94.50 | $105 | 6.2× |
| Phenotype Infect Agent Drug (87900) | $1,831.50 | $2,035 | 14.1× |
| Phenytoin (Dilantin) (80185) | $94.50 | $105 | 7.1× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$45–$112.50 | $50–$125 | varies |
| Phosphorus Serum (84100) | $40.50 | $45 | 8.5× |
| Platelet count automated (85049) | $35.10 | $39 | 7.8× |
| Prealbumin (84134) | $90 | $100 | 6.2× |
| Progesterone (84144) | $99 | $110 | 4.7× |
| Prolactin (84146) | $137.70 | $153 | 7.1× |
| Prostaglandin (84150) | $137.70 | $153 | 3.3× |
| Protein body fluid (84157) | $45 | $50 | 11.3× |
| Protein c antigen (85302) | $99 | $110 | 8.2× |
| Protein Electrophoresis Urine (84166) | $139.50 | $155 | 7.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $189 | $210 | 17.6× |
| Protein s total (85305) | $126 | $140 | 10.9× |
| Protein total serum (84155) | $41.40 | $46 | 11.3× |
| Protein Total Urine (84156) | $45 | $50 | 12.3× |
| PSA free (84154) | $91.80 | $102 | 5.0× |
| Pth Intact (83970) | $203.40 | $226 | 4.9× |
| Quantiferon tb gold plus (86480) | $161.10 | $179 | 2.6× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$81–$690.30 | $90–$767 | varies |
| Rbc antibody screen (86850) | $60.30 | $67 | 6.2× |
| Reagent Strip/Blood Glucose (82948) | $22.50 | $25 | 4.5× |
| Renin activity plasma (84244) | $142.20 | $158 | 6.5× |
| Rh (86901) | $42.30 | $47 | 14.1× |
| Rheumatoid factor quant (86431) | $55.80 | $62 | 9.8× |
| Rotavirus ag eia (87425) | $84.60 | $94 | 7.1× |
| Rubella Antibody (86762) | $40.50 | $45 | 2.8× |
| Rubeola antibody (86765) | $80.10 | $89 | 6.2× |
| Russell Viper Venom Time Diluted (85613) | $45 | $50 | 4.7× |
| Sars-cov-2 COVID-19 antibody (86769) | $90 | $100 | 2.1× |
| Sedimentation rate (85651) | $37.80 | $42 | 8.9× |
| Semen analysis motility and count (89310) | $49.50 | $55 | 5.7× |
| Sensitivity mic (87186) | $67.50 | $75 | 7.8× |
| Sex Hormone Binding Globulin (84270) | $86.40 | $96 | 4.0× |
| Sickling of rbc reduction (85660) | $24.30 | $27 | 4.4× |
| Sirolimus (80195) | $32.40 | $36 | 2.4× |
| Skin test tuberculosis intradermal (86580) | $22.50 | $25 | 0.8× |
| Smear acid fast (87206) | $66.60 | $74 | 12.4× |
| Smear gram stain (87205) | $24.30 | $27 | 5.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$8.10–$19.80 | $9–$22 | varies |
| Sodium Serum (84295) | $37.80 | $42 | 7.9× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$32.40–$37.80 | $36–$42 | varies |
| Soluble Transferrin Receptor (84238) | $186.30 | $207 | 5.1× |
| Somatomedin (84305) | $161.10 | $179 | 7.6× |
| Special Stains Group 1 (88312) | $99.90 | $111 | 2.1× |
| Special Stains Group 2 (88313) | $99.90 | $111 | 0.8× |
| Specimen infect agnt concntj (87015) | $47.70 | $53 | 7.1× |
| Spectrophotometry (84311) | $217.80 | $242 | 26.9× |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$36–$85.50 | $40–$95 | varies |
| Strep a assay w/optic (87880) | $121.50 | $135 | 7.4× |
| Surg path level iii (88304) | $142.20 | $158 | 3.0× |
| Surgical pathology level IV (88305) | $229.50 | $255 | 4.8× |
| Surgical pathology level vi (88309) | $429.30 | $477 | 0.6× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$24.30–$31.50 | $27–$35 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $108 | $120 | 2.3× |
| T3 Free (84481) | $123.30 | $137 | 7.3× |
| T3 reverse (84482) | $118.80 | $132 | 7.5× |
| T3 Total (84480) | $99 | $110 | 7.0× |
| T3 Uptake (84479) | $28.80 | $32 | 4.5× |
| T4 Free (84439) | $64.80 | $72 | 7.2× |
| T4 total (84436) | $42.30 | $47 | 6.2× |
| Tacrolimus (80197) | $118.80 | $132 | 8.7× |
| Testosterone total (84403) range across 2 matching MRF lines |
$80.10–$173.70 | $89–$193 | varies |
| Tetanus antibody (86774) | $102.60 | $114 | 6.9× |
| Theophylline (80198) | $107.10 | $119 | 7.6× |
| Thyroglobulin (84432) | $180 | $200 | 11.2× |
| Thyroglobulin Antibody (86800) | $81 | $90 | 5.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $562.50 | $625 | 11.1× |
| Topiramate (80201) | $85.50 | $95 | 7.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $45 | $50 | 8.7× |
| Transferrin (84466) | $94.50 | $105 | 7.4× |
| Triglycerides (84478) | $24.30 | $27 | 4.2× |
| Troponin Quant (84484) | $123.30 | $137 | 9.9× |
| Urinalysis Volume Measure (81050) | $35.10 | $39 | 9.6× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$31.50–$39.60 | $35–$44 | varies |
| Urine Pregnancy Test (81025) | $60.30 | $67 | 7.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $34.20 | $38 | 10.8× |
| Valproic acid (80164) | $115.20 | $128 | 8.5× |
| Vancomycin (80202) | $104.40 | $116 | 7.7× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$76.50–$78.30 | $85–$87 | varies |
| Viscosity serum (85810) | $59.40 | $66 | 5.1× |
| Vit D 1 25-Dihydroxy (82652) | $156.60 | $174 | 4.1× |
| Vitamin A (84590) | $85.50 | $95 | 7.4× |
| Vitamin b-12 (82607) | $119.70 | $133 | 7.9× |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$170.10–$224.10 | $189–$249 | varies |
| Vitamin D 25-Hydroxy (82306) | $255.60 | $284 | 8.6× |
| Vitamin E (84446) | $75.60 | $84 | 5.3× |
| West nile virus ab igm (86788) | $80.10 | $89 | 4.8× |
| West Nile Virus Antibody (86789) | $80.10 | $89 | 5.6× |
| Zinc (84630) | $75.60 | $84 | 6.6× |
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.