Lab & pathology prices at SageWest Health Care (Riverton Campus)
Riverton, WY · every code in this section with a posted price and a Medicare benchmark.
575 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $95.40 | $159 | 6.2× |
| Acth (82024) | $172.80 | $288 | 4.5× |
| Acylcarnitines Quant (82017) | $126 | $210 | 7.5× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $73.20 | $122 | 4.4× |
| Albumin Fluid (82042) | $48 | $80 | 6.2× |
| Albumin serum (82040) | $63 | $105 | 12.7× |
| Aldolase (82085) | $108.60 | $181 | 11.2× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$73.80–$89.40 | $123–$149 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $31.80 | $53 | 4.0× |
| Allergen specific ige (86003) | $37.20 | $62 | 7.1× |
| Allergen specific igg (86001) | $37.20 | $62 | 4.8× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$73.80–$128.40 | $123–$214 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $50.40 | $84 | 3.0× |
| Alpha-Fetoprotein Serum (82105) | $66.60 | $111 | 4.0× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$68.40–$117.90 | $114–$196.50 | varies |
| Aluminum (82108) | $123 | $205 | 4.8× |
| Amikacin trough (80150) range across 2 matching MRF lines |
$60.60–$88.65 | $101–$147.75 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 4 matching MRF lines |
$105–$283.67 | $175–$472.78 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) range across 2 matching MRF lines |
$85.20–$137.41 | $142–$229.01 | varies |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$95.40–$163.11 | $159–$271.85 | varies |
| Ammonia (82140) | $106.20 | $177 | 7.3× |
| Amylase urine (82150) | $29.40 | $49 | 4.5× |
| Ana Titer (86039) | $64.80 | $108 | 5.8× |
| Androstenedione (82157) | $143.40 | $239 | 4.9× |
| Angiotensin converting enzyme csf (82164) | $113.40 | $189 | 7.8× |
| Anti-Phospholipid Antibody (86148) | $92.40 | $154 | 5.7× |
| Antibody aspergillus (86606) | $79.20 | $132 | 5.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $63.60 | $106 | 3.8× |
| Antibody Encephalitis California La Crosse (86651) | $74.40 | $124 | 5.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $121.80 | $203 | 9.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $80.40 | $134 | 5.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $202.80 | $338 | 11.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $95.40 | $159 | 7.8× |
| Antibody haemophilus influenza (86684) | $64.80 | $108 | 4.1× |
| Antibody helicobacter pylori (86677) range across 6 matching MRF lines |
$20.40–$115.20 | $34–$192 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 4 matching MRF lines |
$87–$148.05 | $145–$246.75 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $96 | $160 | 7.0× |
| Antibody HIV-2 (86702) | $282 | $470 | 20.9× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $112.80 | $188 | 5.8× |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$127.80–$138.60 | $213–$231 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $72 | $120 | 5.8× |
| Antibody Protozoa Nes (86753) range across 4 matching MRF lines |
$64.20–$105.60 | $107–$176 | varies |
| Antibody Titer (86886) | $82.80 | $138 | 16.0× |
| Antibody Treponema Pallidum (86780) | $61.80 | $103 | 4.7× |
| Antibody; influenza virus (86710) | $64.80 | $108 | 4.8× |
| Antistreptolysin O Screen (86063) | $55.20 | $92 | 9.6× |
| Antistreptolysin o titer (86060) | $46.80 | $78 | 6.4× |
| Antithrombin iii activity (85300) | $166.80 | $278 | 14.1× |
| Antithrombin iii antigen (85301) | $157.80 | $263 | 14.6× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$73.20–$76.80 | $122–$128 | varies |
| Arsenic (82175) range across 3 matching MRF lines |
$24.60–$44.40 | $41–$74 | varies |
| Aspergillus ag eia (87305) | $112.80 | $188 | 9.4× |
| Assay activated protein c (85307) | $73.80 | $123 | 4.8× |
| Assay Blood Carbon Dioxide (82374) | $48 | $80 | 9.8× |
| Assay Blood Catecholamines (82383) | $296.40 | $494 | 10.2× |
| Assay Nephelometry Not Spec (83883) range across 4 matching MRF lines |
$54.60–$80.40 | $91–$134 | varies |
| Assay of 5-hiaa (83497) | $160.80 | $268 | 12.5× |
| Assay of blood/uric acid (84550) | $67.20 | $112 | 14.9× |
| Assay of calcium in urine (82340) | $141 | $235 | 23.4× |
| Assay of corticosterone (82528) | $54.75 | $91.25 | 2.4× |
| Assay of cpk in blood (82552) | $54 | $90 | 4.0× |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$86.40–$148.05 | $144–$246.75 | varies |
| Assay of gammaglobulin igm (82784) range across 8 matching MRF lines |
$94.80–$177.30 | $158–$295.50 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$85.20–$148.05 | $142–$246.75 | varies |
| Assay of manganese (83785) | $76.80 | $128 | 2.9× |
| Assay of metanephrines (83835) | $59.40 | $99 | 3.5× |
| Assay of phosphatase alkaline heat stable (84078) | $64.80 | $108 | 7.8× |
| Assay of proinsulin (84206) | $148.20 | $247 | 5.6× |
| Assay of pyruvate (84210) | $97.80 | $163 | 6.8× |
| Assay of serotonin (84260) | $282 | $470 | 9.1× |
| Assay of serum potassium (84132) | $55.80 | $93 | 11.7× |
| Assay of sweat sodium (84302) range across 3 matching MRF lines |
$28.80–$88.65 | $48–$147.75 | varies |
| Assay of Tyrosine (84510) | $166.80 | $278 | 15.7× |
| Assay of urea nitrogen (84520) | $70.80 | $118 | 17.9× |
| Assay of urine vma (84585) | $161.40 | $269 | 10.4× |
| Assay of vasoactive intestinal peptide (84586) | $162 | $270 | 4.6× |
| Assay of vitamin b-1 (84425) | $142.80 | $238 | 6.7× |
| Assay Ph Body Fluid Nos (83986) | $37.20 | $62 | 10.4× |
| Atomic Absorption (82190) | $320.02 | $533.37 | 20.1× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$34.80–$40.20 | $58–$67 | varies |
| B cells total count (86355) | $121.20 | $202 | 3.2× |
| Bartonella antibody (86611) | $39 | $65 | 3.8× |
| Beta 2 glycoprotein i antibody each (86146) | $116.40 | $194 | 4.6× |
| Beta hydroxybutyrate (82010) | $90 | $150 | 11.0× |
| Beta Lactamase (87185) | $37.20 | $62 | 7.8× |
| Beta-2 Microglobulin (82232) | $188.40 | $314 | 11.6× |
| Bile acids total (82239) | $10.80 | $18 | 0.6× |
| Bilirubin direct (82248) | $60.60 | $101 | 12.1× |
| Bilirubin total (82247) | $63.60 | $106 | 12.7× |
| Bilirubin; feces, qualitative Facility (82252) | $19.20 | $32 | 4.2× |
| Biotinidase (82261) | $18 | $30 | 1.1× |
| Bld Typing Serologic Rh Phnt (86906) | $36 | $60 | 4.6× |
| Bleeding time test (85002) | $130.20 | $217 | 27.0× |
| Blood Count Red Blood Cell Automated (85041) | $39 | $65 | 12.9× |
| Blood count reticulocyte automated (85045) | $55.80 | $93 | 14.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $39.60 | $66 | 10.4× |
| Blood count spun microhematocrit (85013) | $40.20 | $67 | 5.7× |
| Blood gas (82803) range across 3 matching MRF lines |
$14.40–$237 | $24–$395 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 3 matching MRF lines |
$41.40–$82.20 | $69–$137 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$39.60–$49.80 | $66–$83 | varies |
| Bone marrow smear interpretation (85097) | $81 | $135 | 0.1× |
| Bordetella antibody (86615) | $80.40 | $134 | 6.1× |
| Breath Alcohol Test (82075) | $39.60 | $66 | 1.3× |
| Brucella antibody (86622) | $49.80 | $83 | 5.6× |
| C diff amplified probe (87493) | $109.80 | $183 | 2.9× |
| C-Peptide (84681) | $87.60 | $146 | 4.2× |
| C-reactive protein (86140) | $87 | $145 | 16.8× |
| Ca 19-9 (86301) | $120.60 | $201 | 5.8× |
| Cadmium (82300) | $162.60 | $271 | 6.9× |
| Calcitonin (82308) range across 3 matching MRF lines |
$64.80–$59,999.99 | $108–$99,999.99 | varies |
| Calcium ionized (82330) | $79.20 | $132 | 5.8× |
| Calcium total (82310) range across 2 matching MRF lines |
$85.20–$148.05 | $142–$246.75 | varies |
| Calculus assay quant (82360) | $81 | $135 | 6.3× |
| Calculus Spectroscopy (82365) | $135.60 | $226 | 10.5× |
| Calprotectin Fecal (83993) | $80.41 | $134.01 | 4.1× |
| Cancer Antigen 125 (86304) | $183.60 | $306 | 8.8× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$101.40–$102 | $169–$170 | varies |
| Carbamazepine total (80156) | $143.40 | $239 | 9.8× |
| Carboxyhemoglobin (82375) | $143.40 | $239 | 11.6× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$134.40–$142.80 | $224–$238 | varies |
| Carnitine Quantitative Each Specimen (82379) | $148.20 | $247 | 8.8× |
| Carotene (82380) range across 2 matching MRF lines |
$86.40–$148.05 | $144–$246.75 | varies |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$154.80–$319.80 | $258–$533 | varies |
| Ccp antibody (86200) | $127.20 | $212 | 9.8× |
| Cell count csf (89051) | $112.80 | $188 | 20.1× |
| Ceruloplasmin (82390) | $102 | $170 | 9.5× |
| Chemiluminescent assay (82397) | $86.40 | $144 | 6.1× |
| Chlamydia antibody (86631) range across 4 matching MRF lines |
$54.60–$126.60 | $91–$211 | varies |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$57–$58.80 | $95–$98 | varies |
| Chloride other source (82438) range across 2 matching MRF lines |
$28.80–$54.75 | $48–$91.25 | varies |
| Chloride Serum (82435) | $79.20 | $132 | 17.2× |
| Chloride urine (82436) | $79.20 | $132 | 13.8× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$58.20–$100.17 | $97–$166.95 | varies |
| Cholinesterase rbc (82482) | $84.60 | $141 | 8.6× |
| Cholinesterase Serum (82480) | $41.40 | $69 | 5.3× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$41.40–$252 | $69–$420 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $225 | $375 | 1.2× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $225 | $375 | 6.5× |
| Chromium serum (82495) | $88.20 | $147 | 4.3× |
| Chromogenic Substrate Assay (85130) | $156.79 | $261.32 | 13.2× |
| Chromogranin a (86316) range across 3 matching MRF lines |
$127.20–$240 | $212–$400 | varies |
| Citric acid urine (82507) | $110.40 | $184 | 4.0× |
| Ckmb (82553) | $150.60 | $251 | 13.0× |
| Clostridium Difficile (87324) | $200.40 | $334 | 16.7× |
| Clot Factor VIII Multimetric (85247) | $91.20 | $152 | 4.0× |
| Clot factor xiii fibrin stab (85290) | $132.60 | $221 | 8.1× |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
$116.40–$128.40 | $194–$214 | varies |
| Cold agglutinin titer (86157) | $78.60 | $131 | 9.8× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$86.40–$259.20 | $144–$432 | varies |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$163.11–$342.60 | $271.85–$571 | varies |
| Compatibility Each Unit Incubation (86921) | $18 | $30 | 0.1× |
| Compatibility test antiglob (86922) | $79.20 | $132 | 0.5× |
| Complement Antigen Each Component (86160) range across 6 matching MRF lines |
$50.40–$194.40 | $84–$324 | varies |
| Complement Fixation Tests Each Antigen (86171) | $42 | $70 | 4.2× |
| Complement Total (Ch50) (86162) | $130.80 | $218 | 6.4× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$49.80–$266.40 | $83–$444 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $257.40 | $429 | 4.8× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $282 | $470 | 7.4× |
| Coombs direct (86880) range across 5 matching MRF lines |
$24–$82.80 | $40–$138 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$55.20–$128.40 | $92–$214 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$92.40–$142.80 | $154–$238 | varies |
| Cortisol saliva (82533) | $89.40 | $149 | 5.5× |
| Creatine (82540) | $18 | $30 | 3.9× |
| Creatine kinase total (82550) | $97.80 | $163 | 15.0× |
| Creatinine blood (82565) | $71.40 | $119 | 13.9× |
| Creatinine clearance (82575) | $130.20 | $217 | 13.8× |
| Creatinine Urine (82570) | $36 | $60 | 6.9× |
| Crossmatch immediate spin (86920) | $75 | $125 | 0.4× |
| Cryoglobulin (82595) | $39 | $65 | 6.0× |
| Cryptococcus ab (86641) range across 3 matching MRF lines |
$85.20–$137.41 | $142–$229.01 | varies |
| Cryptococcus ag titer (87899) range across 7 matching MRF lines |
$115.20–$133.80 | $192–$223 | varies |
| Cryptosporidium (87272) | $69.60 | $116 | 5.8× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$114–$177.30 | $190–$295.50 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$33.60–$78.60 | $56–$131 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $64.80 | $108 | 8.0× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $75 | $125 | 9.7× |
| Culture afb (87116) | $111.60 | $186 | 10.3× |
| Culture Anaerobic (87075) | $153.60 | $256 | 16.2× |
| Culture blood (87040) | $190.80 | $318 | 18.5× |
| Culture chlamydia (87110) | $55.80 | $93 | 2.8× |
| Culture csf (87070) range across 10 matching MRF lines |
$75.60–$153.60 | $126–$256 | varies |
| Culture fungus (87102) | $106.20 | $177 | 12.6× |
| Culture fungus blood (87103) | $75 | $125 | 3.7× |
| Culture screen only (87081) range across 11 matching MRF lines |
$27.60–$123 | $46–$205 | varies |
| Culture typing if ea antiserum (87140) range across 3 matching MRF lines |
$25.20–$26.40 | $42–$44 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $32.40 | $54 | 6.3× |
| Culture typing other methods (87158) | $159 | $265 | 20.5× |
| Culture urine (87086) | $123 | $205 | 15.2× |
| Culture, typing; identification by pulse field gel typing Facility (87152) range across 2 matching MRF lines |
$21.60–$35.46 | $36–$59.10 | varies |
| Cyclic amp (82030) | $161.40 | $269 | 6.3× |
| Cyclosporine (80158) | $259.20 | $432 | 14.4× |
| Cyp2d6 gene com variants (81226) | $448.20 | $747 | 1.0× |
| Cystatin C (82610) | $7.80 | $13 | 0.4× |
| Cytogenetics 10-30 (88273) | $211.80 | $353 | 6.1× |
| Cytogenetics 100-300 (88275) | $318.60 | $531 | 6.2× |
| Cytomegalovirus igg (86644) | $44.40 | $74 | 3.1× |
| Cytopath C/V Index Add-On (88155) | $7.80 | $13 | 0.5× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $67.80 | $113 | 3.3× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$77.40–$118.19 | $129–$196.99 | varies |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) | $64.80 | $108 | 1.3× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) | $22.80 | $38 | 0.5× |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$95.40–$163.11 | $159–$271.85 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $233.40 | $389 | 1.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $95.40 | $159 | 2.5× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $24 | $40 | 1.3× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $102.60 | $171 | 3.5× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) | $20.40 | $34 | 1.9× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) | $97.80 | $163 | 8.7× |
| Deoxyribonuclease antibody (86215) | $54 | $90 | 4.1× |
| Detect Agent Nos Dna Amp (87798) range across 7 matching MRF lines |
$103.80–$776.55 | $173–$1,294.25 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$91.80–$268.20 | $153–$447 | varies |
| Dhea (82626) | $110.40 | $184 | 4.4× |
| Dhea-S (82627) | $189 | $315 | 8.5× |
| Dibucaine number (82638) | $66 | $110 | 5.4× |
| Digoxin (80162) | $87.60 | $146 | 6.6× |
| Diphtheria antitoxoid (86648) | $78 | $130 | 5.1× |
| Dna Antibody Native/Double Stranded (86225) | $142.80 | $238 | 10.4× |
| Dna Antibody Single Stranded (86226) | $107.40 | $179 | 8.9× |
| Drug Screen Quant Clozapine (80159) | $151.20 | $252 | 7.5× |
| Drug Screen Quant Zonisamide (80203) | $109.20 | $182 | 8.2× |
| Drug Screen Quantitative Gabapentin (80171) | $161.40 | $269 | 7.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $159 | $265 | 12.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $153.60 | $256 | 11.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$97.20–$141.83 | $162–$236.39 | varies |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $69.60 | $116 | 4.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$69.16–$184.06 | $115.26–$306.76 | varies |
| Ehrlichia antibody (86666) | $89.40 | $149 | 8.8× |
| Electrolyte panel (80051) | $121.80 | $203 | 17.4× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $192.98 | $321.63 | 3.1× |
| Enterovirus Antibody (86658) range across 9 matching MRF lines |
$25.80–$91.80 | $43–$153 | varies |
| Enzyme histochemistry (88319) | $116.40 | $194 | 0.1× |
| Eosinophil Smear (89190) | $49.80 | $83 | 8.6× |
| Erythropoietin (82668) | $149.40 | $249 | 8.0× |
| Estriol (82677) | $102 | $170 | 4.2× |
| Estrogen total (82672) | $111.60 | $186 | 5.1× |
| Estrogens fractionated (82671) | $111.60 | $186 | 3.5× |
| Ethosuximide (80168) | $60 | $100 | 3.7× |
| Ethylene Glycol (82693) | $109.80 | $183 | 7.4× |
| Exam Synovial Fluid Crystals (89060) | $44.40 | $74 | 6.1× |
| Factor ii activity (85210) | $318.60 | $531 | 24.5× |
| Factor ix activity (85250) | $164.40 | $274 | 8.6× |
| Factor v activity (85220) | $47.40 | $79 | 2.7× |
| Factor vii assay (85230) | $43.20 | $72 | 2.4× |
| Factor viii assay (85240) | $105.60 | $176 | 5.9× |
| Factor X (85260) | $82.20 | $137 | 4.6× |
| Factor xi activity (85270) | $132.60 | $221 | 7.4× |
| Fat/Lipids Feces Quantitative (82710) | $172.80 | $288 | 10.3× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $189.15 | $315.25 | 11.0× |
| Fecal Fat Qualitative (82705) | $81 | $135 | 15.9× |
| Ferritin (82728) | $105.60 | $176 | 7.7× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $416.64 | $694.40 | 22.0× |
| Fetal screen rosette (85461) | $233.40 | $389 | 24.9× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $147.60 | $246 | 15.2× |
| Fibrinogen activity (85384) | $93.60 | $156 | 9.6× |
| Flow cytometry first marker (88184) | $74.40 | $124 | 0.2× |
| Fluorescent antibody screen (86255) range across 16 matching MRF lines |
$39–$336.87 | $65–$561.45 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 7 matching MRF lines |
$47.40–$199.20 | $79–$332 | varies |
| Folic acid rbc (82747) | $150.60 | $251 | 8.5× |
| Folic Acid Serum (82746) | $102 | $170 | 6.9× |
| Follicle Stimulating Hormone (83001) | $172.80 | $288 | 9.3× |
| Francisella tularensis (86668) | $39 | $65 | 2.8× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $32.40 | $54 | 0.2× |
| Frozen Blood Each Unit Freezing (86930) | $30.60 | $51 | 0.2× |
| Frozen Section (88331) | $141 | $235 | 0.8× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$86.40–$148.05 | $144–$246.75 | varies |
| Gammaglobulin ige (82785) | $105.60 | $176 | 6.4× |
| Gases blood ph only (82800) range across 2 matching MRF lines |
$15–$79.20 | $25–$132 | varies |
| Genet Virus Isolate Hsv (87255) | $178.80 | $298 | 5.3× |
| Gentamicin (80170) | $200.40 | $334 | 12.2× |
| Ggt (82977) | $75 | $125 | 10.4× |
| Giardia antigen (87329) | $101.40 | $169 | 8.5× |
| Giardia lamblia antibody (86674) | $97.80 | $163 | 6.6× |
| Glucose 2 hr pp (82950) | $82.80 | $138 | 17.4× |
| Glucose Blood Test (82962) | $13.20 | $22 | 4.0× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$60–$60.60 | $100–$101 | varies |
| Glucose Serum (82947) | $61.20 | $102 | 15.6× |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$190.80–$309 | $318–$515 | varies |
| Glycated Protein (82985) | $60.60 | $101 | 3.6× |
| Gonadotropin Chorionic Qualitative (84703) | $134.40 | $224 | 17.9× |
| Gonadotropin releasing hormone (83727) | $309 | $515 | 18.0× |
| Growth hormone (83003) | $109.80 | $183 | 6.6× |
| Gtt-added samples (82952) range across 5 matching MRF lines |
$69.60–$252.43 | $116–$420.72 | varies |
| H Pylori (C-13) Breath (83013) | $241.80 | $403 | 3.6× |
| H Pylori Drug Admin (83014) | $27 | $45 | 3.4× |
| Haptoglobin (83010) | $97.80 | $163 | 7.8× |
| Hdl Cholesterol (83718) | $74.40 | $124 | 9.1× |
| Heavy metal qualitative any analytes (83015) | $297.60 | $496 | 14.2× |
| Helicobacter Pylori Stool (87338) | $128.40 | $214 | 8.9× |
| Helminth Antibody (86682) range across 10 matching MRF lines |
$66.60–$117.90 | $111–$196.50 | varies |
| Hematocrit (85014) | $40.20 | $67 | 17.0× |
| Hemoglobin (85018) | $49.20 | $82 | 20.8× |
| Hemoglobin a1c (83036) | $91.20 | $152 | 9.4× |
| Hemoglobin Chromotography (83021) | $74.40 | $124 | 4.1× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$102.60–$128.40 | $171–$214 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $143.40 | $239 | 17.5× |
| Hemoglobin plasma (83051) range across 2 matching MRF lines |
$39.60–$64.16 | $66–$106.94 | varies |
| Hemosiderin urine (83070) range across 2 matching MRF lines |
$85.20–$148.05 | $142–$246.75 | varies |
| Hep a ab igm (86709) | $87 | $145 | 7.7× |
| Heparin assay (85520) range across 2 matching MRF lines |
$146.40–$161.40 | $244–$269 | varies |
| Hepatitis a antibody total (86708) | $87 | $145 | 7.0× |
| Hepatitis b core ab igm (86705) | $92.40 | $154 | 7.9× |
| Hepatitis b core ab total (86704) | $92.40 | $154 | 7.7× |
| Hepatitis B Surface Antibody (86706) | $78.60 | $131 | 7.3× |
| Hepatitis B Surface Antigen (87340) | $82.20 | $137 | 8.0× |
| Hepatitis Be Antibody (86707) | $73.20 | $122 | 6.3× |
| Hepatitis Be Antigen (87350) | $42.60 | $71 | 3.7× |
| Hepatitis C Antibody (86803) | $120.60 | $201 | 8.5× |
| Hepatitis c antibody confirmatory test (86804) | $197.40 | $329 | 12.7× |
| Herpes simplex type 2 (86696) range across 4 matching MRF lines |
$86.40–$148.05 | $144–$246.75 | varies |
| Heterophile Antibody Screen (86308) | $102 | $170 | 19.7× |
| Hfe Gene (81256) | $333 | $555 | 5.1× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $130.80 | $218 | 16.9× |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$124.20–$168.60 | $207–$281 | varies |
| Histoplasma antigen urine (87385) | $139.80 | $233 | 10.6× |
| Hiv-1 Antibody (86701) | $88.80 | $148 | 10.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $318.60 | $531 | 3.7× |
| Hla Typing a/B/C Multiple Antigens (86813) | $211.80 | $353 | 3.7× |
| Hla-b27 (86812) range across 3 matching MRF lines |
$222.60–$223.20 | $371–$372 | varies |
| Homovanillic acid urine (83150) | $103.80 | $173 | 4.6× |
| Hsv Dna Amp Probe (87529) | $203.40 | $339 | 5.8× |
| Hsv Dna Quant (87530) | $254.40 | $424 | 5.9× |
| Hydroxycorticosteroids 17 (83491) | $101.40 | $169 | 5.7× |
| Hydroxyprogesterone 17-d (83498) | $336.87 | $561.45 | 12.4× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $44.40 | $74 | 3.7× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $174 | $290 | 12.5× |
| Iaad Ia Streptococcus Group A (87430) | $82.80 | $138 | 4.9× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $75 | $125 | 6.3× |
| Iaadi inffluenza a virus (87276) | $69.60 | $116 | 4.3× |
| Iaadi not otherwise specified each organism (87299) | $153.60 | $256 | 9.5× |
| Iaadi parainfluenza virus each type (87279) | $49.80 | $83 | 3.0× |
| Iaadi pneumocustis carinii (87281) range across 2 matching MRF lines |
$110.40–$115.80 | $184–$193 | varies |
| Iaadi respiratory synctial virus (87280) range across 2 matching MRF lines |
$41.40–$43.20 | $69–$72 | varies |
| Iaadi Varicella Zoster Virus (87290) | $49.80 | $83 | 3.7× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$175.20–$300.51 | $292–$500.85 | varies |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $82.80 | $138 | 3.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $235.80 | $393 | 6.7× |
| Iadna Cytomegalovirus Quantification (87497) | $262.20 | $437 | 6.1× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $161.40 | $269 | 3.9× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $294.60 | $491 | 8.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $107.40 | $179 | 3.1× |
| Igg subclasses (82787) | $43.20 | $72 | 5.4× |
| Immunfix e-phorsis/urine/csf (86335) | $412.20 | $687 | 14.0× |
| Immunoassay analyte qual/semiqual single step (83518) | $64.20 | $107 | 6.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 13 matching MRF lines |
$75.60–$320.02 | $126–$533.37 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 20 matching MRF lines |
$28.80–$143.40 | $48–$239 | varies |
| Immunoassay nonantibody (83516) range across 14 matching MRF lines |
$41.40–$121.20 | $69–$202 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $166.80 | $278 | 7.2× |
| Immunofixation electrophoresis (86334) | $166.80 | $278 | 7.5× |
| Immunohistochemistry (88342) range across 4 matching MRF lines |
$75–$208.80 | $125–$348 | varies |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) | $33.60 | $56 | 2.1× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $43.20 | $72 | 3.0× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $69.60 | $116 | 5.7× |
| Influenza a/b ag eia (87400) range across 3 matching MRF lines |
$60–$108 | $100–$180 | varies |
| Inhibin A (86336) | $64.20 | $107 | 4.1× |
| Inhibin b (83520) range across 32 matching MRF lines |
$54–$531 | $90–$885 | varies |
| Insitu hybridization manual (88368) | $243.60 | $406 | 0.7× |
| Insulin antibodies (86337) | $108.60 | $181 | 5.1× |
| Insulin total (83525) | $105.60 | $176 | 9.2× |
| Iron (83540) range across 3 matching MRF lines |
$60–$104.40 | $100–$174 | varies |
| Iron Binding Capacity (83550) | $96 | $160 | 11.0× |
| Irradiation Blood Product Each Unit (86945) | $73.80 | $123 | 1.9× |
| Islet cell antibody (86341) | $122.40 | $204 | 5.2× |
| Jak2 gene analysis p.val617phe variant (81270) | $333 | $555 | 3.6× |
| Ketosteroids 17 total (83586) | $108.60 | $181 | 8.5× |
| Koh Prep (87220) | $73.80 | $123 | 17.3× |
| L/s ratio (83661) | $225.60 | $376 | 10.3× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$93.60–$95.40 | $156–$159 | varies |
| Lactoferrin fecal qualitative (83630) | $111 | $185 | 5.6× |
| Lactoferrin Fecal Quantitative (83631) | $111 | $185 | 5.7× |
| Lamellar Body Count (83664) | $63 | $105 | 3.3× |
| Ldh Isoenzymes (83625) | $48 | $80 | 3.8× |
| LDL direct (83721) | $61.20 | $102 | 5.8× |
| Lead (83655) range across 2 matching MRF lines |
$79.20–$81 | $132–$135 | varies |
| Legionella antibody (86713) range across 2 matching MRF lines |
$87.60–$172.80 | $146–$288 | varies |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$78.60–$146.40 | $131–$244 | varies |
| Leukocyte Assessment Fecal (89055) | $39 | $65 | 9.1× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$54–$88.65 | $90–$147.75 | varies |
| Level ii surg pathology grossµscopic exam (88302) | $108 | $180 | 2.8× |
| Lipase (83690) range across 2 matching MRF lines |
$126–$216.30 | $210–$360.50 | varies |
| Lipoprotein A (83695) | $39 | $65 | 2.7× |
| Lipoprotein Bld Quan Part (83704) | $84.60 | $141 | 2.5× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $45 | $75 | 1.3× |
| Lithium (80178) | $89.40 | $149 | 13.5× |
| Luteinizing Hormone (Lh) (83002) | $120.60 | $201 | 6.5× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$71.40–$115.80 | $119–$193 | varies |
| Lysozyme serum (85549) | $116.40 | $194 | 6.2× |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
$42–$69.16 | $70–$115.26 | varies |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$80.40–$82.20 | $134–$137 | varies |
| Mass Spectrometry Quant (83789) | $243.60 | $406 | 10.1× |
| Mercury urine (83825) range across 2 matching MRF lines |
$86.40–$105.60 | $144–$176 | varies |
| Metabolic panel ionized ca (80047) | $166.80 | $278 | 12.1× |
| Methylmalonic acid serum (83921) | $252 | $420 | 11.9× |
| Microalbumin, quantitative (82043) | $55.80 | $93 | 9.7× |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$80.40–$128.40 | $134–$214 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) | $170.40 | $284 | 8.0× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $388.80 | $648 | 9.2× |
| Mononuclear cell antigen (86356) | $121.20 | $202 | 4.5× |
| Mopath procedure level 1 (81400) | $208.80 | $348 | 3.3× |
| Mopath procedure level 2 (81401) | $225.60 | $376 | 1.6× |
| Mopath procedure level 4 (81403) | $835.95 | $1,393.25 | 4.5× |
| Mthfr Gene Analysis Common Variants (81291) | $271.80 | $453 | 4.2× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$71.40–$190.80 | $119–$318 | varies |
| Mycophenolic Acid (80180) | $116.40 | $194 | 6.4× |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
$37.20–$141.83 | $62–$236.39 | varies |
| Myelin basic protein csf (83873) | $162 | $270 | 9.4× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$55.80–$91.20 | $93–$152 | varies |
| Natriuretic peptide (83880) | $224.40 | $374 | 5.7× |
| Neisseria Dir Na Probe (87590) | $67.20 | $112 | 2.5× |
| Nerve teasing preparations (88362) | $122.40 | $204 | 0.1× |
| Niacin (84591) | $36 | $60 | 2.1× |
| Nickel level (83885) | $108.60 | $181 | 4.4× |
| Nk cells total count (86357) | $121.20 | $202 | 3.2× |
| Nuclear antigen antibody (86235) range across 9 matching MRF lines |
$50.40–$130.20 | $84–$217 | varies |
| Occult blood feces (82272) | $42.60 | $71 | 10.1× |
| Occult Blood Other Sources (82271) | $29.40 | $49 | 5.5× |
| Oligoclonal bands (83916) | $178.20 | $297 | 6.5× |
| Organic Acids Qualitative Each Specimen (83919) | $174 | $290 | 10.6× |
| Organic acids urine (83918) | $450 | $750 | 19.1× |
| Osmolality serum (83930) | $67.20 | $112 | 10.2× |
| Osmolality Urine (83935) | $67.20 | $112 | 9.9× |
| Ova and parasites smears (87177) | $106.20 | $177 | 11.9× |
| Oxalate urine (83945) | $128.40 | $214 | 8.9× |
| Particle Agglutination Screen Each Antibody (86403) range across 8 matching MRF lines |
$47.40–$202.80 | $79–$338 | varies |
| Parvovirus antibody (86747) range across 3 matching MRF lines |
$87–$332.40 | $145–$554 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $58.80 | $98 | 0.1× |
| Ph urine (81003) range across 5 matching MRF lines |
$22.80–$41.40 | $38–$69 | varies |
| Phenobarbital Level (80184) | $128.40 | $214 | 8.4× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$40.80–$91.20 | $68–$152 | varies |
| Phenytoin (Dilantin) (80185) | $128.40 | $214 | 9.7× |
| Phenytoin free (80186) | $153.60 | $256 | 11.2× |
| Phosphatase acid prostatic (84066) range across 2 matching MRF lines |
$58.20–$100.17 | $97–$166.95 | varies |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$55.80–$100.17 | $93–$166.95 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $111 | $185 | 6.2× |
| Phosphorus Serum (84100) | $73.80 | $123 | 15.6× |
| Phosphorus urine (84105) | $67.80 | $113 | 11.7× |
| Pinworm exam (87172) range across 2 matching MRF lines |
$86.40–$148.05 | $144–$246.75 | varies |
| Platelet Antibodies (86022) | $115.20 | $192 | 6.3× |
| Platelet count automated (85049) | $75 | $125 | 16.7× |
| Platelet neutralization (85597) | $184.80 | $308 | 10.3× |
| Pooling blood platelets (86965) | $43.20 | $72 | 0.2× |
| Porphobilinogen, urine; quantitative (84110) | $75.60 | $126 | 9.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $106.20 | $177 | 7.2× |
| Porphyrins, urine; qualitative (84119) | $82.80 | $138 | 6.2× |
| Potassium Urine (84133) | $71.40 | $119 | 15.1× |
| Prealbumin (84134) | $95.40 | $159 | 6.5× |
| Pregnenolone (84140) | $109.80 | $183 | 5.3× |
| Primidone (80188) | $120.60 | $201 | 7.3× |
| Progesterone (84144) | $141.60 | $236 | 6.8× |
| Prolactin (84146) | $142.80 | $238 | 7.4× |
| Protein body fluid (84157) range across 4 matching MRF lines |
$85.20–$148.05 | $142–$246.75 | varies |
| Protein C Activity (85303) | $190.20 | $317 | 13.7× |
| Protein c antigen (85302) | $234.60 | $391 | 19.5× |
| Protein Electrophoresis Urine (84166) | $105.60 | $176 | 5.9× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$97.80–$105.60 | $163–$176 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$127.80–$128.40 | $213–$214 | varies |
| Protein total serum (84155) range across 2 matching MRF lines |
$85.20–$148.05 | $142–$246.75 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$85.20–$148.05 | $142–$246.75 | varies |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$44.40–$69.16 | $74–$115.26 | varies |
| Protoporphyrin rbc quantitative (84202) | $44.40 | $74 | 3.1× |
| PSA free (84154) | $58.20 | $97 | 3.2× |
| Q Fever Antibody (86638) range across 5 matching MRF lines |
$28.80–$122.40 | $48–$204 | varies |
| Quantitative assay drug (80299) range across 20 matching MRF lines |
$42.60–$225 | $71–$375 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$116.40–$135 | $194–$225 | varies |
| Quinidine (80194) | $120.60 | $201 | 8.3× |
| Rbc antibody elution (86860) | $145.20 | $242 | 0.8× |
| Rbc antibody identification (86870) | $178.80 | $298 | 0.5× |
| Rbc antibody screen (86850) | $89.40 | $149 | 9.2× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) range across 2 matching MRF lines |
$330–$374.10 | $550–$623.50 | varies |
| Renin activity plasma (84244) | $124.20 | $207 | 5.6× |
| Reticulocyte Count Manual (85044) | $64.80 | $108 | 15.0× |
| Rh (86901) range across 2 matching MRF lines |
$33.60–$48 | $56–$80 | varies |
| Rheumatoid Factor Qualitative (86430) | $66.60 | $111 | 10.8× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$73.80–$95.40 | $123–$159 | varies |
| Rickettsia antibody (86757) range across 6 matching MRF lines |
$30–$67.20 | $50–$112 | varies |
| Ristocetin cofactor (85245) | $166.80 | $278 | 7.3× |
| Rotavirus ag eia (87425) | $139.80 | $233 | 11.7× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$45–$100.17 | $75–$166.95 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$85.20–$96 | $142–$160 | varies |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$82.20–$141.83 | $137–$236.39 | varies |
| Russell Viper Venom Time Diluted (85613) | $66.60 | $111 | 7.0× |
| Sedimentation rate (85651) | $73.80 | $123 | 17.3× |
| Selenium (84255) | $148.20 | $247 | 5.8× |
| Semen Anal Sperm Detection (89321) | $78 | $130 | 6.5× |
| Semen analysis complete (89320) | $291.60 | $486 | 23.7× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$116.40–$558 | $194–$930 | varies |
| Sex Hormone Binding Globulin (84270) | $116.40 | $194 | 5.4× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$51.60–$88.65 | $86–$147.75 | varies |
| Sirolimus (80195) | $147.60 | $246 | 10.8× |
| Smear acid fast (87206) range across 4 matching MRF lines |
$43.20–$88.65 | $72–$147.75 | varies |
| Smear complex stain (87209) | $42 | $70 | 2.3× |
| Smear gram stain (87205) range across 6 matching MRF lines |
$10.20–$58.20 | $17–$97 | varies |
| Smear Special Stain (87207) range across 3 matching MRF lines |
$13.20–$89.40 | $22–$149 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$60–$89.40 | $100–$149 | varies |
| Sodium Serum (84295) | $54.60 | $91 | 11.4× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$82.20–$141.83 | $137–$236.39 | varies |
| Soluble fibrin monomer (85366) | $76.80 | $128 | 1.0× |
| Soluble Transferrin Receptor (84238) range across 5 matching MRF lines |
$122.40–$236.40 | $204–$394 | varies |
| Somatomedin (84305) | $115.20 | $192 | 5.4× |
| Somatostatin (84307) | $151.20 | $252 | 8.3× |
| Special Stains Group 1 (88312) | $121.20 | $202 | 2.3× |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$120–$122.40 | $200–$204 | varies |
| Specific gravity body fluid (84315) | $24.60 | $41 | 7.5× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$30–$39.60 | $50–$66 | varies |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$40.20–$235.80 | $67–$393 | varies |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $60 | $100 | 1.1× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $75 | $125 | 0.4× |
| Stone Analysis (82355) | $28.80 | $48 | 2.5× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$93.60–$98.40 | $156–$164 | varies |
| Sugars Single Qual (84376) | $45.60 | $76 | 8.3× |
| Sulfate urine (84392) | $28.80 | $48 | 5.2× |
| Surg path level iii (88304) | $126.60 | $211 | 2.4× |
| Surgical pathology level vi (88309) | $272.40 | $454 | 0.3× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$86.40–$148.05 | $144–$246.75 | varies |
| Syphilis Test Non-Trep Quant (86593) range across 3 matching MRF lines |
$32.40–$69.16 | $54–$115.26 | varies |
| T3 Free (84481) | $161.40 | $269 | 9.5× |
| T3 reverse (84482) | $235.80 | $393 | 15.0× |
| T3 Total (84480) | $115.20 | $192 | 8.1× |
| T3 Uptake (84479) | $111.60 | $186 | 17.2× |
| T4 Free (84439) | $92.40 | $154 | 10.2× |
| T4 total (84436) | $115.20 | $192 | 16.8× |
| Tacrolimus (80197) | $120.60 | $201 | 8.8× |
| Test for acetone/ketones (82009) | $44.40 | $74 | 9.8× |
| Testosterone total (84403) | $172.80 | $288 | 6.7× |
| Testosterone, Free (84402) | $116.40 | $194 | 4.6× |
| Tetanus antibody (86774) | $96 | $160 | 6.5× |
| Thrombin Time (85670) | $30 | $50 | 5.2× |
| Thrombomodulin Facility (85337) | $70.80 | $118 | 4.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 5 matching MRF lines |
$22.20–$203.70 | $37–$339.50 | varies |
| Thyroglobulin (84432) | $223.20 | $372 | 13.9× |
| Thyroglobulin Antibody (86800) | $82.20 | $137 | 5.2× |
| Tissue Culture (88233) | $678.15 | $1,130.25 | 4.8× |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$92.40–$150.60 | $154–$251 | varies |
| Topiramate (80201) | $102 | $170 | 8.6× |
| Touch prep (88161) | $67.80 | $113 | 2.3× |
| Toxoplasma ab igm (86778) | $58.20 | $97 | 4.0× |
| Toxoplasma antibody (86777) | $95.40 | $159 | 6.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $89.40 | $149 | 17.3× |
| Transferrin (84466) | $147.60 | $246 | 11.6× |
| Trichinella Antibody (86784) range across 3 matching MRF lines |
$1.20–$117.90 | $2–$196.50 | varies |
| Triglycerides (84478) | $87.60 | $146 | 15.3× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$35.40–$141.60 | $59–$236 | varies |
| Trypsin feces qual (84488) | $55.80 | $93 | 7.6× |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$44.40–$66.70 | $74–$111.16 | varies |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$128.40–$160.20 | $214–$267 | varies |
| Unlisted miscellaneous pathology test (89240) range across 3 matching MRF lines |
$45–$71.40 | $75–$119 | varies |
| Unlisted Transfusion Medicine Procedure (86999) | $43.20 | $72 | 1.5× |
| Urea nitrogen urine (84540) | $44.40 | $74 | 8.0× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$64.20–$67.20 | $107–$112 | varies |
| Urinalysis Microscopic Only (81015) | $37.20 | $62 | 12.2× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $45 | $75 | 20.7× |
| Urinalysis Volume Measure (81050) | $17.40 | $29 | 4.8× |
| Urine Pregnancy Test (81025) | $101.40 | $169 | 11.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $58.20 | $97 | 18.4× |
| Valproic acid (80164) | $120.60 | $201 | 8.9× |
| Vancomycin (80202) | $180 | $300 | 13.3× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$161.40–$193.80 | $269–$323 | varies |
| Very Long Chain Fatty Acids (82726) | $94.80 | $158 | 4.8× |
| Viral Culture (87252) range across 4 matching MRF lines |
$75–$238.20 | $125–$397 | varies |
| Virus antibody nos (86790) range across 7 matching MRF lines |
$60.60–$296.40 | $101–$494 | varies |
| Virus inoculation, shell via (87254) | $44.40 | $74 | 2.3× |
| Viscosity serum (85810) | $116.40 | $194 | 10.0× |
| Vitamin A (84590) | $190.20 | $317 | 16.4× |
| Vitamin b-12 (82607) | $121.80 | $203 | 8.1× |
| Vitamin B6 (84207) | $115.80 | $193 | 4.1× |
| Vitamin c (82180) | $40.80 | $68 | 4.1× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$17.40–$301.40 | $29–$502.33 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$75–$110.15 | $125–$183.59 | varies |
| Volatiles (84600) range across 4 matching MRF lines |
$69.60–$115.20 | $116–$192 | varies |
| Von willebrand factor ag (85246) | $166.80 | $278 | 7.3× |
| Wbc Alkaline Phosphatase Count (85540) | $73.80 | $123 | 8.6× |
| West nile virus ab igm (86788) | $105.60 | $176 | 6.3× |
| West Nile Virus Antibody (86789) | $105.60 | $176 | 7.3× |
| Western Blot Test (84181) | $142.80 | $238 | 8.4× |
| Xylose Absorption Test (84620) | $55.20 | $92 | 4.3× |
| Zinc (84630) range across 2 matching MRF lines |
$101.40–$131.40 | $169–$219 | varies |
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.