Lab & pathology prices at San Juan Regional Medical Center Inc
Farmington, NM · every code in this section with a posted price and a Medicare benchmark.
509 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) range across 2 matching MRF lines |
$103.35–$116 | $206.69–$232 | varies |
| Acetylcholine receptor blocking antibody (86042) | $92.50 | $185 | 5.0× |
| Acetylcholn Rcptr Modlg Antb (86043) | $92.50 | $185 | 7.7× |
| Acth (82024) range across 2 matching MRF lines |
$79.50–$83.29 | $159–$166.58 | varies |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$52.72–$55.50 | $105.44–$111 | varies |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$161.40–$166 | $322.80–$332 | varies |
| Acylcarnitines Quant (82017) | $12.50 | $25 | 0.7× |
| Adenovirus antibody (86603) | $17.50 | $35 | 1.4× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$33.33–$36 | $66.67–$72 | varies |
| Albumin serum (82040) range across 3 matching MRF lines |
$29.67–$32 | $59.33–$64 | varies |
| Aldolase (82085) range across 2 matching MRF lines |
$44.50–$52.75 | $89–$105.50 | varies |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$73.25–$82.50 | $146.50–$165 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$28.38–$31 | $56.75–$62 | varies |
| Allergen specific ige (86003) | $12 | $24 | 2.3× |
| Allergen specific igg (86001) | $10 | $20 | 1.3× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$43–$58.72 | $86–$117.43 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$55.60–$58 | $111.20–$116 | varies |
| Alt (sgpt) (84460) range across 3 matching MRF lines |
$28.20–$31 | $56.40–$62 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $9.50 | $19 | 0.6× |
| Ammonia (82140) range across 2 matching MRF lines |
$90.89–$96 | $181.78–$192 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $71 | $142 | 0.7× |
| Amylase urine (82150) range across 2 matching MRF lines |
$39.39–$41.50 | $78.79–$83 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$28.87–$30 | $57.73–$60 | varies |
| Anca screen each antibody (86036) range across 4 matching MRF lines |
$31.47–$47 | $62.94–$94 | varies |
| Anca Titer Each Antibody (86037) | $33.50 | $67 | 2.8× |
| Androstenedione (82157) | $64.50 | $129 | 2.2× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$33.93–$36.50 | $67.86–$73 | varies |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$48.06–$50.50 | $96.11–$101 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$33.50–$35.50 | $67–$71 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$38.63–$42 | $77.25–$84 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $38.50 | $77 | 2.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $19 | $38 | 1.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$32.73–$35.50 | $65.46–$71 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$34.33–$36 | $68.67–$72 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$49.50–$55.50 | $99–$111 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $51.50 | $103 | 3.6× |
| Antibody Herpes Smplx Type 1 (86695) | $41 | $82 | 3.1× |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$35.35–$37 | $70.71–$74 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $67.50 | $135 | 3.5× |
| Antibody identification leukocyte antibodies (86021) | $47 | $94 | 3.1× |
| Antibody Identification Platelet Immunogl Assay (86023) | $70 | $140 | 5.6× |
| Antibody rotavirus (86759) range across 2 matching MRF lines |
$45–$102 | $90–$204 | varies |
| Antibody Titer (86886) | $150 | $300 | 29.0× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$22–$35.50 | $44–$71 | varies |
| Antigen typing (86905) | $239 | $478 | 62.4× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$44.15–$49.50 | $88.30–$99 | varies |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$33.45–$36 | $66.91–$72 | varies |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$54.24–$58 | $108.49–$116 | varies |
| Antithrombin iii antigen (85301) | $101 | $202 | 9.3× |
| Apolipoprotein a1 (82172) | $46.50 | $93 | 2.2× |
| Aquaporin-4 Antb Elisa (86051) | $39.50 | $79 | 3.4× |
| Arsenic (82175) range across 2 matching MRF lines |
$46.83–$50.50 | $93.67–$101 | varies |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$58.50–$61.41 | $117–$122.82 | varies |
| Assay Blood Carbon Dioxide (82374) | $27.50 | $55 | 5.6× |
| Assay Nephelometry Not Spec (83883) | $54 | $108 | 4.0× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$36.50–$42 | $73–$84 | varies |
| Assay of anti-mullerian hormone (82166) | $56 | $112 | 1.5× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$29.06–$31 | $58.13–$62 | varies |
| Assay of calcium in urine (82340) | $41.50 | $83 | 6.9× |
| Assay of cpk in blood (82552) | $45 | $90 | 3.4× |
| Assay of estrone (82679) | $66 | $132 | 2.6× |
| Assay of g6pd enzyme (82955) | $37.50 | $75 | 3.9× |
| Assay of gammaglobulin igm (82784) range across 6 matching MRF lines |
$29.88–$32.50 | $59.75–$65 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$76.50–$83.71 | $153–$167.42 | varies |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$64.20–$67.67 | $128.40–$135.33 | varies |
| Assay of pyruvate (84210) | $17.50 | $35 | 1.2× |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
$29.11–$31 | $58.23–$62 | varies |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$28.38–$31 | $56.75–$62 | varies |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$41.50–$49 | $83–$98 | varies |
| Assay of vasoactive intestinal peptide (84586) | $85 | $170 | 2.4× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$58.59–$60.50 | $117.19–$121 | varies |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$26.42–$28 | $52.85–$56 | varies |
| Assay spec xcp ur&breath ia (82077) range across 2 matching MRF lines |
$82.50–$96.59 | $165–$193.17 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) | $202 | $404 | 1.2× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$16.83–$17.50 | $33.67–$35 | varies |
| Bcr/abl1 gene major bp (81206) | $222 | $444 | 1.4× |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$179–$200.50 | $358–$401 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$48.11–$50.50 | $96.22–$101 | varies |
| Beta-2 Microglobulin (82232) | $59 | $118 | 3.6× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $259.50 | $519 | 2.0× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $100 | $200 | 0.8× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$20.50–$22 | $41–$44 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$29.53–$31.50 | $59.06–$63 | varies |
| Biotinidase (82261) | $13 | $26 | 0.8× |
| Bld Typing Serologic Rh Phnt (86906) | $66.50 | $133 | 8.6× |
| Bleeding time test (85002) | $20 | $40 | 4.1× |
| Blood Count Red Blood Cell Automated (85041) range across 3 matching MRF lines |
$16–$18 | $32–$36 | varies |
| Blood gas (82803) range across 2 matching MRF lines |
$61.08–$64.50 | $122.15–$129 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$302.04–$313.50 | $604.07–$627 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$98.23–$104 | $196.46–$208 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$22.88–$24.50 | $45.75–$49 | varies |
| Breath Alcohol Test (82075) | $47 | $94 | 1.6× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$100.57–$162.50 | $201.14–$325 | varies |
| C-Peptide (84681) range across 2 matching MRF lines |
$49.50–$50.96 | $99–$101.92 | varies |
| C-reactive protein (86140) range across 2 matching MRF lines |
$48.52–$51 | $97.05–$102 | varies |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$76.60–$82 | $153.20–$164 | varies |
| Calcitonin (82308) | $66.50 | $133 | 2.5× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$93.29–$98.50 | $186.58–$197 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$31.25–$33 | $62.50–$66 | varies |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$72.90–$78 | $145.80–$156 | varies |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$144.50–$152 | $289–$304 | varies |
| Cancer Antigen 125 (86304) | $68.50 | $137 | 3.3× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$80.50–$90 | $161–$180 | varies |
| Candida Dna Dir Probe (87480) | $41.50 | $83 | 2.1× |
| Carbamazepine total (80156) | $89.50 | $179 | 6.1× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$64.50–$68.60 | $129–$137.21 | varies |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$83.18–$87.50 | $166.36–$175 | varies |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$36–$40.50 | $72–$81 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$62.33–$67 | $124.67–$134 | varies |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$71.67–$72 | $143.33–$144 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$49.89–$52.50 | $99.77–$105 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$56.58–$57.50 | $113.17–$115 | varies |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$23.50–$28.55 | $47–$57.11 | varies |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$135–$328.50 | $270–$657 | varies |
| Chemiluminescent assay (82397) | $94.50 | $189 | 6.7× |
| Chlamydia antibody (86631) | $19 | $38 | 1.6× |
| Chlamydia Igm Antibody (86632) | $34 | $68 | 2.7× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$10–$18.50 | $20–$37 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$14–$18 | $28–$36 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$63.63–$66 | $127.25–$132 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$26.50–$29.50 | $53–$59 | varies |
| Chromium serum (82495) | $45.50 | $91 | 2.2× |
| Chromogranin a (86316) | $96.50 | $193 | 4.6× |
| Chromosome Analysis 20-25 (88264) | $151 | $302 | 1.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$48.64–$76.40 | $97.28–$152.80 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$66.25–$70 | $132.50–$140 | varies |
| Ckmb (82553) | $57 | $114 | 4.9× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$83.36–$87.50 | $166.73–$175 | varies |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
$385.83–$411.50 | $771.67–$823 | varies |
| Coagulation time activated (85347) | $35.50 | $71 | 8.3× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$55.23–$59 | $110.45–$118 | varies |
| Cold agglutinin titer (86157) range across 2 matching MRF lines |
$20.50–$40.24 | $41–$80.48 | varies |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$62–$75 | $124–$150 | varies |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$71.30–$74.50 | $142.60–$149 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$239.47–$248.50 | $478.95–$497 | varies |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$40.52–$41 | $81.04–$82 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$64.50–$77.75 | $129–$155.50 | varies |
| Complement/Function Activity (86161) | $50.50 | $101 | 4.2× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $56 | $112 | 1.1× |
| Coombs direct (86880) range across 2 matching MRF lines |
$65.94–$70 | $131.87–$140 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$46.71–$47.50 | $93.43–$95 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$57.79–$58.50 | $115.57–$117 | varies |
| Cortisol saliva (82533) | $86.50 | $173 | 5.3× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$45.40–$48 | $90.80–$96 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$29.54–$31.50 | $59.07–$63 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$76–$85 | $152–$170 | varies |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$18–$23.31 | $36–$46.62 | varies |
| Crossmatch electronic (86923) | $139.50 | $279 | 0.8× |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$227.29–$240 | $454.58–$480 | varies |
| Crp High Sensitivity (86141) | $54 | $108 | 4.2× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$47.50–$62.60 | $95–$125.19 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$46–$48.50 | $92–$97 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$30–$32.59 | $60–$65.18 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$37.50–$40.50 | $75–$81 | varies |
| Culture afb (87116) | $15.50 | $31 | 1.4× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$48–$55.41 | $96–$110.83 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$53.50–$79.23 | $107–$158.46 | varies |
| Culture csf (87070) range across 2 matching MRF lines |
$49.77–$53.50 | $99.53–$107 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$80.50–$82.09 | $161–$164.18 | varies |
| Culture fungus blood (87103) range across 2 matching MRF lines |
$47–$76 | $94–$152 | varies |
| Culture screen only (87081) range across 4 matching MRF lines |
$48.67–$64 | $97.34–$128 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$25–$29 | $50–$58 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$4.50–$7.50 | $9–$15 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$41–$44.32 | $82–$88.64 | varies |
| Cyclosporine (80158) | $77 | $154 | 4.3× |
| Cystatin C (82610) | $73 | $146 | 3.9× |
| Cytogenetics 100-300 (88275) | $73 | $146 | 1.4× |
| Cytomegalovirus igg (86644) | $58 | $116 | 4.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $65.50 | $131 | 3.2× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$44.65–$47 | $89.31–$94 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $64.50 | $129 | 1.7× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $58.50 | $117 | 2.0× |
| Deoxyribonuclease antibody (86215) | $36 | $72 | 2.7× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$39–$141 | $78–$282 | varies |
| Detect Agent Nos Dna Quant (87799) | $270 | $540 | 6.3× |
| Dhea-S (82627) | $51.50 | $103 | 2.3× |
| Digoxin (80162) range across 2 matching MRF lines |
$97.91–$103.50 | $195.83–$207 | varies |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) | $20.50 | $41 | 0.6× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$36.36–$38.50 | $72.71–$77 | varies |
| Dna/Rna Amplified Probe (87150) | $58 | $116 | 1.7× |
| Drug assay acetaminophen (80143) range across 2 matching MRF lines |
$61.50–$82.19 | $123–$164.38 | varies |
| Drug assay adalimumab (80145) | $75 | $150 | 1.9× |
| Drug Assay Everolimus (80169) | $111 | $222 | 8.1× |
| Drug Screen Quant Clozapine (80159) | $50.50 | $101 | 2.5× |
| Drug Screen Quant Zonisamide (80203) | $40 | $80 | 3.0× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$48.13–$49.50 | $96.25–$99 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$59.60–$64.50 | $119.20–$129 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$109–$121.75 | $218–$243.50 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$78.47–$83.50 | $156.94–$167 | varies |
| El-1 Fecal Quantitative (82653) range across 2 matching MRF lines |
$93–$104.50 | $186–$209 | varies |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$67.46–$71 | $134.92–$142 | varies |
| Erythropoietin (82668) range across 2 matching MRF lines |
$59.46–$60.50 | $118.92–$121 | varies |
| Estradiol serum (82670) | $76 | $152 | 2.7× |
| Estriol (82677) | $68 | $136 | 2.8× |
| Estrogen total (82672) | $50.50 | $101 | 2.3× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$60–$95 | $120–$190 | varies |
| Ethylene Glycol (82693) range across 2 matching MRF lines |
$67–$93.06 | $134–$186.12 | varies |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$44.38–$47 | $88.76–$94 | varies |
| F2 Gene (81240) | $157 | $314 | 2.4× |
| Factor v leiden mutation (81241) | $161.50 | $323 | 2.2× |
| Factor viii assay (85240) | $93 | $186 | 5.2× |
| Fat/Lipids Feces Quantitative (82710) | $59.50 | $119 | 3.5× |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$33.80–$37 | $67.60–$74 | varies |
| Ferritin (82728) range across 2 matching MRF lines |
$53.50–$60.62 | $107–$121.23 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $91 | $182 | 0.6× |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
$206.50–$211 | $413–$422 | varies |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$75.35–$79.50 | $150.70–$159 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$74.54–$80 | $149.08–$160 | varies |
| Flow cytometry first marker (88184) | $234 | $468 | 0.7× |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$51.13–$55.38 | $102.25–$110.75 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $83.50 | $167 | 6.9× |
| Folic acid rbc (82747) | $51 | $102 | 2.9× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$75.36–$79.50 | $150.71–$159 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$84.50–$87.13 | $169–$174.25 | varies |
| Frozen Section (88331) range across 2 matching MRF lines |
$145.70–$150.50 | $291.40–$301 | varies |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$44.36–$46.50 | $88.71–$93 | varies |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$37.50–$39.43 | $75–$78.87 | varies |
| Galactose transferase test (82776) | $9.50 | $19 | 0.8× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$51–$57 | $102–$114 | varies |
| Gardner vag DNA dir probe (87510) | $41.50 | $83 | 2.1× |
| Gastrin (82941) | $39 | $78 | 2.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $467 | $934 | 1.1× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$96.88–$99.50 | $193.75–$199 | varies |
| Gentamicin (80170) | $164 | $328 | 10.0× |
| Ggt (82977) range across 2 matching MRF lines |
$37–$38.55 | $74–$77.11 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$51–$54 | $102–$108 | varies |
| Glucose 2 hr pp (82950) | $18 | $36 | 3.8× |
| Glucose Blood Test (82962) range across 3 matching MRF lines |
$29.29–$31 | $58.57–$62 | varies |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$19.34–$20.50 | $38.68–$41 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$35.03–$37 | $70.07–$74 | varies |
| Glucose tolerance test (gtt) (82951) | $62.50 | $125 | 4.9× |
| Glycated Protein (82985) | $37.50 | $75 | 2.2× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$70.66–$74.50 | $141.32–$149 | varies |
| Growth hormone (83003) | $52.50 | $105 | 3.1× |
| Gtt-added samples (82952) | $8.50 | $17 | 2.2× |
| H Pylori (C-13) Breath (83013) | $130 | $260 | 1.9× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$47.66–$50.50 | $95.32–$101 | varies |
| Heavy metal qualitative any analytes (83015) range across 2 matching MRF lines |
$49–$97.50 | $98–$195 | varies |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$80–$83 | $160–$166 | varies |
| Hematocrit (85014) range across 3 matching MRF lines |
$20.79–$22 | $41.59–$44 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$21.79–$23 | $43.59–$46 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$60.76–$64 | $121.53–$128 | varies |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$27.50–$29.50 | $55–$59 | varies |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$14.69–$15.50 | $29.37–$31 | varies |
| Hemoglobin F Fetal Chemical (83030) | $27 | $54 | 2.5× |
| Hemoglobin plasma (83051) | $31 | $62 | 4.2× |
| Hemoglobin-Oxygen Affinity (82820) | $27 | $54 | 2.0× |
| Hep a ab igm (86709) | $42.50 | $85 | 3.8× |
| Heparin assay (85520) | $127.50 | $255 | 9.7× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$36.50–$47 | $73–$94 | varies |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$49.50–$51.50 | $99–$103 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$39.14–$42 | $78.27–$84 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$72.95–$75 | $145.91–$150 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$48–$55.71 | $96–$111.42 | varies |
| Hepatitis Be Antibody (86707) | $31 | $62 | 2.7× |
| Hepatitis Be Antigen (87350) | $33.50 | $67 | 2.9× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$52.04–$55 | $104.08–$110 | varies |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$195–$302 | $390–$604 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$32.50–$177.95 | $65–$355.90 | varies |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$56–$62.50 | $112–$125 | varies |
| Heterophile antibodies titer (86309) range across 2 matching MRF lines |
$27.60–$30 | $55.20–$60 | varies |
| Hfe Gene (81256) range across 2 matching MRF lines |
$115.50–$147 | $231–$294 | varies |
| Hgb Quantitative Transcutaneous (88738) | $10 | $20 | 2.0× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
$43.50–$68 | $87–$136 | varies |
| Histoplasma antigen urine (87385) | $56 | $112 | 4.2× |
| Hiv Genotype (87901) | $316 | $632 | 1.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$31–$63.50 | $62–$127 | varies |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$35.35–$37 | $70.71–$74 | varies |
| HIV-1 p24 antigen (87390) | $24 | $48 | 1.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$175–$187 | $350–$374 | varies |
| Hla-b27 (86812) range across 2 matching MRF lines |
$53.50–$61.25 | $107–$122.50 | varies |
| Homocysteine (83090) range across 2 matching MRF lines |
$85.14–$90 | $170.29–$180 | varies |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$83.57–$89 | $167.14–$178 | varies |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$24.37–$26 | $48.75–$52 | varies |
| Iaad Ia Escherichia Coli 0157 (87335) | $130 | $260 | 10.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $31.50 | $63 | 3.0× |
| Iadna Candida Species Amplified Probe Tq (87481) | $39 | $78 | 1.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $116.50 | $233 | 3.3× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$185.17–$199.50 | $370.33–$399 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $218.50 | $437 | 5.1× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) range across 2 matching MRF lines |
$183.67–$187 | $367.33–$374 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines |
$45.50–$62.30 | $91–$124.60 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $263 | $526 | 1.0× |
| Ig Light Chains Free Each (83521) range across 3 matching MRF lines |
$48.38–$51.50 | $96.77–$103 | varies |
| Igg subclasses (82787) | $12 | $24 | 1.5× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$77.77–$90.50 | $155.55–$181 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$111.45–$116 | $222.91–$232 | varies |
| Immunoassay nonantibody (83516) | $55.50 | $111 | 4.8× |
| Immunodiffusion not elsewhere specified (86329) | $32 | $64 | 2.3× |
| Immunofixation electrophoresis (86334) | $39 | $78 | 1.7× |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$32.50–$212 | $65–$424 | varies |
| In situ hybridization 1st probe stain (88365) | $198 | $396 | 1.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) | $24 | $48 | 1.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) range across 2 matching MRF lines |
$37.50–$46.19 | $75–$92.38 | varies |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $35 | $70 | 1.0× |
| Influenza a/b ag eia (87400) | $46 | $92 | 3.3× |
| Inhibin A (86336) | $55 | $110 | 3.5× |
| Inhibin b (83520) range across 4 matching MRF lines |
$58.98–$67.75 | $117.96–$135.50 | varies |
| Insitu hybridization auto (88367) | $200 | $400 | 0.6× |
| Insitu hybridization manual (88368) | $257.50 | $515 | 0.7× |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$108.79–$110.50 | $217.57–$221 | varies |
| Insulin total (83525) | $46.50 | $93 | 4.1× |
| Intrinsic factor antibody (86340) | $52.50 | $105 | 3.5× |
| Iron (83540) range across 2 matching MRF lines |
$56.06–$58.50 | $112.13–$117 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$60.04–$63.50 | $120.08–$127 | varies |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$90.50–$93 | $181–$186 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$19–$37 | $38–$74 | varies |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$33–$74.50 | $66–$149 | varies |
| Lead (83655) range across 2 matching MRF lines |
$42–$45 | $84–$90 | varies |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$46–$48.50 | $92–$97 | varies |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$36.25–$37.50 | $72.50–$75 | varies |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$65.33–$69.50 | $130.67–$139 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$149.98–$159 | $299.96–$318 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $293.50 | $587 | 0.8× |
| Lidocaine (80176) | $29.50 | $59 | 2.0× |
| Lipase (83690) range across 2 matching MRF lines |
$48.41–$51 | $96.82–$102 | varies |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) range across 2 matching MRF lines |
$33.50–$45.50 | $67–$91 | varies |
| Lipoprotein-Associated Phospholipase A2 (83698) range across 2 matching MRF lines |
$46.50–$52 | $93–$104 | varies |
| Lithium (80178) range across 2 matching MRF lines |
$43.93–$47.50 | $87.86–$95 | varies |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$74–$80 | $148–$160 | varies |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$49.50–$54 | $99–$108 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $172 | $344 | 1.0× |
| M/phmtrc alys ishquant/semiq (88374) | $206.50 | $413 | 1.2× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$57–$64 | $114–$128 | varies |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$45.79–$48.50 | $91.58–$97 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$41.67–$45 | $83.33–$90 | varies |
| Metabolic panel ionized ca (80047) range across 2 matching MRF lines |
$66.50–$107.71 | $133–$215.42 | varies |
| Methotrexate (80204) | $71.50 | $143 | 1.9× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$68.50–$71.21 | $137–$142.43 | varies |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$45.76–$50 | $91.52–$100 | varies |
| Microsomal Antibodies Each (86376) | $54.50 | $109 | 3.7× |
| Molecular Cytogenetics Dna Probe Each (88271) | $155.50 | $311 | 7.3× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$158.50–$190.50 | $317–$381 | varies |
| Mopath procedure level 4 (81403) | $332.50 | $665 | 1.8× |
| Mrsa Pcr (87641) | $118.50 | $237 | 3.4× |
| Mthfr Gene Analysis Common Variants (81291) | $103 | $206 | 1.6× |
| Mumps antibody (86735) | $37.50 | $75 | 2.9× |
| Muscle-Specific Kinase Antb (86366) | $525 | $1,050 | 28.5× |
| Mycophenolic Acid (80180) | $51.50 | $103 | 2.9× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$36.50–$41 | $73–$82 | varies |
| Mycoplasma culture (87109) | $57.50 | $115 | 3.7× |
| Myelin basic protein csf (83873) range across 3 matching MRF lines |
$25.50–$38.26 | $51–$76.52 | varies |
| Myoglobin urine (83874) | $50.50 | $101 | 3.9× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$156.35–$164 | $312.70–$328 | varies |
| Nfct ds bv&vaginitis DNA alg (81515) | $250 | $500 | 1.0× |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
$35.83–$49.50 | $71.67–$99 | varies |
| Occult Blood Other Sources (82271) | $7.50 | $15 | 1.4× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$54–$54.23 | $108–$108.46 | varies |
| Osmolality serum (83930) range across 2 matching MRF lines |
$44.08–$47 | $88.16–$94 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$35.66–$38 | $71.32–$76 | varies |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$49.52–$51.50 | $99.04–$103 | varies |
| Oxalate urine (83945) | $34 | $68 | 2.4× |
| Pancreatic Elastase Fecal (82656) | $171.50 | $343 | 14.9× |
| Particle Agglutination Screen Each Antibody (86403) | $22 | $44 | 1.9× |
| Parvovirus antibody (86747) range across 3 matching MRF lines |
$43–$50.33 | $86–$100.67 | varies |
| Ph urine (81003) range across 3 matching MRF lines |
$15.75–$23.50 | $31.49–$47 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$70.67–$75 | $141.33–$150 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$90–$96 | $180–$192 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$32.50–$36.50 | $65–$73 | varies |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$16.50–$20.25 | $33–$40.50 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $53 | $106 | 2.9× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$40.15–$42.50 | $80.29–$85 | varies |
| Phosphorus urine (84105) | $16.50 | $33 | 2.9× |
| Pinworm exam (87172) | $11.50 | $23 | 2.7× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$74.73–$110.80 | $149.45–$221.60 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$43.36–$45.50 | $86.71–$91 | varies |
| Platelet neutralization (85597) | $33.50 | $67 | 1.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$28.50–$42 | $57–$84 | varies |
| Potassium Urine (84133) range across 2 matching MRF lines |
$36.50–$38.50 | $73–$77 | varies |
| Prealbumin (84134) range across 2 matching MRF lines |
$36.11–$38.50 | $72.22–$77 | varies |
| Pregnancy-Associated Plasma Protein-A (84163) | $39 | $78 | 2.6× |
| Pregnenolone (84140) | $59.50 | $119 | 2.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 2 matching MRF lines |
$74.50–$135 | $149–$270 | varies |
| Primidone (80188) | $28 | $56 | 1.7× |
| Procalcitonin (Pct) (84145) | $92 | $184 | 3.4× |
| Progesterone (84144) | $54.50 | $109 | 2.6× |
| Prolactin (84146) | $67 | $134 | 3.5× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$29.15–$31 | $58.29–$62 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$73.95–$78.50 | $147.89–$157 | varies |
| Protein c antigen (85302) range across 2 matching MRF lines |
$48.50–$62.48 | $97–$124.96 | varies |
| Protein Electrophoresis Urine (84166) | $47 | $94 | 2.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$46–$50 | $92–$100 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$64.48–$68.50 | $128.96–$137 | varies |
| Protein s total (85305) range across 2 matching MRF lines |
$48.50–$49.63 | $97–$99.25 | varies |
| Protein Total Refractometry Any Src (84160) | $13 | $26 | 2.3× |
| Protein total serum (84155) range across 2 matching MRF lines |
$20.20–$21.50 | $40.40–$43 | varies |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$17.47–$20 | $34.94–$40 | varies |
| Protein Western Blot Test (84182) | $50.50 | $101 | 1.7× |
| PSA free (84154) | $50.50 | $101 | 2.7× |
| Pth Intact (83970) range across 2 matching MRF lines |
$100.59–$109 | $201.18–$218 | varies |
| Q Fever Antibody (86638) range across 4 matching MRF lines |
$37.50–$47 | $75–$94 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$137.97–$145.50 | $275.94–$291 | varies |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$76.50–$83.50 | $153–$167 | varies |
| Quantitative Screen Metals (83018) | $63.50 | $127 | 2.9× |
| Rbc antibody elution (86860) | $156.50 | $313 | 0.9× |
| Rbc antibody identification (86870) | $294 | $588 | 0.8× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$46–$61.50 | $92–$123 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $200.50 | $401 | 1.2× |
| Rbc serum pretx incubj drugs (86975) | $262.50 | $525 | 0.6× |
| Renin activity plasma (84244) | $90 | $180 | 4.1× |
| Resp virus 12-25 targets (87633) | $485 | $970 | 1.2× |
| Resp Virus 6-11 Targets (87632) | $506.50 | $1,013 | 2.3× |
| Reticulocyte Count (85046) range across 2 matching MRF lines |
$21.50–$24.98 | $43–$49.96 | varies |
| Rh (86901) range across 2 matching MRF lines |
$51.35–$54.50 | $102.70–$109 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$47.83–$50.50 | $95.66–$101 | varies |
| Ristocetin cofactor (85245) | $55.50 | $111 | 2.4× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$28.50–$48.94 | $57–$97.89 | varies |
| Rubella Antibody (86762) | $54 | $108 | 3.8× |
| Rubeola antibody (86765) | $49.50 | $99 | 3.8× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$23–$24.07 | $46–$48.14 | varies |
| Salicylate Level (80179) | $130 | $260 | 7.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $37 | $74 | 0.7× |
| Sars-cov-2 COVID-19 antibody (86769) | $87.50 | $175 | 2.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $259.50 | $519 | 1.8× |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$27–$31.44 | $54–$62.88 | varies |
| Selenium (84255) range across 2 matching MRF lines |
$41.07–$43 | $82.14–$86 | varies |
| Semen Anal Sperm Detection (89321) | $16.50 | $33 | 1.4× |
| Semen analysis complete (89320) | $80 | $160 | 6.5× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$43–$56.88 | $86–$113.77 | varies |
| Sex Hormone Binding Globulin (84270) | $48.50 | $97 | 2.2× |
| Sickling of rbc reduction (85660) | $29.50 | $59 | 5.4× |
| Sirolimus (80195) range across 2 matching MRF lines |
$35–$59.50 | $70–$119 | varies |
| Skin Test Candida (86485) | $16 | $32 | 0.6× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$20.50–$33.50 | $41–$67 | varies |
| Skin test unlisted antigen each (86486) | $15.50 | $31 | 0.5× |
| Smear acid fast (87206) | $15.50 | $31 | 2.9× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$39.24–$40.50 | $78.48–$81 | varies |
| Smear gram stain (87205) | $28 | $56 | 6.6× |
| Smear Special Stain (87207) | $49 | $98 | 8.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$36–$40 | $72–$80 | varies |
| Sodium Serum (84295) range across 3 matching MRF lines |
$33.13–$35.50 | $66.25–$71 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$31.58–$33.50 | $63.16–$67 | varies |
| Somatomedin (84305) | $78.50 | $157 | 3.7× |
| Special Stains Group 1 (88312) | $99.50 | $199 | 1.9× |
| Special Stains Group 2 (88313) | $85.50 | $171 | 0.6× |
| Specimen infect agnt concntj (87015) | $15.50 | $31 | 2.3× |
| Spectrophotometry (84311) | $15.50 | $31 | 1.9× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $150 | $300 | 0.9× |
| Staph a DNA amp probe (87640) | $39 | $78 | 1.1× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$45.50–$49.58 | $91–$99.17 | varies |
| Strep a DNA amp probe (87651) | $39 | $78 | 1.1× |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$45.50–$66 | $91–$132 | varies |
| Sugars Single Qual (84376) | $48 | $96 | 8.7× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$99.42–$104.50 | $198.85–$209 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$153.03–$162 | $306.06–$324 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$594.90–$621.50 | $1,189.80–$1,243 | varies |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$14.15–$16.50 | $28.29–$33 | varies |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$102.86–$108 | $205.71–$216 | varies |
| T3 Free (84481) range across 2 matching MRF lines |
$73.34–$77.50 | $146.68–$155 | varies |
| T3 reverse (84482) | $69 | $138 | 4.4× |
| T3 Total (84480) range across 2 matching MRF lines |
$52–$56.94 | $104–$113.88 | varies |
| T3 Uptake (84479) | $57 | $114 | 8.8× |
| T4 Free (84439) range across 2 matching MRF lines |
$43.06–$45.50 | $86.11–$91 | varies |
| T4 total (84436) | $63.50 | $127 | 9.2× |
| T4-neonatal (84437) range across 2 matching MRF lines |
$9.96–$10.50 | $19.92–$21 | varies |
| Tacrolimus (80197) | $98.50 | $197 | 7.2× |
| Tb ag response t-cell susp (86481) range across 2 matching MRF lines |
$61.50–$62.50 | $123–$125 | varies |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$10–$35.18 | $20–$70.35 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$61–$68.50 | $122–$137 | varies |
| Testosterone, Free (84402) | $51.50 | $103 | 2.0× |
| Tetanus antibody (86774) | $37.50 | $75 | 2.5× |
| Theophylline (80198) | $33 | $66 | 2.3× |
| Thiopurine methyltransferase (84433) | $200 | $400 | 9.0× |
| Thrombin Time (85670) | $35.50 | $71 | 6.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $85.50 | $171 | 13.2× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$40.50–$45.50 | $81–$91 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$38.50–$41 | $77–$82 | varies |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$91.86–$151 | $183.71–$302 | varies |
| Tobramycin peak (80200) | $20 | $40 | 1.2× |
| Topiramate (80201) | $45.50 | $91 | 3.8× |
| Toxoplasma ab igm (86778) | $30.50 | $61 | 2.1× |
| Toxoplasma antibody (86777) | $35.50 | $71 | 2.5× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$14.50–$17.86 | $29–$35.72 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$35–$37 | $70–$74 | varies |
| Trichomonas vagin dir probe (87660) | $41.50 | $83 | 2.1× |
| Trichomonas Vaginalis Amplif (87661) | $78 | $156 | 2.2× |
| Triglycerides (84478) range across 3 matching MRF lines |
$15.50–$17.50 | $31–$35 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$88.46–$93 | $176.92–$186 | varies |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$257.50–$286.50 | $515–$573 | varies |
| Tumor Immunohistochem/Manual (88360) | $214.50 | $429 | 1.3× |
| Unlisted reproductive medicine lab procedure (89398) | $27.50 | $55 | 0.5× |
| Unlisted Surgical Pathology Procedure (88399) | $50 | $100 | 1.0× |
| Urea Nitrogen Clearance (84545) | $13 | $26 | 1.8× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$28.57–$31 | $57.14–$62 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$28.14–$31 | $56.27–$62 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 2 matching MRF lines |
$10.50–$11 | $21–$22 | varies |
| Urine Pregnancy Test (81025) | $46.50 | $93 | 5.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $42.50 | $85 | 13.4× |
| Valproic acid (80164) range across 2 matching MRF lines |
$80.37–$85 | $160.74–$170 | varies |
| Vancomycin (80202) | $110.50 | $221 | 8.2× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$42–$47 | $84–$94 | varies |
| Vasopressin (84588) | $83 | $166 | 2.4× |
| Viral Culture (87252) | $79.50 | $159 | 3.0× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$49.36–$50 | $98.73–$100 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$78–$106.50 | $156–$213 | varies |
| Viscosity serum (85810) range across 2 matching MRF lines |
$37.50–$40 | $75–$80 | varies |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$105.25–$108.50 | $210.50–$217 | varies |
| Vitamin A (84590) | $50.50 | $101 | 4.3× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$64.73–$65.50 | $129.46–$131 | varies |
| Vitamin B6 (84207) | $61.50 | $123 | 2.2× |
| Vitamin c (82180) | $33 | $66 | 3.3× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$167.23–$177.50 | $334.46–$355 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$38.25–$40.50 | $76.50–$81 | varies |
| Volatiles (84600) range across 3 matching MRF lines |
$21–$21.50 | $42–$43 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $87 | $174 | 7.2× |
| Von willebrand factor ag (85246) | $58 | $116 | 2.5× |
| West nile virus ab igm (86788) range across 3 matching MRF lines |
$63.32–$69 | $126.64–$138 | varies |
| West Nile Virus Antibody (86789) range across 3 matching MRF lines |
$60.52–$64.50 | $121.05–$129 | varies |
| Zinc (84630) | $40.50 | $81 | 3.6× |
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.