Lab & pathology prices at San Luis Valley Health Regional Medical Center
Alamosa, CO · every code in this section with a posted price and a Medicare benchmark.
452 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) | $43.45 | $79 | 2.4× |
| Acetylcholine receptor blocking antibody (86042) | $43.45 | $79 | 2.4× |
| Acth (82024) | $30.80 | $56 | 0.8× |
| Actin smooth muscle antibody each (86015) | $67.10 | $122 | 5.6× |
| Acute hepatitis panel (80074) | $237.60 | $432 | 5.0× |
| Albumin Fluid (82042) | $9.35 | $17 | 1.2× |
| Albumin serum (82040) | $29.15 | $53 | 5.9× |
| Aldolase (82085) | $53.90 | $98 | 5.6× |
| Aldosterone urine (82088) | $96.80 | $176 | 2.4× |
| Alkaline phosphatase isoenzymes (84080) | $93.50 | $170 | 6.3× |
| Allergen specific ige (86003) | $15.95 | $29 | 3.1× |
| Allergen specific igg (86001) | $29.15 | $53 | 3.7× |
| Alpha-1-antitrypsin phenotype (82104) | $70.40 | $128 | 4.9× |
| Alpha-1-antitrypsin total (82103) | $79.20 | $144 | 5.9× |
| Alpha-Fetoprotein Serum (82105) | $91.30 | $166 | 5.4× |
| Alt (sgpt) (84460) | $39.60 | $72 | 7.5× |
| Ammonia (82140) | $118.80 | $216 | 8.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $157.85 | $287 | 1.6× |
| Amylase urine (82150) | $60.50 | $110 | 9.3× |
| Ana Titer (86039) | $40.15 | $73 | 3.6× |
| Anca screen each antibody (86036) | $72.60 | $132 | 6.0× |
| Angiotensin converting enzyme csf (82164) | $37.95 | $69 | 2.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $61.05 | $111 | 3.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $89.10 | $162 | 5.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $82.50 | $150 | 6.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $88 | $160 | 4.9× |
| Antibody Herpes Smplx Type 1 (86695) | $76.45 | $139 | 5.8× |
| Antibody HIV-1&HIV-2 single result (86703) | $63.25 | $115 | 4.6× |
| Antibody HIV-2 (86702) | $75.35 | $137 | 5.6× |
| Antibody Identification Platelet Immunogl Assay (86023) | $40.70 | $74 | 3.3× |
| Antibody john cunningham virus (86711) | $72.60 | $132 | 4.3× |
| Antibody Titer (86886) | $156.75 | $285 | 30.3× |
| Antibody Treponema Pallidum (86780) | $58.85 | $107 | 4.4× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $97.35 | $177 | 17.0× |
| Antinuclear antibodies (86038) | $116.60 | $212 | 9.6× |
| Antistreptolysin O Screen (86063) | $40.70 | $74 | 7.1× |
| Antithrombin iii activity (85300) | $113.85 | $207 | 9.6× |
| Apolipoprotein a1 (82172) | $29.15 | $53 | 1.4× |
| Arsenic (82175) | $101.20 | $184 | 5.3× |
| Assay Nephelometry Not Spec (83883) | $48.40 | $88 | 3.6× |
| Assay of anti-mullerian hormone (82166) | $86.90 | $158 | 2.3× |
| Assay of blood/uric acid (84550) | $32.45 | $59 | 7.2× |
| Assay of calcium in urine (82340) | $72.60 | $132 | 12.0× |
| Assay of estrone (82679) | $104.50 | $190 | 4.2× |
| Assay of g6pd enzyme (82955) | $61.05 | $111 | 6.3× |
| Assay of gammaglobulin igm (82784) | $48.95 | $89 | 5.3× |
| Assay of lactic acid (83605) | $78.10 | $142 | 6.8× |
| Assay of metanephrines (83835) | $80.30 | $146 | 4.7× |
| Assay of serotonin (84260) | $211.75 | $385 | 6.8× |
| Assay of serum potassium (84132) | $20.35 | $37 | 4.3× |
| Assay of urea nitrogen (84520) | $32.45 | $59 | 8.2× |
| Assay of vitamin b-1 (84425) | $121.55 | $221 | 5.7× |
| Assay Ph Body Fluid Nos (83986) | $22 | $40 | 6.1× |
| Assay spec xcp ur&breath ia (82077) | $80.30 | $146 | 4.6× |
| B cells total count (86355) | $97.35 | $177 | 2.6× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$437.80–$674.85 | $796–$1,227 | varies |
| Bcr/abl1 gene minor bp (81207) | $227.70 | $414 | 1.6× |
| Bcr/Abl1 Gene Other Bp (81208) | $202.13 | $367.50 | 0.9× |
| Beta 2 glycoprotein i antibody each (86146) | $80.30 | $146 | 3.2× |
| Beta hydroxybutyrate (82010) | $36.85 | $67 | 4.5× |
| Beta Lactamase (87185) | $34.65 | $63 | 7.3× |
| Beta-2 Microglobulin (82232) | $72.60 | $132 | 4.5× |
| Bile acids total (82239) | $54.45 | $99 | 3.2× |
| Bilirubin direct (82248) | $36.30 | $66 | 7.2× |
| Bilirubin total (82247) | $34.65 | $63 | 6.9× |
| Biotinidase (82261) | $14.30 | $26 | 0.8× |
| Blood count reticulocyte automated (85045) | $45.65 | $83 | 11.4× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $24.75 | $45 | 6.5× |
| Blood gas (82803) | $129.25 | $235 | 5.0× |
| Blood gases w/02 saturation (82805) | $184.25 | $335 | 2.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $58.85 | $107 | 3.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $64.90 | $118 | 10.2× |
| Blood typing serologic abo (86900) | $34.10 | $62 | 11.4× |
| Body fluid cell count (89050) | $42.90 | $78 | 9.1× |
| Braf gene analysis (81210) | $272.80 | $496 | 1.6× |
| Brca1&2 gen full seq dup/del (81162) | $2,122.45 | $3,859 | 1.2× |
| Brucella antibody (86622) | $77.55 | $141 | 8.7× |
| C diff amplified probe (87493) | $91.30 | $166 | 2.4× |
| C-Peptide (84681) | $80.30 | $146 | 3.9× |
| C-reactive protein (86140) | $52.25 | $95 | 10.1× |
| Ca 19-9 (86301) | $113.85 | $207 | 5.5× |
| Cadmium (82300) | $63.25 | $115 | 2.7× |
| Calcitonin (82308) | $103.40 | $188 | 3.9× |
| Calcium ionized (82330) | $67.65 | $123 | 4.9× |
| Calcium total (82310) | $31.90 | $58 | 6.2× |
| Calculus Spectroscopy (82365) | $78.10 | $142 | 6.1× |
| Calprotectin Fecal (83993) | $144.65 | $263 | 7.4× |
| Calr gene com variants (81219) | $312.95 | $569 | 2.6× |
| Cancer Antigen 125 (86304) | $77.55 | $141 | 3.7× |
| Cancer Antigen 27.29 (86300) | $113.85 | $207 | 5.5× |
| Carbamazepine total (80156) | $57.20 | $104 | 3.9× |
| Carboxyhemoglobin (82375) | $72.60 | $132 | 5.9× |
| Carcinoembryonic antigen (82378) | $75.35 | $137 | 4.0× |
| Cardiolipin ab iga (86147) | $113.85 | $207 | 4.5× |
| Carnitine Quantitative Each Specimen (82379) | $152.35 | $277 | 9.0× |
| Catecholamines fractionated (82384) | $103.40 | $188 | 4.1× |
| Ccp antibody (86200) | $29.70 | $54 | 2.3× |
| Cell count csf (89051) | $53.35 | $97 | 9.5× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $167.20 | $304 | 1.2× |
| Ceruloplasmin (82390) | $52.80 | $96 | 4.9× |
| Cftr gene com variants (81220) | $424.60 | $772 | 0.8× |
| Cftr gene full sequence (81223) | $909.70 | $1,654 | 1.8× |
| Chemiluminescent assay (82397) | $67.10 | $122 | 4.8× |
| Chlamydia antibody (86631) | $73.15 | $133 | 6.2× |
| Chloride Serum (82435) | $25.85 | $47 | 5.6× |
| Cholesterol total (82465) | $36.85 | $67 | 8.5× |
| Chorionic gonadotropin test (84702) | $116.60 | $212 | 7.7× |
| Chromogranin a (86316) | $119.35 | $217 | 5.7× |
| Chromosome Analysis 15-20 (88262) | $277.20 | $504 | 2.2× |
| Chromosome Analysis 20-25 (88264) | $66.55 | $121 | 0.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $77.55 | $141 | 2.2× |
| Citric acid urine (82507) | $36.85 | $67 | 1.3× |
| Ckmb (82553) | $82.50 | $150 | 7.1× |
| Clot Factor VIII Multimetric (85247) | $56.65 | $103 | 2.5× |
| Cns DNA amp probe type 12-25 (87483) | $605 | $1,100 | 1.5× |
| Coccidioides antibody (86635) | $78.10 | $142 | 6.8× |
| Cold agglutinin titer (86157) | $36.85 | $67 | 4.6× |
| Collagen crosslinks (82523) | $201.30 | $366 | 10.8× |
| Column Chromotography Quant (82542) | $85.25 | $155 | 3.5× |
| Complement Antigen Each Component (86160) | $62.15 | $113 | 5.2× |
| Complement/Function Activity (86161) | $91.30 | $166 | 7.6× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $140.80 | $256 | 2.6× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $198 | $360 | 5.0× |
| Coombs direct (86880) | $37.95 | $69 | 7.0× |
| Copper urine (82525) | $67.65 | $123 | 5.5× |
| Cortisol free (82530) | $82.50 | $150 | 4.9× |
| Cortisol saliva (82533) | $72.60 | $132 | 4.5× |
| Creatine kinase total (82550) | $64.90 | $118 | 10.0× |
| Creatinine blood (82565) | $34.65 | $63 | 6.8× |
| Creatinine Urine (82570) | $36.85 | $67 | 7.1× |
| Crossmatch immediate spin (86920) | $80.85 | $147 | 0.4× |
| Crp High Sensitivity (86141) | $50.60 | $92 | 3.9× |
| Cryoglobulin (82595) | $75.35 | $137 | 11.6× |
| Cryptococcus ag titer (87899) | $22 | $40 | 1.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $49.50 | $90 | 6.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $75.35 | $137 | 9.3× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $821.15 | $1,493 | 3.8× |
| Culture afb (87116) | $53.35 | $97 | 4.9× |
| Culture Anaerobic (87075) | $113.85 | $207 | 12.0× |
| Culture blood (87040) | $87.45 | $159 | 8.5× |
| Culture csf (87070) | $66.55 | $121 | 7.7× |
| Culture fungus (87102) | $51.70 | $94 | 6.1× |
| Culture fungus blood (87103) | $50.60 | $92 | 2.5× |
| Culture stool (87045) | $69.30 | $126 | 7.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $18.15 | $33 | 3.5× |
| Culture urine (87086) | $45.65 | $83 | 5.7× |
| Cyclosporine (80158) | $108.90 | $198 | 6.0× |
| Cystatin C (82610) | $74.25 | $135 | 4.0× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $937.75 | $1,705 | 0.8× |
| Cytomegalovirus igg (86644) | $89.10 | $162 | 6.2× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $75.35 | $137 | 3.7× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $48.95 | $89 | 1.8× |
| Cytp Concentration Smears & Interpretation (88108) | $92.40 | $168 | 2.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $399.30 | $726 | 7.3× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$55–$222.20 | $100–$404 | varies |
| Detect Agent Nos Dna Quant (87799) | $188.10 | $342 | 4.4× |
| Detect agnt mult DNA ampli (87801) | $100.65 | $183 | 1.4× |
| Dgp Antibody Each Ig Class (86258) | $28.05 | $51 | 2.3× |
| Dhea-S (82627) | $95.70 | $174 | 4.3× |
| Digoxin (80162) | $52.25 | $95 | 3.9× |
| Dihydrotestosterone (82642) | $121.55 | $221 | 4.2× |
| Dna Antibody Native/Double Stranded (86225) | $48.95 | $89 | 3.6× |
| Dna/Rna Sequencing (87153) | $143 | $260 | 1.2× |
| Drug assay acetaminophen (80143) | $61.05 | $111 | 3.3× |
| Drug assay adalimumab (80145) | $224.95 | $409 | 5.8× |
| Drug Assay Everolimus (80169) | $106.70 | $194 | 7.8× |
| Drug Assay Infliximab (80230) | $242.55 | $441 | 6.3× |
| Drug Screen Quant Clozapine (80159) | $73.15 | $133 | 3.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $101.20 | $184 | 7.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $64.35 | $117 | 4.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $88 | $160 | 6.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$34.65–$199.65 | $63–$363 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $151.80 | $276 | 12.0× |
| Egfr Gene Analysis Common Variants (81235) | $318.45 | $579 | 1.0× |
| El-1 Fecal Quantitative (82653) | $152.35 | $277 | 6.6× |
| Electrolyte panel (80051) | $30.25 | $55 | 4.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $61.05 | $111 | 5.0× |
| Enterovirus Antibody (86658) | $76.45 | $139 | 5.9× |
| Enzyme cell activity (82657) | $158.95 | $289 | 7.2× |
| Erythropoietin (82668) | $84.15 | $153 | 4.5× |
| Estradiol serum (82670) | $130.90 | $238 | 4.7× |
| Estriol (82677) | $56.65 | $103 | 2.3× |
| Estrogens fractionated (82671) | $96.80 | $176 | 3.0× |
| Ethylene Glycol (82693) | $57.20 | $104 | 3.8× |
| Exam Synovial Fluid Crystals (89060) | $48.95 | $89 | 6.7× |
| F2 Gene (81240) | $100.10 | $182 | 1.5× |
| Factor v leiden mutation (81241) | $101.20 | $184 | 1.4× |
| Factor viii assay (85240) | $27.50 | $50 | 1.5× |
| Fecal Fat Qualitative (82705) | $107.25 | $195 | 21.0× |
| Ferritin (82728) | $79.20 | $144 | 5.8× |
| Fetal Chrmoml Aneuploidy (81420) | $606.65 | $1,103 | 0.8× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $121.55 | $221 | 0.8× |
| Fetal Fibronectin (82731) | $294.80 | $536 | 4.6× |
| Fetal screen rosette (85461) | $82.50 | $150 | 8.8× |
| Fibrin Degradation Quant (85379) | $95.70 | $174 | 9.4× |
| Fibrinogen activity (85384) | $119.35 | $217 | 12.3× |
| Flow cytometry first marker (88184) | $101.20 | $184 | 0.3× |
| Fluorescent antibody screen (86255) | $68.75 | $125 | 5.7× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $130.35 | $237 | 10.8× |
| Folic acid rbc (82747) | $73.15 | $133 | 4.1× |
| Folic Acid Serum (82746) | $79.75 | $145 | 5.4× |
| Follicle Stimulating Hormone (83001) | $80.30 | $146 | 4.3× |
| Frozen Section (88331) | $261.25 | $475 | 1.5× |
| Fungi Identification Yeast (87106) | $62.70 | $114 | 6.1× |
| Galactose transferase test (82776) | $14.30 | $26 | 1.2× |
| Gammaglobulin ige (82785) | $65.45 | $119 | 4.0× |
| Gases blood ph only (82800) | $32.45 | $59 | 3.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $468.60 | $852 | 1.1× |
| Ggt (82977) | $41.25 | $75 | 5.7× |
| Glucagon (82943) | $112.75 | $205 | 7.9× |
| Glucose 2 hr pp (82950) | $85.25 | $155 | 17.9× |
| Glucose body fluid (82945) | $36.85 | $67 | 9.4× |
| Glucose Serum (82947) | $33.55 | $61 | 8.5× |
| Glucose tolerance test (gtt) (82951) | $52.80 | $96 | 4.1× |
| Gonadotropin Chorionic Qualitative (84703) | $51.70 | $94 | 6.9× |
| Growth hormone (83003) | $144.65 | $263 | 8.7× |
| H Pylori (C-13) Breath (83013) | $200.75 | $365 | 3.0× |
| Haptoglobin (83010) | $75.35 | $137 | 6.0× |
| Helicobacter Pylori Stool (87338) | $128.15 | $233 | 8.9× |
| Hematocrit (85014) | $17.60 | $32 | 7.4× |
| Hemoglobin (85018) | $18.15 | $33 | 7.7× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$53.35–$59.95 | $97–$109 | varies |
| Hemoglobin Chromotography (83021) | $68.20 | $124 | 3.8× |
| Hemoglobin electrophoresis (83020) | $14.30 | $26 | 1.1× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $152.35 | $277 | 17.4× |
| Hep a ab igm (86709) | $74.25 | $135 | 6.6× |
| Heparin assay (85520) | $125.95 | $229 | 9.6× |
| Hepatitis a antibody total (86708) | $55 | $100 | 4.4× |
| Hepatitis b core ab igm (86705) | $74.25 | $135 | 6.3× |
| Hepatitis b core ab total (86704) | $57.75 | $105 | 4.8× |
| Hepatitis B Surface Antibody (86706) | $60.50 | $110 | 5.6× |
| Hepatitis B Surface Antigen (87340) | $60.50 | $110 | 5.9× |
| Hepatitis Be Antibody (86707) | $78.10 | $142 | 6.8× |
| Hepatitis C Antibody (86803) | $78.10 | $142 | 5.5× |
| Hepatitis C Genotype (87902) | $479.60 | $872 | 1.9× |
| Hepatitis C Revrs Trnscrpj (87522) | $107.80 | $196 | 2.5× |
| Herpes simplex type 2 (86696) | $102.85 | $187 | 5.3× |
| Heterophile Antibody Screen (86308) | $33.55 | $61 | 6.5× |
| Hfe Gene (81256) | $156.75 | $285 | 2.4× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $64.90 | $118 | 8.4× |
| Histamine urine (83088) | $115.50 | $210 | 3.9× |
| Histoplasma antibody (86698) | $79.20 | $144 | 5.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $97.35 | $177 | 4.0× |
| Hiv-1 Antibody (86701) | $75.35 | $137 | 8.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $31.90 | $58 | 0.4× |
| Hla-b27 (86812) | $121.55 | $221 | 4.7× |
| Homocysteine (83090) | $146.85 | $267 | 8.2× |
| Hpv High-Risk Types (87624) | $128.70 | $234 | 3.7× |
| Hpv Types 16 & 18 Only (87625) | $60.50 | $110 | 1.5× |
| Hsv Dna Amp Probe (87529) | $210.65 | $383 | 6.0× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$14.30–$99.55 | $26–$181 | varies |
| Iaad ia shiga-like toxin (87427) | $55 | $100 | 4.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $121.55 | $221 | 3.5× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $40.15 | $73 | 1.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $94.60 | $172 | 2.7× |
| Iadna Cytomegalovirus Quantification (87497) | $94.60 | $172 | 2.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $273.35 | $497 | 6.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $40.15 | $73 | 1.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $77.55 | $141 | 2.2× |
| Ig Light Chains Free Each (83521) | $85.25 | $155 | 4.9× |
| Immunfix e-phorsis/urine/csf (86335) | $73.15 | $133 | 2.5× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $155.10 | $282 | 8.4× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $78.10 | $142 | 5.2× |
| Immunoassay nonantibody (83516) | $75.35 | $137 | 6.5× |
| Immunofixation electrophoresis (86334) | $72.60 | $132 | 3.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $111.65 | $203 | 0.6× |
| Immunohistochemistry (88342) | $395.45 | $719 | 2.2× |
| In situ hybridization 1st probe stain (88365) | $230.45 | $419 | 1.3× |
| Influenza DNA amp probe (87502) | $125.40 | $228 | 1.3× |
| Inhibin A (86336) | $62.70 | $114 | 4.0× |
| Inhibin b (83520) range across 2 matching MRF lines |
$14.30–$91.30 | $26–$166 | varies |
| Insitu hybridization manual (88368) | $255.20 | $464 | 0.7× |
| Insulin antibodies (86337) | $131.45 | $239 | 6.1× |
| Insulin total (83525) | $82.50 | $150 | 7.2× |
| Intrinsic factor antibody (86340) | $82.50 | $150 | 5.5× |
| Iron (83540) | $50.60 | $92 | 7.8× |
| Iron Binding Capacity (83550) | $50.60 | $92 | 5.8× |
| Islet cell antibody (86341) | $130.90 | $238 | 5.6× |
| Jak2 gene analysis p.val617phe variant (81270) | $244.75 | $445 | 2.7× |
| Jak2 Gene Trgt Sequence Alys (81279) | $242.55 | $441 | 1.3× |
| Kit Gene Analysis D816 Variant(S) (81273) | $357.50 | $650 | 2.9× |
| Koh Prep (87220) | $29.70 | $54 | 7.0× |
| Lactate (ld) (ldh) enzyme (83615) | $40.15 | $73 | 6.6× |
| Lead (83655) | $68.20 | $124 | 5.6× |
| Legionella antigen urine (87449) | $64.35 | $117 | 5.4× |
| Legionella pneumophila dfa (87278) | $61.05 | $111 | 3.9× |
| Leukocyte Assessment Fecal (89055) | $31.90 | $58 | 7.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $102.30 | $186 | 3.4× |
| Level ii surg pathology grossµscopic exam (88302) | $174.90 | $318 | 4.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $616 | $1,120 | 1.6× |
| Lipase (83690) | $62.15 | $113 | 9.0× |
| Lipoprotein A (83695) | $34.65 | $63 | 2.4× |
| Lipoprotein Bld Quan Part (83704) | $52.25 | $95 | 1.5× |
| Lithium (80178) | $50.60 | $92 | 7.7× |
| Luteinizing Hormone (Lh) (83002) | $84.70 | $154 | 4.6× |
| Lyme disease antibody (86618) | $80.30 | $146 | 4.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $375.65 | $683 | 2.1× |
| Magnesium Urine (83735) | $48.95 | $89 | 7.3× |
| Mass Spectrometry Quant (83789) | $75.35 | $137 | 3.1× |
| Mercury urine (83825) | $261.25 | $475 | 16.1× |
| Methylmalonic acid serum (83921) | $160.05 | $291 | 7.5× |
| Microalbumin, quantitative (82043) | $39.05 | $71 | 6.8× |
| Microsomal Antibodies Each (86376) | $60.50 | $110 | 4.2× |
| Mitochondrial Antibody Each (86381) | $73.15 | $133 | 2.9× |
| Molecular Cytogenetics Dna Probe Each (88271) | $92.40 | $168 | 4.3× |
| Mononuclear cell antigen (86356) | $52.25 | $95 | 2.0× |
| Mopath procedure level 1 (81400) | $364.10 | $662 | 5.7× |
| Mopath procedure level 2 (81401) | $346.50 | $630 | 2.5× |
| Mpl gene common variants (81338) | $424.60 | $772 | 2.8× |
| Mrsa Pcr (87641) | $47.85 | $87 | 1.4× |
| Mthfr Gene Analysis Common Variants (81291) | $105.05 | $191 | 1.6× |
| Mumps antibody (86735) | $80.30 | $146 | 6.2× |
| Mycoplasma antibody (86738) | $61.05 | $111 | 4.6× |
| Myoglobin urine (83874) | $56.65 | $103 | 4.4× |
| Natriuretic peptide (83880) | $157.85 | $287 | 4.0× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $341.55 | $621 | 1.3× |
| Nk cells total count (86357) | $96.25 | $175 | 2.6× |
| Nuclear antigen antibody (86235) | $72.60 | $132 | 4.0× |
| Occult Blood Other Sources (82271) | $39.05 | $71 | 7.3× |
| Organic acids urine (83918) | $121.55 | $221 | 5.2× |
| Osmolality serum (83930) | $65.45 | $119 | 9.9× |
| Osmolality Urine (83935) | $56.65 | $103 | 8.3× |
| Osteocalcin (83937) | $29.15 | $53 | 1.0× |
| Ova and parasites smears (87177) | $89.10 | $162 | 10.0× |
| Oxalate urine (83945) | $36.85 | $67 | 2.6× |
| Parvovirus antibody (86747) | $85.25 | $155 | 5.7× |
| Ph urine (81003) | $19.80 | $36 | 8.8× |
| Phenobarbital Level (80184) | $73.15 | $133 | 4.8× |
| Phenylalanine (84030) | $14.30 | $26 | 2.6× |
| Phenytoin (Dilantin) (80185) | $78.10 | $142 | 5.9× |
| Phosphatase alkaline (84075) | $29.15 | $53 | 5.6× |
| Phospholipid Neutralization Hexagonal (85598) | $91.30 | $166 | 5.1× |
| Phosphorus Serum (84100) | $28.60 | $52 | 6.0× |
| Phosphorus urine (84105) | $21.45 | $39 | 3.7× |
| Platelet count automated (85049) | $26.95 | $49 | 6.0× |
| Potassium Urine (84133) | $36.30 | $66 | 7.7× |
| Prealbumin (84134) | $72.60 | $132 | 5.0× |
| Pregnenolone (84140) | $84.15 | $153 | 4.1× |
| Primidone (80188) | $75.35 | $137 | 4.5× |
| Procalcitonin (Pct) (84145) | $147.40 | $268 | 5.4× |
| Progesterone (84144) | $77.55 | $141 | 3.7× |
| Prolactin (84146) | $77.55 | $141 | 4.0× |
| Protein body fluid (84157) | $39.05 | $71 | 9.8× |
| Protein C Activity (85303) | $133.10 | $242 | 9.6× |
| Protein c antigen (85302) | $112.75 | $205 | 9.4× |
| Protein Electrophoresis Urine (84166) | $65.45 | $119 | 3.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $84.15 | $153 | 7.8× |
| Protein S Free (85306) | $129.80 | $236 | 8.5× |
| Protein s total (85305) | $112.75 | $205 | 9.7× |
| Protein total serum (84155) | $23.10 | $42 | 6.3× |
| Protein Total Urine (84156) | $50.60 | $92 | 13.8× |
| Protein Western Blot Test (84182) | $144.65 | $263 | 5.0× |
| PSA free (84154) | $78.10 | $142 | 4.2× |
| Pth Intact (83970) | $183.15 | $333 | 4.4× |
| Quantiferon tb gold plus (86480) | $93.50 | $170 | 1.5× |
| Quantitative assay drug (80299) | $84.70 | $154 | 4.5× |
| Quantitative Screen Metals (83018) | $73.15 | $133 | 3.3× |
| Rbc antibody identification (86870) | $171.05 | $311 | 0.5× |
| Rbc antibody screen (86850) | $94.05 | $171 | 9.6× |
| Reagent Strip/Blood Glucose (82948) | $14.30 | $26 | 2.8× |
| Renin activity plasma (84244) | $96.80 | $176 | 4.4× |
| Resp virus 12-25 targets (87633) | $447.70 | $814 | 1.1× |
| Rh (86901) | $39.05 | $71 | 13.1× |
| Rheumatoid factor quant (86431) | $33.55 | $61 | 5.9× |
| Rickettsia antibody (86757) | $45.10 | $82 | 2.3× |
| Ristocetin cofactor (85245) | $111.65 | $203 | 4.9× |
| Rpr qualitative (86592) | $47.30 | $86 | 11.1× |
| Rubella Antibody (86762) | $107.25 | $195 | 7.5× |
| Rubeola antibody (86765) | $113.85 | $207 | 8.8× |
| Russell Viper Venom Time Diluted (85613) | $57.20 | $104 | 6.0× |
| Salicylate Level (80179) | $61.05 | $111 | 3.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$48.95–$91.30 | $89–$166 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $247.50 | $450 | 1.7× |
| Sedimentation Rate, Automated (85652) | $33.55 | $61 | 12.4× |
| Selenium (84255) | $79.20 | $144 | 3.1× |
| Semen Anal Sperm Detection (89321) | $62.15 | $113 | 5.2× |
| Sensitivity mic (87186) | $50.05 | $91 | 5.8× |
| Sex Hormone Binding Globulin (84270) | $45.10 | $82 | 2.1× |
| Sickling of rbc reduction (85660) | $36.85 | $67 | 6.7× |
| Sirolimus (80195) | $130.35 | $237 | 9.5× |
| Smear acid fast (87206) | $55 | $100 | 10.2× |
| Smear complex stain (87209) | $60.50 | $110 | 3.4× |
| Smear gram stain (87205) | $50.60 | $92 | 11.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $29.70 | $54 | 5.1× |
| Sodium Serum (84295) | $19.25 | $35 | 4.0× |
| Sodium Urine (84300) | $37.95 | $69 | 7.5× |
| Somatomedin (84305) | $122.65 | $223 | 5.8× |
| Special Stains Group 1 (88312) | $243.10 | $442 | 4.4× |
| Special Stains Group 2 (88313) | $351.45 | $639 | 2.5× |
| Specimen infect agnt concntj (87015) | $75.35 | $137 | 11.3× |
| Spectrophotometry (84311) | $18.70 | $34 | 2.3× |
| Staph a DNA amp probe (87640) | $47.85 | $87 | 1.4× |
| Stool cultr aerobic bact ea (87046) | $63.80 | $116 | 6.8× |
| Strep a assay w/optic (87880) | $6.05 | $11 | 0.4× |
| Strep a DNA amp probe (87651) | $70.40 | $128 | 2.0× |
| Strep b DNA amp probe (87653) | $53.90 | $98 | 1.5× |
| Sugars Single Qual (84376) | $45.65 | $83 | 8.3× |
| Surg path level iii (88304) | $238.15 | $433 | 4.3× |
| Surgical pathology level IV (88305) | $342.65 | $623 | 6.2× |
| Surgical pathology level vi (88309) | $1,445.40 | $2,628 | 1.7× |
| Syphilis Test Non-Trep Quant (86593) | $23.10 | $42 | 5.3× |
| T cells absolute cd4 count (86361) | $37.95 | $69 | 1.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $68.75 | $125 | 1.5× |
| T cells total count (86359) | $82.50 | $150 | 2.2× |
| T3 Free (84481) | $132 | $240 | 7.8× |
| T3 reverse (84482) | $142.45 | $259 | 9.0× |
| T3 Total (84480) | $91.30 | $166 | 6.4× |
| T3 Uptake (84479) | $53.35 | $97 | 8.2× |
| T4 Free (84439) | $75.35 | $137 | 8.4× |
| T4 total (84436) | $53.35 | $97 | 7.8× |
| T4-neonatal (84437) | $14.30 | $26 | 2.2× |
| Tacrolimus (80197) | $147.40 | $268 | 10.7× |
| Testosterone total (84403) | $107.25 | $195 | 4.2× |
| Testosterone, Free (84402) | $88 | $160 | 3.5× |
| Theophylline (80198) | $61.05 | $111 | 4.3× |
| Thiopurine methyltransferase (84433) | $198 | $360 | 8.9× |
| Thrombin Time (85670) | $36.85 | $67 | 6.4× |
| Thyroglobulin (84432) | $99.55 | $181 | 6.2× |
| Thyroglobulin Antibody (86800) | $99.55 | $181 | 6.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $121.55 | $221 | 2.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $30.80 | $56 | 2.7× |
| Tissue culture bone marrow (88237) | $441.65 | $803 | 3.1× |
| Tissue Culture Lymphocyte (88230) | $240.35 | $437 | 2.1× |
| Topiramate (80201) | $91.30 | $166 | 7.7× |
| Touch prep (88161) | $105.05 | $191 | 3.4× |
| Toxoplasma ab igm (86778) | $67.10 | $122 | 4.7× |
| Toxoplasma antibody (86777) | $29.15 | $53 | 2.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $39.60 | $72 | 7.6× |
| Transferrin (84466) | $249.70 | $454 | 19.6× |
| Trg gene rearrangement anal (81342) | $242.55 | $441 | 1.2× |
| Trichomonas Vaginalis Amplif (87661) | $63.25 | $115 | 1.8× |
| Triglycerides (84478) | $45.10 | $82 | 7.9× |
| Troponin Quant (84484) | $100.65 | $183 | 8.1× |
| Tumor immunohistochem/comput (88361) | $213.13 | $387.50 | 0.6× |
| Tumor Immunohistochem/Manual (88360) | $386.10 | $702 | 2.1× |
| Urea nitrogen urine (84540) | $62.15 | $113 | 11.2× |
| Uric acid other source (84560) | $64.90 | $118 | 12.8× |
| Urine Pregnancy Test (81025) | $28.05 | $51 | 3.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $37.95 | $69 | 12.0× |
| Valproic acid (80164) | $82.50 | $150 | 6.1× |
| Vancomycin (80202) | $95.15 | $173 | 7.0× |
| Varicella-zoster antibody (86787) | $70.95 | $129 | 5.5× |
| Vit D 1 25-Dihydroxy (82652) | $105.05 | $191 | 2.7× |
| Vitamin A (84590) | $55 | $100 | 4.7× |
| Vitamin b-12 (82607) | $75.35 | $137 | 5.0× |
| Vitamin B6 (84207) | $103.95 | $189 | 3.7× |
| Vitamin D 25-Hydroxy (82306) | $85.25 | $155 | 2.9× |
| Vitamin E (84446) | $72.60 | $132 | 5.1× |
| Vitamin K (84597) | $121.55 | $221 | 8.9× |
| Von willebrand factor ag (85246) | $141.90 | $258 | 6.2× |
| West Nile Virus Antibody (86789) | $54.45 | $99 | 3.8× |
| Zinc (84630) | $60.50 | $110 | 5.3× |
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.