Lab & pathology prices at Sanford Chamberlain Medical Center
Chamberlain, SD · every code in this section with a posted price and a Medicare benchmark.
582 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) | $47.20 | $59 | 2.6× |
| Acetylcholine receptor blocking antibody (86042) | $84 | $105 | 4.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $95.20 | $119 | 7.9× |
| Acth (82024) | $116.80 | $146 | 3.0× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$30.40–$52.80 | $38–$66 | varies |
| Acute hepatitis panel (80074) | $265.60 | $332 | 5.6× |
| Acylcarnitines Quant (82017) | $49.60 | $62 | 2.9× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$28.80–$48 | $36–$60 | varies |
| Albumin serum (82040) range across 3 matching MRF lines |
$28.80–$66.40 | $36–$83 | varies |
| Aldolase (82085) | $120.80 | $151 | 12.4× |
| Aldosterone urine (82088) range across 4 matching MRF lines |
$106.40–$184 | $133–$230 | varies |
| Alkaline phosphatase isoenzymes (84080) | $50.40 | $63 | 3.4× |
| Allergen specific ige (86003) range across 8 matching MRF lines |
$13.60–$48 | $17–$60 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $93.60 | $117 | 6.5× |
| Alpha-1-antitrypsin total (82103) range across 3 matching MRF lines |
$40–$139.20 | $50–$174 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$147.20–$154.40 | $184–$193 | varies |
| Alt (sgpt) (84460) | $84 | $105 | 15.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $192.80 | $241 | 8.4× |
| Aminolevulinic acid (ala) (82135) | $144 | $180 | 8.8× |
| Ammonia (82140) range across 2 matching MRF lines |
$39.20–$224.80 | $49–$281 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $314.40 | $393 | 3.2× |
| Amylase urine (82150) | $87.20 | $109 | 13.5× |
| Ana Titer (86039) | $82.40 | $103 | 7.4× |
| Anca screen each antibody (86036) | $56.80 | $71 | 4.7× |
| Anca Titer Each Antibody (86037) | $40 | $50 | 3.3× |
| Androstenedione (82157) | $68.80 | $86 | 2.3× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$80–$134.40 | $100–$168 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$32–$105.60 | $40–$132 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $32 | $40 | 2.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $48.80 | $61 | 3.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $115.20 | $144 | 6.8× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $174.40 | $218 | 11.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$90.40–$148.80 | $113–$186 | varies |
| Antibody haemophilus influenza (86684) | $56.80 | $71 | 3.6× |
| Antibody helicobacter pylori (86677) | $140 | $175 | 8.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $193.60 | $242 | 13.5× |
| Antibody Herpes Smplx Type 1 (86695) | $88 | $110 | 6.7× |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$117.60–$130.40 | $147–$163 | varies |
| Antibody HIV-2 (86702) | $84 | $105 | 6.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $298.40 | $373 | 15.4× |
| Antibody identification leukocyte antibodies (86021) | $172 | $215 | 11.4× |
| Antibody Titer (86886) | $96.80 | $121 | 18.7× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$42.40–$132 | $53–$165 | varies |
| Antigen typing (86905) | $186.40 | $233 | 48.7× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $66.40 | $83 | 11.6× |
| Antinuclear antibodies (86038) | $120.80 | $151 | 10.0× |
| Antistreptolysin o titer (86060) range across 3 matching MRF lines |
$56.80–$84.80 | $71–$106 | varies |
| Antithrombin iii activity (85300) | $164 | $205 | 13.8× |
| Antithrombin iii antigen (85301) | $168 | $210 | 15.5× |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
$50.40–$57.60 | $63–$72 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 3 matching MRF lines |
$92.80–$190.40 | $116–$238 | varies |
| Arsenic (82175) range across 4 matching MRF lines |
$45.60–$134.40 | $57–$168 | varies |
| Aspergillus ag eia (87305) | $40.80 | $51 | 3.4× |
| Assay activated protein c (85307) | $145.60 | $182 | 9.5× |
| Assay Blood Carbon Dioxide (82374) | $65.60 | $82 | 13.4× |
| Assay Dir Meas Fr Estradiol (82681) | $68 | $85 | 2.4× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$108.80–$289.60 | $136–$362 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$46.40–$48 | $58–$60 | varies |
| Assay of anti-mullerian hormone (82166) | $90.40 | $113 | 2.3× |
| Assay of blood/uric acid (84550) | $76 | $95 | 16.8× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$16–$89.60 | $20–$112 | varies |
| Assay of cpk in blood (82552) | $133.60 | $167 | 10.0× |
| Assay of g6pd enzyme (82955) | $31.20 | $39 | 3.2× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$28.80–$116 | $36–$145 | varies |
| Assay of lactic acid (83605) | $115.20 | $144 | 10.0× |
| Assay of manganese (83785) | $164.80 | $206 | 6.2× |
| Assay of metanephrines (83835) | $46.40 | $58 | 2.7× |
| Assay of serotonin (84260) | $103.20 | $129 | 3.3× |
| Assay of serum potassium (84132) | $84.80 | $106 | 17.8× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$24–$70.40 | $30–$88 | varies |
| Assay of urine vma (84585) | $48.80 | $61 | 3.1× |
| Assay of vitamin b-1 (84425) | $52 | $65 | 2.4× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$9.60–$61.60 | $12–$77 | varies |
| Assay spec xcp ur&breath ia (82077) | $161.60 | $202 | 9.4× |
| Automated Leukocyte Count (85048) | $55.20 | $69 | 21.7× |
| B cells total count (86355) | $113.60 | $142 | 3.0× |
| Bartonella antibody (86611) | $86.40 | $108 | 8.5× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$136–$148.80 | $170–$186 | varies |
| Beta hydroxybutyrate (82010) | $44.80 | $56 | 5.5× |
| Beta Lactamase (87185) | $87.20 | $109 | 18.4× |
| Beta-2 Microglobulin (82232) | $83.20 | $104 | 5.1× |
| Bile acids total (82239) | $55.20 | $69 | 3.2× |
| Bilirubin direct (82248) | $76 | $95 | 15.1× |
| Bilirubin total (82247) | $49.60 | $62 | 9.9× |
| Biotinidase (82261) range across 2 matching MRF lines |
$61.60–$68 | $77–$85 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $31.20 | $39 | 9.1× |
| Blastomyces antibody (86612) | $68 | $85 | 5.3× |
| Blood Count Automated Differential Wbc Count (85004) | $54.40 | $68 | 8.4× |
| Blood Count Red Blood Cell Automated (85041) | $59.20 | $74 | 19.6× |
| Blood count reticulocyte automated (85045) | $55.20 | $69 | 13.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $68 | $85 | 17.9× |
| Blood count spun microhematocrit (85013) | $45.60 | $57 | 6.5× |
| Blood gas (82803) | $332 | $415 | 12.7× |
| Blood gases w/02 saturation (82805) | $325.60 | $407 | 4.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $57.60 | $72 | 3.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $51.20 | $64 | 11.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $104 | $130 | 16.4× |
| Blood typing serologic abo (86900) | $84.80 | $106 | 28.4× |
| Body fluid cell count (89050) range across 4 matching MRF lines |
$72.80–$77.60 | $91–$97 | varies |
| Bordetella antibody (86615) range across 3 matching MRF lines |
$101.60–$108 | $127–$135 | varies |
| Brucella antibody (86622) range across 2 matching MRF lines |
$56.80–$125.60 | $71–$157 | varies |
| C diff amplified probe (87493) | $216.80 | $271 | 5.8× |
| C-Peptide (84681) | $236 | $295 | 11.3× |
| C-reactive protein (86140) | $105.60 | $132 | 20.4× |
| Ca 19-9 (86301) | $101.60 | $127 | 4.9× |
| Cadmium (82300) range across 4 matching MRF lines |
$56.80–$152.80 | $71–$191 | varies |
| Calcitonin (82308) | $76.80 | $96 | 2.9× |
| Calcium ionized (82330) | $145.60 | $182 | 10.6× |
| Calcium total (82310) | $87.20 | $109 | 16.9× |
| Calculus Spectroscopy (82365) | $47.20 | $59 | 3.7× |
| Calprotectin Fecal (83993) | $292.80 | $366 | 14.9× |
| Cancer Antigen 125 (86304) | $101.60 | $127 | 4.9× |
| Cancer Antigen 27.29 (86300) | $101.60 | $127 | 4.9× |
| Candida Dna Dir Probe (87480) | $100.80 | $126 | 5.0× |
| Carbamazepine free (80157) | $71.20 | $89 | 5.4× |
| Carbamazepine total (80156) | $110.40 | $138 | 7.6× |
| Carboxyhemoglobin (82375) | $139.20 | $174 | 11.3× |
| Carcinoembryonic antigen (82378) | $100 | $125 | 5.3× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$59.20–$122.40 | $74–$153 | varies |
| Carnitine Quantitative Each Specimen (82379) | $52.80 | $66 | 3.1× |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$76.80–$92 | $96–$115 | varies |
| Ccp antibody (86200) | $176.80 | $221 | 13.7× |
| Cell count csf (89051) | $101.60 | $127 | 18.1× |
| Cell marker study (88182) | $419.20 | $524 | 7.9× |
| Ceruloplasmin (82390) | $136 | $170 | 12.7× |
| Cftr gene com variants (81220) | $1,358.40 | $1,698 | 2.4× |
| Cftr gene dup/delet variants (81222) | $1,061.60 | $1,327 | 2.4× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$49.60–$127.20 | $62–$159 | varies |
| Chlamydia antibody (86631) | $54.40 | $68 | 4.6× |
| Chlamydia Igm Antibody (86632) | $54.40 | $68 | 4.3× |
| Chlmy trch&neisra gonor mult (87494) range across 3 matching MRF lines |
$200.80–$320.80 | $251–$401 | varies |
| Chloride Serum (82435) | $64 | $80 | 13.9× |
| Chloride urine (82436) range across 2 matching MRF lines |
$15.20–$76.80 | $19–$96 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$28.80–$73.60 | $36–$92 | varies |
| Cholinesterase rbc (82482) | $35.20 | $44 | 3.6× |
| Cholinesterase Serum (82480) | $35.20 | $44 | 4.5× |
| Chorionic gonadotropin test (84702) | $229.60 | $287 | 15.3× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $185.60 | $232 | 5.4× |
| Chromium serum (82495) | $59.20 | $74 | 2.9× |
| Chromogranin a (86316) | $52.80 | $66 | 2.5× |
| Chromosome Analysis 15-20 (88262) | $306.40 | $383 | 2.4× |
| Chromosome Analysis 20-25 (88264) | $429.60 | $537 | 3.0× |
| Chromosome analysis 45 cells (88263) | $366.40 | $458 | 2.4× |
| Chromosome analysis, 5 (88261) | $644.80 | $806 | 2.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$114.40–$167.20 | $143–$209 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$74.40–$76.80 | $93–$96 | varies |
| Ckmb (82553) | $161.60 | $202 | 14.0× |
| Clostridium Difficile (87324) | $156 | $195 | 13.0× |
| Clot Factor VIII Multimetric (85247) | $69.60 | $87 | 3.0× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$74.40–$212 | $93–$265 | varies |
| Cns DNA amp probe type 12-25 (87483) | $1,397.60 | $1,747 | 3.4× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$94.40–$100.80 | $118–$126 | varies |
| Cold agglutinin titer (86157) | $86.40 | $108 | 10.7× |
| Collagen crosslinks (82523) | $53.60 | $67 | 2.9× |
| Column Chromotography Quant (82542) | $57.60 | $72 | 2.4× |
| Compatibility Each Unit Incubation (86921) | $147.20 | $184 | 0.8× |
| Compatibility test antiglob (86922) | $200 | $250 | 1.1× |
| Complement Antigen Each Component (86160) | $96.80 | $121 | 8.1× |
| Complement Total (Ch50) (86162) | $56.80 | $71 | 2.8× |
| Coombs direct (86880) | $91.20 | $114 | 16.9× |
| Copper urine (82525) range across 3 matching MRF lines |
$46.40–$93.60 | $58–$117 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$52.80–$295.20 | $66–$369 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$48–$148.80 | $60–$186 | varies |
| Creatine kinase total (82550) | $72.80 | $91 | 11.2× |
| Creatinine blood (82565) | $66.40 | $83 | 13.0× |
| Creatinine clearance (82575) | $147.20 | $184 | 15.6× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$17.60–$82.40 | $22–$103 | varies |
| Crossmatch electronic (86923) | $52.80 | $66 | 0.3× |
| Crossmatch immediate spin (86920) | $154.40 | $193 | 0.9× |
| Crp High Sensitivity (86141) | $151.20 | $189 | 11.7× |
| Cryofibrinogen (82585) range across 2 matching MRF lines |
$51.20–$57.60 | $64–$72 | varies |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$31.20–$66.40 | $39–$83 | varies |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$66.40–$163.20 | $83–$204 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$103.20–$108 | $129–$135 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$90.40–$99.20 | $113–$124 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$79.20–$118.40 | $99–$148 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $117.60 | $147 | 15.3× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $576 | $720 | 2.6× |
| Culture afb (87116) | $147.20 | $184 | 13.6× |
| Culture Anaerobic (87075) | $147.20 | $184 | 15.5× |
| Culture blood (87040) | $164 | $205 | 15.9× |
| Culture chlamydia (87110) range across 2 matching MRF lines |
$163.20–$180.80 | $204–$226 | varies |
| Culture csf (87070) range across 3 matching MRF lines |
$118.40–$141.60 | $148–$177 | varies |
| Culture fungus (87102) | $143.20 | $179 | 17.0× |
| Culture fungus blood (87103) | $123.20 | $154 | 6.0× |
| Culture screen only (87081) range across 2 matching MRF lines |
$66.40–$79.20 | $83–$99 | varies |
| Culture stool (87045) | $76 | $95 | 8.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$35.20–$46.40 | $44–$58 | varies |
| Culture urine (87086) | $116 | $145 | 14.4× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$121.60–$136 | $152–$170 | varies |
| Cystatin C (82610) | $99.20 | $124 | 5.4× |
| Cytogenetics 10-30 (88273) | $84.80 | $106 | 2.4× |
| Cytogenetics 100-300 (88275) | $124.80 | $156 | 2.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 3 matching MRF lines |
$460–$3,062.40 | $575–$3,828 | varies |
| Cytomegalovirus igg (86644) | $115.20 | $144 | 8.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $92 | $115 | 4.5× |
| Cytopath Cell Enhance Tech (88112) | $236.80 | $296 | 4.4× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $116.80 | $146 | 4.4× |
| Cytp Concentration Smears & Interpretation (88108) | $253.60 | $317 | 6.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $244 | $305 | 4.6× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $162.40 | $203 | 4.3× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $89.60 | $112 | 4.8× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $149.60 | $187 | 5.1× |
| Deoxyribonuclease antibody (86215) | $56.80 | $71 | 4.3× |
| Detect Agent Nos Dna Amp (87798) range across 8 matching MRF lines |
$86.40–$257.60 | $108–$322 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$103.20–$275.20 | $129–$344 | varies |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$50.40–$54.40 | $63–$68 | varies |
| Dhea (82626) | $61.60 | $77 | 2.4× |
| Dhea-S (82627) | $203.20 | $254 | 9.1× |
| Digoxin (80162) | $139.20 | $174 | 10.5× |
| Dihydrotestosterone (82642) | $71.20 | $89 | 2.4× |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$37.60–$132 | $47–$165 | varies |
| Dna Antibody Native/Double Stranded (86225) | $124.80 | $156 | 9.1× |
| Dna Antibody Single Stranded (86226) | $288.80 | $361 | 23.8× |
| Dna/Rna Amplified Probe (87150) | $183.20 | $229 | 5.2× |
| Drug assay acetaminophen (80143) | $161.60 | $202 | 8.7× |
| Drug assay adalimumab (80145) | $180 | $225 | 4.7× |
| Drug Assay Everolimus (80169) | $71.20 | $89 | 5.2× |
| Drug Assay Infliximab (80230) | $150.40 | $188 | 3.9× |
| Drug Assay Itraconazole (80189) | $71.20 | $89 | 2.6× |
| Drug Assay Lacosamide (80235) | $95.20 | $119 | 3.5× |
| Drug Assay Vedolizumab (80280) | $204.80 | $256 | 5.3× |
| Drug Screen Quant Zonisamide (80203) | $71.20 | $89 | 5.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $37.60 | $47 | 2.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $195.20 | $244 | 14.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $71.20 | $89 | 5.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 9 matching MRF lines |
$150.40–$237.60 | $188–$297 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $58.40 | $73 | 4.6× |
| Ehrlichia antibody (86666) | $56.80 | $71 | 5.6× |
| Electrolyte panel (80051) | $132 | $165 | 18.8× |
| Enterovirus Antibody (86658) | $76 | $95 | 5.8× |
| Enterovirus PCR (87498) | $200 | $250 | 5.7× |
| Eosinophil Smear (89190) | $66.40 | $83 | 11.5× |
| Erythropoietin (82668) | $57.60 | $72 | 3.1× |
| Estradiol serum (82670) range across 4 matching MRF lines |
$67.20–$196 | $84–$245 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$58.40–$152.80 | $73–$191 | varies |
| Estrogen total (82672) | $52.80 | $66 | 2.4× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$44–$132 | $55–$165 | varies |
| Exam Synovial Fluid Crystals (89060) | $66.40 | $83 | 9.1× |
| F2 Gene (81240) range across 2 matching MRF lines |
$192–$437.60 | $240–$547 | varies |
| Factor ix activity (85250) | $282.40 | $353 | 14.8× |
| Factor v activity (85220) | $300.80 | $376 | 17.0× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$192–$400 | $240–$500 | varies |
| Factor viii assay (85240) range across 2 matching MRF lines |
$43.20–$172 | $54–$215 | varies |
| Factor X (85260) | $209.60 | $262 | 11.7× |
| Fat stain feces urine/respir secretions (89125) | $56 | $70 | 9.5× |
| Fat/Lipids Feces Quantitative (82710) | $57.60 | $72 | 3.4× |
| Fecal Fat Qualitative (82705) | $107.20 | $134 | 21.0× |
| Ferritin (82728) | $172.80 | $216 | 12.7× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $371.20 | $464 | 2.4× |
| Fetal Fibronectin (82731) | $615.20 | $769 | 9.6× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $451.20 | $564 | 23.9× |
| Fetal screen rosette (85461) | $67.20 | $84 | 7.2× |
| Fibrin Degradation Quant (85379) | $196 | $245 | 19.3× |
| Fibrinogen activity (85384) | $48 | $60 | 4.9× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $86.40 | $108 | 5.6× |
| Flow cytometry first marker (88184) | $353.60 | $442 | 1.0× |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$52.80–$328.80 | $66–$411 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $111.20 | $139 | 9.2× |
| Fmr1 Gene Charac Alleles (81244) | $120.80 | $151 | 2.7× |
| Fmr1 gene detection (81243) | $139.20 | $174 | 2.4× |
| Folic acid rbc (82747) | $100 | $125 | 5.7× |
| Folic Acid Serum (82746) | $112 | $140 | 7.6× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$55.20–$148 | $69–$185 | varies |
| Francisella tularensis (86668) | $162.40 | $203 | 11.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $153.60 | $192 | 0.9× |
| Frozen Section (88331) | $192 | $240 | 1.1× |
| Fungi Identification Mold (87107) range across 3 matching MRF lines |
$51.20–$92.80 | $64–$116 | varies |
| Fungi Identification Yeast (87106) | $120 | $150 | 11.6× |
| Galactose transferase test (82776) | $32 | $40 | 2.7× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$114.40–$120 | $143–$150 | varies |
| Gardner vag DNA dir probe (87510) | $100.80 | $126 | 5.0× |
| Gases blood ph only (82800) | $146.40 | $183 | 13.3× |
| Gastrin (82941) | $48.80 | $61 | 2.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,227.20 | $1,534 | 2.9× |
| Gentamicin (80170) | $155.20 | $194 | 9.5× |
| Ggt (82977) | $66.40 | $83 | 9.2× |
| Giardia antigen (87329) | $80.80 | $101 | 6.7× |
| Glucose 2 hr pp (82950) | $80.80 | $101 | 17.0× |
| Glucose Blood Test (82962) | $41.60 | $52 | 12.7× |
| Glucose body fluid (82945) | $61.60 | $77 | 15.7× |
| Glucose Serum (82947) | $66.40 | $83 | 16.9× |
| Glucose tolerance test (gtt) (82951) | $201.60 | $252 | 15.7× |
| Glycated Protein (82985) | $51.20 | $64 | 3.1× |
| Gonadotropin Chorionic Qualitative (84703) | $79.20 | $99 | 10.5× |
| Growth hormone (83003) | $49.60 | $62 | 3.0× |
| Gtt-added samples (82952) | $61.60 | $77 | 15.7× |
| H Pylori (C-13) Breath (83013) | $332 | $415 | 4.9× |
| Haptoglobin (83010) | $146.40 | $183 | 11.6× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$28.80–$89.60 | $36–$112 | varies |
| Helicobacter Pylori Stool (87338) | $222.40 | $278 | 15.5× |
| Helminth Antibody (86682) | $56.80 | $71 | 4.4× |
| Hematocrit (85014) | $61.60 | $77 | 26.0× |
| Hemoglobin (85018) | $55.20 | $69 | 23.3× |
| Hemoglobin a1c (83036) | $91.20 | $114 | 9.4× |
| Hemoglobin Chromotography (83021) | $43.20 | $54 | 2.4× |
| Hemoglobin electrophoresis (83020) | $160 | $200 | 12.4× |
| Hep a ab igm (86709) | $133.60 | $167 | 11.9× |
| Heparin assay (85520) | $242.40 | $303 | 18.5× |
| Hepatitis a antibody total (86708) | $47.20 | $59 | 3.8× |
| Hepatitis b core ab igm (86705) | $212.80 | $266 | 18.1× |
| Hepatitis b core ab total (86704) | $128.80 | $161 | 10.7× |
| Hepatitis B Surface Antibody (86706) | $127.20 | $159 | 11.8× |
| Hepatitis B Surface Antigen (87340) | $115.20 | $144 | 11.2× |
| Hepatitis Be Antibody (86707) | $30.40 | $38 | 2.6× |
| Hepatitis Be Antigen (87350) | $30.40 | $38 | 2.6× |
| Hepatitis C Antibody (86803) | $221.60 | $277 | 15.5× |
| Hepatitis C Genotype (87902) | $603.20 | $754 | 2.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $664 | $830 | 15.5× |
| Hepatitis Delta Agent Antibody (86692) | $71.20 | $89 | 4.1× |
| Herpes simplex type 2 (86696) | $128 | $160 | 6.6× |
| Heterophile Antibody Screen (86308) | $72 | $90 | 13.9× |
| Hfe Gene (81256) | $172.80 | $216 | 2.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $153.60 | $192 | 19.9× |
| Histoplasma antibody (86698) | $67.20 | $84 | 4.9× |
| Hiv Genotype (87901) | $817.60 | $1,022 | 3.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $106.40 | $133 | 4.4× |
| Hiv-1 Antibody (86701) | $60 | $75 | 6.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $517.60 | $647 | 6.1× |
| Hla class ii typing high resolution one locus ea (81382) | $299.20 | $374 | 2.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $233.60 | $292 | 3.1× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$156.80–$296.80 | $196–$371 | varies |
| Homocysteine (83090) | $96 | $120 | 5.4× |
| Homogenization Tissue (87176) | $36 | $45 | 6.1× |
| Hpv High-Risk Types (87624) | $187.20 | $234 | 5.3× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $187.20 | $234 | 2.7× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$87.20–$150.40 | $109–$188 | varies |
| Hydroxyprogesterone 17-d (83498) | $82.40 | $103 | 3.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $67.20 | $84 | 6.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $86.40 | $108 | 2.4× |
| Iaad ia shiga-like toxin (87427) | $144.80 | $181 | 12.1× |
| Iaadi inffluenza a virus (87276) | $55.20 | $69 | 3.4× |
| Iaadi not otherwise specified each organism (87299) | $55.20 | $69 | 3.4× |
| Iaadi parainfluenza virus each type (87279) | $62.40 | $78 | 3.8× |
| Iaadi respiratory synctial virus (87280) | $48 | $60 | 3.6× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $122.40 | $153 | 5.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $86.40 | $108 | 2.5× |
| Iadna Cytomegalovirus Quantification (87497) | $104.80 | $131 | 2.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $171.20 | $214 | 2.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $100 | $125 | 2.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $220 | $275 | 6.3× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $131.20 | $164 | 1.7× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$168.80–$201.60 | $211–$252 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$86.40–$153.60 | $108–$192 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $144 | $180 | 2.8× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $348 | $435 | 2.4× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $720 | $900 | 2.7× |
| Ig Light Chains Free Each (83521) | $53.60 | $67 | 3.1× |
| Igg subclasses (82787) | $122.40 | $153 | 15.3× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $403.20 | $504 | 1.1× |
| Immunfix e-phorsis/urine/csf (86335) | $301.60 | $377 | 10.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$57.60–$329.60 | $72–$412 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $52.80 | $66 | 3.5× |
| Immunoassay nonantibody (83516) range across 17 matching MRF lines |
$52–$100 | $65–$125 | varies |
| Immunodiffusion Ouchterlony (86331) range across 3 matching MRF lines |
$32–$90.40 | $40–$113 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$61.60–$172 | $77–$215 | varies |
| Immunohistochemistry (88342) | $277.60 | $347 | 1.6× |
| In situ hybridization 1st probe stain (88365) | $483.20 | $604 | 2.8× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $48 | $60 | 3.3× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $70.40 | $88 | 5.7× |
| Influenza a/b ag eia (87400) | $127.20 | $159 | 9.0× |
| Influenza assay w/optic (87804) | $80.80 | $101 | 4.9× |
| Influenza DNA amp probe (87502) | $248.80 | $311 | 2.6× |
| Inhibin A (86336) range across 2 matching MRF lines |
$56.80–$150.40 | $71–$188 | varies |
| Inhibin b (83520) range across 13 matching MRF lines |
$41.60–$225.60 | $52–$282 | varies |
| Insulin total (83525) | $138.40 | $173 | 12.1× |
| Intrinsic factor antibody (86340) | $56.80 | $71 | 3.8× |
| Iron (83540) | $80.80 | $101 | 12.5× |
| Iron Binding Capacity (83550) | $90.40 | $113 | 10.3× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$55.20–$448.80 | $69–$561 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $250.40 | $313 | 2.7× |
| Koh Prep (87220) | $72 | $90 | 16.9× |
| L/s ratio (83661) | $380.80 | $476 | 17.3× |
| Lactate (ld) (ldh) enzyme (83615) | $72.80 | $91 | 12.1× |
| Ldh Isoenzymes (83625) | $114.40 | $143 | 8.9× |
| LDL direct (83721) | $92.80 | $116 | 8.8× |
| Lead (83655) range across 5 matching MRF lines |
$31.20–$88 | $39–$110 | varies |
| Legionella antibody (86713) range across 3 matching MRF lines |
$56.80–$156.80 | $71–$196 | varies |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$32–$164 | $40–$205 | varies |
| Leptospira antibody (86720) | $108 | $135 | 6.7× |
| Leukocyte Assessment Fecal (89055) | $88 | $110 | 20.6× |
| Level I Surg Pathology Gross Examination Only (88300) | $91.20 | $114 | 3.1× |
| Level ii surg pathology grossµscopic exam (88302) | $149.60 | $187 | 3.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $555.20 | $694 | 1.5× |
| Lipase (83690) | $111.20 | $139 | 16.1× |
| Lipoprotein A (83695) | $48.80 | $61 | 3.4× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $50.40 | $63 | 4.5× |
| Lithium (80178) | $95.20 | $119 | 14.4× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$52.80–$156 | $66–$195 | varies |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$143.20–$152 | $179–$190 | varies |
| Lysozyme serum (85549) | $56.80 | $71 | 3.0× |
| Macroscopic exam arthropod (87168) | $77.60 | $97 | 18.2× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$21.60–$99.20 | $27–$124 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$77.60–$97.60 | $97–$122 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$39.20–$111.20 | $49–$139 | varies |
| Metabolic panel ionized ca (80047) | $58.40 | $73 | 4.3× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$52–$212.80 | $65–$266 | varies |
| Microalbumin, quantitative (82043) | $141.60 | $177 | 24.5× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$52.80–$162.40 | $66–$203 | varies |
| Mitochondrial Antibody Each (86381) | $62.40 | $78 | 2.5× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $420 | $525 | 11.1× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $99.20 | $124 | 2.4× |
| Molecular Cytogenetics Dna Probe Each (88271) | $58.40 | $73 | 2.7× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $103.20 | $129 | 2.4× |
| Mononuclear cell antigen (86356) | $188 | $235 | 7.0× |
| Mrsa Pcr (87641) | $127.20 | $159 | 3.6× |
| Mumps antibody (86735) | $143.20 | $179 | 11.0× |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$100–$171.20 | $125–$214 | varies |
| Mycophenolic Acid (80180) | $71.20 | $89 | 3.9× |
| Mycoplasma antibody (86738) | $126.40 | $158 | 9.5× |
| Myoglobin urine (83874) | $119.20 | $149 | 9.2× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$94.40–$289.60 | $118–$362 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $312.80 | $391 | 2.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $496 | $620 | 1.9× |
| Nk cells total count (86357) | $113.60 | $142 | 3.0× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$56.80–$127.20 | $71–$159 | varies |
| Obstetric panel (80081) | $360.80 | $451 | 4.8× |
| Occult blood feces (82272) | $69.60 | $87 | 16.5× |
| Occult Blood Other Sources (82271) | $69.60 | $87 | 13.1× |
| Organic Acids Qualitative Each Specimen (83919) | $57.60 | $72 | 3.5× |
| Osmolality serum (83930) | $95.20 | $119 | 14.4× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$17.60–$95.20 | $22–$119 | varies |
| Ova and parasites smears (87177) | $124.80 | $156 | 14.0× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$38.40–$57.60 | $48–$72 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $83.20 | $104 | 7.2× |
| Parvovirus antibody (86747) | $56.80 | $71 | 3.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $185.60 | $232 | 0.2× |
| Ph urine (81003) | $40 | $50 | 17.8× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$71.20–$74.40 | $89–$93 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$99.20–$124.80 | $124–$156 | varies |
| Phenytoin free (80186) | $71.20 | $89 | 5.2× |
| Phosphatase acid prostatic (84066) | $121.60 | $152 | 12.6× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$28.80–$73.60 | $36–$92 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $99.20 | $124 | 5.5× |
| Phosphorus Serum (84100) | $84.80 | $106 | 17.9× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$15.20–$62.40 | $19–$78 | varies |
| Pinworm exam (87172) | $80.80 | $101 | 18.9× |
| Platelet Antibodies (86022) | $215.20 | $269 | 11.7× |
| Platelet count automated (85049) | $83.20 | $104 | 18.6× |
| Platelet neutralization (85597) | $152.80 | $191 | 8.5× |
| Pooling blood platelets (86965) | $156 | $195 | 0.9× |
| Porphobilinogen, urine; quantitative (84110) | $108.80 | $136 | 12.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $50.40 | $63 | 3.4× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$12.80–$75.20 | $16–$94 | varies |
| Prealbumin (84134) | $122.40 | $153 | 8.4× |
| Primidone (80188) | $71.20 | $89 | 4.3× |
| Procalcitonin (Pct) (84145) | $217.60 | $272 | 8.0× |
| Progesterone (84144) | $144 | $180 | 6.9× |
| Prolactin (84146) | $238.40 | $298 | 12.3× |
| Protein body fluid (84157) | $98.40 | $123 | 24.6× |
| Protein C Activity (85303) | $267.20 | $334 | 19.3× |
| Protein Electrophoresis Urine (84166) | $145.60 | $182 | 8.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $90.40 | $113 | 8.4× |
| Protein S Free (85306) | $284.80 | $356 | 18.6× |
| Protein s total (85305) | $337.60 | $422 | 29.1× |
| Protein total serum (84155) | $70.40 | $88 | 19.2× |
| Protein Total Urine (84156) | $95.20 | $119 | 25.9× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $34.40 | $43 | 8.7× |
| PSA free (84154) | $194.40 | $243 | 10.6× |
| Pth Intact (83970) | $234.40 | $293 | 5.7× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$32–$61.60 | $40–$77 | varies |
| Quantiferon tb gold plus (86480) | $180.80 | $226 | 2.9× |
| Quantitative assay drug (80299) range across 5 matching MRF lines |
$44–$260.80 | $55–$326 | varies |
| Rbc antibody elution (86860) | $166.40 | $208 | 1.0× |
| Rbc antibody identification (86870) | $320.80 | $401 | 0.9× |
| Rbc antibody screen (86850) | $115.20 | $144 | 11.8× |
| Rbc pretreatment serum (86978) | $255.20 | $319 | 4.2× |
| Renin activity plasma (84244) range across 3 matching MRF lines |
$51.20–$70.40 | $64–$88 | varies |
| Reticulocyte Count (85046) | $113.60 | $142 | 20.4× |
| Reticulocyte Count Manual (85044) | $31.20 | $39 | 7.2× |
| Rh (86901) | $66.40 | $83 | 22.2× |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$36–$66.40 | $45–$83 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$82.40–$88 | $103–$110 | varies |
| Rickettsia antibody (86757) | $56.80 | $71 | 2.9× |
| Ristocetin cofactor (85245) | $280.80 | $351 | 12.2× |
| Rotavirus ag eia (87425) | $151.20 | $189 | 12.6× |
| Rpr qualitative (86592) | $56.80 | $71 | 13.3× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$126.40–$130.40 | $158–$163 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$38.40–$124 | $48–$155 | varies |
| Rubeola antibody (86765) | $101.60 | $127 | 7.9× |
| Russell Viper Venom Time Diluted (85613) | $89.60 | $112 | 9.4× |
| Rx metab gen seq alys pnl 6 (81418) | $256 | $320 | 0.3× |
| Salicylate Level (80179) | $161.60 | $202 | 8.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $124.80 | $156 | 2.4× |
| Sarscov2 & inf a&b amp prb (87636) | $349.60 | $437 | 2.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $460.80 | $576 | 3.2× |
| Sc std carbapenem resist gen (87183) | $152.80 | $191 | 4.4× |
| Sedimentation rate (85651) | $78.40 | $98 | 18.4× |
| Sedimentation Rate, Automated (85652) | $27.20 | $34 | 10.1× |
| Semen Anal Sperm Detection (89321) | $101.60 | $127 | 8.4× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$48–$110.40 | $60–$138 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$51.20–$57.60 | $64–$72 | varies |
| Sickling of rbc reduction (85660) | $81.60 | $102 | 14.8× |
| Sirolimus (80195) | $211.20 | $264 | 15.4× |
| Skin test tuberculosis intradermal (86580) | $34.40 | $43 | 1.2× |
| Smear acid fast (87206) | $76 | $95 | 14.1× |
| Smear complex stain (87209) | $78.40 | $98 | 4.4× |
| Smear gram stain (87205) | $74.40 | $93 | 17.4× |
| Smear Special Stain (87207) | $98.40 | $123 | 16.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$69.60–$72.80 | $87–$91 | varies |
| Sodium Serum (84295) | $58.40 | $73 | 12.1× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$13.60–$80.80 | $17–$101 | varies |
| Somatomedin (84305) range across 3 matching MRF lines |
$57.60–$329.60 | $72–$412 | varies |
| Special Stains Group 1 (88312) | $191.20 | $239 | 3.6× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$179.20–$185.60 | $224–$232 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$40–$73.60 | $50–$92 | varies |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$41.60–$65.60 | $52–$82 | varies |
| Strep a assay w/optic (87880) | $84 | $105 | 5.1× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$105.60–$114.40 | $132–$143 | varies |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $55.20 | $69 | 0.6× |
| Sugars Single Qual (84376) | $90.40 | $113 | 16.4× |
| Sulfate urine (84392) | $14.40 | $18 | 2.6× |
| Surg path level iii (88304) | $212 | $265 | 4.0× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$141.60–$252 | $177–$315 | varies |
| Surgical pathology level vi (88309) | $740.80 | $926 | 0.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$30.40–$84 | $38–$105 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $110.40 | $138 | 14.8× |
| Syphilis Test Non-Trep Quant (86593) | $12 | $15 | 2.7× |
| T cells absolute cd4 count (86361) | $204 | $255 | 7.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $141.60 | $177 | 3.0× |
| T cells total count (86359) | $113.60 | $142 | 3.0× |
| T3 Free (84481) | $146.40 | $183 | 8.6× |
| T3 reverse (84482) | $45.60 | $57 | 2.9× |
| T3 Total (84480) | $166.40 | $208 | 11.7× |
| T3 Uptake (84479) | $48.80 | $61 | 7.5× |
| T4 Free (84439) range across 2 matching MRF lines |
$99.20–$116 | $124–$145 | varies |
| T4 total (84436) | $91.20 | $114 | 13.3× |
| Tacrolimus (80197) | $315.20 | $394 | 23.0× |
| Tb ag response t-cell susp (86481) range across 2 matching MRF lines |
$260–$305.60 | $325–$382 | varies |
| Test for acetone/ketones (82009) | $28 | $35 | 6.2× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$120–$124.80 | $150–$156 | varies |
| Testosterone total (84403) range across 5 matching MRF lines |
$60.80–$183.20 | $76–$229 | varies |
| Testosterone, Free (84402) | $60 | $75 | 2.4× |
| Tetanus antibody (86774) | $134.40 | $168 | 9.1× |
| Theophylline (80198) | $99.20 | $124 | 7.0× |
| Thrombin Time (85670) | $60.80 | $76 | 10.5× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $91.20 | $114 | 14.1× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$45.60–$202.40 | $57–$253 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$52.80–$136 | $66–$170 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $124 | $155 | 2.4× |
| Thyroxine binding globulin (84442) | $48.80 | $61 | 3.3× |
| Tiss cul neo disorders solid tumor (88239) | $605.60 | $757 | 4.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $44.80 | $56 | 3.9× |
| Tissue culture bone marrow (88237) | $581.60 | $727 | 4.0× |
| Tissue Culture Lymphocyte (88230) | $296 | $370 | 2.5× |
| Tobramycin peak (80200) | $180.80 | $226 | 11.2× |
| Topiramate (80201) | $71.20 | $89 | 6.0× |
| Toxoplasma ab igm (86778) | $122.40 | $153 | 8.5× |
| Toxoplasma antibody (86777) | $122.40 | $153 | 8.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $85.60 | $107 | 16.5× |
| Transferrin (84466) | $148 | $185 | 11.6× |
| Trichomonas vagin dir probe (87660) | $100.80 | $126 | 5.0× |
| Triglycerides (84478) range across 2 matching MRF lines |
$28.80–$72 | $36–$90 | varies |
| Troponin Quant (84484) | $232 | $290 | 18.6× |
| Tumor Immunohistochem/Manual (88360) | $267.20 | $334 | 1.5× |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$15.20–$56.80 | $19–$71 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$13.60–$73.60 | $17–$92 | varies |
| Urinalysis Microscopic Only (81015) | $40 | $50 | 13.1× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $13.60 | $17 | 6.3× |
| Urinalysis Volume Measure (81050) | $36 | $45 | 9.9× |
| Urine Albumin Semiquantitative (82044) | $99.20 | $124 | 15.9× |
| Urine Bacteria Culture (87088) | $72 | $90 | 8.9× |
| Urine Pregnancy Test (81025) | $74.40 | $93 | 8.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $80.80 | $101 | 25.5× |
| Valproic acid (80164) range across 2 matching MRF lines |
$37.60–$135.20 | $47–$169 | varies |
| Vancomycin (80202) | $184 | $230 | 13.6× |
| Varicella-zoster antibody (86787) | $54.40 | $68 | 4.2× |
| Viral Culture (87252) | $236.80 | $296 | 9.1× |
| Virus antibody nos (86790) range across 3 matching MRF lines |
$34.40–$102.40 | $43–$128 | varies |
| Virus inoculate tissue addl (87253) | $77.60 | $97 | 3.8× |
| Viscosity serum (85810) | $87.20 | $109 | 7.5× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$122.40–$211.20 | $153–$264 | varies |
| Vitamin A (84590) | $48.80 | $61 | 4.2× |
| Vitamin b-12 (82607) | $115.20 | $144 | 7.6× |
| Vitamin B6 (84207) | $68.80 | $86 | 2.4× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$95.20–$132 | $119–$165 | varies |
| Vitamin E (84446) | $48.80 | $61 | 3.4× |
| Vitamin K (84597) | $76 | $95 | 5.5× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$55.20–$304.80 | $69–$381 | varies |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$52.80–$88.80 | $66–$111 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$52.80–$88.80 | $66–$111 | varies |
| Zinc (84630) | $26.40 | $33 | 2.3× |
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.