Lab & pathology prices at Sanford Westbrook Medical Center
Westbrook, MN · every code in this section with a posted price and a Medicare benchmark.
573 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) | $108 | $135 | 5.9× |
| Acth (82024) | $112 | $140 | 2.9× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$33.60–$52.80 | $42–$66 | varies |
| Acute hepatitis panel (80074) | $345.60 | $432 | 7.3× |
| 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–$100 | $36–$125 | varies |
| Aldolase (82085) | $118.40 | $148 | 12.2× |
| Aldosterone urine (82088) range across 5 matching MRF lines |
$70.40–$383.20 | $88–$479 | varies |
| Alkaline phosphatase isoenzymes (84080) | $50.40 | $63 | 3.4× |
| Allergen specific ige (86003) range across 6 matching MRF lines |
$29.60–$112 | $37–$140 | varies |
| Allergen specific igg (86001) | $34.40 | $43 | 4.4× |
| Allg Spec Ige Recomb Ea (86008) | $66.40 | $83 | 3.7× |
| Alpha-1-antitrypsin phenotype (82104) | $48.80 | $61 | 3.4× |
| Alpha-1-antitrypsin total (82103) range across 3 matching MRF lines |
$38.40–$155.20 | $48–$194 | varies |
| Alpha-Fetoprotein Serum (82105) | $192 | $240 | 11.4× |
| Alt (sgpt) (84460) | $85.60 | $107 | 16.2× |
| Aluminum (82108) | $34.40 | $43 | 1.4× |
| Amikacin trough (80150) | $40 | $50 | 2.7× |
| Ammonia (82140) range across 2 matching MRF lines |
$57.60–$175.20 | $72–$219 | varies |
| Amylase urine (82150) | $104.80 | $131 | 16.2× |
| Ana Titer (86039) | $160 | $200 | 14.3× |
| Anca screen each antibody (86036) | $90.40 | $113 | 7.5× |
| Anca Titer Each Antibody (86037) | $62.40 | $78 | 5.2× |
| Androstenedione (82157) | $51.20 | $64 | 1.7× |
| Angiotensin converting enzyme csf (82164) | $218.40 | $273 | 15.0× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$32–$111.20 | $40–$139 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $35.20 | $44 | 2.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $52.80 | $66 | 3.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $149.60 | $187 | 8.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $171.20 | $214 | 11.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$44.80–$162.40 | $56–$203 | varies |
| Antibody helicobacter pylori (86677) | $196 | $245 | 11.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $352 | $440 | 24.5× |
| Antibody Herpes Smplx Type 1 (86695) | $91.20 | $114 | 6.9× |
| Antibody HIV-1&HIV-2 single result (86703) | $171.20 | $214 | 12.5× |
| Antibody HIV-2 (86702) | $84 | $105 | 6.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $293.60 | $367 | 15.2× |
| Antibody identification leukocyte antibodies (86021) | $204.80 | $256 | 13.6× |
| Antibody Protozoa Nes (86753) | $54.40 | $68 | 4.4× |
| Antibody Titer (86886) | $40.80 | $51 | 7.9× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$54.40–$152 | $68–$190 | varies |
| Antigen typing (86905) | $180.80 | $226 | 47.2× |
| Antinuclear antibodies (86038) | $176.80 | $221 | 14.6× |
| Antistreptolysin o titer (86060) | $91.20 | $114 | 12.5× |
| Antithrombin iii activity (85300) | $245.60 | $307 | 20.7× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$45.60–$57.60 | $57–$72 | varies |
| Arsenic (82175) range across 4 matching MRF lines |
$50.40–$231.20 | $63–$289 | varies |
| Aspergillus ag eia (87305) | $40.80 | $51 | 3.4× |
| Assay activated protein c (85307) | $243.20 | $304 | 15.9× |
| Assay Blood Carbon Dioxide (82374) | $64 | $80 | 13.1× |
| Assay Dir Meas Fr Estradiol (82681) | $68 | $85 | 2.4× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$96.80–$148.80 | $121–$186 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$46.40–$47.20 | $58–$59 | varies |
| Assay of anti-mullerian hormone (82166) | $94.40 | $118 | 2.4× |
| Assay of blood/uric acid (84550) | $74.40 | $93 | 16.5× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$31.20–$88 | $39–$110 | varies |
| Assay of cpk in blood (82552) | $232 | $290 | 17.3× |
| Assay of g6pd enzyme (82955) | $31.20 | $39 | 3.2× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$28.80–$91.20 | $36–$114 | varies |
| Assay of lactic acid (83605) | $128.80 | $161 | 11.1× |
| Assay of metanephrines (83835) | $46.40 | $58 | 2.7× |
| Assay of proinsulin (84206) | $61.60 | $77 | 2.3× |
| Assay of serotonin (84260) | $103.20 | $129 | 3.3× |
| Assay of serum potassium (84132) | $76 | $95 | 16.0× |
| Assay of urea nitrogen (84520) | $85.60 | $107 | 21.7× |
| 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 |
$31.20–$39.20 | $39–$49 | varies |
| Assay spec xcp ur&breath ia (82077) | $153.60 | $192 | 8.9× |
| Automated Leukocyte Count (85048) | $54.40 | $68 | 21.4× |
| B cells total count (86355) | $151.20 | $189 | 4.0× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$68–$91.20 | $85–$114 | varies |
| Bcr/abl1 gene major bp (81206) | $400 | $500 | 2.4× |
| Bcr/abl1 gene minor bp (81207) | $353.60 | $442 | 2.4× |
| Bcr/Abl1 Gene Other Bp (81208) | $524 | $655 | 2.4× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$91.20–$179.20 | $114–$224 | varies |
| Beta hydroxybutyrate (82010) | $97.60 | $122 | 11.9× |
| Beta Lactamase (87185) | $162.40 | $203 | 34.2× |
| Beta-2 Microglobulin (82232) | $194.40 | $243 | 12.0× |
| Bile acids total (82239) | $52 | $65 | 3.0× |
| Bilirubin direct (82248) | $85.60 | $107 | 17.1× |
| Bilirubin total (82247) | $85.60 | $107 | 17.1× |
| Blastomyces antibody (86612) | $51.20 | $64 | 4.0× |
| Blood Count Automated Differential Wbc Count (85004) | $75.20 | $94 | 11.6× |
| Blood Count Red Blood Cell Automated (85041) | $53.60 | $67 | 17.7× |
| Blood count reticulocyte automated (85045) | $103.20 | $129 | 25.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $76.80 | $96 | 20.2× |
| Blood gas (82803) | $320.80 | $401 | 12.3× |
| Blood gases w/02 saturation (82805) | $377.60 | $472 | 4.8× |
| 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) | $53.60 | $67 | 12.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $109.60 | $137 | 17.3× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $278.40 | $348 | 17.0× |
| Blood typing serologic abo (86900) | $47.20 | $59 | 15.8× |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$32.80–$206.40 | $41–$258 | varies |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$116–$305.60 | $145–$382 | varies |
| Brucella antibody (86622) | $56.80 | $71 | 6.4× |
| C diff amplified probe (87493) | $227.20 | $284 | 6.1× |
| C-Peptide (84681) | $112 | $140 | 5.4× |
| C-reactive protein (86140) | $116 | $145 | 22.4× |
| Ca 19-9 (86301) | $101.60 | $127 | 4.9× |
| Cadmium (82300) range across 6 matching MRF lines |
$24.80–$152.80 | $31–$191 | varies |
| Calcium ionized (82330) | $159.20 | $199 | 11.6× |
| Calcium total (82310) | $85.60 | $107 | 16.6× |
| Calculus Spectroscopy (82365) | $147.20 | $184 | 11.4× |
| Calprotectin Fecal (83993) | $422.40 | $528 | 21.5× |
| Cancer Antigen 125 (86304) | $101.60 | $127 | 4.9× |
| Cancer Antigen 27.29 (86300) | $101.60 | $127 | 4.9× |
| Carbamazepine free (80157) | $71.20 | $89 | 5.4× |
| Carbamazepine total (80156) | $144.80 | $181 | 9.9× |
| Carboxyhemoglobin (82375) | $171.20 | $214 | 13.9× |
| Carcinoembryonic antigen (82378) | $100 | $125 | 5.3× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$59.20–$96 | $74–$120 | varies |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$84.80–$92 | $106–$115 | varies |
| Ccp antibody (86200) | $173.60 | $217 | 13.4× |
| Cell count csf (89051) | $152.80 | $191 | 27.3× |
| Ceruloplasmin (82390) | $131.20 | $164 | 12.2× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$40.80–$146.40 | $51–$183 | varies |
| Chlamydia antibody (86631) | $148 | $185 | 12.5× |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$54.40–$148 | $68–$185 | varies |
| Chlmy trch&neisra gonor mult (87494) range across 4 matching MRF lines |
$200.80–$271.20 | $251–$339 | varies |
| Chloride Serum (82435) | $76 | $95 | 16.5× |
| Chloride urine (82436) range across 2 matching MRF lines |
$31.20–$109.60 | $39–$137 | varies |
| Cholesterol total (82465) | $85.60 | $107 | 19.7× |
| Cholinesterase Serum (82480) | $38.40 | $48 | 4.9× |
| Chorionic gonadotropin test (84702) | $191.20 | $239 | 12.7× |
| Chromium serum (82495) | $64.80 | $81 | 3.2× |
| Chromogranin a (86316) | $52.80 | $66 | 2.5× |
| Chromosome Analysis 15-20 (88262) | $306.40 | $383 | 2.4× |
| 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–$171.20 | $143–$214 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$84–$122.40 | $105–$153 | varies |
| Ckmb (82553) | $179.20 | $224 | 15.5× |
| Clostridium Difficile (87324) | $152.80 | $191 | 12.8× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$81.60–$192.80 | $102–$241 | varies |
| Coccidioides antibody (86635) | $111.20 | $139 | 9.7× |
| Cold agglutinin titer (86157) | $133.60 | $167 | 16.6× |
| Collagen crosslinks (82523) | $57.60 | $72 | 3.1× |
| Column Chromotography Quant (82542) | $63.20 | $79 | 2.6× |
| Compatibility Each Unit Incubation (86921) | $103.20 | $129 | 0.6× |
| Compatibility test antiglob (86922) | $255.20 | $319 | 1.5× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$56.80–$136.80 | $71–$171 | varies |
| Complement Total (Ch50) (86162) | $56.80 | $71 | 2.8× |
| Complement/Function Activity (86161) | $56.80 | $71 | 4.7× |
| Coombs direct (86880) | $56 | $70 | 10.4× |
| Copper urine (82525) range across 3 matching MRF lines |
$50.40–$141.60 | $63–$177 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$52–$108.80 | $65–$136 | varies |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$52–$167.20 | $65–$209 | varies |
| Creatine kinase total (82550) | $120.80 | $151 | 18.6× |
| Creatinine blood (82565) | $85.60 | $107 | 16.7× |
| Creatinine clearance (82575) | $133.60 | $167 | 14.1× |
| Creatinine Urine (82570) range across 6 matching MRF lines |
$19.20–$87.20 | $24–$109 | varies |
| Crossmatch immediate spin (86920) | $136.80 | $171 | 0.8× |
| Crp High Sensitivity (86141) | $148 | $185 | 11.4× |
| Cryofibrinogen (82585) | $57.60 | $72 | 4.1× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$31.20–$84.80 | $39–$106 | varies |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$104–$188 | $130–$235 | varies |
| Cryptosporidium ag eia (87328) | $126.40 | $158 | 9.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$90.40–$113.60 | $113–$142 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$109.60–$161.60 | $137–$202 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $116 | $145 | 15.0× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $604.80 | $756 | 2.8× |
| Culture afb (87116) | $136 | $170 | 12.6× |
| Culture Anaerobic (87075) | $166.40 | $208 | 17.6× |
| Culture blood (87040) | $149.60 | $187 | 14.5× |
| Culture chlamydia (87110) | $226.40 | $283 | 11.6× |
| Culture csf (87070) range across 3 matching MRF lines |
$112–$136 | $140–$170 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$65.60–$148 | $82–$185 | varies |
| Culture fungus blood (87103) | $123.20 | $154 | 6.0× |
| Culture screen only (87081) | $97.60 | $122 | 14.7× |
| Culture stool (87045) range across 2 matching MRF lines |
$52.80–$54.40 | $66–$68 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$20–$90.40 | $25–$113 | varies |
| Culture urine (87086) | $114.40 | $143 | 14.2× |
| Cyclosporine (80158) | $53.60 | $67 | 3.0× |
| Cystatin C (82610) | $99.20 | $124 | 5.4× |
| Cytogenetics 10-30 (88273) | $84.80 | $106 | 2.4× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$40–$124.80 | $50–$156 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$460–$2,120.80 | $575–$2,651 | varies |
| Cytomegalovirus igg (86644) | $149.60 | $187 | 10.4× |
| Cytopath Cell Enhance Tech (88112) | $154.40 | $193 | 2.9× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $108 | $135 | 4.1× |
| Cytp Concentration Smears & Interpretation (88108) | $467.20 | $584 | 12.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $253.60 | $317 | 4.7× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $395.20 | $494 | 2.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $151.20 | $189 | 3.9× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $88 | $110 | 4.7× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $121.60 | $152 | 4.1× |
| Deoxyribonuclease antibody (86215) | $71.20 | $89 | 5.4× |
| Detect Agent Nos Dna Amp (87798) range across 8 matching MRF lines |
$76–$373.60 | $95–$467 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$113.60–$302.40 | $142–$378 | varies |
| Detect agnt mult DNA ampli (87801) | $389.60 | $487 | 5.5× |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$54.40–$146.40 | $68–$183 | varies |
| Dhea (82626) | $61.60 | $77 | 2.4× |
| Dhea-S (82627) range across 2 matching MRF lines |
$53.60–$254.40 | $67–$318 | varies |
| Digoxin (80162) | $130.40 | $163 | 9.8× |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$37.60–$132 | $47–$165 | varies |
| Dna Antibody Native/Double Stranded (86225) | $158.40 | $198 | 11.5× |
| Dna Antibody Single Stranded (86226) | $417.60 | $522 | 34.5× |
| Dna/Rna Amplified Probe (87150) | $169.60 | $212 | 4.8× |
| DNA/RNA direct probe (87149) | $51.20 | $64 | 2.6× |
| Drug assay acetaminophen (80143) | $122.40 | $153 | 6.6× |
| Drug assay adalimumab (80145) | $204 | $255 | 5.3× |
| Drug assay felbamate (80167) | $54.40 | $68 | 2.9× |
| Drug Assay Itraconazole (80189) | $71.20 | $89 | 2.6× |
| Drug Assay Vedolizumab (80280) | $194.40 | $243 | 5.0× |
| Drug assay voriconazole (80285) | $106.40 | $133 | 3.9× |
| Drug Screen Quant Zonisamide (80203) | $71.20 | $89 | 5.4× |
| Drug Screen Quantitative Gabapentin (80171) | $71.20 | $89 | 3.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $37.60 | $47 | 2.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $160 | $200 | 12.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $71.20 | $89 | 5.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 7 matching MRF lines |
$86.40–$196.80 | $108–$246 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $58.40 | $73 | 4.6× |
| Drug Test Prsmv Instrmnt (80306) | $208.80 | $261 | 12.2× |
| Ehrlichia antibody (86666) range across 3 matching MRF lines |
$54.40–$56.80 | $68–$71 | varies |
| El-1 Fecal Quantitative (82653) | $57.60 | $72 | 2.5× |
| Electrolyte panel (80051) | $127.20 | $159 | 18.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $54.40 | $68 | 4.5× |
| 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–$282.40 | $84–$353 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$58.40–$264 | $73–$330 | varies |
| Estrogen total (82672) | $52.80 | $66 | 2.4× |
| Estrogens fractionated (82671) | $52 | $65 | 1.6× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$43.20–$130.40 | $54–$163 | varies |
| Exam Synovial Fluid Crystals (89060) | $84 | $105 | 11.5× |
| F2 Gene (81240) | $192 | $240 | 2.9× |
| Factor ii activity (85210) | $272 | $340 | 21.0× |
| Factor v activity (85220) | $295.20 | $369 | 16.7× |
| Factor v leiden mutation (81241) | $192 | $240 | 2.6× |
| Factor vii assay (85230) range across 2 matching MRF lines |
$72–$100.80 | $90–$126 | varies |
| Factor viii assay (85240) range across 2 matching MRF lines |
$47.20–$349.60 | $59–$437 | varies |
| Factor X (85260) range across 2 matching MRF lines |
$44–$250.40 | $55–$313 | varies |
| Fat stain feces urine/respir secretions (89125) | $121.60 | $152 | 20.7× |
| Fat/Lipids Feces Quantitative (82710) | $57.60 | $72 | 3.4× |
| Fecal Fat Qualitative (82705) | $234.40 | $293 | 46.0× |
| Ferritin (82728) | $156.80 | $196 | 11.5× |
| Fetal screen rosette (85461) | $127.20 | $159 | 13.6× |
| Fibrin Degradation Quant (85379) | $219.20 | $274 | 21.5× |
| Fibrinogen activity (85384) | $48 | $60 | 4.9× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 3 matching MRF lines |
$88–$90.40 | $110–$113 | varies |
| Flow cytometry first marker (88184) | $242.40 | $303 | 0.7× |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$52.80–$164.80 | $66–$206 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $56.80 | $71 | 4.7× |
| Fmr1 Gene Charac Alleles (81244) | $120.80 | $151 | 2.7× |
| Fmr1 gene detection (81243) | $139.20 | $174 | 2.4× |
| Folic acid rbc (82747) | $193.60 | $242 | 11.0× |
| Folic Acid Serum (82746) | $134.40 | $168 | 9.1× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$54.40–$247.20 | $68–$309 | varies |
| Francisella tularensis (86668) | $210.40 | $263 | 14.9× |
| Frozen Section (88331) | $120 | $150 | 0.7× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$51.20–$202.40 | $64–$253 | varies |
| Fungi Identification Yeast (87106) | $176 | $220 | 17.1× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$184.80–$188 | $231–$235 | varies |
| 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) | $172 | $215 | 10.5× |
| Ggt (82977) | $74.40 | $93 | 10.3× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$126.40–$138.40 | $158–$173 | varies |
| Giardia lamblia antibody (86674) | $260 | $325 | 17.7× |
| Glucagon (82943) | $48.80 | $61 | 3.4× |
| Glucose 2 hr pp (82950) | $101.60 | $127 | 21.4× |
| Glucose Blood Test (82962) | $28.80 | $36 | 8.8× |
| Glucose body fluid (82945) | $80.80 | $101 | 20.6× |
| Glucose Serum (82947) | $52.80 | $66 | 13.4× |
| Glucose tolerance test (gtt) (82951) | $232 | $290 | 18.0× |
| Glycated Protein (82985) | $56 | $70 | 3.3× |
| Gonadotropin Chorionic Qualitative (84703) | $85.60 | $107 | 11.4× |
| Growth hormone (83003) | $53.60 | $67 | 3.2× |
| Gtt-added samples (82952) | $50.40 | $63 | 12.9× |
| H Pylori (C-13) Breath (83013) | $418.40 | $523 | 6.2× |
| Haptoglobin (83010) | $143.20 | $179 | 11.4× |
| Hdl Cholesterol (83718) | $85.60 | $107 | 10.5× |
| Helicobacter Pylori Stool (87338) | $256 | $320 | 17.8× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$56.80–$196.80 | $71–$246 | varies |
| Hematocrit (85014) | $48.80 | $61 | 20.6× |
| Hemoglobin (85018) | $50.40 | $63 | 21.3× |
| Hemoglobin a1c (83036) | $117.60 | $147 | 12.1× |
| Hemoglobin Chromotography (83021) | $47.20 | $59 | 2.6× |
| Hemoglobin electrophoresis (83020) | $156.80 | $196 | 12.2× |
| Hemoglobin plasma (83051) | $96 | $120 | 13.1× |
| Hep a ab igm (86709) | $131.20 | $164 | 11.7× |
| Heparin assay (85520) | $151.20 | $189 | 11.6× |
| Hepatitis a antibody total (86708) | $44 | $55 | 3.6× |
| Hepatitis b core ab igm (86705) | $136 | $170 | 11.6× |
| Hepatitis b core ab total (86704) | $126.40 | $158 | 10.5× |
| Hepatitis B Surface Antibody (86706) | $125.60 | $157 | 11.7× |
| Hepatitis B Surface Antigen (87340) | $148.80 | $186 | 14.4× |
| Hepatitis Be Antibody (86707) | $29.60 | $37 | 2.6× |
| Hepatitis Be Antigen (87350) | $29.60 | $37 | 2.6× |
| Hepatitis C Antibody (86803) | $222.40 | $278 | 15.6× |
| Hepatitis C Genotype (87902) | $603.20 | $754 | 2.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $124 | $155 | 2.9× |
| Herpes simplex type 2 (86696) | $90.40 | $113 | 4.7× |
| Heterophile Antibody Screen (86308) | $79.20 | $99 | 15.3× |
| Hfe Gene (81256) range across 2 matching MRF lines |
$148.80–$159.20 | $186–$199 | varies |
| Histamine urine (83088) | $130.40 | $163 | 4.4× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$45.60–$111.20 | $57–$139 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $127.20 | $159 | 5.3× |
| Hiv-1 Antibody (86701) | $72.80 | $91 | 8.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $413.60 | $517 | 4.9× |
| HIV-2 probe&revrse trnscripj (87538) | $165.60 | $207 | 4.7× |
| Hla class ii typing high resolution one locus ea (81382) | $299.20 | $374 | 2.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $228 | $285 | 3.1× |
| Hla ii typing 1 locus lr (81376) | $298.40 | $373 | 2.4× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$238.40–$261.60 | $298–$327 | varies |
| Homocysteine (83090) | $96 | $120 | 5.4× |
| Hpv High-Risk Types (87624) | $139.20 | $174 | 4.0× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $139.20 | $174 | 2.0× |
| Hsv Dna Amp Probe (87529) | $165.60 | $207 | 4.7× |
| Human Epididymis Protein 4 (86305) | $56.80 | $71 | 2.7× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$40–$87.20 | $50–$109 | varies |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $176.80 | $221 | 17.1× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $231.20 | $289 | 16.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $86.40 | $108 | 2.4× |
| Iaad ia shiga-like toxin (87427) | $138.40 | $173 | 11.6× |
| Iaadi inffluenza a virus (87276) range across 2 matching MRF lines |
$88–$94.40 | $110–$118 | varies |
| Iaadi not otherwise specified each organism (87299) | $82.40 | $103 | 5.1× |
| Iaadi parainfluenza virus each type (87279) | $60 | $75 | 3.7× |
| Iaadi respiratory synctial virus (87280) | $71.20 | $89 | 5.3× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $200.80 | $251 | 5.7× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $151.20 | $189 | 6.6× |
| 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) range across 2 matching MRF lines |
$165.60–$360 | $207–$450 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $186.40 | $233 | 4.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$86.40–$110.40 | $108–$138 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $151.20 | $189 | 2.9× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $348 | $435 | 2.4× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) range across 2 matching MRF lines |
$487.20–$696 | $609–$870 | varies |
| Ig Light Chains Free Each (83521) | $112.80 | $141 | 6.5× |
| Igg subclasses (82787) | $254.40 | $318 | 31.7× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $718.40 | $898 | 2.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $406.40 | $508 | 1.1× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$115.20–$296 | $144–$370 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$52–$323.20 | $65–$404 | varies |
| Immunoassay infectious agent (86318) | $164 | $205 | 9.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $52.80 | $66 | 3.5× |
| Immunoassay nonantibody (83516) range across 12 matching MRF lines |
$75.20–$345.60 | $94–$432 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$35.20–$44 | $44–$55 | varies |
| Immunofixation electrophoresis (86334) | $264.80 | $331 | 11.9× |
| Immunohistochemistry (88342) | $214.40 | $268 | 1.2× |
| In situ hybridization 1st probe stain (88365) | $394.40 | $493 | 2.2× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $156.80 | $196 | 10.9× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) range across 2 matching MRF lines |
$92.80–$94.40 | $116–$118 | varies |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$86.40–$161.60 | $108–$202 | varies |
| Influenza DNA amp probe (87502) | $248.80 | $311 | 2.6× |
| Inhibin A (86336) | $56.80 | $71 | 3.6× |
| Inhibin b (83520) range across 11 matching MRF lines |
$40–$436 | $50–$545 | varies |
| Insulin total (83525) | $132.80 | $166 | 11.6× |
| Interleukin-6 (83529) | $137.60 | $172 | 8.0× |
| Intrinsic factor antibody (86340) | $56.80 | $71 | 3.8× |
| Iron (83540) | $74.40 | $93 | 11.5× |
| Iron Binding Capacity (83550) | $74.40 | $93 | 8.5× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$55.20–$75.20 | $69–$94 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $250.40 | $313 | 2.7× |
| Koh Prep (87220) | $140.80 | $176 | 33.0× |
| Lactate (ld) (ldh) enzyme (83615) | $82.40 | $103 | 13.6× |
| Lactoferrin fecal qualitative (83630) | $197.60 | $247 | 10.0× |
| Ldh Isoenzymes (83625) | $216 | $270 | 16.9× |
| LDL direct (83721) | $112 | $140 | 10.7× |
| Lead (83655) range across 6 matching MRF lines |
$26.40–$128.80 | $33–$161 | varies |
| Legionella antibody (86713) range across 2 matching MRF lines |
$156.80–$244 | $196–$305 | varies |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$32–$169.60 | $40–$212 | varies |
| Leukocyte Assessment Fecal (89055) | $78.40 | $98 | 18.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $64 | $80 | 2.1× |
| Level ii surg pathology grossµscopic exam (88302) | $136 | $170 | 3.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $679.20 | $849 | 1.8× |
| Lipase (83690) | $208 | $260 | 30.2× |
| Lipoprotein A (83695) | $57.60 | $72 | 4.0× |
| Lithium (80178) | $84.80 | $106 | 12.8× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$58.40–$243.20 | $73–$304 | varies |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$171.20–$239.20 | $214–$299 | varies |
| M. Genitalium Amp Probe (87563) | $143.20 | $179 | 4.1× |
| Macroscopic exam arthropod (87168) | $40 | $50 | 9.4× |
| Macroscopic Exam Parasite (87169) | $116 | $145 | 26.9× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$31.20–$88.80 | $39–$111 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$215.20–$240 | $269–$300 | varies |
| Mercury urine (83825) range across 5 matching MRF lines |
$26.40–$231.20 | $33–$289 | varies |
| Metabolic panel ionized ca (80047) | $155.20 | $194 | 11.3× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$50.40–$52 | $63–$65 | varies |
| Microalbumin, quantitative (82043) | $169.60 | $212 | 29.3× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$52.80–$100 | $66–$125 | varies |
| Mitochondrial Antibody Each (86381) | $62.40 | $78 | 2.5× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $99.20 | $124 | 2.4× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$40–$58.40 | $50–$73 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $103.20 | $129 | 2.4× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$331.20–$447.20 | $414–$559 | varies |
| Mrsa Pcr (87641) | $108.80 | $136 | 3.1× |
| Mumps antibody (86735) | $158.40 | $198 | 12.1× |
| Muscle-Specific Kinase Antb (86366) | $596.80 | $746 | 32.4× |
| Mycophenolic Acid (80180) | $71.20 | $89 | 3.9× |
| Mycoplasma antibody (86738) | $137.60 | $172 | 10.4× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$217.60–$302.40 | $272–$378 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$104–$200 | $130–$250 | varies |
| Neisseria Dir Na Probe (87590) | $140 | $175 | 5.2× |
| Neutralization Test Viral (86382) | $115.20 | $144 | 6.8× |
| 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) | $140 | $175 | 3.7× |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$56.80–$104.80 | $71–$131 | varies |
| Occult blood feces (82272) | $51.20 | $64 | 12.1× |
| Occult Blood Other Sources (82271) | $70.40 | $88 | 13.2× |
| Osmolality serum (83930) | $128 | $160 | 19.4× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$31.20–$128 | $39–$160 | varies |
| Osteocalcin (83937) | $355.20 | $444 | 11.9× |
| Ova and parasites smears (87177) | $112.80 | $141 | 12.7× |
| Ova1 (81503) | $2,188.80 | $2,736 | 2.4× |
| Oxalate urine (83945) | $57.60 | $72 | 4.0× |
| Parvovirus antibody (86747) | $56.80 | $71 | 3.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $143.20 | $179 | 0.2× |
| Ph urine (81003) range across 2 matching MRF lines |
$38.40–$39.20 | $48–$49 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$71.20–$85.60 | $89–$107 | varies |
| Phenylalanine (84030) range across 2 matching MRF lines |
$20.80–$23.20 | $26–$29 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$177.60–$186.40 | $222–$233 | varies |
| Phenytoin free (80186) | $71.20 | $89 | 5.2× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$28.80–$85.60 | $36–$107 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $164 | $205 | 9.1× |
| Phosphorus Serum (84100) | $72 | $90 | 15.2× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$31.20–$62.40 | $39–$78 | varies |
| Pinworm exam (87172) | $82.40 | $103 | 19.3× |
| Platelet Aggregation (85576) | $203.20 | $254 | 8.2× |
| Platelet Antibodies (86022) | $105.60 | $132 | 5.7× |
| Platelet count automated (85049) | $56 | $70 | 12.5× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $500.80 | $626 | 2.4× |
| Porphyrins Feces Quantitative (84126) | $122.40 | $153 | 3.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $50.40 | $63 | 3.4× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$31.20–$72.80 | $39–$91 | varies |
| Prealbumin (84134) | $94.40 | $118 | 6.5× |
| Pregnenolone (84140) | $49.60 | $62 | 2.4× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $519.20 | $649 | 8.5× |
| Primidone (80188) | $71.20 | $89 | 4.3× |
| Procalcitonin (Pct) (84145) | $388.80 | $486 | 14.3× |
| Progesterone (84144) | $222.40 | $278 | 10.7× |
| Prolactin (84146) | $263.20 | $329 | 13.6× |
| Protein body fluid (84157) | $100 | $125 | 25.0× |
| Protein C Activity (85303) | $564 | $705 | 40.8× |
| Protein Electrophoresis Urine (84166) | $145.60 | $182 | 8.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $88 | $110 | 8.2× |
| Protein S Free (85306) | $501.60 | $627 | 32.7× |
| Protein s total (85305) | $320 | $400 | 27.6× |
| Protein total serum (84155) | $85.60 | $107 | 23.3× |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$81.60–$93.60 | $102–$117 | varies |
| Protein Western Blot Test (84182) | $103.20 | $129 | 3.5× |
| PSA free (84154) range across 2 matching MRF lines |
$89.60–$271.20 | $112–$339 | varies |
| Pth Intact (83970) | $216.80 | $271 | 5.3× |
| Q Fever Antibody (86638) | $35.20 | $44 | 2.9× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$179.20–$542.40 | $224–$678 | varies |
| Quantitative assay drug (80299) range across 10 matching MRF lines |
$54.40–$232.80 | $68–$291 | varies |
| Quantitative Screen Metals (83018) | $76.80 | $96 | 3.5× |
| Rbc antibody identification (86870) | $243.20 | $304 | 0.7× |
| Rbc antibody screen (86850) | $116.80 | $146 | 12.0× |
| Reagent Strip/Blood Glucose (82948) | $51.20 | $64 | 10.2× |
| Renin activity plasma (84244) range across 3 matching MRF lines |
$32–$51.20 | $40–$64 | varies |
| Reticulocyte Count (85046) | $114.40 | $143 | 20.5× |
| Rh (86901) | $60 | $75 | 20.1× |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$76–$121.60 | $95–$152 | varies |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$83.20–$88.80 | $104–$111 | varies |
| Rickettsia antibody (86757) | $56.80 | $71 | 2.9× |
| Rotavirus ag eia (87425) | $156.80 | $196 | 13.1× |
| Rpr qualitative (86592) | $84 | $105 | 19.7× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$136.80–$148 | $171–$185 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$41.60–$165.60 | $52–$207 | varies |
| Rubeola antibody (86765) | $155.20 | $194 | 12.0× |
| Russell Viper Venom Time Diluted (85613) | $171.20 | $214 | 17.9× |
| Rx metab gen seq alys pnl 6 (81418) | $256 | $320 | 0.3× |
| Salicylate Level (80179) | $104 | $130 | 5.6× |
| 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) | $64.80 | $81 | 15.2× |
| Sedimentation Rate, Automated (85652) | $45.60 | $57 | 16.9× |
| Selenium (84255) | $61.60 | $77 | 2.4× |
| Semen Anal Sperm Detection (89321) | $101.60 | $127 | 8.4× |
| Semen analysis complete (89322) | $216.80 | $271 | 14.0× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$52–$191.20 | $65–$239 | varies |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$51.20–$166.40 | $64–$208 | varies |
| Sickling of rbc reduction (85660) | $77.60 | $97 | 14.1× |
| Sirolimus (80195) | $115.20 | $144 | 8.4× |
| Skin test tuberculosis intradermal (86580) | $52.80 | $66 | 1.8× |
| Smear acid fast (87206) | $96 | $120 | 17.8× |
| Smear complex stain (87209) | $104.80 | $131 | 5.8× |
| Smear gram stain (87205) | $64.80 | $81 | 15.2× |
| Smear Special Stain (87207) | $162.40 | $203 | 27.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$100–$101.60 | $125–$127 | varies |
| Sodium Serum (84295) | $100 | $125 | 20.8× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$31.20–$81.60 | $39–$102 | varies |
| Somatomedin (84305) range across 3 matching MRF lines |
$56–$354.40 | $70–$443 | varies |
| Special Stains Group 1 (88312) | $225.60 | $282 | 4.2× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$216–$236.80 | $270–$296 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$38.40–$89.60 | $48–$112 | varies |
| Stool cultr aerobic bact ea (87046) | $56 | $70 | 5.9× |
| Strep a assay w/optic (87880) | $80 | $100 | 4.8× |
| Strep a DNA amp probe (87651) | $105.60 | $132 | 3.0× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $55.20 | $69 | 0.6× |
| Sulfate urine (84392) | $28.80 | $36 | 5.2× |
| Surg path level iii (88304) | $140 | $175 | 2.6× |
| Surgical pathology level IV (88305) | $145.60 | $182 | 2.7× |
| Surgical pathology level vi (88309) | $1,002.40 | $1,253 | 1.2× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$54.40–$117.60 | $68–$147 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $114.40 | $143 | 15.3× |
| Syphilis Test Non-Trep Quant (86593) | $48.80 | $61 | 11.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $184 | $230 | 3.9× |
| T cells total count (86359) | $160.80 | $201 | 4.3× |
| T3 Free (84481) | $147.20 | $184 | 8.7× |
| T3 reverse (84482) | $45.60 | $57 | 2.9× |
| T3 Total (84480) | $92 | $115 | 6.5× |
| T3 Uptake (84479) | $48.80 | $61 | 7.5× |
| T4 Free (84439) range across 2 matching MRF lines |
$92.80–$160.80 | $116–$201 | varies |
| T4 total (84436) | $103.20 | $129 | 15.0× |
| Tacrolimus (80197) | $196 | $245 | 14.3× |
| Tau phosphorylated each (84393) | $500 | $625 | 3.9× |
| Tb ag response t-cell susp (86481) | $279.20 | $349 | 2.8× |
| Test for acetone/ketones (82009) | $52.80 | $66 | 11.7× |
| Testosterone Bioavailable (84410) range across 3 matching MRF lines |
$120–$124.80 | $150–$156 | varies |
| Testosterone total (84403) range across 6 matching MRF lines |
$60.80–$262.40 | $76–$328 | varies |
| Testosterone, Free (84402) | $60 | $75 | 2.4× |
| Theophylline (80198) | $162.40 | $203 | 11.5× |
| Thiopurine methyltransferase (84433) | $150.40 | $188 | 6.8× |
| Thrombin Time (85670) | $57.60 | $72 | 10.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $179.20 | $224 | 27.7× |
| Thyroglobulin (84432) range across 3 matching MRF lines |
$45.60–$228 | $57–$285 | varies |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$52.80–$181.60 | $66–$227 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $124 | $155 | 2.4× |
| Thyroxine binding globulin (84442) | $48.80 | $61 | 3.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $11.20 | $14 | 1.0× |
| Tissue Culture Lymphocyte (88230) | $296 | $370 | 2.5× |
| Topiramate (80201) | $71.20 | $89 | 6.0× |
| Touch prep (88161) | $130.40 | $163 | 4.4× |
| Toxoplasma ab igm (86778) | $184 | $230 | 12.8× |
| Toxoplasma antibody (86777) | $180.80 | $226 | 12.6× |
| Tp53 gene analysis targeted sequence analysis (81352) | $550.40 | $688 | 1.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $85.60 | $107 | 16.5× |
| Transferrin (84466) | $144.80 | $181 | 11.3× |
| Trichomonas Vaginalis Amplif (87661) | $137.60 | $172 | 3.9× |
| Triglycerides (84478) | $85.60 | $107 | 14.9× |
| Troponin Quant (84484) | $212.80 | $266 | 17.1× |
| Tumor Immunohistochem/Manual (88360) | $196 | $245 | 1.1× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$31.20–$48.80 | $39–$61 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$31.20–$72 | $39–$90 | varies |
| Urinalysis Microscopic Only (81015) | $76 | $95 | 24.9× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $50.40 | $63 | 23.2× |
| Urinalysis Volume Measure (81050) | $44.80 | $56 | 12.3× |
| Urine Albumin Semiquantitative (82044) | $122.40 | $153 | 19.6× |
| Urine Bacteria Culture (87088) | $113.60 | $142 | 14.0× |
| Urine Pregnancy Test (81025) | $88.80 | $111 | 10.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $82.40 | $103 | 26.0× |
| Valproic acid (80164) range across 2 matching MRF lines |
$37.60–$100.80 | $47–$126 | varies |
| Vancomycin (80202) | $168 | $210 | 12.4× |
| Varicella-zoster antibody (86787) | $54.40 | $68 | 4.2× |
| Vasopressin (84588) range across 2 matching MRF lines |
$173.60–$344 | $217–$430 | varies |
| Viral Culture (87252) | $285.60 | $357 | 11.0× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$124.80–$147.20 | $156–$184 | varies |
| Virus inoculate tissue addl (87253) | $136 | $170 | 6.7× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$122.40–$346.40 | $153–$433 | varies |
| Vitamin A (84590) | $48.80 | $61 | 4.2× |
| Vitamin b-12 (82607) | $79.20 | $99 | 5.3× |
| Vitamin B2 (Riboflavin) (84252) | $57.60 | $72 | 2.8× |
| Vitamin B6 (84207) | $68.80 | $86 | 2.4× |
| Vitamin c (82180) | $40 | $50 | 4.0× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$106.40–$132 | $133–$165 | varies |
| Vitamin E (84446) | $48.80 | $61 | 3.4× |
| Vitamin K (84597) | $76 | $95 | 5.5× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $54.40 | $68 | 4.5× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$60.80–$199.20 | $76–$249 | varies |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$52.80–$152 | $66–$190 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$52.80–$152 | $66–$190 | varies |
| Zinc (84630) range across 3 matching MRF lines |
$26.40–$67.20 | $33–$84 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.