Lab & pathology prices at Satanta District Hospital, Clinics, & LTCU

Satanta, KS · every code in this section with a posted price and a Medicare benchmark.

414 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Actin smooth muscle antibody each (86015)
range across 2 matching MRF lines
$30.60–$56.70 $34–$63 varies
Acute hepatitis panel (80074) $171.90 $191 3.6×
Albumin serum (82040) $41.40 $46 8.4×
Aldolase (82085) $56.70 $63 5.8×
Aldosterone urine (82088) $153 $170 3.8×
Alkaline phosphatase isoenzymes (84080) $68.40 $76 4.6×
Allergen spec ige qual multiallergen screen (86005) $62.10 $69 7.8×
Allergen specific ige (86003)
range across 3 matching MRF lines
$21.60–$129.60 $24–$144 varies
Allg Spec Ige Recomb Ea (86008) $55.80 $62 3.1×
Alpha-1-antitrypsin phenotype (82104) $102.60 $114 7.1×
Alpha-1-antitrypsin total (82103) $78.30 $87 5.8×
Alpha-Fetoprotein Serum (82105) $90 $100 5.4×
Alt (sgpt) (84460)
range across 2 matching MRF lines
$16.20–$20.70 $18–$23 varies
Amino Acids 1 Quantitative Each Specimen (82131) $354.60 $394 15.4×
Ammonia (82140) $71.10 $79 4.9×
Amylase urine (82150) $31.50 $35 4.9×
Anca Titer Each Antibody (86037) $45.90 $51 3.8×
Androstenedione (82157) $148.50 $165 5.1×
Angiotensin converting enzyme csf (82164) $62.10 $69 4.3×
Antibody aspergillus (86606) $72 $80 4.8×
Antibody Bacterium Not Elsewhere Specified (86609) $42.30 $47 3.3×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $126.90 $141 8.2×
Antibody Cytomegalovirus Cmv Igm (86645) $90 $100 5.3×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $74.70 $83 5.7×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 2 matching MRF lines
$78.30–$87.30 $87–$97 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $90 $100 5.0×
Antibody Fungus Not Elsewhere Specified (86671)
range across 2 matching MRF lines
$37.80–$69.30 $42–$77 varies
Antibody helicobacter pylori (86677) $49.50 $55 2.9×
Antibody Herpes Smplx Type 1 (86695) $79.20 $88 6.0×
Antibody HIV-2 (86702) $76.50 $85 5.7×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$11.92–$66.60 $13.24–$74 varies
Antigen typing (86905) $78.30 $87 20.4×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $46.80 $52 8.2×
Antinomyces antibody (86602) $25.20 $28 2.5×
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$55.80–$62.10 $62–$69 varies
Antistreptolysin o titer (86060) $45.90 $51 6.3×
Antithrombin iii activity (85300) $86.40 $96 7.3×
Antithrombin iii antigen (85301) $35.10 $39 3.2×
Apolipoprotein a1 (82172) $46.80 $52 2.2×
Arsenic (82175) $75.60 $84 4.0×
Assay Blood Carbon Dioxide (82374) $31.50 $35 6.5×
Assay Nephelometry Not Spec (83883)
range across 3 matching MRF lines
$62.10–$133.20 $69–$148 varies
Assay of 5-hiaa (83497) $60.30 $67 4.7×
Assay of blood/uric acid (84550) $18.90 $21 4.2×
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$27.90–$31.50 $31–$35 varies
Assay of cpk in blood (82552) $61.20 $68 4.6×
Assay of estrone (82679) $77.40 $86 3.1×
Assay of gammaglobulin igm (82784)
range across 3 matching MRF lines
$61.20–$74.70 $68–$83 varies
Assay of lactic acid (83605) $59.40 $66 5.1×
Assay of metanephrines (83835) $81.90 $91 4.8×
Assay of serum potassium (84132) $16.20 $18 3.4×
Assay of urea nitrogen (84520) $41.40 $46 10.5×
Assay of urine vma (84585) $75.60 $84 4.9×
Assay of vitamin b-1 (84425) $97.20 $108 4.6×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$18.90–$20.70 $21–$23 varies
Assay spec xcp ur&breath ia (82077) $71.10 $79 4.1×
Asy carbamazepin 10,11-epxid (80161) $106.20 $118 5.7×
Automated Leukocyte Count (85048) $13.50 $15 5.3×
Bcr/abl1 gene major bp (81206) $241.20 $268 1.5×
Bcr/abl1 gene minor bp (81207) $245.70 $273 1.7×
Beta 2 glycoprotein i antibody each (86146) $71.10 $79 2.8×
Beta hydroxybutyrate (82010) $36.90 $41 4.5×
Beta-2 Microglobulin (82232) $53.10 $59 3.3×
Bilirubin direct (82248) $25.20 $28 5.0×
Bilirubin total (82247) $27 $30 5.4×
Bld Typing Serologic Rh Phnt (86906) $52.20 $58 6.7×
Blood count reticulocyte automated (85045) $99 $110 24.8×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $18 $20 4.7×
Blood gas (82803) $126 $140 4.8×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 2 matching MRF lines
$39.60–$43.20 $44–$48 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $26.10 $29 6.0×
Blood typing serologic abo (86900) $261.90 $291 87.6×
Bordetella antibody (86615) $81 $90 6.1×
Breath Alcohol Test (82075) $43.20 $48 1.4×
C diff amplified probe (87493) $171 $190 4.6×
C-Peptide (84681) $82.80 $92 4.0×
C-reactive protein (86140) $33.30 $37 6.4×
Ca 19-9 (86301) $68.40 $76 3.3×
Calcitonin (82308) $126.90 $141 4.7×
Calcium ionized (82330)
range across 2 matching MRF lines
$57.60–$98.10 $64–$109 varies
Calcium total (82310)
range across 2 matching MRF lines
$14.40–$41.40 $16–$46 varies
Calculus Spectroscopy (82365) $70.20 $78 5.4×
Calprotectin Fecal (83993) $166.50 $185 8.5×
Calr gene com variants (81219)
range across 3 matching MRF lines
$311.40–$658.80 $346–$732 varies
Cancer Antigen 125 (86304) $68.40 $76 3.3×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$68.40–$72.90 $76–$81 varies
Candida Dna Dir Probe (87480) $72.90 $81 3.6×
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines
$82.80–$88.20 $92–$98 varies
Cardiolipin ab iga (86147) $98.10 $109 3.9×
Catecholamines fractionated (82384) $144 $160 5.7×
Ccp antibody (86200) $35.10 $39 2.7×
Cell count csf (89051) $58.50 $65 10.4×
Ceruloplasmin (82390) $46.80 $52 4.4×
Chemiluminescent assay (82397) $51.30 $57 3.6×
Chloride Serum (82435) $36 $40 7.8×
Chloride urine (82436) $26.10 $29 4.5×
Cholesterol total (82465)
range across 2 matching MRF lines
$15.30–$18 $17–$20 varies
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$70.20–$75.60 $78–$84 varies
Chromogranin a (86316) $75.60 $84 3.6×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$93.60–$99 $104–$110 varies
Citric acid urine (82507) $124.20 $138 4.5×
Ckmb (82553)
range across 2 matching MRF lines
$70.20–$98.10 $78–$109 varies
Clostridium Difficile (87324) $156.60 $174 13.1×
Coccidioides antibody (86635) $72.90 $81 6.4×
Cold agglutinin titer (86157) $38.70 $43 4.8×
Column Chromotography Quant (82542) $270 $300 11.2×
Compatibility test antiglob (86922) $52.20 $58 0.3×
Complement Antigen Each Component (86160) $69.30 $77 5.8×
Complement Total (Ch50) (86162) $99 $110 4.9×
Complement/Function Activity (86161) $69.30 $77 5.8×
Coombs direct (86880)
range across 2 matching MRF lines
$30.60–$79.20 $34–$88 varies
Copper urine (82525) $34.20 $38 2.8×
Cortisol free (82530) $180.90 $201 10.8×
Cortisol saliva (82533) $75.60 $84 4.6×
Creatine kinase total (82550)
range across 2 matching MRF lines
$28.80–$46.80 $32–$52 varies
Creatinine blood (82565) $45.90 $51 9.0×
Creatinine clearance (82575)
range across 2 matching MRF lines
$52.20–$92.70 $58–$103 varies
Creatinine Urine (82570)
range across 4 matching MRF lines
$25.20–$31.50 $28–$35 varies
Crp High Sensitivity (86141) $76.50 $85 5.9×
Cryptosporidium ag eia (87328) $63.90 $71 4.6×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$36–$38.70 $40–$43 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $38.70 $43 4.8×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101)
range across 2 matching MRF lines
$30.60–$61.20 $34–$68 varies
Culture afb (87116) $66.60 $74 6.2×
Culture Anaerobic (87075) $61.20 $68 6.5×
Culture blood (87040) $78.30 $87 7.6×
Culture csf (87070)
range across 2 matching MRF lines
$39.60–$78.30 $44–$87 varies
Culture screen only (87081)
range across 2 matching MRF lines
$30.60–$41.40 $34–$46 varies
Culture stool (87045) $36.90 $41 3.9×
Culture urine (87086) $78.30 $87 9.7×
Cyp2c19 gene analysis common variants (81225) $349.20 $388 1.2×
Cyp2d6 gene com variants (81226) $882 $980 2.0×
Cystatin C (82610) $18 $20 1.0×
Cytomegalovirus igg (86644) $90 $100 6.3×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines
$9.90–$58.50 $11–$65 varies
Cytopath Cell Enhance Tech (88112) $101.70 $113 2.1×
Cytp Slides C/V Mnl Scr Under Phys (88150) $36 $40 1.9×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines
$230.40–$259.20 $256–$288 varies
Detect Agent Nos Dna Quant (87799) $312.30 $347 7.3×
Detect agnt mult DNA ampli (87801) $209.70 $233 3.0×
Dgp Antibody Each Ig Class (86258)
range across 2 matching MRF lines
$32.40–$48.60 $36–$54 varies
Dhea (82626)
range across 2 matching MRF lines
$114.30–$127.80 $127–$142 varies
Dhea-S (82627) $99.90 $111 4.5×
Digoxin (80162) $76.50 $85 5.8×
Dihydrotestosterone (82642) $32.40 $36 1.1×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines
$75.60–$84.60 $84–$94 varies
Dna/Rna Sequencing (87153) $602.10 $669 5.2×
Drug assay acetaminophen (80143)
range across 2 matching MRF lines
$139.05–$139.50 $154.50–$155 varies
Drug assay adalimumab (80145) $43.20 $48 1.1×
Drug Assay Amiodarone (80151) $70.20 $78 3.8×
Drug Screen Quantitative Lamotrigine (80175) $72 $80 5.4×
Drug Screen Quantitative Levetiracetam (80177) $124.20 $138 9.4×
Drug Screen Quantitative Oxcarbazepine (80183) $72 $80 5.4×
Drug Test Prsmv Chem Anlyzr (80307)
range across 3 matching MRF lines
$174.60–$209.70 $194–$233 varies
Drug Test Prsmv Dir Opt Obs (80305) $135 $150 10.7×
El-1 Fecal Quantitative (82653) $54.90 $61 2.4×
Electrolyte panel (80051) $104.40 $116 14.9×
Endomysial Antibody Each Immunoglobulin Class (86231) $31.50 $35 2.6×
Erythropoietin (82668) $88.20 $98 4.7×
Estradiol serum (82670) $155.70 $173 5.6×
Estriol (82677) $97.20 $108 4.0×
Estrogens fractionated (82671) $157.50 $175 4.9×
Ethosuximide (80168) $62.10 $69 3.8×
Ethylene Glycol (82693) $85.50 $95 5.7×
F2 Gene (81240) $235.80 $262 3.6×
Factor v activity (85220) $86.40 $96 4.9×
Factor viii assay (85240)
range across 2 matching MRF lines
$109.80–$123.30 $122–$137 varies
Fat/Lipids Feces Quantitative (82710) $79.20 $88 4.7×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $191.70 $213 11.2×
Fecal Fat Qualitative (82705) $75.60 $84 14.8×
Ferritin (82728) $66.60 $74 4.9×
Fibrin Degradation Quant (85379) $91.80 $102 9.0×
Fibrinogen activity (85384) $54.90 $61 5.6×
Fibrinogen antigen (85385) $45.90 $51 3.2×
Flow cytometry first marker (88184) $216.90 $241 0.7×
Fluorescent antibody screen (86255)
range across 3 matching MRF lines
$62.10–$143.10 $69–$159 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $71.10 $79 5.9×
Folic acid rbc (82747) $87.30 $97 4.9×
Folic Acid Serum (82746) $77.40 $86 5.3×
Follicle Stimulating Hormone (83001) $89.10 $99 4.8×
Fungi Identification Yeast (87106) $54 $60 5.2×
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$81.90–$88.20 $91–$98 varies
Gardner vag DNA dir probe (87510) $72.90 $81 3.6×
Gastrin (82941) $85.50 $95 4.8×
Genet Virus Isolate Hsv (87255) $99.90 $111 3.0×
Gentamicin (80170) $82.80 $92 5.1×
Ggt (82977) $19.80 $22 2.8×
Giardia antigen (87329) $75.60 $84 6.3×
Glucose 2 hr pp (82950) $23.40 $26 4.9×
Glucose Blood Test (82962)
range across 2 matching MRF lines
$10.80–$15.30 $12–$17 varies
Glucose body fluid (82945) $18 $20 4.6×
Glucose Serum (82947)
range across 3 matching MRF lines
$10.80–$16.20 $12–$18 varies
Glucose tolerance test (gtt) (82951) $63 $70 4.9×
Glycated Protein (82985) $57.60 $64 3.4×
Gonadotropin Chorionic Qualitative (84703) $43.20 $48 5.7×
Growth hormone (83003) $73.80 $82 4.4×
Gtt-added samples (82952) $18.90 $21 4.8×
H Pylori (C-13) Breath (83013) $341.10 $379 5.1×
Haptoglobin (83010) $64.80 $72 5.2×
Hdl Cholesterol (83718) $22.50 $25 2.7×
Helicobacter Pylori Stool (87338) $63.90 $71 4.4×
Hematocrit (85014)
range across 2 matching MRF lines
$12.60–$29.70 $14–$33 varies
Hemoglobin (85018)
range across 2 matching MRF lines
$10.80–$29.70 $12–$33 varies
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$42.30–$45 $47–$50 varies
Hep a ab igm (86709) $96.30 $107 8.6×
Hepatitis a antibody total (86708) $57.60 $64 4.6×
Hepatitis b core ab igm (86705) $42.30 $47 3.6×
Hepatitis b core ab total (86704) $71.10 $79 5.9×
Hepatitis B Surface Antibody (86706) $57.60 $64 5.4×
Hepatitis B Surface Antigen (87340) $30.60 $34 3.0×
Hepatitis Be Antibody (86707) $54 $60 4.7×
Hepatitis Be Antigen (87350) $54 $60 4.7×
Hepatitis C Antibody (86803) $56.70 $63 4.0×
Hepatitis c antibody confirmatory test (86804) $72 $80 4.6×
Hepatitis C Genotype (87902) $684.90 $761 2.7×
Hepatitis C Revrs Trnscrpj (87522)
range across 3 matching MRF lines
$114.30–$292.50 $127–$325 varies
Herpes simplex type 2 (86696) $83.70 $93 4.3×
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$23.40–$24.30 $26–$27 varies
Histoplasma antibody (86698) $82.80 $92 6.0×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $74.70 $83 3.1×
Hiv-1 Antibody (86701) $82.80 $92 9.3×
Hla I Low Resolution One Antigen Equivalent Each (81374) $126.90 $141 1.7×
Hla ii type 1 ag equiv lr (81377)
range across 2 matching MRF lines
$438.30–$492.30 $487–$547 varies
Hla ii typing 1 allele hr (81383) $342.90 $381 3.1×
Homocysteine (83090) $219.60 $244 12.3×
Hpv High-Risk Types (87624) $32.40 $36 0.9×
Hsv Dna Amp Probe (87529) $93.60 $104 2.7×
Hydroxyprogesterone 17-d (83498) $121.50 $135 4.5×
Iaad Ia Escherichia Coli 0157 (87335) $68.40 $76 5.4×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426)
range across 2 matching MRF lines
$63.90–$94.50 $71–$105 varies
Iaad ia shiga-like toxin (87427) $68.40 $76 5.7×
Iaadi inffluenza a virus (87276) $68.40 $76 4.3×
Iaadi not otherwise specified each organism (87299) $75.60 $84 4.7×
Iaadi parainfluenza virus each type (87279) $68.40 $76 4.2×
Iaadi respiratory synctial virus (87280) $68.40 $76 5.1×
Iadna chlamydia pneumoniae amplified probe tq (87486) $93.60 $104 2.7×
Iadna Cytomegalovirus Quantification (87497) $114.30 $127 2.7×
Iadna Hepatitis B Virus Quantification (87517) $562.50 $625 13.1×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $93.60 $104 2.7×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $93.60 $104 2.7×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $99 $110 2.8×
Iadna Nos Direct Probe Tq Each Organism (87797) $18 $20 0.6×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $585 $650 4.1×
Ig Light Chains Free Each (83521)
range across 3 matching MRF lines
$45–$62.10 $50–$69 varies
Igg subclasses (82787) $42.30 $47 5.3×
Immunfix e-phorsis/urine/csf (86335)
range across 2 matching MRF lines
$80.10–$89.10 $89–$99 varies
Immunoassay Analyte Quant Radioimmunoassay (83519) $49.50 $55 2.7×
Immunoassay infectious agent (86318) $54.90 $61 3.0×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $55.80 $62 3.7×
Immunoassay nonantibody (83516)
range across 5 matching MRF lines
$56.70–$87.30 $63–$97 varies
Immunodiffusion Ouchterlony (86331) $112.50 $125 9.4×
Immunofixation electrophoresis (86334) $120.60 $134 5.4×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $75.60 $84 5.2×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $68.40 $76 5.6×
Influenza a/b ag eia (87400) $60.30 $67 4.3×
Influenza assay w/optic (87804)
range across 3 matching MRF lines
$63.90–$127.80 $71–$142 varies
Influenza DNA amp probe (87502) $129.60 $144 1.4×
Inhibin b (83520)
range across 3 matching MRF lines
$45.90–$144 $51–$160 varies
Insulin total (83525) $63 $70 5.5×
Iron (83540)
range across 2 matching MRF lines
$32.40–$46.80 $36–$52 varies
Iron Binding Capacity (83550)
range across 2 matching MRF lines
$48.60–$51.30 $54–$57 varies
Islet cell antibody (86341) $99.90 $111 4.2×
Jak2 gene analysis p.val617phe variant (81270)
range across 3 matching MRF lines
$196.20–$450 $218–$500 varies
Jak2 Gene Trgt Sequence Alys (81279)
range across 2 matching MRF lines
$476.10–$592.20 $529–$658 varies
Koh Prep (87220) $26.10 $29 6.1×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$40.50–$41.40 $45–$46 varies
Lactoferrin Fecal Quantitative (83631) $83.70 $93 4.3×
LDL direct (83721) $56.70 $63 5.4×
Lead (83655)
range across 3 matching MRF lines
$11.25–$31.50 $12.50–$35 varies
Leukocyte Assessment Fecal (89055) $18.90 $21 4.4×
Lipase (83690) $35.10 $39 5.1×
Lipoprotein A (83695) $36 $40 2.5×
Lipoprotein-Associated Phospholipase A2 (83698) $284.40 $316 6.1×
Lithium (80178) $33.30 $37 5.0×
Liver ds alys 3 bmrk srm alg (81517) $531 $590 3.0×
Luteinizing Hormone (Lh) (83002) $86.40 $96 4.7×
Lyme disease antibody (86618) $95.40 $106 5.6×
Lysozyme serum (85549) $62.10 $69 3.3×
Macroscopic Exam Parasite (87169) $28.80 $32 6.7×
Magnesium Urine (83735) $32.40 $36 4.8×
Mass Spectrometry Quant (83789) $230.40 $256 9.6×
Mercury urine (83825) $62.10 $69 3.8×
Methylmalonic acid serum (83921) $54 $60 2.5×
Microalbumin, quantitative (82043) $31.50 $35 5.4×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$63.90–$72 $71–$80 varies
Mitochondrial Antibody Each (86381)
range across 2 matching MRF lines
$59.40–$66.60 $66–$74 varies
Mpl gene common variants (81338)
range across 2 matching MRF lines
$393.30–$450 $437–$500 varies
Mthfr Gene Analysis Common Variants (81291) $198 $220 3.0×
Mumps antibody (86735) $81 $90 6.2×
Mycoplasma antibody (86738) $88.20 $98 6.7×
Myelin basic protein csf (83873) $55.80 $62 3.2×
Myoglobin urine (83874) $59.40 $66 4.6×
Natriuretic peptide (83880)
range across 3 matching MRF lines
$90–$101.70 $100–$113 varies
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $390.60 $434 3.0×
Nfct Agent Genotype Hepatitis B Virus (87912) $638.10 $709 2.5×
Nuclear antigen antibody (86235)
range across 3 matching MRF lines
$64.80–$144 $72–$160 varies
Occult blood feces (82272)
range across 2 matching MRF lines
$8.10–$9 $9–$10 varies
Occult Blood Other Sources (82271) $30.60 $34 5.8×
Osmolality serum (83930) $36 $40 5.4×
Osmolality Urine (83935) $47.70 $53 7.0×
Ova and parasites smears (87177) $39.60 $44 4.4×
Oxalate urine (83945) $60.30 $67 4.2×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $107.10 $119 2.2×
Ph urine (81003)
range across 2 matching MRF lines
$10.80–$16.20 $12–$18 varies
Phenytoin (Dilantin) (80185) $82.80 $92 6.2×
Phenytoin free (80186) $68.40 $76 5.0×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$16.20–$18 $18–$20 varies
Phosphorus Serum (84100) $13.50 $15 2.8×
Phosphorus urine (84105)
range across 2 matching MRF lines
$24.30–$30.60 $27–$34 varies
Pinworm exam (87172)
range across 2 matching MRF lines
$19.80–$20.70 $22–$23 varies
Platelet count automated (85049) $25.20 $28 5.6×
Potassium Urine (84133)
range across 2 matching MRF lines
$25.20–$27.90 $28–$31 varies
Prealbumin (84134)
range across 2 matching MRF lines
$56.70–$61.20 $63–$68 varies
Pregnenolone (84140) $78.30 $87 3.8×
Procalcitonin (Pct) (84145)
range across 2 matching MRF lines
$114.30–$135 $127–$150 varies
Progesterone (84144) $89.10 $99 4.3×
Prolactin (84146) $99 $110 5.1×
Protein body fluid (84157) $23.40 $26 5.9×
Protein C Activity (85303) $107.10 $119 7.7×
Protein c antigen (85302) $171.90 $191 14.3×
Protein Electrophoresis Urine (84166) $48.60 $54 2.7×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 3 matching MRF lines
$50.40–$85.50 $56–$95 varies
Protein S Free (85306) $135 $150 8.8×
Protein s total (85305) $148.50 $165 12.8×
Protein total serum (84155)
range across 4 matching MRF lines
$10.80–$33.30 $12–$37 varies
Protein Total Urine (84156)
range across 3 matching MRF lines
$23.40–$40.50 $26–$45 varies
PSA free (84154) $65.70 $73 3.6×
Pth Intact (83970) $192.60 $214 4.7×
Quantiferon tb gold plus (86480) $172.80 $192 2.8×
Quantitative assay drug (80299)
range across 2 matching MRF lines
$81.90–$117 $91–$130 varies
Rbc antibody elution (86860) $64.80 $72 0.4×
Rbc antibody identification (86870)
range across 2 matching MRF lines
$113.40–$121.50 $126–$135 varies
Rbc antibody screen (86850) $113.40 $126 11.6×
Rbc pretreatment serum (86978) $121.50 $135 2.2×
Reagent Strip/Blood Glucose (82948) $10.80 $12 2.1×
Renin activity plasma (84244)
range across 2 matching MRF lines
$99.90–$111.60 $111–$124 varies
Resp virus 12-25 targets (87633) $1,495.80 $1,662 3.6×
Rh (86901) $76.50 $85 25.6×
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$59.40–$92.70 $66–$103 varies
Rickettsia antibody (86757) $157.50 $175 8.1×
Ristocetin cofactor (85245) $26.10 $29 1.1×
Rotavirus ag eia (87425) $63.90 $71 5.3×
Rpr qualitative (86592)
range across 2 matching MRF lines
$20.70–$22.50 $23–$25 varies
Rsv ab (86756) $74.70 $83 4.7×
Rsv Assay W/Optic (87807) $70.20 $78 5.4×
Rubella Antibody (86762) $56.70 $63 3.9×
Rubeola antibody (86765) $85.50 $95 6.6×
Russell Viper Venom Time Diluted (85613) $34.20 $38 3.6×
Salicylate Level (80179)
range across 2 matching MRF lines
$72.90–$114.30 $81–$127 varies
Sars-Cov-2 Covid-19 Amp Prb (87635) $72 $80 1.4×
Sars-cov-2 COVID-19 antibody (86769)
range across 2 matching MRF lines
$28.80–$54 $32–$60 varies
Sedimentation Rate, Automated (85652) $18 $20 6.7×
Sensitivity mic (87186) $63 $70 7.3×
Sex Hormone Binding Globulin (84270) $180 $200 8.3×
Skin test tuberculosis intradermal (86580) $19.80 $22 0.7×
Smear acid fast (87206)
range across 2 matching MRF lines
$42.30–$56.70 $47–$63 varies
Smear complex stain (87209) $48.60 $54 2.7×
Smear gram stain (87205) $18.90 $21 4.4×
Smr Prim Src Wet Mount Nfct Agt (87210) $19.80 $22 3.4×
Sodium Serum (84295) $41.40 $46 8.6×
Sodium Urine (84300) $24.30 $27 4.8×
Somatomedin (84305) $150.30 $167 7.1×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $62.10 $69 0.4×
Stool cultr aerobic bact ea (87046) $36.90 $41 3.9×
Strep a assay w/optic (87880)
range across 3 matching MRF lines
$60.30–$68.40 $67–$76 varies
Susceptibility Study Antimicrobial Disk Method (87184) $32.40 $36 4.3×
Syphilis Test Non-Trep Quant (86593) $44.10 $49 10.0×
T3 Free (84481)
range across 2 matching MRF lines
$98.10–$105.30 $109–$117 varies
T3 reverse (84482) $199.80 $222 12.7×
T3 Total (84480) $59.40 $66 4.2×
T3 Uptake (84479)
range across 2 matching MRF lines
$26.10–$102.60 $29–$114 varies
T4 Free (84439)
range across 3 matching MRF lines
$36–$46.80 $40–$52 varies
T4 total (84436)
range across 3 matching MRF lines
$22.50–$27 $25–$30 varies
Tacrolimus (80197) $83.70 $93 6.1×
Testosterone Bioavailable (84410) $151.20 $168 2.9×
Testosterone total (84403)
range across 3 matching MRF lines
$130.50–$148.50 $145–$165 varies
Testosterone, Free (84402) $135 $150 5.3×
Thrombin Time (85670) $37.80 $42 6.6×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $112.50 $125 17.4×
Thyroglobulin (84432)
range across 2 matching MRF lines
$86.40–$110.70 $96–$123 varies
Thyroglobulin Antibody (86800) $86.40 $96 5.4×
Thyroid Stimulating Immunoglobulin (84445) $583.20 $648 11.5×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 2 matching MRF lines
$16.20–$48.60 $18–$54 varies
Topiramate (80201) $166.50 $185 14.0×
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines
$15.30–$16.20 $17–$18 varies
Transferrin (84466) $97.20 $108 7.6×
Trichomonas vagin dir probe (87660) $72 $80 3.6×
Trichomonas Vaginalis Amplif (87661)
range across 2 matching MRF lines
$121.50–$133.20 $135–$148 varies
Triglycerides (84478)
range across 3 matching MRF lines
$17.10–$27 $19–$30 varies
Troponin Quant (84484)
range across 2 matching MRF lines
$85.50–$117.90 $95–$131 varies
Unlisted Transfusion Medicine Procedure (86999) $225 $250 8.5×
Uric acid other source (84560) $26.10 $29 5.1×
Urinalysis Microscopic Only (81015) $14.40 $16 4.7×
Urine Bacteria Culture (87088) $30.60 $34 3.8×
Urine Pregnancy Test (81025)
range across 4 matching MRF lines
$10.80–$34.20 $12–$38 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $38.70 $43 12.2×
Valproic acid (80164)
range across 2 matching MRF lines
$76.50–$81.90 $85–$91 varies
Vancomycin (80202) $73.80 $82 5.5×
Varicella-zoster antibody (86787) $82.80 $92 6.4×
Vasopressin (84588) $160.20 $178 4.7×
Viral Culture (87252) $116.10 $129 4.5×
Viscosity serum (85810) $46.80 $52 4.0×
Vit D 1 25-Dihydroxy (82652) $109.80 $122 2.9×
Vitamin A (84590) $58.50 $65 5.0×
Vitamin b-12 (82607) $75.60 $84 5.0×
Vitamin B6 (84207) $174.60 $194 6.2×
Vitamin D 25-Hydroxy (82306) $270.90 $301 9.2×
Vitamin E (84446) $70.20 $78 5.0×
Vitamin K (84597) $67.50 $75 4.9×
Von willebrand factor ag (85246) $26.10 $29 1.1×
Wbc Alkaline Phosphatase Count (85540) $51.30 $57 6.0×
West nile virus ab igm (86788) $45 $50 2.7×
West Nile Virus Antibody (86789) $38.70 $43 2.7×
Zinc (84630) $55.80 $62 4.9×

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.