Lab & pathology prices at Saunders Medical Center
Wahoo, NE · every code in this section with a posted price and a Medicare benchmark.
362 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholn Rcptr Modlg Antb (86043) | $96.75 | $129 | 8.0× |
| Acth (82024) | $261 | $348 | 6.8× |
| Actin smooth muscle antibody each (86015) | $150 | $200 | 12.4× |
| Acute hepatitis panel (80074) | $317.25 | $423 | 6.7× |
| Albumin serum (82040) | $41.25 | $55 | 8.3× |
| Aldolase (82085) | $91.50 | $122 | 9.4× |
| Aldosterone urine (82088) | $345.75 | $461 | 8.5× |
| Alkaline phosphatase isoenzymes (84080) | $108.75 | $145 | 7.4× |
| Allergen specific ige (86003) | $50.25 | $67 | 9.6× |
| Allg Spec Ige Recomb Ea (86008) | $97.50 | $130 | 5.4× |
| Alpha-1-antitrypsin phenotype (82104) | $154.50 | $206 | 10.7× |
| Alpha-1-antitrypsin total (82103) | $158.25 | $211 | 11.8× |
| Alpha-Fetoprotein Serum (82105) | $114.75 | $153 | 6.8× |
| Alt (sgpt) (84460) | $61.50 | $82 | 11.6× |
| Amikacin trough (80150) | $34.50 | $46 | 2.3× |
| Ammonia (82140) | $133.50 | $178 | 9.2× |
| Amylase urine (82150) | $98.25 | $131 | 15.2× |
| Ana Titer (86039) range across 2 matching MRF lines |
$93.75–$98.25 | $125–$131 | varies |
| Anca screen each antibody (86036) | $96.75 | $129 | 8.0× |
| Angiotensin converting enzyme csf (82164) | $146.25 | $195 | 10.0× |
| Antibody aspergillus (86606) | $69.75 | $93 | 4.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $162.75 | $217 | 10.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $184.50 | $246 | 10.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $137.25 | $183 | 10.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $117.75 | $157 | 7.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $127.50 | $170 | 7.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $113.25 | $151 | 7.9× |
| Antibody Herpes Smplx Type 1 (86695) | $5.40 | $7.20 | 0.4× |
| Antibody HIV-2 (86702) | $89.25 | $119 | 6.6× |
| Antibody Treponema Pallidum (86780) | $94.50 | $126 | 7.1× |
| Antigen typing (86905) range across 4 matching MRF lines |
$189.75–$207 | $253–$276 | varies |
| Antinuclear antibodies (86038) | $98.25 | $131 | 8.1× |
| Antistreptolysin o titer (86060) | $93 | $124 | 12.7× |
| Antithrombin iii activity (85300) | $175.50 | $234 | 14.8× |
| Antithrombin iii antigen (85301) | $183 | $244 | 16.9× |
| Apolipoprotein a1 (82172) | $138 | $184 | 6.5× |
| Aquaporin-4 Antb Cba Each (86052) | $204.75 | $273 | 17.0× |
| Aquaporin-4 Antb Elisa (86051) | $294 | $392 | 25.5× |
| Assay activated protein c (85307) | $42 | $56 | 2.7× |
| Assay of 5-hiaa (83497) | $142.50 | $190 | 11.0× |
| Assay of blood/uric acid (84550) | $64.50 | $86 | 14.3× |
| Assay of calcium in urine (82340) | $68.25 | $91 | 11.3× |
| Assay of estrone (82679) | $154.50 | $206 | 6.2× |
| Assay of gammaglobulin igm (82784) | $100.50 | $134 | 10.8× |
| Assay of lactic acid (83605) | $122.25 | $163 | 10.6× |
| Assay of metanephrines (83835) | $267 | $356 | 15.8× |
| Assay of serum potassium (84132) | $44.25 | $59 | 9.3× |
| Assay of urea nitrogen (84520) | $54 | $72 | 13.7× |
| Assay of vitamin b-1 (84425) | $192.75 | $257 | 9.1× |
| Automated Leukocyte Count (85048) | $72 | $96 | 28.3× |
| B cells total count (86355) | $82.50 | $110 | 2.2× |
| Beta 2 glycoprotein i antibody each (86146) | $159 | $212 | 6.2× |
| Beta hydroxybutyrate (82010) | $93 | $124 | 11.4× |
| Beta Lactamase (87185) | $42.75 | $57 | 9.0× |
| Beta-2 Microglobulin (82232) | $156 | $208 | 9.6× |
| Bilirubin direct (82248) | $57.75 | $77 | 11.5× |
| Bilirubin total (82247) | $57 | $76 | 11.4× |
| Blastomyces antibody (86612) | $46.50 | $62 | 3.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $61.50 | $82 | 16.2× |
| Blood count spun microhematocrit (85013) | $10.50 | $14 | 1.5× |
| Blood gas (82803) range across 2 matching MRF lines |
$216.75–$218.25 | $289–$291 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 3 matching MRF lines |
$6.75–$39 | $9–$52 | varies |
| Blood typing serologic abo (86900) | $60 | $80 | 20.1× |
| Breath Alcohol Test (82075) range across 2 matching MRF lines |
$58.50–$59.25 | $78–$79 | varies |
| C diff amplified probe (87493) | $84.75 | $113 | 2.3× |
| C-Peptide (84681) | $201 | $268 | 9.7× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$102–$107.25 | $136–$143 | varies |
| Ca 19-9 (86301) | $182.25 | $243 | 8.8× |
| Calcium ionized (82330) | $127.50 | $170 | 9.3× |
| Calcium total (82310) | $47.25 | $63 | 9.2× |
| Calculus Spectroscopy (82365) | $129.75 | $173 | 10.1× |
| Calprotectin Fecal (83993) | $360 | $480 | 18.3× |
| Calr gene com variants (81219) | $306.75 | $409 | 2.5× |
| Cancer Antigen 125 (86304) | $151.50 | $202 | 7.3× |
| Cancer Antigen 27.29 (86300) | $174.75 | $233 | 8.4× |
| Carbamazepine total (80156) | $63.75 | $85 | 4.4× |
| Carboxyhemoglobin (82375) | $24 | $32 | 1.9× |
| Carcinoembryonic antigen (82378) | $159.75 | $213 | 8.4× |
| Cardiolipin ab iga (86147) | $129.75 | $173 | 5.1× |
| Catecholamines fractionated (82384) | $219.75 | $293 | 8.7× |
| Ccp antibody (86200) | $159 | $212 | 12.3× |
| Cell count csf (89051) | $116.25 | $155 | 20.8× |
| Ceruloplasmin (82390) | $106.50 | $142 | 9.9× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$171.75–$173.25 | $229–$231 | varies |
| Chlmy trch&neisra gonor mult (87494) | $133.50 | $178 | 1.9× |
| Cholesterol total (82465) | $67.50 | $90 | 15.5× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$126.75–$133.50 | $169–$178 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $128.25 | $171 | 3.8× |
| Chromium serum (82495) | $93.75 | $125 | 4.6× |
| Chromogranin a (86316) | $312 | $416 | 15.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $136.50 | $182 | 3.9× |
| Clostridium Difficile (87324) | $139.50 | $186 | 11.6× |
| Coccidioides antibody (86635) | $69.75 | $93 | 6.1× |
| Column Chromotography Quant (82542) | $120 | $160 | 5.0× |
| Compatibility test antiglob (86922) | $210 | $280 | 1.2× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$93–$93.75 | $124–$125 | varies |
| Complement/Function Activity (86161) | $116.25 | $155 | 9.7× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $309 | $412 | 8.0× |
| Coombs direct (86880) range across 7 matching MRF lines |
$79.50–$81 | $106–$108 | varies |
| Copper urine (82525) | $149.25 | $199 | 12.0× |
| Cortisol free (82530) | $134.25 | $179 | 8.0× |
| Cortisol saliva (82533) | $141 | $188 | 8.7× |
| Creatine kinase total (82550) | $92.25 | $123 | 14.2× |
| Creatinine blood (82565) | $62.25 | $83 | 12.2× |
| Creatinine clearance (82575) | $93 | $124 | 9.8× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$9–$79.50 | $12–$106 | varies |
| Crossmatch immediate spin (86920) range across 5 matching MRF lines |
$180–$186 | $240–$248 | varies |
| Cryptosporidium ag eia (87328) | $83.25 | $111 | 6.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $87.75 | $117 | 10.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $93 | $124 | 11.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $108 | $144 | 14.0× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $396.75 | $529 | 1.8× |
| Culture afb (87116) | $144.75 | $193 | 13.4× |
| Culture Anaerobic (87075) | $105 | $140 | 11.1× |
| Culture blood (87040) | $210.75 | $281 | 20.4× |
| Culture csf (87070) | $127.50 | $170 | 14.8× |
| Culture fungus (87102) | $108 | $144 | 12.8× |
| Culture screen only (87081) | $50.25 | $67 | 7.6× |
| Culture urine (87086) | $86.25 | $115 | 10.7× |
| Cyclosporine (80158) | $171.75 | $229 | 9.5× |
| Cytomegalovirus igg (86644) | $150 | $200 | 10.4× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 3 matching MRF lines |
$29.25–$71.25 | $39–$95 | varies |
| Cytopath Cell Enhance Tech (88112) | $112.50 | $150 | 2.1× |
| Cytp Concentration Smears & Interpretation (88108) | $112.50 | $150 | 2.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $151.50 | $202 | 2.8× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $80.25 | $107 | 2.1× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$182.25–$321.75 | $243–$429 | varies |
| Detect agnt mult DNA ampli (87801) | $182.25 | $243 | 2.6× |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$149.25–$150 | $199–$200 | varies |
| Dhea (82626) | $205.50 | $274 | 8.1× |
| Dhea-S (82627) | $205.50 | $274 | 9.2× |
| Digoxin (80162) | $120 | $160 | 9.0× |
| Dna Antibody Native/Double Stranded (86225) | $123 | $164 | 9.0× |
| Dna/Rna Amplified Probe (87150) | $62.25 | $83 | 1.8× |
| DNA/RNA direct probe (87149) | $39 | $52 | 1.9× |
| Drug Assay Everolimus (80169) | $116.25 | $155 | 8.5× |
| Drug assay felbamate (80167) | $38.25 | $51 | 2.1× |
| Drug Assay Infliximab (80230) | $193.50 | $258 | 5.0× |
| Drug Assay Lacosamide (80235) | $231.75 | $309 | 8.5× |
| Drug Screen Quant Clozapine (80159) | $48 | $64 | 2.4× |
| Drug Screen Quantitative Gabapentin (80171) | $189.75 | $253 | 8.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $135.75 | $181 | 10.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $220.50 | $294 | 16.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$182.25–$183.75 | $243–$245 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $192 | $256 | 15.2× |
| Ehrlichia antibody (86666) | $93 | $124 | 9.1× |
| El-1 Fecal Quantitative (82653) | $174 | $232 | 7.6× |
| Electrolyte panel (80051) | $105 | $140 | 15.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $81.75 | $109 | 6.8× |
| Erythropoietin (82668) | $184.50 | $246 | 9.8× |
| Estradiol serum (82670) | $157.50 | $210 | 5.6× |
| Estriol (82677) | $112.50 | $150 | 4.7× |
| Estrogens fractionated (82671) | $240.75 | $321 | 7.5× |
| Exam Synovial Fluid Crystals (89060) | $66 | $88 | 9.0× |
| F2 Gene (81240) | $270.75 | $361 | 4.1× |
| Fat stain feces urine/respir secretions (89125) | $49.50 | $66 | 8.4× |
| Ferritin (82728) | $150 | $200 | 11.0× |
| Fibrin Degradation Quant (85379) | $161.25 | $215 | 15.8× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$106.50–$107.25 | $142–$143 | varies |
| Flow cytometry first marker (88184) | $188.25 | $251 | 0.5× |
| Fluorescent antibody screen (86255) | $116.25 | $155 | 9.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 6 matching MRF lines |
$169.50–$301.50 | $226–$402 | varies |
| Folic Acid Serum (82746) | $139.50 | $186 | 9.5× |
| Follicle Stimulating Hormone (83001) | $117.75 | $157 | 6.3× |
| Francisella tularensis (86668) | $100.50 | $134 | 7.1× |
| Fungi Identification Yeast (87106) | $93 | $124 | 9.0× |
| Gammaglobulin ige (82785) | $117.75 | $157 | 7.2× |
| Gases blood ph only (82800) | $87.75 | $117 | 8.0× |
| Gastrin (82941) | $168.75 | $225 | 9.6× |
| Ggt (82977) | $74.25 | $99 | 10.3× |
| Giardia antigen (87329) | $139.50 | $186 | 11.6× |
| Glucose Serum (82947) | $57 | $76 | 14.5× |
| Glucose tolerance test (gtt) (82951) | $116.25 | $155 | 9.0× |
| Glycated Protein (82985) | $24.75 | $33 | 1.5× |
| Gonadotropin Chorionic Qualitative (84703) | $123.75 | $165 | 16.5× |
| Gtt-added samples (82952) | $58.50 | $78 | 14.9× |
| Haptoglobin (83010) | $125.25 | $167 | 10.0× |
| Hdl Cholesterol (83718) | $59.25 | $79 | 7.2× |
| Helicobacter Pylori Stool (87338) | $186 | $248 | 12.9× |
| Hematocrit (85014) | $36 | $48 | 15.2× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$5.25–$37.50 | $7–$50 | varies |
| Hemoglobin a1c (83036) | $72.75 | $97 | 7.5× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) | $15.75 | $21 | 1.6× |
| Hep a ab igm (86709) | $105 | $140 | 9.3× |
| Hepatitis a antibody total (86708) | $120.75 | $161 | 9.7× |
| Hepatitis b core ab igm (86705) | $96.75 | $129 | 8.2× |
| Hepatitis b core ab total (86704) | $100.50 | $134 | 8.3× |
| Hepatitis B Surface Antibody (86706) | $112.50 | $150 | 10.5× |
| Hepatitis B Surface Antigen (87340) | $102.75 | $137 | 9.9× |
| Hepatitis C Antibody (86803) | $116.25 | $155 | 8.1× |
| Hepatitis C Genotype (87902) | $600.75 | $801 | 2.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $353.25 | $471 | 8.2× |
| Herpes simplex type 2 (86696) | $5.40 | $7.20 | 0.3× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$9–$84 | $12–$112 | varies |
| Histoplasma antibody (86698) | $108.75 | $145 | 7.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $81.75 | $109 | 3.4× |
| Hiv-1 Antibody (86701) | $89.25 | $119 | 10.0× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $263.25 | $351 | 3.5× |
| Homocysteine (83090) | $260.25 | $347 | 14.5× |
| Homogenization Tissue (87176) | $35.25 | $47 | 6.0× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $135.75 | $181 | 1.9× |
| Hsv Dna Amp Probe (87529) | $236.25 | $315 | 6.7× |
| Hydroxyprogesterone 17-d (83498) | $201 | $268 | 7.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $98.25 | $131 | 2.8× |
| Iadna Cytomegalovirus Quantification (87497) | $333.75 | $445 | 7.8× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $147 | $196 | 2.1× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $309 | $412 | 1.2× |
| Ig Light Chains Free Each (83521) | $190.50 | $254 | 11.0× |
| Igg subclasses (82787) | $209.25 | $279 | 26.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $96.75 | $129 | 5.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $139.50 | $186 | 9.3× |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$149.25–$150 | $199–$200 | varies |
| Immunofixation electrophoresis (86334) | $162 | $216 | 7.3× |
| Immunohistochemistry (88342) | $151.50 | $202 | 0.9× |
| In situ hybridization 1st probe stain (88365) | $99.75 | $133 | 0.6× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $234 | $312 | 3.3× |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$22.50–$93 | $30–$124 | varies |
| Influenza DNA amp probe (87502) | $162.75 | $217 | 1.7× |
| Inhibin b (83520) range across 3 matching MRF lines |
$189–$190.50 | $252–$254 | varies |
| Insulin antibodies (86337) | $177.75 | $237 | 8.3× |
| Insulin total (83525) | $157.50 | $210 | 13.8× |
| Intrinsic factor antibody (86340) | $123.75 | $165 | 8.2× |
| Iron (83540) range across 2 matching MRF lines |
$64.50–$172.50 | $86–$230 | varies |
| Iron Binding Capacity (83550) | $74.25 | $99 | 8.5× |
| Islet cell antibody (86341) | $240 | $320 | 10.2× |
| Jak2 Gene Trgt Sequence Alys (81279) | $209.25 | $279 | 1.1× |
| Lactate (ld) (ldh) enzyme (83615) | $64.50 | $86 | 10.7× |
| Lactoferrin fecal qualitative (83630) | $135.75 | $181 | 6.9× |
| LDL direct (83721) | $72 | $96 | 6.9× |
| Lead (83655) | $74.25 | $99 | 6.1× |
| Legionella antigen urine (87449) | $154.50 | $206 | 12.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $31.50 | $42 | 1.0× |
| Level ii surg pathology grossµscopic exam (88302) | $125.25 | $167 | 3.2× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $285 | $380 | 0.8× |
| Lipase (83690) range across 2 matching MRF lines |
$100.50–$126.75 | $134–$169 | varies |
| Lithium (80178) | $93.75 | $125 | 14.2× |
| Luteinizing Hormone (Lh) (83002) | $111 | $148 | 6.0× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$21.19–$154.50 | $28.25–$206 | varies |
| Macroscopic Exam Parasite (87169) | $13.50 | $18 | 3.1× |
| Magnesium Urine (83735) | $79.50 | $106 | 11.9× |
| Mass Spectrometry Quant (83789) | $144.75 | $193 | 6.0× |
| Methylmalonic acid serum (83921) | $352.50 | $470 | 16.6× |
| Microalbumin, quantitative (82043) | $96 | $128 | 16.6× |
| Microsomal Antibodies Each (86376) | $139.50 | $186 | 9.6× |
| Mitochondrial Antibody Each (86381) | $150 | $200 | 5.9× |
| Mog-Igg1 Antb Cba Each (86362) range across 2 matching MRF lines |
$167.25–$186 | $223–$248 | varies |
| Mononuclear cell antigen (86356) | $172.50 | $230 | 6.4× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $246 | $328 | 1.3× |
| Mumps antibody (86735) | $120 | $160 | 9.2× |
| Mycoplasma culture (87109) | $75 | $100 | 4.9× |
| Natriuretic peptide (83880) | $258.75 | $345 | 6.6× |
| Nk cells total count (86357) | $82.50 | $110 | 2.2× |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$154.50–$171 | $206–$228 | varies |
| Obstetric panel (80081) range across 2 matching MRF lines |
$262.50–$273 | $350–$364 | varies |
| Osmolality serum (83930) | $89.25 | $119 | 13.5× |
| Osmolality Urine (83935) | $125.25 | $167 | 18.4× |
| Ph urine (81003) range across 4 matching MRF lines |
$4.50–$35.25 | $6–$47 | varies |
| Phenobarbital Level (80184) | $144.75 | $193 | 9.5× |
| Phenytoin (Dilantin) (80185) | $116.25 | $155 | 8.8× |
| Phenytoin free (80186) | $108.75 | $145 | 7.9× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$42–$42.75 | $56–$57 | varies |
| Phosphorus Serum (84100) | $53.25 | $71 | 11.2× |
| Platelet count automated (85049) | $63.75 | $85 | 14.2× |
| Potassium Urine (84133) | $50.25 | $67 | 10.6× |
| Prealbumin (84134) | $93 | $124 | 6.4× |
| Pregnenolone (84140) | $193.50 | $258 | 9.4× |
| Procalcitonin (Pct) (84145) | $240 | $320 | 8.8× |
| Progesterone (84144) | $123.75 | $165 | 5.9× |
| Prolactin (84146) | $187.50 | $250 | 9.7× |
| Protein C Activity (85303) | $218.25 | $291 | 15.8× |
| Protein Electrophoresis Urine (84166) | $142.50 | $190 | 8.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $123.75 | $165 | 11.5× |
| Protein S Free (85306) | $243.75 | $325 | 15.9× |
| Protein total serum (84155) | $50.25 | $67 | 13.7× |
| Protein Total Urine (84156) | $70.50 | $94 | 19.2× |
| PSA free (84154) | $159 | $212 | 8.6× |
| Pth Intact (83970) | $275.25 | $367 | 6.7× |
| Quantiferon tb gold plus (86480) | $213 | $284 | 3.4× |
| Quantitative Screen Metals (83018) | $51 | $68 | 2.3× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$132–$174.75 | $176–$233 | varies |
| Rbc antibody identification (86870) | $250.50 | $334 | 0.7× |
| Rbc antibody screen (86850) | $93.75 | $125 | 9.6× |
| Reagent Strip/Blood Glucose (82948) | $7.50 | $10 | 1.5× |
| Renin activity plasma (84244) | $219 | $292 | 10.0× |
| Resp Virus 6-11 Targets (87632) | $618 | $824 | 2.8× |
| Reticulocyte Count (85046) | $54.75 | $73 | 9.8× |
| Rh (86901) | $58.50 | $78 | 19.6× |
| Rheumatoid factor quant (86431) | $69.75 | $93 | 12.3× |
| Rickettsia antibody (86757) | $132 | $176 | 6.8× |
| Rpr qualitative (86592) | $42.75 | $57 | 10.0× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$18.75–$137.25 | $25–$183 | varies |
| Rubella Antibody (86762) | $77.25 | $103 | 5.4× |
| Rubeola antibody (86765) | $108 | $144 | 8.4× |
| Russell Viper Venom Time Diluted (85613) | $61.50 | $82 | 6.4× |
| Salicylate Level (80179) | $192 | $256 | 10.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $133.50 | $178 | 2.6× |
| Sars-cov-2 COVID-19 antibody (86769) | $66 | $88 | 1.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $429 | $572 | 3.0× |
| Sedimentation Rate, Automated (85652) | $45.75 | $61 | 16.9× |
| Selenium (84255) | $81.75 | $109 | 3.2× |
| Sensitivity mic (87186) | $102.75 | $137 | 11.9× |
| Sex Hormone Binding Globulin (84270) | $133.50 | $178 | 6.1× |
| Sickling of rbc reduction (85660) | $64.50 | $86 | 11.7× |
| Skin test tuberculosis intradermal (86580) | $23.25 | $31 | 0.8× |
| Smear acid fast (87206) | $69.75 | $93 | 12.9× |
| Smear gram stain (87205) | $60 | $80 | 14.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$9–$72 | $12–$96 | varies |
| Sodium Serum (84295) | $44.25 | $59 | 9.2× |
| Sodium Urine (84300) | $67.50 | $90 | 13.3× |
| Somatomedin (84305) | $193.50 | $258 | 9.1× |
| Special Stains Group 1 (88312) | $129.75 | $173 | 2.4× |
| Special Stains Group 2 (88313) | $70.50 | $94 | 0.5× |
| Specimen infect agnt concntj (87015) | $43.50 | $58 | 6.5× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $91.50 | $122 | 0.5× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$22.50–$84.75 | $30–$113 | varies |
| Strep b DNA amp probe (87653) | $154.50 | $206 | 4.4× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $139.50 | $186 | 1.5× |
| Surg path level iii (88304) | $150.75 | $201 | 2.8× |
| Surgical pathology level IV (88305) | $190.50 | $254 | 3.5× |
| Surgical pathology level vi (88309) | $156 | $208 | 0.2× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $54.75 | $73 | 7.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $82.50 | $110 | 1.8× |
| T cells total count (86359) | $82.50 | $110 | 2.2× |
| T3 Free (84481) | $198 | $264 | 11.7× |
| T3 reverse (84482) | $193.50 | $258 | 12.3× |
| T3 Total (84480) | $111 | $148 | 7.8× |
| T4 Free (84439) | $102 | $136 | 11.3× |
| T4 total (84436) | $82.50 | $110 | 12.0× |
| Tacrolimus (80197) | $197.25 | $263 | 14.4× |
| Testosterone total (84403) | $129.75 | $173 | 5.0× |
| Testosterone, Free (84402) | $169.50 | $226 | 6.7× |
| Thrombin Time (85670) | $61.50 | $82 | 10.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $61.50 | $82 | 9.5× |
| Thyroglobulin (84432) | $193.50 | $258 | 12.0× |
| Thyroglobulin Antibody (86800) | $107.25 | $143 | 6.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $48 | $64 | 0.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $150 | $200 | 13.0× |
| Tissue culture bone marrow (88237) | $394.50 | $526 | 2.7× |
| Topiramate (80201) | $201 | $268 | 16.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $61.50 | $82 | 11.9× |
| Transferrin (84466) | $108 | $144 | 8.5× |
| Trichomonas Vaginalis Amplif (87661) | $93.75 | $125 | 2.7× |
| Triglycerides (84478) | $54.75 | $73 | 9.5× |
| Troponin Quant (84484) | $220.50 | $294 | 17.7× |
| Tumor immunohistochem/comput (88361) | $176.25 | $235 | 0.5× |
| Tumor Immunohistochem/Manual (88360) | $193.50 | $258 | 1.1× |
| Urinalysis Microscopic Only (81015) | $27 | $36 | 8.9× |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$12–$77.25 | $16–$103 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$6–$59.25 | $8–$79 | varies |
| Valproic acid (80164) | $147 | $196 | 10.9× |
| Vancomycin (80202) | $159 | $212 | 11.7× |
| Varicella-zoster antibody (86787) | $117.75 | $157 | 9.1× |
| Vit D 1 25-Dihydroxy (82652) | $270.75 | $361 | 7.0× |
| Vitamin A (84590) | $154.50 | $206 | 13.3× |
| Vitamin b-12 (82607) | $146.25 | $195 | 9.7× |
| Vitamin B6 (84207) | $174.75 | $233 | 6.2× |
| Vitamin D 25-Hydroxy (82306) | $183 | $244 | 6.2× |
| Vitamin E (84446) | $192 | $256 | 13.5× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $49.50 | $66 | 4.1× |
| West nile virus ab igm (86788) | $119.25 | $159 | 7.1× |
| West Nile Virus Antibody (86789) | $119.25 | $159 | 8.3× |
| Zinc (84630) | $82.50 | $110 | 7.2× |
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.