Lab & pathology prices at Scott County Hospital
Scott City, KS · every code in this section with a posted price and a Medicare benchmark.
404 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abl1 gene analysis kinase domain variants (81170) | — | $707 | — |
| Acetylcholine receptor binding antibody (86041) | — | $415 | — |
| Acetylcholine receptor blocking antibody (86042) | — | $415 | — |
| Acetylcholn Rcptr Modlg Antb (86043) | — | $415 | — |
| Acth (82024) | — | $196 | — |
| Actin smooth muscle antibody each (86015) | — | $415 | — |
| Acute hepatitis panel (80074) | — | $343 | — |
| Albumin Fluid (82042) | — | $55 | — |
| Albumin serum (82040) | — | $74 | — |
| Aldolase (82085) | — | $64 | — |
| Aldosterone urine (82088) | — | $202 | — |
| Allergen specific ige (86003) range across 75 matching MRF lines |
— | $21–$406 | — |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
— | $98–$133 | — |
| Alpha-1-antitrypsin phenotype (82104) | — | $164 | — |
| Alpha-Fetoprotein Serum (82105) | — | $91 | — |
| Alt (sgpt) (84460) | — | $74 | — |
| Ammonia (82140) | — | $182 | — |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 3 matching MRF lines |
— | $202–$1,142 | — |
| Amylase urine (82150) | — | $82 | — |
| Ana Titer (86039) | — | $74 | — |
| Anca screen each antibody (86036) | — | $104 | — |
| Androstenedione (82157) | — | $212 | — |
| Angiotensin converting enzyme csf (82164) | — | $138 | — |
| Antibody aspergillus (86606) | — | $162 | — |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | — | $166 | — |
| Antibody Cytomegalovirus Cmv Igm (86645) | — | $145 | — |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | — | $180 | — |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | — | $118 | — |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | — | $192 | — |
| Antibody identification leukocyte antibodies (86021) | — | $251 | — |
| Antibody john cunningham virus (86711) | — | $1,748 | — |
| Antibody Protozoa Nes (86753) | — | $739 | — |
| Antibody Titer (86886) | — | $138 | — |
| Antibody Treponema Pallidum (86780) | — | $132 | — |
| Antibody; influenza virus (86710) | — | $224 | — |
| Antinuclear antibodies (86038) | — | $74 | — |
| Antistreptolysin o titer (86060) | — | $113 | — |
| Antithrombin iii activity (85300) | — | $70 | — |
| Apolipoprotein a1 (82172) | — | $112 | — |
| Aquaporin-4 Antb Cba Each (86052) | — | $980 | — |
| Aspergillus ag eia (87305) | — | $205 | — |
| Assay activated protein c (85307) | — | $442 | — |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
— | $93–$481 | — |
| Assay of 5-hiaa (83497) | — | $89 | — |
| Assay of estrone (82679) | — | $321 | — |
| Assay of g6pd enzyme (82955) | — | $66 | — |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
— | $78–$132 | — |
| Assay of lactic acid (83605) | — | $93 | — |
| Assay of manganese (83785) | — | $301 | — |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
— | $295–$354 | — |
| Assay of proinsulin (84206) | — | $302 | — |
| Assay of serum potassium (84132) | — | $58 | — |
| Assay of urea nitrogen (84520) | — | $54 | — |
| Assay of urine vma (84585) | — | $50 | — |
| Assay of vasoactive intestinal peptide (84586) | — | $315 | — |
| Assay of vitamin b-1 (84425) | — | $239 | — |
| Automated Leukocyte Count (85048) | — | $38 | — |
| Bcr/abl1 gene major bp (81206) | — | $546 | — |
| Beta 2 glycoprotein i antibody each (86146) | — | $155 | — |
| Beta hydroxybutyrate (82010) | — | $103 | — |
| Beta Lactamase (87185) | — | $61 | — |
| Beta-2 Microglobulin (82232) | — | $81 | — |
| Bilirubin direct (82248) | — | $56 | — |
| Bilirubin total (82247) | — | $189 | — |
| Bl Smear W/O Diff Wbc Count (85008) | — | $5 | — |
| Blastomyces antibody (86612) | — | $139 | — |
| Bld Typing Serologic Rh Phnt (86906) | — | $107 | — |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | — | $38 | — |
| Blood gas (82803) | — | $265 | — |
| Blood gases w/02 saturation (82805) | — | $208 | — |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | — | $45 | — |
| Blood Type Antigen Donor Reagent Serum Each (86902) | — | $75 | — |
| Blood typing serologic abo (86900) range across 6 matching MRF lines |
— | $46–$63 | — |
| Braf gene analysis (81210) | — | $735 | — |
| Brca1 Gene Analysis Known Familial Variant (81215) | — | $415 | — |
| Brca1&2 gen full seq dup/del (81162) | — | $3,544 | — |
| C diff amplified probe (87493) | — | $219 | — |
| C-Peptide (84681) | — | $110 | — |
| C-reactive protein (86140) | — | $91 | — |
| Ca 19-9 (86301) | — | $60 | — |
| Calcitonin (82308) range across 2 matching MRF lines |
— | $75–$162 | — |
| Calcium ionized (82330) | — | $79 | — |
| Calcium total (82310) | — | $61 | — |
| Calculus Spectroscopy (82365) | — | $89 | — |
| Calprotectin Fecal (83993) | — | $349 | — |
| Cancer Antigen 125 (86304) | — | $89 | — |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
— | $45–$122 | — |
| Carbamazepine total (80156) | — | $163 | — |
| Carboxyhemoglobin (82375) | — | $78 | — |
| Carcinoembryonic antigen (82378) | — | $230 | — |
| Cardiolipin ab iga (86147) | — | $218 | — |
| Carnitine Quantitative Each Specimen (82379) | — | $258 | — |
| Catecholamines fractionated (82384) | — | $65 | — |
| Ccp antibody (86200) | — | $134 | — |
| Cell count csf (89051) | — | $128 | — |
| Ceruloplasmin (82390) | — | $75 | — |
| Cftr gene com variants (81220) | — | $776 | — |
| Chloride Serum (82435) | — | $7 | — |
| Chloride urine (82436) | — | $62 | — |
| Cholesterol total (82465) | — | $54 | — |
| Chorionic gonadotropin test (84702) | — | $200 | — |
| Chromogranin a (86316) | — | $116 | — |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | — | $249 | — |
| Citric acid urine (82507) | — | $389 | — |
| Ckmb (82553) | — | $180 | — |
| Cold agglutinin screen (86156) | — | $90 | — |
| Collagen crosslinks (82523) | — | $277 | — |
| Column Chromotography Quant (82542) range across 7 matching MRF lines |
— | $83–$762 | — |
| Compatibility Each Unit Incubation (86921) | — | $113 | — |
| Compatibility test antiglob (86922) range across 10 matching MRF lines |
— | $108–$185 | — |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
— | $91–$140 | — |
| Complement Total (Ch50) (86162) | — | $155 | — |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | — | $630 | — |
| Coombs direct (86880) range across 7 matching MRF lines |
— | $47–$151 | — |
| Copper urine (82525) | — | $50 | — |
| Cortisol free (82530) | — | $236 | — |
| Cortisol saliva (82533) | — | $102 | — |
| Creatine kinase total (82550) range across 4 matching MRF lines |
— | $67–$74 | — |
| Creatinine blood (82565) | — | $64 | — |
| Creatinine clearance (82575) | — | $116 | — |
| Creatinine Urine (82570) | — | $74 | — |
| Crossmatch immediate spin (86920) | — | $91 | — |
| Crp High Sensitivity (86141) | — | $102 | — |
| Cryoglobulin (82595) | — | $123 | — |
| Cryptosporidium ag eia (87328) | — | $20 | — |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | — | $100 | — |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | — | $100 | — |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | — | $145 | — |
| Culture afb (87116) | — | $80 | — |
| Culture Anaerobic (87075) | — | $49 | — |
| Culture blood (87040) | — | $122 | — |
| Culture csf (87070) range across 7 matching MRF lines |
— | $51–$71 | — |
| Culture fungus (87102) | — | $70 | — |
| Culture stool (87045) | — | $97 | — |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | — | $58 | — |
| Culture urine (87086) | — | $69 | — |
| Cyclosporine (80158) | — | $26 | — |
| Cystatin C (82610) | — | $177 | — |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | — | $3,150 | — |
| Cytopath Cell Enhance Tech (88112) | — | $182 | — |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | — | $462 | — |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | — | $300 | — |
| Cytp smrs any oth src extnd std > 5 slides (88162) | — | $252 | — |
| Deoxyribonuclease antibody (86215) | — | $170 | — |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
— | $347–$647 | — |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
— | $616–$692 | — |
| Dhea-S (82627) | — | $132 | — |
| Digoxin (80162) | — | $179 | — |
| Dna Antibody Native/Double Stranded (86225) | — | $102 | — |
| Drug assay acetaminophen (80143) | — | $186 | — |
| Drug Assay Infliximab (80230) | — | $315 | — |
| Drug Assay Lacosamide (80235) | — | $262.55 | — |
| Drug Assay Vedolizumab (80280) | — | $105 | — |
| Drug Screen Quantitative Lamotrigine (80175) | — | $131 | — |
| Drug Screen Quantitative Levetiracetam (80177) | — | $180 | — |
| Drug Screen Quantitative Oxcarbazepine (80183) | — | $107 | — |
| Drug Test Prsmv Chem Anlyzr (80307) range across 5 matching MRF lines |
— | $109–$306 | — |
| Drug Test Prsmv Dir Opt Obs (80305) | — | $26 | — |
| Electrolyte panel (80051) | — | $75 | — |
| Endomysial Antibody Each Immunoglobulin Class (86231) | — | $144 | — |
| Enterovirus Antibody (86658) | — | $198 | — |
| Enterovirus PCR (87498) | — | $401 | — |
| Eosinophil Smear (89190) | — | $41.30 | — |
| Erythropoietin (82668) | — | $116 | — |
| Estradiol serum (82670) | — | $206 | — |
| Estrogen total (82672) | — | $139 | — |
| F2 Gene (81240) | — | $349 | — |
| Factor v leiden mutation (81241) | — | $460 | — |
| Factor viii assay (85240) range across 2 matching MRF lines |
— | $53–$534 | — |
| Fatty acids free (82725) | — | $496 | — |
| Fecal Fat Qualitative (82705) | — | $28 | — |
| Ferritin (82728) | — | $175 | — |
| Fetal Chrmoml Aneuploidy (81420) | — | $4,741 | — |
| Fetal Congenital Abnor Assay Four Anal (81511) | — | $366 | — |
| Fibrin degradation products (85362) | — | $99 | — |
| Fibrin Degradation Quant (85379) | — | $163 | — |
| Fibrinogen activity (85384) | — | $45 | — |
| Flow cytometry first marker (88184) | — | $206 | — |
| Fluorescent antibody screen (86255) | — | $183 | — |
| Folic Acid Serum (82746) | — | $103 | — |
| Follicle Stimulating Hormone (83001) | — | $118 | — |
| Fungi Identification Mold (87107) | — | $72 | — |
| Fungi Identification Yeast (87106) | — | $64 | — |
| Galectin-3 (82777) | — | $129 | — |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
— | $21–$205 | — |
| Genet Virus Isolate Hsv (87255) | — | $159 | — |
| Gentamicin (80170) range across 2 matching MRF lines |
— | $95–$153 | — |
| Ggt (82977) | — | $28 | — |
| Giardia antigen (87329) | — | $112 | — |
| Glucose 2 hr pp (82950) | — | $208 | — |
| Glucose body fluid (82945) | — | $53 | — |
| Glucose Serum (82947) range across 3 matching MRF lines |
— | $21–$34 | — |
| Glucose tolerance test (gtt) (82951) | — | $54 | — |
| Glycated Protein (82985) | — | $64 | — |
| Growth hormone (83003) | — | $71 | — |
| Gtt-added samples (82952) | — | $54 | — |
| H Pylori (C-13) Breath (83013) | — | $467 | — |
| Haptoglobin (83010) | — | $85 | — |
| Hba1/Hba2 Gene (81257) | — | $728 | — |
| Hdl Cholesterol (83718) | — | $34 | — |
| Helicobacter Pylori Stool (87338) | — | $71 | — |
| Hematocrit (85014) | — | $38 | — |
| Hemoglobin (85018) | — | $38 | — |
| Hemoglobin a1c (83036) | — | $122 | — |
| Hemoglobin Chromotography (83021) | — | $100 | — |
| Hemoglobin F Fetal Chemical (83030) | — | $170 | — |
| Hep a ab igm (86709) | — | $83 | — |
| Heparin assay (85520) | — | $219 | — |
| Hepatitis a antibody total (86708) | — | $74 | — |
| Hepatitis b core ab igm (86705) | — | $49 | — |
| Hepatitis b core ab total (86704) | — | $70 | — |
| Hepatitis B Surface Antibody (86706) | — | $79 | — |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
— | $35–$40 | — |
| Hepatitis Be Antigen (87350) | — | $65 | — |
| Hepatitis C Antibody (86803) range across 4 matching MRF lines |
— | $75–$725 | — |
| Hepatitis C Revrs Trnscrpj (87522) | — | $218 | — |
| Heterophile Antibody Screen (86308) | — | $69 | — |
| Hfe Gene (81256) | — | $607 | — |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | — | $331 | — |
| Histamine urine (83088) | — | $212 | — |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
— | $117–$178 | — |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
— | $208–$218 | — |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | — | $521 | — |
| Hla class ii typing high resolution one locus ea (81382) | — | $864 | — |
| Hla-b27 (86812) | — | $87 | — |
| Homocysteine (83090) | — | $291 | — |
| Hsv Dna Amp Probe (87529) | — | $439 | — |
| Htt Gene Detc Abnor Alleles (81271) | — | $618 | — |
| Hydroxyprogesterone 17-d (83498) | — | $130 | — |
| Iaad Ia Entamoeba Histolytica Grp (87337) | — | $190 | — |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | — | $85 | — |
| Iaad ia shiga-like toxin (87427) | — | $89 | — |
| Iadna Cytomegalovirus Quantification (87497) | — | $503.13 | — |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 2 matching MRF lines |
— | $218–$462 | — |
| Iadna Hepatitis B Virus Quantification (87517) | — | $81 | — |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | — | $238 | — |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | — | $249 | — |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | — | $687 | — |
| Ig Light Chains Free Each (83521) | — | $119 | — |
| Igg subclasses (82787) | — | $181 | — |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
— | $183–$586 | — |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
— | $242–$792 | — |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
— | $525–$856 | — |
| Immunoassay nonantibody (83516) range across 5 matching MRF lines |
— | $116–$772.20 | — |
| Immunofixation electrophoresis (86334) | — | $172 | — |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
— | $268–$1,020 | — |
| Inhibin b (83520) range across 10 matching MRF lines |
— | $105–$415 | — |
| Insulin antibodies (86337) | — | $263 | — |
| Insulin total (83525) | — | $102 | — |
| Intrinsic factor antibody (86340) | — | $105 | — |
| Iron (83540) | — | $87 | — |
| Iron Binding Capacity (83550) | — | $139 | — |
| Islet cell antibody (86341) range across 4 matching MRF lines |
— | $158–$334 | — |
| Kit Gene Analysis D816 Variant(S) (81273) | — | $789 | — |
| Koh Prep (87220) | — | $64 | — |
| Lactate (ld) (ldh) enzyme (83615) | — | $72 | — |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
— | $72–$83 | — |
| LDL direct (83721) | — | $77 | — |
| Lead (83655) | — | $47 | — |
| Legionella antigen urine (87449) | — | $93 | — |
| Leukocyte Assessment Fecal (89055) | — | $27 | — |
| Level I Surg Pathology Gross Examination Only (88300) | — | $68 | — |
| Level ii surg pathology grossµscopic exam (88302) | — | $124 | — |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | — | $419 | — |
| Lipase (83690) | — | $97 | — |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
— | $105–$199 | — |
| Lipoprotein-Associated Phospholipase A2 (83698) range across 3 matching MRF lines |
— | $89–$105 | — |
| Lithium (80178) | — | $45 | — |
| Luteinizing Hormone (Lh) (83002) | — | $114 | — |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | — | $688 | — |
| Magnesium Urine (83735) | — | $89 | — |
| Methylmalonic acid serum (83921) | — | $370 | — |
| Microalbumin, quantitative (82043) | — | $78 | — |
| Microsomal Antibodies Each (86376) | — | $119 | — |
| Mitochondrial Antibody Each (86381) | — | $38 | — |
| Mog-Igg1 Antb Cba Each (86362) | — | $980 | — |
| Mononuclear cell antigen (86356) | — | $151 | — |
| Mrsa Pcr (87641) | — | $264 | — |
| Mthfr Gene Analysis Common Variants (81291) | — | $536 | — |
| Mumps antibody (86735) | — | $107 | — |
| Muscle-Specific Kinase Antb (86366) | — | $1,600 | — |
| Mycobacteric Identification (87118) | — | $92 | — |
| Mycophenolic Acid (80180) | — | $279 | — |
| Natriuretic peptide (83880) | — | $242 | — |
| Nfct ds chrnc hcv 6 assays (81596) | — | $517 | — |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
— | $51–$103 | — |
| Obstetric panel (80081) | — | $621 | — |
| Occult blood feces (82272) | — | $45 | — |
| Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping),… (81520) | — | $5,738 | — |
| Osmolality serum (83930) | — | $95 | — |
| Osmolality Urine (83935) | — | $95 | — |
| Ova and parasites smears (87177) | — | $51 | — |
| Oxalate urine (83945) | — | $67 | — |
| Pancreatic Elastase Fecal (82656) | — | $444 | — |
| Particle Agglutination Screen Each Antibody (86403) | — | $100 | — |
| Parvovirus antibody (86747) | — | $260 | — |
| Ph urine (81003) | — | $40 | — |
| Phenobarbital Level (80184) | — | $180 | — |
| Phenytoin (Dilantin) (80185) | — | $201 | — |
| Phosphatase alkaline (84075) | — | $72 | — |
| Phosphorus Serum (84100) | — | $66 | — |
| Phosphorus urine (84105) | — | $67 | — |
| Platelet count automated (85049) | — | $53 | — |
| Potassium Urine (84133) | — | $62 | — |
| Prealbumin (84134) | — | $81 | — |
| Pregnenolone (84140) | — | $177 | — |
| Procalcitonin (Pct) (84145) | — | $179 | — |
| Progesterone (84144) | — | $118 | — |
| Prolactin (84146) range across 2 matching MRF lines |
— | $194–$215 | — |
| Prostaglandin (84150) range across 2 matching MRF lines |
— | $298–$380 | — |
| Protein body fluid (84157) | — | $38 | — |
| Protein C Activity (85303) | — | $134 | — |
| Protein Electrophoresis Urine (84166) | — | $47 | — |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | — | $137 | — |
| Protein S Free (85306) | — | $326 | — |
| Protein s total (85305) range across 2 matching MRF lines |
— | $34–$170 | — |
| Protein total serum (84155) range across 2 matching MRF lines |
— | $66–$79 | — |
| Protein Total Urine (84156) | — | $66 | — |
| Protein Western Blot Test (84182) | — | $1,933 | — |
| Pth Intact (83970) range across 3 matching MRF lines |
— | $210–$255 | — |
| Quantiferon tb gold plus (86480) range across 3 matching MRF lines |
— | $423–$444 | — |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
— | $132–$156 | — |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
— | $74–$179 | — |
| Rbc antibody elution (86860) | — | $138 | — |
| Rbc antibody identification (86870) | — | $126 | — |
| Rbc antibody screen (86850) | — | $79 | — |
| Rbc pretreatment serum (86978) | — | $184 | — |
| Renin activity plasma (84244) | — | $152 | — |
| Resp virus 12-25 targets (87633) | — | $1,182 | — |
| Reticulocyte Count (85046) | — | $66 | — |
| Reticulocyte separation (86972) | — | $210 | — |
| Rh (86901) range across 5 matching MRF lines |
— | $38–$83 | — |
| Rickettsia antibody (86757) | — | $207 | — |
| Rpr qualitative (86592) | — | $53 | — |
| Rubella Antibody (86762) range across 5 matching MRF lines |
— | $54–$95 | — |
| Rubeola antibody (86765) | — | $184 | — |
| Russell Viper Venom Time Diluted (85613) | — | $118 | — |
| Salicylate Level (80179) | — | $166 | — |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | — | $62 | — |
| Sedimentation Rate, Automated (85652) | — | $47 | — |
| Selenium (84255) | — | $134 | — |
| Semen Anal Sperm Detection (89321) | — | $87 | — |
| Sensitivity mic (87186) | — | $158 | — |
| Sex Hormone Binding Globulin (84270) | — | $243 | — |
| Sickling of rbc reduction (85660) | — | $23 | — |
| Skin test tuberculosis intradermal (86580) range across 3 matching MRF lines |
— | $60–$64 | — |
| Smear gram stain (87205) | — | $32 | — |
| Smear Special Stain (87207) | — | $189 | — |
| Smr Prim Src Wet Mount Nfct Agt (87210) | — | $56 | — |
| So neo gsap DNA/DNA&RNA (81459) | — | $3,570 | — |
| Sodium Serum (84295) | — | $21 | — |
| Sodium Urine (84300) | — | $78 | — |
| Somatomedin (84305) | — | $238 | — |
| Special Stains Group 1 (88312) | — | $384 | — |
| Special Stains Group 2 (88313) | — | $118 | — |
| Specimen infect agnt concntj (87015) | — | $84 | — |
| Strep a DNA amp probe (87651) | — | $98 | — |
| Strep b DNA amp probe (87653) | — | $264 | — |
| Surg path level iii (88304) | — | $180 | — |
| Surgical pathology level IV (88305) | — | $302 | — |
| Surgical pathology level vi (88309) | — | $566 | — |
| Syphilis Test Non-Trep Quant (86593) | — | $40 | — |
| T3 Free (84481) | — | $276 | — |
| T3 reverse (84482) | — | $389 | — |
| T3 Total (84480) | — | $149 | — |
| T3 Uptake (84479) | — | $21 | — |
| T4 Free (84439) | — | $100 | — |
| T4 total (84436) | — | $11 | — |
| Tacrolimus (80197) | — | $182 | — |
| Testosterone total (84403) | — | $339 | — |
| Testosterone, Free (84402) | — | $328 | — |
| Tetanus antibody (86774) | — | $233 | — |
| Theophylline (80198) | — | $102 | — |
| Thyroglobulin Antibody (86800) | — | $181 | — |
| Thyroid Stimulating Immunoglobulin (84445) | — | $526 | — |
| Thyroxine binding globulin (84442) | — | $252 | — |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
— | $61–$186 | — |
| Topiramate (80201) | — | $126 | — |
| Toxoplasma ab igm (86778) | — | $171 | — |
| Transferase Aspartate Amino Ast Sgot (84450) | — | $74 | — |
| Transferrin (84466) | — | $255 | — |
| Triglycerides (84478) | — | $61 | — |
| Troponin Quant (84484) range across 3 matching MRF lines |
— | $226–$229 | — |
| Tumor Immunohistochem/Manual (88360) | — | $405 | — |
| Uric acid other source (84560) | — | $54 | — |
| Urine Bacteria Culture (87088) | — | $69 | — |
| Urine Pregnancy Test (81025) | — | $93 | — |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | — | $57 | — |
| Valproic acid (80164) | — | $107 | — |
| Vancomycin (80202) | — | $197 | — |
| Varicella-zoster antibody (86787) | — | $218 | — |
| Viral Culture (87252) | — | $315 | — |
| Virus antibody nos (86790) range across 2 matching MRF lines |
— | $137–$227 | — |
| Viscosity serum (85810) | — | $124 | — |
| Vit D 1 25-Dihydroxy (82652) | — | $166 | — |
| Vitamin A (84590) | — | $213 | — |
| Vitamin b-12 (82607) | — | $95 | — |
| Vitamin B6 (84207) | — | $274 | — |
| Vitamin D 25-Hydroxy (82306) | — | $359 | — |
| Vitamin E (84446) | — | $151 | — |
| Vitamin K (84597) | — | $390 | — |
| West nile virus ab igm (86788) | — | $150 | — |
| West Nile Virus Antibody (86789) | — | $92 | — |
| Zinc (84630) | — | $50 | — |
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.