Lab & pathology prices at Shoshone Medical Center
Kellogg, ID · every code in this section with a posted price and a Medicare benchmark.
314 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $174 | $232 | 4.5× |
| Actin smooth muscle antibody each (86015) | $77.25 | $103 | 6.4× |
| Acute hepatitis panel (80074) | $303.75 | $405 | 6.4× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $187.50 | $250 | 2.9× |
| Albumin serum (82040) | $41.25 | $55 | 8.3× |
| Aldosterone urine (82088) | $165 | $220 | 4.0× |
| Allergen specific ige (86003) | $27 | $36 | 5.2× |
| Alpha-1-antitrypsin total (82103) | $83.25 | $111 | 6.2× |
| Alpha-Fetoprotein Serum (82105) | $110.25 | $147 | 6.6× |
| Alt (sgpt) (84460) | $46.50 | $62 | 8.8× |
| Ammonia (82140) | $119.25 | $159 | 8.2× |
| Amylase urine (82150) | $81.75 | $109 | 12.6× |
| Anca Titer Each Antibody (86037) | $82.50 | $110 | 6.8× |
| Androstenedione (82157) | $124.50 | $166 | 4.3× |
| Angiotensin converting enzyme csf (82164) | $87 | $116 | 6.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $87 | $116 | 5.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $85.50 | $114 | 5.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $90.75 | $121 | 5.0× |
| Antibody Herpes Smplx Type 1 (86695) | $64.50 | $86 | 4.9× |
| Antibody HIV-2 (86702) | $123.75 | $165 | 9.2× |
| Antibody Treponema Pallidum (86780) | $63.75 | $85 | 4.8× |
| Antigen typing (86905) range across 4 matching MRF lines |
$133.50–$177.75 | $178–$237 | varies |
| Antinuclear antibodies (86038) | $84.75 | $113 | 7.0× |
| Apolipoprotein a1 (82172) | $65.25 | $87 | 3.1× |
| Assay of blood/uric acid (84550) | $49.50 | $66 | 11.0× |
| Assay of calcium in urine (82340) | $48 | $64 | 8.0× |
| Assay of estrone (82679) | $84.75 | $113 | 3.4× |
| Assay of g6pd enzyme (82955) | $60 | $80 | 6.2× |
| Assay of gammaglobulin igm (82784) | $68.25 | $91 | 7.3× |
| Assay of lactic acid (83605) | $66.75 | $89 | 5.8× |
| Assay of metanephrines (83835) | $126.75 | $169 | 7.5× |
| Assay of prostate specific antigen complexed (84152) | $81 | $108 | 4.4× |
| Assay of serotonin (84260) | $132.75 | $177 | 4.3× |
| Assay of serum potassium (84132) | $46.50 | $62 | 9.8× |
| Assay of urea nitrogen (84520) | $24.75 | $33 | 6.3× |
| Assay of vitamin b-1 (84425) | $107.25 | $143 | 5.1× |
| Assay Ph Body Fluid Nos (83986) | $37.50 | $50 | 10.5× |
| Automated Leukocyte Count (85048) | $30.75 | $41 | 12.1× |
| B cells total count (86355) | $126.75 | $169 | 3.4× |
| Beta 2 glycoprotein i antibody each (86146) | $83.25 | $111 | 3.3× |
| Bilirubin direct (82248) | $50.25 | $67 | 10.0× |
| Bilirubin total (82247) | $45 | $60 | 9.0× |
| Bld Typing Serologic Rh Phnt (86906) | $97.50 | $130 | 12.6× |
| Blood Count Red Blood Cell Automated (85041) | $17.25 | $23 | 5.7× |
| Blood count reticulocyte automated (85045) | $48 | $64 | 12.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $9.75 | $13 | 2.6× |
| Blood gas (82803) | $203.25 | $271 | 7.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $32.25 | $43 | 7.4× |
| Blood typing serologic abo (86900) range across 5 matching MRF lines |
$62.25–$142.50 | $83–$190 | varies |
| C diff amplified probe (87493) | $160.50 | $214 | 4.3× |
| C-Peptide (84681) | $103.50 | $138 | 5.0× |
| C-reactive protein (86140) | $66.75 | $89 | 12.9× |
| Ca 19-9 (86301) | $115.50 | $154 | 5.6× |
| Calcium ionized (82330) | $96.75 | $129 | 7.1× |
| Calcium total (82310) | $45.75 | $61 | 8.9× |
| Calprotectin Fecal (83993) | $184.50 | $246 | 9.4× |
| Cancer Antigen 125 (86304) | $132.75 | $177 | 6.4× |
| Cancer Antigen 27.29 (86300) | $111 | $148 | 5.3× |
| Carbamazepine total (80156) | $116.25 | $155 | 8.0× |
| Carboxyhemoglobin (82375) | $92.25 | $123 | 7.5× |
| Carcinoembryonic antigen (82378) | $141 | $188 | 7.4× |
| Cardiolipin ab iga (86147) | $93.75 | $125 | 3.7× |
| Catecholamines fractionated (82384) | $121.50 | $162 | 4.8× |
| Ccp antibody (86200) | $78.75 | $105 | 6.1× |
| Cell count csf (89051) | $99.75 | $133 | 17.8× |
| Ceruloplasmin (82390) | $69.75 | $93 | 6.5× |
| Chemiluminescent assay (82397) | $105.75 | $141 | 7.5× |
| Chloride Serum (82435) | $39.75 | $53 | 8.6× |
| Chloride urine (82436) | $46.50 | $62 | 8.1× |
| Cholesterol total (82465) | $42 | $56 | 9.7× |
| Chorionic gonadotropin test (84702) | $145.50 | $194 | 9.7× |
| Chromogranin a (86316) | $113.25 | $151 | 5.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $131.25 | $175 | 3.7× |
| Citric acid urine (82507) | $98.25 | $131 | 3.5× |
| Ckmb (82553) | $69 | $92 | 6.0× |
| Clostridium Difficile (87324) | $89.25 | $119 | 7.4× |
| Collagen crosslinks (82523) | $102.75 | $137 | 5.5× |
| Compatibility Each Unit Incubation (86921) | $162.75 | $217 | 1.0× |
| Compatibility test antiglob (86922) | $177.75 | $237 | 1.1× |
| Complement Antigen Each Component (86160) | $91.50 | $122 | 7.6× |
| Coombs direct (86880) | $75.75 | $101 | 14.1× |
| Copper urine (82525) | $71.25 | $95 | 5.7× |
| Cortisol free (82530) | $96 | $128 | 5.7× |
| Cortisol saliva (82533) | $123 | $164 | 7.5× |
| Creatine kinase total (82550) | $42.75 | $57 | 6.6× |
| Creatinine blood (82565) | $30 | $40 | 5.9× |
| Creatinine Urine (82570) range across 6 matching MRF lines |
$52.50–$59.25 | $70–$79 | varies |
| Crossmatch immediate spin (86920) | $162.75 | $217 | 1.0× |
| Crp High Sensitivity (86141) | $87 | $116 | 6.7× |
| Cryptosporidium ag eia (87328) | $74.25 | $99 | 5.4× |
| Culture afb (87116) | $112.50 | $150 | 10.4× |
| Culture Anaerobic (87075) | $126.75 | $169 | 13.4× |
| Culture blood (87040) | $87 | $116 | 8.4× |
| Culture csf (87070) | $109.50 | $146 | 12.7× |
| Culture fungus (87102) | $115.50 | $154 | 13.7× |
| Culture screen only (87081) | $73.50 | $98 | 11.1× |
| Culture stool (87045) | $95.25 | $127 | 10.1× |
| Culture urine (87086) | $50.25 | $67 | 6.2× |
| Cyclosporine (80158) | $130.50 | $174 | 7.2× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$39–$92.25 | $52–$123 | varies |
| Cytopath Cell Enhance Tech (88112) | $163.50 | $218 | 3.2× |
| Cytp Concentration Smears & Interpretation (88108) | $151.50 | $202 | 4.1× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $126 | $168 | 3.4× |
| Detect Agent Nos Dna Amp (87798) | $159.05 | $212.06 | 4.5× |
| Detect Agent Nos Dna Quant (87799) | $271.50 | $362 | 6.3× |
| Dhea (82626) | $105.75 | $141 | 4.2× |
| Dhea-S (82627) | $109.50 | $146 | 4.9× |
| Digoxin (80162) | $105.75 | $141 | 8.0× |
| Dna Antibody Native/Double Stranded (86225) | $87 | $116 | 6.3× |
| Drug assay acetaminophen (80143) | $114.75 | $153 | 6.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $128.25 | $171 | 9.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $92.25 | $123 | 7.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $76.50 | $102 | 5.8× |
| Drug Test Prsmv Chem Anlyzr (80307) | $249 | $332 | 4.0× |
| Drug Test Prsmv Dir Opt Obs (80305) | $78 | $104 | 6.2× |
| Electrolyte panel (80051) | $77.25 | $103 | 11.0× |
| Erythropoietin (82668) | $103.50 | $138 | 5.5× |
| Estradiol serum (82670) | $150 | $200 | 5.4× |
| Estrogen total (82672) | $105 | $140 | 4.8× |
| Exam Synovial Fluid Crystals (89060) | $66.75 | $89 | 9.1× |
| F2 Gene (81240) | $207.75 | $277 | 3.2× |
| Factor v leiden mutation (81241) | $219.75 | $293 | 3.0× |
| Ferritin (82728) | $107.25 | $143 | 7.9× |
| Fetal Chrmoml Aneuploidy (81420) | $777.75 | $1,037 | 1.0× |
| Fibrin Degradation Quant (85379) | $81 | $108 | 8.0× |
| Flow cytometry first marker (88184) | $216.75 | $289 | 0.6× |
| Folic Acid Serum (82746) | $104.25 | $139 | 7.1× |
| Follicle Stimulating Hormone (83001) | $118.50 | $158 | 6.4× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $118.50 | $158 | 0.7× |
| Gammaglobulin ige (82785) | $87.75 | $117 | 5.3× |
| Ggt (82977) | $59.25 | $79 | 8.2× |
| Giardia antigen (87329) | $72 | $96 | 6.0× |
| Glucose 2 hr pp (82950) | $40.50 | $54 | 8.5× |
| Glucose Blood Test (82962) | $26.25 | $35 | 8.0× |
| Glucose body fluid (82945) | $57 | $76 | 14.5× |
| Glucose Serum (82947) | $40.50 | $54 | 10.3× |
| Glucose tolerance test (gtt) (82951) | $93.75 | $125 | 7.3× |
| Gonadotropin Chorionic Qualitative (84703) | $100.50 | $134 | 13.4× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$122.25–$150.75 | $163–$201 | varies |
| Haptoglobin (83010) | $85.50 | $114 | 6.8× |
| Hdl Cholesterol (83718) | $56.25 | $75 | 6.9× |
| Helicobacter Pylori Stool (87338) | $105.75 | $141 | 7.4× |
| Hematocrit (85014) | $33 | $44 | 13.9× |
| Hemoglobin (85018) range across 3 matching MRF lines |
$31.38–$32.25 | $41.83–$43 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$48.75–$50.25 | $65–$67 | varies |
| Hep a ab igm (86709) | $83.25 | $111 | 7.4× |
| Hepatitis a antibody total (86708) | $79.50 | $106 | 6.4× |
| Hepatitis b core ab igm (86705) | $85.50 | $114 | 7.3× |
| Hepatitis b core ab total (86704) | $82.50 | $110 | 6.8× |
| Hepatitis B Surface Antigen (87340) | $84.75 | $113 | 8.2× |
| Hepatitis C Antibody (86803) | $105 | $140 | 7.4× |
| Hepatitis C Genotype (87902) | $626.25 | $835 | 2.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $276 | $368 | 6.4× |
| Herpes simplex type 2 (86696) | $78 | $104 | 4.0× |
| Heterophile Antibody Screen (86308) | $66.75 | $89 | 12.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$96.75–$123.75 | $129–$165 | varies |
| Hiv-1 Antibody (86701) | $123.75 | $165 | 13.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $333 | $444 | 3.9× |
| HIV-2 probe&revrse trnscripj (87538) | $224.25 | $299 | 6.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $197.25 | $263 | 2.7× |
| Homocysteine (83090) | $121.50 | $162 | 6.8× |
| Hsv Dna Amp Probe (87529) | $165 | $220 | 4.7× |
| Hydroxyprogesterone 17-d (83498) | $109.50 | $146 | 4.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $63.75 | $85 | 1.8× |
| Iaad ia shiga-like toxin (87427) | $60.75 | $81 | 5.1× |
| Iadna Cytomegalovirus Quantification (87497) | $269.25 | $359 | 6.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $228 | $304 | 5.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $165 | $220 | 4.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $131.25 | $175 | 3.7× |
| Ig Light Chains Free Each (83521) | $239.25 | $319 | 13.9× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$77.25–$111.75 | $103–$149 | varies |
| Immunofixation electrophoresis (86334) | $129 | $172 | 5.8× |
| Immunohistochemistry (88342) | $265.50 | $354 | 1.6× |
| In situ hybridization 1st probe stain (88365) | $299.25 | $399 | 1.8× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $238.50 | $318 | 3.4× |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$81–$83.25 | $108–$111 | varies |
| Inhibin b (83520) | $111.75 | $149 | 6.5× |
| Insitu hybridization manual (88368) | $459.75 | $613 | 1.3× |
| Insulin total (83525) | $72.75 | $97 | 6.4× |
| Intrinsic factor antibody (86340) | $78 | $104 | 5.2× |
| Iron (83540) | $58.50 | $78 | 9.0× |
| Iron Binding Capacity (83550) | $69 | $92 | 7.9× |
| Islet cell antibody (86341) | $113.25 | $151 | 4.8× |
| Lactate (ld) (ldh) enzyme (83615) | $59.25 | $79 | 9.8× |
| Lactoferrin Fecal Quantitative (83631) | $136.50 | $182 | 7.0× |
| LDL direct (83721) | $57.75 | $77 | 5.5× |
| Lead (83655) | $54 | $72 | 4.5× |
| Leukocyte Assessment Fecal (89055) | $45.75 | $61 | 10.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $88.50 | $118 | 3.1× |
| Level ii surg pathology grossµscopic exam (88302) | $141.75 | $189 | 3.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $460.50 | $614 | 1.3× |
| Lipase (83690) | $52.50 | $70 | 7.6× |
| Lipoprotein A (83695) | $65.25 | $87 | 4.6× |
| Lipoprotein Bld Quan Part (83704) | $91.50 | $122 | 2.7× |
| Lithium (80178) | $69 | $92 | 10.4× |
| Luteinizing Hormone (Lh) (83002) | $121.50 | $162 | 6.6× |
| Magnesium Urine (83735) | $69.75 | $93 | 10.4× |
| Methylmalonic acid serum (83921) | $108.75 | $145 | 5.1× |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$57.75–$59.25 | $77–$79 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$81–$83.25 | $108–$111 | varies |
| Mitochondrial Antibody Each (86381) | $77.25 | $103 | 3.0× |
| Mrsa Pcr (87641) | $160.50 | $214 | 4.6× |
| Mthfr Gene Analysis Common Variants (81291) | $201 | $268 | 3.1× |
| Mumps antibody (86735) | $66 | $88 | 5.1× |
| Mycophenolic Acid (80180) | $90.75 | $121 | 5.0× |
| Mycoplasma antibody (86738) | $73.50 | $98 | 5.6× |
| Myoglobin urine (83874) | $104.25 | $139 | 8.1× |
| Natriuretic peptide (83880) | $197.25 | $263 | 5.0× |
| Nk cells total count (86357) | $121.50 | $162 | 3.2× |
| Nuclear antigen antibody (86235) range across 10 matching MRF lines |
$85.50–$87.75 | $114–$117 | varies |
| Occult Blood Other Sources (82271) | $39.75 | $53 | 7.5× |
| Osmolality serum (83930) | $70.50 | $94 | 10.7× |
| Osmolality Urine (83935) | $69.75 | $93 | 10.2× |
| Ova and parasites smears (87177) | $68.25 | $91 | 7.7× |
| Oxalate urine (83945) | $57.75 | $77 | 4.0× |
| Ph urine (81003) | $20.25 | $27 | 9.0× |
| Phenytoin (Dilantin) (80185) | $111 | $148 | 8.4× |
| Phosphatase alkaline (84075) | $41.25 | $55 | 8.0× |
| Phospholipid Neutralization Hexagonal (85598) | $87.75 | $117 | 4.9× |
| Phosphorus Serum (84100) | $48.75 | $65 | 10.3× |
| Phosphorus urine (84105) | $36 | $48 | 6.2× |
| Platelet count automated (85049) | $50.25 | $67 | 11.2× |
| Potassium Urine (84133) | $46.50 | $62 | 9.8× |
| Prealbumin (84134) | $93.75 | $125 | 6.4× |
| Procalcitonin (Pct) (84145) | $177 | $236 | 6.5× |
| Progesterone (84144) | $113.25 | $151 | 5.4× |
| Prolactin (84146) | $131.25 | $175 | 6.8× |
| Protein body fluid (84157) range across 3 matching MRF lines |
$50.25–$61.50 | $67–$82 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $81.75 | $109 | 7.6× |
| Protein total serum (84155) | $36.75 | $49 | 10.0× |
| Protein Total Urine (84156) | $50.25 | $67 | 13.7× |
| PSA free (84154) | $92.25 | $123 | 5.0× |
| Pth Intact (83970) | $203.25 | $271 | 4.9× |
| Quantiferon tb gold plus (86480) | $192 | $256 | 3.1× |
| Quantitative assay drug (80299) | $123.75 | $165 | 6.6× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$135–$170.25 | $180–$227 | varies |
| Rbc antibody identification (86870) | $261 | $348 | 0.7× |
| Rbc antibody screen (86850) | $108 | $144 | 11.1× |
| Rbc pretreatment serum (86978) | $135 | $180 | 2.3× |
| Rbc pretx incubatj w/enzymes (86971) | $127.26 | $169.67 | 0.8× |
| Renin activity plasma (84244) | $105 | $140 | 4.8× |
| Rh (86901) | $62.25 | $83 | 20.8× |
| Rheumatoid factor quant (86431) | $54 | $72 | 9.5× |
| Rotavirus ag eia (87425) | $93.75 | $125 | 7.8× |
| Rpr qualitative (86592) | $48.75 | $65 | 11.4× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$58.50–$60 | $78–$80 | varies |
| Rubella Antibody (86762) | $71.25 | $95 | 5.0× |
| Rubeola antibody (86765) | $63.75 | $85 | 4.9× |
| Russell Viper Venom Time Diluted (85613) | $69 | $92 | 7.2× |
| Salicylate Level (80179) | $114.75 | $153 | 6.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $66 | $88 | 1.3× |
| Sars-cov-2 COVID-19 antibody (86769) | $66 | $88 | 1.6× |
| Sedimentation Rate, Automated (85652) | $42.75 | $57 | 15.8× |
| Semen Anal Sperm Detection (89321) | $58.50 | $78 | 4.9× |
| Semen analysis complete (89320) | $129.75 | $173 | 10.5× |
| Sex Hormone Binding Globulin (84270) | $82.50 | $110 | 3.8× |
| Sickling of rbc reduction (85660) | $55.50 | $74 | 10.1× |
| Sirolimus (80195) | $112.50 | $150 | 8.2× |
| Smear acid fast (87206) | $63.75 | $85 | 11.8× |
| Smear gram stain (87205) | $53.25 | $71 | 12.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $57 | $76 | 9.8× |
| Sodium Serum (84295) | $45 | $60 | 9.4× |
| Sodium Urine (84300) | $51 | $68 | 10.1× |
| Somatomedin (84305) | $93.75 | $125 | 4.4× |
| Stool cultr aerobic bact ea (87046) | $50.25 | $67 | 5.3× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$74.63–$76.50 | $99.50–$102 | varies |
| Sulfate urine (84392) | $27 | $36 | 4.9× |
| Surg path level iii (88304) | $188.25 | $251 | 3.7× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$239.25–$277.50 | $319–$370 | varies |
| Surgical pathology level vi (88309) | $678 | $904 | 0.9× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $39.75 | $53 | 5.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $160.50 | $214 | 3.4× |
| T cells total count (86359) | $126.75 | $169 | 3.4× |
| T3 Free (84481) | $113.25 | $151 | 6.7× |
| T3 reverse (84482) | $83.25 | $111 | 5.3× |
| T3 Total (84480) | $98.25 | $131 | 6.9× |
| T3 Uptake (84479) | $55.50 | $74 | 8.6× |
| T4 Free (84439) | $92.25 | $123 | 10.2× |
| T4 total (84436) | $66 | $88 | 9.6× |
| Tacrolimus (80197) | $138 | $184 | 10.1× |
| Test for acetone/ketones (82009) | $54 | $72 | 11.9× |
| Test for urine cystines (82615) | $23.25 | $31 | 2.4× |
| Testosterone total (84403) | $134.25 | $179 | 5.2× |
| Testosterone, Free (84402) | $114.75 | $153 | 4.5× |
| Thrombin Time (85670) | $53.25 | $71 | 9.2× |
| Thromboplastin Inhibition Tissue (85705) | $83.25 | $111 | 8.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $60 | $80 | 9.3× |
| Thyroglobulin (84432) | $87.75 | $117 | 5.5× |
| Thyroglobulin Antibody (86800) | $82.50 | $110 | 5.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $192 | $256 | 3.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $77.25 | $103 | 6.7× |
| Topiramate (80201) | $93.75 | $125 | 7.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $48 | $64 | 9.3× |
| Transferrin (84466) | $91.50 | $122 | 7.2× |
| Trichomonas Vaginalis Amplif (87661) | $113.25 | $151 | 3.2× |
| Triglycerides (84478) | $55.50 | $74 | 9.7× |
| Troponin Quant (84484) | $81.75 | $109 | 6.6× |
| Urea nitrogen urine (84540) | $46.50 | $62 | 8.4× |
| Uric acid other source (84560) | $37.50 | $50 | 7.4× |
| Urinalysis Microscopic Only (81015) | $16.50 | $22 | 5.4× |
| Urinalysis Volume Measure (81050) | $46.50 | $62 | 12.8× |
| Urine Pregnancy Test (81025) | $75.75 | $101 | 8.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $36.75 | $49 | 11.6× |
| Valproic acid (80164) | $115.50 | $154 | 8.5× |
| Vancomycin (80202) | $133.50 | $178 | 9.9× |
| Varicella-zoster antibody (86787) | $75 | $100 | 5.8× |
| Viral Culture (87252) | $150.75 | $201 | 5.8× |
| Vit D 1 25-Dihydroxy (82652) | $168 | $224 | 4.4× |
| Vitamin A (84590) | $72 | $96 | 6.2× |
| Vitamin b-12 (82607) | $103.50 | $138 | 6.9× |
| Vitamin D 25-Hydroxy (82306) | $150.75 | $201 | 5.1× |
| Vitamin E (84446) | $72 | $96 | 5.1× |
| Western Blot Test (84181) | $135 | $180 | 7.9× |
| Zinc (84630) | $62.25 | $83 | 5.5× |
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.