Lab & pathology prices at Shriners Children’s St. Louis

St. Louis, MO · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $164 $164 7.2×
Acth (82024) $303.50 $303.50 7.9×
Acute hepatitis panel (80074) $360 $360 7.6×
Albumin serum (82040) $32.30 $32.30 6.5×
Aldolase (82085) $76.30 $76.30 7.9×
Aldosterone urine (82088) $300.20 $300.20 7.4×
Alkaline phosphatase isoenzymes (84080) $113.40 $113.40 7.7×
Allergen specific ige (86003)
range across 2 matching MRF lines
$41–$82 $41–$82 varies
Alpha-1-antitrypsin total (82103) $103 $103 7.7×
Alpha-Fetoprotein Serum (82105) $131.80 $131.80 7.9×
Alt (sgpt) (84460) $41.50 $41.50 7.8×
Amikacin trough (80150) $118.50 $118.50 7.9×
Amino Acids 1 Quantitative Each Specimen (82131) $129.30 $129.30 5.6×
Amino Acids Quant 2-5 (82136) $159 $159 8.1×
Amino acids; single, qualitative, each specimen Facility (82127) $106.20 $106.20 7.5×
Ammonia (82140) $114.50 $114.50 7.9×
Amylase urine (82150) $50.90 $50.90 7.9×
Ana Titer (86039) $87.60 $87.60 7.8×
Androstenedione (82157) $205.20 $205.20 7.0×
Angiotensin converting enzyme csf (82164)
range across 2 matching MRF lines
$111.90–$114.70 $111.90–$114.70 varies
Antibody Cytomegalovirus Cmv Igm (86645) $132.30 $132.30 7.9×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $100.60 $100.60 7.7×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $120.20 $120.20 7.9×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $142.50 $142.50 7.9×
Antibody helicobacter pylori (86677) $111.30 $111.30 6.6×
Antibody HIV-1&HIV-2 single result (86703) $107.80 $107.80 7.9×
Antibody htlv/HIV antibody confirmatory test (86689) $148.30 $148.30 7.7×
Antibody neisseria meningitidis (86741) $219.50 $219.50 16.6×
Antibody Titer (86886) $40.60 $40.60 7.8×
Antigen typing (86905) $104.80 $104.80 27.4×
Antinuclear antibodies (86038) $95.10 $95.10 7.9×
Antistreptolysin O Screen (86063) $44.30 $44.30 7.7×
Antithrombin iii activity (85300) $45.70 $45.70 3.9×
Apolipoprotein a1 (82172) $108.70 $108.70 5.2×
Assay activated protein c (85307) $120.40 $120.40 7.9×
Assay Blood Carbon Dioxide (82374) $37.50 $37.50 7.7×
Assay of blood/uric acid (84550) $35.50 $35.50 7.9×
Assay of calcium in urine (82340) $87.90 $87.90 14.6×
Assay of cpk in blood (82552) $105.20 $105.20 7.9×
Assay of estrone (82679) $191.20 $191.20 7.7×
Assay of gammaglobulin igm (82784) $73.10 $73.10 7.9×
Assay of lactic acid (83605)
range across 2 matching MRF lines
$82–$84.10 $82–$84.10 varies
Assay of phosphatase acid total (84060) $56.50 $56.50 7.4×
Assay of pyruvate (84210) $83.20 $83.20 5.7×
Assay of serotonin (84260) $116.20 $116.20 3.8×
Assay of serum potassium (84132) $36.10 $36.10 7.6×
Assay of sweat sodium (84302) $38.10 $38.10 7.8×
Assay of urea nitrogen (84520) $31 $31 7.8×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$27.50–$28.20 $27.50–$28.20 varies
Bacterial antigens 87802 (87802) $91.90 $91.90 7.2×
Beta hydroxybutyrate (82010) $38.53 $38.53 4.7×
Beta Lactamase (87185) $36.70 $36.70 7.7×
Beta-2 Microglobulin (82232)
range across 2 matching MRF lines
$124–$127.10 $124–$127.10 varies
Bilirubin direct (82248) $86.80 $86.80 17.3×
Bilirubin total (82247) $86.80 $86.80 17.3×
Biotinidase (82261) $662.60 $662.60 39.3×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $196 $196 1.1×
Blood count reticulocyte automated (85045) $31.50 $31.50 7.9×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $83.20 $83.20 21.9×
Blood gas (82803)
range across 2 matching MRF lines
$151.90–$437.50 $151.90–$437.50 varies
Blood gases w/02 saturation (82805) $217.60 $217.60 2.8×
Blood Type Antigen Donor Reagent Serum Each (86902) $47.60 $47.60 7.5×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $104.80 $104.80 6.4×
Blood typing serologic abo (86900) $46.80 $46.80 15.7×
C diff amplified probe (87493) $197.20 $197.20 5.3×
C-Peptide (84681) $134.50 $134.50 6.5×
C-reactive protein (86140) $40.60 $40.60 7.8×
Calcitonin (82308) $205.40 $205.40 7.7×
Calcium ionized (82330) $107.40 $107.40 7.9×
Calcium total (82310) $40.50 $40.50 7.8×
Calculus assay quant (82360) $68.80 $68.80 5.3×
Calprotectin Fecal (83993) $92.58 $92.58 4.7×
Carbamazepine total (80156) $114.40 $114.40 7.9×
Carboxyhemoglobin (82375) $92.80 $92.80 7.5×
Cardiolipin ab iga (86147)
range across 2 matching MRF lines
$126.80–$380.50 $126.80–$380.50 varies
Carnitine Quantitative Each Specimen (82379) $132.50 $132.50 7.9×
Carotene (82380) $70.60 $70.60 7.7×
Catecholamines fractionated (82384) $189.90 $189.90 7.5×
Catecholamines total urine (82382) $131.80 $131.80 4.8×
Ccp antibody (86200) $101.80 $101.80 7.9×
Cell count csf (89051) $43.30 $43.30 7.7×
Ceruloplasmin (82390) $84.50 $84.50 7.9×
Chemiluminescent assay (82397) $99 $99 7.0×
Chloride Serum (82435) $36.10 $36.10 7.8×
Chloride urine (82436) $25.60 $25.60 4.5×
Cholesterol total (82465) $34.30 $34.30 7.9×
Chorionic gonadotropin test (84702) $118.20 $118.20 7.9×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $165.48 $165.48 4.7×
Clostridium Difficile (87324) $94.20 $94.20 7.9×
Clot Factor VIII Multimetric (85247) $180.40 $180.40 7.9×
Collagen crosslinks (82523) $143.30 $143.30 7.7×
Compatibility Each Unit Incubation (86921) $81.20 $81.20 0.5×
Compatibility test antiglob (86922) $138.10 $138.10 0.8×
Complement Antigen Each Component (86160) $94.30 $94.30 7.9×
Complement Total (Ch50) (86162) $155.70 $155.70 7.7×
Consltj&Reprt Slides Prepared Elsewhere (88321) $92.80 $92.80 2.5×
Coombs direct (86880) $42.20 $42.20 7.8×
Copper urine (82525) $66.10 $66.10 5.3×
Cortisol saliva (82533) $128.10 $128.10 7.9×
Creatine (82540) $35.50 $35.50 7.7×
Creatine kinase total (82550) $51.20 $51.20 7.9×
Creatinine blood (82565) $40.30 $40.30 7.9×
Creatinine clearance (82575) $74.20 $74.20 7.8×
Creatinine Urine (82570) $40.60 $40.60 7.8×
Crossmatch electronic (86923) $81.20 $81.20 0.5×
Crossmatch immediate spin (86920) $81.20 $81.20 0.5×
Crp High Sensitivity (86141) $99.30 $99.30 7.7×
Cryptosporidium (87272) $56.50 $56.50 4.7×
Cryptosporidium ag eia (87328) $65.18 $65.18 4.7×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $63.30 $63.30 7.8×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $63.30 $63.30 7.8×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $60.60 $60.60 7.9×
Culture afb (87116) $85 $85 7.9×
Culture Anaerobic (87075) $74.30 $74.30 7.8×
Culture bacteria anaerobic (87073) $74 $74 7.7×
Culture blood (87040) $81.10 $81.10 7.9×
Culture csf (87070) $67.70 $67.70 7.9×
Culture fungus (87102) $64.80 $64.80 7.7×
Culture fungus blood (87103) $69.60 $69.60 3.4×
Culture screen only (87081)
range across 2 matching MRF lines
$51.20–$52.20 $51.20–$52.20 varies
Culture stool (87045) $74.10 $74.10 7.8×
Culture urine (87086) $62.20 $62.20 7.7×
Cyanide (82600) $149.70 $149.70 7.7×
Cyclosporine (80158) $133.40 $133.40 7.4×
Cystatin C (82610) $106.70 $106.70 5.8×
Cytomegalovirus igg (86644) $113.20 $113.20 7.9×
Cytopath Cell Enhance Tech (88112) $197.90 $197.90 3.8×
Cytp Concentration Smears & Interpretation (88108) $92.80 $92.80 2.5×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $202.20 $202.20 3.9×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $188.50 $188.50 1.1×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $95.60 $95.60 2.6×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $116.80 $116.80 4.0×
Deoxycortisol (82634) $210.30 $210.30 7.2×
Deoxyribonuclease antibody (86215) $104.10 $104.10 7.9×
Desoxycorticosterone (82633) $222.50 $222.50 7.2×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines
$219.50–$234 $219.50–$234 varies
Dgp Antibody Each Ig Class (86258) $55.70 $55.70 4.6×
Dhea (82626) $194.80 $194.80 7.7×
Dhea-S (82627) $170.60 $170.60 7.7×
Digoxin (80162) $101.80 $101.80 7.7×
Dna Antibody Native/Double Stranded (86225) $107.90 $107.90 7.9×
Drug assay acetaminophen (80143) $155.10 $155.10 8.3×
Drug Assay Lacosamide (80235) $127.85 $127.85 4.7×
Drug assay voriconazole (80285) $127.85 $127.85 4.7×
Drug Test Prsmv Chem Anlyzr (80307) $108.20 $108.20 1.7×
Drug Test Prsmv Instrmnt (80306) $112.10 $112.10 6.5×
El-1 Fecal Quantitative (82653) $108.33 $108.33 4.7×
Electrolyte panel (80051) $55.10 $55.10 7.9×
Endomysial Antibody Each Immunoglobulin Class (86231) $58.50 $58.50 4.8×
Enterovirus PCR (87498) $228.30 $228.30 6.5×
Enzyme histochemistry (88319) $299.60 $299.60 0.4×
Estradiol serum (82670) $210.80 $210.80 7.5×
Estrogen total (82672) $102.34 $102.34 4.7×
Exam Synovial Fluid Crystals (89060) $56.10 $56.10 7.7×
Factor ix activity (85250) $89.79 $89.79 4.7×
Factor viii assay (85240) $140.70 $140.70 7.9×
Fat/Lipids Feces Quantitative (82710) $79.23 $79.23 4.7×
Fatty acids free (82725) $98.10 $98.10 5.2×
Fecal Fat Qualitative (82705) $24.05 $24.05 4.7×
Ferritin (82728) $107.10 $107.10 7.9×
Fibrin degradation products (85362) $52.80 $52.80 7.7×
Fibrin Degradation Quant (85379) $80 $80 7.9×
Fibrinogen activity (85384) $66.80 $66.80 6.9×
Flow cytometry first marker (88184) $1,439.10 $1,439.10 4.0×
Fluorescent antibody screen (86255) $94.70 $94.70 7.9×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $104.20 $104.20 8.6×
Folic acid rbc (82747) $23.60 $23.60 1.3×
Folic Acid Serum (82746) $115.60 $115.60 7.9×
Follicle Stimulating Hormone (83001) $146.10 $146.10 7.9×
Fresh Frozen Plasma Thawing Each Unit (86927) $81.20 $81.20 0.5×
Frozen Section (88331) $197.90 $197.90 1.2×
Fungi Identification Mold (87107) $81 $81 7.8×
Fungi Identification Yeast (87106) $81 $81 7.8×
Gammaglobulin ige (82785) $129.50 $129.50 7.9×
Gases Blood O2 Saturation Only Direct Meas (82810) $529.50 $529.50 54.2×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,965.53 $1,965.53 4.7×
Gentamicin (80170) $128.70 $128.70 7.9×
Ggt (82977) $56.70 $56.70 7.9×
Glucagon (82943) $109.50 $109.50 7.7×
Glucose Blood Test (82962) $16.80 $16.80 5.1×
Glucose body fluid (82945) $30.90 $30.90 7.9×
Glucose Serum (82947) $30.90 $30.90 7.9×
Glucose tolerance test (gtt) (82951) $98.70 $98.70 7.7×
Gonadotropin Chorionic Qualitative (84703) $59 $59 7.8×
Growth hormone (83003) $131 $131 7.9×
Haptoglobin (83010) $98.90 $98.90 7.9×
Hdl Cholesterol (83718)
range across 2 matching MRF lines
$62.80–$64.40 $62.80–$64.40 varies
Hematocrit (85014) $18.50 $18.50 7.8×
Hemoglobin (85018) $18.50 $18.50 7.8×
Hemoglobin a1c (83036) $76.30 $76.30 7.9×
Hemoglobin electrophoresis (83020) $98.70 $98.70 7.7×
Hemoglobin Methemoglobin Quantitative (83050) $32.10 $32.10 3.9×
Hep a ab igm (86709) $88.60 $88.60 7.9×
Heparin assay (85520) $74.60 $74.60 5.7×
Hepatitis a antibody total (86708) $97.50 $97.50 7.9×
Hepatitis b core ab igm (86705) $92.40 $92.40 7.9×
Hepatitis b core ab total (86704) $94.70 $94.70 7.9×
Hepatitis B Surface Antibody (86706) $84.50 $84.50 7.9×
Hepatitis B Surface Antigen (87340) $81.10 $81.10 7.9×
Hepatitis Be Antibody (86707) $88.70 $88.70 7.7×
Hepatitis C Antibody (86803) $112.10 $112.10 7.9×
Hepatitis C Probe&Rvrs Trnsc (87521) $234 $234 6.7×
Heterophile Antibody Screen (86308) $40.60 $40.60 7.8×
Histoplasma antibody (86698) $95.80 $95.80 6.9×
Histoplasma antigen urine (87385) $91.90 $91.90 6.9×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $181.90 $181.90 7.6×
Hla-b27 (86812) $202.70 $202.70 7.9×
Homocysteine (83090) $132.40 $132.40 7.4×
Homogenization Tissue (87176) $46.10 $46.10 7.8×
Hydroxyprogesterone 17-d (83498) $213.40 $213.40 7.9×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $67.20 $67.20 1.9×
Iaad ia shiga-like toxin (87427) $90.60 $90.60 7.6×
Iadna Candida Species Amplified Probe Tq (87481) $59.50 $59.50 1.7×
Iadna Cytomegalovirus Quantification (87497) $315.40 $315.40 7.4×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $165.48 $165.48 4.7×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $689.50 $689.50 4.8×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $1,240.26 $1,240.26 4.7×
Igg subclasses (82787)
range across 2 matching MRF lines
$24–$24.60 $24–$24.60 varies
Immunoassay infectious agent (86318) $90.70 $90.70 5.0×
Immunoassay nonantibody (83516) $90.60 $90.60 7.9×
Immunofluorescence per spec 1st singl antb stain (88346) $197.90 $197.90 1.2×
Immunohistochemistry (88342) $197.90 $197.90 1.2×
Influenza assay w/optic (87804)
range across 2 matching MRF lines
$88.10–$92.60 $88.10–$92.60 varies
Influenza DNA amp probe (87502) $451.79 $451.79 4.7×
Inhibin b (83520) $91.70 $91.70 5.3×
Insulin total (83525) $87.60 $87.60 7.7×
Iron (83540) $50.90 $50.90 7.9×
Iron Binding Capacity (83550) $68.70 $68.70 7.9×
Ketosteroids 17 total (83586) $98.10 $98.10 7.7×
Koh Prep (87220) $32.70 $32.70 7.7×
Lactate (ld) (ldh) enzyme (83615) $47.50 $47.50 7.9×
Ldh Isoenzymes (83625) $98.10 $98.10 7.7×
LDL direct (83721) $49.52 $49.52 4.7×
Lead (83655) $95.20 $95.20 7.9×
Legionella antigen urine (87449) $94.10 $94.10 7.9×
Level I Surg Pathology Gross Examination Only (88300) $92.80 $92.80 3.2×
Level ii surg pathology gross&microscopic exam (88302) $92.80 $92.80 2.5×
Level V Surg Pathology Gross&Microscopic Exam (88307) $299.60 $299.60 0.8×
Lipase (83690) $54.10 $54.10 7.9×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $86.40 $86.40 7.7×
Lithium (80178) $50.70 $50.70 7.7×
Luteinizing Hormone (Lh) (83002) $145.60 $145.60 7.9×
Lyme disease antibody (86618) $118.40 $118.40 7.0×
Lysozyme serum (85549) $147.40 $147.40 7.9×
Macroscopic Exam Parasite (87169) $32.70 $32.70 7.6×
Magnesium Urine (83735) $52.70 $52.70 7.9×
Mass Spectrometry Quant (83789) $113.70 $113.70 4.7×
Metabolic panel ionized ca (80047) $66.40 $66.40 4.8×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$13.40–$13.70 $13.40–$13.70 varies
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$111.50–$114.30 $111.50–$114.30 varies
Mrsa Pcr (87641) $234 $234 6.7×
Mumps antibody (86735) $61.54 $61.54 4.7×
Myoglobin urine (83874) $101.50 $101.50 7.9×
Natriuretic peptide (83880) $266.70 $266.70 6.8×
Nitroblue Tetrazolium Dye (86384) $65.80 $65.80 4.8×
Nuclear antigen antibody (86235) $140.90 $140.90 7.9×
Occult blood feces (82272) $25.60 $25.60 6.1×
Occult Blood Other Sources (82271) $25 $25 4.7×
Organic acids urine (83918) $119.10 $119.10 5.0×
Osmolality serum (83930) $52 $52 7.9×
Osmolality Urine (83935) $53.50 $53.50 7.8×
Osteocalcin (83937) $157.80 $157.80 5.3×
Ova and parasites smears (87177) $64.70 $64.70 7.3×
Parvovirus antibody (86747) $115.20 $115.20 7.7×
Pathology Consultation During Surgery (88329) $165.90 $165.90 2.8×
Ph urine (81003) $17.60 $17.60 7.8×
Phenobarbital Level (80184) $90 $90 5.9×
Phenytoin (Dilantin) (80185) $212.30 $212.30 16.0×
Phenytoin free (80186) $105.60 $105.60 7.7×
Phosphatase alkaline (84075) $40.60 $40.60 7.8×
Phosphorus Serum (84100) $37.20 $37.20 7.8×
Phosphorus urine (84105) $77.20 $77.20 13.4×
Platelet Aggregation (85576) $168.70 $168.70 6.8×
Platelet count automated (85049) $35.10 $35.10 7.8×
Potassium Urine (84133) $33.90 $33.90 7.2×
Prealbumin (84134) $114.60 $114.60 7.9×
Primidone (80188) $127.20 $127.20 7.7×
Procalcitonin (Pct) (84145) $139.20 $139.20 5.1×
Progesterone (84144) $149.90 $149.90 7.2×
Prolactin (84146) $146.30 $146.30 7.5×
Protein body fluid (84157) $28.90 $28.90 7.2×
Protein C Activity (85303) $106 $106 7.7×
Protein S Free (85306) $117.50 $117.50 7.7×
Protein total serum (84155) $28.90 $28.90 7.9×
Protein Total Urine (84156) $28.90 $28.90 7.9×
Prothrombin Time Substitution Plasma Frctj Each (85611) $18.58 $18.58 4.7×
Pth Intact (83970) $324.30 $324.30 7.9×
Quantiferon tb gold plus (86480) $467.70 $467.70 7.5×
Quantitative assay drug (80299) $107.50 $107.50 5.8×
Quantitative Screen Metals (83018) $103.56 $103.56 4.7×
Rbc antibody elution (86860) $138.10 $138.10 0.8×
Rbc antibody identification (86870) $1,019.40 $1,019.40 2.8×
Rbc antibody screen (86850) $81.20 $81.20 8.3×
Renin activity plasma (84244) $168.60 $168.60 7.7×
Resp virus 12-25 targets (87633) $1,965.53 $1,965.53 4.7×
Rh (86901) $46.80 $46.80 15.7×
Rheumatoid Factor Qualitative (86430) $44.60 $44.60 7.3×
Rheumatoid factor quant (86431) $49 $49 8.6×
Rotavirus ag eia (87425) $91.90 $91.90 7.7×
Rpr qualitative (86592)
range across 2 matching MRF lines
$32.70–$33.50 $32.70–$33.50 varies
Rsv Assay W/Optic (87807) $88.40 $88.40 6.7×
Rubella Antibody (86762) $67.86 $67.86 4.7×
Rubeola antibody (86765) $60.74 $60.74 4.7×
Sars-Cov-2 Covid-19 Amp Prb (87635) $58.50 $58.50 1.1×
Sarscov2 & inf a&b amp prb (87636) $672.64 $672.64 4.7×
Sarscov2&inf a&b&rsv amp prb (87637) $672.64 $672.64 4.7×
Sedimentation rate (85651) $27.80 $27.80 6.5×
Selenium (84255) $181 $181 7.1×
Sensitivity mic (87186) $67.90 $67.90 7.8×
Serpina 1 gene (81332) $205.85 $205.85 4.7×
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines
$58.90–$60.40 $58.90–$60.40 varies
Sickling of rbc reduction (85660) $42.30 $42.30 7.7×
Skin test tuberculosis intradermal (86580) $133.79 $133.79 4.6×
Smear acid fast (87206) $39.60 $39.60 7.3×
Smear complex stain (87209) $158.10 $158.10 8.8×
Smear gram stain (87205) $33.50 $33.50 7.8×
Smear Special Stain (87207) $45.90 $45.90 7.7×
Smr Prim Src Wet Mount Nfct Agt (87210) $33.50 $33.50 5.8×
Sodium Serum (84295) $37.80 $37.80 7.9×
Sodium Urine (84300) $38.10 $38.10 7.5×
Somatomedin (84305) $154.90 $154.90 7.3×
Special Stains Group 1 (88312) $92.80 $92.80 1.8×
Special Stains Group 2 (88313) $92.80 $92.80 0.7×
Specimen infect agnt concntj (87015) $52.60 $52.60 7.9×
Stone Analysis (82355) $91 $91 7.9×
Stool cultr aerobic bact ea (87046) $74 $74 7.8×
Strep a assay w/optic (87880) $94.20 $94.20 5.7×
Strep a DNA amp probe (87651) $192.35 $192.35 5.5×
Surg path level iii (88304) $197.90 $197.90 3.8×
Surgical pathology level IV (88305) $197.90 $197.90 3.8×
Surgical pathology level vi (88309) $299.60 $299.60 0.4×
Susceptibility Study Antimicrobial Disk Method (87184) $54.20 $54.20 7.2×
Syphilis Test Non-Trep Quant (86593) $34.50 $34.50 7.8×
T3 Free (84481) $123.50 $123.50 7.3×
T3 reverse (84482) $123.50 $123.50 7.8×
T3 Total (84480) $111.50 $111.50 7.9×
T3 Uptake (84479) $50.80 $50.80 7.9×
T4 Free (84439) $70.80 $70.80 7.8×
T4 total (84436) $54 $54 7.9×
Testosterone total (84403) $197.90 $197.90 7.7×
Testosterone, Free (84402) $192.70 $192.70 7.6×
Tetanus antibody (86774) $69.80 $69.80 4.7×
Theophylline (80198) $108.40 $108.40 7.7×
Thrombin Time (85670)
range across 2 matching MRF lines
$44.30–$45.40 $44.30–$45.40 varies
Thyroglobulin Antibody (86800) $125 $125 7.9×
Thyroid Stimulating Immunoglobulin (84445) $136.60 $136.60 2.7×
Thyroxine binding globulin (84442) $113.40 $113.40 7.7×
Tiss Trnsgltmnase Ea Ig Clas (86364) $54.38 $54.38 4.7×
Tobramycin peak (80200) $126.60 $126.60 7.8×
Transferase Aspartate Amino Ast Sgot (84450) $40.60 $40.60 7.8×
Transferrin (84466) $100.40 $100.40 7.9×
Triglycerides (84478) $45.30 $45.30 7.9×
Troponin Quant (84484) $77.40 $77.40 6.2×
Tumor Immunohistochem/Manual (88360) $197.90 $197.90 1.2×
Urea Nitrogen Clearance (84545) $50.70 $50.70 7.0×
Urea nitrogen urine (84540) $37.30 $37.30 6.7×
Uric acid other source (84560)
range across 2 matching MRF lines
$36.40–$37.30 $36.40–$37.30 varies
Urine Bacteria Culture (87088) $62.50 $62.50 7.7×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$48.50–$49.70 $48.50–$49.70 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $25 $25 7.9×
Valproic acid (80164) $106.50 $106.50 7.9×
Vancomycin (80202) $106.50 $106.50 7.9×
Varicella-zoster antibody (86787) $202.50 $202.50 15.7×
Vasopressin (84588) $260.20 $260.20 7.7×
Viral Culture (87252) $204.80 $204.80 7.9×
Vit D 1 25-Dihydroxy (82652) $302.50 $302.50 7.9×
Vitamin A (84590) $91.10 $91.10 7.8×
Vitamin b-12 (82607) $118.50 $118.50 7.9×
Vitamin B6 (84207) $137 $137 4.9×
Vitamin c (82180) $93.63 $93.63 9.5×
Vitamin D 25-Hydroxy (82306) $232.60 $232.60 7.9×
Vitamin E (84446) $111.50 $111.50 7.9×
Von willebrand factor ag (85246) $180.40 $180.40 7.9×
Wbc Alkaline Phosphatase Count (85540) $63.50 $63.50 7.4×
Zinc (84630) $89.50 $89.50 7.9×

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.