Lab & pathology prices at Shriners Hospital For Children - Portland

Portland, OR · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $190.10 $190.10 8.3×
Acth (82024) $351.80 $351.80 9.1×
Acute hepatitis panel (80074) $419.20 $419.20 8.8×
Albumin serum (82040) $37.30 $37.30 7.5×
Aldolase (82085) $88.50 $88.50 9.1×
Aldosterone urine (82088) $349.70 $349.70 8.6×
Alkaline phosphatase isoenzymes (84080) $131.50 $131.50 8.9×
Allergen specific ige (86003) $47.60 $47.60 9.1×
Alpha-1-antitrypsin total (82103) $119.30 $119.30 8.9×
Alpha-Fetoprotein Serum (82105) $152.80 $152.80 9.1×
Alt (sgpt) (84460) $48.30 $48.30 9.1×
Amikacin trough (80150) $137.30 $137.30 9.1×
Amino Acids 1 Quantitative Each Specimen (82131) $149.90 $149.90 6.5×
Amino Acids Quant 2-5 (82136) $184.40 $184.40 9.4×
Amino acids; single, qualitative, each specimen Facility (82127) $123.10 $123.10 8.7×
Ammonia (82140) $132.70 $132.70 9.1×
Amylase urine (82150) $59 $59 9.1×
Ana Titer (86039) $101.60 $101.60 9.1×
Androstenedione (82157) $238 $238 8.1×
Angiotensin converting enzyme csf (82164)
range across 2 matching MRF lines
$129.70–$132.90 $129.70–$132.90 varies
Antibody Cytomegalovirus Cmv Igm (86645) $153.40 $153.40 9.1×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $116.50 $116.50 8.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $139.30 $139.30 9.1×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $165.10 $165.10 9.1×
Antibody helicobacter pylori (86677) $128.90 $128.90 7.6×
Antibody HIV-1&HIV-2 single result (86703) $125 $125 9.1×
Antibody htlv/HIV antibody confirmatory test (86689) $171.90 $171.90 8.9×
Antibody neisseria meningitidis (86741) $254.60 $254.60 19.3×
Antibody Titer (86886) $47.10 $47.10 9.1×
Antigen typing (86905) $121.50 $121.50 31.7×
Antinuclear antibodies (86038) $110.10 $110.10 9.1×
Antistreptolysin O Screen (86063) $52.70 $52.70 9.1×
Antithrombin iii activity (85300) $53 $53 4.5×
Apolipoprotein a1 (82172) $126 $126 6.0×
Assay activated protein c (85307) $139.50 $139.50 9.1×
Assay Blood Carbon Dioxide (82374) $43.40 $43.40 8.9×
Assay of blood/uric acid (84550) $41.20 $41.20 9.1×
Assay of calcium in urine (82340) $102.10 $102.10 16.9×
Assay of cpk in blood (82552) $122 $122 9.1×
Assay of estrone (82679) $221.70 $221.70 8.9×
Assay of gammaglobulin igm (82784) $84.70 $84.70 9.1×
Assay of lactic acid (83605)
range across 2 matching MRF lines
$95–$97.40 $95–$97.40 varies
Assay of phosphatase acid total (84060) $65.60 $65.60 8.6×
Assay of pyruvate (84210) $96.50 $96.50 6.7×
Assay of serotonin (84260) $134.70 $134.70 4.3×
Assay of serum potassium (84132) $41.90 $41.90 8.8×
Assay of sweat sodium (84302) $44.30 $44.30 9.1×
Assay of urea nitrogen (84520) $35.90 $35.90 9.1×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$31.80–$32.60 $31.80–$32.60 varies
Bacterial antigens 87802 (87802) $106.50 $106.50 8.4×
Beta hydroxybutyrate (82010) $44.89 $44.89 5.5×
Beta Lactamase (87185) $42.40 $42.40 8.9×
Beta-2 Microglobulin (82232)
range across 2 matching MRF lines
$143.70–$147.30 $143.70–$147.30 varies
Bilirubin direct (82248) $100.60 $100.60 20.0×
Bilirubin total (82247) $100.60 $100.60 20.0×
Biotinidase (82261) $767.90 $767.90 45.5×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $227 $227 1.2×
Blood count reticulocyte automated (85045) $36.60 $36.60 9.2×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $96.50 $96.50 25.4×
Blood gas (82803)
range across 2 matching MRF lines
$176.20–$507.60 $176.20–$507.60 varies
Blood gases w/02 saturation (82805) $252.20 $252.20 3.2×
Blood Type Antigen Donor Reagent Serum Each (86902) $55.10 $55.10 8.7×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $121.50 $121.50 7.4×
Blood typing serologic abo (86900) $54.30 $54.30 18.2×
C diff amplified probe (87493) $229.70 $229.70 6.2×
C-Peptide (84681) $156 $156 7.5×
C-reactive protein (86140) $47.10 $47.10 9.1×
Calcitonin (82308) $237.90 $237.90 8.9×
Calcium ionized (82330) $124.50 $124.50 9.1×
Calcium total (82310) $46.90 $46.90 9.1×
Calculus assay quant (82360) $79.70 $79.70 6.2×
Calprotectin Fecal (83993) $107.86 $107.86 5.5×
Carbamazepine total (80156) $132.50 $132.50 9.1×
Carboxyhemoglobin (82375) $107.60 $107.60 8.7×
Cardiolipin ab iga (86147)
range across 2 matching MRF lines
$147–$441.10 $147–$441.10 varies
Carnitine Quantitative Each Specimen (82379) $153.70 $153.70 9.1×
Carotene (82380) $82 $82 8.9×
Catecholamines fractionated (82384) $220 $220 8.7×
Catecholamines total urine (82382) $152.80 $152.80 5.6×
Ccp antibody (86200) $117.90 $117.90 9.1×
Cell count csf (89051) $50.10 $50.10 8.9×
Ceruloplasmin (82390) $97.80 $97.80 9.1×
Chemiluminescent assay (82397) $114.90 $114.90 8.1×
Chloride Serum (82435) $41.90 $41.90 9.1×
Chloride urine (82436) $29.70 $29.70 5.2×
Cholesterol total (82465) $39.70 $39.70 9.1×
Chorionic gonadotropin test (84702) $137 $137 9.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $192.80 $192.80 5.5×
Clostridium Difficile (87324) $109.20 $109.20 9.1×
Clot Factor VIII Multimetric (85247) $209 $209 9.1×
Collagen crosslinks (82523) $166.20 $166.20 8.9×
Compatibility Each Unit Incubation (86921) $94.10 $94.10 0.5×
Compatibility test antiglob (86922) $159.90 $159.90 0.8×
Complement Antigen Each Component (86160) $109.30 $109.30 9.1×
Complement Total (Ch50) (86162) $180.50 $180.50 8.9×
Consltj&Reprt Slides Prepared Elsewhere (88321) $107.40 $107.40 2.6×
Coombs direct (86880) $49 $49 9.1×
Copper urine (82525) $76.10 $76.10 6.1×
Cortisol saliva (82533) $148.50 $148.50 9.1×
Creatine (82540) $41.20 $41.20 8.9×
Creatine kinase total (82550) $59.20 $59.20 9.1×
Creatinine blood (82565) $46.60 $46.60 9.1×
Creatinine clearance (82575) $86.10 $86.10 9.1×
Creatinine Urine (82570)
range across 2 matching MRF lines
$47.10–$217.20 $47.10–$217.20 varies
Crossmatch electronic (86923) $94.10 $94.10 0.5×
Crossmatch immediate spin (86920) $94.10 $94.10 0.5×
Crp High Sensitivity (86141) $115 $115 8.9×
Cryptosporidium (87272) $65.82 $65.82 5.5×
Cryptosporidium ag eia (87328) $75.93 $75.93 5.5×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $73.60 $73.60 9.1×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $73.60 $73.60 9.1×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $70.30 $70.30 9.1×
Culture afb (87116) $98.40 $98.40 9.1×
Culture Anaerobic (87075) $86.20 $86.20 9.1×
Culture bacteria anaerobic (87073) $85.80 $85.80 8.9×
Culture blood (87040) $94 $94 9.1×
Culture csf (87070) $78.40 $78.40 9.1×
Culture fungus (87102) $75.30 $75.30 9.0×
Culture fungus blood (87103) $80.70 $80.70 3.9×
Culture screen only (87081)
range across 2 matching MRF lines
$56.40–$59.20 $56.40–$59.20 varies
Culture stool (87045) $85.80 $85.80 9.1×
Culture urine (87086) $72.10 $72.10 8.9×
Cyanide (82600) $173.40 $173.40 8.9×
Cyclosporine (80158) $154.60 $154.60 8.6×
Cystatin C (82610) $123.70 $123.70 6.7×
Cytomegalovirus igg (86644) $131.10 $131.10 9.1×
Cytopath Cell Enhance Tech (88112) $229.40 $229.40 4.0×
Cytp Concentration Smears & Interpretation (88108) $107.40 $107.40 2.6×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $234.30 $234.30 4.0×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $218.30 $218.30 1.2×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $107.40 $107.40 2.6×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $135.90 $135.90 4.2×
Deoxycortisol (82634) $244 $244 8.3×
Deoxyribonuclease antibody (86215) $120.60 $120.60 9.1×
Desoxycorticosterone (82633) $258.10 $258.10 8.3×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines
$254.60–$271.40 $254.60–$271.40 varies
Dgp Antibody Each Ig Class (86258) $37.30 $37.30 3.1×
Dhea (82626) $225.60 $225.60 8.9×
Dhea-S (82627) $197.50 $197.50 8.9×
Digoxin (80162) $118 $118 8.9×
Dna Antibody Native/Double Stranded (86225) $125.20 $125.20 9.1×
Drug Assay Lacosamide (80235) $148.96 $148.96 5.5×
Drug assay voriconazole (80285) $148.96 $148.96 5.5×
Drug Test Prsmv Chem Anlyzr (80307) $125.40 $125.40 2.0×
Drug Test Prsmv Instrmnt (80306) $130.20 $130.20 7.6×
El-1 Fecal Quantitative (82653) $126.21 $126.21 5.5×
Electrolyte panel (80051) $64 $64 9.1×
Endomysial Antibody Each Immunoglobulin Class (86231) $68.10 $68.10 5.6×
Enterovirus PCR (87498) $264.80 $264.80 7.5×
Enzyme histochemistry (88319) $347.40 $347.40 0.4×
Estradiol serum (82670) $244.60 $244.60 8.8×
Estrogen total (82672) $119.23 $119.23 5.5×
Exam Synovial Fluid Crystals (89060) $65.10 $65.10 8.9×
Factor ix activity (85250) $104.62 $104.62 5.5×
Factor viii assay (85240) $163.10 $163.10 9.1×
Fat/Lipids Feces Quantitative (82710) $92.31 $92.31 5.5×
Fatty acids free (82725) $114.30 $114.30 6.1×
Fecal Fat Qualitative (82705) $28.02 $28.02 5.5×
Ferritin (82728) $124 $124 9.1×
Fibrin degradation products (85362) $61.20 $61.20 8.9×
Fibrin Degradation Quant (85379) $92.80 $92.80 9.1×
Fibrinogen activity (85384) $77.40 $77.40 8.0×
Flow cytometry first marker (88184) $1,676.70 $1,676.70 4.2×
Fluorescent antibody screen (86255) $109.80 $109.80 9.1×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 2 matching MRF lines
$109.80–$120.70 $109.80–$120.70 varies
Folic acid rbc (82747) $27.30 $27.30 1.5×
Folic Acid Serum (82746) $133.90 $133.90 9.1×
Follicle Stimulating Hormone (83001) $169.10 $169.10 9.1×
Fresh Frozen Plasma Thawing Each Unit (86927) $94.10 $94.10 0.5×
Frozen Section (88331) $229.40 $229.40 1.2×
Fungi Identification Mold (87107) $94 $94 9.1×
Fungi Identification Yeast (87106) $94 $94 9.1×
Gammaglobulin ige (82785) $150 $150 9.1×
Gases Blood O2 Saturation Only Direct Meas (82810) $565 $565 57.8×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $2,290 $2,290 5.5×
Gentamicin (80170) $149.30 $149.30 9.1×
Ggt (82977) $65.60 $65.60 9.1×
Glucagon (82943) $126.80 $126.80 8.9×
Glucose Blood Test (82962)
range across 2 matching MRF lines
$19.60–$98 $19.60–$98 varies
Glucose body fluid (82945) $35.80 $35.80 9.1×
Glucose Serum (82947) $35.80 $35.80 9.1×
Glucose tolerance test (gtt) (82951) $114.40 $114.40 8.9×
Gonadotropin Chorionic Qualitative (84703) $68.50 $68.50 9.1×
Growth hormone (83003) $151.80 $151.80 9.1×
Haptoglobin (83010) $114.50 $114.50 9.1×
Hdl Cholesterol (83718)
range across 2 matching MRF lines
$72.80–$74.60 $72.80–$74.60 varies
Hematocrit (85014)
range across 2 matching MRF lines
$21–$21.50 $21–$21.50 varies
Hemoglobin (85018) $21.50 $21.50 9.1×
Hemoglobin a1c (83036) $88.50 $88.50 9.1×
Hemoglobin electrophoresis (83020) $114.40 $114.40 8.9×
Hemoglobin Methemoglobin Quantitative (83050) $37.20 $37.20 4.5×
Hep a ab igm (86709) $102.50 $102.50 9.1×
Heparin assay (85520) $86.50 $86.50 6.6×
Hepatitis a antibody total (86708) $112.90 $112.90 9.1×
Hepatitis b core ab igm (86705) $107.20 $107.20 9.1×
Hepatitis b core ab total (86704) $109.80 $109.80 9.1×
Hepatitis B Surface Antibody (86706) $97.80 $97.80 9.1×
Hepatitis B Surface Antigen (87340) $94 $94 9.1×
Hepatitis Be Antibody (86707) $102.70 $102.70 8.9×
Hepatitis C Antibody (86803) $129.90 $129.90 9.1×
Hepatitis C Probe&Rvrs Trnsc (87521) $271.40 $271.40 7.7×
Heterophile Antibody Screen (86308) $47.10 $47.10 9.1×
Histoplasma antibody (86698) $111 $111 8.0×
Histoplasma antigen urine (87385) $106.50 $106.50 8.0×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $212 $212 8.8×
Hla-b27 (86812) $235 $235 9.1×
Homocysteine (83090) $153.70 $153.70 8.6×
Homogenization Tissue (87176) $53.60 $53.60 9.1×
Hydroxyprogesterone 17-d (83498) $247.30 $247.30 9.1×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $78.30 $78.30 2.2×
Iaad ia shiga-like toxin (87427) $105 $105 8.8×
Iadna Candida Species Amplified Probe Tq (87481) $69.40 $69.40 2.0×
Iadna Cytomegalovirus Quantification (87497) $365.80 $365.80 8.5×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $192.80 $192.80 5.5×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $803.30 $803.30 5.6×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $1,445 $1,445 5.5×
Igg subclasses (82787)
range across 2 matching MRF lines
$27.70–$28.40 $27.70–$28.40 varies
Immunoassay infectious agent (86318) $105.30 $105.30 5.8×
Immunoassay nonantibody (83516) $104.80 $104.80 9.1×
Immunofluorescence per spec 1st singl antb stain (88346) $229.40 $229.40 1.2×
Immunohistochemistry (88342) $229.40 $229.40 1.2×
Influenza assay w/optic (87804)
range across 2 matching MRF lines
$102–$107.20 $102–$107.20 varies
Influenza DNA amp probe (87502) $526.37 $526.37 5.5×
Inhibin b (83520) $106.90 $106.90 6.2×
Insulin total (83525) $101.60 $101.60 8.9×
Iron (83540) $58.90 $58.90 9.1×
Iron Binding Capacity (83550) $79.60 $79.60 9.1×
Ketosteroids 17 total (83586) $113.70 $113.70 8.9×
Koh Prep (87220) $37.90 $37.90 8.9×
Lactate (ld) (ldh) enzyme (83615) $54.80 $54.80 9.1×
Ldh Isoenzymes (83625) $113.70 $113.70 8.9×
LDL direct (83721) $57.69 $57.69 5.5×
Lead (83655) $110.20 $110.20 9.1×
Legionella antigen urine (87449) $109.20 $109.20 9.1×
Level I Surg Pathology Gross Examination Only (88300) $107.40 $107.40 3.3×
Level ii surg pathology gross&microscopic exam (88302) $107.40 $107.40 2.6×
Level V Surg Pathology Gross&Microscopic Exam (88307) $347.40 $347.40 0.9×
Lipase (83690) $62.70 $62.70 9.1×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $100 $100 8.9×
Lithium (80178) $58.60 $58.60 8.9×
Luteinizing Hormone (Lh) (83002) $168.60 $168.60 9.1×
Lyme disease antibody (86618) $137.20 $137.20 8.1×
Lysozyme serum (85549) $171 $171 9.1×
Macroscopic Exam Parasite (87169) $37.90 $37.90 8.8×
Magnesium Urine (83735) $61.10 $61.10 9.1×
Mass Spectrometry Quant (83789) $132.47 $132.47 5.5×
Metabolic panel ionized ca (80047) $77 $77 5.6×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$15.80–$16.20 $15.80–$16.20 varies
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$129.30–$132.50 $129.30–$132.50 varies
Mrsa Pcr (87641) $271.40 $271.40 7.7×
Mumps antibody (86735) $71.70 $71.70 5.5×
Myoglobin urine (83874) $117.60 $117.60 9.1×
Natriuretic peptide (83880) $309.10 $309.10 7.9×
Nitroblue Tetrazolium Dye (86384) $76.70 $76.70 5.6×
Nuclear antigen antibody (86235) $163.30 $163.30 9.1×
Occult blood feces (82272) $29.70 $29.70 7.0×
Occult Blood Other Sources (82271) $29 $29 5.5×
Organic acids urine (83918) $138.10 $138.10 5.9×
Osmolality serum (83930) $60.10 $60.10 9.1×
Osmolality Urine (83935) $62 $62 9.1×
Osteocalcin (83937) $182.60 $182.60 6.1×
Ova and parasites smears (87177) $75.40 $75.40 8.5×
Parvovirus antibody (86747) $133.60 $133.60 8.9×
Pathology Consultation During Surgery (88329) $193.30 $193.30 2.9×
Ph urine (81003) $20.60 $20.60 9.2×
Phenobarbital Level (80184) $104.30 $104.30 6.8×
Phenytoin (Dilantin) (80185) $246 $246 18.6×
Phenytoin free (80186) $122.20 $122.20 8.9×
Phosphatase alkaline (84075) $47.10 $47.10 9.1×
Phosphorus Serum (84100) $43.30 $43.30 9.1×
Phosphorus urine (84105) $42.30 $42.30 7.3×
Platelet Aggregation (85576) $195.60 $195.60 7.9×
Platelet count automated (85049) $40.70 $40.70 9.1×
Potassium Urine (84133) $39.20 $39.20 8.3×
Prealbumin (84134) $132.80 $132.80 9.1×
Primidone (80188) $147.40 $147.40 8.9×
Procalcitonin (Pct) (84145) $161.40 $161.40 5.9×
Progesterone (84144) $173.80 $173.80 8.3×
Prolactin (84146) $169.50 $169.50 8.7×
Protein body fluid (84157) $33.40 $33.40 8.4×
Protein C Activity (85303) $122.90 $122.90 8.9×
Protein S Free (85306) $136.10 $136.10 8.9×
Protein total serum (84155) $33.40 $33.40 9.1×
Protein Total Urine (84156) $33.40 $33.40 9.1×
Prothrombin Time Substitution Plasma Frctj Each (85611) $21.65 $21.65 5.5×
Pth Intact (83970) $375.70 $375.70 9.1×
Quantiferon tb gold plus (86480) $542.50 $542.50 8.8×
Quantitative assay drug (80299) $124.50 $124.50 6.7×
Quantitative Screen Metals (83018) $120.66 $120.66 5.5×
Rbc antibody elution (86860) $159.90 $159.90 0.8×
Rbc antibody identification (86870) $1,187.70 $1,187.70 3.0×
Rbc antibody screen (86850) $94.10 $94.10 9.6×
Renin activity plasma (84244) $195.40 $195.40 8.9×
Resp virus 12-25 targets (87633) $2,290 $2,290 5.5×
Rh (86901) $54.30 $54.30 18.2×
Rheumatoid Factor Qualitative (86430) $51.70 $51.70 8.4×
Rheumatoid factor quant (86431) $56.90 $56.90 10.0×
Rotavirus ag eia (87425) $106.50 $106.50 8.9×
Rpr qualitative (86592)
range across 2 matching MRF lines
$37.90–$38.90 $37.90–$38.90 varies
Rsv Assay W/Optic (87807) $102.40 $102.40 7.8×
Rubella Antibody (86762) $79.07 $79.07 5.5×
Rubeola antibody (86765) $70.77 $70.77 5.5×
Sars-Cov-2 Covid-19 Amp Prb (87635) $58.50 $58.50 1.1×
Sarscov2 & inf a&b amp prb (87636) $783.68 $783.68 5.5×
Sarscov2&inf a&b&rsv amp prb (87637) $783.68 $783.68 5.5×
Sedimentation rate (85651) $32.30 $32.30 7.6×
Selenium (84255) $211 $211 8.3×
Sensitivity mic (87186) $78.70 $78.70 9.1×
Serpina 1 gene (81332) $239.83 $239.83 5.5×
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines
$68.30–$70 $68.30–$70 varies
Sickling of rbc reduction (85660) $49 $49 8.9×
Skin test tuberculosis intradermal (86580) $155.88 $155.88 4.8×
Smear acid fast (87206) $45.90 $45.90 8.5×
Smear complex stain (87209) $184.10 $184.10 10.2×
Smear gram stain (87205) $38.90 $38.90 9.1×
Smear Special Stain (87207) $53.20 $53.20 8.9×
Smr Prim Src Wet Mount Nfct Agt (87210) $38.90 $38.90 6.7×
Sodium Serum (84295) $43.80 $43.80 9.1×
Sodium Urine (84300) $44.30 $44.30 8.8×
Somatomedin (84305) $179.70 $179.70 8.5×
Special Stains Group 1 (88312) $107.40 $107.40 1.9×
Special Stains Group 2 (88313) $107.40 $107.40 0.7×
Specimen infect agnt concntj (87015) $60.90 $60.90 9.1×
Stone Analysis (82355) $105.50 $105.50 9.1×
Stool cultr aerobic bact ea (87046) $85.80 $85.80 9.1×
Strep a assay w/optic (87880) $109.20 $109.20 6.6×
Strep a DNA amp probe (87651) $224.10 $224.10 6.4×
Surg path level iii (88304) $229.40 $229.40 4.0×
Surgical pathology level IV (88305) $229.40 $229.40 4.0×
Surgical pathology level vi (88309) $347.40 $347.40 0.4×
Susceptibility Study Antimicrobial Disk Method (87184) $62.80 $62.80 8.4×
Syphilis Test Non-Trep Quant (86593) $40.10 $40.10 9.1×
T3 Free (84481) $143.10 $143.10 8.4×
T3 reverse (84482) $143.10 $143.10 9.1×
T3 Total (84480) $129.20 $129.20 9.1×
T3 Uptake (84479) $58.90 $58.90 9.1×
T4 Free (84439) $82.20 $82.20 9.1×
T4 total (84436) $62.60 $62.60 9.1×
Testosterone total (84403) $229.40 $229.40 8.9×
Testosterone, Free (84402) $221.80 $221.80 8.7×
Tetanus antibody (86774) $81.32 $81.32 5.5×
Theophylline (80198) $125.80 $125.80 8.9×
Thrombin Time (85670)
range across 2 matching MRF lines
$51.40–$52.70 $51.40–$52.70 varies
Thyroglobulin Antibody (86800) $144.90 $144.90 9.1×
Thyroid Stimulating Immunoglobulin (84445) $158.50 $158.50 3.1×
Thyroxine binding globulin (84442) $131.50 $131.50 8.9×
Tiss Trnsgltmnase Ea Ig Clas (86364) $63.35 $63.35 5.5×
Tobramycin peak (80200) $146.70 $146.70 9.1×
Transferase Aspartate Amino Ast Sgot (84450) $47.10 $47.10 9.1×
Transferrin (84466) $116.30 $116.30 9.1×
Triglycerides (84478) $52.50 $52.50 9.1×
Troponin Quant (84484) $89.60 $89.60 7.2×
Tumor Immunohistochem/Manual (88360) $229.40 $229.40 1.2×
Urea Nitrogen Clearance (84545) $58.60 $58.60 8.1×
Urea nitrogen urine (84540) $43.30 $43.30 7.8×
Uric acid other source (84560)
range across 2 matching MRF lines
$42.20–$43.30 $42.20–$43.30 varies
Urine Bacteria Culture (87088) $72.30 $72.30 8.9×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$56.20–$57.60 $56.20–$57.60 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $28.90 $28.90 9.1×
Valproic acid (80164) $123.30 $123.30 9.1×
Vancomycin (80202) $123.30 $123.30 9.1×
Varicella-zoster antibody (86787) $234.70 $234.70 18.2×
Vasopressin (84588) $301.60 $301.60 8.9×
Viral Culture (87252) $237.30 $237.30 9.1×
Vit D 1 25-Dihydroxy (82652) $350.30 $350.30 9.1×
Vitamin A (84590) $105.60 $105.60 9.1×
Vitamin b-12 (82607) $137.30 $137.30 9.1×
Vitamin B6 (84207) $159 $159 5.7×
Vitamin c (82180) $92.70 $92.70 9.4×
Vitamin D 25-Hydroxy (82306) $269.60 $269.60 9.1×
Vitamin E (84446) $129.20 $129.20 9.1×
Von willebrand factor ag (85246) $209 $209 9.1×
Wbc Alkaline Phosphatase Count (85540) $74 $74 8.6×
Zinc (84630) $103.70 $103.70 9.1×

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.