Lab & pathology prices at Sierra Vista Hospital

T Or C, NM · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acth (82024) $221.25 $295 5.7×
Acute hepatitis panel (80074) $231.38 $308.50 4.9×
Albumin Fluid (82042) $40.31 $53.75 5.2×
Albumin serum (82040)
range across 2 matching MRF lines
$28.31–$30.38 $37.75–$40.50 varies
Aldolase (82085) $78.75 $105 8.1×
Allergen specific ige (86003)
range across 64 matching MRF lines
$24.08–$1,363.50 $32.10–$1,818 varies
Allergen specific igg (86001) $113.64 $151.52 14.5×
Alpha-1-antitrypsin phenotype (82104) $161.25 $215 11.2×
Alpha-1-antitrypsin total (82103) $100.13 $133.50 7.5×
Alpha-Fetoprotein Serum (82105) $114.29 $152.39 6.8×
Alt (sgpt) (84460) $56.63 $75.50 10.7×
Ammonia (82140)
range across 2 matching MRF lines
$89.25–$96.38 $119–$128.50 varies
Amylase urine (82150)
range across 2 matching MRF lines
$74.60–$80.63 $99.46–$107.50 varies
Ana Titer (86039) $74.63 $99.50 6.7×
Anca screen each antibody (86036) $168 $224 13.9×
Androstenedione (82157) $138.75 $185 4.7×
Anti-Phospholipid Antibody (86148) $112.13 $149.50 7.0×
Antibody aspergillus (86606) $51.38 $68.50 3.4×
Antibody Cytomegalovirus Cmv Igm (86645) $81.75 $109 4.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $98.25 $131 6.4×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 2 matching MRF lines
$81.83–$88.13 $109.11–$117.50 varies
Antibody helicobacter pylori (86677)
range across 3 matching MRF lines
$82.50–$137.25 $110–$183 varies
Antibody Herpes Smplx Non-Specific Type Test (86694) $59.25 $79 4.1×
Antibody Herpes Smplx Type 1 (86695) $66.29 $88.38 5.0×
Antibody HIV-1&HIV-2 single result (86703) $95.63 $127.50 7.0×
Antibody htlv/HIV antibody confirmatory test (86689) $92.25 $123 4.8×
Antibody Protozoa Nes (86753) $112.44 $149.92 9.1×
Antibody Titer (86886) $222.83 $297.11 43.0×
Antibody Treponema Pallidum (86780) $74.25 $99 5.6×
Antigen typing (86905)
range across 3 matching MRF lines
$293.63–$323.15 $391.50–$430.86 varies
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$108–$165.75 $144–$221 varies
Antistreptolysin o titer (86060) $65.63 $87.50 9.0×
Antithrombin iii activity (85300) $197.25 $263 16.6×
Apolipoprotein a1 (82172) $71.25 $95 3.4×
Arsenic (82175) $181.88 $242.50 9.6×
Assay Dir Meas Fr Estradiol (82681) $174.56 $232.75 6.2×
Assay of anti-mullerian hormone (82166) $170.25 $227 4.4×
Assay of blood/uric acid (84550) $50.25 $67 11.1×
Assay of calcium in urine (82340) $79.50 $106 13.2×
Assay of cpk in blood (82552) $57 $76 4.3×
Assay of estrone (82679) $102.75 $137 4.1×
Assay of g6pd enzyme (82955) $83.84 $111.79 8.6×
Assay of gammaglobulin igm (82784)
range across 5 matching MRF lines
$79.32–$317.82 $105.76–$423.76 varies
Assay of lactic acid (83605) $109.50 $146 9.5×
Assay of metanephrines (83835) $231.38 $308.50 13.7×
Assay of proinsulin (84206) $191.63 $255.50 7.2×
Assay of serum potassium (84132) $45 $60 9.5×
Assay of urea nitrogen (84520)
range across 2 matching MRF lines
$58.01–$62.63 $77.35–$83.50 varies
Assay of vitamin b-1 (84425) $131.63 $175.50 6.2×
Automated Leukocyte Count (85048) $29.25 $39 11.5×
Bartonella antibody (86611) $79.50 $106 7.8×
Beta 2 glycoprotein i antibody each (86146) $141.38 $188.50 5.6×
Beta hydroxybutyrate (82010) $54.38 $72.50 6.7×
Beta Lactamase (87185) $43.50 $58 9.2×
Beta-2 Microglobulin (82232) $96 $128 5.9×
Bilirubin direct (82248) $52.13 $69.50 10.4×
Bilirubin total (82247) $57.38 $76.50 11.4×
Blastomyces antibody (86612) $54.84 $73.12 4.3×
Bld Typing Serologic Rh Phnt (86906) $104.63 $139.50 13.5×
Bleeding time test (85002) $63.32 $84.43 13.1×
Blood count reticulocyte automated (85045)
range across 2 matching MRF lines
$55.73–$60 $74.31–$80 varies
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $65.27 $87.03 17.2×
Blood gas (82803) $322.50 $430 12.4×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $77.25 $103 4.9×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $29.63 $39.50 6.8×
Blood typing serologic abo (86900)
range across 3 matching MRF lines
$82.50–$136.88 $110–$182.50 varies
Body fluid cell count (89050)
range across 2 matching MRF lines
$23.25–$25.13 $31–$33.50 varies
Bordetella antibody (86615) $95.25 $127 7.2×
C diff amplified probe (87493) $156 $208 4.2×
C-Peptide (84681) $130.13 $173.50 6.3×
C-reactive protein (86140)
range across 2 matching MRF lines
$23.51–$25.50 $31.34–$34 varies
Ca 19-9 (86301) $129.38 $172.50 6.2×
Calcitonin (82308) $175.82 $234.42 6.6×
Calcium ionized (82330) $106.88 $142.50 7.8×
Calcium total (82310)
range across 3 matching MRF lines
$49.63–$53.63 $66.17–$71.50 varies
Calculus Spectroscopy (82365) $66.38 $88.50 5.1×
Calprotectin Fecal (83993) $298.13 $397.50 15.2×
Cancer Antigen 125 (86304) $159.75 $213 7.7×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$120.75–$124.13 $161–$165.50 varies
Candida antibody (86628) $34.76 $46.34 2.9×
Candida Dna Dir Probe (87480) $95.25 $127 4.8×
Carbamazepine total (80156)
range across 2 matching MRF lines
$135.75–$142.50 $181–$190 varies
Carboxyhemoglobin (82375) $93.56 $124.75 7.6×
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines
$124.02–$133.88 $165.36–$178.50 varies
Cardiolipin ab iga (86147) $213.38 $284.50 8.4×
Carnitine Quantitative Each Specimen (82379) $81.75 $109 4.8×
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$182.33–$198.75 $243.10–$265 varies
Ccp antibody (86200) $95.25 $127 7.4×
Cell count csf (89051) $84.31 $112.41 15.1×
Ceruloplasmin (82390) $79.50 $106 7.4×
Chloride urine (82436) $18 $24 3.1×
Cholesterol total (82465) $53.14 $70.85 12.2×
Chorionic gonadotropin test (84702) $138.38 $184.50 9.2×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$156–$156.38 $208–$208.50 varies
Ckmb (82553) $92.25 $123 8.0×
Clostridium Difficile (87324) $444.38 $592.50 37.1×
Coccidioides antibody (86635)
range across 2 matching MRF lines
$78.38–$191.25 $104.50–$255 varies
Column Chromotography Quant (82542)
range across 2 matching MRF lines
$273.75–$309.75 $365–$413 varies
Compatibility test antiglob (86922)
range across 6 matching MRF lines
$445.50–$445.67 $594–$594.22 varies
Complement Antigen Each Component (86160)
range across 2 matching MRF lines
$105–$105.38 $140–$140.50 varies
Complement Total (Ch50) (86162) $117.38 $156.50 5.8×
Coombs direct (86880) $122.75 $163.66 22.8×
Copper urine (82525) $115.13 $153.50 9.3×
Cortisol free (82530)
range across 2 matching MRF lines
$125.95–$135.75 $167.93–$181 varies
Cortisol saliva (82533)
range across 2 matching MRF lines
$93.26–$100.50 $124.35–$134 varies
Creatine kinase total (82550) $75 $100 11.5×
Creatinine blood (82565) $49.50 $66 9.7×
Creatinine clearance (82575) $149.63 $199.50 15.8×
Creatinine Urine (82570) $61.88 $82.50 11.9×
Crp High Sensitivity (86141) $90.75 $121 7.0×
Cryofibrinogen (82585) $63 $84 4.5×
Cryoglobulin (82595) $122.63 $163.50 19.0×
Cryptococcus ag titer (87899) $145.34 $193.79 9.0×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines
$67.58–$72.75 $90.11–$97 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $117 $156 14.5×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $38.99 $51.98 5.1×
Culture aerobic quant other (87071) $29.95 $39.93 3.0×
Culture afb (87116)
range across 4 matching MRF lines
$134.09–$144.75 $178.78–$193 varies
Culture Anaerobic (87075)
range across 3 matching MRF lines
$115.22–$124.50 $153.62–$166 varies
Culture blood (87040)
range across 4 matching MRF lines
$119.60–$129 $159.46–$172 varies
Culture csf (87070)
range across 5 matching MRF lines
$107.03–$115.50 $142.70–$154 varies
Culture fungus (87102) $119.25 $159 14.2×
Culture screen only (87081)
range across 4 matching MRF lines
$59.42–$273.75 $79.23–$365 varies
Culture urine (87086)
range across 4 matching MRF lines
$64.37–$69.38 $85.83–$92.50 varies
Cystatin C (82610) $114.38 $152.50 6.2×
Cytomegalovirus igg (86644) $70.50 $94 4.9×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $84 $112 3.2×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines
$131.40–$449.63 $175.20–$599.50 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$202.48–$218.63 $269.97–$291.50 varies
Dgp Antibody Each Ig Class (86258) $18.75 $25 1.6×
Dhea (82626) $196.88 $262.50 7.8×
Digoxin (80162)
range across 2 matching MRF lines
$75.01–$81 $100.01–$108 varies
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines
$97.13–$105.38 $129.50–$140.50 varies
Drug assay acetaminophen (80143) $106.13 $141.50 5.7×
Drug assay adalimumab (80145) $335.25 $447 8.7×
Drug Assay Lacosamide (80235) $195 $260 7.2×
Drug Screen Quantitative Gabapentin (80171) $72.47 $96.62 3.3×
Drug Screen Quantitative Lamotrigine (80175) $113.63 $151.50 8.6×
Drug Screen Quantitative Levetiracetam (80177) $112.50 $150 8.5×
Drug Screen Quantitative Oxcarbazepine (80183) $121.50 $162 9.2×
Drug Test Prsmv Dir Opt Obs (80305)
range across 4 matching MRF lines
$20.25–$139.88 $27–$186.50 varies
Electrolyte panel (80051) $104.89 $139.85 15.0×
Erythropoietin (82668) $144.75 $193 7.7×
Estradiol serum (82670)
range across 2 matching MRF lines
$193.38–$208.50 $257.84–$278 varies
Estriol (82677) $100.50 $134 4.2×
Estrogens fractionated (82671) $111.75 $149 3.5×
Exam Synovial Fluid Crystals (89060) $58.50 $78 8.0×
Factor v leiden mutation (81241) $199.50 $266 2.7×
Factor viii assay (85240) $139.21 $185.61 7.8×
Fat/Lipids Feces Quantitative (82710) $182.63 $243.50 10.9×
Fecal Fat Qualitative (82705) $103.50 $138 20.3×
Ferritin (82728) $118.88 $158.50 8.7×
Fetal Congenital Abnor Assay Four Anal (81511) $286.50 $382 1.9×
Fetal Congenital Abnor Assay Two Proteins (81508) $151.76 $202.34 2.8×
Fibrin Degradation Quant (85379) $157.13 $209.50 15.4×
Fibrinogen activity (85384) $85.13 $113.50 8.8×
Flow cytometry first marker (88184) $416.25 $555 1.2×
Fluorescent antibody screen (86255)
range across 3 matching MRF lines
$90.64–$128.63 $120.85–$171.50 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 2 matching MRF lines
$176.06–$182.38 $234.75–$243.17 varies
Folic Acid Serum (82746) $110.25 $147 7.5×
Follicle Stimulating Hormone (83001)
range across 2 matching MRF lines
$135.71–$146.25 $180.95–$195 varies
Gammaglobulin ige (82785) $98.25 $131 6.0×
Gastrin (82941) $85.50 $114 4.8×
Ggt (82977) $58.13 $77.50 8.1×
Glucose 2 hr pp (82950)
range across 2 matching MRF lines
$94.50–$96.50 $126–$128.67 varies
Glucose body fluid (82945)
range across 3 matching MRF lines
$37.31–$40.13 $49.75–$53.50 varies
Glucose Serum (82947)
range across 4 matching MRF lines
$21.38–$44.63 $28.50–$59.50 varies
Glucose tolerance test (gtt) (82951) $38.32 $51.09 3.0×
Haptoglobin (83010) $103.88 $138.50 8.3×
Hematocrit (85014) $28.13 $37.50 11.9×
Hemoglobin (85018) $34.13 $45.50 14.4×
Hemoglobin a1c (83036) $74.63 $99.50 7.7×
Hep a ab igm (86709) $40.13 $53.50 3.6×
Hepatitis a antibody total (86708) $76.88 $102.50 6.2×
Hepatitis b core ab igm (86705) $55.88 $74.50 4.7×
Hepatitis b core ab total (86704) $70.50 $94 5.9×
Hepatitis B Surface Antibody (86706) $105 $140 9.8×
Hepatitis B Surface Antigen (87340) $61.50 $82 6.0×
Hepatitis Be Antigen (87350) $64.88 $86.50 5.6×
Hepatitis C Antibody (86803) $235.88 $314.50 16.5×
Hepatitis C Genotype (87902) $1,180.88 $1,574.50 4.6×
Hepatitis C Revrs Trnscrpj (87522) $342.75 $457 8.0×
Herpes simplex type 2 (86696) $85.88 $114.50 4.4×
Heterophile Antibody Screen (86308) $80.63 $107.50 15.6×
Hfe Gene (81256) $361.50 $482 5.5×
Histoplasma antibody (86698) $109.50 $146 7.9×
Histoplasma antigen urine (87385) $179.25 $239 13.5×
Hiv Genotype (87901) $1,094.25 $1,459 4.3×
Hiv-1 Quant&Revrse Trnscrpj (87536) $390.75 $521 4.6×
Hla class i&ii antibody qual (86828) $226.50 $302 3.5×
Homocysteine (83090) $155.25 $207 8.7×
Homogenization Tissue (87176) $95.31 $127.08 16.2×
Hpv High-Risk Types (87624)
range across 2 matching MRF lines
$112.50–$121.50 $150–$162 varies
Hsv Dna Amp Probe (87529) $98.92 $131.89 2.8×
Human Epididymis Protein 4 (86305)
range across 2 matching MRF lines
$101.63–$264.38 $135.50–$352.50 varies
Iadna Cytomegalovirus Quantification (87497)
range across 2 matching MRF lines
$282.86–$305.25 $377.15–$407 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $156.38 $208.50 4.5×
Ig Light Chains Free Each (83521) $34.88 $46.50 2.0×
Igg subclasses (82787) $53.25 $71 6.6×
Immunoassay nonantibody (83516)
range across 6 matching MRF lines
$199.04–$225.75 $265.38–$301 varies
Immunofixation electrophoresis (86334) $124.73 $166.31 5.6×
Influenza assay w/optic (87804) $85.13 $113.50 5.1×
Inhibin b (83520)
range across 3 matching MRF lines
$137.25–$240 $183–$320 varies
Insulin antibodies (86337) $90.75 $121 4.2×
Insulin total (83525) $108 $144 9.4×
Intrinsic factor antibody (86340) $80.26 $107.01 5.3×
Iron (83540)
range across 2 matching MRF lines
$63.99–$69 $85.32–$92 varies
Iron Binding Capacity (83550)
range across 3 matching MRF lines
$78.30–$84.38 $104.40–$112.50 varies
Islet cell antibody (86341) $386.63 $515.50 16.4×
Jak2 gene analysis p.val617phe variant (81270) $598.50 $798 6.5×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$70.13–$92.25 $93.50–$123 varies
Lactoferrin fecal qualitative (83630) $95.25 $127 4.8×
Ldh Isoenzymes (83625) $124.50 $166 9.7×
LDL direct (83721) $65.25 $87 6.2×
Lead (83655) $84 $112 6.9×
Lipase (83690)
range across 2 matching MRF lines
$89.26–$96.38 $119.01–$128.50 varies
Lipoprotein Bld Quan Part (83704) $48.75 $65 1.4×
Lipoprotein-Associated Phospholipase A2 (83698) $204.54 $272.72 4.4×
Lithium (80178) $102.38 $136.50 15.5×
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines
$135.42–$146.25 $180.56–$195 varies
Lyme disease antibody (86618)
range across 3 matching MRF lines
$126.77–$136.13 $169.03–$181.50 varies
Lysozyme serum (85549) $98.25 $131 5.2×
Magnesium Urine (83735) $63.38 $84.50 9.5×
Mass Spectrometry Quant (83789) $300.75 $401 12.5×
Mercury urine (83825) $85.88 $114.50 5.3×
Metabolic panel ionized ca (80047) $45.44 $60.59 3.3×
Methylmalonic acid serum (83921) $171.75 $229 8.1×
Microalbumin, quantitative (82043) $97.13 $129.50 16.8×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$132–$169.88 $176–$226.50 varies
Mononuclear cell antigen (86356) $110.25 $147 4.1×
Mrsa Pcr (87641) $273.75 $365 7.8×
Mumps antibody (86735) $79.50 $106 6.1×
Mycoplasma antibody (86738) $56.25 $75 4.2×
Myoglobin urine (83874)
range across 2 matching MRF lines
$91.14–$125 $121.52–$166.67 varies
Natriuretic peptide (83880) $177.38 $236.50 4.5×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505)
range across 2 matching MRF lines
$117.85–$144.38 $157.13–$192.50 varies
Nitroblue Tetrazolium Dye (86384) $100.50 $134 7.4×
Nuclear antigen antibody (86235)
range across 6 matching MRF lines
$106.09–$114.75 $141.45–$153 varies
Occult Blood Other Sources (82271) $48.75 $65 9.2×
Osmolality serum (83930) $85.88 $114.50 13.0×
Osmolality Urine (83935)
range across 2 matching MRF lines
$64.68–$69.75 $86.24–$93 varies
Ova and parasites smears (87177)
range across 2 matching MRF lines
$100.23–$108 $133.64–$144 varies
Oxalate urine (83945) $134.63 $179.50 9.3×
Ph urine (81003)
range across 4 matching MRF lines
$10.50–$30.97 $14–$41.29 varies
Phenobarbital Level (80184) $79.88 $106.50 5.2×
Phenytoin (Dilantin) (80185) $124.88 $166.50 9.4×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$63.38–$69.38 $84.50–$92.50 varies
Phosphorus Serum (84100)
range across 2 matching MRF lines
$51.56–$55.50 $68.74–$74 varies
Platelet Antibodies (86022) $281.06 $374.75 15.3×
Platelet count automated (85049) $46.88 $62.50 10.5×
Potassium Urine (84133) $18.75 $25 4.0×
Prealbumin (84134) $67.13 $89.50 4.6×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $104.63 $139.50 1.8×
Procalcitonin (Pct) (84145) $154.88 $206.50 5.7×
Progesterone (84144)
range across 2 matching MRF lines
$131.43–$141.75 $175.24–$189 varies
Prolactin (84146) $150 $200 7.7×
Protein body fluid (84157)
range across 3 matching MRF lines
$61.35–$66.38 $81.80–$88.50 varies
Protein C Activity (85303) $141 $188 10.2×
Protein Electrophoresis Urine (84166)
range across 2 matching MRF lines
$114.39–$295.88 $152.52–$394.50 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$132.65–$292.50 $176.86–$390 varies
Protein S Free (85306) $126 $168 8.2×
Protein total serum (84155)
range across 2 matching MRF lines
$35.94–$38.63 $47.92–$51.50 varies
Protein Total Urine (84156) $93.75 $125 25.5×
PSA free (84154) $144.38 $192.50 7.9×
Pth Intact (83970)
range across 2 matching MRF lines
$204.04–$220.13 $272.05–$293.50 varies
Quantiferon tb gold plus (86480) $282.38 $376.50 4.6×
Quantitative assay drug (80299) $140.25 $187 7.5×
Quantitative Screen Metals (83018) $103.50 $138 4.7×
Rbc antibody elution (86860) $179.25 $239 1.1×
Rbc antibody identification (86870)
range across 3 matching MRF lines
$323.15–$385.13 $430.86–$513.50 varies
Rbc antibody screen (86850)
range across 3 matching MRF lines
$114.68–$123.75 $152.90–$165 varies
Rbc pretreatment serum (86978) $195.75 $261 3.4×
Renin activity plasma (84244) $114.75 $153 5.2×
Resp virus 12-25 targets (87633) $501.75 $669 1.2×
Rh (86901)
range across 3 matching MRF lines
$64.92–$73.88 $86.56–$98.50 varies
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$68.99–$74.25 $91.98–$99 varies
Rsv Assay W/Optic (87807) $59.25 $79 4.5×
Rubella Antibody (86762) $63.38 $84.50 4.4×
Rubeola antibody (86765)
range across 3 matching MRF lines
$65.44–$73.13 $87.25–$97.50 varies
Salicylate Level (80179) $37.88 $50.50 2.0×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines
$75–$81 $100–$108 varies
Sedimentation rate (85651) $60.38 $80.50 14.1×
Sedimentation Rate, Automated (85652) $42 $56 15.6×
Semen Anal Sperm Detection (89321) $57.75 $77 4.8×
Sensitivity mic (87186) $65.25 $87 7.5×
Sex Hormone Binding Globulin (84270) $124.37 $165.83 5.7×
Sickling of rbc reduction (85660) $52.93 $70.57 9.6×
Sirolimus (80195) $66 $88 4.8×
Skin test tuberculosis intradermal (86580) $14.03 $18.70 0.5×
Smear acid fast (87206)
range across 3 matching MRF lines
$55.75–$60 $74.33–$80 varies
Smear gram stain (87205)
range across 5 matching MRF lines
$39.67–$45.75 $52.89–$61 varies
Smr Prim Src Wet Mount Nfct Agt (87210) $43.50 $58 7.5×
Sodium Serum (84295) $43.58 $58.10 9.1×
Sodium Urine (84300)
range across 3 matching MRF lines
$13.91–$73.13 $18.55–$97.50 varies
Somatomedin (84305) $287.25 $383 13.5×
Spectrophotometry (84311) $461.04 $614.72 56.9×
Stool cultr aerobic bact ea (87046)
range across 2 matching MRF lines
$42.28–$45.75 $56.37–$61 varies
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$20.25–$63.75 $27–$85 varies
Strep a DNA amp probe (87651) $243.38 $324.50 6.9×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $24.75 $33 5.2×
Susceptibility Study Antimicrobial Disk Method (87184) $31.37 $41.83 4.2×
Syphilis Test Non-Trep Quant (86593) $26.25 $35 6.0×
T cells absolute cd4 count (86361) $121.13 $161.50 4.5×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $245.93 $327.90 5.2×
T cells total count (86359) $151.88 $202.50 4.0×
T3 Free (84481)
range across 2 matching MRF lines
$112.26–$121.13 $149.68–$161.50 varies
T3 reverse (84482) $201.38 $268.50 12.8×
T3 Total (84480)
range across 2 matching MRF lines
$114.50–$123.38 $152.66–$164.50 varies
T4 Free (84439)
range across 3 matching MRF lines
$111.90–$120.75 $149.20–$161 varies
T4 total (84436)
range across 2 matching MRF lines
$78.20–$84.38 $104.27–$112.50 varies
Tacrolimus (80197) $212.63 $283.50 15.5×
Test for acetone/ketones (82009) $79.25 $105.67 17.5×
Testosterone total (84403)
range across 4 matching MRF lines
$175.52–$189.38 $234.02–$252.50 varies
Testosterone, Free (84402) $121.13 $161.50 4.8×
Theophylline (80198) $92.03 $122.70 6.5×
Thyroglobulin (84432) $168.75 $225 10.5×
Thyroid Stimulating Immunoglobulin (84445) $226.50 $302 4.5×
Thyroxine binding globulin (84442) $72 $96 4.9×
Tiss Trnsgltmnase Ea Ig Clas (86364) $100.50 $134 8.7×
Topiramate (80201) $180.09 $240.12 15.1×
Transferase Aspartate Amino Ast Sgot (84450) $60.38 $80.50 11.7×
Transferrin (84466) $89.63 $119.50 7.0×
Trichomonas vagin dir probe (87660) $95.25 $127 4.8×
Triglycerides (84478) $57.08 $76.11 9.9×
Troponin Quant (84484)
range across 2 matching MRF lines
$120.90–$130.50 $161.20–$174 varies
Urea nitrogen urine (84540) $31.79 $42.38 5.7×
Uric acid other source (84560) $57.38 $76.50 11.3×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $11.25 $15 5.2×
Urine Bacteria Culture (87088)
range across 3 matching MRF lines
$122.09–$130.50 $162.78–$174 varies
Urine Pregnancy Test (81025)
range across 4 matching MRF lines
$51.38–$111.75 $68.50–$149 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 3 matching MRF lines
$51.91–$55.88 $69.21–$74.50 varies
Valproic acid (80164) $125.25 $167 9.3×
Vancomycin (80202) $132.75 $177 9.8×
Varicella-zoster antibody (86787) $125.63 $167.50 9.8×
Virus antibody nos (86790) $548.84 $731.79 42.6×
Virus inoculation, shell via (87254) $95.25 $127 4.9×
Vit D 1 25-Dihydroxy (82652) $122.14 $162.85 3.2×
Vitamin A (84590) $111.13 $148.17 9.6×
Vitamin b-12 (82607)
range across 2 matching MRF lines
$103–$111 $137.33–$148 varies
Vitamin B2 (Riboflavin) (84252) $264 $352 13.0×
Vitamin B6 (84207) $141 $188 5.0×
Vitamin c (82180) $71.25 $95 7.2×
Vitamin D 25-Hydroxy (82306)
range across 3 matching MRF lines
$189–$194.63 $252–$259.50 varies
Vitamin E (84446) $69 $92 4.9×
Vitamin K (84597) $152.06 $202.75 11.1×
Von willebrand factor ag (85246) $186.52 $248.69 8.1×
Zinc (84630)
range across 3 matching MRF lines
$81.06–$87.38 $108.08–$116.50 varies

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.