Lab & pathology prices at SMP Health St. Aloisius
Harvey, ND · every code in this section with a posted price and a Medicare benchmark.
360 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) range across 3 matching MRF lines |
$42–$122 | $47–$135 | varies |
| Acetylcholn Rcptr Modlg Antb (86043) | $64 | $71 | 5.3× |
| Acth (82024) | $77 | $85 | 2.0× |
| Acute hepatitis panel (80074) | $101 | $112 | 2.1× |
| Acylcarnitines Quant (82017) | $184 | $204 | 10.9× |
| Albumin Fluid (82042) | $41 | $46 | 5.3× |
| Albumin serum (82040) | $41 | $45 | 8.3× |
| Aldolase (82085) | $59 | $65 | 6.1× |
| Aldosterone urine (82088) | $74 | $82 | 1.8× |
| Allergen specific ige (86003) range across 5 matching MRF lines |
$12–$35 | $13–$39 | varies |
| Alpha-1-antitrypsin total (82103) | $102 | $113 | 7.6× |
| Alpha-Fetoprotein Serum (82105) | $131 | $146 | 7.8× |
| Alt (sgpt) (84460) | $43 | $48 | 8.1× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $126 | $140 | 5.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $127 | $141 | 7.5× |
| Ammonia (82140) | $31 | $34 | 2.1× |
| Amylase urine (82150) range across 2 matching MRF lines |
$50–$79 | $56–$88 | varies |
| Ana Titer (86039) | $88 | $98 | 7.9× |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$92–$362 | $102–$402 | varies |
| Angiotensin converting enzyme csf (82164) | $113 | $125 | 7.7× |
| Antibody aspergillus (86606) | $86 | $96 | 5.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $45 | $50 | 2.7× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $103 | $114 | 7.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $38 | $42 | 2.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $120 | $133 | 6.6× |
| Antibody Herpes Smplx Type 1 (86695) | $86 | $96 | 6.5× |
| Antibody HIV-1&HIV-2 single result (86703) | $90 | $100 | 6.6× |
| Antibody Titer (86886) | $137 | $152 | 26.4× |
| Antigen typing (86905) | $165 | $183 | 43.1× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$26–$96 | $29–$107 | varies |
| Antistreptolysin o titer (86060) | $58 | $64 | 7.9× |
| Antithrombin iii activity (85300) | $88 | $98 | 7.4× |
| Antithrombin iii antigen (85301) | $86 | $96 | 8.0× |
| Arsenic (82175) | $54 | $60 | 2.8× |
| Assay Blood Carbon Dioxide (82374) | $41 | $45 | 8.4× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$83–$211 | $92–$234 | varies |
| Assay of 5-hiaa (83497) | $101 | $112 | 7.8× |
| Assay of blood/uric acid (84550) | $38 | $42 | 8.4× |
| Assay of calcium in urine (82340) | $48 | $53 | 8.0× |
| Assay of estrone (82679) | $74 | $82 | 3.0× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$36–$73 | $40–$81 | varies |
| Assay of lactic acid (83605) | $77 | $86 | 6.7× |
| Assay of metanephrines (83835) | $218 | $242 | 12.9× |
| Assay of serotonin (84260) | $238 | $264 | 7.7× |
| Assay of serum potassium (84132) | $70 | $78 | 14.7× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$14–$33 | $15–$37 | varies |
| Assay of vitamin b-1 (84425) | $62 | $69 | 2.9× |
| Assay Ph Body Fluid Nos (83986) | $30 | $33 | 8.4× |
| Automated Leukocyte Count (85048) | $20 | $22 | 7.9× |
| Beta 2 glycoprotein i antibody each (86146) | $61 | $68 | 2.4× |
| Beta hydroxybutyrate (82010) | $74 | $82 | 9.1× |
| Bile acids total (82239) | $48 | $53 | 2.8× |
| Bilirubin direct (82248) | $41 | $46 | 8.2× |
| Bilirubin total (82247) | $39 | $43 | 7.8× |
| Blastomyces antibody (86612) | $74 | $82 | 5.7× |
| Blood Count Red Blood Cell Automated (85041) | $25 | $28 | 8.3× |
| Blood count reticulocyte automated (85045) | $33 | $37 | 8.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 3 matching MRF lines |
$26–$61 | $29–$68 | varies |
| Blood gas (82803) range across 2 matching MRF lines |
$135–$166 | $150–$184 | varies |
| Blood typing serologic abo (86900) | $22 | $24 | 7.4× |
| Breath Alcohol Test (82075) | $48 | $53 | 1.6× |
| Brucella antibody (86622) | $64 | $71 | 7.2× |
| C diff amplified probe (87493) | $263 | $292 | 7.1× |
| C-Peptide (84681) range across 2 matching MRF lines |
$48–$50 | $53–$55 | varies |
| C-reactive protein (86140) | $42 | $47 | 8.1× |
| Ca 19-9 (86301) | $50 | $56 | 2.4× |
| Cadmium (82300) | $58 | $64 | 2.5× |
| Calcitonin (82308) | $68 | $75 | 2.5× |
| Calcium ionized (82330) | $43 | $48 | 3.1× |
| Calcium total (82310) | $41 | $46 | 7.9× |
| Calprotectin Fecal (83993) | $251 | $279 | 12.8× |
| Cancer Antigen 125 (86304) | $48 | $53 | 2.3× |
| Cancer Antigen 27.29 (86300) range across 3 matching MRF lines |
$32–$50 | $35–$55 | varies |
| Candida Dna Dir Probe (87480) | $59 | $66 | 2.9× |
| Carbamazepine total (80156) | $26 | $29 | 1.8× |
| Carcinoembryonic antigen (82378) | $27 | $30 | 1.4× |
| Cardiolipin ab iga (86147) | $185 | $205 | 7.3× |
| Carotene (82380) | $44 | $49 | 4.8× |
| Catecholamines fractionated (82384) | $76 | $84 | 3.0× |
| Ccp antibody (86200) | $86 | $95 | 6.6× |
| Cell count csf (89051) | $64 | $71 | 11.4× |
| Ceruloplasmin (82390) | $86 | $95 | 8.0× |
| Chemiluminescent assay (82397) | $259 | $288 | 18.3× |
| Chlamydia antibody (86631) | $87 | $97 | 7.4× |
| Chlamydia Igm Antibody (86632) | $101 | $112 | 8.0× |
| Chloride Serum (82435) | $38 | $42 | 8.3× |
| Chloride urine (82436) | $40 | $44 | 7.0× |
| Cholesterol total (82465) | $36 | $40 | 8.3× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$45–$112 | $50–$124 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$42–$273 | $47–$303 | varies |
| Citric acid urine (82507) | $57 | $63 | 2.1× |
| Ckmb (82553) | $89 | $99 | 7.7× |
| Clostridium Difficile (87324) | $79 | $88 | 6.6× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$64–$68 | $71–$75 | varies |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$132–$135 | $147–$150 | varies |
| Column Chromotography Quant (82542) | $355 | $394 | 14.7× |
| Compatibility test antiglob (86922) | $257 | $285 | 1.5× |
| Complement Antigen Each Component (86160) | $93 | $103 | 7.8× |
| Complement Total (Ch50) (86162) | $68 | $75 | 3.3× |
| Coombs direct (86880) | $40 | $44 | 7.4× |
| Copper urine (82525) | $43 | $48 | 3.5× |
| Cortisol free (82530) range across 2 matching MRF lines |
$50–$52 | $56–$58 | varies |
| Cortisol saliva (82533) | $26 | $29 | 1.6× |
| Creatine kinase total (82550) | $70 | $78 | 10.8× |
| Creatinine blood (82565) | $67 | $74 | 13.1× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$18–$41 | $20–$45 | varies |
| Crossmatch immediate spin (86920) | $257 | $285 | 1.5× |
| Crp High Sensitivity (86141) | $59 | $66 | 4.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$59–$111 | $66–$123 | varies |
| Culture afb (87116) | $63 | $70 | 5.8× |
| Culture Anaerobic (87075) | $76 | $84 | 8.0× |
| Culture blood (87040) range across 2 matching MRF lines |
$68–$82 | $75–$91 | varies |
| Culture csf (87070) range across 2 matching MRF lines |
$66–$106 | $73–$118 | varies |
| Culture screen only (87081) range across 2 matching MRF lines |
$42–$66 | $47–$73 | varies |
| Culture stool (87045) | $76 | $84 | 8.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $41 | $45 | 7.9× |
| Culture typing other methods (87158) | $49 | $54 | 6.3× |
| Culture urine (87086) | $84 | $93 | 10.4× |
| Cystatin C (82610) | $97 | $108 | 5.2× |
| Cytomegalovirus igg (86644) | $42 | $47 | 2.9× |
| Cytopath Cell Enhance Tech (88112) | $161 | $179 | 3.0× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $169 | $188 | 6.4× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$122–$138 | $136–$153 | varies |
| Detect Agent Nos Dna Quant (87799) | $388 | $431 | 9.1× |
| Detect agnt mult DNA ampli (87801) | $524 | $582 | 7.5× |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$86–$89 | $95–$99 | varies |
| Dhea (82626) | $74 | $82 | 2.9× |
| Dhea-S (82627) | $48 | $53 | 2.2× |
| Digoxin (80162) | $47 | $52 | 3.5× |
| Dihydrotestosterone (82642) | $76 | $84 | 2.6× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $913 | $1,014 | 6.7× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$48–$107 | $53–$119 | varies |
| Drug assay acetaminophen (80143) | $68 | $75 | 3.6× |
| Drug assay adalimumab (80145) | $260 | $289 | 6.7× |
| Drug Screen Quant Clozapine (80159) | $132 | $147 | 6.6× |
| Drug Screen Quant Zonisamide (80203) | $134 | $149 | 10.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $122 | $136 | 9.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $170 | $189 | 12.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $141 | $157 | 10.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$384–$410 | $427–$455 | varies |
| Drug Test Prsmv Instrmnt (80306) | $121 | $134 | 7.1× |
| Electrolyte panel (80051) | $58 | $64 | 8.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $89 | $99 | 7.4× |
| Erythropoietin (82668) | $62 | $69 | 3.3× |
| Estradiol serum (82670) | $96 | $107 | 3.4× |
| Estriol (82677) | $59 | $65 | 2.4× |
| Estrogens fractionated (82671) | $83 | $92 | 2.6× |
| Factor ix activity (85250) | $76 | $84 | 4.0× |
| Factor v leiden mutation (81241) | $134 | $149 | 1.8× |
| Factor viii assay (85240) | $60 | $67 | 3.4× |
| Factor X (85260) | $68 | $75 | 3.8× |
| Fecal Fat Qualitative (82705) | $42 | $47 | 8.2× |
| Ferritin (82728) | $22 | $24 | 1.6× |
| Fibrin Degradation Quant (85379) | $73 | $81 | 7.2× |
| Fibrinogen activity (85384) | $65 | $72 | 6.7× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $91 | $101 | 7.6× |
| Fmr1 gene detection (81243) | $464 | $515 | 8.1× |
| Folic acid rbc (82747) | $134 | $149 | 7.6× |
| Folic Acid Serum (82746) | $96 | $107 | 6.5× |
| Follicle Stimulating Hormone (83001) | $66 | $73 | 3.6× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $239 | $266 | 1.4× |
| Gammaglobulin ige (82785) | $129 | $143 | 7.8× |
| Gardner vag DNA dir probe (87510) | $59 | $66 | 2.9× |
| Gastrin (82941) | $80 | $89 | 4.5× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $713 | $792 | 1.7× |
| Gentamicin (80170) | $59 | $65 | 3.6× |
| Ggt (82977) | $19 | $21 | 2.6× |
| Giardia antigen (87329) | $89 | $99 | 7.4× |
| Glucose 2 hr pp (82950) | $35 | $39 | 7.4× |
| Glucose Serum (82947) | $33 | $37 | 8.4× |
| Gonadotropin Chorionic Qualitative (84703) | $59 | $66 | 7.8× |
| Growth hormone (83003) | $109 | $121 | 6.5× |
| Gtt-added samples (82952) | $32 | $35 | 8.2× |
| Haptoglobin (83010) | $95 | $105 | 7.6× |
| Hdl Cholesterol (83718) | $64 | $71 | 7.8× |
| Helicobacter Pylori Stool (87338) | $109 | $121 | 7.6× |
| Hematocrit (85014) | $20 | $22 | 8.4× |
| Hemoglobin (85018) | $59 | $65 | 24.9× |
| Hemoglobin a1c (83036) | $78 | $87 | 8.0× |
| Hemoglobin Chromotography (83021) | $59 | $66 | 3.3× |
| Hep a ab igm (86709) | $78 | $87 | 6.9× |
| Heparin assay (85520) | $197 | $219 | 15.0× |
| Hepatitis a antibody total (86708) | $93 | $103 | 7.5× |
| Hepatitis b core ab total (86704) | $96 | $107 | 8.0× |
| Hepatitis B Surface Antibody (86706) | $77 | $86 | 7.2× |
| Hepatitis B Surface Antigen (87340) | $88 | $98 | 8.5× |
| Hepatitis C Antibody (86803) | $112 | $124 | 7.8× |
| Hepatitis C Genotype (87902) | $404 | $449 | 1.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $414 | $460 | 9.7× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$51–$127 | $57–$141 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$35–$83 | $39–$92 | varies |
| Histamine urine (83088) | $219 | $243 | 7.4× |
| Histoplasma antibody (86698) | $71 | $79 | 5.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $84 | $93 | 3.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $218 | $242 | 2.6× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $367 | $408 | 0.9× |
| Hla-b27 (86812) | $169 | $188 | 6.5× |
| Homocysteine (83090) | $133 | $148 | 7.4× |
| Hpv High-Risk Types (87624) | $230 | $255 | 6.6× |
| Hpv Types 16 & 18 Only (87625) | $218 | $242 | 5.4× |
| Hydroxyprogesterone 17-d (83498) | $77 | $85 | 2.8× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $263 | $292 | 7.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $115 | $128 | 3.3× |
| Igg subclasses (82787) | $47 | $52 | 5.9× |
| Immunfix e-phorsis/urine/csf (86335) | $217 | $241 | 7.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $122 | $135 | 6.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $105 | $117 | 7.0× |
| Immunoassay nonantibody (83516) | $95 | $105 | 8.2× |
| Immunofixation electrophoresis (86334) | $174 | $193 | 7.8× |
| Immunohistochemistry (88342) | $237 | $263 | 1.4× |
| Influenza assay w/optic (87804) | $108 | $120 | 6.5× |
| Inhibin b (83520) range across 4 matching MRF lines |
$146–$308 | $162–$342 | varies |
| Insulin total (83525) | $41 | $46 | 3.6× |
| Intrinsic factor antibody (86340) | $52 | $58 | 3.4× |
| Iron (83540) | $11 | $12 | 1.7× |
| Iron Binding Capacity (83550) | $62 | $69 | 7.1× |
| Islet cell antibody (86341) | $292 | $324 | 12.4× |
| Koh Prep (87220) | $34 | $38 | 8.0× |
| Lactate (ld) (ldh) enzyme (83615) | $48 | $53 | 7.9× |
| Lactoferrin fecal qualitative (83630) | $74 | $82 | 3.8× |
| Ldh Isoenzymes (83625) | $101 | $112 | 7.9× |
| Lead (83655) range across 3 matching MRF lines |
$91–$96 | $101–$107 | varies |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$79–$119 | $88–$132 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $40 | $44 | 1.4× |
| Level ii surg pathology grossµscopic exam (88302) | $83 | $92 | 2.2× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $684 | $760 | 1.9× |
| Lipase (83690) | $56 | $62 | 8.1× |
| Lipoprotein A (83695) | $86 | $96 | 6.0× |
| Lithium (80178) | $52 | $58 | 7.9× |
| Luteinizing Hormone (Lh) (83002) | $145 | $161 | 7.8× |
| Lyme disease antibody (86618) range across 5 matching MRF lines |
$55–$129 | $61–$143 | varies |
| M. Genitalium Amp Probe (87563) | $104 | $115 | 3.0× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$48–$79 | $53–$88 | varies |
| Mercury urine (83825) | $46 | $51 | 2.8× |
| Methylmalonic acid serum (83921) | $124 | $138 | 5.8× |
| Microalbumin, quantitative (82043) | $47 | $52 | 8.1× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$113–$143 | $125–$159 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $164 | $182 | 2.5× |
| Mumps antibody (86735) | $42 | $47 | 3.2× |
| Muscle-Specific Kinase Antb (86366) | $441 | $490 | 24.0× |
| Mycophenolic Acid (80180) | $109 | $121 | 6.0× |
| Mycoplasma antibody (86738) | $140 | $156 | 10.6× |
| Natriuretic peptide (83880) | $257 | $286 | 6.5× |
| Neutralization Test Viral (86382) | $112 | $124 | 6.6× |
| Nfct ds bv&vaginitis DNA alg (81515) | $175 | $194 | 0.7× |
| Niacin (84591) | $111 | $123 | 6.5× |
| Nuclear antigen antibody (86235) | $190 | $211 | 10.6× |
| Occult blood feces (82272) | $34 | $38 | 8.0× |
| Occult Blood Other Sources (82271) | $28 | $31 | 5.3× |
| Organic acids urine (83918) | $176 | $196 | 7.5× |
| Osmolality serum (83930) | $52 | $58 | 7.9× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$56–$87 | $62–$97 | varies |
| Ova and parasites smears (87177) | $70 | $78 | 7.9× |
| Oxalate urine (83945) | $96 | $107 | 6.6× |
| Phenobarbital Level (80184) | $89 | $99 | 5.8× |
| Phenytoin (Dilantin) (80185) range across 3 matching MRF lines |
$77–$107 | $85–$119 | varies |
| Phenytoin free (80186) | $107 | $119 | 7.8× |
| Phosphatase alkaline (84075) | $41 | $46 | 7.9× |
| Phosphorus Serum (84100) | $38 | $42 | 8.0× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$41–$42 | $45–$47 | varies |
| Platelet count automated (85049) | $36 | $40 | 8.0× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$34–$36 | $38–$40 | varies |
| Prealbumin (84134) | $42 | $47 | 2.9× |
| Primidone (80188) | $123 | $137 | 7.4× |
| Procalcitonin (Pct) (84145) | $229 | $254 | 8.4× |
| Progesterone (84144) | $77 | $85 | 3.7× |
| Prolactin (84146) | $69 | $77 | 3.6× |
| Prostaglandin (84150) | $301 | $334 | 7.2× |
| Protein C Activity (85303) | $54 | $60 | 3.9× |
| Protein c antigen (85302) | $43 | $48 | 3.6× |
| Protein Electrophoresis Urine (84166) | $102 | $113 | 5.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $86 | $95 | 8.0× |
| Protein S Free (85306) | $101 | $112 | 6.6× |
| Protein s total (85305) | $92 | $102 | 7.9× |
| Protein total serum (84155) | $31 | $34 | 8.4× |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$27–$29 | $30–$32 | varies |
| PSA free (84154) | $29 | $32 | 1.6× |
| Pth Intact (83970) | $62 | $69 | 1.5× |
| Q Fever Antibody (86638) | $36 | $40 | 3.0× |
| Quantiferon tb gold plus (86480) | $164 | $182 | 2.6× |
| Quantitative assay drug (80299) | $199 | $221 | 10.7× |
| Quantitative Screen Metals (83018) | $233 | $259 | 10.6× |
| Rbc antibody identification (86870) | $480 | $533 | 1.3× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$100–$101 | $111–$112 | varies |
| Reagent Strip/Blood Glucose (82948) | $27 | $30 | 5.4× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$55–$77 | $61–$86 | varies |
| Rh (86901) | $42 | $47 | 14.0× |
| Rheumatoid factor quant (86431) | $21 | $23 | 3.7× |
| Rickettsia antibody (86757) | $140 | $156 | 7.2× |
| Rotavirus ag eia (87425) | $107 | $119 | 8.9× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$33–$34 | $37–$38 | varies |
| Rsv Assay W/Optic (87807) | $112 | $124 | 8.5× |
| Rubella Antibody (86762) | $112 | $124 | 7.8× |
| Salicylate Level (80179) | $57 | $63 | 3.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $128 | $142 | 2.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $197 | $219 | 1.4× |
| Sedimentation rate (85651) | $30 | $33 | 7.0× |
| Semen Anal Sperm Detection (89321) | $89 | $99 | 7.4× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$55–$109 | $61–$121 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$49–$77 | $54–$85 | varies |
| Skin test tuberculosis intradermal (86580) | $32 | $35 | 1.1× |
| Smear acid fast (87206) | $54 | $60 | 10.0× |
| Smear gram stain (87205) | $33 | $37 | 7.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $39 | $43 | 6.7× |
| Sodium Serum (84295) | $41 | $45 | 8.5× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$39–$41 | $43–$45 | varies |
| Somatomedin (84305) | $147 | $163 | 6.9× |
| Special Stains Group 1 (88312) | $284 | $316 | 5.3× |
| Special Stains Group 2 (88313) | $230 | $255 | 1.7× |
| Specific gravity body fluid (84315) | $20 | $22 | 6.1× |
| Specimen infect agnt concntj (87015) | $67 | $74 | 10.0× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $59 | $65 | 0.3× |
| Stone Analysis (82355) | $92 | $102 | 7.9× |
| Strep a assay w/optic (87880) | $106 | $118 | 6.4× |
| Surg path level iii (88304) | $101 | $112 | 1.9× |
| Surgical pathology level IV (88305) | $112 | $124 | 2.1× |
| Surgical pathology level vi (88309) | $974 | $1,082 | 1.2× |
| T3 Free (84481) | $50 | $56 | 3.0× |
| T3 reverse (84482) | $111 | $123 | 7.0× |
| T3 Total (84480) | $110 | $122 | 7.8× |
| T4 Free (84439) | $73 | $81 | 8.1× |
| T4 total (84436) | $56 | $62 | 8.2× |
| Tacrolimus (80197) | $107 | $119 | 7.8× |
| Tb ag response t-cell susp (86481) | $155 | $172 | 1.6× |
| Test for acetone/ketones (82009) | $38 | $42 | 8.4× |
| Testosterone total (84403) | $90 | $100 | 3.5× |
| Testosterone, Free (84402) | $197 | $219 | 7.7× |
| Theophylline (80198) | $110 | $122 | 7.8× |
| Thyroglobulin (84432) | $120 | $133 | 7.5× |
| Thyroglobulin Antibody (86800) | $43 | $48 | 2.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$29–$38 | $32–$42 | varies |
| Tobramycin peak (80200) | $126 | $140 | 7.8× |
| Topiramate (80201) | $93 | $103 | 7.8× |
| Transferase Aspartate Amino Ast Sgot (84450) | $41 | $46 | 7.9× |
| Transferrin (84466) | $101 | $112 | 7.9× |
| Trichomonas vagin dir probe (87660) | $74 | $82 | 3.7× |
| Trichomonas Vaginalis Amplif (87661) | $141 | $157 | 4.0× |
| Triglycerides (84478) | $47 | $52 | 8.2× |
| Troponin Quant (84484) | $133 | $148 | 10.7× |
| Uric acid other source (84560) | $39 | $43 | 7.7× |
| Urinalysis Microscopic Only (81015) | $20 | $22 | 6.6× |
| Urinalysis Volume Measure (81050) | $25 | $28 | 6.9× |
| Urine Bacteria Culture (87088) | $59 | $66 | 7.3× |
| Urine Pregnancy Test (81025) | $57 | $63 | 6.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $62 | $69 | 19.6× |
| Valproic acid (80164) | $122 | $136 | 9.0× |
| Vancomycin (80202) | $104 | $116 | 7.7× |
| Varicella-zoster antibody (86787) | $101 | $112 | 7.8× |
| Vasopressin (84588) | $375 | $417 | 11.0× |
| Viral Culture (87252) | $203 | $225 | 7.8× |
| Virus antibody nos (86790) | $88 | $98 | 6.8× |
| Viscosity serum (85810) | $41 | $45 | 3.5× |
| Vit D 1 25-Dihydroxy (82652) | $79 | $88 | 2.1× |
| Vitamin A (84590) | $46 | $51 | 4.0× |
| Vitamin b-12 (82607) | $99 | $110 | 6.6× |
| Vitamin B6 (84207) | $60 | $67 | 2.1× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$219–$221 | $243–$246 | varies |
| Vitamin E (84446) | $89 | $99 | 6.3× |
| West nile virus ab igm (86788) | $102 | $113 | 6.1× |
| Zinc (84630) | $41 | $46 | 3.6× |
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.