Lab & pathology prices at Southeast Georgia Health System-Brunswick Campus

Brunswick, GA · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) — $68.37 —
5 Nucleotidase (83915) — $122.35 —
Acth (82024) — $88.10 —
Acute hepatitis panel (80074) — $288.70 —
Acylcarnitines Quant (82017) — $135.30 —
Adenovirus antibody (86603) — $152 —
Agglutinins Febrile Each Antigen (86000) — $102.56 —
Albumin Fluid (82042) — $42.06 —
Albumin serum (82040) — $98 —
Aldolase (82085) — $107.35 —
Aldosterone urine (82088) — $144.02 —
Alkaline phosphatase isoenzymes (84080) — $15 —
Allergen specific ige (86003) — $68 —
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
— $53–$68 —
Alpha-1-antitrypsin phenotype (82104) — $157.76 —
Alpha-1-antitrypsin total (82103) — $283.06 —
Alpha-Fetoprotein Serum (82105) — $181.13 —
Alt (sgpt) (84460) — $59.78 —
Aluminum (82108)
range across 2 matching MRF lines
— $47.18–$167.48 —
Amikacin trough (80150) — $207.50 —
Amino Acids 1 Quantitative Each Specimen (82131) — $292 —
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) — $270.93 —
Aminolevulinic acid (ala) (82135) — $44.48 —
Ammonia (82140) — $136.41 —
Amniotic fluid protein test on cervicovaginal fluid (84112) — $498.09 —
Amylase urine (82150) — $55.42 —
Ana Titer (86039) — $123.29 —
Anca Titer Each Antibody (86037) — $51 —
Androstenedione (82157) — $304.64 —
Angiotensin converting enzyme csf (82164) — $206 —
Antibody aspergillus (86606) — $118.42 —
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) — $173 —
Antibody Cytomegalovirus Cmv Igm (86645) — $179.19 —
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) — $130.61 —
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) — $147.30 —
Antibody Fungus Not Elsewhere Specified (86671) — $179 —
Antibody Herpes Smplx Type 1 (86695) — $95 —
Antibody htlv/HIV antibody confirmatory test (86689) — $169.71 —
Antibody identification leukocyte antibodies (86021) — $215 —
Antibody Identification Platelet Immunogl Assay (86023) — $85.43 —
Antibody john cunningham virus (86711) — $1,704 —
Antibody Protozoa Nes (86753) — $154.72 —
Antibody Titer (86886) — $159 —
Antibody Treponema Pallidum (86780) — $159.64 —
Antibody; campylobacter (86625) — $161.92 —
Antibody; encephalitis, st. louis (86653) — $104.96 —
Antigen typing (86905) — $100.53 —
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) — $26.39 —
Antinuclear antibodies (86038) — $118.77 —
Antistreptolysin o titer (86060) — $91.81 —
Antithrombin iii activity (85300) — $313 —
Antithrombin iii antigen (85301) — $270 —
Apolipoprotein a1 (82172) — $82 —
Arsenic (82175)
range across 2 matching MRF lines
— $128.04–$196.70 —
Aspergillus ag eia (87305) — $295.04 —
Assay activated protein c (85307) — $198.62 —
Assay Blood Carbon Dioxide (82374) — $59.97 —
Assay Nephelometry Not Spec (83883) — $142.24 —
Assay of 5-hiaa (83497) — $98.62 —
Assay of blood/uric acid (84550) — $53.54 —
Assay of calcium in urine (82340) — $74.20 —
Assay of estrone (82679) — $585 —
Assay of g6pd enzyme (82955) — $84.80 —
Assay of gammaglobulin igm (82784)
range across 2 matching MRF lines
— $82.97–$156 —
Assay of lactic acid (83605) — $130.80 —
Assay of metanephrines (83835) — $292.28 —
Assay of proinsulin (84206) — $284.26 —
Assay of pyruvate (84210) — $43.41 —
Assay of serotonin (84260) — $341.38 —
Assay of serum potassium (84132) — $70.27 —
Assay of sweat sodium (84302) — $104.36 —
Assay of urea nitrogen (84520) — $44.98 —
Assay of urine vma (84585) — $205.42 —
Assay of vasoactive intestinal peptide (84586) — $68.37 —
Assay of vitamin b-1 (84425) — $238.13 —
Assay Ph Body Fluid Nos (83986) — $49.04 —
Automated Leukocyte Count (85048) — $33.88 —
Bartonella antibody (86611) — $88 —
Bcr/abl1 gene major bp (81206) — $575 —
Bcr/abl1 gene minor bp (81207) — $276.36 —
Beta 2 glycoprotein i antibody each (86146) — $213 —
Beta hydroxybutyrate (82010) — $115.96 —
Beta Lactamase (87185) — $37.79 —
Beta-2 Microglobulin (82232) — $176.19 —
Bilirubin direct (82248) — $58.34 —
Bilirubin total (82247) — $61.90 —
Blastomyces antibody (86612) — $120.44 —
Bld Typing Serologic Rh Phnt (86906) — $320.01 —
Blood Count Automated Differential Wbc Count (85004) — $20.14 —
Blood count reticulocyte automated (85045) — $47.99 —
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) — $41.16 —
Blood gas (82803) — $246.70 —
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) — $39.56 —
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 2 matching MRF lines
— $104.90–$115 —
Blood Typing Antigen Screen Patient Serum/Unit (86904) — $161.92 —
Blood typing serologic abo (86900) — $122 —
Brucella antibody (86622) — $95 —
C diff amplified probe (87493) — $197.94 —
C-Peptide (84681) — $232 —
C-reactive protein (86140) — $59.48 —
Ca 19-9 (86301) — $253.54 —
Cadmium (82300) — $39.58 —
Calcitonin (82308) — $306.67 —
Calcium ionized (82330) — $187.48 —
Calcium total (82310)
range across 2 matching MRF lines
— $15–$58.38 —
Calculus Spectroscopy (82365) — $146.44 —
Calprotectin Fecal (83993) — $290.07 —
Cancer Antigen 125 (86304) — $231.59 —
Cancer Antigen 27.29 (86300) — $212.90 —
Candida antibody (86628) — $81.56 —
Carbamazepine free (80157) — $121.14 —
Carbamazepine total (80156) — $228 —
Carboxyhemoglobin (82375) — $54.62 —
Carcinoembryonic antigen (82378) — $190.50 —
Cardiolipin ab iga (86147) — $148.79 —
Carnitine Quantitative Each Specimen (82379) — $195.90 —
Carotene (82380) — $94.75 —
Catecholamines fractionated (82384)
range across 2 matching MRF lines
— $273.31–$294.67 —
Ccp antibody (86200) — $141.80 —
Cell count csf (89051) — $59.24 —
Ceruloplasmin (82390) — $125.74 —
Cftr gene com variants (81220) — $493 —
Chlamydia antibody (86631) — $65.72 —
Chlamydia trachomatis ag if (87270) — $204.51 —
Chloride Serum (82435) — $75 —
Chloride urine (82436) — $67.31 —
Cholesterol total (82465) — $48.57 —
Chorionic gonadotropin test (84702) — $248 —
Chrmsm Analysis Addl Karyotyp Each Study (88280) — $210.49 —
Chromium serum (82495) — $95.24 —
Chromogranin a (86316) — $414 —
Chromosome Analysis 20-25 (88264) — $622.81 —
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) — $181.34 —
Citric acid urine (82507) — $287.85 —
Clostridium Difficile (87324) — $125.77 —
Clot factor xiii fibrin stab (85290) — $159.53 —
Clotting factor xii hageman (85280) — $257.87 —
Clotting Funct Activity (85397) — $521.73 —
Coagulation time activated (85347) — $55.99 —
Coccidioides antibody (86635) — $59 —
Cold agglutinin titer (86157) — $14.41 —
Collagen crosslinks (82523) — $202 —
Column Chromotography Quant (82542) — $374 —
Compatibility test antiglob (86922) — $163 —
Complement Antigen Each Component (86160) — $124.12 —
Complement Total (Ch50) (86162) — $227.25 —
Complement/Function Activity (86161) — $92.70 —
Coombs direct (86880) — $59 —
Copper urine (82525) — $128.45 —
Cortisol free (82530)
range across 2 matching MRF lines
— $57.12–$208.49 —
Cortisol saliva (82533) — $208.49 —
Creatine kinase total (82550)
range across 2 matching MRF lines
— $56.68–$140.32 —
Creatinine blood (82565) — $62.67 —
Creatinine clearance (82575) — $110.09 —
Creatinine Urine (82570) — $57.12 —
Crossmatch immediate spin (86920) — $107.36 —
Crp High Sensitivity (86141) — $124.20 —
Cryofibrinogen (82585) — $86.35 —
Cryoglobulin (82595) — $65.74 —
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
— $40.58–$84.84 —
Cryptosporidium ag eia (87328) — $102.44 —
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) — $98.51 —
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) — $290 —
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) — $103.52 —
Culture afb (87116) — $83.59 —
Culture Anaerobic (87075) — $108.76 —
Culture blood (87040) — $90.37 —
Culture chlamydia (87110) — $269.87 —
Culture csf (87070) — $94.41 —
Culture fungus (87102) — $96.17 —
Culture fungus blood (87103) — $125.94 —
Culture screen only (87081) — $88.59 —
Culture stool (87045) — $52.72 —
Culture Typing Immunologic Oth/Thn Immunofluores (87147) — $59.21 —
Culture urine (87086) — $59.56 —
Cyanide (82600) — $91.70 —
Cyclosporine (80158) — $92.62 —
Cystatin C (82610) — $116.52 —
Cytomegalovirus igg (86644) — $187 —
Cytopath Cell Enhance Tech (88112) — $94.72 —
Cytp Concentration Smears & Interpretation (88108) — $133.62 —
Cytp Eval Fine Needle Aspirate Interp & Report (88173) — $154.72 —
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) — $212.82 —
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) — $105.54 —
Cytp Smrs Any Oth Src Scr&Interpj (88160) — $52.78 —
Deoxycortisol (82634) — $75.26 —
Deoxyribonuclease antibody (86215) — $153.12 —
Desoxycorticosterone (82633) — $805 —
Detect Agent Nos Dna Amp (87798) — $500.06 —
Detect Agent Nos Dna Quant (87799) — $332.55 —
Detect agnt mult DNA ampli (87801)
range across 2 matching MRF lines
— $321.48–$373 —
Dhea (82626) — $262.67 —
Dhea-S (82627) — $267 —
Digoxin (80162) — $171.07 —
Dihydrotestosterone (82642) — $56.37 —
Diphtheria antitoxoid (86648) — $185.90 —
Dna Antibody Native/Double Stranded (86225) — $165.21 —
Dna/Rna Amplified Probe (87150) — $255.59 —
Dna/Rna Sequencing (87153) — $261 —
Drug Assay Amiodarone (80151) — $157.89 —
Drug Screen Quant Clozapine (80159) — $43.18 —
Drug Screen Quant Zonisamide (80203) — $122.33 —
Drug Screen Quantitative Gabapentin (80171) — $82.75 —
Drug Screen Quantitative Lamotrigine (80175) — $91.55 —
Drug Screen Quantitative Levetiracetam (80177) — $84.94 —
Drug Screen Quantitative Oxcarbazepine (80183) — $93.89 —
Drug Test Prsmv Chem Anlyzr (80307) — $290 —
Drug Test Prsmv Dir Opt Obs (80305) — $109.41 —
Drug Test Prsmv Instrmnt (80306) — $204 —
Egfr Gene Analysis Common Variants (81235) — $882.76 —
Ehrlichia antibody (86666) — $121 —
El-1 Fecal Quantitative (82653) — $465.71 —
Electrolyte panel (80051) — $65.80 —
Endomysial Antibody Each Immunoglobulin Class (86231) — $59 —
Enterovirus Antibody (86658) — $230.29 —
Enterovirus PCR (87498) — $647 —
Erythropoietin (82668) — $203.81 —
Estradiol serum (82670) — $166 —
Estrogen total (82672) — $177.50 —
Ethosuximide (80168) — $113.95 —
Ethylene Glycol (82693) — $206.30 —
Exam Synovial Fluid Crystals (89060) — $89.01 —
F2 Gene (81240) — $303 —
Factor ii activity (85210) — $158.93 —
Factor Inhibitor Test (85335) — $283.66 —
Factor ix activity (85250) — $141.93 —
Factor v activity (85220) — $140.93 —
Factor v leiden mutation (81241) — $433 —
Factor vii assay (85230) — $189.51 —
Factor viii assay (85240) — $389 —
Factor X (85260) — $249.47 —
Factor xi activity (85270) — $189.51 —
Fat stain feces urine/respir secretions (89125) — $33.28 —
Fat/Lipids Feces Quantitative (82710) — $101.35 —
Fatty acids free (82725) — $96.58 —
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) — $118.73 —
Ferritin (82728) — $143.82 —
Fetal Congenital Abnor Assay Four Anal (81511) — $181.13 —
Fetal Fibronectin (82731) — $783.56 —
Fetal screen rosette (85461) — $87.69 —
Fibrin Degradation Quant (85379) — $140.63 —
Fibrinogen activity (85384) — $118.25 —
Flecainide level (80181) — $110.35 —
Flow cytometry first marker (88184) — $402.80 —
Fluorescent antibody screen (86255)
range across 2 matching MRF lines
— $142.98–$236.02 —
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) — $142.98 —
Folic acid rbc (82747) — $188.27 —
Folic Acid Serum (82746) — $144.28 —
Follicle Stimulating Hormone (83001) — $207 —
Frozen Section (88331) — $212.82 —
Fungi Identification Mold (87107) — $109.73 —
Fungi Identification Yeast (87106) — $132.14 —
Galactose-1-Phosphate Uridyl Transferase Quan (82775) — $457.57 —
Gammaglobulin ige (82785) — $174.70 —
Gases Blood O2 Saturation Only Direct Meas (82810) — $49.79 —
Gastrin (82941) — $184.71 —
Genet Virus Isolate Hsv (87255) — $262 —
Gentamicin (80170) — $224.47 —
Ggt (82977) — $68.64 —
Giardia antigen (87329) — $106.25 —
Glucagon (82943) — $194.91 —
Glucose 2 hr pp (82950) — $148 —
Glucose Blood Test (82962) — $21.45 —
Glucose body fluid (82945) — $79.33 —
Glucose Serum (82947) — $43.04 —
Glucose tolerance test (gtt) (82951) — $213 —
Glycated Protein (82985) — $110.94 —
Gonadotropin Chorionic Qualitative (84703) — $73 —
Growth hormone (83003) — $209 —
Gtt-added samples (82952) — $42.05 —
H Pylori (C-13) Breath (83013) — $228.30 —
Haloperidol (80173) — $213 —
Haptoglobin (83010) — $50 —
Hdl Cholesterol (83718) — $223 —
Helicobacter Pylori Stool (87338) — $149.93 —
Hematocrit (85014) — $20.16 —
Hemoglobin (85018) — $19.90 —
Hemoglobin a1c (83036) — $51.88 —
Hemoglobin Chromotography (83021) — $16.19 —
Hemoglobin electrophoresis (83020) — $221 —
Hemoglobin Methemoglobin Quantitative (83050) — $49.79 —
Hemoglobin plasma (83051) — $97.15 —
Hemoglobin urine (83069) — $38.37 —
Hep a ab igm (86709) — $129 —
Heparin assay (85520) — $200.76 —
Hepatitis a antibody total (86708) — $139.14 —
Hepatitis b core ab igm (86705) — $152 —
Hepatitis b core ab total (86704) — $138.48 —
Hepatitis B Surface Antibody (86706) — $81.09 —
Hepatitis B Surface Antigen (87340) — $66.84 —
Hepatitis Be Antibody (86707) — $126.80 —
Hepatitis Be Antigen (87350) — $128.90 —
Hepatitis C Antibody (86803) — $185 —
Hepatitis C Genotype (87902) — $342.87 —
Hepatitis C Revrs Trnscrpj (87522) — $487.49 —
Hepatitis Delta Agent Antibody (86692) — $33.22 —
Herpes simplex type 2 (86696) — $129 —
Heterophile Antibody Screen (86308) — $200 —
Hfe Gene (81256) — $487 —
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) — $32.99 —
Histamine urine (83088) — $200.13 —
Histoplasma antibody (86698) — $121.35 —
Histoplasma antigen urine (87385) — $402 —
Hiv Genotype (87901) — $911 —
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) — $163 —
Hiv-1 Antibody (86701) — $128 —
Hiv-1 Quant&Revrse Trnscrpj (87536) — $586.98 —
Hla ii typing 1 locus lr (81376) — $257 —
Hla-b27 (86812) — $173 —
Homocysteine (83090) — $106.30 —
Homogenization Tissue (87176) — $77.41 —
Homovanillic acid urine (83150) — $38.61 —
Hsv Dna Amp Probe (87529) — $273.52 —
Hydroxyprogesterone 17-d (83498) — $280.66 —
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) — $126.53 —
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) — $67.02 —
Iaad ia shiga-like toxin (87427) — $100.38 —
Iadna Cytomegalovirus Quantification (87497) — $387.39 —
Iadna Hepatitis B Virus Quantification (87517) — $206.30 —
Iadna HIV-1 amplified probe & reverse transcrpj (87535) — $739.24 —
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) — $361 —
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) — $476.15 —
Iadna-Dna/Rna Probe Tq 6-11 (87506) — $698 —
Igg subclasses (82787) — $34.38 —
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) — $406.40 —
Immune Complex Assay (86332) — $184.71 —
Immunfix e-phorsis/urine/csf (86335) — $316.82 —
Immunoassay Analyte Quant Radioimmunoassay (83519) — $196.70 —
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines
— $26.63–$101 —
Immunoassay nonantibody (83516) — $321 —
Immunodiffusion Ouchterlony (86331) — $53.49 —
Immunofixation electrophoresis (86334) — $229.09 —
Immunofluorescence per spec 1st singl antb stain (88346) — $240.23 —
Immunohistochemistry (88342) — $212.73 —
In situ hybridization 1st probe stain (88365) — $216.64 —
Influenza assay w/optic (87804) — $79.03 —
Inhibin A (86336) — $59.97 —
Inhibin b (83520) — $568 —
Insulin antibodies (86337) — $279 —
Insulin total (83525) — $132 —
Intrinsic factor antibody (86340) — $150.30 —
Iron (83540) — $187 —
Iron Binding Capacity (83550) — $98.74 —
Irradiation Blood Product Each Unit (86945) — $106.50 —
Islet cell antibody (86341)
range across 2 matching MRF lines
— $196.70–$214.39 —
Jak2 gene analysis p.val617phe variant (81270) — $568.87 —
Koh Prep (87220) — $46.78 —
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
— $73.99–$158.31 —
Lactoferrin fecal qualitative (83630) — $140.42 —
LDL direct (83721) — $57.66 —
Lead (83655) — $126 —
Legionella antibody (86713) — $289.06 —
Legionella antigen urine (87449) — $64.87 —
Leukocyte Assessment Fecal (89055) — $26.53 —
Level I Surg Pathology Gross Examination Only (88300) — $52.76 —
Level ii surg pathology gross&microscopic exam (88302) — $94.75 —
Level V Surg Pathology Gross&Microscopic Exam (88307) — $343 —
Lidocaine (80176) — $202.69 —
Lipase (83690) — $64.15 —
Lipoprotein A (83695) — $134.34 —
Lithium (80178) — $86.10 —
Luteinizing Hormone (Lh) (83002) — $211 —
Lyme disease antibody (86618) — $217 —
Lysozyme serum (85549) — $44.53 —
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) — $676.25 —
M/phmtrc alys ishquant/semiq (88374) — $679.54 —
Magnesium Urine (83735) — $85.87 —
Mercury urine (83825) — $245 —
Methotrexate (80204) — $110.35 —
Methylmalonic acid serum (83921) — $181.89 —
Microalbumin, quantitative (82043) — $67.35 —
Microsomal Antibodies Each (86376) — $160 —
Mitochondrial Antibody Each (86381) — $18 —
Mopath procedure level 4 (81403) — $666.36 —
Mrsa Pcr (87641) — $218.10 —
Mthfr Gene Analysis Common Variants (81291) — $438.13 —
Mumps antibody (86735) — $132.08 —
Mycobacteric Identification (87118) — $44 —
Mycophenolic Acid (80180) — $286.66 —
Mycoplasma antibody (86738) — $163 —
Myelin basic protein csf (83873) — $41.42 —
Myoglobin urine (83874) — $164.86 —
Natriuretic peptide (83880) — $313.88 —
Neutralization Test Viral (86382) — $119.94 —
Nuclear antigen antibody (86235) — $206 —
Occult blood feces (82272) — $39.03 —
Oligoclonal bands (83916) — $245.88 —
Organic Acids Qualitative Each Specimen (83919) — $471.97 —
Osmolality serum (83930) — $85.69 —
Osmolality Urine (83935) — $88.52 —
Ova and parasites smears (87177) — $92.51 —
Oxalate urine (83945) — $134.34 —
Particle Agglut Antbdy Titr (86406) — $152.32 —
Particle Agglutination Screen Each Antibody (86403) — $129.90 —
Parvovirus antibody (86747) — $195.50 —
Path Consltj Surg Cytologic Exam Initial Site (88333) — $820.64 —
Ph urine (81003) — $18.12 —
Phenobarbital Level (80184) — $136.82 —
Phenytoin (Dilantin) (80185) — $172.78 —
Phenytoin free (80186) — $159.92 —
Phosphatase alkaline (84075)
range across 2 matching MRF lines
— $58.36–$118.72 —
Phospholipid Neutralization Hexagonal (85598) — $51.94 —
Phosphorus Serum (84100) — $53.88 —
Phosphorus urine (84105) — $45.17 —
Pinworm exam (87172) — $53.32 —
Platelet Aggregation (85576) — $208 —
Platelet Antibodies (86022) — $245.44 —
Platelet count automated (85049) — $64.41 —
Platelet neutralization (85597) — $196.31 —
Porphyrins Urine Quantitation & Fractionation (84120) — $101.95 —
Potassium Urine (84133) — $59.55 —
Prealbumin (84134) — $179.56 —
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) — $185 —
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) — $195.50 —
Primidone (80188) — $186 —
Procalcitonin (Pct) (84145) — $185.02 —
Progesterone (84144) — $396 —
Prolactin (84146) — $264 —
Protein body fluid (84157) — $64.19 —
Protein C Activity (85303) — $214 —
Protein c antigen (85302) — $284 —
Protein Electrophoresis Urine (84166) — $187.28 —
Protein Electrophoretic Fractj&Quantj Serum (84165) — $110.28 —
Protein S Free (85306) — $67.84 —
Protein s total (85305) — $289 —
Protein total serum (84155) — $49.10 —
Protein Total Urine (84156) — $42.99 —
Prothrombin Time Substitution Plasma Frctj Each (85611) — $62.84 —
PSA free (84154) — $231 —
Pth Intact (83970) — $181.19 —
Q Fever Antibody (86638) — $158 —
Quantiferon tb gold plus (86480) — $83.56 —
Quantitative assay drug (80299)
range across 3 matching MRF lines
— $110.35–$285.95 —
Quantitative Screen Metals (83018) — $158.68 —
Rbc antibody elution (86860) — $163 —
Rbc antibody identification (86870) — $343 —
Rbc antibody screen (86850) — $63.61 —
Rbc pretreatment serum (86978) — $203.90 —
Rbc pretx incubatj w/enzymes (86971) — $31.17 —
Renin activity plasma (84244) — $84.88 —
Resp virus 12-25 targets (87633) — $1,208.01 —
Resp Virus 6-11 Targets (87632) — $698.61 —
Reticulocyte separation (86972) — $301.04 —
Rh (86901) — $39 —
Rheumatoid factor quant (86431) — $66.33 —
Rickettsia antibody (86757) — $169 —
Ristocetin cofactor (85245) — $414.48 —
Rotavirus ag eia (87425) — $44.01 —
Rpr qualitative (86592) — $79 —
Rsv Assay W/Optic (87807) — $112.19 —
Rubella Antibody (86762) — $105.12 —
Rubeola antibody (86765) — $130.89 —
Russell Viper Venom Time Diluted (85613) — $101.95 —
Salmonella antibody (86768) — $106.75 —
Sars-Cov-2 Covid-19 Amp Prb (87635) — $173 —
Sarscov2&inf a&b&rsv amp prb (87637) — $197.92 —
Sedimentation Rate, Automated (85652) — $20.99 —
Selenium (84255) — $686 —
Semen Anal Sperm Detection (89321) — $165 —
Sensitivity mic (87186) — $72.68 —
Serpina 1 gene (81332) — $381.60 —
Sex Hormone Binding Globulin (84270) — $148.72 —
Sickling of rbc reduction (85660) — $61.07 —
Sirolimus (80195) — $129.54 —
Skin test tuberculosis intradermal (86580) — $51.37 —
Smear acid fast (87206) — $55.06 —
Smear gram stain (87205) — $31.32 —
Smear Special Stain (87207)
range across 2 matching MRF lines
— $50.17–$79.68 —
Smr Prim Src Wet Mount Nfct Agt (87210) — $46.72 —
Sodium Serum (84295) — $66.82 —
Sodium Urine (84300) — $48.07 —
Soluble Transferrin Receptor (84238) — $465.05 —
Somatomedin (84305) — $88.89 —
Special Stains Group 1 (88312) — $128.33 —
Special Stains Group 2 (88313) — $100.74 —
Specimen infect agnt concntj (87015) — $79.68 —
Spectrophotometry (84311) — $115.55 —
Staph a DNA amp probe (87640) — $180.76 —
Stool cultr aerobic bact ea (87046) — $60.87 —
Strep a assay w/optic (87880) — $82.57 —
Strep b DNA amp probe (87653) — $115 —
Sugars Single Qual (84376) — $19.79 —
Surg path level iii (88304) — $121.19 —
Surgical pathology level IV (88305) — $154.65 —
Surgical pathology level vi (88309) — $820.64 —
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 2 matching MRF lines
— $14.41–$47.98 —
Susceptibility Study Antimicrobial Disk Method (87184) — $16.79 —
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) — $47.98 —
T Cells Absolute Cd4&Cd8 Count Ratio (86360) — $217.93 —
T3 Free (84481) — $113.06 —
T3 reverse (84482) — $178 —
T3 Total (84480) — $42.59 —
T3 Uptake (84479) — $29.97 —
T4 Free (84439) — $71.03 —
T4 total (84436) — $43.56 —
Tacrolimus (80197) — $217.47 —
Tb ag response t-cell susp (86481) — $100 —
Test for acetone/ketones (82009) — $27.39 —
Testosterone total (84403) — $239 —
Testosterone, Free (84402) — $160 —
Tetanus antibody (86774) — $59.97 —
Theophylline (80198) — $186.51 —
Thiopurine methyltransferase (84433) — $430 —
Thrombin Time (85670) — $75.44 —
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) — $65.06 —
Thyroglobulin (84432) — $50.12 —
Thyroglobulin Antibody (86800) — $35.76 —
Thyroid Stimulating Immunoglobulin (84445) — $249 —
Thyroxine binding globulin (84442) — $195 —
Tissue Culture (88233) — $327.43 —
Tissue culture bone marrow (88237) — $862.66 —
Tissue Culture Lymphocyte (88230) — $371.22 —
Tobramycin peak (80200) — $209.89 —
Topiramate (80201) — $216 —
Toxin/Antitoxin Assay Tissue Culture (87230) — $227.89 —
Toxoplasma ab igm (86778) — $132.31 —
Toxoplasma antibody (86777) — $40.89 —
Transferase Aspartate Amino Ast Sgot (84450) — $60.47 —
Transferrin (84466) — $138.09 —
Trichomonas Vaginalis Amplif (87661) — $256 —
Triglycerides (84478) — $69.82 —
Troponin Quant (84484) — $88.44 —
Tumor immunohistochem/comput (88361) — $343 —
Tumor Immunohistochem/Manual (88360) — $212.57 —
Unlisted miscellaneous pathology test (89240) — $93.96 —
Unlisted Transfusion Medicine Procedure (86999) — $301.04 —
Urea Nitrogen Clearance (84545) — $88.56 —
Urea nitrogen urine (84540) — $65.95 —
Uric acid other source (84560) — $62.36 —
Urinalysis Volume Measure (81050) — $57 —
Urine Pregnancy Test (81025) — $81.47 —
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) — $26.69 —
Valproic acid (80164) — $142.96 —
Vancomycin (80202) — $147.35 —
Varicella-zoster antibody (86787) — $19.31 —
Viral Culture (87252) — $1,473 —
Virus antibody nos (86790) — $201 —
Virus inoculation, shell via (87254)
range across 2 matching MRF lines
— $89.35–$242.13 —
Viscosity serum (85810) — $111.72 —
Vit D 1 25-Dihydroxy (82652) — $220 —
Vitamin A (84590) — $152.17 —
Vitamin b-12 (82607) — $152.63 —
Vitamin B2 (Riboflavin) (84252) — $83.95 —
Vitamin B6 (84207) — $203.16 —
Vitamin c (82180) — $76.38 —
Vitamin D 25-Hydroxy (82306) — $199 —
Vitamin E (84446) — $96.06 —
Vitamin K (84597) — $382.36 —
Von willebrand factor ag (85246) — $444 —
West nile virus ab igm (86788) — $171.24 —
Western Blot Test (84181) — $241.68 —
Zinc (84630) — $124.56 —

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.