Lab & pathology prices at St. Bernards Five Rivers Medical Center
Pocahontas, AR · every code in this section with a posted price and a Medicare benchmark.
582 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 2 matching MRF lines |
$27–$45 | $30–$50 | varies |
| Acetylcholine receptor blocking antibody (86042) range across 2 matching MRF lines |
$27–$45 | $30–$50 | varies |
| Acetylcholn Rcptr Modlg Antb (86043) range across 2 matching MRF lines |
$45–$54 | $50–$60 | varies |
| Acth (82024) | $49.50 | $55 | 1.3× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$36–$58.50 | $40–$65 | varies |
| Acute hepatitis panel (80074) | $90 | $100 | 1.9× |
| Acylcarnitines Quant (82017) range across 2 matching MRF lines |
$49.50–$279 | $55–$310 | varies |
| Agglutinins Febrile Each Antigen (86000) range across 9 matching MRF lines |
$22.50–$67.50 | $25–$75 | varies |
| Albumin Fluid (82042) range across 3 matching MRF lines |
$13.50–$18 | $15–$20 | varies |
| Albumin serum (82040) range across 4 matching MRF lines |
$13.50–$31.50 | $15–$35 | varies |
| Aldolase (82085) | $31.50 | $35 | 3.2× |
| Aldosterone urine (82088) | $76.50 | $85 | 1.9× |
| Alkaline phosphatase isoenzymes (84080) | $45 | $50 | 3.0× |
| Allergen specific ige (86003) | $18 | $20 | 3.4× |
| Allg Spec Ige Recomb Ea (86008) range across 7 matching MRF lines |
$36–$58.50 | $40–$65 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $45 | $50 | 3.1× |
| Alpha-1-antitrypsin total (82103) | $40.50 | $45 | 3.0× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$27–$49.50 | $30–$55 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$13.50–$18 | $15–$20 | varies |
| Aluminum (82108) | $45 | $50 | 1.8× |
| Amikacin trough (80150) | $45 | $50 | 3.0× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$49.50–$180 | $55–$200 | varies |
| Ammonia (82140) | $27 | $30 | 1.9× |
| Amylase urine (82150) range across 3 matching MRF lines |
$22.50–$90 | $25–$100 | varies |
| Ana Titer (86039) | $36 | $40 | 3.2× |
| Anca screen each antibody (86036) | $36 | $40 | 3.0× |
| Androstenedione (82157) | $85.50 | $95 | 2.9× |
| Angiotensin converting enzyme csf (82164) | $45 | $50 | 3.1× |
| Anti-Phospholipid Antibody (86148) | $36 | $40 | 2.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $63 | $70 | 4.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $45 | $50 | 2.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $49.50 | $55 | 2.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $40.50 | $45 | 3.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $49.50 | $55 | 3.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $54 | $60 | 3.0× |
| Antibody helicobacter pylori (86677) | $45 | $50 | 2.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$31.50–$45 | $35–$50 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 5 matching MRF lines |
$27–$58.50 | $30–$65 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $54 | $60 | 3.9× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $90 | $100 | 4.7× |
| Antibody identification leukocyte antibodies (86021) range across 7 matching MRF lines |
$45–$198 | $50–$220 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) range across 3 matching MRF lines |
$40.50–$76.50 | $45–$85 | varies |
| Antibody rotavirus (86759) | $40.50 | $45 | 2.2× |
| Antibody Titer (86886) range across 2 matching MRF lines |
$166.50–$229.50 | $185–$255 | varies |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$36–$45 | $40–$50 | varies |
| Antigen typing (86905) | $333 | $370 | 86.9× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $256.50 | $285 | 44.8× |
| Antinuclear antibodies (86038) | $36 | $40 | 3.0× |
| Antistreptolysin O Screen (86063) | $18 | $20 | 3.1× |
| Antistreptolysin o titer (86060) | $31.50 | $35 | 4.3× |
| Antithrombin iii activity (85300) | $36 | $40 | 3.0× |
| Antithrombin iii antigen (85301) | $31.50 | $35 | 2.9× |
| Apolipoprotein a1 (82172) | $45 | $50 | 2.1× |
| Arsenic (82175) | $58.50 | $65 | 3.1× |
| Assay Blood Carbon Dioxide (82374) | $18 | $20 | 3.7× |
| Assay Nephelometry Not Spec (83883) | $54 | $60 | 4.0× |
| Assay of 5-hiaa (83497) | $40.50 | $45 | 3.1× |
| Assay of anti-mullerian hormone (82166) | $72 | $80 | 1.9× |
| Assay of blood/uric acid (84550) | $13.50 | $15 | 3.0× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$13.50–$18 | $15–$20 | varies |
| Assay of cpk in blood (82552) | $40.50 | $45 | 3.0× |
| Assay of estrone (82679) | $76.50 | $85 | 3.1× |
| Assay of g6pd enzyme (82955) | $31.50 | $35 | 3.2× |
| Assay of gammaglobulin igm (82784) range across 8 matching MRF lines |
$18–$27 | $20–$30 | varies |
| Assay of lactic acid (83605) | $31.50 | $35 | 2.7× |
| Assay of manganese (83785) | $72 | $80 | 2.7× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$31.50–$45 | $35–$50 | varies |
| Assay of phosphatase alkaline heat stable (84078) | $18 | $20 | 2.2× |
| Assay of proinsulin (84206) | $49.50 | $55 | 1.9× |
| Assay of pyruvate (84210) | $31.50 | $35 | 2.2× |
| Assay of serotonin (84260) | $90 | $100 | 2.9× |
| Assay of serum potassium (84132) | $13.50 | $15 | 2.8× |
| Assay of urea nitrogen (84520) | $18 | $20 | 4.6× |
| Assay of urine vma (84585) | $45 | $50 | 2.9× |
| Assay of vitamin b-1 (84425) | $63 | $70 | 3.0× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$9–$13.50 | $10–$15 | varies |
| Assay spec xcp ur&breath ia (82077) | $31.50 | $35 | 1.8× |
| Automated Leukocyte Count (85048) | $9 | $10 | 3.5× |
| Bartonella antibody (86611) | $31.50 | $35 | 3.1× |
| Bcr/abl1 gene major bp (81206) | $301.50 | $335 | 1.8× |
| Beta 2 glycoprotein i antibody each (86146) | $76.50 | $85 | 3.0× |
| Beta hydroxybutyrate (82010) | $13.50 | $15 | 1.7× |
| Beta-2 Microglobulin (82232) | $49.50 | $55 | 3.1× |
| Bile acids total (82239) | $36 | $40 | 2.1× |
| Bilirubin direct (82248) | $18 | $20 | 3.6× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$13.50–$18 | $15–$20 | varies |
| Biotinidase (82261) | $49.50 | $55 | 2.9× |
| Blastomyces antibody (86612) | $40.50 | $45 | 3.1× |
| Bld Typing Serologic Rh Phnt (86906) | $90 | $100 | 11.6× |
| Bleeding time test (85002) | $13.50 | $15 | 2.8× |
| Blood Count Red Blood Cell Automated (85041) | $9 | $10 | 3.0× |
| Blood count reticulocyte automated (85045) | $13.50 | $15 | 3.4× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $13.50 | $15 | 3.6× |
| Blood gas (82803) | $45 | $50 | 1.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $13.50 | $15 | 3.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $333 | $370 | 52.4× |
| Blood typing serologic abo (86900) | $198 | $220 | 66.2× |
| Body fluid cell count (89050) | $18 | $20 | 3.8× |
| Bordetella antibody (86615) | $63 | $70 | 4.8× |
| Braf gene analysis (81210) | $1,750.50 | $1,945 | 10.0× |
| Brucella antibody (86622) | $27 | $30 | 3.0× |
| C diff amplified probe (87493) | $67.50 | $75 | 1.8× |
| C-Peptide (84681) | $63 | $70 | 3.0× |
| C-reactive protein (86140) | $18 | $20 | 3.5× |
| Ca 19-9 (86301) | $63 | $70 | 3.0× |
| Cadmium (82300) | $67.50 | $75 | 2.9× |
| Calcitonin (82308) | $49.50 | $55 | 1.8× |
| Calcium ionized (82330) | $40.50 | $45 | 3.0× |
| Calcium total (82310) range across 2 matching MRF lines |
$13.50–$18 | $15–$20 | varies |
| Calculus Spectroscopy (82365) | $40.50 | $45 | 3.1× |
| Calprotectin Fecal (83993) | $121.50 | $135 | 6.2× |
| Cancer Antigen 125 (86304) | $63 | $70 | 3.0× |
| Cancer Antigen 27.29 (86300) | $63 | $70 | 3.0× |
| Carbamazepine total (80156) | $45 | $50 | 3.1× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$36–$85.50 | $40–$95 | varies |
| Carcinoembryonic antigen (82378) | $58.50 | $65 | 3.1× |
| Cardiolipin ab iga (86147) | $76.50 | $85 | 3.0× |
| Carnitine Quantitative Each Specimen (82379) | $49.50 | $55 | 2.9× |
| Catecholamines fractionated (82384) | $76.50 | $85 | 3.0× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$27–$54 | $30–$60 | varies |
| Ceruloplasmin (82390) | $31.50 | $35 | 2.9× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$31.50–$108 | $35–$120 | varies |
| Chlamydia antibody (86631) | $36 | $40 | 3.0× |
| Chlamydia Igm Antibody (86632) | $40.50 | $45 | 3.2× |
| Chlamydia trachomatis ag if (87270) | $40.50 | $45 | 3.4× |
| Chloride other source (82438) | $18 | $20 | 3.6× |
| Chloride Serum (82435) | $13.50 | $15 | 2.9× |
| Chloride urine (82436) | $18 | $20 | 3.1× |
| Cholesterol total (82465) | $18 | $20 | 4.1× |
| Cholinesterase rbc (82482) | $22.50 | $25 | 2.3× |
| Cholinesterase Serum (82480) | $27 | $30 | 3.4× |
| Chorionic gonadotropin test (84702) | $27 | $30 | 1.8× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $112.50 | $125 | 3.4× |
| Chromium serum (82495) | $27 | $30 | 1.3× |
| Chromogranin a (86316) | $40.50 | $45 | 1.9× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$310.50–$540 | $345–$600 | varies |
| Chromosome Analysis 20-25 (88264) | $333 | $370 | 2.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$103.50–$135 | $115–$150 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$54–$81 | $60–$90 | varies |
| Ckmb (82553) | $36 | $40 | 3.1× |
| Clostridium Difficile (87324) | $27 | $30 | 2.3× |
| Clot Factor VIII Multimetric (85247) | $99 | $110 | 4.3× |
| Clotting Funct Activity (85397) | $58.50 | $65 | 1.9× |
| Cns DNA amp probe type 12-25 (87483) | $688.50 | $765 | 1.7× |
| Coagulation time activated (85347) range across 3 matching MRF lines |
$9–$13.50 | $10–$15 | varies |
| Coccidioides antibody (86635) | $36 | $40 | 3.1× |
| Cold agglutinin titer (86157) | $27 | $30 | 3.3× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$40.50–$94.50 | $45–$105 | varies |
| Column Chromotography Quant (82542) range across 6 matching MRF lines |
$45–$135 | $50–$150 | varies |
| Compatibility test antiglob (86922) | $274.50 | $305 | 1.8× |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$22.50–$99 | $25–$110 | varies |
| Complement Total (Ch50) (86162) | $63 | $70 | 3.1× |
| Complement/Function Activity (86161) | $22.50 | $25 | 1.9× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $121.50 | $135 | 2.6× |
| Coombs direct (86880) range across 4 matching MRF lines |
$58.50–$112.50 | $65–$125 | varies |
| Copper urine (82525) | $36 | $40 | 2.9× |
| Cortisol free (82530) range across 3 matching MRF lines |
$31.50–$67.50 | $35–$75 | varies |
| Cortisol saliva (82533) range across 6 matching MRF lines |
$31.50–$49.50 | $35–$55 | varies |
| Creatine kinase total (82550) | $22.50 | $25 | 3.5× |
| Creatinine blood (82565) range across 5 matching MRF lines |
$9–$18 | $10–$20 | varies |
| Creatinine clearance (82575) | $31.50 | $35 | 3.3× |
| Creatinine Urine (82570) range across 6 matching MRF lines |
$13.50–$18 | $15–$20 | varies |
| Crossmatch immediate spin (86920) | $274.50 | $305 | 1.8× |
| Crp High Sensitivity (86141) | $63 | $70 | 4.9× |
| Cryoglobulin (82595) | $22.50 | $25 | 3.5× |
| Cryptococcal Antigen (87327) | $27 | $30 | 2.0× |
| Cryptococcus ag titer (87899) | $27 | $30 | 1.7× |
| Cryptosporidium (87272) | $27 | $30 | 2.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $27 | $30 | 3.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $31.50 | $35 | 3.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $18 | $20 | 2.3× |
| Culture afb (87116) | $31.50 | $35 | 2.9× |
| Culture Anaerobic (87075) | $27 | $30 | 2.9× |
| Culture blood (87040) | $31.50 | $35 | 3.1× |
| Culture csf (87070) | $27 | $30 | 3.1× |
| Culture fungus (87102) | $27 | $30 | 3.2× |
| Culture fungus blood (87103) | $27 | $30 | 1.3× |
| Culture screen only (87081) range across 8 matching MRF lines |
$18–$40.50 | $20–$45 | varies |
| Culture stool (87045) | $31.50 | $35 | 3.3× |
| Culture typing if ea antiserum (87140) | $49.50 | $55 | 8.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $18 | $20 | 3.5× |
| Culture urine (87086) | $27 | $30 | 3.3× |
| Cyclosporine (80158) | $54 | $60 | 3.0× |
| Cystatin C (82610) | $81 | $90 | 4.4× |
| Cytogenetics 10-30 (88273) | $148.50 | $165 | 4.3× |
| Cytogenetics 100-300 (88275) range across 4 matching MRF lines |
$126–$391.50 | $140–$435 | varies |
| Cytomegalovirus igg (86644) | $45 | $50 | 3.1× |
| Cytopath Cell Enhance Tech (88112) | $225 | $250 | 4.7× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $49.50 | $55 | 1.9× |
| Cytp Concentration Smears & Interpretation (88108) | $108 | $120 | 3.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $148.50 | $165 | 3.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $166.50 | $185 | 1.1× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $85.50 | $95 | 2.5× |
| Deoxyribonuclease antibody (86215) | $36 | $40 | 2.7× |
| Detect Agent Nos Dna Amp (87798) range across 20 matching MRF lines |
$67.50–$324 | $75–$360 | varies |
| Detect Agent Nos Dna Quant (87799) range across 6 matching MRF lines |
$81–$378 | $90–$420 | varies |
| Detect agnt mult DNA ampli (87801) | $139.50 | $155 | 2.0× |
| Dgp Antibody Each Ig Class (86258) | $40.50 | $45 | 3.4× |
| Dhea (82626) | $76.50 | $85 | 3.0× |
| Dhea-S (82627) | $67.50 | $75 | 3.0× |
| Digoxin (80162) | $40.50 | $45 | 3.0× |
| Digoxin free (80163) | $27 | $30 | 2.0× |
| Dna Antibody Native/Double Stranded (86225) | $40.50 | $45 | 2.9× |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$67.50–$81 | $75–$90 | varies |
| Drug assay acetaminophen (80143) | $31.50 | $35 | 1.7× |
| Drug Assay Everolimus (80169) | $40.50 | $45 | 2.9× |
| Drug assay felbamate (80167) | $40.50 | $45 | 2.2× |
| Drug Screen Quant Clozapine (80159) | $40.50 | $45 | 2.0× |
| Drug Screen Quant Zonisamide (80203) | $54 | $60 | 4.1× |
| Drug Screen Quantitative Gabapentin (80171) | $40.50 | $45 | 1.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $45 | $50 | 3.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $27 | $30 | 2.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $54 | $60 | 4.1× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $49.50 | $55 | 3.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$117–$144 | $130–$160 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $40.50 | $45 | 3.2× |
| Egfr Gene Analysis Common Variants (81235) | $553.50 | $615 | 1.7× |
| Ehrlichia antibody (86666) range across 4 matching MRF lines |
$31.50–$63 | $35–$70 | varies |
| El-1 Fecal Quantitative (82653) | $76.50 | $85 | 3.3× |
| Electrolyte panel (80051) | $22.50 | $25 | 3.2× |
| Electron Microscopy (88348) | $1,206 | $1,340 | 1.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $36 | $40 | 3.0× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$67.50–$81 | $75–$90 | varies |
| Eosinophil Smear (89190) | $22.50 | $25 | 3.9× |
| Erythropoietin (82668) | $58.50 | $65 | 3.1× |
| Estradiol serum (82670) | $81 | $90 | 2.9× |
| Estriol (82677) | $72 | $80 | 3.0× |
| Estrogen total (82672) | $67.50 | $75 | 3.1× |
| Ethosuximide (80168) | $49.50 | $55 | 3.0× |
| Exam Synovial Fluid Crystals (89060) | $31.50 | $35 | 4.3× |
| F2 Gene (81240) | $495 | $550 | 7.5× |
| Factor ii activity (85210) | $63 | $70 | 4.9× |
| Factor ix activity (85250) | $58.50 | $65 | 3.1× |
| Factor v activity (85220) | $54 | $60 | 3.1× |
| Factor v leiden mutation (81241) | $112.50 | $125 | 1.5× |
| Factor vii assay (85230) | $54 | $60 | 3.0× |
| Factor viii assay (85240) | $54 | $60 | 3.0× |
| Factor X (85260) | $54 | $60 | 3.0× |
| Factor xi activity (85270) | $72 | $80 | 4.0× |
| Factor xiii screen (85291) | $27 | $30 | 3.0× |
| Fecal Fat Qualitative (82705) | $18 | $20 | 3.5× |
| Ferritin (82728) | $40.50 | $45 | 3.0× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $198 | $220 | 1.3× |
| Fetal Fibronectin (82731) | $202.50 | $225 | 3.1× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $58.50 | $65 | 3.1× |
| Fetal screen rosette (85461) | $18 | $20 | 1.9× |
| Fibrin Degradation Quant (85379) | $31.50 | $35 | 3.1× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$18–$27 | $20–$30 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $27 | $30 | 1.7× |
| Flecainide level (80181) | $27 | $30 | 1.4× |
| Flow cytometry first marker (88184) | $535.50 | $595 | 1.6× |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$36–$283.50 | $40–$315 | varies |
| Folic Acid Serum (82746) | $45 | $50 | 3.1× |
| Follicle Stimulating Hormone (83001) | $54 | $60 | 2.9× |
| Francisella tularensis (86668) | $31.50 | $35 | 2.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $261 | $290 | 1.7× |
| Frozen Section (88331) | $166.50 | $185 | 1.1× |
| Fungi Identification Yeast (87106) | $27 | $30 | 2.6× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $63 | $70 | 3.0× |
| Gammaglobulin ige (82785) | $49.50 | $55 | 3.0× |
| Gastrin (82941) | $54 | $60 | 3.1× |
| Genet Virus Isolate Hsv (87255) | $99 | $110 | 2.9× |
| Gentamicin (80170) | $49.50 | $55 | 3.0× |
| Ggt (82977) | $22.50 | $25 | 3.1× |
| Giardia antigen (87329) | $27 | $30 | 2.3× |
| Glucose 2 hr pp (82950) | $9 | $10 | 1.9× |
| Glucose Blood Test (82962) range across 8 matching MRF lines |
$4.50–$9 | $5–$10 | varies |
| Glucose body fluid (82945) | $13.50 | $15 | 3.4× |
| Glucose Serum (82947) | $13.50 | $15 | 3.4× |
| Glucose tolerance test (gtt) (82951) | $40.50 | $45 | 3.1× |
| Glycated Protein (82985) | $45 | $50 | 2.7× |
| Gonadotropin Chorionic Qualitative (84703) | $22.50 | $25 | 3.0× |
| Growth hormone (83003) | $49.50 | $55 | 3.0× |
| Gtt-added samples (82952) | $13.50 | $15 | 3.4× |
| H Pylori (C-13) Breath (83013) | $81 | $90 | 1.2× |
| Haptoglobin (83010) | $40.50 | $45 | 3.2× |
| Helicobacter Pylori Stool (87338) | $54 | $60 | 3.8× |
| Hematocrit (85014) | $9 | $10 | 3.8× |
| Hemoglobin (85018) | $9 | $10 | 3.8× |
| Hemoglobin a1c (83036) | $31.50 | $35 | 3.2× |
| Hemoglobin Chromotography (83021) | $54 | $60 | 3.0× |
| Hemoglobin plasma (83051) | $54 | $60 | 7.4× |
| Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) | $85.50 | $95 | 9.1× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $27 | $30 | 3.1× |
| Hemolysins&Agglutinins Incubated (86941) | $36 | $40 | 3.0× |
| Hemosiderin urine (83070) | $45 | $50 | 9.5× |
| Hep a ab igm (86709) | $36 | $40 | 3.2× |
| Heparin assay (85520) range across 2 matching MRF lines |
$18–$121.50 | $20–$135 | varies |
| Hepatitis a antibody total (86708) | $36 | $40 | 2.9× |
| Hepatitis b core ab igm (86705) | $36 | $40 | 3.1× |
| Hepatitis b core ab total (86704) | $36 | $40 | 3.0× |
| Hepatitis B Surface Antibody (86706) | $31.50 | $35 | 2.9× |
| Hepatitis B Surface Antigen (87340) | $31.50 | $35 | 3.0× |
| Hepatitis Be Antibody (86707) | $36 | $40 | 3.1× |
| Hepatitis Be Antigen (87350) | $36 | $40 | 3.1× |
| Hepatitis C Antibody (86803) | $45 | $50 | 3.2× |
| Hepatitis C Genotype (87902) | $639 | $710 | 2.5× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $400.50 | $445 | 11.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$126–$130.50 | $140–$145 | varies |
| Hepatitis delta ag (87380) | $166.50 | $185 | 9.1× |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$40.50–$58.50 | $45–$65 | varies |
| Heterophile Antibody Screen (86308) | $18 | $20 | 3.5× |
| Hfe Gene (81256) | $121.50 | $135 | 1.9× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $27 | $30 | 3.5× |
| Histoplasma antibody (86698) | $40.50 | $45 | 2.9× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$117–$121.50 | $130–$135 | varies |
| Hiv Genotype (87901) | $499.50 | $555 | 1.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 3 matching MRF lines |
$157.50–$211.50 | $175–$235 | varies |
| Hla-b27 (86812) | $76.50 | $85 | 3.0× |
| Homocysteine (83090) | $49.50 | $55 | 2.8× |
| Homogenization Tissue (87176) | $18 | $20 | 3.1× |
| Hpv High-Risk Types (87624) | $63 | $70 | 1.8× |
| Hpv Types 16 & 18 Only (87625) | $63 | $70 | 1.6× |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$81–$103.50 | $90–$115 | varies |
| Hsv Dna Quant (87530) | $162 | $180 | 3.8× |
| Hydroxycorticosteroids 17 (83491) | $36 | $40 | 2.0× |
| Hydroxyprogesterone 17-d (83498) | $81 | $90 | 3.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $31.50 | $35 | 3.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $36 | $40 | 1.0× |
| Iaad ia shiga-like toxin (87427) | $27 | $30 | 2.3× |
| Iaadi giardia (87269) | $27 | $30 | 2.0× |
| Iaadi not otherwise specified each organism (87299) | $27 | $30 | 1.7× |
| Iaadi Varicella Zoster Virus (87290) | $40.50 | $45 | 3.0× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $58.50 | $65 | 2.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$67.50–$81 | $75–$90 | varies |
| Iadna Cytomegalovirus Quantification (87497) range across 4 matching MRF lines |
$99–$171 | $110–$190 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $144 | $160 | 2.1× |
| Iadna Hepatitis B Virus Quantification (87517) | $126 | $140 | 2.9× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $45 | $50 | 1.3× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $117 | $130 | 2.7× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$81–$162 | $90–$180 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $103.50 | $115 | 2.9× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $67.50 | $75 | 1.3× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 4 matching MRF lines |
$256.50–$315 | $285–$350 | varies |
| Ig Light Chains Free Each (83521) | $40.50 | $45 | 2.3× |
| Igg subclasses (82787) | $27 | $30 | 3.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $535.50 | $595 | 1.6× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$103.50–$193.50 | $115–$215 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 5 matching MRF lines |
$27–$103.50 | $30–$115 | varies |
| Immunoassay infectious agent (86318) | $63 | $70 | 3.5× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 24 matching MRF lines |
$45–$54 | $50–$60 | varies |
| Immunoassay nonantibody (83516) range across 22 matching MRF lines |
$18–$94.50 | $20–$105 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$67.50–$117 | $75–$130 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$508.50–$535.50 | $565–$595 | varies |
| Immunohistochemistry (88342) | $265.50 | $295 | 1.7× |
| In situ hybridization 1st probe stain (88365) range across 5 matching MRF lines |
$162–$238.50 | $180–$265 | varies |
| In situ hybridization ea multiplex probe stain (88366) | $535.50 | $595 | 3.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) range across 2 matching MRF lines |
$36–$58.50 | $40–$65 | varies |
| Influenza a/b ag eia (87400) | $27 | $30 | 1.9× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$112.50–$175.50 | $125–$195 | varies |
| Inhibin A (86336) | $49.50 | $55 | 3.2× |
| Inhibin b (83520) range across 18 matching MRF lines |
$40.50–$387 | $45–$430 | varies |
| Insitu hybridization auto (88367) | $328.50 | $365 | 1.0× |
| Insitu hybridization manual (88368) | $283.50 | $315 | 0.9× |
| Insulin antibodies (86337) | $63 | $70 | 2.9× |
| Insulin free (83527) | $27 | $30 | 2.1× |
| Insulin total (83525) | $36 | $40 | 3.1× |
| Iron (83540) | $22.50 | $25 | 3.5× |
| Iron Binding Capacity (83550) | $27 | $30 | 3.1× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$40.50–$85.50 | $45–$95 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $171 | $190 | 1.9× |
| Koh Prep (87220) | $13.50 | $15 | 3.2× |
| Kras Gene Analysis Additional Variant(S) (81276) | $445.50 | $495 | 2.3× |
| L/s ratio (83661) | $94.50 | $105 | 4.3× |
| Lactate (ld) (ldh) enzyme (83615) | $18 | $20 | 3.0× |
| Ldh Isoenzymes (83625) | $40.50 | $45 | 3.2× |
| LDL direct (83721) | $31.50 | $35 | 3.0× |
| Lead (83655) | $36 | $40 | 3.0× |
| Legionella antibody (86713) | $45 | $50 | 2.9× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$27–$108 | $30–$120 | varies |
| Leukocyte Assessment Fecal (89055) | $22.50 | $25 | 5.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $49.50 | $55 | 1.9× |
| Level ii surg pathology grossµscopic exam (88302) | $103.50 | $115 | 3.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $333 | $370 | 1.0× |
| Lidocaine (80176) | $31.50 | $35 | 2.1× |
| Lipase (83690) | $18 | $20 | 2.6× |
| Lipoprotein A (83695) | $27 | $30 | 1.9× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $27 | $30 | 2.4× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $49.50 | $55 | 1.5× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $171 | $190 | 3.7× |
| Lithium (80178) | $22.50 | $25 | 3.4× |
| Luteinizing Hormone (Lh) (83002) | $54 | $60 | 2.9× |
| Lyme disease antibody (86618) | $49.50 | $55 | 2.9× |
| Lysozyme serum (85549) | $36 | $40 | 1.9× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $283.50 | $315 | 1.8× |
| M/phmtrc alys ishquant/semiq (88374) | $328.50 | $365 | 2.1× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$13.50–$22.50 | $15–$25 | varies |
| Mass Spectrometry Quant (83789) | $297 | $330 | 12.3× |
| Mercury urine (83825) range across 2 matching MRF lines |
$49.50–$54 | $55–$60 | varies |
| Methotrexate (80204) | $40.50 | $45 | 1.1× |
| Methylmalonic acid serum (83921) | $49.50 | $55 | 2.3× |
| Microalbumin, quantitative (82043) | $18 | $20 | 3.1× |
| Microsatellite instability (81301) | $607.50 | $675 | 1.7× |
| Microsomal Antibodies Each (86376) | $45 | $50 | 3.1× |
| Mitochondrial Antibody Each (86381) | $40.50 | $45 | 1.6× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $94.50 | $105 | 2.3× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 12 matching MRF lines |
$54–$211.50 | $60–$235 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 2 matching MRF lines |
$81–$126 | $90–$140 | varies |
| Mopath procedure level 2 (81401) | $639 | $710 | 4.7× |
| Mthfr Gene Analysis Common Variants (81291) | $81 | $90 | 1.2× |
| Mumps antibody (86735) | $40.50 | $45 | 3.1× |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
$40.50–$54 | $45–$60 | varies |
| Mycoplasma culture (87109) range across 2 matching MRF lines |
$31.50–$36 | $35–$40 | varies |
| Myelin basic protein csf (83873) | $54 | $60 | 3.1× |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$40.50–$49.50 | $45–$55 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$76.50–$85.50 | $85–$95 | varies |
| Neisseria Dir Na Probe (87590) | $58.50 | $65 | 2.2× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $76.50 | $85 | 2.9× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $945 | $1,050 | 1.9× |
| Niacin (84591) range across 4 matching MRF lines |
$31.50–$121.50 | $35–$135 | varies |
| Nras gene variants exon 2&3 (81311) | $657 | $730 | 2.2× |
| Nuclear antigen antibody (86235) range across 17 matching MRF lines |
$36–$157.50 | $40–$175 | varies |
| Obstetric panel (80081) | $94.50 | $105 | 1.3× |
| Occult blood feces (82272) | $13.50 | $15 | 3.2× |
| Occult Blood Other Sources (82271) | $13.50 | $15 | 2.5× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$58.50–$72 | $65–$80 | varies |
| Organic Acids Qualitative Each Specimen (83919) | $67.50 | $75 | 4.1× |
| Organic acids urine (83918) | $180 | $200 | 7.6× |
| Osmolality serum (83930) | $22.50 | $25 | 3.4× |
| Osmolality Urine (83935) | $22.50 | $25 | 3.3× |
| Ova and parasites smears (87177) | $27 | $30 | 3.0× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$27–$40.50 | $30–$45 | varies |
| Particle Agglutination Screen Each Antibody (86403) range across 7 matching MRF lines |
$31.50–$72 | $35–$80 | varies |
| Parvovirus antibody (86747) | $45 | $50 | 3.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,206 | $1,340 | 1.6× |
| Ph urine (81003) | $9 | $10 | 4.0× |
| Phenobarbital Level (80184) | $36 | $40 | 2.4× |
| Phenytoin (Dilantin) (80185) | $40.50 | $45 | 3.1× |
| Phenytoin free (80186) | $40.50 | $45 | 2.9× |
| Phosphatase alkaline (84075) range across 4 matching MRF lines |
$13.50–$40.50 | $15–$45 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $36 | $40 | 2.0× |
| Phosphorus Serum (84100) range across 3 matching MRF lines |
$13.50–$18 | $15–$20 | varies |
| Phosphorus urine (84105) | $13.50 | $15 | 2.3× |
| Platelet Aggregation (85576) range across 10 matching MRF lines |
$45–$63 | $50–$70 | varies |
| Platelet Antibodies (86022) range across 10 matching MRF lines |
$36–$108 | $40–$120 | varies |
| Platelet count automated (85049) | $13.50 | $15 | 3.0× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $382.50 | $425 | 1.8× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $36 | $40 | 2.4× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$9–$13.50 | $10–$15 | varies |
| Prealbumin (84134) | $45 | $50 | 3.1× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $274.50 | $305 | 1.8× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $103.50 | $115 | 1.9× |
| Primidone (80188) | $49.50 | $55 | 3.0× |
| Procalcitonin (Pct) (84145) | $49.50 | $55 | 1.8× |
| Progesterone (84144) | $63 | $70 | 3.0× |
| Prolactin (84146) range across 3 matching MRF lines |
$45–$58.50 | $50–$65 | varies |
| Protein body fluid (84157) range across 3 matching MRF lines |
$13.50–$31.50 | $15–$35 | varies |
| Protein C Activity (85303) | $90 | $100 | 6.5× |
| Protein c antigen (85302) | $36 | $40 | 3.0× |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$36–$126 | $40–$140 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$31.50–$63 | $35–$70 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$31.50–$63 | $35–$70 | varies |
| Protein s total (85305) | $36 | $40 | 3.1× |
| Protein total serum (84155) range across 3 matching MRF lines |
$13.50–$18 | $15–$20 | varies |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$13.50–$36 | $15–$40 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $13.50 | $15 | 3.4× |
| PSA free (84154) | $54 | $60 | 2.9× |
| Pth Intact (83970) | $76.50 | $85 | 1.9× |
| Q Fever Antibody (86638) | $36 | $40 | 3.0× |
| Quantiferon tb gold plus (86480) | $121.50 | $135 | 2.0× |
| Quantitative assay drug (80299) range across 5 matching MRF lines |
$40.50–$153 | $45–$170 | varies |
| Quantitative Screen Metals (83018) | $67.50 | $75 | 3.1× |
| Quinidine (80194) | $45 | $50 | 3.1× |
| Rbc antibody elution (86860) | $256.50 | $285 | 1.7× |
| Rbc antibody identification (86870) | $508.50 | $565 | 1.6× |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$67.50–$256.50 | $75–$285 | varies |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
$49.50–$117 | $55–$130 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $333 | $370 | 2.1× |
| Rbc serum pretx incubj drugs (86975) | $441 | $490 | 1.1× |
| Renin activity plasma (84244) | $67.50 | $75 | 3.1× |
| Resp Virus 6-11 Targets (87632) | $427.50 | $475 | 2.0× |
| Reticulocyte Count Manual (85044) | $13.50 | $15 | 3.1× |
| Rh (86901) | $67.50 | $75 | 22.6× |
| Rheumatoid Factor Qualitative (86430) | $18 | $20 | 2.9× |
| Rheumatoid factor quant (86431) range across 5 matching MRF lines |
$18–$54 | $20–$60 | varies |
| Rickettsia antibody (86757) | $58.50 | $65 | 3.0× |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$67.50–$117 | $75–$130 | varies |
| Rpr qualitative (86592) | $13.50 | $15 | 3.2× |
| Rsv ab (86756) | $40.50 | $45 | 2.5× |
| Rsv Assay W/Optic (87807) | $22.50 | $25 | 1.7× |
| Rubella Antibody (86762) | $45 | $50 | 3.1× |
| Rubeola antibody (86765) | $40.50 | $45 | 3.1× |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$18–$40.50 | $20–$45 | varies |
| Salicylate Level (80179) | $31.50 | $35 | 1.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$94.50–$180 | $105–$200 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $76.50 | $85 | 1.8× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $36 | $40 | 0.9× |
| Sarscov2 & inf a&b amp prb (87636) | $256.50 | $285 | 1.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $256.50 | $285 | 1.8× |
| Sedimentation Rate, Automated (85652) | $9 | $10 | 3.3× |
| Selenium (84255) | $49.50 | $55 | 1.9× |
| Sensitivity mic (87186) | $18 | $20 | 2.1× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$40.50–$121.50 | $45–$135 | varies |
| Sickling of rbc reduction (85660) range across 3 matching MRF lines |
$18–$31.50 | $20–$35 | varies |
| Sirolimus (80195) | $27 | $30 | 2.0× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$13.50–$17.10 | $15–$19 | varies |
| Smear acid fast (87206) | $18 | $20 | 3.3× |
| Smear complex stain (87209) | $36 | $40 | 2.0× |
| Smear gram stain (87205) | $13.50 | $15 | 3.2× |
| Smear Special Stain (87207) | $18 | $20 | 3.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $13.50 | $15 | 2.3× |
| Sodium Serum (84295) range across 3 matching MRF lines |
$13.50–$18 | $15–$20 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$13.50–$18 | $15–$20 | varies |
| Somatomedin (84305) range across 2 matching MRF lines |
$63–$90 | $70–$100 | varies |
| Special Stains Group 1 (88312) | $121.50 | $135 | 2.6× |
| Special Stains Group 2 (88313) | $103.50 | $115 | 0.9× |
| Specimen infect agnt concntj (87015) | $22.50 | $25 | 3.4× |
| Spectrophotometry (84311) | $36 | $40 | 4.4× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $261 | $290 | 1.7× |
| Stool cultr aerobic bact ea (87046) | $31.50 | $35 | 3.3× |
| Strep a assay w/optic (87880) | $27 | $30 | 1.6× |
| Strep b DNA amp probe (87653) | $67.50 | $75 | 1.9× |
| Sugars Single Qual (84376) | $13.50 | $15 | 2.5× |
| Sulfate urine (84392) | $13.50 | $15 | 2.5× |
| Surg path level iii (88304) | $126 | $140 | 2.7× |
| Surgical pathology level IV (88305) range across 6 matching MRF lines |
$72–$90 | $80–$100 | varies |
| Surgical pathology level vi (88309) | $1,206 | $1,340 | 1.6× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $22.50 | $25 | 3.0× |
| Syphilis Test Non-Trep Quant (86593) | $13.50 | $15 | 3.1× |
| T cells absolute cd4 count (86361) | $58.50 | $65 | 2.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $117 | $130 | 2.5× |
| T3 Free (84481) | $49.50 | $55 | 2.9× |
| T3 reverse (84482) | $49.50 | $55 | 3.1× |
| T3 Total (84480) | $45 | $50 | 3.2× |
| T3 Uptake (84479) | $22.50 | $25 | 3.5× |
| T4 Free (84439) | $27 | $30 | 3.0× |
| T4 total (84436) | $22.50 | $25 | 3.3× |
| T4-neonatal (84437) | $22.50 | $25 | 3.5× |
| Tacrolimus (80197) | $40.50 | $45 | 2.9× |
| Tb ag response t-cell susp (86481) | $135 | $150 | 1.4× |
| Test for acetone/ketones (82009) | $13.50 | $15 | 3.0× |
| Testosterone total (84403) range across 3 matching MRF lines |
$76.50–$144 | $85–$160 | varies |
| Testosterone, Free (84402) | $76.50 | $85 | 3.0× |
| Theophylline (80198) | $45 | $50 | 3.2× |
| Thrombin Time (85670) | $22.50 | $25 | 3.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $22.50 | $25 | 3.5× |
| Thyroglobulin (84432) | $49.50 | $55 | 3.1× |
| Thyroglobulin Antibody (86800) | $49.50 | $55 | 3.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $99 | $110 | 1.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $58.50 | $65 | 5.1× |
| Tissue culture bone marrow (88237) range across 3 matching MRF lines |
$238.50–$261 | $265–$290 | varies |
| Tissue Culture Lymphocyte (88230) | $301.50 | $335 | 2.6× |
| Tobramycin peak (80200) | $49.50 | $55 | 3.1× |
| Topiramate (80201) | $36 | $40 | 3.0× |
| Touch prep (88161) | $72 | $80 | 2.7× |
| Toxoplasma ab igm (86778) | $45 | $50 | 3.1× |
| Toxoplasma antibody (86777) | $45 | $50 | 3.1× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$13.50–$18 | $15–$20 | varies |
| Transferrin (84466) | $40.50 | $45 | 3.2× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $463.50 | $515 | 2.2× |
| Trg gene rearrangement anal (81342) | $463.50 | $515 | 2.3× |
| Trichomonas Vaginalis Amplif (87661) | $153 | $170 | 4.4× |
| Triglycerides (84478) range across 3 matching MRF lines |
$13.50–$22.50 | $15–$25 | varies |
| Troponin Quant (84484) | $22.50 | $25 | 1.8× |
| Tumor immunohistochem/comput (88361) | $535.50 | $595 | 1.6× |
| Tumor Immunohistochem/Manual (88360) | $265.50 | $295 | 1.7× |
| Urea nitrogen urine (84540) | $18 | $20 | 3.2× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$13.50–$18 | $15–$20 | varies |
| Urinalysis Volume Measure (81050) | $18 | $20 | 4.9× |
| Urine Albumin Semiquantitative (82044) | $13.50 | $15 | 2.2× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$13.50–$22.50 | $15–$25 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $9 | $10 | 2.8× |
| Valproic acid (80164) | $40.50 | $45 | 3.0× |
| Vancomycin (80202) | $40.50 | $45 | 3.0× |
| Varicella-zoster antibody (86787) | $40.50 | $45 | 3.1× |
| Viral Culture (87252) range across 2 matching MRF lines |
$76.50–$81 | $85–$90 | varies |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$40.50–$153 | $45–$170 | varies |
| Virus inoculate tissue addl (87253) range across 2 matching MRF lines |
$40.50–$58.50 | $45–$65 | varies |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$72–$112.50 | $80–$125 | varies |
| Vitamin A (84590) | $31.50 | $35 | 2.7× |
| Vitamin b-12 (82607) | $45 | $50 | 3.0× |
| Vitamin B2 (Riboflavin) (84252) | $40.50 | $45 | 2.0× |
| Vitamin B6 (84207) | $54 | $60 | 1.9× |
| Vitamin c (82180) | $31.50 | $35 | 3.2× |
| Vitamin D 25-Hydroxy (82306) | $58.50 | $65 | 2.0× |
| Vitamin E (84446) | $45 | $50 | 3.2× |
| Vitamin K (84597) | $81 | $90 | 5.9× |
| Von willebrand factor ag (85246) | $67.50 | $75 | 2.9× |
| Wbc Alkaline Phosphatase Count (85540) | $27 | $30 | 3.1× |
| West nile virus ab igm (86788) | $36 | $40 | 2.1× |
| West Nile Virus Antibody (86789) | $31.50 | $35 | 2.2× |
| Zinc (84630) | $36 | $40 | 3.2× |
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.