Lab & pathology prices at St. Luke Community Hospital
Ronan, MT · every code in this section with a posted price and a Medicare benchmark.
402 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | — | $192.10 | — |
| Acute hepatitis panel (80074) | — | $155 | — |
| Albumin Fluid (82042) range across 3 matching MRF lines |
— | $38–$75 | — |
| Albumin serum (82040) range across 2 matching MRF lines |
— | $45.70–$75 | — |
| Aldolase (82085) | — | $56 | — |
| Aldosterone urine (82088) | — | $212.25 | — |
| Alkaline phosphatase isoenzymes (84080) | — | $107.50 | — |
| Allergen specific ige (86003) range across 15 matching MRF lines |
— | $26.20–$696 | — |
| Allg Spec Ige Recomb Ea (86008) | — | $721 | — |
| Alpha-1-antitrypsin phenotype (82104) | — | $42 | — |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
— | $43–$54.60 | — |
| Alpha-Fetoprotein Serum (82105) | — | $83.95 | — |
| Alt (sgpt) (84460) | — | $54.80 | — |
| Ammonia (82140) range across 2 matching MRF lines |
— | $31–$120 | — |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | — | $206 | — |
| Amylase urine (82150) range across 2 matching MRF lines |
— | $77.25–$110.50 | — |
| Anca screen each antibody (86036) | — | $275 | — |
| Androstenedione (82157) | — | $130 | — |
| Angiotensin converting enzyme csf (82164) | — | $254.10 | — |
| Antibody aspergillus (86606) | — | $89.65 | — |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | — | $153.20 | — |
| Antibody Cytomegalovirus Cmv Igm (86645) | — | $74.20 | — |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | — | $420 | — |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | — | $500 | — |
| Antibody Fungus Not Elsewhere Specified (86671) | — | $270 | — |
| Antibody helicobacter pylori (86677) | — | $80 | — |
| Antibody Herpes Smplx Type 1 (86695) | — | $82.70 | — |
| Antibody Protozoa Nes (86753) | — | $75 | — |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
— | $21.90–$125 | — |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
— | $50–$109.30 | — |
| Antistreptolysin o titer (86060) | — | $177.75 | — |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
— | $105–$420 | — |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
— | $58–$165 | — |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | — | $664 | — |
| Arsenic (82175) range across 2 matching MRF lines |
— | $37.50–$115 | — |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
— | $26.20–$210 | — |
| Assay activated protein c (85307) range across 2 matching MRF lines |
— | $135–$146.55 | — |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
— | $83.15–$177.50 | — |
| Assay of 5-hiaa (83497) | — | $66.40 | — |
| Assay of blood/uric acid (84550) | — | $49.30 | — |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
— | $31–$60.15 | — |
| Assay of estrone (82679) | — | $155 | — |
| Assay of g6pd enzyme (82955) | — | $115 | — |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
— | $43.80–$121 | — |
| Assay of lactic acid (83605) | — | $85 | — |
| Assay of metanephrines (83835) | — | $158.70 | — |
| Assay of serotonin (84260) | — | $216 | — |
| Assay of serum potassium (84132) | — | $40.80 | — |
| Assay of urea nitrogen (84520) | — | $51.15 | — |
| Assay of urine vma (84585) | — | $170 | — |
| Assay of vitamin b-1 (84425) | — | $128.35 | — |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
— | $31–$38 | — |
| Assay spec xcp ur&breath ia (82077) | — | $125.90 | — |
| Automated Leukocyte Count (85048) | — | $12.85 | — |
| B cells total count (86355) | — | $54.75 | — |
| Bartonella antibody (86611) | — | $175.32 | — |
| Bcr/abl1 gene major bp (81206) | — | $516 | — |
| Bcr/abl1 gene minor bp (81207) | — | $517 | — |
| Bcr/Abl1 Gene Other Bp (81208) | — | $517 | — |
| Beta 2 glycoprotein i antibody each (86146) | — | $87.50 | — |
| Beta hydroxybutyrate (82010) | — | $95 | — |
| Beta Lactamase (87185) | — | $30 | — |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
— | $76.65–$200 | — |
| Bile acids total (82239) | — | $85.75 | — |
| Bilirubin direct (82248) | — | $51.75 | — |
| Bilirubin total (82247) | — | $56 | — |
| Bilirubin total transcutaneous (88720) | — | $34.20 | — |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | — | $17.70 | — |
| Blood gas (82803) range across 4 matching MRF lines |
— | $96.75–$225 | — |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | — | $66 | — |
| Blood Sulfhemoglobin Assay (83060) | — | $52 | — |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
— | $155.70–$310.65 | — |
| Blood typing serologic abo (86900) | — | $34.70 | — |
| Body fluid cell count (89050) | — | $68.80 | — |
| Breath Alcohol Test (82075) | — | $40 | — |
| C diff amplified probe (87493) | — | $150 | — |
| C-Peptide (84681) | — | $81.50 | — |
| C-reactive protein (86140) | — | $75 | — |
| Ca 19-9 (86301) | — | $80.90 | — |
| Cadmium (82300) | — | $37.50 | — |
| Calcitonin (82308) | — | $147.15 | — |
| Calcium ionized (82330) | — | $82.15 | — |
| Calcium total (82310) range across 2 matching MRF lines |
— | $27.50–$51.75 | — |
| Calculus Spectroscopy (82365) | — | $80.90 | — |
| Calprotectin Fecal (83993) | — | $540 | — |
| Cancer Antigen 125 (86304) | — | $104 | — |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
— | $104–$108.85 | — |
| Carbamazepine total (80156) | — | $147.15 | — |
| Carcinoembryonic antigen (82378) | — | $94.85 | — |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
— | $105.80–$127.10 | — |
| Carnitine Quantitative Each Specimen (82379) | — | $136 | — |
| Catecholamines fractionated (82384) | — | $159.95 | — |
| Ccp antibody (86200) range across 2 matching MRF lines |
— | $109.25–$149 | — |
| Ceruloplasmin (82390) | — | $69.30 | — |
| Cftr gene com variants (81220) | — | $475 | — |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
— | $149–$376 | — |
| Chlamydia antibody (86631) | — | $112.50 | — |
| Chlamydia Igm Antibody (86632) | — | $112.50 | — |
| Chloride urine (82436) | — | $31 | — |
| Cholesterol total (82465) range across 3 matching MRF lines |
— | $38–$58 | — |
| Chorionic gonadotropin test (84702) | — | $65 | — |
| Chromogranin a (86316) | — | $98 | — |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | — | $135 | — |
| Citric acid urine (82507) range across 2 matching MRF lines |
— | $31–$115 | — |
| Ckmb (82553) | — | $125 | — |
| Clotting factor xii hageman (85280) | — | $143 | — |
| Clotting Funct Activity (85397) | — | $548 | — |
| Coccidioides antibody (86635) | — | $298 | — |
| Collagen crosslinks (82523) | — | $150 | — |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
— | $60.25–$106 | — |
| Complement Total (Ch50) (86162) | — | $227 | — |
| Coombs direct (86880) | — | $56 | — |
| Copper urine (82525) | — | $62.10 | — |
| Cortisol free (82530) | — | $269.90 | — |
| Cortisol saliva (82533) range across 2 matching MRF lines |
— | $95–$205 | — |
| Creatine kinase total (82550) | — | $75.45 | — |
| Creatinine blood (82565) | — | $57.20 | — |
| Creatinine clearance (82575) | — | $193.35 | — |
| Creatinine Urine (82570) range across 4 matching MRF lines |
— | $27–$31 | — |
| Crossmatch immediate spin (86920) range across 3 matching MRF lines |
— | $73–$125 | — |
| Crp High Sensitivity (86141) | — | $65 | — |
| Cryoglobulin (82595) | — | $28.05 | — |
| Cryptococcus ag titer (87899) | — | $112 | — |
| Cryptosporidium ag eia (87328) | — | $141.30 | — |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
— | $43–$135 | — |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | — | $124.10 | — |
| Culture Anaerobic (87075) | — | $110 | — |
| Culture blood (87040) | — | $123.45 | — |
| Culture csf (87070) range across 3 matching MRF lines |
— | $92.40–$96.75 | — |
| Culture screen only (87081) | — | $80 | — |
| Culture stool (87045) | — | $60 | — |
| Cyclic amp (82030) | — | $96 | — |
| Cystatin C (82610) | — | $160 | — |
| Cytomegalovirus igg (86644) | — | $74.20 | — |
| Cytopath Cell Enhance Tech (88112) | — | $40.20 | — |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | — | $75 | — |
| Detect Agent Nos Dna Amp (87798) range across 5 matching MRF lines |
— | $121.05–$365 | — |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
— | $195–$328 | — |
| Dgp Antibody Each Ig Class (86258) | — | $142.25 | — |
| Dhea (82626) | — | $212.25 | — |
| Dhea-S (82627) | — | $110.70 | — |
| Digoxin (80162) | — | $135 | — |
| Dihydrotestosterone (82642) | — | $400 | — |
| Dna Antibody Native/Double Stranded (86225) | — | $68.80 | — |
| Drug assay acetaminophen (80143) | — | $213.45 | — |
| Drug assay adalimumab (80145) | — | $583 | — |
| Drug Assay Infliximab (80230) | — | $495 | — |
| Drug Assay Lacosamide (80235) | — | $290 | — |
| Drug Screen Quant Clozapine (80159) | — | $78 | — |
| Drug Screen Quantitative Lamotrigine (80175) | — | $98.50 | — |
| Drug Screen Quantitative Levetiracetam (80177) | — | $132.60 | — |
| Drug Screen Quantitative Oxcarbazepine (80183) | — | $85.75 | — |
| Drug Test Prsmv Chem Anlyzr (80307) range across 8 matching MRF lines |
— | $23–$480 | — |
| Electrolyte panel (80051) | — | $57.80 | — |
| Erythropoietin (82668) | — | $93.65 | — |
| Estradiol serum (82670) | — | $139.30 | — |
| Estriol (82677) | — | $75 | — |
| Estrogens fractionated (82671) | — | $161.20 | — |
| Exam Synovial Fluid Crystals (89060) | — | $550 | — |
| F2 Gene (81240) range across 2 matching MRF lines |
— | $195–$580 | — |
| Factor ii activity (85210) | — | $197.65 | — |
| Factor ix activity (85250) | — | $143 | — |
| Factor v activity (85220) | — | $143 | — |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
— | $200–$820 | — |
| Factor vii assay (85230) | — | $143 | — |
| Factor viii assay (85240) range across 2 matching MRF lines |
— | $178.80–$286 | — |
| Factor xi activity (85270) | — | $143 | — |
| Fat/Lipids Feces Quantitative (82710) | — | $128 | — |
| Ferritin (82728) | — | $115 | — |
| Fetal Fibronectin (82731) | — | $585.35 | — |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
— | $90–$143.50 | — |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
— | $50.55–$86 | — |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 3 matching MRF lines |
— | $136.50–$270 | — |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
— | $57.20–$2,104 | — |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 4 matching MRF lines |
— | $54.80–$130.75 | — |
| Folic Acid Serum (82746) | — | $77.25 | — |
| Follicle Stimulating Hormone (83001) | — | $93.10 | — |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
— | $50–$82.15 | — |
| Gases blood ph only (82800) | — | $125 | — |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | — | $978 | — |
| Ggt (82977) | — | $72.40 | — |
| Giardia antigen (87329) | — | $117.75 | — |
| Glucose 2 hr pp (82950) | — | $58.40 | — |
| Glucose Blood Test (82962) | — | $18.20 | — |
| Glucose body fluid (82945) range across 2 matching MRF lines |
— | $38–$45.70 | — |
| Glucose Serum (82947) | — | $44.50 | — |
| Glucose tolerance test (gtt) (82951) | — | $130.75 | — |
| Glycated Protein (82985) | — | $70.75 | — |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | — | $131.40 | — |
| Gonadotropin Chorionic Qualitative (84703) | — | $50 | — |
| Growth hormone (83003) | — | $83.35 | — |
| H Pylori (C-13) Breath (83013) | — | $365 | — |
| H Pylori Drug Admin (83014) | — | $60 | — |
| Haptoglobin (83010) | — | $60.25 | — |
| Hdl Cholesterol (83718) | — | $58 | — |
| Hematocrit (85014) | — | $6 | — |
| Hemoglobin (85018) | — | $6 | — |
| Hemoglobin a1c (83036) | — | $94.85 | — |
| Hemoglobin Chromotography (83021) | — | $90 | — |
| Hemoglobin electrophoresis (83020) | — | $141.70 | — |
| Hemoglobin Methemoglobin Quantitative (83050) | — | $52 | — |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | — | $83 | — |
| Hep a ab igm (86709) | — | $77.90 | — |
| Hepatitis a antibody total (86708) | — | $54 | — |
| Hepatitis b core ab igm (86705) | — | $123.45 | — |
| Hepatitis b core ab total (86704) | — | $123.45 | — |
| Hepatitis B Surface Antibody (86706) | — | $66.90 | — |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
— | $58–$69.30 | — |
| Hepatitis Be Antibody (86707) | — | $130 | — |
| Hepatitis Be Antigen (87350) | — | $60 | — |
| Hepatitis C Antibody (86803) | — | $105 | — |
| Hepatitis C Genotype (87902) | — | $418.30 | — |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
— | $506.25–$560.25 | — |
| Herpes simplex type 2 (86696) | — | $96.75 | — |
| Heterophile Antibody Screen (86308) | — | $70 | — |
| Hfe Gene (81256) | — | $800 | — |
| Histamine urine (83088) | — | $233 | — |
| Histoplasma antibody (86698) | — | $120 | — |
| Histoplasma antigen urine (87385) | — | $210 | — |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
— | $161.70–$272.95 | — |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | — | $372 | — |
| Hla ii typing 1 locus lr (81376) | — | $415 | — |
| Hla-b27 (86812) | — | $128.35 | — |
| Homocysteine (83090) range across 2 matching MRF lines |
— | $58–$83.95 | — |
| Hpv High-Risk Types (87624) | — | $175 | — |
| Hpv sep hi-rsk typ&pool rslt (87626) | — | $175 | — |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
— | $122–$175 | — |
| Hydroxyprogesterone 17-d (83498) | — | $139.85 | — |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | — | $142.25 | — |
| Iadna Cytomegalovirus Quantification (87497) | — | $375 | — |
| Iadna Hepatitis B Virus Quantification (87517) | — | $261.70 | — |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | — | $138.10 | — |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | — | $538 | — |
| Igg subclasses (82787) range across 3 matching MRF lines |
— | $40.20–$300 | — |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 5 matching MRF lines |
— | $134.35–$935 | — |
| Immunoassay nonantibody (83516) | — | $210.35 | — |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
— | $175–$400 | — |
| Immunohistochemistry (88342) | — | $129.55 | — |
| Influenza assay w/optic (87804) | — | $55 | — |
| Inhibin b (83520) range across 7 matching MRF lines |
— | $98.75–$255 | — |
| Insulin antibodies (86337) | — | $104.25 | — |
| Insulin free (83527) | — | $87.50 | — |
| Insulin total (83525) range across 2 matching MRF lines |
— | $57.20–$87.50 | — |
| Intrinsic factor antibody (86340) | — | $83 | — |
| Iron (83540) | — | $55 | — |
| Iron Binding Capacity (83550) | — | $65 | — |
| Islet cell antibody (86341) range across 2 matching MRF lines |
— | $170–$175 | — |
| Jak2 gene analysis p.val617phe variant (81270) | — | $1,121 | — |
| Koh Prep (87220) | — | $52.05 | — |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
— | $38–$68.80 | — |
| Lactoferrin fecal qualitative (83630) | — | $98 | — |
| Ldh Isoenzymes (83625) | — | $81.50 | — |
| Lead (83655) range across 2 matching MRF lines |
— | $37.50–$60.25 | — |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
— | $90–$292.50 | — |
| Level ii surg pathology grossµscopic exam (88302) | — | $32.30 | — |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | — | $129.55 | — |
| Lipase (83690) | — | $77.90 | — |
| Lipoprotein A (83695) | — | $85 | — |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | — | $58 | — |
| Lithium (80178) | — | $66.90 | — |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
— | $92.40–$390 | — |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
— | $75–$165 | — |
| Lysozyme serum (85549) | — | $150 | — |
| M. Genitalium Amp Probe (87563) | — | $668 | — |
| Magnesium Urine (83735) range across 3 matching MRF lines |
— | $31–$95 | — |
| Mass Spectrometry Quant (83789) | — | $175 | — |
| Mercury urine (83825) range across 2 matching MRF lines |
— | $37.50–$125.90 | — |
| Metabolic panel ionized ca (80047) | — | $74.20 | — |
| Methylmalonic acid serum (83921) | — | $121.60 | — |
| Microalbumin, quantitative (82043) | — | $55 | — |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
— | $95–$110 | — |
| Mopath procedure level 2 (81401) | — | $800 | — |
| Mumps antibody (86735) range across 3 matching MRF lines |
— | $65–$91.20 | — |
| Mycophenolic Acid (80180) | — | $142 | — |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
— | $49.75–$425.75 | — |
| Myoglobin urine (83874) | — | $76.65 | — |
| Natriuretic peptide (83880) | — | $225 | — |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | — | $440 | — |
| Nfct ds chrnc hcv 6 assays (81596) | — | $690 | — |
| Niacin (84591) | — | $340 | — |
| Nk cells total count (86357) | — | $54.75 | — |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
— | $34.10–$71.20 | — |
| Obstetric panel (80081) | — | $406.75 | — |
| Occult blood feces (82272) range across 2 matching MRF lines |
— | $14.50–$45.70 | — |
| Occult Blood Other Sources (82271) | — | $45.70 | — |
| Oligoclonal bands (83916) | — | $75 | — |
| Osmolality serum (83930) | — | $63.30 | — |
| Osmolality Urine (83935) range across 2 matching MRF lines |
— | $31–$72.40 | — |
| Ova and parasites smears (87177) | — | $70.55 | — |
| Oxalate urine (83945) | — | $31 | — |
| Pancreatic Elastase Fecal (82656) | — | $215 | — |
| Parvovirus antibody (86747) | — | $76.05 | — |
| Ph urine (81003) | — | $15.60 | — |
| Phenobarbital Level (80184) | — | $114.30 | — |
| Phenylalanine (84030) | — | $184.30 | — |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
— | $125.30–$132.60 | — |
| Phosphatase alkaline (84075) | — | $107.50 | — |
| Phospholipid Neutralization Hexagonal (85598) | — | $463 | — |
| Phosphorus Serum (84100) | — | $45.70 | — |
| Phosphorus urine (84105) | — | $31 | — |
| Platelet count automated (85049) | — | $54 | — |
| Porphobilinogen, urine; quantitative (84110) | — | $105 | — |
| Potassium Urine (84133) range across 2 matching MRF lines |
— | $31–$118 | — |
| Prealbumin (84134) | — | $90 | — |
| Pregnenolone (84140) | — | $325 | — |
| Procalcitonin (Pct) (84145) | — | $125 | — |
| Progesterone (84144) | — | $104 | — |
| Prolactin (84146) | — | $96.75 | — |
| Protein body fluid (84157) range across 2 matching MRF lines |
— | $38–$53.55 | — |
| Protein C Activity (85303) range across 2 matching MRF lines |
— | $122–$310 | — |
| Protein c antigen (85302) | — | $82 | — |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
— | $30–$75 | — |
| Protein S Free (85306) range across 3 matching MRF lines |
— | $122–$282 | — |
| Protein total serum (84155) | — | $45.70 | — |
| Protein Total Urine (84156) range across 3 matching MRF lines |
— | $15–$43.80 | — |
| PSA free (84154) | — | $52 | — |
| Pth Intact (83970) | — | $150 | — |
| Quantiferon tb gold plus (86480) | — | $122.80 | — |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
— | $96.10–$473 | — |
| Rbc antibody identification (86870) | — | $115.50 | — |
| Rbc antibody screen (86850) | — | $145 | — |
| Renin activity plasma (84244) | — | $109.50 | — |
| Reptilase test (85635) | — | $175 | — |
| Reticulocyte Count Manual (85044) | — | $70 | — |
| Rh (86901) | — | $45 | — |
| Rheumatoid factor quant (86431) | — | $57.95 | — |
| Rickettsia antibody (86757) | — | $96.75 | — |
| Rpr qualitative (86592) range across 2 matching MRF lines |
— | $26–$180 | — |
| Rubella Antibody (86762) range across 2 matching MRF lines |
— | $46.20–$58 | — |
| Rubeola antibody (86765) range across 3 matching MRF lines |
— | $38–$65.70 | — |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
— | $84.50–$136 | — |
| Salicylate Level (80179) | — | $213.45 | — |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | — | $200 | — |
| Sars-cov-2 COVID-19 antibody (86769) | — | $37.50 | — |
| Sarscov2&inf a&b&rsv amp prb (87637) | — | $350 | — |
| Sedimentation rate (85651) | — | $46 | — |
| Selenium (84255) | — | $127.10 | — |
| Semen Anal Sperm Detection (89321) | — | $104.60 | — |
| Sensitivity mic (87186) | — | $107 | — |
| Sex Hormone Binding Globulin (84270) | — | $124.10 | — |
| Sickling of rbc reduction (85660) | — | $177 | — |
| Sirolimus (80195) | — | $148.40 | — |
| Skin test tuberculosis intradermal (86580) | — | $26.45 | — |
| Smear complex stain (87209) | — | $70.55 | — |
| Smear gram stain (87205) | — | $54.80 | — |
| Smr Prim Src Wet Mount Nfct Agt (87210) | — | $26.10 | — |
| Sodium Serum (84295) | — | $35.30 | — |
| Sodium Urine (84300) range across 3 matching MRF lines |
— | $31–$135 | — |
| Somatomedin (84305) | — | $105.80 | — |
| Special Stains Group 1 (88312) | — | $70.55 | — |
| Special Stains Group 2 (88313) | — | $85.75 | — |
| Stool cultr aerobic bact ea (87046) | — | $180 | — |
| Strep a assay w/optic (87880) | — | $64.10 | — |
| Strep b DNA amp probe (87653) | — | $146 | — |
| Sulfate urine (84392) | — | $31 | — |
| Surg path level iii (88304) | — | $57 | — |
| Surgical pathology level IV (88305) | — | $90 | — |
| Syphilis Test Non-Trep Quant (86593) | — | $45 | — |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
— | $54.75–$80 | — |
| T cells total count (86359) range across 2 matching MRF lines |
— | $54.75–$80 | — |
| T3 Free (84481) | — | $84.55 | — |
| T3 reverse (84482) | — | $64.50 | — |
| T3 Total (84480) | — | $140 | — |
| T4 Free (84439) | — | $101 | — |
| T4 total (84436) | — | $71.20 | — |
| Tacrolimus (80197) | — | $174.55 | — |
| Testosterone total (84403) | — | $128.90 | — |
| Testosterone, Free (84402) | — | $127.10 | — |
| Thrombin Time (85670) range across 2 matching MRF lines |
— | $51–$140 | — |
| Thyroglobulin (84432) range across 3 matching MRF lines |
— | $41.40–$560 | — |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
— | $75–$79.70 | — |
| Thyroid Stimulating Immunoglobulin (84445) | — | $240.75 | — |
| Topiramate (80201) | — | $299 | — |
| Toxoplasma ab igm (86778) | — | $172.50 | — |
| Toxoplasma antibody (86777) | — | $172.50 | — |
| Transferase Aspartate Amino Ast Sgot (84450) | — | $59.60 | — |
| Transferrin (84466) | — | $65 | — |
| Trichinella Antibody (86784) | — | $110 | — |
| Triglycerides (84478) range across 2 matching MRF lines |
— | $58–$59.60 | — |
| Troponin Quant (84484) | — | $100 | — |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
— | $30–$50 | — |
| Uric acid other source (84560) range across 2 matching MRF lines |
— | $31–$69 | — |
| Urine Bacteria Culture (87088) | — | $90 | — |
| Urine Pregnancy Test (81025) | — | $40.05 | — |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | — | $52.95 | — |
| Valproic acid (80164) | — | $136.20 | — |
| Vancomycin (80202) | — | $68.10 | — |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
— | $42–$68.80 | — |
| Virus antibody nos (86790) range across 5 matching MRF lines |
— | $56.25–$211.75 | — |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
— | $90–$139.30 | — |
| Vitamin A (84590) | — | $71 | — |
| Vitamin b-12 (82607) | — | $125 | — |
| Vitamin B6 (84207) | — | $117.40 | — |
| Vitamin c (82180) | — | $102 | — |
| Vitamin D 25-Hydroxy (82306) | — | $105 | — |
| Vitamin E (84446) | — | $79.70 | — |
| Vitamin K (84597) | — | $225 | — |
| Voltage-Gated Calcium Channel Antibody Each (86596) | — | $234 | — |
| Von willebrand factor ag (85246) | — | $388 | — |
| West nile virus ab igm (86788) | — | $61.45 | — |
| West Nile Virus Antibody (86789) | — | $61.45 | — |
| Zinc (84630) | — | $57.20 | — |
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.