Lab & pathology prices at St. Thomas More Hospital
Canon City, CO · every code in this section with a posted price and a Medicare benchmark.
357 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) | $22.08 | $55.20 | 1.2× |
| Acetylcholine receptor blocking antibody (86042) | $22.08 | $55.20 | 1.2× |
| Acetylcholn Rcptr Modlg Antb (86043) | $14.46 | $36.15 | 1.2× |
| Acute hepatitis panel (80074) | $261.89 | $654.72 | 5.5× |
| Albumin Fluid (82042) | $25.32 | $63.28 | 3.3× |
| Albumin serum (82040) | $31.35 | $78.37 | 6.3× |
| Alpha-Fetoprotein Serum (82105) | $101.49 | $253.72 | 6.1× |
| Alt (sgpt) (84460) | $29.10 | $72.75 | 5.5× |
| Ammonia (82140) | $100.47 | $251.16 | 6.9× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $350.28 | $875.69 | 3.6× |
| Amylase urine (82150) range across 2 matching MRF lines |
$71.04–$73.60 | $177.59–$183.99 | varies |
| Ana Titer (86039) | $67.54 | $168.84 | 6.1× |
| Antibody helicobacter pylori (86677) | $81.36 | $203.39 | 4.8× |
| Antibody Herpes Smplx Type 1 (86695) | $151.03 | $377.57 | 11.5× |
| Antibody HIV-1&HIV-2 single result (86703) | $63.36 | $158.39 | 4.6× |
| Antibody HIV-2 (86702) | $68.62 | $171.54 | 5.1× |
| Antibody Treponema Pallidum (86780) | $69.34 | $173.35 | 5.2× |
| Antigen typing (86905) | $162.70 | $406.74 | 42.5× |
| Antinuclear antibodies (86038) | $73.15 | $182.87 | 6.1× |
| Antistreptolysin o titer (86060) | $31.39 | $78.47 | 4.3× |
| Antithrombin iii activity (85300) | $72.06 | $180.13 | 6.1× |
| Assay activated protein c (85307) | $100.29 | $250.72 | 6.5× |
| Assay Blood Carbon Dioxide (82374) | $50.62 | $126.54 | 10.4× |
| Assay of anti-mullerian hormone (82166) | $46.35 | $115.86 | 1.2× |
| Assay of blood/uric acid (84550) | $26.88 | $67.19 | 5.9× |
| Assay of calcium in urine (82340) | $36.05 | $90.11 | 6.0× |
| Assay of cpk in blood (82552) | $118.38 | $295.95 | 8.8× |
| Assay of gammaglobulin igm (82784) | $31.37 | $78.42 | 3.4× |
| Assay of lactic acid (83605) | $56.77 | $141.92 | 4.9× |
| Assay of metanephrines (83835) | $305.88 | $764.70 | 18.1× |
| Assay of serum potassium (84132) | $26.24 | $65.59 | 5.5× |
| Assay of sweat sodium (84302) | $29.41 | $73.51 | 6.1× |
| Assay of urea nitrogen (84520) | $28.16 | $70.39 | 7.1× |
| Assay Ph Body Fluid Nos (83986) | $20.04 | $50.09 | 5.6× |
| Assay spec xcp ur&breath ia (82077) | $75.48 | $188.68 | 4.4× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $785.75 | $1,964.36 | 4.4× |
| Automated Leukocyte Count (85048) | $18.56 | $46.38 | 7.3× |
| B cells total count (86355) | $99.12 | $247.80 | 2.6× |
| Beta hydroxybutyrate (82010) | $53.50 | $133.75 | 6.5× |
| Beta Lactamase (87185) | $26.11 | $65.27 | 5.5× |
| Bilirubin direct (82248) | $31.35 | $78.37 | 6.2× |
| Bilirubin total (82247) | $28.16 | $70.39 | 5.6× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $114.46 | $286.13 | 3.8× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $680.43 | $1,701.06 | 3.8× |
| Blood count reticulocyte automated (85045) | $26.19 | $65.46 | 6.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $22.53 | $56.31 | 5.9× |
| Blood gas (82803) | $108.47 | $271.17 | 4.2× |
| Blood gases w/02 saturation (82805) | $159.08 | $397.68 | 2.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $19.69 | $49.21 | 4.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $162.70 | $406.74 | 25.6× |
| Blood typing serologic abo (86900) | $63.18 | $157.94 | 21.1× |
| Body fluid cell count (89050) | $21.16 | $52.88 | 4.5× |
| Bone marrow smear interpretation (85097) | $1,652.86 | $4,132.13 | 1.9× |
| Breath Alcohol Test (82075) | $66.17 | $165.42 | 2.2× |
| C diff amplified probe (87493) | $197.64 | $494.10 | 5.3× |
| C-reactive protein (86140) | $31.31 | $78.27 | 6.0× |
| Ca 19-9 (86301) | $114.46 | $286.13 | 5.5× |
| Calcium ionized (82330) | $76.60 | $191.50 | 5.6× |
| Calcium total (82310) | $28.92 | $72.28 | 5.6× |
| Cancer Antigen 125 (86304) | $114.46 | $286.13 | 5.5× |
| Cancer Antigen 27.29 (86300) | $114.46 | $286.13 | 5.5× |
| Car Ion Chnnlpath Inc 10 Gns (81413) | $514.66 | $1,286.63 | 0.9× |
| Car Ion Chnnlpath Inc 2 Gns (81414) | $514.66 | $1,286.63 | 0.9× |
| Carbamazepine total (80156) | $80.05 | $200.12 | 5.5× |
| Carboxyhemoglobin (82375) | $69.11 | $172.77 | 5.6× |
| Carcinoembryonic antigen (82378) | $114.75 | $286.87 | 6.1× |
| Cell count csf (89051) | $51.20 | $127.98 | 9.1× |
| Cftr gene com variants (81220) | $330.25 | $825.61 | 0.6× |
| Chloride other source (82438) | $27.43 | $68.57 | 5.5× |
| Chloride Serum (82435) | $19.95 | $49.86 | 4.3× |
| Chloride urine (82436) | $28.18 | $70.45 | 4.9× |
| Cholesterol total (82465) | $24.96 | $62.38 | 5.7× |
| Chorionic gonadotropin test (84702) | $96 | $239.98 | 6.4× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $106.51 | $266.27 | 4.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $140.68 | $351.69 | 4.2× |
| Chromosome Analysis 15-20 (88262) | $698.71 | $1,746.76 | 5.6× |
| Chromosome Analysis 20-25 (88264) | $165.10 | $412.75 | 1.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $193.01 | $482.52 | 5.5× |
| Ckmb (82553) | $71.04 | $177.59 | 6.2× |
| Clostridium Difficile (87324) | $67.27 | $168.17 | 5.6× |
| Cns DNA amp probe type 12-25 (87483) | $366.73 | $916.81 | 0.9× |
| Coagulation time activated (85347) | $26.46 | $66.14 | 6.2× |
| Compatibility test antiglob (86922) | $463.46 | $1,158.65 | 2.6× |
| Complement Antigen Each Component (86160) | $66.04 | $165.10 | 5.5× |
| Coombs direct (86880) | $42.88 | $107.18 | 8.0× |
| Cortisol saliva (82533) | $89.66 | $224.13 | 5.5× |
| Creatine kinase total (82550) | $35.82 | $89.55 | 5.5× |
| Creatinine blood (82565) | $30.72 | $76.79 | 6.0× |
| Creatinine clearance (82575) | $70.39 | $175.97 | 7.4× |
| Creatinine Urine (82570) | $40.31 | $100.77 | 7.8× |
| Crossmatch electronic (86923) | $463.46 | $1,158.65 | 2.6× |
| Crossmatch immediate spin (86920) | $463.46 | $1,158.65 | 2.6× |
| Crp High Sensitivity (86141) | $78.30 | $195.74 | 6.0× |
| Cryptococcal Antigen (87327) | $81.85 | $204.62 | 6.1× |
| Cryptococcus ag titer (87899) | $65.66 | $164.15 | 4.1× |
| Cryptosporidium (87272) | $63.08 | $157.70 | 5.3× |
| Cryptosporidium ag eia (87328) | $67.27 | $168.17 | 4.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$52.45–$86.39 | $131.11–$215.97 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $39.74 | $99.34 | 4.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $50.13 | $125.32 | 6.5× |
| Culture afb (87116) | $90.20 | $225.49 | 8.4× |
| Culture Anaerobic (87075) | $57.59 | $143.97 | 6.1× |
| Culture blood (87040) | $92.15 | $230.36 | 8.9× |
| Culture csf (87070) | $57.59 | $143.97 | 6.7× |
| Culture fungus (87102) | $55.78 | $139.44 | 6.6× |
| Culture fungus blood (87103) | $41.93 | $104.82 | 2.0× |
| Culture screen only (87081) | $110.76 | $276.88 | 16.7× |
| Culture stool (87045) | $63.99 | $159.96 | 6.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $38.40 | $95.99 | 7.4× |
| Culture urine (87086) | $54.40 | $135.99 | 6.7× |
| Cyclosporine (80158) | $135.99 | $339.97 | 7.5× |
| Cytogenetics 100-300 (88275) | $225.14 | $562.84 | 4.4× |
| Cytopath Cell Enhance Tech (88112) | $201.07 | $502.67 | 3.7× |
| Cytp Concentration Smears & Interpretation (88108) | $114.46 | $286.13 | 2.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $201.07 | $502.67 | 3.7× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $383.45 | $958.61 | 2.1× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $785.75 | $1,964.36 | 4.4× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $680.43 | $1,701.06 | 3.8× |
| Detect Agent Nos Dna Amp (87798) | $192.05 | $480.11 | 5.5× |
| Digoxin (80162) | $80 | $199.98 | 6.0× |
| Dna Antibody Native/Double Stranded (86225) | $83.12 | $207.78 | 6.0× |
| Drug assay acetaminophen (80143) | $75.48 | $188.68 | 4.0× |
| Drug Assay Leflunomide (80193) | $68.80 | $171.98 | 1.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $69.47 | $173.67 | 5.2× |
| Drug Test Prsmv Chem Anlyzr (80307) | $51.20 | $127.98 | 0.8× |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$9.60–$75.48 | $24–$188.68 | varies |
| Drug Test Prsmv Instrmnt (80306) | $12.80 | $31.99 | 0.7× |
| Electrolyte panel (80051) | $70.39 | $175.97 | 10.0× |
| Enterovirus PCR (87498) | $113.98 | $284.94 | 3.2× |
| Eosinophil Smear (89190) | $35.20 | $87.98 | 6.1× |
| Estradiol serum (82670) | $169.03 | $422.57 | 6.0× |
| Ethylene Glycol (82693) | $83.51 | $208.77 | 5.6× |
| Exam Synovial Fluid Crystals (89060) | $42.08 | $105.18 | 5.7× |
| F2 Gene (81240) | $257.74 | $644.34 | 3.9× |
| Factor v leiden mutation (81241) | $320.10 | $800.23 | 4.4× |
| Factor viii assay (85240) | $126.82 | $317.04 | 7.1× |
| Ferritin (82728) | $82.41 | $206.01 | 6.0× |
| Fetal Chrmoml Microdeltj (81422) | $514.66 | $1,286.63 | 0.7× |
| Fetal Fibronectin (82731) | $361.07 | $902.66 | 5.6× |
| Fetal screen rosette (85461) | $41.60 | $103.99 | 4.4× |
| Fibrin Degradation Quant (85379) | $50.56 | $126.39 | 5.0× |
| Fibrinogen activity (85384) | $47.61 | $119.01 | 4.9× |
| Flow cytometry first marker (88184) | $785.75 | $1,964.36 | 2.1× |
| Fluorescent antibody screen (86255) | $66.74 | $166.85 | 5.5× |
| Folic acid rbc (82747) | $94.64 | $236.60 | 5.4× |
| Folic Acid Serum (82746) | $89.60 | $223.98 | 6.1× |
| Follicle Stimulating Hormone (83001) | $112.42 | $281.05 | 6.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $785.75 | $1,964.36 | 4.4× |
| Frozen blood freeze/thaw (86932) | $281.78 | $704.45 | 7.2× |
| Frozen Section (88331) | $680.43 | $1,701.06 | 3.8× |
| Fungi Identification Mold (87107) | $67.55 | $168.86 | 6.5× |
| Fungi Identification Yeast (87106) | $67.55 | $168.86 | 6.5× |
| Gammaglobulin ige (82785) | $92.34 | $230.84 | 5.6× |
| Gases blood ph only (82800) | $47.50 | $118.73 | 4.3× |
| Gentamicin (80170) | $91.88 | $229.70 | 5.6× |
| Ggt (82977) | $43.54 | $108.84 | 6.0× |
| Giardia antigen (87329) | $65.96 | $164.89 | 5.5× |
| Glucose 2 hr pp (82950) | $31.35 | $78.37 | 6.6× |
| Glucose body fluid (82945) | $24.93 | $62.31 | 6.3× |
| Glucose Serum (82947) | $26.24 | $65.59 | 6.7× |
| Gonadotropin Chorionic Qualitative (84703) | $62.07 | $155.17 | 8.3× |
| Haptoglobin (83010) | $46.80 | $116.98 | 3.7× |
| Hematocrit (85014) | $13.02 | $32.54 | 5.5× |
| Hemoglobin (85018) | $13.02 | $32.54 | 5.5× |
| Hemoglobin a1c (83036) | $58.70 | $146.74 | 6.0× |
| Hemoglobin Methemoglobin Quantitative (83050) | $47.92 | $119.79 | 5.8× |
| Hemoglobin plasma (83051) | $41.12 | $102.80 | 5.6× |
| Hep a ab igm (86709) | $63.12 | $157.79 | 5.6× |
| Heparin assay (85520) | $127.99 | $319.96 | 9.8× |
| Heparin-Protamine Tolerance Tst (85530) | $74.14 | $185.34 | 5.7× |
| Hepatitis b core ab igm (86705) | $61.70 | $154.25 | 5.2× |
| Hepatitis B Surface Antibody (86706) | $77.44 | $193.58 | 7.2× |
| Hepatitis B Surface Antigen (87340) | $57.59 | $143.97 | 5.6× |
| Hepatitis C Antibody (86803) | $78.48 | $196.18 | 5.5× |
| Hepatitis d quantification (87523) | $51.41 | $128.52 | 1.2× |
| Herpes simplex type 2 (86696) | $151.03 | $377.57 | 7.8× |
| Heterophile Antibody Screen (86308) | $47.99 | $119.97 | 9.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $43.39 | $108.46 | 5.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $126.18 | $315.43 | 5.2× |
| Hiv-1 Antibody (86701) | $49.76 | $124.40 | 5.6× |
| Hla-b27 (86812) | $162.64 | $406.60 | 6.3× |
| Homocysteine (83090) | $102.04 | $255.10 | 5.7× |
| Homogenization Tissue (87176) | $32 | $80 | 5.4× |
| Hpv High-Risk Types (87624) | $183.53 | $458.81 | 5.2× |
| Hpv low-risk types (87623) | $183.53 | $458.81 | 5.2× |
| Hpv Types 16 & 18 Only (87625) | $183.53 | $458.81 | 4.5× |
| Hsv Dna Amp Probe (87529) | $158.64 | $396.58 | 4.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $65.96 | $164.89 | 4.7× |
| Iaad ia shiga-like toxin (87427) | $65.23 | $163.07 | 5.4× |
| Iaad Ia Streptococcus Group A (87430) | $65.96 | $164.89 | 3.9× |
| Iaadi herpes smplx virus type 1 (87274) | $67.27 | $168.17 | 5.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $96.93 | $242.31 | 2.8× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $213.83 | $534.56 | 3.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $167.34 | $418.34 | 4.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $193.01 | $482.52 | 5.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $785.75 | $1,964.36 | 2.1× |
| Immunfix e-phorsis/urine/csf (86335) | $161.41 | $403.52 | 5.5× |
| Immunofixation electrophoresis (86334) | $135.15 | $337.87 | 6.0× |
| Immunohistochemistry (88342) | $785.75 | $1,964.36 | 4.4× |
| In situ hybridization 1st probe stain (88365) | $383.45 | $958.61 | 2.1× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $27.46 | $68.63 | 2.2× |
| Influenza a/b ag eia (87400) | $23.68 | $59.19 | 1.7× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$37.80–$62.82 | $94.50–$157.03 | varies |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$99.67–$445.73 | $249.17–$1,114.31 | varies |
| Inherited Cardmypthy 5 Gns (81439) | $514.66 | $1,286.63 | 0.9× |
| Inhibin A (86336) | $72.56 | $181.40 | 4.7× |
| Insitu hybridization auto (88367) | $785.75 | $1,964.36 | 2.1× |
| Insulin total (83525) | $62.88 | $157.20 | 5.5× |
| Iron (83540) | $75.94 | $189.85 | 11.7× |
| Iron Binding Capacity (83550) | $63.36 | $158.39 | 7.2× |
| Koh Prep (87220) | $23.47 | $58.66 | 5.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$36.44–$36.49 | $91.08–$91.22 | varies |
| LDL direct (83721) | $52.45 | $131.11 | 5.0× |
| Legionella antigen urine (87449) | $87.09 | $217.71 | 7.3× |
| Leukocyte Assessment Fecal (89055) | $28.80 | $72 | 6.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $114.46 | $286.13 | 3.8× |
| Level ii surg pathology grossµscopic exam (88302) | $114.46 | $286.13 | 2.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $785.75 | $1,964.36 | 2.1× |
| Lipase (83690) | $60.16 | $150.38 | 8.7× |
| Lithium (80178) | $47.36 | $118.39 | 7.2× |
| Liver ds alys 3 bmrk srm alg (81517) | $604.08 | $1,510.20 | 3.4× |
| Luteinizing Hormone (Lh) (83002) | $112.05 | $280.12 | 6.1× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $328.64 | $821.60 | 1.8× |
| Magnesium Urine (83735) | $45.43 | $113.57 | 6.8× |
| Metabolic panel ionized ca (80047) | $52.92 | $132.28 | 3.9× |
| Methotrexate (80204) | $69.35 | $173.36 | 1.8× |
| Microalbumin, quantitative (82043) | $46.79 | $116.96 | 8.1× |
| Molecular Cytogenetics Dna Probe Each (88271) | $120.06 | $300.15 | 5.6× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $177.95 | $444.87 | 4.2× |
| Mrsa Pcr (87641) | $196.77 | $491.92 | 5.6× |
| Mthfr Gene Analysis Common Variants (81291) | $228.65 | $571.61 | 3.5× |
| Muscle-Specific Kinase Antb (86366) | $22.08 | $55.20 | 1.2× |
| Myoglobin urine (83874) | $97.67 | $244.16 | 7.6× |
| Natriuretic peptide (83880) | $197.28 | $493.18 | 5.0× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $383.95 | $959.86 | 13.1× |
| Nk cells total count (86357) | $90.11 | $225.27 | 2.4× |
| Nuclear antigen antibody (86235) range across 7 matching MRF lines |
$83.67–$169.58 | $209.16–$423.94 | varies |
| Occult blood feces (82272) | $18.24 | $45.58 | 4.3× |
| Oncology Prostate Prob Score (81539) | $450.92 | $1,127.30 | 0.6× |
| Osmolality serum (83930) | $37.06 | $92.64 | 5.6× |
| Osmolality Urine (83935) | $41.22 | $103.04 | 6.0× |
| Ova and parasites smears (87177) | $49.88 | $124.69 | 5.6× |
| Path Clin Consltj Mod 21-40 (80504) | $218.52 | $546.30 | 1.2× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,652.86 | $4,132.13 | 1.9× |
| Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) | $291.36 | $728.40 | 1.6× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $72.81 | $182.02 | 1.3× |
| Pathology Consultation During Surgery (88329) | $114.46 | $286.13 | 1.8× |
| Ph urine (81003) | $24.96 | $62.38 | 11.1× |
| Phenobarbital Level (80184) | $65.89 | $164.71 | 4.3× |
| Phenytoin (Dilantin) (80185) | $72.92 | $182.29 | 5.5× |
| Phenytoin free (80186) | $77.18 | $192.94 | 5.6× |
| Phosphatase alkaline (84075) | $31.31 | $78.27 | 6.0× |
| Phosphorus Serum (84100) | $26.24 | $65.59 | 5.5× |
| Platelet Aggregation (85576) | $118.14 | $295.35 | 4.7× |
| Platelet count automated (85049) | $25.59 | $63.97 | 5.7× |
| Pooling blood platelets (86965) | $463.46 | $1,158.65 | 2.6× |
| Potassium Urine (84133) | $28.04 | $70.10 | 5.9× |
| Prealbumin (84134) | $63.36 | $158.39 | 4.3× |
| Procalcitonin (Pct) (84145) | $145.64 | $364.08 | 5.4× |
| Progesterone (84144) | $85.66 | $214.14 | 4.1× |
| Prolactin (84146) | $117.25 | $293.11 | 6.1× |
| Protein body fluid (84157) | $31.35 | $78.37 | 7.8× |
| Protein C Activity (85303) | $142.15 | $355.37 | 10.3× |
| Protein Electrophoresis Urine (84166) | $107.86 | $269.65 | 6.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $71.42 | $178.53 | 6.6× |
| Protein S Free (85306) | $84.29 | $210.71 | 5.5× |
| Protein total serum (84155) | $24.57 | $61.42 | 6.7× |
| Protein Total Urine (84156) | $28.80 | $72 | 7.8× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $25.81 | $64.52 | 6.6× |
| Pth Intact (83970) | $227 | $567.48 | 5.5× |
| Quantiferon tb gold plus (86480) | $347.44 | $868.59 | 5.6× |
| Rbc antibody elution (86860) | $463.46 | $1,158.65 | 2.6× |
| Rbc antibody identification (86870) | $785.75 | $1,964.36 | 2.1× |
| Rbc antibody screen (86850) | $281.78 | $704.45 | 28.8× |
| Rbc pretreatment serum (86978) | $281.78 | $704.45 | 4.5× |
| Resp Virus 6-11 Targets (87632) | $1,024.35 | $2,560.87 | 4.7× |
| Rh (86901) | $37.08 | $92.68 | 12.4× |
| Rheumatoid factor quant (86431) | $34.34 | $85.85 | 6.1× |
| Rotavirus ag eia (87425) | $65.96 | $164.89 | 5.5× |
| Rpr qualitative (86592) | $40.68 | $101.70 | 9.5× |
| Rsv Assay W/Optic (87807) | $62.82 | $157.03 | 4.8× |
| Rubella Antibody (86762) | $87.09 | $217.71 | 6.1× |
| Russell Viper Venom Time Diluted (85613) | $59.12 | $147.78 | 6.2× |
| Salicylate Level (80179) | $75.48 | $188.68 | 4.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $52.86 | $132.14 | 1.0× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $40.17 | $100.42 | 1.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $243.68 | $609.18 | 1.7× |
| Sedimentation rate (85651) | $21.12 | $52.78 | 4.9× |
| Sedimentation Rate, Automated (85652) | $21.12 | $52.78 | 7.8× |
| Sensitivity mic (87186) | $53.11 | $132.77 | 6.1× |
| Sept9 Methylation Analysis (81327) | $113.92 | $284.79 | 0.6× |
| Sickling of rbc reduction (85660) | $30.96 | $77.38 | 5.6× |
| Smear acid fast (87206) | $29.56 | $73.90 | 5.5× |
| Smear complex stain (87209) | $112 | $280 | 6.2× |
| Smear gram stain (87205) | $32 | $80 | 7.5× |
| Smear Special Stain (87207) | $37.45 | $93.62 | 6.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $28.16 | $70.39 | 4.8× |
| So neo gsap cl fr DNA/DNA&RNA cpy nmbr mcrst ins (81464) | $823.20 | $2,058 | 0.3× |
| So neo gsap cll fr DNA alys cpy nmbr&mcrstl ins (81463) | $823.20 | $2,058 | 0.6× |
| So neo gsap cll fr DNA/DNA&RNA cpy nmbr&reargmt (81462) | $823.20 | $2,058 | 0.7× |
| So neo gsap DNA aly cpy nmbrµsatellite ins (81458) | $823.20 | $2,058 | 0.8× |
| So neo gsap DNA mcrstl ins (81457) | $823.20 | $2,058 | 0.9× |
| So neo gsap DNA/DNA&RNA (81459) | $823.20 | $2,058 | 0.3× |
| Sodium Serum (84295) | $28.16 | $70.39 | 5.9× |
| Sodium Urine (84300) | $54.59 | $136.47 | 10.8× |
| Special Stains Group 1 (88312) | $201.07 | $502.67 | 3.7× |
| Special Stains Group 2 (88313) | $201.07 | $502.67 | 1.4× |
| Specific gravity body fluid (84315) | $16.40 | $40.98 | 5.0× |
| Specimen infect agnt concntj (87015) | $37.44 | $93.60 | 5.6× |
| Splitting Blood/Blood Products Each Unit (86985) | $463.46 | $1,158.65 | 2.6× |
| Staph a DNA amp probe (87640) | $196.77 | $491.92 | 5.6× |
| Stool cultr aerobic bact ea (87046) | $52.87 | $132.17 | 5.6× |
| Strep a assay w/optic (87880) | $58.28 | $145.69 | 3.5× |
| Strep a DNA amp probe (87651) | $106.89 | $267.21 | 3.0× |
| Surg path level iii (88304) | $201.07 | $502.67 | 3.7× |
| Surgical pathology level IV (88305) | $207.97 | $519.92 | 3.8× |
| Surgical pathology level vi (88309) | $1,652.86 | $4,132.13 | 1.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $31.10 | $77.75 | 6.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $79.90 | $199.75 | 10.7× |
| T cells absolute cd4 count (86361) | $109.47 | $273.66 | 4.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $169.68 | $424.20 | 3.6× |
| T cells total count (86359) | $103.46 | $258.64 | 2.7× |
| T3 Free (84481) | $102.47 | $256.16 | 6.0× |
| T3 Total (84480) | $77.98 | $194.95 | 5.5× |
| T3 Uptake (84479) | $39.16 | $97.90 | 6.1× |
| T4 Free (84439) | $60.16 | $150.38 | 6.7× |
| T4 total (84436) | $41.56 | $103.88 | 6.0× |
| Tacrolimus (80197) | $122.99 | $307.46 | 9.0× |
| Testosterone Bioavailable (84410) | $46.54 | $116.34 | 0.9× |
| Testosterone total (84403) | $156.18 | $390.44 | 6.1× |
| Theophylline (80198) | $77.83 | $194.57 | 5.5× |
| Thrombin Time (85670) | $32.41 | $81.01 | 5.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $36.46 | $91.14 | 5.6× |
| Tissue Culture (88233) | $413.36 | $1,033.38 | 2.9× |
| Tissue culture bone marrow (88237) | $708.04 | $1,770.08 | 4.9× |
| Tissue Culture Lymphocyte (88230) | $206.69 | $516.71 | 1.8× |
| Tobramycin peak (80200) | $90.35 | $225.87 | 5.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $31.31 | $78.27 | 6.0× |
| Transferrin (84466) | $70.23 | $175.57 | 5.5× |
| Triglycerides (84478) | $34.80 | $87 | 6.1× |
| Troponin Quant (84484) | $75.99 | $189.96 | 6.1× |
| Tumor immunohistochem/comput (88361) | $785.75 | $1,964.36 | 2.1× |
| Tumor Immunohistochem/Manual (88360) | $785.75 | $1,964.36 | 4.4× |
| Urea nitrogen urine (84540) | $26.61 | $66.52 | 4.8× |
| Uric acid other source (84560) | $28.04 | $70.10 | 5.5× |
| Urinalysis Microscopic Only (81015) | $19.86 | $49.65 | 6.5× |
| Urine Bacteria Culture (87088) | $45.40 | $113.48 | 5.6× |
| Urine Pregnancy Test (81025) | $62.07 | $155.17 | 7.2× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $45.43 | $113.57 | 14.3× |
| Valproic acid (80164) | $83.20 | $207.99 | 6.1× |
| Vancomycin (80202) | $125.43 | $313.56 | 9.3× |
| Varicella-zoster antibody (86787) | $77.97 | $194.91 | 6.1× |
| Virus inoculation, shell via (87254) | $131.19 | $327.96 | 6.7× |
| Vitamin b-12 (82607) | $85.12 | $212.79 | 5.6× |
| Vitamin D 25-Hydroxy (82306) | $147.43 | $368.56 | 5.0× |
| Volatiles (84600) | $90.12 | $225.29 | 5.3× |
| Xm Archive Tissue Molec Anal (88363) | $108.32 | $270.78 | 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.