Lab & pathology prices at Star Valley Medical Center
Afton, WY · every code in this section with a posted price and a Medicare benchmark.
629 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $212.80 | $304 | 9.3× |
| Acth (82024) | $189 | $270 | 4.9× |
| Actin smooth muscle antibody each (86015) | $25.20 | $36 | 2.1× |
| Acute hepatitis panel (80074) | $270.20 | $386 | 5.7× |
| Acylcarnitines Quant (82017) | $270.90 | $387 | 16.1× |
| Adenovirus antibody (86603) | $77 | $110 | 6.0× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $362.60 | $518 | 5.6× |
| Albumin Fluid (82042) | $79.80 | $114 | 10.3× |
| Albumin serum (82040) | $33.60 | $48 | 6.8× |
| Aldolase (82085) | $42.70 | $61 | 4.4× |
| Aldosterone urine (82088) | $176.40 | $252 | 4.3× |
| Alkaline phosphatase isoenzymes (84080) | $78.40 | $112 | 5.3× |
| Allergen specific ige (86003) range across 165 matching MRF lines |
$37.80–$100.10 | $54–$143 | varies |
| Allergen specific igg (86001) range across 21 matching MRF lines |
$52.50–$350 | $75–$500 | varies |
| Allg Spec Ige Recomb Ea (86008) | $109.20 | $156 | 6.1× |
| Alpha-1-antitrypsin phenotype (82104) | $133 | $190 | 9.2× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$73.50–$91 | $105–$130 | varies |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$101.50–$114.10 | $145–$163 | varies |
| Alt (sgpt) (84460) | $35 | $50 | 6.6× |
| Aluminum (82108) | $154.70 | $221 | 6.1× |
| Amikacin trough (80150) | $91 | $130 | 6.0× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $139.30 | $199 | 6.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $159.60 | $228 | 9.5× |
| Amino acids; single, qualitative, each specimen Facility (82127) | $85.40 | $122 | 6.0× |
| Ammonia (82140) | $121.80 | $174 | 8.4× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $593.60 | $848 | 6.1× |
| Amylase urine (82150) range across 2 matching MRF lines |
$68.60–$105.70 | $98–$151 | varies |
| Ana Titer (86039) | $76.30 | $109 | 6.8× |
| Anca screen each antibody (86036) | $28 | $40 | 2.3× |
| Androstenedione (82157) | $142.10 | $203 | 4.9× |
| Angiotensin converting enzyme csf (82164) | $106.40 | $152 | 7.3× |
| Anti-Phospholipid Antibody (86148) range across 3 matching MRF lines |
$114.10–$130.90 | $163–$187 | varies |
| Antibody aspergillus (86606) | $142.10 | $203 | 9.4× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 8 matching MRF lines |
$110.60–$200.90 | $158–$287 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $68.60 | $98 | 4.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 3 matching MRF lines |
$135.10–$188.30 | $193–$269 | varies |
| Antibody Encephalitis California La Crosse (86651) | $79.80 | $114 | 6.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $128.80 | $184 | 8.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $137.20 | $196 | 7.6× |
| Antibody Fungus Not Elsewhere Specified (86671) | $116.90 | $167 | 9.5× |
| Antibody haemophilus influenza (86684) | $95.90 | $137 | 6.1× |
| Antibody helicobacter pylori (86677) | $74.20 | $106 | 4.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$57.40–$85.40 | $82–$122 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $58.10 | $83 | 4.4× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $116.90 | $167 | 6.0× |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$147–$186.90 | $210–$267 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $228.90 | $327 | 18.4× |
| Antibody Lymphocytic Choriomeningitis (86727) | $77 | $110 | 6.0× |
| Antibody Protozoa Nes (86753) | $96.60 | $138 | 7.8× |
| Antibody rotavirus (86759) | $109.90 | $157 | 6.0× |
| Antibody Titer (86886) | $658 | $940 | 127.0× |
| Antibody Treponema Pallidum (86780) | $137.90 | $197 | 10.4× |
| Antibody; encephalitis, st. louis (86653) | $79.80 | $114 | 6.1× |
| Antinuclear antibodies (86038) | $76.30 | $109 | 6.3× |
| Antistreptolysin O Screen (86063) | $104.30 | $149 | 18.1× |
| Antistreptolysin o titer (86060) | $89.60 | $128 | 12.3× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$126–$282.80 | $180–$404 | varies |
| Antithrombin iii antigen (85301) | $128.80 | $184 | 11.9× |
| Apolipoprotein a1 (82172) | $84 | $120 | 4.0× |
| Aquaporin-4 Antb Cba Each (86052) | $25.20 | $36 | 2.1× |
| Arsenic (82175) | $74.90 | $107 | 3.9× |
| Aspergillus ag eia (87305) | $113.40 | $162 | 9.5× |
| Assay activated protein c (85307) | $86.80 | $124 | 5.7× |
| Assay Blood Carbon Dioxide (82374) | $32.20 | $46 | 6.6× |
| Assay Blood Catecholamines (82383) | $193.20 | $276 | 6.6× |
| Assay myeloperoxidase (83876) | $219.10 | $313 | 4.3× |
| Assay Nephelometry Not Spec (83883) | $229.60 | $328 | 16.9× |
| Assay of 5-hiaa (83497) | $119 | $170 | 9.2× |
| Assay of blood/uric acid (84550) | $44.10 | $63 | 9.8× |
| Assay of calcium in urine (82340) | $53.20 | $76 | 8.8× |
| Assay of cpk in blood (82552) | $72.10 | $103 | 5.4× |
| Assay of estrone (82679) | $221.90 | $317 | 8.9× |
| Assay of g6pd enzyme (82955) | $105 | $150 | 10.8× |
| Assay of gammaglobulin igm (82784) range across 6 matching MRF lines |
$64.40–$148.40 | $92–$212 | varies |
| Assay of lactic acid (83605) | $101.50 | $145 | 8.8× |
| Assay of manganese (83785) | $161 | $230 | 6.0× |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$137.90–$166.60 | $197–$238 | varies |
| Assay of procainamide (80190) | $362.60 | $518 | 6.0× |
| Assay of proinsulin (84206) | $161 | $230 | 6.0× |
| Assay of pyruvate (84210) | $63.70 | $91 | 4.4× |
| Assay of serotonin (84260) | $187.60 | $268 | 6.1× |
| Assay of serum potassium (84132) | $64.40 | $92 | 13.5× |
| Assay of Tyrosine (84510) | $64.40 | $92 | 6.1× |
| Assay of urea nitrogen (84520) | $41.30 | $59 | 10.5× |
| Assay of urine vma (84585) | $93.80 | $134 | 6.1× |
| Assay of vasoactive intestinal peptide (84586) | $156.10 | $223 | 4.4× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$151.90–$159.60 | $217–$228 | varies |
| Assay Ph Body Fluid Nos (83986) | $45.50 | $65 | 12.7× |
| B cells total count (86355) | $224 | $320 | 5.9× |
| Bacterial antigens 87802 (87802) | $76.30 | $109 | 6.0× |
| Bartonella antibody (86611) | $114.80 | $164 | 11.3× |
| Beta 2 glycoprotein i antibody each (86146) range across 6 matching MRF lines |
$94.50–$128.80 | $135–$184 | varies |
| Beta hydroxybutyrate (82010) | $81.20 | $116 | 9.9× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$63.70–$116.20 | $91–$166 | varies |
| Bile acids total (82239) | $83.30 | $119 | 4.9× |
| Bilirubin direct (82248) | $81.90 | $117 | 16.3× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$41.30–$108.50 | $59–$155 | varies |
| Biotinidase (82261) | $101.50 | $145 | 6.0× |
| Blastomyces antibody (86612) | $140 | $200 | 10.9× |
| Bld Typing Serologic Rh Phnt (86906) | $161 | $230 | 20.8× |
| Bleeding time test (85002) | $29.40 | $42 | 6.1× |
| Blood Count Manual Cell Count Each (85032) | $25.90 | $37 | 6.0× |
| Blood count reticulocyte automated (85045) | $126.70 | $181 | 31.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $37.10 | $53 | 9.8× |
| Blood gas (82803) range across 2 matching MRF lines |
$192.50–$226.80 | $275–$324 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $77.70 | $111 | 4.9× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $205.10 | $293 | 12.6× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$58.80–$84 | $84–$120 | varies |
| Body fluid cell count (89050) | $70.70 | $101 | 15.0× |
| Bordetella antibody (86615) | $125.30 | $179 | 9.5× |
| Brca1&2 gen full seq dup/del (81162) | $2,662.10 | $3,803 | 1.5× |
| Brucella antibody (86622) | $85.40 | $122 | 9.6× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$189–$198.10 | $270–$283 | varies |
| C-Peptide (84681) | $151.20 | $216 | 7.3× |
| C-reactive protein (86140) | $88.90 | $127 | 17.2× |
| Ca 19-9 (86301) | $88.20 | $126 | 4.2× |
| Cadmium (82300) | $93.80 | $134 | 4.0× |
| Calcitonin (82308) | $118.30 | $169 | 4.4× |
| Calcium ionized (82330) | $91 | $130 | 6.7× |
| Calcium total (82310) | $62.30 | $89 | 12.1× |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$70–$76.30 | $100–$109 | varies |
| Calprotectin Fecal (83993) | $225.40 | $322 | 11.5× |
| Cancer Antigen 125 (86304) | $133.70 | $191 | 6.4× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$107.10–$108.50 | $153–$155 | varies |
| Candida antibody (86628) | $79.80 | $114 | 6.6× |
| Candida Dna Dir Probe (87480) | $95.90 | $137 | 4.8× |
| Carbamazepine total (80156) | $133 | $190 | 9.1× |
| Carbohydrate Deficient Transferrin (82373) | $109.20 | $156 | 6.0× |
| Carboxyhemoglobin (82375) | $159.60 | $228 | 13.0× |
| Carcinoembryonic antigen (82378) | $125.30 | $179 | 6.6× |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$120.40–$184.10 | $172–$263 | varies |
| Carnitine Quantitative Each Specimen (82379) | $147.70 | $211 | 8.8× |
| Carotene (82380) | $40.60 | $58 | 4.4× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$122.50–$125.30 | $175–$179 | varies |
| Ccp antibody (86200) | $101.50 | $145 | 7.8× |
| Cell count csf (89051) | $121.10 | $173 | 21.6× |
| Ceruloplasmin (82390) | $95.90 | $137 | 8.9× |
| Cftr gene com variants (81220) | $3,367 | $4,810 | 6.0× |
| Chemiluminescent assay (82397) range across 5 matching MRF lines |
$67.90–$248.50 | $97–$355 | varies |
| Chlamydia antibody (86631) | $71.40 | $102 | 6.0× |
| Chlamydia Igm Antibody (86632) | $119.70 | $171 | 9.4× |
| Chloride Serum (82435) | $30.10 | $43 | 6.5× |
| Chloride urine (82436) | $35.70 | $51 | 6.2× |
| Cholesterol total (82465) | $37.10 | $53 | 8.5× |
| Cholinesterase Serum (82480) | $46.90 | $67 | 6.0× |
| Chorionic gonadotropin test (84702) | $113.40 | $162 | 7.5× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $147.70 | $211 | 4.4× |
| Chromium serum (82495) | $89.60 | $128 | 4.4× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$91.70–$246.40 | $131–$352 | varies |
| Chromosome Analysis 15-20 (88262) | $553.70 | $791 | 4.4× |
| Chromosome Analysis 20-25 (88264) | $637.70 | $911 | 4.4× |
| Chromosome analysis 45 cells (88263) | $662.90 | $947 | 4.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $100.10 | $143 | 2.9× |
| Citric acid urine (82507) | $191.10 | $273 | 6.9× |
| Ckmb (82553) | $154.70 | $221 | 13.4× |
| Clostridium Difficile (87324) | $229.60 | $328 | 19.2× |
| Coccidioides antibody (86635) range across 4 matching MRF lines |
$159.60–$175.70 | $228–$251 | varies |
| Cold agglutinin titer (86157) | $75.60 | $108 | 9.4× |
| Collagen crosslinks (82523) | $82.60 | $118 | 4.4× |
| Column Chromotography Quant (82542) range across 4 matching MRF lines |
$133.70–$228.90 | $191–$327 | varies |
| Compatibility test antiglob (86922) | $399 | $570 | 2.3× |
| Complement Antigen Each Component (86160) range across 6 matching MRF lines |
$73.50–$128.10 | $105–$183 | varies |
| Complement Total (Ch50) (86162) | $204.40 | $292 | 10.1× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$56–$85.40 | $80–$122 | varies |
| Coombs direct (86880) | $110.60 | $158 | 20.5× |
| Copper urine (82525) range across 3 matching MRF lines |
$94.50–$97.30 | $135–$139 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$81.20–$102.20 | $116–$146 | varies |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$107.80–$111.30 | $154–$159 | varies |
| Creatine kinase total (82550) | $135.80 | $194 | 20.9× |
| Creatinine blood (82565) | $49 | $70 | 9.6× |
| Creatinine clearance (82575) | $240.10 | $343 | 25.4× |
| Creatinine Urine (82570) | $75.60 | $108 | 14.6× |
| Crossmatch electronic (86923) | $356.30 | $509 | 2.0× |
| Crossmatch immediate spin (86920) | $279.30 | $399 | 1.6× |
| Crp High Sensitivity (86141) | $107.10 | $153 | 8.3× |
| Cryofibrinogen (82585) | $85.40 | $122 | 6.0× |
| Cryoglobulin (82595) | $56 | $80 | 8.7× |
| Cryptococcus ag titer (87899) | $151.20 | $216 | 9.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $46.20 | $66 | 6.0× |
| Culture afb (87116) | $102.90 | $147 | 9.5× |
| Culture Anaerobic (87075) | $203.70 | $291 | 21.5× |
| Culture blood (87040) | $257.60 | $368 | 25.0× |
| Culture chlamydia (87110) | $119 | $170 | 6.1× |
| Culture csf (87070) | $108.50 | $155 | 12.6× |
| Culture fungus (87102) | $104.30 | $149 | 12.4× |
| Culture screen only (87081) | $63 | $90 | 9.5× |
| Culture stool (87045) | $112 | $160 | 11.9× |
| Culture typing if ea antiserum (87140) | $33.60 | $48 | 6.0× |
| Culture urine (87086) | $107.10 | $153 | 13.3× |
| Cyclic amp (82030) | $156.10 | $223 | 6.1× |
| Cyclosporine (80158) | $88.90 | $127 | 4.9× |
| Cyp2c19 gene analysis common variants (81225) | $1,762.60 | $2,518 | 6.0× |
| Cyp2d6 gene com variants (81226) | $2,726.50 | $3,895 | 6.0× |
| Cystatin C (82610) | $162.40 | $232 | 8.8× |
| Cytogenetics 10-30 (88273) | $153.30 | $219 | 4.4× |
| Cytogenetics 100-300 (88275) | $387.10 | $553 | 7.6× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $7,015.40 | $10,022 | 6.0× |
| Cytomegalovirus igg (86644) | $109.20 | $156 | 7.6× |
| Cytp Concentration Smears & Interpretation (88108) | $63 | $90 | 1.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $207.90 | $297 | 3.9× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $658 | $940 | 3.8× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $205.10 | $293 | 5.4× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $149.80 | $214 | 5.1× |
| Deoxycortisol (82634) | $177.10 | $253 | 6.0× |
| Deoxyribonuclease antibody (86215) | $80.50 | $115 | 6.1× |
| Detect Agent Nos Dna Amp (87798) range across 15 matching MRF lines |
$163.80–$170.80 | $234–$244 | varies |
| Detect Agent Nos Dna Quant (87799) range across 7 matching MRF lines |
$189–$525 | $270–$750 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$246.40–$340.20 | $352–$486 | varies |
| Dgp Antibody Each Ig Class (86258) | $25.20 | $36 | 2.1× |
| Dhea (82626) | $224 | $320 | 8.9× |
| Dhea-S (82627) | $143.50 | $205 | 6.5× |
| Dibucaine number (82638) | $74.90 | $107 | 6.1× |
| Digoxin (80162) | $86.80 | $124 | 6.5× |
| Dipropylacetic Acid Free (80165) | $115.50 | $165 | 8.5× |
| Dna Antibody Native/Double Stranded (86225) | $76.30 | $109 | 5.6× |
| Dna Antibody Single Stranded (86226) | $172.20 | $246 | 14.2× |
| Dpyd gene common variants (81232) | $745.50 | $1,065 | 4.3× |
| Drug assay acetaminophen (80143) | $203.70 | $291 | 10.9× |
| Drug assay adalimumab (80145) | $232.40 | $332 | 6.0× |
| Drug Assay Everolimus (80169) | $368.90 | $527 | 26.9× |
| Drug Assay Infliximab (80230) | $364.70 | $521 | 9.5× |
| Drug Assay Lacosamide (80235) | $245 | $350 | 9.0× |
| Drug Assay Vedolizumab (80280) | $469 | $670 | 12.2× |
| Drug Screen Quant Clozapine (80159) | $121.80 | $174 | 6.0× |
| Drug Screen Quant Zonisamide (80203) | $90.30 | $129 | 6.8× |
| Drug Screen Quantitative Gabapentin (80171) | $130.90 | $187 | 6.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $125.30 | $179 | 9.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $149.80 | $214 | 11.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $58.80 | $84 | 4.4× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $101.50 | $145 | 6.1× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 10 matching MRF lines |
$267.40–$312.20 | $382–$446 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$23.80–$251.30 | $34–$359 | varies |
| Ehrlichia antibody (86666) | $164.50 | $235 | 16.2× |
| El-1 Fecal Quantitative (82653) | $48.30 | $69 | 2.1× |
| Electrolyte panel (80051) | $44.10 | $63 | 6.3× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $270.90 | $387 | 4.4× |
| Enterovirus Antibody (86658) range across 4 matching MRF lines |
$110.60–$272.30 | $158–$389 | varies |
| Enterovirus PCR (87498) | $155.40 | $222 | 4.4× |
| Enzyme cell activity (82657) | $206.50 | $295 | 9.3× |
| Enzyme histochemistry (88319) | $2,893.80 | $4,134 | 3.5× |
| Eosinophil Smear (89190) | $25.90 | $37 | 4.5× |
| Erythropoietin (82668) | $155.40 | $222 | 8.3× |
| Estradiol serum (82670) | $163.10 | $233 | 5.8× |
| Estriol (82677) | $67.90 | $97 | 2.8× |
| Ethosuximide (80168) | $84 | $120 | 5.1× |
| Ethylene Glycol (82693) | $89.60 | $128 | 6.0× |
| Exam Synovial Fluid Crystals (89060) | $77 | $110 | 10.5× |
| F2 Gene (81240) | $231.70 | $331 | 3.5× |
| Factor ii activity (85210) | $57.40 | $82 | 4.4× |
| Factor ix activity (85250) | $179.90 | $257 | 9.4× |
| Factor v activity (85220) | $102.90 | $147 | 5.8× |
| Factor v leiden mutation (81241) | $551.60 | $788 | 7.5× |
| Factor vii assay (85230) | $107.10 | $153 | 6.0× |
| Factor viii assay (85240) | $153.30 | $219 | 8.6× |
| Factor X (85260) | $78.40 | $112 | 4.4× |
| Fat/Lipids Feces Quantitative (82710) | $74.90 | $107 | 4.5× |
| Fatty acids free (82725) | $144.20 | $206 | 7.7× |
| Fecal Fat Qualitative (82705) | $49.70 | $71 | 9.7× |
| Ferritin (82728) | $102.90 | $147 | 7.5× |
| Fetal Chrmoml Aneuploidy (81420) | $4,590.60 | $6,558 | 6.0× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $389.90 | $557 | 2.5× |
| Fetal Fibronectin (82731) | $428.40 | $612 | 6.7× |
| Fibrin Degradation Quant (85379) | $194.60 | $278 | 19.1× |
| Fibrinogen activity (85384) | $91.70 | $131 | 9.4× |
| Flow cytometry first marker (88184) | $1,223.60 | $1,748 | 3.3× |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$126–$170.80 | $180–$244 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 9 matching MRF lines |
$126–$134.40 | $180–$192 | varies |
| Folic Acid Serum (82746) | $100.10 | $143 | 6.8× |
| Follicle Stimulating Hormone (83001) | $158.90 | $227 | 8.6× |
| Francisella tularensis (86668) | $85.40 | $122 | 6.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $991.90 | $1,417 | 5.7× |
| Frozen Section (88331) | $658 | $940 | 3.8× |
| Gammaglobulin ige (82785) | $104.30 | $149 | 6.3× |
| Gardner vag DNA dir probe (87510) | $88.20 | $126 | 4.4× |
| Gases blood ph only (82800) | $115.50 | $165 | 10.5× |
| Gastrin (82941) | $77.70 | $111 | 4.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,838.20 | $2,626 | 4.4× |
| Genet Virus Isolate Hsv (87255) | $119 | $170 | 3.5× |
| Gentamicin (80170) | $109.20 | $156 | 6.7× |
| Ggt (82977) | $56.70 | $81 | 7.9× |
| Giardia lamblia antibody (86674) | $88.90 | $127 | 6.0× |
| Glucose 2 hr pp (82950) | $23.10 | $33 | 4.9× |
| Glucose Blood Test (82962) | $65.10 | $93 | 19.8× |
| Glucose body fluid (82945) | $46.90 | $67 | 11.9× |
| Glucose Serum (82947) | $37.80 | $54 | 9.6× |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$62.30–$91 | $89–$130 | varies |
| Glycated Protein (82985) | $140.70 | $201 | 8.4× |
| Gonadotropin Chorionic Qualitative (84703) | $85.40 | $122 | 11.4× |
| Growth hormone (83003) | $66.50 | $95 | 4.0× |
| Gtt-added samples (82952) | $66.50 | $95 | 17.0× |
| H Pylori (C-13) Breath (83013) | $207.90 | $297 | 3.1× |
| Haptoglobin (83010) | $94.50 | $135 | 7.5× |
| Hdl Cholesterol (83718) | $117.60 | $168 | 14.4× |
| Helicobacter Pylori Stool (87338) | $108.50 | $155 | 7.5× |
| Helminth Antibody (86682) | $123.20 | $176 | 9.5× |
| Hemagglutination Inhibition (86280) | $49.70 | $71 | 6.1× |
| Hematocrit (85014) | $58.80 | $84 | 24.8× |
| Hemoglobin (85018) | $51.10 | $73 | 21.6× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$62.30–$72.80 | $89–$104 | varies |
| Hemoglobin Chromotography (83021) | $79.10 | $113 | 4.4× |
| Hemoglobin electrophoresis (83020) | $109.20 | $156 | 8.5× |
| Hemoglobin Methemoglobin Quantitative (83050) | $49.70 | $71 | 6.1× |
| Hemolysins&Agglutinins Incubated (86941) | $107.80 | $154 | 8.9× |
| Hep a ab igm (86709) | $94.50 | $135 | 8.4× |
| Heparin assay (85520) range across 2 matching MRF lines |
$63–$136.50 | $90–$195 | varies |
| Hepatitis a antibody total (86708) | $44.10 | $63 | 3.6× |
| Hepatitis b core ab igm (86705) | $102.90 | $147 | 8.7× |
| Hepatitis b core ab total (86704) | $109.20 | $156 | 9.1× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$107.10–$112.70 | $153–$161 | varies |
| Hepatitis B Surface Antigen (87340) | $68.60 | $98 | 6.6× |
| Hepatitis Be Antibody (86707) | $60.90 | $87 | 5.3× |
| Hepatitis Be Antigen (87350) | $61.60 | $88 | 5.3× |
| Hepatitis C Antibody (86803) | $130.90 | $187 | 9.2× |
| Hepatitis c antibody confirmatory test (86804) | $93.80 | $134 | 6.1× |
| Hepatitis C Genotype (87902) range across 4 matching MRF lines |
$289.10–$1,248.80 | $413–$1,784 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $308 | $440 | 7.2× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $3,537.10 | $5,053 | 2.7× |
| Herpes simplex type 2 (86696) | $79.10 | $113 | 4.1× |
| Heterophile antibodies titer (86309) | $62.30 | $89 | 9.6× |
| Heterophile Antibody Screen (86308) | $55.30 | $79 | 10.7× |
| Hfe Gene (81256) range across 2 matching MRF lines |
$320.60–$580.30 | $458–$829 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $46.20 | $66 | 6.0× |
| Histamine urine (83088) | $143.50 | $205 | 4.9× |
| Histoplasma antibody (86698) | $84 | $120 | 6.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $104.30 | $149 | 4.3× |
| Hiv-1 Antibody (86701) | $84 | $120 | 9.4× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$284.20–$299.60 | $406–$428 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $327.60 | $468 | 4.4× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $1,334.90 | $1,907 | 6.0× |
| Hla ii typing 1 allele hr (81383) | $1,032.50 | $1,475 | 9.5× |
| Hla-b27 (86812) | $116.90 | $167 | 4.5× |
| Homocysteine (83090) | $105 | $150 | 5.9× |
| Homovanillic acid urine (83150) | $135.10 | $193 | 6.0× |
| Hsv Dna Amp Probe (87529) | $148.40 | $212 | 4.2× |
| Hsv Dna Quant (87530) | $406 | $580 | 9.5× |
| Htlv-I Antibody (86687) | $87.50 | $125 | 9.6× |
| Htlv-ii antibody (86688) | $84.70 | $121 | 6.1× |
| Hydroxycorticosteroids 17 (83491) | $107.80 | $154 | 6.0× |
| Hydroxyprogesterone 17-d (83498) | $131.60 | $188 | 4.8× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $72.10 | $103 | 6.0× |
| Iaad Ia Escherichia Coli 0157 (87335) | $76.30 | $109 | 6.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $196.70 | $281 | 14.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $110.60 | $158 | 3.1× |
| Iaad ia shiga-like toxin (87427) | $113.40 | $162 | 9.5× |
| Iaadi giardia (87269) | $82.60 | $118 | 6.1× |
| Iaadi inffluenza a virus (87276) | $96.60 | $138 | 6.0× |
| Iaadi parainfluenza virus each type (87279) | $100.10 | $143 | 6.1× |
| Iaadi pneumocustis carinii (87281) | $53.20 | $76 | 4.4× |
| Iaadi respiratory synctial virus (87280) | $81.20 | $116 | 6.1× |
| Iaadi Varicella Zoster Virus (87290) | $128.10 | $183 | 9.5× |
| Iadna Candida Species Amplified Probe Tq (87481) | $155.40 | $222 | 4.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $155.40 | $222 | 4.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $739.20 | $1,056 | 21.1× |
| Iadna Cytomegalovirus Quantification (87497) | $270.20 | $386 | 6.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $376.60 | $538 | 8.8× |
| Iadna Herpes Virus-6 Quantification (87533) | $309.40 | $442 | 7.4× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $155.40 | $222 | 4.4× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $252 | $360 | 6.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $155.40 | $222 | 4.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $100.10 | $143 | 2.9× |
| Iadna Nos Direct Probe Tq Each Organism (87797) range across 31 matching MRF lines |
$199.50–$229.60 | $285–$328 | varies |
| Ig Light Chains Free Each (83521) | $52.50 | $75 | 3.0× |
| Igg subclasses (82787) | $75.60 | $108 | 9.4× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,298.50 | $1,855 | 4.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $1,156.40 | $1,652 | 3.2× |
| Immune Complex Assay (86332) | $147 | $210 | 6.0× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$114.10–$129.50 | $163–$185 | varies |
| Immunoassay analyte qual/semiqual single step (83518) | $154 | $220 | 16.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 10 matching MRF lines |
$156.80–$239.40 | $224–$342 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $76.30 | $109 | 3.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $156.80 | $224 | 10.5× |
| Immunoassay nonantibody (83516) range across 16 matching MRF lines |
$102.20–$210.70 | $146–$301 | varies |
| Immunodiffusion not elsewhere specified (86329) | $132.30 | $189 | 9.4× |
| Immunoelectrophoresis Serum (86320) | $255.50 | $365 | 8.5× |
| Immunofixation electrophoresis (86334) | $147.70 | $211 | 6.6× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $1,284.50 | $1,835 | 7.4× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$845.60–$887.60 | $1,208–$1,268 | varies |
| In situ hybridization 1st probe stain (88365) | $272.30 | $389 | 1.6× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) | $106.40 | $152 | 6.7× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $74.90 | $107 | 6.1× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $310.80 | $444 | 6.1× |
| Influenza assay w/optic (87804) | $72.80 | $104 | 4.4× |
| Influenza DNA amp probe (87502) | $84 | $120 | 0.9× |
| Inhibin A (86336) | $112.70 | $161 | 7.2× |
| Inhibin b (83520) range across 18 matching MRF lines |
$126–$352.10 | $180–$503 | varies |
| Insulin antibodies (86337) | $129.50 | $185 | 6.0× |
| Insulin free (83527) | $57.40 | $82 | 4.4× |
| Insulin total (83525) range across 2 matching MRF lines |
$77.70–$97.30 | $111–$139 | varies |
| Interleukin-6 (83529) | $428.40 | $612 | 24.8× |
| Intrinsic factor antibody (86340) | $88.20 | $126 | 5.8× |
| Iron (83540) | $63.70 | $91 | 9.8× |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$52.50–$76.30 | $75–$109 | varies |
| Islet cell antibody (86341) | $103.60 | $148 | 4.4× |
| Jak2 gene analysis p.val617phe variant (81270) | $406.70 | $581 | 4.4× |
| Ketosteroids 17 total (83586) | $77 | $110 | 6.0× |
| L/s ratio (83661) | $133 | $190 | 6.0× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$55.30–$73.50 | $79–$105 | varies |
| Lactoferrin fecal qualitative (83630) | $118.30 | $169 | 6.0× |
| Ldh Isoenzymes (83625) | $77 | $110 | 6.0× |
| LDL direct (83721) | $46.20 | $66 | 4.4× |
| Lead (83655) range across 2 matching MRF lines |
$105–$126 | $150–$180 | varies |
| Legionella antibody (86713) | $92.40 | $132 | 6.0× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$119.70–$137.90 | $171–$197 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $121.10 | $173 | 4.1× |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$186.20–$305.90 | $266–$437 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$329.70–$494.90 | $471–$707 | varies |
| Lipase (83690) | $111.30 | $159 | 16.2× |
| Lipoprotein A (83695) | $114.10 | $163 | 8.0× |
| Lipoprotein Bld Quan Part (83704) | $216.30 | $309 | 6.3× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $205.10 | $293 | 6.1× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $280.70 | $401 | 6.1× |
| Lithium (80178) | $59.50 | $85 | 9.0× |
| Luteinizing Hormone (Lh) (83002) | $112.70 | $161 | 6.1× |
| Lyme disease antibody (86618) | $133.70 | $191 | 7.9× |
| Lymphocyte transformation (86353) | $463.40 | $662 | 9.5× |
| Lysozyme serum (85549) | $145.60 | $208 | 7.8× |
| M. Genitalium Amp Probe (87563) | $155.40 | $222 | 4.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $658 | $940 | 3.8× |
| Magnesium Urine (83735) range across 5 matching MRF lines |
$63–$88.20 | $90–$126 | varies |
| Mass Spectrometry Quant (83789) range across 6 matching MRF lines |
$116.90–$205.10 | $167–$293 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$64.40–$119.70 | $92–$171 | varies |
| Methylmalonic acid serum (83921) | $270.90 | $387 | 12.8× |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$135.80–$142.80 | $194–$204 | varies |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$112–$128.80 | $160–$184 | varies |
| Mitochondrial Antibody Each (86381) | $52.50 | $75 | 2.1× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $1,223.60 | $1,748 | 6.0× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $4,083.80 | $5,834 | 6.0× |
| Mog-Igg1 Antb Cba Each (86362) | $25.20 | $36 | 2.1× |
| Molecular Cytogenetics Dna Probe Each (88271) | $32.20 | $46 | 1.5× |
| Molecular Pathology Procedure Level 6 (81405) | $1,822.80 | $2,604 | 6.0× |
| Mononuclear cell antigen (86356) range across 3 matching MRF lines |
$245.70–$317.10 | $351–$453 | varies |
| Mopath procedure level 1 (81400) | $387.10 | $553 | 6.1× |
| Mopath procedure level 4 (81403) | $816.90 | $1,167 | 4.4× |
| Mopath procedure level 5 (81404) | $1,662.50 | $2,375 | 6.0× |
| Mopath procedure level 7 (81406) | $1,710.10 | $2,443 | 6.0× |
| Mrsa Pcr (87641) | $161 | $230 | 4.6× |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $1,290.10 | $1,843 | 6.0× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $2,308.60 | $3,298 | 6.0× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $1,439.90 | $2,057 | 6.1× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $3,881.50 | $5,545 | 6.0× |
| Mthfr Gene Analysis Common Variants (81291) | $285.60 | $408 | 4.4× |
| Mucopolysaccharides acid quantitative (83864) | $126 | $180 | 4.4× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$38.50–$63 | $55–$90 | varies |
| Mycophenolic Acid (80180) | $70.70 | $101 | 3.9× |
| Mycoplasma antibody (86738) | $219.80 | $314 | 16.6× |
| Myelin basic protein csf (83873) | $104.30 | $149 | 6.1× |
| Myoglobin urine (83874) | $60.20 | $86 | 4.7× |
| Natriuretic peptide (83880) | $192.50 | $275 | 4.9× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $1,557.50 | $2,225 | 6.0× |
| Nickel level (83885) | $147.70 | $211 | 6.0× |
| Nk cells total count (86357) | $263.90 | $377 | 7.0× |
| Nuclear antigen antibody (86235) range across 10 matching MRF lines |
$92.40–$229.60 | $132–$328 | varies |
| Occult Blood Other Sources (82271) | $32.20 | $46 | 6.1× |
| Oligoclonal bands (83916) | $109.20 | $156 | 4.0× |
| Oncology Prostate Prob Score (81539) | $2,642.50 | $3,775 | 3.5× |
| Organic acids urine (83918) | $142.80 | $204 | 6.1× |
| Osmolality serum (83930) | $65.10 | $93 | 9.8× |
| Osmolality Urine (83935) | $96.60 | $138 | 14.2× |
| Osmotic Fragility RBC Unincubated (85555) | $172.90 | $247 | 23.1× |
| Osteocalcin (83937) | $180.60 | $258 | 6.1× |
| Ova and parasites smears (87177) | $110.60 | $158 | 12.4× |
| Ova1 (81503) | $5,425 | $7,750 | 6.0× |
| Oxalate urine (83945) range across 3 matching MRF lines |
$140.70–$179.90 | $201–$257 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $50.40 | $72 | 4.4× |
| Parvovirus antibody (86747) | $100.80 | $144 | 6.7× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $2,893.80 | $4,134 | 3.5× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $74.20 | $106 | 1.4× |
| Ph urine (81003) | $47.60 | $68 | 21.2× |
| Phenobarbital Level (80184) | $74.20 | $106 | 4.8× |
| Phenylalanine (84030) | $36.40 | $52 | 6.6× |
| Phenytoin (Dilantin) (80185) | $93.10 | $133 | 7.0× |
| Phenytoin free (80186) | $84 | $120 | 6.1× |
| Phosphatase acid prostatic (84066) | $58.80 | $84 | 6.1× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$31.50–$34.30 | $45–$49 | varies |
| Phosphorus Serum (84100) | $81.90 | $117 | 17.3× |
| Phosphorus urine (84105) | $60.20 | $86 | 10.4× |
| Pinworm exam (87172) | $25.90 | $37 | 6.1× |
| Platelet Antibodies (86022) | $110.60 | $158 | 6.0× |
| Platelet count automated (85049) | $43.40 | $62 | 9.7× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $1,230.60 | $1,758 | 6.0× |
| Pms2 gene full seq analysis (81317) | $4,091.50 | $5,845 | 6.0× |
| Porphobilinogen, urine; quantitative (84110) | $72.80 | $104 | 8.6× |
| Porphyrins Feces Quantitative (84126) | $236.60 | $338 | 6.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $138.60 | $198 | 9.4× |
| Potassium Urine (84133) | $37.80 | $54 | 8.0× |
| Prealbumin (84134) | $86.80 | $124 | 5.9× |
| Pregnancy-Associated Plasma Protein-A (84163) | $91 | $130 | 6.0× |
| Pregnenolone (84140) | $165.20 | $236 | 8.0× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $320.60 | $458 | 5.3× |
| Primidone (80188) | $91 | $130 | 5.5× |
| Procalcitonin (Pct) (84145) | $263.20 | $376 | 9.7× |
| Progesterone (84144) | $170.80 | $244 | 8.2× |
| Prolactin (84146) | $82.60 | $118 | 4.3× |
| Prostaglandin (84150) | $252.70 | $361 | 6.0× |
| Protein body fluid (84157) | $135.10 | $193 | 33.8× |
| Protein C Activity (85303) | $191.10 | $273 | 13.8× |
| Protein Electrophoresis Urine (84166) | $149.80 | $214 | 8.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $84.70 | $121 | 7.9× |
| Protein S Free (85306) | $182 | $260 | 11.9× |
| Protein test for diagnosis and monitoring of bladder cancer (86386) | $105 | $150 | 4.8× |
| Protein total serum (84155) | $31.50 | $45 | 8.6× |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$98–$135.10 | $140–$193 | varies |
| Protein Western Blot Test (84182) | $66.50 | $95 | 2.3× |
| Protoporphyrin rbc quantitative (84202) | $63 | $90 | 4.4× |
| PSA free (84154) | $130.90 | $187 | 7.1× |
| Pth Intact (83970) | $182.70 | $261 | 4.4× |
| Q Fever Antibody (86638) | $53.90 | $77 | 4.4× |
| Quantiferon tb gold plus (86480) | $345.10 | $493 | 5.6× |
| Quantitative assay drug (80299) range across 11 matching MRF lines |
$101.50–$113.40 | $145–$162 | varies |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
$108.50–$181.30 | $155–$259 | varies |
| Quinidine (80194) | $88.90 | $127 | 6.1× |
| Rbc antibody identification (86870) | $260.40 | $372 | 0.7× |
| Rbc antibody screen (86850) | $172.20 | $246 | 17.6× |
| Rbc pretreatment serum (86978) | $320.60 | $458 | 5.3× |
| Reagent Strip/Blood Glucose (82948) | $18.90 | $27 | 3.7× |
| Renin activity plasma (84244) | $156.10 | $223 | 7.1× |
| Resp virus 12-25 targets (87633) | $469 | $670 | 1.1× |
| Reticulocyte Count Manual (85044) | $56 | $80 | 13.0× |
| Rh (86901) | $65.10 | $93 | 21.8× |
| Rheumatoid Factor Qualitative (86430) | $81.20 | $116 | 13.2× |
| Rheumatoid factor quant (86431) | $53.90 | $77 | 9.5× |
| Rickettsia antibody (86757) | $93.80 | $134 | 4.8× |
| Ristocetin cofactor (85245) | $217.70 | $311 | 9.5× |
| Rotavirus ag eia (87425) | $53.20 | $76 | 4.4× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$32.90–$116.90 | $47–$167 | varies |
| Rsv Assay W/Optic (87807) | $113.40 | $162 | 8.7× |
| Rubella Antibody (86762) | $70 | $100 | 4.9× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$88.20–$95.90 | $126–$137 | varies |
| Russell Viper Venom Time Diluted (85613) | $79.10 | $113 | 8.3× |
| Salicylate Level (80179) | $59.50 | $85 | 3.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $110.60 | $158 | 2.2× |
| Sars-cov-2 COVID-19 antibody (86769) | $55.30 | $79 | 1.3× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $108.50 | $155 | 2.6× |
| Sedimentation Rate, Automated (85652) | $34.30 | $49 | 12.7× |
| Selenium (84255) | $123.20 | $176 | 4.8× |
| Semen Anal Sperm Detection (89321) | $112.70 | $161 | 9.4× |
| Semen analysis complete (89320) | $81.20 | $116 | 6.6× |
| Sensitivity mic (87186) | $134.40 | $192 | 15.5× |
| Sex Hormone Binding Globulin (84270) | $83.30 | $119 | 3.8× |
| Sickling of rbc reduction (85660) | $36.40 | $52 | 6.6× |
| Sirolimus (80195) | $131.60 | $188 | 9.6× |
| Skin test tuberculosis intradermal (86580) | $79.80 | $114 | 2.7× |
| Smear acid fast (87206) | $50.40 | $72 | 9.4× |
| Smear complex stain (87209) | $150.50 | $215 | 8.4× |
| Smear gram stain (87205) | $74.90 | $107 | 17.5× |
| Smear Special Stain (87207) | $56.70 | $81 | 9.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$43.40–$52.50 | $62–$75 | varies |
| Sodium Serum (84295) | $58.80 | $84 | 12.2× |
| Sodium Urine (84300) | $51.10 | $73 | 10.1× |
| Somatomedin (84305) | $194.60 | $278 | 9.2× |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
$121.80–$128.10 | $174–$183 | varies |
| Special Stains Group 2 (88313) | $140.70 | $201 | 1.0× |
| Specimen infect agnt concntj (87015) | $63 | $90 | 9.4× |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$77.70–$126.70 | $111–$181 | varies |
| Sperm Antibodies (89325) | $46.90 | $67 | 4.4× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $658 | $940 | 3.8× |
| Strep a assay w/optic (87880) | $34.30 | $49 | 2.1× |
| Strep a DNA amp probe (87651) | $106.40 | $152 | 3.0× |
| Strep b DNA amp probe (87653) | $74.20 | $106 | 2.1× |
| Sugars Single Qual (84376) | $33.60 | $48 | 6.1× |
| Sulfate urine (84392) | $38.50 | $55 | 7.0× |
| Surg path level iii (88304) range across 4 matching MRF lines |
$46.20–$201.60 | $66–$288 | varies |
| Surgical pathology level IV (88305) | $219.80 | $314 | 4.1× |
| Surgical pathology level vi (88309) | $1,404.90 | $2,007 | 1.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $71.40 | $102 | 9.5× |
| T cells absolute cd4 count (86361) | $130.90 | $187 | 4.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $207.20 | $296 | 4.4× |
| T cells total count (86359) | $256.90 | $367 | 6.8× |
| T3 Free (84481) | $74.90 | $107 | 4.4× |
| T3 reverse (84482) | $144.20 | $206 | 9.1× |
| T3 Total (84480) | $116.90 | $167 | 8.2× |
| T3 Uptake (84479) | $31.50 | $45 | 4.9× |
| T4 Free (84439) | $106.40 | $152 | 11.8× |
| T4 total (84436) | $54.60 | $78 | 7.9× |
| Tacrolimus (80197) | $134.40 | $192 | 9.8× |
| Testosterone total (84403) | $82.60 | $118 | 3.2× |
| Testosterone, Free (84402) | $112.70 | $161 | 4.4× |
| Tetanus antibody (86774) | $89.60 | $128 | 6.1× |
| Theophylline (80198) | $85.40 | $122 | 6.0× |
| Thiocyanate (84430) | $70.70 | $101 | 6.1× |
| Thyroglobulin (84432) | $143.50 | $205 | 8.9× |
| Thyroglobulin Antibody (86800) | $116.20 | $166 | 7.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $224 | $320 | 4.4× |
| Thyroxine binding globulin (84442) | $201.60 | $288 | 13.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$35–$112 | $50–$160 | varies |
| Tobramycin peak (80200) | $97.30 | $139 | 6.0× |
| Topiramate (80201) | $113.40 | $162 | 9.5× |
| Touch prep (88161) | $192.50 | $275 | 6.5× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $86.80 | $124 | 4.4× |
| Toxoplasma ab igm (86778) | $79.10 | $113 | 5.5× |
| Toxoplasma antibody (86777) | $45.50 | $65 | 3.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $37.10 | $53 | 7.2× |
| Transferrin (84466) | $53.90 | $77 | 4.2× |
| Trichomonas Vaginalis Amplif (87661) | $170.80 | $244 | 4.9× |
| Triglycerides (84478) range across 2 matching MRF lines |
$28–$34.30 | $40–$49 | varies |
| Troponin Quant (84484) | $201.60 | $288 | 16.2× |
| Tumor Immunohistochem/Manual (88360) | $434.70 | $621 | 2.5× |
| Ugt1a1 gene analysis common variants (81350) | $1,456 | $2,080 | 6.2× |
| Urea nitrogen urine (84540) | $24.50 | $35 | 4.4× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$32.90–$47.60 | $47–$68 | varies |
| Urinalysis Microscopic Only (81015) | $31.50 | $45 | 10.3× |
| Urine Albumin Semiquantitative (82044) | $37.10 | $53 | 6.0× |
| Urine Bacteria Culture (87088) | $77 | $110 | 9.5× |
| Urine Pregnancy Test (81025) | $57.40 | $82 | 6.7× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $85.40 | $122 | 26.9× |
| Valproic acid (80164) | $135.10 | $193 | 10.0× |
| Vancomycin (80202) | $198.10 | $283 | 14.6× |
| Varicella-zoster antibody (86787) | $99.40 | $142 | 7.7× |
| Vasopressin (84588) | $226.10 | $323 | 6.7× |
| Very Long Chain Fatty Acids (82726) | $120.40 | $172 | 6.1× |
| Viral Culture (87252) | $126.70 | $181 | 4.9× |
| Virus antibody nos (86790) range across 10 matching MRF lines |
$110.60–$297.50 | $158–$425 | varies |
| Virus inoculate tissue addl (87253) | $88.90 | $127 | 4.4× |
| Viscosity serum (85810) | $77.70 | $111 | 6.7× |
| Vit D 1 25-Dihydroxy (82652) | $191.10 | $273 | 5.0× |
| Vitamin A (84590) | $119.70 | $171 | 10.3× |
| Vitamin b-12 (82607) | $97.30 | $139 | 6.5× |
| Vitamin B2 (Riboflavin) (84252) | $254.80 | $364 | 12.6× |
| Vitamin B6 (84207) | $170.10 | $243 | 6.1× |
| Vitamin c (82180) | $93.80 | $134 | 9.5× |
| Vitamin D 25-Hydroxy (82306) | $144.20 | $206 | 4.9× |
| Vitamin E (84446) | $101.50 | $145 | 7.2× |
| Vitamin K (84597) | $116.90 | $167 | 8.5× |
| Volatiles (84600) | $104.30 | $149 | 6.1× |
| Von willebrand factor ag (85246) | $134.40 | $192 | 5.9× |
| Wbc Alkaline Phosphatase Count (85540) | $51.80 | $74 | 6.0× |
| West nile virus ab igm (86788) | $101.50 | $145 | 6.0× |
| West Nile Virus Antibody (86789) | $86.80 | $124 | 6.0× |
| Zinc (84630) range across 3 matching MRF lines |
$55.30–$101.50 | $79–$145 | varies |
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.