Lab & pathology prices at Starr County Memorial Hospital
Rio Grande City, TX · every code in this section with a posted price and a Medicare benchmark.
339 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $126 | $126 | 3.3× |
| Acute hepatitis panel (80074) | $155 | $155 | 3.3× |
| Agglutinins Febrile Each Antigen (86000) | $23 | $23 | 3.3× |
| Albumin Fluid (82042) | $25 | $25 | 3.2× |
| Albumin serum (82040) | $16 | $16 | 3.2× |
| Aldolase (82085) | $32 | $32 | 3.3× |
| Aldosterone urine (82088) | $132 | $132 | 3.2× |
| Alkaline phosphatase isoenzymes (84080) | $48 | $48 | 3.2× |
| Allergen specific ige (86003) | $17 | $17 | 3.3× |
| Allergen specific igg (86001) | $23 | $23 | 2.9× |
| Alpha-1-antitrypsin phenotype (82104) | $44 | $44 | 3.0× |
| Alpha-1-antitrypsin total (82103) | $44 | $44 | 3.3× |
| Alpha-Fetoprotein Serum (82105) | $55 | $55 | 3.3× |
| Alt (sgpt) (84460) | $17 | $17 | 3.2× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $55 | $55 | 3.3× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $45 | $45 | 3.2× |
| Aminolevulinic acid (ala) (82135) | $53 | $53 | 3.2× |
| Ammonia (82140) | $47 | $47 | 3.2× |
| Amylase urine (82150) | $21 | $21 | 3.2× |
| Androstenedione (82157) | $95 | $95 | 3.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $42 | $42 | 3.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $82 | $82 | 6.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $82 | $82 | 5.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $59 | $59 | 3.3× |
| Antibody Fungus Not Elsewhere Specified (86671) | $40 | $40 | 3.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $47 | $47 | 3.3× |
| Antibody identification leukocyte antibodies (86021) | $49 | $49 | 3.3× |
| Antibody Protozoa Nes (86753) | $40 | $40 | 3.2× |
| Antibody Treponema Pallidum (86780) | $43 | $43 | 3.2× |
| Antibody; influenza virus (86710) | $44 | $44 | 3.2× |
| Antigen typing (86905) | $1,113 | $1,113 | 290.6× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $529 | $529 | 92.5× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$39–$58 | $39–$58 | varies |
| Antistreptolysin O Screen (86063) | $19 | $19 | 3.3× |
| Antithrombin iii antigen (85301) | $35 | $35 | 3.2× |
| Assay Blood Carbon Dioxide (82374) | $16 | $16 | 3.3× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$15–$20 | $15–$20 | varies |
| Assay of calcium in urine (82340) | $20 | $20 | 3.3× |
| Assay of gammaglobulin igm (82784) | $30 | $30 | 3.2× |
| Assay of lactic acid (83605) | $38 | $38 | 3.3× |
| Assay of serum potassium (84132) | $15 | $15 | 3.2× |
| Assay of urea nitrogen (84520) | $13 | $13 | 3.3× |
| Assay of vasoactive intestinal peptide (84586) | $115 | $115 | 3.3× |
| Assay of vitamin b-1 (84425) | $69 | $69 | 3.3× |
| Assay Ph Body Fluid Nos (83986) | $12 | $12 | 3.4× |
| Automated Leukocyte Count (85048) | $8 | $8 | 3.1× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$33–$39 | $33–$39 | varies |
| Beta hydroxybutyrate (82010) | $372 | $372 | 45.5× |
| Beta-2 Microglobulin (82232) | $53 | $53 | 3.3× |
| Bilirubin direct (82248) | $16 | $16 | 3.2× |
| Bilirubin total (82247) | $16 | $16 | 3.2× |
| Bleeding time test (85002) | $16 | $16 | 3.3× |
| Blood Count Manual Cell Count Each (85032) | $14 | $14 | 3.2× |
| Blood Count Red Blood Cell Automated (85041) | $10 | $10 | 3.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $12 | $12 | 3.2× |
| Blood gas (82803) | $85 | $85 | 3.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $22 | $22 | 5.0× |
| Blood typing serologic abo (86900) | $396 | $396 | 132.4× |
| Bordetella antibody (86615) | $39 | $39 | 3.0× |
| Brucella antibody (86622) | $29 | $29 | 3.2× |
| C diff amplified probe (87493) | $121 | $121 | 3.2× |
| C-Peptide (84681) | $68 | $68 | 3.3× |
| C-reactive protein (86140) | $17 | $17 | 3.3× |
| Calcium ionized (82330) | $44 | $44 | 3.2× |
| Calcium total (82310) | $17 | $17 | 3.3× |
| Calculus assay quant (82360) | $42 | $42 | 3.3× |
| Cancer Antigen 125 (86304) | $68 | $68 | 3.3× |
| Carbamazepine total (80156) | $47 | $47 | 3.2× |
| Carcinoembryonic antigen (82378) | $62 | $62 | 3.3× |
| Cardiolipin ab iga (86147) | $83 | $83 | 3.3× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$15–$56 | $15–$56 | varies |
| Cell count csf (89051) | $18 | $18 | 3.2× |
| Ceruloplasmin (82390) | $35 | $35 | 3.3× |
| Chlamydia antibody (86631) | $38 | $38 | 3.2× |
| Chloride other source (82438) | $16 | $16 | 3.2× |
| Chloride Serum (82435) | $15 | $15 | 3.3× |
| Chloride urine (82436) | $19 | $19 | 3.3× |
| Cholesterol total (82465) | $14 | $14 | 3.2× |
| Chorionic gonadotropin test (84702) | $49 | $49 | 3.3× |
| Chromogranin a (86316) | $68 | $68 | 3.3× |
| Ckmb (82553) | $38 | $38 | 3.3× |
| Clostridium Difficile (87324) | $39 | $39 | 3.3× |
| Clot retraction (85170) | $53 | $53 | 3.3× |
| Coagulation time other methods (85348) | $15 | $15 | 3.3× |
| Coagulation time; Lee and White Facility (85345) | $15 | $15 | 3.2× |
| Coccidioides antibody (86635) | $37 | $37 | 3.2× |
| Cold agglutinin titer (86157) | $26 | $26 | 3.2× |
| Collagen crosslinks (82523) | $61 | $61 | 3.3× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$54–$78 | $54–$78 | varies |
| Compatibility Each Unit Incubation (86921) | $529 | $529 | 3.1× |
| Compatibility test antiglob (86922) | $529 | $529 | 3.1× |
| Complement Antigen Each Component (86160) | $39 | $39 | 3.3× |
| Complement Total (Ch50) (86162) | $66 | $66 | 3.2× |
| Coombs direct (86880) | $189 | $189 | 35.1× |
| Copper urine (82525) | $40 | $40 | 3.2× |
| Cortisol free (82530) | $54 | $54 | 3.2× |
| Cortisol saliva (82533) | $53 | $53 | 3.3× |
| Creatine (82540) | $15 | $15 | 3.2× |
| Creatine kinase total (82550) | $21 | $21 | 3.2× |
| Creatinine blood (82565) | $17 | $17 | 3.3× |
| Creatinine clearance (82575) | $31 | $31 | 3.3× |
| Creatinine Urine (82570) | $17 | $17 | 3.3× |
| Crossmatch immediate spin (86920) | $529 | $529 | 3.1× |
| Crp High Sensitivity (86141) | $17 | $17 | 1.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $26 | $26 | 3.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $26 | $26 | 3.2× |
| Culture Anaerobic (87075) | $31 | $31 | 3.3× |
| Culture blood (87040) | $34 | $34 | 3.3× |
| Culture chlamydia (87110) | $40.45 | $40.45 | 2.1× |
| Culture csf (87070) range across 4 matching MRF lines |
$28–$39 | $28–$39 | varies |
| Culture fungus (87102) | $27 | $27 | 3.2× |
| Culture screen only (87081) | $40.45 | $40.45 | 6.1× |
| Culture stool (87045) | $31 | $31 | 3.3× |
| Culture urine (87086) | $26 | $26 | 3.2× |
| Cytomegalovirus igg (86644) | $47 | $47 | 3.3× |
| Cytopath Fl Nongyn Filter (88106) | $92 | $92 | 3.2× |
| Cytp Concentration Smears & Interpretation (88108) | $79.15 | $79.15 | 2.1× |
| Dhea (82626) | $82 | $82 | 3.2× |
| Digoxin (80162) | $43 | $43 | 3.2× |
| Dna Antibody Native/Double Stranded (86225) | $45 | $45 | 3.3× |
| Drug assay felbamate (80167) | $61 | $61 | 3.3× |
| Drug Screen Quant Clozapine (80159) | $372 | $372 | 18.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $43 | $43 | 3.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $43 | $43 | 3.2× |
| Drug Screen Quantitative Tiagabine (80199) | $61 | $61 | 2.3× |
| Drug Test Prsmv Chem Anlyzr (80307) | $202 | $202 | 3.3× |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$41–$372 | $41–$372 | varies |
| Electrolyte panel (80051) | $23 | $23 | 3.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $39 | $39 | 3.2× |
| Eosinophil Smear (89190) | $19 | $19 | 3.3× |
| Erythropoietin (82668) | $61 | $61 | 3.2× |
| Estradiol serum (82670) | $91 | $91 | 3.3× |
| Estriol (82677) | $79 | $79 | 3.3× |
| Factor ii activity (85210) | $42 | $42 | 3.2× |
| Factor v leiden mutation (81241) | $238 | $238 | 3.2× |
| Fecal Fat Qualitative (82705) | $17 | $17 | 3.3× |
| Ferritin (82728) | $44 | $44 | 3.2× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $55 | $55 | 0.4× |
| Fibrin degradation products (85362) | $22 | $22 | 3.2× |
| Fibrin Degradation Quant (85379) | $33 | $33 | 3.2× |
| Fluorescent antibody screen (86255) | $39 | $39 | 3.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $39 | $39 | 3.2× |
| Fmr1 gene detection (81243) | $202 | $202 | 3.5× |
| Folic acid rbc (82747) | $57 | $57 | 3.2× |
| Folic Acid Serum (82746) | $20 | $20 | 1.4× |
| Follicle Stimulating Hormone (83001) | $60 | $60 | 3.2× |
| Francisella tularensis (86668) | $46 | $46 | 3.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $286.96 | $286.96 | 1.7× |
| Frozen Section (88331) | $529 | $529 | 3.1× |
| Fungi Identification Yeast (87106) | $34 | $34 | 3.3× |
| Gastrin (82941) | $57 | $57 | 3.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,355 | $1,355 | 3.3× |
| Gentamicin (80170) | $53 | $53 | 3.2× |
| Ggt (82977) | $23 | $23 | 3.2× |
| Giardia antigen (87329) | $39 | $39 | 3.3× |
| Glucagon (82943) | $46 | $46 | 3.2× |
| Glucose 2 hr pp (82950) | $42 | $42 | 8.8× |
| Glucose body fluid (82945) | $13 | $13 | 3.3× |
| Glucose Serum (82947) | $22 | $22 | 5.6× |
| Glucose tolerance test (gtt) (82951) | $42 | $42 | 3.3× |
| Glycated Protein (82985) | $54 | $54 | 3.2× |
| Gonadotropin Chorionic Qualitative (84703) | $24 | $24 | 3.2× |
| Growth hormone (83003) | $54 | $54 | 3.2× |
| Gtt-added samples (82952) | $42 | $42 | 10.7× |
| H Pylori (C-13) Breath (83013) | $219 | $219 | 3.3× |
| Haptoglobin (83010) | $41 | $41 | 3.3× |
| Hdl Cholesterol (83718) | $27 | $27 | 3.3× |
| Heavy metal qualitative any analytes (83015) | $68 | $68 | 3.2× |
| Helicobacter Pylori Stool (87338) | $47 | $47 | 3.3× |
| Hematocrit (85014) | $8 | $8 | 3.4× |
| Hemoglobin (85018) | $22 | $22 | 9.3× |
| Hemoglobin a1c (83036) | $32 | $32 | 3.3× |
| Hemoglobin electrophoresis (83020) | $42 | $42 | 3.3× |
| Hep a ab igm (86709) | $37 | $37 | 3.3× |
| Hepatitis a antibody total (86708) | $40 | $40 | 3.2× |
| Hepatitis b core ab igm (86705) | $39 | $39 | 3.3× |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
$37–$39 | $37–$39 | varies |
| Hepatitis B Surface Antibody (86706) | $35 | $35 | 3.3× |
| Hepatitis B Surface Antigen (87340) | $34 | $34 | 3.3× |
| Hepatitis C Antibody (86803) | $46 | $46 | 3.2× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $114 | $114 | 3.2× |
| Hepatitis C Revrs Trnscrpj (87522) | $139 | $139 | 3.2× |
| Hepatitis Delta Agent Antibody (86692) | $56 | $56 | 3.3× |
| Heterophile Antibody Screen (86308) | $17 | $17 | 3.3× |
| Hiv-1 Antibody (86701) | $29 | $29 | 3.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $277 | $277 | 3.3× |
| Homocysteine (83090) | $58 | $58 | 3.2× |
| Hydroxyprogesterone 17-d (83498) | $88 | $88 | 3.2× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $198 | $198 | 4.4× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $45 | $45 | 3.2× |
| Iaad Ia Streptococcus Group A (87430) | $55 | $55 | 3.3× |
| Iaadi pneumocustis carinii (87281) | $39 | $39 | 3.3× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $74 | $74 | 3.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $228 | $228 | 3.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $39 | $39 | 0.9× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $114 | $114 | 3.2× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $464 | $464 | 3.3× |
| Igg subclasses (82787) | $26 | $26 | 3.2× |
| Immunoassay nonantibody (83516) | $37 | $37 | 3.2× |
| Immunofixation electrophoresis (86334) | $73 | $73 | 3.3× |
| Immunohistochemistry (88342) | $529 | $529 | 3.1× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $47 | $47 | 3.3× |
| Influenza assay w/optic (87804) | $54 | $54 | 3.3× |
| Influenza DNA amp probe (87502) | $311 | $311 | 3.2× |
| Inhibin A (86336) | $51 | $51 | 3.3× |
| Inhibin b (83520) | $56 | $56 | 3.2× |
| Insulin antibodies (86337) | $70 | $70 | 3.3× |
| Insulin total (83525) | $37 | $37 | 3.2× |
| Intrinsic factor antibody (86340) | $49 | $49 | 3.2× |
| Iron (83540) | $21 | $21 | 3.2× |
| Iron Binding Capacity (83550) | $21 | $21 | 2.4× |
| Islet cell antibody (86341) | $39 | $39 | 1.7× |
| Lactate (ld) (ldh) enzyme (83615) | $20 | $20 | 3.3× |
| LDL direct (83721) | $34 | $34 | 3.2× |
| Lead (83655) | $39 | $39 | 3.2× |
| Legionella antibody (86713) | $50 | $50 | 3.3× |
| Legionella antigen urine (87449) | $39 | $39 | 3.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $92 | $92 | 3.2× |
| Level ii surg pathology grossµscopic exam (88302) | $92 | $92 | 2.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $1,113 | $1,113 | 3.1× |
| Lipase (83690) | $22 | $22 | 3.2× |
| Lipoprotein A (83695) | $47 | $47 | 3.3× |
| Lithium (80178) | $21 | $21 | 3.2× |
| Luteinizing Hormone (Lh) (83002) | $60 | $60 | 3.2× |
| Magnesium Urine (83735) | $22 | $22 | 3.3× |
| Methylmalonic acid serum (83921) | $69 | $69 | 3.3× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$7–$19 | $7–$19 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$39–$47 | $39–$47 | varies |
| Mitochondrial Antibody Each (86381) | $39 | $39 | 1.5× |
| Mrsa Pcr (87641) | $114 | $114 | 3.2× |
| Mumps antibody (86735) | $42 | $42 | 3.2× |
| Mycoplasma antibody (86738) | $43 | $43 | 3.2× |
| Myoglobin urine (83874) | $42 | $42 | 3.3× |
| Natriuretic peptide (83880) | $128 | $128 | 3.3× |
| Nuclear antigen antibody (86235) | $58 | $58 | 3.2× |
| Occult Blood Other Sources (82271) | $17 | $17 | 3.2× |
| Organic Acids Qualitative Each Specimen (83919) | $53 | $53 | 3.2× |
| Osmolality serum (83930) | $21 | $21 | 3.2× |
| Osmolality Urine (83935) | $22 | $22 | 3.2× |
| Ova and parasites smears (87177) | $29 | $29 | 3.3× |
| Oxalate urine (83945) | $47 | $47 | 3.3× |
| Pathology Consultation During Surgery (88329) | $480 | $480 | 8.1× |
| Ph urine (81003) | $7 | $7 | 3.1× |
| Phenobarbital Level (80184) | $50 | $50 | 3.3× |
| Phenylalanine (84030) | $18 | $18 | 3.3× |
| Phenytoin (Dilantin) (80185) | $43 | $43 | 3.2× |
| Phenytoin free (80186) | $45 | $45 | 3.3× |
| Phosphorus Serum (84100) | $15 | $15 | 3.2× |
| Phosphorus urine (84105) | $19 | $19 | 3.3× |
| Pinworm exam (87172) | $14 | $14 | 3.3× |
| Platelet count automated (85049) | $15 | $15 | 3.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $48 | $48 | 3.3× |
| Potassium Urine (84133) | $15 | $15 | 3.2× |
| Prealbumin (84134) | $47 | $47 | 3.2× |
| Procalcitonin (Pct) (84145) | $88 | $88 | 3.2× |
| Progesterone (84144) | $68 | $68 | 3.3× |
| Prolactin (84146) | $63 | $63 | 3.3× |
| Protein body fluid (84157) | $12 | $12 | 3.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $35 | $35 | 3.3× |
| Protein S Free (85306) | $50 | $50 | 3.3× |
| Protein total serum (84155) | $12 | $12 | 3.3× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$12–$17 | $12–$17 | varies |
| Protoporphyrin rbc quantitative (84202) | $47 | $47 | 3.3× |
| Pth Intact (83970) | $134 | $134 | 3.2× |
| Q Fever Antibody (86638) | $39 | $39 | 3.2× |
| Quantitative assay drug (80299) | $61 | $61 | 3.3× |
| Rbc antibody screen (86850) | $168 | $168 | 17.2× |
| Reagent Strip/Blood Glucose (82948) | $16 | $16 | 3.2× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $231 | $231 | 3.2× |
| Receptor assay progesterone (84234) | $211 | $211 | 3.3× |
| Renin activity plasma (84244) | $71 | $71 | 3.2× |
| Resp virus 12-25 targets (87633) | $1,355 | $1,355 | 3.3× |
| Reticulocyte Count Manual (85044) | $14 | $14 | 3.2× |
| Rh (86901) | $124 | $124 | 41.5× |
| Rheumatoid Factor Qualitative (86430) | $20 | $20 | 3.3× |
| Rheumatoid factor quant (86431) | $18 | $18 | 3.2× |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$39–$63 | $39–$63 | varies |
| Ristocetin cofactor (85245) | $75 | $75 | 3.3× |
| Rotavirus ag eia (87425) | $39 | $39 | 3.3× |
| Rpr qualitative (86592) | $14 | $14 | 3.3× |
| Rubella Antibody (86762) | $47 | $47 | 3.3× |
| Russell Viper Venom Time Diluted (85613) | $31 | $31 | 3.2× |
| Salicylate Level (80179) | $372 | $372 | 20.0× |
| Salmonella antibody (86768) | $43 | $43 | 3.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$167–$198 | $167–$198 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $137 | $137 | 3.3× |
| Sedimentation rate (85651) | $14 | $14 | 3.3× |
| Sensitivity mic (87186) | $28 | $28 | 3.2× |
| Sirolimus (80195) | $45 | $45 | 3.3× |
| Skin test tuberculosis intradermal (86580) | $25 | $25 | 0.9× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$14–$18 | $14–$18 | varies |
| Smear gram stain (87205) | $14 | $14 | 3.3× |
| Smear Special Stain (87207) | $19 | $19 | 3.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $19 | $19 | 3.3× |
| Sodium Serum (84295) | $16 | $16 | 3.3× |
| Sodium Urine (84300) | $16 | $16 | 3.2× |
| Soluble Transferrin Receptor (84238) | $119 | $119 | 3.3× |
| Special Stains Group 1 (88312) | $168 | $168 | 3.2× |
| Special Stains Group 2 (88313) | $189 | $189 | 1.4× |
| Specimen infect agnt concntj (87015) | $22 | $22 | 3.3× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$16–$26 | $16–$26 | varies |
| Strep a DNA amp probe (87651) | $114 | $114 | 3.2× |
| Strep b DNA amp probe (87653) | $114 | $114 | 3.2× |
| Sugars Single Qual (84376) | $18 | $18 | 3.3× |
| Surg path level iii (88304) | $168 | $168 | 3.2× |
| Surgical pathology level IV (88305) | $168 | $168 | 3.2× |
| Surgical pathology level vi (88309) | $1,884.39 | $1,884.39 | 2.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $153 | $153 | 3.3× |
| T3 Free (84481) | $55 | $55 | 3.2× |
| T3 Total (84480) | $46 | $46 | 3.2× |
| T3 Uptake (84479) | $21 | $21 | 3.2× |
| T4 Free (84439) | $29 | $29 | 3.2× |
| T4 total (84436) | $22 | $22 | 3.2× |
| Tacrolimus (80197) | $45 | $45 | 3.3× |
| Test for acetone/ketones (82009) | $15 | $15 | 3.3× |
| Testosterone total (84403) | $84 | $84 | 3.3× |
| Testosterone, Free (84402) | $83 | $83 | 3.3× |
| Theophylline (80198) | $46 | $46 | 3.3× |
| Thyroglobulin (84432) | $52 | $52 | 3.2× |
| Thyroglobulin Antibody (86800) | $52 | $52 | 3.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $165 | $165 | 3.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $42 | $42 | 3.6× |
| Tissue Culture Lymphocyte (88230) | $379 | $379 | 3.3× |
| Topiramate (80201) | $39 | $39 | 3.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $17 | $17 | 3.3× |
| Transferrin (84466) | $41 | $41 | 3.2× |
| Triglycerides (84478) | $19 | $19 | 3.3× |
| Troponin Quant (84484) | $41 | $41 | 3.3× |
| Tumor Immunohistochem/Manual (88360) | $529 | $529 | 3.1× |
| Urine Pregnancy Test (81025) | $22 | $22 | 2.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $10 | $10 | 3.2× |
| Urobilinogen urine qual (84578) | $15 | $15 | 3.4× |
| Valproic acid (80164) | $44 | $44 | 3.2× |
| Vancomycin (80202) | $44 | $44 | 3.2× |
| Varicella-zoster antibody (86787) | $42 | $42 | 3.3× |
| Viral Culture (87252) | $85 | $85 | 3.3× |
| Vitamin b-12 (82607) | $49 | $49 | 3.2× |
| Vitamin D 25-Hydroxy (82306) | $96 | $96 | 3.2× |
| Wbc Alkaline Phosphatase Count (85540) | $28 | $28 | 3.3× |
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.