Lab & pathology prices at Stevens Community Medical Center Inc
Morris, MN · every code in this section with a posted price and a Medicare benchmark.
590 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $51 | $68 | 2.2× |
| 5 Nucleotidase (83915) | $78 | $104 | 7.0× |
| Acetylcholine receptor binding antibody (86041) | $60 | $80 | 3.3× |
| Acth (82024) | $131.25 | $175 | 3.4× |
| Actin smooth muscle antibody each (86015) range across 3 matching MRF lines |
$20.25–$103.50 | $27–$138 | varies |
| Acute hepatitis panel (80074) | $114.75 | $153 | 2.4× |
| Acylcarnitines Quant (82017) | $81.75 | $109 | 4.8× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$20.25–$28.50 | $27–$38 | varies |
| Albumin serum (82040) range across 4 matching MRF lines |
$10.50–$37.50 | $14–$50 | varies |
| Aldolase (82085) | $123 | $164 | 12.7× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$440.25–$540.75 | $587–$721 | varies |
| Alkaline phosphatase isoenzymes (84080) | $93 | $124 | 6.3× |
| Allergen specific ige (86003) range across 7 matching MRF lines |
$5.25–$46.50 | $7–$62 | varies |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$20.25–$37.50 | $27–$50 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 3 matching MRF lines |
$11.25–$68.25 | $15–$91 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $111 | $148 | 7.7× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$33.75–$60 | $45–$80 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$38.25–$122.25 | $51–$163 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$62.25–$63 | $83–$84 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $119.25 | $159 | 7.1× |
| Ammonia (82140) range across 2 matching MRF lines |
$42.75–$139.50 | $57–$186 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $239.25 | $319 | 2.4× |
| Amylase urine (82150) range across 5 matching MRF lines |
$21.75–$123 | $29–$164 | varies |
| Ana Titer (86039) | $27 | $36 | 2.4× |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$27.75–$82.50 | $37–$110 | varies |
| Androstenedione (82157) | $364.50 | $486 | 12.4× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$68.25–$183.75 | $91–$245 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $104.25 | $139 | 6.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $138.75 | $185 | 8.2× |
| Antibody Encephalitis California La Crosse (86651) | $540.75 | $721 | 41.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $202.50 | $270 | 15.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $143.25 | $191 | 9.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $102.75 | $137 | 5.7× |
| Antibody Fungus Not Elsewhere Specified (86671) | $28.50 | $38 | 2.3× |
| Antibody helicobacter pylori (86677) | $135.75 | $181 | 8.1× |
| Antibody Herpes Smplx Type 1 (86695) | $143.25 | $191 | 10.9× |
| Antibody HIV-2 (86702) | $117.75 | $157 | 8.7× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $265.50 | $354 | 13.7× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$72–$116.25 | $96–$155 | varies |
| Antibody Titer (86886) | $133.50 | $178 | 25.8× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$32.25–$52.50 | $43–$70 | varies |
| Antibody; encephalitis, st. louis (86653) | $157.50 | $210 | 11.9× |
| Antigen typing (86905) | $46.50 | $62 | 12.1× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $71.25 | $95 | 12.5× |
| Antinuclear antibodies (86038) | $93 | $124 | 7.7× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$23.25–$114 | $31–$152 | varies |
| Antithrombin iii activity (85300) | $87 | $116 | 7.3× |
| Antithrombin iii antigen (85301) | $55.50 | $74 | 5.1× |
| Apolipoprotein a1 (82172) | $80.25 | $107 | 3.8× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $224.25 | $299 | 5.9× |
| Arsenic (82175) | $45.75 | $61 | 2.4× |
| Aspergillus ag eia (87305) | $70.50 | $94 | 5.9× |
| Assay activated protein c (85307) | $239.25 | $319 | 15.6× |
| Assay Blood Carbon Dioxide (82374) | $67.50 | $90 | 13.8× |
| Assay Nephelometry Not Spec (83883) | $33 | $44 | 2.4× |
| Assay of 5-hiaa (83497) | $202.50 | $270 | 15.7× |
| Assay of anti-mullerian hormone (82166) | $94.50 | $126 | 2.4× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$62.25–$63 | $83–$84 | varies |
| Assay of calcium in urine (82340) | $57 | $76 | 9.5× |
| Assay of estrone (82679) | $143.25 | $191 | 5.7× |
| Assay of g6pd enzyme (82955) | $239.25 | $319 | 24.7× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$23.25–$71.25 | $31–$95 | varies |
| Assay of lactic acid (83605) | $154.50 | $206 | 13.4× |
| Assay of manganese (83785) | $46.50 | $62 | 1.7× |
| Assay of metanephrines (83835) | $76.50 | $102 | 4.5× |
| Assay of proinsulin (84206) | $102.75 | $137 | 3.8× |
| Assay of serotonin (84260) | $30.75 | $41 | 1.0× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$62.25–$63 | $83–$84 | varies |
| Assay of Tyrosine (84510) | $239.25 | $319 | 22.5× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$62.25–$63 | $83–$84 | varies |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$30–$157.50 | $40–$210 | varies |
| Assay of vasoactive intestinal peptide (84586) | $390 | $520 | 11.0× |
| Assay of vitamin b-1 (84425) | $281.25 | $375 | 13.2× |
| Assay Ph Body Fluid Nos (83986) | $11.25 | $15 | 3.1× |
| Assay spec xcp ur&breath ia (82077) | $189 | $252 | 10.9× |
| Asy carbamazepin 10,11-epxid (80161) | $123.75 | $165 | 6.6× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$42.75–$45 | $57–$60 | varies |
| B cells total count (86355) | $195.75 | $261 | 5.2× |
| Babesia microti amp prb (87469) | $7.50 | $10 | 0.2× |
| Bartonella antibody (86611) | $24.75 | $33 | 2.4× |
| Bcr/abl1 gene major bp (81206) range across 3 matching MRF lines |
$122.25–$402 | $163–$536 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$108–$337.50 | $144–$450 | varies |
| Bcr/Abl1 Gene Other Bp (81208) range across 2 matching MRF lines |
$159.75–$499.50 | $213–$666 | varies |
| Beta 2 glycoprotein i antibody each (86146) | $84.75 | $113 | 3.3× |
| Beta hydroxybutyrate (82010) | $88.50 | $118 | 10.8× |
| Beta Lactamase (87185) | $12.75 | $17 | 2.7× |
| Beta-2 Microglobulin (82232) | $78.75 | $105 | 4.9× |
| Bile acids total (82239) | $78.75 | $105 | 4.6× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$68.25–$71.25 | $91–$95 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$68.25–$71.25 | $91–$95 | varies |
| Bilirubin total transcutaneous (88720) | $71.25 | $95 | 14.2× |
| Biotinidase (82261) | $66 | $88 | 3.9× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$52.50–$135 | $70–$180 | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $132.75 | $177 | 0.8× |
| Bleeding time test (85002) | $68.25 | $91 | 14.2× |
| Blood Count Automated Differential Wbc Count (85004) range across 2 matching MRF lines |
$33–$34.50 | $44–$46 | varies |
| Blood count reticulocyte automated (85045) | $67.50 | $90 | 16.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$47.25–$49.50 | $63–$66 | varies |
| Blood gas (82803) | $210.75 | $281 | 8.1× |
| Blood gases w/02 saturation (82805) | $213 | $284 | 2.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$54–$55.50 | $72–$74 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$66.75–$68.25 | $89–$91 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$71.25–$142.50 | $95–$190 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) range across 2 matching MRF lines |
$60–$150 | $80–$200 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$73.50–$96.75 | $98–$129 | varies |
| Body fluid cell count (89050) | $82.50 | $110 | 17.5× |
| Bordetella antibody (86615) | $107.25 | $143 | 8.1× |
| Borrelia miyamotoi amp prb (87478) | $6 | $8 | 0.2× |
| Brucella antibody (86622) | $31.50 | $42 | 3.5× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$163.50–$168.75 | $218–$225 | varies |
| C-Peptide (84681) | $239.25 | $319 | 11.5× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$96.75–$111.75 | $129–$149 | varies |
| Ca 19-9 (86301) | $186.75 | $249 | 9.0× |
| Cadmium (82300) | $57 | $76 | 2.4× |
| Calcitonin (82308) | $63.75 | $85 | 2.4× |
| Calcium ionized (82330) | $144.75 | $193 | 10.6× |
| Calcium total (82310) range across 2 matching MRF lines |
$62.25–$63 | $83–$84 | varies |
| Calculus Spectroscopy (82365) | $118.50 | $158 | 9.2× |
| Calprotectin Fecal (83993) | $274.50 | $366 | 14.0× |
| Calr gene com variants (81219) | $273 | $364 | 2.2× |
| Cancer Antigen 125 (86304) | $176.25 | $235 | 8.5× |
| Cancer Antigen 27.29 (86300) | $181.50 | $242 | 8.7× |
| Carbamazepine free (80157) | $40.50 | $54 | 3.1× |
| Carbamazepine total (80156) | $112.50 | $150 | 7.7× |
| Carboxyhemoglobin (82375) | $140.25 | $187 | 11.4× |
| Carcinoembryonic antigen (82378) | $233.25 | $311 | 12.3× |
| Cardiolipin ab iga (86147) | $144.75 | $193 | 5.7× |
| Carnitine Quantitative Each Specimen (82379) | $93 | $124 | 5.5× |
| Catecholamines fractionated (82384) | $300 | $400 | 11.9× |
| Ccp antibody (86200) | $114 | $152 | 8.8× |
| Cell count csf (89051) | $49.50 | $66 | 8.8× |
| Cell marker study (88182) | $153 | $204 | 2.8× |
| Ceruloplasmin (82390) | $114.75 | $153 | 10.7× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$54–$174 | $72–$232 | varies |
| Chlamydia antibody (86631) | $15.75 | $21 | 1.3× |
| Chlamydia Igm Antibody (86632) | $15.75 | $21 | 1.2× |
| Chlmy trch&neisra gonor mult (87494) | $68.25 | $91 | 1.0× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$80.25–$82.50 | $107–$110 | varies |
| Chloride urine (82436) | $17.25 | $23 | 3.0× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$54–$62.25 | $72–$83 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$79.50–$81.75 | $106–$109 | varies |
| Chromium serum (82495) | $54 | $72 | 2.7× |
| Chromogranin a (86316) | $21 | $28 | 1.0× |
| Chromosome Analysis 15-20 (88262) | $507.75 | $677 | 4.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$111.75–$114 | $149–$152 | varies |
| Citric acid urine (82507) | $519.75 | $693 | 18.7× |
| Ckmb (82553) range across 2 matching MRF lines |
$21–$98.25 | $28–$131 | varies |
| Clostridium Difficile (87324) | $108 | $144 | 9.0× |
| Clot Factor VIII Multimetric (85247) | $76.50 | $102 | 3.3× |
| Clotting factor xii hageman (85280) | $240.75 | $321 | 12.4× |
| Clotting Funct Activity (85397) | $138.75 | $185 | 4.5× |
| Cns DNA amp probe type 12-25 (87483) | $488.25 | $651 | 1.2× |
| Coccidioides antibody (86635) | $27.75 | $37 | 2.4× |
| Cold agglutinin titer (86157) | $150.75 | $201 | 18.7× |
| Column Chromotography Quant (82542) | $94.50 | $126 | 3.9× |
| Compatibility Each Unit Incubation (86921) | $91.50 | $122 | 0.5× |
| Compatibility test antiglob (86922) | $87.75 | $117 | 0.5× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$29.25–$57.75 | $39–$77 | varies |
| Complement Total (Ch50) (86162) | $114 | $152 | 5.6× |
| Complement/Function Activity (86161) | $73.50 | $98 | 6.1× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $258 | $344 | 6.7× |
| Coombs direct (86880) range across 2 matching MRF lines |
$75.75–$77.25 | $101–$103 | varies |
| Copper urine (82525) | $107.25 | $143 | 8.6× |
| Cortisol free (82530) | $192 | $256 | 11.5× |
| Cortisol saliva (82533) | $105 | $140 | 6.4× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$83.25–$87.75 | $111–$117 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$69–$71.25 | $92–$95 | varies |
| Creatinine clearance (82575) | $69.75 | $93 | 7.4× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$57–$79.50 | $76–$106 | varies |
| Crossmatch immediate spin (86920) | $135 | $180 | 0.8× |
| Crp High Sensitivity (86141) | $84.75 | $113 | 6.5× |
| Cryofibrinogen (82585) | $15 | $20 | 1.1× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$8.25–$30.75 | $11–$41 | varies |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$36.75–$125.25 | $49–$167 | varies |
| Cryptosporidium ag eia (87328) | $114 | $152 | 8.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$80.25–$82.50 | $107–$110 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $82.50 | $110 | 10.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $79.50 | $106 | 10.3× |
| Culture afb (87116) | $69.75 | $93 | 6.5× |
| Culture Anaerobic (87075) | $126 | $168 | 13.3× |
| Culture blood (87040) | $151.50 | $202 | 14.7× |
| Culture csf (87070) range across 2 matching MRF lines |
$109.50–$111.75 | $146–$149 | varies |
| Culture fungus (87102) | $147 | $196 | 17.5× |
| Culture fungus blood (87103) | $186.75 | $249 | 9.1× |
| Culture stool (87045) | $165.75 | $221 | 17.6× |
| Culture urine (87086) | $93 | $124 | 11.5× |
| Cyclosporine (80158) | $43.50 | $58 | 2.4× |
| Cystatin C (82610) | $110.25 | $147 | 6.0× |
| Cytogenetics 100-300 (88275) range across 3 matching MRF lines |
$102.75–$162 | $137–$216 | varies |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$69–$142.50 | $92–$190 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $129.75 | $173 | 6.4× |
| Cytopath Cell Enhance Tech (88112) | $192 | $256 | 3.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $117 | $156 | 2.2× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $47.25 | $63 | 0.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $159 | $212 | 4.1× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $453 | $604 | 2.6× |
| Deoxyribonuclease antibody (86215) | $165.75 | $221 | 12.5× |
| Detect Agent Nos Dna Amp (87798) | $130.50 | $174 | 3.7× |
| Detect Agent Nos Dna Quant (87799) | $102.75 | $137 | 2.4× |
| Dgp Antibody Each Ig Class (86258) | $114 | $152 | 9.5× |
| Dhea (82626) | $280.50 | $374 | 11.1× |
| Dhea-S (82627) range across 2 matching MRF lines |
$50.25–$172.50 | $67–$230 | varies |
| Digoxin (80162) | $135 | $180 | 10.2× |
| Dihydrotestosterone (82642) | $134.25 | $179 | 4.6× |
| Dipropylacetic Acid Free (80165) | $98.25 | $131 | 7.3× |
| Dna Antibody Native/Double Stranded (86225) | $82.50 | $110 | 6.0× |
| Drug assay acetaminophen (80143) | $254.25 | $339 | 13.6× |
| Drug assay adalimumab (80145) | $278.25 | $371 | 7.2× |
| Drug Assay Everolimus (80169) | $51 | $68 | 3.7× |
| Drug assay felbamate (80167) | $222 | $296 | 11.9× |
| Drug Assay Infliximab (80230) | $275.25 | $367 | 7.1× |
| Drug Assay Itraconazole (80189) | $65.25 | $87 | 2.4× |
| Drug Assay Lacosamide (80235) | $123 | $164 | 4.5× |
| Drug Assay Posaconazole (80187) | $65.25 | $87 | 2.4× |
| Drug Assay Vedolizumab (80280) | $201 | $268 | 5.2× |
| Drug Screen Quant Clozapine (80159) | $313.50 | $418 | 15.6× |
| Drug Screen Quant Zonisamide (80203) | $246.75 | $329 | 18.6× |
| Drug Screen Quantitative Gabapentin (80171) | $245.25 | $327 | 11.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $193.50 | $258 | 14.6× |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$154.50–$159 | $206–$212 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $69.75 | $93 | 5.3× |
| Drug Screen Quantitative Tiagabine (80199) | $183.75 | $245 | 6.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 6 matching MRF lines |
$59.25–$148.50 | $79–$198 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$216.75–$223.50 | $289–$298 | varies |
| Egfr Gene Analysis Common Variants (81235) | $1,156.50 | $1,542 | 3.6× |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$93–$143.25 | $124–$191 | varies |
| El-1 Fecal Quantitative (82653) | $96 | $128 | 4.2× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$118.50–$120.75 | $158–$161 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $26.25 | $35 | 0.4× |
| Encephaltis East Eqne Anbdy (86652) | $111 | $148 | 8.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $96 | $128 | 7.9× |
| Enterovirus PCR (87498) | $157.50 | $210 | 4.5× |
| Eosinophil Smear (89190) | $159 | $212 | 27.5× |
| Erythropoietin (82668) | $110.25 | $147 | 5.9× |
| Estradiol serum (82670) | $78 | $104 | 2.8× |
| Estrogens fractionated (82671) | $108 | $144 | 3.3× |
| Exam Synovial Fluid Crystals (89060) | $91.50 | $122 | 12.5× |
| F2 Gene (81240) | $108 | $144 | 1.6× |
| Factor ii activity (85210) | $111.75 | $149 | 8.6× |
| Factor ix activity (85250) | $237.75 | $317 | 12.5× |
| Factor v activity (85220) | $72.75 | $97 | 4.1× |
| Factor v leiden mutation (81241) | $63.75 | $85 | 0.9× |
| Factor vii assay (85230) | $114.75 | $153 | 6.4× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$150.75–$223.50 | $201–$298 | varies |
| Factor X (85260) | $95.25 | $127 | 5.3× |
| Factor xi activity (85270) | $62.25 | $83 | 3.5× |
| Factor xiii screen (85291) | $75.75 | $101 | 8.3× |
| Fat/Lipids Feces Quantitative (82710) | $239.25 | $319 | 14.2× |
| Ferritin (82728) range across 3 matching MRF lines |
$177–$195 | $236–$260 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $45.75 | $61 | 0.3× |
| Fetal Fibronectin (82731) | $648.75 | $865 | 10.1× |
| Fetal screen rosette (85461) | $58.50 | $78 | 6.3× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$137.25–$141 | $183–$188 | varies |
| Fibrinogen activity (85384) | $87 | $116 | 9.0× |
| Flow cytometry first marker (88184) range across 4 matching MRF lines |
$66–$270 | $88–$360 | varies |
| Fluorescent antibody screen (86255) range across 10 matching MRF lines |
$37.50–$393 | $50–$524 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $96.75 | $129 | 8.0× |
| Fmr1 gene detection (81243) | $367.50 | $490 | 6.4× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$135–$138 | $180–$184 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$92.25–$98.25 | $123–$131 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $70.50 | $94 | 0.4× |
| Frozen Blood Each Unit Thawing (86931) | $21.75 | $29 | 0.1× |
| Frozen Section (88331) | $29.25 | $39 | 0.2× |
| Fungi Identification Mold (87107) | $27 | $36 | 2.6× |
| Fungi Identification Yeast (87106) | $99.75 | $133 | 9.7× |
| Galactose (82760) | $119.25 | $159 | 10.6× |
| Galactose transferase test (82776) | $239.25 | $319 | 20.4× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$58.50–$99.75 | $78–$133 | varies |
| Gases blood ph only (82800) | $101.25 | $135 | 9.2× |
| Gastrin (82941) | $216.75 | $289 | 12.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$1,087.50–$1,121.25 | $1,450–$1,495 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,736.75 | $3,649 | 3.6× |
| Gentamicin (80170) | $108 | $144 | 6.6× |
| Ggt (82977) | $63 | $84 | 8.8× |
| Giardia antigen (87329) | $90.75 | $121 | 7.6× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$60–$60.75 | $80–$81 | varies |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$17.25–$19.50 | $23–$26 | varies |
| Glucose body fluid (82945) | $82.50 | $110 | 21.0× |
| Glucose Serum (82947) | $82.50 | $110 | 21.0× |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$60–$162.75 | $80–$217 | varies |
| Glycated Protein (82985) | $40.50 | $54 | 2.4× |
| Gonadotropin Chorionic Qualitative (84703) | $95.25 | $127 | 12.7× |
| Growth hormone (83003) | $39 | $52 | 2.3× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$61.50–$62.25 | $82–$83 | varies |
| H Pylori (C-13) Breath (83013) | $429 | $572 | 6.4× |
| H Pylori Drug Admin (83014) | $20.25 | $27 | 2.6× |
| Haloperidol (80173) | $38.25 | $51 | 2.4× |
| Haptoglobin (83010) | $127.50 | $170 | 10.1× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 2 matching MRF lines |
$449.25–$467.25 | $599–$623 | varies |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$69–$71.25 | $92–$95 | varies |
| Helicobacter Pylori Stool (87338) | $44.25 | $59 | 3.1× |
| Helminth Antibody (86682) | $74.25 | $99 | 5.7× |
| Hematocrit (85014) | $67.50 | $90 | 28.5× |
| Hemoglobin (85018) | $69.75 | $93 | 29.4× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$79.50–$81.75 | $106–$109 | varies |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$27–$366 | $36–$488 | varies |
| Hemoglobin electrophoresis (83020) range across 4 matching MRF lines |
$31.50–$257.25 | $42–$343 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $33.75 | $45 | 4.1× |
| Hemoglobin stability screen (83068) | $26.25 | $35 | 2.8× |
| Hep a ab igm (86709) | $132.75 | $177 | 11.8× |
| Heparin assay (85520) range across 2 matching MRF lines |
$67.50–$102 | $90–$136 | varies |
| Hepatitis a antibody total (86708) | $132.75 | $177 | 10.7× |
| Hepatitis b core ab igm (86705) | $57.75 | $77 | 4.9× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$66–$87.75 | $88–$117 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$109.50–$111.75 | $146–$149 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$36.75–$75.75 | $49–$101 | varies |
| Hepatitis Be Antibody (86707) | $63 | $84 | 5.4× |
| Hepatitis Be Antigen (87350) | $118.50 | $158 | 10.3× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$107.25–$111 | $143–$148 | varies |
| Hepatitis C Genotype (87902) | $618.75 | $825 | 2.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$93.75–$264.75 | $125–$353 | varies |
| Hepatitis Delta Agent Antibody (86692) | $155.25 | $207 | 9.0× |
| Herpes simplex type 2 (86696) | $46.50 | $62 | 2.4× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$111.75–$114 | $149–$152 | varies |
| Hfe Gene (81256) | $198.75 | $265 | 3.0× |
| Histamine urine (83088) | $126.75 | $169 | 4.3× |
| Histoplasma antibody (86698) | $140.25 | $187 | 10.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $23.25 | $31 | 1.0× |
| Hiv-1 Antibody (86701) | $117.75 | $157 | 13.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $478.50 | $638 | 5.6× |
| HIV-2 probe&revrse trnscripj (87538) | $202.50 | $270 | 5.8× |
| Hla ii typing 1 locus lr (81376) | $233.25 | $311 | 1.9× |
| Hla-b27 (86812) | $279 | $372 | 10.8× |
| Homocysteine (83090) | $54.75 | $73 | 3.1× |
| Homovanillic acid urine (83150) | $56.25 | $75 | 2.5× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$121.50–$140.25 | $162–$187 | varies |
| Hpv sep hi-rsk typ&pool rslt (87626) | $216.75 | $289 | 3.1× |
| Hpv Types 16 & 18 Only (87625) | $111.75 | $149 | 2.8× |
| Hsv Dna Amp Probe (87529) | $231.75 | $309 | 6.6× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$116.25–$340.50 | $155–$454 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) range across 2 matching MRF lines |
$128.25–$165 | $171–$220 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$82.50–$83.25 | $110–$111 | varies |
| Iaad ia shiga-like toxin (87427) | $63 | $84 | 5.3× |
| Iaad Ia Streptococcus Group A (87430) range across 2 matching MRF lines |
$60–$63 | $80–$84 | varies |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) range across 2 matching MRF lines |
$27.75–$49.50 | $37–$66 | varies |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $137.25 | $183 | 3.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $254.25 | $339 | 7.2× |
| Iadna Cytomegalovirus Quantification (87497) | $168 | $224 | 3.9× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $35.25 | $47 | 1.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $245.25 | $327 | 5.7× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $136.50 | $182 | 3.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $202.50 | $270 | 5.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$116.25–$120 | $155–$160 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $265.50 | $354 | 1.9× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) range across 2 matching MRF lines |
$625.50–$632.25 | $834–$843 | varies |
| Ig Light Chains Free Each (83521) | $42 | $56 | 2.4× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$19.50–$42.75 | $26–$57 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $319.50 | $426 | 0.9× |
| Immunfix e-phorsis/urine/csf (86335) | $133.50 | $178 | 4.5× |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$47.25–$179.25 | $63–$239 | varies |
| Immunodiffusion Ouchterlony (86331) | $186.75 | $249 | 15.6× |
| Immunofixation electrophoresis (86334) | $174.75 | $233 | 7.8× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $200.25 | $267 | 1.1× |
| Immunohistochemistry (88342) | $206.25 | $275 | 1.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) range across 2 matching MRF lines |
$240–$242.25 | $320–$323 | varies |
| Influenza a/b ag eia (87400) | $75.75 | $101 | 5.4× |
| Influenza assay w/optic (87804) | $90 | $120 | 5.4× |
| Influenza DNA amp probe (87502) | $102.75 | $137 | 1.1× |
| Inhibin b (83520) range across 2 matching MRF lines |
$78.75–$156.75 | $105–$209 | varies |
| Insulin antibodies (86337) | $63.75 | $85 | 3.0× |
| Insulin total (83525) | $44.25 | $59 | 3.9× |
| Intrinsic factor antibody (86340) | $176.25 | $235 | 11.7× |
| Iron (83540) range across 2 matching MRF lines |
$68.25–$71.25 | $91–$95 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$55.50–$57.75 | $74–$77 | varies |
| Irradiation Blood Product Each Unit (86945) | $63.75 | $85 | 1.7× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$68.25–$96.75 | $91–$129 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$258–$477.75 | $344–$637 | varies |
| Koh Prep (87220) range across 2 matching MRF lines |
$62.25–$63 | $83–$84 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $82.50 | $110 | 13.7× |
| Lactoferrin fecal qualitative (83630) | $138.75 | $185 | 7.0× |
| Lactoferrin Fecal Quantitative (83631) | $94.50 | $126 | 4.8× |
| LDL direct (83721) range across 2 matching MRF lines |
$99–$102 | $132–$136 | varies |
| Lead (83655) range across 3 matching MRF lines |
$57–$181.50 | $76–$242 | varies |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$123.75–$159.75 | $165–$213 | varies |
| Leukocyte Assessment Fecal (89055) | $54.75 | $73 | 12.8× |
| Level I Surg Pathology Gross Examination Only (88300) | $78 | $104 | 2.6× |
| Level ii surg pathology grossµscopic exam (88302) | $118.50 | $158 | 3.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $432.75 | $577 | 1.2× |
| Lipase (83690) range across 2 matching MRF lines |
$68.25–$71.25 | $91–$95 | varies |
| Lipoprotein A (83695) | $18.75 | $25 | 1.3× |
| Lipoprotein Bld Quan Part (83704) | $81.75 | $109 | 2.4× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $18.75 | $25 | 1.7× |
| Lithium (80178) | $112.50 | $150 | 17.0× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$84.75–$204.75 | $113–$273 | varies |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$31.50–$116.25 | $42–$155 | varies |
| Lysozyme serum (85549) | $143.25 | $191 | 7.6× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $442.50 | $590 | 2.5× |
| Macroscopic exam arthropod (87168) | $56.25 | $75 | 13.2× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$46.50–$87.75 | $62–$117 | varies |
| Mass Spectrometry Quant (83789) | $81 | $108 | 3.4× |
| Mercury urine (83825) range across 2 matching MRF lines |
$39–$125.25 | $52–$167 | varies |
| Metabolic panel ionized ca (80047) | $32.25 | $43 | 2.3× |
| Methylmalonic acid serum (83921) | $147 | $196 | 6.9× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$57.75–$87.75 | $77–$117 | varies |
| Microbe Suscept Macrobroth (87188) | $138.75 | $185 | 20.9× |
| Microsatellite instability (81301) | $996.75 | $1,329 | 2.9× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$57.75–$59.25 | $77–$79 | varies |
| Mitochondrial Antibody Each (86381) | $114 | $152 | 4.5× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $447.75 | $597 | 11.9× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 4 matching MRF lines |
$43.50–$215.25 | $58–$287 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $245.25 | $327 | 5.8× |
| Mononuclear cell antigen (86356) | $138.75 | $185 | 5.2× |
| Mopath procedure level 4 (81403) | $336 | $448 | 1.8× |
| Mumps antibody (86735) | $32.25 | $43 | 2.5× |
| Muscle-Specific Kinase Antb (86366) | $573.75 | $765 | 31.2× |
| Mycobacteric Identification (87118) | $132 | $176 | 9.0× |
| Mycophenolic Acid (80180) | $52.50 | $70 | 2.9× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$60.75–$160.50 | $81–$214 | varies |
| Myoglobin urine (83874) | $239.25 | $319 | 18.5× |
| Natriuretic peptide (83880) range across 4 matching MRF lines |
$138–$239.25 | $184–$319 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $307.50 | $410 | 2.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $51.75 | $69 | 0.2× |
| Nfct ds chrnc hcv 6 assays (81596) | $288 | $384 | 4.0× |
| Niacin (84591) | $156.75 | $209 | 9.2× |
| Nk cells total count (86357) | $135 | $180 | 3.6× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $551.25 | $735 | 2.2× |
| Nuclear antigen antibody (86235) | $91.50 | $122 | 5.1× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$56.25–$60.75 | $75–$81 | varies |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$16.50–$19.50 | $22–$26 | varies |
| Oligoclonal bands (83916) | $110.25 | $147 | 4.0× |
| Osmolality serum (83930) | $84.75 | $113 | 12.8× |
| Osmolality Urine (83935) | $84.75 | $113 | 12.4× |
| Ova and parasites smears (87177) | $65.25 | $87 | 7.3× |
| Oxalate urine (83945) | $82.50 | $110 | 5.7× |
| Parvovirus antibody (86747) | $35.25 | $47 | 2.3× |
| Ph urine (81003) | $22.50 | $30 | 10.0× |
| Phenobarbital Level (80184) | $93.75 | $125 | 6.1× |
| Phenylalanine (84030) | $71.25 | $95 | 13.0× |
| Phenytoin (Dilantin) (80185) | $147 | $196 | 11.1× |
| Phenytoin free (80186) | $123 | $164 | 8.9× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$37.50–$62.25 | $50–$83 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $75.75 | $101 | 4.2× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$62.25–$63 | $83–$84 | varies |
| Phosphorus urine (84105) | $17.25 | $23 | 3.0× |
| Pinworm exam (87172) range across 2 matching MRF lines |
$18–$21 | $24–$28 | varies |
| Platelet Aggregation (85576) | $59.25 | $79 | 2.4× |
| Platelet Antibodies (86022) | $356.25 | $475 | 19.4× |
| Platelet count automated (85049) range across 2 matching MRF lines |
$66–$67.50 | $88–$90 | varies |
| Platelet neutralization (85597) | $93.75 | $125 | 5.2× |
| Pooling blood platelets (86965) | $70.50 | $94 | 0.4× |
| Porphobilinogen, urine; quantitative (84110) | $42 | $56 | 5.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $72.75 | $97 | 4.9× |
| Potassium Urine (84133) | $57.75 | $77 | 12.2× |
| Prealbumin (84134) | $141 | $188 | 9.7× |
| Pregnenolone (84140) | $78.75 | $105 | 3.8× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $48 | $64 | 0.8× |
| Pretx serum rbc antibody identification dilution (86976) | $48 | $64 | 1.6× |
| Primidone (80188) | $208.50 | $278 | 12.6× |
| Procalcitonin (Pct) (84145) | $181.50 | $242 | 6.7× |
| Progesterone (84144) | $181.50 | $242 | 8.7× |
| Prolactin (84146) range across 2 matching MRF lines |
$45–$143.25 | $60–$191 | varies |
| Protein body fluid (84157) | $45 | $60 | 11.3× |
| Protein C Activity (85303) | $183.75 | $245 | 13.3× |
| Protein c antigen (85302) | $57.75 | $77 | 4.8× |
| Protein Electrophoresis Urine (84166) | $42 | $56 | 2.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $86.25 | $115 | 8.0× |
| Protein S Free (85306) range across 2 matching MRF lines |
$63.75–$87 | $85–$116 | varies |
| Protein s total (85305) | $122.25 | $163 | 10.5× |
| Protein total serum (84155) | $61.50 | $82 | 16.8× |
| Protein Total Urine (84156) | $71.25 | $95 | 19.4× |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$170.25–$212.25 | $227–$283 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $80.25 | $107 | 20.4× |
| PSA free (84154) | $77.25 | $103 | 4.2× |
| Pth Intact (83970) | $136.50 | $182 | 3.3× |
| Q Fever Antibody (86638) | $46.50 | $62 | 3.8× |
| Quantiferon tb gold plus (86480) range across 3 matching MRF lines |
$54–$158.25 | $72–$211 | varies |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$21.75–$220.50 | $29–$294 | varies |
| Quantitative Screen Metals (83018) | $57 | $76 | 2.6× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$45–$516 | $60–$688 | varies |
| Rbc antibody identification (86870) | $114.75 | $153 | 0.3× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$92.25–$114 | $123–$152 | varies |
| Renin activity plasma (84244) | $237 | $316 | 10.8× |
| Reptilase test (85635) | $52.50 | $70 | 5.3× |
| Reticulocyte Count (85046) | $56.25 | $75 | 10.1× |
| Rh (86901) range across 2 matching MRF lines |
$62.25–$66 | $83–$88 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$63.75–$65.25 | $85–$87 | varies |
| Rickettsia antibody (86757) | $99 | $132 | 5.1× |
| Ristocetin cofactor (85245) | $194.25 | $259 | 8.5× |
| Rotavirus ag eia (87425) | $114 | $152 | 9.5× |
| Rpr qualitative (86592) | $69.75 | $93 | 16.3× |
| Rsv ab (86756) | $160.50 | $214 | 10.1× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$35.25–$114 | $47–$152 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$78.75–$110.25 | $105–$147 | varies |
| Rufinamide (80210) | $80.25 | $107 | 3.0× |
| Russell Viper Venom Time Diluted (85613) | $93 | $124 | 9.7× |
| Salicylate Level (80179) | $112.50 | $150 | 6.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$117.75–$119.25 | $157–$159 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $98.25 | $131 | 2.3× |
| Sarscov2 & inf a&b amp prb (87636) range across 2 matching MRF lines |
$165–$168.75 | $220–$225 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 2 matching MRF lines |
$316.50–$319.50 | $422–$426 | varies |
| Sedimentation rate (85651) | $42 | $56 | 9.8× |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$66–$67.50 | $88–$90 | varies |
| Selenium (84255) | $75 | $100 | 2.9× |
| Semen Anal Sperm Detection (89321) range across 2 matching MRF lines |
$153.75–$159 | $205–$212 | varies |
| Semen analysis complete (89320) | $142.50 | $190 | 11.6× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$87.75–$186 | $117–$248 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$49.50–$119.25 | $66–$159 | varies |
| Sickling of rbc reduction (85660) | $80.25 | $107 | 14.6× |
| Sirolimus (80195) | $72.75 | $97 | 5.3× |
| Skin test tuberculosis intradermal (86580) | $108.75 | $145 | 3.6× |
| Smear acid fast (87206) | $13.50 | $18 | 2.5× |
| Smear complex stain (87209) | $30 | $40 | 1.7× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$62.25–$63 | $83–$84 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$62.25–$63 | $83–$84 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $387.75 | $517 | 7.6× |
| So neo gsap DNA mcrstl ins (81457) | $1,860.75 | $2,481 | 2.1× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$62.25–$63 | $83–$84 | varies |
| Sodium Urine (84300) | $16.50 | $22 | 3.3× |
| Soluble fibrin monomer (85366) | $87 | $116 | 1.1× |
| Soluble Transferrin Receptor (84238) | $87 | $116 | 2.4× |
| Somatomedin (84305) range across 2 matching MRF lines |
$61.50–$135 | $82–$180 | varies |
| Special Stains Group 1 (88312) | $181.50 | $242 | 3.4× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$144–$153 | $192–$204 | varies |
| Specimen infect agnt concntj (87015) | $46.50 | $62 | 7.0× |
| Spectrophotometry (84311) | $84 | $112 | 10.4× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $61.50 | $82 | 0.3× |
| Stool cultr aerobic bact ea (87046) | $52.50 | $70 | 5.6× |
| Strep a assay w/optic (87880) | $63 | $84 | 3.8× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$12–$78.75 | $16–$105 | varies |
| Strep b DNA amp probe (87653) | $134.25 | $179 | 3.8× |
| Sugars Single Qual (84376) | $120 | $160 | 21.8× |
| Sulfate urine (84392) | $16.50 | $22 | 3.0× |
| Surg path level iii (88304) | $147 | $196 | 2.7× |
| Surgical pathology level IV (88305) | $238.50 | $318 | 4.4× |
| Surgical pathology level vi (88309) | $339 | $452 | 0.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $242.25 | $323 | 5.2× |
| T cells total count (86359) | $226.50 | $302 | 6.0× |
| T3 Free (84481) range across 2 matching MRF lines |
$115.50–$119.25 | $154–$159 | varies |
| T3 reverse (84482) | $136.50 | $182 | 8.7× |
| T3 Total (84480) | $122.25 | $163 | 8.6× |
| T3 Uptake (84479) | $28.50 | $38 | 4.4× |
| T4 Free (84439) range across 2 matching MRF lines |
$79.50–$81.75 | $106–$109 | varies |
| T4 total (84436) | $81.75 | $109 | 11.9× |
| Tacrolimus (80197) | $201.75 | $269 | 14.7× |
| Tau phosphorylated each (84393) | $482.25 | $643 | 3.7× |
| Test for acetone/ketones (82009) | $54.75 | $73 | 12.1× |
| Testosterone Bioavailable (84410) | $13.50 | $18 | 0.3× |
| Testosterone total (84403) range across 2 matching MRF lines |
$58.50–$69.75 | $78–$93 | varies |
| Testosterone, Free (84402) | $78.75 | $105 | 3.1× |
| Theophylline (80198) | $57.75 | $77 | 4.1× |
| Thiopurine methyltransferase (84433) | $312.75 | $417 | 14.1× |
| Thrombin Time (85670) | $104.25 | $139 | 18.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $57.75 | $77 | 8.9× |
| Thyroglobulin (84432) | $138.75 | $185 | 8.6× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$42–$71.25 | $56–$95 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $375 | $500 | 7.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $114 | $152 | 9.9× |
| Tissue culture bone marrow (88237) | $335.25 | $447 | 2.3× |
| Tissue Culture Lymphocyte (88230) | $474 | $632 | 4.1× |
| Topiramate (80201) | $125.25 | $167 | 10.5× |
| Touch prep (88161) | $21 | $28 | 0.7× |
| Toxoplasma ab igm (86778) | $33.75 | $45 | 2.3× |
| Toxoplasma antibody (86777) | $181.50 | $242 | 12.6× |
| Tp53 gene analysis targeted sequence analysis (81352) | $760.50 | $1,014 | 2.3× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$62.25–$63 | $83–$84 | varies |
| Transferrin (84466) | $143.25 | $191 | 11.2× |
| Trichinella Antibody (86784) | $97.50 | $130 | 7.8× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$110.25–$111 | $147–$148 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$12.75–$62.25 | $17–$83 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$232.50–$239.25 | $310–$319 | varies |
| Tumor Immunohistochem/Manual (88360) | $232.50 | $310 | 1.3× |
| Unlisted Transfusion Medicine Procedure (86999) | $352.50 | $470 | 11.8× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$12.75–$20.25 | $17–$27 | varies |
| Uric acid other source (84560) range across 3 matching MRF lines |
$12.75–$63 | $17–$84 | varies |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$88.50–$91.50 | $118–$122 | varies |
| Urinalysis Volume Measure (81050) | $51 | $68 | 14.0× |
| Urine Albumin Semiquantitative (82044) | $27.75 | $37 | 4.5× |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$84.75–$91.50 | $113–$122 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$51.75–$54.75 | $69–$73 | varies |
| Valproic acid (80164) | $61.50 | $82 | 4.5× |
| Vancomycin (80202) range across 2 matching MRF lines |
$140.25–$143.25 | $187–$191 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$31.50–$309.75 | $42–$413 | varies |
| Vasopressin (84588) | $269.25 | $359 | 7.9× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$30–$48 | $40–$64 | varies |
| Viscosity serum (85810) | $27 | $36 | 2.3× |
| Vit D 1 25-Dihydroxy (82652) | $216.75 | $289 | 5.6× |
| Vitamin A (84590) | $69.75 | $93 | 6.0× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$79.50–$81.75 | $106–$109 | varies |
| Vitamin B2 (Riboflavin) (84252) | $162 | $216 | 8.0× |
| Vitamin B6 (84207) | $92.25 | $123 | 3.3× |
| Vitamin c (82180) | $33.75 | $45 | 3.4× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$143.25–$160.50 | $191–$214 | varies |
| Vitamin E (84446) | $208.50 | $278 | 14.7× |
| Vitamin K (84597) | $151.50 | $202 | 11.0× |
| Volatiles (84600) | $41.25 | $55 | 2.4× |
| Von willebrand factor ag (85246) | $105.75 | $141 | 4.6× |
| West nile virus ab igm (86788) | $98.25 | $131 | 5.8× |
| West Nile Virus Antibody (86789) | $98.25 | $131 | 6.8× |
| Zika Virus Igm Antibody (86794) | $176.25 | $235 | 10.5× |
| Zinc (84630) | $114.75 | $153 | 10.1× |
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.