Lab & pathology prices at Stevens County Hospital
Hugoton, KS · every code in this section with a posted price and a Medicare benchmark.
312 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Albumin serum (82040) | $65 | $65 | 13.1× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$220–$370 | $220–$370 | varies |
| Alkaline phosphatase isoenzymes (84080) | $105 | $105 | 7.1× |
| Allergen specific ige (86003) | $50 | $50 | 9.6× |
| Alpha-1-antitrypsin total (82103) | $93 | $93 | 6.9× |
| Alpha-Fetoprotein Serum (82105) range across 4 matching MRF lines |
$89–$120 | $89–$120 | varies |
| Alt (sgpt) (84460) | $65 | $65 | 12.3× |
| Ammonia (82140) | $88 | $88 | 6.0× |
| Amylase urine (82150) | $65 | $65 | 10.0× |
| Ana Titer (86039) | $89 | $89 | 8.0× |
| Androstenedione (82157) | $225 | $225 | 7.7× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $105 | $105 | 8.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $190 | $190 | 12.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $136 | $136 | 8.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$116–$130 | $116–$130 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$116–$130 | $116–$130 | varies |
| Antibody helicobacter pylori (86677) | $95 | $95 | 5.6× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$120–$240 | $120–$240 | varies |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$120–$150 | $120–$150 | varies |
| Antibody Treponema Pallidum (86780) | $100 | $100 | 7.6× |
| Antinuclear antibodies (86038) | $118 | $118 | 9.8× |
| Antistreptolysin o titer (86060) | $94 | $94 | 12.9× |
| Antithrombin iii activity (85300) | $100 | $100 | 8.4× |
| Assay Blood Carbon Dioxide (82374) | $65 | $65 | 13.3× |
| Assay Nephelometry Not Spec (83883) | $260 | $260 | 19.1× |
| Assay of blood/uric acid (84550) | $65 | $65 | 14.4× |
| Assay of calcium in urine (82340) | $65 | $65 | 10.8× |
| Assay of estrone (82679) | $120 | $120 | 4.8× |
| Assay of gammaglobulin igm (82784) | $95 | $95 | 10.2× |
| Assay of lactic acid (83605) | $105 | $105 | 9.1× |
| Assay of metanephrines (83835) | $125 | $125 | 7.4× |
| Assay of serum potassium (84132) | $43 | $43 | 9.0× |
| Assay of urea nitrogen (84520) | $65 | $65 | 16.5× |
| Assay of urine vma (84585) | $120 | $120 | 7.7× |
| Assay of vitamin b-1 (84425) | $130 | $130 | 6.1× |
| Beta 2 glycoprotein i antibody each (86146) | $60 | $60 | 2.4× |
| Beta-2 Microglobulin (82232) | $108 | $108 | 6.7× |
| Bilirubin direct (82248) | $68 | $68 | 13.5× |
| Bilirubin total (82247) | $65 | $65 | 12.9× |
| Bleeding time test (85002) | $80 | $80 | 16.6× |
| Blood count reticulocyte automated (85045) | $125 | $125 | 31.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$52–$55 | $52–$55 | varies |
| Blood gas (82803) | $232.50 | $232.50 | 8.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $65 | $65 | 4.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $61 | $61 | 9.6× |
| Blood typing serologic abo (86900) | $108 | $108 | 36.1× |
| Breath Alcohol Test (82075) | $50 | $50 | 1.7× |
| C-Peptide (84681) | $75 | $75 | 3.6× |
| C-reactive protein (86140) | $65 | $65 | 12.5× |
| Ca 19-9 (86301) | $100 | $100 | 4.8× |
| Calcium total (82310) | $65 | $65 | 12.6× |
| Calculus Spectroscopy (82365) | $120 | $120 | 9.3× |
| Cancer Antigen 125 (86304) | $95 | $95 | 4.6× |
| Cancer Antigen 27.29 (86300) | $95 | $95 | 4.6× |
| Carbamazepine total (80156) | $173 | $173 | 11.9× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$155–$320 | $155–$320 | varies |
| Carcinoembryonic antigen (82378) | $135 | $135 | 7.1× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$220–$230 | $220–$230 | varies |
| Ccp antibody (86200) | $120 | $120 | 9.3× |
| Ceruloplasmin (82390) | $85 | $85 | 7.9× |
| Chloride Serum (82435) | $43 | $43 | 9.3× |
| Cholesterol total (82465) | $65 | $65 | 14.9× |
| Chorionic gonadotropin test (84702) | $178 | $178 | 11.8× |
| Chromosome Analysis 15-20 (88262) | $725 | $725 | 5.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $120 | $120 | 3.4× |
| Citric acid urine (82507) | $188 | $188 | 6.8× |
| Ckmb (82553) | $140 | $140 | 12.1× |
| Clostridium Difficile (87324) | $95 | $95 | 7.9× |
| Compatibility Each Unit Incubation (86921) | $90 | $90 | 0.6× |
| Compatibility test antiglob (86922) | $95 | $95 | 0.6× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$114–$115 | $114–$115 | varies |
| Coombs direct (86880) | $75 | $75 | 13.9× |
| Copper urine (82525) | $100 | $100 | 8.1× |
| Cortisol saliva (82533) | $130 | $130 | 8.0× |
| Creatine kinase total (82550) | $65 | $65 | 10.0× |
| Creatinine blood (82565) | $65 | $65 | 12.7× |
| Creatinine clearance (82575) | $130 | $130 | 13.7× |
| Creatinine Urine (82570) | $65 | $65 | 12.5× |
| Crossmatch immediate spin (86920) | $95 | $95 | 0.6× |
| Cryptosporidium ag eia (87328) | $140 | $140 | 10.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $65 | $65 | 8.0× |
| Culture afb (87116) | $100 | $100 | 9.3× |
| Culture Anaerobic (87075) | $65 | $65 | 6.9× |
| Culture blood (87040) | $90 | $90 | 8.7× |
| Culture csf (87070) range across 2 matching MRF lines |
$65–$150 | $65–$150 | varies |
| Culture fungus (87102) | $100 | $100 | 11.9× |
| Culture fungus blood (87103) | $105 | $105 | 5.1× |
| Culture screen only (87081) range across 2 matching MRF lines |
$90–$105 | $90–$105 | varies |
| Culture stool (87045) range across 5 matching MRF lines |
$45–$95 | $45–$95 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $65 | $65 | 12.5× |
| Culture urine (87086) range across 2 matching MRF lines |
$65–$75 | $65–$75 | varies |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$136–$150 | $136–$150 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$165–$285 | $165–$285 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$150–$378 | $150–$378 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$165–$285 | $165–$285 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $630 | $630 | 13.1× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $237 | $237 | 6.9× |
| Detect Agent Nos Dna Amp (87798) | $680 | $680 | 19.4× |
| Dhea (82626) | $142 | $142 | 5.6× |
| Dhea-S (82627) | $142 | $142 | 6.4× |
| Digoxin (80162) | $145 | $145 | 10.9× |
| Dna Antibody Native/Double Stranded (86225) | $96 | $96 | 7.0× |
| Dna Antibody Single Stranded (86226) | $120 | $120 | 9.9× |
| Drug assay acetaminophen (80143) | $80 | $80 | 4.3× |
| Drug Assay Amiodarone (80151) | $125 | $125 | 6.7× |
| Drug Assay Everolimus (80169) | $350 | $350 | 25.5× |
| Drug Screen Quant Zonisamide (80203) | $130 | $130 | 9.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $125 | $125 | 9.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $125 | $125 | 9.4× |
| Drug Test Prsmv Chem Anlyzr (80307) | $130 | $130 | 2.1× |
| Drug Test Prsmv Instrmnt (80306) | $120 | $120 | 7.0× |
| Electrolyte panel (80051) | $65 | $65 | 9.3× |
| Erythropoietin (82668) | $126 | $126 | 6.7× |
| Estradiol serum (82670) | $193 | $193 | 6.9× |
| Estriol (82677) | $150 | $150 | 6.2× |
| Estrogen total (82672) | $160 | $160 | 7.4× |
| Factor v activity (85220) | $165 | $165 | 9.3× |
| Factor v leiden mutation (81241) | $180 | $180 | 2.5× |
| Factor vii assay (85230) | $130 | $130 | 7.3× |
| Fat stain feces urine/respir secretions (89125) | $50 | $50 | 8.5× |
| Fat/Lipids Feces Quantitative (82710) | $105 | $105 | 6.3× |
| Fecal Fat Qualitative (82705) | $50 | $50 | 9.8× |
| Ferritin (82728) | $118 | $118 | 8.7× |
| Fibrin degradation products (85362) | $95 | $95 | 13.8× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$120–$130 | $120–$130 | varies |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $110 | $110 | 11.3× |
| Fibrinogen activity (85384) | $80 | $80 | 8.2× |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$81–$180 | $81–$180 | varies |
| Folic acid rbc (82747) | $116 | $116 | 6.6× |
| Folic Acid Serum (82746) | $116 | $116 | 7.9× |
| Follicle Stimulating Hormone (83001) | $130 | $130 | 7.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $350 | $350 | 2.2× |
| Frozen Section (88331) | $392 | $392 | 2.5× |
| Fungi Identification Mold (87107) | $105 | $105 | 10.2× |
| Fungi Identification Yeast (87106) | $105 | $105 | 10.2× |
| Gammaglobulin ige (82785) | $120 | $120 | 7.3× |
| Gastrin (82941) | $135 | $135 | 7.7× |
| Gentamicin (80170) | $125 | $125 | 7.6× |
| Ggt (82977) | $65 | $65 | 9.0× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$125–$154 | $125–$154 | varies |
| Glucose Blood Test (82962) | $30 | $30 | 9.1× |
| Glucose Serum (82947) | $65 | $65 | 16.5× |
| Glucose tolerance test (gtt) (82951) | $82 | $82 | 6.4× |
| Gonadotropin Chorionic Qualitative (84703) | $75 | $75 | 10.0× |
| Growth hormone (83003) | $125 | $125 | 7.5× |
| Gtt-added samples (82952) | $82 | $82 | 20.9× |
| Hdl Cholesterol (83718) | $65 | $65 | 7.9× |
| Helicobacter Pylori Stool (87338) | $95 | $95 | 6.6× |
| Hematocrit (85014) | $40 | $40 | 16.9× |
| Hemoglobin (85018) | $40 | $40 | 16.9× |
| Hemoglobin a1c (83036) | $85 | $85 | 8.8× |
| Hep a ab igm (86709) | $120 | $120 | 10.7× |
| Hepatitis a antibody total (86708) | $120 | $120 | 9.7× |
| Hepatitis b core ab igm (86705) | $120 | $120 | 10.2× |
| Hepatitis b core ab total (86704) | $120 | $120 | 10.0× |
| Hepatitis B Surface Antibody (86706) | $120 | $120 | 11.2× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$100–$105 | $100–$105 | varies |
| Hepatitis C Antibody (86803) | $120 | $120 | 8.4× |
| Hepatitis C Genotype (87902) | $450 | $450 | 1.7× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $400 | $400 | 11.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$300–$350 | $300–$350 | varies |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$117–$120 | $117–$120 | varies |
| Heterophile Antibody Screen (86308) | $75 | $75 | 14.5× |
| Hfe Gene (81256) | $280 | $280 | 4.3× |
| Histamine urine (83088) | $190 | $190 | 6.4× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $140 | $140 | 5.8× |
| Hla-b27 (86812) | $150 | $150 | 5.8× |
| Homocysteine (83090) range across 2 matching MRF lines |
$300–$400 | $300–$400 | varies |
| Hpv High-Risk Types (87624) range across 3 matching MRF lines |
$120–$285 | $120–$285 | varies |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $180 | $180 | 4.0× |
| Iaad Ia Escherichia Coli 0157 (87335) | $105 | $105 | 8.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $110 | $110 | 7.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $250 | $250 | 7.1× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$90–$150 | $90–$150 | varies |
| Iaad Ia Streptococcus Group A (87430) range across 2 matching MRF lines |
$95–$120 | $95–$120 | varies |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $285 | $285 | 23.8× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $120 | $120 | 5.3× |
| Iadna Cytomegalovirus Quantification (87497) | $320 | $320 | 7.5× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $150 | $150 | 2.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$105–$150 | $105–$150 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $112 | $112 | 3.8× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $120 | $120 | 8.0× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$105–$180 | $105–$180 | varies |
| Immunofixation electrophoresis (86334) | $185 | $185 | 8.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) | $100 | $100 | 6.3× |
| Influenza a/b ag eia (87400) range across 2 matching MRF lines |
$100–$200 | $100–$200 | varies |
| Influenza DNA amp probe (87502) | $300 | $300 | 3.1× |
| Inhibin b (83520) range across 3 matching MRF lines |
$150–$700 | $150–$700 | varies |
| Insulin antibodies (86337) | $160 | $160 | 7.5× |
| Insulin total (83525) | $105 | $105 | 9.2× |
| Intrinsic factor antibody (86340) range across 2 matching MRF lines |
$100–$105 | $100–$105 | varies |
| Iron (83540) | $65 | $65 | 10.0× |
| Iron Binding Capacity (83550) | $95 | $95 | 10.9× |
| Islet cell antibody (86341) | $330 | $330 | 14.0× |
| Lactate (ld) (ldh) enzyme (83615) | $65 | $65 | 10.8× |
| Lactoferrin fecal qualitative (83630) | $65 | $65 | 3.3× |
| LDL direct (83721) | $82 | $82 | 7.8× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$60–$195 | $60–$195 | varies |
| Leukocyte Assessment Fecal (89055) | $50 | $50 | 11.7× |
| Leukocyte transfusion (86950) | $108 | $108 | 0.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $165 | $165 | 6.2× |
| Level ii surg pathology grossµscopic exam (88302) | $300 | $300 | 8.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $900 | $900 | 2.7× |
| Lipase (83690) | $65 | $65 | 9.4× |
| Lithium (80178) | $90 | $90 | 13.6× |
| Luteinizing Hormone (Lh) (83002) | $130 | $130 | 7.0× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$300–$380 | $300–$380 | varies |
| Magnesium Urine (83735) | $65 | $65 | 9.7× |
| Methylmalonic acid serum (83921) | $110 | $110 | 5.2× |
| Microalbumin, quantitative (82043) | $65 | $65 | 11.2× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$170–$340 | $170–$340 | varies |
| Mitochondrial Antibody Each (86381) | $150 | $150 | 5.9× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$150–$300 | $150–$300 | varies |
| Myoglobin urine (83874) | $95 | $95 | 7.4× |
| Natriuretic peptide (83880) | $213 | $213 | 5.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $890 | $890 | 12.3× |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$80–$200 | $80–$200 | varies |
| Occult blood feces (82272) | $65 | $65 | 15.4× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$40–$95 | $40–$95 | varies |
| Oxalate urine (83945) | $95 | $95 | 6.6× |
| Particle Agglutination Screen Each Antibody (86403) | $105 | $105 | 9.1× |
| Parvovirus antibody (86747) | $150 | $150 | 10.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $195 | $195 | 0.3× |
| Ph urine (81003) | $98 | $98 | 43.6× |
| Phenobarbital Level (80184) | $105 | $105 | 6.9× |
| Phenytoin (Dilantin) (80185) range across 3 matching MRF lines |
$103–$115 | $103–$115 | varies |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$65–$175 | $65–$175 | varies |
| Phosphorus Serum (84100) | $65 | $65 | 13.7× |
| Phosphorus urine (84105) | $65 | $65 | 11.2× |
| Platelet count automated (85049) | $50 | $50 | 11.2× |
| Prealbumin (84134) | $95 | $95 | 6.5× |
| Progesterone (84144) | $130 | $130 | 6.2× |
| Prolactin (84146) | $150 | $150 | 7.7× |
| Protein C Activity (85303) | $121 | $121 | 8.7× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$65–$174 | $65–$174 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $155 | $155 | 14.4× |
| Protein S Free (85306) | $270 | $270 | 17.6× |
| Protein total serum (84155) | $65 | $65 | 17.7× |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$65–$174 | $65–$174 | varies |
| Pth Intact (83970) | $290 | $290 | 7.0× |
| Quantiferon tb gold plus (86480) | $150 | $150 | 2.4× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$145–$300 | $145–$300 | varies |
| Rbc antibody identification (86870) | $250 | $250 | 0.8× |
| Rbc antibody screen (86850) | $165 | $165 | 16.9× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $230 | $230 | 3.2× |
| Renin activity plasma (84244) | $150 | $150 | 6.8× |
| Rh (86901) | $90 | $90 | 30.1× |
| Rheumatoid Factor Qualitative (86430) | $65 | $65 | 10.6× |
| Rheumatoid factor quant (86431) | $65 | $65 | 11.5× |
| Rotavirus ag eia (87425) | $95 | $95 | 7.9× |
| Rpr qualitative (86592) | $65 | $65 | 15.2× |
| Rubella Antibody (86762) | $80 | $80 | 5.6× |
| Russell Viper Venom Time Diluted (85613) | $135 | $135 | 14.1× |
| Salicylate Level (80179) | $80 | $80 | 4.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $300 | $300 | 5.8× |
| Sars-cov-2 COVID-19 antibody (86769) | $180 | $180 | 4.3× |
| Sedimentation rate (85651) | $85 | $85 | 19.9× |
| Selenium (84255) | $155 | $155 | 6.1× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$65–$250 | $65–$250 | varies |
| Sex Hormone Binding Globulin (84270) | $248 | $248 | 11.4× |
| Sickling of rbc reduction (85660) | $75 | $75 | 13.6× |
| Sirolimus (80195) | $145 | $145 | 10.6× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$100–$154 | $100–$154 | varies |
| Smear complex stain (87209) | $95 | $95 | 5.3× |
| Smear gram stain (87205) | $50 | $50 | 11.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $65 | $65 | 11.2× |
| Sodium Serum (84295) | $43 | $43 | 8.9× |
| Sodium Urine (84300) | $43 | $43 | 8.5× |
| Somatomedin (84305) | $190 | $190 | 8.9× |
| Special Stains Group 1 (88312) | $300 | $300 | 6.3× |
| Special Stains Group 2 (88313) | $300 | $300 | 2.5× |
| Specimen infect agnt concntj (87015) | $65 | $65 | 9.7× |
| Surg path level iii (88304) | $363 | $363 | 7.6× |
| Surgical pathology level IV (88305) | $500 | $500 | 10.4× |
| Surgical pathology level vi (88309) | $1,080 | $1,080 | 1.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $110 | $110 | 14.7× |
| T3 Free (84481) | $110 | $110 | 6.5× |
| T3 Total (84480) | $110 | $110 | 7.8× |
| T3 Uptake (84479) | $95 | $95 | 14.7× |
| T4 Free (84439) | $85 | $85 | 9.4× |
| T4 total (84436) | $95 | $95 | 13.8× |
| Tacrolimus (80197) | $120 | $120 | 8.7× |
| Testosterone total (84403) range across 2 matching MRF lines |
$190–$385 | $190–$385 | varies |
| Testosterone, Free (84402) | $195 | $195 | 7.7× |
| Theophylline (80198) | $118 | $118 | 8.3× |
| Thyroglobulin (84432) | $170 | $170 | 10.6× |
| Thyroglobulin Antibody (86800) | $170 | $170 | 10.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $500 | $500 | 9.8× |
| Transferase Aspartate Amino Ast Sgot (84450) | $65 | $65 | 12.5× |
| Trichomonas Vaginalis Amplif (87661) | $260 | $260 | 7.4× |
| Triglycerides (84478) | $65 | $65 | 11.3× |
| Troponin Quant (84484) | $180 | $180 | 14.4× |
| Urea nitrogen urine (84540) | $65 | $65 | 11.7× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$65–$85 | $65–$85 | varies |
| Urinalysis Microscopic Only (81015) | $20 | $20 | 6.6× |
| Urine Albumin Semiquantitative (82044) | $65 | $65 | 10.4× |
| Urine Bacteria Culture (87088) range across 3 matching MRF lines |
$65–$165 | $65–$165 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$11–$65 | $11–$65 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $118 | $118 | 37.2× |
| Valproic acid (80164) | $125 | $125 | 9.2× |
| Vancomycin (80202) | $138 | $138 | 10.2× |
| Viral Culture (87252) | $180 | $180 | 6.9× |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$150–$250 | $150–$250 | varies |
| Vit D 1 25-Dihydroxy (82652) | $150 | $150 | 3.9× |
| Vitamin A (84590) | $95 | $95 | 8.2× |
| Vitamin b-12 (82607) | $105 | $105 | 7.0× |
| Vitamin B6 (84207) | $119 | $119 | 4.2× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$150–$200 | $150–$200 | varies |
| Vitamin E (84446) | $95 | $95 | 6.7× |
| Vitamin K (84597) | $245 | $245 | 17.9× |
| West Nile Virus Antibody (86789) | $120 | $120 | 8.3× |
| Zinc (84630) | $95 | $95 | 8.3× |
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.