Lab & pathology prices at Stonewall Memorial Hospital District
Aspermont, TX · every code in this section with a posted price and a Medicare benchmark.
384 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $45 | $60 | 4.0× |
| Acth (82024) | $184.50 | $246 | 4.8× |
| Acute hepatitis panel (80074) | $251.25 | $335 | 5.3× |
| Adenovirus antibody (86603) | $33 | $44 | 2.6× |
| Albumin Fluid (82042) | $21 | $28 | 2.7× |
| Albumin serum (82040) | $33.75 | $45 | 6.8× |
| Aldolase (82085) | $25.50 | $34 | 2.6× |
| Aldosterone urine (82088) | $93.75 | $125 | 2.3× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$35.25–$65.25 | $47–$87 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $18.45 | $24.60 | 2.3× |
| Allergen specific ige (86003) range across 5 matching MRF lines |
$15–$103.50 | $20–$138 | varies |
| Allergen specific igg (86001) | $26.25 | $35 | 3.4× |
| Alpha-1-antitrypsin phenotype (82104) | $177.75 | $237 | 12.3× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$76.50–$272.25 | $102–$363 | varies |
| Alpha-Fetoprotein Serum (82105) range across 4 matching MRF lines |
$66.75–$97.50 | $89–$130 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$40.50–$84 | $54–$112 | varies |
| Aluminum (82108) | $144 | $192 | 5.7× |
| Ammonia (82140) | $125.25 | $167 | 8.6× |
| Amylase urine (82150) range across 2 matching MRF lines |
$26.25–$126 | $35–$168 | varies |
| Anca screen each antibody (86036) range across 4 matching MRF lines |
$48.75–$153.75 | $65–$205 | varies |
| Angiotensin converting enzyme csf (82164) | $90.75 | $121 | 6.2× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$33–$92.25 | $44–$123 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $58.50 | $78 | 3.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$53.25–$78 | $71–$104 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$61.50–$62.25 | $82–$83 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$63.75–$73.50 | $85–$98 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $27 | $36 | 2.2× |
| Antibody helicobacter pylori (86677) range across 4 matching MRF lines |
$33.75–$78 | $45–$104 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $58.50 | $78 | 4.1× |
| Antibody Herpes Smplx Type 1 (86695) | $53.25 | $71 | 4.0× |
| Antibody HIV-1&HIV-2 single result (86703) | $131.25 | $175 | 9.6× |
| Antibody HIV-2 (86702) | $63.75 | $85 | 4.7× |
| Antibody identification leukocyte antibodies (86021) | $60.75 | $81 | 4.0× |
| Antibody john cunningham virus (86711) | $1,125 | $1,500 | 66.6× |
| Antibody Protozoa Nes (86753) | $136.88 | $182.50 | 11.0× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$26.25–$37.50 | $35–$50 | varies |
| Antibody yersinia (86793) | $55.50 | $74 | 4.2× |
| Antigen typing (86905) | $87 | $116 | 22.7× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $71.25 | $95 | 12.5× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$48.75–$65.25 | $65–$87 | varies |
| Antistreptolysin O Screen (86063) | $40.50 | $54 | 7.0× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$30–$47.25 | $40–$63 | varies |
| Antithrombin iii activity (85300) | $48 | $64 | 4.1× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$84–$285.75 | $112–$381 | varies |
| Aquaporin-4 Antb Elisa (86051) | $681 | $908 | 59.1× |
| Arsenic (82175) | $55.50 | $74 | 2.9× |
| Aspergillus ag eia (87305) | $147 | $196 | 12.3× |
| Assay activated protein c (85307) | $133.50 | $178 | 8.7× |
| Assay Blood Carbon Dioxide (82374) | $30.75 | $41 | 6.3× |
| Assay Blood Catecholamines (82383) | $122.25 | $163 | 4.2× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$56.25–$84 | $75–$112 | varies |
| Assay of 5-hiaa (83497) | $18.75 | $25 | 1.5× |
| Assay of blood/uric acid (84550) | $37.50 | $50 | 8.3× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$34.50–$109.50 | $46–$146 | varies |
| Assay of cpk in blood (82552) | $54 | $72 | 4.0× |
| Assay of estrone (82679) | $100.50 | $134 | 4.0× |
| Assay of gammaglobulin igm (82784) | $37.50 | $50 | 4.0× |
| Assay of lactic acid (83605) | $210.75 | $281 | 18.2× |
| Assay of metanephrines (83835) | $68.25 | $91 | 4.0× |
| Assay of proinsulin (84206) | $72 | $96 | 2.7× |
| Assay of serum potassium (84132) | $33.75 | $45 | 7.1× |
| Assay of urea nitrogen (84520) | $37.50 | $50 | 9.5× |
| Assay of urine vma (84585) | $97.50 | $130 | 6.3× |
| Assay of vitamin b-1 (84425) | $96 | $128 | 4.5× |
| Assay Ph Body Fluid Nos (83986) | $21.75 | $29 | 6.1× |
| Bartonella antibody (86611) | $66 | $88 | 6.5× |
| Bcr/abl1 gene major bp (81206) | $245.25 | $327 | 1.5× |
| Bcr/abl1 gene minor bp (81207) | $245.25 | $327 | 1.7× |
| Beta 2 glycoprotein i antibody each (86146) | $93.75 | $125 | 3.7× |
| Beta hydroxybutyrate (82010) | $29.25 | $39 | 3.6× |
| Beta-2 Microglobulin (82232) | $96.75 | $129 | 6.0× |
| Bilirubin direct (82248) range across 3 matching MRF lines |
$22.50–$33.75 | $30–$45 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$22.50–$84 | $30–$112 | varies |
| Blastomyces antibody (86612) | $57.75 | $77 | 4.5× |
| Blood count reticulocyte automated (85045) | $21 | $28 | 5.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$15.75–$67.50 | $21–$90 | varies |
| Blood gas (82803) | $208.50 | $278 | 8.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $29.25 | $39 | 6.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $457.52 | $610.03 | 72.1× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $37.50 | $50 | 2.3× |
| Blood typing serologic abo (86900) | $21 | $28 | 7.0× |
| Bordetella antibody (86615) | $56.25 | $75 | 4.3× |
| Brucella antibody (86622) | $33 | $44 | 3.7× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$146.25–$195 | $195–$260 | varies |
| C-Peptide (84681) | $109.50 | $146 | 5.3× |
| C-reactive protein (86140) | $44.25 | $59 | 8.5× |
| Ca 19-9 (86301) | $102 | $136 | 4.9× |
| Cadmium (82300) range across 3 matching MRF lines |
$93.75–$247.50 | $125–$330 | varies |
| Calcium ionized (82330) | $54.75 | $73 | 4.0× |
| Calcium total (82310) | $33.75 | $45 | 6.5× |
| Calculus assay quant (82360) | $57 | $76 | 4.4× |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$72–$296.91 | $96–$395.88 | varies |
| Calculus Xray Diffraction (82370) | $50.25 | $67 | 4.0× |
| Calprotectin Fecal (83993) | $287.25 | $383 | 14.6× |
| Cancer Antigen 125 (86304) | $101.25 | $135 | 4.9× |
| Cancer Antigen 27.29 (86300) | $84 | $112 | 4.0× |
| Candida antibody (86628) | $66 | $88 | 5.5× |
| Carbohydrate Deficient Transferrin (82373) | $224.25 | $299 | 12.4× |
| Carcinoembryonic antigen (82378) | $93 | $124 | 4.9× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$32.25–$102 | $43–$136 | varies |
| Carnitine Quantitative Each Specimen (82379) | $89.25 | $119 | 5.3× |
| Carotene (82380) | $221.25 | $295 | 24.0× |
| Catecholamines fractionated (82384) | $102 | $136 | 4.0× |
| Catecholamines total urine (82382) | $101.25 | $135 | 3.7× |
| Ccp antibody (86200) | $52.50 | $70 | 4.1× |
| Cell count csf (89051) range across 3 matching MRF lines |
$33.75–$97.50 | $45–$130 | varies |
| Cell marker study (88182) | $264.75 | $353 | 5.1× |
| Ceruloplasmin (82390) | $31.50 | $42 | 2.9× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$69–$153.75 | $92–$205 | varies |
| Chloride Serum (82435) | $27 | $36 | 5.9× |
| Chloride urine (82436) | $24.75 | $33 | 4.3× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$27–$84 | $36–$112 | varies |
| Cholinesterase Serum (82480) | $49.50 | $66 | 6.3× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$66.75–$81.75 | $89–$109 | varies |
| Chromogranin a (86316) | $312.19 | $416.25 | 15.0× |
| Chromosome Analysis 15-20 (88262) | $502.50 | $670 | 4.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$78.75–$282.75 | $105–$377 | varies |
| Citric acid urine (82507) | $102 | $136 | 3.7× |
| Ckmb (82553) | $210.75 | $281 | 18.2× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$53.25–$66 | $71–$88 | varies |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$33–$58.50 | $44–$78 | varies |
| Cold agglutinin screen (86156) | $42 | $56 | 5.2× |
| Cold agglutinin titer (86157) | $42 | $56 | 5.2× |
| Collagen crosslinks (82523) | $90 | $120 | 4.8× |
| Column Chromotography Quant (82542) | $75 | $100 | 3.1× |
| Compatibility test antiglob (86922) | $51 | $68 | 0.3× |
| Complement Antigen Each Component (86160) | $101.25 | $135 | 8.4× |
| Complement Total (Ch50) (86162) | $75 | $100 | 3.7× |
| Coombs direct (86880) | $32.25 | $43 | 6.0× |
| Copper urine (82525) range across 3 matching MRF lines |
$52.50–$274.97 | $70–$366.63 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$67.50–$93 | $90–$124 | varies |
| Cortisol saliva (82533) | $86.25 | $115 | 5.3× |
| Creatine kinase total (82550) | $51 | $68 | 7.8× |
| Creatinine blood (82565) | $40.50 | $54 | 7.9× |
| Creatinine clearance (82575) | $58.50 | $78 | 6.2× |
| Creatinine Urine (82570) | $21 | $28 | 4.1× |
| Crossmatch electronic (86923) | $577.50 | $770 | 3.4× |
| Crossmatch immediate spin (86920) | $59.25 | $79 | 0.3× |
| Crp High Sensitivity (86141) | $52.50 | $70 | 4.1× |
| Cryoglobulin (82595) | $27 | $36 | 4.2× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$52.50–$54 | $70–$72 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$33–$189 | $44–$252 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $113.25 | $151 | 14.0× |
| Culture afb (87116) | $57 | $76 | 5.3× |
| Culture blood (87040) | $204 | $272 | 19.8× |
| Culture chlamydia (87110) | $71.25 | $95 | 3.6× |
| Culture csf (87070) | $53.25 | $71 | 6.2× |
| Culture fungus (87102) | $38.25 | $51 | 4.5× |
| Culture screen only (87081) range across 3 matching MRF lines |
$26.73–$34.50 | $35.64–$46 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$38.25–$152.25 | $51–$203 | varies |
| Culture urine (87086) | $188.25 | $251 | 23.3× |
| Cyclosporine (80158) | $154.50 | $206 | 8.6× |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$67.50–$153.75 | $90–$205 | varies |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) range across 2 matching MRF lines |
$27–$54 | $36–$72 | varies |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$141.75–$258.75 | $189–$345 | varies |
| Detect Agent Nos Dna Quant (87799) | $841.50 | $1,122 | 19.6× |
| Dgp Antibody Each Ig Class (86258) | $141 | $188 | 11.7× |
| Dhea-S (82627) range across 2 matching MRF lines |
$90–$102 | $120–$136 | varies |
| Digoxin (80162) | $101.25 | $135 | 7.6× |
| Dihydrotestosterone (82642) | $155.25 | $207 | 5.3× |
| Dna Antibody Native/Double Stranded (86225) | $61.50 | $82 | 4.5× |
| Dna Antibody Single Stranded (86226) | $48.75 | $65 | 4.0× |
| DNA/RNA direct probe (87149) | $66 | $88 | 3.3× |
| Dna/Rna Sequencing (87153) | $623.25 | $831 | 5.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $56.25 | $75 | 4.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $108.75 | $145 | 8.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 5 matching MRF lines |
$52.50–$385.50 | $70–$514 | varies |
| Drug Test Prsmv Instrmnt (80306) | $154.50 | $206 | 9.0× |
| Electrolyte panel (80051) | $51.75 | $69 | 7.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $141 | $188 | 11.7× |
| Enterovirus Antibody (86658) | $337.50 | $450 | 25.9× |
| Erythropoietin (82668) | $111.75 | $149 | 5.9× |
| Estradiol serum (82670) | $132 | $176 | 4.7× |
| Estriol (82677) | $97.50 | $130 | 4.0× |
| Estrogen total (82672) | $120 | $160 | 5.5× |
| Ethylene Glycol (82693) | $158.25 | $211 | 10.6× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$29.25–$49.50 | $39–$66 | varies |
| Factor Inhibitor Test (85335) | $112.50 | $150 | 8.7× |
| Factor v activity (85220) | $71.25 | $95 | 4.0× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$66–$159.75 | $88–$213 | varies |
| Fat stain feces urine/respir secretions (89125) | $22.50 | $30 | 3.8× |
| Fat/Lipids Feces Quantitative (82710) | $68.25 | $91 | 4.1× |
| Fatty acids free (82725) | $337.50 | $450 | 18.0× |
| Ferritin (82728) | $73.50 | $98 | 5.4× |
| Fibrin degradation products (85362) | $33 | $44 | 4.8× |
| Fibrin Degradation Quant (85379) | $112.50 | $150 | 11.1× |
| Fibrinogen activity (85384) | $40.50 | $54 | 4.2× |
| Flecainide level (80181) | $148.50 | $198 | 8.0× |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$30.75–$48.75 | $41–$65 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$33.75–$48.75 | $45–$65 | varies |
| Folic acid rbc (82747) | $105 | $140 | 5.9× |
| Folic Acid Serum (82746) | $121.50 | $162 | 8.3× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$45–$63.75 | $60–$85 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $4,317.75 | $5,757 | 1.5× |
| Ggt (82977) | $84 | $112 | 11.7× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$54.75–$61.50 | $73–$82 | varies |
| Glucagon (82943) | $35.25 | $47 | 2.5× |
| Glucose 2 hr pp (82950) | $108.75 | $145 | 22.9× |
| Glucose body fluid (82945) | $21 | $28 | 5.3× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$33.75–$84 | $45–$112 | varies |
| Glucose tolerance test (gtt) (82951) | $71.25 | $95 | 5.5× |
| Glycated Protein (82985) | $60.75 | $81 | 3.6× |
| Gonadotropin Chorionic Qualitative (84703) | $43.50 | $58 | 5.8× |
| Growth hormone (83003) | $67.50 | $90 | 4.0× |
| Gtt-added samples (82952) | $33.75 | $45 | 8.6× |
| H Pylori (C-13) Breath (83013) | $39.75 | $53 | 0.6× |
| H Pylori Drug Admin (83014) | $22.50 | $30 | 2.9× |
| Haptoglobin (83010) | $84 | $112 | 6.7× |
| Hdl Cholesterol (83718) | $60.75 | $81 | 7.4× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$58.50–$168.75 | $78–$225 | varies |
| Helminth Antibody (86682) | $566.25 | $755 | 43.5× |
| Hematocrit (85014) | $13.50 | $18 | 5.7× |
| Hemoglobin (85018) | $17.25 | $23 | 7.3× |
| Hemoglobin a1c (83036) | $50.25 | $67 | 5.2× |
| Hemoglobin Chromotography (83021) | $72.75 | $97 | 4.0× |
| Hep a ab igm (86709) | $108.75 | $145 | 9.7× |
| Hepatitis b core ab total (86704) | $108.75 | $145 | 9.0× |
| Hepatitis B Surface Antibody (86706) | $52.50 | $70 | 4.9× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$48.75–$101.25 | $65–$135 | varies |
| Hepatitis Be Antibody (86707) | $46.50 | $62 | 4.0× |
| Hepatitis C Antibody (86803) | $120 | $160 | 8.4× |
| Herpes simplex type 2 (86696) | $78 | $104 | 4.0× |
| Heterophile Antibody Screen (86308) | $27 | $36 | 5.2× |
| Hfe Gene (81256) | $114.75 | $153 | 1.8× |
| Histoplasma antibody (86698) | $33 | $44 | 2.4× |
| Hiv Antigen W/Hiv Antibodies (87806) | $129 | $172 | 3.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $131.25 | $175 | 5.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $228.75 | $305 | 2.7× |
| Hla-b27 (86812) | $104.25 | $139 | 4.0× |
| Homocysteine (83090) | $146.25 | $195 | 8.2× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $131.25 | $175 | 11.0× |
| Iaad ia shiga-like toxin (87427) | $48.75 | $65 | 4.1× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $123.75 | $165 | 10.3× |
| Iadna Cytomegalovirus Quantification (87497) | $114.75 | $153 | 2.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $78.75 | $105 | 2.2× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $712.50 | $950 | 2.7× |
| Ig Light Chains Free Each (83521) | $54.75 | $73 | 3.2× |
| Immunfix e-phorsis/urine/csf (86335) | $118.50 | $158 | 4.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $162 | $216 | 8.8× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $60.75 | $81 | 4.1× |
| Immunoassay nonantibody (83516) range across 8 matching MRF lines |
$36–$142.50 | $48–$190 | varies |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$135–$255 | $180–$340 | varies |
| Inhibin b (83520) range across 7 matching MRF lines |
$52.50–$681 | $70–$908 | varies |
| Insulin antibodies (86337) | $129.15 | $172.20 | 6.0× |
| Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) | $84 | $112 | 0.5× |
| Iron (83540) | $54 | $72 | 8.3× |
| Iron Binding Capacity (83550) | $64.50 | $86 | 7.4× |
| Islet cell antibody (86341) | $69.75 | $93 | 3.0× |
| Jak2 gene analysis p.val617phe variant (81270) | $326.25 | $435 | 3.6× |
| Jak2 Gene Trgt Sequence Alys (81279) | $450 | $600 | 2.4× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$26.25–$51 | $35–$68 | varies |
| Lactoferrin fecal qualitative (83630) | $116.25 | $155 | 5.9× |
| LDL direct (83721) | $51 | $68 | 4.9× |
| Lead (83655) | $49.50 | $66 | 4.1× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$60.75–$65.25 | $81–$87 | varies |
| Lipase (83690) | $57.75 | $77 | 8.4× |
| Lipoprotein A (83695) | $52.50 | $70 | 3.7× |
| Lyme disease antibody (86618) | $90.75 | $121 | 5.3× |
| Magnesium Urine (83735) | $47.25 | $63 | 7.1× |
| Mercury urine (83825) | $52.50 | $70 | 3.2× |
| Microalbumin, quantitative (82043) | $49.50 | $66 | 8.6× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$58.50–$72 | $78–$96 | varies |
| Mitochondrial Antibody Each (86381) | $58.50 | $78 | 2.3× |
| Mog-Igg1 Antb Cba Each (86362) | $423.75 | $565 | 35.2× |
| Mrsa Pcr (87641) | $141 | $188 | 4.0× |
| Myoglobin urine (83874) | $81 | $108 | 6.3× |
| Natriuretic peptide (83880) | $435.75 | $581 | 11.1× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $97.50 | $130 | 0.8× |
| Niacin (84591) | $108 | $144 | 6.3× |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$72.75–$78.75 | $97–$105 | varies |
| Occult blood feces (82272) | $29.25 | $39 | 6.9× |
| Occult Blood Other Sources (82271) | $17.25 | $23 | 3.2× |
| Organic acids urine (83918) | $99.75 | $133 | 4.2× |
| Osmolality serum (83930) | $54 | $72 | 8.2× |
| Osmolality Urine (83935) | $54 | $72 | 7.9× |
| Particle Agglutination Screen Each Antibody (86403) | $41.25 | $55 | 3.6× |
| Parvovirus antibody (86747) | $341.25 | $455 | 22.7× |
| Phenobarbital Level (80184) | $66.75 | $89 | 4.4× |
| Phenytoin (Dilantin) (80185) | $93.75 | $125 | 7.1× |
| Phenytoin free (80186) | $76.88 | $102.50 | 5.6× |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$21–$246 | $28–$328 | varies |
| Phosphorus Serum (84100) | $33.75 | $45 | 7.1× |
| Phosphorus urine (84105) | $25.50 | $34 | 4.4× |
| Pinworm exam (87172) | $17.25 | $23 | 4.0× |
| Platelet count automated (85049) | $33.75 | $45 | 7.5× |
| Potassium Urine (84133) | $20.25 | $27 | 4.3× |
| Pregnenolone (84140) | $165 | $220 | 8.0× |
| Primidone (80188) | $66.75 | $89 | 4.0× |
| Procalcitonin (Pct) (84145) | $78.75 | $105 | 2.9× |
| Protein body fluid (84157) | $15 | $20 | 3.8× |
| Protein total serum (84155) | $37.50 | $50 | 10.2× |
| Protein Total Urine (84156) | $15 | $20 | 4.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $112.50 | $150 | 28.6× |
| PSA free (84154) | $74.25 | $99 | 4.0× |
| Pth Intact (83970) | $234 | $312 | 5.7× |
| Quantiferon tb gold plus (86480) | $249.75 | $333 | 4.0× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$56.25–$210 | $75–$280 | varies |
| Quantitative Screen Metals (83018) | $371.25 | $495 | 16.9× |
| Rbc antibody identification (86870) | $192 | $256 | 0.5× |
| Rbc antibody screen (86850) | $71.25 | $95 | 7.3× |
| Renin activity plasma (84244) | $93.75 | $125 | 4.3× |
| Resp virus 12-25 targets (87633) | $937.50 | $1,250 | 2.2× |
| Rh (86901) | $21.75 | $29 | 7.3× |
| Rheumatoid Factor Qualitative (86430) | $40.50 | $54 | 6.6× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$24.75–$60 | $33–$80 | varies |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$37.50–$58.50 | $50–$78 | varies |
| Rsv ab (86756) | $159.75 | $213 | 10.1× |
| Rsv Assay W/Optic (87807) | $131.25 | $175 | 10.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $150 | $200 | 2.9× |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$45–$67.50 | $60–$90 | varies |
| Sedimentation rate (85651) | $102 | $136 | 23.9× |
| Selenium (84255) | $67.13 | $89.50 | 2.6× |
| Sensitivity mic (87186) | $192 | $256 | 22.2× |
| Serpina 1 gene (81332) | $272.25 | $363 | 6.2× |
| Sex Hormone Binding Globulin (84270) | $283.86 | $378.48 | 13.1× |
| Shigella Antibody (86771) range across 2 matching MRF lines |
$27–$54 | $36–$72 | varies |
| Sickling of rbc reduction (85660) | $22.50 | $30 | 4.1× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$21–$37.50 | $28–$50 | varies |
| Smear acid fast (87206) | $29.25 | $39 | 5.4× |
| Smear complex stain (87209) | $73.50 | $98 | 4.1× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$24.75–$99.75 | $33–$133 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $26.25 | $35 | 4.5× |
| Sodium Serum (84295) | $30.75 | $41 | 6.4× |
| Sodium Urine (84300) | $23.25 | $31 | 4.6× |
| Soluble Transferrin Receptor (84238) | $131.25 | $175 | 3.6× |
| Somatomedin (84305) | $64.50 | $86 | 3.0× |
| Specimen infect agnt concntj (87015) | $108 | $144 | 16.2× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$163.69–$1,293.75 | $218.25–$1,725 | varies |
| Stone Analysis (82355) | $50.25 | $67 | 4.3× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$38.25–$117 | $51–$156 | varies |
| Strep a DNA amp probe (87651) | $116.25 | $155 | 3.3× |
| Sugars Single Qual (84376) | $18.75 | $25 | 3.4× |
| Surgical pathology level IV (88305) | $142.50 | $190 | 2.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $34.50 | $46 | 4.6× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$37.50–$60 | $50–$80 | varies |
| T cells absolute cd4 count (86361) | $111 | $148 | 4.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $177.75 | $237 | 3.8× |
| T3 Free (84481) range across 2 matching MRF lines |
$108–$120 | $144–$160 | varies |
| T3 reverse (84482) | $57 | $76 | 3.6× |
| T3 Total (84480) range across 4 matching MRF lines |
$57.13–$148.50 | $76.17–$198 | varies |
| T3 Uptake (84479) range across 2 matching MRF lines |
$56.25–$57 | $75–$76 | varies |
| T4 Free (84439) | $129 | $172 | 14.3× |
| T4 total (84436) | $61.50 | $82 | 9.0× |
| Tacrolimus (80197) | $125.25 | $167 | 9.1× |
| Test for acetone/ketones (82009) | $29.25 | $39 | 6.5× |
| Test for urine cystines (82615) | $68.25 | $91 | 7.1× |
| Testosterone total (84403) range across 2 matching MRF lines |
$104.25–$172.50 | $139–$230 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$102.75–$112.50 | $137–$150 | varies |
| Tetanus antibody (86774) | $148.50 | $198 | 10.0× |
| Theophylline (80198) | $78 | $104 | 5.5× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$128.79–$129 | $171.72–$172 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $204.75 | $273 | 4.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$46.50–$141 | $62–$188 | varies |
| Tissue Culture Lymphocyte (88230) | $469.50 | $626 | 4.0× |
| Tobramycin peak (80200) | $87.75 | $117 | 5.4× |
| Toxoplasma antibody (86777) | $58.50 | $78 | 4.1× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$33.75–$84 | $45–$112 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$67.50–$81.75 | $90–$109 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$78.75–$244.50 | $105–$326 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$37.50–$84 | $50–$112 | varies |
| Troponin, qualitative (84512) | $187.50 | $250 | 18.6× |
| Urea nitrogen urine (84540) | $19.50 | $26 | 3.5× |
| Uric acid other source (84560) | $27.75 | $37 | 5.5× |
| Urine Bacteria Culture (87088) | $31.50 | $42 | 3.9× |
| Urine Pregnancy Test (81025) | $23.25 | $31 | 2.7× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $24.75 | $33 | 7.8× |
| Valproic acid (80164) range across 2 matching MRF lines |
$70.50–$125.25 | $94–$167 | varies |
| Vancomycin (80202) range across 6 matching MRF lines |
$54.75–$153.75 | $73–$205 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$21.75–$54 | $29–$72 | varies |
| Vasopressin (84588) | $137.25 | $183 | 4.0× |
| Very Long Chain Fatty Acids (82726) | $337.50 | $450 | 17.1× |
| Viral Culture (87252) range across 3 matching MRF lines |
$100.50–$105 | $134–$140 | varies |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$33–$90.75 | $44–$121 | varies |
| Vit D 1 25-Dihydroxy (82652) | $155.25 | $207 | 4.0× |
| Vitamin A (84590) | $30.75 | $41 | 2.6× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$128.25–$278.25 | $171–$371 | varies |
| Vitamin B6 (84207) | $112.50 | $150 | 4.0× |
| Vitamin D 25-Hydroxy (82306) | $243 | $324 | 8.2× |
| Vitamin E (84446) | $37.50 | $50 | 2.6× |
| Vitamin K (84597) | $36.75 | $49 | 2.7× |
| Volatiles (84600) | $401.25 | $535 | 23.5× |
| West nile virus ab igm (86788) | $21 | $28 | 1.2× |
| West Nile Virus Antibody (86789) | $61.50 | $82 | 4.3× |
| Zinc (84630) | $69 | $92 | 6.1× |
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.