Lab & pathology prices at Stoughton Hospital
Stoughton, WI · every code in this section with a posted price and a Medicare benchmark.
594 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $128.15 | $233 | 3.3× |
| Actin smooth muscle antibody each (86015) | $14.44 | $26.26 | 1.2× |
| Acute hepatitis panel (80074) | $243.25 | $442.27 | 5.1× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $135.63 | $246.60 | 8.2× |
| Adenovirus antibody (86603) | $26.82 | $48.77 | 2.1× |
| Albumin Fluid (82042) | $41.80 | $76 | 5.4× |
| Albumin serum (82040) | $47.30 | $86 | 9.6× |
| Aldolase (82085) | $57.54 | $104.61 | 5.9× |
| Aldosterone urine (82088) | $190.85 | $347 | 4.7× |
| Alkaline phosphatase isoenzymes (84080) | $89.01 | $161.83 | 6.0× |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$18.79–$135.01 | $34.16–$245.48 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $49.50 | $90 | 3.4× |
| Alpha-1-antitrypsin total (82103) | $73.75 | $134.09 | 5.5× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $444.54 | $808.26 | 26.1× |
| Alpha-Fetoprotein Serum (82105) | $121 | $220 | 7.2× |
| Alt (sgpt) (84460) | $50.60 | $92 | 9.5× |
| Amikacin trough (80150) | $30.77 | $55.94 | 2.0× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $32.41 | $58.93 | 1.4× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $280.05 | $509.19 | 16.6× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $43 | $78.19 | 3.1× |
| Aminolevulinic acid (ala) (82135) | $36.72 | $66.76 | 2.2× |
| Ammonia (82140) | $128.55 | $233.73 | 8.8× |
| Amylase urine (82150) | $103.40 | $188 | 16.0× |
| Ana Titer (86039) | $34.65 | $63 | 3.1× |
| Androstenedione (82157) | $201.17 | $365.76 | 6.9× |
| Angiotensin converting enzyme csf (82164) | $89.12 | $162.03 | 6.1× |
| Anti-Phospholipid Antibody (86148) | $122.43 | $222.60 | 7.6× |
| Antibody aspergillus (86606) | $32.45 | $59 | 2.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $30.35 | $55.19 | 2.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $87 | $158.18 | 5.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $59.65 | $108.46 | 3.5× |
| Antibody Encephalitis California La Crosse (86651) | $64.45 | $117.19 | 4.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $44 | $80 | 3.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $45.75 | $83.18 | 3.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $56.63 | $102.96 | 3.1× |
| Antibody helicobacter pylori (86677) | $25.99 | $47.26 | 1.5× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $42.57 | $77.40 | 3.0× |
| Antibody Herpes Smplx Type 1 (86695) | $47.85 | $87 | 3.6× |
| Antibody HIV-1&HIV-2 single result (86703) | $26.32 | $47.86 | 1.9× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $94.07 | $171.04 | 4.9× |
| Antibody identification leukocyte antibodies (86021) | $188 | $341.81 | 12.5× |
| Antibody john cunningham virus (86711) | $186.24 | $338.61 | 11.0× |
| Antibody Protozoa Nes (86753) | $45.62 | $82.94 | 3.7× |
| Antibody Titer (86886) | $103.95 | $189 | 20.1× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$17.25–$97.56 | $31.36–$177.38 | varies |
| Antibody; encephalitis, st. louis (86653) | $64.45 | $117.19 | 4.9× |
| Antibody; influenza virus (86710) | $15.91 | $28.92 | 1.2× |
| Antigen typing (86905) | $87.06 | $158.29 | 22.7× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $52.20 | $94.91 | 9.1× |
| Antinuclear antibodies (86038) | $66.55 | $121 | 5.5× |
| Antistreptolysin O Screen (86063) | $31.23 | $56.78 | 5.4× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$20.33–$40.15 | $36.96–$73 | varies |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$104.88–$132.79 | $190.69–$241.44 | varies |
| Antithrombin iii antigen (85301) | $177.07 | $321.94 | 16.4× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$23.92–$77.18 | $43.49–$140.32 | varies |
| Arsenic (82175) | $48.08 | $87.42 | 2.5× |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$100.99–$128.15 | $183.62–$233 | varies |
| Assay activated protein c (85307) | $60.68 | $110.32 | 4.0× |
| Assay Blood Carbon Dioxide (82374) | $55 | $100 | 11.3× |
| Assay myeloperoxidase (83876) | $70.81 | $128.74 | 1.4× |
| Assay Nephelometry Not Spec (83883) | $91.30 | $166 | 6.7× |
| Assay of 5-hiaa (83497) | $101.42 | $184.40 | 7.9× |
| Assay of b-hexosaminidase each assay (83080) | $80.58 | $146.50 | 4.8× |
| Assay of blood/uric acid (84550) | $45.65 | $83 | 10.1× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$56.23–$119.50 | $102.24–$217.28 | varies |
| Assay of estrone (82679) | $49.84 | $90.62 | 2.0× |
| Assay of g6pd enzyme (82955) | $43.43 | $78.97 | 4.5× |
| Assay of gammaglobulin igm (82784) | $92.40 | $168 | 9.9× |
| Assay of lactic acid (83605) | $104.50 | $190 | 9.0× |
| Assay of manganese (83785) | $97.75 | $177.72 | 3.7× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$121.55–$131.45 | $221–$239 | varies |
| Assay of proinsulin (84206) | $39.57 | $71.94 | 1.5× |
| Assay of serum potassium (84132) | $46.75 | $85 | 9.8× |
| Assay of sweat sodium (84302) | $32.67 | $59.40 | 6.7× |
| Assay of urea nitrogen (84520) | $49.50 | $90 | 12.5× |
| Assay of urine vma (84585) | $37.28 | $67.78 | 2.4× |
| Assay of vasoactive intestinal peptide (84586) | $114.49 | $208.17 | 3.2× |
| Assay of vitamin b-1 (84425) | $84.15 | $153 | 4.0× |
| Assay Ph Body Fluid Nos (83986) | $39.69 | $72.17 | 11.1× |
| Assay spec xcp ur&breath ia (82077) | $136.95 | $249 | 7.9× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $394.69 | $717.61 | 2.4× |
| Babesia microti amp prb (87469) | $60.63 | $110.24 | 1.7× |
| Bartonella antibody (86611) | $23.72 | $43.13 | 2.3× |
| Beta 2 glycoprotein i antibody each (86146) | $49.40 | $89.82 | 1.9× |
| Beta hydroxybutyrate (82010) | $43.49 | $79.08 | 5.3× |
| Beta Lactamase (87185) | $40.15 | $73 | 8.5× |
| Beta-2 Microglobulin (82232) | $77 | $140 | 4.8× |
| Bile acids, cholylglycine (82240) | $34.40 | $62.55 | 1.3× |
| Bilirubin direct (82248) | $46.75 | $85 | 9.3× |
| Bilirubin total (82247) | $52.80 | $96 | 10.5× |
| Biotinidase (82261) | $144.45 | $262.63 | 8.6× |
| Bl Smear W/O Diff Wbc Count (85008) | $28.40 | $51.64 | 8.3× |
| Blastomyces antibody (86612) | $31.35 | $57 | 2.4× |
| Bld Typing Serologic Rh Phnt (86906) | $66.24 | $120.44 | 8.5× |
| Bleeding time test (85002) | $55.70 | $101.28 | 11.6× |
| Blood count reticulocyte automated (85045) | $67.10 | $122 | 16.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $92.57 | $168.31 | 24.4× |
| Blood count spun microhematocrit (85013) | $92.57 | $168.31 | 13.2× |
| Blood gases w/02 saturation (82805) | $235.40 | $428 | 3.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $26.95 | $49 | 6.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$89.65–$175.03 | $163–$318.24 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $96.64 | $175.70 | 5.9× |
| Blood typing serologic abo (86900) | $64.35 | $117 | 21.5× |
| Body fluid cell count (89050) | $87.78 | $159.60 | 18.6× |
| Bone marrow smear interpretation (85097) | $462.55 | $841 | 0.6× |
| Bordetella antibody (86615) | $86.54 | $157.35 | 6.6× |
| Braf gene analysis (81210) | $572.83 | $1,041.50 | 3.3× |
| Breath Alcohol Test (82075) range across 2 matching MRF lines |
$13.75–$28.60 | $25–$52 | varies |
| Brucella antibody (86622) | $100.65 | $183 | 11.3× |
| C diff amplified probe (87493) | $166.65 | $303 | 4.5× |
| C-Peptide (84681) | $57.75 | $105 | 2.8× |
| C-reactive protein (86140) | $76.45 | $139 | 14.8× |
| Ca 19-9 (86301) | $121 | $220 | 5.8× |
| Cadmium (82300) range across 2 matching MRF lines |
$23.82–$40.04 | $43.30–$72.80 | varies |
| Calcitonin (82308) | $93.36 | $169.75 | 3.5× |
| Calcium ionized (82330) | $126.50 | $230 | 9.2× |
| Calcium total (82310) | $50.05 | $91 | 9.7× |
| Calculus assay quant (82360) | $66.96 | $121.74 | 5.2× |
| Calculus Spectroscopy (82365) | $66.29 | $120.53 | 5.1× |
| Calprotectin Fecal (83993) | $151.35 | $275.18 | 7.7× |
| Cancer Antigen 125 (86304) | $132.81 | $241.48 | 6.4× |
| Cancer Antigen 27.29 (86300) | $97.35 | $177 | 4.7× |
| Candida antibody (86628) | $31.97 | $58.13 | 2.7× |
| Carbamazepine free (80157) | $14.81 | $26.92 | 1.1× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$30.39–$139.15 | $55.25–$253 | varies |
| Carboxyhemoglobin (82375) | $122.10 | $222 | 9.9× |
| Carcinoembryonic antigen (82378) | $180.40 | $328 | 9.5× |
| Cardiolipin ab iga (86147) | $53.54 | $97.35 | 2.1× |
| Carnitine Quantitative Each Specimen (82379) | $111.63 | $202.96 | 6.6× |
| Carotene (82380) | $64.50 | $117.27 | 7.0× |
| Catecholamines fractionated (82384) | $125.58 | $228.33 | 5.0× |
| Ccp antibody (86200) | $76.45 | $139 | 5.9× |
| Cell count csf (89051) range across 2 matching MRF lines |
$35.88–$94.84 | $65.24–$172.44 | varies |
| Cell marker study (88182) | $53.59 | $97.43 | 1.1× |
| Ceruloplasmin (82390) | $60.43 | $109.88 | 5.6× |
| Cftr gene com variants (81220) | $427.49 | $777.25 | 0.8× |
| Chemiluminescent assay (82397) | $211.20 | $384 | 15.0× |
| Chlamydia antibody (86631) | $16.09 | $29.26 | 1.4× |
| Chlamydia Igm Antibody (86632) | $16.09 | $29.26 | 1.3× |
| Chloramphenicol level (82415) | $101.57 | $184.68 | 8.0× |
| Chloride other source (82438) | $35.86 | $65.20 | 7.2× |
| Chloride Serum (82435) | $39.05 | $71 | 8.5× |
| Chloride urine (82436) | $29.15 | $53 | 5.1× |
| Cholesterol total (82465) | $47.43 | $86.24 | 10.9× |
| Cholinesterase rbc (82482) | $25.82 | $46.94 | 2.6× |
| Cholinesterase Serum (82480) | $31.37 | $57.03 | 4.0× |
| Chorionic gonadotropin test (84702) | $138.60 | $252 | 9.2× |
| Chromium serum (82495) | $65.55 | $119.19 | 3.2× |
| Chromogranin a (86316) | $89.10 | $162 | 4.3× |
| Chromosome Analysis 15-20 (88262) | $580.78 | $1,055.97 | 4.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $144.10 | $262 | 4.1× |
| Citric acid urine (82507) range across 2 matching MRF lines |
$42.49–$46.75 | $77.26–$85 | varies |
| Ckmb (82553) | $67.74 | $123.17 | 5.9× |
| Clostridium Difficile (87324) | $71.86 | $130.66 | 6.0× |
| Clotting Funct Activity (85397) | $172.70 | $314 | 5.6× |
| Cns DNA amp probe type 12-25 (87483) | $91.29 | $165.98 | 0.2× |
| Coagulation time activated (85347) | $50.35 | $91.55 | 11.8× |
| Coccidioides antibody (86635) | $30.67 | $55.76 | 2.7× |
| Cold agglutinin titer (86157) | $108.75 | $197.72 | 13.5× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$96.51–$110.46 | $175.48–$200.83 | varies |
| Column Chromotography Quant (82542) | $143.55 | $261 | 6.0× |
| Complement Antigen Each Component (86160) | $114.40 | $208 | 9.5× |
| Complement Total (Ch50) (86162) | $114.82 | $208.76 | 5.7× |
| Coombs direct (86880) | $57.75 | $105 | 10.7× |
| Copper urine (82525) | $80.25 | $145.90 | 6.5× |
| Cortisol free (82530) | $82.50 | $150 | 4.9× |
| Cortisol saliva (82533) | $142.45 | $259 | 8.7× |
| Creatine (82540) | $104.87 | $190.67 | 22.6× |
| Creatine kinase total (82550) | $63.80 | $116 | 9.8× |
| Creatinine blood (82565) | $46.20 | $84 | 9.0× |
| Creatinine clearance (82575) | $78.79 | $143.26 | 8.3× |
| Creatinine Urine (82570) | $57.07 | $103.76 | 11.0× |
| Crossmatch immediate spin (86920) | $103.40 | $188 | 0.6× |
| Crp High Sensitivity (86141) | $103.40 | $188 | 8.0× |
| Cryofibrinogen (82585) | $41.01 | $74.57 | 2.9× |
| Cryoglobulin (82595) | $33.74 | $61.34 | 5.2× |
| Cryptococcal Antigen (87327) | $23.13 | $42.06 | 1.7× |
| Cryptococcus ab (86641) | $77 | $140 | 5.3× |
| Cryptococcus ag titer (87899) | $45.63 | $82.96 | 2.8× |
| Cryptosporidium ag eia (87328) | $83.05 | $151 | 6.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $89.68 | $163.05 | 11.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $78.34 | $142.43 | 9.7× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $95.15 | $173 | 12.3× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $244.24 | $444.08 | 1.1× |
| Culture afb (87116) | $87.75 | $159.55 | 8.1× |
| Culture Anaerobic (87075) | $123.20 | $224 | 13.0× |
| Culture blood (87040) | $143 | $260 | 13.9× |
| Culture chlamydia (87110) | $70.21 | $127.66 | 3.6× |
| Culture csf (87070) | $94.05 | $171 | 10.9× |
| Culture fungus (87102) | $73.63 | $133.87 | 8.8× |
| Culture screen only (87081) range across 2 matching MRF lines |
$65.36–$81.95 | $118.84–$149 | varies |
| Culture stool (87045) | $84.82 | $154.22 | 9.0× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $278.47 | $506.31 | 22.2× |
| Culture typing if ea antiserum (87140) | $37.36 | $67.92 | 6.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$50.26–$58.08 | $91.39–$105.60 | varies |
| Culture urine (87086) | $92.95 | $169 | 11.5× |
| Cyanide (82600) | $25.82 | $46.94 | 1.3× |
| Cyclosporine (80158) | $108.35 | $197 | 6.0× |
| Cytogenetics 100-300 (88275) | $214.50 | $390 | 4.2× |
| Cytomegalovirus igg (86644) | $74.40 | $135.28 | 5.2× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$54.43–$60.50 | $98.96–$110 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$136–$138.23 | $247.27–$251.33 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $79.20 | $144 | 2.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$182.36–$207.35 | $331.56–$377 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $145.27 | $264.12 | 0.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $78.10 | $142 | 2.2× |
| Deoxycortisol (82634) | $67.45 | $122.63 | 2.3× |
| Deoxyribonuclease antibody (86215) range across 2 matching MRF lines |
$22.93–$76.93 | $41.69–$139.88 | varies |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$30.77–$151.80 | $55.94–$276 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$40.83–$69.25 | $74.23–$125.90 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$158.98–$160.41 | $289.06–$291.66 | varies |
| Dhea (82626) | $85.46 | $155.39 | 3.4× |
| Dhea-S (82627) | $93.78 | $170.51 | 4.2× |
| Digoxin (80162) | $110 | $200 | 8.3× |
| Dna Antibody Native/Double Stranded (86225) | $77 | $140 | 5.6× |
| Dna/Rna Amplified Probe (87150) | $58.30 | $106 | 1.7× |
| Drug assay acetaminophen (80143) | $117.03 | $212.78 | 6.3× |
| Drug Assay Infliximab (80230) | $188.80 | $343.27 | 4.9× |
| Drug Assay Lacosamide (80235) | $106.70 | $194 | 3.9× |
| Drug Screen Quant Clozapine (80159) | $33.89 | $61.61 | 1.7× |
| Drug Screen Quant Zonisamide (80203) | $93.96 | $170.83 | 7.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $32.88 | $59.79 | 2.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $70.47 | $128.13 | 5.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $36.15 | $65.73 | 2.7× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $127.75 | $232.28 | 7.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$110.22–$175.45 | $200.40–$319 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$14.10–$51.16 | $25.63–$93.02 | varies |
| Drug Test Prsmv Instrmnt (80306) | $132 | $240 | 7.7× |
| Ehrlichia antibody (86666) | $76.76 | $139.56 | 7.5× |
| El-1 Fecal Quantitative (82653) | $38.90 | $70.72 | 1.7× |
| Electrolyte panel (80051) | $94.60 | $172 | 13.5× |
| Encephaltis East Eqne Anbdy (86652) | $64.45 | $117.19 | 4.9× |
| Encephaltis West Eqne Antbdy (86654) | $51.85 | $94.27 | 3.9× |
| Enterovirus Antibody (86658) | $73.23 | $133.15 | 5.6× |
| Enterovirus PCR (87498) | $213.91 | $388.93 | 6.1× |
| Enzyme histochemistry (88319) | $462.55 | $841 | 0.6× |
| Eosinophil Smear (89190) | $57.41 | $104.38 | 9.9× |
| Erythropoietin (82668) | $96.80 | $176 | 5.2× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$120.38–$135.85 | $218.88–$247 | varies |
| Estriol (82677) | $84.65 | $153.91 | 3.5× |
| Estrogen total (82672) | $127.60 | $232 | 5.9× |
| Ethosuximide (80168) | $22.88 | $41.60 | 1.4× |
| Ethylene Glycol (82693) | $34.55 | $62.82 | 2.3× |
| Exam Synovial Fluid Crystals (89060) | $83.60 | $152 | 11.4× |
| F2 Gene (81240) | $313.25 | $569.55 | 4.8× |
| Factor ix activity (85250) | $94.84 | $172.44 | 5.0× |
| Factor v activity (85220) | $82.07 | $149.21 | 4.6× |
| Factor v leiden mutation (81241) | $192.54 | $350.07 | 2.6× |
| Factor vii assay (85230) | $59.29 | $107.80 | 3.3× |
| Factor viii assay (85240) | $35.88 | $65.24 | 2.0× |
| Factor X (85260) | $119.80 | $217.81 | 6.7× |
| Fat stain feces urine/respir secretions (89125) | $10.47 | $19.03 | 1.8× |
| Fat/Lipids Feces Quantitative (82710) | $85.73 | $155.87 | 5.1× |
| Fecal Fat Qualitative (82705) | $36.30 | $66 | 7.1× |
| Ferritin (82728) | $106.58 | $193.78 | 7.8× |
| Fetal Fibronectin (82731) | $404.68 | $735.78 | 6.3× |
| Fetal hemoglobin assay qual (83033) | $79.13 | $143.88 | 9.9× |
| Fibrin degradation products (85362) | $64.54 | $117.34 | 9.4× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$114.40–$202.28 | $208–$367.79 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$40.83–$87.45 | $74.23–$159 | varies |
| Flecainide level (80181) | $26.65 | $48.45 | 1.4× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$174.90–$204.05 | $318–$371 | varies |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$20.59–$123.73 | $37.44–$224.97 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$64.90–$202.28 | $118–$367.79 | varies |
| Folic acid rbc (82747) | $48.21 | $87.66 | 2.7× |
| Folic Acid Serum (82746) | $109.45 | $199 | 7.4× |
| Follicle Stimulating Hormone (83001) | $150.15 | $273 | 8.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $133.63 | $242.96 | 0.8× |
| Frozen Section (88331) | $182.60 | $332 | 1.1× |
| Fungi Identification Mold (87107) | $94.60 | $172 | 9.2× |
| Fungi Identification Yeast (87106) | $81.40 | $148 | 7.9× |
| Gammaglobulin ige (82785) | $95.36 | $173.38 | 5.8× |
| Gases blood ph only (82800) | $84.70 | $154 | 7.7× |
| Gastrin (82941) | $76.33 | $138.78 | 4.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $414.70 | $754 | 1.0× |
| Gentamicin (80170) | $134.75 | $245 | 8.2× |
| Ggt (82977) | $59.40 | $108 | 8.3× |
| Giardia antigen (87329) | $85.80 | $156 | 7.2× |
| Glucose 2 hr pp (82950) | $52.27 | $95.04 | 11.0× |
| Glucose body fluid (82945) | $50.40 | $91.64 | 12.8× |
| Glucose Serum (82947) | $39.05 | $71 | 9.9× |
| Glucose tolerance test (gtt) (82951) | $90.27 | $164.12 | 7.0× |
| Glycated Protein (82985) | $35.75 | $65 | 2.1× |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $16.62 | $30.21 | 1.1× |
| Gonadotropin Chorionic Qualitative (84703) | $111.65 | $203 | 14.8× |
| Growth hormone (83003) | $108.90 | $198 | 6.5× |
| Gtt-added samples (82952) | $41.65 | $75.73 | 10.6× |
| Haptoglobin (83010) | $118.80 | $216 | 9.4× |
| Hdl Cholesterol (83718) | $80.85 | $147 | 9.9× |
| Helicobacter Pylori Stool (87338) | $128.70 | $234 | 8.9× |
| Helminth Antibody (86682) | $34.90 | $63.45 | 2.7× |
| Hematocrit (85014) | $49.18 | $89.42 | 20.8× |
| Hemoglobin (85018) | $36.85 | $67 | 15.5× |
| Hemoglobin a1c (83036) | $104.50 | $190 | 10.8× |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$40.83–$101.83 | $74.23–$185.15 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $33 | $60 | 4.0× |
| Hemosiderin urine (83070) | $19.06 | $34.65 | 4.0× |
| Hep a ab igm (86709) | $95.70 | $174 | 8.5× |
| Heparin assay (85520) | $145.75 | $265 | 11.1× |
| Hepatitis a antibody total (86708) | $113.21 | $205.83 | 9.1× |
| Hepatitis b core ab igm (86705) | $113.21 | $205.83 | 9.6× |
| Hepatitis b core ab total (86704) | $81.78 | $148.69 | 6.8× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$96.79–$109.66 | $175.99–$199.38 | varies |
| Hepatitis B Surface Antigen (87340) | $75.76 | $137.74 | 7.3× |
| Hepatitis Be Antibody (86707) | $88.72 | $161.31 | 7.7× |
| Hepatitis Be Antigen (87350) | $51.77 | $94.12 | 4.5× |
| Hepatitis C Antibody (86803) | $135.30 | $246 | 9.5× |
| Hepatitis c antibody confirmatory test (86804) | $146.21 | $265.84 | 9.4× |
| Hepatitis C Genotype (87902) | $453.22 | $824.03 | 1.8× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $115.24 | $209.52 | 3.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $276.65 | $503 | 6.5× |
| Hepatitis Delta Agent Antibody (86692) | $24.48 | $44.51 | 1.4× |
| Herpes simplex type 2 (86696) | $56.65 | $103 | 2.9× |
| Heterophile Antibody Screen (86308) | $83.05 | $151 | 16.0× |
| Hfe Gene (81256) | $325.96 | $592.65 | 5.0× |
| Histoplasma antibody (86698) | $35.20 | $64 | 2.6× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$101.18–$140.25 | $183.96–$255 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $116.60 | $212 | 4.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $461.44 | $838.99 | 5.4× |
| HIV-2 probe&revrse trnscripj (87538) | $76.29 | $138.70 | 2.2× |
| Hla Class I Typing Low Resolution Complete (81372) | $249.08 | $452.88 | 0.6× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $244.68 | $444.87 | 1.1× |
| Hla Typing a/B/C Multiple Antigens (86813) | $45.19 | $82.17 | 0.8× |
| Hla-b27 (86812) | $91.36 | $166.10 | 3.5× |
| Homocysteine (83090) | $103.40 | $188 | 5.8× |
| Homogenization Tissue (87176) | $29.44 | $53.52 | 5.0× |
| Homovanillic acid urine (83150) | $41.13 | $74.79 | 1.8× |
| Hpv High-Risk Types (87624) | $112.75 | $205 | 3.2× |
| Hsv Dna Amp Probe (87529) | $139.15 | $253 | 4.0× |
| Hydroxyprogesterone 17-d (83498) | $180.57 | $328.31 | 6.6× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $71.85 | $130.63 | 6.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $47.30 | $86 | 4.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $77.37 | $140.67 | 5.6× |
| Iaad ia shiga-like toxin (87427) | $63.80 | $116 | 5.3× |
| Iaad Ia Streptococcus Group A (87430) | $77.59 | $141.08 | 4.6× |
| Iaadi inffluenza a virus (87276) | $16.25 | $29.55 | 1.0× |
| Iaadi respiratory synctial virus (87280) | $16.25 | $29.55 | 1.2× |
| Iaadi Varicella Zoster Virus (87290) | $34.99 | $63.62 | 2.6× |
| Iaadiadoo trichomonas vaginalis (87808) | $89 | $161.81 | 5.8× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $36.65 | $66.63 | 1.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $167.87 | $305.21 | 4.8× |
| Iadna Candida Species Amplified Probe Tq (87481) | $61.50 | $111.82 | 1.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $64.32 | $116.94 | 1.8× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $184.76 | $335.93 | 5.3× |
| Iadna Cytomegalovirus Quantification (87497) | $206.98 | $376.33 | 4.8× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $36.65 | $66.63 | 1.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $229.90 | $418 | 5.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $35.88 | $65.24 | 1.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $333.34 | $606.07 | 8.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $85.22 | $154.94 | 2.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$103.48–$125.95 | $188.15–$229 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $138.76 | $252.29 | 4.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $196.90 | $358 | 1.4× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) range across 2 matching MRF lines |
$156.57–$347.01 | $284.68–$630.92 | varies |
| Igg subclasses (82787) | $65.11 | $118.38 | 8.1× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $204.05 | $371 | 0.6× |
| Immune Complex Assay (86332) | $47.47 | $86.30 | 1.9× |
| Immunfix e-phorsis/urine/csf (86335) | $105.60 | $192 | 3.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$25.72–$162.80 | $46.77–$296 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$25.17–$32.47 | $45.76–$59.04 | varies |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$19.45–$84.25 | $35.36–$153.18 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$38.90–$169.95 | $70.72–$309 | varies |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$99.37–$213.40 | $180.67–$388 | varies |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $112.02 | $203.68 | 9.2× |
| Influenza a/b ag eia (87400) | $48.92 | $88.95 | 3.5× |
| Influenza DNA amp probe (87502) | $176.65 | $321.18 | 1.8× |
| Inhibin A (86336) | $70.44 | $128.07 | 4.5× |
| Inhibin b (83520) range across 2 matching MRF lines |
$23.40–$95.70 | $42.54–$174 | varies |
| Insitu hybridization auto (88367) | $396.62 | $721.12 | 1.1× |
| Insitu hybridization manual (88368) | $589.88 | $1,072.51 | 1.7× |
| Insulin antibodies (86337) | $90.20 | $164 | 4.2× |
| Insulin total (83525) | $62 | $112.73 | 5.4× |
| Intrinsic factor antibody (86340) | $24.84 | $45.16 | 1.6× |
| Iron (83540) | $70.95 | $129 | 11.0× |
| Iron Binding Capacity (83550) | $93.50 | $170 | 10.7× |
| Irradiation Blood Product Each Unit (86945) | $104.50 | $190 | 2.9× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$31.10–$138.10 | $56.55–$251.09 | varies |
| Koh Prep (87220) | $44 | $80 | 10.3× |
| Lactate (ld) (ldh) enzyme (83615) | $45.65 | $83 | 7.6× |
| Lactoferrin fecal qualitative (83630) | $86.99 | $158.16 | 4.4× |
| Lactoferrin Fecal Quantitative (83631) | $141.27 | $256.85 | 7.2× |
| Ldh Isoenzymes (83625) | $15.92 | $28.94 | 1.2× |
| LDL direct (83721) | $55 | $100 | 5.2× |
| Lead (83655) | $54.94 | $99.89 | 4.5× |
| Legionella antibody (86713) | $96.82 | $176.04 | 6.3× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$74.53–$96.60 | $135.50–$175.64 | varies |
| Leukocyte Assessment Fecal (89055) | $49.47 | $89.95 | 11.6× |
| Level I Surg Pathology Gross Examination Only (88300) | $63.80 | $116 | 2.3× |
| Level ii surg pathology grossµscopic exam (88302) | $106.70 | $194 | 2.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $320.65 | $583 | 0.9× |
| Lipase (83690) | $84.70 | $154 | 12.3× |
| Lipoprotein A (83695) | $55.55 | $101 | 3.9× |
| Lipoprotein Bld Quan Part (83704) | $136.45 | $248.09 | 4.0× |
| Lithium (80178) | $95.70 | $174 | 14.5× |
| Luteinizing Hormone (Lh) (83002) | $144.59 | $262.89 | 7.8× |
| Lyme disease antibody (86618) | $89.10 | $162 | 5.2× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $85.06 | $154.65 | 2.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$382.10–$459.80 | $694.72–$836 | varies |
| Macroscopic exam arthropod (87168) | $73.45 | $133.55 | 17.2× |
| Macroscopic Exam Parasite (87169) | $32.15 | $58.45 | 7.5× |
| Magnesium Urine (83735) | $59.95 | $109 | 8.9× |
| Mass Spectrometry Quant (83789) | $182.79 | $332.34 | 7.6× |
| Mercury urine (83825) | $75.47 | $137.21 | 4.6× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$80.85–$96.35 | $147–$175.19 | varies |
| Microalbumin, quantitative (82043) | $72.60 | $132 | 12.6× |
| Microsomal Antibodies Each (86376) | $73.15 | $133 | 5.0× |
| Mitochondrial Antibody Each (86381) | $14.66 | $26.66 | 0.6× |
| Mlh1 Gene (81288) | $342.22 | $622.22 | 1.8× |
| Molecular Cytogenetics Dna Probe Each (88271) | $173.25 | $315 | 8.1× |
| Mononuclear cell antigen (86356) range across 3 matching MRF lines |
$45.85–$158.43 | $83.37–$288.06 | varies |
| Mopath procedure level 2 (81401) | $211.99 | $385.43 | 1.5× |
| Morphometric Analysis Tumor (88358) | $169.41 | $308.02 | 1.0× |
| Mrsa Pcr (87641) | $109.82 | $199.67 | 3.1× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$69.30–$72.05 | $126–$131 | varies |
| Mycoplasma antibody (86738) | $50.05 | $91 | 3.8× |
| Mycoplasma culture (87109) | $107.81 | $196.01 | 7.0× |
| Myelin basic protein csf (83873) | $29.74 | $54.08 | 1.7× |
| Myoglobin urine (83874) | $83.87 | $152.49 | 6.5× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$59.49–$189.75 | $108.16–$345 | varies |
| Neutralization Test Viral (86382) | $115.40 | $209.81 | 6.8× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $165.02 | $300.04 | 1.3× |
| Niacin (84591) | $215.60 | $392 | 12.6× |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$24.82–$70.95 | $45.12–$129 | varies |
| Occult blood feces (82272) | $35.75 | $65 | 8.5× |
| Occult Blood Other Sources (82271) | $32.59 | $59.25 | 6.1× |
| Oligoclonal bands (83916) | $87.67 | $159.40 | 3.2× |
| Organic acids urine (83918) | $226.94 | $412.61 | 9.6× |
| Osmolality serum (83930) | $88.55 | $161 | 13.4× |
| Osmolality Urine (83935) | $84.70 | $154 | 12.4× |
| Osteocalcin (83937) | $119.55 | $217.36 | 4.0× |
| Ova and parasites smears (87177) | $62.97 | $114.49 | 7.1× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$30.25–$48.29 | $55–$87.80 | varies |
| Pancreatic Elastase Fecal (82656) | $88.81 | $161.48 | 7.7× |
| Particle Agglutination Screen Each Antibody (86403) | $32.45 | $59 | 2.8× |
| Parvovirus antibody (86747) | $75.87 | $137.94 | 5.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $462.55 | $841 | 0.6× |
| Ph urine (81003) | $33 | $60 | 14.7× |
| Phenobarbital Level (80184) | $84.70 | $154 | 5.5× |
| Phenytoin (Dilantin) (80185) | $115.50 | $210 | 8.7× |
| Phenytoin free (80186) | $67.92 | $123.49 | 4.9× |
| Phosphatase alkaline (84075) | $56.65 | $103 | 10.9× |
| Phosphorus Serum (84100) | $49.10 | $89.28 | 10.4× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$18.27–$25.81 | $33.22–$46.93 | varies |
| Pinworm exam (87172) | $37.95 | $69 | 8.9× |
| Platelet Aggregation (85576) | $111.19 | $202.16 | 4.5× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$100.47–$228.25 | $182.68–$415 | varies |
| Platelet count automated (85049) | $42.90 | $78 | 9.6× |
| Platelet neutralization (85597) | $101.83 | $185.15 | 5.7× |
| Porphobilinogen, urine; quantitative (84110) | $38.14 | $69.34 | 4.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $50.25 | $91.37 | 3.4× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$37.40–$119.50 | $68–$217.28 | varies |
| Prealbumin (84134) | $89.10 | $162 | 6.1× |
| Primidone (80188) | $29.70 | $54 | 1.8× |
| Procalcitonin (Pct) (84145) | $140.80 | $256 | 5.2× |
| Progesterone (84144) range across 2 matching MRF lines |
$14.10–$129.99 | $25.63–$236.34 | varies |
| Prolactin (84146) | $161.70 | $294 | 8.3× |
| Protein body fluid (84157) | $53.90 | $98 | 13.5× |
| Protein C Activity (85303) | $140.86 | $256.10 | 10.2× |
| Protein c antigen (85302) | $112.95 | $205.36 | 9.4× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$49.11–$84.15 | $89.29–$153 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$18.30–$117.14 | $33.28–$212.99 | varies |
| Protein S Free (85306) | $121 | $220 | 7.9× |
| Protein s total (85305) | $151.07 | $274.68 | 13.0× |
| Protein Total Refractometry Any Src (84160) | $9.15 | $16.64 | 1.6× |
| Protein total serum (84155) | $35.57 | $64.67 | 9.7× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$18.85–$53.90 | $34.27–$98 | varies |
| Protein Western Blot Test (84182) | $50.34 | $91.52 | 1.7× |
| Protoporphyrin rbc quantitative (84202) | $65.73 | $119.50 | 4.6× |
| PSA free (84154) | $80.88 | $147.06 | 4.4× |
| Pth Intact (83970) | $239.25 | $435 | 5.8× |
| Q Fever Antibody (86638) | $65.45 | $119 | 5.4× |
| Quantiferon tb gold plus (86480) | $50.60 | $92 | 0.8× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$108.90–$111.05 | $198–$201.91 | varies |
| Quantitative Screen Metals (83018) | $31.10 | $56.55 | 1.4× |
| Quinidine (80194) | $189.77 | $345.03 | 13.0× |
| Rbc antibody elution (86860) | $167.20 | $304 | 1.0× |
| Rbc antibody identification (86870) | $204.05 | $371 | 0.6× |
| Rbc antibody screen (86850) | $106.15 | $193 | 10.9× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) range across 2 matching MRF lines |
$58.73–$62.13 | $106.79–$112.96 | varies |
| Renin activity plasma (84244) | $135.30 | $246 | 6.2× |
| Reptilase test (85635) range across 2 matching MRF lines |
$32.13–$34.91 | $58.41–$63.48 | varies |
| Resp virus 12-25 targets (87633) | $235.95 | $429 | 0.6× |
| Resp Virus 6-11 Targets (87632) | $123.75 | $225 | 0.6× |
| Reticulocyte Count (85046) | $24.99 | $45.43 | 4.5× |
| Reticulocyte separation (86972) | $220.89 | $401.61 | 1.3× |
| Rh (86901) | $50.60 | $92 | 16.9× |
| Rheumatoid Factor Qualitative (86430) | $68.72 | $124.94 | 11.2× |
| Rheumatoid factor quant (86431) | $55.17 | $100.30 | 9.7× |
| Rickettsia antibody (86757) | $23.56 | $42.83 | 1.2× |
| Ristocetin cofactor (85245) | $171.74 | $312.26 | 7.5× |
| Rotavirus ag eia (87425) | $123.20 | $224 | 10.3× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$18.48–$49.12 | $33.60–$89.30 | varies |
| Rubella Antibody (86762) | $79.20 | $144 | 5.5× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$27.91–$72.86 | $50.75–$132.47 | varies |
| Russell Viper Venom Time Diluted (85613) | $54.45 | $99 | 5.7× |
| Salicylate Level (80179) | $122.41 | $222.56 | 6.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$29.15–$99.97 | $53–$181.76 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $23.65 | $43 | 0.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $151.05 | $274.64 | 1.1× |
| Sedimentation Rate, Automated (85652) | $49.18 | $89.42 | 18.2× |
| Selenium (84255) | $57.75 | $105 | 2.3× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$111.64–$113.30 | $202.99–$206 | varies |
| Serpina 1 gene (81332) | $130.59 | $237.43 | 3.0× |
| Sex Hormone Binding Globulin (84270) | $63.80 | $116 | 2.9× |
| Sirolimus (80195) | $79.06 | $143.74 | 5.8× |
| Skin test tuberculosis intradermal (86580) | $29.15 | $53 | 1.0× |
| Smear acid fast (87206) | $48.53 | $88.23 | 9.0× |
| Smear complex stain (87209) | $67.65 | $123 | 3.8× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$48.40–$68.85 | $88–$125.18 | varies |
| Smear Special Stain (87207) | $91.30 | $166 | 15.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $38.65 | $70.28 | 6.6× |
| Sodium Serum (84295) | $48.40 | $88 | 10.1× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$50.60–$119.50 | $92–$217.28 | varies |
| Soluble fibrin monomer (85366) | $68.11 | $123.83 | 0.8× |
| Soluble Transferrin Receptor (84238) | $35.88 | $65.24 | 1.0× |
| Somatomedin (84305) | $128.54 | $233.70 | 6.0× |
| Somatostatin (84307) | $297.26 | $540.47 | 16.3× |
| Special Stains Group 1 (88312) | $161.70 | $294 | 3.2× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$161.01–$161.70 | $292.75–$294 | varies |
| Specific gravity body fluid (84315) | $19.42 | $35.30 | 5.9× |
| Specimen infect agnt concntj (87015) | $34.65 | $63 | 5.2× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$38.40–$50.60 | $69.81–$92 | varies |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$38.16–$50.44 | $69.38–$91.70 | varies |
| Strep a DNA amp probe (87651) | $119.74 | $217.71 | 3.4× |
| Strep b DNA amp probe (87653) | $108.90 | $198 | 3.1× |
| Sugars Single Qual (84376) | $38.82 | $70.59 | 7.1× |
| Surg path level iii (88304) | $187 | $340 | 3.7× |
| Surgical pathology level IV (88305) | $254.65 | $463 | 5.0× |
| Surgical pathology level vi (88309) | $575.85 | $1,047 | 0.7× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $56.16 | $102.11 | 11.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $65.88 | $119.79 | 8.8× |
| Syphilis Test Non-Trep Quant (86593) | $34.10 | $62 | 7.8× |
| T3 Free (84481) | $140.80 | $256 | 8.3× |
| T3 reverse (84482) | $94.34 | $171.53 | 6.0× |
| T3 Total (84480) | $70.40 | $128 | 5.0× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$9–$36.99 | $16.37–$67.25 | varies |
| T4 Free (84439) | $113.30 | $206 | 12.6× |
| T4 total (84436) range across 2 matching MRF lines |
$9–$34.45 | $16.37–$62.63 | varies |
| Tacrolimus (80197) | $112.75 | $205 | 8.2× |
| Test for acetone/ketones (82009) | $48.86 | $88.83 | 10.8× |
| Testosterone Bioavailable (84410) | $50.32 | $91.49 | 1.0× |
| Testosterone total (84403) | $127.60 | $232 | 4.9× |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$42.09–$88.55 | $76.52–$161 | varies |
| Theophylline (80198) | $138.05 | $251 | 9.8× |
| Thrombin Time (85670) | $40.70 | $74 | 7.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $45.19 | $82.17 | 7.0× |
| Thyroglobulin (84432) | $91.30 | $166 | 5.7× |
| Thyroglobulin Antibody (86800) | $69.45 | $126.28 | 4.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $178.68 | $324.87 | 3.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$8.12–$8.75 | $14.77–$15.90 | varies |
| Tissue Culture (88233) | $537.97 | $978.12 | 3.8× |
| Tobramycin peak (80200) | $133.74 | $243.16 | 8.3× |
| Topiramate (80201) | $92.40 | $168 | 7.8× |
| Touch prep (88161) | $89.90 | $163.45 | 3.2× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $48.76 | $88.66 | 2.5× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$8.25–$37.54 | $15–$68.25 | varies |
| Toxoplasma antibody (86777) | $40.15 | $73 | 2.8× |
| Transferase Aspartate Amino Ast Sgot (84450) | $50.05 | $91 | 9.7× |
| Transferrin (84466) | $92.23 | $167.69 | 7.2× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$61.50–$91.29 | $111.82–$165.98 | varies |
| Triglycerides (84478) | $61.05 | $111 | 10.6× |
| Troponin Quant (84484) | $141.35 | $257 | 11.3× |
| Tumor immunohistochem/comput (88361) | $237.05 | $431 | 0.7× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$99.37–$227.70 | $180.67–$414 | varies |
| Urea nitrogen urine (84540) | $56.65 | $103 | 10.2× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$19.93–$25.89 | $36.24–$47.07 | varies |
| Urinalysis Microscopic Only (81015) | $47.30 | $86 | 15.5× |
| Urinalysis Volume Measure (81050) | $25.30 | $46 | 7.0× |
| Urine Bacteria Culture (87088) | $70.14 | $127.52 | 8.7× |
| Urine Pregnancy Test (81025) | $80.85 | $147 | 9.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $61.05 | $111 | 19.3× |
| Valproic acid (80164) | $140.25 | $255 | 10.4× |
| Vancomycin (80202) | $134.20 | $244 | 9.9× |
| Varicella-zoster antibody (86787) | $84.40 | $153.46 | 6.6× |
| Vasopressin (84588) | $168.10 | $305.64 | 5.0× |
| Viral Culture (87252) | $125.94 | $228.99 | 4.8× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$21.37–$60.82 | $38.85–$110.59 | varies |
| Virus inoculate tissue addl (87253) | $69.30 | $126 | 3.4× |
| Virus inoculation, shell via (87254) | $102.30 | $186 | 5.2× |
| Viscosity serum (85810) | $61.78 | $112.32 | 5.3× |
| Vit D 1 25-Dihydroxy (82652) | $172.70 | $314 | 4.5× |
| Vitamin A (84590) | $84.15 | $153 | 7.2× |
| Vitamin b-12 (82607) | $107.25 | $195 | 7.1× |
| Vitamin B6 (84207) | $121 | $220 | 4.3× |
| Vitamin c (82180) | $60.50 | $110 | 6.1× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$72.28–$143.55 | $131.41–$261 | varies |
| Vitamin E (84446) | $69.51 | $126.39 | 4.9× |
| Vitamin K (84597) | $93.50 | $170 | 6.8× |
| Volatiles (84600) | $47.15 | $85.73 | 2.8× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $20.59 | $37.44 | 1.7× |
| Wbc Alkaline Phosphatase Count (85540) | $55.70 | $101.28 | 6.5× |
| West nile virus ab igm (86788) | $44.55 | $81 | 2.6× |
| West Nile Virus Antibody (86789) | $62.15 | $113 | 4.3× |
| Zinc (84630) | $71.50 | $130 | 6.3× |
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.