Lab & pathology prices at Sublette County Health
Pinedale, WY · every code in this section with a posted price and a Medicare benchmark.
625 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $93.60 | $104 | 8.4× |
| Acetylcholine receptor binding antibody (86041) | $43.20 | $48 | 2.3× |
| Acetylcholn Rcptr Modlg Antb (86043) | $165.60 | $184 | 13.7× |
| Acth (82024) | $222.30 | $247 | 5.8× |
| Acute hepatitis panel (80074) | $250.20 | $278 | 5.3× |
| Acylcarnitines Quant (82017) | $226.80 | $252 | 13.4× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $288.90 | $321 | 4.5× |
| Albumin Fluid (82042) | $70.20 | $78 | 9.0× |
| Albumin serum (82040) | $28.80 | $32 | 5.8× |
| Aldolase (82085) | $77.40 | $86 | 8.0× |
| Aldosterone urine (82088) | $132.30 | $147 | 3.2× |
| Alkaline phosphatase isoenzymes (84080) | $145.80 | $162 | 9.9× |
| Allergen specific ige (86003) | $32.40 | $36 | 6.2× |
| Allergen specific igg (86001) | $47.70 | $53 | 6.1× |
| Alpha-1-antitrypsin phenotype (82104) | $119.70 | $133 | 8.3× |
| Alpha-1-antitrypsin total (82103) | $89.10 | $99 | 6.6× |
| Alpha-Fetoprotein Serum (82105) | $133.20 | $148 | 7.9× |
| Alt (sgpt) (84460) | $39.60 | $44 | 7.5× |
| Amikacin trough (80150) | $108 | $120 | 7.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $198 | $220 | 8.6× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $397.80 | $442 | 23.6× |
| Ammonia (82140) | $147.60 | $164 | 10.1× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $272.70 | $303 | 2.8× |
| Amylase urine (82150) | $96.30 | $107 | 14.9× |
| Ana Titer (86039) | $90.90 | $101 | 8.1× |
| Anca screen each antibody (86036) | $45.90 | $51 | 3.8× |
| Anca Titer Each Antibody (86037) | $336.60 | $374 | 27.9× |
| Androstenedione (82157) | $52.20 | $58 | 1.8× |
| Androsterone (hormone) level (82160) | $169.20 | $188 | 6.6× |
| Angiotensin converting enzyme csf (82164) | $95.40 | $106 | 6.5× |
| Antibody aspergillus (86606) | $34.20 | $38 | 2.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $90 | $100 | 5.8× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $87.30 | $97 | 5.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $50.40 | $56 | 3.8× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $70.20 | $78 | 4.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $81 | $90 | 4.5× |
| Antibody Fungus Not Elsewhere Specified (86671) | $40.50 | $45 | 3.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $26.10 | $29 | 1.8× |
| Antibody Herpes Smplx Type 1 (86695) | $49.50 | $55 | 3.8× |
| Antibody HIV-2 (86702) | $130.50 | $145 | 9.7× |
| Antibody identification leukocyte antibodies (86021) | $139.50 | $155 | 9.3× |
| Antibody john cunningham virus (86711) | $36 | $40 | 2.1× |
| Antibody leishmania (86717) | $102.60 | $114 | 8.4× |
| Antibody Protozoa Nes (86753) | $64.80 | $72 | 5.2× |
| Antibody rotavirus (86759) | $116.10 | $129 | 6.4× |
| Antibody Titer (86886) | $179.10 | $199 | 34.6× |
| Antibody Treponema Pallidum (86780) | $60.30 | $67 | 4.6× |
| Antinuclear antibodies (86038) | $96.30 | $107 | 8.0× |
| Antistreptolysin o titer (86060) | $72 | $80 | 9.9× |
| Antithrombin iii activity (85300) | $147.60 | $164 | 12.5× |
| Antithrombin iii antigen (85301) | $108 | $120 | 10.0× |
| Apolipoprotein a1 (82172) | $84.60 | $94 | 4.0× |
| Arsenic (82175) | $98.10 | $109 | 5.2× |
| Aspergillus ag eia (87305) | $239.40 | $266 | 20.0× |
| Assay activated protein c (85307) | $53.10 | $59 | 3.5× |
| Assay Blood Carbon Dioxide (82374) | $64.80 | $72 | 13.3× |
| Assay Blood Catecholamines (82383) | $173.70 | $193 | 6.0× |
| Assay Dir Meas Fr Estradiol (82681) | $246.60 | $274 | 8.8× |
| Assay Nephelometry Not Spec (83883) | $139.50 | $155 | 10.3× |
| Assay of 5-hiaa (83497) | $100.80 | $112 | 7.8× |
| Assay of anti-mullerian hormone (82166) | $162.90 | $181 | 4.2× |
| Assay of blood/uric acid (84550) | $34.20 | $38 | 7.6× |
| Assay of calcium in urine (82340) | $55.80 | $62 | 9.3× |
| Assay of cpk in blood (82552) | $68.40 | $76 | 5.1× |
| Assay of estrone (82679) | $154.80 | $172 | 6.2× |
| Assay of g6pd enzyme (82955) | $118.80 | $132 | 12.2× |
| Assay of gammaglobulin igm (82784) | $99 | $110 | 10.6× |
| Assay of lactic acid (83605) | $59.40 | $66 | 5.1× |
| Assay of manganese (83785) | $74.70 | $83 | 2.8× |
| Assay of proinsulin (84206) | $172.80 | $192 | 6.5× |
| Assay of pyruvate (84210) | $106.20 | $118 | 7.3× |
| Assay of serotonin (84260) | $193.50 | $215 | 6.2× |
| Assay of serum potassium (84132) | $35.10 | $39 | 7.4× |
| Assay of sweat sodium (84302) | $90 | $100 | 18.5× |
| Assay of Tyrosine (84510) | $98.10 | $109 | 9.2× |
| Assay of urea nitrogen (84520) | $29.70 | $33 | 7.5× |
| Assay of urine vma (84585) | $208.80 | $232 | 13.5× |
| Assay of vasoactive intestinal peptide (84586) | $186.30 | $207 | 5.3× |
| Assay of vitamin b-1 (84425) | $142.20 | $158 | 6.7× |
| Assay Ph Body Fluid Nos (83986) | $87.30 | $97 | 24.4× |
| Assay spec xcp ur&breath ia (82077) | $114.30 | $127 | 6.6× |
| Asy carbamazepin 10,11-epxid (80161) | $207 | $230 | 11.1× |
| Automated Leukocyte Count (85048) | $12.60 | $14 | 5.0× |
| B cells total count (86355) | $189.90 | $211 | 5.0× |
| Babesia microti amp prb (87469) | $171.90 | $191 | 4.9× |
| Bartonella antibody (86611) | $65.70 | $73 | 6.5× |
| Bcr/abl1 gene major bp (81206) | $260.10 | $289 | 1.6× |
| Bcr/abl1 gene minor bp (81207) | $135 | $150 | 0.9× |
| Beta 2 glycoprotein i antibody each (86146) | $80.10 | $89 | 3.1× |
| Beta hydroxybutyrate (82010) | $79.20 | $88 | 9.7× |
| Beta Lactamase (87185) | $40.50 | $45 | 8.5× |
| Beta-2 Microglobulin (82232) | $126 | $140 | 7.8× |
| Bile acids total (82239) | $36 | $40 | 2.1× |
| Bilirubin direct (82248) | $36 | $40 | 7.2× |
| Bilirubin total (82247) | $36 | $40 | 7.2× |
| Bl Smear W/O Diff Wbc Count (85008) | $42.30 | $47 | 12.3× |
| Bld Typing Serologic Rh Phnt (86906) | $171 | $190 | 22.1× |
| Blood Count Automated Differential Wbc Count (85004) | $46.80 | $52 | 7.2× |
| Blood Count Red Blood Cell Automated (85041) | $47.70 | $53 | 15.8× |
| Blood count reticulocyte automated (85045) | $88.20 | $98 | 22.1× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $16.20 | $18 | 4.3× |
| Blood gas (82803) | $378.90 | $421 | 14.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $100.80 | $112 | 6.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $22.50 | $25 | 5.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $329.40 | $366 | 51.9× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$40.50–$126 | $45–$140 | varies |
| Bordetella antibody (86615) | $44.10 | $49 | 3.3× |
| Borrelia miyamotoi amp prb (87478) | $153.90 | $171 | 4.4× |
| Brca1&2 gen full seq dup/del (81162) | $2,624.40 | $2,916 | 1.4× |
| Brucella antibody (86622) | $45 | $50 | 5.0× |
| C diff amplified probe (87493) | $246.60 | $274 | 6.6× |
| C-Peptide (84681) | $104.40 | $116 | 5.0× |
| C-reactive protein (86140) | $92.70 | $103 | 17.9× |
| Ca 19-9 (86301) | $132.30 | $147 | 6.4× |
| Cadmium (82300) | $158.40 | $176 | 6.7× |
| Caffeine (80155) | $138.60 | $154 | 3.6× |
| Calcitonin (82308) | $238.50 | $265 | 8.9× |
| Calcium ionized (82330) | $132.30 | $147 | 9.7× |
| Calcium total (82310) | $76.50 | $85 | 14.8× |
| Calculus assay quant (82360) | $361.80 | $402 | 28.1× |
| Calculus Spectroscopy (82365) | $100.80 | $112 | 7.8× |
| Calprotectin Fecal (83993) | $291.60 | $324 | 14.9× |
| Calr gene com variants (81219) | $344.70 | $383 | 2.8× |
| Cancer Antigen 125 (86304) | $135.90 | $151 | 6.5× |
| Candida antibody (86628) | $29.70 | $33 | 2.5× |
| Candida Dna Dir Probe (87480) | $135 | $150 | 6.7× |
| Carbamazepine free (80157) | $372.60 | $414 | 28.1× |
| Carbamazepine total (80156) | $162.90 | $181 | 11.2× |
| Carboxyhemoglobin (82375) | $111.60 | $124 | 9.1× |
| Carcinoembryonic antigen (82378) | $143.10 | $159 | 7.5× |
| Cardiolipin ab iga (86147) | $84.60 | $94 | 3.3× |
| Carnitine Quantitative Each Specimen (82379) | $135.90 | $151 | 8.1× |
| Carotene (82380) | $81 | $90 | 8.8× |
| Catecholamines fractionated (82384) | $177.30 | $197 | 7.0× |
| Catecholamines total urine (82382) | $69.30 | $77 | 2.5× |
| Ccp antibody (86200) | $122.40 | $136 | 9.5× |
| Cell count csf (89051) | $164.70 | $183 | 29.4× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $143.10 | $159 | 1.1× |
| Ceruloplasmin (82390) | $73.80 | $82 | 6.9× |
| Cftr gene com variants (81220) | $575.10 | $639 | 1.0× |
| Chemiluminescent assay (82397) | $169.20 | $188 | 12.0× |
| Chlamydia trachomatis ag if (87270) | $43.20 | $48 | 3.6× |
| Chloride other source (82438) | $81 | $90 | 16.2× |
| Chloride Serum (82435) | $272.70 | $303 | 59.3× |
| Chloride urine (82436) | $36 | $40 | 6.3× |
| Cholesterol total (82465) | $63.90 | $71 | 14.7× |
| Chorionic gonadotropin test (84702) | $155.70 | $173 | 10.3× |
| Chromium serum (82495) | $65.70 | $73 | 3.2× |
| Chromogenic Substrate Assay (85130) | $185.40 | $206 | 15.6× |
| Chromogranin a (86316) | $162 | $180 | 7.8× |
| Chromosome Analysis 15-20 (88262) | $714.60 | $794 | 5.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $109.80 | $122 | 3.1× |
| Citric acid urine (82507) | $108.90 | $121 | 3.9× |
| Ckmb (82553) | $81 | $90 | 7.0× |
| Clostridium Difficile (87324) | $136.80 | $152 | 11.4× |
| Clotting factor xii hageman (85280) | $205.20 | $228 | 10.6× |
| Cold agglutinin titer (86157) | $67.50 | $75 | 8.4× |
| Collagen crosslinks (82523) | $164.70 | $183 | 8.8× |
| Column Chromotography Quant (82542) | $229.50 | $255 | 9.5× |
| Compatibility Each Unit Incubation (86921) | $173.70 | $193 | 1.0× |
| Compatibility test antiglob (86922) | $294.30 | $327 | 1.7× |
| Complement Antigen Each Component (86160) | $118.80 | $132 | 9.9× |
| Complement Total (Ch50) (86162) | $195.30 | $217 | 9.6× |
| Complement/Function Activity (86161) | $91.80 | $102 | 7.7× |
| Consltj Compre Review Reprt Referred Matrl (88325) range across 2 matching MRF lines |
$287.10–$325.80 | $319–$362 | varies |
| Coombs direct (86880) | $89.10 | $99 | 16.5× |
| Copper urine (82525) | $101.70 | $113 | 8.2× |
| Cortisol free (82530) | $75.60 | $84 | 4.5× |
| Cortisol saliva (82533) | $166.50 | $185 | 10.2× |
| Creatine (82540) | $54 | $60 | 11.6× |
| Creatine kinase total (82550) | $136.80 | $152 | 21.0× |
| Creatinine blood (82565) | $36.90 | $41 | 7.2× |
| Creatinine clearance (82575) | $144.90 | $161 | 15.3× |
| Creatinine Urine (82570) | $88.20 | $98 | 17.0× |
| Crossmatch immediate spin (86920) | $221.40 | $246 | 1.3× |
| Crp High Sensitivity (86141) | $91.80 | $102 | 7.1× |
| Cryoglobulin (82595) | $79.20 | $88 | 12.2× |
| Cryptococcus ag titer (87899) | $55.80 | $62 | 3.5× |
| Cryptosporidium ag eia (87328) | $111.60 | $124 | 8.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $111.60 | $124 | 13.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $65.70 | $73 | 8.5× |
| Culture afb (87116) | $250.20 | $278 | 23.2× |
| Culture Anaerobic (87075) | $191.70 | $213 | 20.2× |
| Culture blood (87040) | $189 | $210 | 18.3× |
| Culture csf (87070) | $140.40 | $156 | 16.3× |
| Culture fungus (87102) | $162 | $180 | 19.3× |
| Culture screen only (87081) | $90 | $100 | 13.6× |
| Culture stool (87045) | $110.70 | $123 | 11.7× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $53.10 | $59 | 4.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $75.60 | $84 | 14.6× |
| Culture urine (87086) | $100.80 | $112 | 12.5× |
| Cyclosporine (80158) | $117.90 | $131 | 6.5× |
| Cystatin C (82610) | $138.60 | $154 | 7.5× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $3,213 | $3,570 | 2.8× |
| Cytomegalovirus igg (86644) | $108.90 | $121 | 7.6× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$72.90–$134.10 | $81–$149 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$57.60–$137.70 | $64–$153 | varies |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) range across 2 matching MRF lines |
$90.90–$134.10 | $101–$149 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$81.90–$95.40 | $91–$106 | varies |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$46.80–$119.70 | $52–$133 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $204.30 | $227 | 3.8× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $237.60 | $264 | 1.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 2 matching MRF lines |
$58.50–$167.40 | $65–$186 | varies |
| Cytp Slides C/V Mnl Scr Under Phys (88150) range across 2 matching MRF lines |
$54–$65.70 | $60–$73 | varies |
| Cytp smrs any oth src extnd std > 5 slides (88162) range across 2 matching MRF lines |
$82.80–$476.10 | $92–$529 | varies |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) range across 2 matching MRF lines |
$54–$122.40 | $60–$136 | varies |
| Detect Agent Nos Dna Amp (87798) | $200.70 | $223 | 5.7× |
| Detect Agent Nos Dna Quant (87799) | $398.70 | $443 | 9.3× |
| Detect agnt mult DNA ampli (87801) | $327.60 | $364 | 4.7× |
| Dgp Antibody Each Ig Class (86258) | $156.60 | $174 | 13.0× |
| Dhea (82626) | $228.60 | $254 | 9.0× |
| Dhea-S (82627) | $136.80 | $152 | 6.2× |
| Digoxin (80162) | $114.30 | $127 | 8.6× |
| Dihydrotestosterone (82642) | $221.40 | $246 | 7.6× |
| Dipropylacetic Acid Free (80165) | $120.60 | $134 | 8.9× |
| Dna Antibody Native/Double Stranded (86225) | $144.90 | $161 | 10.5× |
| Dna/Rna Amplified Probe (87150) | $258.30 | $287 | 7.4× |
| Dna/Rna Sequencing (87153) | $385.20 | $428 | 3.3× |
| Drug assay acetaminophen (80143) | $217.80 | $242 | 11.7× |
| Drug assay adalimumab (80145) | $305.10 | $339 | 7.9× |
| Drug Assay Amiodarone (80151) | $46.80 | $52 | 2.5× |
| Drug Assay Everolimus (80169) | $324.90 | $361 | 23.7× |
| Drug Assay Lacosamide (80235) | $200.70 | $223 | 7.4× |
| Drug Screen Quant Clozapine (80159) | $93.60 | $104 | 4.6× |
| Drug Screen Quant Zonisamide (80203) | $154.80 | $172 | 11.7× |
| Drug Screen Quantitative Gabapentin (80171) | $357.30 | $397 | 16.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $99 | $110 | 7.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $161.10 | $179 | 12.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $84.60 | $94 | 6.4× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $106.20 | $118 | 6.3× |
| Drug Test Prsmv Chem Anlyzr (80307) | $417.60 | $464 | 6.7× |
| Drug Test Prsmv Dir Opt Obs (80305) | $77.40 | $86 | 6.1× |
| Drug Test Prsmv Instrmnt (80306) | $190.80 | $212 | 11.1× |
| Ehrlichia antibody (86666) | $126 | $140 | 12.4× |
| El-1 Fecal Quantitative (82653) | $163.80 | $182 | 7.1× |
| Electrolyte panel (80051) | $256.50 | $285 | 36.6× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $279 | $310 | 4.5× |
| Enterovirus PCR (87498) | $189.90 | $211 | 5.4× |
| Enzyme cell activity (82657) | $118.80 | $132 | 5.4× |
| Enzyme histochemistry (88319) range across 2 matching MRF lines |
$56.70–$787.50 | $63–$875 | varies |
| Erythropoietin (82668) | $127.80 | $142 | 6.8× |
| Estradiol serum (82670) | $179.10 | $199 | 6.4× |
| Estriol (82677) | $49.50 | $55 | 2.0× |
| Estrogen total (82672) | $182.70 | $203 | 8.4× |
| Estrogens fractionated (82671) | $108.90 | $121 | 3.4× |
| Ethosuximide (80168) | $34.20 | $38 | 2.1× |
| Exam Synovial Fluid Crystals (89060) | $99.90 | $111 | 13.6× |
| F2 Gene (81240) | $286.20 | $318 | 4.4× |
| Factor ii activity (85210) | $59.40 | $66 | 4.6× |
| Factor v activity (85220) | $109.80 | $122 | 6.2× |
| Factor v leiden mutation (81241) | $335.70 | $373 | 4.6× |
| Factor vii assay (85230) | $165.60 | $184 | 9.3× |
| Factor viii assay (85240) | $174.60 | $194 | 9.8× |
| Factor X (85260) | $131.40 | $146 | 7.3× |
| Factor xi activity (85270) | $144 | $160 | 8.0× |
| Factor xiii screen (85291) | $141.30 | $157 | 15.5× |
| Fat/Lipids Feces Quantitative (82710) | $156.60 | $174 | 9.3× |
| Fatty acids free (82725) | $128.70 | $143 | 6.9× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $364.50 | $405 | 21.2× |
| Fecal Fat Qualitative (82705) | $50.40 | $56 | 9.9× |
| Ferritin (82728) | $99 | $110 | 7.3× |
| Fetal Chrmoml Aneuploidy (81420) | $1,926 | $2,140 | 2.5× |
| Fetal Chrmoml Microdeltj (81422) | $1,708.20 | $1,898 | 2.3× |
| Fetal Fibronectin (82731) | $435.60 | $484 | 6.8× |
| Fetal screen rosette (85461) | $238.50 | $265 | 25.5× |
| Fibrin Degradation Quant (85379) | $181.80 | $202 | 17.9× |
| Fibrinogen activity (85384) | $119.70 | $133 | 12.3× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $60.30 | $67 | 3.9× |
| Flecainide level (80181) | $54 | $60 | 2.9× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$170.10–$508.50 | $189–$565 | varies |
| Fluorescent antibody screen (86255) | $197.10 | $219 | 16.4× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$116.10–$159.30 | $129–$177 | varies |
| Fluoride serum (82735) | $139.50 | $155 | 7.5× |
| Folic acid rbc (82747) | $119.70 | $133 | 6.8× |
| Folic Acid Serum (82746) | $114.30 | $127 | 7.8× |
| Follicle Stimulating Hormone (83001) | $156.60 | $174 | 8.4× |
| Francisella tularensis (86668) | $170.10 | $189 | 12.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $203.40 | $226 | 1.2× |
| Galactokinase rbc (82759) | $77.40 | $86 | 3.6× |
| Galactose (82760) | $40.50 | $45 | 3.6× |
| Gammaglobulin ige (82785) | $143.10 | $159 | 8.7× |
| Gardner vag DNA dir probe (87510) | $115.20 | $128 | 5.7× |
| Gases blood ph only (82800) | $150.30 | $167 | 13.7× |
| Gastrin (82941) | $99 | $110 | 5.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,243.80 | $1,382 | 3.0× |
| Genet Virus Isolate Hsv (87255) | $34.20 | $38 | 1.0× |
| Gentamicin (80170) | $148.50 | $165 | 9.1× |
| Ggt (82977) | $53.10 | $59 | 7.4× |
| Giardia antigen (87329) | $105.30 | $117 | 8.8× |
| Giardia lamblia antibody (86674) | $166.50 | $185 | 11.3× |
| Glucagon (82943) | $125.10 | $139 | 8.8× |
| Glucose 2 hr pp (82950) | $31.50 | $35 | 6.6× |
| Glucose body fluid (82945) | $69.30 | $77 | 17.6× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$29.70–$61.20 | $33–$68 | varies |
| Glucose tolerance test (gtt) (82951) | $90 | $100 | 7.0× |
| Glutathione reductase, RBC Facility (82979) | $34.20 | $38 | 3.6× |
| Glycated Protein (82985) | $62.10 | $69 | 3.7× |
| Gonadotropin Chorionic Qualitative (84703) | $90 | $100 | 12.0× |
| Growth hormone (83003) | $75.60 | $84 | 4.5× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$21.60–$133.20 | $24–$148 | varies |
| H Pylori (C-13) Breath (83013) | $187.20 | $208 | 2.8× |
| Haptoglobin (83010) | $106.20 | $118 | 8.4× |
| Hdl Cholesterol (83718) | $71.10 | $79 | 8.7× |
| Helicobacter Pylori Stool (87338) | $150.30 | $167 | 10.5× |
| Helminth Antibody (86682) | $85.50 | $95 | 6.6× |
| Hematocrit (85014) | $15.30 | $17 | 6.5× |
| Hemoglobin (85018) | $12.60 | $14 | 5.3× |
| Hemoglobin a1c (83036) | $56.70 | $63 | 5.8× |
| Hemoglobin Chromotography (83021) | $134.10 | $149 | 7.4× |
| Hemoglobin electrophoresis (83020) | $72 | $80 | 5.6× |
| Hemoglobin Methemoglobin Quantitative (83050) | $113.40 | $126 | 13.8× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) | $74.70 | $83 | 7.7× |
| Hep a ab igm (86709) | $71.10 | $79 | 6.3× |
| Heparin assay (85520) | $190.80 | $212 | 14.6× |
| Hepatitis a antibody total (86708) | $77.40 | $86 | 6.2× |
| Hepatitis b core ab igm (86705) | $90.90 | $101 | 7.7× |
| Hepatitis b core ab total (86704) | $126.90 | $141 | 10.5× |
| Hepatitis B Surface Antibody (86706) | $116.10 | $129 | 10.8× |
| Hepatitis B Surface Antigen (87340) | $90 | $100 | 8.7× |
| Hepatitis Be Antibody (86707) | $82.80 | $92 | 7.2× |
| Hepatitis Be Antigen (87350) | $101.70 | $113 | 8.8× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$45–$130.50 | $50–$145 | varies |
| Hepatitis C Genotype (87902) | $586.80 | $652 | 2.3× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $335.70 | $373 | 9.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $364.50 | $405 | 8.5× |
| Hepatitis d quantification (87523) | $670.50 | $745 | 15.7× |
| Herpes simplex type 2 (86696) | $65.70 | $73 | 3.4× |
| Heterophile Antibody Screen (86308) | $27 | $30 | 5.2× |
| Hfe Gene (81256) | $553.50 | $615 | 8.5× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $162.90 | $181 | 21.1× |
| Histamine urine (83088) | $88.20 | $98 | 3.0× |
| Histoplasma antibody (86698) | $86.40 | $96 | 6.3× |
| Histoplasma antigen urine (87385) | $299.70 | $333 | 22.6× |
| Hiv Antigen W/Hiv Antibodies (87806) | $118.80 | $132 | 3.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $105.30 | $117 | 4.4× |
| Hiv-1 Antibody (86701) | $72 | $80 | 8.1× |
| HIV-1 p24 antigen (87390) | $96.30 | $107 | 4.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $580.50 | $645 | 6.8× |
| HIV-2 probe&revrse trnscripj (87538) | $182.70 | $203 | 5.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $382.50 | $425 | 5.1× |
| Hla Typing a/B/C Multiple Antigens (86813) | $422.10 | $469 | 7.3× |
| Hla-b27 (86812) | $315 | $350 | 12.2× |
| Homocysteine (83090) | $124.20 | $138 | 6.9× |
| Homogenization Tissue (87176) | $35.10 | $39 | 6.0× |
| Hpv High-Risk Types (87624) | $165.60 | $184 | 4.7× |
| Hpv low-risk types (87623) | $115.20 | $128 | 3.3× |
| Hpv Types 16 & 18 Only (87625) | $134.10 | $149 | 3.3× |
| Hsv Dna Amp Probe (87529) | $253.80 | $282 | 7.2× |
| Hsv Dna Quant (87530) | $105.30 | $117 | 2.5× |
| Htt Gene Detc Abnor Alleles (81271) | $498.60 | $554 | 3.6× |
| Hydroxycorticosteroids 17 (83491) | $160.20 | $178 | 8.9× |
| Hydroxyprogesterone 17-d (83498) | $107.10 | $119 | 3.9× |
| Hydroxyproline free (83500) | $81.90 | $91 | 3.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $138.60 | $154 | 10.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $36.90 | $41 | 1.0× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $165.60 | $184 | 4.7× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $346.50 | $385 | 9.9× |
| Iadna Candida Species Amplified Probe Tq (87481) | $312.30 | $347 | 8.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $369.90 | $411 | 10.5× |
| Iadna Cytomegalovirus Quantification (87497) | $399.60 | $444 | 9.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $184.50 | $205 | 2.6× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $152.10 | $169 | 4.3× |
| Iadna hepatitis b virus amplified probe tq (87516) | $228.60 | $254 | 6.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $217.80 | $242 | 6.2× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $351 | $390 | 8.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $100.80 | $112 | 2.9× |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $126 | $140 | 4.2× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $436.50 | $485 | 3.1× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $693.90 | $771 | 2.6× |
| Ig Light Chains Free Each (83521) | $117.90 | $131 | 6.8× |
| Igg subclasses (82787) | $279 | $310 | 34.8× |
| Immunfix e-phorsis/urine/csf (86335) | $148.50 | $165 | 5.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $243 | $270 | 13.2× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $89.10 | $99 | 5.9× |
| Immunoassay nonantibody (83516) | $114.30 | $127 | 9.9× |
| Immunofixation electrophoresis (86334) | $139.50 | $155 | 6.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $92.70 | $103 | 1.3× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $81.90 | $91 | 6.7× |
| Influenza a/b ag eia (87400) | $74.70 | $83 | 5.3× |
| Influenza DNA amp probe (87502) | $166.50 | $185 | 1.7× |
| Inhibin A (86336) | $82.80 | $92 | 5.3× |
| Inhibin b (83520) | $162 | $180 | 9.4× |
| Insulin antibodies (86337) | $124.20 | $138 | 5.8× |
| Insulin free (83527) | $105.30 | $117 | 8.1× |
| Insulin total (83525) | $90 | $100 | 7.9× |
| Iron (83540) | $47.70 | $53 | 7.4× |
| Iron Binding Capacity (83550) | $64.80 | $72 | 7.4× |
| Islet cell antibody (86341) | $171 | $190 | 7.3× |
| Jak2 gene analysis p.val617phe variant (81270) | $504 | $560 | 5.5× |
| Jak2 Gene Trgt Sequence Alys (81279) | $474.30 | $527 | 2.6× |
| Koh Prep (87220) | $90 | $100 | 21.1× |
| Lactate (ld) (ldh) enzyme (83615) | $81 | $90 | 13.4× |
| Lactoferrin fecal qualitative (83630) | $136.80 | $152 | 6.9× |
| Lactoferrin Fecal Quantitative (83631) | $180 | $200 | 9.2× |
| LDL direct (83721) | $117.90 | $131 | 11.2× |
| Lead (83655) | $91.80 | $102 | 7.6× |
| Legionella antibody (86713) | $113.40 | $126 | 7.4× |
| Leukocyte Assessment Fecal (89055) | $93.60 | $104 | 21.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $130.50 | $145 | 4.4× |
| Level ii surg pathology grossµscopic exam (88302) | $243 | $270 | 6.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $445.50 | $495 | 1.2× |
| Lipase (83690) | $50.40 | $56 | 7.3× |
| Lipoprotein A (83695) | $95.40 | $106 | 6.7× |
| Lipoprotein Bld Quan Part (83704) | $69.30 | $77 | 2.0× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $149.40 | $166 | 4.4× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $231.30 | $257 | 5.0× |
| Lithium (80178) | $84.60 | $94 | 12.8× |
| Luteinizing Hormone (Lh) (83002) | $145.80 | $162 | 7.9× |
| Lyme disease antibody (86618) | $124.20 | $138 | 7.3× |
| Lysozyme serum (85549) | $74.70 | $83 | 4.0× |
| Macroscopic exam arthropod (87168) | $65.70 | $73 | 15.4× |
| Macroscopic Exam Parasite (87169) | $37.80 | $42 | 8.8× |
| Magnesium Urine (83735) | $49.50 | $55 | 7.4× |
| Mass Spectrometry Quant (83789) | $306 | $340 | 12.7× |
| Mercury urine (83825) | $104.40 | $116 | 6.4× |
| Metabolic panel ionized ca (80047) | $191.70 | $213 | 14.0× |
| Methotrexate (80204) | $122.40 | $136 | 3.2× |
| Methylmalonic acid serum (83921) | $197.10 | $219 | 9.3× |
| Microalbumin, quantitative (82043) | $104.40 | $116 | 18.1× |
| Microsomal Antibodies Each (86376) | $87.30 | $97 | 6.0× |
| Mopath procedure level 1 (81400) | $282.60 | $314 | 4.4× |
| Mpl gene common variants (81338) | $530.10 | $589 | 3.5× |
| Mrsa Pcr (87641) | $189 | $210 | 5.4× |
| Mucin Clot Body Fluid (83872) | $59.40 | $66 | 10.1× |
| Mumps antibody (86735) | $111.60 | $124 | 8.6× |
| Mycobacteric Identification (87118) | $290.70 | $323 | 19.9× |
| Mycophenolic Acid (80180) | $119.70 | $133 | 6.6× |
| Mycoplasma antibody (86738) | $122.40 | $136 | 9.2× |
| Mycoplasma culture (87109) | $124.20 | $138 | 8.1× |
| Myoglobin urine (83874) | $83.70 | $93 | 6.5× |
| Natriuretic peptide (83880) | $238.50 | $265 | 6.1× |
| Neutralization Test Viral (86382) | $134.10 | $149 | 7.9× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $651.60 | $724 | 5.1× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $626.40 | $696 | 2.4× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $337.50 | $375 | 2.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $345.60 | $384 | 4.8× |
| Niacin (84591) | $221.40 | $246 | 13.0× |
| Nk cells total count (86357) | $194.40 | $216 | 5.2× |
| Nuclear antigen antibody (86235) | $143.10 | $159 | 8.0× |
| Occult blood feces (82272) | $22.50 | $25 | 5.3× |
| Occult Blood Other Sources (82271) | $43.20 | $48 | 8.1× |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $711 | $790 | 2.7× |
| Organic Acids Qualitative Each Specimen (83919) | $512.10 | $569 | 31.1× |
| Osmolality serum (83930) | $88.20 | $98 | 13.3× |
| Osmolality Urine (83935) | $93.60 | $104 | 13.7× |
| Osteocalcin (83937) | $144.90 | $161 | 4.9× |
| Ova and parasites smears (87177) | $114.30 | $127 | 12.8× |
| Oxalate urine (83945) | $56.70 | $63 | 3.9× |
| Pancreatic Elastase Fecal (82656) | $304.20 | $338 | 26.4× |
| Particle Agglutination Screen Each Antibody (86403) | $108.90 | $121 | 9.4× |
| Ph urine (81003) | $19.80 | $22 | 8.8× |
| Phenobarbital Level (80184) | $72 | $80 | 4.7× |
| Phenotype Infect Agent Drug (87900) | $190.80 | $212 | 1.5× |
| Phenylalanine (84030) | $90.90 | $101 | 16.5× |
| Phenytoin (Dilantin) (80185) | $139.50 | $155 | 10.5× |
| Phenytoin free (80186) | $99 | $110 | 7.2× |
| Phosphatase acid prostatic (84066) | $72.90 | $81 | 7.5× |
| Phosphatase alkaline (84075) | $39.60 | $44 | 7.6× |
| Phospholipid Neutralization Hexagonal (85598) | $146.70 | $163 | 8.2× |
| Phosphorus Serum (84100) | $35.10 | $39 | 7.4× |
| Phosphorus urine (84105) | $36 | $40 | 6.2× |
| Pinworm exam (87172) | $130.50 | $145 | 30.6× |
| Platelet Antibodies (86022) | $338.40 | $376 | 18.4× |
| Platelet count automated (85049) | $26.10 | $29 | 5.8× |
| Porphobilinogen, urine; quantitative (84110) | $103.50 | $115 | 12.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $150.30 | $167 | 10.2× |
| Porphyrins, urine; qualitative (84119) | $47.70 | $53 | 3.6× |
| Potassium Urine (84133) | $46.80 | $52 | 9.9× |
| Prealbumin (84134) | $91.80 | $102 | 6.3× |
| Pregnancy-Associated Plasma Protein-A (84163) | $108.90 | $121 | 7.2× |
| Pregnenolone (84140) | $117 | $130 | 5.7× |
| Primidone (80188) | $94.50 | $105 | 5.7× |
| Procalcitonin (Pct) (84145) | $215.10 | $239 | 7.9× |
| Progesterone (84144) | $185.40 | $206 | 8.9× |
| Prolactin (84146) | $117 | $130 | 6.0× |
| Prostaglandin (84150) | $265.50 | $295 | 6.4× |
| Protein body fluid (84157) | $85.50 | $95 | 21.4× |
| Protein C Activity (85303) | $111.60 | $124 | 8.1× |
| Protein c antigen (85302) | $119.70 | $133 | 10.0× |
| Protein Electrophoresis Urine (84166) | $134.10 | $149 | 7.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $98.10 | $109 | 9.1× |
| Protein S Free (85306) | $135 | $150 | 8.8× |
| Protein s total (85305) | $72.90 | $81 | 6.3× |
| Protein total serum (84155) | $20.70 | $23 | 5.6× |
| Protein Total Urine (84156) | $84.60 | $94 | 23.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $242.10 | $269 | 61.4× |
| PSA free (84154) | $137.70 | $153 | 7.5× |
| Pth Intact (83970) | $247.50 | $275 | 6.0× |
| Pyruvate kinase (84220) | $108 | $120 | 11.4× |
| Q Fever Antibody (86638) | $50.40 | $56 | 4.2× |
| Quantiferon tb gold plus (86480) | $239.40 | $266 | 3.9× |
| Quantitative assay drug (80299) | $211.50 | $235 | 11.3× |
| Quantitative Screen Metals (83018) | $97.20 | $108 | 4.4× |
| Quinidine (80194) | $95.40 | $106 | 6.5× |
| Rbc antibody elution (86860) | $187.20 | $208 | 1.1× |
| Rbc antibody identification (86870) | $328.50 | $365 | 0.9× |
| Rbc antibody screen (86850) | $136.80 | $152 | 14.0× |
| Rbc pretreatment serum (86978) | $196.20 | $218 | 3.3× |
| Reagent Strip/Blood Glucose (82948) | $15.30 | $17 | 3.0× |
| Renin activity plasma (84244) | $108 | $120 | 4.9× |
| Reticulocyte Count (85046) | $89.10 | $99 | 16.0× |
| Reticulocyte Count Manual (85044) | $72 | $80 | 16.7× |
| Rh (86901) | $54 | $60 | 18.1× |
| Rheumatoid Factor Qualitative (86430) | $108 | $120 | 17.6× |
| Rheumatoid factor quant (86431) | $84.60 | $94 | 14.9× |
| Rickettsia antibody (86757) | $59.40 | $66 | 3.1× |
| Ristocetin cofactor (85245) | $211.50 | $235 | 9.2× |
| Rotavirus ag eia (87425) | $124.20 | $138 | 10.4× |
| Rpr qualitative (86592) | $62.10 | $69 | 14.5× |
| Rsv Assay W/Optic (87807) | $111.60 | $124 | 8.5× |
| Rubella Antibody (86762) | $63.90 | $71 | 4.4× |
| Rubeola antibody (86765) | $106.20 | $118 | 8.2× |
| Russell Viper Venom Time Diluted (85613) | $108 | $120 | 11.3× |
| Salicylate Level (80179) | $126.90 | $141 | 6.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $157.50 | $175 | 3.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $88.20 | $98 | 2.1× |
| Sarscov2 & inf a&b amp prb (87636) | $436.50 | $485 | 3.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $436.50 | $485 | 3.1× |
| Sedimentation rate (85651) | $94.50 | $105 | 22.1× |
| Sedimentation Rate, Automated (85652) | $55.80 | $62 | 20.7× |
| Selenium (84255) | $94.50 | $105 | 3.7× |
| Semen Anal Sperm Detection (89321) | $144.90 | $161 | 12.0× |
| Semen analysis complete (89320) | $204.30 | $227 | 16.6× |
| Semen analysis motility and count (89310) | $124.20 | $138 | 14.4× |
| Sensitivity mic (87186) | $139.50 | $155 | 16.1× |
| Sex Hormone Binding Globulin (84270) | $86.40 | $96 | 4.0× |
| Sickling of rbc reduction (85660) | $76.50 | $85 | 13.9× |
| Sirolimus (80195) | $156.60 | $174 | 11.4× |
| Skin test tuberculosis intradermal (86580) | $42.30 | $47 | 1.4× |
| Smear acid fast (87206) | $81.90 | $91 | 15.2× |
| Smear complex stain (87209) | $112.50 | $125 | 6.3× |
| Smear gram stain (87205) | $69.30 | $77 | 16.2× |
| Smear Special Stain (87207) | $30.60 | $34 | 5.1× |
| Smn1 Gene Dos/Deletion Alys (81329) | $491.40 | $546 | 3.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $23.40 | $26 | 4.0× |
| Sodium Serum (84295) | $88.20 | $98 | 18.3× |
| Sodium Urine (84300) | $68.40 | $76 | 13.5× |
| Soluble Transferrin Receptor (84238) | $192.60 | $214 | 5.3× |
| Somatomedin (84305) | $153 | $170 | 7.2× |
| Special Stains Group 1 (88312) | $195.30 | $217 | 3.7× |
| Special Stains Group 2 (88313) | $176.40 | $196 | 1.3× |
| Specific gravity body fluid (84315) | $37.80 | $42 | 11.5× |
| Spectrophotometry (84311) | $135.90 | $151 | 16.8× |
| Staph a DNA amp probe (87640) | $378.90 | $421 | 10.8× |
| Strep a assay w/optic (87880) | $53.10 | $59 | 3.2× |
| Strep a DNA amp probe (87651) | $102.60 | $114 | 2.9× |
| Surg path level iii (88304) | $213.30 | $237 | 4.0× |
| Surgical pathology level IV (88305) | $272.70 | $303 | 5.1× |
| Surgical pathology level vi (88309) | $862.20 | $958 | 1.0× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $73.80 | $82 | 9.9× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $168.30 | $187 | 23.0× |
| T cells absolute cd4 count (86361) | $250.20 | $278 | 9.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $203.40 | $226 | 4.3× |
| T cells total count (86359) | $192.60 | $214 | 5.1× |
| T3 Free (84481) | $125.10 | $139 | 7.4× |
| T3 reverse (84482) | $151.20 | $168 | 9.6× |
| T3 Total (84480) | $131.40 | $146 | 9.3× |
| T3 Uptake (84479) | $37.80 | $42 | 5.8× |
| T4 Free (84439) | $67.50 | $75 | 7.5× |
| T4 total (84436) | $65.70 | $73 | 9.6× |
| T4-neonatal (84437) | $23.40 | $26 | 3.6× |
| Tacrolimus (80197) | $196.20 | $218 | 14.3× |
| Tb ag response t-cell susp (86481) | $243 | $270 | 2.4× |
| Test for acetone/ketones (82009) | $28.80 | $32 | 6.4× |
| Test for urine cystines (82615) | $31.50 | $35 | 3.3× |
| Testosterone Bioavailable (84410) | $49.50 | $55 | 1.0× |
| Testosterone total (84403) | $150.30 | $167 | 5.8× |
| Testosterone, Free (84402) | $132.30 | $147 | 5.2× |
| Tetanus antibody (86774) | $114.30 | $127 | 7.7× |
| Theophylline (80198) | $108 | $120 | 7.6× |
| Thrombin Time (85670) | $47.70 | $53 | 8.3× |
| Thromboplastin Inhibition Tissue (85705) | $155.70 | $173 | 16.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $89.10 | $99 | 13.8× |
| Thyroglobulin (84432) | $141.30 | $157 | 8.8× |
| Thyroglobulin Antibody (86800) | $95.40 | $106 | 6.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $243 | $270 | 4.8× |
| Thyroxine binding globulin (84442) | $90.90 | $101 | 6.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $101.70 | $113 | 8.8× |
| Tissue Culture (88233) | $849.60 | $944 | 6.0× |
| Tissue culture bone marrow (88237) | $637.20 | $708 | 4.4× |
| Tobramycin peak (80200) | $115.20 | $128 | 7.1× |
| Topiramate (80201) | $129.60 | $144 | 10.9× |
| Touch prep (88161) range across 2 matching MRF lines |
$54–$106.20 | $60–$118 | varies |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $117 | $130 | 5.9× |
| Toxoplasma ab igm (86778) | $35.10 | $39 | 2.4× |
| Toxoplasma antibody (86777) | $45.90 | $51 | 3.2× |
| Tpmt gene com variants (81335) | $534.60 | $594 | 3.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $39.60 | $44 | 7.6× |
| Transferrin (84466) | $109.80 | $122 | 8.6× |
| Trichinella Antibody (86784) | $92.70 | $103 | 7.4× |
| Trichomonas vagin dir probe (87660) | $111.60 | $124 | 5.6× |
| Trichomonas Vaginalis Amplif (87661) | $212.40 | $236 | 6.1× |
| Triglycerides (84478) | $71.10 | $79 | 12.4× |
| Troponin Quant (84484) | $181.80 | $202 | 14.6× |
| Urea nitrogen urine (84540) | $67.50 | $75 | 12.1× |
| Uric acid other source (84560) | $44.10 | $49 | 8.7× |
| Urinalysis Microscopic Only (81015) | $13.50 | $15 | 4.4× |
| Urinalysis Volume Measure (81050) | $29.70 | $33 | 8.2× |
| Urine Albumin Semiquantitative (82044) | $42.30 | $47 | 6.8× |
| Urine Bacteria Culture (87088) | $110.70 | $123 | 13.7× |
| Urine Pregnancy Test (81025) | $44.10 | $49 | 5.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $22.50 | $25 | 7.1× |
| Valproic acid (80164) | $182.70 | $203 | 13.5× |
| Vancomycin (80202) | $189.90 | $211 | 14.0× |
| Varicella-zoster antibody (86787) | $116.10 | $129 | 9.0× |
| Vasopressin (84588) | $73.80 | $82 | 2.2× |
| Viral Culture (87252) | $163.80 | $182 | 6.3× |
| Virus antibody nos (86790) | $184.50 | $205 | 14.3× |
| Viscosity serum (85810) | $66.60 | $74 | 5.7× |
| Vit D 1 25-Dihydroxy (82652) | $217.80 | $242 | 5.7× |
| Vitamin A (84590) | $144.90 | $161 | 12.5× |
| Vitamin b-12 (82607) | $126.90 | $141 | 8.4× |
| Vitamin B2 (Riboflavin) (84252) | $165.60 | $184 | 8.2× |
| Vitamin B6 (84207) | $179.10 | $199 | 6.4× |
| Vitamin c (82180) | $154.80 | $172 | 15.7× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$45–$187.20 | $50–$208 | varies |
| Vitamin E (84446) | $90.90 | $101 | 6.4× |
| Vitamin K (84597) | $178.20 | $198 | 13.0× |
| Volatiles (84600) | $194.40 | $216 | 11.4× |
| Von willebrand factor ag (85246) | $129.60 | $144 | 5.6× |
| West nile virus ab igm (86788) | $83.70 | $93 | 5.0× |
| West Nile Virus Antibody (86789) | $85.50 | $95 | 5.9× |
| Western Blot Test (84181) | $195.30 | $217 | 11.5× |
| Zika Virus Igm Antibody (86794) | $317.70 | $353 | 18.9× |
| Zinc (84630) | $117 | $130 | 10.3× |
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.