Lab & pathology prices at Memorial Hospital of Sweetwater County
Rock Springs, WY · every code in this section with a posted price and a Medicare benchmark.
399 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $64 | $64 | 1.7× |
| ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) | $271 | $271 | 3.1× |
| Acute hepatitis panel (80074) | $289 | $289 | 6.1× |
| Albumin serum (82040) range across 3 matching MRF lines |
$39–$96 | $39–$96 | varies |
| Aldolase (82085) | $37 | $37 | 3.8× |
| Aldosterone urine (82088) | $105 | $105 | 2.6× |
| Alkaline phosphatase isoenzymes (84080) | $33 | $33 | 2.2× |
| Allergen specific ige (86003) range across 59 matching MRF lines |
$15–$25 | $15–$25 | varies |
| Alpha-1-antitrypsin total (82103) | $45 | $45 | 3.3× |
| Alpha-Fetoprotein Serum (82105) | $84 | $84 | 5.0× |
| Alt (sgpt) (84460) | $96 | $96 | 18.1× |
| Aluminum (82108) | $46 | $46 | 1.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $28 | $28 | 1.2× |
| Ammonia (82140) | $125 | $125 | 8.6× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $306 | $306 | 3.1× |
| Amylase urine (82150) | $110 | $110 | 17.0× |
| Ana Titer (86039) | $84 | $84 | 7.5× |
| Anca screen each antibody (86036) | $54 | $54 | 4.5× |
| Angiotensin converting enzyme csf (82164) | $47 | $47 | 3.2× |
| Antibody aspergillus (86606) | $33 | $33 | 2.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 4 matching MRF lines |
$95–$102 | $95–$102 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$11–$60 | $11–$60 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $33 | $33 | 2.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $33 | $33 | 2.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$33–$42 | $33–$42 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $54 | $54 | 4.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $42 | $42 | 2.9× |
| Antibody Herpes Smplx Type 1 (86695) | $63 | $63 | 4.8× |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$89–$191 | $89–$191 | varies |
| Antibody Titer (86886) | $127 | $127 | 24.5× |
| Antibody Treponema Pallidum (86780) | $85 | $85 | 6.4× |
| Antigen typing (86905) range across 4 matching MRF lines |
$104–$192 | $104–$192 | varies |
| Antinuclear antibodies (86038) | $33 | $33 | 2.7× |
| Antistreptolysin o titer (86060) | $80 | $80 | 11.0× |
| Antithrombin iii activity (85300) | $58 | $58 | 4.9× |
| Antithrombin iii antigen (85301) | $64 | $64 | 5.9× |
| Aquaporin-4 Antb Cba Each (86052) | $225 | $225 | 18.7× |
| Arsenic (82175) | $60 | $60 | 3.2× |
| Aspergillus ag eia (87305) | $119 | $119 | 9.9× |
| Assay activated protein c (85307) | $39 | $39 | 2.5× |
| Assay Blood Carbon Dioxide (82374) | $76 | $76 | 15.6× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$15–$59 | $15–$59 | varies |
| Assay of blood/uric acid (84550) | $114 | $114 | 25.2× |
| Assay of calcium in urine (82340) | $37 | $37 | 6.1× |
| Assay of g6pd enzyme (82955) | $45 | $45 | 4.6× |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$34–$74 | $34–$74 | varies |
| Assay of lactic acid (83605) | $103 | $103 | 8.9× |
| Assay of metanephrines (83835) | $122 | $122 | 7.2× |
| Assay of serum potassium (84132) | $88 | $88 | 18.5× |
| Assay of urea nitrogen (84520) | $106 | $106 | 26.8× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$58–$64 | $58–$64 | varies |
| Automated Leukocyte Count (85048) | $67 | $67 | 26.4× |
| Bartonella antibody (86611) | $47 | $47 | 4.6× |
| Bcr/abl1 gene major bp (81206) | $367 | $367 | 2.2× |
| Bcr/Abl1 Gene Other Bp (81208) | $667 | $667 | 3.1× |
| Beta 2 glycoprotein i antibody each (86146) | $88 | $88 | 3.5× |
| Beta hydroxybutyrate (82010) | $49 | $49 | 6.0× |
| Beta Lactamase (87185) | $93 | $93 | 19.6× |
| Beta-2 Microglobulin (82232) | $46 | $46 | 2.8× |
| Bile acids total (82239) | $46 | $46 | 2.7× |
| Bilirubin direct (82248) | $114 | $114 | 22.7× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$96–$114 | $96–$114 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $146 | $146 | 18.8× |
| Blood Count Manual Cell Count Each (85032) | $107 | $107 | 24.8× |
| Blood count reticulocyte automated (85045) | $89 | $89 | 22.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$123–$129 | $123–$129 | varies |
| Blood gas (82803) | $506 | $506 | 19.4× |
| Blood gases w/02 saturation (82805) range across 7 matching MRF lines |
$506–$524 | $506–$524 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$64–$91 | $64–$91 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $71 | $71 | 16.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $192 | $192 | 30.2× |
| Blood typing serologic abo (86900) | $103 | $103 | 34.4× |
| Breath Alcohol Test (82075) | $49 | $49 | 1.6× |
| C diff amplified probe (87493) | $233 | $233 | 6.3× |
| C-Peptide (84681) | $43 | $43 | 2.1× |
| C-reactive protein (86140) | $186 | $186 | 35.9× |
| Ca 19-9 (86301) | $48 | $48 | 2.3× |
| Cadmium (82300) | $74 | $74 | 3.1× |
| Calcium ionized (82330) | $85 | $85 | 6.2× |
| Calcium total (82310) range across 3 matching MRF lines |
$88–$106 | $88–$106 | varies |
| Calculus Spectroscopy (82365) | $56 | $56 | 4.3× |
| Calprotectin Fecal (83993) | $251 | $251 | 12.8× |
| Cancer Antigen 125 (86304) | $48 | $48 | 2.3× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$46–$51 | $46–$51 | varies |
| Candida antibody (86628) | $76 | $76 | 6.3× |
| Carbamazepine total (80156) | $217 | $217 | 14.9× |
| Carboxyhemoglobin (82375) | $232 | $232 | 18.8× |
| Carcinoembryonic antigen (82378) | $98 | $98 | 5.2× |
| Cardiolipin ab iga (86147) | $88 | $88 | 3.5× |
| Ccp antibody (86200) | $61 | $61 | 4.7× |
| Cell count csf (89051) | $192 | $192 | 34.3× |
| Ceruloplasmin (82390) | $37 | $37 | 3.4× |
| Chlamydia antibody (86631) | $24 | $24 | 2.0× |
| Chlamydia Igm Antibody (86632) | $24 | $24 | 1.9× |
| Chloride Serum (82435) | $88 | $88 | 19.1× |
| Chloride urine (82436) | $76 | $76 | 13.2× |
| Cholesterol total (82465) | $92 | $92 | 21.1× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$36–$278 | $36–$278 | varies |
| Chromogranin a (86316) range across 2 matching MRF lines |
$46–$76 | $46–$76 | varies |
| Chromosome Analysis 20-25 (88264) | $278 | $278 | 1.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$125–$250 | $125–$250 | varies |
| Ckmb (82553) | $174 | $174 | 15.1× |
| Cns DNA amp probe type 12-25 (87483) | $1,883 | $1,883 | 4.5× |
| Coccidioides antibody (86635) range across 4 matching MRF lines |
$42–$52 | $42–$52 | varies |
| Cold agglutinin titer (86157) | $46 | $46 | 5.7× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$119–$509 | $119–$509 | varies |
| Compatibility test antiglob (86922) range across 4 matching MRF lines |
$165–$175 | $165–$175 | varies |
| Complement Antigen Each Component (86160) | $34 | $34 | 2.8× |
| Coombs direct (86880) range across 11 matching MRF lines |
$103–$146 | $103–$146 | varies |
| Copper urine (82525) | $120 | $120 | 9.7× |
| Cortisol free (82530) | $53 | $53 | 3.2× |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$32–$138 | $32–$138 | varies |
| Creatine kinase total (82550) | $129 | $129 | 19.8× |
| Creatinine blood (82565) | $122 | $122 | 23.8× |
| Creatinine clearance (82575) | $164 | $164 | 17.3× |
| Creatinine Urine (82570) | $122 | $122 | 23.6× |
| Crossmatch electronic (86923) | $175 | $175 | 1.0× |
| Crossmatch immediate spin (86920) | $175 | $175 | 1.0× |
| Crp High Sensitivity (86141) | $56 | $56 | 4.3× |
| Cryoglobulin (82595) | $36 | $36 | 5.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $186 | $186 | 23.0× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) range across 17 matching MRF lines |
$111–$2,417 | $111–$2,417 | varies |
| Culture afb (87116) | $71 | $71 | 6.6× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$92–$148 | $92–$148 | varies |
| Culture blood (87040) | $167 | $167 | 16.2× |
| Culture csf (87070) range across 8 matching MRF lines |
$139–$186 | $139–$186 | varies |
| Culture fungus (87102) | $64 | $64 | 7.6× |
| Culture screen only (87081) | $122 | $122 | 18.4× |
| Culture stool (87045) range across 2 matching MRF lines |
$38–$43 | $38–$43 | varies |
| Culture typing if ea antiserum (87140) | $39 | $39 | 7.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $108 | $108 | 20.8× |
| Culture urine (87086) | $126 | $126 | 15.6× |
| Cyclosporine (80158) | $64 | $64 | 3.5× |
| Cystatin C (82610) | $87 | $87 | 4.7× |
| Cytogenetics 100-300 (88275) | $142 | $142 | 2.8× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,906 | $1,906 | 1.6× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$60–$191 | $60–$191 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $122 | $122 | 6.0× |
| Cytopath Cell Enhance Tech (88112) | $144 | $144 | 2.7× |
| Cytp Concentration Smears & Interpretation (88108) | $199 | $199 | 5.2× |
| Detect Agent Nos Dna Amp (87798) | $236 | $236 | 6.7× |
| Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines |
$173–$178 | $173–$178 | varies |
| Detect agnt mult DNA ampli (87801) | $421 | $421 | 6.0× |
| Dgp Antibody Each Ig Class (86258) | $42 | $42 | 3.5× |
| Dhea-S (82627) | $46 | $46 | 2.1× |
| Digoxin (80162) | $164 | $164 | 12.3× |
| Dihydrotestosterone (82642) | $82 | $82 | 2.8× |
| Dna Antibody Native/Double Stranded (86225) | $92 | $92 | 6.7× |
| Dna/Rna Amplified Probe (87150) | $98 | $98 | 2.8× |
| Drug Assay Everolimus (80169) | $135 | $135 | 9.8× |
| Drug Assay Lacosamide (80235) | $156 | $156 | 5.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $77 | $77 | 5.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $69 | $69 | 5.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $65 | $65 | 4.9× |
| Drug Test Prsmv Chem Anlyzr (80307) | $172 | $172 | 2.8× |
| El-1 Fecal Quantitative (82653) | $195 | $195 | 8.5× |
| Electrolyte panel (80051) | $156 | $156 | 22.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$33–$48 | $33–$48 | varies |
| Enterovirus Antibody (86658) range across 3 matching MRF lines |
$15–$87 | $15–$87 | varies |
| Eosinophil Smear (89190) | $77 | $77 | 13.3× |
| Erythropoietin (82668) | $63 | $63 | 3.4× |
| Estradiol serum (82670) | $69 | $69 | 2.5× |
| Estrogens fractionated (82671) | $103 | $103 | 3.2× |
| Ethosuximide (80168) | $49 | $49 | 3.0× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$98–$104 | $98–$104 | varies |
| F2 Gene (81240) | $205 | $205 | 3.1× |
| Factor v leiden mutation (81241) range across 3 matching MRF lines |
$94–$109 | $94–$109 | varies |
| Factor viii assay (85240) | $68 | $68 | 3.8× |
| Factor xi activity (85270) | $76 | $76 | 4.2× |
| Fat/Lipids Feces Quantitative (82710) | $102 | $102 | 6.1× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $59 | $59 | 9.0× |
| Fecal Fat Qualitative (82705) | $51 | $51 | 10.0× |
| Ferritin (82728) | $186 | $186 | 13.6× |
| Fetal Fibronectin (82731) | $596 | $596 | 9.3× |
| Fetal screen rosette (85461) | $78 | $78 | 8.3× |
| Fibrin Degradation Quant (85379) | $265 | $265 | 26.0× |
| Fibrinogen activity (85384) | $171 | $171 | 17.6× |
| Flecainide level (80181) | $68 | $68 | 3.6× |
| Fluorescent antibody screen (86255) | $147 | $147 | 12.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 4 matching MRF lines |
$189–$318 | $189–$318 | varies |
| Folic Acid Serum (82746) | $135 | $135 | 9.2× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$51–$89 | $51–$89 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $515 | $515 | 3.0× |
| Galactose transferase test (82776) | $42 | $42 | 3.6× |
| Gammaglobulin ige (82785) | $29 | $29 | 1.8× |
| Gases blood ph only (82800) | $217 | $217 | 19.7× |
| Gastrin (82941) | $48 | $48 | 2.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$725–$1,149 | $725–$1,149 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,094 | $2,094 | 2.8× |
| Gentamicin (80170) | $269 | $269 | 16.4× |
| Ggt (82977) range across 2 matching MRF lines |
$59–$123 | $59–$123 | varies |
| Glucose 2 hr pp (82950) | $241 | $241 | 50.7× |
| Glucose body fluid (82945) range across 4 matching MRF lines |
$36–$104 | $36–$104 | varies |
| Glucose Serum (82947) | $102 | $102 | 26.0× |
| Gonadotropin Chorionic Qualitative (84703) | $129 | $129 | 17.2× |
| Growth hormone (83003) | $49 | $49 | 2.9× |
| H Pylori (C-13) Breath (83013) range across 3 matching MRF lines |
$120–$126 | $120–$126 | varies |
| Haptoglobin (83010) | $42 | $42 | 3.3× |
| Hba1/hba2 full gene sequence (81259) | $1,753 | $1,753 | 2.9× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $593 | $593 | 2.9× |
| Hdl Cholesterol (83718) | $122 | $122 | 14.9× |
| Helicobacter Pylori Stool (87338) | $88 | $88 | 6.1× |
| Helminth Antibody (86682) | $36 | $36 | 2.8× |
| Hematocrit (85014) | $80 | $80 | 33.8× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$63–$80 | $63–$80 | varies |
| Hemoglobin a1c (83036) | $191 | $191 | 19.7× |
| Hemoglobin Methemoglobin Quantitative (83050) | $232 | $232 | 28.3× |
| Hep a ab igm (86709) | $105 | $105 | 9.3× |
| Heparin assay (85520) | $186 | $186 | 14.2× |
| Heparin Neutralization (85525) | $83 | $83 | 7.0× |
| Hepatitis a antibody total (86708) | $45 | $45 | 3.6× |
| Hepatitis b core ab igm (86705) | $98 | $98 | 8.3× |
| Hepatitis b core ab total (86704) | $39 | $39 | 3.2× |
| Hepatitis B Surface Antibody (86706) | $105 | $105 | 9.8× |
| Hepatitis B Surface Antigen (87340) | $98 | $98 | 9.5× |
| Hepatitis C Antibody (86803) | $123 | $123 | 8.6× |
| Hepatitis C Genotype (87902) | $405 | $405 | 1.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $167 | $167 | 3.9× |
| Hepatitis d quantification (87523) | $119 | $119 | 2.8× |
| Hepatitis Delta Agent Antibody (86692) | $48 | $48 | 2.8× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$63–$69 | $63–$69 | varies |
| Heterophile Antibody Screen (86308) | $96 | $96 | 18.5× |
| Hfe Gene (81256) | $148 | $148 | 2.3× |
| Histoplasma antibody (86698) | $33 | $33 | 2.4× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $164 | $164 | 6.8× |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$154–$191 | $154–$191 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $189 | $189 | 2.2× |
| Hla-b27 (86812) | $69 | $69 | 2.7× |
| Homocysteine (83090) | $91 | $91 | 5.1× |
| Hpv High-Risk Types (87624) | $122 | $122 | 3.5× |
| Hsv Dna Amp Probe (87529) range across 8 matching MRF lines |
$130–$333 | $130–$333 | varies |
| Hydroxyprogesterone 17-d (83498) | $75 | $75 | 2.8× |
| Iaad ia shiga-like toxin (87427) | $42 | $42 | 3.5× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $149 | $149 | 4.2× |
| Iadna Cytomegalovirus Quantification (87497) | $149 | $149 | 3.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $156 | $156 | 3.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $186 | $186 | 5.3× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $254 | $254 | 5.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $125 | $125 | 3.6× |
| Ig Light Chains Free Each (83521) | $33 | $33 | 1.9× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $812 | $812 | 2.8× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$49–$133 | $49–$133 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $58 | $58 | 3.2× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $98 | $98 | 6.5× |
| Immunoassay nonantibody (83516) range across 20 matching MRF lines |
$46–$196 | $46–$196 | varies |
| Immunofixation electrophoresis (86334) | $77 | $77 | 3.4× |
| Influenza DNA amp probe (87502) | $229 | $229 | 2.4× |
| Inhibin b (83520) | $119 | $119 | 6.9× |
| Insulin total (83525) | $39 | $39 | 3.4× |
| Iron (83540) | $143 | $143 | 22.1× |
| Iron Binding Capacity (83550) range across 3 matching MRF lines |
$142–$159 | $142–$159 | varies |
| Irradiation Blood Product Each Unit (86945) | $287 | $287 | 7.5× |
| Islet cell antibody (86341) | $74 | $74 | 3.1× |
| Jak2 gene analysis p.val617phe variant (81270) | $269 | $269 | 2.9× |
| Lactate (ld) (ldh) enzyme (83615) | $122 | $122 | 20.2× |
| Lactoferrin fecal qualitative (83630) | $93 | $93 | 4.7× |
| LDL direct (83721) | $111 | $111 | 10.6× |
| Lead (83655) | $77 | $77 | 6.4× |
| Legionella antigen urine (87449) | $77 | $77 | 6.4× |
| Lidocaine (80176) | $225 | $225 | 15.3× |
| Lipase (83690) | $139 | $139 | 20.2× |
| Lithium (80178) | $156 | $156 | 23.6× |
| Luteinizing Hormone (Lh) (83002) range across 3 matching MRF lines |
$51–$89 | $51–$89 | varies |
| Lyme disease antibody (86618) | $180 | $180 | 10.6× |
| Magnesium Urine (83735) | $125 | $125 | 18.7× |
| Mass Spectrometry Quant (83789) | $40 | $40 | 1.7× |
| Methylmalonic acid serum (83921) | $58 | $58 | 2.7× |
| Microalbumin, quantitative (82043) | $107 | $107 | 18.5× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$48–$77 | $48–$77 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) | $147 | $147 | 6.9× |
| Mononuclear cell antigen (86356) | $217 | $217 | 8.1× |
| Mrsa Pcr (87641) | $232 | $232 | 6.6× |
| Mumps antibody (86735) | $39 | $39 | 3.0× |
| Mycoplasma antibody (86738) | $42 | $42 | 3.2× |
| Mycoplasma culture (87109) | $88 | $88 | 5.7× |
| Natriuretic peptide (83880) | $149 | $149 | 3.8× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) range across 4 matching MRF lines |
$360–$725 | $360–$725 | varies |
| Nuclear antigen antibody (86235) range across 18 matching MRF lines |
$147–$191 | $147–$191 | varies |
| Obstetric panel (80081) | $770 | $770 | 10.3× |
| Occult Blood Other Sources (82271) | $73 | $73 | 13.7× |
| Oligoclonal bands (83916) | $39 | $39 | 1.4× |
| Osmolality serum (83930) | $73 | $73 | 11.0× |
| Osmolality Urine (83935) | $73 | $73 | 10.7× |
| Ova and parasites smears (87177) | $154 | $154 | 17.3× |
| Ph urine (81003) | $48 | $48 | 21.3× |
| Phenobarbital Level (80184) range across 3 matching MRF lines |
$65–$217 | $65–$217 | varies |
| Phenytoin (Dilantin) (80185) | $241 | $241 | 18.2× |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$33–$88 | $33–$88 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$117–$162 | $117–$162 | varies |
| Phosphorus Serum (84100) | $106 | $106 | 22.4× |
| Pinworm exam (87172) | $51 | $51 | 11.9× |
| Platelet count automated (85049) | $56 | $56 | 12.5× |
| Platelet neutralization (85597) | $107 | $107 | 6.0× |
| Porphobilinogen, urine; quantitative (84110) | $37 | $37 | 4.4× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $64 | $64 | 4.4× |
| Potassium Urine (84133) | $107 | $107 | 22.6× |
| Prealbumin (84134) | $42 | $42 | 2.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $286 | $286 | 4.7× |
| Primidone (80188) | $65 | $65 | 3.9× |
| Procalcitonin (Pct) (84145) | $103 | $103 | 3.8× |
| Progesterone (84144) | $65 | $65 | 3.1× |
| Prolactin (84146) | $50 | $50 | 2.6× |
| Protein body fluid (84157) | $142 | $142 | 35.5× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$77–$142 | $77–$142 | varies |
| Protein c antigen (85302) | $108 | $108 | 9.0× |
| Protein Electrophoresis Urine (84166) | $63 | $63 | 3.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$33–$98 | $33–$98 | varies |
| Protein S Free (85306) | $77 | $77 | 5.0× |
| Protein s total (85305) | $39 | $39 | 3.4× |
| Protein Total Refractometry Any Src (84160) | $63 | $63 | 11.2× |
| Protein total serum (84155) range across 2 matching MRF lines |
$51–$88 | $51–$88 | varies |
| Protein Total Urine (84156) | $107 | $107 | 29.2× |
| Protein Western Blot Test (84182) range across 4 matching MRF lines |
$74–$84 | $74–$84 | varies |
| PSA free (84154) | $233 | $233 | 12.7× |
| Pth Intact (83970) | $106 | $106 | 2.6× |
| Q Fever Antibody (86638) | $34 | $34 | 2.8× |
| Quantiferon tb gold plus (86480) | $100 | $100 | 1.6× |
| Quantitative assay drug (80299) | $191 | $191 | 10.2× |
| Rbc antibody elution (86860) | $239 | $239 | 1.4× |
| Rbc antibody identification (86870) range across 3 matching MRF lines |
$146–$165 | $146–$165 | varies |
| Rbc antibody screen (86850) range across 5 matching MRF lines |
$128–$137 | $128–$137 | varies |
| Rbc pretreatment serum (86978) | $215 | $215 | 3.6× |
| Rbc pretx incubatj w/enzymes (86971) | $269 | $269 | 1.5× |
| Reagent Strip/Blood Glucose (82948) | $102 | $102 | 20.2× |
| Renin activity plasma (84244) | $124 | $124 | 5.6× |
| Reptilase test (85635) | $112 | $112 | 11.4× |
| Resp virus 12-25 targets (87633) | $1,624 | $1,624 | 3.9× |
| Rh (86901) range across 3 matching MRF lines |
$45–$292 | $45–$292 | varies |
| Rheumatoid factor quant (86431) | $119 | $119 | 21.0× |
| Ristocetin cofactor (85245) | $64 | $64 | 2.8× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$35–$60 | $35–$60 | varies |
| Rubella Antibody (86762) | $64 | $64 | 4.4× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$77–$85 | $77–$85 | varies |
| Russell Viper Venom Time Diluted (85613) range across 6 matching MRF lines |
$78–$88 | $78–$88 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 4 matching MRF lines |
$153–$381 | $153–$381 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$68–$77 | $68–$77 | varies |
| Sedimentation Rate, Automated (85652) | $91 | $91 | 33.7× |
| Selenium (84255) | $48 | $48 | 1.9× |
| Semen Anal Sperm Detection (89321) | $155 | $155 | 12.9× |
| Semen analysis complete (89322) | $381 | $381 | 24.6× |
| Sensitivity mic (87186) | $130 | $130 | 15.0× |
| Sex Hormone Binding Globulin (84270) | $51 | $51 | 2.3× |
| Sirolimus (80195) | $82 | $82 | 6.0× |
| Skin test tuberculosis intradermal (86580) | $48 | $48 | 1.6× |
| Smear acid fast (87206) | $100 | $100 | 18.6× |
| Smear gram stain (87205) | $37 | $37 | 8.7× |
| Smear Special Stain (87207) | $154 | $154 | 25.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $84 | $84 | 14.4× |
| Sodium Serum (84295) | $88 | $88 | 18.3× |
| Sodium Urine (84300) | $88 | $88 | 17.4× |
| Somatomedin (84305) | $50 | $50 | 2.4× |
| Specimen infect agnt concntj (87015) | $47 | $47 | 7.0× |
| Strep a DNA amp probe (87651) | $224 | $224 | 6.4× |
| Surgical pathology level IV (88305) | $360 | $360 | 6.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $80 | $80 | 10.7× |
| Syphilis Test Non-Trep Quant (86593) | $96 | $96 | 21.8× |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$72–$83 | $72–$83 | varies |
| T3 Free (84481) | $195 | $195 | 11.5× |
| T3 reverse (84482) | $59 | $59 | 3.7× |
| T3 Total (84480) | $195 | $195 | 13.8× |
| T3 Uptake (84479) | $36 | $36 | 5.6× |
| T4 Free (84439) | $204 | $204 | 22.6× |
| T4 total (84436) | $37 | $37 | 5.4× |
| Tacrolimus (80197) | $64 | $64 | 4.7× |
| Testosterone total (84403) range across 6 matching MRF lines |
$46–$116 | $46–$116 | varies |
| Testosterone, Free (84402) range across 5 matching MRF lines |
$46–$230 | $46–$230 | varies |
| Thrombin Time (85670) range across 2 matching MRF lines |
$75–$85 | $75–$85 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $85 | $85 | 13.1× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$47–$87 | $47–$87 | varies |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$37–$56 | $37–$56 | varies |
| Tissue culture bone marrow (88237) | $278 | $278 | 1.9× |
| Topiramate (80201) | $65 | $65 | 5.5× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $55 | $55 | 2.8× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$59–$96 | $59–$96 | varies |
| Transferrin (84466) | $42 | $42 | 3.3× |
| Trichomonas Vaginalis Amplif (87661) | $92 | $92 | 2.6× |
| Triglycerides (84478) | $88 | $88 | 15.3× |
| Troponin Quant (84484) | $209 | $209 | 16.8× |
| Unlisted Transfusion Medicine Procedure (86999) | $111 | $111 | 3.8× |
| Urea nitrogen urine (84540) | $145 | $145 | 26.1× |
| Uric acid other source (84560) | $76 | $76 | 15.0× |
| Urine Pregnancy Test (81025) | $137 | $137 | 15.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $88 | $88 | 27.8× |
| Valproic acid (80164) | $269 | $269 | 19.9× |
| Vancomycin (80202) | $254 | $254 | 18.8× |
| Varicella-zoster antibody (86787) | $68 | $68 | 5.3× |
| Viral Culture (87252) | $39 | $39 | 1.5× |
| Virus inoculate tissue addl (87253) | $39 | $39 | 1.9× |
| Viscosity serum (85810) | $42 | $42 | 3.6× |
| Vit D 1 25-Dihydroxy (82652) | $143 | $143 | 3.7× |
| Vitamin A (84590) | $46 | $46 | 4.0× |
| Vitamin b-12 (82607) | $116 | $116 | 7.7× |
| Vitamin B6 (84207) | $51 | $51 | 1.8× |
| Vitamin D 25-Hydroxy (82306) | $143 | $143 | 4.8× |
| Vitamin E (84446) | $49 | $49 | 3.5× |
| Vitamin K (84597) | $87 | $87 | 6.3× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $207 | $207 | 17.2× |
| Von willebrand factor ag (85246) | $64 | $64 | 2.8× |
| Zinc (84630) | $54 | $54 | 4.7× |
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.