Lab & pathology prices at Thayer County Health Services
Hebron, NE · every code in this section with a posted price and a Medicare benchmark.
367 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholn Rcptr Modlg Antb (86043) | $181 | $226 | 15.0× |
| Acth (82024) | $227 | $284 | 5.9× |
| Actin smooth muscle antibody each (86015) | $154 | $192 | 12.8× |
| Acute hepatitis panel (80074) | $270 | $337 | 5.7× |
| Albumin serum (82040) | $46 | $57 | 9.3× |
| Aldolase (82085) | $86 | $108 | 8.9× |
| Aldosterone urine (82088) | $212 | $265 | 5.2× |
| Alkaline phosphatase isoenzymes (84080) | $159 | $199 | 10.8× |
| Alpha-Fetoprotein Serum (82105) | $118 | $148 | 7.0× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$47–$58 | $59–$72 | varies |
| Ammonia (82140) | $117 | $146 | 8.0× |
| Amylase urine (82150) | $82 | $103 | 12.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
$108–$153 | $135–$191 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $108 | $135 | 6.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $94 | $117 | 7.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $108 | $135 | 7.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $114 | $143 | 6.3× |
| Antibody Fungus Not Elsewhere Specified (86671) | $78 | $98 | 6.4× |
| Antibody helicobacter pylori (86677) | $144 | $180 | 8.5× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $103 | $129 | 7.2× |
| Antibody Herpes Smplx Type 1 (86695) | $177 | $221 | 13.4× |
| Antibody HIV-2 (86702) | $128 | $160 | 9.5× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $83 | $104 | 4.3× |
| Antibody Protozoa Nes (86753) | $45 | $56 | 3.6× |
| Antibody Treponema Pallidum (86780) | $71 | $89 | 5.4× |
| Antigen typing (86905) | $256 | $320 | 66.8× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $130 | $163 | 22.7× |
| Antinuclear antibodies (86038) | $113 | $141 | 9.3× |
| Antithrombin iii activity (85300) | $131 | $164 | 11.1× |
| Apolipoprotein a1 (82172) | $124 | $155 | 5.9× |
| Aspergillus ag eia (87305) | $233 | $291 | 19.4× |
| Assay activated protein c (85307) | $146 | $183 | 9.5× |
| Assay Blood Carbon Dioxide (82374) | $50 | $62 | 10.2× |
| Assay Nephelometry Not Spec (83883) | $126 | $158 | 9.3× |
| Assay of anti-mullerian hormone (82166) | $134 | $167 | 3.5× |
| Assay of blood/uric acid (84550) | $57 | $71 | 12.6× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$64–$67 | $80–$84 | varies |
| Assay of g6pd enzyme (82955) | $109 | $136 | 11.2× |
| Assay of gammaglobulin igm (82784) | $88 | $110 | 9.5× |
| Assay of lactic acid (83605) | $125 | $156 | 10.8× |
| Assay of metanephrines (83835) | $222 | $277 | 13.1× |
| Assay of serotonin (84260) | $218 | $273 | 7.0× |
| Assay of serum potassium (84132) | $54 | $68 | 11.3× |
| Assay of urea nitrogen (84520) | $51 | $64 | 12.9× |
| Assay of vitamin b-1 (84425) | $222 | $278 | 10.5× |
| Assay Ph Body Fluid Nos (83986) | $68 | $85 | 19.0× |
| Automated Leukocyte Count (85048) | $42 | $52 | 16.5× |
| B cells total count (86355) | $53 | $66 | 1.4× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$582–$1,202 | $728–$1,503 | varies |
| Bcr/abl1 gene minor bp (81207) | $333 | $416 | 2.3× |
| Beta 2 glycoprotein i antibody each (86146) | $126 | $158 | 5.0× |
| Beta-2 Microglobulin (82232) | $122 | $153 | 7.5× |
| Bile acids total (82239) | $34 | $42 | 2.0× |
| Bilirubin direct (82248) | $64 | $64 | 12.7× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$46–$59 | $58–$74 | varies |
| Bilirubin total transcutaneous (88720) | $78 | $78 | 15.5× |
| Biotinidase (82261) | $76 | $95 | 4.5× |
| Blood count spun microhematocrit (85013) | $14 | $18 | 2.0× |
| Blood gas (82803) range across 3 matching MRF lines |
$230–$258 | $288–$323 | varies |
| Blood gases w/02 saturation (82805) | $179 | $224 | 2.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $51 | $64 | 3.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $30 | $38 | 6.8× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $274 | $343 | 43.1× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$98–$102 | $122–$127 | varies |
| Body fluid cell count (89050) | $58 | $72 | 12.3× |
| Breath Alcohol Test (82075) | $23 | $29 | 0.8× |
| C diff amplified probe (87493) | $165 | $206 | 4.4× |
| C-Peptide (84681) | $132 | $165 | 6.3× |
| C-reactive protein (86140) | $94 | $118 | 18.1× |
| Ca 19-9 (86301) | $163 | $204 | 7.8× |
| Calcium ionized (82330) | $107 | $134 | 7.8× |
| Calcium total (82310) | $52 | $65 | 10.1× |
| Calculus Spectroscopy (82365) | $113 | $141 | 8.8× |
| Calprotectin Fecal (83993) | $539 | $674 | 27.5× |
| Cancer Antigen 125 (86304) | $145 | $181 | 7.0× |
| Cancer Antigen 27.29 (86300) | $149 | $186 | 7.2× |
| Candida Dna Dir Probe (87480) | $70 | $88 | 3.5× |
| Carbamazepine total (80156) | $118 | $147 | 8.1× |
| Carboxyhemoglobin (82375) | $154 | $193 | 12.5× |
| Carcinoembryonic antigen (82378) | $123 | $154 | 6.5× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$118–$122 | $147–$153 | varies |
| Catecholamines fractionated (82384) | $187 | $234 | 7.4× |
| Ccp antibody (86200) | $154 | $193 | 11.9× |
| Cell count csf (89051) range across 2 matching MRF lines |
$100–$122 | $125–$152 | varies |
| Ceruloplasmin (82390) | $110 | $137 | 10.2× |
| Chlmy trch&neisra gonor mult (87494) | $216 | $270 | 3.1× |
| Chloride Serum (82435) | $48 | $60 | 10.4× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$54–$56 | $67–$70 | varies |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$111–$116 | $139–$145 | varies |
| Chromogranin a (86316) | $210 | $263 | 10.1× |
| Citric acid urine (82507) | $85 | $106 | 3.1× |
| Ckmb (82553) | $159 | $199 | 13.8× |
| Clostridium Difficile (87324) | $109 | $136 | 9.1× |
| Column Chromotography Quant (82542) | $317 | $396 | 13.2× |
| Compatibility test antiglob (86922) range across 3 matching MRF lines |
$130–$182 | $163–$228 | varies |
| Complement Antigen Each Component (86160) | $133 | $166 | 11.1× |
| Coombs direct (86880) range across 2 matching MRF lines |
$73–$81 | $91–$101 | varies |
| Copper urine (82525) | $178 | $222 | 14.3× |
| Cortisol saliva (82533) | $135 | $169 | 8.3× |
| Creatine kinase total (82550) | $91 | $114 | 14.0× |
| Creatinine blood (82565) | $57 | $71 | 11.1× |
| Creatinine clearance (82575) | $117 | $146 | 12.4× |
| Creatinine Urine (82570) range across 6 matching MRF lines |
$62–$66 | $78–$82 | varies |
| Cryofibrinogen (82585) | $112 | $140 | 7.9× |
| Cryoglobulin (82595) | $158 | $197 | 24.4× |
| Cryptosporidium ag eia (87328) | $94 | $118 | 6.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $74 | $92 | 9.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $165 | $206 | 21.4× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $342 | $428 | 1.6× |
| Culture afb (87116) | $142 | $177 | 13.1× |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$92–$106 | $115–$133 | varies |
| Culture blood (87040) | $182 | $227 | 17.6× |
| Culture csf (87070) range across 7 matching MRF lines |
$87–$108 | $109–$135 | varies |
| Culture fungus (87102) | $103 | $129 | 12.2× |
| Culture fungus blood (87103) | $108 | $135 | 5.3× |
| Culture screen only (87081) | $69 | $86 | 10.4× |
| Culture stool (87045) range across 2 matching MRF lines |
$92–$97 | $115–$121 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$59–$62 | $74–$77 | varies |
| Culture urine (87086) | $86 | $108 | 10.7× |
| Cystatin C (82610) | $114 | $142 | 6.2× |
| Cytomegalovirus igg (86644) | $121 | $151 | 8.4× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $78 | $97 | 3.8× |
| Cytopath Cell Enhance Tech (88112) | $142 | $178 | 2.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$217–$280 | $271–$350 | varies |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $260 | $325 | 8.7× |
| Detect Agent Nos Dna Amp (87798) | $230 | $288 | 6.6× |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$357–$599 | $446–$749 | varies |
| Dgp Antibody Each Ig Class (86258) | $69 | $86 | 5.7× |
| Dhea-S (82627) | $138 | $172 | 6.2× |
| Digoxin (80162) | $123 | $154 | 9.3× |
| Dna/Rna Amplified Probe (87150) | $117 | $146 | 3.3× |
| Dna/Rna Sequencing (87153) | $332 | $415 | 2.9× |
| Drug Assay Everolimus (80169) | $157 | $196 | 11.4× |
| Drug Assay Posaconazole (80187) | $103 | $129 | 3.8× |
| Drug Screen Quant Zonisamide (80203) | $161 | $201 | 12.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $158 | $197 | 11.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $220 | $275 | 16.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $211 | $264 | 15.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$190–$302 | $237–$378 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $129 | $161 | 10.2× |
| Ehrlichia antibody (86666) | $178 | $222 | 17.5× |
| El-1 Fecal Quantitative (82653) | $314 | $392 | 13.7× |
| Electrolyte panel (80051) | $94 | $117 | 13.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $102 | $127 | 8.4× |
| Enzyme histochemistry (88319) | $656 | $820 | 0.8× |
| Erythropoietin (82668) | $197 | $246 | 10.5× |
| Estradiol serum (82670) | $143 | $179 | 5.1× |
| Estriol (82677) | $108 | $135 | 4.5× |
| Estrogens fractionated (82671) | $208 | $260 | 6.4× |
| Ethosuximide (80168) | $160 | $200 | 9.8× |
| Exam Synovial Fluid Crystals (89060) | $83 | $104 | 11.3× |
| F2 Gene (81240) range across 3 matching MRF lines |
$240–$327 | $300–$409 | varies |
| Factor v leiden mutation (81241) | $342 | $427 | 4.7× |
| Fecal Fat Qualitative (82705) | $55 | $69 | 10.8× |
| Ferritin (82728) | $118 | $148 | 8.7× |
| Fetal Fibronectin (82731) | $404 | $505 | 6.3× |
| Fetal screen rosette (85461) | $103 | $129 | 11.0× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$161–$167 | $201–$209 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$88–$92 | $110–$115 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $238 | $298 | 15.4× |
| Flow cytometry first marker (88184) | $172 | $343 | 0.5× |
| Fluorescent antibody screen (86255) | $334 | $418 | 27.7× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $102 | $127 | 8.5× |
| Folic Acid Serum (82746) | $110 | $137 | 7.5× |
| Follicle Stimulating Hormone (83001) | $122 | $152 | 6.6× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$49–$127 | $61–$159 | varies |
| Gammaglobulin ige (82785) | $129 | $161 | 7.8× |
| Gardner vag DNA dir probe (87510) | $85 | $106 | 4.2× |
| Gases blood ph only (82800) | $81 | $101 | 7.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $485 | $606 | 1.2× |
| Ggt (82977) range across 2 matching MRF lines |
$81–$84 | $101–$105 | varies |
| Giardia antigen (87329) | $112 | $140 | 9.3× |
| Glucose Blood Test (82962) | $37 | $46 | 11.3× |
| Glucose body fluid (82945) | $39 | $49 | 9.9× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$63–$66 | $79–$83 | varies |
| Glucose tolerance test (gtt) (82951) range across 3 matching MRF lines |
$186–$194 | $233–$243 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $100 | $125 | 13.3× |
| Growth hormone (83003) | $113 | $141 | 6.8× |
| Gtt-added samples (82952) range across 6 matching MRF lines |
$62–$66 | $78–$82 | varies |
| H Pylori (C-13) Breath (83013) | $267 | $334 | 4.0× |
| H Pylori Drug Admin (83014) | $54 | $67 | 6.9× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$93–$102 | $116–$128 | varies |
| Hdl Cholesterol (83718) | $58 | $73 | 7.1× |
| Helicobacter Pylori Stool (87338) | $210 | $263 | 14.6× |
| Hematocrit (85014) | $38 | $48 | 16.0× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$38–$39 | $47–$49 | varies |
| Hemoglobin a1c (83036) | $72 | $90 | 7.4× |
| Hemoglobin Chromotography (83021) | $108 | $135 | 6.0× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$70–$107 | $88–$134 | varies |
| Heparin assay (85520) | $227 | $284 | 17.3× |
| Heparin Neutralization (85525) | $74 | $92 | 6.3× |
| Hepatitis b core ab total (86704) | $116 | $145 | 9.6× |
| Hepatitis B Surface Antibody (86706) | $92 | $115 | 8.6× |
| Hepatitis B Surface Antigen (87340) | $89 | $111 | 8.6× |
| Hepatitis Be Antigen (87350) | $84 | $105 | 7.3× |
| Hepatitis C Antibody (86803) | $114 | $143 | 8.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $561 | $701 | 13.1× |
| Herpes simplex type 2 (86696) | $177 | $221 | 9.1× |
| Heterophile Antibody Screen (86308) | $76 | $95 | 14.7× |
| Histoplasma antigen urine (87385) | $270 | $337 | 20.4× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$89–$106 | $111–$133 | varies |
| HIV-1 p24 antigen (87390) | $38 | $48 | 1.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $465 | $581 | 5.5× |
| Homocysteine (83090) | $194 | $243 | 10.8× |
| Homogenization Tissue (87176) | $63 | $79 | 10.7× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$211–$220 | $264–$275 | varies |
| Hydroxyprogesterone 17-d (83498) | $142 | $178 | 5.2× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $88 | $110 | 8.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $86 | $108 | 6.2× |
| Iaad ia shiga-like toxin (87427) range across 3 matching MRF lines |
$61–$88 | $76–$110 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $94 | $117 | 2.7× |
| Iadna Cytomegalovirus Quantification (87497) | $434 | $542 | 10.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $302 | $377 | 4.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $362 | $453 | 8.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $147 | $184 | 4.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $149 | $186 | 4.2× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 2 matching MRF lines |
$160–$240 | $200–$300 | varies |
| Ig Light Chains Free Each (83521) | $140 | $175 | 8.1× |
| Igg subclasses (82787) | $130 | $163 | 16.2× |
| Immunfix e-phorsis/urine/csf (86335) | $159 | $199 | 5.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $231 | $289 | 12.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $106 | $133 | 7.1× |
| Immunoassay nonantibody (83516) range across 8 matching MRF lines |
$147–$154 | $184–$192 | varies |
| Immunofixation electrophoresis (86334) | $165 | $206 | 7.4× |
| Immunohistochemistry (88342) | $248 | $310 | 1.4× |
| In situ hybridization 1st probe stain (88365) | $318 | $375 | 1.8× |
| Influenza assay w/optic (87804) | $82 | $103 | 5.0× |
| Influenza DNA amp probe (87502) | $214 | $268 | 2.2× |
| Inhibin A (86336) | $138 | $172 | 8.9× |
| Inhibin b (83520) range across 2 matching MRF lines |
$36–$192 | $45–$240 | varies |
| Insulin total (83525) | $79 | $99 | 6.9× |
| Iron (83540) | $81 | $101 | 12.5× |
| Jak2 gene analysis p.val617phe variant (81270) | $595 | $744 | 6.5× |
| Lactate (ld) (ldh) enzyme (83615) | $67 | $84 | 11.1× |
| Lactoferrin fecal qualitative (83630) | $88 | $110 | 4.5× |
| LDL direct (83721) | $98 | $122 | 9.3× |
| Lead (83655) | $82 | $102 | 6.8× |
| Legionella antigen urine (87449) | $162 | $203 | 13.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $42 | $52 | 1.4× |
| Level ii surg pathology grossµscopic exam (88302) | $73 | $125 | 1.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $446 | $558 | 1.2× |
| Lipase (83690) | $103 | $129 | 14.9× |
| Lithium (80178) | $83 | $104 | 12.6× |
| Luteinizing Hormone (Lh) (83002) | $130 | $162 | 7.0× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$146–$156 | $183–$195 | varies |
| Magnesium Urine (83735) | $86 | $107 | 12.8× |
| Mass Spectrometry Quant (83789) | $242 | $303 | 10.0× |
| Methylmalonic acid serum (83921) | $265 | $331 | 12.5× |
| Microalbumin, quantitative (82043) | $97 | $121 | 16.8× |
| Microbe Suscept Macrobroth (87188) | $40 | $50 | 6.0× |
| Microsomal Antibodies Each (86376) | $154 | $192 | 10.6× |
| Mthfr Gene Analysis Common Variants (81291) | $517 | $646 | 7.9× |
| Mumps antibody (86735) | $80 | $100 | 6.1× |
| Muscle-Specific Kinase Antb (86366) | $894 | $1,117 | 48.6× |
| Natriuretic peptide (83880) | $266 | $332 | 6.8× |
| Nfct ds bv&vaginitis DNA alg (81515) | $114 | $143 | 0.4× |
| Nk cells total count (86357) | $53 | $66 | 1.4× |
| Nuclear antigen antibody (86235) | $139 | $174 | 7.8× |
| Occult Blood Other Sources (82271) | $49 | $61 | 9.2× |
| Osmolality serum (83930) | $97 | $121 | 14.7× |
| Osmolality Urine (83935) | $120 | $150 | 17.6× |
| Ova and parasites smears (87177) | $86 | $108 | 9.7× |
| Oxalate urine (83945) | $56 | $70 | 3.9× |
| Ph urine (81003) | $34 | $43 | 15.1× |
| Phenobarbital Level (80184) | $130 | $162 | 8.5× |
| Phenylalanine (84030) | $70 | $88 | 12.7× |
| Phenytoin (Dilantin) (80185) | $131 | $164 | 9.9× |
| Phosphatase alkaline (84075) | $50 | $62 | 9.7× |
| Phosphorus Serum (84100) | $65 | $81 | 13.7× |
| Phosphorus urine (84105) | $38 | $47 | 6.6× |
| Platelet count automated (85049) | $53 | $66 | 11.8× |
| Prealbumin (84134) | $101 | $126 | 6.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $47 | $59 | 0.8× |
| Procalcitonin (Pct) (84145) | $235 | $294 | 8.6× |
| Progesterone (84144) | $118 | $148 | 5.7× |
| Prolactin (84146) | $157 | $196 | 8.1× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$44–$53 | $55–$66 | varies |
| Protein C Activity (85303) | $182 | $228 | 13.2× |
| Protein Electrophoresis Urine (84166) | $120 | $150 | 6.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $109 | $136 | 10.1× |
| Protein S Free (85306) range across 2 matching MRF lines |
$217–$246 | $271–$307 | varies |
| Protein total serum (84155) | $59 | $74 | 16.1× |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$62–$66 | $78–$82 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $45 | $56 | 11.4× |
| Pth Intact (83970) | $247 | $309 | 6.0× |
| Q Fever Antibody (86638) | $82 | $102 | 6.8× |
| Quantiferon tb gold plus (86480) | $347 | $347 | 5.6× |
| Quantitative assay drug (80299) | $261 | $326 | 14.0× |
| Rbc antibody elution (86860) | $146 | $183 | 0.8× |
| Rbc antibody identification (86870) | $274 | $343 | 0.7× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$84–$102 | $105–$128 | varies |
| Rbc pretreatment serum (86978) | $171 | $214 | 2.8× |
| Reagent Strip/Blood Glucose (82948) | $27 | $34 | 5.4× |
| Renin activity plasma (84244) | $170 | $213 | 7.7× |
| Reticulocyte Count (85046) | $72 | $90 | 12.9× |
| Rh (86901) range across 2 matching MRF lines |
$58–$59 | $72–$74 | varies |
| Rheumatoid factor quant (86431) | $59 | $74 | 10.4× |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$95–$142 | $119–$178 | varies |
| Rpr qualitative (86592) | $41 | $51 | 9.6× |
| Rubella Antibody (86762) | $76 | $95 | 5.3× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$107–$112 | $134–$140 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$119–$124 | $149–$155 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $190 | $237 | 3.7× |
| Sars-cov-2 COVID-19 antibody (86769) | $172 | $215 | 4.1× |
| Sars-Cov-2 Covid19 W/Optic (87811) range across 2 matching MRF lines |
$69–$82 | $69–$103 | varies |
| Sedimentation rate (85651) | $54 | $67 | 12.6× |
| Semen Anal Sperm Detection (89321) | $90 | $113 | 7.5× |
| Sensitivity mic (87186) | $135 | $169 | 15.6× |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$138–$149 | $172–$186 | varies |
| Sickling of rbc reduction (85660) | $82 | $102 | 14.9× |
| Skin test tuberculosis intradermal (86580) | $73 | $73 | 2.4× |
| Smear acid fast (87206) | $67 | $84 | 12.4× |
| Smear complex stain (87209) | $56 | $70 | 3.1× |
| Smear gram stain (87205) range across 4 matching MRF lines |
$43–$62 | $50–$77 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $70 | $87 | 12.0× |
| Sodium Serum (84295) | $52 | $65 | 10.8× |
| Sodium Urine (84300) | $47 | $59 | 9.3× |
| Soluble fibrin monomer (85366) | $190 | $238 | 2.4× |
| Somatomedin (84305) | $271 | $339 | 12.7× |
| Special Stains Group 1 (88312) | $170 | $212 | 3.1× |
| Special Stains Group 2 (88313) | $183 | $229 | 1.3× |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$50–$75 | $63–$94 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$58–$60 | $72–$75 | varies |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$80–$137 | $100–$171 | varies |
| Surg path level iii (88304) | $133 | $166 | 2.5× |
| Surgical pathology level IV (88305) | $240 | $300 | 4.4× |
| Surgical pathology level vi (88309) | $679 | $849 | 0.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $88 | $110 | 11.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $120 | $150 | 2.6× |
| T cells total count (86359) | $78 | $97 | 2.1× |
| T3 Free (84481) | $172 | $215 | 10.2× |
| T3 reverse (84482) | $218 | $273 | 13.8× |
| T3 Total (84480) | $101 | $126 | 7.1× |
| T3 Uptake (84479) | $76 | $95 | 11.7× |
| T4 Free (84439) | $129 | $161 | 14.3× |
| T4 total (84436) range across 2 matching MRF lines |
$75–$78 | $94–$98 | varies |
| T4-neonatal (84437) | $32 | $40 | 4.9× |
| Tacrolimus (80197) | $216 | $270 | 15.7× |
| Testosterone total (84403) range across 3 matching MRF lines |
$117–$155 | $146–$194 | varies |
| Testosterone, Free (84402) | $133 | $166 | 5.2× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$137–$142 | $171–$178 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $106 | $133 | 16.4× |
| Thyroglobulin (84432) | $136 | $170 | 8.5× |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$110–$114 | $137–$143 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $342 | $427 | 6.7× |
| Topiramate (80201) | $230 | $288 | 19.3× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$53–$56 | $66–$70 | varies |
| Transferrin (84466) | $114 | $142 | 8.9× |
| Trichomonas vagin dir probe (87660) | $77 | $96 | 3.8× |
| Trichomonas Vaginalis Amplif (87661) | $104 | $130 | 3.0× |
| Triglycerides (84478) range across 2 matching MRF lines |
$54–$61 | $68–$76 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$190–$206 | $238–$257 | varies |
| Tumor immunohistochem/comput (88361) | $322 | $403 | 0.9× |
| Tumor Immunohistochem/Manual (88360) | $255 | $255 | 1.4× |
| Urinalysis Microscopic Only (81015) | $38 | $48 | 12.5× |
| Urine Bacteria Culture (87088) | $66 | $82 | 8.2× |
| Urine Pregnancy Test (81025) | $88 | $110 | 10.2× |
| Valproic acid (80164) | $134 | $168 | 9.9× |
| Vancomycin (80202) range across 2 matching MRF lines |
$152–$158 | $190–$198 | varies |
| Varicella-zoster antibody (86787) | $136 | $170 | 10.6× |
| Very Long Chain Fatty Acids (82726) | $433 | $541 | 21.9× |
| Viscosity serum (85810) range across 2 matching MRF lines |
$97–$101 | $121–$126 | varies |
| Vit D 1 25-Dihydroxy (82652) | $253 | $316 | 6.6× |
| Vitamin b-12 (82607) | $116 | $145 | 7.7× |
| Vitamin D 25-Hydroxy (82306) | $217 | $271 | 7.3× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$126–$165 | $158–$165 | varies |
| West Nile Virus Antibody (86789) | $124 | $155 | 8.6× |
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.