Lab & pathology prices at South Big Horn County Hospital (Three Rivers Health)

Basin, WY · 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 →

ProcedurePosted cashPosted gross× Medicare
Acth (82024) $347.62 $463.50 9.0×
Acth Stimulation Panel Adrenal Insufficiency (80400) $146.85 $195.80 4.5×
Actin smooth muscle antibody each (86015) $174.75 $233 14.5×
Acute hepatitis panel (80074) $36.15 $48.20 0.8×
Albumin Fluid (82042) $69.22 $92.30 8.9×
Albumin serum (82040) $47.32 $63.10 9.6×
Aldolase (82085) $59.47 $79.30 6.1×
Aldosterone urine (82088) $415.95 $554.60 10.2×
Alkaline phosphatase isoenzymes (84080) $209.32 $279.10 14.2×
Allergen specific ige (86003) $85.28 $113.70 16.3×
Alpha-1-antitrypsin total (82103) $132.90 $177.20 9.9×
Alpha-Fetoprotein Serum (82105) $66.53 $88.70 4.0×
Alt (sgpt) (84460) $47.32 $63.10 8.9×
Ammonia (82140) $111.38 $148.50 7.6×
Amylase urine (82150) $82.88 $110.50 12.8×
Ana Titer (86039) $49.80 $66.40 4.5×
Androstenedione (82157) $259.27 $345.70 8.9×
Angiotensin converting enzyme csf (82164) $146.62 $195.50 10.0×
Anti-Phospholipid Antibody (86148) $59.03 $78.70 3.7×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $99.22 $132.30 6.4×
Antibody Cytomegalovirus Cmv Igm (86645) $54.68 $72.90 3.2×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $48.15 $64.20 3.7×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $174.75 $233 11.4×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $77.62 $103.50 4.3×
Antibody helicobacter pylori (86677) $95.32 $127.10 5.7×
Antibody Herpes Smplx Type 1 (86695) $91.20 $121.60 6.9×
Antibody HIV-1&HIV-2 single result (86703) $63.15 $84.20 4.6×
Antibody Treponema Pallidum (86780) $60.82 $81.10 4.6×
Antinuclear antibodies (86038) $39.08 $52.10 3.2×
Antistreptolysin o titer (86060) $39.08 $52.10 5.4×
Antithrombin iii activity (85300) $205.65 $274.20 17.4×
Antithrombin iii antigen (85301) $252 $336 23.3×
Arsenic (82175) $117.68 $156.90 6.2×
Aspergillus ag eia (87305) $140.93 $187.90 11.8×
Assay activated protein c (85307) $193.12 $257.50 12.6×
Assay Blood Carbon Dioxide (82374) $48.82 $65.10 10.0×
Assay of 5-hiaa (83497) $97.88 $130.50 7.6×
Assay of anti-mullerian hormone (82166) $123.45 $164.60 3.2×
Assay of blood/uric acid (84550) $57.08 $76.10 12.6×
Assay of calcium in urine (82340) $45.38 $60.50 7.5×
Assay of estrone (82679) $18.52 $24.70 0.7×
Assay of gammaglobulin igm (82784)
range across 12 matching MRF lines
$28.50–$99.52 $38–$132.70 varies
Assay of lactic acid (83605) $42.08 $56.10 3.6×
Assay of metanephrines (83835) $371.17 $494.90 21.9×
Assay of serotonin (84260) $137.55 $183.40 4.4×
Assay of serum potassium (84132) $53.70 $71.60 11.3×
Assay of urea nitrogen (84520) $37.65 $50.20 9.5×
Assay of vitamin b-1 (84425) $242.70 $323.60 11.4×
Assay Ph Body Fluid Nos (83986) $49.20 $65.60 13.7×
Assay spec xcp ur&breath ia (82077) $93.68 $124.90 5.4×
B cells total count (86355) $174.68 $232.90 4.6×
Bcr/abl1 gene major bp (81206) $803.10 $1,070.80 4.9×
Beta 2 glycoprotein i antibody each (86146) $95.62 $127.50 3.8×
Beta hydroxybutyrate (82010) $63.30 $84.40 7.7×
Beta-2 Microglobulin (82232) $192.52 $256.70 11.9×
Bilirubin direct (82248) $54.53 $72.70 10.9×
Bilirubin total (82247) $54.53 $72.70 10.9×
Blood Count Red Blood Cell Automated (85041) $43.12 $57.50 14.3×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $26.33 $35.10 6.9×
Blood gas (82803) $218.55 $291.40 8.4×
Blood gases w/02 saturation (82805) $218.55 $291.40 2.8×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $29.33 $39.10 6.7×
Blood Type Antigen Donor Reagent Serum Each (86902) $106.35 $141.80 16.7×
Blood typing serologic abo (86900) $19.42 $25.90 6.5×
Body fluid cell count (89050) $41.40 $55.20 8.8×
C-Peptide (84681) $195.75 $261 9.4×
C-reactive protein (86140) $64.28 $85.70 12.4×
Ca 19-9 (86301) $274.50 $366 13.2×
Cadmium (82300) $88.57 $118.10 3.7×
Calcium ionized (82330) $71.03 $94.70 5.2×
Calcium total (82310) $57.08 $76.10 11.1×
Calculus Spectroscopy (82365) $152.77 $203.70 11.8×
Calculus Xray Diffraction (82370) $136.20 $181.60 10.9×
Calprotectin Fecal (83993) $315.83 $421.10 16.1×
Cancer Antigen 125 (86304) $145.73 $194.30 7.0×
Cancer Antigen 27.29 (86300) $220.27 $293.70 10.6×
Candida Dna Dir Probe (87480) $68.40 $91.20 3.4×
Carbamazepine total (80156) $107.18 $142.90 7.4×
Carboxyhemoglobin (82375) $102.22 $136.30 8.3×
Carcinoembryonic antigen (82378) $114.38 $152.50 6.0×
Cardiolipin ab iga (86147) $52.12 $69.50 2.0×
Catecholamines fractionated (82384) $430.42 $573.90 17.0×
Ccp antibody (86200) $87.75 $117 6.8×
Cell count csf (89051) $36.75 $49 6.6×
Ceruloplasmin (82390) $57.53 $76.70 5.4×
Chemiluminescent assay (82397) $163.73 $218.30 11.6×
Chloride Serum (82435) $57.08 $76.10 12.4×
Chloride urine (82436) $17.55 $23.40 3.1×
Cholesterol total (82465) $47.32 $63.10 10.9×
Chorionic gonadotropin test (84702) $127.57 $170.10 8.5×
Chromium serum (82495) $93.68 $124.90 4.6×
Chromogranin a (86316) $174.68 $232.90 8.4×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 6 matching MRF lines
$66.53–$73.43 $88.70–$97.90 varies
Citric acid urine (82507) $45.38 $60.50 1.6×
Ckmb (82553) $135 $180 11.7×
Clostridium Difficile (87324)
range across 8 matching MRF lines
$49.65–$168.23 $66.20–$224.30 varies
Clotting factor xii hageman (85280) $290.62 $387.50 15.0×
Clotting Funct Activity (85397) $628.28 $837.70 20.4×
Cold agglutinin titer (86157) $39 $52 4.8×
Compatibility test antiglob (86922) $93.60 $124.80 0.5×
Complement Antigen Each Component (86160) $108.30 $144.40 9.0×
Coombs direct (86880) $64.95 $86.60 12.1×
Copper urine (82525) $174.30 $232.40 14.0×
Cortisol free (82530) $32.85 $43.80 2.0×
Cortisol saliva (82533) $182.32 $243.10 11.2×
Creatine kinase total (82550) $78.15 $104.20 12.0×
Creatinine blood (82565) $51.82 $69.10 10.1×
Creatinine Urine (82570) $37.65 $50.20 7.3×
Crossmatch immediate spin (86920) $108.15 $144.20 0.6×
Crp High Sensitivity (86141) $53.40 $71.20 4.1×
Cryptosporidium (87272) $47.18 $62.90 3.9×
Cryptosporidium ag eia (87328) $139.80 $186.40 10.1×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 5 matching MRF lines
$19.42–$95.32 $25.90–$127.10 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $65.93 $87.90 8.2×
Culture afb (87116) $74.32 $99.10 6.9×
Culture Anaerobic (87075) $42.68 $56.90 4.5×
Culture blood (87040) $66.15 $88.20 6.4×
Culture csf (87070) $95.02 $126.70 11.0×
Culture fungus (87102) $88.57 $118.10 10.5×
Culture screen only (87081) $46.28 $61.70 7.0×
Culture stool (87045) $65.18 $86.90 6.9×
Culture urine (87086) $77.93 $103.90 9.7×
Cyclosporine (80158) $245.10 $326.80 13.6×
Cytomegalovirus igg (86644) $174.45 $232.60 12.1×
Cytopath Cell Enhance Tech (88112)
range across 6 matching MRF lines
$67.12–$67.20 $89.50–$89.60 varies
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $100.50 $134 3.8×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $367.50 $490 6.9×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $126.75 $169 0.7×
Detect Agent Nos Dna Amp (87798)
range across 3 matching MRF lines
$91.50–$476.92 $122–$635.90 varies
Detect Agent Nos Dna Quant (87799) $480.45 $640.60 11.2×
Dhea (82626) $148.05 $197.40 5.9×
Dhea-S (82627) $258.90 $345.20 11.6×
Digoxin (80162) $111.38 $148.50 8.4×
Dna Antibody Native/Double Stranded (86225)
range across 3 matching MRF lines
$36.75–$174.75 $49–$233 varies
Dna/Rna Amplified Probe (87150) $69.22 $92.30 2.0×
Drug assay acetaminophen (80143) $129.15 $172.20 6.9×
Drug Screen Quantitative Lamotrigine (80175) $111.38 $148.50 8.4×
Drug Screen Quantitative Levetiracetam (80177) $134.18 $178.90 10.1×
Drug Screen Quantitative Oxcarbazepine (80183) $125.78 $167.70 9.5×
Drug Test Prsmv Chem Anlyzr (80307)
range across 2 matching MRF lines
$73.88–$111.98 $98.50–$149.30 varies
Drug Test Prsmv Dir Opt Obs (80305) $291 $388 23.1×
Electrolyte panel (80051) $98.48 $131.30 14.0×
Erythropoietin (82668) $192.38 $256.50 10.2×
Estradiol serum (82670) $198.75 $265 7.1×
Exam Synovial Fluid Crystals (89060) $40.12 $53.50 5.5×
F2 Gene (81240) $389.70 $519.60 5.9×
Factor ix activity (85250) $290.62 $387.50 15.3×
Factor v activity (85220) $290.62 $387.50 16.5×
Factor v leiden mutation (81241) $229.42 $305.90 3.1×
Factor viii assay (85240) $297.15 $396.20 16.6×
Factor xi activity (85270) $290.62 $387.50 16.2×
Fat/Lipids Feces Quantitative (82710) $139.43 $185.90 8.3×
Ferritin (82728) $97.20 $129.60 7.1×
Fibrin Degradation Quant (85379) $136.27 $181.70 13.4×
Fibrinogen activity (85384) $77.03 $102.70 7.9×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $180.08 $240.10 11.6×
Flow cytometry first marker (88184) $159.45 $212.60 0.4×
Fluorescent antibody screen (86255) $174.75 $233 14.5×
Folic Acid Serum (82746) $132.38 $176.50 9.0×
Follicle Stimulating Hormone (83001) $120.22 $160.30 6.5×
Fungi Identification Yeast (87106) $62.62 $83.50 6.1×
Gammaglobulin ige (82785) $57.38 $76.50 3.5×
Gardner vag DNA dir probe (87510) $68.40 $91.20 3.4×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $873.08 $1,164.10 2.1×
Gentamicin (80170) $104.55 $139.40 6.4×
Ggt (82977) $76.57 $102.10 10.6×
Glucose 2 hr pp (82950) $35.47 $47.30 7.5×
Glucose Blood Test (82962) $24 $32 7.3×
Glucose body fluid (82945) $14.25 $19 3.6×
Glucose Serum (82947)
range across 3 matching MRF lines
$47.32–$108.07 $63.10–$144.10 varies
Glucose tolerance test (gtt) (82951) $108.07 $144.10 8.4×
Gonadotropin Chorionic Qualitative (84703) $39.08 $52.10 5.2×
Gtt-added samples (82952) $35.47 $47.30 9.0×
H pylri clrthmcn rst amp prb (87513) $476.92 $635.90 13.6×
Haptoglobin (83010) $16.58 $22.10 1.3×
Hematocrit (85014) $21.98 $29.30 9.3×
Hemoglobin (85018) $24.83 $33.10 10.5×
Hemoglobin a1c (83036) $93 $124 9.6×
Hemoglobin Chromotography (83021) $33.60 $44.80 1.9×
Hemoglobin electrophoresis (83020) $100.35 $133.80 7.8×
Hepatitis a antibody total (86708) $47.70 $63.60 3.8×
Hepatitis b core ab igm (86705) $36.15 $48.20 3.1×
Hepatitis b core ab total (86704) $47.70 $63.60 4.0×
Hepatitis B Surface Antibody (86706) $47.70 $63.60 4.4×
Hepatitis B Surface Antigen (87340) $47.70 $63.60 4.6×
Hepatitis Be Antibody (86707) $47.70 $63.60 4.1×
Hepatitis Be Antigen (87350) $47.70 $63.60 4.1×
Hepatitis C Antibody (86803) $47.70 $63.60 3.3×
Hepatitis C Genotype (87902) $580.72 $774.30 2.3×
Hepatitis C Revrs Trnscrpj (87522) $73.35 $97.80 1.7×
Hepatitis d quantification (87523) $141.68 $188.90 3.3×
Herpes simplex type 2 (86696) $65.03 $86.70 3.4×
Heterophile Antibody Screen (86308) $43.28 $57.70 8.4×
Hfe Gene (81256) $664.88 $886.50 10.2×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $87 $116 3.6×
Hiv-1 Quant&Revrse Trnscrpj (87536) $798 $1,064 9.4×
Hla-b27 (86812) $232.35 $309.80 9.0×
Homocysteine (83090) $223.12 $297.50 12.5×
Hsv Dna Amp Probe (87529)
range across 6 matching MRF lines
$31.20–$476.92 $41.60–$635.90 varies
Hydroxyprogesterone 17-d (83498) $301.35 $401.80 11.1×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $104.48 $139.30 7.5×
Iaadi giardia (87269) $47.18 $62.90 3.5×
Iadna Cytomegalovirus Quantification (87497) $643.50 $858 15.0×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 6 matching MRF lines
$73.43–$77.62 $97.90–$103.50 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $295.27 $393.70 2.1×
Igg subclasses (82787) $49.80 $66.40 6.2×
Immunfix e-phorsis/urine/csf (86335) $42.22 $56.30 1.4×
Immunoassay Analyte Quant Radioimmunoassay (83519) $309.83 $413.10 16.8×
Immunoassay nonantibody (83516) $181.27 $241.70 15.7×
Immunofixation electrophoresis (86334) $101.18 $134.90 4.5×
Immunohistochemistry (88342) $77.25 $103 0.4×
Influenza assay w/optic (87804)
range across 4 matching MRF lines
$63.97–$97.50 $85.30–$130 varies
Influenza DNA amp probe (87502)
range across 4 matching MRF lines
$187.42–$194.92 $249.90–$259.90 varies
Inhibin b (83520)
range across 5 matching MRF lines
$87–$123.45 $116–$164.60 varies
Insulin total (83525) $191.10 $254.80 16.7×
Iron (83540) $94.72 $126.30 14.6×
Iron Binding Capacity (83550) $39.08 $52.10 4.5×
Jak2 gene analysis p.val617phe variant (81270) $228.68 $304.90 2.5×
Koh Prep (87220) $45.38 $60.50 10.6×
Lactate (ld) (ldh) enzyme (83615) $56.70 $75.60 9.4×
LDL direct (83721) $72.30 $96.40 6.9×
Lead (83655) $134.25 $179 11.1×
Legionella antigen urine (87449)
range across 3 matching MRF lines
$53.25–$168.75 $71–$225 varies
Leukocyte Assessment Fecal (89055) $145.73 $194.30 34.1×
Level I Surg Pathology Gross Examination Only (88300) $35.81 $47.75 1.2×
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 3 matching MRF lines
$632.62–$632.70 $843.50–$843.60 varies
Lipase (83690) $77.03 $102.70 11.2×
Lithium (80178) $53.40 $71.20 8.1×
Luteinizing Hormone (Lh) (83002) $108.98 $145.30 5.9×
Lyme disease antibody (86618) $90.60 $120.80 5.3×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $759.08 $1,012.10 4.4×
M/phmtrc alys ishquant/semiq (88374) $632.70 $843.60 3.6×
Macroscopic Exam Parasite (87169) $25.88 $34.50 6.0×
Magnesium Urine (83735) $74.03 $98.70 11.0×
Mass Spectrometry Quant (83789) $64.35 $85.80 2.7×
Mercury urine (83825) $83.62 $111.50 5.1×
Metabolic panel ionized ca (80047) $134.48 $179.30 9.8×
Methylmalonic acid serum (83921) $397.95 $530.60 18.8×
Microalbumin, quantitative (82043) $45.38 $60.50 7.9×
Microsomal Antibodies Each (86376) $65.47 $87.30 4.5×
Mononuclear cell antigen (86356) $145.05 $193.40 5.4×
Mrsa Pcr (87641) $81.68 $108.90 2.3×
Mthfr Gene Analysis Common Variants (81291) $259.95 $346.60 4.0×
Mumps antibody (86735) $34.95 $46.60 2.7×
Muscle-Specific Kinase Antb (86366) $309.83 $413.10 16.8×
Myoglobin urine (83874) $90.07 $120.10 7.0×
Natriuretic peptide (83880)
range across 2 matching MRF lines
$189.30–$191.02 $252.40–$254.70 varies
Nfct ds chrnc hcv 6 assays (81596) $258.23 $344.30 3.6×
Nk cells total count (86357) $81.07 $108.10 2.1×
Nuclear antigen antibody (86235) $170.77 $227.70 9.5×
Occult blood feces (82272) $29.33 $39.10 6.9×
Occult Blood Other Sources (82271) $26.17 $34.90 4.9×
Osmolality serum (83930) $45.38 $60.50 6.9×
Osmolality Urine (83935) $15.15 $20.20 2.2×
Ova and parasites smears (87177) $83.62 $111.50 9.4×
Oxalate urine (83945) $29.40 $39.20 2.0×
Ph urine (81003) $23.70 $31.60 10.5×
Phenobarbital Level (80184) $90.07 $120.10 5.9×
Phenytoin (Dilantin) (80185) $101.70 $135.60 7.7×
Phenytoin free (80186) $70.57 $94.10 5.1×
Phosphatase alkaline (84075) $47.32 $63.10 9.1×
Phospholipid Neutralization Hexagonal (85598) $327.38 $436.50 18.2×
Phosphorus Serum (84100) $51.82 $69.10 10.9×
Pinworm exam (87172) $42.15 $56.20 9.9×
Platelet count automated (85049) $22.58 $30.10 5.0×
Platelet neutralization (85597) $44.78 $59.70 2.5×
Potassium Urine (84133) $38.25 $51 8.1×
Prealbumin (84134) $102 $136 7.0×
Pregnenolone (84140) $127.50 $170 6.2×
Procalcitonin (Pct) (84145) $181.35 $241.80 6.7×
Progesterone (84144) $164.32 $219.10 7.9×
Prolactin (84146) $123.22 $164.30 6.4×
Protein body fluid (84157) $37.65 $50.20 9.4×
Protein C Activity (85303) $266.33 $355.10 19.2×
Protein c antigen (85302) $398.10 $530.80 33.1×
Protein Electrophoresis Urine (84166) $42.22 $56.30 2.4×
Protein Electrophoretic Fractj&Quantj Serum (84165) $111.38 $148.50 10.4×
Protein S Free (85306) $204.15 $272.20 13.3×
Protein total serum (84155) $37.65 $50.20 10.3×
Protein Total Urine (84156) $37.65 $50.20 10.3×
Prothrombin Time Substitution Plasma Frctj Each (85611) $112.12 $149.50 28.5×
PSA free (84154) $84.38 $112.50 4.6×
Pth Intact (83970) $171.52 $228.70 4.2×
Q Fever Antibody (86638) $124.05 $165.40 10.2×
Quantiferon tb gold plus (86480)
range across 2 matching MRF lines
$105.30–$109.57 $140.40–$146.10 varies
Quantitative Screen Metals (83018) $75.97 $101.30 3.5×
Rbc antibody identification (86870) $234.60 $312.80 0.6×
Rbc antibody screen (86850)
range across 3 matching MRF lines
$62.47–$72.82 $83.30–$97.10 varies
Reagent Strip/Blood Glucose (82948) $38.85 $51.80 7.7×
Renin activity plasma (84244) $234.68 $312.90 10.7×
Reptilase test (85635) $145.73 $194.30 14.8×
Reticulocyte Count (85046) $249.75 $333 44.8×
Rh (86901) $36.38 $48.50 12.2×
Rheumatoid factor quant (86431) $24.90 $33.20 4.4×
Rotavirus ag eia (87425) $72.30 $96.40 6.0×
Rpr qualitative (86592) $91.20 $121.60 21.4×
Rsv Assay W/Optic (87807) $104.48 $139.30 8.0×
Rubella Antibody (86762) $53.25 $71 3.7×
Rubeola antibody (86765) $149.40 $199.20 11.6×
Russell Viper Venom Time Diluted (85613) $23.55 $31.40 2.5×
Russell Viper Venon Time Undiluted (85612) $42.15 $56.20 2.4×
Salicylate Level (80179) $129.15 $172.20 6.9×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 6 matching MRF lines
$137.93–$143.40 $183.90–$191.20 varies
Sars-cov-2 COVID-19 antibody (86769) $81.07 $108.10 1.9×
Sarscov2&inf a&b&rsv amp prb (87637) $172.12 $229.50 1.2×
Sedimentation Rate, Automated (85652) $42.08 $56.10 15.6×
Selenium (84255) $173.85 $231.80 6.8×
Semen Anal Sperm Detection (89321) $102.15 $136.20 8.5×
Sensitivity mic (87186) $46.28 $61.70 5.4×
Sex Hormone Binding Globulin (84270) $173.40 $231.20 8.0×
Sickling of rbc reduction (85660) $45.22 $60.30 8.2×
Smear acid fast (87206) $74.70 $99.60 13.9×
Smear complex stain (87209)
range across 3 matching MRF lines
$42.22–$65.93 $56.30–$87.90 varies
Smear gram stain (87205) $27.08 $36.10 6.3×
Smr Prim Src Wet Mount Nfct Agt (87210) $36.08 $48.10 6.2×
Sodium Serum (84295) $51.38 $68.50 10.7×
Sodium Urine (84300) $38.25 $51 7.6×
Soluble Transferrin Receptor (84238) $202.58 $270.10 5.5×
Somatomedin (84305) $112.65 $150.20 5.3×
Special Stains Group 1 (88312) $59.81 $79.75 1.1×
Special Stains Group 2 (88313) $189.75 $253 1.4×
Specimen infect agnt concntj (87015) $48.15 $64.20 7.2×
Staph a DNA amp probe (87640) $81.68 $108.90 2.3×
Stool cultr aerobic bact ea (87046) $63.68 $84.90 6.7×
Strep a assay w/optic (87880) $48 $64 2.9×
Surg path level iii (88304) $58.12 $77.50 1.1×
Surgical pathology level IV (88305)
range across 5 matching MRF lines
$63.19–$63.22 $84.25–$84.30 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $289.35 $385.80 6.2×
T cells total count (86359) $297.23 $396.30 7.9×
T3 Free (84481) $35.33 $47.10 2.1×
T3 reverse (84482) $130.80 $174.40 8.3×
T3 Total (84480) $125.18 $166.90 8.8×
T3 Uptake (84479) $6.60 $8.80 1.0×
T4 Free (84439) $86.85 $115.80 9.6×
T4 total (84436) $63.15 $84.20 9.2×
Tacrolimus (80197)
range across 2 matching MRF lines
$133.88–$367.95 $178.50–$490.60 varies
Testosterone total (84403) $197.70 $263.60 7.7×
Testosterone, Free (84402) $296.55 $395.40 11.6×
Thrombin Time (85670) $180.08 $240.10 31.2×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $58.12 $77.50 9.0×
Thyroglobulin (84432) $28.95 $38.60 1.8×
Thyroglobulin Antibody (86800) $117.68 $156.90 7.4×
Thyroid Stimulating Immunoglobulin (84445) $440.48 $587.30 8.7×
Tiss Trnsgltmnase Ea Ig Clas (86364) $190.65 $254.20 16.5×
Toxoplasma antibody (86777) $150.23 $200.30 10.4×
Transferase Aspartate Amino Ast Sgot (84450) $47.32 $63.10 9.1×
Transferrin (84466) $45.60 $60.80 3.6×
Trichomonas vagin dir probe (87660) $68.40 $91.20 3.4×
Triglycerides (84478) $74.10 $98.80 12.9×
Troponin Quant (84484)
range across 3 matching MRF lines
$258.23–$273.83 $344.30–$365.10 varies
Tumor Immunohistochem/Manual (88360) $282.19 $376.25 1.6×
Uric acid other source (84560) $81.98 $109.30 16.1×
Urinalysis Microscopic Only (81015) $77.70 $103.60 25.5×
Urine Pregnancy Test (81025) $71.40 $95.20 8.3×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $101.40 $135.20 32.0×
Valproic acid (80164) $44.78 $59.70 3.3×
Vancomycin (80202) $66.97 $89.30 4.9×
Varicella-zoster antibody (86787) $66.30 $88.40 5.1×
Viscosity serum (85810) $148.57 $198.10 12.7×
Vit D 1 25-Dihydroxy (82652) $32.25 $43 0.8×
Vitamin A (84590) $105.82 $141.10 9.1×
Vitamin b-12 (82607) $121.12 $161.50 8.0×
Vitamin B6 (84207) $353.85 $471.80 12.6×
Vitamin D 25-Hydroxy (82306) $118.20 $157.60 4.0×
Vitamin E (84446) $153.60 $204.80 10.8×
Von willebrand factor ag (85246) $628.28 $837.70 27.4×
Zinc (84630) $141.45 $188.60 12.4×

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.