Lab & pathology prices at Tomah Memorial Hospital
Tomah, WI · every code in this section with a posted price and a Medicare benchmark.
599 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $63.68 | $110.75 | 2.8× |
| Acetylcholine receptor binding antibody (86041) | $32.78 | $57 | 1.8× |
| Acetylcholn Rcptr Modlg Antb (86043) | $26.31 | $45.75 | 2.2× |
| Acth (82024) | $141.45 | $246 | 3.7× |
| Acylcarnitines Quant (82017) | $85.68 | $149 | 5.1× |
| Albumin Fluid (82042) | $26.31 | $45.75 | 3.4× |
| Albumin serum (82040) | $47.15 | $82 | 9.5× |
| Aldolase (82085) | $57.21 | $99.50 | 5.9× |
| Aldosterone urine (82088) | $97.89 | $170.25 | 2.4× |
| Alkaline phosphatase isoenzymes (84080) | $188.31 | $327.50 | 12.7× |
| Allergen specific ige (86003) | $10.35 | $18 | 2.0× |
| Alpha-1-antitrypsin phenotype (82104) | $23.72 | $41.25 | 1.6× |
| Alpha-1-antitrypsin total (82103) | $75.18 | $130.75 | 5.6× |
| Alpha-Fetoprotein Serum (82105) | $111.55 | $194 | 6.7× |
| Alt (sgpt) (84460) | $47.15 | $82 | 8.9× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $157.98 | $274.75 | 9.4× |
| Ammonia (82140) | $106.95 | $186 | 7.3× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $177.10 | $308 | 1.8× |
| Amylase urine (82150) | $98.76 | $171.75 | 15.2× |
| Ana Titer (86039) | $32.49 | $56.50 | 2.9× |
| Anca screen each antibody (86036) | $94.16 | $163.75 | 7.8× |
| Androstenedione (82157) | $54.05 | $94 | 1.8× |
| Angiotensin converting enzyme csf (82164) | $113.42 | $197.25 | 7.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $43.56 | $75.75 | 2.8× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $54.63 | $95 | 3.2× |
| Antibody Encephalitis California La Crosse (86651) | $51.03 | $88.75 | 3.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $38.96 | $67.75 | 3.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $32.20 | $56 | 2.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $54.63 | $95 | 3.0× |
| Antibody Fungus Not Elsewhere Specified (86671) | $161.86 | $281.50 | 13.2× |
| Antibody helicobacter pylori (86677) | $74.18 | $129 | 4.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $135.84 | $236.25 | 9.4× |
| Antibody Herpes Smplx Type 1 (86695) | $23 | $40 | 1.7× |
| Antibody HIV-1&HIV-2 single result (86703) | $68.28 | $118.75 | 5.0× |
| Antibody HIV-2 (86702) | $94.16 | $163.75 | 7.0× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $375.19 | $652.50 | 1.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $157.98 | $274.75 | 8.2× |
| Antibody john cunningham virus (86711) | $45.28 | $78.75 | 2.7× |
| Antibody Protozoa Nes (86753) | $72.59 | $126.25 | 5.9× |
| Antibody Titer (86886) | $65.41 | $113.75 | 12.6× |
| Antibody Treponema Pallidum (86780) | $80.64 | $140.25 | 6.1× |
| Antibody; encephalitis, st. louis (86653) | $51.03 | $88.75 | 3.9× |
| Antigen typing (86905) | $54.63 | $95 | 14.3× |
| Antinuclear antibodies (86038) | $50.46 | $87.75 | 4.2× |
| Antistreptolysin O Screen (86063) | $50.74 | $88.25 | 8.8× |
| Antistreptolysin o titer (86060) | $24.15 | $42 | 3.3× |
| Antithrombin iii activity (85300) | $169.05 | $294 | 14.3× |
| Antithrombin iii antigen (85301) | $65.41 | $113.75 | 6.1× |
| Apolipoprotein a1 (82172) | $45.28 | $78.75 | 2.1× |
| Aquaporin-4 Antb Cba Each (86052) | $21.85 | $38 | 1.8× |
| Arsenic (82175) | $29.61 | $51.50 | 1.6× |
| Aspergillus ag eia (87305) | $43.99 | $76.50 | 3.7× |
| Assay activated protein c (85307) | $67.99 | $118.25 | 4.4× |
| Assay Blood Carbon Dioxide (82374) | $47.15 | $82 | 9.7× |
| Assay Nephelometry Not Spec (83883) | $73.17 | $127.25 | 5.4× |
| Assay of 5-hiaa (83497) | $64.26 | $111.75 | 5.0× |
| Assay of anti-mullerian hormone (82166) | $94.01 | $163.50 | 2.4× |
| Assay of blood/uric acid (84550) | $51.03 | $88.75 | 11.3× |
| Assay of calcium in urine (82340) | $41.98 | $73 | 7.0× |
| Assay of cpk in blood (82552) | $82.51 | $143.50 | 6.2× |
| Assay of estrone (82679) | $188.31 | $327.50 | 7.5× |
| Assay of g6pd enzyme (82955) | $64.69 | $112.50 | 6.7× |
| Assay of gammaglobulin igm (82784) | $54.63 | $95 | 5.9× |
| Assay of lactic acid (83605) | $70.87 | $123.25 | 6.1× |
| Assay of manganese (83785) | $62.53 | $108.75 | 2.3× |
| Assay of metanephrines (83835) | $86.68 | $150.75 | 5.1× |
| Assay of proinsulin (84206) | $203.26 | $353.50 | 7.6× |
| Assay of pyruvate (84210) | $89.41 | $155.50 | 6.2× |
| Assay of serum potassium (84132) | $47.15 | $82 | 9.9× |
| Assay of sweat sodium (84302) | $95.74 | $166.50 | 19.7× |
| Assay of urea nitrogen (84520) | $47.15 | $82 | 11.9× |
| Assay of urine vma (84585) | $94.16 | $163.75 | 6.1× |
| Assay of vasoactive intestinal peptide (84586) | $213.90 | $372 | 6.1× |
| Assay of vitamin b-1 (84425) | $115.14 | $200.25 | 5.4× |
| Assay Ph Body Fluid Nos (83986) | $42.26 | $73.50 | 11.8× |
| Assay spec xcp ur&breath ia (82077) | $53.48 | $93 | 3.1× |
| Automated Leukocyte Count (85048) | $37.66 | $65.50 | 14.8× |
| B cells total count (86355) | $153.09 | $266.25 | 4.1× |
| Babesia microti amp prb (87469) | $267.09 | $464.50 | 7.6× |
| Bartonella antibody (86611) | $18.11 | $31.50 | 1.8× |
| Bcr/abl1 gene major bp (81206) | $288.94 | $502.50 | 1.8× |
| Bcr/abl1 gene minor bp (81207) | $224.68 | $390.75 | 1.6× |
| Bcr/Abl1 Gene Other Bp (81208) | $323.01 | $561.75 | 1.5× |
| Beta 2 glycoprotein i antibody each (86146) | $110.11 | $191.50 | 4.3× |
| Beta hydroxybutyrate (82010) | $61.09 | $106.25 | 7.5× |
| Beta-2 Microglobulin (82232) | $59.51 | $103.50 | 3.7× |
| Bile acids total (82239) | $199.96 | $347.75 | 11.7× |
| Bilirubin direct (82248) | $73.46 | $127.75 | 14.6× |
| Bilirubin total (82247) | $70.29 | $122.25 | 14.0× |
| Bilirubin total transcutaneous (88720) | $32.78 | $57 | 6.5× |
| Blastomyces antibody (86612) | $69.14 | $120.25 | 5.4× |
| Bld Typing Serologic Rh Phnt (86906) | $48.73 | $84.75 | 6.3× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $45.57 | $79.25 | 9.0× |
| Blood count reticulocyte automated (85045) | $31.48 | $54.75 | 7.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $37.66 | $65.50 | 9.9× |
| Blood gas (82803) | $223.39 | $388.50 | 8.6× |
| Blood gases w/02 saturation (82805) | $57.93 | $100.75 | 0.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $55.20 | $96 | 3.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $45.28 | $78.75 | 10.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $92.29 | $160.50 | 14.5× |
| Blood typing serologic abo (86900) | $47.15 | $82 | 15.8× |
| Body fluid cell count (89050) | $37.66 | $65.50 | 8.0× |
| Brucella antibody (86622) | $63.68 | $110.75 | 7.1× |
| C diff amplified probe (87493) | $295.69 | $514.25 | 7.9× |
| C-Peptide (84681) | $62.10 | $108 | 3.0× |
| C-reactive protein (86140) | $66.41 | $115.50 | 12.8× |
| Ca 19-9 (86301) | $75.47 | $131.25 | 3.6× |
| Cadmium (82300) | $41.26 | $71.75 | 1.7× |
| Calcitonin (82308) | $63.68 | $110.75 | 2.4× |
| Calcium ionized (82330) | $63.97 | $111.25 | 4.7× |
| Calcium total (82310) | $47.15 | $82 | 9.1× |
| Calculus Spectroscopy (82365) | $95.74 | $166.50 | 7.4× |
| Calprotectin Fecal (83993) | $188.31 | $327.50 | 9.6× |
| Calr gene com variants (81219) | $295.98 | $514.75 | 2.4× |
| Cancer Antigen 125 (86304) | $86.68 | $150.75 | 4.2× |
| Cancer Antigen 27.29 (86300) | $154.68 | $269 | 7.4× |
| Candida antibody (86628) | $29.18 | $50.75 | 2.4× |
| Carbamazepine free (80157) | $38.67 | $67.25 | 2.9× |
| Carbamazepine total (80156) | $106.66 | $185.50 | 7.3× |
| Carbohydrate Deficient Transferrin (82373) | $71.44 | $124.25 | 4.0× |
| Carboxyhemoglobin (82375) | $90.71 | $157.75 | 7.4× |
| Carcinoembryonic antigen (82378) | $59.23 | $103 | 3.1× |
| Cardiolipin ab iga (86147) | $34.79 | $60.50 | 1.4× |
| Carnitine Quantitative Each Specimen (82379) | $63.97 | $111.25 | 3.8× |
| Catecholamines fractionated (82384) | $74.89 | $130.25 | 3.0× |
| Ccp antibody (86200) | $83.38 | $145 | 6.4× |
| Cell count csf (89051) | $75.47 | $131.25 | 13.5× |
| Ceruloplasmin (82390) | $60.81 | $105.75 | 5.7× |
| Chemiluminescent assay (82397) | $61.09 | $106.25 | 4.3× |
| Chlamydia antibody (86631) | $12.51 | $21.75 | 1.1× |
| Chlamydia Igm Antibody (86632) | $12.51 | $21.75 | 1.0× |
| Chlmy trch&neisra gonor mult (87494) | $123.63 | $215 | 1.8× |
| Chloride other source (82438) | $95.74 | $166.50 | 19.1× |
| Chloride Serum (82435) | $47.15 | $82 | 10.3× |
| Chloride urine (82436) | $37.38 | $65 | 6.5× |
| Cholesterol total (82465) | $52.33 | $91 | 12.0× |
| Cholinesterase rbc (82482) | $54.63 | $95 | 5.6× |
| Cholinesterase Serum (82480) | $27.31 | $47.50 | 3.5× |
| Chorionic gonadotropin test (84702) | $77.63 | $135 | 5.2× |
| Chromium serum (82495) | $105.08 | $182.75 | 5.2× |
| Chromogenic Substrate Assay (85130) | $35.79 | $62.25 | 3.0× |
| Chromogranin a (86316) | $42.98 | $74.75 | 2.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $49.88 | $86.75 | 1.4× |
| Citric acid urine (82507) | $31.48 | $54.75 | 1.1× |
| Ckmb (82553) | $120.32 | $209.25 | 10.4× |
| Clostridium Difficile (87324) | $20.84 | $36.25 | 1.7× |
| Clot Factor VIII Multimetric (85247) | $88.55 | $154 | 3.9× |
| Clotting factor xii hageman (85280) | $90.71 | $157.75 | 4.7× |
| Clotting Funct Activity (85397) | $153.38 | $266.75 | 5.0× |
| Cns DNA amp probe type 12-25 (87483) | $796.38 | $1,385 | 1.9× |
| Coccidioides antibody (86635) | $69.58 | $121 | 6.1× |
| Cold agglutinin titer (86157) | $58.36 | $101.50 | 7.2× |
| Collagen crosslinks (82523) | $51.32 | $89.25 | 2.7× |
| Column Chromotography Quant (82542) | $84.53 | $147 | 3.5× |
| Compatibility test antiglob (86922) | $149.50 | $260 | 0.9× |
| Complement Antigen Each Component (86160) | $141.45 | $246 | 11.8× |
| Complement Total (Ch50) (86162) | $61.09 | $106.25 | 3.0× |
| Complement/Function Activity (86161) | $169.34 | $294.50 | 14.1× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $226.69 | $394.25 | 1.4× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $226.69 | $394.25 | 4.5× |
| Coombs direct (86880) | $39.24 | $68.25 | 7.3× |
| Copper urine (82525) | $65.41 | $113.75 | 5.3× |
| Cortisol free (82530) | $65.41 | $113.75 | 3.9× |
| Cortisol saliva (82533) | $86.11 | $149.75 | 5.3× |
| Creatine kinase total (82550) | $83.38 | $145 | 12.8× |
| Creatinine blood (82565) | $47.15 | $82 | 9.2× |
| Creatinine clearance (82575) | $67.99 | $118.25 | 7.2× |
| Creatinine Urine (82570) | $41.98 | $73 | 8.1× |
| Crossmatch immediate spin (86920) | $49.88 | $86.75 | 0.3× |
| Crp High Sensitivity (86141) | $80.07 | $139.25 | 6.2× |
| Cryofibrinogen (82585) | $33.78 | $58.75 | 2.4× |
| Cryoglobulin (82595) | $33.78 | $58.75 | 5.2× |
| Cryptococcus ag titer (87899) | $44.71 | $77.75 | 2.8× |
| Cryptosporidium ag eia (87328) | $45.28 | $78.75 | 3.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$85.39–$85.53 | $148.50–$148.75 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $173.94 | $302.50 | 21.5× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,335.15 | $2,322 | 6.1× |
| Culture aerobic quant other (87071) | $305.61 | $531.50 | 30.9× |
| Culture afb (87116) | $71.16 | $123.75 | 6.6× |
| Culture Anaerobic (87075) | $61.81 | $107.50 | 6.5× |
| Culture blood (87040) | $187.31 | $325.75 | 18.2× |
| Culture chlamydia (87110) | $83.38 | $145 | 4.3× |
| Culture csf (87070) | $131.53 | $228.75 | 15.3× |
| Culture fungus (87102) | $59.23 | $103 | 7.0× |
| Culture fungus blood (87103) | $86.11 | $149.75 | 4.2× |
| Culture screen only (87081) | $46.43 | $80.75 | 7.0× |
| Culture stool (87045) | $52.04 | $90.50 | 5.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $25.30 | $44 | 4.9× |
| Culture urine (87086) | $125.21 | $217.75 | 15.5× |
| Cyclosporine (80158) | $71.16 | $123.75 | 3.9× |
| Cystatin C (82610) | $52.04 | $90.50 | 2.8× |
| Cytogenetics 100-300 (88275) | $568.39 | $988.50 | 11.1× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,137.35 | $1,978 | 1.0× |
| Cytomegalovirus igg (86644) | $49.16 | $85.50 | 3.4× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $75.47 | $131.25 | 3.7× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$74.89–$185.58 | $130.25–$322.75 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $81.94 | $142.50 | 3.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$75.18–$114.28 | $130.75–$198.75 | varies |
| Deoxyribonuclease antibody (86215) | $110.98 | $193 | 8.4× |
| Detect Agent Nos Dna Amp (87798) | $304.75 | $530 | 8.7× |
| Detect Agent Nos Dna Quant (87799) | $279.02 | $485.25 | 6.5× |
| Detect agnt mult DNA ampli (87801) | $217.78 | $378.75 | 3.1× |
| Dgp Antibody Each Ig Class (86258) | $94.01 | $163.50 | 7.8× |
| Dhea (82626) | $53.33 | $92.75 | 2.1× |
| Dhea-S (82627) | $86.97 | $151.25 | 3.9× |
| Dibucaine number (82638) | $27.31 | $47.50 | 2.2× |
| Digoxin (80162) | $106.66 | $185.50 | 8.0× |
| Dipropylacetic Acid Free (80165) | $41.98 | $73 | 3.1× |
| Dna Antibody Native/Double Stranded (86225) | $102.49 | $178.25 | 7.5× |
| Dna/Rna Amplified Probe (87150) | $61.81 | $107.50 | 1.8× |
| DNA/RNA direct probe (87149) | $102.49 | $178.25 | 5.1× |
| Dna/Rna Sequencing (87153) | $153.67 | $267.25 | 1.3× |
| Drug assay acetaminophen (80143) | $58.22 | $101.25 | 3.1× |
| Drug Assay Amiodarone (80151) | $28.32 | $49.25 | 1.5× |
| Drug Assay Infliximab (80230) | $224.68 | $390.75 | 5.8× |
| Drug Assay Lacosamide (80235) | $209.73 | $364.75 | 7.7× |
| Drug Assay Posaconazole (80187) | $241.93 | $420.75 | 8.9× |
| Drug Assay Vedolizumab (80280) | $39.39 | $68.50 | 1.0× |
| Drug assay voriconazole (80285) | $141.45 | $246 | 5.2× |
| Drug Screen Quant Clozapine (80159) | $56.49 | $98.25 | 2.8× |
| Drug Screen Quant Zonisamide (80203) | $34.64 | $60.25 | 2.6× |
| Drug Screen Quantitative Gabapentin (80171) | $88.26 | $153.50 | 4.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $95.74 | $166.50 | 7.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $135.27 | $235.25 | 10.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $72.59 | $126.25 | 5.5× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $75.47 | $131.25 | 4.5× |
| Drug Test Prsmv Chem Anlyzr (80307) | $145.91 | $253.75 | 2.3× |
| Drug Test Prsmv Dir Opt Obs (80305) | $288.08 | $501 | 22.9× |
| Drug Test Prsmv Instrmnt (80306) | $94.01 | $163.50 | 5.5× |
| Ehrlichia antibody (86666) | $56.21 | $97.75 | 5.5× |
| El-1 Fecal Quantitative (82653) | $38.67 | $67.25 | 1.7× |
| Electrolyte panel (80051) | $139.44 | $242.50 | 19.9× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $70.29 | $122.25 | 1.1× |
| Encephaltis East Eqne Anbdy (86652) | $51.03 | $88.75 | 3.9× |
| Encephaltis West Eqne Antbdy (86654) | $51.03 | $88.75 | 3.9× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $71.44 | $124.25 | 5.9× |
| Enterovirus PCR (87498) | $105.37 | $183.25 | 3.0× |
| Enzyme cell activity (82657) | $187.88 | $326.75 | 8.5× |
| Enzyme histochemistry (88319) | $512.47 | $891.25 | 0.7× |
| Eosinophil Smear (89190) | $41.54 | $72.25 | 7.2× |
| Erythropoietin (82668) | $164.59 | $286.25 | 8.8× |
| Estradiol serum (82670) | $73.46 | $127.75 | 2.6× |
| Estriol (82677) | $38.67 | $67.25 | 1.6× |
| Estrogen total (82672) | $69.72 | $121.25 | 3.2× |
| Ethosuximide (80168) | $98.76 | $171.75 | 6.0× |
| Exam Synovial Fluid Crystals (89060) | $49.59 | $86.25 | 6.8× |
| F2 Gene (81240) | $101.78 | $177 | 1.5× |
| Factor ii activity (85210) | $375.19 | $652.50 | 28.9× |
| Factor Inhibitor Test (85335) | $42.98 | $74.75 | 3.3× |
| Factor ix activity (85250) | $83.95 | $146 | 4.4× |
| Factor v activity (85220) | $108.82 | $189.25 | 6.2× |
| Factor v leiden mutation (81241) | $118.74 | $206.50 | 1.6× |
| Factor vii assay (85230) | $108.96 | $189.50 | 6.1× |
| Factor viii assay (85240) | $88.55 | $154 | 4.9× |
| Factor X (85260) | $103.36 | $179.75 | 5.8× |
| Factor xi activity (85270) | $83.95 | $146 | 4.7× |
| Factor xiii screen (85291) | $45.86 | $79.75 | 5.0× |
| Fat stain feces urine/respir secretions (89125) | $44.99 | $78.25 | 7.7× |
| Fat/Lipids Feces Quantitative (82710) | $70.29 | $122.25 | 4.2× |
| Ferritin (82728) | $61.81 | $107.50 | 4.5× |
| Fetal Chrmoml Aneuploidy (81420) | $1,199.88 | $2,086.75 | 1.6× |
| Fetal Fibronectin (82731) | $300.58 | $522.75 | 4.7× |
| Fetal screen rosette (85461) | $57.93 | $100.75 | 6.2× |
| Fibrin Degradation Quant (85379) | $102.78 | $178.75 | 10.1× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$54.63–$86.11 | $95–$149.75 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $65.41 | $113.75 | 4.2× |
| Flow cytometry first marker (88184) | $204.13 | $355 | 0.6× |
| Fluorescent antibody screen (86255) | $109.54 | $190.50 | 9.1× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $26.74 | $46.50 | 2.2× |
| Folic acid rbc (82747) | $112.13 | $195 | 6.4× |
| Folic Acid Serum (82746) | $54.63 | $95 | 3.7× |
| Follicle Stimulating Hormone (83001) | $59.23 | $103 | 3.2× |
| Francisella tularensis (86668) | $126.79 | $220.50 | 9.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $101.92 | $177.25 | 0.6× |
| Frozen Section (88331) range across 2 matching MRF lines |
$126.50–$405.23 | $220–$704.75 | varies |
| Fungi Identification Mold (87107) | $51.03 | $88.75 | 4.9× |
| Fungi Identification Yeast (87106) | $59.23 | $103 | 5.7× |
| Gammaglobulin ige (82785) | $49.59 | $86.25 | 3.0× |
| Gases blood ph only (82800) | $57.93 | $100.75 | 5.3× |
| Gastrin (82941) | $64.26 | $111.75 | 3.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $512.47 | $891.25 | 1.2× |
| Gentamicin (80170) | $97.89 | $170.25 | 6.0× |
| Ggt (82977) | $47.73 | $83 | 6.6× |
| Giardia antigen (87329) | $45.28 | $78.75 | 3.8× |
| Glucagon (82943) | $75.47 | $131.25 | 5.3× |
| Glucose Blood Test (82962) | $22.43 | $39 | 6.8× |
| Glucose body fluid (82945) | $51.03 | $88.75 | 13.0× |
| Glucose Serum (82947) | $47.15 | $82 | 12.0× |
| Glycated Protein (82985) | $66.99 | $116.50 | 4.0× |
| Gonadotropin Chorionic Qualitative (84703) | $80.07 | $139.25 | 10.6× |
| Growth hormone (83003) | $23.29 | $40.50 | 1.4× |
| H Pylori (C-13) Breath (83013) | $124.49 | $216.50 | 1.8× |
| Haptoglobin (83010) | $69.86 | $121.50 | 5.6× |
| Hba1/hba2 full gene sequence (81259) | $824.26 | $1,433.50 | 1.4× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $288.65 | $502 | 1.4× |
| Hdl Cholesterol (83718) | $70.29 | $122.25 | 8.6× |
| Helicobacter Pylori Stool (87338) | $99.04 | $172.25 | 6.9× |
| Hematocrit (85014) | $39.24 | $68.25 | 16.6× |
| Hemoglobin (85018) | $37.66 | $65.50 | 15.9× |
| Hemoglobin a1c (83036) | $47.73 | $83 | 4.9× |
| Hemoglobin Chromotography (83021) | $105.08 | $182.75 | 5.8× |
| Hemoglobin electrophoresis (83020) | $20.84 | $36.25 | 1.6× |
| Hemoglobin Methemoglobin Quantitative (83050) | $23.72 | $41.25 | 2.9× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $102.78 | $178.75 | 11.7× |
| Hep a ab igm (86709) | $88.84 | $154.50 | 7.9× |
| Heparin assay (85520) | $49.16 | $85.50 | 3.8× |
| Hepatitis a antibody total (86708) | $67.71 | $117.75 | 5.5× |
| Hepatitis b core ab igm (86705) | $69.58 | $121 | 5.9× |
| Hepatitis b core ab total (86704) | $75.18 | $130.75 | 6.2× |
| Hepatitis B Surface Antibody (86706) | $60.38 | $105 | 5.6× |
| Hepatitis B Surface Antigen (87340) | $48.73 | $84.75 | 4.7× |
| Hepatitis Be Antibody (86707) | $99.04 | $172.25 | 8.6× |
| Hepatitis Be Antigen (87350) | $61.09 | $106.25 | 5.3× |
| Hepatitis C Antibody (86803) | $61.09 | $106.25 | 4.3× |
| Hepatitis c antibody confirmatory test (86804) | $131.82 | $229.25 | 8.5× |
| Hepatitis C Genotype (87902) | $356.64 | $620.25 | 1.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $344.86 | $599.75 | 8.0× |
| Herpes simplex type 2 (86696) | $34.21 | $59.50 | 1.8× |
| Heterophile Antibody Screen (86308) | $57.64 | $100.25 | 11.1× |
| Hfe Gene (81256) | $784.88 | $1,365 | 12.0× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $107.81 | $187.50 | 13.9× |
| Histoplasma antibody (86698) | $49.59 | $86.25 | 3.6× |
| Histoplasma antigen urine (87385) | $59.51 | $103.50 | 4.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $145.91 | $253.75 | 6.1× |
| Hiv-1 Antibody (86701) | $136.42 | $237.25 | 15.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $188.31 | $327.50 | 2.2× |
| HIV-2 probe&revrse trnscripj (87538) | $98.18 | $170.75 | 2.8× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $469.92 | $817.25 | 3.7× |
| Hla-b27 (86812) | $70.29 | $122.25 | 2.7× |
| Homocysteine (83090) | $126.21 | $219.50 | 7.0× |
| Homogenization Tissue (87176) | $26.02 | $45.25 | 4.4× |
| Hpv High-Risk Types (87624) | $88.26 | $153.50 | 2.5× |
| Hsv Dna Amp Probe (87529) | $164.31 | $285.75 | 4.7× |
| Htlv-I Antibody (86687) | $54.63 | $95 | 6.0× |
| Hydroxyprogesterone 17-d (83498) | $63.97 | $111.25 | 2.4× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $78.20 | $136 | 5.6× |
| Iaadiadoo trichomonas vaginalis (87808) | $45.14 | $78.50 | 3.0× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $267.09 | $464.50 | 7.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $119.74 | $208.25 | 3.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $97.32 | $169.25 | 2.8× |
| Iadna Cytomegalovirus Quantification (87497) | $197.23 | $343 | 4.6× |
| Iadna Hepatitis B Virus Quantification (87517) | $127.79 | $222.25 | 3.0× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $135.84 | $236.25 | 3.9× |
| Iadna Herpes Virus-6 Quantification (87533) | $112.27 | $195.25 | 2.7× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $169.63 | $295 | 4.8× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $220.37 | $383.25 | 5.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $116.01 | $201.75 | 3.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $49.88 | $86.75 | 1.4× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $103.64 | $180.25 | 2.0× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $403.51 | $701.75 | 2.8× |
| Igg subclasses (82787) | $10.49 | $18.25 | 1.3× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $788.61 | $1,371.50 | 2.7× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $391.58 | $681 | 1.1× |
| Immunfix e-phorsis/urine/csf (86335) | $48.30 | $84 | 1.6× |
| Immunoassay analyte qual/semiqual single step (83518) | $29.33 | $51 | 3.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $53.48 | $93 | 2.9× |
| Immunoassay nonantibody (83516) | $35.79 | $62.25 | 3.1× |
| Immunofixation electrophoresis (86334) | $90.71 | $157.75 | 4.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $83.95 | $146 | 0.5× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$52.61–$110.40 | $91.50–$192 | varies |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$148.78–$233.45 | $258.75–$406 | varies |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $45.14 | $78.50 | 3.7× |
| Influenza DNA amp probe (87502) | $252.14 | $438.50 | 2.6× |
| Inhibin A (86336) | $23.72 | $41.25 | 1.5× |
| Inhibin b (83520) | $511.03 | $888.75 | 29.6× |
| Insulin antibodies (86337) | $75.76 | $131.75 | 3.5× |
| Insulin total (83525) | $63.97 | $111.25 | 5.6× |
| Intrinsic factor antibody (86340) | $37.66 | $65.50 | 2.5× |
| Iron (83540) | $63.68 | $110.75 | 9.8× |
| Iron Binding Capacity (83550) | $8.19 | $14.25 | 0.9× |
| Irradiation Blood Product Each Unit (86945) | $27.60 | $48 | 0.8× |
| Islet cell antibody (86341) | $118.31 | $205.75 | 5.0× |
| Jak2 gene analysis p.val617phe variant (81270) | $704.81 | $1,225.75 | 7.7× |
| Koh Prep (87220) | $66.41 | $115.50 | 15.6× |
| Kras Gene Variants Exon 2 (81275) | $644.29 | $1,120.50 | 3.3× |
| Lactate (ld) (ldh) enzyme (83615) | $83.38 | $145 | 13.8× |
| Lactoferrin fecal qualitative (83630) | $75.18 | $130.75 | 3.8× |
| Ldh Isoenzymes (83625) | $75.18 | $130.75 | 5.9× |
| LDL direct (83721) | $84.24 | $146.50 | 8.0× |
| Lead (83655) | $41.26 | $71.75 | 3.4× |
| Legionella antibody (86713) | $78.20 | $136 | 5.1× |
| Legionella antigen urine (87449) | $109.54 | $190.50 | 9.1× |
| Leptospira antibody (86720) | $73.74 | $128.25 | 4.6× |
| Leukocyte Assessment Fecal (89055) | $37.66 | $65.50 | 8.8× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$54.91–$55.20 | $95.50–$96 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$64.98–$86.68 | $113–$150.75 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$94.44–$216.63 | $164.25–$376.75 | varies |
| Lidocaine (80176) | $49.16 | $85.50 | 3.3× |
| Lipase (83690) | $95.74 | $166.50 | 13.9× |
| Lipoprotein A (83695) | $25.88 | $45 | 1.8× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $35.22 | $61.25 | 3.1× |
| Lithium (80178) | $38.38 | $66.75 | 5.8× |
| Luteinizing Hormone (Lh) (83002) | $59.23 | $103 | 3.2× |
| Lyme disease antibody (86618) | $65.41 | $113.75 | 3.8× |
| M. Genitalium Amp Probe (87563) | $152.81 | $265.75 | 4.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$348.02–$946.31 | $605.25–$1,645.75 | varies |
| Macroscopic exam arthropod (87168) | $49.59 | $86.25 | 11.6× |
| Macroscopic Exam Parasite (87169) | $37.66 | $65.50 | 8.7× |
| Magnesium Urine (83735) | $95.74 | $166.50 | 14.3× |
| Mass Spectrometry Quant (83789) | $56.49 | $98.25 | 2.3× |
| Mercury urine (83825) | $29.61 | $51.50 | 1.8× |
| Methylmalonic acid serum (83921) | $249.84 | $434.50 | 11.8× |
| Microalbumin, quantitative (82043) | $59.23 | $103 | 10.2× |
| Microsomal Antibodies Each (86376) | $99.04 | $172.25 | 6.8× |
| Mitochondrial Antibody Each (86381) | $169.63 | $295 | 6.7× |
| Mog-Igg1 Antb Cba Each (86362) | $21.85 | $38 | 1.8× |
| Molecular Cytogenetics Dna Probe Each (88271) | $586.21 | $1,019.50 | 27.4× |
| Mononuclear cell antigen (86356) | $108.53 | $188.75 | 4.1× |
| Mopath procedure level 2 (81401) | $308.63 | $536.75 | 2.3× |
| Mopath procedure level 4 (81403) | $439.59 | $764.50 | 2.4× |
| Mopath procedure level 5 (81404) | $532.88 | $926.75 | 1.9× |
| Mrsa Pcr (87641) | $130.38 | $226.75 | 3.7× |
| Mthfr Gene Analysis Common Variants (81291) | $761.73 | $1,324.75 | 11.7× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$46.72–$143.18 | $81.25–$249 | varies |
| Mycobacteric Identification (87118) | $116.01 | $201.75 | 7.9× |
| Mycophenolic Acid (80180) | $49.88 | $86.75 | 2.8× |
| Mycoplasma antibody (86738) | $44.71 | $77.75 | 3.4× |
| Mycoplasma culture (87109) | $69.58 | $121 | 4.5× |
| Myoglobin urine (83874) | $38.96 | $67.75 | 3.0× |
| Natriuretic peptide (83880) | $126.21 | $219.50 | 3.2× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $204.84 | $356.25 | 1.6× |
| Nfct ds bv&vaginitis DNA alg (81515) | $204.13 | $355 | 0.8× |
| Niacin (84591) | $42.26 | $73.50 | 2.5× |
| Nk cells total count (86357) | $153.09 | $266.25 | 4.1× |
| Nuclear antigen antibody (86235) | $52.90 | $92 | 3.0× |
| Occult blood feces (82272) | $26.02 | $45.25 | 6.2× |
| Occult Blood Other Sources (82271) | $23.72 | $41.25 | 4.5× |
| Oligoclonal bands (83916) | $108.10 | $188 | 3.9× |
| Organic Acids Qualitative Each Specimen (83919) | $75.18 | $130.75 | 4.6× |
| Osmolality serum (83930) | $58.36 | $101.50 | 8.8× |
| Osmolality Urine (83935) | $44.28 | $77 | 6.5× |
| Osmotic fragility rbc incubated (85557) | $103.07 | $179.25 | 7.7× |
| Ova and parasites smears (87177) | $68.28 | $118.75 | 7.7× |
| Oxalate urine (83945) | $74.89 | $130.25 | 5.2× |
| Particle Agglutination Screen Each Antibody (86403) | $46.72 | $81.25 | 4.0× |
| Parvovirus antibody (86747) | $52.33 | $91 | 3.5× |
| Pathology Consultation During Surgery (88329) | $409.54 | $712.25 | 7.1× |
| Ph urine (81003) | $35.51 | $61.75 | 15.8× |
| Phenobarbital Level (80184) | $97.32 | $169.25 | 6.4× |
| Phenylalanine (84030) | $205.13 | $356.75 | 37.3× |
| Phenytoin (Dilantin) (80185) | $106.95 | $186 | 8.1× |
| Phenytoin free (80186) | $72.88 | $126.75 | 5.3× |
| Phosphatase acid prostatic (84066) | $49.88 | $86.75 | 5.2× |
| Phosphatase alkaline (84075) | $46.72 | $81.25 | 9.0× |
| Phospholipid Neutralization Hexagonal (85598) | $191.19 | $332.50 | 10.6× |
| Phosphorus Serum (84100) | $53.76 | $93.50 | 11.3× |
| Phosphorus urine (84105) | $40.68 | $70.75 | 7.0× |
| Pinworm exam (87172) | $33.78 | $58.75 | 7.9× |
| Platelet count automated (85049) | $62.10 | $108 | 13.9× |
| Platelet neutralization (85597) | $109.25 | $190 | 6.1× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $537.19 | $934.25 | 2.6× |
| Porphobilinogen, urine; quantitative (84110) | $61.81 | $107.50 | 7.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $94.16 | $163.75 | 6.4× |
| Potassium Urine (84133) | $41.98 | $73 | 8.9× |
| Prealbumin (84134) | $90.71 | $157.75 | 6.2× |
| Pregnenolone (84140) | $113.13 | $196.75 | 5.5× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $164.02 | $285.25 | 2.9× |
| Primidone (80188) | $61.09 | $106.25 | 3.7× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$61.81–$326.74 | $107.50–$568.25 | varies |
| Progesterone (84144) | $90.99 | $158.25 | 4.4× |
| Prolactin (84146) | $61.81 | $107.50 | 3.2× |
| Protein body fluid (84157) | $47.73 | $83 | 11.9× |
| Protein C Activity (85303) | $103.07 | $179.25 | 7.4× |
| Protein c antigen (85302) | $92.43 | $160.75 | 7.7× |
| Protein Electrophoresis Urine (84166) | $26.31 | $45.75 | 1.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $65.69 | $114.25 | 6.1× |
| Protein S Free (85306) | $90.71 | $157.75 | 5.9× |
| Protein s total (85305) | $90.71 | $157.75 | 7.8× |
| Protein total serum (84155) | $47.15 | $82 | 12.8× |
| Protein Total Urine (84156) | $54.63 | $95 | 14.9× |
| Protein Western Blot Test (84182) | $37.66 | $65.50 | 1.3× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $64.26 | $111.75 | 16.3× |
| Protoporphyrin rbc quantitative (84202) | $48.30 | $84 | 3.4× |
| Pth Intact (83970) | $93.29 | $162.25 | 2.3× |
| Pyruvate kinase (84220) | $45.86 | $79.75 | 4.9× |
| Q Fever Antibody (86638) | $80.93 | $140.75 | 6.7× |
| Quantiferon tb gold plus (86480) | $148.06 | $257.50 | 2.4× |
| Quantitative assay drug (80299) | $44.71 | $77.75 | 2.4× |
| Quantitative Screen Metals (83018) | $57.79 | $100.50 | 2.6× |
| Rbc antibody elution (86860) | $150.79 | $262.25 | 0.9× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$133.11–$214.19 | $231.50–$372.50 | varies |
| Rbc antibody screen (86850) | $102.78 | $178.75 | 10.5× |
| Rbc pretreatment serum (86978) | $150.79 | $262.25 | 2.6× |
| Rbc pretx incubatj w/enzymes (86971) | $493.21 | $857.75 | 3.0× |
| Rbc serum pretx incubj drugs (86975) | $292.39 | $508.50 | 0.7× |
| Renin activity plasma (84244) | $76.33 | $132.75 | 3.5× |
| Reptilase test (85635) | $64.26 | $111.75 | 6.5× |
| Resp Virus 6-11 Targets (87632) | $1,021.06 | $1,775.75 | 4.7× |
| Reticulated Platelet Assay (85055) | $98.18 | $170.75 | 2.7× |
| Reticulocyte Count (85046) | $43.56 | $75.75 | 7.8× |
| Rh (86901) | $47.15 | $82 | 15.8× |
| Rheumatoid factor quant (86431) | $23.86 | $41.50 | 4.2× |
| Rickettsia antibody (86757) | $51.03 | $88.75 | 2.6× |
| Ristocetin cofactor (85245) | $88.55 | $154 | 3.9× |
| Rotavirus ag eia (87425) | $57.21 | $99.50 | 4.8× |
| Rpr qualitative (86592) | $46.14 | $80.25 | 10.8× |
| Rubella Antibody (86762) | $41.98 | $73 | 2.9× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$64.26–$71.73 | $111.75–$124.75 | varies |
| Russell Viper Venom Time Diluted (85613) | $149.21 | $259.50 | 15.6× |
| Salicylate Level (80179) | $90.99 | $158.25 | 4.9× |
| Salmonella antibody (86768) | $51.03 | $88.75 | 3.9× |
| Sars-cov-2 COVID-19 antibody (86769) | $84.24 | $146.50 | 2.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $77.34 | $134.50 | 0.5× |
| Sedimentation rate (85651) | $41.98 | $73 | 9.8× |
| Sedimentation Rate, Automated (85652) | $42.26 | $73.50 | 15.7× |
| Selenium (84255) | $68.28 | $118.75 | 2.7× |
| Sensitivity mic (87186) | $85.39 | $148.50 | 9.9× |
| Sex Hormone Binding Globulin (84270) | $131.53 | $228.75 | 6.1× |
| Sickling of rbc reduction (85660) | $65.41 | $113.75 | 11.9× |
| Sirolimus (80195) | $267.38 | $465 | 19.5× |
| Skin test tuberculosis intradermal (86580) | $30.62 | $53.25 | 1.1× |
| Smear acid fast (87206) | $44.99 | $78.25 | 8.3× |
| Smear complex stain (87209) | $48.30 | $84 | 2.7× |
| Smear gram stain (87205) | $37.66 | $65.50 | 8.8× |
| Smear Special Stain (87207) | $103.36 | $179.75 | 17.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $51.03 | $88.75 | 8.8× |
| Sodium Serum (84295) | $47.15 | $82 | 9.8× |
| Sodium Urine (84300) | $41.98 | $73 | 8.3× |
| Soluble Transferrin Receptor (84238) | $207.43 | $360.75 | 5.7× |
| Somatomedin (84305) | $194.78 | $338.75 | 9.2× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$68.28–$70.87 | $118.75–$123.25 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$74.89–$117.73 | $130.25–$204.75 | varies |
| Specimen infect agnt concntj (87015) | $17.83 | $31 | 2.7× |
| Spectrophotometry (84311) | $21.28 | $37 | 2.6× |
| Stool cultr aerobic bact ea (87046) | $13.08 | $22.75 | 1.4× |
| Strep a assay w/optic (87880) | $68.28 | $118.75 | 4.1× |
| Strep a DNA amp probe (87651) | $87.98 | $153 | 2.5× |
| Sulfate urine (84392) | $15.96 | $27.75 | 2.9× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$64.98–$122.19 | $113–$212.50 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$64.98–$209.16 | $113–$363.75 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$512.47–$525.12 | $891.25–$913.25 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $80.64 | $140.25 | 17.0× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $28.32 | $49.25 | 3.8× |
| Syphilis Test Non-Trep Quant (86593) | $162.44 | $282.50 | 36.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $190.90 | $332 | 4.1× |
| T cells total count (86359) | $153.09 | $266.25 | 4.1× |
| T3 Free (84481) | $54.05 | $94 | 3.2× |
| T3 reverse (84482) | $214.19 | $372.50 | 13.6× |
| T3 Total (84480) | $50.46 | $87.75 | 3.6× |
| T3 Uptake (84479) | $66.13 | $115 | 10.2× |
| T4 Free (84439) | $80.64 | $140.25 | 8.9× |
| T4 total (84436) | $42.26 | $73.50 | 6.2× |
| Tacrolimus (80197) | $71.44 | $124.25 | 5.2× |
| Tb ag response t-cell susp (86481) | $166.46 | $289.50 | 1.7× |
| Test for acetone/ketones (82009) | $21.56 | $37.50 | 4.8× |
| Testosterone Bioavailable (84410) | $44.28 | $77 | 0.9× |
| Testosterone total (84403) | $70.58 | $122.75 | 2.7× |
| Testosterone, Free (84402) | $182.42 | $317.25 | 7.2× |
| Theophylline (80198) | $74.61 | $129.75 | 5.3× |
| Thiopurine methyltransferase (84433) | $185.29 | $322.25 | 8.4× |
| Thrombin Time (85670) | $70.58 | $122.75 | 12.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $89.41 | $155.50 | 13.8× |
| Thyroglobulin (84432) | $184 | $320 | 11.5× |
| Thyroglobulin Antibody (86800) | $99.04 | $172.25 | 6.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $162.15 | $282 | 3.2× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) | $452.38 | $786.75 | 6.7× |
| Thyroxine binding globulin (84442) | $63.39 | $110.25 | 4.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $87.98 | $153 | 7.6× |
| Tobramycin peak (80200) | $88.26 | $153.50 | 5.5× |
| Topiramate (80201) | $161.58 | $281 | 13.6× |
| Toxoplasma ab igm (86778) | $61.09 | $106.25 | 4.2× |
| Toxoplasma antibody (86777) | $107.81 | $187.50 | 7.5× |
| Tp53 gene analysis targeted sequence analysis (81352) | $2,222.81 | $3,865.75 | 6.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $47.15 | $82 | 9.1× |
| Transferrin (84466) | $60.09 | $104.50 | 4.7× |
| Trichomonas Vaginalis Amplif (87661) | $127.08 | $221 | 3.6× |
| Triglycerides (84478) | $53.76 | $93.50 | 9.4× |
| Troponin Quant (84484) | $120.32 | $209.25 | 9.6× |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$32.20–$302.31 | $56–$525.75 | varies |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$147.63–$336.09 | $256.75–$584.50 | varies |
| Urea nitrogen urine (84540) | $41.98 | $73 | 7.6× |
| Uric acid other source (84560) | $45.28 | $78.75 | 8.9× |
| Urinalysis Microscopic Only (81015) | $25.01 | $43.50 | 8.2× |
| Urine Bacteria Culture (87088) | $125.21 | $217.75 | 15.5× |
| Urine Pregnancy Test (81025) | $46.14 | $80.25 | 5.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $59.23 | $103 | 18.7× |
| Valproic acid (80164) | $51.75 | $90 | 3.8× |
| Vancomycin (80202) | $61.09 | $106.25 | 4.5× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$64.98–$73.17 | $113–$127.25 | varies |
| Viral Culture (87252) | $103.07 | $179.25 | 4.0× |
| Virus antibody nos (86790) | $56.49 | $98.25 | 4.4× |
| Viscosity serum (85810) | $98.47 | $171.25 | 8.4× |
| Vit D 1 25-Dihydroxy (82652) | $113.13 | $196.75 | 2.9× |
| Vitamin A (84590) | $69.86 | $121.50 | 6.0× |
| Vitamin b-12 (82607) | $60.38 | $105 | 4.0× |
| Vitamin B2 (Riboflavin) (84252) | $61.81 | $107.50 | 3.1× |
| Vitamin B6 (84207) | $193.63 | $336.75 | 6.9× |
| Vitamin c (82180) | $97.89 | $170.25 | 9.9× |
| Vitamin D 25-Hydroxy (82306) | $139.15 | $242 | 4.7× |
| Vitamin E (84446) | $93.87 | $163.25 | 6.6× |
| Vitamin K (84597) | $50.60 | $88 | 3.7× |
| Volatiles (84600) | $61.81 | $107.50 | 3.6× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $146.19 | $254.25 | 12.1× |
| Von willebrand factor ag (85246) | $88.55 | $154 | 3.9× |
| West nile virus ab igm (86788) | $113.13 | $196.75 | 6.7× |
| West Nile Virus Antibody (86789) | $37.66 | $65.50 | 2.6× |
| Western Blot Test (84181) | $179.54 | $312.25 | 10.5× |
| Xylose Absorption Test (84620) | $106.95 | $186 | 8.3× |
| Zinc (84630) | $54.05 | $94 | 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.