Lab & pathology prices at Weeks Medical Center

Lancaster, NH · every code in this section with a posted price and a Medicare benchmark.

405 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $56.56 $101 3.1×
Acetylcholine receptor blocking antibody (86042) $56.56 $101 3.1×
Acetylcholn Rcptr Modlg Antb (86043) $73.36 $131 6.1×
Acth (82024) $197.12 $352 5.1×
Actin smooth muscle antibody each (86015) $37.52 $67 3.1×
Acute hepatitis panel (80074) $315.28 $563 6.6×
Acylcarnitines Quant (82017) $86.80 $155 5.1×
Albumin Fluid (82042) $61.60 $110 7.9×
Albumin serum (82040) $39.20 $70 7.9×
Aldolase (82085) $31.92 $57 3.3×
Aldosterone urine (82088) $228.48 $408 5.6×
Alkaline phosphatase isoenzymes (84080) $84 $150 5.7×
Allergen specific ige (86003) $30.24 $54 5.8×
Allg Spec Ige Recomb Ea (86008) $57.68 $103 3.2×
Alpha-1-antitrypsin phenotype (82104) $47.04 $84 3.3×
Alpha-1-antitrypsin total (82103) $44.24 $79 3.3×
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$53.76–$314.16 $96–$561 varies
Alt (sgpt) (84460) $17.36 $31 3.3×
Ammonia (82140) $47.04 $84 3.2×
Amylase urine (82150) $21.28 $38 3.3×
Anca Titer Each Antibody (86037) $39.20 $70 3.3×
Angiotensin converting enzyme csf (82164) $82.88 $148 5.7×
Antibody Bacterium Not Elsewhere Specified (86609) $42 $75 3.3×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $87.36 $156 5.6×
Antibody Cytomegalovirus Cmv Igm (86645) $95.20 $170 5.6×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $42.56 $76 3.2×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $49.84 $89 3.3×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $58.80 $105 3.2×
Antibody helicobacter pylori (86677) $54.32 $97 3.2×
Antibody Herpes Smplx Type 1 (86695) $75.04 $134 5.7×
Antibody Protozoa Nes (86753) $39.76 $71 3.2×
Antibody Treponema Pallidum (86780) $68.32 $122 5.2×
Antibody; encephalitis, st. louis (86653) $39.76 $71 3.0×
Antinuclear antibodies (86038) $39.20 $70 3.2×
Antistreptolysin o titer (86060) $24.08 $43 3.3×
Antithrombin iii activity (85300) $71.68 $128 6.0×
Antithrombin iii antigen (85301) $35.84 $64 3.3×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$35.28–$68.32 $63–$122 varies
Arsenic (82175) $97.44 $174 5.1×
Assay Nephelometry Not Spec (83883) $76.72 $137 5.6×
Assay of 5-hiaa (83497) $73.36 $131 5.7×
Assay of anti-mullerian hormone (82166) $47.04 $84 1.2×
Assay of blood/uric acid (84550) $15.12 $27 3.3×
Assay of calcium in urine (82340) $34.72 $62 5.8×
Assay of gammaglobulin igm (82784) $52.08 $93 5.6×
Assay of lactic acid (83605) $37.52 $67 3.2×
Assay of manganese (83785) $138.88 $248 5.2×
Assay of metanephrines (83835) $54.32 $97 3.2×
Assay of proinsulin (84206) $104.16 $186 3.9×
Assay of serum potassium (84132) $15.68 $28 3.3×
Assay of urea nitrogen (84520) $28 $50 7.1×
Assay of vitamin b-1 (84425) $69.44 $124 3.3×
Autol bld/component collj storage salvage (86891) $1,422.40 $2,540 1.7×
B cells total count (86355) $121.52 $217 3.2×
Babesia microti amp prb (87469) $113.12 $202 3.2×
Bacterial antigens 87802 (87802) $71.68 $128 5.6×
Bcr/abl1 gene major bp (81206) $838.32 $1,497 5.1×
Beta 2 glycoprotein i antibody each (86146) $142.80 $255 5.6×
Beta hydroxybutyrate (82010) $26.32 $47 3.2×
Beta-2 Microglobulin (82232) $82.88 $148 5.1×
Bilirubin direct (82248) $16.80 $30 3.3×
Bilirubin total (82247) $16.80 $30 3.3×
Blood count reticulocyte automated (85045) $23.52 $42 5.9×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $12.32 $22 3.2×
Blood gases w/02 saturation (82805) $252 $450 3.2×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 2 matching MRF lines
$51.52–$89.60 $92–$160 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $14.56 $26 3.3×
Blood Type Antigen Donor Reagent Serum Each (86902) $26.88 $48 4.2×
Blood typing serologic abo (86900) $10.08 $18 3.4×
Bordetella antibody (86615) $70.56 $126 5.3×
Braf gene analysis (81210) $685.44 $1,224 3.9×
Brca1&2 gen full seq dup/del (81162) $3,283.84 $5,864 1.8×
C diff amplified probe (87493) $119.84 $214 3.2×
C-Peptide (84681) $117.04 $209 5.6×
C-reactive protein (86140) $56.56 $101 10.9×
Ca 19-9 (86301) $117.04 $209 5.6×
Calcium ionized (82330) $44.80 $80 3.3×
Calcium total (82310) $16.80 $30 3.3×
Calculus assay quant (82360) $42 $75 3.3×
Calprotectin Fecal (83993) $63.28 $113 3.2×
Cancer Antigen 125 (86304) $117.04 $209 5.6×
Cancer Antigen 27.29 (86300) $117.04 $209 5.6×
Candida antibody (86628) $39.20 $70 3.3×
Carbamazepine total (80156) $220.64 $394 15.1×
Carcinoembryonic antigen (82378) $107.52 $192 5.7×
Cardiolipin ab iga (86147) $82.32 $147 3.2×
Carnitine Quantitative Each Specimen (82379) $54.32 $97 3.2×
Catecholamines fractionated (82384) $81.76 $146 3.2×
Ccp antibody (86200) $42 $75 3.2×
Cell count csf (89051) $30.24 $54 5.4×
Ceruloplasmin (82390) $61.04 $109 5.7×
Cftr gene com variants (81220) $1,069.04 $1,909 1.9×
Chemiluminescent assay (82397) $45.92 $82 3.3×
Chlamydia antibody (86631) $38.64 $69 3.3×
Cholesterol total (82465) $14.56 $26 3.3×
Chorionic gonadotropin test (84702) $48.72 $87 3.2×
Chromogranin a (86316) $117.04 $209 5.6×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $146.16 $261 4.2×
Ckmb (82553) $59.36 $106 5.1×
Clostridium Difficile (87324) $38.64 $69 3.2×
Compatibility test antiglob (86922) $154.56 $276 0.8×
Complement Antigen Each Component (86160) $38.64 $69 3.2×
Complement Total (Ch50) (86162) $114.24 $204 5.6×
Complement/Function Activity (86161) $67.20 $120 5.6×
Coombs direct (86880) $17.36 $31 3.2×
Copper urine (82525) $40.88 $73 3.3×
Cortisol free (82530) $53.76 $96 3.2×
Cortisol saliva (82533) $91.28 $163 5.6×
Creatine kinase total (82550) $36.96 $66 5.7×
Creatinine blood (82565) $16.80 $30 3.3×
Creatinine clearance (82575) $30.24 $54 3.2×
Creatinine Urine (82570) $31.36 $56 6.1×
Crossmatch immediate spin (86920) $145.60 $260 0.8×
Crp High Sensitivity (86141) $42 $75 3.2×
Cryoglobulin (82595) $36.96 $66 5.7×
Cryptococcus ag titer (87899) $52.08 $93 3.2×
Cryptosporidium ag eia (87328) $61.60 $110 4.5×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $26.32 $47 3.3×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $25.20 $45 3.3×
Culture afb (87116) $61.04 $109 5.7×
Culture Anaerobic (87075) $53.76 $96 5.7×
Culture blood (87040) $84 $150 8.1×
Culture csf (87070) $28 $50 3.2×
Culture screen only (87081) $21.84 $39 3.3×
Culture stool (87045) $48.72 $87 5.2×
Culture urine (87086) $26.32 $47 3.3×
Cyclosporine (80158) $91.84 $164 5.1×
Cytogenetics 100-300 (88275) $164.08 $293 3.2×
Cytomegalovirus igg (86644) $80.64 $144 5.6×
Cytopath Cell Enhance Tech (88112) $310.80 $555 5.6×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $141.12 $252 5.3×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $358.96 $641 6.5×
Detect Agent Nos Dna Amp (87798) $113.12 $202 3.2×
Detect Agent Nos Dna Quant (87799) $137.76 $246 3.2×
Detect agnt mult DNA ampli (87801) $240.80 $430 3.4×
Dgp Antibody Each Ig Class (86258) $37.52 $67 3.1×
Dhea (82626) $81.76 $146 3.2×
Dhea-S (82627) $72.24 $129 3.2×
Digoxin (80162) $75.04 $134 5.7×
Dna Antibody Native/Double Stranded (86225) $77.84 $139 5.7×
DNA/RNA direct probe (87149) $113.12 $202 5.6×
Dpyd gene common variants (81232) $724.08 $1,293 4.1×
Drug assay voriconazole (80285) $89.04 $159 3.3×
Drug Screen Quant Clozapine (80159) $95.20 $170 4.7×
Drug Screen Quant Zonisamide (80203) $68.32 $122 5.2×
Drug Screen Quantitative Lamotrigine (80175) $68.32 $122 5.2×
Drug Screen Quantitative Levetiracetam (80177) $68.32 $122 5.2×
Drug Screen Quantitative Oxcarbazepine (80183) $43.12 $77 3.3×
Drug Test Prsmv Chem Anlyzr (80307) $160.16 $286 2.6×
Drug Test Prsmv Dir Opt Obs (80305) $39.20 $70 3.1×
Drug Test Prsmv Instrmnt (80306)
range across 2 matching MRF lines
$54.88–$73.36 $98–$131 varies
Ehrlichia antibody (86666) $33.60 $60 3.3×
El-1 Fecal Quantitative (82653) $44.80 $80 2.0×
Electrolyte panel (80051) $47.04 $84 6.7×
Encephaltis East Eqne Anbdy (86652) $39.76 $71 3.0×
Endomysial Antibody Each Immunoglobulin Class (86231) $39.20 $70 3.2×
Enterovirus Antibody (86658) $39.76 $71 3.1×
Erythropoietin (82668) $105.28 $188 5.6×
Estradiol serum (82670) $89.60 $160 3.2×
Estrogen total (82672) $110.88 $198 5.1×
Exam Synovial Fluid Crystals (89060) $39.76 $71 5.4×
F2 Gene (81240) $272.72 $487 4.2×
Factor v activity (85220) $99.68 $178 5.6×
Factor v leiden mutation (81241) $235.20 $420 3.2×
Factor viii assay (85240) $57.68 $103 3.2×
Fecal Fat Qualitative (82705) $16.80 $30 3.3×
Ferritin (82728) $101.36 $181 7.4×
Fibrin Degradation Quant (85379) $33.60 $60 3.3×
Fibrinogen activity (85384) $31.92 $57 3.3×
Flow cytometry first marker (88184) $543.76 $971 1.4×
Fluorescent antibody screen (86255) $39.20 $70 3.3×
Folic Acid Serum (82746) $47.60 $85 3.2×
Follicle Stimulating Hormone (83001) $105.28 $188 5.7×
Gammaglobulin ige (82785) $53.20 $95 3.2×
Gases blood ph only (82800) $35.84 $64 3.3×
Gastrin (82941) $99.68 $178 5.7×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $960.40 $1,715 2.3×
Genet Virus Isolate Hsv (87255) $109.20 $195 3.2×
Ggt (82977) $42 $75 5.8×
Giardia antigen (87329) $38.64 $69 3.2×
Glucose 2 hr pp (82950) $15.68 $28 3.3×
Glucose Blood Test (82962) $14 $25 4.3×
Glucose body fluid (82945) $12.88 $23 3.3×
Glucose Serum (82947) $12.88 $23 3.3×
Glucose tolerance test (gtt) (82951) $42 $75 3.3×
Glycated Protein (82985) $77.28 $138 4.6×
Gonadotropin Chorionic Qualitative (84703) $24.64 $44 3.3×
Growth hormone (83003) $53.76 $96 3.2×
Gtt-added samples (82952) $12.88 $23 3.3×
H Pylori (C-13) Breath (83013) $113.12 $202 1.7×
Haptoglobin (83010) $71.12 $127 5.7×
Hdl Cholesterol (83718) $26.32 $47 3.2×
Helicobacter Pylori Stool (87338) $46.48 $83 3.2×
Helminth Antibody (86682) $42.56 $76 3.3×
Hematocrit (85014) $8.40 $15 3.5×
Hemoglobin (85018)
range across 2 matching MRF lines
$8.40–$14 $15–$25 varies
Hemoglobin a1c (83036) $54.88 $98 5.7×
Hep a ab igm (86709) $36.96 $66 3.3×
Hepatitis a antibody total (86708) $39.76 $71 3.2×
Hepatitis b core ab igm (86705) $38.08 $68 3.2×
Hepatitis b core ab total (86704) $39.20 $70 3.3×
Hepatitis B Surface Antibody (86706) $35.28 $63 3.3×
Hepatitis B Surface Antigen (87340) $34.16 $61 3.3×
Hepatitis Be Antibody (86707) $59.36 $106 5.1×
Hepatitis Be Antigen (87350) $63.84 $114 5.5×
Hepatitis C Antibody (86803) $46.48 $83 3.3×
Hepatitis C Genotype (87902) $1,308.72 $2,337 5.1×
Hepatitis C Probe&Rvrs Trnsc (87521) $196.56 $351 5.6×
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$137.76–$218.40 $246–$390 varies
Herpes simplex type 2 (86696) $108.64 $194 5.6×
Heterophile Antibody Screen (86308) $16.80 $30 3.2×
Hfe Gene (81256) $334.88 $598 5.1×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $127.68 $228 5.3×
HIV-1 p24 antigen (87390) $77.84 $139 3.2×
Hiv-1 Quant&Revrse Trnscrpj (87536) $273.28 $488 3.2×
Hla I Low Resolution One Antigen Equivalent Each (81374) $238.56 $426 3.2×
Hla ii type 1 ag equiv lr (81377) $348.88 $623 3.7×
Homocysteine (83090) $57.68 $103 3.2×
Homogenization Tissue (87176) $17.92 $32 3.0×
Hpv Types 16 & 18 Only (87625)
range across 2 matching MRF lines
$52.08–$211.68 $93–$378 varies
Hsv Dna Amp Probe (87529) $196.56 $351 5.6×
Hydroxyprogesterone 17-d (83498) $87.36 $156 3.2×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $100.24 $179 2.8×
Iaad Ia Streptococcus Group A (87430) $54.32 $97 3.2×
Iaadi respiratory synctial virus (87280) $71.68 $128 5.3×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $113.12 $202 3.2×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $196.56 $351 5.6×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $113.12 $202 3.2×
Iadna Cytomegalovirus Quantification (87497) $137.76 $246 3.2×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $113.12 $202 3.2×
Iadna Hepatitis B Virus Quantification (87517) $137.76 $246 3.2×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $196.56 $351 5.6×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $211.68 $378 6.0×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $274.40 $490 1.9×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $841.68 $1,503 3.2×
Ig Light Chains Free Each (83521) $44.24 $79 2.6×
Igg subclasses (82787) $46.48 $83 5.8×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 2 matching MRF lines
$338.80–$361.76 $605–$646 varies
Immunoassay Analyte Quant Radioimmunoassay (83519) $59.36 $106 3.2×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $77.28 $138 5.2×
Immunoassay nonantibody (83516) $37.52 $67 3.3×
Immunofixation electrophoresis (86334) $124.88 $223 5.6×
Immunofluorescence per spec 1st singl antb stain (88346) $854 $1,525 4.7×
Immunohistochemistry (88342) $552.72 $987 3.0×
In situ hybridization 1st probe stain (88365) $1,106.56 $1,976 6.1×
Influenza assay w/optic (87804) $71.68 $128 4.3×
Inhibin b (83520) $179.20 $320 10.4×
Insulin antibodies (86337) $70 $125 3.3×
Insulin total (83525) $63.84 $114 5.6×
Iron (83540) $36.96 $66 5.7×
Iron Binding Capacity (83550) $48.72 $87 5.6×
Islet cell antibody (86341) $76.16 $136 3.2×
Jak2 gene analysis p.val617phe variant (81270) $468.72 $837 5.1×
Koh Prep (87220) $14.56 $26 3.4×
Lactate (ld) (ldh) enzyme (83615) $34.72 $62 5.7×
LDL direct (83721)
range across 2 matching MRF lines
$32.48–$53.76 $58–$96 varies
Lead (83655)
range across 2 matching MRF lines
$39.20–$63.84 $70–$114 varies
Legionella antigen urine (87449) $38.64 $69 3.2×
Leukocyte Assessment Fecal (89055) $14.56 $26 3.4×
Level I Surg Pathology Gross Examination Only (88300) $87.36 $156 2.8×
Level ii surg pathology gross&microscopic exam (88302) $196.56 $351 4.9×
Level V Surg Pathology Gross&Microscopic Exam (88307) $541.52 $967 1.4×
Lipase (83690) $51.52 $92 7.5×
Lipoprotein A (83695) $46.48 $83 3.2×
Lithium (80178) $21.84 $39 3.3×
Luteinizing Hormone (Lh) (83002) $59.92 $107 3.2×
Lyme disease antibody (86618) $54.88 $98 3.2×
M. Genitalium Amp Probe (87563) $107.52 $192 3.1×
Magnesium Urine (83735) $47.60 $85 7.1×
Mass Spectrometry Quant (83789) $77.84 $139 3.2×
Mercury urine (83825) $52.64 $94 3.2×
Methylmalonic acid serum (83921) $92.40 $165 4.4×
Microalbumin, quantitative (82043) $73.92 $132 12.8×
Microsomal Antibodies Each (86376) $47.04 $84 3.2×
Mitochondrial Antibody Each (86381) $48.72 $87 1.9×
Molecular Cytogenetics Dna Probe Each (88271)
range across 2 matching MRF lines
$113.12–$120.96 $202–$216 varies
Mrsa Pcr (87641) $113.12 $202 3.2×
Mthfr Gene Analysis Common Variants (81291) $254.24 $454 3.9×
Mumps antibody (86735) $42.56 $76 3.3×
Muscle-Specific Kinase Antb (86366) $896 $1,600 48.7×
Natriuretic peptide (83880) $126 $225 3.2×
Neutralization Test Viral (86382) $48.72 $87 2.9×
Nfct ds bv&vaginitis DNA alg (81515) $436.80 $780 1.7×
Nfct ds chrnc hcv 6 assays (81596) $297.92 $532 4.1×
Niacin (84591) $67.20 $120 3.9×
Nuclear antigen antibody (86235) $119.28 $213 6.7×
Occult blood feces (82272) $17.92 $32 4.2×
Oligoclonal bands (83916) $87.92 $157 3.2×
Osmolality serum (83930) $21.84 $39 3.3×
Osmolality Urine (83935) $22.96 $41 3.4×
Ova and parasites smears (87177) $28.56 $51 3.2×
Parvovirus antibody (86747) $84 $150 5.6×
Ph urine (81003) $8.40 $15 3.7×
Phenobarbital Level (80184) $63.28 $113 4.1×
Phenytoin (Dilantin) (80185) $68.32 $122 5.2×
Phenytoin free (80186) $71.12 $127 5.2×
Phosphatase alkaline (84075) $29.12 $52 5.6×
Phospholipid Neutralization Hexagonal (85598) $91.28 $163 5.1×
Phosphorus Serum (84100) $15.68 $28 3.3×
Phosphorus urine (84105) $19.04 $34 3.3×
Platelet count automated (85049) $15.12 $27 3.4×
Prealbumin (84134) $47.04 $84 3.2×
Pregnenolone (84140) $105.84 $189 5.1×
Procalcitonin (Pct) (84145) $87.92 $157 3.2×
Progesterone (84144) $106.96 $191 5.1×
Prolactin (84146) $62.16 $111 3.2×
Protein body fluid (84157) $12.88 $23 3.2×
Protein C Activity (85303) $45.36 $81 3.3×
Protein c antigen (85302) $39.20 $70 3.3×
Protein Electrophoresis Urine (84166) $57.68 $103 3.2×
Protein Electrophoretic Fractj&Quantj Serum (84165) $61.04 $109 5.7×
Protein S Free (85306) $49.84 $89 3.3×
Protein s total (85305) $38.08 $68 3.3×
Protein total serum (84155) $21.84 $39 6.0×
Protein Total Urine (84156) $12.32 $22 3.4×
PSA free (84154) $59.36 $106 3.2×
Pth Intact (83970) $231.28 $413 5.6×
Quantiferon tb gold plus (86480) $198.80 $355 3.2×
Quantitative assay drug (80299)
range across 2 matching MRF lines
$31.36–$60.48 $56–$108 varies
Rbc antibody identification (86870) $198.24 $354 0.5×
Rbc antibody screen (86850) $110.32 $197 11.3×
Reagent Strip/Blood Glucose (82948) $21.28 $38 4.2×
Renin activity plasma (84244) $123.76 $221 5.6×
Resp virus 12-25 targets (87633) $1,458.80 $2,605 3.5×
Rh (86901)
range across 2 matching MRF lines
$10.08–$35.84 $18–$64 varies
Rheumatoid factor quant (86431) $19.04 $34 3.4×
Ristocetin cofactor (85245) $73.92 $132 3.2×
Rpr qualitative (86592) $14.56 $26 3.4×
Rubella Antibody (86762) $46.48 $83 3.2×
Rubeola antibody (86765) $42 $75 3.3×
Russell Viper Venom Time Diluted (85613) $30.24 $54 3.2×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines
$64.96–$144.48 $116–$258 varies
Sars-cov-2 COVID-19 antibody (86769) $194.88 $348 4.6×
Sars-Cov-2 Covid19 W/Optic (87811) $103.04 $184 2.5×
Sedimentation rate (85651) $9.52 $17 2.2×
Selenium (84255) $142.80 $255 5.6×
Semen Anal Sperm Detection (89321) $39.20 $70 3.3×
Semen analysis complete (89322) $79.52 $142 5.1×
Sensitivity mic (87186) $28 $50 3.2×
Sex Hormone Binding Globulin (84270) $70.56 $126 3.2×
Sickling of rbc reduction (85660) $30.24 $54 5.5×
Sirolimus (80195) $71.12 $127 5.2×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines
$35.28–$38.08 $63–$68 varies
Smear acid fast (87206) $30.24 $54 5.6×
Smear complex stain (87209) $57.68 $103 3.2×
Smear gram stain (87205) $24.64 $44 5.8×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$19.60–$24.64 $35–$44 varies
Sodium Serum (84295) $16.24 $29 3.4×
Sodium Urine (84300) $16.80 $30 3.3×
Somatomedin (84305) $118.16 $211 5.6×
Special Stains Group 1 (88312) $672 $1,200 12.1×
Special Stains Group 2 (88313) $541.52 $967 3.8×
Specimen infect agnt concntj (87015) $35.28 $63 5.3×
Strep a assay w/optic (87880) $70 $125 4.2×
Strep a DNA amp probe (87651) $107.52 $192 3.1×
Surg path level iii (88304) $239.68 $428 4.3×
Surgical pathology level IV (88305) $264.32 $472 4.8×
Syphilis Test Non-Trep Quant (86593) $15.12 $27 3.4×
T cells absolute cd4 count (86361) $63.28 $113 2.4×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $150.64 $269 3.2×
T3 Free (84481) $95.20 $170 5.6×
T3 reverse (84482) $80.64 $144 5.1×
T3 Total (84480) $45.92 $82 3.2×
T3 Uptake (84479) $36.96 $66 5.7×
T4 Free (84439) $89.60 $160 9.9×
T4 total (84436) $35.84 $64 5.2×
Tacrolimus (80197) $44.80 $80 3.3×
Testosterone total (84403) $83.44 $149 3.2×
Testosterone, Free (84402) $82.32 $147 3.2×
Thrombin Time (85670) $19.04 $34 3.3×
Thromboplastin Inhibition Tissue (85705) $31.92 $57 3.3×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $21.28 $38 3.3×
Thyroglobulin (84432) $89.60 $160 5.6×
Thyroglobulin Antibody (86800) $51.52 $92 3.2×
Thyroid Stimulating Immunoglobulin (84445) $163.52 $292 3.2×
Tiss Trnsgltmnase Ea Ig Clas (86364) $37.52 $67 3.3×
Topiramate (80201) $71.68 $128 6.0×
Toxin/Antitoxin Assay Tissue Culture (87230) $133.84 $239 6.8×
Toxoplasma antibody (86777) $46.48 $83 3.2×
Transferase Aspartate Amino Ast Sgot (84450) $16.80 $30 3.2×
Transferrin (84466) $67.76 $121 5.3×
Trichomonas Vaginalis Amplif (87661) $113.12 $202 3.2×
Triglycerides (84478) $19.04 $34 3.3×
Troponin Quant (84484) $107.52 $192 8.6×
Tumor Immunohistochem/Manual (88360) $644.56 $1,151 3.5×
Urea nitrogen urine (84540) $27.44 $49 4.9×
Urinalysis Microscopic Only (81015) $17.36 $31 5.7×
Urinalysis Volume Measure (81050) $17.36 $31 4.8×
Urine Albumin Semiquantitative (82044) $48.72 $87 7.8×
Urine Pregnancy Test (81025) $28 $50 3.3×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $38.64 $69 12.2×
Valproic acid (80164) $76.72 $137 5.7×
Vancomycin (80202) $44.24 $79 3.3×
Varicella-zoster antibody (86787) $42 $75 3.3×
Vitamin A (84590) $83.44 $149 7.2×
Vitamin b-12 (82607) $80.08 $143 5.3×
Vitamin B2 (Riboflavin) (84252) $114.24 $204 5.6×
Vitamin B6 (84207) $90.16 $161 3.2×
Vitamin c (82180) $50.96 $91 5.2×
Vitamin D 25-Hydroxy (82306) $186.48 $333 6.3×
Vitamin E (84446) $83.44 $149 5.9×
Vitamin K (84597) $77.84 $139 5.7×
Von willebrand factor ag (85246) $73.92 $132 3.2×
West nile virus ab igm (86788) $54.32 $97 3.2×
Zinc (84630) $36.96 $66 3.2×

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.