Lab & pathology prices at Advocate Good Samaritan Hospital
Downers Grove, IL · every code in this section with a posted price and a Medicare benchmark.
870 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $87.50 | $175 | 3.8× |
| 5 Nucleotidase (83915) | $102.50 | $205 | 9.2× |
| Abl1 gene analysis kinase domain variants (81170) | $805 | $1,610 | 2.7× |
| Acetylcholine receptor binding antibody (86041) | $75 | $150 | 4.1× |
| Acetylcholine receptor blocking antibody (86042) | $67.50 | $135 | 3.7× |
| Acetylcholinesterase Assay (82013) | $92.50 | $185 | 7.5× |
| Acetylcholn Rcptr Modlg Antb (86043) | $67.50 | $135 | 5.6× |
| Acth (82024) | $195 | $390 | 5.0× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $185 | $370 | 5.7× |
| Actin smooth muscle antibody each (86015) | $70 | $140 | 5.8× |
| Acute hepatitis panel (80074) | $242.50 | $485 | 5.1× |
| Acylcarnitines Quant (82017) | $125 | $250 | 7.4× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $25 | $50 | 1.5× |
| Adenovirus antibody (86603) | $77.50 | $155 | 6.0× |
| Albumin Fluid (82042) | $40 | $80 | 5.1× |
| Albumin serum (82040) | $40 | $80 | 8.1× |
| Aldolase (82085) | $60 | $120 | 6.2× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$160–$205 | $320–$410 | varies |
| Alkaline phosphatase isoenzymes (84080) | $85 | $170 | 5.8× |
| Allergen spec ige qual multiallergen screen (86005) | $12.50 | $25 | 1.6× |
| Allergen specific ige (86003) | $27.50 | $55 | 5.3× |
| Allergen specific igg (86001) | $27.50 | $55 | 3.5× |
| Allg Spec Ige Recomb Ea (86008) | $50 | $100 | 2.8× |
| Alpha-1-antitrypsin phenotype (82104) | $80 | $160 | 5.5× |
| Alpha-1-antitrypsin total (82103) | $85 | $170 | 6.3× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $140 | $280 | 8.2× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$82.50–$90 | $165–$180 | varies |
| Alt (sgpt) (84460) | $52.50 | $105 | 9.9× |
| Aluminum (82108) | $140 | $280 | 5.5× |
| Amikacin trough (80150) | $132.50 | $265 | 8.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$102.50–$112.50 | $205–$225 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $205 | $410 | 12.2× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $25 | $50 | 1.8× |
| Aminolevulinic acid (ala) (82135) | $117.50 | $235 | 7.1× |
| Ammonia (82140) | $90 | $180 | 6.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$212.50–$305 | $425–$610 | varies |
| Amylase urine (82150) | $52.50 | $105 | 8.1× |
| Ana Titer (86039) | $60 | $120 | 5.4× |
| Anca screen each antibody (86036) | $80 | $160 | 6.6× |
| Anca Titer Each Antibody (86037) | $80 | $160 | 6.6× |
| Androstenedione (82157) | $100 | $200 | 3.4× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$85–$90 | $170–$180 | varies |
| Anti-Phospholipid Antibody (86148) | $130 | $260 | 8.1× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$80–$82.50 | $160–$165 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 3 matching MRF lines |
$67.50–$117.50 | $135–$235 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $87.50 | $175 | 5.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $95 | $190 | 5.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $72.50 | $145 | 5.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $85 | $170 | 5.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $112.50 | $225 | 6.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $80 | $160 | 6.5× |
| Antibody helicobacter pylori (86677) | $82.50 | $165 | 4.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $82.50 | $165 | 5.7× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$65–$70 | $130–$140 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $82.50 | $165 | 6.0× |
| Antibody HIV-2 (86702) | $80 | $160 | 5.9× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $625 | $1,250 | 1.9× |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $367.50 | $735 | 3.8× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $345 | $690 | 4.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $130 | $260 | 6.7× |
| Antibody identification leukocyte antibodies (86021) | $90 | $180 | 6.0× |
| Antibody Identification Platelet Immunogl Assay (86023) | $97.50 | $195 | 7.8× |
| Antibody john cunningham virus (86711) | $65 | $130 | 3.8× |
| Antibody neisseria meningitidis (86741) | $82.50 | $165 | 6.3× |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
$67.50–$90 | $135–$180 | varies |
| Antibody Titer (86886) | $170 | $340 | 32.8× |
| Antibody Treponema Pallidum (86780) | $80 | $160 | 6.0× |
| Antibody; campylobacter (86625) | $75 | $150 | 5.7× |
| Antigen typing (86905) range across 2 matching MRF lines |
$165–$220 | $330–$440 | varies |
| Antinuclear antibodies (86038) | $90 | $180 | 7.4× |
| Antistreptolysin o titer (86060) | $50 | $100 | 6.8× |
| Antithrombin iii activity (85300) | $82.50 | $165 | 7.0× |
| Antithrombin iii antigen (85301) | $75 | $150 | 6.9× |
| Apolipoprotein a1 (82172) | $85 | $170 | 4.0× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $635 | $1,270 | 16.8× |
| Aquaporin-4 Antb Cba Each (86052) range across 2 matching MRF lines |
$90–$97.50 | $180–$195 | varies |
| Arsenic (82175) | $70 | $140 | 3.7× |
| Aspa gene analysis common variants (81200) | $140 | $280 | 3.0× |
| Aspergillus ag eia (87305) | $85 | $170 | 7.1× |
| Assay activated protein c (85307) | $97.50 | $195 | 6.4× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$30–$35 | $60–$70 | varies |
| Assay Dir Meas Fr Estradiol (82681) | $105 | $210 | 3.8× |
| Assay Nephelometry Not Spec (83883) | $85 | $170 | 6.3× |
| Assay of 5-hiaa (83497) | $72.50 | $145 | 5.6× |
| Assay of anti-mullerian hormone (82166) | $102.50 | $205 | 2.7× |
| Assay of b-hexosaminidase each assay (83080) | $292.50 | $585 | 17.3× |
| Assay of blood/uric acid (84550) | $45 | $90 | 10.0× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$40–$67.50 | $80–$135 | varies |
| Assay of estrone (82679) | $72.50 | $145 | 2.9× |
| Assay of g6pd enzyme (82955) | $65 | $130 | 6.7× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$52.50–$62.50 | $105–$125 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$52.50–$70 | $105–$140 | varies |
| Assay of manganese (83785) | $125 | $250 | 4.7× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$105–$115 | $210–$230 | varies |
| Assay of phosphatase acid total (84060) | $60 | $120 | 7.9× |
| Assay of proinsulin (84206) | $97.50 | $195 | 3.7× |
| Assay of pyruvate (84210) | $60 | $120 | 4.1× |
| Assay of serotonin (84260) | $92.50 | $185 | 3.0× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$27.50–$37.50 | $55–$75 | varies |
| Assay of Sialic Acid (84275) | $92.50 | $185 | 6.9× |
| Assay of sweat sodium (84302) | $37.50 | $75 | 7.7× |
| Assay of Tyrosine (84510) | $57.50 | $115 | 5.4× |
| Assay of urea nitrogen (84520) | $37.50 | $75 | 9.5× |
| Assay of urine vma (84585) | $90 | $180 | 5.8× |
| Assay of vasoactive intestinal peptide (84586) | $750 | $1,500 | 21.2× |
| Assay of vitamin b-1 (84425) | $112.50 | $225 | 5.3× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$20–$27.50 | $40–$55 | varies |
| Assay spec xcp ur&breath ia (82077) | $357.50 | $715 | 20.7× |
| Asy carbamazepin 10,11-epxid (80161) | $45 | $90 | 2.4× |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) | $565 | $1,130 | 4.1× |
| Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) | $560 | $1,120 | 4.1× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $595 | $1,190 | 3.3× |
| Autol bld/component collj storage salvage (86891) | $540 | $1,080 | 0.6× |
| Automated Leukocyte Count (85048) | $25 | $50 | 9.8× |
| B cells total count (86355) | $202.50 | $405 | 5.4× |
| Babesia microti amp prb (87469) | $187.50 | $375 | 5.3× |
| Bartonella antibody (86611) | $57.50 | $115 | 5.6× |
| Bckdhb Gene Analysis Common Variants (81205) | $575 | $1,150 | 6.1× |
| Bcr/abl1 gene major bp (81206) | $615 | $1,230 | 3.8× |
| Beta 2 glycoprotein i antibody each (86146) | $130 | $260 | 5.1× |
| Beta hydroxybutyrate (82010) | $52.50 | $105 | 6.4× |
| Beta Lactamase (87185) | $27.50 | $55 | 5.8× |
| Beta-2 Microglobulin (82232) | $92.50 | $185 | 5.7× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $320 | $640 | 2.5× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $312.50 | $625 | 2.4× |
| Bile acids total (82239) | $95 | $190 | 5.5× |
| Bilirubin direct (82248) | $30 | $60 | 6.0× |
| Bilirubin total (82247) | $30 | $60 | 6.0× |
| Bilirubin total transcutaneous (88720) | $15 | $30 | 3.0× |
| Biotinidase (82261) range across 2 matching MRF lines |
$25–$82.50 | $50–$165 | varies |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$67.50–$70 | $135–$140 | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $285 | $570 | 1.6× |
| Bld Typing Serologic Rh Phnt (86906) | $105 | $210 | 13.5× |
| Blm Gene (81209) | $140 | $280 | 3.6× |
| Blood Count Automated Differential Wbc Count (85004) | $40 | $80 | 6.2× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $20 | $40 | 3.9× |
| Blood Count Red Blood Cell Automated (85041) | $20 | $40 | 6.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $30 | $60 | 7.9× |
| Blood count spun microhematocrit (85013) | $20 | $40 | 2.9× |
| Blood gas (82803) | $75 | $150 | 2.9× |
| Blood gases w/02 saturation (82805) | $122.50 | $245 | 1.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $87.50 | $175 | 5.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$17.50–$25 | $35–$50 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$77.50–$97.50 | $155–$195 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $80 | $160 | 4.9× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$90–$92.50 | $180–$185 | varies |
| Body fluid cell count (89050) | $47.50 | $95 | 10.1× |
| Bordetella antibody (86615) range across 3 matching MRF lines |
$72.50–$80 | $145–$160 | varies |
| Braf gene analysis (81210) | $440 | $880 | 2.5× |
| Brucella antibody (86622) | $60 | $120 | 6.7× |
| C diff amplified probe (87493) | $187.50 | $375 | 5.0× |
| C-Peptide (84681) | $100 | $200 | 4.8× |
| C-reactive protein (86140) | $37.50 | $75 | 7.2× |
| Ca 19-9 (86301) | $105 | $210 | 5.0× |
| Cadmium (82300) | $80 | $160 | 3.4× |
| Caffeine (80155) | $80 | $160 | 2.1× |
| Calcitonin (82308) | $135 | $270 | 5.0× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$57.50–$77.50 | $115–$155 | varies |
| Calcium total (82310) | $37.50 | $75 | 7.3× |
| Calculus Spectroscopy (82365) | $67.50 | $135 | 5.2× |
| Calprotectin Fecal (83993) | $170 | $340 | 8.7× |
| Calr gene com variants (81219) | $497.50 | $995 | 4.1× |
| Cancer Antigen 125 (86304) | $122.50 | $245 | 5.9× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$110–$112.50 | $220–$225 | varies |
| Candida antibody (86628) | $55 | $110 | 4.6× |
| Candida Dna Dir Probe (87480) | $87.50 | $175 | 4.4× |
| Carbamazepine free (80157) | $72.50 | $145 | 5.5× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$80–$105 | $160–$210 | varies |
| Carbohydrate Deficient Transferrin (82373) | $167.50 | $335 | 9.3× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$37.50–$50 | $75–$100 | varies |
| Carcinoembryonic antigen (82378) | $125 | $250 | 6.6× |
| Cardiolipin ab iga (86147) | $130 | $260 | 5.1× |
| Carnitine Quantitative Each Specimen (82379) | $105 | $210 | 6.2× |
| Carotene (82380) | $62.50 | $125 | 6.8× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$135–$137.50 | $270–$275 | varies |
| Ccp antibody (86200) | $72.50 | $145 | 5.6× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $660 | $1,320 | 2.7× |
| Cell count csf (89051) | $82.50 | $165 | 14.7× |
| Cell enumeration & id (86152) | $575 | $1,150 | 2.3× |
| Cell marker study (88182) | $212.50 | $425 | 3.8× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 4 matching MRF lines |
$312.50–$545 | $625–$1,090 | varies |
| Ceruloplasmin (82390) | $67.50 | $135 | 6.3× |
| Cftr gene com variants (81220) | $325 | $650 | 0.6× |
| Cftr gene full sequence (81223) | $1,060 | $2,120 | 2.1× |
| Chemiluminescent assay (82397) range across 6 matching MRF lines |
$62.50–$225 | $125–$450 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) range across 6 matching MRF lines |
$520–$1,600 | $1,040–$3,200 | varies |
| Chimerism w/comp to baseline w/o cell selection (81267) | $400 | $800 | 1.9× |
| Chlamydia antibody (86631) range across 4 matching MRF lines |
$62.50–$67.50 | $125–$135 | varies |
| Chlamydia Igm Antibody (86632) | $70 | $140 | 5.5× |
| Chloride other source (82438) | $47.50 | $95 | 9.5× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$35–$47.50 | $70–$95 | varies |
| Chloride urine (82436) | $35 | $70 | 6.1× |
| Chlorinated Hydrocarbons Screen (82441) | $95 | $190 | 15.8× |
| Cholesterol total (82465) | $37.50 | $75 | 8.6× |
| Cholinesterase rbc (82482) | $67.50 | $135 | 6.9× |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$47.50–$300 | $95–$600 | varies |
| Chorionic gonadotropin test (84702) | $105 | $210 | 7.0× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $785 | $1,570 | 4.2× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $110 | $220 | 4.1× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $82.50 | $165 | 2.4× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $120 | $240 | 3.6× |
| Chrmsm Analysis Addl Specialized Banding (88283) | $262.50 | $525 | 3.8× |
| Chromium serum (82495) | $112.50 | $225 | 5.5× |
| Chromogenic Substrate Assay (85130) | $80 | $160 | 6.7× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$95–$105 | $190–$210 | varies |
| Chromosome analys amniotic (88269) | $825 | $1,650 | 4.8× |
| Chromosome Analysis 15-20 (88262) | $595 | $1,190 | 4.7× |
| Chromosome Analysis 20-25 (88264) | $635 | $1,270 | 4.4× |
| Chromosome analysis, 5 (88261) | $850 | $1,700 | 3.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $180 | $360 | 5.1× |
| Citric acid urine (82507) range across 2 matching MRF lines |
$55–$65 | $110–$130 | varies |
| Clostridium Difficile (87324) | $57.50 | $115 | 4.8× |
| Clot Factor VIII Multimetric (85247) | $125 | $250 | 5.4× |
| Clot factor xiii fibrin stab (85290) range across 2 matching MRF lines |
$75–$105 | $150–$210 | varies |
| Clotting factor xii hageman (85280) | $125 | $250 | 6.5× |
| Clotting Funct Activity (85397) | $170 | $340 | 5.5× |
| Cns DNA amp probe type 12-25 (87483) | $1,370 | $2,740 | 3.3× |
| Coagulation time activated (85347) | $40 | $80 | 9.3× |
| Coccidioides antibody (86635) | $65 | $130 | 5.7× |
| Cold agglutinin titer (86157) | $55 | $110 | 6.8× |
| Collagen crosslinks (82523) | $60 | $120 | 3.2× |
| Column Chromotography Quant (82542) range across 11 matching MRF lines |
$25–$1,505 | $50–$3,010 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 2 matching MRF lines |
$670–$1,170 | $1,340–$2,340 | varies |
| Compatibility Each Unit Incubation (86921) | $122.50 | $245 | 0.7× |
| Compatibility test antiglob (86922) | $222.50 | $445 | 1.2× |
| Complement Antigen Each Component (86160) range across 8 matching MRF lines |
$37.50–$155 | $75–$310 | varies |
| Complement Total (Ch50) (86162) | $105 | $210 | 5.2× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$140–$270 | $280–$540 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $370 | $740 | 6.6× |
| Coombs direct (86880) range across 2 matching MRF lines |
$72.50–$77.50 | $145–$155 | varies |
| Copper urine (82525) range across 3 matching MRF lines |
$67.50–$80 | $135–$160 | varies |
| Cortisol free (82530) | $100 | $200 | 6.0× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$110–$117.50 | $220–$235 | varies |
| Creatine kinase total (82550) | $55 | $110 | 8.4× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$32.50–$42.50 | $65–$85 | varies |
| Creatinine clearance (82575) | $87.50 | $175 | 9.2× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$37.50–$82.50 | $75–$165 | varies |
| Crossmatch electronic (86923) | $95 | $190 | 0.5× |
| Crossmatch immediate spin (86920) | $137.50 | $275 | 0.8× |
| Crp High Sensitivity (86141) | $85 | $170 | 6.6× |
| Cryofibrinogen (82585) | $52.50 | $105 | 3.7× |
| Cryoglobulin (82595) | $40 | $80 | 6.2× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $100 | $200 | 7.7× |
| Cryptococcus ag titer (87899) | $70 | $140 | 4.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$37.50–$40 | $75–$80 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$40–$45 | $80–$90 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $92.50 | $185 | 12.0× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $257.50 | $515 | 1.2× |
| Culture aerobic quant other (87071) | $97.50 | $195 | 9.9× |
| Culture afb (87116) | $107.50 | $215 | 10.0× |
| Culture Anaerobic (87075) | $120 | $240 | 12.7× |
| Culture blood (87040) | $82.50 | $165 | 8.0× |
| Culture chlamydia (87110) | $112.50 | $225 | 5.7× |
| Culture csf (87070) | $90 | $180 | 10.4× |
| Culture fungus (87102) | $67.50 | $135 | 8.0× |
| Culture fungus blood (87103) | $60 | $120 | 2.9× |
| Culture screen only (87081) range across 2 matching MRF lines |
$72.50–$142.50 | $145–$285 | varies |
| Culture stool (87045) | $82.50 | $165 | 8.7× |
| Culture typing if ea antiserum (87140) | $55 | $110 | 9.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$35–$45 | $70–$90 | varies |
| Culture urine (87086) | $57.50 | $115 | 7.1× |
| Culture, typing; identification by pulse field gel typing Facility (87152) | $120 | $240 | 15.5× |
| Cyanide (82600) | $102.50 | $205 | 5.3× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $112.50 | $225 | 7.9× |
| Cyclosporine (80158) | $115 | $230 | 6.4× |
| Cystatin C (82610) | $82.50 | $165 | 4.5× |
| Cytogenetics 10-30 (88273) | $255 | $510 | 7.3× |
| Cytogenetics 100-300 (88275) | $225 | $450 | 4.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 3 matching MRF lines |
$1,510–$1,985 | $3,020–$3,970 | varies |
| Cytomegalovirus igg (86644) | $85 | $170 | 5.9× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $110 | $220 | 5.4× |
| Cytopath Cell Enhance Tech (88112) | $192.50 | $385 | 3.4× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $137.50 | $275 | 5.2× |
| Cytp Concentration Smears & Interpretation (88108) | $177.50 | $355 | 4.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $205 | $410 | 3.7× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $295 | $590 | 1.6× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $132.50 | $265 | 3.3× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $780 | $1,560 | 4.3× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $62.50 | $125 | 3.4× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $140 | $280 | 2.5× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $97.50 | $195 | 3.1× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $855 | $1,710 | 4.7× |
| Deoxycortisol (82634) | $87.50 | $175 | 3.0× |
| Deoxyribonuclease antibody (86215) | $77.50 | $155 | 5.8× |
| Detect Agent Nos Dna Amp (87798) range across 26 matching MRF lines |
$97.50–$267.50 | $195–$535 | varies |
| Detect Agent Nos Dna Quant (87799) | $225 | $450 | 5.3× |
| Detect agnt mult DNA ampli (87801) | $312.50 | $625 | 4.5× |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$67.50–$72.50 | $135–$145 | varies |
| Dhea (82626) | $125 | $250 | 4.9× |
| Dhea-S (82627) | $107.50 | $215 | 4.8× |
| Dibucaine number (82638) | $67.50 | $135 | 5.5× |
| Digoxin (80162) | $95 | $190 | 7.2× |
| Dihydrotestosterone (82642) | $147.50 | $295 | 5.0× |
| Dipropylacetic Acid Free (80165) | $80 | $160 | 5.9× |
| Dna Antibody Native/Double Stranded (86225) | $92.50 | $185 | 6.7× |
| Dna/Rna Amplified Probe (87150) | $187.50 | $375 | 5.3× |
| DNA/RNA direct probe (87149) | $105 | $210 | 5.2× |
| Dna/Rna Sequencing (87153) range across 2 matching MRF lines |
$327.50–$330 | $655–$660 | varies |
| Dpyd gene common variants (81232) | $175 | $350 | 1.0× |
| Drug assay acetaminophen (80143) | $320 | $640 | 17.2× |
| Drug assay adalimumab (80145) | $307.50 | $615 | 8.0× |
| Drug Assay Amiodarone (80151) | $52.50 | $105 | 2.8× |
| Drug Assay Everolimus (80169) | $87.50 | $175 | 6.4× |
| Drug assay felbamate (80167) | $280 | $560 | 15.0× |
| Drug Assay Infliximab (80230) | $307.50 | $615 | 8.0× |
| Drug Assay Itraconazole (80189) | $100 | $200 | 3.7× |
| Drug Assay Lacosamide (80235) | $185 | $370 | 6.8× |
| Drug Assay Leflunomide (80193) | $185 | $370 | 4.8× |
| Drug Assay Posaconazole (80187) | $100 | $200 | 3.7× |
| Drug Assay Vedolizumab (80280) | $272.50 | $545 | 7.1× |
| Drug assay voriconazole (80285) | $102.50 | $205 | 3.8× |
| Drug Asy Hydroxychloroquine (80220) | $345 | $690 | 18.5× |
| Drug Screen Quant Clozapine (80159) | $67.50 | $135 | 3.3× |
| Drug Screen Quant Zonisamide (80203) | $100 | $200 | 7.5× |
| Drug Screen Quantitative Gabapentin (80171) | $80 | $160 | 3.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $87.50 | $175 | 6.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $92.50 | $185 | 7.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $85 | $170 | 6.4× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $100 | $200 | 6.0× |
| Drug Screen Quantitative Tiagabine (80199) | $115 | $230 | 4.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 24 matching MRF lines |
$97.50–$405 | $195–$810 | varies |
| Egfr Gene Analysis Common Variants (81235) | $590 | $1,180 | 1.8× |
| Ehrlichia antibody (86666) | $75 | $150 | 7.4× |
| El-1 Fecal Quantitative (82653) | $92.50 | $185 | 4.0× |
| Electrolyte panel (80051) | $50 | $100 | 7.1× |
| Electron Microscopy (88348) | $1,685 | $3,370 | 2.0× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 2 matching MRF lines |
$105–$145 | $210–$290 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$37.50–$85 | $75–$170 | varies |
| Enterovirus Antibody (86658) range across 4 matching MRF lines |
$50–$80 | $100–$160 | varies |
| Enterovirus PCR (87498) | $195 | $390 | 5.6× |
| Enzyme cell activity (82657) range across 5 matching MRF lines |
$25–$357.50 | $50–$715 | varies |
| Enzyme histochemistry (88319) | $665 | $1,330 | 0.8× |
| Eosinophil Smear (89190) | $50 | $100 | 8.6× |
| Erythropoietin (82668) | $92.50 | $185 | 4.9× |
| Estradiol serum (82670) | $80 | $160 | 2.9× |
| Estriol (82677) | $102.50 | $205 | 4.2× |
| Estrogens fractionated (82671) | $105 | $210 | 3.3× |
| Ethosuximide (80168) | $85 | $170 | 5.2× |
| Ethylene Glycol (82693) | $85 | $170 | 5.7× |
| Exam Synovial Fluid Crystals (89060) | $52.50 | $105 | 7.2× |
| F2 Gene (81240) | $285 | $570 | 4.3× |
| Factor ii activity (85210) | $147.50 | $295 | 11.4× |
| Factor Inhibitor Test (85335) range across 3 matching MRF lines |
$107.50–$132.50 | $215–$265 | varies |
| Factor ix activity (85250) | $202.50 | $405 | 10.6× |
| Factor v activity (85220) | $150 | $300 | 8.5× |
| Factor v leiden mutation (81241) | $340 | $680 | 4.6× |
| Factor vii assay (85230) | $155 | $310 | 8.7× |
| Factor viii assay (85240) | $152.50 | $305 | 8.5× |
| Factor X (85260) | $155 | $310 | 8.7× |
| Factor xi activity (85270) | $117.50 | $235 | 6.6× |
| Fancc Gene (81242) | $140 | $280 | 3.8× |
| Fat stain feces urine/respir secretions (89125) | $40 | $80 | 6.8× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $107.50 | $215 | 6.3× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $100 | $200 | 15.3× |
| Ferritin (82728) | $80 | $160 | 5.9× |
| Fetal Chrmoml Aneuploidy (81420) | $462.50 | $925 | 0.6× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $220 | $440 | 1.4× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $105 | $210 | 1.9× |
| Fetal Fibronectin (82731) | $282.50 | $565 | 4.4× |
| Fetal hemoglobin assay qual (83033) | $30 | $60 | 3.8× |
| Fetal screen rosette (85461) | $40 | $80 | 4.3× |
| Fibrin Degradation Quant (85379) | $85 | $170 | 8.3× |
| Fibrinogen activity (85384) | $55 | $110 | 5.7× |
| Fibrinogen antigen (85385) | $52.50 | $105 | 3.6× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $25 | $50 | 1.6× |
| Flecainide level (80181) | $77.50 | $155 | 4.2× |
| Flow cytometry first marker (88184) | $355 | $710 | 0.9× |
| Flt3 Gene (81245) | $355 | $710 | 2.1× |
| Flt3 gene analysis (81246) | $177.50 | $355 | 2.1× |
| Fluorescent antibody screen (86255) range across 47 matching MRF lines |
$62.50–$615 | $125–$1,230 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 37 matching MRF lines |
$40–$300 | $80–$600 | varies |
| Fmr1 Gene Charac Alleles (81244) | $222.50 | $445 | 5.0× |
| Fmr1 gene detection (81243) | $355 | $710 | 6.2× |
| Folic acid rbc (82747) | $97.50 | $195 | 5.5× |
| Folic Acid Serum (82746) | $87.50 | $175 | 6.0× |
| Follicle Stimulating Hormone (83001) | $115 | $230 | 6.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $85 | $170 | 0.5× |
| Frozen Section (88331) | $200 | $400 | 1.1× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$67.50–$70 | $135–$140 | varies |
| Fungi Identification Yeast (87106) | $62.50 | $125 | 6.1× |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | $140 | $280 | 2.4× |
| Galactose (82760) | $25 | $50 | 2.2× |
| Galactose transferase test (82776) | $25 | $50 | 2.1× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $100 | $200 | 4.7× |
| Galectin-3 (82777) | $145 | $290 | 3.3× |
| Gammaglobulin ige (82785) | $85 | $170 | 5.2× |
| Gardner vag DNA dir probe (87510) | $85 | $170 | 4.2× |
| Gases Blood O2 Saturation Only Direct Meas (82810) range across 2 matching MRF lines |
$37.50–$50 | $75–$100 | varies |
| Gastrin (82941) | $102.50 | $205 | 5.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $530 | $1,060 | 1.3× |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $140 | $280 | 3.0× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,320 | $4,640 | 3.1× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 2 matching MRF lines |
$1,735–$3,385 | $3,470–$6,770 | varies |
| Genetic Tstg Severe Inh Cond (81443) | $2,755 | $5,510 | 1.1× |
| Gentamicin (80170) | $110 | $220 | 6.7× |
| Ggt (82977) | $47.50 | $95 | 6.6× |
| Giardia lamblia antibody (86674) | $85 | $170 | 5.8× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) range across 2 matching MRF lines |
$425–$990 | $850–$1,980 | varies |
| Glucagon (82943) | $67.50 | $135 | 4.7× |
| Glucose 2 hr pp (82950) | $40 | $80 | 8.4× |
| Glucose Blood Test (82962) | $20 | $40 | 6.1× |
| Glucose body fluid (82945) | $32.50 | $65 | 8.3× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$30–$40 | $60–$80 | varies |
| Glucose tolerance test (gtt) (82951) | $125 | $250 | 9.7× |
| Glycated Protein (82985) | $80 | $160 | 4.8× |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $90 | $180 | 5.9× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$57.50–$77.50 | $115–$155 | varies |
| Growth hormone (83003) | $80 | $160 | 4.8× |
| Growth Hormone Stimulation Panel (80428) | $180 | $360 | 2.7× |
| Gtt-added samples (82952) | $40 | $80 | 10.2× |
| H Pylori (C-13) Breath (83013) | $292.50 | $585 | 4.3× |
| H Pylori Drug Admin (83014) | $62.50 | $125 | 8.0× |
| H pylri clrthmcn rst amp prb (87513) | $625 | $1,250 | 17.8× |
| Haloperidol (80173) | $87.50 | $175 | 5.5× |
| Haptoglobin (83010) | $75 | $150 | 6.0× |
| Hba1/hba2 full gene sequence (81259) | $565 | $1,130 | 0.9× |
| Hba1/Hba2 Gene (81257) | $492.50 | $985 | 4.8× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 2 matching MRF lines |
$487.50–$1,070 | $975–$2,140 | varies |
| Hbb duplication/deletion variants (81363) | $845 | $1,690 | 4.2× |
| Hbb Full Gene Sequence (81364) | $565 | $1,130 | 1.7× |
| Hdl Cholesterol (83718) | $57.50 | $115 | 7.0× |
| Heinz Bodies Direct (85441) | $25 | $50 | 6.0× |
| Heinz Bodies Induced Acetyl Phenylhydrazine (85445) | $30 | $60 | 4.4× |
| Helicobacter Pylori Stool (87338) | $67.50 | $135 | 4.7× |
| Helminth Antibody (86682) range across 5 matching MRF lines |
$60–$147.50 | $120–$295 | varies |
| Hematocrit (85014) | $25 | $50 | 10.5× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$17.50–$25 | $35–$50 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$52.50–$70 | $105–$140 | varies |
| Hemoglobin Chromotography (83021) | $100 | $200 | 5.5× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$25–$67.50 | $50–$135 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$20–$27.50 | $40–$55 | varies |
| Hemoglobin plasma (83051) | $47.50 | $95 | 6.5× |
| Hemoglobin stability screen (83068) | $247.50 | $495 | 26.1× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $52.50 | $105 | 6.0× |
| Hemolysins&Agglutinins Incubated (86941) | $67.50 | $135 | 5.6× |
| Hemosiderin urine (83070) | $65 | $130 | 13.7× |
| Hep a ab igm (86709) | $72.50 | $145 | 6.4× |
| Heparin assay (85520) range across 3 matching MRF lines |
$15–$107.50 | $30–$215 | varies |
| Heparin Neutralization (85525) | $32.50 | $65 | 2.7× |
| Hepatitis a antibody total (86708) | $70 | $140 | 5.6× |
| Hepatitis b core ab igm (86705) | $75 | $150 | 6.4× |
| Hepatitis b core ab total (86704) | $77.50 | $155 | 6.4× |
| Hepatitis B Surface Antibody (86706) | $77.50 | $155 | 7.2× |
| Hepatitis B Surface Antigen (87340) | $72.50 | $145 | 7.0× |
| Hepatitis Be Antibody (86707) | $65 | $130 | 5.6× |
| Hepatitis Be Antigen (87350) | $62.50 | $125 | 5.4× |
| Hepatitis C Antibody (86803) | $90 | $180 | 6.3× |
| Hepatitis C Genotype (87902) | $715 | $1,430 | 2.8× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $180 | $360 | 5.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $250 | $500 | 5.8× |
| Hepatitis Delta Agent Antibody (86692) | $100 | $200 | 5.8× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$90–$102.50 | $180–$205 | varies |
| Heterophile Antibody Screen (86308) | $52.50 | $105 | 10.1× |
| Hexa gene analysis common variants (81255) | $185 | $370 | 3.6× |
| Hfe Gene (81256) | $457.50 | $915 | 7.0× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $55 | $110 | 7.1× |
| Histamine urine (83088) range across 2 matching MRF lines |
$155–$157.50 | $310–$315 | varies |
| Histoplasma antibody (86698) | $65 | $130 | 4.7× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$115–$210 | $230–$420 | varies |
| Hiv Antigen W/Hiv Antibodies (87806) | $132.50 | $265 | 4.0× |
| Hiv Genotype (87901) | $975 | $1,950 | 3.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $112.50 | $225 | 4.7× |
| Hiv-1 Antibody (86701) | $55 | $110 | 6.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $480 | $960 | 5.6× |
| Hla Class I Typing High Resolution Complete (81379) | $2,625 | $5,250 | 7.8× |
| Hla Class I Typing Low Resolution Complete (81372) | $462.50 | $925 | 1.1× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $610 | $1,220 | 4.8× |
| Hla class i&ii antibody qual (86828) | $255 | $510 | 4.0× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $995 | $1,990 | 2.5× |
| Hla class ii high defin qual (86833) | $585 | $1,170 | 1.8× |
| Hla class ii typing high resolution one locus ea (81382) range across 2 matching MRF lines |
$320–$367.50 | $640–$735 | varies |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $265 | $530 | 2.4× |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) | $130 | $260 | 3.6× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $345 | $690 | 4.6× |
| Hla I Typing 1 Allele Hr (81381) | $180 | $360 | 1.1× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $312.50 | $625 | 1.4× |
| Hla ii typing 1 allele hr (81383) | $287.50 | $575 | 2.6× |
| Hla ii typing 1 locus lr (81376) | $407.50 | $815 | 3.3× |
| Hla Typing a/B/C Multiple Antigens (86813) | $352.50 | $705 | 6.1× |
| Homocysteine (83090) | $100 | $200 | 5.6× |
| Homogenization Tissue (87176) | $37.50 | $75 | 6.4× |
| Hpv High-Risk Types (87624) | $177.50 | $355 | 5.1× |
| Hpv Types 16 & 18 Only (87625) | $162.50 | $325 | 4.0× |
| Hsv Dna Amp Probe (87529) | $190 | $380 | 5.4× |
| Htt Gene Detc Abnor Alleles (81271) | $160 | $320 | 1.2× |
| Human Epididymis Protein 4 (86305) | $202.50 | $405 | 9.7× |
| Hydroxycorticosteroids 17 (83491) | $122.50 | $245 | 6.8× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$25–$117.50 | $50–$235 | varies |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $67.50 | $135 | 6.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$30–$37.50 | $60–$75 | varies |
| Iaad ia shiga-like toxin (87427) | $60 | $120 | 5.0× |
| Iaad Ia Streptococcus Group A (87430) | $20 | $40 | 1.2× |
| Iaadi pneumocustis carinii (87281) | $62.50 | $125 | 5.2× |
| Iaadiadoo trichomonas vaginalis (87808) | $70 | $140 | 4.6× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $112.50 | $225 | 3.2× |
| Iadna Bartonella Amplified Probe Technique (87471) | $182.50 | $365 | 5.2× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $240 | $480 | 6.8× |
| Iadna Candida Species Amplified Probe Tq (87481) | $105 | $210 | 3.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $180 | $360 | 5.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $177.50 | $355 | 5.1× |
| Iadna Cytomegalovirus Quantification (87497) | $240 | $480 | 5.6× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $112.50 | $225 | 3.2× |
| Iadna hepatitis b virus amplified probe tq (87516) | $205 | $410 | 5.8× |
| Iadna Hepatitis B Virus Quantification (87517) | $242.50 | $485 | 5.7× |
| Iadna Herpes Virus-6 Quantification (87533) | $430 | $860 | 10.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $180 | $360 | 5.1× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $177.50 | $355 | 5.1× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $185 | $370 | 2.4× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $492.50 | $985 | 10.2× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $210 | $420 | 5.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $155 | $310 | 4.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $180 | $360 | 5.1× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $147.50 | $295 | 2.9× |
| Idh1 common variants (81120) | $417.50 | $835 | 2.2× |
| Idh2 common variants (81121) | $417.50 | $835 | 1.4× |
| Ig Light Chains Free Each (83521) | $95 | $190 | 5.5× |
| Igg subclasses (82787) | $55 | $110 | 6.9× |
| Igh gene rearrange amp meth (81261) | $1,035 | $2,070 | 5.2× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $960 | $1,920 | 3.3× |
| Ikbkap Gene Analysis Common Variants (81260) | $140 | $280 | 3.6× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $380 | $760 | 1.0× |
| Immune Complex Assay (86332) range across 2 matching MRF lines |
$180–$185 | $360–$370 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$160–$177.50 | $320–$355 | varies |
| Immunoassay analyte qual/semiqual single step (83518) range across 2 matching MRF lines |
$570–$1,130 | $1,140–$2,260 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 10 matching MRF lines |
$25–$282.50 | $50–$565 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 6 matching MRF lines |
$75–$100 | $150–$200 | varies |
| Immunoassay nonantibody (83516) range across 18 matching MRF lines |
$47.50–$187.50 | $95–$375 | varies |
| Immunodiffusion Ouchterlony (86331) | $65 | $130 | 5.4× |
| Immunofixation electrophoresis (86334) | $120 | $240 | 5.4× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $250 | $500 | 1.4× |
| Immunohistochemistry (88342) | $387.50 | $775 | 2.1× |
| In situ hybridization 1st probe stain (88365) | $415 | $830 | 2.3× |
| In situ hybridization ea multiplex probe stain (88366) | $785 | $1,570 | 4.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $52.50 | $105 | 0.7× |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$47.50–$85 | $95–$170 | varies |
| Influenza DNA amp probe (87502) | $227.50 | $455 | 2.4× |
| Inhibin A (86336) | $110 | $220 | 7.1× |
| Inhibin b (83520) range across 25 matching MRF lines |
$80–$330 | $160–$660 | varies |
| Insitu hybridization auto (88367) | $565 | $1,130 | 1.5× |
| Insitu hybridization manual (88368) | $540 | $1,080 | 1.4× |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$60–$105 | $120–$210 | varies |
| Insulin free (83527) | $77.50 | $155 | 6.0× |
| Insulin total (83525) | $67.50 | $135 | 5.9× |
| Interleukin-6 (83529) | $100 | $200 | 5.8× |
| Intrinsic factor antibody (86340) | $85 | $170 | 5.6× |
| Iron (83540) range across 2 matching MRF lines |
$52.50–$67.50 | $105–$135 | varies |
| Iron Binding Capacity (83550) | $67.50 | $135 | 7.7× |
| Irradiation Blood Product Each Unit (86945) | $105 | $210 | 2.6× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$97.50–$145 | $195–$290 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$480–$530 | $960–$1,060 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) range across 2 matching MRF lines |
$342.50–$417.50 | $685–$835 | varies |
| Ketosteroids 17 total (83586) | $95 | $190 | 7.4× |
| Kit Gene Analysis D816 Variant(S) (81273) | $510 | $1,020 | 4.1× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $1,305 | $2,610 | 4.0× |
| Koh Prep (87220) | $22.50 | $45 | 5.3× |
| Kras Gene Analysis Additional Variant(S) (81276) | $460 | $920 | 2.4× |
| Kras Gene Variants Exon 2 (81275) | $455 | $910 | 2.4× |
| Lactate (ld) (ldh) enzyme (83615) | $37.50 | $75 | 6.2× |
| Lactoferrin fecal qualitative (83630) | $97.50 | $195 | 4.9× |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) | $125 | $250 | 6.2× |
| Lamellar Body Count (83664) | $92.50 | $185 | 4.8× |
| LDL direct (83721) | $60 | $120 | 5.7× |
| Lead (83655) | $57.50 | $115 | 4.7× |
| Legionella antibody (86713) | $112.50 | $225 | 7.4× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$45–$105 | $90–$210 | varies |
| Leptospira antibody (86720) | $80 | $160 | 4.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $117.50 | $235 | 3.8× |
| Level ii surg pathology grossµscopic exam (88302) | $137.50 | $275 | 3.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $675 | $1,350 | 1.8× |
| Lidocaine (80176) | $95 | $190 | 6.5× |
| Lipase (83690) | $67.50 | $135 | 9.8× |
| Lipoprotein A (83695) | $80 | $160 | 5.6× |
| Lipoprotein Bld Quan Part (83704) | $167.50 | $335 | 4.9× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $90 | $180 | 8.0× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $182.50 | $365 | 3.9× |
| Lithium (80178) | $45 | $90 | 6.8× |
| Luteinizing Hormone (Lh) (83002) | $95 | $190 | 5.1× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$57.50–$90 | $115–$180 | varies |
| Lysozyme serum (85549) | $97.50 | $195 | 5.2× |
| M. Genitalium Amp Probe (87563) | $190 | $380 | 5.4× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $175 | $350 | 5.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $580 | $1,160 | 3.2× |
| Macroscopic exam arthropod (87168) | $77.50 | $155 | 18.1× |
| Macroscopic Exam Parasite (87169) | $67.50 | $135 | 15.7× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$30–$60 | $60–$120 | varies |
| Mass Spectrometry Quant (83789) range across 4 matching MRF lines |
$150–$1,180 | $300–$2,360 | varies |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $140 | $280 | 3.6× |
| Mecp2 gene dup/delet variant (81304) | $285 | $570 | 1.9× |
| Mecp2 gene full seq (81302) | $910 | $1,820 | 1.7× |
| Mercury urine (83825) range across 2 matching MRF lines |
$65–$82.50 | $130–$165 | varies |
| Methotrexate (80204) | $82.50 | $165 | 2.1× |
| Methylmalonic acid serum (83921) | $105 | $210 | 5.0× |
| Mgmt methylation analysis (81287) | $455 | $910 | 3.7× |
| Microalbumin, quantitative (82043) | $47.50 | $95 | 8.2× |
| Microbe Suscept Macrobroth (87188) | $75 | $150 | 11.3× |
| Microsatellite instability (81301) | $785 | $1,570 | 2.3× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$75–$90 | $150–$180 | varies |
| Mitochondrial Antibody Each (86381) | $70 | $140 | 2.8× |
| Mlh1 Gene (81288) | $455 | $910 | 2.4× |
| Mog-Igg1 Antb Cba Each (86362) | $200 | $400 | 16.6× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $635 | $1,270 | 16.8× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $1,105 | $2,210 | 27.1× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$140–$1,080 | $280–$2,160 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $190 | $380 | 4.5× |
| Molecular Pathology Procedure Level 3 (81402) range across 2 matching MRF lines |
$590–$755 | $1,180–$1,510 | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 4 matching MRF lines |
$645–$1,770 | $1,290–$3,540 | varies |
| Mononuclear cell antigen (86356) | $117.50 | $235 | 4.4× |
| Mopath procedure level 1 (81400) range across 2 matching MRF lines |
$180–$202.50 | $360–$405 | varies |
| Mopath procedure level 2 (81401) range across 5 matching MRF lines |
$210–$310 | $420–$620 | varies |
| Mopath procedure level 4 (81403) range across 6 matching MRF lines |
$297.50–$620 | $595–$1,240 | varies |
| Mopath procedure level 5 (81404) range across 3 matching MRF lines |
$177.50–$760 | $355–$1,520 | varies |
| Mopath procedure level 7 (81406) range across 2 matching MRF lines |
$950–$1,135 | $1,900–$2,270 | varies |
| Mopath procedure level 9 (81408) | $940 | $1,880 | 0.5× |
| Morphometric analysis nerve (88356) | $477.50 | $955 | 8.6× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $342.50 | $685 | 1.8× |
| Mpl gene common variants (81338) | $605 | $1,210 | 4.0× |
| Mrsa Pcr (87641) | $177.50 | $355 | 5.1× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$72.50–$82.50 | $145–$165 | varies |
| Muscle-Specific Kinase Antb (86366) range across 2 matching MRF lines |
$292.50–$372.50 | $585–$745 | varies |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$65–$72.50 | $130–$145 | varies |
| Mycophenolic Acid (80180) | $97.50 | $195 | 5.4× |
| Mycoplasma antibody (86738) | $87.50 | $175 | 6.6× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $397.50 | $795 | 2.3× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$72.50–$77.50 | $145–$155 | varies |
| Natriuretic peptide (83880) | $175 | $350 | 4.5× |
| Neurofilament light chain (83884) | $380 | $760 | 3.3× |
| Neutralization Test Viral (86382) | $122.50 | $245 | 7.2× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $197.50 | $395 | 1.5× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $695 | $1,390 | 2.7× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $210 | $420 | 1.5× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $400 | $800 | 1.5× |
| Nfct ds chrnc hcv 6 assays (81596) | $400 | $800 | 5.5× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $730 | $1,460 | 5.7× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $140 | $280 | 5.4× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $1,770 | $3,540 | 3.6× |
| Niacin (84591) range across 3 matching MRF lines |
$67.50–$162.50 | $135–$325 | varies |
| Nickel level (83885) | $67.50 | $135 | 2.8× |
| Nk cells total count (86357) | $167.50 | $335 | 4.4× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $980 | $1,960 | 4.0× |
| Nras gene variants exon 2&3 (81311) | $1,145 | $2,290 | 3.9× |
| Nuclear antigen antibody (86235) range across 13 matching MRF lines |
$37.50–$102.50 | $75–$205 | varies |
| Nudt15 Gene Common Variants (81306) | $430 | $860 | 1.5× |
| Obstetric panel (80081) | $190 | $380 | 2.5× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$25–$32.50 | $50–$65 | varies |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$17.50–$25 | $35–$50 | varies |
| Oligoclonal bands (83916) | $125 | $250 | 4.6× |
| Organic Acids Qualitative Each Specimen (83919) | $105 | $210 | 6.4× |
| Organic acids urine (83918) | $152.50 | $305 | 6.5× |
| Osmolality serum (83930) | $52.50 | $105 | 7.9× |
| Osmolality Urine (83935) | $57.50 | $115 | 8.4× |
| Osmotic Fragility RBC Unincubated (85555) | $82.50 | $165 | 11.0× |
| Osteocalcin (83937) | $160 | $320 | 5.4× |
| Ova and parasites smears (87177) | $70 | $140 | 7.9× |
| Ova1 (81503) | $1,000 | $2,000 | 1.1× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$47.50–$60 | $95–$120 | varies |
| Particle Agglut Antbdy Titr (86406) | $62.50 | $125 | 5.9× |
| Particle Agglutination Screen Each Antibody (86403) | $55 | $110 | 4.8× |
| Parvovirus antibody (86747) | $82.50 | $165 | 5.5× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $262.50 | $525 | 0.3× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $900 | $1,800 | 3.5× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $960 | $1,920 | 2.9× |
| Ph urine (81003) range across 3 matching MRF lines |
$12.50–$32.50 | $25–$65 | varies |
| Phenobarbital Level (80184) | $77.50 | $155 | 5.1× |
| Phenotype Infect Agent Drug (87900) | $325 | $650 | 2.5× |
| Phenylalanine (84030) | $40 | $80 | 7.3× |
| Phenytoin (Dilantin) (80185) | $100 | $200 | 7.5× |
| Phenytoin free (80186) | $80 | $160 | 5.8× |
| Phosphatase alkaline (84075) | $50 | $100 | 9.7× |
| Phospholipid Neutralization Hexagonal (85598) | $105 | $210 | 5.8× |
| Phosphorus Serum (84100) | $35 | $70 | 7.4× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$40–$57.50 | $80–$115 | varies |
| Pinworm exam (87172) | $22.50 | $45 | 5.3× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$117.50–$120 | $235–$240 | varies |
| Platelet Antibodies (86022) | $180 | $360 | 9.8× |
| Platelet count automated (85049) | $32.50 | $65 | 7.3× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $440 | $880 | 2.1× |
| Porphobilinogen, urine; quantitative (84110) | $65 | $130 | 7.7× |
| Porphyrins Feces Quantitative (84126) | $95 | $190 | 2.4× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $90 | $180 | 6.1× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$35–$50 | $70–$100 | varies |
| Prealbumin (84134) | $85 | $170 | 5.8× |
| Pregnancy-Associated Plasma Protein-A (84163) | $125 | $250 | 8.3× |
| Pregnenolone (84140) | $100 | $200 | 4.8× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $265 | $530 | 1.5× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $100 | $200 | 1.6× |
| Pretx serum rbc antibody identification dilution (86976) | $75 | $150 | 2.4× |
| Primidone (80188) | $92.50 | $185 | 5.6× |
| Procalcitonin (Pct) (84145) | $142.50 | $285 | 5.2× |
| Progesterone (84144) | $135 | $270 | 6.5× |
| Prolactin (84146) | $115 | $230 | 5.9× |
| Prostaglandin (84150) | $355 | $710 | 8.5× |
| Protein body fluid (84157) | $52.50 | $105 | 13.1× |
| Protein C Activity (85303) | $115 | $230 | 8.3× |
| Protein c antigen (85302) | $100 | $200 | 8.3× |
| Protein Electrophoresis Urine (84166) | $112.50 | $225 | 6.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $97.50 | $195 | 9.1× |
| Protein S Free (85306) | $130 | $260 | 8.5× |
| Protein s total (85305) | $62.50 | $125 | 5.4× |
| Protein total serum (84155) | $45 | $90 | 12.3× |
| Protein Total Urine (84156) | $52.50 | $105 | 14.3× |
| Protein Western Blot Test (84182) range across 8 matching MRF lines |
$82.50–$400 | $165–$800 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $32.50 | $65 | 8.2× |
| Protoporphyrin rbc quantitative (84202) | $77.50 | $155 | 5.4× |
| PSA free (84154) | $92.50 | $185 | 5.0× |
| Pth Intact (83970) | $217.50 | $435 | 5.3× |
| Pyruvate kinase (84220) | $60 | $120 | 6.4× |
| Q Fever Antibody (86638) | $72.50 | $145 | 6.0× |
| Quantiferon tb gold plus (86480) | $247.50 | $495 | 4.0× |
| Quantitative assay drug (80299) range across 12 matching MRF lines |
$47.50–$315 | $95–$630 | varies |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
$107.50–$122.50 | $215–$245 | varies |
| Quinidine (80194) | $85 | $170 | 5.8× |
| Rbc antibody elution (86860) | $185 | $370 | 1.0× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$240–$250 | $480–$500 | varies |
| Rbc antibody screen (86850) | $135 | $270 | 13.8× |
| Rbc pretreatment serum (86978) | $82.50 | $165 | 1.3× |
| Rbc pretx incubatj w/enzymes (86971) | $77.50 | $155 | 0.4× |
| Rbc serum pretx incubj drugs (86975) | $370 | $740 | 0.8× |
| Renin activity plasma (84244) | $112.50 | $225 | 5.1× |
| Resp virus 12-25 targets (87633) | $405 | $810 | 1.0× |
| Reticulated Platelet Assay (85055) | $75 | $150 | 2.1× |
| Reticulocyte Count (85046) | $32.50 | $65 | 5.8× |
| Reticulocyte Count Manual (85044) | $30 | $60 | 7.0× |
| Rh (86901) range across 2 matching MRF lines |
$85–$92.50 | $170–$185 | varies |
| Rheumatoid factor quant (86431) | $37.50 | $75 | 6.6× |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$80–$105 | $160–$210 | varies |
| Ristocetin cofactor (85245) | $170 | $340 | 7.4× |
| Rotavirus ag eia (87425) | $97.50 | $195 | 8.1× |
| Rpr qualitative (86592) | $32.50 | $65 | 7.6× |
| Rsv Assay W/Optic (87807) | $110 | $220 | 8.4× |
| Rubella Antibody (86762) | $70 | $140 | 4.9× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$72.50–$80 | $145–$160 | varies |
| Rufinamide (80210) | $170 | $340 | 6.3× |
| Russell Viper Venom Time Diluted (85613) | $77.50 | $155 | 8.1× |
| Salicylate Level (80179) | $317.50 | $635 | 17.0× |
| Salmonella antibody (86768) | $70 | $140 | 5.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$65–$87.50 | $130–$175 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $67.50 | $135 | 1.6× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $47.50 | $95 | 1.1× |
| Sarscov2 & inf a&b amp prb (87636) range across 3 matching MRF lines |
$112.50–$150 | $225–$300 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 2 matching MRF lines |
$122.50–$165 | $245–$330 | varies |
| Sedimentation Rate, Automated (85652) | $25 | $50 | 9.3× |
| Selenium (84255) | $122.50 | $245 | 4.8× |
| Semen Anal Sperm Detection (89321) | $60 | $120 | 5.0× |
| Semen analysis complete (89320) | $115 | $230 | 9.3× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$57.50–$60 | $115–$120 | varies |
| Sept9 Methylation Analysis (81327) | $400 | $800 | 2.1× |
| Serum Bactericidal Titer (87197) | $82.50 | $165 | 5.5× |
| Sex Hormone Binding Globulin (84270) | $120 | $240 | 5.5× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$40–$187.50 | $80–$375 | varies |
| Sirolimus (80195) | $80 | $160 | 5.8× |
| Skin test tuberculosis intradermal (86580) | $25 | $50 | 0.8× |
| Smear acid fast (87206) | $47.50 | $95 | 8.8× |
| Smear complex stain (87209) | $102.50 | $205 | 5.7× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$37.50–$45 | $75–$90 | varies |
| Smear Special Stain (87207) | $60 | $120 | 10.0× |
| Smn1 Gene Dos/Deletion Alys (81329) range across 2 matching MRF lines |
$25–$302.50 | $50–$605 | varies |
| Smpd1 Gene Analysis Common Variants (81330) | $140 | $280 | 3.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $32.50 | $65 | 5.6× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$32.50–$45 | $65–$90 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$37.50–$47.50 | $75–$95 | varies |
| Soluble Transferrin Receptor (84238) | $200 | $400 | 5.5× |
| Somatomedin (84305) | $210 | $420 | 9.9× |
| Somatostatin (84307) | $102.50 | $205 | 5.6× |
| Special Stains Group 1 (88312) | $230 | $460 | 4.1× |
| Special Stains Group 2 (88313) | $192.50 | $385 | 1.4× |
| Specimen infect agnt concntj (87015) | $37.50 | $75 | 5.6× |
| Spectrophotometry (84311) range across 6 matching MRF lines |
$37.50–$75 | $75–$150 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $202.50 | $405 | 1.1× |
| Staph a DNA amp probe (87640) | $157.50 | $315 | 4.5× |
| Stem cells total count (86367) | $212.50 | $425 | 2.7× |
| Stool cultr aerobic bact ea (87046) | $52.50 | $105 | 5.6× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$55–$75 | $110–$150 | varies |
| Strep b DNA amp probe (87653) | $172.50 | $345 | 4.9× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) range across 2 matching MRF lines |
$50–$107.50 | $100–$215 | varies |
| Sulfate urine (84392) | $50 | $100 | 9.1× |
| Surg path level iii (88304) | $187.50 | $375 | 3.4× |
| Surgical pathology level IV (88305) | $237.50 | $475 | 4.3× |
| Surgical pathology level vi (88309) | $1,010 | $2,020 | 1.2× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $25 | $50 | 5.3× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $45 | $90 | 6.0× |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $80 | $160 | 2.0× |
| Sweat Collection Iontophoresis (89230) | $177.50 | $355 | 3.2× |
| Syphilis Test Non-Trep Quant (86593) | $37.50 | $75 | 8.5× |
| T cells absolute cd4 count (86361) | $95 | $190 | 3.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $237.50 | $475 | 5.1× |
| T cells total count (86359) | $187.50 | $375 | 5.0× |
| T3 Free (84481) | $82.50 | $165 | 4.9× |
| T3 reverse (84482) | $87.50 | $175 | 5.6× |
| T3 Total (84480) | $62.50 | $125 | 4.4× |
| T3 Uptake (84479) | $30 | $60 | 4.6× |
| T4 Free (84439) | $65 | $130 | 7.2× |
| T4 total (84436) | $85 | $170 | 12.4× |
| Tacrolimus (80197) | $122.50 | $245 | 8.9× |
| Tau phosphorylated each (84393) | $385 | $770 | 3.0× |
| Tb ag response t-cell susp (86481) | $290 | $580 | 2.9× |
| Tert gene targeted seq alys (81345) | $327.50 | $655 | 1.8× |
| Testosterone total (84403) | $117.50 | $235 | 4.6× |
| Testosterone, Free (84402) | $122.50 | $245 | 4.8× |
| Tgsap so/hl 51/< RNA alys (81456) | $3,505 | $7,010 | 1.2× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) range across 2 matching MRF lines |
$1,875–$2,270 | $3,750–$4,540 | varies |
| Theophylline (80198) | $90 | $180 | 6.4× |
| Thiocyanate (84430) | $85 | $170 | 7.3× |
| Thiopurine methyltransferase (84433) | $162.50 | $325 | 7.3× |
| Thrombin Time (85670) | $40 | $80 | 6.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $47.50 | $95 | 7.3× |
| Thyroglobulin (84432) | $95 | $190 | 5.9× |
| Thyroglobulin Antibody (86800) | $72.50 | $145 | 4.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $235 | $470 | 4.6× |
| Thyroxine binding globulin (84442) | $90 | $180 | 6.1× |
| Tiss cul neo disorders solid tumor (88239) | $740 | $1,480 | 5.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $75 | $150 | 6.5× |
| Tissue Culture (88233) | $775 | $1,550 | 5.5× |
| Tissue Culture Amniotic Fluid (88235) | $470 | $940 | 3.1× |
| Tissue culture bone marrow (88237) | $630 | $1,260 | 4.4× |
| Tissue Culture Lymphocyte (88230) | $650 | $1,300 | 5.6× |
| Tobramycin peak (80200) | $92.50 | $185 | 5.7× |
| Topiramate (80201) | $70 | $140 | 5.9× |
| Total Tau (84394) | $312.50 | $625 | 2.4× |
| Touch prep (88161) | $95 | $190 | 3.1× |
| Toxoplasma ab igm (86778) | $90 | $180 | 6.2× |
| Toxoplasma antibody (86777) | $97.50 | $195 | 6.8× |
| Tp53 gene analysis targeted sequence analysis (81352) | $1,095 | $2,190 | 3.3× |
| Tpmt gene com variants (81335) | $307.50 | $615 | 1.8× |
| Transferase Aspartate Amino Ast Sgot (84450) | $52.50 | $105 | 10.1× |
| Transferrin (84466) | $70 | $140 | 5.5× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $1,085 | $2,170 | 5.2× |
| Trg gene rearrangement anal (81342) | $1,065 | $2,130 | 5.3× |
| Trichomonas vagin dir probe (87660) | $87.50 | $175 | 4.4× |
| Trichomonas Vaginalis Amplif (87661) | $135 | $270 | 3.8× |
| Triglycerides (84478) | $45 | $90 | 7.8× |
| Troponin Quant (84484) | $140 | $280 | 11.2× |
| Tumor immunohistochem/comput (88361) | $367.50 | $735 | 1.0× |
| Tumor Immunohistochem/Manual (88360) | $337.50 | $675 | 1.8× |
| Tyms Gene Analysis Common Variants (81346) | $175 | $350 | 1.0× |
| Ugt1a1 gene analysis common variants (81350) | $235 | $470 | 1.0× |
| Unlisted Transfusion Medicine Procedure (86999) range across 2 matching MRF lines |
$145–$147.50 | $290–$295 | varies |
| Urea Nitrogen Clearance (84545) | $65 | $130 | 9.0× |
| Urea nitrogen urine (84540) | $37.50 | $75 | 6.7× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$47.50–$62.50 | $95–$125 | varies |
| Urinalysis Microscopic Only (81015) | $37.50 | $75 | 12.3× |
| Urinalysis Volume Measure (81050) | $12.50 | $25 | 3.4× |
| Urine Bacteria Culture (87088) | $47.50 | $95 | 5.9× |
| Urine Pregnancy Test (81025) | $57.50 | $115 | 6.7× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $35 | $70 | 11.0× |
| Valproic acid (80164) | $90 | $180 | 6.6× |
| Vancomycin (80202) | $112.50 | $225 | 8.3× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$70–$72.50 | $140–$145 | varies |
| Vasopressin (84588) | $150 | $300 | 4.4× |
| Very Long Chain Fatty Acids (82726) | $175 | $350 | 8.9× |
| Virus antibody nos (86790) | $82.50 | $165 | 6.4× |
| Viscosity serum (85810) | $72.50 | $145 | 6.2× |
| Vit D 1 25-Dihydroxy (82652) | $175 | $350 | 4.5× |
| Vitamin A (84590) | $60 | $120 | 5.2× |
| Vitamin b-12 (82607) | $92.50 | $185 | 6.1× |
| Vitamin B2 (Riboflavin) (84252) | $100 | $200 | 4.9× |
| Vitamin B6 (84207) | $152.50 | $305 | 5.4× |
| Vitamin c (82180) | $50 | $100 | 5.1× |
| Vitamin D 25-Hydroxy (82306) | $222.50 | $445 | 7.5× |
| Vitamin E (84446) | $80 | $160 | 5.6× |
| Vitamin K (84597) | $85 | $170 | 6.2× |
| Volatiles (84600) range across 2 matching MRF lines |
$107.50–$140 | $215–$280 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $75 | $150 | 6.2× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $302.50 | $605 | 1.7× |
| Von willebrand factor ag (85246) | $100 | $200 | 4.4× |
| West nile virus ab igm (86788) | $92.50 | $185 | 5.5× |
| West Nile Virus Antibody (86789) | $92.50 | $185 | 6.4× |
| Western Blot Test (84181) | $150 | $300 | 8.8× |
| Zika Virus Dna/Rna Amp Probe (87662) | $185 | $370 | 3.6× |
| Zika Virus Igm Antibody (86794) | $90 | $180 | 5.3× |
| Zinc (84630) | $62.50 | $125 | 5.5× |
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.