Lab & pathology prices at Alton Memorial Hospital
Alton, IL · every code in this section with a posted price and a Medicare benchmark.
813 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $109.20 | $182 | 4.8× |
| 5 Nucleotidase (83915) | $59.40 | $99 | 5.3× |
| Abl1 gene analysis kinase domain variants (81170) | $804 | $1,340 | 2.7× |
| Acetylcholine receptor binding antibody (86041) | $117 | $195 | 6.4× |
| Acetylcholine receptor blocking antibody (86042) | $97.20 | $162 | 5.3× |
| Acetylcholn Rcptr Modlg Antb (86043) | $54.60 | $91 | 4.5× |
| Acth (82024) | $132 | $220 | 3.4× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $138 | $230 | 4.2× |
| Actin smooth muscle antibody each (86015) | $70.20 | $117 | 5.8× |
| Acute hepatitis panel (80074) | $159 | $265 | 3.3× |
| Acylcarnitines Quant (82017) | $76.20 | $127 | 4.5× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $148.20 | $247 | 2.3× |
| Agglutinins Febrile Each Antigen (86000) | $59.40 | $99 | 8.5× |
| Albumin Fluid (82042) | $21.60 | $36 | 2.8× |
| Albumin serum (82040) | $19.80 | $33 | 4.0× |
| Aldolase (82085) | $40.20 | $67 | 4.1× |
| Aldosterone urine (82088) | $118.20 | $197 | 2.9× |
| Alkaline phosphatase isoenzymes (84080) | $40.20 | $67 | 2.7× |
| Allergen specific ige (86003) | $28.80 | $48 | 5.5× |
| Allergen specific igg (86001) | $19.20 | $32 | 2.5× |
| Allg Spec Ige Recomb Ea (86008) | $27.60 | $46 | 1.5× |
| Alpha-1-antitrypsin phenotype (82104) | $45.60 | $76 | 3.2× |
| Alpha-1-antitrypsin total (82103) | $53.40 | $89 | 4.0× |
| Alpha-Fetoprotein Serum (82105) | $71.40 | $119 | 4.3× |
| Alt (sgpt) (84460) | $15.60 | $26 | 2.9× |
| Aluminum (82108) | $96 | $160 | 3.8× |
| Amikacin trough (80150) | $67.20 | $112 | 4.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $69.60 | $116 | 3.0× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $156.60 | $261 | 9.3× |
| Amino Acids Quant 2-5 (82136) | $120.60 | $201 | 6.1× |
| Ammonia (82140) | $61.80 | $103 | 4.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $306.60 | $511 | 3.1× |
| Amylase urine (82150) | $29.40 | $49 | 4.5× |
| Ana Titer (86039) | $35.40 | $59 | 3.2× |
| Analysis skeletal muscle (88355) | $219.60 | $366 | 1.2× |
| Anca screen each antibody (86036) | $60.60 | $101 | 5.0× |
| Anca Titer Each Antibody (86037) | $36.60 | $61 | 3.0× |
| Androstenedione (82157) | $110.40 | $184 | 3.8× |
| Angiotensin converting enzyme csf (82164) | $49.80 | $83 | 3.4× |
| Anti-Phospholipid Antibody (86148) | $70.20 | $117 | 4.4× |
| Antibody aspergillus (86606) | $49.20 | $82 | 3.3× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $34.80 | $58 | 2.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $65.40 | $109 | 4.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $96 | $160 | 5.7× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $43.20 | $72 | 3.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $133.20 | $222 | 8.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $156.60 | $261 | 8.6× |
| Antibody Fungus Not Elsewhere Specified (86671) | $35.40 | $59 | 2.9× |
| Antibody haemophilus influenza (86684) | $45 | $75 | 2.8× |
| Antibody helicobacter pylori (86677) | $42.60 | $71 | 2.5× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $61.20 | $102 | 4.3× |
| Antibody Herpes Smplx Type 1 (86695) | $96.60 | $161 | 7.3× |
| Antibody HIV-2 (86702) | $57.60 | $96 | 4.3× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $535.80 | $893 | 1.7× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $96 | $160 | 5.0× |
| Antibody john cunningham virus (86711) | $61.20 | $102 | 3.6× |
| Antibody Protozoa Nes (86753) | $28.80 | $48 | 2.3× |
| Antibody Titer (86886) | $192 | $320 | 37.1× |
| Antibody Treponema Pallidum (86780) | $31.80 | $53 | 2.4× |
| Antibody; encephalitis, st. louis (86653) | $36 | $60 | 2.7× |
| Antibody; influenza virus (86710) | $36.60 | $61 | 2.7× |
| Antigen typing (86905) | $236.40 | $394 | 61.7× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $138.60 | $231 | 24.2× |
| Antinuclear antibodies (86038) | $51.60 | $86 | 4.3× |
| Antistreptolysin o titer (86060) | $108.60 | $181 | 14.9× |
| Antithrombin iii activity (85300) | $67.80 | $113 | 5.7× |
| Antithrombin iii antigen (85301) | $56.40 | $94 | 5.2× |
| Apolipoprotein a1 (82172) | $54 | $90 | 2.6× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $65.40 | $109 | 1.7× |
| Aquaporin-4 Antb Cba Each (86052) | $45 | $75 | 3.7× |
| Aquaporin-4 Antb Elisa (86051) | $38.40 | $64 | 3.3× |
| Arsenic (82175) | $80.40 | $134 | 4.2× |
| Aspergillus ag eia (87305) | $78 | $130 | 6.5× |
| Assay activated protein c (85307) | $61.20 | $102 | 4.0× |
| Assay Blood Carbon Dioxide (82374) | $13.80 | $23 | 2.8× |
| Assay myeloperoxidase (83876) | $88.20 | $147 | 1.7× |
| Assay Nephelometry Not Spec (83883) | $58.20 | $97 | 4.3× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$90–$91.80 | $150–$153 | varies |
| Assay of anti-mullerian hormone (82166) | $126.60 | $211 | 3.3× |
| Assay of blood/uric acid (84550) | $23.40 | $39 | 5.2× |
| Assay of calcium in urine (82340) | $25.80 | $43 | 4.3× |
| Assay of cpk in blood (82552) | $42.60 | $71 | 3.2× |
| Assay of estrone (82679) | $93.60 | $156 | 3.8× |
| Assay of g6pd enzyme (82955) | $30.60 | $51 | 3.2× |
| Assay of gammaglobulin igm (82784) | $24 | $40 | 2.6× |
| Assay of lactic acid (83605) | $165 | $275 | 14.3× |
| Assay of manganese (83785) | $57 | $95 | 2.1× |
| Assay of metanephrines (83835) | $72 | $120 | 4.3× |
| Assay of phosphatase alkaline heat stable (84078) | $49.80 | $83 | 6.0× |
| Assay of proinsulin (84206) | $75.60 | $126 | 2.8× |
| Assay of pyruvate (84210) | $42.60 | $71 | 2.9× |
| Assay of serotonin (84260) | $67.20 | $112 | 2.2× |
| Assay of serum potassium (84132) | $19.80 | $33 | 4.2× |
| Assay of sweat sodium (84302) | $29.40 | $49 | 6.0× |
| Assay of Tyrosine (84510) | $44.40 | $74 | 4.2× |
| Assay of urea nitrogen (84520) | $17.40 | $29 | 4.4× |
| Assay of urine vma (84585) | $68.40 | $114 | 4.4× |
| Assay of vasoactive intestinal peptide (84586) | $111 | $185 | 3.1× |
| Assay of vitamin b-1 (84425) | $70.20 | $117 | 3.3× |
| Assay Ph Body Fluid Nos (83986) | $14.40 | $24 | 4.0× |
| Assay Phosphohexose Enzymes (84087) | $86.40 | $144 | 8.1× |
| Assay spec xcp ur&breath ia (82077) | $49.80 | $83 | 2.9× |
| Asy carbamazepin 10,11-epxid (80161) | $44.40 | $74 | 2.4× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $284.40 | $474 | 1.6× |
| Automated Leukocyte Count (85048) | $19.20 | $32 | 7.6× |
| B cells total count (86355) | $78 | $130 | 2.1× |
| Babesia microti amp prb (87469) | $130.80 | $218 | 3.7× |
| Bartonella antibody (86611) | $27.60 | $46 | 2.7× |
| Bcr/abl1 gene major bp (81206) | $470.40 | $784 | 2.9× |
| Bcr/abl1 gene minor bp (81207) | $415.20 | $692 | 2.9× |
| Bcr/Abl1 Gene Other Bp (81208) | $456.60 | $761 | 2.1× |
| Beta 2 glycoprotein i antibody each (86146) | $51.60 | $86 | 2.0× |
| Beta hydroxybutyrate (82010) | $38.40 | $64 | 4.7× |
| Beta Lactamase (87185) | $14.40 | $24 | 3.0× |
| Beta-2 Microglobulin (82232) | $46.20 | $77 | 2.9× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $42.60 | $71 | 0.3× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $42.60 | $71 | 0.3× |
| Bile acids total (82239) | $45 | $75 | 2.6× |
| Bilirubin direct (82248) | $21.60 | $36 | 4.3× |
| Bilirubin total (82247) | $22.20 | $37 | 4.4× |
| Biotinidase (82261) | $46.20 | $77 | 2.7× |
| Blastomyces antibody (86612) | $55.20 | $92 | 4.3× |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) | $208.80 | $348 | 3.7× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $123 | $205 | 4.0× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $196.80 | $328 | 1.1× |
| Bld Typing Serologic Rh Phnt (86906) | $51.60 | $86 | 6.7× |
| Blood Count Automated Differential Wbc Count (85004) | $44.40 | $74 | 6.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $15 | $25 | 3.9× |
| Blood count spun microhematocrit (85013) | $12.60 | $21 | 1.8× |
| Blood gas (82803) | $135 | $225 | 5.2× |
| Blood gases w/02 saturation (82805) | $136.80 | $228 | 1.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $47.40 | $79 | 3.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $18 | $30 | 4.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $236.40 | $394 | 37.2× |
| Blood typing serologic abo (86900) | $95.40 | $159 | 31.9× |
| Body fluid cell count (89050) | $42 | $70 | 8.9× |
| Bone marrow smear interpretation (85097) | $607.80 | $1,013 | 0.7× |
| Borrelia miyamotoi amp prb (87478) | $112.80 | $188 | 3.2× |
| Braf gene analysis (81210) | $303.60 | $506 | 1.7× |
| Brca1&2 gen full seq dup/del (81162) | $3,148.20 | $5,247 | 1.7× |
| Brucella antibody (86622) | $36 | $60 | 4.0× |
| C diff amplified probe (87493) | $81.60 | $136 | 2.2× |
| C-Peptide (84681) | $90.60 | $151 | 4.4× |
| C-reactive protein (86140) | $28.20 | $47 | 5.4× |
| Ca 19-9 (86301) | $58.80 | $98 | 2.8× |
| Cadmium (82300) | $57 | $95 | 2.4× |
| Caffeine (80155) | $102 | $170 | 2.6× |
| Calcitonin (82308) | $101.40 | $169 | 3.8× |
| Calcium ionized (82330) | $84 | $140 | 6.1× |
| Calcium total (82310) | $18.60 | $31 | 3.6× |
| Calculus Spectroscopy (82365) | $55.20 | $92 | 4.3× |
| Calprotectin Fecal (83993) | $117 | $195 | 6.0× |
| Calr gene com variants (81219) | $396.60 | $661 | 3.3× |
| Cancer Antigen 125 (86304) | $64.80 | $108 | 3.1× |
| Cancer Antigen 27.29 (86300) | $39.60 | $66 | 1.9× |
| Candida Dna Dir Probe (87480) | $42 | $70 | 2.1× |
| Carbamazepine total (80156) | $61.80 | $103 | 4.2× |
| Carbohydrate Deficient Transferrin (82373) | $123 | $205 | 6.8× |
| Carboxyhemoglobin (82375) | $54 | $90 | 4.4× |
| Carcinoembryonic antigen (82378) | $77.40 | $129 | 4.1× |
| Cardiolipin ab iga (86147) | $73.80 | $123 | 2.9× |
| Carnitine Quantitative Each Specimen (82379) | $96 | $160 | 5.7× |
| Carotene (82380) | $52.20 | $87 | 5.7× |
| Catecholamines fractionated (82384) | $108.60 | $181 | 4.3× |
| Catecholamines total urine (82382) | $131.40 | $219 | 4.8× |
| Ccp antibody (86200) | $46.20 | $77 | 3.6× |
| Cell count csf (89051) | $45 | $75 | 8.0× |
| Cell marker study (88182) | $210 | $350 | 3.8× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $235.20 | $392 | 1.7× |
| Ceruloplasmin (82390) | $40.20 | $67 | 3.7× |
| Cftr gene com variants (81220) | $835.80 | $1,393 | 1.5× |
| Cftr gene dup/delet variants (81222) | $751.20 | $1,252 | 1.7× |
| Cftr gene full sequence (81223) | $4,486.20 | $7,477 | 9.0× |
| Chemiluminescent assay (82397) | $48.60 | $81 | 3.4× |
| Chlamydia antibody (86631) | $28.80 | $48 | 2.4× |
| Chlamydia Igm Antibody (86632) | $51 | $85 | 4.0× |
| Chloramphenicol level (82415) | $22.80 | $38 | 1.8× |
| Chloride other source (82438) | $43.80 | $73 | 8.8× |
| Chloride Serum (82435) | $34.80 | $58 | 7.6× |
| Chloride urine (82436) | $22.80 | $38 | 4.0× |
| Cholesterol total (82465) | $25.80 | $43 | 5.9× |
| Cholinesterase rbc (82482) | $67.20 | $112 | 6.9× |
| Cholinesterase Serum (82480) | $44.40 | $74 | 5.6× |
| Chorionic gonadotropin test (84702) | $113.40 | $189 | 7.5× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $46.80 | $78 | 1.7× |
| Chromium serum (82495) | $62.40 | $104 | 3.1× |
| Chromogenic Substrate Assay (85130) | $132 | $220 | 11.1× |
| Chromogranin a (86316) | $78 | $130 | 3.7× |
| Chromosome Analysis 15-20 (88262) | $526.20 | $877 | 4.2× |
| Chromosome Analysis 20-25 (88264) | $489 | $815 | 3.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $74.40 | $124 | 2.1× |
| Citric acid urine (82507) | $64.20 | $107 | 2.3× |
| Ckmb (82553) | $75.60 | $126 | 6.5× |
| Clostridium Difficile (87324) | $45 | $75 | 3.8× |
| Clot Factor VIII Multimetric (85247) | $87 | $145 | 3.8× |
| Clotting factor xii hageman (85280) | $54.60 | $91 | 2.8× |
| Clotting Funct Activity (85397) | $103.20 | $172 | 3.3× |
| Clotting hi molec weight kininogen assay (85293) | $80.40 | $134 | 4.2× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $162 | $270 | 8.6× |
| Coagulation time activated (85347) | $34.20 | $57 | 8.0× |
| Coccidioides antibody (86635) | $37.20 | $62 | 3.2× |
| Cold agglutinin screen (86156) | $46.20 | $77 | 5.7× |
| Cold agglutinin titer (86157) | $50.40 | $84 | 6.3× |
| Collagen crosslinks (82523) | $76.20 | $127 | 4.1× |
| Column Chromotography Quant (82542) | $103.80 | $173 | 4.3× |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $598.20 | $997 | 2.6× |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) | $457.80 | $763 | 1.5× |
| Compatibility test antiglob (86922) | $128.40 | $214 | 0.7× |
| Complement Antigen Each Component (86160) | $51 | $85 | 4.3× |
| Complement Total (Ch50) (86162) | $86.40 | $144 | 4.3× |
| Complement/Function Activity (86161) | $56.40 | $94 | 4.7× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $309.60 | $516 | 1.7× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $124.20 | $207 | 2.2× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $169.20 | $282 | 4.2× |
| Coombs direct (86880) | $49.20 | $82 | 9.1× |
| Copper urine (82525) | $52.80 | $88 | 4.3× |
| Cortisol free (82530) | $70.80 | $118 | 4.2× |
| Cortisol saliva (82533) | $69.60 | $116 | 4.3× |
| Creatine kinase total (82550) | $28.20 | $47 | 4.3× |
| Creatinine blood (82565) | $21.60 | $36 | 4.2× |
| Creatinine clearance (82575) | $94.80 | $158 | 10.0× |
| Creatinine Urine (82570) | $22.20 | $37 | 4.3× |
| Crossmatch electronic (86923) | $145.20 | $242 | 0.8× |
| Crossmatch immediate spin (86920) | $128.40 | $214 | 0.7× |
| Crp High Sensitivity (86141) | $47.40 | $79 | 3.7× |
| Cryofibrinogen (82585) | $24.60 | $41 | 1.7× |
| Cryoglobulin (82595) | $24.60 | $41 | 3.8× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $136.80 | $228 | 10.5× |
| Cryptococcal Antigen (87327) | $144.60 | $241 | 10.8× |
| Cryptococcus ag titer (87899) | $24 | $40 | 1.5× |
| Cryptosporidium ag eia (87328) | $45.60 | $76 | 3.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $32.40 | $54 | 4.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $34.80 | $58 | 4.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $27 | $45 | 3.5× |
| Culture afb (87116) | $35.40 | $59 | 3.3× |
| Culture Anaerobic (87075) | $37.20 | $62 | 3.9× |
| Culture blood (87040) | $193.80 | $323 | 18.8× |
| Culture csf (87070) | $44.40 | $74 | 5.2× |
| Culture fungus (87102) | $36 | $60 | 4.3× |
| Culture fungus blood (87103) | $51 | $85 | 2.5× |
| Culture screen only (87081) | $28.80 | $48 | 4.3× |
| Culture stool (87045) | $37.80 | $63 | 4.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $28.80 | $48 | 5.6× |
| Culture typing other methods (87158) | $62.40 | $104 | 8.1× |
| Culture urine (87086) | $32.40 | $54 | 4.0× |
| Cyanide (82600) | $82.20 | $137 | 4.2× |
| Cyclosporine (80158) | $49.80 | $83 | 2.8× |
| Cyp2c19 gene analysis common variants (81225) | $578.40 | $964 | 2.0× |
| Cystatin C (82610) | $34.80 | $58 | 1.9× |
| Cytog genom-wid alys hem mal (81195) | $1,895.40 | $3,159 | 1.0× |
| Cytogenetics 100-300 (88275) | $151.20 | $252 | 3.0× |
| Cytogenom Const Microarray Copy Number Variants (81228) | $1,484.40 | $2,474 | 1.6× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,740.60 | $2,901 | 1.5× |
| Cytomegalovirus igg (86644) | $61.20 | $102 | 4.3× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $43.20 | $72 | 2.1× |
| Cytopath Cell Enhance Tech (88112) | $78 | $130 | 1.4× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $73.20 | $122 | 2.8× |
| Cytp Concentration Smears & Interpretation (88108) | $78 | $130 | 1.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $160.20 | $267 | 2.9× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $129.60 | $216 | 0.7× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $79.20 | $132 | 2.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $890.40 | $1,484 | 4.9× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $88.80 | $148 | 2.9× |
| Deoxycortisol (82634) | $124.20 | $207 | 4.2× |
| Deoxyribonuclease antibody (86215) | $50.40 | $84 | 3.8× |
| Desoxycorticosterone (82633) | $84 | $140 | 2.7× |
| Detect Agent Nos Dna Amp (87798) | $141.60 | $236 | 4.0× |
| Detect Agent Nos Dna Quant (87799) | $64.20 | $107 | 1.5× |
| Detect agnt mult DNA ampli (87801) | $129.60 | $216 | 1.8× |
| Dgp Antibody Each Ig Class (86258) | $61.20 | $102 | 5.1× |
| Dhea (82626) | $61.20 | $102 | 2.4× |
| Dhea-S (82627) | $169.80 | $283 | 7.6× |
| Digoxin (80162) | $56.40 | $94 | 4.2× |
| Dihydrotestosterone (82642) | $60.60 | $101 | 2.1× |
| Dipropylacetic Acid Free (80165) | $51 | $85 | 3.8× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) | $94.80 | $158 | 2.8× |
| Dna Antibody Native/Double Stranded (86225) | $45.60 | $76 | 3.3× |
| Dna/Rna Amplified Probe (87150) | $77.40 | $129 | 2.2× |
| DNA/RNA direct probe (87149) | $69.60 | $116 | 3.5× |
| Dna/Rna Sequencing (87153) | $199.20 | $332 | 1.7× |
| Dpyd gene common variants (81232) | $262.80 | $438 | 1.5× |
| Drug assay acetaminophen (80143) | $50.40 | $84 | 2.7× |
| Drug assay adalimumab (80145) | $240.60 | $401 | 6.2× |
| Drug Assay Amiodarone (80151) | $45 | $75 | 2.4× |
| Drug Assay Everolimus (80169) | $103.80 | $173 | 7.6× |
| Drug assay felbamate (80167) | $45 | $75 | 2.4× |
| Drug Assay Infliximab (80230) | $240.60 | $401 | 6.2× |
| Drug Assay Itraconazole (80189) | $40.80 | $68 | 1.5× |
| Drug Assay Lacosamide (80235) | $67.20 | $112 | 2.5× |
| Drug Assay Posaconazole (80187) | $61.20 | $102 | 2.3× |
| Drug Assay Vedolizumab (80280) | $219.60 | $366 | 5.7× |
| Drug assay voriconazole (80285) | $50.40 | $84 | 1.9× |
| Drug Asy Hydroxychloroquine (80220) | $40.20 | $67 | 2.2× |
| Drug Screen Quant Clozapine (80159) | $83.40 | $139 | 4.1× |
| Drug Screen Quant Zonisamide (80203) | $56.40 | $94 | 4.3× |
| Drug Screen Quantitative Gabapentin (80171) | $48.60 | $81 | 2.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $88.20 | $147 | 6.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $56.40 | $94 | 4.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $57 | $95 | 4.3× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $71.40 | $119 | 4.3× |
| Drug Screen Quantitative Tiagabine (80199) | $54 | $90 | 2.0× |
| Drug Test Prsmv Chem Anlyzr (80307) | $118.20 | $197 | 1.9× |
| Egfr Gene Analysis Common Variants (81235) | $644.40 | $1,074 | 2.0× |
| Ehrlichia antibody (86666) | $44.40 | $74 | 4.4× |
| El-1 Fecal Quantitative (82653) | $63 | $105 | 2.7× |
| Electrolyte panel (80051) | $49.80 | $83 | 7.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $112.20 | $187 | 1.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $69.60 | $116 | 5.8× |
| Enterovirus Antibody (86658) | $49.20 | $82 | 3.8× |
| Enterovirus PCR (87498) | $95.40 | $159 | 2.7× |
| Enzyme cell activity (82657) | $135.60 | $226 | 6.1× |
| Eosinophil Smear (89190) | $22.80 | $38 | 3.9× |
| Erythropoietin (82668) | $78 | $130 | 4.2× |
| Estradiol serum (82670) | $79.20 | $132 | 2.8× |
| Estriol (82677) | $84 | $140 | 3.5× |
| Estrogen total (82672) | $118.80 | $198 | 5.5× |
| Estrogens fractionated (82671) | $109.20 | $182 | 3.4× |
| Ethosuximide (80168) | $59.40 | $99 | 3.6× |
| Ethylene Glycol (82693) | $106.20 | $177 | 7.1× |
| Exam Synovial Fluid Crystals (89060) | $34.80 | $58 | 4.7× |
| F2 Gene (81240) | $173.40 | $289 | 2.6× |
| Factor ii activity (85210) | $55.20 | $92 | 4.3× |
| Factor Inhibitor Test (85335) | $54.60 | $91 | 4.2× |
| Factor ix activity (85250) | $63 | $105 | 3.3× |
| Factor v activity (85220) | $59.40 | $99 | 3.4× |
| Factor v leiden mutation (81241) | $258.60 | $431 | 3.5× |
| Factor vii assay (85230) | $72 | $120 | 4.0× |
| Factor viii assay (85240) | $59.40 | $99 | 3.3× |
| Factor X (85260) | $63.60 | $106 | 3.6× |
| Factor xi activity (85270) | $60 | $100 | 3.4× |
| Factor xiii screen (85291) | $60.60 | $101 | 6.7× |
| Fat/Lipids Feces Quantitative (82710) | $129.60 | $216 | 7.7× |
| Fatty acids free (82725) | $35.40 | $59 | 1.9× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $73.20 | $122 | 4.3× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $37.20 | $62 | 5.7× |
| Ferritin (82728) | $58.20 | $97 | 4.3× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $262.80 | $438 | 1.7× |
| Fetal Fibronectin (82731) | $378.60 | $631 | 5.9× |
| Fetal screen rosette (85461) | $53.40 | $89 | 5.7× |
| Fibrin degradation products (85362) | $24 | $40 | 3.5× |
| Fibrin Degradation Quant (85379) | $66.60 | $111 | 6.5× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) | $25.80 | $43 | 2.1× |
| Fibrinogen activity (85384) | $61.80 | $103 | 6.4× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $31.20 | $52 | 2.0× |
| Flecainide level (80181) | $32.40 | $54 | 1.7× |
| Flow cytometry first marker (88184) | $236.40 | $394 | 0.6× |
| Flt3 Gene (81245) | $329.40 | $549 | 2.0× |
| Flt3 gene analysis (81246) | $257.40 | $429 | 3.1× |
| Fluorescent antibody screen (86255) | $51.60 | $86 | 4.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $45.60 | $76 | 3.8× |
| Fmr1 gene detection (81243) | $192 | $320 | 3.4× |
| Folic acid rbc (82747) | $68.40 | $114 | 3.9× |
| Folic Acid Serum (82746) | $62.40 | $104 | 4.2× |
| Follicle Stimulating Hormone (83001) | $150.60 | $251 | 8.1× |
| Francisella tularensis (86668) | $39 | $65 | 2.8× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $160.20 | $267 | 0.9× |
| Frozen Section (88331) | $173.40 | $289 | 0.9× |
| Fungi Identification Mold (87107) | $39.60 | $66 | 3.8× |
| Fungi Identification Yeast (87106) | $43.20 | $72 | 4.2× |
| G6pd gene analysis full gene sequence (81249) | $900.60 | $1,501 | 1.5× |
| Galactose transferase test (82776) | $24 | $40 | 2.0× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $58.20 | $97 | 2.8× |
| Gammaglobulin ige (82785) | $100.20 | $167 | 6.1× |
| Gardner vag DNA dir probe (87510) | $42 | $70 | 2.1× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $33.60 | $56 | 3.4× |
| Gases blood ph only (82800) | $36 | $60 | 3.3× |
| Gastrin (82941) | $52.20 | $87 | 3.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $719.40 | $1,199 | 1.7× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,606.80 | $2,678 | 2.1× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $4,380 | $7,300 | 1.5× |
| Genetic Tstg Severe Inh Cond (81443) | $3,673.20 | $6,122 | 1.5× |
| Gentamicin (80170) | $54 | $90 | 3.3× |
| Ggt (82977) | $31.20 | $52 | 4.3× |
| Giardia antigen (87329) | $45.60 | $76 | 3.8× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $26.40 | $44 | 4.4× |
| Glucagon (82943) | $88.20 | $147 | 6.2× |
| Glucose 2 hr pp (82950) | $28.80 | $48 | 6.1× |
| Glucose Blood Test (82962) | $48.60 | $81 | 14.8× |
| Glucose body fluid (82945) | $17.40 | $29 | 4.4× |
| Glucose Serum (82947) | $33.60 | $56 | 8.5× |
| Glucose tolerance test (gtt) (82951) | $100.80 | $168 | 7.8× |
| Glutathione (82978) | $36 | $60 | 2.3× |
| Glycated Protein (82985) | $51 | $85 | 3.0× |
| Gonadotropin Chorionic Qualitative (84703) | $51.60 | $86 | 6.9× |
| Gonadotropin releasing hormone (83727) | $46.80 | $78 | 2.7× |
| Growth hormone (83003) | $70.80 | $118 | 4.2× |
| Gtt-added samples (82952) | $67.80 | $113 | 17.3× |
| H Pylori (C-13) Breath (83013) | $168.60 | $281 | 2.5× |
| H pylri clrthmcn rst amp prb (87513) | $67.20 | $112 | 1.9× |
| Haloperidol (80173) | $80.40 | $134 | 5.1× |
| Haptoglobin (83010) | $53.40 | $89 | 4.2× |
| Hba1/hba2 full gene sequence (81259) | $900.60 | $1,501 | 1.5× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $349.80 | $583 | 1.7× |
| Hbb duplication/deletion variants (81363) | $304.20 | $507 | 1.5× |
| Hbb Full Gene Sequence (81364) | $487.20 | $812 | 1.5× |
| Hdl Cholesterol (83718) | $35.40 | $59 | 4.3× |
| Helicobacter Pylori Stool (87338) | $72.60 | $121 | 5.0× |
| Helminth Antibody (86682) | $57 | $95 | 4.4× |
| Hematocrit (85014) | $18 | $30 | 7.6× |
| Hemoglobin (85018) | $19.80 | $33 | 8.4× |
| Hemoglobin a1c (83036) | $33.60 | $56 | 3.5× |
| Hemoglobin Chromotography (83021) | $36.60 | $61 | 2.0× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$22.20–$30.60 | $37–$51 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $17.40 | $29 | 2.1× |
| Hemoglobin stability screen (83068) | $51.60 | $86 | 5.4× |
| Hemoglobin-Oxygen Affinity (82820) | $133.20 | $222 | 10.0× |
| Hemolysins&Agglutinins Incubated (86941) | $40.80 | $68 | 3.4× |
| Hep a ab igm (86709) | $48 | $80 | 4.3× |
| Heparin assay (85520) | $90 | $150 | 6.9× |
| Hepatitis a antibody total (86708) | $35.40 | $59 | 2.9× |
| Hepatitis b core ab igm (86705) | $50.40 | $84 | 4.3× |
| Hepatitis b core ab total (86704) | $58.80 | $98 | 4.9× |
| Hepatitis b surface ag quan (87467) | $96.60 | $161 | 3.8× |
| Hepatitis B Surface Antibody (86706) | $45.60 | $76 | 4.2× |
| Hepatitis B Surface Antigen (87340) | $43.20 | $72 | 4.2× |
| Hepatitis Be Antibody (86707) | $49.20 | $82 | 4.3× |
| Hepatitis Be Antigen (87350) | $49.20 | $82 | 4.3× |
| Hepatitis C Antibody (86803) | $60.60 | $101 | 4.2× |
| Hepatitis C Genotype (87902) | $614.40 | $1,024 | 2.4× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $163.80 | $273 | 4.7× |
| Hepatitis C Revrs Trnscrpj (87522) | $181.20 | $302 | 4.2× |
| Hepatitis Delta Agent Antibody (86692) | $72.60 | $121 | 4.2× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $1,447.20 | $2,412 | 1.1× |
| Herpes simplex type 2 (86696) | $86.40 | $144 | 4.5× |
| Heterophile Antibody Screen (86308) | $54 | $90 | 10.4× |
| Hfe Gene (81256) | $473.40 | $789 | 7.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $147.60 | $246 | 19.1× |
| Histamine urine (83088) | $92.40 | $154 | 3.1× |
| Histoplasma antibody (86698) | $51 | $85 | 3.7× |
| Histoplasma antigen urine (87385) | $102 | $170 | 7.7× |
| Hiv Antigen W/Hiv Antibodies (87806) | $57 | $95 | 1.7× |
| Hiv Genotype (87901) | $445.20 | $742 | 1.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $60 | $100 | 2.5× |
| Hiv-1 Antibody (86701) | $43.80 | $73 | 4.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $276 | $460 | 3.2× |
| HIV-2 probe&revrse trnscripj (87538) | $76.80 | $128 | 2.2× |
| Hla Class I Typing Low Resolution Complete (81372) | $801.60 | $1,336 | 2.0× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $334.80 | $558 | 2.6× |
| Hla class ii high defin qual (86833) | $542.40 | $904 | 1.7× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $139.80 | $233 | 1.9× |
| Hla I Typing 1 Allele Hr (81381) | $294 | $490 | 1.7× |
| Hla ii typing 1 locus lr (81376) | $316.80 | $528 | 2.6× |
| Hla-b27 (86812) | $123.60 | $206 | 4.8× |
| Homocysteine (83090) | $59.40 | $99 | 3.3× |
| Homogenization Tissue (87176) | $31.20 | $52 | 5.3× |
| Homovanillic acid urine (83150) | $44.40 | $74 | 2.0× |
| Hpv High-Risk Types (87624) | $85.80 | $143 | 2.4× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $112.80 | $188 | 1.6× |
| Hpv Types 16 & 18 Only (87625) | $70.20 | $117 | 1.7× |
| Hsv Dna Amp Probe (87529) | $90 | $150 | 2.6× |
| Htt Gene Detc Abnor Alleles (81271) | $304.20 | $507 | 2.2× |
| Human Epididymis Protein 4 (86305) | $88.20 | $147 | 4.2× |
| Hydroxycorticosteroids 17 (83491) | $83.40 | $139 | 4.7× |
| Hydroxyprogesterone 17-d (83498) | $64.20 | $107 | 2.4× |
| Iaad Ia Escherichia Coli 0157 (87335) | $68.40 | $114 | 5.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $63.60 | $106 | 6.2× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $99 | $165 | 7.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $53.40 | $89 | 1.5× |
| Iaad ia shiga-like toxin (87427) | $51 | $85 | 4.3× |
| Iaadi pneumocustis carinii (87281) | $78.60 | $131 | 6.6× |
| Iaadiadoo trichomonas vaginalis (87808) | $45.60 | $76 | 3.0× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $120.60 | $201 | 3.4× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $153 | $255 | 4.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $105 | $175 | 3.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $65.40 | $109 | 1.9× |
| Iadna Cytomegalovirus Quantification (87497) | $153 | $255 | 3.6× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $106.20 | $177 | 1.5× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $104.40 | $174 | 3.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $181.20 | $302 | 4.2× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $86.40 | $144 | 2.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $148.80 | $248 | 4.2× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $70.20 | $117 | 2.0× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $270.60 | $451 | 3.5× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $119.40 | $199 | 2.7× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $367.80 | $613 | 7.6× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $168.60 | $281 | 4.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $83.40 | $139 | 2.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $74.40 | $124 | 2.1× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $82.80 | $138 | 1.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $283.80 | $473 | 2.0× |
| Ibmfs sequence analysis panel at least 30 genes (81441) | $3,749.40 | $6,249 | 1.5× |
| Ig Light Chains Free Each (83521) | $39 | $65 | 2.3× |
| Igg subclasses (82787) | $18.60 | $31 | 2.3× |
| Igh gene rearrange amp meth (81261) | $393.60 | $656 | 2.0× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $714.60 | $1,191 | 2.4× |
| IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster… (81278) | $346.20 | $577 | 1.7× |
| Igk rearrangeabn clonal pop (81264) | $343.80 | $573 | 2.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $271.20 | $452 | 0.7× |
| Immune Complex Assay (86332) | $88.80 | $148 | 3.6× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$19.20–$111.60 | $32–$186 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $114.60 | $191 | 6.2× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $37.20 | $62 | 2.5× |
| Immunoassay nonantibody (83516) | $47.40 | $79 | 4.1× |
| Immunodiffusion Ouchterlony (86331) | $49.20 | $82 | 4.1× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $94.80 | $158 | 4.1× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$19.20–$94.80 | $32–$158 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $198 | $330 | 1.1× |
| Immunohistochemistry (88342) | $174 | $290 | 1.0× |
| In situ hybridization 1st probe stain (88365) | $222.60 | $371 | 1.2× |
| In situ hybridization ea multiplex probe stain (88366) | $587.40 | $979 | 3.2× |
| Influenza a/b ag eia (87400) | $45.60 | $76 | 3.2× |
| Influenza assay w/optic (87804) | $45.60 | $76 | 2.8× |
| Inherited Cardmypthy 5 Gns (81439) | $1,203.60 | $2,006 | 2.1× |
| Inhibin A (86336) | $74.40 | $124 | 4.8× |
| Inhibin b (83520) | $49.20 | $82 | 2.8× |
| Insitu hybridization auto (88367) | $329.40 | $549 | 0.9× |
| Insitu hybridization manual (88368) | $329.40 | $549 | 0.9× |
| Insulin antibodies (86337) | $90.60 | $151 | 4.2× |
| Insulin free (83527) | $61.20 | $102 | 4.7× |
| Insulin total (83525) | $48.60 | $81 | 4.3× |
| Interleukin-6 (83529) | $40.80 | $68 | 2.4× |
| Intrinsic factor antibody (86340) | $64.20 | $107 | 4.3× |
| Iron (83540) | $24.60 | $41 | 3.8× |
| Iron Binding Capacity (83550) | $37.20 | $62 | 4.3× |
| Irradiation Blood Product Each Unit (86945) | $62.40 | $104 | 1.6× |
| Islet cell antibody (86341) | $78.60 | $131 | 3.3× |
| Jak2 gene analysis p.val617phe variant (81270) | $331.80 | $553 | 3.6× |
| Kit Gene Analysis D816 Variant(S) (81273) | $248.40 | $414 | 2.0× |
| Koh Prep (87220) | $18.60 | $31 | 4.4× |
| Kras Gene Analysis Additional Variant(S) (81276) | $334.20 | $557 | 1.7× |
| Kras Gene Variants Exon 2 (81275) | $380.40 | $634 | 2.0× |
| Lactate (ld) (ldh) enzyme (83615) | $25.80 | $43 | 4.3× |
| Lactoferrin fecal qualitative (83630) | $51.60 | $86 | 2.6× |
| LDL direct (83721) | $31.80 | $53 | 3.0× |
| Lead (83655) | $51.60 | $86 | 4.3× |
| Legionella antigen urine (87449) | $51 | $85 | 4.3× |
| Leptospira antibody (86720) | $50.40 | $84 | 3.1× |
| Leukocyte Assessment Fecal (89055) | $21 | $35 | 4.9× |
| Leukocyte Histamine Release (86343) | $80.40 | $134 | 6.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $56.40 | $94 | 1.8× |
| Level ii surg pathology grossµscopic exam (88302) | $97.80 | $163 | 2.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $363.60 | $606 | 0.9× |
| Lidocaine (80176) | $72 | $120 | 4.9× |
| Lipase (83690) | $75 | $125 | 10.9× |
| Lipoprotein A (83695) | $46.80 | $78 | 3.3× |
| Lipoprotein Bld Quan Part (83704) | $97.20 | $162 | 2.8× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $61.20 | $102 | 5.4× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $68.40 | $114 | 2.0× |
| Lithium (80178) | $35.40 | $59 | 5.4× |
| Luteinizing Hormone (Lh) (83002) | $105 | $175 | 5.7× |
| Lyme disease antibody (86618) | $72.60 | $121 | 4.3× |
| Lymphocyte transformation (86353) | $207.60 | $346 | 4.2× |
| Lysozyme serum (85549) | $42 | $70 | 2.2× |
| M. Genitalium Amp Probe (87563) | $63.60 | $106 | 1.8× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $529.80 | $883 | 2.9× |
| M/phmtrc alys ishquant/semiq (88374) | $432 | $720 | 2.4× |
| Macroscopic exam arthropod (87168) | $39 | $65 | 9.1× |
| Macroscopic Exam Parasite (87169) | $18.60 | $31 | 4.3× |
| Magnesium Urine (83735) | $93.60 | $156 | 14.0× |
| Mass Spectrometry Quant (83789) | $42 | $70 | 1.7× |
| Mercury urine (83825) | $69 | $115 | 4.2× |
| Methotrexate (80204) | $112.20 | $187 | 2.9× |
| Methylmalonic acid serum (83921) | $83.40 | $139 | 3.9× |
| Microalbumin, quantitative (82043) | $22.80 | $38 | 3.9× |
| Microsatellite instability (81301) | $691.80 | $1,153 | 2.0× |
| Microsomal Antibodies Each (86376) | $61.80 | $103 | 4.2× |
| Mitochondrial Antibody Each (86381) | $52.80 | $88 | 2.1× |
| Mlh1 Gene (81288) | $382.20 | $637 | 2.0× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,341.60 | $2,236 | 2.0× |
| Mog-Igg1 Antb Cba Each (86362) | $45 | $75 | 3.7× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $65.40 | $109 | 1.7× |
| Molecular Cytogenetics Dna Probe Each (88271) | $76.80 | $128 | 3.6× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $147.60 | $246 | 3.5× |
| Molecular Pathology Procedure Level 6 (81405) | $452.40 | $754 | 1.5× |
| Mononuclear cell antigen (86356) | $46.20 | $77 | 1.7× |
| Mopath procedure level 1 (81400) | $194.40 | $324 | 3.0× |
| Mopath procedure level 2 (81401) | $323.40 | $539 | 2.4× |
| Mopath procedure level 4 (81403) | $388.20 | $647 | 2.1× |
| Mopath procedure level 5 (81404) | $412.80 | $688 | 1.5× |
| Mopath procedure level 7 (81406) | $1,464.60 | $2,441 | 5.2× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $502.80 | $838 | 2.7× |
| Mrsa Pcr (87641) | $102 | $170 | 2.9× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $573 | $955 | 1.5× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $963.60 | $1,606 | 1.5× |
| Msh6 Gene Known Variants (81299) | $336 | $560 | 1.1× |
| Mthfr Gene Analysis Common Variants (81291) | $168.60 | $281 | 2.6× |
| Mumps antibody (86735) | $41.40 | $69 | 3.2× |
| Muscle-Specific Kinase Antb (86366) | $97.20 | $162 | 5.3× |
| Mycobacteric Identification (87118) | $42 | $70 | 2.9× |
| Mycoplasma antibody (86738) | $45.60 | $76 | 3.4× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $401.40 | $669 | 2.3× |
| Myoglobin urine (83874) | $55.20 | $92 | 4.3× |
| Natriuretic peptide (83880) | $116.40 | $194 | 3.0× |
| Neurofilament light chain (83884) | $42.60 | $71 | 0.4× |
| Neutralization Test Viral (86382) | $72 | $120 | 4.3× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $697.20 | $1,162 | 2.7× |
| Nfct ds bv&vaginitis DNA alg (81515) | $394.80 | $658 | 1.5× |
| Nfct ds chrnc hcv 6 assays (81596) | $368.40 | $614 | 5.1× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $235.20 | $392 | 1.8× |
| Niacin (84591) | $55.20 | $92 | 3.2× |
| Nk cells total count (86357) | $65.40 | $109 | 1.7× |
| Nuclear antigen antibody (86235) | $67.80 | $113 | 3.8× |
| Obstetric panel (80081) | $458.40 | $764 | 6.1× |
| Occult blood feces (82272) | $19.20 | $32 | 4.5× |
| Occult Blood Other Sources (82271) | $19.20 | $32 | 3.6× |
| Oligoclonal bands (83916) | $85.20 | $142 | 3.1× |
| Oncoprotein dcp (83951) | $128.40 | $214 | 2.0× |
| Organic Acids Qualitative Each Specimen (83919) | $32.40 | $54 | 2.0× |
| Organic acids urine (83918) | $279 | $465 | 11.8× |
| Osmolality serum (83930) | $28.20 | $47 | 4.3× |
| Osmolality Urine (83935) | $30.60 | $51 | 4.5× |
| Osmotic fragility rbc incubated (85557) | $77.40 | $129 | 5.8× |
| Osteocalcin (83937) | $73.80 | $123 | 2.5× |
| Ova and parasites smears (87177) | $24.60 | $41 | 2.8× |
| Oxalate urine (83945) | $36.60 | $61 | 2.5× |
| Pancreatic Elastase Fecal (82656) | $76.20 | $127 | 6.6× |
| Particle Agglutination Screen Each Antibody (86403) | $43.80 | $73 | 3.8× |
| Parvovirus antibody (86747) | $55.20 | $92 | 3.7× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $532.80 | $888 | 0.6× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $151.20 | $252 | 2.7× |
| Ph urine (81003) | $15.60 | $26 | 6.9× |
| Phenobarbital Level (80184) | $49.20 | $82 | 3.2× |
| Phenotype Infect Agent Drug (87900) | $225.60 | $376 | 1.7× |
| Phenylalanine (84030) | $36.60 | $61 | 6.7× |
| Phenytoin (Dilantin) (80185) | $57 | $95 | 4.3× |
| Phenytoin free (80186) | $56.40 | $94 | 4.1× |
| Phosphatase acid prostatic (84066) | $37.20 | $62 | 3.9× |
| Phosphatase alkaline (84075) | $32.40 | $54 | 6.3× |
| Phospholipid Neutralization Hexagonal (85598) | $57 | $95 | 3.2× |
| Phosphorus Serum (84100) | $59.40 | $99 | 12.5× |
| Phosphorus urine (84105) | $17.40 | $29 | 3.0× |
| Pinworm exam (87172) | $18.60 | $31 | 4.4× |
| Platelet Aggregation (85576) | $65.40 | $109 | 2.6× |
| Platelet Antibodies (86022) | $77.40 | $129 | 4.2× |
| Platelet count automated (85049) | $19.20 | $32 | 4.3× |
| Platelet neutralization (85597) | $70.20 | $117 | 3.9× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $458.40 | $764 | 2.2× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $405 | $675 | 2.0× |
| Pms2 gene full seq analysis (81317) | $1,402.80 | $2,338 | 2.1× |
| Pneumcysts jirovecii amp prb (87594) | $63 | $105 | 1.8× |
| Porphobilinogen, urine; quantitative (84110) | $27 | $45 | 3.2× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $64.20 | $107 | 4.4× |
| Potassium Urine (84133) | $18.60 | $31 | 3.9× |
| Prealbumin (84134) | $35.40 | $59 | 2.4× |
| Pregnancy-Associated Plasma Protein-A (84163) | $30 | $50 | 2.0× |
| Pregnenolone (84140) | $76.20 | $127 | 3.7× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $162.60 | $271 | 0.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $84 | $140 | 1.3× |
| Primidone (80188) | $46.80 | $78 | 2.8× |
| Procalcitonin (Pct) (84145) | $100.80 | $168 | 3.7× |
| Progesterone (84144) | $190.20 | $317 | 9.1× |
| Prolactin (84146) | $88.80 | $148 | 4.6× |
| Prostaglandin (84150) | $231 | $385 | 5.5× |
| Protein body fluid (84157) | $16.20 | $27 | 4.1× |
| Protein C Activity (85303) | $91.20 | $152 | 6.6× |
| Protein c antigen (85302) | $65.40 | $109 | 5.4× |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$22.20–$70.20 | $37–$117 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$22.20–$43.20 | $37–$72 | varies |
| Protein S Free (85306) | $101.40 | $169 | 6.6× |
| Protein s total (85305) | $76.20 | $127 | 6.6× |
| Protein total serum (84155) | $16.20 | $27 | 4.4× |
| Protein Total Urine (84156) | $21 | $35 | 5.7× |
| Protein Western Blot Test (84182) | $71.40 | $119 | 2.4× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $80.40 | $134 | 20.4× |
| PSA free (84154) | $58.80 | $98 | 3.2× |
| Pth Intact (83970) | $138 | $230 | 3.3× |
| Pyruvate kinase (84220) | $42.60 | $71 | 4.5× |
| Q Fever Antibody (86638) | $28.80 | $48 | 2.4× |
| Quantiferon tb gold plus (86480) | $123.60 | $206 | 2.0× |
| Quantitative assay drug (80299) | $28.20 | $47 | 1.5× |
| Quantitative Screen Metals (83018) | $38.40 | $64 | 1.7× |
| Quinidine (80194) | $62.40 | $104 | 4.3× |
| Rbc antibody elution (86860) | $128.40 | $214 | 0.7× |
| Rbc antibody identification (86870) | $263.40 | $439 | 0.7× |
| Rbc antibody screen (86850) | $46.20 | $77 | 4.7× |
| Rbc pretreatment serum (86978) | $101.40 | $169 | 1.6× |
| Rbc pretx incubatj w/enzymes (86971) | $198 | $330 | 1.1× |
| Renin activity plasma (84244) | $78.60 | $131 | 3.6× |
| Resp virus 12-25 targets (87633) | $746.40 | $1,244 | 1.8× |
| Resp Virus 6-11 Targets (87632) | $571.20 | $952 | 2.6× |
| Reticulated Platelet Assay (85055) | $55.80 | $93 | 1.6× |
| Reticulocyte Count (85046) | $21 | $35 | 3.8× |
| Reticulocyte Count Manual (85044) | $45 | $75 | 10.4× |
| Rh (86901) | $39.60 | $66 | 13.2× |
| Rheumatoid Factor Qualitative (86430) | $22.20 | $37 | 3.6× |
| Rheumatoid factor quant (86431) | $24.60 | $41 | 4.3× |
| Rickettsia antibody (86757) | $75 | $125 | 3.9× |
| Ristocetin cofactor (85245) | $88.20 | $147 | 3.8× |
| Rotavirus ag eia (87425) | $51 | $85 | 4.3× |
| Rpr qualitative (86592) | $13.80 | $23 | 3.2× |
| Rsv Assay W/Optic (87807) | $51 | $85 | 3.9× |
| Rubella Antibody (86762) | $64.20 | $107 | 4.5× |
| Rubeola antibody (86765) | $49.20 | $82 | 3.8× |
| Russell Viper Venom Time Diluted (85613) | $38.40 | $64 | 4.0× |
| Rx metab gen seq alys pnl 6 (81418) | $1,376.40 | $2,294 | 1.5× |
| Salicylate Level (80179) | $50.40 | $84 | 2.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $77.40 | $129 | 1.5× |
| Sars-cov-2 COVID-19 antibody (86769) | $67.80 | $113 | 1.6× |
| Sarscov2 & inf a&b amp prb (87636) | $214.80 | $358 | 1.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $214.80 | $358 | 1.5× |
| Sedimentation rate (85651) | $33 | $55 | 7.7× |
| Sedimentation Rate, Automated (85652) | $12.60 | $21 | 4.7× |
| Selenium (84255) | $68.40 | $114 | 2.7× |
| Semen Anal Sperm Detection (89321) | $51.60 | $86 | 4.3× |
| Semen analysis motility and count (89310) | $37.20 | $62 | 4.3× |
| Sensitivity mic (87186) | $37.20 | $62 | 4.3× |
| Sex Hormone Binding Globulin (84270) | $67.80 | $113 | 3.1× |
| Sickling of rbc reduction (85660) | $23.40 | $39 | 4.2× |
| Sirolimus (80195) | $33 | $55 | 2.4× |
| Skin test tuberculosis intradermal (86580) | $24 | $40 | 0.8× |
| Smear acid fast (87206) | $23.40 | $39 | 4.3× |
| Smear complex stain (87209) | $40.80 | $68 | 2.3× |
| Smear gram stain (87205) | $17.40 | $29 | 4.1× |
| Smear Special Stain (87207) | $30 | $50 | 5.0× |
| Smn1 Gene Dos/Deletion Alys (81329) | $447.60 | $746 | 3.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $16.80 | $28 | 2.9× |
| Sodium Serum (84295) | $25.80 | $43 | 5.4× |
| Sodium Urine (84300) | $32.40 | $54 | 6.4× |
| Soluble Transferrin Receptor (84238) | $123 | $205 | 3.4× |
| Somatomedin (84305) | $143.40 | $239 | 6.7× |
| Special Stains Group 1 (88312) | $138.60 | $231 | 2.5× |
| Special Stains Group 2 (88313) | $114 | $190 | 0.8× |
| Specimen infect agnt concntj (87015) | $23.40 | $39 | 3.5× |
| Spectrophotometry (84311) | $36 | $60 | 4.4× |
| Splitting Blood/Blood Products Each Unit (86985) | $138.60 | $231 | 0.8× |
| Staph a DNA amp probe (87640) | $81 | $135 | 2.3× |
| Stone Analysis (82355) | $52.80 | $88 | 4.6× |
| Stool cultr aerobic bact ea (87046) | $36.60 | $61 | 3.9× |
| Strep a assay w/optic (87880) | $30.60 | $51 | 1.9× |
| Strep a DNA amp probe (87651) | $60.60 | $101 | 1.7× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $49.20 | $82 | 0.5× |
| Sugars Single Qual (84376) | $22.80 | $38 | 4.1× |
| Sulfate urine (84392) | $15 | $25 | 2.7× |
| Surg path level iii (88304) | $129.60 | $216 | 2.3× |
| Surgical pathology level IV (88305) | $186.60 | $311 | 3.3× |
| Surgical pathology level vi (88309) | $545.40 | $909 | 0.6× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $16.20 | $27 | 3.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $29.40 | $49 | 3.9× |
| Syphilis Test Non-Trep Quant (86593) | $24 | $40 | 5.5× |
| T cells absolute cd4 count (86361) | $54 | $90 | 2.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $78 | $130 | 1.7× |
| T cells total count (86359) | $75 | $125 | 2.0× |
| T3 Free (84481) | $72 | $120 | 4.3× |
| T3 reverse (84482) | $78.60 | $131 | 5.0× |
| T3 Total (84480) | $51 | $85 | 3.6× |
| T3 Uptake (84479) | $31.20 | $52 | 4.8× |
| T4 Free (84439) | $44.40 | $74 | 4.9× |
| T4 total (84436) | $31.20 | $52 | 4.5× |
| Tacrolimus (80197) | $58.80 | $98 | 4.3× |
| Tau phosphorylated each (84393) | $42.60 | $71 | 0.3× |
| Tb ag response t-cell susp (86481) | $173.40 | $289 | 1.7× |
| Test for acetone/ketones (82009) | $9.60 | $16 | 2.1× |
| Testosterone Bioavailable (84410) | $157.80 | $263 | 3.1× |
| Testosterone total (84403) | $144 | $240 | 5.6× |
| Testosterone, Free (84402) | $176.40 | $294 | 6.9× |
| Tgsap hl neo 5-50 RNA alys (81451) | $1,442.40 | $2,404 | 1.9× |
| Tgsap so/hl 51/< RNA alys (81456) | $4,470.60 | $7,451 | 1.5× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $1,436.40 | $2,394 | 2.4× |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $1,258.20 | $2,097 | 2.1× |
| Theophylline (80198) | $60 | $100 | 4.2× |
| Thiocyanate (84430) | $33 | $55 | 2.8× |
| Thiopurine methyltransferase (84433) | $156 | $260 | 7.0× |
| Thrombin Time (85670) | $29.40 | $49 | 5.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $25.80 | $43 | 4.0× |
| Thyroglobulin (84432) | $79.80 | $133 | 5.0× |
| Thyroglobulin Antibody (86800) | $44.40 | $74 | 2.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $124.80 | $208 | 2.5× |
| Thyroxine binding globulin (84442) | $44.40 | $74 | 3.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $61.20 | $102 | 5.3× |
| Tissue Culture (88233) | $322.20 | $537 | 2.3× |
| Tissue Culture Amniotic Fluid (88235) | $352.20 | $587 | 2.3× |
| Tissue culture bone marrow (88237) | $248.40 | $414 | 1.7× |
| Tissue Culture Lymphocyte (88230) | $323.40 | $539 | 2.8× |
| Tobramycin peak (80200) | $67.20 | $112 | 4.2× |
| Topiramate (80201) | $51 | $85 | 4.3× |
| Total Tau (84394) | $42.60 | $71 | 0.3× |
| Touch prep (88161) | $101.40 | $169 | 3.3× |
| Toxoplasma ab igm (86778) | $55.20 | $92 | 3.8× |
| Toxoplasma antibody (86777) | $53.40 | $89 | 3.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $25.80 | $43 | 5.0× |
| Transferrin (84466) | $42.60 | $71 | 3.3× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $414.60 | $691 | 2.0× |
| Trg gene rearrangement anal (81342) | $348.60 | $581 | 1.7× |
| Trichomonas vagin dir probe (87660) | $42 | $70 | 2.1× |
| Trichomonas Vaginalis Amplif (87661) | $127.80 | $213 | 3.6× |
| Triglycerides (84478) | $30 | $50 | 5.2× |
| Trnspl rej kdn mrna qpcr 139 (81558) | $4,860.60 | $8,101 | 1.5× |
| Troponin Quant (84484) | $85.80 | $143 | 6.9× |
| Tumor immunohistochem/comput (88361) | $263.40 | $439 | 0.7× |
| Tumor Immunohistochem/Manual (88360) | $172.80 | $288 | 0.9× |
| Ugt1a1 gene analysis common variants (81350) | $486.60 | $811 | 2.1× |
| Unlisted Cytogenetic Study (88299) | $300 | $500 | 5.4× |
| Urea nitrogen urine (84540) | $21.60 | $36 | 3.9× |
| Uric acid other source (84560) | $15.60 | $26 | 3.1× |
| Urinalysis Microscopic Only (81015) | $9 | $15 | 3.0× |
| Urinalysis Volume Measure (81050) | $10.80 | $18 | 3.0× |
| Urine Bacteria Culture (87088) | $27.60 | $46 | 3.4× |
| Urine Pregnancy Test (81025) | $75.60 | $126 | 8.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $25.20 | $42 | 7.9× |
| Valproic acid (80164) | $57.60 | $96 | 4.3× |
| Vancomycin (80202) | $53.40 | $89 | 3.9× |
| Varicella-zoster antibody (86787) | $165 | $275 | 12.8× |
| Vasopressin (84588) | $120.60 | $201 | 3.6× |
| Very Long Chain Fatty Acids (82726) | $83.40 | $139 | 4.2× |
| Virus antibody nos (86790) | $55.20 | $92 | 4.3× |
| Viscosity serum (85810) | $40.80 | $68 | 3.5× |
| Vit D 1 25-Dihydroxy (82652) | $163.20 | $272 | 4.2× |
| Vitamin A (84590) | $39 | $65 | 3.4× |
| Vitamin b-12 (82607) | $64.20 | $107 | 4.3× |
| Vitamin B2 (Riboflavin) (84252) | $72.60 | $121 | 3.6× |
| Vitamin B6 (84207) | $91.20 | $152 | 3.2× |
| Vitamin c (82180) | $42 | $70 | 4.2× |
| Vitamin D 25-Hydroxy (82306) | $115.20 | $192 | 3.9× |
| Vitamin E (84446) | $60.60 | $101 | 4.3× |
| Vitamin K (84597) | $92.40 | $154 | 6.7× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $89.40 | $149 | 7.4× |
| Von willebrand factor ag (85246) | $91.20 | $152 | 4.0× |
| Wbc Alkaline Phosphatase Count (85540) | $38.40 | $64 | 4.5× |
| West nile virus ab igm (86788) | $71.40 | $119 | 4.2× |
| West Nile Virus Antibody (86789) | $69 | $115 | 4.8× |
| Xm Archive Tissue Molec Anal (88363) | $48.60 | $81 | 1.6× |
| Zika Virus Dna/Rna Amp Probe (87662) | $109.80 | $183 | 2.1× |
| Zinc (84630) | $32.40 | $54 | 2.8× |
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.