Lab & pathology prices at Altru Hospital

Grand Forks, ND · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $25.62 $42 1.7×
17-Hydroxypregnenolone (84143)
range across 4 matching MRF lines		 $44.53–$65.88 $73–$108 varies
5 Nucleotidase (83915)
range across 6 matching MRF lines		 $46.97–$505.69 $77–$829 varies
Abl1 gene analysis kinase domain variants (81170) $329.40 $540 1.1×
Acetylcholinesterase Assay (82013) $99.43 $163 8.1×
Acth (82024) $134.81 $221 3.5×
Actin smooth muscle antibody each (86015) $40.87 $67 3.4×
Acute hepatitis panel (80074) $136.64 $224 2.9×
Acylcarnitines Quant (82017)
range across 6 matching MRF lines		 $44.53–$301.34 $73–$494 varies
Adenovirus antibody (86603) $95.16 $156 7.4×
Afp-l3 fraction isoform & total afp w/ratio (82107) $80.52 $132 1.3×
Agglutinins Febrile Each Antigen (86000)
range across 4 matching MRF lines		 $17.69–$110.41 $29–$181 varies
Albumin Fluid (82042)
range across 4 matching MRF lines		 $51.85–$141.52 $85–$232 varies
Albumin serum (82040) $46.36 $76 9.4×
Aldolase (82085) $29.89 $49 3.1×
Aldosterone urine (82088) $98.21 $161 2.4×
Alkaline phosphatase isoenzymes (84080) $42.09 $69 2.8×
Allergen spec ige qual multiallergen screen (86005) $32.94 $54 4.1×
Allergen specific ige (86003)
range across 14 matching MRF lines		 $14.64–$74.42 $24–$122 varies
Allergen specific igg (86001)
range across 12 matching MRF lines		 $19.52–$105.53 $32–$173 varies
Allg Spec Ige Recomb Ea (86008)
range across 4 matching MRF lines		 $16.47–$21.35 $27–$35 varies
Alpha-1-antitrypsin phenotype (82104) $55.51 $91 3.8×
Alpha-1-antitrypsin total (82103) $51.24 $84 3.8×
Alpha-Fetoprotein Amniotic Fluid (82106) $62.22 $102 3.7×
Alpha-Fetoprotein Serum (82105) $62.22 $102 3.7×
Alt (sgpt) (84460) $38.43 $63 7.3×
Aluminum (82108) $81.74 $134 3.2×
Amikacin trough (80150) $80.52 $132 5.3×
Amino Acids 1 Quantitative Each Specimen (82131) $59.78 $98 2.6×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 6 matching MRF lines		 $109.80–$472.75 $180–$775 varies
Amino Acids Multiple Qualitative Each Specimen (82128) $51.85 $85 3.7×
Amino Acids Quant 2-5 (82136)
range across 4 matching MRF lines		 $67.71–$90.28 $111–$148 varies
Amino acids; single, qualitative, each specimen Facility (82127) $84.18 $138 5.9×
Aminolevulinic acid (ala) (82135)
range across 4 matching MRF lines		 $50.63–$96.99 $83–$159 varies
Ammonia (82140)
range across 4 matching MRF lines		 $37.21–$113.46 $61–$186 varies
Amniotic fluid protein test on cervicovaginal fluid (84112)
range across 4 matching MRF lines		 $159.82–$174.46 $262–$286 varies
Amylase urine (82150)
range across 8 matching MRF lines		 $42.09–$114.68 $69–$188 varies
Ana Titer (86039)
range across 4 matching MRF lines		 $43.92–$88.45 $72–$145 varies
Anca screen each antibody (86036)
range across 4 matching MRF lines		 $34.16–$65.27 $56–$107 varies
Androstanediol Glucuronide (82154) $59.17 $97 2.1×
Androstenedione (82157)
range across 4 matching MRF lines		 $58.56–$70.76 $96–$116 varies
Angiotensin converting enzyme csf (82164) $53.68 $88 3.7×
Anti-Phospholipid Antibody (86148)
range across 4 matching MRF lines		 $43.31–$183 $71–$300 varies
Antibody aspergillus (86606)
range across 4 matching MRF lines		 $18.30–$36.60 $30–$60 varies
Antibody Bacterium Not Elsewhere Specified (86609)
range across 8 matching MRF lines		 $17.69–$154.33 $29–$253 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 4 matching MRF lines		 $36.60–$56.12 $60–$92 varies
Antibody Cytomegalovirus Cmv Igm (86645) $32.94 $54 2.0×
Antibody Encephalitis California La Crosse (86651)
range across 4 matching MRF lines		 $15.86–$32.33 $26–$53 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $68.93 $113 5.3×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $65.27 $107 4.3×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $65.27 $107 3.6×
Antibody Fungus Not Elsewhere Specified (86671)
range across 6 matching MRF lines		 $66.49–$109.80 $109–$180 varies
Antibody haemophilus influenza (86684) $43.92 $72 2.8×
Antibody helicobacter pylori (86677) $30.50 $50 1.8×
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 6 matching MRF lines		 $20.13–$46.36 $33–$76 varies
Antibody Herpes Smplx Type 1 (86695)
range across 6 matching MRF lines		 $29.89–$56.73 $49–$93 varies
Antibody HIV-1&HIV-2 single result (86703)
range across 6 matching MRF lines		 $28.67–$76.86 $47–$126 varies
Antibody HIV-2 (86702)
range across 4 matching MRF lines		 $46.97–$78.08 $77–$128 varies
Antibody Hla Class I High Definition Panel Qual (86832) $367.83 $603 1.1×
Antibody htlv/HIV antibody confirmatory test (86689)
range across 4 matching MRF lines		 $55.51–$74.42 $91–$122 varies
Antibody identification leukocyte antibodies (86021)
range across 4 matching MRF lines		 $76.25–$109.80 $125–$180 varies
Antibody Identification Platelet Immunogl Assay (86023)
range across 4 matching MRF lines		 $53.07–$202.52 $87–$332 varies
Antibody john cunningham virus (86711) $1,316.38 $2,158 77.9×
Antibody leishmania (86717) $32.33 $53 2.6×
Antibody Lymphocytic Choriomeningitis (86727)
range across 8 matching MRF lines		 $25.62–$71.98 $42–$118 varies
Antibody nocardia (86744) $137.25 $225 8.6×
Antibody plasmodium malaria (86750) $39.04 $64 3.0×
Antibody Protozoa Nes (86753)
range across 4 matching MRF lines		 $32.94–$45.14 $54–$74 varies
Antibody Titer (86886)
range across 4 matching MRF lines		 $68.32–$98.82 $112–$162 varies
Antibody Treponema Pallidum (86780)
range across 6 matching MRF lines		 $42.70–$65.88 $70–$108 varies
Antibody; campylobacter (86625) $60.39 $99 4.6×
Antibody; encephalitis, st. louis (86653)
range across 4 matching MRF lines		 $15.86–$32.33 $26–$53 varies
Antibody; influenza virus (86710)
range across 4 matching MRF lines		 $32.94–$74.42 $54–$122 varies
Antigen typing (86905) $42.70 $70 11.1×
Antinuclear antibodies (86038)
range across 4 matching MRF lines		 $31.72–$46.36 $52–$76 varies
Antistreptolysin O Screen (86063) $50.63 $83 8.8×
Antistreptolysin o titer (86060) $64.05 $105 8.8×
Antithrombin iii activity (85300)
range across 4 matching MRF lines		 $25.01–$97.60 $41–$160 varies
Antithrombin iii antigen (85301) $96.38 $158 8.9×
Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) $1,598.20 $2,620 3.2×
Apc gene full sequence (81201) $1,006.50 $1,650 1.3×
Apolipoprotein a1 (82172) $47.58 $78 2.3×
Aqaprn-4 Antb Flo Cytmtry Ea (86053)
range across 4 matching MRF lines		 $70.15–$287.92 $115–$472 varies
Arsenic (82175)
range across 4 matching MRF lines		 $44.53–$64.66 $73–$106 varies
Aspa gene analysis common variants (81200) $65.88 $108 1.4×
Aspergillus ag eia (87305)
range across 4 matching MRF lines		 $62.83–$126.88 $103–$208 varies
Assay activated protein c (85307) $22.57 $37 1.5×
Assay Blood Carbon Dioxide (82374) $37.82 $62 7.8×
Assay Nephelometry Not Spec (83883)
range across 8 matching MRF lines		 $32.33–$82.35 $53–$135 varies
Assay of 5-hiaa (83497)
range across 4 matching MRF lines		 $58.56–$318.42 $96–$522 varies
Assay of b-hexosaminidase each assay (83080)
range across 4 matching MRF lines		 $24.40–$53.68 $40–$88 varies
Assay of blood/uric acid (84550) $40.26 $66 8.9×
Assay of calcium in urine (82340)
range across 6 matching MRF lines		 $15.25–$43.31 $25–$71 varies
Assay of cpk in blood (82552)
range across 4 matching MRF lines		 $35.38–$57.95 $58–$95 varies
Assay of estrone (82679) $82.35 $135 3.3×
Assay of g6pd enzyme (82955) $51.24 $84 5.3×
Assay of gammaglobulin igm (82784)
range across 8 matching MRF lines		 $19.52–$71.37 $32–$117 varies
Assay of lactic acid (83605) $109.19 $179 9.4×
Assay of manganese (83785)
range across 4 matching MRF lines		 $54.90–$120.17 $90–$197 varies
Assay of metanephrines (83835) $70.76 $116 4.2×
Assay of phosphatase acid total (84060) $34.77 $57 4.6×
Assay of proinsulin (84206) $90.89 $149 3.4×
Assay of pyruvate (84210) $64.05 $105 4.4×
Assay of semen fructose (82757) $50.63 $83 2.9×
Assay of serotonin (84260) $56.12 $92 1.8×
Assay of serum potassium (84132)
range across 5 matching MRF lines		 $43.31–$66.49 $71–$109 varies
Assay of sweat sodium (84302)
range across 4 matching MRF lines		 $17.69–$41.48 $29–$68 varies
Assay of transcortin (84449) $50.63 $83 2.8×
Assay of Tyrosine (84510)
range across 4 matching MRF lines		 $57.95–$100.65 $95–$165 varies
Assay of urea nitrogen (84520) $45.75 $75 11.6×
Assay of urine vma (84585) $74.42 $122 4.8×
Assay of vasoactive intestinal peptide (84586) $75.03 $123 2.1×
Assay of vitamin b-1 (84425) $76.86 $126 3.6×
Assay Ph Body Fluid Nos (83986)
range across 7 matching MRF lines		 $12.81–$42.70 $21–$70 varies
Assay Phosphohexose Enzymes (84087) $78.08 $128 7.3×
Atomic Absorption (82190) $43.92 $72 2.8×
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) $745.42 $1,222 0.9×
Autol Bld/Component Collj Storage Predeposited (86890) $377.59 $619 2.2×
Automated Leukocyte Count (85048) $26.23 $43 10.3×
B cells total count (86355)
range across 9 matching MRF lines		 $107.36–$220.82 $176–$362 varies
Babesia microti amp prb (87469)
range across 4 matching MRF lines		 $27.45–$98.21 $45–$161 varies
Bartonella antibody (86611) $29.89 $49 2.9×
Bcr/abl1 gene major bp (81206)
range across 4 matching MRF lines		 $107.36–$329.40 $176–$540 varies
Bcr/abl1 gene minor bp (81207)
range across 6 matching MRF lines		 $95.16–$329.40 $156–$540 varies
Bcr/Abl1 Gene Other Bp (81208)
range across 4 matching MRF lines		 $110.41–$141.52 $181–$232 varies
Beta 2 glycoprotein i antibody each (86146) $53.07 $87 2.1×
Beta hydroxybutyrate (82010) $21.35 $35 2.6×
Beta Lactamase (87185)
range across 4 matching MRF lines		 $25.62–$34.16 $42–$56 varies
Beta-2 Microglobulin (82232) $59.17 $97 3.7×
Bile acids total (82239) $42.09 $69 2.5×
Bilirubin direct (82248) $42.70 $70 8.5×
Bilirubin total (82247)
range across 4 matching MRF lines		 $42.70–$56.73 $70–$93 varies
Bilirubin total transcutaneous (88720) $21.35 $35 4.3×
Bilirubin; feces, qualitative Facility (82252) $20.74 $34 4.5×
Biotinidase (82261) $58.56 $96 3.5×
Blastomyces antibody (86612)
range across 6 matching MRF lines		 $46.97–$81.13 $77–$133 varies
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $233.02 $382 1.3×
Bld Typing Serologic Rh Phnt (86906) $106.75 $175 13.8×
Bleeding time test (85002) $58.56 $96 12.1×
Blm Gene (81209) $65.88 $108 1.7×
Blood Count Automated Differential Wbc Count (85004) $24.40 $40 3.8×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $43.92 $72 8.7×
Blood Count Red Blood Cell Automated (85041) $28.67 $47 9.5×
Blood count reticulocyte automated (85045) $50.63 $83 12.7×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $39.65 $65 10.4×
Blood count spun microhematocrit (85013) $26.84 $44 3.8×
Blood gas (82803) $168.97 $277 6.5×
Blood gases w/02 saturation (82805) $168.97 $277 2.1×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 6 matching MRF lines		 $36.60–$65.88 $60–$108 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 8 matching MRF lines		 $28.06–$29.28 $46–$48 varies
Blood Sulfhemoglobin Assay (83060) $32.33 $53 3.7×
Blood Type Antigen Donor Reagent Serum Each (86902) $54.29 $89 8.5×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $62.22 $102 3.8×
Blood typing serologic abo (86900)
range across 4 matching MRF lines		 $8.54–$51.24 $14–$84 varies
Body fluid cell count (89050) $73.81 $121 15.6×
Bone marrow smear interpretation (85097) $217.77 $357 0.3×
Bordetella antibody (86615)
range across 4 matching MRF lines		 $18.91–$75.64 $31–$124 varies
Borrelia miyamotoi amp prb (87478)
range across 4 matching MRF lines		 $27.45–$440.42 $45–$722 varies
Braf gene analysis (81210)
range across 6 matching MRF lines		 $218.99–$867.42 $359–$1,422 varies
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) $1,067.96 $1,750.75 2.3×
Brca1&2 gen full seq dup/del (81162) $1,607.35 $2,635 0.9×
Brca2 Gene Analysis Known Familial Variant (81217) $398.94 $654 1.1×
Brucella antibody (86622)
range across 4 matching MRF lines		 $25.01–$101.87 $41–$167 varies
C diff amplified probe (87493)
range across 4 matching MRF lines		 $62.83–$235.46 $103–$386 varies
C-Peptide (84681) $63.44 $104 3.0×
C-reactive protein (86140) $71.98 $118 13.9×
Ca 19-9 (86301) $89.06 $146 4.3×
Cadmium (82300) $57.95 $95 2.5×
Caffeine (80155) $45.14 $74 1.2×
Calcitonin (82308) $98.21 $161 3.7×
Calcium ionized (82330) $90.89 $149 6.6×
Calcium total (82310)
range across 4 matching MRF lines		 $14.03–$44.53 $23–$73 varies
Calculus Spectroscopy (82365) $29.89 $49 2.3×
Calculus Xray Diffraction (82370) $39.65 $65 3.2×
Calprotectin Fecal (83993) $152.50 $250 7.8×
Calr gene com variants (81219) $301.95 $495 2.5×
Cancer Antigen 125 (86304)
range across 4 matching MRF lines		 $131.76–$173.24 $216–$284 varies
Cancer Antigen 27.29 (86300) $101.26 $166 4.9×
Candida antibody (86628) $46.97 $77 3.9×
Candida Dna Dir Probe (87480) $84.18 $138 4.2×
Carbamazepine free (80157) $37.82 $62 2.9×
Carbamazepine total (80156)
range across 4 matching MRF lines		 $44.53–$101.87 $73–$167 varies
Carbohydrate Deficient Transferrin (82373) $39.65 $65 2.2×
Carboxyhemoglobin (82375) $82.96 $136 6.7×
Carcinoembryonic antigen (82378)
range across 4 matching MRF lines		 $123.83–$159.82 $203–$262 varies
Cardiolipin ab iga (86147) $71.37 $117 2.8×
Carnitine Quantitative Each Specimen (82379) $51.85 $85 3.1×
Carotene (82380)
range across 4 matching MRF lines		 $22.57–$53.68 $37–$88 varies
Catecholamines fractionated (82384) $34.77 $57 1.4×
Ccp antibody (86200)
range across 4 matching MRF lines		 $34.16–$38.43 $56–$63 varies
Cebpa Gene Analysis Full Gene Sequence (81218) $281.82 $462 1.2×
Cell count csf (89051) $81.74 $134 14.6×
Cell enumeration & id (86152) $578.28 $948 2.3×
Cell marker study (88182)
range across 6 matching MRF lines		 $32.94–$210.45 $54–$345 varies
Cellular Function Assay Stimul&Detect Biomarke (86352)
range across 4 matching MRF lines		 $101.26–$258.03 $166–$423 varies
Ceruloplasmin (82390)
range across 4 matching MRF lines		 $40.26–$69.54 $66–$114 varies
Cftr gene com variants (81220) $207.40 $340 0.4×
Cftr gene dup/delet variants (81222) $763.11 $1,251 1.8×
Cftr gene full sequence (81223)
range across 4 matching MRF lines		 $179.95–$879.01 $295–$1,441 varies
Chemiluminescent assay (82397)
range across 8 matching MRF lines		 $34.77–$150.67 $57–$247 varies
Chimerism w/comp to baseline w/cell selection ea (81268) $629.52 $1,032 2.4×
Chimerism w/comp to baseline w/o cell selection (81267) $468.48 $768 2.3×
Chlamydia antibody (86631) $26.23 $43 2.2×
Chlamydia Igm Antibody (86632) $28.67 $47 2.3×
Chlamydia trachomatis ag if (87270) $98.21 $161 8.2×
Chloramphenicol level (82415) $68.93 $113 5.4×
Chloride other source (82438)
range across 4 matching MRF lines		 $14.03–$50.02 $23–$82 varies
Chloride Serum (82435) $35.99 $59 7.8×
Chloride urine (82436)
range across 6 matching MRF lines		 $13.42–$38.43 $22–$63 varies
Cholesterol total (82465) $28.67 $47 6.6×
Cholinesterase rbc (82482) $50.63 $83 5.2×
Cholinesterase Serum (82480) $38.43 $63 4.9×
Chorionic gonadotropin test (84702)
range across 6 matching MRF lines		 $42.09–$102.48 $69–$168 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267)
range across 4 matching MRF lines		 $147.01–$168.97 $241–$277 varies
Chrmsm Analysis Addl Cells Counted Each Study (88285) $22.57 $37 0.8×
Chrmsm Analysis Addl High Resolution Study (88289) $84.18 $138 2.4×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $8.54 $14 0.3×
Chrmsm Breakage Baseline Sister 20-25 Cll (88245) $441.64 $724 2.6×
Chromium serum (82495) $47.58 $78 2.3×
Chromogenic Substrate Assay (85130)
range across 4 matching MRF lines		 $103.70–$207.40 $170–$340 varies
Chromogranin a (86316)
range across 6 matching MRF lines		 $43.92–$125.66 $72–$206 varies
Chromosome analys amniotic (88269)
range across 4 matching MRF lines		 $168.97–$385.52 $277–$632 varies
Chromosome Analysis 15-20 (88262)
range across 4 matching MRF lines		 $147.01–$193.37 $241–$317 varies
Chromosome Analysis 20-25 (88264)
range across 8 matching MRF lines		 $147.01–$353.80 $241–$580 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 4 matching MRF lines		 $147.62–$433.10 $242–$710 varies
Citric acid urine (82507) $70.15 $115 2.5×
Ckmb (82553) $89.06 $146 7.7×
Clostridium Difficile (87324) $40.26 $66 3.4×
Clot Factor VIII Multimetric (85247) $57.34 $94 2.5×
Clot factor xiii fibrin stab (85290) $118.95 $195 7.3×
Clot retraction (85170) $26.84 $44 1.6×
Clotting factor xii hageman (85280) $112.24 $184 5.8×
Clotting Funct Activity (85397)
range across 8 matching MRF lines		 $54.90–$152.50 $90–$250 varies
Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) $1,107.15 $1,815 8.1×
Cns DNA amp probe type 12-25 (87483)
range across 4 matching MRF lines		 $376.37–$864.37 $617–$1,417 varies
Coagulation time activated (85347) $44.53 $73 10.4×
Coccidioides antibody (86635) $47.58 $78 4.1×
Cold agglutinin screen (86156) $41.48 $68 5.1×
Cold agglutinin titer (86157)
range across 4 matching MRF lines		 $57.34–$80.52 $94–$132 varies
Collagen crosslinks (82523) $32.94 $54 1.8×
Column Chromotography Quant (82542)
range across 20 matching MRF lines		 $43.92–$386.74 $72–$634 varies
Comparative Anal Str Markers Patient&Comp Spec (81265)
range across 8 matching MRF lines		 $271.45–$549.61 $445–$901 varies
Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) $255.59 $419 0.8×
Compatibility test antiglob (86922) $123.22 $202 0.7×
Complement Antigen Each Component (86160)
range across 8 matching MRF lines		 $48.80–$144.57 $80–$237 varies
Complement Fixation Tests Each Antigen (86171) $88.45 $145 8.8×
Complement Total (Ch50) (86162)
range across 4 matching MRF lines		 $89.06–$238.51 $146–$391 varies
Complement/Function Activity (86161)
range across 6 matching MRF lines		 $48.80–$144.57 $80–$237 varies
Consltj Compre Review Reprt Referred Matrl (88325) $420.29 $689 2.4×
Consltj&Reprt Material Requiring Prepj Slides (88323) $239.12 $392 4.5×
Consltj&Reprt Slides Prepared Elsewhere (88321) $201.91 $331 5.3×
Coombs direct (86880) $46.36 $76 8.6×
Copper urine (82525)
range across 4 matching MRF lines		 $43.31–$57.34 $71–$94 varies
Cortisol free (82530)
range across 4 matching MRF lines		 $40.26–$67.71 $66–$111 varies
Cortisol saliva (82533)
range across 6 matching MRF lines		 $48.19–$111.63 $79–$183 varies
Creatine (82540) $43.31 $71 9.3×
Creatine kinase total (82550) $55.51 $91 8.5×
Creatinine blood (82565) $39.65 $65 7.7×
Creatinine clearance (82575) $74.42 $122 7.9×
Creatinine Urine (82570)
range across 9 matching MRF lines		 $13.42–$70.15 $22–$115 varies
Crossmatch electronic (86923) $118.34 $194 0.7×
Crossmatch immediate spin (86920) $118.34 $194 0.7×
Crp High Sensitivity (86141) $95.77 $157 7.4×
Cryofibrinogen (82585) $34.77 $57 2.5×
Cryoglobulin (82595) $34.77 $57 5.4×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240)
range across 6 matching MRF lines		 $46.97–$161.65 $77–$265 varies
Cryptococcal Antigen (87327) $69.54 $114 5.2×
Cryptococcus ag titer (87899)
range across 4 matching MRF lines		 $44.53–$50.02 $73–$82 varies
Cryptosporidium ag eia (87328) $55.51 $91 4.0×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 15 matching MRF lines		 $37.82–$118.95 $62–$195 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 12 matching MRF lines		 $37.82–$150.06 $62–$246 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101)
range across 4 matching MRF lines		 $56.12–$118.95 $92–$195 varies
Culture aerobic quant other (87071) $95.16 $156 9.6×
Culture afb (87116) $54.29 $89 5.0×
Culture Anaerobic (87075) $147.01 $241 15.5×
Culture bacteria anaerobic (87073) $147.01 $241 15.2×
Culture blood (87040) $122.61 $201 11.9×
Culture chlamydia (87110)
range across 4 matching MRF lines		 $68.32–$95.77 $112–$157 varies
Culture csf (87070) $96.99 $159 11.3×
Culture fungus (87102)
range across 4 matching MRF lines		 $44.53–$118.95 $73–$195 varies
Culture fungus blood (87103)
range across 4 matching MRF lines		 $40.87–$118.95 $67–$195 varies
Culture screen only (87081)
range across 7 matching MRF lines		 $51.24–$63.44 $84–$104 varies
Culture stool (87045) $44.53 $73 4.7×
Culture typing if ea antiserum (87140)
range across 4 matching MRF lines		 $19.52–$48.80 $32–$80 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $28.06 $46 5.4×
Culture typing other methods (87158) $21.96 $36 2.8×
Culture urine (87086) $55.51 $91 6.9×
Culture, typing; identification by pulse field gel typing Facility (87152) $34.16 $56 4.4×
Cyanide (82600) $82.35 $135 4.2×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $37.82 $62 2.6×
Cyclic amp (82030) $112.24 $184 4.4×
Cyclosporine (80158) $82.35 $135 4.6×
Cyp2c19 gene analysis common variants (81225)
range across 4 matching MRF lines		 $188.49–$629.52 $309–$1,032 varies
Cyp2c9 gene com variants (81227)
range across 4 matching MRF lines		 $114.07–$489.83 $187–$803 varies
Cyp2d6 gene com variants (81226)
range across 4 matching MRF lines		 $284.26–$311.10 $466–$510 varies
Cyp3a4 gene common variants (81230) $114.07 $187 0.7×
Cyp3a5 gene common variants (81231) $114.07 $187 0.7×
Cystatin C (82610) $34.77 $57 1.9×
Cytogenetics 10-30 (88273)
range across 4 matching MRF lines		 $29.28–$84.18 $48–$138 varies
Cytogenetics 100-300 (88275)
range across 14 matching MRF lines		 $29.28–$359.90 $48–$590 varies
Cytogenom Const Microarray Copy Number Variants (81228)
range across 6 matching MRF lines		 $694.18–$1,153.51 $1,138–$1,891 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 6 matching MRF lines		 $886.33–$2,236.87 $1,453–$3,667 varies
Cytogenomic neo microra alys (81277)
range across 4 matching MRF lines		 $2,248.46–$2,334.47 $3,686–$3,827 varies
Cytomegalovirus igg (86644)
range across 6 matching MRF lines		 $32.94–$148.23 $54–$243 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $81.74 $134 4.0×
Cytopath Cell Enhance Tech (88112)
range across 4 matching MRF lines		 $110.41–$235.46 $181–$386 varies
Cytopath Fl Nongyn Filter (88106)
range across 3 matching MRF lines		 $69.54–$175.07 $114–$287 varies
Cytotoxic Antibody Screen Std (86807) $137.25 $225 1.7×
Cytp Concentration Smears & Interpretation (88108)
range across 4 matching MRF lines		 $80.52–$188.49 $132–$309 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 4 matching MRF lines		 $162.26–$339.16 $266–$556 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172)
range across 4 matching MRF lines		 $66.49–$172.63 $109–$283 varies
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 3 matching MRF lines		 $85.40–$182.39 $140–$299 varies
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $292.80 $480 1.7×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $56.12 $92 3.0×
Cytp Smrs Any Oth Src Scr&Interpj (88160)
range across 4 matching MRF lines		 $66.49–$167.14 $109–$274 varies
Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) $71.37 $117 6.3×
Deoxycortisol (82634)
range across 4 matching MRF lines		 $65.88–$70.76 $108–$116 varies
Deoxyribonuclease antibody (86215)
range across 4 matching MRF lines		 $37.82–$82.96 $62–$136 varies
Desoxycorticosterone (82633) $75.64 $124 2.4×
Detect Agent Nos Dna Amp (87798)
range across 30 matching MRF lines		 $27.45–$433.71 $45–$711 varies
Detect Agent Nos Dna Quant (87799)
range across 14 matching MRF lines		 $72.59–$330.01 $119–$541 varies
Detect agnt mult DNA ampli (87801)
range across 10 matching MRF lines		 $109.19–$441.03 $179–$723 varies
Dgp Antibody Each Ig Class (86258) $46.97 $77 3.9×
Dhea (82626)
range across 4 matching MRF lines		 $61.61–$79.30 $101–$130 varies
Dhea-S (82627) $68.93 $113 3.1×
Dibucaine number (82638) $22.57 $37 1.8×
Digoxin (80162) $124.44 $204 9.4×
Digoxin free (80163) $144.57 $237 10.9×
Dihydrotestosterone (82642) $38.43 $63 1.3×
Diphtheria antitoxoid (86648) $43.92 $72 2.9×
Dipropylacetic Acid Free (80165) $41.48 $68 3.1×
Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) $109.04 $178.75 3.2×
Dmd Duplication/Deletion Analysis (81161) $861.93 $1,413 3.1×
Dna Antibody Native/Double Stranded (86225) $75.64 $124 5.5×
Dna Antibody Single Stranded (86226) $38.43 $63 3.2×
Dna/Rna Amplified Probe (87150)
range across 12 matching MRF lines		 $50.02–$496.54 $82–$814 varies
DNA/RNA direct probe (87149) $59.78 $98 3.0×
Dna/Rna Sequencing (87153)
range across 8 matching MRF lines		 $109.80–$275.11 $180–$451 varies
Dpyd gene common variants (81232)
range across 4 matching MRF lines		 $539.85–$854 $885–$1,400 varies
Drug assay adalimumab (80145) $214.72 $352 5.6×
Drug Assay Everolimus (80169) $48.19 $79 3.5×
Drug Assay Infliximab (80230) $183.61 $301 4.8×
Drug Assay Lacosamide (80235) $84.18 $138 3.1×
Drug Assay Leflunomide (80193) $84.79 $139 2.2×
Drug Assay Posaconazole (80187) $48.80 $80 1.8×
Drug Assay Vedolizumab (80280)
range across 4 matching MRF lines		 $119.56–$181.78 $196–$298 varies
Drug assay voriconazole (80285) $53.68 $88 2.0×
Drug Screen Quant Clozapine (80159) $68.93 $113 3.4×
Drug Screen Quant Zonisamide (80203)
range across 4 matching MRF lines		 $29.28–$68.93 $48–$113 varies
Drug Screen Quantitative Gabapentin (80171) $68.93 $113 3.2×
Drug Screen Quantitative Lamotrigine (80175) $68.93 $113 5.2×
Drug Screen Quantitative Levetiracetam (80177) $68.93 $113 5.2×
Drug Screen Quantitative Oxcarbazepine (80183) $68.93 $113 5.2×
Drug Screen Quantitative Procainamide Metabolite (80192) $81.13 $133 4.8×
Drug Screen Quantitative Tiagabine (80199) $68.93 $113 2.5×
Drug Test Prsmv Chem Anlyzr (80307)
range across 34 matching MRF lines		 $40.26–$380.64 $66–$624 varies
Drug Test Prsmv Dir Opt Obs (80305) $140.91 $231 11.2×
Drug Test Prsmv Instrmnt (80306) $191.54 $314 11.2×
Egfr Gene Analysis Common Variants (81235)
range across 4 matching MRF lines		 $799.10–$870.47 $1,310–$1,427 varies
Ehrlichia antibody (86666)
range across 6 matching MRF lines		 $26.23–$72.59 $43–$119 varies
El-1 Fecal Quantitative (82653) $72.59 $119 3.2×
Electrolyte panel (80051) $54.29 $89 7.7×
Electron Microscopy (88348)
range across 3 matching MRF lines		 $489.22–$699.67 $802–$1,147 varies
Electrophoretic Test - Immunofixation Electrophoresis (82664)
range across 4 matching MRF lines		 $48.19–$69.54 $79–$114 varies
Encephaltis East Eqne Anbdy (86652)
range across 4 matching MRF lines		 $15.86–$32.33 $26–$53 varies
Encephaltis West Eqne Antbdy (86654)
range across 4 matching MRF lines		 $15.86–$32.33 $26–$53 varies
Endomysial Antibody Each Immunoglobulin Class (86231)
range across 4 matching MRF lines		 $35.99–$139.08 $59–$228 varies
Enterovirus Antibody (86658) $32.94 $54 2.5×
Enterovirus PCR (87498)
range across 4 matching MRF lines		 $87.23–$289.75 $143–$475 varies
Enzyme cell activity (82657)
range across 14 matching MRF lines		 $43.31–$236.68 $71–$388 varies
Enzyme histochemistry (88319) $188.49 $309 0.2×
Eosinophil Smear (89190) $64.05 $105 11.1×
Erythropoietin (82668) $81.74 $134 4.4×
Estradiol serum (82670) $112.24 $184 4.0×
Estriol (82677) $46.97 $77 1.9×
Estrogen total (82672) $64.66 $106 3.0×
Estrogens fractionated (82671) $22.57 $37 0.7×
Ethosuximide (80168) $46.36 $76 2.8×
Ethylene Glycol (82693) $60.39 $99 4.1×
Euglobulin lysis (85360) $32.94 $54 3.9×
Exam Synovial Fluid Crystals (89060) $62.83 $103 8.6×
Exome Sequence Analysis (81415) $3,156.75 $5,175 0.7×
Exome sequence analysis each comparator exome (81416)
likely a partial charge, not the full procedure		 $771.65 $1,265 0.1×
F2 Gene (81240) $71.37 $117 1.1×
F9 full gene sequence (81238) $329.40 $540 0.5×
Factor ii activity (85210) $51.85 $85 4.0×
Factor Inhibitor Test (85335)
range across 8 matching MRF lines		 $59.78–$217.16 $98–$356 varies
Factor ix activity (85250) $64.66 $106 3.4×
Factor v activity (85220)
range across 4 matching MRF lines		 $57.95–$90.28 $95–$148 varies
Factor v leiden mutation (81241)
range across 4 matching MRF lines		 $47.58–$234.85 $78–$385 varies
Factor vii assay (85230) $46.36 $76 2.6×
Factor viii assay (85240)
range across 8 matching MRF lines		 $45.14–$152.50 $74–$250 varies
Factor X (85260) $46.36 $76 2.6×
Factor xi activity (85270)
range across 4 matching MRF lines		 $71.37–$90.89 $117–$149 varies
Factor xiii screen (85291) $59.78 $98 6.6×
Fancc Gene (81242)
range across 4 matching MRF lines		 $65.88–$208.01 $108–$341 varies
Fat stain feces urine/respir secretions (89125) $43.31 $71 7.4×
Fat/Lipids Feces Quantitative (82710) $84.18 $138 5.0×
Fatty acids free (82725) $54.29 $89 2.9×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $74.42 $122 9.7×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415)
range across 4 matching MRF lines		 $65.88–$128.10 $108–$210 varies
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $89.06 $146 13.6×
Ferritin (82728) $98.82 $162 7.3×
Fetal Chrmoml Aneuploidy (81420) $1,302.96 $2,136 1.7×
Fetal Congenital Abnor Assay Four Anal (81511) $242.17 $397 1.6×
Fetal Fibronectin (82731) $258.03 $423 4.0×
Fetal hemoglobin assay qual (83033) $29.89 $49 3.7×
Fetal Lung Maturity Fluorescence Polarization (83663) $150.67 $247 8.0×
Fetal screen rosette (85461) $91.50 $150 9.8×
Fibrin degradation products (85362) $101.26 $166 14.7×
Fibrin Degradation Quant (85379)
range across 6 matching MRF lines		 $18.30–$96.99 $30–$159 varies
Fibrin dgradj products d-dimer qual/semiquan (85378) $92.11 $151 9.5×
Fibrinogen activity (85384)
range across 4 matching MRF lines		 $61.61–$86.62 $101–$142 varies
Fibrinogen antigen (85385)
range across 4 matching MRF lines		 $79.30–$100.04 $130–$164 varies
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $57.95 $95 3.7×
Flow cytometry first marker (88184)
range across 22 matching MRF lines		 $43.92–$644.77 $72–$1,057 varies
Flt3 Gene (81245) $212.89 $349 1.3×
Flt3 gene analysis (81246) $106.75 $175 1.3×
Fluorescent antibody screen (86255)
range across 20 matching MRF lines		 $21.35–$750.91 $35–$1,231 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 10 matching MRF lines		 $43.31–$212.28 $71–$348 varies
Fluoride serum (82735)
range across 4 matching MRF lines		 $67.71–$103.09 $111–$169 varies
Fmr1 Gene Charac Alleles (81244) $166.53 $273 3.7×
Fmr1 gene detection (81243) $256.81 $421 4.5×
Folic acid rbc (82747)
range across 6 matching MRF lines		 $43.92–$86.01 $72–$141 varies
Folic Acid Serum (82746) $90.89 $149 6.2×
Follicle Stimulating Hormone (83001) $109.19 $179 5.9×
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $186.66 $306 6.5×
Francisella tularensis (86668)
range across 4 matching MRF lines		 $61.61–$80.52 $101–$132 varies
Fresh Frozen Plasma Thawing Each Unit (86927) $189.10 $310 1.1×
Frozen Section (88331)
range across 4 matching MRF lines		 $91.50–$296.46 $150–$486 varies
Fungi Identification Mold (87107)
range across 10 matching MRF lines		 $32.33–$84.79 $53–$139 varies
Fungi Identification Yeast (87106)
range across 6 matching MRF lines		 $61.61–$69.54 $101–$114 varies
G6pd gene analysis full gene sequence (81249) $897.92 $1,472 1.5×
Galactokinase rbc (82759) $158.60 $260 7.4×
Galactose (82760)
range across 4 matching MRF lines		 $50.02–$85.40 $82–$140 varies
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $78.69 $129 3.7×
Galectin-3 (82777) $75.64 $124 1.7×
Gammaglobulin ige (82785)
range across 4 matching MRF lines		 $46.97–$54.29 $77–$89 varies
Gardner vag DNA dir probe (87510) $84.18 $138 4.2×
Gases Blood O2 Saturation Only Direct Meas (82810) $39.65 $65 4.1×
Gases blood ph only (82800) $78.69 $129 7.2×
Gastrin (82941) $32.94 $54 1.9×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $689.91 $1,131 1.7×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $65.88 $108 1.4×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)
range across 6 matching MRF lines		 $980.27–$2,133.17 $1,607–$3,497 varies
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455)
range across 4 matching MRF lines		 $2,357.04–$3,308.03 $3,864–$5,423 varies
Genetic Tstg Severe Inh Cond (81443)
range across 6 matching MRF lines		 $1,919.67–$8,277.70 $3,147–$13,570 varies
Gentamicin (80170) $181.17 $297 11.1×
Ggt (82977) $44.53 $73 6.2×
Giardia antigen (87329) $55.51 $91 4.6×
Giardia lamblia antibody (86674) $54.29 $89 3.7×
Glucagon (82943) $40.26 $66 2.8×
Glucose 2 hr pp (82950) $35.38 $58 7.4×
Glucose Blood Test (82962)
range across 5 matching MRF lines		 $37.82–$40.26 $62–$66 varies
Glucose body fluid (82945)
range across 4 matching MRF lines		 $35.99–$62.83 $59–$103 varies
Glucose Serum (82947) $30.50 $50 7.8×
Glucose tolerance test (gtt) (82951) $80.52 $132 6.3×
Glutathione (82978) $191.54 $314 12.4×
Glycated Protein (82985) $40.26 $66 2.4×
Gonadotropin Chorionic Qualitative (84703) $65.88 $108 8.8×
Gonadotropin releasing hormone (83727) $166.53 $273 9.7×
Growth hormone (83003) $53.68 $88 3.2×
Gtt-added samples (82952) $22.57 $37 5.8×
H Pylori (C-13) Breath (83013) $203.13 $333 3.0×
H Pylori Drug Admin (83014) $25.01 $41 3.2×
Haptoglobin (83010) $71.37 $117 5.7×
Hba1/hba2 full gene sequence (81259) $335.50 $550 0.6×
Hba1/Hba2 Gene (81257)
range across 4 matching MRF lines		 $97.60–$314.15 $160–$515 varies
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $300.73 $493 1.5×
Hbb duplication/deletion variants (81363) $335.50 $550 1.7×
Hbb Full Gene Sequence (81364) $335.50 $550 1.0×
Hdl Cholesterol (83718) $46.36 $76 5.7×
Hearing Loss Dup/Del Analysis (81431) $673.44 $1,104 1.0×
Hearing Loss Genomic Sequence Analysis 60 Genes (81430) $673.44 $1,104 0.4×
Heinz Bodies Direct (85441) $44.53 $73 10.6×
Helicobacter Pylori Stool (87338)
range across 4 matching MRF lines		 $42.70–$187.88 $70–$308 varies
Helminth Antibody (86682)
range across 10 matching MRF lines		 $44.53–$128.10 $73–$210 varies
Hematocrit (85014) $32.94 $54 13.9×
Hemoglobin (85018)
range across 9 matching MRF lines		 $30.50–$32.94 $50–$54 varies
Hemoglobin a1c (83036)
range across 5 matching MRF lines		 $58.56–$60.39 $96–$99 varies
Hemoglobin Chromotography (83021) $45.75 $75 2.5×
Hemoglobin electrophoresis (83020) $25.62 $42 2.0×
Hemoglobin Methemoglobin Quantitative (83050) $45.14 $74 5.5×
Hemoglobin plasma (83051) $32.33 $53 4.4×
Hemoglobin stability screen (83068)
range across 4 matching MRF lines		 $40.26–$77.47 $66–$127 varies
Hemoglobin-Oxygen Affinity (82820)
range across 4 matching MRF lines		 $68.93–$133.59 $113–$219 varies
Hemolysin Acid (85475) $48.19 $79 5.4×
Hemolysins&Agglutinins Incubated (86941) $142.74 $234 11.8×
Hemosiderin urine (83070) $34.16 $56 7.2×
Hep a ab igm (86709) $32.94 $54 2.9×
Heparin assay (85520)
range across 4 matching MRF lines		 $62.22–$145.79 $102–$239 varies
Hepatitis a antibody total (86708) $54.29 $89 4.4×
Hepatitis b core ab igm (86705)
range across 6 matching MRF lines		 $32.94–$68.32 $54–$112 varies
Hepatitis b core ab total (86704)
range across 6 matching MRF lines		 $31.72–$65.27 $52–$107 varies
Hepatitis B Surface Antibody (86706)
range across 6 matching MRF lines		 $49.41–$101.87 $81–$167 varies
Hepatitis B Surface Antigen (87340)
range across 8 matching MRF lines		 $16.47–$120.17 $27–$197 varies
Hepatitis Be Antibody (86707)
range across 4 matching MRF lines		 $18.91–$50.02 $31–$82 varies
Hepatitis Be Antigen (87350)
range across 6 matching MRF lines		 $18.91–$100.65 $31–$165 varies
Hepatitis C Antibody (86803)
range across 8 matching MRF lines		 $40.26–$86.62 $66–$142 varies
Hepatitis c antibody confirmatory test (86804) $135.42 $222 8.7×
Hepatitis C Genotype (87902)
range across 8 matching MRF lines		 $81.13–$506.30 $133–$830 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $147.62 $242 4.2×
Hepatitis C Revrs Trnscrpj (87522)
range across 4 matching MRF lines		 $118.34–$244.61 $194–$401 varies
Hepatitis delta ag (87380) $50.63 $83 2.8×
Hepatitis Delta Agent Antibody (86692)
range across 6 matching MRF lines		 $68.32–$116.51 $112–$191 varies
Hereditary brst ca-related gen seq analys 10 gen (81432) $1,602.47 $2,627 1.2×
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) $2,213.08 $3,628 1.7×
Herpes simplex type 2 (86696)
range across 6 matching MRF lines		 $43.92–$72.59 $72–$119 varies
Heterophile Antibody Screen (86308) $49.41 $81 9.5×
Hexa gene analysis common variants (81255)
range across 4 matching MRF lines		 $65.88–$281.82 $108–$462 varies
Hfe Gene (81256) $155.55 $255 2.4×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460)
range across 3 matching MRF lines		 $28.06–$129.93 $46–$213 varies
Histamine urine (83088)
range across 4 matching MRF lines		 $81.74–$109.80 $134–$180 varies
Histoplasma antibody (86698)
range across 8 matching MRF lines		 $13.42–$78.69 $22–$129 varies
Histoplasma antigen urine (87385)
range across 6 matching MRF lines		 $71.37–$129.32 $117–$212 varies
Hiv Genotype (87901)
range across 6 matching MRF lines		 $371.49–$440.42 $609–$722 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 4 matching MRF lines		 $65.88–$85.40 $108–$140 varies
Hiv-1 Antibody (86701)
range across 4 matching MRF lines		 $46.36–$59.78 $76–$98 varies
HIV-1 p24 antigen (87390)
range across 4 matching MRF lines		 $43.31–$81.74 $71–$134 varies
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 8 matching MRF lines		 $95.16–$316.59 $156–$519 varies
HIV-2 probe&revrse trnscripj (87538) $241.56 $396 6.9×
Hla Class I Typing High Resolution One Locus Ea (81380) $400.77 $657 2.3×
Hla Class I Typing Low Resolution Complete (81372)
range across 4 matching MRF lines		 $79.30–$227.53 $130–$373 varies
Hla I Low Resolution One Antigen Equivalent Each (81374) $195.81 $321 2.6×
Hla I Typing 1 Allele Hr (81381)
range across 6 matching MRF lines		 $119.56–$306.83 $196–$503 varies
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375)
range across 4 matching MRF lines		 $88.45–$176.29 $145–$289 varies
Hla ii typing 1 allele hr (81383) $80.52 $132 0.7×
Hla ii typing 1 locus lr (81376)
range across 4 matching MRF lines		 $49.41–$106.75 $81–$175 varies
Hla Typing Dr/Dq Single Antigen (86816) $122.61 $201 4.1×
Hla-b27 (86812) $87.84 $144 3.4×
Homocysteine (83090)
range across 4 matching MRF lines		 $96.99–$101.87 $159–$167 varies
Homogenization Tissue (87176) $22.57 $37 3.8×
Homovanillic acid urine (83150) $81.13 $133 3.6×
Hpv High-Risk Types (87624)
range across 4 matching MRF lines		 $85.40–$99.43 $140–$163 varies
Hsv Dna Amp Probe (87529)
range across 6 matching MRF lines		 $48.80–$94.55 $80–$155 varies
Htlv-I Antibody (86687) $65.27 $107 7.2×
Htlv-ii antibody (86688) $65.27 $107 4.7×
Htt Gene Detc Abnor Alleles (81271) $245.22 $402 1.8×
Human Epididymis Protein 4 (86305)
range across 4 matching MRF lines		 $107.36–$173.24 $176–$284 varies
Hydroxycorticosteroids 17 (83491) $48.80 $80 2.7×
Hydroxyprogesterone 17-d (83498)
range across 4 matching MRF lines		 $65.27–$86.62 $107–$142 varies
Hydroxyproline free (83500) $130.54 $214 5.8×
Hydroxyproline total (83505) $126.88 $208 5.2×
Iaad Ia Adenovirus Enteric Typ 40/41 (87301)
range across 4 matching MRF lines		 $101.26–$115.90 $166–$190 varies
Iaad Ia Hepatitis B Surface Ag Neutralization (87341)
range across 4 matching MRF lines		 $53.07–$80.52 $87–$132 varies
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $72.59 $119 5.2×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $56.12 $92 1.6×
Iaad ia shiga-like toxin (87427) $41.48 $68 3.5×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $27.45 $45 2.3×
Iaadi not otherwise specified each organism (87299) $43.31 $71 2.7×
Iaadi respiratory synctial virus (87280) $90.28 $148 6.7×
Iaadi Varicella Zoster Virus (87290) $27.45 $45 2.0×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $27.45 $45 0.8×
Iadna Bartonella Amplified Probe Technique (87471) $411.14 $674 11.7×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476)
range across 4 matching MRF lines		 $197.03–$231.80 $323–$380 varies
Iadna Candida Species Amplified Probe Tq (87481) $27.45 $45 0.8×
Iadna chlamydia pneumoniae amplified probe tq (87486)
range across 8 matching MRF lines		 $95.16–$321.47 $156–$527 varies
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 4 matching MRF lines		 $99.43–$289.75 $163–$475 varies
Iadna Cytomegalovirus Quantification (87497)
range across 6 matching MRF lines		 $60.39–$358.07 $99–$587 varies
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $200.69 $329 2.9×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $27.45 $45 0.8×
Iadna hepatitis b virus amplified probe tq (87516) $137.25 $225 3.9×
Iadna Hepatitis B Virus Quantification (87517) $130.54 $214 3.0×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $174.46 $286 5.0×
Iadna Herpes Virus-6 Quantification (87533) $364.17 $597 8.7×
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 8 matching MRF lines		 $110.41–$304.39 $181–$499 varies
Iadna Hiv-2 Quant & Reverse Transcription (87539) $295.85 $485 5.0×
Iadna Multiple Organisms Direct Probe Tq (87800) $279.99 $459 6.4×
Iadna Mycobacteria Species Amplified Probe Tq (87551)
range across 4 matching MRF lines		 $112.85–$300.12 $185–$492 varies
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 6 matching MRF lines		 $72.59–$165.92 $119–$272 varies
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 6 matching MRF lines		 $95.16–$174.46 $156–$286 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $147.62 $242 4.2×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631)
range across 6 matching MRF lines		 $187.27–$375.76 $307–$616 varies
Iadna-Dna/Rna Probe Tq 6-11 (87506) $78.08 $128 0.3×
Idh1 common variants (81120) $256.20 $420 1.3×
Idh2 common variants (81121) $392.23 $643 1.3×
Ig Light Chains Free Each (83521) $53.07 $87 3.1×
Igg subclasses (82787)
range across 4 matching MRF lines		 $33.55–$64.05 $55–$105 varies
Igh gene rearrange amp meth (81261) $239.12 $392 1.2×
IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) $222.65 $365 3.2×
Igh@ Variable Region Somatic Mutation Analysis (81263) $566.08 $928 1.9×
Igk rearrangeabn clonal pop (81264) $197.03 $323 1.1×
Ikbkap Gene Analysis Common Variants (81260) $65.88 $108 1.7×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 3 matching MRF lines		 $118.95–$237.29 $195–$389 varies
Immune Complex Assay (86332) $55.51 $91 2.3×
Immunfix e-phorsis/urine/csf (86335)
range across 4 matching MRF lines		 $91.50–$109.19 $150–$179 varies
Immunoassay analyte qual/semiqual single step (83518) $315.98 $518 32.8×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 18 matching MRF lines		 $33.55–$495.32 $55–$812 varies
Immunoassay infectious agent (86318) $95.77 $157 5.3×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 12 matching MRF lines		 $11.59–$167.14 $19–$274 varies
Immunoassay nonantibody (83516)
range across 20 matching MRF lines		 $14.64–$606.34 $24–$994 varies
Immunodiffusion not elsewhere specified (86329)
range across 4 matching MRF lines		 $32.33–$112.85 $53–$185 varies
Immunodiffusion Ouchterlony (86331)
range across 8 matching MRF lines		 $16.47–$67.71 $27–$111 varies
Immunoelectrophoresis Other Fluids Concentration (86325) $60.39 $99 2.6×
Immunofixation electrophoresis (86334)
range across 6 matching MRF lines		 $57.34–$162.26 $94–$266 varies
Immunofluorescence per spec 1st singl antb stain (88346)
range across 8 matching MRF lines		 $31.72–$229.36 $52–$376 varies
Immunohistochemistry (88342)
range across 11 matching MRF lines		 $53.07–$491.05 $87–$805 varies
In situ hybridization 1st probe stain (88365)
range across 3 matching MRF lines		 $89.06–$249.49 $146–$409 varies
In situ hybridization ea multiplex probe stain (88366) $397.11 $651 2.3×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $27.45 $45 1.9×
Infectious Agent Dna/Rna Vancomycin Resistance (87500) $81.13 $133 2.3×
Influenza a/b ag eia (87400) $37.82 $62 2.7×
Influenza assay w/optic (87804) $82.35 $135 5.0×
Influenza DNA amp probe (87502)
range across 6 matching MRF lines		 $263.52–$265.35 $432–$435 varies
Inherited Cardmypthy 5 Gns (81439) $2,269.20 $3,720 3.9×
Inhibin A (86336)
range across 4 matching MRF lines		 $32.94–$50.02 $54–$82 varies
Inhibin b (83520)
range across 32 matching MRF lines		 $17.69–$317.81 $29–$521 varies
Insitu hybridization manual (88368) $156.16 $256 0.4×
Insulin antibodies (86337)
range across 6 matching MRF lines		 $34.77–$99.43 $57–$163 varies
Insulin free (83527) $32.33 $53 2.5×
Insulin total (83525) $28.67 $47 2.5×
Interleukin-6 (83529) $64.05 $105 3.7×
Intrinsic factor antibody (86340) $74.42 $122 4.9×
Iron (83540)
range across 4 matching MRF lines		 $38.43–$75.03 $63–$123 varies
Iron Binding Capacity (83550) $51.85 $85 5.9×
Iron stain peripheral blood (85536) $66.49 $109 9.7×
Irradiation Blood Product Each Unit (86945) $101.87 $167 2.7×
Islet cell antibody (86341)
range across 14 matching MRF lines		 $23.79–$471.53 $39–$773 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 4 matching MRF lines		 $338.55–$364.17 $555–$597 varies
Ketosteroids 17 total (83586) $59.78 $98 4.7×
Kit Gene Analysis D816 Variant(S) (81273) $454.45 $745 3.6×
Kit Gene Analysis Targeted Sequence Analysis (81272)
range across 3 matching MRF lines		 $443.47–$685.64 $727–$1,124 varies
Koh Prep (87220)
range across 5 matching MRF lines		 $50.02–$53.68 $82–$88 varies
Kras Gene Analysis Additional Variant(S) (81276) $433.71 $711 2.2×
Kras Gene Variants Exon 2 (81275)
range across 3 matching MRF lines		 $218.99–$433.71 $359–$711 varies
L/s ratio (83661) $73.81 $121 3.4×
Lactate (ld) (ldh) enzyme (83615) $40.87 $67 6.8×
Lactoferrin fecal qualitative (83630) $64.66 $106 3.3×
Lactoferrin Fecal Quantitative (83631) $160.43 $263 8.2×
Lamellar Body Count (83664) $62.83 $103 3.3×
Ldh Isoenzymes (83625) $61.61 $101 4.8×
LDL direct (83721) $32.33 $53 3.1×
Lead (83655)
range across 5 matching MRF lines		 $45.75–$50.63 $75–$83 varies
Legionella antibody (86713) $74.42 $122 4.9×
Legionella antigen urine (87449)
range across 10 matching MRF lines		 $40.26–$173.24 $66–$284 varies
Legionella pneumophila dfa (87278) $27.45 $45 1.8×
Leptospira antibody (86720) $106.75 $175 6.6×
Leucine Aminopeptidase Lap (83670) $54.29 $89 5.5×
Leukocyte Assessment Fecal (89055) $42.70 $70 10.0×
Leukocyte Histamine Release (86343) $186.05 $305 14.9×
Level I Surg Pathology Gross Examination Only (88300)
range across 4 matching MRF lines		 $21.96–$81.13 $36–$133 varies
Level ii surg pathology gross&microscopic exam (88302)
range across 4 matching MRF lines		 $35.38–$151.28 $58–$248 varies
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 4 matching MRF lines		 $162.26–$951.60 $266–$1,560 varies
Lidocaine (80176) $68.32 $112 4.7×
Lipase (83690) $86.62 $142 12.6×
Lipoprotein A (83695) $28.67 $47 2.0×
Lipoprotein Bld Quan Part (83704) $60.39 $99 1.8×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $59.17 $97 5.3×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $44.53 $73 1.3×
Lipoprotein-Associated Phospholipase A2 (83698) $98.21 $161 2.1×
Listeria Monocytogenes (86723) $81.13 $133 6.2×
Lithium (80178) $64.05 $105 9.7×
Luteinizing Hormone (Lh) (83002) $104.31 $171 5.6×
Lyme disease antibody (86618)
range across 4 matching MRF lines		 $42.70–$143.35 $70–$235 varies
Lymphocyte transformation (86353)
range across 6 matching MRF lines		 $234.85–$409.92 $385–$672 varies
Lymphocytotoxicity Assay (86805) $181.17 $297 1.0×
Lysozyme serum (85549)
range across 4 matching MRF lines		 $59.78–$65.88 $98–$108 varies
M. Genitalium Amp Probe (87563) $112.85 $185 3.2×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 7 matching MRF lines		 $195.81–$859.49 $321–$1,409 varies
Macroscopic exam arthropod (87168)
range across 7 matching MRF lines		 $22.57–$46.97 $37–$77 varies
Macroscopic Exam Parasite (87169)
range across 4 matching MRF lines		 $32.94–$44.53 $54–$73 varies
Magnesium Urine (83735)
range across 8 matching MRF lines		 $17.69–$63.44 $29–$104 varies
Mass Spectrometry Quant (83789)
range across 16 matching MRF lines		 $32.94–$203.13 $54–$333 varies
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) $65.88 $108 1.7×
Meat fibers, feces (89160) $36.60 $60 7.5×
Mercury urine (83825)
range across 4 matching MRF lines		 $38.43–$65.27 $63–$107 varies
Metabolic panel ionized ca (80047) $75.64 $124 5.5×
Methemalbumin (83857) $50.02 $82 4.7×
Methotrexate (80204) $84.79 $139 2.2×
Methylmalonic acid serum (83921)
range across 6 matching MRF lines		 $40.26–$106.14 $66–$174 varies
Mgmt methylation analysis (81287) $694.18 $1,138 5.6×
Microalbumin, quantitative (82043)
range across 4 matching MRF lines		 $62.22–$70.15 $102–$115 varies
Microbe Suscept Macrobroth (87188)
range across 4 matching MRF lines		 $50.63–$98.21 $83–$161 varies
Microsatellite instability (81301) $898.53 $1,473 2.6×
Microsomal Antibodies Each (86376)
range across 4 matching MRF lines		 $64.05–$75.03 $105–$123 varies
Mitochondrial Antibody Each (86381) $46.97 $77 1.8×
Mlh1 Gene (81288) $420.29 $689 2.2×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $170.80 $280 0.8×
Mlh1 Gene Analysis Full Sequence Analysis (81292)
range across 4 matching MRF lines		 $579.50–$929.64 $950–$1,524 varies
Mlh1 Gene Analysis Known Familial Variants (81293) $154.33 $253 0.5×
Mog-Igg1 Antb Flo Cytmtry Ea (86363)
range across 4 matching MRF lines		 $70.15–$453.84 $115–$744 varies
Molecular Cytogenetics Dna Probe Each (88271)
range across 35 matching MRF lines		 $19.52–$763.11 $32–$1,251 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274)
range across 6 matching MRF lines		 $29.28–$292.80 $48–$480 varies
Molecular Pathology Procedure Level 3 (81402)
range across 8 matching MRF lines		 $262.91–$1,131.55 $431–$1,855 varies
Molecular Pathology Procedure Level 6 (81405)
range across 20 matching MRF lines		 $117.12–$1,720.81 $192–$2,821 varies
Mononuclear cell antigen (86356)
range across 6 matching MRF lines		 $109.80–$222.65 $180–$365 varies
Mopath procedure level 1 (81400)
range across 6 matching MRF lines		 $86.62–$335.50 $142–$550 varies
Mopath procedure level 2 (81401)
range across 18 matching MRF lines		 $97.60–$697.23 $160–$1,143 varies
Mopath procedure level 4 (81403)
range across 22 matching MRF lines		 $117.12–$1,169.98 $192–$1,918 varies
Mopath procedure level 5 (81404)
range across 24 matching MRF lines		 $117.12–$1,335.29 $192–$2,189 varies
Mopath procedure level 7 (81406)
range across 18 matching MRF lines		 $203.74–$2,248.46 $334–$3,686 varies
Mopath procedure level 8 (81407)
range across 8 matching MRF lines		 $317.81–$1,628.09 $521–$2,669 varies
Mopath procedure level 9 (81408)
range across 6 matching MRF lines		 $263.52–$3,621.57 $432–$5,937 varies
Morphometric Analysis Tumor (88358) $74.42 $122 0.4×
Mpl gene analysis sequence analysis exon 10 (81339) $263.52 $432 1.4×
Mrsa Pcr (87641) $81.13 $133 2.3×
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $135.42 $222 0.6×
Msh2 Gene Analysis Full Sequence Analysis (81295)
range across 6 matching MRF lines		 $135.42–$877.18 $222–$1,438 varies
Msh2 Gene Analysis Known Familial Variants (81296) $398.94 $654 1.2×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $145.18 $238 0.6×
Msh6 Gene Analysis Full Sequence Analysis (81298)
range across 4 matching MRF lines		 $258.03–$926.59 $423–$1,519 varies
Mthfr Gene Analysis Common Variants (81291)
range across 4 matching MRF lines		 $45.14–$226.92 $74–$372 varies
Mucin Clot Body Fluid (83872) $46.97 $77 8.0×
Mucopolysaccharides acid quantitative (83864)
range across 4 matching MRF lines		 $48.19–$51.85 $79–$85 varies
Mumps antibody (86735)
range across 6 matching MRF lines		 $15.25–$76.25 $25–$125 varies
Muscle-Specific Kinase Antb (86366) $428.83 $703 23.3×
Mycobacteric Identification (87118)
range across 6 matching MRF lines		 $53.07–$117.12 $87–$192 varies
Mycophenolic Acid (80180) $45.75 $75 2.5×
Mycoplasma antibody (86738)
range across 4 matching MRF lines		 $48.80–$104.31 $80–$171 varies
Mycoplasma culture (87109) $56.73 $93 3.7×
Myd88 Gene P.Leu265pro Vrnt (81305) $423.34 $694 2.4×
Myelin basic protein csf (83873) $67.71 $111 3.9×
Myoglobin urine (83874) $51.85 $85 4.0×
Natriuretic peptide (83880) $143.96 $236 3.7×
Nerve teasing preparations (88362) $212.89 $349 0.3×
Neutralization Test Viral (86382)
range across 4 matching MRF lines		 $91.50–$102.48 $150–$168 varies
Nfct Agent Genotype Hepatitis B Virus (87912) $444.69 $729 1.7×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) $732 $1,200 2.8×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $244 $400 1.7×
Nfct ds bv&vaginitis DNA alg (81515) $192.46 $315.50 0.7×
Nfct ds chrnc hcv 6 assays (81596) $240.34 $394 3.3×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906)
range across 6 matching MRF lines		 $126.88–$361.73 $208–$593 varies
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $37.21 $61 1.4×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $723.46 $1,186 1.5×
Niacin (84591)
range across 4 matching MRF lines		 $70.76–$82.96 $116–$136 varies
Nickel level (83885) $57.34 $94 2.3×
Nitroblue Tetrazolium Dye (86384) $489.83 $803 36.0×
Nk cells total count (86357)
range across 10 matching MRF lines		 $106.75–$258.03 $175–$423 varies
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $329.40 $540 1.3×
Nras gene variants exon 2&3 (81311) $232.41 $381 0.8×
Nuclear antigen antibody (86235)
range across 10 matching MRF lines		 $16.47–$107.97 $27–$177 varies
Nzym actv blood cells/tiss radact substrate ea (82658) $134.81 $221 3.1×
Obstetric panel (80081) $232.41 $381 3.1×
Occult blood feces (82272) $29.28 $48 6.9×
Occult Blood Other Sources (82271) $29.28 $48 5.5×
Oligoclonal bands (83916) $56.12 $92 2.0×
Oncology breast mrna gene expression 21 genes (81519) $244 $400 0.1×
Oncoprotein dcp (83951) $108.58 $178 1.7×
Organic Acids Qualitative Each Specimen (83919) $40.87 $67 2.5×
Organic acids urine (83918) $42.70 $70 1.8×
Osmolality serum (83930) $59.78 $98 9.0×
Osmolality Urine (83935)
range across 4 matching MRF lines		 $17.69–$79.30 $29–$130 varies
Osmotic fragility rbc incubated (85557) $89.06 $146 6.7×
Osteocalcin (83937) $54.29 $89 1.8×
Ova and parasites smears (87177) $37.82 $62 4.2×
Oxalate urine (83945)
range across 4 matching MRF lines		 $33.55–$63.44 $55–$104 varies
Pancreatic Elastase Fecal (82656) $75.64 $124 6.6×
Particle Agglut Antbdy Titr (86406) $63.44 $104 6.0×
Particle Agglutination Screen Each Antibody (86403)
range across 8 matching MRF lines		 $40.87–$65.88 $67–$108 varies
Parvovirus antibody (86747) $50.02 $82 3.3×
Path Consltj Surg Cytologic Exam Initial Site (88333)
range across 4 matching MRF lines		 $101.87–$244 $167–$400 varies
Pathology Consultation During Surgery (88329) $124.44 $204 2.1×
Pca3/Klk3 Prostate Specific Antigen Ratio (81313) $448.96 $736 1.8×
Pdgfra Gene Analys Targeted Sequence Analys (81314) $713.09 $1,169 2.2×
Ph urine (81003) $28.67 $47 12.7×
Phenobarbital Level (80184) $40.87 $67 2.7×
Phenotype Infect Agent Drug (87900) $154.33 $253 1.2×
Phenylalanine (84030)
range across 4 matching MRF lines		 $29.89–$84.18 $49–$138 varies
Phenytoin (Dilantin) (80185)
range across 4 matching MRF lines		 $37.21–$128.10 $61–$210 varies
Phenytoin free (80186)
range across 4 matching MRF lines		 $39.04–$64.05 $64–$105 varies
Phosphatase acid prostatic (84066) $50.02 $82 5.2×
Phosphatase alkaline (84075) $40.26 $66 7.8×
Phosphatidylglycerol (84081) $44.53 $73 2.7×
Phospholipid Neutralization Hexagonal (85598)
range across 4 matching MRF lines		 $67.71–$108.58 $111–$178 varies
Phosphorus Serum (84100)
range across 4 matching MRF lines		 $17.69–$44.53 $29–$73 varies
Phosphorus urine (84105)
range across 6 matching MRF lines		 $13.42–$47.58 $22–$78 varies
Pinworm exam (87172) $27.45 $45 6.4×
Platelet Aggregation (85576) $76.25 $125 3.1×
Platelet Antibodies (86022)
range across 14 matching MRF lines		 $57.34–$342.82 $94–$562 varies
Platelet count automated (85049) $40.87 $67 9.1×
Platelet neutralization (85597) $62.83 $103 3.5×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $478.85 $785 2.3×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $198.25 $325 1.0×
Pms2 gene analysis known familial variants (81318) $469.70 $770 1.4×
Pms2 gene full seq analysis (81317) $700.89 $1,149 1.0×
Pooling blood platelets (86965) $113.46 $186 0.7×
Porphobilinogen, urine; quantitative (84110)
range across 4 matching MRF lines		 $18.91–$42.70 $31–$70 varies
Porphyrins Feces Quantitative (84126) $162.26 $266 4.1×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 6 matching MRF lines		 $32.33–$122 $53–$200 varies
Porphyrins, urine; qualitative (84119) $51.24 $84 3.8×
Potassium Urine (84133)
range across 6 matching MRF lines		 $11.59–$47.58 $19–$78 varies
Prealbumin (84134) $69.54 $114 4.8×
Pregnancy-Associated Plasma Protein-A (84163) $34.77 $57 2.3×
Pregnanetriol (84138) $118.95 $195 5.7×
Pregnenolone (84140) $66.49 $109 3.2×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $75.03 $123 1.2×
Primidone (80188)
range across 4 matching MRF lines		 $48.19–$64.05 $79–$105 varies
Procalcitonin (Pct) (84145) $81.74 $134 3.0×
Progesterone (84144)
range across 4 matching MRF lines		 $50.63–$90.28 $83–$148 varies
Prolactin (84146) $104.92 $172 5.4×
Prostaglandin (84150)
range across 4 matching MRF lines		 $39.65–$96.38 $65–$158 varies
Protein body fluid (84157)
range across 4 matching MRF lines		 $29.28–$42.70 $48–$70 varies
Protein C Activity (85303)
range across 4 matching MRF lines		 $29.89–$114.68 $49–$188 varies
Protein c antigen (85302) $122.61 $201 10.2×
Protein Electrophoresis Urine (84166)
range across 3 matching MRF lines		 $39.65–$41.48 $65–$68 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 4 matching MRF lines		 $40.87–$82.96 $67–$136 varies
Protein S Free (85306)
range across 4 matching MRF lines		 $25.62–$86.62 $42–$142 varies
Protein s total (85305)
range across 4 matching MRF lines		 $18.91–$86.62 $31–$142 varies
Protein Total Refractometry Any Src (84160) $56.12 $92 10.0×
Protein total serum (84155)
range across 4 matching MRF lines		 $24.40–$37.82 $40–$62 varies
Protein Total Urine (84156) $44.53 $73 12.1×
Protein Western Blot Test (84182)
range across 10 matching MRF lines		 $63.44–$454.45 $104–$745 varies
Prothrombin Time Substitution Plasma Frctj Each (85611)
range across 6 matching MRF lines		 $40.26–$57.95 $66–$95 varies
Protoporphyrin rbc quantitative (84202) $42.70 $70 3.0×
PSA free (84154) $42.70 $70 2.3×
Pth Intact (83970) $137.25 $225 3.3×
Pyruvate kinase (84220) $64.66 $106 6.8×
Q Fever Antibody (86638)
range across 6 matching MRF lines		 $16.47–$67.71 $27–$111 varies
Quantiferon tb gold plus (86480)
range across 4 matching MRF lines		 $25.01–$116.51 $41–$191 varies
Quantitative assay drug (80299)
range across 14 matching MRF lines		 $40.26–$230.58 $66–$378 varies
Quantitative Screen Metals (83018)
range across 12 matching MRF lines		 $33.55–$197.64 $55–$324 varies
Quinidine (80194) $53.07 $87 3.6×
Rbc antibody elution (86860) $131.15 $215 0.8×
Rbc antibody identification (86870) $189.10 $310 0.5×
Rbc antibody screen (86850) $73.81 $121 7.6×
Rbc pretreatment serum (86978) $80.52 $132 1.3×
Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) $69.54 $114 1.0×
Renin activity plasma (84244) $75.64 $124 3.4×
Reptilase test (85635) $42.70 $70 4.3×
Resp virus 12-25 targets (87633)
range across 6 matching MRF lines		 $84.18–$1,291.98 $138–$2,118 varies
Reticulated Platelet Assay (85055) $72.59 $119 2.0×
Reticulocyte Count (85046) $53.68 $88 9.6×
Reticulocyte Count Manual (85044) $50.63 $83 11.7×
Reticulocyte separation (86972) $123.22 $202 0.7×
Rh (86901)
range across 4 matching MRF lines		 $4.88–$32.94 $8–$54 varies
Rheumatoid Factor Qualitative (86430) $51.24 $84 8.3×
Rheumatoid factor quant (86431)
range across 4 matching MRF lines		 $36.60–$53.07 $60–$87 varies
Rickettsia antibody (86757)
range across 8 matching MRF lines		 $26.23–$210.45 $43–$345 varies
Ristocetin cofactor (85245)
range across 4 matching MRF lines		 $38.43–$87.23 $63–$143 varies
Rotavirus ag eia (87425) $55.51 $91 4.6×
Rpr qualitative (86592) $43.92 $72 10.3×
Rsv ab (86756) $28.67 $47 1.8×
Rsv Assay W/Optic (87807) $70.15 $115 5.4×
Rubella Antibody (86762)
range across 8 matching MRF lines		 $21.35–$170.80 $35–$280 varies
Rubeola antibody (86765)
range across 8 matching MRF lines		 $15.25–$66.49 $25–$109 varies
Rufinamide (80210) $62.83 $103 2.3×
Russell Viper Venom Time Diluted (85613)
range across 6 matching MRF lines		 $18.91–$62.83 $31–$103 varies
Rx metab gen seq alys pnl 6 (81418) $857.66 $1,406 0.9×
Salmonella antibody (86768) $22.57 $37 1.7×
Sars-Cov-2 Covid-19 Amp Prb (87635) $109.80 $180 2.1×
Sars-cov-2 COVID-19 antibody (86769) $34.16 $56 0.8×
Sars-Cov-2 Covid19 W/Optic (87811) $109.80 $180 2.7×
Sarscov2 & inf a&b amp prb (87636) $351.97 $577 2.5×
Sarscov2&inf a&b&rsv amp prb (87637)
range across 4 matching MRF lines		 $215.33–$353.19 $353–$579 varies
Sedimentation rate (85651) $37.82 $62 8.9×
Sedimentation Rate, Automated (85652) $35.38 $58 13.1×
Selenium (84255) $79.91 $131 3.1×
Semen Anal Sperm Detection (89321) $73.81 $121 6.1×
Semen analysis complete (89320) $121.39 $199 9.9×
Sensitivity mic (87186)
range across 14 matching MRF lines		 $51.24–$270.84 $84–$444 varies
Serpina 1 gene (81332)
range across 4 matching MRF lines		 $40.87–$288.53 $67–$473 varies
Serum Bactericidal Titer (87197) $80.52 $132 5.4×
Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) $50.63 $83 6.3×
Sex Hormone Binding Globulin (84270) $55.51 $91 2.6×
Sickling of rbc reduction (85660) $38.43 $63 7.0×
Sirolimus (80195) $80.52 $132 5.9×
Skin test tuberculosis intradermal (86580)
range across 3 matching MRF lines		 $15.25–$15.95 $25–$26.15 varies
Smear acid fast (87206)
range across 6 matching MRF lines		 $17.69–$78.08 $29–$128 varies
Smear complex stain (87209)
range across 4 matching MRF lines		 $61–$75.03 $100–$123 varies
Smear gram stain (87205) $50.02 $82 11.7×
Smear Special Stain (87207)
range across 7 matching MRF lines		 $19.52–$181.78 $32–$298 varies
Smn1 Gene Dos/Deletion Alys (81329) $534.97 $877 3.9×
Smpd1 Gene Analysis Common Variants (81330) $65.88 $108 1.4×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 8 matching MRF lines		 $45.14–$87.23 $74–$143 varies
Snrpn/Ube3a Methylation Analysis (81331) $314.15 $515 6.2×
So neo gsap DNA mcrstl ins (81457) $1,298.69 $2,129 1.4×
Sodium Serum (84295) $43.31 $71 9.0×
Sodium Urine (84300)
range across 6 matching MRF lines		 $12.81–$48.19 $21–$79 varies
Soluble fibrin monomer (85366)
range across 4 matching MRF lines		 $21.96–$118.95 $36–$195 varies
Soluble Transferrin Receptor (84238)
range across 4 matching MRF lines		 $24.40–$115.90 $40–$190 varies
Somatomedin (84305)
range across 6 matching MRF lines		 $33.55–$114.68 $55–$188 varies
Somatostatin (84307) $179.34 $294 9.8×
Special Stains Group 1 (88312)
range across 5 matching MRF lines		 $39.04–$248.88 $64–$408 varies
Special Stains Group 2 (88313)
range across 9 matching MRF lines		 $27.45–$165.92 $45–$272 varies
Specific gravity body fluid (84315) $24.40 $40 7.4×
Specimen infect agnt concntj (87015)
range across 6 matching MRF lines		 $21.35–$61 $35–$100 varies
Spectrophotometry (84311)
range across 14 matching MRF lines		 $50.02–$115.90 $82–$190 varies
Sperm Antibodies (89325)
range across 4 matching MRF lines		 $65.88–$137.86 $108–$226 varies
Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) $181.78 $298 3.4×
Splitting Blood/Blood Products Each Unit (86985) $113.46 $186 0.7×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $40.26 $66 0.2×
Staph a DNA amp probe (87640) $69.54 $114 2.0×
Stool cultr aerobic bact ea (87046) $16.47 $27 1.7×
Strep a assay w/optic (87880)
range across 5 matching MRF lines		 $65.88–$69.54 $108–$114 varies
Strep a DNA amp probe (87651)
range across 6 matching MRF lines		 $106.75–$118.34 $175–$194 varies
Strep b DNA amp probe (87653) $125.05 $205 3.6×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378)
range across 4 matching MRF lines		 $62.83–$187.27 $103–$307 varies
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377)
range across 4 matching MRF lines		 $30.50–$32.33 $50–$53 varies
Sugars Single Qual (84376)
range across 4 matching MRF lines		 $40.26–$70.15 $66–$115 varies
Sulfate urine (84392) $12.81 $21 2.3×
Surg path level iii (88304)
range across 6 matching MRF lines		 $57.34–$204.35 $94–$335 varies
Surgical pathology level IV (88305)
range across 6 matching MRF lines		 $59.78–$421.51 $98–$691 varies
Surgical pathology level vi (88309)
range across 4 matching MRF lines		 $285.48–$940.62 $468–$1,542 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 6 matching MRF lines		 $25.62–$50.02 $42–$82 varies
Susceptibility Study Antimicrobial Disk Method (87184)
range across 4 matching MRF lines		 $49.41–$81.13 $81–$133 varies
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187)
range across 4 matching MRF lines		 $50.63–$122.61 $83–$201 varies
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $25.01 $41 3.4×
Sweat Collection Iontophoresis (89230) $110.41 $181 2.1×
Syphilis Test Non-Trep Quant (86593)
range across 4 matching MRF lines		 $17.69–$42.70 $29–$70 varies
T cells absolute cd4 count (86361) $82.96 $136 3.1×
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 8 matching MRF lines		 $132.37–$273.89 $217–$449 varies
T cells total count (86359)
range across 8 matching MRF lines		 $106.75–$220.82 $175–$362 varies
T3 Free (84481) $136.64 $224 8.1×
T3 reverse (84482)
range across 4 matching MRF lines		 $37.82–$106.14 $62–$174 varies
T3 Total (84480) $53.07 $87 3.7×
T3 Uptake (84479) $47.58 $78 7.4×
T4 Free (84439) $79.30 $130 8.8×
T4 total (84436) $56.73 $93 8.3×
Tacrolimus (80197) $111.63 $183 8.1×
Tb ag response t-cell susp (86481) $116.51 $191 1.2×
Tert gene targeted seq alys (81345) $991.86 $1,626 5.4×
Test for acetone/ketones (82009) $20.74 $34 4.6×
Testosterone Bioavailable (84410) $87.69 $143.75 1.7×
Testosterone total (84403)
range across 6 matching MRF lines		 $62.83–$113.46 $103–$186 varies
Testosterone, Free (84402) $45.75 $75 1.8×
Tetanus antibody (86774) $43.92 $72 3.0×
Tgsap so/hl 51/< RNA alys (81456) $2,393.03 $3,923 0.8×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445)
range across 4 matching MRF lines		 $942.45–$3,848.49 $1,545–$6,309 varies
Theophylline (80198) $108.58 $178 7.7×
Thiocyanate (84430) $50.63 $83 4.4×
Thiopurine methyltransferase (84433) $236.68 $388 10.7×
Thrombin Time (85670)
range across 6 matching MRF lines		 $38.43–$62.83 $63–$103 varies
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 6 matching MRF lines		 $42.09–$48.19 $69–$79 varies
Thyroglobulin (84432)
range across 6 matching MRF lines		 $39.65–$157.99 $65–$259 varies
Thyroglobulin Antibody (86800)
range across 8 matching MRF lines		 $45.14–$212.89 $74–$349 varies
Thyroid Stimulating Immunoglobulin (84445) $68.32 $112 1.3×
Thyroxine binding globulin (84442) $71.37 $117 4.8×
Tiss cul neo disorders solid tumor (88239)
range across 5 matching MRF lines		 $515.45–$1,248.06 $845–$2,046 varies
Tiss Trnsgltmnase Ea Ig Clas (86364) $46.97 $77 4.1×
Tissue Culture (88233)
range across 6 matching MRF lines		 $145.18–$334.28 $238–$548 varies
Tissue Culture Amniotic Fluid (88235)
range across 6 matching MRF lines		 $384.91–$655.75 $631–$1,075 varies
Tissue culture bone marrow (88237)
range across 6 matching MRF lines		 $184.22–$977.83 $302–$1,603 varies
Tissue Culture Lymphocyte (88230)
range across 6 matching MRF lines		 $145.18–$284.26 $238–$466 varies
Tobramycin peak (80200)
range across 4 matching MRF lines		 $134.81–$140.30 $221–$230 varies
Topiramate (80201) $75.03 $123 6.3×
Touch prep (88161)
range across 4 matching MRF lines		 $69.54–$150.67 $114–$247 varies
Toxin/Antitoxin Assay Tissue Culture (87230)
range across 4 matching MRF lines		 $56.12–$69.54 $92–$114 varies
Toxoplasma ab igm (86778) $40.26 $66 2.8×
Toxoplasma antibody (86777) $40.26 $66 2.8×
TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant Facility (81353) $384.30 $630 1.2×
Tp53 gene analysis full gene sequence (81351) $1,097.70 $1,799.50 1.7×
Tp53 gene analysis targeted sequence analysis (81352) $399.55 $655 1.2×
Transferase Aspartate Amino Ast Sgot (84450) $38.43 $63 7.4×
Transferrin (84466) $63.44 $104 5.0×
Trb@ Rearrangement Anal Amplification Method (81340) $222.65 $365 1.1×
Trg gene rearrangement anal (81342) $222.65 $365 1.1×
Trichinella Antibody (86784) $68.32 $112 5.4×
Trichomonas vagin dir probe (87660) $84.18 $138 4.2×
Trichomonas Vaginalis Amplif (87661)
range across 4 matching MRF lines		 $27.45–$100.04 $45–$164 varies
Triglycerides (84478)
range across 6 matching MRF lines		 $29.28–$97.60 $48–$160 varies
Troponin Quant (84484)
range across 4 matching MRF lines		 $29.28–$106.75 $48–$175 varies
Tumor immunohistochem/comput (88361)
range across 2 matching MRF lines		 $114.07–$215.94 $187–$354 varies
Tumor Immunohistochem/Manual (88360)
range across 10 matching MRF lines		 $70.15–$315.98 $115–$518 varies
Ugt1a1 gene analysis common variants (81350) $572.79 $939 2.4×
Unlisted Cytogenetic Study (88299) $353.19 $579 6.6×
Unlisted Surgical Pathology Procedure (88399) $937.57 $1,537 17.6×
Urea nitrogen urine (84540)
range across 4 matching MRF lines		 $12.81–$56.12 $21–$92 varies
Uric acid other source (84560)
range across 6 matching MRF lines		 $12.81–$42.70 $21–$70 varies
Urinalysis Microscopic Only (81015) $26.84 $44 8.8×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $13.42 $22 6.2×
Urinalysis Volume Measure (81050) $20.74 $34 5.7×
Urine Albumin Semiquantitative (82044) $18.30 $30 2.9×
Urine Bacteria Culture (87088) $48.80 $80 6.0×
Urine Pregnancy Test (81025) $51.24 $84 6.0×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $40.87 $67 12.9×
Urobilinogen, urine; quantitative, timed specimen Facility (84580) $60.39 $99 6.3×
Valproic acid (80164)
range across 4 matching MRF lines		 $27.45–$118.95 $45–$195 varies
Vancomycin (80202) $147.01 $241 10.9×
Varicella-zoster antibody (86787)
range across 8 matching MRF lines		 $15.25–$145.18 $25–$238 varies
Vasopressin (84588)
range across 4 matching MRF lines		 $61.61–$220.82 $101–$362 varies
Very Long Chain Fatty Acids (82726) $111.02 $182 5.6×
Viral Culture (87252) $59.17 $97 2.3×
Virus antibody nos (86790)
range across 14 matching MRF lines		 $38.43–$156.16 $63–$256 varies
Virus inoculate tissue addl (87253) $45.14 $74 2.2×
Virus inoculation, shell via (87254)
range across 4 matching MRF lines		 $44.53–$114.07 $73–$187 varies
Viscosity serum (85810) $66.49 $109 5.7×
Vit D 1 25-Dihydroxy (82652) $79.91 $131 2.1×
Vitamin A (84590)
range across 4 matching MRF lines		 $25.01–$63.44 $41–$104 varies
Vitamin b-12 (82607) $55.51 $91 3.7×
Vitamin B2 (Riboflavin) (84252) $47.58 $78 2.4×
Vitamin B6 (84207)
range across 6 matching MRF lines		 $61.61–$120.78 $101–$198 varies
Vitamin c (82180)
range across 4 matching MRF lines		 $32.94–$93.33 $54–$153 varies
Vitamin D 25-Hydroxy (82306) $140.91 $231 4.8×
Vitamin E (84446)
range across 4 matching MRF lines		 $31.72–$62.83 $52–$103 varies
Vitamin K (84597) $56.73 $93 4.1×
Volatiles (84600) $65.27 $107 3.8×
Voltage-Gated Calcium Channel Antibody Each (86596) $84.18 $138 7.0×
Von willebrand factor ag (85246)
range across 4 matching MRF lines		 $79.91–$107.97 $131–$177 varies
Wbc Alkaline Phosphatase Count (85540) $63.44 $104 7.4×
West nile virus ab igm (86788)
range across 4 matching MRF lines		 $57.34–$125.05 $94–$205 varies
West Nile Virus Antibody (86789)
range across 4 matching MRF lines		 $57.34–$106.75 $94–$175 varies
Western Blot Test (84181) $108.58 $178 6.4×
Xylose Absorption Test (84620) $78.69 $129 6.1×
Zika Virus Dna/Rna Amp Probe (87662) $218.38 $358 4.3×
Zika Virus Igm Antibody (86794) $149.45 $245 8.9×
Zinc (84630)
range across 4 matching MRF lines		 $46.97–$65.88 $77–$108 varies

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.