Lab & pathology prices at Amberwell Hiawatha

Hiawatha, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $181 $181 11.7×
5 Nucleotidase (83915) $231 $231 20.7×
Acetylcholine receptor binding antibody (86041) $127 $127 6.9×
Acetylcholine receptor blocking antibody (86042) $127 $127 6.9×
Acetylcholn Rcptr Modlg Antb (86043) $83 $83 6.9×
Acth (82024) $423 $423 11.0×
Acth Stimulation Panel Adrenal Insufficiency (80400) $264 $264 8.1×
Actin smooth muscle antibody each (86015) $80 $80 6.6×
Acute hepatitis panel (80074) $471 $471 9.9×
Acylcarnitines Quant (82017) $295 $295 17.5×
Agglutinins Febrile Each Antigen (86000)
range across 2 matching MRF lines
$127–$308 $127–$308 varies
Albumin Fluid (82042) $57 $57 7.3×
Albumin serum (82040) $50 $50 10.1×
Aldolase (82085) $97 $97 10.0×
Aldosterone urine (82088)
range across 2 matching MRF lines
$296–$399 $296–$399 varies
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines
$174–$182 $174–$182 varies
Allergen specific ige (86003)
range across 5 matching MRF lines
$37–$236 $37–$236 varies
Allergen specific igg (86001)
range across 2 matching MRF lines
$79–$82 $79–$82 varies
Allg Spec Ige Recomb Ea (86008) $125 $125 7.0×
Alpha-1-antitrypsin phenotype (82104) $157 $157 10.9×
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines
$134–$142 $134–$142 varies
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$182–$274 $182–$274 varies
Alt (sgpt) (84460) $54 $54 10.2×
Aluminum (82108) $233 $233 9.1×
Amikacin trough (80150) $118 $118 7.8×
Amino Acids 1 Quantitative Each Specimen (82131)
range across 4 matching MRF lines
$170–$1,019 $170–$1,019 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $170 $170 10.1×
Amino Acids Multiple Qualitative Each Specimen (82128) $289 $289 20.8×
Amino Acids Quant 2-5 (82136) $415 $415 21.2×
Aminolevulinic acid (ala) (82135) $361 $361 21.9×
Ammonia (82140) $146 $146 10.0×
Amniotic fluid protein test on cervicovaginal fluid (84112) $232 $232 2.4×
Amylase urine (82150)
range across 3 matching MRF lines
$64–$92 $64–$92 varies
Ana Titer (86039) $78 $78 7.0×
Anca screen each antibody (86036) $83 $83 6.9×
Anca Titer Each Antibody (86037) $83 $83 6.9×
Androstenedione (82157) $249 $249 8.5×
Androsterone (hormone) level (82160) $177 $177 6.9×
Angiotensin converting enzyme csf (82164) $223 $223 15.3×
Anti-Phospholipid Antibody (86148) $158 $158 9.8×
Antibody aspergillus (86606) $74 $74 4.9×
Antibody Bacterium Not Elsewhere Specified (86609) $66 $66 5.1×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $284 $284 18.3×
Antibody Cytomegalovirus Cmv Igm (86645) $182 $182 10.8×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $146 $146 11.1×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $239 $239 15.6×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $193 $193 10.6×
Antibody Fungus Not Elsewhere Specified (86671)
range across 2 matching MRF lines
$47–$62 $47–$62 varies
Antibody haemophilus influenza (86684) $109 $109 6.9×
Antibody helicobacter pylori (86677)
range across 2 matching MRF lines
$146–$265 $146–$265 varies
Antibody Herpes Smplx Non-Specific Type Test (86694) $146 $146 10.1×
Antibody Herpes Smplx Type 1 (86695)
range across 2 matching MRF lines
$146–$190 $146–$190 varies
Antibody HIV-1&HIV-2 single result (86703) $134 $134 9.8×
Antibody HIV-2 (86702) $85 $85 6.3×
Antibody htlv/HIV antibody confirmatory test (86689) $344 $344 17.8×
Antibody identification leukocyte antibodies (86021)
range across 2 matching MRF lines
$43–$58 $43–$58 varies
Antibody Identification Platelet Immunogl Assay (86023) $86 $86 6.9×
Antibody john cunningham virus (86711) $118 $118 7.0×
Antibody Titer (86886) $36 $36 6.9×
Antibody Treponema Pallidum (86780) $134 $134 10.1×
Antibody; influenza virus (86710) $146 $146 10.8×
Antigen typing (86905) $226 $226 59.0×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $76 $76 13.3×
Antinomyces antibody (86602) $53 $53 5.2×
Antinuclear antibodies (86038)
range across 3 matching MRF lines
$121–$313 $121–$313 varies
Antistreptolysin o titer (86060) $74 $74 10.1×
Antithrombin iii activity (85300)
range across 2 matching MRF lines
$82–$119 $82–$119 varies
Antithrombin iii antigen (85301) $107 $107 9.9×
Apc gene dup/delet variants (81203) $670 $670 3.4×
Apc gene full sequence (81201) $881 $881 1.1×
Apolipoprotein a1 (82172)
range across 3 matching MRF lines
$106–$158 $106–$158 varies
Aquaporin-4 Antb Cba Each (86052) $83 $83 6.9×
Arsenic (82175)
range across 3 matching MRF lines
$103–$233 $103–$233 varies
Aspergillus ag eia (87305) $318 $318 26.5×
Assay activated protein c (85307) $207 $207 13.5×
Assay Blood Carbon Dioxide (82374) $95 $95 19.5×
Assay Nephelometry Not Spec (83883) $70 $70 5.1×
Assay of 5-hiaa (83497) $134 $134 10.4×
Assay of anti-mullerian hormone (82166) $366 $366 9.5×
Assay of blood/uric acid (84550) $46 $46 10.2×
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$66–$115 $66–$115 varies
Assay of cpk in blood (82552) $306 $306 22.9×
Assay of estrone (82679) $206 $206 8.3×
Assay of g6pd enzyme (82955) $97 $97 10.0×
Assay of gammaglobulin igm (82784) $93 $93 10.0×
Assay of lactic acid (83605) $106 $106 9.2×
Assay of manganese (83785) $170 $170 6.4×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$170–$268 $170–$268 varies
Assay of phosphatase acid total (84060) $151 $151 19.8×
Assay of proinsulin (84206) $164 $164 6.1×
Assay of pyruvate (84210) $128 $128 8.8×
Assay of serotonin (84260) $392 $392 12.7×
Assay of serum potassium (84132) $47 $47 9.9×
Assay of sweat sodium (84302)
range across 2 matching MRF lines
$50–$58 $50–$58 varies
Assay of urea nitrogen (84520)
range across 2 matching MRF lines
$40–$59 $40–$59 varies
Assay of urine vma (84585) $158 $158 10.2×
Assay of vasoactive intestinal peptide (84586) $511 $511 14.5×
Assay of vitamin b-1 (84425) $206 $206 9.7×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$61–$292 $61–$292 varies
Asy carbamazepin 10,11-epxid (80161) $128 $128 6.9×
Autol Bld/Component Collj Storage Predeposited (86890) $606 $606 3.9×
Automated Leukocyte Count (85048)
range across 2 matching MRF lines
$28–$49 $28–$49 varies
B cells total count (86355) $146 $146 3.9×
Babesia microti amp prb (87469) $243 $243 6.9×
Bartonella antibody (86611) $79 $79 7.8×
Bcr/abl1 gene major bp (81206) $1,129 $1,129 6.9×
Bcr/abl1 gene minor bp (81207) $997 $997 6.9×
Beta 2 glycoprotein i antibody each (86146)
range across 2 matching MRF lines
$193–$217 $193–$217 varies
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines
$160–$170 $160–$170 varies
Beta Lactamase (87185) $37 $37 7.8×
Beta-2 Microglobulin (82232) $187 $187 11.6×
Bile acids total (82239) $83 $83 4.8×
Bilirubin direct (82248) $52 $52 10.4×
Bilirubin total (82247)
range across 2 matching MRF lines
$56–$69 $56–$69 varies
Blastomyces antibody (86612) $96 $96 7.4×
Bld Typing Serologic Rh Phnt (86906) $232 $232 29.9×
Bleeding time test (85002) $50 $50 10.4×
Blood Count Manual Cell Count Each (85032) $47 $47 10.9×
Blood Count Red Blood Cell Automated (85041) $32 $32 10.6×
Blood count reticulocyte automated (85045) $124 $124 31.1×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $35 $35 9.2×
Blood gas (82803) $158 $158 6.1×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 2 matching MRF lines
$35–$158 $35–$158 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $34 $34 7.8×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 2 matching MRF lines
$146–$320 $146–$320 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904) $232 $232 14.2×
Blood typing serologic abo (86900) $603 $603 201.7×
Body fluid cell count (89050) $49 $49 10.4×
Bordetella antibody (86615) $236 $236 17.9×
Borrelia Antibody (86619) $93 $93 7.0×
Borrelia miyamotoi amp prb (87478) $243 $243 6.9×
Braf gene analysis (81210) $604 $604 3.4×
Brca1&2 gen full seq dup/del (81162) $4,186 $4,186 2.3×
Breath Alcohol Test (82075) $46 $46 1.5×
Brucella antibody (86622) $138 $138 15.5×
C diff amplified probe (87493) $347 $347 9.3×
C-Peptide (84681) $134 $134 6.4×
C-reactive protein (86140)
range across 2 matching MRF lines
$53–$146 $53–$146 varies
Ca 19-9 (86301) $206 $206 9.9×
Cadmium (82300) $240 $240 10.2×
Calcitonin (82308) $266 $266 9.9×
Calcium ionized (82330)
range across 2 matching MRF lines
$134–$148 $134–$148 varies
Calcium total (82310)
range across 2 matching MRF lines
$53–$58 $53–$58 varies
Calculus assay quant (82360) $134 $134 10.4×
Calculus Spectroscopy (82365) $51 $51 4.0×
Calprotectin Fecal (83993) $305 $305 15.5×
Calr gene com variants (81219) $840 $840 6.9×
Cancer Antigen 125 (86304) $206 $206 9.9×
Cancer Antigen 27.29 (86300) $187 $187 9.0×
Candida antibody (86628) $220 $220 18.3×
Candida Dna Dir Probe (87480) $138 $138 6.9×
Carbamazepine free (80157) $93 $93 7.0×
Carbamazepine total (80156) $146 $146 10.0×
Carboxyhemoglobin (82375) $213 $213 17.3×
Carcinoembryonic antigen (82378) $182 $182 9.6×
Cardiolipin ab iga (86147) $217 $217 8.5×
Carnitine Quantitative Each Specimen (82379) $167 $167 9.9×
Carotene (82380) $36 $36 3.9×
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$255–$276 $255–$276 varies
Ccp antibody (86200)
range across 2 matching MRF lines
$90–$134 $90–$134 varies
Cebpa Gene Analysis Full Gene Sequence (81218) $1,666 $1,666 6.9×
Cell count csf (89051) $73 $73 13.0×
Cell marker study (88182)
range across 2 matching MRF lines
$127–$140 $127–$140 varies
Ceruloplasmin (82390) $93 $93 8.7×
Cftr gene com variants (81220) $891 $891 1.6×
Chemiluminescent assay (82397)
range across 2 matching MRF lines
$213–$272 $213–$272 varies
Chlamydia antibody (86631)
range across 2 matching MRF lines
$228–$277 $228–$277 varies
Chlamydia Igm Antibody (86632) $90 $90 7.1×
Chloride other source (82438)
range across 2 matching MRF lines
$58–$146 $58–$146 varies
Chloride Serum (82435) $61 $61 13.3×
Chloride urine (82436) $296 $296 51.5×
Cholesterol total (82465) $44 $44 10.1×
Cholinesterase rbc (82482) $145 $145 14.8×
Cholinesterase Serum (82480) $149 $149 18.9×
Chorionic gonadotropin test (84702) $170 $170 11.3×
Chrmsm Analysis Addl High Resolution Study (88289) $228 $228 6.6×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $527 $527 15.7×
Chromium serum (82495) $146 $146 7.2×
Chromogranin a (86316)
range across 2 matching MRF lines
$206–$280 $206–$280 varies
Chromosome Analysis 15-20 (88262)
range across 3 matching MRF lines
$228–$1,205 $228–$1,205 varies
Chromosome Analysis 20-25 (88264) $305 $305 2.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $386 $386 11.0×
Citric acid urine (82507) $291 $291 10.5×
Ckmb (82553) $114 $114 9.9×
Clostridium Difficile (87324) $120 $120 10.0×
Clot factor xiii fibrin stab (85290) $78 $78 4.8×
Clotting factor xii hageman (85280) $385 $385 19.9×
Cns DNA amp probe type 12-25 (87483) $2,869 $2,869 6.9×
Coccidioides antibody (86635)
range across 2 matching MRF lines
$80–$158 $80–$158 varies
Cold agglutinin screen (86156) $175 $175 21.7×
Cold agglutinin titer (86157) $81 $81 10.0×
Collagen crosslinks (82523)
range across 3 matching MRF lines
$98–$340 $98–$340 varies
Column Chromotography Quant (82542)
range across 20 matching MRF lines
$131–$702 $131–$702 varies
Compatibility Each Unit Incubation (86921) $156 $156 1.0×
Compatibility test antiglob (86922)
range across 2 matching MRF lines
$140–$905 $140–$905 varies
Complement Antigen Each Component (86160)
range across 5 matching MRF lines
$128–$315 $128–$315 varies
Complement Total (Ch50) (86162)
range across 2 matching MRF lines
$254–$255 $254–$255 varies
Complement/Function Activity (86161) $335 $335 27.9×
Consltj Compre Review Reprt Referred Matrl (88325) $567 $567 3.6×
Coombs direct (86880) $1,000 $1,000 185.5×
Copper urine (82525) $32 $32 2.6×
Cortisol free (82530) $170 $170 10.2×
Cortisol saliva (82533)
range across 3 matching MRF lines
$120–$158 $120–$158 varies
Creatine kinase total (82550) $64 $64 9.8×
Creatinine blood (82565) $57 $57 11.1×
Creatinine clearance (82575) $95 $95 10.0×
Creatinine Urine (82570)
range across 3 matching MRF lines
$35–$53 $35–$53 varies
Crossmatch immediate spin (86920) $905 $905 5.8×
Crp High Sensitivity (86141) $134 $134 10.3×
Cryofibrinogen (82585) $98 $98 6.9×
Cryoglobulin (82595) $66 $66 10.2×
Cryptococcus ab (86641) $152 $152 10.5×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$138–$294 $138–$294 varies
Cryptosporidium (87272) $47 $47 3.9×
Cryptosporidium ag eia (87328) $237 $237 17.1×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $62 $62 7.7×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines
$62–$279 $62–$279 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $84 $84 10.9×
Culture afb (87116)
range across 2 matching MRF lines
$119–$262 $119–$262 varies
Culture Anaerobic (87075) $95 $95 10.0×
Culture blood (87040) $103 $103 10.0×
Culture chlamydia (87110) $243 $243 12.4×
Culture csf (87070)
range across 3 matching MRF lines
$85–$173 $85–$173 varies
Culture fungus (87102) $84 $84 10.0×
Culture fungus blood (87103) $142 $142 6.9×
Culture screen only (87081)
range across 4 matching MRF lines
$66–$257 $66–$257 varies
Culture stool (87045)
range across 2 matching MRF lines
$95–$284 $95–$284 varies
Culture typing if ea antiserum (87140) $38 $38 6.8×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $41 $41 7.9×
Culture urine (87086)
range across 2 matching MRF lines
$81–$103 $81–$103 varies
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $178 $178 12.4×
Cyclic amp (82030)
range across 2 matching MRF lines
$214–$337 $214–$337 varies
Cyclosporine (80158) $312 $312 17.3×
Cyp2c19 gene analysis common variants (81225) $2,048 $2,048 7.0×
Cyp2d6 gene com variants (81226) $3,103 $3,103 6.9×
Cystatin C (82610) $187 $187 10.1×
Cytogenetics 100-300 (88275)
range across 2 matching MRF lines
$164–$252 $164–$252 varies
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$158–$275 $158–$275 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 3 matching MRF lines
$103–$170 $103–$170 varies
Cytopath Cell Enhance Tech (88112) $399 $399 8.3×
Cytopath Fl Nongyn Filter (88106) $184 $184 6.9×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 2 matching MRF lines
$176–$183 $176–$183 varies
Cytp Concentration Smears & Interpretation (88108) $234 $234 6.8×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $399 $399 8.3×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $367 $367 10.7×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $101 $101 5.4×
Deoxyribonuclease antibody (86215) $90 $90 6.8×
Detect Agent Nos Dna Amp (87798)
range across 10 matching MRF lines
$243–$620 $243–$620 varies
Detect Agent Nos Dna Quant (87799)
range across 3 matching MRF lines
$294–$733 $294–$733 varies
Detect agnt mult DNA ampli (87801) $348 $348 5.0×
Dgp Antibody Each Ig Class (86258) $80 $80 6.6×
Dhea (82626) $303 $303 12.0×
Dhea-S (82627) $217 $217 9.8×
Digoxin (80162) $134 $134 10.1×
Dihydrotestosterone (82642) $202 $202 6.9×
Diphtheria antitoxoid (86648) $155 $155 10.2×
Dipropylacetic Acid Free (80165) $95 $95 7.0×
Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) $235 $235 6.9×
Dna Antibody Native/Double Stranded (86225)
range across 3 matching MRF lines
$122–$317 $122–$317 varies
Dna Antibody Single Stranded (86226) $203 $203 16.8×
Dna/Rna Amplified Probe (87150) $243 $243 6.9×
DNA/RNA direct probe (87149) $193 $193 9.6×
Dna/Rna Sequencing (87153) $795 $795 6.9×
Drug assay adalimumab (80145) $266 $266 6.9×
Drug Assay Amiodarone (80151) $129 $129 6.9×
Drug Assay Everolimus (80169) $293 $293 21.3×
Drug Assay Vedolizumab (80280) $266 $266 6.9×
Drug assay voriconazole (80285) $308 $308 11.4×
Drug Screen Quant Clozapine (80159) $182 $182 9.0×
Drug Screen Quant Zonisamide (80203) $149 $149 11.2×
Drug Screen Quantitative Gabapentin (80171) $245 $245 11.3×
Drug Screen Quantitative Lamotrigine (80175) $134 $134 10.1×
Drug Screen Quantitative Levetiracetam (80177) $134 $134 10.1×
Drug Screen Quantitative Oxcarbazepine (80183) $146 $146 11.0×
Drug Screen Quantitative Procainamide Metabolite (80192) $245 $245 14.6×
Drug Screen Quantitative Tiagabine (80199) $192 $192 7.1×
Drug Test Prsmv Chem Anlyzr (80307)
range across 3 matching MRF lines
$259–$512 $259–$512 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 17 matching MRF lines
$36–$651 $36–$651 varies
Drug Test Prsmv Instrmnt (80306) $119 $119 6.9×
Ehrlichia antibody (86666)
range across 2 matching MRF lines
$239–$310 $239–$310 varies
El-1 Fecal Quantitative (82653) $159 $159 6.9×
Electrolyte panel (80051) $70 $70 10.0×
Electron Microscopy (88348) $210 $210 0.3×
Endomysial Antibody Each Immunoglobulin Class (86231) $84 $84 6.9×
Enterovirus Antibody (86658)
range across 4 matching MRF lines
$57–$153 $57–$153 varies
Enterovirus PCR (87498) $255 $255 7.3×
Enzyme cell activity (82657) $149 $149 6.7×
Eosinophil Smear (89190) $107 $107 18.5×
Erythropoietin (82668) $222 $222 11.8×
Estradiol serum (82670) $245 $245 8.8×
Estriol (82677) $266 $266 11.0×
Estrogen total (82672)
range across 2 matching MRF lines
$217–$271 $217–$271 varies
Estrogens fractionated (82671) $224 $224 6.9×
Ethosuximide (80168) $158 $158 9.7×
Ethylene Glycol (82693) $199 $199 13.4×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines
$72–$233 $72–$233 varies
F2 Gene (81240) $483 $483 7.4×
Factor ii activity (85210) $320 $320 24.7×
Factor Inhibitor Test (85335) $227 $227 17.6×
Factor ix activity (85250) $385 $385 20.2×
Factor v activity (85220) $324 $324 18.4×
Factor v leiden mutation (81241) $603 $603 8.2×
Factor vii assay (85230) $327 $327 18.3×
Factor viii assay (85240)
range across 2 matching MRF lines
$182–$227 $182–$227 varies
Factor X (85260) $385 $385 21.5×
Factor xi activity (85270) $84 $84 4.7×
Fat/Lipids Feces Quantitative (82710) $170 $170 10.1×
Fatty acids free (82725) $131 $131 7.0×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $224 $224 13.0×
Fecal Fat Qualitative (82705) $53 $53 10.4×
Ferritin (82728) $134 $134 9.8×
Fetal Chrmoml Aneuploidy (81420) $2,611 $2,611 3.4×
Fetal Congenital Abnor Assay Four Anal (81511) $1,058 $1,058 6.9×
Fetal Fibronectin (82731) $640 $640 9.9×
Fibrin degradation products (85362)
range across 2 matching MRF lines
$61–$226 $61–$226 varies
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$61–$102 $61–$102 varies
Fibrinogen activity (85384)
range across 2 matching MRF lines
$61–$138 $61–$138 varies
Flecainide level (80181) $129 $129 6.9×
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$64–$148 $64–$148 varies
Flt3 Gene (81245) $1,143 $1,143 6.9×
Flt3 gene analysis (81246) $572 $572 6.9×
Fluorescent antibody screen (86255)
range across 2 matching MRF lines
$134–$246 $134–$246 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 3 matching MRF lines
$120–$322 $120–$322 varies
Fmr1 gene detection (81243) $590 $590 10.3×
Folic acid rbc (82747) $170 $170 9.6×
Folic Acid Serum (82746) $146 $146 9.9×
Follicle Stimulating Hormone (83001) $148 $148 8.0×
Francisella tularensis (86668) $98 $98 6.9×
Fresh Frozen Plasma Thawing Each Unit (86927) $784 $784 5.0×
Frozen Blood Each Unit Thawing (86931) $76 $76 0.5×
Frozen Section (88331) $1,325 $1,325 8.5×
Fungi Identification Mold (87107) $152 $152 14.7×
Fungi Identification Yeast (87106) $149 $149 14.4×
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$122–$135 $122–$135 varies
Gardner vag DNA dir probe (87510) $138 $138 6.9×
Gases blood ph only (82800) $77 $77 7.0×
Gastrin (82941) $294 $294 16.7×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $2,869 $2,869 6.9×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $1,697 $1,697 2.2×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $6,697 $6,697 2.3×
Genet Virus Isolate Hsv (87255) $290 $290 8.6×
Gentamicin (80170) $158 $158 9.6×
Ggt (82977) $73 $73 10.1×
Giardia antigen (87329) $217 $217 18.1×
Glucagon (82943) $257 $257 18.0×
Glucose 2 hr pp (82950) $54 $54 11.4×
Glucose Blood Test (82962) $12 $12 3.7×
Glucose body fluid (82945) $40 $40 10.2×
Glucose Serum (82947)
range across 2 matching MRF lines
$40–$58 $40–$58 varies
Glucose tolerance test (gtt) (82951) $134 $134 10.4×
Glycated Protein (82985) $84 $84 5.0×
Gonadotropin Chorionic Qualitative (84703) $76 $76 10.1×
Gonadotropin releasing hormone (83727) $425 $425 24.7×
Growth hormone (83003) $158 $158 9.5×
Gtt-added samples (82952) $40 $40 10.2×
H Pylori (C-13) Breath (83013) $567 $567 8.4×
Haloperidol (80173) $109 $109 6.9×
Haptoglobin (83010) $134 $134 10.7×
Hdl Cholesterol (83718) $68 $68 8.3×
Helicobacter Pylori Stool (87338)
range across 2 matching MRF lines
$101–$146 $101–$146 varies
Helminth Antibody (86682) $90 $90 6.9×
Hematocrit (85014)
range across 2 matching MRF lines
$24–$41 $24–$41 varies
Hemoglobin (85018)
range across 2 matching MRF lines
$14–$28 $14–$28 varies
Hemoglobin a1c (83036) $97 $97 10.0×
Hemoglobin Chromotography (83021) $174 $174 9.6×
Hemoglobin electrophoresis (83020) $134 $134 10.4×
Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) $59 $59 6.1×
Hemolysins&Agglutinins Auto Screen Each (86940) $90 $90 10.3×
Hemolysins&Agglutinins Incubated (86941) $90 $90 7.4×
Hemosiderin urine (83070) $108 $108 22.7×
Hep a ab igm (86709)
range across 2 matching MRF lines
$272–$293 $272–$293 varies
Heparin assay (85520) $134 $134 10.2×
Hepatitis a antibody total (86708) $300 $300 24.2×
Hepatitis b core ab igm (86705) $271 $271 23.0×
Hepatitis b core ab total (86704)
range across 3 matching MRF lines
$120–$181 $120–$181 varies
Hepatitis B Surface Antibody (86706) $118 $118 11.0×
Hepatitis B Surface Antigen (87340) $113 $113 10.9×
Hepatitis Be Antibody (86707)
range across 2 matching MRF lines
$115–$305 $115–$305 varies
Hepatitis Be Antigen (87350)
range across 2 matching MRF lines
$114–$303 $114–$303 varies
Hepatitis C Antibody (86803) $158 $158 11.1×
Hepatitis c antibody confirmatory test (86804) $743 $743 48.0×
Hepatitis C Genotype (87902) $2,529 $2,529 9.8×
Hepatitis C Probe&Rvrs Trnsc (87521) $352 $352 10.0×
Hepatitis C Revrs Trnscrpj (87522) $423 $423 9.9×
Hepatitis delta ag (87380) $193 $193 10.5×
Hepatitis Delta Agent Antibody (86692) $242 $242 14.1×
Herpes simplex type 2 (86696)
range across 2 matching MRF lines
$190–$206 $190–$206 varies
Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) $72 $72 9.8×
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$30–$57 $30–$57 varies
Hfe Gene (81256) $640 $640 9.8×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460)
range across 2 matching MRF lines
$84–$309 $84–$309 varies
Histamine urine (83088) $445 $445 15.1×
Histoplasma antibody (86698)
range across 3 matching MRF lines
$235–$270 $235–$270 varies
Histoplasma antigen urine (87385)
range across 2 matching MRF lines
$199–$238 $199–$238 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $215 $215 8.9×
Hiv-1 Antibody (86701) $85 $85 9.6×
Hiv-1 Quant&Revrse Trnscrpj (87536) $833 $833 9.8×
Hla I Low Resolution One Antigen Equivalent Each (81374)
range across 2 matching MRF lines
$512–$784 $512–$784 varies
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $1,519 $1,519 6.9×
Hla-b27 (86812) $179 $179 6.9×
Homocysteine (83090) $170 $170 9.5×
Hpv High-Risk Types (87624) $386 $386 11.0×
Hpv Types 16 & 18 Only (87625) $283 $283 7.0×
Hsv Dna Amp Probe (87529) $352 $352 10.0×
Hsv Dna Quant (87530) $295 $295 6.9×
Htt Gene Detc Abnor Alleles (81271) $472 $472 3.4×
Hydroxyprogesterone 17-d (83498)
range across 3 matching MRF lines
$188–$284 $188–$284 varies
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $47 $47 1.3×
Iaad ia shiga-like toxin (87427) $83 $83 6.9×
Iaadi not otherwise specified each organism (87299) $56 $56 3.5×
Iaadi Varicella Zoster Virus (87290) $47 $47 3.5×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $243 $243 6.9×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476)
range across 2 matching MRF lines
$237–$297 $237–$297 varies
Iadna Candida Species Amplified Probe Tq (87481) $243 $243 6.9×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490)
range across 2 matching MRF lines
$108–$151 $108–$151 varies
Iadna Cytomegalovirus Amplified Probe Tq (87496) $523 $523 14.9×
Iadna Cytomegalovirus Quantification (87497)
range across 2 matching MRF lines
$423–$589 $423–$589 varies
Iadna Dna/Rna Rsv Amplified Probe Technique (87634)
range across 2 matching MRF lines
$122–$242 $122–$242 varies
Iadna ehrlichia chaffeensis amplified probe tq (87484) $243 $243 6.9×
Iadna Hepatitis B Virus Quantification (87517)
range across 2 matching MRF lines
$423–$792 $423–$792 varies
Iadna Multiple Organisms Direct Probe Tq (87800) $274 $274 6.3×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $290 $290 7.0×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $241 $241 6.9×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $386 $386 11.0×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $86 $86 1.7×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $1,810 $1,810 6.9×
Ig Light Chains Free Each (83521) $121 $121 7.0×
Igg subclasses (82787) $161 $161 20.1×
Immunfix e-phorsis/urine/csf (86335) $290 $290 9.9×
Immunoassay analyte qual/semiqual single step (83518) $177 $177 18.4×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 5 matching MRF lines
$107–$1,344 $107–$1,344 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines
$145–$174 $145–$174 varies
Immunoassay nonantibody (83516) $80 $80 6.9×
Immunodiffusion Ouchterlony (86331) $59 $59 4.9×
Immunoelectrophoresis Other Fluids Concentration (86325) $249 $249 10.8×
Immunoelectrophoresis Serum (86320) $283 $283 9.5×
Immunofixation electrophoresis (86334) $217 $217 9.7×
Immunohistochemistry (88342) $312 $312 2.0×
In situ hybridization 1st probe stain (88365) $153 $153 1.0×
Influenza assay w/optic (87804)
range across 2 matching MRF lines
$63–$120 $63–$120 varies
Influenza DNA amp probe (87502)
range across 2 matching MRF lines
$202–$222 $202–$222 varies
Inhibin A (86336) $170 $170 10.9×
Inhibin b (83520)
range across 4 matching MRF lines
$121–$648 $121–$648 varies
Insulin antibodies (86337) $181 $181 8.5×
Insulin free (83527) $90 $90 6.9×
Insulin total (83525) $113 $113 9.9×
Interleukin-6 (83529) $121 $121 7.0×
Intrinsic factor antibody (86340) $240 $240 15.9×
Iron (83540) $64 $64 9.9×
Iron Binding Capacity (83550) $86 $86 9.8×
Irradiation Blood Product Each Unit (86945) $93 $93 2.7×
Islet cell antibody (86341) $149 $149 6.3×
Jak2 gene analysis p.val617phe variant (81270) $456 $456 5.0×
Jak2 Gene Trgt Sequence Alys (81279) $1,274 $1,274 6.9×
Ketosteroids 17 total (83586) $222 $222 17.3×
Kit Gene Analysis D816 Variant(S) (81273) $860 $860 6.9×
Kit Gene Analysis Targeted Sequence Analysis (81272) $2,267 $2,267 6.9×
Koh Prep (87220) $38 $38 8.9×
Kras Gene Variants Exon 2 (81275) $1,330 $1,330 6.9×
Lactate (ld) (ldh) enzyme (83615) $66 $66 10.9×
Lactoferrin fecal qualitative (83630) $151 $151 7.7×
Lactoferrin Fecal Quantitative (83631) $193 $193 9.8×
Ldh Isoenzymes (83625) $160 $160 12.5×
LDL direct (83721) $127 $127 12.1×
Lead (83655)
range across 4 matching MRF lines
$22–$286 $22–$286 varies
Legionella antibody (86713) $226 $226 14.8×
Legionella antigen urine (87449) $278 $278 23.2×
Leukocyte Assessment Fecal (89055) $43 $43 10.1×
Leukocyte Histamine Release (86343) $318 $318 25.5×
Level I Surg Pathology Gross Examination Only (88300)
range across 2 matching MRF lines
$103–$217 $103–$217 varies
Level ii surg pathology gross&microscopic exam (88302) $217 $217 6.3×
Level V Surg Pathology Gross&Microscopic Exam (88307) $1,325 $1,325 4.0×
Lipase (83690)
range across 2 matching MRF lines
$69–$118 $69–$118 varies
Lipoprotein A (83695) $51 $51 3.6×
Lipoprotein Bld Quan Part (83704) $63 $63 1.8×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $178 $178 15.8×
Lipoprotein-Associated Phospholipase A2 (83698) $160 $160 3.5×
Lithium (80178) $66 $66 10.0×
Liver ds alys 3 bmrk srm alg (81517) $1,213 $1,213 6.9×
Luteinizing Hormone (Lh) (83002) $182 $182 9.8×
Lyme disease antibody (86618) $170 $170 10.0×
Lymphocyte transformation (86353) $338 $338 6.9×
Lysozyme serum (85549) $175 $175 9.3×
M. Genitalium Amp Probe (87563) $362 $362 10.3×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $537 $537 3.4×
M/phmtrc alys ishquant/semiq (88374) $1,048 $1,048 6.7×
Macroscopic exam arthropod (87168) $87 $87 20.4×
Macroscopic Exam Parasite (87169) $87 $87 20.2×
Magnesium Urine (83735)
range across 3 matching MRF lines
$68–$151 $68–$151 varies
Mass Spectrometry Quant (83789)
range across 2 matching MRF lines
$192–$224 $192–$224 varies
Meat fibers, feces (89160) $242 $242 49.9×
Mercury urine (83825)
range across 3 matching MRF lines
$177–$274 $177–$274 varies
Methylmalonic acid serum (83921) $147 $147 6.9×
Microalbumin, quantitative (82043) $58 $58 10.0×
Microsatellite instability (81301)
range across 2 matching MRF lines
$1,200–$2,398 $1,200–$2,398 varies
Microsomal Antibodies Each (86376)
range across 4 matching MRF lines
$126–$323 $126–$323 varies
Mitochondrial Antibody Each (86381) $177 $177 7.0×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $697 $697 3.4×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $2,324 $2,324 3.4×
Mog-Igg1 Antb Cba Each (86362) $83 $83 6.9×
Molecular Cytogenetics Dna Probe Each (88271)
range across 2 matching MRF lines
$877–$879 $877–$879 varies
Molecular Pathology Procedure Level 6 (81405) $1,126 $1,126 3.7×
Mononuclear cell antigen (86356) $112 $112 4.2×
Mopath procedure level 1 (81400) $543 $543 8.5×
Mopath procedure level 4 (81403)
range across 2 matching MRF lines
$638–$1,275 $638–$1,275 varies
Mopath procedure level 5 (81404) $1,892 $1,892 6.9×
Mopath procedure level 9 (81408) $1,126 $1,126 0.6×
Mpl gene analysis sequence analysis exon 10 (81339) $1,274 $1,274 6.9×
Mrsa Pcr (87641) $175 $175 5.0×
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $734 $734 3.4×
Msh2 Gene Analysis Full Sequence Analysis (81295) $1,315 $1,315 3.4×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $820 $820 3.4×
Msh6 Gene Analysis Full Sequence Analysis (81298) $2,209 $2,209 3.4×
Mthfr Gene Analysis Common Variants (81291) $244 $244 3.7×
Mumps antibody (86735)
range across 2 matching MRF lines
$114–$146 $114–$146 varies
Muscle-Specific Kinase Antb (86366) $127 $127 6.9×
Mycophenolic Acid (80180) $182 $182 10.1×
Mycoplasma antibody (86738) $146 $146 11.0×
Mycoplasma culture (87109) $266 $266 17.3×
Myelin basic protein csf (83873) $170 $170 9.9×
Myoglobin urine (83874)
range across 2 matching MRF lines
$134–$259 $134–$259 varies
Natriuretic peptide (83880) $338 $338 8.6×
Neisseria Dir Na Probe (87590)
range across 2 matching MRF lines
$135–$151 $135–$151 varies
Neutralization Test Viral (86382) $118 $118 7.0×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $982 $982 6.9×
Nfct Ds Bv&Vaginitis Dna Alg (81514) $1,810 $1,810 6.9×
Nfct ds chrnc hcv 6 assays (81596) $249 $249 3.4×
Niacin (84591) $115 $115 6.7×
Nickel level (83885) $250 $250 10.2×
Nk cells total count (86357)
range across 2 matching MRF lines
$112–$344 $112–$344 varies
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $1,700 $1,700 6.9×
Nras gene variants exon 2&3 (81311) $2,036 $2,036 6.9×
Nuclear antigen antibody (86235)
range across 6 matching MRF lines
$182–$321 $182–$321 varies
Occult Blood Other Sources (82271) $34 $34 6.4×
Oligoclonal bands (83916)
range across 2 matching MRF lines
$217–$245 $217–$245 varies
Organic Acids Qualitative Each Specimen (83919) $367 $367 22.3×
Organic acids urine (83918) $183 $183 7.8×
Osmolality serum (83930) $66 $66 10.0×
Osmolality Urine (83935) $69 $69 10.1×
Osteocalcin (83937) $233 $233 7.8×
Ova and parasites smears (87177) $89 $89 10.0×
Oxalate urine (83945) $290 $290 20.1×
Pancreatic Elastase Fecal (82656) $374 $374 32.4×
Particle Agglutination Screen Each Antibody (86403) $123 $123 10.7×
Parvovirus antibody (86747) $174 $174 11.6×
Path Clin Consltj Mod 21-40 (80504) $1,048 $1,048 6.7×
Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) $1,048 $1,048 6.7×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $352 $352 7.3×
Ph urine (81003) $22 $22 9.8×
Phenobarbital Level (80184) $113 $113 7.4×
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines
$134–$156 $134–$156 varies
Phenytoin free (80186) $156 $156 11.3×
Phosphatase acid prostatic (84066) $258 $258 26.7×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$57–$81 $57–$81 varies
Phosphatidylglycerol (84081) $268 $268 16.2×
Phospholipid Neutralization Hexagonal (85598) $182 $182 10.1×
Phosphorus Serum (84100) $49 $49 10.3×
Phosphorus urine (84105) $288 $288 49.8×
Pinworm exam (87172) $43 $43 10.1×
Platelet Antibodies (86022) $465 $465 25.3×
Platelet count automated (85049)
range across 2 matching MRF lines
$46–$61 $46–$61 varies
Platelet neutralization (85597) $951 $951 52.9×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $701 $701 3.4×
Pms2 gene full seq analysis (81317) $2,328 $2,328 3.4×
Pooling blood platelets (86965) $89 $89 0.6×
Porphobilinogen, urine; quantitative (84110) $151 $151 17.9×
Porphyrins Feces Quantitative (84126) $856 $856 21.9×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines
$175–$224 $175–$224 varies
Porphyrins, urine; qualitative (84119) $151 $151 11.3×
Potassium Urine (84133) $49 $49 10.4×
Prealbumin (84134) $146 $146 10.0×
Pregnenolone (84140) $152 $152 7.4×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $234 $234 4.3×
Primidone (80188) $170 $170 10.2×
Procalcitonin (Pct) (84145) $399 $399 14.7×
Progesterone (84144) $230 $230 11.0×
Prolactin (84146) $193 $193 10.0×
Prostaglandin (84150) $289 $289 6.9×
Protein body fluid (84157) $37 $37 9.3×
Protein C Activity (85303) $134 $134 9.7×
Protein c antigen (85302) $141 $141 11.7×
Protein Electrophoresis Urine (84166) $193 $193 10.8×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$107–$135 $107–$135 varies
Protein S Free (85306)
range across 5 matching MRF lines
$106–$541 $106–$541 varies
Protein s total (85305)
range across 3 matching MRF lines
$81–$318 $81–$318 varies
Protein total serum (84155) $103 $103 28.1×
Protein Total Urine (84156) $37 $37 10.1×
Protein Western Blot Test (84182) $278 $278 9.5×
Prothrombin Time Substitution Plasma Frctj Each (85611) $92 $92 23.4×
Protoporphyrin rbc quantitative (84202) $138 $138 9.6×
PSA free (84154)
range across 2 matching MRF lines
$182–$250 $182–$250 varies
Pth Intact (83970) $410 $410 9.9×
Q Fever Antibody (86638) $84 $84 6.9×
Quantiferon tb gold plus (86480) $616 $616 9.9×
Quantitative assay drug (80299)
range across 13 matching MRF lines
$118–$452 $118–$452 varies
Quantitative Screen Metals (83018) $152 $152 6.9×
Quinidine (80194) $182 $182 12.5×
Rbc antibody elution (86860) $452 $452 2.9×
Rbc antibody identification (86870) $1,446 $1,446 4.4×
Rbc antibody screen (86850) $603 $603 61.7×
Rbc pretreatment serum (86978) $401 $401 7.4×
Rbc pretx incubatj w/enzymes (86971) $1,120 $1,120 7.1×
Reagent Strip/Blood Glucose (82948) $35 $35 6.9×
Receptor assay estrogen (84233) $330 $330 3.8×
Receptor assay progesterone (84234) $289 $289 4.5×
Renin activity plasma (84244) $217 $217 9.9×
Resp virus 12-25 targets (87633) $1,434 $1,434 3.4×
Reticulated Platelet Assay (85055) $249 $249 7.0×
Reticulocyte Count Manual (85044) $49 $49 11.4×
Rh (86901) $603 $603 201.7×
Rheumatoid Factor Qualitative (86430) $57 $57 9.3×
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$40–$57 $40–$57 varies
Rickettsia antibody (86757)
range across 3 matching MRF lines
$186–$298 $186–$298 varies
Ristocetin cofactor (85245)
range across 2 matching MRF lines
$63–$284 $63–$284 varies
Rotavirus ag eia (87425) $134 $134 11.2×
Rpr qualitative (86592) $43 $43 10.1×
Rsv ab (86756) $134 $134 8.4×
Rubella Antibody (86762) $158 $158 11.0×
Rubeola antibody (86765) $146 $146 11.3×
Russell Viper Venom Time Diluted (85613) $87 $87 9.1×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$79–$178 $79–$178 varies
Sars-cov-2 COVID-19 antibody (86769) $113 $113 2.7×
Sarscov2&inf a&b&rsv amp prb (87637) $136 $136 1.0×
Sedimentation rate (85651) $36 $36 8.4×
Sedimentation Rate, Automated (85652) $19 $19 7.0×
Selenium (84255) $197 $197 7.7×
Semen Anal Sperm Detection (89321) $120 $120 10.0×
Sensitivity mic (87186)
range across 2 matching MRF lines
$68–$118 $68–$118 varies
Serpina 1 gene (81332) $301 $301 6.9×
Sex Hormone Binding Globulin (84270) $239 $239 11.0×
Sickling of rbc reduction (85660) $56 $56 10.2×
Sirolimus (80195) $284 $284 20.7×
Skin test tuberculosis intradermal (86580) $24 $24 0.9×
Smear acid fast (87206)
range across 5 matching MRF lines
$42–$1,502 $42–$1,502 varies
Smear complex stain (87209) $182 $182 10.1×
Smear gram stain (87205)
range across 3 matching MRF lines
$43–$81 $43–$81 varies
Smear Special Stain (87207) $144 $144 24.0×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 3 matching MRF lines
$47–$97 $47–$97 varies
Snrpn/Ube3a Methylation Analysis (81331) $177 $177 3.5×
Sodium Serum (84295) $49 $49 10.2×
Sodium Urine (84300) $55 $55 10.9×
Soluble Transferrin Receptor (84238) $252 $252 6.9×
Somatomedin (84305) $206 $206 9.7×
Somatostatin (84307) $240 $240 13.1×
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$346–$399 $346–$399 varies
Special Stains Group 2 (88313) $399 $399 3.3×
Specific gravity body fluid (84315) $64 $64 19.5×
Specimen infect agnt concntj (87015) $193 $193 28.9×
Spectrophotometry (84311)
range across 3 matching MRF lines
$108–$167 $108–$167 varies
Stool cultr aerobic bact ea (87046) $95 $95 10.1×
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$86–$120 $86–$120 varies
Strep a DNA amp probe (87651)
range across 2 matching MRF lines
$86–$175 $86–$175 varies
Strep b DNA amp probe (87653) $243 $243 6.9×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $55 $55 10.0×
Sugars Single Qual (84376) $43 $43 7.8×
Surg path level iii (88304) $399 $399 8.3×
Surgical pathology level IV (88305) $399 $399 8.3×
Surgical pathology level vi (88309) $2,168 $2,168 2.9×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $37 $37 7.8×
Susceptibility Study Antimicrobial Disk Method (87184)
range across 2 matching MRF lines
$54–$69 $54–$69 varies
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $251 $251 34.3×
Syphilis Test Non-Trep Quant (86593) $249 $249 56.6×
T cells absolute cd4 count (86361) $256 $256 9.6×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $310 $310 6.6×
T cells total count (86359)
range across 2 matching MRF lines
$140–$146 $140–$146 varies
T3 Free (84481) $170 $170 10.0×
T3 reverse (84482) $158 $158 10.0×
T3 Total (84480) $146 $146 10.3×
T3 Uptake (84479) $70 $70 10.8×
T4 Free (84439)
range across 2 matching MRF lines
$90–$284 $90–$284 varies
T4 total (84436) $69 $69 10.0×
Tacrolimus (80197) $84 $84 6.1×
Tb ag response t-cell susp (86481) $688 $688 6.9×
Testosterone total (84403)
range across 2 matching MRF lines
$226–$279 $226–$279 varies
Testosterone, Free (84402)
range across 2 matching MRF lines
$226–$287 $226–$287 varies
Tetanus antibody (86774) $102 $102 6.9×
Theophylline (80198) $146 $146 10.3×
Thiopurine methyltransferase (84433) $468 $468 21.1×
Thrombin Time (85670) $64 $64 11.1×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 3 matching MRF lines
$64–$249 $64–$249 varies
Thyroglobulin (84432) $158 $158 9.8×
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines
$158–$326 $158–$326 varies
Thyroid Stimulating Immunoglobulin (84445) $508 $508 10.0×
Thyroxine binding globulin (84442) $177 $177 12.0×
Tiss Trnsgltmnase Ea Ig Clas (86364) $80 $80 6.9×
Tissue Culture (88233) $303 $303 2.2×
Tissue culture bone marrow (88237) $293 $293 2.0×
Tissue Culture Lymphocyte (88230)
range across 3 matching MRF lines
$206–$354 $206–$354 varies
Tobramycin peak (80200)
range across 2 matching MRF lines
$107–$114 $107–$114 varies
Topiramate (80201) $119 $119 10.0×
Touch prep (88161) $238 $238 8.9×
Toxin/Antitoxin Assay Tissue Culture (87230) $138 $138 7.0×
Toxoplasma ab igm (86778) $200 $200 13.9×
Toxoplasma antibody (86777) $250 $250 17.4×
Transferase Aspartate Amino Ast Sgot (84450) $57 $57 11.0×
Transferrin (84466) $122 $122 9.6×
Trb@ Rearrangement Anal Amplification Method (81340) $1,438 $1,438 6.9×
Trg gene rearrangement anal (81342) $1,387 $1,387 6.9×
Trichinella Antibody (86784) $259 $259 20.6×
Trichomonas vagin dir probe (87660) $138 $138 6.9×
Trichomonas Vaginalis Amplif (87661)
range across 2 matching MRF lines
$241–$243 $241–$243 varies
Triglycerides (84478)
range across 2 matching MRF lines
$52–$58 $52–$58 varies
Troponin Quant (84484) $98 $98 7.9×
Tumor Immunohistochem/Manual (88360) $498 $498 3.2×
Ugt1a1 gene analysis common variants (81350) $1,610 $1,610 6.9×
Unlisted Transfusion Medicine Procedure (86999) $276 $276 10.4×
Urea nitrogen urine (84540)
range across 2 matching MRF lines
$49–$234 $49–$234 varies
Uric acid other source (84560) $289 $289 56.9×
Urinalysis Microscopic Only (81015) $32 $32 10.5×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $63 $63 29.0×
Urinalysis Volume Measure (81050) $34 $34 9.3×
Urine Bacteria Culture (87088) $62 $62 7.7×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$47–$70 $47–$70 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $33 $33 10.4×
Valproic acid (80164) $134 $134 9.9×
Vancomycin (80202) $134 $134 9.9×
Varicella-zoster antibody (86787) $134 $134 10.4×
Vasopressin (84588) $338 $338 10.0×
Viral Culture (87252)
range across 2 matching MRF lines
$156–$262 $156–$262 varies
Virus antibody nos (86790)
range across 2 matching MRF lines
$134–$220 $134–$220 varies
Virus inoculation, shell via (87254) $156 $156 8.0×
Viscosity serum (85810) $131 $131 11.2×
Vit D 1 25-Dihydroxy (82652) $244 $244 6.3×
Vitamin A (84590) $115 $115 9.9×
Vitamin b-12 (82607) $146 $146 9.7×
Vitamin B2 (Riboflavin) (84252) $206 $206 10.2×
Vitamin B6 (84207) $279 $279 9.9×
Vitamin c (82180) $38 $38 3.8×
Vitamin D 25-Hydroxy (82306) $290 $290 9.8×
Vitamin E (84446) $146 $146 10.3×
Vitamin K (84597) $319 $319 23.3×
Vkorc1 gene (81355) $1,205 $1,205 13.7×
Volatiles (84600) $157 $157 9.2×
Voltage-Gated Calcium Channel Antibody Each (86596) $324 $324 26.9×
Von willebrand factor ag (85246)
range across 2 matching MRF lines
$63–$359 $63–$359 varies
Wbc Alkaline Phosphatase Count (85540) $151 $151 17.6×
West nile virus ab igm (86788) $170 $170 10.1×
West Nile Virus Antibody (86789) $146 $146 10.1×
Xylose Absorption Test (84620) $161 $161 12.5×
Zika Virus Igm Antibody (86794) $74 $74 4.4×
Zinc (84630) $113 $113 9.9×

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.