Lab & pathology prices at Ann & Robert H Lurie Childrens Hospital of Chicago

Chicago, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $152.60 $218 6.7×
5 Nucleotidase (83915) $81.90 $117 7.3×
Acth (82024) $407.40 $582 10.5×
Acth Stimulation Panel Adrenal Insufficiency (80400) $565.60 $808 17.3×
Actin smooth muscle antibody each (86015) $319.20 $456 26.5×
Acute hepatitis panel (80074) $663.60 $948 13.9×
Acylcarnitines Quant (82017) $476 $680 28.2×
Adenovirus antibody (86603) $198.80 $284 15.4×
Albumin Fluid (82042) $56.70 $81 7.3×
Albumin serum (82040) $86.80 $124 17.5×
Aldolase (82085) $199.50 $285 20.5×
Aldosterone urine (82088) $324.80 $464 8.0×
Alkaline phosphatase isoenzymes (84080) $172.90 $247 11.7×
Allergen specific ige (86003) $46.20 $66 8.9×
Allg Spec Ige Recomb Ea (86008) $149.10 $213 8.3×
Alpha-1-antitrypsin phenotype (82104) $115.50 $165 8.0×
Alpha-1-antitrypsin total (82103) $191.80 $274 14.3×
Alpha-Fetoprotein Serum (82105) $282.80 $404 16.9×
Alt (sgpt) (84460) $98 $140 18.5×
Aluminum (82108) $163.80 $234 6.4×
Amikacin trough (80150) $116.90 $167 7.8×
Amino Acids 1 Quantitative Each Specimen (82131) $139.30 $199 6.1×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $835.10 $1,193 49.5×
Amino Acids Quant 2-5 (82136) $450.10 $643 23.0×
Aminolevulinic acid (ala) (82135) $102.90 $147 6.3×
Ammonia (82140) $253.40 $362 17.4×
Amylase urine (82150) $160.30 $229 24.7×
Anca screen each antibody (86036) $202.30 $289 16.8×
Anca Titer Each Antibody (86037) $76.30 $109 6.3×
Androstenedione (82157) $302.40 $432 10.3×
Angiotensin converting enzyme csf (82164) $256.20 $366 17.5×
Anti-Phospholipid Antibody (86148) $91 $130 5.7×
Antibody aspergillus (86606) $210 $300 14.0×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $271.60 $388 17.5×
Antibody Cytomegalovirus Cmv Igm (86645) $305.90 $437 18.2×
Antibody Encephalitis California La Crosse (86651) $112 $160 8.5×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $179.90 $257 13.7×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $191.10 $273 12.5×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $248.50 $355 13.7×
Antibody Fungus Not Elsewhere Specified (86671) $102.20 $146 8.3×
Antibody haemophilus influenza (86684) $266 $380 16.8×
Antibody Herpes Smplx Non-Specific Type Test (86694) $210 $300 14.6×
Antibody Herpes Smplx Type 1 (86695) $112 $160 8.5×
Antibody HIV-1&HIV-2 single result (86703) $121.80 $174 8.9×
Antibody HIV-2 (86702) $59.50 $85 4.4×
Antibody Hla Class I High Definition Panel Qual (86832) $1,094.10 $1,563 3.4×
Antibody hla class ii semiquantitative panel (86835) $1,801.80 $2,574 5.6×
Antibody htlv/HIV antibody confirmatory test (86689) $131.60 $188 6.8×
Antibody identification leukocyte antibodies (86021) $323.40 $462 21.5×
Antibody Identification Platelet Immunogl Assay (86023) $161.70 $231 13.0×
Antibody leishmania (86717) $95.20 $136 7.8×
Antibody Lymphocytic Choriomeningitis (86727) $49 $70 3.8×
Antibody Protozoa Nes (86753)
range across 3 matching MRF lines
$140–$326.90 $200–$467 varies
Antibody Titer (86886) $173.60 $248 33.5×
Antibody Treponema Pallidum (86780) $145.60 $208 11.0×
Antibody yersinia (86793) $217.70 $311 16.5×
Antibody; encephalitis, st. louis (86653) $133 $190 10.1×
Antibody; influenza virus (86710) $44.10 $63 3.3×
Antigen typing (86905) $366.80 $524 95.8×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $125.30 $179 21.9×
Antinuclear antibodies (86038) $182 $260 15.1×
Antistreptolysin o titer (86060) $185.50 $265 25.4×
Antithrombin iii activity (85300) $395.50 $565 33.4×
Aortic dysfunction/dilation dup/del analysis (81411) $656.60 $938 0.5×
Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) $1,750 $2,500 3.5×
Apolipoprotein a1 (82172) $177.10 $253 8.4×
Aqaprn-4 Antb Flo Cytmtry Ea (86053)
range across 4 matching MRF lines
$117.60–$595 $168–$850 varies
Aquaporin-4 Antb Cba Each (86052) $708.40 $1,012 58.8×
Arsenic (82175) $157.50 $225 8.3×
Aspergillus ag eia (87305) $198.80 $284 16.6×
Assay activated protein c (85307) $121.10 $173 7.9×
Assay Blood Carbon Dioxide (82374) $66.50 $95 13.6×
Assay Nephelometry Not Spec (83883) $287.70 $411 21.2×
Assay of 5-hiaa (83497) $261.80 $374 20.3×
Assay of b-hexosaminidase each assay (83080) $224.70 $321 13.3×
Assay of blood/uric acid (84550) $107.80 $154 23.8×
Assay of calcium in urine (82340) $148.40 $212 24.6×
Assay of corticosterone (82528) $88.90 $127 3.9×
Assay of cpk in blood (82552) $101.50 $145 7.6×
Assay of estrone (82679) $202.30 $289 8.1×
Assay of g6pd enzyme (82955) $171.50 $245 17.7×
Assay of gammaglobulin igm (82784) $147 $210 15.8×
Assay of lactic acid (83605) $216.30 $309 18.7×
Assay of manganese (83785) $197.40 $282 7.4×
Assay of metanephrines (83835) $317.10 $453 18.7×
Assay of phosphatase acid total (84060) $93.80 $134 12.3×
Assay of pyruvate (84210) $212.10 $303 14.6×
Assay of serotonin (84260) $203 $290 6.6×
Assay of serum potassium (84132) $65.10 $93 13.7×
Assay of sweat sodium (84302) $91 $130 18.7×
Assay of Tyrosine (84510) $97.30 $139 9.2×
Assay of urea nitrogen (84520) $96.60 $138 24.5×
Assay of urine vma (84585) $220.50 $315 14.2×
Assay of vasoactive intestinal peptide (84586) $373.80 $534 10.6×
Assay of vitamin b-1 (84425) $211.40 $302 10.0×
Assay Ph Body Fluid Nos (83986) $79.10 $113 22.1×
Assay Phosphohexose Enzymes (84087) $102.20 $146 9.5×
Assay spec xcp ur&breath ia (82077) $256.20 $366 14.8×
Asy carbamazepin 10,11-epxid (80161) $175.70 $251 9.4×
Autol Bld/Component Collj Storage Predeposited (86890) $341.60 $488 1.9×
Automated Leukocyte Count (85048) $40.60 $58 16.0×
B cells total count (86355) $391.30 $559 10.4×
Bartonella antibody (86611) $76.30 $109 7.5×
Bcr/abl1 gene major bp (81206) $961.10 $1,373 5.9×
Bcr/abl1 gene minor bp (81207) $698.60 $998 4.8×
Bcr/Abl1 Gene Other Bp (81208) $506.80 $724 2.4×
Beta 2 glycoprotein i antibody each (86146) $231.70 $331 9.1×
Beta hydroxybutyrate (82010) $209.30 $299 25.6×
Beta Lactamase (87185) $58.10 $83 12.2×
Beta-2 Microglobulin (82232) $226.80 $324 14.0×
Bilirubin direct (82248) $122.50 $175 24.4×
Bilirubin total (82247) $118.30 $169 23.6×
Biotinidase (82261) $189 $270 11.2×
Blastomyces antibody (86612) $221.20 $316 17.1×
Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) $238.70 $341 4.3×
Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) $122.50 $175 4.0×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $411.60 $588 2.3×
Bld Typing Serologic Rh Phnt (86906) $180.60 $258 23.3×
Blood Count Manual Cell Count Each (85032) $49.70 $71 11.5×
Blood Count Red Blood Cell Automated (85041) $43.40 $62 14.4×
Blood count reticulocyte automated (85045) $63.70 $91 16.0×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $57.40 $82 15.1×
Blood gas (82803) $112 $160 4.3×
Blood gases w/02 saturation (82805) $163.80 $234 2.1×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $20.30 $29 4.6×
Blood Type Antigen Donor Reagent Serum Each (86902) $359.80 $514 56.7×
Blood typing serologic abo (86900) $151.20 $216 50.6×
Body fluid cell count (89050) $59.50 $85 12.6×
Bone marrow smear interpretation (85097) $737.80 $1,054 0.9×
Bordetella antibody (86615) $181.30 $259 13.7×
Borrelia Antibody (86619) $171.50 $245 12.8×
Brca2 gene analysis full sequence analysis (81216) $560 $800 3.0×
Brucella antibody (86622) $126.70 $181 14.2×
C diff amplified probe (87493) $298.90 $427 8.0×
C-Peptide (84681) $172.20 $246 8.3×
C-reactive protein (86140) $161.70 $231 31.2×
Ca 19-9 (86301) $210.70 $301 10.1×
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) $94.50 $135 0.1×
Cadmium (82300) $97.30 $139 4.1×
Caffeine (80155) $172.90 $247 4.5×
Calcitonin (82308) $263.90 $377 9.9×
Calcium ionized (82330) $241.50 $345 17.7×
Calcium total (82310) $112.70 $161 21.8×
Calculus Spectroscopy (82365) $124.60 $178 9.7×
Calprotectin Fecal (83993) $359.10 $513 18.3×
Cancer Antigen 125 (86304) $268.10 $383 12.9×
Carbohydrate Deficient Transferrin (82373) $186.90 $267 10.3×
Carboxyhemoglobin (82375) $137.20 $196 11.1×
Carcinoembryonic antigen (82378) $315 $450 16.6×
Cardiolipin ab iga (86147) $274.40 $392 10.8×
Carnitine Quantitative Each Specimen (82379)
range across 5 matching MRF lines
$293.30–$296.80 $419–$424 varies
Carotene (82380) $171.50 $245 18.6×
Catecholamines fractionated (82384) $312.90 $447 12.4×
Ccp antibody (86200) $161 $230 12.4×
Cell count csf (89051) $285.60 $408 51.0×
Cell marker study (88182) $234.50 $335 4.2×
Cellular Function Assay Stimul&Detect Biomarke (86352) $296.80 $424 2.2×
Ceruloplasmin (82390) $219.80 $314 20.5×
Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) $280 $400 1.7×
Cftr gene dup/delet variants (81222) $525 $750 1.2×
Cftr gene full sequence (81223) $1,485.40 $2,122 3.0×
Chemiluminescent assay (82397) $511 $730 36.2×
Chimerism w/comp to baseline w/cell selection ea (81268) $965.30 $1,379 3.7×
Chimerism w/comp to baseline w/o cell selection (81267) $888.30 $1,269 4.3×
Chlamydia antibody (86631) $56 $80 4.7×
Chlamydia Igm Antibody (86632) $56 $80 4.4×
Chlamydia trachomatis ag if (87270) $28 $40 2.3×
Chloride other source (82438) $153.30 $219 30.7×
Chloride Serum (82435) $84.70 $121 18.4×
Chloride urine (82436) $59.50 $85 10.3×
Cholesterol total (82465) $126.70 $181 29.1×
Cholinesterase rbc (82482) $32.20 $46 3.3×
Cholinesterase Serum (82480) $34.30 $49 4.4×
Chorionic gonadotropin test (84702) $280 $400 18.6×
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $597.10 $853 3.2×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $60.90 $87 2.3×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $270.20 $386 8.1×
Chrmsm Analysis Addl Specialized Banding (88283) $49 $70 0.7×
Chromium serum (82495) $252 $360 12.4×
Chromogenic Substrate Assay (85130) $242.90 $347 20.4×
Chromogranin a (86316) $392 $560 18.8×
Chromosome analys amniotic (88269) $605.50 $865 3.5×
Chromosome Analysis 15-20 (88262) $1,352.40 $1,932 10.8×
Chromosome Analysis 20-25 (88264) $1,260.70 $1,801 8.7×
Chromosome analysis 45 cells (88263) $1,285.90 $1,837 8.6×
Chromosome analysis, 5 (88261) $1,113.70 $1,591 4.2×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $294.70 $421 8.4×
Citric acid urine (82507) $101.50 $145 3.7×
Clostridium Difficile (87324) $130.20 $186 10.9×
Clot Factor VIII Multimetric (85247) $425.60 $608 18.6×
Clotting factor xii hageman (85280) $352.80 $504 18.2×
Clotting Funct Activity (85397) $308.70 $441 10.0×
Clotting prekallikrein assay fletcher fact assay (85292) $364 $520 19.2×
Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) $448 $640 3.3×
Cns DNA amp probe type 12-25 (87483) $1,969.10 $2,813 4.7×
Coagulation time activated (85347) $94.50 $135 22.1×
Coccidioides antibody (86635) $119.70 $171 10.4×
Column Chromotography Quant (82542) $395.50 $565 16.4×
Comparative Anal Str Markers Patient&Comp Spec (81265) $876.40 $1,252 3.8×
Compatibility test antiglob (86922) $324.80 $464 1.8×
Complement Antigen Each Component (86160) $254.80 $364 21.2×
Complement Total (Ch50) (86162) $241.50 $345 11.9×
Complement/Function Activity (86161) $228.20 $326 19.0×
Coombs direct (86880) $133.70 $191 24.8×
Copper urine (82525) $164.50 $235 13.3×
Cortisol free (82530) $224 $320 13.4×
Cortisol saliva (82533) $282.80 $404 17.3×
Creatine (82540) $140 $200 30.2×
Creatine kinase total (82550) $109.90 $157 16.9×
Creatinine blood (82565) $105 $150 20.5×
Creatinine Urine (82570) $120.40 $172 23.2×
Crossmatch electronic (86923) $187.60 $268 1.0×
Crossmatch immediate spin (86920) $172.90 $247 0.9×
Cryoglobulin (82595) $86.10 $123 13.3×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $420 $600 32.1×
Cryptococcus ag titer (87899)
range across 3 matching MRF lines
$107.80–$179.90 $154–$257 varies
Cryptosporidium (87272) $67.90 $97 5.7×
Cryptosporidium ag eia (87328) $208.60 $298 15.1×
CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Facility (81189) $105 $150 0.4×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $126.70 $181 15.7×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $107.10 $153 13.3×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $835.10 $1,193 3.8×
Culture afb (87116) $257.60 $368 23.9×
Culture Anaerobic (87075) $201.60 $288 21.3×
Culture blood (87040) $343.70 $491 33.3×
Culture chlamydia (87110) $157.50 $225 8.0×
Culture csf (87070)
range across 8 matching MRF lines
$32.20–$227.50 $46–$325 varies
Culture fungus (87102) $198.80 $284 23.6×
Culture fungus blood (87103) $136.50 $195 6.7×
Culture screen only (87081) $107.10 $153 16.2×
Culture stool (87045) $141.40 $202 15.0×
Culture typing if ea antiserum (87140) $70 $100 12.6×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $68.60 $98 13.2×
Culture urine (87086) $158.20 $226 19.6×
Cyanide (82600) $129.50 $185 6.7×
Cyclic amp (82030) $380.80 $544 14.8×
Cyclosporine (80158) $407.40 $582 22.6×
Cyp2c19 gene analysis common variants (81225) $273.70 $391 0.9×
Cyp2c9 gene com variants (81227) $305.90 $437 1.7×
Cyp2d6 gene com variants (81226) $788.90 $1,127 1.7×
Cyp3a5 gene common variants (81231) $306.60 $438 1.8×
Cystatin C (82610) $223.30 $319 12.1×
Cytogenetics 10-30 (88273) $620.90 $887 17.8×
Cytogenetics 100-300 (88275)
range across 15 matching MRF lines
$574–$616 $820–$880 varies
Cytogenom Const Microarray Copy Number Variants (81228) $2,883.30 $4,119 3.2×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $2,943.50 $4,205 2.5×
Cytomegalovirus igg (86644) $275.10 $393 19.1×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $154 $220 7.6×
Cytp Concentration Smears & Interpretation (88108) $473.90 $677 11.8×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $665.70 $951 11.9×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $421.40 $602 2.3×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $154 $220 3.8×
Cytp Slides C/V Mnl Scr Under Phys (88150) $103.60 $148 5.6×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $135.80 $194 4.4×
Deoxycortisol (82634) $126.70 $181 4.3×
Desoxycorticosterone (82633) $175.70 $251 5.7×
Detect Agent Nos Dna Amp (87798)
range across 17 matching MRF lines
$95.20–$958.30 $136–$1,369 varies
Detect Agent Nos Dna Quant (87799)
range across 7 matching MRF lines
$453.60–$596.40 $648–$852 varies
Detect agnt mult DNA ampli (87801) $4,878.30 $6,969 69.5×
Dgp Antibody Each Ig Class (86258) $224.70 $321 18.6×
Dhea (82626) $179.20 $256 7.1×
Dhea-S (82627) $431.20 $616 19.4×
Digoxin (80162) $165.20 $236 12.4×
Dihydrotestosterone (82642)
range across 2 matching MRF lines
$218.40–$280 $312–$400 varies
Dmd Duplication/Deletion Analysis (81161) $966 $1,380 3.5×
Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) $448.70 $641 3.3×
Dna Antibody Native/Double Stranded (86225) $182 $260 13.2×
Dna/Rna Amplified Probe (87150) $219.10 $313 6.2×
Dna/Rna Sequencing (87153) $574.70 $821 5.0×
Drug assay acetaminophen (80143) $274.40 $392 14.7×
Drug assay adalimumab (80145) $635.60 $908 16.5×
Drug Assay Amiodarone (80151) $95.20 $136 5.1×
Drug Assay Everolimus (80169) $318.50 $455 23.2×
Drug assay felbamate (80167) $380.10 $543 20.4×
Drug Assay Infliximab (80230) $504.70 $721 13.1×
Drug Assay Itraconazole (80189) $300.30 $429 11.1×
Drug Assay Lacosamide (80235) $316.40 $452 11.7×
Drug Assay Leflunomide (80193) $293.30 $419 7.6×
Drug Assay Posaconazole (80187) $238 $340 8.8×
Drug Assay Vedolizumab (80280) $534.80 $764 13.9×
Drug assay voriconazole (80285) $167.30 $239 6.2×
Drug Screen Quant Zonisamide (80203) $238 $340 18.0×
Drug Screen Quantitative Gabapentin (80171) $163.80 $234 7.6×
Drug Screen Quantitative Lamotrigine (80175) $182.70 $261 13.8×
Drug Screen Quantitative Levetiracetam (80177) $196.70 $281 14.8×
Drug Screen Quantitative Oxcarbazepine (80183) $204.40 $292 15.4×
Drug Screen Quantitative Procainamide Metabolite (80192) $233.80 $334 14.0×
Drug Test Prsmv Chem Anlyzr (80307) $509.60 $728 8.2×
Drug Test Prsmv Dir Opt Obs (80305) $248.50 $355 19.7×
Ehrlichia antibody (86666) $112.70 $161 11.1×
El-1 Fecal Quantitative (82653) $354.20 $506 15.4×
Electrolyte panel (80051) $110.60 $158 15.8×
Electron Microscopy (88348) $2,323.30 $3,319 2.7×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $238.70 $341 3.9×
Encephaltis East Eqne Anbdy (86652) $133 $190 10.1×
Encephaltis West Eqne Antbdy (86654) $133 $190 10.1×
Endomysial Antibody Each Immunoglobulin Class (86231) $302.40 $432 25.0×
Enterovirus Antibody (86658)
range across 3 matching MRF lines
$81.90–$195.30 $117–$279 varies
Enterovirus PCR (87498) $284.20 $406 8.1×
Enzyme cell activity (82657)
range across 15 matching MRF lines
$491.40–$498.40 $702–$712 varies
Enzyme histochemistry (88319) $968.10 $1,383 1.1×
Epilepsy Genomic Sequence Analysis Panel (81419) $2,450 $3,500 1.0×
Erythropoietin (82668) $301 $430 16.0×
Estradiol serum (82670) $294 $420 10.5×
Ethosuximide (80168) $132.30 $189 8.1×
Ethylene Glycol (82693) $121.10 $173 8.1×
Exam Synovial Fluid Crystals (89060) $70 $100 9.5×
F2 Gene (81240) $490 $700 7.5×
F9 full gene sequence (81238) $1,486.10 $2,123 2.5×
Factor ii activity (85210) $358.40 $512 27.6×
Factor Inhibitor Test (85335) $406 $580 31.5×
Factor ix activity (85250) $485.10 $693 25.5×
Factor v activity (85220) $392 $560 22.2×
Factor v leiden mutation (81241) $580.30 $829 7.9×
Factor vii assay (85230) $444.50 $635 24.8×
Factor viii assay (85240) $495.60 $708 27.7×
Factor X (85260) $438.20 $626 24.5×
Factor xi activity (85270) $387.80 $554 21.7×
Factor xiii screen (85291) $178.50 $255 19.6×
Fat/Lipids Feces Quantitative (82710) $262.50 $375 15.6×
Fatty acids free (82725) $132.30 $189 7.0×
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $275.80 $394 27.1×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $146.30 $209 22.4×
Fecal Fat Qualitative (82705) $217 $310 42.5×
Ferritin (82728) $240.80 $344 17.7×
Fibrin degradation products (85362) $178.50 $255 25.9×
Fibrin dgradj products d-dimer qual/semiquan (85378) $189 $270 19.4×
Fibrinogen activity (85384) $156.80 $224 16.1×
Fibrinogen antigen (85385) $144.90 $207 10.0×
Flecainide level (80181) $175.70 $251 9.4×
Flow cytometry first marker (88184) $496.30 $709 1.3×
Fluorescent antibody screen (86255)
range across 7 matching MRF lines
$193.90–$899.50 $277–$1,285 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $180.60 $258 15.0×
Fluoride serum (82735) $115.50 $165 6.2×
Fmr1 gene detection (81243) $765.80 $1,094 13.4×
Folic Acid Serum (82746) $231 $330 15.7×
Follicle Stimulating Hormone (83001) $326.20 $466 17.6×
Francisella tularensis (86668) $62.30 $89 4.4×
Fresh Frozen Plasma Thawing Each Unit (86927) $182.70 $261 1.0×
Frozen Section (88331) $311.50 $445 1.7×
Fungi Identification Mold (87107) $142.10 $203 13.8×
Fungi Identification Yeast (87106) $107.80 $154 10.4×
Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) $699.30 $999 5.1×
Fxn Gene Analysis Full Gene Sequence (81286) $20,100.50 $28,715 73.1×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $215.60 $308 10.2×
Gammaglobulin ige (82785)
range across 3 matching MRF lines
$130.20–$200.20 $186–$286 varies
Gastrin (82941) $192.50 $275 10.9×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,371.30 $1,959 3.3×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $362.60 $518 7.7×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $4,921 $7,030 1.7×
Gentamicin (80170) $181.30 $259 11.1×
Ggt (82977) $126.70 $181 17.6×
Gh suppression panel (80430) $1,078.70 $1,541 8.3×
Giardia antigen (87329) $121.80 $174 10.2×
Giardia lamblia antibody (86674) $80.50 $115 5.5×
GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) $276.50 $395 4.5×
Gjb2 Gene Analysis Full Gene Sequence (81252) $779.80 $1,114 7.7×
Gjb6 Gene Analysis Common Variants (81254) $555.10 $793 15.9×
Glucagon (82943) $207.20 $296 14.5×
Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) $970.20 $1,386 21.1×
Glucose 2 hr pp (82950) $152.60 $218 32.1×
Glucose Blood Test (82962) $64.40 $92 19.6×
Glucose body fluid (82945) $63.70 $91 16.2×
Glucose Serum (82947) $66.50 $95 16.9×
Glucose tolerance test (gtt) (82951) $102.90 $147 8.0×
Glucosidase beta (82963) $329 $470 15.3×
Glutathione (82978) $177.10 $253 11.5×
Glycated Protein (82985) $124.60 $178 7.4×
Gonadotropin Chorionic Qualitative (84703) $98 $140 13.0×
Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) $2,377.20 $3,396 16.0×
Growth hormone (83003) $219.80 $314 13.2×
Growth Hormone Stimulation Panel (80428) $879.20 $1,256 13.2×
Gtt-added samples (82952) $39.20 $56 10.0×
H Pylori (C-13) Breath (83013) $755.30 $1,079 11.2×
H Pylori Drug Admin (83014) $60.20 $86 7.7×
Haloperidol (80173) $236.60 $338 15.0×
Haptoglobin (83010) $220.50 $315 17.5×
Hba1/hba2 full gene sequence (81259) $494.20 $706 0.8×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $764.40 $1,092 3.8×
Hbb duplication/deletion variants (81363) $490 $700 2.4×
Hbb Full Gene Sequence (81364) $2,148.30 $3,069 6.6×
Hdl Cholesterol (83718) $135.80 $194 16.6×
Heinz Bodies Direct (85441) $36.40 $52 8.7×
Helicobacter Pylori Stool (87338) $115.50 $165 8.0×
Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) $65.10 $93 1.0×
Helminth Antibody (86682) $224 $320 17.2×
Hematocrit (85014) $44.10 $63 18.6×
Hemoglobin (85018) $63 $90 26.6×
Hemoglobin a1c (83036) $200.90 $287 20.7×
Hemoglobin Chromotography (83021) $324.80 $464 18.0×
Hemoglobin electrophoresis (83020) $257.60 $368 20.0×
Hemoglobin F Fetal Chemical (83030) $93.80 $134 8.7×
Hemoglobin Methemoglobin Quantitative (83050) $58.80 $84 7.2×
Hemoglobin plasma (83051) $101.50 $145 13.9×
Hemoglobin stability screen (83068) $231 $330 24.4×
Hemolysin Acid (85475) $205.80 $294 23.2×
Hemosiderin urine (83070) $58.10 $83 12.2×
Hep a ab igm (86709) $337.40 $482 30.0×
Hepatitis b core ab igm (86705) $335.30 $479 28.5×
Hepatitis b core ab total (86704) $237.30 $339 19.7×
Hepatitis B Surface Antibody (86706) $172.90 $247 16.1×
Hepatitis B Surface Antigen (87340) $216.30 $309 20.9×
Hepatitis Be Antibody (86707) $132.30 $189 11.4×
Hepatitis Be Antigen (87350) $102.90 $147 8.9×
Hepatitis C Antibody (86803) $316.40 $452 22.2×
Hepatitis c antibody confirmatory test (86804) $236.60 $338 15.3×
Hepatitis C Probe&Rvrs Trnsc (87521) $233.80 $334 6.7×
Hepatitis C Revrs Trnscrpj (87522) $718.20 $1,026 16.8×
Hepatitis Delta Agent Antibody (86692) $115.50 $165 6.7×
Herpes simplex type 2 (86696) $177.80 $254 9.2×
Heterophile Antibody Screen (86308) $144.20 $206 27.8×
Histamine urine (83088) $312.90 $447 10.6×
Histoplasma antibody (86698) $128.80 $184 9.3×
Histoplasma antigen urine (87385) $246.40 $352 18.6×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $156.80 $224 6.5×
Hiv-1 Antibody (86701) $59.50 $85 6.7×
Hiv-1 Quant&Revrse Trnscrpj (87536) $719.60 $1,028 8.5×
Hla class i semiquant panel (86834) $2,987.60 $4,268 8.4×
Hla Class I Typing High Resolution One Locus Ea (81380) $1,593.90 $2,277 9.0×
Hla Class I Typing Low Resolution One Locus Each (81373) $1,340.50 $1,915 10.5×
Hla class i&ii antibody qual (86828) $416.50 $595 6.5×
Hla class ii high defin qual (86833) $999.60 $1,428 3.1×
Hla class ii typing high resolution one locus ea (81382) $1,637.30 $2,339 13.2×
Hla I Low Resolution One Antigen Equivalent Each (81374) $997.50 $1,425 13.4×
Hla I Typing 1 Allele Hr (81381) $1,748.60 $2,498 10.3×
Hla i&ii high resolution hla-a -b -c and -drb1 (81378) $6,687.80 $9,554 19.4×
Hla ii typing 1 locus lr (81376) $981.40 $1,402 8.0×
Hla Typing Dr/Dq Multiple Antigens (86817) $668.50 $955 6.3×
Homocysteine (83090) $313.60 $448 17.5×
Homogenization Tissue (87176) $66.50 $95 11.3×
Homovanillic acid urine (83150) $186.20 $266 8.3×
Hpv High-Risk Types (87624) $114.10 $163 3.3×
Hsv Dna Amp Probe (87529) $359.80 $514 10.3×
Htlv-I Antibody (86687) $182 $260 20.0×
Htlv-ii antibody (86688) $50.40 $72 3.6×
Hydroxyprogesterone 17-d (83498) $200.20 $286 7.4×
Iaad ia shiga-like toxin (87427) $82.60 $118 6.9×
Iaadi pneumocustis carinii (87281) $191.80 $274 16.0×
Iaadiadoo trichomonas vaginalis (87808) $82.60 $118 5.4×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $1,006.60 $1,438 28.7×
Iadna Candida Species Amplified Probe Tq (87481) $107.80 $154 3.1×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $610.40 $872 17.4×
Iadna Cytomegalovirus Quantification (87497) $581 $830 13.6×
Iadna hepatitis b virus amplified probe tq (87516) $182.70 $261 5.2×
Iadna Hepatitis B Virus Quantification (87517) $716.80 $1,024 16.7×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $422.10 $603 12.0×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $302.40 $432 8.6×
Iadna Multiple Organisms Direct Probe Tq (87800) $526.40 $752 12.1×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $346.50 $495 8.3×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 7 matching MRF lines
$184.80–$292.60 $264–$418 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $108.50 $155 2.1×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $417.90 $597 2.9×
Ibmfs sequence analysis panel at least 30 genes (81441) $2,450 $3,500 1.0×
Igg subclasses (82787) $132.30 $189 16.5×
Igh gene rearrange amp meth (81261) $440.30 $629 2.2×
Immune Complex Assay (86332) $153.30 $219 6.3×
Immunfix e-phorsis/urine/csf (86335) $345.80 $494 11.8×
Immunoassay Analyte Quant Radioimmunoassay (83519) $221.90 $317 12.1×
Immunoassay infectious agent (86318) $161.70 $231 8.9×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $122.50 $175 8.2×
Immunoassay nonantibody (83516) $141.40 $202 12.3×
Immunodiffusion Ouchterlony (86331)
range across 2 matching MRF lines
$75.60–$79.10 $108–$113 varies
Immunofixation electrophoresis (86334) $280 $400 12.5×
Immunofluorescence per spec 1st singl antb stain (88346) $434 $620 2.4×
Immunohistochemistry (88342) $573.30 $819 3.1×
In situ hybridization 1st probe stain (88365) $578.90 $827 3.2×
In situ hybridization ea multiplex probe stain (88366) $210.70 $301 1.2×
Influenza DNA amp probe (87502) $148.40 $212 1.5×
Inhibin b (83520) $225.40 $322 13.1×
Insitu hybridization manual (88368) $413 $590 1.1×
Insulin antibodies (86337) $247.10 $353 11.5×
Insulin free (83527) $86.80 $124 6.7×
Insulin tolerance panel growth horm defncy (80435) $1,431.50 $2,045 13.9×
Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) $1,746.50 $2,495 6.1×
Insulin total (83525) $256.90 $367 22.5×
Interleukin-6 (83529) $277.20 $396 16.1×
Intrinsic factor antibody (86340) $168 $240 11.1×
Iron (83540) $136.50 $195 21.1×
Iron Binding Capacity (83550) $174.30 $249 19.9×
Irradiation Blood Product Each Unit (86945) $201.60 $288 5.0×
Islet cell antibody (86341) $233.80 $334 9.9×
Ketosteroids 17 total (83586) $316.40 $452 24.7×
Koh Prep (87220) $42.70 $61 10.0×
Lactate (ld) (ldh) enzyme (83615) $119 $170 19.7×
Lactoferrin fecal qualitative (83630) $164.50 $235 8.4×
Ldh Isoenzymes (83625) $100.10 $143 7.8×
Lead (83655) $105 $150 8.7×
Legionella antibody (86713) $131.60 $188 8.6×
Legionella antigen urine (87449) $239.40 $342 20.0×
Leptospira antibody (86720) $134.40 $192 8.3×
Leucine Aminopeptidase Lap (83670) $140.70 $201 14.3×
Leukocyte Assessment Fecal (89055) $227.50 $325 53.3×
Leukocyte phagocytosis (86344) $276.50 $395 26.6×
Level I Surg Pathology Gross Examination Only (88300) $173.60 $248 5.6×
Level ii surg pathology gross&microscopic exam (88302) $221.20 $316 5.5×
Level V Surg Pathology Gross&Microscopic Exam (88307) $1,121.40 $1,602 2.9×
Lidocaine (80176) $130.20 $186 8.9×
Lipase (83690) $175.70 $251 25.5×
Lipoprotein A (83695) $137.20 $196 9.6×
Lithium (80178) $157.50 $225 23.8×
Luteinizing Hormone (Lh) (83002) $268.10 $383 14.5×
Lyme disease antibody (86618) $195.30 $279 11.5×
Lymphocyte transformation (86353)
range across 3 matching MRF lines
$609–$2,242.80 $870–$3,204 varies
Lysozyme serum (85549) $168.70 $241 9.0×
M. Genitalium Amp Probe (87563) $284.20 $406 8.1×
Magnesium Urine (83735) $102.20 $146 15.3×
Mass Spectrometry Quant (83789) $422.80 $604 17.5×
MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) $83.30 $119 0.7×
Mecp2 gene dup/delet variant (81304)
range across 4 matching MRF lines
$39.90–$61.60 $57–$88 varies
Mecp2 gene full seq (81302)
range across 4 matching MRF lines
$50.40–$779.80 $72–$1,114 varies
Mercury urine (83825) $70 $100 4.3×
Methotrexate (80204) $199.50 $285 5.2×
Methylmalonic acid serum (83921) $332.50 $475 15.7×
Microalbumin, quantitative (82043) $152.60 $218 26.4×
Microsomal Antibodies Each (86376) $301.70 $431 20.7×
Mitochondrial Antibody Each (86381) $245.70 $351 9.7×
Mog-Igg1 Antb Cba Each (86362)
range across 3 matching MRF lines
$118.30–$892.50 $169–$1,275 varies
Mog-Igg1 Antb Flo Cytmtry Ea (86363)
range across 3 matching MRF lines
$112–$595 $160–$850 varies
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) $465.50 $665 11.4×
Molecular Cytogenetics Dna Probe Each (88271) $343 $490 16.0×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274)
range across 3 matching MRF lines
$70–$508.20 $100–$726 varies
Molecular Pathology Procedure Level 6 (81405)
range across 39 matching MRF lines
$39.90–$2,303 $57–$3,290 varies
Mopath procedure level 2 (81401)
range across 10 matching MRF lines
$396.90–$1,151.50 $567–$1,645 varies
Mopath procedure level 4 (81403)
range across 13 matching MRF lines
$43.40–$799.40 $62–$1,142 varies
Mopath procedure level 5 (81404)
range across 22 matching MRF lines
$39.90–$1,059.80 $57–$1,514 varies
Mopath procedure level 7 (81406)
range across 57 matching MRF lines
$39.90–$2,786 $57–$3,980 varies
Mopath procedure level 8 (81407)
range across 12 matching MRF lines
$50.40–$4,286.80 $72–$6,124 varies
Mopath procedure level 9 (81408)
range across 7 matching MRF lines
$106.40–$840 $152–$1,200 varies
Mrsa Pcr (87641) $151.90 $217 4.3×
Mthfr Gene Analysis Common Variants (81291) $301 $430 4.6×
Mucopolysaccharides acid quantitative (83864) $630 $900 22.1×
Mumps antibody (86735) $116.90 $167 9.0×
Mycophenolic Acid (80180) $190.40 $272 10.5×
Mycoplasma antibody (86738) $135.10 $193 10.2×
Mycoplasma culture (87109) $119 $170 7.7×
Myelin basic protein csf (83873) $74.90 $107 4.4×
Myoglobin urine (83874) $155.40 $222 12.0×
Natriuretic peptide (83880) $306.60 $438 7.8×
Neutralization Test Viral (86382)
range across 2 matching MRF lines
$268.10–$965.30 $383–$1,379 varies
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $184.80 $264 1.3×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $862.40 $1,232 1.8×
Niacin (84591) $419.30 $599 24.6×
Nitroblue Tetrazolium Dye (86384) $389.90 $557 28.6×
Nk cells total count (86357)
range across 2 matching MRF lines
$273.70–$808.50 $391–$1,155 varies
Noonan Spectrum Disorders (81442) $1,750 $2,500 0.8×
Ntrk3 Translocation Analysis (81193) $308.70 $441 1.5×
Nuclear antigen antibody (86235) $142.80 $204 8.0×
Nudt15 Gene Common Variants (81306) $555.80 $794 1.9×
Nzym actv blood cells/tiss radact substrate ea (82658) $655.20 $936 14.9×
Occult blood feces (82272) $77 $110 18.2×
Occult Blood Other Sources (82271) $39.20 $56 7.4×
Oligoclonal bands (83916) $200.90 $287 7.3×
Organic Acids Qualitative Each Specimen (83919) $274.40 $392 16.7×
Osmolality serum (83930) $105.70 $151 16.0×
Osmolality Urine (83935) $133 $190 19.5×
Osmotic fragility rbc incubated (85557) $174.30 $249 13.0×
Ova and parasites smears (87177) $186.20 $266 20.9×
Oxalate urine (83945) $109.90 $157 7.6×
Pancreatic Elastase Fecal (82656) $506.80 $724 44.0×
Particle Agglut Antbdy Titr (86406) $338.10 $483 31.8×
Particle Agglutination Screen Each Antibody (86403) $74.90 $107 6.5×
Parvovirus antibody (86747) $181.30 $259 12.1×
Path Consltj Surg Cytologic Exam Initial Site (88333) $756.70 $1,081 0.9×
Ph urine (81003) $67.20 $96 29.9×
Phenobarbital Level (80184) $140 $200 9.2×
Phenylalanine (84030) $97.30 $139 17.7×
Phenytoin (Dilantin) (80185) $171.50 $245 12.9×
Phenytoin free (80186) $138.60 $198 10.1×
Phosphatase alkaline (84075) $85.40 $122 16.5×
Phospholipid Neutralization Hexagonal (85598) $154 $220 8.6×
Phosphorus Serum (84100) $89.60 $128 18.9×
Phosphorus urine (84105) $102.90 $147 17.8×
Pinworm exam (87172) $44.10 $63 10.3×
Platelet Aggregation (85576) $362.60 $518 14.6×
Platelet Antibodies (86022) $459.20 $656 25.0×
Platelet count automated (85049) $79.10 $113 17.7×
Platelet neutralization (85597) $156.80 $224 8.7×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $606.90 $867 2.9×
Pooling blood platelets (86965) $161.70 $231 0.9×
Porphobilinogen, urine; quantitative (84110) $121.80 $174 14.4×
Porphyrins Urine Quantitation & Fractionation (84120) $354.20 $506 24.1×
Potassium Urine (84133) $69.30 $99 14.7×
Prealbumin (84134) $176.40 $252 12.1×
Pregnanetriol (84138) $237.30 $339 11.3×
Pregnenolone (84140) $146.30 $209 7.1×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $62.30 $89 1.0×
Primidone (80188) $81.20 $116 4.9×
Procalcitonin (Pct) (84145) $209.30 $299 7.7×
Progesterone (84144) $188.30 $269 9.0×
Prolactin (84146) $340.90 $487 17.6×
Protein body fluid (84157) $87.50 $125 21.9×
Protein C Activity (85303) $497 $710 35.9×
Protein c antigen (85302) $353.50 $505 29.4×
Protein Electrophoresis Urine (84166) $305.20 $436 17.1×
Protein Electrophoretic Fractj&Quantj Serum (84165) $289.80 $414 27.0×
Protein S Free (85306) $161 $230 10.5×
Protein s total (85305)
range across 4 matching MRF lines
$197.40–$459.90 $282–$657 varies
Protein total serum (84155)
range across 3 matching MRF lines
$70–$82.60 $100–$118 varies
Protein Total Urine (84156) $133 $190 36.2×
Protein Western Blot Test (84182) $294 $420 10.1×
Prothrombin Time Substitution Plasma Frctj Each (85611) $84 $120 21.3×
Protoporphyrin rbc quantitative (84202) $214.20 $306 14.9×
Pten Gene Analysis Duplication/Deletion Variant (81323) $1,484 $2,120 4.9×
Pten Gene Analysis Full Sequence Analysis (81321) $1,558.20 $2,226 2.6×
Pth Intact (83970) $420.70 $601 10.2×
Pyruvate kinase (84220) $112 $160 11.9×
Q Fever Antibody (86638) $65.80 $94 5.4×
Quantiferon tb gold plus (86480) $383.60 $548 6.2×
Quantitative assay drug (80299)
range across 7 matching MRF lines
$175.70–$420.70 $251–$601 varies
Quantitative Screen Metals (83018) $207.20 $296 9.4×
Quinidine (80194) $107.10 $153 7.3×
Rbc antibody elution (86860) $269.50 $385 1.5×
Rbc antibody identification (86870) $430.50 $615 1.1×
Rbc antibody screen (86850)
range across 2 matching MRF lines
$98–$102.20 $140–$146 varies
Rbc pretreatment serum (86978) $117.60 $168 1.9×
Rbc pretx incubatj w/enzymes (86971) $175.70 $251 1.0×
Renin activity plasma (84244) $242.90 $347 11.0×
Reptilase test (85635) $206.50 $295 21.0×
Reticulocyte Count (85046) $44.80 $64 8.0×
Rh (86901) $126.70 $181 42.4×
Rheumatoid Factor Qualitative (86430) $144.90 $207 23.6×
Rheumatoid factor quant (86431) $147 $210 25.9×
Rickettsia antibody (86757) $98 $140 5.1×
Ristocetin cofactor (85245) $618.10 $883 26.9×
Rotavirus ag eia (87425) $149.10 $213 12.4×
Rpr qualitative (86592) $94.50 $135 22.1×
Rubella Antibody (86762) $184.10 $263 12.8×
Rubeola antibody (86765) $185.50 $265 14.4×
Russell Viper Venom Time Diluted (85613) $223.30 $319 23.3×
Rx metab gen seq alys pnl 6 (81418) $612.50 $875 0.7×
Salicylate Level (80179) $274.40 $392 14.7×
Salmonella antibody (86768) $76.30 $109 5.8×
Sars-Cov-2 Covid-19 Amp Prb (87635) $222.60 $318 4.3×
Sars-cov-2 COVID-19 antibody (86769) $144.20 $206 3.4×
Sarscov2 & inf a&b amp prb (87636) $294 $420 2.1×
Sedimentation Rate, Automated (85652) $99.40 $142 36.8×
Selenium (84255) $252 $360 9.9×
Sensitivity mic (87186) $263.20 $376 30.4×
Serpina 1 gene (81332) $1,499.40 $2,142 34.4×
Sex Hormone Binding Globulin (84270) $187.60 $268 8.6×
Sickling of rbc reduction (85660) $84 $120 15.2×
Sirolimus (80195) $261.80 $374 19.1×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines
$24.50–$67.30 $35–$96.14 varies
Smear acid fast (87206) $118.30 $169 21.9×
Smear complex stain (87209) $145.60 $208 8.1×
Smear gram stain (87205) $94.50 $135 22.1×
Smear Special Stain (87207) $151.20 $216 25.2×
Smn1 Gene Dos/Deletion Alys (81329) $828.80 $1,184 6.0×
Smr Prim Src Wet Mount Nfct Agt (87210) $73.50 $105 12.6×
Snrpn/Ube3a Methylation Analysis (81331) $737.80 $1,054 14.4×
Sodium Serum (84295) $86.10 $123 17.9×
Sodium Urine (84300) $107.10 $153 21.2×
Soluble Transferrin Receptor (84238) $549.50 $785 15.0×
Somatomedin (84305) $240.80 $344 11.3×
Special Stains Group 1 (88312) $279.30 $399 5.0×
Special Stains Group 2 (88313) $213.50 $305 1.5×
Specific gravity body fluid (84315) $21.70 $31 6.6×
Specimen infect agnt concntj (87015) $84 $120 12.6×
Spectrophotometry (84311) $140.70 $201 17.4×
Splitting Blood/Blood Products Each Unit (86985) $298.20 $426 1.6×
Stem cells total count (86367) $380.80 $544 4.9×
Stone Analysis (82355) $89.60 $128 7.7×
Stool cultr aerobic bact ea (87046) $70.70 $101 7.5×
Strep a assay w/optic (87880) $48.30 $69 2.9×
Strep a DNA amp probe (87651) $123.90 $177 3.5×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $210 $300 18.2×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $350 $500 63.6×
Sugars Single Qual (84376) $117.60 $168 21.4×
Sugars, chromatographic, TLC or paper chromatography Facility (84375) $322.70 $461 8.3×
Surg path level iii (88304) $352.80 $504 6.3×
Surgical pathology level IV (88305) $490 $700 8.8×
Surgical pathology level vi (88309) $1,311.80 $1,874 1.5×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $128.80 $184 27.1×
Susceptibility Study Antimicrobial Disk Method (87184) $114.80 $164 15.3×
Sweat Collection Iontophoresis (89230) $291.90 $417 5.2×
Syphilis Test Non-Trep Quant (86593) $35 $50 8.0×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $467.60 $668 10.0×
T cells total count (86359) $292.60 $418 7.8×
T3 Free (84481) $367.50 $525 21.7×
T3 reverse (84482) $185.50 $265 11.8×
T3 Total (84480) $228.20 $326 16.1×
T4 Free (84439) $201.60 $288 22.4×
T4 total (84436) $175.70 $251 25.6×
Tacrolimus (80197) $450.10 $643 32.8×
Testosterone total (84403) $243.60 $348 9.4×
Testosterone, Free (84402) $189.70 $271 7.4×
Tetanus antibody (86774) $344.40 $492 23.3×
Tgsap so/hl 51/< RNA alys (81456) $4,724.30 $6,749 1.6×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $2,021.60 $2,888 3.4×
Thawing and expansion of frozen cells, each aliquot Facility (88241) $21.70 $31 1.8×
Theophylline (80198) $128.80 $184 9.1×
Thiocyanate (84430) $161.70 $231 13.9×
Thiopurine methyltransferase (84433) $431.90 $617 19.5×
Thrombin Time (85670) $132.30 $189 22.9×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $149.10 $213 23.0×
Thyroglobulin (84432) $285.60 $408 17.8×
Thyroglobulin Antibody (86800) $258.30 $369 16.2×
Thyroid Stimulating Immunoglobulin (84445) $497.70 $711 9.8×
Thyroxine binding globulin (84442) $139.30 $199 9.4×
Tiss cul neo disorders solid tumor (88239) $527.10 $753 3.6×
Tiss Trnsgltmnase Ea Ig Clas (86364) $232.40 $332 20.2×
Tissue Culture (88233) $1,351 $1,930 9.6×
Tissue Culture Amniotic Fluid (88235) $1,372 $1,960 9.1×
Tissue culture bone marrow (88237) $1,242.50 $1,775 8.6×
Tissue Culture Lymphocyte (88230) $791 $1,130 6.8×
Tobramycin peak (80200) $119.70 $171 7.4×
Topiramate (80201) $221.90 $317 18.6×
Touch prep (88161) $113.40 $162 3.7×
Toxoplasma ab igm (86778) $203.70 $291 14.1×
Toxoplasma antibody (86777) $185.50 $265 12.9×
Tpmt gene com variants (81335) $466.90 $667 2.7×
Transferase Aspartate Amino Ast Sgot (84450) $91 $130 17.6×
Transferrin (84466) $145.60 $208 11.4×
Trg gene rearrangement anal (81342) $646.10 $923 3.2×
Trichinella Antibody (86784) $91.70 $131 7.3×
Trichomonas Vaginalis Amplif (87661) $196 $280 5.6×
Triglycerides (84478) $90.30 $129 15.7×
Troponin Quant (84484)
range across 3 matching MRF lines
$216.30–$230.30 $309–$329 varies
Unlisted reproductive medicine lab procedure (89398) $700 $1,000 12.5×
Urea nitrogen urine (84540) $58.80 $84 10.6×
Uric acid other source (84560) $109.90 $157 21.6×
Urinalysis Microscopic Only (81015) $30.10 $43 9.9×
Urinalysis Volume Measure (81050) $25.20 $36 6.9×
Urine Albumin Semiquantitative (82044) $45.50 $65 7.3×
Urine Bacteria Culture (87088) $160.30 $229 19.8×
Urine Pregnancy Test (81025) $173.60 $248 20.2×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $93.10 $133 29.4×
Valproic acid (80164) $305.90 $437 22.6×
Vancomycin (80202) $127.40 $182 9.4×
Varicella-zoster antibody (86787) $212.10 $303 16.5×
Very Long Chain Fatty Acids (82726) $627.20 $896 31.8×
Viral Culture (87252)
range across 2 matching MRF lines
$301–$330.40 $430–$472 varies
Virus antibody nos (86790) $224.70 $321 17.4×
Virus inoculate tissue addl (87253) $239.40 $342 11.9×
Vit D 1 25-Dihydroxy (82652) $367.50 $525 9.5×
Vitamin A (84590) $151.90 $217 13.1×
Vitamin b-12 (82607) $235.90 $337 15.6×
Vitamin B2 (Riboflavin) (84252) $165.20 $236 8.2×
Vitamin B6 (84207) $254.10 $363 9.0×
Vitamin c (82180) $144.90 $207 14.7×
Vitamin D 25-Hydroxy (82306) $364 $520 12.3×
Vitamin E (84446) $172.20 $246 12.1×
Vitamin K (84597) $522.90 $747 38.1×
Volatiles (84600) $264.60 $378 15.5×
Volume Reduction Blood/Blood Product Each Unit (86960) $192.50 $275 1.1×
Von willebrand factor ag (85246) $399 $570 17.4×
West nile virus ab igm (86788) $110.60 $158 6.6×
West Nile Virus Antibody (86789) $87.50 $125 6.1×
Zinc (84630) $102.20 $146 9.0×

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.