Lab & pathology prices at Arthur M. Blank Hospital
Atlanta, GA · every code in this section with a posted price and a Medicare benchmark.
596 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) range across 2 matching MRF lines |
$455–$926 | $455–$926 | varies |
| 5 Nucleotidase (83915) | $391 | $391 | 35.1× |
| Acth (82024) | $757 | $757 | 19.6× |
| Acute hepatitis panel (80074) | $375 | $375 | 7.9× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $148 | $148 | 9.0× |
| Agglutinins Febrile Each Antigen (86000) | $253 | $253 | 36.2× |
| Albumin Fluid (82042) | $43 | $43 | 5.5× |
| Albumin serum (82040) | $164 | $164 | 33.1× |
| Aldolase (82085) | $1,800 | $1,800 | 185.4× |
| Allergen specific ige (86003) range across 27 matching MRF lines |
$23–$244 | $23–$244 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 32 matching MRF lines |
$74–$88 | $74–$88 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $127 | $127 | 8.8× |
| Alpha-1-antitrypsin total (82103) range across 4 matching MRF lines |
$71–$472 | $71–$472 | varies |
| Alpha-Fetoprotein Serum (82105) | $562 | $562 | 33.5× |
| Alt (sgpt) (84460) | $337 | $337 | 63.6× |
| Amikacin trough (80150) | $355 | $355 | 23.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$913–$1,480 | $913–$1,480 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 5 matching MRF lines |
$117–$1,863 | $117–$1,863 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $152 | $152 | 11.0× |
| Ammonia (82140) range across 3 matching MRF lines |
$130–$312 | $130–$312 | varies |
| Amylase urine (82150) range across 4 matching MRF lines |
$249–$321 | $249–$321 | varies |
| Ana Titer (86039) range across 4 matching MRF lines |
$35–$202 | $35–$202 | varies |
| Androstenedione (82157) range across 2 matching MRF lines |
$585–$926 | $585–$926 | varies |
| Androsterone (hormone) level (82160) | $275 | $275 | 10.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
$44–$144 | $44–$144 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 5 matching MRF lines |
$28–$375 | $28–$375 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$124–$720 | $124–$720 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$162–$164 | $162–$164 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$187–$368 | $187–$368 | varies |
| Antibody haemophilus influenza (86684) | $354 | $354 | 22.3× |
| Antibody helicobacter pylori (86677) | $236 | $236 | 14.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $144 | $144 | 10.0× |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$141–$386 | $141–$386 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 3 matching MRF lines |
$123–$225 | $123–$225 | varies |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$176–$193 | $176–$193 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 3 matching MRF lines |
$284–$482 | $284–$482 | varies |
| Antibody Titer (86886) | $175 | $175 | 33.8× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$88–$181 | $88–$181 | varies |
| Antigen typing (86905) range across 6 matching MRF lines |
$63–$905 | $63–$905 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$29–$36 | $29–$36 | varies |
| Antinuclear antibodies (86038) range across 8 matching MRF lines |
$26–$322 | $26–$322 | varies |
| Antistreptolysin O Screen (86063) | $198 | $198 | 34.3× |
| Antistreptolysin o titer (86060) | $154 | $154 | 21.1× |
| Antithrombin iii activity (85300) | $612 | $612 | 51.6× |
| Arsenic (82175) | $419 | $419 | 22.1× |
| Aspergillus ag eia (87305) | $267 | $267 | 22.3× |
| Assay Blood Carbon Dioxide (82374) | $176 | $176 | 36.1× |
| Assay Blood Catecholamines (82383) | $36 | $36 | 1.2× |
| Assay Nephelometry Not Spec (83883) | $281 | $281 | 20.7× |
| Assay of 5-hiaa (83497) | $141 | $141 | 10.9× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$50–$350 | $50–$350 | varies |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$130–$191 | $130–$191 | varies |
| Assay of corticosterone (82528) | $248 | $248 | 11.0× |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$206–$267 | $206–$267 | varies |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$35–$612 | $35–$612 | varies |
| Assay of lactic acid (83605) range across 4 matching MRF lines |
$117–$482 | $117–$482 | varies |
| Assay of metanephrines (83835) | $38 | $38 | 2.2× |
| Assay of procainamide (80190) | $400 | $400 | 6.7× |
| Assay of pyruvate (84210) range across 3 matching MRF lines |
$89–$120 | $89–$120 | varies |
| Assay of serotonin (84260) | $340 | $340 | 11.0× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$156–$202 | $156–$202 | varies |
| Assay of Tyrosine (84510) | $36 | $36 | 3.4× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$190–$202 | $190–$202 | varies |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$190–$472 | $190–$472 | varies |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$36–$88 | $36–$88 | varies |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$105–$130 | $105–$130 | varies |
| Assay spec xcp ur&breath ia (82077) | $327 | $327 | 18.9× |
| Atomic Absorption (82190) | $839 | $839 | 52.8× |
| Autol Bld/Component Collj Storage Predeposited (86890) range across 2 matching MRF lines |
$408–$422 | $408–$422 | varies |
| Automated Leukocyte Count (85048) range across 4 matching MRF lines |
$124–$164 | $124–$164 | varies |
| B cells total count (86355) range across 5 matching MRF lines |
$101–$336 | $101–$336 | varies |
| Bartonella antibody (86611) | $355 | $355 | 34.9× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$262–$294 | $262–$294 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$164–$244 | $164–$244 | varies |
| Beta Lactamase (87185) | $41 | $41 | 8.6× |
| Bile acids total (82239) range across 3 matching MRF lines |
$189–$725 | $189–$725 | varies |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$389–$515 | $389–$515 | varies |
| Bilirubin total (82247) range across 3 matching MRF lines |
$55–$154 | $55–$154 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $105 | $105 | 30.6× |
| Blastomyces antibody (86612) | $127 | $127 | 9.8× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $627 | $627 | 3.7× |
| Bld Typing Serologic Rh Phnt (86906) | $216 | $216 | 27.9× |
| Blood Count Automated Differential Wbc Count (85004) | $124 | $124 | 19.2× |
| Blood Count Manual Cell Count Each (85032) | $211 | $211 | 49.0× |
| Blood count reticulocyte automated (85045) | $146 | $146 | 36.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $60 | $60 | 15.8× |
| Blood gas (82803) range across 5 matching MRF lines |
$425–$575 | $425–$575 | varies |
| Blood gases w/02 saturation (82805) | $213 | $213 | 2.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $120 | $120 | 27.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 19 matching MRF lines |
$218–$3,082 | $218–$3,082 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$93–$137 | $93–$137 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$222–$225 | $222–$225 | varies |
| Bone marrow smear interpretation (85097) | $457 | $457 | 0.6× |
| Brca1&2 gen full seq dup/del (81162) | $738 | $738 | 0.4× |
| Brca2 gene analysis full sequence analysis (81216) | $1,340 | $1,340 | 7.2× |
| C diff amplified probe (87493) range across 3 matching MRF lines |
$81–$288 | $81–$288 | varies |
| C-Peptide (84681) | $337 | $337 | 16.2× |
| C-reactive protein (86140) range across 3 matching MRF lines |
$97–$244 | $97–$244 | varies |
| Cadmium (82300) | $62 | $62 | 2.6× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$171–$417 | $171–$417 | varies |
| Calcium total (82310) range across 3 matching MRF lines |
$51–$249 | $51–$249 | varies |
| Calculus assay quant (82360) | $248 | $248 | 19.3× |
| Calprotectin Fecal (83993) | $841 | $841 | 42.8× |
| Carboxyhemoglobin (82375) | $213 | $213 | 17.3× |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$73–$359 | $73–$359 | varies |
| Carnitine Quantitative Each Specimen (82379) | $117 | $117 | 6.9× |
| Catecholamines total urine (82382) | $189 | $189 | 6.9× |
| Ccp antibody (86200) | $89 | $89 | 6.9× |
| Cell count csf (89051) range across 2 matching MRF lines |
$435–$439 | $435–$439 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $499 | $499 | 3.7× |
| Ceruloplasmin (82390) | $422 | $422 | 39.3× |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | $2,878 | $2,878 | 17.1× |
| Cftr gene dup/delet variants (81222) | $1,083 | $1,083 | 2.5× |
| Cftr gene full sequence (81223) range across 2 matching MRF lines |
$1,083–$2,878 | $1,083–$2,878 | varies |
| Chemiluminescent assay (82397) | $140 | $140 | 9.9× |
| Chemotaxis Assay (86155) | $710 | $710 | 44.4× |
| Chimerism w/comp to baseline w/o cell selection (81267) | $984 | $984 | 4.7× |
| Chlamydia trachomatis ag if (87270) | $321 | $321 | 26.8× |
| Chloramphenicol level (82415) | $360 | $360 | 28.4× |
| Chloride other source (82438) | $362 | $362 | 72.4× |
| Chloride Serum (82435) range across 3 matching MRF lines |
$136–$249 | $136–$249 | varies |
| Chloride urine (82436) range across 3 matching MRF lines |
$130–$194 | $130–$194 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$47–$256 | $47–$256 | varies |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$393–$429 | $393–$429 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) range across 2 matching MRF lines |
$362–$457 | $362–$457 | varies |
| Chrmsm Analysis Addl High Resolution Study (88289) | $715 | $715 | 20.8× |
| Chrmsm Analysis Addl Specialized Banding (88283) | $1,947 | $1,947 | 28.4× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $2,715 | $2,715 | 15.7× |
| Chromogenic Substrate Assay (85130) | $280 | $280 | 23.5× |
| Chromosome Analysis 15-20 (88262) | $362 | $362 | 2.9× |
| Chromosome Analysis 20-25 (88264) | $1,434 | $1,434 | 9.9× |
| Chromosome analysis 45 cells (88263) | $1,985 | $1,985 | 13.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$96–$136 | $96–$136 | varies |
| Citric acid urine (82507) range across 4 matching MRF lines |
$130–$337 | $130–$337 | varies |
| Ckmb (82553) | $291 | $291 | 25.2× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$60–$390 | $60–$390 | varies |
| Clot factor xiii fibrin stab (85290) | $777 | $777 | 47.6× |
| Clotting Funct Activity (85397) range across 3 matching MRF lines |
$510–$1,580 | $510–$1,580 | varies |
| Cns DNA amp probe type 12-25 (87483) | $1,254 | $1,254 | 3.0× |
| Coagulation time activated (85347) | $224 | $224 | 52.3× |
| Cold agglutinin screen (86156) | $215 | $215 | 26.6× |
| Collagen crosslinks (82523) | $455 | $455 | 24.4× |
| Column Chromotography Quant (82542) range across 7 matching MRF lines |
$36–$1,621 | $36–$1,621 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$386–$457 | $386–$457 | varies |
| Complement Antigen Each Component (86160) range across 11 matching MRF lines |
$345–$1,580 | $345–$1,580 | varies |
| Complement Total (Ch50) (86162) range across 3 matching MRF lines |
$265–$1,091 | $265–$1,091 | varies |
| Complement/Function Activity (86161) | $838 | $838 | 69.8× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$327–$971 | $327–$971 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $971 | $971 | 25.9× |
| Coombs direct (86880) range across 5 matching MRF lines |
$39–$236 | $39–$236 | varies |
| Copper urine (82525) range across 3 matching MRF lines |
$19–$375 | $19–$375 | varies |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$179–$926 | $179–$926 | varies |
| Creatine (82540) | $51 | $51 | 11.0× |
| Creatine kinase total (82550) | $56 | $56 | 8.6× |
| Creatinine blood (82565) range across 3 matching MRF lines |
$56–$176 | $56–$176 | varies |
| Creatinine clearance (82575) | $495 | $495 | 52.3× |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$99–$202 | $99–$202 | varies |
| Crossmatch immediate spin (86920) | $437 | $437 | 2.6× |
| Crp High Sensitivity (86141) | $88 | $88 | 6.8× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) range across 2 matching MRF lines |
$200–$1,836 | $200–$1,836 | varies |
| Cryptococcal Antigen (87327) | $540 | $540 | 40.2× |
| Cryptococcus ab (86641) | $355 | $355 | 24.6× |
| Cryptococcus ag titer (87899) range across 5 matching MRF lines |
$171–$1,012 | $171–$1,012 | varies |
| Cryptosporidium (87272) | $156 | $156 | 13.0× |
| Cryptosporidium ag eia (87328) | $250 | $250 | 18.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$74–$360 | $74–$360 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $455 | $455 | 56.3× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,825 | $1,825 | 8.4× |
| Culture aerobic quant other (87071) | $400 | $400 | 40.4× |
| Culture Anaerobic (87075) range across 4 matching MRF lines |
$154–$518 | $154–$518 | varies |
| Culture blood (87040) | $495 | $495 | 48.0× |
| Culture chlamydia (87110) | $715 | $715 | 36.5× |
| Culture csf (87070) range across 34 matching MRF lines |
$124–$435 | $124–$435 | varies |
| Culture fungus (87102) | $312 | $312 | 37.1× |
| Culture fungus blood (87103) | $345 | $345 | 16.9× |
| Culture screen only (87081) range across 7 matching MRF lines |
$154–$431 | $154–$431 | varies |
| Culture stool (87045) | $422 | $422 | 44.7× |
| Culture typing if ea antiserum (87140) range across 3 matching MRF lines |
$175–$400 | $175–$400 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 5 matching MRF lines |
$97–$400 | $97–$400 | varies |
| Culture urine (87086) | $471 | $471 | 58.4× |
| Cyclosporine (80158) | $488 | $488 | 27.0× |
| Cystatin C (82610) | $82 | $82 | 4.4× |
| Cytogenetics 10-30 (88273) range across 6 matching MRF lines |
$403–$1,696 | $403–$1,696 | varies |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$777–$1,200 | $777–$1,200 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $14,651 | $14,651 | 12.6× |
| Cytomegalovirus igg (86644) range across 6 matching MRF lines |
$39–$312 | $39–$312 | varies |
| Cytotoxic Antibody Screen Std (86807) | $2,276 | $2,276 | 28.9× |
| Cytotoxic pra quick (86808) range across 2 matching MRF lines |
$1,588–$1,603 | $1,588–$1,603 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $120 | $120 | 3.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $956 | $956 | 18.3× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $774 | $774 | 4.5× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $441 | $441 | 11.8× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $240 | $240 | 8.3× |
| Deoxycortisol (82634) | $926 | $926 | 31.6× |
| Deoxyribonuclease antibody (86215) | $339 | $339 | 25.6× |
| Desoxycorticosterone (82633) | $926 | $926 | 29.9× |
| Detect Agent Nos Dna Amp (87798) range across 22 matching MRF lines |
$130–$1,594 | $130–$1,594 | varies |
| Detect Agent Nos Dna Quant (87799) range across 7 matching MRF lines |
$513–$1,182 | $513–$1,182 | varies |
| Dhea (82626) | $926 | $926 | 36.6× |
| Digoxin (80162) | $349 | $349 | 26.3× |
| Dipropylacetic Acid Free (80165) | $109 | $109 | 8.1× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$118–$445 | $118–$445 | varies |
| Dna Antibody Single Stranded (86226) | $91 | $91 | 7.5× |
| Dna/Rna Amplified Probe (87150) range across 28 matching MRF lines |
$67–$362 | $67–$362 | varies |
| Drug assay acetaminophen (80143) | $618 | $618 | 33.2× |
| Drug Assay Everolimus (80169) | $764 | $764 | 55.6× |
| Drug Assay Posaconazole (80187) range across 2 matching MRF lines |
$184–$607 | $184–$607 | varies |
| Drug assay voriconazole (80285) range across 2 matching MRF lines |
$390–$607 | $390–$607 | varies |
| Drug Screen Quantitative Lamotrigine (80175) | $218 | $218 | 16.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $441 | $441 | 33.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $360 | $360 | 27.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 8 matching MRF lines |
$135–$2,561 | $135–$2,561 | varies |
| Ehrlichia antibody (86666) | $213 | $213 | 20.9× |
| Electrolyte panel (80051) | $297 | $297 | 42.4× |
| Electron Microscopy (88348) | $3,609 | $3,609 | 4.5× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $374 | $374 | 6.1× |
| Enterovirus PCR (87498) | $242 | $242 | 6.9× |
| Enzyme cell activity (82657) range across 13 matching MRF lines |
$204–$2,239 | $204–$2,239 | varies |
| Enzyme histochemistry (88319) range across 5 matching MRF lines |
$144–$841 | $144–$841 | varies |
| Eosinophil Smear (89190) | $172 | $172 | 29.7× |
| Epilepsy Genomic Sequence Analysis Panel (81419) | $4,553 | $4,553 | 1.9× |
| Erythropoietin (82668) | $853 | $853 | 45.4× |
| Estradiol serum (82670) | $584 | $584 | 20.9× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$115–$418 | $115–$418 | varies |
| Exam Synovial Fluid Crystals (89060) | $442 | $442 | 60.3× |
| F2 Gene (81240) range across 4 matching MRF lines |
$251–$428 | $251–$428 | varies |
| Factor Inhibitor Test (85335) range across 5 matching MRF lines |
$706–$1,000 | $706–$1,000 | varies |
| Factor ix activity (85250) range across 7 matching MRF lines |
$605–$607 | $605–$607 | varies |
| Factor v activity (85220) | $482 | $482 | 27.3× |
| Factor v leiden mutation (81241) range across 4 matching MRF lines |
$175–$428 | $175–$428 | varies |
| Factor viii assay (85240) range across 10 matching MRF lines |
$841–$860 | $841–$860 | varies |
| Fat/Lipids Feces Quantitative (82710) | $426 | $426 | 25.4× |
| Fatty acids free (82725) | $146 | $146 | 7.8× |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) | $447 | $447 | 43.9× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $488 | $488 | 74.7× |
| Fecal Fat Qualitative (82705) | $218 | $218 | 42.7× |
| Ferritin (82728) | $375 | $375 | 27.5× |
| Fibrin degradation products (85362) | $360 | $360 | 52.2× |
| Fibrin Degradation Quant (85379) | $308 | $308 | 30.3× |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$374–$375 | $374–$375 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $193 | $193 | 12.5× |
| Flow cytometry first marker (88184) range across 27 matching MRF lines |
$73–$2,707 | $73–$2,707 | varies |
| Flt3 Gene (81245) | $502 | $502 | 3.0× |
| Flt3 gene analysis (81246) | $502 | $502 | 6.0× |
| Fluorescent antibody screen (86255) range across 37 matching MRF lines |
$43–$2,009 | $43–$2,009 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 10 matching MRF lines |
$48–$507 | $48–$507 | varies |
| Folic Acid Serum (82746) range across 4 matching MRF lines |
$66–$327 | $66–$327 | varies |
| Follicle Stimulating Hormone (83001) | $651 | $651 | 35.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $127 | $127 | 0.7× |
| Frozen Section (88331) | $739 | $739 | 4.3× |
| Fungi Identification Mold (87107) range across 3 matching MRF lines |
$285–$374 | $285–$374 | varies |
| Fungi Identification Yeast (87106) | $392 | $392 | 38.0× |
| Galactokinase rbc (82759) | $308 | $308 | 14.3× |
| Galactose (82760) range across 3 matching MRF lines |
$123–$913 | $123–$913 | varies |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$253–$553 | $253–$553 | varies |
| Gases blood ph only (82800) | $103 | $103 | 9.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 22 matching MRF lines |
$47–$821 | $47–$821 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 2 matching MRF lines |
$15,940–$31,465 | $15,940–$31,465 | varies |
| Genet Virus Isolate Hsv (87255) | $400 | $400 | 11.8× |
| Gentamicin (80170) range across 3 matching MRF lines |
$349–$350 | $349–$350 | varies |
| Ggt (82977) | $284 | $284 | 39.4× |
| Giardia antigen (87329) | $275 | $275 | 23.0× |
| Giardia lamblia antibody (86674) | $146 | $146 | 9.9× |
| Gjb6 Gene Analysis Common Variants (81254) | $2,833 | $2,833 | 80.9× |
| Glucose 2 hr pp (82950) | $164 | $164 | 34.5× |
| Glucose body fluid (82945) | $137 | $137 | 34.9× |
| Glucose Serum (82947) range across 3 matching MRF lines |
$43–$176 | $43–$176 | varies |
| Glucose tolerance test (gtt) (82951) | $618 | $618 | 48.0× |
| Glutathione (82978) range across 2 matching MRF lines |
$157–$360 | $157–$360 | varies |
| Glutathione reductase, RBC Facility (82979) | $272 | $272 | 28.8× |
| Glycated Protein (82985) | $101 | $101 | 6.0× |
| Gonadotropin Chorionic Qualitative (84703) | $429 | $429 | 57.0× |
| Gtt-added samples (82952) | $190 | $190 | 48.5× |
| H Pylori Drug Admin (83014) | $1,072 | $1,072 | 136.4× |
| H pylri clrthmcn rst amp prb (87513) range across 2 matching MRF lines |
$310–$537 | $310–$537 | varies |
| Haptoglobin (83010) | $495 | $495 | 39.3× |
| Hba1/Hba2 Gene (81257) range across 4 matching MRF lines |
$311–$4,629 | $311–$4,629 | varies |
| Hdl Cholesterol (83718) | $223 | $223 | 27.2× |
| Heinz Bodies Induced Acetyl Phenylhydrazine (85445) | $158 | $158 | 23.2× |
| Helminth Antibody (86682) | $308 | $308 | 23.7× |
| Hematocrit (85014) range across 3 matching MRF lines |
$156–$202 | $156–$202 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$73–$168 | $73–$168 | varies |
| Hemoglobin a1c (83036) range across 4 matching MRF lines |
$323–$337 | $323–$337 | varies |
| Hemoglobin Chromotography (83021) range across 5 matching MRF lines |
$148–$526 | $148–$526 | varies |
| Hemoglobin electrophoresis (83020) range across 4 matching MRF lines |
$148–$526 | $148–$526 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $249 | $249 | 30.4× |
| Hemoglobin plasma (83051) | $337 | $337 | 46.1× |
| Hemoglobin stability screen (83068) | $441 | $441 | 46.6× |
| Hemoglobin-Oxygen Affinity (82820) | $167 | $167 | 12.5× |
| Hemolysin Acid (85475) | $355 | $355 | 40.0× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $179 | $179 | 20.4× |
| Hemolysins&Agglutinins Incubated (86941) | $211 | $211 | 17.4× |
| Hep a ab igm (86709) | $320 | $320 | 28.4× |
| Heparin assay (85520) | $307 | $307 | 23.5× |
| Heparin Neutralization (85525) | $191 | $191 | 16.1× |
| Hepatitis a antibody total (86708) | $482 | $482 | 38.9× |
| Hepatitis b core ab igm (86705) | $337 | $337 | 28.6× |
| Hepatitis b core ab total (86704) | $99 | $99 | 8.2× |
| Hepatitis B Surface Antibody (86706) | $256 | $256 | 23.8× |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$65–$225 | $65–$225 | varies |
| Hepatitis Be Antibody (86707) | $488 | $488 | 42.2× |
| Hepatitis C Antibody (86803) range across 4 matching MRF lines |
$73–$482 | $73–$482 | varies |
| Hepatitis c antibody confirmatory test (86804) | $435 | $435 | 28.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $821 | $821 | 23.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 5 matching MRF lines |
$336–$821 | $336–$821 | varies |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$141–$386 | $141–$386 | varies |
| Heterophile Antibody Screen (86308) | $337 | $337 | 65.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$88–$177 | $88–$177 | varies |
| Hiv-1 Antibody (86701) range across 3 matching MRF lines |
$124–$446 | $124–$446 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $746 | $746 | 8.8× |
| Hla Class I Typing High Resolution Complete (81379) | $1,294 | $1,294 | 3.9× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $1,159 | $1,159 | 6.5× |
| Hla Class I Typing Low Resolution Complete (81372) | $3,247 | $3,247 | 8.0× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $662 | $662 | 1.6× |
| Hla class ii typing high resolution one locus ea (81382) range across 2 matching MRF lines |
$650–$1,759 | $650–$1,759 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) range across 2 matching MRF lines |
$359–$1,085 | $359–$1,085 | varies |
| Hla i&li low resolution hla-a -b&-drb1 (81371) | $2,320 | $2,320 | 5.7× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) range across 2 matching MRF lines |
$1,725–$3,202 | $1,725–$3,202 | varies |
| Hla ii typing 1 locus lr (81376) range across 4 matching MRF lines |
$901–$1,920 | $901–$1,920 | varies |
| Hla Typing a/B/C Multiple Antigens (86813) range across 2 matching MRF lines |
$413–$3,736 | $413–$3,736 | varies |
| Hla Typing Dr/Dq Multiple Antigens (86817) range across 6 matching MRF lines |
$2,520–$5,317 | $2,520–$5,317 | varies |
| Hla Typing Dr/Dq Single Antigen (86816) | $714 | $714 | 23.7× |
| Hla-b27 (86812) | $776 | $776 | 30.1× |
| Homocysteine (83090) | $148 | $148 | 8.3× |
| Homogenization Tissue (87176) | $45 | $45 | 7.7× |
| Homovanillic acid urine (83150) range across 5 matching MRF lines |
$190–$312 | $190–$312 | varies |
| Hsv Dna Amp Probe (87529) range across 9 matching MRF lines |
$218–$946 | $218–$946 | varies |
| Htlv-I Antibody (86687) | $225 | $225 | 24.8× |
| Htlv-ii antibody (86688) | $225 | $225 | 16.1× |
| Hydroxycorticosteroids 17 (83491) | $192 | $192 | 10.7× |
| Hydroxyprogesterone 17-d (83498) | $926 | $926 | 34.1× |
| Hydroxyproline total (83505) | $607 | $607 | 25.0× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $312 | $312 | 26.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $176 | $176 | 17.0× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$286–$337 | $286–$337 | varies |
| Iaadi inffluenza a virus (87276) range across 2 matching MRF lines |
$130–$391 | $130–$391 | varies |
| Iaadi not otherwise specified each organism (87299) | $811 | $811 | 50.4× |
| Iaadi parainfluenza virus each type (87279) | $130 | $130 | 7.9× |
| Iaadi pneumocustis carinii (87281) | $541 | $541 | 45.2× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $272 | $272 | 22.7× |
| Iaadi respiratory synctial virus (87280) | $130 | $130 | 9.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $124 | $124 | 3.5× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $304 | $304 | 13.4× |
| Iadna Cytomegalovirus Quantification (87497) range across 3 matching MRF lines |
$441–$875 | $441–$875 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $417 | $417 | 9.7× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$618–$887 | $618–$887 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$455–$1,204 | $455–$1,204 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $124 | $124 | 3.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$96–$154 | $96–$154 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$31–$340 | $31–$340 | varies |
| Igh gene rearrange amp meth (81261) | $1,601 | $1,601 | 8.1× |
| Igk rearrangeabn clonal pop (81264) | $1,813 | $1,813 | 10.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $803 | $803 | 2.2× |
| Immunfix e-phorsis/urine/csf (86335) | $327 | $327 | 11.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 7 matching MRF lines |
$177–$829 | $177–$829 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 8 matching MRF lines |
$24–$312 | $24–$312 | varies |
| Immunoassay nonantibody (83516) range across 12 matching MRF lines |
$38–$791 | $38–$791 | varies |
| Immunodiffusion not elsewhere specified (86329) | $603 | $603 | 42.9× |
| Immunoelectrophoresis Serum (86320) | $435 | $435 | 14.5× |
| Immunofixation electrophoresis (86334) | $1,553 | $1,553 | 69.5× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$178–$725 | $178–$725 | varies |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$715–$841 | $715–$841 | varies |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$1,643–$1,671 | $1,643–$1,671 | varies |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $307 | $307 | 21.3× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $416 | $416 | 31.0× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $307 | $307 | 25.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) | $225 | $225 | 7.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) | $225 | $225 | 10.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) | $225 | $225 | 10.3× |
| Influenza assay w/optic (87804) | $159 | $159 | 9.6× |
| Influenza DNA amp probe (87502) range across 5 matching MRF lines |
$137–$191 | $137–$191 | varies |
| Inhibin b (83520) range across 15 matching MRF lines |
$67–$904 | $67–$904 | varies |
| Insulin antibodies (86337) | $264 | $264 | 12.3× |
| Insulin total (83525) | $256 | $256 | 22.4× |
| Iron (83540) range across 2 matching MRF lines |
$213–$616 | $213–$616 | varies |
| Iron Binding Capacity (83550) | $267 | $267 | 30.5× |
| Irradiation Blood Product Each Unit (86945) range across 2 matching MRF lines |
$154–$288 | $154–$288 | varies |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$219–$688 | $219–$688 | varies |
| Koh Prep (87220) | $164 | $164 | 38.4× |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$218–$1,159 | $218–$1,159 | varies |
| LDL direct (83721) | $223 | $223 | 21.2× |
| Lead (83655) | $284 | $284 | 23.5× |
| Leptospira antibody (86720) | $124 | $124 | 7.7× |
| Leukocyte phagocytosis (86344) | $805 | $805 | 77.5× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$350–$355 | $350–$355 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$739–$740 | $739–$740 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $2,027 | $2,027 | 5.6× |
| Lidocaine (80176) | $488 | $488 | 33.2× |
| Lipase (83690) | $337 | $337 | 48.9× |
| Lipoprotein A (83695) | $137 | $137 | 9.6× |
| Lithium (80178) | $191 | $191 | 28.9× |
| Luteinizing Hormone (Lh) (83002) | $651 | $651 | 35.2× |
| Lymphocyte Culture Mixed (86821) | $1,792 | $1,792 | 49.0× |
| Lymphocyte transformation (86353) range across 6 matching MRF lines |
$1,353–$1,926 | $1,353–$1,926 | varies |
| Lymphocytotoxicity Assay (86805) range across 2 matching MRF lines |
$728–$1,097 | $728–$1,097 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $1,643 | $1,643 | 9.6× |
| Magnesium Urine (83735) range across 5 matching MRF lines |
$130–$256 | $130–$256 | varies |
| Mass Spectrometry Quant (83789) range across 4 matching MRF lines |
$65–$2,066 | $65–$2,066 | varies |
| Mercury urine (83825) | $316 | $316 | 19.4× |
| Methylmalonic acid serum (83921) range across 7 matching MRF lines |
$111–$894 | $111–$894 | varies |
| Microalbumin, quantitative (82043) | $284 | $284 | 49.1× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$122–$350 | $122–$350 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) range across 12 matching MRF lines |
$15–$1,696 | $15–$1,696 | varies |
| Molecular Pathology Procedure Level 3 (81402) range across 2 matching MRF lines |
$1,900–$2,099 | $1,900–$2,099 | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 13 matching MRF lines |
$536–$9,641 | $536–$9,641 | varies |
| Mononuclear cell antigen (86356) range across 4 matching MRF lines |
$71–$588 | $71–$588 | varies |
| Mopath procedure level 2 (81401) range across 8 matching MRF lines |
$311–$2,884 | $311–$2,884 | varies |
| Mopath procedure level 4 (81403) range across 4 matching MRF lines |
$267–$989 | $267–$989 | varies |
| Mopath procedure level 5 (81404) range across 10 matching MRF lines |
$348–$2,878 | $348–$2,878 | varies |
| Mopath procedure level 7 (81406) range across 9 matching MRF lines |
$581–$7,213 | $581–$7,213 | varies |
| Mopath procedure level 8 (81407) range across 6 matching MRF lines |
$636–$3,657 | $636–$3,657 | varies |
| Mopath procedure level 9 (81408) range across 5 matching MRF lines |
$2,876–$8,888 | $2,876–$8,888 | varies |
| Mrsa Pcr (87641) | $270 | $270 | 7.7× |
| Mthfr Gene Analysis Common Variants (81291) range across 2 matching MRF lines |
$428–$1,404 | $428–$1,404 | varies |
| Mucopolysaccharides acid quantitative (83864) | $297 | $297 | 10.4× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$124–$518 | $124–$518 | varies |
| Mycophenolic Acid (80180) range across 2 matching MRF lines |
$110–$562 | $110–$562 | varies |
| Mycoplasma antibody (86738) | $52 | $52 | 3.9× |
| Mycoplasma culture (87109) range across 3 matching MRF lines |
$201–$558 | $201–$558 | varies |
| Myoglobin urine (83874) | $239 | $239 | 18.5× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$125–$534 | $125–$534 | varies |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) range across 3 matching MRF lines |
$137–$138 | $137–$138 | varies |
| Nitroblue Tetrazolium Dye (86384) | $803 | $803 | 59.0× |
| Nk cells total count (86357) range across 5 matching MRF lines |
$64–$328 | $64–$328 | varies |
| Nuclear antigen antibody (86235) range across 40 matching MRF lines |
$35–$1,246 | $35–$1,246 | varies |
| Nuclear Mitochondrial 100 Gene Genomic Seq (81440) | $7,097 | $7,097 | 2.1× |
| Nzym actv blood cells/tiss radact substrate ea (82658) range across 2 matching MRF lines |
$308–$856 | $308–$856 | varies |
| Occult Blood Other Sources (82271) | $124 | $124 | 23.3× |
| Oligoclonal bands (83916) | $125 | $125 | 4.6× |
| Organic Acids Qualitative Each Specimen (83919) range across 3 matching MRF lines |
$181–$1,930 | $181–$1,930 | varies |
| Organic acids urine (83918) range across 3 matching MRF lines |
$266–$777 | $266–$777 | varies |
| Osmolality serum (83930) | $284 | $284 | 43.0× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$128–$327 | $128–$327 | varies |
| Ova and parasites smears (87177) | $219 | $219 | 24.6× |
| Oxalate urine (83945) range across 3 matching MRF lines |
$130–$141 | $130–$141 | varies |
| Pancreatic Elastase Fecal (82656) range across 2 matching MRF lines |
$312–$490 | $312–$490 | varies |
| Particle Agglutination Screen Each Antibody (86403) range across 9 matching MRF lines |
$162–$540 | $162–$540 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) range across 2 matching MRF lines |
$229–$350 | $229–$350 | varies |
| Pathology Consultation During Surgery (88329) | $730 | $730 | 12.3× |
| Ph urine (81003) | $137 | $137 | 60.9× |
| Phenobarbital Level (80184) | $166 | $166 | 10.8× |
| Phenylketones qual (84035) | $41 | $41 | 10.3× |
| Phenytoin (Dilantin) (80185) | $392 | $392 | 29.6× |
| Phosphatase alkaline (84075) | $218 | $218 | 42.1× |
| Phosphorus Serum (84100) | $240 | $240 | 50.6× |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$130–$194 | $130–$194 | varies |
| Platelet Aggregation (85576) range across 7 matching MRF lines |
$130–$647 | $130–$647 | varies |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$387–$1,170 | $387–$1,170 | varies |
| Platelet count automated (85049) | $164 | $164 | 36.6× |
| Platelet neutralization (85597) | $1,215 | $1,215 | 67.6× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$130–$176 | $130–$176 | varies |
| Prealbumin (84134) | $240 | $240 | 16.4× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $680 | $680 | 4.0× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 3 matching MRF lines |
$286–$709 | $286–$709 | varies |
| Pretx serum rbc antibody identification dilution (86976) | $222 | $222 | 7.7× |
| Procalcitonin (Pct) (84145) | $402 | $402 | 14.8× |
| Progesterone (84144) | $926 | $926 | 44.4× |
| Prolactin (84146) | $534 | $534 | 27.6× |
| Protein body fluid (84157) | $218 | $218 | 54.5× |
| Protein C Activity (85303) | $429 | $429 | 31.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $211 | $211 | 19.6× |
| Protein s total (85305) | $429 | $429 | 37.0× |
| Protein total serum (84155) range across 2 matching MRF lines |
$111–$176 | $111–$176 | varies |
| Protein Total Urine (84156) | $218 | $218 | 59.4× |
| Protein Western Blot Test (84182) range across 3 matching MRF lines |
$335–$815 | $335–$815 | varies |
| Protein, western blot tissue (88371) | $1,096 | $1,096 | 49.3× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $731 | $731 | 1.2× |
| Pth Intact (83970) | $907 | $907 | 22.0× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$339–$345 | $339–$345 | varies |
| Quantitative assay drug (80299) range across 10 matching MRF lines |
$213–$1,400 | $213–$1,400 | varies |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$342–$422 | $342–$422 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$396–$601 | $396–$601 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$161–$281 | $161–$281 | varies |
| Rbc pretreatment serum (86978) | $176 | $176 | 3.0× |
| Rbc pretx incubatj w/enzymes (86971) range across 2 matching MRF lines |
$80–$680 | $80–$680 | varies |
| Resp virus 12-25 targets (87633) | $1,153 | $1,153 | 2.8× |
| Reticulocyte Count (85046) | $161 | $161 | 28.9× |
| Reticulocyte Count Manual (85044) | $202 | $202 | 46.9× |
| Reticulocyte separation (86972) range across 4 matching MRF lines |
$268–$1,029 | $268–$1,029 | varies |
| Rh (86901) range across 2 matching MRF lines |
$65–$137 | $65–$137 | varies |
| Rheumatoid Factor Qualitative (86430) | $187 | $187 | 30.5× |
| Rheumatoid factor quant (86431) | $249 | $249 | 43.9× |
| Ristocetin cofactor (85245) | $907 | $907 | 39.5× |
| Rotavirus ag eia (87425) | $350 | $350 | 29.2× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$98–$225 | $98–$225 | varies |
| Rsv Assay W/Optic (87807) | $191 | $191 | 14.6× |
| Rubella Antibody (86762) | $518 | $518 | 36.0× |
| Rubeola antibody (86765) | $518 | $518 | 40.2× |
| Salicylate Level (80179) | $441 | $441 | 23.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $179 | $179 | 3.5× |
| Sars-cov-2 COVID-19 antibody (86769) | $65 | $65 | 1.5× |
| Sarscov2 & inf a&b amp prb (87636) | $358 | $358 | 2.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $418 | $418 | 2.9× |
| Sedimentation Rate, Automated (85652) | $240 | $240 | 88.9× |
| Selenium (84255) | $104 | $104 | 4.1× |
| Sensitivity mic (87186) range across 6 matching MRF lines |
$68–$1,657 | $68–$1,657 | varies |
| Serpina 1 gene (81332) | $465 | $465 | 10.7× |
| Serum Bactericidal Titer (87197) | $386 | $386 | 25.7× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$202–$224 | $202–$224 | varies |
| Sirolimus (80195) | $677 | $677 | 49.3× |
| Skin Test Candida (86485) | $624 | $624 | 21.5× |
| Skin test tuberculosis intradermal (86580) | $224 | $224 | 7.7× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$63–$391 | $63–$391 | varies |
| Smear gram stain (87205) range across 6 matching MRF lines |
$62–$327 | $62–$327 | varies |
| Smear Special Stain (87207) range across 3 matching MRF lines |
$164–$272 | $164–$272 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 4 matching MRF lines |
$124–$213 | $124–$213 | varies |
| Sodium Serum (84295) range across 2 matching MRF lines |
$125–$202 | $125–$202 | varies |
| Sodium Urine (84300) range across 3 matching MRF lines |
$130–$194 | $130–$194 | varies |
| Somatomedin (84305) | $534 | $534 | 25.1× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$400–$402 | $400–$402 | varies |
| Special Stains Group 2 (88313) | $384 | $384 | 2.9× |
| Specimen infect agnt concntj (87015) range across 4 matching MRF lines |
$30–$164 | $30–$164 | varies |
| Spectrophotometry (84311) range across 9 matching MRF lines |
$15–$3,334 | $15–$3,334 | varies |
| Stem cells total count (86367) range across 2 matching MRF lines |
$209–$335 | $209–$335 | varies |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$113–$425 | $113–$425 | varies |
| Strep a assay w/optic (87880) | $164 | $164 | 9.9× |
| Strep a DNA amp probe (87651) | $122 | $122 | 3.5× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) range across 3 matching MRF lines |
$62–$765 | $62–$765 | varies |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $61 | $61 | 11.1× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$99–$787 | $99–$787 | varies |
| Sulfate urine (84392) range across 2 matching MRF lines |
$130–$189 | $130–$189 | varies |
| Surg path level iii (88304) | $574 | $574 | 11.0× |
| Surgical pathology level IV (88305) range across 5 matching MRF lines |
$607–$1,514 | $607–$1,514 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$2,305–$2,312 | $2,305–$2,312 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 3 matching MRF lines |
$41–$256 | $41–$256 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 5 matching MRF lines |
$41–$164 | $41–$164 | varies |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $331 | $331 | 8.2× |
| Sweat Collection Iontophoresis (89230) | $526 | $526 | 10.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 7 matching MRF lines |
$126–$550 | $126–$550 | varies |
| T cells total count (86359) range across 7 matching MRF lines |
$64–$395 | $64–$395 | varies |
| T3 reverse (84482) | $256 | $256 | 16.2× |
| T3 Total (84480) | $553 | $553 | 39.0× |
| T3 Uptake (84479) | $45 | $45 | 7.0× |
| T4 Free (84439) | $267 | $267 | 29.6× |
| T4 total (84436) | $240 | $240 | 34.9× |
| Tacrolimus (80197) | $441 | $441 | 32.1× |
| Test for acetone/ketones (82009) | $189 | $189 | 41.8× |
| Testosterone total (84403) | $926 | $926 | 35.9× |
| Theophylline (80198) | $110 | $110 | 7.8× |
| Thrombin Time (85670) | $176 | $176 | 30.5× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$130–$397 | $130–$397 | varies |
| Thyroglobulin (84432) range across 3 matching MRF lines |
$457–$515 | $457–$515 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$88–$355 | $88–$355 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $281 | $281 | 5.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $78 | $78 | 6.8× |
| Tissue Culture (88233) range across 3 matching MRF lines |
$1,382–$2,087 | $1,382–$2,087 | varies |
| Tissue culture bone marrow (88237) | $1,434 | $1,434 | 10.0× |
| Tissue Culture Lymphocyte (88230) range across 9 matching MRF lines |
$327–$1,946 | $327–$1,946 | varies |
| Tobramycin peak (80200) | $350 | $350 | 21.7× |
| Touch prep (88161) | $221 | $221 | 7.6× |
| Toxin/Antitoxin Assay Tissue Culture (87230) range across 2 matching MRF lines |
$43–$112 | $43–$112 | varies |
| Toxoplasma ab igm (86778) | $199 | $199 | 13.8× |
| Toxoplasma antibody (86777) | $307 | $307 | 21.3× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$43–$284 | $43–$284 | varies |
| Transferrin (84466) | $455 | $455 | 35.7× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $1,813 | $1,813 | 8.7× |
| Trg gene rearrangement anal (81342) | $1,637 | $1,637 | 8.1× |
| Trichomonas Vaginalis Amplif (87661) | $210 | $210 | 6.0× |
| Triglycerides (84478) range across 2 matching MRF lines |
$176–$240 | $176–$240 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$429–$447 | $429–$447 | varies |
| Trypsin feces qual (84488) range across 2 matching MRF lines |
$350–$355 | $350–$355 | varies |
| Tumor Immunohistochem/Manual (88360) | $803 | $803 | 4.7× |
| Unlisted Cytogenetic Study (88299) range across 7 matching MRF lines |
$723–$9,350 | $723–$9,350 | varies |
| Unlisted Surgical Pathology Procedure (88399) | $2,616 | $2,616 | 50.0× |
| Unlisted Transfusion Medicine Procedure (86999) | $899 | $899 | 31.0× |
| Urea nitrogen urine (84540) range across 4 matching MRF lines |
$189–$287 | $189–$287 | varies |
| Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) | $36 | $36 | 7.0× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$130–$312 | $130–$312 | varies |
| Urinalysis Microscopic Only (81015) | $120 | $120 | 39.3× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 3 matching MRF lines |
$89–$189 | $89–$189 | varies |
| Urinalysis Volume Measure (81050) range across 2 matching MRF lines |
$65–$91 | $65–$91 | varies |
| Urine Bacteria Culture (87088) | $97 | $97 | 12.0× |
| Urine Pregnancy Test (81025) | $272 | $272 | 31.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $256 | $256 | 80.8× |
| Valproic acid (80164) | $445 | $445 | 32.9× |
| Vancomycin (80202) range across 3 matching MRF lines |
$350–$457 | $350–$457 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$43–$518 | $43–$518 | varies |
| Very Long Chain Fatty Acids (82726) range across 3 matching MRF lines |
$65–$1,703 | $65–$1,703 | varies |
| Viral Culture (87252) range across 4 matching MRF lines |
$101–$715 | $101–$715 | varies |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$172–$536 | $172–$536 | varies |
| Virus inoculate tissue addl (87253) | $345 | $345 | 17.1× |
| Virus inoculation, shell via (87254) range across 3 matching MRF lines |
$149–$425 | $149–$425 | varies |
| Vitamin A (84590) range across 2 matching MRF lines |
$36–$337 | $36–$337 | varies |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$66–$337 | $66–$337 | varies |
| Vitamin B2 (Riboflavin) (84252) | $223 | $223 | 11.0× |
| Vitamin B6 (84207) range across 3 matching MRF lines |
$309–$534 | $309–$534 | varies |
| Vitamin c (82180) | $97 | $97 | 9.8× |
| Vitamin D 25-Hydroxy (82306) | $928 | $928 | 31.4× |
| Vitamin E (84446) range across 2 matching MRF lines |
$36–$350 | $36–$350 | varies |
| Vitamin K (84597) | $1,175 | $1,175 | 85.6× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $191 | $191 | 1.1× |
| Von willebrand factor ag (85246) range across 7 matching MRF lines |
$429–$682 | $429–$682 | varies |
| West Nile Virus Antibody (86789) | $225 | $225 | 15.6× |
| Whole Mitochondrial Genome (81460) | $7,097 | $7,097 | 5.5× |
| Whole mitochondrial genome analysis panel (81465) | $7,097 | $7,097 | 7.6× |
| Zinc (84630) | $223 | $223 | 19.6× |
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.