Lab & pathology prices at Ascension Calumet Hospital
Chilton, WI · every code in this section with a posted price and a Medicare benchmark.
605 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $135.66 | $238 | 3.5× |
| Actin smooth muscle antibody each (86015) | $43.32 | $76 | 3.6× |
| Acute hepatitis panel (80074) | $192.66 | $338 | 4.0× |
| Acylcarnitines Quant (82017) | $63.84 | $112 | 3.8× |
| Albumin Fluid (82042) | $21.66 | $38 | 2.8× |
| Albumin serum (82040) | $19.38 | $34 | 3.9× |
| Aldolase (82085) | $35.34 | $62 | 3.6× |
| Aldosterone urine (82088) | $143.07 | $251 | 3.5× |
| Alkaline phosphatase isoenzymes (84080) | $52.44 | $92 | 3.5× |
| Allergen specific ige (86003) | $18.24 | $32 | 3.5× |
| Allg Spec Ige Recomb Ea (86008) | $59.28 | $104 | 3.3× |
| Alpha-1-antitrypsin phenotype (82104) | $25.08 | $44 | 1.7× |
| Alpha-1-antitrypsin total (82103) | $49.02 | $86 | 3.6× |
| Alpha-Fetoprotein Serum (82105) | $59.28 | $104 | 3.5× |
| Alt (sgpt) (84460) | $20.52 | $36 | 3.9× |
| Amikacin trough (80150) | $66.12 | $116 | 4.4× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $39.33 | $69 | 1.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $79.80 | $140 | 4.7× |
| Ammonia (82140) | $57 | $100 | 3.9× |
| Amylase urine (82150) | $48.45 | $85 | 7.5× |
| Ana Titer (86039) | $40.47 | $71 | 3.6× |
| Anca screen each antibody (86036) | $43.32 | $76 | 3.6× |
| Anca Titer Each Antibody (86037) | $18.24 | $32 | 1.5× |
| Androstenedione (82157) | $102.60 | $180 | 3.5× |
| Angiotensin converting enzyme csf (82164) | $53.01 | $93 | 3.6× |
| Anti-Phospholipid Antibody (86148) | $27.93 | $49 | 1.7× |
| Antibody aspergillus (86606) | $33.63 | $59 | 2.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $45.03 | $79 | 3.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $55.86 | $98 | 3.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $21.66 | $38 | 1.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $66.12 | $116 | 5.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $57 | $100 | 3.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $64.41 | $113 | 3.6× |
| Antibody Fungus Not Elsewhere Specified (86671) | $19.38 | $34 | 1.6× |
| Antibody helicobacter pylori (86677) | $33.63 | $59 | 2.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $46.17 | $81 | 3.2× |
| Antibody Herpes Smplx Type 1 (86695) | $86.64 | $152 | 6.6× |
| Antibody HIV-2 (86702) | $23.37 | $41 | 1.7× |
| Antibody identification leukocyte antibodies (86021) | $26.22 | $46 | 1.7× |
| Antibody Identification Platelet Immunogl Assay (86023) | $21.09 | $37 | 1.7× |
| Antibody john cunningham virus (86711) | $33.63 | $59 | 2.0× |
| Antibody Protozoa Nes (86753) | $43.89 | $77 | 3.5× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$22.80–$26.22 | $40–$46 | varies |
| Antigen typing (86905) | $205.20 | $360 | 53.6× |
| Antinuclear antibodies (86038) | $66.69 | $117 | 5.5× |
| Antistreptolysin o titer (86060) | $25.65 | $45 | 3.5× |
| Antithrombin iii activity (85300) | $37.62 | $66 | 3.2× |
| Apolipoprotein a1 (82172) | $47.88 | $84 | 2.3× |
| Aquaporin-4 Antb Elisa (86051) | $118.56 | $208 | 10.3× |
| Arsenic (82175) | $57 | $100 | 3.0× |
| Assay activated protein c (85307) | $90.06 | $158 | 5.9× |
| Assay Blood Carbon Dioxide (82374) | $19.38 | $34 | 4.0× |
| Assay Nephelometry Not Spec (83883) | $130.53 | $229 | 9.6× |
| Assay of 5-hiaa (83497) | $46.74 | $82 | 3.6× |
| Assay of blood/uric acid (84550) | $25.08 | $44 | 5.5× |
| Assay of calcium in urine (82340) | $27.93 | $49 | 4.6× |
| Assay of cpk in blood (82552) | $49.02 | $86 | 3.7× |
| Assay of estrone (82679) | $73.53 | $129 | 2.9× |
| Assay of g6pd enzyme (82955) | $35.34 | $62 | 3.6× |
| Assay of gammaglobulin igm (82784) | $34.20 | $60 | 3.7× |
| Assay of lactic acid (83605) | $53.58 | $94 | 4.6× |
| Assay of metanephrines (83835) | $60.42 | $106 | 3.6× |
| Assay of proinsulin (84206) | $71.82 | $126 | 2.7× |
| Assay of pyruvate (84210) | $39.33 | $69 | 2.7× |
| Assay of serum potassium (84132) | $17.67 | $31 | 3.7× |
| Assay of urea nitrogen (84520) | $15.96 | $28 | 4.0× |
| Assay of urine vma (84585) | $55.86 | $98 | 3.6× |
| Assay of vasoactive intestinal peptide (84586) | $100.32 | $176 | 2.8× |
| Assay of vitamin b-1 (84425) | $70.11 | $123 | 3.3× |
| Assay Ph Body Fluid Nos (83986) | $17.67 | $31 | 4.9× |
| Assay spec xcp ur&breath ia (82077) | $30.78 | $54 | 1.8× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $258.78 | $454 | 1.6× |
| Automated Leukocyte Count (85048) | $17.10 | $30 | 6.7× |
| B cells total count (86355) | $119.70 | $210 | 3.2× |
| Bartonella antibody (86611) | $21.66 | $38 | 2.1× |
| Bcr/abl1 gene major bp (81206) | $475.95 | $835 | 2.9× |
| Bcr/abl1 gene minor bp (81207) | $420.66 | $738 | 2.9× |
| Beta 2 glycoprotein i antibody each (86146) | $67.83 | $119 | 2.7× |
| Beta hydroxybutyrate (82010) | $41.04 | $72 | 5.0× |
| Beta Lactamase (87185) | $18.24 | $32 | 3.8× |
| Beta-2 Microglobulin (82232) | $57.57 | $101 | 3.6× |
| Bile acids total (82239) | $37.62 | $66 | 2.2× |
| Bilirubin direct (82248) | $19.38 | $34 | 3.9× |
| Bilirubin total (82247) | $19.38 | $34 | 3.9× |
| Bilirubin total transcutaneous (88720) | $18.24 | $32 | 3.6× |
| Biotinidase (82261) | $29.07 | $51 | 1.7× |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) | $88.35 | $155 | 1.7× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $48.45 | $85 | 1.7× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $278.16 | $488 | 1.7× |
| Bld Typing Serologic Rh Phnt (86906) | $26.22 | $46 | 3.4× |
| Blood Count Automated Differential Wbc Count (85004) | $11.40 | $20 | 1.8× |
| Blood Count Manual Cell Count Each (85032) | $7.41 | $13 | 1.7× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $13.68 | $24 | 3.6× |
| Blood gas (82803) | $70.68 | $124 | 2.7× |
| Blood gases w/02 saturation (82805) | $100.32 | $176 | 1.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $49.02 | $86 | 3.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $17.10 | $30 | 3.9× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $209.76 | $368 | 33.0× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $99.75 | $175 | 6.1× |
| Blood typing serologic abo (86900) | $74.10 | $130 | 24.8× |
| Body fluid cell count (89050) | $47.88 | $84 | 10.1× |
| Bone marrow smear interpretation (85097) | $1,100.10 | $1,930 | 1.4× |
| Bordetella antibody (86615) | $27.36 | $48 | 2.1× |
| Braf gene analysis (81210) | $389.31 | $683 | 2.2× |
| Breath Alcohol Test (82075) | $47.31 | $83 | 1.6× |
| C diff amplified probe (87493) | $118.56 | $208 | 3.2× |
| C-Peptide (84681) | $27.93 | $49 | 1.3× |
| C-reactive protein (86140) | $19.38 | $34 | 3.7× |
| Ca 19-9 (86301) | $73.53 | $129 | 3.5× |
| Calcitonin (82308) | $95.19 | $167 | 3.6× |
| Calcium ionized (82330) | $49.59 | $87 | 3.6× |
| Calcium total (82310) | $25.08 | $44 | 4.9× |
| Calculus Spectroscopy (82365) | $39.33 | $69 | 3.0× |
| Calprotectin Fecal (83993) | $125.97 | $221 | 6.4× |
| Calr gene com variants (81219) | $208.05 | $365 | 1.7× |
| Cancer Antigen 125 (86304) | $73.53 | $129 | 3.5× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$60.99–$73.53 | $107–$129 | varies |
| Candida antibody (86628) | $111.72 | $196 | 9.3× |
| Carbamazepine total (80156) | $55.29 | $97 | 3.8× |
| Carboxyhemoglobin (82375) | $43.89 | $77 | 3.6× |
| Carcinoembryonic antigen (82378) | $116.28 | $204 | 6.1× |
| Cardiolipin ab iga (86147) | $67.83 | $119 | 2.7× |
| Carnitine Quantitative Each Specimen (82379) | $115.71 | $203 | 6.9× |
| Catecholamines fractionated (82384) | $90.06 | $158 | 3.6× |
| Ccp antibody (86200) | $47.88 | $84 | 3.7× |
| Cell count csf (89051) | $51.30 | $90 | 9.2× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $394.44 | $692 | 2.9× |
| Ceruloplasmin (82390) | $39.33 | $69 | 3.7× |
| Chemiluminescent assay (82397) | $75.81 | $133 | 5.4× |
| Chlamydia antibody (86631) | $21.66 | $38 | 1.8× |
| Chlamydia Igm Antibody (86632) | $21.66 | $38 | 1.7× |
| Chloride Serum (82435) | $17.67 | $31 | 3.8× |
| Chloride urine (82436) | $19.38 | $34 | 3.4× |
| Cholesterol total (82465) | $17.10 | $30 | 3.9× |
| Chorionic gonadotropin test (84702) | $91.20 | $160 | 6.1× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $90.06 | $158 | 2.7× |
| Chromium serum (82495) | $57 | $100 | 2.8× |
| Chromogranin a (86316) | $73.53 | $129 | 3.5× |
| Chromosome Analysis 20-25 (88264) | $373.35 | $655 | 2.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $156.75 | $275 | 4.5× |
| Citric acid urine (82507) | $127.11 | $223 | 4.6× |
| Ckmb (82553) | $31.35 | $55 | 2.7× |
| Clostridium Difficile (87324) | $140.22 | $246 | 11.7× |
| Clot Factor VIII Multimetric (85247) | $69.54 | $122 | 3.0× |
| Clotting factor xii hageman (85280) | $68.97 | $121 | 3.6× |
| Clotting Funct Activity (85397) | $53.01 | $93 | 1.7× |
| Cns DNA amp probe type 12-25 (87483) | $1,095.54 | $1,922 | 2.6× |
| Coagulation time activated (85347) | $46.17 | $81 | 10.8× |
| Coccidioides antibody (86635) | $19.95 | $35 | 1.7× |
| Cold agglutinin screen (86156) | $25.08 | $44 | 3.1× |
| Cold agglutinin titer (86157) | $20.52 | $36 | 2.5× |
| Collagen crosslinks (82523) | $51.87 | $91 | 2.8× |
| Column Chromotography Quant (82542) range across 5 matching MRF lines |
$53.01–$290.13 | $93–$509 | varies |
| Compatibility test antiglob (86922) | $102.60 | $180 | 0.6× |
| Complement Antigen Each Component (86160) | $83.79 | $147 | 7.0× |
| Complement Total (Ch50) (86162) | $67.83 | $119 | 3.3× |
| Complement/Function Activity (86161) | $20.52 | $36 | 1.7× |
| Coombs direct (86880) | $35.34 | $62 | 6.6× |
| Copper urine (82525) | $39.33 | $69 | 3.2× |
| Cortisol free (82530) | $49.59 | $87 | 3.0× |
| Cortisol saliva (82533) | $86.07 | $151 | 5.3× |
| Creatine kinase total (82550) | $25.08 | $44 | 3.9× |
| Creatinine blood (82565) | $20.52 | $36 | 4.0× |
| Creatinine clearance (82575) | $34.77 | $61 | 3.7× |
| Creatinine Urine (82570) | $24.51 | $43 | 4.7× |
| Crossmatch electronic (86923) | $261.06 | $458 | 1.6× |
| Crossmatch immediate spin (86920) | $98.61 | $173 | 0.6× |
| Crp High Sensitivity (86141) | $27.93 | $49 | 2.2× |
| Cryoglobulin (82595) | $24.51 | $43 | 3.8× |
| Cryptococcus ag titer (87899) | $37.05 | $65 | 2.3× |
| Cryptosporidium (87272) | $43.32 | $76 | 3.6× |
| Cryptosporidium ag eia (87328) | $23.37 | $41 | 1.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$14.25–$29.64 | $25–$52 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$13.68–$58.14 | $24–$102 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $29.07 | $51 | 3.8× |
| Culture aerobic quant other (87071) | $34.77 | $61 | 3.5× |
| Culture afb (87116) | $41.04 | $72 | 3.8× |
| Culture Anaerobic (87075) | $95.19 | $167 | 10.1× |
| Culture blood (87040) | $112.29 | $197 | 10.9× |
| Culture chlamydia (87110) | $69.54 | $122 | 3.5× |
| Culture csf (87070) range across 9 matching MRF lines |
$32.49–$70.68 | $57–$124 | varies |
| Culture fungus (87102) | $28.50 | $50 | 3.4× |
| Culture screen only (87081) | $52.44 | $92 | 7.9× |
| Culture stool (87045) | $29.07 | $51 | 3.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $24.51 | $43 | 4.7× |
| Culture urine (87086) | $63.84 | $112 | 7.9× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $24.51 | $43 | 1.7× |
| Cyclosporine (80158) | $64.41 | $113 | 3.6× |
| Cystatin C (82610) | $46.17 | $81 | 2.5× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,059.06 | $1,858 | 0.9× |
| Cytomegalovirus igg (86644) | $42.75 | $75 | 3.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $72.39 | $127 | 3.6× |
| Cytopath Cell Enhance Tech (88112) | $83.22 | $146 | 1.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $138.51 | $243 | 5.2× |
| Cytp Concentration Smears & Interpretation (88108) | $38.19 | $67 | 1.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $136.23 | $239 | 2.7× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $57 | $100 | 1.6× |
| Deoxyribonuclease antibody (86215) | $46.17 | $81 | 3.5× |
| Detect Agent Nos Dna Amp (87798) range across 15 matching MRF lines |
$59.85–$259.92 | $105–$456 | varies |
| Detect Agent Nos Dna Quant (87799) | $129.39 | $227 | 3.0× |
| Detect agnt mult DNA ampli (87801) | $120.27 | $211 | 1.7× |
| Dgp Antibody Each Ig Class (86258) | $41.04 | $72 | 3.4× |
| Dhea (82626) | $90.06 | $158 | 3.6× |
| Dhea-S (82627) | $79.23 | $139 | 3.6× |
| Digoxin (80162) | $76.38 | $134 | 5.8× |
| Dihydrotestosterone (82642) | $147.63 | $259 | 5.0× |
| Diphtheria antitoxoid (86648) | $55.29 | $97 | 3.6× |
| Dipropylacetic Acid Free (80165) | $61.56 | $108 | 4.5× |
| Dna Antibody Native/Double Stranded (86225) | $49.59 | $87 | 3.6× |
| Dna Antibody Single Stranded (86226) | $43.32 | $76 | 3.6× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$62.13–$63.27 | $109–$111 | varies |
| Dpyd gene common variants (81232) | $373.35 | $655 | 2.1× |
| Drug assay acetaminophen (80143) | $33.06 | $58 | 1.8× |
| Drug Assay Infliximab (80230) | $191.52 | $336 | 5.0× |
| Drug Assay Itraconazole (80189) | $100.32 | $176 | 3.7× |
| Drug Assay Lacosamide (80235) | $131.10 | $230 | 4.8× |
| Drug Assay Posaconazole (80187) | $135.66 | $238 | 5.0× |
| Drug assay voriconazole (80285) | $241.68 | $424 | 8.9× |
| Drug Screen Quant Clozapine (80159) | $70.68 | $124 | 3.5× |
| Drug Screen Quant Zonisamide (80203) | $52.44 | $92 | 4.0× |
| Drug Screen Quantitative Gabapentin (80171) | $73.53 | $129 | 3.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $49.59 | $87 | 3.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $61.56 | $108 | 4.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $49.59 | $87 | 3.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 6 matching MRF lines |
$106.59–$262.20 | $187–$460 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $78.66 | $138 | 6.2× |
| Drug Test Prsmv Instrmnt (80306) | $52.44 | $92 | 3.1× |
| Ehrlichia antibody (86666) | $18.24 | $32 | 1.8× |
| El-1 Fecal Quantitative (82653) | $63.84 | $112 | 2.8× |
| Electrolyte panel (80051) | $53.01 | $93 | 7.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $56.43 | $99 | 4.7× |
| Enterovirus Antibody (86658) | $39.90 | $70 | 3.1× |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$103.74–$224.58 | $182–$394 | varies |
| Eosinophil Smear (89190) | $18.24 | $32 | 3.2× |
| Erythropoietin (82668) | $66.69 | $117 | 3.5× |
| Estradiol serum (82670) | $99.18 | $174 | 3.5× |
| Estriol (82677) | $84.93 | $149 | 3.5× |
| Estrogens fractionated (82671) | $55.29 | $97 | 1.7× |
| Ethosuximide (80168) | $58.14 | $102 | 3.6× |
| Ethylene Glycol (82693) | $25.65 | $45 | 1.7× |
| Exam Synovial Fluid Crystals (89060) | $27.36 | $48 | 3.7× |
| F2 Gene (81240) | $203.49 | $357 | 3.1× |
| Factor ii activity (85210) | $31.35 | $55 | 2.4× |
| Factor ix activity (85250) | $68.40 | $120 | 3.6× |
| Factor v activity (85220) | $63.27 | $111 | 3.6× |
| Factor v leiden mutation (81241) | $164.73 | $289 | 2.2× |
| Factor vii assay (85230) | $63.84 | $112 | 3.6× |
| Factor viii assay (85240) | $26.79 | $47 | 1.5× |
| Factor X (85260) | $63.84 | $112 | 3.6× |
| Factor xi activity (85270) | $63.84 | $112 | 3.6× |
| Fecal Fat Qualitative (82705) | $19.95 | $35 | 3.9× |
| Ferritin (82728) | $57 | $100 | 4.2× |
| Fetal Chrmoml Aneuploidy (81420) | $1,297.89 | $2,277 | 1.7× |
| Fetal Chrmoml Microdeltj (81422) | $1,297.89 | $2,277 | 1.7× |
| Fetal Fibronectin (82731) | $225.15 | $395 | 3.5× |
| Fetal hemoglobin assay qual (83033) | $17.10 | $30 | 2.1× |
| Fibrin Degradation Quant (85379) | $41.61 | $73 | 4.1× |
| Fibrinogen activity (85384) | $42.18 | $74 | 4.3× |
| Flecainide level (80181) | $66.12 | $116 | 3.5× |
| Flow cytometry first marker (88184) | $195.51 | $343 | 0.6× |
| Fluorescent antibody screen (86255) | $54.72 | $96 | 4.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$20.52–$116.85 | $36–$205 | varies |
| Folic acid rbc (82747) | $101.46 | $178 | 5.7× |
| Folic Acid Serum (82746) | $61.56 | $108 | 4.2× |
| Follicle Stimulating Hormone (83001) | $113.43 | $199 | 6.1× |
| Frozen Section (88331) | $98.61 | $173 | 0.6× |
| Fungi Identification Mold (87107) | $38.19 | $67 | 3.7× |
| Fungi Identification Yeast (87106) | $38.19 | $67 | 3.7× |
| Gammaglobulin ige (82785) | $57 | $100 | 3.5× |
| Gases blood ph only (82800) | $31.35 | $55 | 2.9× |
| Gastrin (82941) | $63.27 | $111 | 3.6× |
| Gentamicin (80170) | $58.71 | $103 | 3.6× |
| Ggt (82977) | $35.34 | $62 | 4.9× |
| Giardia antigen (87329) | $19.38 | $34 | 1.6× |
| Glucagon (82943) | $29.64 | $52 | 2.1× |
| Glucose 2 hr pp (82950) | $27.93 | $49 | 5.9× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$11.40–$16.53 | $20–$29 | varies |
| Glucose body fluid (82945) | $31.35 | $55 | 8.0× |
| Glucose Serum (82947) | $14.25 | $25 | 3.6× |
| Glucose tolerance test (gtt) (82951) | $46.74 | $82 | 3.6× |
| Glycated Protein (82985) | $60.42 | $106 | 3.6× |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $26.22 | $46 | 1.7× |
| Gonadotropin Chorionic Qualitative (84703) | $57.57 | $101 | 7.7× |
| Growth hormone (83003) | $59.28 | $104 | 3.6× |
| Gtt-added samples (82952) | $14.82 | $26 | 3.8× |
| Haloperidol (80173) | $35.34 | $62 | 2.2× |
| Haptoglobin (83010) | $46.17 | $81 | 3.7× |
| Hdl Cholesterol (83718) | $30.78 | $54 | 3.8× |
| Helicobacter Pylori Stool (87338) | $42.18 | $74 | 2.9× |
| Helminth Antibody (86682) | $42.18 | $74 | 3.2× |
| Hematocrit (85014) | $10.26 | $18 | 4.3× |
| Hemoglobin (85018) | $14.25 | $25 | 6.0× |
| Hemoglobin a1c (83036) | $50.16 | $88 | 5.2× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$22.23–$65.55 | $39–$115 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $7.98 | $14 | 1.0× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) | $16.53 | $29 | 1.7× |
| Hemosiderin urine (83070) | $8.55 | $15 | 1.8× |
| Hep a ab igm (86709) | $40.47 | $71 | 3.6× |
| Hepatitis a antibody total (86708) | $33.63 | $59 | 2.7× |
| Hepatitis b core ab igm (86705) | $51.30 | $90 | 4.4× |
| Hepatitis b core ab total (86704) | $43.32 | $76 | 3.6× |
| Hepatitis B Surface Antibody (86706) | $66.69 | $117 | 6.2× |
| Hepatitis B Surface Antigen (87340) | $38.19 | $67 | 3.7× |
| Hepatitis Be Antibody (86707) | $41.61 | $73 | 3.6× |
| Hepatitis Be Antigen (87350) | $41.04 | $72 | 3.6× |
| Hepatitis C Antibody (86803) | $24.51 | $43 | 1.7× |
| Hepatitis C Genotype (87902) | $892.05 | $1,565 | 3.5× |
| Hepatitis C Revrs Trnscrpj (87522) | $150.48 | $264 | 3.5× |
| Hepatitis d quantification (87523) | $146.49 | $257 | 3.4× |
| Hepatitis Delta Agent Antibody (86692) | $29.64 | $52 | 1.7× |
| Herpes simplex type 2 (86696) | $86.64 | $152 | 4.5× |
| Heterophile Antibody Screen (86308) | $32.49 | $57 | 6.3× |
| Hfe Gene (81256) | $246.81 | $433 | 3.8× |
| Hgb Quantitative Transcutaneous (88738) | $11.40 | $20 | 2.3× |
| Histoplasma antibody (86698) | $34.77 | $61 | 2.5× |
| Histoplasma antigen urine (87385) | $85.50 | $150 | 6.5× |
| Hiv Antigen W/Hiv Antibodies (87806) | $55.86 | $98 | 1.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $79.80 | $140 | 3.3× |
| Hiv-1 Antibody (86701) | $15.39 | $27 | 1.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $295.83 | $519 | 3.5× |
| HIV-2 probe&revrse trnscripj (87538) | $59.85 | $105 | 1.7× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $517.56 | $908 | 2.9× |
| Hla-b27 (86812) | $91.77 | $161 | 3.6× |
| Homocysteine (83090) | $38.76 | $68 | 2.2× |
| Homogenization Tissue (87176) | $22.80 | $40 | 3.9× |
| Hpv High-Risk Types (87624) | $83.79 | $147 | 2.4× |
| Hpv Types 16 & 18 Only (87625) | $80.37 | $141 | 2.0× |
| Hsv Dna Amp Probe (87529) | $115.14 | $202 | 3.3× |
| Htlv-I Antibody (86687) | $15.39 | $27 | 1.7× |
| Htlv-ii antibody (86688) | $23.94 | $42 | 1.7× |
| Human Epididymis Protein 4 (86305) | $76.95 | $135 | 3.7× |
| Hydroxycorticosteroids 17 (83491) | $30.78 | $54 | 1.7× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$46.74–$96.33 | $82–$169 | varies |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $26.22 | $46 | 2.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $60.42 | $106 | 1.7× |
| Iadna Cytomegalovirus Quantification (87497) | $125.40 | $220 | 2.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $71.25 | $125 | 1.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $178.98 | $314 | 4.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $217.17 | $381 | 6.2× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $70.68 | $124 | 1.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $72.39 | $127 | 2.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $156.75 | $275 | 4.5× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $234.84 | $412 | 1.6× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $638.40 | $1,120 | 2.4× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$53.01–$102.60 | $93–$180 | varies |
| Igg subclasses (82787) | $57 | $100 | 7.1× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $205.20 | $360 | 0.6× |
| Immunfix e-phorsis/urine/csf (86335) | $94.05 | $165 | 3.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$31.92–$846.45 | $56–$1,485 | varies |
| Immunoassay infectious agent (86318) | $66.69 | $117 | 3.7× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $44.46 | $78 | 3.0× |
| Immunoassay nonantibody (83516) range across 18 matching MRF lines |
$19.95–$91.77 | $35–$161 | varies |
| Immunodiffusion Ouchterlony (86331) | $18.24 | $32 | 1.5× |
| Immunofixation electrophoresis (86334) | $102.60 | $180 | 4.6× |
| Immunohistochemistry (88342) | $182.97 | $321 | 1.1× |
| In situ hybridization 1st probe stain (88365) | $314.07 | $551 | 1.9× |
| Influenza DNA amp probe (87502) | $167.58 | $294 | 1.7× |
| Inhibin A (86336) | $79.23 | $139 | 5.1× |
| Inhibin b (83520) range across 15 matching MRF lines |
$39.33–$142.50 | $69–$250 | varies |
| Insitu hybridization manual (88368) | $897.75 | $1,575 | 2.6× |
| Insulin antibodies (86337) | $75.81 | $133 | 3.5× |
| Insulin total (83525) | $41.04 | $72 | 3.6× |
| Interleukin-6 (83529) | $37.62 | $66 | 2.2× |
| Intrinsic factor antibody (86340) | $95.19 | $167 | 6.3× |
| Iron (83540) | $41.61 | $73 | 6.4× |
| Iron Binding Capacity (83550) | $47.88 | $84 | 5.5× |
| Irradiation Blood Product Each Unit (86945) | $67.26 | $118 | 1.8× |
| Islet cell antibody (86341) | $117.42 | $206 | 5.0× |
| Jak2 gene analysis p.val617phe variant (81270) | $274.17 | $481 | 3.0× |
| Jak2 Gene Trgt Sequence Alys (81279) | $669.18 | $1,174 | 3.6× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $701.67 | $1,231 | 2.1× |
| Koh Prep (87220) | $17.10 | $30 | 4.0× |
| Kras Gene Analysis Additional Variant(S) (81276) | $395.58 | $694 | 2.0× |
| Kras Gene Variants Exon 2 (81275) | $417.24 | $732 | 2.2× |
| Lactate (ld) (ldh) enzyme (83615) | $22.80 | $40 | 3.8× |
| Lactoferrin fecal qualitative (83630) | $62.13 | $109 | 3.2× |
| LDL direct (83721) | $35.34 | $62 | 3.4× |
| Lead (83655) range across 3 matching MRF lines |
$20.52–$37.05 | $36–$65 | varies |
| Legionella antigen urine (87449) range across 5 matching MRF lines |
$43.32–$235.41 | $76–$413 | varies |
| Legionella pneumophila dfa (87278) | $35.91 | $63 | 2.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $39.90 | $70 | 1.4× |
| Level ii surg pathology grossµscopic exam (88302) | $55.29 | $97 | 1.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $199.50 | $350 | 0.6× |
| Lipase (83690) | $58.14 | $102 | 8.4× |
| Lipoprotein A (83695) | $62.13 | $109 | 4.3× |
| Lipoprotein Bld Quan Part (83704) | $95.19 | $167 | 2.8× |
| Lithium (80178) | $30.78 | $54 | 4.7× |
| Luteinizing Hormone (Lh) (83002) | $66.12 | $116 | 3.6× |
| Lyme disease antibody (86618) | $54.15 | $95 | 3.2× |
| Lysozyme serum (85549) | $55.29 | $97 | 2.9× |
| M. Genitalium Amp Probe (87563) | $59.85 | $105 | 1.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $290.70 | $510 | 1.7× |
| M/phmtrc alys ishquant/semiq (88374) | $241.68 | $424 | 1.5× |
| Macroscopic exam arthropod (87168) | $17.10 | $30 | 4.0× |
| Macroscopic Exam Parasite (87169) | $17.10 | $30 | 4.0× |
| Magnesium Urine (83735) | $41.04 | $72 | 6.1× |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$53.01–$138.51 | $93–$243 | varies |
| Mercury urine (83825) | $48.45 | $85 | 3.0× |
| Metabolic panel ionized ca (80047) | $98.04 | $172 | 7.1× |
| Methylmalonic acid serum (83921) | $159.60 | $280 | 7.5× |
| Microalbumin, quantitative (82043) | $31.35 | $55 | 5.4× |
| Microsomal Antibodies Each (86376) | $56.43 | $99 | 3.9× |
| Mitochondrial Antibody Each (86381) | $101.46 | $178 | 4.0× |
| Mog-Igg1 Antb Cba Each (86362) | $559.17 | $981 | 46.4× |
| Mononuclear cell antigen (86356) | $79.23 | $139 | 3.0× |
| Mopath procedure level 1 (81400) | $221.16 | $388 | 3.5× |
| Mopath procedure level 4 (81403) | $379.05 | $665 | 2.0× |
| Mopath procedure level 5 (81404) | $221.16 | $388 | 0.8× |
| Mrsa Pcr (87641) | $110.01 | $193 | 3.1× |
| Mthfr Gene Analysis Common Variants (81291) | $287.85 | $505 | 4.4× |
| Mumps antibody (86735) | $60.99 | $107 | 4.7× |
| Mycobacteric Identification (87118) | $95.76 | $168 | 6.6× |
| Mycoplasma antibody (86738) | $48.45 | $85 | 3.7× |
| Mycoplasma culture (87109) | $92.91 | $163 | 6.0× |
| Myoglobin urine (83874) | $70.11 | $123 | 5.4× |
| Natriuretic peptide (83880) | $118.56 | $208 | 3.0× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $243.39 | $427 | 1.9× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $39.90 | $70 | 1.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $59.85 | $105 | 0.8× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $580.26 | $1,018 | 4.5× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $974.70 | $1,710 | 2.0× |
| Niacin (84591) | $71.82 | $126 | 4.2× |
| Nickel level (83885) | $42.18 | $74 | 1.7× |
| Nras gene variants exon 2&3 (81311) | $621.87 | $1,091 | 2.1× |
| Nuclear antigen antibody (86235) | $66.69 | $117 | 3.7× |
| Occult blood feces (82272) | $19.38 | $34 | 4.6× |
| Occult Blood Other Sources (82271) | $13.11 | $23 | 2.5× |
| Osmolality serum (83930) | $39.33 | $69 | 6.0× |
| Osmolality Urine (83935) | $40.47 | $71 | 5.9× |
| Ova and parasites smears (87177) | $33.06 | $58 | 3.7× |
| Oxalate urine (83945) | $58.71 | $103 | 4.1× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$30.78–$53.01 | $54–$93 | varies |
| Parvovirus antibody (86747) | $43.89 | $77 | 2.9× |
| Path Clin Consltj Mod 21-40 (80504) | $278.16 | $488 | 1.7× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $467.40 | $820 | 0.6× |
| Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) | $278.16 | $488 | 1.7× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $88.35 | $155 | 1.7× |
| Pathology Consultation During Surgery (88329) | $100.89 | $177 | 1.8× |
| Ph urine (81003) | $19.95 | $35 | 8.9× |
| Phenobarbital Level (80184) | $41.04 | $72 | 2.7× |
| Phenotype Infect Agent Drug (87900) | $259.92 | $456 | 2.0× |
| Phenytoin (Dilantin) (80185) | $63.84 | $112 | 4.8× |
| Phenytoin free (80186) | $41.61 | $73 | 3.0× |
| Phosphatase alkaline (84075) | $19.95 | $35 | 3.9× |
| Phospholipid Neutralization Hexagonal (85598) | $54.72 | $96 | 3.0× |
| Phosphorus Serum (84100) | $22.80 | $40 | 4.8× |
| Phosphorus urine (84105) | $24.51 | $43 | 4.2× |
| Pinworm exam (87172) | $17.10 | $30 | 4.0× |
| Platelet Aggregation (85576) | $75.81 | $133 | 3.0× |
| Platelet Antibodies (86022) | $164.73 | $289 | 9.0× |
| Platelet count automated (85049) | $17.67 | $31 | 3.9× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $458.85 | $805 | 2.2× |
| Porphobilinogen, urine; quantitative (84110) | $48.45 | $85 | 5.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $64.98 | $114 | 4.4× |
| Potassium Urine (84133) | $20.52 | $36 | 4.3× |
| Prealbumin (84134) | $76.38 | $134 | 5.2× |
| Pregnenolone (84140) | $63.27 | $111 | 3.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $57 | $100 | 1.0× |
| Primidone (80188) | $49.59 | $87 | 3.0× |
| Procalcitonin (Pct) (84145) | $94.62 | $166 | 3.5× |
| Progesterone (84144) | $66.12 | $116 | 3.2× |
| Prolactin (84146) | $113.43 | $199 | 5.9× |
| Prostaglandin (84150) | $258.78 | $454 | 6.2× |
| Protein body fluid (84157) | $31.35 | $55 | 7.8× |
| Protein C Activity (85303) | $43.89 | $77 | 3.2× |
| Protein Electrophoresis Urine (84166) | $63.84 | $112 | 3.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $51.87 | $91 | 4.8× |
| Protein S Free (85306) | $64.41 | $113 | 4.2× |
| Protein s total (85305) | $62.70 | $110 | 5.4× |
| Protein total serum (84155) | $14.25 | $25 | 3.9× |
| Protein Total Urine (84156) | $27.93 | $49 | 7.6× |
| Protein Western Blot Test (84182) | $50.16 | $88 | 1.7× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $11.97 | $21 | 3.0× |
| PSA free (84154) | $65.55 | $115 | 3.6× |
| Pth Intact (83970) | $144.21 | $253 | 3.5× |
| Quantiferon tb gold plus (86480) | $106.02 | $186 | 1.7× |
| Quantitative assay drug (80299) | $31.92 | $56 | 1.7× |
| Quantitative Screen Metals (83018) | $61.56 | $108 | 2.8× |
| Rbc antibody elution (86860) | $98.61 | $173 | 0.6× |
| Rbc antibody identification (86870) | $205.77 | $361 | 0.6× |
| Rbc antibody screen (86850) | $86.64 | $152 | 8.9× |
| Rbc pretreatment serum (86978) | $52.44 | $92 | 0.9× |
| Renin activity plasma (84244) | $78.66 | $138 | 3.6× |
| Resp virus 12-25 targets (87633) | $482.79 | $847 | 1.2× |
| Resp Virus 6-11 Targets (87632) | $624.15 | $1,095 | 2.9× |
| Reticulated Platelet Assay (85055) | $60.99 | $107 | 1.7× |
| Reticulocyte Count (85046) | $37.62 | $66 | 6.8× |
| Rh (86901) | $22.80 | $40 | 7.6× |
| Rheumatoid factor quant (86431) | $34.20 | $60 | 6.0× |
| Rickettsia antibody (86757) | $68.97 | $121 | 3.6× |
| Ristocetin cofactor (85245) | $70.68 | $124 | 3.1× |
| Rotavirus ag eia (87425) | $43.32 | $76 | 3.6× |
| Rpr qualitative (86592) | $26.22 | $46 | 6.1× |
| Rsv Assay W/Optic (87807) | $43.32 | $76 | 3.3× |
| Rubella Antibody (86762) | $52.44 | $92 | 3.6× |
| Rubeola antibody (86765) | $63.84 | $112 | 5.0× |
| Russell Viper Venom Time Diluted (85613) | $28.50 | $50 | 3.0× |
| Salicylate Level (80179) | $33.06 | $58 | 1.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $110.01 | $193 | 2.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $90.63 | $159 | 2.2× |
| Sarscov2 & inf a&b amp prb (87636) | $239.40 | $420 | 1.7× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $395.01 | $693 | 2.8× |
| Sedimentation Rate, Automated (85652) | $11.40 | $20 | 4.2× |
| Selenium (84255) | $91.20 | $160 | 3.6× |
| Semen Anal Sperm Detection (89321) | $20.52 | $36 | 1.7× |
| Semen analysis motility and count (89310) | $29.07 | $51 | 3.4× |
| Sensitivity mic (87186) | $52.44 | $92 | 6.1× |
| Sex Hormone Binding Globulin (84270) | $64.41 | $113 | 3.0× |
| Sickling of rbc reduction (85660) | $17.10 | $30 | 3.1× |
| Sirolimus (80195) | $65.55 | $115 | 4.8× |
| Skin test tuberculosis intradermal (86580) | $20.63 | $36.20 | 0.7× |
| Smear acid fast (87206) | $35.91 | $63 | 6.7× |
| Smear complex stain (87209) | $63.84 | $112 | 3.6× |
| Smear gram stain (87205) | $33.06 | $58 | 7.7× |
| Smear Special Stain (87207) | $22.80 | $40 | 3.8× |
| Smn1 Gene Dos/Deletion Alys (81329) | $234.27 | $411 | 1.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $33.63 | $59 | 5.8× |
| Snrpn/Ube3a Methylation Analysis (81331) | $221.16 | $388 | 4.3× |
| Sodium Serum (84295) | $19.38 | $34 | 4.0× |
| Sodium Urine (84300) | $23.94 | $42 | 4.7× |
| Soluble Transferrin Receptor (84238) | $62.70 | $110 | 1.7× |
| Somatomedin (84305) | $220.59 | $387 | 10.4× |
| Special Stains Group 1 (88312) | $125.40 | $220 | 2.5× |
| Special Stains Group 2 (88313) | $74.10 | $130 | 0.6× |
| Specific gravity body fluid (84315) | $7.41 | $13 | 2.3× |
| Specimen infect agnt concntj (87015) | $25.08 | $44 | 3.8× |
| Spectrophotometry (84311) | $27.36 | $48 | 3.4× |
| Staph a DNA amp probe (87640) | $108.87 | $191 | 3.1× |
| Stool cultr aerobic bact ea (87046) | $29.07 | $51 | 3.1× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$37.62–$43.32 | $66–$76 | varies |
| Strep b DNA amp probe (87653) | $118.56 | $208 | 3.4× |
| Sugars Single Qual (84376) | $17.10 | $30 | 3.1× |
| Sulfate urine (84392) | $22.80 | $40 | 4.2× |
| Surg path level iii (88304) | $83.22 | $146 | 1.6× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$124.83–$385.32 | $219–$676 | varies |
| Surgical pathology level vi (88309) | $478.80 | $840 | 0.6× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $18.24 | $32 | 3.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $26.79 | $47 | 3.6× |
| Syphilis Test Non-Trep Quant (86593) | $14.25 | $25 | 3.2× |
| T cells absolute cd4 count (86361) | $95.19 | $167 | 3.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $160.74 | $282 | 3.4× |
| T cells total count (86359) | $127.68 | $224 | 3.4× |
| T3 Free (84481) | $50.16 | $88 | 3.0× |
| T3 reverse (84482) | $23.37 | $41 | 1.5× |
| T3 Total (84480) | $51.87 | $91 | 3.7× |
| T3 Uptake (84479) | $22.23 | $39 | 3.4× |
| T4 Free (84439) | $50.16 | $88 | 5.6× |
| T4 total (84436) | $38.19 | $67 | 5.6× |
| Tacrolimus (80197) | $40.47 | $71 | 2.9× |
| Tb ag response t-cell susp (86481) | $213.18 | $374 | 2.1× |
| Test for acetone/ketones (82009) | $25.08 | $44 | 5.5× |
| Test for urine cystines (82615) | $16.53 | $29 | 1.7× |
| Testosterone Bioavailable (84410) | $87.78 | $154 | 1.7× |
| Testosterone total (84403) | $124.83 | $219 | 4.8× |
| Testosterone, Free (84402) | $75.24 | $132 | 3.0× |
| Theophylline (80198) | $51.30 | $90 | 3.6× |
| Thrombin Time (85670) | $40.47 | $71 | 7.0× |
| Thromboplastin Inhibition Tissue (85705) | $18.24 | $32 | 1.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $21.09 | $37 | 3.3× |
| Thyroglobulin (84432) | $57.57 | $101 | 3.6× |
| Thyroglobulin Antibody (86800) | $46.74 | $82 | 2.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $122.55 | $215 | 2.4× |
| Thyroxine binding globulin (84442) | $43.32 | $76 | 2.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $75.24 | $132 | 6.5× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$238.83–$257.07 | $419–$451 | varies |
| Tissue Culture Lymphocyte (88230) | $242.25 | $425 | 2.1× |
| Topiramate (80201) | $67.83 | $119 | 5.7× |
| Touch prep (88161) | $38.19 | $67 | 1.4× |
| Toxoplasma ab igm (86778) | $46.74 | $82 | 3.2× |
| Toxoplasma antibody (86777) | $52.44 | $92 | 3.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $19.95 | $35 | 3.9× |
| Transferrin (84466) | $46.74 | $82 | 3.7× |
| Trichomonas Vaginalis Amplif (87661) | $59.85 | $105 | 1.7× |
| Triglycerides (84478) | $21.66 | $38 | 3.8× |
| Troponin Quant (84484) | $87.78 | $154 | 7.0× |
| Tumor immunohistochem/comput (88361) | $573.42 | $1,006 | 1.6× |
| Tumor Immunohistochem/Manual (88360) | $160.17 | $281 | 1.0× |
| Urea nitrogen urine (84540) | $18.24 | $32 | 3.3× |
| Uric acid other source (84560) | $22.80 | $40 | 4.5× |
| Urinalysis Microscopic Only (81015) | $5.70 | $10 | 1.9× |
| Urinalysis Volume Measure (81050) | $11.97 | $21 | 3.3× |
| Urine Bacteria Culture (87088) | $30.78 | $54 | 3.8× |
| Urine Pregnancy Test (81025) | $24.51 | $43 | 2.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $26.79 | $47 | 8.5× |
| Valproic acid (80164) | $76.95 | $135 | 5.7× |
| Vancomycin (80202) | $83.22 | $146 | 6.1× |
| Varicella-zoster antibody (86787) | $33.63 | $59 | 2.6× |
| Vasopressin (84588) | $99.18 | $174 | 2.9× |
| Virus antibody nos (86790) range across 3 matching MRF lines |
$18.24–$43.89 | $32–$77 | varies |
| Virus inoculation, shell via (87254) | $58.71 | $103 | 3.0× |
| Viscosity serum (85810) | $41.61 | $73 | 3.6× |
| Vit D 1 25-Dihydroxy (82652) | $135.09 | $237 | 3.5× |
| Vitamin A (84590) | $75.24 | $132 | 6.5× |
| Vitamin b-12 (82607) | $61.56 | $108 | 4.1× |
| Vitamin B2 (Riboflavin) (84252) range across 2 matching MRF lines |
$41.61–$162.45 | $73–$285 | varies |
| Vitamin B6 (84207) | $177.84 | $312 | 6.3× |
| Vitamin c (82180) | $26.79 | $47 | 2.7× |
| Vitamin D 25-Hydroxy (82306) | $127.11 | $223 | 4.3× |
| Vitamin E (84446) | $52.44 | $92 | 3.7× |
| Vitamin K (84597) | $40.47 | $71 | 2.9× |
| Volatiles (84600) | $155.04 | $272 | 9.1× |
| Von willebrand factor ag (85246) | $71.82 | $126 | 3.1× |
| West nile virus ab igm (86788) | $37.62 | $66 | 2.2× |
| West Nile Virus Antibody (86789) | $45.03 | $79 | 3.1× |
| Zinc (84630) | $38.19 | $67 | 3.4× |
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.