Lab & pathology prices at Ascension Columbia St. Mary's Hospital - Milwaukee Campus

Milwaukee, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $38.16 $72 3.4×
Abl1 gene analysis kinase domain variants (81170) $567.63 $1,071 1.9×
Acetylcholine receptor binding antibody (86041) $29.15 $55 1.6×
Acetylcholine receptor blocking antibody (86042) $29.15 $55 1.6×
Actin smooth muscle antibody each (86015) $12.19 $23 1.0×
Acute hepatitis panel (80074) $433.01 $817 9.1×
Acylcarnitines Quant (82017) $222.60 $420 13.2×
Acylcarnitines; qualitative, each specimen Facility (82016) $118.72 $224 7.2×
Adenovirus antibody (86603) $74.73 $141 5.8×
Agglutinins Febrile Each Antigen (86000) $11.66 $22 1.7×
Albumin Fluid (82042) $49.29 $93 6.3×
Albumin serum (82040) $41.34 $78 8.4×
Aldolase (82085) $69.96 $132 7.2×
Aldosterone urine (82088) $209.35 $395 5.1×
Alkaline phosphatase isoenzymes (84080) $103.35 $195 7.0×
Allergen specific ige (86003) $29.15 $55 5.6×
Allergen specific igg (86001) $19.61 $37 2.5×
Allg Spec Ige Recomb Ea (86008) $29.15 $55 1.6×
Alpha-1-antitrypsin phenotype (82104) $75.26 $142 5.2×
Alpha-1-antitrypsin total (82103) $142.04 $268 10.6×
Alpha-Fetoprotein Amniotic Fluid (82106) $133.56 $252 7.9×
Alpha-Fetoprotein Serum (82105) $109.71 $207 6.5×
Alt (sgpt) (84460)
range across 3 matching MRF lines
$34.45–$53 $65–$100 varies
Aluminum (82108) $144.16 $272 5.7×
Amikacin trough (80150) $112.89 $213 7.5×
Amino Acids 1 Quantitative Each Specimen (82131) $142.04 $268 6.2×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $152.64 $288 9.0×
Amino Acids Multiple Qualitative Each Specimen (82128) $120.31 $227 8.7×
Aminolevulinic acid (ala) (82135) $122.43 $231 7.4×
Ammonia (82140) $102.82 $194 7.1×
Amniotic fluid protein test on cervicovaginal fluid (84112) $288.85 $545 2.9×
Amylase urine (82150) $53.53 $101 8.3×
Ana Titer (86039) $115.01 $217 10.3×
Analysis skeletal muscle (88355) $583.53 $1,101 3.4×
Anca screen each antibody (86036) $50.88 $96 4.2×
Anca Titer Each Antibody (86037) $19.08 $36 1.6×
Androstenedione (82157) $196.63 $371 6.7×
Angiotensin converting enzyme csf (82164) $106.53 $201 7.3×
Anti-Phospholipid Antibody (86148) $41.87 $79 2.6×
Antibody aspergillus (86606) $61.48 $116 4.1×
Antibody Bacterium Not Elsewhere Specified (86609) $53.53 $101 4.2×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 2 matching MRF lines
$137.27–$140.98 $259–$266 varies
Antibody Cytomegalovirus Cmv Igm (86645) $61.48 $116 3.6×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663)
range across 2 matching MRF lines
$21.20–$85.33 $40–$161 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $100.17 $189 6.6×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $118.72 $224 6.5×
Antibody Fungus Not Elsewhere Specified (86671) $45.58 $86 3.7×
Antibody helicobacter pylori (86677) $48.23 $91 2.9×
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 2 matching MRF lines
$92.75–$94.34 $175–$178 varies
Antibody Herpes Smplx Type 1 (86695) $100.17 $189 7.6×
Antibody HIV-1&HIV-2 single result (86703) $106 $200 7.7×
Antibody HIV-2 (86702) $87.98 $166 6.5×
Antibody htlv/HIV antibody confirmatory test (86689) $126.67 $239 6.5×
Antibody identification leukocyte antibodies (86021) $131.44 $248 8.7×
Antibody Identification Platelet Immunogl Assay (86023) $133.56 $252 10.7×
Antibody Lymphocytic Choriomeningitis (86727) $20.67 $39 1.6×
Antibody Protozoa Nes (86753)
range across 2 matching MRF lines
$20.67–$79.50 $39–$150 varies
Antibody Titer (86886) $137.27 $259 26.5×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$21.20–$54.06 $40–$102 varies
Antibody; campylobacter (86625) $22.26 $42 1.7×
Antibody; encephalitis, st. louis (86653) $21.20 $40 1.6×
Antibody; influenza virus (86710) $22.26 $42 1.6×
Antigen typing (86905) $190.80 $360 49.8×
Antinomyces antibody (86602) $16.43 $31 1.6×
Antinuclear antibodies (86038) $110.77 $209 9.2×
Antistreptolysin O Screen (86063) $10.07 $19 1.7×
Antistreptolysin o titer (86060) $77.91 $147 10.7×
Antithrombin iii activity (85300) $126.67 $239 10.7×
Antithrombin iii antigen (85301) $18.02 $34 1.7×
Aortic dysfunction/dilation dup/del analysis (81411) $4,850.03 $9,151 3.6×
Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) $7,488.90 $14,130 14.9×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$33.39–$101.23 $63–$191 varies
Arsenic (82175) $151.05 $285 8.0×
Aspergillus ag eia (87305) $214.65 $405 17.9×
Assay activated protein c (85307) $152.11 $287 9.9×
Assay Blood Carbon Dioxide (82374) $41.34 $78 8.5×
Assay Nephelometry Not Spec (83883)
range across 3 matching MRF lines
$88.51–$182.32 $167–$344 varies
Assay of 5-hiaa (83497) $93.28 $176 7.2×
Assay of anti-mullerian hormone (82166) $61.48 $116 1.6×
Assay of b-hexosaminidase each assay (83080) $1,316.52 $2,484 78.0×
Assay of blood/uric acid (84550) $46.64 $88 10.3×
Assay of calcium in urine (82340) $57.24 $108 9.5×
Assay of cpk in blood (82552) $106 $200 7.9×
Assay of estrone (82679) $213.59 $403 8.6×
Assay of g6pd enzyme (82955) $71.55 $135 7.4×
Assay of gammaglobulin igm (82784)
range across 5 matching MRF lines
$63.07–$89.04 $119–$168 varies
Assay of lactic acid (83605) $71.55 $135 6.2×
Assay of manganese (83785) $183.91 $347 6.9×
Assay of metanephrines (83835) $181.26 $342 10.7×
Assay of proinsulin (84206) $121.37 $229 4.5×
Assay of semen fructose (82757) $53 $100 3.1×
Assay of serotonin (84260) $165.36 $312 5.3×
Assay of serum potassium (84132) $37.63 $71 7.9×
Assay of sweat sodium (84302) $36.04 $68 7.4×
Assay of Tyrosine (84510) $68.37 $129 6.4×
Assay of urea nitrogen (84520) $39.75 $75 10.1×
Assay of urine vma (84585) $113.42 $214 7.3×
Assay of vasoactive intestinal peptide (84586) $135.15 $255 3.8×
Assay of vitamin b-1 (84425) $189.74 $358 8.9×
Assay Ph Body Fluid Nos (83986) $28.09 $53 7.8×
Assay spec xcp ur&breath ia (82077) $73.14 $138 4.2×
Autol Bld/Component Collj Storage Predeposited (86890) $376.30 $710 2.2×
Autol bld/component collj storage salvage (86891) $1,081.20 $2,040 1.3×
Automated Leukocyte Count (85048)
range across 2 matching MRF lines
$4.24–$27.03 $8–$51 varies
B cells total count (86355) $302.10 $570 8.0×
Bacterial antigens 87802 (87802) $20.67 $39 1.6×
Bartonella antibody (86611) $50.88 $96 5.0×
Bcr/abl1 gene major bp (81206) $546.96 $1,032 3.3×
Bcr/abl1 gene minor bp (81207) $485.48 $916 3.4×
Beta 2 glycoprotein i antibody each (86146) $78.97 $149 3.1×
Beta hydroxybutyrate (82010) $68.37 $129 8.4×
Beta Lactamase (87185) $30.21 $57 6.4×
Beta-2 Microglobulin (82232) $137.80 $260 8.5×
Bile acids total (82239) $97.52 $184 5.7×
Bilirubin direct (82248) $47.17 $89 9.4×
Bilirubin total (82247) $47.17 $89 9.4×
Bilirubin total transcutaneous (88720) $16.96 $32 3.4×
Biotinidase (82261) $93.81 $177 5.6×
Blastomyces antibody (86612) $57.77 $109 4.5×
Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) $82.15 $155 1.6×
Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) $45.05 $85 1.5×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $258.64 $488 1.5×
Bld Typing Serologic Rh Phnt (86906) $71.55 $135 9.2×
Blood Count Automated Differential Wbc Count (85004) $42.40 $80 6.6×
Blood Count Manual Cell Count Each (85032) $31.27 $59 7.3×
Blood count reticulocyte automated (85045) $22.79 $43 5.7×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $36.57 $69 9.6×
Blood count spun microhematocrit (85013) $20.14 $38 2.9×
Blood gas (82803) $135.68 $256 5.2×
Blood gases w/02 saturation (82805) $155.29 $293 2.0×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $83.21 $157 5.2×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 2 matching MRF lines
$16.96–$27.03 $32–$51 varies
Blood Type Antigen Donor Reagent Serum Each (86902) $190.80 $360 30.0×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $92.75 $175 5.7×
Blood typing serologic abo (86900) $67.84 $128 22.7×
Body fluid cell count (89050) $58.30 $110 12.4×
Bone marrow smear interpretation (85097) $434.60 $820 0.5×
Bordetella antibody (86615) $128.79 $243 9.8×
Braf gene analysis (81210) $780.69 $1,473 4.5×
C diff amplified probe (87493)
range across 2 matching MRF lines
$59.36–$191.33 $112–$361 varies
C-Peptide (84681) $43.46 $82 2.1×
C-reactive protein (86140) $54.06 $102 10.4×
Ca 19-9 (86301) $135.68 $256 6.5×
Cadmium (82300) $172.78 $326 7.3×
Caffeine (80155) $114.48 $216 3.0×
Calcitonin (82308) $200.34 $378 7.5×
Calcium ionized (82330) $81.09 $153 5.9×
Calcium total (82310) $41.87 $79 8.1×
Calculus assay quant (82360) $138.86 $262 10.8×
Calculus Spectroscopy (82365) $89.04 $168 6.9×
Calprotectin Fecal (83993) $704.37 $1,329 35.9×
Calr gene com variants (81219) $1,319.70 $2,490 10.9×
Cancer Antigen 125 (86304) $139.39 $263 6.7×
Cancer Antigen 27.29 (86300) $155.29 $293 7.5×
Candida antibody (86628) $50.35 $95 4.2×
Candida Dna Dir Probe (87480) $51.41 $97 2.6×
Carbamazepine free (80157) $88.51 $167 6.7×
Carbamazepine total (80156) $121.37 $229 8.3×
Carbohydrate Deficient Transferrin (82373) $692.71 $1,307 38.4×
Carboxyhemoglobin (82375) $81.09 $153 6.6×
Carcinoembryonic antigen (82378) $157.94 $298 8.3×
Cardiolipin ab iga (86147) $61.48 $116 2.4×
Carnitine Quantitative Each Specimen (82379) $222.60 $420 13.2×
Carotene (82380) $68.90 $130 7.5×
Catecholamines fractionated (82384) $170.66 $322 6.8×
Ccp antibody (86200) $88.51 $167 6.8×
Cebpa Gene Analysis Full Gene Sequence (81218) $283.02 $534 1.2×
Cell count csf (89051) $58.30 $110 10.4×
Cell marker study (88182) $125.61 $237 2.4×
Ceruloplasmin (82390) $88.51 $167 8.2×
Cftr gene com variants (81220) $2,010.82 $3,794 3.6×
Cftr gene full sequence (81223) $3,733.32 $7,044 7.5×
Chemiluminescent assay (82397) $71.02 $134 5.0×
Chlamydia antibody (86631) $49.29 $93 4.2×
Chlamydia Igm Antibody (86632) $49.29 $93 3.9×
Chloramphenicol level (82415) $94.34 $178 7.4×
Chloride other source (82438) $40.28 $76 8.1×
Chloride Serum (82435) $37.63 $71 8.2×
Chloride urine (82436) $38.16 $72 6.6×
Cholesterol total (82465) $40.28 $76 9.3×
Cholinesterase Serum (82480) $59.89 $113 7.6×
Chorionic gonadotropin test (84702) $155.29 $293 10.3×
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $611.09 $1,153 3.2×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $112.89 $213 3.4×
Chrmsm Analysis Addl Specialized Banding (88283) $85.33 $161 1.2×
Chromium serum (82495) $53.53 $101 2.6×
Chromogranin a (86316) $121.90 $230 5.9×
Chromosome analys amniotic (88269) $1,978.49 $3,733 11.4×
Chromosome Analysis 20-25 (88264) $679.99 $1,283 4.7×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $198.75 $375 5.7×
Citric acid urine (82507) $209.88 $396 7.5×
Ckmb (82553) $51.94 $98 4.5×
Clostridium Difficile (87324) $102.29 $193 8.5×
Clot Factor VIII Multimetric (85247) $156.88 $296 6.8×
Clotting factor xii hageman (85280) $144.16 $272 7.5×
Clotting Funct Activity (85397) $89.57 $169 2.9×
Cns DNA amp probe type 12-25 (87483) $1,571.45 $2,965 3.8×
Coagulation time activated (85347) $34.45 $65 8.0×
Coccidioides antibody (86635) $54.06 $102 4.7×
Cold agglutinin screen (86156) $51.94 $98 6.4×
Cold agglutinin titer (86157) $61.48 $116 7.6×
Collagen crosslinks (82523) $116.07 $219 6.2×
Column Chromotography Quant (82542)
range across 8 matching MRF lines
$114.48–$1,620.21 $216–$3,057 varies
Comparative Anal Str Markers Patient&Comp Spec (81265) $835.28 $1,576 3.6×
Compatibility test antiglob (86922) $122.43 $231 0.7×
Complement Antigen Each Component (86160) $98.58 $186 8.2×
Complement Total (Ch50) (86162) $162.71 $307 8.0×
Complement/Function Activity (86161) $123.49 $233 10.3×
Consltj Compre Review Reprt Referred Matrl (88325) $359.87 $679 2.1×
Consltj&Reprt Material Requiring Prepj Slides (88323) $391.67 $739 7.4×
Consltj&Reprt Slides Prepared Elsewhere (88321) $200.34 $378 5.3×
Coombs direct (86880) $91.16 $172 16.9×
Copper urine (82525) $98.05 $185 7.9×
Cortisol free (82530) $139.39 $263 8.3×
Cortisol saliva (82533) $137.27 $259 8.4×
Creatine (82540) $30.21 $57 6.5×
Creatine kinase total (82550) $53.53 $101 8.2×
Creatinine blood (82565) $40.81 $77 8.0×
Creatinine clearance (82575) $100.70 $190 10.6×
Creatinine Urine (82570) $41.87 $79 8.1×
Crossmatch electronic (86923) $109.18 $206 0.6×
Crossmatch immediate spin (86920) $109.18 $206 0.6×
Crp High Sensitivity (86141) $103.35 $195 8.0×
Cryofibrinogen (82585) $52.47 $99 3.7×
Cryoglobulin (82595) $50.35 $95 7.8×
Cryptococcus ab (86641) $42.40 $80 2.9×
Cryptococcus ag titer (87899) $47.17 $89 2.9×
Cryptosporidium (87272) $77.91 $147 6.5×
Cryptosporidium ag eia (87328) $91.16 $172 6.6×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 6 matching MRF lines
$30.74–$57.77 $58–$109 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $74.73 $141 9.2×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $71.55 $135 9.3×
Culture aerobic quant other (87071) $66.78 $126 6.8×
Culture afb (87116) $115.01 $217 10.6×
Culture Anaerobic (87075) $87.98 $166 9.3×
Culture bacteria anaerobic (87073) $66.78 $126 6.9×
Culture blood (87040) $85.33 $161 8.3×
Culture chlamydia (87110) $100.17 $189 5.1×
Culture csf (87070)
range across 3 matching MRF lines
$13.78–$91.69 $26–$173 varies
Culture fungus (87102) $77.91 $147 9.3×
Culture fungus blood (87103) $96.46 $182 4.7×
Culture screen only (87081) $61.48 $116 9.3×
Culture stool (87045) $84.80 $160 9.0×
Culture typing if ea antiserum (87140) $28.62 $54 5.1×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $43.46 $82 8.4×
Culture typing other methods (87158) $49.29 $93 6.4×
Culture urine (87086) $64.66 $122 8.0×
Cyanide (82600) $166.42 $314 8.6×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $100.17 $189 7.0×
Cyclosporine (80158) $151.05 $285 8.4×
Cystatin C (82610) $266.59 $503 14.4×
Cytogenetics 100-300 (88275) $36.57 $69 0.7×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,927.61 $3,637 1.7×
Cytomegalovirus igg (86644) $104.94 $198 7.3×
Cytopath C/V Index Add-On (88155) $45.58 $86 3.1×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $33.92 $64 1.7×
Cytopath Cell Enhance Tech (88112) $195.57 $369 3.7×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) $79.50 $150 1.9×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $185.50 $350 7.0×
Cytp Concentration Smears & Interpretation (88108) $193.45 $365 5.1×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $266.06 $502 5.0×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $161.12 $304 0.9×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $101.76 $192 2.7×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $430.36 $812 2.5×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $84.80 $160 4.6×
Cytp smrs any oth src extnd std > 5 slides (88162) $179.14 $338 3.4×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $116.07 $219 4.0×
Cytp Urine 3-5 Probes Cmptr (88121) $483.89 $913 2.8×
Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) $65.19 $123 6.1×
Deoxyribonuclease antibody (86215) $111.30 $210 8.4×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines
$224.72–$230.02 $424–$434 varies
Detect Agent Nos Dna Quant (87799) $39.75 $75 0.9×
Detect agnt mult DNA ampli (87801) $1,213.70 $2,290 17.3×
Dgp Antibody Each Ig Class (86258) $7.42 $14 0.6×
Dhea (82626) $171.72 $324 6.8×
Dhea-S (82627) $156.88 $296 7.1×
Dibucaine number (82638) $91.69 $173 7.5×
Digoxin (80162) $84.80 $160 6.4×
Dihydrotestosterone (82642) $29.15 $55 1.0×
Diphtheria antitoxoid (86648) $51.41 $97 3.4×
Dipropylacetic Acid Free (80165)
range across 2 matching MRF lines
$10.07–$22.26 $19–$42 varies
Dna Antibody Native/Double Stranded (86225) $111.30 $210 8.1×
Dna Antibody Single Stranded (86226) $111.30 $210 9.2×
Dna/Rna Amplified Probe (87150) $124.02 $234 3.5×
DNA/RNA direct probe (87149) $130.91 $247 6.5×
Dna/Rna Sequencing (87153) $351.39 $663 3.0×
Drug assay acetaminophen (80143) $153.17 $289 8.2×
Drug Assay Amiodarone (80151) $23.32 $44 1.3×
Drug Assay Everolimus (80169) $413.40 $780 30.1×
Drug assay felbamate (80167) $34.98 $66 1.9×
Drug Assay Itraconazole (80189) $50.35 $95 1.9×
Drug Assay Lacosamide (80235) $113.42 $214 4.2×
Drug assay voriconazole (80285) $265 $500 9.8×
Drug Screen Quant Clozapine (80159) $127.20 $240 6.3×
Drug Screen Quant Zonisamide (80203) $78.97 $149 6.0×
Drug Screen Quantitative Gabapentin (80171) $127.20 $240 5.9×
Drug Screen Quantitative Lamotrigine (80175) $127.20 $240 9.6×
Drug Screen Quantitative Levetiracetam (80177) $127.20 $240 9.6×
Drug Screen Quantitative Oxcarbazepine (80183) $91.16 $172 6.9×
Drug Screen Quantitative Procainamide Metabolite (80192) $155.29 $293 9.3×
Drug Test Prsmv Chem Anlyzr (80307)
range across 6 matching MRF lines
$68.37–$668.86 $129–$1,262 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 2 matching MRF lines
$68.37–$69.96 $129–$132 varies
Egfr Gene Analysis Common Variants (81235) $5,233.75 $9,875 16.1×
Ehrlichia antibody (86666) $66.25 $125 6.5×
El-1 Fecal Quantitative (82653) $119.78 $226 5.2×
Electrolyte panel (80051) $74.73 $141 10.7×
Electron Microscopy (88348) $1,339.31 $2,527 1.6×
Encephaltis West Eqne Antbdy (86654) $21.20 $40 1.6×
Enterovirus Antibody (86658) $108.12 $204 8.3×
Enterovirus PCR (87498) $333.37 $629 9.5×
Enzyme cell activity (82657)
range across 2 matching MRF lines
$225.78–$335.49 $426–$633 varies
Enzyme histochemistry (88319) $484.95 $915 0.6×
Eosinophil Smear (89190)
range across 2 matching MRF lines
$9.54–$40.81 $18–$77 varies
Erythropoietin (82668) $134.62 $254 7.2×
Estradiol serum (82670) $158.47 $299 5.7×
Estriol (82677) $39.75 $75 1.6×
Estrogens fractionated (82671) $216.77 $409 6.7×
Ethosuximide (80168) $139.39 $263 8.5×
Ethylene Glycol (82693) $153.17 $289 10.3×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines
$31.80–$50.88 $60–$96 varies
F2 Gene (81240) $478.06 $902 7.3×
Factor ii activity (85210) $53.53 $101 4.1×
Factor Inhibitor Test (85335) $105.47 $199 8.2×
Factor ix activity (85250) $175.43 $331 9.2×
Factor v activity (85220) $162.18 $306 9.2×
Factor v leiden mutation (81241) $478.06 $902 6.5×
Factor vii assay (85230) $189.21 $357 10.6×
Factor viii assay (85240)
range across 2 matching MRF lines
$28.62–$191.33 $54–$361 varies
Factor X (85260) $164.30 $310 9.2×
Factor xi activity (85270) $164.30 $310 9.2×
Factor xiii screen (85291) $66.78 $126 7.3×
Fat/Lipids Feces Quantitative (82710) $139.39 $263 8.3×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $91.69 $173 11.9×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $59.89 $113 9.2×
Fecal Fat Qualitative (82705) $54.06 $102 10.6×
Ferritin (82728) $87.98 $166 6.5×
Fetal Chrmoml Aneuploidy (81420) $1,206.81 $2,277 1.6×
Fetal Chrmoml Microdeltj (81422) $1,206.81 $2,277 1.6×
Fetal Congenital Abnor Assay Four Anal (81511) $500.32 $944 3.3×
Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) $398.56 $752 7.2×
Fetal Fibronectin (82731) $465.34 $878 7.2×
Fetal hemoglobin assay qual (83033) $54.06 $102 6.8×
Fetal Lung Maturity Fluorescence Polarization (83663) $127.20 $240 6.7×
Fetal screen rosette (85461) $58.30 $110 6.2×
Fibrin degradation products (85362) $73.67 $139 10.7×
Fibrin Degradation Quant (85379) $86.92 $164 8.5×
Fibrinogen activity (85384) $69.96 $132 7.2×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $24.38 $46 1.6×
Flow cytometry first marker (88184) $190.80 $360 0.5×
Flt3 Gene (81245) $283.02 $534 1.7×
Fluorescent antibody screen (86255) $120.84 $228 10.0×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $84.80 $160 7.0×
Fmr1 gene detection (81243) $407.57 $769 7.1×
Folic acid rbc (82747) $96.99 $183 5.5×
Folic Acid Serum (82746) $120.84 $228 8.2×
Follicle Stimulating Hormone (83001) $158.47 $299 8.5×
Francisella tularensis (86668) $96.99 $183 6.8×
Fresh Frozen Plasma Thawing Each Unit (86927) $102.29 $193 0.6×
Frozen Section (88331) $280.37 $529 1.6×
Fungi Identification Mold (87107) $58.83 $111 5.7×
Fungi Identification Yeast (87106) $59.89 $113 5.8×
Galactose (82760) $96.46 $182 8.6×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $69.96 $132 3.3×
Galectin-3 (82777) $96.99 $183 2.2×
Gammaglobulin ige (82785) $133.56 $252 8.1×
Gardner vag DNA dir probe (87510) $51.41 $97 2.6×
Gases Blood O2 Saturation Only Direct Meas (82810) $72.08 $136 7.4×
Gases blood ph only (82800) $75.26 $142 6.8×
Gastrin (82941) $115.01 $217 6.5×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $4,396.88 $8,296 5.8×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $3,725.37 $7,029 1.3×
Genet Virus Isolate Hsv (87255) $54.06 $102 1.6×
Gentamicin (80170) $130.91 $247 8.0×
Ggt (82977) $36.04 $68 5.0×
Giardia antigen (87329) $84.27 $159 7.0×
Giardia lamblia antibody (86674) $64.13 $121 4.4×
Gluc-6-phosphate dehydrogenase screen (82960) $50.35 $95 8.3×
Glucagon (82943) $89.57 $169 6.3×
Glucose 2 hr pp (82950) $40.28 $76 8.5×
Glucose Blood Test (82962) $20.67 $39 6.3×
Glucose body fluid (82945)
range across 2 matching MRF lines
$6.36–$37.63 $12–$71 varies
Glucose Serum (82947) $41.34 $78 10.5×
Glucose tolerance test (gtt) (82951) $92.75 $175 7.2×
Glutathione (82978) $64.13 $121 4.2×
Glycated Protein (82985) $88.51 $167 5.3×
Gonadotropin Chorionic Hcg Free Beta Chain (84704) $54.59 $103 3.6×
Gonadotropin Chorionic Qualitative (84703) $78.97 $149 10.5×
Growth hormone (83003) $110.77 $209 6.6×
Gtt-added samples (82952) $29.15 $55 7.4×
H Pylori (C-13) Breath (83013)
range across 2 matching MRF lines
$294.15–$307.40 $555–$580 varies
H Pylori Drug Admin (83014) $24.91 $47 3.2×
Haloperidol (80173) $109.18 $206 6.9×
Haptoglobin (83010) $79.50 $150 6.3×
Hba1/Hba2 Gene (81257) $1,437.89 $2,713 14.1×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $407.57 $769 2.0×
Hbb Full Gene Sequence (81364) $496.61 $937 1.5×
Hdl Cholesterol (83718) $67.31 $127 8.2×
Helicobacter Pylori Stool (87338) $152.64 $288 10.6×
Helminth Antibody (86682) $96.46 $182 7.4×
Hematocrit (85014) $25.44 $48 10.7×
Hemoglobin (85018)
range across 2 matching MRF lines
$25.44–$25.97 $48–$49 varies
Hemoglobin a1c (83036) $84.27 $159 8.7×
Hemoglobin Chromotography (83021) $127.73 $241 7.1×
Hemoglobin electrophoresis (83020)
range across 2 matching MRF lines
$9.54–$49.29 $18–$93 varies
Hemoglobin Methemoglobin Quantitative (83050) $24.91 $47 3.0×
Hemoglobin plasma (83051) $31.27 $59 4.3×
Hemoglobin-Oxygen Affinity (82820) $66.78 $126 5.0×
Hemolysin Acid (85475) $65.19 $123 7.3×
Hemosiderin urine (83070) $41.87 $79 8.8×
Hep a ab igm (86709) $120.84 $228 10.7×
Heparin assay (85520) $98.58 $186 7.5×
Heparin Neutralization (85525) $37.10 $70 3.1×
Hepatitis a antibody total (86708) $126.14 $238 10.2×
Hepatitis b core ab igm (86705) $87.98 $166 7.5×
Hepatitis b core ab total (86704) $78.44 $148 6.5×
Hepatitis B Surface Antibody (86706) $91.69 $173 8.5×
Hepatitis B Surface Antigen (87340) $85.33 $161 8.3×
Hepatitis Be Antibody (86707) $75.79 $143 6.6×
Hepatitis Be Antigen (87350) $78.44 $148 6.8×
Hepatitis C Antibody (86803) $133.56 $252 9.4×
Hepatitis C Genotype (87902) $1,316.52 $2,484 5.1×
Hepatitis C Probe&Rvrs Trnsc (87521) $167.48 $316 4.8×
Hepatitis C Revrs Trnscrpj (87522) $296.27 $559 6.9×
Hepatitis d quantification (87523) $136.21 $257 3.2×
Hepatitis Delta Agent Antibody (86692) $112.89 $213 6.6×
Herpes simplex type 2 (86696) $137.27 $259 7.1×
Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) $54.06 $102 7.3×
Heterophile Antibody Screen (86308) $54.06 $102 10.4×
Hfe Gene (81256) $343.44 $648 5.3×
Hgb Quantitative Transcutaneous (88738) $10.60 $20 2.1×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $81.62 $154 10.6×
Histamine urine (83088) $219.42 $414 7.4×
Histoplasma antibody (86698) $73.67 $139 5.3×
Histoplasma antigen urine (87385) $96.99 $183 7.3×
Hiv Antigen W/Hiv Antibodies (87806) $63.07 $119 1.9×
Hiv Genotype (87901) $1,504.14 $2,838 5.8×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $156.35 $295 6.5×
Hiv-1 Antibody (86701) $58.30 $110 6.6×
Hiv-1 Quant&Revrse Trnscrpj (87536) $619.04 $1,168 7.3×
HIV-2 probe&revrse trnscripj (87538) $55.65 $105 1.6×
Hla class ii typing high resolution one locus ea (81382) $2,315.57 $4,369 18.7×
Hla I Low Resolution One Antigen Equivalent Each (81374) $118.19 $223 1.6×
Hla I Typing 1 Allele Hr (81381) $542.19 $1,023 3.2×
Hla ii typing 1 allele hr (81383) $851.71 $1,607 7.8×
Hla-b27 (86812) $275.07 $519 10.7×
Homocysteine (83090) $147.87 $279 8.3×
Homogenization Tissue (87176) $23.85 $45 4.1×
Homovanillic acid urine (83150) $74.73 $141 3.3×
Hpv High-Risk Types (87624) $226.31 $427 6.4×
Hpv Types 16 & 18 Only (87625) $234.79 $443 5.8×
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines
$55.65–$222.07 $105–$419 varies
Hsv Dna Quant (87530) $71.55 $135 1.7×
Htlv-I Antibody (86687) $14.31 $27 1.6×
Htlv-ii antibody (86688) $22.26 $42 1.6×
Hydroxycorticosteroids 17 (83491) $54.06 $102 3.0×
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines
$41.34–$176.49 $78–$333 varies
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $60.95 $115 5.9×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $113.95 $215 8.2×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $75.26 $142 2.1×
Iaad ia shiga-like toxin (87427) $81.62 $154 6.8×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $47.70 $90 4.0×
Iaadiadoo trichomonas vaginalis (87808) $25.44 $48 1.7×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $281.96 $532 8.0×
Iadna Candida Species Amplified Probe Tq (87481) $58.83 $111 1.7×
Iadna chlamydia pneumoniae amplified probe tq (87486) $55.65 $105 1.6×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $119.78 $226 5.3×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $279.31 $527 8.0×
Iadna Cytomegalovirus Quantification (87497) $306.87 $579 7.2×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $189.21 $357 2.7×
Iadna Hepatitis B Virus Quantification (87517) $279.31 $527 6.5×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $57.24 $108 1.6×
Iadna Multiple Organisms Direct Probe Tq (87800) $1,213.70 $2,290 27.8×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $192.39 $363 4.6×
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 2 matching MRF lines
$58.30–$230.02 $110–$434 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $198.75 $375 5.7×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $571.87 $1,079 4.0×
Idh1 common variants (81120) $283.02 $534 1.5×
Idh2 common variants (81121) $283.02 $534 1.0×
Ig Light Chains Free Each (83521) $20.14 $38 1.2×
Igg subclasses (82787) $33.39 $63 4.2×
Igh gene rearrange amp meth (81261) $1,868.25 $3,525 9.4×
Igh@ Variable Region Somatic Mutation Analysis (81263) $2,582.16 $4,872 8.8×
Ikbkap Gene Analysis Common Variants (81260) $62.54 $118 1.6×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $486.54 $918 1.3×
Immune Complex Assay (86332) $181.79 $343 7.5×
Immunfix e-phorsis/urine/csf (86335) $189.74 $358 6.5×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 5 matching MRF lines
$87.98–$2,908.64 $166–$5,488 varies
Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) $128.79 $243 5.0×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $111.83 $211 7.5×
Immunoassay nonantibody (83516)
range across 5 matching MRF lines
$91.69–$96.46 $173–$182 varies
Immunodiffusion Ouchterlony (86331) $85.33 $161 7.1×
Immunofixation electrophoresis (86334) $235.85 $445 10.6×
Immunofluorescence per spec 1st singl antb stain (88346)
range across 3 matching MRF lines
$129.85–$524.17 $245–$989 varies
Immunohistochemistry (88342)
range across 2 matching MRF lines
$90.10–$242.74 $170–$458 varies
In situ hybridization 1st probe stain (88365) $307.93 $581 1.8×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $186.03 $351 2.6×
Influenza a/b ag eia (87400)
range across 2 matching MRF lines
$22.26–$23.32 $42–$44 varies
Influenza assay w/optic (87804) $98.58 $186 6.0×
Influenza DNA amp probe (87502) $346.62 $654 3.6×
Inhibin A (86336) $17.49 $33 1.1×
Inhibin b (83520)
range across 2 matching MRF lines
$101.76–$106.53 $192–$201 varies
Insitu hybridization auto (88367) $488.13 $921 1.3×
Insitu hybridization manual (88368) $869.20 $1,640 2.4×
Insulin antibodies (86337) $159 $300 7.4×
Insulin total (83525) $73.67 $139 6.4×
Interleukin-6 (83529) $41.34 $78 2.4×
Intrinsic factor antibody (86340) $84.80 $160 5.6×
Iron (83540) $53.53 $101 8.3×
Iron Binding Capacity (83550) $68.90 $130 7.9×
Irradiation Blood Product Each Unit (86945) $108.65 $205 2.9×
Islet cell antibody (86341) $116.60 $220 4.9×
Jak2 gene analysis p.val617phe variant (81270) $1,144.27 $2,159 12.5×
Jak2 Gene Trgt Sequence Alys (81279) $622.22 $1,174 3.4×
Ketosteroids 17 total (83586) $96.46 $182 7.5×
Kit Gene Analysis Targeted Sequence Analysis (81272) $1,153.81 $2,177 3.5×
Koh Prep (87220) $6.89 $13 1.6×
Kras Gene Analysis Additional Variant(S) (81276) $1,774.97 $3,349 9.2×
Kras Gene Variants Exon 2 (81275) $2,457.08 $4,636 12.7×
Lactate (ld) (ldh) enzyme (83615) $55.65 $105 9.2×
Lactoferrin fecal qualitative (83630) $100.70 $190 5.1×
Lamellar Body Count (83664) $116.60 $220 6.0×
Ldh Isoenzymes (83625) $106 $200 8.3×
LDL direct (83721) $94.34 $178 9.0×
Lead (83655)
range across 3 matching MRF lines
$19.08–$100.17 $36–$189 varies
Legionella antibody (86713) $124.02 $234 8.1×
Legionella antigen urine (87449)
range across 4 matching MRF lines
$64.66–$545.90 $122–$1,030 varies
Legionella DNA probe (87540) $95.40 $180 4.8×
Legionella pneumophila dfa (87278) $127.20 $240 8.2×
Leucine Aminopeptidase Lap (83670) $68.37 $129 7.0×
Leukocyte Assessment Fecal (89055) $7.42 $14 1.7×
Leukocyte Histamine Release (86343) $52.47 $99 4.2×
Level I Surg Pathology Gross Examination Only (88300) $78.44 $148 2.7×
Level ii surg pathology gross&microscopic exam (88302) $164.30 $310 4.3×
Level V Surg Pathology Gross&Microscopic Exam (88307) $693.77 $1,309 1.9×
Lidocaine (80176) $127.20 $240 8.7×
Lipase (83690) $58.30 $110 8.5×
Lipoprotein A (83695) $116.60 $220 8.1×
Lipoprotein Bld Quan Part (83704) $334.43 $631 9.8×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $52.47 $99 1.5×
Lipoprotein-Associated Phospholipase A2 (83698) $228.96 $432 4.9×
Listeria Monocytogenes (86723) $22.26 $42 1.7×
Lithium (80178) $57.77 $109 8.7×
Luteinizing Hormone (Lh) (83002) $181.79 $343 9.8×
Lyme disease antibody (86618)
range across 2 matching MRF lines
$61.48–$116.60 $116–$220 varies
Lymphocyte transformation (86353) $357.22 $674 7.3×
Lysozyme serum (85549) $115.01 $217 6.1×
M. Genitalium Amp Probe (87563) $136.21 $257 3.9×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 2 matching MRF lines
$362.52–$869.20 $684–$1,640 varies
M/phmtrc alys ishquant/semiq (88374) $836.34 $1,578 4.9×
Macroscopic exam arthropod (87168) $65.19 $123 15.3×
Macroscopic Exam Parasite (87169) $34.45 $65 8.0×
Magnesium Urine (83735) $57.77 $109 8.6×
Mass Spectrometry Quant (83789)
range across 2 matching MRF lines
$14.31–$151.05 $27–$285 varies
Mercury urine (83825) $135.15 $255 8.3×
Metabolic panel ionized ca (80047) $69.96 $132 5.1×
Methotrexate (80204) $116.60 $220 3.0×
Methylmalonic acid serum (83921) $174.90 $330 8.2×
Mgmt methylation analysis (81287) $2,530.75 $4,775 20.3×
Microalbumin, quantitative (82043) $47.17 $89 8.2×
Microbe Suscept Macrobroth (87188) $47.17 $89 7.1×
Microsatellite instability (81301) $2,162.40 $4,080 6.2×
Microsomal Antibodies Each (86376) $43.99 $83 3.0×
Mitochondrial Antibody Each (86381) $14.31 $27 0.6×
Mlh1 Gene (81288) $1,475.52 $2,784 7.7×
Molecular Cytogenetics Dna Probe Each (88271) $135.68 $256 6.3×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $645.01 $1,217 15.2×
Mononuclear cell antigen (86356) $374.71 $707 14.0×
Mopath procedure level 1 (81400)
range across 2 matching MRF lines
$301.04–$994.81 $568–$1,877 varies
Mopath procedure level 2 (81401) $140.45 $265 1.0×
Mopath procedure level 4 (81403) $1,319.70 $2,490 7.1×
Mopath procedure level 5 (81404) $2,259.92 $4,264 8.2×
Morphometric analysis nerve (88356) $583.53 $1,101 11.1×
Morphometric Analysis Tumor (88358) $583.53 $1,101 3.4×
Mrsa Pcr (87641) $230.02 $434 6.6×
Mthfr Gene Analysis Common Variants (81291) $430.36 $812 6.6×
Mumps antibody (86735)
range across 2 matching MRF lines
$20.67–$110.77 $39–$209 varies
Muscle-Specific Kinase Antb (86366) $29.15 $55 1.6×
Mycobacteric Identification (87118) $115.54 $218 7.9×
Mycophenolic Acid (80180) $25.44 $48 1.4×
Mycoplasma antibody (86738) $113.95 $215 8.6×
Mycoplasma culture (87109) $83.21 $157 5.4×
Myd88 Gene P.Leu265pro Vrnt (81305) $283.02 $534 1.6×
Myelin basic protein csf (83873) $122.96 $232 7.1×
Myoglobin urine (83874) $106.53 $201 8.2×
Natriuretic peptide (83880)
range across 3 matching MRF lines
$29.68–$176.49 $56–$333 varies
Neisseria Dir Na Probe (87590)
range across 2 matching MRF lines
$44.52–$146.81 $84–$277 varies
Nerve teasing preparations (88362) $1,241.79 $2,343 1.5×
Neutralization Test Viral (86382) $198.22 $374 11.7×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $226.31 $427 1.8×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $111.83 $211 3.8×
Nfct ds chrnc hcv 6 assays (81596) $115.01 $217 1.6×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $539.54 $1,018 4.2×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $216.24 $408 8.3×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $3,395.71 $6,407 6.9×
Niacin (84591) $343.97 $649 20.2×
Nickel level (83885) $182.32 $344 7.4×
Nk cells total count (86357) $302.10 $570 8.0×
Noonan Spectrum Disorders (81442) $7,915.02 $14,934 3.7×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $283.02 $534 1.1×
Nras gene variants exon 2&3 (81311) $1,463.33 $2,761 4.9×
Nuclear antigen antibody (86235) $109.18 $206 6.1×
Obstetric panel (80081) $191.33 $361 2.6×
Occult blood feces (82272)
range across 2 matching MRF lines
$24.38–$24.91 $46–$47 varies
Occult Blood Other Sources (82271) $33.92 $64 6.4×
Oligoclonal bands (83916) $130.91 $247 4.8×
Organic acids urine (83918) $110.77 $209 4.7×
Osmolality serum (83930) $54.06 $102 8.2×
Osmolality Urine (83935) $49.82 $94 7.3×
Osteocalcin (83937) $222.07 $419 7.4×
Ova and parasites smears (87177) $95.40 $180 10.7×
Oxalate urine (83945) $106 $200 7.3×
Particle Agglut Antbdy Titr (86406) $63.07 $119 5.9×
Particle Agglutination Screen Each Antibody (86403)
range across 5 matching MRF lines
$18.55–$74.73 $35–$141 varies
Parvovirus antibody (86747) $98.05 $185 6.5×
Path Clin Consltj Mod 21-40 (80504) $258.64 $488 1.5×
Path Consltj Surg Cytologic Exam Initial Site (88333) $368.88 $696 0.5×
Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) $258.64 $488 1.5×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $82.15 $155 1.6×
Pathology Consultation During Surgery (88329) $50.35 $95 0.8×
Pdgfra Gene Analys Targeted Sequence Analys (81314) $1,291.61 $2,437 3.9×
Ph urine (81003) $16.96 $32 7.5×
Phenobarbital Level (80184) $96.46 $182 6.3×
Phenotype Infect Agent Drug (87900) $1,373.76 $2,592 10.5×
Phenylalanine (84030) $36.04 $68 6.6×
Phenytoin (Dilantin) (80185) $102.82 $194 7.8×
Phenytoin free (80186) $74.20 $140 5.4×
Phosphatase acid prostatic (84066) $79.50 $150 8.2×
Phosphatase alkaline (84075) $53.53 $101 10.3×
Phosphatidylglycerol (84081) $120.84 $228 7.3×
Phospholipid Neutralization Hexagonal (85598) $105.47 $199 5.9×
Phosphorus Serum (84100) $38.16 $72 8.1×
Phosphorus urine (84105) $40.28 $76 7.0×
Pinworm exam (87172) $22.26 $42 5.2×
Platelet Aggregation (85576) $134.62 $254 5.4×
Platelet Antibodies (86022) $161.65 $305 8.8×
Platelet count automated (85049) $37.63 $71 8.4×
Platelet neutralization (85597) $60.95 $115 3.4×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $1,829.56 $3,452 8.8×
Pooling blood platelets (86965) $149.99 $283 0.9×
Porphobilinogen, urine; quantitative (84110) $78.44 $148 9.3×
Porphyrins Feces Quantitative (84126) $102.29 $193 2.6×
Porphyrins Urine Quantitation & Fractionation (84120) $122.43 $231 8.3×
Potassium Urine (84133) $36.04 $68 7.6×
Prealbumin (84134) $47.17 $89 3.2×
Pregnancy-Associated Plasma Protein-A (84163) $55.65 $105 3.7×
Pregnenolone (84140) $74.73 $141 3.6×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $403.86 $762 2.3×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $54.06 $102 0.9×
Pretx serum rbc antibody identification dilution (86976) $268.18 $506 9.2×
Primidone (80188) $137.27 $259 8.3×
Procalcitonin (Pct) (84145) $174.90 $330 6.4×
Progesterone (84144) $122.43 $231 5.9×
Prolactin (84146) $161.65 $305 8.3×
Prostaglandin (84150) $1,291.61 $2,437 30.9×
Protein body fluid (84157)
range across 2 matching MRF lines
$6.36–$38.16 $12–$72 varies
Protein C Activity (85303) $147.87 $279 10.7×
Protein c antigen (85302) $127.73 $241 10.6×
Protein Electrophoresis Urine (84166) $120.31 $227 6.7×
Protein Electrophoretic Fractj&Quantj Serum (84165) $88.51 $167 8.2×
Protein S Free (85306) $152.11 $287 9.9×
Protein s total (85305) $123.49 $233 10.6×
Protein Total Refractometry Any Src (84160) $27.03 $51 4.8×
Protein total serum (84155) $30.21 $57 8.2×
Protein Total Urine (84156) $38.16 $72 10.4×
Protein Western Blot Test (84182) $395.38 $746 13.5×
Prothrombin Time Substitution Plasma Frctj Each (85611) $45.58 $86 11.6×
Protoporphyrin rbc quantitative (84202) $122.43 $231 8.5×
PSA free (84154) $121.37 $229 6.6×
Pth Intact (83970) $249.10 $470 6.0×
Pyruvate kinase (84220) $86.92 $164 9.2×
Q Fever Antibody (86638) $60.42 $114 5.0×
Quantiferon tb gold plus (86480) $119.25 $225 1.9×
Quantitative assay drug (80299) $127.20 $240 6.8×
Quantitative Screen Metals (83018) $136.21 $257 6.2×
Quinidine (80194) $114.48 $216 7.8×
Rbc antibody elution (86860) $139.39 $263 0.8×
Rbc antibody identification (86870) $190.80 $360 0.5×
Rbc antibody screen (86850) $65.19 $123 6.7×
Rbc pretreatment serum (86978) $206.17 $389 3.5×
Rbc pretx incubatj w/enzymes (86971) $281.96 $532 1.6×
Reagent Strip/Blood Glucose (82948) $9.54 $18 1.9×
Renin activity plasma (84244) $176.49 $333 8.0×
Reptilase test (85635) $62.54 $118 6.3×
Resp virus 12-25 targets (87633) $448.91 $847 1.1×
Resp Virus 6-11 Targets (87632) $519.93 $981 2.4×
Reticulated Platelet Assay (85055) $31.27 $59 0.9×
Reticulocyte Count (85046) $47.17 $89 8.5×
Reticulocyte Count Manual (85044) $24.38 $46 5.7×
Rh (86901) $58.83 $111 19.7×
Rheumatoid Factor Qualitative (86430) $60.95 $115 9.9×
Rheumatoid factor quant (86431) $48.23 $91 8.5×
Rickettsia antibody (86757) $68.90 $130 3.6×
Ristocetin cofactor (85245)
range across 2 matching MRF lines
$36.57–$231.08 $69–$436 varies
Rotavirus ag eia (87425) $98.58 $186 8.2×
Rpr qualitative (86592) $33.39 $63 7.8×
Rsv Assay W/Optic (87807) $98.58 $186 7.5×
Rubella Antibody (86762) $115.54 $218 8.0×
Rubeola antibody (86765) $84.27 $159 6.5×
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$15.37–$96.99 $29–$183 varies
Salicylate Level (80179) $153.17 $289 8.2×
Sars-Cov-2 Covid-19 Amp Prb (87635) $109.18 $206 2.1×
Sars-cov-2 COVID-19 antibody (86769)
range across 2 matching MRF lines
$24.91–$39.75 $47–$75 varies
Sarscov2 & inf a&b amp prb (87636) $222.60 $420 1.6×
Sedimentation rate (85651) $36.57 $69 8.6×
Sedimentation Rate, Automated (85652) $36.57 $69 13.5×
Selenium (84255) $171.72 $324 6.7×
Semen Anal Sperm Detection (89321) $102.82 $194 8.5×
Semen analysis complete (89322) $72.08 $136 4.7×
Semen analysis complete (89320) $102.82 $194 8.4×
Semen analysis motility and count (89310) $59.89 $113 7.0×
Sensitivity mic (87186) $64.13 $121 7.4×
Serum Bactericidal Titer (87197) $236.91 $447 15.8×
Sex Hormone Binding Globulin (84270) $142.04 $268 6.5×
Sickling of rbc reduction (85660) $45.05 $85 8.2×
Sirolimus (80195) $113.95 $215 8.3×
Skin test tuberculosis intradermal (86580) $19.19 $36.20 0.7×
Smear acid fast (87206) $57.77 $109 10.7×
Smear complex stain (87209) $112.36 $212 6.2×
Smear gram stain (87205)
range across 2 matching MRF lines
$6.89–$45.05 $13–$85 varies
Smear Special Stain (87207) $63.60 $120 10.6×
Smn1 Gene Dos/Deletion Alys (81329) $208.29 $393 1.5×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$24.91–$48.23 $47–$91 varies
Sodium Serum (84295) $36.04 $68 7.5×
Sodium Urine (84300) $36.04 $68 7.1×
Soluble Transferrin Receptor (84238) $256.52 $484 7.0×
Somatomedin (84305) $175.96 $332 8.3×
Somatostatin (84307) $834.75 $1,575 45.7×
Special Stains Group 1 (88312) $128.79 $243 2.4×
Special Stains Group 2 (88313) $142.57 $269 1.1×
Specific gravity body fluid (84315) $16.43 $31 5.0×
Specimen infect agnt concntj (87015) $38.16 $72 5.7×
Spectrophotometry (84311) $33.39 $63 4.1×
Sperm Antibodies (89325) $45.05 $85 4.2×
Splitting Blood/Blood Products Each Unit (86985) $101.23 $191 0.6×
Staph a DNA amp probe (87640) $145.22 $274 4.1×
Stool cultr aerobic bact ea (87046) $71.55 $135 7.6×
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$45.58–$83.74 $86–$158 varies
Strep a DNA amp probe (87651) $206.17 $389 5.9×
Strep b DNA amp probe (87653) $219.95 $415 6.3×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $118.72 $224 10.3×
Sugars Single Qual (84376) $43.99 $83 8.0×
Sulfate urine (84392) $18.02 $34 3.3×
Surg path level iii (88304) $246.45 $465 4.7×
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$286.73–$525.76 $541–$992 varies
Surgical pathology level vi (88309) $763.20 $1,440 0.9×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $25.97 $49 5.5×
Susceptibility Study Antimicrobial Disk Method (87184) $53 $100 7.1×
Syphilis Test Non-Trep Quant (86593) $34.45 $65 7.8×
T cells absolute cd4 count (86361) $162.71 $307 6.1×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $347.15 $655 7.4×
T cells total count (86359) $233.73 $441 6.2×
T3 Free (84481) $102.29 $193 6.0×
T3 reverse (84482) $51.94 $98 3.3×
T3 Total (84480) $121.37 $229 8.6×
T3 Uptake (84479) $68.90 $130 10.6×
T4 Free (84439) $91.69 $173 10.2×
T4 total (84436) $71.02 $134 10.3×
Tacrolimus (80197) $113.95 $215 8.3×
Tb ag response t-cell susp (86481) $120.31 $227 1.2×
Test for acetone/ketones (82009) $7.42 $14 1.6×
Test for urine cystines (82615) $15.37 $29 1.6×
Testosterone Bioavailable (84410) $81.62 $154 1.6×
Testosterone total (84403) $24.38 $46 0.9×
Testosterone, Free (84402) $156.88 $296 6.2×
Tetanus antibody (86774) $54.59 $103 3.7×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $1,134.73 $2,141 1.9×
Theophylline (80198) $91.69 $173 6.5×
Thiocyanate (84430) $77.91 $147 6.7×
Thrombin Time (85670) $47.17 $89 8.2×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $64.13 $121 9.9×
Thyroglobulin (84432) $120.84 $228 7.5×
Thyroglobulin Antibody (86800) $147.34 $278 9.3×
Thyroid Stimulating Immunoglobulin (84445) $206.17 $389 4.1×
Thyroxine binding globulin (84442) $93.28 $176 6.3×
Tiss cul neo disorders solid tumor (88239) $283.02 $534 1.9×
Tiss Trnsgltmnase Ea Ig Clas (86364) $10.07 $19 0.9×
Tissue Culture (88233) $544.84 $1,028 3.9×
Tissue Culture Amniotic Fluid (88235) $1,978.49 $3,733 13.2×
Tissue culture bone marrow (88237)
range across 2 matching MRF lines
$239.03–$431.95 $451–$815 varies
Tissue Culture Lymphocyte (88230) $393.79 $743 3.4×
Tobramycin peak (80200) $128.26 $242 8.0×
Topiramate (80201) $94.34 $178 7.9×
Touch prep (88161) $106.53 $201 3.6×
Toxoplasma ab igm (86778) $93.81 $177 6.5×
Toxoplasma antibody (86777) $89.57 $169 6.2×
Tpmt gene com variants (81335) $1,428.88 $2,696 8.2×
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines
$36.04–$51.94 $68–$98 varies
Transferrin (84466) $101.23 $191 7.9×
Trg gene rearrangement anal (81342) $899.41 $1,697 4.5×
Trichinella Antibody (86784) $43.46 $82 3.5×
Trichomonas vagin dir probe (87660) $104.94 $198 5.2×
Trichomonas Vaginalis Amplif (87661) $219.95 $415 6.3×
Triglycerides (84478) $46.64 $88 8.1×
Troponin Quant (84484) $80.56 $152 6.5×
Tumor immunohistochem/comput (88361) $1,025.55 $1,935 2.8×
Tumor Immunohistochem/Manual (88360) $356.16 $672 2.1×
Ugt1a1 gene analysis common variants (81350) $863.90 $1,630 3.7×
Unlisted Transfusion Medicine Procedure (86999) $283.02 $534 9.7×
Urea nitrogen urine (84540) $39.22 $74 7.1×
Uric acid other source (84560) $49.29 $93 9.7×
Urinalysis Microscopic Only (81015) $25.44 $48 8.3×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $16.96 $32 7.8×
Urinalysis Volume Measure (81050) $25.44 $48 7.0×
Urine Bacteria Culture (87088) $66.78 $126 8.3×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$57.77–$59.89 $109–$113 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $25.44 $48 8.0×
Valproic acid (80164) $105.47 $199 7.8×
Vancomycin (80202) $108.65 $205 8.0×
Varicella-zoster antibody (86787) $47.17 $89 3.7×
Vasopressin (84588) $228.96 $432 6.7×
Viral Culture (87252) $205.64 $388 7.9×
Virus antibody nos (86790)
range across 3 matching MRF lines
$83.74–$128.79 $158–$243 varies
Virus inoculate tissue addl (87253) $148.40 $280 7.3×
Virus inoculation, shell via (87254) $127.73 $241 6.5×
Viscosity serum (85810) $66.25 $125 5.7×
Vit D 1 25-Dihydroxy (82652) $214.65 $405 5.6×
Vitamin A (84590) $96.46 $182 8.3×
Vitamin b-12 (82607) $113.95 $215 7.6×
Vitamin B2 (Riboflavin) (84252) $151.05 $285 7.5×
Vitamin B6 (84207) $299.45 $565 10.7×
Vitamin c (82180) $81.62 $154 8.3×
Vitamin D 25-Hydroxy (82306) $184.97 $349 6.2×
Vitamin E (84446) $134.62 $254 9.5×
Vitamin K (84597) $24.91 $47 1.8×
Volatiles (84600) $144.16 $272 8.4×
Volume Reduction Blood/Blood Product Each Unit (86960) $172.78 $326 1.0×
Von willebrand factor ag (85246) $170.66 $322 7.4×
West nile virus ab igm (86788) $59.36 $112 3.5×
West Nile Virus Antibody (86789) $152.64 $288 10.6×
Western Blot Test (84181) $87.45 $165 5.1×
Xm Archive Tissue Molec Anal (88363) $141.51 $267 4.8×
Zinc (84630) $110.77 $209 9.7×

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.