Lab & pathology prices at Ascension St. Vincent Anderson

Anderson, IN · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $201 $335 18.0×
Abl1 gene analysis kinase domain variants (81170) $740.40 $1,234 2.5×
Acth (82024) $565.80 $943 14.7×
Acth Stimulation Panel Adrenal Insufficiency (80400)
range across 2 matching MRF lines
$85.20–$396.60 $142–$661 varies
Acute hepatitis panel (80074) $570.60 $951 12.0×
Acylcarnitines Quant (82017) $235.80 $393 14.0×
Acylcarnitines; qualitative, each specimen Facility (82016) $45 $75 2.7×
Agglutinins Febrile Each Antigen (86000) $194.40 $324 27.9×
Albumin Fluid (82042)
range across 2 matching MRF lines
$15.60–$104.40 $26–$174 varies
Albumin serum (82040)
range across 2 matching MRF lines
$12–$84.60 $20–$141 varies
Aldolase (82085) $195 $325 20.1×
Aldosterone urine (82088)
range across 2 matching MRF lines
$129–$573 $215–$955 varies
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines
$43.20–$197.40 $72–$329 varies
Allergen specific ige (86003)
range across 2 matching MRF lines
$10.80–$56.40 $18–$94 varies
Allergen specific igg (86001)
range across 2 matching MRF lines
$18–$147 $30–$245 varies
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
$41.40–$62.40 $69–$104 varies
Alpha-1-antitrypsin phenotype (82104) $292.80 $488 20.2×
Alpha-1-antitrypsin total (82103) $252 $420 18.8×
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$50.40–$209.40 $84–$349 varies
Alt (sgpt) (84460)
range across 2 matching MRF lines
$16.80–$105.60 $28–$176 varies
Aluminum (82108) $180.60 $301 7.1×
Amikacin trough (80150) $234.60 $391 15.6×
Amino Acids 1 Quantitative Each Specimen (82131)
range across 2 matching MRF lines
$50.40–$547.20 $84–$912 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $481.80 $803 28.6×
Amino Acids Multiple Qualitative Each Specimen (82128) $100.20 $167 7.2×
Aminolevulinic acid (ala) (82135) $60 $100 3.6×
Ammonia (82140) $217.80 $363 14.9×
Amniotic fluid protein test on cervicovaginal fluid (84112) $192 $320 2.0×
Amylase urine (82150)
range across 2 matching MRF lines
$25.80–$174 $43–$290 varies
Ana Titer (86039) $197.40 $329 17.7×
Anca Titer Each Antibody (86037) $21.60 $36 1.8×
Androstenedione (82157) $347.40 $579 11.9×
Angiotensin converting enzyme csf (82164) $302.40 $504 20.7×
Anti-Phospholipid Antibody (86148)
range across 2 matching MRF lines
$51.60–$194.40 $86–$324 varies
Antibody aspergillus (86606)
range across 2 matching MRF lines
$42–$151.80 $70–$253 varies
Antibody Bacterium Not Elsewhere Specified (86609) $30.60 $51 2.4×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 2 matching MRF lines
$46.20–$318 $77–$530 varies
Antibody Cytomegalovirus Cmv Igm (86645)
range across 2 matching MRF lines
$30.60–$237.60 $51–$396 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $203.40 $339 15.5×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 2 matching MRF lines
$45–$184.80 $75–$308 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 2 matching MRF lines
$52.80–$255.60 $88–$426 varies
Antibody Fungus Not Elsewhere Specified (86671)
range across 2 matching MRF lines
$30.60–$151.80 $51–$253 varies
Antibody haemophilus influenza (86684) $195 $325 12.3×
Antibody helicobacter pylori (86677) $291.60 $486 17.3×
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 2 matching MRF lines
$30.60–$606 $51–$1,010 varies
Antibody Herpes Smplx Type 1 (86695)
range across 2 matching MRF lines
$33–$131.40 $55–$219 varies
Antibody HIV-1&HIV-2 single result (86703)
range across 2 matching MRF lines
$73.20–$119.40 $122–$199 varies
Antibody HIV-2 (86702)
range across 2 matching MRF lines
$40.20–$181.20 $67–$302 varies
Antibody htlv/HIV antibody confirmatory test (86689) $223.80 $373 11.6×
Antibody identification leukocyte antibodies (86021)
range across 2 matching MRF lines
$30–$469.80 $50–$783 varies
Antibody john cunningham virus (86711) $970.80 $1,618 57.5×
Antibody nocardia (86744) $18 $30 1.1×
Antibody Protozoa Nes (86753) $130.80 $218 10.6×
Antibody Titer (86886) $231 $385 44.6×
Antibody Treponema Pallidum (86780) $258.60 $431 19.5×
Antibody; influenza virus (86710)
range across 2 matching MRF lines
$42.60–$142.20 $71–$237 varies
Antigen typing (86905) $172.20 $287 45.0×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $116.40 $194 20.3×
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$36–$224.40 $60–$374 varies
Antistreptolysin o titer (86060) $130.20 $217 17.8×
Antithrombin iii activity (85300)
range across 2 matching MRF lines
$34.20–$441 $57–$735 varies
Antithrombin iii antigen (85301) $499.20 $832 46.2×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$46.20–$213.60 $77–$356 varies
Arsenic (82175)
range across 2 matching MRF lines
$57–$144.60 $95–$241 varies
Aspergillus ag eia (87305) $267.60 $446 22.3×
Assay activated protein c (85307)
range across 2 matching MRF lines
$46.20–$510.60 $77–$851 varies
Assay Blood Carbon Dioxide (82374) $87 $145 17.8×
Assay Nephelometry Not Spec (83883)
range across 2 matching MRF lines
$42–$201.60 $70–$336 varies
Assay of 5-hiaa (83497)
range across 2 matching MRF lines
$39–$266.40 $65–$444 varies
Assay of blood/uric acid (84550) $109.20 $182 24.2×
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$12–$126.60 $20–$211 varies
Assay of cpk in blood (82552) $40.20 $67 3.0×
Assay of estrone (82679)
range across 2 matching MRF lines
$73.80–$184.80 $123–$308 varies
Assay of g6pd enzyme (82955) $252 $420 26.0×
Assay of gammaglobulin igm (82784)
range across 2 matching MRF lines
$26.40–$186 $44–$310 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines
$89.40–$201.60 $149–$336 varies
Assay of manganese (83785) $185.40 $309 7.0×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$51–$383.40 $85–$639 varies
Assay of phosphatase acid total (84060) $118.80 $198 15.5×
Assay of proinsulin (84206) $239.40 $399 9.0×
Assay of pyruvate (84210)
range across 2 matching MRF lines
$63.60–$171 $106–$285 varies
Assay of serotonin (84260) $577.20 $962 18.6×
Assay of serum potassium (84132)
range across 2 matching MRF lines
$13.20–$78 $22–$130 varies
Assay of sweat sodium (84302) $84.60 $141 17.4×
Assay of urea nitrogen (84520)
range across 2 matching MRF lines
$11.40–$80.40 $19–$134 varies
Assay of urine vma (84585) $309.60 $516 20.0×
Assay of vasoactive intestinal peptide (84586) $342.60 $571 9.7×
Assay of vitamin b-1 (84425) $300.60 $501 14.2×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$8.40–$85.20 $14–$142 varies
Automated Leukocyte Count (85048)
range across 2 matching MRF lines
$50.40–$162 $84–$270 varies
B cells total count (86355) $120 $200 3.2×
Bartonella antibody (86611)
range across 2 matching MRF lines
$32.40–$112.80 $54–$188 varies
Bcr/abl1 gene major bp (81206)
range across 2 matching MRF lines
$294.60–$469.80 $491–$783 varies
Bcr/abl1 gene minor bp (81207) $447 $745 3.1×
Beta 2 glycoprotein i antibody each (86146)
range across 2 matching MRF lines
$68.40–$185.40 $114–$309 varies
Beta hydroxybutyrate (82010) $147 $245 18.0×
Beta Lactamase (87185) $65.40 $109 13.8×
Beta-2 Microglobulin (82232) $273.60 $456 16.9×
Bile acids total (82239) $132 $220 7.7×
Bilirubin direct (82248)
range across 2 matching MRF lines
$15.60–$101.40 $26–$169 varies
Bilirubin total (82247)
range across 2 matching MRF lines
$15.60–$106.20 $26–$177 varies
Bilirubin total transcutaneous (88720) $51 $85 10.2×
Biotinidase (82261)
range across 2 matching MRF lines
$120.60–$195 $201–$325 varies
Blastomyces antibody (86612)
range across 2 matching MRF lines
$42–$160.80 $70–$268 varies
Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) $184.80 $308 6.0×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $407.40 $679 2.3×
Blood Count Automated Differential Wbc Count (85004)
range across 2 matching MRF lines
$19.20–$72 $32–$120 varies
Blood Count Manual Cell Count Each (85032) $88.20 $147 20.5×
Blood Count Red Blood Cell Automated (85041) $57.60 $96 19.1×
Blood count reticulocyte automated (85045)
range across 2 matching MRF lines
$11.40–$101.40 $19–$169 varies
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 2 matching MRF lines
$16.80–$57 $28–$95 varies
Blood gas (82803) $319.20 $532 12.2×
Blood gases w/02 saturation (82805) $319.20 $532 4.1×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $71.40 $119 4.5×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $69.60 $116 15.9×
Blood Type Antigen Donor Reagent Serum Each (86902) $148.80 $248 23.4×
Blood typing serologic abo (86900)
range across 2 matching MRF lines
$29.40–$75 $49–$125 varies
Body fluid cell count (89050) $133.20 $222 28.2×
Bone marrow smear interpretation (85097) $207.60 $346 0.2×
Bordetella antibody (86615) $30.60 $51 2.3×
Braf gene analysis (81210) $311.40 $519 1.8×
Brucella antibody (86622) $43.20 $72 4.8×
C diff amplified probe (87493) $184.20 $307 4.9×
C-Peptide (84681) $313.20 $522 15.1×
C-reactive protein (86140) $140.40 $234 27.1×
Ca 19-9 (86301) $312.60 $521 15.0×
Cadmium (82300) $266.40 $444 11.3×
Caffeine (80155) $280.80 $468 7.3×
Calcitonin (82308) $398.40 $664 14.9×
Calcium ionized (82330) $223.80 $373 16.4×
Calcium total (82310)
range across 2 matching MRF lines
$15.60–$95.40 $26–$159 varies
Calculus Spectroscopy (82365) $300.60 $501 23.3×
Calprotectin Fecal (83993) $382.20 $637 19.5×
Calr gene com variants (81219)
range across 2 matching MRF lines
$219–$546.60 $365–$911 varies
Cancer Antigen 125 (86304) $224.40 $374 10.8×
Cancer Antigen 27.29 (86300) $283.20 $472 13.6×
Candida antibody (86628) $32.40 $54 2.7×
Candida Dna Dir Probe (87480) $65.40 $109 3.3×
Carbamazepine total (80156) $264.60 $441 18.2×
Carboxyhemoglobin (82375) $226.80 $378 18.4×
Carcinoembryonic antigen (82378) $309.60 $516 16.3×
Cardiolipin ab iga (86147)
range across 2 matching MRF lines
$68.40–$271.20 $114–$452 varies
Carnitine Quantitative Each Specimen (82379) $266.40 $444 15.8×
Carotene (82380) $112.80 $188 12.2×
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$79.80–$451.80 $133–$753 varies
Ccp antibody (86200)
range across 2 matching MRF lines
$39–$171 $65–$285 varies
Cebpa Gene Analysis Full Gene Sequence (81218) $724.80 $1,208 3.0×
Cell count csf (89051) $175.20 $292 31.3×
Cell marker study (88182) $924.60 $1,541 16.8×
Cellular Function Assay Stimul&Detect Biomarke (86352) $424.80 $708 3.1×
Ceruloplasmin (82390) $223.80 $373 20.8×
Cftr gene com variants (81220) $823.20 $1,372 1.5×
Chemiluminescent assay (82397) $174 $290 12.3×
Chlamydia antibody (86631) $30.60 $51 2.6×
Chlamydia Igm Antibody (86632) $30.60 $51 2.4×
Chlamydia trachomatis ag if (87270) $189 $315 15.8×
Chloride other source (82438)
range across 2 matching MRF lines
$16.80–$97.20 $28–$162 varies
Chloride Serum (82435)
range across 2 matching MRF lines
$10.20–$79.20 $17–$132 varies
Chloride urine (82436)
range across 2 matching MRF lines
$10.20–$93.60 $17–$156 varies
Cholesterol total (82465)
range across 2 matching MRF lines
$21.60–$104.40 $36–$174 varies
Cholinesterase rbc (82482) $30 $50 3.1×
Cholinesterase Serum (82480)
range across 2 matching MRF lines
$37.20–$145.20 $62–$242 varies
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$36–$174.60 $60–$291 varies
Chrmsm Analysis Addl Cells Counted Each Study (88285) $214.20 $357 8.0×
Chrmsm Analysis Addl Karyotyp Each Study (88280)
range across 2 matching MRF lines
$79.80–$378 $133–$630 varies
Chromium serum (82495) $181.20 $302 8.9×
Chromogranin a (86316) $245.40 $409 11.8×
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines
$283.80–$1,660.20 $473–$2,767 varies
Chromosome Analysis 20-25 (88264) $960 $1,600 6.6×
Chromosome analysis, 5 (88261) $1,685.40 $2,809 6.4×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$97.20–$100.20 $162–$167 varies
Citric acid urine (82507)
range across 2 matching MRF lines
$82.80–$239.40 $138–$399 varies
Ckmb (82553)
range across 2 matching MRF lines
$61.20–$201.60 $102–$336 varies
Clostridium Difficile (87324) $21 $35 1.8×
Clot Factor VIII Multimetric (85247)
range across 2 matching MRF lines
$75–$206.40 $125–$344 varies
Clotting factor xii hageman (85280) $362.40 $604 18.7×
Clotting Funct Activity (85397)
range across 2 matching MRF lines
$55.80–$344.40 $93–$574 varies
Coagulation time activated (85347) $31.80 $53 7.4×
Coccidioides antibody (86635)
range across 2 matching MRF lines
$42–$154.80 $70–$258 varies
Cold agglutinin titer (86157) $203.40 $339 25.2×
Collagen crosslinks (82523) $201.60 $336 10.8×
Column Chromotography Quant (82542) $301.20 $502 12.5×
Compatibility Each Unit Incubation (86921) $194.40 $324 1.1×
Compatibility test antiglob (86922) $234.60 $391 1.3×
Complement Antigen Each Component (86160)
range across 2 matching MRF lines
$36–$241.80 $60–$403 varies
Complement Total (Ch50) (86162) $416.40 $694 20.5×
Complement/Function Activity (86161) $196.20 $327 16.3×
Consltj&Reprt Material Requiring Prepj Slides (88323) $424.80 $708 7.7×
Consltj&Reprt Slides Prepared Elsewhere (88321) $270 $450 6.8×
Coombs direct (86880)
range across 2 matching MRF lines
$19.20–$109.20 $32–$182 varies
Copper urine (82525)
range across 2 matching MRF lines
$37.20–$253.80 $62–$423 varies
Cortisol free (82530)
range across 2 matching MRF lines
$49.80–$306 $83–$510 varies
Cortisol saliva (82533)
range across 2 matching MRF lines
$42–$291 $70–$485 varies
Creatine (82540)
range across 2 matching MRF lines
$13.20–$121.20 $22–$202 varies
Creatine kinase total (82550)
range across 2 matching MRF lines
$19.80–$126 $33–$210 varies
Creatinine blood (82565)
range across 2 matching MRF lines
$15.60–$84.60 $26–$141 varies
Creatinine clearance (82575) $226.20 $377 23.9×
Creatinine Urine (82570)
range across 2 matching MRF lines
$9–$111.60 $15–$186 varies
Crossmatch electronic (86923) $154.80 $258 0.9×
Crossmatch immediate spin (86920)
range across 2 matching MRF lines
$36.60–$192 $61–$320 varies
Crp High Sensitivity (86141)
range across 2 matching MRF lines
$39–$161.40 $65–$269 varies
Cryofibrinogen (82585) $33 $55 2.3×
Cryoglobulin (82595)
range across 2 matching MRF lines
$24–$136.20 $40–$227 varies
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$36–$115.80 $60–$193 varies
Cryptosporidium ag eia (87328)
range across 2 matching MRF lines
$54–$132.60 $90–$221 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$26.40–$119.40 $44–$199 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines
$26.40–$142.80 $44–$238 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $144.60 $241 18.8×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $392.40 $654 1.8×
Culture aerobic quant other (87071) $215.40 $359 21.8×
Culture afb (87116)
range across 2 matching MRF lines
$31.80–$252 $53–$420 varies
Culture Anaerobic (87075)
range across 2 matching MRF lines
$20.40–$267.60 $34–$446 varies
Culture blood (87040) $257.40 $429 24.9×
Culture chlamydia (87110) $37.20 $62 1.9×
Culture csf (87070)
range across 2 matching MRF lines
$153–$159 $255–$265 varies
Culture fungus (87102)
range across 2 matching MRF lines
$22.20–$237 $37–$395 varies
Culture fungus blood (87103) $229.20 $382 11.2×
Culture screen only (87081)
range across 2 matching MRF lines
$21.60–$153 $36–$255 varies
Culture stool (87045)
range across 2 matching MRF lines
$28.20–$214.20 $47–$357 varies
Culture typing if ea antiserum (87140) $18.60 $31 3.3×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 2 matching MRF lines
$12–$78 $20–$130 varies
Culture urine (87086)
range across 2 matching MRF lines
$21.60–$123 $36–$205 varies
Cyanide (82600) $165 $275 8.5×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $159.60 $266 11.1×
Cyclosporine (80158) $280.80 $468 15.6×
Cystatin C (82610) $136.80 $228 7.4×
Cytogenetics 10-30 (88273) $164.40 $274 4.7×
Cytogenetics 100-300 (88275)
range across 2 matching MRF lines
$203.40–$432 $339–$720 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229) $2,112 $3,520 1.8×
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$42.60–$239.40 $71–$399 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines
$69.60–$148.80 $116–$248 varies
Cytopath Cell Enhance Tech (88112) $306 $510 5.6×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 2 matching MRF lines
$92.40–$183.60 $154–$306 varies
Cytp Concentration Smears & Interpretation (88108) $245.40 $409 6.2×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $363 $605 6.6×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $219.60 $366 1.2×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $241.80 $403 6.1×
Cytp Urine 3-5 Probes Cmptr (88121) $759.60 $1,266 4.2×
Deoxyribonuclease antibody (86215) $148.20 $247 11.2×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines
$69.60–$469.20 $116–$782 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$127.80–$621.60 $213–$1,036 varies
Detect agnt mult DNA ampli (87801)
range across 2 matching MRF lines
$189–$434.40 $315–$724 varies
Dhea (82626) $284.40 $474 11.3×
Dhea-S (82627) $389.40 $649 17.5×
Dibucaine number (82638)
range across 2 matching MRF lines
$47.40–$63 $79–$105 varies
Digoxin (80162) $231 $385 17.4×
Diphtheria antitoxoid (86648) $168.60 $281 11.1×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines
$40.80–$246.60 $68–$411 varies
Dna Antibody Single Stranded (86226) $192.60 $321 15.9×
Dna/Rna Amplified Probe (87150) $63 $105 1.8×
DNA/RNA direct probe (87149)
range across 2 matching MRF lines
$65.40–$176.40 $109–$294 varies
Drug assay acetaminophen (80143) $36 $60 1.9×
Drug Assay Everolimus (80169) $238.20 $397 17.3×
Drug Screen Quant Clozapine (80159) $152.40 $254 7.6×
Drug Screen Quant Zonisamide (80203) $215.40 $359 16.3×
Drug Screen Quantitative Gabapentin (80171) $288.60 $481 13.3×
Drug Screen Quantitative Lamotrigine (80175) $288.60 $481 21.8×
Drug Screen Quantitative Levetiracetam (80177) $283.20 $472 21.4×
Drug Screen Quantitative Oxcarbazepine (80183) $183.60 $306 13.9×
Drug Test Prsmv Chem Anlyzr (80307) $293.40 $489 4.7×
Drug Test Prsmv Dir Opt Obs (80305) $293.40 $489 23.3×
Drug Test Prsmv Instrmnt (80306) $293.40 $489 17.1×
Egfr Gene Analysis Common Variants (81235) $376.20 $627 1.2×
Ehrlichia antibody (86666) $32.40 $54 3.2×
Electrolyte panel (80051) $180 $300 25.7×
Electron Microscopy (88348) $1,746.60 $2,911 2.0×
Enterovirus Antibody (86658) $30.60 $51 2.3×
Enterovirus PCR (87498)
range across 2 matching MRF lines
$94.80–$258.60 $158–$431 varies
Enzyme cell activity (82657) $306.60 $511 13.8×
Enzyme histochemistry (88319) $312.60 $521 0.4×
Eosinophil Smear (89190) $119.40 $199 20.6×
Erythropoietin (82668) $324 $540 17.2×
Estradiol serum (82670)
range across 2 matching MRF lines
$83.40–$231.60 $139–$386 varies
Estriol (82677)
range across 2 matching MRF lines
$72–$130.20 $120–$217 varies
Estrogen total (82672) $256.20 $427 11.8×
Estrogens fractionated (82671) $246 $410 7.6×
Ethylene Glycol (82693) $220.80 $368 14.8×
Exam Synovial Fluid Crystals (89060) $154.80 $258 21.1×
F2 Gene (81240)
range across 2 matching MRF lines
$97.80–$223.80 $163–$373 varies
Factor ii activity (85210) $291.60 $486 22.5×
Factor Inhibitor Test (85335) $327.60 $546 25.5×
Factor ix activity (85250) $410.40 $684 21.6×
Factor v activity (85220) $344.40 $574 19.5×
Factor v leiden mutation (81241)
range across 2 matching MRF lines
$89.40–$452.40 $149–$754 varies
Factor vii assay (85230) $324 $540 18.1×
Factor viii assay (85240)
range across 2 matching MRF lines
$80.40–$595.80 $134–$993 varies
Factor X (85260) $326.40 $544 18.2×
Factor xi activity (85270) $332.40 $554 18.6×
Factor xiii screen (85291) $190.80 $318 20.9×
Fat/Lipids Feces Quantitative (82710) $229.20 $382 13.6×
Fatty acids free (82725) $154.80 $258 8.2×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $276 $460 16.1×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $210.60 $351 32.3×
Fecal Fat Qualitative (82705) $169.80 $283 33.3×
Ferritin (82728)
range across 2 matching MRF lines
$42–$165 $70–$275 varies
Fetal Congenital Abnor Assay Four Anal (81511) $726 $1,210 4.7×
Fetal Fibronectin (82731) $451.80 $753 7.0×
Fetal hemoglobin assay qual (83033) $180 $300 22.5×
Fetal screen rosette (85461) $119.40 $199 12.8×
Fibrin degradation products (85362) $213.60 $356 31.0×
Fibrin Degradation Quant (85379) $286.80 $478 28.2×
Fibrin dgradj products d-dimer qual/semiquan (85378) $21 $35 2.2×
Fibrinogen activity (85384)
range across 2 matching MRF lines
$24–$206.40 $40–$344 varies
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$42–$317.40 $70–$529 varies
Flt3 Gene (81245) $421.80 $703 2.5×
Flt3 gene analysis (81246) $273.60 $456 3.3×
Fluorescent antibody screen (86255)
range across 2 matching MRF lines
$26.40–$286.80 $44–$478 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 2 matching MRF lines
$46.80–$178.20 $78–$297 varies
Fmr1 gene detection (81243) $579.60 $966 10.2×
Folic acid rbc (82747) $192.60 $321 10.9×
Folic Acid Serum (82746)
range across 2 matching MRF lines
$43.20–$209.40 $72–$349 varies
Follicle Stimulating Hormone (83001) $229.80 $383 12.4×
Frozen Section (88331) $383.40 $639 2.1×
Fungi Identification Mold (87107)
range across 2 matching MRF lines
$18.60–$136.20 $31–$227 varies
Fungi Identification Yeast (87106)
range across 2 matching MRF lines
$33.60–$136.80 $56–$228 varies
Galactose (82760) $36.60 $61 3.3×
Galactose transferase test (82776)
range across 2 matching MRF lines
$53.40–$87 $89–$145 varies
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$49.20–$345 $82–$575 varies
Gardner vag DNA dir probe (87510) $65.40 $109 3.3×
Gardner Vag Dna Quant (87512) $124.20 $207 3.0×
Gases Blood O2 Saturation Only Direct Meas (82810) $26.40 $44 2.7×
Gases blood ph only (82800) $136.20 $227 12.4×
Gastrin (82941) $345 $575 19.6×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $998.40 $1,664 2.4×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $1,966.80 $3,278 2.6×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $2,805 $4,675 1.0×
Genet Virus Isolate Hsv (87255) $250.80 $418 7.4×
Gentamicin (80170) $327.60 $546 20.0×
Ggt (82977)
range across 2 matching MRF lines
$21–$138.60 $35–$231 varies
Giardia antigen (87329)
range across 2 matching MRF lines
$54–$142.80 $90–$238 varies
Glucagon (82943) $283.20 $472 19.8×
Glucose 2 hr pp (82950)
range across 2 matching MRF lines
$13.20–$73.20 $22–$122 varies
Glucose Blood Test (82962) $63 $105 19.2×
Glucose body fluid (82945) $101.40 $169 25.8×
Glucose Serum (82947)
range across 2 matching MRF lines
$11.40–$50.40 $19–$84 varies
Glucose tolerance test (gtt) (82951)
range across 2 matching MRF lines
$15.60–$120.60 $26–$201 varies
Glycated Protein (82985) $154.80 $258 9.2×
Gonadotropin Chorionic Qualitative (84703) $69.60 $116 9.3×
Growth hormone (83003)
range across 2 matching MRF lines
$60.60–$348.60 $101–$581 varies
Gtt-added samples (82952) $17.40 $29 4.4×
H Pylori (C-13) Breath (83013) $407.40 $679 6.0×
H Pylori Drug Admin (83014) $78 $130 9.9×
Haloperidol (80173) $160.20 $267 10.2×
Haptoglobin (83010)
range across 2 matching MRF lines
$30.60–$210.60 $51–$351 varies
Hba1/Hba2 Gene (81257) $641.40 $1,069 6.3×
Hdl Cholesterol (83718) $148.80 $248 18.2×
Helicobacter Pylori Stool (87338) $96 $160 6.7×
Helminth Antibody (86682) $214.80 $358 16.5×
Hematocrit (85014)
range across 2 matching MRF lines
$7.80–$58.80 $13–$98 varies
Hemoglobin (85018)
range across 2 matching MRF lines
$7.80–$58.80 $13–$98 varies
Hemoglobin a1c (83036) $100.20 $167 10.3×
Hemoglobin Chromotography (83021) $237 $395 13.1×
Hemoglobin electrophoresis (83020)
range across 2 matching MRF lines
$128.40–$253.80 $214–$423 varies
Hemoglobin Methemoglobin Quantitative (83050) $219.60 $366 26.8×
Hemoglobin plasma (83051) $154.80 $258 21.2×
Hemosiderin urine (83070) $91.20 $152 19.2×
Hep a ab igm (86709) $239.40 $399 21.3×
Heparin assay (85520) $293.40 $489 22.4×
Hepatitis a antibody total (86708) $160.80 $268 13.0×
Hepatitis b core ab igm (86705) $217.80 $363 18.5×
Hepatitis b core ab total (86704)
range across 2 matching MRF lines
$51.60–$156.60 $86–$261 varies
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines
$28.20–$209.40 $47–$349 varies
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines
$29.40–$126.60 $49–$211 varies
Hepatitis Be Antibody (86707) $224.40 $374 19.4×
Hepatitis Be Antigen (87350) $219.60 $366 19.0×
Hepatitis C Antibody (86803)
range across 2 matching MRF lines
$61.80–$192.60 $103–$321 varies
Hepatitis C Genotype (87902)
range across 2 matching MRF lines
$556.80–$1,234.80 $928–$2,058 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $664.80 $1,108 18.9×
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$127.80–$918.60 $213–$1,531 varies
Hepatitis Delta Agent Antibody (86692) $181.20 $302 10.6×
Herpes simplex type 2 (86696)
range across 2 matching MRF lines
$63–$150 $105–$250 varies
Heterophile Antibody Screen (86308) $104.40 $174 20.2×
Hfe Gene (81256) $606 $1,010 9.3×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $234.60 $391 30.3×
Histamine urine (83088)
range across 2 matching MRF lines
$87–$313.80 $145–$523 varies
Histoplasma antibody (86698)
range across 2 matching MRF lines
$42–$241.20 $70–$402 varies
Histoplasma antigen urine (87385) $403.20 $672 30.4×
Hiv Antigen W/Hiv Antibodies (87806)
range across 2 matching MRF lines
$71.40–$172.20 $119–$287 varies
Hiv Genotype (87901) $1,374.60 $2,291 5.3×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines
$58.20–$203.40 $97–$339 varies
Hiv-1 Antibody (86701)
range across 2 matching MRF lines
$26.40–$174.60 $44–$291 varies
HIV-1 p24 antigen (87390) $52.20 $87 2.2×
Hiv-1 Quant&Revrse Trnscrpj (87536) $970.20 $1,617 11.4×
HIV-2 probe&revrse trnscripj (87538) $115.20 $192 3.3×
Hla class ii typing high resolution one locus ea (81382) $333.60 $556 2.7×
Hla I Typing 1 Allele Hr (81381) $334.80 $558 2.0×
Hla ii typing 1 allele hr (81383) $294 $490 2.7×
Hla ii typing 1 locus lr (81376) $191.40 $319 1.6×
Hla-b27 (86812) $446.40 $744 17.3×
Homocysteine (83090)
range across 2 matching MRF lines
$50.40–$445.80 $84–$743 varies
Homogenization Tissue (87176) $85.20 $142 14.5×
Hpv High-Risk Types (87624)
range across 2 matching MRF lines
$72–$156.60 $120–$261 varies
Hpv Types 16 & 18 Only (87625) $183.60 $306 4.5×
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines
$111–$198 $185–$330 varies
Hsv Dna Quant (87530) $77.40 $129 1.8×
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines
$145.20–$383.40 $242–$639 varies
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) $169.80 $283 14.2×
Iaad Ia Entamoeba Histolytica Grp (87337) $118.80 $198 9.9×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $148.20 $247 14.3×
Iaad ia shiga-like toxin (87427) $39 $65 3.3×
Iaad Ia Streptococcus Group A (87430) $154.80 $258 9.2×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $159.60 $266 13.3×
Iaadi not otherwise specified each organism (87299) $130.80 $218 8.1×
Iaadi pneumocustis carinii (87281) $225.60 $376 18.8×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $38.40 $64 3.2×
Iaadiadoo trichomonas vaginalis (87808)
range across 2 matching MRF lines
$61.20–$115.80 $102–$193 varies
Iadna Bartonella Amplified Probe Technique (87471) $282.60 $471 8.1×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $456.60 $761 13.0×
Iadna Candida Species Amplified Probe Tq (87481)
range across 2 matching MRF lines
$104.40–$139.20 $174–$232 varies
Iadna chlamydia pneumoniae amplified probe tq (87486) $63 $105 1.8×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 2 matching MRF lines
$94.80–$520.80 $158–$868 varies
Iadna Cytomegalovirus Quantification (87497) $617.40 $1,029 14.4×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $210.60 $351 3.0×
Iadna hepatitis b virus amplified probe tq (87516) $469.20 $782 13.4×
Iadna Hepatitis B Virus Quantification (87517) $556.80 $928 13.0×
Iadna Herpes Virus-6 Amplified Probe Tq (87532)
range across 2 matching MRF lines
$94.80–$420 $158–$700 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $437.40 $729 12.5×
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 2 matching MRF lines
$104.40–$454.20 $174–$757 varies
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 2 matching MRF lines
$63–$378.60 $105–$631 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$97.20–$99.60 $162–$166 varies
Idh1 common variants (81120) $546.60 $911 2.8×
Idh2 common variants (81121) $835.80 $1,393 2.8×
Ig Light Chains Free Each (83521) $31.20 $52 1.8×
Igg subclasses (82787)
range across 2 matching MRF lines
$12.60–$271.20 $21–$452 varies
Igh gene rearrange amp meth (81261) $318.60 $531 1.6×
Igh@ Variable Region Somatic Mutation Analysis (81263) $889.20 $1,482 3.0×
Igk rearrangeabn clonal pop (81264) $507 $845 2.9×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $429.60 $716 1.1×
Immune Complex Assay (86332) $254.40 $424 10.4×
Immunfix e-phorsis/urine/csf (86335)
range across 2 matching MRF lines
$99–$366.60 $165–$611 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 2 matching MRF lines
$50.40–$317.40 $84–$529 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $43.80 $73 2.9×
Immunoassay nonantibody (83516)
range across 2 matching MRF lines
$106.20–$211.80 $177–$353 varies
Immunodiffusion Ouchterlony (86331)
range across 2 matching MRF lines
$36–$257.40 $60–$429 varies
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines
$66.60–$302.40 $111–$504 varies
Immunofluorescence per spec 1st singl antb stain (88346) $353.40 $589 2.0×
Immunohistochemistry (88342) $398.40 $664 2.2×
In situ hybridization 1st probe stain (88365) $1,336.80 $2,228 7.4×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $145.20 $242 10.1×
Infectious Agent Dna/Rna Influenza Ea Type (87501) $152.40 $254 3.0×
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905)
range across 2 matching MRF lines
$36.60–$93 $61–$155 varies
Influenza assay w/optic (87804) $79.80 $133 4.8×
Influenza DNA amp probe (87502)
range across 2 matching MRF lines
$109.20–$210.60 $182–$351 varies
Inhibin A (86336)
range across 2 matching MRF lines
$54–$183.60 $90–$306 varies
Inhibin b (83520)
range across 2 matching MRF lines
$40.80–$286.80 $68–$478 varies
Insitu hybridization manual (88368) $1,209.60 $2,016 3.2×
Insulin antibodies (86337) $239.40 $399 11.2×
Insulin free (83527) $106.20 $177 8.2×
Insulin total (83525)
range across 2 matching MRF lines
$165.60–$192.60 $276–$321 varies
Intrinsic factor antibody (86340) $172.20 $287 11.4×
Iron (83540)
range across 2 matching MRF lines
$19.20–$107.40 $32–$179 varies
Iron Binding Capacity (83550)
range across 2 matching MRF lines
$31.20–$48 $52–$80 varies
Irradiation Blood Product Each Unit (86945) $271.80 $453 6.9×
Islet cell antibody (86341) $214.80 $358 9.1×
Jak2 gene analysis p.val617phe variant (81270)
range across 2 matching MRF lines
$165–$643.80 $275–$1,073 varies
Jak2 Gene Trgt Sequence Alys (81279) $333.60 $556 1.8×
Kit Gene Analysis Targeted Sequence Analysis (81272) $1,066.80 $1,778 3.2×
Koh Prep (87220) $131.40 $219 30.8×
Kras Gene Analysis Additional Variant(S) (81276) $271.20 $452 1.4×
Kras Gene Variants Exon 2 (81275) $385.80 $643 2.0×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$18.60–$108 $31–$180 varies
Lactoferrin Fecal Quantitative (83631) $254.40 $424 13.0×
Ldh Isoenzymes (83625) $38.40 $64 3.0×
LDL direct (83721) $93 $155 8.9×
Lead (83655)
range across 2 matching MRF lines
$36–$100.20 $60–$167 varies
Legionella antibody (86713)
range across 2 matching MRF lines
$136.80–$259.80 $228–$433 varies
Legionella antigen urine (87449)
range across 2 matching MRF lines
$21–$241.80 $35–$403 varies
Legionella pneumophila dfa (87278) $227.40 $379 14.6×
Leukocyte Assessment Fecal (89055) $116.40 $194 27.3×
Leukocyte Histamine Release (86343) $213.60 $356 17.1×
Level I Surg Pathology Gross Examination Only (88300) $166.80 $278 5.5×
Level ii surg pathology gross&microscopic exam (88302) $256.20 $427 6.5×
Level V Surg Pathology Gross&Microscopic Exam (88307) $756.60 $1,261 2.0×
Lidocaine (80176) $198.60 $331 13.5×
Lipase (83690) $166.80 $278 24.2×
Lipoprotein A (83695)
range across 2 matching MRF lines
$39–$145.20 $65–$242 varies
Lipoprotein Bld Quan Part (83704) $229.80 $383 6.7×
Lithium (80178) $175.20 $292 26.5×
Luteinizing Hormone (Lh) (83002) $174.60 $291 9.4×
Lyme disease antibody (86618)
range across 2 matching MRF lines
$32.40–$256.20 $54–$427 varies
Lysozyme serum (85549) $171 $285 9.1×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $606 $1,010 3.4×
M/phmtrc alys ishquant/semiq (88374) $399 $665 2.2×
Macroscopic exam arthropod (87168) $88.80 $148 20.8×
Magnesium Urine (83735)
range across 2 matching MRF lines
$19.80–$122.40 $33–$204 varies
Mass Spectrometry Quant (83789)
range across 2 matching MRF lines
$62.40–$274.20 $104–$457 varies
Mercury urine (83825)
range across 2 matching MRF lines
$48–$174.60 $80–$291 varies
Metabolic panel ionized ca (80047) $210.60 $351 15.3×
Methylmalonic acid serum (83921) $495.60 $826 23.4×
Mgmt methylation analysis (81287) $217.80 $363 1.7×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$18–$184.80 $30–$308 varies
Microsomal Antibodies Each (86376) $237.60 $396 16.3×
Mitochondrial Antibody Each (86381) $45.60 $76 1.8×
Mlh1 Gene (81288) $603 $1,005 3.1×
Molecular Cytogenetics Dna Probe Each (88271)
range across 2 matching MRF lines
$43.20–$299.40 $72–$499 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274)
range across 2 matching MRF lines
$69–$267.60 $115–$446 varies
Molecular Pathology Procedure Level 3 (81402) $197.40 $329 1.3×
Molecular Pathology Procedure Level 6 (81405) $1,779 $2,965 5.9×
Mopath procedure level 2 (81401) $567 $945 4.1×
Mopath procedure level 4 (81403) $536.40 $894 2.9×
Mopath procedure level 5 (81404) $551.40 $919 2.0×
Morphometric Analysis Tumor (88358) $675 $1,125 3.7×
Mpl gene analysis sequence analysis exon 10 (81339) $333.60 $556 1.8×
Mrsa Pcr (87641)
range across 2 matching MRF lines
$104.40–$283.20 $174–$472 varies
Mthfr Gene Analysis Common Variants (81291) $419.40 $699 6.4×
Mumps antibody (86735)
range across 2 matching MRF lines
$32.40–$184.20 $54–$307 varies
Mycobacteric Identification (87118) $117 $195 8.0×
Mycophenolic Acid (80180) $261.60 $436 14.5×
Mycoplasma antibody (86738) $223.20 $372 16.9×
Mycoplasma culture (87109) $130.80 $218 8.5×
Myelin basic protein csf (83873)
range across 2 matching MRF lines
$53.40–$283.20 $89–$472 varies
Myoglobin urine (83874)
range across 2 matching MRF lines
$61.20–$132 $102–$220 varies
Natriuretic peptide (83880) $337.20 $562 8.6×
Neutralization Test Viral (86382) $61.20 $102 3.6×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $65.40 $109 2.2×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) $385.80 $643 1.5×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $256.80 $428 1.8×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $963 $1,605 7.5×
Niacin (84591) $226.20 $377 13.3×
Nk cells total count (86357)
range across 2 matching MRF lines
$94.80–$205.80 $158–$343 varies
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $447 $745 1.8×
Nras gene variants exon 2&3 (81311) $639.60 $1,066 2.2×
Nuclear antigen antibody (86235)
range across 2 matching MRF lines
$52.80–$207.60 $88–$346 varies
Obstetric panel (80081) $567 $945 7.6×
Occult blood feces (82272) $63 $105 14.9×
Occult Blood Other Sources (82271) $71.40 $119 13.4×
Oligoclonal bands (83916)
range across 2 matching MRF lines
$63–$297.60 $105–$496 varies
Oncoprotein dcp (83951) $395.40 $659 6.1×
Organic acids urine (83918) $49.20 $82 2.1×
Osmolality serum (83930) $131.40 $219 19.9×
Osmolality Urine (83935) $131.40 $219 19.3×
Osmotic fragility rbc incubated (85557) $250.80 $418 18.8×
Osteocalcin (83937) $188.40 $314 6.3×
Ova and parasites smears (87177)
range across 2 matching MRF lines
$20.40–$159.60 $34–$266 varies
Oxalate urine (83945)
range across 2 matching MRF lines
$39–$178.20 $65–$297 varies
Pancreatic Elastase Fecal (82656) $424.20 $707 36.8×
Particle Agglut Antbdy Titr (86406) $183.60 $306 17.3×
Particle Agglutination Screen Each Antibody (86403)
range across 2 matching MRF lines
$32.40–$274.20 $54–$457 varies
Parvovirus antibody (86747)
range across 2 matching MRF lines
$40.80–$210 $68–$350 varies
Path Consltj Surg Cytologic Exam Initial Site (88333) $252 $420 0.3×
Pathology Consultation During Surgery (88329) $186.60 $311 3.0×
Ph urine (81003)
range across 2 matching MRF lines
$9–$69.60 $15–$116 varies
Phenobarbital Level (80184) $241.20 $402 15.8×
Phenylalanine (84030) $93 $155 16.9×
Phenytoin (Dilantin) (80185) $234.60 $391 17.7×
Phenytoin free (80186) $268.20 $447 19.5×
Phosphatase acid prostatic (84066) $161.40 $269 16.7×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$15.60–$91.20 $26–$152 varies
Phospholipid Neutralization Hexagonal (85598)
range across 2 matching MRF lines
$18–$257.40 $30–$429 varies
Phosphorus Serum (84100)
range across 2 matching MRF lines
$13.20–$101.40 $22–$169 varies
Phosphorus urine (84105)
range across 2 matching MRF lines
$17.40–$125.40 $29–$209 varies
Pik3ca gene analysis targeted sequence analysis (81309) $423.60 $706 1.5×
Pinworm exam (87172) $126 $210 29.5×
Platelet Aggregation (85576)
range across 2 matching MRF lines
$70.80–$238.20 $118–$397 varies
Platelet Antibodies (86022) $434.40 $724 23.6×
Platelet count automated (85049) $93 $155 20.8×
Platelet neutralization (85597)
range across 2 matching MRF lines
$18–$195 $30–$325 varies
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $411.60 $686 2.0×
Pooling blood platelets (86965) $116.40 $194 0.6×
Porphobilinogen, urine; quantitative (84110)
range across 2 matching MRF lines
$47.40–$136.20 $79–$227 varies
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines
$43.20–$291 $72–$485 varies
Potassium Urine (84133)
range across 2 matching MRF lines
$10.20–$109.20 $17–$182 varies
Prealbumin (84134) $132 $220 9.0×
Pregnenolone (84140) $192.60 $321 9.3×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $235.20 $392 3.8×
Primidone (80188) $229.20 $382 13.8×
Procalcitonin (Pct) (84145) $317.40 $529 11.7×
Progesterone (84144) $213.60 $356 10.2×
Prolactin (84146)
range across 2 matching MRF lines
$42–$210 $70–$350 varies
Protein body fluid (84157) $122.40 $204 30.6×
Protein C Activity (85303)
range across 2 matching MRF lines
$40.80–$525.60 $68–$876 varies
Protein c antigen (85302)
range across 2 matching MRF lines
$49.20–$299.40 $82–$499 varies
Protein Electrophoresis Urine (84166) $60.60 $101 3.4×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$31.80–$219.60 $53–$366 varies
Protein S Free (85306)
range across 2 matching MRF lines
$49.20–$304.80 $82–$508 varies
Protein s total (85305)
range across 2 matching MRF lines
$47.40–$520.80 $79–$868 varies
Protein Total Refractometry Any Src (84160) $61.80 $103 11.0×
Protein total serum (84155)
range across 2 matching MRF lines
$12–$87 $20–$145 varies
Protein Total Urine (84156)
range across 2 matching MRF lines
$10.80–$122.40 $18–$204 varies
Protein Western Blot Test (84182)
range across 2 matching MRF lines
$52.80–$457.80 $88–$763 varies
Prothrombin Time Substitution Plasma Frctj Each (85611)
range across 2 matching MRF lines
$12–$111.60 $20–$186 varies
Protoporphyrin rbc quantitative (84202) $162.60 $271 11.3×
Protoporphyrin, RBC; screen Facility (84203) $25.80 $43 2.6×
PSA free (84154)
range across 2 matching MRF lines
$54–$210 $90–$350 varies
Pten gene analysis known familial variant (81322) $165.60 $276 3.6×
Pth Intact (83970)
range across 2 matching MRF lines
$122.40–$456.60 $204–$761 varies
Q Fever Antibody (86638) $49.80 $83 4.1×
Quantiferon tb gold plus (86480) $123 $205 2.0×
Quantitative assay drug (80299) $226.80 $378 12.2×
Quantitative Screen Metals (83018) $185.40 $309 8.4×
Rbc antibody elution (86860) $365.40 $609 2.0×
Rbc antibody identification (86870) $316.80 $528 0.8×
Rbc antibody screen (86850)
range across 2 matching MRF lines
$36.60–$178.20 $61–$297 varies
Rbc pretreatment serum (86978) $324 $540 5.2×
Reagent Strip/Blood Glucose (82948) $65.40 $109 13.0×
Renin activity plasma (84244)
range across 2 matching MRF lines
$69.60–$416.40 $116–$694 varies
Reptilase test (85635) $120.60 $201 12.2×
Resp virus 12-25 targets (87633)
range across 2 matching MRF lines
$750–$870 $1,250–$1,450 varies
Reticulocyte Count (85046)
range across 2 matching MRF lines
$17.40–$91.20 $29–$152 varies
Reticulocyte Count Manual (85044) $101.40 $169 23.5×
Rh (86901)
range across 2 matching MRF lines
$31.20–$88.80 $52–$148 varies
Rheumatoid Factor Qualitative (86430) $119.40 $199 19.4×
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$17.40–$116.40 $29–$194 varies
Rickettsia antibody (86757) $101.40 $169 5.2×
Ristocetin cofactor (85245)
range across 2 matching MRF lines
$80.40–$336 $134–$560 varies
Rotavirus ag eia (87425) $278.40 $464 23.2×
Rpr qualitative (86592) $69.60 $116 16.3×
Rsv Assay W/Optic (87807) $261.60 $436 20.0×
Rubella Antibody (86762)
range across 2 matching MRF lines
$75–$144.60 $125–$241 varies
Rubeola antibody (86765)
range across 2 matching MRF lines
$40.80–$119.40 $68–$199 varies
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$18–$210.60 $30–$351 varies
Salicylate Level (80179) $36 $60 1.9×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines
$121.20–$412.80 $202–$688 varies
Sars-cov-2 COVID-19 antibody (86769) $81.60 $136 1.9×
Sarscov2 & inf a&b amp prb (87636) $126.60 $211 0.9×
Sedimentation Rate, Automated (85652) $95.40 $159 35.3×
Selenium (84255) $215.40 $359 8.4×
Semen Anal Sperm Detection (89321) $106.20 $177 8.8×
Sensitivity mic (87186) $125.40 $209 14.5×
Serpina 1 gene (81332) $433.20 $722 9.9×
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines
$64.80–$229.20 $108–$382 varies
Sickling of rbc reduction (85660) $125.40 $209 22.8×
Sirolimus (80195) $255.60 $426 18.6×
Skin test tuberculosis intradermal (86580) $69 $115 2.3×
Smear acid fast (87206)
range across 2 matching MRF lines
$16.80–$136.20 $28–$227 varies
Smear complex stain (87209)
range across 2 matching MRF lines
$21.60–$133.20 $36–$222 varies
Smear gram stain (87205)
range across 2 matching MRF lines
$12–$101.40 $20–$169 varies
Smear Special Stain (87207)
range across 2 matching MRF lines
$24–$131.40 $40–$219 varies
Smr Prim Src Wet Mount Nfct Agt (87210) $120 $200 20.6×
Sodium Serum (84295)
range across 2 matching MRF lines
$12.60–$80.40 $21–$134 varies
Sodium Urine (84300)
range across 2 matching MRF lines
$10.20–$101.40 $17–$169 varies
Soluble Transferrin Receptor (84238) $410.40 $684 11.2×
Somatomedin (84305) $478.20 $797 22.5×
Special Stains Group 1 (88312) $247.20 $412 4.5×
Special Stains Group 2 (88313) $231 $385 1.6×
Specific gravity body fluid (84315) $48 $80 14.6×
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$24–$108 $40–$180 varies
Spectrophotometry (84311)
range across 2 matching MRF lines
$22.20–$181.20 $37–$302 varies
Staph a DNA amp probe (87640) $104.40 $174 3.0×
Stool cultr aerobic bact ea (87046)
range across 2 matching MRF lines
$63.60–$103.20 $106–$172 varies
Strep a assay w/optic (87880) $109.20 $182 6.6×
Strep b DNA amp probe (87653)
range across 2 matching MRF lines
$94.80–$261.60 $158–$436 varies
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $142.20 $237 12.3×
Sugars Single Qual (84376) $57 $95 10.4×
Surg path level iii (88304) $342.60 $571 6.2×
Surgical pathology level IV (88305) $446.40 $744 8.1×
Surgical pathology level vi (88309) $970.20 $1,617 1.1×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 2 matching MRF lines
$13.20–$84.60 $22–$141 varies
Susceptibility Study Antimicrobial Disk Method (87184) $148.20 $247 19.8×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $18 $30 2.5×
Sweat Collection Iontophoresis (89230) $378.60 $631 6.9×
Syphilis Test Non-Trep Quant (86593) $88.80 $148 20.2×
T cells absolute cd4 count (86361)
range across 2 matching MRF lines
$79.20–$336.60 $132–$561 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 2 matching MRF lines
$133.20–$342.60 $222–$571 varies
T cells total count (86359)
range across 2 matching MRF lines
$97.80–$234.60 $163–$391 varies
T3 Free (84481) $417 $695 24.6×
T3 reverse (84482) $220.20 $367 14.0×
T3 Total (84480) $136.20 $227 9.6×
T3 Uptake (84479)
range across 2 matching MRF lines
$37.20–$130.80 $62–$218 varies
T4 Free (84439) $132 $220 14.6×
T4 total (84436)
range across 2 matching MRF lines
$39–$131.40 $65–$219 varies
T4-neonatal (84437) $21.60 $36 3.3×
Tacrolimus (80197) $304.20 $507 22.2×
Test for acetone/ketones (82009) $136.80 $228 30.3×
Testosterone total (84403)
range across 2 matching MRF lines
$169.20–$267 $282–$445 varies
Testosterone, Free (84402)
range across 2 matching MRF lines
$75.60–$266.40 $126–$444 varies
Tetanus antibody (86774) $180.60 $301 12.2×
Theophylline (80198) $223.20 $372 15.8×
Thrombin Time (85670)
range across 2 matching MRF lines
$18–$156.60 $30–$261 varies
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 2 matching MRF lines
$21.60–$136.80 $36–$228 varies
Thyroglobulin (84432)
range across 2 matching MRF lines
$48–$258 $80–$430 varies
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines
$47.40–$229.80 $79–$383 varies
Thyroid Stimulating Immunoglobulin (84445) $527.40 $879 10.4×
Thyroxine binding globulin (84442) $150 $250 10.1×
Tiss cul neo disorders solid tumor (88239) $1,006.80 $1,678 6.8×
Tiss Trnsgltmnase Ea Ig Clas (86364) $25.80 $43 2.2×
Tissue Culture (88233) $828 $1,380 5.9×
Tissue culture bone marrow (88237) $912 $1,520 6.3×
Tissue Culture Lymphocyte (88230)
range across 2 matching MRF lines
$165–$1,697.40 $275–$2,829 varies
Tobramycin peak (80200) $304.20 $507 18.9×
Topiramate (80201) $186.60 $311 15.7×
Toxoplasma ab igm (86778)
range across 2 matching MRF lines
$30.60–$210 $51–$350 varies
Toxoplasma antibody (86777)
range across 2 matching MRF lines
$42.60–$223.80 $71–$373 varies
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines
$15.60–$104.40 $26–$174 varies
Transferrin (84466) $237 $395 18.6×
Trb@ Rearrangement Anal Amplification Method (81340) $811.20 $1,352 3.9×
Trg gene rearrangement anal (81342) $741 $1,235 3.7×
Trichinella Antibody (86784) $166.20 $277 13.2×
Trichomonas vagin dir probe (87660)
range across 2 matching MRF lines
$60–$106.20 $100–$177 varies
Trichomonas Vaginalis Amplif (87661)
range across 2 matching MRF lines
$104.40–$210.60 $174–$351 varies
Triglycerides (84478)
range across 2 matching MRF lines
$18–$123 $30–$205 varies
Troponin Quant (84484)
range across 2 matching MRF lines
$61.20–$277.20 $102–$462 varies
Tumor immunohistochem/comput (88361) $581.40 $969 1.5×
Tumor Immunohistochem/Manual (88360) $457.80 $763 2.5×
Urea nitrogen urine (84540)
range across 2 matching MRF lines
$9–$101.40 $15–$169 varies
Uric acid other source (84560)
range across 2 matching MRF lines
$13.20–$125.40 $22–$209 varies
Urinalysis Microscopic Only (81015) $72 $120 23.6×
Urinalysis Volume Measure (81050) $25.80 $43 7.1×
Urine Bacteria Culture (87088)
range across 2 matching MRF lines
$85.20–$147 $142–$245 varies
Urine Pregnancy Test (81025) $120 $200 13.9×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $49.80 $83 15.7×
Valproic acid (80164) $274.20 $457 20.3×
Vancomycin (80202) $304.80 $508 22.5×
Varicella-zoster antibody (86787) $136.80 $228 10.6×
Vasopressin (84588) $246 $410 7.2×
Very Long Chain Fatty Acids (82726) $421.20 $702 21.3×
Viral Culture (87252)
range across 2 matching MRF lines
$57–$510.60 $95–$851 varies
Virus antibody nos (86790)
range across 2 matching MRF lines
$30.60–$281.40 $51–$469 varies
Virus inoculate tissue addl (87253) $142.80 $238 7.1×
Virus inoculation, shell via (87254)
range across 2 matching MRF lines
$58.20–$324 $97–$540 varies
Viscosity serum (85810) $258.60 $431 22.2×
Vit D 1 25-Dihydroxy (82652)
range across 2 matching MRF lines
$69.60–$510.60 $116–$851 varies
Vitamin A (84590) $237.60 $396 20.5×
Vitamin b-12 (82607)
range across 2 matching MRF lines
$45–$153 $75–$255 varies
Vitamin B2 (Riboflavin) (84252) $258 $430 12.7×
Vitamin B6 (84207) $358.20 $597 12.7×
Vitamin c (82180) $142.20 $237 14.4×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$53.40–$237.60 $89–$396 varies
Vitamin E (84446) $285.60 $476 20.1×
Vitamin K (84597) $429 $715 31.3×
Volatiles (84600) $186.60 $311 10.9×
Voltage-Gated Calcium Channel Antibody Each (86596) $40.20 $67 3.3×
Von willebrand factor ag (85246)
range across 2 matching MRF lines
$80.40–$271.20 $134–$452 varies
Wbc Alkaline Phosphatase Count (85540) $210.60 $351 24.5×
West nile virus ab igm (86788) $30.60 $51 1.8×
West Nile Virus Antibody (86789) $42.60 $71 3.0×
Western Blot Test (84181) $214.80 $358 12.6×
Xm Archive Tissue Molec Anal (88363) $115.80 $193 3.8×
Xylose Absorption Test (84620) $185.40 $309 14.4×
Zinc (84630) $232.20 $387 20.4×

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.