Lab & pathology prices at Ascension St. Vincent Clay
Brazil, IN · every code in this section with a posted price and a Medicare benchmark.
651 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $333 | $555 | 8.6× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $88.20 | $147 | 2.7× |
| Acute hepatitis panel (80074) | $576.60 | $961 | 12.1× |
| Acylcarnitines Quant (82017) | $291 | $485 | 17.2× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $55.20 | $92 | 3.3× |
| Adenovirus antibody (86603) | $145.20 | $242 | 11.3× |
| Agglutinins Febrile Each Antigen (86000) | $187.20 | $312 | 26.8× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$19.80–$90 | $33–$150 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$12–$46.20 | $20–$77 | varies |
| Aldolase (82085) | $138.60 | $231 | 14.3× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$126–$413.40 | $210–$689 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$45.60–$264.60 | $76–$441 | varies |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$16.80–$78.60 | $28–$131 | varies |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$18–$100.80 | $30–$168 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$42.60–$64.80 | $71–$108 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $236.40 | $394 | 16.3× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$41.40–$136.20 | $69–$227 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$51.60–$147 | $86–$245 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$16.80–$52.80 | $28–$88 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) | $521.40 | $869 | 22.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$45–$390 | $75–$650 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) range across 2 matching MRF lines |
$55.20–$142.80 | $92–$238 | varies |
| Aminolevulinic acid (ala) (82135) | $79.20 | $132 | 4.8× |
| Ammonia (82140) | $184.80 | $308 | 12.7× |
| Amylase urine (82150) range across 2 matching MRF lines |
$19.80–$100.80 | $33–$168 | varies |
| Ana Titer (86039) | $110.40 | $184 | 9.9× |
| Androstenedione (82157) | $151.20 | $252 | 5.2× |
| Angiotensin converting enzyme csf (82164) | $195.60 | $326 | 13.4× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$93.60–$136.20 | $156–$227 | varies |
| Antibody aspergillus (86606) | $31.80 | $53 | 2.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$76.80–$184.80 | $128–$308 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$48–$150 | $80–$250 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$31.80–$182.40 | $53–$304 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $140.40 | $234 | 10.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$47.40–$152.40 | $79–$254 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$55.20–$172.80 | $92–$288 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$31.80–$125.40 | $53–$209 | varies |
| Antibody haemophilus influenza (86684) | $187.20 | $312 | 11.8× |
| Antibody helicobacter pylori (86677) | $200.40 | $334 | 11.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $146.40 | $244 | 10.2× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$31.80–$75 | $53–$125 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$42.60–$147.60 | $71–$246 | varies |
| Antibody HIV-2 (86702) | $41.40 | $69 | 3.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $161.40 | $269 | 8.3× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$28.20–$289.20 | $47–$482 | varies |
| Antibody nocardia (86744) | $18 | $30 | 1.1× |
| Antibody Titer (86886) | $279.60 | $466 | 54.0× |
| Antibody Treponema Pallidum (86780) | $64.80 | $108 | 4.9× |
| Antigen typing (86905) | $123.60 | $206 | 32.3× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $120.60 | $201 | 21.1× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$37.20–$160.80 | $62–$268 | varies |
| Antistreptolysin O Screen (86063) | $35.40 | $59 | 6.1× |
| Antistreptolysin o titer (86060) | $120.60 | $201 | 16.5× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$36.60–$381 | $61–$635 | varies |
| Antithrombin iii antigen (85301) | $345.60 | $576 | 32.0× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$47.40–$123.60 | $79–$206 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$58.80–$126 | $98–$210 | varies |
| Aspergillus ag eia (87305) | $232.20 | $387 | 19.4× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$47.40–$224.40 | $79–$374 | varies |
| Assay Blood Carbon Dioxide (82374) | $66 | $110 | 13.5× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$37.20–$129 | $62–$215 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$39.60–$213 | $66–$355 | varies |
| Assay of blood/uric acid (84550) | $54.60 | $91 | 12.1× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$12–$90 | $20–$150 | varies |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$41.40–$161.40 | $69–$269 | varies |
| Assay of estrone (82679) range across 2 matching MRF lines |
$84.60–$178.20 | $141–$297 | varies |
| Assay of g6pd enzyme (82955) | $119.40 | $199 | 12.3× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$26.40–$110.40 | $44–$184 | varies |
| Assay of lactic acid (83605) | $123.60 | $206 | 10.7× |
| Assay of manganese (83785) | $69 | $115 | 2.6× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$52.20–$282.60 | $87–$471 | varies |
| Assay of phosphatase acid total (84060) | $59.40 | $99 | 7.8× |
| Assay of proinsulin (84206) | $195 | $325 | 7.3× |
| Assay of pyruvate (84210) | $154.20 | $257 | 10.6× |
| Assay of serotonin (84260) | $313.20 | $522 | 10.1× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$14.40–$42 | $24–$70 | varies |
| Assay of sweat sodium (84302) | $70.20 | $117 | 14.4× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$11.40–$59.40 | $19–$99 | varies |
| Assay of urine vma (84585) | $236.40 | $394 | 15.3× |
| Assay of vasoactive intestinal peptide (84586) | $327 | $545 | 9.3× |
| Assay of vitamin b-1 (84425) | $236.40 | $394 | 11.1× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$9–$58.80 | $15–$98 | varies |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$7.80–$52.80 | $13–$88 | varies |
| B cells total count (86355) | $117 | $195 | 3.1× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$31.80–$62.40 | $53–$104 | varies |
| Bcr/abl1 gene major bp (81206) | $402 | $670 | 2.5× |
| Bcr/abl1 gene minor bp (81207) | $390 | $650 | 2.7× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$70.20–$213.60 | $117–$356 | varies |
| Beta hydroxybutyrate (82010) | $105.60 | $176 | 12.9× |
| Beta Lactamase (87185) | $67.80 | $113 | 14.3× |
| Beta-2 Microglobulin (82232) | $222.60 | $371 | 13.8× |
| Bile acids total (82239) | $124.80 | $208 | 7.3× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$16.20–$51 | $27–$85 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$16.20–$59.40 | $27–$99 | varies |
| Biotinidase (82261) range across 2 matching MRF lines |
$36–$71.40 | $60–$119 | varies |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$31.80–$102.60 | $53–$171 | varies |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $108.60 | $181 | 3.5× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $236.40 | $394 | 1.3× |
| Bld Typing Serologic Rh Phnt (86906) | $70.20 | $117 | 9.1× |
| Blood Count Automated Differential Wbc Count (85004) | $19.20 | $32 | 3.0× |
| Blood Count Red Blood Cell Automated (85041) | $35.40 | $59 | 11.7× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$11.40–$79.80 | $19–$133 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$10.20–$39.60 | $17–$66 | varies |
| Blood gas (82803) range across 2 matching MRF lines |
$52.80–$239.40 | $88–$399 | varies |
| Blood gases w/02 saturation (82805) | $225 | $375 | 2.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $93 | $155 | 5.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $51 | $85 | 11.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $103.80 | $173 | 16.3× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$25.80–$51.60 | $43–$86 | varies |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$31.80–$86.40 | $53–$144 | varies |
| Braf gene analysis (81210) | $322.20 | $537 | 1.8× |
| C diff amplified probe (87493) | $176.40 | $294 | 4.7× |
| C-Peptide (84681) | $232.20 | $387 | 11.2× |
| C-reactive protein (86140) | $105.60 | $176 | 20.4× |
| Ca 19-9 (86301) | $228 | $380 | 11.0× |
| Calcitonin (82308) | $255.60 | $426 | 9.5× |
| Calcium ionized (82330) | $162 | $270 | 11.8× |
| Calcium total (82310) range across 2 matching MRF lines |
$16.20–$46.20 | $27–$77 | varies |
| Calculus Spectroscopy (82365) | $194.40 | $324 | 15.1× |
| Calprotectin Fecal (83993) | $326.40 | $544 | 16.6× |
| Calr gene com variants (81219) | $219 | $365 | 1.8× |
| Cancer Antigen 125 (86304) | $258 | $430 | 12.4× |
| Cancer Antigen 27.29 (86300) | $239.40 | $399 | 11.5× |
| Candida antibody (86628) | $31.80 | $53 | 2.6× |
| Candida Dna Dir Probe (87480) | $61.80 | $103 | 3.1× |
| Carbamazepine total (80156) | $176.40 | $294 | 12.1× |
| Carboxyhemoglobin (82375) | $164.40 | $274 | 13.3× |
| Carcinoembryonic antigen (82378) | $240.60 | $401 | 12.7× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$117–$197.40 | $195–$329 | varies |
| Carnitine Quantitative Each Specimen (82379) | $221.40 | $369 | 13.1× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$78–$316.80 | $130–$528 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$39.60–$176.40 | $66–$294 | varies |
| Cell count csf (89051) | $108.60 | $181 | 19.4× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $323.40 | $539 | 2.4× |
| Ceruloplasmin (82390) | $151.20 | $252 | 14.1× |
| Cftr gene com variants (81220) | $865.80 | $1,443 | 1.6× |
| Chemiluminescent assay (82397) | $190.20 | $317 | 13.5× |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$31.80–$90 | $53–$150 | varies |
| Chlamydia Igm Antibody (86632) | $31.80 | $53 | 2.5× |
| Chloride other source (82438) range across 2 matching MRF lines |
$15.60–$57.60 | $26–$96 | varies |
| Chloride Serum (82435) range across 2 matching MRF lines |
$10.20–$39.60 | $17–$66 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$10.20–$79.20 | $17–$132 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$22.80–$69 | $38–$115 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$21.60–$199.80 | $36–$333 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $201.60 | $336 | 7.5× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$102–$408 | $170–$680 | varies |
| Chromium serum (82495) | $153.60 | $256 | 7.6× |
| Chromogenic Substrate Assay (85130) | $258 | $430 | 21.7× |
| Chromogranin a (86316) | $189.60 | $316 | 9.1× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$501.60–$1,765.80 | $836–$2,943 | varies |
| Chromosome Analysis 20-25 (88264) | $501.60 | $836 | 3.5× |
| Chromosome analysis, 5 (88261) | $1,263 | $2,105 | 4.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$108.60–$188.40 | $181–$314 | varies |
| Ckmb (82553) range across 2 matching MRF lines |
$18.60–$105.60 | $31–$176 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$36.60–$189.60 | $61–$316 | varies |
| Clot Factor VIII Multimetric (85247) range across 2 matching MRF lines |
$70.80–$231.60 | $118–$386 | varies |
| Clotting Funct Activity (85397) | $55.80 | $93 | 1.8× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$31.80–$92.40 | $53–$154 | varies |
| Cold agglutinin titer (86157) | $113.40 | $189 | 14.1× |
| Collagen crosslinks (82523) | $190.80 | $318 | 10.2× |
| Column Chromotography Quant (82542) | $201.60 | $336 | 8.4× |
| Compatibility test antiglob (86922) | $110.40 | $184 | 0.6× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$37.20–$174 | $62–$290 | varies |
| Complement Total (Ch50) (86162) | $190.80 | $318 | 9.4× |
| Complement/Function Activity (86161) | $168 | $280 | 14.0× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $381.60 | $636 | 9.7× |
| Coombs direct (86880) range across 2 matching MRF lines |
$17.40–$81.60 | $29–$136 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$37.80–$172.80 | $63–$288 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$51.60–$192 | $86–$320 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$44.40–$211.80 | $74–$353 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$14.40–$74.40 | $24–$124 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$19.80–$64.80 | $33–$108 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$16.20–$46.20 | $27–$77 | varies |
| Creatinine clearance (82575) | $181.80 | $303 | 19.2× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$16.20–$58.80 | $27–$98 | varies |
| Crossmatch electronic (86923) | $152.40 | $254 | 0.8× |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$40.80–$83.40 | $68–$139 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$39.60–$140.40 | $66–$234 | varies |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$19.80–$108.60 | $33–$181 | varies |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$36.60–$108.60 | $61–$181 | varies |
| Cryptosporidium (87272) | $86.40 | $144 | 7.2× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$40.80–$154.80 | $68–$258 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$37.20–$66 | $62–$110 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$54–$114 | $90–$190 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $138 | $230 | 17.9× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $392.40 | $654 | 1.8× |
| Culture aerobic quant other (87071) | $177 | $295 | 17.9× |
| Culture afb (87116) range across 2 matching MRF lines |
$33–$167.40 | $55–$279 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$19.80–$144 | $33–$240 | varies |
| Culture blood (87040) | $188.40 | $314 | 18.3× |
| Culture chlamydia (87110) | $36 | $60 | 1.8× |
| Culture csf (87070) range across 2 matching MRF lines |
$154.20–$160.80 | $257–$268 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$23.40–$136.80 | $39–$228 | varies |
| Culture fungus blood (87103) | $207.60 | $346 | 10.1× |
| Culture screen only (87081) | $105.60 | $176 | 15.9× |
| Culture stool (87045) range across 2 matching MRF lines |
$28.20–$154.80 | $47–$258 | varies |
| Culture typing if ea antiserum (87140) | $17.40 | $29 | 3.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$43.20–$69 | $72–$115 | varies |
| Culture urine (87086) | $118.20 | $197 | 14.6× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $142.80 | $238 | 10.0× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$54–$289.80 | $90–$483 | varies |
| Cystatin C (82610) | $142.80 | $238 | 7.7× |
| Cytogenetics 100-300 (88275) | $419.40 | $699 | 8.2× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,791.60 | $2,986 | 1.5× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$44.40–$150 | $74–$250 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$61.80–$172.80 | $103–$288 | varies |
| Cytopath Cell Enhance Tech (88112) | $163.80 | $273 | 3.0× |
| Cytotoxic Antibody Screen Std (86807) | $122.40 | $204 | 1.6× |
| Cytotoxic pra quick (86808) range across 2 matching MRF lines |
$91.20–$387 | $152–$645 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$78.60–$182.40 | $131–$304 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $216.60 | $361 | 5.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $424.80 | $708 | 7.7× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $276 | $460 | 1.5× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $168 | $280 | 9.1× |
| Deoxyribonuclease antibody (86215) | $110.40 | $184 | 8.3× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$108.60–$228.60 | $181–$381 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$130.80–$454.80 | $218–$758 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$178.80–$311.40 | $298–$519 | varies |
| Dhea (82626) | $240.60 | $401 | 9.5× |
| Dhea-S (82627) | $315.60 | $526 | 14.2× |
| Digoxin (80162) | $130.80 | $218 | 9.8× |
| Diphtheria antitoxoid (86648) | $177.60 | $296 | 11.7× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$42–$130.80 | $70–$218 | varies |
| Dna Antibody Single Stranded (86226) | $152.40 | $254 | 12.6× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$61.80–$135 | $103–$225 | varies |
| Drug assay acetaminophen (80143) | $36 | $60 | 1.9× |
| Drug Screen Quant Clozapine (80159) | $118.80 | $198 | 5.9× |
| Drug Screen Quant Zonisamide (80203) | $118.20 | $197 | 8.9× |
| Drug Screen Quantitative Gabapentin (80171) | $351.60 | $586 | 16.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $118.20 | $197 | 8.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $118.80 | $198 | 9.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $174 | $290 | 13.1× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $150 | $250 | 9.0× |
| Drug Test Prsmv Chem Anlyzr (80307) | $214.20 | $357 | 3.4× |
| Drug Test Prsmv Dir Opt Obs (80305) | $137.40 | $229 | 10.9× |
| Drug Test Prsmv Instrmnt (80306) | $137.40 | $229 | 8.0× |
| Egfr Gene Analysis Common Variants (81235) | $522 | $870 | 1.6× |
| Ehrlichia antibody (86666) | $138 | $230 | 13.6× |
| Electrolyte panel (80051) | $138.60 | $231 | 19.8× |
| Enterovirus Antibody (86658) | $47.40 | $79 | 3.6× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$97.20–$359.40 | $162–$599 | varies |
| Eosinophil Smear (89190) | $81.60 | $136 | 14.1× |
| Erythropoietin (82668) | $236.40 | $394 | 12.6× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$85.80–$265.80 | $143–$443 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$75–$126.60 | $125–$211 | varies |
| Estrogen total (82672) | $292.80 | $488 | 13.5× |
| Ethosuximide (80168) | $130.80 | $218 | 8.0× |
| Ethylene Glycol (82693) | $177.60 | $296 | 11.9× |
| Exam Synovial Fluid Crystals (89060) | $99.60 | $166 | 13.6× |
| F2 Gene (81240) range across 2 matching MRF lines |
$71.40–$189.60 | $119–$316 | varies |
| Factor ii activity (85210) | $264 | $440 | 20.3× |
| Factor Inhibitor Test (85335) | $306.60 | $511 | 23.8× |
| Factor v activity (85220) | $259.80 | $433 | 14.7× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$75.60–$300.60 | $126–$501 | varies |
| Factor viii assay (85240) range across 2 matching MRF lines |
$32.40–$250.80 | $54–$418 | varies |
| Factor X (85260) | $294 | $490 | 16.4× |
| Fecal Fat Qualitative (82705) | $93.60 | $156 | 18.4× |
| Ferritin (82728) range across 2 matching MRF lines |
$43.20–$172.80 | $72–$288 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $653.40 | $1,089 | 4.3× |
| Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) | $442.80 | $738 | 6.4× |
| Fetal screen rosette (85461) | $68.40 | $114 | 7.3× |
| Fibrin degradation products (85362) | $112.80 | $188 | 16.4× |
| Fibrin Degradation Quant (85379) | $194.40 | $324 | 19.1× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) range across 2 matching MRF lines |
$21.60–$167.40 | $36–$279 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$25.80–$153.60 | $43–$256 | varies |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$154.20–$334.80 | $257–$558 | varies |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$37.20–$190.20 | $62–$317 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$37.20–$184.80 | $62–$308 | varies |
| Fluoride serum (82735) | $142.80 | $238 | 7.7× |
| Folic acid rbc (82747) | $228 | $380 | 12.9× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$45.60–$181.20 | $76–$302 | varies |
| Follicle Stimulating Hormone (83001) | $240.60 | $401 | 12.9× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $62.40 | $104 | 0.3× |
| Frozen Section (88331) | $381.60 | $636 | 2.1× |
| Fungi Identification Mold (87107) | $125.40 | $209 | 12.2× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$71.40–$100.80 | $119–$168 | varies |
| Galactose (82760) range across 2 matching MRF lines |
$44.40–$103.80 | $74–$173 | varies |
| Galactose transferase test (82776) | $33 | $55 | 2.8× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$51–$194.40 | $85–$324 | varies |
| Gardner vag DNA dir probe (87510) | $61.80 | $103 | 3.1× |
| Gardner Vag Dna Quant (87512) | $90 | $150 | 2.2× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $24 | $40 | 2.5× |
| Gases blood ph only (82800) | $97.20 | $162 | 8.8× |
| Gastrin (82941) | $181.80 | $303 | 10.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,153.80 | $1,923 | 2.8× |
| Genet Virus Isolate Hsv (87255) | $114 | $190 | 3.4× |
| Gentamicin (80170) | $223.80 | $373 | 13.7× |
| Ggt (82977) range across 2 matching MRF lines |
$21.60–$69 | $36–$115 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$36.60–$127.80 | $61–$213 | varies |
| Glucagon (82943) | $123.60 | $206 | 8.6× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$15.60–$81.60 | $26–$136 | varies |
| Glucose Blood Test (82962) | $45 | $75 | 13.7× |
| Glucose body fluid (82945) | $76.80 | $128 | 19.5× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$11.40–$60.60 | $19–$101 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$39.60–$184.80 | $66–$308 | varies |
| Glycated Protein (82985) | $104.40 | $174 | 6.2× |
| Gonadotropin Chorionic Qualitative (84703) | $120.60 | $201 | 16.0× |
| Growth hormone (83003) range across 2 matching MRF lines |
$51.60–$187.20 | $86–$312 | varies |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$11.40–$37.20 | $19–$62 | varies |
| H Pylori (C-13) Breath (83013) | $211.80 | $353 | 3.1× |
| H Pylori Drug Admin (83014) | $69 | $115 | 8.8× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$31.80–$151.20 | $53–$252 | varies |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$25.80–$91.20 | $43–$152 | varies |
| Helicobacter Pylori Stool (87338) | $127.80 | $213 | 8.9× |
| Helminth Antibody (86682) | $177 | $295 | 13.6× |
| Hematocrit (85014) range across 2 matching MRF lines |
$7.80–$39.60 | $13–$66 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$7.80–$42 | $13–$70 | varies |
| Hemoglobin a1c (83036) | $152.40 | $254 | 15.7× |
| Hemoglobin Chromotography (83021) | $154.80 | $258 | 8.6× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$30.60–$49.80 | $51–$83 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $85.80 | $143 | 10.5× |
| Hemoglobin plasma (83051) | $97.80 | $163 | 13.4× |
| Hemoglobin-Oxygen Affinity (82820) | $325.20 | $542 | 24.4× |
| Hemosiderin urine (83070) | $84.60 | $141 | 17.8× |
| Hep a ab igm (86709) | $174 | $290 | 15.5× |
| Heparin assay (85520) | $309.60 | $516 | 23.7× |
| Hepatitis a antibody total (86708) | $162 | $270 | 13.1× |
| Hepatitis b core ab igm (86705) | $152.40 | $254 | 12.9× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$37.20–$127.80 | $62–$213 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$28.20–$49.80 | $47–$83 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$19.20–$132.60 | $32–$221 | varies |
| Hepatitis Be Antibody (86707) | $97.80 | $163 | 8.5× |
| Hepatitis Be Antigen (87350) | $125.40 | $209 | 10.9× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$44.40–$217.20 | $74–$362 | varies |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$573.60–$915.60 | $956–$1,526 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $505.80 | $843 | 14.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$130.80–$613.20 | $218–$1,022 | varies |
| Hepatitis Delta Agent Antibody (86692) | $110.40 | $184 | 6.4× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$60–$148.80 | $100–$248 | varies |
| Heterophile Antibody Screen (86308) | $102.60 | $171 | 19.8× |
| Hfe Gene (81256) | $280.80 | $468 | 4.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $195.60 | $326 | 25.3× |
| Histamine urine (83088) | $316.20 | $527 | 10.7× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$67.80–$170.40 | $113–$284 | varies |
| Histoplasma antigen urine (87385) | $333 | $555 | 25.1× |
| Hiv Antigen W/Hiv Antibodies (87806) range across 2 matching MRF lines |
$73.80–$181.20 | $123–$302 | varies |
| Hiv Genotype (87901) | $1,252.80 | $2,088 | 4.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$60–$172.80 | $100–$288 | varies |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$27–$157.80 | $45–$263 | varies |
| HIV-1 p24 antigen (87390) | $54 | $90 | 2.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $415.80 | $693 | 4.9× |
| Hla class ii typing high resolution one locus ea (81382) range across 2 matching MRF lines |
$342.60–$727.20 | $571–$1,212 | varies |
| Hla ii typing 1 allele hr (81383) | $302.40 | $504 | 2.8× |
| Hla ii typing 1 locus lr (81376) | $196.80 | $328 | 1.6× |
| Hla-b27 (86812) | $302.40 | $504 | 11.7× |
| Homocysteine (83090) range across 2 matching MRF lines |
$52.20–$250.20 | $87–$417 | varies |
| Homogenization Tissue (87176) | $66 | $110 | 11.2× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$107.40–$151.20 | $179–$252 | varies |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$108.60–$204 | $181–$340 | varies |
| Htlv-I Antibody (86687) range across 2 matching MRF lines |
$26.40–$163.20 | $44–$272 | varies |
| Hydroxycorticosteroids 17 (83491) | $153.60 | $256 | 8.6× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$64.80–$135 | $108–$225 | varies |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $145.20 | $242 | 12.1× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $114 | $190 | 9.5× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) range across 2 matching MRF lines |
$19.20–$126.60 | $32–$211 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $177.60 | $296 | 12.8× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$36.60–$79.80 | $61–$133 | varies |
| Iaad Ia Streptococcus Group A (87430) | $107.40 | $179 | 6.4× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $168 | $280 | 14.0× |
| Iaadi giardia (87269) | $68.40 | $114 | 5.0× |
| Iaadiadoo trichomonas vaginalis (87808) range across 2 matching MRF lines |
$36.60–$67.80 | $61–$113 | varies |
| Iadna Bartonella Amplified Probe Technique (87471) | $281.40 | $469 | 8.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $428.40 | $714 | 12.2× |
| Iadna Candida Species Amplified Probe Tq (87481) | $107.40 | $179 | 3.1× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $138.60 | $231 | 6.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$97.20–$320.40 | $162–$534 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $489 | $815 | 11.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $221.40 | $369 | 3.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $462.60 | $771 | 10.8× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 2 matching MRF lines |
$97.20–$337.80 | $162–$563 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $357.60 | $596 | 10.2× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $316.80 | $528 | 7.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$108.60–$188.40 | $181–$314 | varies |
| Igg subclasses (82787) | $13.80 | $23 | 1.7× |
| Igh gene rearrange amp meth (81261) | $624 | $1,040 | 3.2× |
| Igk rearrangeabn clonal pop (81264) | $526.80 | $878 | 3.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $424.80 | $708 | 1.1× |
| Immune Complex Assay (86332) | $221.40 | $369 | 9.1× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$90.60–$168 | $151–$280 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$42–$331.80 | $70–$553 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$45.60–$197.40 | $76–$329 | varies |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$36–$679.20 | $60–$1,132 | varies |
| Immunodiffusion Ouchterlony (86331) | $36.60 | $61 | 3.1× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$69–$144 | $115–$240 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $276 | $460 | 1.5× |
| Immunohistochemistry (88342) | $443.40 | $739 | 2.5× |
| In situ hybridization 1st probe stain (88365) | $1,198.20 | $1,997 | 6.6× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) range across 2 matching MRF lines |
$37.20–$59.40 | $62–$99 | varies |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$36.60–$66 | $61–$110 | varies |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$259.80–$398.40 | $433–$664 | varies |
| Inhibin A (86336) range across 2 matching MRF lines |
$46.20–$136.20 | $77–$227 | varies |
| Inhibin b (83520) range across 2 matching MRF lines |
$39.60–$174 | $66–$290 | varies |
| Insitu hybridization manual (88368) | $644.40 | $1,074 | 1.7× |
| Insulin antibodies (86337) | $150 | $250 | 7.0× |
| Insulin free (83527) | $110.40 | $184 | 8.5× |
| Insulin total (83525) range across 2 matching MRF lines |
$82.80–$147 | $138–$245 | varies |
| Intrinsic factor antibody (86340) | $140.40 | $234 | 9.3× |
| Iron (83540) range across 2 matching MRF lines |
$19.80–$79.80 | $33–$133 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$27–$51.60 | $45–$86 | varies |
| Islet cell antibody (86341) | $178.80 | $298 | 7.6× |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$165–$573.60 | $275–$956 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $333.60 | $556 | 1.8× |
| Koh Prep (87220) | $114 | $190 | 26.7× |
| Kras Gene Analysis Additional Variant(S) (81276) | $303 | $505 | 1.6× |
| Kras Gene Variants Exon 2 (81275) | $661.80 | $1,103 | 3.4× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$18.60–$48 | $31–$80 | varies |
| Lactoferrin Fecal Quantitative (83631) | $217.20 | $362 | 11.1× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$39.60–$132 | $66–$220 | varies |
| LDL direct (83721) | $118.20 | $197 | 11.3× |
| Lead (83655) range across 2 matching MRF lines |
$37.20–$138.60 | $62–$231 | varies |
| Legionella antibody (86713) | $194.40 | $324 | 12.7× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$36.60–$137.40 | $61–$229 | varies |
| Leucine Aminopeptidase Lap (83670) | $117 | $195 | 11.9× |
| Leukocyte Assessment Fecal (89055) | $66 | $110 | 15.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $157.80 | $263 | 5.2× |
| Level ii surg pathology grossµscopic exam (88302) | $199.80 | $333 | 5.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $784.80 | $1,308 | 2.1× |
| Lidocaine (80176) | $219.60 | $366 | 14.9× |
| Lipase (83690) | $130.80 | $218 | 19.0× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$39.60–$148.80 | $66–$248 | varies |
| Lipoprotein Bld Quan Part (83704) | $219.60 | $366 | 6.4× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $93.60 | $156 | 8.3× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $50.40 | $84 | 1.5× |
| Lithium (80178) | $86.40 | $144 | 13.1× |
| Luteinizing Hormone (Lh) (83002) | $264 | $440 | 14.3× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$31.80–$164.40 | $53–$274 | varies |
| Lymphocytotoxicity Assay (86805) range across 2 matching MRF lines |
$162–$922.20 | $270–$1,537 | varies |
| Lysozyme serum (85549) | $102 | $170 | 5.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $630.60 | $1,051 | 3.5× |
| Macroscopic exam arthropod (87168) | $58.80 | $98 | 13.8× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$20.40–$97.20 | $34–$162 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$64.80–$196.80 | $108–$328 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$50.40–$160.80 | $84–$268 | varies |
| Metabolic panel ionized ca (80047) | $222.60 | $371 | 16.2× |
| Methylmalonic acid serum (83921) | $294 | $490 | 13.9× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$18–$130.80 | $30–$218 | varies |
| Microsomal Antibodies Each (86376) | $195.60 | $326 | 13.4× |
| Mitochondrial Antibody Each (86381) | $45.60 | $76 | 1.8× |
| Mlh1 Gene (81288) | $633 | $1,055 | 3.3× |
| Molecular Cytogenetics Dna Probe Each (88271) | $360 | $600 | 16.8× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $558 | $930 | 13.2× |
| Mopath procedure level 2 (81401) | $480.60 | $801 | 3.5× |
| Mopath procedure level 4 (81403) | $824.40 | $1,374 | 4.5× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $333.60 | $556 | 1.8× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$107.40–$254.40 | $179–$424 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $438 | $730 | 6.7× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$31.80–$91.20 | $53–$152 | varies |
| Mycobacteric Identification (87118) | $70.20 | $117 | 4.8× |
| Mycophenolic Acid (80180) | $243 | $405 | 13.5× |
| Mycoplasma antibody (86738) | $195 | $325 | 14.7× |
| Mycoplasma culture (87109) | $187.20 | $312 | 12.2× |
| Myelin basic protein csf (83873) | $190.20 | $317 | 11.1× |
| Myoglobin urine (83874) | $207.60 | $346 | 16.1× |
| Natriuretic peptide (83880) | $160.80 | $268 | 4.1× |
| Neisseria Dir Na Probe (87590) | $153.60 | $256 | 5.7× |
| Neutralization Test Viral (86382) | $52.20 | $87 | 3.1× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $63.60 | $106 | 2.2× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $388.20 | $647 | 1.5× |
| Niacin (84591) | $193.80 | $323 | 11.4× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$117–$119.40 | $195–$199 | varies |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$55.20–$154.80 | $92–$258 | varies |
| Obstetric panel (80081) | $563.40 | $939 | 7.5× |
| Occult blood feces (82272) | $27 | $45 | 6.4× |
| Occult Blood Other Sources (82271) | $42 | $70 | 7.9× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$61.80–$213.60 | $103–$356 | varies |
| Oncoprotein dcp (83951) | $243 | $405 | 3.8× |
| Organic acids urine (83918) | $51 | $85 | 2.2× |
| Osmolality serum (83930) | $73.80 | $123 | 11.2× |
| Osmolality Urine (83935) | $104.40 | $174 | 15.3× |
| Osteocalcin (83937) | $114 | $190 | 3.8× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$27.60–$147 | $46–$245 | varies |
| Pancreatic Elastase Fecal (82656) | $222.60 | $371 | 19.3× |
| Particle Agglut Antbdy Titr (86406) | $140.40 | $234 | 13.2× |
| Particle Agglutination Screen Each Antibody (86403) | $114 | $190 | 9.9× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$42.60–$357 | $71–$595 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $224.40 | $374 | 0.3× |
| Ph urine (81003) range across 2 matching MRF lines |
$7.80–$69 | $13–$115 | varies |
| Phenobarbital Level (80184) | $140.40 | $234 | 9.2× |
| Phenylalanine (84030) | $195.60 | $326 | 35.6× |
| Phenytoin (Dilantin) (80185) | $163.20 | $272 | 12.3× |
| Phenytoin free (80186) | $138.60 | $231 | 10.1× |
| Phosphatase acid prostatic (84066) | $70.20 | $117 | 7.3× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$16.20–$69 | $27–$115 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $193.80 | $323 | 10.8× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$15.60–$49.80 | $26–$83 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$16.20–$36 | $27–$60 | varies |
| Pinworm exam (87172) | $60.60 | $101 | 14.2× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$66.60–$136.80 | $111–$228 | varies |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$51–$344.40 | $85–$574 | varies |
| Platelet count automated (85049) | $49.80 | $83 | 11.1× |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$18–$138.60 | $30–$231 | varies |
| Pooling blood platelets (86965) | $51 | $85 | 0.3× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$25.80–$99.60 | $43–$166 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$45.60–$154.80 | $76–$258 | varies |
| Potassium Urine (84133) range across 2 matching MRF lines |
$10.20–$36 | $17–$60 | varies |
| Prealbumin (84134) | $117 | $195 | 8.0× |
| Pregnenolone (84140) | $148.80 | $248 | 7.2× |
| Primidone (80188) | $144.60 | $241 | 8.7× |
| Procalcitonin (Pct) (84145) | $307.20 | $512 | 11.3× |
| Progesterone (84144) | $241.80 | $403 | 11.6× |
| Prolactin (84146) range across 2 matching MRF lines |
$43.20–$270.60 | $72–$451 | varies |
| Protein body fluid (84157) | $86.40 | $144 | 21.6× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$42.60–$335.40 | $71–$559 | varies |
| Protein c antigen (85302) range across 2 matching MRF lines |
$49.20–$233.40 | $82–$389 | varies |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$55.20–$150 | $92–$250 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$33–$162 | $55–$270 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$47.40–$231 | $79–$385 | varies |
| Protein s total (85305) | $356.40 | $594 | 30.7× |
| Protein Total Refractometry Any Src (84160) | $16.20 | $27 | 2.9× |
| Protein total serum (84155) range across 2 matching MRF lines |
$10.80–$52.80 | $18–$88 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$10.80–$88.20 | $18–$147 | varies |
| Protein Western Blot Test (84182) | $210.60 | $351 | 7.2× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$11.40–$112.80 | $19–$188 | varies |
| Protoporphyrin rbc quantitative (84202) | $69 | $115 | 4.8× |
| PSA free (84154) range across 2 matching MRF lines |
$57–$154.20 | $95–$257 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$127.20–$342.60 | $212–$571 | varies |
| Quantiferon tb gold plus (86480) | $288.60 | $481 | 4.7× |
| Quantitative assay drug (80299) | $118.20 | $197 | 6.3× |
| Quantitative Screen Metals (83018) | $186.60 | $311 | 8.5× |
| Rbc antibody elution (86860) | $264 | $440 | 1.5× |
| Rbc antibody identification (86870) | $137.40 | $229 | 0.4× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$40.80–$102.60 | $68–$171 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $165.60 | $276 | 0.9× |
| Reagent Strip/Blood Glucose (82948) | $42 | $70 | 8.3× |
| Receptor assay estrogen (84233) | $406.80 | $678 | 4.6× |
| Receptor assay progesterone (84234) | $406.80 | $678 | 6.3× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$68.40–$259.20 | $114–$432 | varies |
| Resp virus 12-25 targets (87633) | $1,548 | $2,580 | 3.7× |
| Reticulocyte Count (85046) | $17.40 | $29 | 3.1× |
| Reticulocyte Count Manual (85044) | $58.80 | $98 | 13.6× |
| Reticulocyte separation (86972) | $178.20 | $297 | 1.0× |
| Rh (86901) range across 2 matching MRF lines |
$25.20–$54.60 | $42–$91 | varies |
| Rheumatoid Factor Qualitative (86430) | $96.60 | $161 | 15.7× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$17.40–$97.20 | $29–$162 | varies |
| Rickettsia antibody (86757) | $59.40 | $99 | 3.1× |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$70.80–$200.40 | $118–$334 | varies |
| Rotavirus ag eia (87425) | $194.40 | $324 | 16.2× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$13.80–$81.60 | $23–$136 | varies |
| Rsv Assay W/Optic (87807) | $288.60 | $481 | 22.0× |
| Rubella Antibody (86762) | $100.80 | $168 | 7.0× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$39.60–$157.80 | $66–$263 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$18.60–$154.20 | $31–$257 | varies |
| Salicylate Level (80179) | $36 | $60 | 1.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$126.60–$430.80 | $211–$718 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $84.60 | $141 | 2.0× |
| Sedimentation rate (85651) | $66 | $110 | 15.5× |
| Sedimentation Rate, Automated (85652) | $90 | $150 | 33.3× |
| Selenium (84255) | $130.80 | $218 | 5.1× |
| Semen Anal Sperm Detection (89321) | $80.40 | $134 | 6.7× |
| Semen analysis complete (89320) | $90 | $150 | 7.3× |
| Sensitivity mic (87186) | $71.40 | $119 | 8.3× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$67.80–$182.40 | $113–$304 | varies |
| Sirolimus (80195) | $277.20 | $462 | 20.2× |
| Skin test tuberculosis intradermal (86580) | $48.60 | $81 | 1.6× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$16.80–$97.20 | $28–$162 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$55.20–$86.40 | $92–$144 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$13.80–$73.80 | $23–$123 | varies |
| Smear Special Stain (87207) | $142.20 | $237 | 23.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $83.40 | $139 | 14.3× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$13.80–$57.60 | $23–$96 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$10.20–$49.80 | $17–$83 | varies |
| Soluble fibrin monomer (85366) | $91.20 | $152 | 1.1× |
| Soluble Transferrin Receptor (84238) | $340.80 | $568 | 9.3× |
| Somatomedin (84305) | $312 | $520 | 14.7× |
| Special Stains Group 1 (88312) | $251.40 | $419 | 4.6× |
| Special Stains Group 2 (88313) | $250.20 | $417 | 1.8× |
| Specific gravity body fluid (84315) range across 2 matching MRF lines |
$3–$45.60 | $5–$76 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$20.40–$64.80 | $34–$108 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$21.60–$79.20 | $36–$132 | varies |
| Staph a DNA amp probe (87640) | $107.40 | $179 | 3.1× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$28.20–$107.40 | $47–$179 | varies |
| Strep a assay w/optic (87880) | $124.80 | $208 | 7.5× |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$97.20–$262.80 | $162–$438 | varies |
| Sugars Single Qual (84376) | $47.40 | $79 | 8.6× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $60.60 | $101 | 1.6× |
| Surg path level iii (88304) | $356.40 | $594 | 6.5× |
| Surgical pathology level IV (88305) | $427.80 | $713 | 7.8× |
| Surgical pathology level vi (88309) | $854.40 | $1,424 | 1.0× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$71.40–$105 | $119–$175 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $114 | $190 | 15.2× |
| Syphilis Test Non-Trep Quant (86593) | $80.40 | $134 | 18.3× |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$81.60–$313.80 | $136–$523 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$145.20–$309 | $242–$515 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$117–$228 | $195–$380 | varies |
| T3 Free (84481) | $222.60 | $371 | 13.1× |
| T3 reverse (84482) | $125.40 | $209 | 8.0× |
| T3 Total (84480) | $172.80 | $288 | 12.2× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$37.80–$123.60 | $63–$206 | varies |
| T4 Free (84439) | $188.40 | $314 | 20.9× |
| T4 total (84436) range across 2 matching MRF lines |
$39.60–$119.40 | $66–$199 | varies |
| T4-neonatal (84437) range across 2 matching MRF lines |
$16.20–$25.20 | $27–$42 | varies |
| Tacrolimus (80197) | $342.60 | $571 | 25.0× |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$14.40–$80.40 | $24–$134 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$79.20–$277.20 | $132–$462 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$78–$413.40 | $130–$689 | varies |
| Tetanus antibody (86774) | $170.40 | $284 | 11.5× |
| Theophylline (80198) | $110.40 | $184 | 7.8× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$18–$90 | $30–$150 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$19.80–$132 | $33–$220 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$49.80–$256.80 | $83–$428 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$49.80–$174 | $83–$290 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $865.80 | $1,443 | 17.0× |
| Thyroxine binding globulin (84442) | $108 | $180 | 7.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $26.40 | $44 | 2.3× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$255–$883.80 | $425–$1,473 | varies |
| Tissue Culture Lymphocyte (88230) | $330 | $550 | 2.8× |
| Tobramycin peak (80200) | $194.40 | $324 | 12.1× |
| Topiramate (80201) | $135 | $225 | 11.3× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$31.80–$136.20 | $53–$227 | varies |
| Toxoplasma antibody (86777) | $44.40 | $74 | 3.1× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$16.20–$52.80 | $27–$88 | varies |
| Transferrin (84466) | $152.40 | $254 | 11.9× |
| Trichomonas vagin dir probe (87660) | $61.80 | $103 | 3.1× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$107.40–$152.40 | $179–$254 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$18–$59.40 | $30–$99 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$30.60–$144 | $51–$240 | varies |
| Tumor immunohistochem/comput (88361) | $447 | $745 | 1.2× |
| Tumor Immunohistochem/Manual (88360) | $523.20 | $872 | 2.9× |
| Urea nitrogen urine (84540) | $9 | $15 | 1.6× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$15.60–$80.40 | $26–$134 | varies |
| Urinalysis Microscopic Only (81015) | $42 | $70 | 13.8× |
| Urinalysis Volume Measure (81050) | $15.60 | $26 | 4.3× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$56.40–$73.80 | $94–$123 | varies |
| Urine Pregnancy Test (81025) | $93 | $155 | 10.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $84.60 | $141 | 26.7× |
| Valproic acid (80164) | $205.20 | $342 | 15.2× |
| Vancomycin (80202) | $217.20 | $362 | 16.0× |
| Varicella-zoster antibody (86787) | $213 | $355 | 16.5× |
| Vasopressin (84588) | $160.80 | $268 | 4.7× |
| Very Long Chain Fatty Acids (82726) | $439.80 | $733 | 22.3× |
| Viral Culture (87252) range across 2 matching MRF lines |
$217.20–$325.20 | $362–$542 | varies |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$31.80–$219.60 | $53–$366 | varies |
| Virus inoculate tissue addl (87253) | $61.80 | $103 | 3.1× |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$60.60–$184.80 | $101–$308 | varies |
| Vit D 1 25-Dihydroxy (82652) | $287.40 | $479 | 7.5× |
| Vitamin A (84590) | $142.80 | $238 | 12.3× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$46.20–$182.40 | $77–$304 | varies |
| Vitamin B2 (Riboflavin) (84252) | $246 | $410 | 12.2× |
| Vitamin B6 (84207) | $211.80 | $353 | 7.5× |
| Vitamin c (82180) | $125.40 | $209 | 12.7× |
| Vitamin D 25-Hydroxy (82306) | $225 | $375 | 7.6× |
| Vitamin E (84446) | $204 | $340 | 14.4× |
| Vitamin K (84597) | $299.40 | $499 | 21.8× |
| Volatiles (84600) | $123.60 | $206 | 7.2× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $41.40 | $69 | 3.4× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$70.80–$176.40 | $118–$294 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $123 | $205 | 14.3× |
| West nile virus ab igm (86788) | $148.80 | $248 | 8.8× |
| West Nile Virus Antibody (86789) | $148.80 | $248 | 10.3× |
| Xm Archive Tissue Molec Anal (88363) | $118.80 | $198 | 3.9× |
| Zinc (84630) | $172.80 | $288 | 15.2× |
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.