Lab & pathology prices at Ascension St. Vincent Evansville
Evansville, IN · every code in this section with a posted price and a Medicare benchmark.
799 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $178.80 | $298 | 16.0× |
| Acetylcholinesterase Assay (82013) | $127.20 | $212 | 10.3× |
| Acth (82024) | $299.40 | $499 | 7.8× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) range across 2 matching MRF lines |
$95.40–$367.20 | $159–$612 | varies |
| Acute hepatitis panel (80074) | $367.20 | $612 | 7.7× |
| Acylcarnitines Quant (82017) | $181.20 | $302 | 10.7× |
| Acylcarnitines; qualitative, each specimen Facility (82016) range across 2 matching MRF lines |
$49.20–$55.20 | $82–$92 | varies |
| Adenovirus antibody (86603) | $81.60 | $136 | 6.3× |
| Agglutinins Febrile Each Antigen (86000) | $102 | $170 | 14.6× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$16.80–$67.20 | $28–$112 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$16.80–$24.60 | $28–$41 | varies |
| Aldolase (82085) | $130.80 | $218 | 13.5× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$390.60–$396 | $651–$660 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$48.60–$61.20 | $81–$102 | varies |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$22.80–$119.40 | $38–$199 | varies |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$15–$25.20 | $25–$42 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$36.60–$51 | $61–$85 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $58.80 | $98 | 4.1× |
| Alpha-1-antitrypsin total (82103) | $81 | $135 | 6.0× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $123.60 | $206 | 7.3× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$105–$212.40 | $175–$354 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$14.40–$25.80 | $24–$43 | varies |
| Aluminum (82108) | $87 | $145 | 3.4× |
| Amikacin trough (80150) | $82.80 | $138 | 5.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$45–$187.80 | $75–$313 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$61.80–$102.60 | $103–$171 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) range across 2 matching MRF lines |
$49.20–$58.80 | $82–$98 | varies |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$54–$102 | $90–$170 | varies |
| Ammonia (82140) | $126.60 | $211 | 8.7× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $195.60 | $326 | 2.0× |
| Amniotic fluid scan (82143) | $129.60 | $216 | 13.9× |
| Amylase urine (82150) range across 2 matching MRF lines |
$16.20–$90 | $27–$150 | varies |
| Ana Titer (86039) | $153 | $255 | 13.7× |
| Analysis skeletal muscle (88355) | $301.20 | $502 | 1.7× |
| Anca Titer Each Antibody (86037) | $21.60 | $36 | 1.8× |
| Androstenedione (82157) | $121.80 | $203 | 4.2× |
| Angiotensin converting enzyme csf (82164) | $186 | $310 | 12.7× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$68.40–$176.40 | $114–$294 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$46.20–$64.80 | $77–$108 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$46.20–$89.40 | $77–$149 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$145.20–$164.40 | $242–$274 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$99.60–$258.60 | $166–$431 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $118.20 | $197 | 9.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$87–$94.80 | $145–$158 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$138.60–$179.40 | $231–$299 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$49.80–$88.80 | $83–$148 | varies |
| Antibody haemophilus influenza (86684) | $159 | $265 | 10.0× |
| Antibody helicobacter pylori (86677) | $145.20 | $242 | 8.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$58.80–$113.40 | $98–$189 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$96–$105.60 | $160–$176 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$52.80–$125.40 | $88–$209 | varies |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$57–$300.60 | $95–$501 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) | $406.20 | $677 | 1.3× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$65.40–$187.20 | $109–$312 | varies |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$40.20–$136.80 | $67–$228 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $52.20 | $87 | 4.2× |
| Antibody john cunningham virus (86711) | $970.80 | $1,618 | 57.5× |
| Antibody nocardia (86744) | $27.60 | $46 | 1.7× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$22.20–$115.80 | $37–$193 | varies |
| Antibody Titer (86886) | $114 | $190 | 22.0× |
| Antibody Treponema Pallidum (86780) | $109.20 | $182 | 8.2× |
| Antibody; influenza virus (86710) range across 2 matching MRF lines |
$81.60–$91.20 | $136–$152 | varies |
| Antigen typing (86905) | $124.20 | $207 | 32.4× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$109.80–$169.20 | $183–$282 | varies |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$32.40–$165.60 | $54–$276 | varies |
| Antistreptolysin o titer (86060) | $61.20 | $102 | 8.4× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$40.20–$360 | $67–$600 | varies |
| Antithrombin iii antigen (85301) | $37.80 | $63 | 3.5× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$70.80–$109.80 | $118–$183 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$79.80–$117 | $133–$195 | varies |
| Aspergillus ag eia (87305) | $167.40 | $279 | 14.0× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$51–$71.40 | $85–$119 | varies |
| Assay Blood Carbon Dioxide (82374) | $21.60 | $36 | 4.4× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$56.40–$64.80 | $94–$108 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$42.60–$79.80 | $71–$133 | varies |
| Assay of b-hexosaminidase each assay (83080) | $48.60 | $81 | 2.9× |
| Assay of blood/uric acid (84550) | $24.60 | $41 | 5.4× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$13.20–$79.20 | $22–$132 | varies |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$45.60–$209.40 | $76–$349 | varies |
| Assay of estrone (82679) range across 2 matching MRF lines |
$41.40–$105 | $69–$175 | varies |
| Assay of g6pd enzyme (82955) | $96.60 | $161 | 10.0× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$39–$124.80 | $65–$208 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$78.60–$109.80 | $131–$183 | varies |
| Assay of manganese (83785) range across 2 matching MRF lines |
$64.20–$82.80 | $107–$138 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$44.40–$241.20 | $74–$402 | varies |
| Assay of phosphatase acid total (84060) | $90.60 | $151 | 11.9× |
| Assay of proinsulin (84206) | $73.20 | $122 | 2.7× |
| Assay of pyruvate (84210) range across 2 matching MRF lines |
$55.80–$67.80 | $93–$113 | varies |
| Assay of semen fructose (82757) | $118.80 | $198 | 6.9× |
| Assay of serotonin (84260) | $427.20 | $712 | 13.8× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$45.60–$46.20 | $76–$77 | varies |
| Assay of sweat sodium (84302) | $32.40 | $54 | 6.7× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$23.40–$52.20 | $39–$87 | varies |
| Assay of urine vma (84585) | $170.40 | $284 | 11.0× |
| Assay of vasoactive intestinal peptide (84586) | $168.60 | $281 | 4.8× |
| Assay of vitamin b-1 (84425) | $163.20 | $272 | 7.7× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$12.60–$33.60 | $21–$56 | varies |
| Atomic Absorption (82190) range across 2 matching MRF lines |
$47.40–$216 | $79–$360 | varies |
| Autol bld/component collj storage salvage (86891) | $3,222.60 | $5,371 | 3.8× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$6.60–$36 | $11–$60 | varies |
| B cells total count (86355) | $160.80 | $268 | 4.3× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$88.20–$97.20 | $147–$162 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$272.40–$707.40 | $454–$1,179 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$240–$624.60 | $400–$1,041 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$61.20–$240 | $102–$400 | varies |
| Beta hydroxybutyrate (82010) | $94.20 | $157 | 11.5× |
| Beta Lactamase (87185) | $47.40 | $79 | 10.0× |
| Beta-2 Microglobulin (82232) | $66 | $110 | 4.1× |
| Bile acids total (82239) | $56.40 | $94 | 3.3× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$19.80–$26.40 | $33–$44 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$34.80–$75.60 | $58–$126 | varies |
| Bilirubin total transcutaneous (88720) | $46.80 | $78 | 9.3× |
| Biotinidase (82261) | $66.60 | $111 | 3.9× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$42.60–$46.80 | $71–$78 | varies |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $175.80 | $293 | 5.7× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $171.60 | $286 | 1.0× |
| Bld Typing Serologic Rh Phnt (86906) | $274.80 | $458 | 35.5× |
| Blood Count Automated Differential Wbc Count (85004) range across 2 matching MRF lines |
$37.80–$45.60 | $63–$76 | varies |
| Blood Count Manual Cell Count Each (85032) | $21.60 | $36 | 5.0× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $55.20 | $92 | 10.9× |
| Blood Count Red Blood Cell Automated (85041) | $39 | $65 | 12.9× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$13.20–$26.40 | $22–$44 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$14.40–$40.20 | $24–$67 | varies |
| Blood count spun microhematocrit (85013) | $25.20 | $42 | 3.6× |
| Blood gas (82803) range across 2 matching MRF lines |
$48–$186 | $80–$310 | varies |
| Blood gases w/02 saturation (82805) range across 2 matching MRF lines |
$189–$198 | $315–$330 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $64.80 | $108 | 4.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $14.40 | $24 | 3.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $99.60 | $166 | 15.7× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$68.40–$125.40 | $114–$209 | varies |
| Body fluid cell count (89050) | $137.40 | $229 | 29.1× |
| Bone marrow smear interpretation (85097) | $294.60 | $491 | 0.3× |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$45–$174 | $75–$290 | varies |
| Braf gene analysis (81210) | $266.40 | $444 | 1.5× |
| Brucella antibody (86622) range across 2 matching MRF lines |
$38.40–$63 | $64–$105 | varies |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$115.80–$194.40 | $193–$324 | varies |
| C-Peptide (84681) | $243.60 | $406 | 11.7× |
| C-reactive protein (86140) | $56.40 | $94 | 10.9× |
| Ca 19-9 (86301) | $156.60 | $261 | 7.5× |
| Cadmium (82300) | $79.20 | $132 | 3.4× |
| Caffeine (80155) | $252 | $420 | 6.5× |
| Calcitonin (82308) | $225.60 | $376 | 8.4× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$108.60–$189 | $181–$315 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$22.80–$32.40 | $38–$54 | varies |
| Calculus assay quant (82360) | $157.20 | $262 | 12.2× |
| Calculus Spectroscopy (82365) | $224.40 | $374 | 17.4× |
| Calprotectin Fecal (83993) | $256.20 | $427 | 13.1× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$219–$466.20 | $365–$777 | varies |
| Cancer Antigen 125 (86304) | $166.20 | $277 | 8.0× |
| Cancer Antigen 27.29 (86300) | $81.60 | $136 | 3.9× |
| Candida antibody (86628) range across 2 matching MRF lines |
$46.20–$136.20 | $77–$227 | varies |
| Candida Dna Dir Probe (87480) | $75 | $125 | 3.7× |
| Carbamazepine total (80156) | $145.20 | $242 | 10.0× |
| Carboxyhemoglobin (82375) | $128.40 | $214 | 10.4× |
| Carcinoembryonic antigen (82378) | $150 | $250 | 7.9× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$60–$338.40 | $100–$564 | varies |
| Carnitine Quantitative Each Specimen (82379) | $247.20 | $412 | 14.7× |
| Carotene (82380) | $78.60 | $131 | 8.5× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$106.80–$267 | $178–$445 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$43.80–$133.80 | $73–$223 | varies |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $867 | $1,445 | 3.6× |
| Cell count csf (89051) | $94.80 | $158 | 16.9× |
| Cell enumeration & id (86152) | $505.80 | $843 | 2.0× |
| Cell marker study (88182) | $817.20 | $1,362 | 14.8× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $306.60 | $511 | 2.3× |
| Ceruloplasmin (82390) | $109.80 | $183 | 10.2× |
| Cftr gene com variants (81220) | $768.60 | $1,281 | 1.4× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$30–$144 | $50–$240 | varies |
| Chlamydia antibody (86631) | $43.80 | $73 | 3.7× |
| Chlamydia Igm Antibody (86632) | $43.80 | $73 | 3.5× |
| Chlamydia trachomatis ag if (87270) | $133.20 | $222 | 11.1× |
| Chloramphenicol level (82415) | $162.60 | $271 | 12.8× |
| Chloride other source (82438) range across 2 matching MRF lines |
$9–$64.20 | $15–$107 | varies |
| Chloride Serum (82435) range across 2 matching MRF lines |
$41.40–$67.80 | $69–$113 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$12–$53.40 | $20–$89 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$18.60–$39 | $31–$65 | varies |
| Cholinesterase rbc (82482) | $26.40 | $44 | 2.7× |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$33–$102 | $55–$170 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$31.20–$216.60 | $52–$361 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $886.20 | $1,477 | 4.7× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $156.60 | $261 | 5.8× |
| Chrmsm Analysis Addl High Resolution Study (88289) range across 2 matching MRF lines |
$169.80–$545.40 | $283–$909 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$123.60–$220.80 | $206–$368 | varies |
| Chromium serum (82495) | $66 | $110 | 3.3× |
| Chromogenic Substrate Assay (85130) | $171.60 | $286 | 14.4× |
| Chromogranin a (86316) | $300.60 | $501 | 14.4× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$648.60–$1,521 | $1,081–$2,535 | varies |
| Chromosome Analysis 20-25 (88264) range across 2 matching MRF lines |
$614.40–$1,214.40 | $1,024–$2,024 | varies |
| Chromosome analysis, 5 (88261) range across 2 matching MRF lines |
$871.80–$1,561.20 | $1,453–$2,602 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$121.80–$161.40 | $203–$269 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$92.40–$171.60 | $154–$286 | varies |
| Ckmb (82553) range across 2 matching MRF lines |
$127.80–$155.40 | $213–$259 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$108.60–$120 | $181–$200 | varies |
| Clot Factor VIII Multimetric (85247) range across 2 matching MRF lines |
$141–$159 | $235–$265 | varies |
| Clotting factor xii hageman (85280) | $105 | $175 | 5.4× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$55.80–$250.80 | $93–$418 | varies |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$73.80–$87 | $123–$145 | varies |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$43.80–$58.80 | $73–$98 | varies |
| Cold agglutinin titer (86157) | $55.20 | $92 | 6.8× |
| Collagen crosslinks (82523) | $108 | $180 | 5.8× |
| Column Chromotography Quant (82542) | $108.60 | $181 | 4.5× |
| Compatibility Each Unit Incubation (86921) | $76.20 | $127 | 0.4× |
| Compatibility test antiglob (86922) | $70.20 | $117 | 0.4× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$163.80–$172.80 | $273–$288 | varies |
| Complement Total (Ch50) (86162) | $176.40 | $294 | 8.7× |
| Complement/Function Activity (86161) | $80.40 | $134 | 6.7× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $675.60 | $1,126 | 3.7× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $317.40 | $529 | 5.8× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $365.40 | $609 | 9.2× |
| Coombs direct (86880) range across 2 matching MRF lines |
$66–$82.80 | $110–$138 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$80.40–$109.80 | $134–$183 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$55.80–$108 | $93–$180 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$59.40–$69 | $99–$115 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$15.60–$41.40 | $26–$69 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$21.60–$33 | $36–$55 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$9–$21 | $15–$35 | varies |
| Creatinine clearance (82575) | $18 | $30 | 1.9× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$22.80–$27.60 | $38–$46 | varies |
| Crossmatch electronic (86923) | $138 | $230 | 0.8× |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$109.80–$139.80 | $183–$233 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$43.80–$87 | $73–$145 | varies |
| Cryofibrinogen (82585) | $29.40 | $49 | 2.1× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$21.60–$37.80 | $36–$63 | varies |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$50.40–$112.80 | $84–$188 | varies |
| Cryptosporidium (87272) | $88.80 | $148 | 7.4× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$38.40–$68.40 | $64–$114 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$68.40–$69.60 | $114–$116 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$48.60–$105 | $81–$175 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $123.60 | $206 | 16.0× |
| Culture aerobic quant other (87071) | $89.40 | $149 | 9.0× |
| Culture afb (87116) range across 2 matching MRF lines |
$151.80–$189.60 | $253–$316 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$16.80–$141.60 | $28–$236 | varies |
| Culture blood (87040) | $145.80 | $243 | 14.1× |
| Culture chlamydia (87110) range across 2 matching MRF lines |
$52.20–$85.80 | $87–$143 | varies |
| Culture csf (87070) range across 2 matching MRF lines |
$94.20–$145.80 | $157–$243 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$19.20–$133.80 | $32–$223 | varies |
| Culture fungus blood (87103) | $147.60 | $246 | 7.2× |
| Culture screen only (87081) range across 2 matching MRF lines |
$30–$63.60 | $50–$106 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$38.40–$127.80 | $64–$213 | varies |
| Culture typing if ea antiserum (87140) | $25.20 | $42 | 4.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$48.60–$61.20 | $81–$102 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$18.60–$78 | $31–$130 | varies |
| Cyanide (82600) | $93 | $155 | 4.8× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $119.40 | $199 | 8.3× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$34.80–$205.20 | $58–$342 | varies |
| Cystatin C (82610) | $106.20 | $177 | 5.7× |
| Cytogenetics 10-30 (88273) range across 2 matching MRF lines |
$159–$309.60 | $265–$516 | varies |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$198–$300.60 | $330–$501 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) | $1,632.60 | $2,721 | 1.8× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,573.20 | $2,622 | 1.4× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$58.80–$126 | $98–$210 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$69.60–$156 | $116–$260 | varies |
| Cytopath Cell Enhance Tech (88112) | $195 | $325 | 3.5× |
| Cytotoxic pra quick (86808) range across 2 matching MRF lines |
$322.20–$412.20 | $537–$687 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$88.20–$175.20 | $147–$292 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $212.40 | $354 | 5.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $330 | $550 | 6.0× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $228 | $380 | 1.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $189 | $315 | 4.8× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $75 | $125 | 4.0× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $202.20 | $337 | 3.7× |
| Deoxyribonuclease antibody (86215) | $63.60 | $106 | 4.8× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$162.60–$189.60 | $271–$316 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$123–$279 | $205–$465 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$174–$448.20 | $290–$747 | varies |
| Dgp Antibody Each Ig Class (86258) | $21.60 | $36 | 1.8× |
| Dhea (82626) | $179.40 | $299 | 7.1× |
| Dhea-S (82627) | $280.20 | $467 | 12.6× |
| Dibucaine number (82638) range across 2 matching MRF lines |
$42–$66.60 | $70–$111 | varies |
| Digoxin (80162) | $88.80 | $148 | 6.7× |
| Diphtheria antitoxoid (86648) | $42 | $70 | 2.8× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$36–$157.20 | $60–$262 | varies |
| Dna Antibody Single Stranded (86226) | $150.60 | $251 | 12.4× |
| Dna/Rna Amplified Probe (87150) | $63 | $105 | 1.8× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$118.20–$177.60 | $197–$296 | varies |
| Drug assay acetaminophen (80143) | $35.40 | $59 | 1.9× |
| Drug Assay Everolimus (80169) | $183 | $305 | 13.3× |
| Drug Screen Quant Clozapine (80159) | $144.60 | $241 | 7.2× |
| Drug Screen Quant Zonisamide (80203) | $85.20 | $142 | 6.4× |
| Drug Screen Quantitative Gabapentin (80171) | $169.20 | $282 | 7.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $232.80 | $388 | 17.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $88.80 | $148 | 6.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $126.60 | $211 | 9.6× |
| Drug Test Prsmv Chem Anlyzr (80307) | $193.20 | $322 | 3.1× |
| Drug Test Prsmv Dir Opt Obs (80305) | $257.40 | $429 | 20.4× |
| Drug Test Prsmv Instrmnt (80306) | $97.20 | $162 | 5.7× |
| Egfr Gene Analysis Common Variants (81235) | $613.80 | $1,023 | 1.9× |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$120–$200.40 | $200–$334 | varies |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$33.60–$39 | $56–$65 | varies |
| Electron Microscopy (88348) | $2,633.40 | $4,389 | 3.1× |
| Enterovirus Antibody (86658) | $43.80 | $73 | 3.4× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$82.80–$480 | $138–$800 | varies |
| Enzyme cell activity (82657) | $253.20 | $422 | 11.4× |
| Enzyme histochemistry (88319) | $272.40 | $454 | 0.3× |
| Eosinophil Smear (89190) | $89.40 | $149 | 15.4× |
| Erythropoietin (82668) | $237 | $395 | 12.6× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$93–$255 | $155–$425 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$88.20–$109.20 | $147–$182 | varies |
| Estrogen total (82672) | $66 | $110 | 3.0× |
| Ethosuximide (80168) | $75.60 | $126 | 4.6× |
| Ethylene Glycol (82693) | $192.60 | $321 | 12.9× |
| Euglobulin lysis (85360) | $144 | $240 | 17.1× |
| Exam Synovial Fluid Crystals (89060) | $52.80 | $88 | 7.2× |
| F2 Gene (81240) range across 2 matching MRF lines |
$66–$276.60 | $110–$461 | varies |
| Factor ii activity (85210) | $127.80 | $213 | 9.8× |
| Factor Inhibitor Test (85335) range across 2 matching MRF lines |
$176.40–$228.60 | $294–$381 | varies |
| Factor ix activity (85250) | $127.80 | $213 | 6.7× |
| Factor v activity (85220) | $127.80 | $213 | 7.2× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$69–$286.20 | $115–$477 | varies |
| Factor vii assay (85230) | $105 | $175 | 5.9× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$59.40–$187.80 | $99–$313 | varies |
| Factor X (85260) | $127.80 | $213 | 7.1× |
| Factor xi activity (85270) | $105 | $175 | 5.9× |
| Factor xiii screen (85291) | $69 | $115 | 7.6× |
| Fat/Lipids Feces Quantitative (82710) | $120.60 | $201 | 7.2× |
| Fatty acids free (82725) | $102.60 | $171 | 5.5× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $68.40 | $114 | 8.9× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $172.20 | $287 | 10.0× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $93.60 | $156 | 14.3× |
| Fecal Fat Qualitative (82705) | $71.40 | $119 | 14.0× |
| Ferritin (82728) range across 2 matching MRF lines |
$39–$94.20 | $65–$157 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $600 | $1,000 | 3.9× |
| Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) | $344.40 | $574 | 5.0× |
| Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) | $224.40 | $374 | 4.0× |
| Fetal Fibronectin (82731) | $939 | $1,565 | 14.6× |
| Fetal hemoglobin assay qual (83033) range across 2 matching MRF lines |
$27–$125.40 | $45–$209 | varies |
| Fibrin degradation products (85362) | $134.40 | $224 | 19.5× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$34.20–$119.40 | $57–$199 | varies |
| Fibrin dgradj products d-dimer qual/semiquan (85378) range across 2 matching MRF lines |
$111–$136.80 | $185–$228 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$133.80–$146.40 | $223–$244 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $151.20 | $252 | 9.8× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$51–$320.40 | $85–$534 | varies |
| Flt3 Gene (81245) | $306 | $510 | 1.8× |
| Flt3 gene analysis (81246) | $217.80 | $363 | 2.6× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$55.80–$172.20 | $93–$287 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$78–$226.20 | $130–$377 | varies |
| Fluoride serum (82735) | $175.80 | $293 | 9.5× |
| Fmr1 gene detection (81243) | $1,635 | $2,725 | 28.7× |
| Folic acid rbc (82747) | $186.60 | $311 | 10.6× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$89.40–$194.40 | $149–$324 | varies |
| Follicle Stimulating Hormone (83001) | $133.80 | $223 | 7.2× |
| Frozen Section (88331) | $201.60 | $336 | 1.1× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$30–$82.20 | $50–$137 | varies |
| Fungi Identification Yeast (87106) | $81.60 | $136 | 7.9× |
| Galactokinase rbc (82759) | $404.40 | $674 | 18.8× |
| Galactose (82760) range across 2 matching MRF lines |
$37.80–$78.60 | $63–$131 | varies |
| Galactose transferase test (82776) range across 2 matching MRF lines |
$28.20–$34.20 | $47–$57 | varies |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $94.20 | $157 | 4.5× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$55.20–$66.60 | $92–$111 | varies |
| Gardner vag DNA dir probe (87510) | $75 | $125 | 3.7× |
| Gardner Vag Dna Quant (87512) | $119.40 | $199 | 2.9× |
| Gases Blood O2 Saturation Only Direct Meas (82810) range across 2 matching MRF lines |
$91.80–$119.40 | $153–$199 | varies |
| Gases blood ph only (82800) | $79.20 | $132 | 7.2× |
| Gastric Analy W/Ph Ea Spec (82930) | $36.60 | $61 | 5.5× |
| Gastrin (82941) | $175.80 | $293 | 10.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $766.80 | $1,278 | 1.8× |
| Genet Virus Isolate Hsv (87255) | $118.80 | $198 | 3.5× |
| Gentamicin (80170) | $187.20 | $312 | 11.4× |
| Ggt (82977) range across 2 matching MRF lines |
$18–$73.20 | $30–$122 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$38.40–$67.80 | $64–$113 | varies |
| Glucagon (82943) | $100.20 | $167 | 7.0× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$46.80–$73.20 | $78–$122 | varies |
| Glucose Blood Test (82962) | $13.20 | $22 | 4.0× |
| Glucose body fluid (82945) | $52.80 | $88 | 13.4× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$31.80–$44.40 | $53–$74 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$54–$67.20 | $90–$112 | varies |
| Glycated Protein (82985) | $64.20 | $107 | 3.8× |
| Gonadotropin Chorionic Qualitative (84703) | $95.40 | $159 | 12.7× |
| Growth hormone (83003) range across 2 matching MRF lines |
$70.80–$121.80 | $118–$203 | varies |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$13.20–$21.60 | $22–$36 | varies |
| H Pylori (C-13) Breath (83013) | $283.80 | $473 | 4.2× |
| H Pylori Drug Admin (83014) | $59.40 | $99 | 7.6× |
| Haloperidol (80173) | $88.80 | $148 | 5.6× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$27–$174 | $45–$290 | varies |
| Hba1/Hba2 Gene (81257) | $131.40 | $219 | 1.3× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$28.20–$47.40 | $47–$79 | varies |
| Helicobacter Pylori Stool (87338) | $175.20 | $292 | 12.2× |
| Helminth Antibody (86682) | $46.20 | $77 | 3.6× |
| Hematocrit (85014) range across 2 matching MRF lines |
$15–$18 | $25–$30 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$15–$18 | $25–$30 | varies |
| Hemoglobin a1c (83036) | $48 | $80 | 4.9× |
| Hemoglobin Chromotography (83021) | $115.20 | $192 | 6.4× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$42.60–$79.80 | $71–$133 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $67.80 | $113 | 8.3× |
| Hemoglobin plasma (83051) | $67.20 | $112 | 9.2× |
| Hemoglobin stability screen (83068) | $70.20 | $117 | 7.4× |
| Hemoglobin-Oxygen Affinity (82820) | $259.80 | $433 | 19.5× |
| Hemolysin Acid (85475) | $102 | $170 | 11.5× |
| Hemosiderin urine (83070) | $48 | $80 | 10.1× |
| Hep a ab igm (86709) | $67.80 | $113 | 6.0× |
| Heparin assay (85520) | $69.60 | $116 | 5.3× |
| Hepatitis a antibody total (86708) | $50.40 | $84 | 4.1× |
| Hepatitis b core ab igm (86705) | $82.20 | $137 | 7.0× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$45.60–$121.20 | $76–$202 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$24.60–$69 | $41–$115 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$25.80–$152.40 | $43–$254 | varies |
| Hepatitis Be Antibody (86707) | $44.40 | $74 | 3.8× |
| Hepatitis Be Antigen (87350) | $46.80 | $78 | 4.1× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$54–$132 | $90–$220 | varies |
| Hepatitis c antibody confirmatory test (86804) | $381.60 | $636 | 24.6× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$489.60–$1,026.60 | $816–$1,711 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $541.20 | $902 | 15.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$123–$485.40 | $205–$809 | varies |
| Hepatitis Delta Agent Antibody (86692) | $115.20 | $192 | 6.7× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$69.60–$105.60 | $116–$176 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$17.40–$40.20 | $29–$67 | varies |
| Hfe Gene (81256) | $314.40 | $524 | 4.8× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $60 | $100 | 7.8× |
| Histamine urine (83088) range across 2 matching MRF lines |
$130.80–$172.80 | $218–$288 | varies |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$43.80–$199.80 | $73–$333 | varies |
| Histoplasma antigen urine (87385) | $336 | $560 | 25.4× |
| Hiv Antigen W/Hiv Antibodies (87806) range across 2 matching MRF lines |
$63–$133.20 | $105–$222 | varies |
| Hiv Genotype (87901) | $1,026.60 | $1,711 | 4.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$51–$145.80 | $85–$243 | varies |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$57–$176.40 | $95–$294 | varies |
| HIV-1 p24 antigen (87390) | $45.60 | $76 | 1.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $417 | $695 | 4.9× |
| HIV-2 probe&revrse trnscripj (87538) | $97.80 | $163 | 2.8× |
| Hla class i&ii antibody qual (86828) | $175.80 | $293 | 2.7× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $581.40 | $969 | 1.4× |
| Hla class ii high defin qual (86833) | $378 | $630 | 1.2× |
| Hla class ii typing high resolution one locus ea (81382) | $323.40 | $539 | 2.6× |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $235.80 | $393 | 2.2× |
| Hla I Typing 1 Allele Hr (81381) | $336.60 | $561 | 2.0× |
| Hla ii type 1 ag equiv lr (81377) | $225 | $375 | 2.4× |
| Hla ii typing 1 allele hr (81383) | $84 | $140 | 0.8× |
| Hla ii typing 1 locus lr (81376) | $195 | $325 | 1.6× |
| Hla Typing a/B/C Multiple Antigens (86813) range across 2 matching MRF lines |
$227.40–$595.80 | $379–$993 | varies |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $1,419.60 | $2,366 | 13.4× |
| Hla-b27 (86812) | $271.80 | $453 | 10.5× |
| Homocysteine (83090) range across 2 matching MRF lines |
$45–$244.80 | $75–$408 | varies |
| Homogenization Tissue (87176) | $48.60 | $81 | 8.3× |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$106.80–$166.20 | $178–$277 | varies |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$91.20–$147 | $152–$245 | varies |
| Hpv Types 16 & 18 Only (87625) | $127.20 | $212 | 3.1× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$154.80–$213.60 | $258–$356 | varies |
| Hsv Dna Quant (87530) | $77.40 | $129 | 1.8× |
| Htlv-I Antibody (86687) | $51 | $85 | 5.6× |
| Hydroxycorticosteroids 17 (83491) | $179.40 | $299 | 10.0× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$121.20–$142.80 | $202–$238 | varies |
| Hydroxyproline free (83500) | $202.80 | $338 | 9.0× |
| Hydroxyproline total (83505) | $119.40 | $199 | 4.9× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $42 | $70 | 3.5× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $153.60 | $256 | 12.8× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $44.40 | $74 | 4.3× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$40.20–$67.80 | $67–$113 | varies |
| Iaad Ia Streptococcus Group A (87430) | $58.80 | $98 | 3.5× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $92.40 | $154 | 7.7× |
| Iaadi giardia (87269) | $82.20 | $137 | 6.0× |
| Iaadi not otherwise specified each organism (87299) | $102 | $170 | 6.3× |
| Iaadi pneumocustis carinii (87281) range across 2 matching MRF lines |
$21.60–$42 | $36–$70 | varies |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $80.40 | $134 | 6.7× |
| Iaadiadoo trichomonas vaginalis (87808) range across 2 matching MRF lines |
$56.40–$72.60 | $94–$121 | varies |
| Iadna Bartonella Amplified Probe Technique (87471) | $278.40 | $464 | 7.9× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $407.40 | $679 | 11.6× |
| Iadna Candida Species Amplified Probe Tq (87481) range across 2 matching MRF lines |
$105.60–$164.40 | $176–$274 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $63 | $105 | 1.8× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $183 | $305 | 8.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$82.80–$381 | $138–$635 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $318.60 | $531 | 7.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $171 | $285 | 2.4× |
| Iadna hepatitis b virus amplified probe tq (87516) | $229.20 | $382 | 6.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $179.40 | $299 | 4.2× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 2 matching MRF lines |
$82.80–$146.40 | $138–$244 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $177 | $295 | 5.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$91.20–$261 | $152–$435 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$63–$688.20 | $105–$1,147 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$121.80–$141 | $203–$235 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $150.60 | $251 | 5.0× |
| Ig Light Chains Free Each (83521) | $31.20 | $52 | 1.8× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$25.20–$80.40 | $42–$134 | varies |
| Igh gene rearrange amp meth (81261) | $293.40 | $489 | 1.5× |
| Igk rearrangeabn clonal pop (81264) | $1,275 | $2,125 | 7.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $359.40 | $599 | 0.9× |
| Immune Complex Assay (86332) | $164.40 | $274 | 6.7× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$169.80–$237 | $283–$395 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$39–$155.40 | $65–$259 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$40.20–$106.80 | $67–$178 | varies |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$59.40–$140.40 | $99–$234 | varies |
| Immunodiffusion not elsewhere specified (86329) | $175.80 | $293 | 12.5× |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$50.40–$188.40 | $84–$314 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$99.60–$255 | $166–$425 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $365.40 | $609 | 2.0× |
| Immunohistochemistry (88342) | $372 | $620 | 2.1× |
| In situ hybridization 1st probe stain (88365) | $910.80 | $1,518 | 5.1× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $109.80 | $183 | 7.6× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $139.80 | $233 | 2.7× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) range across 2 matching MRF lines |
$53.40–$57.60 | $89–$96 | varies |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$50.40–$105.60 | $84–$176 | varies |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$208.80–$286.80 | $348–$478 | varies |
| Inhibin A (86336) range across 2 matching MRF lines |
$61.20–$113.40 | $102–$189 | varies |
| Inhibin b (83520) range across 2 matching MRF lines |
$55.20–$270 | $92–$450 | varies |
| Insitu hybridization auto (88367) | $1,036.80 | $1,728 | 2.7× |
| Insitu hybridization manual (88368) | $973.20 | $1,622 | 2.6× |
| Insulin antibodies (86337) | $89.40 | $149 | 4.2× |
| Insulin free (83527) | $78 | $130 | 6.0× |
| Insulin total (83525) range across 2 matching MRF lines |
$32.40–$119.40 | $54–$199 | varies |
| Intrinsic factor antibody (86340) | $64.20 | $107 | 4.3× |
| Iron (83540) | $81 | $135 | 12.5× |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$36–$46.80 | $60–$78 | varies |
| Irradiation Blood Product Each Unit (86945) | $191.40 | $319 | 4.8× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$82.20–$129.60 | $137–$216 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$165–$385.20 | $275–$642 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $333.60 | $556 | 1.8× |
| Ketosteroids 17 total (83586) | $129.60 | $216 | 10.1× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $867 | $1,445 | 2.6× |
| Koh Prep (87220) | $81.60 | $136 | 19.1× |
| Kras Gene Analysis Additional Variant(S) (81276) | $364.20 | $607 | 1.9× |
| Kras Gene Variants Exon 2 (81275) | $392.40 | $654 | 2.0× |
| L/s ratio (83661) range across 2 matching MRF lines |
$73.80–$134.40 | $123–$224 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$15.60–$60 | $26–$100 | varies |
| Lactoferrin fecal qualitative (83630) | $59.40 | $99 | 3.0× |
| Lactoferrin Fecal Quantitative (83631) | $522.60 | $871 | 26.6× |
| Lamellar Body Count (83664) | $64.80 | $108 | 3.4× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$42.60–$79.80 | $71–$133 | varies |
| LDL direct (83721) | $55.20 | $92 | 5.3× |
| Lead (83655) range across 2 matching MRF lines |
$32.40–$102 | $54–$170 | varies |
| Legionella antibody (86713) range across 2 matching MRF lines |
$28.20–$106.80 | $47–$178 | varies |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$69–$110.40 | $115–$184 | varies |
| Legionella pneumophila dfa (87278) | $67.80 | $113 | 4.3× |
| Leptospira antibody (86720) | $75.60 | $126 | 4.7× |
| Leucine Aminopeptidase Lap (83670) | $106.20 | $177 | 10.8× |
| Leukocyte Assessment Fecal (89055) | $29.40 | $49 | 6.9× |
| Leukocyte Histamine Release (86343) range across 2 matching MRF lines |
$51.60–$148.20 | $86–$247 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $67.80 | $113 | 2.2× |
| Level ii surg pathology grossµscopic exam (88302) | $112.80 | $188 | 2.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $850.20 | $1,417 | 2.2× |
| Lidocaine (80176) | $147.60 | $246 | 10.0× |
| Lipase (83690) | $94.20 | $157 | 13.7× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$45–$108 | $75–$180 | varies |
| Lipoprotein Bld Quan Part (83704) | $130.80 | $218 | 3.8× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) range across 2 matching MRF lines |
$56.40–$87 | $94–$145 | varies |
| Lithium (80178) | $99 | $165 | 15.0× |
| Luteinizing Hormone (Lh) (83002) | $141.60 | $236 | 7.6× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$156–$175.20 | $260–$292 | varies |
| Lymphocytotoxicity Assay (86805) range across 2 matching MRF lines |
$181.80–$361.20 | $303–$602 | varies |
| Lysozyme serum (85549) | $66.60 | $111 | 3.6× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $516.60 | $861 | 2.9× |
| Macroscopic exam arthropod (87168) | $17.40 | $29 | 4.1× |
| Macroscopic Exam Parasite (87169) | $43.80 | $73 | 10.2× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$81.60–$82.20 | $136–$137 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$57.60–$69.60 | $96–$116 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$72.60–$96.60 | $121–$161 | varies |
| Metabolic panel ionized ca (80047) | $159 | $265 | 11.6× |
| Methylmalonic acid serum (83921) | $304.80 | $508 | 14.4× |
| Mgmt methylation analysis (81287) | $185.40 | $309 | 1.5× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$50.40–$66 | $84–$110 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$102–$133.80 | $170–$223 | varies |
| Mitochondrial Antibody Each (86381) | $45.60 | $76 | 1.8× |
| Mlh1 Gene (81288) | $520.80 | $868 | 2.7× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $232.80 | $388 | 5.7× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$71.40–$153.60 | $119–$256 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 2 matching MRF lines |
$90.60–$349.20 | $151–$582 | varies |
| Molecular Pathology Procedure Level 3 (81402) | $177.60 | $296 | 1.2× |
| Molecular Pathology Procedure Level 6 (81405) | $1,261.80 | $2,103 | 4.2× |
| Mopath procedure level 2 (81401) | $217.80 | $363 | 1.6× |
| Mopath procedure level 4 (81403) | $306.60 | $511 | 1.7× |
| Mopath procedure level 5 (81404) | $469.80 | $783 | 1.7× |
| Morphometric Analysis Tumor (88358) | $757.80 | $1,263 | 4.2× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $333.60 | $556 | 1.8× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$91.20–$148.80 | $152–$248 | varies |
| Mthfr Gene Analysis Common Variants (81291) range across 2 matching MRF lines |
$118.20–$183 | $197–$305 | varies |
| Mucopolysaccharides acid quantitative (83864) range across 2 matching MRF lines |
$66–$106.80 | $110–$178 | varies |
| Mumps antibody (86735) range across 2 matching MRF lines |
$52.20–$83.40 | $87–$139 | varies |
| Mycobacteric Identification (87118) | $117 | $195 | 8.0× |
| Mycophenolic Acid (80180) | $185.40 | $309 | 10.3× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$111–$143.40 | $185–$239 | varies |
| Mycoplasma culture (87109) | $150.60 | $251 | 9.8× |
| Myelin basic protein csf (83873) range across 2 matching MRF lines |
$73.20–$148.20 | $122–$247 | varies |
| Myoglobin urine (83874) | $148.20 | $247 | 11.5× |
| Natriuretic peptide (83880) | $157.20 | $262 | 4.0× |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$72.60–$127.20 | $121–$212 | varies |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $69.60 | $116 | 2.4× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $367.80 | $613 | 1.4× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $256.80 | $428 | 1.8× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $671.40 | $1,119 | 5.2× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $51.60 | $86 | 2.0× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $816 | $1,360 | 1.7× |
| Niacin (84591) | $54 | $90 | 3.2× |
| Nk cells total count (86357) | $160.80 | $268 | 4.3× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $201.60 | $336 | 0.8× |
| Nras gene variants exon 2&3 (81311) | $544.80 | $908 | 1.8× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$109.20–$113.40 | $182–$189 | varies |
| Nzym actv blood cells/tiss radact substrate ea (82658) | $211.80 | $353 | 4.8× |
| Obstetric panel (80081) | $399.60 | $666 | 5.3× |
| Occult blood feces (82272) | $14.40 | $24 | 3.4× |
| Occult Blood Other Sources (82271) | $17.40 | $29 | 3.3× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$84–$144.60 | $140–$241 | varies |
| Oncoprotein dcp (83951) | $245.40 | $409 | 3.8× |
| Organic acids urine (83918) range across 2 matching MRF lines |
$54–$106.20 | $90–$177 | varies |
| Osmolality serum (83930) | $71.40 | $119 | 10.8× |
| Osmolality Urine (83935) | $79.80 | $133 | 11.7× |
| Osmotic fragility rbc incubated (85557) | $183 | $305 | 13.7× |
| Osteocalcin (83937) | $133.20 | $222 | 4.5× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$30–$82.80 | $50–$138 | varies |
| Oxalate urine (83945) range across 2 matching MRF lines |
$42.60–$79.80 | $71–$133 | varies |
| Pancreatic Elastase Fecal (82656) | $194.40 | $324 | 16.9× |
| Particle Agglut Antbdy Titr (86406) | $52.80 | $88 | 5.0× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$29.40–$68.40 | $49–$114 | varies |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$59.40–$98.40 | $99–$164 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $168 | $280 | 0.2× |
| Pathology Consultation During Surgery (88329) | $166.20 | $277 | 2.7× |
| Ph urine (81003) range across 2 matching MRF lines |
$5.40–$24 | $9–$40 | varies |
| Phenobarbital Level (80184) | $155.40 | $259 | 10.2× |
| Phenytoin (Dilantin) (80185) | $90.60 | $151 | 6.8× |
| Phenytoin free (80186) | $76.20 | $127 | 5.5× |
| Phosphatase acid prostatic (84066) | $86.40 | $144 | 8.9× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$21.60–$43.80 | $36–$73 | varies |
| Phosphatidylglycerol (84081) range across 2 matching MRF lines |
$55.80–$89.40 | $93–$149 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$17.40–$61.80 | $29–$103 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$55.20–$60 | $92–$100 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$16.80–$32.40 | $28–$54 | varies |
| Pinworm exam (87172) | $37.80 | $63 | 8.9× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$94.80–$190.20 | $158–$317 | varies |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$24.60–$289.20 | $41–$482 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$23.40–$26.40 | $39–$44 | varies |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$123.60–$132.60 | $206–$221 | varies |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $245.40 | $409 | 1.2× |
| Pooling blood platelets (86965) | $119.40 | $199 | 0.7× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$98.40–$142.80 | $164–$238 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$64.80–$72.60 | $108–$121 | varies |
| Potassium Urine (84133) range across 2 matching MRF lines |
$12–$58.80 | $20–$98 | varies |
| Prealbumin (84134) | $116.40 | $194 | 8.0× |
| Pregnancy-Associated Plasma Protein-A (84163) range across 2 matching MRF lines |
$24.60–$87 | $41–$145 | varies |
| Pregnenolone (84140) | $87 | $145 | 4.2× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $86.40 | $144 | 1.4× |
| Primidone (80188) | $82.20 | $137 | 5.0× |
| Procalcitonin (Pct) (84145) | $133.20 | $222 | 4.9× |
| Progesterone (84144) | $150.60 | $251 | 7.2× |
| Prolactin (84146) range across 2 matching MRF lines |
$37.20–$212.40 | $62–$354 | varies |
| Protein body fluid (84157) | $49.20 | $82 | 12.3× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$56.40–$244.80 | $94–$408 | varies |
| Protein c antigen (85302) range across 2 matching MRF lines |
$49.80–$244.80 | $83–$408 | varies |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$58.80–$89.40 | $98–$149 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$36–$67.80 | $60–$113 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$63.60–$250.80 | $106–$418 | varies |
| Protein s total (85305) range across 2 matching MRF lines |
$47.40–$54 | $79–$90 | varies |
| Protein Total Refractometry Any Src (84160) range across 2 matching MRF lines |
$16.80–$27.60 | $28–$46 | varies |
| Protein total serum (84155) range across 2 matching MRF lines |
$12–$23.40 | $20–$39 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$45–$59.40 | $75–$99 | varies |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$58.20–$406.20 | $97–$677 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$48.60–$71.40 | $81–$119 | varies |
| Protoporphyrin rbc quantitative (84202) | $58.80 | $98 | 4.1× |
| Protoporphyrin, RBC; screen Facility (84203) | $29.40 | $49 | 3.0× |
| PSA free (84154) range across 2 matching MRF lines |
$61.80–$102 | $103–$170 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$183–$265.20 | $305–$442 | varies |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$43.80–$119.40 | $73–$199 | varies |
| Quantiferon tb gold plus (86480) | $205.20 | $342 | 3.3× |
| Quantitative assay drug (80299) | $232.80 | $388 | 12.5× |
| Quantitative Screen Metals (83018) | $63.60 | $106 | 2.9× |
| Rbc antibody elution (86860) | $168 | $280 | 0.9× |
| Rbc antibody identification (86870) | $234.60 | $391 | 0.6× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$72–$107.40 | $120–$179 | varies |
| Rbc pretreatment serum (86978) | $233.40 | $389 | 3.7× |
| Rbc pretx incubatj w/enzymes (86971) | $139.80 | $233 | 0.8× |
| Reagent Strip/Blood Glucose (82948) | $79.80 | $133 | 15.8× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$73.80–$231.60 | $123–$386 | varies |
| Reptilase test (85635) | $90.60 | $151 | 9.2× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$750–$1,454.40 | $1,250–$2,424 | varies |
| Resp Virus 6-11 Targets (87632) | $654 | $1,090 | 3.0× |
| Reticulocyte Count (85046) range across 2 matching MRF lines |
$18–$57 | $30–$95 | varies |
| Reticulocyte Count Manual (85044) | $18.60 | $31 | 4.3× |
| Rh (86901) range across 2 matching MRF lines |
$63–$75 | $105–$125 | varies |
| Rheumatoid Factor Qualitative (86430) | $95.40 | $159 | 15.5× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$92.40–$121.20 | $154–$202 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$89.40–$108.60 | $149–$181 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$76.80–$113.40 | $128–$189 | varies |
| Rotavirus ag eia (87425) | $109.80 | $183 | 9.2× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$11.40–$46.20 | $19–$77 | varies |
| Rsv Assay W/Optic (87807) | $144.60 | $241 | 11.0× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$58.80–$71.40 | $98–$119 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$65.40–$78 | $109–$130 | varies |
| Russell Viper Venom Time Diluted (85613) | $106.80 | $178 | 11.1× |
| Salicylate Level (80179) | $35.40 | $59 | 1.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$94.80–$319.20 | $158–$532 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $63.60 | $106 | 1.5× |
| Sedimentation Rate, Automated (85652) | $26.40 | $44 | 9.8× |
| Selenium (84255) | $102.60 | $171 | 4.0× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$59.40–$60.60 | $99–$101 | varies |
| Serpina 1 gene (81332) | $148.20 | $247 | 3.4× |
| Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) | $119.40 | $199 | 14.9× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$73.20–$155.40 | $122–$259 | varies |
| Sickling of rbc reduction (85660) | $80.40 | $134 | 14.6× |
| Sirolimus (80195) | $209.40 | $349 | 15.3× |
| Skin test tuberculosis intradermal (86580) | $50.40 | $84 | 1.6× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$70.20–$81.60 | $117–$136 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$76.80–$93.60 | $128–$156 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$63–$68.40 | $105–$114 | varies |
| Smear Special Stain (87207) | $48 | $80 | 8.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $45 | $75 | 7.7× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$51.60–$57.60 | $86–$96 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$12–$62.40 | $20–$104 | varies |
| Soluble fibrin monomer (85366) | $95.40 | $159 | 1.2× |
| Soluble Transferrin Receptor (84238) | $309.60 | $516 | 8.5× |
| Somatomedin (84305) | $365.40 | $609 | 17.2× |
| Special Stains Group 1 (88312) | $237.60 | $396 | 4.3× |
| Special Stains Group 2 (88313) | $222 | $370 | 1.6× |
| Specific gravity body fluid (84315) range across 2 matching MRF lines |
$3.60–$9.60 | $6–$16 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$28.20–$54.60 | $47–$91 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$18.60–$40.20 | $31–$67 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $70.80 | $118 | 0.4× |
| Staph a DNA amp probe (87640) | $91.20 | $152 | 2.6× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$58.20–$62.40 | $97–$104 | varies |
| Strep a assay w/optic (87880) | $104.40 | $174 | 6.3× |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$82.80–$209.40 | $138–$349 | varies |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $86.40 | $144 | 7.5× |
| Sugars Single Qual (84376) | $52.20 | $87 | 9.5× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) range across 2 matching MRF lines |
$68.40–$106.20 | $114–$177 | varies |
| Surg path level iii (88304) | $133.20 | $222 | 2.4× |
| Surgical pathology level IV (88305) | $285.60 | $476 | 5.2× |
| Surgical pathology level vi (88309) | $912.60 | $1,521 | 1.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$18.60–$48 | $31–$80 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $56.40 | $94 | 7.5× |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $87 | $145 | 2.2× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) range across 2 matching MRF lines |
$61.80–$88.20 | $103–$147 | varies |
| Sweat Collection Iontophoresis (89230) range across 2 matching MRF lines |
$85.80–$120.60 | $143–$201 | varies |
| Syphilis Test Non-Trep Quant (86593) | $17.40 | $29 | 4.0× |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$70.20–$255.60 | $117–$426 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$163.20–$197.40 | $272–$329 | varies |
| T cells total count (86359) | $160.80 | $268 | 4.3× |
| T3 Free (84481) | $267.60 | $446 | 15.8× |
| T3 reverse (84482) | $160.80 | $268 | 10.2× |
| T3 Total (84480) | $133.20 | $222 | 9.4× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$33–$66 | $55–$110 | varies |
| T4 Free (84439) | $60.60 | $101 | 6.7× |
| T4 total (84436) range across 2 matching MRF lines |
$34.20–$63 | $57–$105 | varies |
| T4-neonatal (84437) range across 2 matching MRF lines |
$21–$26.40 | $35–$44 | varies |
| Tacrolimus (80197) | $187.80 | $313 | 13.7× |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$18–$43.80 | $30–$73 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$88.80–$172.80 | $148–$288 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$72.60–$180 | $121–$300 | varies |
| Tetanus antibody (86774) | $42 | $70 | 2.8× |
| Theophylline (80198) | $133.80 | $223 | 9.5× |
| Thiocyanate (84430) | $123.60 | $206 | 10.6× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$76.80–$95.40 | $128–$159 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$61.20–$127.80 | $102–$213 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$53.40–$75 | $89–$125 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$127.80–$139.80 | $213–$233 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $232.20 | $387 | 4.6× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $330 | $550 | 6.5× |
| Thyroxine binding globulin (84442) | $80.40 | $134 | 5.4× |
| Tiss cul neo disorders solid tumor (88239) | $1,300.80 | $2,168 | 8.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $22.20 | $37 | 1.9× |
| Tissue Culture (88233) range across 2 matching MRF lines |
$657–$997.80 | $1,095–$1,663 | varies |
| Tissue Culture Amniotic Fluid (88235) | $362.40 | $604 | 2.4× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$312.60–$948 | $521–$1,580 | varies |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$289.80–$654.60 | $483–$1,091 | varies |
| Tobramycin peak (80200) | $193.20 | $322 | 12.0× |
| Topiramate (80201) | $50.40 | $84 | 4.2× |
| Touch prep (88161) | $126.60 | $211 | 4.1× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$71.40–$108 | $119–$180 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$58.80–$174.60 | $98–$291 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$16.80–$34.20 | $28–$57 | varies |
| Transferrin (84466) | $87 | $145 | 6.8× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $970.20 | $1,617 | 4.6× |
| Trg gene rearrangement anal (81342) | $181.20 | $302 | 0.9× |
| Trichinella Antibody (86784) | $120.60 | $201 | 9.6× |
| Trichomonas vagin dir probe (87660) range across 2 matching MRF lines |
$75–$84.60 | $125–$141 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$100.20–$309.60 | $167–$516 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$28.20–$36.60 | $47–$61 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$24.60–$70.20 | $41–$117 | varies |
| Tumor immunohistochem/comput (88361) | $436.80 | $728 | 1.2× |
| Tumor Immunohistochem/Manual (88360) | $462.60 | $771 | 2.6× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$10.80–$46.80 | $18–$78 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$33.60–$43.80 | $56–$73 | varies |
| Urinalysis Microscopic Only (81015) | $38.40 | $64 | 12.6× |
| Urinalysis Volume Measure (81050) | $14.40 | $24 | 4.0× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$34.20–$36.60 | $57–$61 | varies |
| Urine Pregnancy Test (81025) | $87 | $145 | 10.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $40.20 | $67 | 12.7× |
| Valproic acid (80164) | $122.40 | $204 | 9.0× |
| Vancomycin (80202) | $240 | $400 | 17.7× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$27–$61.80 | $45–$103 | varies |
| Vasopressin (84588) | $177 | $295 | 5.2× |
| Very Long Chain Fatty Acids (82726) | $415.80 | $693 | 21.1× |
| Viral Culture (87252) range across 2 matching MRF lines |
$78.60–$167.40 | $131–$279 | varies |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$43.80–$179.40 | $73–$299 | varies |
| Virus inoculate tissue addl (87253) | $87 | $145 | 4.3× |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$141–$160.20 | $235–$267 | varies |
| Viscosity serum (85810) | $118.80 | $198 | 10.2× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$69.60–$364.20 | $116–$607 | varies |
| Vitamin A (84590) | $109.80 | $183 | 9.5× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$53.40–$102 | $89–$170 | varies |
| Vitamin B2 (Riboflavin) (84252) | $79.80 | $133 | 3.9× |
| Vitamin B6 (84207) | $134.40 | $224 | 4.8× |
| Vitamin c (82180) | $93.60 | $156 | 9.5× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$53.40–$192 | $89–$320 | varies |
| Vitamin E (84446) | $147.60 | $246 | 10.4× |
| Vitamin K (84597) | $247.80 | $413 | 18.1× |
| Volatiles (84600) range across 2 matching MRF lines |
$45.60–$138 | $76–$230 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $35.40 | $59 | 2.9× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$89.40–$109.20 | $149–$182 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $131.40 | $219 | 15.3× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$43.80–$87 | $73–$145 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$61.20–$87 | $102–$145 | varies |
| Western Blot Test (84181) | $170.40 | $284 | 10.0× |
| Xm Archive Tissue Molec Anal (88363) | $43.20 | $72 | 1.4× |
| Xylose Absorption Test (84620) | $148.20 | $247 | 11.5× |
| Zinc (84630) | $165 | $275 | 14.5× |
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.