Lab & pathology prices at Ascension St. Vincent Jennings
North Vernon, IN · every code in this section with a posted price and a Medicare benchmark.
700 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $211.80 | $353 | 19.0× |
| Acth (82024) | $664.80 | $1,108 | 17.2× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$197.40–$406.80 | $329–$678 | varies |
| Acylcarnitines Quant (82017) | $357 | $595 | 21.2× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $42.60 | $71 | 2.6× |
| Adenovirus antibody (86603) | $143.40 | $239 | 11.1× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $540.60 | $901 | 8.4× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$28.80–$49.80 | $48–$83 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$22.80–$88.20 | $38–$147 | varies |
| Aldolase (82085) | $192 | $320 | 19.8× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$225–$379.20 | $375–$632 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$82.80–$136.80 | $138–$228 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $151.20 | $252 | 19.0× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$85.80–$132.60 | $143–$221 | varies |
| Allergen specific igg (86001) | $129.60 | $216 | 16.6× |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$42.60–$64.80 | $71–$108 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $271.80 | $453 | 18.8× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$74.40–$280.20 | $124–$467 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$92.40–$351.60 | $154–$586 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$16.80–$104.40 | $28–$174 | varies |
| Aluminum (82108) | $200.40 | $334 | 7.9× |
| Amikacin trough (80150) | $225 | $375 | 14.9× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $677.40 | $1,129 | 29.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$81.60–$649.20 | $136–$1,082 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) range across 2 matching MRF lines |
$42.60–$258.60 | $71–$431 | varies |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$91.20–$192 | $152–$320 | varies |
| Ammonia (82140) | $246 | $410 | 16.9× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $216.60 | $361 | 2.2× |
| Amylase urine (82150) range across 2 matching MRF lines |
$36–$182.40 | $60–$304 | varies |
| Ana Titer (86039) | $204 | $340 | 18.3× |
| Androstenedione (82157) | $279 | $465 | 9.5× |
| Androsterone (hormone) level (82160) | $153 | $255 | 6.0× |
| Angiotensin converting enzyme csf (82164) | $300.60 | $501 | 20.6× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$84.60–$251.40 | $141–$419 | varies |
| Antibody aspergillus (86606) | $54 | $90 | 3.6× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$54–$125.40 | $90–$209 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$86.40–$402 | $144–$670 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$37.80–$343.20 | $63–$572 | varies |
| Antibody Encephalitis California La Crosse (86651) | $96.60 | $161 | 7.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $214.20 | $357 | 16.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$84.60–$181.20 | $141–$302 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$99–$259.80 | $165–$433 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$58.80–$151.20 | $98–$252 | varies |
| Antibody haemophilus influenza (86684) | $75 | $125 | 4.7× |
| Antibody helicobacter pylori (86677) | $381.60 | $636 | 22.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$54.60–$187.80 | $91–$313 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$58.80–$154.80 | $98–$258 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$76.80–$182.40 | $128–$304 | varies |
| Antibody HIV-2 (86702) | $43.20 | $72 | 3.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $178.80 | $298 | 9.2× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$51–$456.60 | $85–$761 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) range across 2 matching MRF lines |
$69–$199.20 | $115–$332 | varies |
| Antibody nocardia (86744) | $21.60 | $36 | 1.4× |
| Antibody Treponema Pallidum (86780) | $78.60 | $131 | 5.9× |
| Antibody; encephalitis, st. louis (86653) | $96.60 | $161 | 7.3× |
| Antibody; influenza virus (86710) range across 2 matching MRF lines |
$74.40–$144 | $124–$240 | varies |
| Antigen typing (86905) | $151.20 | $252 | 39.5× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $151.20 | $252 | 26.4× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$67.80–$298.20 | $113–$497 | varies |
| Antistreptolysin o titer (86060) | $225 | $375 | 30.8× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$66–$495 | $110–$825 | varies |
| Antithrombin iii antigen (85301) | $537.60 | $896 | 49.7× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$47.40–$151.20 | $79–$252 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$57.60–$151.20 | $96–$252 | varies |
| Aspergillus ag eia (87305) | $231.60 | $386 | 19.3× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$84.60–$1,075.80 | $141–$1,793 | varies |
| Assay Blood Carbon Dioxide (82374) | $88.20 | $147 | 18.1× |
| Assay Blood Catecholamines (82383) | $365.40 | $609 | 12.6× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$67.80–$240 | $113–$400 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$70.20–$318 | $117–$530 | varies |
| Assay of blood/uric acid (84550) | $100.80 | $168 | 22.3× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$22.80–$134.40 | $38–$224 | varies |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$74.40–$255 | $124–$425 | varies |
| Assay of estrone (82679) range across 2 matching MRF lines |
$81.60–$225 | $136–$375 | varies |
| Assay of g6pd enzyme (82955) | $255.60 | $426 | 26.4× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$47.40–$78.60 | $79–$131 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$92.40–$214.20 | $154–$357 | varies |
| Assay of manganese (83785) | $186.60 | $311 | 7.0× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$93.60–$398.40 | $156–$664 | varies |
| Assay of phosphatase acid total (84060) | $93.60 | $156 | 12.3× |
| Assay of proinsulin (84206) | $275.40 | $459 | 10.3× |
| Assay of prostate specific antigen complexed (84152) | $262.80 | $438 | 14.3× |
| Assay of pyruvate (84210) range across 2 matching MRF lines |
$66–$223.80 | $110–$373 | varies |
| Assay of serotonin (84260) | $876 | $1,460 | 28.3× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$26.40–$75 | $44–$125 | varies |
| Assay of sweat sodium (84302) | $30 | $50 | 6.2× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$21.60–$93 | $36–$155 | varies |
| Assay of urine vma (84585) | $326.40 | $544 | 21.1× |
| Assay of vasoactive intestinal peptide (84586) | $513.60 | $856 | 14.5× |
| Assay of vitamin b-1 (84425) | $333 | $555 | 15.7× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$18–$96 | $30–$160 | varies |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$14.40–$75 | $24–$125 | varies |
| B cells total count (86355) | $143.40 | $239 | 3.8× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$57–$96.60 | $95–$161 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$303–$480.60 | $505–$801 | varies |
| Bcr/abl1 gene minor bp (81207) | $404.40 | $674 | 2.8× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$70.20–$159.60 | $117–$266 | varies |
| Beta hydroxybutyrate (82010) | $130.80 | $218 | 16.0× |
| Beta Lactamase (87185) | $45 | $75 | 9.5× |
| Beta-2 Microglobulin (82232) | $298.20 | $497 | 18.4× |
| Bile acids total (82239) | $93 | $155 | 5.4× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$28.20–$93 | $47–$155 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$28.20–$92.40 | $47–$154 | varies |
| Biotinidase (82261) | $45 | $75 | 2.7× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$58.80–$96.60 | $98–$161 | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $323.40 | $539 | 1.8× |
| Bld Typing Serologic Rh Phnt (86906) | $410.40 | $684 | 53.0× |
| Blood Count Automated Differential Wbc Count (85004) range across 2 matching MRF lines |
$36–$57.60 | $60–$96 | varies |
| Blood Count Manual Cell Count Each (85032) | $97.20 | $162 | 22.6× |
| Blood Count Red Blood Cell Automated (85041) | $30.60 | $51 | 10.1× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$22.80–$107.40 | $38–$179 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$19.20–$77.40 | $32–$129 | varies |
| Blood gas (82803) range across 2 matching MRF lines |
$96–$327.60 | $160–$546 | varies |
| Blood gases w/02 saturation (82805) | $225 | $375 | 2.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $112.80 | $188 | 7.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $77.40 | $129 | 17.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $152.40 | $254 | 24.0× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$45.60–$88.20 | $76–$147 | varies |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$58.80–$96.60 | $98–$161 | varies |
| Breath Alcohol Test (82075) | $88.20 | $147 | 2.9× |
| C diff amplified probe (87493) | $205.20 | $342 | 5.5× |
| C-Peptide (84681) | $304.20 | $507 | 14.6× |
| C-reactive protein (86140) | $192 | $320 | 37.1× |
| Ca 19-9 (86301) | $335.40 | $559 | 16.1× |
| Cadmium (82300) | $168 | $280 | 7.1× |
| Caffeine (80155) | $347.40 | $579 | 9.0× |
| Calcitonin (82308) | $339.60 | $566 | 12.7× |
| Calcium ionized (82330) | $225 | $375 | 16.4× |
| Calcium total (82310) range across 2 matching MRF lines |
$28.80–$91.20 | $48–$152 | varies |
| Calculus assay quant (82360) | $324 | $540 | 25.2× |
| Calculus Spectroscopy (82365) | $310.80 | $518 | 24.1× |
| Calprotectin Fecal (83993) | $369.60 | $616 | 18.8× |
| Cancer Antigen 125 (86304) | $360 | $600 | 17.3× |
| Cancer Antigen 27.29 (86300) | $381.60 | $636 | 18.3× |
| Candida antibody (86628) range across 2 matching MRF lines |
$58.80–$153 | $98–$255 | varies |
| Candida Dna Dir Probe (87480) range across 2 matching MRF lines |
$105.60–$162 | $176–$270 | varies |
| Carbamazepine free (80157) | $200.40 | $334 | 15.1× |
| Carbamazepine total (80156) | $267.60 | $446 | 18.4× |
| Carboxyhemoglobin (82375) | $253.80 | $423 | 20.6× |
| Carcinoembryonic antigen (82378) | $344.40 | $574 | 18.2× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$217.20–$336 | $362–$560 | varies |
| Carnitine Quantitative Each Specimen (82379) | $233.40 | $389 | 13.8× |
| Carotene (82380) | $142.80 | $238 | 15.5× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$139.80–$523.20 | $233–$872 | varies |
| Catecholamines total urine (82382) | $156.60 | $261 | 5.7× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$71.40–$222.60 | $119–$371 | varies |
| Cell count csf (89051) | $154.80 | $258 | 27.6× |
| Cell marker study (88182) | $820.20 | $1,367 | 14.9× |
| Ceruloplasmin (82390) | $214.20 | $357 | 19.9× |
| Cftr gene com variants (81220) | $873 | $1,455 | 1.6× |
| Chemiluminescent assay (82397) | $194.40 | $324 | 13.8× |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$58.80–$258.60 | $98–$431 | varies |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$58.80–$125.40 | $98–$209 | varies |
| Chloride other source (82438) range across 2 matching MRF lines |
$27.60–$92.40 | $46–$154 | varies |
| Chloride Serum (82435) range across 2 matching MRF lines |
$19.20–$75 | $32–$125 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$19.20–$96 | $32–$160 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$22.80–$96 | $38–$160 | varies |
| Cholinesterase rbc (82482) | $30.60 | $51 | 3.1× |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$44.40–$75 | $74–$125 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$39–$312 | $65–$520 | varies |
| Chrmsm Analysis Addl High Resolution Study (88289) range across 2 matching MRF lines |
$181.20–$253.80 | $302–$423 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$132–$213 | $220–$355 | varies |
| Chromium serum (82495) | $153 | $255 | 7.5× |
| Chromogranin a (86316) | $351.60 | $586 | 16.9× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$652.80–$1,372.80 | $1,088–$2,288 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$107.40–$253.80 | $179–$423 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$85.80–$213.60 | $143–$356 | varies |
| Ckmb (82553) range across 2 matching MRF lines |
$35.40–$199.80 | $59–$333 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$41.40–$325.80 | $69–$543 | varies |
| Clot Factor VIII Multimetric (85247) | $349.20 | $582 | 15.2× |
| Clotting factor xii hageman (85280) | $311.40 | $519 | 16.1× |
| Clotting Funct Activity (85397) | $55.80 | $93 | 1.8× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$58.80–$205.80 | $98–$343 | varies |
| Cold agglutinin screen (86156) | $255 | $425 | 31.6× |
| Cold agglutinin titer (86157) | $176.40 | $294 | 21.9× |
| Collagen crosslinks (82523) | $199.80 | $333 | 10.7× |
| Column Chromotography Quant (82542) | $162 | $270 | 6.7× |
| Compatibility Each Unit Incubation (86921) range across 2 matching MRF lines |
$42.60–$155.40 | $71–$259 | varies |
| Compatibility test antiglob (86922) | $178.80 | $298 | 1.0× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$66.60–$248.40 | $111–$414 | varies |
| Complement Total (Ch50) (86162) | $477 | $795 | 23.5× |
| Complement/Function Activity (86161) | $192 | $320 | 16.0× |
| Coombs direct (86880) range across 2 matching MRF lines |
$27–$129 | $45–$215 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$68.40–$289.80 | $114–$483 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$92.40–$315.60 | $154–$526 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$80.40–$313.80 | $134–$523 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$26.40–$142.80 | $44–$238 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$36–$126.60 | $60–$211 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$28.80–$91.20 | $48–$152 | varies |
| Creatinine clearance (82575) | $259.20 | $432 | 27.4× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$28.80–$112.80 | $48–$188 | varies |
| Crossmatch electronic (86923) | $140.40 | $234 | 0.8× |
| Crossmatch immediate spin (86920) | $188.40 | $314 | 1.0× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$71.40–$216 | $119–$360 | varies |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$36–$148.80 | $60–$248 | varies |
| Cryptococcal Antigen (87327) | $197.40 | $329 | 14.7× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$39–$118.20 | $65–$197 | varies |
| Cryptosporidium (87272) | $124.80 | $208 | 10.4× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$64.80–$111.60 | $108–$186 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$73.80–$114 | $123–$190 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$30.60–$152.40 | $51–$254 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $153.60 | $256 | 19.9× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $392.40 | $654 | 1.8× |
| Culture aerobic quant other (87071) | $206.40 | $344 | 20.9× |
| Culture afb (87116) range across 2 matching MRF lines |
$57–$100.80 | $95–$168 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$33–$302.40 | $55–$504 | varies |
| Culture blood (87040) | $271.80 | $453 | 26.3× |
| Culture chlamydia (87110) range across 2 matching MRF lines |
$65.40–$109.20 | $109–$182 | varies |
| Culture csf (87070) range across 2 matching MRF lines |
$44.40–$246 | $74–$410 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$23.40–$242.40 | $39–$404 | varies |
| Culture fungus blood (87103) | $250.20 | $417 | 12.2× |
| Culture screen only (87081) | $159 | $265 | 24.0× |
| Culture stool (87045) range across 2 matching MRF lines |
$52.20–$280.20 | $87–$467 | varies |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $51.60 | $86 | 4.1× |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$30.60–$52.80 | $51–$88 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$20.40–$118.20 | $34–$197 | varies |
| Culture typing other methods (87158) | $42.60 | $71 | 5.5× |
| Culture urine (87086) range across 2 matching MRF lines |
$20.40–$172.80 | $34–$288 | varies |
| Cyanide (82600) | $199.80 | $333 | 10.3× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $137.40 | $229 | 9.6× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$96–$323.40 | $160–$539 | varies |
| Cystatin C (82610) | $143.40 | $239 | 7.7× |
| Cytogenetics 10-30 (88273) | $162.60 | $271 | 4.7× |
| Cytogenetics 100-300 (88275) | $412.80 | $688 | 8.1× |
| Cytogenom Const Microarray Copy Number Variants (81228) | $2,053.80 | $3,423 | 2.3× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,158.20 | $3,597 | 1.9× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$46.20–$260.40 | $77–$434 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$61.80–$148.80 | $103–$248 | varies |
| Cytopath Cell Enhance Tech (88112) | $283.80 | $473 | 5.1× |
| Cytotoxic pra quick (86808) | $718.20 | $1,197 | 24.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$78.60–$181.20 | $131–$302 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $315.60 | $526 | 5.7× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $186 | $310 | 4.7× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $85.80 | $143 | 4.6× |
| Deoxycortisol (82634) | $513.60 | $856 | 17.5× |
| Deoxyribonuclease antibody (86215) | $164.40 | $274 | 12.4× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$194.40–$427.80 | $324–$713 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$130.80–$747 | $218–$1,245 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$195–$433.20 | $325–$722 | varies |
| Dhea (82626) | $288.60 | $481 | 11.4× |
| Dhea-S (82627) | $530.40 | $884 | 23.9× |
| Dibucaine number (82638) range across 2 matching MRF lines |
$37.20–$97.20 | $62–$162 | varies |
| Digoxin (80162) | $223.80 | $373 | 16.9× |
| Diphtheria antitoxoid (86648) | $181.20 | $302 | 11.9× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$42–$260.40 | $70–$434 | varies |
| Dna Antibody Single Stranded (86226) | $186.60 | $311 | 15.4× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$112.80–$186.60 | $188–$311 | varies |
| Drug assay acetaminophen (80143) | $36 | $60 | 1.9× |
| Drug Assay Everolimus (80169) | $251.40 | $419 | 18.3× |
| Drug Screen Quant Clozapine (80159) | $325.20 | $542 | 16.1× |
| Drug Screen Quant Zonisamide (80203) | $325.20 | $542 | 24.5× |
| Drug Screen Quantitative Gabapentin (80171) | $325.20 | $542 | 15.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $325.20 | $542 | 24.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $325.20 | $542 | 24.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $181.20 | $302 | 13.7× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $222 | $370 | 13.3× |
| Drug Test Prsmv Chem Anlyzr (80307) | $214.20 | $357 | 3.4× |
| Drug Test Prsmv Dir Opt Obs (80305) | $143.40 | $239 | 11.4× |
| Drug Test Prsmv Instrmnt (80306) | $142.80 | $238 | 8.3× |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$57–$178.80 | $95–$298 | varies |
| Electrolyte panel (80051) | $187.20 | $312 | 26.7× |
| Encephaltis East Eqne Anbdy (86652) | $96.60 | $161 | 7.3× |
| Encephaltis West Eqne Antbdy (86654) | $96.60 | $161 | 7.3× |
| Enterovirus Antibody (86658) | $54 | $90 | 4.1× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$97.20–$260.40 | $162–$434 | varies |
| Enzyme cell activity (82657) | $127.80 | $213 | 5.8× |
| Erythropoietin (82668) | $339.60 | $566 | 18.1× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$90.60–$489 | $151–$815 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$133.80–$222 | $223–$370 | varies |
| Estrogen total (82672) | $273.60 | $456 | 12.6× |
| Estrogens fractionated (82671) | $288.60 | $481 | 8.9× |
| Ethosuximide (80168) | $178.20 | $297 | 10.9× |
| Ethylene Glycol (82693) | $187.20 | $312 | 12.6× |
| Exam Synovial Fluid Crystals (89060) | $154.80 | $258 | 21.1× |
| F2 Gene (81240) range across 2 matching MRF lines |
$70.80–$228 | $118–$380 | varies |
| Factor Inhibitor Test (85335) range across 2 matching MRF lines |
$66–$111.60 | $110–$186 | varies |
| Factor ix activity (85250) | $311.40 | $519 | 16.4× |
| Factor v activity (85220) | $406.80 | $678 | 23.0× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$75–$454.80 | $125–$758 | varies |
| Factor vii assay (85230) | $311.40 | $519 | 17.4× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$97.80–$490.80 | $163–$818 | varies |
| Factor X (85260) | $443.40 | $739 | 24.8× |
| Factor xi activity (85270) | $302.40 | $504 | 16.9× |
| Factor xiii screen (85291) | $172.80 | $288 | 19.0× |
| Fat/Lipids Feces Quantitative (82710) | $403.20 | $672 | 24.0× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $211.80 | $353 | 12.3× |
| Fecal Fat Qualitative (82705) | $260.40 | $434 | 51.1× |
| Ferritin (82728) range across 2 matching MRF lines |
$43.20–$250.20 | $72–$417 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $754.80 | $1,258 | 4.9× |
| Fibrin degradation products (85362) | $172.20 | $287 | 25.0× |
| Fibrin Degradation Quant (85379) | $340.80 | $568 | 33.5× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) range across 2 matching MRF lines |
$39–$260.40 | $65–$434 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$46.20–$206.40 | $77–$344 | varies |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$182.40–$229.80 | $304–$383 | varies |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$67.80–$327.60 | $113–$546 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$67.80–$112.80 | $113–$188 | varies |
| Fluoride serum (82735) | $174.60 | $291 | 9.4× |
| Fmr1 gene detection (81243) | $615 | $1,025 | 10.8× |
| Folic acid rbc (82747) | $294 | $490 | 16.7× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$56.40–$254.40 | $94–$424 | varies |
| Follicle Stimulating Hormone (83001) | $411 | $685 | 22.1× |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) | $437.40 | $729 | 15.3× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $83.40 | $139 | 0.5× |
| Frozen Section (88331) | $336 | $560 | 1.9× |
| Fungi Identification Mold (87107) | $129 | $215 | 12.5× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$96–$134.40 | $160–$224 | varies |
| Galactose (82760) | $34.80 | $58 | 3.1× |
| Galactose transferase test (82776) | $25.80 | $43 | 2.2× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$91.20–$255.60 | $152–$426 | varies |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
$105.60–$162 | $176–$270 | varies |
| Gardner Vag Dna Quant (87512) | $80.40 | $134 | 1.9× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $27 | $45 | 2.8× |
| Gases blood ph only (82800) | $137.40 | $229 | 12.5× |
| Gastrin (82941) | $320.40 | $534 | 18.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,079.40 | $1,799 | 2.6× |
| Genet Virus Isolate Hsv (87255) | $260.40 | $434 | 7.7× |
| Gentamicin (80170) | $350.40 | $584 | 21.4× |
| Ggt (82977) range across 2 matching MRF lines |
$21.60–$137.40 | $36–$229 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$64.80–$260.40 | $108–$434 | varies |
| Glucagon (82943) | $200.40 | $334 | 14.0× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$27–$129 | $45–$215 | varies |
| Glucose Blood Test (82962) | $59.40 | $99 | 18.1× |
| Glucose body fluid (82945) | $104.40 | $174 | 26.6× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$21.60–$67.80 | $36–$113 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$70.20–$258.60 | $117–$431 | varies |
| Glycated Protein (82985) | $178.20 | $297 | 10.6× |
| Gonadotropin Chorionic Qualitative (84703) | $187.20 | $312 | 24.9× |
| Gonadotropin releasing hormone (83727) | $339.60 | $566 | 19.8× |
| Growth hormone (83003) range across 2 matching MRF lines |
$92.40–$313.80 | $154–$523 | varies |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$21.60–$59.40 | $36–$99 | varies |
| H Pylori (C-13) Breath (83013) | $495 | $825 | 7.3× |
| H Pylori Drug Admin (83014) | $77.40 | $129 | 9.8× |
| Haloperidol (80173) | $165 | $275 | 10.5× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$31.80–$241.80 | $53–$403 | varies |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$46.20–$160.80 | $77–$268 | varies |
| Helicobacter Pylori Stool (87338) | $223.80 | $373 | 15.6× |
| Helminth Antibody (86682) | $234 | $390 | 18.0× |
| Hematocrit (85014) range across 2 matching MRF lines |
$13.80–$59.40 | $23–$99 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$13.80–$61.80 | $23–$103 | varies |
| Hemoglobin a1c (83036) | $178.80 | $298 | 18.4× |
| Hemoglobin Chromotography (83021) | $162 | $270 | 9.0× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$39.60–$298.20 | $66–$497 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $240 | $400 | 29.3× |
| Hemoglobin plasma (83051) | $116.40 | $194 | 15.9× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $142.80 | $238 | 15.2× |
| Hemolysins&Agglutinins Incubated (86941) | $134.40 | $224 | 11.1× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$59.40–$233.40 | $99–$389 | varies |
| Heparin assay (85520) | $525 | $875 | 40.1× |
| Hepatitis a antibody total (86708) | $233.40 | $389 | 18.8× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$61.80–$288.60 | $103–$481 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$67.80–$205.20 | $113–$342 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$28.20–$214.20 | $47–$357 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$36–$206.40 | $60–$344 | varies |
| Hepatitis Be Antibody (86707) | $177.60 | $296 | 15.4× |
| Hepatitis Be Antigen (87350) | $197.40 | $329 | 17.1× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$79.80–$313.80 | $133–$523 | varies |
| Hepatitis c antibody confirmatory test (86804) | $466.80 | $778 | 30.1× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$552.60–$1,198.80 | $921–$1,998 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $844.20 | $1,407 | 24.1× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$137.40–$918.60 | $229–$1,531 | varies |
| Hepatitis Delta Agent Antibody (86692) | $160.80 | $268 | 9.4× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$108.60–$181.20 | $181–$302 | varies |
| Heterophile Antibody Screen (86308) | $162 | $270 | 31.3× |
| Hfe Gene (81256) | $323.40 | $539 | 4.9× |
| Histamine urine (83088) range across 2 matching MRF lines |
$160.80–$339 | $268–$565 | varies |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$144–$223.80 | $240–$373 | varies |
| Histoplasma antigen urine (87385) | $484.20 | $807 | 36.5× |
| Hiv Antigen W/Hiv Antibodies (87806) range across 2 matching MRF lines |
$73.80–$181.20 | $123–$302 | varies |
| Hiv Genotype (87901) | $1,901.40 | $3,169 | 7.4× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$60–$199.80 | $100–$333 | varies |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$28.20–$237 | $47–$395 | varies |
| HIV-1 p24 antigen (87390) | $54 | $90 | 2.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $1,121.40 | $1,869 | 13.2× |
| Hla class ii typing high resolution one locus ea (81382) | $342.60 | $571 | 2.8× |
| 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 Typing Dr/Dq Multiple Antigens (86817) | $595.80 | $993 | 5.6× |
| Hla Typing Dr/Dq Single Antigen (86816) | $200.40 | $334 | 6.6× |
| Hla-b27 (86812) | $438.60 | $731 | 17.0× |
| Homocysteine (83090) range across 2 matching MRF lines |
$93.60–$484.20 | $156–$807 | varies |
| Homogenization Tissue (87176) | $79.20 | $132 | 13.5× |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$108.60–$223.80 | $181–$373 | varies |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$107.40–$323.40 | $179–$539 | varies |
| Hpv Types 16 & 18 Only (87625) | $181.20 | $302 | 4.5× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$194.40–$451.80 | $324–$753 | varies |
| Hydroxycorticosteroids 17 (83491) | $237 | $395 | 13.2× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$83.40–$248.40 | $139–$414 | varies |
| Hydroxyproline total (83505) range across 2 matching MRF lines |
$114–$378.60 | $190–$631 | varies |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $88.20 | $147 | 7.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $130.80 | $218 | 12.7× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $300.60 | $501 | 21.6× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$46.20–$132.60 | $77–$221 | varies |
| Iaad Ia Streptococcus Group A (87430) | $151.20 | $252 | 9.0× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $222 | $370 | 18.5× |
| Iaadi giardia (87269) | $129 | $215 | 9.5× |
| Iaadi not otherwise specified each organism (87299) | $126.60 | $211 | 7.9× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $36.60 | $61 | 3.1× |
| Iaadiadoo trichomonas vaginalis (87808) range across 2 matching MRF lines |
$36.60–$97.20 | $61–$162 | varies |
| Iadna Bartonella Amplified Probe Technique (87471) | $281.40 | $469 | 8.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $652.20 | $1,087 | 18.6× |
| Iadna Candida Species Amplified Probe Tq (87481) | $97.20 | $162 | 2.8× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $248.40 | $414 | 10.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$97.20–$316.80 | $162–$528 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $603.60 | $1,006 | 14.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $221.40 | $369 | 3.2× |
| Iadna hepatitis b virus amplified probe tq (87516) | $456 | $760 | 13.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $1,045.20 | $1,742 | 24.4× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $97.20 | $162 | 2.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $412.80 | $688 | 11.8× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $291 | $485 | 7.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $365.40 | $609 | 10.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$107.40–$253.20 | $179–$422 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$26.40–$288 | $44–$480 | varies |
| Igh gene rearrange amp meth (81261) | $594 | $990 | 3.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $451.80 | $753 | 1.2× |
| Immune Complex Assay (86332) | $235.80 | $393 | 9.7× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$162.60–$468.60 | $271–$781 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$74.40–$493.80 | $124–$823 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$45.60–$288.60 | $76–$481 | varies |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$64.80–$228 | $108–$380 | varies |
| Immunodiffusion not elsewhere specified (86329) | $187.80 | $313 | 13.4× |
| Immunodiffusion Ouchterlony (86331) | $45 | $75 | 3.8× |
| Immunoelectrophoresis Serum (86320) | $206.40 | $344 | 6.9× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$123–$495 | $205–$825 | varies |
| Immunohistochemistry (88342) | $325.20 | $542 | 1.8× |
| In situ hybridization 1st probe stain (88365) | $1,195.20 | $1,992 | 6.6× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $134.40 | $224 | 9.3× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $156.60 | $261 | 3.1× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) range across 2 matching MRF lines |
$37.20–$73.80 | $62–$123 | varies |
| Influenza a/b ag eia (87400) | $111.60 | $186 | 7.9× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$66.60–$258.60 | $111–$431 | varies |
| Influenza DNA amp probe (87502) | $398.40 | $664 | 4.2× |
| Inhibin A (86336) range across 2 matching MRF lines |
$67.80–$231 | $113–$385 | varies |
| Inhibin b (83520) range across 2 matching MRF lines |
$71.40–$350.40 | $119–$584 | varies |
| Insitu hybridization auto (88367) | $694.20 | $1,157 | 1.8× |
| Insitu hybridization manual (88368) | $978 | $1,630 | 2.6× |
| Insulin antibodies (86337) | $253.80 | $423 | 11.9× |
| Insulin free (83527) | $103.80 | $173 | 8.0× |
| Insulin total (83525) range across 2 matching MRF lines |
$35.40–$251.40 | $59–$419 | varies |
| Intrinsic factor antibody (86340) | $206.40 | $344 | 13.7× |
| Iron (83540) range across 2 matching MRF lines |
$36–$137.40 | $60–$229 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$48.60–$156.60 | $81–$261 | varies |
| Islet cell antibody (86341) | $288.60 | $481 | 12.2× |
| Jak2 gene analysis p.val617phe variant (81270) | $659.40 | $1,099 | 7.2× |
| Ketosteroids 17 total (83586) | $109.20 | $182 | 8.5× |
| Koh Prep (87220) | $137.40 | $229 | 32.2× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$33.60–$102.60 | $56–$171 | varies |
| Lactoferrin Fecal Quantitative (83631) | $206.40 | $344 | 10.5× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$70.20–$273.60 | $117–$456 | varies |
| LDL direct (83721) | $164.40 | $274 | 15.7× |
| Lead (83655) range across 2 matching MRF lines |
$67.80–$177.60 | $113–$296 | varies |
| Legionella antibody (86713) | $96.60 | $161 | 6.3× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$41.40–$236.40 | $69–$394 | varies |
| Legionella pneumophila dfa (87278) | $266.40 | $444 | 17.1× |
| Leukocyte Assessment Fecal (89055) | $104.40 | $174 | 24.4× |
| Leukocyte Histamine Release (86343) | $213.60 | $356 | 17.1× |
| Leukocyte phagocytosis (86344) | $67.80 | $113 | 6.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $159.60 | $266 | 5.2× |
| Level ii surg pathology grossµscopic exam (88302) | $196.80 | $328 | 5.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $603.60 | $1,006 | 1.6× |
| Lipase (83690) | $176.40 | $294 | 25.6× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$42–$159 | $70–$265 | varies |
| Lipoprotein Bld Quan Part (83704) | $265.80 | $443 | 7.8× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $103.80 | $173 | 9.2× |
| Lithium (80178) | $187.20 | $312 | 28.3× |
| Luteinizing Hormone (Lh) (83002) | $429 | $715 | 23.2× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$58.80–$336 | $98–$560 | varies |
| Lymphocytotoxicity Assay (86805) | $805.80 | $1,343 | 4.3× |
| Lysozyme serum (85549) | $169.20 | $282 | 9.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $611.40 | $1,019 | 3.4× |
| M/phmtrc alys ishquant/semiq (88374) | $402 | $670 | 2.2× |
| Macroscopic exam arthropod (87168) | $93.60 | $156 | 21.9× |
| Macroscopic Exam Parasite (87169) | $117 | $195 | 27.1× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$36.60–$147 | $61–$245 | varies |
| Mass Spectrometry Quant (83789) | $254.40 | $424 | 10.6× |
| Mercury urine (83825) range across 2 matching MRF lines |
$90–$152.40 | $150–$254 | varies |
| Metabolic panel ionized ca (80047) | $153 | $255 | 11.1× |
| Methylmalonic acid serum (83921) | $621.60 | $1,036 | 29.3× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$33–$228 | $55–$380 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$77.40–$222.60 | $129–$371 | varies |
| Mitochondrial Antibody Each (86381) | $45.60 | $76 | 1.8× |
| Mlh1 Gene (81288) | $633 | $1,055 | 3.3× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$73.80–$287.40 | $123–$479 | varies |
| Molecular Pathology Procedure Level 6 (81405) | $1,830.60 | $3,051 | 6.1× |
| Mopath procedure level 2 (81401) | $552.60 | $921 | 4.0× |
| Morphometric Analysis Tumor (88358) | $762 | $1,270 | 4.2× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$107.40–$285 | $179–$475 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $420.60 | $701 | 6.4× |
| Mucopolysaccharides acid quantitative (83864) range across 2 matching MRF lines |
$109.80–$236.40 | $183–$394 | varies |
| Mumps antibody (86735) range across 2 matching MRF lines |
$58.80–$147 | $98–$245 | varies |
| Mycoplasma antibody (86738) | $195.60 | $326 | 14.8× |
| Mycoplasma culture (87109) | $365.40 | $609 | 23.7× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$68.40–$291 | $114–$485 | varies |
| Natriuretic peptide (83880) | $312 | $520 | 7.9× |
| Neisseria Dir Na Probe (87590) | $302.40 | $504 | 11.3× |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$93.60–$607.80 | $156–$1,013 | varies |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $388.20 | $647 | 1.5× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $256.80 | $428 | 1.8× |
| Niacin (84591) | $188.40 | $314 | 11.0× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$115.20–$277.20 | $192–$462 | varies |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$99–$234.60 | $165–$391 | varies |
| Obstetric panel (80081) | $564 | $940 | 7.5× |
| Occult blood feces (82272) | $57.60 | $96 | 13.6× |
| Occult Blood Other Sources (82271) | $70.20 | $117 | 13.2× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$112.80–$588.60 | $188–$981 | varies |
| Oncoprotein dcp (83951) | $357.60 | $596 | 5.6× |
| Organic acids urine (83918) range across 2 matching MRF lines |
$91.20–$448.20 | $152–$747 | varies |
| Osmolality serum (83930) | $132.60 | $221 | 20.1× |
| Osmolality Urine (83935) | $132.60 | $221 | 19.4× |
| Osteocalcin (83937) | $253.20 | $422 | 8.5× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$50.40–$228 | $84–$380 | varies |
| Oxalate urine (83945) range across 2 matching MRF lines |
$70.20–$154.80 | $117–$258 | varies |
| Pancreatic Elastase Fecal (82656) | $312 | $520 | 27.1× |
| Particle Agglut Antbdy Titr (86406) | $137.40 | $229 | 12.9× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$34.80–$234 | $58–$390 | varies |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$76.80–$208.80 | $128–$348 | varies |
| Ph urine (81003) range across 2 matching MRF lines |
$12–$102.60 | $20–$171 | varies |
| Phenobarbital Level (80184) | $233.40 | $389 | 15.3× |
| Phenylalanine (84030) | $145.80 | $243 | 26.5× |
| Phenytoin (Dilantin) (80185) | $236.40 | $394 | 17.8× |
| Phenytoin free (80186) | $285 | $475 | 20.7× |
| Phosphatase acid prostatic (84066) | $151.20 | $252 | 15.7× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$28.80–$91.20 | $48–$152 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$18–$231 | $30–$385 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$27–$96 | $45–$160 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$28.80–$129 | $48–$215 | varies |
| Pinworm exam (87172) | $75 | $125 | 17.6× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$118.20–$320.40 | $197–$534 | varies |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$30–$574.80 | $50–$958 | varies |
| Platelet count automated (85049) | $108.60 | $181 | 24.2× |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$33.60–$288 | $56–$480 | varies |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$47.40–$169.20 | $79–$282 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$81.60–$248.40 | $136–$414 | varies |
| Potassium Urine (84133) range across 2 matching MRF lines |
$19.20–$108.60 | $32–$181 | varies |
| Pr assay of etiocholanolone (82696) | $172.20 | $287 | 6.6× |
| Prealbumin (84134) | $298.20 | $497 | 20.4× |
| Pregnenolone (84140) | $275.40 | $459 | 13.3× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $96.60 | $161 | 1.5× |
| Primidone (80188) | $211.80 | $353 | 12.8× |
| Procalcitonin (Pct) (84145) | $312 | $520 | 11.5× |
| Progesterone (84144) | $432 | $720 | 20.7× |
| Prolactin (84146) range across 2 matching MRF lines |
$43.20–$408 | $72–$680 | varies |
| Protein body fluid (84157) | $126.60 | $211 | 31.7× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$78–$568.20 | $130–$947 | varies |
| Protein c antigen (85302) range across 2 matching MRF lines |
$49.20–$546.60 | $82–$911 | varies |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$97.80–$194.40 | $163–$324 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$60–$229.80 | $100–$383 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$84.60–$588 | $141–$980 | varies |
| Protein s total (85305) | $619.20 | $1,032 | 53.3× |
| Protein Total Refractometry Any Src (84160) range across 2 matching MRF lines |
$28.80–$49.80 | $48–$83 | varies |
| Protein total serum (84155) range across 2 matching MRF lines |
$20.40–$73.80 | $34–$123 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$20.40–$117 | $34–$195 | varies |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$52.80–$143.40 | $88–$239 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$16.20–$126.60 | $27–$211 | varies |
| Protoporphyrin rbc quantitative (84202) | $162 | $270 | 11.3× |
| PSA free (84154) range across 2 matching MRF lines |
$102–$171 | $170–$285 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$228.60–$552.60 | $381–$921 | varies |
| Q Fever Antibody (86638) | $46.80 | $78 | 3.9× |
| Quantiferon tb gold plus (86480) | $333 | $555 | 5.4× |
| Quantitative assay drug (80299) | $325.20 | $542 | 17.4× |
| Quinidine (80194) | $188.40 | $314 | 12.9× |
| Rbc antibody elution (86860) | $169.20 | $282 | 0.9× |
| Rbc antibody identification (86870) | $327 | $545 | 0.9× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$45.60–$152.40 | $76–$254 | varies |
| Rbc pretreatment serum (86978) | $442.80 | $738 | 7.1× |
| Reagent Strip/Blood Glucose (82948) | $42 | $70 | 8.3× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$120–$466.80 | $200–$778 | varies |
| Resp virus 12-25 targets (87633) | $1,474.20 | $2,457 | 3.5× |
| Reticulocyte Count (85046) range across 2 matching MRF lines |
$30.60–$126.60 | $51–$211 | varies |
| Reticulocyte Count Manual (85044) | $103.80 | $173 | 24.1× |
| Rh (86901) range across 2 matching MRF lines |
$47.40–$84.60 | $79–$141 | varies |
| Rheumatoid Factor Qualitative (86430) | $54.60 | $91 | 8.9× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$31.80–$198 | $53–$330 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$100.80–$178.80 | $168–$298 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$127.80–$325.20 | $213–$542 | varies |
| Rotavirus ag eia (87425) | $255.60 | $426 | 21.3× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$23.40–$108.60 | $39–$181 | varies |
| Rsv Assay W/Optic (87807) | $246 | $410 | 18.8× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$54.60–$206.40 | $91–$344 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$70.20–$187.20 | $117–$312 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$33.60–$224.40 | $56–$374 | varies |
| Salicylate Level (80179) | $36 | $60 | 1.9× |
| Salmonella antibody (86768) | $79.20 | $132 | 6.0× |
| 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) | $125.40 | $209 | 29.4× |
| Sedimentation Rate, Automated (85652) | $83.40 | $139 | 30.9× |
| Selenium (84255) | $180.60 | $301 | 7.1× |
| Semen analysis complete (89320) | $343.20 | $572 | 27.9× |
| Semen analysis motility and count (89310) | $145.80 | $243 | 16.9× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$46.20–$164.40 | $77–$274 | varies |
| Serpina 1 gene (81332) | $441.60 | $736 | 10.1× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$119.40–$216.60 | $199–$361 | varies |
| Sickling of rbc reduction (85660) | $132.60 | $221 | 24.1× |
| Sirolimus (80195) | $408 | $680 | 29.7× |
| Skin test tuberculosis intradermal (86580) | $54 | $90 | 1.8× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$28.80–$142.80 | $48–$238 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$54.60–$132.60 | $91–$221 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$21.60–$104.40 | $36–$174 | varies |
| Smear Special Stain (87207) | $162 | $270 | 27.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $112.80 | $188 | 19.4× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$25.80–$88.20 | $43–$147 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$19.20–$97.20 | $32–$162 | varies |
| Soluble Transferrin Receptor (84238) | $574.80 | $958 | 15.7× |
| Somatomedin (84305) | $465.60 | $776 | 21.9× |
| Somatostatin (84307) | $456.60 | $761 | 25.0× |
| Special Stains Group 1 (88312) | $204.60 | $341 | 3.7× |
| Special Stains Group 2 (88313) | $187.20 | $312 | 1.3× |
| Specific gravity body fluid (84315) range across 2 matching MRF lines |
$7.20–$54.60 | $12–$91 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$36.60–$60.60 | $61–$101 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$37.80–$146.40 | $63–$244 | varies |
| Staph a DNA amp probe (87640) | $107.40 | $179 | 3.1× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$52.20–$151.20 | $87–$252 | 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–$223.20 | $162–$372 | varies |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $507.60 | $846 | 44.0× |
| Sugars Single Qual (84376) | $60.60 | $101 | 11.0× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) range across 2 matching MRF lines |
$60–$142.80 | $100–$238 | varies |
| Sulfate urine (84392) | $45 | $75 | 8.2× |
| Surg path level iii (88304) | $307.20 | $512 | 5.6× |
| Surgical pathology level IV (88305) | $369.60 | $616 | 6.7× |
| Surgical pathology level vi (88309) | $763.80 | $1,273 | 0.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $169.20 | $282 | 35.6× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $151.20 | $252 | 20.2× |
| Sweat Collection Iontophoresis (89230) | $288 | $480 | 5.2× |
| Syphilis Test Non-Trep Quant (86593) | $90.60 | $151 | 20.6× |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$87–$249 | $145–$415 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$259.80–$465.60 | $433–$776 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$115.20–$264.60 | $192–$441 | varies |
| T3 Free (84481) | $416.40 | $694 | 24.6× |
| T3 reverse (84482) | $231 | $385 | 14.7× |
| T3 Total (84480) | $323.40 | $539 | 22.8× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$37.80–$174.60 | $63–$291 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$48.60–$277.20 | $81–$462 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$39.60–$174 | $66–$290 | varies |
| T4-neonatal (84437) | $19.20 | $32 | 3.0× |
| Tacrolimus (80197) | $487.80 | $813 | 35.5× |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$26.40–$127.80 | $44–$213 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$143.40–$390.60 | $239–$651 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$133.80–$236.40 | $223–$394 | varies |
| Tetanus antibody (86774) | $174 | $290 | 11.8× |
| Theophylline (80198) | $228.60 | $381 | 16.2× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$33–$148.80 | $55–$248 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$36–$58.80 | $60–$98 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$88.20–$334.80 | $147–$558 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$88.20–$277.20 | $147–$462 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $684 | $1,140 | 13.4× |
| Thyroxine binding globulin (84442) | $202.80 | $338 | 13.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $26.40 | $44 | 2.3× |
| Tissue Culture (88233) | $676.80 | $1,128 | 4.8× |
| Tissue culture bone marrow (88237) | $1,016.40 | $1,694 | 7.1× |
| Tissue Culture Lymphocyte (88230) | $1,255.20 | $2,092 | 10.8× |
| Tobramycin peak (80200) | $289.20 | $482 | 17.9× |
| Topiramate (80201) | $231 | $385 | 19.4× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $260.40 | $434 | 13.2× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$37.80–$231.60 | $63–$386 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$80.40–$211.80 | $134–$353 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$28.80–$104.40 | $48–$174 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$67.80–$251.40 | $113–$419 | varies |
| Trichomonas vagin dir probe (87660) range across 2 matching MRF lines |
$105.60–$162 | $176–$270 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$97.20–$182.40 | $162–$304 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$33–$114 | $55–$190 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$54.60–$260.40 | $91–$434 | varies |
| Tumor immunohistochem/comput (88361) | $443.40 | $739 | 1.2× |
| Tumor Immunohistochem/Manual (88360) | $541.20 | $902 | 3.0× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$18–$108 | $30–$180 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$27–$125.40 | $45–$209 | varies |
| Urinalysis Microscopic Only (81015) | $66 | $110 | 21.6× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $20.40 | $34 | 9.4× |
| Urinalysis Volume Measure (81050) | $31.80 | $53 | 8.7× |
| Urine Albumin Semiquantitative (82044) | $75 | $125 | 12.0× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$83.40–$129 | $139–$215 | varies |
| Urine Pregnancy Test (81025) | $153.60 | $256 | 17.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $132.60 | $221 | 41.8× |
| Valproic acid (80164) | $289.80 | $483 | 21.4× |
| Vancomycin (80202) | $315.60 | $526 | 23.3× |
| Varicella-zoster antibody (86787) | $273.60 | $456 | 21.2× |
| Vasopressin (84588) | $250.80 | $418 | 7.4× |
| Very Long Chain Fatty Acids (82726) | $456.60 | $761 | 23.1× |
| Viral Culture (87252) range across 2 matching MRF lines |
$358.20–$552.60 | $597–$921 | varies |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$58.80–$312 | $98–$520 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$109.20–$181.20 | $182–$302 | varies |
| Viscosity serum (85810) | $234.60 | $391 | 20.1× |
| Vit D 1 25-Dihydroxy (82652) | $597 | $995 | 15.5× |
| Vitamin A (84590) | $251.40 | $419 | 21.7× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$58.80–$253.20 | $98–$422 | varies |
| Vitamin B2 (Riboflavin) (84252) | $379.80 | $633 | 18.8× |
| Vitamin B6 (84207) | $351.60 | $586 | 12.5× |
| Vitamin c (82180) | $150 | $250 | 15.2× |
| Vitamin D 25-Hydroxy (82306) | $385.80 | $643 | 13.0× |
| Vitamin E (84446) | $280.20 | $467 | 19.8× |
| Vitamin K (84597) | $351 | $585 | 25.6× |
| Volatiles (84600) | $224.40 | $374 | 13.1× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $41.40 | $69 | 3.4× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$127.80–$435.60 | $213–$726 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $273.60 | $456 | 31.8× |
| West nile virus ab igm (86788) | $37.80 | $63 | 2.2× |
| West Nile Virus Antibody (86789) | $54.60 | $91 | 3.8× |
| Western Blot Test (84181) | $187.80 | $313 | 11.0× |
| Zinc (84630) | $236.40 | $394 | 20.8× |
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.