Lab & pathology prices at Ascension St. Vincent Kokomo
Kokomo, IN · every code in this section with a posted price and a Medicare benchmark.
803 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $144.60 | $241 | 13.0× |
| Acetylcholinesterase Assay (82013) | $246.60 | $411 | 20.1× |
| Acth (82024) | $521.40 | $869 | 13.5× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $102 | $170 | 3.1× |
| Acute hepatitis panel (80074) | $724.20 | $1,207 | 15.2× |
| Acylcarnitines Quant (82017) | $311.40 | $519 | 18.5× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $77.40 | $129 | 4.7× |
| Adenovirus antibody (86603) | $127.20 | $212 | 9.9× |
| Agglutinins Febrile Each Antigen (86000) | $179.40 | $299 | 25.7× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$70.80–$99.60 | $118–$166 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$70.20–$99 | $117–$165 | varies |
| Aldolase (82085) | $189 | $315 | 19.5× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$145.80–$553.80 | $243–$923 | varies |
| Alkaline phosphatase isoenzymes (84080) | $109.20 | $182 | 7.4× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$19.20–$94.80 | $32–$158 | varies |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$18–$73.20 | $30–$122 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$41.40–$62.40 | $69–$104 | varies |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$109.80–$179.40 | $183–$299 | varies |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$82.20–$240 | $137–$400 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $162.60 | $271 | 9.6× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$92.40–$300 | $154–$500 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$16.80–$99.60 | $28–$166 | varies |
| Aluminum (82108) | $171.60 | $286 | 6.7× |
| Amikacin trough (80150) | $198.60 | $331 | 13.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $60.60 | $101 | 2.6× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$52.20–$193.80 | $87–$323 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $77.40 | $129 | 5.6× |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$60–$171.60 | $100–$286 | varies |
| Ammonia (82140) | $225.60 | $376 | 15.5× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $185.40 | $309 | 1.9× |
| Amniotic fluid scan (82143) | $160.20 | $267 | 17.1× |
| Amylase urine (82150) range across 2 matching MRF lines |
$23.40–$165 | $39–$275 | varies |
| Ana Titer (86039) | $179.40 | $299 | 16.1× |
| Anca Titer Each Antibody (86037) | $21.60 | $36 | 1.8× |
| Androstenedione (82157) | $366.60 | $611 | 12.5× |
| Angiotensin converting enzyme csf (82164) | $291 | $485 | 19.9× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$73.20–$179.40 | $122–$299 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$112.80–$128.40 | $188–$214 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$36.60–$136.20 | $61–$227 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$56.40–$309 | $94–$515 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$115.20–$168.60 | $192–$281 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$102–$115.80 | $170–$193 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$108.60–$133.20 | $181–$222 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$108.60–$159 | $181–$265 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$120–$157.80 | $200–$263 | varies |
| Antibody haemophilus influenza (86684) | $177 | $295 | 11.2× |
| Antibody helicobacter pylori (86677) | $306 | $510 | 18.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$99–$221.40 | $165–$369 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$36.60–$132 | $61–$220 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$49.20–$204 | $82–$340 | varies |
| Antibody HIV-2 (86702) | $48.60 | $81 | 3.6× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $258 | $430 | 13.3× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$85.20–$231 | $142–$385 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $45 | $75 | 3.6× |
| Antibody john cunningham virus (86711) | $970.80 | $1,618 | 57.5× |
| Antibody nocardia (86744) | $21 | $35 | 1.3× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$22.20–$188.40 | $37–$314 | varies |
| Antibody Titer (86886) | $189.60 | $316 | 36.6× |
| Antibody Treponema Pallidum (86780) | $204 | $340 | 15.4× |
| Antibody; influenza virus (86710) range across 2 matching MRF lines |
$49.20–$164.40 | $82–$274 | varies |
| Antigen typing (86905) | $164.40 | $274 | 42.9× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$108–$192 | $180–$320 | varies |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$42.60–$220.20 | $71–$367 | varies |
| Antistreptolysin O Screen (86063) | $128.40 | $214 | 22.3× |
| Antistreptolysin o titer (86060) | $169.20 | $282 | 23.2× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$42–$237.60 | $70–$396 | varies |
| Antithrombin iii antigen (85301) | $237.60 | $396 | 22.0× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$97.20–$225.60 | $162–$376 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$105–$234.60 | $175–$391 | varies |
| Aspergillus ag eia (87305) | $268.20 | $447 | 22.4× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$55.20–$226.80 | $92–$378 | varies |
| Assay Blood Carbon Dioxide (82374) | $93.60 | $156 | 19.2× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$120–$165 | $200–$275 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$46.80–$280.20 | $78–$467 | varies |
| Assay of b-hexosaminidase each assay (83080) | $52.20 | $87 | 3.1× |
| Assay of blood/uric acid (84550) | $115.20 | $192 | 25.5× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$13.80–$123 | $23–$205 | varies |
| Assay of cpk in blood (82552) | $48.60 | $81 | 3.6× |
| Assay of estrone (82679) range across 2 matching MRF lines |
$89.40–$202.20 | $149–$337 | varies |
| Assay of g6pd enzyme (82955) | $234 | $390 | 24.1× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$68.40–$195.60 | $114–$326 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$89.40–$193.80 | $149–$323 | varies |
| Assay of manganese (83785) | $170.40 | $284 | 6.4× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$60.60–$367.80 | $101–$613 | varies |
| Assay of phosphatase acid total (84060) | $85.80 | $143 | 11.2× |
| Assay of proinsulin (84206) | $247.20 | $412 | 9.3× |
| Assay of pyruvate (84210) range across 2 matching MRF lines |
$63.60–$159.60 | $106–$266 | varies |
| Assay of serotonin (84260) | $556.80 | $928 | 18.0× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$18–$76.80 | $30–$128 | varies |
| Assay of sweat sodium (84302) range across 2 matching MRF lines |
$69.60–$92.40 | $116–$154 | varies |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$13.80–$87.60 | $23–$146 | varies |
| Assay of urine vma (84585) | $310.20 | $517 | 20.0× |
| Assay of vasoactive intestinal peptide (84586) | $340.20 | $567 | 9.6× |
| Assay of vitamin b-1 (84425) | $310.20 | $517 | 14.6× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$10.20–$90 | $17–$150 | varies |
| Atomic Absorption (82190) | $250.80 | $418 | 15.8× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $620.40 | $1,034 | 3.4× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$9.60–$48.60 | $16–$81 | varies |
| B cells total count (86355) | $80.40 | $134 | 2.1× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$101.40–$115.20 | $169–$192 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$294.60–$448.20 | $491–$747 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$259.80–$404.40 | $433–$674 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$77.40–$178.80 | $129–$298 | varies |
| Beta hydroxybutyrate (82010) | $129.60 | $216 | 15.9× |
| Beta Lactamase (87185) | $97.20 | $162 | 20.5× |
| Beta-2 Microglobulin (82232) | $290.40 | $484 | 17.9× |
| Bile acids total (82239) | $120.60 | $201 | 7.0× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$18.60–$105 | $31–$175 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$18.60–$109.80 | $31–$183 | varies |
| Bilirubin total transcutaneous (88720) | $48 | $80 | 9.6× |
| Biotinidase (82261) range across 2 matching MRF lines |
$78.60–$168.60 | $131–$281 | varies |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$119.40–$168 | $199–$280 | varies |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $171.60 | $286 | 5.6× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $458.40 | $764 | 2.5× |
| Bld Typing Serologic Rh Phnt (86906) | $168 | $280 | 21.7× |
| Blood Count Automated Differential Wbc Count (85004) | $23.40 | $39 | 3.6× |
| Blood Count Manual Cell Count Each (85032) | $78 | $130 | 18.1× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $88.80 | $148 | 17.5× |
| Blood Count Red Blood Cell Automated (85041) | $45 | $75 | 14.9× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$13.80–$98.40 | $23–$164 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$12.60–$72 | $21–$120 | varies |
| Blood count spun microhematocrit (85013) | $48.60 | $81 | 6.9× |
| Blood gas (82803) range across 2 matching MRF lines |
$62.40–$325.80 | $104–$543 | varies |
| Blood gases w/02 saturation (82805) | $297.60 | $496 | 3.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $104.40 | $174 | 6.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $72 | $120 | 16.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $129.60 | $216 | 20.4× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$52.20–$82.80 | $87–$138 | varies |
| Body fluid cell count (89050) | $121.80 | $203 | 25.8× |
| Bone marrow smear interpretation (85097) | $312.60 | $521 | 0.4× |
| Bordetella antibody (86615) | $36.60 | $61 | 2.8× |
| Braf gene analysis (81210) | $354 | $590 | 2.0× |
| Brucella antibody (86622) | $31.80 | $53 | 3.6× |
| C diff amplified probe (87493) | $309 | $515 | 8.3× |
| C-Peptide (84681) | $313.20 | $522 | 15.1× |
| C-reactive protein (86140) | $160.20 | $267 | 30.9× |
| Ca 19-9 (86301) | $305.40 | $509 | 14.7× |
| Cadmium (82300) | $150 | $250 | 6.3× |
| Caffeine (80155) | $279.60 | $466 | 7.2× |
| Calcitonin (82308) | $340.20 | $567 | 12.7× |
| Calcium ionized (82330) | $216 | $360 | 15.8× |
| Calcium total (82310) range across 2 matching MRF lines |
$19.20–$101.40 | $32–$169 | varies |
| Calculus Spectroscopy (82365) | $289.80 | $483 | 22.5× |
| Calprotectin Fecal (83993) | $337.80 | $563 | 17.2× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$219–$646.20 | $365–$1,077 | varies |
| Cancer Antigen 125 (86304) | $306.60 | $511 | 14.7× |
| Cancer Antigen 27.29 (86300) | $322.20 | $537 | 15.5× |
| Candida antibody (86628) range across 2 matching MRF lines |
$115.80–$124.20 | $193–$207 | varies |
| Candida Dna Dir Probe (87480) | $119.40 | $199 | 6.0× |
| Carbamazepine free (80157) | $126 | $210 | 9.5× |
| Carbamazepine total (80156) | $255 | $425 | 17.5× |
| Carbohydrate Deficient Transferrin (82373) | $475.20 | $792 | 26.3× |
| Carboxyhemoglobin (82375) | $223.20 | $372 | 18.1× |
| Carcinoembryonic antigen (82378) | $327 | $545 | 17.2× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$68.40–$264.60 | $114–$441 | varies |
| Carnitine Quantitative Each Specimen (82379) | $237.60 | $396 | 14.1× |
| Carotene (82380) | $253.80 | $423 | 27.5× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$90.60–$436.80 | $151–$728 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$46.80–$144.60 | $78–$241 | varies |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $978 | $1,630 | 4.0× |
| Cell count csf (89051) | $175.20 | $292 | 31.3× |
| Cell enumeration & id (86152) | $658.20 | $1,097 | 2.6× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $414 | $690 | 3.0× |
| Ceruloplasmin (82390) | $214.80 | $358 | 20.0× |
| Cftr gene com variants (81220) | $1,176.60 | $1,961 | 2.1× |
| Chemiluminescent assay (82397) | $214.20 | $357 | 15.2× |
| Chlamydia antibody (86631) | $69.60 | $116 | 5.9× |
| Chlamydia Igm Antibody (86632) | $70.80 | $118 | 5.6× |
| Chlamydia trachomatis ag if (87270) | $189 | $315 | 15.8× |
| Chloramphenicol level (82415) | $203.40 | $339 | 16.1× |
| Chloride other source (82438) range across 2 matching MRF lines |
$73.20–$101.40 | $122–$169 | varies |
| Chloride Serum (82435) range across 2 matching MRF lines |
$12.60–$82.80 | $21–$138 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$12.60–$88.20 | $21–$147 | varies |
| Chlorinated Hydrocarbons Screen (82441) | $291 | $485 | 48.4× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$21.60–$99.60 | $36–$166 | varies |
| Cholinesterase rbc (82482) | $28.80 | $48 | 2.9× |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$28.80–$118.20 | $48–$197 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$82.80–$282.60 | $138–$471 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $642 | $1,070 | 3.4× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $205.80 | $343 | 7.6× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $123 | $205 | 3.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$90.60–$273.60 | $151–$456 | varies |
| Chromium serum (82495) | $162.60 | $271 | 8.0× |
| Chromogenic Substrate Assay (85130) | $309 | $515 | 26.0× |
| Chromogranin a (86316) | $300.60 | $501 | 14.4× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$445.80–$1,086 | $743–$1,810 | varies |
| Chromosome Analysis 20-25 (88264) range across 2 matching MRF lines |
$445.80–$924 | $743–$1,540 | varies |
| Chromosome analysis, 5 (88261) range across 2 matching MRF lines |
$631.20–$1,126.20 | $1,052–$1,877 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$166.80–$177 | $278–$295 | varies |
| Citric acid urine (82507) | $99.60 | $166 | 3.6× |
| Ckmb (82553) range across 2 matching MRF lines |
$22.20–$202.20 | $37–$337 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$42–$201.60 | $70–$336 | varies |
| Clot Factor VIII Multimetric (85247) range across 2 matching MRF lines |
$82.20–$340.20 | $137–$567 | varies |
| Clotting factor xii hageman (85280) | $306 | $510 | 15.8× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$55.80–$300 | $93–$500 | varies |
| Coagulation time activated (85347) | $99.60 | $166 | 23.3× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$115.80–$162.60 | $193–$271 | varies |
| Cold agglutinin titer (86157) | $184.20 | $307 | 22.9× |
| Collagen crosslinks (82523) | $204.60 | $341 | 11.0× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$43.20–$310.20 | $72–$517 | varies |
| Compatibility Each Unit Incubation (86921) | $138 | $230 | 0.8× |
| Compatibility test antiglob (86922) | $177 | $295 | 1.0× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$115.20–$234 | $192–$390 | varies |
| Complement Total (Ch50) (86162) | $413.40 | $689 | 20.3× |
| Complement/Function Activity (86161) | $182.40 | $304 | 15.2× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $372.60 | $621 | 6.8× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $406.20 | $677 | 10.3× |
| Coombs direct (86880) range across 2 matching MRF lines |
$19.20–$105 | $32–$175 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$45–$234 | $75–$390 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$60–$295.20 | $100–$492 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$51.60–$305.40 | $86–$509 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$18–$122.40 | $30–$204 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$23.40–$128.40 | $39–$214 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$19.20–$85.80 | $32–$143 | varies |
| Creatinine clearance (82575) | $237.60 | $396 | 25.1× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$80.40–$112.20 | $134–$187 | varies |
| Crossmatch electronic (86923) | $132 | $220 | 0.7× |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$36.60–$192 | $61–$320 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$46.80–$129.60 | $78–$216 | varies |
| Cryofibrinogen (82585) | $30.60 | $51 | 2.2× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$24–$138 | $40–$230 | varies |
| Cryptococcus ab (86641) | $180 | $300 | 12.5× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$42.60–$253.20 | $71–$422 | varies |
| Cryptosporidium (87272) | $124.20 | $207 | 10.4× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$58.80–$180 | $98–$300 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$29.40–$117 | $49–$195 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$29.40–$155.40 | $49–$259 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $192 | $320 | 24.9× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $392.40 | $654 | 1.8× |
| Culture aerobic quant other (87071) | $191.40 | $319 | 19.4× |
| Culture afb (87116) range across 2 matching MRF lines |
$31.80–$243.60 | $53–$406 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$20.40–$267.60 | $34–$446 | varies |
| Culture blood (87040) | $336.60 | $561 | 32.6× |
| Culture chlamydia (87110) | $41.40 | $69 | 2.1× |
| Culture csf (87070) range across 2 matching MRF lines |
$159–$220.20 | $265–$367 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$22.20–$267.60 | $37–$446 | varies |
| Culture fungus blood (87103) | $220.20 | $367 | 10.8× |
| Culture screen only (87081) range across 2 matching MRF lines |
$21.60–$144.60 | $36–$241 | varies |
| Culture stool (87045) | $186 | $310 | 19.7× |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$54–$78.60 | $90–$131 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$13.20–$103.20 | $22–$172 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$21.60–$203.40 | $36–$339 | varies |
| Cyanide (82600) | $160.80 | $268 | 8.3× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $157.80 | $263 | 11.0× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$62.40–$326.40 | $104–$544 | varies |
| Cystatin C (82610) | $136.80 | $228 | 7.4× |
| Cytogenetics 10-30 (88273) | $115.20 | $192 | 3.3× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$144.60–$414.60 | $241–$691 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) | $1,849.20 | $3,082 | 2.1× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,942.80 | $3,238 | 1.7× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$109.20–$150 | $182–$250 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$70.80–$130.80 | $118–$218 | varies |
| Cytopath Cell Enhance Tech (88112) | $246 | $410 | 4.5× |
| Cytotoxic Antibody Screen Std (86807) | $141.60 | $236 | 1.8× |
| Cytotoxic pra quick (86808) range across 2 matching MRF lines |
$105.60–$529.20 | $176–$882 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$76.80–$181.20 | $128–$302 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $435 | $725 | 11.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $409.20 | $682 | 7.4× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $435 | $725 | 2.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $409.20 | $682 | 10.4× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $109.20 | $182 | 5.9× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $195 | $325 | 3.5× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $137.40 | $229 | 4.5× |
| Deoxyribonuclease antibody (86215) | $137.40 | $229 | 10.4× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$125.40–$399 | $209–$665 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$127.80–$535.20 | $213–$892 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$189–$259.80 | $315–$433 | varies |
| Dgp Antibody Each Ig Class (86258) | $21.60 | $36 | 1.8× |
| Dhea (82626) | $245.40 | $409 | 9.7× |
| Dhea-S (82627) | $414 | $690 | 18.6× |
| Dibucaine number (82638) | $43.80 | $73 | 3.6× |
| Digoxin (80162) | $223.20 | $372 | 16.8× |
| Diphtheria antitoxoid (86648) | $170.40 | $284 | 11.2× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$40.80–$237 | $68–$395 | varies |
| Dna Antibody Single Stranded (86226) | $177 | $295 | 14.6× |
| Dna/Rna Amplified Probe (87150) | $63 | $105 | 1.8× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$71.40–$216 | $119–$360 | varies |
| Drug assay acetaminophen (80143) | $36 | $60 | 1.9× |
| Drug Assay Everolimus (80169) | $235.20 | $392 | 17.1× |
| Drug Screen Quant Clozapine (80159) | $237.60 | $396 | 11.8× |
| Drug Screen Quant Zonisamide (80203) | $279.60 | $466 | 21.1× |
| Drug Screen Quantitative Gabapentin (80171) | $212.40 | $354 | 9.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $279.60 | $466 | 21.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $279.60 | $466 | 21.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $170.40 | $284 | 12.9× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $160.20 | $267 | 9.6× |
| Drug Test Prsmv Chem Anlyzr (80307) | $274.80 | $458 | 4.4× |
| Drug Test Prsmv Dir Opt Obs (80305) | $274.80 | $458 | 21.8× |
| Drug Test Prsmv Instrmnt (80306) | $274.80 | $458 | 16.0× |
| Egfr Gene Analysis Common Variants (81235) | $385.20 | $642 | 1.2× |
| Ehrlichia antibody (86666) | $36.60 | $61 | 3.6× |
| Electrolyte panel (80051) | $182.40 | $304 | 26.0× |
| Electron Microscopy (88348) | $1,632 | $2,720 | 1.9× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $192 | $320 | 3.1× |
| Enterovirus Antibody (86658) | $72 | $120 | 5.5× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$94.80–$410.40 | $158–$684 | varies |
| Enzyme cell activity (82657) | $306.60 | $511 | 13.8× |
| Eosinophil Smear (89190) | $112.20 | $187 | 19.4× |
| Erythropoietin (82668) | $312.60 | $521 | 16.6× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$83.40–$204.60 | $139–$341 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$99–$159 | $165–$265 | varies |
| Estrogen total (82672) | $235.20 | $392 | 10.8× |
| Estrogens fractionated (82671) | $289.80 | $483 | 9.0× |
| Ethosuximide (80168) | $132.60 | $221 | 8.1× |
| Ethylene Glycol (82693) | $195 | $325 | 13.1× |
| Euglobulin lysis (85360) | $193.80 | $323 | 23.0× |
| Exam Synovial Fluid Crystals (89060) | $137.40 | $229 | 18.7× |
| F2 Gene (81240) range across 2 matching MRF lines |
$70.20–$212.40 | $117–$354 | varies |
| Factor ii activity (85210) | $271.20 | $452 | 20.9× |
| Factor Inhibitor Test (85335) range across 2 matching MRF lines |
$42–$313.20 | $70–$522 | varies |
| Factor ix activity (85250) | $399 | $665 | 21.0× |
| Factor v activity (85220) | $300.60 | $501 | 17.0× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$73.80–$424.80 | $123–$708 | varies |
| Factor vii assay (85230) | $305.40 | $509 | 17.1× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$109.20–$487.80 | $182–$813 | varies |
| Factor X (85260) | $295.80 | $493 | 16.5× |
| Factor xi activity (85270) | $300 | $500 | 16.8× |
| Factor xiii screen (85291) | $180 | $300 | 19.8× |
| Fat/Lipids Feces Quantitative (82710) | $207.60 | $346 | 12.4× |
| Fatty acids free (82725) | $132.60 | $221 | 7.1× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $209.40 | $349 | 27.2× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $266.40 | $444 | 15.5× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $186.60 | $311 | 28.6× |
| Fecal Fat Qualitative (82705) | $159.60 | $266 | 31.3× |
| Ferritin (82728) range across 2 matching MRF lines |
$42–$225.60 | $70–$376 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $680.40 | $1,134 | 4.4× |
| Fetal Fibronectin (82731) | $694.20 | $1,157 | 10.8× |
| Fetal hemoglobin assay qual (83033) | $145.80 | $243 | 18.2× |
| Fetal screen rosette (85461) | $112.20 | $187 | 12.0× |
| Fibrin degradation products (85362) | $201.60 | $336 | 29.3× |
| Fibrin Degradation Quant (85379) | $277.20 | $462 | 27.2× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) range across 2 matching MRF lines |
$25.80–$182.40 | $43–$304 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$30–$191.40 | $50–$319 | varies |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$199.80–$241.20 | $333–$402 | varies |
| Flt3 Gene (81245) | $327.60 | $546 | 2.0× |
| Flt3 gene analysis (81246) | $246.60 | $411 | 3.0× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$107.40–$268.20 | $179–$447 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$42.60–$243.60 | $71–$406 | varies |
| Fluoride serum (82735) | $155.40 | $259 | 8.4× |
| Fmr1 gene detection (81243) | $559.80 | $933 | 9.8× |
| Folic acid rbc (82747) | $280.20 | $467 | 15.9× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$52.20–$219 | $87–$365 | varies |
| Follicle Stimulating Hormone (83001) | $328.80 | $548 | 17.7× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $93.60 | $156 | 0.5× |
| Frozen Blood Each Unit Thawing (86931) | $111.60 | $186 | 0.6× |
| Frozen Section (88331) | $384.60 | $641 | 2.1× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$37.80–$190.80 | $63–$318 | varies |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$37.80–$183.60 | $63–$306 | varies |
| Galactose (82760) | $40.80 | $68 | 3.6× |
| Galactose transferase test (82776) | $67.20 | $112 | 5.7× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$59.40–$365.40 | $99–$609 | varies |
| Gardner vag DNA dir probe (87510) | $128.40 | $214 | 6.4× |
| Gardner Vag Dna Quant (87512) | $78.60 | $131 | 1.9× |
| Gases Blood O2 Saturation Only Direct Meas (82810) range across 2 matching MRF lines |
$31.20–$159 | $52–$265 | varies |
| Gases blood ph only (82800) | $138.60 | $231 | 12.6× |
| Gastric Analy W/Ph Ea Spec (82930) | $46.20 | $77 | 6.9× |
| Gastrin (82941) | $365.40 | $609 | 20.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,048.20 | $1,747 | 2.5× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,939.20 | $3,232 | 2.6× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $2,797.80 | $4,663 | 1.0× |
| Genet Virus Isolate Hsv (87255) | $233.40 | $389 | 6.9× |
| Gentamicin (80170) | $310.20 | $517 | 18.9× |
| Ggt (82977) range across 2 matching MRF lines |
$21–$132.60 | $35–$221 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$58.80–$234 | $98–$390 | varies |
| Glucagon (82943) | $207.60 | $346 | 14.5× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$18–$118.20 | $30–$197 | varies |
| Glucose Blood Test (82962) | $60 | $100 | 18.3× |
| Glucose body fluid (82945) | $98.40 | $164 | 25.0× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$13.80–$73.80 | $23–$123 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$46.80–$246.60 | $78–$411 | varies |
| Glycated Protein (82985) | $112.20 | $187 | 6.7× |
| Gonadotropin Chorionic Qualitative (84703) | $168 | $280 | 22.3× |
| Growth hormone (83003) range across 2 matching MRF lines |
$60.60–$295.20 | $101–$492 | varies |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$13.80–$87.60 | $23–$146 | varies |
| H Pylori (C-13) Breath (83013) | $354.60 | $591 | 5.3× |
| H Pylori Drug Admin (83014) | $100.80 | $168 | 12.8× |
| Haloperidol (80173) | $164.40 | $274 | 10.4× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$30.60–$222 | $51–$370 | varies |
| Hba1/Hba2 Gene (81257) | $517.80 | $863 | 5.1× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$30–$159 | $50–$265 | varies |
| Helicobacter Pylori Stool (87338) | $276 | $460 | 19.2× |
| Helminth Antibody (86682) | $205.80 | $343 | 15.8× |
| Hematocrit (85014) range across 2 matching MRF lines |
$9–$58.80 | $15–$98 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$9–$60 | $15–$100 | varies |
| Hemoglobin a1c (83036) | $191.40 | $319 | 19.7× |
| Hemoglobin Chromotography (83021) | $249 | $415 | 13.8× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$71.40–$108.60 | $119–$181 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $105 | $175 | 12.8× |
| Hemoglobin plasma (83051) | $105 | $175 | 14.4× |
| Hemolysin Acid (85475) | $148.20 | $247 | 16.7× |
| Hemosiderin urine (83070) | $82.20 | $137 | 17.3× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$165–$232.20 | $275–$387 | varies |
| Heparin assay (85520) | $267 | $445 | 20.4× |
| Heparin Neutralization (85525) | $61.80 | $103 | 5.2× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$154.20–$229.80 | $257–$383 | varies |
| Hepatitis b core ab igm (86705) | $264 | $440 | 22.4× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$42.60–$210.60 | $71–$351 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$28.20–$145.80 | $47–$243 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$22.80–$183.60 | $38–$306 | varies |
| Hepatitis Be Antibody (86707) | $189.60 | $316 | 16.4× |
| Hepatitis Be Antigen (87350) | $188.40 | $314 | 16.3× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$51.60–$280.20 | $86–$467 | varies |
| Hepatitis c antibody confirmatory test (86804) | $346.20 | $577 | 22.3× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$546.60–$1,194.60 | $911–$1,991 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $528.60 | $881 | 15.1× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$136.20–$893.40 | $227–$1,489 | varies |
| Hepatitis Delta Agent Antibody (86692) | $180 | $300 | 10.5× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$69.60–$132 | $116–$220 | varies |
| Heterophile Antibody Screen (86308) | $134.40 | $224 | 25.9× |
| Hfe Gene (81256) | $300 | $500 | 4.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $105.60 | $176 | 13.7× |
| Histamine urine (83088) range across 2 matching MRF lines |
$103.20–$250.20 | $172–$417 | varies |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$120–$203.40 | $200–$339 | varies |
| Histoplasma antigen urine (87385) | $389.40 | $649 | 29.4× |
| Hiv Antigen W/Hiv Antibodies (87806) range across 2 matching MRF lines |
$71.40–$172.20 | $119–$287 | varies |
| Hiv Genotype (87901) | $1,260 | $2,100 | 4.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$58.20–$179.40 | $97–$299 | varies |
| Hiv-1 Antibody (86701) | $28.80 | $48 | 3.2× |
| HIV-1 p24 antigen (87390) | $52.20 | $87 | 2.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $379.20 | $632 | 4.5× |
| HIV-2 probe&revrse trnscripj (87538) | $122.40 | $204 | 3.5× |
| Hla class ii typing high resolution one locus ea (81382) | $333.60 | $556 | 2.7× |
| Hla I Typing 1 Allele Hr (81381) | $325.20 | $542 | 1.9× |
| Hla ii typing 1 allele hr (81383) | $186.60 | $311 | 1.7× |
| Hla ii typing 1 locus lr (81376) | $191.40 | $319 | 1.6× |
| Hla Typing a/B/C Multiple Antigens (86813) range across 2 matching MRF lines |
$207.60–$976.80 | $346–$1,628 | varies |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $944.40 | $1,574 | 8.9× |
| Hla-b27 (86812) | $471 | $785 | 18.2× |
| Homocysteine (83090) range across 2 matching MRF lines |
$60.60–$324.60 | $101–$541 | varies |
| Homogenization Tissue (87176) | $88.20 | $147 | 15.0× |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$69.60–$152.40 | $116–$254 | varies |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$103.20–$310.20 | $172–$517 | varies |
| Hpv Types 16 & 18 Only (87625) | $172.20 | $287 | 4.2× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$125.40–$438.60 | $209–$731 | varies |
| Hsv Dna Quant (87530) | $77.40 | $129 | 1.8× |
| Htlv-I Antibody (86687) | $30.60 | $51 | 3.4× |
| Hydroxycorticosteroids 17 (83491) | $212.40 | $354 | 11.9× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$78.60–$352.20 | $131–$587 | varies |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $175.20 | $292 | 14.6× |
| Iaad Ia Entamoeba Histolytica Grp (87337) range across 2 matching MRF lines |
$55.20–$185.40 | $92–$309 | varies |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $122.40 | $204 | 11.8× |
| Iaad ia shiga-like toxin (87427) | $42.60 | $71 | 3.6× |
| Iaad Ia Streptococcus Group A (87430) | $137.40 | $229 | 8.2× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $144.60 | $241 | 12.1× |
| Iaadi giardia (87269) | $109.80 | $183 | 8.1× |
| Iaadi inffluenza a virus (87276) | $89.40 | $149 | 5.6× |
| Iaadi not otherwise specified each organism (87299) range across 2 matching MRF lines |
$47.40–$124.20 | $79–$207 | varies |
| Iaadi parainfluenza virus each type (87279) | $120 | $200 | 7.3× |
| Iaadi pneumocustis carinii (87281) range across 2 matching MRF lines |
$21.60–$209.40 | $36–$349 | varies |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $42.60 | $71 | 3.6× |
| Iaadi respiratory synctial virus (87280) | $84.60 | $141 | 6.3× |
| Iaadiadoo trichomonas vaginalis (87808) range across 2 matching MRF lines |
$42.60–$87.60 | $71–$146 | varies |
| Iadna Bartonella Amplified Probe Technique (87471) | $282.60 | $471 | 8.1× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $342.60 | $571 | 9.8× |
| Iadna Candida Species Amplified Probe Tq (87481) range across 2 matching MRF lines |
$104.40–$147.60 | $174–$246 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $63 | $105 | 1.8× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $160.20 | $267 | 7.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$94.80–$325.20 | $158–$542 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $588 | $980 | 13.7× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $210.60 | $351 | 3.0× |
| Iadna hepatitis b virus amplified probe tq (87516) | $376.80 | $628 | 10.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $777 | $1,295 | 18.1× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 2 matching MRF lines |
$94.80–$374.40 | $158–$624 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $405.60 | $676 | 11.6× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $64.20 | $107 | 1.8× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $237.60 | $396 | 5.4× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$104.40–$447 | $174–$745 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$63–$370.80 | $105–$618 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$166.80–$177 | $278–$295 | varies |
| Idh1 common variants (81120) | $535.20 | $892 | 2.8× |
| Idh2 common variants (81121) | $818.40 | $1,364 | 2.8× |
| Ig Light Chains Free Each (83521) | $31.20 | $52 | 1.8× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$17.40–$285 | $29–$475 | varies |
| Igh gene rearrange amp meth (81261) | $336 | $560 | 1.7× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $889.20 | $1,482 | 3.0× |
| Igk rearrangeabn clonal pop (81264) | $601.80 | $1,003 | 3.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $400.20 | $667 | 1.1× |
| Immune Complex Assay (86332) | $225.60 | $376 | 9.3× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$99–$233.40 | $165–$389 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$99.60–$240 | $166–$400 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$48–$203.40 | $80–$339 | varies |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$78.60–$205.20 | $131–$342 | varies |
| Immunodiffusion not elsewhere specified (86329) | $195 | $325 | 13.9× |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$42.60–$89.40 | $71–$149 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$81.60–$226.80 | $136–$378 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $328.20 | $547 | 1.8× |
| Immunohistochemistry (88342) | $546 | $910 | 3.0× |
| In situ hybridization 1st probe stain (88365) | $501 | $835 | 2.8× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) range across 2 matching MRF lines |
$84.60–$125.40 | $141–$209 | varies |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $109.20 | $182 | 8.9× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $151.80 | $253 | 3.0× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) range across 2 matching MRF lines |
$43.80–$104.40 | $73–$174 | varies |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$114.60–$140.40 | $191–$234 | varies |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$252–$339 | $420–$565 | varies |
| Inhibin A (86336) range across 2 matching MRF lines |
$91.20–$178.80 | $152–$298 | varies |
| Inhibin b (83520) range across 2 matching MRF lines |
$46.80–$304.80 | $78–$508 | varies |
| Insitu hybridization manual (88368) | $1,079.40 | $1,799 | 2.8× |
| Insulin antibodies (86337) | $204 | $340 | 9.5× |
| Insulin free (83527) | $97.20 | $162 | 7.5× |
| Insulin total (83525) range across 2 matching MRF lines |
$41.40–$217.20 | $69–$362 | varies |
| Intrinsic factor antibody (86340) | $145.80 | $243 | 9.7× |
| Iron (83540) range across 2 matching MRF lines |
$85.80–$121.20 | $143–$202 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$31.20–$159 | $52–$265 | varies |
| Irradiation Blood Product Each Unit (86945) | $168.60 | $281 | 4.3× |
| Islet cell antibody (86341) | $192.60 | $321 | 8.2× |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$165–$615.60 | $275–$1,026 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $333.60 | $556 | 1.8× |
| Ketosteroids 17 total (83586) | $137.40 | $229 | 10.7× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $921.60 | $1,536 | 2.8× |
| Koh Prep (87220) | $76.80 | $128 | 18.0× |
| Kras Gene Analysis Additional Variant(S) (81276) | $270 | $450 | 1.4× |
| Kras Gene Variants Exon 2 (81275) | $270 | $450 | 1.4× |
| L/s ratio (83661) | $78.60 | $131 | 3.6× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$77.40–$108.60 | $129–$181 | varies |
| Lactoferrin fecal qualitative (83630) | $90.60 | $151 | 4.6× |
| Lactoferrin Fecal Quantitative (83631) | $254.40 | $424 | 13.0× |
| Lamellar Body Count (83664) | $88.80 | $148 | 4.6× |
| Ldh Isoenzymes (83625) | $89.40 | $149 | 7.0× |
| LDL direct (83721) | $150 | $250 | 14.3× |
| Lead (83655) range across 2 matching MRF lines |
$157.80–$221.40 | $263–$369 | varies |
| Legionella antibody (86713) range across 2 matching MRF lines |
$30.60–$233.40 | $51–$389 | varies |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$42–$268.20 | $70–$447 | varies |
| Legionella pneumophila dfa (87278) | $223.20 | $372 | 14.3× |
| Leptospira antibody (86720) | $129.60 | $216 | 8.0× |
| Leucine Aminopeptidase Lap (83670) | $125.40 | $209 | 12.8× |
| Leukocyte Assessment Fecal (89055) | $99 | $165 | 23.2× |
| Leukocyte Histamine Release (86343) | $210.60 | $351 | 16.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $148.80 | $248 | 4.9× |
| Level ii surg pathology grossµscopic exam (88302) | $247.20 | $412 | 6.3× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $611.40 | $1,019 | 1.6× |
| Lidocaine (80176) | $148.80 | $248 | 10.1× |
| Lipase (83690) | $160.20 | $267 | 23.3× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$46.80–$102 | $78–$170 | varies |
| Lipoprotein Bld Quan Part (83704) | $223.20 | $372 | 6.5× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $58.80 | $98 | 1.7× |
| Lithium (80178) | $168.60 | $281 | 25.5× |
| Luteinizing Hormone (Lh) (83002) | $322.80 | $538 | 17.4× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$36.60–$268.20 | $61–$447 | varies |
| Lymphocytotoxicity Assay (86805) range across 2 matching MRF lines |
$187.20–$780 | $312–$1,300 | varies |
| Lysozyme serum (85549) | $164.40 | $274 | 8.8× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $606 | $1,010 | 3.4× |
| M/phmtrc alys ishquant/semiq (88374) | $399 | $665 | 2.2× |
| Macroscopic exam arthropod (87168) | $84.60 | $141 | 19.8× |
| Macroscopic Exam Parasite (87169) | $52.80 | $88 | 12.3× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$23.40–$125.40 | $39–$209 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$62.40–$247.20 | $104–$412 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$96–$145.80 | $160–$243 | varies |
| Metabolic panel ionized ca (80047) | $219.60 | $366 | 16.0× |
| Methylmalonic acid serum (83921) | $505.20 | $842 | 23.8× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$80.40–$111.60 | $134–$186 | varies |
| Microsatellite instability (81301) | $580.20 | $967 | 1.7× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$105.60–$235.20 | $176–$392 | varies |
| Mitochondrial Antibody Each (86381) | $45.60 | $76 | 1.8× |
| Mlh1 Gene (81288) | $589.80 | $983 | 3.1× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$52.20–$288 | $87–$480 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 2 matching MRF lines |
$69–$420 | $115–$700 | varies |
| Molecular Pathology Procedure Level 3 (81402) | $204 | $340 | 1.4× |
| Molecular Pathology Procedure Level 6 (81405) | $1,753.80 | $2,923 | 5.8× |
| Mopath procedure level 2 (81401) | $515.40 | $859 | 3.8× |
| Mopath procedure level 4 (81403) | $467.40 | $779 | 2.5× |
| Mopath procedure level 5 (81404) | $404.40 | $674 | 1.5× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $333.60 | $556 | 1.8× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$104.40–$265.20 | $174–$442 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $365.40 | $609 | 5.6× |
| Mucopolysaccharides acid quantitative (83864) | $71.40 | $119 | 2.5× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$36.60–$221.40 | $61–$369 | varies |
| Mycobacteric Identification (87118) | $117 | $195 | 8.0× |
| Mycophenolic Acid (80180) | $247.20 | $412 | 13.7× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$109.20–$145.20 | $182–$242 | varies |
| Mycoplasma culture (87109) | $207.60 | $346 | 13.5× |
| Myelin basic protein csf (83873) | $209.40 | $349 | 12.2× |
| Myoglobin urine (83874) | $250.80 | $418 | 19.4× |
| Natriuretic peptide (83880) | $324.60 | $541 | 8.3× |
| Neisseria Dir Na Probe (87590) | $282.60 | $471 | 10.5× |
| Neutralization Test Viral (86382) | $61.20 | $102 | 3.6× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $61.80 | $103 | 2.1× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $385.80 | $643 | 1.5× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $894 | $1,490 | 6.9× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $62.40 | $104 | 2.4× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $943.80 | $1,573 | 1.9× |
| Niacin (84591) range across 2 matching MRF lines |
$99–$176.40 | $165–$294 | varies |
| Nk cells total count (86357) | $80.40 | $134 | 2.1× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $769.80 | $1,283 | 3.1× |
| Nras gene variants exon 2&3 (81311) | $585.60 | $976 | 2.0× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$115.20–$180.60 | $192–$301 | varies |
| Obstetric panel (80081) | $447.60 | $746 | 6.0× |
| Occult blood feces (82272) | $36 | $60 | 8.5× |
| Occult Blood Other Sources (82271) | $24 | $40 | 4.5× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$82.80–$231 | $138–$385 | varies |
| Oncoprotein dcp (83951) | $330.60 | $551 | 5.1× |
| Organic acids urine (83918) range across 2 matching MRF lines |
$59.40–$268.20 | $99–$447 | varies |
| Osmolality serum (83930) | $128.40 | $214 | 19.4× |
| Osmolality Urine (83935) | $127.80 | $213 | 18.7× |
| Osmotic fragility rbc incubated (85557) | $208.80 | $348 | 15.6× |
| Osteocalcin (83937) | $195.60 | $326 | 6.6× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$96–$148.80 | $160–$248 | varies |
| Oxalate urine (83945) | $46.80 | $78 | 3.2× |
| Pancreatic Elastase Fecal (82656) | $403.80 | $673 | 35.0× |
| Particle Agglut Antbdy Titr (86406) | $139.20 | $232 | 13.1× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$33–$148.80 | $55–$248 | varies |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$115.80–$152.40 | $193–$254 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $151.80 | $253 | 0.2× |
| Pathology Consultation During Surgery (88329) | $179.40 | $299 | 2.9× |
| Ph urine (81003) range across 2 matching MRF lines |
$9–$79.80 | $15–$133 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$75–$233.40 | $125–$389 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$78.60–$225.60 | $131–$376 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$78.60–$150 | $131–$250 | varies |
| Phosphatase acid prostatic (84066) | $112.20 | $187 | 11.6× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$88.20–$109.20 | $147–$182 | varies |
| Phosphatidylglycerol (84081) | $59.40 | $99 | 3.6× |
| Phospholipid Neutralization Hexagonal (85598) | $240 | $400 | 13.3× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$18–$87.60 | $30–$146 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$19.20–$104.40 | $32–$174 | varies |
| Pik3ca gene analysis targeted sequence analysis (81309) | $424.80 | $708 | 1.5× |
| Pinworm exam (87172) | $64.80 | $108 | 15.2× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$77.40–$178.20 | $129–$297 | varies |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$19.80–$350.40 | $33–$584 | varies |
| Platelet count automated (85049) | $90 | $150 | 20.1× |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$21–$139.20 | $35–$232 | varies |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $383.40 | $639 | 1.8× |
| Pooling blood platelets (86965) | $115.20 | $192 | 0.6× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$30.60–$130.20 | $51–$217 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$52.20–$186.60 | $87–$311 | varies |
| Potassium Urine (84133) range across 2 matching MRF lines |
$12.60–$104.40 | $21–$174 | varies |
| Prealbumin (84134) | $253.80 | $423 | 17.4× |
| Pregnancy-Associated Plasma Protein-A (84163) | $25.80 | $43 | 1.7× |
| Pregnenolone (84140) | $188.40 | $314 | 9.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $179.40 | $299 | 2.9× |
| Primidone (80188) range across 2 matching MRF lines |
$91.80–$148.20 | $153–$247 | varies |
| Procalcitonin (Pct) (84145) | $297.60 | $496 | 10.9× |
| Progesterone (84144) | $328.80 | $548 | 15.8× |
| Prolactin (84146) range across 2 matching MRF lines |
$42–$366 | $70–$610 | varies |
| Protein body fluid (84157) | $118.20 | $197 | 29.6× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$49.80–$159.60 | $83–$266 | varies |
| Protein c antigen (85302) range across 2 matching MRF lines |
$49.20–$170.40 | $82–$284 | varies |
| Protein Electrophoresis Urine (84166) | $63.60 | $106 | 3.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $108.60 | $181 | 10.1× |
| Protein S Free (85306) range across 2 matching MRF lines |
$55.20–$159.60 | $92–$266 | varies |
| Protein s total (85305) | $170.40 | $284 | 14.7× |
| Protein Total Refractometry Any Src (84160) | $108.60 | $181 | 19.4× |
| Protein total serum (84155) range across 2 matching MRF lines |
$68.40–$84.60 | $114–$141 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$82.20–$120 | $137–$200 | varies |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$52.80–$433.80 | $88–$723 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$13.80–$99 | $23–$165 | varies |
| Protoporphyrin rbc quantitative (84202) | $25.80 | $43 | 1.8× |
| Protoporphyrin, RBC; screen Facility (84203) | $31.20 | $52 | 3.2× |
| PSA free (84154) | $102 | $170 | 5.5× |
| Pth Intact (83970) range across 2 matching MRF lines |
$147.60–$245.40 | $246–$409 | varies |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$36.60–$115.20 | $61–$192 | varies |
| Quantiferon tb gold plus (86480) | $266.40 | $444 | 4.3× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$89.40–$279.60 | $149–$466 | varies |
| Quantitative Screen Metals (83018) | $267.60 | $446 | 12.2× |
| Quinidine (80194) | $164.40 | $274 | 11.3× |
| Rbc antibody elution (86860) | $358.20 | $597 | 2.0× |
| Rbc antibody identification (86870) | $283.80 | $473 | 0.7× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$36.60–$147.60 | $61–$246 | varies |
| Rbc pretreatment serum (86978) | $249.60 | $416 | 4.0× |
| Rbc pretx incubatj w/enzymes (86971) | $138 | $230 | 0.8× |
| Reagent Strip/Blood Glucose (82948) | $55.20 | $92 | 11.0× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$78.60–$399.60 | $131–$666 | varies |
| Reptilase test (85635) | $93.60 | $156 | 9.5× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$750–$1,377 | $1,250–$2,295 | varies |
| Reticulocyte Count (85046) range across 2 matching MRF lines |
$20.40–$88.80 | $34–$148 | varies |
| Reticulocyte Count Manual (85044) | $88.80 | $148 | 20.6× |
| Reticulocyte separation (86972) | $240 | $400 | 1.3× |
| Rh (86901) range across 2 matching MRF lines |
$52.20–$73.20 | $87–$122 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$20.40–$176.40 | $34–$294 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$69.60–$172.80 | $116–$288 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$127.80–$193.80 | $213–$323 | varies |
| Rotavirus ag eia (87425) | $264 | $440 | 22.0× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$15.60–$108.60 | $26–$181 | varies |
| Rsv Assay W/Optic (87807) | $313.80 | $523 | 24.0× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$51.60–$153 | $86–$255 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$46.80–$205.20 | $78–$342 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$91.80–$150 | $153–$250 | varies |
| Salicylate Level (80179) | $36 | $60 | 1.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$121.20–$412.80 | $202–$688 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $80.40 | $134 | 1.9× |
| Sarscov2 & inf a&b amp prb (87636) | $126.60 | $211 | 0.9× |
| Sedimentation rate (85651) | $82.80 | $138 | 19.4× |
| Sedimentation Rate, Automated (85652) | $108 | $180 | 40.0× |
| Selenium (84255) | $209.40 | $349 | 8.2× |
| Semen Anal Sperm Detection (89321) | $100.80 | $168 | 8.4× |
| Sensitivity mic (87186) | $162.60 | $271 | 18.8× |
| Serpina 1 gene (81332) | $324.60 | $541 | 7.4× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$78–$220.80 | $130–$368 | varies |
| Sickling of rbc reduction (85660) | $122.40 | $204 | 22.2× |
| Sirolimus (80195) | $160.20 | $267 | 11.7× |
| Skin test tuberculosis intradermal (86580) | $73.80 | $123 | 2.4× |
| Skin test unlisted antigen each (86486) | $120.60 | $201 | 3.9× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$16.80–$137.40 | $28–$229 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$80.40–$122.40 | $134–$204 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$13.20–$98.40 | $22–$164 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$94.80–$132 | $158–$220 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $111.60 | $186 | 19.2× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$17.40–$78 | $29–$130 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$12.60–$98.40 | $21–$164 | varies |
| Soluble fibrin monomer (85366) | $148.20 | $247 | 1.8× |
| Soluble Transferrin Receptor (84238) | $339 | $565 | 9.3× |
| Somatomedin (84305) | $460.80 | $768 | 21.7× |
| Special Stains Group 1 (88312) | $208.80 | $348 | 3.8× |
| Special Stains Group 2 (88313) | $190.20 | $317 | 1.4× |
| Specific gravity body fluid (84315) range across 2 matching MRF lines |
$3.60–$40.20 | $6–$67 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$81.60–$109.20 | $136–$182 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$21–$138 | $35–$230 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $127.80 | $213 | 0.7× |
| Staph a DNA amp probe (87640) | $104.40 | $174 | 3.0× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$68.40–$185.40 | $114–$309 | varies |
| Strep a assay w/optic (87880) | $129.60 | $216 | 7.8× |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$94.80–$280.80 | $158–$468 | varies |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $128.40 | $214 | 11.1× |
| Sugars Single Qual (84376) | $52.80 | $88 | 9.6× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $70.20 | $117 | 1.8× |
| Surg path level iii (88304) | $301.20 | $502 | 5.5× |
| Surgical pathology level IV (88305) | $379.20 | $632 | 6.9× |
| Surgical pathology level vi (88309) | $942 | $1,570 | 1.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$18–$258 | $30–$430 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $158.40 | $264 | 21.2× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) range across 2 matching MRF lines |
$20.40–$112.20 | $34–$187 | varies |
| Sweat Collection Iontophoresis (89230) | $85.20 | $142 | 1.5× |
| Syphilis Test Non-Trep Quant (86593) | $85.80 | $143 | 19.5× |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$36.60–$306 | $61–$510 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$80.40–$381.60 | $134–$636 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$80.40–$267 | $134–$445 | varies |
| T3 Free (84481) | $402 | $670 | 23.7× |
| T3 reverse (84482) | $222 | $370 | 14.1× |
| T3 Total (84480) | $262.80 | $438 | 18.5× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$37.20–$158.40 | $62–$264 | varies |
| T4 Free (84439) | $237.60 | $396 | 26.3× |
| T4 total (84436) range across 2 matching MRF lines |
$39–$170.40 | $65–$284 | varies |
| T4-neonatal (84437) | $23.40 | $39 | 3.6× |
| Tacrolimus (80197) | $501.60 | $836 | 36.5× |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$17.40–$103.20 | $29–$172 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$92.40–$350.40 | $154–$584 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$81–$346.20 | $135–$577 | varies |
| Tetanus antibody (86774) | $164.40 | $274 | 11.1× |
| Theophylline (80198) | $214.80 | $358 | 15.2× |
| Thiocyanate (84430) | $124.20 | $207 | 10.7× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$21–$97.20 | $35–$162 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$23.40–$100.80 | $39–$168 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$105.60–$109.20 | $176–$182 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$105.60–$222 | $176–$370 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $416.40 | $694 | 8.2× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $410.40 | $684 | 8.1× |
| Thyroxine binding globulin (84442) | $150 | $250 | 10.1× |
| Tiss cul neo disorders solid tumor (88239) | $905.40 | $1,509 | 6.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $25.80 | $43 | 2.2× |
| Tissue Culture (88233) range across 2 matching MRF lines |
$476.40–$1,004.40 | $794–$1,674 | varies |
| Tissue Culture Amniotic Fluid (88235) | $261.60 | $436 | 1.7× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$227.40–$853.20 | $379–$1,422 | varies |
| Tissue Culture Lymphocyte (88230) | $199.20 | $332 | 1.7× |
| Tobramycin peak (80200) | $292.80 | $488 | 18.2× |
| Topiramate (80201) | $246.60 | $411 | 20.7× |
| Touch prep (88161) | $223.80 | $373 | 7.3× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $58.80 | $98 | 3.0× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$36.60–$252 | $61–$420 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$51.60–$154.20 | $86–$257 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$19.20–$99.60 | $32–$166 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$162.60–$229.80 | $271–$383 | varies |
| Trb@ Rearrangement Anal Amplification Method (81340) | $706.20 | $1,177 | 3.4× |
| Trg gene rearrangement anal (81342) | $407.40 | $679 | 2.0× |
| Trichomonas vagin dir probe (87660) | $112.20 | $187 | 5.6× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$112.20–$399 | $187–$665 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$20.40–$120 | $34–$200 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$36–$295.20 | $60–$492 | varies |
| Tumor immunohistochem/comput (88361) | $452.40 | $754 | 1.2× |
| Tumor Immunohistochem/Manual (88360) | $398.40 | $664 | 2.2× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$10.20–$94.80 | $17–$158 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$18–$87.60 | $30–$146 | varies |
| Urinalysis Microscopic Only (81015) | $63.60 | $106 | 20.9× |
| Urinalysis Volume Measure (81050) | $11.40 | $19 | 3.1× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$29.40–$160.80 | $49–$268 | varies |
| Urine Pregnancy Test (81025) | $138.60 | $231 | 16.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $115.20 | $192 | 36.3× |
| Valproic acid (80164) | $265.80 | $443 | 19.6× |
| Vancomycin (80202) | $292.80 | $488 | 21.6× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$131.40–$195.60 | $219–$326 | varies |
| Vasopressin (84588) | $207.60 | $346 | 6.1× |
| Very Long Chain Fatty Acids (82726) | $355.80 | $593 | 18.0× |
| Viral Culture (87252) range across 2 matching MRF lines |
$135–$428.40 | $225–$714 | varies |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$36.60–$364.80 | $61–$608 | varies |
| Virus inoculate tissue addl (87253) | $112.80 | $188 | 5.6× |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$70.20–$266.40 | $117–$444 | varies |
| Viscosity serum (85810) | $121.80 | $203 | 10.4× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$69.60–$483.60 | $116–$806 | varies |
| Vitamin A (84590) | $223.20 | $372 | 19.2× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$54–$222 | $90–$370 | varies |
| Vitamin B2 (Riboflavin) (84252) | $225 | $375 | 11.1× |
| Vitamin B6 (84207) | $298.80 | $498 | 10.6× |
| Vitamin c (82180) | $118.20 | $197 | 12.0× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$53.40–$395.40 | $89–$659 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$99–$276 | $165–$460 | varies |
| Vitamin K (84597) | $320.40 | $534 | 23.4× |
| Volatiles (84600) range across 2 matching MRF lines |
$51.60–$158.40 | $86–$264 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $40.20 | $67 | 3.3× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$127.80–$168 | $213–$280 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $192 | $320 | 22.3× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$36.60–$283.20 | $61–$472 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$51.60–$283.20 | $86–$472 | varies |
| Western Blot Test (84181) | $327 | $545 | 19.2× |
| Xm Archive Tissue Molec Anal (88363) | $105.60 | $176 | 3.5× |
| Xylose Absorption Test (84620) | $172.80 | $288 | 13.4× |
| Zinc (84630) | $232.20 | $387 | 20.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.