Lab & pathology prices at Ascension St. Vincent Mercy
Elwood, IN · every code in this section with a posted price and a Medicare benchmark.
749 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $232.20 | $387 | 10.2× |
| 5 Nucleotidase (83915) | $206.40 | $344 | 18.5× |
| Acth (82024) | $575.40 | $959 | 14.9× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) range across 2 matching MRF lines |
$135–$477.60 | $225–$796 | varies |
| Acute hepatitis panel (80074) | $757.20 | $1,262 | 15.9× |
| Acylcarnitines Quant (82017) | $370.20 | $617 | 21.9× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$28.80–$104.40 | $48–$174 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$21.60–$88.20 | $36–$147 | varies |
| Aldolase (82085) | $198.60 | $331 | 20.5× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$213.60–$585.60 | $356–$976 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$78–$280.80 | $130–$468 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $165.60 | $276 | 20.8× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$68.40–$109.20 | $114–$182 | varies |
| Allergen specific igg (86001) | $109.80 | $183 | 14.0× |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$40.80–$63 | $68–$105 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $358.80 | $598 | 24.8× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$72–$258.60 | $120–$431 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$88.20–$297 | $147–$495 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$16.80–$106.80 | $28–$178 | varies |
| Aluminum (82108) | $196.20 | $327 | 7.7× |
| Amikacin trough (80150) | $233.40 | $389 | 15.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $545.40 | $909 | 23.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$77.40–$634.80 | $129–$1,058 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $251.40 | $419 | 18.1× |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$88.20–$187.80 | $147–$313 | varies |
| Ammonia (82140) | $225.60 | $376 | 15.5× |
| Amylase urine (82150) range across 2 matching MRF lines |
$34.20–$175.80 | $57–$293 | varies |
| Ana Titer (86039) | $200.40 | $334 | 18.0× |
| Androstenedione (82157) | $200.40 | $334 | 6.8× |
| Angiotensin converting enzyme csf (82164) | $308.40 | $514 | 21.1× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$89.40–$214.80 | $149–$358 | varies |
| Antibody aspergillus (86606) | $79.80 | $133 | 5.3× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$69–$120 | $115–$200 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$82.20–$327.60 | $137–$546 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$30.60–$280.80 | $51–$468 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $210 | $350 | 16.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$81–$191.40 | $135–$319 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$95.40–$262.20 | $159–$437 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$54.60–$153 | $91–$255 | varies |
| Antibody haemophilus influenza (86684) | $210.60 | $351 | 13.3× |
| Antibody helicobacter pylori (86677) | $308.40 | $514 | 18.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $183.60 | $306 | 12.8× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$54.60–$161.40 | $91–$269 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$72.60–$228 | $121–$380 | varies |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$40.80–$163.80 | $68–$273 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $231.60 | $386 | 12.0× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$48–$472.80 | $80–$788 | varies |
| Antibody nocardia (86744) | $29.40 | $49 | 1.8× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$22.20–$139.80 | $37–$233 | varies |
| Antibody Titer (86886) | $176.40 | $294 | 34.1× |
| Antibody Treponema Pallidum (86780) | $89.40 | $149 | 6.8× |
| Antibody; campylobacter (86625) | $136.80 | $228 | 10.4× |
| Antibody; influenza virus (86710) range across 2 matching MRF lines |
$72–$160.20 | $120–$267 | varies |
| Antigen typing (86905) | $172.80 | $288 | 45.1× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $123 | $205 | 21.5× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$64.20–$237 | $107–$395 | varies |
| Antistreptolysin o titer (86060) | $194.40 | $324 | 26.6× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$62.40–$449.40 | $104–$749 | varies |
| Antithrombin iii antigen (85301) | $513.60 | $856 | 47.5× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$46.20–$127.20 | $77–$212 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$56.40–$138.60 | $94–$231 | varies |
| Aspergillus ag eia (87305) | $251.40 | $419 | 21.0× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$81–$294 | $135–$490 | varies |
| Assay Blood Carbon Dioxide (82374) | $75.60 | $126 | 15.5× |
| Assay Blood Catecholamines (82383) | $370.80 | $618 | 12.8× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$64.20–$223.20 | $107–$372 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$68.40–$259.80 | $114–$433 | varies |
| Assay of blood/uric acid (84550) | $100.20 | $167 | 22.2× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$21.60–$132 | $36–$220 | varies |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$72–$276.60 | $120–$461 | varies |
| Assay of estrone (82679) range across 2 matching MRF lines |
$74.40–$207 | $124–$345 | varies |
| Assay of g6pd enzyme (82955) | $253.80 | $423 | 26.2× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$43.80–$175.80 | $73–$293 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$90–$207 | $150–$345 | varies |
| Assay of manganese (83785) | $208.20 | $347 | 7.8× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$88.80–$390.60 | $148–$651 | varies |
| Assay of phosphatase acid total (84060) | $90.60 | $151 | 11.9× |
| Assay of proinsulin (84206) | $259.80 | $433 | 9.7× |
| Assay of pyruvate (84210) range across 2 matching MRF lines |
$64.20–$214.80 | $107–$358 | varies |
| Assay of semen fructose (82757) | $154.20 | $257 | 8.9× |
| Assay of serotonin (84260) | $708 | $1,180 | 22.9× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$23.40–$78.60 | $39–$131 | varies |
| Assay of sweat sodium (84302) | $90.60 | $151 | 18.6× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$21–$78 | $35–$130 | varies |
| Assay of urine vma (84585) | $318.60 | $531 | 20.6× |
| Assay of vasoactive intestinal peptide (84586) | $438 | $730 | 12.4× |
| Assay of vitamin b-1 (84425) | $304.20 | $507 | 14.3× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$17.40–$89.40 | $29–$149 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) | $723 | $1,205 | 4.0× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$14.40–$72 | $24–$120 | varies |
| B cells total count (86355) | $120 | $200 | 3.2× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$54–$175.80 | $90–$293 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$296.40–$462.60 | $494–$771 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$262.20–$426 | $437–$710 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$69–$237 | $115–$395 | varies |
| Beta hydroxybutyrate (82010) | $132 | $220 | 16.2× |
| Beta Lactamase (87185) | $100.80 | $168 | 21.2× |
| Beta-2 Microglobulin (82232) | $259.80 | $433 | 16.1× |
| Bile acids total (82239) | $126.60 | $211 | 7.4× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$25.80–$95.40 | $43–$159 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$25.80–$94.80 | $43–$158 | varies |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$39–$163.80 | $65–$273 | varies |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $77.40 | $129 | 2.5× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $484.20 | $807 | 2.7× |
| Bld Typing Serologic Rh Phnt (86906) | $480 | $800 | 61.9× |
| Blood Count Automated Differential Wbc Count (85004) range across 2 matching MRF lines |
$34.20–$57.60 | $57–$96 | varies |
| Blood Count Red Blood Cell Automated (85041) | $54 | $90 | 17.9× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$21–$100.80 | $35–$168 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$18.60–$77.40 | $31–$129 | varies |
| Blood gas (82803) range across 2 matching MRF lines |
$91.80–$369.60 | $153–$616 | varies |
| Blood gases w/02 saturation (82805) | $331.80 | $553 | 4.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $109.20 | $182 | 6.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $70.20 | $117 | 16.0× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $165 | $275 | 26.0× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $100.80 | $168 | 6.2× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$34.20–$75.60 | $57–$126 | varies |
| Body fluid cell count (89050) | $120 | $200 | 25.4× |
| Bone marrow smear interpretation (85097) | $175.80 | $293 | 0.2× |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$54.60–$171 | $91–$285 | varies |
| Braf gene analysis (81210) | $365.40 | $609 | 2.1× |
| Brucella antibody (86622) range across 2 matching MRF lines |
$47.40–$121.80 | $79–$203 | varies |
| C diff amplified probe (87493) | $200.40 | $334 | 5.4× |
| C-Peptide (84681) | $318 | $530 | 15.3× |
| C-reactive protein (86140) | $166.80 | $278 | 32.2× |
| Ca 19-9 (86301) | $318.60 | $531 | 15.3× |
| Calcitonin (82308) | $400.80 | $668 | 15.0× |
| Calcium ionized (82330) | $228 | $380 | 16.7× |
| Calcium total (82310) range across 2 matching MRF lines |
$28.20–$89.40 | $47–$149 | varies |
| Calculus assay quant (82360) | $268.80 | $448 | 20.9× |
| Calculus Spectroscopy (82365) | $233.40 | $389 | 18.1× |
| Calprotectin Fecal (83993) | $357 | $595 | 18.2× |
| Calr gene com variants (81219) | $219 | $365 | 1.8× |
| Cancer Antigen 125 (86304) | $316.20 | $527 | 15.2× |
| Cancer Antigen 27.29 (86300) | $330.60 | $551 | 15.9× |
| Candida antibody (86628) | $39 | $65 | 3.2× |
| Candida Dna Dir Probe (87480) | $60.60 | $101 | 3.0× |
| Carbamazepine free (80157) | $171 | $285 | 12.9× |
| Carbamazepine total (80156) | $270 | $450 | 18.5× |
| Carbohydrate Deficient Transferrin (82373) | $375.60 | $626 | 20.8× |
| Carboxyhemoglobin (82375) | $232.80 | $388 | 18.9× |
| Carcinoembryonic antigen (82378) | $307.20 | $512 | 16.2× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$177–$282 | $295–$470 | varies |
| Carnitine Quantitative Each Specimen (82379) | $198 | $330 | 11.7× |
| Carotene (82380) | $120 | $200 | 13.0× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$133.80–$460.80 | $223–$768 | varies |
| Catecholamines total urine (82382) | $295.20 | $492 | 10.8× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$68.40–$244.80 | $114–$408 | varies |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $742.80 | $1,238 | 3.1× |
| Cell count csf (89051) | $183.60 | $306 | 32.8× |
| Cell marker study (88182) | $732 | $1,220 | 13.3× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $426 | $710 | 3.1× |
| Ceruloplasmin (82390) | $228 | $380 | 21.2× |
| Cftr gene com variants (81220) | $841.80 | $1,403 | 1.5× |
| Chemiluminescent assay (82397) | $264 | $440 | 18.7× |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$54.60–$210.60 | $91–$351 | varies |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$54.60–$108 | $91–$180 | varies |
| Chloride other source (82438) range across 2 matching MRF lines |
$24.60–$111.60 | $41–$186 | varies |
| Chloride Serum (82435) range across 2 matching MRF lines |
$18.60–$78 | $31–$130 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$18.60–$96.60 | $31–$161 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$21.60–$104.40 | $36–$174 | varies |
| Cholinesterase rbc (82482) | $61.20 | $102 | 6.2× |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$42.60–$150 | $71–$250 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$38.40–$297 | $64–$495 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $889.20 | $1,482 | 4.7× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $214.80 | $358 | 8.0× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $126 | $210 | 3.7× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$132.60–$360.60 | $221–$601 | varies |
| Chrmsm Analysis Addl Specialized Banding (88283) | $413.40 | $689 | 6.0× |
| Chromium serum (82495) | $185.40 | $309 | 9.1× |
| Chromogenic Substrate Assay (85130) | $248.40 | $414 | 20.9× |
| Chromogranin a (86316) | $321.60 | $536 | 15.5× |
| Chromosome analys amniotic (88269) | $1,107.60 | $1,846 | 6.4× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$655.80–$1,460.40 | $1,093–$2,434 | varies |
| Chromosome Analysis 20-25 (88264) | $935.40 | $1,559 | 6.5× |
| Chromosome analysis, 5 (88261) range across 2 matching MRF lines |
$933.60–$1,221 | $1,556–$2,035 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$105–$247.80 | $175–$413 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$83.40–$162 | $139–$270 | varies |
| Ckmb (82553) range across 2 matching MRF lines |
$33–$207 | $55–$345 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$39–$282 | $65–$470 | varies |
| Clot Factor VIII Multimetric (85247) range across 2 matching MRF lines |
$121.80–$271.80 | $203–$453 | varies |
| Clotting factor xii hageman (85280) | $339.60 | $566 | 17.6× |
| Clotting Funct Activity (85397) | $55.80 | $93 | 1.8× |
| Coagulation time; Lee and White Facility (85345) | $65.40 | $109 | 13.9× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$39–$166.80 | $65–$278 | varies |
| Cold agglutinin titer (86157) | $210 | $350 | 26.1× |
| Collagen crosslinks (82523) | $195 | $325 | 10.4× |
| Column Chromotography Quant (82542) | $216.60 | $361 | 9.0× |
| Compatibility Each Unit Incubation (86921) | $161.40 | $269 | 0.9× |
| Compatibility test antiglob (86922) | $183.60 | $306 | 1.0× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$64.20–$247.80 | $107–$413 | varies |
| Complement Fixation Tests Each Antigen (86171) | $397.20 | $662 | 39.7× |
| Complement Total (Ch50) (86162) | $428.40 | $714 | 21.1× |
| Complement/Function Activity (86161) | $303.60 | $506 | 25.3× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $1,558.20 | $2,597 | 8.6× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $350.40 | $584 | 6.4× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $358.80 | $598 | 9.1× |
| Coombs direct (86880) range across 2 matching MRF lines |
$25.80–$109.80 | $43–$183 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$66.60–$259.80 | $111–$433 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$88.20–$315 | $147–$525 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$75.60–$295.20 | $126–$492 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$23.40–$111 | $39–$185 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$34.80–$123.60 | $58–$206 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$28.80–$88.20 | $48–$147 | varies |
| Creatinine clearance (82575) | $231.60 | $386 | 24.5× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$28.20–$112.80 | $47–$188 | varies |
| Crossmatch electronic (86923) | $111 | $185 | 0.6× |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$43.80–$216.60 | $73–$361 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$69–$187.80 | $115–$313 | varies |
| Cryofibrinogen (82585) | $45 | $75 | 3.2× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$34.20–$139.80 | $57–$233 | varies |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$113.40–$129 | $189–$215 | varies |
| Cryptosporidium (87272) | $119.40 | $199 | 10.0× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$40.80–$151.20 | $68–$252 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$57.60–$119.40 | $96–$199 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$105–$163.80 | $175–$273 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $176.40 | $294 | 22.9× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $392.40 | $654 | 1.8× |
| Culture aerobic quant other (87071) | $235.20 | $392 | 23.8× |
| Culture afb (87116) range across 2 matching MRF lines |
$32.40–$253.80 | $54–$423 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$20.40–$249 | $34–$415 | varies |
| Culture blood (87040) | $287.40 | $479 | 27.8× |
| Culture chlamydia (87110) range across 2 matching MRF lines |
$61.80–$187.80 | $103–$313 | varies |
| Culture csf (87070) range across 2 matching MRF lines |
$160.20–$208.20 | $267–$347 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$15–$241.80 | $25–$403 | varies |
| Culture fungus blood (87103) | $235.20 | $392 | 11.5× |
| Culture screen only (87081) | $151.80 | $253 | 22.9× |
| Culture stool (87045) range across 2 matching MRF lines |
$50.40–$232.80 | $84–$388 | varies |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $102 | $170 | 8.1× |
| Culture typing if ea antiserum (87140) | $18.60 | $31 | 3.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$60.60–$95.40 | $101–$159 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$21.60–$210.60 | $36–$351 | varies |
| Cyanide (82600) | $196.20 | $327 | 10.1× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $154.20 | $257 | 10.8× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$91.80–$345 | $153–$575 | varies |
| Cystatin C (82610) | $129.60 | $216 | 7.0× |
| Cytogenetics 10-30 (88273) | $187.20 | $312 | 5.4× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$213.60–$397.20 | $356–$662 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,842.60 | $3,071 | 1.6× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$43.20–$247.80 | $72–$413 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $163.80 | $273 | 8.1× |
| Cytopath Cell Enhance Tech (88112) | $300.60 | $501 | 5.5× |
| Cytopath Fl Nongyn Filter (88106) | $221.40 | $369 | 7.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $210.60 | $351 | 7.9× |
| Cytp Concentration Smears & Interpretation (88108) | $283.80 | $473 | 7.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $351.60 | $586 | 6.4× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $198.60 | $331 | 1.1× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $198 | $330 | 5.0× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $83.40 | $139 | 4.5× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $216.60 | $361 | 3.9× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $139.80 | $233 | 4.6× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $776.40 | $1,294 | 4.3× |
| Deoxyribonuclease antibody (86215) | $139.80 | $233 | 10.6× |
| Desoxycorticosterone (82633) | $196.80 | $328 | 6.4× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$285.60–$444 | $476–$740 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$128.40–$604.80 | $214–$1,008 | varies |
| Detect agnt mult DNA ampli (87801) | $428.40 | $714 | 6.1× |
| Dhea (82626) | $248.40 | $414 | 9.8× |
| Dhea-S (82627) | $426.60 | $711 | 19.2× |
| Dibucaine number (82638) | $43.80 | $73 | 3.6× |
| Digoxin (80162) | $235.20 | $392 | 17.7× |
| Diphtheria antitoxoid (86648) | $173.40 | $289 | 11.4× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$41.40–$251.40 | $69–$419 | varies |
| Dna Antibody Single Stranded (86226) | $182.40 | $304 | 15.1× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$106.20–$241.80 | $177–$403 | varies |
| Drug assay acetaminophen (80143) | $36 | $60 | 1.9× |
| Drug Assay Everolimus (80169) | $235.20 | $392 | 17.1× |
| Drug Screen Quant Zonisamide (80203) | $174 | $290 | 13.1× |
| Drug Screen Quantitative Gabapentin (80171) | $271.80 | $453 | 12.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $294.60 | $491 | 22.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $294.60 | $491 | 22.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $179.40 | $299 | 13.5× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $173.40 | $289 | 10.4× |
| Drug Test Prsmv Chem Anlyzr (80307) | $207 | $345 | 3.3× |
| Drug Test Prsmv Dir Opt Obs (80305) | $141.60 | $236 | 11.2× |
| Drug Test Prsmv Instrmnt (80306) | $141.60 | $236 | 8.3× |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$54–$227.40 | $90–$379 | varies |
| Electrolyte panel (80051) | $179.40 | $299 | 25.6× |
| Electron Microscopy (88348) | $2,028.60 | $3,381 | 2.4× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $206.40 | $344 | 3.4× |
| Enterovirus Antibody (86658) | $30.60 | $51 | 2.3× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$63–$263.40 | $105–$439 | varies |
| Enzyme cell activity (82657) | $376.20 | $627 | 17.0× |
| Enzyme histochemistry (88319) | $348 | $580 | 0.4× |
| Eosinophil Smear (89190) | $120 | $200 | 20.7× |
| Erythropoietin (82668) | $331.80 | $553 | 17.7× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$83.40–$395.40 | $139–$659 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$126.60–$206.40 | $211–$344 | varies |
| Estrogen total (82672) | $287.40 | $479 | 13.2× |
| Estrogens fractionated (82671) | $244.80 | $408 | 7.6× |
| Ethosuximide (80168) | $151.80 | $253 | 9.3× |
| Ethylene Glycol (82693) | $270 | $450 | 18.1× |
| Exam Synovial Fluid Crystals (89060) | $161.40 | $269 | 22.0× |
| F2 Gene (81240) range across 2 matching MRF lines |
$70.20–$219 | $117–$365 | varies |
| Factor ii activity (85210) | $287.40 | $479 | 22.1× |
| Factor Inhibitor Test (85335) range across 2 matching MRF lines |
$64.20–$276.60 | $107–$461 | varies |
| Factor ix activity (85250) | $411 | $685 | 21.6× |
| Factor v activity (85220) | $384.60 | $641 | 21.8× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$73.80–$438 | $123–$730 | varies |
| Factor vii assay (85230) | $675 | $1,125 | 37.7× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$94.80–$514.20 | $158–$857 | varies |
| Factor X (85260) | $390.60 | $651 | 21.8× |
| Factor xi activity (85270) | $388.20 | $647 | 21.7× |
| Factor xiii screen (85291) | $185.40 | $309 | 20.4× |
| Fat stain feces urine/respir secretions (89125) | $126 | $210 | 21.4× |
| Fat/Lipids Feces Quantitative (82710) | $370.80 | $618 | 22.1× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $282.60 | $471 | 16.4× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $246.60 | $411 | 37.8× |
| Fecal Fat Qualitative (82705) | $210.60 | $351 | 41.3× |
| Ferritin (82728) range across 2 matching MRF lines |
$42.60–$232.80 | $71–$388 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $712.80 | $1,188 | 4.6× |
| Fetal Fibronectin (82731) | $668.40 | $1,114 | 10.4× |
| Fetal screen rosette (85461) | $121.80 | $203 | 13.0× |
| Fibrin degradation products (85362) | $154.20 | $257 | 22.4× |
| Fibrin Degradation Quant (85379) | $208.20 | $347 | 20.5× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) range across 2 matching MRF lines |
$37.20–$248.40 | $62–$414 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$43.80–$210.60 | $73–$351 | varies |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$147.60–$244.80 | $246–$408 | varies |
| Flt3 Gene (81245) | $407.40 | $679 | 2.5× |
| Flt3 gene analysis (81246) | $275.40 | $459 | 3.3× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$63.60–$283.80 | $106–$473 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$64.20–$255.60 | $107–$426 | varies |
| Fmr1 gene detection (81243) | $593.40 | $989 | 10.4× |
| Folic acid rbc (82747) | $294.60 | $491 | 16.7× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$54–$216.60 | $90–$361 | varies |
| Follicle Stimulating Hormone (83001) | $344.40 | $574 | 18.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $100.20 | $167 | 0.6× |
| Frozen Blood Each Unit Thawing (86931) | $146.40 | $244 | 0.8× |
| Frozen Section (88331) | $377.40 | $629 | 2.1× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$133.80–$210.60 | $223–$351 | varies |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$74.40–$166.80 | $124–$278 | varies |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$87.60–$280.80 | $146–$468 | varies |
| Gardner vag DNA dir probe (87510) | $60.60 | $101 | 3.0× |
| Gardner Vag Dna Quant (87512) | $124.20 | $207 | 3.0× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $28.80 | $48 | 2.9× |
| Gases blood ph only (82800) | $137.40 | $229 | 12.5× |
| Gastrin (82941) | $318 | $530 | 18.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,060.80 | $1,768 | 2.5× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $2,815.80 | $4,693 | 1.0× |
| Genet Virus Isolate Hsv (87255) | $165 | $275 | 4.9× |
| Gentamicin (80170) | $327.60 | $546 | 20.0× |
| Ggt (82977) range across 2 matching MRF lines |
$21–$139.80 | $35–$233 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$43.80–$139.80 | $73–$233 | varies |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$24.60–$123.60 | $41–$206 | varies |
| Glucose Blood Test (82962) | $72 | $120 | 22.0× |
| Glucose body fluid (82945) | $100.80 | $168 | 25.6× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$21–$77.40 | $35–$129 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$67.80–$262.20 | $113–$437 | varies |
| Glycated Protein (82985) | $99.60 | $166 | 5.9× |
| Gonadotropin Chorionic Qualitative (84703) | $176.40 | $294 | 23.5× |
| Growth hormone (83003) range across 2 matching MRF lines |
$88.80–$325.20 | $148–$542 | varies |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$21–$73.20 | $35–$122 | varies |
| H Pylori (C-13) Breath (83013) | $532.80 | $888 | 7.9× |
| H Pylori Drug Admin (83014) | $72 | $120 | 9.2× |
| Haloperidol (80173) | $172.80 | $288 | 11.0× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$30.60–$213.60 | $51–$356 | varies |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$43.80–$185.40 | $73–$309 | varies |
| Heavy metal qualitative any analytes (83015) | $400.80 | $668 | 19.1× |
| Helicobacter Pylori Stool (87338) | $218.40 | $364 | 15.2× |
| Helminth Antibody (86682) | $227.40 | $379 | 17.5× |
| Hematocrit (85014) range across 2 matching MRF lines |
$11.40–$61.20 | $19–$102 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$11.40–$61.20 | $19–$102 | varies |
| Hemoglobin a1c (83036) | $195 | $325 | 20.1× |
| Hemoglobin Chromotography (83021) | $175.80 | $293 | 9.7× |
| Hemoglobin electrophoresis (83020) | $259.80 | $433 | 20.2× |
| Hemoglobin Methemoglobin Quantitative (83050) | $227.40 | $379 | 27.7× |
| Hemoglobin plasma (83051) | $186.60 | $311 | 25.5× |
| Hemosiderin urine (83070) | $88.80 | $148 | 18.7× |
| Hep a ab igm (86709) | $244.80 | $408 | 21.7× |
| Heparin assay (85520) | $535.80 | $893 | 40.9× |
| Hepatitis a antibody total (86708) | $241.80 | $403 | 19.5× |
| Hepatitis b core ab igm (86705) | $277.20 | $462 | 23.6× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$64.20–$225.60 | $107–$376 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$28.20–$213.60 | $47–$356 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$34.20–$195 | $57–$325 | varies |
| Hepatitis Be Antibody (86707) | $121.80 | $203 | 10.5× |
| Hepatitis Be Antigen (87350) | $232.80 | $388 | 20.2× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$75–$295.20 | $125–$492 | varies |
| Hepatitis c antibody confirmatory test (86804) | $378.60 | $631 | 24.4× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$458.40–$1,258.80 | $764–$2,098 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $756.60 | $1,261 | 21.6× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$128.40–$938.40 | $214–$1,564 | varies |
| Hepatitis Delta Agent Antibody (86692) | $208.20 | $347 | 12.1× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$102–$174.60 | $170–$291 | varies |
| Heterophile Antibody Screen (86308) | $150 | $250 | 29.0× |
| Hfe Gene (81256) | $312 | $520 | 4.8× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $178.20 | $297 | 23.1× |
| Histamine urine (83088) range across 2 matching MRF lines |
$153–$236.40 | $255–$394 | varies |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$113.40–$216.60 | $189–$361 | varies |
| Histoplasma antigen urine (87385) | $344.40 | $574 | 26.0× |
| Hiv Antigen W/Hiv Antibodies (87806) range across 2 matching MRF lines |
$72–$172.80 | $120–$288 | varies |
| Hiv Genotype (87901) | $1,171.20 | $1,952 | 4.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$58.80–$198.60 | $98–$331 | varies |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$26.40–$225.60 | $44–$376 | varies |
| HIV-1 p24 antigen (87390) | $52.80 | $88 | 2.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $991.80 | $1,653 | 11.7× |
| Hla class ii typing high resolution one locus ea (81382) | $335.40 | $559 | 2.7× |
| Hla I Typing 1 Allele Hr (81381) | $342 | $570 | 2.0× |
| Hla ii typing 1 allele hr (81383) | $295.80 | $493 | 2.7× |
| Hla ii typing 1 locus lr (81376) | $192.60 | $321 | 1.6× |
| Hla Typing a/B/C Multiple Antigens (86813) range across 2 matching MRF lines |
$306–$883.80 | $510–$1,473 | varies |
| Hla-b27 (86812) | $358.80 | $598 | 13.9× |
| Homocysteine (83090) range across 2 matching MRF lines |
$89.40–$455.40 | $149–$759 | varies |
| Homogenization Tissue (87176) | $95.40 | $159 | 16.2× |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$102–$189.60 | $170–$316 | varies |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$186–$383.40 | $310–$639 | varies |
| Hydroxycorticosteroids 17 (83491) | $195.60 | $326 | 10.9× |
| Hydroxyprogesterone 17-d (83498) | $208.20 | $347 | 7.7× |
| Hydroxyproline free (83500) | $270 | $450 | 11.9× |
| Hydroxyproline total (83505) range across 2 matching MRF lines |
$105–$371.40 | $175–$619 | varies |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $126 | $210 | 10.5× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $129.60 | $216 | 12.5× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$56.40–$108 | $94–$180 | varies |
| Iaad Ia Streptococcus Group A (87430) | $145.80 | $243 | 8.7× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $234 | $390 | 19.5× |
| Iaadi giardia (87269) | $120 | $200 | 8.8× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $36 | $60 | 3.0× |
| Iaadi respiratory synctial virus (87280) | $108 | $180 | 8.0× |
| Iaadiadoo trichomonas vaginalis (87808) range across 2 matching MRF lines |
$64.20–$189.60 | $107–$316 | varies |
| Iadna Bartonella Amplified Probe Technique (87471) | $282.60 | $471 | 8.1× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $530.40 | $884 | 15.1× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $232.20 | $387 | 6.6× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $198 | $330 | 8.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$63–$511.80 | $105–$853 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $621 | $1,035 | 14.5× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $212.40 | $354 | 3.0× |
| Iadna hepatitis b virus amplified probe tq (87516) | $447 | $745 | 12.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $841.20 | $1,402 | 19.6× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 2 matching MRF lines |
$63–$418.80 | $105–$698 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $420 | $700 | 12.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$105–$457.20 | $175–$762 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$105–$249 | $175–$415 | varies |
| Ig Light Chains Free Each (83521) | $31.20 | $52 | 1.8× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$23.40–$233.40 | $39–$389 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $451.80 | $753 | 1.2× |
| Immune Complex Assay (86332) | $249 | $415 | 10.2× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$154.20–$378.60 | $257–$631 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$72–$403.20 | $120–$672 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $44.40 | $74 | 3.0× |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$60.60–$216.60 | $101–$361 | varies |
| Immunodiffusion not elsewhere specified (86329) | $259.80 | $433 | 18.5× |
| Immunodiffusion Ouchterlony (86331) | $58.80 | $98 | 4.9× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $405.60 | $676 | 17.5× |
| Immunoelectrophoresis Serum (86320) | $318 | $530 | 10.6× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$118.80–$397.20 | $198–$662 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $447 | $745 | 2.5× |
| Immunohistochemistry (88342) | $330.60 | $551 | 1.8× |
| In situ hybridization 1st probe stain (88365) | $985.80 | $1,643 | 5.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) | $228 | $380 | 11.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) | $457.20 | $762 | 10.7× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $153.60 | $256 | 3.0× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) range across 2 matching MRF lines |
$36.60–$89.40 | $61–$149 | varies |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$63.60–$210.60 | $106–$351 | varies |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$253.80–$364.80 | $423–$608 | varies |
| Inhibin A (86336) range across 2 matching MRF lines |
$60.60–$187.80 | $101–$313 | varies |
| Inhibin b (83520) range across 2 matching MRF lines |
$47.40–$288.60 | $79–$481 | varies |
| Insitu hybridization auto (88367) | $743.40 | $1,239 | 2.0× |
| Insitu hybridization manual (88368) | $1,145.40 | $1,909 | 3.0× |
| Insulin antibodies (86337) | $235.80 | $393 | 11.0× |
| Insulin free (83527) | $106.80 | $178 | 8.2× |
| Insulin total (83525) range across 2 matching MRF lines |
$129–$232.80 | $215–$388 | varies |
| Intrinsic factor (stomach protein) level (83528) | $186.60 | $311 | 9.4× |
| Intrinsic factor antibody (86340) | $175.80 | $293 | 11.7× |
| Iron (83540) range across 2 matching MRF lines |
$33.60–$126.60 | $56–$211 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$45–$151.80 | $75–$253 | varies |
| Irradiation Blood Product Each Unit (86945) | $370.80 | $618 | 9.4× |
| Islet cell antibody (86341) | $248.40 | $414 | 10.5× |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$165–$635.40 | $275–$1,059 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $333.60 | $556 | 1.8× |
| Ketosteroids 17 total (83586) | $196.20 | $327 | 15.3× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $1,092 | $1,820 | 3.3× |
| Koh Prep (87220) | $135.60 | $226 | 31.8× |
| Kras Gene Analysis Additional Variant(S) (81276) | $294 | $490 | 1.5× |
| Kras Gene Variants Exon 2 (81275) | $259.80 | $433 | 1.3× |
| L/s ratio (83661) range across 2 matching MRF lines |
$115.80–$234 | $193–$390 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$32.40–$111.60 | $54–$186 | varies |
| Lactoferrin Fecal Quantitative (83631) | $206.40 | $344 | 10.5× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$68.40–$265.80 | $114–$443 | varies |
| LDL direct (83721) | $160.80 | $268 | 15.3× |
| Lead (83655) range across 2 matching MRF lines |
$64.20–$153.60 | $107–$256 | varies |
| Legionella antibody (86713) range across 2 matching MRF lines |
$37.20–$232.80 | $62–$388 | varies |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$39–$247.80 | $65–$413 | varies |
| Legionella pneumophila dfa (87278) | $259.80 | $433 | 16.7× |
| Leukocyte Assessment Fecal (89055) | $112.80 | $188 | 26.4× |
| Leukocyte Histamine Release (86343) | $214.80 | $358 | 17.2× |
| Leukocyte phagocytosis (86344) | $198.60 | $331 | 19.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $163.80 | $273 | 5.4× |
| Level ii surg pathology grossµscopic exam (88302) | $251.40 | $419 | 6.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $735.60 | $1,226 | 1.9× |
| Lidocaine (80176) | $227.40 | $379 | 15.5× |
| Lipase (83690) | $171 | $285 | 24.8× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$69–$136.80 | $115–$228 | varies |
| Lipoprotein Bld Quan Part (83704) | $303.60 | $506 | 8.9× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $121.80 | $203 | 10.8× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $132 | $220 | 3.9× |
| Lithium (80178) | $177.60 | $296 | 26.9× |
| Luteinizing Hormone (Lh) (83002) | $345 | $575 | 18.6× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$54.60–$253.20 | $91–$422 | varies |
| Lysozyme serum (85549) | $324.60 | $541 | 17.3× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $598.80 | $998 | 3.3× |
| M/phmtrc alys ishquant/semiq (88374) | $402 | $670 | 2.2× |
| Macroscopic exam arthropod (87168) | $91.80 | $153 | 21.5× |
| Macroscopic Exam Parasite (87169) | $104.40 | $174 | 24.2× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$34.80–$132 | $58–$220 | varies |
| Mass Spectrometry Quant (83789) | $313.80 | $523 | 13.0× |
| Meat fibers, feces (89160) | $117 | $195 | 24.1× |
| Mercury urine (83825) range across 2 matching MRF lines |
$48–$127.20 | $80–$212 | varies |
| Metabolic panel ionized ca (80047) | $208.80 | $348 | 15.2× |
| Methylmalonic acid serum (83921) | $508.80 | $848 | 24.0× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$31.80–$189.60 | $53–$316 | varies |
| Microsomal Antibodies Each (86376) | $225.60 | $376 | 15.5× |
| Mitochondrial Antibody Each (86381) | $45.60 | $76 | 1.8× |
| Mlh1 Gene (81288) | $615.60 | $1,026 | 3.2× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$123.60–$276 | $206–$460 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $439.80 | $733 | 10.4× |
| Molecular Pathology Procedure Level 6 (81405) | $1,643.40 | $2,739 | 5.5× |
| Mopath procedure level 2 (81401) | $532.80 | $888 | 3.9× |
| Mopath procedure level 4 (81403) | $576.60 | $961 | 3.1× |
| Mopath procedure level 5 (81404) | $511.80 | $853 | 1.9× |
| Morphometric Analysis Tumor (88358) | $809.40 | $1,349 | 4.5× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $333.60 | $556 | 1.8× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$105–$273.60 | $175–$456 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $406.20 | $677 | 6.2× |
| Mucin Clot Body Fluid (83872) | $54 | $90 | 9.2× |
| Mucopolysaccharides acid quantitative (83864) range across 2 matching MRF lines |
$105.60–$421.20 | $176–$702 | varies |
| Mumps antibody (86735) range across 2 matching MRF lines |
$54.60–$139.80 | $91–$233 | varies |
| Mycophenolic Acid (80180) | $294.60 | $491 | 16.3× |
| Mycoplasma antibody (86738) | $228 | $380 | 17.2× |
| Myelin basic protein csf (83873) | $290.40 | $484 | 16.9× |
| Myoglobin urine (83874) | $297 | $495 | 23.0× |
| Natriuretic peptide (83880) | $344.40 | $574 | 8.8× |
| Neisseria Dir Na Probe (87590) | $320.40 | $534 | 11.9× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $79.20 | $132 | 2.7× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $388.20 | $647 | 1.5× |
| Niacin (84591) | $225.60 | $376 | 13.2× |
| Nk cells total count (86357) | $120 | $200 | 3.2× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $475.80 | $793 | 1.9× |
| Nras gene variants exon 2&3 (81311) | $648 | $1,080 | 2.2× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$94.80–$202.80 | $158–$338 | varies |
| Obstetric panel (80081) | $548.40 | $914 | 7.3× |
| Occult blood feces (82272) | $73.20 | $122 | 17.3× |
| Occult Blood Other Sources (82271) | $77.40 | $129 | 14.5× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$106.20–$477.60 | $177–$796 | varies |
| Oncoprotein dcp (83951) | $344.40 | $574 | 5.3× |
| Organic acids urine (83918) range across 2 matching MRF lines |
$88.20–$408 | $147–$680 | varies |
| Osmolality serum (83930) | $135.60 | $226 | 20.5× |
| Osmolality Urine (83935) | $135 | $225 | 19.8× |
| Osmotic fragility rbc incubated (85557) | $249 | $415 | 18.6× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$47.40–$216.60 | $79–$361 | varies |
| Oxalate urine (83945) range across 2 matching MRF lines |
$46.80–$151.80 | $78–$253 | varies |
| Pancreatic Elastase Fecal (82656) | $394.80 | $658 | 34.2× |
| Particle Agglut Antbdy Titr (86406) | $172.20 | $287 | 16.2× |
| Particle Agglutination Screen Each Antibody (86403) | $223.20 | $372 | 19.3× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$72.60–$200.40 | $121–$334 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $175.80 | $293 | 0.2× |
| Pathology Consultation During Surgery (88329) | $162 | $270 | 2.6× |
| Ph urine (81003) range across 2 matching MRF lines |
$12–$83.40 | $20–$139 | varies |
| Phenobarbital Level (80184) | $248.40 | $414 | 16.2× |
| Phenytoin (Dilantin) (80185) | $236.40 | $394 | 17.8× |
| Phenytoin free (80186) | $276 | $460 | 20.1× |
| Phosphatase acid prostatic (84066) | $132.60 | $221 | 13.7× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$28.20–$94.80 | $47–$158 | varies |
| Phosphatidylglycerol (84081) range across 2 matching MRF lines |
$88.20–$136.80 | $147–$228 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $34.80 | $58 | 1.9× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$24.60–$90.60 | $41–$151 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$28.80–$129 | $48–$215 | varies |
| Pinworm exam (87172) | $64.20 | $107 | 15.0× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$113.40–$288 | $189–$480 | varies |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$29.40–$537 | $49–$895 | varies |
| Platelet count automated (85049) | $95.40 | $159 | 21.3× |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$32.40–$295.20 | $54–$492 | varies |
| Pooling blood platelets (86965) | $119.40 | $199 | 0.7× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$44.40–$138.60 | $74–$231 | varies |
| Porphyrins Feces Quantitative (84126) | $236.40 | $394 | 6.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$77.40–$210 | $129–$350 | varies |
| Potassium Urine (84133) range across 2 matching MRF lines |
$18.60–$111.60 | $31–$186 | varies |
| Prealbumin (84134) | $247.80 | $413 | 17.0× |
| Pregnenolone (84140) | $187.80 | $313 | 9.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $321 | $535 | 5.1× |
| Primidone (80188) | $233.40 | $389 | 14.1× |
| Procalcitonin (Pct) (84145) | $315.60 | $526 | 11.6× |
| Progesterone (84144) | $349.20 | $582 | 16.7× |
| Prolactin (84146) range across 2 matching MRF lines |
$42.60–$385.80 | $71–$643 | varies |
| Protein body fluid (84157) | $88.80 | $148 | 22.2× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$73.20–$536.40 | $122–$894 | varies |
| Protein c antigen (85302) | $492.60 | $821 | 41.0× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$93.60–$198.60 | $156–$331 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$56.40–$228 | $94–$380 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$81–$440.40 | $135–$734 | varies |
| Protein s total (85305) | $535.80 | $893 | 46.1× |
| Protein Total Refractometry Any Src (84160) range across 2 matching MRF lines |
$28.80–$54 | $48–$90 | varies |
| Protein total serum (84155) range across 2 matching MRF lines |
$19.20–$88.80 | $32–$148 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$19.20–$88.80 | $32–$148 | varies |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$52.80–$951 | $88–$1,585 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$21–$100.80 | $35–$168 | varies |
| Protoporphyrin rbc quantitative (84202) | $137.40 | $229 | 9.6× |
| PSA free (84154) range across 2 matching MRF lines |
$96.60–$216.60 | $161–$361 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$216.60–$471.60 | $361–$786 | varies |
| Quantiferon tb gold plus (86480) | $340.20 | $567 | 5.5× |
| Quantitative assay drug (80299) | $294.60 | $491 | 15.8× |
| Quantitative Screen Metals (83018) | $211.80 | $353 | 9.6× |
| Quinidine (80194) | $187.80 | $313 | 12.9× |
| Rbc antibody elution (86860) | $410.40 | $684 | 2.3× |
| Rbc antibody identification (86870) | $316.20 | $527 | 0.8× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$39–$151.80 | $65–$253 | varies |
| Rbc pretreatment serum (86978) | $460.20 | $767 | 7.4× |
| Rbc pretx incubatj w/enzymes (86971) | $218.40 | $364 | 1.2× |
| Rbc serum pretx incubj drugs (86975) | $234 | $390 | 0.5× |
| Reagent Strip/Blood Glucose (82948) | $39.60 | $66 | 7.9× |
| Receptor assay estrogen (84233) | $479.40 | $799 | 5.5× |
| Receptor assay progesterone (84234) | $432 | $720 | 6.7× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$114–$423.60 | $190–$706 | varies |
| Resp virus 12-25 targets (87633) | $1,505.40 | $2,509 | 3.6× |
| Resp Virus 6-11 Targets (87632) | $654 | $1,090 | 3.0× |
| Reticulocyte Count (85046) range across 2 matching MRF lines |
$17.40–$86.40 | $29–$144 | varies |
| Reticulocyte Count Manual (85044) | $91.80 | $153 | 21.3× |
| Rh (86901) range across 2 matching MRF lines |
$36–$75.60 | $60–$126 | varies |
| Rheumatoid Factor Qualitative (86430) | $160.20 | $267 | 26.1× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$30.60–$187.20 | $51–$312 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$71.40–$173.40 | $119–$289 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$121.80–$316.20 | $203–$527 | varies |
| Rotavirus ag eia (87425) | $279 | $465 | 23.3× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$22.80–$106.80 | $38–$178 | varies |
| Rsv Assay W/Optic (87807) | $207 | $345 | 15.8× |
| Rubella Antibody (86762) | $187.20 | $312 | 13.0× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$67.80–$179.40 | $113–$299 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$32.40–$218.40 | $54–$364 | varies |
| Salicylate Level (80179) | $36 | $60 | 1.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$122.40–$415.20 | $204–$692 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $82.20 | $137 | 2.0× |
| Sarscov2 & inf a&b amp prb (87636) | $127.20 | $212 | 0.9× |
| Sedimentation Rate, Automated (85652) | $112.80 | $188 | 41.8× |
| Selenium (84255) | $153 | $255 | 6.0× |
| Semen Anal Sperm Detection (89321) | $95.40 | $159 | 7.9× |
| Semen analysis complete (89320) | $258.60 | $431 | 21.0× |
| Sensitivity mic (87186) | $157.80 | $263 | 18.2× |
| Serpina 1 gene (81332) | $425.40 | $709 | 9.7× |
| Serum Bactericidal Titer (87197) | $165.60 | $276 | 11.0× |
| Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) | $132.60 | $221 | 16.6× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$113.40–$234 | $189–$390 | varies |
| Sickling of rbc reduction (85660) | $138.60 | $231 | 25.2× |
| Sirolimus (80195) | $330 | $550 | 24.0× |
| Skin test tuberculosis intradermal (86580) | $65.40 | $109 | 2.1× |
| 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 |
$95.40–$165 | $159–$275 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$13.80–$102 | $23–$170 | varies |
| Smear Special Stain (87207) | $137.40 | $229 | 22.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $117 | $195 | 20.1× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$22.80–$83.40 | $38–$139 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$18.60–$100.80 | $31–$168 | varies |
| Soluble Transferrin Receptor (84238) | $467.40 | $779 | 12.8× |
| Somatomedin (84305) | $484.80 | $808 | 22.8× |
| Special Stains Group 1 (88312) | $241.80 | $403 | 4.4× |
| Special Stains Group 2 (88313) | $227.40 | $379 | 1.6× |
| Specific gravity body fluid (84315) range across 2 matching MRF lines |
$7.20–$49.80 | $12–$83 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$34.20–$111 | $57–$185 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$37.20–$126 | $62–$210 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $112.80 | $188 | 0.6× |
| Staph a DNA amp probe (87640) | $105 | $175 | 3.0× |
| Stone Analysis (82355) | $174.60 | $291 | 15.1× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$51–$120 | $85–$200 | varies |
| Strep a assay w/optic (87880) | $121.80 | $203 | 7.4× |
| Strep b DNA amp probe (87653) | $63 | $105 | 1.8× |
| Streptokinase, antibody Facility (86590) | $112.80 | $188 | 8.9× |
| Sugars Single Qual (84376) | $57.60 | $96 | 10.5× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) range across 2 matching MRF lines |
$105–$187.80 | $175–$313 | varies |
| Surg path level iii (88304) | $331.80 | $553 | 6.0× |
| Surgical pathology level IV (88305) | $433.20 | $722 | 7.9× |
| Surgical pathology level vi (88309) | $944.40 | $1,574 | 1.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$93–$145.80 | $155–$243 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $138.60 | $231 | 18.5× |
| Syphilis Test Non-Trep Quant (86593) | $109.20 | $182 | 24.8× |
| T cells absolute cd4 count (86361) | $345.60 | $576 | 12.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$248.40–$375.60 | $414–$626 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$198.60–$303.60 | $331–$506 | varies |
| T3 Free (84481) | $423.60 | $706 | 25.0× |
| T3 reverse (84482) | $195.60 | $326 | 12.4× |
| T3 Total (84480) | $276.60 | $461 | 19.5× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$37.20–$162 | $62–$270 | varies |
| T4 Free (84439) | $252.60 | $421 | 28.0× |
| T4 total (84436) range across 2 matching MRF lines |
$39–$177.60 | $65–$296 | varies |
| T4-neonatal (84437) | $109.80 | $183 | 17.0× |
| Tacrolimus (80197) | $393 | $655 | 28.6× |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$23.40–$102 | $39–$170 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$135.60–$361.80 | $226–$603 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$75.60–$339.60 | $126–$566 | varies |
| Tetanus antibody (86774) | $196.80 | $328 | 13.3× |
| Theophylline (80198) | $231.60 | $386 | 16.4× |
| Thiocyanate (84430) | $166.80 | $278 | 14.3× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$31.80–$153 | $53–$255 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$34.20–$173.40 | $57–$289 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$83.40–$271.80 | $139–$453 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$83.40–$235.20 | $139–$392 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $583.20 | $972 | 11.5× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $484.80 | $808 | 9.6× |
| Thyroxine binding globulin (84442) | $173.40 | $289 | 11.7× |
| Tiss cul neo disorders solid tumor (88239) | $1,195.20 | $1,992 | 8.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $25.80 | $43 | 2.2× |
| Tissue Culture (88233) range across 2 matching MRF lines |
$618–$828 | $1,030–$1,380 | varies |
| Tissue Culture Amniotic Fluid (88235) | $537 | $895 | 3.6× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$334.20–$904.20 | $557–$1,507 | varies |
| Tissue Culture Lymphocyte (88230) | $1,052.40 | $1,754 | 9.0× |
| Tobramycin peak (80200) | $313.20 | $522 | 19.4× |
| Topiramate (80201) | $212.40 | $354 | 17.8× |
| Touch prep (88161) | $225.60 | $376 | 7.4× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$33.60–$219 | $56–$365 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$75.60–$194.40 | $126–$324 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$28.80–$104.40 | $48–$174 | varies |
| Transferrin (84466) | $244.20 | $407 | 19.1× |
| Trg gene rearrangement anal (81342) | $485.40 | $809 | 2.4× |
| Trichomonas vagin dir probe (87660) | $60.60 | $101 | 3.0× |
| Trichomonas Vaginalis Amplif (87661) | $175.80 | $293 | 5.0× |
| Triglycerides (84478) range across 2 matching MRF lines |
$30.60–$126 | $51–$210 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$52.80–$265.80 | $88–$443 | varies |
| Tumor immunohistochem/comput (88361) | $509.40 | $849 | 1.3× |
| Tumor Immunohistochem/Manual (88360) | $521.40 | $869 | 2.9× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$9.60–$100.80 | $16–$168 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$24.60–$129 | $41–$215 | varies |
| Urinalysis Microscopic Only (81015) | $61.20 | $102 | 20.1× |
| Urinalysis Volume Measure (81050) | $24 | $40 | 6.6× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$66.60–$129.60 | $111–$216 | varies |
| Urine Pregnancy Test (81025) | $161.40 | $269 | 18.7× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $113.40 | $189 | 35.8× |
| Valproic acid (80164) | $282.60 | $471 | 20.9× |
| Vancomycin (80202) | $309 | $515 | 22.8× |
| Varicella-zoster antibody (86787) | $284.40 | $474 | 22.1× |
| Vasopressin (84588) | $277.20 | $462 | 8.2× |
| Very Long Chain Fatty Acids (82726) | $365.40 | $609 | 18.5× |
| Viral Culture (87252) range across 2 matching MRF lines |
$378–$594.60 | $630–$991 | varies |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$54.60–$303.60 | $91–$506 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$102.60–$294 | $171–$490 | varies |
| Vit D 1 25-Dihydroxy (82652) | $520.20 | $867 | 13.5× |
| Vitamin A (84590) | $241.80 | $403 | 20.8× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$55.20–$232.80 | $92–$388 | varies |
| Vitamin B2 (Riboflavin) (84252) | $277.20 | $462 | 13.7× |
| Vitamin B6 (84207) | $301.80 | $503 | 10.7× |
| Vitamin c (82180) | $149.40 | $249 | 15.1× |
| Vitamin D 25-Hydroxy (82306) | $418.80 | $698 | 14.1× |
| Vitamin E (84446) | $294.60 | $491 | 20.8× |
| Vitamin K (84597) | $339.60 | $566 | 24.8× |
| Volatiles (84600) range across 2 matching MRF lines |
$51.60–$218.40 | $86–$364 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $40.80 | $68 | 3.4× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$121.80–$422.40 | $203–$704 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $219 | $365 | 25.5× |
| West nile virus ab igm (86788) | $85.80 | $143 | 5.1× |
| West Nile Virus Antibody (86789) | $72 | $120 | 5.0× |
| Western Blot Test (84181) | $172.20 | $287 | 10.1× |
| Xm Archive Tissue Molec Anal (88363) | $113.40 | $189 | 3.7× |
| Xylose Absorption Test (84620) | $212.40 | $354 | 16.5× |
| Zinc (84630) | $235.80 | $393 | 20.7× |
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.