Lab & pathology prices at Ascension St. Vincent Randolph
Winchester, IN · every code in this section with a posted price and a Medicare benchmark.
726 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $269.40 | $449 | 11.8× |
| 5 Nucleotidase (83915) | $232.80 | $388 | 20.9× |
| Acth (82024) | $735.60 | $1,226 | 19.0× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) range across 2 matching MRF lines |
$85.80–$492.60 | $143–$821 | varies |
| Acute hepatitis panel (80074) | $1,041.60 | $1,736 | 21.9× |
| Acylcarnitines Quant (82017) | $399.60 | $666 | 23.7× |
| Acylcarnitines; qualitative, each specimen Facility (82016) range across 2 matching MRF lines |
$79.80–$249 | $133–$415 | varies |
| Agglutinins Febrile Each Antigen (86000) | $199.80 | $333 | 28.6× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$30–$119.40 | $50–$199 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$24.60–$98.40 | $41–$164 | varies |
| Aldolase (82085) | $214.80 | $358 | 22.1× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$232.20–$723 | $387–$1,205 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$84–$381.60 | $140–$636 | varies |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$93.60–$147.60 | $156–$246 | varies |
| Allergen specific igg (86001) | $83.40 | $139 | 10.7× |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$42–$63 | $70–$105 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $211.80 | $353 | 14.6× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$75.60–$312 | $126–$520 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $185.40 | $309 | 10.9× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$96–$390 | $160–$650 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$16.80–$117 | $28–$195 | varies |
| Aluminum (82108) | $196.20 | $327 | 7.7× |
| Amikacin trough (80150) | $251.40 | $419 | 16.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $746.40 | $1,244 | 32.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $475.80 | $793 | 28.2× |
| Amino Acids Multiple Qualitative Each Specimen (82128) range across 2 matching MRF lines |
$79.80–$270 | $133–$450 | varies |
| Amino Acids Quant 2-5 (82136) | $277.80 | $463 | 14.2× |
| Ammonia (82140) | $269.40 | $449 | 18.5× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $234 | $390 | 2.4× |
| Amylase urine (82150) range across 2 matching MRF lines |
$37.20–$204.60 | $62–$341 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$63–$227.40 | $105–$379 | varies |
| Androstenedione (82157) | $221.40 | $369 | 7.6× |
| Angiotensin converting enzyme csf (82164) | $334.20 | $557 | 22.9× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$123.60–$415.20 | $206–$692 | varies |
| Antibody aspergillus (86606) | $90 | $150 | 6.0× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$83.40–$129.60 | $139–$216 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$88.20–$442.80 | $147–$738 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$30.60–$381.60 | $51–$636 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $225.60 | $376 | 17.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$87.60–$206.40 | $146–$344 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$102.60–$280.80 | $171–$468 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$60.60–$172.20 | $101–$287 | varies |
| Antibody haemophilus influenza (86684) | $196.80 | $328 | 12.4× |
| Antibody helicobacter pylori (86677) | $422.40 | $704 | 25.1× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $200.40 | $334 | 13.9× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$60.60–$173.40 | $101–$289 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$78–$246.60 | $130–$411 | varies |
| Antibody HIV-2 (86702) | $43.20 | $72 | 3.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $252 | $420 | 13.0× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$53.40–$504 | $89–$840 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) range across 2 matching MRF lines |
$72–$191.40 | $120–$319 | varies |
| Antibody nocardia (86744) | $31.80 | $53 | 2.0× |
| Antibody Protozoa Nes (86753) | $153 | $255 | 12.3× |
| Antibody Titer (86886) | $400.80 | $668 | 77.4× |
| Antibody Treponema Pallidum (86780) | $95.40 | $159 | 7.2× |
| Antibody; influenza virus (86710) range across 2 matching MRF lines |
$77.40–$173.40 | $129–$289 | varies |
| Antigen typing (86905) | $187.80 | $313 | 49.0× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $173.40 | $289 | 30.3× |
| Antinomyces antibody (86602) range across 2 matching MRF lines |
$53.40–$96 | $89–$160 | varies |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$69.60–$330 | $116–$550 | varies |
| Antistreptolysin o titer (86060) | $247.80 | $413 | 33.9× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$69–$546.60 | $115–$911 | varies |
| Antithrombin iii antigen (85301) | $568.80 | $948 | 52.6× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$46.20–$150 | $77–$250 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$56.40–$160.80 | $94–$268 | varies |
| Aspergillus ag eia (87305) | $276.60 | $461 | 23.1× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$87.60–$1,102.80 | $146–$1,838 | varies |
| Assay Blood Carbon Dioxide (82374) | $98.40 | $164 | 20.2× |
| Assay Blood Catecholamines (82383) | $402.60 | $671 | 13.8× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$72–$263.40 | $120–$439 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$73.80–$352.20 | $123–$587 | varies |
| Assay of b-hexosaminidase each assay (83080) | $46.80 | $78 | 2.8× |
| Assay of blood/uric acid (84550) | $116.40 | $194 | 25.8× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$24.60–$138.60 | $41–$231 | varies |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$75.60–$295.80 | $126–$493 | varies |
| Assay of estrone (82679) range across 2 matching MRF lines |
$79.80–$313.20 | $133–$522 | varies |
| Assay of g6pd enzyme (82955) | $286.20 | $477 | 29.5× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$50.40–$219 | $84–$365 | varies |
| Assay of lactic acid (83605) | $237 | $395 | 20.5× |
| Assay of manganese (83785) | $225.60 | $376 | 8.5× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$96.60–$439.80 | $161–$733 | varies |
| Assay of phosphatase acid total (84060) | $96 | $160 | 12.6× |
| Assay of proinsulin (84206) | $280.80 | $468 | 10.5× |
| Assay of prostate specific antigen complexed (84152) | $396 | $660 | 21.5× |
| Assay of pyruvate (84210) | $233.40 | $389 | 16.1× |
| Assay of serotonin (84260) | $972 | $1,620 | 31.4× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$25.80–$88.20 | $43–$147 | varies |
| Assay of sweat sodium (84302) | $73.80 | $123 | 15.2× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$21.60–$100.80 | $36–$168 | varies |
| Assay of urine vma (84585) | $347.40 | $579 | 22.4× |
| Assay of vasoactive intestinal peptide (84586) | $477.60 | $796 | 13.5× |
| Assay of vitamin b-1 (84425) | $369 | $615 | 17.4× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$18–$106.80 | $30–$178 | varies |
| Atomic Absorption (82190) | $334.20 | $557 | 21.0× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$15.60–$78.60 | $26–$131 | varies |
| B cells total count (86355) | $190.20 | $317 | 5.0× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$58.80–$212.40 | $98–$354 | varies |
| Bcr/abl1 gene major bp (81206) | $501.60 | $836 | 3.1× |
| Bcr/abl1 gene minor bp (81207) | $324.60 | $541 | 2.2× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$69–$307.20 | $115–$512 | varies |
| Beta hydroxybutyrate (82010) | $241.80 | $403 | 29.6× |
| Beta Lactamase (87185) | $78 | $130 | 16.4× |
| Beta-2 Microglobulin (82232) | $327.60 | $546 | 20.2× |
| Bile acids total (82239) | $142.20 | $237 | 8.3× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$29.40–$100.80 | $49–$168 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$29.40–$111.60 | $49–$186 | varies |
| Biotinidase (82261) range across 2 matching MRF lines |
$84.60–$243.60 | $141–$406 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $63 | $105 | 18.4× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$60.60–$225.60 | $101–$376 | varies |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $206.40 | $344 | 6.7× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $524.40 | $874 | 2.9× |
| Bld Typing Serologic Rh Phnt (86906) | $474 | $790 | 61.2× |
| Blood Count Automated Differential Wbc Count (85004) | $20.40 | $34 | 3.2× |
| Blood Count Manual Cell Count Each (85032) | $109.20 | $182 | 25.3× |
| Blood Count Red Blood Cell Automated (85041) | $59.40 | $99 | 19.7× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$15.60–$96 | $26–$160 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$19.80–$86.40 | $33–$144 | varies |
| Blood gas (82803) range across 2 matching MRF lines |
$100.80–$395.40 | $168–$659 | varies |
| Blood gases w/02 saturation (82805) range across 2 matching MRF lines |
$161.40–$407.40 | $269–$679 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $138.60 | $231 | 8.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $86.40 | $144 | 19.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $166.80 | $278 | 26.3× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$51–$96 | $85–$160 | varies |
| Body fluid cell count (89050) | $186.60 | $311 | 39.5× |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$60.60–$185.40 | $101–$309 | varies |
| Braf gene analysis (81210) | $321.60 | $536 | 1.8× |
| Breath Alcohol Test (82075) | $65.40 | $109 | 2.2× |
| Brucella antibody (86622) range across 2 matching MRF lines |
$51–$134.40 | $85–$224 | varies |
| C diff amplified probe (87493) | $249 | $415 | 6.7× |
| C-Peptide (84681) | $345 | $575 | 16.6× |
| C-reactive protein (86140) | $212.40 | $354 | 41.0× |
| Ca 19-9 (86301) | $370.80 | $618 | 17.8× |
| Caffeine (80155) | $358.80 | $598 | 9.3× |
| Calcitonin (82308) | $440.40 | $734 | 16.4× |
| Calcium ionized (82330) | $247.80 | $413 | 18.1× |
| Calcium total (82310) range across 2 matching MRF lines |
$30–$99.60 | $50–$166 | varies |
| Calculus Spectroscopy (82365) | $210 | $350 | 16.3× |
| Calculus Xray Diffraction (82370) | $252.60 | $421 | 20.2× |
| Calprotectin Fecal (83993) | $375.60 | $626 | 19.1× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$219–$607.80 | $365–$1,013 | varies |
| Cancer Antigen 125 (86304) | $396 | $660 | 19.0× |
| Cancer Antigen 27.29 (86300) | $422.40 | $704 | 20.3× |
| Candida antibody (86628) | $33 | $55 | 2.7× |
| Candida Dna Dir Probe (87480) range across 2 matching MRF lines |
$60.60–$141.60 | $101–$236 | varies |
| Carbamazepine total (80156) | $297 | $495 | 20.4× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$70.20–$282.60 | $117–$471 | varies |
| Carcinoembryonic antigen (82378) | $382.80 | $638 | 20.2× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$237.60–$374.40 | $396–$624 | varies |
| Carnitine Quantitative Each Specimen (82379) | $216 | $360 | 12.8× |
| Carotene (82380) | $132.60 | $221 | 14.4× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$144–$582.60 | $240–$971 | varies |
| Catecholamines total urine (82382) | $454.80 | $758 | 16.7× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$42–$166.80 | $70–$278 | varies |
| Cell count csf (89051) | $199.80 | $333 | 35.7× |
| Cell marker study (88182) | $997.20 | $1,662 | 18.1× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $480 | $800 | 3.5× |
| Ceruloplasmin (82390) | $246.60 | $411 | 23.0× |
| Cftr gene com variants (81220) | $841.80 | $1,403 | 1.5× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$51.60–$394.80 | $86–$658 | varies |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$60.60–$288 | $101–$480 | varies |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$60.60–$117 | $101–$195 | varies |
| Chlamydia trachomatis ag if (87270) | $186.60 | $311 | 15.6× |
| Chloride other source (82438) range across 2 matching MRF lines |
$28.20–$120 | $47–$200 | varies |
| Chloride Serum (82435) range across 2 matching MRF lines |
$20.40–$84.60 | $34–$141 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$20.40–$106.80 | $34–$178 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$24.60–$112.80 | $41–$188 | varies |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$45–$162 | $75–$270 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$41.40–$349.20 | $69–$582 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $99.60 | $166 | 3.0× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $1,147.80 | $1,913 | 6.6× |
| Chromium serum (82495) | $147.60 | $246 | 7.3× |
| Chromogenic Substrate Assay (85130) | $297.60 | $496 | 25.0× |
| Chromogranin a (86316) | $393 | $655 | 18.9× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$708.60–$1,669.20 | $1,181–$2,782 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$105–$282.60 | $175–$471 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$159.60–$303 | $266–$505 | varies |
| Ckmb (82553) range across 2 matching MRF lines |
$36.60–$222.60 | $61–$371 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$69–$339.60 | $115–$566 | varies |
| Clot Factor VIII Multimetric (85247) range across 2 matching MRF lines |
$132–$361.80 | $220–$603 | varies |
| Clotting factor xii hageman (85280) | $277.80 | $463 | 14.4× |
| Clotting Funct Activity (85397) | $325.80 | $543 | 10.6× |
| Coagulation time other methods (85348) | $88.20 | $147 | 19.6× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$60.60–$231.60 | $101–$386 | varies |
| Cold agglutinin screen (86156) | $102 | $170 | 12.6× |
| Cold agglutinin titer (86157) | $225.60 | $376 | 28.0× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$106.80–$306 | $178–$510 | varies |
| Column Chromotography Quant (82542) | $438.60 | $731 | 18.2× |
| Compatibility Each Unit Incubation (86921) | $175.80 | $293 | 1.0× |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$82.80–$204.60 | $138–$341 | varies |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$69–$270 | $115–$450 | varies |
| Complement Total (Ch50) (86162) | $531 | $885 | 26.1× |
| Complement/Function Activity (86161) | $189.60 | $316 | 15.8× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $1,701 | $2,835 | 9.4× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $381.60 | $636 | 6.9× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $393 | $655 | 9.9× |
| Coombs direct (86880) range across 2 matching MRF lines |
$29.40–$145.80 | $49–$243 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$72–$324.60 | $120–$541 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$96–$351 | $160–$585 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$83.40–$349.80 | $139–$583 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$13.80–$108 | $23–$180 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$37.20–$138.60 | $62–$231 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$30–$99.60 | $50–$166 | varies |
| Creatinine clearance (82575) | $288 | $480 | 30.4× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$30–$124.80 | $50–$208 | varies |
| Crossmatch electronic (86923) | $154.20 | $257 | 0.9× |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$47.40–$212.40 | $79–$354 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$73.80–$241.80 | $123–$403 | varies |
| Cryofibrinogen (82585) | $25.80 | $43 | 1.8× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$37.20–$160.20 | $62–$267 | varies |
| Cryptococcal Antigen (87327) | $208.80 | $348 | 15.6× |
| Cryptococcus ab (86641) | $189.60 | $316 | 13.2× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$36–$129 | $60–$215 | varies |
| Cryptosporidium (87272) | $61.20 | $102 | 5.1× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$61.20–$129.60 | $102–$216 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$82.80–$129 | $138–$215 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$112.80–$175.80 | $188–$293 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $194.40 | $324 | 25.2× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $392.40 | $654 | 1.8× |
| Culture aerobic quant other (87071) | $221.40 | $369 | 22.4× |
| Culture afb (87116) range across 2 matching MRF lines |
$61.20–$294 | $102–$490 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$36.60–$334.20 | $61–$557 | varies |
| Culture blood (87040) | $316.20 | $527 | 30.6× |
| Culture chlamydia (87110) range across 2 matching MRF lines |
$69–$232.80 | $115–$388 | varies |
| Culture csf (87070) range across 2 matching MRF lines |
$49.80–$269.40 | $83–$449 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$22.80–$228 | $38–$380 | varies |
| Culture fungus blood (87103) | $216.60 | $361 | 10.6× |
| Culture screen only (87081) range across 2 matching MRF lines |
$34.80–$175.80 | $58–$293 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$54–$312 | $90–$520 | varies |
| Culture Typing Gas/High Pres Liq Chromatography (87143) range across 2 matching MRF lines |
$31.80–$174.60 | $53–$291 | varies |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$29.40–$98.40 | $49–$164 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$20.40–$78.60 | $34–$131 | varies |
| Culture urine (87086) | $233.40 | $389 | 28.9× |
| Cyanide (82600) | $216 | $360 | 11.1× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $173.40 | $289 | 12.1× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$100.80–$371.40 | $168–$619 | varies |
| Cystatin C (82610) | $137.40 | $229 | 7.4× |
| Cytogenetics 10-30 (88273) range across 2 matching MRF lines |
$258–$402.60 | $430–$671 | varies |
| Cytogenetics 100-300 (88275) | $430.80 | $718 | 8.4× |
| 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–$290.40 | $72–$484 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $182.40 | $304 | 9.0× |
| Cytopath Cell Enhance Tech (88112) | $285.60 | $476 | 5.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$58.80–$225.60 | $98–$376 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $313.20 | $522 | 7.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $382.80 | $638 | 6.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $227.40 | $379 | 5.8× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $438.60 | $731 | 2.4× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $232.80 | $388 | 4.2× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $153 | $255 | 5.0× |
| Deoxycortisol (82634) | $498 | $830 | 17.0× |
| Deoxyribonuclease antibody (86215) | $153 | $255 | 11.5× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$198.60–$488.40 | $331–$814 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$128.40–$618 | $214–$1,030 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$190.20–$487.20 | $317–$812 | varies |
| Dhea (82626) | $270 | $450 | 10.7× |
| Dhea-S (82627) | $588 | $980 | 26.5× |
| Digoxin (80162) | $255.60 | $426 | 19.2× |
| Diphtheria antitoxoid (86648) | $165 | $275 | 10.8× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$78–$288.60 | $130–$481 | varies |
| Dna Antibody Single Stranded (86226) | $241.80 | $403 | 20.0× |
| Dna/Rna Amplified Probe (87150) | $63 | $105 | 1.8× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$102.60–$231.60 | $171–$386 | varies |
| Drug assay acetaminophen (80143) | $36 | $60 | 1.9× |
| Drug Screen Quant Zonisamide (80203) | $358.80 | $598 | 27.1× |
| Drug Screen Quantitative Gabapentin (80171) | $407.40 | $679 | 18.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $358.80 | $598 | 27.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $358.80 | $598 | 27.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $179.40 | $299 | 13.5× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $234 | $390 | 14.0× |
| 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× |
| Egfr Gene Analysis Common Variants (81235) | $399.60 | $666 | 1.2× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$37.20–$208.80 | $62–$348 | varies |
| Electron Microscopy (88348) | $1,907.40 | $3,179 | 2.2× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 2 matching MRF lines |
$87.60–$222.60 | $146–$371 | varies |
| Enterovirus Antibody (86658) | $81 | $135 | 6.2× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$95.40–$262.20 | $159–$437 | varies |
| Enzyme cell activity (82657) | $439.80 | $733 | 19.8× |
| Erythropoietin (82668) | $376.20 | $627 | 20.0× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$88.80–$544.80 | $148–$908 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$137.40–$233.40 | $229–$389 | varies |
| Estrogen total (82672) | $314.40 | $524 | 14.5× |
| Estrogens fractionated (82671) | $334.20 | $557 | 10.3× |
| Ethosuximide (80168) | $214.80 | $358 | 13.1× |
| Ethylene Glycol (82693) | $294 | $490 | 19.7× |
| Exam Synovial Fluid Crystals (89060) | $172.80 | $288 | 23.6× |
| F2 Gene (81240) range across 2 matching MRF lines |
$70.20–$236.40 | $117–$394 | varies |
| Factor ii activity (85210) | $295.20 | $492 | 22.7× |
| Factor Inhibitor Test (85335) range across 2 matching MRF lines |
$70.20–$303.60 | $117–$506 | varies |
| Factor ix activity (85250) | $475.80 | $793 | 25.0× |
| Factor v activity (85220) | $450 | $750 | 25.5× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$73.80–$474.60 | $123–$791 | varies |
| Factor vii assay (85230) | $722.40 | $1,204 | 40.4× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$101.40–$557.40 | $169–$929 | varies |
| Factor X (85260) | $492.60 | $821 | 27.5× |
| Factor xi activity (85270) | $320.40 | $534 | 17.9× |
| Factor xiii screen (85291) range across 2 matching MRF lines |
$51–$199.80 | $85–$333 | varies |
| Fat/Lipids Feces Quantitative (82710) | $233.40 | $389 | 13.9× |
| Fatty acids free (82725) | $157.80 | $263 | 8.4× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $279 | $465 | 36.2× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $233.40 | $389 | 13.6× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $208.80 | $348 | 32.0× |
| Fecal Fat Qualitative (82705) | $288.60 | $481 | 56.6× |
| Ferritin (82728) range across 2 matching MRF lines |
$42.60–$273.60 | $71–$456 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $756 | $1,260 | 4.9× |
| Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) | $511.80 | $853 | 7.4× |
| Fetal Fibronectin (82731) | $1,143 | $1,905 | 17.7× |
| Fetal hemoglobin assay qual (83033) range across 2 matching MRF lines |
$34.20–$196.20 | $57–$327 | varies |
| Fibrin degradation products (85362) | $187.80 | $313 | 27.3× |
| Fibrin Degradation Quant (85379) | $377.40 | $629 | 37.1× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $142.20 | $237 | 14.6× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$47.40–$231.60 | $79–$386 | varies |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$204.60–$265.80 | $341–$443 | varies |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$69.60–$361.20 | $116–$602 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$69.60–$277.20 | $116–$462 | varies |
| Fmr1 gene detection (81243) | $625.80 | $1,043 | 11.0× |
| Folic acid rbc (82747) | $326.40 | $544 | 18.5× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$46.80–$285.60 | $78–$476 | varies |
| Follicle Stimulating Hormone (83001) | $457.80 | $763 | 24.6× |
| Francisella tularensis (86668) | $189.60 | $316 | 13.4× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $99.60 | $166 | 0.6× |
| Frozen Section (88331) | $369.60 | $616 | 2.1× |
| Fungi Identification Mold (87107) | $136.80 | $228 | 13.3× |
| Fungi Identification Yeast (87106) | $144.60 | $241 | 14.0× |
| Galactose (82760) range across 2 matching MRF lines |
$63.60–$191.40 | $106–$319 | varies |
| Galactose transferase test (82776) range across 2 matching MRF lines |
$47.40–$96 | $79–$160 | varies |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$94.80–$303 | $158–$505 | varies |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
$60.60–$137.40 | $101–$229 | varies |
| Gardner Vag Dna Quant (87512) | $124.80 | $208 | 3.0× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $21.60 | $36 | 2.2× |
| Gases blood ph only (82800) | $149.40 | $249 | 13.6× |
| Gastrin (82941) | $339.60 | $566 | 19.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,093.20 | $1,822 | 2.6× |
| Genet Virus Isolate Hsv (87255) | $268.80 | $448 | 7.9× |
| Gentamicin (80170) | $387 | $645 | 23.6× |
| Ggt (82977) range across 2 matching MRF lines |
$21–$153 | $35–$255 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$38.40–$288.60 | $64–$481 | varies |
| Giardia lamblia antibody (86674) | $228 | $380 | 15.5× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $120 | $200 | 19.8× |
| Glucagon (82943) | $110.40 | $184 | 7.7× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$27.60–$144.60 | $46–$241 | varies |
| Glucose Blood Test (82962) | $71.40 | $119 | 21.8× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$21.60–$116.40 | $36–$194 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$21.60–$84 | $36–$140 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$73.80–$282.60 | $123–$471 | varies |
| Glycated Protein (82985) | $196.20 | $327 | 11.7× |
| Gonadotropin Chorionic Qualitative (84703) | $208.80 | $348 | 27.8× |
| Growth hormone (83003) range across 2 matching MRF lines |
$95.40–$358.80 | $159–$598 | varies |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$21.60–$78 | $36–$130 | varies |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$383.40–$1,041.60 | $639–$1,736 | varies |
| H Pylori Drug Admin (83014) range across 2 matching MRF lines |
$45–$78.60 | $75–$131 | varies |
| Haptoglobin (83010) range across 2 matching MRF lines |
$30.60–$268.80 | $51–$448 | varies |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$46.80–$196.80 | $78–$328 | varies |
| Heavy metal qualitative any analytes (83015) | $438 | $730 | 20.9× |
| Helicobacter Pylori Stool (87338) | $320.40 | $534 | 22.3× |
| Helminth Antibody (86682) | $247.80 | $413 | 19.0× |
| Hematocrit (85014) range across 2 matching MRF lines |
$13.80–$69.60 | $23–$116 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$13.80–$64.80 | $23–$108 | varies |
| Hemoglobin a1c (83036) | $135 | $225 | 13.9× |
| Hemoglobin Chromotography (83021) | $195 | $325 | 10.8× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$73.80–$277.80 | $123–$463 | varies |
| Hemoglobin F Fetal Chemical (83030) | $129.60 | $216 | 12.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $266.40 | $444 | 32.5× |
| Hemoglobin plasma (83051) | $252.60 | $421 | 34.6× |
| Hemolysin Acid (85475) | $146.40 | $244 | 16.5× |
| Hemolysins&Agglutinins Incubated (86941) | $160.80 | $268 | 13.3× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$63.60–$265.80 | $106–$443 | varies |
| Heparin assay (85520) | $585 | $975 | 44.7× |
| Hepatitis a antibody total (86708) | $262.20 | $437 | 21.2× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$68.40–$318.60 | $114–$531 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$69.60–$243.60 | $116–$406 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$28.20–$236.40 | $47–$394 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$37.20–$232.20 | $62–$387 | varies |
| Hepatitis Be Antibody (86707) | $225.60 | $376 | 19.5× |
| Hepatitis Be Antigen (87350) | $252 | $420 | 21.9× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$82.20–$349.80 | $137–$583 | varies |
| Hepatitis c antibody confirmatory test (86804) | $517.80 | $863 | 33.4× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$545.40–$873.60 | $909–$1,456 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $810.60 | $1,351 | 23.1× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$135.60–$1,015.20 | $226–$1,692 | varies |
| Hepatitis Delta Agent Antibody (86692) | $142.20 | $237 | 8.3× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$110.40–$199.80 | $184–$333 | varies |
| Heterophile Antibody Screen (86308) | $182.40 | $304 | 35.2× |
| Hfe Gene (81256) | $309 | $515 | 4.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $264.60 | $441 | 34.2× |
| Histamine urine (83088) range across 2 matching MRF lines |
$169.80–$326.40 | $283–$544 | varies |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$156–$246.60 | $260–$411 | varies |
| Histoplasma antigen urine (87385) | $501.60 | $836 | 37.9× |
| Hiv Antigen W/Hiv Antibodies (87806) range across 2 matching MRF lines |
$72–$173.40 | $120–$289 | varies |
| Hiv Genotype (87901) | $1,974.60 | $3,291 | 7.7× |
| 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) | $28.80 | $48 | 3.2× |
| HIV-1 p24 antigen (87390) | $52.80 | $88 | 2.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $1,239 | $2,065 | 14.6× |
| HIV-2 probe&revrse trnscripj (87538) | $115.80 | $193 | 3.3× |
| Hla class ii typing high resolution one locus ea (81382) | $335.40 | $559 | 2.7× |
| Hla I Typing 1 Allele Hr (81381) | $344.40 | $574 | 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 |
$329.40–$964.20 | $549–$1,607 | varies |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $2,520.60 | $4,201 | 23.7× |
| Hla-b27 (86812) | $484.80 | $808 | 18.8× |
| Homocysteine (83090) range across 2 matching MRF lines |
$96–$286.20 | $160–$477 | varies |
| Homogenization Tissue (87176) | $86.40 | $144 | 14.7× |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$110.40–$208.20 | $184–$347 | varies |
| Hpv High-Risk Types (87624) | $78 | $130 | 2.2× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$198.60–$417.60 | $331–$696 | varies |
| Hydroxycorticosteroids 17 (83491) | $264.60 | $441 | 14.8× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$154.20–$277.80 | $257–$463 | varies |
| Hydroxyproline free (83500) | $295.80 | $493 | 13.1× |
| Hydroxyproline total (83505) | $407.40 | $679 | 16.8× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $142.20 | $237 | 11.9× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $126.60 | $211 | 10.6× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $145.80 | $243 | 14.1× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $318 | $530 | 22.9× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$38.40–$147.60 | $64–$246 | varies |
| Iaad Ia Streptococcus Group A (87430) | $165.60 | $276 | 9.9× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $252 | $420 | 21.0× |
| Iaadi giardia (87269) | $61.20 | $102 | 4.5× |
| Iaadi not otherwise specified each organism (87299) | $151.20 | $252 | 9.4× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $36 | $60 | 3.0× |
| Iaadiadoo trichomonas vaginalis (87808) range across 2 matching MRF lines |
$36–$96.60 | $60–$161 | varies |
| Iadna Bartonella Amplified Probe Technique (87471) | $273.60 | $456 | 7.8× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $758.40 | $1,264 | 21.6× |
| Iadna Candida Species Amplified Probe Tq (87481) | $105 | $175 | 3.0× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $270 | $450 | 11.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $95.40 | $159 | 2.7× |
| Iadna Cytomegalovirus Quantification (87497) | $694.80 | $1,158 | 16.2× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $212.40 | $354 | 3.0× |
| Iadna hepatitis b virus amplified probe tq (87516) | $474 | $790 | 13.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $1,158 | $1,930 | 27.0× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 2 matching MRF lines |
$95.40–$418.80 | $159–$698 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $412.20 | $687 | 11.7× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $270.60 | $451 | 6.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$105–$282.60 | $175–$471 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$27.60–$318 | $46–$530 | varies |
| Igh gene rearrange amp meth (81261) | $289.80 | $483 | 1.5× |
| Igk rearrangeabn clonal pop (81264) | $1,068 | $1,780 | 6.2× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $461.40 | $769 | 1.2× |
| Immune Complex Assay (86332) | $234 | $390 | 9.6× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$93.60–$262.20 | $156–$437 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$75.60–$545.40 | $126–$909 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $206.40 | $344 | 8.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $44.40 | $74 | 3.0× |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$65.40–$251.40 | $109–$419 | varies |
| Immunodiffusion not elsewhere specified (86329) | $72 | $120 | 5.1× |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$69–$247.80 | $115–$413 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$128.40–$546 | $214–$910 | varies |
| Immunohistochemistry (88342) | $359.40 | $599 | 2.0× |
| In situ hybridization 1st probe stain (88365) | $902.40 | $1,504 | 5.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | $361.20 | $602 | 24.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $157.80 | $263 | 9.9× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) | $249 | $415 | 15.6× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $163.20 | $272 | 11.3× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $153 | $255 | 3.0× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) range across 2 matching MRF lines |
$36.60–$99.60 | $61–$166 | varies |
| Influenza a/b ag eia (87400) range across 2 matching MRF lines |
$61.20–$186.60 | $102–$311 | varies |
| Influenza assay w/optic (87804) | $61.20 | $102 | 3.7× |
| Influenza DNA amp probe (87502) | $383.40 | $639 | 4.0× |
| Inhibin A (86336) range across 2 matching MRF lines |
$73.20–$255.60 | $122–$426 | varies |
| Inhibin b (83520) range across 2 matching MRF lines |
$73.80–$387 | $123–$645 | varies |
| Insitu hybridization manual (88368) range across 2 matching MRF lines |
$165.60–$667.20 | $276–$1,112 | varies |
| Insulin antibodies (86337) | $259.20 | $432 | 12.1× |
| Insulin free (83527) | $108 | $180 | 8.3× |
| Insulin total (83525) range across 2 matching MRF lines |
$177–$277.80 | $295–$463 | varies |
| Intrinsic factor antibody (86340) | $207 | $345 | 13.7× |
| Iron (83540) range across 2 matching MRF lines |
$37.20–$151.80 | $62–$253 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$50.40–$174.60 | $84–$291 | varies |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$100.80–$351.60 | $168–$586 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$165–$688.80 | $275–$1,148 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $333.60 | $556 | 1.8× |
| Ketosteroids 17 total (83586) | $210.60 | $351 | 16.5× |
| Kras Gene Variants Exon 2 (81275) | $280.80 | $468 | 1.5× |
| L/s ratio (83661) range across 2 matching MRF lines |
$124.80–$318.60 | $208–$531 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$34.80–$120 | $58–$200 | varies |
| Lactoferrin fecal qualitative (83630) | $149.40 | $249 | 7.6× |
| Lactoferrin Fecal Quantitative (83631) | $266.40 | $444 | 13.6× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$73.20–$294 | $122–$490 | varies |
| LDL direct (83721) | $185.40 | $309 | 17.7× |
| Lead (83655) range across 2 matching MRF lines |
$69.60–$191.40 | $116–$319 | varies |
| Legionella antibody (86713) | $252.60 | $421 | 16.5× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$69–$266.40 | $115–$444 | varies |
| Leucine Aminopeptidase Lap (83670) | $157.80 | $263 | 16.1× |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$21–$96.60 | $35–$161 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $191.40 | $319 | 6.3× |
| Level ii surg pathology grossµscopic exam (88302) | $268.80 | $448 | 6.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $797.40 | $1,329 | 2.1× |
| Lidocaine (80176) | $247.80 | $413 | 16.9× |
| Lipase (83690) | $191.40 | $319 | 27.8× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$65.40–$124.80 | $109–$208 | varies |
| Lipoprotein Bld Quan Part (83704) | $269.40 | $449 | 7.9× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) range across 2 matching MRF lines |
$63.60–$151.80 | $106–$253 | varies |
| Listeria Monocytogenes (86723) range across 2 matching MRF lines |
$60.60–$95.40 | $101–$159 | varies |
| Lithium (80178) | $208.80 | $348 | 31.6× |
| Luteinizing Hormone (Lh) (83002) | $474.60 | $791 | 25.6× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$60.60–$371.40 | $101–$619 | varies |
| Lysozyme serum (85549) | $182.40 | $304 | 9.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $610.80 | $1,018 | 3.4× |
| M/phmtrc alys ishquant/semiq (88374) | $402 | $670 | 2.2× |
| Macroscopic exam arthropod (87168) | $109.80 | $183 | 25.7× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$38.40–$162 | $64–$270 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$63–$299.40 | $105–$499 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$93.60–$187.20 | $156–$312 | varies |
| Metabolic panel ionized ca (80047) | $217.80 | $363 | 15.9× |
| Methylmalonic acid serum (83921) | $294 | $490 | 13.9× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$33.60–$251.40 | $56–$419 | varies |
| Microsatellite instability (81301) | $588 | $980 | 1.7× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$83.40–$243.60 | $139–$406 | varies |
| Mitochondrial Antibody Each (86381) | $45.60 | $76 | 1.8× |
| Mlh1 Gene (81288) | $594 | $990 | 3.1× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$169.80–$228 | $283–$380 | varies |
| Mopath procedure level 2 (81401) | $570.60 | $951 | 4.2× |
| Morphometric Analysis Tumor (88358) | $592.20 | $987 | 3.3× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $333.60 | $556 | 1.8× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$97.80–$276.60 | $163–$461 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $403.20 | $672 | 6.2× |
| Mucin Clot Body Fluid (83872) | $72 | $120 | 12.3× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$60.60–$151.20 | $101–$252 | varies |
| Mycophenolic Acid (80180) | $299.40 | $499 | 16.6× |
| Mycoplasma antibody (86738) | $246 | $410 | 18.6× |
| Mycoplasma culture (87109) | $198.60 | $331 | 12.9× |
| Myelin basic protein csf (83873) | $312 | $520 | 18.1× |
| Myoglobin urine (83874) | $411.60 | $686 | 31.9× |
| Natriuretic peptide (83880) | $345 | $575 | 8.8× |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$96.60–$631.20 | $161–$1,052 | varies |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $388.20 | $647 | 1.5× |
| Niacin (84591) range across 2 matching MRF lines |
$59.40–$246.60 | $99–$411 | varies |
| Nk cells total count (86357) | $190.20 | $317 | 5.0× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$101.40–$259.80 | $169–$433 | varies |
| Obstetric panel (80081) | $601.80 | $1,003 | 8.0× |
| Occult blood feces (82272) | $57.60 | $96 | 13.6× |
| Occult Blood Other Sources (82271) | $78 | $130 | 14.7× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$114–$648.60 | $190–$1,081 | varies |
| Oncoprotein dcp (83951) | $314.40 | $524 | 4.9× |
| Organic Acids Qualitative Each Specimen (83919) | $321 | $535 | 19.5× |
| Organic acids urine (83918) range across 2 matching MRF lines |
$94.80–$438 | $158–$730 | varies |
| Osmolality serum (83930) | $147.60 | $246 | 22.3× |
| Osmolality Urine (83935) | $147.60 | $246 | 21.6× |
| Osteocalcin (83937) | $187.20 | $312 | 6.3× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$51–$251.40 | $85–$419 | varies |
| Oxalate urine (83945) range across 2 matching MRF lines |
$73.80–$279 | $123–$465 | varies |
| Pancreatic Elastase Fecal (82656) range across 2 matching MRF lines |
$60.60–$347.40 | $101–$579 | varies |
| Particle Agglut Antbdy Titr (86406) | $151.20 | $252 | 14.2× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$33–$259.20 | $55–$432 | varies |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$81–$200.40 | $135–$334 | varies |
| Ph urine (81003) range across 2 matching MRF lines |
$12–$114 | $20–$190 | varies |
| Phenobarbital Level (80184) | $265.80 | $443 | 17.4× |
| Phenylalanine (84030) | $157.80 | $263 | 28.7× |
| Phenytoin (Dilantin) (80185) | $263.40 | $439 | 19.9× |
| Phenytoin free (80186) | $316.20 | $527 | 23.0× |
| Phosphatase acid prostatic (84066) | $175.80 | $293 | 18.2× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$30–$100.80 | $50–$168 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $198 | $330 | 11.0× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$27.60–$108 | $46–$180 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$30–$137.40 | $50–$229 | varies |
| Pinworm exam (87172) | $72 | $120 | 16.9× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$122.40–$356.40 | $204–$594 | varies |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$31.80–$593.40 | $53–$989 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$25.80–$120 | $43–$200 | varies |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$36–$318.60 | $60–$531 | varies |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$47.40–$187.20 | $79–$312 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$84–$231.60 | $140–$386 | varies |
| Potassium Urine (84133) range across 2 matching MRF lines |
$20.40–$120 | $34–$200 | varies |
| Prealbumin (84134) | $327.60 | $546 | 22.5× |
| Pregnancy-Associated Plasma Protein-A (84163) range across 2 matching MRF lines |
$41.40–$174.60 | $69–$291 | varies |
| Pregnenolone (84140) | $177.60 | $296 | 8.6× |
| Primidone (80188) | $252 | $420 | 15.2× |
| Procalcitonin (Pct) (84145) | $315.60 | $526 | 11.6× |
| Progesterone (84144) | $477 | $795 | 22.9× |
| Prolactin (84146) range across 2 matching MRF lines |
$42.60–$451.80 | $71–$753 | varies |
| Protein body fluid (84157) | $138.60 | $231 | 34.7× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$78–$631.80 | $130–$1,053 | varies |
| Protein c antigen (85302) | $579.60 | $966 | 48.3× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$100.80–$214.80 | $168–$358 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$61.20–$252.60 | $102–$421 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$87.60–$648.60 | $146–$1,081 | varies |
| Protein s total (85305) | $574.20 | $957 | 49.5× |
| Protein total serum (84155) range across 2 matching MRF lines |
$21–$98.40 | $35–$164 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$21–$134.40 | $35–$224 | varies |
| Protein Western Blot Test (84182) | $52.80 | $88 | 1.8× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$12–$100.20 | $20–$167 | varies |
| Protoporphyrin rbc quantitative (84202) | $151.20 | $252 | 10.5× |
| PSA free (84154) range across 2 matching MRF lines |
$106.20–$252 | $177–$420 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$235.20–$610.80 | $392–$1,018 | varies |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$60.60–$153 | $101–$255 | varies |
| Quantiferon tb gold plus (86480) | $358.80 | $598 | 5.8× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$70.20–$358.80 | $117–$598 | varies |
| Quantitative Screen Metals (83018) | $231.60 | $386 | 10.5× |
| Quinidine (80194) | $206.40 | $344 | 14.1× |
| Rbc antibody elution (86860) | $314.40 | $524 | 1.7× |
| Rbc antibody identification (86870) | $349.80 | $583 | 0.9× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$47.40–$234 | $79–$390 | varies |
| Rbc pretreatment serum (86978) | $480 | $800 | 7.7× |
| Rbc pretx incubatj w/enzymes (86971) | $144 | $240 | 0.8× |
| Reagent Strip/Blood Glucose (82948) | $72 | $120 | 14.3× |
| Receptor assay estrogen (84233) | $649.20 | $1,082 | 7.4× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$124.80–$517.80 | $208–$863 | varies |
| Reptilase test (85635) | $127.20 | $212 | 12.9× |
| Resp virus 12-25 targets (87633) | $1,458 | $2,430 | 3.5× |
| Reticulocyte Count (85046) range across 2 matching MRF lines |
$32.40–$121.80 | $54–$203 | varies |
| Reticulocyte Count Manual (85044) | $91.80 | $153 | 21.3× |
| Reticulocyte separation (86972) | $285.60 | $476 | 1.6× |
| Rh (86901) range across 2 matching MRF lines |
$54–$84.60 | $90–$141 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$33.60–$220.80 | $56–$368 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$110.40–$363.60 | $184–$606 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$132–$345 | $220–$575 | varies |
| Rotavirus ag eia (87425) | $303.60 | $506 | 25.3× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$24–$120 | $40–$200 | varies |
| Rsv Assay W/Optic (87807) | $211.80 | $353 | 16.2× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$43.20–$231.60 | $72–$386 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$73.80–$199.80 | $123–$333 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$36–$247.80 | $60–$413 | 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× |
| Sedimentation Rate, Automated (85652) | $138.60 | $231 | 51.3× |
| Selenium (84255) | $171.60 | $286 | 6.7× |
| Semen Anal Sperm Detection (89321) | $106.80 | $178 | 8.9× |
| Semen analysis motility and count (89310) | $151.80 | $253 | 17.6× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$49.80–$183 | $83–$305 | varies |
| Serpina 1 gene (81332) | $422.40 | $704 | 9.7× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$123–$247.80 | $205–$413 | varies |
| Sickling of rbc reduction (85660) | $137.40 | $229 | 24.9× |
| Sirolimus (80195) | $249 | $415 | 18.1× |
| Skin test tuberculosis intradermal (86580) | $64.20 | $107 | 2.1× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$31.80–$157.80 | $53–$263 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$101.40–$207 | $169–$345 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$24–$117 | $40–$195 | varies |
| Smear Special Stain (87207) | $182.40 | $304 | 30.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $127.20 | $212 | 21.9× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$25.80–$89.40 | $43–$149 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$20.40–$109.80 | $34–$183 | varies |
| Soluble Transferrin Receptor (84238) | $637.80 | $1,063 | 17.4× |
| Somatomedin (84305) | $526.80 | $878 | 24.8× |
| Special Stains Group 1 (88312) | $262.20 | $437 | 4.8× |
| Special Stains Group 2 (88313) | $246 | $410 | 1.7× |
| Specific gravity body fluid (84315) range across 2 matching MRF lines |
$7.80–$56.40 | $13–$94 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$34.80–$119.40 | $58–$199 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$40.80–$136.80 | $68–$228 | varies |
| Sperm Antibodies (89325) | $459.60 | $766 | 43.1× |
| Staph a DNA amp probe (87640) | $97.80 | $163 | 2.8× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$54–$165.60 | $90–$276 | varies |
| Strep a assay w/optic (87880) | $121.80 | $203 | 7.4× |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$95.40–$213.60 | $159–$356 | varies |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $124.20 | $207 | 10.8× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $74.40 | $124 | 13.5× |
| Sugars Single Qual (84376) | $83.40 | $139 | 15.2× |
| Surg path level iii (88304) | $374.40 | $624 | 6.8× |
| Surgical pathology level IV (88305) | $471 | $785 | 8.5× |
| Surgical pathology level vi (88309) | $1,023 | $1,705 | 1.2× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $86.40 | $144 | 18.2× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $127.20 | $212 | 17.0× |
| Syphilis Test Non-Trep Quant (86593) | $98.40 | $164 | 22.4× |
| T cells absolute cd4 count (86361) | $370.80 | $618 | 13.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$267–$514.20 | $445–$857 | varies |
| T cells total count (86359) | $190.20 | $317 | 5.0× |
| T3 Free (84481) | $460.20 | $767 | 27.2× |
| T3 reverse (84482) | $318.60 | $531 | 20.2× |
| T3 Total (84480) | $357 | $595 | 25.2× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$37.20–$189.60 | $62–$316 | varies |
| T4 Free (84439) | $307.20 | $512 | 34.1× |
| T4 total (84436) range across 2 matching MRF lines |
$39–$194.40 | $65–$324 | varies |
| T4-neonatal (84437) range across 2 matching MRF lines |
$37.20–$120 | $62–$200 | varies |
| Tacrolimus (80197) | $542.40 | $904 | 39.5× |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$25.80–$141.60 | $43–$236 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$147.60–$432 | $246–$720 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$129–$460.80 | $215–$768 | varies |
| Tetanus antibody (86774) | $198 | $330 | 13.4× |
| Theophylline (80198) | $252 | $420 | 17.8× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$33.60–$165.60 | $56–$276 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$37.20–$241.80 | $62–$403 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$93–$369.60 | $155–$616 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$91.80–$306 | $153–$510 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $756 | $1,260 | 14.9× |
| Thyroxine binding globulin (84442) | $189.60 | $316 | 12.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $25.80 | $43 | 2.2× |
| Tissue Culture (88233) range across 2 matching MRF lines |
$665.40–$1,034.40 | $1,109–$1,724 | varies |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$367.20–$978.60 | $612–$1,631 | varies |
| Tissue Culture Lymphocyte (88230) | $1,440.60 | $2,401 | 12.4× |
| Tobramycin peak (80200) | $334.80 | $558 | 20.8× |
| Topiramate (80201) | $212.40 | $354 | 17.8× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$30.60–$243.60 | $51–$406 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$82.80–$232.80 | $138–$388 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$30–$117 | $50–$195 | varies |
| Transferrin (84466) | $262.20 | $437 | 20.5× |
| Trichomonas vagin dir probe (87660) range across 2 matching MRF lines |
$60.60–$141.60 | $101–$236 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$105–$163.80 | $175–$273 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$33.60–$136.80 | $56–$228 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$57–$273.60 | $95–$456 | varies |
| Tumor immunohistochem/comput (88361) | $514.20 | $857 | 1.4× |
| Tumor Immunohistochem/Manual (88360) | $460.80 | $768 | 2.6× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$18–$119.40 | $30–$199 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$27.60–$137.40 | $46–$229 | varies |
| Urinalysis Microscopic Only (81015) | $70.20 | $117 | 23.0× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $73.20 | $122 | 33.7× |
| Urinalysis Volume Measure (81050) | $34.80 | $58 | 9.6× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$90–$141.60 | $150–$236 | varies |
| Urine Pregnancy Test (81025) | $146.40 | $244 | 17.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $127.20 | $212 | 40.1× |
| Valproic acid (80164) | $324.60 | $541 | 24.0× |
| Vancomycin (80202) | $351 | $585 | 25.9× |
| Varicella-zoster antibody (86787) | $308.40 | $514 | 23.9× |
| Vasopressin (84588) | $303 | $505 | 8.9× |
| Viral Culture (87252) range across 2 matching MRF lines |
$405–$633.60 | $675–$1,056 | varies |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$60.60–$330.60 | $101–$551 | varies |
| Virus inoculation, shell via (87254) | $100.80 | $168 | 5.2× |
| Viscosity serum (85810) | $266.40 | $444 | 22.8× |
| Vit D 1 25-Dihydroxy (82652) | $663 | $1,105 | 17.2× |
| Vitamin A (84590) | $263.40 | $439 | 22.7× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$48–$280.80 | $80–$468 | varies |
| Vitamin B2 (Riboflavin) (84252) | $303 | $505 | 15.0× |
| Vitamin B6 (84207) | $330.60 | $551 | 11.8× |
| Vitamin c (82180) | $160.80 | $268 | 16.3× |
| Vitamin D 25-Hydroxy (82306) | $321 | $535 | 10.8× |
| Vitamin E (84446) range across 2 matching MRF lines |
$72.60–$316.20 | $121–$527 | varies |
| Vitamin K (84597) | $474 | $790 | 34.5× |
| Volatiles (84600) range across 2 matching MRF lines |
$82.20–$236.40 | $137–$394 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $40.80 | $68 | 3.4× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$132–$460.80 | $220–$768 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $303 | $505 | 35.2× |
| West nile virus ab igm (86788) | $33 | $55 | 2.0× |
| West Nile Virus Antibody (86789) | $46.20 | $77 | 3.2× |
| Western Blot Test (84181) | $279 | $465 | 16.4× |
| Xylose Absorption Test (84620) | $231.60 | $386 | 17.9× |
| Zinc (84630) | $263.40 | $439 | 23.1× |
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.