Lab & pathology prices at Ascension St. Vincent Salem
Salem, IN · every code in this section with a posted price and a Medicare benchmark.
636 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $127.20 | $212 | 11.4× |
| Acth (82024) | $429 | $715 | 11.1× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $87.60 | $146 | 2.7× |
| Acute hepatitis panel (80074) | $711.60 | $1,186 | 14.9× |
| Acylcarnitines Quant (82017) | $374.40 | $624 | 22.2× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $59.40 | $99 | 3.6× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$18–$109.20 | $30–$182 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$12–$75 | $20–$125 | varies |
| Aldolase (82085) | $148.80 | $248 | 15.3× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$132.60–$342.60 | $221–$571 | varies |
| Alkaline phosphatase isoenzymes (84080) | $52.20 | $87 | 3.5× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$18–$73.80 | $30–$123 | varies |
| Allergen specific igg (86001) | $93 | $155 | 11.9× |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$42.60–$64.80 | $71–$108 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $205.20 | $342 | 14.2× |
| Alpha-1-antitrypsin total (82103) | $151.20 | $252 | 11.3× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $192 | $320 | 11.3× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$51–$152.40 | $85–$254 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$31.80–$83.40 | $53–$139 | varies |
| Aluminum (82108) | $204.60 | $341 | 8.0× |
| Amikacin trough (80150) | $199.80 | $333 | 13.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $303 | $505 | 13.2× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $551.40 | $919 | 32.7× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $59.40 | $99 | 4.3× |
| Aminolevulinic acid (ala) (82135) | $165.60 | $276 | 10.1× |
| Ammonia (82140) | $204 | $340 | 14.0× |
| Amylase urine (82150) | $125.40 | $209 | 19.4× |
| Ana Titer (86039) | $147 | $245 | 13.2× |
| Androstenedione (82157) | $277.20 | $462 | 9.5× |
| Angiotensin converting enzyme csf (82164) | $213 | $355 | 14.6× |
| Anti-Phospholipid Antibody (86148) | $55.20 | $92 | 3.4× |
| Antibody aspergillus (86606) | $36 | $60 | 2.4× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $36 | $60 | 2.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $174.60 | $291 | 11.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$31.80–$178.80 | $53–$298 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $136.20 | $227 | 10.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$50.40–$231 | $84–$385 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$58.80–$197.40 | $98–$329 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$36–$147 | $60–$245 | varies |
| Antibody helicobacter pylori (86677) | $231.60 | $386 | 13.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$41.40–$138.60 | $69–$231 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$31.80–$117 | $53–$195 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$44.40–$148.80 | $74–$248 | varies |
| Antibody HIV-2 (86702) | $43.20 | $72 | 3.2× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$31.80–$456 | $53–$760 | varies |
| Antibody nocardia (86744) | $20.40 | $34 | 1.3× |
| Antibody Protozoa Nes (86753) | $151.20 | $252 | 12.2× |
| Antibody Titer (86886) | $202.80 | $338 | 39.2× |
| Antibody Treponema Pallidum (86780) | $199.80 | $333 | 15.1× |
| Antibody; influenza virus (86710) | $47.40 | $79 | 3.5× |
| Antigen typing (86905) | $108.60 | $181 | 28.4× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $124.80 | $208 | 21.8× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$39.60–$186 | $66–$310 | varies |
| Antistreptolysin o titer (86060) | $140.40 | $234 | 19.2× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$36–$186 | $60–$310 | varies |
| Antithrombin iii antigen (85301) | $259.20 | $432 | 24.0× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$47.40–$118.80 | $79–$198 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$61.20–$154.80 | $102–$258 | varies |
| Aspergillus ag eia (87305) | $290.40 | $484 | 24.2× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$47.40–$253.20 | $79–$422 | varies |
| Assay Blood Carbon Dioxide (82374) | $67.80 | $113 | 13.9× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$39.60–$178.80 | $66–$298 | varies |
| Assay of 5-hiaa (83497) | $162 | $270 | 12.6× |
| Assay of blood/uric acid (84550) | $77.40 | $129 | 17.1× |
| Assay of calcium in urine (82340) | $14.40 | $24 | 2.4× |
| Assay of cpk in blood (82552) | $45.60 | $76 | 3.4× |
| Assay of estrone (82679) range across 2 matching MRF lines |
$81.60–$162 | $136–$270 | varies |
| Assay of g6pd enzyme (82955) | $138.60 | $231 | 14.3× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$25.80–$127.80 | $43–$213 | varies |
| Assay of lactic acid (83605) | $114 | $190 | 9.9× |
| Assay of manganese (83785) | $186 | $310 | 7.0× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$51.60–$327.60 | $86–$546 | varies |
| Assay of proinsulin (84206) | $210.60 | $351 | 7.9× |
| Assay of pyruvate (84210) | $154.80 | $258 | 10.7× |
| Assay of serotonin (84260) | $331.80 | $553 | 10.7× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$10.80–$51 | $18–$85 | varies |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$9–$70.20 | $15–$117 | varies |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$34.80–$200.40 | $58–$334 | varies |
| Assay of vasoactive intestinal peptide (84586) | $385.20 | $642 | 10.9× |
| Assay of vitamin b-1 (84425) | $231 | $385 | 10.9× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$9–$77.40 | $15–$129 | varies |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$7.80–$31.80 | $13–$53 | varies |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$33.60–$110.40 | $56–$184 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$303–$485.40 | $505–$809 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$268.20–$428.40 | $447–$714 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$70.20–$177.60 | $117–$296 | varies |
| Beta hydroxybutyrate (82010) | $171.60 | $286 | 21.0× |
| Beta Lactamase (87185) | $69.60 | $116 | 14.7× |
| Beta-2 Microglobulin (82232) | $231.60 | $386 | 14.3× |
| Bile acids total (82239) | $140.40 | $234 | 8.2× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$17.40–$115.20 | $29–$192 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$17.40–$73.80 | $29–$123 | varies |
| Biotinidase (82261) range across 2 matching MRF lines |
$77.40–$181.20 | $129–$302 | varies |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$39.60–$148.80 | $66–$248 | varies |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $198 | $330 | 6.5× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $326.40 | $544 | 1.8× |
| Blood Count Automated Differential Wbc Count (85004) | $20.40 | $34 | 3.2× |
| Blood Count Manual Cell Count Each (85032) | $97.20 | $162 | 22.6× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $79.80 | $133 | 15.7× |
| Blood Count Red Blood Cell Automated (85041) | $42.60 | $71 | 14.1× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$11.40–$93 | $19–$155 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$25.80–$75 | $43–$125 | varies |
| Blood count spun microhematocrit (85013) | $49.80 | $83 | 7.1× |
| Blood gas (82803) | $275.40 | $459 | 10.6× |
| Blood gases w/02 saturation (82805) | $225 | $375 | 2.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $104.40 | $174 | 6.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $52.80 | $88 | 12.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $114 | $190 | 18.0× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$30–$59.40 | $50–$99 | varies |
| Bordetella antibody (86615) | $36 | $60 | 2.7× |
| Braf gene analysis (81210) | $333 | $555 | 1.9× |
| Brucella antibody (86622) | $30.60 | $51 | 3.4× |
| C diff amplified probe (87493) | $205.20 | $342 | 5.5× |
| C-Peptide (84681) | $176.40 | $294 | 8.5× |
| C-reactive protein (86140) | $120.60 | $201 | 23.3× |
| Ca 19-9 (86301) | $190.80 | $318 | 9.2× |
| Calcitonin (82308) | $171 | $285 | 6.4× |
| Calcium ionized (82330) | $127.80 | $213 | 9.3× |
| Calcium total (82310) range across 2 matching MRF lines |
$16.20–$70.20 | $27–$117 | varies |
| Calculus Spectroscopy (82365) | $188.40 | $314 | 14.6× |
| Calprotectin Fecal (83993) | $378 | $630 | 19.3× |
| Cancer Antigen 125 (86304) | $313.20 | $522 | 15.1× |
| Cancer Antigen 27.29 (86300) | $279 | $465 | 13.4× |
| Candida antibody (86628) | $36 | $60 | 3.0× |
| Candida Dna Dir Probe (87480) | $69.60 | $116 | 3.5× |
| Carbamazepine total (80156) | $204 | $340 | 14.0× |
| Carboxyhemoglobin (82375) | $198 | $330 | 16.1× |
| Carcinoembryonic antigen (82378) | $288.60 | $481 | 15.2× |
| Cardiolipin ab iga (86147) | $70.20 | $117 | 2.8× |
| Carnitine Quantitative Each Specimen (82379) | $187.20 | $312 | 11.1× |
| Carotene (82380) | $127.20 | $212 | 13.8× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$77.40–$309.60 | $129–$516 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$39.60–$199.80 | $66–$333 | varies |
| Cell count csf (89051) | $126.60 | $211 | 22.6× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $370.20 | $617 | 2.7× |
| Ceruloplasmin (82390) | $104.40 | $174 | 9.7× |
| Cftr gene com variants (81220) | $864.60 | $1,441 | 1.6× |
| Chemiluminescent assay (82397) | $194.40 | $324 | 13.8× |
| Chloramphenicol level (82415) | $73.80 | $123 | 5.8× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$10.20–$49.80 | $17–$83 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$10.20–$96 | $17–$160 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$22.80–$83.40 | $38–$139 | varies |
| Cholinesterase rbc (82482) | $27 | $45 | 2.8× |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$24–$186.60 | $40–$311 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$21.60–$275.40 | $36–$459 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $563.40 | $939 | 3.0× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $108 | $180 | 3.1× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $79.20 | $132 | 2.4× |
| Chromium serum (82495) | $151.20 | $252 | 7.5× |
| Chromogranin a (86316) | $231 | $385 | 11.1× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$390.60–$1,126.80 | $651–$1,878 | varies |
| Chromosome Analysis 20-25 (88264) | $390.60 | $651 | 2.7× |
| Chromosome analysis, 5 (88261) | $554.40 | $924 | 2.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$107.40–$195.60 | $179–$326 | varies |
| Citric acid urine (82507) | $96 | $160 | 3.5× |
| Ckmb (82553) range across 2 matching MRF lines |
$18.60–$99.60 | $31–$166 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$39–$216.60 | $65–$361 | varies |
| Clot Factor VIII Multimetric (85247) | $245.40 | $409 | 10.7× |
| Clotting factor xii hageman (85280) | $219.60 | $366 | 11.3× |
| Clotting Funct Activity (85397) | $55.80 | $93 | 1.8× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$31.80–$150 | $53–$250 | varies |
| Cold agglutinin titer (86157) | $127.20 | $212 | 15.8× |
| Collagen crosslinks (82523) | $188.40 | $314 | 10.1× |
| Column Chromotography Quant (82542) | $242.40 | $404 | 10.1× |
| Compatibility test antiglob (86922) | $138 | $230 | 0.8× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$39.60–$204 | $66–$340 | varies |
| Complement Total (Ch50) (86162) | $132.60 | $221 | 6.5× |
| Complement/Function Activity (86161) | $192 | $320 | 16.0× |
| Coombs direct (86880) range across 2 matching MRF lines |
$28.20–$120.60 | $47–$201 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$37.80–$107.40 | $63–$179 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$186–$208.80 | $310–$348 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$46.20–$241.80 | $77–$403 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$18.60–$108.60 | $31–$181 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$19.80–$70.20 | $33–$117 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$16.20–$67.80 | $27–$113 | varies |
| Creatinine clearance (82575) | $222.60 | $371 | 23.5× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$16.20–$88.20 | $27–$147 | varies |
| Crossmatch electronic (86923) | $140.40 | $234 | 0.8× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$39.60–$164.40 | $66–$274 | varies |
| Cryofibrinogen (82585) | $28.80 | $48 | 2.0× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$19.20–$143.40 | $32–$239 | varies |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$39–$114 | $65–$190 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$41.40–$118.20 | $69–$197 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$26.40–$174 | $44–$290 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$25.20–$129.60 | $42–$216 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $392.40 | $654 | 1.8× |
| Culture aerobic quant other (87071) | $187.80 | $313 | 19.0× |
| Culture afb (87116) range across 2 matching MRF lines |
$35.40–$174 | $59–$290 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$19.80–$168 | $33–$280 | varies |
| Culture blood (87040) | $211.80 | $353 | 20.5× |
| Culture chlamydia (87110) | $40.80 | $68 | 2.1× |
| Culture csf (87070) range across 2 matching MRF lines |
$154.20–$184.80 | $257–$308 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$25.20–$174 | $42–$290 | varies |
| Culture fungus blood (87103) | $234 | $390 | 11.4× |
| Culture screen only (87081) | $120.60 | $201 | 18.2× |
| Culture stool (87045) range across 2 matching MRF lines |
$31.80–$227.40 | $53–$379 | varies |
| Culture typing if ea antiserum (87140) | $19.80 | $33 | 3.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$12–$96 | $20–$160 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$22.80–$137.40 | $38–$229 | varies |
| Cyanide (82600) | $210.60 | $351 | 10.9× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $151.20 | $252 | 10.6× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$57–$271.80 | $95–$453 | varies |
| Cystatin C (82610) | $143.40 | $239 | 7.7× |
| Cytogenetics 10-30 (88273) | $204.60 | $341 | 5.9× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$126–$402 | $210–$670 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,158.20 | $3,597 | 1.9× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$44.40–$168 | $74–$280 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $118.80 | $198 | 5.9× |
| Cytopath Cell Enhance Tech (88112) | $251.40 | $419 | 4.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$78.60–$140.40 | $131–$234 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $223.20 | $372 | 5.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $292.80 | $488 | 5.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $113.40 | $189 | 2.9× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $830.40 | $1,384 | 4.6× |
| Deoxyribonuclease antibody (86215) | $127.80 | $213 | 9.6× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$107.40–$349.80 | $179–$583 | varies |
| Detect Agent Nos Dna Quant (87799) | $591 | $985 | 13.8× |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$195–$433.20 | $325–$722 | varies |
| Dgp Antibody Each Ig Class (86258) | $21.60 | $36 | 1.8× |
| Dhea (82626) | $172.20 | $287 | 6.8× |
| Dhea-S (82627) | $534 | $890 | 24.0× |
| Dibucaine number (82638) | $42.60 | $71 | 3.5× |
| Digoxin (80162) | $152.40 | $254 | 11.5× |
| Diphtheria antitoxoid (86648) | $186 | $310 | 12.2× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$42–$152.40 | $70–$254 | varies |
| Dna Antibody Single Stranded (86226) | $200.40 | $334 | 16.5× |
| DNA/RNA direct probe (87149) | $69.60 | $116 | 3.5× |
| Drug assay acetaminophen (80143) | $36 | $60 | 1.9× |
| Drug Assay Everolimus (80169) | $251.40 | $419 | 18.3× |
| Drug Screen Quant Zonisamide (80203) | $204.60 | $341 | 15.4× |
| Drug Screen Quantitative Gabapentin (80171) | $224.40 | $374 | 10.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $225 | $375 | 17.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $225 | $375 | 17.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $181.20 | $302 | 13.7× |
| Drug Test Prsmv Chem Anlyzr (80307) | $214.20 | $357 | 3.4× |
| Drug Test Prsmv Dir Opt Obs (80305) | $142.80 | $238 | 11.3× |
| Drug Test Prsmv Instrmnt (80306) | $142.80 | $238 | 8.3× |
| Egfr Gene Analysis Common Variants (81235) | $665.40 | $1,109 | 2.1× |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$33.60–$205.80 | $56–$343 | varies |
| Electrolyte panel (80051) | $174.60 | $291 | 24.9× |
| Eosinophil Smear (89190) | $43.20 | $72 | 7.5× |
| Erythropoietin (82668) | $439.80 | $733 | 23.4× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$90.60–$253.20 | $151–$422 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$74.40–$134.40 | $124–$224 | varies |
| Estrogen total (82672) | $214.20 | $357 | 9.9× |
| Ethosuximide (80168) | $159.60 | $266 | 9.8× |
| Ethylene Glycol (82693) | $232.20 | $387 | 15.6× |
| Exam Synovial Fluid Crystals (89060) | $134.40 | $224 | 18.3× |
| F2 Gene (81240) range across 2 matching MRF lines |
$71.40–$217.20 | $119–$362 | varies |
| Factor ii activity (85210) | $291.60 | $486 | 22.5× |
| Factor ix activity (85250) | $325.80 | $543 | 17.1× |
| Factor v activity (85220) | $326.40 | $544 | 18.5× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$75.60–$436.80 | $126–$728 | varies |
| Factor vii assay (85230) | $333 | $555 | 18.6× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$32.40–$253.80 | $54–$423 | varies |
| Factor X (85260) | $255 | $425 | 14.2× |
| Factor xi activity (85270) | $259.20 | $432 | 14.5× |
| Factor xiii screen (85291) | $145.80 | $243 | 16.0× |
| Fat/Lipids Feces Quantitative (82710) | $225 | $375 | 13.4× |
| Fecal Fat Qualitative (82705) | $71.40 | $119 | 14.0× |
| Ferritin (82728) range across 2 matching MRF lines |
$43.20–$217.20 | $72–$362 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $754.80 | $1,258 | 4.9× |
| Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) | $510.60 | $851 | 9.2× |
| Fibrin degradation products (85362) | $190.80 | $318 | 27.7× |
| Fibrin Degradation Quant (85379) | $254.40 | $424 | 25.0× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $198 | $330 | 20.4× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$25.80–$83.40 | $43–$139 | varies |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$50.40–$152.40 | $84–$254 | varies |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$39.60–$221.40 | $66–$369 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $39 | $65 | 3.2× |
| Folic acid rbc (82747) | $277.80 | $463 | 15.7× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$48.60–$188.40 | $81–$314 | varies |
| Follicle Stimulating Hormone (83001) | $277.20 | $462 | 14.9× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $56.40 | $94 | 0.3× |
| Fungi Identification Mold (87107) | $129 | $215 | 12.5× |
| Fungi Identification Yeast (87106) | $135.60 | $226 | 13.1× |
| Galactose (82760) | $47.40 | $79 | 4.2× |
| Galactose transferase test (82776) | $35.40 | $59 | 3.0× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$50.40–$288.60 | $84–$481 | varies |
| Gardner vag DNA dir probe (87510) | $69.60 | $116 | 3.5× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $27 | $45 | 2.8× |
| Gases blood ph only (82800) | $127.80 | $213 | 11.6× |
| Gastric Analy W/Ph Ea Spec (82930) | $31.80 | $53 | 4.7× |
| Gastrin (82941) | $310.80 | $518 | 17.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,122.60 | $1,871 | 2.7× |
| Genet Virus Isolate Hsv (87255) | $251.40 | $419 | 7.4× |
| Gentamicin (80170) | $233.40 | $389 | 14.2× |
| Ggt (82977) range across 2 matching MRF lines |
$21.60–$96 | $36–$160 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$41.40–$140.40 | $69–$234 | varies |
| Glucagon (82943) | $172.80 | $288 | 12.1× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$14.40–$70.20 | $24–$117 | varies |
| Glucose Blood Test (82962) | $47.40 | $79 | 14.5× |
| Glucose body fluid (82945) | $88.20 | $147 | 22.4× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$11.40–$71.40 | $19–$119 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$39.60–$223.20 | $66–$372 | varies |
| Glycated Protein (82985) | $112.80 | $188 | 6.7× |
| Gonadotropin Chorionic Qualitative (84703) | $138.60 | $231 | 18.4× |
| Growth hormone (83003) | $186 | $310 | 11.2× |
| Gtt-added samples (82952) | $13.80 | $23 | 3.5× |
| H Pylori (C-13) Breath (83013) | $376.20 | $627 | 5.6× |
| H Pylori Drug Admin (83014) | $71.40 | $119 | 9.1× |
| Haloperidol (80173) | $192 | $320 | 12.2× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$31.80–$171.60 | $53–$286 | varies |
| Hdl Cholesterol (83718) | $90.60 | $151 | 11.1× |
| Helicobacter Pylori Stool (87338) | $150 | $250 | 10.4× |
| Hematocrit (85014) range across 2 matching MRF lines |
$7.80–$55.20 | $13–$92 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$7.80–$75 | $13–$125 | varies |
| Hemoglobin a1c (83036) | $198 | $330 | 20.4× |
| Hemoglobin Chromotography (83021) | $84.60 | $141 | 4.7× |
| Hemoglobin electrophoresis (83020) | $52.80 | $88 | 4.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $93 | $155 | 11.3× |
| Hemosiderin urine (83070) | $90.60 | $151 | 19.1× |
| Hep a ab igm (86709) | $195.60 | $326 | 17.4× |
| Heparin assay (85520) | $237 | $395 | 18.1× |
| Hepatitis a antibody total (86708) | $190.80 | $318 | 15.4× |
| Hepatitis b core ab igm (86705) | $156.60 | $261 | 13.3× |
| Hepatitis b core ab total (86704) | $151.20 | $252 | 12.5× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$28.20–$182.40 | $47–$304 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$30–$176.40 | $50–$294 | varies |
| Hepatitis Be Antibody (86707) | $130.80 | $218 | 11.3× |
| Hepatitis Be Antigen (87350) | $229.80 | $383 | 19.9× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$84–$251.40 | $140–$419 | varies |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$573.60–$1,058.40 | $956–$1,764 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$130.80–$865.80 | $218–$1,443 | varies |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$59.40–$145.80 | $99–$243 | varies |
| Heterophile Antibody Screen (86308) | $138.60 | $231 | 26.8× |
| Hfe Gene (81256) | $326.40 | $544 | 5.0× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $102 | $170 | 13.2× |
| Histamine urine (83088) | $311.40 | $519 | 10.5× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$46.20–$113.40 | $77–$189 | varies |
| Histoplasma antigen urine (87385) | $313.20 | $522 | 23.6× |
| Hiv Antigen W/Hiv Antibodies (87806) range across 2 matching MRF lines |
$73.80–$180.60 | $123–$301 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$60–$199.80 | $100–$333 | varies |
| Hiv-1 Antibody (86701) | $28.20 | $47 | 3.2× |
| HIV-1 p24 antigen (87390) | $54 | $90 | 2.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $645.60 | $1,076 | 7.6× |
| Hla I Typing 1 Allele Hr (81381) | $304.80 | $508 | 1.8× |
| Hla ii typing 1 allele hr (81383) | $302.40 | $504 | 2.8× |
| Hla-b27 (86812) | $307.20 | $512 | 11.9× |
| Homocysteine (83090) range across 2 matching MRF lines |
$51.60–$435.60 | $86–$726 | varies |
| Homogenization Tissue (87176) | $83.40 | $139 | 14.2× |
| Homovanillic acid urine (83150) | $66.60 | $111 | 3.0× |
| Hpv High-Risk Types (87624) | $114 | $190 | 3.2× |
| Hsv Dna Amp Probe (87529) | $120.60 | $201 | 3.4× |
| Hydroxycorticosteroids 17 (83491) | $200.40 | $334 | 11.2× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$144.60–$226.80 | $241–$378 | varies |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $143.40 | $239 | 12.0× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $127.80 | $213 | 10.7× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $150 | $250 | 14.5× |
| Iaad ia shiga-like toxin (87427) | $41.40 | $69 | 3.5× |
| Iaad Ia Streptococcus Group A (87430) | $142.80 | $238 | 8.5× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $174.60 | $291 | 14.6× |
| Iaadi giardia (87269) | $123 | $205 | 9.0× |
| Iaadi pneumocustis carinii (87281) | $244.80 | $408 | 20.4× |
| Iaadiadoo trichomonas vaginalis (87808) range across 2 matching MRF lines |
$36.60–$93 | $61–$155 | varies |
| Iadna Bartonella Amplified Probe Technique (87471) | $281.40 | $469 | 8.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $495 | $825 | 14.1× |
| Iadna Candida Species Amplified Probe Tq (87481) | $105 | $175 | 3.0× |
| Iadna Cytomegalovirus Quantification (87497) | $546 | $910 | 12.7× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $221.40 | $369 | 3.2× |
| Iadna hepatitis b virus amplified probe tq (87516) | $277.20 | $462 | 7.9× |
| Iadna Hepatitis B Virus Quantification (87517) | $513.60 | $856 | 12.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $422.40 | $704 | 12.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$75–$441.60 | $125–$736 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$107.40–$197.40 | $179–$329 | varies |
| Igg subclasses (82787) | $13.80 | $23 | 1.7× |
| Igh gene rearrange amp meth (81261) | $339 | $565 | 1.7× |
| Igk rearrangeabn clonal pop (81264) | $652.20 | $1,087 | 3.8× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $456 | $760 | 1.2× |
| Immune Complex Assay (86332) | $251.40 | $419 | 10.3× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$90–$250.20 | $150–$417 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$41.40–$322.20 | $69–$537 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $48.60 | $81 | 3.2× |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$37.80–$204 | $63–$340 | varies |
| Immunodiffusion Ouchterlony (86331) | $41.40 | $69 | 3.5× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$72–$170.40 | $120–$284 | varies |
| Immunohistochemistry (88342) | $304.20 | $507 | 1.7× |
| In situ hybridization 1st probe stain (88365) | $738 | $1,230 | 4.1× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $136.20 | $227 | 9.4× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $165.60 | $276 | 3.2× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) range across 2 matching MRF lines |
$37.20–$130.80 | $62–$218 | varies |
| Influenza assay w/optic (87804) | $41.40 | $69 | 2.5× |
| Influenza DNA amp probe (87502) | $432 | $720 | 4.5× |
| Inhibin A (86336) range across 2 matching MRF lines |
$52.20–$171.60 | $87–$286 | varies |
| Inhibin b (83520) range across 2 matching MRF lines |
$117.60–$192 | $196–$320 | varies |
| Insitu hybridization manual (88368) | $387.60 | $646 | 1.0× |
| Insulin antibodies (86337) | $250.20 | $417 | 11.7× |
| Insulin free (83527) | $105.60 | $176 | 8.2× |
| Insulin total (83525) range across 2 matching MRF lines |
$16.20–$115.20 | $27–$192 | varies |
| Intrinsic factor antibody (86340) | $210 | $350 | 13.9× |
| Iron (83540) range across 2 matching MRF lines |
$19.20–$96 | $32–$160 | varies |
| Iron Binding Capacity (83550) | $75.60 | $126 | 8.6× |
| Islet cell antibody (86341) | $241.80 | $403 | 10.3× |
| Jak2 gene analysis p.val617phe variant (81270) | $657.60 | $1,096 | 7.2× |
| Ketosteroids 17 total (83586) | $154.80 | $258 | 12.1× |
| Koh Prep (87220) | $43.20 | $72 | 10.1× |
| Kras Gene Analysis Additional Variant(S) (81276) | $279 | $465 | 1.4× |
| Kras Gene Variants Exon 2 (81275) | $234.60 | $391 | 1.2× |
| L/s ratio (83661) | $76.80 | $128 | 3.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$18.60–$61.80 | $31–$103 | varies |
| Lactoferrin fecal qualitative (83630) | $90.60 | $151 | 4.6× |
| Lactoferrin Fecal Quantitative (83631) | $206.40 | $344 | 10.5× |
| Ldh Isoenzymes (83625) | $61.20 | $102 | 4.8× |
| LDL direct (83721) | $100.80 | $168 | 9.6× |
| Lead (83655) range across 2 matching MRF lines |
$39.60–$184.80 | $66–$308 | varies |
| Legionella antibody (86713) | $180.60 | $301 | 11.8× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$39–$164.40 | $65–$274 | varies |
| Legionella pneumophila dfa (87278) | $240 | $400 | 15.4× |
| Leptospira antibody (86720) | $138 | $230 | 8.5× |
| Leukocyte Assessment Fecal (89055) | $67.80 | $113 | 15.9× |
| Leukocyte Histamine Release (86343) | $236.40 | $394 | 19.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $71.40 | $119 | 2.3× |
| Level ii surg pathology grossµscopic exam (88302) | $138.60 | $231 | 3.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $568.20 | $947 | 1.5× |
| Lidocaine (80176) | $214.20 | $357 | 14.6× |
| Lipase (83690) | $170.40 | $284 | 24.7× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$39.60–$174 | $66–$290 | varies |
| Lipoprotein Bld Quan Part (83704) | $265.80 | $443 | 7.8× |
| Lithium (80178) | $127.80 | $213 | 19.3× |
| Luteinizing Hormone (Lh) (83002) | $334.80 | $558 | 18.1× |
| Lyme disease antibody (86618) | $192 | $320 | 11.3× |
| Lysozyme serum (85549) | $159.60 | $266 | 8.5× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $611.40 | $1,019 | 3.4× |
| M/phmtrc alys ishquant/semiq (88374) | $417 | $695 | 2.3× |
| Macroscopic exam arthropod (87168) | $88.80 | $148 | 20.8× |
| Macroscopic Exam Parasite (87169) | $48 | $80 | 11.1× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$21.60–$126.60 | $36–$211 | varies |
| Mass Spectrometry Quant (83789) | $285 | $475 | 11.8× |
| Mercury urine (83825) range across 2 matching MRF lines |
$49.80–$246 | $83–$410 | varies |
| Metabolic panel ionized ca (80047) | $202.80 | $338 | 14.8× |
| Methylmalonic acid serum (83921) | $323.40 | $539 | 15.2× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$18–$152.40 | $30–$254 | varies |
| Microsomal Antibodies Each (86376) | $211.80 | $353 | 14.6× |
| Mitochondrial Antibody Each (86381) | $45.60 | $76 | 1.8× |
| Mlh1 Gene (81288) | $614.40 | $1,024 | 3.2× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$45–$264.60 | $75–$441 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $424.80 | $708 | 10.0× |
| Mopath procedure level 2 (81401) | $504 | $840 | 3.7× |
| Mopath procedure level 5 (81404) | $462.60 | $771 | 1.7× |
| Mrsa Pcr (87641) | $258.60 | $431 | 7.4× |
| Mthfr Gene Analysis Common Variants (81291) | $385.80 | $643 | 5.9× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$31.80–$137.40 | $53–$229 | varies |
| Mycophenolic Acid (80180) | $280.20 | $467 | 15.5× |
| Mycoplasma antibody (86738) | $271.80 | $453 | 20.5× |
| Mycoplasma culture (87109) | $199.80 | $333 | 13.0× |
| Myelin basic protein csf (83873) range across 2 matching MRF lines |
$96.60–$190.20 | $161–$317 | varies |
| Myoglobin urine (83874) | $162 | $270 | 12.5× |
| Natriuretic peptide (83880) | $262.80 | $438 | 6.7× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $388.20 | $647 | 1.5× |
| Niacin (84591) | $188.40 | $314 | 11.0× |
| Nras gene variants exon 2&3 (81311) | $670.80 | $1,118 | 2.3× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$54.60–$140.40 | $91–$234 | varies |
| Obstetric panel (80081) | $564 | $940 | 7.5× |
| Occult blood feces (82272) | $46.20 | $77 | 10.9× |
| Occult Blood Other Sources (82271) | $51.60 | $86 | 9.7× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$62.40–$253.80 | $104–$423 | varies |
| Oncoprotein dcp (83951) | $359.40 | $599 | 5.6× |
| Organic acids urine (83918) | $56.40 | $94 | 2.4× |
| Osmolality serum (83930) | $120.60 | $201 | 18.2× |
| Osmolality Urine (83935) | $108.60 | $181 | 15.9× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$27–$215.40 | $45–$359 | varies |
| Oxalate urine (83945) | $159 | $265 | 11.0× |
| Pancreatic Elastase Fecal (82656) | $312 | $520 | 27.1× |
| Particle Agglut Antbdy Titr (86406) | $159.60 | $266 | 15.0× |
| Particle Agglutination Screen Each Antibody (86403) | $116.40 | $194 | 10.1× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$45–$208.80 | $75–$348 | varies |
| Ph urine (81003) range across 2 matching MRF lines |
$7.20–$93 | $12–$155 | varies |
| Phenobarbital Level (80184) | $162 | $270 | 10.6× |
| Phenytoin (Dilantin) (80185) | $204 | $340 | 15.4× |
| Phenytoin free (80186) | $298.20 | $497 | 21.7× |
| Phosphatase acid prostatic (84066) | $124.80 | $208 | 12.9× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$16.20–$83.40 | $27–$139 | varies |
| Phosphatidylglycerol (84081) | $57 | $95 | 3.5× |
| Phosphorus Serum (84100) | $60.60 | $101 | 12.8× |
| Phosphorus urine (84105) | $22.80 | $38 | 3.9× |
| Pik3ca gene analysis targeted sequence analysis (81309) | $468 | $780 | 1.7× |
| Pinworm exam (87172) | $76.80 | $128 | 18.0× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$72–$298.80 | $120–$498 | varies |
| Platelet Antibodies (86022) | $424.20 | $707 | 23.1× |
| Platelet count automated (85049) | $79.80 | $133 | 17.8× |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$19.20–$214.20 | $32–$357 | varies |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$25.80–$49.80 | $43–$83 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$45–$83.40 | $75–$139 | varies |
| Potassium Urine (84133) range across 2 matching MRF lines |
$10.20–$88.20 | $17–$147 | varies |
| Prealbumin (84134) | $174 | $290 | 11.9× |
| Pregnenolone (84140) | $204 | $340 | 9.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $109.20 | $182 | 1.7× |
| Primidone (80188) | $234.60 | $391 | 14.1× |
| Procalcitonin (Pct) (84145) | $325.20 | $542 | 11.9× |
| Progesterone (84144) | $177.60 | $296 | 8.5× |
| Prolactin (84146) range across 2 matching MRF lines |
$43.20–$330 | $72–$550 | varies |
| Protein body fluid (84157) | $112.80 | $188 | 28.2× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$48–$324 | $80–$540 | varies |
| Protein c antigen (85302) | $356.40 | $594 | 29.7× |
| Protein Electrophoresis Urine (84166) | $99.60 | $166 | 5.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $88.80 | $148 | 8.3× |
| Protein S Free (85306) range across 2 matching MRF lines |
$50.40–$291 | $84–$485 | varies |
| Protein s total (85305) | $352.80 | $588 | 30.4× |
| Protein total serum (84155) range across 2 matching MRF lines |
$10.80–$71.40 | $18–$119 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$11.40–$102.60 | $19–$171 | 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–$118.80 | $20–$198 | varies |
| Protoporphyrin rbc quantitative (84202) | $145.80 | $243 | 10.2× |
| PSA free (84154) | $63.60 | $106 | 3.5× |
| Pth Intact (83970) range across 2 matching MRF lines |
$249–$316.80 | $415–$528 | varies |
| Quantiferon tb gold plus (86480) | $294 | $490 | 4.7× |
| Quantitative assay drug (80299) | $225 | $375 | 12.1× |
| Quantitative Screen Metals (83018) | $176.40 | $294 | 8.0× |
| Rbc antibody elution (86860) | $236.40 | $394 | 1.3× |
| Rbc antibody identification (86870) | $279 | $465 | 0.7× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$42.60–$118.20 | $71–$197 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $164.40 | $274 | 0.9× |
| Reagent Strip/Blood Glucose (82948) | $42 | $70 | 8.3× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$71.40–$330 | $119–$550 | varies |
| Resp virus 12-25 targets (87633) | $1,545 | $2,575 | 3.7× |
| Reticulocyte Count (85046) | $17.40 | $29 | 3.1× |
| Reticulocyte Count Manual (85044) | $93 | $155 | 21.6× |
| Rh (86901) range across 2 matching MRF lines |
$42–$84.60 | $70–$141 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$18.60–$91.20 | $31–$152 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$62.40–$186.60 | $104–$311 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$70.80–$313.20 | $118–$522 | varies |
| Rotavirus ag eia (87425) | $222 | $370 | 18.5× |
| Rpr qualitative (86592) | $108.60 | $181 | 25.4× |
| Rsv Assay W/Optic (87807) | $206.40 | $344 | 15.8× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$44.40–$140.40 | $74–$234 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$42–$143.40 | $70–$239 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$19.80–$165.60 | $33–$276 | varies |
| Salicylate Level (80179) | $36 | $60 | 1.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$126.60–$430.80 | $211–$718 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $84.60 | $141 | 2.0× |
| Sarscov2 & inf a&b amp prb (87636) | $129.60 | $216 | 0.9× |
| Sedimentation rate (85651) | $76.80 | $128 | 18.0× |
| Sedimentation Rate, Automated (85652) | $70.20 | $117 | 26.0× |
| Selenium (84255) | $192 | $320 | 7.5× |
| Sensitivity mic (87186) | $129 | $215 | 14.9× |
| Serpina 1 gene (81332) | $387 | $645 | 8.9× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$135.60–$221.40 | $226–$369 | varies |
| Sickling of rbc reduction (85660) | $112.80 | $188 | 20.5× |
| Sirolimus (80195) | $214.20 | $357 | 15.6× |
| Skin test tuberculosis intradermal (86580) | $52.80 | $88 | 1.7× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$16.80–$85.80 | $28–$143 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$54.60–$127.20 | $91–$212 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$13.80–$84.60 | $23–$141 | varies |
| Smear Special Stain (87207) | $140.40 | $234 | 23.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $96 | $160 | 16.5× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$10.80–$54.60 | $18–$91 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$10.20–$24 | $17–$40 | varies |
| Soluble Transferrin Receptor (84238) | $334.80 | $558 | 9.2× |
| Somatomedin (84305) | $310.80 | $518 | 14.6× |
| Special Stains Group 1 (88312) | $132.60 | $221 | 2.4× |
| Special Stains Group 2 (88313) | $184.80 | $308 | 1.3× |
| Specific gravity body fluid (84315) | $49.80 | $83 | 15.2× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$22.80–$73.80 | $38–$123 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$21.60–$187.80 | $36–$313 | varies |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$39.60–$114 | $66–$190 | varies |
| Strep a assay w/optic (87880) | $124.80 | $208 | 7.5× |
| Strep b DNA amp probe (87653) | $236.40 | $394 | 6.7× |
| Sugars Single Qual (84376) | $67.80 | $113 | 12.3× |
| Surg path level iii (88304) | $267.60 | $446 | 4.9× |
| Surgical pathology level IV (88305) | $360 | $600 | 6.5× |
| Surgical pathology level vi (88309) | $529.20 | $882 | 0.6× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $61.80 | $103 | 13.0× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $130.80 | $218 | 17.5× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $18 | $30 | 2.5× |
| Syphilis Test Non-Trep Quant (86593) | $88.20 | $147 | 20.0× |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$87–$264.60 | $145–$441 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $231 | $385 | 4.9× |
| T3 Free (84481) | $184.80 | $308 | 10.9× |
| T3 reverse (84482) | $301.80 | $503 | 19.1× |
| T3 Total (84480) | $184.80 | $308 | 13.0× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$37.80–$142.80 | $63–$238 | varies |
| T4 Free (84439) | $216 | $360 | 23.9× |
| T4 total (84436) range across 2 matching MRF lines |
$39.60–$138.60 | $66–$231 | varies |
| T4-neonatal (84437) | $26.40 | $44 | 4.1× |
| Tacrolimus (80197) | $192 | $320 | 14.0× |
| Test for acetone/ketones (82009) | $54.60 | $91 | 12.1× |
| Testosterone total (84403) range across 2 matching MRF lines |
$78.60–$255.60 | $131–$426 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$83.40–$251.40 | $139–$419 | varies |
| Tetanus antibody (86774) | $188.40 | $314 | 12.7× |
| Theophylline (80198) | $140.40 | $234 | 9.9× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$18–$116.40 | $30–$194 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$19.20–$145.80 | $32–$243 | varies |
| Thyroglobulin (84432) | $64.80 | $108 | 4.0× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$52.20–$195.60 | $87–$326 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $478.20 | $797 | 9.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $26.40 | $44 | 2.3× |
| Tissue Culture (88233) range across 2 matching MRF lines |
$417.60–$991.20 | $696–$1,652 | varies |
| Tissue Culture Amniotic Fluid (88235) | $230.40 | $384 | 1.5× |
| Tissue culture bone marrow (88237) | $199.20 | $332 | 1.4× |
| Tissue Culture Lymphocyte (88230) | $173.40 | $289 | 1.5× |
| Tobramycin peak (80200) | $232.20 | $387 | 14.4× |
| Topiramate (80201) | $192 | $320 | 16.1× |
| Toxoplasma ab igm (86778) | $36 | $60 | 2.5× |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$44.40–$165 | $74–$275 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$28.80–$84.60 | $48–$141 | varies |
| Transferrin (84466) | $79.80 | $133 | 6.3× |
| Trichomonas vagin dir probe (87660) | $69.60 | $116 | 3.5× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$105–$176.40 | $175–$294 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$33–$78.60 | $55–$131 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$36.60–$222.60 | $61–$371 | varies |
| Tumor immunohistochem/comput (88361) | $360 | $600 | 0.9× |
| Tumor Immunohistochem/Manual (88360) | $461.40 | $769 | 2.6× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$10.80–$78.60 | $18–$131 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$16.20–$79.20 | $27–$132 | varies |
| Urinalysis Microscopic Only (81015) | $45 | $75 | 14.8× |
| Urinalysis Volume Measure (81050) | $10.20 | $17 | 2.8× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$84–$108.60 | $140–$181 | varies |
| Urine Pregnancy Test (81025) | $108.60 | $181 | 12.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $94.80 | $158 | 29.9× |
| Valproic acid (80164) | $248.40 | $414 | 18.3× |
| Vancomycin (80202) | $240.60 | $401 | 17.8× |
| Varicella-zoster antibody (86787) | $289.80 | $483 | 22.5× |
| Vasopressin (84588) | $290.40 | $484 | 8.6× |
| Very Long Chain Fatty Acids (82726) | $367.20 | $612 | 18.6× |
| Viral Culture (87252) range across 2 matching MRF lines |
$54.60–$129.60 | $91–$216 | varies |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$36–$184.80 | $60–$308 | varies |
| Virus inoculate tissue addl (87253) | $61.80 | $103 | 3.1× |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$68.40–$198 | $114–$330 | varies |
| Viscosity serum (85810) | $154.80 | $258 | 13.3× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$69.60–$330 | $116–$550 | varies |
| Vitamin A (84590) | $260.40 | $434 | 22.4× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$49.80–$187.20 | $83–$312 | varies |
| Vitamin B2 (Riboflavin) (84252) | $250.20 | $417 | 12.4× |
| Vitamin B6 (84207) | $246 | $410 | 8.8× |
| Vitamin c (82180) | $145.80 | $243 | 14.7× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$53.40–$260.40 | $89–$434 | varies |
| Vitamin E (84446) | $83.40 | $139 | 5.9× |
| Vitamin K (84597) | $241.80 | $403 | 17.6× |
| Volatiles (84600) range across 2 matching MRF lines |
$52.20–$153.60 | $87–$256 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $41.40 | $69 | 3.4× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$41.40–$288.60 | $69–$481 | varies |
| Wbc Alkaline Phosphatase Count (85540) range across 2 matching MRF lines |
$27.60–$176.40 | $46–$294 | varies |
| West nile virus ab igm (86788) | $36 | $60 | 2.1× |
| West Nile Virus Antibody (86789) | $49.80 | $83 | 3.5× |
| Xm Archive Tissue Molec Anal (88363) | $87.60 | $146 | 2.9× |
| Zinc (84630) | $192 | $320 | 16.9× |
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.