Lab & pathology prices at Ascension St. Vincent Williamsport
Williamsport, IN · every code in this section with a posted price and a Medicare benchmark.
618 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $109.20 | $182 | 9.8× |
| Acth (82024) | $533.40 | $889 | 13.8× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) range across 2 matching MRF lines |
$102–$381 | $170–$635 | varies |
| Acute hepatitis panel (80074) | $753 | $1,255 | 15.8× |
| Acylcarnitines Quant (82017) | $243 | $405 | 14.4× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$18–$86.40 | $30–$144 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$14.40–$70.20 | $24–$117 | varies |
| Aldolase (82085) | $154.20 | $257 | 15.9× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$145.80–$523.20 | $243–$872 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$52.80–$276.60 | $88–$461 | varies |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$19.20–$95.40 | $32–$159 | varies |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$18–$104.40 | $30–$174 | varies |
| Allg Spec Ige Recomb Ea (86008) | $63 | $105 | 3.5× |
| Alpha-1-antitrypsin phenotype (82104) | $215.40 | $359 | 14.9× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$48–$224.40 | $80–$374 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$60–$212.40 | $100–$354 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$16.20–$84.60 | $27–$141 | varies |
| Aluminum (82108) | $155.40 | $259 | 6.1× |
| Amikacin trough (80150) | $180.60 | $301 | 12.0× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$52.20–$379.20 | $87–$632 | varies |
| Aminolevulinic acid (ala) (82135) | $52.20 | $87 | 3.2× |
| Ammonia (82140) | $195 | $325 | 13.4× |
| Amylase urine (82150) range across 2 matching MRF lines |
$21.60–$147 | $36–$245 | varies |
| Ana Titer (86039) | $162 | $270 | 14.5× |
| Androstenedione (82157) | $133.80 | $223 | 4.6× |
| Angiotensin converting enzyme csf (82164) | $239.40 | $399 | 16.4× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$92.40–$129 | $154–$215 | varies |
| Antibody aspergillus (86606) | $73.80 | $123 | 4.9× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $33.60 | $56 | 2.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$55.20–$318.60 | $92–$531 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$33.60–$251.40 | $56–$419 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $135 | $225 | 10.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$54.60–$145.80 | $91–$243 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$64.20–$180.60 | $107–$301 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$36.60–$100.20 | $61–$167 | varies |
| Antibody helicobacter pylori (86677) | $305.40 | $509 | 18.1× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$47.40–$123 | $79–$205 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$33.60–$113.40 | $56–$189 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$48.60–$174 | $81–$290 | varies |
| Antibody HIV-2 (86702) | $40.80 | $68 | 3.0× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $243 | $405 | 12.6× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$33–$365.40 | $55–$609 | varies |
| Antibody nocardia (86744) | $18 | $30 | 1.1× |
| Antibody Treponema Pallidum (86780) | $64.20 | $107 | 4.8× |
| Antigen typing (86905) | $133.20 | $222 | 34.8× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $115.20 | $192 | 20.1× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$43.80–$238.80 | $73–$398 | varies |
| Antistreptolysin o titer (86060) | $179.40 | $299 | 24.6× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$43.20–$396.60 | $72–$661 | varies |
| Antithrombin iii antigen (85301) | $410.40 | $684 | 38.0× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$46.20–$116.40 | $77–$194 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$67.80–$122.40 | $113–$204 | varies |
| Aspergillus ag eia (87305) | $234 | $390 | 19.5× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$53.40–$726 | $89–$1,210 | varies |
| Assay Blood Carbon Dioxide (82374) | $70.20 | $117 | 14.4× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$43.80–$187.80 | $73–$313 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$43.20–$232.20 | $72–$387 | varies |
| Assay of blood/uric acid (84550) | $84.60 | $141 | 18.7× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$14.40–$87.60 | $24–$146 | varies |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$48–$205.80 | $80–$343 | varies |
| Assay of estrone (82679) | $161.40 | $269 | 6.5× |
| Assay of g6pd enzyme (82955) | $109.20 | $182 | 11.3× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$30.60–$133.20 | $51–$222 | varies |
| Assay of lactic acid (83605) | $172.20 | $287 | 14.9× |
| Assay of manganese (83785) | $147 | $245 | 5.5× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$60.60–$317.40 | $101–$529 | varies |
| Assay of proinsulin (84206) | $194.40 | $324 | 7.3× |
| Assay of pyruvate (84210) | $142.80 | $238 | 9.9× |
| Assay of serotonin (84260) | $640.80 | $1,068 | 20.7× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$16.20–$61.20 | $27–$102 | varies |
| Assay of sweat sodium (84302) | $54.60 | $91 | 11.2× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$13.80–$72.60 | $23–$121 | varies |
| Assay of urine vma (84585) | $250.80 | $418 | 16.2× |
| Assay of vasoactive intestinal peptide (84586) | $314.40 | $524 | 8.9× |
| Assay of vitamin b-1 (84425) | $265.80 | $443 | 12.5× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$10.80–$57.60 | $18–$96 | varies |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$9.60–$50.40 | $16–$84 | varies |
| B cells total count (86355) | $112.80 | $188 | 3.0× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$36.60–$90 | $61–$150 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$295.80–$389.40 | $493–$649 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$261.60–$375 | $436–$625 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$69–$208.80 | $115–$348 | varies |
| Beta hydroxybutyrate (82010) | $122.40 | $204 | 15.0× |
| Beta Lactamase (87185) | $90 | $150 | 18.9× |
| Beta-2 Microglobulin (82232) | $236.40 | $394 | 14.6× |
| Bile acids total (82239) | $106.20 | $177 | 6.2× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$18–$77.40 | $30–$129 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$18–$82.20 | $30–$137 | varies |
| Blastomyces antibody (86612) | $161.40 | $269 | 12.5× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $173.40 | $289 | 5.7× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $292.80 | $488 | 1.6× |
| Blood Count Automated Differential Wbc Count (85004) range across 2 matching MRF lines |
$20.40–$52.20 | $34–$87 | varies |
| Blood Count Manual Cell Count Each (85032) | $82.80 | $138 | 19.2× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $68.40 | $114 | 13.5× |
| Blood Count Red Blood Cell Automated (85041) | $36.60 | $61 | 12.1× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$14.40–$86.40 | $24–$144 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$12–$63 | $20–$105 | varies |
| Blood gas (82803) | $258 | $430 | 9.9× |
| Blood gases w/02 saturation (82805) | $220.80 | $368 | 2.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $89.40 | $149 | 5.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $63 | $105 | 14.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $134.40 | $224 | 21.2× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$43.80–$49.80 | $73–$83 | varies |
| Body fluid cell count (89050) | $134.40 | $224 | 28.5× |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$36.60–$110.40 | $61–$184 | varies |
| Braf gene analysis (81210) | $299.40 | $499 | 1.7× |
| Brucella antibody (86622) | $27 | $45 | 3.0× |
| C diff amplified probe (87493) | $153.60 | $256 | 4.1× |
| C-Peptide (84681) | $243 | $405 | 11.7× |
| C-reactive protein (86140) | $154.20 | $257 | 29.8× |
| Ca 19-9 (86301) | $267.60 | $446 | 12.9× |
| Calcitonin (82308) | $203.40 | $339 | 7.6× |
| Calcium ionized (82330) | $179.40 | $299 | 13.1× |
| Calcium total (82310) range across 2 matching MRF lines |
$18.60–$73.80 | $31–$123 | varies |
| Calculus Spectroscopy (82365) | $247.80 | $413 | 19.2× |
| Calprotectin Fecal (83993) | $329.40 | $549 | 16.8× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$219–$612 | $365–$1,020 | varies |
| Cancer Antigen 125 (86304) | $286.80 | $478 | 13.8× |
| Cancer Antigen 27.29 (86300) | $305.40 | $509 | 14.7× |
| Candida antibody (86628) range across 2 matching MRF lines |
$36.60–$122.40 | $61–$204 | varies |
| Candida Dna Dir Probe (87480) range across 2 matching MRF lines |
$71.40–$77.40 | $119–$129 | varies |
| Carbamazepine total (80156) | $214.20 | $357 | 14.7× |
| Carboxyhemoglobin (82375) | $203.40 | $339 | 16.5× |
| Carcinoembryonic antigen (82378) | $277.80 | $463 | 14.7× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$172.80–$177 | $288–$295 | varies |
| Carnitine Quantitative Each Specimen (82379) | $132 | $220 | 7.8× |
| Carotene (82380) | $97.80 | $163 | 10.6× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$91.20–$420.60 | $152–$701 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$46.80–$175.80 | $78–$293 | varies |
| Cell count csf (89051) | $126 | $210 | 22.5× |
| Ceruloplasmin (82390) | $166.80 | $278 | 15.5× |
| Cftr gene com variants (81220) | $981.60 | $1,636 | 1.8× |
| Chemiluminescent assay (82397) | $36 | $60 | 2.5× |
| Chloride other source (82438) | $106.80 | $178 | 21.4× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$12–$62.40 | $20–$104 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$10.20–$69 | $17–$115 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$21.60–$77.40 | $36–$129 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$25.80–$251.40 | $43–$419 | varies |
| Chromium serum (82495) | $106.20 | $177 | 5.2× |
| Chromogenic Substrate Assay (85130) | $266.40 | $444 | 22.4× |
| Chromogranin a (86316) | $256.80 | $428 | 12.3× |
| Chromosome Analysis 15-20 (88262) | $1,099.80 | $1,833 | 8.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$125.40–$203.40 | $209–$339 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$91.20–$159.60 | $152–$266 | varies |
| Ckmb (82553) range across 2 matching MRF lines |
$21–$172.20 | $35–$287 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$36–$261 | $60–$435 | varies |
| Clot Factor VIII Multimetric (85247) range across 2 matching MRF lines |
$69.60–$267.60 | $116–$446 | varies |
| Clotting factor xii hageman (85280) | $223.20 | $372 | 11.5× |
| Coccidioides antibody (86635) | $165.60 | $276 | 14.4× |
| Cold agglutinin titer (86157) | $109.80 | $183 | 13.6× |
| Collagen crosslinks (82523) | $193.80 | $323 | 10.4× |
| Column Chromotography Quant (82542) | $194.40 | $324 | 8.1× |
| Compatibility Each Unit Incubation (86921) | $147 | $245 | 0.8× |
| Compatibility test antiglob (86922) | $192.60 | $321 | 1.1× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$43.80–$196.20 | $73–$327 | varies |
| Complement Total (Ch50) (86162) | $381.60 | $636 | 18.8× |
| Complement/Function Activity (86161) | $153.60 | $256 | 12.8× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $269.40 | $449 | 6.8× |
| Coombs direct (86880) range across 2 matching MRF lines |
$18.60–$109.20 | $31–$182 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$44.40–$234 | $74–$390 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$60–$252.60 | $100–$421 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$51.60–$223.20 | $86–$372 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$18–$90 | $30–$150 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$23.40–$100.20 | $39–$167 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$18–$70.80 | $30–$118 | varies |
| Creatinine clearance (82575) | $208.80 | $348 | 22.1× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$18.60–$75.60 | $31–$126 | varies |
| Crossmatch electronic (86923) | $145.80 | $243 | 0.8× |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$39.60–$144 | $66–$240 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$46.20–$159 | $77–$265 | varies |
| Cryofibrinogen (82585) | $33.60 | $56 | 2.4× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$24.60–$104.40 | $41–$174 | varies |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$43.20–$105.60 | $72–$176 | varies |
| Cryptosporidium (87272) | $96.60 | $161 | 8.1× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$37.80–$121.80 | $63–$203 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$54.60–$82.80 | $91–$138 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$80.40–$110.40 | $134–$184 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $142.80 | $238 | 18.5× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $392.40 | $654 | 1.8× |
| Culture aerobic quant other (87071) | $183.60 | $306 | 18.6× |
| Culture afb (87116) range across 2 matching MRF lines |
$32.40–$211.80 | $54–$353 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$19.20–$241.20 | $32–$402 | varies |
| Culture blood (87040) | $228 | $380 | 22.1× |
| Culture chlamydia (87110) | $42.60 | $71 | 2.2× |
| Culture csf (87070) range across 2 matching MRF lines |
$150.60–$195 | $251–$325 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$22.80–$194.40 | $38–$324 | varies |
| Culture fungus blood (87103) | $198.60 | $331 | 9.7× |
| Culture screen only (87081) | $129 | $215 | 19.5× |
| Culture stool (87045) range across 2 matching MRF lines |
$33.60–$224.40 | $56–$374 | varies |
| Culture typing if ea antiserum (87140) | $19.20 | $32 | 3.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$68.40–$86.40 | $114–$144 | varies |
| Culture urine (87086) | $167.40 | $279 | 20.7× |
| Cyanide (82600) | $141.60 | $236 | 7.3× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $146.40 | $244 | 10.2× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$52.20–$255 | $87–$425 | varies |
| Cystatin C (82610) | $136.80 | $228 | 7.4× |
| Cytogenetics 100-300 (88275) | $403.20 | $672 | 7.9× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$43.20–$190.20 | $72–$317 | varies |
| Cytopath C/V Index Add-On (88155) | $88.20 | $147 | 6.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$60.60–$193.80 | $101–$323 | varies |
| Cytopath Cell Enhance Tech (88112) | $294.60 | $491 | 5.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$77.40–$234.60 | $129–$391 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $313.80 | $523 | 5.7× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $109.20 | $182 | 5.9× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $177.60 | $296 | 5.8× |
| Deoxyribonuclease antibody (86215) | $92.40 | $154 | 7.0× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$213.60–$267 | $356–$445 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$127.80–$441 | $213–$735 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$190.20–$399 | $317–$665 | varies |
| Dhea (82626) | $162 | $270 | 6.4× |
| Dhea-S (82627) | $425.40 | $709 | 19.1× |
| Digoxin (80162) | $180.60 | $301 | 13.6× |
| Diphtheria antitoxoid (86648) | $133.80 | $223 | 8.8× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$30.60–$210 | $51–$350 | varies |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$60–$168 | $100–$280 | varies |
| Drug assay acetaminophen (80143) | $36 | $60 | 1.9× |
| Drug Screen Quant Clozapine (80159) | $259.80 | $433 | 12.9× |
| Drug Screen Quant Zonisamide (80203) | $268.20 | $447 | 20.2× |
| Drug Screen Quantitative Gabapentin (80171) | $172.80 | $288 | 8.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $259.80 | $433 | 19.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $259.80 | $433 | 19.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $169.80 | $283 | 12.8× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $171 | $285 | 10.2× |
| Drug Test Prsmv Chem Anlyzr (80307) | $205.20 | $342 | 3.3× |
| Drug Test Prsmv Dir Opt Obs (80305) | $133.20 | $222 | 10.6× |
| Drug Test Prsmv Instrmnt (80306) | $133.20 | $222 | 7.8× |
| Electrolyte panel (80051) | $150 | $250 | 21.4× |
| Enterovirus Antibody (86658) | $30.60 | $51 | 2.3× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$94.80–$198 | $158–$330 | varies |
| Enzyme cell activity (82657) | $247.80 | $413 | 11.2× |
| Erythropoietin (82668) | $271.80 | $453 | 14.5× |
| Estradiol serum (82670) | $392.40 | $654 | 14.0× |
| Estriol (82677) range across 2 matching MRF lines |
$87.60–$135.60 | $146–$226 | varies |
| Estrogen total (82672) | $187.80 | $313 | 8.7× |
| Ethosuximide (80168) | $99.60 | $166 | 6.1× |
| Ethylene Glycol (82693) | $171 | $285 | 11.5× |
| Exam Synovial Fluid Crystals (89060) | $125.40 | $209 | 17.1× |
| F2 Gene (81240) range across 2 matching MRF lines |
$66.60–$183.60 | $111–$306 | varies |
| Factor ii activity (85210) | $191.40 | $319 | 14.7× |
| Factor Inhibitor Test (85335) | $277.80 | $463 | 21.6× |
| Factor ix activity (85250) | $314.40 | $524 | 16.5× |
| Factor v activity (85220) | $265.80 | $443 | 15.1× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$70.20–$367.20 | $117–$612 | varies |
| Factor vii assay (85230) | $241.20 | $402 | 13.5× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$54–$357.60 | $90–$596 | varies |
| Factor xi activity (85270) | $279 | $465 | 15.6× |
| Fecal Fat Qualitative (82705) | $75.60 | $126 | 14.8× |
| Ferritin (82728) range across 2 matching MRF lines |
$42.60–$198 | $71–$330 | varies |
| Fibrin degradation products (85362) | $174 | $290 | 25.3× |
| Fibrin Degradation Quant (85379) | $272.40 | $454 | 26.8× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) range across 2 matching MRF lines |
$25.80–$187.20 | $43–$312 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$30–$165.60 | $50–$276 | varies |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$48.60–$303.60 | $81–$506 | varies |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$43.80–$199.80 | $73–$333 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $156 | $260 | 12.9× |
| Folic acid rbc (82747) | $215.40 | $359 | 12.2× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$48–$205.80 | $80–$343 | varies |
| Follicle Stimulating Hormone (83001) | $330 | $550 | 17.8× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $80.40 | $134 | 0.4× |
| Frozen Section (88331) | $438 | $730 | 2.4× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$37.80–$179.40 | $63–$299 | varies |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$82.80–$105.60 | $138–$176 | varies |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$59.40–$175.80 | $99–$293 | varies |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
$71.40–$75.60 | $119–$126 | varies |
| Gardner Vag Dna Quant (87512) | $124.80 | $208 | 3.0× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $28.80 | $48 | 2.9× |
| Gases blood ph only (82800) | $109.20 | $182 | 9.9× |
| Gastrin (82941) | $238.80 | $398 | 13.5× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,059.60 | $1,766 | 2.5× |
| Genet Virus Isolate Hsv (87255) | $169.80 | $283 | 5.0× |
| Gentamicin (80170) | $280.20 | $467 | 17.1× |
| Ggt (82977) range across 2 matching MRF lines |
$21–$110.40 | $35–$184 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$37.80–$123 | $63–$205 | varies |
| Glucagon (82943) | $177.60 | $296 | 12.4× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$17.40–$102 | $29–$170 | varies |
| Glucose Blood Test (82962) | $48 | $80 | 14.6× |
| Glucose body fluid (82945) | $83.40 | $139 | 21.2× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$13.80–$57.60 | $23–$96 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$46.20–$203.40 | $77–$339 | varies |
| Glycated Protein (82985) | $130.80 | $218 | 7.8× |
| Gonadotropin Chorionic Qualitative (84703) | $150 | $250 | 19.9× |
| Growth hormone (83003) | $138.60 | $231 | 8.3× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$13.80–$63.60 | $23–$106 | varies |
| H Pylori (C-13) Breath (83013) | $303 | $505 | 4.5× |
| H Pylori Drug Admin (83014) | $87.60 | $146 | 11.1× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$30.60–$194.40 | $51–$324 | varies |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$30–$133.80 | $50–$223 | varies |
| Helicobacter Pylori Stool (87338) | $132 | $220 | 9.2× |
| Helminth Antibody (86682) | $135 | $225 | 10.4× |
| Hematocrit (85014) range across 2 matching MRF lines |
$9–$48.60 | $15–$81 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$9–$47.40 | $15–$79 | varies |
| Hemoglobin a1c (83036) | $151.20 | $252 | 15.6× |
| Hemoglobin Chromotography (83021) | $129 | $215 | 7.1× |
| Hemoglobin plasma (83051) | $105.60 | $176 | 14.4× |
| Hemosiderin urine (83070) | $71.40 | $119 | 15.0× |
| Hep a ab igm (86709) | $185.40 | $309 | 16.5× |
| Heparin assay (85520) | $279 | $465 | 21.3× |
| Hepatitis a antibody total (86708) | $169.80 | $283 | 13.7× |
| Hepatitis b core ab igm (86705) | $232.20 | $387 | 19.7× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$43.80–$159.60 | $73–$266 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$27.60–$171.60 | $46–$286 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$21.60–$166.80 | $36–$278 | varies |
| Hepatitis Be Antibody (86707) | $172.20 | $287 | 14.9× |
| Hepatitis Be Antigen (87350) | $156 | $260 | 13.5× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$51.60–$252 | $86–$420 | varies |
| Hepatitis c antibody confirmatory test (86804) | $318 | $530 | 20.5× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$559.80–$908.40 | $933–$1,514 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $525.60 | $876 | 15.0× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$127.80–$728.40 | $213–$1,214 | varies |
| Hepatitis Delta Agent Antibody (86692) | $144 | $240 | 8.4× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$63.60–$132 | $106–$220 | varies |
| Heterophile Antibody Screen (86308) | $132 | $220 | 25.5× |
| Hfe Gene (81256) | $259.80 | $433 | 4.0× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$126.60–$160.20 | $211–$267 | varies |
| Histoplasma antigen urine (87385) | $345.60 | $576 | 26.1× |
| Hiv Antigen W/Hiv Antibodies (87806) range across 2 matching MRF lines |
$71.40–$172.80 | $119–$288 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$58.80–$166.80 | $98–$278 | varies |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$26.40–$190.20 | $44–$317 | varies |
| HIV-1 p24 antigen (87390) | $52.80 | $88 | 2.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $459 | $765 | 5.4× |
| HIV-2 probe&revrse trnscripj (87538) | $115.20 | $192 | 3.3× |
| Hla class ii typing high resolution one locus ea (81382) | $334.80 | $558 | 2.7× |
| Hla ii typing 1 allele hr (81383) | $295.20 | $492 | 2.7× |
| Hla ii typing 1 locus lr (81376) | $192 | $320 | 1.6× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $777 | $1,295 | 7.3× |
| Hla-b27 (86812) | $318 | $530 | 12.3× |
| Homocysteine (83090) range across 2 matching MRF lines |
$60.60–$387 | $101–$645 | varies |
| Homogenization Tissue (87176) | $102 | $170 | 17.3× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$104.40–$145.20 | $174–$242 | varies |
| Hpv Types 16 & 18 Only (87625) | $171 | $285 | 4.2× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$125.40–$195 | $209–$325 | varies |
| Hsv Dna Quant (87530) | $77.40 | $129 | 1.8× |
| Hydroxyprogesterone 17-d (83498) | $136.20 | $227 | 5.0× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $118.80 | $198 | 9.9× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $93 | $155 | 9.0× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$43.20–$101.40 | $72–$169 | varies |
| Iaad Ia Streptococcus Group A (87430) | $120.60 | $201 | 7.2× |
| Iaadi giardia (87269) | $71.40 | $119 | 5.2× |
| Iaadiadoo trichomonas vaginalis (87808) range across 2 matching MRF lines |
$43.80–$70.20 | $73–$117 | varies |
| Iadna Bartonella Amplified Probe Technique (87471) | $282.60 | $471 | 8.1× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $369.60 | $616 | 10.5× |
| Iadna Candida Species Amplified Probe Tq (87481) | $104.40 | $174 | 3.0× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $121.80 | $203 | 5.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$94.80–$319.80 | $158–$533 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $476.40 | $794 | 11.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $212.40 | $354 | 3.0× |
| Iadna hepatitis b virus amplified probe tq (87516) | $244.80 | $408 | 7.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $836.40 | $1,394 | 19.5× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 2 matching MRF lines |
$94.80–$366 | $158–$610 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $342.60 | $571 | 9.8× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$104.40–$410.40 | $174–$684 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$125.40–$203.40 | $209–$339 | varies |
| Igg subclasses (82787) | $12.60 | $21 | 1.6× |
| Igh gene rearrange amp meth (81261) | $324.60 | $541 | 1.6× |
| Igk rearrangeabn clonal pop (81264) | $783.60 | $1,306 | 4.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $460.80 | $768 | 1.2× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$105–$378.60 | $175–$631 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$48–$393 | $80–$655 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $44.40 | $74 | 3.0× |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$42.60–$61.20 | $71–$102 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$37.20–$77.40 | $62–$129 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$79.80–$394.80 | $133–$658 | varies |
| Immunohistochemistry (88342) | $423 | $705 | 2.3× |
| In situ hybridization 1st probe stain (88365) | $742.80 | $1,238 | 4.1× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) range across 2 matching MRF lines |
$48–$62.40 | $80–$104 | varies |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$43.80–$208.80 | $73–$348 | varies |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$253.80–$381.60 | $423–$636 | varies |
| Inhibin A (86336) range across 2 matching MRF lines |
$53.40–$132 | $89–$220 | varies |
| Inhibin b (83520) range across 2 matching MRF lines |
$37.80–$280.20 | $63–$467 | varies |
| Insulin antibodies (86337) | $186.60 | $311 | 8.7× |
| Insulin total (83525) range across 2 matching MRF lines |
$144.60–$181.20 | $241–$302 | varies |
| Intrinsic factor antibody (86340) | $131.40 | $219 | 8.7× |
| Iron (83540) range across 2 matching MRF lines |
$21.60–$89.40 | $36–$149 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$31.80–$128.40 | $53–$214 | varies |
| Islet cell antibody (86341) | $165.60 | $276 | 7.0× |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$165–$532.80 | $275–$888 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $333.60 | $556 | 1.8× |
| Ketosteroids 17 total (83586) | $122.40 | $204 | 9.6× |
| Koh Prep (87220) | $110.40 | $184 | 25.9× |
| Kras Gene Analysis Additional Variant(S) (81276) | $291.60 | $486 | 1.5× |
| Kras Gene Variants Exon 2 (81275) | $393 | $655 | 2.0× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$20.40–$82.20 | $34–$137 | varies |
| Lactoferrin Fecal Quantitative (83631) | $48.60 | $81 | 2.5× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$46.20–$211.80 | $77–$353 | varies |
| LDL direct (83721) | $121.80 | $203 | 11.6× |
| Lead (83655) range across 2 matching MRF lines |
$43.80–$162 | $73–$270 | varies |
| Legionella antibody (86713) | $190.20 | $317 | 12.4× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$36–$187.20 | $60–$312 | varies |
| Leukocyte Assessment Fecal (89055) | $83.40 | $139 | 19.5× |
| Leukocyte Histamine Release (86343) | $198 | $330 | 15.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $204.60 | $341 | 6.7× |
| Level ii surg pathology grossµscopic exam (88302) | $255 | $425 | 6.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $787.20 | $1,312 | 2.1× |
| Lipase (83690) | $138 | $230 | 20.0× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$46.20–$202.80 | $77–$338 | varies |
| Lipoprotein Bld Quan Part (83704) | $280.20 | $467 | 8.2× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $106.20 | $177 | 3.1× |
| Lithium (80178) | $150 | $250 | 22.7× |
| Luteinizing Hormone (Lh) (83002) | $342.60 | $571 | 18.5× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$36.60–$269.40 | $61–$449 | varies |
| Lysozyme serum (85549) | $138 | $230 | 7.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $606 | $1,010 | 3.4× |
| M/phmtrc alys ishquant/semiq (88374) | $397.80 | $663 | 2.2× |
| Macroscopic exam arthropod (87168) | $64.80 | $108 | 15.2× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$23.40–$114.60 | $39–$191 | varies |
| Mass Spectrometry Quant (83789) | $185.40 | $309 | 7.7× |
| Mercury urine (83825) range across 2 matching MRF lines |
$58.80–$154.20 | $98–$257 | varies |
| Methylmalonic acid serum (83921) | $498.60 | $831 | 23.5× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$19.80–$181.20 | $33–$302 | varies |
| Microsomal Antibodies Each (86376) | $171 | $285 | 11.8× |
| Mitochondrial Antibody Each (86381) | $45.60 | $76 | 1.8× |
| Mlh1 Gene (81288) | $609 | $1,015 | 3.2× |
| Molecular Cytogenetics Dna Probe Each (88271) | $267.60 | $446 | 12.5× |
| Mopath procedure level 2 (81401) | $484.80 | $808 | 3.5× |
| Mopath procedure level 5 (81404) | $437.40 | $729 | 1.6× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $333.60 | $556 | 1.8× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$104.40–$302.40 | $174–$504 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $337.80 | $563 | 5.2× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$36.60–$102 | $61–$170 | varies |
| Mycophenolic Acid (80180) | $259.80 | $433 | 14.4× |
| Mycoplasma antibody (86738) | $120.60 | $201 | 9.1× |
| Mycoplasma culture (87109) | $159.60 | $266 | 10.4× |
| Myoglobin urine (83874) | $295.80 | $493 | 22.9× |
| Natriuretic peptide (83880) | $288 | $480 | 7.3× |
| Neutralization Test Viral (86382) | $55.20 | $92 | 3.3× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $79.20 | $132 | 2.7× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $388.20 | $647 | 1.5× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $256.80 | $428 | 1.8× |
| Niacin (84591) | $187.80 | $313 | 11.0× |
| Nk cells total count (86357) | $112.80 | $188 | 3.0× |
| Nras gene variants exon 2&3 (81311) | $601.80 | $1,003 | 2.0× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$64.20–$181.20 | $107–$302 | varies |
| Obstetric panel (80081) | $521.40 | $869 | 7.0× |
| Occult blood feces (82272) | $39.60 | $66 | 9.4× |
| Occult Blood Other Sources (82271) | $86.40 | $144 | 16.2× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$71.40–$470.40 | $119–$784 | varies |
| Oncoprotein dcp (83951) | $288.60 | $481 | 4.5× |
| Organic acids urine (83918) | $59.40 | $99 | 2.5× |
| Osmolality serum (83930) | $106.20 | $177 | 16.1× |
| Osmolality Urine (83935) | $106.20 | $177 | 15.6× |
| Osteocalcin (83937) | $172.80 | $288 | 5.8× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$32.40–$181.20 | $54–$302 | varies |
| Oxalate urine (83945) range across 2 matching MRF lines |
$46.20–$99.60 | $77–$166 | varies |
| Pancreatic Elastase Fecal (82656) | $309 | $515 | 26.8× |
| Particle Agglutination Screen Each Antibody (86403) | $145.20 | $242 | 12.6× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$41.40–$132 | $69–$220 | varies |
| Pathology Consultation During Surgery (88329) | $156.60 | $261 | 2.5× |
| Ph urine (81003) range across 2 matching MRF lines |
$9–$82.80 | $15–$138 | varies |
| Phenobarbital Level (80184) | $185.40 | $309 | 12.1× |
| Phenytoin (Dilantin) (80185) | $187.80 | $313 | 14.2× |
| Phenytoin free (80186) | $138.60 | $231 | 10.1× |
| Phosphatase acid prostatic (84066) | $88.80 | $148 | 9.2× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$18.60–$70.80 | $31–$118 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$19.20–$185.40 | $32–$309 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$17.40–$77.40 | $29–$129 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$18.60–$88.20 | $31–$147 | varies |
| Pinworm exam (87172) | $119.40 | $199 | 28.0× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$77.40–$255 | $129–$425 | varies |
| Platelet Antibodies (86022) | $318.60 | $531 | 17.3× |
| Platelet count automated (85049) | $87.60 | $146 | 19.6× |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$19.20–$210 | $32–$350 | varies |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$26.40–$134.40 | $44–$224 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) | $46.20 | $77 | 3.1× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$12–$80.40 | $20–$134 | varies |
| Prealbumin (84134) | $236.40 | $394 | 16.2× |
| Pregnenolone (84140) | $148.80 | $248 | 7.2× |
| Primidone (80188) | $154.20 | $257 | 9.3× |
| Procalcitonin (Pct) (84145) | $294.60 | $491 | 10.8× |
| Progesterone (84144) | $344.40 | $574 | 16.5× |
| Prolactin (84146) range across 2 matching MRF lines |
$42.60–$326.40 | $71–$544 | varies |
| Protein body fluid (84157) | $90 | $150 | 22.5× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$49.80–$458.40 | $83–$764 | varies |
| Protein c antigen (85302) | $380.40 | $634 | 31.7× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$63.60–$126 | $106–$210 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$37.80–$183.60 | $63–$306 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$54.60–$470.40 | $91–$784 | varies |
| Protein s total (85305) | $363.60 | $606 | 31.3× |
| Protein Total Refractometry Any Src (84160) | $18.60 | $31 | 3.3× |
| Protein total serum (84155) range across 2 matching MRF lines |
$12.60–$62.40 | $21–$104 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$12.60–$92.40 | $21–$154 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$13.80–$82.80 | $23–$138 | varies |
| Protoporphyrin, RBC; screen Facility (84203) | $25.80 | $43 | 2.6× |
| PSA free (84154) | $60.60 | $101 | 3.3× |
| Pth Intact (83970) range across 2 matching MRF lines |
$148.80–$445.80 | $248–$743 | varies |
| Q Fever Antibody (86638) | $49.80 | $83 | 4.1× |
| Quantiferon tb gold plus (86480) | $244.80 | $408 | 3.9× |
| Quantitative assay drug (80299) | $259.80 | $433 | 13.9× |
| Quantitative Screen Metals (83018) | $179.40 | $299 | 8.2× |
| Quinidine (80194) | $135.60 | $226 | 9.3× |
| Rbc antibody elution (86860) | $339 | $565 | 1.9× |
| Rbc antibody identification (86870) | $267 | $445 | 0.7× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$39.60–$130.80 | $66–$218 | varies |
| Reagent Strip/Blood Glucose (82948) | $49.80 | $83 | 9.9× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$78.60–$375 | $131–$625 | varies |
| Reptilase test (85635) | $92.40 | $154 | 9.4× |
| Resp virus 12-25 targets (87633) | $1,486.80 | $2,478 | 3.6× |
| Reticulocyte Count (85046) | $12.60 | $21 | 2.3× |
| Reticulocyte Count Manual (85044) | $83.40 | $139 | 19.4× |
| Rh (86901) range across 2 matching MRF lines |
$45–$57.60 | $75–$96 | varies |
| Rheumatoid Factor Qualitative (86430) | $129 | $215 | 21.0× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$19.80–$159.60 | $33–$266 | varies |
| Rickettsia antibody (86757) | $57.60 | $96 | 3.0× |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$81.60–$208.80 | $136–$348 | varies |
| Rotavirus ag eia (87425) | $181.80 | $303 | 15.2× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$15.60–$87.60 | $26–$146 | varies |
| Rsv ab (86756) | $171.60 | $286 | 10.8× |
| Rsv Assay W/Optic (87807) | $135.60 | $226 | 10.4× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$47.40–$165.60 | $79–$276 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$46.20–$121.80 | $77–$203 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$20.40–$162 | $34–$270 | varies |
| Salicylate Level (80179) | $36 | $60 | 1.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$122.40–$414.60 | $204–$691 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $81 | $135 | 1.9× |
| Sedimentation rate (85651) | $99.60 | $166 | 23.3× |
| Sedimentation Rate, Automated (85652) | $64.20 | $107 | 23.8× |
| Selenium (84255) | $101.40 | $169 | 4.0× |
| Sensitivity mic (87186) | $133.20 | $222 | 15.4× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$78–$212.40 | $130–$354 | varies |
| Sickling of rbc reduction (85660) | $90 | $150 | 16.3× |
| Sirolimus (80195) | $326.40 | $544 | 23.8× |
| Skin test tuberculosis intradermal (86580) | $48 | $80 | 1.6× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$16.20–$112.80 | $27–$188 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$64.20–$138 | $107–$230 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$12–$84.60 | $20–$141 | varies |
| Smear Special Stain (87207) | $119.40 | $199 | 19.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $88.80 | $148 | 15.3× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$15.60–$64.20 | $26–$107 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$12–$78 | $20–$130 | varies |
| Soluble Transferrin Receptor (84238) | $418.80 | $698 | 11.5× |
| Somatomedin (84305) | $374.40 | $624 | 17.6× |
| Special Stains Group 1 (88312) | $266.40 | $444 | 4.8× |
| Special Stains Group 2 (88313) | $245.40 | $409 | 1.7× |
| Specific gravity body fluid (84315) | $3 | $5 | 0.9× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$23.40–$64.20 | $39–$107 | varies |
| Spectrophotometry (84311) | $73.80 | $123 | 9.1× |
| Staph a DNA amp probe (87640) | $104.40 | $174 | 3.0× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$33.60–$135 | $56–$225 | varies |
| Strep a assay w/optic (87880) | $121.80 | $203 | 7.4× |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$94.80–$234 | $158–$390 | varies |
| Sugars Single Qual (84376) | $65.40 | $109 | 11.9× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $69.60 | $116 | 1.8× |
| Surg path level iii (88304) | $399 | $665 | 7.2× |
| Surgical pathology level IV (88305) | $477.60 | $796 | 8.7× |
| Surgical pathology level vi (88309) | $1,005.60 | $1,676 | 1.2× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$103.80–$131.40 | $173–$219 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $120.60 | $201 | 16.1× |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $99.60 | $166 | 2.5× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) range across 2 matching MRF lines |
$18–$154.20 | $30–$257 | varies |
| Syphilis Test Non-Trep Quant (86593) | $78.60 | $131 | 17.9× |
| T cells absolute cd4 count (86361) | $200.40 | $334 | 7.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$154.20–$261 | $257–$435 | varies |
| T cells total count (86359) | $123.60 | $206 | 3.3× |
| T3 Free (84481) | $333 | $555 | 19.7× |
| T3 reverse (84482) | $130.80 | $218 | 8.3× |
| T3 Total (84480) | $256.80 | $428 | 18.1× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$35.40–$126 | $59–$210 | varies |
| T4 Free (84439) | $222.60 | $371 | 24.7× |
| T4 total (84436) range across 2 matching MRF lines |
$38.40–$136.20 | $64–$227 | varies |
| Tacrolimus (80197) | $389.40 | $649 | 28.4× |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$16.20–$101.40 | $27–$169 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$92.40–$314.40 | $154–$524 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$75.60–$216 | $126–$360 | varies |
| Tetanus antibody (86774) | $150 | $250 | 10.1× |
| Theophylline (80198) | $181.80 | $303 | 12.9× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$19.80–$100.20 | $33–$167 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$21.60–$150 | $36–$250 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$57.60–$267 | $96–$445 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$57.60–$222 | $96–$370 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $496.80 | $828 | 9.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $25.80 | $43 | 2.2× |
| Tissue Culture (88233) | $967.80 | $1,613 | 6.9× |
| Tissue culture bone marrow (88237) | $849 | $1,415 | 5.9× |
| Tobramycin peak (80200) | $232.80 | $388 | 14.4× |
| Topiramate (80201) | $138.60 | $231 | 11.6× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$33.60–$133.20 | $56–$222 | varies |
| Toxoplasma antibody (86777) | $47.40 | $79 | 3.3× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$18.60–$84.60 | $31–$141 | varies |
| Transferrin (84466) | $172.80 | $288 | 13.5× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $759 | $1,265 | 3.6× |
| Trg gene rearrangement anal (81342) | $438.60 | $731 | 2.2× |
| Trichomonas vagin dir probe (87660) range across 2 matching MRF lines |
$71.40–$77.40 | $119–$129 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$104.40–$145.80 | $174–$243 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$19.80–$89.40 | $33–$149 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$34.80–$288 | $58–$480 | varies |
| Tumor immunohistochem/comput (88361) | $487.80 | $813 | 1.3× |
| Tumor Immunohistochem/Manual (88360) | $544.80 | $908 | 3.0× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$9.60–$82.20 | $16–$137 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$17.40–$94.80 | $29–$158 | varies |
| Urinalysis Microscopic Only (81015) | $41.40 | $69 | 13.6× |
| Urinalysis Volume Measure (81050) | $27.60 | $46 | 7.6× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$81.60–$92.40 | $136–$154 | varies |
| Urine Pregnancy Test (81025) | $123 | $205 | 14.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $109.20 | $182 | 34.4× |
| Valproic acid (80164) | $234 | $390 | 17.3× |
| Vancomycin (80202) | $252.60 | $421 | 18.7× |
| Varicella-zoster antibody (86787) | $217.80 | $363 | 16.9× |
| Vasopressin (84588) | $210.60 | $351 | 6.2× |
| Viral Culture (87252) range across 2 matching MRF lines |
$54–$402.60 | $90–$671 | varies |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$30.60–$135.60 | $51–$226 | varies |
| Virus inoculate tissue addl (87253) | $60.60 | $101 | 3.0× |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$69.60–$387 | $116–$645 | varies |
| Vit D 1 25-Dihydroxy (82652) | $437.40 | $729 | 11.4× |
| Vitamin A (84590) | $174 | $290 | 15.0× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$49.80–$202.80 | $83–$338 | varies |
| Vitamin B2 (Riboflavin) (84252) | $165.60 | $276 | 8.2× |
| Vitamin B6 (84207) | $234.60 | $391 | 8.3× |
| Vitamin c (82180) | $96.60 | $161 | 9.8× |
| Vitamin D 25-Hydroxy (82306) | $312.60 | $521 | 10.6× |
| Vitamin E (84446) | $211.80 | $353 | 14.9× |
| Vitamin K (84597) | $224.40 | $374 | 16.4× |
| Volatiles (84600) range across 2 matching MRF lines |
$48–$172.20 | $80–$287 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $40.80 | $68 | 3.4× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$81.60–$278.40 | $136–$464 | varies |
| West nile virus ab igm (86788) | $36 | $60 | 2.1× |
| West Nile Virus Antibody (86789) | $50.40 | $84 | 3.5× |
| Western Blot Test (84181) | $151.20 | $252 | 8.9× |
| Xm Archive Tissue Molec Anal (88363) | $90 | $150 | 2.9× |
| Zinc (84630) | $187.80 | $313 | 16.5× |
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.