Lab & pathology prices at Ascension Via Christi Hospital Manhattan, Inc
Manhattan, KS · every code in this section with a posted price and a Medicare benchmark.
549 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $76 | $190 | 2.0× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$28–$134.40 | $70–$336 | varies |
| Acylcarnitines Quant (82017) | $140 | $350 | 8.3× |
| Adenovirus antibody (86603) range across 2 matching MRF lines |
$61.60–$79.20 | $154–$198 | varies |
| Agglutinins Febrile Each Antigen (86000) | $95.60 | $239 | 13.7× |
| Albumin Fluid (82042) range across 3 matching MRF lines |
$22–$66.40 | $55–$166 | varies |
| Albumin serum (82040) range across 3 matching MRF lines |
$6.80–$56.40 | $17–$141 | varies |
| Aldolase (82085) | $27.20 | $68 | 2.8× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$78.80–$97.60 | $197–$244 | varies |
| Alkaline phosphatase isoenzymes (84080) | $44 | $110 | 3.0× |
| Allergen specific ige (86003) range across 76 matching MRF lines |
$9.20–$35.60 | $23–$89 | varies |
| Allergen specific igg (86001) range across 4 matching MRF lines |
$10–$98 | $25–$245 | varies |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$60.40–$69.20 | $151–$173 | varies |
| Alpha-1-antitrypsin total (82103) range across 5 matching MRF lines |
$26.40–$78 | $66–$195 | varies |
| Alpha-Fetoprotein Serum (82105) | $66.80 | $167 | 4.0× |
| Alt (sgpt) (84460) range across 4 matching MRF lines |
$4–$65.60 | $10–$164 | varies |
| Aluminum (82108) range across 2 matching MRF lines |
$37.60–$39.60 | $94–$99 | varies |
| Amikacin trough (80150) | $92.40 | $231 | 6.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $418.80 | $1,047 | 24.8× |
| Aminolevulinic acid (ala) (82135) | $60 | $150 | 3.6× |
| Ammonia (82140) | $57.20 | $143 | 3.9× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $72 | $180 | 0.7× |
| Amylase urine (82150) | $80.80 | $202 | 12.5× |
| Ana Titer (86039) | $71.20 | $178 | 6.4× |
| Angiotensin converting enzyme csf (82164) | $48 | $120 | 3.3× |
| Anti-Phospholipid Antibody (86148) | $70.80 | $177 | 4.4× |
| Antibody aspergillus (86606) range across 6 matching MRF lines |
$26.40–$62.40 | $66–$156 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $70.40 | $176 | 4.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $91.60 | $229 | 5.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $51.60 | $129 | 3.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$51.60–$78.80 | $129–$197 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $51.60 | $129 | 2.8× |
| Antibody haemophilus influenza (86684) | $49.20 | $123 | 3.1× |
| Antibody helicobacter pylori (86677) | $22 | $55 | 1.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 3 matching MRF lines |
$56.80–$62 | $142–$155 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $33.20 | $83 | 2.5× |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$38.40–$66 | $96–$165 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $93.20 | $233 | 4.8× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$49.20–$80.80 | $123–$202 | varies |
| Antibody john cunningham virus (86711) | $867.20 | $2,168 | 51.3× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$30.40–$76.40 | $76–$191 | varies |
| Antibody rotavirus (86759) | $80 | $200 | 4.4× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$26.40–$75.20 | $66–$188 | varies |
| Antibody; campylobacter (86625) | $63.20 | $158 | 4.8× |
| Antigen typing (86905) | $176.80 | $442 | 46.2× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $89.60 | $224 | 15.7× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$44–$47.60 | $110–$119 | varies |
| Antistreptolysin o titer (86060) | $74 | $185 | 10.1× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$26–$91.60 | $65–$229 | varies |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$27.20–$51.20 | $68–$128 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$29.60–$53.20 | $74–$133 | varies |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$176.40–$182 | $441–$455 | varies |
| Assay Blood Carbon Dioxide (82374) | $40.80 | $102 | 8.4× |
| Assay Nephelometry Not Spec (83883) range across 6 matching MRF lines |
$38.80–$58.80 | $97–$147 | varies |
| Assay of 5-hiaa (83497) | $36 | $90 | 2.8× |
| Assay of blood/uric acid (84550) | $40.80 | $102 | 9.0× |
| Assay of calcium in urine (82340) | $34.40 | $86 | 5.7× |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$25.60–$26.40 | $64–$66 | varies |
| Assay of estrone (82679) range across 2 matching MRF lines |
$38.40–$82.40 | $96–$206 | varies |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$54.80–$68.40 | $137–$171 | varies |
| Assay of gammaglobulin igm (82784) range across 14 matching MRF lines |
$25.60–$66.40 | $64–$166 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$21.20–$30 | $53–$75 | varies |
| Assay of manganese (83785) | $146.80 | $367 | 5.5× |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$62.80–$98 | $157–$245 | varies |
| Assay of proinsulin (84206) | $95.60 | $239 | 3.6× |
| Assay of serotonin (84260) | $75.20 | $188 | 2.4× |
| Assay of serum potassium (84132) | $22.40 | $56 | 4.7× |
| Assay of sweat sodium (84302) range across 2 matching MRF lines |
$16–$16.80 | $40–$42 | varies |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$4.40–$29.20 | $11–$73 | varies |
| Assay of urine vma (84585) | $42.80 | $107 | 2.8× |
| Assay of vasoactive intestinal peptide (84586) | $64.40 | $161 | 1.8× |
| Assay of vitamin b-1 (84425) | $48 | $120 | 2.3× |
| Assay Ph Body Fluid Nos (83986) range across 5 matching MRF lines |
$7.20–$43.60 | $18–$109 | varies |
| Automated Leukocyte Count (85048) range across 3 matching MRF lines |
$4.80–$22.80 | $12–$57 | varies |
| B cells total count (86355) | $41.20 | $103 | 1.1× |
| Bartonella antibody (86611) range across 4 matching MRF lines |
$12.40–$30.80 | $31–$77 | varies |
| Bcr/abl1 gene major bp (81206) | $108.40 | $271 | 0.7× |
| Bcr/abl1 gene minor bp (81207) | $94.80 | $237 | 0.7× |
| Bcr/Abl1 Gene Other Bp (81208) | $141.60 | $354 | 0.7× |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$34.40–$35.60 | $86–$89 | varies |
| Beta hydroxybutyrate (82010) | $84.80 | $212 | 10.4× |
| Beta Lactamase (87185) | $33.20 | $83 | 7.0× |
| Beta-2 Microglobulin (82232) range across 4 matching MRF lines |
$21.20–$59.60 | $53–$149 | varies |
| Bilirubin direct (82248) | $43.60 | $109 | 8.7× |
| Bilirubin total (82247) range across 5 matching MRF lines |
$16.40–$32.40 | $41–$81 | varies |
| Blastomyces antibody (86612) | $36 | $90 | 2.8× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $81.60 | $204 | 0.5× |
| Bld Typing Serologic Rh Phnt (86906) | $57.20 | $143 | 7.4× |
| Blood Count Automated Differential Wbc Count (85004) range across 2 matching MRF lines |
$8.40–$49.60 | $21–$124 | varies |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$12.40–$38 | $31–$95 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $28.80 | $72 | 7.6× |
| Blood gas (82803) range across 3 matching MRF lines |
$101.60–$104.80 | $254–$262 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $20.80 | $52 | 4.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $176.80 | $442 | 27.8× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $50 | $125 | 3.1× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$62–$102 | $155–$255 | varies |
| Bone marrow smear interpretation (85097) | $402.80 | $1,007 | 0.5× |
| Bordetella antibody (86615) range across 5 matching MRF lines |
$34–$72.80 | $85–$182 | varies |
| Braf gene analysis (81210) | $217.20 | $543 | 1.2× |
| Breath Alcohol Test (82075) | $26 | $65 | 0.9× |
| Brucella antibody (86622) range across 4 matching MRF lines |
$31.20–$40.80 | $78–$102 | varies |
| C diff amplified probe (87493) | $47.20 | $118 | 1.3× |
| C-Peptide (84681) | $58.80 | $147 | 2.8× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$35.60–$39.20 | $89–$98 | varies |
| Ca 19-9 (86301) | $33.60 | $84 | 1.6× |
| Cadmium (82300) range across 4 matching MRF lines |
$30.40–$44.40 | $76–$111 | varies |
| Calcitonin (82308) | $70 | $175 | 2.6× |
| Calcium ionized (82330) | $34.80 | $87 | 2.5× |
| Calcium total (82310) range across 2 matching MRF lines |
$7.60–$30.80 | $19–$77 | varies |
| Calculus assay quant (82360) | $112.40 | $281 | 8.7× |
| Calprotectin Fecal (83993) | $144.40 | $361 | 7.4× |
| Cancer Antigen 125 (86304) | $116 | $290 | 5.6× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$36–$44 | $90–$110 | varies |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$48.40–$56.40 | $121–$141 | varies |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$44.40–$46.40 | $111–$116 | varies |
| Carcinoembryonic antigen (82378) | $49.20 | $123 | 2.6× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$47.60–$75.20 | $119–$188 | varies |
| Carnitine Quantitative Each Specimen (82379) | $137.60 | $344 | 8.2× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$72.80–$118.40 | $182–$296 | varies |
| Ccp antibody (86200) | $91.60 | $229 | 7.1× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $254.80 | $637 | 1.1× |
| Cell count csf (89051) range across 3 matching MRF lines |
$79.20–$82 | $198–$205 | varies |
| Cell enumeration & id (86152) | $522.80 | $1,307 | 2.1× |
| Ceruloplasmin (82390) | $102.40 | $256 | 9.5× |
| Cftr gene com variants (81220) | $1,136.40 | $2,841 | 2.0× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$100.40–$124 | $251–$310 | varies |
| Chlamydia antibody (86631) range across 3 matching MRF lines |
$46.40–$49.20 | $116–$123 | varies |
| Chlamydia Igm Antibody (86632) | $49.20 | $123 | 3.9× |
| Chloride other source (82438) range across 2 matching MRF lines |
$16–$16.80 | $40–$42 | varies |
| Chloride Serum (82435) | $14 | $35 | 3.0× |
| Chloride urine (82436) | $22.80 | $57 | 4.0× |
| Cholesterol total (82465) | $27.20 | $68 | 6.3× |
| Cholinesterase rbc (82482) range across 2 matching MRF lines |
$62–$66.80 | $155–$167 | varies |
| Chorionic gonadotropin test (84702) | $115.60 | $289 | 7.7× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $117.60 | $294 | 3.5× |
| Chromium serum (82495) range across 4 matching MRF lines |
$15.20–$32.40 | $38–$81 | varies |
| Chromogenic Substrate Assay (85130) | $17.60 | $44 | 1.5× |
| Chromogranin a (86316) | $104.40 | $261 | 5.0× |
| Chromosome Analysis 15-20 (88262) range across 4 matching MRF lines |
$230.80–$349.60 | $577–$874 | varies |
| Chromosome Analysis 20-25 (88264) | $393.60 | $984 | 2.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$45.20–$65.60 | $113–$164 | varies |
| Citric acid urine (82507) | $79.60 | $199 | 2.9× |
| Ckmb (82553) | $40 | $100 | 3.5× |
| Clostridium Difficile (87324) | $43.20 | $108 | 3.6× |
| Clot factor xiii fibrin stab (85290) | $33.60 | $84 | 2.1× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$32.40–$117.20 | $81–$293 | varies |
| Coagulation time activated (85347) | $14.40 | $36 | 3.4× |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
$35.20–$42.40 | $88–$106 | varies |
| Cold agglutinin titer (86157) | $28.80 | $72 | 3.6× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$36–$89.20 | $90–$223 | varies |
| Column Chromotography Quant (82542) | $93.20 | $233 | 3.9× |
| Compatibility test antiglob (86922) | $89.60 | $224 | 0.6× |
| Complement Total (Ch50) (86162) | $70.40 | $176 | 3.5× |
| Complement/Function Activity (86161) range across 4 matching MRF lines |
$54–$78.80 | $135–$197 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $108.80 | $272 | 2.3× |
| Coombs direct (86880) range across 4 matching MRF lines |
$35.20–$42 | $88–$105 | varies |
| Copper urine (82525) | $31.60 | $79 | 2.5× |
| Cortisol free (82530) range across 3 matching MRF lines |
$51.20–$140.80 | $128–$352 | varies |
| Cortisol saliva (82533) range across 5 matching MRF lines |
$54.40–$56 | $136–$140 | varies |
| Creatine kinase total (82550) range across 3 matching MRF lines |
$11.20–$30.80 | $28–$77 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$7.20–$20.40 | $18–$51 | varies |
| Creatinine clearance (82575) | $69.60 | $174 | 7.4× |
| Creatinine Urine (82570) range across 7 matching MRF lines |
$12.80–$35.60 | $32–$89 | varies |
| Crossmatch immediate spin (86920) | $98 | $245 | 0.6× |
| Crp High Sensitivity (86141) | $36.80 | $92 | 2.8× |
| Cryptococcus ab (86641) | $112.80 | $282 | 7.8× |
| Cryptococcus ag titer (87899) | $26.40 | $66 | 1.6× |
| Cryptosporidium ag eia (87328) | $40.40 | $101 | 2.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $42.40 | $106 | 5.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $22.80 | $57 | 3.0× |
| Culture Anaerobic (87075) | $98 | $245 | 10.3× |
| Culture blood (87040) | $74.40 | $186 | 7.2× |
| Culture chlamydia (87110) range across 2 matching MRF lines |
$52.80–$64.40 | $132–$161 | varies |
| Culture csf (87070) range across 13 matching MRF lines |
$24.80–$154.40 | $62–$386 | varies |
| Culture fungus (87102) | $82 | $205 | 9.8× |
| Culture fungus blood (87103) | $76.40 | $191 | 3.7× |
| Culture screen only (87081) range across 5 matching MRF lines |
$46.40–$137.60 | $116–$344 | varies |
| Culture stool (87045) | $34.80 | $87 | 3.7× |
| Culture typing if ea antiserum (87140) | $13.20 | $33 | 2.4× |
| Cyclosporine (80158) | $56 | $140 | 3.1× |
| Cyp2c19 gene analysis common variants (81225) | $404.40 | $1,011 | 1.4× |
| Cystatin C (82610) | $38 | $95 | 2.1× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$32–$123.20 | $80–$308 | varies |
| Cytopath Cell Enhance Tech (88112) | $48 | $120 | 1.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $130 | $325 | 2.7× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $81.60 | $204 | 0.5× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $48.40 | $121 | 1.4× |
| Deoxyribonuclease antibody (86215) | $69.20 | $173 | 5.2× |
| Detect Agent Nos Dna Amp (87798) range across 20 matching MRF lines |
$82–$340 | $205–$850 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$112.80–$261.20 | $282–$653 | varies |
| Detect agnt mult DNA ampli (87801) | $122.40 | $306 | 1.7× |
| Dhea (82626) | $59.60 | $149 | 2.4× |
| Dhea-S (82627) | $79.20 | $198 | 3.6× |
| Digoxin (80162) | $52.80 | $132 | 4.0× |
| Diphtheria antitoxoid (86648) | $32 | $80 | 2.1× |
| Dipropylacetic Acid Free (80165) | $30.40 | $76 | 2.2× |
| Dna Antibody Native/Double Stranded (86225) | $84.40 | $211 | 6.1× |
| Dna Antibody Single Stranded (86226) | $62.40 | $156 | 5.2× |
| Dna/Rna Amplified Probe (87150) | $138.80 | $347 | 4.0× |
| Drug Assay Everolimus (80169) | $123.20 | $308 | 9.0× |
| Drug Assay Infliximab (80230) | $281.20 | $703 | 7.3× |
| Drug Assay Itraconazole (80189) | $96 | $240 | 3.5× |
| Drug Screen Quant Clozapine (80159) | $40.40 | $101 | 2.0× |
| Drug Screen Quantitative Gabapentin (80171) | $36.80 | $92 | 1.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $138.80 | $347 | 10.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $80 | $200 | 6.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 18 matching MRF lines |
$34.40–$128.40 | $86–$321 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 7 matching MRF lines |
$6–$78 | $15–$195 | varies |
| Drug Test Prsmv Instrmnt (80306) | $39.20 | $98 | 2.3× |
| Egfr Gene Analysis Common Variants (81235) | $262.80 | $657 | 0.8× |
| Ehrlichia antibody (86666) range across 9 matching MRF lines |
$55.60–$130.40 | $139–$326 | varies |
| Electrolyte panel (80051) | $55.60 | $139 | 7.9× |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$415.20–$540.40 | $1,038–$1,351 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 2 matching MRF lines |
$68.40–$96 | $171–$240 | varies |
| Enterovirus Antibody (86658) range across 12 matching MRF lines |
$58.80–$61.20 | $147–$153 | varies |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$36.40–$55.60 | $91–$139 | varies |
| Enzyme cell activity (82657) | $83.20 | $208 | 3.8× |
| Erythropoietin (82668) | $65.60 | $164 | 3.5× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$83.20–$138 | $208–$345 | varies |
| Estriol (82677) | $95.20 | $238 | 3.9× |
| Exam Synovial Fluid Crystals (89060) | $78 | $195 | 10.6× |
| F2 Gene (81240) | $91.20 | $228 | 1.4× |
| Factor ii activity (85210) | $72 | $180 | 5.5× |
| Factor Inhibitor Test (85335) range across 3 matching MRF lines |
$30.40–$33.20 | $76–$83 | varies |
| Factor ix activity (85250) | $72 | $180 | 3.8× |
| Factor v activity (85220) | $108.40 | $271 | 6.1× |
| Factor v leiden mutation (81241) | $84 | $210 | 1.1× |
| Factor vii assay (85230) | $42.80 | $107 | 2.4× |
| Factor viii assay (85240) range across 3 matching MRF lines |
$73.20–$198.80 | $183–$497 | varies |
| Factor X (85260) | $101.20 | $253 | 5.7× |
| Factor xi activity (85270) | $137.20 | $343 | 7.7× |
| Fat/Lipids Feces Quantitative (82710) | $114.40 | $286 | 6.8× |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$43.60–$70 | $109–$175 | varies |
| Ferritin (82728) range across 2 matching MRF lines |
$44–$52.80 | $110–$132 | varies |
| Fibrin Degradation Quant (85379) | $80.80 | $202 | 7.9× |
| Fibrinogen activity (85384) | $51.20 | $128 | 5.3× |
| Fibrinogen antigen (85385) | $91.20 | $228 | 6.3× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $32 | $80 | 2.1× |
| Flow cytometry first marker (88184) range across 5 matching MRF lines |
$160.80–$176.80 | $402–$442 | varies |
| Fluorescent antibody screen (86255) range across 10 matching MRF lines |
$39.20–$337.60 | $98–$844 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 9 matching MRF lines |
$28.80–$70.80 | $72–$177 | varies |
| Folic acid rbc (82747) | $59.60 | $149 | 3.4× |
| Folic Acid Serum (82746) | $40.40 | $101 | 2.7× |
| Follicle Stimulating Hormone (83001) | $76 | $190 | 4.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $89.60 | $224 | 0.6× |
| Frozen Section (88331) range across 2 matching MRF lines |
$110.80–$118.40 | $277–$296 | varies |
| Fungi Identification Mold (87107) | $56 | $140 | 5.4× |
| Gammaglobulin ige (82785) | $77.60 | $194 | 4.7× |
| Gastrin (82941) | $68.80 | $172 | 3.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $436 | $1,090 | 1.0× |
| Gentamicin (80170) | $39.60 | $99 | 2.4× |
| Ggt (82977) range across 3 matching MRF lines |
$18.40–$50 | $46–$125 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$40.40–$64 | $101–$160 | varies |
| Glucose 2 hr pp (82950) | $48 | $120 | 10.1× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$14.80–$16 | $37–$40 | varies |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$21.60–$40.40 | $54–$101 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$24.40–$26.40 | $61–$66 | varies |
| Glucose tolerance test (gtt) (82951) range across 3 matching MRF lines |
$46.40–$74 | $116–$185 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $89.60 | $224 | 11.9× |
| Gtt-added samples (82952) | $14.40 | $36 | 3.7× |
| Haptoglobin (83010) range across 3 matching MRF lines |
$36–$45.20 | $90–$113 | varies |
| Hdl Cholesterol (83718) | $73.20 | $183 | 8.9× |
| Helicobacter Pylori Stool (87338) | $70.40 | $176 | 4.9× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$78.80–$160.80 | $197–$402 | varies |
| Hematocrit (85014) range across 2 matching MRF lines |
$17.20–$26 | $43–$65 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$17.20–$26 | $43–$65 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$24.40–$58 | $61–$145 | varies |
| Hemoglobin Chromotography (83021) | $52 | $130 | 2.9× |
| Hemoglobin electrophoresis (83020) | $78.80 | $197 | 6.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $43.60 | $109 | 5.3× |
| Hep a ab igm (86709) | $52.80 | $132 | 4.7× |
| Heparin assay (85520) range across 3 matching MRF lines |
$28–$49.60 | $70–$124 | varies |
| Hepatitis a antibody total (86708) range across 3 matching MRF lines |
$33.60–$52.80 | $84–$132 | varies |
| Hepatitis b core ab igm (86705) | $52.80 | $132 | 4.5× |
| Hepatitis b core ab total (86704) | $35.20 | $88 | 2.9× |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$46.80–$102 | $117–$255 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$24–$105.60 | $60–$264 | varies |
| Hepatitis Be Antibody (86707) | $50 | $125 | 4.3× |
| Hepatitis Be Antigen (87350) | $112.80 | $282 | 9.8× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$61.20–$70 | $153–$175 | varies |
| Hepatitis C Genotype (87902) | $264.80 | $662 | 1.0× |
| Hereditary peripheral neuropathy gen seq pnl (81448) | $1,034 | $2,585 | 1.8× |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$33.60–$34.80 | $84–$87 | varies |
| Heterophile Antibody Screen (86308) | $64 | $160 | 12.4× |
| Hfe Gene (81256) | $181.60 | $454 | 2.8× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
$21.20–$35.20 | $53–$88 | varies |
| Histoplasma antibody (86698) range across 5 matching MRF lines |
$23.60–$48 | $59–$120 | varies |
| Histoplasma antigen urine (87385) range across 3 matching MRF lines |
$77.60–$105.20 | $194–$263 | varies |
| Hiv Genotype (87901) | $256 | $640 | 1.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$28.80–$49.60 | $72–$124 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $84.80 | $212 | 1.0× |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $75.60 | $189 | 0.7× |
| Hla Typing a/B/C Multiple Antigens (86813) | $286.80 | $717 | 4.9× |
| Hla-b27 (86812) | $50 | $125 | 1.9× |
| Homocysteine (83090) | $126 | $315 | 7.0× |
| Hsv Dna Amp Probe (87529) range across 5 matching MRF lines |
$38.80–$170 | $97–$425 | varies |
| Hydroxyprogesterone 17-d (83498) | $62.80 | $157 | 2.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $95.20 | $238 | 6.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $42.80 | $107 | 1.2× |
| Iaad ia shiga-like toxin (87427) | $27.60 | $69 | 2.3× |
| Iaad Ia Streptococcus Group A (87430) | $71.20 | $178 | 4.2× |
| Iaadi pneumocustis carinii (87281) | $62.80 | $157 | 5.2× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) range across 2 matching MRF lines |
$54.40–$62.80 | $136–$157 | varies |
| Iaadi respiratory synctial virus (87280) | $27.20 | $68 | 2.0× |
| Iaadi Varicella Zoster Virus (87290) | $81.60 | $204 | 6.1× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$72–$136.80 | $180–$342 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $68.40 | $171 | 1.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$38.80–$155.20 | $97–$388 | varies |
| Iadna Cytomegalovirus Quantification (87497) range across 3 matching MRF lines |
$53.20–$173.20 | $133–$433 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $148 | $370 | 3.5× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 3 matching MRF lines |
$33.20–$90.40 | $83–$226 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $112.40 | $281 | 3.2× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $175.20 | $438 | 4.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $92 | $230 | 2.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$45.20–$65.60 | $113–$164 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $207.60 | $519 | 1.5× |
| Igg subclasses (82787) range across 6 matching MRF lines |
$32.40–$63.20 | $81–$158 | varies |
| Immune Complex Assay (86332) | $65.60 | $164 | 2.7× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$73.60–$131.60 | $184–$329 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 19 matching MRF lines |
$26–$523.20 | $65–$1,308 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $32.40 | $81 | 1.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 25 matching MRF lines |
$22.40–$40.40 | $56–$101 | varies |
| Immunoassay nonantibody (83516) range across 12 matching MRF lines |
$21.60–$216.80 | $54–$542 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $119.60 | $299 | 5.2× |
| Immunoelectrophoresis Serum (86320) | $84.80 | $212 | 2.8× |
| Immunofixation electrophoresis (86334) | $50 | $125 | 2.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $160.80 | $402 | 1.0× |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$126.80–$132.40 | $317–$331 | varies |
| Influenza a/b ag eia (87400) | $52.40 | $131 | 3.7× |
| Influenza DNA amp probe (87502) | $159.60 | $399 | 1.7× |
| Inhibin b (83520) range across 17 matching MRF lines |
$18.40–$206 | $46–$515 | varies |
| Insitu hybridization auto (88367) | $158.40 | $396 | 0.5× |
| Insitu hybridization manual (88368) | $160.80 | $402 | 0.5× |
| Insulin total (83525) | $78 | $195 | 6.8× |
| Iron (83540) | $20.80 | $52 | 3.2× |
| Iron Binding Capacity (83550) | $32.40 | $81 | 3.7× |
| Irradiation Blood Product Each Unit (86945) | $24.80 | $62 | 0.7× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$55.20–$62 | $138–$155 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $264.40 | $661 | 2.9× |
| L/s ratio (83661) | $90.40 | $226 | 4.1× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$12–$28.80 | $30–$72 | varies |
| Ldh Isoenzymes (83625) | $34.80 | $87 | 2.7× |
| LDL direct (83721) | $47.20 | $118 | 4.5× |
| Lead (83655) range across 5 matching MRF lines |
$16–$40.80 | $40–$102 | varies |
| Legionella antibody (86713) | $100.80 | $252 | 6.6× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$62–$229.60 | $155–$574 | varies |
| Leptospira antibody (86720) | $70 | $175 | 4.3× |
| Leukocyte Assessment Fecal (89055) | $39.20 | $98 | 9.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $18.80 | $47 | 0.7× |
| Level ii surg pathology grossµscopic exam (88302) | $46.80 | $117 | 1.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $160.80 | $402 | 0.5× |
| Lipase (83690) | $67.60 | $169 | 9.8× |
| Lipoprotein A (83695) | $51.60 | $129 | 3.6× |
| Listeria Monocytogenes (86723) | $100.40 | $251 | 7.6× |
| Lithium (80178) | $49.60 | $124 | 7.5× |
| Luteinizing Hormone (Lh) (83002) | $89.20 | $223 | 4.8× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$40–$120.40 | $100–$301 | varies |
| Lysozyme serum (85549) | $47.20 | $118 | 2.5× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $202.80 | $507 | 1.3× |
| M/phmtrc alys ishquant/semiq (88374) | $212.40 | $531 | 1.4× |
| Magnesium Urine (83735) range across 6 matching MRF lines |
$13.60–$40 | $34–$100 | varies |
| Mass Spectrometry Quant (83789) range across 5 matching MRF lines |
$90.40–$226 | $226–$565 | varies |
| Meat fibers, feces (89160) | $70 | $175 | 14.4× |
| Mercury urine (83825) range across 3 matching MRF lines |
$22–$40.40 | $55–$101 | varies |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$34–$94.80 | $85–$237 | varies |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$18.40–$115.60 | $46–$289 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$40.40–$72.80 | $101–$182 | varies |
| Mlh1 Gene (81288) | $132 | $330 | 0.7× |
| Mopath procedure level 4 (81403) | $237.60 | $594 | 1.3× |
| Mopath procedure level 7 (81406) | $189.60 | $474 | 0.7× |
| Mrsa Pcr (87641) | $39.60 | $99 | 1.1× |
| Mthfr Gene Analysis Common Variants (81291) range across 2 matching MRF lines |
$92–$222.80 | $230–$557 | varies |
| Mumps antibody (86735) range across 3 matching MRF lines |
$40.40–$64 | $101–$160 | varies |
| Mycophenolic Acid (80180) | $197.20 | $493 | 10.9× |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
$36.80–$52.40 | $92–$131 | varies |
| Myelin basic protein csf (83873) | $79.60 | $199 | 4.6× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$62–$174.40 | $155–$436 | varies |
| Natriuretic peptide (83880) | $86.40 | $216 | 2.2× |
| Neutralization Test Viral (86382) | $90.80 | $227 | 5.4× |
| Niacin (84591) range across 3 matching MRF lines |
$35.60–$68.80 | $89–$172 | varies |
| Nk cells total count (86357) | $41.20 | $103 | 1.1× |
| Nuclear antigen antibody (86235) range across 7 matching MRF lines |
$33.60–$89.60 | $84–$224 | varies |
| Occult blood feces (82272) | $17.60 | $44 | 4.2× |
| Occult Blood Other Sources (82271) | $26 | $65 | 4.9× |
| Oligoclonal bands (83916) | $163.20 | $408 | 6.0× |
| Organic Acids Qualitative Each Specimen (83919) | $187.20 | $468 | 11.4× |
| Osmolality serum (83930) | $32.40 | $81 | 4.9× |
| Osmolality Urine (83935) | $40 | $100 | 5.9× |
| Osteocalcin (83937) | $45.20 | $113 | 1.5× |
| Ova and parasites smears (87177) | $28.80 | $72 | 3.2× |
| Oxalate urine (83945) | $38.40 | $96 | 2.7× |
| Pancreatic Elastase Fecal (82656) | $183.20 | $458 | 15.9× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$13.20–$56.40 | $33–$141 | varies |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$49.60–$51.20 | $124–$128 | varies |
| Ph urine (81003) range across 4 matching MRF lines |
$16–$22.80 | $40–$57 | varies |
| Phenobarbital Level (80184) | $36.40 | $91 | 2.4× |
| Phenytoin (Dilantin) (80185) | $68.40 | $171 | 5.2× |
| Phenytoin free (80186) | $62.80 | $157 | 4.6× |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$5.20–$32.40 | $13–$81 | varies |
| Phosphatidylglycerol (84081) | $16.80 | $42 | 1.0× |
| Phospholipid Neutralization Hexagonal (85598) | $72 | $180 | 4.0× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$13.60–$24.80 | $34–$62 | varies |
| Phosphorus urine (84105) | $22.80 | $57 | 3.9× |
| Platelet Antibodies (86022) range across 4 matching MRF lines |
$34.40–$181.60 | $86–$454 | varies |
| Platelet count automated (85049) | $33.60 | $84 | 7.5× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $579.60 | $1,449 | 0.8× |
| Pooling blood platelets (86965) | $89.60 | $224 | 0.6× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$32–$47.60 | $80–$119 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) | $49.20 | $123 | 3.3× |
| Potassium Urine (84133) | $22.80 | $57 | 4.8× |
| Prealbumin (84134) | $63.20 | $158 | 4.3× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 3 matching MRF lines |
$35.20–$41.20 | $88–$103 | varies |
| Primidone (80188) | $133.20 | $333 | 8.0× |
| Procalcitonin (Pct) (84145) | $118.40 | $296 | 4.3× |
| Progesterone (84144) | $84.80 | $212 | 4.1× |
| Prolactin (84146) | $93.60 | $234 | 4.8× |
| Prostaglandin (84150) | $54 | $135 | 1.3× |
| Protein body fluid (84157) range across 3 matching MRF lines |
$9.20–$36 | $23–$90 | varies |
| Protein C Activity (85303) range across 3 matching MRF lines |
$42–$94.80 | $105–$237 | varies |
| Protein c antigen (85302) | $64 | $160 | 5.3× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$65.60–$106.40 | $164–$266 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$18–$34.80 | $45–$87 | varies |
| Protein S Free (85306) range across 4 matching MRF lines |
$51.60–$92.40 | $129–$231 | varies |
| Protein s total (85305) | $56.40 | $141 | 4.9× |
| Protein total serum (84155) range across 3 matching MRF lines |
$4.40–$35.60 | $11–$89 | varies |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$14.40–$18 | $36–$45 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $42.80 | $107 | 10.9× |
| Protoporphyrin rbc quantitative (84202) | $36 | $90 | 2.5× |
| PSA free (84154) | $61.20 | $153 | 3.3× |
| Pth Intact (83970) | $122 | $305 | 3.0× |
| Pyruvate kinase (84220) | $70.40 | $176 | 7.5× |
| Q Fever Antibody (86638) | $32.40 | $81 | 2.7× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$124–$140.80 | $310–$352 | varies |
| Quantitative assay drug (80299) range across 9 matching MRF lines |
$29.20–$197.20 | $73–$493 | varies |
| Quantitative Screen Metals (83018) | $86.40 | $216 | 3.9× |
| Rbc antibody elution (86860) | $89.60 | $224 | 0.6× |
| Rbc antibody identification (86870) | $176.80 | $442 | 0.5× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$41.20–$44.40 | $103–$111 | varies |
| Rbc pretreatment serum (86978) | $76 | $190 | 1.4× |
| Rbc pretx incubatj w/enzymes (86971) | $118 | $295 | 0.8× |
| Renin activity plasma (84244) | $52.40 | $131 | 2.4× |
| Resp virus 12-25 targets (87633) | $670.40 | $1,676 | 1.6× |
| Rh (86901) | $30 | $75 | 10.0× |
| Rheumatoid Factor Qualitative (86430) | $42.80 | $107 | 7.0× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$19.20–$70.40 | $48–$176 | varies |
| Rickettsia antibody (86757) range across 5 matching MRF lines |
$78–$86 | $195–$215 | varies |
| Rpr qualitative (86592) | $35.20 | $88 | 8.2× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$30.40–$58 | $76–$145 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$43.60–$61.20 | $109–$153 | varies |
| Russell Viper Venom Time Diluted (85613) range across 7 matching MRF lines |
$16.40–$49.60 | $41–$124 | varies |
| Salmonella antibody (86768) | $27.60 | $69 | 2.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $54.40 | $136 | 1.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $56 | $140 | 1.3× |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$36.80–$40.40 | $92–$101 | varies |
| Selenium (84255) | $111.60 | $279 | 4.4× |
| Sensitivity mic (87186) range across 4 matching MRF lines |
$70.40–$142 | $176–$355 | varies |
| Serpina 1 gene (81332) | $77.60 | $194 | 1.8× |
| Sex Hormone Binding Globulin (84270) | $62.40 | $156 | 2.9× |
| Sickling of rbc reduction (85660) | $14 | $35 | 2.5× |
| Sirolimus (80195) | $49.60 | $124 | 3.6× |
| Skin test tuberculosis intradermal (86580) | $16.80 | $42 | 0.6× |
| Smear acid fast (87206) | $17.20 | $43 | 3.2× |
| Smear complex stain (87209) | $18.40 | $46 | 1.0× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$22–$39.60 | $55–$99 | varies |
| Smear Special Stain (87207) | $27.20 | $68 | 4.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$48.80–$54.40 | $122–$136 | varies |
| Sodium Serum (84295) | $16.40 | $41 | 3.4× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$13.60–$26 | $34–$65 | varies |
| Soluble Transferrin Receptor (84238) | $95.20 | $238 | 2.6× |
| Somatomedin (84305) | $70.40 | $176 | 3.3× |
| Special Stains Group 1 (88312) | $45.20 | $113 | 0.9× |
| Special Stains Group 2 (88313) range across 4 matching MRF lines |
$34.80–$35.20 | $87–$88 | varies |
| Specimen infect agnt concntj (87015) | $32.40 | $81 | 4.9× |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$90.40–$109.60 | $226–$274 | varies |
| Staph a DNA amp probe (87640) | $39.60 | $99 | 1.1× |
| Stool cultr aerobic bact ea (87046) | $49.20 | $123 | 5.2× |
| Strep b DNA amp probe (87653) | $36 | $90 | 1.0× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $51.60 | $129 | 9.4× |
| Surg path level iii (88304) | $67.20 | $168 | 1.4× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$86.40–$101.60 | $216–$254 | varies |
| Surgical pathology level vi (88309) | $356.80 | $892 | 0.5× |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $36.80 | $92 | 0.9× |
| Syphilis Test Non-Trep Quant (86593) | $22.80 | $57 | 5.2× |
| T cells absolute cd4 count (86361) | $68.80 | $172 | 2.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$66–$70 | $165–$175 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$42.80–$53.20 | $107–$133 | varies |
| T3 Free (84481) | $124 | $310 | 7.3× |
| T3 reverse (84482) range across 2 matching MRF lines |
$80–$148.80 | $200–$372 | varies |
| T3 Total (84480) | $88 | $220 | 6.2× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$24.40–$75.20 | $61–$188 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$106.40–$119.20 | $266–$298 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$21.60–$40 | $54–$100 | varies |
| Tacrolimus (80197) | $84.80 | $212 | 6.2× |
| Tb ag response t-cell susp (86481) | $36 | $90 | 0.4× |
| Test for acetone/ketones (82009) | $38 | $95 | 8.4× |
| Testosterone total (84403) range across 4 matching MRF lines |
$51.20–$88.80 | $128–$222 | varies |
| Testosterone, Free (84402) range across 4 matching MRF lines |
$52.80–$70 | $132–$175 | varies |
| Tetanus antibody (86774) | $51.20 | $128 | 3.5× |
| Theophylline (80198) | $66.40 | $166 | 4.7× |
| Thrombin Time (85670) | $28.80 | $72 | 5.0× |
| Thromboplastin Inhibition Tissue (85705) | $46.40 | $116 | 4.8× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $62.40 | $156 | 9.6× |
| Thyroglobulin (84432) | $114 | $285 | 7.1× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$50–$81.60 | $125–$204 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $359.60 | $899 | 7.1× |
| Tissue Culture (88233) range across 2 matching MRF lines |
$177.60–$444 | $444–$1,110 | varies |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$311.60–$588.80 | $779–$1,472 | varies |
| Tissue Culture Lymphocyte (88230) | $327.20 | $818 | 2.8× |
| Tobramycin peak (80200) range across 2 matching MRF lines |
$88.80–$105.20 | $222–$263 | varies |
| Topiramate (80201) | $55.60 | $139 | 4.7× |
| Touch prep (88161) | $54 | $135 | 2.0× |
| Toxoplasma ab igm (86778) | $70.80 | $177 | 4.9× |
| Toxoplasma antibody (86777) | $47.60 | $119 | 3.3× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$6–$33.60 | $15–$84 | varies |
| Transferrin (84466) | $69.60 | $174 | 5.5× |
| Trichomonas Vaginalis Amplif (87661) | $45.60 | $114 | 1.3× |
| Triglycerides (84478) | $32.40 | $81 | 5.6× |
| Troponin Quant (84484) | $53.20 | $133 | 4.3× |
| Tumor immunohistochem/comput (88361) | $160.80 | $402 | 0.5× |
| Tumor Immunohistochem/Manual (88360) | $76.40 | $191 | 0.5× |
| Unlisted miscellaneous pathology test (89240) | $30.80 | $77 | 0.6× |
| Unlisted Transfusion Medicine Procedure (86999) | $86.80 | $217 | 3.3× |
| Urea nitrogen urine (84540) | $52 | $130 | 9.4× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$17.20–$34 | $43–$85 | varies |
| Urinalysis Microscopic Only (81015) | $26.80 | $67 | 8.8× |
| Urinalysis Volume Measure (81050) | $9.20 | $23 | 2.5× |
| Urine Bacteria Culture (87088) | $53.60 | $134 | 6.6× |
| Urine Pregnancy Test (81025) | $59.60 | $149 | 6.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$22–$56.80 | $55–$142 | varies |
| Valproic acid (80164) range across 2 matching MRF lines |
$34.40–$64 | $86–$160 | varies |
| Vancomycin (80202) range across 2 matching MRF lines |
$62.40–$64.80 | $156–$162 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$40.40–$52.80 | $101–$132 | varies |
| Vasopressin (84588) | $92.40 | $231 | 2.7× |
| Viral Culture (87252) range across 3 matching MRF lines |
$109.60–$161.20 | $274–$403 | varies |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$35.20–$49.20 | $88–$123 | varies |
| Vit D 1 25-Dihydroxy (82652) | $66 | $165 | 1.7× |
| Vitamin A (84590) | $43.60 | $109 | 3.8× |
| Vitamin b-12 (82607) | $33.60 | $84 | 2.2× |
| Vitamin B2 (Riboflavin) (84252) | $110.40 | $276 | 5.5× |
| Vitamin B6 (84207) | $115.60 | $289 | 4.1× |
| Vitamin D 25-Hydroxy (82306) | $140.40 | $351 | 4.7× |
| Vitamin E (84446) | $42.80 | $107 | 3.0× |
| Vitamin K (84597) | $203.20 | $508 | 14.8× |
| Volatiles (84600) range across 2 matching MRF lines |
$38.80–$40.40 | $97–$101 | varies |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$32.40–$165.60 | $81–$414 | varies |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$30.80–$36 | $77–$90 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$30.80–$48.80 | $77–$122 | varies |
| Western Blot Test (84181) | $65.20 | $163 | 3.8× |
| Zinc (84630) | $58 | $145 | 5.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.