Lab & pathology prices at Aspirus Keweenaw Hospital

Laurium, MI · every code in this section with a posted price and a Medicare benchmark.

835 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $105.30 $162 4.6×
5 Nucleotidase (83915) $125.45 $193 11.3×
Acetylcholine receptor binding antibody (86041) $145.60 $224 7.9×
Acetylcholine receptor blocking antibody (86042) $91 $140 4.9×
Acetylcholinesterase Assay (82013) $62.40 $96 5.1×
Acetylcholn Rcptr Modlg Antb (86043) $91 $140 7.6×
Acth (82024) $236.60 $364 6.1×
Actin smooth muscle antibody each (86015) $91 $140 7.6×
Acute hepatitis panel (80074) $290.55 $447 6.1×
Acylcarnitines Quant (82017) $131.95 $203 7.8×
Agglutinins Febrile Each Antigen (86000) $35.75 $55 5.1×
Albumin Fluid (82042) $53.95 $83 6.9×
Albumin serum (82040) $41.60 $64 8.4×
Aldolase (82085) $80.60 $124 8.3×
Aldosterone urine (82088) $244.40 $376 6.0×
Alkaline phosphatase isoenzymes (84080) $105.95 $163 7.2×
Allergen spec ige qual multiallergen screen (86005) $48.10 $74 6.0×
Allergen specific ige (86003) $26 $40 5.0×
Allg Spec Ige Recomb Ea (86008) $240.50 $370 13.4×
Alpha-1-antitrypsin phenotype (82104) $143 $220 9.9×
Alpha-1-antitrypsin total (82103) $102.70 $158 7.6×
Alpha-Fetoprotein Amniotic Fluid (82106) $94.25 $145 5.5×
Alpha-Fetoprotein Serum (82105) $127.40 $196 7.6×
Alt (sgpt) (84460) $42.25 $65 8.0×
Aluminum (82108) $151.45 $233 5.9×
Amikacin trough (80150)
range across 2 matching MRF lines
$60.45–$62.40 $93–$96 varies
Amino Acids 1 Quantitative Each Specimen (82131) $125.45 $193 5.5×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $319.80 $492 19.0×
Amino Acids Multiple Qualitative Each Specimen (82128) $77.35 $119 5.6×
Aminolevulinic acid (ala) (82135) $100.75 $155 6.1×
Ammonia (82140) $90.35 $139 6.2×
Amniotic fluid protein test on cervicovaginal fluid (84112) $443.30 $682 4.5×
Amylase urine (82150) $61.75 $95 9.5×
Ana Titer (86039)
range across 2 matching MRF lines
$78–$80.60 $120–$124 varies
Anca screen each antibody (86036) $98.15 $151 8.1×
Androstenedione (82157) $180.05 $277 6.1×
Angiotensin converting enzyme csf (82164) $137.15 $211 9.4×
Anti-Phospholipid Antibody (86148) $76.05 $117 4.7×
Antibody aspergillus (86606) $74.10 $114 4.9×
Antibody Bacterium Not Elsewhere Specified (86609) $89.70 $138 7.0×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $124.80 $192 8.1×
Antibody Cytomegalovirus Cmv Igm (86645) $106.60 $164 6.3×
Antibody Encephalitis California La Crosse (86651) $65 $100 4.9×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $104 $160 7.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $94.25 $145 6.2×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $106.60 $164 5.9×
Antibody Fungus Not Elsewhere Specified (86671) $107.25 $165 8.8×
Antibody Herpes Smplx Non-Specific Type Test (86694) $100.75 $155 7.0×
Antibody Herpes Smplx Type 1 (86695) $97.50 $150 7.4×
Antibody HIV-1&HIV-2 single result (86703) $79.95 $123 5.8×
Antibody HIV-2 (86702) $89.05 $137 6.6×
Antibody htlv/HIV antibody confirmatory test (86689)
range across 2 matching MRF lines
$113.10–$169 $174–$260 varies
Antibody identification leukocyte antibodies (86021) $184.60 $284 12.3×
Antibody Identification Platelet Immunogl Assay (86023) $72.80 $112 5.8×
Antibody john cunningham virus (86711) $87.75 $135 5.2×
Antibody Protozoa Nes (86753) $118.30 $182 9.5×
Antibody Titer (86886) $98.80 $152 19.1×
Antibody Treponema Pallidum (86780) $74.10 $114 5.6×
Antibody; encephalitis, st. louis (86653) $65 $100 4.9×
Antibody; influenza virus (86710) $60.45 $93 4.5×
Antigen typing (86905) $73.45 $113 19.2×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $49.40 $76 8.6×
Antinuclear antibodies (86038) $67.60 $104 5.6×
Antistreptolysin O Screen (86063) $65.65 $101 11.4×
Antistreptolysin o titer (86060) $81.90 $126 11.2×
Antithrombin iii activity (85300) $154.70 $238 13.1×
Antithrombin iii antigen (85301) $148.85 $229 13.8×
Apolipoprotein a1 (82172) $100.75 $155 4.8×
Aquaporin-4 Antb Cba Each (86052) $37.05 $57 3.1×
Aquaporin-4 Antb Elisa (86051) $91 $140 7.9×
Arsenic (82175) $137.15 $211 7.2×
Aspergillus ag eia (87305) $129.35 $199 10.8×
Assay activated protein c (85307) $157.95 $243 10.3×
Assay Blood Carbon Dioxide (82374) $45.50 $70 9.3×
Assay Nephelometry Not Spec (83883) $114.40 $176 8.4×
Assay of 5-hiaa (83497) $103.35 $159 8.0×
Assay of anti-mullerian hormone (82166) $152.10 $234 3.9×
Assay of blood/uric acid (84550) $50.70 $78 11.2×
Assay of calcium in urine (82340) $45.50 $70 7.5×
Assay of cpk in blood (82552) $136.50 $210 10.2×
Assay of estrone (82679) $159.90 $246 6.4×
Assay of g6pd enzyme (82955) $85.80 $132 8.8×
Assay of gammaglobulin igm (82784)
range across 3 matching MRF lines
$74.10–$76.05 $114–$117 varies
Assay of lactic acid (83605) $93.60 $144 8.1×
Assay of manganese (83785) $139.75 $215 5.2×
Assay of metanephrines (83835) $159.25 $245 9.4×
Assay of phosphatase acid total (84060) $44.20 $68 5.8×
Assay of proinsulin (84206) $165.10 $254 6.2×
Assay of pyruvate (84210) $88.40 $136 6.1×
Assay of semen fructose (82757) $96.85 $149 5.6×
Assay of serotonin (84260) $186.55 $287 6.0×
Assay of serum potassium (84132) $43.55 $67 9.1×
Assay of sweat sodium (84302) $38.35 $59 7.9×
Assay of transcortin (84449) $100.75 $155 5.6×
Assay of Tyrosine (84510) $63.70 $98 6.0×
Assay of urea nitrogen (84520) $46.80 $72 11.8×
Assay of urine vma (84585) $120.25 $185 7.8×
Assay of vasoactive intestinal peptide (84586) $209.30 $322 5.9×
Assay of vitamin b-1 (84425) $137.15 $211 6.5×
Assay Ph Body Fluid Nos (83986) $40.95 $63 11.4×
Assay spec xcp ur&breath ia (82077) $106.60 $164 6.2×
Asy carbamazepin 10,11-epxid (80161) $128.05 $197 6.9×
Autol Bld/Component Collj Storage Predeposited (86890) $212.55 $327 1.3×
Automated Leukocyte Count (85048) $34.45 $53 13.6×
B cells total count (86355) $232.70 $358 6.2×
Babesia microti amp prb (87469) $158.60 $244 4.5×
Bartonella antibody (86611) $102.70 $158 10.1×
Bcr/abl1 gene major bp (81206)
range across 2 matching MRF lines
$1,013.35–$1,039.35 $1,559–$1,599 varies
Bcr/abl1 gene minor bp (81207) $868.40 $1,336 6.0×
Bcr/Abl1 Gene Other Bp (81208) $1,327.30 $2,042 6.2×
Beta 2 glycoprotein i antibody each (86146) $174.85 $269 6.9×
Beta hydroxybutyrate (82010) $83.20 $128 10.2×
Beta Lactamase (87185) $48.10 $74 10.1×
Beta-2 Microglobulin (82232) $150.80 $232 9.3×
Beta-amyloid; 1-42 (abeta 42) (82234) $773.50 $1,190 6.0×
Bile acids total (82239) $563.55 $867 32.9×
Bilirubin direct (82248) $39.65 $61 7.9×
Bilirubin total (82247) $46.80 $72 9.3×
Bilirubin total transcutaneous (88720) $77.35 $119 15.4×
Biotinidase (82261) $89.05 $137 5.3×
Blastomyces antibody (86612)
range across 2 matching MRF lines
$91.65–$94.25 $141–$145 varies
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $176.15 $271 1.0×
Bleeding time test (85002) $65.65 $101 13.6×
Blood count reticulocyte automated (85045) $55.25 $85 13.8×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $20.80 $32 5.5×
Blood count spun microhematocrit (85013) $21.45 $33 3.1×
Blood gas (82803) $152.75 $235 5.9×
Blood gases w/02 saturation (82805) $175.50 $270 2.2×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $98.15 $151 6.2×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $26 $40 5.9×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 2 matching MRF lines
$41.60–$140.40 $64–$216 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904) $44.20 $68 2.7×
Blood typing serologic abo (86900) $39.65 $61 13.3×
Body fluid cell count (89050) $29.90 $46 6.3×
Bone marrow smear interpretation (85097) $330.85 $509 0.4×
Braf gene analysis (81210) $737.10 $1,134 4.2×
Brca2 gene analysis full dup/del analysis (81167) $3.90 $6 0.0×
Breath Alcohol Test (82075) $26.65 $41 0.9×
Brucella antibody (86622) $79.95 $123 9.0×
C diff amplified probe (87493) $217.10 $334 5.8×
C-Peptide (84681) $151.45 $233 7.3×
C-reactive protein (86140) $54.60 $84 10.5×
Ca 19-9 (86301) $148.85 $229 7.2×
Cadmium (82300) $175.50 $270 7.4×
Caffeine (80155) $103.35 $159 2.7×
Calcitonin (82308) $191.75 $295 7.2×
Calcium ionized (82330) $111.15 $171 8.1×
Calcium total (82310) $53.30 $82 10.3×
Calculus Spectroscopy (82365) $107.25 $165 8.3×
Calprotectin Fecal (83993) $213.85 $329 10.9×
Calr gene com variants (81219) $503.75 $775 4.1×
Cancer Antigen 125 (86304) $158.60 $244 7.6×
Cancer Antigen 27.29 (86300) $158.60 $244 7.6×
Candida antibody (86628) $89.70 $138 7.5×
Candida Dna Dir Probe (87480) $76.70 $118 3.8×
Carbamazepine free (80157) $81.25 $125 6.1×
Carbamazepine total (80156) $90.35 $139 6.2×
Carboxyhemoglobin (82375) $94.90 $146 7.7×
Carcinoembryonic antigen (82378) $135.85 $209 7.2×
Cardiolipin ab iga (86147) $174.85 $269 6.9×
Carnitine Quantitative Each Specimen (82379) $141.05 $217 8.4×
Carotene (82380) $53.30 $82 5.8×
Catecholamines fractionated (82384) $176.80 $272 7.0×
Ccp antibody (86200) $139.75 $215 10.8×
Cell count csf (89051) $68.90 $106 12.3×
Cell marker study (88182)
range across 2 matching MRF lines
$179.40–$451.10 $276–$694 varies
Cellular Function Assay Stimul&Detect Biomarke (86352)
range across 3 matching MRF lines
$135.85–$768.30 $209–$1,182 varies
Ceruloplasmin (82390) $89.05 $137 8.3×
Cftr gene com variants (81220) $2,304.90 $3,546 4.1×
Cftr gene dup/delet variants (81222) $7.15 $11 0.0×
Cftr gene full sequence (81223) $772.20 $1,188 1.5×
Chemiluminescent assay (82397)
range across 3 matching MRF lines
$96.85–$204.75 $149–$315 varies
Chlamydia antibody (86631) $66.30 $102 5.6×
Chlamydia Igm Antibody (86632) $74.10 $114 5.8×
Chlmy trch&neisra gonor mult (87494) $212.55 $327 3.0×
Chloride other source (82438) $43.55 $67 8.7×
Chloride Serum (82435) $52.65 $81 11.4×
Chloride urine (82436) $41.60 $64 7.2×
Cholesterol total (82465) $35.75 $55 8.2×
Cholinesterase rbc (82482) $79.95 $123 8.1×
Cholinesterase Serum (82480) $66.95 $103 8.5×
Chorionic gonadotropin test (84702) $117.65 $181 7.8×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $61.10 $94 2.3×
Chrmsm Analysis Addl High Resolution Study (88289) $320.45 $493 9.3×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $167.05 $257 5.0×
Chromium serum (82495) $99.45 $153 4.9×
Chromogranin a (86316) $159.25 $245 7.7×
Chromosome Analysis 15-20 (88262) $1,487.85 $2,289 11.9×
Chromosome Analysis 20-25 (88264) $1,566.50 $2,410 10.8×
Chromosome analysis, 5 (88261) $1,211.60 $1,864 4.6×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $212.55 $327 6.1×
Citric acid urine (82507) $167.70 $258 6.0×
Ckmb (82553) $88.40 $136 7.7×
Clostridium Difficile (87324) $77.35 $119 6.5×
Clot Factor VIII Multimetric (85247) $216.45 $333 9.4×
Clot factor xiii fibrin stab (85290) $81.25 $125 5.0×
Clotting factor xii hageman (85280) $137.15 $211 7.1×
Clotting Funct Activity (85397) $146.25 $225 4.7×
Cns DNA amp probe type 12-25 (87483) $2,384.85 $3,669 5.7×
Coagulation time activated (85347) $65 $100 15.2×
Coccidioides antibody (86635) $95.55 $147 8.3×
Cold agglutinin screen (86156) $63.70 $98 7.9×
Cold agglutinin titer (86157) $37.05 $57 4.6×
Collagen crosslinks (82523) $170.30 $262 9.1×
Column Chromotography Quant (82542) $195.65 $301 8.1×
Comparative Anal Str Markers Patient&Comp Spec (81265) $1,131.65 $1,741 4.9×
Compatibility test antiglob (86922) $209.95 $323 1.2×
Complement Antigen Each Component (86160) $110.50 $170 9.2×
Complement Total (Ch50) (86162)
range across 2 matching MRF lines
$166.40–$171.60 $256–$264 varies
Complement/Function Activity (86161) $127.40 $196 10.6×
Consltj Compre Review Reprt Referred Matrl (88325) $757.25 $1,165 4.5×
Consltj&Reprt Material Requiring Prepj Slides (88323)
range across 2 matching MRF lines
$377.65–$445.90 $581–$686 varies
Consltj&Reprt Slides Prepared Elsewhere (88321)
range across 2 matching MRF lines
$448.50–$471.25 $690–$725 varies
Coombs direct (86880) $48.10 $74 8.9×
Copper urine (82525) $83.20 $128 6.7×
Cortisol free (82530) $209.95 $323 12.6×
Cortisol saliva (82533) $135.20 $208 8.3×
Creatine kinase total (82550) $63.70 $98 9.8×
Creatinine blood (82565) $48.75 $75 9.5×
Creatinine clearance (82575) $90.35 $139 9.6×
Creatinine Urine (82570) $42.25 $65 8.2×
Crossmatch electronic (86923) $185.25 $285 1.1×
Crossmatch immediate spin (86920) $203.45 $313 1.2×
Crp High Sensitivity (86141) $120.25 $185 9.3×
Cryofibrinogen (82585) $66.95 $103 4.7×
Cryoglobulin (82595) $63.70 $98 9.8×
Cryptococcal Antigen (87327) $68.90 $106 5.1×
Cryptococcus ag titer (87899) $72.15 $111 4.5×
Cryptosporidium ag eia (87328) $74.10 $114 5.4×
CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Facility (81189) $3.90 $6 0.0×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $72.15 $111 8.9×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $76.70 $118 9.5×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $76.70 $118 9.9×
Culture aerobic quant other (87071) $88.40 $136 8.9×
Culture afb (87116) $91 $140 8.4×
Culture Anaerobic (87075) $100.75 $155 10.6×
Culture blood (87040) $87.10 $134 8.4×
Culture chlamydia (87110) $120.25 $185 6.1×
Culture csf (87070) $77.35 $119 9.0×
Culture fungus (87102) $81.25 $125 9.7×
Culture fungus blood (87103) $85.15 $131 4.2×
Culture screen only (87081) $46.15 $71 7.0×
Culture stool (87045) $56.55 $87 6.0×
Culture typing if ea antiserum (87140) $87.10 $134 15.6×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $41.60 $64 8.0×
Culture urine (87086) $75.40 $116 9.3×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $153.40 $236 10.7×
Cyclosporine (80158) $138.45 $213 7.7×
Cyp2c19 gene analysis common variants (81225) $540.80 $832 1.9×
Cyp2c9 gene com variants (81227) $549.25 $845 3.1×
Cyp2d6 gene com variants (81226) $1,032.85 $1,589 2.3×
Cyp3a4 gene common variants (81230) $549.25 $845 3.1×
Cyp3a5 gene common variants (81231) $549.25 $845 3.1×
Cystatin C (82610) $161.85 $249 8.7×
Cytogenetics 10-30 (88273) $174.85 $269 5.0×
Cytogenetics 100-300 (88275) $305.50 $470 6.0×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $2,468.70 $3,798 2.1×
Cytomegalovirus igg (86644) $104 $160 7.2×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $148.20 $228 7.3×
Cytopath Cell Enhance Tech (88112)
range across 4 matching MRF lines
$284.70–$372.45 $438–$573 varies
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 2 matching MRF lines
$163.15–$171.60 $251–$264 varies
Cytp Concentration Smears & Interpretation (88108)
range across 3 matching MRF lines
$72.15–$182.65 $111–$281 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 5 matching MRF lines
$337.35–$735.80 $519–$1,132 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172)
range across 4 matching MRF lines
$98.15–$316.55 $151–$487 varies
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 5 matching MRF lines
$90.35–$276.90 $139–$426 varies
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $101.40 $156 5.5×
Cytp smrs any oth src extnd std > 5 slides (88162) $94.90 $146 1.8×
Cytp Smrs Any Oth Src Scr&Interpj (88160)
range across 3 matching MRF lines
$314.60–$330.20 $484–$508 varies
Deoxyribonuclease antibody (86215) $113.10 $174 8.5×
Detect Agent Nos Dna Amp (87798)
range across 3 matching MRF lines
$35.75–$210.60 $55–$324 varies
Detect Agent Nos Dna Quant (87799) $282.75 $435 6.6×
Detect agnt mult DNA ampli (87801) $433.55 $667 6.2×
Dgp Antibody Each Ig Class (86258) $91 $140 7.6×
Dhea (82626) $163.80 $252 6.5×
Dhea-S (82627) $148.85 $229 6.7×
Digoxin (80162) $83.20 $128 6.3×
Dihydrotestosterone (82642) $198.25 $305 6.8×
Dipropylacetic Acid Free (80165) $79.30 $122 5.9×
Dmd Duplication/Deletion Analysis (81161) $3.90 $6 0.0×
Dna Antibody Native/Double Stranded (86225) $117.65 $181 8.6×
Dna/Rna Amplified Probe (87150) $174.20 $268 5.0×
DNA/RNA direct probe (87149) $124.15 $191 6.2×
Dna/Rna Sequencing (87153) $379.60 $584 3.3×
Dpyd gene common variants (81232) $723.45 $1,113 4.1×
Drug assay acetaminophen (80143) $104.65 $161 5.6×
Drug assay adalimumab (80145) $203.45 $313 5.3×
Drug Assay Amiodarone (80151) $102.05 $157 5.5×
Drug Assay Everolimus (80169) $102.05 $157 7.4×
Drug assay felbamate (80167) $184.60 $284 9.9×
Drug Assay Infliximab (80230) $182.65 $281 4.7×
Drug Assay Itraconazole (80189) $293.15 $451 10.8×
Drug Assay Lacosamide (80235) $184.60 $284 6.8×
Drug Assay Leflunomide (80193) $102.05 $157 2.6×
Drug Assay Posaconazole (80187) $112.45 $173 4.1×
Drug Assay Vedolizumab (80280) $206.70 $318 5.4×
Drug assay voriconazole (80285) $122.20 $188 4.5×
Drug Asy Hydroxychloroquine (80220) $88.40 $136 4.7×
Drug Screen Quant Clozapine (80159) $117.65 $181 5.8×
Drug Screen Quant Zonisamide (80203) $174.20 $268 13.1×
Drug Screen Quantitative Gabapentin (80171) $105.30 $162 4.9×
Drug Screen Quantitative Lamotrigine (80175) $104.65 $161 7.9×
Drug Screen Quantitative Levetiracetam (80177) $120.90 $186 9.1×
Drug Screen Quantitative Oxcarbazepine (80183) $96.85 $149 7.3×
Drug Screen Quantitative Procainamide Metabolite (80192) $107.90 $166 6.4×
Drug Test Prsmv Chem Anlyzr (80307)
range across 3 matching MRF lines
$111.80–$362.05 $172–$557 varies
Drug Test Prsmv Dir Opt Obs (80305) $57.20 $88 4.5×
Drug Test Prsmv Instrmnt (80306) $100.75 $155 5.9×
Egfr Gene Analysis Common Variants (81235) $1,359.15 $2,091 4.2×
Ehrlichia antibody (86666) $104 $160 10.2×
El-1 Fecal Quantitative (82653) $152.10 $234 6.6×
Electrolyte panel (80051) $104 $160 14.8×
Electron Microscopy (88348) $1,504.10 $2,314 1.9×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $254.15 $391 4.1×
Encephaltis East Eqne Anbdy (86652) $65 $100 4.9×
Encephaltis West Eqne Antbdy (86654) $65 $100 4.9×
Endomysial Antibody Each Immunoglobulin Class (86231) $104 $160 8.6×
Enterovirus Antibody (86658) $77.35 $119 5.9×
Enterovirus PCR (87498) $202.15 $311 5.8×
Enzyme cell activity (82657) $299 $460 13.5×
Enzyme histochemistry (88319) $206.05 $317 0.3×
Eosinophil Smear (89190) $35.75 $55 6.2×
Erythropoietin (82668) $156.65 $241 8.3×
Estradiol serum (82670) $172.90 $266 6.2×
Estriol (82677) $136.50 $210 5.6×
Estrogens fractionated (82671) $159.25 $245 4.9×
Ethosuximide (80168) $102.05 $157 6.2×
Ethylene Glycol (82693) $120.90 $186 8.1×
Exam Synovial Fluid Crystals (89060) $101.40 $156 13.8×
Ezh2 gene analysis full gene sequence (81236) $3.90 $6 0.0×
F2 Gene (81240)
range across 2 matching MRF lines
$372.45–$1,319.50 $573–$2,030 varies
F9 full gene sequence (81238) $9.10 $14 0.0×
Factor ii activity (85210) $107.25 $165 8.3×
Factor Inhibitor Test (85335) $112.45 $173 8.7×
Factor ix activity (85250) $217.75 $335 11.4×
Factor v activity (85220) $170.30 $262 9.6×
Factor v leiden mutation (81241) $420.55 $647 5.7×
Factor vii assay (85230) $163.80 $252 9.2×
Factor viii assay (85240) $190.45 $293 10.6×
Factor X (85260) $177.45 $273 9.9×
Factor xi activity (85270) $186.55 $287 10.4×
Factor xiii screen (85291) $36.40 $56 4.0×
Fat stain feces urine/respir secretions (89125) $50.05 $77 8.5×
Fat/Lipids Feces Quantitative (82710) $124.80 $192 7.4×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $79.95 $123 12.2×
Ferritin (82728) $90.35 $139 6.6×
Fetal Congenital Abnor Assay Four Anal (81511) $635.05 $977 4.1×
Fetal Congenital Abnor Assay Two Proteins (81508) $253.50 $390 4.7×
Fetal Fibronectin (82731) $397.80 $612 6.2×
Fetal hemoglobin assay qual (83033) $37.05 $57 4.6×
Fetal screen rosette (85461) $72.80 $112 7.8×
Fibrin Degradation Quant (85379) $135.20 $208 13.3×
Fibrin dgradj products d-dimer qual/semiquan (85378) $85.15 $131 8.8×
Fibrinogen activity (85384) $79.30 $122 8.2×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $73.45 $113 4.7×
Flecainide level (80181) $99.45 $153 5.3×
Flow cytometry first marker (88184) $341.90 $526 1.0×
Flt3 Gene (81245) $685.75 $1,055 4.1×
Flt3 gene analysis (81246) $419.25 $645 5.1×
Fluorescent antibody screen (86255)
range across 3 matching MRF lines
$94.90–$126.10 $146–$194 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $122.85 $189 10.2×
Fmr1 Gene Charac Alleles (81244) $239.85 $369 5.3×
Fmr1 gene detection (81243) $460.20 $708 8.1×
Folic acid rbc (82747) $99.45 $153 5.6×
Folic Acid Serum (82746) $98.80 $152 6.7×
Follicle Stimulating Hormone (83001) $115.70 $178 6.2×
Francisella tularensis (86668) $61.75 $95 4.4×
Fresh Frozen Plasma Thawing Each Unit (86927) $47.45 $73 0.3×
Frozen Section (88331)
range across 4 matching MRF lines
$319.80–$462.80 $492–$712 varies
Fungi Identification Mold (87107) $97.50 $150 9.4×
Fungi Identification Yeast (87106) $76.05 $117 7.4×
G6pd gene analysis full gene sequence (81249) $9.10 $14 0.0×
Galactose (82760) $66.95 $103 6.0×
Galactose transferase test (82776) $55.90 $86 4.8×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $130 $200 6.2×
Gammaglobulin ige (82785) $102.05 $157 6.2×
Gardner vag DNA dir probe (87510) $76.70 $118 3.8×
Gardner Vag Dna Quant (87512) $202.80 $312 4.9×
Gases Blood O2 Saturation Only Direct Meas (82810) $68.25 $105 7.0×
Gases blood ph only (82800) $60.45 $93 5.5×
Gastrin (82941) $116.35 $179 6.6×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)
range across 2 matching MRF lines
$2,884.70–$2,971.15 $4,438–$4,571 varies
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $3,014.05 $4,637 1.0×
Gentamicin (80170) $102.05 $157 6.2×
Ggt (82977) $53.30 $82 7.4×
Giardia antigen (87329) $74.10 $114 6.2×
Gjb2 Gene Analysis Full Gene Sequence (81252) $1.30 $2 0.0×
Glucagon (82943) $79.95 $123 5.6×
Glucose 2 hr pp (82950) $46.80 $72 9.9×
Glucose Blood Test (82962) $37.05 $57 11.3×
Glucose body fluid (82945) $79.30 $122 20.2×
Glucose Serum (82947) $43.55 $67 11.1×
Glucose tolerance test (gtt) (82951) $85.80 $132 6.7×
Glutathione (82978) $74.75 $115 4.8×
Glycated Protein (82985) $75.40 $116 4.5×
Gonadotropin Chorionic Qualitative (84703) $80.60 $124 10.7×
Growth hormone (83003) $106.60 $164 6.4×
Gtt-added samples (82952) $34.45 $53 8.8×
H Pylori (C-13) Breath (83013) $317.85 $489 4.7×
Haloperidol (80173) $78.65 $121 5.0×
Haptoglobin (83010) $96.85 $149 7.7×
Hba1/hba2 full gene sequence (81259) $2,578.55 $3,967 4.3×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $838.50 $1,290 4.1×
Hbb duplication/deletion variants (81363) $838.50 $1,290 4.1×
Hbb Full Gene Sequence (81364) $1,344.20 $2,068 4.1×
Hbb Gene Com Variants (81361) $538.20 $828 3.1×
Hdl Cholesterol (83718) $58.50 $90 7.1×
Helicobacter Pylori Stool (87338) $129.35 $199 9.0×
Helminth Antibody (86682) $137.15 $211 10.5×
Hematocrit (85014) $39.65 $61 16.7×
Hemoglobin (85018) $35.75 $55 15.1×
Hemoglobin a1c (83036) $68.90 $106 7.1×
Hemoglobin Chromotography (83021) $113.10 $174 6.3×
Hemoglobin electrophoresis (83020)
range across 3 matching MRF lines
$81.90–$85.80 $126–$132 varies
Hemoglobin Methemoglobin Quantitative (83050) $104 $160 12.7×
Hemoglobin plasma (83051) $64.35 $99 8.8×
Hemoglobin quan tc per day carboxyhemoglobin (88740) $89.05 $137 9.5×
Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) $20.80 $32 2.2×
Hemosiderin urine (83070) $53.95 $83 11.4×
Hep a ab igm (86709) $74.10 $114 6.6×
Heparin assay (85520) $154.05 $237 11.8×
Heparin Neutralization (85525) $103.35 $159 8.7×
Heparin-Protamine Tolerance Tst (85530) $70.20 $108 5.4×
Hepatitis a antibody total (86708) $78.65 $121 6.3×
Hepatitis b core ab igm (86705) $102.05 $157 8.7×
Hepatitis b core ab total (86704) $84.50 $130 7.0×
Hepatitis B Surface Antibody (86706) $74.10 $114 6.9×
Hepatitis B Surface Antigen (87340) $65 $100 6.3×
Hepatitis Be Antibody (86707) $84.50 $130 7.3×
Hepatitis Be Antigen (87350) $72.15 $111 6.3×
Hepatitis C Antibody (86803) $115.70 $178 8.1×
Hepatitis C Genotype (87902)
range across 2 matching MRF lines
$1,544.40–$1,590.55 $2,376–$2,447 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $226.20 $348 6.4×
Hepatitis C Revrs Trnscrpj (87522) $265.20 $408 6.2×
Hepatitis d quantification (87523) $128.05 $197 3.0×
Hepatitis delta ag (87380) $87.10 $134 4.7×
Hepatitis Delta Agent Antibody (86692) $124.15 $191 7.2×
Herpes simplex type 2 (86696) $118.95 $183 6.1×
Heterophile Antibody Screen (86308) $55.25 $85 10.7×
Hfe Gene (81256) $403.65 $621 6.2×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $98.15 $151 12.7×
Histamine urine (83088) $265.20 $408 9.0×
Histoplasma antibody (86698) $93.60 $144 6.8×
Histoplasma antigen urine (87385) $119.60 $184 9.0×
Hiv Antigen W/Hiv Antibodies (87806) $154.70 $238 4.7×
Hiv Genotype (87901) $1,590.55 $2,447 6.2×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $148.85 $229 6.2×
Hiv-1 Antibody (86701) $89.05 $137 10.0×
Hiv-1 Quant&Revrse Trnscrpj (87536) $525.85 $809 6.2×
Hla class ii typing high resolution one locus ea (81382)
range across 2 matching MRF lines
$902.85–$930.15 $1,389–$1,431 varies
Hla I Typing 1 Allele Hr (81381) $802.10 $1,234 4.7×
Hla ii typing 1 allele hr (81383) $280.80 $432 2.6×
Hla-b27 (86812) $178.75 $275 6.9×
Homocysteine (83090) $118.30 $182 6.6×
Homogenization Tissue (87176) $66.95 $103 11.4×
Homovanillic acid urine (83150) $103.35 $159 4.6×
Hpv High-Risk Types (87624) $212.55 $327 6.1×
Hpv sep hi-rsk typ&pool rslt (87626) $206.05 $317 2.9×
Hpv Types 16 & 18 Only (87625) $191.75 $295 4.7×
Hsv Dna Amp Probe (87529) $217.10 $334 6.2×
Human Epididymis Protein 4 (86305) $187.85 $289 9.0×
Hydroxycorticosteroids 17 (83491) $107.25 $165 6.0×
Hydroxyprogesterone 17-d (83498) $167.70 $258 6.2×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $72.15 $111 7.0×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $72.15 $111 5.2×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $159.25 $245 4.5×
Iaad ia shiga-like toxin (87427) $72.15 $111 6.0×
Iaadi herpes smplx virus type 1 (87274) $75.40 $116 6.3×
Iaadi herpes smplx virus type 2 (87273) $128.70 $198 10.7×
Iaadi pneumocustis carinii (87281) $58.50 $90 4.9×
Iaadi Varicella Zoster Virus (87290)
range across 2 matching MRF lines
$81.90–$84.50 $126–$130 varies
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $158.60 $244 4.5×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $259.35 $399 7.4×
Iadna Candida Species Amplified Probe Tq (87481) $170.95 $263 4.9×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $217.10 $334 6.2×
Iadna Cytomegalovirus Quantification (87497) $289.90 $446 6.8×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $282.10 $434 4.0×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $158.60 $244 4.5×
Iadna Hepatitis B Virus Quantification (87517) $265.20 $408 6.2×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $174.20 $268 5.0×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $204.10 $314 2.7×
Iadna Multiple Organisms Direct Probe Tq (87800) $224.90 $346 5.1×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $510.25 $785 12.2×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $161.85 $249 4.6×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $212.55 $327 6.1×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $644.15 $991 4.5×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $913.25 $1,405 3.5×
Idh1 common variants (81120) $612.30 $942 3.2×
Idh2 common variants (81121) $936.65 $1,441 3.2×
Ig Light Chains Free Each (83521) $152.10 $234 8.8×
Igg subclasses (82787) $116.35 $179 14.5×
Igh gene rearrange amp meth (81261) $796.25 $1,225 4.0×
Igh@ Variable Region Somatic Mutation Analysis (81263) $1,703.65 $2,621 5.8×
Igk rearrangeabn clonal pop (81264) $694.20 $1,068 4.0×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 3 matching MRF lines
$318.50–$912.60 $490–$1,404 varies
Immune Complex Assay (86332) $161.85 $249 6.6×
Immunfix e-phorsis/urine/csf (86335) $175.50 $270 6.0×
Immunoassay Analyte Quant Radioimmunoassay (83519) $145.60 $224 7.9×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $92.30 $142 6.2×
Immunoassay nonantibody (83516)
range across 3 matching MRF lines
$88.40–$91 $136–$140 varies
Immunodiffusion not elsewhere specified (86329) $78.65 $121 5.6×
Immunodiffusion Ouchterlony (86331) $92.95 $143 7.8×
Immunoelectrophoresis Serum (86320) $129.35 $199 4.3×
Immunofixation electrophoresis (86334)
range across 4 matching MRF lines
$165.75–$169 $255–$260 varies
Immunofluorescence per spec 1st singl antb stain (88346)
range across 3 matching MRF lines
$233.35–$488.15 $359–$751 varies
Immunohistochemistry (88342)
range across 4 matching MRF lines
$171.60–$330.85 $264–$509 varies
In situ hybridization 1st probe stain (88365)
range across 4 matching MRF lines
$431.60–$601.90 $664–$926 varies
In situ hybridization ea multiplex probe stain (88366) $1,029.60 $1,584 6.1×
Influenza a/b ag eia (87400) $57.20 $88 4.0×
Influenza assay w/optic (87804) $76.05 $117 4.6×
Influenza DNA amp probe (87502) $397.15 $611 4.1×
Inhibin A (86336) $90.35 $139 5.8×
Inhibin b (83520)
range across 5 matching MRF lines
$147.55–$275.60 $227–$424 varies
Insitu hybridization manual (88368)
range across 2 matching MRF lines
$204.10–$343.20 $314–$528 varies
Insulin antibodies (86337) $139.75 $215 6.5×
Insulin free (83527) $111.80 $172 8.6×
Insulin total (83525) $115.05 $177 10.1×
Interleukin-6 (83529) $99.45 $153 5.8×
Intrinsic factor antibody (86340) $130.65 $201 8.7×
Iron (83540) $53.30 $82 8.2×
Iron Binding Capacity (83550) $54.60 $84 6.2×
Irradiation Blood Product Each Unit (86945) $117 $180 3.1×
Islet cell antibody (86341)
range across 2 matching MRF lines
$111.80–$115.05 $172–$177 varies
Jak2 gene analysis p.val617phe variant (81270) $559 $860 6.1×
Jak2 Gene Trgt Sequence Alys (81279) $767 $1,180 4.1×
Ketosteroids 17 total (83586) $88.40 $136 6.9×
Kit Gene Analysis D816 Variant(S) (81273) $579.15 $891 4.6×
Kit Gene Analysis Targeted Sequence Analysis (81272) $230.10 $354 0.7×
Koh Prep (87220) $45.50 $70 10.7×
Kras Gene Analysis Additional Variant(S) (81276)
range across 2 matching MRF lines
$407.55–$423.80 $627–$652 varies
Kras Gene Variants Exon 2 (81275)
range across 2 matching MRF lines
$813.80–$846.30 $1,252–$1,302 varies
Lactate (ld) (ldh) enzyme (83615) $52 $80 8.6×
Lactoferrin fecal qualitative (83630) $120.90 $186 6.1×
Lamellar Body Count (83664) $94.25 $145 4.9×
Ldh Isoenzymes (83625) $109.85 $169 8.6×
LDL direct (83721) $101.40 $156 9.7×
Lead (83655) $77.35 $119 6.4×
Legionella antibody (86713) $85.80 $132 5.6×
Legionella antigen urine (87449) $113.10 $174 9.4×
Legionella pneumophila dfa (87278) $74.75 $115 4.8×
Leukocyte Assessment Fecal (89055) $46.80 $72 11.0×
Level I Surg Pathology Gross Examination Only (88300)
range across 4 matching MRF lines
$36.40–$111.80 $56–$172 varies
Level ii surg pathology gross&microscopic exam (88302)
range across 4 matching MRF lines
$48.75–$276.90 $75–$426 varies
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 5 matching MRF lines
$477.10–$1,549.60 $734–$2,384 varies
Lidocaine (80176) $212.55 $327 14.5×
Lipase (83690) $67.60 $104 9.8×
Lipoprotein A (83695) $79.95 $123 5.6×
Lipoprotein Bld Quan Part (83704) $189.15 $291 5.5×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $65 $100 5.8×
Lipoprotein-Associated Phospholipase A2 (83698) $214.50 $330 4.6×
Lithium (80178) $53.30 $82 8.1×
Luteinizing Hormone (Lh) (83002) $115.05 $177 6.2×
Lyme disease antibody (86618)
range across 2 matching MRF lines
$113.10–$116.35 $174–$179 varies
Lymphocyte transformation (86353) $135.20 $208 2.8×
Lysozyme serum (85549) $117.65 $181 6.3×
M. Genitalium Amp Probe (87563) $209.95 $323 6.0×
M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) $510.25 $785 14.5×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 3 matching MRF lines
$1,606.15–$1,670.50 $2,471–$2,570 varies
M/phmtrc alys ishquant/semiq (88374)
range across 3 matching MRF lines
$215.80–$1,441.70 $332–$2,218 varies
Macroscopic exam arthropod (87168) $41.60 $64 9.7×
Macroscopic Exam Parasite (87169) $41.60 $64 9.7×
Magnesium Urine (83735) $53.30 $82 8.0×
Mass Spectrometry Quant (83789)
range across 2 matching MRF lines
$113.10–$116.35 $174–$179 varies
Mecp2 gene dup/delet variant (81304) $1.95 $3 0.0×
Mecp2 gene full seq (81302) $8.45 $13 0.0×
Mercury urine (83825) $232.70 $358 14.3×
Metabolic panel ionized ca (80047) $91.65 $141 6.7×
Methotrexate (80204) $159.90 $246 4.1×
Methylmalonic acid serum (83921)
range across 2 matching MRF lines
$101.40–$143.65 $156–$221 varies
Mgmt methylation analysis (81287) $128.70 $198 1.0×
Microalbumin, quantitative (82043) $93.60 $144 16.2×
Microsatellite instability (81301) $1,649.70 $2,538 4.7×
Microsomal Antibodies Each (86376) $97.50 $150 6.7×
Mitochondrial Antibody Each (86381) $115.05 $177 4.5×
Mlh1 Gene (81288)
range across 2 matching MRF lines
$586.30–$796.90 $902–$1,226 varies
Mog-Igg1 Antb Cba Each (86362) $52 $80 4.3×
Molecular Cytogenetics Dna Probe Each (88271) $175.50 $270 8.2×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $289.25 $445 6.8×
Molecular Pathology Procedure Level 6 (81405) $1,378.65 $2,121 4.6×
Mononuclear cell antigen (86356) $165.10 $254 6.2×
Mopath procedure level 1 (81400) $286 $440 4.5×
Mopath procedure level 2 (81401) $410.80 $632 3.0×
Mopath procedure level 4 (81403) $560.30 $862 3.0×
Mopath procedure level 5 (81404) $1,222 $1,880 4.4×
Mopath procedure level 7 (81406) $1,284.40 $1,976 4.5×
Mopath procedure level 8 (81407) $3,853.20 $5,928 4.6×
Mopath procedure level 9 (81408) $6,151.60 $9,464 3.1×
Mpl gene common variants (81338) $711.75 $1,095 4.7×
Mrsa Pcr (87641) $217.10 $334 6.2×
Mthfr Gene Analysis Common Variants (81291) $451.10 $694 6.9×
Mumps antibody (86735) $85.80 $132 6.6×
Muscle-Specific Kinase Antb (86366) $97.50 $150 5.3×
Mycobacteric Identification (87118) $98.80 $152 6.8×
Mycophenolic Acid (80180) $131.30 $202 7.3×
Mycoplasma antibody (86738) $85.80 $132 6.5×
Mycoplasma culture (87109) $136.50 $210 8.9×
Myd88 Gene P.Leu265pro Vrnt (81305) $522.60 $804 3.0×
Myelin basic protein csf (83873) $128.05 $197 7.4×
Myoglobin urine (83874) $116.35 $179 9.0×
Natriuretic peptide (83880) $202.15 $311 5.1×
Neutralization Test Viral (86382) $91.65 $141 5.4×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $605.80 $932 4.7×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $135.85 $209 4.6×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $514.80 $792 3.6×
Nfct Ds Bv&Vaginitis Dna Alg (81514) $433.55 $667 1.6×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $166.40 $256 1.3×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $161.20 $248 6.2×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $3,017.95 $4,643 6.2×
Niacin (84591) $116.35 $179 6.8×
Nk cells total count (86357) $232.70 $358 6.2×
Nras gene variants exon 2&3 (81311)
range across 2 matching MRF lines
$1,189.50–$1,236.95 $1,830–$1,903 varies
Nuclear antigen antibody (86235) $111.80 $172 6.2×
Nudt15 Gene Common Variants (81306) $1,051.70 $1,618 3.6×
Obstetric panel (80081) $593.45 $913 7.9×
Occult blood feces (82272) $35.10 $54 8.3×
Occult Blood Other Sources (82271) $30.55 $47 5.7×
Oligoclonal bands (83916) $129.35 $199 4.7×
Onco (Ovarian) Biochemical Assay Two Proteins (81500) $1,235 $1,900 4.7×
Oncoprotein Her-2/Neu (83950) $422.50 $650 6.6×
Organic acids urine (83918) $125.45 $193 5.3×
Osmolality serum (83930) $68.25 $105 10.3×
Osmolality Urine (83935) $72.15 $111 10.6×
Ova and parasites smears (87177) $107.90 $166 12.1×
Ova1 (81503) $2,605.85 $4,009 2.9×
Oxalate urine (83945) $85.80 $132 5.9×
Particle Agglutination Screen Each Antibody (86403) $53.95 $83 4.7×
Parvovirus antibody (86747) $100.75 $155 6.7×
Path Consltj Surg Cytologic Exam Initial Site (88333)
range across 2 matching MRF lines
$150.15–$300.95 $231–$463 varies
Pathology Consultation During Surgery (88329) $65 $100 1.1×
Ph urine (81003) $30.55 $47 13.6×
Phenobarbital Level (80184) $71.50 $110 4.7×
Phenotype Infect Agent Drug (87900) $805.35 $1,239 6.2×
Phenylalanine (84030) $38.35 $59 7.0×
Phenytoin (Dilantin) (80185) $89.05 $137 6.7×
Phenytoin free (80186) $72.80 $112 5.3×
Phosphatase alkaline (84075) $48.75 $75 9.4×
Phospholipid Neutralization Hexagonal (85598) $118.30 $182 6.6×
Phosphorus Serum (84100) $41.60 $64 8.8×
Phosphorus urine (84105) $40.95 $63 7.1×
Pinworm exam (87172) $41.60 $64 9.7×
Platelet Aggregation (85576) $150.15 $231 6.0×
Platelet Antibodies (86022) $217.75 $335 11.9×
Platelet count automated (85049) $34.45 $53 7.7×
Platelet neutralization (85597) $120.25 $185 6.7×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $1,306.50 $2,010 6.3×
Pmp22 Gene Anal Duplication/Deletion Analysis (81324) $2,232.10 $3,434 2.9×
Pmp22 Gene Analysis Full Sequence Analysis (81325) $2,232.10 $3,434 2.9×
Pneumcysts jirovecii amp prb (87594) $204.75 $315 5.8×
Porphobilinogen, urine; quantitative (84110) $73.45 $113 8.7×
Porphyrins Urine Quantitation & Fractionation (84120) $115.05 $177 7.8×
Potassium Urine (84133) $37.05 $57 7.8×
Prealbumin (84134) $90.35 $139 6.2×
Pregnenolone (84140) $129.35 $199 6.3×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $112.45 $173 1.9×
Primidone (80188) $99.45 $153 6.0×
Procalcitonin (Pct) (84145) $161.85 $249 5.9×
Progesterone (84144) $120.90 $186 5.8×
Prolactin (84146) $120.90 $186 6.2×
Prostaglandin (84150)
range across 2 matching MRF lines
$194.35–$251.78 $299–$387.35 varies
Protein body fluid (84157) $54.60 $84 13.7×
Protein C Activity (85303) $182 $280 13.2×
Protein c antigen (85302) $159.90 $246 13.3×
Protein Electrophoresis Urine (84166)
range across 4 matching MRF lines
$111.15–$113.10 $171–$174 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $92.95 $143 8.7×
Protein S Free (85306) $190.45 $293 12.4×
Protein s total (85305) $183.30 $282 15.8×
Protein total serum (84155) $61.75 $95 16.8×
Protein Total Urine (84156) $45.50 $70 12.4×
Protein Western Blot Test (84182) $215.80 $332 7.4×
Prothrombin Time Substitution Plasma Frctj Each (85611) $62.40 $96 15.8×
Protoporphyrin rbc quantitative (84202) $86.45 $133 6.0×
PSA free (84154) $114.40 $176 6.2×
Pten Gene Analysis Duplication/Deletion Variant (81323) $4.55 $7 0.0×
Pten Gene Analysis Full Sequence Analysis (81321) $9.10 $14 0.0×
Pth Intact (83970) $254.80 $392 6.2×
Q Fever Antibody (86638) $60.45 $93 5.0×
Quantiferon tb gold plus (86480) $291.85 $449 4.7×
Quantitative assay drug (80299)
range across 2 matching MRF lines
$94.90–$97.50 $146–$150 varies
Quantitative Screen Metals (83018) $150.15 $231 6.8×
Rbc antibody elution (86860) $195 $300 1.1×
Rbc antibody identification (86870) $342.55 $527 1.0×
Rbc antibody screen (86850) $94.25 $145 9.6×
Rbc pretreatment serum (86978) $136.50 $210 2.3×
Reagent Strip/Blood Glucose (82948) $37.70 $58 7.5×
Renin activity plasma (84244) $174.20 $268 7.9×
Reptilase test (85635) $89.70 $138 9.1×
Resp virus 12-25 targets (87633) $1,032.20 $1,588 2.5×
Resp Virus 6-11 Targets (87632) $1,001.65 $1,541 4.6×
Reticulated Platelet Assay (85055) $166.40 $256 4.7×
Reticulocyte Count (85046) $31.85 $49 5.7×
Reticulocyte separation (86972) $87.10 $134 0.5×
Rh (86901) $39.65 $61 13.3×
Rheumatoid Factor Qualitative (86430) $37.70 $58 6.1×
Rheumatoid factor quant (86431) $58.50 $90 10.3×
Rickettsia antibody (86757) $117 $180 6.0×
Ristocetin cofactor (85245) $157.95 $243 6.9×
Rotavirus ag eia (87425) $74.10 $114 6.2×
Rpr qualitative (86592) $39.65 $61 9.3×
Rsv Assay W/Optic (87807) $80.60 $124 6.2×
Rubella Antibody (86762) $89.05 $137 6.2×
Rubeola antibody (86765) $89.70 $138 7.0×
Rufinamide (80210) $169.65 $261 6.3×
Russell Viper Venom Time Diluted (85613) $94.25 $145 9.8×
Salicylate Level (80179) $106.60 $164 5.7×
Sars-Cov-2 Covid-19 Amp Prb (87635) $180.05 $277 3.5×
Sars-cov-2 COVID-19 antibody (86769) $148.20 $228 3.5×
Sars-Cov-2 Covid19 W/Optic (87811) $143.65 $221 3.5×
Sarscov2 & inf a&b amp prb (87636) $577.85 $889 4.1×
Sarscov2&inf a&b&rsv amp prb (87637) $560.95 $863 3.9×
Sedimentation rate (85651) $41.60 $64 9.7×
Sedimentation Rate, Automated (85652) $41.60 $64 15.4×
Selenium (84255) $156.65 $241 6.1×
Semen Anal Sperm Detection (89321) $104.65 $161 8.7×
Semen analysis complete (89322) $194.35 $299 12.5×
Semen analysis complete (89320) $175.50 $270 14.3×
Sensitivity mic (87186) $68.25 $105 7.9×
Sex Hormone Binding Globulin (84270) $140.40 $216 6.5×
Sickling of rbc reduction (85660) $44.20 $68 8.0×
Sirolimus (80195) $91 $140 6.6×
Skin Test Candida (86485) $38.35 $59 1.3×
Skin test tuberculosis intradermal (86580) $50.05 $77 1.7×
Smear acid fast (87206) $59.15 $91 11.0×
Smear complex stain (87209) $111.80 $172 6.2×
Smear gram stain (87205) $53.30 $82 12.5×
Smear Special Stain (87207) $78.65 $121 13.1×
Smn1 Gene Dos/Deletion Alys (81329) $566.80 $872 4.1×
Smr Prim Src Wet Mount Nfct Agt (87210) $44.20 $68 7.6×
Snrpn/Ube3a Methylation Analysis (81331) $520.65 $801 10.2×
Sodium Serum (84295) $42.25 $65 8.8×
Sodium Urine (84300) $47.45 $73 9.4×
Soluble fibrin monomer (85366) $333.45 $513 4.1×
Soluble Transferrin Receptor (84238) $227.50 $350 6.2×
Somatomedin (84305) $187.85 $289 8.8×
Somatostatin (84307) $206.70 $318 11.3×
Special Stains Group 1 (88312)
range across 5 matching MRF lines
$130.65–$413.40 $201–$636 varies
Special Stains Group 2 (88313)
range across 5 matching MRF lines
$59.15–$328.90 $91–$506 varies
Specific gravity body fluid (84315) $31.20 $48 9.5×
Specimen infect agnt concntj (87015) $59.80 $92 9.0×
Spectrophotometry (84311)
range across 2 matching MRF lines
$129.35–$133.25 $199–$205 varies
Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) $269.10 $414 5.2×
Staph a DNA amp probe (87640) $217.10 $334 6.2×
Stool cultr aerobic bact ea (87046) $65 $100 6.9×
Strep a assay w/optic (87880) $76.70 $118 4.6×
Strep a DNA amp probe (87651) $165.75 $255 4.7×
Strep b DNA amp probe (87653) $217.10 $334 6.2×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $89.70 $138 1.0×
Sugars Single Qual (84376) $34.45 $53 6.3×
Sulfate urine (84392) $30.55 $47 5.6×
Surg path level iii (88304)
range across 4 matching MRF lines
$73.45–$174.85 $113–$269 varies
Surgical pathology level IV (88305)
range across 5 matching MRF lines
$202.15–$215.80 $311–$332 varies
Surgical pathology level vi (88309)
range across 5 matching MRF lines
$711.75–$1,312.35 $1,095–$2,019 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $46.80 $72 9.9×
Susceptibility Study Antimicrobial Disk Method (87184) $51.35 $79 6.9×
Syphilis Test Non-Trep Quant (86593) $37.05 $57 8.4×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $282.75 $435 6.0×
T cells total count (86359) $232.70 $358 6.2×
T3 Free (84481) $146.90 $226 8.7×
T3 reverse (84482) $140.40 $216 8.9×
T3 Total (84480) $107.25 $165 7.6×
T3 Uptake (84479) $48.75 $75 7.5×
T4 Free (84439) $70.85 $109 7.9×
T4 total (84436) $52 $80 7.6×
Tacrolimus (80197) $107.25 $165 7.8×
Tau phosphorylated each (84393) $773.50 $1,190 6.0×
Tb ag response t-cell susp (86481) $116.35 $179 1.2×
Test for acetone/ketones (82009) $43.55 $67 9.6×
Testosterone total (84403) $155.35 $239 6.0×
Testosterone, Free (84402) $151.45 $233 5.9×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $1,867.45 $2,873 3.1×
Theophylline (80198) $87.10 $134 6.2×
Thiocyanate (84430) $65 $100 5.6×
Thiopurine methyltransferase (84433) $299 $460 13.5×
Thrombin Time (85670) $76.70 $118 13.3×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $79.30 $122 12.3×
Thyroglobulin (84432) $120.90 $186 7.5×
Thyroglobulin Antibody (86800) $98.15 $151 6.2×
Thyroid Stimulating Immunoglobulin (84445) $256.10 $394 5.0×
Thyroxine binding globulin (84442) $97.50 $150 6.6×
Tiss Trnsgltmnase Ea Ig Clas (86364) $91 $140 7.9×
Tissue Culture (88233)
range across 2 matching MRF lines
$608.40–$638.95 $936–$983 varies
Tissue Culture Amniotic Fluid (88235) $978.25 $1,505 6.5×
Tissue culture bone marrow (88237)
range across 2 matching MRF lines
$939.25–$945.75 $1,445–$1,455 varies
Tissue Culture Lymphocyte (88230) $700.05 $1,077 6.0×
Tobramycin peak (80200) $91 $140 5.6×
Topiramate (80201) $93.60 $144 7.9×
Total Tau (84394) $773.50 $1,190 6.0×
Touch prep (88161) $156 $240 5.4×
Toxoplasma ab igm (86778) $91.65 $141 6.4×
Toxoplasma antibody (86777) $89.05 $137 6.2×
Tp53 gene analysis targeted sequence analysis (81352) $869.70 $1,338 2.6×
Tpmt gene com variants (81335)
range across 2 matching MRF lines
$509.60–$525.20 $784–$808 varies
Transferase Aspartate Amino Ast Sgot (84450) $47.45 $73 9.2×
Transferrin (84466) $113.10 $174 8.9×
Trb@ Rearrangement Anal Amplification Method (81340) $965.25 $1,485 4.6×
Trg gene rearrangement anal (81342)
range across 3 matching MRF lines
$1,139.45–$1,173.90 $1,753–$1,806 varies
Trichomonas vagin dir probe (87660) $76.70 $118 3.8×
Trichomonas Vaginalis Amplif (87661) $217.10 $334 6.2×
Triglycerides (84478) $53.95 $83 9.4×
Troponin Quant (84484) $98.80 $152 7.9×
Troponin, qualitative (84512) $93.60 $144 9.3×
Tumor immunohistochem/comput (88361)
range across 4 matching MRF lines
$625.30–$627.90 $962–$966 varies
Tumor Immunohistochem/Manual (88360) $561.60 $864 3.3×
Urea nitrogen urine (84540) $42.25 $65 7.6×
Uric acid other source (84560) $45.50 $70 9.0×
Urinalysis Microscopic Only (81015) $22.10 $34 7.2×
Urinalysis Volume Measure (81050) $35.75 $55 9.8×
Urine Albumin Semiquantitative (82044) $66.30 $102 10.6×
Urine Bacteria Culture (87088) $72.80 $112 9.0×
Urine Pregnancy Test (81025) $65 $100 7.5×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $40.30 $62 12.7×
Valproic acid (80164) $89.05 $137 6.6×
Vancomycin (80202) $91 $140 6.7×
Varicella-zoster antibody (86787) $84.50 $130 6.6×
Vasopressin (84588) $209.95 $323 6.2×
Very Long Chain Fatty Acids (82726) $150.15 $231 7.6×
Viral Culture (87252) $161.20 $248 6.2×
Virus antibody nos (86790) $126.75 $195 9.8×
Virus inoculate tissue addl (87253) $128.70 $198 6.4×
Virus inoculation, shell via (87254) $135.20 $208 6.9×
Viscosity serum (85810) $85.80 $132 7.4×
Vit D 1 25-Dihydroxy (82652) $238.55 $367 6.2×
Vitamin A (84590) $124.80 $192 10.7×
Vitamin b-12 (82607) $110.50 $170 7.3×
Vitamin B2 (Riboflavin) (84252) $188.50 $290 9.3×
Vitamin B6 (84207) $177.45 $273 6.3×
Vitamin c (82180) $89.70 $138 9.1×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$172.90–$178.10 $266–$274 varies
Vitamin E (84446) $111.80 $172 7.9×
Vitamin K (84597) $131.95 $203 9.6×
Volatiles (84600) $112.45 $173 6.6×
Voltage-Gated Calcium Channel Antibody Each (86596) $83.20 $128 6.9×
Von willebrand factor ag (85246) $232.70 $358 10.1×
West nile virus ab igm (86788) $91.65 $141 5.4×
West Nile Virus Antibody (86789) $59.80 $92 4.2×
Xm Archive Tissue Molec Anal (88363) $111.80 $172 3.9×
Zinc (84630) $104 $160 9.1×

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.