Lab & pathology prices at Bacon County Hospital and Health System
Alma, GA · every code in this section with a posted price and a Medicare benchmark.
608 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $60 | $75 | 5.4× |
| Acetylcholine receptor binding antibody (86041) | $120 | $150 | 6.5× |
| Acetylcholine receptor blocking antibody (86042) | $172.80 | $216 | 9.4× |
| Acetylcholn Rcptr Modlg Antb (86043) | $120 | $150 | 10.0× |
| Acth (82024) | $221.60 | $277 | 5.7× |
| Acute hepatitis panel (80074) | $313.60 | $392 | 6.6× |
| Agglutinins Febrile Each Antigen (86000) | $36 | $45 | 5.2× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$28.80–$70.40 | $36–$88 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$44.80–$73.60 | $56–$92 | varies |
| Aldolase (82085) | $65.60 | $82 | 6.8× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$120.80–$212 | $151–$265 | varies |
| Alkaline phosphatase isoenzymes (84080) | $88 | $110 | 6.0× |
| Allergen specific ige (86003) range across 14 matching MRF lines |
$16–$117.60 | $20–$147 | varies |
| Allergen specific igg (86001) | $90.40 | $113 | 11.6× |
| Alpha-1-antitrypsin phenotype (82104) | $116 | $145 | 8.0× |
| Alpha-1-antitrypsin total (82103) | $128 | $160 | 9.5× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$120.80–$126.40 | $151–$158 | varies |
| Alt (sgpt) (84460) | $87.20 | $109 | 16.5× |
| Amikacin trough (80150) | $83.20 | $104 | 5.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $382.40 | $478 | 22.7× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $170.40 | $213 | 12.3× |
| Aminolevulinic acid (ala) (82135) | $78.40 | $98 | 4.8× |
| Ammonia (82140) | $136.80 | $171 | 9.4× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $115.20 | $144 | 1.2× |
| Amylase urine (82150) range across 2 matching MRF lines |
$55.20–$102.40 | $69–$128 | varies |
| Ana Titer (86039) | $40.80 | $51 | 3.7× |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$35.20–$88 | $44–$110 | varies |
| Androstenedione (82157) | $48 | $60 | 1.6× |
| Angiotensin converting enzyme csf (82164) | $133.60 | $167 | 9.2× |
| Anti-Phospholipid Antibody (86148) | $46.40 | $58 | 2.9× |
| Antibody aspergillus (86606) | $77.60 | $97 | 5.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $76.80 | $96 | 5.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $97.60 | $122 | 5.8× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $24.80 | $31 | 1.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $24.80 | $31 | 1.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 4 matching MRF lines |
$24.80–$171.20 | $31–$214 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 5 matching MRF lines |
$102.40–$116 | $128–$145 | varies |
| Antibody helicobacter pylori (86677) | $166.40 | $208 | 9.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $40 | $50 | 2.8× |
| Antibody Herpes Smplx Type 1 (86695) | $120 | $150 | 9.1× |
| Antibody HIV-2 (86702) | $104.80 | $131 | 7.8× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $609.60 | $762 | 1.9× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $170.40 | $213 | 8.8× |
| Antibody john cunningham virus (86711) | $70.40 | $88 | 4.2× |
| Antibody Protozoa Nes (86753) | $78.40 | $98 | 6.3× |
| Antibody Titer (86886) range across 3 matching MRF lines |
$31.20–$184.80 | $39–$231 | varies |
| Antibody Treponema Pallidum (86780) | $92 | $115 | 6.9× |
| Antibody yersinia (86793) | $306.40 | $383 | 23.2× |
| Antibody; campylobacter (86625) | $193.60 | $242 | 14.8× |
| Antibody; influenza virus (86710) | $70.40 | $88 | 5.2× |
| Antigen typing (86905) range across 2 matching MRF lines |
$66.40–$98.40 | $83–$123 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $79.20 | $99 | 13.8× |
| Antinuclear antibodies (86038) | $59.20 | $74 | 4.9× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$63.20–$104 | $79–$130 | varies |
| Antithrombin iii activity (85300) | $240 | $300 | 20.3× |
| Antithrombin iii antigen (85301) | $180 | $225 | 16.7× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$90.40–$153.60 | $113–$192 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$43.20–$113.60 | $54–$142 | varies |
| Assay activated protein c (85307) | $100 | $125 | 6.5× |
| Assay Blood Carbon Dioxide (82374) | $56 | $70 | 11.5× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$70.40–$102.40 | $88–$128 | varies |
| Assay of 5-hiaa (83497) | $126.40 | $158 | 9.8× |
| Assay of anti-mullerian hormone (82166) | $176 | $220 | 4.6× |
| Assay of blood/uric acid (84550) | $62.40 | $78 | 13.8× |
| Assay of calcium in urine (82340) | $43.20 | $54 | 7.2× |
| Assay of cpk in blood (82552) | $141.60 | $177 | 10.6× |
| Assay of estrone (82679) | $47.20 | $59 | 1.9× |
| Assay of g6pd enzyme (82955) | $68.80 | $86 | 7.1× |
| Assay of gammaglobulin igm (82784) range across 14 matching MRF lines |
$52.80–$78.40 | $66–$98 | varies |
| Assay of lactic acid (83605) | $105.60 | $132 | 9.1× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$70.40–$158.40 | $88–$198 | varies |
| Assay of phosphatase acid total (84060) | $28 | $35 | 3.7× |
| Assay of proinsulin (84206) | $220 | $275 | 8.2× |
| Assay of serotonin (84260) | $52 | $65 | 1.7× |
| Assay of serum potassium (84132) | $88 | $110 | 18.5× |
| Assay of Sialic Acid (84275) | $88.80 | $111 | 6.6× |
| Assay of sweat sodium (84302) | $43.20 | $54 | 8.9× |
| Assay of urea nitrogen (84520) | $43.20 | $54 | 10.9× |
| Assay of urine vma (84585) | $122.40 | $153 | 7.9× |
| Assay of vasoactive intestinal peptide (84586) | $180.80 | $226 | 5.1× |
| Assay of vitamin b-1 (84425) | $120 | $150 | 5.7× |
| Assay Ph Body Fluid Nos (83986) | $35.20 | $44 | 9.8× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$18.40–$56 | $23–$70 | varies |
| B cells total count (86355) | $87.20 | $109 | 2.3× |
| Bartonella antibody (86611) | $28.80 | $36 | 2.8× |
| Bcr/abl1 gene major bp (81206) | $296.80 | $371 | 1.8× |
| Bcr/abl1 gene minor bp (81207) | $228 | $285 | 1.6× |
| Bcr/Abl1 Gene Other Bp (81208) | $292.80 | $366 | 1.4× |
| Beta 2 glycoprotein i antibody each (86146) | $67.20 | $84 | 2.6× |
| Beta hydroxybutyrate (82010) | $90.40 | $113 | 11.1× |
| Beta Lactamase (87185) | $77.60 | $97 | 16.3× |
| Beta-2 Microglobulin (82232) | $28 | $35 | 1.7× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $496.80 | $621 | 3.9× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $496.80 | $621 | 3.9× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$66.40–$147.20 | $83–$184 | varies |
| Bilirubin total (82247) | $87.20 | $109 | 17.4× |
| Bl Smear W/O Diff Wbc Count (85008) | $56 | $70 | 16.3× |
| Blastomyces antibody (86612) | $31.20 | $39 | 2.4× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $87.20 | $109 | 0.6× |
| Bld Typing Serologic Rh Phnt (86906) | $124 | $155 | 16.0× |
| Bleeding time test (85002) | $61.60 | $77 | 12.8× |
| Blood Count Red Blood Cell Automated (85041) | $42.40 | $53 | 14.0× |
| Blood count reticulocyte automated (85045) | $66.40 | $83 | 16.6× |
| Blood gas (82803) | $266.40 | $333 | 10.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $33.60 | $42 | 2.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $33.60 | $42 | 7.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $96 | $120 | 15.1× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $150.40 | $188 | 9.2× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$53.60–$74.40 | $67–$93 | varies |
| Body fluid cell count (89050) range across 3 matching MRF lines |
$36–$120.80 | $45–$151 | varies |
| Bordetella antibody (86615) | $93.60 | $117 | 7.1× |
| Brca1&2 gen full seq dup/del (81162) | $1,956 | $2,445 | 1.1× |
| Breath Alcohol Test (82075) range across 2 matching MRF lines |
$28.80–$52.80 | $36–$66 | varies |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$111.20–$228.80 | $139–$286 | varies |
| C-Peptide (84681) | $123.20 | $154 | 5.9× |
| C-reactive protein (86140) | $76.80 | $96 | 14.8× |
| Ca 19-9 (86301) | $146.40 | $183 | 7.0× |
| Cadmium (82300) | $45.60 | $57 | 1.9× |
| Calcitonin (82308) | $137.60 | $172 | 5.1× |
| Calcium ionized (82330) | $71.20 | $89 | 5.2× |
| Calcium total (82310) | $70.40 | $88 | 13.6× |
| Calculus Spectroscopy (82365) | $139.20 | $174 | 10.8× |
| Calprotectin Fecal (83993) | $381.60 | $477 | 19.4× |
| Calr gene com variants (81219) | $482.40 | $603 | 4.0× |
| Cancer Antigen 125 (86304) | $146.40 | $183 | 7.0× |
| Cancer Antigen 27.29 (86300) | $146.40 | $183 | 7.0× |
| Candida antibody (86628) | $116 | $145 | 9.7× |
| Carbamazepine total (80156) | $155.20 | $194 | 10.7× |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) | $52.80 | $66 | 3.8× |
| Carboxyhemoglobin (82375) | $52.80 | $66 | 4.3× |
| Carcinoembryonic antigen (82378) | $128.80 | $161 | 6.8× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$24–$136.80 | $30–$171 | varies |
| Carnitine Quantitative Each Specimen (82379) | $158.40 | $198 | 9.4× |
| Carotene (82380) | $40.80 | $51 | 4.4× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$104–$200 | $130–$250 | varies |
| Ccp antibody (86200) | $161.60 | $202 | 12.5× |
| Cell count csf (89051) range across 4 matching MRF lines |
$28.80–$103.20 | $36–$129 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $236.80 | $296 | 1.7× |
| Ceruloplasmin (82390) | $103.20 | $129 | 9.6× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$67.20–$244 | $84–$305 | varies |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$88.80–$102.40 | $111–$128 | varies |
| Chlamydia Igm Antibody (86632) | $102.40 | $128 | 8.1× |
| Chloride other source (82438) range across 2 matching MRF lines |
$55.20–$88 | $69–$110 | varies |
| Chloride Serum (82435) | $78.40 | $98 | 17.0× |
| Chloride urine (82436) | $78.40 | $98 | 13.6× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$7.50–$70.40 | $10–$88 | varies |
| Cholinesterase rbc (82482) | $69.60 | $87 | 7.1× |
| Cholinesterase Serum (82480) | $56 | $70 | 7.1× |
| Chorionic gonadotropin test (84702) | $174.40 | $218 | 11.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $253.60 | $317 | 7.6× |
| Chromium serum (82495) | $116 | $145 | 5.7× |
| Chromogranin a (86316) | $116 | $145 | 5.6× |
| Chromosome Analysis 15-20 (88262) range across 4 matching MRF lines |
$88–$710.40 | $110–$888 | varies |
| Chromosome Analysis 20-25 (88264) | $1,121.60 | $1,402 | 7.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$43.20–$100.80 | $54–$126 | varies |
| Citric acid urine (82507) | $24.80 | $31 | 0.9× |
| Ckmb (82553) | $139.20 | $174 | 12.1× |
| Clostridium Difficile (87324) | $81.60 | $102 | 6.8× |
| Clot Factor VIII Multimetric (85247) | $103.20 | $129 | 4.5× |
| Clotting factor xii hageman (85280) | $116 | $145 | 6.0× |
| Coagulation time other methods (85348) | $32 | $40 | 7.1× |
| Coagulation time; Lee and White Facility (85345) | $56 | $70 | 11.9× |
| Coccidioides antibody (86635) | $40 | $50 | 3.5× |
| Cold agglutinin titer (86157) | $66.40 | $83 | 8.2× |
| Collagen crosslinks (82523) | $172 | $215 | 9.2× |
| Column Chromotography Quant (82542) | $992.80 | $1,241 | 41.2× |
| Compatibility Each Unit Incubation (86921) range across 2 matching MRF lines |
$49.60–$136 | $62–$170 | varies |
| Compatibility test antiglob (86922) range across 4 matching MRF lines |
$90.40–$198.40 | $113–$248 | varies |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$70.40–$126.40 | $88–$158 | varies |
| Complement Total (Ch50) (86162) | $161.60 | $202 | 8.0× |
| Complement/Function Activity (86161) | $110.40 | $138 | 9.2× |
| Coombs direct (86880) range across 2 matching MRF lines |
$73.60–$91.20 | $92–$114 | varies |
| Copper urine (82525) | $83.20 | $104 | 6.7× |
| Cortisol free (82530) range across 2 matching MRF lines |
$245.60–$287.20 | $307–$359 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$88–$132 | $110–$165 | varies |
| Creatine kinase total (82550) | $70.40 | $88 | 10.8× |
| Creatinine blood (82565) | $70.40 | $88 | 13.8× |
| Creatinine clearance (82575) | $100.80 | $126 | 10.7× |
| Creatinine Urine (82570) | $78.40 | $98 | 15.1× |
| Crossmatch immediate spin (86920) | $137.60 | $172 | 0.9× |
| Crp High Sensitivity (86141) | $24.80 | $31 | 1.9× |
| Cryoglobulin (82595) | $47.20 | $59 | 7.3× |
| Cryptococcal Antigen (87327) | $66.40 | $83 | 4.9× |
| Cryptococcus ab (86641) | $78.40 | $98 | 5.4× |
| Cryptosporidium ag eia (87328) | $77.60 | $97 | 5.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $150.40 | $188 | 18.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $148.80 | $186 | 18.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $87.20 | $109 | 11.3× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $634.40 | $793 | 2.9× |
| Culture afb (87116) range across 3 matching MRF lines |
$69.60–$132.80 | $87–$166 | varies |
| Culture Anaerobic (87075) | $69.60 | $87 | 7.3× |
| Culture blood (87040) | $161.60 | $202 | 15.7× |
| Culture chlamydia (87110) | $100.80 | $126 | 5.1× |
| Culture csf (87070) range across 7 matching MRF lines |
$124–$140 | $155–$175 | varies |
| Culture fungus (87102) | $148 | $185 | 17.6× |
| Culture fungus blood (87103) | $87.20 | $109 | 4.3× |
| Culture screen only (87081) range across 5 matching MRF lines |
$74.40–$96.80 | $93–$121 | varies |
| Culture stool (87045) | $122.40 | $153 | 13.0× |
| Culture typing other methods (87158) | $188 | $235 | 24.3× |
| Culture urine (87086) | $103.20 | $129 | 12.8× |
| Cyclosporine (80158) | $132.80 | $166 | 7.4× |
| Cystatin C (82610) | $160.80 | $201 | 8.7× |
| Cytogenetics 100-300 (88275) | $120.80 | $151 | 2.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,621.60 | $2,027 | 1.4× |
| Cytomegalovirus igg (86644) | $24.80 | $31 | 1.7× |
| Cytopath Cell Enhance Tech (88112) | $112 | $140 | 2.5× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $136 | $170 | 5.1× |
| Cytp Concentration Smears & Interpretation (88108) | $181.60 | $227 | 5.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $237.60 | $297 | 5.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $181.60 | $227 | 5.5× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$111.20–$333.60 | $139–$417 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$288.80–$436 | $361–$545 | varies |
| Detect agnt mult DNA ampli (87801) | $320.80 | $401 | 4.6× |
| Dgp Antibody Each Ig Class (86258) | $175.20 | $219 | 14.5× |
| Dhea (82626) | $121.60 | $152 | 4.8× |
| Dhea-S (82627) | $56 | $70 | 2.5× |
| Digoxin (80162) | $120.80 | $151 | 9.1× |
| Dihydrotestosterone (82642) | $90.40 | $113 | 3.1× |
| Diphtheria antitoxoid (86648) | $81.60 | $102 | 5.4× |
| Dipropylacetic Acid Free (80165) | $56 | $70 | 4.1× |
| Dna Antibody Native/Double Stranded (86225) | $132 | $165 | 9.6× |
| Dna/Rna Amplified Probe (87150) | $52 | $65 | 1.5× |
| DNA/RNA direct probe (87149) | $167.20 | $209 | 8.3× |
| Dna/Rna Sequencing (87153) range across 2 matching MRF lines |
$330.40–$380 | $413–$475 | varies |
| Drug assay adalimumab (80145) | $492 | $615 | 12.8× |
| Drug Assay Amiodarone (80151) range across 2 matching MRF lines |
$79.20–$158.40 | $99–$198 | varies |
| Drug Assay Everolimus (80169) | $224.80 | $281 | 16.4× |
| Drug Assay Infliximab (80230) | $664.80 | $831 | 17.2× |
| Drug Assay Lacosamide (80235) | $254.40 | $318 | 9.4× |
| Drug Asy Hydroxychloroquine (80220) | $369.60 | $462 | 19.8× |
| Drug Screen Quant Zonisamide (80203) | $172 | $215 | 13.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $158.40 | $198 | 12.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $176 | $220 | 13.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $98.40 | $123 | 7.4× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $87.20 | $109 | 5.2× |
| Drug Screen Quantitative Tiagabine (80199) | $161.60 | $202 | 6.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 11 matching MRF lines |
$23.20–$216.80 | $29–$271 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 3 matching MRF lines |
$9.60–$164 | $12–$205 | varies |
| El-1 Fecal Quantitative (82653) | $176 | $220 | 7.7× |
| Electrolyte panel (80051) | $133.60 | $167 | 19.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $68.80 | $86 | 1.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$103.20–$155.20 | $129–$194 | varies |
| Enterovirus Antibody (86658) range across 10 matching MRF lines |
$67.20–$73.60 | $84–$92 | varies |
| Erythropoietin (82668) | $150.40 | $188 | 8.0× |
| Estradiol serum (82670) | $69.60 | $87 | 2.5× |
| Estriol (82677) | $152.80 | $191 | 6.3× |
| Estrogen total (82672) | $170.40 | $213 | 7.9× |
| Estrogens fractionated (82671) | $204.80 | $256 | 6.3× |
| Exam Synovial Fluid Crystals (89060) | $52 | $65 | 7.1× |
| F2 Gene (81240) | $67.20 | $84 | 1.0× |
| Factor ii activity (85210) | $160.80 | $201 | 12.4× |
| Factor ix activity (85250) | $100 | $125 | 5.3× |
| Factor v activity (85220) | $60 | $75 | 3.4× |
| Factor v leiden mutation (81241) | $490.40 | $613 | 6.7× |
| Factor viii assay (85240) | $140.80 | $176 | 7.9× |
| Factor xi activity (85270) | $103.20 | $129 | 5.8× |
| Fat/Lipids Feces Quantitative (82710) | $110.40 | $138 | 6.6× |
| Fecal Fat Qualitative (82705) | $100.80 | $126 | 19.8× |
| Ferritin (82728) | $96.80 | $121 | 7.1× |
| Fetal Chrmoml Aneuploidy (81420) | $1,770.40 | $2,213 | 2.3× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $204.80 | $256 | 1.3× |
| Fetal screen rosette (85461) | $108 | $135 | 11.5× |
| Fibrin degradation products (85362) | $87.20 | $109 | 12.7× |
| Fibrin Degradation Quant (85379) | $140 | $175 | 13.8× |
| Fibrinogen activity (85384) | $128.80 | $161 | 13.3× |
| Fibrinolytic factors and inhibitors; plasmin Facility (85400) | $98.40 | $123 | 12.8× |
| Flecainide level (80181) | $158.40 | $198 | 8.5× |
| Flow cytometry first marker (88184) | $301.60 | $377 | 1.0× |
| Fluorescent antibody screen (86255) range across 8 matching MRF lines |
$90.40–$1,196.80 | $113–$1,496 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 8 matching MRF lines |
$80.80–$132.80 | $101–$166 | varies |
| Fmr1 gene detection (81243) | $186.40 | $233 | 3.3× |
| Folic acid rbc (82747) | $111.20 | $139 | 6.3× |
| Folic Acid Serum (82746) | $132.80 | $166 | 9.0× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$46.40–$109.60 | $58–$137 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $78.40 | $98 | 0.5× |
| Frozen Section (88331) | $192.80 | $241 | 1.3× |
| Fungi Identification Mold (87107) | $145.60 | $182 | 14.1× |
| Fungi Identification Yeast (87106) | $69.60 | $87 | 6.7× |
| G6pd gene alys cmn variant (81247) | $486.40 | $608 | 2.8× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$76.80–$133.60 | $96–$167 | varies |
| Gases blood ph only (82800) | $79.20 | $99 | 7.2× |
| Gastrin (82941) | $123.20 | $154 | 7.0× |
| Gentamicin (80170) | $136 | $170 | 8.3× |
| Ggt (82977) | $78.40 | $98 | 10.9× |
| Giardia antigen (87329) | $82.40 | $103 | 6.9× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $436 | $545 | 4.3× |
| Glucose 2 hr pp (82950) | $83.20 | $104 | 17.5× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$64.80–$68.80 | $81–$86 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$7.50–$73.60 | $10–$92 | varies |
| Glucose tolerance test (gtt) (82951) | $146.40 | $183 | 11.4× |
| Glycated Protein (82985) | $79.20 | $99 | 4.7× |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $28.80 | $36 | 1.9× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$88–$126.40 | $110–$158 | varies |
| Growth hormone (83003) | $83.20 | $104 | 5.0× |
| Gtt-added samples (82952) | $46.40 | $58 | 11.8× |
| Haptoglobin (83010) | $68.80 | $86 | 5.5× |
| Hba1/Hba2 Gene (81257) | $670.40 | $838 | 6.6× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $643.20 | $804 | 3.2× |
| Hbb Full Gene Sequence (81364) | $1,106.40 | $1,383 | 3.4× |
| Hdl Cholesterol (83718) | $88 | $110 | 10.7× |
| Helicobacter Pylori Stool (87338) | $132.80 | $166 | 9.2× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$62.40–$167.20 | $78–$209 | varies |
| Hematocrit (85014) | $42.40 | $53 | 17.9× |
| Hemoglobin (85018) | $38.40 | $48 | 16.2× |
| Hemoglobin a1c (83036) | $77.60 | $97 | 8.0× |
| Hemoglobin Chromotography (83021) | $114.40 | $143 | 6.3× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$67.20–$136 | $84–$170 | varies |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $136 | $170 | 15.5× |
| Hemolysins&Agglutinins Incubated (86941) | $136 | $170 | 11.2× |
| Hep a ab igm (86709) | $42.40 | $53 | 3.8× |
| Heparin assay (85520) | $90.40 | $113 | 6.9× |
| Heparin Neutralization (85525) | $48 | $60 | 4.1× |
| Hepatitis a antibody total (86708) | $31.20 | $39 | 2.5× |
| Hepatitis b core ab igm (86705) | $67.20 | $84 | 5.7× |
| Hepatitis b core ab total (86704) | $79.20 | $99 | 6.6× |
| Hepatitis B Surface Antibody (86706) | $23.20 | $29 | 2.2× |
| Hepatitis B Surface Antigen (87340) | $92 | $115 | 8.9× |
| Hepatitis Be Antibody (86707) | $92.80 | $116 | 8.0× |
| Hepatitis Be Antigen (87350) | $76.80 | $96 | 6.7× |
| Hepatitis C Antibody (86803) | $133.60 | $167 | 9.4× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$523.20–$1,085.60 | $654–$1,357 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $302.40 | $378 | 7.1× |
| Hepatitis Delta Agent Antibody (86692) | $56.80 | $71 | 3.3× |
| Herpes simplex type 2 (86696) | $134.40 | $168 | 6.9× |
| Heterophile Antibody Screen (86308) | $91.20 | $114 | 17.6× |
| Hfe Gene (81256) | $228.80 | $286 | 3.5× |
| Histamine urine (83088) | $90.40 | $113 | 3.1× |
| Histoplasma antibody (86698) | $52 | $65 | 3.8× |
| Histoplasma antigen urine (87385) | $93.60 | $117 | 7.1× |
| Hiv Antigen W/Hiv Antibodies (87806) | $38.40 | $48 | 1.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $104.80 | $131 | 4.4× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $305.60 | $382 | 3.6× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $1,771.20 | $2,214 | 13.9× |
| Hla class i&ii antibody qual (86828) | $977.60 | $1,222 | 15.2× |
| Hla class ii typing high resolution one locus ea (81382) | $749.60 | $937 | 6.1× |
| Hla Typing a/B/C Multiple Antigens (86813) | $294.40 | $368 | 5.1× |
| Hla-b27 (86812) | $132.80 | $166 | 5.1× |
| Homocysteine (83090) | $136 | $170 | 7.6× |
| Hpv High-Risk Types (87624) | $106.40 | $133 | 3.0× |
| Hsv Dna Amp Probe (87529) | $626.40 | $783 | 17.9× |
| Htt Gene Detc Abnor Alleles (81271) | $358.40 | $448 | 2.6× |
| Human Epididymis Protein 4 (86305) | $301.60 | $377 | 14.5× |
| Hydroxycorticosteroids 17 (83491) | $92 | $115 | 5.1× |
| Hydroxyprogesterone 17-d (83498) | $67.20 | $84 | 2.5× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $52 | $65 | 4.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $111.20 | $139 | 10.8× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $223.20 | $279 | 16.0× |
| Iaad ia shiga-like toxin (87427) | $42.40 | $53 | 3.5× |
| Iadna Bartonella Amplified Probe Technique (87471) | $406.40 | $508 | 11.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $206.40 | $258 | 5.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $209.60 | $262 | 6.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $164.80 | $206 | 3.8× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $239.20 | $299 | 6.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$67.20–$78.40 | $84–$98 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $206.40 | $258 | 4.0× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $676 | $845 | 2.6× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$70.40–$122.40 | $88–$153 | varies |
| Igg subclasses (82787) | $44.80 | $56 | 5.6× |
| Immunfix e-phorsis/urine/csf (86335) | $67.20 | $84 | 2.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$220.80–$1,507.20 | $276–$1,884 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 7 matching MRF lines |
$26.40–$192.80 | $33–$241 | varies |
| Immunoassay nonantibody (83516) range across 10 matching MRF lines |
$40–$140.80 | $50–$176 | varies |
| Immunodiffusion not elsewhere specified (86329) | $70.40 | $88 | 5.0× |
| Immunodiffusion Ouchterlony (86331) | $52 | $65 | 4.3× |
| Immunoelectrophoresis Serum (86320) | $156 | $195 | 5.2× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$102.40–$111.20 | $128–$139 | varies |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$204.80–$246.40 | $256–$308 | varies |
| In situ hybridization 1st probe stain (88365) | $352.80 | $441 | 2.4× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) | $74.40 | $93 | 4.7× |
| Influenza assay w/optic (87804) | $111.20 | $139 | 6.7× |
| Influenza DNA amp probe (87502) | $110.40 | $138 | 1.2× |
| Inhibin A (86336) | $67.20 | $84 | 4.3× |
| Inhibin b (83520) range across 20 matching MRF lines |
$56.80–$371.20 | $71–$464 | varies |
| Insulin antibodies (86337) | $111.20 | $139 | 5.2× |
| Insulin free (83527) | $79.20 | $99 | 6.1× |
| Insulin total (83525) | $78.40 | $98 | 6.9× |
| Intrinsic factor antibody (86340) | $79.20 | $99 | 5.3× |
| Iron (83540) | $79.20 | $99 | 12.2× |
| Iron Binding Capacity (83550) | $93.60 | $117 | 10.7× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$84–$506.40 | $105–$633 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $140 | $175 | 1.5× |
| Jak2 Gene Trgt Sequence Alys (81279) | $140 | $175 | 0.8× |
| Ketosteroids 17 total (83586) | $65.60 | $82 | 5.1× |
| Kit Gene Analysis D816 Variant(S) (81273) | $663.20 | $829 | 5.3× |
| Lactate (ld) (ldh) enzyme (83615) | $62.40 | $78 | 10.3× |
| Lactoferrin fecal qualitative (83630) | $67.20 | $84 | 3.4× |
| Lactoferrin Fecal Quantitative (83631) | $180 | $225 | 9.2× |
| Ldh Isoenzymes (83625) | $70.40 | $88 | 5.5× |
| LDL direct (83721) | $56 | $70 | 5.3× |
| Lead (83655) range across 3 matching MRF lines |
$43.20–$113.60 | $54–$142 | varies |
| Legionella antibody (86713) | $91.20 | $114 | 6.0× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$42.40–$105.60 | $53–$132 | varies |
| Leptospira antibody (86720) | $112 | $140 | 6.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $28 | $35 | 1.1× |
| Level ii surg pathology grossµscopic exam (88302) | $132.80 | $166 | 4.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $525.60 | $657 | 1.7× |
| Lipase (83690) | $70.40 | $88 | 10.2× |
| Lipoprotein Bld Quan Part (83704) | $164.80 | $206 | 4.8× |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) | $253.60 | $317 | 19.9× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $321.60 | $402 | 6.9× |
| Lithium (80178) | $92 | $115 | 13.9× |
| Luteinizing Hormone (Lh) (83002) | $45.60 | $57 | 2.5× |
| Lyme disease antibody (86618) | $162.40 | $203 | 9.5× |
| Lysozyme serum (85549) | $49.60 | $62 | 2.6× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $856.80 | $1,071 | 5.7× |
| M/phmtrc alys ishquant/semiq (88374) | $399.20 | $499 | 2.7× |
| Macroscopic Exam Parasite (87169) | $47.20 | $59 | 11.0× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$32.80–$91.20 | $41–$114 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$43.20–$113.60 | $54–$142 | varies |
| Methylmalonic acid serum (83921) | $150.40 | $188 | 7.1× |
| Microalbumin, quantitative (82043) | $70.40 | $88 | 12.2× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$37.60–$109.60 | $47–$137 | varies |
| Mitochondrial Antibody Each (86381) | $114.40 | $143 | 4.5× |
| Molecular Cytogenetics Dna Probe Each (88271) | $70.40 | $88 | 3.3× |
| Mononuclear cell antigen (86356) | $544 | $680 | 20.3× |
| Mopath procedure level 2 (81401) | $248.80 | $311 | 1.8× |
| Mopath procedure level 4 (81403) | $854.40 | $1,068 | 4.6× |
| Mopath procedure level 5 (81404) | $1,635.20 | $2,044 | 5.9× |
| Mopath procedure level 9 (81408) | $2,631.20 | $3,289 | 1.3× |
| Mpl gene common variants (81338) | $704 | $880 | 4.7× |
| Mrsa Pcr (87641) | $85.60 | $107 | 2.4× |
| Mucopolysaccharides acid quantitative (83864) | $190.40 | $238 | 6.7× |
| Mumps antibody (86735) | $69.60 | $87 | 5.3× |
| Muscle-Specific Kinase Antb (86366) | $731.20 | $914 | 39.7× |
| Mycoplasma antibody (86738) | $93.60 | $117 | 7.1× |
| Myelin basic protein csf (83873) | $90.40 | $113 | 5.3× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$88.80–$123.20 | $111–$154 | varies |
| Natriuretic peptide (83880) | $305.60 | $382 | 7.8× |
| Neutralization Test Viral (86382) | $116.80 | $146 | 6.9× |
| Nfct ds chrnc hcv 6 assays (81596) | $472.80 | $591 | 6.5× |
| Niacin (84591) | $206.40 | $258 | 12.1× |
| Nk cells total count (86357) | $148 | $185 | 3.9× |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$110.40–$144.80 | $138–$181 | varies |
| Obstetric panel (80081) | $364.80 | $456 | 4.9× |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$21.60–$44.80 | $27–$56 | varies |
| Oligoclonal bands (83916) | $103.20 | $129 | 3.8× |
| Organic acids urine (83918) | $417.60 | $522 | 17.7× |
| Osmolality serum (83930) | $116 | $145 | 17.5× |
| Osmolality Urine (83935) | $120.80 | $151 | 17.7× |
| Ova and parasites smears (87177) range across 4 matching MRF lines |
$87.20–$105.60 | $109–$132 | varies |
| Oxalate urine (83945) | $96 | $120 | 6.6× |
| Particle Agglutination Screen Each Antibody (86403) range across 6 matching MRF lines |
$35.20–$69.60 | $44–$87 | varies |
| Parvovirus antibody (86747) | $67.20 | $84 | 4.5× |
| Ph urine (81003) range across 3 matching MRF lines |
$21.60–$50.40 | $27–$63 | varies |
| Phenobarbital Level (80184) | $113.60 | $142 | 7.4× |
| Phenytoin (Dilantin) (80185) | $148 | $185 | 11.2× |
| Phenytoin free (80186) | $90.40 | $113 | 6.6× |
| Phosphatase acid prostatic (84066) | $97.60 | $122 | 10.1× |
| Phosphatase alkaline (84075) | $73.60 | $92 | 14.2× |
| Phosphatidylglycerol (84081) | $290.40 | $363 | 17.6× |
| Phospholipid Neutralization Hexagonal (85598) | $70.40 | $88 | 3.9× |
| Phosphorus Serum (84100) | $87.20 | $109 | 18.4× |
| Phosphorus urine (84105) | $70.40 | $88 | 12.2× |
| Platelet Aggregation (85576) | $130.40 | $163 | 5.2× |
| Platelet Antibodies (86022) | $108.80 | $136 | 5.9× |
| Platelet count automated (85049) | $62.40 | $78 | 13.9× |
| Platelet neutralization (85597) | $48 | $60 | 2.7× |
| Pooling blood platelets (86965) | $69.60 | $87 | 0.5× |
| Porphobilinogen, urine; quantitative (84110) | $56 | $70 | 6.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $58.40 | $73 | 4.0× |
| Potassium Urine (84133) | $88 | $110 | 18.6× |
| Prealbumin (84134) | $116 | $145 | 8.0× |
| Pregnenolone (84140) | $49.60 | $62 | 2.4× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $170.40 | $213 | 1.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 2 matching MRF lines |
$25.60–$156 | $32–$195 | varies |
| Pretx serum rbc antibody identification dilution (86976) | $69.60 | $87 | 2.7× |
| Primidone (80188) | $123.20 | $154 | 7.4× |
| Procalcitonin (Pct) (84145) | $216.80 | $271 | 8.0× |
| Progesterone (84144) | $88 | $110 | 4.2× |
| Prolactin (84146) | $120.80 | $151 | 6.2× |
| Prostaglandin (84150) range across 2 matching MRF lines |
$563.20–$797.60 | $704–$997 | varies |
| Protein body fluid (84157) range across 3 matching MRF lines |
$46.40–$78.40 | $58–$98 | varies |
| Protein C Activity (85303) | $116.80 | $146 | 8.4× |
| Protein c antigen (85302) | $32.80 | $41 | 2.7× |
| Protein Electrophoresis Urine (84166) | $132 | $165 | 7.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $116 | $145 | 10.8× |
| Protein S Free (85306) | $55.20 | $69 | 3.6× |
| Protein s total (85305) | $277.60 | $347 | 23.9× |
| Protein total serum (84155) | $78.40 | $98 | 21.4× |
| Protein Total Urine (84156) | $122.40 | $153 | 33.4× |
| Protein Western Blot Test (84182) | $78.40 | $98 | 2.7× |
| PSA free (84154) | $70.40 | $88 | 3.8× |
| Pth Intact (83970) | $277.60 | $347 | 6.7× |
| Quantiferon tb gold plus (86480) | $164.80 | $206 | 2.7× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$87.20–$419.20 | $109–$524 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$116–$181.60 | $145–$227 | varies |
| Quinidine (80194) | $88 | $110 | 6.0× |
| Rbc antibody elution (86860) | $170.40 | $213 | 1.1× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$87.20–$253.60 | $109–$317 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$103.20–$128.80 | $129–$161 | varies |
| Rbc pretreatment serum (86978) | $87.20 | $109 | 1.7× |
| Rbc pretx incubatj w/enzymes (86971) | $25.60 | $32 | 0.2× |
| Rbc serum pretx incubj drugs (86975) | $156 | $195 | 0.4× |
| Receptor assay estrogen (84233) | $326.40 | $408 | 3.7× |
| Receptor assay progesterone (84234) | $329.60 | $412 | 5.1× |
| Renin activity plasma (84244) | $136 | $170 | 6.2× |
| Reptilase test (85635) | $48 | $60 | 4.9× |
| Reticulocyte separation (86972) | $325.60 | $407 | 2.2× |
| Rh (86901) range across 2 matching MRF lines |
$55.20–$71.20 | $69–$89 | varies |
| Rheumatoid Factor Qualitative (86430) | $77.60 | $97 | 12.6× |
| Rheumatoid factor quant (86431) | $136 | $170 | 24.0× |
| Rickettsia antibody (86757) | $38.40 | $48 | 2.0× |
| Ristocetin cofactor (85245) | $117.60 | $147 | 5.1× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$48.80–$62.40 | $61–$78 | varies |
| Rsv Assay W/Optic (87807) | $27.20 | $34 | 2.1× |
| Rubella Antibody (86762) | $74.40 | $93 | 5.2× |
| Rubeola antibody (86765) | $110.40 | $138 | 8.6× |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$48–$67.20 | $60–$84 | varies |
| Salicylate Level (80179) | $141.60 | $177 | 7.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $129.60 | $162 | 2.5× |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$48–$104 | $60–$130 | varies |
| Sars-Cov-2 Covid19 W/Optic (87811) | $58.40 | $73 | 1.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $226.40 | $283 | 1.6× |
| Sedimentation Rate, Automated (85652) | $78.40 | $98 | 29.0× |
| Selenium (84255) | $37.60 | $47 | 1.5× |
| Semen analysis complete (89320) | $92 | $115 | 7.5× |
| Semen analysis motility and count (89310) | $87.20 | $109 | 10.1× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$133.60–$232.80 | $167–$291 | varies |
| Sex Hormone Binding Globulin (84270) | $59.20 | $74 | 2.7× |
| Sickling of rbc reduction (85660) | $160.80 | $201 | 29.2× |
| Sirolimus (80195) | $132.80 | $166 | 9.7× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$47.20–$56 | $59–$70 | varies |
| Smear complex stain (87209) | $32.80 | $41 | 1.8× |
| Smear gram stain (87205) range across 5 matching MRF lines |
$52.80–$70.40 | $66–$88 | varies |
| Smear Special Stain (87207) | $66.40 | $83 | 11.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$52.80–$68.80 | $66–$86 | varies |
| Sodium Serum (84295) | $44.80 | $56 | 9.3× |
| Sodium Urine (84300) | $43.20 | $54 | 8.5× |
| Soluble Transferrin Receptor (84238) | $100 | $125 | 2.7× |
| Somatomedin (84305) range across 2 matching MRF lines |
$111.20–$268.80 | $139–$336 | varies |
| Special Stains Group 1 (88312) | $296 | $370 | 6.5× |
| Special Stains Group 2 (88313) | $186.40 | $233 | 1.6× |
| Specific gravity body fluid (84315) | $35.20 | $44 | 10.7× |
| Specimen infect agnt concntj (87015) | $58.40 | $73 | 8.7× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$67.20–$436 | $84–$545 | varies |
| Staph a DNA amp probe (87640) | $85.60 | $107 | 2.4× |
| Strep a assay w/optic (87880) | $92 | $115 | 5.6× |
| Strep a DNA amp probe (87651) | $150.40 | $188 | 4.3× |
| Sugars Single Qual (84376) | $29.60 | $37 | 5.4× |
| Surg path level iii (88304) | $184 | $230 | 4.0× |
| Surgical pathology level IV (88305) | $240 | $300 | 5.3× |
| Surgical pathology level vi (88309) | $507.20 | $634 | 0.7× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $25.60 | $32 | 5.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $98.40 | $123 | 13.2× |
| Syphilis Test Non-Trep Quant (86593) | $58.40 | $73 | 13.3× |
| T cells absolute cd4 count (86361) | $64.80 | $81 | 2.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$239.20–$305.60 | $299–$382 | varies |
| T cells total count (86359) | $111.20 | $139 | 2.9× |
| T3 Free (84481) | $166.40 | $208 | 9.8× |
| T3 reverse (84482) | $116 | $145 | 7.4× |
| T3 Total (84480) | $95.20 | $119 | 6.7× |
| T3 Uptake (84479) | $66.40 | $83 | 10.3× |
| T4 Free (84439) | $88.80 | $111 | 9.8× |
| T4 total (84436) range across 2 matching MRF lines |
$83.20–$132 | $104–$165 | varies |
| Tacrolimus (80197) range across 2 matching MRF lines |
$123.20–$129.60 | $154–$162 | varies |
| Test for acetone/ketones (82009) | $55.20 | $69 | 12.2× |
| Test for urine cystines (82615) range across 2 matching MRF lines |
$55.20–$352 | $69–$440 | varies |
| Testosterone total (84403) | $64.80 | $81 | 2.5× |
| Testosterone, Free (84402) | $134.40 | $168 | 5.3× |
| Tetanus antibody (86774) | $88 | $110 | 5.9× |
| Theophylline (80198) | $140 | $175 | 9.9× |
| Thiocyanate (84430) | $102.40 | $128 | 8.8× |
| Thrombin Time (85670) | $48 | $60 | 8.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $48 | $60 | 7.4× |
| Thyroglobulin (84432) | $180.80 | $226 | 11.3× |
| Thyroglobulin Antibody (86800) | $26.40 | $33 | 1.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $184.80 | $231 | 3.6× |
| Thyroxine binding globulin (84442) | $123.20 | $154 | 8.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $70.40 | $88 | 6.1× |
| Tissue Culture Lymphocyte (88230) | $88 | $110 | 0.8× |
| Tobramycin peak (80200) | $156.80 | $196 | 9.7× |
| Topiramate (80201) | $115.20 | $144 | 9.7× |
| Toxoplasma ab igm (86778) | $95.20 | $119 | 6.6× |
| Toxoplasma antibody (86777) | $93.60 | $117 | 6.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $87.20 | $109 | 16.8× |
| Transferrin (84466) | $92.80 | $116 | 7.3× |
| Trichomonas Vaginalis Amplif (87661) | $172.80 | $216 | 4.9× |
| Triglycerides (84478) | $73.60 | $92 | 12.8× |
| Troponin Quant (84484) | $164 | $205 | 13.2× |
| Tumor immunohistochem/comput (88361) | $116 | $145 | 0.4× |
| Tumor Immunohistochem/Manual (88360) | $315.20 | $394 | 2.1× |
| Urea nitrogen urine (84540) | $52.80 | $66 | 9.5× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$59.20–$62.40 | $74–$78 | varies |
| Urinalysis Microscopic Only (81015) | $47.20 | $59 | 15.5× |
| Urinalysis Volume Measure (81050) | $28 | $35 | 7.7× |
| Urine Bacteria Culture (87088) | $116.80 | $146 | 14.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $69.60 | $87 | 22.0× |
| Valproic acid (80164) | $144 | $180 | 10.6× |
| Vancomycin (80202) | $167.20 | $209 | 12.3× |
| Varicella-zoster antibody (86787) | $122.40 | $153 | 9.5× |
| Vasopressin (84588) | $112 | $140 | 3.3× |
| Viral Culture (87252) | $163.20 | $204 | 6.3× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$74.40–$182.40 | $93–$228 | varies |
| Virus inoculate tissue addl (87253) | $116.80 | $146 | 5.8× |
| Viscosity serum (85810) | $42.40 | $53 | 3.6× |
| Vit D 1 25-Dihydroxy (82652) | $237.60 | $297 | 6.2× |
| Vitamin A (84590) | $27.20 | $34 | 2.3× |
| Vitamin b-12 (82607) | $148 | $185 | 9.8× |
| Vitamin B2 (Riboflavin) (84252) | $87.20 | $109 | 4.3× |
| Vitamin B6 (84207) | $32.80 | $41 | 1.2× |
| Vitamin c (82180) | $67.20 | $84 | 6.8× |
| Vitamin D 25-Hydroxy (82306) | $38.40 | $48 | 1.3× |
| Vitamin E (84446) | $43.20 | $54 | 3.0× |
| Vitamin K (84597) | $68.80 | $86 | 5.0× |
| Von willebrand factor ag (85246) | $121.60 | $152 | 5.3× |
| West nile virus ab igm (86788) | $159.20 | $199 | 9.4× |
| West Nile Virus Antibody (86789) | $159.20 | $199 | 11.1× |
| Zinc (84630) | $116.80 | $146 | 10.3× |
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.