Lab & pathology prices at Banner Payson Medical Center
Payson, AZ · every code in this section with a posted price and a Medicare benchmark.
886 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $32.43 | $69 | 1.4× |
| 5 Nucleotidase (83915) | $46.53 | $99 | 4.2× |
| Abl1 gene analysis kinase domain variants (81170) | $403.20 | $900 | 1.3× |
| Acetylcholine receptor binding antibody (86041) | $25.62 | $70 | 1.4× |
| Acetylcholine receptor blocking antibody (86042) | $36.23 | $99 | 2.0× |
| Acetylcholn Rcptr Modlg Antb (86043) | $28.55 | $78 | 2.4× |
| Acth (82024) | $54.52 | $116 | 1.4× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$20.50–$21.96 | $56–$60 | varies |
| Acute hepatitis panel (80074) | $56.40 | $120 | 1.2× |
| Acylcarnitines Quant (82017) | $54.05 | $115 | 3.2× |
| Adenovirus antibody (86603) | $22.33 | $61 | 1.7× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $91.18 | $194 | 1.4× |
| Agglutinins Febrile Each Antigen (86000) | $7.69 | $21 | 1.1× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$11.28–$27.26 | $24–$58 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$19.74–$29.61 | $42–$63 | varies |
| Aldolase (82085) | $24.91 | $53 | 2.6× |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$57.81–$126.90 | $123–$270 | varies |
| Alkaline phosphatase isoenzymes (84080) | $26.79 | $57 | 1.8× |
| Allergen spec ige qual multiallergen screen (86005) range across 2 matching MRF lines |
$20.50–$21.59 | $56–$59 | varies |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$20.13–$20.50 | $55–$56 | varies |
| Allergen specific igg (86001) | $8.78 | $24 | 1.1× |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$23.42–$29.28 | $64–$80 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $29.61 | $63 | 2.0× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$19.27–$27.73 | $41–$59 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $23.97 | $51 | 1.4× |
| Alpha-Fetoprotein Serum (82105) | $23.97 | $51 | 1.4× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$20.21–$27.73 | $43–$59 | varies |
| Aluminum (82108) | $36.19 | $77 | 1.4× |
| Amikacin trough (80150) range across 3 matching MRF lines |
$21.62–$29.14 | $46–$62 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) | $42.77 | $91 | 1.9× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$23.97–$66.27 | $51–$141 | varies |
| Aminolevulinic acid (ala) (82135) | $35.25 | $75 | 2.1× |
| Ammonia (82140) range across 2 matching MRF lines |
$20.68–$54.05 | $44–$115 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $138.65 | $295 | 1.4× |
| Amylase urine (82150) range across 5 matching MRF lines |
$9.40–$160.27 | $20–$341 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$21.59–$42.09 | $59–$115 | varies |
| Analysis skeletal muscle (88355) | $182.86 | $365 | 1.0× |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$19.76–$20.86 | $54–$57 | varies |
| Anca Titer Each Antibody (86037) | $22.69 | $62 | 1.9× |
| Androstenedione (82157) | $41.36 | $88 | 1.4× |
| Angiotensin converting enzyme csf (82164) | $28.67 | $61 | 2.0× |
| Angiotensin II (82163) | $41.83 | $89 | 2.0× |
| Anti-Phospholipid Antibody (86148) | $20.86 | $57 | 1.3× |
| Antibody aspergillus (86606) | $20.13 | $55 | 1.3× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $56 | $153 | 4.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $22.33 | $61 | 1.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$18.67–$22.33 | $51–$61 | varies |
| Antibody Encephalitis California La Crosse (86651) | $23.79 | $65 | 1.8× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $20.13 | $55 | 1.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$16.84–$19.76 | $46–$54 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 4 matching MRF lines |
$20.13–$22.69 | $55–$62 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $20.13 | $55 | 1.6× |
| Antibody haemophilus influenza (86684) | $22.69 | $62 | 1.4× |
| Antibody helicobacter pylori (86677) | $28.55 | $78 | 1.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $16.10 | $44 | 1.1× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$14.64–$19.40 | $40–$53 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $15.37 | $42 | 1.1× |
| Antibody HIV-2 (86702) | $32.21 | $88 | 2.4× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $355.75 | $972 | 1.1× |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $105.04 | $287 | 1.1× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $90.04 | $246 | 1.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$172.75–$184.10 | $472–$503 | varies |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$16.84–$20.13 | $46–$55 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $86.38 | $236 | 6.9× |
| Antibody john cunningham virus (86711) | $529.97 | $1,448 | 31.4× |
| Antibody leishmania (86717) | $13.54 | $37 | 1.1× |
| Antibody Lymphocytic Choriomeningitis (86727) | $22.69 | $62 | 1.8× |
| Antibody Protozoa Nes (86753) range across 5 matching MRF lines |
$13.91–$26.35 | $38–$72 | varies |
| Antibody Titer (86886) | $133.59 | $365 | 25.8× |
| Antibody Treponema Pallidum (86780) range across 4 matching MRF lines |
$14.64–$27.08 | $40–$74 | varies |
| Antibody; campylobacter (86625) | $14.64 | $40 | 1.1× |
| Antibody; encephalitis, st. louis (86653) | $23.79 | $65 | 1.8× |
| Antibody; influenza virus (86710) | $24.89 | $68 | 1.8× |
| Antigen typing (86905) | $349 | $762 | 91.1× |
| Antinuclear antibodies (86038) | $19.40 | $53 | 1.6× |
| Antistreptolysin o titer (86060) | $20.86 | $57 | 2.9× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$27.66–$31.12 | $56–$63 | varies |
| Antithrombin iii antigen (85301) | $34.09 | $69 | 3.2× |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
$30.08–$36.19 | $64–$77 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $43.19 | $118 | 1.1× |
| Aquaporin-4 Antb Cba Each (86052) range across 2 matching MRF lines |
$82.35–$128.10 | $225–$350 | varies |
| Aquaporin-4 Antb Elisa (86051) | $98.09 | $268 | 8.5× |
| Arsenic (82175) range across 2 matching MRF lines |
$29.61–$44.65 | $63–$95 | varies |
| Aspergillus ag eia (87305) | $71.90 | $152 | 6.0× |
| Assay activated protein c (85307) | $32.60 | $66 | 2.1× |
| Assay Blood Carbon Dioxide (82374) range across 3 matching MRF lines |
$7.05–$61.57 | $15–$131 | varies |
| Assay Dir Meas Fr Estradiol (82681) | $39.48 | $84 | 1.4× |
| Assay Duodenal Fluid Trypsin (84485) | $10.34 | $22 | 1.4× |
| Assay Nephelometry Not Spec (83883) range across 5 matching MRF lines |
$19.27–$33.84 | $41–$72 | varies |
| Assay of 5-hiaa (83497) | $28.67 | $61 | 2.2× |
| Assay of anti-mullerian hormone (82166) | $54.52 | $116 | 1.4× |
| Assay of blood/uric acid (84550) | $6.58 | $14 | 1.5× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$26.32–$36.19 | $56–$77 | varies |
| Assay of corticosterone (82528) | $39.01 | $83 | 1.7× |
| Assay of cpk in blood (82552) | $27.73 | $59 | 2.1× |
| Assay of estrone (82679) | $35.25 | $75 | 1.4× |
| Assay of g6pd enzyme (82955) | $26.32 | $56 | 2.7× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$24.44–$29.61 | $52–$63 | varies |
| Assay of lactic acid (83605) range across 4 matching MRF lines |
$16.45–$41.36 | $35–$88 | varies |
| Assay of manganese (83785) | $37.60 | $80 | 1.4× |
| Assay of metanephrines (83835) | $31.02 | $66 | 1.8× |
| Assay of phosphatase acid total (84060) | $29.61 | $63 | 3.9× |
| Assay of phosphatase alkaline heat stable (84078) | $11.75 | $25 | 1.4× |
| Assay of proinsulin (84206) | $38.07 | $81 | 1.4× |
| Assay of pyruvate (84210) | $20.68 | $44 | 1.4× |
| Assay of serotonin (84260) | $43.71 | $93 | 1.4× |
| Assay of serum potassium (84132) range across 4 matching MRF lines |
$7.05–$38.54 | $15–$82 | varies |
| Assay of sweat sodium (84302) range across 3 matching MRF lines |
$7.05–$27.26 | $15–$58 | varies |
| Assay of transcortin (84449) | $25.38 | $54 | 1.4× |
| Assay of Tyrosine (84510) | $47 | $100 | 4.4× |
| Assay of urea nitrogen (84520) | $19.74 | $42 | 5.0× |
| Assay of urine vma (84585) | $38.54 | $82 | 2.5× |
| Assay of vasoactive intestinal peptide (84586) | $75.20 | $160 | 2.1× |
| Assay of vitamin b-1 (84425) | $30.08 | $64 | 1.4× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$23.97–$48.88 | $51–$104 | varies |
| Asy carbamazepin 10,11-epxid (80161) range across 2 matching MRF lines |
$27.26–$42.30 | $58–$90 | varies |
| Automated Leukocyte Count (85048) | $3.95 | $8 | 1.6× |
| B cells total count (86355) | $41.72 | $114 | 1.1× |
| Bartonella antibody (86611) | $22.69 | $62 | 2.2× |
| Bcr/abl1 gene major bp (81206) | $220.42 | $492 | 1.3× |
| Bcr/abl1 gene minor bp (81207) | $194.88 | $435 | 1.3× |
| Bcr/Abl1 Gene Other Bp (81208) | $288.51 | $644 | 1.3× |
| Beta 2 glycoprotein i antibody each (86146) | $28.18 | $77 | 1.1× |
| Beta hydroxybutyrate (82010) range across 3 matching MRF lines |
$11.75–$28.67 | $25–$61 | varies |
| Beta Lactamase (87185) | $26.49 | $56 | 5.6× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$23.03–$27.26 | $49–$58 | varies |
| Beta-amyloid 1-40 (abeta 40) (82233) | $141 | $300 | 1.1× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $211.97 | $451 | 1.6× |
| Bile acids total (82239) | $29.61 | $63 | 1.7× |
| Bilirubin direct (82248) | $19.74 | $42 | 3.9× |
| Bilirubin total (82247) range across 4 matching MRF lines |
$19.74–$61.57 | $42–$131 | varies |
| Bilirubin total transcutaneous (88720) | $7.52 | $16 | 1.5× |
| Blastomyces antibody (86612) | $28.55 | $78 | 2.2× |
| Bld Typing Serologic Rh Phnt (86906) | $38.47 | $84 | 5.0× |
| Blood Count Red Blood Cell Automated (85041) | $4.94 | $10 | 1.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $26.68 | $54 | 7.0× |
| Blood gas (82803) | $37.13 | $79 | 1.4× |
| Blood gases w/02 saturation (82805) | $111.39 | $237 | 1.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $29.14 | $62 | 1.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $6.58 | $14 | 1.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $349 | $762 | 55.0× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $70.07 | $153 | 4.3× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$118.16–$125.95 | $258–$275 | varies |
| Body fluid cell count (89050) | $6.87 | $15 | 1.5× |
| Bordetella antibody (86615) | $25.62 | $70 | 1.9× |
| Braf gene analysis (81210) | $236.10 | $527 | 1.3× |
| Brca1&2 gen full seq dup/del (81162) | $2,452.80 | $5,475 | 1.3× |
| Breath Alcohol Test (82075) | $42.30 | $90 | 1.4× |
| Brucella antibody (86622) | $24.52 | $67 | 2.7× |
| C diff amplified probe (87493) | $52.98 | $112 | 1.4× |
| C-Peptide (84681) | $29.61 | $63 | 1.4× |
| C-reactive protein (86140) | $5.86 | $16 | 1.1× |
| Ca 19-9 (86301) | $23.06 | $63 | 1.1× |
| Cadmium (82300) | $33.37 | $71 | 1.4× |
| Caffeine (80155) | $54.52 | $116 | 1.4× |
| Calcitonin (82308) | $38.07 | $81 | 1.4× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$19.74–$24.91 | $42–$53 | varies |
| Calcium total (82310) range across 3 matching MRF lines |
$19.74–$30.55 | $42–$65 | varies |
| Calculus Spectroscopy (82365) | $34.78 | $74 | 2.7× |
| Calprotectin Fecal (83993) | $117.50 | $250 | 6.0× |
| Calr gene com variants (81219) | $163.52 | $365 | 1.3× |
| Cancer Antigen 125 (86304) | $23.06 | $63 | 1.1× |
| Cancer Antigen 27.29 (86300) | $23.06 | $63 | 1.1× |
| Candida antibody (86628) | $25.99 | $71 | 2.2× |
| Candida Dna Dir Probe (87480) | $28.85 | $61 | 1.4× |
| Carbamazepine free (80157) | $42.30 | $90 | 3.2× |
| Carbamazepine total (80156) | $24.44 | $52 | 1.7× |
| Carbohydrate Deficient Transferrin (82373) | $25.85 | $55 | 1.4× |
| Carboxyhemoglobin (82375) range across 3 matching MRF lines |
$17.39–$35.25 | $37–$75 | varies |
| Carcinoembryonic antigen (82378) range across 3 matching MRF lines |
$26.79–$154.63 | $57–$329 | varies |
| Cardiolipin ab iga (86147) | $29.28 | $80 | 1.2× |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$23.97–$54.05 | $51–$115 | varies |
| Carotene (82380) | $31.49 | $67 | 3.4× |
| Catecholamines fractionated (82384) | $35.72 | $76 | 1.4× |
| Ccp antibody (86200) | $21.59 | $59 | 1.7× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $325.25 | $726 | 1.3× |
| Cell count csf (89051) | $7.79 | $17 | 1.4× |
| Cell marker study (88182) | $299.40 | $600 | 5.4× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $149.33 | $408 | 1.1× |
| Ceruloplasmin (82390) | $24.91 | $53 | 2.3× |
| Cftr gene com variants (81220) | $748.16 | $1,670 | 1.3× |
| Cftr gene full sequence (81223) | $670.66 | $1,497 | 1.3× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$20.21–$32.90 | $43–$70 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $350.78 | $783 | 1.3× |
| Chimerism w/comp to baseline w/o cell selection (81267) | $279.10 | $623 | 1.3× |
| Chlamydia antibody (86631) range across 4 matching MRF lines |
$22.33–$29.65 | $61–$81 | varies |
| Chlamydia Igm Antibody (86632) | $22.33 | $61 | 1.8× |
| Chlamydia trachomatis ag if (87270) | $17.03 | $36 | 1.4× |
| Chloride other source (82438) range across 3 matching MRF lines |
$7.05–$27.26 | $15–$58 | varies |
| Chloride Serum (82435) | $19.74 | $42 | 4.3× |
| Chloride urine (82436) | $8.46 | $18 | 1.5× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$25.85–$26.32 | $55–$56 | varies |
| Cholinesterase rbc (82482) | $27.73 | $59 | 2.8× |
| Cholinesterase Serum (82480) | $28.20 | $60 | 3.6× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$21.62–$31.49 | $46–$67 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $282.43 | $566 | 1.5× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $40.42 | $81 | 1.5× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $51.90 | $104 | 1.5× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $50.40 | $101 | 1.5× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $259.48 | $520 | 1.5× |
| Chromium serum (82495) | $28.67 | $61 | 1.4× |
| Chromogenic Substrate Assay (85130) | $30.63 | $62 | 2.6× |
| Chromogranin a (86316) | $27.45 | $75 | 1.3× |
| Chromosome analys amniotic (88269) | $259.98 | $521 | 1.5× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$188.12–$265.47 | $377–$532 | varies |
| Chromosome Analysis 20-25 (88264) | $216.57 | $434 | 1.5× |
| Chromosome analysis, 5 (88261) | $396.21 | $794 | 1.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$50.14–$54.39 | $106–$115 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$39.48–$81.78 | $84–$174 | varies |
| Ckmb (82553) | $31.02 | $66 | 2.7× |
| Clostridium Difficile (87324) | $28.38 | $60 | 2.4× |
| Clot Factor VIII Multimetric (85247) | $34.09 | $69 | 1.5× |
| Clot factor xiii fibrin stab (85290) | $48.41 | $98 | 3.0× |
| Clotting factor viii related antigen (85244) | $30.63 | $62 | 1.5× |
| Clotting factor xii hageman (85280) | $37.54 | $76 | 1.9× |
| Clotting Funct Activity (85397) | $81.02 | $164 | 2.6× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $82 | $166 | 4.3× |
| Cns DNA amp probe type 12-25 (87483) | $591.72 | $1,251 | 1.4× |
| Coccidioides antibody (86635) range across 4 matching MRF lines |
$20.13–$24.16 | $55–$66 | varies |
| Cold agglutinin screen (86156) | $9.15 | $25 | 1.1× |
| Cold agglutinin titer (86157) | $9.15 | $25 | 1.1× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$31.96–$53.11 | $68–$113 | varies |
| Column Chromotography Quant (82542) range across 8 matching MRF lines |
$34.31–$427.23 | $73–$909 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 2 matching MRF lines |
$313.60–$639.30 | $700–$1,427 | varies |
| Compatibility test antiglob (86922) | $167.17 | $365 | 0.9× |
| Complement Antigen Each Component (86160) range across 9 matching MRF lines |
$13.18–$106.87 | $36–$292 | varies |
| Complement Fixation Tests Each Antigen (86171) | $11.35 | $31 | 1.1× |
| Complement Total (Ch50) (86162) | $22.33 | $61 | 1.1× |
| Complement/Function Activity (86161) range across 4 matching MRF lines |
$24.16–$109.80 | $66–$300 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) | $182.86 | $365 | 1.0× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $57.11 | $114 | 1.0× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $42.08 | $84 | 1.1× |
| Coombs direct (86880) | $46.48 | $127 | 8.6× |
| Copper urine (82525) range across 3 matching MRF lines |
$29.61–$99.17 | $63–$211 | varies |
| Cortisol free (82530) | $25.85 | $55 | 1.5× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$27.26–$151.81 | $58–$323 | varies |
| Creatine (82540) | $28.20 | $60 | 6.1× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$9.40–$25.85 | $20–$55 | varies |
| Creatinine blood (82565) | $19.74 | $42 | 3.9× |
| Creatinine clearance (82575) | $13.63 | $29 | 1.4× |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$7.52–$34.31 | $16–$73 | varies |
| Crossmatch electronic (86923) | $167.17 | $365 | 0.9× |
| Crossmatch immediate spin (86920) | $167.17 | $365 | 0.9× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$20.86–$47.95 | $57–$131 | varies |
| Cryoglobulin (82595) | $29.61 | $63 | 4.6× |
| Cryptococcus ab (86641) | $16.10 | $44 | 1.1× |
| Cryptococcus ag titer (87899) | $30.74 | $65 | 1.9× |
| Cryptosporidium (87272) range across 2 matching MRF lines |
$28.85–$52.50 | $61–$111 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 6 matching MRF lines |
$11.82–$48.72 | $25–$103 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$11.82–$55.81 | $25–$118 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $27.91 | $59 | 3.6× |
| Culture aerobic quant other (87071) | $28.85 | $61 | 2.9× |
| Culture afb (87116) range across 2 matching MRF lines |
$15.61–$29.80 | $33–$63 | varies |
| Culture Anaerobic (87075) | $13.72 | $29 | 1.4× |
| Culture bacteria anaerobic (87073) | $13.72 | $29 | 1.4× |
| Culture blood (87040) | $14.66 | $31 | 1.4× |
| Culture chlamydia (87110) | $33.58 | $71 | 1.7× |
| Culture csf (87070) range across 12 matching MRF lines |
$12.30–$35.48 | $26–$75 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$28.38–$36.89 | $60–$78 | varies |
| Culture fungus blood (87103) | $29.33 | $62 | 1.4× |
| Culture screen only (87081) range across 11 matching MRF lines |
$9.46–$61.96 | $20–$131 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$13.72–$29.80 | $29–$63 | varies |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $17.97 | $38 | 1.4× |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$26.49–$26.96 | $56–$57 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$7.57–$40.20 | $16–$85 | varies |
| Culture urine (87086) | $11.82 | $25 | 1.5× |
| Cyanide (82600) | $36.66 | $78 | 1.9× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $31.02 | $66 | 2.2× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$25.85–$27.26 | $55–$58 | varies |
| Cyp2c19 gene analysis common variants (81225) | $392 | $875 | 1.3× |
| Cyp2c9 gene com variants (81227) | $235.20 | $525 | 1.3× |
| Cyp2d6 gene com variants (81226) | $606.14 | $1,353 | 1.3× |
| Cyp3a4 gene common variants (81230) | $235.20 | $525 | 1.3× |
| Cyp3a5 gene common variants (81231) | $235.20 | $525 | 1.3× |
| Cystatin C (82610) | $26.32 | $56 | 1.4× |
| Cytogenetics 10-30 (88273) | $52.40 | $105 | 1.5× |
| Cytogenetics 100-300 (88275) | $76.85 | $154 | 1.5× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,559.04 | $3,480 | 1.3× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$20.50–$21.96 | $56–$60 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $30.44 | $61 | 1.5× |
| Cytopath Cell Enhance Tech (88112) | $56.89 | $114 | 1.0× |
| Cytotoxic pra quick (86808) | $32.94 | $90 | 1.1× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $39.92 | $80 | 1.5× |
| Cytp Concentration Smears & Interpretation (88108) | $41.92 | $84 | 1.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$56.89–$95.81 | $114–$192 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $182.14 | $365 | 1.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $300.90 | $603 | 1.7× |
| Deoxycortisol (82634) | $41.36 | $88 | 1.4× |
| Deoxyribonuclease antibody (86215) | $14.64 | $40 | 1.1× |
| Desoxycorticosterone (82633) | $43.71 | $93 | 1.4× |
| Detect Agent Nos Dna Amp (87798) range across 19 matching MRF lines |
$50.14–$199.13 | $106–$421 | varies |
| Detect Agent Nos Dna Quant (87799) range across 11 matching MRF lines |
$61.02–$130.07 | $129–$275 | varies |
| Detect agnt mult DNA ampli (87801) range across 6 matching MRF lines |
$99.80–$648.96 | $211–$1,372 | varies |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$13.54–$21.59 | $37–$59 | varies |
| Dhea (82626) | $35.72 | $76 | 1.4× |
| Dhea-S (82627) | $31.49 | $67 | 1.4× |
| Digoxin (80162) | $24.91 | $53 | 1.9× |
| Digoxin free (80163) | $18.80 | $40 | 1.4× |
| Dihydrotestosterone (82642) | $41.36 | $88 | 1.4× |
| Diphtheria antitoxoid (86648) | $23.06 | $63 | 1.5× |
| Dipropylacetic Acid Free (80165) | $31.02 | $66 | 2.3× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) | $48.41 | $103 | 1.4× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$15.37–$22.69 | $42–$62 | varies |
| DNA/RNA direct probe (87149) | $34.53 | $73 | 1.7× |
| Dna/Rna Sequencing (87153) range across 2 matching MRF lines |
$158.93–$164.13 | $347 | varies |
| Dpyd gene common variants (81232) | $235.20 | $525 | 1.3× |
| Drug assay adalimumab (80145) | $141 | $300 | 3.7× |
| Drug Assay Amiodarone (80151) | $42.30 | $90 | 2.3× |
| Drug Assay Everolimus (80169) | $28.20 | $60 | 2.1× |
| Drug assay felbamate (80167) | $34.78 | $74 | 1.9× |
| Drug Assay Infliximab (80230) | $125.02 | $266 | 3.2× |
| Drug Assay Itraconazole (80189) | $61.57 | $131 | 2.3× |
| Drug Assay Lacosamide (80235) | $38.54 | $82 | 1.4× |
| Drug Assay Posaconazole (80187) | $55.46 | $118 | 2.0× |
| Drug assay voriconazole (80285) | $59.69 | $127 | 2.2× |
| Drug Asy Hydroxychloroquine (80220) | $136.77 | $291 | 7.3× |
| Drug Screen Quant Clozapine (80159) | $31.96 | $68 | 1.6× |
| Drug Screen Quant Zonisamide (80203) | $37.13 | $79 | 2.8× |
| Drug Screen Quantitative Gabapentin (80171) | $36.19 | $77 | 1.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $31.02 | $66 | 2.3× |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$18.80–$29.61 | $40–$63 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $32.43 | $69 | 2.4× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $23.97 | $51 | 1.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 9 matching MRF lines |
$87.89–$211.03 | $187–$449 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $30.08 | $64 | 2.4× |
| Drug Test Prsmv Instrmnt (80306) | $24.44 | $52 | 1.4× |
| Egfr Gene Analysis Common Variants (81235) | $436.35 | $974 | 1.3× |
| Ehrlichia antibody (86666) | $29.28 | $80 | 2.9× |
| El-1 Fecal Quantitative (82653) | $47 | $100 | 2.0× |
| Electrolyte panel (80051) | $21.15 | $45 | 3.0× |
| Electron Microscopy (88348) | $857.71 | $1,712 | 1.0× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $86.95 | $185 | 1.4× |
| Encephaltis East Eqne Anbdy (86652) | $23.79 | $65 | 1.8× |
| Encephaltis West Eqne Antbdy (86654) | $23.79 | $65 | 1.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $22.33 | $61 | 1.8× |
| Enterovirus Antibody (86658) range across 2 matching MRF lines |
$14.64–$19.40 | $40–$53 | varies |
| Enterovirus PCR (87498) range across 3 matching MRF lines |
$50.14–$65.75 | $106–$139 | varies |
| Enzyme cell activity (82657) range across 3 matching MRF lines |
$31.49–$170.14 | $67–$362 | varies |
| Enzyme histochemistry (88319) | $857.71 | $1,712 | 1.0× |
| Erythropoietin (82668) | $26.79 | $57 | 1.4× |
| Estradiol serum (82670) | $39.48 | $84 | 1.4× |
| Estriol (82677) | $34.31 | $73 | 1.4× |
| Estrogen total (82672) | $31.02 | $66 | 1.4× |
| Ethosuximide (80168) | $50.29 | $107 | 3.1× |
| Ethylene Glycol (82693) | $38.07 | $81 | 2.6× |
| Euglobulin lysis (85360) | $12.84 | $26 | 1.5× |
| Exam Synovial Fluid Crystals (89060) | $10.08 | $22 | 1.4× |
| F2 Gene (81240) | $88.70 | $198 | 1.4× |
| Factor ii activity (85210) | $31.62 | $64 | 2.4× |
| Factor Inhibitor Test (85335) range across 3 matching MRF lines |
$19.27–$111.15 | $39–$225 | varies |
| Factor ix activity (85250) range across 2 matching MRF lines |
$37.05–$39.03 | $75–$79 | varies |
| Factor v activity (85220) | $37.05 | $75 | 2.1× |
| Factor v leiden mutation (81241) | $99.01 | $221 | 1.3× |
| Factor vii assay (85230) | $37.54 | $76 | 2.1× |
| Factor viii assay (85240) | $32.60 | $66 | 1.8× |
| Factor X (85260) range across 2 matching MRF lines |
$26.68–$37.54 | $54–$76 | varies |
| Factor xi activity (85270) | $34.09 | $69 | 1.9× |
| Factor xiii screen (85291) | $13.83 | $28 | 1.5× |
| Fat stain feces urine/respir secretions (89125) | $8.24 | $18 | 1.4× |
| Fat/Lipids Feces Quantitative (82710) | $23.97 | $51 | 1.4× |
| Fatty acids free (82725) | $32.43 | $69 | 1.7× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $11.86 | $24 | 1.5× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $41.50 | $84 | 2.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) | $15.31 | $31 | 1.5× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) range across 2 matching MRF lines |
$28.16–$35.07 | $57–$71 | varies |
| Fecal Fat Qualitative (82705) | $31.96 | $68 | 6.3× |
| Ferritin (82728) | $28.20 | $60 | 2.1× |
| Fetal Fibronectin (82731) | $91.18 | $194 | 1.4× |
| Fetal screen rosette (85461) | $14.33 | $29 | 1.5× |
| Fibrin degradation products (85362) range across 2 matching MRF lines |
$10.37–$39.52 | $21–$80 | varies |
| Fibrin Degradation Quant (85379) | $15.31 | $31 | 1.5× |
| Fibrinogen activity (85384) | $14.82 | $30 | 1.5× |
| Fibrinogen antigen (85385) | $21.74 | $44 | 1.5× |
| Flecainide level (80181) | $31.96 | $68 | 1.7× |
| Flow cytometry first marker (88184) | $380.24 | $762 | 1.0× |
| Flt3 Gene (81245) | $222.66 | $497 | 1.3× |
| Flt3 gene analysis (81246) | $111.55 | $249 | 1.3× |
| Fluorescent antibody screen (86255) range across 19 matching MRF lines |
$13.54–$192.15 | $37–$525 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 15 matching MRF lines |
$13.54–$306.34 | $37–$837 | varies |
| Fluoride serum (82735) | $133.95 | $285 | 7.2× |
| Fmr1 gene detection (81243) | $77.06 | $172 | 1.4× |
| Folic acid rbc (82747) | $25.85 | $55 | 1.5× |
| Folic Acid Serum (82746) | $21.15 | $45 | 1.4× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$26.32–$27.26 | $56–$58 | varies |
| Francisella tularensis (86668) | $36.60 | $100 | 2.6× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $167.17 | $365 | 0.9× |
| Frozen Section (88331) | $182.86 | $365 | 1.0× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$29.33–$65.27 | $62–$138 | varies |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$29.33–$64.33 | $62–$136 | varies |
| Galactose transferase test (82776) | $16.92 | $36 | 1.4× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $81.31 | $173 | 3.9× |
| Gammaglobulin ige (82785) | $27.26 | $58 | 1.7× |
| Gardner vag DNA dir probe (87510) | $28.85 | $61 | 1.4× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $14.10 | $30 | 1.4× |
| Gases blood ph only (82800) | $15.51 | $33 | 1.4× |
| Gastrin (82941) | $27.26 | $58 | 1.5× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $591.72 | $1,251 | 1.4× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 2 matching MRF lines |
$1,020.99–$1,072.96 | $2,279–$2,395 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $3,924.03 | $8,759 | 1.3× |
| Genet Virus Isolate Hsv (87255) | $48.25 | $102 | 1.4× |
| Gentamicin (80170) | $23.50 | $50 | 1.4× |
| Ggt (82977) range across 2 matching MRF lines |
$10.34–$29.14 | $22–$62 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$17.03–$31.22 | $36–$66 | varies |
| Giardia lamblia antibody (86674) | $24.52 | $67 | 1.7× |
| Glucagon (82943) | $31.49 | $67 | 2.2× |
| Glucose 2 hr pp (82950) | $7.05 | $15 | 1.5× |
| Glucose body fluid (82945) range across 5 matching MRF lines |
$5.64–$61.57 | $12–$131 | varies |
| Glucose tolerance test (gtt) (82951) | $18.33 | $39 | 1.4× |
| Glycated Protein (82985) | $24.91 | $53 | 1.5× |
| Gonadotropin Chorionic Qualitative (84703) | $10.81 | $23 | 1.4× |
| Growth hormone (83003) | $23.97 | $51 | 1.4× |
| Gtt-added samples (82952) | $5.64 | $12 | 1.4× |
| H Pylori (C-13) Breath (83013) | $95.41 | $203 | 1.4× |
| Haloperidol (80173) | $46.53 | $99 | 2.9× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$24.91–$27.73 | $53–$59 | varies |
| Hba1/hba2 full gene sequence (81259) | $806.40 | $1,800 | 1.3× |
| Hba1/Hba2 Gene (81257) | $371.84 | $830 | 3.6× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$11.75–$21.15 | $25–$45 | varies |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$20.81–$35 | $44–$74 | varies |
| Helminth Antibody (86682) range across 6 matching MRF lines |
$23.42–$25.99 | $64–$71 | varies |
| Hematocrit (85014) | $3.95 | $8 | 1.7× |
| Hemoglobin (85018) | $3.95 | $8 | 1.7× |
| Hemoglobin a1c (83036) | $14.10 | $30 | 1.5× |
| Hemoglobin Chromotography (83021) | $25.85 | $55 | 1.4× |
| Hemoglobin electrophoresis (83020) | $33.37 | $71 | 2.6× |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$11.75–$27.73 | $25–$59 | varies |
| Hemoglobin plasma (83051) | $10.34 | $22 | 1.4× |
| Hemoglobin urine (83069) | $5.64 | $12 | 1.4× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $179.34 | $490 | 20.4× |
| Hemolysins&Agglutinins Incubated (86941) | $13.54 | $37 | 1.1× |
| Hemosiderin urine (83070) | $23.97 | $51 | 5.0× |
| Hep a ab igm (86709) | $20.13 | $55 | 1.8× |
| Heparin assay (85520) | $32.11 | $65 | 2.5× |
| Heparin Neutralization (85525) | $17.78 | $36 | 1.5× |
| Heparin-Protamine Tolerance Tst (85530) | $19.76 | $40 | 1.5× |
| Hepatitis a antibody total (86708) | $20.13 | $55 | 1.6× |
| Hepatitis b core ab igm (86705) | $20.13 | $55 | 1.7× |
| Hepatitis b core ab total (86704) | $20.13 | $55 | 1.7× |
| Hepatitis B Surface Antibody (86706) | $20.13 | $55 | 1.9× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$22.70–$109.26 | $48–$231 | varies |
| Hepatitis Be Antibody (86707) | $21.59 | $59 | 1.9× |
| Hepatitis Be Antigen (87350) | $27.91 | $59 | 2.4× |
| Hepatitis C Antibody (86803) | $18.67 | $51 | 1.3× |
| Hepatitis c antibody confirmatory test (86804) | $17.20 | $47 | 1.1× |
| Hepatitis C Genotype (87902) | $365.63 | $773 | 1.4× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $50.14 | $106 | 1.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$61.02–$69.53 | $129–$147 | varies |
| Hepatitis Delta Agent Antibody (86692) | $31.11 | $85 | 1.8× |
| Herpes simplex type 2 (86696) | $21.59 | $59 | 1.1× |
| Heterophile Antibody Screen (86308) | $5.86 | $16 | 1.1× |
| Hfe Gene (81256) | $88.26 | $197 | 1.4× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $29.15 | $59 | 3.8× |
| Histamine urine (83088) | $41.83 | $89 | 1.4× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$23.06–$24.89 | $63–$68 | varies |
| Histoplasma antigen urine (87385) | $71.90 | $152 | 5.4× |
| Hiv Genotype (87901) | $365.63 | $773 | 1.4× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $41.15 | $87 | 1.7× |
| Hiv-1 Antibody (86701) | $27.82 | $76 | 3.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $121.09 | $256 | 1.4× |
| HIV-2 probe&revrse trnscripj (87538) | $57.71 | $122 | 1.6× |
| Hla Class I Typing High Resolution Complete (81379) | $451.14 | $1,007 | 1.3× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $238.34 | $532 | 1.3× |
| Hla Class I Typing Low Resolution Complete (81372) | $542.53 | $1,211 | 1.3× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $171.58 | $383 | 1.3× |
| Hla class i&ii antibody qual (86828) | $70.64 | $193 | 1.1× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $540.74 | $1,207 | 1.3× |
| Hla class ii high defin qual (86833) | $357.95 | $978 | 1.1× |
| Hla class ii typing high resolution one locus ea (81382) | $166.66 | $372 | 1.3× |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $120.41 | $329 | 1.1× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $99.90 | $223 | 1.3× |
| Hla I Typing 1 Allele Hr (81381) | $228.48 | $510 | 1.3× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $464.58 | $1,037 | 1.3× |
| Hla i&li low resolution hla-a -b&-drb1 (81371) | $543.87 | $1,214 | 1.3× |
| Hla ii typing 1 allele hr (81383) | $146.94 | $328 | 1.3× |
| Hla ii typing 1 locus lr (81376) | $164.42 | $367 | 1.3× |
| Hla Typing Dr/Dq Single Antigen (86816) | $33.31 | $91 | 1.1× |
| Hla-b27 (86812) | $28.55 | $78 | 1.1× |
| Homocysteine (83090) | $27.26 | $58 | 1.5× |
| Homogenization Tissue (87176) | $8.51 | $18 | 1.4× |
| Homovanillic acid urine (83150) | $31.96 | $68 | 1.4× |
| Hpv High-Risk Types (87624) | $50.14 | $106 | 1.4× |
| Hpv Types 16 & 18 Only (87625) | $57.71 | $122 | 1.4× |
| Hsv Dna Amp Probe (87529) | $50.14 | $106 | 1.4× |
| Hsv Dna Quant (87530) | $61.02 | $129 | 1.4× |
| Htlv-I Antibody (86687) | $10.25 | $28 | 1.1× |
| Human Epididymis Protein 4 (86305) | $35.50 | $97 | 1.7× |
| Hydroxyprogesterone 17-d (83498) | $38.54 | $82 | 1.4× |
| Hydroxyproline free (83500) | $52.64 | $112 | 2.3× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $49.78 | $136 | 1.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) range across 2 matching MRF lines |
$27.91–$40.20 | $59–$85 | varies |
| Iaad ia shiga-like toxin (87427) | $30.27 | $64 | 2.5× |
| Iaad Ia Streptococcus Group A (87430) | $24.12 | $51 | 1.4× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $17.03 | $36 | 1.4× |
| Iaadi giardia (87269) | $28.85 | $61 | 2.1× |
| Iaadi herpes smplx virus type 1 (87274) | $28.38 | $60 | 2.4× |
| Iaadi herpes smplx virus type 2 (87273) | $28.38 | $60 | 2.4× |
| Iaadi inffluenza a virus (87276) | $28.38 | $60 | 1.8× |
| Iaadi parainfluenza virus each type (87279) | $23.65 | $50 | 1.4× |
| Iaadi pneumocustis carinii (87281) range across 2 matching MRF lines |
$17.03–$35.95 | $36–$76 | varies |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $28.38 | $60 | 2.4× |
| Iaadi respiratory synctial virus (87280) | $28.38 | $60 | 2.1× |
| Iaadi Varicella Zoster Virus (87290) | $28.38 | $60 | 2.1× |
| Iadna Bartonella Amplified Probe Technique (87471) | $50.14 | $106 | 1.4× |
| Iadna Candida Species Amplified Probe Tq (87481) | $112.10 | $237 | 3.2× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $155.14 | $328 | 4.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $50.14 | $106 | 1.4× |
| Iadna Cytomegalovirus Quantification (87497) | $61.02 | $129 | 1.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $99.80 | $211 | 1.4× |
| Iadna hepatitis b virus amplified probe tq (87516) | $63.85 | $135 | 1.8× |
| Iadna Hepatitis B Virus Quantification (87517) | $61.02 | $129 | 1.4× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $56.76 | $120 | 1.6× |
| Iadna Herpes Virus-6 Quantification (87533) | $59.60 | $126 | 1.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$50.14–$51.08 | $106–$108 | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $50.14 | $106 | 1.4× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $59.60 | $126 | 1.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $50.14 | $106 | 1.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $50.14 | $106 | 1.4× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $72.84 | $154 | 1.4× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $202.44 | $428 | 1.4× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $99.01 | $221 | 1.3× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$28.67–$32.43 | $61–$69 | varies |
| Igg subclasses (82787) | $27.73 | $59 | 3.5× |
| Igh gene rearrange amp meth (81261) | $266.11 | $594 | 1.3× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $396.03 | $884 | 1.3× |
| Igk rearrangeabn clonal pop (81264) | $232.51 | $519 | 1.3× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $381.76 | $762 | 1.0× |
| Immune Complex Assay (86332) | $27.08 | $74 | 1.1× |
| Immunfix e-phorsis/urine/csf (86335) | $32.57 | $89 | 1.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 10 matching MRF lines |
$26.32–$169.20 | $56–$360 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 4 matching MRF lines |
$18.67–$51.97 | $51–$142 | varies |
| Immunoassay nonantibody (83516) range across 10 matching MRF lines |
$16.45–$63.45 | $35–$135 | varies |
| Immunodiffusion not elsewhere specified (86329) range across 2 matching MRF lines |
$15.74–$20.13 | $43–$55 | varies |
| Immunodiffusion Ouchterlony (86331) | $13.18 | $36 | 1.1× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $25.62 | $70 | 1.1× |
| Immunoelectrophoresis Serum (86320) | $32.94 | $90 | 1.1× |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$24.89–$51.97 | $68–$142 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $182.86 | $365 | 1.0× |
| Immunohistochemistry (88342) | $182.86 | $365 | 1.0× |
| In situ hybridization 1st probe stain (88365) | $182.86 | $365 | 1.0× |
| In situ hybridization ea multiplex probe stain (88366) | $259.02 | $517 | 1.4× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $20.81 | $44 | 1.4× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $28.38 | $60 | 2.3× |
| Influenza assay w/optic (87804) | $23.65 | $50 | 1.4× |
| Influenza DNA amp probe (87502) | $136.22 | $288 | 1.4× |
| Inhibin A (86336) range across 2 matching MRF lines |
$20.86–$28.18 | $57–$77 | varies |
| Inhibin b (83520) range across 22 matching MRF lines |
$24.44–$305.50 | $52–$650 | varies |
| Insitu hybridization auto (88367) | $381.76 | $762 | 1.0× |
| Insitu hybridization manual (88368) | $381.76 | $762 | 1.0× |
| Insulin antibodies (86337) | $24.16 | $66 | 1.1× |
| Insulin free (83527) | $37.13 | $79 | 2.9× |
| Insulin total (83525) | $26.79 | $57 | 2.3× |
| Interleukin-6 (83529) | $51.23 | $109 | 3.0× |
| Intrinsic factor antibody (86340) | $21.59 | $59 | 1.4× |
| Iron (83540) range across 2 matching MRF lines |
$9.40–$97.76 | $20–$208 | varies |
| Iron Binding Capacity (83550) | $12.69 | $27 | 1.5× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$25.99–$87.84 | $71–$240 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $123.20 | $275 | 1.3× |
| Jak2 Gene Trgt Sequence Alys (81279) | $249.09 | $556 | 1.3× |
| Ketosteroids 17 total (83586) | $37.60 | $80 | 2.9× |
| Kit Gene Analysis D816 Variant(S) (81273) | $168 | $375 | 1.3× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $443.07 | $989 | 1.3× |
| Koh Prep (87220) range across 2 matching MRF lines |
$30.27–$101.69 | $64–$215 | varies |
| Kras Gene Analysis Additional Variant(S) (81276) | $259.84 | $580 | 1.3× |
| Kras Gene Variants Exon 2 (81275) | $259.84 | $580 | 1.3× |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$8.93–$26.32 | $19–$56 | varies |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
$34.31–$46.06 | $73–$98 | varies |
| Lactoferrin Fecal Quantitative (83631) | $95.88 | $204 | 4.9× |
| Ldh Isoenzymes (83625) | $27.73 | $59 | 2.2× |
| LDL direct (83721) range across 2 matching MRF lines |
$15.04–$44.18 | $32–$94 | varies |
| Lead (83655) range across 3 matching MRF lines |
$17.39–$37.13 | $37–$79 | varies |
| Legionella antibody (86713) | $26.35 | $72 | 1.7× |
| Legionella antigen urine (87449) range across 7 matching MRF lines |
$17.03–$74.26 | $36–$157 | varies |
| Legionella pneumophila dfa (87278) | $22.23 | $47 | 1.4× |
| Leptospira antibody (86720) range across 2 matching MRF lines |
$17.93–$56.36 | $49–$154 | varies |
| Leukocyte Assessment Fecal (89055) | $5.95 | $13 | 1.4× |
| Leukocyte Histamine Release (86343) | $23.42 | $64 | 1.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $26.55 | $53 | 0.9× |
| Level ii surg pathology grossµscopic exam (88302) | $42.08 | $84 | 1.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $381.76 | $762 | 1.0× |
| Lidocaine (80176) | $21.15 | $45 | 1.4× |
| Lipase (83690) range across 3 matching MRF lines |
$9.87–$27.26 | $21–$58 | varies |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$26.79–$27.26 | $57–$58 | varies |
| Lipoprotein Bld Quan Part (83704) | $48.41 | $103 | 1.4× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $48.41 | $103 | 4.3× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $47.94 | $102 | 1.4× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $65.33 | $139 | 1.4× |
| Lithium (80178) | $24.44 | $52 | 3.7× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$26.79–$27.26 | $57–$58 | varies |
| Lyme disease antibody (86618) | $24.16 | $66 | 1.4× |
| Lymphocyte transformation (86353) | $54.17 | $148 | 1.1× |
| Lysozyme serum (85549) | $28.16 | $57 | 1.5× |
| M. Genitalium Amp Probe (87563) | $50.14 | $106 | 1.4× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $50.14 | $106 | 1.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $182.86 | $365 | 1.0× |
| M/phmtrc alys ishquant/semiq (88374) range across 2 matching MRF lines |
$182.86–$277.05 | $365–$553 | varies |
| Macroscopic exam arthropod (87168) | $6.15 | $13 | 1.4× |
| Macroscopic Exam Parasite (87169) | $27.43 | $58 | 6.4× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$9.87–$41.36 | $21–$88 | varies |
| Mass Spectrometry Quant (83789) | $34.31 | $73 | 1.4× |
| Mercury urine (83825) range across 2 matching MRF lines |
$23.03–$41.36 | $49–$88 | varies |
| Methotrexate (80204) | $54.52 | $116 | 1.4× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$30.08–$91.65 | $64–$195 | varies |
| Mgmt methylation analysis (81287) | $300.61 | $671 | 2.4× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$26.32–$31.96 | $56–$68 | varies |
| Microbe Suscept Macrobroth (87188) range across 2 matching MRF lines |
$27.43–$54.39 | $58–$115 | varies |
| Microsatellite instability (81301) | $468.61 | $1,046 | 1.3× |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$16.10–$23.06 | $44–$63 | varies |
| Mitochondrial Antibody Each (86381) | $28.18 | $77 | 1.1× |
| Mlh1 Gene (81288) | $258.50 | $577 | 1.3× |
| Mog-Igg1 Antb Cba Each (86362) range across 2 matching MRF lines |
$31.48–$306.34 | $86–$837 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) range across 3 matching MRF lines |
$32.44–$403.69 | $65–$809 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $63.87 | $128 | 1.5× |
| Molecular Pathology Procedure Level 3 (81402) | $202.05 | $451 | 1.3× |
| Molecular Pathology Procedure Level 6 (81405) | $405.44 | $905 | 1.3× |
| Mononuclear cell antigen (86356) | $29.65 | $81 | 1.1× |
| Mopath procedure level 1 (81400) | $86.02 | $192 | 1.3× |
| Mopath procedure level 2 (81401) | $184.13 | $411 | 1.3× |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$249.09–$276.42 | $556–$617 | varies |
| Mopath procedure level 5 (81404) | $369.60 | $825 | 1.3× |
| Mopath procedure level 7 (81406) | $865.09 | $1,931 | 3.1× |
| Mopath procedure level 8 (81407) | $1,137.47 | $2,539 | 1.3× |
| Mopath procedure level 9 (81408) | $2,688 | $6,000 | 1.3× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $249.09 | $556 | 1.3× |
| Mrsa Pcr (87641) | $50.14 | $106 | 1.4× |
| Mthfr Gene Analysis Common Variants (81291) | $88.26 | $197 | 1.4× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$20.50–$22.69 | $56–$62 | varies |
| Muscle-Specific Kinase Antb (86366) | $20.50 | $56 | 1.1× |
| Mycobacteric Identification (87118) | $30.27 | $64 | 2.1× |
| Mycophenolic Acid (80180) | $25.85 | $55 | 1.4× |
| Mycoplasma antibody (86738) | $20.13 | $55 | 1.5× |
| Mycoplasma culture (87109) | $29.80 | $63 | 1.9× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $236.10 | $527 | 1.3× |
| Myelin basic protein csf (83873) | $29.61 | $63 | 1.7× |
| Myoglobin urine (83874) | $27.73 | $59 | 2.1× |
| Natriuretic peptide (83880) | $55.46 | $118 | 1.4× |
| Nerve teasing preparations (88362) | $857.71 | $1,712 | 1.0× |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$25.25–$46.48 | $69–$127 | varies |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $365.63 | $773 | 1.4× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $365.63 | $773 | 1.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $97.22 | $217 | 1.3× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $183.05 | $387 | 1.4× |
| Niacin (84591) range across 2 matching MRF lines |
$24.44–$44.18 | $52–$94 | varies |
| Nk cells total count (86357) | $41.72 | $114 | 1.1× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $331.52 | $740 | 1.3× |
| Nras gene variants exon 2&3 (81311) | $397.82 | $888 | 1.3× |
| Nuclear antigen antibody (86235) range across 13 matching MRF lines |
$19.76–$47.58 | $54–$130 | varies |
| Nudt15 Gene Common Variants (81306) | $392 | $875 | 1.3× |
| Occult blood feces (82272) | $6.11 | $13 | 1.4× |
| Occult Blood Other Sources (82271) | $7.52 | $16 | 1.4× |
| Oligoclonal bands (83916) | $39.01 | $83 | 1.4× |
| Oncoprotein dcp (83951) | $91.18 | $194 | 1.4× |
| Organic Acids Qualitative Each Specimen (83919) | $23.50 | $50 | 1.4× |
| Organic acids urine (83918) range across 2 matching MRF lines |
$33.37–$47.47 | $71–$101 | varies |
| Osmolality serum (83930) | $26.32 | $56 | 4.0× |
| Osmolality Urine (83935) | $26.32 | $56 | 3.9× |
| Osmotic fragility rbc incubated (85557) | $28.16 | $57 | 2.1× |
| Osteocalcin (83937) | $42.30 | $90 | 1.4× |
| Ova and parasites smears (87177) | $12.77 | $27 | 1.4× |
| Ova1 (81503) | $1,205.57 | $2,691 | 1.3× |
| Oxalate urine (83945) range across 3 matching MRF lines |
$31.49–$51.23 | $67–$109 | varies |
| Pancreatic Elastase Fecal (82656) | $48.88 | $104 | 4.2× |
| Particle Agglut Antbdy Titr (86406) range across 2 matching MRF lines |
$21.59–$29.65 | $59–$81 | varies |
| Particle Agglutination Screen Each Antibody (86403) range across 8 matching MRF lines |
$19.40–$27.08 | $53–$74 | varies |
| Parvovirus antibody (86747) | $22.69 | $62 | 1.5× |
| Pathology Consultation During Surgery (88329) | $63.63 | $127 | 1.0× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $443.07 | $989 | 1.3× |
| Ph urine (81003) range across 5 matching MRF lines |
$3.70–$56.50 | $7–$107 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$24.91–$27.73 | $53–$59 | varies |
| Phenotype Infect Agent Drug (87900) | $185.42 | $392 | 1.4× |
| Phenylalanine (84030) | $7.99 | $17 | 1.5× |
| Phenytoin (Dilantin) (80185) | $24.91 | $53 | 1.9× |
| Phenytoin free (80186) | $29.61 | $63 | 2.2× |
| Phosphatase acid prostatic (84066) | $28.20 | $60 | 2.9× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$19.74–$26.79 | $42–$57 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $35.07 | $71 | 2.0× |
| Phosphorus Serum (84100) | $19.74 | $42 | 4.2× |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$8.46–$34.78 | $18–$74 | varies |
| Pik3ca gene analysis targeted sequence analysis (81309) | $369.60 | $825 | 1.3× |
| Pinworm exam (87172) | $6.15 | $13 | 1.4× |
| Platelet Aggregation (85576) | $37.05 | $75 | 1.5× |
| Platelet Antibodies (86022) range across 4 matching MRF lines |
$20.50–$87.47 | $56–$239 | varies |
| Platelet count automated (85049) | $6.92 | $14 | 1.5× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $278.66 | $622 | 1.3× |
| Pneumcysts jirovecii amp prb (87594) | $199.13 | $421 | 5.7× |
| Pooling blood platelets (86965) | $174.47 | $365 | 1.0× |
| Porphobilinogen, urine; quantitative (84110) | $29.14 | $62 | 3.5× |
| Porphyrins Feces Quantitative (84126) | $81.31 | $173 | 2.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $29.14 | $62 | 2.0× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$25.85–$32.90 | $55–$70 | varies |
| Prealbumin (84134) | $25.38 | $54 | 1.7× |
| Pregnenolone (84140) | $29.61 | $63 | 1.4× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $133.59 | $365 | 0.7× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $68.70 | $150 | 1.1× |
| Pretx serum rbc antibody identification dilution (86976) | $19.40 | $53 | 0.6× |
| Primidone (80188) | $27.73 | $59 | 1.7× |
| Procalcitonin (Pct) (84145) | $38.54 | $82 | 1.4× |
| Progesterone (84144) | $29.61 | $63 | 1.4× |
| Prolactin (84146) | $27.73 | $59 | 1.4× |
| Prostaglandin (84150) | $131.60 | $280 | 3.2× |
| Protein body fluid (84157) range across 3 matching MRF lines |
$5.64–$26.32 | $12–$56 | varies |
| Protein C Activity (85303) | $20.75 | $42 | 1.5× |
| Protein c antigen (85302) | $32.11 | $65 | 2.7× |
| Protein Electrophoresis Urine (84166) | $25.38 | $54 | 1.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $26.79 | $57 | 2.5× |
| Protein S Free (85306) range across 2 matching MRF lines |
$29.64–$32.60 | $60–$66 | varies |
| Protein s total (85305) range across 2 matching MRF lines |
$28.65–$31.62 | $58–$64 | varies |
| Protein total serum (84155) | $26.32 | $56 | 7.2× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$5.64–$26.32 | $12–$56 | varies |
| Protein Western Blot Test (84182) range across 6 matching MRF lines |
$41.36–$72.85 | $88–$155 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $28.65 | $58 | 7.3× |
| Protoporphyrin rbc quantitative (84202) | $52.17 | $111 | 3.6× |
| PSA free (84154) | $26.32 | $56 | 1.4× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $806.40 | $1,800 | 1.3× |
| Pth Intact (83970) | $58.28 | $124 | 1.4× |
| Pyruvate kinase (84220) | $87.89 | $187 | 9.3× |
| Q Fever Antibody (86638) | $20.86 | $57 | 1.7× |
| Quantiferon tb gold plus (86480) | $68.08 | $186 | 1.1× |
| Quantitative assay drug (80299) range across 11 matching MRF lines |
$26.32–$235 | $56–$500 | varies |
| Quantitative Screen Metals (83018) | $135.36 | $288 | 6.2× |
| Quinidine (80194) | $28.20 | $60 | 1.9× |
| Rbc antibody elution (86860) | $133.59 | $365 | 0.7× |
| Rbc antibody identification (86870) | $349 | $762 | 0.9× |
| Rbc antibody screen (86850) | $52.21 | $114 | 5.3× |
| Rbc pretreatment serum (86978) | $101.38 | $277 | 1.6× |
| Rbc pretx incubatj w/enzymes (86971) | $167.17 | $365 | 0.9× |
| Rbc serum pretx incubj drugs (86975) | $310.37 | $848 | 0.7× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$31.02–$65.80 | $66–$140 | varies |
| Reptilase test (85635) | $14.82 | $30 | 1.5× |
| Resp virus 12-25 targets (87633) | $591.72 | $1,251 | 1.4× |
| Resp Virus 6-11 Targets (87632) | $309.82 | $655 | 1.4× |
| Reticulated Platelet Assay (85055) | $53.35 | $108 | 1.5× |
| Reticulocyte Count (85046) | $28.16 | $57 | 5.1× |
| Reticulocyte Count Manual (85044) | $6.42 | $13 | 1.5× |
| Rh (86901) | $38.47 | $84 | 12.9× |
| Rheumatoid Factor Qualitative (86430) | $25.62 | $70 | 4.2× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$6.59–$20.13 | $18–$55 | varies |
| Rickettsia antibody (86757) | $25.99 | $71 | 1.3× |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$36.56–$42.98 | $74–$87 | varies |
| Rotavirus ag eia (87425) | $17.03 | $36 | 1.4× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$19.03–$22.69 | $52–$62 | varies |
| Rsv ab (86756) | $26.35 | $72 | 1.7× |
| Rsv Assay W/Optic (87807) | $18.92 | $40 | 1.4× |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$16.10–$20.50 | $44–$56 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$14.27–$21.96 | $39–$60 | varies |
| Russell Viper Venom Time Diluted (85613) | $29.64 | $60 | 3.1× |
| Rx metab gen seq alys pnl 6 (81418) | $1,232.90 | $2,752 | 1.3× |
| Salmonella antibody (86768) | $26.72 | $73 | 2.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $72.84 | $154 | 1.4× |
| Sars-cov-2 COVID-19 antibody (86769) | $46.48 | $127 | 1.1× |
| Sarscov2 & inf a&b amp prb (87636) | $45.41 | $96 | 0.3× |
| Sedimentation rate (85651) | $6.42 | $13 | 1.5× |
| Sedimentation Rate, Automated (85652) | $4.45 | $9 | 1.6× |
| Selenium (84255) | $36.19 | $77 | 1.4× |
| Semen Anal Sperm Detection (89321) | $16.95 | $37 | 1.4× |
| Semen analysis motility and count (89310) | $11.91 | $26 | 1.4× |
| Sensitivity mic (87186) range across 4 matching MRF lines |
$12.30–$91.60 | $26–$200 | varies |
| Serpina 1 gene (81332) | $155.01 | $346 | 3.6× |
| Sex Hormone Binding Globulin (84270) | $31.02 | $66 | 1.4× |
| Sickling of rbc reduction (85660) | $27.66 | $56 | 5.0× |
| Sirolimus (80195) | $26.79 | $57 | 2.0× |
| Skin test tuberculosis intradermal (86580) | $19.40 | $53 | 0.6× |
| SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) | $235.20 | $525 | 1.3× |
| Smear acid fast (87206) range across 4 matching MRF lines |
$26.96–$32.16 | $57–$68 | varies |
| Smear complex stain (87209) | $33.58 | $71 | 1.9× |
| Smear gram stain (87205) range across 3 matching MRF lines |
$6.15–$41.68 | $13–$91 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$8.51–$30.27 | $18–$64 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$8.51–$25.07 | $18–$53 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $130.82 | $292 | 2.6× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$7.05–$19.74 | $15–$42 | varies |
| Sodium Urine (84300) range across 3 matching MRF lines |
$7.52–$33.84 | $16–$72 | varies |
| Soluble Transferrin Receptor (84238) range across 3 matching MRF lines |
$51.70–$235 | $110–$500 | varies |
| Somatomedin (84305) | $30.08 | $64 | 1.4× |
| Somatostatin (84307) | $38.54 | $82 | 2.1× |
| Special Stains Group 1 (88312) | $57.11 | $114 | 1.0× |
| Special Stains Group 2 (88313) | $137.78 | $275 | 1.0× |
| Specific gravity body fluid (84315) | $4.70 | $10 | 1.4× |
| Specimen infect agnt concntj (87015) range across 4 matching MRF lines |
$9.93–$60.54 | $21–$128 | varies |
| Spectrophotometry (84311) range across 4 matching MRF lines |
$11.75–$73.79 | $25–$157 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $167.17 | $365 | 0.9× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $167.17 | $365 | 0.9× |
| Stool cultr aerobic bact ea (87046) range across 6 matching MRF lines |
$13.72–$29.80 | $29–$63 | varies |
| Strep a assay w/optic (87880) | $23.65 | $50 | 1.4× |
| Strep a DNA amp probe (87651) | $50.14 | $106 | 1.4× |
| Strep b DNA amp probe (87653) | $50.14 | $106 | 1.4× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) range across 2 matching MRF lines |
$90.04–$136.15 | $246–$372 | varies |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $107.63 | $229 | 19.6× |
| Sugars Single Qual (84376) | $30.08 | $64 | 5.5× |
| Sulfate urine (84392) range across 2 matching MRF lines |
$7.99–$33.84 | $17–$72 | varies |
| Surg path level iii (88304) | $57.11 | $114 | 1.0× |
| Surgical pathology level IV (88305) | $57.11 | $114 | 1.0× |
| Surgical pathology level vi (88309) | $857.71 | $1,712 | 1.0× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$7.10–$31.22 | $15–$66 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $10.88 | $23 | 1.5× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $29.80 | $63 | 4.1× |
| Sweat Collection Iontophoresis (89230) | $52.21 | $114 | 0.9× |
| Syphilis Test Non-Trep Quant (86593) | $19.03 | $52 | 4.3× |
| T cells absolute cd4 count (86361) | $29.65 | $81 | 1.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $51.61 | $141 | 1.1× |
| T cells total count (86359) | $41.72 | $114 | 1.1× |
| T3 Free (84481) range across 2 matching MRF lines |
$25.38–$33.37 | $54–$71 | varies |
| T3 reverse (84482) | $27.73 | $59 | 1.8× |
| T3 Total (84480) | $20.21 | $43 | 1.4× |
| T3 Uptake (84479) | $26.32 | $56 | 4.1× |
| T4 Free (84439) range across 2 matching MRF lines |
$13.16–$31.02 | $28–$66 | varies |
| T4 total (84436) | $26.32 | $56 | 3.8× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$26.79–$30.08 | $57–$64 | varies |
| Tau phosphorylated each (84393) range across 2 matching MRF lines |
$164.50–$211.97 | $350–$451 | varies |
| Tb ag response t-cell susp (86481) | $109.80 | $300 | 1.1× |
| Testosterone total (84403) | $36.66 | $78 | 1.4× |
| Testosterone, Free (84402) | $36.19 | $77 | 1.4× |
| Tetanus antibody (86774) | $23.06 | $63 | 1.6× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $803.71 | $1,794 | 1.3× |
| Theophylline (80198) | $20.21 | $43 | 1.4× |
| Thiocyanate (84430) | $16.45 | $35 | 1.4× |
| Thiopurine methyltransferase (84433) | $52.64 | $112 | 2.4× |
| Thrombin Time (85670) | $27.66 | $56 | 4.8× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $50.88 | $103 | 7.9× |
| Thyroglobulin (84432) range across 3 matching MRF lines |
$26.79–$38.54 | $57–$82 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$20.86–$35.14 | $57–$96 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $71.91 | $153 | 1.4× |
| Thyroxine binding globulin (84442) | $21.15 | $45 | 1.4× |
| Tiss cul neo disorders solid tumor (88239) | $221.06 | $443 | 1.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$12.81–$21.59 | $35–$59 | varies |
| Tissue Culture (88233) | $211.08 | $423 | 1.5× |
| Tissue Culture Amniotic Fluid (88235) | $225.05 | $451 | 1.5× |
| Tissue culture bone marrow (88237) | $215.57 | $432 | 1.5× |
| Tissue Culture Lymphocyte (88230) | $174.65 | $350 | 1.5× |
| Tobramycin peak (80200) | $23.03 | $49 | 1.4× |
| Topiramate (80201) | $16.92 | $36 | 1.4× |
| Total Tau (84394) | $211.97 | $451 | 1.6× |
| Touch prep (88161) | $26.45 | $53 | 0.9× |
| Toxin/Antitoxin Assay Tissue Culture (87230) range across 2 matching MRF lines |
$28.38–$37.37 | $60–$79 | varies |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$16.10–$21.96 | $44–$60 | varies |
| Toxoplasma antibody (86777) range across 3 matching MRF lines |
$16.10–$23.06 | $44–$63 | varies |
| Tpmt gene com variants (81335) | $235.20 | $525 | 1.3× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$19.74–$35.72 | $42–$76 | varies |
| Transferrin (84466) | $18.33 | $39 | 1.4× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $280.90 | $627 | 1.3× |
| Trg gene rearrangement anal (81342) | $271.04 | $605 | 1.3× |
| Trichinella Antibody (86784) | $25.25 | $69 | 2.0× |
| Trichomonas vagin dir probe (87660) | $28.85 | $61 | 1.4× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$50.14–$52.50 | $106–$111 | varies |
| Triglycerides (84478) range across 3 matching MRF lines |
$8.46–$20.21 | $18–$43 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$17.86–$22.56 | $38–$48 | varies |
| Tumor immunohistochem/comput (88361) | $381.76 | $762 | 1.0× |
| Tumor Immunohistochem/Manual (88360) range across 6 matching MRF lines |
$182.86–$234.47 | $365–$468 | varies |
| Ugt1a1 gene analysis common variants (81350) | $314.50 | $702 | 1.3× |
| Unlisted Transfusion Medicine Procedure (86999) range across 2 matching MRF lines |
$24.27–$122.74 | $53–$268 | varies |
| Urea nitrogen urine (84540) | $24.44 | $52 | 4.4× |
| Uric acid other source (84560) range across 5 matching MRF lines |
$7.52–$33.84 | $16–$72 | varies |
| Urinalysis Microscopic Only (81015) | $5.28 | $10 | 1.7× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $3.70 | $7 | 1.7× |
| Urinalysis Volume Measure (81050) | $5.81 | $11 | 1.6× |
| Urine Bacteria Culture (87088) | $11.82 | $25 | 1.5× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$13.73–$30.62 | $26–$58 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $5.28 | $10 | 1.7× |
| Valproic acid (80164) | $24.91 | $53 | 1.8× |
| Vancomycin (80202) | $19.27 | $41 | 1.4× |
| Varicella-zoster antibody (86787) range across 4 matching MRF lines |
$14.27–$19.40 | $39–$53 | varies |
| Vasopressin (84588) | $47.94 | $102 | 1.4× |
| Very Long Chain Fatty Acids (82726) | $96.35 | $205 | 4.9× |
| Viral Culture (87252) range across 2 matching MRF lines |
$37.37–$47.30 | $79–$100 | varies |
| Virus antibody nos (86790) range across 5 matching MRF lines |
$24.16–$87.84 | $66–$240 | varies |
| Virus inoculate tissue addl (87253) range across 2 matching MRF lines |
$28.85–$30.74 | $61–$65 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$27.91–$30.27 | $59–$64 | varies |
| Viscosity serum (85810) | $28.16 | $57 | 2.4× |
| Vit D 1 25-Dihydroxy (82652) | $54.52 | $116 | 1.4× |
| Vitamin A (84590) | $29.14 | $62 | 2.5× |
| Vitamin b-12 (82607) | $25.38 | $54 | 1.7× |
| Vitamin B2 (Riboflavin) (84252) | $34.78 | $74 | 1.7× |
| Vitamin B6 (84207) | $39.95 | $85 | 1.4× |
| Vitamin c (82180) | $27.73 | $59 | 2.8× |
| Vitamin D 25-Hydroxy (82306) | $41.83 | $89 | 1.4× |
| Vitamin E (84446) | $29.14 | $62 | 2.1× |
| Vitamin K (84597) | $39.95 | $85 | 2.9× |
| Vkorc1 gene (81355) | $118.72 | $265 | 1.3× |
| Volatiles (84600) | $24.44 | $52 | 1.4× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $162.50 | $444 | 13.5× |
| Von willebrand factor ag (85246) | $36.56 | $74 | 1.6× |
| Wbc Alkaline Phosphatase Count (85540) | $12.84 | $26 | 1.5× |
| West nile virus ab igm (86788) | $26.35 | $72 | 1.6× |
| West Nile Virus Antibody (86789) | $26.35 | $72 | 1.8× |
| Western Blot Test (84181) range across 2 matching MRF lines |
$48.88–$81.78 | $104–$174 | varies |
| Zika Virus Dna/Rna Amp Probe (87662) | $94.60 | $200 | 1.8× |
| Zika Virus Igm Antibody (86794) | $118.95 | $325 | 7.1× |
| Zinc (84630) range across 2 matching MRF lines |
$16.45–$63.45 | $35–$135 | varies |
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.