Lab & pathology prices at Baylor Scott and White Medical Center Sunnyvale
Sunnyvale, TX · every code in this section with a posted price and a Medicare benchmark.
485 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $97.80 | $163 | 8.8× |
| Acth (82024) | $221.40 | $369 | 5.7× |
| Acute hepatitis panel (80074) | $592.80 | $988 | 12.4× |
| Albumin Fluid (82042) | $94.20 | $157 | 12.1× |
| Albumin serum (82040) | $121.80 | $203 | 24.6× |
| Aldolase (82085) | $138.60 | $231 | 14.3× |
| Aldosterone urine (82088) | $397.20 | $662 | 9.7× |
| Alkaline phosphatase isoenzymes (84080) | $106.80 | $178 | 7.2× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$39.60–$49.20 | $66–$82 | varies |
| Allergen specific igg (86001) | $66.60 | $111 | 8.5× |
| Allg Spec Ige Recomb Ea (86008) | $54 | $90 | 3.0× |
| Alpha-1-antitrypsin phenotype (82104) | $198 | $330 | 13.7× |
| Alpha-1-antitrypsin total (82103) | $198 | $330 | 14.7× |
| Alpha-Fetoprotein Serum (82105) | $163.20 | $272 | 9.7× |
| Alt (sgpt) (84460) | $225.60 | $376 | 42.6× |
| Ammonia (82140) | $214.20 | $357 | 14.7× |
| Amylase urine (82150) | $205.80 | $343 | 31.8× |
| Ana Titer (86039) | $111 | $185 | 9.9× |
| Angiotensin converting enzyme csf (82164) | $184.20 | $307 | 12.6× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$115.80–$118.80 | $193–$198 | varies |
| Antibody aspergillus (86606) | $150.60 | $251 | 10.0× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $69 | $115 | 5.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $126 | $210 | 8.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $308.40 | $514 | 18.3× |
| Antibody Encephalitis California La Crosse (86651) | $67.80 | $113 | 5.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $104.40 | $174 | 8.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $34.20 | $57 | 2.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $243.60 | $406 | 13.4× |
| Antibody Fungus Not Elsewhere Specified (86671) | $63.60 | $106 | 5.2× |
| Antibody helicobacter pylori (86677) | $160.80 | $268 | 9.5× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $52.80 | $88 | 3.7× |
| Antibody Herpes Smplx Type 1 (86695) | $80.40 | $134 | 6.1× |
| Antibody HIV-1&HIV-2 single result (86703) | $158.40 | $264 | 11.6× |
| Antibody HIV-2 (86702) | $106.20 | $177 | 7.9× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $604.80 | $1,008 | 1.9× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$132–$206.40 | $220–$344 | varies |
| Antibody identification leukocyte antibodies (86021) | $235.20 | $392 | 15.6× |
| Antibody Lymphocytic Choriomeningitis (86727) | $109.80 | $183 | 8.5× |
| Antibody Titer (86886) | $142.80 | $238 | 27.6× |
| Antibody Treponema Pallidum (86780) | $165 | $275 | 12.5× |
| Antibody; encephalitis, st. louis (86653) | $67.80 | $113 | 5.1× |
| Antigen typing (86905) range across 2 matching MRF lines |
$73.80–$83.40 | $123–$139 | varies |
| Antinuclear antibodies (86038) | $228 | $380 | 18.9× |
| Antistreptolysin o titer (86060) | $135 | $225 | 18.5× |
| Antithrombin iii activity (85300) | $406.80 | $678 | 34.3× |
| Antithrombin iii antigen (85301) | $178.20 | $297 | 16.5× |
| Arsenic (82175) | $122.40 | $204 | 6.5× |
| Aspergillus ag eia (87305) | $156 | $260 | 13.0× |
| Assay activated protein c (85307) | $161.40 | $269 | 10.5× |
| Assay Blood Carbon Dioxide (82374) | $72 | $120 | 14.8× |
| Assay Nephelometry Not Spec (83883) | $124.20 | $207 | 9.1× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$109.20–$118.80 | $182–$198 | varies |
| Assay of blood/uric acid (84550) | $139.20 | $232 | 30.8× |
| Assay of calcium in urine (82340) | $158.40 | $264 | 26.3× |
| Assay of cpk in blood (82552) | $105.60 | $176 | 7.9× |
| Assay of g6pd enzyme (82955) | $102 | $170 | 10.5× |
| Assay of gammaglobulin igm (82784) | $134.40 | $224 | 14.5× |
| Assay of lactic acid (83605) range across 5 matching MRF lines |
$169.33–$183.60 | $282.22–$306 | varies |
| Assay of metanephrines (83835) | $192.60 | $321 | 11.4× |
| Assay of proinsulin (84206) | $145.80 | $243 | 5.5× |
| Assay of serum potassium (84132) | $125.40 | $209 | 26.3× |
| Assay of urea nitrogen (84520) | $121.80 | $203 | 30.8× |
| Assay of vitamin b-1 (84425) | $282 | $470 | 13.3× |
| Assay Ph Body Fluid Nos (83986) | $75.60 | $126 | 21.1× |
| Automated Leukocyte Count (85048) | $121.80 | $203 | 48.0× |
| B cells total count (86355) | $146.40 | $244 | 3.9× |
| Bartonella antibody (86611) | $109.20 | $182 | 10.7× |
| Bcr/abl1 gene major bp (81206) | $267 | $445 | 1.6× |
| Bcr/abl1 gene minor bp (81207) | $406.80 | $678 | 2.8× |
| Beta 2 glycoprotein i antibody each (86146) | $69 | $115 | 2.7× |
| Beta hydroxybutyrate (82010) | $118.20 | $197 | 14.5× |
| Beta Lactamase (87185) | $76.80 | $128 | 16.2× |
| Beta-2 Microglobulin (82232) | $57 | $95 | 3.5× |
| Bilirubin direct (82248) | $120.60 | $201 | 24.0× |
| Bilirubin total (82247) range across 4 matching MRF lines |
$63.60–$159.60 | $106–$266 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $86.40 | $144 | 25.2× |
| Blastomyces antibody (86612) | $110.40 | $184 | 8.6× |
| Bld Typing Serologic Rh Phnt (86906) | $135 | $225 | 17.4× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $54 | $90 | 14.2× |
| Blood gas (82803) range across 5 matching MRF lines |
$442.81–$547.80 | $738.01–$913 | varies |
| Blood gases w/02 saturation (82805) | $506.76 | $844.60 | 6.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 4 matching MRF lines |
$84–$102.60 | $140–$171 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 3 matching MRF lines |
$129–$146.40 | $215–$244 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $207.60 | $346 | 12.7× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$76.20–$102.60 | $127–$171 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$76.80–$163.20 | $128–$272 | varies |
| Bone marrow smear interpretation (85097) | $211.80 | $353 | 0.3× |
| Bordetella antibody (86615) | $100.20 | $167 | 7.6× |
| Braf gene analysis (81210) | $668.40 | $1,114 | 3.8× |
| Brucella antibody (86622) | $76.80 | $128 | 8.6× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$69.60–$256.20 | $116–$427 | varies |
| C-Peptide (84681) | $274.80 | $458 | 13.2× |
| C-reactive protein (86140) | $189.60 | $316 | 36.6× |
| Ca 19-9 (86301) | $349.80 | $583 | 16.8× |
| Calcitonin (82308) | $171 | $285 | 6.4× |
| Calcium ionized (82330) | $242.40 | $404 | 17.7× |
| Calcium total (82310) | $159 | $265 | 30.8× |
| Calculus Spectroscopy (82365) | $91.20 | $152 | 7.1× |
| Calr gene com variants (81219) | $505.80 | $843 | 4.2× |
| Cancer Antigen 125 (86304) | $303 | $505 | 14.6× |
| Cancer Antigen 27.29 (86300) | $130.20 | $217 | 6.3× |
| Carbamazepine total (80156) | $339.60 | $566 | 23.3× |
| Carboxyhemoglobin (82375) | $154.20 | $257 | 12.5× |
| Carcinoembryonic antigen (82378) | $273.60 | $456 | 14.4× |
| Cardiolipin ab iga (86147) | $124.20 | $207 | 4.9× |
| Ccp antibody (86200) | $96 | $160 | 7.4× |
| Cell count csf (89051) | $163.20 | $272 | 29.1× |
| Ceruloplasmin (82390) | $148.80 | $248 | 13.9× |
| Chemiluminescent assay (82397) | $161.40 | $269 | 11.4× |
| Chlamydia antibody (86631) | $93 | $155 | 7.9× |
| Chlamydia Igm Antibody (86632) | $88.80 | $148 | 7.0× |
| Chloride Serum (82435) | $82.20 | $137 | 17.9× |
| Chloride urine (82436) | $97.20 | $162 | 16.9× |
| Cholesterol total (82465) | $135 | $225 | 31.0× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$159.60–$291 | $266–$485 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $362.40 | $604 | 13.5× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $184.20 | $307 | 5.5× |
| Chromium serum (82495) | $160.20 | $267 | 7.9× |
| Chromogranin a (86316) | $154.20 | $257 | 7.4× |
| Chromosome Analysis 15-20 (88262) | $911.40 | $1,519 | 7.3× |
| Chromosome Analysis 20-25 (88264) | $591.60 | $986 | 4.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $201 | $335 | 5.7× |
| Ckmb (82553) | $265.80 | $443 | 23.0× |
| Clostridium Difficile (87324) | $322.80 | $538 | 26.9× |
| Clotting Funct Activity (85397) | $251.40 | $419 | 8.1× |
| Coagulation time activated (85347) range across 3 matching MRF lines |
$114.33–$123.60 | $190.55–$206 | varies |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
$94.20–$97.20 | $157–$162 | varies |
| Cold agglutinin screen (86156) | $119.40 | $199 | 14.8× |
| Compatibility test antiglob (86922) | $135 | $225 | 0.8× |
| Complement Antigen Each Component (86160) | $226.80 | $378 | 18.9× |
| Complement Total (Ch50) (86162) | $319.20 | $532 | 15.7× |
| Complement/Function Activity (86161) | $149.40 | $249 | 12.5× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $264.60 | $441 | 7.1× |
| Coombs direct (86880) | $146.40 | $244 | 27.2× |
| Copper urine (82525) | $29.40 | $49 | 2.4× |
| Cortisol free (82530) | $80.40 | $134 | 4.8× |
| Cortisol saliva (82533) | $199.80 | $333 | 12.3× |
| Creatine (82540) | $88.80 | $148 | 19.1× |
| Creatine kinase total (82550) | $187.80 | $313 | 28.8× |
| Creatinine blood (82565) range across 5 matching MRF lines |
$88.80–$147 | $148–$245 | varies |
| Creatinine clearance (82575) | $227.40 | $379 | 24.0× |
| Creatinine Urine (82570) | $111 | $185 | 21.4× |
| Crossmatch electronic (86923) | $207.60 | $346 | 1.2× |
| Crossmatch immediate spin (86920) range across 6 matching MRF lines |
$218.40–$229.20 | $364–$382 | varies |
| Crp High Sensitivity (86141) | $103.80 | $173 | 8.0× |
| Cryoglobulin (82595) | $69.60 | $116 | 10.8× |
| Cryptococcus ab (86641) | $135 | $225 | 9.4× |
| Cryptococcus ag titer (87899) | $86.40 | $144 | 5.4× |
| Cryptosporidium ag eia (87328) | $77.40 | $129 | 5.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $160.20 | $267 | 19.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $168 | $280 | 20.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $111 | $185 | 14.4× |
| Culture aerobic quant other (87071) | $187.20 | $312 | 18.9× |
| Culture afb (87116) | $227.40 | $379 | 21.1× |
| Culture Anaerobic (87075) | $332.40 | $554 | 35.1× |
| Culture blood (87040) | $264 | $440 | 25.6× |
| Culture chlamydia (87110) | $183.60 | $306 | 9.4× |
| Culture csf (87070) | $208.20 | $347 | 24.2× |
| Culture fungus (87102) | $234.60 | $391 | 27.9× |
| Culture fungus blood (87103) | $183.60 | $306 | 9.0× |
| Culture screen only (87081) range across 8 matching MRF lines |
$154.20–$187.20 | $257–$312 | varies |
| Culture stool (87045) | $254.40 | $424 | 26.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $97.20 | $162 | 18.8× |
| Culture urine (87086) | $240 | $400 | 29.7× |
| Cyclic amp (82030) | $285.60 | $476 | 11.1× |
| Cyclosporine (80158) | $442.80 | $738 | 24.5× |
| Cytogenetics 100-300 (88275) | $266.40 | $444 | 5.2× |
| Cytomegalovirus igg (86644) | $279.60 | $466 | 19.4× |
| Cytopath Cell Enhance Tech (88112) | $219 | $365 | 4.2× |
| Cytp Concentration Smears & Interpretation (88108) | $223.20 | $372 | 5.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $374.40 | $624 | 7.2× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $401.40 | $669 | 2.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $207 | $345 | 5.5× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $792 | $1,320 | 4.6× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $64.80 | $108 | 2.2× |
| Deoxyribonuclease antibody (86215) | $106.80 | $178 | 8.1× |
| Detect Agent Nos Dna Amp (87798) range across 5 matching MRF lines |
$216–$397.20 | $360–$662 | varies |
| Detect Agent Nos Dna Quant (87799) | $480.60 | $801 | 11.2× |
| Detect agnt mult DNA ampli (87801) | $669.60 | $1,116 | 9.5× |
| Dhea (82626) | $159 | $265 | 6.3× |
| Dhea-S (82627) | $28.20 | $47 | 1.3× |
| Dibucaine number (82638) | $73.20 | $122 | 6.0× |
| Digoxin (80162) | $263.40 | $439 | 19.8× |
| Diphtheria antitoxoid (86648) | $145.80 | $243 | 9.6× |
| Dna Antibody Native/Double Stranded (86225) | $287.40 | $479 | 20.9× |
| DNA/RNA direct probe (87149) | $151.20 | $252 | 7.5× |
| Drug Assay Lacosamide (80235) | $234.60 | $391 | 8.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $121.80 | $203 | 9.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $141.60 | $236 | 10.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $129.60 | $216 | 9.8× |
| Drug Test Prsmv Chem Anlyzr (80307) | $214.80 | $358 | 3.5× |
| Drug Test Prsmv Dir Opt Obs (80305) | $155.40 | $259 | 12.3× |
| Drug Test Prsmv Instrmnt (80306) | $246 | $410 | 14.4× |
| Egfr Gene Analysis Common Variants (81235) | $1,171.80 | $1,953 | 3.6× |
| Ehrlichia antibody (86666) | $127.20 | $212 | 12.5× |
| Electrolyte panel (80051) | $202.80 | $338 | 28.9× |
| Electron Microscopy (88348) | $1,260 | $2,100 | 1.6× |
| Encephaltis East Eqne Anbdy (86652) | $34.80 | $58 | 2.6× |
| Encephaltis West Eqne Antbdy (86654) | $54 | $90 | 4.1× |
| Enterovirus PCR (87498) | $360.60 | $601 | 10.3× |
| Eosinophil Smear (89190) | $69 | $115 | 11.9× |
| Estradiol serum (82670) | $287.40 | $479 | 10.3× |
| Estrogen total (82672) | $184.20 | $307 | 8.5× |
| Ethylene Glycol (82693) | $159 | $265 | 10.7× |
| Exam Synovial Fluid Crystals (89060) | $97.80 | $163 | 13.3× |
| F2 Gene (81240) range across 2 matching MRF lines |
$301.20–$440.40 | $502–$734 | varies |
| Factor ix activity (85250) | $249.60 | $416 | 13.1× |
| Factor v leiden mutation (81241) | $408.60 | $681 | 5.6× |
| Factor vii assay (85230) | $313.80 | $523 | 17.5× |
| Factor viii assay (85240) | $167.40 | $279 | 9.4× |
| Ferritin (82728) | $183.60 | $306 | 13.5× |
| Fibrin degradation products (85362) | $282 | $470 | 40.9× |
| Fibrin Degradation Quant (85379) | $303 | $505 | 29.8× |
| Fibrinogen activity (85384) | $178.80 | $298 | 18.4× |
| Flow cytometry first marker (88184) | $158.40 | $264 | 0.4× |
| Flt3 Gene (81245) | $450.60 | $751 | 2.7× |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$151.20–$1,666.80 | $252–$2,778 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$308.40–$2,780.40 | $514–$4,634 | varies |
| Folic acid rbc (82747) | $171 | $285 | 9.7× |
| Folic Acid Serum (82746) | $223.80 | $373 | 15.2× |
| Follicle Stimulating Hormone (83001) | $284.40 | $474 | 15.3× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $57.60 | $96 | 0.3× |
| Frozen Section (88331) | $407.40 | $679 | 2.4× |
| Fungi Identification Yeast (87106) | $129 | $215 | 12.5× |
| Gammaglobulin ige (82785) | $183.60 | $306 | 11.2× |
| Gases blood ph only (82800) | $62.40 | $104 | 5.7× |
| Gastrin after secretin stim (82938) | $42.60 | $71 | 2.4× |
| Genet Virus Isolate Hsv (87255) | $145.80 | $243 | 4.3× |
| Gentamicin (80170) | $260.40 | $434 | 15.9× |
| Ggt (82977) | $178.80 | $298 | 24.8× |
| Giardia antigen (87329) | $97.80 | $163 | 8.2× |
| Glucose Blood Test (82962) | $28.80 | $48 | 8.8× |
| Glucose body fluid (82945) | $105.60 | $176 | 26.9× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$94.80–$105.60 | $158–$176 | varies |
| Gonadotropin Chorionic Qualitative (84703) range across 3 matching MRF lines |
$147.70–$159.60 | $246.17–$266 | varies |
| Growth hormone (83003) | $44.40 | $74 | 2.7× |
| Haptoglobin (83010) | $270.60 | $451 | 21.5× |
| Hematocrit (85014) | $65.40 | $109 | 27.6× |
| Hemoglobin (85018) range across 5 matching MRF lines |
$58.09–$66.60 | $96.82–$111 | varies |
| Hemoglobin Chromotography (83021) | $65.40 | $109 | 3.6× |
| Hep a ab igm (86709) | $142.20 | $237 | 12.6× |
| Hepatitis a antibody total (86708) | $259.80 | $433 | 21.0× |
| Hepatitis b core ab igm (86705) | $220.80 | $368 | 18.8× |
| Hepatitis b core ab total (86704) | $250.20 | $417 | 20.8× |
| Hepatitis B Surface Antibody (86706) | $198 | $330 | 18.4× |
| Hepatitis B Surface Antigen (87340) | $163.20 | $272 | 15.8× |
| Hepatitis Be Antibody (86707) | $46.20 | $77 | 4.0× |
| Hepatitis Be Antigen (87350) | $180 | $300 | 15.6× |
| Hepatitis C Antibody (86803) | $254.40 | $424 | 17.8× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$172.80–$380.40 | $288–$634 | varies |
| Herpes simplex type 2 (86696) | $80.40 | $134 | 4.2× |
| Heterophile Antibody Screen (86308) | $105.60 | $176 | 20.4× |
| Hfe Gene (81256) | $250.80 | $418 | 3.8× |
| Histamine urine (83088) | $220.80 | $368 | 7.5× |
| Histoplasma antibody (86698) | $64.20 | $107 | 4.7× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$334.20–$344.40 | $557–$574 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $184.80 | $308 | 7.7× |
| Hiv-1 Antibody (86701) | $142.80 | $238 | 16.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $298.20 | $497 | 3.5× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $632.40 | $1,054 | 3.6× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $436.20 | $727 | 3.4× |
| Hla-b27 (86812) | $209.40 | $349 | 8.1× |
| Homogenization Tissue (87176) | $55.80 | $93 | 9.5× |
| Hsv Dna Amp Probe (87529) | $414.60 | $691 | 11.8× |
| Hsv Dna Quant (87530) | $402 | $670 | 9.4× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $181.20 | $302 | 13.0× |
| Iaad ia shiga-like toxin (87427) | $69.60 | $116 | 5.8× |
| Iaadi Varicella Zoster Virus (87290) | $114.60 | $191 | 8.5× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $171 | $285 | 4.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $399.60 | $666 | 11.4× |
| Iadna Cytomegalovirus Quantification (87497) | $528 | $880 | 12.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $196.80 | $328 | 2.8× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $476.40 | $794 | 11.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $190.20 | $317 | 5.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $166.20 | $277 | 4.7× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $334.20 | $557 | 6.5× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $267 | $445 | 1.9× |
| Igg subclasses (82787) | $73.80 | $123 | 9.2× |
| Igh gene rearrange amp meth (81261) | $535.80 | $893 | 2.7× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $957 | $1,595 | 2.7× |
| Immunfix e-phorsis/urine/csf (86335) | $309 | $515 | 10.5× |
| Immunoassay analyte qual/semiqual single step (83518) | $129.60 | $216 | 13.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $232.20 | $387 | 12.6× |
| Immunofixation electrophoresis (86334) | $281.40 | $469 | 12.6× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $392.40 | $654 | 2.3× |
| Immunohistochemistry (88342) | $372.60 | $621 | 2.2× |
| In situ hybridization 1st probe stain (88365) | $369.60 | $616 | 2.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $226.80 | $378 | 3.2× |
| Influenza assay w/optic (87804) | $115.80 | $193 | 7.0× |
| Influenza DNA amp probe (87502) | $358.80 | $598 | 3.7× |
| Inhibin b (83520) range across 4 matching MRF lines |
$162–$319.20 | $270–$532 | varies |
| Insitu hybridization manual (88368) | $393 | $655 | 1.1× |
| Insulin total (83525) | $243 | $405 | 21.3× |
| Iron (83540) | $194.40 | $324 | 30.0× |
| Iron Binding Capacity (83550) | $214.20 | $357 | 24.5× |
| Jak2 gene analysis p.val617phe variant (81270) | $459.60 | $766 | 5.0× |
| Kras Gene Analysis Additional Variant(S) (81276) | $677.40 | $1,129 | 3.5× |
| Kras Gene Variants Exon 2 (81275) | $730.20 | $1,217 | 3.8× |
| Lactate (ld) (ldh) enzyme (83615) | $171 | $285 | 28.3× |
| LDL direct (83721) | $73.20 | $122 | 7.0× |
| Lead (83655) | $100.20 | $167 | 8.3× |
| Legionella antibody (86713) | $124.80 | $208 | 8.2× |
| Legionella antigen urine (87449) | $240.60 | $401 | 20.1× |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$73.20–$115.20 | $122–$192 | varies |
| Leukocyte Histamine Release (86343) | $261.60 | $436 | 21.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $146.40 | $244 | 5.0× |
| Level ii surg pathology grossµscopic exam (88302) | $212.40 | $354 | 5.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $441 | $735 | 1.2× |
| Lipase (83690) | $186 | $310 | 27.0× |
| Lithium (80178) | $225.60 | $376 | 34.1× |
| Luteinizing Hormone (Lh) (83002) | $122.40 | $204 | 6.6× |
| Lyme disease antibody (86618) | $176.40 | $294 | 10.4× |
| Lysozyme serum (85549) | $127.20 | $212 | 6.8× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$527.40–$536.40 | $879–$894 | varies |
| Magnesium Urine (83735) | $158.40 | $264 | 23.6× |
| Mass Spectrometry Quant (83789) | $186.60 | $311 | 7.7× |
| Mercury urine (83825) | $121.20 | $202 | 7.5× |
| Metabolic panel ionized ca (80047) range across 4 matching MRF lines |
$233.40–$447.60 | $389–$746 | varies |
| Methylmalonic acid serum (83921) | $235.80 | $393 | 11.1× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$82.80–$152.40 | $138–$254 | varies |
| Microsatellite instability (81301) | $1,148.40 | $1,914 | 3.3× |
| Microsomal Antibodies Each (86376) | $120.60 | $201 | 8.3× |
| Molecular Cytogenetics Dna Probe Each (88271) | $248.40 | $414 | 11.6× |
| Molecular Pathology Procedure Level 3 (81402) | $576.60 | $961 | 3.8× |
| Mopath procedure level 4 (81403) | $556.20 | $927 | 3.0× |
| Mrsa Pcr (87641) | $243 | $405 | 6.9× |
| Mthfr Gene Analysis Common Variants (81291) | $892.20 | $1,487 | 13.7× |
| Mumps antibody (86735) range across 4 matching MRF lines |
$95.40–$111 | $159–$185 | varies |
| Mycoplasma antibody (86738) | $246 | $410 | 18.6× |
| Myelin basic protein csf (83873) | $144 | $240 | 8.4× |
| Myoglobin urine (83874) | $253.20 | $422 | 19.6× |
| Natriuretic peptide (83880) | $337.80 | $563 | 8.6× |
| Nerve teasing preparations (88362) | $551.40 | $919 | 0.7× |
| Nk cells total count (86357) | $157.20 | $262 | 4.2× |
| Nras gene variants exon 2&3 (81311) | $439.20 | $732 | 1.5× |
| Nuclear antigen antibody (86235) range across 4 matching MRF lines |
$146.40–$155.40 | $244–$259 | varies |
| Occult Blood Other Sources (82271) | $52.20 | $87 | 9.8× |
| Oligoclonal bands (83916) | $231.60 | $386 | 8.5× |
| Osmolality serum (83930) | $193.20 | $322 | 29.2× |
| Osmolality Urine (83935) | $184.20 | $307 | 27.0× |
| Ova and parasites smears (87177) | $100.20 | $167 | 11.3× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$152.40–$161.40 | $254–$269 | varies |
| Parvovirus antibody (86747) | $18 | $30 | 1.2× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $231.60 | $386 | 0.3× |
| Pathology Consultation During Surgery (88329) | $102.60 | $171 | 1.7× |
| Ph urine (81003) range across 4 matching MRF lines |
$68.40–$82.20 | $114–$137 | varies |
| Phenobarbital Level (80184) | $330.60 | $551 | 21.6× |
| Phenytoin (Dilantin) (80185) | $328.80 | $548 | 24.8× |
| Phenytoin free (80186) | $104.40 | $174 | 7.6× |
| Phosphatase alkaline (84075) | $199.20 | $332 | 38.5× |
| Phospholipid Neutralization Hexagonal (85598) | $136.80 | $228 | 7.6× |
| Phosphorus Serum (84100) | $149.40 | $249 | 31.5× |
| Phosphorus urine (84105) | $67.80 | $113 | 11.7× |
| Platelet Aggregation (85576) | $224.40 | $374 | 9.0× |
| Platelet Antibodies (86022) | $355.80 | $593 | 19.4× |
| Platelet count automated (85049) | $124.20 | $207 | 27.7× |
| Platelet neutralization (85597) | $142.20 | $237 | 7.9× |
| Pooling blood platelets (86965) | $198.60 | $331 | 1.2× |
| Potassium Urine (84133) | $151.20 | $252 | 32.0× |
| Prealbumin (84134) | $205.20 | $342 | 14.1× |
| Procalcitonin (Pct) (84145) | $391.80 | $653 | 14.4× |
| Progesterone (84144) | $37.20 | $62 | 1.8× |
| Prolactin (84146) | $255 | $425 | 13.2× |
| Protein body fluid (84157) | $129.60 | $216 | 32.4× |
| Protein C Activity (85303) | $227.40 | $379 | 16.4× |
| Protein c antigen (85302) | $187.20 | $312 | 15.6× |
| Protein Electrophoresis Urine (84166) | $327.60 | $546 | 18.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $298.20 | $497 | 27.8× |
| Protein S Free (85306) | $303 | $505 | 19.8× |
| Protein s total (85305) | $166.20 | $277 | 14.3× |
| Protein total serum (84155) | $135 | $225 | 36.8× |
| Protein Total Urine (84156) | $109.20 | $182 | 29.8× |
| PSA free (84154) range across 2 matching MRF lines |
$147–$298.20 | $245–$497 | varies |
| Pth Intact (83970) | $358.80 | $598 | 8.7× |
| Quantiferon tb gold plus (86480) | $158.40 | $264 | 2.6× |
| Quantitative assay drug (80299) | $197.40 | $329 | 10.6× |
| Quantitative Screen Metals (83018) | $156 | $260 | 7.1× |
| Rbc antibody elution (86860) | $213 | $355 | 1.2× |
| Rbc antibody identification (86870) | $315.60 | $526 | 0.9× |
| Rbc antibody screen (86850) | $170.40 | $284 | 17.4× |
| Rbc pretreatment serum (86978) | $235.80 | $393 | 4.0× |
| Rbc pretx incubatj w/enzymes (86971) | $77.40 | $129 | 0.5× |
| Reagent Strip/Blood Glucose (82948) range across 4 matching MRF lines |
$29.40–$32.40 | $49–$54 | varies |
| Renin activity plasma (84244) | $348 | $580 | 15.8× |
| Resp virus 12-25 targets (87633) | $1,170.60 | $1,951 | 2.8× |
| Reticulocyte Count (85046) | $107.40 | $179 | 19.3× |
| Reticulocyte separation (86972) | $120 | $200 | 0.7× |
| Rh (86901) | $76.20 | $127 | 25.5× |
| Rheumatoid Factor Qualitative (86430) | $139.20 | $232 | 22.7× |
| Rheumatoid factor quant (86431) | $153 | $255 | 27.0× |
| Rickettsia antibody (86757) | $31.80 | $53 | 1.6× |
| Ristocetin cofactor (85245) | $362.40 | $604 | 15.8× |
| Rotavirus ag eia (87425) | $243.60 | $406 | 20.3× |
| Rpr qualitative (86592) | $111 | $185 | 26.0× |
| Rubella Antibody (86762) | $100.20 | $167 | 7.0× |
| Rubeola antibody (86765) | $100.20 | $167 | 7.8× |
| Russell Viper Venom Time Diluted (85613) | $223.20 | $372 | 23.3× |
| Salicylate Level (80179) | $214.80 | $358 | 11.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$96–$280.20 | $160–$467 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $182.40 | $304 | 4.3× |
| Sarscov2 & inf a&b amp prb (87636) | $267 | $445 | 1.9× |
| Sedimentation rate (85651) | $94.80 | $158 | 22.2× |
| Sedimentation Rate, Automated (85652) | $61.80 | $103 | 22.9× |
| Sensitivity mic (87186) | $169.20 | $282 | 19.6× |
| Sex Hormone Binding Globulin (84270) | $47.40 | $79 | 2.2× |
| Sickling of rbc reduction (85660) | $77.40 | $129 | 14.0× |
| Smear acid fast (87206) | $111 | $185 | 20.6× |
| Smear complex stain (87209) | $57 | $95 | 3.2× |
| Smear gram stain (87205) | $92.40 | $154 | 21.6× |
| Smear Special Stain (87207) | $120 | $200 | 20.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $100.80 | $168 | 17.3× |
| Sodium Serum (84295) | $115.20 | $192 | 24.0× |
| Sodium Urine (84300) | $109.80 | $183 | 21.7× |
| Special Stains Group 1 (88312) | $246 | $410 | 4.7× |
| Special Stains Group 2 (88313) | $265.20 | $442 | 2.0× |
| Specimen infect agnt concntj (87015) | $60 | $100 | 9.0× |
| Spectrophotometry (84311) | $238.20 | $397 | 29.4× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) range across 2 matching MRF lines |
$60.19–$72.60 | $100.31–$121 | varies |
| Stool cultr aerobic bact ea (87046) | $61.80 | $103 | 6.5× |
| Strep a DNA amp probe (87651) | $121.80 | $203 | 3.5× |
| Strep b DNA amp probe (87653) | $65.40 | $109 | 1.9× |
| Surg path level iii (88304) | $248.40 | $414 | 4.7× |
| Surgical pathology level IV (88305) | $358.80 | $598 | 6.9× |
| Surgical pathology level vi (88309) | $613.80 | $1,023 | 0.8× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $65.40 | $109 | 13.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $66.60 | $111 | 8.9× |
| Syphilis Test Non-Trep Quant (86593) | $124.20 | $207 | 28.2× |
| T cells absolute cd4 count (86361) | $114 | $190 | 4.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $918 | $1,530 | 19.5× |
| T cells total count (86359) | $162.60 | $271 | 4.3× |
| T3 Free (84481) | $307.20 | $512 | 18.1× |
| T3 reverse (84482) | $147 | $245 | 9.3× |
| T3 Total (84480) | $272.40 | $454 | 19.2× |
| T3 Uptake (84479) | $147.60 | $246 | 22.8× |
| T4 Free (84439) | $213 | $355 | 23.6× |
| T4 total (84436) | $172.20 | $287 | 25.1× |
| Tacrolimus (80197) | $460.80 | $768 | 33.6× |
| Test for acetone/ketones (82009) | $109.80 | $183 | 24.3× |
| Testosterone total (84403) | $278.40 | $464 | 10.8× |
| Testosterone, Free (84402) | $622.20 | $1,037 | 24.4× |
| Tetanus antibody (86774) | $138.60 | $231 | 9.4× |
| Theophylline (80198) | $295.20 | $492 | 20.9× |
| Thrombin Time (85670) | $71.40 | $119 | 12.4× |
| Thyroglobulin Antibody (86800) | $61.80 | $103 | 3.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $171.60 | $286 | 3.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $7.20 | $12 | 0.6× |
| Tissue Culture (88233) | $696 | $1,160 | 4.9× |
| Tissue culture bone marrow (88237) | $576.60 | $961 | 4.0× |
| Tobramycin peak (80200) range across 2 matching MRF lines |
$260.40–$326.40 | $434–$544 | varies |
| Topiramate (80201) | $226.80 | $378 | 19.0× |
| Touch prep (88161) | $121.80 | $203 | 4.2× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $141 | $235 | 7.1× |
| Toxoplasma ab igm (86778) | $133.80 | $223 | 9.3× |
| Toxoplasma antibody (86777) range across 3 matching MRF lines |
$100.20–$125.40 | $167–$209 | varies |
| Tpmt gene com variants (81335) | $127.80 | $213 | 0.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $219.60 | $366 | 42.4× |
| Transferrin (84466) | $207.60 | $346 | 16.3× |
| Triglycerides (84478) | $208.20 | $347 | 36.3× |
| Troponin Quant (84484) range across 7 matching MRF lines |
$276.25–$298.80 | $460.41–$498 | varies |
| Tumor immunohistochem/comput (88361) | $405 | $675 | 1.1× |
| Tumor Immunohistochem/Manual (88360) | $337.80 | $563 | 2.0× |
| Urea nitrogen urine (84540) | $118.20 | $197 | 21.3× |
| Uric acid other source (84560) | $92.40 | $154 | 18.2× |
| Urinalysis Microscopic Only (81015) | $45.60 | $76 | 15.0× |
| Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) | $105 | $175 | 3.5× |
| Urine Albumin Semiquantitative (82044) | $42 | $70 | 6.7× |
| Urine Bacteria Culture (87088) | $94.80 | $158 | 11.7× |
| Urine Pregnancy Test (81025) range across 4 matching MRF lines |
$220.80–$265.20 | $368–$442 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $127.20 | $212 | 40.1× |
| Valproic acid (80164) | $251.40 | $419 | 18.6× |
| Vancomycin (80202) | $272.40 | $454 | 20.1× |
| Varicella-zoster antibody (86787) | $133.80 | $223 | 10.4× |
| Viral Culture (87252) | $224.40 | $374 | 8.6× |
| Virus inoculation, shell via (87254) | $144 | $240 | 7.4× |
| Vit D 1 25-Dihydroxy (82652) | $307.80 | $513 | 8.0× |
| Vitamin A (84590) | $260.40 | $434 | 22.4× |
| Vitamin b-12 (82607) | $217.80 | $363 | 14.4× |
| Vitamin B6 (84207) | $184.20 | $307 | 6.6× |
| Vitamin D 25-Hydroxy (82306) | $352.80 | $588 | 11.9× |
| Vitamin E (84446) | $118.20 | $197 | 8.3× |
| Vitamin K (84597) | $208.80 | $348 | 15.2× |
| Volatiles (84600) | $139.80 | $233 | 8.2× |
| West nile virus ab igm (86788) range across 3 matching MRF lines |
$93–$116.40 | $155–$194 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$93.60–$116.40 | $156–$194 | varies |
| Zinc (84630) | $93.60 | $156 | 8.2× |
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.