Lab & pathology prices at Bayside Community Hospital
Anahuac, TX · every code in this section with a posted price and a Medicare benchmark.
591 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $182 | $182 | 8.0× |
| 5 Nucleotidase (83915) | $122 | $122 | 10.9× |
| Acth (82024) | $269 | $269 | 7.0× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$111–$132 | $111–$132 | varies |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$167–$560 | $167–$560 | varies |
| Adenovirus antibody (86603) | $140 | $140 | 10.9× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $326 | $326 | 5.1× |
| Agglutinins Febrile Each Antigen (86000) range across 2 matching MRF lines |
$91–$100 | $91–$100 | varies |
| Albumin Fluid (82042) | $103 | $103 | 13.2× |
| Albumin serum (82040) range across 4 matching MRF lines |
$40–$338 | $40–$338 | varies |
| Aldolase (82085) | $122 | $122 | 12.6× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$189–$362 | $189–$362 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 3 matching MRF lines |
$71–$129 | $71–$129 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $38 | $38 | 4.8× |
| Allergen specific ige (86003) range across 66 matching MRF lines |
$31–$1,150 | $31–$1,150 | varies |
| Allg Spec Ige Recomb Ea (86008) | $265 | $265 | 14.8× |
| Alpha-1-antitrypsin total (82103) | $157 | $157 | 11.7× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$110–$164 | $110–$164 | varies |
| Alt (sgpt) (84460) range across 3 matching MRF lines |
$24–$76 | $24–$76 | varies |
| Amikacin trough (80150) | $225 | $225 | 14.9× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $259 | $259 | 11.3× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $747 | $747 | 44.3× |
| Amino Acids Quant 2-5 (82136) | $512 | $512 | 26.1× |
| Aminolevulinic acid (ala) (82135) | $231 | $231 | 14.0× |
| Ammonia (82140) range across 2 matching MRF lines |
$88–$193 | $88–$193 | varies |
| Amylase urine (82150) range across 5 matching MRF lines |
$59–$208 | $59–$208 | varies |
| Analysis skeletal muscle (88355) | $180 | $180 | 1.1× |
| Androstenedione (82157) | $81 | $81 | 2.8× |
| Angiotensin converting enzyme csf (82164) | $134 | $134 | 9.2× |
| Anti-Phospholipid Antibody (86148) | $469 | $469 | 29.2× |
| Antibody aspergillus (86606) | $228 | $228 | 15.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$284–$347 | $284–$347 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
$100–$190 | $100–$190 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 3 matching MRF lines |
$138–$222 | $138–$222 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $111 | $111 | 7.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $111 | $111 | 6.1× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$229–$268 | $229–$268 | varies |
| Antibody helicobacter pylori (86677) range across 6 matching MRF lines |
$129–$371 | $129–$371 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 4 matching MRF lines |
$37–$105 | $37–$105 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $94 | $94 | 7.1× |
| Antibody HIV-1&HIV-2 single result (86703) | $509 | $509 | 37.1× |
| Antibody HIV-2 (86702) | $647 | $647 | 47.9× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $126 | $126 | 6.5× |
| Antibody Identification Platelet Immunogl Assay (86023) | $355 | $355 | 28.5× |
| Antibody Protozoa Nes (86753) | $114 | $114 | 9.2× |
| Antibody Treponema Pallidum (86780) range across 5 matching MRF lines |
$41–$109 | $41–$109 | varies |
| Antibody; encephalitis, st. louis (86653) | $281 | $281 | 21.3× |
| Antigen typing (86905) range across 17 matching MRF lines |
$111–$371 | $111–$371 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $144 | $144 | 25.2× |
| Antinuclear antibodies (86038) range across 9 matching MRF lines |
$44–$1,531 | $44–$1,531 | varies |
| Antistreptolysin o titer (86060) | $86 | $86 | 11.8× |
| Antithrombin iii activity (85300) range across 3 matching MRF lines |
$209–$419 | $209–$419 | varies |
| Antithrombin iii antigen (85301) range across 2 matching MRF lines |
$188–$341 | $188–$341 | varies |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$63–$528 | $63–$528 | varies |
| Aquaporin-4 Antb Elisa (86051) | $807 | $807 | 70.0× |
| Arsenic (82175) range across 2 matching MRF lines |
$132–$562 | $132–$562 | varies |
| Assay activated protein c (85307) | $341 | $341 | 22.3× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$10–$38 | $10–$38 | varies |
| Assay Dir Meas Fr Estradiol (82681) | $357 | $357 | 12.8× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$127–$311 | $127–$311 | varies |
| Assay of 5-hiaa (83497) | $92 | $92 | 7.1× |
| Assay of anti-mullerian hormone (82166) | $460 | $460 | 11.9× |
| Assay of blood/uric acid (84550) range across 3 matching MRF lines |
$32–$92 | $32–$92 | varies |
| Assay of calcium in urine (82340) | $74 | $74 | 12.3× |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$55–$118 | $55–$118 | varies |
| Assay of estrone (82679) | $207 | $207 | 8.3× |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$70–$78 | $70–$78 | varies |
| Assay of gammaglobulin igm (82784) range across 16 matching MRF lines |
$65–$735 | $65–$735 | varies |
| Assay of lactic acid (83605) | $152 | $152 | 13.1× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$233–$433 | $233–$433 | varies |
| Assay of phosphatase acid total (84060) | $48 | $48 | 6.3× |
| Assay of proinsulin (84206) | $298 | $298 | 11.2× |
| Assay of serotonin (84260) | $316 | $316 | 10.2× |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
$31–$74 | $31–$74 | varies |
| Assay of urea nitrogen (84520) range across 3 matching MRF lines |
$23–$72 | $23–$72 | varies |
| Assay of urine vma (84585) | $128 | $128 | 8.3× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$44–$119 | $44–$119 | varies |
| Assay Ph Body Fluid Nos (83986) | $70 | $70 | 19.6× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$16–$84 | $16–$84 | varies |
| Bartonella antibody (86611) | $111 | $111 | 10.9× |
| Beta 2 glycoprotein i antibody each (86146) | $323 | $323 | 12.7× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$101–$110 | $101–$110 | varies |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$138–$511 | $138–$511 | varies |
| Bile acids total (82239) | $87 | $87 | 5.1× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$24–$74 | $24–$74 | varies |
| Bilirubin total (82247) range across 4 matching MRF lines |
$24–$74 | $24–$74 | varies |
| Blastomyces antibody (86612) | $62 | $62 | 4.8× |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) | $57 | $57 | 1.1× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $57 | $57 | 2.0× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $57 | $57 | 0.3× |
| Bld Typing Serologic Rh Phnt (86906) | $257 | $257 | 33.2× |
| Bleeding time test (85002) | $99 | $99 | 20.5× |
| Blood Count Red Blood Cell Automated (85041) | $21 | $21 | 7.0× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$45–$70 | $45–$70 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $61 | $61 | 16.1× |
| Blood gas (82803) | $366 | $366 | 14.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$19–$22 | $19–$22 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $110 | $110 | 17.3× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $102 | $102 | 6.2× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$32–$90 | $32–$90 | varies |
| Body fluid cell count (89050) | $128 | $128 | 27.1× |
| Bone marrow smear interpretation (85097) | $88 | $88 | 0.1× |
| Bordetella antibody (86615) | $169 | $169 | 12.8× |
| Brca1&2 gen full seq dup/del (81162) | $2,652 | $2,652 | 1.5× |
| Breath Alcohol Test (82075) range across 4 matching MRF lines |
$16–$32 | $16–$32 | varies |
| Brucella antibody (86622) | $104 | $104 | 11.6× |
| C-Peptide (84681) | $197 | $197 | 9.5× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$45–$100 | $45–$100 | varies |
| Ca 19-9 (86301) | $164 | $164 | 7.9× |
| Cadmium (82300) | $223 | $223 | 9.4× |
| Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) | $260 | $260 | 1.5× |
| Calcitonin (82308) | $223 | $223 | 8.3× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$85–$149 | $85–$149 | varies |
| Calcium total (82310) range across 3 matching MRF lines |
$25–$333 | $25–$333 | varies |
| Calculus assay quant (82360) range across 2 matching MRF lines |
$27–$184 | $27–$184 | varies |
| Calprotectin Fecal (83993) | $211 | $211 | 10.7× |
| Cancer Antigen 125 (86304) | $53 | $53 | 2.5× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$91–$205 | $91–$205 | varies |
| Candida antibody (86628) | $164 | $164 | 13.7× |
| Candida Dna Dir Probe (87480) | $358 | $358 | 17.9× |
| Carbamazepine free (80157) | $142 | $142 | 10.7× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$64–$212 | $64–$212 | varies |
| Carbohydrate Deficient Transferrin (82373) | $174 | $174 | 9.6× |
| Carboxyhemoglobin (82375) | $113 | $113 | 9.2× |
| Carcinoembryonic antigen (82378) | $218 | $218 | 11.5× |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$73–$437 | $73–$437 | varies |
| Carotene (82380) | $58 | $58 | 6.3× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$109–$117 | $109–$117 | varies |
| Cell count csf (89051) | $164 | $164 | 29.3× |
| Cell marker study (88182) range across 2 matching MRF lines |
$111–$241 | $111–$241 | varies |
| Ceruloplasmin (82390) | $124 | $124 | 11.5× |
| Cftr Gene Analysis Known Familial Variants (81221) | $19 | $19 | 0.2× |
| Cftr gene com variants (81220) | $845 | $845 | 1.5× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$130–$192 | $130–$192 | varies |
| Chimerism w/comp to baseline w/o cell selection (81267) range across 3 matching MRF lines |
$19–$154 | $19–$154 | varies |
| Chlamydia antibody (86631) | $140 | $140 | 11.8× |
| Chloride other source (82438) | $69 | $69 | 13.8× |
| Chloride Serum (82435) range across 3 matching MRF lines |
$9–$44 | $9–$44 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$44–$57 | $44–$57 | varies |
| Cholesterol total (82465) range across 3 matching MRF lines |
$25–$90 | $25–$90 | varies |
| Cholinesterase Serum (82480) range across 3 matching MRF lines |
$67–$133 | $67–$133 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$84–$229 | $84–$229 | varies |
| Chrmsm Analysis Addl High Resolution Study (88289) | $365 | $365 | 10.6× |
| Chromogranin a (86316) range across 5 matching MRF lines |
$110–$202 | $110–$202 | varies |
| Chromosome Analysis 15-20 (88262) | $582 | $582 | 4.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 5 matching MRF lines |
$124–$960 | $124–$960 | varies |
| Citric acid urine (82507) | $213 | $213 | 7.7× |
| Ckmb (82553) range across 4 matching MRF lines |
$78–$249 | $78–$249 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$110–$169 | $110–$169 | varies |
| Clotting factor viii related antigen (85244) | $417 | $417 | 20.4× |
| Coccidioides antibody (86635) range across 4 matching MRF lines |
$40–$294 | $40–$294 | varies |
| Collagen crosslinks (82523) range across 6 matching MRF lines |
$191–$298 | $191–$298 | varies |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$112–$171 | $112–$171 | varies |
| Compatibility test antiglob (86922) | $190 | $190 | 1.1× |
| Complement Antigen Each Component (86160) range across 6 matching MRF lines |
$90–$178 | $90–$178 | varies |
| Complement Fixation Tests Each Antigen (86171) | $167 | $167 | 16.7× |
| Complement Total (Ch50) (86162) | $138 | $138 | 6.8× |
| Complement/Function Activity (86161) | $246 | $246 | 20.5× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $217 | $217 | 1.3× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $151 | $151 | 2.9× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $99 | $99 | 2.6× |
| Coombs direct (86880) | $98 | $98 | 18.2× |
| Copper urine (82525) | $101 | $101 | 8.1× |
| Cortisol free (82530) range across 3 matching MRF lines |
$187–$189 | $187–$189 | varies |
| Cortisol saliva (82533) range across 8 matching MRF lines |
$43–$224 | $43–$224 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$51–$56 | $51–$56 | varies |
| Creatine kinase total (82550) range across 4 matching MRF lines |
$47–$168 | $47–$168 | varies |
| Creatinine blood (82565) range across 5 matching MRF lines |
$32–$91 | $32–$91 | varies |
| Creatinine clearance (82575) | $152 | $152 | 16.1× |
| Creatinine Urine (82570) range across 7 matching MRF lines |
$71–$210 | $71–$210 | varies |
| Crp High Sensitivity (86141) | $111 | $111 | 8.6× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$52–$114 | $52–$114 | varies |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$109–$190 | $109–$190 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$43–$127 | $43–$127 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 4 matching MRF lines |
$167–$202 | $167–$202 | varies |
| Culture afb (87116) range across 2 matching MRF lines |
$146–$264 | $146–$264 | varies |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$68–$239 | $68–$239 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$221–$238 | $221–$238 | varies |
| Culture chlamydia (87110) range across 2 matching MRF lines |
$145–$177 | $145–$177 | varies |
| Culture csf (87070) range across 6 matching MRF lines |
$88–$252 | $88–$252 | varies |
| Culture screen only (87081) range across 8 matching MRF lines |
$44–$133 | $44–$133 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$10–$169 | $10–$169 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$74–$154 | $74–$154 | varies |
| Cyclosporine (80158) | $295 | $295 | 16.3× |
| Cystatin C (82610) | $204 | $204 | 11.0× |
| Cytogenetics 100-300 (88275) | $317 | $317 | 6.2× |
| Cytomegalovirus igg (86644) | $178 | $178 | 12.4× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 3 matching MRF lines |
$59–$166 | $59–$166 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$64–$178 | $64–$178 | varies |
| Cytopath Fl Nongyn Filter (88106) | $84 | $84 | 2.9× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 6 matching MRF lines |
$68–$339 | $68–$339 | varies |
| Cytp Concentration Smears & Interpretation (88108) range across 5 matching MRF lines |
$36–$206 | $36–$206 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $149 | $149 | 2.8× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $56 | $56 | 0.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 2 matching MRF lines |
$75–$162 | $75–$162 | varies |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $614 | $614 | 3.6× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $59 | $59 | 3.2× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $97 | $97 | 1.9× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) range across 2 matching MRF lines |
$65–$193 | $65–$193 | varies |
| Cytp Urine 3-5 Probes Cmptr (88121) | $531 | $531 | 3.1× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) | $20 | $20 | 1.9× |
| Deoxyribonuclease antibody (86215) | $143 | $143 | 10.8× |
| Detect Agent Nos Dna Amp (87798) range across 8 matching MRF lines |
$89–$453 | $89–$453 | varies |
| Detect agnt mult DNA ampli (87801) | $179 | $179 | 2.5× |
| Dgp Antibody Each Ig Class (86258) | $129 | $129 | 10.7× |
| Dhea (82626) | $227 | $227 | 9.0× |
| Dhea-S (82627) | $164 | $164 | 7.4× |
| Digoxin (80162) range across 2 matching MRF lines |
$61–$189 | $61–$189 | varies |
| Dna Antibody Native/Double Stranded (86225) range across 7 matching MRF lines |
$89–$1,178 | $89–$1,178 | varies |
| Dna Antibody Single Stranded (86226) | $243 | $243 | 20.1× |
| Drug Assay Lacosamide (80235) | $238 | $238 | 8.8× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$75–$169 | $75–$169 | varies |
| Drug Screen Quantitative Levetiracetam (80177) | $171 | $171 | 12.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $101 | $101 | 7.6× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $48 | $48 | 2.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 13 matching MRF lines |
$32–$410 | $32–$410 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$51–$53 | $51–$53 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 4 matching MRF lines |
$76–$139 | $76–$139 | varies |
| Electrolyte panel (80051) range across 3 matching MRF lines |
$42–$206 | $42–$206 | varies |
| Electron Microscopy (88348) | $697 | $697 | 0.9× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $532 | $532 | 8.7× |
| Enterovirus Antibody (86658) | $94 | $94 | 7.2× |
| Enzyme cell activity (82657) | $423 | $423 | 19.1× |
| Enzyme histochemistry (88319) | $86 | $86 | 0.1× |
| Erythropoietin (82668) | $143 | $143 | 7.6× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$95–$507 | $95–$507 | varies |
| Estriol (82677) | $157 | $157 | 6.5× |
| Estrogen total (82672) range across 2 matching MRF lines |
$107–$269 | $107–$269 | varies |
| Ethosuximide (80168) | $80 | $80 | 4.9× |
| Ethylene Glycol (82693) | $155 | $155 | 10.4× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$20–$96 | $20–$96 | varies |
| Factor ii activity (85210) range across 2 matching MRF lines |
$203–$1,128 | $203–$1,128 | varies |
| Factor ix activity (85250) range across 3 matching MRF lines |
$244–$389 | $244–$389 | varies |
| Factor v activity (85220) | $532 | $532 | 30.1× |
| Factor v leiden mutation (81241) | $348 | $348 | 4.7× |
| Factor viii assay (85240) range across 3 matching MRF lines |
$276–$1,121 | $276–$1,121 | varies |
| Fat/Lipids Feces Quantitative (82710) | $148 | $148 | 8.8× |
| Fecal Fat Qualitative (82705) | $105 | $105 | 20.6× |
| Ferritin (82728) range across 2 matching MRF lines |
$58–$143 | $58–$143 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $488 | $488 | 3.2× |
| Fibrin degradation products (85362) | $108 | $108 | 15.7× |
| Fibrin Degradation Quant (85379) range across 3 matching MRF lines |
$73–$234 | $73–$234 | varies |
| Fibrinogen activity (85384) | $135 | $135 | 13.9× |
| Fibrinogen antigen (85385) | $269 | $269 | 18.6× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $20 | $20 | 1.3× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$86–$811 | $86–$811 | varies |
| Fluorescent antibody screen (86255) range across 9 matching MRF lines |
$20–$281 | $20–$281 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 5 matching MRF lines |
$20–$268 | $20–$268 | varies |
| Folic acid rbc (82747) | $164 | $164 | 9.3× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$79–$162 | $79–$162 | varies |
| Follicle Stimulating Hormone (83001) range across 3 matching MRF lines |
$75–$202 | $75–$202 | varies |
| Forensic Cytopathology (88125) | $23 | $23 | 0.4× |
| Frozen blood freeze/thaw (86932) | $822 | $822 | 21.9× |
| Frozen Section (88331) | $101 | $101 | 0.6× |
| Fungi Identification Mold (87107) | $151 | $151 | 14.6× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$143–$211 | $143–$211 | varies |
| Gammaglobulin ige (82785) range across 5 matching MRF lines |
$159–$751 | $159–$751 | varies |
| Gastric Analy W/Ph Ea Spec (82930) | $108 | $108 | 16.1× |
| Gastrin (82941) | $111 | $111 | 6.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $865 | $865 | 2.1× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$269–$274 | $269–$274 | varies |
| Genetic Tstg Severe Inh Cond (81443) | $2,722 | $2,722 | 1.1× |
| Gentamicin (80170) | $207 | $207 | 12.6× |
| Ggt (82977) | $116 | $116 | 16.1× |
| Giardia antigen (87329) | $132 | $132 | 11.0× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$50–$51 | $50–$51 | varies |
| Glucose body fluid (82945) | $108 | $108 | 27.5× |
| Glucose Serum (82947) range across 5 matching MRF lines |
$26–$65 | $26–$65 | varies |
| Glucose tolerance test (gtt) (82951) range across 7 matching MRF lines |
$48–$213 | $48–$213 | varies |
| Glutathione (82978) | $95 | $95 | 6.1× |
| Glycated Protein (82985) | $114 | $114 | 6.8× |
| Gonadotropin Chorionic Qualitative (84703) range across 3 matching MRF lines |
$53–$190 | $53–$190 | varies |
| Growth hormone (83003) | $64 | $64 | 3.8× |
| Gtt-added samples (82952) | $70 | $70 | 17.9× |
| Haloperidol (80173) | $139 | $139 | 8.8× |
| Haptoglobin (83010) | $137 | $137 | 10.9× |
| Hdl Cholesterol (83718) | $102 | $102 | 12.5× |
| Heavy metal qualitative any analytes (83015) | $296 | $296 | 14.1× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$78–$232 | $78–$232 | varies |
| Helminth Antibody (86682) | $114 | $114 | 8.8× |
| Hemagglutination Inhibition (86280) range across 3 matching MRF lines |
$88–$409 | $88–$409 | varies |
| Hematocrit (85014) range across 3 matching MRF lines |
$18–$48 | $18–$48 | varies |
| Hemoglobin (85018) range across 3 matching MRF lines |
$15–$59 | $15–$59 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$31–$112 | $31–$112 | varies |
| Hemoglobin Chromotography (83021) | $146 | $146 | 8.1× |
| Hemoglobin Copper Sulfate Method Non-Automated (83026) | $14 | $14 | 3.5× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$20–$203 | $20–$203 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $114 | $114 | 13.9× |
| Hemoglobin plasma (83051) | $96 | $96 | 13.1× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) | $28 | $28 | 2.9× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$66–$125 | $66–$125 | varies |
| Hepatitis a antibody total (86708) range across 3 matching MRF lines |
$68–$135 | $68–$135 | varies |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$78–$110 | $78–$110 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$140–$298 | $140–$298 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$14–$134 | $14–$134 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$78–$156 | $78–$156 | varies |
| Hepatitis Be Antibody (86707) | $81 | $81 | 7.0× |
| Hepatitis Be Antigen (87350) | $81 | $81 | 7.0× |
| Hepatitis C Antibody (86803) range across 5 matching MRF lines |
$82–$506 | $82–$506 | varies |
| Hepatitis c antibody confirmatory test (86804) | $490 | $490 | 31.6× |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
$724–$944 | $724–$944 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 5 matching MRF lines |
$185–$1,008 | $185–$1,008 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$305–$568 | $305–$568 | varies |
| Hepatitis Delta Agent Antibody (86692) | $151 | $151 | 8.8× |
| Herpes simplex type 2 (86696) range across 4 matching MRF lines |
$87–$136 | $87–$136 | varies |
| Heterophile antibodies titer (86309) | $88 | $88 | 13.6× |
| Heterophile Antibody Screen (86308) range across 5 matching MRF lines |
$38–$105 | $38–$105 | varies |
| Hfe Gene (81256) | $299 | $299 | 4.6× |
| Histamine urine (83088) | $317 | $317 | 10.7× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$177–$276 | $177–$276 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $186 | $186 | 7.7× |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$73–$329 | $73–$329 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $529 | $529 | 6.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $405 | $405 | 5.4× |
| Hla I Typing 1 Allele Hr (81381) | $192 | $192 | 1.1× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $19 | $19 | 0.1× |
| Hla ii type 1 ag equiv lr (81377) | $1,437 | $1,437 | 15.2× |
| Hla Typing a/B/C Multiple Antigens (86813) | $412 | $412 | 7.1× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $1,098 | $1,098 | 10.3× |
| Homocysteine (83090) | $216 | $216 | 12.1× |
| Homogenization Tissue (87176) | $84 | $84 | 14.3× |
| Homovanillic acid urine (83150) | $113 | $113 | 5.0× |
| Hpv High-Risk Types (87624) range across 3 matching MRF lines |
$89–$283 | $89–$283 | varies |
| Hpv low-risk types (87623) | $89 | $89 | 2.5× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$393–$404 | $393–$404 | varies |
| Human Epididymis Protein 4 (86305) | $288 | $288 | 13.8× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$155–$160 | $155–$160 | varies |
| Hydroxyproline free (83500) | $50 | $50 | 2.2× |
| Hydroxyproline total (83505) | $172 | $172 | 7.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 3 matching MRF lines |
$116–$119 | $116–$119 | varies |
| Iaad ia shiga-like toxin (87427) | $122 | $122 | 10.2× |
| Iadna Bartonella Amplified Probe Technique (87471) | $397 | $397 | 11.3× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $620 | $620 | 17.7× |
| Iadna Candida Species Amplified Probe Tq (87481) | $89 | $89 | 2.5× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $898 | $898 | 25.6× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) range across 3 matching MRF lines |
$149–$267 | $149–$267 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $388 | $388 | 9.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $855 | $855 | 12.2× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$229–$660 | $229–$660 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $471 | $471 | 13.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$125–$228 | $125–$228 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) range across 2 matching MRF lines |
$197–$203 | $197–$203 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 4 matching MRF lines |
$20–$254 | $20–$254 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 7 matching MRF lines |
$329–$928 | $329–$928 | varies |
| Immunoassay infectious agent (86318) range across 4 matching MRF lines |
$57–$134 | $57–$134 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 8 matching MRF lines |
$119–$653 | $119–$653 | varies |
| Immunoassay nonantibody (83516) range across 17 matching MRF lines |
$132–$1,440 | $132–$1,440 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $20 | $20 | 0.9× |
| Immunoelectrophoresis Serum (86320) | $20 | $20 | 0.7× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$20–$326 | $20–$326 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $108 | $108 | 0.6× |
| In situ hybridization 1st probe stain (88365) | $179 | $179 | 1.0× |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$49–$50 | $49–$50 | varies |
| Inhibin A (86336) range across 2 matching MRF lines |
$119–$321 | $119–$321 | varies |
| Inhibin b (83520) range across 13 matching MRF lines |
$132–$606 | $132–$606 | varies |
| Insitu hybridization auto (88367) | $256 | $256 | 0.7× |
| Insitu hybridization manual (88368) | $234 | $234 | 0.6× |
| Insulin antibodies (86337) | $238 | $238 | 11.1× |
| Insulin free (83527) | $189 | $189 | 14.6× |
| Insulin total (83525) range across 2 matching MRF lines |
$78–$133 | $78–$133 | varies |
| Intrinsic factor antibody (86340) | $146 | $146 | 9.7× |
| Iron (83540) range across 2 matching MRF lines |
$30–$82 | $30–$82 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$40–$107 | $40–$107 | varies |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$122–$179 | $122–$179 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $519 | $519 | 5.7× |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$31–$188 | $31–$188 | varies |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$80–$91 | $80–$91 | varies |
| LDL direct (83721) | $98 | $98 | 9.3× |
| Lead (83655) range across 2 matching MRF lines |
$57–$129 | $57–$129 | varies |
| Legionella antibody (86713) | $139 | $139 | 9.1× |
| Legionella antigen urine (87449) | $127 | $127 | 10.6× |
| Leptospira antibody (86720) | $252 | $252 | 15.6× |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$46–$79 | $46–$79 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $15 | $15 | 0.5× |
| Level ii surg pathology grossµscopic exam (88302) | $30 | $30 | 0.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$289–$513 | $289–$513 | varies |
| Lidocaine (80176) | $137 | $137 | 9.3× |
| Lipase (83690) range across 3 matching MRF lines |
$54–$182 | $54–$182 | varies |
| Lipoprotein Bld Quan Part (83704) | $105 | $105 | 3.1× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) range across 2 matching MRF lines |
$210–$260 | $210–$260 | varies |
| Lipoprotein-Associated Phospholipase A2 (83698) | $428 | $428 | 9.2× |
| Lithium (80178) range across 2 matching MRF lines |
$32–$124 | $32–$124 | varies |
| Luteinizing Hormone (Lh) (83002) range across 3 matching MRF lines |
$48–$191 | $48–$191 | varies |
| Lyme disease antibody (86618) range across 4 matching MRF lines |
$144–$190 | $144–$190 | varies |
| Lysozyme serum (85549) | $128 | $128 | 6.8× |
| M. Genitalium Amp Probe (87563) | $317 | $317 | 9.0× |
| Macroscopic Exam Parasite (87169) | $51 | $51 | 11.8× |
| Magnesium Urine (83735) range across 6 matching MRF lines |
$38–$121 | $38–$121 | varies |
| Mass Spectrometry Quant (83789) | $174 | $174 | 7.2× |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) range across 2 matching MRF lines |
$72–$154 | $72–$154 | varies |
| Mercury urine (83825) range across 3 matching MRF lines |
$79–$84 | $79–$84 | varies |
| Methylmalonic acid serum (83921) | $255 | $255 | 12.0× |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$86–$110 | $86–$110 | varies |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$75–$136 | $75–$136 | varies |
| Mog-Igg1 Antb Cba Each (86362) | $855 | $855 | 71.0× |
| Molecular Cytogenetics Dna Probe Each (88271) | $357 | $357 | 16.7× |
| Molecular Pathology Procedure Level 6 (81405) | $1,082 | $1,082 | 3.6× |
| Mononuclear cell antigen (86356) | $552 | $552 | 20.6× |
| Mopath procedure level 2 (81401) | $924 | $924 | 6.7× |
| Morphometric analysis nerve (88356) | $285 | $285 | 5.4× |
| Morphometric Analysis Tumor (88358) | $85 | $85 | 0.5× |
| Mthfr Gene Analysis Common Variants (81291) | $422 | $422 | 6.5× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$73–$120 | $73–$120 | varies |
| Mycoplasma antibody (86738) | $94 | $94 | 7.1× |
| Mycoplasma culture (87109) | $155 | $155 | 10.1× |
| Myelin basic protein csf (83873) | $111 | $111 | 6.5× |
| Myoglobin urine (83874) range across 4 matching MRF lines |
$36–$208 | $36–$208 | varies |
| Natriuretic peptide (83880) range across 4 matching MRF lines |
$157–$314 | $157–$314 | varies |
| Neisseria Dir Na Probe (87590) | $86 | $86 | 3.2× |
| Nerve teasing preparations (88362) | $310 | $310 | 0.4× |
| Neutralization Test Viral (86382) | $495 | $495 | 29.3× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) range across 2 matching MRF lines |
$267–$700 | $267–$700 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $352 | $352 | 4.9× |
| Niacin (84591) range across 3 matching MRF lines |
$117–$412 | $117–$412 | varies |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
$109–$262 | $109–$262 | varies |
| Obstetric panel (80081) | $395 | $395 | 5.3× |
| Occult blood feces (82272) range across 3 matching MRF lines |
$19–$61 | $19–$61 | varies |
| Occult Blood Other Sources (82271) | $78 | $78 | 14.7× |
| Oligoclonal bands (83916) | $322 | $322 | 11.8× |
| Organic Acids Qualitative Each Specimen (83919) | $277 | $277 | 16.8× |
| Osmolality serum (83930) | $98 | $98 | 14.8× |
| Osmolality Urine (83935) | $111 | $111 | 16.3× |
| Osteocalcin (83937) | $183 | $183 | 6.1× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$48–$149 | $48–$149 | varies |
| Oxalate urine (83945) | $100 | $100 | 6.9× |
| Particle Agglutination Screen Each Antibody (86403) | $118 | $118 | 10.2× |
| Parvovirus antibody (86747) | $239 | $239 | 15.9× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $107 | $107 | 0.1× |
| Pathology Consultation During Surgery (88329) | $59 | $59 | 1.0× |
| Ph urine (81003) | $18 | $18 | 8.0× |
| Phenobarbital Level (80184) | $179 | $179 | 11.7× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$74–$105 | $74–$105 | varies |
| Phenytoin (Dilantin) (80185) | $182 | $182 | 13.7× |
| Phenytoin free (80186) range across 3 matching MRF lines |
$61–$159 | $61–$159 | varies |
| Phosphatase acid prostatic (84066) | $46 | $46 | 4.8× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$57–$69 | $57–$69 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$24–$81 | $24–$81 | varies |
| Phosphorus urine (84105) | $53 | $53 | 9.2× |
| Platelet Aggregation (85576) | $20 | $20 | 0.8× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$263–$323 | $263–$323 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$37–$111 | $37–$111 | varies |
| Platelet neutralization (85597) | $1,945 | $1,945 | 108.2× |
| Porphobilinogen, urine; quantitative (84110) | $108 | $108 | 12.8× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $125 | $125 | 8.5× |
| Potassium Urine (84133) | $51 | $51 | 10.8× |
| Prealbumin (84134) | $116 | $116 | 8.0× |
| Pregnenolone (84140) | $146 | $146 | 7.1× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $222 | $222 | 1.3× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $64 | $64 | 1.1× |
| Primidone (80188) | $96 | $96 | 5.8× |
| Procalcitonin (Pct) (84145) | $332 | $332 | 12.2× |
| Progesterone (84144) range across 2 matching MRF lines |
$164–$170 | $164–$170 | varies |
| Prolactin (84146) range across 3 matching MRF lines |
$85–$210 | $85–$210 | varies |
| Protein Alys Wstrn Blot I&R Immunological Ea (88372) | $20 | $20 | 0.8× |
| Protein C Activity (85303) range across 3 matching MRF lines |
$190–$240 | $190–$240 | varies |
| Protein c antigen (85302) | $223 | $223 | 18.6× |
| Protein Electrophoresis Urine (84166) | $20 | $20 | 1.1× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 8 matching MRF lines |
$20–$508 | $20–$508 | varies |
| Protein S Free (85306) | $575 | $575 | 37.5× |
| Protein s total (85305) | $262 | $262 | 22.6× |
| Protein Total Refractometry Any Src (84160) | $50 | $50 | 8.9× |
| Protein total serum (84155) | $55 | $55 | 15.0× |
| Protein Total Urine (84156) range across 5 matching MRF lines |
$26–$169 | $26–$169 | varies |
| Protein Western Blot Test (84182) | $20 | $20 | 0.7× |
| Protein, western blot tissue (88371) | $20 | $20 | 0.9× |
| Protoporphyrin rbc quantitative (84202) | $27 | $27 | 1.9× |
| PSA free (84154) range across 2 matching MRF lines |
$38–$133 | $38–$133 | varies |
| Pth Intact (83970) range across 4 matching MRF lines |
$208–$381 | $208–$381 | varies |
| Q Fever Antibody (86638) range across 3 matching MRF lines |
$132–$141 | $132–$141 | varies |
| Quantiferon tb gold plus (86480) | $248 | $248 | 4.0× |
| Quantitative assay drug (80299) range across 16 matching MRF lines |
$83–$536 | $83–$536 | varies |
| Quinidine (80194) | $69 | $69 | 4.7× |
| Rbc antibody elution (86860) | $171 | $171 | 1.0× |
| Rbc antibody identification (86870) | $285 | $285 | 0.8× |
| Rbc antibody screen (86850) | $111 | $111 | 11.4× |
| Rbc pretreatment serum (86978) | $198 | $198 | 3.3× |
| Rbc pretx incubatj w/enzymes (86971) | $82 | $82 | 0.5× |
| Rbc serum pretx incubj drugs (86975) | $40 | $40 | 0.1× |
| Reagent Strip/Blood Glucose (82948) | $23 | $23 | 4.6× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$132–$324 | $132–$324 | varies |
| Resp virus 12-25 targets (87633) range across 3 matching MRF lines |
$427–$897 | $427–$897 | varies |
| Reticulated Platelet Assay (85055) | $72 | $72 | 2.0× |
| Reticulocyte Count Manual (85044) | $109 | $109 | 25.3× |
| Rh (86901) range across 2 matching MRF lines |
$24–$80 | $24–$80 | varies |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$33–$105 | $33–$105 | varies |
| Rheumatoid factor quant (86431) range across 4 matching MRF lines |
$33–$304 | $33–$304 | varies |
| Rickettsia antibody (86757) | $251 | $251 | 13.0× |
| Rotavirus ag eia (87425) | $81 | $81 | 6.8× |
| Rpr qualitative (86592) range across 8 matching MRF lines |
$32–$591 | $32–$591 | varies |
| Rsv Assay W/Optic (87807) range across 3 matching MRF lines |
$48–$49 | $48–$49 | varies |
| Rubella Antibody (86762) range across 5 matching MRF lines |
$64–$131 | $64–$131 | varies |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$31–$99 | $31–$99 | varies |
| Russell Viper Venom Time Diluted (85613) | $168 | $168 | 17.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 5 matching MRF lines |
$165–$170 | $165–$170 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 4 matching MRF lines |
$44–$256 | $44–$256 | varies |
| Sarscov2 & inf a&b amp prb (87636) range across 2 matching MRF lines |
$330–$339 | $330–$339 | varies |
| Sedimentation rate (85651) range across 3 matching MRF lines |
$32–$94 | $32–$94 | varies |
| Selenium (84255) | $135 | $135 | 5.3× |
| Semen Anal Sperm Detection (89321) | $51 | $51 | 4.2× |
| Semen analysis complete (89320) range across 2 matching MRF lines |
$52–$60 | $52–$60 | varies |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$21–$105 | $21–$105 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$165–$297 | $165–$297 | varies |
| Sickling of rbc reduction (85660) | $116 | $116 | 21.1× |
| Sirolimus (80195) | $255 | $255 | 18.6× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$8–$37 | $8–$37 | varies |
| Skin test unlisted antigen each (86486) | $5 | $5 | 0.2× |
| Skin test; histoplasmosis (86510) | $6 | $6 | 0.2× |
| Smear acid fast (87206) range across 24 matching MRF lines |
$52–$116 | $52–$116 | varies |
| Smear gram stain (87205) | $95 | $95 | 22.2× |
| Smear Special Stain (87207) range across 4 matching MRF lines |
$20–$125 | $20–$125 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 4 matching MRF lines |
$28–$72 | $28–$72 | varies |
| Sodium Serum (84295) range across 4 matching MRF lines |
$9–$59 | $9–$59 | varies |
| Sodium Urine (84300) range across 3 matching MRF lines |
$39–$81 | $39–$81 | varies |
| Soluble Transferrin Receptor (84238) | $195 | $195 | 5.3× |
| Somatomedin (84305) | $311 | $311 | 14.6× |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
$95–$197 | $95–$197 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$66–$242 | $66–$242 | varies |
| Specific gravity body fluid (84315) | $69 | $69 | 21.0× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$100–$105 | $100–$105 | varies |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) range across 2 matching MRF lines |
$17–$105 | $17–$105 | varies |
| Stool cultr aerobic bact ea (87046) | $87 | $87 | 9.2× |
| Strep a assay w/optic (87880) range across 3 matching MRF lines |
$48–$205 | $48–$205 | varies |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) range across 2 matching MRF lines |
$40–$95 | $40–$95 | varies |
| Surg path level iii (88304) range across 2 matching MRF lines |
$43–$271 | $43–$271 | varies |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$72–$302 | $72–$302 | varies |
| Surgical pathology level vi (88309) | $441 | $441 | 0.5× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$25–$95 | $25–$95 | varies |
| Sweat Collection Iontophoresis (89230) | $5 | $5 | 0.1× |
| T cells absolute cd4 count (86361) | $228 | $228 | 8.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$255–$479 | $255–$479 | varies |
| T3 Free (84481) range across 2 matching MRF lines |
$184–$186 | $184–$186 | varies |
| T3 reverse (84482) | $249 | $249 | 15.8× |
| T3 Total (84480) range across 2 matching MRF lines |
$63–$144 | $63–$144 | varies |
| T3 Uptake (84479) range across 3 matching MRF lines |
$30–$114 | $30–$114 | varies |
| T4 Free (84439) range across 4 matching MRF lines |
$54–$118 | $54–$118 | varies |
| T4 total (84436) range across 3 matching MRF lines |
$34–$119 | $34–$119 | varies |
| Tacrolimus (80197) | $308 | $308 | 22.4× |
| Test for acetone/ketones (82009) | $84 | $84 | 18.6× |
| Testosterone total (84403) range across 6 matching MRF lines |
$132–$434 | $132–$434 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$126–$189 | $126–$189 | varies |
| Theophylline (80198) range across 2 matching MRF lines |
$59–$147 | $59–$147 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$103–$145 | $103–$145 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$102–$161 | $102–$161 | varies |
| Thyroglobulin Antibody (86800) | $129 | $129 | 8.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $342 | $342 | 6.7× |
| Tobramycin peak (80200) | $238 | $238 | 14.8× |
| Topiramate (80201) range across 2 matching MRF lines |
$97–$172 | $97–$172 | varies |
| Touch prep (88161) | $59 | $59 | 2.0× |
| Toxin/Antitoxin Assay Tissue Culture (87230) range across 2 matching MRF lines |
$116–$213 | $116–$213 | varies |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$136–$137 | $136–$137 | varies |
| Toxoplasma antibody (86777) | $111 | $111 | 7.7× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 4 matching MRF lines |
$24–$79 | $24–$79 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$68–$114 | $68–$114 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$89–$146 | $89–$146 | varies |
| Triglycerides (84478) range across 4 matching MRF lines |
$47–$136 | $47–$136 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$95–$272 | $95–$272 | varies |
| Tumor immunohistochem/comput (88361) | $159 | $159 | 0.4× |
| Tumor Immunohistochem/Manual (88360) | $132 | $132 | 0.8× |
| Unlisted Cytogenetic Study (88299) | $72 | $72 | 1.4× |
| Unlisted Transfusion Medicine Procedure (86999) | $384 | $384 | 13.2× |
| Urea nitrogen urine (84540) | $45 | $45 | 8.1× |
| Uric acid other source (84560) | $129 | $129 | 25.4× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 3 matching MRF lines |
$11–$60 | $11–$60 | varies |
| Urinalysis Volume Measure (81050) | $32 | $32 | 8.8× |
| Urine Albumin Semiquantitative (82044) range across 3 matching MRF lines |
$77–$79 | $77–$79 | varies |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$30–$169 | $30–$169 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $27 | $27 | 8.5× |
| Valproic acid (80164) range across 4 matching MRF lines |
$70–$282 | $70–$282 | varies |
| Vancomycin (80202) | $208 | $208 | 15.4× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$105–$147 | $105–$147 | varies |
| Vasopressin (84588) | $384 | $384 | 11.3× |
| Viral Culture (87252) | $459 | $459 | 17.6× |
| Virus antibody nos (86790) range across 5 matching MRF lines |
$119–$317 | $119–$317 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$210–$267 | $210–$267 | varies |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) range across 2 matching MRF lines |
$85–$340 | $85–$340 | varies |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$174–$298 | $174–$298 | varies |
| Vitamin A (84590) range across 2 matching MRF lines |
$15–$63 | $15–$63 | varies |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$64–$175 | $64–$175 | varies |
| Vitamin B2 (Riboflavin) (84252) | $222 | $222 | 11.0× |
| Vitamin B6 (84207) | $238 | $238 | 8.5× |
| Vitamin c (82180) range across 2 matching MRF lines |
$96–$165 | $96–$165 | varies |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$76–$378 | $76–$378 | varies |
| Vitamin E (84446) | $109 | $109 | 7.7× |
| Vitamin K (84597) range across 2 matching MRF lines |
$63–$233 | $63–$233 | varies |
| Volatiles (84600) | $112 | $112 | 6.5× |
| Wbc Alkaline Phosphatase Count (85540) | $96 | $96 | 11.2× |
| West nile virus ab igm (86788) | $143 | $143 | 8.5× |
| West Nile Virus Antibody (86789) | $153 | $153 | 10.6× |
| Western Blot Test (84181) | $20 | $20 | 1.2× |
| Xm Archive Tissue Molec Anal (88363) | $23 | $23 | 0.8× |
| Zinc (84630) range across 2 matching MRF lines |
$24–$155 | $24–$155 | 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.