Lab & pathology prices at Bon Secours Southampton Medical Center
Franklin, VA · every code in this section with a posted price and a Medicare benchmark.
517 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abl1 gene analysis kinase domain variants (81170) | $496.20 | $1,654 | 1.7× |
| Acetylcholine receptor binding antibody (86041) range across 3 matching MRF lines |
$4.80–$109.20 | $16–$364 | varies |
| Acetylcholine receptor blocking antibody (86042) range across 3 matching MRF lines |
$8.10–$109.20 | $27–$364 | varies |
| Acetylcholn Rcptr Modlg Antb (86043) range across 2 matching MRF lines |
$19.20–$109.20 | $64–$364 | varies |
| Acth (82024) | $82.80 | $276 | 2.1× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $54 | $180 | 1.7× |
| Actin smooth muscle antibody each (86015) | $20.10 | $67 | 1.7× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$164.40–$264.90 | $548–$883 | varies |
| Albumin Fluid (82042) | $69.90 | $233 | 9.0× |
| Albumin serum (82040) | $70.50 | $235 | 14.2× |
| Aldolase (82085) | $67.20 | $224 | 6.9× |
| Aldosterone urine (82088) | $265.20 | $884 | 6.5× |
| Alkaline phosphatase isoenzymes (84080) | $47.40 | $158 | 3.2× |
| Allergen specific ige (86003) | $25.80 | $86 | 4.9× |
| Allg Spec Ige Recomb Ea (86008) | $20.70 | $69 | 1.2× |
| Alpha-1-antitrypsin phenotype (82104) | $123 | $410 | 8.5× |
| Alpha-1-antitrypsin total (82103) | $129.60 | $432 | 9.6× |
| Alpha-Fetoprotein Serum (82105) | $59.40 | $198 | 3.5× |
| Alt (sgpt) (84460) | $70.50 | $235 | 13.3× |
| Amikacin trough (80150) | $54 | $180 | 3.6× |
| Ammonia (82140) | $105 | $350 | 7.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $63.90 | $213 | 0.7× |
| Amylase urine (82150) | $73.20 | $244 | 11.3× |
| Anca Titer Each Antibody (86037) | $21 | $70 | 1.7× |
| Angiotensin converting enzyme csf (82164) | $151.80 | $506 | 10.4× |
| Anti-Phospholipid Antibody (86148) | $49.20 | $164 | 3.1× |
| Antibody aspergillus (86606) | $27.60 | $92 | 1.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$52.80–$122.40 | $176–$408 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $59.10 | $197 | 3.5× |
| Antibody Encephalitis California La Crosse (86651) | $68.40 | $228 | 5.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $150.90 | $503 | 11.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $73.20 | $244 | 4.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $72 | $240 | 4.0× |
| Antibody Fungus Not Elsewhere Specified (86671) | $198.60 | $662 | 16.2× |
| Antibody helicobacter pylori (86677) | $68.10 | $227 | 4.0× |
| Antibody Herpes Smplx Type 1 (86695) | $41.70 | $139 | 3.2× |
| Antibody HIV-2 (86702) | $37.80 | $126 | 2.8× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $535.50 | $1,785 | 1.7× |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $158.10 | $527 | 1.7× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $135 | $450 | 1.6× |
| Antibody Protozoa Nes (86753) | $28.50 | $95 | 2.3× |
| Antibody Titer (86886) range across 2 matching MRF lines |
$67.20–$74.10 | $224–$247 | varies |
| Antibody Treponema Pallidum (86780) | $35.40 | $118 | 2.7× |
| Antibody; encephalitis, st. louis (86653) | $68.40 | $228 | 5.2× |
| Antigen typing (86905) | $337.80 | $1,126 | 88.2× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$52.80–$164.10 | $176–$547 | varies |
| Antinomyces antibody (86602) | $18.90 | $63 | 1.9× |
| Antinuclear antibodies (86038) | $87 | $290 | 7.2× |
| Antistreptolysin o titer (86060) | $40.20 | $134 | 5.5× |
| Antithrombin iii activity (85300) | $61.20 | $204 | 5.2× |
| Antithrombin iii antigen (85301) | $9.60 | $32 | 0.9× |
| Apolipoprotein a1 (82172) | $110.70 | $369 | 5.2× |
| Aquaporin-4 Antb Cba Each (86052) range across 2 matching MRF lines |
$276.60–$359.70 | $922–$1,199 | varies |
| Aquaporin-4 Antb Elisa (86051) | $106.50 | $355 | 9.2× |
| Arsenic (82175) | $126.60 | $422 | 6.7× |
| Aspergillus ag eia (87305) | $66.90 | $223 | 5.6× |
| Assay Blood Carbon Dioxide (82374) | $70.50 | $235 | 14.4× |
| Assay Duodenal Fluid Trypsin (84485) | $16.80 | $56 | 2.3× |
| Assay myeloperoxidase (83876) | $80.10 | $267 | 1.6× |
| Assay Nephelometry Not Spec (83883) | $25.20 | $84 | 1.9× |
| Assay of 5-hiaa (83497) | $132.30 | $441 | 10.3× |
| Assay of blood/uric acid (84550) | $54.30 | $181 | 12.0× |
| Assay of calcium in urine (82340) | $101.70 | $339 | 16.9× |
| Assay of g6pd enzyme (82955) | $133.50 | $445 | 13.8× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$14.70–$44.70 | $49–$149 | varies |
| Assay of lactic acid (83605) | $74.70 | $249 | 6.5× |
| Assay of metanephrines (83835) | $138.60 | $462 | 8.2× |
| Assay of proinsulin (84206) | $48.90 | $163 | 1.8× |
| Assay of pyruvate (84210) | $22.80 | $76 | 1.6× |
| Assay of serum potassium (84132) | $57.90 | $193 | 12.2× |
| Assay of sweat sodium (84302) | $19.20 | $64 | 4.0× |
| Assay of urea nitrogen (84520) | $70.50 | $235 | 17.8× |
| Assay of vitamin b-1 (84425) | $348.90 | $1,163 | 16.4× |
| Assay Ph Body Fluid Nos (83986) | $60.60 | $202 | 16.9× |
| Assay spec xcp ur&breath ia (82077) | $33.60 | $112 | 1.9× |
| B cells total count (86355) | $20.70 | $69 | 0.5× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$7.50–$18.90 | $25–$63 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$164.10–$170.70 | $547–$569 | varies |
| Bcr/abl1 gene minor bp (81207) | $164.10 | $547 | 1.1× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$70.50–$75 | $235–$250 | varies |
| Beta hydroxybutyrate (82010) | $24.60 | $82 | 3.0× |
| Beta Lactamase (87185) | $8.10 | $27 | 1.7× |
| Beta-2 Microglobulin (82232) | $42.30 | $141 | 2.6× |
| Bilirubin direct (82248) | $69.90 | $233 | 13.9× |
| Bilirubin total (82247) | $70.50 | $235 | 14.0× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $134.70 | $449 | 0.8× |
| Blood Count Red Blood Cell Automated (85041) | $9 | $30 | 3.0× |
| Blood count reticulocyte automated (85045) | $55.50 | $185 | 13.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $20.70 | $69 | 5.4× |
| Blood gas (82803) | $33.30 | $111 | 1.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $26.40 | $88 | 1.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $337.80 | $1,126 | 53.2× |
| Blood typing serologic abo (86900) range across 6 matching MRF lines |
$43.20–$65.10 | $144–$217 | varies |
| Body fluid cell count (89050) | $6.30 | $21 | 1.3× |
| Bordetella antibody (86615) | $11.10 | $37 | 0.8× |
| Braf gene analysis (81210) | $137.70 | $459 | 0.8× |
| C diff amplified probe (87493) | $52.50 | $175 | 1.4× |
| C-Peptide (84681) | $79.20 | $264 | 3.8× |
| C-reactive protein (86140) | $109.80 | $366 | 21.2× |
| Ca 19-9 (86301) | $54 | $180 | 2.6× |
| Calcium ionized (82330) | $52.80 | $176 | 3.9× |
| Calcium total (82310) | $63.30 | $211 | 12.3× |
| Calculus assay quant (82360) | $162.30 | $541 | 12.6× |
| Calprotectin Fecal (83993) | $90.60 | $302 | 4.6× |
| Calr gene com variants (81219) | $222.30 | $741 | 1.8× |
| Cancer Antigen 125 (86304) | $206.10 | $687 | 9.9× |
| Cancer Antigen 27.29 (86300) | $76.20 | $254 | 3.7× |
| Carbamazepine free (80157) | $150.90 | $503 | 11.4× |
| Carbamazepine total (80156) | $170.40 | $568 | 11.7× |
| Carcinoembryonic antigen (82378) | $167.70 | $559 | 8.8× |
| Cardiolipin ab iga (86147) | $66.60 | $222 | 2.6× |
| Catecholamines fractionated (82384) | $265.20 | $884 | 10.5× |
| Ccp antibody (86200) | $123 | $410 | 9.5× |
| Cell count csf (89051) | $128.40 | $428 | 22.9× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $213.90 | $713 | 1.6× |
| Ceruloplasmin (82390) | $75 | $250 | 7.0× |
| Chemiluminescent assay (82397) | $122.40 | $408 | 8.7× |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $410.70 | $1,369 | 1.6× |
| Chlamydia antibody (86631) | $36.60 | $122 | 3.1× |
| Chlamydia Igm Antibody (86632) | $37.50 | $125 | 3.0× |
| Chloride urine (82436) | $69.90 | $233 | 12.2× |
| Cholesterol total (82465) | $70.50 | $235 | 16.2× |
| Cholinesterase Serum (82480) | $12.30 | $41 | 1.6× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$66.60–$106.50 | $222–$355 | varies |
| Chromogranin a (86316) | $70.80 | $236 | 3.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$95.10–$97.80 | $317–$326 | varies |
| Ckmb (82553) | $96.30 | $321 | 8.3× |
| Clostridium Difficile (87324) | $50.10 | $167 | 4.2× |
| Clot Factor VIII Multimetric (85247) | $233.10 | $777 | 10.2× |
| Cns DNA amp probe type 12-25 (87483) | $687.90 | $2,293 | 1.7× |
| Cold agglutinin screen (86156) | $42.60 | $142 | 5.3× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$109.50–$120.60 | $365–$402 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $366.90 | $1,223 | 1.6× |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$99.30–$105 | $331–$350 | varies |
| Complement Antigen Each Component (86160) | $74.70 | $249 | 6.2× |
| Complement Total (Ch50) (86162) | $163.50 | $545 | 8.0× |
| Complement/Function Activity (86161) | $143.10 | $477 | 11.9× |
| Coombs direct (86880) range across 4 matching MRF lines |
$48.30–$79.20 | $161–$264 | varies |
| Copper urine (82525) | $38.70 | $129 | 3.1× |
| Cortisol saliva (82533) | $30.30 | $101 | 1.9× |
| Creatine kinase total (82550) | $57.90 | $193 | 8.9× |
| Creatinine blood (82565) | $70.50 | $235 | 13.8× |
| Creatinine clearance (82575) | $136.20 | $454 | 14.4× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$27.30–$67.50 | $91–$225 | varies |
| Crossmatch electronic (86923) | $164.70 | $549 | 1.0× |
| Crossmatch immediate spin (86920) | $69.90 | $233 | 0.4× |
| Crp High Sensitivity (86141) | $192.90 | $643 | 14.9× |
| Cryoglobulin (82595) | $96.90 | $323 | 15.0× |
| Cryptococcal Antigen (87327) | $40.50 | $135 | 3.0× |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
$27.60–$290.10 | $92–$967 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$14.10–$70.20 | $47–$234 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $70.20 | $234 | 8.7× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $378.60 | $1,262 | 1.7× |
| Culture afb (87116) | $62.10 | $207 | 5.8× |
| Culture Anaerobic (87075) | $64.20 | $214 | 6.8× |
| Culture blood (87040) | $45.90 | $153 | 4.4× |
| Culture chlamydia (87110) | $30.90 | $103 | 1.6× |
| Culture csf (87070) | $64.50 | $215 | 7.5× |
| Culture fungus (87102) | $129.30 | $431 | 15.4× |
| Culture fungus blood (87103) | $70.20 | $234 | 3.4× |
| Culture screen only (87081) | $18 | $60 | 2.7× |
| Culture stool (87045) | $14.70 | $49 | 1.6× |
| Culture typing if ea antiserum (87140) | $8.70 | $29 | 1.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $15 | $50 | 2.9× |
| Culture typing other methods (87158) | $137.10 | $457 | 17.7× |
| Culture urine (87086) | $36.60 | $122 | 4.5× |
| Cyp3a4 gene common variants (81230) | $262.20 | $874 | 1.5× |
| Cyp3a5 gene common variants (81231) | $262.20 | $874 | 1.5× |
| Cystatin C (82610) | $57.60 | $192 | 3.1× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,827 | $6,090 | 1.6× |
| Cytomegalovirus igg (86644) | $38.40 | $128 | 2.7× |
| Cytopath Cell Enhance Tech (88112) | $90.60 | $302 | 1.8× |
| Deoxyribonuclease antibody (86215) | $165.90 | $553 | 12.5× |
| Detect Agent Nos Dna Amp (87798) | $132.30 | $441 | 3.8× |
| Detect Agent Nos Dna Quant (87799) | $539.70 | $1,799 | 12.6× |
| Detect agnt mult DNA ampli (87801) | $127.80 | $426 | 1.8× |
| Dgp Antibody Each Ig Class (86258) | $20.10 | $67 | 1.7× |
| Dhea-S (82627) | $105.60 | $352 | 4.8× |
| Dibucaine number (82638) | $48.60 | $162 | 4.0× |
| Digoxin (80162) | $146.40 | $488 | 11.0× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $215.70 | $719 | 1.6× |
| Dna Antibody Native/Double Stranded (86225) | $210 | $700 | 15.3× |
| Dna Antibody Single Stranded (86226) | $47.40 | $158 | 3.9× |
| Dna/Rna Amplified Probe (87150) range across 3 matching MRF lines |
$64.20–$89.70 | $214–$299 | varies |
| DNA/RNA direct probe (87149) | $56.40 | $188 | 2.8× |
| Dna/Rna Sequencing (87153) | $328.80 | $1,096 | 2.9× |
| Drug assay acetaminophen (80143) | $36 | $120 | 1.9× |
| Drug assay adalimumab (80145) | $159.30 | $531 | 4.1× |
| Drug Assay Lacosamide (80235) | $13.80 | $46 | 0.5× |
| Drug Assay Posaconazole (80187) | $52.50 | $175 | 1.9× |
| Drug Assay Vedolizumab (80280) | $230.10 | $767 | 6.0× |
| Drug assay voriconazole (80285) | $45.30 | $151 | 1.7× |
| Drug Asy Hydroxychloroquine (80220) | $63.90 | $213 | 3.4× |
| Drug Screen Quant Clozapine (80159) | $51 | $170 | 2.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $14.40 | $48 | 1.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $30.90 | $103 | 2.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $31.50 | $105 | 2.4× |
| Drug Test Prsmv Chem Anlyzr (80307) | $119.40 | $398 | 1.9× |
| Drug Test Prsmv Instrmnt (80306) | $31.50 | $105 | 1.8× |
| Ehrlichia antibody (86666) | $57.60 | $192 | 5.7× |
| El-1 Fecal Quantitative (82653) | $39.90 | $133 | 1.7× |
| Electrolyte panel (80051) | $111 | $370 | 15.8× |
| Encephaltis East Eqne Anbdy (86652) | $65.10 | $217 | 4.9× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $21 | $70 | 1.7× |
| Enterovirus Antibody (86658) | $41.40 | $138 | 3.2× |
| Enterovirus PCR (87498) | $104.40 | $348 | 3.0× |
| Epilepsy Genomic Sequence Analysis Panel (81419) | $3,856.50 | $12,855 | 1.6× |
| Erythropoietin (82668) | $168.30 | $561 | 9.0× |
| Estradiol serum (82670) | $88.20 | $294 | 3.2× |
| Estriol (82677) | $89.40 | $298 | 3.7× |
| Estrogen total (82672) | $186.90 | $623 | 8.6× |
| Exam Synovial Fluid Crystals (89060) | $39.60 | $132 | 5.4× |
| F2 Gene (81240) | $21.60 | $72 | 0.3× |
| Factor ix activity (85250) | $117.90 | $393 | 6.2× |
| Factor v leiden mutation (81241) | $24.90 | $83 | 0.3× |
| Factor viii assay (85240) | $120 | $400 | 6.7× |
| Factor X (85260) range across 2 matching MRF lines |
$111.60–$209.70 | $372–$699 | varies |
| Fatty acids free (82725) range across 2 matching MRF lines |
$67.50–$300 | $225–$1,000 | varies |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) range across 2 matching MRF lines |
$27–$241.50 | $90–$805 | varies |
| Fecal Fat Qualitative (82705) | $22.80 | $76 | 4.5× |
| Ferritin (82728) | $62.10 | $207 | 4.6× |
| Fetal Chrmoml Microdeltj (81422) | $347.40 | $1,158 | 0.5× |
| Fibrin Degradation Quant (85379) | $74.70 | $249 | 7.3× |
| Fibrinogen activity (85384) | $128.40 | $428 | 13.2× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$96.90–$532.80 | $323–$1,776 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$36–$50.10 | $120–$167 | varies |
| Folic Acid Serum (82746) range across 3 matching MRF lines |
$1.50–$136.20 | $5–$454 | varies |
| Follicle Stimulating Hormone (83001) | $184.50 | $615 | 9.9× |
| Fungi Identification Mold (87107) | $48.30 | $161 | 4.7× |
| Fungi Identification Yeast (87106) | $96.30 | $321 | 9.3× |
| G6pd gene analysis full gene sequence (81249) | $945 | $3,150 | 1.6× |
| Gammaglobulin ige (82785) | $171.60 | $572 | 10.4× |
| Gastrin (82941) | $133.50 | $445 | 7.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $131.10 | $437 | 0.3× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,527.30 | $5,091 | 2.0× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $4,598.40 | $15,328 | 1.6× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$10.80–$90.30 | $36–$301 | varies |
| Genetic Tstg Severe Inh Cond (81443) | $4,049.40 | $13,498 | 1.7× |
| Genome Sequence Analysis (81425) unusually low: confirm this is the full procedure |
$1,541.40 | $5,138 | 0.3× |
| Genome sequence analysis each comparator genome (81426) | $1,541.40 | $5,138 | 0.6× |
| Ggt (82977) range across 2 matching MRF lines |
$13.20–$59.10 | $44–$197 | varies |
| Giardia antigen (87329) | $59.10 | $197 | 4.9× |
| Glucose Blood Test (82962) | $9 | $30 | 2.7× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$9–$51.30 | $30–$171 | varies |
| Glucose Serum (82947) | $70.50 | $235 | 17.9× |
| Glucosidase beta (82963) range across 2 matching MRF lines |
$68.10–$223.50 | $227–$745 | varies |
| Glycated Protein (82985) | $90 | $300 | 5.4× |
| Gonadotropin Chorionic Qualitative (84703) | $109.80 | $366 | 14.6× |
| Gonadotropin releasing hormone (83727) | $110.40 | $368 | 6.4× |
| Haptoglobin (83010) | $138.90 | $463 | 11.0× |
| Hbb Full Gene Sequence (81364) | $537 | $1,790 | 1.7× |
| Helicobacter Pylori Stool (87338) | $53.70 | $179 | 3.7× |
| Hematocrit (85014) | $23.70 | $79 | 10.0× |
| Hemoglobin (85018) | $23.70 | $79 | 10.0× |
| Hemoglobin a1c (83036) | $43.80 | $146 | 4.5× |
| Hemoglobin Chromotography (83021) | $11.10 | $37 | 0.6× |
| Hemoglobin electrophoresis (83020) | $25.20 | $84 | 2.0× |
| Heparin assay (85520) | $24 | $80 | 1.8× |
| Hepatitis a antibody total (86708) | $37.20 | $124 | 3.0× |
| Hepatitis b core ab total (86704) | $51 | $170 | 4.2× |
| Hepatitis B Surface Antibody (86706) | $44.40 | $148 | 4.1× |
| Hepatitis B Surface Antigen (87340) | $114 | $380 | 11.0× |
| Hepatitis Be Antibody (86707) | $40.20 | $134 | 3.5× |
| Hepatitis Be Antigen (87350) | $111.30 | $371 | 9.7× |
| Hepatitis C Antibody (86803) | $63.30 | $211 | 4.4× |
| Hepatitis c antibody confirmatory test (86804) | $419.40 | $1,398 | 27.1× |
| Hepatitis C Genotype (87902) | $244.80 | $816 | 1.0× |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$96–$143.10 | $320–$477 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$179.10–$363.60 | $597–$1,212 | varies |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $1,956 | $6,520 | 1.5× |
| Herpes simplex type 2 (86696) | $52.80 | $176 | 2.7× |
| Heterophile Antibody Screen (86308) | $80.40 | $268 | 15.5× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $42 | $140 | 5.4× |
| Hiv Genotype (87901) | $821.10 | $2,737 | 3.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $65.10 | $217 | 2.7× |
| Hiv-1 Antibody (86701) | $36.60 | $122 | 4.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $163.80 | $546 | 1.9× |
| HIV-2 probe&revrse trnscripj (87538) | $14.70 | $49 | 0.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $103.50 | $345 | 1.4× |
| Hla I Typing 1 Allele Hr (81381) | $924.30 | $3,081 | 5.4× |
| Homocysteine (83090) | $328.50 | $1,095 | 18.3× |
| Homogenization Tissue (87176) | $17.70 | $59 | 3.0× |
| Hpv sep hi-rsk typ&pool rslt (87626) range across 2 matching MRF lines |
$105.30–$110.70 | $351–$369 | varies |
| Hsv Dna Amp Probe (87529) | $97.80 | $326 | 2.8× |
| Hydroxyprogesterone 17-d (83498) | $118.80 | $396 | 4.4× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $22.20 | $74 | 1.6× |
| Iaadiadoo trichomonas vaginalis (87808) | $20.10 | $67 | 1.3× |
| Iadna Bartonella Amplified Probe Technique (87471) | $90.90 | $303 | 2.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $38.70 | $129 | 1.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $206.40 | $688 | 5.9× |
| Iadna Cytomegalovirus Quantification (87497) | $308.70 | $1,029 | 7.2× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $121.80 | $406 | 1.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $146.40 | $488 | 3.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $14.70 | $49 | 0.4× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $115.20 | $384 | 1.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$95.10–$103.50 | $317–$345 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $247.50 | $825 | 1.7× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $529.20 | $1,764 | 2.0× |
| Ig Light Chains Free Each (83521) | $30.30 | $101 | 1.8× |
| Igg subclasses (82787) | $118.20 | $394 | 14.7× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$54–$54.90 | $180–$183 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$67.80–$89.70 | $226–$299 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $40.50 | $135 | 2.7× |
| Immunoassay nonantibody (83516) | $249.90 | $833 | 21.7× |
| Immunodiffusion Ouchterlony (86331) | $21.60 | $72 | 1.8× |
| Immunofixation electrophoresis (86334) | $58.20 | $194 | 2.6× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$124.20–$124.50 | $414–$415 | varies |
| Influenza assay w/optic (87804) | $37.50 | $125 | 2.3× |
| Inhibin A (86336) | $48 | $160 | 3.1× |
| Inhibin b (83520) range across 3 matching MRF lines |
$32.70–$74.10 | $109–$247 | varies |
| Insulin total (83525) | $110.40 | $368 | 9.7× |
| Interleukin-6 (83529) | $30.30 | $101 | 1.8× |
| Intrinsic factor antibody (86340) | $132.90 | $443 | 8.8× |
| Iron (83540) | $78.90 | $263 | 12.2× |
| Iron Binding Capacity (83550) | $17.70 | $59 | 2.0× |
| Islet cell antibody (86341) | $23.40 | $78 | 1.0× |
| Jak2 gene analysis p.val617phe variant (81270) | $106.50 | $355 | 1.2× |
| Jak2 Gene Trgt Sequence Alys (81279) | $234.30 | $781 | 1.3× |
| Koh Prep (87220) | $41.70 | $139 | 9.8× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$43.80–$70.50 | $146–$235 | varies |
| Ldh Isoenzymes (83625) | $39.60 | $132 | 3.1× |
| LDL direct (83721) | $99 | $330 | 9.4× |
| Lead (83655) | $9.60 | $32 | 0.8× |
| Legionella antibody (86713) | $46.20 | $154 | 3.0× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$36–$183.30 | $120–$611 | varies |
| Legionella pneumophila dfa (87278) | $73.80 | $246 | 4.7× |
| Leukocyte Assessment Fecal (89055) | $8.40 | $28 | 2.0× |
| Leukocyte Histamine Release (86343) | $273.60 | $912 | 22.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $55.50 | $185 | 2.0× |
| Level ii surg pathology grossµscopic exam (88302) | $184.80 | $616 | 5.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $225 | $750 | 0.6× |
| Lipase (83690) | $88.20 | $294 | 12.8× |
| Lipoprotein Bld Quan Part (83704) | $37.80 | $126 | 1.1× |
| Listeria Monocytogenes (86723) | $71.70 | $239 | 5.4× |
| Lithium (80178) | $102.90 | $343 | 15.6× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$29.40–$159.30 | $98–$531 | varies |
| Lyme disease antibody (86618) | $63.90 | $213 | 3.8× |
| Lysozyme serum (85549) | $42.30 | $141 | 2.3× |
| M/phmtrc alys ishquant/semiq (88374) | $222 | $740 | 1.3× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$10.80–$58.50 | $36–$195 | varies |
| Mercury urine (83825) | $126.60 | $422 | 7.8× |
| Methylmalonic acid serum (83921) | $180.60 | $602 | 8.5× |
| Microalbumin, quantitative (82043) | $114 | $380 | 19.7× |
| Microbe Suscept Macrobroth (87188) | $44.70 | $149 | 6.7× |
| Microsomal Antibodies Each (86376) | $63.30 | $211 | 4.4× |
| Mitochondrial Antibody Each (86381) | $21.30 | $71 | 0.8× |
| Mlh1 Gene (81288) | $318.30 | $1,061 | 1.7× |
| Mog-Igg1 Antb Cba Each (86362) | $259.80 | $866 | 21.6× |
| Mopath procedure level 2 (81401) | $262.80 | $876 | 1.9× |
| Mopath procedure level 4 (81403) | $125.70 | $419 | 0.7× |
| Mopath procedure level 7 (81406) | $467.70 | $1,559 | 1.7× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $306.30 | $1,021 | 1.7× |
| Mpl gene common variants (81338) | $274.80 | $916 | 1.8× |
| Mrsa Pcr (87641) | $67.50 | $225 | 1.9× |
| Mumps antibody (86735) | $4.50 | $15 | 0.3× |
| Muscle-Specific Kinase Antb (86366) | $446.70 | $1,489 | 24.3× |
| Mycoplasma antibody (86738) | $43.20 | $144 | 3.3× |
| Myelin basic protein csf (83873) | $52.50 | $175 | 3.1× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$50.40–$58.20 | $168–$194 | varies |
| Natriuretic peptide (83880) | $101.10 | $337 | 2.6× |
| Neutralization Test Viral (86382) | $26.70 | $89 | 1.6× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $201.90 | $673 | 1.6× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $405.30 | $1,351 | 1.6× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $405.30 | $1,351 | 1.6× |
| Nfct ds chrnc hcv 6 assays (81596) | $132 | $440 | 1.8× |
| Nk cells total count (86357) | $22.50 | $75 | 0.6× |
| Ntrk translocation analysis (81194) | $857.10 | $2,857 | 1.7× |
| Nuclear antigen antibody (86235) range across 4 matching MRF lines |
$33–$167.40 | $110–$558 | varies |
| Occult blood feces (82272) | $5.70 | $19 | 1.3× |
| Occult Blood Other Sources (82271) | $41.70 | $139 | 7.8× |
| Oligoclonal bands (83916) | $76.50 | $255 | 2.8× |
| Osmolality serum (83930) | $40.50 | $135 | 6.1× |
| Osmolality Urine (83935) | $124.80 | $416 | 18.3× |
| Osmotic fragility rbc incubated (85557) | $254.10 | $847 | 19.0× |
| Osteocalcin (83937) | $63 | $210 | 2.1× |
| Ova and parasites smears (87177) | $47.70 | $159 | 5.4× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$17.40–$47.70 | $58–$159 | varies |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $545.10 | $1,817 | 1.7× |
| Ph urine (81003) | $4.20 | $14 | 1.9× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$56.70–$170.40 | $189–$568 | varies |
| Phenotype Infect Agent Drug (87900) | $237.90 | $793 | 1.8× |
| Phenytoin (Dilantin) (80185) | $24.90 | $83 | 1.9× |
| Phenytoin free (80186) | $25.80 | $86 | 1.9× |
| Phosphatase alkaline (84075) | $27.90 | $93 | 5.4× |
| Phospholipid Neutralization Hexagonal (85598) | $66.90 | $223 | 3.7× |
| Phosphorus Serum (84100) | $70.50 | $235 | 14.9× |
| Platelet Antibodies (86022) | $279.30 | $931 | 15.2× |
| Platelet count automated (85049) | $41.70 | $139 | 9.3× |
| Platelet neutralization (85597) | $36 | $120 | 2.0× |
| Pneumcysts jirovecii amp prb (87594) | $52.50 | $175 | 1.5× |
| Potassium Urine (84133) | $57.90 | $193 | 12.2× |
| Prealbumin (84134) | $157.20 | $524 | 10.8× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) range across 2 matching MRF lines |
$145.50–$159.90 | $485–$533 | varies |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 2 matching MRF lines |
$152.70–$160.20 | $509–$534 | varies |
| Pretx serum rbc antibody identification dilution (86976) | $152.70 | $509 | 5.4× |
| Primidone (80188) | $52.20 | $174 | 3.1× |
| Procalcitonin (Pct) (84145) | $70.80 | $236 | 2.6× |
| Progesterone (84144) | $60 | $200 | 2.9× |
| Prolactin (84146) | $176.70 | $589 | 9.1× |
| Protein body fluid (84157) | $61.80 | $206 | 15.5× |
| Protein C Activity (85303) | $112.80 | $376 | 8.2× |
| Protein c antigen (85302) | $323.40 | $1,078 | 26.9× |
| Protein Electrophoresis Urine (84166) | $63 | $210 | 3.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $45.90 | $153 | 4.3× |
| Protein S Free (85306) | $75 | $250 | 4.9× |
| Protein s total (85305) | $431.70 | $1,439 | 37.2× |
| Protein total serum (84155) | $27.60 | $92 | 7.5× |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$27.60–$115.20 | $92–$384 | varies |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$120–$204 | $400–$680 | varies |
| PSA free (84154) | $33.60 | $112 | 1.8× |
| Pth Intact (83970) | $278.40 | $928 | 6.7× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$8.70–$52.20 | $29–$174 | varies |
| Quantiferon tb gold plus (86480) | $200.70 | $669 | 3.2× |
| Quantitative assay drug (80299) | $52.50 | $175 | 2.8× |
| Quantitative Screen Metals (83018) | $41.40 | $138 | 1.9× |
| Quinidine (80194) | $23.10 | $77 | 1.6× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$75–$106.80 | $250–$356 | varies |
| Rbc antibody identification (86870) | $158.40 | $528 | 0.5× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$52.50–$137.70 | $175–$459 | varies |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
$152.40–$159.90 | $508–$533 | varies |
| Renin activity plasma (84244) | $162.30 | $541 | 7.4× |
| Rh (86901) range across 3 matching MRF lines |
$39.90–$65.10 | $133–$217 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$11.10–$66.60 | $37–$222 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$60.90–$76.50 | $203–$255 | varies |
| Ristocetin cofactor (85245) | $60.30 | $201 | 2.6× |
| Rotavirus ag eia (87425) | $184.50 | $615 | 15.4× |
| Rpr qualitative (86592) | $4.20 | $14 | 1.0× |
| Rsv Assay W/Optic (87807) | $121.50 | $405 | 9.3× |
| Rubella Antibody (86762) | $45.90 | $153 | 3.2× |
| Rubeola antibody (86765) | $149.70 | $499 | 11.6× |
| Rufinamide (80210) | $31.20 | $104 | 1.2× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$29.10–$62.10 | $97–$207 | varies |
| Salicylate Level (80179) | $36 | $120 | 1.9× |
| Salmonella antibody (86768) | $19.80 | $66 | 1.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$61.20–$65.10 | $204–$217 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$19.50–$20.40 | $65–$68 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $136.80 | $456 | 1.0× |
| Sedimentation rate (85651) | $34.20 | $114 | 8.0× |
| Selenium (84255) | $47.70 | $159 | 1.9× |
| Sensitivity mic (87186) | $16.20 | $54 | 1.9× |
| Sex Hormone Binding Globulin (84270) | $70.50 | $235 | 3.2× |
| SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common… (81347) | $319.50 | $1,065 | 1.7× |
| Sickling of rbc reduction (85660) | $26.70 | $89 | 4.8× |
| Sirolimus (80195) | $246.60 | $822 | 18.0× |
| Smear acid fast (87206) | $3.90 | $13 | 0.7× |
| Smear complex stain (87209) | $16.80 | $56 | 0.9× |
| Smear gram stain (87205) | $73.20 | $244 | 17.1× |
| Smn1 Gene Dos/Deletion Alys (81329) | $415.50 | $1,385 | 3.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $55.50 | $185 | 9.5× |
| So neo gsap DNA/DNA&RNA (81459) | $2,242.20 | $7,474 | 0.8× |
| Sodium Serum (84295) | $70.50 | $235 | 14.7× |
| Sodium Urine (84300) | $105.60 | $352 | 20.9× |
| Somatomedin (84305) | $110.40 | $368 | 5.2× |
| Special Stains Group 1 (88312) | $62.10 | $207 | 1.2× |
| Special Stains Group 2 (88313) | $124.80 | $416 | 1.0× |
| Specific gravity body fluid (84315) | $5.10 | $17 | 1.6× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$17.70–$27.30 | $59–$91 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$15–$44.10 | $50–$147 | varies |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $164.10 | $547 | 1.0× |
| Strep a assay w/optic (87880) | $99 | $330 | 6.0× |
| Strep a DNA amp probe (87651) | $57.90 | $193 | 1.7× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $28.20 | $94 | 0.3× |
| Surg path level iii (88304) | $184.80 | $616 | 3.6× |
| Surgical pathology level IV (88305) | $259.80 | $866 | 5.1× |
| Surgical pathology level vi (88309) | $216.60 | $722 | 0.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $14.10 | $47 | 3.0× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$23.40–$38.40 | $78–$128 | varies |
| Syphilis Test Non-Trep Quant (86593) | $25.20 | $84 | 5.7× |
| T cells absolute cd4 count (86361) | $18.30 | $61 | 0.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $148.20 | $494 | 3.2× |
| T cells total count (86359) | $112.20 | $374 | 3.0× |
| T3 Free (84481) range across 2 matching MRF lines |
$118.20–$120.60 | $394–$402 | varies |
| T3 Uptake (84479) | $60.90 | $203 | 9.4× |
| T4 Free (84439) range across 2 matching MRF lines |
$41.40–$46.20 | $138–$154 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$31.50–$51 | $105–$170 | varies |
| Tacrolimus (80197) | $22.80 | $76 | 1.7× |
| Test for acetone/ketones (82009) | $70.50 | $235 | 15.6× |
| Testosterone total (84403) | $70.50 | $235 | 2.7× |
| Testosterone, Free (84402) | $303.60 | $1,012 | 11.9× |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) range across 2 matching MRF lines |
$942–$1,464.90 | $3,140–$4,883 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $27.90 | $93 | 4.3× |
| Thyroglobulin Antibody (86800) | $133.50 | $445 | 8.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $20.10 | $67 | 1.7× |
| Topiramate (80201) | $98.10 | $327 | 8.2× |
| Toxoplasma ab igm (86778) | $56.40 | $188 | 3.9× |
| Toxoplasma antibody (86777) | $132.30 | $441 | 9.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $70.50 | $235 | 13.6× |
| Transferrin (84466) | $43.80 | $146 | 3.4× |
| Trb@ gene rearrange dirprobe (81341) | $74.40 | $248 | 1.5× |
| Trichomonas Vaginalis Amplif (87661) | $429 | $1,430 | 12.2× |
| Triglycerides (84478) range across 2 matching MRF lines |
$11.10–$70.50 | $37–$235 | varies |
| Troponin Quant (84484) | $36 | $120 | 2.9× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$272.70–$284.70 | $909–$949 | varies |
| Urinalysis Microscopic Only (81015) | $21.60 | $72 | 7.1× |
| Urinalysis Volume Measure (81050) | $16.20 | $54 | 4.5× |
| Urine Bacteria Culture (87088) | $47.40 | $158 | 5.9× |
| Urine Pregnancy Test (81025) | $28.80 | $96 | 3.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $16.20 | $54 | 5.1× |
| Valproic acid (80164) | $144.30 | $481 | 10.7× |
| Vancomycin (80202) | $60.90 | $203 | 4.5× |
| Varicella-zoster antibody (86787) | $37.20 | $124 | 2.9× |
| Viral Culture (87252) | $208.80 | $696 | 8.0× |
| Viscosity serum (85810) | $139.80 | $466 | 12.0× |
| Vit D 1 25-Dihydroxy (82652) | $152.70 | $509 | 4.0× |
| Vitamin A (84590) | $165.30 | $551 | 14.2× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$26.40–$67.80 | $88–$226 | varies |
| Vitamin B2 (Riboflavin) (84252) | $154.80 | $516 | 7.6× |
| Vitamin B6 (84207) | $251.40 | $838 | 8.9× |
| Vitamin D 25-Hydroxy (82306) | $118.80 | $396 | 4.0× |
| Vitamin K (84597) | $339 | $1,130 | 24.7× |
| Volatiles (84600) | $27 | $90 | 1.6× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $32.10 | $107 | 2.7× |
| Von willebrand factor ag (85246) | $63 | $210 | 2.7× |
| West nile virus ab igm (86788) | $19.80 | $66 | 1.2× |
| West Nile Virus Antibody (86789) | $19.80 | $66 | 1.4× |
| Zika Virus Dna/Rna Amp Probe (87662) | $143.40 | $478 | 2.8× |
| Zinc (84630) | $47.70 | $159 | 4.2× |
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.