Lab & pathology prices at Bon Secours Southside Medical Center
Petersburg, VA · every code in this section with a posted price and a Medicare benchmark.
608 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abl1 gene analysis kinase domain variants (81170) | $496.20 | $1,654 | 1.7× |
| Acetylcholine receptor binding antibody (86041) range across 3 matching MRF lines |
$27.60–$109.20 | $92–$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) | $993.90 | $3,313 | 25.7× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $56.70 | $189 | 1.7× |
| Actin smooth muscle antibody each (86015) | $20.10 | $67 | 1.7× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$251.40–$354.30 | $838–$1,181 | varies |
| Afp-l3 fraction isoform & total afp w/ratio (82107) range across 2 matching MRF lines |
$101.40–$199.50 | $338–$665 | varies |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$30.60–$39.30 | $102–$131 | varies |
| Albumin serum (82040) | $52.80 | $176 | 10.7× |
| Aldolase (82085) | $65.40 | $218 | 6.7× |
| Aldosterone urine (82088) | $250.80 | $836 | 6.2× |
| Alkaline phosphatase isoenzymes (84080) | $273.30 | $911 | 18.5× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$13.20–$22.50 | $44–$75 | varies |
| Allg Spec Ige Recomb Ea (86008) | $70.80 | $236 | 3.9× |
| Alpha-1-antitrypsin phenotype (82104) | $38.40 | $128 | 2.7× |
| Alpha-1-antitrypsin total (82103) | $345 | $1,150 | 25.7× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$35.40–$90.90 | $118–$303 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$10.20–$45.90 | $34–$153 | varies |
| Amikacin trough (80150) | $30.60 | $102 | 2.0× |
| Ammonia (82140) | $120.60 | $402 | 8.3× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $106.80 | $356 | 1.1× |
| Amylase urine (82150) | $145.80 | $486 | 22.5× |
| Anca Titer Each Antibody (86037) | $21 | $70 | 1.7× |
| Androstenedione (82157) | $61.20 | $204 | 2.1× |
| Angiotensin converting enzyme csf (82164) | $302.70 | $1,009 | 20.7× |
| Anti-Phospholipid Antibody (86148) | $25.20 | $84 | 1.6× |
| Antibody aspergillus (86606) | $215.10 | $717 | 14.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$78.30–$171.30 | $261–$571 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $128.40 | $428 | 7.6× |
| Antibody Encephalitis California La Crosse (86651) | $68.40 | $228 | 5.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $138.60 | $462 | 10.6× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $127.20 | $424 | 8.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $122.40 | $408 | 6.7× |
| Antibody Fungus Not Elsewhere Specified (86671) | $55.20 | $184 | 4.5× |
| Antibody helicobacter pylori (86677) range across 3 matching MRF lines |
$60.90–$225 | $203–$750 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $59.40 | $198 | 4.5× |
| Antibody HIV-2 (86702) | $78 | $260 | 5.8× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $535.50 | $1,785 | 1.7× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $135 | $450 | 1.6× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$20.40–$28.50 | $68–$95 | varies |
| Antibody Titer (86886) range across 2 matching MRF lines |
$76.20–$164.10 | $254–$547 | varies |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$30.30–$117 | $101–$390 | varies |
| Antibody; encephalitis, st. louis (86653) | $68.40 | $228 | 5.2× |
| Antigen typing (86905) range across 6 matching MRF lines |
$38.40–$132 | $128–$440 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$52.20–$164.10 | $174–$547 | varies |
| Antinomyces antibody (86602) | $18.90 | $63 | 1.9× |
| Antinuclear antibodies (86038) | $249.30 | $831 | 20.6× |
| Antistreptolysin o titer (86060) | $42.60 | $142 | 5.8× |
| Antithrombin iii activity (85300) | $132 | $440 | 11.1× |
| Antithrombin iii antigen (85301) | $238.80 | $796 | 22.1× |
| Apolipoprotein a1 (82172) | $39 | $130 | 1.8× |
| 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) | $133.80 | $446 | 7.1× |
| Aspergillus ag eia (87305) | $198.90 | $663 | 16.6× |
| Assay activated protein c (85307) | $68.40 | $228 | 4.5× |
| Assay Blood Carbon Dioxide (82374) | $56.70 | $189 | 11.6× |
| 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) | $101.70 | $339 | 7.9× |
| Assay of anti-mullerian hormone (82166) | $19.50 | $65 | 0.5× |
| Assay of blood/uric acid (84550) | $56.70 | $189 | 12.5× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$22.80–$31.20 | $76–$104 | varies |
| Assay of g6pd enzyme (82955) | $122.40 | $408 | 12.6× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$14.70–$61.50 | $49–$205 | varies |
| Assay of lactic acid (83605) | $96 | $320 | 8.3× |
| Assay of metanephrines (83835) | $93.90 | $313 | 5.5× |
| Assay of proinsulin (84206) | $42 | $140 | 1.6× |
| Assay of pyruvate (84210) | $22.80 | $76 | 1.6× |
| Assay of serum potassium (84132) | $52.50 | $175 | 11.0× |
| Assay of sweat sodium (84302) | $16.20 | $54 | 3.3× |
| Assay of transcortin (84449) | $28.50 | $95 | 1.6× |
| Assay of urea nitrogen (84520) | $56.70 | $189 | 14.4× |
| Assay of urine vma (84585) | $48.30 | $161 | 3.1× |
| Assay of vitamin b-1 (84425) | $177.30 | $591 | 8.4× |
| Assay Ph Body Fluid Nos (83986) | $33 | $110 | 9.2× |
| Assay spec xcp ur&breath ia (82077) | $33.60 | $112 | 1.9× |
| Automated Leukocyte Count (85048) | $25.20 | $84 | 9.9× |
| B cells total count (86355) | $93.90 | $313 | 2.5× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$29.40–$35.10 | $98–$117 | varies |
| Bcr/abl1 gene major bp (81206) | $382.80 | $1,276 | 2.3× |
| Bcr/abl1 gene minor bp (81207) | $361.20 | $1,204 | 2.5× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$79.50–$82.80 | $265–$276 | varies |
| Beta hydroxybutyrate (82010) | $55.50 | $185 | 6.8× |
| Beta Lactamase (87185) | $11.40 | $38 | 2.4× |
| Beta-2 Microglobulin (82232) | $38.40 | $128 | 2.4× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $381 | $1,270 | 3.0× |
| Bile acids total (82239) | $71.70 | $239 | 4.2× |
| Bilirubin direct (82248) | $44.10 | $147 | 8.8× |
| Bilirubin total (82247) | $102.60 | $342 | 20.4× |
| Bilirubin total transcutaneous (88720) | $8.40 | $28 | 1.7× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$37.50–$57.30 | $125–$191 | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $111 | $370 | 0.7× |
| Bld Typing Serologic Rh Phnt (86906) | $35.10 | $117 | 4.5× |
| Blood Count Red Blood Cell Automated (85041) | $63.90 | $213 | 21.2× |
| Blood count reticulocyte automated (85045) | $37.80 | $126 | 9.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $48.60 | $162 | 12.8× |
| Blood gas (82803) | $327 | $1,090 | 12.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $67.20 | $224 | 4.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $37.80 | $126 | 8.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$132–$321.60 | $440–$1,072 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $64.50 | $215 | 3.9× |
| Blood typing serologic abo (86900) | $42.30 | $141 | 14.1× |
| Body fluid cell count (89050) | $94.80 | $316 | 20.1× |
| Bordetella antibody (86615) | $11.10 | $37 | 0.8× |
| Braf gene analysis (81210) | $164.40 | $548 | 0.9× |
| Brucella antibody (86622) | $27.60 | $92 | 3.1× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$109.50–$110.70 | $365–$369 | varies |
| C-Peptide (84681) | $138.60 | $462 | 6.7× |
| C-reactive protein (86140) | $129.90 | $433 | 25.1× |
| Ca 19-9 (86301) | $207.60 | $692 | 10.0× |
| Cadmium (82300) | $37.20 | $124 | 1.6× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$36.60–$68.10 | $122–$227 | varies |
| Calcium total (82310) | $53.10 | $177 | 10.3× |
| Calculus assay quant (82360) | $275.10 | $917 | 21.4× |
| Calprotectin Fecal (83993) | $170.40 | $568 | 8.7× |
| Calr gene com variants (81219) | $222.30 | $741 | 1.8× |
| Cancer Antigen 125 (86304) | $41.40 | $138 | 2.0× |
| Cancer Antigen 27.29 (86300) | $195.90 | $653 | 9.4× |
| Carbamazepine free (80157) | $48.30 | $161 | 3.6× |
| Carbamazepine total (80156) | $296.40 | $988 | 20.3× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$19.50–$174.30 | $65–$581 | varies |
| Carcinoembryonic antigen (82378) | $154.80 | $516 | 8.2× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$136.80–$182.40 | $456–$608 | varies |
| Catecholamines fractionated (82384) | $67.20 | $224 | 2.7× |
| Ccp antibody (86200) | $188.10 | $627 | 14.5× |
| Cell count csf (89051) | $9.60 | $32 | 1.7× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $213.90 | $713 | 1.6× |
| Ceruloplasmin (82390) | $89.70 | $299 | 8.4× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$76.20–$425.40 | $254–$1,418 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $410.70 | $1,369 | 1.6× |
| Chlamydia antibody (86631) | $51 | $170 | 4.3× |
| Chlamydia Igm Antibody (86632) | $205.50 | $685 | 16.2× |
| Chloride urine (82436) | $56.70 | $189 | 9.9× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$8.10–$37.80 | $27–$126 | varies |
| Cholinesterase Serum (82480) | $12.30 | $41 | 1.6× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$51–$384.90 | $170–$1,283 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $240.30 | $801 | 7.2× |
| Chromium serum (82495) | $60.60 | $202 | 3.0× |
| Chromogranin a (86316) | $80.10 | $267 | 3.8× |
| Chromosome Analysis 20-25 (88264) | $290.10 | $967 | 2.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $293.40 | $978 | 8.4× |
| Clostridium Difficile (87324) | $57.60 | $192 | 4.8× |
| Clot Factor VIII Multimetric (85247) | $233.10 | $777 | 10.2× |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
$687.90–$689.10 | $2,293–$2,297 | varies |
| Coagulation time activated (85347) | $27.90 | $93 | 6.5× |
| Coccidioides antibody (86635) | $50.40 | $168 | 4.4× |
| Cold agglutinin screen (86156) | $36 | $120 | 4.5× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$141.90–$210 | $473–$700 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $366.90 | $1,223 | 1.6× |
| Compatibility Each Unit Incubation (86921) | $136.20 | $454 | 0.8× |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$101.40–$246.60 | $338–$822 | varies |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$23.70–$110.70 | $79–$369 | varies |
| Complement Total (Ch50) (86162) | $103.50 | $345 | 5.1× |
| Complement/Function Activity (86161) | $28.50 | $95 | 2.4× |
| Coombs direct (86880) range across 2 matching MRF lines |
$47.40–$69.90 | $158–$233 | varies |
| Copper urine (82525) | $42 | $140 | 3.4× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$30.30–$114.60 | $101–$382 | varies |
| Creatine kinase total (82550) | $131.40 | $438 | 20.2× |
| Creatinine blood (82565) | $44.40 | $148 | 8.7× |
| Creatinine clearance (82575) | $215.70 | $719 | 22.8× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$16.80–$27.90 | $56–$93 | varies |
| Crossmatch electronic (86923) | $105.30 | $351 | 0.6× |
| Crossmatch immediate spin (86920) range across 3 matching MRF lines |
$46.80–$275.40 | $156–$918 | varies |
| Crp High Sensitivity (86141) | $133.50 | $445 | 10.3× |
| Cryoglobulin (82595) | $46.20 | $154 | 7.1× |
| Cryptococcal Antigen (87327) | $67.20 | $224 | 5.0× |
| Cryptococcus ab (86641) | $82.80 | $276 | 5.7× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$18.90–$54.60 | $63–$182 | varies |
| Cryptosporidium ag eia (87328) | $21.60 | $72 | 1.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$14.10–$132 | $47–$440 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$94.20–$140.10 | $314–$467 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $378.60 | $1,262 | 1.7× |
| Culture afb (87116) range across 3 matching MRF lines |
$18–$98.70 | $60–$329 | varies |
| Culture Anaerobic (87075) | $200.70 | $669 | 21.2× |
| Culture blood (87040) | $318.60 | $1,062 | 30.9× |
| Culture chlamydia (87110) | $30.90 | $103 | 1.6× |
| Culture csf (87070) range across 2 matching MRF lines |
$57–$71.40 | $190–$238 | varies |
| Culture fungus (87102) | $106.80 | $356 | 12.7× |
| Culture fungus blood (87103) | $102.60 | $342 | 5.0× |
| Culture screen only (87081) | $13.50 | $45 | 2.0× |
| Culture typing if ea antiserum (87140) | $8.70 | $29 | 1.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $70.20 | $234 | 13.6× |
| Culture typing other methods (87158) | $137.10 | $457 | 17.7× |
| Culture urine (87086) range across 2 matching MRF lines |
$26.10–$261.60 | $87–$872 | varies |
| Cyp2c9 gene com variants (81227) | $275.40 | $918 | 1.6× |
| Cyp3a4 gene common variants (81230) | $262.20 | $874 | 1.5× |
| Cyp3a5 gene common variants (81231) | $262.20 | $874 | 1.5× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,827 | $6,090 | 1.6× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$75.30–$172.50 | $251–$575 | varies |
| Cytopath Cell Enhance Tech (88112) | $87 | $290 | 1.7× |
| Cytp Concentration Smears & Interpretation (88108) | $73.80 | $246 | 2.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $52.20 | $174 | 1.0× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $164.10 | $547 | 1.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $104.10 | $347 | 0.6× |
| Deoxyribonuclease antibody (86215) | $180.60 | $602 | 13.6× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$64.20–$259.20 | $214–$864 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$104.10–$361.20 | $347–$1,204 | varies |
| Dgp Antibody Each Ig Class (86258) | $20.10 | $67 | 1.7× |
| Dhea-S (82627) | $225 | $750 | 10.1× |
| Dibucaine number (82638) | $27.60 | $92 | 2.3× |
| Digoxin (80162) | $147.60 | $492 | 11.1× |
| Digoxin free (80163) | $92.70 | $309 | 7.0× |
| Dipropylacetic Acid Free (80165) | $21.30 | $71 | 1.6× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $215.70 | $719 | 1.6× |
| Dna Antibody Native/Double Stranded (86225) | $277.80 | $926 | 20.2× |
| Dna Antibody Single Stranded (86226) | $28.50 | $95 | 2.4× |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$55.20–$166.50 | $184–$555 | varies |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$65.10–$87.60 | $217–$292 | varies |
| Dna/Rna Sequencing (87153) | $315 | $1,050 | 2.7× |
| Drug assay acetaminophen (80143) range across 2 matching MRF lines |
$34.20–$36 | $114–$120 | varies |
| Drug assay adalimumab (80145) | $159.30 | $531 | 4.1× |
| Drug Assay Amiodarone (80151) | $34.20 | $114 | 1.8× |
| Drug Assay Itraconazole (80189) | $196.20 | $654 | 7.2× |
| Drug Assay Lacosamide (80235) | $13.80 | $46 | 0.5× |
| Drug Assay Posaconazole (80187) | $52.50 | $175 | 1.9× |
| Drug assay voriconazole (80285) | $45.30 | $151 | 1.7× |
| Drug Asy Hydroxychloroquine (80220) | $63.90 | $213 | 3.4× |
| Drug Screen Quant Clozapine (80159) | $54.60 | $182 | 2.7× |
| Drug Screen Quantitative Gabapentin (80171) | $43.50 | $145 | 2.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $125.70 | $419 | 9.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $125.70 | $419 | 9.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $312.60 | $1,042 | 23.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 10 matching MRF lines |
$85.80–$779.70 | $286–$2,599 | varies |
| Egfr Gene Analysis Common Variants (81235) | $548.40 | $1,828 | 1.7× |
| Ehrlichia antibody (86666) | $86.70 | $289 | 8.5× |
| El-1 Fecal Quantitative (82653) | $39.90 | $133 | 1.7× |
| Electrolyte panel (80051) | $132 | $440 | 18.8× |
| Electron Microscopy (88348) | $384 | $1,280 | 0.5× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $106.20 | $354 | 1.7× |
| Encephaltis East Eqne Anbdy (86652) | $65.10 | $217 | 4.9× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $21 | $70 | 1.7× |
| Enterovirus Antibody (86658) | $22.80 | $76 | 1.7× |
| Enterovirus PCR (87498) | $861.30 | $2,871 | 24.5× |
| Epilepsy Genomic Sequence Analysis Panel (81419) | $3,856.50 | $12,855 | 1.6× |
| Erythropoietin (82668) | $43.80 | $146 | 2.3× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$53.70–$65.10 | $179–$217 | varies |
| Estriol (82677) | $56.70 | $189 | 2.3× |
| Estrogen total (82672) | $131.10 | $437 | 6.0× |
| Ethylene Glycol (82693) | $23.70 | $79 | 1.6× |
| Exam Synovial Fluid Crystals (89060) | $122.40 | $408 | 16.7× |
| F2 Gene (81240) | $789.60 | $2,632 | 12.0× |
| Factor ix activity (85250) | $66.90 | $223 | 3.5× |
| Factor v leiden mutation (81241) | $850.20 | $2,834 | 11.6× |
| Factor vii assay (85230) | $150 | $500 | 8.4× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$150.60–$158.10 | $502–$527 | varies |
| 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) | $65.10 | $217 | 12.8× |
| Ferritin (82728) | $154.80 | $516 | 11.4× |
| Fetal Chrmoml Microdeltj (81422) | $347.40 | $1,158 | 0.5× |
| Fetal Fibronectin (82731) | $419.40 | $1,398 | 6.5× |
| Fetal screen rosette (85461) | $57 | $190 | 6.1× |
| Fibrin degradation products (85362) | $24.60 | $82 | 3.6× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$30–$346.80 | $100–$1,156 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$19.20–$79.20 | $64–$264 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $25.50 | $85 | 1.6× |
| Flow cytometry first marker (88184) | $269.70 | $899 | 0.8× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$96.90–$520.80 | $323–$1,736 | 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 |
$23.40–$114.90 | $78–$383 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$29.40–$126.90 | $98–$423 | varies |
| Frozen Section (88331) | $275.40 | $918 | 1.7× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$54.60–$137.10 | $182–$457 | varies |
| Fungi Identification Yeast (87106) range across 3 matching MRF lines |
$18.30–$140.10 | $61–$467 | varies |
| G6pd gene analysis full gene sequence (81249) | $945 | $3,150 | 1.6× |
| Gammaglobulin ige (82785) | $121.50 | $405 | 7.4× |
| Gases blood ph only (82800) | $57.90 | $193 | 5.3× |
| Gastrin (82941) | $108.30 | $361 | 6.1× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $338.70 | $1,129 | 0.8× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,312.70 | $7,709 | 3.0× |
| 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 |
$116.10–$249.30 | $387–$831 | 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× |
| Gentamicin (80170) | $96.30 | $321 | 5.9× |
| Ggt (82977) range across 2 matching MRF lines |
$13.20–$63 | $44–$210 | varies |
| Giardia antigen (87329) | $37.20 | $124 | 3.1× |
| Glucose Blood Test (82962) | $37.80 | $126 | 11.5× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$9–$121.20 | $30–$404 | varies |
| Glucose Serum (82947) | $27.90 | $93 | 7.1× |
| Glucose tolerance test (gtt) (82951) | $208.50 | $695 | 16.2× |
| Glucosidase beta (82963) range across 2 matching MRF lines |
$68.10–$223.50 | $227–$745 | varies |
| Glycated Protein (82985) | $35.40 | $118 | 2.1× |
| Gonadotropin Chorionic Qualitative (84703) | $140.40 | $468 | 18.7× |
| Growth hormone (83003) | $38.70 | $129 | 2.3× |
| Gtt-added samples (82952) | $48.90 | $163 | 12.5× |
| H Pylori (C-13) Breath (83013) | $200.40 | $668 | 3.0× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$81.90–$289.80 | $273–$966 | varies |
| Hbb Full Gene Sequence (81364) | $537 | $1,790 | 1.7× |
| Helicobacter Pylori Stool (87338) | $48 | $160 | 3.3× |
| Hematocrit (85014) | $70.50 | $235 | 29.7× |
| Hemoglobin (85018) | $66.60 | $222 | 28.1× |
| Hemoglobin a1c (83036) | $82.20 | $274 | 8.5× |
| Hemoglobin Chromotography (83021) | $165.90 | $553 | 9.2× |
| Hemoglobin electrophoresis (83020) | $24 | $80 | 1.9× |
| Hemoglobin Methemoglobin Quantitative (83050) | $174.30 | $581 | 21.3× |
| Hep a ab igm (86709) | $191.70 | $639 | 17.0× |
| Heparin assay (85520) | $24 | $80 | 1.8× |
| Hepatitis a antibody total (86708) | $117 | $390 | 9.4× |
| Hepatitis b core ab igm (86705) | $41.40 | $138 | 3.5× |
| Hepatitis b core ab total (86704) | $25.20 | $84 | 2.1× |
| Hepatitis B Surface Antibody (86706) range across 7 matching MRF lines |
$18–$66.90 | $60–$223 | varies |
| Hepatitis B Surface Antigen (87340) | $32.10 | $107 | 3.1× |
| Hepatitis Be Antigen (87350) | $136.50 | $455 | 11.8× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$30.60–$318.60 | $102–$1,062 | varies |
| Hepatitis c antibody confirmatory test (86804) | $137.10 | $457 | 8.9× |
| Hepatitis C Genotype (87902) | $462 | $1,540 | 1.8× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $177.30 | $591 | 5.1× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$276–$515.70 | $920–$1,719 | varies |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $1,956 | $6,520 | 1.5× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$38.40–$176.10 | $128–$587 | varies |
| Heterophile Antibody Screen (86308) | $138 | $460 | 26.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $52.80 | $176 | 6.8× |
| Histoplasma antibody (86698) | $21.60 | $72 | 1.6× |
| Histoplasma antigen urine (87385) | $113.10 | $377 | 8.5× |
| Hiv Genotype (87901) | $600.90 | $2,003 | 2.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$2.10–$266.40 | $7–$888 | varies |
| Hiv-1 Antibody (86701) | $81 | $270 | 9.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$163.80–$640.50 | $546–$2,135 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $14.70 | $49 | 0.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $858.30 | $2,861 | 11.5× |
| Hla I Typing 1 Allele Hr (81381) | $382.80 | $1,276 | 2.3× |
| Hla ii type 1 ag equiv lr (81377) | $239.70 | $799 | 2.5× |
| Homocysteine (83090) | $39.60 | $132 | 2.2× |
| Homogenization Tissue (87176) | $32.40 | $108 | 5.5× |
| Hpv High-Risk Types (87624) | $60.90 | $203 | 1.7× |
| 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) | $778.80 | $2,596 | 22.2× |
| Htt Gene Detc Abnor Alleles (81271) | $262.80 | $876 | 1.9× |
| Hydroxyprogesterone 17-d (83498) | $171.90 | $573 | 6.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $52.80 | $176 | 5.1× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $22.20 | $74 | 1.6× |
| Iaad Ia Streptococcus Group A (87430) | $27.60 | $92 | 1.6× |
| Iaadi pneumocustis carinii (87281) range across 2 matching MRF lines |
$18.90–$88.80 | $63–$296 | varies |
| Iaadiadoo trichomonas vaginalis (87808) | $21 | $70 | 1.4× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $57.90 | $193 | 1.7× |
| Iadna Bartonella Amplified Probe Technique (87471) | $90.90 | $303 | 2.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $449.10 | $1,497 | 12.8× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $128.40 | $428 | 3.7× |
| Iadna Cytomegalovirus Quantification (87497) | $167.10 | $557 | 3.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $121.80 | $406 | 1.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $234.30 | $781 | 5.5× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $428.40 | $1,428 | 12.2× |
| 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 mycoplsm pneumoniae amplified probe tq (87581) | $158.10 | $527 | 4.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$94.50–$311.10 | $315–$1,037 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $40.20 | $134 | 0.8× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $529.20 | $1,764 | 2.0× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$28.50–$30.30 | $95–$101 | varies |
| Igg subclasses (82787) | $31.50 | $105 | 3.9× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $333.60 | $1,112 | 1.1× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
$412.80–$437.10 | $1,376–$1,457 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$54–$98.10 | $180–$327 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $409.80 | $1,366 | 22.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $43.80 | $146 | 2.9× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$21–$114 | $70–$380 | varies |
| Immunodiffusion Ouchterlony (86331) | $21.60 | $72 | 1.8× |
| Immunofixation electrophoresis (86334) | $181.20 | $604 | 8.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $543 | $1,810 | 3.3× |
| Immunohistochemistry (88342) | $160.20 | $534 | 1.0× |
| In situ hybridization 1st probe stain (88365) | $285.60 | $952 | 1.7× |
| Influenza assay w/optic (87804) | $90 | $300 | 5.4× |
| Influenza DNA amp probe (87502) | $210.60 | $702 | 2.2× |
| Inhibin A (86336) | $351.30 | $1,171 | 22.5× |
| Inhibin b (83520) range across 2 matching MRF lines |
$60–$87.30 | $200–$291 | varies |
| Insitu hybridization manual (88368) | $562.80 | $1,876 | 1.6× |
| Insulin free (83527) range across 2 matching MRF lines |
$20.40–$56.70 | $68–$189 | varies |
| Insulin total (83525) | $89.70 | $299 | 7.8× |
| Interleukin-6 (83529) | $30.30 | $101 | 1.8× |
| Intrinsic factor antibody (86340) | $271.50 | $905 | 18.0× |
| Iron (83540) range across 2 matching MRF lines |
$60.30–$188.10 | $201–$627 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$17.10–$54.60 | $57–$182 | varies |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$56.40–$130.20 | $188–$434 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$144.30–$629.40 | $481–$2,098 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $234.30 | $781 | 1.3× |
| Koh Prep (87220) | $35.10 | $117 | 8.2× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$43.80–$53.10 | $146–$177 | varies |
| Lactoferrin Fecal Quantitative (83631) | $100.20 | $334 | 5.1× |
| Ldh Isoenzymes (83625) | $39.60 | $132 | 3.1× |
| LDL direct (83721) | $121.80 | $406 | 11.6× |
| Lead (83655) | $144.30 | $481 | 11.9× |
| Legionella antibody (86713) | $225 | $750 | 14.7× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$33.90–$250.80 | $113–$836 | varies |
| Legionella pneumophila dfa (87278) | $200.40 | $668 | 12.8× |
| Leukocyte Histamine Release (86343) | $86.10 | $287 | 6.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $57 | $190 | 2.0× |
| Level ii surg pathology grossµscopic exam (88302) | $77.40 | $258 | 2.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $356.10 | $1,187 | 1.0× |
| Lipase (83690) | $159.30 | $531 | 23.1× |
| Lipoprotein A (83695) | $76.20 | $254 | 5.3× |
| Lipoprotein Bld Quan Part (83704) | $74.40 | $248 | 2.2× |
| Listeria Monocytogenes (86723) | $71.70 | $239 | 5.4× |
| Lithium (80178) | $167.10 | $557 | 25.3× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$29.40–$136.80 | $98–$456 | varies |
| Lyme disease antibody (86618) | $86.10 | $287 | 5.1× |
| Lysozyme serum (85549) | $123.90 | $413 | 6.6× |
| M. Genitalium Amp Probe (87563) range across 2 matching MRF lines |
$67.50–$147.30 | $225–$491 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 3 matching MRF lines |
$238.80–$275.40 | $796–$918 | varies |
| M/phmtrc alys ishquant/semiq (88374) range across 8 matching MRF lines |
$224.40–$272.70 | $748–$909 | varies |
| Macroscopic exam arthropod (87168) | $37.80 | $126 | 8.9× |
| Magnesium Urine (83735) range across 6 matching MRF lines |
$10.80–$75 | $36–$250 | varies |
| Mercury urine (83825) | $153.90 | $513 | 9.5× |
| Metabolic panel ionized ca (80047) | $209.40 | $698 | 15.3× |
| Methylmalonic acid serum (83921) | $451.50 | $1,505 | 21.3× |
| Microalbumin, quantitative (82043) | $57 | $190 | 9.9× |
| Microbe Suscept Macrobroth (87188) | $20.40 | $68 | 3.1× |
| Microsatellite instability (81301) | $231 | $770 | 0.7× |
| Microsomal Antibodies Each (86376) | $114.60 | $382 | 7.9× |
| Mitochondrial Antibody Each (86381) | $38.40 | $128 | 1.5× |
| Mlh1 Gene (81288) | $318.30 | $1,061 | 1.7× |
| Mog-Igg1 Antb Cba Each (86362) | $247.50 | $825 | 20.5× |
| Mopath procedure level 4 (81403) | $262.50 | $875 | 1.4× |
| Mopath procedure level 5 (81404) | $432.90 | $1,443 | 1.6× |
| 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) | $110.70 | $369 | 3.2× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$32.10–$89.70 | $107–$299 | varies |
| Muscle-Specific Kinase Antb (86366) | $446.70 | $1,489 | 24.3× |
| Mycobacteric Identification (87118) | $140.10 | $467 | 9.6× |
| Mycophenolic Acid (80180) | $59.10 | $197 | 3.3× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$22.80–$74.40 | $76–$248 | varies |
| Mycoplasma culture (87109) | $30.30 | $101 | 2.0× |
| Myelin basic protein csf (83873) | $497.70 | $1,659 | 28.9× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$48.30–$256.20 | $161–$854 | varies |
| Natriuretic peptide (83880) | $151.50 | $505 | 3.9× |
| 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) range across 2 matching MRF lines |
$405.30–$636.90 | $1,351–$2,123 | varies |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $405.30 | $1,351 | 1.6× |
| Nfct ds chrnc hcv 6 assays (81596) | $156.90 | $523 | 2.2× |
| Niacin (84591) range across 2 matching MRF lines |
$84.30–$94.80 | $281–$316 | varies |
| Nk cells total count (86357) | $93.90 | $313 | 2.5× |
| Ntrk translocation analysis (81194) | $857.10 | $2,857 | 1.7× |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$43.80–$130.50 | $146–$435 | varies |
| Occult blood feces (82272) | $35.70 | $119 | 8.4× |
| Occult Blood Other Sources (82271) | $37.80 | $126 | 7.1× |
| Oligoclonal bands (83916) | $555.30 | $1,851 | 20.3× |
| Oncoprotein dcp (83951) | $96.60 | $322 | 1.5× |
| Osmolality serum (83930) | $22.50 | $75 | 3.4× |
| Osmolality Urine (83935) | $55.50 | $185 | 8.1× |
| Ova and parasites smears (87177) | $30.60 | $102 | 3.4× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$52.20–$195.60 | $174–$652 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $674.10 | $2,247 | 0.9× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $545.10 | $1,817 | 1.7× |
| Ph urine (81003) | $25.20 | $84 | 11.2× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$35.10–$311.10 | $117–$1,037 | varies |
| Phenotype Infect Agent Drug (87900) | $536.40 | $1,788 | 4.1× |
| Phenylalanine (84030) | $9 | $30 | 1.6× |
| Phenytoin (Dilantin) (80185) | $24.90 | $83 | 1.9× |
| Phenytoin free (80186) range across 2 matching MRF lines |
$28.80–$33.90 | $96–$113 | varies |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$18.30–$56.70 | $61–$189 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $60.60 | $202 | 3.4× |
| Phosphorus Serum (84100) | $46.50 | $155 | 9.8× |
| Phosphorus urine (84105) | $16.20 | $54 | 2.8× |
| Platelet Aggregation (85576) | $63.90 | $213 | 2.6× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$49.80–$449.10 | $166–$1,497 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$8.70–$109.50 | $29–$365 | varies |
| Platelet neutralization (85597) | $81.90 | $273 | 4.6× |
| Pneumcysts jirovecii amp prb (87594) | $52.50 | $175 | 1.5× |
| Potassium Urine (84133) | $56.70 | $189 | 12.0× |
| Prealbumin (84134) | $148.20 | $494 | 10.2× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) range across 2 matching MRF lines |
$84–$166.50 | $280–$555 | varies |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $142.80 | $476 | 2.5× |
| Pretx serum rbc antibody identification dilution (86976) | $20.70 | $69 | 0.7× |
| Primidone (80188) | $333.60 | $1,112 | 20.1× |
| Procalcitonin (Pct) (84145) | $71.70 | $239 | 2.6× |
| Progesterone (84144) | $92.70 | $309 | 4.4× |
| Prolactin (84146) | $75 | $250 | 3.9× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$6.30–$57.60 | $21–$192 | varies |
| Protein C Activity (85303) | $67.80 | $226 | 4.9× |
| Protein c antigen (85302) | $74.70 | $249 | 6.2× |
| Protein Electrophoresis Urine (84166) | $97.80 | $326 | 5.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $324.90 | $1,083 | 30.3× |
| Protein S Free (85306) | $97.80 | $326 | 6.4× |
| Protein s total (85305) | $74.70 | $249 | 6.4× |
| Protein total serum (84155) range across 2 matching MRF lines |
$45.30–$52.80 | $151–$176 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$48.60–$57.60 | $162–$192 | varies |
| Protein Western Blot Test (84182) | $120 | $400 | 4.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $15 | $50 | 3.8× |
| PSA free (84154) | $33.60 | $112 | 1.8× |
| Pth Intact (83970) | $236.40 | $788 | 5.7× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$31.80–$37.50 | $106–$125 | varies |
| Quantiferon tb gold plus (86480) | $144.90 | $483 | 2.3× |
| Quantitative assay drug (80299) | $83.10 | $277 | 4.5× |
| Quantitative Screen Metals (83018) | $67.20 | $224 | 3.1× |
| Quinidine (80194) | $23.10 | $77 | 1.6× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$75–$261.60 | $250–$872 | varies |
| Rbc antibody identification (86870) | $321.60 | $1,072 | 0.9× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$66.60–$205.80 | $222–$686 | varies |
| Rbc pretreatment serum (86978) | $62.10 | $207 | 1.1× |
| Rbc pretx incubatj w/enzymes (86971) | $326.10 | $1,087 | 2.0× |
| Renin activity plasma (84244) | $149.70 | $499 | 6.8× |
| Reticulocyte separation (86972) | $249 | $830 | 1.5× |
| Rh (86901) | $40.50 | $135 | 13.5× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$88.50–$138 | $295–$460 | varies |
| Rickettsia antibody (86757) range across 3 matching MRF lines |
$68.40–$87.30 | $228–$291 | varies |
| Ristocetin cofactor (85245) | $146.70 | $489 | 6.4× |
| Rotavirus ag eia (87425) | $95.40 | $318 | 8.0× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$12.90–$44.70 | $43–$149 | varies |
| Rsv Assay W/Optic (87807) | $333 | $1,110 | 25.4× |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$67.20–$279.30 | $224–$931 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$78–$138.60 | $260–$462 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$27.60–$60.30 | $92–$201 | varies |
| Salicylate Level (80179) range across 2 matching MRF lines |
$34.20–$36 | $114–$120 | varies |
| Salmonella antibody (86768) | $19.80 | $66 | 1.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$57.60–$60.60 | $192–$202 | 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) | $32.40 | $108 | 7.6× |
| Sedimentation Rate, Automated (85652) | $119.10 | $397 | 44.1× |
| Selenium (84255) | $60.30 | $201 | 2.4× |
| Sensitivity mic (87186) range across 6 matching MRF lines |
$17.70–$90 | $59–$300 | varies |
| Sex Hormone Binding Globulin (84270) | $36 | $120 | 1.7× |
| 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) range across 2 matching MRF lines |
$46.20–$55.20 | $154–$184 | varies |
| Sirolimus (80195) | $88.20 | $294 | 6.4× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$8.70–$18.90 | $29–$63 | varies |
| Smear complex stain (87209) | $42 | $140 | 2.3× |
| Smear gram stain (87205) | $110.40 | $368 | 25.9× |
| Smn1 Gene Dos/Deletion Alys (81329) | $415.50 | $1,385 | 3.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $18.60 | $62 | 3.2× |
| So neo gsap DNA/DNA&RNA (81459) | $1,977 | $6,590 | 0.7× |
| Sodium Serum (84295) | $50.40 | $168 | 10.5× |
| Sodium Urine (84300) | $69.90 | $233 | 13.8× |
| Somatomedin (84305) | $49.80 | $166 | 2.3× |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
$20.40–$123 | $68–$410 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$32.70–$188.70 | $109–$629 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$18.60–$46.80 | $62–$156 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$15–$38.40 | $50–$128 | varies |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $76.80 | $256 | 0.5× |
| Stool cultr aerobic bact ea (87046) | $11.40 | $38 | 1.2× |
| Strep a assay w/optic (87880) | $214.20 | $714 | 13.0× |
| Strep a DNA amp probe (87651) | $61.20 | $204 | 1.7× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $28.20 | $94 | 0.3× |
| Surg path level iii (88304) | $167.10 | $557 | 3.3× |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$90.60–$270 | $302–$900 | varies |
| Surgical pathology level vi (88309) | $522.90 | $1,743 | 0.7× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$17.70–$21.60 | $59–$72 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$23.40–$54.30 | $78–$181 | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $61.50 | $205 | 8.4× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$13.80–$32.10 | $46–$107 | varies |
| T cells absolute cd4 count (86361) | $45.90 | $153 | 1.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $80.10 | $267 | 1.7× |
| T cells total count (86359) | $356.70 | $1,189 | 9.5× |
| T3 Free (84481) range across 2 matching MRF lines |
$97.80–$204 | $326–$680 | varies |
| T3 Uptake (84479) | $13.80 | $46 | 2.1× |
| T4 Free (84439) range across 2 matching MRF lines |
$32.10–$194.40 | $107–$648 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$21–$52.80 | $70–$176 | varies |
| Tacrolimus (80197) | $22.80 | $76 | 1.7× |
| Test for acetone/ketones (82009) | $44.70 | $149 | 9.9× |
| Testosterone total (84403) | $172.50 | $575 | 6.7× |
| Testosterone, Free (84402) | $195.90 | $653 | 7.7× |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) range across 2 matching MRF lines |
$942–$1,464.90 | $3,140–$4,883 | varies |
| Theophylline (80198) | $130.20 | $434 | 9.2× |
| Thrombin Time (85670) | $29.10 | $97 | 5.0× |
| Thromboplastin Inhibition Tissue (85705) | $27.60 | $92 | 2.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $116.70 | $389 | 18.0× |
| Thyroglobulin (84432) | $55.20 | $184 | 3.4× |
| Thyroglobulin Antibody (86800) | $131.40 | $438 | 8.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $20.10 | $67 | 1.7× |
| Tissue culture bone marrow (88237) | $420.90 | $1,403 | 2.9× |
| Tobramycin peak (80200) | $131.40 | $438 | 8.1× |
| Topiramate (80201) | $71.70 | $239 | 6.0× |
| Toxoplasma ab igm (86778) | $203.40 | $678 | 14.1× |
| Toxoplasma antibody (86777) | $99 | $330 | 6.9× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$9.60–$45.90 | $32–$153 | varies |
| Transferrin (84466) | $47.40 | $158 | 3.7× |
| Trb@ gene rearrange dirprobe (81341) | $74.40 | $248 | 1.5× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $1,444.80 | $4,816 | 6.9× |
| Trg gene rearrangement anal (81342) | $129.30 | $431 | 0.6× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$55.20–$91.50 | $184–$305 | varies |
| Triglycerides (84478) | $11.10 | $37 | 1.9× |
| Troponin Quant (84484) | $242.10 | $807 | 19.4× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$107.70–$285.60 | $359–$952 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$7.80–$20.70 | $26–$69 | varies |
| Urinalysis Microscopic Only (81015) | $39.30 | $131 | 12.9× |
| Urinalysis Volume Measure (81050) | $45.90 | $153 | 12.6× |
| Urine Bacteria Culture (87088) | $47.40 | $158 | 5.9× |
| Urine Pregnancy Test (81025) | $113.70 | $379 | 13.2× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $139.80 | $466 | 44.1× |
| Valproic acid (80164) range across 2 matching MRF lines |
$21.30–$266.70 | $71–$889 | varies |
| Vancomycin (80202) | $89.40 | $298 | 6.6× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$201.90–$228.30 | $673–$761 | varies |
| Viral Culture (87252) | $61.20 | $204 | 2.3× |
| Virus inoculation, shell via (87254) | $90.90 | $303 | 4.6× |
| Viscosity serum (85810) | $59.10 | $197 | 5.1× |
| Vit D 1 25-Dihydroxy (82652) | $143.70 | $479 | 3.7× |
| Vitamin A (84590) | $182.10 | $607 | 15.7× |
| Vitamin b-12 (82607) | $114.90 | $383 | 7.6× |
| Vitamin B2 (Riboflavin) (84252) | $154.80 | $516 | 7.6× |
| Vitamin B6 (84207) | $319.80 | $1,066 | 11.4× |
| Vitamin E (84446) | $72.60 | $242 | 5.1× |
| Vitamin K (84597) | $236.40 | $788 | 17.2× |
| Volatiles (84600) | $27 | $90 | 1.6× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $32.10 | $107 | 2.7× |
| Von willebrand factor ag (85246) | $146.70 | $489 | 6.4× |
| West nile virus ab igm (86788) | $61.50 | $205 | 3.6× |
| West Nile Virus Antibody (86789) | $61.50 | $205 | 4.3× |
| Zika Virus Dna/Rna Amp Probe (87662) | $143.40 | $478 | 2.8× |
| Zinc (84630) | $87 | $290 | 7.6× |
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.