Lab & pathology prices at Bon Secours St. Francis Hospital
Charleston, SC · every code in this section with a posted price and a Medicare benchmark.
671 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | $55.20 | $92 | 3.0× |
| Acetylcholine receptor blocking antibody (86042) | $55.20 | $92 | 3.0× |
| Acetylcholinesterase Assay (82013) | $112.80 | $188 | 9.2× |
| Acetylcholn Rcptr Modlg Antb (86043) | $36.60 | $61 | 3.0× |
| Actin smooth muscle antibody each (86015) | $34.80 | $58 | 2.9× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$93.60–$471 | $156–$785 | varies |
| Acylcarnitines Quant (82017) | $301.80 | $503 | 17.9× |
| Albumin Fluid (82042) | $52.20 | $87 | 6.7× |
| Albumin serum (82040) range across 2 matching MRF lines |
$46.80–$47.40 | $78–$79 | varies |
| Aldosterone urine (82088) | $184.20 | $307 | 4.5× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $87 | $145 | 5.1× |
| Alpha-Fetoprotein Serum (82105) | $151.80 | $253 | 9.1× |
| Alt (sgpt) (84460) | $80.40 | $134 | 15.2× |
| Aluminum (82108) | $94.80 | $158 | 3.7× |
| Amikacin trough (80150) | $89.40 | $149 | 5.9× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $69 | $115 | 3.0× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $189 | $315 | 11.2× |
| Amino Acids Quant 2-5 (82136) | $74.40 | $124 | 3.8× |
| Aminolevulinic acid (ala) (82135) | $114.60 | $191 | 7.0× |
| Ammonia (82140) range across 2 matching MRF lines |
$9–$118.80 | $15–$198 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $147.60 | $246 | 1.5× |
| Amylase urine (82150) | $159.60 | $266 | 24.6× |
| Anca screen each antibody (86036) | $36.60 | $61 | 3.0× |
| Androstenedione (82157) | $87.60 | $146 | 3.0× |
| Angiotensin converting enzyme csf (82164) | $119.40 | $199 | 8.2× |
| Anti-Phospholipid Antibody (86148) | $189.60 | $316 | 11.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $115.80 | $193 | 7.5× |
| Antibody Encephalitis California La Crosse (86651) range across 2 matching MRF lines |
$55.20–$130.20 | $92–$217 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $115.20 | $192 | 8.8× |
| Antibody Fungus Not Elsewhere Specified (86671) | $90 | $150 | 7.3× |
| Antibody haemophilus influenza (86684) | $139.20 | $232 | 8.8× |
| Antibody helicobacter pylori (86677) | $145.20 | $242 | 8.6× |
| Antibody HIV-1&HIV-2 single result (86703) | $82.80 | $138 | 6.0× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $971.40 | $1,619 | 3.0× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $245.40 | $409 | 3.0× |
| Antibody identification leukocyte antibodies (86021) | $435 | $725 | 28.9× |
| Antibody john cunningham virus (86711) | $133.20 | $222 | 7.9× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$56.40–$97.20 | $94–$162 | varies |
| Antibody Treponema Pallidum (86780) | $97.20 | $162 | 7.3× |
| Antibody yersinia (86793) | $50.40 | $84 | 3.8× |
| Antibody; encephalitis, st. louis (86653) range across 2 matching MRF lines |
$59.40–$130.20 | $99–$217 | varies |
| Antibody; influenza virus (86710) | $97.80 | $163 | 7.2× |
| Antigen typing (86905) | $777.60 | $1,296 | 203.0× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $377.40 | $629 | 66.0× |
| Antinomyces antibody (86602) | $67.80 | $113 | 6.7× |
| Antistreptolysin o titer (86060) | $114.60 | $191 | 15.7× |
| Antithrombin iii activity (85300) | $229.80 | $383 | 19.4× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $2,316.60 | $3,861 | 4.6× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $495 | $825 | 13.1× |
| Aquaporin-4 Antb Cba Each (86052) | $526.80 | $878 | 43.7× |
| Aquaporin-4 Antb Elisa (86051) | $202.80 | $338 | 17.6× |
| Arsenic (82175) | $81.60 | $136 | 4.3× |
| Aspa gene analysis common variants (81200) | $600 | $1,000 | 12.7× |
| Aspergillus ag eia (87305) | $167.40 | $279 | 14.0× |
| Assay Blood Carbon Dioxide (82374) | $35.40 | $59 | 7.3× |
| Assay Dir Meas Fr Estradiol (82681) | $84 | $140 | 3.0× |
| Assay Duodenal Fluid Trypsin (84485) | $31.80 | $53 | 4.4× |
| Assay myeloperoxidase (83876) | $152.40 | $254 | 3.0× |
| Assay Nephelometry Not Spec (83883) | $94.80 | $158 | 7.0× |
| Assay of anti-mullerian hormone (82166) | $37.20 | $62 | 1.0× |
| Assay of b-hexosaminidase each assay (83080) | $274.20 | $457 | 16.3× |
| Assay of blood/uric acid (84550) | $88.20 | $147 | 19.5× |
| Assay of calcium in urine (82340) | $59.40 | $99 | 9.9× |
| Assay of cpk in blood (82552) | $87.60 | $146 | 6.5× |
| Assay of estrone (82679) | $210.60 | $351 | 8.4× |
| Assay of g6pd enzyme (82955) | $69 | $115 | 7.1× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$26.40–$105 | $44–$175 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$85.20–$90 | $142–$150 | varies |
| Assay of metanephrines (83835) | $185.40 | $309 | 10.9× |
| Assay of phosphatase acid total (84060) | $54.60 | $91 | 7.1× |
| Assay of proinsulin (84206) | $112.20 | $187 | 4.2× |
| Assay of pyruvate (84210) | $69.60 | $116 | 4.8× |
| Assay of serum potassium (84132) | $65.40 | $109 | 13.7× |
| Assay of sweat sodium (84302) | $42.60 | $71 | 8.8× |
| Assay of urea nitrogen (84520) | $57.60 | $96 | 14.6× |
| Assay of urine vma (84585) | $104.40 | $174 | 6.7× |
| Assay of vasoactive intestinal peptide (84586) | $205.80 | $343 | 5.8× |
| Assay Ph Body Fluid Nos (83986) | $28.80 | $48 | 8.0× |
| Assay Phosphohexose Enzymes (84087) | $32.40 | $54 | 3.0× |
| Assay spec xcp ur&breath ia (82077) | $54.60 | $91 | 3.2× |
| Asy carbamazepin 10,11-epxid (80161) | $56.40 | $94 | 3.0× |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) | $411 | $685 | 3.0× |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) | $411 | $685 | 3.0× |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) | $411 | $685 | 3.0× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $1,513.20 | $2,522 | 1.8× |
| Automated Leukocyte Count (85048) | $43.20 | $72 | 17.0× |
| Bacterial antigens 87802 (87802) | $209.40 | $349 | 16.4× |
| Bartonella antibody (86611) | $76.20 | $127 | 7.5× |
| Bcr/abl1 gene major bp (81206) | $369.60 | $616 | 2.3× |
| Bcr/abl1 gene minor bp (81207) | $287.40 | $479 | 2.0× |
| Bcr/Abl1 Gene Other Bp (81208) | $644.40 | $1,074 | 3.0× |
| Beta hydroxybutyrate (82010) | $72 | $120 | 8.8× |
| Beta-2 Microglobulin (82232) | $130.20 | $217 | 8.0× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $544.20 | $907 | 4.2× |
| Bile acids total (82239) | $78 | $130 | 4.6× |
| Bilirubin direct (82248) | $112.20 | $187 | 22.4× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$49.20–$81 | $82–$135 | varies |
| Bilirubin total transcutaneous (88720) | $15.60 | $26 | 3.1× |
| Biotinidase (82261) | $48.60 | $81 | 2.9× |
| Blastomyces antibody (86612) | $85.80 | $143 | 6.7× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $241.80 | $403 | 1.5× |
| Blood Count Red Blood Cell Automated (85041) | $27 | $45 | 8.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $23.40 | $39 | 6.2× |
| Blood gas (82803) | $213 | $355 | 8.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $76.20 | $127 | 4.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $41.40 | $69 | 9.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $777.60 | $1,296 | 122.5× |
| Blood typing serologic abo (86900) range across 4 matching MRF lines |
$76.20–$81.60 | $127–$136 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$14.40–$103.80 | $24–$173 | varies |
| Braf gene analysis (81210) | $422.40 | $704 | 2.4× |
| Brucella antibody (86622) | $57.60 | $96 | 6.5× |
| C diff amplified probe (87493) | $136.80 | $228 | 3.7× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$105–$114 | $175–$190 | varies |
| Ca 19-9 (86301) | $83.40 | $139 | 4.0× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) | $411 | $685 | 3.0× |
| Cadmium (82300) | $162.60 | $271 | 6.9× |
| Caffeine (80155) | $58.20 | $97 | 1.5× |
| Calcitonin (82308) | $80.40 | $134 | 3.0× |
| Calcium ionized (82330) range across 4 matching MRF lines |
$94.80–$133.80 | $158–$223 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$15.60–$65.40 | $26–$109 | varies |
| Calculus assay quant (82360) | $76.80 | $128 | 6.0× |
| Calprotectin Fecal (83993) | $258 | $430 | 13.1× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$364.80–$712.80 | $608–$1,188 | varies |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$162–$205.20 | $270–$342 | varies |
| Cancer Antigen 27.29 (86300) | $144 | $240 | 6.9× |
| Carbamazepine free (80157) | $100.20 | $167 | 7.6× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$84.60–$178.80 | $141–$298 | varies |
| Carbohydrate Deficient Transferrin (82373) | $112.20 | $187 | 6.2× |
| Carboxyhemoglobin (82375) | $79.80 | $133 | 6.5× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$148.20–$183.60 | $247–$306 | varies |
| Carnitine Quantitative Each Specimen (82379) | $122.40 | $204 | 7.3× |
| Catecholamines fractionated (82384) | $217.20 | $362 | 8.6× |
| Cell count csf (89051) | $28.20 | $47 | 5.0× |
| Cell marker study (88182) | $4,158 | $6,930 | 85.8× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $407.40 | $679 | 3.0× |
| Cftr gene com variants (81220) | $472.80 | $788 | 0.8× |
| Cftr gene full sequence (81223) | $2,549.40 | $4,249 | 5.1× |
| Chemiluminescent assay (82397) | $67.20 | $112 | 4.8× |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $782.40 | $1,304 | 3.0× |
| Chlamydia antibody (86631) | $59.40 | $99 | 5.0× |
| Chlamydia Igm Antibody (86632) | $57.60 | $96 | 4.5× |
| Chloride other source (82438) range across 2 matching MRF lines |
$22.80–$51.60 | $38–$86 | varies |
| Chloride Serum (82435) | $25.80 | $43 | 5.6× |
| Chloride urine (82436) | $66 | $110 | 11.5× |
| Chorionic gonadotropin test (84702) | $267 | $445 | 17.7× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $856.80 | $1,428 | 4.5× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $232.80 | $388 | 6.8× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $149.40 | $249 | 4.5× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $519.60 | $866 | 3.0× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $519.60 | $866 | 3.0× |
| Chromium serum (82495) | $123 | $205 | 6.1× |
| Chromogenic Substrate Assay (85130) | $175.80 | $293 | 14.8× |
| Chromogranin a (86316) | $192 | $320 | 9.2× |
| Chromosome analys amniotic (88269) | $723.60 | $1,206 | 4.2× |
| Chromosome Analysis 15-20 (88262) | $822 | $1,370 | 6.6× |
| Chromosome analysis, 5 (88261) | $780.60 | $1,301 | 3.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$52.20–$100.20 | $87–$167 | varies |
| Citric acid urine (82507) | $16.80 | $28 | 0.6× |
| Ckmb (82553) | $174 | $290 | 15.1× |
| Clostridium Difficile (87324) | $90.60 | $151 | 7.6× |
| Clot Factor VIII Multimetric (85247) | $270 | $450 | 11.8× |
| Clot factor xiii fibrin stab (85290) | $147.60 | $246 | 9.0× |
| Clotting factor xii hageman (85280) | $198.60 | $331 | 10.3× |
| Cns DNA amp probe type 12-25 (87483) | $1,375.80 | $2,293 | 3.3× |
| Cold agglutinin titer (86157) | $45.60 | $76 | 5.7× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$107.40–$214.20 | $179–$357 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $699 | $1,165 | 3.0× |
| Compatibility Each Unit Incubation (86921) | $136.80 | $228 | 0.9× |
| Compatibility test antiglob (86922) | $187.80 | $313 | 1.2× |
| Complement Antigen Each Component (86160) | $139.80 | $233 | 11.7× |
| Complement Total (Ch50) (86162) | $199.80 | $333 | 9.8× |
| Complement/Function Activity (86161) | $137.40 | $229 | 11.5× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 2 matching MRF lines |
$102–$210.60 | $170–$351 | varies |
| Coombs direct (86880) | $143.40 | $239 | 26.6× |
| Copper urine (82525) | $105.60 | $176 | 8.5× |
| Cortisol free (82530) | $112.20 | $187 | 6.7× |
| Cortisol saliva (82533) | $148.20 | $247 | 9.1× |
| Creatine (82540) | $91.20 | $152 | 19.7× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$47.40–$72.60 | $79–$121 | varies |
| Creatinine blood (82565) | $54.60 | $91 | 10.7× |
| Creatinine clearance (82575) | $163.80 | $273 | 17.3× |
| Creatinine Urine (82570) | $46.80 | $78 | 9.0× |
| Crossmatch electronic (86923) | $128.40 | $214 | 0.8× |
| Crossmatch immediate spin (86920) | $121.20 | $202 | 0.8× |
| Crp High Sensitivity (86141) | $56.40 | $94 | 4.4× |
| Cryofibrinogen (82585) | $63 | $105 | 4.5× |
| Cryoglobulin (82595) | $137.40 | $229 | 21.2× |
| Cryptococcal Antigen (87327) | $60.60 | $101 | 4.5× |
| Cryptococcus ag titer (87899) | $50.40 | $84 | 3.1× |
| Cryptosporidium ag eia (87328) | $41.40 | $69 | 3.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$76.20–$99.60 | $127–$166 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $60 | $100 | 7.4× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $654 | $1,090 | 3.0× |
| Culture Anaerobic (87075) | $210 | $350 | 22.2× |
| Culture blood (87040) | $98.40 | $164 | 9.5× |
| Culture chlamydia (87110) | $111 | $185 | 5.7× |
| Culture csf (87070) range across 2 matching MRF lines |
$108.60–$162.60 | $181–$271 | varies |
| Culture fungus (87102) | $156.60 | $261 | 18.6× |
| Culture fungus blood (87103) | $106.80 | $178 | 5.2× |
| Culture screen only (87081) range across 2 matching MRF lines |
$112.80–$120 | $188–$200 | varies |
| Culture stool (87045) | $155.40 | $259 | 16.5× |
| Culture urine (87086) | $114 | $190 | 14.1× |
| Cyanide (82600) | $58.20 | $97 | 3.0× |
| Cyclic amp (82030) | $60 | $100 | 2.3× |
| Cyclosporine (80158) | $325.80 | $543 | 18.0× |
| Cyp2c19 gene analysis common variants (81225) | $559.80 | $933 | 1.9× |
| Cyp2d6 gene com variants (81226) | $284.40 | $474 | 0.6× |
| Cyp3a4 gene common variants (81230) | $524.40 | $874 | 3.0× |
| Cyp3a5 gene common variants (81231) | $524.40 | $874 | 3.0× |
| Cytogenetics 100-300 (88275) | $360.60 | $601 | 7.0× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,585.40 | $4,309 | 2.2× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $67.80 | $113 | 3.3× |
| Cytopath Cell Enhance Tech (88112) | $281.40 | $469 | 5.8× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $133.20 | $222 | 5.0× |
| Cytp Concentration Smears & Interpretation (88108) | $74.40 | $124 | 2.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $307.20 | $512 | 6.3× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) range across 2 matching MRF lines |
$480–$488.40 | $800–$814 | varies |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $40.80 | $68 | 1.5× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $475.80 | $793 | 3.0× |
| Deoxyribonuclease antibody (86215) | $61.20 | $102 | 4.6× |
| Detect Agent Nos Dna Amp (87798) | $538.20 | $897 | 15.3× |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$323.40–$460.20 | $539–$767 | varies |
| Dgp Antibody Each Ig Class (86258) | $34.80 | $58 | 2.9× |
| Dibucaine number (82638) | $43.20 | $72 | 3.5× |
| Digoxin (80162) | $104.40 | $174 | 7.9× |
| Dihydrotestosterone (82642) | $228 | $380 | 7.8× |
| Dipropylacetic Acid Free (80165) | $123.60 | $206 | 9.1× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) | $102.60 | $171 | 3.0× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $411 | $685 | 3.0× |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$75.60–$105 | $126–$175 | varies |
| DNA/RNA direct probe (87149) | $132 | $220 | 6.6× |
| Dpyd gene common variants (81232) | $524.40 | $874 | 3.0× |
| Drug assay acetaminophen (80143) | $59.40 | $99 | 3.2× |
| Drug assay adalimumab (80145) | $115.80 | $193 | 3.0× |
| Drug Assay Amiodarone (80151) | $56.40 | $94 | 3.0× |
| Drug Assay Everolimus (80169) | $41.40 | $69 | 3.0× |
| Drug Assay Infliximab (80230) | $306 | $510 | 7.9× |
| Drug Assay Itraconazole (80189) | $373.80 | $623 | 13.8× |
| Drug Assay Lacosamide (80235) | $36 | $60 | 1.3× |
| Drug Assay Leflunomide (80193) | $79.20 | $132 | 2.1× |
| Drug Assay Posaconazole (80187) | $239.40 | $399 | 8.8× |
| Drug Assay Vedolizumab (80280) | $115.80 | $193 | 3.0× |
| Drug Asy Hydroxychloroquine (80220) | $121.80 | $203 | 6.5× |
| Drug Screen Quant Zonisamide (80203) | $78.60 | $131 | 5.9× |
| Drug Screen Quantitative Gabapentin (80171) | $78.60 | $131 | 3.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $126.60 | $211 | 9.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $129 | $215 | 9.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 10 matching MRF lines |
$84.60–$286.80 | $141–$478 | varies |
| Drug Test Prsmv Instrmnt (80306) | $267.60 | $446 | 15.6× |
| Egfr Gene Analysis Common Variants (81235) | $994.80 | $1,658 | 3.1× |
| Ehrlichia antibody (86666) | $118.20 | $197 | 11.6× |
| Electrolyte panel (80051) | $184.80 | $308 | 26.4× |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$893.40–$1,018.80 | $1,489–$1,698 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $148.80 | $248 | 2.4× |
| Encephaltis East Eqne Anbdy (86652) range across 2 matching MRF lines |
$58.80–$124.20 | $98–$207 | varies |
| Encephaltis West Eqne Antbdy (86654) | $62.40 | $104 | 4.7× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $36.60 | $61 | 3.0× |
| Enzyme cell activity (82657) | $148.80 | $248 | 6.7× |
| Enzyme histochemistry (88319) | $2,457.60 | $4,096 | 3.3× |
| Epilepsy Genomic Sequence Analysis Panel (81419) | $7,345.80 | $12,243 | 3.0× |
| Estradiol serum (82670) | $121.20 | $202 | 4.3× |
| Ethosuximide (80168) | $58.80 | $98 | 3.6× |
| Ethylene Glycol (82693) | $119.40 | $199 | 8.0× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$87–$211.20 | $145–$352 | varies |
| F9 full gene sequence (81238) | $1,800 | $3,000 | 3.0× |
| Factor ii activity (85210) | $304.20 | $507 | 23.4× |
| Factor Inhibitor Test (85335) | $217.20 | $362 | 16.9× |
| Factor X (85260) range across 2 matching MRF lines |
$212.40–$399.60 | $354–$666 | varies |
| Factor xi activity (85270) | $208.20 | $347 | 11.6× |
| Fatty acids free (82725) range across 2 matching MRF lines |
$128.40–$571.20 | $214–$952 | varies |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) range across 3 matching MRF lines |
$51.60–$460.20 | $86–$767 | varies |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) range across 2 matching MRF lines |
$131.40–$327 | $219–$545 | varies |
| Fecal Fat Qualitative (82705) | $45.60 | $76 | 8.9× |
| Ferritin (82728) | $38.40 | $64 | 2.8× |
| Fetal Chrmoml Aneuploidy (81420) | $2,277.60 | $3,796 | 3.0× |
| Fetal Chrmoml Microdeltj (81422) | $694.80 | $1,158 | 0.9× |
| Fetal Fibronectin (82731) | $471.60 | $786 | 7.3× |
| Fetal hemoglobin assay qual (83033) | $130.80 | $218 | 16.4× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $83.40 | $139 | 4.4× |
| Fetal screen rosette (85461) | $98.40 | $164 | 10.5× |
| Fibrin degradation products (85362) range across 2 matching MRF lines |
$83.40–$162.60 | $139–$271 | varies |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$44.40–$149.40 | $74–$249 | varies |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$29.40–$163.20 | $49–$272 | varies |
| Flecainide level (80181) | $56.40 | $94 | 3.0× |
| Flow cytometry first marker (88184) | $528 | $880 | 1.6× |
| Flt3 Gene (81245) | $496.80 | $828 | 3.0× |
| Flt3 gene analysis (81246) | $249 | $415 | 3.0× |
| Fluorescent antibody screen (86255) | $124.80 | $208 | 10.4× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$68.40–$125.40 | $114–$209 | varies |
| Fmr1 gene detection (81243) | $286.20 | $477 | 5.0× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$41.40–$44.40 | $69–$74 | varies |
| Follicle Stimulating Hormone (83001) | $80.40 | $134 | 4.3× |
| Francisella tularensis (86668) | $81.60 | $136 | 5.8× |
| Frozen Section (88331) | $274.80 | $458 | 1.7× |
| Fungi Identification Mold (87107) | $89.40 | $149 | 8.7× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$97.80–$100.20 | $163–$167 | varies |
| G6pd gene analysis full gene sequence (81249) | $1,800 | $3,000 | 3.0× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $138.60 | $231 | 6.6× |
| Galectin-3 (82777) | $142.80 | $238 | 3.2× |
| Gases blood ph only (82800) | $100.80 | $168 | 9.2× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 2 matching MRF lines |
$2,278.80–$2,392.20 | $3,798–$3,987 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $8,758.80 | $14,598 | 3.0× |
| Genet Virus Isolate Hsv (87255) | $130.20 | $217 | 3.8× |
| Genetic Tstg Severe Inh Cond (81443) | $7,345.80 | $12,243 | 3.0× |
| Gentamicin (80170) | $233.40 | $389 | 14.2× |
| Ggt (82977) | $93 | $155 | 12.9× |
| Giardia antigen (87329) | $61.20 | $102 | 5.1× |
| Giardia lamblia antibody (86674) | $52.20 | $87 | 3.5× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $27 | $45 | 4.5× |
| Glucagon (82943) | $163.80 | $273 | 11.5× |
| Glucose Blood Test (82962) | $30.60 | $51 | 9.3× |
| Glucose body fluid (82945) | $18 | $30 | 4.6× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$12–$60 | $20–$100 | varies |
| Glucose tolerance test (gtt) (82951) | $150.60 | $251 | 11.7× |
| Glucosidase beta (82963) range across 2 matching MRF lines |
$129.60–$447 | $216–$745 | varies |
| Glutathione (82978) | $46.20 | $77 | 3.0× |
| Glycated Protein (82985) | $100.20 | $167 | 6.0× |
| Gonadotropin Chorionic Qualitative (84703) | $167.40 | $279 | 22.3× |
| Growth hormone (83003) | $109.80 | $183 | 6.6× |
| Gtt-added samples (82952) | $41.40 | $69 | 10.6× |
| H Pylori (C-13) Breath (83013) | $317.40 | $529 | 4.7× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$127.80–$268.80 | $213–$448 | varies |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 2 matching MRF lines |
$938.40–$1,208.40 | $1,564–$2,014 | varies |
| Hbb Full Gene Sequence (81364) | $1,023 | $1,705 | 3.2× |
| Helicobacter Pylori Stool (87338) | $115.80 | $193 | 8.1× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$39.60–$110.40 | $66–$184 | varies |
| Hematocrit (85014) | $34.80 | $58 | 14.7× |
| Hemoglobin (85018) | $34.80 | $58 | 14.7× |
| Hemoglobin a1c (83036) | $126 | $210 | 13.0× |
| Hemoglobin Chromotography (83021) | $185.40 | $309 | 10.3× |
| Hemoglobin electrophoresis (83020) | $132.60 | $221 | 10.3× |
| Hemoglobin plasma (83051) | $71.40 | $119 | 9.8× |
| Hemoglobin stability screen (83068) | $210.60 | $351 | 22.2× |
| Hemosiderin urine (83070) range across 2 matching MRF lines |
$22.20–$35.40 | $37–$59 | varies |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$39.60–$110.40 | $66–$184 | varies |
| Heparin assay (85520) | $307.20 | $512 | 23.5× |
| Hepatitis a antibody total (86708) | $131.40 | $219 | 10.6× |
| Hepatitis b core ab igm (86705) | $41.40 | $69 | 3.5× |
| Hepatitis B Surface Antibody (86706) | $153.60 | $256 | 14.3× |
| Hepatitis B Surface Antigen (87340) | $108.60 | $181 | 10.5× |
| Hepatitis Be Antibody (86707) | $87.60 | $146 | 7.6× |
| Hepatitis Be Antigen (87350) | $69 | $115 | 6.0× |
| Hepatitis C Antibody (86803) | $253.20 | $422 | 17.7× |
| Hepatitis C Genotype (87902) | $918.60 | $1,531 | 3.6× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $161.40 | $269 | 4.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $369 | $615 | 8.6× |
| Hepatitis d quantification (87523) | $36 | $60 | 0.8× |
| Hepatitis Delta Agent Antibody (86692) range across 2 matching MRF lines |
$52.80–$93.60 | $88–$156 | varies |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $3,912 | $6,520 | 3.0× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$73.80–$109.20 | $123–$182 | varies |
| Hfe Gene (81256) range across 2 matching MRF lines |
$361.80–$707.40 | $603–$1,179 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $192 | $320 | 24.8× |
| Histamine urine (83088) | $167.40 | $279 | 5.7× |
| Histoplasma antibody (86698) | $93.60 | $156 | 6.8× |
| Histoplasma antigen urine (87385) | $171.60 | $286 | 13.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$76.20–$101.40 | $127–$169 | varies |
| Hiv-1 Antibody (86701) | $113.40 | $189 | 12.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $340.80 | $568 | 4.0× |
| HIV-2 probe&revrse trnscripj (87538) | $105.60 | $176 | 3.0× |
| Hla Class I Typing High Resolution Complete (81379) | $1,005.60 | $1,676 | 3.0× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $532.20 | $887 | 3.0× |
| Hla class ii typing high resolution one locus ea (81382) | $585 | $975 | 4.7× |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $156 | $260 | 1.4× |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) | $84 | $140 | 2.3× |
| Hla ii typing 1 allele hr (81383) | $153 | $255 | 1.4× |
| Hla Typing a/B/C Multiple Antigens (86813) range across 2 matching MRF lines |
$174–$565.20 | $290–$942 | varies |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
$54–$57 | $90–$95 | varies |
| Hpa-1 genotyping gene analysis common variant (81105) | $557.40 | $929 | 4.6× |
| Hpv High-Risk Types (87624) | $105 | $175 | 3.0× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $210.60 | $351 | 3.0× |
| Hpv Types 16 & 18 Only (87625) range across 2 matching MRF lines |
$121.80–$127.80 | $203–$213 | varies |
| Hsv Dna Amp Probe (87529) | $165.60 | $276 | 4.7× |
| Hsv Dna Quant (87530) | $245.40 | $409 | 5.7× |
| Htlv-I Antibody (86687) | $72 | $120 | 7.9× |
| Htlv-ii antibody (86688) | $66.60 | $111 | 4.8× |
| Hydroxyprogesterone 17-d (83498) | $159 | $265 | 5.9× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $152.40 | $254 | 14.8× |
| Iaad ia shiga-like toxin (87427) | $73.20 | $122 | 6.1× |
| Iaadi inffluenza a virus (87276) | $49.80 | $83 | 3.1× |
| Iaadi not otherwise specified each organism (87299) | $57 | $95 | 3.5× |
| Iaadi parainfluenza virus each type (87279) | $47.40 | $79 | 2.9× |
| Iaadi pneumocustis carinii (87281) | $120.60 | $201 | 10.1× |
| Iaadi respiratory synctial virus (87280) | $73.80 | $123 | 5.5× |
| Iaadi Varicella Zoster Virus (87290) | $40.80 | $68 | 3.0× |
| Iadna Bartonella Amplified Probe Technique (87471) range across 2 matching MRF lines |
$105.60–$173.40 | $176–$289 | varies |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $213.60 | $356 | 6.1× |
| Iadna Candida Species Amplified Probe Tq (87481) range across 2 matching MRF lines |
$111–$116.40 | $185–$194 | varies |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $90.60 | $151 | 4.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $257.40 | $429 | 7.3× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $241.80 | $403 | 6.9× |
| Iadna Herpes Virus-6 Quantification (87533) | $514.20 | $857 | 12.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $340.80 | $568 | 9.7× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $256.80 | $428 | 7.3× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $230.40 | $384 | 3.0× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $342.60 | $571 | 7.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $49.80 | $83 | 1.4× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $73.20 | $122 | 1.4× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $789 | $1,315 | 3.0× |
| Ig Light Chains Free Each (83521) | $52.20 | $87 | 3.0× |
| Igh gene rearrange amp meth (81261) | $422.40 | $704 | 2.1× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $917.40 | $1,529 | 3.1× |
| Igk rearrangeabn clonal pop (81264) | $518.40 | $864 | 3.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $874.20 | $1,457 | 2.6× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$176.40–$577.20 | $294–$962 | varies |
| Immunoassay analyte qual/semiqual single step (83518) | $391.80 | $653 | 40.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$228.60–$864 | $381–$1,440 | varies |
| Immunofixation electrophoresis (86334) | $62.40 | $104 | 2.8× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $185.40 | $309 | 1.2× |
| Immunohistochemistry (88342) | $462 | $770 | 2.9× |
| In situ hybridization 1st probe stain (88365) | $265.80 | $443 | 1.7× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $55.80 | $93 | 3.9× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $48.60 | $81 | 4.0× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $198 | $330 | 3.9× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $148.20 | $247 | 4.2× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $54 | $90 | 4.4× |
| Influenza assay w/optic (87804) | $95.40 | $159 | 5.8× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$265.20–$307.80 | $442–$513 | varies |
| Inhibin A (86336) | $141 | $235 | 9.0× |
| Inhibin b (83520) range across 2 matching MRF lines |
$135–$596.40 | $225–$994 | varies |
| Insitu hybridization auto (88367) | $1,027.20 | $1,712 | 3.1× |
| Insitu hybridization manual (88368) | $271.20 | $452 | 0.8× |
| Insulin antibodies (86337) | $175.80 | $293 | 8.2× |
| Insulin free (83527) | $43.20 | $72 | 3.3× |
| Interleukin-6 (83529) | $52.20 | $87 | 3.0× |
| Intrinsic factor antibody (86340) | $66.60 | $111 | 4.4× |
| Iron (83540) range across 2 matching MRF lines |
$18.60–$358.20 | $31–$597 | varies |
| Iron Binding Capacity (83550) | $25.20 | $42 | 2.9× |
| Islet cell antibody (86341) | $202.80 | $338 | 8.6× |
| Jak2 gene analysis p.val617phe variant (81270) | $386.40 | $644 | 4.2× |
| Kit Gene Analysis D816 Variant(S) (81273) range across 2 matching MRF lines |
$375–$928.20 | $625–$1,547 | varies |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $988.80 | $1,648 | 3.0× |
| Kras Gene Analysis Additional Variant(S) (81276) | $580.20 | $967 | 3.0× |
| Kras Gene Variants Exon 2 (81275) | $596.40 | $994 | 3.1× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$17.40–$73.80 | $29–$123 | varies |
| Lactoferrin Fecal Quantitative (83631) | $181.20 | $302 | 9.2× |
| Ldh Isoenzymes (83625) | $82.20 | $137 | 6.4× |
| LDL direct (83721) | $80.40 | $134 | 7.7× |
| Lead (83655) | $78.60 | $131 | 6.5× |
| Legionella antigen urine (87449) | $64.80 | $108 | 5.4× |
| Legionella pneumophila dfa (87278) | $86.40 | $144 | 5.5× |
| Leptospira antibody (86720) | $91.20 | $152 | 5.6× |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$81–$81.60 | $135–$136 | varies |
| Leukocyte Histamine Release (86343) | $55.20 | $92 | 4.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $109.20 | $182 | 4.1× |
| Level ii surg pathology grossµscopic exam (88302) | $193.20 | $322 | 5.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $414.60 | $691 | 1.2× |
| Lidocaine (80176) | $48 | $80 | 3.3× |
| Lipase (83690) | $99.60 | $166 | 14.5× |
| Lipoprotein A (83695) | $98.40 | $164 | 6.9× |
| Lipoprotein Bld Quan Part (83704) | $153.60 | $256 | 4.5× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $49.80 | $83 | 4.4× |
| Listeria Monocytogenes (86723) | $136.80 | $228 | 10.4× |
| Lithium (80178) | $126 | $210 | 19.1× |
| Liver ds alys 3 bmrk srm alg (81517) | $528.60 | $881 | 3.0× |
| Luteinizing Hormone (Lh) (83002) | $80.40 | $134 | 4.3× |
| Lymphocyte transformation (86353) | $239.40 | $399 | 4.9× |
| M. Genitalium Amp Probe (87563) | $105.60 | $176 | 3.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $518.40 | $864 | 3.3× |
| Macroscopic exam arthropod (87168) | $135.60 | $226 | 31.8× |
| Macroscopic Exam Parasite (87169) | $13.20 | $22 | 3.1× |
| Magnesium Urine (83735) range across 6 matching MRF lines |
$20.40–$82.20 | $34–$137 | varies |
| Meat fibers, feces (89160) | $62.40 | $104 | 12.9× |
| Mercury urine (83825) | $267.60 | $446 | 16.5× |
| Metabolic panel ionized ca (80047) | $231.60 | $386 | 16.9× |
| Mgmt methylation analysis (81287) | $374.40 | $624 | 3.0× |
| Microalbumin, quantitative (82043) | $84.60 | $141 | 14.6× |
| Microbe Suscept Macrobroth (87188) | $50.40 | $84 | 7.6× |
| Microsatellite instability (81301) | $519.60 | $866 | 1.5× |
| Mitochondrial Antibody Each (86381) | $76.80 | $128 | 3.0× |
| Mlh1 Gene (81288) | $577.20 | $962 | 3.0× |
| Mog-Igg1 Antb Cba Each (86362) range across 2 matching MRF lines |
$36.60–$495 | $61–$825 | varies |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $495 | $825 | 13.1× |
| Molecular Cytogenetics Dna Probe Each (88271) | $288 | $480 | 13.4× |
| Molecular Pathology Procedure Level 3 (81402) | $451.20 | $752 | 3.0× |
| Molecular Pathology Procedure Level 6 (81405) | $904.20 | $1,507 | 3.0× |
| Mononuclear cell antigen (86356) | $142.20 | $237 | 5.3× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$364.80–$411 | $608–$685 | varies |
| Mopath procedure level 4 (81403) | $589.20 | $982 | 3.2× |
| Mopath procedure level 7 (81406) | $848.40 | $1,414 | 3.0× |
| Mopath procedure level 8 (81407) | $2,590.80 | $4,318 | 3.1× |
| Mpl gene analysis sequence analysis exon 10 (81339) range across 2 matching MRF lines |
$199.20–$555.60 | $332–$926 | varies |
| Mpl gene common variants (81338) | $451.20 | $752 | 3.0× |
| Mrsa Pcr (87641) | $169.20 | $282 | 4.8× |
| Mthfr Gene Analysis Common Variants (81291) | $305.40 | $509 | 4.7× |
| Mumps antibody (86735) | $101.40 | $169 | 7.8× |
| Muscle-Specific Kinase Antb (86366) | $850.80 | $1,418 | 46.2× |
| Mycobacteric Identification (87118) | $361.20 | $602 | 24.7× |
| Mycophenolic Acid (80180) | $117.60 | $196 | 6.5× |
| Mycoplasma antibody (86738) | $118.20 | $197 | 8.9× |
| Mycoplasma culture (87109) | $126.60 | $211 | 8.2× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $526.20 | $877 | 3.0× |
| Myelin basic protein csf (83873) | $101.40 | $169 | 5.9× |
| Myoglobin urine (83874) | $129 | $215 | 10.0× |
| Natriuretic peptide (83880) | $126 | $210 | 3.2× |
| Neutralization Test Viral (86382) | $51 | $85 | 3.0× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $384.60 | $641 | 3.0× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $772.20 | $1,287 | 3.0× |
| Nfct ds chrnc hcv 6 assays (81596) | $204 | $340 | 2.8× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $386.40 | $644 | 3.0× |
| Niacin (84591) range across 2 matching MRF lines |
$136.80–$180.60 | $228–$301 | varies |
| Nk cells total count (86357) | $167.40 | $279 | 4.4× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $777 | $1,295 | 3.2× |
| Nudt15 Gene Common Variants (81306) | $874.20 | $1,457 | 3.0× |
| Occult blood feces (82272) | $45.60 | $76 | 10.8× |
| Occult Blood Other Sources (82271) | $47.40 | $79 | 8.9× |
| Oligoclonal bands (83916) | $136.80 | $228 | 5.0× |
| Oncology breast mrna gene expression 21 genes (81519) | $3,486 | $5,810 | 0.9× |
| Organic acids urine (83918) | $196.80 | $328 | 8.3× |
| Osmolality serum (83930) | $90.60 | $151 | 13.7× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$42–$63.60 | $70–$106 | varies |
| Osmotic fragility rbc incubated (85557) | $508.20 | $847 | 38.0× |
| Osmotic Fragility RBC Unincubated (85555) | $169.20 | $282 | 22.7× |
| Oxalate urine (83945) | $9 | $15 | 0.6× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,863.60 | $3,106 | 2.5× |
| Ph urine (81003) range across 2 matching MRF lines |
$7.20–$55.20 | $12–$92 | varies |
| Phenobarbital Level (80184) range across 3 matching MRF lines |
$85.20–$181.80 | $142–$303 | varies |
| Phenylalanine (84030) | $16.80 | $28 | 3.1× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$127.80–$164.40 | $213–$274 | varies |
| Phenytoin free (80186) | $105.60 | $176 | 7.7× |
| Phosphatase alkaline (84075) | $49.20 | $82 | 9.5× |
| Phosphatidylglycerol (84081) | $375.60 | $626 | 22.7× |
| Phospholipid Neutralization Hexagonal (85598) | $103.20 | $172 | 5.7× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$14.40–$72.60 | $24–$121 | varies |
| Phosphorus urine (84105) | $3.60 | $6 | 0.6× |
| Platelet Aggregation (85576) | $106.20 | $177 | 4.3× |
| Platelet Antibodies (86022) | $270 | $450 | 14.7× |
| Platelet count automated (85049) | $100.20 | $167 | 22.4× |
| Platelet neutralization (85597) | $144.60 | $241 | 8.0× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $414 | $690 | 2.0× |
| Pneumcysts jirovecii amp prb (87594) | $105 | $175 | 3.0× |
| Pooling blood platelets (86965) | $377.40 | $629 | 2.4× |
| Porphobilinogen, urine; quantitative (84110) | $75.60 | $126 | 9.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $107.40 | $179 | 7.3× |
| Potassium Urine (84133) | $72.60 | $121 | 15.3× |
| Prealbumin (84134) | $92.40 | $154 | 6.3× |
| Pregnancy-Associated Plasma Protein-A (84163) | $66.60 | $111 | 4.4× |
| Primidone (80188) | $82.80 | $138 | 5.0× |
| Procalcitonin (Pct) (84145) | $162 | $270 | 6.0× |
| Progesterone (84144) | $263.40 | $439 | 12.6× |
| Prolactin (84146) | $256.80 | $428 | 13.3× |
| Protein body fluid (84157) | $51.60 | $86 | 12.9× |
| Protein Electrophoresis Urine (84166) | $131.40 | $219 | 7.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $114 | $190 | 10.6× |
| Protein total serum (84155) | $46.80 | $78 | 12.8× |
| Protein Total Urine (84156) | $35.40 | $59 | 9.6× |
| Protein Western Blot Test (84182) | $228.60 | $381 | 7.8× |
| Protoporphyrin rbc quantitative (84202) | $199.80 | $333 | 13.9× |
| PSA free (84154) range across 2 matching MRF lines |
$79.20–$133.20 | $132–$222 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$272.40–$284.40 | $454–$474 | varies |
| Pyruvate kinase (84220) | $100.20 | $167 | 10.6× |
| Q Fever Antibody (86638) | $76.80 | $128 | 6.3× |
| Quantitative assay drug (80299) | $175.20 | $292 | 9.4× |
| Quantitative Screen Metals (83018) | $121.80 | $203 | 5.5× |
| Rbc antibody elution (86860) | $169.20 | $282 | 1.1× |
| Rbc antibody identification (86870) | $220.80 | $368 | 0.7× |
| Rbc antibody screen (86850) | $109.80 | $183 | 11.2× |
| Reptilase test (85635) | $72 | $120 | 7.3× |
| Reticulated Platelet Assay (85055) | $121.80 | $203 | 3.4× |
| Reticulocyte Count (85046) | $24 | $40 | 4.3× |
| Rh (86901) | $58.80 | $98 | 19.7× |
| Rheumatoid Factor Qualitative (86430) | $107.40 | $179 | 17.5× |
| Rheumatoid factor quant (86431) | $99 | $165 | 17.5× |
| Rickettsia antibody (86757) | $91.80 | $153 | 4.7× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$62.40–$68.40 | $104–$114 | varies |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$103.20–$121.80 | $172–$203 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$63.60–$152.40 | $106–$254 | varies |
| Rubeola antibody (86765) | $130.80 | $218 | 10.2× |
| Rufinamide (80210) | $59.40 | $99 | 2.2× |
| Russell Viper Venom Time Diluted (85613) | $164.40 | $274 | 17.2× |
| Salicylate Level (80179) | $59.40 | $99 | 3.2× |
| Salmonella antibody (86768) | $39.60 | $66 | 3.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $96 | $160 | 1.9× |
| Sars-cov-2 COVID-19 antibody (86769) | $133.20 | $222 | 3.2× |
| Sarscov2 & inf a&b amp prb (87636) | $427.80 | $713 | 3.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $148.80 | $248 | 1.0× |
| Sedimentation Rate, Automated (85652) | $97.20 | $162 | 36.0× |
| Selenium (84255) | $128.40 | $214 | 5.0× |
| Sensitivity mic (87186) | $181.20 | $302 | 20.9× |
| Serpina 1 gene (81332) | $218.40 | $364 | 5.0× |
| Sex Hormone Binding Globulin (84270) | $167.40 | $279 | 7.7× |
| Sickling of rbc reduction (85660) | $137.40 | $229 | 24.9× |
| Sirolimus (80195) | $114.60 | $191 | 8.3× |
| Skin test tuberculosis intradermal (86580) | $75 | $125 | 2.8× |
| Smear acid fast (87206) | $78.60 | $131 | 14.6× |
| Smear gram stain (87205) range across 4 matching MRF lines |
$15–$99.60 | $25–$166 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$119.40–$125.40 | $199–$209 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) range across 2 matching MRF lines |
$411–$791.40 | $685–$1,319 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $67.80 | $113 | 11.6× |
| So neo gsap DNA/DNA&RNA (81459) | $4,484.40 | $7,474 | 1.5× |
| Sodium Serum (84295) | $45.60 | $76 | 9.5× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$15–$58.20 | $25–$97 | varies |
| Special Stains Group 1 (88312) | $160.80 | $268 | 3.3× |
| Special Stains Group 2 (88313) | $173.40 | $289 | 1.4× |
| Specimen infect agnt concntj (87015) | $173.40 | $289 | 26.0× |
| Spectrophotometry (84311) | $98.40 | $164 | 12.1× |
| Stool cultr aerobic bact ea (87046) | $71.40 | $119 | 7.6× |
| Strep a assay w/optic (87880) | $102 | $170 | 6.2× |
| Strep a DNA amp probe (87651) | $111 | $185 | 3.2× |
| Strep b DNA amp probe (87653) | $151.80 | $253 | 4.3× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $56.40 | $94 | 0.6× |
| Sulfate urine (84392) | $16.20 | $27 | 3.0× |
| Surg path level iii (88304) | $289.20 | $482 | 6.0× |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$75.60–$331.20 | $126–$552 | varies |
| Surgical pathology level vi (88309) | $730.20 | $1,217 | 1.0× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $41.40 | $69 | 8.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$33.60–$57.60 | $56–$96 | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $67.80 | $113 | 9.3× |
| Syphilis Test Non-Trep Quant (86593) | $96 | $160 | 21.8× |
| T cells absolute cd4 count (86361) | $199.20 | $332 | 7.4× |
| T cells total count (86359) | $162 | $270 | 4.3× |
| T3 Total (84480) | $171 | $285 | 12.1× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$19.20–$113.40 | $32–$189 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$17.40–$101.40 | $29–$169 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$20.40–$185.40 | $34–$309 | varies |
| Tau phosphorylated each (84393) | $544.20 | $907 | 4.2× |
| Test for urine cystines (82615) | $28.80 | $48 | 3.0× |
| Testosterone Bioavailable (84410) | $49.80 | $83 | 1.0× |
| Testosterone total (84403) | $228.60 | $381 | 8.9× |
| Testosterone, Free (84402) | $161.40 | $269 | 6.3× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $3,420 | $5,700 | 5.7× |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $2,929.80 | $4,883 | 4.9× |
| Thrombin Time (85670) | $86.40 | $144 | 15.0× |
| Thyroglobulin (84432) | $319.80 | $533 | 19.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $208.80 | $348 | 4.1× |
| Thyroxine binding globulin (84442) | $141.60 | $236 | 9.6× |
| Tiss cul neo disorders solid tumor (88239) | $603 | $1,005 | 4.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $34.80 | $58 | 3.0× |
| Tissue Culture (88233) | $647.40 | $1,079 | 4.6× |
| Tissue Culture Amniotic Fluid (88235) | $472.80 | $788 | 3.1× |
| Tissue Culture Lymphocyte (88230) | $499.20 | $832 | 4.3× |
| Tobramycin peak (80200) | $198.60 | $331 | 12.3× |
| Topiramate (80201) | $91.80 | $153 | 7.7× |
| Total Tau (84394) | $544.20 | $907 | 4.2× |
| Toxoplasma ab igm (86778) | $136.80 | $228 | 9.5× |
| Toxoplasma antibody (86777) | $129 | $215 | 9.0× |
| Tp53 gene analysis targeted sequence analysis (81352) | $988.20 | $1,647 | 3.0× |
| Tpmt gene com variants (81335) | $524.40 | $874 | 3.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $67.20 | $112 | 13.0× |
| Transferrin (84466) | $115.20 | $192 | 9.0× |
| Trb@ gene rearrange dirprobe (81341) | $148.80 | $248 | 3.0× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $627 | $1,045 | 3.0× |
| Trg gene rearrangement anal (81342) | $369.60 | $616 | 1.8× |
| Trichomonas Vaginalis Amplif (87661) | $55.80 | $93 | 1.6× |
| Triglycerides (84478) | $55.20 | $92 | 9.6× |
| Troponin Quant (84484) | $85.80 | $143 | 6.9× |
| Tumor immunohistochem/comput (88361) | $699.60 | $1,166 | 2.1× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$236.40–$447.60 | $394–$746 | varies |
| Ugt1a1 gene analysis common variants (81350) | $679.20 | $1,132 | 2.9× |
| Urea nitrogen urine (84540) | $45 | $75 | 8.1× |
| Uric acid other source (84560) | $33 | $55 | 6.5× |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$9–$42.60 | $15–$71 | varies |
| Urinalysis Volume Measure (81050) range across 2 matching MRF lines |
$32.40–$45 | $54–$75 | varies |
| Urine Bacteria Culture (87088) | $85.80 | $143 | 10.6× |
| Urine Pregnancy Test (81025) | $108 | $180 | 12.5× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$63.60–$76.20 | $106–$127 | varies |
| Valproic acid (80164) | $95.40 | $159 | 7.0× |
| Vancomycin (80202) | $183.60 | $306 | 13.6× |
| Virus antibody nos (86790) | $48 | $80 | 3.7× |
| Virus inoculate tissue addl (87253) | $87 | $145 | 4.3× |
| Virus inoculation, shell via (87254) | $82.80 | $138 | 4.2× |
| Vitamin A (84590) | $82.20 | $137 | 7.1× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$42–$45 | $70–$75 | varies |
| Vitamin B2 (Riboflavin) (84252) | $294.60 | $491 | 14.6× |
| Vitamin D 25-Hydroxy (82306) | $82.80 | $138 | 2.8× |
| Vitamin E (84446) | $87.60 | $146 | 6.2× |
| Vitamin K (84597) | $100.80 | $168 | 7.3× |
| Volatiles (84600) | $102.60 | $171 | 6.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $202.80 | $338 | 16.8× |
| West nile virus ab igm (86788) | $108 | $180 | 6.4× |
| Zika Virus Dna/Rna Amp Probe (87662) | $273 | $455 | 5.3× |
| Zika Virus Igm Antibody (86794) | $51 | $85 | 3.0× |
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.