Lab & pathology prices at Boone Memorial Health
Madison, WV · every code in this section with a posted price and a Medicare benchmark.
595 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $96.50 | $193 | 6.2× |
| 17-Hydroxypregnenolone (84143) | $184.80 | $264 | 8.1× |
| 5 Nucleotidase (83915) | $80.50 | $115 | 7.2× |
| Acth (82024) | $198.50 | $397 | 5.1× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $49.50 | $99 | 1.5× |
| Acute hepatitis panel (80074) | $71.50 | $143 | 1.5× |
| Acylcarnitines Quant (82017) | $134.50 | $269 | 8.0× |
| Adenovirus antibody (86603) | $63 | $126 | 4.9× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$44–$112 | $88–$160 | varies |
| Albumin serum (82040) range across 3 matching MRF lines |
$6.50–$34 | $13–$68 | varies |
| Aldolase (82085) | $44 | $88 | 4.5× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$120.50–$203 | $241–$406 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$20.15–$68.50 | $40.29–$137 | varies |
| Allergen specific ige (86003) range across 249 matching MRF lines |
$7.50–$89.60 | $15–$168 | varies |
| Allergen specific igg (86001) range across 8 matching MRF lines |
$30–$54 | $60–$108 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $41 | $82 | 2.8× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$20–$36.50 | $40–$73 | varies |
| Alpha-Fetoprotein Serum (82105) | $109.50 | $219 | 6.5× |
| Alt (sgpt) (84460) range across 6 matching MRF lines |
$18.75–$281.25 | $37–$562.50 | varies |
| Aluminum (82108) | $107 | $214 | 4.2× |
| Amikacin trough (80150) | $66.75 | $133.50 | 4.4× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$133.50–$468.50 | $267–$937 | varies |
| Amino acids; single, qualitative, each specimen Facility (82127) | $183 | $366 | 12.9× |
| Ammonia (82140) range across 3 matching MRF lines |
$22–$46.50 | $44–$93 | varies |
| Amylase urine (82150) range across 3 matching MRF lines |
$14.50–$108.50 | $29–$217 | varies |
| Ana Titer (86039) | $59.50 | $119 | 5.3× |
| Androstanediol Glucuronide (82154) | $283.50 | $405 | 9.8× |
| Androstenedione (82157) | $232.40 | $332 | 7.9× |
| Angiotensin converting enzyme csf (82164) | $74.50 | $149 | 5.1× |
| Anti-Phospholipid Antibody (86148) | $49.50 | $99 | 3.1× |
| Antibody aspergillus (86606) | $22.50 | $45 | 1.5× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 5 matching MRF lines |
$18–$23 | $36–$46 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $114 | $228 | 7.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $59.50 | $119 | 3.5× |
| Antibody Encephalitis California La Crosse (86651) | $34 | $68 | 2.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $55.50 | $111 | 4.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $55.50 | $111 | 3.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $55.50 | $111 | 3.1× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$39.25–$45 | $78.50–$90 | varies |
| Antibody haemophilus influenza (86684) | $41.50 | $83 | 2.6× |
| Antibody helicobacter pylori (86677) range across 3 matching MRF lines |
$25.50–$41.50 | $51–$83 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $65.10 | $93 | 4.5× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$62.50–$65.10 | $93–$125 | varies |
| Antibody HIV-2 (86702) | $69.30 | $99 | 5.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $69.30 | $99 | 3.6× |
| Antibody Protozoa Nes (86753) | $86.50 | $173 | 7.0× |
| Antibody Titer (86886) | $196.50 | $393 | 37.9× |
| Antibody Treponema Pallidum (86780) range across 4 matching MRF lines |
$18.54–$51.80 | $26.48–$88 | varies |
| Antibody; campylobacter (86625) range across 2 matching MRF lines |
$23.80–$33 | $34–$66 | varies |
| Antibody; encephalitis, st. louis (86653) | $34 | $68 | 2.6× |
| Antibody; influenza virus (86710) range across 4 matching MRF lines |
$19–$20.25 | $38–$40.50 | varies |
| Antigen typing (86905) | $405 | $810 | 105.7× |
| Antinuclear antibodies (86038) | $59.50 | $119 | 4.9× |
| Antistreptolysin O Screen (86063) | $22 | $44 | 3.8× |
| Antistreptolysin o titer (86060) | $22 | $44 | 3.0× |
| Antithrombin iii activity (85300) | $56.50 | $113 | 4.8× |
| Antithrombin iii antigen (85301) | $58.50 | $117 | 5.4× |
| Apolipoprotein a1 (82172) range across 5 matching MRF lines |
$38–$135 | $76–$270 | varies |
| Arsenic (82175) | $22 | $44 | 1.2× |
| Aspergillus ag eia (87305) | $18 | $36 | 1.5× |
| Assay activated protein c (85307) | $91.50 | $183 | 6.0× |
| Assay Blood Carbon Dioxide (82374) range across 3 matching MRF lines |
$4.50–$33 | $9–$66 | varies |
| Assay Nephelometry Not Spec (83883) range across 5 matching MRF lines |
$38.50–$135 | $77–$270 | varies |
| Assay of 5-hiaa (83497) | $89 | $178 | 6.9× |
| Assay of blood/uric acid (84550) | $33 | $66 | 7.3× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$9–$18 | $18–$36 | varies |
| Assay of corticosterone (82528) | $159 | $318 | 7.1× |
| Assay of cpk in blood (82552) | $152 | $304 | 11.4× |
| Assay of estrone (82679) | $62 | $124 | 2.5× |
| Assay of g6pd enzyme (82955) | $128.50 | $257 | 13.2× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$22.50–$30.50 | $45–$61 | varies |
| Assay of lactic acid (83605) | $36 | $72 | 3.1× |
| Assay of manganese (83785) range across 3 matching MRF lines |
$40–$65 | $80–$130 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$93–$109.50 | $186–$219 | varies |
| Assay of phosphatase acid total (84060) | $19.50 | $39 | 2.6× |
| Assay of proinsulin (84206) | $151.50 | $303 | 5.7× |
| Assay of pyruvate (84210) | $107 | $214 | 7.4× |
| Assay of serotonin (84260) | $52.50 | $105 | 1.7× |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
$4.50–$48.50 | $9–$97 | varies |
| Assay of sweat sodium (84302) | $4.50 | $9 | 0.9× |
| Assay of urea nitrogen (84520) range across 3 matching MRF lines |
$6.50–$33 | $13–$66 | varies |
| Assay of urine vma (84585) | $99.50 | $199 | 6.4× |
| Assay of vasoactive intestinal peptide (84586) | $107.10 | $153 | 3.0× |
| Assay of vitamin b-1 (84425) | $103 | $206 | 4.9× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$4.50–$11.50 | $9–$23 | varies |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$13.50–$14 | $27–$28 | varies |
| B cells total count (86355) | $20.50 | $41 | 0.5× |
| Bartonella antibody (86611) range across 6 matching MRF lines |
$29–$108 | $58–$216 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$328–$492 | $656–$984 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$35.50–$53.25 | $71–$106.50 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$21–$72.10 | $30–$103 | varies |
| Beta Lactamase (87185) | $13 | $26 | 2.7× |
| Beta-2 Microglobulin (82232) | $80.50 | $161 | 5.0× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$20.15–$48.50 | $40.29–$97 | varies |
| Bilirubin total (82247) range across 3 matching MRF lines |
$20.15–$48.50 | $37.50–$97 | varies |
| Blastomyces antibody (86612) | $19.50 | $39 | 1.5× |
| Bld Typing Serologic Rh Phnt (86906) | $47 | $94 | 6.1× |
| Blood Count Manual Cell Count Each (85032) | $27 | $54 | 6.3× |
| Blood Count Red Blood Cell Automated (85041) | $18.90 | $27 | 6.3× |
| Blood count reticulocyte automated (85045) | $27 | $54 | 6.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $13.50 | $27 | 3.6× |
| Blood gas (82803) range across 2 matching MRF lines |
$71.75–$72 | $143.50–$144 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $11.25 | $22.50 | 0.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $20.50 | $41 | 4.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $405 | $810 | 63.8× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $59.50 | $119 | 3.6× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$51–$145 | $102–$290 | varies |
| Body fluid cell count (89050) | $13.50 | $27 | 2.9× |
| Bone marrow smear interpretation (85097) | $970.50 | $1,941 | 1.3× |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$159.50–$162 | $319–$324 | varies |
| Brca1&2 gen full seq dup/del (81162) | $2,677.50 | $3,825 | 1.5× |
| Breath Alcohol Test (82075) | $5 | $10 | 0.2× |
| C-Peptide (84681) | $59.50 | $119 | 2.9× |
| C-reactive protein (86140) range across 4 matching MRF lines |
$37.50–$54.60 | $75–$78 | varies |
| Ca 19-9 (86301) | $22.50 | $45 | 1.1× |
| Cadmium (82300) | $27 | $54 | 1.1× |
| Calcitonin (82308) | $86 | $172 | 3.2× |
| Calcium ionized (82330) range across 3 matching MRF lines |
$25.50–$44 | $51–$88 | varies |
| Calcium total (82310) | $48.50 | $97 | 9.4× |
| Calculus Spectroscopy (82365) | $20.25 | $40.50 | 1.6× |
| Calculus Xray Diffraction (82370) | $70 | $140 | 5.6× |
| Calprotectin Fecal (83993) | $233 | $466 | 11.9× |
| Cancer Antigen 125 (86304) | $70 | $140 | 3.4× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$66.50–$97.50 | $133–$195 | varies |
| Candida antibody (86628) | $126 | $180 | 10.5× |
| Candida Dna Dir Probe (87480) | $24 | $48 | 1.2× |
| Carbamazepine total (80156) | $112.50 | $225 | 7.7× |
| Carboxyhemoglobin (82375) | $38 | $76 | 3.1× |
| Carcinoembryonic antigen (82378) | $117.50 | $235 | 6.2× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$26.50–$57 | $53–$114 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$33.75–$34.50 | $67.50–$69 | varies |
| Carotene (82380) | $31.50 | $45 | 3.4× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$205–$211 | $410–$422 | varies |
| Ccp antibody (86200) | $25 | $50 | 1.9× |
| Cell count csf (89051) range across 3 matching MRF lines |
$5–$25.20 | $10–$36 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $368.20 | $526 | 2.7× |
| Ceruloplasmin (82390) | $44 | $88 | 4.1× |
| Cftr gene com variants (81220) | $696 | $1,392 | 1.3× |
| Chemiluminescent assay (82397) range across 5 matching MRF lines |
$33.50–$203.70 | $51–$339 | varies |
| Chlamydia antibody (86631) range across 7 matching MRF lines |
$17.50–$87 | $35–$174 | varies |
| Chlamydia Igm Antibody (86632) | $22.50 | $45 | 1.8× |
| Chloride other source (82438) | $27 | $54 | 5.4× |
| Chloride Serum (82435) range across 4 matching MRF lines |
$5.50–$33 | $11–$66 | varies |
| Chloride urine (82436) range across 3 matching MRF lines |
$8.50–$18 | $17–$36 | varies |
| Cholesterol total (82465) range across 3 matching MRF lines |
$16.50–$48.50 | $33–$97 | varies |
| Cholinesterase Serum (82480) | $17 | $34 | 2.2× |
| Chorionic gonadotropin test (84702) | $48.50 | $97 | 3.2× |
| Chromium serum (82495) | $39.50 | $79 | 1.9× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$46.50–$123.50 | $93–$247 | varies |
| Chromosome Analysis 15-20 (88262) | $262.50 | $525 | 2.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$42.70–$51.50 | $61–$103 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$41.50–$170 | $83–$340 | varies |
| Ckmb (82553) range across 3 matching MRF lines |
$43–$48.50 | $86–$97 | varies |
| Clostridium Difficile (87324) | $70 | $140 | 5.8× |
| Clotting factor xii hageman (85280) | $71.50 | $143 | 3.7× |
| Coccidioides antibody (86635) | $17 | $34 | 1.5× |
| Cold agglutinin titer (86157) | $33 | $66 | 4.1× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$60.90–$196.70 | $87–$281 | varies |
| Column Chromotography Quant (82542) range across 17 matching MRF lines |
$53.50–$444.50 | $89–$889 | varies |
| Compatibility test antiglob (86922) | $94.50 | $189 | 0.6× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$64–$70 | $128–$140 | varies |
| Complement Total (Ch50) (86162) | $121.50 | $243 | 6.0× |
| Complement/Function Activity (86161) | $111.50 | $223 | 9.3× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $196.50 | $393 | 1.2× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $34 | $68 | 0.9× |
| Coombs direct (86880) | $72 | $144 | 13.4× |
| Copper urine (82525) range across 2 matching MRF lines |
$50–$54.50 | $100–$109 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$60–$69 | $120–$138 | varies |
| Creatine kinase total (82550) range across 3 matching MRF lines |
$43–$48.50 | $86–$97 | varies |
| Creatinine blood (82565) range across 4 matching MRF lines |
$10–$51.80 | $20–$74 | varies |
| Creatinine clearance (82575) | $44 | $88 | 4.7× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$3.50–$35 | $7–$70 | varies |
| Crp High Sensitivity (86141) | $39 | $78 | 3.0× |
| Cryoglobulin (82595) | $15.50 | $31 | 2.4× |
| Cryptococcus ag titer (87899) | $41.50 | $83 | 2.6× |
| Cryptosporidium (87272) | $17.50 | $35 | 1.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$6.75–$38 | $13.50–$76 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $24 | $48 | 3.0× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $44 | $88 | 0.2× |
| Culture afb (87116) | $96 | $192 | 8.9× |
| Culture Anaerobic (87075) | $68 | $136 | 7.2× |
| Culture blood (87040) | $71.50 | $143 | 6.9× |
| Culture chlamydia (87110) | $19.50 | $39 | 1.0× |
| Culture csf (87070) range across 17 matching MRF lines |
$14–$77 | $28–$110 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$12.50–$67.50 | $25–$135 | varies |
| Culture screen only (87081) | $44 | $88 | 6.6× |
| Culture stool (87045) | $61.60 | $88 | 6.5× |
| Culture typing if ea antiserum (87140) range across 3 matching MRF lines |
$10–$20 | $20–$40 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$67.50–$94.50 | $135 | varies |
| Cyclosporine (80158) | $81.50 | $163 | 4.5× |
| Cyp2c19 gene analysis common variants (81225) | $1,105.30 | $1,579 | 3.8× |
| Cystatin C (82610) | $122 | $244 | 6.6× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,534.05 | $2,191.50 | 1.3× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$35–$70.50 | $70–$141 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $25.50 | $51 | 1.3× |
| Cytopath Cell Enhance Tech (88112) | $35 | $70 | 0.7× |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) | $48.50 | $97 | 1.0× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) | $27 | $54 | 0.6× |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) | $48.50 | $97 | 2.1× |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$62–$110 | $124–$220 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$47.25–$51 | $67.50–$102 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 3 matching MRF lines |
$35–$101 | $70–$202 | varies |
| Deoxycortisol (82634) | $49 | $98 | 1.7× |
| Deoxyribonuclease antibody (86215) | $22 | $44 | 1.7× |
| Desoxycorticosterone (82633) | $162 | $324 | 5.2× |
| Detect Agent Nos Dna Amp (87798) range across 20 matching MRF lines |
$33.60–$256.75 | $48–$513.50 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$64.50–$175.50 | $129–$351 | varies |
| Dhea (82626) | $66.50 | $133 | 2.6× |
| Dhea-S (82627) | $93 | $186 | 4.2× |
| Digoxin (80162) | $77.50 | $155 | 5.8× |
| Diphtheria antitoxoid (86648) | $84 | $168 | 5.5× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$32–$44 | $64–$88 | varies |
| Dna Antibody Single Stranded (86226) | $41.50 | $83 | 3.4× |
| Dna/Rna Amplified Probe (87150) | $360.19 | $514.55 | 10.3× |
| DNA/RNA direct probe (87149) range across 11 matching MRF lines |
$17.50–$283 | $35–$566 | varies |
| Drug Screen Quantitative Lamotrigine (80175) | $107 | $214 | 8.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $29 | $58 | 2.2× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $51 | $102 | 3.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 24 matching MRF lines |
$5–$407 | $10–$814 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $60 | $120 | 4.8× |
| El-1 Fecal Quantitative (82653) | $67.50 | $135 | 2.9× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$28–$48.50 | $40–$97 | varies |
| Encephaltis East Eqne Anbdy (86652) | $34 | $68 | 2.6× |
| Encephaltis West Eqne Antbdy (86654) | $34 | $68 | 2.6× |
| Enterovirus Antibody (86658) | $33.60 | $48 | 2.6× |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$197–$312.20 | $394–$446 | varies |
| Erythropoietin (82668) | $101 | $202 | 5.4× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$54.50–$113.25 | $109–$226.50 | varies |
| Estriol (82677) | $31.50 | $63 | 1.3× |
| Estrogens fractionated (82671) | $38 | $76 | 1.2× |
| Ethosuximide (80168) | $47.50 | $95 | 2.9× |
| Exam Synovial Fluid Crystals (89060) | $27 | $54 | 3.7× |
| F2 Gene (81240) | $104 | $208 | 1.6× |
| Factor ii activity (85210) | $88.50 | $177 | 6.8× |
| Factor Inhibitor Test (85335) range across 3 matching MRF lines |
$47.50–$416.50 | $95–$833 | varies |
| Factor ix activity (85250) | $55 | $110 | 2.9× |
| Factor v activity (85220) | $72.50 | $145 | 4.1× |
| Factor v leiden mutation (81241) | $87.50 | $175 | 1.2× |
| Factor vii assay (85230) | $76.30 | $109 | 4.3× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$44.50–$99 | $89–$198 | varies |
| Factor X (85260) | $60.50 | $121 | 3.4× |
| Factor xi activity (85270) | $54.50 | $109 | 3.0× |
| Factor xiii screen (85291) | $181 | $362 | 19.9× |
| Fatty acids free (82725) | $47 | $94 | 2.5× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $177.50 | $355 | 27.2× |
| Fecal Fat Qualitative (82705) | $58 | $116 | 11.4× |
| Ferritin (82728) | $75 | $150 | 5.5× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $109.50 | $219 | 0.7× |
| Fibrin degradation products (85362) | $31.50 | $63 | 4.6× |
| Fibrin Degradation Quant (85379) | $64 | $128 | 6.3× |
| Fibrinogen activity (85384) | $27.50 | $55 | 2.8× |
| Flow cytometry first marker (88184) | $405 | $810 | 1.2× |
| Fluorescent antibody screen (86255) range across 15 matching MRF lines |
$38.50–$1,200 | $77–$2,400 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 20 matching MRF lines |
$23.25–$281.40 | $46.50–$402 | varies |
| Folic acid rbc (82747) | $168.70 | $241 | 9.6× |
| Folic Acid Serum (82746) range across 3 matching MRF lines |
$44–$61.60 | $88 | varies |
| Follicle Stimulating Hormone (83001) | $92 | $184 | 5.0× |
| Frozen Section (88331) | $260.50 | $521 | 1.6× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$13.30–$18.50 | $19–$37 | varies |
| Gammaglobulin ige (82785) | $14.50 | $29 | 0.9× |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
$24–$33.60 | $48 | varies |
| Gases blood ph only (82800) | $33 | $66 | 3.0× |
| Gastrin (82941) | $51 | $102 | 2.9× |
| Gentamicin (80170) range across 4 matching MRF lines |
$57–$98 | $114–$140 | varies |
| Ggt (82977) range across 3 matching MRF lines |
$18.75–$48.50 | $37.50–$97 | varies |
| Giardia antigen (87329) | $21.50 | $43 | 1.8× |
| Giardia lamblia antibody (86674) | $30 | $60 | 2.0× |
| Glucagon (82943) | $98.70 | $141 | 6.9× |
| Glucose 2 hr pp (82950) | $54.50 | $109 | 11.5× |
| Glucose Blood Test (82962) | $22.50 | $45 | 6.9× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$9.50–$27 | $19–$54 | varies |
| Glucose Serum (82947) | $27 | $54 | 6.9× |
| Glucose tolerance test (gtt) (82951) | $64 | $128 | 5.0× |
| Glycated Protein (82985) | $49.50 | $99 | 3.0× |
| Gonadotropin Chorionic Qualitative (84703) | $48.50 | $97 | 6.4× |
| Gonadotropin releasing hormone (83727) | $295.50 | $591 | 17.2× |
| Growth hormone (83003) | $49 | $98 | 2.9× |
| Gtt-added samples (82952) | $19.50 | $39 | 5.0× |
| H Pylori (C-13) Breath (83013) | $228.90 | $327 | 3.4× |
| Haloperidol (80173) | $73 | $146 | 4.6× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$76.75–$170.80 | $153.50–$244 | varies |
| Hba1/Hba2 Gene (81257) | $153.50 | $307 | 1.5× |
| Hbb Gene Com Variants (81361) | $262 | $524 | 1.5× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$12–$23.50 | $24–$47 | varies |
| Heavy metal qualitative any analytes (83015) | $193 | $386 | 9.2× |
| Helicobacter Pylori Stool (87338) | $75 | $150 | 5.2× |
| Helminth Antibody (86682) range across 3 matching MRF lines |
$57.50–$197.50 | $115–$395 | varies |
| Hematocrit (85014) range across 3 matching MRF lines |
$13–$18.20 | $26 | varies |
| Hemoglobin (85018) | $12 | $24 | 5.1× |
| Hemoglobin a1c (83036) | $38 | $76 | 3.9× |
| Hemoglobin Chromotography (83021) | $27 | $54 | 1.5× |
| Hemoglobin electrophoresis (83020) | $33.75 | $67.50 | 2.6× |
| Hemoglobin Methemoglobin Quantitative (83050) | $38 | $76 | 4.6× |
| Hemoglobin plasma (83051) | $45 | $90 | 6.2× |
| Hemoglobin Thermolabile (83065) | $4.50 | $9 | 0.5× |
| Hemosiderin urine (83070) | $26 | $52 | 5.5× |
| Heparin assay (85520) | $63 | $126 | 4.8× |
| Hepatitis a antibody total (86708) | $34.50 | $69 | 2.8× |
| Hepatitis b core ab igm (86705) | $18.50 | $37 | 1.6× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$15–$37.50 | $30–$75 | varies |
| Hepatitis B Surface Antibody (86706) | $34 | $68 | 3.2× |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$33–$46.20 | $66 | varies |
| Hepatitis Be Antibody (86707) | $24.50 | $49 | 2.1× |
| Hepatitis Be Antigen (87350) | $44 | $88 | 3.8× |
| Hepatitis C Antibody (86803) | $59.50 | $119 | 4.2× |
| Hepatitis c antibody confirmatory test (86804) | $244.30 | $349 | 15.8× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$322–$386 | $644–$772 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 3 matching MRF lines |
$51.80–$337.40 | $74–$482 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$45.50–$315 | $91–$630 | varies |
| Hepatitis Delta Agent Antibody (86692) | $53.50 | $107 | 3.1× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$46.50–$65.10 | $93 | varies |
| Heterophile Antibody Screen (86308) | $35 | $70 | 6.8× |
| Hfe Gene (81256) | $160 | $320 | 2.4× |
| Histamine urine (83088) | $88 | $176 | 3.0× |
| Histoplasma antibody (86698) | $20.50 | $41 | 1.5× |
| Histoplasma antigen urine (87385) | $20 | $40 | 1.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$34–$47.60 | $68 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$194.50–$285.50 | $389–$571 | varies |
| Hla Class I Typing High Resolution One Locus Ea (81380) range across 3 matching MRF lines |
$241.50–$338.10 | $483 | varies |
| Hla Class I Typing Low Resolution Complete (81372) | $272 | $544 | 0.7× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $184.50 | $369 | 1.4× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $157.50 | $315 | 0.7× |
| Hla ii typing 1 locus lr (81376) range across 3 matching MRF lines |
$121.50–$282.50 | $243–$565 | varies |
| Hla-b27 (86812) range across 2 matching MRF lines |
$110–$145.60 | $208–$220 | varies |
| Homocysteine (83090) | $245 | $490 | 13.7× |
| Homovanillic acid urine (83150) | $50.50 | $101 | 2.3× |
| Hpa-1 genotyping gene analysis common variant (81105) | $183.50 | $367 | 1.5× |
| Hpv High-Risk Types (87624) | $63 | $126 | 1.8× |
| Hpv low-risk types (87623) | $63 | $126 | 1.8× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$30.50–$57 | $61–$114 | varies |
| Hsv Dna Quant (87530) | $352 | $704 | 8.2× |
| Htlv-I Antibody (86687) | $46.50 | $93 | 5.1× |
| Human Epididymis Protein 4 (86305) range across 2 matching MRF lines |
$20–$180.50 | $40–$361 | varies |
| Hydroxyprogesterone 17-d (83498) | $123.50 | $247 | 4.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $62 | $124 | 4.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $125 | $250 | 3.5× |
| Iaad Ia Streptococcus Group A (87430) | $35 | $70 | 2.1× |
| Iaadi herpes smplx virus type 1 (87274) range across 2 matching MRF lines |
$18.20–$33.60 | $26–$48 | varies |
| Iaadi herpes smplx virus type 2 (87273) | $33.60 | $48 | 2.8× |
| Iaadi inffluenza a virus (87276) | $33.60 | $48 | 2.1× |
| Iaadi not otherwise specified each organism (87299) range across 2 matching MRF lines |
$23.10–$33.60 | $33–$48 | varies |
| Iaadi parainfluenza virus each type (87279) | $33.60 | $48 | 2.0× |
| Iaadi respiratory synctial virus (87280) | $33.60 | $48 | 2.5× |
| Iaadi Varicella Zoster Virus (87290) range across 2 matching MRF lines |
$18.20–$33.60 | $26–$48 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $36 | $72 | 1.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $150 | $300 | 4.3× |
| Iadna Cytomegalovirus Quantification (87497) | $69.50 | $139 | 1.6× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$95.50–$170 | $191–$340 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $138 | $276 | 3.9× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $66 | $132 | 3.3× |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $25.50 | $51 | 0.9× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $36 | $72 | 1.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$44–$51.50 | $88–$103 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $62.50 | $125 | 1.2× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 5 matching MRF lines |
$214–$457.80 | $428–$654 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $394.50 | $789 | 1.5× |
| Igg subclasses (82787) | $240 | $480 | 29.9× |
| Ikbkap Gene Analysis Common Variants (81260) | $59 | $118 | 1.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $405 | $810 | 1.2× |
| Immune Complex Assay (86332) | $116.20 | $166 | 4.8× |
| Immunfix e-phorsis/urine/csf (86335) | $45 | $90 | 1.5× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 23 matching MRF lines |
$29.50–$618.50 | $59–$1,237 | varies |
| Immunoassay infectious agent (86318) | $75 | $150 | 4.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 5 matching MRF lines |
$5.95–$68.50 | $8.50–$137 | varies |
| Immunoassay nonantibody (83516) range across 21 matching MRF lines |
$17.50–$366.50 | $35–$733 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $75 | $150 | 3.2× |
| Immunoelectrophoresis Serum (86320) | $45 | $90 | 1.5× |
| Immunofixation electrophoresis (86334) | $67.50 | $135 | 3.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$207–$405 | $414–$810 | varies |
| Immunohistochemistry (88342) | $196.50 | $393 | 1.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $175 | $250 | 2.5× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) | $49.50 | $99 | 1.4× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $33.60 | $48 | 2.3× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $33.60 | $48 | 2.7× |
| Influenza a/b ag eia (87400) range across 3 matching MRF lines |
$32.50–$45.50 | $65 | varies |
| Influenza assay w/optic (87804) | $27.50 | $55 | 1.7× |
| Influenza DNA amp probe (87502) range across 3 matching MRF lines |
$33.60–$48 | $48–$96 | varies |
| Inhibin A (86336) | $34.50 | $69 | 2.2× |
| Inhibin b (83520) range across 28 matching MRF lines |
$23.80–$427.50 | $34–$855 | varies |
| Insitu hybridization manual (88368) | $248.50 | $497 | 0.7× |
| Insulin antibodies (86337) | $153.50 | $307 | 7.2× |
| Insulin free (83527) | $41 | $82 | 3.2× |
| Insulin total (83525) | $36.50 | $73 | 3.2× |
| Intrinsic factor antibody (86340) | $40 | $80 | 2.7× |
| Iron (83540) | $18 | $36 | 2.8× |
| Iron Binding Capacity (83550) | $44.50 | $89 | 5.1× |
| Islet cell antibody (86341) range across 6 matching MRF lines |
$30–$701.25 | $60–$1,402.50 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $281 | $562 | 3.1× |
| Ketosteroids 17 total (83586) | $61.50 | $123 | 4.8× |
| Koh Prep (87220) | $21.50 | $43 | 5.0× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$8–$48.50 | $16–$97 | varies |
| Lactoferrin fecal qualitative (83630) | $11 | $22 | 0.6× |
| Ldh Isoenzymes (83625) | $71.50 | $143 | 5.6× |
| LDL direct (83721) | $52 | $104 | 5.0× |
| Lead (83655) range across 2 matching MRF lines |
$16–$36.50 | $32–$73 | varies |
| Legionella antibody (86713) range across 2 matching MRF lines |
$36.40–$121.80 | $52–$174 | varies |
| Legionella antigen urine (87449) range across 5 matching MRF lines |
$15.75–$24 | $31.50–$48 | varies |
| Level I Surg Pathology Gross Examination Only (88300) range across 3 matching MRF lines |
$9–$37 | $18–$74 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$15–$66.50 | $30–$133 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$158.50–$199.50 | $317–$399 | varies |
| Lipase (83690) | $44 | $88 | 6.4× |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$30.25–$56.25 | $60.50–$112.50 | varies |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $160 | $320 | 14.2× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $46.50 | $93 | 1.4× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $170.10 | $243 | 3.7× |
| Lithium (80178) | $30.50 | $61 | 4.6× |
| Luteinizing Hormone (Lh) (83002) | $104 | $208 | 5.6× |
| Lyme disease antibody (86618) | $96.50 | $193 | 5.7× |
| Lysozyme serum (85549) | $92 | $184 | 4.9× |
| M. Genitalium Amp Probe (87563) | $52.50 | $105 | 1.5× |
| Macroscopic Exam Parasite (87169) | $5.50 | $11 | 1.3× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$10–$55.50 | $20–$111 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$69–$208.60 | $138–$298 | varies |
| Mercury urine (83825) | $19 | $38 | 1.2× |
| Methylmalonic acid serum (83921) range across 3 matching MRF lines |
$176–$230 | $312–$460 | varies |
| Microalbumin, quantitative (82043) | $52.50 | $105 | 9.1× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$80.50–$91.50 | $161–$183 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $248.50 | $497 | 5.9× |
| Molecular Pathology Procedure Level 6 (81405) range across 2 matching MRF lines |
$815.50–$2,389 | $1,165–$4,778 | varies |
| Mopath procedure level 1 (81400) | $459.20 | $656 | 7.2× |
| Mopath procedure level 2 (81401) range across 3 matching MRF lines |
$275–$1,050 | $550–$1,500 | varies |
| Mopath procedure level 4 (81403) | $709.50 | $1,419 | 3.8× |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$1,136.10–$1,375.50 | $1,623–$1,965 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $298.90 | $427 | 4.6× |
| Mucopolysaccharides acid quantitative (83864) | $73.50 | $147 | 2.6× |
| Mumps antibody (86735) range across 4 matching MRF lines |
$16.50–$59.50 | $33–$119 | varies |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
$13.50–$79.50 | $27–$159 | varies |
| Myoglobin urine (83874) | $57 | $114 | 4.4× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$120–$168 | $240 | varies |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $600 | $1,200 | 2.3× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $395 | $790 | 1.5× |
| Nfct ds chrnc hcv 6 assays (81596) | $325 | $650 | 4.5× |
| Niacin (84591) | $84.50 | $169 | 5.0× |
| Nk cells total count (86357) | $19 | $38 | 0.5× |
| Nuclear antigen antibody (86235) range across 12 matching MRF lines |
$6.50–$99.50 | $13–$199 | varies |
| Occult blood feces (82272) | $20.50 | $41 | 4.8× |
| Occult Blood Other Sources (82271) | $14 | $28 | 2.6× |
| Organic Acids Qualitative Each Specimen (83919) range across 2 matching MRF lines |
$60–$64 | $120–$128 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$10–$23.50 | $20–$47 | varies |
| Osmotic fragility rbc incubated (85557) | $70 | $140 | 5.2× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$13–$73.50 | $26–$105 | varies |
| Oxalate urine (83945) range across 2 matching MRF lines |
$21.50–$101.50 | $43–$203 | varies |
| Pancreatic Elastase Fecal (82656) | $113.05 | $161.50 | 9.8× |
| Particle Agglut Antbdy Titr (86406) | $27.50 | $55 | 2.6× |
| Particle Agglutination Screen Each Antibody (86403) range across 5 matching MRF lines |
$8–$16 | $16–$32 | varies |
| Parvovirus antibody (86747) | $34.50 | $69 | 2.3× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $99 | $198 | 2.0× |
| Ph urine (81003) | $25 | $50 | 11.1× |
| Phenobarbital Level (80184) | $76.50 | $153 | 5.0× |
| Phenytoin (Dilantin) (80185) | $62 | $124 | 4.7× |
| Phenytoin free (80186) | $52.50 | $105 | 3.8× |
| Phosphatase acid prostatic (84066) | $20 | $40 | 2.1× |
| Phosphatase alkaline (84075) | $33 | $66 | 6.4× |
| Phospholipid Neutralization Hexagonal (85598) | $163.50 | $327 | 9.1× |
| Phosphorus Serum (84100) | $33 | $66 | 7.0× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$8.50–$15 | $17–$30 | varies |
| Pinworm exam (87172) | $14 | $28 | 3.3× |
| Platelet Aggregation (85576) | $43.50 | $87 | 1.7× |
| Platelet Antibodies (86022) | $37 | $74 | 2.0× |
| Platelet count automated (85049) | $27 | $54 | 6.0× |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$86.50–$241.50 | $173–$345 | varies |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$51–$51.50 | $102–$103 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) | $102.50 | $205 | 7.0× |
| Porphyrins, urine; qualitative (84119) | $12 | $24 | 0.9× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$7–$48.50 | $14–$97 | varies |
| Prealbumin (84134) | $59.50 | $119 | 4.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $38 | $76 | 0.7× |
| Primidone (80188) | $52.50 | $105 | 3.2× |
| Procalcitonin (Pct) (84145) | $45 | $90 | 1.7× |
| Progesterone (84144) | $59 | $118 | 2.8× |
| Prolactin (84146) | $149.50 | $299 | 7.7× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$12–$36.50 | $24–$73 | varies |
| Protein C Activity (85303) | $77 | $154 | 5.6× |
| Protein c antigen (85302) | $205 | $410 | 17.1× |
| Protein Electrophoresis Urine (84166) | $62.50 | $125 | 3.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$24.50–$61.50 | $49–$123 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$81–$114 | $162–$228 | varies |
| Protein s total (85305) | $114 | $228 | 9.8× |
| Protein total serum (84155) range across 3 matching MRF lines |
$4.50–$34 | $9–$68 | varies |
| Protein Total Urine (84156) | $13 | $26 | 3.5× |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$62.50–$87.50 | $125 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $28.50 | $57 | 7.2× |
| PSA free (84154) range across 3 matching MRF lines |
$41–$95.20 | $82–$136 | varies |
| Pth Intact (83970) | $141.50 | $283 | 3.4× |
| Quantitative assay drug (80299) range across 17 matching MRF lines |
$35.50–$233.10 | $71–$333 | varies |
| Quantitative Screen Metals (83018) range across 4 matching MRF lines |
$62–$187.50 | $124–$375 | varies |
| Quinidine (80194) | $114 | $228 | 7.8× |
| Rbc antibody elution (86860) | $196.50 | $393 | 1.2× |
| Rbc antibody identification (86870) | $405 | $810 | 1.2× |
| Rbc antibody screen (86850) | $48.50 | $97 | 5.0× |
| Rbc pretreatment serum (86978) | $53.50 | $107 | 0.9× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $103.50 | $207 | 1.5× |
| Renin activity plasma (84244) | $70 | $140 | 3.2× |
| Reptilase test (85635) | $49 | $98 | 5.0× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$480.24–$840 | $686.06–$1,200 | varies |
| Resp Virus 6-11 Targets (87632) | $350 | $700 | 1.6× |
| Rh (86901) | $51 | $102 | 17.1× |
| Rheumatoid Factor Qualitative (86430) | $23.50 | $47 | 3.8× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$12.60–$34 | $18–$68 | varies |
| Ristocetin cofactor (85245) | $132.50 | $265 | 5.8× |
| Rotavirus ag eia (87425) | $46.50 | $93 | 3.9× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$6.50–$37.50 | $13–$75 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$14–$56.50 | $28–$113 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$18–$67.50 | $36–$135 | varies |
| Russell Viper Venom Time Diluted (85613) | $131.75 | $263.50 | 13.8× |
| Russell Viper Venon Time Undiluted (85612) | $83.50 | $167 | 4.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 7 matching MRF lines |
$112.50–$840 | $225–$1,200 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $62.50 | $125 | 1.5× |
| Sedimentation rate (85651) | $21 | $42 | 4.9× |
| Selenium (84255) | $38.50 | $77 | 1.5× |
| Sensitivity mic (87186) | $22.50 | $45 | 2.6× |
| Sex Hormone Binding Globulin (84270) | $84 | $168 | 3.9× |
| Sickling of rbc reduction (85660) | $9.50 | $19 | 1.7× |
| Skin test tuberculosis intradermal (86580) | $12.50 | $25 | 0.5× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$13–$18 | $26–$36 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$23–$24 | $46–$48 | varies |
| Smear gram stain (87205) range across 5 matching MRF lines |
$7–$18 | $14–$36 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $18 | $36 | 3.1× |
| Sodium Serum (84295) range across 3 matching MRF lines |
$10–$48.50 | $20–$97 | varies |
| Sodium Urine (84300) range across 3 matching MRF lines |
$7.50–$15 | $15–$30 | varies |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
$140–$143 | $280–$286 | varies |
| Special Stains Group 1 (88312) | $62.50 | $125 | 1.3× |
| Special Stains Group 2 (88313) | $30.50 | $61 | 0.2× |
| Specific gravity body fluid (84315) | $13 | $26 | 4.0× |
| Specimen infect agnt concntj (87015) | $17.50 | $25 | 2.6× |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$46.90–$200.20 | $67–$286 | varies |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$16.80–$61.60 | $24–$88 | varies |
| Strep a assay w/optic (87880) | $44 | $88 | 2.7× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $59 | $118 | 10.7× |
| Sulfate urine (84392) | $8 | $16 | 1.5× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$23.50–$101 | $47–$202 | varies |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$72–$133 | $144–$266 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$244.50–$970.50 | $489–$1,941 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $22.50 | $45 | 3.0× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $22.50 | $45 | 3.1× |
| Syphilis Test Non-Trep Quant (86593) | $6.50 | $13 | 1.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $62.30 | $89 | 1.3× |
| T cells total count (86359) | $72 | $144 | 1.9× |
| T3 Free (84481) | $166 | $332 | 9.8× |
| T3 reverse (84482) | $157 | $314 | 10.0× |
| T3 Total (84480) | $78.50 | $157 | 5.5× |
| T3 Uptake (84479) | $33 | $66 | 5.1× |
| T4 Free (84439) range across 3 matching MRF lines |
$52.50–$129.50 | $105–$185 | varies |
| T4 total (84436) | $29 | $58 | 4.2× |
| Tacrolimus (80197) | $55.50 | $111 | 4.0× |
| Tb ag response t-cell susp (86481) range across 2 matching MRF lines |
$70–$135 | $140–$270 | varies |
| Test for acetone/ketones (82009) | $15 | $30 | 3.3× |
| Testosterone Bioavailable (84410) | $40 | $80 | 0.8× |
| Testosterone total (84403) | $101 | $202 | 3.9× |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$22.50–$131.50 | $45–$263 | varies |
| Theophylline (80198) | $76.50 | $153 | 5.4× |
| Thrombin Time (85670) | $23.50 | $47 | 4.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $56.50 | $113 | 8.7× |
| Thyroglobulin (84432) | $59 | $118 | 3.7× |
| Thyroglobulin Antibody (86800) | $49.50 | $99 | 3.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $289 | $578 | 5.7× |
| Thyroxine binding globulin (84442) | $107.50 | $215 | 7.3× |
| Tissue Culture Lymphocyte (88230) | $280 | $560 | 2.4× |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$44.50–$55 | $89–$110 | varies |
| Topiramate (80201) | $88 | $176 | 7.4× |
| Toxoplasma ab igm (86778) | $75 | $150 | 5.2× |
| Toxoplasma antibody (86777) | $36.50 | $73 | 2.5× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 3 matching MRF lines |
$20.15–$48.50 | $37–$97 | varies |
| Transferrin (84466) | $58 | $116 | 4.5× |
| Trichomonas vagin dir probe (87660) | $24 | $48 | 1.2× |
| Triglycerides (84478) range across 4 matching MRF lines |
$16.50–$143.50 | $33–$287 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$75–$119 | $150–$238 | varies |
| Trypsin feces qual (84488) | $55.50 | $111 | 7.6× |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$181–$405 | $362–$810 | varies |
| Tumor Immunohistochem/Manual (88360) | $196.50 | $393 | 1.2× |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$7–$10 | $14–$20 | varies |
| Uric acid other source (84560) range across 4 matching MRF lines |
$7.50–$14.50 | $15–$29 | varies |
| Urinalysis Microscopic Only (81015) | $15.50 | $31 | 5.1× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $28.70 | $41 | 13.2× |
| Urinalysis Volume Measure (81050) | $4.50 | $9 | 1.2× |
| Urine Pregnancy Test (81025) | $40.50 | $81 | 4.7× |
| Valproic acid (80164) | $87 | $174 | 6.4× |
| Vancomycin (80202) | $75 | $150 | 5.5× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$14–$59.50 | $28–$119 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$55–$123.75 | $110–$247.50 | varies |
| Very Long Chain Fatty Acids (82726) | $165.50 | $331 | 8.4× |
| Viral Culture (87252) range across 5 matching MRF lines |
$20.50–$65 | $41–$130 | varies |
| Viscosity serum (85810) | $85.75 | $122.50 | 7.3× |
| Vit D 1 25-Dihydroxy (82652) | $228 | $456 | 5.9× |
| Vitamin A (84590) | $36 | $72 | 3.1× |
| Vitamin b-12 (82607) | $87 | $174 | 5.8× |
| Vitamin B2 (Riboflavin) (84252) | $158.50 | $317 | 7.8× |
| Vitamin B6 (84207) | $183 | $366 | 6.5× |
| Vitamin c (82180) | $49 | $98 | 5.0× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$53.50–$106.50 | $107–$213 | varies |
| Vitamin E (84446) | $37 | $74 | 2.6× |
| Vitamin K (84597) | $92.50 | $185 | 6.7× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$132–$200.20 | $264–$286 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $35 | $70 | 4.1× |
| Zinc (84630) range across 2 matching MRF lines |
$20–$73 | $40–$146 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.