Lab & pathology prices at Boundary Community Hospital
Bonners Ferry, ID · every code in this section with a posted price and a Medicare benchmark.
637 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $62.40 | $78 | 5.6× |
| Acetylcholine receptor binding antibody (86041) | $61.53 | $76.91 | 3.3× |
| Acetylcholn Rcptr Modlg Antb (86043) | $61.35 | $76.69 | 5.1× |
| Acth (82024) | $185.60 | $232 | 4.8× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $161.60 | $202 | 5.0× |
| Actin smooth muscle antibody each (86015) | $38.40 | $48 | 3.2× |
| Acute hepatitis panel (80074) | $228.80 | $286 | 4.8× |
| Acylcarnitines Quant (82017) | $53.60 | $67 | 3.2× |
| Adenovirus antibody (86603) | $72 | $90 | 5.6× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $308.80 | $386 | 4.8× |
| Agglutinins Febrile Each Antigen (86000) | $36 | $45 | 5.2× |
| Albumin Fluid (82042) | $24.80 | $31 | 3.2× |
| Albumin serum (82040) | $21.60 | $27 | 4.4× |
| Aldolase (82085) | $42.40 | $53 | 4.4× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$181.60–$196 | $227–$245 | varies |
| Alkaline phosphatase isoenzymes (84080) | $65.60 | $82 | 4.4× |
| Allergen specific ige (86003) | $24.80 | $31 | 4.8× |
| Allergen specific igg (86001) | $55.20 | $69 | 7.1× |
| Allg Spec Ige Recomb Ea (86008) | $55.20 | $69 | 3.1× |
| Alpha-1-antitrypsin phenotype (82104) | $64.80 | $81 | 4.5× |
| Alpha-1-antitrypsin total (82103) | $60 | $75 | 4.5× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$74.40–$93.60 | $93–$117 | varies |
| Alt (sgpt) (84460) | $23.20 | $29 | 4.4× |
| Aluminum (82108) | $89.60 | $112 | 3.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $76.80 | $96 | 4.6× |
| Amino Acids Quant 2-5 (82136) | $86.40 | $108 | 4.4× |
| Aminolevulinic acid (ala) (82135) | $92 | $115 | 5.6× |
| Ammonia (82140) | $69.60 | $87 | 4.8× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $292 | $365 | 3.0× |
| Amylase urine (82150) range across 2 matching MRF lines |
$31.20–$36 | $39–$45 | varies |
| Anca screen each antibody (86036) | $38.40 | $48 | 3.2× |
| Anca Titer Each Antibody (86037) | $38.40 | $48 | 3.2× |
| Androstenedione (82157) | $163.20 | $204 | 5.6× |
| Angiotensin converting enzyme csf (82164) | $64.80 | $81 | 4.4× |
| Anti-Phospholipid Antibody (86148) | $89.60 | $112 | 5.6× |
| Antibody aspergillus (86606) | $70.40 | $88 | 4.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $68 | $85 | 4.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $50.40 | $63 | 3.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $72.80 | $91 | 5.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $73.60 | $92 | 4.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $87.20 | $109 | 4.8× |
| Antibody helicobacter pylori (86677) | $64 | $80 | 3.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $43.20 | $54 | 3.0× |
| Antibody Herpes Smplx Type 1 (86695) | $27.20 | $34 | 2.1× |
| Antibody HIV-2 (86702) | $54.40 | $68 | 4.0× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 3 matching MRF lines |
$85.60–$204 | $107–$255 | varies |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$55.20–$81.60 | $69–$102 | varies |
| Antibody Titer (86886) | $203.20 | $254 | 39.2× |
| Antibody Treponema Pallidum (86780) | $63.20 | $79 | 4.8× |
| Antibody; influenza virus (86710) | $55.20 | $69 | 4.1× |
| Antigen typing (86905) range across 2 matching MRF lines |
$66.40–$68.42 | $83–$85.53 | varies |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$43.20–$58.40 | $54–$73 | varies |
| Antistreptolysin o titer (86060) | $32.80 | $41 | 4.5× |
| Antithrombin iii activity (85300) | $66.40 | $83 | 5.6× |
| Antithrombin iii antigen (85301) | $60 | $75 | 5.6× |
| Apolipoprotein a1 (82172) | $101.60 | $127 | 4.8× |
| Arsenic (82175) range across 2 matching MRF lines |
$84–$105.60 | $105–$132 | varies |
| Aspergillus ag eia (87305) | $52 | $65 | 4.3× |
| Assay activated protein c (85307) | $85.60 | $107 | 5.6× |
| Assay Blood Carbon Dioxide (82374) | $27.20 | $34 | 5.6× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$40.80–$102.78 | $51–$128.48 | varies |
| Assay of 5-hiaa (83497) | $57.60 | $72 | 4.5× |
| Assay of blood/uric acid (84550) | $21.60 | $27 | 4.8× |
| Assay of calcium in urine (82340) | $26.40 | $33 | 4.4× |
| Assay of estrone (82679) | $110.40 | $138 | 4.4× |
| Assay of g6pd enzyme (82955) | $42.40 | $53 | 4.4× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$41.60–$44.80 | $52–$56 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$41.60–$55.20 | $52–$69 | varies |
| Assay of metanephrines (83835) | $81.60 | $102 | 4.8× |
| Assay of phosphatase acid total (84060) | $40.80 | $51 | 5.3× |
| Assay of phosphatase alkaline heat stable (84078) | $40.80 | $51 | 4.9× |
| Assay of proinsulin (84206) | $79.20 | $99 | 3.0× |
| Assay of pyruvate (84210) | $48 | $60 | 3.3× |
| Assay of serotonin (84260) | $172.80 | $216 | 5.6× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$20–$25.60 | $25–$32 | varies |
| Assay of sweat sodium (84302) | $27.20 | $34 | 5.6× |
| Assay of urea nitrogen (84520) | $17.60 | $22 | 4.5× |
| Assay of urine vma (84585) | $68.80 | $86 | 4.4× |
| Assay of vasoactive intestinal peptide (84586) | $157.60 | $197 | 4.5× |
| Assay of vitamin b-1 (84425) | $118.40 | $148 | 5.6× |
| Assay Ph Body Fluid Nos (83986) | $16 | $20 | 4.5× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $160.80 | $201 | 1.0× |
| Automated Leukocyte Count (85048) | $14.40 | $18 | 5.7× |
| B cells total count (86355) | $171.20 | $214 | 4.5× |
| Babesia microti amp prb (87469) | $112 | $140 | 3.2× |
| Bartonella antibody (86611) | $44.80 | $56 | 4.4× |
| Bcr/abl1 gene major bp (81206) | $524.80 | $656 | 3.2× |
| Beta 2 glycoprotein i antibody each (86146) | $112.80 | $141 | 4.4× |
| Beta hydroxybutyrate (82010) | $45.60 | $57 | 5.6× |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$20.80–$23.20 | $26–$29 | varies |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$72–$90.40 | $90–$113 | varies |
| Bile acids total (82239) | $95.20 | $119 | 5.6× |
| Bilirubin direct (82248) | $24 | $30 | 4.8× |
| Bilirubin total (82247) | $21.60 | $27 | 4.3× |
| Bl Smear W/O Diff Wbc Count (85008) | $15.20 | $19 | 4.4× |
| Blastomyces antibody (86612) | $70.40 | $88 | 5.5× |
| Bld Typing Serologic Rh Phnt (86906) | $68.42 | $85.53 | 8.8× |
| Bleeding time test (85002) | $20 | $25 | 4.1× |
| Blood Count Manual Cell Count Each (85032) | $24 | $30 | 5.6× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $16 | $20 | 3.2× |
| Blood Count Red Blood Cell Automated (85041) | $16.80 | $21 | 5.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $15.60 | $19.50 | 4.1× |
| Blood count spun microhematocrit (85013) | $12.80 | $16 | 1.8× |
| Blood gas (82803) range across 2 matching MRF lines |
$112.80–$128 | $141–$160 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $76.80 | $96 | 4.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $18.40 | $23 | 4.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$100–$282.56 | $125–$353.20 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $68.42 | $85.53 | 4.2× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$36.90–$103.20 | $46.13–$129 | varies |
| Body fluid cell count (89050) | $20.80 | $26 | 4.4× |
| Bordetella antibody (86615) | $58.40 | $73 | 4.4× |
| Borrelia Antibody (86619) | $74.40 | $93 | 5.6× |
| Breath Alcohol Test (82075) range across 2 matching MRF lines |
$24.08–$37.60 | $30.10–$47 | varies |
| C diff amplified probe (87493) | $179.20 | $224 | 4.8× |
| C-Peptide (84681) | $100 | $125 | 4.8× |
| C-reactive protein (86140) | $24.80 | $31 | 4.8× |
| Ca 19-9 (86301) | $92.80 | $116 | 4.5× |
| Cadmium (82300) | $102.40 | $128 | 4.3× |
| Calcitonin (82308) | $119.20 | $149 | 4.4× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$60.80–$84.80 | $76–$106 | varies |
| Calcium total (82310) | $22.40 | $28 | 4.3× |
| Calculus Spectroscopy (82365) | $57.60 | $72 | 4.5× |
| Calculus Xray Diffraction (82370) | $69.60 | $87 | 5.6× |
| Calprotectin Fecal (83993) | $94.40 | $118 | 4.8× |
| Calr gene com variants (81219) | $454.40 | $568 | 3.7× |
| Cancer Antigen 125 (86304) | $92.80 | $116 | 4.5× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$92.80–$116 | $116–$145 | varies |
| Carbamazepine total (80156) | $64 | $80 | 4.4× |
| Carboxyhemoglobin (82375) | $68.80 | $86 | 5.6× |
| Carcinoembryonic antigen (82378) | $91.20 | $114 | 4.8× |
| Cardiolipin ab iga (86147) | $141.60 | $177 | 5.6× |
| Carnitine Quantitative Each Specimen (82379) | $60.80 | $76 | 3.6× |
| Carotene (82380) | $51.20 | $64 | 5.6× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$112–$140.80 | $140–$176 | varies |
| Ccp antibody (86200) | $62.40 | $78 | 4.8× |
| Cell count csf (89051) | $24 | $30 | 4.3× |
| Ceruloplasmin (82390) | $48 | $60 | 4.5× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$62.40–$77.18 | $78–$96.47 | varies |
| Chloramphenicol level (82415) | $70.40 | $88 | 5.6× |
| Chloride other source (82438) | $27.20 | $34 | 5.4× |
| Chloride Serum (82435) | $25.60 | $32 | 5.6× |
| Chloride urine (82436) | $21.60 | $27 | 3.8× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$19.20–$24 | $24–$30 | varies |
| Cholinesterase rbc (82482) | $60 | $75 | 6.1× |
| Cholinesterase Serum (82480) | $61.60 | $77 | 7.8× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$66.40–$81.60 | $83–$102 | varies |
| Chromium serum (82495) | $249.60 | $312 | 12.3× |
| Chromogenic Substrate Assay (85130) | $128.08 | $160.10 | 10.8× |
| Chromogranin a (86316) | $132 | $165 | 6.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $168.80 | $211 | 4.8× |
| Citric acid urine (82507) | $133.60 | $167 | 4.8× |
| Ckmb (82553) | $50.40 | $63 | 4.4× |
| Clostridium Difficile (87324) | $57.60 | $72 | 4.8× |
| Clot Factor VIII Multimetric (85247) | $104 | $130 | 4.5× |
| Clotting factor xii hageman (85280) | $108 | $135 | 5.6× |
| Clotting Funct Activity (85397) | $102.40 | $128 | 3.3× |
| Coccidioides antibody (86635) | $47.20 | $59 | 4.1× |
| Cold agglutinin titer (86157) | $36 | $45 | 4.5× |
| Collagen crosslinks (82523) | $60 | $75 | 3.2× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$79.20–$233.60 | $99–$292 | varies |
| Compatibility Each Unit Incubation (86921) range across 2 matching MRF lines |
$68.42–$84 | $85.53–$105 | varies |
| Compatibility test antiglob (86922) range across 3 matching MRF lines |
$94.62–$136.80 | $118.27–$171 | varies |
| Complement Antigen Each Component (86160) | $67.20 | $84 | 5.6× |
| Complement Total (Ch50) (86162) | $112.80 | $141 | 5.6× |
| Complement/Function Activity (86161) | $67.20 | $84 | 5.6× |
| Coombs direct (86880) | $36.90 | $46.13 | 6.8× |
| Copper urine (82525) | $55.20 | $69 | 4.4× |
| Cortisol free (82530) | $74.40 | $93 | 4.5× |
| Cortisol saliva (82533) | $78.40 | $98 | 4.8× |
| Creatine kinase total (82550) | $31.20 | $39 | 4.8× |
| Creatinine blood (82565) | $24.80 | $31 | 4.8× |
| Creatinine clearance (82575) | $41.60 | $52 | 4.4× |
| Creatinine Urine (82570) | $24.80 | $31 | 4.8× |
| Crossmatch immediate spin (86920) | $68.42 | $85.53 | 0.4× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$62.40–$72 | $78–$90 | varies |
| Cryofibrinogen (82585) | $38.40 | $48 | 2.7× |
| Cryoglobulin (82595) | $48 | $60 | 7.4× |
| Cryptococcal Antigen (87327) | $64.80 | $81 | 4.8× |
| Cryptococcus ag titer (87899) | $52 | $65 | 3.2× |
| Cryptosporidium ag eia (87328) | $51.20 | $64 | 3.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$38.40–$44.80 | $48–$56 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$36–$38.40 | $45–$48 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $43.20 | $54 | 5.6× |
| Culture afb (87116) | $60 | $75 | 5.6× |
| Culture Anaerobic (87075) | $52.80 | $66 | 5.6× |
| Culture blood (87040) | $49.60 | $62 | 4.8× |
| Culture chlamydia (87110) | $108.80 | $136 | 5.6× |
| Culture csf (87070) | $41.60 | $52 | 4.8× |
| Culture fungus (87102) range across 2 matching MRF lines |
$33.60–$41.60 | $42–$52 | varies |
| Culture fungus blood (87103) | $50.40 | $63 | 2.5× |
| Culture screen only (87081) range across 3 matching MRF lines |
$21.60–$32 | $27–$40 | varies |
| Culture stool (87045) | $41.60 | $52 | 4.4× |
| Culture typing if ea antiserum (87140) | $23.20 | $29 | 4.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $22.40 | $28 | 4.3× |
| Culture urine (87086) | $38.40 | $48 | 4.8× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $64 | $80 | 4.5× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$80.80–$100.80 | $101–$126 | varies |
| Cystatin C (82610) | $40.80 | $51 | 2.2× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$43.20–$44.80 | $54–$56 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $89.60 | $112 | 4.4× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$109.60–$171.20 | $137–$214 | varies |
| Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) | $59.20 | $74 | 3.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $115.20 | $144 | 4.3× |
| Cytp Concentration Smears & Interpretation (88108) | $109.60 | $137 | 3.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $178.40 | $223 | 3.5× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $109.60 | $137 | 3.0× |
| Deoxyribonuclease antibody (86215) | $56 | $70 | 4.2× |
| Detect Agent Nos Dna Amp (87798) | $168.80 | $211 | 4.8× |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$190.40–$238.40 | $238–$298 | varies |
| Detect agnt mult DNA ampli (87801) | $312 | $390 | 4.4× |
| Dgp Antibody Each Ig Class (86258) | $38.56 | $48.20 | 3.2× |
| Dhea (82626) | $121.60 | $152 | 4.8× |
| Dhea-S (82627) | $106.40 | $133 | 4.8× |
| Digoxin (80162) | $64 | $80 | 4.8× |
| Dihydrotestosterone (82642) | $39.20 | $49 | 1.3× |
| Diphtheria antitoxoid (86648) | $80.80 | $101 | 5.3× |
| Dipropylacetic Acid Free (80165) | $60 | $75 | 4.4× |
| Dna Antibody Native/Double Stranded (86225) | $60.80 | $76 | 4.4× |
| Dna/Rna Amplified Probe (87150) range across 3 matching MRF lines |
$120–$360 | $150–$450 | varies |
| Dna/Rna Sequencing (87153) | $461.60 | $577 | 4.0× |
| Drug assay adalimumab (80145) | $123.20 | $154 | 3.2× |
| Drug Assay Infliximab (80230) | $252.99 | $316.24 | 6.6× |
| Drug Screen Quant Clozapine (80159) | $112 | $140 | 5.6× |
| Drug Screen Quant Zonisamide (80203) | $44 | $55 | 3.3× |
| Drug Screen Quantitative Gabapentin (80171) | $120 | $150 | 5.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $60 | $75 | 4.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $58.40 | $73 | 4.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $42.40 | $53 | 3.2× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $93.60 | $117 | 5.6× |
| Drug Test Prsmv Chem Anlyzr (80307) | $256 | $320 | 4.1× |
| Drug Test Prsmv Dir Opt Obs (80305) range across 4 matching MRF lines |
$20–$36.32 | $25–$45.40 | varies |
| Drug Test Prsmv Instrmnt (80306) | $63.20 | $79 | 3.7× |
| Ehrlichia antibody (86666) | $44.80 | $56 | 4.4× |
| El-1 Fecal Quantitative (82653) | $73.60 | $92 | 3.2× |
| Electrolyte panel (80051) | $30.40 | $38 | 4.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $188.40 | $235.50 | 15.6× |
| Enterovirus Antibody (86658) | $72.80 | $91 | 5.6× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$156–$195.20 | $195–$244 | varies |
| Enzyme cell activity (82657) | $259.20 | $324 | 11.7× |
| Enzyme histochemistry (88319) | $109.60 | $137 | 0.1× |
| Eosinophil Smear (89190) | $26.40 | $33 | 4.6× |
| Erythropoietin (82668) | $84 | $105 | 4.5× |
| Estradiol serum (82670) | $134.40 | $168 | 4.8× |
| Estriol (82677) | $108 | $135 | 4.5× |
| Estrogens fractionated (82671) | $155.20 | $194 | 4.8× |
| Ethosuximide (80168) | $91.20 | $114 | 5.6× |
| Ethylene Glycol (82693) | $83.20 | $104 | 5.6× |
| Exam Synovial Fluid Crystals (89060) | $32 | $40 | 4.4× |
| F2 Gene (81240) | $89.60 | $112 | 1.4× |
| Factor ii activity (85210) | $72 | $90 | 5.5× |
| Factor Inhibitor Test (85335) | $138.64 | $173.30 | 10.8× |
| Factor ix activity (85250) | $106.40 | $133 | 5.6× |
| Factor v activity (85220) | $78.40 | $98 | 4.4× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$89.60–$113.60 | $112–$142 | varies |
| Factor vii assay (85230) | $100 | $125 | 5.6× |
| Factor viii assay (85240) | $58.40 | $73 | 3.3× |
| Factor X (85260) | $100 | $125 | 5.6× |
| Factor xi activity (85270) | $100 | $125 | 5.6× |
| Factor xiii screen (85291) | $49.60 | $62 | 5.4× |
| Fat stain feces urine/respir secretions (89125) | $19.20 | $24 | 3.3× |
| Fat/Lipids Feces Quantitative (82710) | $75.20 | $94 | 4.5× |
| Ferritin (82728) | $65.60 | $82 | 4.8× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $127.20 | $159 | 0.8× |
| Fetal screen rosette (85461) | $30.13 | $37.66 | 3.2× |
| Fibrin Degradation Quant (85379) | $48.80 | $61 | 4.8× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $40 | $50 | 4.1× |
| Fibrinogen activity (85384) | $47.20 | $59 | 4.9× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $383.28 | $479.10 | 24.8× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$105.39–$114.40 | $131.74–$143 | varies |
| Fluorescent antibody screen (86255) | $216 | $270 | 17.9× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $67.20 | $84 | 5.6× |
| Fluoride serum (82735) | $84 | $105 | 4.5× |
| Folic acid rbc (82747) | $96.80 | $121 | 5.5× |
| Folic Acid Serum (82746) | $70.40 | $88 | 4.8× |
| Follicle Stimulating Hormone (83001) | $88.80 | $111 | 4.8× |
| Francisella tularensis (86668) | $64 | $80 | 4.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $68.42 | $85.53 | 0.4× |
| Fungi Identification Mold (87107) | $148.80 | $186 | 14.4× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$55.20–$91.20 | $69–$114 | varies |
| Gammaglobulin ige (82785) | $92 | $115 | 5.6× |
| Gases blood ph only (82800) range across 2 matching MRF lines |
$36–$75.08 | $45–$93.85 | varies |
| Gastrin (82941) | $78.40 | $98 | 4.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $400 | $500 | 1.0× |
| Gentamicin (80170) | $91.20 | $114 | 5.6× |
| Ggt (82977) | $34.40 | $43 | 4.8× |
| Giardia antigen (87329) | $51.20 | $64 | 4.3× |
| Glucagon (82943) | $79.20 | $99 | 5.5× |
| Glucose 2 hr pp (82950) | $20.80 | $26 | 4.4× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$17.60–$21.60 | $22–$27 | varies |
| Glucose Serum (82947) | $17.60 | $22 | 4.5× |
| Glucose tolerance test (gtt) (82951) | $56.80 | $71 | 4.4× |
| Glucosidase beta (82963) | $312 | $390 | 14.5× |
| Glutathione (82978) | $191.20 | $239 | 12.4× |
| Glycated Protein (82985) | $66.40 | $83 | 4.0× |
| Gonadotropin Chorionic Qualitative (84703) | $36 | $45 | 4.8× |
| Gonadotropin releasing hormone (83727) range across 2 matching MRF lines |
$96–$220 | $120–$275 | varies |
| Growth hormone (83003) | $92.80 | $116 | 5.6× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$16.80–$21.60 | $21–$27 | varies |
| H Pylori (C-13) Breath (83013) | $375.20 | $469 | 5.6× |
| Haptoglobin (83010) | $70.40 | $88 | 5.6× |
| Hdl Cholesterol (83718) | $36 | $45 | 4.4× |
| Helicobacter Pylori Stool (87338) | $68.80 | $86 | 4.8× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$58.40–$155.20 | $73–$194 | varies |
| Hematocrit (85014) | $11.20 | $14 | 4.7× |
| Hemoglobin (85018) | $11.20 | $14 | 4.7× |
| Hemoglobin a1c (83036) | $46.40 | $58 | 4.8× |
| Hemoglobin Chromotography (83021) | $80 | $100 | 4.4× |
| Hemoglobin electrophoresis (83020) | $58.40 | $73 | 4.5× |
| Hemoglobin F Fetal Chemical (83030) | $36.80 | $46 | 3.4× |
| Hemoglobin Methemoglobin Quantitative (83050) | $32.80 | $41 | 4.0× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $32 | $40 | 3.4× |
| Hemolysin Acid (85475) | $49.60 | $62 | 5.6× |
| Hemosiderin urine (83070) | $26.40 | $33 | 5.6× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$49.60–$50.40 | $62–$63 | varies |
| Heparin assay (85520) | $72.80 | $91 | 5.6× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$55.20–$68.80 | $69–$86 | varies |
| Hepatitis b core ab igm (86705) | $52.80 | $66 | 4.5× |
| Hepatitis b core ab total (86704) | $57.60 | $72 | 4.8× |
| Hepatitis B Surface Antibody (86706) | $51.20 | $64 | 4.8× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$45.60–$49.60 | $57–$62 | varies |
| Hepatitis Be Antibody (86707) | $51.20 | $64 | 4.4× |
| Hepatitis Be Antigen (87350) | $64 | $80 | 5.6× |
| Hepatitis C Antibody (86803) | $68.80 | $86 | 4.8× |
| Hepatitis c antibody confirmatory test (86804) | $86.40 | $108 | 5.6× |
| Hepatitis C Genotype (87902) | $619.20 | $774 | 2.4× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $195.20 | $244 | 5.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $205.60 | $257 | 4.8× |
| Hepatitis Delta Agent Antibody (86692) | $71.20 | $89 | 4.1× |
| Herpes simplex type 2 (86696) | $86.40 | $108 | 4.5× |
| Heterophile antibodies titer (86309) | $49.60 | $62 | 7.7× |
| Heterophile Antibody Screen (86308) | $22.40 | $28 | 4.3× |
| Hfe Gene (81256) | $144 | $180 | 2.2× |
| Histamine urine (83088) | $164.80 | $206 | 5.6× |
| Histoplasma antibody (86698) | $55.20 | $69 | 4.0× |
| Hiv Genotype (87901) | $440 | $550 | 1.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $115.20 | $144 | 4.8× |
| Hiv-1 Antibody (86701) | $39.20 | $49 | 4.4× |
| HIV-1 p24 antigen (87390) | $98.40 | $123 | 4.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 3 matching MRF lines |
$84–$473.60 | $105–$592 | varies |
| Hla ii typing 1 locus lr (81376) | $276 | $345 | 2.3× |
| Hla-b27 (86812) | $124 | $155 | 4.8× |
| Homocysteine (83090) | $86.40 | $108 | 4.8× |
| Homogenization Tissue (87176) | $26.40 | $33 | 4.5× |
| Homovanillic acid urine (83150) | $108 | $135 | 4.8× |
| Hpv High-Risk Types (87624) | $153.60 | $192 | 4.4× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$155.20–$168.80 | $194–$211 | varies |
| Hydroxycorticosteroids 17 (83491) | $97.60 | $122 | 5.5× |
| Hydroxyprogesterone 17-d (83498) | $151.20 | $189 | 5.6× |
| Hydroxyproline total (83505) | $135.20 | $169 | 5.6× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $46.40 | $58 | 4.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $51.20 | $64 | 3.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $22.40 | $28 | 0.6× |
| Iaad ia shiga-like toxin (87427) | $51.20 | $64 | 4.3× |
| Iaad Ia Streptococcus Group A (87430) range across 2 matching MRF lines |
$10–$51.20 | $12.50–$64 | varies |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $64.80 | $81 | 5.4× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) range across 2 matching MRF lines |
$64.80–$68 | $81–$85 | varies |
| Iaadi Varicella Zoster Virus (87290) | $62.40 | $78 | 4.6× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $168.43 | $210.54 | 4.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $48 | $60 | 1.4× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $112 | $140 | 4.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$156–$195.20 | $195–$244 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $205.60 | $257 | 4.8× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $168.80 | $211 | 2.4× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $168.43 | $210.54 | 4.8× |
| Iadna Hepatitis B Virus Quantification (87517) | $190.40 | $238 | 4.4× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $156 | $195 | 4.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $156 | $195 | 4.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $168.80 | $211 | 4.8× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $312 | $390 | 2.2× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $300 | $375 | 1.1× |
| Idh1 common variants (81120) | $618.40 | $773 | 3.2× |
| Idh2 common variants (81121) | $946.40 | $1,183 | 3.2× |
| Ig Light Chains Free Each (83521) | $83.20 | $104 | 4.8× |
| Igg subclasses (82787) | $11.20 | $14 | 1.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $254.40 | $318 | 0.7× |
| Immune Complex Assay (86332) | $135.20 | $169 | 5.5× |
| Immunfix e-phorsis/urine/csf (86335) | $130.40 | $163 | 4.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $60 | $75 | 3.3× |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $109.60 | $137 | 4.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $44.80 | $56 | 3.0× |
| Immunoassay nonantibody (83516) | $55.20 | $69 | 4.8× |
| Immunodiffusion Ouchterlony (86331) | $54.40 | $68 | 4.5× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$99.20–$158.40 | $124–$198 | varies |
| Immunohistochemistry (88342) | $274.40 | $343 | 1.6× |
| In situ hybridization 1st probe stain (88365) | $178.40 | $223 | 1.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) | $78.40 | $98 | 3.6× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | $64.80 | $81 | 4.3× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$51.20–$79.20 | $64–$99 | varies |
| Influenza DNA amp probe (87502) | $229.60 | $287 | 2.4× |
| Inhibin A (86336) | $66.40 | $83 | 4.3× |
| Inhibin b (83520) range across 2 matching MRF lines |
$83.20–$216 | $104–$270 | varies |
| Insulin antibodies (86337) | $37.60 | $47 | 1.8× |
| Insulin free (83527) | $58.40 | $73 | 4.5× |
| Insulin total (83525) | $55.20 | $69 | 4.8× |
| Interleukin-6 (83529) | $55.20 | $69 | 3.2× |
| Intrinsic factor antibody (86340) | $66.40 | $83 | 4.4× |
| Iron (83540) | $31.20 | $39 | 4.8× |
| Iron Binding Capacity (83550) | $41.60 | $52 | 4.8× |
| Islet cell antibody (86341) | $87.20 | $109 | 3.7× |
| Isocitric dehydrogenase (IDH) Facility (83570) | $57.60 | $72 | 6.5× |
| Jak2 gene analysis p.val617phe variant (81270) | $182.40 | $228 | 2.0× |
| Ketosteroids 17 total (83586) | $71.20 | $89 | 5.6× |
| Koh Prep (87220) | $18.40 | $23 | 4.3× |
| L/s ratio (83661) | $122.40 | $153 | 5.6× |
| Lactate (ld) (ldh) enzyme (83615) | $28.80 | $36 | 4.8× |
| Lactoferrin fecal qualitative (83630) | $94.40 | $118 | 4.8× |
| Ldh Isoenzymes (83625) | $71.20 | $89 | 5.6× |
| LDL direct (83721) | $42.40 | $53 | 4.0× |
| Lead (83655) | $64.80 | $81 | 5.4× |
| Legionella antibody (86713) | $48.80 | $61 | 3.2× |
| Legionella antigen urine (87449) | $51.20 | $64 | 4.3× |
| Leptospira antibody (86720) | $48.80 | $61 | 3.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $59.20 | $74 | 2.1× |
| Level ii surg pathology grossµscopic exam (88302) | $109.60 | $137 | 3.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $283.20 | $354 | 0.8× |
| Lidocaine (80176) | $81.60 | $102 | 5.6× |
| Lipase (83690) | $32.80 | $41 | 4.8× |
| Lipoprotein A (83695) | $72 | $90 | 5.0× |
| Lipoprotein Bld Quan Part (83704) | $140 | $175 | 4.1× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $112.80 | $141 | 3.3× |
| Lithium (80178) | $28.80 | $36 | 4.4× |
| Luteinizing Hormone (Lh) (83002) | $88.80 | $111 | 4.8× |
| Lyme disease antibody (86618) | $81.60 | $102 | 4.8× |
| Lysozyme serum (85549) | $83.20 | $104 | 4.4× |
| M. Genitalium Amp Probe (87563) | $92.80 | $116 | 2.6× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $210.40 | $263 | 6.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$411.20–$620.80 | $514–$776 | varies |
| Macroscopic exam arthropod (87168) | $19.20 | $24 | 4.5× |
| Macroscopic Exam Parasite (87169) | $19.20 | $24 | 4.5× |
| Magnesium Urine (83735) | $32 | $40 | 4.8× |
| Mass Spectrometry Quant (83789) | $80 | $100 | 3.3× |
| Mercury urine (83825) range across 2 matching MRF lines |
$72–$90.40 | $90–$113 | varies |
| Metabolic panel ionized ca (80047) | $148.80 | $186 | 10.8× |
| Methylmalonic acid serum (83921) | $101.60 | $127 | 4.8× |
| Microalbumin, quantitative (82043) | $28 | $35 | 4.8× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$64–$69.60 | $80–$87 | varies |
| Mononuclear cell antigen (86356) | $121.60 | $152 | 4.5× |
| Mopath procedure level 2 (81401) | $304.80 | $381 | 2.2× |
| Mopath procedure level 4 (81403) | $391.20 | $489 | 2.1× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $469.60 | $587 | 2.5× |
| Mrsa Pcr (87641) | $187.90 | $234.87 | 5.4× |
| Mumps antibody (86735) | $58.40 | $73 | 4.5× |
| Muscle-Specific Kinase Antb (86366) range across 2 matching MRF lines |
$61.35–$588.48 | $76.69–$735.60 | varies |
| Mycobacteric Identification (87118) | $49.60 | $62 | 3.4× |
| Mycophenolic Acid (80180) | $22.40 | $28 | 1.2× |
| Mycoplasma antibody (86738) | $58.40 | $73 | 4.4× |
| Myelin basic protein csf (83873) | $96 | $120 | 5.6× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$62.40–$72 | $78–$90 | varies |
| Natriuretic peptide (83880) | $188.80 | $236 | 4.8× |
| Neisseria Dir Na Probe (87590) | $112 | $140 | 4.2× |
| Neutralization Test Viral (86382) | $90.53 | $113.16 | 5.4× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $410.40 | $513 | 3.2× |
| Nfct ds chrnc hcv 6 assays (81596) | $263.33 | $329.16 | 3.6× |
| Niacin (84591) | $153.60 | $192 | 9.0× |
| Nk cells total count (86357) | $171.20 | $214 | 4.5× |
| Nuclear antigen antibody (86235) | $80 | $100 | 4.5× |
| Occult blood feces (82272) | $14.40 | $18 | 3.4× |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$8–$18.40 | $10–$23 | varies |
| Oncoprotein dcp (83951) | $287.20 | $359 | 4.5× |
| Organic Acids Qualitative Each Specimen (83919) | $44 | $55 | 2.7× |
| Organic acids urine (83918) | $73.60 | $92 | 3.1× |
| Osmolality serum (83930) | $28.80 | $36 | 4.4× |
| Osmolality Urine (83935) | $32.80 | $41 | 4.8× |
| Osmotic fragility rbc incubated (85557) | $74.40 | $93 | 5.6× |
| Osteocalcin (83937) | $132.80 | $166 | 4.4× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$39.20–$49.60 | $49–$62 | varies |
| Oxalate urine (83945) | $65.60 | $82 | 4.5× |
| Pancreatic Elastase Fecal (82656) | $78.40 | $98 | 6.8× |
| Parvovirus antibody (86747) | $66.40 | $83 | 4.4× |
| Ph urine (81003) | $11.20 | $14 | 5.0× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$50.40–$64 | $63–$80 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$58.40–$73.60 | $73–$92 | varies |
| Phenytoin free (80186) | $76.80 | $96 | 5.6× |
| Phosphatase acid prostatic (84066) | $53.60 | $67 | 5.5× |
| Phosphatase alkaline (84075) | $22.40 | $28 | 4.3× |
| Phosphatidylglycerol (84081) | $92 | $115 | 5.6× |
| Phospholipid Neutralization Hexagonal (85598) | $160 | $200 | 8.9× |
| Phosphorus Serum (84100) | $22.40 | $28 | 4.7× |
| Phosphorus urine (84105) | $21.60 | $27 | 3.7× |
| Pinworm exam (87172) | $24 | $30 | 5.6× |
| Platelet Aggregation (85576) | $120 | $150 | 4.8× |
| Platelet Antibodies (86022) | $83.41 | $104.26 | 4.5× |
| Platelet count automated (85049) | $19.20 | $24 | 4.3× |
| Platelet neutralization (85597) | $81.60 | $102 | 4.5× |
| Porphobilinogen, urine; quantitative (84110) | $47.20 | $59 | 5.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $64.80 | $81 | 4.4× |
| Potassium Urine (84133) | $19.20 | $24 | 4.1× |
| Prealbumin (84134) | $60 | $75 | 4.1× |
| Pregnenolone (84140) | $92 | $115 | 4.5× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $68.42 | $85.53 | 1.2× |
| Pretx serum rbc antibody identification dilution (86976) | $128.80 | $161 | 4.5× |
| Primidone (80188) | $92.80 | $116 | 5.6× |
| Procalcitonin (Pct) (84145) | $130.40 | $163 | 4.8× |
| Progesterone (84144) | $100 | $125 | 4.8× |
| Prolactin (84146) | $92.80 | $116 | 4.8× |
| Prostaglandin (84150) | $111.20 | $139 | 2.7× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$16–$20.80 | $20–$26 | varies |
| Protein C Activity (85303) | $76.80 | $96 | 5.5× |
| Protein c antigen (85302) | $67.20 | $84 | 5.6× |
| Protein Electrophoresis Urine (84166) | $79.20 | $99 | 4.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$47.20–$48 | $59–$60 | varies |
| Protein S Free (85306) | $85.60 | $107 | 5.6× |
| Protein s total (85305) | $64.80 | $81 | 5.6× |
| Protein total serum (84155) range across 2 matching MRF lines |
$16–$20.80 | $20–$26 | varies |
| Protein Total Urine (84156) | $17.60 | $22 | 4.8× |
| Protoporphyrin, RBC; screen Facility (84203) | $48 | $60 | 4.9× |
| PSA free (84154) | $88 | $110 | 4.8× |
| Pth Intact (83970) | $198.40 | $248 | 4.8× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$166.40–$276 | $208–$345 | varies |
| Quantitative assay drug (80299) | $60.80 | $76 | 3.3× |
| Quantitative Screen Metals (83018) | $249.60 | $312 | 11.4× |
| Quinidine (80194) | $81.60 | $102 | 5.6× |
| Rbc antibody elution (86860) | $94.62 | $118.27 | 0.6× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$130.89–$159.20 | $163.61–$199 | varies |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$68.42–$128 | $85.53–$160 | varies |
| Rbc pretreatment serum (86978) | $94.62 | $118.27 | 1.6× |
| Renin activity plasma (84244) | $122.40 | $153 | 5.6× |
| Resp virus 12-25 targets (87633) | $833.60 | $1,042 | 2.0× |
| Reticulocyte Count (85046) | $26.40 | $33 | 4.7× |
| Reticulocyte Count Manual (85044) | $19.20 | $24 | 4.5× |
| Reticulocyte separation (86972) | $68.42 | $85.53 | 0.4× |
| Rh (86901) range across 2 matching MRF lines |
$36.90–$63.20 | $46.13–$79 | varies |
| Rheumatoid Factor Qualitative (86430) | $29.60 | $37 | 4.8× |
| Rheumatoid factor quant (86431) | $32 | $40 | 5.6× |
| Rickettsia antibody (86757) | $86.40 | $108 | 4.5× |
| Ristocetin cofactor (85245) | $128 | $160 | 5.6× |
| Rotavirus ag eia (87425) | $64.80 | $81 | 5.4× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$19.20–$24 | $24–$30 | varies |
| Rsv ab (86756) | $72 | $90 | 4.5× |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$44–$68.80 | $55–$86 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$57.60–$72 | $72–$90 | varies |
| Russell Viper Venom Time Diluted (85613) | $42.40 | $53 | 4.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $164 | $205 | 3.2× |
| Sars-cov-2 COVID-19 antibody (86769) | $41.60 | $52 | 1.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $570.40 | $713 | 4.0× |
| Sedimentation rate (85651) | $15.20 | $19 | 3.6× |
| Sedimentation Rate, Automated (85652) | $12.80 | $16 | 4.7× |
| Selenium (84255) | $113.60 | $142 | 4.4× |
| Semen Anal Sperm Detection (89321) | $51.20 | $64 | 4.2× |
| Semen analysis complete (89320) | $51.20 | $64 | 4.2× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$46.31–$128.80 | $57.89–$161 | varies |
| Sex Hormone Binding Globulin (84270) | $96.80 | $121 | 4.5× |
| Sickling of rbc reduction (85660) | $30.40 | $38 | 5.5× |
| Sirolimus (80195) | $60 | $75 | 4.4× |
| Smear acid fast (87206) | $29.60 | $37 | 5.5× |
| Smear complex stain (87209) | $80 | $100 | 4.4× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$20.80–$24 | $26–$30 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$26.40–$33.60 | $33–$42 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $18.40 | $23 | 3.2× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$20.80–$27.20 | $26–$34 | varies |
| Sodium Urine (84300) | $21.60 | $27 | 4.3× |
| Soluble fibrin monomer (85366) | $121.44 | $151.80 | 1.5× |
| Soluble Transferrin Receptor (84238) | $204 | $255 | 5.6× |
| Somatomedin (84305) | $94.40 | $118 | 4.4× |
| Special Stains Group 1 (88312) | $109.60 | $137 | 2.1× |
| Special Stains Group 2 (88313) | $109.60 | $137 | 0.8× |
| Specific gravity body fluid (84315) | $13.60 | $17 | 4.1× |
| Specimen infect agnt concntj (87015) range across 4 matching MRF lines |
$28.80–$49.70 | $36–$62.13 | varies |
| Spectrophotometry (84311) | $69.60 | $87 | 8.6× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$41.60–$52.80 | $52–$66 | varies |
| Strep a assay w/optic (87880) | $12.68 | $15.85 | 0.8× |
| Strep a DNA amp probe (87651) | $155.20 | $194 | 4.4× |
| Strep b DNA amp probe (87653) | $168.80 | $211 | 4.8× |
| Sugars Single Qual (84376) | $30.40 | $38 | 5.5× |
| Sulfate urine (84392) | $20.80 | $26 | 3.8× |
| Surg path level iii (88304) | $87.20 | $109 | 1.7× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$178.40–$256.80 | $223–$321 | varies |
| Surgical pathology level vi (88309) | $720 | $900 | 0.9× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $30.40 | $38 | 4.1× |
| Syphilis Test Non-Trep Quant (86593) | $19.20 | $24 | 4.4× |
| T cells absolute cd4 count (86361) | $119.20 | $149 | 4.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $213.60 | $267 | 4.5× |
| T cells total count (86359) | $210.40 | $263 | 5.6× |
| T3 Free (84481) | $81.60 | $102 | 4.8× |
| T3 reverse (84482) | $76 | $95 | 4.8× |
| T3 Total (84480) range across 2 matching MRF lines |
$68–$79.20 | $85–$99 | varies |
| T3 Uptake (84479) | $28 | $35 | 4.3× |
| T4 Free (84439) | $43.20 | $54 | 4.8× |
| T4 total (84436) | $29.60 | $37 | 4.3× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$60.80–$65.60 | $76–$82 | varies |
| Test for acetone/ketones (82009) | $20 | $25 | 4.4× |
| Testosterone Bioavailable (84410) | $204.80 | $256 | 4.0× |
| Testosterone total (84403) range across 2 matching MRF lines |
$104–$124 | $130–$155 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$104–$122.40 | $130–$153 | varies |
| Theophylline (80198) | $78.40 | $98 | 5.5× |
| Thiopurine methyltransferase (84433) | $259.20 | $324 | 11.7× |
| Thrombin Time (85670) | $78.75 | $98.44 | 13.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $36 | $45 | 5.6× |
| Thyroglobulin (84432) | $64 | $80 | 4.0× |
| Thyroglobulin Antibody (86800) | $76 | $95 | 4.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $244 | $305 | 4.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $55.20 | $69 | 4.8× |
| Tobramycin peak (80200) | $89.60 | $112 | 5.6× |
| Topiramate (80201) | $52.80 | $66 | 4.4× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $64.80 | $81 | 3.3× |
| Toxoplasma ab igm (86778) | $47.20 | $59 | 3.3× |
| Toxoplasma antibody (86777) | $43.20 | $54 | 3.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $22.40 | $28 | 4.3× |
| Transferrin (84466) | $61.60 | $77 | 4.8× |
| Trichinella Antibody (86784) | $94.56 | $118.20 | 7.5× |
| Trichomonas Vaginalis Amplif (87661) | $154.40 | $193 | 4.4× |
| Triglycerides (84478) | $32 | $40 | 5.6× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$54.40–$60 | $68–$75 | varies |
| Tumor Immunohistochem/Manual (88360) | $274.40 | $343 | 1.6× |
| Unlisted miscellaneous pathology test (89240) | $59.20 | $74 | 1.1× |
| Unlisted Transfusion Medicine Procedure (86999) | $68.42 | $85.53 | 2.4× |
| Urea nitrogen urine (84540) | $20.80 | $26 | 3.7× |
| Uric acid other source (84560) | $20.80 | $26 | 4.1× |
| Urinalysis Microscopic Only (81015) | $13.60 | $17 | 4.5× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $12 | $15 | 5.5× |
| Urinalysis Volume Measure (81050) | $13.60 | $17 | 3.7× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$39.20–$44.80 | $49–$56 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$27.20–$41.60 | $34–$52 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $15.20 | $19 | 4.8× |
| Urobilinogen urine qual (84578) | $18.40 | $23 | 4.1× |
| Valproic acid (80164) | $60 | $75 | 4.4× |
| Vancomycin (80202) range across 2 matching MRF lines |
$64.80–$75.20 | $81–$94 | varies |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$57.60–$72 | $72–$90 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$188.80–$299.05 | $236–$373.81 | varies |
| Viral Culture (87252) range across 3 matching MRF lines |
$70.40–$145.60 | $88–$182 | varies |
| Virus antibody nos (86790) | $57.60 | $72 | 4.5× |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$88–$108.80 | $110–$136 | varies |
| Viscosity serum (85810) | $64.80 | $81 | 5.6× |
| Vit D 1 25-Dihydroxy (82652) | $184.80 | $231 | 4.8× |
| Vitamin A (84590) | $52 | $65 | 4.5× |
| Vitamin b-12 (82607) | $72 | $90 | 4.8× |
| Vitamin B2 (Riboflavin) (84252) | $33.60 | $42 | 1.7× |
| Vitamin B6 (84207) | $124.80 | $156 | 4.4× |
| Vitamin c (82180) | $44.80 | $56 | 4.5× |
| Vitamin D 25-Hydroxy (82306) | $142.40 | $178 | 4.8× |
| Vitamin E (84446) | $63.20 | $79 | 4.5× |
| Vitamin K (84597) | $100.80 | $126 | 7.3× |
| Volatiles (84600) | $89.60 | $112 | 5.2× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $77.60 | $97 | 6.4× |
| Von willebrand factor ag (85246) | $128 | $160 | 5.6× |
| Wbc Alkaline Phosphatase Count (85540) | $48 | $60 | 5.6× |
| Zinc (84630) range across 2 matching MRF lines |
$49.60–$63.20 | $62–$79 | 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.