Lab & pathology prices at Box Butte General Hospital
Alliance, NE · every code in this section with a posted price and a Medicare benchmark.
663 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) range across 2 matching MRF lines |
$288–$310.50 | $320–$345 | varies |
| Actin smooth muscle antibody each (86015) | $84.60 | $94 | 7.0× |
| Acute hepatitis panel (80074) range across 4 matching MRF lines |
$111.60–$401.40 | $124–$446 | varies |
| Acylcarnitines Quant (82017) range across 2 matching MRF lines |
$299.70–$589.50 | $333–$655 | varies |
| Adenovirus antibody (86603) | $140.40 | $156 | 10.9× |
| Agglutinins Febrile Each Antigen (86000) range across 6 matching MRF lines |
$17.10–$62.10 | $19–$69 | varies |
| Albumin Fluid (82042) range across 3 matching MRF lines |
$67.50–$239.40 | $75–$266 | varies |
| Albumin serum (82040) range across 3 matching MRF lines |
$52.20–$172.80 | $58–$192 | varies |
| Aldolase (82085) range across 2 matching MRF lines |
$101.70–$110.70 | $113–$123 | varies |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$297.90–$322.20 | $331–$358 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 3 matching MRF lines |
$135.90–$304.20 | $151–$338 | varies |
| Allergen specific ige (86003) range across 17 matching MRF lines |
$9.90–$157.50 | $11–$175 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$72–$81 | $80–$90 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $211.50 | $235 | 14.6× |
| Alpha-1-antitrypsin total (82103) range across 4 matching MRF lines |
$156.60–$387.90 | $174–$431 | varies |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$113.40–$129.60 | $126–$144 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$82.80–$90 | $92–$100 | varies |
| Aluminum (82108) | $235.80 | $262 | 9.3× |
| Amikacin trough (80150) range across 3 matching MRF lines |
$150.30–$168.30 | $167–$187 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$454.50–$549.90 | $505–$611 | varies |
| Ammonia (82140) range across 4 matching MRF lines |
$26.10–$201.60 | $29–$224 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$202.50–$219.60 | $225–$244 | varies |
| Amylase urine (82150) range across 4 matching MRF lines |
$124.20–$134.10 | $138–$149 | varies |
| Ana Titer (86039) range across 6 matching MRF lines |
$29.70–$219.60 | $33–$244 | varies |
| Androstenedione (82157) range across 2 matching MRF lines |
$228.60–$247.50 | $254–$275 | varies |
| Angiotensin converting enzyme csf (82164) | $243.90 | $271 | 16.7× |
| Anti-Phospholipid Antibody (86148) | $115.20 | $128 | 7.2× |
| Antibody aspergillus (86606) | $128.70 | $143 | 8.6× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $37.80 | $42 | 2.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$162–$165.60 | $180–$184 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$152.10–$157.50 | $169–$175 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$117.90–$127.80 | $131–$142 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $119.70 | $133 | 7.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$121.50–$223.20 | $135–$248 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $142.20 | $158 | 11.6× |
| Antibody haemophilus influenza (86684) | $177.30 | $197 | 11.2× |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$197.10–$243.90 | $219–$271 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$145.80–$165.60 | $162–$184 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $102.60 | $114 | 7.8× |
| Antibody HIV-1&HIV-2 single result (86703) range across 3 matching MRF lines |
$132.30–$219.60 | $147–$244 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $299.70 | $333 | 15.5× |
| Antibody identification leukocyte antibodies (86021) | $261 | $290 | 17.3× |
| Antibody Identification Platelet Immunogl Assay (86023) range across 2 matching MRF lines |
$166.50–$208.80 | $185–$232 | varies |
| Antibody john cunningham virus (86711) range across 2 matching MRF lines |
$2,688.30–$2,898.90 | $2,987–$3,221 | varies |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$64.80–$198.90 | $72–$221 | varies |
| Antibody Titer (86886) | $116.10 | $129 | 22.4× |
| Antibody Treponema Pallidum (86780) range across 5 matching MRF lines |
$73.80–$196.20 | $82–$218 | varies |
| Antibody; encephalitis, st. louis (86653) | $166.50 | $185 | 12.6× |
| Antibody; influenza virus (86710) range across 2 matching MRF lines |
$48.60–$52.20 | $54–$58 | varies |
| Antigen typing (86905) range across 2 matching MRF lines |
$180–$186.30 | $200–$207 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $85.50 | $95 | 14.9× |
| Antinuclear antibodies (86038) range across 6 matching MRF lines |
$29.70–$216 | $33–$240 | varies |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$213.30–$230.40 | $237–$256 | varies |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$188.10–$248.40 | $209–$276 | varies |
| Antithrombin iii antigen (85301) | $239.40 | $266 | 22.1× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $5,322.60 | $5,914 | 10.6× |
| Apolipoprotein a1 (82172) | $158.40 | $176 | 7.5× |
| Arsenic (82175) range across 3 matching MRF lines |
$32.40–$394.20 | $36–$438 | varies |
| Aspergillus ag eia (87305) | $141.30 | $157 | 11.8× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$232.20–$270.90 | $258–$301 | varies |
| Assay Blood Carbon Dioxide (82374) range across 3 matching MRF lines |
$100.80–$126.90 | $112–$141 | varies |
| Assay Nephelometry Not Spec (83883) range across 5 matching MRF lines |
$162.90–$394.20 | $181–$438 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$162.90–$177.30 | $181–$197 | varies |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$72–$78.30 | $80–$87 | varies |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$86.40–$121.50 | $96–$135 | varies |
| Assay of cpk in blood (82552) | $189 | $210 | 14.1× |
| Assay of estrone (82679) | $226.80 | $252 | 9.1× |
| Assay of feces for trypsin (84490) | $160.20 | $178 | 16.1× |
| Assay of g6pd enzyme (82955) | $140.40 | $156 | 14.5× |
| Assay of gammaglobulin igm (82784) range across 9 matching MRF lines |
$105.30–$451.80 | $117–$502 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$161.10–$465.30 | $179–$517 | varies |
| Assay of manganese (83785) | $237.60 | $264 | 8.9× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$284.40–$586.80 | $316–$652 | varies |
| Assay of procainamide (80190) | $401.40 | $446 | 6.7× |
| Assay of proinsulin (84206) range across 2 matching MRF lines |
$213.30–$230.40 | $237–$256 | varies |
| Assay of pyruvate (84210) | $150.30 | $167 | 10.4× |
| Assay of serotonin (84260) range across 2 matching MRF lines |
$270.90–$293.40 | $301–$326 | varies |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$58.50–$63.90 | $65–$71 | varies |
| Assay of sweat sodium (84302) range across 4 matching MRF lines |
$49.50–$134.10 | $55–$149 | varies |
| Assay of transcortin (84449) | $308.70 | $343 | 17.2× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$69.30–$75.60 | $77–$84 | varies |
| Assay of urine vma (84585) | $198 | $220 | 12.8× |
| Assay of vasoactive intestinal peptide (84586) range across 2 matching MRF lines |
$274.50–$332.10 | $305–$369 | varies |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$101.70–$110.70 | $113–$123 | varies |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$58.50–$141.30 | $65–$157 | varies |
| Autol bld/component collj storage salvage (86891) | $1,137.60 | $1,264 | 1.4× |
| Automated Leukocyte Count (85048) | $66.60 | $74 | 26.2× |
| B cells total count (86355) range across 3 matching MRF lines |
$49.50–$110.70 | $55–$123 | varies |
| Bartonella antibody (86611) | $89.10 | $99 | 8.8× |
| Bcr/abl1 gene major bp (81206) range across 3 matching MRF lines |
$416.70–$1,118.70 | $463–$1,243 | varies |
| Bcr/abl1 gene minor bp (81207) | $360 | $400 | 2.5× |
| Beta 2 glycoprotein i antibody each (86146) range across 4 matching MRF lines |
$129.60–$155.70 | $144–$173 | varies |
| Beta hydroxybutyrate (82010) range across 3 matching MRF lines |
$116.10–$132.30 | $129–$147 | varies |
| Beta Lactamase (87185) | $113.40 | $126 | 23.9× |
| Beta-2 Microglobulin (82232) range across 3 matching MRF lines |
$163.80–$178.20 | $182–$198 | varies |
| Bilirubin direct (82248) range across 3 matching MRF lines |
$60.30–$121.50 | $67–$135 | varies |
| Bilirubin total (82247) range across 3 matching MRF lines |
$75.60–$110.70 | $84–$123 | varies |
| Bilirubin total transcutaneous (88720) | $89.10 | $99 | 17.7× |
| Biotinidase (82261) range across 3 matching MRF lines |
$55.80–$230.40 | $62–$256 | varies |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$302.40–$326.70 | $336–$363 | varies |
| Bleeding time test (85002) | $159.30 | $177 | 33.0× |
| Blood Count Red Blood Cell Automated (85041) | $62.10 | $69 | 20.6× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$90.90–$99 | $101–$110 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$61.20–$66.60 | $68–$74 | varies |
| Blood gas (82803) range across 3 matching MRF lines |
$243.90–$487.80 | $271–$542 | varies |
| Blood gases w/02 saturation (82805) | $270.90 | $301 | 3.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $181.80 | $202 | 11.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 3 matching MRF lines |
$43.20–$56.70 | $48–$63 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$218.70–$247.50 | $243–$275 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $100.80 | $112 | 6.2× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$84.60–$169.20 | $94–$188 | varies |
| Body fluid cell count (89050) range across 3 matching MRF lines |
$78.30–$288 | $87–$320 | varies |
| Bordetella antibody (86615) range across 4 matching MRF lines |
$122.40–$204.30 | $136–$227 | varies |
| Borrelia Antibody (86619) | $209.70 | $233 | 15.7× |
| Brca1&2 gen full seq dup/del (81162) | $3,904.20 | $4,338 | 2.1× |
| Brucella antibody (86622) | $160.20 | $178 | 17.9× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$198.90–$225 | $221–$250 | varies |
| C-Peptide (84681) range across 2 matching MRF lines |
$167.40–$181.80 | $186–$202 | varies |
| C-reactive protein (86140) range across 4 matching MRF lines |
$107.10–$135.90 | $119–$151 | varies |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$186.30–$201.60 | $207–$224 | varies |
| Cadmium (82300) range across 3 matching MRF lines |
$32.40–$270.90 | $36–$301 | varies |
| Calcitonin (82308) | $216 | $240 | 8.1× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$134.10–$145.80 | $149–$162 | varies |
| Calcium total (82310) range across 4 matching MRF lines |
$63.90–$121.50 | $71–$135 | varies |
| Calculus Spectroscopy (82365) | $162 | $180 | 12.6× |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$543.60–$586.80 | $604–$652 | varies |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$184.50–$199.80 | $205–$222 | varies |
| Cancer Antigen 27.29 (86300) range across 3 matching MRF lines |
$233.10–$434.70 | $259–$483 | varies |
| Candida antibody (86628) | $141.30 | $157 | 11.8× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$187.20–$202.50 | $208–$225 | varies |
| Carboxyhemoglobin (82375) range across 3 matching MRF lines |
$159.30–$192.60 | $177–$214 | varies |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$247.50–$267.30 | $275–$297 | varies |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$157.50–$196.20 | $175–$218 | varies |
| Carnitine Quantitative Each Specimen (82379) | $265.50 | $295 | 15.7× |
| Carotene (82380) range across 2 matching MRF lines |
$139.50–$227.70 | $155–$253 | varies |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$249.30–$984.60 | $277–$1,094 | varies |
| Ccp antibody (86200) | $180 | $200 | 13.9× |
| Cell count csf (89051) | $149.40 | $166 | 26.7× |
| Cell marker study (88182) | $115.20 | $128 | 2.1× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $474.30 | $527 | 3.5× |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$118.80–$128.70 | $132–$143 | varies |
| Cftr gene com variants (81220) | $431.10 | $479 | 0.8× |
| Cftr gene dup/delet variants (81222) | $2,347.20 | $2,608 | 5.4× |
| Cftr gene full sequence (81223) | $2,347.20 | $2,608 | 4.7× |
| Chemiluminescent assay (82397) range across 6 matching MRF lines |
$231.30–$419.40 | $257–$466 | varies |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$71.10–$72.90 | $79–$81 | varies |
| Chlamydia Igm Antibody (86632) | $34.20 | $38 | 2.7× |
| Chloride other source (82438) range across 2 matching MRF lines |
$75.60–$82.80 | $84–$92 | varies |
| Chloride Serum (82435) | $72.90 | $81 | 15.8× |
| Chloride urine (82436) range across 3 matching MRF lines |
$26.10–$99.90 | $29–$111 | varies |
| Cholesterol total (82465) | $86.40 | $96 | 19.9× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$153.90–$166.50 | $171–$185 | varies |
| Chrmsm Analysis Addl High Resolution Study (88289) | $251.10 | $279 | 7.3× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $275.40 | $306 | 8.2× |
| Chromium serum (82495) | $211.50 | $235 | 10.4× |
| Chromogranin a (86316) range across 3 matching MRF lines |
$232.20–$436.50 | $258–$485 | varies |
| Chromosome Analysis 15-20 (88262) range across 4 matching MRF lines |
$71.10–$810.90 | $79–$901 | varies |
| Chromosome Analysis 20-25 (88264) | $1,096.20 | $1,218 | 7.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$151.20–$212.40 | $168–$236 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$189–$230.40 | $210–$256 | varies |
| Ckmb (82553) range across 2 matching MRF lines |
$297–$310.50 | $330–$345 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$177.30–$191.70 | $197–$213 | varies |
| Clot Factor VIII Multimetric (85247) | $385.20 | $428 | 16.8× |
| Clotting factor xii hageman (85280) | $261 | $290 | 13.5× |
| Clotting Funct Activity (85397) range across 3 matching MRF lines |
$432.90–$611.10 | $481–$679 | varies |
| Cns DNA amp probe type 12-25 (87483) | $498.60 | $554 | 1.2× |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
$39.60–$135.90 | $44–$151 | varies |
| Cold agglutinin titer (86157) | $119.70 | $133 | 14.9× |
| Collagen crosslinks (82523) | $344.70 | $383 | 18.5× |
| Column Chromotography Quant (82542) range across 16 matching MRF lines |
$90–$873 | $100–$970 | varies |
| Compatibility test antiglob (86922) range across 3 matching MRF lines |
$227.70–$435.60 | $253–$484 | varies |
| Complement Antigen Each Component (86160) range across 11 matching MRF lines |
$29.70–$342.90 | $33–$381 | varies |
| Complement Fixation Tests Each Antigen (86171) | $252 | $280 | 25.2× |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$190.80–$193.50 | $212–$215 | varies |
| Complement/Function Activity (86161) | $218.70 | $243 | 18.2× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$111.60–$115.20 | $124–$128 | varies |
| Coombs direct (86880) range across 3 matching MRF lines |
$108–$117 | $120–$130 | varies |
| Copper urine (82525) range across 4 matching MRF lines |
$107.10–$216.90 | $119–$241 | varies |
| Cortisol free (82530) range across 4 matching MRF lines |
$90–$464.40 | $100–$516 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$220.50–$238.50 | $245–$265 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$106.20–$115.20 | $118–$128 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$69.30–$75.60 | $77–$84 | varies |
| Creatinine clearance (82575) | $187.20 | $208 | 19.8× |
| Creatinine Urine (82570) range across 6 matching MRF lines |
$32.40–$131.40 | $36–$146 | varies |
| Crossmatch immediate spin (86920) | $182.70 | $203 | 1.0× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$210.60–$227.70 | $234–$253 | varies |
| Cryofibrinogen (82585) | $47.70 | $53 | 3.4× |
| Cryoglobulin (82595) | $160.20 | $178 | 24.8× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $45 | $50 | 3.4× |
| Cryptococcal Antigen (87327) | $56.70 | $63 | 4.2× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$86.40–$204.30 | $96–$227 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$117.90–$127.80 | $131–$142 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$91.80–$283.50 | $102–$315 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $121.50 | $135 | 15.0× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 3 matching MRF lines |
$139.50–$214.20 | $155–$238 | varies |
| Culture afb (87116) | $181.80 | $202 | 16.8× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$141.30–$153 | $157–$170 | varies |
| Culture blood (87040) range across 3 matching MRF lines |
$226.80–$453.60 | $252–$504 | varies |
| Culture chlamydia (87110) | $236.70 | $263 | 12.1× |
| Culture csf (87070) range across 4 matching MRF lines |
$139.50–$349.20 | $155–$388 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$139.50–$141.30 | $155–$157 | varies |
| Culture fungus blood (87103) | $219.60 | $244 | 10.7× |
| Culture screen only (87081) range across 6 matching MRF lines |
$74.70–$318.60 | $83–$354 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$124.20–$134.10 | $138–$149 | varies |
| Culture typing if ea antiserum (87140) | $129.60 | $144 | 23.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$72.90–$80.10 | $81–$89 | varies |
| Cyclosporine (80158) range across 2 matching MRF lines |
$198–$214.20 | $220–$238 | varies |
| Cystatin C (82610) range across 3 matching MRF lines |
$74.70–$149.40 | $83–$166 | varies |
| Cytogenetics 100-300 (88275) range across 5 matching MRF lines |
$154.80–$569.70 | $172–$633 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) | $4,089.60 | $4,544 | 4.5× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$49.50–$177.30 | $55–$197 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$139.50–$151.20 | $155–$168 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$135–$146.70 | $150–$163 | varies |
| Cytopath Fl Nongyn Filter (88106) range across 2 matching MRF lines |
$39.60–$56.70 | $44–$63 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $169.20 | $188 | 6.4× |
| Cytp Concentration Smears & Interpretation (88108) | $143.10 | $159 | 3.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $179.10 | $199 | 3.3× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $72 | $80 | 0.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $77.40 | $86 | 2.0× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $74.70 | $83 | 4.0× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $126 | $140 | 2.3× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) range across 2 matching MRF lines |
$39.60–$49.50 | $44–$55 | varies |
| Cytp Urine 3-5 Probes Cmptr (88121) | $949.50 | $1,055 | 5.4× |
| Deoxyribonuclease antibody (86215) | $135.90 | $151 | 10.3× |
| Detect Agent Nos Dna Amp (87798) range across 15 matching MRF lines |
$204.30–$1,096.20 | $227–$1,218 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$296.10–$512.10 | $329–$569 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$313.20–$506.70 | $348–$563 | varies |
| Dhea (82626) range across 2 matching MRF lines |
$234–$252.90 | $260–$281 | varies |
| Dhea-S (82627) range across 2 matching MRF lines |
$206.10–$223.20 | $229–$248 | varies |
| Digoxin (80162) range across 2 matching MRF lines |
$147.60–$160.20 | $164–$178 | varies |
| Diphtheria antitoxoid (86648) | $242.10 | $269 | 15.9× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$115.20–$125.10 | $128–$139 | varies |
| Dna Antibody Single Stranded (86226) range across 2 matching MRF lines |
$224.10–$242.10 | $249–$269 | varies |
| Drug assay acetaminophen (80143) | $268.20 | $298 | 14.4× |
| Drug assay adalimumab (80145) | $638.10 | $709 | 16.5× |
| Drug Assay Everolimus (80169) | $426.60 | $474 | 31.1× |
| Drug Assay Infliximab (80230) | $566.10 | $629 | 14.7× |
| Drug Assay Lacosamide (80235) | $318.60 | $354 | 11.8× |
| Drug Assay Posaconazole (80187) | $153 | $170 | 5.6× |
| Drug Assay Vedolizumab (80280) | $333.90 | $371 | 8.7× |
| Drug Asy Hydroxychloroquine (80220) | $208.80 | $232 | 11.2× |
| Drug Screen Quant Clozapine (80159) | $198 | $220 | 9.8× |
| Drug Screen Quant Zonisamide (80203) | $414 | $460 | 31.2× |
| Drug Screen Quantitative Gabapentin (80171) | $283.50 | $315 | 13.1× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$254.70–$275.40 | $283–$306 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$423.90–$458.10 | $471–$509 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$224.10–$405.90 | $249–$451 | varies |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $152.10 | $169 | 9.1× |
| Drug Screen Quantitative Tiagabine (80199) | $405 | $450 | 14.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 9 matching MRF lines |
$247.50–$465.30 | $275–$517 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 5 matching MRF lines |
$236.70–$597.60 | $263–$664 | varies |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$64.80–$186.30 | $72–$207 | varies |
| Electrolyte panel (80051) | $155.70 | $173 | 22.2× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 3 matching MRF lines |
$190.80–$538.20 | $212–$598 | varies |
| Enterovirus Antibody (86658) range across 3 matching MRF lines |
$54–$333.90 | $60–$371 | varies |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$315–$330.30 | $350–$367 | varies |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$722.70–$925.20 | $803–$1,028 | varies |
| Enzyme histochemistry (88319) | $72.90 | $81 | 0.1× |
| Eosinophil Smear (89190) | $72 | $80 | 12.4× |
| Erythropoietin (82668) | $299.70 | $333 | 15.9× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$178.20–$192.60 | $198–$214 | varies |
| Estriol (82677) | $168.30 | $187 | 7.0× |
| Estrogen total (82672) range across 2 matching MRF lines |
$278.10–$308.70 | $309–$343 | varies |
| Ethosuximide (80168) | $206.10 | $229 | 12.6× |
| Ethylene Glycol (82693) | $261 | $290 | 17.5× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$83.70–$90.90 | $93–$101 | varies |
| F2 Gene (81240) | $400.50 | $445 | 6.1× |
| Factor ii activity (85210) range across 2 matching MRF lines |
$213.30–$276.30 | $237–$307 | varies |
| Factor ix activity (85250) | $421.20 | $468 | 22.1× |
| Factor v activity (85220) | $303.30 | $337 | 17.2× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$314.10–$324 | $349–$360 | varies |
| Factor vii assay (85230) range across 2 matching MRF lines |
$232.20–$270.90 | $258–$301 | varies |
| Factor viii assay (85240) range across 2 matching MRF lines |
$291.60–$294.30 | $324–$327 | varies |
| Factor X (85260) range across 2 matching MRF lines |
$613.80–$701.10 | $682–$779 | varies |
| Factor xi activity (85270) | $257.40 | $286 | 14.4× |
| Factor xiii screen (85291) range across 2 matching MRF lines |
$118.80–$468.90 | $132–$521 | varies |
| Fat stain feces urine/respir secretions (89125) | $36 | $40 | 6.1× |
| Fat/Lipids Feces Quantitative (82710) range across 2 matching MRF lines |
$147.60–$160.20 | $164–$178 | varies |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $105.30 | $117 | 16.1× |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$90.90–$99 | $101–$110 | varies |
| Ferritin (82728) range across 4 matching MRF lines |
$140.40–$192.60 | $156–$214 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $283.50 | $315 | 1.8× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $154.80 | $172 | 2.9× |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
$892.80–$963 | $992–$1,070 | varies |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $275.40 | $306 | 14.6× |
| Fetal screen rosette (85461) | $150.30 | $167 | 16.1× |
| Fibrin Degradation Quant (85379) range across 3 matching MRF lines |
$171–$211.50 | $190–$235 | varies |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$121.50–$221.40 | $135–$246 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $163.80 | $182 | 10.6× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$144.90–$158.40 | $161–$176 | varies |
| Fluorescent antibody screen (86255) range across 16 matching MRF lines |
$27.90–$474.30 | $31–$527 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 5 matching MRF lines |
$77.40–$297.90 | $86–$331 | varies |
| Fluoride serum (82735) | $342.90 | $381 | 18.5× |
| Fmr1 gene detection (81243) | $747.90 | $831 | 13.1× |
| Folic acid rbc (82747) | $166.50 | $185 | 9.4× |
| Folic Acid Serum (82746) range across 3 matching MRF lines |
$187.20–$212.40 | $208–$236 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$229.50–$248.40 | $255–$276 | varies |
| Forensic Cytopathology (88125) | $21.60 | $24 | 0.4× |
| Francisella tularensis (86668) | $180 | $200 | 12.7× |
| Fresh Frozen Plasma Thawing Each Unit (86927) range across 2 matching MRF lines |
$184.50–$199.80 | $205–$222 | varies |
| Fungi Identification Mold (87107) | $123.30 | $137 | 11.9× |
| Fungi Identification Yeast (87106) | $132.30 | $147 | 12.8× |
| Galactose (82760) | $45 | $50 | 4.0× |
| Galactose transferase test (82776) range across 2 matching MRF lines |
$39.60–$44.10 | $44–$49 | varies |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $335.70 | $373 | 15.9× |
| Gammaglobulin ige (82785) range across 4 matching MRF lines |
$139.50–$187.20 | $155–$208 | varies |
| Gases blood ph only (82800) range across 2 matching MRF lines |
$121.50–$125.10 | $135–$139 | varies |
| Gastrin (82941) range across 2 matching MRF lines |
$163.80–$178.20 | $182–$198 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $325.80 | $362 | 0.1× |
| Genetic Tstg Severe Inh Cond (81443) | $5,647.50 | $6,275 | 2.3× |
| Gentamicin (80170) | $305.10 | $339 | 18.6× |
| Ggt (82977) range across 2 matching MRF lines |
$77.40–$84.60 | $86–$94 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$274.50–$297 | $305–$330 | varies |
| Giardia lamblia antibody (86674) range across 3 matching MRF lines |
$105.30–$255.60 | $117–$284 | varies |
| Glucagon (82943) | $279.90 | $311 | 19.6× |
| Glucose 2 hr pp (82950) range across 3 matching MRF lines |
$88.20–$96.30 | $98–$107 | varies |
| Glucose Blood Test (82962) range across 5 matching MRF lines |
$71.10–$426.60 | $79–$474 | varies |
| Glucose body fluid (82945) | $121.50 | $135 | 30.9× |
| Glucose Serum (82947) range across 4 matching MRF lines |
$65.70–$121.50 | $73–$135 | varies |
| Glucose tolerance test (gtt) (82951) range across 3 matching MRF lines |
$177.30–$202.50 | $197–$225 | varies |
| Glutamate dehydrogenase Facility (82965) | $180 | $200 | 13.7× |
| Glutathione (82978) | $477 | $530 | 30.9× |
| Glycated Protein (82985) | $166.50 | $185 | 9.9× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$135–$146.70 | $150–$163 | varies |
| Gonadotropin releasing hormone (83727) | $802.80 | $892 | 46.7× |
| Growth hormone (83003) range across 2 matching MRF lines |
$9.90–$159.30 | $11–$177 | varies |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$102.60–$111.60 | $114–$124 | varies |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$301.50–$325.80 | $335–$362 | varies |
| Haptoglobin (83010) range across 2 matching MRF lines |
$247.50–$267.30 | $275–$297 | varies |
| Hba1/Hba2 Gene (81257) | $345.60 | $384 | 3.4× |
| Hdl Cholesterol (83718) range across 3 matching MRF lines |
$72–$81 | $80–$90 | varies |
| Heavy metal qualitative any analytes (83015) | $61.20 | $68 | 2.9× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$268.20–$289.80 | $298–$322 | varies |
| Helminth Antibody (86682) range across 3 matching MRF lines |
$220.50–$410.40 | $245–$456 | varies |
| Hematocrit (85014) range across 2 matching MRF lines |
$52.20–$56.70 | $58–$63 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$51.30–$55.80 | $57–$62 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$93.60–$101.70 | $104–$113 | varies |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$125.10–$165.60 | $139–$184 | varies |
| Hemoglobin electrophoresis (83020) range across 4 matching MRF lines |
$89.10–$153 | $99–$170 | varies |
| Hemoglobin plasma (83051) | $146.70 | $163 | 20.1× |
| Hemoglobin stability screen (83068) | $158.40 | $176 | 16.7× |
| Hemosiderin urine (83070) | $142.20 | $158 | 29.9× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$139.50–$151.20 | $155–$168 | varies |
| Heparin assay (85520) range across 3 matching MRF lines |
$281.70–$529.20 | $313–$588 | varies |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$151.20–$163.80 | $168–$182 | varies |
| Hepatitis b core ab igm (86705) range across 3 matching MRF lines |
$127.80–$147.60 | $142–$164 | varies |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
$31.50–$140.40 | $35–$156 | varies |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$31.50–$203.40 | $35–$226 | varies |
| Hepatitis B Surface Antigen (87340) range across 4 matching MRF lines |
$31.50–$189.90 | $35–$211 | varies |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$113.40–$139.50 | $126–$155 | varies |
| Hepatitis Be Antigen (87350) | $128.70 | $143 | 11.2× |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$31.50–$145.80 | $35–$162 | varies |
| Hepatitis c antibody confirmatory test (86804) | $692.10 | $769 | 44.7× |
| Hepatitis C Genotype (87902) range across 4 matching MRF lines |
$727.20–$1,716.30 | $808–$1,907 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $919.80 | $1,022 | 26.2× |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$500.40–$703.80 | $556–$782 | varies |
| Hepatitis Delta Agent Antibody (86692) | $354.60 | $394 | 20.7× |
| Herpes simplex type 2 (86696) | $108.90 | $121 | 5.6× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$86.40–$93.60 | $96–$104 | varies |
| Hfe Gene (81256) range across 2 matching MRF lines |
$494.10–$533.70 | $549–$593 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $206.10 | $229 | 26.7× |
| Histamine urine (83088) range across 2 matching MRF lines |
$152.10–$324 | $169–$360 | varies |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$126.90–$340.20 | $141–$378 | varies |
| Histoplasma antigen urine (87385) | $477 | $530 | 36.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $114.30 | $127 | 4.7× |
| Hiv-1 Antibody (86701) | $121.50 | $135 | 13.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$522–$549 | $580–$610 | varies |
| Hla Class I Typing Low Resolution Complete (81372) | $496.80 | $552 | 1.2× |
| Hla class i&ii antibody qual (86828) | $789.30 | $877 | 12.3× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $353.70 | $393 | 4.8× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $342.90 | $381 | 1.6× |
| Hla ii typing 1 locus lr (81376) range across 3 matching MRF lines |
$229.50–$436.50 | $255–$485 | varies |
| Hla Typing a/B/C Multiple Antigens (86813) | $1,134.90 | $1,261 | 19.6× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $877.50 | $975 | 8.3× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$251.10–$270.90 | $279–$301 | varies |
| Homocysteine (83090) range across 2 matching MRF lines |
$267.30–$333.90 | $297–$371 | varies |
| Homogenization Tissue (87176) | $232.20 | $258 | 39.5× |
| Hpv High-Risk Types (87624) | $191.70 | $213 | 5.5× |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$338.40–$747.90 | $376–$831 | varies |
| Htlv-I Antibody (86687) | $191.70 | $213 | 21.1× |
| Hydroxyprogesterone 17-d (83498) range across 5 matching MRF lines |
$137.70–$210.60 | $153–$234 | varies |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $320.40 | $356 | 26.7× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $325.80 | $362 | 27.2× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $157.50 | $175 | 11.3× |
| Iaad ia shiga-like toxin (87427) | $150.30 | $167 | 12.5× |
| Iaad Ia Streptococcus Group A (87430) range across 2 matching MRF lines |
$102.60–$111.60 | $114–$124 | varies |
| Iaadi herpes smplx virus type 1 (87274) | $112.50 | $125 | 9.4× |
| Iaadi herpes smplx virus type 2 (87273) | $112.50 | $125 | 9.4× |
| Iaadi parainfluenza virus each type (87279) | $62.10 | $69 | 3.8× |
| Iaadi Varicella Zoster Virus (87290) | $225 | $250 | 16.8× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $591.30 | $657 | 16.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $115.20 | $128 | 3.3× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $187.20 | $208 | 8.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $347.40 | $386 | 9.9× |
| Iadna Cytomegalovirus Quantification (87497) range across 3 matching MRF lines |
$507.60–$1,127.70 | $564–$1,253 | varies |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$424.80–$459 | $472–$510 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $295.20 | $328 | 7.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $131.40 | $146 | 3.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines |
$142.20–$212.40 | $158–$236 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 2 matching MRF lines |
$387.90–$419.40 | $431–$466 | varies |
| Igg subclasses (82787) range across 4 matching MRF lines |
$123.30–$453.60 | $137–$504 | varies |
| Immune Complex Assay (86332) | $340.20 | $378 | 14.0× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$162–$175.50 | $180–$195 | varies |
| Immunoassay analyte qual/semiqual single step (83518) range across 3 matching MRF lines |
$45–$890.10 | $50–$989 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 14 matching MRF lines |
$33.30–$2,559.60 | $37–$2,844 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 6 matching MRF lines |
$14.40–$431.10 | $16–$479 | varies |
| Immunoassay nonantibody (83516) range across 23 matching MRF lines |
$45.90–$1,030.50 | $51–$1,145 | varies |
| Immunodiffusion not elsewhere specified (86329) range across 2 matching MRF lines |
$106.20–$353.70 | $118–$393 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$27.90–$235.80 | $31–$262 | varies |
| Immunoelectrophoresis Serum (86320) range across 2 matching MRF lines |
$187.20–$201.60 | $208–$224 | varies |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$198–$392.40 | $220–$436 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 3 matching MRF lines |
$279.90–$675 | $311–$750 | varies |
| Immunohistochemistry (88342) range across 4 matching MRF lines |
$212.40–$1,911.60 | $236–$2,124 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $90 | $100 | 5.6× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $405 | $450 | 11.5× |
| Influenza a/b ag eia (87400) range across 2 matching MRF lines |
$132.30–$144 | $147–$160 | varies |
| Inhibin A (86336) range across 2 matching MRF lines |
$107.10–$256.50 | $119–$285 | varies |
| Inhibin b (83520) range across 18 matching MRF lines |
$195.30–$936 | $217–$1,040 | varies |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$270.90–$293.40 | $301–$326 | varies |
| Insulin free (83527) range across 2 matching MRF lines |
$73.80–$135 | $82–$150 | varies |
| Insulin total (83525) range across 3 matching MRF lines |
$137.70–$149.40 | $153–$166 | varies |
| Intrinsic factor antibody (86340) | $171.90 | $191 | 11.4× |
| Iron (83540) range across 3 matching MRF lines |
$85.50–$121.50 | $95–$135 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$153.90–$166.50 | $171–$185 | varies |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$229.50–$1,092.60 | $255–$1,214 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$797.40–$860.40 | $886–$956 | varies |
| Ketosteroids 17 total (83586) | $483.30 | $537 | 37.8× |
| Koh Prep (87220) | $57.60 | $64 | 13.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$78.30–$122.40 | $87–$136 | varies |
| Lactoferrin fecal qualitative (83630) range across 3 matching MRF lines |
$132.30–$235.80 | $147–$262 | varies |
| Ldh Isoenzymes (83625) | $145.80 | $162 | 11.4× |
| LDL direct (83721) | $141.30 | $157 | 13.5× |
| Lead (83655) range across 5 matching MRF lines |
$94.50–$89,485.20 | $105–$99,428 | varies |
| Legionella antibody (86713) range across 3 matching MRF lines |
$110.70–$132.30 | $123–$147 | varies |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$206.10–$500.40 | $229–$556 | varies |
| Leptospira antibody (86720) | $180.90 | $201 | 11.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $84.60 | $94 | 2.8× |
| Level ii surg pathology grossµscopic exam (88302) | $131.40 | $146 | 3.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 3 matching MRF lines |
$434.70–$804.60 | $483–$894 | varies |
| Lipase (83690) range across 2 matching MRF lines |
$153.90–$166.50 | $171–$185 | varies |
| Lipoprotein A (83695) | $182.70 | $203 | 12.8× |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$152.10–$222.30 | $169–$247 | varies |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $476.10 | $529 | 42.3× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) range across 3 matching MRF lines |
$225–$462.60 | $250–$514 | varies |
| Lipoprotein-Associated Phospholipase A2 (83698) | $371.70 | $413 | 8.0× |
| Lithium (80178) range across 2 matching MRF lines |
$171.90–$186.30 | $191–$207 | varies |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$216–$233.10 | $240–$259 | varies |
| Lyme disease antibody (86618) range across 11 matching MRF lines |
$58.50–$778.50 | $65–$865 | varies |
| Lysozyme serum (85549) | $150.30 | $167 | 8.0× |
| Macroscopic exam arthropod (87168) range across 2 matching MRF lines |
$77.40–$180.90 | $86–$201 | varies |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
$45–$158.40 | $50–$176 | varies |
| Magnesium Urine (83735) range across 7 matching MRF lines |
$49.50–$130.50 | $55–$145 | varies |
| Mass Spectrometry Quant (83789) range across 7 matching MRF lines |
$135.90–$494.10 | $151–$549 | varies |
| Mercury urine (83825) range across 4 matching MRF lines |
$32.40–$360.90 | $36–$401 | varies |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$625.50–$675 | $695–$750 | varies |
| Microalbumin, quantitative (82043) range across 4 matching MRF lines |
$115.20–$189 | $128–$210 | varies |
| Microsomal Antibodies Each (86376) range across 7 matching MRF lines |
$74.70–$281.70 | $83–$313 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) range across 4 matching MRF lines |
$228.60–$321.30 | $254–$357 | varies |
| Mononuclear cell antigen (86356) range across 5 matching MRF lines |
$49.50–$298.80 | $55–$332 | varies |
| Mopath procedure level 2 (81401) range across 3 matching MRF lines |
$345.60–$906.30 | $384–$1,007 | varies |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$751.50–$2,469.60 | $835–$2,744 | varies |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$1,019.70–$2,024.10 | $1,133–$2,249 | varies |
| Mopath procedure level 7 (81406) | $1,323 | $1,470 | 4.7× |
| Mopath procedure level 8 (81407) | $1,323 | $1,470 | 1.6× |
| Mopath procedure level 9 (81408) range across 2 matching MRF lines |
$1,711.80–$3,516.30 | $1,902–$3,907 | varies |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$85.50–$92.70 | $95–$103 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $360.90 | $401 | 5.5× |
| Mumps antibody (86735) | $115.20 | $128 | 8.8× |
| Mycophenolic Acid (80180) | $234.90 | $261 | 13.0× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$168.30–$387.90 | $187–$431 | varies |
| Myelin basic protein csf (83873) | $102.60 | $114 | 6.0× |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$166.50–$181.80 | $185–$202 | varies |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$576.90–$667.80 | $641–$742 | varies |
| Neisseria Dir Na Probe (87590) | $106.20 | $118 | 4.0× |
| Neutralization Test Viral (86382) | $187.20 | $208 | 11.1× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) range across 2 matching MRF lines |
$594–$640.80 | $660–$712 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $610.20 | $678 | 8.5× |
| Niacin (84591) | $252 | $280 | 14.8× |
| Nk cells total count (86357) range across 3 matching MRF lines |
$49.50–$114.30 | $55–$127 | varies |
| Nuclear antigen antibody (86235) range across 12 matching MRF lines |
$45.90–$362.70 | $51–$403 | varies |
| Obstetric panel (80081) range across 2 matching MRF lines |
$326.70–$353.70 | $363–$393 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$52.20–$56.70 | $58–$63 | varies |
| Occult Blood Other Sources (82271) | $58.50 | $65 | 11.0× |
| Oligoclonal bands (83916) range across 3 matching MRF lines |
$143.10–$152.10 | $159–$169 | varies |
| Organic acids urine (83918) | $414.90 | $461 | 17.6× |
| Osmolality serum (83930) | $114.30 | $127 | 17.3× |
| Osmolality Urine (83935) range across 3 matching MRF lines |
$104.40–$113.40 | $116–$126 | varies |
| Osmotic Fragility RBC Unincubated (85555) | $319.50 | $355 | 42.8× |
| Osteocalcin (83937) | $553.50 | $615 | 18.5× |
| Ova and parasites smears (87177) range across 3 matching MRF lines |
$141.30–$275.40 | $157–$306 | varies |
| Oxalate urine (83945) range across 2 matching MRF lines |
$142.20–$143.10 | $158–$159 | varies |
| Pancreatic Elastase Fecal (82656) range across 3 matching MRF lines |
$441–$702.90 | $490–$781 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $112.50 | $125 | 9.7× |
| Parvovirus antibody (86747) | $146.70 | $163 | 9.8× |
| Ph urine (81003) range across 3 matching MRF lines |
$48.60–$56.70 | $54–$63 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$182.70–$198 | $203–$220 | varies |
| Phenylalanine (84030) range across 2 matching MRF lines |
$161.10–$174.60 | $179–$194 | varies |
| Phenytoin (Dilantin) (80185) range across 3 matching MRF lines |
$153–$298.80 | $170–$332 | varies |
| Phenytoin free (80186) | $155.70 | $173 | 11.3× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$72–$78.30 | $80–$87 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $387.90 | $431 | 21.6× |
| Phosphorus Serum (84100) range across 3 matching MRF lines |
$78.30–$87.30 | $87–$97 | varies |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$72.90–$126.90 | $81–$141 | varies |
| Pinworm exam (87172) | $61.20 | $68 | 14.3× |
| Platelet Aggregation (85576) | $703.80 | $782 | 28.3× |
| Platelet Antibodies (86022) range across 6 matching MRF lines |
$75.60–$760.50 | $84–$845 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$73.80–$81 | $82–$90 | varies |
| Platelet neutralization (85597) range across 3 matching MRF lines |
$263.70–$299.70 | $293–$333 | varies |
| Pooling blood platelets (86965) | $52.20 | $58 | 0.3× |
| Porphobilinogen, urine; quantitative (84110) | $162.90 | $181 | 19.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $222.30 | $247 | 15.1× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$58.50–$99.90 | $65–$111 | varies |
| Prealbumin (84134) range across 2 matching MRF lines |
$131.40–$143.10 | $146–$159 | varies |
| Pregnenolone (84140) range across 2 matching MRF lines |
$423.90–$458.10 | $471–$509 | varies |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $139.50 | $155 | 2.3× |
| Primidone (80188) | $165.60 | $184 | 10.0× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$292.50–$316.80 | $325–$352 | varies |
| Progesterone (84144) range across 2 matching MRF lines |
$135.90–$147.60 | $151–$164 | varies |
| Prolactin (84146) range across 3 matching MRF lines |
$228.60–$387.90 | $254–$431 | varies |
| Prostaglandin (84150) range across 2 matching MRF lines |
$192.60–$683.10 | $214–$759 | varies |
| Protein body fluid (84157) | $121.50 | $135 | 30.4× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$234.90–$255.60 | $261–$284 | varies |
| Protein c antigen (85302) range across 3 matching MRF lines |
$229.50–$296.10 | $255–$329 | varies |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$135.90–$399.60 | $151–$444 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$122.40–$132.30 | $136–$147 | varies |
| Protein S Free (85306) range across 4 matching MRF lines |
$268.20–$630.90 | $298–$701 | varies |
| Protein s total (85305) | $236.70 | $263 | 20.4× |
| Protein total serum (84155) range across 2 matching MRF lines |
$73.80–$81 | $82–$90 | varies |
| Protein Total Urine (84156) range across 6 matching MRF lines |
$78.30–$121.50 | $87–$135 | varies |
| Protein Western Blot Test (84182) range across 3 matching MRF lines |
$297–$1,571.40 | $330–$1,746 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $80.10 | $89 | 20.3× |
| PSA free (84154) range across 2 matching MRF lines |
$162–$175.50 | $180–$195 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$266.40–$288 | $296–$320 | varies |
| Q Fever Antibody (86638) range across 3 matching MRF lines |
$56.70–$180 | $63–$200 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$301.50–$325.80 | $335–$362 | varies |
| Quantitative assay drug (80299) range across 11 matching MRF lines |
$260.10–$1,001.70 | $289–$1,113 | varies |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
$281.70–$370.80 | $313–$412 | varies |
| Quinidine (80194) | $265.50 | $295 | 18.2× |
| Rbc antibody elution (86860) | $234.90 | $261 | 1.3× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$210.60–$227.70 | $234–$253 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$131.40–$143.10 | $146–$159 | varies |
| Rbc pretreatment serum (86978) | $115.20 | $128 | 1.9× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$212.40–$229.50 | $236–$255 | varies |
| Reptilase test (85635) range across 2 matching MRF lines |
$73.80–$191.70 | $82–$213 | varies |
| Rh (86901) range across 3 matching MRF lines |
$86.40–$172.80 | $96–$192 | varies |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$101.70–$110.70 | $113–$123 | varies |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$29.70–$132.30 | $33–$147 | varies |
| Rickettsia antibody (86757) range across 4 matching MRF lines |
$128.70–$150.30 | $143–$167 | varies |
| Ristocetin cofactor (85245) | $394.20 | $438 | 17.2× |
| Rotavirus ag eia (87425) | $178.20 | $198 | 14.9× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$58.50–$132.30 | $65–$147 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$101.70–$130.50 | $113–$145 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$125.10–$162 | $139–$180 | varies |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$142.20–$152.10 | $158–$169 | varies |
| Salicylate Level (80179) | $274.50 | $305 | 14.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$80.10–$179.10 | $89–$199 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$142.20–$146.70 | $158–$163 | varies |
| Sedimentation rate (85651) range across 2 matching MRF lines |
$63.90–$69.30 | $71–$77 | varies |
| Selenium (84255) range across 2 matching MRF lines |
$162.90–$177.30 | $181–$197 | varies |
| Semen analysis motility and count (89310) range across 3 matching MRF lines |
$167.40–$181.80 | $186–$202 | varies |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$127.80–$139.50 | $142–$155 | varies |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$140.40–$155.70 | $156–$173 | varies |
| Sickling of rbc reduction (85660) | $186.30 | $207 | 33.8× |
| Sirolimus (80195) range across 3 matching MRF lines |
$396.90–$435.60 | $441–$484 | varies |
| Skin test tuberculosis intradermal (86580) | $85.50 | $95 | 2.8× |
| Smear acid fast (87206) range across 4 matching MRF lines |
$87.30–$413.10 | $97–$459 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$94.50–$102.60 | $105–$114 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$63–$68.40 | $70–$76 | varies |
| Smear Special Stain (87207) | $90 | $100 | 15.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$65.70–$72 | $73–$80 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $812.70 | $903 | 15.9× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$75.60–$138.60 | $84–$154 | varies |
| Sodium Urine (84300) range across 3 matching MRF lines |
$67.50–$99.90 | $75–$111 | varies |
| Soluble fibrin monomer (85366) | $151.20 | $168 | 1.9× |
| Soluble Transferrin Receptor (84238) | $261 | $290 | 7.1× |
| Somatomedin (84305) range across 2 matching MRF lines |
$237.60–$257.40 | $264–$286 | varies |
| Somatostatin (84307) | $557.10 | $619 | 30.5× |
| Special Stains Group 1 (88312) | $150.30 | $167 | 2.8× |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$156.60–$320.40 | $174–$356 | varies |
| Specific gravity body fluid (84315) | $39.60 | $44 | 12.1× |
| Specimen infect agnt concntj (87015) range across 4 matching MRF lines |
$75.60–$153 | $84–$170 | varies |
| Spectrophotometry (84311) | $343.80 | $382 | 42.4× |
| Sperm Antibodies (89325) | $146.70 | $163 | 13.7× |
| Splitting Blood/Blood Products Each Unit (86985) | $33.30 | $37 | 0.2× |
| Stone Analysis (82355) range across 2 matching MRF lines |
$86.40–$93.60 | $96–$104 | varies |
| Stool cultr aerobic bact ea (87046) | $82.80 | $92 | 8.8× |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$85.50–$92.70 | $95–$103 | varies |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $677.70 | $753 | 58.8× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$393.30–$407.70 | $437–$453 | varies |
| Sulfate urine (84392) range across 3 matching MRF lines |
$26.10–$211.50 | $29–$235 | varies |
| Surg path level iii (88304) range across 2 matching MRF lines |
$174.60–$189 | $194–$210 | varies |
| Surgical pathology level IV (88305) range across 6 matching MRF lines |
$198.90–$1,838.70 | $221–$2,043 | varies |
| Surgical pathology level vi (88309) | $418.50 | $465 | 0.5× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $63.90 | $71 | 13.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$49.50–$240.30 | $55–$267 | varies |
| T cells total count (86359) range across 3 matching MRF lines |
$49.50–$129.60 | $55–$144 | varies |
| T3 Free (84481) range across 3 matching MRF lines |
$207.90–$242.10 | $231–$269 | varies |
| T3 reverse (84482) | $249.30 | $277 | 15.8× |
| T3 Total (84480) range across 3 matching MRF lines |
$71.10–$128.70 | $79–$143 | varies |
| T3 Uptake (84479) | $99 | $110 | 15.3× |
| T4 Free (84439) range across 4 matching MRF lines |
$71.10–$218.70 | $79–$243 | varies |
| T4 total (84436) range across 3 matching MRF lines |
$122.40–$135 | $136–$150 | varies |
| T4-neonatal (84437) range across 2 matching MRF lines |
$42.30–$46.80 | $47–$52 | varies |
| Tacrolimus (80197) range across 2 matching MRF lines |
$233.10–$252 | $259–$280 | varies |
| Test for urine cystines (82615) | $82.80 | $92 | 8.7× |
| Testosterone total (84403) range across 4 matching MRF lines |
$162.90–$229.50 | $181–$255 | varies |
| Theophylline (80198) | $147.60 | $164 | 10.4× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$74.70–$102.60 | $83–$114 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $218.70 | $243 | 33.8× |
| Thyroglobulin (84432) range across 4 matching MRF lines |
$150.30–$379.80 | $167–$422 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$121.50–$274.50 | $135–$305 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $575.10 | $639 | 11.3× |
| Thyroxine binding globulin (84442) | $247.50 | $275 | 16.7× |
| Tissue Culture (88233) | $756 | $840 | 5.4× |
| Tissue Culture Amniotic Fluid (88235) | $472.50 | $525 | 3.1× |
| Tissue culture bone marrow (88237) | $993.60 | $1,104 | 6.9× |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$460.80–$1,174.50 | $512–$1,305 | varies |
| Tobramycin peak (80200) range across 2 matching MRF lines |
$147.60–$241.20 | $164–$268 | varies |
| Topiramate (80201) range across 3 matching MRF lines |
$240.30–$350.10 | $267–$389 | varies |
| Toxin/Antitoxin Assay Tissue Culture (87230) range across 3 matching MRF lines |
$155.70–$275.40 | $173–$306 | varies |
| Toxoplasma ab igm (86778) range across 3 matching MRF lines |
$89.10–$142.20 | $99–$158 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$53.10–$149.40 | $59–$166 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$82.80–$90 | $92–$100 | varies |
| Transferrin (84466) | $152.10 | $169 | 11.9× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $410.40 | $456 | 2.0× |
| Trg gene rearrangement anal (81342) | $410.40 | $456 | 2.0× |
| Trichomonas Vaginalis Amplif (87661) | $123.30 | $137 | 3.5× |
| Triglycerides (84478) range across 3 matching MRF lines |
$78.30–$101.70 | $87–$113 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$402.30–$1,130.40 | $447–$1,256 | varies |
| Tumor Immunohistochem/Manual (88360) | $268.20 | $298 | 1.5× |
| Unlisted Cytogenetic Study (88299) | $82.80 | $92 | 1.5× |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$26.10–$58.50 | $29–$65 | varies |
| Uric acid other source (84560) range across 3 matching MRF lines |
$72–$121.50 | $80–$135 | varies |
| Urinalysis Microscopic Only (81015) | $30.60 | $34 | 10.0× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$126.90–$137.70 | $141–$153 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$97.20–$106.20 | $108–$118 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $86.40 | $96 | 27.3× |
| Valproic acid (80164) range across 2 matching MRF lines |
$388.80–$420.30 | $432–$467 | varies |
| Vancomycin (80202) range across 2 matching MRF lines |
$300.60–$324.90 | $334–$361 | varies |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$151.20–$163.80 | $168–$182 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$200.70–$335.70 | $223–$373 | varies |
| Very Long Chain Fatty Acids (82726) | $444.60 | $494 | 22.5× |
| Viral Culture (87252) range across 4 matching MRF lines |
$230.40–$565.20 | $256–$628 | varies |
| Virus antibody nos (86790) range across 10 matching MRF lines |
$186.30–$358.20 | $207–$398 | varies |
| Virus inoculate tissue addl (87253) range across 4 matching MRF lines |
$82.80–$159.30 | $92–$177 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$99–$143.10 | $110–$159 | varies |
| Viscosity serum (85810) | $208.80 | $232 | 17.9× |
| Vit D 1 25-Dihydroxy (82652) | $383.40 | $426 | 10.0× |
| Vitamin A (84590) range across 2 matching MRF lines |
$211.50–$228.60 | $235–$254 | varies |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$172.80–$187.20 | $192–$208 | varies |
| Vitamin B2 (Riboflavin) (84252) | $251.10 | $279 | 12.4× |
| Vitamin B6 (84207) range across 3 matching MRF lines |
$220.50–$243.90 | $245–$271 | varies |
| Vitamin c (82180) range across 2 matching MRF lines |
$145.80–$158.40 | $162–$176 | varies |
| Vitamin D 25-Hydroxy (82306) range across 6 matching MRF lines |
$182.70–$545.40 | $203–$606 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$209.70–$226.80 | $233–$252 | varies |
| Vitamin K (84597) | $309.60 | $344 | 22.6× |
| Volatiles (84600) | $320.40 | $356 | 18.7× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$302.40–$394.20 | $336–$438 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $326.70 | $363 | 38.0× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$134.10–$145.80 | $149–$162 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$132.30–$144 | $147–$160 | varies |
| Zika Virus Igm Antibody (86794) range across 2 matching MRF lines |
$216–$407.70 | $240–$453 | varies |
| Zinc (84630) range across 3 matching MRF lines |
$112.50–$125.10 | $125–$139 | 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.