Lab & pathology prices at Broadlawns Medical Center
Des Moines, IA · every code in this section with a posted price and a Medicare benchmark.
682 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $180 | $180 | 4.7× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $152 | $152 | 4.7× |
| Actin smooth muscle antibody each (86015) | $38 | $38 | 3.2× |
| Acute hepatitis panel (80074) | $197 | $197 | 4.1× |
| Acylcarnitines Quant (82017) | $81 | $81 | 4.8× |
| Adenovirus antibody (86603) | $55 | $55 | 4.3× |
| Agglutinins Febrile Each Antigen (86000) | $31 | $31 | 4.4× |
| Albumin Fluid (82042) | $26 | $26 | 3.3× |
| Albumin serum (82040) range across 2 matching MRF lines |
$24–$25 | $24–$25 | varies |
| Aldolase (82085) | $51 | $51 | 5.3× |
| Aldosterone urine (82088) | $192 | $192 | 4.7× |
| Alkaline phosphatase isoenzymes (84080) | $72 | $72 | 4.9× |
| Allergen specific ige (86003) | $26 | $26 | 5.0× |
| Alpha-1-antitrypsin phenotype (82104) | $70 | $70 | 4.8× |
| Alpha-1-antitrypsin total (82103) | $66 | $66 | 4.9× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$77–$81 | $77–$81 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$26–$28 | $26–$28 | varies |
| Amikacin trough (80150) | $70 | $70 | 4.6× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $81 | $81 | 3.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $81 | $81 | 4.8× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $97 | $97 | 7.0× |
| Amino Acids Quant 2-5 (82136) | $64 | $64 | 3.3× |
| Aminolevulinic acid (ala) (82135) | $77 | $77 | 4.7× |
| Ammonia (82140) | $70 | $70 | 4.8× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $312 | $312 | 3.2× |
| Amylase urine (82150) range across 2 matching MRF lines |
$33–$34 | $33–$34 | varies |
| Ana Titer (86039) | $57 | $57 | 5.1× |
| Anca Titer Each Antibody (86037) | $39 | $39 | 3.2× |
| Androstenedione (82157) | $87 | $87 | 3.0× |
| Angiotensin converting enzyme csf (82164) | $70 | $70 | 4.8× |
| Antibody aspergillus (86606) | $70 | $70 | 4.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $58 | $58 | 3.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $77 | $77 | 4.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $65 | $65 | 5.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $74 | $74 | 4.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $87 | $87 | 4.8× |
| Antibody Fungus Not Elsewhere Specified (86671) | $39 | $39 | 3.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $69 | $69 | 4.8× |
| Antibody Herpes Smplx Type 1 (86695) | $65 | $65 | 4.9× |
| Antibody HIV-1&HIV-2 single result (86703) | $49 | $49 | 3.6× |
| Antibody HIV-2 (86702) | $45 | $45 | 3.3× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $35 | $35 | 1.8× |
| Antibody john cunningham virus (86711) | $52 | $52 | 3.1× |
| Antibody Protozoa Nes (86753) | $30 | $30 | 2.4× |
| Antibody Titer (86886) | $587 | $587 | 113.3× |
| Antibody Treponema Pallidum (86780) | $66 | $66 | 5.0× |
| Antigen typing (86905) | $237 | $237 | 61.9× |
| Antinuclear antibodies (86038) | $61 | $61 | 5.0× |
| Antistreptolysin o titer (86060) | $36 | $36 | 4.9× |
| Antithrombin iii activity (85300) | $30 | $30 | 2.5× |
| Antithrombin iii antigen (85301) | $36 | $36 | 3.3× |
| Apolipoprotein a1 (82172) | $74 | $74 | 3.5× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $112 | $112 | 3.0× |
| Arsenic (82175) | $92 | $92 | 4.8× |
| Aspergillus ag eia (87305) | $60 | $60 | 5.0× |
| Assay activated protein c (85307) | $74 | $74 | 4.8× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$24–$25 | $24–$25 | varies |
| Assay myeloperoxidase (83876) | $160 | $160 | 3.1× |
| Assay Nephelometry Not Spec (83883) | $67 | $67 | 4.9× |
| Assay of 5-hiaa (83497) | $35 | $35 | 2.7× |
| Assay of blood/uric acid (84550) | $24 | $24 | 5.3× |
| Assay of calcium in urine (82340) | $31 | $31 | 5.1× |
| Assay of estrone (82679) | $117 | $117 | 4.7× |
| Assay of g6pd enzyme (82955) | $35 | $35 | 3.6× |
| Assay of gammaglobulin igm (82784) | $47 | $47 | 5.1× |
| Assay of lactic acid (83605) | $55 | $55 | 4.8× |
| Assay of manganese (83785) | $84 | $84 | 3.2× |
| Assay of metanephrines (83835) | $81 | $81 | 4.8× |
| Assay of phosphatase alkaline heat stable (84078) | $35 | $35 | 4.2× |
| Assay of procainamide (80190) | $77 | $77 | 1.3× |
| Assay of proinsulin (84206) | $88 | $88 | 3.3× |
| Assay of serotonin (84260) | $147 | $147 | 4.7× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$23–$24 | $23–$24 | varies |
| Assay of sweat sodium (84302) | $17 | $17 | 3.5× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$21–$22 | $21–$22 | varies |
| Assay of urine vma (84585) | $74 | $74 | 4.8× |
| Assay of vasoactive intestinal peptide (84586) | $114 | $114 | 3.2× |
| Assay of vitamin b-1 (84425) | $102 | $102 | 4.8× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$18–$20 | $18–$20 | varies |
| Assay spec xcp ur&breath ia (82077) | $58 | $58 | 3.4× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$14–$16 | $14–$16 | varies |
| B cells total count (86355) | $140 | $140 | 3.7× |
| Bartonella antibody (86611) | $33 | $33 | 3.2× |
| Bcr/abl1 gene major bp (81206) | $752 | $752 | 4.6× |
| Beta 2 glycoprotein i antibody each (86146) | $120 | $120 | 4.7× |
| Beta hydroxybutyrate (82010) | $39 | $39 | 4.8× |
| Beta-2 Microglobulin (82232) | $67 | $67 | 4.1× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $379 | $379 | 2.9× |
| Bile acids total (82239) | $65 | $65 | 3.8× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$25–$26 | $25–$26 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$25–$26 | $25–$26 | varies |
| Bilirubin total transcutaneous (88720) | $25 | $25 | 5.0× |
| Biotinidase (82261) | $81 | $81 | 4.8× |
| Blastomyces antibody (86612) | $64 | $64 | 5.0× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $587 | $587 | 3.6× |
| Blood Count Automated Differential Wbc Count (85004) range across 2 matching MRF lines |
$33–$34 | $33–$34 | varies |
| Blood Count Red Blood Cell Automated (85041) range across 2 matching MRF lines |
$16–$18 | $16–$18 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $19 | $19 | 5.0× |
| Blood gas (82803) | $101 | $101 | 3.9× |
| Blood gases w/02 saturation (82805) | $92 | $92 | 1.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $76 | $76 | 4.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$17–$19 | $17–$19 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $237 | $237 | 37.3× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $98 | $98 | 6.0× |
| Blood typing serologic abo (86900) | $247 | $247 | 82.6× |
| Body fluid cell count (89050) | $25 | $25 | 5.3× |
| Bone marrow smear interpretation (85097) | $938 | $938 | 1.2× |
| Braf gene analysis (81210) | $607 | $607 | 3.5× |
| Breath Alcohol Test (82075) | $58 | $58 | 1.9× |
| Brucella antibody (86622) | $38 | $38 | 4.3× |
| C diff amplified probe (87493) | $166 | $166 | 4.5× |
| C-Peptide (84681) | $100 | $100 | 4.8× |
| C-reactive protein (86140) | $26 | $26 | 5.0× |
| Ca 19-9 (86301) | $100 | $100 | 4.8× |
| Cadmium (82300) | $111 | $111 | 4.7× |
| Calcitonin (82308) | $126 | $126 | 4.7× |
| Calcium ionized (82330) | $67 | $67 | 4.9× |
| Calcium total (82310) range across 2 matching MRF lines |
$25–$26 | $25–$26 | varies |
| Calculus assay quant (82360) | $64 | $64 | 5.0× |
| Calculus Spectroscopy (82365) | $36 | $36 | 2.8× |
| Calprotectin Fecal (83993) | $64 | $64 | 3.3× |
| Calr gene com variants (81219) | $548 | $548 | 4.5× |
| Cancer Antigen 125 (86304) | $100 | $100 | 4.8× |
| Cancer Antigen 27.29 (86300) | $100 | $100 | 4.8× |
| Carbamazepine total (80156) | $70 | $70 | 4.8× |
| Carboxyhemoglobin (82375) | $59 | $59 | 4.8× |
| Carcinoembryonic antigen (82378) | $92 | $92 | 4.9× |
| Cardiolipin ab iga (86147) | $120 | $120 | 4.7× |
| Carnitine Quantitative Each Specimen (82379) | $81 | $81 | 4.8× |
| Catecholamines fractionated (82384) | $119 | $119 | 4.7× |
| Ccp antibody (86200) | $65 | $65 | 5.0× |
| Cell count csf (89051) | $28 | $28 | 5.0× |
| Cell marker study (88182) range across 2 matching MRF lines |
$117–$938 | $117–$938 | varies |
| Ceruloplasmin (82390) | $55 | $55 | 5.1× |
| Cftr gene com variants (81220) | $1,767 | $1,767 | 3.2× |
| Chemiluminescent assay (82397) | $69 | $69 | 4.9× |
| Chlamydia antibody (86631) | $51 | $51 | 4.3× |
| Chlamydia Igm Antibody (86632) | $55 | $55 | 4.3× |
| Chloride other source (82438) | $25 | $25 | 5.0× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$23–$24 | $23–$24 | varies |
| Chloride urine (82436) | $26 | $26 | 4.5× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$22–$23 | $22–$23 | varies |
| Cholinesterase Serum (82480) | $38 | $38 | 4.8× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$70–$73 | $70–$73 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $90 | $90 | 3.3× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $119 | $119 | 3.6× |
| Chrmsm Analysis Addl Specialized Banding (88283) | $311 | $311 | 4.5× |
| Chromium serum (82495) | $26 | $26 | 1.3× |
| Chromogranin a (86316) | $100 | $100 | 4.8× |
| Chromosome Analysis 15-20 (88262) | $575 | $575 | 4.6× |
| Chromosome Analysis 20-25 (88264) | $575 | $575 | 4.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $166 | $166 | 4.7× |
| Citric acid urine (82507) | $132 | $132 | 4.7× |
| Ckmb (82553) | $59 | $59 | 5.1× |
| Clostridium Difficile (87324) | $60 | $60 | 5.0× |
| Clot Factor VIII Multimetric (85247) | $71 | $71 | 3.1× |
| Clot factor xiii fibrin stab (85290) | $55 | $55 | 3.4× |
| Clotting factor xii hageman (85280) | $67 | $67 | 3.5× |
| Clotting Funct Activity (85397) | $111 | $111 | 3.6× |
| Cns DNA amp probe type 12-25 (87483) | $1,874 | $1,874 | 4.5× |
| Coccidioides antibody (86635) | $59 | $59 | 5.1× |
| Cold agglutinin titer (86157) | $39 | $39 | 4.8× |
| Collagen crosslinks (82523) | $59 | $59 | 3.2× |
| Column Chromotography Quant (82542) | $87 | $87 | 3.6× |
| Compatibility Each Unit Incubation (86921) | $247 | $247 | 1.5× |
| Compatibility test antiglob (86922) | $402 | $402 | 2.4× |
| Complement Antigen Each Component (86160) | $60 | $60 | 5.0× |
| Complement Total (Ch50) (86162) | $97 | $97 | 4.8× |
| Complement/Function Activity (86161) | $60 | $60 | 5.0× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $435 | $435 | 2.6× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $587 | $587 | 11.7× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $97 | $97 | 2.7× |
| Coombs direct (86880) | $402 | $402 | 74.6× |
| Copper urine (82525) | $62 | $62 | 5.0× |
| Cortisol free (82530) | $80 | $80 | 4.8× |
| Cortisol saliva (82533) | $77 | $77 | 4.7× |
| Creatine kinase total (82550) | $34 | $34 | 5.2× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$25–$26 | $25–$26 | varies |
| Creatinine clearance (82575) | $49 | $49 | 5.2× |
| Creatinine Urine (82570) | $26 | $26 | 5.0× |
| Crossmatch electronic (86923) | $325 | $325 | 2.0× |
| Crossmatch immediate spin (86920) | $402 | $402 | 2.4× |
| Crp High Sensitivity (86141) | $41 | $41 | 3.2× |
| Cryoglobulin (82595) | $34 | $34 | 5.3× |
| Cryptococcal Antigen (87327) | $60 | $60 | 4.5× |
| Cryptococcus ag titer (87899) | $60 | $60 | 3.7× |
| Cryptosporidium ag eia (87328) | $60 | $60 | 4.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $36 | $36 | 4.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $36 | $36 | 4.5× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $693 | $693 | 3.2× |
| Culture afb (87116) | $55 | $55 | 5.1× |
| Culture Anaerobic (87075) | $30 | $30 | 3.2× |
| Culture blood (87040) | $54 | $54 | 5.2× |
| Culture chlamydia (87110) | $95 | $95 | 4.8× |
| Culture csf (87070) | $44 | $44 | 5.1× |
| Culture fungus (87102) | $30 | $30 | 3.6× |
| Culture fungus blood (87103) | $45 | $45 | 2.2× |
| Culture screen only (87081) | $30 | $30 | 4.5× |
| Culture stool (87045) | $49 | $49 | 5.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $17 | $17 | 3.3× |
| Culture urine (87086) | $39 | $39 | 4.8× |
| Cyclosporine (80158) | $87 | $87 | 4.8× |
| Cyp2c19 gene analysis common variants (81225) | $982 | $982 | 3.4× |
| Cyp2c9 gene com variants (81227) | $590 | $590 | 3.4× |
| Cyp2d6 gene com variants (81226) | $1,518 | $1,518 | 3.4× |
| Cystatin C (82610) | $59 | $59 | 3.2× |
| Cytogenetics 100-300 (88275) | $171 | $171 | 3.3× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $3,685 | $3,685 | 3.2× |
| Cytogenomic neo microra alys (81277) | $3,540 | $3,540 | 3.1× |
| Cytomegalovirus igg (86644) | $69 | $69 | 4.8× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $54 | $54 | 2.7× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$176–$289 | $176–$289 | varies |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) | $102 | $102 | 4.0× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $125 | $125 | 4.7× |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$69–$103 | $69–$103 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$176–$212 | $176–$212 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) range across 2 matching MRF lines |
$108–$176 | $108–$176 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $103 | $103 | 2.9× |
| Deoxycortisol (82634) | $114 | $114 | 3.9× |
| Deoxyribonuclease antibody (86215) | $64 | $64 | 4.8× |
| Detect Agent Nos Dna Amp (87798) | $255 | $255 | 7.3× |
| Detect Agent Nos Dna Quant (87799) | $200 | $200 | 4.7× |
| Detect agnt mult DNA ampli (87801) | $286 | $286 | 4.1× |
| Dgp Antibody Each Ig Class (86258) | $38 | $38 | 3.2× |
| Dhea-S (82627) | $107 | $107 | 4.8× |
| Digoxin (80162) | $66 | $66 | 5.0× |
| Dihydrotestosterone (82642) | $91 | $91 | 3.1× |
| Dna Antibody Native/Double Stranded (86225) | $67 | $67 | 4.9× |
| Dna Antibody Single Stranded (86226) | $61 | $61 | 5.0× |
| Dna/Rna Amplified Probe (87150) | $113 | $113 | 3.2× |
| DNA/RNA direct probe (87149) | $93 | $93 | 4.6× |
| Dna/Rna Sequencing (87153) | $523 | $523 | 4.5× |
| Drug assay acetaminophen (80143) | $62 | $62 | 3.3× |
| Drug assay adalimumab (80145) | $124 | $124 | 3.2× |
| Drug Assay Amiodarone (80151) | $62 | $62 | 3.3× |
| Drug assay felbamate (80167) | $62 | $62 | 3.3× |
| Drug Assay Infliximab (80230) | $124 | $124 | 3.2× |
| Drug Assay Lacosamide (80235) | $90 | $90 | 3.3× |
| Drug Assay Vedolizumab (80280) | $123 | $123 | 3.2× |
| Drug assay voriconazole (80285) | $90 | $90 | 3.3× |
| Drug Screen Quant Clozapine (80159) | $89 | $89 | 4.4× |
| Drug Screen Quant Zonisamide (80203) | $66 | $66 | 5.0× |
| Drug Screen Quantitative Gabapentin (80171) | $66 | $66 | 3.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $66 | $66 | 5.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $66 | $66 | 5.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $66 | $66 | 5.0× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $77 | $77 | 4.6× |
| Drug Test Prsmv Chem Anlyzr (80307) | $256 | $256 | 4.1× |
| Drug Test Prsmv Dir Opt Obs (80305) | $40 | $40 | 3.2× |
| Egfr Gene Analysis Common Variants (81235) | $1,108 | $1,108 | 3.4× |
| Ehrlichia antibody (86666) | $45 | $45 | 4.4× |
| El-1 Fecal Quantitative (82653) | $74 | $74 | 3.2× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$34–$35 | $34–$35 | varies |
| Electron Microscopy (88348) | $938 | $938 | 1.2× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $189 | $189 | 3.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $40 | $40 | 3.3× |
| Enterovirus PCR (87498) | $166 | $166 | 4.7× |
| Enzyme cell activity (82657) | $87 | $87 | 3.9× |
| Enzyme histochemistry (88319) | $938 | $938 | 1.2× |
| Erythropoietin (82668) | $90 | $90 | 4.8× |
| Estradiol serum (82670) | $133 | $133 | 4.8× |
| Estriol (82677) range across 2 matching MRF lines |
$99–$103 | $99–$103 | varies |
| Estrogen total (82672) | $103 | $103 | 4.7× |
| Estrogens fractionated (82671) | $148 | $148 | 4.6× |
| Ethosuximide (80168) | $77 | $77 | 4.7× |
| Ethylene Glycol (82693) | $72 | $72 | 4.8× |
| Exam Synovial Fluid Crystals (89060) | $36 | $36 | 4.9× |
| F2 Gene (81240) | $230 | $230 | 3.5× |
| Factor ii activity (85210) | $26 | $26 | 2.0× |
| Factor Inhibitor Test (85335) | $30 | $30 | 2.3× |
| Factor ix activity (85250) | $67 | $67 | 3.5× |
| Factor v activity (85220) | $67 | $67 | 3.8× |
| Factor v leiden mutation (81241) | $284 | $284 | 3.9× |
| Factor viii assay (85240) | $67 | $67 | 3.7× |
| Factor X (85260) | $57 | $57 | 3.2× |
| Factor xi activity (85270) | $67 | $67 | 3.7× |
| Factor xiii screen (85291) | $45 | $45 | 4.9× |
| Fat/Lipids Feces Quantitative (82710) | $67 | $67 | 4.0× |
| Fecal Fat Qualitative (82705) | $26 | $26 | 5.1× |
| Ferritin (82728) | $67 | $67 | 4.9× |
| Fetal Chrmoml Aneuploidy (81420) | $1,348 | $1,348 | 1.8× |
| Fetal Fibronectin (82731) | $291 | $291 | 4.5× |
| Fetal screen rosette (85461) | $24 | $24 | 2.6× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$38–$39 | $38–$39 | varies |
| Fibrinogen activity (85384) | $41 | $41 | 4.2× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $49 | $49 | 3.2× |
| Flecainide level (80181) | $59 | $59 | 3.2× |
| Flow cytometry first marker (88184) | $587 | $587 | 1.7× |
| Flt3 Gene (81245) | $561 | $561 | 3.4× |
| Fluorescent antibody screen (86255) | $60 | $60 | 5.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $60 | $60 | 5.0× |
| Folic acid rbc (82747) | $84 | $84 | 4.8× |
| Folic Acid Serum (82746) | $72 | $72 | 4.9× |
| Follicle Stimulating Hormone (83001) | $90 | $90 | 4.8× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $346 | $346 | 2.1× |
| Frozen Section (88331) range across 2 matching MRF lines |
$188–$587 | $188–$587 | varies |
| Fungi Identification Mold (87107) | $50 | $50 | 4.8× |
| Fungi Identification Yeast (87106) | $54 | $54 | 5.2× |
| Galactose transferase test (82776) | $41 | $41 | 3.5× |
| Gammaglobulin ige (82785) | $80 | $80 | 4.9× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $51 | $51 | 5.2× |
| Gases blood ph only (82800) | $38 | $38 | 3.5× |
| Gastrin (82941) | $85 | $85 | 4.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $834 | $834 | 2.0× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 3 matching MRF lines |
$1,924–$2,754 | $1,924–$2,754 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $3,353 | $3,353 | 1.1× |
| Gentamicin (80170) | $77 | $77 | 4.7× |
| Ggt (82977) | $36 | $36 | 5.0× |
| Giardia antigen (87329) | $60 | $60 | 5.0× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$24–$25 | $24–$25 | varies |
| Glucose Blood Test (82962) range across 5 matching MRF lines |
$12–$13 | $12–$13 | varies |
| Glucose body fluid (82945) | $20 | $20 | 5.1× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$18–$20 | $18–$20 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$50–$52 | $50–$52 | varies |
| Glycated Protein (82985) | $65 | $65 | 3.9× |
| Gonadotropin Chorionic Qualitative (84703) | $37 | $37 | 4.9× |
| Growth hormone (83003) | $80 | $80 | 4.8× |
| Gtt-added samples (82952) | $18 | $18 | 4.6× |
| Haloperidol (80173) | $70 | $70 | 4.4× |
| Haptoglobin (83010) | $62 | $62 | 4.9× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $645 | $645 | 3.2× |
| Hbb Full Gene Sequence (81364) | $1,064 | $1,064 | 3.3× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$38–$39 | $38–$39 | varies |
| Helicobacter Pylori Stool (87338) | $60 | $60 | 4.2× |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) | $314 | $314 | 4.7× |
| Helminth Antibody (86682) | $57 | $57 | 4.4× |
| Hematocrit (85014) range across 2 matching MRF lines |
$13–$14 | $13–$14 | varies |
| Hemoglobin (85018) range across 3 matching MRF lines |
$13–$15 | $13–$15 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$49–$51 | $49–$51 | varies |
| Hemoglobin Chromotography (83021) | $87 | $87 | 4.8× |
| Hemoglobin electrophoresis (83020) | $26 | $26 | 2.0× |
| Hemoglobin Methemoglobin Quantitative (83050) | $15 | $15 | 1.8× |
| Hemoglobin plasma (83051) | $36 | $36 | 4.9× |
| Hep a ab igm (86709) | $58 | $58 | 5.2× |
| Heparin assay (85520) | $33 | $33 | 2.5× |
| Hepatitis a antibody total (86708) | $62 | $62 | 5.0× |
| Hepatitis b core ab igm (86705) | $34 | $34 | 2.9× |
| Hepatitis b core ab total (86704) | $60 | $60 | 5.0× |
| Hepatitis B Surface Antibody (86706) | $55 | $55 | 5.1× |
| Hepatitis B Surface Antigen (87340) | $49 | $49 | 4.7× |
| Hepatitis Be Antibody (86707) | $59 | $59 | 5.1× |
| Hepatitis Be Antigen (87350) | $59 | $59 | 5.1× |
| Hepatitis C Antibody (86803) | $69 | $69 | 4.8× |
| Hepatitis C Genotype (87902) | $1,181 | $1,181 | 4.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $200 | $200 | 4.7× |
| Hepatitis Delta Agent Antibody (86692) | $84 | $84 | 4.9× |
| Herpes simplex type 2 (86696) | $35 | $35 | 1.8× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$25–$26 | $25–$26 | varies |
| Hfe Gene (81256) | $303 | $303 | 4.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $30 | $30 | 3.9× |
| Histoplasma antibody (86698) | $62 | $62 | 4.5× |
| Histoplasma antigen urine (87385) | $60 | $60 | 4.5× |
| Hiv Genotype (87901) | $909 | $909 | 3.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $77 | $77 | 3.2× |
| Hiv-1 Antibody (86701) | $31 | $31 | 3.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$367–$394 | $367–$394 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $166 | $166 | 4.7× |
| Hla I Typing 1 Allele Hr (81381) | $560 | $560 | 3.3× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $300 | $300 | 2.8× |
| Hla-b27 (86812) | $121 | $121 | 4.7× |
| Homocysteine (83090) | $81 | $81 | 4.5× |
| Homovanillic acid urine (83150) | $93 | $93 | 4.1× |
| Hpv High-Risk Types (87624) | $166 | $166 | 4.7× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $215 | $215 | 3.1× |
| Hpv Types 16 & 18 Only (87625) | $132 | $132 | 3.3× |
| Hsv Dna Amp Probe (87529) | $166 | $166 | 4.7× |
| Htt Gene Detc Abnor Alleles (81271) | $438 | $438 | 3.2× |
| Hydroxycorticosteroids 17 (83491) | $81 | $81 | 4.5× |
| Hydroxyprogesterone 17-d (83498) | $128 | $128 | 4.7× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $39 | $39 | 3.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $60 | $60 | 4.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $86 | $86 | 2.4× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $60 | $60 | 5.0× |
| Iaadiadoo trichomonas vaginalis (87808) | $60 | $60 | 3.9× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $166 | $166 | 4.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $166 | $166 | 4.7× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $97 | $97 | 4.3× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $254 | $254 | 7.2× |
| Iadna Cytomegalovirus Quantification (87497) | $200 | $200 | 4.7× |
| Iadna hepatitis b virus amplified probe tq (87516) | $166 | $166 | 4.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $200 | $200 | 4.7× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $166 | $166 | 4.7× |
| Iadna Herpes Virus-6 Quantification (87533) | $171 | $171 | 4.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $166 | $166 | 4.7× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $166 | $166 | 4.7× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $236 | $236 | 3.1× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $189 | $189 | 4.3× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $154 | $154 | 3.2× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $166 | $166 | 4.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $166 | $166 | 4.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $166 | $166 | 4.7× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $286 | $286 | 2.0× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $837 | $837 | 3.2× |
| Ig Light Chains Free Each (83521) | $57 | $57 | 3.3× |
| Igg subclasses (82787) | $28 | $28 | 3.5× |
| Igh gene rearrange amp meth (81261) | $606 | $606 | 3.1× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $900 | $900 | 3.1× |
| Igk rearrangeabn clonal pop (81264) | $529 | $529 | 3.1× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $587 | $587 | 1.7× |
| Immunfix e-phorsis/urine/csf (86335) | $139 | $139 | 4.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $66 | $66 | 3.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $73 | $73 | 4.9× |
| Immunoassay nonantibody (83516) | $59 | $59 | 5.1× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $108 | $108 | 4.7× |
| Immunofixation electrophoresis (86334) | $108 | $108 | 4.8× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $587 | $587 | 3.6× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$128–$587 | $128–$587 | varies |
| In situ hybridization 1st probe stain (88365) | $444 | $444 | 2.7× |
| In situ hybridization ea multiplex probe stain (88366) | $170 | $170 | 1.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) | $49 | $49 | 4.7× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $96 | $96 | 1.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) | $200 | $200 | 4.7× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $60 | $60 | 4.9× |
| Influenza a/b ag eia (87400) | $60 | $60 | 4.2× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$55–$58 | $55–$58 | varies |
| Influenza DNA amp probe (87502) | $394 | $394 | 4.1× |
| Inhibin A (86336) range across 2 matching MRF lines |
$63–$65 | $63–$65 | varies |
| Inhibin b (83520) | $65 | $65 | 3.8× |
| Insitu hybridization auto (88367) | $587 | $587 | 1.7× |
| Insitu hybridization manual (88368) | $587 | $587 | 1.7× |
| Insulin antibodies (86337) | $102 | $102 | 4.8× |
| Insulin total (83525) | $58 | $58 | 5.1× |
| Interleukin-6 (83529) | $57 | $57 | 3.3× |
| Intrinsic factor antibody (86340) | $73 | $73 | 4.8× |
| Iron (83540) | $34 | $34 | 5.3× |
| Iron Binding Capacity (83550) | $37 | $37 | 4.2× |
| Irradiation Blood Product Each Unit (86945) | $247 | $247 | 6.8× |
| Islet cell antibody (86341) | $58 | $58 | 2.5× |
| Jak2 gene analysis p.val617phe variant (81270) | $422 | $422 | 4.6× |
| Jak2 Gene Trgt Sequence Alys (81279) | $589 | $589 | 3.2× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $823 | $823 | 2.5× |
| Koh Prep (87220) | $23 | $23 | 5.4× |
| Kras Gene Analysis Additional Variant(S) (81276) | $494 | $494 | 2.6× |
| Kras Gene Variants Exon 2 (81275) | $666 | $666 | 3.4× |
| Lactate (ld) (ldh) enzyme (83615) | $31 | $31 | 5.1× |
| Lactoferrin fecal qualitative (83630) | $62 | $62 | 3.1× |
| Lamellar Body Count (83664) | $89 | $89 | 4.6× |
| LDL direct (83721) | $37 | $37 | 3.5× |
| Lead (83655) | $61 | $61 | 5.0× |
| Legionella antibody (86713) | $65 | $65 | 4.2× |
| Legionella antigen urine (87449) | $60 | $60 | 5.0× |
| Legionella pneumophila dfa (87278) | $55 | $55 | 3.5× |
| Leucine Aminopeptidase Lap (83670) | $37 | $37 | 3.8× |
| Leukocyte Assessment Fecal (89055) | $23 | $23 | 5.4× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$15–$97 | $15–$97 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$21–$97 | $21–$97 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$349–$587 | $349–$587 | varies |
| Lipase (83690) range across 2 matching MRF lines |
$34–$35 | $34–$35 | varies |
| Lipoprotein A (83695) | $47 | $47 | 3.3× |
| Lithium (80178) | $34 | $34 | 5.1× |
| Luteinizing Hormone (Lh) (83002) | $89 | $89 | 4.8× |
| Lyme disease antibody (86618) | $81 | $81 | 4.8× |
| Lysozyme serum (85549) | $59 | $59 | 3.1× |
| M. Genitalium Amp Probe (87563) | $108 | $108 | 3.1× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $587 | $587 | 3.6× |
| M/phmtrc alys ishquant/semiq (88374) range across 2 matching MRF lines |
$133–$587 | $133–$587 | varies |
| Magnesium Urine (83735) | $34 | $34 | 5.1× |
| Mass Spectrometry Quant (83789) | $85 | $85 | 3.5× |
| Mercury urine (83825) | $76 | $76 | 4.7× |
| Methotrexate (80204) | $67 | $67 | 1.7× |
| Methylmalonic acid serum (83921) | $77 | $77 | 3.6× |
| Microalbumin, quantitative (82043) | $30 | $30 | 5.2× |
| Microsatellite instability (81301) | $1,023 | $1,023 | 2.9× |
| Microsomal Antibodies Each (86376) | $70 | $70 | 4.8× |
| Mitochondrial Antibody Each (86381) | $82 | $82 | 3.2× |
| Mlh1 Gene (81288) | $612 | $612 | 3.2× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $2,106 | $2,106 | 3.1× |
| Molecular Cytogenetics Dna Probe Each (88271) | $102 | $102 | 4.8× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $165 | $165 | 3.9× |
| Molecular Pathology Procedure Level 3 (81402) | $329 | $329 | 2.2× |
| Molecular Pathology Procedure Level 6 (81405) | $987 | $987 | 3.3× |
| Mopath procedure level 1 (81400) | $139 | $139 | 2.2× |
| Mopath procedure level 2 (81401) | $329 | $329 | 2.4× |
| Mopath procedure level 4 (81403) | $329 | $329 | 1.8× |
| Mopath procedure level 5 (81404) | $874 | $874 | 3.2× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $589 | $589 | 3.2× |
| Mrsa Pcr (87641) | $166 | $166 | 4.7× |
| Mthfr Gene Analysis Common Variants (81291) | $204 | $204 | 3.1× |
| Mumps antibody (86735) | $65 | $65 | 5.0× |
| Mycobacteric Identification (87118) | $52 | $52 | 3.6× |
| Mycophenolic Acid (80180) | $87 | $87 | 4.8× |
| Mycoplasma antibody (86738) | $66 | $66 | 5.0× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $536 | $536 | 3.1× |
| Myelin basic protein csf (83873) | $120 | $120 | 7.0× |
| Myoglobin urine (83874) | $64 | $64 | 5.0× |
| Natriuretic peptide (83880) | $160 | $160 | 4.1× |
| Neisseria Dir Na Probe (87590) | $97 | $97 | 3.6× |
| Neutralization Test Viral (86382) | $102 | $102 | 6.0× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $441 | $441 | 3.4× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $100 | $100 | 3.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $803 | $803 | 3.1× |
| Nfct ds chrnc hcv 6 assays (81596) | $222 | $222 | 3.1× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $456 | $456 | 3.5× |
| Niacin (84591) | $51 | $51 | 3.0× |
| Nk cells total count (86357) | $140 | $140 | 3.7× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $832 | $832 | 3.4× |
| Nras gene variants exon 2&3 (81311) | $740 | $740 | 2.5× |
| Ntrk translocation analysis (81194) | $1,645 | $1,645 | 3.2× |
| Nuclear antigen antibody (86235) | $69 | $69 | 3.8× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$17–$18 | $17–$18 | varies |
| Occult Blood Other Sources (82271) | $19 | $19 | 3.6× |
| Oligoclonal bands (83916) | $97 | $97 | 3.5× |
| Organic Acids Qualitative Each Specimen (83919) | $77 | $77 | 4.7× |
| Osmolality serum (83930) | $34 | $34 | 5.1× |
| Osmolality Urine (83935) | $35 | $35 | 5.1× |
| Ova and parasites smears (87177) | $45 | $45 | 5.1× |
| Oxalate urine (83945) | $64 | $64 | 4.4× |
| Pancreatic Elastase Fecal (82656) | $38 | $38 | 3.3× |
| Particle Agglut Antbdy Titr (86406) | $47 | $47 | 4.4× |
| Particle Agglutination Screen Each Antibody (86403) | $52 | $52 | 4.5× |
| Parvovirus antibody (86747) | $73 | $73 | 4.9× |
| Path Clin Consltj Mod 21-40 (80504) | $464 | $464 | 2.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,688 | $1,688 | 2.2× |
| Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) | $464 | $464 | 2.8× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $155 | $155 | 3.1× |
| Pathology Consultation During Surgery (88329) | $97 | $97 | 1.7× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $1,047 | $1,047 | 3.2× |
| Ph urine (81003) range across 4 matching MRF lines |
$13–$14 | $13–$14 | varies |
| Phenobarbital Level (80184) | $58 | $58 | 3.8× |
| Phenytoin (Dilantin) (80185) | $66 | $66 | 5.0× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$25–$26 | $25–$26 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $87 | $87 | 4.8× |
| Phosphorus Serum (84100) | $25 | $25 | 5.3× |
| Phosphorus urine (84105) | $26 | $26 | 4.5× |
| Pinworm exam (87172) | $23 | $23 | 5.4× |
| Platelet Aggregation (85576) | $103 | $103 | 4.1× |
| Platelet Antibodies (86022) | $89 | $89 | 4.8× |
| Platelet count automated (85049) range across 2 matching MRF lines |
$23–$24 | $23–$24 | varies |
| Platelet neutralization (85597) | $60 | $60 | 3.3× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $734 | $734 | 3.5× |
| Porphobilinogen, urine; quantitative (84110) | $41 | $41 | 4.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $72 | $72 | 4.9× |
| Potassium Urine (84133) | $23 | $23 | 4.9× |
| Prealbumin (84134) | $70 | $70 | 4.8× |
| Pregnancy-Associated Plasma Protein-A (84163) range across 2 matching MRF lines |
$70–$73 | $70–$73 | varies |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $93 | $93 | 1.6× |
| Primidone (80188) | $80 | $80 | 4.8× |
| Procalcitonin (Pct) (84145) | $197 | $197 | 7.2× |
| Progesterone (84144) | $100 | $100 | 4.8× |
| Prolactin (84146) | $93 | $93 | 4.8× |
| Protein body fluid (84157) | $20 | $20 | 5.0× |
| Protein c antigen (85302) | $60 | $60 | 5.0× |
| Protein Electrophoresis Urine (84166) | $86 | $86 | 4.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $55 | $55 | 5.1× |
| Protein s total (85305) | $59 | $59 | 5.1× |
| Protein total serum (84155) range across 2 matching MRF lines |
$18–$20 | $18–$20 | varies |
| Protein Total Urine (84156) | $20 | $20 | 5.4× |
| Protein Western Blot Test (84182) | $34 | $34 | 1.2× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $14 | $14 | 3.6× |
| PSA free (84154) | $69 | $69 | 3.8× |
| Pth Intact (83970) | $194 | $194 | 4.7× |
| Q Fever Antibody (86638) | $52 | $52 | 4.3× |
| Quantiferon tb gold plus (86480) | $288 | $288 | 4.6× |
| Quantitative assay drug (80299) | $67 | $67 | 3.6× |
| Quantitative Screen Metals (83018) | $37 | $37 | 1.7× |
| Quinidine (80194) | $68 | $68 | 4.7× |
| Rbc antibody elution (86860) | $402 | $402 | 2.4× |
| Rbc antibody identification (86870) | $587 | $587 | 1.7× |
| Rbc antibody screen (86850) | $247 | $247 | 25.3× |
| Rbc pretreatment serum (86978) | $247 | $247 | 4.3× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$16–$18 | $16–$18 | varies |
| Renin activity plasma (84244) | $106 | $106 | 4.8× |
| Resp virus 12-25 targets (87633) | $834 | $834 | 2.0× |
| Reticulocyte Count (85046) | $28 | $28 | 5.0× |
| Reticulocyte Count Manual (85044) | $23 | $23 | 5.3× |
| Rh (86901) | $247 | $247 | 82.6× |
| Rheumatoid Factor Qualitative (86430) | $30 | $30 | 4.9× |
| Rickettsia antibody (86757) | $81 | $81 | 4.2× |
| Ristocetin cofactor (85245) | $111 | $111 | 4.8× |
| Rotavirus ag eia (87425) | $60 | $60 | 5.0× |
| Rpr qualitative (86592) | $23 | $23 | 5.4× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$55–$58 | $55–$58 | varies |
| Rubella Antibody (86762) | $69 | $69 | 4.8× |
| Rubeola antibody (86765) | $64 | $64 | 5.0× |
| Russell Viper Venom Time Diluted (85613) | $35 | $35 | 3.7× |
| Salicylate Level (80179) | $62 | $62 | 3.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $109 | $109 | 2.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $103 | $103 | 2.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $175 | $175 | 1.2× |
| Sedimentation Rate, Automated (85652) | $17 | $17 | 6.3× |
| Selenium (84255) | $87 | $87 | 3.4× |
| Semen Anal Sperm Detection (89321) | $39 | $39 | 3.2× |
| Semen analysis complete (89322) | $48 | $48 | 3.1× |
| Semen analysis motility and count (89310) | $44 | $44 | 5.1× |
| Sensitivity mic (87186) | $44 | $44 | 5.1× |
| Sex Hormone Binding Globulin (84270) | $70 | $70 | 3.2× |
| Sickling of rbc reduction (85660) | $28 | $28 | 5.1× |
| Sirolimus (80195) | $67 | $67 | 4.9× |
| Skin test tuberculosis intradermal (86580) | $94 | $94 | 3.4× |
| Smear acid fast (87206) | $14 | $14 | 2.6× |
| Smear complex stain (87209) | $57 | $57 | 3.2× |
| Smear gram stain (87205) | $23 | $23 | 5.4× |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$20–$57 | $20–$57 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 5 matching MRF lines |
$22–$33 | $22–$33 | varies |
| So neo gsap DNA mcrstl ins (81457) | $2,738 | $2,738 | 3.1× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$24–$25 | $24–$25 | varies |
| Sodium Urine (84300) | $17 | $17 | 3.4× |
| Soluble Transferrin Receptor (84238) | $171 | $171 | 4.7× |
| Somatomedin (84305) | $102 | $102 | 4.8× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$81–$176 | $81–$176 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$38–$176 | $38–$176 | varies |
| Specific gravity body fluid (84315) | $12 | $12 | 3.7× |
| Specimen infect agnt concntj (87015) | $33 | $33 | 4.9× |
| Spectrophotometry (84311) | $34 | $34 | 4.2× |
| Staph a DNA amp probe (87640) | $166 | $166 | 4.7× |
| Stool cultr aerobic bact ea (87046) | $49 | $49 | 5.2× |
| Strep a assay w/optic (87880) range across 4 matching MRF lines |
$58–$60 | $58–$60 | varies |
| Strep a DNA amp probe (87651) | $126 | $126 | 3.6× |
| Strep b DNA amp probe (87653) | $113 | $113 | 3.2× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $84 | $84 | 0.9× |
| Sugars Single Qual (84376) | $28 | $28 | 5.1× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$36–$176 | $36–$176 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$115–$176 | $115–$176 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$538–$938 | $538–$938 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $15 | $15 | 3.2× |
| Syphilis Test Non-Trep Quant (86593) | $23 | $23 | 5.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $89 | $89 | 1.9× |
| T cells total count (86359) | $140 | $140 | 3.7× |
| T3 Free (84481) | $81 | $81 | 4.8× |
| T3 reverse (84482) | $75 | $75 | 4.8× |
| T3 Total (84480) | $64 | $64 | 4.5× |
| T3 Uptake (84479) | $34 | $34 | 5.3× |
| T4 Free (84439) range across 2 matching MRF lines |
$36–$37 | $36–$37 | varies |
| T4 total (84436) | $35 | $35 | 5.1× |
| T4-neonatal (84437) | $34 | $34 | 5.3× |
| Tacrolimus (80197) | $67 | $67 | 4.9× |
| Tau phosphorylated each (84393) | $276 | $276 | 2.1× |
| Tb ag response t-cell susp (86481) | $330 | $330 | 3.3× |
| Testosterone total (84403) | $121 | $121 | 4.7× |
| Testosterone, Free (84402) | $120 | $120 | 4.7× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $1,902 | $1,902 | 3.2× |
| Theophylline (80198) | $69 | $69 | 4.9× |
| Thrombin Time (85670) | $30 | $30 | 5.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $34 | $34 | 5.3× |
| Thyroglobulin (84432) | $76 | $76 | 4.7× |
| Thyroglobulin Antibody (86800) | $76 | $76 | 4.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $237 | $237 | 4.7× |
| Thyroxine binding globulin (84442) | $72 | $72 | 4.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $38 | $38 | 3.3× |
| Tissue culture bone marrow (88237) | $581 | $581 | 4.0× |
| Tissue Culture Lymphocyte (88230) | $527 | $527 | 4.5× |
| Tobramycin peak (80200) | $76 | $76 | 4.7× |
| Topiramate (80201) | $60 | $60 | 5.0× |
| Total Tau (84394) | $379 | $379 | 2.9× |
| Toxoplasma ab igm (86778) | $67 | $67 | 4.6× |
| Toxoplasma antibody (86777) | $69 | $69 | 4.8× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$25–$26 | $25–$26 | varies |
| Transferrin (84466) | $64 | $64 | 5.0× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $639 | $639 | 3.1× |
| Trg gene rearrangement anal (81342) | $616 | $616 | 3.1× |
| Trichomonas Vaginalis Amplif (87661) | $161 | $161 | 4.6× |
| Triglycerides (84478) range across 2 matching MRF lines |
$28–$30 | $28–$30 | varies |
| Troponin Quant (84484) | $51 | $51 | 4.1× |
| Tumor immunohistochem/comput (88361) | $587 | $587 | 1.7× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$126–$587 | $126–$587 | varies |
| Urea nitrogen urine (84540) | $25 | $25 | 4.5× |
| Uric acid other source (84560) | $25 | $25 | 4.9× |
| Urinalysis Microscopic Only (81015) | $12 | $12 | 3.9× |
| Urine Pregnancy Test (81025) range across 5 matching MRF lines |
$32–$33 | $32–$33 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$16–$18 | $16–$18 | varies |
| Valproic acid (80164) | $67 | $67 | 4.9× |
| Vancomycin (80202) | $67 | $67 | 4.9× |
| Varicella-zoster antibody (86787) | $64 | $64 | 5.0× |
| Vasopressin (84588) | $104 | $104 | 3.1× |
| Viral Culture (87252) | $123 | $123 | 4.7× |
| Virus antibody nos (86790) | $64 | $64 | 5.0× |
| Viscosity serum (85810) | $38 | $38 | 3.3× |
| Vit D 1 25-Dihydroxy (82652) | $179 | $179 | 4.6× |
| Vitamin A (84590) | $59 | $59 | 5.1× |
| Vitamin b-12 (82607) | $73 | $73 | 4.8× |
| Vitamin B6 (84207) | $133 | $133 | 4.7× |
| Vitamin c (82180) | $51 | $51 | 5.2× |
| Vitamin D 25-Hydroxy (82306) | $141 | $141 | 4.8× |
| Vitamin E (84446) | $69 | $69 | 4.9× |
| Vitamin K (84597) | $96 | $96 | 7.0× |
| Vkorc1 gene (81355) | $171 | $171 | 1.9× |
| Volatiles (84600) | $76 | $76 | 4.4× |
| Von willebrand factor ag (85246) | $111 | $111 | 4.8× |
| West nile virus ab igm (86788) | $77 | $77 | 4.6× |
| West Nile Virus Antibody (86789) | $67 | $67 | 4.7× |
| Xm Archive Tissue Molec Anal (88363) | $97 | $97 | 3.5× |
| Zinc (84630) | $58 | $58 | 5.1× |
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.