Lab & pathology prices at Burnett Medical Center
Grantsburg, WI · every code in this section with a posted price and a Medicare benchmark.
631 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $363.20 | $454 | 15.9× |
| 5 Nucleotidase (83915) | $177.60 | $222 | 15.9× |
| Acetylcholn Rcptr Modlg Antb (86043) | $190.34 | $237.93 | 15.8× |
| Acth (82024) | $109.60 | $137 | 2.8× |
| Actin smooth muscle antibody each (86015) | $91.20 | $114 | 7.6× |
| Acute hepatitis panel (80074) | $220 | $275 | 4.6× |
| Adenovirus antibody (86603) | $108 | $135 | 8.4× |
| Agglutinins Febrile Each Antigen (86000) | $111.20 | $139 | 15.9× |
| Albumin Fluid (82042) | $35.20 | $44 | 4.5× |
| Albumin serum (82040) | $79.20 | $99 | 16.0× |
| Aldolase (82085) | $37.60 | $47 | 3.9× |
| Aldosterone urine (82088) | $229.60 | $287 | 5.6× |
| Alkaline phosphatase isoenzymes (84080) | $236 | $295 | 16.0× |
| Allergen specific ige (86003) range across 15 matching MRF lines |
$25.60–$145.01 | $32–$181.26 | varies |
| Allergen specific igg (86001) | $52.80 | $66 | 6.8× |
| Alpha-1-antitrypsin phenotype (82104) | $156.80 | $196 | 10.8× |
| Alpha-1-antitrypsin total (82103) | $39.20 | $49 | 2.9× |
| Alpha-Fetoprotein Serum (82105) | $68.80 | $86 | 4.1× |
| Alt (sgpt) (84460) | $83.20 | $104 | 15.7× |
| Aluminum (82108) | $88.80 | $111 | 3.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $341.60 | $427 | 14.9× |
| Ammonia (82140) | $231.20 | $289 | 15.9× |
| Amylase urine (82150) | $104 | $130 | 16.0× |
| Ana Titer (86039) | $68.80 | $86 | 6.2× |
| Anca screen each antibody (86036) | $32.80 | $41 | 2.7× |
| Androstenedione (82157) | $53.60 | $67 | 1.8× |
| Angiotensin converting enzyme csf (82164) | $52.80 | $66 | 3.6× |
| Anti-Phospholipid Antibody (86148) | $397.60 | $497 | 24.7× |
| Antibody aspergillus (86606) | $92.80 | $116 | 6.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $286.40 | $358 | 22.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $109.60 | $137 | 7.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $112 | $140 | 6.6× |
| Antibody Encephalitis California La Crosse (86651) | $104.80 | $131 | 7.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $49.60 | $62 | 3.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $49.60 | $62 | 2.7× |
| Antibody Fungus Not Elsewhere Specified (86671) | $109.60 | $137 | 8.9× |
| Antibody helicobacter pylori (86677) | $62.40 | $78 | 3.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $94.40 | $118 | 6.6× |
| Antibody Herpes Smplx Type 1 (86695) | $106.40 | $133 | 8.1× |
| Antibody HIV-1&HIV-2 single result (86703) | $40 | $50 | 2.9× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $236 | $295 | 12.2× |
| Antibody identification leukocyte antibodies (86021) | $239.20 | $299 | 15.9× |
| Antibody Identification Platelet Immunogl Assay (86023) | $198.40 | $248 | 15.9× |
| Antibody leishmania (86717) | $200.80 | $251 | 16.4× |
| Antibody Lymphocytic Choriomeningitis (86727) | $120 | $150 | 9.3× |
| Antibody plasmodium malaria (86750) | $460.80 | $576 | 34.9× |
| Antibody Protozoa Nes (86753) | $93.60 | $117 | 7.6× |
| Antibody Titer (86886) | $103.20 | $129 | 19.9× |
| Antibody Treponema Pallidum (86780) | $80.80 | $101 | 6.1× |
| Antibody; influenza virus (86710) | $120 | $150 | 8.9× |
| Antigen typing (86905) | $61.60 | $77 | 16.1× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $83.20 | $104 | 14.5× |
| Antinuclear antibodies (86038) | $68 | $85 | 5.6× |
| Antistreptolysin o titer (86060) | $116 | $145 | 15.9× |
| Antithrombin iii activity (85300) | $198.40 | $248 | 16.7× |
| Antithrombin iii antigen (85301) | $124.80 | $156 | 11.5× |
| Apolipoprotein a1 (82172) | $205.60 | $257 | 9.7× |
| Aquaporin-4 Antb Cba Each (86052) | $572.80 | $716 | 47.5× |
| Arsenic (82175) | $301.60 | $377 | 15.9× |
| Assay activated protein c (85307) | $227.20 | $284 | 14.8× |
| Assay Blood Carbon Dioxide (82374) | $79.20 | $99 | 16.2× |
| Assay myeloperoxidase (83876) | $213.60 | $267 | 4.2× |
| Assay Nephelometry Not Spec (83883) | $220 | $275 | 16.2× |
| Assay of anti-mullerian hormone (82166) | $355.62 | $444.53 | 9.2× |
| Assay of blood/uric acid (84550) | $69.60 | $87 | 15.4× |
| Assay of calcium in urine (82340) | $94.40 | $118 | 15.7× |
| Assay of cpk in blood (82552) | $124 | $155 | 9.3× |
| Assay of g6pd enzyme (82955) | $79.20 | $99 | 8.2× |
| Assay of gammaglobulin igm (82784) | $52.80 | $66 | 5.7× |
| Assay of lactic acid (83605) | $136.80 | $171 | 11.8× |
| Assay of manganese (83785) | $345.60 | $432 | 13.0× |
| Assay of metanephrines (83835) | $286.40 | $358 | 16.9× |
| Assay of serotonin (84260) | $360.80 | $451 | 11.6× |
| Assay of serum potassium (84132) | $72 | $90 | 15.1× |
| Assay of sweat sodium (84302) | $76.80 | $96 | 15.8× |
| Assay of urea nitrogen (84520) | $68.80 | $86 | 17.4× |
| Assay of urine vma (84585) | $88 | $110 | 5.7× |
| Assay of vasoactive intestinal peptide (84586) | $201.60 | $252 | 5.7× |
| Assay of vitamin b-1 (84425) | $104.80 | $131 | 4.9× |
| Assay Ph Body Fluid Nos (83986) | $25.60 | $32 | 7.2× |
| Automated Leukocyte Count (85048) | $40 | $50 | 15.7× |
| B cells total count (86355) | $75.20 | $94 | 2.0× |
| Babesia microti amp prb (87469) | $216 | $270 | 6.2× |
| Bartonella antibody (86611) | $92.80 | $116 | 9.1× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$267.20–$400.80 | $334–$501 | varies |
| Bcr/abl1 gene minor bp (81207) | $267.20 | $334 | 1.8× |
| Beta 2 glycoprotein i antibody each (86146) | $103.20 | $129 | 4.1× |
| Beta hydroxybutyrate (82010) | $62.40 | $78 | 7.6× |
| Beta Lactamase (87185) | $35.20 | $44 | 7.4× |
| Beta-2 Microglobulin (82232) | $62.40 | $78 | 3.9× |
| Bile acids, cholylglycine (82240) | $343.20 | $429 | 12.9× |
| Bilirubin direct (82248) | $132 | $165 | 26.3× |
| Bilirubin total (82247) | $35.20 | $44 | 7.0× |
| Blastomyces antibody (86612) | $92.80 | $116 | 7.2× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $559.20 | $699 | 19.9× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $559.20 | $699 | 3.4× |
| Bld Typing Serologic Rh Phnt (86906) | $124 | $155 | 16.0× |
| Blood Count Automated Differential Wbc Count (85004) | $104 | $130 | 16.1× |
| Blood Count Manual Cell Count Each (85032) | $67.20 | $84 | 15.6× |
| Blood Count Red Blood Cell Automated (85041) | $48.80 | $61 | 16.2× |
| Blood count reticulocyte automated (85045) | $64 | $80 | 16.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $41.60 | $52 | 10.9× |
| Blood count spun microhematocrit (85013) | $37.60 | $47 | 5.4× |
| Blood gas (82803) | $232 | $290 | 8.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $56.80 | $71 | 3.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $40 | $50 | 9.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $144.80 | $181 | 22.8× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $136.80 | $171 | 8.4× |
| Blood typing serologic abo (86900) | $101.60 | $127 | 34.0× |
| Bone marrow smear interpretation (85097) | $231.20 | $289 | 0.3× |
| Bordetella antibody (86615) | $93.60 | $117 | 7.1× |
| Borrelia miyamotoi amp prb (87478) | $134.40 | $168 | 3.8× |
| Braf gene analysis (81210) | $900 | $1,125 | 5.1× |
| Brca1&2 gen full seq dup/del (81162) | $4,776.80 | $5,971 | 2.6× |
| Breath Alcohol Test (82075) range across 2 matching MRF lines |
$32.80–$36 | $41–$45 | varies |
| C diff amplified probe (87493) | $222.40 | $278 | 6.0× |
| C-Peptide (84681) | $62.40 | $78 | 3.0× |
| C-reactive protein (86140) | $43.20 | $54 | 8.3× |
| Ca 19-9 (86301) | $68 | $85 | 3.3× |
| Cadmium (82300) | $79.20 | $99 | 3.4× |
| Caffeine (80155) | $62.40 | $78 | 1.6× |
| Calcitonin (82308) | $427.20 | $534 | 15.9× |
| Calcium ionized (82330) | $216 | $270 | 15.8× |
| Calcium total (82310) | $75.20 | $94 | 14.6× |
| Calculus assay quant (82360) | $204 | $255 | 15.9× |
| Calculus Spectroscopy (82365) | $104.80 | $131 | 8.1× |
| Calprotectin Fecal (83993) | $576.80 | $721 | 29.4× |
| Calr gene com variants (81219) | $1,180 | $1,475 | 9.7× |
| Cancer Antigen 125 (86304) | $62.40 | $78 | 3.0× |
| Cancer Antigen 27.29 (86300) | $72 | $90 | 3.5× |
| Candida antibody (86628) | $92.80 | $116 | 7.7× |
| Carbamazepine free (80157) | $173.60 | $217 | 13.1× |
| Carbamazepine total (80156) | $65.60 | $82 | 4.5× |
| Carboxyhemoglobin (82375) | $157.60 | $197 | 12.8× |
| Carcinoembryonic antigen (82378) | $67.20 | $84 | 3.5× |
| Cardiolipin ab iga (86147) | $65.60 | $82 | 2.6× |
| Carnitine Quantitative Each Specimen (82379) | $234.40 | $293 | 13.9× |
| Carotene (82380) | $146.40 | $183 | 15.9× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$140.80–$147.20 | $176–$184 | varies |
| Ccp antibody (86200) | $94.40 | $118 | 7.3× |
| Cell count csf (89051) | $74.40 | $93 | 13.3× |
| Cell marker study (88182) | $216 | $270 | 4.3× |
| Ceruloplasmin (82390) | $48 | $60 | 4.5× |
| Cftr gene com variants (81220) | $673.60 | $842 | 1.2× |
| Chemiluminescent assay (82397) | $764.80 | $956 | 54.2× |
| Chloride Serum (82435) | $72 | $90 | 15.7× |
| Chloride urine (82436) | $43.20 | $54 | 7.5× |
| Chlorinated Hydrocarbons Screen (82441) | $568 | $710 | 94.5× |
| Cholesterol total (82465) | $60.80 | $76 | 14.0× |
| Cholinesterase Serum (82480) | $31.20 | $39 | 4.0× |
| Chorionic gonadotropin test (84702) | $67.20 | $84 | 4.5× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $80 | $100 | 3.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $105.60 | $132 | 3.2× |
| Chromium serum (82495) | $65.60 | $82 | 3.2× |
| Chromogenic Substrate Assay (85130) | $188.80 | $236 | 15.9× |
| Chromogranin a (86316) | $240 | $300 | 11.5× |
| Chromosome Analysis 15-20 (88262) | $524.80 | $656 | 4.2× |
| Chromosome Analysis 20-25 (88264) | $524.80 | $656 | 3.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $173.60 | $217 | 4.9× |
| Clostridium Difficile (87324) | $87.20 | $109 | 7.3× |
| Clot Factor VIII Multimetric (85247) | $364.80 | $456 | 15.9× |
| Cns DNA amp probe type 12-25 (87483) | $576 | $720 | 1.4× |
| Coccidioides antibody (86635) | $92.80 | $116 | 8.1× |
| Cold agglutinin titer (86157) | $83.20 | $104 | 10.3× |
| Collagen crosslinks (82523) | $149.60 | $187 | 8.0× |
| Column Chromotography Quant (82542) | $203.20 | $254 | 8.4× |
| Compatibility Each Unit Incubation (86921) | $274.40 | $343 | 1.7× |
| Compatibility test antiglob (86922) | $274.40 | $343 | 1.7× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$48–$72 | $60–$90 | varies |
| Complement Total (Ch50) (86162) | $59.20 | $74 | 2.9× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $429.60 | $537 | 11.8× |
| Coombs direct (86880) | $92 | $115 | 17.1× |
| Copper urine (82525) | $68.80 | $86 | 5.5× |
| Cortisol free (82530) | $87.20 | $109 | 5.2× |
| Cortisol saliva (82533) | $48 | $60 | 2.9× |
| Creatine kinase total (82550) | $104 | $130 | 16.0× |
| Creatinine blood (82565) | $80.80 | $101 | 15.8× |
| Creatinine clearance (82575) | $62.40 | $78 | 6.6× |
| Creatinine Urine (82570) | $82.40 | $103 | 15.9× |
| Crossmatch immediate spin (86920) | $274.40 | $343 | 1.7× |
| Crp High Sensitivity (86141) | $125.60 | $157 | 9.7× |
| Cryoglobulin (82595) | $39.20 | $49 | 6.1× |
| Cryptococcal Antigen (87327) | $101.60 | $127 | 7.6× |
| Cryptosporidium (87272) | $192 | $240 | 16.0× |
| Cryptosporidium ag eia (87328) | $93.60 | $117 | 6.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $329.60 | $412 | 40.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $22.40 | $28 | 2.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $220 | $275 | 28.5× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,071.20 | $1,339 | 4.9× |
| Culture Anaerobic (87075) | $260.80 | $326 | 27.5× |
| Culture blood (87040) | $128 | $160 | 12.4× |
| Culture csf (87070) | $103.20 | $129 | 12.0× |
| Culture fungus (87102) | $198.40 | $248 | 23.6× |
| Culture screen only (87081) range across 2 matching MRF lines |
$161.60–$177.60 | $202–$222 | varies |
| Culture stool (87045) | $196 | $245 | 20.8× |
| Culture typing if ea antiserum (87140) | $72 | $90 | 12.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $62.40 | $78 | 12.0× |
| Culture urine (87086) | $70.40 | $88 | 8.7× |
| Cyclic amp (82030) | $288 | $360 | 11.2× |
| Cyclosporine (80158) | $120.80 | $151 | 6.7× |
| Cyp2c19 gene analysis common variants (81225) | $311.20 | $389 | 1.1× |
| Cyp2c9 gene com variants (81227) | $311.20 | $389 | 1.8× |
| Cyp2d6 gene com variants (81226) | $24.80 | $31 | 0.1× |
| Cyp3a4 gene common variants (81230) | $311.20 | $389 | 1.8× |
| Cyp3a5 gene common variants (81231) | $24.80 | $31 | 0.1× |
| Cytogenetics 10-30 (88273) | $135.20 | $169 | 3.9× |
| Cytogenetics 100-300 (88275) | $169.60 | $212 | 3.3× |
| Cytomegalovirus igg (86644) | $148.80 | $186 | 10.3× |
| Cytopath C/V Index Add-On (88155) | $24.80 | $31 | 1.7× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $88 | $110 | 4.3× |
| Cytopath Cell Enhance Tech (88112) | $151.20 | $189 | 3.0× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $157.60 | $197 | 5.9× |
| Cytp Concentration Smears & Interpretation (88108) | $167.20 | $209 | 4.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $236 | $295 | 4.7× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $138.40 | $173 | 3.8× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $2,342.40 | $2,928 | 14.2× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $43.20 | $54 | 2.3× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $111.20 | $139 | 4.0× |
| Deoxyribonuclease antibody (86215) | $55.20 | $69 | 4.2× |
| Detect Agent Nos Dna Amp (87798) range across 15 matching MRF lines |
$100–$1,516 | $125–$1,895 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$108–$374.40 | $135–$468 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$202.40–$232.80 | $253–$291 | varies |
| Dhea (82626) | $79.20 | $99 | 3.1× |
| Dhea-S (82627) | $48 | $60 | 2.2× |
| Digoxin (80162) | $68.80 | $86 | 5.2× |
| Dipropylacetic Acid Free (80165) | $146.40 | $183 | 10.8× |
| Dna Antibody Native/Double Stranded (86225) | $62.40 | $78 | 4.5× |
| Dna/Rna Amplified Probe (87150) | $85.60 | $107 | 2.4× |
| Dpyd gene common variants (81232) | $24.80 | $31 | 0.1× |
| Drug assay acetaminophen (80143) | $65.60 | $82 | 3.5× |
| Drug Assay Amiodarone (80151) | $53.60 | $67 | 2.9× |
| Drug Assay Lacosamide (80235) | $156 | $195 | 5.8× |
| Drug Screen Quant Clozapine (80159) | $100 | $125 | 5.0× |
| Drug Screen Quant Zonisamide (80203) | $264.80 | $331 | 20.0× |
| Drug Screen Quantitative Gabapentin (80171) | $85.60 | $107 | 4.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $85.60 | $107 | 6.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $171.20 | $214 | 12.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $116.80 | $146 | 8.8× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $266.40 | $333 | 15.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 9 matching MRF lines |
$66.40–$854.40 | $83–$1,068 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $237.60 | $297 | 18.9× |
| Egfr Gene Analysis Common Variants (81235) | $1,586.40 | $1,983 | 4.9× |
| Ehrlichia antibody (86666) | $54.40 | $68 | 5.3× |
| El-1 Fecal Quantitative (82653) | $176.80 | $221 | 7.7× |
| Electrolyte panel (80051) | $43.20 | $54 | 6.2× |
| Encephaltis East Eqne Anbdy (86652) range across 2 matching MRF lines |
$104.80–$236 | $131–$295 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 2 matching MRF lines |
$104.80–$236 | $131–$295 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $88.80 | $111 | 7.3× |
| Enterovirus Antibody (86658) | $92.80 | $116 | 7.1× |
| Enterovirus PCR (87498) | $557.60 | $697 | 15.9× |
| Enzyme cell activity (82657) | $1,422.40 | $1,778 | 64.2× |
| Enzyme histochemistry (88319) | $177.60 | $222 | 0.2× |
| Erythropoietin (82668) | $79.20 | $99 | 4.2× |
| Estradiol serum (82670) | $147.20 | $184 | 5.3× |
| Estrogen total (82672) | $344 | $430 | 15.9× |
| Estrogens fractionated (82671) | $196.80 | $246 | 6.1× |
| Ethosuximide (80168) | $62.40 | $78 | 3.8× |
| Exam Synovial Fluid Crystals (89060) | $58.40 | $73 | 8.0× |
| F2 Gene (81240) | $229.60 | $287 | 3.5× |
| Factor ii activity (85210) | $220 | $275 | 16.9× |
| Factor Inhibitor Test (85335) | $384 | $480 | 29.8× |
| Factor ix activity (85250) | $188 | $235 | 9.9× |
| Factor v activity (85220) | $125.60 | $157 | 7.1× |
| Factor v leiden mutation (81241) | $296.80 | $371 | 4.0× |
| Factor vii assay (85230) | $284 | $355 | 15.9× |
| Factor viii assay (85240) | $103.20 | $129 | 5.8× |
| Factor X (85260) | $1,123.20 | $1,404 | 62.7× |
| Factor xi activity (85270) | $259.20 | $324 | 14.5× |
| Fat/Lipids Feces Quantitative (82710) | $432.80 | $541 | 25.8× |
| Fecal Fat Qualitative (82705) | $40 | $50 | 7.8× |
| Ferritin (82728) | $176.80 | $221 | 13.0× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $259.20 | $324 | 1.7× |
| Fetal Fibronectin (82731) | $473.60 | $592 | 7.4× |
| Fetal screen rosette (85461) | $188.80 | $236 | 20.2× |
| Fibrin degradation products (85362) | $109.60 | $137 | 15.9× |
| Fibrin Degradation Quant (85379) | $237.60 | $297 | 23.3× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $83.20 | $104 | 8.6× |
| Fibrinogen activity (85384) | $67.20 | $84 | 6.9× |
| Flow cytometry first marker (88184) | $260.80 | $326 | 0.7× |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$77.60–$120.80 | $97–$151 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $276 | $345 | 22.9× |
| Fluoride serum (82735) | $294.40 | $368 | 15.9× |
| Fmr1 Gene Charac Alleles (81244) | $2,038.40 | $2,548 | 45.4× |
| Folic Acid Serum (82746) | $40 | $50 | 2.7× |
| Follicle Stimulating Hormone (83001) | $43.20 | $54 | 2.3× |
| Fungi Identification Yeast (87106) | $164 | $205 | 15.9× |
| G6pd gene alys cmn variant (81247) | $24.80 | $31 | 0.1× |
| Gammaglobulin ige (82785) | $48 | $60 | 2.9× |
| Gases blood ph only (82800) | $133.60 | $167 | 12.1× |
| Gastrin (82941) | $68.80 | $86 | 3.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $488 | $610 | 1.2× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $3,399.20 | $4,249 | 4.5× |
| Genet Virus Isolate Hsv (87255) | $539.20 | $674 | 15.9× |
| Gentamicin (80170) | $260.80 | $326 | 15.9× |
| Ggt (82977) | $114.40 | $143 | 15.9× |
| Giardia antigen (87329) | $93.60 | $117 | 7.8× |
| Glucose 2 hr pp (82950) | $128.80 | $161 | 27.1× |
| Glucose body fluid (82945) | $28 | $35 | 7.1× |
| Glucose Serum (82947) | $28.80 | $36 | 7.3× |
| Glucose tolerance test (gtt) (82951) | $158.40 | $198 | 12.3× |
| Glycated Protein (82985) | $48 | $60 | 2.9× |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $24.80 | $31 | 1.6× |
| Gonadotropin Chorionic Qualitative (84703) | $120.80 | $151 | 16.1× |
| Growth hormone (83003) | $79.20 | $99 | 4.8× |
| Gtt-added samples (82952) | $66.40 | $83 | 16.9× |
| H Pylori (C-13) Breath (83013) | $917.60 | $1,147 | 13.6× |
| Haptoglobin (83010) | $52.80 | $66 | 4.2× |
| Hba1/Hba2 Gene (81257) | $476.80 | $596 | 4.7× |
| Hdl Cholesterol (83718) | $131.20 | $164 | 16.0× |
| Helicobacter Pylori Stool (87338) | $228.80 | $286 | 15.9× |
| Hematocrit (85014) | $37.60 | $47 | 15.9× |
| Hemoglobin (85018) | $37.60 | $47 | 15.9× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$56.80–$107.20 | $71–$134 | varies |
| Hemoglobin electrophoresis (83020) | $121.60 | $152 | 9.4× |
| Hep a ab igm (86709) | $55.20 | $69 | 4.9× |
| Heparin assay (85520) | $415.20 | $519 | 31.7× |
| Heparin Neutralization (85525) | $88.80 | $111 | 7.5× |
| Hepatitis a antibody total (86708) | $48 | $60 | 3.9× |
| Hepatitis b core ab igm (86705) | $72 | $90 | 6.1× |
| Hepatitis b core ab total (86704) | $72 | $90 | 6.0× |
| Hepatitis b surface ag quan (87467) | $52 | $65 | 2.1× |
| Hepatitis B Surface Antibody (86706) | $182.40 | $228 | 17.0× |
| Hepatitis B Surface Antigen (87340) | $46.40 | $58 | 4.5× |
| Hepatitis Be Antigen (87350) | $181.60 | $227 | 15.8× |
| Hepatitis C Antibody (86803) | $62.40 | $78 | 4.4× |
| Hepatitis c antibody confirmatory test (86804) | $496 | $620 | 32.0× |
| Hepatitis C Genotype (87902) | $521.60 | $652 | 2.0× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $557.60 | $697 | 15.9× |
| Hepatitis C Revrs Trnscrpj (87522) | $492.80 | $616 | 11.5× |
| Herpes simplex type 2 (86696) | $202.40 | $253 | 10.5× |
| Heterophile antibodies titer (86309) | $104 | $130 | 16.1× |
| Heterophile Antibody Screen (86308) | $48 | $60 | 9.3× |
| Hfe Gene (81256) | $427.20 | $534 | 6.5× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $268.80 | $336 | 34.8× |
| Histoplasma antibody (86698) | $178.40 | $223 | 12.9× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$332.80–$544.80 | $416–$681 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $116.80 | $146 | 4.9× |
| HIV-1 p24 antigen (87390) | $281.60 | $352 | 11.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $1,352 | $1,690 | 15.9× |
| HIV-2 probe&revrse trnscripj (87538) | $278.40 | $348 | 7.9× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $600 | $750 | 8.1× |
| Hla I Typing 1 Allele Hr (81381) | $99.20 | $124 | 0.6× |
| Hla-b27 (86812) | $169.60 | $212 | 6.6× |
| Homocysteine (83090) | $79.20 | $99 | 4.4× |
| Homogenization Tissue (87176) | $40 | $50 | 6.8× |
| Homovanillic acid urine (83150) | $222.40 | $278 | 9.9× |
| Hpv High-Risk Types (87624) | $132.80 | $166 | 3.8× |
| Hsv Dna Amp Probe (87529) | $286.40 | $358 | 8.2× |
| Htlv-I Antibody (86687) | $132.80 | $166 | 14.6× |
| Hydroxyprogesterone 17-d (83498) | $79.20 | $99 | 2.9× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $120.80 | $151 | 10.1× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $57.60 | $72 | 4.8× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $137.60 | $172 | 13.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $42.40 | $53 | 1.2× |
| Iaad ia shiga-like toxin (87427) | $75.20 | $94 | 6.3× |
| Iaad Ia Streptococcus Group A (87430) | $138.40 | $173 | 8.2× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $192 | $240 | 16.0× |
| Iaadi herpes smplx virus type 1 (87274) | $192 | $240 | 16.0× |
| Iaadi herpes smplx virus type 2 (87273) | $192 | $240 | 16.0× |
| Iaadi not otherwise specified each organism (87299) | $312.80 | $391 | 19.4× |
| Iaadi Varicella Zoster Virus (87290) | $192 | $240 | 14.3× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $128.80 | $161 | 3.7× |
| Iadna Bartonella Amplified Probe Technique (87471) | $557.60 | $697 | 15.9× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $412 | $515 | 11.7× |
| Iadna Candida Species Amplified Probe Tq (87481) | $523.20 | $654 | 14.9× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $56.80 | $71 | 2.5× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $476 | $595 | 13.6× |
| Iadna Cytomegalovirus Quantification (87497) | $680.80 | $851 | 15.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $138.40 | $173 | 2.0× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $121.60 | $152 | 3.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $415.20 | $519 | 9.7× |
| Iadna Herpes Virus-6 Quantification (87533) | $1,034.40 | $1,293 | 24.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $337.60 | $422 | 9.6× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $104.80 | $131 | 2.4× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $1,017.60 | $1,272 | 24.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $112 | $140 | 3.2× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,073.60 | $1,342 | 4.1× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $24.80 | $31 | 0.3× |
| Igg subclasses (82787) | $66.40 | $83 | 8.3× |
| Igh gene rearrange amp meth (81261) | $1,166.40 | $1,458 | 5.9× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $308 | $385 | 0.9× |
| Immunfix e-phorsis/urine/csf (86335) | $376 | $470 | 12.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$192–$942.40 | $240–$1,178 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $253.60 | $317 | 9.9× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 5 matching MRF lines |
$14.40–$52.80 | $18–$66 | varies |
| Immunoassay nonantibody (83516) | $124 | $155 | 10.8× |
| Immunodiffusion not elsewhere specified (86329) | $202.40 | $253 | 14.4× |
| Immunodiffusion Ouchterlony (86331) | $28.80 | $36 | 2.4× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $354.40 | $443 | 15.3× |
| Immunofixation electrophoresis (86334) | $104.80 | $131 | 4.7× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $198.40 | $248 | 1.2× |
| Immunohistochemistry (88342) | $215.20 | $269 | 1.3× |
| In situ hybridization ea multiplex probe stain (88366) | $1,260 | $1,575 | 7.6× |
| Influenza assay w/optic (87804) | $125.60 | $157 | 7.6× |
| Influenza DNA amp probe (87502) | $125.60 | $157 | 1.3× |
| Inhibin b (83520) range across 7 matching MRF lines |
$80–$542.40 | $100–$678 | varies |
| Insitu hybridization manual (88368) | $1,892 | $2,365 | 5.4× |
| Insulin antibodies (86337) | $341.60 | $427 | 16.0× |
| Insulin free (83527) | $100 | $125 | 7.7× |
| Insulin total (83525) | $48 | $60 | 4.2× |
| Intrinsic factor antibody (86340) | $161.60 | $202 | 10.7× |
| Iron (83540) | $62.40 | $78 | 9.6× |
| Iron Binding Capacity (83550) | $52.80 | $66 | 6.0× |
| Islet cell antibody (86341) | $202.40 | $253 | 8.6× |
| Jak2 gene analysis p.val617phe variant (81270) | $652.80 | $816 | 7.1× |
| Koh Prep (87220) | $83.20 | $104 | 19.5× |
| Kras Gene Variants Exon 2 (81275) | $900 | $1,125 | 4.7× |
| Lactate (ld) (ldh) enzyme (83615) | $39.20 | $49 | 6.5× |
| Lactoferrin fecal qualitative (83630) | $148.80 | $186 | 7.6× |
| Lactoferrin Fecal Quantitative (83631) | $131.20 | $164 | 6.7× |
| Ldh Isoenzymes (83625) | $203.20 | $254 | 15.9× |
| LDL direct (83721) | $55.20 | $69 | 5.3× |
| Lead (83655) range across 2 matching MRF lines |
$39.20–$96 | $49–$120 | varies |
| Legionella antibody (86713) | $158.40 | $198 | 10.4× |
| Legionella antigen urine (87449) | $132 | $165 | 11.0× |
| Leukocyte Assessment Fecal (89055) | $44.80 | $56 | 10.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $72 | $90 | 2.6× |
| Level ii surg pathology grossµscopic exam (88302) | $149.60 | $187 | 4.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $476 | $595 | 1.4× |
| Lipase (83690) | $107.20 | $134 | 15.6× |
| Lipoprotein A (83695) | $205.60 | $257 | 14.4× |
| Lithium (80178) | $48 | $60 | 7.3× |
| Luteinizing Hormone (Lh) (83002) | $55.20 | $69 | 3.0× |
| Lyme disease antibody (86618) | $180 | $225 | 10.6× |
| M. Genitalium Amp Probe (87563) | $146.40 | $183 | 4.2× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $1,931.20 | $2,414 | 11.7× |
| Macroscopic exam arthropod (87168) | $87.20 | $109 | 20.4× |
| Macroscopic Exam Parasite (87169) | $67.20 | $84 | 15.6× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$52–$106.40 | $65–$133 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$67.20–$396 | $84–$495 | varies |
| Mercury urine (83825) | $55.20 | $69 | 3.4× |
| Metabolic panel ionized ca (80047) | $133.60 | $167 | 9.7× |
| Methylmalonic acid serum (83921) | $125.60 | $157 | 5.9× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$24.80–$92 | $31–$115 | varies |
| Microsomal Antibodies Each (86376) | $48 | $60 | 3.3× |
| Mitochondrial Antibody Each (86381) | $58.40 | $73 | 2.3× |
| Mog-Igg1 Antb Cba Each (86362) | $572.80 | $716 | 47.5× |
| Molecular Cytogenetics Dna Probe Each (88271) | $61.60 | $77 | 2.9× |
| Mononuclear cell antigen (86356) | $75.20 | $94 | 2.8× |
| Mopath procedure level 1 (81400) | $699.20 | $874 | 10.9× |
| Morphometric Analysis Tumor (88358) | $112 | $140 | 0.7× |
| Mthfr Gene Analysis Common Variants (81291) | $311.20 | $389 | 4.8× |
| Mumps antibody (86735) | $48 | $60 | 3.7× |
| Mycophenolic Acid (80180) | $111.20 | $139 | 6.2× |
| Mycoplasma antibody (86738) | $125.60 | $157 | 9.5× |
| Mycoplasma culture (87109) | $132 | $165 | 8.6× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $687.20 | $859 | 3.9× |
| Myoglobin urine (83874) | $182.40 | $228 | 14.1× |
| Natriuretic peptide (83880) | $540.80 | $676 | 13.8× |
| Neisseria Dir Na Probe (87590) | $318.40 | $398 | 11.8× |
| Neutralization Test Viral (86382) | $268 | $335 | 15.8× |
| Nk cells total count (86357) | $600 | $750 | 15.9× |
| Nras gene variants exon 2&3 (81311) | $900 | $1,125 | 3.0× |
| Nuclear antigen antibody (86235) | $66.40 | $83 | 3.7× |
| Obstetric panel (80081) | $306.40 | $383 | 4.1× |
| Occult blood feces (82272) | $40 | $50 | 9.5× |
| Occult Blood Other Sources (82271) | $52.80 | $66 | 9.9× |
| Oligoclonal bands (83916) | $307.20 | $384 | 11.2× |
| Organic acids urine (83918) | $260.80 | $326 | 11.1× |
| Osmolality serum (83930) | $48 | $60 | 7.3× |
| Osmolality Urine (83935) | $48 | $60 | 7.0× |
| Osmotic Fragility RBC Unincubated (85555) | $105.60 | $132 | 14.1× |
| Osteocalcin (83937) | $156.80 | $196 | 5.3× |
| Ova and parasites smears (87177) | $83.20 | $104 | 9.3× |
| Oxalate urine (83945) | $204 | $255 | 14.1× |
| Parvovirus antibody (86747) | $87.20 | $109 | 5.8× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $62.40 | $78 | 1.2× |
| Ph urine (81003) | $36.80 | $46 | 16.4× |
| Phenobarbital Level (80184) | $62.40 | $78 | 4.1× |
| Phenylalanine (84030) | $568 | $710 | 103.3× |
| Phenytoin (Dilantin) (80185) | $209.60 | $262 | 15.8× |
| Phenytoin free (80186) | $186.40 | $233 | 13.5× |
| Phosphatase alkaline (84075) | $82.40 | $103 | 15.9× |
| Phospholipid Neutralization Hexagonal (85598) | $312.80 | $391 | 17.4× |
| Phosphorus Serum (84100) | $30.40 | $38 | 6.4× |
| Pinworm exam (87172) | $67.20 | $84 | 15.7× |
| Platelet Aggregation (85576) | $99.20 | $124 | 4.0× |
| Platelet count automated (85049) | $68.80 | $86 | 15.4× |
| Platelet neutralization (85597) | $207.20 | $259 | 11.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $234.40 | $293 | 15.9× |
| Potassium Urine (84133) | $39.20 | $49 | 8.3× |
| Prealbumin (84134) | $48 | $60 | 3.3× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $200.80 | $251 | 3.5× |
| Procalcitonin (Pct) (84145) | $880 | $1,100 | 32.3× |
| Progesterone (84144) | $128 | $160 | 6.1× |
| Prolactin (84146) | $55.20 | $69 | 2.8× |
| Protein body fluid (84157) | $36.80 | $46 | 9.2× |
| Protein C Activity (85303) | $125.60 | $157 | 9.1× |
| Protein c antigen (85302) | $192 | $240 | 16.0× |
| Protein Electrophoresis Urine (84166) | $317.60 | $397 | 17.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $62.40 | $78 | 5.8× |
| Protein S Free (85306) | $203.20 | $254 | 13.3× |
| Protein s total (85305) | $148.80 | $186 | 12.8× |
| Protein total serum (84155) | $68.80 | $86 | 18.7× |
| Protein Total Urine (84156) | $36.80 | $46 | 10.0× |
| PSA free (84154) | $116.80 | $146 | 6.4× |
| Pth Intact (83970) | $62.40 | $78 | 1.5× |
| Quantiferon tb gold plus (86480) | $256.80 | $321 | 4.1× |
| Quantitative assay drug (80299) range across 7 matching MRF lines |
$85.60–$582.40 | $107–$728 | varies |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
$68–$502.40 | $85–$628 | varies |
| Quinidine (80194) | $232.80 | $291 | 15.9× |
| Rbc antibody elution (86860) | $312.80 | $391 | 1.9× |
| Rbc antibody identification (86870) | $116.80 | $146 | 0.3× |
| Rbc antibody screen (86850) | $83.20 | $104 | 8.5× |
| Rbc pretreatment serum (86978) | $205.60 | $257 | 3.6× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$36–$37.60 | $45–$47 | varies |
| Receptor assay estrogen (84233) | $764.80 | $956 | 8.7× |
| Receptor assay progesterone (84234) | $764.80 | $956 | 11.8× |
| Renin activity plasma (84244) | $68.80 | $86 | 3.1× |
| Reptilase test (85635) | $118.40 | $148 | 12.0× |
| Reticulocyte Count Manual (85044) | $67.20 | $84 | 15.6× |
| Rh (86901) | $101.60 | $127 | 34.0× |
| Rheumatoid Factor Qualitative (86430) | $91.20 | $114 | 14.9× |
| Rheumatoid factor quant (86431) | $59.20 | $74 | 10.4× |
| Rickettsia antibody (86757) | $80.80 | $101 | 4.2× |
| Ristocetin cofactor (85245) | $364.80 | $456 | 15.9× |
| Rotavirus ag eia (87425) | $44 | $55 | 3.7× |
| Rpr qualitative (86592) | $30.40 | $38 | 7.1× |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$42.40–$44 | $53–$55 | varies |
| Rubeola antibody (86765) | $53.60 | $67 | 4.2× |
| Russell Viper Venom Time Diluted (85613) | $103.20 | $129 | 10.8× |
| Rx metab gen seq alys pnl 6 (81418) | $776 | $970 | 0.8× |
| Salicylate Level (80179) | $60 | $75 | 3.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $156.80 | $196 | 3.1× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $43.20 | $54 | 1.0× |
| Sarscov2 & inf a&b amp prb (87636) | $282.40 | $353 | 2.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $420.80 | $526 | 3.0× |
| Sedimentation Rate, Automated (85652) | $60.80 | $76 | 22.5× |
| Semen Anal Sperm Detection (89321) | $194.40 | $243 | 16.1× |
| Semen analysis motility and count (89310) | $136.80 | $171 | 15.9× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$74.40–$348.80 | $93–$436 | varies |
| Sex Hormone Binding Globulin (84270) | $240.80 | $301 | 11.1× |
| Sickling of rbc reduction (85660) | $146.40 | $183 | 26.6× |
| Sirolimus (80195) | $172.80 | $216 | 12.6× |
| SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) | $24.80 | $31 | 0.1× |
| Smear acid fast (87206) | $92 | $115 | 17.1× |
| Smear complex stain (87209) | $83.20 | $104 | 4.6× |
| Smear gram stain (87205) | $67.20 | $84 | 15.7× |
| Smear Special Stain (87207) | $93.60 | $117 | 15.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $60.80 | $76 | 10.4× |
| Sodium Serum (84295) | $67.20 | $84 | 14.0× |
| Sodium Urine (84300) | $39.20 | $49 | 7.7× |
| Soluble Transferrin Receptor (84238) | $93.60 | $117 | 2.6× |
| Somatomedin (84305) | $83.20 | $104 | 3.9× |
| Somatostatin (84307) | $151.20 | $189 | 8.3× |
| Special Stains Group 1 (88312) | $246.40 | $308 | 4.9× |
| Special Stains Group 2 (88313) | $163.20 | $204 | 1.3× |
| Specific gravity body fluid (84315) | $22.40 | $28 | 6.8× |
| Specimen infect agnt concntj (87015) | $107.20 | $134 | 16.0× |
| Staph a DNA amp probe (87640) | $55.20 | $69 | 1.6× |
| Stool cultr aerobic bact ea (87046) | $177.60 | $222 | 18.8× |
| Strep a DNA amp probe (87651) | $76.80 | $96 | 2.2× |
| Sulfate urine (84392) | $92 | $115 | 16.8× |
| Surg path level iii (88304) | $156.80 | $196 | 3.1× |
| Surgical pathology level IV (88305) | $214.40 | $268 | 4.2× |
| Surgical pathology level vi (88309) | $662.40 | $828 | 0.8× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $35.20 | $44 | 7.4× |
| Syphilis Test Non-Trep Quant (86593) | $112 | $140 | 25.5× |
| T cells absolute cd4 count (86361) | $227.20 | $284 | 8.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $75.20 | $94 | 1.6× |
| T cells total count (86359) | $600 | $750 | 15.9× |
| T3 Free (84481) | $52.80 | $66 | 3.1× |
| T3 reverse (84482) | $112 | $140 | 7.1× |
| T3 Total (84480) | $30.40 | $38 | 2.1× |
| T3 Uptake (84479) | $104 | $130 | 16.1× |
| T4 Free (84439) | $48 | $60 | 5.3× |
| T4 total (84436) | $35.20 | $44 | 5.1× |
| Tacrolimus (80197) | $236 | $295 | 17.2× |
| Test for acetone/ketones (82009) | $69.60 | $87 | 15.4× |
| Testosterone total (84403) | $119.20 | $149 | 4.6× |
| Testosterone, Free (84402) | $224 | $280 | 8.8× |
| Tetanus antibody (86774) | $158.40 | $198 | 10.7× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $3,399.20 | $4,249 | 5.7× |
| Theophylline (80198) | $88.80 | $111 | 6.3× |
| Thrombin Time (85670) | $76.80 | $96 | 13.3× |
| Thromboplastin Inhibition Tissue (85705) | $83.20 | $104 | 8.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $55.20 | $69 | 8.5× |
| Thyroglobulin (84432) | $188 | $235 | 11.7× |
| Thyroglobulin Antibody (86800) | $54.40 | $68 | 3.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $188.80 | $236 | 3.7× |
| Tiss cul neo disorders solid tumor (88239) | $209.60 | $262 | 1.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $88.80 | $111 | 7.7× |
| Tissue Culture (88233) | $209.60 | $262 | 1.5× |
| Tissue culture bone marrow (88237) | $209.60 | $262 | 1.5× |
| Tissue Culture Lymphocyte (88230) | $209.60 | $262 | 1.8× |
| Tobramycin peak (80200) | $256 | $320 | 15.9× |
| Topiramate (80201) | $221.60 | $277 | 18.6× |
| Touch prep (88161) | $105.60 | $132 | 3.8× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $116.80 | $146 | 5.9× |
| Toxoplasma ab igm (86778) | $158.40 | $198 | 11.0× |
| Tpmt gene com variants (81335) | $24.80 | $31 | 0.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $82.40 | $103 | 15.9× |
| Transferrin (84466) | $48 | $60 | 3.8× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $689.60 | $862 | 3.3× |
| Trg gene rearrangement anal (81342) | $665.60 | $832 | 3.3× |
| Trichomonas Vaginalis Amplif (87661) | $118.40 | $148 | 3.4× |
| Triglycerides (84478) | $92 | $115 | 16.0× |
| Troponin Quant (84484) | $151.20 | $189 | 12.1× |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$260–$1,102.40 | $325–$1,378 | varies |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$144.80–$832 | $181–$1,040 | varies |
| Ugt1a1 gene analysis common variants (81350) | $311.20 | $389 | 1.3× |
| Unlisted Transfusion Medicine Procedure (86999) | $349.60 | $437 | 12.4× |
| Uric acid other source (84560) | $75.20 | $94 | 14.8× |
| Urinalysis Microscopic Only (81015) | $48.80 | $61 | 16.0× |
| Urinalysis Volume Measure (81050) | $48 | $60 | 13.2× |
| Urine Pregnancy Test (81025) | $32.80 | $41 | 3.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $64 | $80 | 20.2× |
| Valproic acid (80164) range across 2 matching MRF lines |
$83.20–$146.40 | $104–$183 | varies |
| Vancomycin (80202) | $119.20 | $149 | 8.8× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$53.60–$55.20 | $67–$69 | varies |
| Vasopressin (84588) | $125.60 | $157 | 3.7× |
| Viral Culture (87252) | $184 | $230 | 7.1× |
| Virus antibody nos (86790) | $198.40 | $248 | 15.4× |
| Virus inoculate tissue addl (87253) range across 3 matching MRF lines |
$68.80–$169.60 | $86–$212 | varies |
| Virus inoculation, shell via (87254) | $309.60 | $387 | 15.8× |
| Viscosity serum (85810) | $35.20 | $44 | 3.0× |
| Vit D 1 25-Dihydroxy (82652) | $125.60 | $157 | 3.3× |
| Vitamin A (84590) | $75.20 | $94 | 6.5× |
| Vitamin b-12 (82607) | $39.20 | $49 | 2.6× |
| Vitamin B2 (Riboflavin) (84252) | $320 | $400 | 15.8× |
| Vitamin B6 (84207) | $88.80 | $111 | 3.2× |
| Vitamin c (82180) | $519.92 | $649.90 | 52.6× |
| Vitamin D 25-Hydroxy (82306) | $72 | $90 | 2.4× |
| Vitamin E (84446) | $225.60 | $282 | 15.9× |
| Vkorc1 gene (81355) | $24.80 | $31 | 0.3× |
| Volatiles (84600) | $184 | $230 | 10.8× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $315.54 | $394.43 | 26.2× |
| West nile virus ab igm (86788) | $121.60 | $152 | 7.2× |
| West Nile Virus Antibody (86789) | $160 | $200 | 11.1× |
| Xylose Absorption Test (84620) | $93.60 | $117 | 7.3× |
| Zinc (84630) | $55.20 | $69 | 4.8× |
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.