Lab & pathology prices at Campbell County Health
Gillette, WY · every code in this section with a posted price and a Medicare benchmark.
650 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $139.50 | $155 | 6.1× |
| 5 Nucleotidase (83915) | $211.50 | $235 | 19.0× |
| Acetylcholine receptor binding antibody (86041) | $157.50 | $175 | 8.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $81 | $90 | 6.7× |
| Acth (82024) | $160.65 | $178.50 | 4.2× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $238.95 | $265.50 | 7.3× |
| Actin smooth muscle antibody each (86015) | $211.50 | $235 | 17.6× |
| Acute hepatitis panel (80074) | $362.70 | $403 | 7.6× |
| Acylcarnitines Quant (82017) | $73.35 | $81.50 | 4.3× |
| Albumin Fluid (82042) | $198 | $220 | 25.4× |
| Albumin serum (82040) | $66.15 | $73.50 | 13.4× |
| Aldolase (82085) | $63 | $70 | 6.5× |
| Aldosterone urine (82088) | $114.75 | $127.50 | 2.8× |
| Alkaline phosphatase isoenzymes (84080) | $78.75 | $87.50 | 5.3× |
| Allergen specific ige (86003) | $32.85 | $36.50 | 6.3× |
| Allergen specific igg (86001) | $54 | $60 | 6.9× |
| Alpha-1-antitrypsin phenotype (82104) | $76.95 | $85.50 | 5.3× |
| Alpha-1-antitrypsin total (82103) | $71.55 | $79.50 | 5.3× |
| Alpha-Fetoprotein Serum (82105) | $90 | $100 | 5.4× |
| Alt (sgpt) (84460) | $61.65 | $68.50 | 11.6× |
| Aluminum (82108) | $106.20 | $118 | 4.2× |
| Amikacin trough (80150) | $119.25 | $132.50 | 7.9× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $166.50 | $185 | 9.9× |
| Aminolevulinic acid (ala) (82135) | $63 | $70 | 3.8× |
| Ammonia (82140) | $122.40 | $136 | 8.4× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $112.50 | $125 | 1.1× |
| Amylase urine (82150) | $75.60 | $84 | 11.7× |
| Anca screen each antibody (86036) | $211.50 | $235 | 17.6× |
| Androstenedione (82157) | $155.70 | $173 | 5.3× |
| Angiotensin converting enzyme csf (82164) | $68.40 | $76 | 4.7× |
| Anti-Phospholipid Antibody (86148) | $144 | $160 | 9.0× |
| Antibody aspergillus (86606) | $69.30 | $77 | 4.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $68.40 | $76 | 4.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $83.25 | $92.50 | 4.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $31.50 | $35 | 2.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $82.35 | $91.50 | 5.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $96.75 | $107.50 | 5.3× |
| Antibody Fungus Not Elsewhere Specified (86671) | $67.05 | $74.50 | 5.5× |
| Antibody Herpes Smplx Type 1 (86695) | $66.15 | $73.50 | 5.0× |
| Antibody HIV-2 (86702) | $111.15 | $123.50 | 8.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $83.25 | $92.50 | 4.3× |
| Antibody Protozoa Nes (86753) | $84.60 | $94 | 6.8× |
| Antibody Titer (86886) | $270 | $300 | 52.1× |
| Antibody Treponema Pallidum (86780) | $61.65 | $68.50 | 4.7× |
| Antigen typing (86905) | $369.90 | $411 | 96.6× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $153 | $170 | 26.7× |
| Antinuclear antibodies (86038) | $63.90 | $71 | 5.3× |
| Antithrombin iii activity (85300) | $94.95 | $105.50 | 8.0× |
| Antithrombin iii antigen (85301) | $110.25 | $122.50 | 10.2× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $2,548.80 | $2,832 | 5.1× |
| Apolipoprotein a1 (82172) | $80.55 | $89.50 | 3.8× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $211.50 | $235 | 5.6× |
| Arsenic (82175) | $63 | $70 | 3.3× |
| Aspergillus ag eia (87305) | $66.60 | $74 | 5.6× |
| Assay activated protein c (85307) | $82.35 | $91.50 | 5.4× |
| Assay Blood Carbon Dioxide (82374) | $13.50 | $15 | 2.8× |
| Assay Dir Meas Fr Estradiol (82681) | $76.50 | $85 | 2.7× |
| Assay Nephelometry Not Spec (83883) | $108 | $120 | 7.9× |
| Assay of 5-hiaa (83497) | $18 | $20 | 1.4× |
| Assay of anti-mullerian hormone (82166) | $261 | $290 | 6.8× |
| Assay of blood/uric acid (84550) | $56.25 | $62.50 | 12.4× |
| Assay of calcium in urine (82340) | $66.15 | $73.50 | 11.0× |
| Assay of cpk in blood (82552) | $68.85 | $76.50 | 5.1× |
| Assay of estrone (82679) | $94.50 | $105 | 3.8× |
| Assay of g6pd enzyme (82955) | $184.50 | $205 | 19.0× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$53.10–$71.10 | $59–$79 | varies |
| Assay of lactic acid (83605) | $105.75 | $117.50 | 9.1× |
| Assay of manganese (83785) | $95.40 | $106 | 3.6× |
| Assay of metanephrines (83835) | $96.75 | $107.50 | 5.7× |
| Assay of proinsulin (84206) | $69.30 | $77 | 2.6× |
| Assay of pyruvate (84210) | $130.50 | $145 | 9.0× |
| Assay of serotonin (84260) | $54 | $60 | 1.7× |
| Assay of serum potassium (84132) | $66.15 | $73.50 | 13.9× |
| Assay of sweat sodium (84302) | $130.50 | $145 | 26.9× |
| Assay of Tyrosine (84510) | $72 | $80 | 6.8× |
| Assay of urea nitrogen (84520) | $59.40 | $66 | 15.0× |
| Assay of urine vma (84585) | $61.20 | $68 | 3.9× |
| Assay of vasoactive intestinal peptide (84586) | $137.70 | $153 | 3.9× |
| Assay of vitamin b-1 (84425) | $87.75 | $97.50 | 4.1× |
| Assay Ph Body Fluid Nos (83986) | $52.20 | $58 | 14.6× |
| Assay spec xcp ur&breath ia (82077) | $130.05 | $144.50 | 7.5× |
| Automated Leukocyte Count (85048) | $45.45 | $50.50 | 17.9× |
| B cells total count (86355) | $193.05 | $214.50 | 5.1× |
| Babesia microti amp prb (87469) | $35.10 | $39 | 1.0× |
| Bartonella antibody (86611) | $54 | $60 | 5.3× |
| Bcr/abl1 gene major bp (81206) | $379.80 | $422 | 2.3× |
| Bcr/abl1 gene minor bp (81207) | $158.40 | $176 | 1.1× |
| Bcr/Abl1 Gene Other Bp (81208) | $216 | $240 | 1.0× |
| Beta 2 glycoprotein i antibody each (86146) | $136.80 | $152 | 5.4× |
| Beta hydroxybutyrate (82010) range across 3 matching MRF lines |
$67.50–$122.40 | $75–$136 | varies |
| Beta Lactamase (87185) | $41.40 | $46 | 8.7× |
| Beta-2 Microglobulin (82232) | $116.10 | $129 | 7.2× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $450 | $500 | 3.5× |
| Bile acids total (82239) | $97.65 | $108.50 | 5.7× |
| Bilirubin direct (82248) | $41.40 | $46 | 8.2× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$75.60–$103.50 | $84–$115 | varies |
| Bilirubin total transcutaneous (88720) | $18 | $20 | 3.6× |
| Biotinidase (82261) | $27 | $30 | 1.6× |
| Blastomyces antibody (86612) | $68.85 | $76.50 | 5.3× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $225 | $250 | 1.3× |
| Bld Typing Serologic Rh Phnt (86906) | $84.60 | $94 | 10.9× |
| Blood count reticulocyte automated (85045) | $56.70 | $63 | 14.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $43.20 | $48 | 11.4× |
| Blood count spun microhematocrit (85013) | $31.50 | $35 | 4.5× |
| Blood gas (82803) | $196.20 | $218 | 7.5× |
| Blood gases w/02 saturation (82805) | $186.30 | $207 | 2.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $118.35 | $131.50 | 7.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $389.70 | $433 | 61.4× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $180 | $200 | 11.0× |
| Blood typing serologic abo (86900) | $131.40 | $146 | 43.9× |
| Body fluid cell count (89050) | $67.50 | $75 | 14.3× |
| Bone marrow smear interpretation (85097) | $787.50 | $875 | 1.0× |
| Bordetella antibody (86615) | $101.70 | $113 | 7.7× |
| Borrelia miyamotoi amp prb (87478) | $35.10 | $39 | 1.0× |
| Braf gene analysis (81210) | $202.50 | $225 | 1.2× |
| Brca1&2 gen full seq dup/del (81162) | $1,950.30 | $2,167 | 1.1× |
| Brucella antibody (86622) | $48.15 | $53.50 | 5.4× |
| C diff amplified probe (87493) | $135 | $150 | 3.6× |
| C-Peptide (84681) | $118.80 | $132 | 5.7× |
| C-reactive protein (86140) | $107.10 | $119 | 20.7× |
| Ca 19-9 (86301) | $118.80 | $132 | 5.7× |
| Cadmium (82300) | $36 | $40 | 1.5× |
| Caffeine (80155) | $45 | $50 | 1.2× |
| Calcitonin (82308) | $102.15 | $113.50 | 3.8× |
| Calcium ionized (82330) | $80.10 | $89 | 5.9× |
| Calcium total (82310) | $55.80 | $62 | 10.8× |
| Calculus Spectroscopy (82365) | $52.65 | $58.50 | 4.1× |
| Calprotectin Fecal (83993) | $211.50 | $235 | 10.8× |
| Calr gene com variants (81219) | $616.50 | $685 | 5.1× |
| Cancer Antigen 125 (86304) | $90 | $100 | 4.3× |
| Cancer Antigen 27.29 (86300) | $122.85 | $136.50 | 5.9× |
| Carbamazepine total (80156) | $124.20 | $138 | 8.5× |
| Carbohydrate Deficient Transferrin (82373) | $43.20 | $48 | 2.4× |
| Carboxyhemoglobin (82375) | $87.75 | $97.50 | 7.1× |
| Carcinoembryonic antigen (82378) | $130.50 | $145 | 6.9× |
| Cardiolipin ab iga (86147) | $113.40 | $126 | 4.5× |
| Carnitine Quantitative Each Specimen (82379) | $66.15 | $73.50 | 3.9× |
| Catecholamines fractionated (82384) | $99 | $110 | 3.9× |
| Ccp antibody (86200) | $81 | $90 | 6.3× |
| Cell count csf (89051) | $67.95 | $75.50 | 12.1× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $238.50 | $265 | 1.8× |
| Ceruloplasmin (82390) | $49.05 | $54.50 | 4.6× |
| Cftr gene com variants (81220) | $551.70 | $613 | 1.0× |
| Chemiluminescent assay (82397) | $265.50 | $295 | 18.8× |
| Chlamydia antibody (86631) | $46.35 | $51.50 | 3.9× |
| Chlamydia Igm Antibody (86632) | $49.95 | $55.50 | 3.9× |
| Chloride other source (82438) | $63 | $70 | 12.6× |
| Chloride urine (82436) | $76.05 | $84.50 | 13.2× |
| Cholesterol total (82465) | $38.70 | $43 | 8.9× |
| Cholinesterase Serum (82480) | $128.25 | $142.50 | 16.3× |
| Chorionic gonadotropin test (84702) | $165.60 | $184 | 11.0× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $31.50 | $35 | 1.2× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $45 | $50 | 1.3× |
| Chromium serum (82495) | $107.55 | $119.50 | 5.3× |
| Chromogenic Substrate Assay (85130) | $364.50 | $405 | 30.7× |
| Chromogranin a (86316) | $82.35 | $91.50 | 4.0× |
| Chromosome Analysis 15-20 (88262) | $173.70 | $193 | 1.4× |
| Chromosome Analysis 20-25 (88264) | $606.15 | $673.50 | 4.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $98.55 | $109.50 | 2.8× |
| Citric acid urine (82507) | $114.75 | $127.50 | 4.1× |
| Clostridium Difficile (87324) | $68.40 | $76 | 5.7× |
| Clot Factor VIII Multimetric (85247) | $99.90 | $111 | 4.4× |
| Clotting factor xii hageman (85280) | $75.15 | $83.50 | 3.9× |
| Clotting Funct Activity (85397) | $142.20 | $158 | 4.6× |
| Cns DNA amp probe type 12-25 (87483) | $623.70 | $693 | 1.5× |
| Coagulation time activated (85347) | $75.60 | $84 | 17.7× |
| Coccidioides antibody (86635) | $61.65 | $68.50 | 5.4× |
| Cold agglutinin titer (86157) | $57.60 | $64 | 7.1× |
| Collagen crosslinks (82523) | $152.10 | $169 | 8.1× |
| Column Chromotography Quant (82542) range across 5 matching MRF lines |
$49.95–$369 | $55.50–$410 | varies |
| Compatibility test antiglob (86922) | $180 | $200 | 1.0× |
| Complement Antigen Each Component (86160) | $164.70 | $183 | 13.7× |
| Complement Total (Ch50) (86162) | $81 | $90 | 4.0× |
| Complement/Function Activity (86161) | $164.70 | $183 | 13.7× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $360.45 | $400.50 | 2.1× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $378 | $420 | 7.1× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $315 | $350 | 8.3× |
| Coombs direct (86880) | $78.30 | $87 | 14.5× |
| Copper urine (82525) | $53.10 | $59 | 4.3× |
| Cortisol free (82530) | $306 | $340 | 18.3× |
| Cortisol saliva (82533) | $135 | $150 | 8.3× |
| Creatine kinase total (82550) | $71.10 | $79 | 10.9× |
| Creatinine blood (82565) | $57.60 | $64 | 11.3× |
| Creatinine clearance (82575) | $84.60 | $94 | 8.9× |
| Creatinine Urine (82570) | $54 | $60 | 10.4× |
| Crossmatch electronic (86923) | $153 | $170 | 0.9× |
| Crossmatch immediate spin (86920) | $175.50 | $195 | 1.0× |
| Crp High Sensitivity (86141) | $99 | $110 | 7.6× |
| Cryofibrinogen (82585) | $36.90 | $41 | 2.6× |
| Cryoglobulin (82595) | $44.55 | $49.50 | 6.9× |
| Cryptococcus ag titer (87899) | $65.70 | $73 | 4.1× |
| Cryptosporidium ag eia (87328) | $134.10 | $149 | 9.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $72 | $80 | 8.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $72 | $80 | 8.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $49.95 | $55.50 | 6.5× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $900 | $1,000 | 4.1× |
| Culture aerobic quant other (87071) | $105.75 | $117.50 | 10.7× |
| Culture afb (87116) | $109.80 | $122 | 10.2× |
| Culture Anaerobic (87075) | $135 | $150 | 14.3× |
| Culture bacteria anaerobic (87073) | $135 | $150 | 14.0× |
| Culture blood (87040) | $133.65 | $148.50 | 13.0× |
| Culture csf (87070) | $82.80 | $92 | 9.6× |
| Culture fungus (87102) | $90 | $100 | 10.7× |
| Culture fungus blood (87103) | $90 | $100 | 4.4× |
| Culture screen only (87081) range across 4 matching MRF lines |
$59.85–$72 | $66.50–$80 | varies |
| Culture stool (87045) | $18.90 | $21 | 2.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $49.50 | $55 | 9.6× |
| Culture urine (87086) | $79.65 | $88.50 | 9.9× |
| Cyclosporine (80158) | $102.60 | $114 | 5.7× |
| Cyp2c19 gene analysis common variants (81225) | $706.50 | $785 | 2.4× |
| Cystatin C (82610) | $73.35 | $81.50 | 4.0× |
| Cytogenetics 10-30 (88273) | $79.20 | $88 | 2.3× |
| Cytogenetics 100-300 (88275) | $29.70 | $33 | 0.6× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,947.50 | $3,275 | 2.5× |
| Cytomegalovirus igg (86644) | $90 | $100 | 6.3× |
| Cytopath Cell Enhance Tech (88112) | $157.50 | $175 | 3.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $225 | $250 | 4.2× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $216 | $240 | 1.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $151.20 | $168 | 4.0× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $112.50 | $125 | 3.8× |
| Deoxyribonuclease antibody (86215) | $171 | $190 | 12.9× |
| Detect Agent Nos Dna Amp (87798) range across 10 matching MRF lines |
$162–$666 | $180–$740 | varies |
| Detect Agent Nos Dna Quant (87799) | $113.40 | $126 | 2.6× |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$130.50–$157.50 | $145–$175 | varies |
| Dgp Antibody Each Ig Class (86258) | $94.50 | $105 | 7.8× |
| Dhea (82626) | $105.30 | $117 | 4.2× |
| Dhea-S (82627) | $93.15 | $103.50 | 4.2× |
| Digoxin (80162) | $145.80 | $162 | 11.0× |
| Dihydrotestosterone (82642) | $40.50 | $45 | 1.4× |
| Dipropylacetic Acid Free (80165) | $31.50 | $35 | 2.3× |
| Dna Antibody Native/Double Stranded (86225) | $175.50 | $195 | 12.8× |
| Dna/Rna Amplified Probe (87150) | $172.80 | $192 | 4.9× |
| Dna/Rna Sequencing (87153) | $315 | $350 | 2.7× |
| Drug assay acetaminophen (80143) | $145.35 | $161.50 | 7.8× |
| Drug assay adalimumab (80145) | $355.50 | $395 | 9.2× |
| Drug Assay Amiodarone (80151) | $45 | $50 | 2.4× |
| Drug Assay Everolimus (80169) | $243.90 | $271 | 17.8× |
| Drug assay felbamate (80167) | $38.70 | $43 | 2.1× |
| Drug Assay Infliximab (80230) | $288 | $320 | 7.5× |
| Drug Assay Lacosamide (80235) | $202.50 | $225 | 7.5× |
| Drug assay voriconazole (80285) | $57.60 | $64 | 2.1× |
| Drug Screen Quant Clozapine (80159) | $45 | $50 | 2.2× |
| Drug Screen Quant Zonisamide (80203) | $77.40 | $86 | 5.8× |
| Drug Screen Quantitative Gabapentin (80171) | $77.40 | $86 | 3.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $77.40 | $86 | 5.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $81.45 | $90.50 | 6.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $77.40 | $86 | 5.8× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $49.50 | $55 | 3.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 5 matching MRF lines |
$156.15–$225.90 | $173.50–$251 | varies |
| Drug Test Prsmv Instrmnt (80306) | $156.15 | $173.50 | 9.1× |
| Ehrlichia antibody (86666) | $70.65 | $78.50 | 6.9× |
| El-1 Fecal Quantitative (82653) | $261 | $290 | 11.4× |
| Electrolyte panel (80051) | $104.40 | $116 | 14.9× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $211.50 | $235 | 17.5× |
| Enzyme cell activity (82657) | $424.80 | $472 | 19.2× |
| Enzyme histochemistry (88319) | $334.35 | $371.50 | 0.4× |
| Eosinophil Smear (89190) | $41.40 | $46 | 7.2× |
| Erythropoietin (82668) | $82.35 | $91.50 | 4.4× |
| Estradiol serum (82670) | $203.40 | $226 | 7.3× |
| Estrogens fractionated (82671) | $36 | $40 | 1.1× |
| Euglobulin lysis (85360) | $108 | $120 | 12.8× |
| Exam Synovial Fluid Crystals (89060) | $59.85 | $66.50 | 8.2× |
| F2 Gene (81240) | $163.80 | $182 | 2.5× |
| Factor ii activity (85210) | $61.20 | $68 | 4.7× |
| Factor Inhibitor Test (85335) | $247.50 | $275 | 19.2× |
| Factor ix activity (85250) | $74.25 | $82.50 | 3.9× |
| Factor v activity (85220) | $68.40 | $76 | 3.9× |
| Factor v leiden mutation (81241) | $129.60 | $144 | 1.8× |
| Factor vii assay (85230) | $74.25 | $82.50 | 4.1× |
| Factor viii assay (85240) | $76.95 | $85.50 | 4.3× |
| Factor X (85260) | $70.20 | $78 | 3.9× |
| Factor xi activity (85270) | $70.20 | $78 | 3.9× |
| Factor xiii screen (85291) | $95.40 | $106 | 10.5× |
| Fat/Lipids Feces Quantitative (82710) | $69.75 | $77.50 | 4.2× |
| Fatty acids free (82725) | $117 | $130 | 6.2× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $184.50 | $205 | 10.7× |
| Ferritin (82728) | $175.50 | $195 | 12.9× |
| Fetal Chrmoml Aneuploidy (81420) | $756 | $840 | 1.0× |
| Fetal Fibronectin (82731) | $419.85 | $466.50 | 6.5× |
| Fetal screen rosette (85461) | $67.95 | $75.50 | 7.3× |
| Fibrin Degradation Quant (85379) | $93.60 | $104 | 9.2× |
| Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) | $128.70 | $143 | 12.6× |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$46.35–$106.20 | $51.50–$118 | varies |
| Fibrinogen antigen (85385) | $153 | $170 | 10.6× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $99.90 | $111 | 6.5× |
| Flow cytometry first marker (88184) range across 4 matching MRF lines |
$315–$733.50 | $350–$815 | varies |
| Fluorescent antibody screen (86255) range across 11 matching MRF lines |
$211.50–$351 | $235–$390 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $211.50 | $235 | 17.6× |
| Fmr1 gene detection (81243) | $261.90 | $291 | 4.6× |
| Folic Acid Serum (82746) | $122.40 | $136 | 8.3× |
| Follicle Stimulating Hormone (83001) | $124.20 | $138 | 6.7× |
| Francisella tularensis (86668) | $76.50 | $85 | 5.4× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $144 | $160 | 0.8× |
| Frozen Section (88331) | $261 | $290 | 1.5× |
| Fungi Identification Mold (87107) | $121.50 | $135 | 11.8× |
| Fungi Identification Yeast (87106) | $77.40 | $86 | 7.5× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $45 | $50 | 2.1× |
| Gammaglobulin ige (82785) | $88.20 | $98 | 5.4× |
| Gases blood ph only (82800) | $66.15 | $73.50 | 6.0× |
| Gastrin (82941) | $68.40 | $76 | 3.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $494.10 | $549 | 1.2× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,079 | $2,310 | 2.7× |
| Genetic Tstg Severe Inh Cond (81443) | $3,019.50 | $3,355 | 1.2× |
| Gentamicin (80170) | $128.70 | $143 | 7.9× |
| Ggt (82977) | $73.80 | $82 | 10.3× |
| Giardia antigen (87329) | $81 | $90 | 6.8× |
| Glucagon (82943) | $56.25 | $62.50 | 3.9× |
| Glucose 2 hr pp (82950) | $61.65 | $68.50 | 13.0× |
| Glucose Blood Test (82962) | $36 | $40 | 11.0× |
| Glucose body fluid (82945) | $100.80 | $112 | 25.6× |
| Glucose Serum (82947) | $60.30 | $67 | 15.3× |
| Glucose tolerance test (gtt) (82951) | $115.20 | $128 | 9.0× |
| Glutathione (82978) | $333 | $370 | 21.6× |
| Glycated Protein (82985) | $58.05 | $64.50 | 3.5× |
| Gonadotropin Chorionic Qualitative (84703) | $81.90 | $91 | 10.9× |
| Growth hormone (83003) | $66.15 | $73.50 | 4.0× |
| Gtt-added samples (82952) | $25.20 | $28 | 6.4× |
| H Pylori (C-13) Breath (83013) | $171 | $190 | 2.5× |
| H pylri clrthmcn rst amp prb (87513) | $540 | $600 | 15.4× |
| Haloperidol (80173) | $58.50 | $65 | 3.7× |
| Haptoglobin (83010) | $51.75 | $57.50 | 4.1× |
| Hba1/hba2 full gene sequence (81259) | $828 | $920 | 1.4× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $396 | $440 | 2.0× |
| Hbb duplication/deletion variants (81363) | $616.50 | $685 | 3.0× |
| Hbb Full Gene Sequence (81364) | $823.50 | $915 | 2.5× |
| Hdl Cholesterol (83718) | $72.45 | $80.50 | 8.8× |
| Helicobacter Pylori Stool (87338) | $117 | $130 | 8.1× |
| Helminth Antibody (86682) | $99 | $110 | 7.6× |
| Hematocrit (85014) | $34.20 | $38 | 14.4× |
| Hemoglobin (85018) | $34.20 | $38 | 14.4× |
| Hemoglobin a1c (83036) | $90.90 | $101 | 9.4× |
| Hemoglobin Chromotography (83021) | $229.50 | $255 | 12.7× |
| Hemoglobin electrophoresis (83020) | $189 | $210 | 14.7× |
| Hemoglobin stability screen (83068) | $45 | $50 | 4.8× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $99.90 | $111 | 11.4× |
| Hemosiderin urine (83070) | $33.30 | $37 | 7.0× |
| Hep a ab igm (86709) | $139.50 | $155 | 12.4× |
| Heparin assay (85520) | $67.95 | $75.50 | 5.2× |
| Hepatitis a antibody total (86708) | $67.05 | $74.50 | 5.4× |
| Hepatitis b core ab igm (86705) | $51.30 | $57 | 4.4× |
| Hepatitis b core ab total (86704) | $65.70 | $73 | 5.5× |
| Hepatitis B Surface Antibody (86706) | $57.60 | $64 | 5.4× |
| Hepatitis B Surface Antigen (87340) | $91.35 | $101.50 | 8.8× |
| Hepatitis Be Antibody (86707) | $61.65 | $68.50 | 5.3× |
| Hepatitis Be Antigen (87350) | $61.65 | $68.50 | 5.3× |
| Hepatitis C Antibody (86803) | $80.55 | $89.50 | 5.6× |
| Hepatitis C Genotype (87902) | $507.15 | $563.50 | 2.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $263.25 | $292.50 | 6.1× |
| Hepatitis Delta Agent Antibody (86692) | $86.40 | $96 | 5.0× |
| Herpes simplex type 2 (86696) | $95.40 | $106 | 4.9× |
| Heterophile Antibody Screen (86308) | $63.90 | $71 | 12.3× |
| Hfe Gene (81256) | $223.20 | $248 | 3.4× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $76.05 | $84.50 | 9.8× |
| Histamine urine (83088) | $184.50 | $205 | 6.2× |
| Histoplasma antibody (86698) | $67.05 | $74.50 | 4.9× |
| Histoplasma antigen urine (87385) | $99.90 | $111 | 7.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 3 matching MRF lines |
$45–$112.50 | $50–$125 | varies |
| Hiv-1 Antibody (86701) | $73.35 | $81.50 | 8.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $331.20 | $368 | 3.9× |
| HIV-2 probe&revrse trnscripj (87538) | $301.50 | $335 | 8.6× |
| Hla Class I Typing Low Resolution Complete (81372) | $400.50 | $445 | 1.0× |
| Hla I Typing 1 Allele Hr (81381) | $453.60 | $504 | 2.7× |
| Hla ii typing 1 locus lr (81376) | $163.80 | $182 | 1.3× |
| Hla-b27 (86812) | $146.25 | $162.50 | 5.7× |
| Homocysteine (83090) | $111.60 | $124 | 6.2× |
| Homogenization Tissue (87176) | $31.50 | $35 | 5.4× |
| Homovanillic acid urine (83150) | $75.15 | $83.50 | 3.4× |
| Hsv Dna Amp Probe (87529) | $188.10 | $209 | 5.4× |
| Human Epididymis Protein 4 (86305) | $151.20 | $168 | 7.3× |
| Hydroxyprogesterone 17-d (83498) | $145.35 | $161.50 | 5.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $63 | $70 | 6.1× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $35.10 | $39 | 1.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $136.80 | $152 | 3.9× |
| Iadna Candida Species Amplified Probe Tq (87481) | $225 | $250 | 6.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $335.25 | $372.50 | 9.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $136.80 | $152 | 3.9× |
| Iadna Cytomegalovirus Quantification (87497) | $167.40 | $186 | 3.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $162 | $180 | 2.3× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $35.10 | $39 | 1.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $162 | $180 | 3.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $216 | $240 | 6.2× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $143.10 | $159 | 3.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 3 matching MRF lines |
$183.60–$335.25 | $204–$372.50 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $98.55 | $109.50 | 2.8× |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $217.80 | $242 | 7.3× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $315 | $350 | 2.2× |
| Ig Light Chains Free Each (83521) | $261 | $290 | 15.1× |
| Igg subclasses (82787) | $90 | $100 | 11.2× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $584.10 | $649 | 2.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $118.80 | $132 | 0.3× |
| Immunfix e-phorsis/urine/csf (86335) | $209.70 | $233 | 7.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $307.80 | $342 | 16.7× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $76.95 | $85.50 | 5.1× |
| Immunoassay nonantibody (83516) range across 6 matching MRF lines |
$94.50–$202.50 | $105–$225 | varies |
| Immunofixation electrophoresis (86334) | $175.50 | $195 | 7.9× |
| Immunohistochemistry (88342) | $166.50 | $185 | 1.0× |
| In situ hybridization 1st probe stain (88365) | $166.50 | $185 | 1.0× |
| Influenza DNA amp probe (87502) | $188.55 | $209.50 | 2.0× |
| Inhibin A (86336) | $83.25 | $92.50 | 5.3× |
| Inhibin b (83520) range across 12 matching MRF lines |
$184.50–$603 | $205–$670 | varies |
| Insitu hybridization auto (88367) | $270 | $300 | 0.7× |
| Insulin antibodies (86337) | $84.15 | $93.50 | 3.9× |
| Insulin free (83527) | $51.30 | $57 | 4.0× |
| Insulin total (83525) | $47.25 | $52.50 | 4.1× |
| Interleukin-6 (83529) | $184.50 | $205 | 10.7× |
| Intrinsic factor antibody (86340) | $62.10 | $69 | 4.1× |
| Iron (83540) | $89.10 | $99 | 13.8× |
| Iron Binding Capacity (83550) | $61.65 | $68.50 | 7.1× |
| Irradiation Blood Product Each Unit (86945) | $117 | $130 | 3.1× |
| Islet cell antibody (86341) range across 7 matching MRF lines |
$177.75–$612 | $197.50–$680 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$350.55–$351 | $389.50–$390 | varies |
| Koh Prep (87220) | $48.60 | $54 | 11.4× |
| Lactate (ld) (ldh) enzyme (83615) | $63.90 | $71 | 10.6× |
| Lactoferrin fecal qualitative (83630) | $112.95 | $125.50 | 5.7× |
| LDL direct (83721) | $72.45 | $80.50 | 6.9× |
| Lead (83655) | $62.10 | $69 | 5.1× |
| Legionella antigen urine (87449) | $153 | $170 | 12.8× |
| Leptospira antibody (86720) | $117.90 | $131 | 7.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $90 | $100 | 3.0× |
| Level ii surg pathology grossµscopic exam (88302) | $135 | $150 | 3.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $360 | $400 | 1.0× |
| Lipase (83690) | $97.20 | $108 | 14.1× |
| Lipoprotein A (83695) | $50.85 | $56.50 | 3.6× |
| Lipoprotein Bld Quan Part (83704) | $136.80 | $152 | 4.0× |
| Lithium (80178) | $80.10 | $89 | 12.1× |
| Luteinizing Hormone (Lh) (83002) | $193.50 | $215 | 10.4× |
| Lyme disease antibody (86618) | $75.15 | $83.50 | 4.4× |
| Lymphocyte transformation (86353) | $513 | $570 | 10.5× |
| Lysozyme serum (85549) | $73.35 | $81.50 | 3.9× |
| M. Genitalium Amp Probe (87563) | $108 | $120 | 3.1× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$220.50–$499.50 | $245–$555 | varies |
| M/phmtrc alys ishquant/semiq (88374) | $439.20 | $488 | 2.5× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$57.15–$117 | $63.50–$130 | varies |
| Mass Spectrometry Quant (83789) | $261 | $290 | 10.8× |
| Mercury urine (83825) | $67.50 | $75 | 4.2× |
| Metabolic panel ionized ca (80047) | $121.50 | $135 | 8.8× |
| Methylmalonic acid serum (83921) | $97.65 | $108.50 | 4.6× |
| Microalbumin, quantitative (82043) | $63 | $70 | 10.9× |
| Microsomal Antibodies Each (86376) | $81.90 | $91 | 5.6× |
| Mitochondrial Antibody Each (86381) | $94.50 | $105 | 3.7× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $544.50 | $605 | 14.4× |
| Molecular Cytogenetics Dna Probe Each (88271) | $392.40 | $436 | 18.3× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $148.95 | $165.50 | 3.5× |
| Mononuclear cell antigen (86356) | $143.10 | $159 | 5.3× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$486.90–$738 | $541–$820 | varies |
| Mopath procedure level 4 (81403) | $498.60 | $554 | 2.7× |
| Mopath procedure level 7 (81406) | $2,857.50 | $3,175 | 10.1× |
| Mopath procedure level 8 (81407) | $2,320.20 | $2,578 | 2.7× |
| Mopath procedure level 9 (81408) | $2,210.85 | $2,456.50 | 1.1× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $486 | $540 | 2.6× |
| Mrsa Pcr (87641) | $203.85 | $226.50 | 5.8× |
| Mthfr Gene Analysis Common Variants (81291) | $304.65 | $338.50 | 4.7× |
| Mumps antibody (86735) | $69.75 | $77.50 | 5.3× |
| Muscle-Specific Kinase Antb (86366) | $711 | $790 | 38.6× |
| Mycobacteric Identification (87118) | $106.20 | $118 | 7.3× |
| Mycophenolic Acid (80180) | $45 | $50 | 2.5× |
| Mycoplasma antibody (86738) | $58.95 | $65.50 | 4.5× |
| Myoglobin urine (83874) | $68.40 | $76 | 5.3× |
| Natriuretic peptide (83880) | $284.40 | $316 | 7.2× |
| Neurofilament light chain (83884) | $828 | $920 | 7.1× |
| Neutralization Test Viral (86382) | $112.50 | $125 | 6.7× |
| Nfct ds chrnc hcv 6 assays (81596) | $342 | $380 | 4.7× |
| Niacin (84591) | $126 | $140 | 7.4× |
| Nk cells total count (86357) | $193.05 | $214.50 | 5.1× |
| Nuclear antigen antibody (86235) | $103.50 | $115 | 5.8× |
| Occult blood feces (82272) | $40.50 | $45 | 9.6× |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$43.20–$118.35 | $48–$131.50 | varies |
| Oligoclonal bands (83916) | $79.20 | $88 | 2.9× |
| Organic Acids Qualitative Each Specimen (83919) | $94.05 | $104.50 | 5.7× |
| Osmolality serum (83930) | $76.95 | $85.50 | 11.6× |
| Osmolality Urine (83935) | $78.30 | $87 | 11.5× |
| Osmotic fragility rbc incubated (85557) | $126 | $140 | 9.4× |
| Ova and parasites smears (87177) | $85.50 | $95 | 9.6× |
| Oxalate urine (83945) | $73.35 | $81.50 | 5.1× |
| Parvovirus antibody (86747) | $70.20 | $78 | 4.7× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $787.50 | $875 | 1.0× |
| Ph urine (81003) | $24.30 | $27 | 10.8× |
| Phenobarbital Level (80184) | $103.50 | $115 | 6.8× |
| Phenylalanine (84030) | $122.40 | $136 | 22.3× |
| Phenytoin (Dilantin) (80185) | $126 | $140 | 9.5× |
| Phosphatase acid prostatic (84066) | $72.45 | $80.50 | 7.5× |
| Phosphatase alkaline (84075) | $60.30 | $67 | 11.6× |
| Phospholipid Neutralization Hexagonal (85598) | $211.50 | $235 | 11.8× |
| Phosphorus Serum (84100) | $81 | $90 | 17.1× |
| Phosphorus urine (84105) | $66.15 | $73.50 | 11.4× |
| Pik3ca gene analysis targeted sequence analysis (81309) | $1,309.50 | $1,455 | 4.8× |
| Pinworm exam (87172) | $44.55 | $49.50 | 10.4× |
| Platelet Aggregation (85576) | $95.40 | $106 | 3.8× |
| Platelet Antibodies (86022) | $143.10 | $159 | 7.8× |
| Platelet count automated (85049) | $39.60 | $44 | 8.8× |
| Platelet neutralization (85597) | $76.95 | $85.50 | 4.3× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $623.70 | $693 | 3.0× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $369 | $410 | 1.8× |
| Pms2 gene full seq analysis (81317) | $1,215 | $1,350 | 1.8× |
| Pooling blood platelets (86965) | $184.50 | $205 | 1.1× |
| Porphobilinogen, urine; quantitative (84110) | $44.55 | $49.50 | 5.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $76.05 | $84.50 | 5.2× |
| Potassium Urine (84133) | $89.10 | $99 | 18.8× |
| Prealbumin (84134) | $113.85 | $126.50 | 7.8× |
| Pregnenolone (84140) | $94.05 | $104.50 | 4.6× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $247.50 | $275 | 1.4× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $205.20 | $228 | 3.4× |
| Procalcitonin (Pct) (84145) | $199.35 | $221.50 | 7.3× |
| Progesterone (84144) | $160.20 | $178 | 7.7× |
| Prolactin (84146) | $116.10 | $129 | 6.0× |
| Prostaglandin (84150) range across 2 matching MRF lines |
$49.50–$306.90 | $55–$341 | varies |
| Protein body fluid (84157) | $98.55 | $109.50 | 24.6× |
| Protein C Activity (85303) | $108 | $120 | 7.8× |
| Protein c antigen (85302) | $81 | $90 | 6.7× |
| Protein Electrophoresis Urine (84166) | $63 | $70 | 3.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $58.50 | $65 | 5.4× |
| Protein S Free (85306) | $77.85 | $86.50 | 5.1× |
| Protein s total (85305) | $51.75 | $57.50 | 4.5× |
| Protein total serum (84155) | $59.85 | $66.50 | 16.3× |
| Protein Total Urine (84156) | $57.60 | $64 | 15.7× |
| Protein Western Blot Test (84182) | $113.40 | $126 | 3.9× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $62.10 | $69 | 15.8× |
| PSA free (84154) | $93.60 | $104 | 5.1× |
| Pth Intact (83970) | $202.50 | $225 | 4.9× |
| Q Fever Antibody (86638) | $53.55 | $59.50 | 4.4× |
| Quantiferon tb gold plus (86480) | $265.50 | $295 | 4.3× |
| Quantitative assay drug (80299) | $297 | $330 | 15.9× |
| Quantitative Screen Metals (83018) | $274.50 | $305 | 12.5× |
| Rbc antibody elution (86860) | $239.40 | $266 | 1.4× |
| Rbc antibody identification (86870) | $442.80 | $492 | 1.2× |
| Rbc antibody screen (86850) | $138.60 | $154 | 14.2× |
| Rbc pretreatment serum (86978) | $205.20 | $228 | 3.4× |
| Rbc pretx incubatj w/enzymes (86971) | $290.70 | $323 | 1.7× |
| Rbc serum pretx incubj drugs (86975) range across 2 matching MRF lines |
$405–$463.50 | $450–$515 | varies |
| Reagent Strip/Blood Glucose (82948) | $32.85 | $36.50 | 6.5× |
| Renin activity plasma (84244) | $66.15 | $73.50 | 3.0× |
| Reptilase test (85635) | $61.20 | $68 | 6.2× |
| Resp virus 12-25 targets (87633) | $749.70 | $833 | 1.8× |
| Resp Virus 6-11 Targets (87632) | $220.50 | $245 | 1.0× |
| Reticulated Platelet Assay (85055) | $40.05 | $44.50 | 1.1× |
| Reticulocyte Count (85046) | $56.70 | $63 | 10.2× |
| Rh (86901) | $67.50 | $75 | 22.6× |
| Rheumatoid factor quant (86431) | $86.40 | $96 | 15.2× |
| Rickettsia antibody (86757) | $45.90 | $51 | 2.4× |
| Ristocetin cofactor (85245) | $94.50 | $105 | 4.1× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$68.40–$72.90 | $76–$81 | varies |
| Rubella Antibody (86762) | $105.75 | $117.50 | 7.3× |
| Rubeola antibody (86765) | $59.85 | $66.50 | 4.6× |
| Rufinamide (80210) | $64.80 | $72 | 2.4× |
| Russell Viper Venom Time Diluted (85613) | $88.65 | $98.50 | 9.3× |
| Salicylate Level (80179) | $145.35 | $161.50 | 7.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $135 | $150 | 2.6× |
| Sars-cov-2 COVID-19 antibody (86769) | $67.50 | $75 | 1.6× |
| Sedimentation rate (85651) | $40.50 | $45 | 9.5× |
| Sedimentation Rate, Automated (85652) | $40.50 | $45 | 15.0× |
| Selenium (84255) | $145.35 | $161.50 | 5.7× |
| Semen Anal Sperm Detection (89321) | $81 | $90 | 6.7× |
| Semen analysis complete (89322) | $180 | $200 | 11.6× |
| Semen analysis complete (89320) | $106.65 | $118.50 | 8.7× |
| Sensitivity mic (87186) range across 5 matching MRF lines |
$90–$211.50 | $100–$235 | varies |
| Sex Hormone Binding Globulin (84270) | $111.15 | $123.50 | 5.1× |
| Sickling of rbc reduction (85660) | $41.40 | $46 | 7.5× |
| Sirolimus (80195) | $57.15 | $63.50 | 4.2× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$30.08–$276.51 | $33.42–$307.23 | varies |
| Smear acid fast (87206) | $58.50 | $65 | 10.9× |
| Smear complex stain (87209) | $166.50 | $185 | 9.3× |
| Smear gram stain (87205) | $57.15 | $63.50 | 13.4× |
| Smear Special Stain (87207) | $84.15 | $93.50 | 14.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $72 | $80 | 12.4× |
| Sodium Serum (84295) | $62.55 | $69.50 | 13.0× |
| Sodium Urine (84300) | $89.10 | $99 | 17.6× |
| Soluble fibrin monomer (85366) | $126.90 | $141 | 1.6× |
| Soluble Transferrin Receptor (84238) | $40.50 | $45 | 1.1× |
| Somatomedin (84305) | $117 | $130 | 5.5× |
| Somatostatin (84307) | $243 | $270 | 13.3× |
| Special Stains Group 1 (88312) | $155.70 | $173 | 2.9× |
| Special Stains Group 2 (88313) | $205.65 | $228.50 | 1.5× |
| Specific gravity body fluid (84315) | $25.20 | $28 | 7.7× |
| Specimen infect agnt concntj (87015) | $49.50 | $55 | 7.4× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$38.70–$283.50 | $43–$315 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $175.50 | $195 | 1.0× |
| Staph a DNA amp probe (87640) | $110.70 | $123 | 3.2× |
| Stool cultr aerobic bact ea (87046) | $157.50 | $175 | 16.7× |
| Strep a DNA amp probe (87651) | $82.35 | $91.50 | 2.3× |
| Strep b DNA amp probe (87653) | $122.85 | $136.50 | 3.5× |
| Sugars Single Qual (84376) | $45 | $50 | 8.2× |
| Sulfate urine (84392) | $45 | $50 | 8.2× |
| Surg path level iii (88304) | $180 | $200 | 3.4× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$225–$450 | $250–$500 | varies |
| Surgical pathology level vi (88309) | $787.50 | $875 | 1.0× |
| Syphilis Test Non-Trep Quant (86593) | $22.50 | $25 | 5.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $220.95 | $245.50 | 4.7× |
| T cells total count (86359) | $178.65 | $198.50 | 4.7× |
| T3 Free (84481) | $122.40 | $136 | 7.2× |
| T3 reverse (84482) | $65.25 | $72.50 | 4.1× |
| T3 Total (84480) | $56.25 | $62.50 | 4.0× |
| T3 Uptake (84479) | $41.40 | $46 | 6.4× |
| T4 Free (84439) | $90.90 | $101 | 10.1× |
| T4 total (84436) | $43.20 | $48 | 6.3× |
| Tacrolimus (80197) | $60.30 | $67 | 4.4× |
| Tau phosphorylated each (84393) | $517.50 | $575 | 4.0× |
| Testosterone total (84403) | $170.10 | $189 | 6.6× |
| Testosterone, Free (84402) | $93.60 | $104 | 3.7× |
| Theophylline (80198) | $59.85 | $66.50 | 4.2× |
| Thiopurine methyltransferase (84433) | $424.80 | $472 | 19.2× |
| Thrombin Time (85670) | $81 | $90 | 14.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $66.60 | $74 | 10.3× |
| Thyroglobulin (84432) | $355.50 | $395 | 22.1× |
| Thyroglobulin Antibody (86800) | $86.85 | $96.50 | 5.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $247.95 | $275.50 | 4.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $94.50 | $105 | 8.2× |
| Tissue Culture (88233) | $337.50 | $375 | 2.4× |
| Tissue Culture Amniotic Fluid (88235) | $292.50 | $325 | 1.9× |
| Tissue culture bone marrow (88237) | $180 | $200 | 1.3× |
| Tissue Culture Lymphocyte (88230) | $126 | $140 | 1.1× |
| Topiramate (80201) | $47.25 | $52.50 | 4.0× |
| Total Tau (84394) | $427.50 | $475 | 3.3× |
| Touch prep (88161) | $112.50 | $125 | 3.8× |
| Toxoplasma ab igm (86778) | $71.10 | $79 | 4.9× |
| Toxoplasma antibody (86777) | $57.15 | $63.50 | 4.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $61.20 | $68 | 11.8× |
| Transferrin (84466) | $108 | $120 | 8.5× |
| Trichomonas Vaginalis Amplif (87661) | $94.50 | $105 | 2.7× |
| Triglycerides (84478) range across 2 matching MRF lines |
$60.75–$283.50 | $67.50–$315 | varies |
| Troponin Quant (84484) | $124.20 | $138 | 10.0× |
| Tumor immunohistochem/comput (88361) | $130.50 | $145 | 0.4× |
| Tumor Immunohistochem/Manual (88360) range across 3 matching MRF lines |
$79.20–$384.30 | $88–$427 | varies |
| Unlisted Transfusion Medicine Procedure (86999) | $427.50 | $475 | 14.5× |
| Urea nitrogen urine (84540) | $74.25 | $82.50 | 13.4× |
| Uric acid other source (84560) | $57.15 | $63.50 | 11.3× |
| Urinalysis Microscopic Only (81015) | $28.35 | $31.50 | 9.3× |
| Urinalysis Volume Measure (81050) | $27 | $30 | 7.4× |
| Urine Pregnancy Test (81025) | $72 | $80 | 8.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $34.20 | $38 | 10.8× |
| Valproic acid (80164) | $124.20 | $138 | 9.2× |
| Vancomycin (80202) | $158.40 | $176 | 11.7× |
| Varicella-zoster antibody (86787) | $74.70 | $83 | 5.8× |
| Vasopressin (84588) | $315 | $350 | 9.3× |
| Virus antibody nos (86790) | $128.70 | $143 | 10.0× |
| Viscosity serum (85810) | $54 | $60 | 4.6× |
| Vit D 1 25-Dihydroxy (82652) | $150.30 | $167 | 3.9× |
| Vitamin A (84590) | $44.55 | $49.50 | 3.8× |
| Vitamin b-12 (82607) | $103.50 | $115 | 6.9× |
| Vitamin B2 (Riboflavin) (84252) | $79.20 | $88 | 3.9× |
| Vitamin B6 (84207) | $120.60 | $134 | 4.3× |
| Vitamin c (82180) | $39.15 | $43.50 | 4.0× |
| Vitamin D 25-Hydroxy (82306) | $130.50 | $145 | 4.4× |
| Vitamin E (84446) | $84.15 | $93.50 | 5.9× |
| Vitamin K (84597) | $121.50 | $135 | 8.9× |
| Volatiles (84600) | $72 | $80 | 4.2× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $307.80 | $342 | 25.5× |
| Von willebrand factor ag (85246) | $99.90 | $111 | 4.4× |
| West nile virus ab igm (86788) | $111.15 | $123.50 | 6.6× |
| West Nile Virus Antibody (86789) | $131.40 | $146 | 9.1× |
| Zinc (84630) | $43.65 | $48.50 | 3.8× |
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.