Lab & pathology prices at Carlinville Area Hospital
Carlinville, IL · every code in this section with a posted price and a Medicare benchmark.
687 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $121.10 | $173 | 10.9× |
| Abl1 gene analysis kinase domain variants (81170) | $764.40 | $1,092 | 2.5× |
| Acetylcholn Rcptr Modlg Antb (86043) | $238.70 | $341 | 19.8× |
| Acth (82024) | $231.70 | $331 | 6.0× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$202.30–$417.20 | $289–$596 | varies |
| Acylcarnitines Quant (82017) | $344.40 | $492 | 20.4× |
| Adenovirus antibody (86603) range across 8 matching MRF lines |
$33.60–$126 | $48–$180 | varies |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $502.60 | $718 | 7.8× |
| Agglutinins Febrile Each Antigen (86000) | $215.60 | $308 | 30.9× |
| Albumin serum (82040) | $101.50 | $145 | 20.5× |
| Aldolase (82085) | $103.60 | $148 | 10.7× |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$235.90–$283.50 | $337–$405 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 3 matching MRF lines |
$28–$209.30 | $40–$299 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $24.50 | $35 | 3.1× |
| Allergen specific ige (86003) range across 207 matching MRF lines |
$24.50–$487.20 | $35–$696 | varies |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$38.50–$60.20 | $55–$86 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 7 matching MRF lines |
$37.10–$66.50 | $53–$95 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $99.40 | $142 | 6.9× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$40.60–$99.40 | $58–$142 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$40.60–$221.20 | $58–$316 | varies |
| Alt (sgpt) (84460) range across 3 matching MRF lines |
$46.20–$93.10 | $66–$133 | varies |
| Aluminum (82108) | $41.30 | $59 | 1.6× |
| Amikacin trough (80150) | $122.50 | $175 | 8.1× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 3 matching MRF lines |
$44.10–$195.30 | $63–$279 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$344.40–$651.70 | $492–$931 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $112 | $160 | 8.1× |
| Amino Acids Quant 2-5 (82136) | $43.40 | $62 | 2.2× |
| Aminolevulinic acid (ala) (82135) | $184.10 | $263 | 11.2× |
| Ammonia (82140) range across 3 matching MRF lines |
$123.20–$151.90 | $176–$217 | varies |
| Amylase urine (82150) range across 3 matching MRF lines |
$69.30–$123.20 | $99–$176 | varies |
| Ana Titer (86039) | $12.60 | $18 | 1.1× |
| Anca Titer Each Antibody (86037) range across 3 matching MRF lines |
$91.70–$105 | $131–$150 | varies |
| Androstenedione (82157) | $53.20 | $76 | 1.8× |
| Angiotensin converting enzyme csf (82164) | $63 | $90 | 4.3× |
| Angiotensin II (82163) | $101.50 | $145 | 4.9× |
| Anti-Phospholipid Antibody (86148) range across 4 matching MRF lines |
$46.90–$128.80 | $67–$184 | varies |
| Antibody aspergillus (86606) range across 9 matching MRF lines |
$67.20–$87.50 | $96–$125 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$21–$35.70 | $30–$51 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $187.60 | $268 | 12.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $128.10 | $183 | 7.6× |
| Antibody Encephalitis California La Crosse (86651) | $56 | $80 | 4.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$32.20–$50.40 | $46–$72 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$32.20–$53.20 | $46–$76 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$32.20–$75.60 | $46–$108 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 4 matching MRF lines |
$83.30–$109.20 | $119–$156 | varies |
| Antibody haemophilus influenza (86684) | $67.90 | $97 | 4.3× |
| Antibody helicobacter pylori (86677) | $84 | $120 | 5.0× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$25.20–$91 | $36–$130 | varies |
| Antibody HIV-2 (86702) | $140.70 | $201 | 10.4× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $385 | $550 | 1.2× |
| Antibody identification leukocyte antibodies (86021) range across 4 matching MRF lines |
$47.60–$204.40 | $68–$292 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $56 | $80 | 4.5× |
| Antibody Titer (86886) | $91.70 | $131 | 17.7× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$98.70–$100.80 | $141–$144 | varies |
| Antibody; influenza virus (86710) | $94.50 | $135 | 7.0× |
| Antigen typing (86905) range across 5 matching MRF lines |
$84–$182 | $120–$260 | varies |
| Antinomyces antibody (86602) | $44.80 | $64 | 4.4× |
| Antinuclear antibodies (86038) range across 7 matching MRF lines |
$28.70–$119 | $41–$170 | varies |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$34.30–$58.80 | $49–$84 | varies |
| Antithrombin iii activity (85300) range across 3 matching MRF lines |
$51.10–$156.80 | $73–$224 | varies |
| Antithrombin iii antigen (85301) | $163.80 | $234 | 15.2× |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
$55.30–$99.40 | $79–$142 | varies |
| Aquaporin-4 Antb Elisa (86051) | $589.40 | $842 | 51.1× |
| Arsenic (82175) | $31.50 | $45 | 1.7× |
| Aspergillus ag eia (87305) | $240.80 | $344 | 20.1× |
| Assay activated protein c (85307) | $116.90 | $167 | 7.6× |
| Assay Nephelometry Not Spec (83883) range across 4 matching MRF lines |
$91–$140.70 | $130–$201 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$77–$99.40 | $110–$142 | varies |
| Assay of blood/uric acid (84550) range across 3 matching MRF lines |
$23.10–$76.30 | $33–$109 | varies |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$89.60–$112 | $128–$160 | varies |
| Assay of corticosterone (82528) | $142.80 | $204 | 6.3× |
| Assay of cpk in blood (82552) range across 3 matching MRF lines |
$19.60–$107.10 | $28–$153 | varies |
| Assay of estrone (82679) | $87.50 | $125 | 3.5× |
| Assay of g6pd enzyme (82955) | $74.90 | $107 | 7.7× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$59.50–$114.80 | $85–$164 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$64.40–$118.30 | $92–$169 | varies |
| Assay of manganese (83785) range across 2 matching MRF lines |
$135.10–$179.20 | $193–$256 | varies |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$97.30–$560.70 | $139–$801 | varies |
| Assay of phosphatase acid total (84060) | $72.10 | $103 | 9.4× |
| Assay of proinsulin (84206) | $268.10 | $383 | 10.0× |
| Assay of prostate specific antigen complexed (84152) | $73.50 | $105 | 4.0× |
| Assay of pyruvate (84210) | $97.30 | $139 | 6.7× |
| Assay of serotonin (84260) | $214.20 | $306 | 6.9× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$38.50–$72.10 | $55–$103 | varies |
| Assay of sweat sodium (84302) range across 2 matching MRF lines |
$42.70–$102.90 | $61–$147 | varies |
| Assay of transcortin (84449) | $88.20 | $126 | 4.9× |
| Assay of urea nitrogen (84520) | $88.90 | $127 | 22.5× |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$60.90–$137.90 | $87–$197 | varies |
| Assay of vitamin b-1 (84425) | $130.20 | $186 | 6.1× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$29.40–$104.30 | $42–$149 | varies |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $1,024.80 | $1,464 | 1.2× |
| Automated Leukocyte Count (85048) range across 3 matching MRF lines |
$20.30–$41.30 | $29–$59 | varies |
| B cells total count (86355) | $170.10 | $243 | 4.5× |
| Bacterial antigens 87802 (87802) | $171.50 | $245 | 13.5× |
| Bartonella antibody (86611) range across 5 matching MRF lines |
$66.50–$70 | $95–$100 | varies |
| Bcr/abl1 gene major bp (81206) | $346.50 | $495 | 2.1× |
| Bcr/abl1 gene minor bp (81207) | $263.90 | $377 | 1.8× |
| Beta 2 glycoprotein i antibody each (86146) | $96.60 | $138 | 3.8× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$95.90–$112.70 | $137–$161 | varies |
| Beta-2 Microglobulin (82232) | $141.40 | $202 | 8.7× |
| Bile acids total (82239) | $77 | $110 | 4.5× |
| Bilirubin direct (82248) range across 3 matching MRF lines |
$42–$77 | $60–$110 | varies |
| Bilirubin total (82247) range across 6 matching MRF lines |
$42.70–$74.20 | $61–$106 | varies |
| Bilirubin total transcutaneous (88720) range across 3 matching MRF lines |
$6.30–$9.80 | $9–$14 | varies |
| Biotinidase (82261) | $178.50 | $255 | 10.6× |
| Bl Smear W/O Diff Wbc Count (85008) | $6.30 | $9 | 1.8× |
| Blastomyces antibody (86612) range across 4 matching MRF lines |
$77–$129.50 | $110–$185 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $81.20 | $116 | 10.5× |
| Bleeding time test (85002) | $125.30 | $179 | 26.0× |
| Blood count reticulocyte automated (85045) | $92.40 | $132 | 23.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 3 matching MRF lines |
$58.10–$60.90 | $83–$87 | varies |
| Blood gas (82803) | $117.60 | $168 | 4.5× |
| Blood gases w/02 saturation (82805) range across 4 matching MRF lines |
$117.60–$283.50 | $168–$405 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 3 matching MRF lines |
$25.20–$57.40 | $36–$82 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$14–$17.50 | $20–$25 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 5 matching MRF lines |
$78.40–$142.10 | $112–$203 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $26.60 | $38 | 1.6× |
| Blood typing serologic abo (86900) range across 4 matching MRF lines |
$48.30–$79.10 | $69–$113 | varies |
| Bone marrow smear interpretation (85097) | $133 | $190 | 0.2× |
| Bordetella antibody (86615) | $197.40 | $282 | 15.0× |
| Braf gene analysis (81210) | $424.90 | $607 | 2.4× |
| Brca1 brca2 gene analysis full dup/del analysis (81164) | $631.40 | $902 | 1.1× |
| Brca1 Gene Analysis Known Familial Variant (81215) range across 2 matching MRF lines |
$404.60–$478.10 | $578–$683 | varies |
| Brca1&2 gen full seq dup/del (81162) range across 2 matching MRF lines |
$2,370.20–$2,613.10 | $3,386–$3,733 | varies |
| Brca2 Gene Analysis Known Familial Variant (81217) range across 2 matching MRF lines |
$253.40–$500.50 | $362–$715 | varies |
| Brucella antibody (86622) | $103.60 | $148 | 11.6× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$140–$220.50 | $200–$315 | varies |
| C-Peptide (84681) range across 3 matching MRF lines |
$63–$188.30 | $90–$269 | varies |
| C-reactive protein (86140) range across 6 matching MRF lines |
$21–$121.80 | $30–$174 | varies |
| Ca 19-9 (86301) | $102.90 | $147 | 4.9× |
| Cadmium (82300) range across 2 matching MRF lines |
$117.60–$142.80 | $168–$204 | varies |
| Calcitonin (82308) | $197.40 | $282 | 7.4× |
| Calcium ionized (82330) range across 3 matching MRF lines |
$53.20–$91 | $76–$130 | varies |
| Calcium total (82310) range across 3 matching MRF lines |
$42.70–$94.50 | $61–$135 | varies |
| Calculus assay quant (82360) | $40.60 | $58 | 3.2× |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$72.80–$81.20 | $104–$116 | varies |
| Calprotectin Fecal (83993) | $464.10 | $663 | 23.6× |
| Calr gene com variants (81219) | $476.70 | $681 | 3.9× |
| Cancer Antigen 125 (86304) | $169.40 | $242 | 8.1× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$123.20–$159.60 | $176–$228 | varies |
| Candida antibody (86628) | $77 | $110 | 6.4× |
| Carbamazepine total (80156) | $185.50 | $265 | 12.7× |
| Carbohydrate Deficient Transferrin (82373) | $382.20 | $546 | 21.2× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$54.60–$114.10 | $78–$163 | varies |
| Carcinoembryonic antigen (82378) | $179.20 | $256 | 9.5× |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$79.80–$116.90 | $114–$167 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$58.10–$116.90 | $83–$167 | varies |
| Carotene (82380) | $44.10 | $63 | 4.8× |
| Catecholamines fractionated (82384) | $144.20 | $206 | 5.7× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$58.10–$114.80 | $83–$164 | varies |
| Cell count csf (89051) range across 3 matching MRF lines |
$126.70–$134.40 | $181–$192 | varies |
| Cell marker study (88182) range across 2 matching MRF lines |
$184.80–$268.10 | $264–$383 | varies |
| Ceruloplasmin (82390) | $88.20 | $126 | 8.2× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$783.30–$795.20 | $1,119–$1,136 | varies |
| Cftr gene dup/delet variants (81222) | $233.10 | $333 | 0.5× |
| Cftr gene full sequence (81223) | $1,675.10 | $2,393 | 3.4× |
| Chemiluminescent assay (82397) range across 8 matching MRF lines |
$21–$234.50 | $30–$335 | varies |
| Chlamydia antibody (86631) | $102.90 | $147 | 8.7× |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$98.70–$257.60 | $141–$368 | varies |
| Chloride other source (82438) | $42.70 | $61 | 8.5× |
| Chloride Serum (82435) | $86.80 | $124 | 18.9× |
| Chloride urine (82436) range across 3 matching MRF lines |
$21–$39.20 | $30–$56 | varies |
| Cholesterol total (82465) | $70 | $100 | 16.1× |
| Chorionic gonadotropin test (84702) range across 4 matching MRF lines |
$24.50–$193.20 | $35–$276 | varies |
| Chrmsm Analysis Addl High Resolution Study (88289) | $109.20 | $156 | 3.2× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $628.60 | $898 | 3.6× |
| Chromium serum (82495) | $102.90 | $147 | 5.1× |
| Chromogranin a (86316) | $242.90 | $347 | 11.7× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$225.40–$558.60 | $322–$798 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$73.50–$159.60 | $105–$228 | varies |
| Citric acid urine (82507) | $60.90 | $87 | 2.2× |
| Ckmb (82553) range across 3 matching MRF lines |
$100.80–$177.80 | $144–$254 | varies |
| Clot Factor VIII Multimetric (85247) | $332.50 | $475 | 14.5× |
| Cns DNA amp probe type 12-25 (87483) | $1,110.90 | $1,587 | 2.7× |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
$72.80–$81.20 | $104–$116 | varies |
| Cold agglutinin titer (86157) | $149.80 | $214 | 18.6× |
| Collagen crosslinks (82523) range across 5 matching MRF lines |
$137.90–$322.70 | $197–$461 | varies |
| Column Chromotography Quant (82542) range across 5 matching MRF lines |
$205.10–$441 | $293–$630 | varies |
| Compatibility Each Unit Incubation (86921) | $143.50 | $205 | 0.8× |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$119–$194.60 | $170–$278 | varies |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$91–$127.40 | $130–$182 | varies |
| Complement Total (Ch50) (86162) | $155.40 | $222 | 7.6× |
| Complement/Function Activity (86161) | $252 | $360 | 21.0× |
| Coombs direct (86880) range across 2 matching MRF lines |
$77–$88.20 | $110–$126 | varies |
| Copper urine (82525) range across 3 matching MRF lines |
$44.80–$77 | $64–$110 | varies |
| Cortisol free (82530) | $156.80 | $224 | 9.4× |
| Cortisol saliva (82533) range across 8 matching MRF lines |
$7–$156.10 | $10–$223 | varies |
| Creatine (82540) | $112 | $160 | 24.1× |
| Creatine kinase total (82550) range across 3 matching MRF lines |
$66.50–$123.20 | $95–$176 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$42.70–$86.80 | $61–$124 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$57.40–$251.30 | $82–$359 | varies |
| Creatinine Urine (82570) range across 8 matching MRF lines |
$37.10–$108.50 | $53–$155 | varies |
| Crossmatch immediate spin (86920) range across 3 matching MRF lines |
$26.60–$206.50 | $38–$295 | varies |
| Crp High Sensitivity (86141) | $128.80 | $184 | 9.9× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$42.70–$228.20 | $61–$326 | varies |
| Cryptococcus ab (86641) | $144.90 | $207 | 10.1× |
| Cryptococcus ag titer (87899) range across 14 matching MRF lines |
$16.80–$907.20 | $24–$1,296 | varies |
| Cryptosporidium ag eia (87328) | $145.60 | $208 | 10.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$40.60–$73.50 | $58–$105 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $142.10 | $203 | 17.6× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 3 matching MRF lines |
$35–$62.30 | $50–$89 | varies |
| Culture aerobic quant other (87071) | $68.60 | $98 | 6.9× |
| Culture afb (87116) | $166.60 | $238 | 15.4× |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$127.40–$225.40 | $182–$322 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$60.90–$191.80 | $87–$274 | varies |
| Culture chlamydia (87110) | $266.70 | $381 | 13.6× |
| Culture csf (87070) range across 20 matching MRF lines |
$60.90–$158.20 | $87–$226 | varies |
| Culture fungus (87102) | $93.10 | $133 | 11.1× |
| Culture fungus blood (87103) | $128.10 | $183 | 6.3× |
| Culture screen only (87081) range across 7 matching MRF lines |
$55.30–$205.10 | $79–$293 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$94.50–$144.90 | $135–$207 | varies |
| Culture typing if ea antiserum (87140) | $58.80 | $84 | 10.6× |
| Culture urine (87086) range across 2 matching MRF lines |
$39.20–$109.20 | $56–$156 | varies |
| Cyclosporine (80158) | $147.70 | $211 | 8.2× |
| Cyp2c9 gene com variants (81227) range across 2 matching MRF lines |
$298.20–$598.58 | $426–$855.12 | varies |
| Cyp2d6 gene com variants (81226) | $492.80 | $704 | 1.1× |
| Cyp3a4 gene common variants (81230) | $175 | $250 | 1.0× |
| Cyp3a5 gene common variants (81231) | $175 | $250 | 1.0× |
| Cystatin C (82610) | $179.20 | $256 | 9.7× |
| Cytogenetics 10-30 (88273) | $123.90 | $177 | 3.6× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$235.20–$363.30 | $336–$519 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,928.80 | $4,184 | 2.5× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$53.20–$109.20 | $76–$156 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $103.60 | $148 | 5.1× |
| Cytopath Cell Enhance Tech (88112) | $285.60 | $408 | 5.1× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 4 matching MRF lines |
$87.50–$140 | $125–$200 | varies |
| Cytp Concentration Smears & Interpretation (88108) range across 4 matching MRF lines |
$127.40–$194.60 | $182–$278 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $136.50 | $195 | 2.4× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $2,068.50 | $2,955 | 11.3× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $338.80 | $484 | 6.1× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $102.90 | $147 | 3.3× |
| Detect Agent Nos Dna Amp (87798) range across 6 matching MRF lines |
$169.40–$450.10 | $242–$643 | varies |
| Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines |
$94.50–$706.30 | $135–$1,009 | varies |
| Detect agnt mult DNA ampli (87801) | $163.10 | $233 | 2.3× |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$72.10–$75.60 | $103–$108 | varies |
| Dhea (82626) | $104.30 | $149 | 4.1× |
| Dhea-S (82627) range across 2 matching MRF lines |
$54.60–$99.40 | $78–$142 | varies |
| Digoxin (80162) | $170.10 | $243 | 12.8× |
| Dihydrotestosterone (82642) | $189 | $270 | 6.5× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $283.50 | $405 | 2.1× |
| Dna Antibody Native/Double Stranded (86225) range across 4 matching MRF lines |
$41.30–$168 | $59–$240 | varies |
| Dna Antibody Single Stranded (86226) | $129.50 | $185 | 10.7× |
| DNA/RNA direct probe (87149) | $187.60 | $268 | 9.4× |
| Dna/Rna Sequencing (87153) | $308.70 | $441 | 2.7× |
| Drug assay adalimumab (80145) | $193.20 | $276 | 5.0× |
| Drug Assay Amiodarone (80151) | $131.60 | $188 | 7.1× |
| Drug Assay Infliximab (80230) | $196 | $280 | 5.1× |
| Drug Assay Itraconazole (80189) | $397.60 | $568 | 14.7× |
| Drug Assay Lacosamide (80235) | $221.90 | $317 | 8.2× |
| Drug Assay Vedolizumab (80280) | $241.50 | $345 | 6.3× |
| Drug assay voriconazole (80285) | $508.20 | $726 | 18.7× |
| Drug Screen Quant Clozapine (80159) | $137.90 | $197 | 6.8× |
| Drug Screen Quantitative Gabapentin (80171) range across 2 matching MRF lines |
$137.90–$252 | $197–$360 | varies |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$116.90–$128.80 | $167–$184 | varies |
| Drug Screen Quantitative Levetiracetam (80177) | $203 | $290 | 15.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$114.80–$180.60 | $164–$258 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) range across 11 matching MRF lines |
$22.40–$420.70 | $32–$601 | varies |
| Drug Test Prsmv Instrmnt (80306) | $190.40 | $272 | 11.1× |
| Ehrlichia antibody (86666) range across 4 matching MRF lines |
$95.90–$169.40 | $137–$242 | varies |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$90.30–$150.50 | $129–$215 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $143.50 | $205 | 2.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$123.90–$130.20 | $177–$186 | varies |
| Enterovirus Antibody (86658) range across 16 matching MRF lines |
$30.80–$116.90 | $44–$167 | varies |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$202.30–$375.20 | $289–$536 | varies |
| Enzyme cell activity (82657) range across 3 matching MRF lines |
$238–$524.30 | $340–$749 | varies |
| Enzyme histochemistry (88319) | $529.20 | $756 | 0.6× |
| Eosinophil Smear (89190) | $96.60 | $138 | 16.7× |
| Erythropoietin (82668) | $129.50 | $185 | 6.9× |
| Estradiol serum (82670) range across 4 matching MRF lines |
$56.70–$220.50 | $81–$315 | varies |
| Estriol (82677) | $29.40 | $42 | 1.2× |
| Estrogen total (82672) range across 2 matching MRF lines |
$60.90–$115.50 | $87–$165 | varies |
| Ethosuximide (80168) | $116.20 | $166 | 7.1× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$74.90–$112 | $107–$160 | varies |
| F2 Gene (81240) range across 2 matching MRF lines |
$186.90–$342.30 | $267–$489 | varies |
| Factor Inhibitor Test (85335) | $176.40 | $252 | 13.7× |
| Factor ix activity (85250) range across 2 matching MRF lines |
$67.20–$280.70 | $96–$401 | varies |
| Factor v activity (85220) range across 2 matching MRF lines |
$201.60–$224 | $288–$320 | varies |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$186.90–$333.20 | $267–$476 | varies |
| Factor vii assay (85230) | $235.20 | $336 | 13.1× |
| Factor viii assay (85240) | $211.40 | $302 | 11.8× |
| Factor X (85260) range across 3 matching MRF lines |
$158.20–$280.70 | $226–$401 | varies |
| Factor xi activity (85270) | $67.20 | $96 | 3.8× |
| Factor xiii screen (85291) | $66.50 | $95 | 7.3× |
| Fatty acids free (82725) | $167.30 | $239 | 8.9× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $251.30 | $359 | 14.6× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $149.80 | $214 | 22.9× |
| Fecal Fat Qualitative (82705) | $56 | $80 | 11.0× |
| Ferritin (82728) range across 3 matching MRF lines |
$86.80–$203 | $124–$290 | varies |
| Fetal Chrmoml Aneuploidy (81420) | $637.70 | $911 | 0.8× |
| Fibrin degradation products (85362) | $148.40 | $212 | 21.5× |
| Fibrin Degradation Quant (85379) range across 6 matching MRF lines |
$110.60–$200.90 | $158–$287 | varies |
| Fibrinogen activity (85384) | $79.80 | $114 | 8.2× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$221.90–$228.90 | $317–$327 | varies |
| Fluorescent antibody screen (86255) range across 8 matching MRF lines |
$66.50–$172.20 | $95–$246 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 5 matching MRF lines |
$56.70–$161.70 | $81–$231 | varies |
| Fmr1 gene detection (81243) | $382.20 | $546 | 6.7× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$82.60–$178.50 | $118–$255 | varies |
| Follicle Stimulating Hormone (83001) range across 3 matching MRF lines |
$86.80–$184.10 | $124–$263 | varies |
| Francisella tularensis (86668) range across 2 matching MRF lines |
$94.50–$96.60 | $135–$138 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $54.60 | $78 | 0.3× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$38.50–$105 | $55–$150 | varies |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$65.10–$128.10 | $93–$183 | varies |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $67.90 | $97 | 6.9× |
| Gastrin (82941) | $45.50 | $65 | 2.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$619.50–$765.80 | $885–$1,094 | varies |
| Genet Virus Isolate Hsv (87255) range across 3 matching MRF lines |
$132.30–$255.50 | $189–$365 | varies |
| Gentamicin (80170) | $147.70 | $211 | 9.0× |
| Ggt (82977) range across 3 matching MRF lines |
$59.50–$107.80 | $85–$154 | varies |
| Giardia antigen (87329) | $86.10 | $123 | 7.2× |
| Glucose 2 hr pp (82950) | $129.50 | $185 | 27.3× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$17.50–$27.30 | $25–$39 | varies |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$18.20–$77 | $26–$110 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$41.30–$74.90 | $59–$107 | varies |
| Glucose tolerance test (gtt) (82951) range across 4 matching MRF lines |
$151.20–$156.10 | $216–$223 | varies |
| Glutathione (82978) | $87.50 | $125 | 5.7× |
| Glycated Protein (82985) | $58.80 | $84 | 3.5× |
| Gonadotropin Chorionic Qualitative (84703) range across 3 matching MRF lines |
$19.60–$126 | $28–$180 | varies |
| Growth hormone (83003) range across 2 matching MRF lines |
$30.10–$111.30 | $43–$159 | varies |
| Gtt-added samples (82952) | $42.70 | $61 | 10.9× |
| H Pylori (C-13) Breath (83013) | $325.50 | $465 | 4.8× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$120.40–$121.10 | $172–$173 | varies |
| Hdl Cholesterol (83718) | $66.50 | $95 | 8.1× |
| Heinz Bodies Direct (85441) | $25.90 | $37 | 6.2× |
| Helicobacter Pylori Stool (87338) | $191.80 | $274 | 13.3× |
| Helminth Antibody (86682) range across 3 matching MRF lines |
$143.50–$238 | $205–$340 | varies |
| Hematocrit (85014) range across 3 matching MRF lines |
$15.40–$44.10 | $22–$63 | varies |
| Hemoglobin (85018) range across 4 matching MRF lines |
$18.90–$49.70 | $27–$71 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$53.90–$113.40 | $77–$162 | varies |
| Hemoglobin electrophoresis (83020) range across 5 matching MRF lines |
$63–$154.70 | $90–$221 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $99.40 | $142 | 12.1× |
| Hemoglobin plasma (83051) | $88.90 | $127 | 12.2× |
| Hep a ab igm (86709) | $43.40 | $62 | 3.9× |
| Heparin assay (85520) | $336 | $480 | 25.7× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$76.30–$144.90 | $109–$207 | varies |
| Hepatitis b core ab igm (86705) | $163.10 | $233 | 13.9× |
| Hepatitis b core ab total (86704) | $108.50 | $155 | 9.0× |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$67.20–$123.20 | $96–$176 | varies |
| Hepatitis B Surface Antigen (87340) | $125.30 | $179 | 12.1× |
| Hepatitis Be Antibody (86707) | $133.70 | $191 | 11.6× |
| Hepatitis Be Antigen (87350) | $168 | $240 | 14.6× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$95.90–$171.50 | $137–$245 | varies |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
$562.10–$908.60 | $803–$1,298 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$322–$392 | $460–$560 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 5 matching MRF lines |
$317.10–$522.20 | $453–$746 | varies |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$25.20–$131.60 | $36–$188 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$44.10–$118.30 | $63–$169 | varies |
| Hfe Gene (81256) | $336 | $480 | 5.1× |
| Histamine urine (83088) range across 3 matching MRF lines |
$47.60–$324.80 | $68–$464 | varies |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$56.70–$74.90 | $81–$107 | varies |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$149.80–$184.10 | $214–$263 | varies |
| Hiv Antigen W/Hiv Antibodies (87806) range across 2 matching MRF lines |
$117.60–$129.50 | $168–$185 | varies |
| Hiv Genotype (87901) | $325.50 | $465 | 1.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $129.50 | $185 | 5.4× |
| Hiv-1 Antibody (86701) | $140.70 | $201 | 15.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $335.30 | $479 | 3.9× |
| Hla Class I Typing Low Resolution One Locus Each (81373) range across 2 matching MRF lines |
$220.50–$225.40 | $315–$322 | varies |
| Hla class ii high defin qual (86833) | $385 | $550 | 1.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $199.50 | $285 | 2.7× |
| Hla I Typing 1 Allele Hr (81381) range across 2 matching MRF lines |
$225.40–$347.90 | $322–$497 | varies |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $541.80 | $774 | 2.5× |
| Hla ii type 1 ag equiv lr (81377) | $303.10 | $433 | 3.2× |
| Hla ii typing 1 allele hr (81383) | $303.10 | $433 | 2.8× |
| Homocysteine (83090) range across 2 matching MRF lines |
$41.30–$110.60 | $59–$158 | varies |
| Homovanillic acid urine (83150) | $79.80 | $114 | 3.6× |
| Hpv High-Risk Types (87624) range across 3 matching MRF lines |
$140–$200.20 | $200–$286 | varies |
| Hpv Types 16 & 18 Only (87625) | $197.40 | $282 | 4.9× |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$106.40–$224 | $152–$320 | varies |
| Htlv-I Antibody (86687) | $157.50 | $225 | 17.3× |
| Htlv-ii antibody (86688) | $157.50 | $225 | 11.3× |
| Htt Gene Detc Abnor Alleles (81271) | $367.50 | $525 | 2.7× |
| Human Epididymis Protein 4 (86305) | $333.90 | $477 | 16.0× |
| Hydroxyprogesterone 17-d (83498) | $153.30 | $219 | 5.6× |
| Hydroxyproline free (83500) | $79.10 | $113 | 3.5× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $133 | $190 | 11.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 3 matching MRF lines |
$117.60–$193.20 | $168–$276 | varies |
| Iaad Ia Streptococcus Group A (87430) range across 2 matching MRF lines |
$30.80–$32.20 | $44–$46 | varies |
| Iaadi inffluenza a virus (87276) | $145.60 | $208 | 9.1× |
| Iadna Bartonella Amplified Probe Technique (87471) | $407.40 | $582 | 11.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $572.60 | $818 | 16.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $169.40 | $242 | 4.8× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $436.80 | $624 | 12.4× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$208.60–$332.50 | $298–$475 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 5 matching MRF lines |
$137.20–$369.60 | $196–$528 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $252 | $360 | 5.9× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $473.20 | $676 | 13.5× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $121.10 | $173 | 2.8× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $319.20 | $456 | 7.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$169.40–$344.40 | $242–$492 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines |
$73.50–$159.60 | $105–$228 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $301.70 | $431 | 2.1× |
| Igg subclasses (82787) range across 4 matching MRF lines |
$70–$211.40 | $100–$302 | varies |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $937.30 | $1,339 | 3.2× |
| Immune Complex Assay (86332) | $180.60 | $258 | 7.4× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$67.90–$140.70 | $97–$201 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$128.10–$1,157.80 | $183–$1,654 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $194.60 | $278 | 7.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 7 matching MRF lines |
$51.80–$115.50 | $74–$165 | varies |
| Immunoassay nonantibody (83516) range across 17 matching MRF lines |
$90.30–$185.50 | $129–$265 | varies |
| Immunodiffusion not elsewhere specified (86329) | $35 | $50 | 2.5× |
| Immunodiffusion Ouchterlony (86331) range across 5 matching MRF lines |
$44.80–$131.60 | $64–$188 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $93.80 | $134 | 4.1× |
| Immunoelectrophoresis Serum (86320) | $341.60 | $488 | 11.4× |
| Immunofixation electrophoresis (86334) | $210 | $300 | 9.4× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$59.50–$231.70 | $85–$331 | varies |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$46.90–$252.70 | $67–$361 | varies |
| In situ hybridization 1st probe stain (88365) | $290.50 | $415 | 1.6× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $145.60 | $208 | 11.9× |
| Influenza assay w/optic (87804) range across 8 matching MRF lines |
$75.60–$150.50 | $108–$215 | varies |
| Inhibin A (86336) | $244.30 | $349 | 15.7× |
| Inhibin b (83520) range across 26 matching MRF lines |
$21–$2,864.40 | $30–$4,092 | varies |
| Insitu hybridization auto (88367) | $655.20 | $936 | 1.7× |
| Insulin antibodies (86337) | $125.30 | $179 | 5.9× |
| Insulin free (83527) | $75.60 | $108 | 5.8× |
| Insulin total (83525) range across 2 matching MRF lines |
$56.70–$120.40 | $81–$172 | varies |
| Interleukin-6 (83529) | $110.60 | $158 | 6.4× |
| Intrinsic factor antibody (86340) | $129.50 | $185 | 8.6× |
| Iron (83540) range across 2 matching MRF lines |
$59.50–$111.30 | $85–$159 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$83.30–$153.30 | $119–$219 | varies |
| Islet cell antibody (86341) range across 11 matching MRF lines |
$92.40–$202.30 | $132–$289 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$416.50–$506.10 | $595–$723 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $416.50 | $595 | 2.2× |
| Koh Prep (87220) | $35.70 | $51 | 8.4× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$40.60–$89.60 | $58–$128 | varies |
| Lactoferrin fecal qualitative (83630) | $157.50 | $225 | 8.0× |
| Lactoferrin Fecal Quantitative (83631) | $177.10 | $253 | 9.0× |
| LDL direct (83721) | $67.90 | $97 | 6.5× |
| Lead (83655) range across 5 matching MRF lines |
$30.80–$70 | $44–$100 | varies |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$105–$253.40 | $150–$362 | varies |
| Leptospira antibody (86720) | $179.90 | $257 | 11.1× |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$49–$82.60 | $70–$118 | varies |
| Leukocyte Histamine Release (86343) range across 2 matching MRF lines |
$121.10–$208.60 | $173–$298 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $77 | $110 | 2.5× |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$84–$157.50 | $120–$225 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $464.80 | $664 | 1.2× |
| Lipase (83690) range across 2 matching MRF lines |
$71.40–$133.70 | $102–$191 | varies |
| Lipoprotein A (83695) | $58.80 | $84 | 4.1× |
| Lipoprotein Bld Quan Part (83704) range across 3 matching MRF lines |
$53.20–$94.50 | $76–$135 | varies |
| Lipoprotein-Associated Phospholipase A2 (83698) | $105.70 | $151 | 2.3× |
| Lithium (80178) | $94.50 | $135 | 14.3× |
| Luteinizing Hormone (Lh) (83002) range across 3 matching MRF lines |
$86.80–$160.30 | $124–$229 | varies |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$77.70–$121.80 | $111–$174 | varies |
| Lymphocyte transformation (86353) range across 3 matching MRF lines |
$156.80–$224.70 | $224–$321 | varies |
| Lysozyme serum (85549) | $120.40 | $172 | 6.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $616 | $880 | 3.4× |
| M/phmtrc alys ishquant/semiq (88374) | $488.60 | $698 | 2.7× |
| Macroscopic exam arthropod (87168) | $44.80 | $64 | 10.5× |
| Macroscopic Exam Parasite (87169) range across 3 matching MRF lines |
$105–$129.50 | $150–$185 | varies |
| Magnesium Urine (83735) range across 8 matching MRF lines |
$16.10–$239.40 | $23–$342 | varies |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$59.50–$275.80 | $85–$394 | varies |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) | $628.60 | $898 | 5.2× |
| Mercury urine (83825) range across 2 matching MRF lines |
$58.10–$125.30 | $83–$179 | varies |
| Metabolic panel ionized ca (80047) | $158.20 | $226 | 11.5× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$153.30–$221.20 | $219–$316 | varies |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$68.60–$126 | $98–$180 | varies |
| Microsatellite instability (81301) | $515.20 | $736 | 1.5× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$114.10–$123.20 | $163–$176 | varies |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $293.30 | $419 | 1.4× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $293.30 | $419 | 0.4× |
| Mog-Igg1 Antb Cba Each (86362) | $718.20 | $1,026 | 59.6× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $602 | $860 | 16.0× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 5 matching MRF lines |
$123.90–$483 | $177–$690 | varies |
| Molecular Pathology Procedure Level 3 (81402) | $520.10 | $743 | 3.5× |
| Molecular Pathology Procedure Level 6 (81405) | $1,144.50 | $1,635 | 3.8× |
| Mononuclear cell antigen (86356) | $30.80 | $44 | 1.2× |
| Mopath procedure level 1 (81400) | $522.90 | $747 | 8.2× |
| Mopath procedure level 2 (81401) range across 4 matching MRF lines |
$366.80–$813.40 | $524–$1,162 | varies |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$293.30–$438.90 | $419–$627 | varies |
| Mopath procedure level 5 (81404) | $2,091.60 | $2,988 | 7.6× |
| Mopath procedure level 7 (81406) | $813.40 | $1,162 | 2.9× |
| Mrsa Pcr (87641) | $192.50 | $275 | 5.5× |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $293.30 | $419 | 1.4× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $293.30 | $419 | 0.8× |
| Msh2 Gene Analysis Known Familial Variants (81296) | $630 | $900 | 1.9× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $293.30 | $419 | 1.2× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $293.30 | $419 | 0.5× |
| Mthfr Gene Analysis Common Variants (81291) | $338.80 | $484 | 5.2× |
| Mucopolysaccharides acid quantitative (83864) range across 2 matching MRF lines |
$191.10–$294 | $273–$420 | varies |
| Mumps antibody (86735) range across 3 matching MRF lines |
$46.20–$91 | $66–$130 | varies |
| Mycobacteric Identification (87118) | $29.40 | $42 | 2.0× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$94.50–$126.70 | $135–$181 | varies |
| Mycoplasma culture (87109) range across 2 matching MRF lines |
$119.70–$204.40 | $171–$292 | varies |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$41.30–$142.80 | $59–$204 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$113.40–$205.10 | $162–$293 | varies |
| Nfct ds bv&vaginitis DNA alg (81515) | $458.50 | $655 | 1.7× |
| Nfct ds chrnc hcv 6 assays (81596) | $326.20 | $466 | 4.5× |
| Niacin (84591) | $251.30 | $359 | 14.7× |
| Nk cells total count (86357) | $170.10 | $243 | 4.5× |
| Nuclear antigen antibody (86235) range across 19 matching MRF lines |
$41.30–$337.40 | $59–$482 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$15.40–$101.50 | $22–$145 | varies |
| Occult Blood Other Sources (82271) | $41.30 | $59 | 7.8× |
| Oncoprotein dcp (83951) | $193.20 | $276 | 3.0× |
| Organic Acids Qualitative Each Specimen (83919) | $276.50 | $395 | 16.8× |
| Osmolality serum (83930) | $103.60 | $148 | 15.7× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$63.70–$100.80 | $91–$144 | varies |
| Osmotic Fragility RBC Unincubated (85555) | $204.40 | $292 | 27.4× |
| Osteocalcin (83937) | $98.70 | $141 | 3.3× |
| Ova and parasites smears (87177) range across 5 matching MRF lines |
$73.50–$119 | $105–$170 | varies |
| Oxalate urine (83945) | $60.90 | $87 | 4.2× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$31.50–$53.20 | $45–$76 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $112.70 | $161 | 0.1× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $170.80 | $244 | 3.1× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $594.30 | $849 | 2.3× |
| Ph urine (81003) range across 3 matching MRF lines |
$18.20–$49.70 | $26–$71 | varies |
| Phenobarbital Level (80184) | $125.30 | $179 | 8.2× |
| Phenotype Infect Agent Drug (87900) | $164.50 | $235 | 1.3× |
| Phenylalanine (84030) | $168 | $240 | 30.5× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$65.10–$138.60 | $93–$198 | varies |
| Phenytoin free (80186) | $84 | $120 | 6.1× |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$7.70–$116.90 | $11–$167 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$49–$91.70 | $70–$131 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$20.30–$46.20 | $29–$66 | varies |
| Pinworm exam (87172) | $46.20 | $66 | 10.8× |
| Platelet Antibodies (86022) | $295.40 | $422 | 16.1× |
| Platelet count automated (85049) | $70.70 | $101 | 15.8× |
| Platelet neutralization (85597) | $135.80 | $194 | 7.6× |
| Pms2 gene full seq analysis (81317) | $293.30 | $419 | 0.4× |
| Porphobilinogen, urine; quantitative (84110) | $105 | $150 | 12.4× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$41.30–$91 | $59–$130 | varies |
| Potassium Urine (84133) range across 3 matching MRF lines |
$42–$70 | $60–$100 | varies |
| Prealbumin (84134) | $123.90 | $177 | 8.5× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $81.20 | $116 | 0.4× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 2 matching MRF lines |
$84–$91.70 | $120–$131 | varies |
| Primidone (80188) | $111.30 | $159 | 6.7× |
| Procalcitonin (Pct) (84145) | $273.70 | $391 | 10.1× |
| Progesterone (84144) | $126 | $180 | 6.0× |
| Prolactin (84146) range across 3 matching MRF lines |
$105.70–$182 | $151–$260 | varies |
| Prostaglandin (84150) range across 2 matching MRF lines |
$254.80–$410.90 | $364–$587 | varies |
| Protein body fluid (84157) range across 4 matching MRF lines |
$3.50–$107.80 | $5–$154 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$106.40–$188.30 | $152–$269 | varies |
| Protein c antigen (85302) | $199.50 | $285 | 16.6× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$149.10–$172.90 | $213–$247 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$101.50–$128.10 | $145–$183 | varies |
| Protein S Free (85306) | $186.20 | $266 | 12.2× |
| Protein s total (85305) range across 2 matching MRF lines |
$105.70–$187.60 | $151–$268 | varies |
| Protein total serum (84155) range across 2 matching MRF lines |
$70.70–$107.80 | $101–$154 | varies |
| Protein Total Urine (84156) range across 6 matching MRF lines |
$6.30–$108.50 | $9–$155 | varies |
| Protein Western Blot Test (84182) | $105 | $150 | 3.6× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $44.80 | $64 | 11.4× |
| PSA free (84154) range across 2 matching MRF lines |
$54.60–$88.90 | $78–$127 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$161.70–$283.50 | $231–$405 | varies |
| Q Fever Antibody (86638) range across 3 matching MRF lines |
$57.40–$140.70 | $82–$201 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$156.10–$257.60 | $223–$368 | varies |
| Quantitative assay drug (80299) range across 16 matching MRF lines |
$56–$456.40 | $80–$652 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$165.90–$189 | $237–$270 | varies |
| Quinidine (80194) | $63 | $90 | 4.3× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$133.70–$140.70 | $191–$201 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$108.50–$144.20 | $155–$206 | varies |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$79.80–$91.70 | $114–$131 | varies |
| Rbc pretreatment serum (86978) range across 3 matching MRF lines |
$70–$199.50 | $100–$285 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $81.20 | $116 | 0.4× |
| Rbc serum pretx incubj drugs (86975) | $382.90 | $547 | 0.8× |
| Reagent Strip/Blood Glucose (82948) range across 4 matching MRF lines |
$17.50–$28.70 | $25–$41 | varies |
| Receptor assay estrogen (84233) | $215.60 | $308 | 2.5× |
| Receptor assay progesterone (84234) | $215.60 | $308 | 3.3× |
| Renin activity plasma (84244) | $101.50 | $145 | 4.6× |
| Resp virus 12-25 targets (87633) range across 3 matching MRF lines |
$169.40–$711.90 | $242–$1,017 | varies |
| Reticulocyte separation (86972) | $97.30 | $139 | 0.5× |
| Rh (86901) range across 2 matching MRF lines |
$30.80–$67.90 | $44–$97 | varies |
| Rheumatoid Factor Qualitative (86430) | $25.20 | $36 | 4.1× |
| Rheumatoid factor quant (86431) range across 7 matching MRF lines |
$21–$128.10 | $30–$183 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$63–$184.10 | $90–$263 | varies |
| Ristocetin cofactor (85245) | $156.10 | $223 | 6.8× |
| Rotavirus ag eia (87425) | $145.60 | $208 | 12.2× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$35.70–$77.70 | $51–$111 | varies |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$126–$210.70 | $180–$301 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$36.40–$116.20 | $52–$166 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$37.80–$114.10 | $54–$163 | varies |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$63–$111.30 | $90–$159 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$49–$143.50 | $70–$205 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 4 matching MRF lines |
$53.90–$99.40 | $77–$142 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $333.20 | $476 | 2.3× |
| Sedimentation rate (85651) | $45.50 | $65 | 10.7× |
| Sedimentation Rate, Automated (85652) range across 3 matching MRF lines |
$29.40–$67.20 | $42–$96 | varies |
| Selenium (84255) | $45.50 | $65 | 1.8× |
| Semen Anal Sperm Detection (89321) | $77.70 | $111 | 6.4× |
| Sensitivity mic (87186) range across 9 matching MRF lines |
$51.80–$1,500.10 | $74–$2,143 | varies |
| Serpina 1 gene (81332) | $298.90 | $427 | 6.8× |
| Serum Bactericidal Titer (87197) | $698.60 | $998 | 46.5× |
| Sex Hormone Binding Globulin (84270) | $128.10 | $183 | 5.9× |
| Sickling of rbc reduction (85660) range across 4 matching MRF lines |
$42–$101.50 | $60–$145 | varies |
| Sirolimus (80195) | $159.60 | $228 | 11.6× |
| Skin test tuberculosis intradermal (86580) range across 3 matching MRF lines |
$25.20–$32.20 | $36–$46 | varies |
| Smear acid fast (87206) range across 7 matching MRF lines |
$40.60–$89.60 | $58–$128 | varies |
| Smear complex stain (87209) | $63.70 | $91 | 3.5× |
| Smear gram stain (87205) range across 7 matching MRF lines |
$18.90–$72.10 | $27–$103 | varies |
| Smear Special Stain (87207) | $102.90 | $147 | 17.2× |
| Smn1 Gene Dos/Deletion Alys (81329) | $854.70 | $1,221 | 6.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 4 matching MRF lines |
$37.80–$67.90 | $54–$97 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $523.60 | $748 | 10.3× |
| Sodium Serum (84295) | $70 | $100 | 14.6× |
| Sodium Urine (84300) range across 3 matching MRF lines |
$39.90–$65.10 | $57–$93 | varies |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
$75.60–$180.60 | $108–$258 | varies |
| Somatomedin (84305) range across 2 matching MRF lines |
$186.20–$247.10 | $266–$353 | varies |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$172.90–$190.40 | $247–$272 | varies |
| Special Stains Group 2 (88313) | $147.70 | $211 | 1.0× |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$13.30–$32.90 | $19–$47 | varies |
| Spectrophotometry (84311) range across 4 matching MRF lines |
$51.80–$156.10 | $74–$223 | varies |
| Stool cultr aerobic bact ea (87046) | $51.80 | $74 | 5.5× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$54.60–$104.30 | $78–$149 | varies |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$105.70–$195.30 | $151–$279 | varies |
| Streptokinase, antibody Facility (86590) | $70 | $100 | 5.5× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $201.60 | $288 | 2.2× |
| Sugars Single Qual (84376) | $147.70 | $211 | 26.9× |
| Sulfate urine (84392) | $46.90 | $67 | 8.5× |
| Surg path level iii (88304) range across 3 matching MRF lines |
$129.50–$200.90 | $185–$287 | varies |
| Surgical pathology level IV (88305) range across 5 matching MRF lines |
$39.90–$270.20 | $57–$386 | varies |
| Surgical pathology level vi (88309) | $612.50 | $875 | 0.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$38.50–$112.70 | $55–$161 | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $385.70 | $551 | 52.8× |
| T cells absolute cd4 count (86361) | $137.90 | $197 | 5.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$30.80–$219.80 | $44–$314 | varies |
| T cells total count (86359) | $170.10 | $243 | 4.5× |
| T3 Free (84481) range across 4 matching MRF lines |
$76.30–$316.40 | $109–$452 | varies |
| T3 reverse (84482) range across 2 matching MRF lines |
$140–$236.60 | $200–$338 | varies |
| T3 Total (84480) range across 2 matching MRF lines |
$116.90–$209.30 | $167–$299 | varies |
| T3 Uptake (84479) range across 3 matching MRF lines |
$32.20–$53.20 | $46–$76 | varies |
| T4 Free (84439) range across 4 matching MRF lines |
$61.60–$335.30 | $88–$479 | varies |
| T4 total (84436) range across 4 matching MRF lines |
$43.40–$81.20 | $62–$116 | varies |
| Tacrolimus (80197) | $255.50 | $365 | 18.6× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$202.30–$319.20 | $289–$456 | varies |
| Testosterone total (84403) range across 3 matching MRF lines |
$76.30–$198.80 | $109–$284 | varies |
| Testosterone, Free (84402) range across 4 matching MRF lines |
$42–$174.30 | $60–$249 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $693.70 | $991 | 1.2× |
| Theophylline (80198) range across 2 matching MRF lines |
$107.10–$194.60 | $153–$278 | varies |
| Thiocyanate (84430) | $58.80 | $84 | 5.1× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$83.30–$144.20 | $119–$206 | varies |
| Thromboplastin Inhibition Tissue (85705) range across 2 matching MRF lines |
$53.20–$128.80 | $76–$184 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 5 matching MRF lines |
$22.40–$195.30 | $32–$279 | varies |
| Thyroglobulin (84432) range across 5 matching MRF lines |
$99.40–$154.70 | $142–$221 | varies |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$58.80–$120.40 | $84–$172 | varies |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$99.40–$301.70 | $142–$431 | varies |
| Thyroxine binding globulin (84442) | $121.80 | $174 | 8.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$98.70–$143.50 | $141–$205 | varies |
| Tissue Culture (88233) | $490.70 | $701 | 3.5× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$242.90–$420 | $347–$600 | varies |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$30.80–$225.40 | $44–$322 | varies |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$94.50–$212.80 | $135–$304 | varies |
| Topiramate (80201) | $144.90 | $207 | 12.2× |
| Touch prep (88161) range across 3 matching MRF lines |
$121.80–$288.40 | $174–$412 | varies |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$112–$251.30 | $160–$359 | varies |
| Toxoplasma antibody (86777) | $79.80 | $114 | 5.5× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 3 matching MRF lines |
$27.30–$94.50 | $39–$135 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$53.90–$182.70 | $77–$261 | varies |
| Trb@ Rearrangement Anal Amplification Method (81340) | $551.60 | $788 | 2.6× |
| Trg gene rearrangement anal (81342) | $551.60 | $788 | 2.7× |
| Trichinella Antibody (86784) | $142.10 | $203 | 11.3× |
| Trichomonas Vaginalis Amplif (87661) range across 4 matching MRF lines |
$86.80–$133.70 | $124–$191 | varies |
| Triglycerides (84478) range across 3 matching MRF lines |
$26.60–$104.30 | $38–$149 | varies |
| Troponin Quant (84484) range across 4 matching MRF lines |
$73.50–$214.20 | $105–$306 | varies |
| Tumor immunohistochem/comput (88361) | $396.90 | $567 | 1.0× |
| Tumor Immunohistochem/Manual (88360) | $371.70 | $531 | 2.0× |
| Unlisted Transfusion Medicine Procedure (86999) range across 2 matching MRF lines |
$30.80–$43.40 | $44–$62 | varies |
| Urea Nitrogen Clearance (84545) | $74.90 | $107 | 10.4× |
| Urea nitrogen urine (84540) | $77.70 | $111 | 14.0× |
| Uric acid other source (84560) | $50.40 | $72 | 9.9× |
| Urinalysis Microscopic Only (81015) | $54.60 | $78 | 17.9× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $103.60 | $148 | 47.7× |
| Urinalysis Volume Measure (81050) | $30.80 | $44 | 8.5× |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$30.80–$106.40 | $44–$152 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 3 matching MRF lines |
$37.80–$71.40 | $54–$102 | varies |
| Valproic acid (80164) range across 2 matching MRF lines |
$62.30–$159.60 | $89–$228 | varies |
| Vancomycin (80202) | $213.50 | $305 | 15.8× |
| Varicella-zoster antibody (86787) range across 4 matching MRF lines |
$30.80–$86.10 | $44–$123 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$274.40–$459.90 | $392–$657 | varies |
| Very Long Chain Fatty Acids (82726) | $194.60 | $278 | 9.9× |
| Viral Culture (87252) range across 4 matching MRF lines |
$161.70–$305.90 | $231–$437 | varies |
| Virus antibody nos (86790) range across 6 matching MRF lines |
$41.30–$225.40 | $59–$322 | varies |
| Virus inoculate tissue addl (87253) | $88.20 | $126 | 4.4× |
| Virus inoculation, shell via (87254) | $26.60 | $38 | 1.4× |
| Viscosity serum (85810) | $73.50 | $105 | 6.3× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$109.20–$224.70 | $156–$321 | varies |
| Vitamin A (84590) | $58.10 | $83 | 5.0× |
| Vitamin b-12 (82607) range across 3 matching MRF lines |
$49.70–$126.70 | $71–$181 | varies |
| Vitamin B2 (Riboflavin) (84252) | $213.50 | $305 | 10.5× |
| Vitamin B6 (84207) | $71.40 | $102 | 2.5× |
| Vitamin c (82180) | $95.90 | $137 | 9.7× |
| Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines |
$105.70–$349.30 | $151–$499 | varies |
| Vitamin E (84446) | $88.90 | $127 | 6.3× |
| Vitamin K (84597) | $168 | $240 | 12.2× |
| Vkorc1 gene (81355) | $298.20 | $426 | 3.4× |
| Volatiles (84600) range across 2 matching MRF lines |
$44.80–$77.18 | $64–$110.25 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $431.90 | $617 | 35.8× |
| Von willebrand factor ag (85246) | $196.70 | $281 | 8.6× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$102.20–$181.30 | $146–$259 | varies |
| West Nile Virus Antibody (86789) | $65.10 | $93 | 4.5× |
| Xylose Absorption Test (84620) | $180.60 | $258 | 14.0× |
| Zinc (84630) range across 3 matching MRF lines |
$32.90–$107.80 | $47–$154 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.