Lab & pathology prices at Cass County Memorial Hospital
Atlantic, IA · every code in this section with a posted price and a Medicare benchmark.
664 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $72.80 | $104 | 6.5× |
| Abl1 gene analysis kinase domain variants (81170) | $599.20 | $856 | 2.0× |
| Acetylcholine receptor binding antibody (86041) | $86.10 | $123 | 4.7× |
| Acetylcholn Rcptr Modlg Antb (86043) | $133.70 | $191 | 11.1× |
| Acth (82024) | $250.60 | $358 | 6.5× |
| Actin smooth muscle antibody each (86015) | $31.50 | $45 | 2.6× |
| Acute hepatitis panel (80074) | $217 | $310 | 4.6× |
| Acylcarnitines Quant (82017) | $46.20 | $66 | 2.7× |
| Adenovirus antibody (86603) | $9.10 | $13 | 0.7× |
| Agglutinins Febrile Each Antigen (86000) | $114.80 | $164 | 16.4× |
| Albumin Fluid (82042) | $27.30 | $39 | 3.5× |
| Albumin serum (82040) | $31.50 | $45 | 6.4× |
| Aldolase (82085) | $61.60 | $88 | 6.3× |
| Aldosterone urine (82088) | $196.70 | $281 | 4.8× |
| Alkaline phosphatase isoenzymes (84080) | $48.30 | $69 | 3.3× |
| Allergen spec ige qual multiallergen screen (86005) | $81.90 | $117 | 10.3× |
| Allergen specific ige (86003) | $22.40 | $32 | 4.3× |
| Allergen specific igg (86001) | $134.40 | $192 | 17.2× |
| Allg Spec Ige Recomb Ea (86008) | $5.60 | $8 | 0.3× |
| Alpha-1-antitrypsin phenotype (82104) | $117.60 | $168 | 8.1× |
| Alpha-1-antitrypsin total (82103) | $88.90 | $127 | 6.6× |
| Alpha-Fetoprotein Serum (82105) | $99.40 | $142 | 5.9× |
| Alt (sgpt) (84460) | $37.80 | $54 | 7.1× |
| Aluminum (82108) | $93.80 | $134 | 3.7× |
| Amikacin trough (80150) | $31.50 | $45 | 2.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $128.10 | $183 | 7.6× |
| Aminolevulinic acid (ala) (82135) | $28 | $40 | 1.7× |
| Ammonia (82140) | $88.20 | $126 | 6.1× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $112.70 | $161 | 1.1× |
| Amylase urine (82150) | $50.40 | $72 | 7.8× |
| Ana Titer (86039) | $16.80 | $24 | 1.5× |
| Androstenedione (82157) | $182.70 | $261 | 6.2× |
| Angiotensin converting enzyme csf (82164) | $86.80 | $124 | 5.9× |
| Antibody aspergillus (86606) | $29.40 | $42 | 2.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $145.60 | $208 | 9.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $77.70 | $111 | 4.6× |
| Antibody Encephalitis California La Crosse (86651) | $19.60 | $28 | 1.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $94.50 | $135 | 7.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $71.40 | $102 | 4.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $91 | $130 | 5.0× |
| Antibody Fungus Not Elsewhere Specified (86671) | $41.30 | $59 | 3.4× |
| Antibody haemophilus influenza (86684) | $100.10 | $143 | 6.3× |
| Antibody helicobacter pylori (86677) | $73.50 | $105 | 4.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $104.30 | $149 | 7.2× |
| Antibody Herpes Smplx Type 1 (86695) | $67.20 | $96 | 5.1× |
| Antibody HIV-1&HIV-2 single result (86703) | $67.90 | $97 | 5.0× |
| Antibody HIV-2 (86702) | $110.60 | $158 | 8.2× |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $367.50 | $525 | 3.8× |
| Antibody john cunningham virus (86711) | $1,416.10 | $2,023 | 83.8× |
| Antibody Lymphocytic Choriomeningitis (86727) | $18.90 | $27 | 1.5× |
| Antibody Protozoa Nes (86753) | $67.90 | $97 | 5.5× |
| Antibody Titer (86886) | $139.30 | $199 | 26.9× |
| Antibody Treponema Pallidum (86780) | $62.30 | $89 | 4.7× |
| Antibody; encephalitis, st. louis (86653) | $61.60 | $88 | 4.7× |
| Antibody; influenza virus (86710) | $19.60 | $28 | 1.4× |
| Antigen typing (86905) | $227.50 | $325 | 59.4× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $110.60 | $158 | 19.3× |
| Antinuclear antibodies (86038) | $73.50 | $105 | 6.1× |
| Antistreptolysin o titer (86060) | $48.30 | $69 | 6.6× |
| Antithrombin iii activity (85300) | $126 | $180 | 10.6× |
| Antithrombin iii antigen (85301) | $105 | $150 | 9.7× |
| Apc gene full sequence (81201) | $1,218.70 | $1,741 | 1.6× |
| Apolipoprotein a1 (82172) | $88.20 | $126 | 4.2× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $919.10 | $1,313 | 24.4× |
| Arsenic (82175) | $103.60 | $148 | 5.5× |
| Aspergillus ag eia (87305) | $63 | $90 | 5.3× |
| Assay activated protein c (85307) | $90.30 | $129 | 5.9× |
| Assay Blood Carbon Dioxide (82374) | $38.50 | $55 | 7.9× |
| Assay Nephelometry Not Spec (83883) | $140.70 | $201 | 10.3× |
| Assay of 5-hiaa (83497) | $105 | $150 | 8.1× |
| Assay of blood/uric acid (84550) | $30.80 | $44 | 6.8× |
| Assay of calcium in urine (82340) | $35 | $50 | 5.8× |
| Assay of cpk in blood (82552) | $97.30 | $139 | 7.3× |
| Assay of estrone (82679) | $85.40 | $122 | 3.4× |
| Assay of g6pd enzyme (82955) | $26.60 | $38 | 2.7× |
| Assay of gammaglobulin igm (82784) | $50.40 | $72 | 5.4× |
| Assay of lactic acid (83605) | $84.70 | $121 | 7.3× |
| Assay of manganese (83785) | $120.40 | $172 | 4.5× |
| Assay of metanephrines (83835) | $160.30 | $229 | 9.5× |
| Assay of proinsulin (84206) | $51.80 | $74 | 1.9× |
| Assay of semen fructose (82757) | $97.30 | $139 | 5.6× |
| Assay of serotonin (84260) | $102.90 | $147 | 3.3× |
| Assay of serum potassium (84132) | $33.60 | $48 | 7.1× |
| Assay of urea nitrogen (84520) | $31.50 | $45 | 8.0× |
| Assay of urine vma (84585) | $21 | $30 | 1.4× |
| Assay of vasoactive intestinal peptide (84586) | $153.30 | $219 | 4.3× |
| Assay of vitamin b-1 (84425) | $114.80 | $164 | 5.4× |
| Assay Ph Body Fluid Nos (83986) | $35 | $50 | 9.8× |
| Assay spec xcp ur&breath ia (82077) | $75.60 | $108 | 4.4× |
| Automated Leukocyte Count (85048) | $23.80 | $34 | 9.4× |
| B cells total count (86355) | $202.30 | $289 | 5.4× |
| Babesia microti amp prb (87469) | $32.20 | $46 | 0.9× |
| Bartonella antibody (86611) | $42 | $60 | 4.1× |
| Bcr/abl1 gene major bp (81206) | $451.50 | $645 | 2.8× |
| Bcr/abl1 gene minor bp (81207) | $142.10 | $203 | 1.0× |
| Bcr/Abl1 Gene Other Bp (81208) | $158.20 | $226 | 0.7× |
| Beta 2 glycoprotein i antibody each (86146) | $95.20 | $136 | 3.7× |
| Beta hydroxybutyrate (82010) | $50.40 | $72 | 6.2× |
| Beta Lactamase (87185) | $28.70 | $41 | 6.0× |
| Beta-2 Microglobulin (82232) | $87.50 | $125 | 5.4× |
| Bile acids total (82239) | $31.50 | $45 | 1.8× |
| Bilirubin direct (82248) | $32.90 | $47 | 6.6× |
| Bilirubin total (82247) | $39.20 | $56 | 7.8× |
| Biotinidase (82261) | $112.70 | $161 | 6.7× |
| Blastomyces antibody (86612) | $171.50 | $245 | 13.3× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $138.60 | $198 | 0.8× |
| Bld Typing Serologic Rh Phnt (86906) | $79.80 | $114 | 10.3× |
| Blood count reticulocyte automated (85045) | $35 | $50 | 8.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $28 | $40 | 7.4× |
| Blood gas (82803) | $123.20 | $176 | 4.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $64.40 | $92 | 4.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $25.90 | $37 | 5.9× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $227.50 | $325 | 35.8× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $77.70 | $111 | 4.8× |
| Blood typing serologic abo (86900) | $81.90 | $117 | 27.4× |
| Body fluid cell count (89050) | $30.80 | $44 | 6.5× |
| Bone marrow smear interpretation (85097) range across 2 matching MRF lines |
$74.20–$543.90 | $106–$777 | varies |
| Bordetella antibody (86615) | $106.40 | $152 | 8.1× |
| Borrelia miyamotoi amp prb (87478) | $32.20 | $46 | 0.9× |
| Brucella antibody (86622) | $87.50 | $125 | 9.8× |
| C diff amplified probe (87493) | $124.60 | $178 | 3.3× |
| C-Peptide (84681) | $109.20 | $156 | 5.2× |
| C-reactive protein (86140) | $42 | $60 | 8.1× |
| Ca 19-9 (86301) | $125.30 | $179 | 6.0× |
| Cadmium (82300) | $32.90 | $47 | 1.4× |
| Calcitonin (82308) | $30.80 | $44 | 1.1× |
| Calcium ionized (82330) | $71.40 | $102 | 5.2× |
| Calcium total (82310) | $32.90 | $47 | 6.4× |
| Calculus Spectroscopy (82365) | $100.80 | $144 | 7.8× |
| Calprotectin Fecal (83993) | $214.90 | $307 | 10.9× |
| Calr gene com variants (81219) | $646.80 | $924 | 5.3× |
| Cancer Antigen 125 (86304) | $118.30 | $169 | 5.7× |
| Cancer Antigen 27.29 (86300) | $105.70 | $151 | 5.1× |
| Candida Dna Dir Probe (87480) | $74.20 | $106 | 3.7× |
| Carbamazepine free (80157) | $28.70 | $41 | 2.2× |
| Carbamazepine total (80156) | $74.20 | $106 | 5.1× |
| Carboxyhemoglobin (82375) | $77.70 | $111 | 6.3× |
| Carcinoembryonic antigen (82378) | $98.70 | $141 | 5.2× |
| Cardiolipin ab iga (86147) | $120.40 | $172 | 4.7× |
| Carnitine Quantitative Each Specimen (82379) | $147.70 | $211 | 8.8× |
| Catecholamines fractionated (82384) | $170.80 | $244 | 6.8× |
| Ccp antibody (86200) | $94.50 | $135 | 7.3× |
| Cell count csf (89051) | $56.70 | $81 | 10.1× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $149.80 | $214 | 1.1× |
| Ceruloplasmin (82390) | $63 | $90 | 5.9× |
| Cftr gene com variants (81220) | $241.50 | $345 | 0.4× |
| Cftr gene dup/delet variants (81222) | $1,131.20 | $1,616 | 2.6× |
| Cftr gene full sequence (81223) | $1,131.20 | $1,616 | 2.3× |
| Chemiluminescent assay (82397) | $172.20 | $246 | 12.2× |
| Chlamydia antibody (86631) | $24.50 | $35 | 2.1× |
| Chlamydia Igm Antibody (86632) | $24.50 | $35 | 1.9× |
| Chloride other source (82438) | $37.80 | $54 | 7.6× |
| Chloride Serum (82435) | $31.50 | $45 | 6.8× |
| Chloride urine (82436) | $14.70 | $21 | 2.6× |
| Cholesterol total (82465) | $30.80 | $44 | 7.1× |
| Cholinesterase Serum (82480) | $48.30 | $69 | 6.1× |
| Chorionic gonadotropin test (84702) | $84.70 | $121 | 5.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $58.80 | $84 | 1.8× |
| Chromium serum (82495) | $98.70 | $141 | 4.9× |
| Chromogenic Substrate Assay (85130) | $183.40 | $262 | 15.4× |
| Chromogranin a (86316) | $214.20 | $306 | 10.3× |
| Chromosome Analysis 15-20 (88262) | $609.70 | $871 | 4.9× |
| Chromosome Analysis 20-25 (88264) | $1,481.20 | $2,116 | 10.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $77.70 | $111 | 2.2× |
| Citric acid urine (82507) | $168 | $240 | 6.0× |
| Ckmb (82553) | $93.80 | $134 | 8.1× |
| Clostridium Difficile (87324) | $81.20 | $116 | 6.8× |
| Clot Factor VIII Multimetric (85247) | $161.70 | $231 | 7.0× |
| Clot factor xiii fibrin stab (85290) | $114.10 | $163 | 7.0× |
| Clotting factor xii hageman (85280) | $186.90 | $267 | 9.7× |
| Clotting Funct Activity (85397) | $178.50 | $255 | 5.8× |
| Cns DNA amp probe type 12-25 (87483) | $1,075.20 | $1,536 | 2.6× |
| Coccidioides antibody (86635) | $74.90 | $107 | 6.5× |
| Cold agglutinin screen (86156) | $87.50 | $125 | 10.8× |
| Cold agglutinin titer (86157) | $60.90 | $87 | 7.6× |
| Collagen crosslinks (82523) | $65.80 | $94 | 3.5× |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$118.30–$250.60 | $169–$358 | varies |
| Compatibility test antiglob (86922) | $161 | $230 | 1.0× |
| Complement Antigen Each Component (86160) | $72.10 | $103 | 6.0× |
| Complement Total (Ch50) (86162) | $147 | $210 | 7.2× |
| Complement/Function Activity (86161) | $46.20 | $66 | 3.9× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $376.60 | $538 | 2.3× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $176.40 | $252 | 3.5× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $110.60 | $158 | 3.1× |
| Coombs direct (86880) | $68.60 | $98 | 12.7× |
| Copper urine (82525) | $72.80 | $104 | 5.9× |
| Cortisol free (82530) | $146.30 | $209 | 8.8× |
| Cortisol saliva (82533) | $81.90 | $117 | 5.0× |
| Creatine kinase total (82550) | $47.60 | $68 | 7.3× |
| Creatinine blood (82565) | $35 | $50 | 6.8× |
| Creatinine clearance (82575) | $68.60 | $98 | 7.3× |
| Creatinine Urine (82570) | $35 | $50 | 6.8× |
| Crossmatch immediate spin (86920) | $147.70 | $211 | 0.9× |
| Crp High Sensitivity (86141) | $73.50 | $105 | 5.7× |
| Cryoglobulin (82595) | $74.90 | $107 | 11.6× |
| Cryptococcus ag titer (87899) | $46.90 | $67 | 2.9× |
| Cryptosporidium ag eia (87328) | $53.20 | $76 | 3.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $46.20 | $66 | 5.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $58.80 | $84 | 7.3× |
| Culture afb (87116) | $60.90 | $87 | 5.6× |
| Culture Anaerobic (87075) | $58.80 | $84 | 6.2× |
| Culture blood (87040) | $81.90 | $117 | 7.9× |
| Culture csf (87070) | $66.50 | $95 | 7.7× |
| Culture fungus (87102) | $62.30 | $89 | 7.4× |
| Culture screen only (87081) | $60.90 | $87 | 9.2× |
| Culture stool (87045) | $49.70 | $71 | 5.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $67.20 | $96 | 13.0× |
| Culture urine (87086) | $42 | $60 | 5.2× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $74.20 | $106 | 5.2× |
| Cyclosporine (80158) | $133.70 | $191 | 7.4× |
| Cystatin C (82610) | $42.70 | $61 | 2.3× |
| Cytogenetics 100-300 (88275) | $113.40 | $162 | 2.2× |
| Cytogenom Const Microarray Copy Number Variants (81228) range across 2 matching MRF lines |
$480.20–$917 | $686–$1,310 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,897.30 | $4,139 | 2.5× |
| Cytomegalovirus igg (86644) | $78.40 | $112 | 5.4× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $78.40 | $112 | 3.9× |
| Cytopath Cell Enhance Tech (88112) | $774.90 | $1,107 | 15.5× |
| Cytopath Fl Nongyn Filter (88106) range across 2 matching MRF lines |
$30.80–$112 | $44–$160 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $142.10 | $203 | 4.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$98–$223.30 | $140–$319 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) range across 2 matching MRF lines |
$65.10–$125.30 | $93–$179 | varies |
| Deoxyribonuclease antibody (86215) | $61.60 | $88 | 4.6× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$121.10–$230.30 | $173–$329 | varies |
| Detect Agent Nos Dna Quant (87799) | $365.40 | $522 | 8.5× |
| Dgp Antibody Each Ig Class (86258) | $56 | $80 | 4.6× |
| Dhea (82626) | $192.50 | $275 | 7.6× |
| Dhea-S (82627) | $141.40 | $202 | 6.4× |
| Digoxin (80162) | $74.90 | $107 | 5.6× |
| Dihydrotestosterone (82642) | $41.30 | $59 | 1.4× |
| Diphtheria antitoxoid (86648) | $58.80 | $84 | 3.9× |
| Dipropylacetic Acid Free (80165) | $179.90 | $257 | 13.3× |
| Dna Antibody Native/Double Stranded (86225) | $116.90 | $167 | 8.5× |
| Dna/Rna Amplified Probe (87150) | $115.50 | $165 | 3.3× |
| DNA/RNA direct probe (87149) | $24.50 | $35 | 1.2× |
| Dpyd gene common variants (81232) | $1,781.50 | $2,545 | 10.2× |
| Drug assay acetaminophen (80143) | $91.70 | $131 | 4.9× |
| Drug assay adalimumab (80145) | $242.90 | $347 | 6.3× |
| Drug Assay Amiodarone (80151) | $18.90 | $27 | 1.0× |
| Drug Assay Everolimus (80169) | $37.10 | $53 | 2.7× |
| Drug assay felbamate (80167) | $67.20 | $96 | 3.6× |
| Drug Assay Infliximab (80230) | $245 | $350 | 6.4× |
| Drug Assay Itraconazole (80189) | $42.70 | $61 | 1.6× |
| Drug Assay Lacosamide (80235) | $167.30 | $239 | 6.2× |
| Drug Assay Posaconazole (80187) | $177.10 | $253 | 6.5× |
| Drug Assay Vedolizumab (80280) | $482.30 | $689 | 12.5× |
| Drug assay voriconazole (80285) | $53.90 | $77 | 2.0× |
| Drug Screen Quant Clozapine (80159) | $115.50 | $165 | 5.7× |
| Drug Screen Quant Zonisamide (80203) | $122.50 | $175 | 9.2× |
| Drug Screen Quantitative Gabapentin (80171) | $96.60 | $138 | 4.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $96.60 | $138 | 7.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $96.60 | $138 | 7.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $117.60 | $168 | 8.9× |
| Drug Test Prsmv Chem Anlyzr (80307) | $288.40 | $412 | 4.6× |
| Drug Test Prsmv Dir Opt Obs (80305) | $21.70 | $31 | 1.7× |
| Drug Test Prsmv Instrmnt (80306) | $110.60 | $158 | 6.5× |
| Ehrlichia antibody (86666) | $79.10 | $113 | 7.8× |
| Electrolyte panel (80051) | $70 | $100 | 10.0× |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$112.70–$851.20 | $161–$1,216 | varies |
| Encephaltis East Eqne Anbdy (86652) | $19.60 | $28 | 1.5× |
| Encephaltis West Eqne Antbdy (86654) | $19.60 | $28 | 1.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $204.40 | $292 | 16.9× |
| Enterovirus Antibody (86658) | $84.70 | $121 | 6.5× |
| Enterovirus PCR (87498) | $76.30 | $109 | 2.2× |
| Enzyme cell activity (82657) | $271.60 | $388 | 12.3× |
| Erythropoietin (82668) | $124.60 | $178 | 6.6× |
| Estradiol serum (82670) | $119.70 | $171 | 4.3× |
| Estriol (82677) | $96.60 | $138 | 4.0× |
| Ethosuximide (80168) | $69.30 | $99 | 4.2× |
| Euglobulin lysis (85360) | $77.70 | $111 | 9.2× |
| Exam Synovial Fluid Crystals (89060) | $64.40 | $92 | 8.8× |
| F2 Gene (81240) | $177.80 | $254 | 2.7× |
| Factor ii activity (85210) | $69.30 | $99 | 5.3× |
| Factor Inhibitor Test (85335) | $519.40 | $742 | 40.4× |
| Factor ix activity (85250) | $154.70 | $221 | 8.1× |
| Factor v activity (85220) | $225.40 | $322 | 12.8× |
| Factor v leiden mutation (81241) | $205.10 | $293 | 2.8× |
| Factor vii assay (85230) | $69.30 | $99 | 3.9× |
| Factor viii assay (85240) | $161.70 | $231 | 9.0× |
| Factor X (85260) | $180.60 | $258 | 10.1× |
| Factor xi activity (85270) | $63.70 | $91 | 3.6× |
| Factor xiii screen (85291) | $116.90 | $167 | 12.8× |
| Fat/Lipids Feces Quantitative (82710) | $140.70 | $201 | 8.4× |
| Fatty acids free (82725) | $154 | $220 | 8.2× |
| Ferritin (82728) | $77 | $110 | 5.6× |
| Fetal Chrmoml Aneuploidy (81420) | $1,640.10 | $2,343 | 2.2× |
| Fetal Fibronectin (82731) | $238 | $340 | 3.7× |
| Fibrin degradation products (85362) | $86.10 | $123 | 12.5× |
| Fibrin Degradation Quant (85379) | $84.70 | $121 | 8.3× |
| Fibrinogen activity (85384) | $67.90 | $97 | 7.0× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $58.80 | $84 | 3.8× |
| Flecainide level (80181) | $59.50 | $85 | 3.2× |
| Flow cytometry first marker (88184) | $227.50 | $325 | 0.7× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$80.50–$1,061.20 | $115–$1,516 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $86.10 | $123 | 7.1× |
| Folic acid rbc (82747) | $124.60 | $178 | 7.1× |
| Folic Acid Serum (82746) | $84.70 | $121 | 5.8× |
| Follicle Stimulating Hormone (83001) | $92.40 | $132 | 5.0× |
| Francisella tularensis (86668) | $135.10 | $193 | 9.5× |
| Frozen Section (88331) range across 2 matching MRF lines |
$91–$220.50 | $130–$315 | varies |
| Fungi Identification Mold (87107) | $54.60 | $78 | 5.3× |
| Fungi Identification Yeast (87106) | $16.10 | $23 | 1.6× |
| Galactose transferase test (82776) | $112.70 | $161 | 9.6× |
| Gammaglobulin ige (82785) | $77 | $110 | 4.7× |
| Gardner vag DNA dir probe (87510) | $73.50 | $105 | 3.7× |
| Gases blood ph only (82800) | $39.20 | $56 | 3.6× |
| Gastrin (82941) | $105 | $150 | 6.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $624.40 | $892 | 1.5× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,780.80 | $2,544 | 2.3× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $1,876.70 | $2,681 | 0.6× |
| Gentamicin (80170) | $98 | $140 | 6.0× |
| Ggt (82977) | $37.80 | $54 | 5.2× |
| Giardia antigen (87329) | $65.10 | $93 | 5.4× |
| Glucagon (82943) | $39.20 | $56 | 2.7× |
| Glucose 2 hr pp (82950) | $50.40 | $72 | 10.6× |
| Glucose Blood Test (82962) | $27.30 | $39 | 8.3× |
| Glucose body fluid (82945) | $39.90 | $57 | 10.2× |
| Glucose Serum (82947) | $30.80 | $44 | 7.8× |
| Glucose tolerance test (gtt) (82951) | $82.60 | $118 | 6.4× |
| Glutathione (82978) | $275.10 | $393 | 17.8× |
| Glycated Protein (82985) | $121.10 | $173 | 7.2× |
| Gonadotropin Chorionic Qualitative (84703) | $56.70 | $81 | 7.5× |
| Gonadotropin releasing hormone (83727) | $234.50 | $335 | 13.6× |
| Growth hormone (83003) | $87.50 | $125 | 5.2× |
| Haloperidol (80173) | $51.80 | $74 | 3.3× |
| Haptoglobin (83010) | $72.10 | $103 | 5.7× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $326.90 | $467 | 1.6× |
| Hdl Cholesterol (83718) | $60.90 | $87 | 7.4× |
| Helicobacter Pylori Stool (87338) | $147.70 | $211 | 10.3× |
| Hematocrit (85014) | $23.10 | $33 | 9.7× |
| Hemoglobin (85018) | $24.50 | $35 | 10.3× |
| Hemoglobin a1c (83036) | $51.80 | $74 | 5.3× |
| Hemoglobin Chromotography (83021) | $28 | $40 | 1.6× |
| Hemoglobin electrophoresis (83020) | $112.70 | $161 | 8.8× |
| Hemoglobin plasma (83051) | $68.60 | $98 | 9.4× |
| Hemoglobin stability screen (83068) | $118.30 | $169 | 12.5× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $39.90 | $57 | 4.5× |
| Hep a ab igm (86709) | $69.30 | $99 | 6.2× |
| Heparin assay (85520) | $62.30 | $89 | 4.8× |
| Hepatitis a antibody total (86708) | $85.40 | $122 | 6.9× |
| Hepatitis b core ab igm (86705) | $79.80 | $114 | 6.8× |
| Hepatitis b core ab total (86704) | $65.10 | $93 | 5.4× |
| Hepatitis B Surface Antibody (86706) | $53.90 | $77 | 5.0× |
| Hepatitis B Surface Antigen (87340) | $47.60 | $68 | 4.6× |
| Hepatitis Be Antibody (86707) | $94.50 | $135 | 8.2× |
| Hepatitis Be Antigen (87350) | $91 | $130 | 7.9× |
| Hepatitis C Antibody (86803) | $78.40 | $112 | 5.5× |
| Hepatitis c antibody confirmatory test (86804) | $168 | $240 | 10.8× |
| Hepatitis C Genotype (87902) | $533.40 | $762 | 2.1× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$204.40–$320.60 | $292–$458 | varies |
| Herpes simplex type 2 (86696) | $72.80 | $104 | 3.8× |
| Heterophile Antibody Screen (86308) | $36.40 | $52 | 7.0× |
| Hfe Gene (81256) | $209.30 | $299 | 3.2× |
| Histamine urine (83088) | $147.70 | $211 | 5.0× |
| Histoplasma antibody (86698) | $69.30 | $99 | 5.0× |
| Histoplasma antigen urine (87385) | $176.40 | $252 | 13.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $118.30 | $169 | 4.9× |
| Hiv-1 Antibody (86701) | $72.80 | $104 | 8.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $110.60 | $158 | 1.3× |
| HIV-2 probe&revrse trnscripj (87538) | $254.10 | $363 | 7.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $201.60 | $288 | 2.7× |
| Hla ii typing 1 locus lr (81376) | $151.20 | $216 | 1.2× |
| Hla-b27 (86812) | $154.70 | $221 | 6.0× |
| Homocysteine (83090) | $130.20 | $186 | 7.3× |
| Hpv High-Risk Types (87624) | $79.80 | $114 | 2.3× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$51.10–$202.30 | $73–$289 | varies |
| Hydroxyprogesterone 17-d (83498) | $51.80 | $74 | 1.9× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $58.10 | $83 | 5.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $123.20 | $176 | 8.9× |
| Iaad ia shiga-like toxin (87427) | $46.20 | $66 | 3.9× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $32.20 | $46 | 0.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $35 | $50 | 1.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $219.80 | $314 | 6.3× |
| Iadna Cytomegalovirus Quantification (87497) | $340.90 | $487 | 8.0× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $123.20 | $176 | 1.8× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $32.20 | $46 | 0.9× |
| Iadna Hepatitis B Virus Quantification (87517) | $277.20 | $396 | 6.5× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $148.40 | $212 | 4.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $329.70 | $471 | 9.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $92.40 | $132 | 2.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $199.50 | $285 | 1.4× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $459.20 | $656 | 1.7× |
| Ig Light Chains Free Each (83521) | $182 | $260 | 10.5× |
| Igg subclasses (82787) | $153.30 | $219 | 19.1× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $711.90 | $1,017 | 2.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $102.90 | $147 | 0.3× |
| Immune Complex Assay (86332) | $121.80 | $174 | 5.0× |
| Immunfix e-phorsis/urine/csf (86335) | $98 | $140 | 3.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $170.80 | $244 | 9.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $94.50 | $135 | 6.3× |
| Immunoassay nonantibody (83516) | $81.90 | $117 | 7.1× |
| Immunofixation electrophoresis (86334) | $86.10 | $123 | 3.9× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$76.30–$292.60 | $109–$418 | varies |
| Immunohistochemistry (88342) | $194.60 | $278 | 1.2× |
| In situ hybridization 1st probe stain (88365) | $270.90 | $387 | 1.7× |
| Influenza assay w/optic (87804) | $67.20 | $96 | 4.1× |
| Influenza DNA amp probe (87502) | $148.40 | $212 | 1.5× |
| Inhibin A (86336) | $106.40 | $152 | 6.8× |
| Inhibin b (83520) | $135.80 | $194 | 7.9× |
| Insulin antibodies (86337) | $61.60 | $88 | 2.9× |
| Insulin free (83527) | $20.30 | $29 | 1.6× |
| Insulin total (83525) | $78.40 | $112 | 6.9× |
| Interleukin-6 (83529) | $57.40 | $82 | 3.3× |
| Intrinsic factor antibody (86340) | $128.10 | $183 | 8.5× |
| Iron (83540) | $46.90 | $67 | 7.2× |
| Islet cell antibody (86341) | $169.40 | $242 | 7.2× |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$345.10–$418.60 | $493–$598 | varies |
| Kit Gene Analysis D816 Variant(S) (81273) | $644 | $920 | 5.2× |
| Koh Prep (87220) | $31.50 | $45 | 7.4× |
| Lactate (ld) (ldh) enzyme (83615) | $44.80 | $64 | 7.4× |
| Lactoferrin fecal qualitative (83630) | $76.30 | $109 | 3.9× |
| LDL direct (83721) | $52.50 | $75 | 5.0× |
| Lead (83655) | $73.50 | $105 | 6.1× |
| Legionella antigen urine (87449) | $107.10 | $153 | 8.9× |
| Leukocyte Assessment Fecal (89055) | $35 | $50 | 8.2× |
| Leukocyte Histamine Release (86343) | $149.80 | $214 | 12.0× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$11.90–$32.90 | $17–$47 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$18.90–$119 | $27–$170 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$208.60–$417.20 | $298–$596 | varies |
| Lipase (83690) | $61.60 | $88 | 8.9× |
| Lipoprotein A (83695) | $21 | $30 | 1.5× |
| Lipoprotein Bld Quan Part (83704) | $33.60 | $48 | 1.0× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $14.70 | $21 | 1.3× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $52.50 | $75 | 1.6× |
| Lithium (80178) | $53.90 | $77 | 8.2× |
| Luteinizing Hormone (Lh) (83002) | $94.50 | $135 | 5.1× |
| Lyme disease antibody (86618) | $84.70 | $121 | 5.0× |
| Lymphocyte transformation (86353) | $565.60 | $808 | 11.5× |
| Lysozyme serum (85549) | $86.10 | $123 | 4.6× |
| M. Genitalium Amp Probe (87563) | $519.40 | $742 | 14.8× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $420 | $600 | 12.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $391.30 | $559 | 2.4× |
| M/phmtrc alys ishquant/semiq (88374) | $440.30 | $629 | 2.7× |
| Macroscopic exam arthropod (87168) | $60.90 | $87 | 14.3× |
| Macroscopic Exam Parasite (87169) | $47.60 | $68 | 11.0× |
| Magnesium Urine (83735) | $46.20 | $66 | 6.9× |
| Mass Spectrometry Quant (83789) | $112.70 | $161 | 4.7× |
| Mercury urine (83825) | $112 | $160 | 6.9× |
| Methotrexate (80204) | $46.90 | $67 | 1.2× |
| Methylmalonic acid serum (83921) | $229.60 | $328 | 10.8× |
| Microalbumin, quantitative (82043) | $63.70 | $91 | 11.0× |
| Microsatellite instability (81301) | $368.20 | $526 | 1.1× |
| Microsomal Antibodies Each (86376) | $81.20 | $116 | 5.6× |
| Mlh1 Gene (81288) | $1,543.50 | $2,205 | 8.0× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $360.50 | $515 | 0.5× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $1,010.80 | $1,444 | 26.8× |
| Molecular Cytogenetics Dna Probe Each (88271) | $220.50 | $315 | 10.3× |
| Molecular Pathology Procedure Level 3 (81402) | $370.30 | $529 | 2.5× |
| Mononuclear cell antigen (86356) | $147 | $210 | 5.5× |
| Mopath procedure level 2 (81401) | $508.20 | $726 | 3.7× |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$345.10–$565.60 | $493–$808 | varies |
| Mopath procedure level 5 (81404) | $2,035.60 | $2,908 | 7.4× |
| Mopath procedure level 7 (81406) | $1,171.80 | $1,674 | 4.1× |
| Mopath procedure level 9 (81408) range across 2 matching MRF lines |
$625.80–$3,947.30 | $894–$5,639 | varies |
| Mpl gene analysis sequence analysis exon 10 (81339) | $654.50 | $935 | 3.5× |
| Mrsa Pcr (87641) | $142.10 | $203 | 4.0× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $203.70 | $291 | 0.5× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $342.30 | $489 | 0.5× |
| Mthfr Gene Analysis Common Variants (81291) | $333.90 | $477 | 5.1× |
| Mucopolysaccharides acid quantitative (83864) | $907.20 | $1,296 | 31.8× |
| Mumps antibody (86735) | $116.90 | $167 | 9.0× |
| Mycophenolic Acid (80180) | $41.30 | $59 | 2.3× |
| Mycoplasma antibody (86738) | $113.40 | $162 | 8.6× |
| Myelin basic protein csf (83873) | $85.40 | $122 | 5.0× |
| Myoglobin urine (83874) | $90.30 | $129 | 7.0× |
| Natriuretic peptide (83880) | $126 | $180 | 3.2× |
| Neutralization Test Viral (86382) | $264.60 | $378 | 15.6× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $216.30 | $309 | 1.7× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $40.60 | $58 | 1.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $299.60 | $428 | 1.1× |
| Nfct ds chrnc hcv 6 assays (81596) | $578.20 | $826 | 8.0× |
| Niacin (84591) | $242.90 | $347 | 14.2× |
| Nk cells total count (86357) | $88.90 | $127 | 2.4× |
| Nuclear antigen antibody (86235) | $79.10 | $113 | 4.4× |
| Obstetric panel (80081) | $294.70 | $421 | 3.9× |
| Occult blood feces (82272) | $28 | $40 | 6.6× |
| Occult Blood Other Sources (82271) | $60.90 | $87 | 11.4× |
| Oligoclonal bands (83916) | $96.60 | $138 | 3.5× |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $520.80 | $744 | 2.0× |
| Organic Acids Qualitative Each Specimen (83919) | $45.50 | $65 | 2.8× |
| Osmolality serum (83930) | $39.90 | $57 | 6.0× |
| Osmolality Urine (83935) | $42.70 | $61 | 6.3× |
| Oxalate urine (83945) | $86.10 | $123 | 6.0× |
| Pancreatic Elastase Fecal (82656) | $220.50 | $315 | 19.1× |
| Particle Agglut Antbdy Titr (86406) | $171.50 | $245 | 16.1× |
| Parvovirus antibody (86747) | $128.10 | $183 | 8.5× |
| Pathology Consultation During Surgery (88329) | $584.50 | $835 | 10.3× |
| Ph urine (81003) | $25.90 | $37 | 11.5× |
| Phenobarbital Level (80184) | $70.70 | $101 | 4.6× |
| Phenytoin (Dilantin) (80185) | $79.10 | $113 | 6.0× |
| Phenytoin free (80186) | $80.50 | $115 | 5.9× |
| Phosphatase alkaline (84075) | $37.80 | $54 | 7.3× |
| Phospholipid Neutralization Hexagonal (85598) | $128.80 | $184 | 7.2× |
| Phosphorus Serum (84100) | $31.50 | $45 | 6.6× |
| Phosphorus urine (84105) | $50.40 | $72 | 8.7× |
| Pinworm exam (87172) | $123.20 | $176 | 28.9× |
| Platelet Antibodies (86022) | $175 | $250 | 9.5× |
| Platelet count automated (85049) | $30.80 | $44 | 6.9× |
| Platelet neutralization (85597) | $127.40 | $182 | 7.1× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $572.60 | $818 | 2.8× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $109.20 | $156 | 0.5× |
| Pms2 gene full seq analysis (81317) | $361.20 | $516 | 0.5× |
| Porphobilinogen, urine; quantitative (84110) | $72.10 | $103 | 8.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $173.60 | $248 | 11.8× |
| Potassium Urine (84133) | $32.90 | $47 | 7.0× |
| Prealbumin (84134) | $61.60 | $88 | 4.2× |
| Pregnancy-Associated Plasma Protein-A (84163) | $79.80 | $114 | 5.3× |
| Pregnenolone (84140) | $42.70 | $61 | 2.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $58.10 | $83 | 1.0× |
| Pretx serum rbc antibody identification dilution (86976) | $21 | $30 | 0.8× |
| Primidone (80188) | $74.90 | $107 | 4.5× |
| Procalcitonin (Pct) (84145) | $130.20 | $186 | 4.8× |
| Progesterone (84144) | $119.70 | $171 | 5.7× |
| Prolactin (84146) | $100.10 | $143 | 5.2× |
| Prostaglandin (84150) | $290.50 | $415 | 7.0× |
| Protein body fluid (84157) | $36.40 | $52 | 9.1× |
| Protein C Activity (85303) | $143.50 | $205 | 10.4× |
| Protein c antigen (85302) | $138.60 | $198 | 11.5× |
| Protein Electrophoresis Urine (84166) | $74.90 | $107 | 4.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $51.80 | $74 | 4.8× |
| Protein S Free (85306) | $196.70 | $281 | 12.8× |
| Protein s total (85305) | $40.60 | $58 | 3.5× |
| Protein total serum (84155) | $31.50 | $45 | 8.6× |
| Protein Total Urine (84156) | $48.30 | $69 | 13.2× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $58.10 | $83 | 14.7× |
| Protoporphyrin rbc quantitative (84202) | $67.90 | $97 | 4.7× |
| PSA free (84154) | $114.10 | $163 | 6.2× |
| Pth Intact (83970) | $162.40 | $232 | 3.9× |
| Q Fever Antibody (86638) | $27.30 | $39 | 2.3× |
| Quantiferon tb gold plus (86480) | $122.50 | $175 | 2.0× |
| Quantitative assay drug (80299) | $121.80 | $174 | 6.5× |
| Quantitative Screen Metals (83018) | $174.30 | $249 | 7.9× |
| Rbc antibody elution (86860) | $154 | $220 | 0.9× |
| Rbc antibody identification (86870) | $236.60 | $338 | 0.7× |
| Rbc antibody screen (86850) | $49.70 | $71 | 5.1× |
| Rbc pretreatment serum (86978) | $88.90 | $127 | 1.6× |
| Rbc pretx incubatj w/enzymes (86971) | $35 | $50 | 0.2× |
| Renin activity plasma (84244) | $127.40 | $182 | 5.8× |
| Reptilase test (85635) | $78.40 | $112 | 8.0× |
| Resp virus 12-25 targets (87633) | $417.20 | $596 | 1.0× |
| Reticulocyte separation (86972) | $112.70 | $161 | 0.7× |
| Rh (86901) | $28.70 | $41 | 9.6× |
| Rheumatoid factor quant (86431) | $37.80 | $54 | 6.7× |
| Rickettsia antibody (86757) | $92.40 | $132 | 4.8× |
| Ristocetin cofactor (85245) | $98 | $140 | 4.3× |
| Rotavirus ag eia (87425) | $84 | $120 | 7.0× |
| Rpr qualitative (86592) | $39.20 | $56 | 9.2× |
| Rubella Antibody (86762) | $58.80 | $84 | 4.1× |
| Rubeola antibody (86765) | $80.50 | $115 | 6.3× |
| Rufinamide (80210) | $173.60 | $248 | 6.4× |
| Russell Viper Venom Time Diluted (85613) | $115.50 | $165 | 12.1× |
| Rx metab gen seq alys pnl 6 (81418) | $3,327.10 | $4,753 | 3.6× |
| Salicylate Level (80179) | $91.70 | $131 | 4.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $172.20 | $246 | 3.4× |
| Sars-cov-2 COVID-19 antibody (86769) | $40.60 | $58 | 1.0× |
| Sarscov2 & inf a&b amp prb (87636) | $199.50 | $285 | 1.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $207.20 | $296 | 1.5× |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$36.40–$38.50 | $52–$55 | varies |
| Selenium (84255) | $100.10 | $143 | 3.9× |
| Semen Anal Sperm Detection (89321) | $28 | $40 | 2.3× |
| Semen analysis complete (89322) | $125.30 | $179 | 8.1× |
| Semen analysis motility and count (89310) | $215.60 | $308 | 25.0× |
| Sensitivity mic (87186) | $64.40 | $92 | 7.4× |
| Sex Hormone Binding Globulin (84270) | $27.30 | $39 | 1.3× |
| Sickling of rbc reduction (85660) | $39.20 | $56 | 7.1× |
| Silica (84285) | $103.60 | $148 | 4.1× |
| Skin test tuberculosis intradermal (86580) | $12.60 | $18 | 0.5× |
| Smear acid fast (87206) | $44.10 | $63 | 8.2× |
| Smear complex stain (87209) | $161 | $230 | 9.0× |
| Smear gram stain (87205) | $28 | $40 | 6.6× |
| Smear Special Stain (87207) | $25.20 | $36 | 4.2× |
| Sodium Serum (84295) | $29.40 | $42 | 6.1× |
| Sodium Urine (84300) | $28.70 | $41 | 5.7× |
| Soluble fibrin monomer (85366) | $84.70 | $121 | 1.1× |
| Soluble Transferrin Receptor (84238) | $28 | $40 | 0.8× |
| Somatomedin (84305) | $173.60 | $248 | 8.2× |
| Special Stains Group 1 (88312) | $161 | $230 | 3.2× |
| Special Stains Group 2 (88313) | $137.90 | $197 | 1.1× |
| Specific gravity body fluid (84315) | $28.70 | $41 | 8.8× |
| Specimen infect agnt concntj (87015) | $25.20 | $36 | 3.8× |
| Spectrophotometry (84311) | $54.60 | $78 | 6.7× |
| Stool cultr aerobic bact ea (87046) | $30.10 | $43 | 3.2× |
| Strep a assay w/optic (87880) | $48.30 | $69 | 2.9× |
| Strep a DNA amp probe (87651) | $29.40 | $42 | 0.8× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $105 | $150 | 1.1× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $175 | $250 | 31.8× |
| Sugars Single Qual (84376) | $99.40 | $142 | 18.1× |
| Sulfate urine (84392) | $13.30 | $19 | 2.4× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$29.40–$81.90 | $42–$117 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$87.50–$112.70 | $125–$161 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$322–$614.60 | $460–$878 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $100.80 | $144 | 13.5× |
| Syphilis Test Non-Trep Quant (86593) | $34.30 | $49 | 7.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $92.40 | $132 | 2.0× |
| T cells total count (86359) | $88.90 | $127 | 2.4× |
| T3 Free (84481) | $112 | $160 | 6.6× |
| T3 reverse (84482) | $147 | $210 | 9.3× |
| T3 Total (84480) | $73.50 | $105 | 5.2× |
| T3 Uptake (84479) | $78.40 | $112 | 12.1× |
| T4 Free (84439) | $58.80 | $84 | 6.5× |
| T4 total (84436) | $51.10 | $73 | 7.4× |
| Tacrolimus (80197) | $131.60 | $188 | 9.6× |
| Testosterone total (84403) | $102.90 | $147 | 4.0× |
| Testosterone, Free (84402) | $124.60 | $178 | 4.9× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $1,780.80 | $2,544 | 3.0× |
| Theophylline (80198) | $76.30 | $109 | 5.4× |
| Thiopurine methyltransferase (84433) | $344.40 | $492 | 15.5× |
| Thrombin Time (85670) | $48.30 | $69 | 8.4× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $72.80 | $104 | 11.3× |
| Thyroglobulin (84432) | $73.50 | $105 | 4.6× |
| Thyroglobulin Antibody (86800) | $82.60 | $118 | 5.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $241.50 | $345 | 4.7× |
| Thyroxine binding globulin (84442) | $72.10 | $103 | 4.9× |
| Tiss cul neo disorders solid tumor (88239) | $189 | $270 | 1.3× |
| Tissue Culture (88233) | $2,752.40 | $3,932 | 19.6× |
| Tissue culture bone marrow (88237) | $296.80 | $424 | 2.1× |
| Tissue Culture Lymphocyte (88230) | $117.60 | $168 | 1.0× |
| Tobramycin peak (80200) | $123.20 | $176 | 7.6× |
| Topiramate (80201) | $105.70 | $151 | 8.9× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $71.40 | $102 | 3.6× |
| Toxoplasma ab igm (86778) | $104.30 | $149 | 7.2× |
| Toxoplasma antibody (86777) | $93.10 | $133 | 6.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $38.50 | $55 | 7.4× |
| Transferrin (84466) | $69.30 | $99 | 5.4× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $358.40 | $512 | 1.7× |
| Trg gene rearrangement anal (81342) | $345.10 | $493 | 1.7× |
| Trichomonas vagin dir probe (87660) | $73.50 | $105 | 3.7× |
| Trichomonas Vaginalis Amplif (87661) | $138.60 | $198 | 3.9× |
| Triglycerides (84478) | $40.60 | $58 | 7.1× |
| Troponin Quant (84484) | $116.20 | $166 | 9.3× |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$175.70–$239.40 | $251–$342 | varies |
| Tumor Immunohistochem/Manual (88360) | $277.20 | $396 | 1.7× |
| Unlisted Transfusion Medicine Procedure (86999) | $33.60 | $48 | 1.2× |
| Urea nitrogen urine (84540) | $42.70 | $61 | 7.7× |
| Uric acid other source (84560) | $13.30 | $19 | 2.6× |
| Urinalysis Microscopic Only (81015) | $21 | $30 | 6.9× |
| Urinalysis Volume Measure (81050) | $14 | $20 | 3.8× |
| Urine Bacteria Culture (87088) | $57.40 | $82 | 7.1× |
| Urine Pregnancy Test (81025) | $44.80 | $64 | 5.2× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $39.90 | $57 | 12.6× |
| Valproic acid (80164) | $76.30 | $109 | 5.6× |
| Vancomycin (80202) | $82.60 | $118 | 6.1× |
| Varicella-zoster antibody (86787) | $95.90 | $137 | 7.4× |
| Vasopressin (84588) | $159.60 | $228 | 4.7× |
| Viral Culture (87252) | $107.10 | $153 | 4.1× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$173.60–$606.90 | $248–$867 | varies |
| Virus inoculation, shell via (87254) | $123.90 | $177 | 6.3× |
| Viscosity serum (85810) | $172.90 | $247 | 14.8× |
| Vit D 1 25-Dihydroxy (82652) | $221.20 | $316 | 5.7× |
| Vitamin A (84590) | $85.40 | $122 | 7.4× |
| Vitamin b-12 (82607) | $84.70 | $121 | 5.6× |
| Vitamin B2 (Riboflavin) (84252) | $51.10 | $73 | 2.5× |
| Vitamin B6 (84207) | $196 | $280 | 7.0× |
| Vitamin c (82180) | $37.10 | $53 | 3.8× |
| Vitamin D 25-Hydroxy (82306) | $172.20 | $246 | 5.8× |
| Vitamin E (84446) | $83.30 | $119 | 5.9× |
| Vitamin K (84597) | $91.70 | $131 | 6.7× |
| Volatiles (84600) | $63.70 | $91 | 3.7× |
| Von willebrand factor ag (85246) | $190.40 | $272 | 8.3× |
| Wbc Alkaline Phosphatase Count (85540) | $67.20 | $96 | 7.8× |
| West nile virus ab igm (86788) | $68.60 | $98 | 4.1× |
| West Nile Virus Antibody (86789) | $55.30 | $79 | 3.8× |
| Western Blot Test (84181) | $130.90 | $187 | 7.7× |
| Zika Virus Dna/Rna Amp Probe (87662) | $550.20 | $786 | 10.7× |
| Zinc (84630) | $72.10 | $103 | 6.3× |
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.