Lab & pathology prices at Central Peninsula General Hospital
Soldotna, AK · every code in this section with a posted price and a Medicare benchmark.
852 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $398 | $398 | 17.4× |
| 5 Nucleotidase (83915) | $221 | $221 | 19.8× |
| Abl1 gene analysis kinase domain variants (81170) | $1,122 | $1,122 | 3.7× |
| Acetylcholine receptor binding antibody (86041) range across 5 matching MRF lines |
$126–$591 | $126–$591 | varies |
| Acetylcholine receptor blocking antibody (86042) | $126 | $126 | 6.8× |
| Acetylcholn Rcptr Modlg Antb (86043) range across 2 matching MRF lines |
$133–$591 | $133–$591 | varies |
| Acth (82024) | $451 | $451 | 11.7× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $405 | $405 | 12.4× |
| Actin smooth muscle antibody each (86015) | $237 | $237 | 19.7× |
| Acute hepatitis panel (80074) | $668 | $668 | 14.0× |
| Acylcarnitines Quant (82017) | $364 | $364 | 21.6× |
| Adenovirus antibody (86603) | $210 | $210 | 16.3× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $441 | $441 | 6.8× |
| Agglutinins Febrile Each Antigen (86000) | $566 | $566 | 81.1× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$39–$298 | $39–$298 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$119–$189 | $119–$189 | varies |
| Aldolase (82085) | $253 | $253 | 26.1× |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$271–$770 | $271–$770 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 3 matching MRF lines |
$155–$358 | $155–$358 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $63 | $63 | 7.9× |
| Allergen specific ige (86003) range across 8 matching MRF lines |
$68–$361 | $68–$361 | varies |
| Allergen specific igg (86001) range across 3 matching MRF lines |
$50–$189 | $50–$189 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 4 matching MRF lines |
$64–$119 | $64–$119 | varies |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$82–$178 | $82–$178 | varies |
| Alpha-1-antitrypsin total (82103) range across 3 matching MRF lines |
$123–$415 | $123–$415 | varies |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$68–$253 | $68–$253 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$74–$86 | $74–$86 | varies |
| Aluminum (82108) | $238 | $238 | 9.3× |
| Amikacin trough (80150) range across 2 matching MRF lines |
$210–$489 | $210–$489 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) | $520 | $520 | 22.6× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$899–$1,758 | $899–$1,758 | varies |
| Amino Acids Quant 2-5 (82136) | $668 | $668 | 34.1× |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$280–$705 | $280–$705 | varies |
| Ammonia (82140) range across 3 matching MRF lines |
$61–$356 | $61–$356 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $215 | $215 | 2.2× |
| Amylase urine (82150) range across 2 matching MRF lines |
$141–$148 | $141–$148 | varies |
| Ana Titer (86039) | $415 | $415 | 37.2× |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$200–$299 | $200–$299 | varies |
| Androstenedione (82157) | $328 | $328 | 11.2× |
| Angiotensin converting enzyme csf (82164) | $273 | $273 | 18.7× |
| Angiotensin II (82163) | $1,377 | $1,377 | 67.1× |
| Anti-Phospholipid Antibody (86148) | $576 | $576 | 35.8× |
| Antibody aspergillus (86606) range across 3 matching MRF lines |
$120–$159 | $120–$159 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$70–$76 | $70–$76 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$142–$287 | $142–$287 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $215 | $215 | 12.8× |
| Antibody Encephalitis California La Crosse (86651) | $467 | $467 | 35.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $268 | $268 | 20.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$209–$322 | $209–$322 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$209–$307 | $209–$307 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$233–$389 | $233–$389 | varies |
| Antibody haemophilus influenza (86684) | $200 | $200 | 12.6× |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$101–$332 | $101–$332 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 3 matching MRF lines |
$115–$165 | $115–$165 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$46–$120 | $46–$120 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $253 | $253 | 18.5× |
| Antibody HIV-2 (86702) | $414 | $414 | 30.6× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $662 | $662 | 2.0× |
| Antibody hla class ii semiquantitative panel (86835) | $534 | $534 | 1.7× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 3 matching MRF lines |
$364–$685 | $364–$685 | varies |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$389–$498 | $389–$498 | varies |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
$159–$488 | $159–$488 | varies |
| Antibody Titer (86886) range across 3 matching MRF lines |
$40–$827 | $40–$827 | varies |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$158–$233 | $158–$233 | varies |
| Antibody yersinia (86793) | $495 | $495 | 37.5× |
| Antibody; influenza virus (86710) | $182 | $182 | 13.4× |
| Antigen typing (86905) range across 4 matching MRF lines |
$166–$787 | $166–$787 | varies |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$350–$439 | $350–$439 | varies |
| Antistreptolysin o titer (86060) | $200 | $200 | 27.4× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$165–$328 | $165–$328 | varies |
| Antithrombin iii antigen (85301) range across 2 matching MRF lines |
$148–$544 | $148–$544 | varies |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $3,531 | $3,531 | 7.0× |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
$208–$253 | $208–$253 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 2 matching MRF lines |
$222–$578 | $222–$578 | varies |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81204) | $682 | $682 | 5.0× |
| Arsenic (82175) range across 3 matching MRF lines |
$83–$566 | $83–$566 | varies |
| Aspergillus ag eia (87305) | $611 | $611 | 51.0× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$190–$341 | $190–$341 | varies |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$86–$209 | $86–$209 | varies |
| Assay Dir Meas Fr Estradiol (82681) range across 2 matching MRF lines |
$269–$284 | $269–$284 | varies |
| Assay Nephelometry Not Spec (83883) range across 4 matching MRF lines |
$262–$338 | $262–$338 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$509–$741 | $509–$741 | varies |
| Assay of anti-mullerian hormone (82166) | $553 | $553 | 14.3× |
| Assay of blood/uric acid (84550) | $101 | $101 | 22.3× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$28–$245 | $28–$245 | varies |
| Assay of corticosterone (82528) | $402 | $402 | 17.9× |
| Assay of cpk in blood (82552) | $231 | $231 | 17.3× |
| Assay of estrone (82679) range across 2 matching MRF lines |
$113–$238 | $113–$238 | varies |
| Assay of g6pd enzyme (82955) | $253 | $253 | 26.1× |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$77–$504 | $77–$504 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$143–$220 | $143–$220 | varies |
| Assay of manganese (83785) range across 2 matching MRF lines |
$267–$637 | $267–$637 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$293–$309 | $293–$309 | varies |
| Assay of phosphatase alkaline heat stable (84078) | $97 | $97 | 11.7× |
| Assay of procainamide (80190) | $429 | $429 | 7.2× |
| Assay of proinsulin (84206) | $466 | $466 | 17.5× |
| Assay of pyruvate (84210) | $377 | $377 | 26.0× |
| Assay of serotonin (84260) | $294 | $294 | 9.5× |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
$86–$340 | $86–$340 | varies |
| Assay of sweat sodium (84302) range across 2 matching MRF lines |
$95–$112 | $95–$112 | varies |
| Assay of urea nitrogen (84520) | $86 | $86 | 21.8× |
| Assay of urine vma (84585) range across 3 matching MRF lines |
$259–$337 | $259–$337 | varies |
| Assay of vasoactive intestinal peptide (84586) | $465 | $465 | 13.2× |
| Assay of vitamin b-1 (84425) | $385 | $385 | 18.1× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$17–$143 | $17–$143 | varies |
| Assay spec xcp ur&breath ia (82077) | $236 | $236 | 13.7× |
| Asy carbamazepin 10,11-epxid (80161) | $437 | $437 | 23.4× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $1,346 | $1,346 | 7.1× |
| Automated Leukocyte Count (85048) | $90 | $90 | 35.4× |
| B cells total count (86355) range across 2 matching MRF lines |
$99–$406 | $99–$406 | varies |
| Babesia microti amp prb (87469) | $270 | $270 | 7.7× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$78–$93 | $78–$93 | varies |
| Bcr/abl1 gene major bp (81206) range across 5 matching MRF lines |
$489–$1,708 | $489–$1,708 | varies |
| Bcr/abl1 gene minor bp (81207) range across 4 matching MRF lines |
$431–$1,349 | $431–$1,349 | varies |
| Bcr/Abl1 Gene Other Bp (81208) range across 2 matching MRF lines |
$560–$691 | $560–$691 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$118–$223 | $118–$223 | varies |
| Beta hydroxybutyrate (82010) | $243 | $243 | 29.7× |
| Beta Lactamase (87185) | $99 | $99 | 20.8× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$190–$309 | $190–$309 | varies |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $571 | $571 | 4.4× |
| Bile acids total (82239) range across 2 matching MRF lines |
$210–$244 | $210–$244 | varies |
| Bilirubin direct (82248) | $86 | $86 | 17.1× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$83–$105 | $83–$105 | varies |
| Bilirubin total transcutaneous (88720) | $115 | $115 | 22.9× |
| Biotinidase (82261) | $316 | $316 | 18.7× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$403–$463 | $403–$463 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $396 | $396 | 51.1× |
| Bleeding time test (85002) | $288 | $288 | 59.8× |
| Blood count reticulocyte automated (85045) | $183 | $183 | 45.9× |
| Blood gas (82803) range across 3 matching MRF lines |
$451–$506 | $451–$506 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$56–$302 | $56–$302 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $90 | $90 | 20.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $306 | $306 | 48.2× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$106–$115 | $106–$115 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$168–$298 | $168–$298 | varies |
| Bone marrow smear interpretation (85097) | $984 | $984 | 1.1× |
| Bordetella antibody (86615) range across 4 matching MRF lines |
$257–$511 | $257–$511 | varies |
| Braf gene analysis (81210) | $1,046 | $1,046 | 6.0× |
| Brca1&2 gen full seq dup/del (81162) | $2,858 | $2,858 | 1.6× |
| Breath Alcohol Test (82075) range across 2 matching MRF lines |
$71–$75 | $71–$75 | varies |
| Brucella antibody (86622) range across 2 matching MRF lines |
$142–$346 | $142–$346 | varies |
| C diff amplified probe (87493) range across 3 matching MRF lines |
$209–$864 | $209–$864 | varies |
| C-Peptide (84681) | $377 | $377 | 18.1× |
| C-reactive protein (86140) | $154 | $154 | 29.7× |
| Ca 19-9 (86301) | $349 | $349 | 16.8× |
| Cadmium (82300) range across 3 matching MRF lines |
$92–$195 | $92–$195 | varies |
| Caffeine (80155) | $212 | $212 | 5.5× |
| Calcitonin (82308) | $483 | $483 | 18.0× |
| Calcium ionized (82330) | $97 | $97 | 7.1× |
| Calcium total (82310) range across 4 matching MRF lines |
$74–$197 | $74–$197 | varies |
| Calculus assay quant (82360) | $258 | $258 | 20.0× |
| Calculus Spectroscopy (82365) | $246 | $246 | 19.1× |
| Calprotectin Fecal (83993) | $692 | $692 | 35.3× |
| Calr gene com variants (81219) | $1,204 | $1,204 | 9.9× |
| Cancer Antigen 125 (86304) | $349 | $349 | 16.8× |
| Cancer Antigen 27.29 (86300) | $349 | $349 | 16.8× |
| Candida antibody (86628) | $159 | $159 | 13.2× |
| Candida Dna Dir Probe (87480) | $53 | $53 | 2.6× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$325–$437 | $325–$437 | varies |
| Carbohydrate Deficient Transferrin (82373) | $272 | $272 | 15.1× |
| Carboxyhemoglobin (82375) range across 3 matching MRF lines |
$425–$733 | $425–$733 | varies |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$400–$680 | $400–$680 | varies |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$148–$170 | $148–$170 | varies |
| Carnitine Quantitative Each Specimen (82379) | $399 | $399 | 23.7× |
| Carotene (82380) | $308 | $308 | 33.4× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$174–$402 | $174–$402 | varies |
| Ccp antibody (86200) | $231 | $231 | 17.8× |
| Cell count csf (89051) | $298 | $298 | 53.2× |
| Cell marker study (88182) | $959 | $959 | 16.6× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 2 matching MRF lines |
$529–$654 | $529–$654 | varies |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$216–$244 | $216–$244 | varies |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$731–$749 | $731–$749 | varies |
| Cftr gene dup/delet variants (81222) | $613 | $613 | 1.4× |
| Chemiluminescent assay (82397) range across 8 matching MRF lines |
$108–$624 | $108–$624 | varies |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$105–$133 | $105–$133 | varies |
| Chlamydia Igm Antibody (86632) range across 3 matching MRF lines |
$112–$216 | $112–$216 | varies |
| Chlmy trch&neisra gonor mult (87494) | $219 | $219 | 3.1× |
| Chloride other source (82438) range across 3 matching MRF lines |
$40–$112 | $40–$112 | varies |
| Chloride Serum (82435) range across 2 matching MRF lines |
$43–$86 | $43–$86 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$28–$213 | $28–$213 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$26–$63 | $26–$63 | varies |
| Cholinesterase rbc (82482) | $96 | $96 | 9.8× |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$194–$221 | $194–$221 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$247–$257 | $247–$257 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $271 | $271 | 10.1× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$205–$464 | $205–$464 | varies |
| Chrmsm Analysis Addl Specialized Banding (88283) | $205 | $205 | 3.0× |
| Chromium serum (82495) | $632 | $632 | 31.2× |
| Chromogenic Substrate Assay (85130) range across 3 matching MRF lines |
$431–$597 | $431–$597 | varies |
| Chromogranin a (86316) range across 4 matching MRF lines |
$312–$909 | $312–$909 | varies |
| Chromosome analys amniotic (88269) | $1,026 | $1,026 | 5.9× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$535–$1,896 | $535–$1,896 | varies |
| Chromosome Analysis 20-25 (88264) range across 3 matching MRF lines |
$503–$2,723 | $503–$2,723 | varies |
| Chromosome analysis, 5 (88261) | $1,578 | $1,578 | 6.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 5 matching MRF lines |
$82–$197 | $82–$197 | varies |
| Citric acid urine (82507) range across 3 matching MRF lines |
$102–$483 | $102–$483 | varies |
| Ckmb (82553) | $328 | $328 | 28.4× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$291–$440 | $291–$440 | varies |
| Clot Factor VIII Multimetric (85247) range across 3 matching MRF lines |
$539–$677 | $539–$677 | varies |
| Clot factor xiii fibrin stab (85290) | $466 | $466 | 28.5× |
| Clotting factor xii hageman (85280) | $298 | $298 | 15.4× |
| Clotting Funct Activity (85397) range across 4 matching MRF lines |
$276–$699 | $276–$699 | varies |
| Cns DNA amp probe type 12-25 (87483) | $1,069 | $1,069 | 2.6× |
| Coagulation time activated (85347) | $120 | $120 | 28.0× |
| Coccidioides antibody (86635) range across 5 matching MRF lines |
$102–$273 | $102–$273 | varies |
| Cold agglutinin titer (86157) | $432 | $432 | 53.6× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$359–$651 | $359–$651 | varies |
| Column Chromotography Quant (82542) range across 8 matching MRF lines |
$168–$971 | $168–$971 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 2 matching MRF lines |
$569–$1,194 | $569–$1,194 | varies |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) | $515 | $515 | 1.7× |
| Compatibility Each Unit Incubation (86921) | $86 | $86 | 0.5× |
| Compatibility test antiglob (86922) | $280 | $280 | 1.5× |
| Complement Antigen Each Component (86160) range across 6 matching MRF lines |
$95–$634 | $95–$634 | varies |
| Complement Total (Ch50) (86162) | $155 | $155 | 7.6× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$273–$406 | $273–$406 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) range across 2 matching MRF lines |
$793–$1,003 | $793–$1,003 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$731–$1,003 | $731–$1,003 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $1,003 | $1,003 | 24.2× |
| Coombs direct (86880) range across 3 matching MRF lines |
$225–$277 | $225–$277 | varies |
| Copper urine (82525) range across 3 matching MRF lines |
$192–$328 | $192–$328 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$345–$373 | $345–$373 | varies |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$240–$309 | $240–$309 | varies |
| Creatine (82540) | $101 | $101 | 21.8× |
| Creatine kinase total (82550) | $183 | $183 | 28.1× |
| Creatinine blood (82565) | $86 | $86 | 16.8× |
| Creatinine clearance (82575) | $309 | $309 | 32.7× |
| Creatinine Urine (82570) range across 7 matching MRF lines |
$24–$137 | $24–$137 | varies |
| Crossmatch immediate spin (86920) | $440 | $440 | 2.3× |
| Crp High Sensitivity (86141) | $216 | $216 | 16.7× |
| Cryofibrinogen (82585) | $134 | $134 | 9.5× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$191–$220 | $191–$220 | varies |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $238 | $238 | 18.2× |
| Cryptococcal Antigen (87327) | $159 | $159 | 11.8× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$130–$225 | $130–$225 | varies |
| Cryptosporidium (87272) | $210 | $210 | 17.5× |
| Cryptosporidium ag eia (87328) | $221 | $221 | 16.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 5 matching MRF lines |
$151–$601 | $151–$601 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 3 matching MRF lines |
$100–$210 | $100–$210 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$281–$408 | $281–$408 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $374 | $374 | 1.7× |
| Culture afb (87116) range across 2 matching MRF lines |
$318–$529 | $318–$529 | varies |
| Culture Anaerobic (87075) | $251 | $251 | 26.5× |
| Culture blood (87040) | $277 | $277 | 26.8× |
| Culture chlamydia (87110) | $253 | $253 | 12.9× |
| Culture csf (87070) range across 7 matching MRF lines |
$178–$546 | $178–$546 | varies |
| Culture fungus (87102) range across 3 matching MRF lines |
$237–$440 | $237–$440 | varies |
| Culture fungus blood (87103) | $582 | $582 | 28.4× |
| Culture screen only (87081) range across 7 matching MRF lines |
$77–$318 | $77–$318 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$79–$157 | $79–$157 | varies |
| Culture typing if ea antiserum (87140) | $46 | $46 | 8.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$130–$159 | $130–$159 | varies |
| Culture typing other methods (87158) | $437 | $437 | 56.5× |
| Culture urine (87086) | $178 | $178 | 22.1× |
| Cyanide (82600) | $260 | $260 | 13.4× |
| Cyclosporine (80158) | $355 | $355 | 19.7× |
| Cyp2c19 gene analysis common variants (81225) | $1,597 | $1,597 | 5.5× |
| Cyp2d6 gene com variants (81226) | $1,347 | $1,347 | 3.0× |
| Cystatin C (82610) | $200 | $200 | 10.8× |
| Cytogenetics 10-30 (88273) | $375 | $375 | 10.8× |
| Cytogenetics 100-300 (88275) range across 4 matching MRF lines |
$140–$1,437 | $140–$1,437 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $3,257 | $3,257 | 2.8× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$151–$189 | $151–$189 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $117 | $117 | 5.8× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$290–$384 | $290–$384 | varies |
| Cytopath Fl Nongyn Filter (88106) | $300 | $300 | 9.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$111–$225 | $111–$225 | varies |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) | $233 | $233 | 10.1× |
| Cytp Concentration Smears & Interpretation (88108) | $205 | $205 | 4.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $580 | $580 | 10.0× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $513 | $513 | 2.7× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $174 | $174 | 4.2× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $634 | $634 | 3.4× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $112 | $112 | 6.0× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $666 | $666 | 11.5× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $259 | $259 | 8.1× |
| Deoxycortisol (82634) | $462 | $462 | 15.8× |
| Deoxyribonuclease antibody (86215) | $134 | $134 | 10.1× |
| Detect Agent Nos Dna Amp (87798) range across 25 matching MRF lines |
$57–$998 | $57–$998 | varies |
| Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines |
$370–$872 | $370–$872 | varies |
| Detect agnt mult DNA ampli (87801) range across 6 matching MRF lines |
$151–$872 | $151–$872 | varies |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$87–$238 | $87–$238 | varies |
| Dhea (82626) | $263 | $263 | 10.4× |
| Dhea-S (82627) | $263 | $263 | 11.8× |
| Dibucaine number (82638) | $130 | $130 | 10.6× |
| Digoxin (80162) | $337 | $337 | 25.4× |
| Dihydrotestosterone (82642) | $341 | $341 | 11.6× |
| Dipropylacetic Acid Free (80165) | $267 | $267 | 19.7× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$170–$182 | $170–$182 | varies |
| Dna Antibody Single Stranded (86226) | $355 | $355 | 29.3× |
| Dna/Rna Amplified Probe (87150) range across 6 matching MRF lines |
$28–$935 | $28–$935 | varies |
| DNA/RNA direct probe (87149) | $238 | $238 | 11.9× |
| Dna/Rna Sequencing (87153) range across 2 matching MRF lines |
$568–$806 | $568–$806 | varies |
| Drug assay acetaminophen (80143) | $355 | $355 | 19.0× |
| Drug assay adalimumab (80145) range across 2 matching MRF lines |
$540–$610 | $540–$610 | varies |
| Drug Assay Everolimus (80169) | $796 | $796 | 58.0× |
| Drug Assay Infliximab (80230) range across 2 matching MRF lines |
$544–$572 | $544–$572 | varies |
| Drug Assay Lacosamide (80235) | $366 | $366 | 13.5× |
| Drug Assay Vedolizumab (80280) | $519 | $519 | 13.5× |
| Drug assay voriconazole (80285) | $421 | $421 | 15.5× |
| Drug Screen Quant Clozapine (80159) | $328 | $328 | 16.3× |
| Drug Screen Quant Zonisamide (80203) | $347 | $347 | 26.2× |
| Drug Screen Quantitative Gabapentin (80171) | $328 | $328 | 15.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $328 | $328 | 24.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $338 | $338 | 25.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $295 | $295 | 22.3× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $429 | $429 | 25.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 11 matching MRF lines |
$168–$1,204 | $168–$1,204 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$149–$152 | $149–$152 | varies |
| Drug Test Prsmv Instrmnt (80306) | $212 | $212 | 12.4× |
| Egfr Gene Analysis Common Variants (81235) | $1,987 | $1,987 | 6.1× |
| Ehrlichia antibody (86666) | $244 | $244 | 24.0× |
| El-1 Fecal Quantitative (82653) | $350 | $350 | 15.2× |
| Electrolyte panel (80051) | $159 | $159 | 22.7× |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$679–$6,663 | $679–$6,663 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 3 matching MRF lines |
$198–$788 | $198–$788 | varies |
| Encephaltis East Eqne Anbdy (86652) | $467 | $467 | 35.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 3 matching MRF lines |
$209–$361 | $209–$361 | varies |
| Enterovirus Antibody (86658) range across 4 matching MRF lines |
$70–$488 | $70–$488 | varies |
| Enterovirus PCR (87498) | $788 | $788 | 22.5× |
| Enzyme cell activity (82657) range across 7 matching MRF lines |
$444–$863 | $444–$863 | varies |
| Enzyme histochemistry (88319) range across 2 matching MRF lines |
$316–$931 | $316–$931 | varies |
| Eosinophil Smear (89190) | $168 | $168 | 29.0× |
| Erythropoietin (82668) | $405 | $405 | 21.6× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$125–$328 | $125–$328 | varies |
| Estriol (82677) | $150 | $150 | 6.2× |
| Estrogen total (82672) | $267 | $267 | 12.3× |
| Estrogens fractionated (82671) range across 2 matching MRF lines |
$145–$197 | $145–$197 | varies |
| Ethosuximide (80168) | $328 | $328 | 20.1× |
| Ethylene Glycol (82693) | $328 | $328 | 22.0× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$77–$393 | $77–$393 | varies |
| F2 Gene (81240) range across 2 matching MRF lines |
$594–$702 | $594–$702 | varies |
| Factor ii activity (85210) | $298 | $298 | 23.0× |
| Factor Inhibitor Test (85335) range across 10 matching MRF lines |
$243–$827 | $243–$827 | varies |
| Factor ix activity (85250) | $298 | $298 | 15.7× |
| Factor v activity (85220) range across 3 matching MRF lines |
$294–$331 | $294–$331 | varies |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$298–$337 | $298–$337 | varies |
| Factor vii assay (85230) | $298 | $298 | 16.6× |
| Factor viii assay (85240) range across 4 matching MRF lines |
$211–$405 | $211–$405 | varies |
| Factor X (85260) | $298 | $298 | 16.6× |
| Factor xi activity (85270) | $298 | $298 | 16.6× |
| Factor xiii screen (85291) | $209 | $209 | 22.9× |
| Fat stain feces urine/respir secretions (89125) | $349 | $349 | 59.4× |
| Fat/Lipids Feces Quantitative (82710) | $349 | $349 | 20.8× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) range across 2 matching MRF lines |
$353–$561 | $353–$561 | varies |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $307 | $307 | 17.9× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $502 | $502 | 76.9× |
| Ferritin (82728) range across 2 matching MRF lines |
$253–$415 | $253–$415 | varies |
| Fetal Chrmoml Aneuploidy (81420) | $1,549 | $1,549 | 2.0× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $454 | $454 | 3.0× |
| Fetal Fibronectin (82731) | $987 | $987 | 15.3× |
| Fetal screen rosette (85461) | $492 | $492 | 52.6× |
| Fibrin Degradation Quant (85379) range across 3 matching MRF lines |
$305–$368 | $305–$368 | varies |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $212 | $212 | 21.8× |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$115–$343 | $115–$343 | varies |
| Fibrinogen antigen (85385) range across 2 matching MRF lines |
$286–$300 | $286–$300 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 6 matching MRF lines |
$116–$339 | $116–$339 | varies |
| Flecainide level (80181) | $309 | $309 | 16.6× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$383–$541 | $383–$541 | varies |
| Flt3 Gene (81245) | $912 | $912 | 5.5× |
| Fluorescent antibody screen (86255) range across 18 matching MRF lines |
$83–$914 | $83–$914 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 9 matching MRF lines |
$120–$808 | $120–$808 | varies |
| Fmr1 Gene Charac Alleles (81244) | $707 | $707 | 15.7× |
| Fmr1 gene detection (81243) | $724 | $724 | 12.7× |
| Folic acid rbc (82747) | $215 | $215 | 12.2× |
| Folic Acid Serum (82746) | $198 | $198 | 13.5× |
| Follicle Stimulating Hormone (83001) | $309 | $309 | 16.6× |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) | $463 | $463 | 16.2× |
| Francisella tularensis (86668) | $167 | $167 | 11.8× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $472 | $472 | 2.5× |
| Frozen Section (88331) | $359 | $359 | 1.9× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$149–$296 | $149–$296 | varies |
| Fungi Identification Yeast (87106) range across 4 matching MRF lines |
$141–$287 | $141–$287 | varies |
| Galectin-3 (82777) | $444 | $444 | 10.0× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$84–$176 | $84–$176 | varies |
| Gardner vag DNA dir probe (87510) | $53 | $53 | 2.6× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $168 | $168 | 17.2× |
| Gases blood ph only (82800) | $189 | $189 | 17.2× |
| Gastrin (82941) range across 2 matching MRF lines |
$209–$231 | $209–$231 | varies |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,104 | $1,104 | 2.6× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 2 matching MRF lines |
$2,694–$4,008 | $2,694–$4,008 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $1,990 | $1,990 | 0.7× |
| Gentamicin (80170) | $272 | $272 | 16.6× |
| Ggt (82977) range across 3 matching MRF lines |
$74–$101 | $74–$101 | varies |
| Giardia antigen (87329) | $277 | $277 | 23.1× |
| Giardia lamblia antibody (86674) | $340 | $340 | 23.1× |
| Glucagon (82943) | $626 | $626 | 43.8× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$161–$271 | $161–$271 | varies |
| Glucose Blood Test (82962) | $47 | $47 | 14.3× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$145–$271 | $145–$271 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$65–$67 | $65–$67 | varies |
| Glucose tolerance test (gtt) (82951) | $355 | $355 | 27.6× |
| Glucosidase beta (82963) | $761 | $761 | 35.4× |
| Glutathione (82978) | $173 | $173 | 11.2× |
| Glycated Protein (82985) | $194 | $194 | 11.6× |
| Gonadotropin Chorionic Qualitative (84703) | $202 | $202 | 26.9× |
| Growth hormone (83003) | $328 | $328 | 19.7× |
| Gtt-added samples (82952) | $95 | $95 | 24.2× |
| H Pylori (C-13) Breath (83013) | $371 | $371 | 5.5× |
| H Pylori Drug Admin (83014) | $151 | $151 | 19.2× |
| H pylri clrthmcn rst amp prb (87513) | $237 | $237 | 6.8× |
| Haloperidol (80173) | $233 | $233 | 14.8× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$253–$334 | $253–$334 | varies |
| Hba1/hba2 full gene sequence (81259) | $1,269 | $1,269 | 2.1× |
| Hba1/Hba2 Gene (81257) | $773 | $773 | 7.6× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 2 matching MRF lines |
$1,126–$1,138 | $1,126–$1,138 | varies |
| Hbb duplication/deletion variants (81363) | $902 | $902 | 4.5× |
| Hbb Full Gene Sequence (81364) | $1,209 | $1,209 | 3.7× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$86–$137 | $86–$137 | varies |
| Hearing Loss Dup/Del Analysis (81431) | $1,209 | $1,209 | 1.8× |
| Hearing Loss Genomic Sequence Analysis 60 Genes (81430) | $2,706 | $2,706 | 1.7× |
| Helicobacter Pylori Stool (87338) | $411 | $411 | 28.6× |
| Helminth Antibody (86682) range across 5 matching MRF lines |
$191–$475 | $191–$475 | varies |
| Hematocrit (85014) range across 5 matching MRF lines |
$43–$390 | $43–$390 | varies |
| Hemoglobin (85018) range across 4 matching MRF lines |
$51–$90 | $51–$90 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$48–$192 | $48–$192 | varies |
| Hemoglobin Chromotography (83021) range across 3 matching MRF lines |
$174–$526 | $174–$526 | varies |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$178–$322 | $178–$322 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$90–$205 | $90–$205 | varies |
| Hemoglobin plasma (83051) range across 3 matching MRF lines |
$143–$242 | $143–$242 | varies |
| Hemoglobin stability screen (83068) range across 2 matching MRF lines |
$164–$448 | $164–$448 | varies |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) | $48 | $48 | 4.9× |
| Hemolysin Acid (85475) | $235 | $235 | 26.5× |
| Hemolysins&Agglutinins Incubated (86941) | $1,285 | $1,285 | 106.1× |
| Hemosiderin urine (83070) | $151 | $151 | 31.8× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$226–$253 | $226–$253 | varies |
| Heparin assay (85520) | $316 | $316 | 24.1× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$271–$517 | $271–$517 | varies |
| Hepatitis b core ab igm (86705) | $129 | $129 | 11.0× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$77–$253 | $77–$253 | varies |
| Hepatitis B Surface Antibody (86706) | $230 | $230 | 21.4× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$186–$259 | $186–$259 | varies |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$192–$231 | $192–$231 | varies |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$173–$249 | $173–$249 | varies |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$176–$349 | $176–$349 | varies |
| Hepatitis c antibody confirmatory test (86804) range across 2 matching MRF lines |
$298–$498 | $298–$498 | varies |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
$421–$992 | $421–$992 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $296 | $296 | 8.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 4 matching MRF lines |
$415–$1,182 | $415–$1,182 | varies |
| Hepatitis Delta Agent Antibody (86692) | $312 | $312 | 18.2× |
| Hereditary peripheral neuropathy gen seq pnl (81448) range across 2 matching MRF lines |
$2,386–$3,508 | $2,386–$3,508 | varies |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$100–$210 | $100–$210 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$119–$159 | $119–$159 | varies |
| Hfe Gene (81256) | $524 | $524 | 8.0× |
| Hgb Quantitative Transcutaneous (88738) | $51 | $51 | 10.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
$302–$850 | $302–$850 | varies |
| Histamine urine (83088) range across 4 matching MRF lines |
$293–$544 | $293–$544 | varies |
| Histoplasma antibody (86698) | $108 | $108 | 7.8× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$430–$497 | $430–$497 | varies |
| Hiv Antigen W/Hiv Antibodies (87806) | $178 | $178 | 5.4× |
| Hiv Genotype (87901) | $3,214 | $3,214 | 12.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $197 | $197 | 8.2× |
| Hiv-1 Antibody (86701) | $273 | $273 | 30.7× |
| HIV-1 p24 antigen (87390) | $267 | $267 | 11.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $761 | $761 | 8.9× |
| HIV-2 probe&revrse trnscripj (87538) range across 3 matching MRF lines |
$308–$544 | $308–$544 | varies |
| Hla class i semiquant panel (86834) | $534 | $534 | 1.5× |
| Hla Class I Typing Low Resolution Complete (81372) | $1,448 | $1,448 | 3.6× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $816 | $816 | 3.7× |
| Hla ii typing 1 locus lr (81376) range across 4 matching MRF lines |
$159–$660 | $159–$660 | varies |
| Hla-b27 (86812) range across 2 matching MRF lines |
$372–$745 | $372–$745 | varies |
| Homocysteine (83090) range across 2 matching MRF lines |
$210–$268 | $210–$268 | varies |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
$77–$97 | $77–$97 | varies |
| Homovanillic acid urine (83150) | $248 | $248 | 11.1× |
| Hpv High-Risk Types (87624) | $295 | $295 | 8.4× |
| Hpv low-risk types (87623) | $278 | $278 | 7.9× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $295 | $295 | 4.2× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$273–$444 | $273–$444 | varies |
| Hsv Dna Quant (87530) | $1,067 | $1,067 | 24.9× |
| Htlv-I Antibody (86687) | $292 | $292 | 32.1× |
| Htt Gene Detc Abnor Alleles (81271) range across 2 matching MRF lines |
$830–$873 | $830–$873 | varies |
| Human Epididymis Protein 4 (86305) | $426 | $426 | 20.5× |
| Hydroxycorticosteroids 17 (83491) | $220 | $220 | 12.3× |
| Hydroxyprogesterone 17-d (83498) | $483 | $483 | 17.8× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) range across 2 matching MRF lines |
$334–$395 | $334–$395 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $150 | $150 | 10.8× |
| Iaad ia shiga-like toxin (87427) | $323 | $323 | 27.0× |
| Iaad Ia Streptococcus Group A (87430) | $190 | $190 | 11.3× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $210 | $210 | 17.5× |
| Iaadi giardia (87269) | $140 | $140 | 10.3× |
| Iaadi pneumocustis carinii (87281) | $831 | $831 | 69.4× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$489–$993 | $489–$993 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $99 | $99 | 2.8× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $12.75 | $12.75 | 0.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$430–$486 | $430–$486 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $656 | $656 | 15.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $721 | $721 | 16.8× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 2 matching MRF lines |
$454–$998 | $454–$998 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 3 matching MRF lines |
$308–$750 | $308–$750 | varies |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $652 | $652 | 13.5× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 3 matching MRF lines |
$628–$857 | $628–$857 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$99–$923 | $99–$923 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 5 matching MRF lines |
$82–$437 | $82–$437 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $74 | $74 | 1.4× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 2 matching MRF lines |
$186–$544 | $186–$544 | varies |
| Ig Light Chains Free Each (83521) range across 4 matching MRF lines |
$119–$262 | $119–$262 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$85–$321 | $85–$321 | varies |
| Igh gene rearrange amp meth (81261) range across 2 matching MRF lines |
$407–$1,379 | $407–$1,379 | varies |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $934 | $934 | 3.2× |
| Igk rearrangeabn clonal pop (81264) range across 3 matching MRF lines |
$407–$781 | $407–$781 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
$497–$658 | $497–$658 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$295–$377 | $295–$377 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 20 matching MRF lines |
$133–$1,104 | $133–$1,104 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $905 | $905 | 35.4× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 10 matching MRF lines |
$68–$714 | $68–$714 | varies |
| Immunoassay nonantibody (83516) range across 17 matching MRF lines |
$46–$660 | $46–$660 | varies |
| Immunodiffusion Ouchterlony (86331) range across 3 matching MRF lines |
$52–$157 | $52–$157 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $257 | $257 | 11.1× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$315–$491 | $315–$491 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 4 matching MRF lines |
$408–$1,623 | $408–$1,623 | varies |
| Immunohistochemistry (88342) | $684 | $684 | 3.6× |
| In situ hybridization 1st probe stain (88365) | $707 | $707 | 3.7× |
| In situ hybridization ea multiplex probe stain (88366) | $1,293 | $1,293 | 6.8× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $186 | $186 | 2.6× |
| Influenza a/b ag eia (87400) | $260 | $260 | 18.4× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$27–$28 | $27–$28 | varies |
| Influenza DNA amp probe (87502) | $318 | $318 | 3.3× |
| Inherited Cardmypthy 5 Gns (81439) | $3,516 | $3,516 | 6.0× |
| Inhibin A (86336) | $308 | $308 | 19.8× |
| Inhibin b (83520) range across 34 matching MRF lines |
$129–$1,033 | $129–$1,033 | varies |
| Insitu hybridization auto (88367) | $1,042 | $1,042 | 2.6× |
| Insitu hybridization manual (88368) | $1,044 | $1,044 | 2.6× |
| Insulin antibodies (86337) | $277 | $277 | 12.9× |
| Insulin free (83527) | $113 | $113 | 8.7× |
| Insulin total (83525) | $100 | $100 | 8.7× |
| Interleukin-6 (83529) | $294 | $294 | 17.0× |
| Intrinsic factor antibody (86340) | $267 | $267 | 17.7× |
| Iron (83540) range across 2 matching MRF lines |
$204–$696 | $204–$696 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$95–$165 | $95–$165 | varies |
| Irradiation Blood Product Each Unit (86945) | $753 | $753 | 18.2× |
| Islet cell antibody (86341) range across 8 matching MRF lines |
$267–$903 | $267–$903 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$623–$972 | $623–$972 | varies |
| Ketosteroids 17 total (83586) | $281 | $281 | 22.0× |
| Kit Gene Analysis D816 Variant(S) (81273) | $2,154 | $2,154 | 17.2× |
| Kras Gene Variants Exon 2 (81275) | $873 | $873 | 4.5× |
| L/s ratio (83661) | $166 | $166 | 7.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$101–$267 | $101–$267 | varies |
| Lactoferrin fecal qualitative (83630) | $239 | $239 | 12.1× |
| Ldh Isoenzymes (83625) | $273 | $273 | 21.3× |
| LDL direct (83721) range across 2 matching MRF lines |
$172–$221 | $172–$221 | varies |
| Lead (83655) range across 4 matching MRF lines |
$118–$322 | $118–$322 | varies |
| Legionella antibody (86713) | $197 | $197 | 12.9× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$189–$485 | $189–$485 | varies |
| Legionella pneumophila dfa (87278) | $189 | $189 | 12.1× |
| Leptospira antibody (86720) | $292 | $292 | 18.0× |
| Leukocyte Histamine Release (86343) | $156 | $156 | 12.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $101 | $101 | 3.1× |
| Level ii surg pathology grossµscopic exam (88302) | $201 | $201 | 4.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $651 | $651 | 1.6× |
| Lidocaine (80176) | $517 | $517 | 35.2× |
| Lipase (83690) range across 2 matching MRF lines |
$167–$215 | $167–$215 | varies |
| Lipoprotein A (83695) range across 3 matching MRF lines |
$106–$395 | $106–$395 | varies |
| Lipoprotein Bld Quan Part (83704) | $202 | $202 | 5.9× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) range across 3 matching MRF lines |
$112–$173 | $112–$173 | varies |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $325 | $325 | 9.6× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $436 | $436 | 9.4× |
| Lithium (80178) | $178 | $178 | 26.9× |
| Luteinizing Hormone (Lh) (83002) | $309 | $309 | 16.7× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$183–$299 | $183–$299 | varies |
| Lymphocyte transformation (86353) range across 2 matching MRF lines |
$654–$1,440 | $654–$1,440 | varies |
| Lysozyme serum (85549) range across 2 matching MRF lines |
$202–$278 | $202–$278 | varies |
| M. Genitalium Amp Probe (87563) | $766 | $766 | 21.8× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $1,445 | $1,445 | 41.2× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 3 matching MRF lines |
$971–$1,373 | $971–$1,373 | varies |
| M/phmtrc alys ishquant/semiq (88374) | $1,135 | $1,135 | 6.0× |
| Macroscopic exam arthropod (87168) | $230 | $230 | 53.9× |
| Macroscopic Exam Parasite (87169) | $140 | $140 | 32.5× |
| Magnesium Urine (83735) range across 6 matching MRF lines |
$31–$208 | $31–$208 | varies |
| Mass Spectrometry Quant (83789) range across 4 matching MRF lines |
$454–$900 | $454–$900 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$178–$292 | $178–$292 | varies |
| Metabolic panel ionized ca (80047) | $189 | $189 | 13.8× |
| Methotrexate (80204) | $431 | $431 | 11.2× |
| Methylmalonic acid serum (83921) range across 3 matching MRF lines |
$432–$684 | $432–$684 | varies |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$174–$437 | $174–$437 | varies |
| Microbe Suscept Macrobroth (87188) | $245 | $245 | 36.9× |
| Microsatellite instability (81301) | $761 | $761 | 2.2× |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$151–$282 | $151–$282 | varies |
| Mitochondrial Antibody Each (86381) | $107 | $107 | 4.2× |
| Mlh1 Gene (81288) | $692 | $692 | 3.6× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,059 | $1,059 | 1.6× |
| Mog-Igg1 Antb Cba Each (86362) | $371 | $371 | 30.8× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 5 matching MRF lines |
$112–$1,242 | $112–$1,242 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $332 | $332 | 7.8× |
| Molecular Pathology Procedure Level 3 (81402) | $1,163 | $1,163 | 7.7× |
| Molecular Pathology Procedure Level 6 (81405) range across 3 matching MRF lines |
$518–$1,629 | $518–$1,629 | varies |
| Mononuclear cell antigen (86356) | $511 | $511 | 19.1× |
| Mopath procedure level 1 (81400) range across 2 matching MRF lines |
$583–$761 | $583–$761 | varies |
| Mopath procedure level 2 (81401) range across 4 matching MRF lines |
$422–$1,353 | $422–$1,353 | varies |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$501–$1,725 | $501–$1,725 | varies |
| Mopath procedure level 5 (81404) range across 4 matching MRF lines |
$501–$2,982 | $501–$2,982 | varies |
| Mopath procedure level 7 (81406) range across 5 matching MRF lines |
$483–$3,741 | $483–$3,741 | varies |
| Mopath procedure level 8 (81407) | $426 | $426 | 0.5× |
| Mopath procedure level 9 (81408) range across 3 matching MRF lines |
$463–$2,848 | $463–$2,848 | varies |
| Mrsa Pcr (87641) | $278 | $278 | 7.9× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $656 | $656 | 1.7× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $1,013 | $1,013 | 1.6× |
| Mthfr Gene Analysis Common Variants (81291) | $498 | $498 | 7.6× |
| Mucopolysaccharides acid quantitative (83864) | $901 | $901 | 31.6× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$168–$472 | $168–$472 | varies |
| Muscle-Specific Kinase Antb (86366) | $909 | $909 | 49.4× |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$238–$299 | $238–$299 | varies |
| Mycophenolic Acid (80180) | $327 | $327 | 18.1× |
| Mycoplasma antibody (86738) range across 6 matching MRF lines |
$102–$511 | $102–$511 | varies |
| Mycoplasma culture (87109) | $216 | $216 | 14.0× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $1,129 | $1,129 | 6.4× |
| Myelin basic protein csf (83873) | $430 | $430 | 25.0× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$205–$343 | $205–$343 | varies |
| Natriuretic peptide (83880) | $762 | $762 | 19.4× |
| Neisseria Dir Na Probe (87590) | $148 | $148 | 5.5× |
| Nerve teasing preparations (88362) | $882 | $882 | 1.0× |
| Neurofilament light chain (83884) | $1,195 | $1,195 | 10.3× |
| Neutralization Test Viral (86382) | $353 | $353 | 20.9× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $316 | $316 | 10.8× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $785 | $785 | 3.0× |
| Nfct ds bv&vaginitis DNA alg (81515) | $234 | $234 | 0.9× |
| Nfct ds chrnc hcv 6 assays (81596) | $784 | $784 | 10.9× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $1,102 | $1,102 | 8.6× |
| Niacin (84591) range across 3 matching MRF lines |
$287–$408 | $287–$408 | varies |
| Nickel level (83885) | $393 | $393 | 16.0× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$99–$210 | $99–$210 | varies |
| Nras gene variants exon 2&3 (81311) | $515 | $515 | 1.7× |
| Nuclear antigen antibody (86235) range across 8 matching MRF lines |
$57–$462 | $57–$462 | varies |
| Occult blood feces (82272) | $83 | $83 | 19.6× |
| Occult Blood Other Sources (82271) | $90 | $90 | 16.9× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$167–$267 | $167–$267 | varies |
| Organic Acids Qualitative Each Specimen (83919) range across 2 matching MRF lines |
$343–$1,326 | $343–$1,326 | varies |
| Organic acids urine (83918) | $688 | $688 | 29.2× |
| Osmolality serum (83930) | $205 | $205 | 31.0× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$31–$205 | $31–$205 | varies |
| Osmotic fragility rbc incubated (85557) | $230 | $230 | 17.2× |
| Osmotic Fragility RBC Unincubated (85555) | $140 | $140 | 18.7× |
| Osteocalcin (83937) | $518 | $518 | 17.4× |
| Ova and parasites smears (87177) | $142 | $142 | 16.0× |
| Oxalate urine (83945) range across 5 matching MRF lines |
$62–$557 | $62–$557 | varies |
| Pancreatic Elastase Fecal (82656) range across 2 matching MRF lines |
$350–$444 | $350–$444 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $130 | $130 | 11.3× |
| Parvovirus antibody (86747) | $108 | $108 | 7.2× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $870 | $870 | 1.0× |
| Pathology Consultation During Surgery (88329) | $296 | $296 | 4.5× |
| Ph urine (81003) range across 2 matching MRF lines |
$52–$99 | $52–$99 | varies |
| Phenobarbital Level (80184) | $253 | $253 | 16.5× |
| Phenotype Infect Agent Drug (87900) | $570 | $570 | 4.4× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$173–$573 | $173–$573 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$246–$302 | $246–$302 | varies |
| Phenytoin free (80186) | $244 | $244 | 17.7× |
| Phosphatase acid prostatic (84066) | $166 | $166 | 17.2× |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$86–$95 | $86–$95 | varies |
| Phosphatidylglycerol (84081) | $125 | $125 | 7.6× |
| Phospholipid Neutralization Hexagonal (85598) range across 4 matching MRF lines |
$234–$640 | $234–$640 | varies |
| Phosphorus Serum (84100) | $86 | $86 | 18.1× |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$28–$230 | $28–$230 | varies |
| Pinworm exam (87172) | $121 | $121 | 28.3× |
| Platelet Aggregation (85576) | $372 | $372 | 14.9× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$418–$725 | $418–$725 | varies |
| Platelet count automated (85049) | $100 | $100 | 22.3× |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$337–$366 | $337–$366 | varies |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $945 | $945 | 1.2× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $409 | $409 | 2.0× |
| Pms2 gene full seq analysis (81317) | $735 | $735 | 1.1× |
| Pneumcysts jirovecii amp prb (87594) | $635 | $635 | 18.1× |
| Pooling blood platelets (86965) | $472 | $472 | 2.5× |
| Porphobilinogen, urine; quantitative (84110) range across 3 matching MRF lines |
$134–$285 | $134–$285 | varies |
| Porphyrins Feces Quantitative (84126) | $198 | $198 | 5.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$143–$222 | $143–$222 | varies |
| Potassium Urine (84133) range across 2 matching MRF lines |
$21–$166 | $21–$166 | varies |
| Prealbumin (84134) | $441 | $441 | 30.2× |
| Pregnancy-Associated Plasma Protein-A (84163) | $315 | $315 | 20.9× |
| Pregnenolone (84140) | $321 | $321 | 15.5× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $127 | $127 | 0.7× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $190 | $190 | 2.9× |
| Primidone (80188) | $120 | $120 | 7.2× |
| Procalcitonin (Pct) (84145) | $493 | $493 | 18.1× |
| Progesterone (84144) | $231 | $231 | 11.1× |
| Prolactin (84146) | $309 | $309 | 15.9× |
| Prostaglandin (84150) range across 4 matching MRF lines |
$524–$1,304 | $524–$1,304 | varies |
| Protein body fluid (84157) range across 3 matching MRF lines |
$86–$271 | $86–$271 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$190–$349 | $190–$349 | varies |
| Protein c antigen (85302) range across 2 matching MRF lines |
$132–$198 | $132–$198 | varies |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$64–$149 | $64–$149 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$149–$235 | $149–$235 | varies |
| Protein S Free (85306) range across 5 matching MRF lines |
$166–$373 | $166–$373 | varies |
| Protein s total (85305) | $313 | $313 | 27.0× |
| Protein total serum (84155) range across 2 matching MRF lines |
$82–$86 | $82–$86 | varies |
| Protein Total Urine (84156) range across 6 matching MRF lines |
$41–$234 | $41–$234 | varies |
| Protein Western Blot Test (84182) range across 7 matching MRF lines |
$316–$820 | $316–$820 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $171 | $171 | 43.4× |
| Protoporphyrin, RBC; screen Facility (84203) | $237 | $237 | 24.3× |
| PSA free (84154) range across 2 matching MRF lines |
$96–$182 | $96–$182 | varies |
| Pth Intact (83970) | $307 | $307 | 7.4× |
| Q Fever Antibody (86638) | $235 | $235 | 19.4× |
| Quantiferon tb gold plus (86480) | $296 | $296 | 4.8× |
| Quantitative assay drug (80299) range across 11 matching MRF lines |
$157–$831 | $157–$831 | varies |
| Quantitative Screen Metals (83018) range across 7 matching MRF lines |
$178–$614 | $178–$614 | varies |
| Quinidine (80194) | $429 | $429 | 29.4× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$405–$446 | $405–$446 | varies |
| Rbc antibody identification (86870) range across 3 matching MRF lines |
$370–$537 | $370–$537 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$178–$325 | $178–$325 | varies |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
$347–$838 | $347–$838 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $115 | $115 | 0.6× |
| Reagent Strip/Blood Glucose (82948) | $47 | $47 | 9.3× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$287–$321 | $287–$321 | varies |
| Reptilase test (85635) | $187 | $187 | 19.0× |
| Resp virus 12-25 targets (87633) | $1,104 | $1,104 | 2.6× |
| Reticulated Platelet Assay (85055) | $205 | $205 | 5.7× |
| Reticulocyte Count (85046) | $183 | $183 | 32.9× |
| Reticulocyte separation (86972) | $430 | $430 | 2.3× |
| Rh (86901) | $115 | $115 | 38.5× |
| Rheumatoid Factor Qualitative (86430) | $155 | $155 | 25.2× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$164–$244 | $164–$244 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$102–$389 | $102–$389 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$303–$405 | $303–$405 | varies |
| Rotavirus ag eia (87425) | $416 | $416 | 34.7× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$137–$280 | $137–$280 | varies |
| Rsv ab (86756) | $235 | $235 | 14.8× |
| Rsv Assay W/Optic (87807) | $483 | $483 | 36.9× |
| Rubella Antibody (86762) range across 5 matching MRF lines |
$100–$576 | $100–$576 | varies |
| Rubeola antibody (86765) range across 9 matching MRF lines |
$76–$354 | $76–$354 | varies |
| Russell Viper Venom Time Diluted (85613) range across 10 matching MRF lines |
$115–$383 | $115–$383 | varies |
| Salicylate Level (80179) | $208 | $208 | 11.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $135 | $135 | 2.6× |
| Sars-cov-2 COVID-19 antibody (86769) | $118 | $118 | 2.8× |
| Sarscov2 & inf a&b amp prb (87636) | $442 | $442 | 3.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $544 | $544 | 3.8× |
| Sedimentation rate (85651) | $74 | $74 | 17.3× |
| Sedimentation Rate, Automated (85652) | $97 | $97 | 35.9× |
| Selenium (84255) | $240 | $240 | 9.4× |
| Semen Anal Sperm Detection (89321) | $208 | $208 | 17.3× |
| Semen analysis complete (89322) | $347 | $347 | 22.4× |
| Semen analysis motility and count (89310) | $309 | $309 | 35.9× |
| Sensitivity mic (87186) range across 6 matching MRF lines |
$186–$553 | $186–$553 | varies |
| Serpina 1 gene (81332) | $123 | $123 | 2.8× |
| Sex Hormone Binding Globulin (84270) | $187 | $187 | 8.6× |
| Sickling of rbc reduction (85660) range across 5 matching MRF lines |
$120–$309 | $120–$309 | varies |
| Sirolimus (80195) | $429 | $429 | 31.2× |
| Skin Test Candida (86485) range across 2 matching MRF lines |
$49.93–$76.29 | $49.93–$76.29 | varies |
| Skin test tuberculosis intradermal (86580) | $54 | $54 | 1.7× |
| Smear acid fast (87206) | $170 | $170 | 31.5× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$112–$178 | $112–$178 | varies |
| Smear gram stain (87205) range across 5 matching MRF lines |
$90–$180 | $90–$180 | varies |
| Smear Special Stain (87207) range across 3 matching MRF lines |
$112–$334 | $112–$334 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$191–$316 | $191–$316 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $1,295 | $1,295 | 25.4× |
| Sodium Serum (84295) | $38 | $38 | 7.9× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$24–$86 | $24–$86 | varies |
| Soluble fibrin monomer (85366) range across 2 matching MRF lines |
$260–$399 | $260–$399 | varies |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
$212–$573 | $212–$573 | varies |
| Somatomedin (84305) | $363 | $363 | 17.1× |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
$282–$428 | $282–$428 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$264–$370 | $264–$370 | varies |
| Specific gravity body fluid (84315) | $99 | $99 | 30.2× |
| Specimen infect agnt concntj (87015) range across 4 matching MRF lines |
$115–$168 | $115–$168 | varies |
| Spectrophotometry (84311) range across 4 matching MRF lines |
$328–$1,446 | $328–$1,446 | varies |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $401 | $401 | 6.9× |
| Splitting Blood/Blood Products Each Unit (86985) | $112 | $112 | 0.6× |
| Staph a DNA amp probe (87640) | $264 | $264 | 7.5× |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$64–$114 | $64–$114 | varies |
| Strep a assay w/optic (87880) | $100 | $100 | 6.0× |
| Strep a DNA amp probe (87651) | $184 | $184 | 5.2× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $680 | $680 | 7.4× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $427 | $427 | 37.0× |
| Sugars Single Qual (84376) | $451 | $451 | 82.0× |
| Sulfate urine (84392) range across 2 matching MRF lines |
$24–$133 | $24–$133 | varies |
| Surg path level iii (88304) | $278 | $278 | 4.8× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$436–$792 | $436–$792 | varies |
| Surgical pathology level vi (88309) | $890 | $890 | 1.0× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $137 | $137 | 28.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$101–$140 | $101–$140 | varies |
| Syphilis Test Non-Trep Quant (86593) | $92 | $92 | 20.9× |
| T cells absolute cd4 count (86361) | $346 | $346 | 12.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $243 | $243 | 5.2× |
| T cells total count (86359) | $168 | $168 | 4.5× |
| T3 Free (84481) | $349 | $349 | 20.6× |
| T3 reverse (84482) | $292 | $292 | 18.5× |
| T3 Total (84480) | $321 | $321 | 22.6× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$98–$118 | $98–$118 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$295–$325 | $295–$325 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$105–$123 | $105–$123 | varies |
| T4-neonatal (84437) | $216 | $216 | 33.4× |
| Tacrolimus (80197) | $221 | $221 | 16.1× |
| Tau phosphorylated each (84393) | $679 | $679 | 5.3× |
| Test for acetone/ketones (82009) | $143 | $143 | 31.6× |
| Testosterone Bioavailable (84410) | $165 | $165 | 3.2× |
| Testosterone total (84403) | $260 | $260 | 10.1× |
| Testosterone, Free (84402) | $263 | $263 | 10.3× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $1,131 | $1,131 | 1.9× |
| Theophylline (80198) | $251 | $251 | 17.8× |
| Thiopurine methyltransferase (84433) | $616 | $616 | 27.8× |
| Thrombin Time (85670) range across 3 matching MRF lines |
$80–$211 | $80–$211 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 3 matching MRF lines |
$170–$280 | $170–$280 | varies |
| Thyroglobulin (84432) range across 3 matching MRF lines |
$174–$554 | $174–$554 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$188–$225 | $188–$225 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $425 | $425 | 8.4× |
| Thyroxine binding globulin (84442) | $253 | $253 | 17.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$212–$371 | $212–$371 | varies |
| Tissue Culture (88233) range across 2 matching MRF lines |
$817–$1,117 | $817–$1,117 | varies |
| Tissue Culture Amniotic Fluid (88235) range across 2 matching MRF lines |
$1,218–$1,221 | $1,218–$1,221 | varies |
| Tissue culture bone marrow (88237) range across 4 matching MRF lines |
$1,042–$1,745 | $1,042–$1,745 | varies |
| Tissue Culture Lymphocyte (88230) range across 3 matching MRF lines |
$645–$1,013 | $645–$1,013 | varies |
| Tobramycin peak (80200) | $446 | $446 | 27.7× |
| Topiramate (80201) | $315 | $315 | 26.4× |
| Total Tau (84394) | $571 | $571 | 4.4× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $150 | $150 | 7.6× |
| Toxoplasma ab igm (86778) range across 3 matching MRF lines |
$106–$533 | $106–$533 | varies |
| Toxoplasma antibody (86777) range across 5 matching MRF lines |
$89–$375 | $89–$375 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$74–$86 | $74–$86 | varies |
| Transferrin (84466) | $271 | $271 | 21.2× |
| Trb@ Rearrangement Anal Amplification Method (81340) range across 2 matching MRF lines |
$407–$1,062 | $407–$1,062 | varies |
| Trg gene rearrangement anal (81342) range across 2 matching MRF lines |
$407–$1,197 | $407–$1,197 | varies |
| Trichinella Antibody (86784) | $233 | $233 | 18.6× |
| Trichomonas vagin dir probe (87660) | $53 | $53 | 2.6× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$79–$227 | $79–$227 | varies |
| Triglycerides (84478) range across 4 matching MRF lines |
$63–$520 | $63–$520 | varies |
| Troponin Quant (84484) | $362 | $362 | 29.0× |
| Tumor immunohistochem/comput (88361) | $733 | $733 | 1.8× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$663–$702 | $663–$702 | varies |
| Unlisted Cytogenetic Study (88299) range across 2 matching MRF lines |
$362–$906 | $362–$906 | varies |
| Unlisted miscellaneous pathology test (89240) | $176 | $176 | 3.0× |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$58–$166 | $58–$166 | varies |
| Uric acid other source (84560) range across 5 matching MRF lines |
$24–$137 | $24–$137 | varies |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$52–$82 | $52–$82 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $115 | $115 | 53.0× |
| Urinalysis Volume Measure (81050) range across 2 matching MRF lines |
$46–$83 | $46–$83 | varies |
| Urine Bacteria Culture (87088) | $97 | $97 | 12.0× |
| Urine Pregnancy Test (81025) | $89 | $89 | 10.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $121 | $121 | 38.2× |
| Valproic acid (80164) | $373 | $373 | 27.5× |
| Vancomycin (80202) | $533 | $533 | 39.4× |
| Varicella-zoster antibody (86787) range across 5 matching MRF lines |
$81–$271 | $81–$271 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$341–$581 | $341–$581 | varies |
| Very Long Chain Fatty Acids (82726) | $721 | $721 | 36.5× |
| Viral Culture (87252) range across 2 matching MRF lines |
$212–$786 | $212–$786 | varies |
| Virus antibody nos (86790) range across 7 matching MRF lines |
$212–$998 | $212–$998 | varies |
| Virus inoculate tissue addl (87253) | $205 | $205 | 10.1× |
| Virus inoculation, shell via (87254) | $393 | $393 | 20.1× |
| Viscosity serum (85810) | $531 | $531 | 45.5× |
| Vit D 1 25-Dihydroxy (82652) | $382 | $382 | 9.9× |
| Vitamin A (84590) | $328 | $328 | 28.3× |
| Vitamin b-12 (82607) | $251 | $251 | 16.6× |
| Vitamin B2 (Riboflavin) (84252) | $308 | $308 | 15.2× |
| Vitamin B6 (84207) | $376 | $376 | 13.4× |
| Vitamin c (82180) | $178 | $178 | 18.0× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$119–$187 | $119–$187 | varies |
| Vitamin E (84446) | $292 | $292 | 20.6× |
| Vitamin K (84597) | $355 | $355 | 25.9× |
| Volatiles (84600) range across 2 matching MRF lines |
$301–$322 | $301–$322 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $247 | $247 | 20.5× |
| Von willebrand factor ag (85246) range across 4 matching MRF lines |
$283–$498 | $283–$498 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $282 | $282 | 32.8× |
| West nile virus ab igm (86788) | $186 | $186 | 11.0× |
| West Nile Virus Antibody (86789) | $186 | $186 | 12.9× |
| Western Blot Test (84181) | $454 | $454 | 26.7× |
| Zika Virus Igm Antibody (86794) | $465 | $465 | 27.6× |
| Zinc (84630) range across 3 matching MRF lines |
$227–$287 | $227–$287 | 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.