Lab & pathology prices at CHI Health St. Elizabeth
Lincoln, NE · every code in this section with a posted price and a Medicare benchmark.
667 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $21 | $42 | 1.9× |
| Acetylcholine receptor binding antibody (86041) | $106.50 | $213 | 5.8× |
| Acetylcholine receptor blocking antibody (86042) | $106.50 | $213 | 5.8× |
| Acetylcholn Rcptr Modlg Antb (86043) | $106.50 | $213 | 8.8× |
| Acth (82024) | $168.50 | $337 | 4.4× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $147 | $294 | 4.5× |
| Actin smooth muscle antibody each (86015) | $64.50 | $129 | 5.4× |
| Acute hepatitis panel (80074) | $366.50 | $733 | 7.7× |
| Agglutinins Febrile Each Antigen (86000) | $61 | $122 | 8.7× |
| Albumin Fluid (82042) | $30.50 | $61 | 3.9× |
| Albumin serum (82040) | $37 | $74 | 7.5× |
| Aldolase (82085) | $40.50 | $81 | 4.2× |
| Aldosterone urine (82088) | $242 | $484 | 5.9× |
| Alkaline phosphatase isoenzymes (84080) | $75 | $150 | 5.1× |
| Allergen specific ige (86003) | $64 | $128 | 12.3× |
| Allergen specific igg (86001) | $46.50 | $93 | 5.9× |
| Alpha-1-antitrypsin phenotype (82104) | $79 | $158 | 5.5× |
| Alpha-1-antitrypsin total (82103) | $81.50 | $163 | 6.1× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$102–$112 | $204–$224 | varies |
| Alt (sgpt) (84460) | $65.50 | $131 | 12.4× |
| Aluminum (82108) | $15 | $30 | 0.6× |
| Amikacin trough (80150) | $34.50 | $69 | 2.3× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$150.50–$424 | $301–$848 | varies |
| Aminolevulinic acid (ala) (82135) | $114 | $228 | 6.9× |
| Ammonia (82140) | $137.50 | $275 | 9.4× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $344 | $688 | 3.5× |
| Amylase urine (82150) range across 2 matching MRF lines |
$92–$96 | $184–$192 | varies |
| Ana Titer (86039) | $16.50 | $33 | 1.5× |
| Anca screen each antibody (86036) | $73.50 | $147 | 6.1× |
| Anca Titer Each Antibody (86037) | $64.50 | $129 | 5.4× |
| Androstenedione (82157) | $27 | $54 | 0.9× |
| Angiotensin converting enzyme csf (82164) | $84 | $168 | 5.8× |
| Antibody aspergillus (86606) | $42 | $84 | 2.8× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $90.50 | $181 | 7.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $70 | $140 | 4.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $160 | $320 | 9.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $88 | $176 | 6.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $88 | $176 | 5.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$85.50–$89 | $171–$178 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $59 | $118 | 4.8× |
| Antibody helicobacter pylori (86677) | $45 | $90 | 2.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $75 | $150 | 5.2× |
| Antibody Herpes Smplx Type 1 (86695) | $161 | $322 | 12.2× |
| Antibody HIV-1&HIV-2 single result (86703) | $85.50 | $171 | 6.2× |
| Antibody HIV-2 (86702) | $111 | $222 | 8.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $272.50 | $545 | 14.1× |
| Antibody identification leukocyte antibodies (86021) | $121 | $242 | 8.0× |
| Antibody Identification Platelet Immunogl Assay (86023) | $195.50 | $391 | 15.7× |
| Antibody Protozoa Nes (86753) | $16.50 | $33 | 1.3× |
| Antibody Titer (86886) range across 2 matching MRF lines |
$70.50–$170.50 | $141–$341 | varies |
| Antibody Treponema Pallidum (86780) | $47.50 | $95 | 3.6× |
| Antigen typing (86905) | $169 | $338 | 44.1× |
| Antinuclear antibodies (86038) | $36.50 | $73 | 3.0× |
| Antistreptolysin o titer (86060) | $113 | $226 | 15.5× |
| Antithrombin iii activity (85300) | $145 | $290 | 12.2× |
| Apolipoprotein a1 (82172) | $21 | $42 | 1.0× |
| Aquaporin-4 Antb Elisa (86051) | $48.50 | $97 | 4.2× |
| Arsenic (82175) | $142 | $284 | 7.5× |
| Aspergillus ag eia (87305) | $248 | $496 | 20.7× |
| Assay activated protein c (85307) | $59.50 | $119 | 3.9× |
| Assay Blood Carbon Dioxide (82374) | $11.50 | $23 | 2.4× |
| Assay Blood Catecholamines (82383) | $73.50 | $147 | 2.5× |
| Assay Dir Meas Fr Estradiol (82681) | $50.50 | $101 | 1.8× |
| Assay Nephelometry Not Spec (83883) | $27 | $54 | 2.0× |
| Assay of 5-hiaa (83497) | $71.50 | $143 | 5.5× |
| Assay of anti-mullerian hormone (82166) | $106.50 | $213 | 2.8× |
| Assay of blood/uric acid (84550) | $60.50 | $121 | 13.4× |
| Assay of calcium in urine (82340) | $43.50 | $87 | 7.2× |
| Assay of cpk in blood (82552) | $70 | $140 | 5.2× |
| Assay of estrone (82679) | $41.50 | $83 | 1.7× |
| Assay of g6pd enzyme (82955) | $36 | $72 | 3.7× |
| Assay of gammaglobulin igm (82784) | $63.50 | $127 | 6.8× |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$102.50–$126.50 | $205–$253 | varies |
| Assay of manganese (83785) | $53.50 | $107 | 2.0× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$62.50–$208.50 | $125–$417 | varies |
| Assay of proinsulin (84206) | $43 | $86 | 1.6× |
| Assay of prostate specific antigen complexed (84152) | $382.50 | $765 | 20.8× |
| Assay of pyruvate (84210) | $156 | $312 | 10.8× |
| Assay of serotonin (84260) | $130 | $260 | 4.2× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$49–$54 | $98–$108 | varies |
| Assay of sweat sodium (84302) | $20 | $40 | 4.1× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$22–$27.50 | $44–$55 | varies |
| Assay of urine vma (84585) | $54 | $108 | 3.5× |
| Assay of vasoactive intestinal peptide (84586) | $238 | $476 | 6.7× |
| Assay of vitamin b-1 (84425) | $78 | $156 | 3.7× |
| Assay Ph Body Fluid Nos (83986) | $57 | $114 | 15.9× |
| Assay spec xcp ur&breath ia (82077) | $193.50 | $387 | 11.2× |
| Asy carbamazepin 10,11-epxid (80161) | $50.50 | $101 | 2.7× |
| Autol bld/component collj storage salvage (86891) | $765.50 | $1,531 | 0.9× |
| Automated Leukocyte Count (85048) | $35 | $70 | 13.8× |
| B cells total count (86355) | $80.50 | $161 | 2.1× |
| Bartonella antibody (86611) | $53 | $106 | 5.2× |
| Beta 2 glycoprotein i antibody each (86146) | $40 | $80 | 1.6× |
| Beta hydroxybutyrate (82010) | $111 | $222 | 13.6× |
| Beta Lactamase (87185) | $105 | $210 | 22.1× |
| Beta-2 Microglobulin (82232) | $83.50 | $167 | 5.2× |
| Bile acids total (82239) | $33 | $66 | 1.9× |
| Bilirubin direct (82248) | $49.50 | $99 | 9.9× |
| Bilirubin total (82247) | $66 | $132 | 13.1× |
| Bilirubin total transcutaneous (88720) range across 2 matching MRF lines |
$32.50–$35 | $65–$70 | varies |
| Biotinidase (82261) | $48.50 | $97 | 2.9× |
| Blastomyces antibody (86612) | $27.50 | $55 | 2.1× |
| Bld Typing Serologic Rh Phnt (86906) | $44.50 | $89 | 5.7× |
| Bleeding time test (85002) | $115.50 | $231 | 24.0× |
| Blood Count Automated Differential Wbc Count (85004) | $62 | $124 | 9.6× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $48 | $96 | 9.5× |
| Blood count reticulocyte automated (85045) | $44 | $88 | 11.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$33–$69.50 | $66–$139 | varies |
| Blood gas (82803) | $215 | $430 | 8.2× |
| Blood gases w/02 saturation (82805) | $318 | $636 | 4.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $24 | $48 | 1.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $30 | $60 | 6.8× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $144 | $288 | 22.7× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $44 | $88 | 2.7× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$64–$70 | $128–$140 | varies |
| Body fluid cell count (89050) | $27.50 | $55 | 5.8× |
| Bone marrow smear interpretation (85097) | $434.50 | $869 | 0.5× |
| Bordetella antibody (86615) | $38 | $76 | 2.9× |
| Braf gene analysis (81210) | $306 | $612 | 1.7× |
| Brucella antibody (86622) | $55.50 | $111 | 6.2× |
| C diff amplified probe (87493) | $189 | $378 | 5.1× |
| C-Peptide (84681) | $119 | $238 | 5.7× |
| C-reactive protein (86140) | $131.50 | $263 | 25.4× |
| Ca 19-9 (86301) | $256.50 | $513 | 12.3× |
| Cadmium (82300) | $16 | $32 | 0.7× |
| Caffeine (80155) | $18.50 | $37 | 0.5× |
| Calcitonin (82308) | $70.50 | $141 | 2.6× |
| Calcium ionized (82330) | $103 | $206 | 7.5× |
| Calcium total (82310) | $94 | $188 | 18.2× |
| Calculus Spectroscopy (82365) | $121.50 | $243 | 9.4× |
| Calprotectin Fecal (83993) | $468 | $936 | 23.8× |
| Cancer Antigen 125 (86304) | $119 | $238 | 5.7× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$45–$117 | $90–$234 | varies |
| Candida Dna Dir Probe (87480) | $69 | $138 | 3.4× |
| Carbamazepine free (80157) | $75.50 | $151 | 5.7× |
| Carbamazepine total (80156) | $92 | $184 | 6.3× |
| Carboxyhemoglobin (82375) range across 3 matching MRF lines |
$98.50–$133.50 | $197–$267 | varies |
| Carcinoembryonic antigen (82378) | $114.50 | $229 | 6.0× |
| Cardiolipin ab iga (86147) | $147.50 | $295 | 5.8× |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$17–$54 | $34–$108 | varies |
| Carotene (82380) | $57 | $114 | 6.2× |
| Catecholamines fractionated (82384) | $54 | $108 | 2.1× |
| Ccp antibody (86200) | $64 | $128 | 4.9× |
| Cell count csf (89051) | $169 | $338 | 30.2× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $396 | $792 | 2.9× |
| Ceruloplasmin (82390) | $60.50 | $121 | 5.6× |
| Cftr gene com variants (81220) | $466.50 | $933 | 0.8× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$43.50–$120 | $87–$240 | varies |
| Chlamydia antibody (86631) | $12.50 | $25 | 1.1× |
| Chlamydia Igm Antibody (86632) | $12.50 | $25 | 1.0× |
| Chloride other source (82438) | $20 | $40 | 4.0× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$52.50–$59 | $105–$118 | varies |
| Chloride urine (82436) | $29.50 | $59 | 5.1× |
| Cholesterol total (82465) | $27 | $54 | 6.2× |
| Cholinesterase Serum (82480) | $41 | $82 | 5.2× |
| Chorionic gonadotropin test (84702) | $101.50 | $203 | 6.7× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $96.50 | $193 | 3.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $856.50 | $1,713 | 25.6× |
| Chromium serum (82495) | $202 | $404 | 10.0× |
| Chromogranin a (86316) | $117 | $234 | 5.6× |
| Chromosome Analysis 15-20 (88262) | $856.50 | $1,713 | 6.8× |
| Chromosome Analysis 20-25 (88264) | $420 | $840 | 2.9× |
| Chromosome analysis, 5 (88261) | $633.50 | $1,267 | 2.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $108.50 | $217 | 3.1× |
| Citric acid urine (82507) | $14 | $28 | 0.5× |
| Ckmb (82553) | $23 | $46 | 2.0× |
| Clostridium Difficile (87324) | $219.50 | $439 | 18.3× |
| Clot Factor VIII Multimetric (85247) | $191 | $382 | 8.3× |
| Clotting factor xii hageman (85280) | $131 | $262 | 6.8× |
| Cns DNA amp probe type 12-25 (87483) | $910.50 | $1,821 | 2.2× |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$68.50–$75.50 | $137–$151 | varies |
| Coccidioides antibody (86635) | $31 | $62 | 2.7× |
| Cold agglutinin titer (86157) | $149 | $298 | 18.5× |
| Collagen crosslinks (82523) | $117 | $234 | 6.3× |
| Column Chromotography Quant (82542) | $152.50 | $305 | 6.3× |
| Compatibility test antiglob (86922) | $291.50 | $583 | 1.6× |
| Complement Antigen Each Component (86160) | $86 | $172 | 7.2× |
| Complement Total (Ch50) (86162) | $28.50 | $57 | 1.4× |
| Complement/Function Activity (86161) | $58.50 | $117 | 4.9× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $198 | $396 | 5.1× |
| Coombs direct (86880) | $107.50 | $215 | 19.9× |
| Copper urine (82525) | $42 | $84 | 3.4× |
| Cortisol free (82530) | $59 | $118 | 3.5× |
| Cortisol saliva (82533) | $149.50 | $299 | 9.2× |
| Creatine kinase total (82550) | $119 | $238 | 18.3× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$51.50–$58 | $103–$116 | varies |
| Creatinine clearance (82575) | $101.50 | $203 | 10.7× |
| Creatinine Urine (82570) | $85 | $170 | 16.4× |
| Crossmatch electronic (86923) | $154 | $308 | 0.9× |
| Crossmatch immediate spin (86920) | $155 | $310 | 0.9× |
| Crp High Sensitivity (86141) | $120 | $240 | 9.3× |
| Cryoglobulin (82595) | $17.50 | $35 | 2.7× |
| Cryptococcal Antigen (87327) | $124 | $248 | 9.2× |
| Cryptococcus ag titer (87899) | $106 | $212 | 6.6× |
| Cryptosporidium ag eia (87328) | $103 | $206 | 7.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $41.50 | $83 | 5.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $135 | $270 | 16.7× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $50.50 | $101 | 6.5× |
| Culture afb (87116) | $165.50 | $331 | 15.3× |
| Culture Anaerobic (87075) | $214 | $428 | 22.6× |
| Culture blood (87040) | $214.50 | $429 | 20.8× |
| Culture chlamydia (87110) | $81.50 | $163 | 4.2× |
| Culture csf (87070) range across 2 matching MRF lines |
$61.50–$120.50 | $123–$241 | varies |
| Culture fungus (87102) | $254 | $508 | 30.2× |
| Culture fungus blood (87103) | $116 | $232 | 5.7× |
| Culture screen only (87081) | $95.50 | $191 | 14.4× |
| Culture stool (87045) | $128 | $256 | 13.6× |
| Culture typing if ea antiserum (87140) | $26.50 | $53 | 4.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $120 | $240 | 23.2× |
| Culture urine (87086) | $77.50 | $155 | 9.6× |
| Cyclosporine (80158) | $40 | $80 | 2.2× |
| Cystatin C (82610) | $49.50 | $99 | 2.7× |
| Cytogenetics 100-300 (88275) | $91.50 | $183 | 1.8× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$81.50–$84.50 | $163–$169 | varies |
| Cytopath Cell Enhance Tech (88112) | $51 | $102 | 0.9× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $81 | $162 | 3.0× |
| Cytp Concentration Smears & Interpretation (88108) | $50.50 | $101 | 1.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $69 | $138 | 1.3× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $18.50 | $37 | 0.1× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $44 | $88 | 1.1× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $54 | $108 | 2.9× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $82 | $164 | 1.5× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $31 | $62 | 1.0× |
| Deoxycortisol (82634) | $109 | $218 | 3.7× |
| Deoxyribonuclease antibody (86215) | $15.50 | $31 | 1.2× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$50–$275 | $100–$550 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$121–$211.50 | $242–$423 | varies |
| Detect agnt mult DNA ampli (87801) | $276.50 | $553 | 3.9× |
| Dgp Antibody Each Ig Class (86258) | $53.50 | $107 | 4.4× |
| Dhea (82626) | $19 | $38 | 0.8× |
| Dhea-S (82627) | $163 | $326 | 7.3× |
| Digoxin (80162) | $98.50 | $197 | 7.4× |
| Dipropylacetic Acid Free (80165) | $144.50 | $289 | 10.7× |
| Dna Antibody Native/Double Stranded (86225) | $51 | $102 | 3.7× |
| Dna/Rna Amplified Probe (87150) | $89.50 | $179 | 2.6× |
| DNA/RNA direct probe (87149) | $143 | $286 | 7.1× |
| Dna/Rna Sequencing (87153) | $303 | $606 | 2.6× |
| Drug assay acetaminophen (80143) | $252 | $504 | 13.5× |
| Drug Assay Amiodarone (80151) | $123.50 | $247 | 6.6× |
| Drug Assay Everolimus (80169) | $33 | $66 | 2.4× |
| Drug assay felbamate (80167) | $211.50 | $423 | 11.3× |
| Drug Assay Itraconazole (80189) | $50.50 | $101 | 1.9× |
| Drug Assay Lacosamide (80235) | $203 | $406 | 7.5× |
| Drug assay voriconazole (80285) | $105 | $210 | 3.9× |
| Drug Screen Quant Clozapine (80159) | $35 | $70 | 1.7× |
| Drug Screen Quant Zonisamide (80203) | $77.50 | $155 | 5.8× |
| Drug Screen Quantitative Gabapentin (80171) | $77.50 | $155 | 3.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $43 | $86 | 3.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $106.50 | $213 | 8.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $180.50 | $361 | 13.6× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $57.50 | $115 | 3.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 8 matching MRF lines |
$55.50–$460.50 | $111–$921 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $90 | $180 | 7.1× |
| Drug Test Prsmv Instrmnt (80306) | $41 | $82 | 2.4× |
| Ehrlichia antibody (86666) | $20 | $40 | 2.0× |
| El-1 Fecal Quantitative (82653) | $142 | $284 | 6.2× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$112.50–$117 | $225–$234 | varies |
| Electron Microscopy (88348) | $751.50 | $1,503 | 0.9× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $87.50 | $175 | 1.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $108.50 | $217 | 9.0× |
| Enterovirus Antibody (86658) | $36.50 | $73 | 2.8× |
| Enterovirus PCR (87498) | $74.50 | $149 | 2.1× |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$42–$790.50 | $84–$1,581 | varies |
| Enzyme histochemistry (88319) | $378 | $756 | 0.5× |
| Eosinophil Smear (89190) | $31 | $62 | 5.4× |
| Erythropoietin (82668) | $145.50 | $291 | 7.7× |
| Estradiol serum (82670) | $157.50 | $315 | 5.6× |
| Estriol (82677) | $20 | $40 | 0.8× |
| Estrogens fractionated (82671) | $42.50 | $85 | 1.3× |
| Ethosuximide (80168) | $25 | $50 | 1.5× |
| Ethylene Glycol (82693) | $53 | $106 | 3.6× |
| Exam Synovial Fluid Crystals (89060) | $43 | $86 | 5.9× |
| F2 Gene (81240) | $291.50 | $583 | 4.4× |
| Factor ii activity (85210) | $66 | $132 | 5.1× |
| Factor Inhibitor Test (85335) | $106.50 | $213 | 8.3× |
| Factor ix activity (85250) | $164 | $328 | 8.6× |
| Factor v activity (85220) | $58 | $116 | 3.3× |
| Factor v leiden mutation (81241) | $291.50 | $583 | 4.0× |
| Factor vii assay (85230) | $70 | $140 | 3.9× |
| Factor viii assay (85240) | $86 | $172 | 4.8× |
| Factor X (85260) | $558.50 | $1,117 | 31.2× |
| Factor xi activity (85270) | $135.50 | $271 | 7.6× |
| Fat stain feces urine/respir secretions (89125) | $19 | $38 | 3.2× |
| Fat/Lipids Feces Quantitative (82710) | $211.50 | $423 | 12.6× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $105 | $210 | 13.6× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $146 | $292 | 22.4× |
| Fecal Fat Qualitative (82705) | $28 | $56 | 5.5× |
| Ferritin (82728) | $117.50 | $235 | 8.6× |
| Fetal Fibronectin (82731) | $488 | $976 | 7.6× |
| Fetal screen rosette (85461) | $105.50 | $211 | 11.3× |
| Fibrin degradation products (85362) | $76 | $152 | 11.0× |
| Fibrin Degradation Quant (85379) | $190.50 | $381 | 18.7× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $52 | $104 | 5.3× |
| Fibrinogen activity (85384) | $124.50 | $249 | 12.8× |
| Flecainide level (80181) | $50.50 | $101 | 2.7× |
| Flow cytometry first marker (88184) | $224.50 | $449 | 0.6× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$66.50–$73.50 | $133–$147 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $116 | $232 | 9.6× |
| Folic acid rbc (82747) | $31 | $62 | 1.8× |
| Folic Acid Serum (82746) | $114 | $228 | 7.8× |
| Follicle Stimulating Hormone (83001) | $129 | $258 | 6.9× |
| Francisella tularensis (86668) | $50 | $100 | 3.5× |
| Frozen Section (88331) | $180 | $360 | 1.0× |
| Fungi Identification Mold (87107) | $79 | $158 | 7.7× |
| Fungi Identification Yeast (87106) | $59 | $118 | 5.7× |
| Galactose (82760) | $47.50 | $95 | 4.2× |
| Galactose transferase test (82776) | $42 | $84 | 3.6× |
| Gammaglobulin ige (82785) | $105 | $210 | 6.4× |
| Gardner vag DNA dir probe (87510) | $46.50 | $93 | 2.3× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $66 | $132 | 6.8× |
| Gases blood ph only (82800) | $84.50 | $169 | 7.7× |
| Gastrin (82941) | $39.50 | $79 | 2.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $718 | $1,436 | 1.7× |
| Gentamicin (80170) | $76.50 | $153 | 4.7× |
| Ggt (82977) | $65.50 | $131 | 9.1× |
| Giardia antigen (87329) | $116.50 | $233 | 9.7× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $78 | $156 | 12.9× |
| Glucose 2 hr pp (82950) | $64 | $128 | 13.5× |
| Glucose Blood Test (82962) | $42 | $84 | 12.8× |
| Glucose body fluid (82945) | $61 | $122 | 15.5× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$1.50–$39 | $3–$78 | varies |
| Glucose tolerance test (gtt) (82951) | $282.50 | $565 | 22.0× |
| Glycated Protein (82985) | $35.50 | $71 | 2.1× |
| Gonadotropin Chorionic Qualitative (84703) | $140 | $280 | 18.6× |
| Growth hormone (83003) | $36.50 | $73 | 2.2× |
| Gtt-added samples (82952) | $80 | $160 | 20.4× |
| Haptoglobin (83010) | $104.50 | $209 | 8.3× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$19.50–$36.50 | $39–$73 | varies |
| Helicobacter Pylori Stool (87338) | $114.50 | $229 | 8.0× |
| Helminth Antibody (86682) | $28 | $56 | 2.2× |
| Hematocrit (85014) | $29.50 | $59 | 12.4× |
| Hemoglobin (85018) | $35 | $70 | 14.8× |
| Hemoglobin a1c (83036) | $87.50 | $175 | 9.0× |
| Hemoglobin Chromotography (83021) | $95 | $190 | 5.3× |
| Hemoglobin electrophoresis (83020) | $141 | $282 | 11.0× |
| Hemoglobin Methemoglobin Quantitative (83050) | $65.50 | $131 | 8.0× |
| Hemoglobin plasma (83051) | $72 | $144 | 9.8× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $105 | $210 | 12.0× |
| Hemolysins&Agglutinins Incubated (86941) | $105 | $210 | 8.7× |
| Hemosiderin urine (83070) | $17.50 | $35 | 3.7× |
| Hep a ab igm (86709) | $117 | $234 | 10.4× |
| Heparin assay (85520) | $231.50 | $463 | 17.7× |
| Hepatitis a antibody total (86708) | $71.50 | $143 | 5.8× |
| Hepatitis b core ab igm (86705) | $71 | $142 | 6.0× |
| Hepatitis b core ab total (86704) | $93.50 | $187 | 7.8× |
| Hepatitis B Surface Antibody (86706) | $104 | $208 | 9.7× |
| Hepatitis B Surface Antigen (87340) | $93 | $186 | 9.0× |
| Hepatitis Be Antibody (86707) | $49.50 | $99 | 4.3× |
| Hepatitis Be Antigen (87350) | $41 | $82 | 3.6× |
| Hepatitis C Antibody (86803) | $105 | $210 | 7.4× |
| Hepatitis C Genotype (87902) | $532.50 | $1,065 | 2.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $437 | $874 | 12.5× |
| Hepatitis C Revrs Trnscrpj (87522) | $365 | $730 | 8.5× |
| Hepatitis Delta Agent Antibody (86692) | $160.50 | $321 | 9.4× |
| Herpes simplex type 2 (86696) | $161.50 | $323 | 8.3× |
| Heterophile Antibody Screen (86308) | $74.50 | $149 | 14.4× |
| Hfe Gene (81256) | $54.50 | $109 | 0.8× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $238 | $476 | 30.8× |
| Histoplasma antibody (86698) | $28.50 | $57 | 2.1× |
| Histoplasma antigen urine (87385) | $149.50 | $299 | 11.3× |
| Hiv Antigen W/Hiv Antibodies (87806) range across 2 matching MRF lines |
$88.50–$131.50 | $177–$263 | varies |
| Hiv Genotype (87901) | $176.50 | $353 | 0.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $130.50 | $261 | 5.4× |
| Hiv-1 Antibody (86701) | $146 | $292 | 16.4× |
| HIV-1 p24 antigen (87390) | $617 | $1,234 | 25.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $743.50 | $1,487 | 8.7× |
| Hla class ii typing high resolution one locus ea (81382) | $241.50 | $483 | 2.0× |
| Hla-b27 (86812) | $236 | $472 | 9.1× |
| Homocysteine (83090) | $160.50 | $321 | 9.0× |
| Homogenization Tissue (87176) | $38.50 | $77 | 6.5× |
| Homovanillic acid urine (83150) | $205 | $410 | 9.1× |
| Hpv High-Risk Types (87624) | $163 | $326 | 4.6× |
| Hpv Types 16 & 18 Only (87625) | $295 | $590 | 7.3× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$61–$203 | $122–$406 | varies |
| Htlv-I Antibody (86687) | $73.50 | $147 | 8.1× |
| Htlv-ii antibody (86688) | $249 | $498 | 17.8× |
| Hydroxyprogesterone 17-d (83498) | $61.50 | $123 | 2.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $28 | $56 | 2.7× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $50 | $100 | 3.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $55 | $110 | 1.6× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$35.50–$49 | $71–$98 | varies |
| Iaadi not otherwise specified each organism (87299) | $123 | $246 | 7.6× |
| Iaadi pneumocustis carinii (87281) | $25 | $50 | 2.1× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $50 | $100 | 1.4× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $317 | $634 | 9.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $27 | $54 | 0.8× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $107 | $214 | 3.0× |
| Iadna Cytomegalovirus Quantification (87497) | $404.50 | $809 | 9.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $419 | $838 | 9.8× |
| Iadna Herpes Virus-6 Quantification (87533) | $124 | $248 | 3.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $82 | $164 | 2.3× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $127.50 | $255 | 3.6× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $157 | $314 | 3.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $27 | $54 | 0.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $90 | $180 | 2.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $319 | $638 | 2.2× |
| Ig Light Chains Free Each (83521) | $105.50 | $211 | 6.1× |
| Igg subclasses (82787) | $56 | $112 | 7.0× |
| Igh gene rearrange amp meth (81261) | $261.50 | $523 | 1.3× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $110 | $220 | 0.3× |
| Immunfix e-phorsis/urine/csf (86335) | $219 | $438 | 7.5× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $96.50 | $193 | 5.2× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $121 | $242 | 8.1× |
| Immunoassay nonantibody (83516) range across 6 matching MRF lines |
$4–$954 | $8–$1,908 | varies |
| Immunodiffusion not elsewhere specified (86329) | $34.50 | $69 | 2.5× |
| Immunodiffusion Ouchterlony (86331) | $17 | $34 | 1.4× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$169–$188 | $338–$376 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $155.50 | $311 | 0.9× |
| Immunohistochemistry (88342) | $113 | $226 | 0.6× |
| In situ hybridization 1st probe stain (88365) | $126 | $252 | 0.7× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $210 | $420 | 3.0× |
| Influenza assay w/optic (87804) | $22 | $44 | 1.3× |
| Inhibin A (86336) | $40 | $80 | 2.6× |
| Inhibin b (83520) range across 4 matching MRF lines |
$58–$297.50 | $116–$595 | varies |
| Insitu hybridization manual (88368) | $445.50 | $891 | 1.2× |
| Insulin antibodies (86337) | $137.50 | $275 | 6.4× |
| Insulin free (83527) | $29.50 | $59 | 2.3× |
| Insulin total (83525) | $144.50 | $289 | 12.6× |
| Intrinsic factor antibody (86340) | $109.50 | $219 | 7.3× |
| Iron (83540) range across 2 matching MRF lines |
$68–$71 | $136–$142 | varies |
| Iron Binding Capacity (83550) | $91 | $182 | 10.4× |
| Islet cell antibody (86341) | $354 | $708 | 15.0× |
| Jak2 gene analysis p.val617phe variant (81270) | $480.50 | $961 | 5.2× |
| Ketosteroids 17 total (83586) | $78 | $156 | 6.1× |
| Koh Prep (87220) range across 2 matching MRF lines |
$51–$56 | $102–$112 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $58.50 | $117 | 9.7× |
| Lactoferrin fecal qualitative (83630) | $57 | $114 | 2.9× |
| Ldh Isoenzymes (83625) | $108.50 | $217 | 8.5× |
| LDL direct (83721) | $94 | $188 | 9.0× |
| Lead (83655) | $73.50 | $147 | 6.1× |
| Legionella antigen urine (87449) | $201.50 | $403 | 16.8× |
| Leptospira antibody (86720) | $76 | $152 | 4.7× |
| Leukocyte Assessment Fecal (89055) | $16 | $32 | 3.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $24.50 | $49 | 0.8× |
| Level ii surg pathology grossµscopic exam (88302) | $51 | $102 | 1.3× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $166.50 | $333 | 0.4× |
| Lidocaine (80176) | $97 | $194 | 6.6× |
| Lipase (83690) | $110 | $220 | 16.0× |
| Lipoprotein A (83695) | $26.50 | $53 | 1.9× |
| Lipoprotein Bld Quan Part (83704) | $23.50 | $47 | 0.7× |
| Lithium (80178) | $126 | $252 | 19.1× |
| Luteinizing Hormone (Lh) (83002) | $143 | $286 | 7.7× |
| Lyme disease antibody (86618) | $138.50 | $277 | 8.1× |
| Lysozyme serum (85549) | $79 | $158 | 4.2× |
| M. Genitalium Amp Probe (87563) | $102 | $204 | 2.9× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$178.50–$420 | $357–$840 | varies |
| M/phmtrc alys ishquant/semiq (88374) | $420 | $840 | 2.4× |
| Macroscopic Exam Parasite (87169) | $22 | $44 | 5.1× |
| Magnesium Urine (83735) | $72.50 | $145 | 10.8× |
| Mass Spectrometry Quant (83789) range across 4 matching MRF lines |
$23.50–$286 | $47–$572 | varies |
| Mercury urine (83825) | $324.50 | $649 | 20.0× |
| Methotrexate (80204) range across 2 matching MRF lines |
$50.50–$136 | $101–$272 | varies |
| Methylmalonic acid serum (83921) | $29 | $58 | 1.4× |
| Microalbumin, quantitative (82043) | $59.50 | $119 | 10.3× |
| Microsatellite instability (81301) | $565 | $1,130 | 1.6× |
| Microsomal Antibodies Each (86376) | $125 | $250 | 8.6× |
| Mitochondrial Antibody Each (86381) | $51.50 | $103 | 2.0× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $400 | $800 | 10.6× |
| Molecular Cytogenetics Dna Probe Each (88271) | $69.50 | $139 | 3.2× |
| Mononuclear cell antigen (86356) | $85 | $170 | 3.2× |
| Mopath procedure level 2 (81401) | $140.50 | $281 | 1.0× |
| Morphometric Analysis Tumor (88358) | $82 | $164 | 0.5× |
| Mrsa Pcr (87641) | $95 | $190 | 2.7× |
| Mthfr Gene Analysis Common Variants (81291) | $129.50 | $259 | 2.0× |
| Mumps antibody (86735) | $17.50 | $35 | 1.3× |
| Muscle-Specific Kinase Antb (86366) | $106.50 | $213 | 5.8× |
| Mycobacteric Identification (87118) | $112 | $224 | 7.7× |
| Mycophenolic Acid (80180) | $33 | $66 | 1.8× |
| Mycoplasma antibody (86738) | $60.50 | $121 | 4.6× |
| Mycoplasma culture (87109) | $108 | $216 | 7.0× |
| Myelin basic protein csf (83873) | $108 | $216 | 6.3× |
| Myoglobin urine (83874) | $99 | $198 | 7.7× |
| Natriuretic peptide (83880) | $196 | $392 | 5.0× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $263 | $526 | 1.0× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $197 | $394 | 1.5× |
| Niacin (84591) range across 2 matching MRF lines |
$30.50–$144.50 | $61–$289 | varies |
| Nk cells total count (86357) | $76 | $152 | 2.0× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$43–$46.50 | $86–$93 | varies |
| Obstetric panel (80081) | $454.50 | $909 | 6.1× |
| Occult blood feces (82272) | $30 | $60 | 7.1× |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$33.50–$40.50 | $67–$81 | varies |
| Oligoclonal bands (83916) | $130.50 | $261 | 4.8× |
| Organic acids urine (83918) range across 2 matching MRF lines |
$100.50–$118 | $201–$236 | varies |
| Osmolality serum (83930) | $134 | $268 | 20.3× |
| Osmolality Urine (83935) | $53 | $106 | 7.8× |
| Osmotic fragility rbc incubated (85557) | $86 | $172 | 6.4× |
| Osteocalcin (83937) | $61 | $122 | 2.0× |
| Ova and parasites smears (87177) | $74.50 | $149 | 8.4× |
| Oxalate urine (83945) | $8.50 | $17 | 0.6× |
| Pancreatic Elastase Fecal (82656) | $162 | $324 | 14.1× |
| Particle Agglutination Screen Each Antibody (86403) | $36 | $72 | 3.1× |
| Parvovirus antibody (86747) | $95.50 | $191 | 6.4× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $405.50 | $811 | 0.5× |
| Ph urine (81003) range across 2 matching MRF lines |
$34–$36.50 | $68–$73 | varies |
| Phenobarbital Level (80184) | $87.50 | $175 | 5.7× |
| Phenotype Infect Agent Drug (87900) | $176.50 | $353 | 1.4× |
| Phenylalanine (84030) | $93.50 | $187 | 17.0× |
| Phenytoin (Dilantin) (80185) | $59 | $118 | 4.5× |
| Phenytoin free (80186) | $52.50 | $105 | 3.8× |
| Phosphatase alkaline (84075) | $60 | $120 | 11.6× |
| Phospholipid Neutralization Hexagonal (85598) | $30 | $60 | 1.7× |
| Phosphorus Serum (84100) | $54.50 | $109 | 11.5× |
| Phosphorus urine (84105) | $33.50 | $67 | 5.8× |
| Pinworm exam (87172) | $41.50 | $83 | 9.7× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$61–$143 | $122–$286 | varies |
| Platelet Antibodies (86022) | $151.50 | $303 | 8.2× |
| Platelet count automated (85049) | $60.50 | $121 | 13.5× |
| Platelet neutralization (85597) | $124 | $248 | 6.9× |
| Pooling blood platelets (86965) | $42 | $84 | 0.2× |
| Porphobilinogen, urine; quantitative (84110) | $94 | $188 | 11.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $39.50 | $79 | 2.7× |
| Porphyrins, urine; qualitative (84119) | $50.50 | $101 | 3.8× |
| Potassium Urine (84133) | $31.50 | $63 | 6.7× |
| Prealbumin (84134) | $97.50 | $195 | 6.7× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $57.50 | $115 | 0.3× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $40 | $80 | 0.7× |
| Primidone (80188) | $61 | $122 | 3.7× |
| Procalcitonin (Pct) (84145) | $130.50 | $261 | 4.8× |
| Progesterone (84144) | $121 | $242 | 5.8× |
| Prolactin (84146) | $99 | $198 | 5.1× |
| Protein body fluid (84157) | $39.50 | $79 | 9.9× |
| Protein C Activity (85303) | $43.50 | $87 | 3.1× |
| Protein c antigen (85302) | $254 | $508 | 21.1× |
| Protein Electrophoresis Urine (84166) | $133.50 | $267 | 7.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $65.50 | $131 | 6.1× |
| Protein S Free (85306) | $43.50 | $87 | 2.8× |
| Protein s total (85305) | $174.50 | $349 | 15.0× |
| Protein total serum (84155) | $73 | $146 | 19.9× |
| Protein Total Urine (84156) | $60.50 | $121 | 16.5× |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$51–$75 | $102–$150 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $77 | $154 | 19.5× |
| Protoporphyrin rbc quantitative (84202) | $164.50 | $329 | 11.5× |
| PSA free (84154) | $167.50 | $335 | 9.1× |
| Pth Intact (83970) | $239.50 | $479 | 5.8× |
| Q Fever Antibody (86638) | $29.50 | $59 | 2.4× |
| Quantiferon tb gold plus (86480) | $218 | $436 | 3.5× |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$43–$122 | $86–$244 | varies |
| Quantitative Screen Metals (83018) | $65.50 | $131 | 3.0× |
| Quinidine (80194) | $62.50 | $125 | 4.3× |
| Rbc antibody elution (86860) | $104.50 | $209 | 0.6× |
| Rbc antibody identification (86870) | $169 | $338 | 0.5× |
| Rbc antibody screen (86850) | $84.50 | $169 | 8.6× |
| Rbc pretreatment serum (86978) | $102 | $204 | 1.7× |
| Rbc pretx incubatj w/enzymes (86971) | $148 | $296 | 0.8× |
| Renin activity plasma (84244) | $131 | $262 | 6.0× |
| Resp virus 12-25 targets (87633) | $1,225.50 | $2,451 | 2.9× |
| Reticulated Platelet Assay (85055) | $20 | $40 | 0.6× |
| Rh (86901) range across 2 matching MRF lines |
$52–$57.50 | $104–$115 | varies |
| Rheumatoid factor quant (86431) | $51.50 | $103 | 9.1× |
| Rickettsia antibody (86757) | $42 | $84 | 2.2× |
| Ristocetin cofactor (85245) | $202 | $404 | 8.8× |
| Rotavirus ag eia (87425) | $34.50 | $69 | 2.9× |
| Rpr qualitative (86592) | $41 | $82 | 9.6× |
| Rsv Assay W/Optic (87807) | $27 | $54 | 2.1× |
| Rubella Antibody (86762) | $88 | $176 | 6.1× |
| Rubeola antibody (86765) | $83 | $166 | 6.4× |
| Russell Viper Venom Time Diluted (85613) | $87 | $174 | 9.1× |
| Salicylate Level (80179) | $206.50 | $413 | 11.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $88 | $176 | 1.7× |
| Sars-cov-2 COVID-19 antibody (86769) | $48 | $96 | 1.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $187 | $374 | 1.3× |
| Sedimentation Rate, Automated (85652) | $61.50 | $123 | 22.8× |
| Selenium (84255) | $111.50 | $223 | 4.4× |
| Sensitivity mic (87186) | $88.50 | $177 | 10.2× |
| Sex Hormone Binding Globulin (84270) | $156 | $312 | 7.2× |
| Sickling of rbc reduction (85660) | $42 | $84 | 7.6× |
| Sirolimus (80195) | $109 | $218 | 7.9× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$31.50–$53.13 | $63–$106.25 | varies |
| Smear acid fast (87206) | $70.50 | $141 | 13.1× |
| Smear complex stain (87209) | $125.50 | $251 | 7.0× |
| Smear gram stain (87205) | $59 | $118 | 13.8× |
| Smear Special Stain (87207) | $110 | $220 | 18.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $80 | $160 | 13.7× |
| Sodium Serum (84295) | $58 | $116 | 12.1× |
| Sodium Urine (84300) | $54.50 | $109 | 10.8× |
| Soluble Transferrin Receptor (84238) | $30 | $60 | 0.8× |
| Somatomedin (84305) | $167.50 | $335 | 7.9× |
| Somatostatin (84307) | $320 | $640 | 17.5× |
| Special Stains Group 1 (88312) | $86 | $172 | 1.6× |
| Special Stains Group 2 (88313) | $60.50 | $121 | 0.4× |
| Specific gravity body fluid (84315) | $24 | $48 | 7.3× |
| Specimen infect agnt concntj (87015) | $25 | $50 | 3.7× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$41.50–$59.50 | $83–$119 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $136 | $272 | 0.8× |
| Stool cultr aerobic bact ea (87046) | $85.50 | $171 | 9.1× |
| Strep a assay w/optic (87880) | $118 | $236 | 7.1× |
| Strep a DNA amp probe (87651) | $22 | $44 | 0.6× |
| Strep b DNA amp probe (87653) | $67 | $134 | 1.9× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $93 | $186 | 1.0× |
| Sugars Single Qual (84376) | $24 | $48 | 4.4× |
| Sulfate urine (84392) | $8.50 | $17 | 1.5× |
| Surg path level iii (88304) | $52.50 | $105 | 1.0× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$78–$221.50 | $156–$443 | varies |
| Surgical pathology level vi (88309) | $166.50 | $333 | 0.2× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $38.50 | $77 | 8.1× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $53.50 | $107 | 7.2× |
| Syphilis Test Non-Trep Quant (86593) | $25.50 | $51 | 5.8× |
| T cells absolute cd4 count (86361) | $39.50 | $79 | 1.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $144.50 | $289 | 3.1× |
| T cells total count (86359) | $111 | $222 | 2.9× |
| T3 Free (84481) | $272.50 | $545 | 16.1× |
| T3 reverse (84482) | $43 | $86 | 2.7× |
| T3 Total (84480) | $99.50 | $199 | 7.0× |
| T3 Uptake (84479) | $42 | $84 | 6.5× |
| T4 Free (84439) | $73.50 | $147 | 8.1× |
| T4 total (84436) | $32.50 | $65 | 4.7× |
| T4-neonatal (84437) | $20 | $40 | 3.1× |
| Tacrolimus (80197) | $92.50 | $185 | 6.7× |
| Testosterone total (84403) | $146 | $292 | 5.7× |
| Testosterone, Free (84402) | $94.50 | $189 | 3.7× |
| Theophylline (80198) | $65 | $130 | 4.6× |
| Thiocyanate (84430) | $116.50 | $233 | 10.0× |
| Thrombin Time (85670) | $58.50 | $117 | 10.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $69.50 | $139 | 10.7× |
| Thyroglobulin (84432) | $162 | $324 | 10.1× |
| Thyroglobulin Antibody (86800) | $46.50 | $93 | 2.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $219 | $438 | 4.3× |
| Thyroxine binding globulin (84442) | $111.50 | $223 | 7.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $51.50 | $103 | 4.5× |
| Tissue Culture Amniotic Fluid (88235) | $715 | $1,430 | 4.8× |
| Tissue culture bone marrow (88237) | $655 | $1,310 | 4.6× |
| Tissue Culture Lymphocyte (88230) | $339 | $678 | 2.9× |
| Tobramycin peak (80200) | $104 | $208 | 6.4× |
| Topiramate (80201) | $62.50 | $125 | 5.2× |
| Touch prep (88161) range across 2 matching MRF lines |
$50–$60 | $100–$120 | varies |
| Toxoplasma ab igm (86778) | $127 | $254 | 8.8× |
| Toxoplasma antibody (86777) | $127 | $254 | 8.8× |
| Tpmt gene com variants (81335) | $573 | $1,146 | 3.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $49 | $98 | 9.5× |
| Transferrin (84466) | $88 | $176 | 6.9× |
| Trichomonas vagin dir probe (87660) | $146 | $292 | 7.3× |
| Trichomonas Vaginalis Amplif (87661) | $102 | $204 | 2.9× |
| Triglycerides (84478) | $69.50 | $139 | 12.1× |
| Troponin Quant (84484) | $178.50 | $357 | 14.3× |
| Tumor immunohistochem/comput (88361) | $88.50 | $177 | 0.2× |
| Tumor Immunohistochem/Manual (88360) | $152.50 | $305 | 0.9× |
| Urea nitrogen urine (84540) | $42.50 | $85 | 7.6× |
| Uric acid other source (84560) | $25 | $50 | 4.9× |
| Urinalysis Microscopic Only (81015) | $47.50 | $95 | 15.6× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $24 | $48 | 11.1× |
| Urinalysis Volume Measure (81050) | $19.50 | $39 | 5.4× |
| Urine Bacteria Culture (87088) | $55.50 | $111 | 6.9× |
| Urine Pregnancy Test (81025) | $73 | $146 | 8.5× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$67–$70.50 | $134–$141 | varies |
| Valproic acid (80164) | $144.50 | $289 | 10.7× |
| Vancomycin (80202) | $184.50 | $369 | 13.6× |
| Varicella-zoster antibody (86787) | $74 | $148 | 5.7× |
| Very Long Chain Fatty Acids (82726) | $42.50 | $85 | 2.2× |
| Viral Culture (87252) | $191.50 | $383 | 7.3× |
| Virus antibody nos (86790) | $49.50 | $99 | 3.8× |
| Virus inoculation, shell via (87254) | $6.50 | $13 | 0.3× |
| Viscosity serum (85810) | $16.50 | $33 | 1.4× |
| Vit D 1 25-Dihydroxy (82652) | $294.50 | $589 | 7.6× |
| Vitamin A (84590) | $91.50 | $183 | 7.9× |
| Vitamin b-12 (82607) | $122 | $244 | 8.1× |
| Vitamin B6 (84207) | $199 | $398 | 7.1× |
| Vitamin c (82180) | $26 | $52 | 2.6× |
| Vitamin D 25-Hydroxy (82306) | $267.50 | $535 | 9.0× |
| Vitamin E (84446) | $129 | $258 | 9.1× |
| Vitamin K (84597) | $70.50 | $141 | 5.1× |
| Volatiles (84600) | $34.50 | $69 | 2.0× |
| Von willebrand factor ag (85246) | $103 | $206 | 4.5× |
| Wbc Alkaline Phosphatase Count (85540) | $117 | $234 | 13.6× |
| West nile virus ab igm (86788) | $46 | $92 | 2.7× |
| West Nile Virus Antibody (86789) | $42 | $84 | 2.9× |
| Western Blot Test (84181) | $98 | $196 | 5.8× |
| Zinc (84630) | $35.50 | $71 | 3.1× |
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.