Lab & pathology prices at CHI Health St. Mary's
Nebraska City, NE · every code in this section with a posted price and a Medicare benchmark.
626 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $64.74 | $78 | 5.8× |
| Acetylcholine receptor binding antibody (86041) | $175.96 | $212 | 9.6× |
| Acetylcholine receptor blocking antibody (86042) | $175.96 | $212 | 9.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $175.96 | $212 | 14.6× |
| Acth (82024) range across 2 matching MRF lines |
$29.05–$107.90 | $35–$130 | varies |
| Actin smooth muscle antibody each (86015) | $147.74 | $178 | 12.3× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$112.88–$305.44 | $136–$368 | varies |
| Albumin Fluid (82042) | $19.92 | $24 | 2.6× |
| Albumin serum (82040) range across 2 matching MRF lines |
$14.11–$23.24 | $17–$28 | varies |
| Aldolase (82085) | $17.43 | $21 | 1.8× |
| Aldosterone urine (82088) | $48.14 | $58 | 1.2× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$41.50–$107.07 | $50–$129 | varies |
| Allergen specific ige (86003) | $50.63 | $61 | 9.7× |
| Allergen specific igg (86001) | $14.11 | $17 | 1.8× |
| Alpha-1-antitrypsin phenotype (82104) | $15.77 | $19 | 1.1× |
| Alpha-1-antitrypsin total (82103) | $15.77 | $19 | 1.2× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $9.13 | $11 | 0.5× |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$46.48–$67.23 | $56–$81 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$14.94–$47.31 | $18–$57 | varies |
| Amikacin trough (80150) | $146.91 | $177 | 9.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $9.13 | $11 | 0.4× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$15.77–$80.51 | $19–$97 | varies |
| Aminolevulinic acid (ala) (82135) | $34.86 | $42 | 2.1× |
| Ammonia (82140) | $23.24 | $28 | 1.6× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $202.52 | $244 | 2.1× |
| Amylase urine (82150) range across 3 matching MRF lines |
$19.09–$58.10 | $23–$70 | varies |
| Ana Titer (86039) | $52.29 | $63 | 4.7× |
| Anca screen each antibody (86036) | $110.39 | $133 | 9.2× |
| Anca Titer Each Antibody (86037) | $147.74 | $178 | 12.3× |
| Androstenedione (82157) | $17.43 | $21 | 0.6× |
| Angiotensin converting enzyme csf (82164) | $18.26 | $22 | 1.3× |
| Antibody aspergillus (86606) | $59.76 | $72 | 4.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$19.09–$119.52 | $23–$144 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $141.93 | $171 | 8.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $97.11 | $117 | 7.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $97.11 | $117 | 6.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $93.79 | $113 | 5.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $43.99 | $53 | 3.6× |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$39.84–$128.65 | $48–$155 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$39.01–$40.67 | $47–$49 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $110.39 | $133 | 8.4× |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$19.09–$85.49 | $23–$103 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $187.58 | $226 | 9.7× |
| Antibody Identification Platelet Immunogl Assay (86023) | $78.02 | $94 | 6.3× |
| Antibody Titer (86886) range across 2 matching MRF lines |
$98.77–$268.92 | $119–$324 | varies |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$14.94–$140.27 | $18–$169 | varies |
| Antibody; influenza virus (86710) | $120.35 | $145 | 8.9× |
| Antigen typing (86905) | $48.97 | $59 | 12.8× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $78.85 | $95 | 13.8× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$32.37–$102.09 | $39–$123 | varies |
| Antistreptolysin o titer (86060) | $145.25 | $175 | 19.9× |
| Antithrombin iii activity (85300) | $161.85 | $195 | 13.7× |
| Antithrombin iii antigen (85301) | $141.93 | $171 | 13.1× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$29.05–$43.16 | $35–$52 | varies |
| Aquaporin-4 Antb Elisa (86051) | $156.04 | $188 | 13.5× |
| Arsenic (82175) | $32.37 | $39 | 1.7× |
| Aspergillus ag eia (87305) | $425.79 | $513 | 35.5× |
| Assay activated protein c (85307) | $174.30 | $210 | 11.4× |
| Assay Blood Carbon Dioxide (82374) | $18.26 | $22 | 3.7× |
| Assay Blood Catecholamines (82383) | $40.67 | $49 | 1.4× |
| Assay Nephelometry Not Spec (83883) | $146.08 | $176 | 10.7× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$24.90–$67.23 | $30–$81 | varies |
| Assay of anti-mullerian hormone (82166) | $182.60 | $220 | 4.7× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$13.28–$51.46 | $16–$62 | varies |
| Assay of calcium in urine (82340) | $22.41 | $27 | 3.7× |
| Assay of cpk in blood (82552) | $36.52 | $44 | 2.7× |
| Assay of g6pd enzyme (82955) | $29.88 | $36 | 3.1× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$26.56–$200.86 | $32–$242 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$24.07–$120.35 | $29–$145 | varies |
| Assay of manganese (83785) | $49.80 | $60 | 1.9× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$18.26–$92.96 | $22–$112 | varies |
| Assay of proinsulin (84206) | $63.08 | $76 | 2.4× |
| Assay of pyruvate (84210) | $151.06 | $182 | 10.4× |
| Assay of serotonin (84260) | $78.02 | $94 | 2.5× |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
$13.28–$97.11 | $16–$117 | varies |
| Assay of sweat sodium (84302) | $53.95 | $65 | 11.1× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$9.96–$57.27 | $12–$69 | varies |
| Assay of urine vma (84585) | $206.67 | $249 | 13.3× |
| Assay of vasoactive intestinal peptide (84586) | $122.01 | $147 | 3.5× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$45.65–$194.22 | $55–$234 | varies |
| Assay Ph Body Fluid Nos (83986) | $35.69 | $43 | 10.0× |
| Assay spec xcp ur&breath ia (82077) | $103.75 | $125 | 6.0× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$6.64–$50.63 | $8–$61 | varies |
| B cells total count (86355) | $16.60 | $20 | 0.4× |
| Bartonella antibody (86611) | $93.79 | $113 | 9.2× |
| Beta 2 glycoprotein i antibody each (86146) | $53.12 | $64 | 2.1× |
| Beta hydroxybutyrate (82010) | $56.44 | $68 | 6.9× |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$12.45–$70.55 | $15–$85 | varies |
| Beta-2 Microglobulin (82232) | $49.80 | $60 | 3.1× |
| Bile acids total (82239) | $27.39 | $33 | 1.6× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$5.81–$14.11 | $7–$17 | varies |
| Bilirubin total (82247) | $5.81 | $7 | 1.2× |
| Bilirubin total transcutaneous (88720) | $60.59 | $73 | 12.1× |
| Biotinidase (82261) | $6.64 | $8 | 0.4× |
| Bl Smear W/O Diff Wbc Count (85008) | $29.05 | $35 | 8.5× |
| Blastomyces antibody (86612) | $78.02 | $94 | 6.0× |
| Bld Typing Serologic Rh Phnt (86906) | $109.56 | $132 | 14.1× |
| Bleeding time test (85002) | $131.14 | $158 | 27.2× |
| Blood Count Automated Differential Wbc Count (85004) | $83.83 | $101 | 13.0× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $40.67 | $49 | 8.0× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$9.96–$10.79 | $12–$13 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $55.61 | $67 | 14.6× |
| Blood gas (82803) | $38.18 | $46 | 1.5× |
| Blood gases w/02 saturation (82805) | $43.16 | $52 | 0.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$44.82–$64.74 | $54–$78 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$6.64–$24.90 | $8–$30 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $83 | $100 | 13.1× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $39.84 | $48 | 2.4× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$7.47–$73.04 | $9–$88 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$9.13–$59.76 | $11–$72 | varies |
| Bordetella antibody (86615) | $157.70 | $190 | 12.0× |
| Braf gene analysis (81210) | $661.51 | $797 | 3.8× |
| Brucella antibody (86622) | $56.44 | $68 | 6.3× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$84.66–$92.96 | $102–$112 | varies |
| C-Peptide (84681) | $190.07 | $229 | 9.1× |
| C-reactive protein (86140) range across 3 matching MRF lines |
$14.11–$89.64 | $17–$108 | varies |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$55.61–$135.29 | $67–$163 | varies |
| Calcitonin (82308) | $45.65 | $55 | 1.7× |
| Calcium ionized (82330) range across 3 matching MRF lines |
$13.28–$32.37 | $16–$39 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$14.11–$19.09 | $17–$23 | varies |
| Calculus Spectroscopy (82365) | $97.94 | $118 | 7.6× |
| Calprotectin Fecal (83993) | $401.72 | $484 | 20.5× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$55.61–$138.61 | $67–$167 | varies |
| Cancer Antigen 27.29 (86300) range across 3 matching MRF lines |
$55.61–$141.93 | $67–$171 | varies |
| Candida Dna Dir Probe (87480) range across 2 matching MRF lines |
$34.86–$53.95 | $42–$65 | varies |
| Carbamazepine free (80157) | $146.08 | $176 | 11.0× |
| Carbamazepine total (80156) | $150.23 | $181 | 10.3× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$45.65–$170.98 | $55–$206 | varies |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$48.97–$52.29 | $59–$63 | varies |
| Cardiolipin ab iga (86147) | $73.04 | $88 | 2.9× |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$33.20–$35.69 | $40–$43 | varies |
| Carotene (82380) | $18.26 | $22 | 2.0× |
| Catecholamines fractionated (82384) | $7.47 | $9 | 0.3× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$34.86–$134.46 | $42–$162 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$14.11–$143.59 | $17–$173 | varies |
| Cell marker study (88182) | $170.98 | $206 | 3.2× |
| Ceruloplasmin (82390) | $7.47 | $9 | 0.7× |
| Cftr gene com variants (81220) | $48.97 | $59 | 0.1× |
| Chemiluminescent assay (82397) | $31.54 | $38 | 2.2× |
| Chlamydia antibody (86631) | $53.12 | $64 | 4.5× |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$15.77–$53.12 | $19–$64 | varies |
| Chloride other source (82438) | $26.56 | $32 | 5.3× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$28.22–$29.88 | $34–$36 | varies |
| Chloride urine (82436) | $26.56 | $32 | 4.6× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$12.45–$22.41 | $15–$27 | varies |
| Cholinesterase rbc (82482) | $17.43 | $21 | 1.8× |
| Cholinesterase Serum (82480) | $26.56 | $32 | 3.4× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$42.33–$154.38 | $51–$186 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $156.04 | $188 | 4.7× |
| Chromium serum (82495) | $28.22 | $34 | 1.4× |
| Chromogranin a (86316) | $135.29 | $163 | 6.5× |
| Chromosome Analysis 15-20 (88262) | $989.36 | $1,192 | 7.9× |
| Chromosome Analysis 20-25 (88264) | $746.17 | $899 | 5.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $147.74 | $178 | 4.2× |
| Citric acid urine (82507) | $23.24 | $28 | 0.8× |
| Ckmb (82553) range across 2 matching MRF lines |
$31.54–$64.74 | $38–$78 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$31.54–$105.41 | $38–$127 | varies |
| Clot Factor VIII Multimetric (85247) | $27.39 | $33 | 1.2× |
| Cns DNA amp probe type 12-25 (87483) | $1,357.05 | $1,635 | 3.3× |
| Coagulation time activated (85347) | $62.25 | $75 | 14.5× |
| Coccidioides antibody (86635) | $52.29 | $63 | 4.6× |
| Cold agglutinin titer (86157) | $63.08 | $76 | 7.8× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$28.22–$51.46 | $34–$62 | varies |
| Column Chromotography Quant (82542) | $35.69 | $43 | 1.5× |
| Compatibility test antiglob (86922) | $453.18 | $546 | 2.6× |
| Complement Antigen Each Component (86160) | $96.28 | $116 | 8.0× |
| Complement Total (Ch50) (86162) | $164.34 | $198 | 8.1× |
| Complement/Function Activity (86161) | $90.47 | $109 | 7.5× |
| Coombs direct (86880) range across 2 matching MRF lines |
$46.48–$81.34 | $56–$98 | varies |
| Copper urine (82525) | $14.11 | $17 | 1.1× |
| Cortisol free (82530) | $36.52 | $44 | 2.2× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$39.01–$39.84 | $47–$48 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$19.09–$39.84 | $23–$48 | varies |
| Creatinine blood (82565) range across 3 matching MRF lines |
$14.11–$58.93 | $17–$71 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$26.56–$36.52 | $32–$44 | varies |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$14.94–$66.40 | $18–$80 | varies |
| Crossmatch electronic (86923) | $244.85 | $295 | 1.4× |
| Crossmatch immediate spin (86920) | $204.18 | $246 | 1.2× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$34.86–$105.41 | $42–$127 | varies |
| Cryoglobulin (82595) | $36.52 | $44 | 5.6× |
| Cryptococcal Antigen (87327) | $207.50 | $250 | 15.5× |
| Cryptococcus ag titer (87899) | $93.79 | $113 | 5.8× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$31.54–$147.74 | $38–$178 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$22.41–$107.07 | $27–$129 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$22.41–$151.89 | $27–$183 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $101.26 | $122 | 13.1× |
| Culture afb (87116) | $211.65 | $255 | 19.6× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$25.73–$113.71 | $31–$137 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$27.39–$241.53 | $33–$291 | varies |
| Culture chlamydia (87110) | $190.07 | $229 | 9.7× |
| Culture csf (87070) range across 2 matching MRF lines |
$24.07–$111.22 | $29–$134 | varies |
| Culture fungus (87102) | $216.63 | $261 | 25.8× |
| Culture fungus blood (87103) | $90.47 | $109 | 4.4× |
| Culture screen only (87081) range across 2 matching MRF lines |
$19.09–$80.51 | $23–$97 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$25.73–$104.58 | $31–$126 | varies |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$14.94–$44.82 | $18–$54 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$14.11–$72.21 | $17–$87 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$22.41–$102.09 | $27–$123 | varies |
| Cyclosporine (80158) | $276.39 | $333 | 15.3× |
| Cystatin C (82610) | $72.21 | $87 | 3.9× |
| Cytogenetics 100-300 (88275) | $339.47 | $409 | 6.6× |
| Cytomegalovirus igg (86644) | $141.93 | $171 | 9.9× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $41.50 | $50 | 2.0× |
| Cytopath Cell Enhance Tech (88112) | $43.16 | $52 | 0.8× |
| Cytopath Fl Nongyn Filter (88106) | $48.97 | $59 | 1.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$58.93–$136.12 | $71–$164 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $48.97 | $59 | 1.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $69.72 | $84 | 1.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $35.69 | $43 | 0.9× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $28.22 | $34 | 1.5× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $29.88 | $36 | 1.0× |
| Deoxycortisol (82634) | $23.24 | $28 | 0.8× |
| Deoxyribonuclease antibody (86215) | $34.86 | $42 | 2.6× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$80.51–$265.60 | $97–$320 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$235.72–$386.78 | $284–$466 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$185.09–$476.42 | $223–$574 | varies |
| Dgp Antibody Each Ig Class (86258) | $162.68 | $196 | 13.5× |
| Dhea (82626) | $9.96 | $12 | 0.4× |
| Dhea-S (82627) | $16.60 | $20 | 0.7× |
| Digoxin (80162) range across 2 matching MRF lines |
$38.18–$120.35 | $46–$145 | varies |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$37.35–$87.15 | $45–$105 | varies |
| Dna Antibody Single Stranded (86226) | $107.07 | $129 | 8.8× |
| Dna/Rna Amplified Probe (87150) | $134.46 | $162 | 3.8× |
| DNA/RNA direct probe (87149) | $141.93 | $171 | 7.1× |
| Drug assay acetaminophen (80143) | $103.75 | $125 | 5.6× |
| Drug Assay Everolimus (80169) | $159.36 | $192 | 11.6× |
| Drug Assay Lacosamide (80235) | $366.03 | $441 | 13.5× |
| Drug assay voriconazole (80285) | $189.24 | $228 | 7.0× |
| Drug Screen Quant Clozapine (80159) | $55.61 | $67 | 2.8× |
| Drug Screen Quant Zonisamide (80203) | $214.97 | $259 | 16.2× |
| Drug Screen Quantitative Gabapentin (80171) | $57.27 | $69 | 2.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $214.97 | $259 | 16.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $170.15 | $205 | 12.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $214.97 | $259 | 16.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 8 matching MRF lines |
$33.20–$588.47 | $40–$709 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $170.15 | $205 | 13.5× |
| Drug Test Prsmv Instrmnt (80306) | $33.20 | $40 | 1.9× |
| Ehrlichia antibody (86666) | $73.04 | $88 | 7.2× |
| El-1 Fecal Quantitative (82653) | $258.96 | $312 | 11.3× |
| Electrolyte panel (80051) range across 3 matching MRF lines |
$20.75–$90.47 | $25–$109 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $36.52 | $44 | 0.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $168.49 | $203 | 13.9× |
| Enterovirus PCR (87498) | $190.07 | $229 | 5.4× |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$73.04–$200.86 | $88–$242 | varies |
| Eosinophil Smear (89190) | $43.99 | $53 | 7.6× |
| Erythropoietin (82668) | $37.35 | $45 | 2.0× |
| Estradiol serum (82670) | $34.03 | $41 | 1.2× |
| Estriol (82677) range across 2 matching MRF lines |
$53.12–$67.23 | $64–$81 | varies |
| Estrogens fractionated (82671) | $57.27 | $69 | 1.8× |
| Ethosuximide (80168) | $77.19 | $93 | 4.7× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$19.92–$78.02 | $24–$94 | varies |
| F2 Gene (81240) | $81.34 | $98 | 1.2× |
| Factor ii activity (85210) | $217.46 | $262 | 16.8× |
| Factor Inhibitor Test (85335) | $69.72 | $84 | 5.4× |
| Factor ix activity (85250) | $145.25 | $175 | 7.6× |
| Factor v activity (85220) | $315.40 | $380 | 17.9× |
| Factor v leiden mutation (81241) | $46.48 | $56 | 0.6× |
| Factor vii assay (85230) | $103.75 | $125 | 5.8× |
| Factor viii assay (85240) | $244.02 | $294 | 13.6× |
| Factor X (85260) | $255.64 | $308 | 14.3× |
| Fat stain feces urine/respir secretions (89125) | $28.22 | $34 | 4.8× |
| Fat/Lipids Feces Quantitative (82710) | $6.64 | $8 | 0.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $57.27 | $69 | 3.3× |
| Fecal Fat Qualitative (82705) | $107.07 | $129 | 21.0× |
| Ferritin (82728) range across 2 matching MRF lines |
$16.60–$39.01 | $20–$47 | varies |
| Fetal Fibronectin (82731) | $348.60 | $420 | 5.4× |
| Fetal screen rosette (85461) | $73.04 | $88 | 7.8× |
| Fibrin degradation products (85362) | $84.66 | $102 | 12.3× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$19.92–$157.70 | $24–$190 | varies |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $19.92 | $24 | 2.0× |
| Fibrinogen activity (85384) | $107.07 | $129 | 11.0× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$9.96–$146.08 | $12–$176 | varies |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$31.54–$122.01 | $38–$147 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $73.87 | $89 | 6.1× |
| Folic acid rbc (82747) | $44.82 | $54 | 2.5× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$41.50–$73.04 | $50–$88 | varies |
| Follicle Stimulating Hormone (83001) | $83 | $100 | 4.5× |
| Francisella tularensis (86668) | $80.51 | $97 | 5.7× |
| Frozen Section (88331) | $34.86 | $42 | 0.2× |
| Fungi Identification Mold (87107) | $29.05 | $35 | 2.8× |
| Fungi Identification Yeast (87106) | $132.80 | $160 | 12.9× |
| Galactose (82760) | $19.09 | $23 | 1.7× |
| Galactose transferase test (82776) | $58.93 | $71 | 5.0× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $131.14 | $158 | 6.2× |
| Gammaglobulin ige (82785) | $131.14 | $158 | 8.0× |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
$34.86–$53.95 | $42–$65 | varies |
| Gases blood ph only (82800) range across 2 matching MRF lines |
$49.80–$106.24 | $60–$128 | varies |
| Gastrin (82941) | $130.31 | $157 | 7.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,049.12 | $1,264 | 2.5× |
| Gentamicin (80170) | $185.92 | $224 | 11.4× |
| Ggt (82977) range across 2 matching MRF lines |
$20.75–$40.67 | $25–$49 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$31.54–$97.94 | $38–$118 | varies |
| Glucose 2 hr pp (82950) | $24.90 | $30 | 5.2× |
| Glucose Blood Test (82962) range across 5 matching MRF lines |
$5.81–$114.54 | $7–$138 | varies |
| Glucose body fluid (82945) | $42.33 | $51 | 10.8× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$25.73–$43.16 | $31–$52 | varies |
| Glucose tolerance test (gtt) (82951) range across 3 matching MRF lines |
$19.09–$37.35 | $23–$45 | varies |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$21.58–$151.89 | $26–$183 | varies |
| Growth hormone (83003) | $72.21 | $87 | 4.3× |
| Gtt-added samples (82952) | $38.18 | $46 | 9.7× |
| Haptoglobin (83010) | $104.58 | $126 | 8.3× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$22.41–$120.35 | $27–$145 | varies |
| Helicobacter Pylori Stool (87338) range across 3 matching MRF lines |
$29.88–$211.65 | $36–$255 | varies |
| Helminth Antibody (86682) | $63.08 | $76 | 4.8× |
| Hematocrit (85014) range across 3 matching MRF lines |
$5.81–$47.31 | $7–$57 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$5.81–$35.69 | $7–$43 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$27.39–$99.60 | $33–$120 | varies |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$48.14–$75.53 | $58–$91 | varies |
| Hemoglobin electrophoresis (83020) | $80.51 | $97 | 6.3× |
| Hemoglobin F Fetal Chemical (83030) | $34.86 | $42 | 3.2× |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$58.10–$90.47 | $70–$109 | varies |
| Hemoglobin plasma (83051) | $49.80 | $60 | 6.8× |
| Hemolysin Acid (85475) | $90.47 | $109 | 10.2× |
| Hemosiderin urine (83070) | $62.25 | $75 | 13.1× |
| Hep a ab igm (86709) | $124.50 | $150 | 11.1× |
| Heparin assay (85520) | $193.39 | $233 | 14.8× |
| Hepatitis a antibody total (86708) | $156.87 | $189 | 12.7× |
| Hepatitis b core ab igm (86705) | $141.93 | $171 | 12.1× |
| Hepatitis b core ab total (86704) | $112.05 | $135 | 9.3× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$29.05–$119.52 | $35–$144 | varies |
| Hepatitis B Surface Antigen (87340) | $68.89 | $83 | 6.7× |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$30.71–$155.21 | $37–$187 | varies |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$30.71–$168.49 | $37–$203 | varies |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$39.01–$118.69 | $47–$143 | varies |
| Hepatitis c antibody confirmatory test (86804) | $265.60 | $320 | 17.1× |
| Hepatitis C Genotype (87902) | $668.15 | $805 | 2.6× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $119.52 | $144 | 3.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$113.71–$156.04 | $137–$188 | varies |
| Herpes simplex type 2 (86696) | $107.07 | $129 | 5.5× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$14.11–$73.87 | $17–$89 | varies |
| Hfe Gene (81256) | $48.14 | $58 | 0.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $148.57 | $179 | 19.2× |
| Histamine urine (83088) | $77.19 | $93 | 2.6× |
| Histoplasma antibody (86698) | $52.29 | $63 | 3.8× |
| Histoplasma antigen urine (87385) | $277.22 | $334 | 20.9× |
| Hiv Antigen W/Hiv Antibodies (87806) range across 2 matching MRF lines |
$63.91–$227.42 | $77–$274 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$63.91–$170.15 | $77–$205 | varies |
| Hiv-1 Antibody (86701) | $106.24 | $128 | 12.0× |
| HIV-1 p24 antigen (87390) | $204.18 | $246 | 8.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $1,321.36 | $1,592 | 15.5× |
| Hla Typing a/B/C Multiple Antigens (86813) | $329.51 | $397 | 5.7× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $305.44 | $368 | 2.9× |
| Hla-b27 (86812) | $96.28 | $116 | 3.7× |
| Homocysteine (83090) range across 2 matching MRF lines |
$46.48–$62.25 | $56–$75 | varies |
| Homogenization Tissue (87176) | $68.89 | $83 | 11.7× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$60.59–$92.96 | $73–$112 | varies |
| Hpv Types 16 & 18 Only (87625) | $60.59 | $73 | 1.5× |
| Hsv Dna Amp Probe (87529) | $299.63 | $361 | 8.5× |
| Htlv-I Antibody (86687) | $97.94 | $118 | 10.8× |
| Htlv-ii antibody (86688) | $97.94 | $118 | 7.0× |
| Hydroxyprogesterone 17-d (83498) | $67.23 | $81 | 2.5× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $65.57 | $79 | 5.5× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $64.74 | $78 | 6.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) range across 2 matching MRF lines |
$31.54–$80.51 | $38–$97 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$65.57–$92.96 | $79–$112 | varies |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$48.14–$61.42 | $58–$74 | varies |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $86.32 | $104 | 7.2× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $80.51 | $97 | 2.3× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $405.87 | $489 | 11.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $136.12 | $164 | 3.9× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $53.95 | $65 | 2.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $222.44 | $268 | 6.3× |
| Iadna Cytomegalovirus Quantification (87497) | $207.50 | $250 | 4.8× |
| Iadna Hepatitis B Virus Quantification (87517) | $287.18 | $346 | 6.7× |
| Iadna Herpes Virus-6 Quantification (87533) | $249 | $300 | 6.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $493.02 | $594 | 11.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $244.85 | $295 | 7.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $147.74 | $178 | 4.2× |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $53.95 | $65 | 1.8× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $479.74 | $578 | 3.4× |
| Ig Light Chains Free Each (83521) | $187.58 | $226 | 10.9× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$23.24–$78.85 | $28–$95 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $121.18 | $146 | 0.3× |
| Immunfix e-phorsis/urine/csf (86335) | $134.46 | $162 | 4.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $55.61 | $67 | 3.0× |
| Immunoassay infectious agent (86318) | $34.86 | $42 | 1.9× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $52.29 | $63 | 3.5× |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$81.34–$1,218.44 | $98–$1,468 | varies |
| Immunodiffusion Ouchterlony (86331) | $18.26 | $22 | 1.5× |
| Immunofixation electrophoresis (86334) | $204.18 | $246 | 9.1× |
| Immunohistochemistry (88342) | $164.34 | $198 | 0.9× |
| In situ hybridization 1st probe stain (88365) | $528.71 | $637 | 3.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $351.92 | $424 | 5.0× |
| Influenza a/b ag eia (87400) | $31.54 | $38 | 2.2× |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$31.54–$84.66 | $38–$102 | varies |
| Inhibin A (86336) | $97.11 | $117 | 6.2× |
| Inhibin b (83520) range across 4 matching MRF lines |
$37.35–$176.79 | $45–$213 | varies |
| Insitu hybridization manual (88368) | $668.98 | $806 | 1.8× |
| Insulin antibodies (86337) | $553.61 | $667 | 25.9× |
| Insulin free (83527) | $127.82 | $154 | 9.9× |
| Insulin total (83525) | $82.17 | $99 | 7.2× |
| Intrinsic factor antibody (86340) | $73.04 | $88 | 4.8× |
| Iron (83540) range across 2 matching MRF lines |
$19.09–$79.68 | $23–$96 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$24.90–$63.91 | $30–$77 | varies |
| Islet cell antibody (86341) | $541.16 | $652 | 23.0× |
| Jak2 gene analysis p.val617phe variant (81270) | $27.39 | $33 | 0.3× |
| Ketosteroids 17 total (83586) | $67.23 | $81 | 5.3× |
| Koh Prep (87220) | $84.66 | $102 | 19.8× |
| L/s ratio (83661) | $87.15 | $105 | 4.0× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$17.43–$61.42 | $21–$74 | varies |
| Lactoferrin fecal qualitative (83630) | $86.32 | $104 | 4.4× |
| Ldh Isoenzymes (83625) | $58.93 | $71 | 4.6× |
| LDL direct (83721) range across 2 matching MRF lines |
$25.73–$57.27 | $31–$69 | varies |
| Lead (83655) range across 2 matching MRF lines |
$32.37–$55.61 | $39–$67 | varies |
| Legionella antibody (86713) | $78.85 | $95 | 5.2× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$31.54–$576.85 | $38–$695 | varies |
| Leptospira antibody (86720) | $73.04 | $88 | 4.5× |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$11.62–$53.12 | $14–$64 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $33.20 | $40 | 1.1× |
| Level ii surg pathology grossµscopic exam (88302) | $52.29 | $63 | 1.3× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $148.57 | $179 | 0.4× |
| Lipase (83690) range across 2 matching MRF lines |
$19.92–$86.32 | $24–$104 | varies |
| Lipoprotein A (83695) | $96.28 | $116 | 6.7× |
| Lithium (80178) range across 2 matching MRF lines |
$19.92–$117.86 | $24–$142 | varies |
| Luteinizing Hormone (Lh) (83002) | $77.19 | $93 | 4.2× |
| Lyme disease antibody (86618) | $128.65 | $155 | 7.6× |
| M. Genitalium Amp Probe (87563) | $163.51 | $197 | 4.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$308.76–$746.17 | $372–$899 | varies |
| M/phmtrc alys ishquant/semiq (88374) | $746.17 | $899 | 4.2× |
| Macroscopic Exam Parasite (87169) | $28.22 | $34 | 6.5× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$19.92–$126.99 | $24–$153 | varies |
| Mass Spectrometry Quant (83789) | $63.91 | $77 | 2.7× |
| Mercury urine (83825) | $19.09 | $23 | 1.2× |
| Methylmalonic acid serum (83921) | $211.65 | $255 | 10.0× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$15.77–$24.90 | $19–$30 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$39.84–$109.56 | $48–$132 | varies |
| Mitochondrial Antibody Each (86381) | $153.55 | $185 | 6.0× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $710.48 | $856 | 18.8× |
| Molecular Cytogenetics Dna Probe Each (88271) | $172.64 | $208 | 8.1× |
| Mononuclear cell antigen (86356) | $126.99 | $153 | 4.7× |
| Mopath procedure level 2 (81401) | $5.81 | $7 | 0.0× |
| Mopath procedure level 4 (81403) | $24.07 | $29 | 0.1× |
| Mrsa Pcr (87641) | $151.89 | $183 | 4.3× |
| Mthfr Gene Analysis Common Variants (81291) | $43.16 | $52 | 0.7× |
| Mucin Clot Body Fluid (83872) | $56.44 | $68 | 9.6× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$15.77–$131.14 | $19–$158 | varies |
| Muscle-Specific Kinase Antb (86366) | $182.60 | $220 | 9.9× |
| Mycophenolic Acid (80180) | $91.30 | $110 | 5.1× |
| Mycoplasma antibody (86738) | $123.67 | $149 | 9.3× |
| Myelin basic protein csf (83873) | $80.51 | $97 | 4.7× |
| Myoglobin urine (83874) | $156.04 | $188 | 12.1× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$93.79–$238.21 | $113–$287 | varies |
| Neisseria Dir Na Probe (87590) | $53.95 | $65 | 2.0× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $460.65 | $555 | 1.8× |
| Niacin (84591) range across 2 matching MRF lines |
$30.71–$55.61 | $37–$67 | varies |
| Nk cells total count (86357) | $9.96 | $12 | 0.3× |
| Nuclear antigen antibody (86235) | $86.32 | $104 | 4.8× |
| Obstetric panel (80081) | $288.01 | $347 | 3.8× |
| Occult blood feces (82272) range across 3 matching MRF lines |
$6.64–$40.67 | $8–$49 | varies |
| Occult Blood Other Sources (82271) range across 3 matching MRF lines |
$6.64–$37.35 | $8–$45 | varies |
| Oligoclonal bands (83916) | $176.79 | $213 | 6.5× |
| Organic acids urine (83918) | $213.31 | $257 | 9.0× |
| Osmolality serum (83930) | $132.80 | $160 | 20.1× |
| Osmolality Urine (83935) | $119.52 | $144 | 17.5× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$24.07–$94.62 | $29–$114 | varies |
| Oxalate urine (83945) | $173.47 | $209 | 12.0× |
| Pancreatic Elastase Fecal (82656) | $261.45 | $315 | 22.7× |
| Parvovirus antibody (86747) | $163.51 | $197 | 10.9× |
| Ph urine (81003) range across 3 matching MRF lines |
$5.81–$42.33 | $7–$51 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$31.54–$43.99 | $38–$53 | varies |
| Phenylalanine (84030) | $59.76 | $72 | 10.9× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$38.18–$46.48 | $46–$56 | varies |
| Phenytoin free (80186) | $8.30 | $10 | 0.6× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$14.94–$53.12 | $18–$64 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $22.41 | $27 | 1.2× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$13.28–$54.78 | $16–$66 | varies |
| Phosphorus urine (84105) | $63.08 | $76 | 10.9× |
| Pinworm exam (87172) | $64.74 | $78 | 15.2× |
| Platelet Antibodies (86022) | $335.32 | $404 | 18.3× |
| Platelet count automated (85049) | $55.61 | $67 | 12.4× |
| Platelet neutralization (85597) | $22.41 | $27 | 1.2× |
| Pooling blood platelets (86965) | $45.65 | $55 | 0.3× |
| Porphobilinogen, urine; quantitative (84110) | $134.46 | $162 | 15.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $180.11 | $217 | 12.2× |
| Potassium Urine (84133) | $54.78 | $66 | 11.6× |
| Prealbumin (84134) range across 2 matching MRF lines |
$39.84–$80.51 | $48–$97 | varies |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $135.29 | $163 | 0.8× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $80.51 | $97 | 1.3× |
| Pretx serum rbc antibody identification dilution (86976) | $33.20 | $40 | 1.1× |
| Primidone (80188) | $6.64 | $8 | 0.4× |
| Procalcitonin (Pct) (84145) | $236.55 | $285 | 8.7× |
| Progesterone (84144) | $141.10 | $170 | 6.8× |
| Prolactin (84146) range across 2 matching MRF lines |
$53.95–$167.66 | $65–$202 | varies |
| Protein body fluid (84157) | $58.93 | $71 | 14.7× |
| Protein C Activity (85303) | $214.97 | $259 | 15.5× |
| Protein c antigen (85302) | $147.74 | $178 | 12.3× |
| Protein Electrophoresis Urine (84166) | $133.63 | $161 | 7.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$29.88–$107.90 | $36–$130 | varies |
| Protein S Free (85306) | $261.45 | $315 | 17.1× |
| Protein s total (85305) | $388.44 | $468 | 33.5× |
| Protein total serum (84155) range across 2 matching MRF lines |
$9.13–$54.78 | $11–$66 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$9.13–$83.83 | $11–$101 | varies |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$84.66–$120.35 | $102–$145 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $49.80 | $60 | 12.6× |
| PSA free (84154) range across 2 matching MRF lines |
$50.63–$175.96 | $61–$212 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$113.71–$244.02 | $137–$294 | varies |
| Q Fever Antibody (86638) | $36.52 | $44 | 3.0× |
| Quantiferon tb gold plus (86480) | $180.94 | $218 | 2.9× |
| Quantitative assay drug (80299) range across 5 matching MRF lines |
$6.64–$366.03 | $8–$441 | varies |
| Quantitative Screen Metals (83018) | $73.04 | $88 | 3.3× |
| Quinidine (80194) | $5.81 | $7 | 0.4× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$57.27–$127.82 | $69–$154 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$102.92–$161.02 | $124–$194 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$57.27–$97.94 | $69–$118 | varies |
| Rbc pretreatment serum (86978) | $146.08 | $176 | 2.4× |
| Rbc pretx incubatj w/enzymes (86971) | $50.63 | $61 | 0.3× |
| Rbc serum pretx incubj drugs (86975) | $275.56 | $332 | 0.6× |
| Receptor assay estrogen (84233) | $170.98 | $206 | 1.9× |
| Receptor assay progesterone (84234) | $139.44 | $168 | 2.1× |
| Renin activity plasma (84244) | $201.69 | $243 | 9.2× |
| Reticulocyte Count Manual (85044) | $44.82 | $54 | 10.4× |
| Reticulocyte separation (86972) | $71.38 | $86 | 0.4× |
| Rh (86901) range across 3 matching MRF lines |
$7.47–$68.89 | $9–$83 | varies |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$14.94–$63.08 | $18–$76 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$14.94–$60.59 | $18–$73 | varies |
| Rickettsia antibody (86757) | $117.03 | $141 | 6.0× |
| Ristocetin cofactor (85245) | $328.68 | $396 | 14.3× |
| Rotavirus ag eia (87425) | $172.64 | $208 | 14.4× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$9.96–$62.25 | $12–$75 | varies |
| Rsv Assay W/Optic (87807) | $142.76 | $172 | 10.9× |
| Rubella Antibody (86762) | $73.04 | $88 | 5.1× |
| Rubeola antibody (86765) | $101.26 | $122 | 7.9× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$24.07–$81.34 | $29–$98 | varies |
| Salicylate Level (80179) | $103.75 | $125 | 5.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $156.87 | $189 | 3.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $91.30 | $110 | 2.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $384.29 | $463 | 2.7× |
| Sedimentation rate (85651) range across 2 matching MRF lines |
$9.13–$40.67 | $11–$49 | varies |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$6.64–$43.16 | $8–$52 | varies |
| Selenium (84255) | $68.06 | $82 | 2.7× |
| Semen Anal Sperm Detection (89321) | $78.02 | $94 | 6.5× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$24.07–$126.16 | $29–$152 | varies |
| Serum Bactericidal Titer (87197) | $46.48 | $56 | 3.1× |
| Sex Hormone Binding Globulin (84270) | $121.18 | $146 | 5.6× |
| Sirolimus (80195) | $209.99 | $253 | 15.3× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$13.28–$88.19 | $16–$106.25 | varies |
| Smear acid fast (87206) | $79.68 | $96 | 14.8× |
| Smear complex stain (87209) | $202.52 | $244 | 11.3× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$11.62–$49.80 | $14–$60 | varies |
| Smear Special Stain (87207) | $39.01 | $47 | 6.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$11.62–$82.17 | $14–$99 | varies |
| Sodium Serum (84295) range across 3 matching MRF lines |
$13.28–$100.43 | $16–$121 | varies |
| Sodium Urine (84300) | $60.59 | $73 | 12.0× |
| Soluble Transferrin Receptor (84238) | $244.02 | $294 | 6.7× |
| Somatomedin (84305) | $192.56 | $232 | 9.1× |
| Special Stains Group 1 (88312) | $66.40 | $80 | 1.2× |
| Special Stains Group 2 (88313) | $56.44 | $68 | 0.4× |
| Specific gravity body fluid (84315) | $27.39 | $33 | 8.4× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$56.44–$174.30 | $68–$210 | varies |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$25.73–$61.42 | $31–$74 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$31.54–$88.81 | $38–$107 | varies |
| Strep a DNA amp probe (87651) | $83 | $100 | 2.4× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $154.38 | $186 | 1.7× |
| Surg path level iii (88304) | $53.95 | $65 | 1.0× |
| Surgical pathology level IV (88305) | $69.72 | $84 | 1.3× |
| Surgical pathology level vi (88309) | $205.84 | $248 | 0.2× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $67.23 | $81 | 14.2× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$19.92–$63.91 | $24–$77 | varies |
| Syphilis Test Non-Trep Quant (86593) | $11.62 | $14 | 2.6× |
| T cells absolute cd4 count (86361) | $84.66 | $102 | 3.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $112.05 | $135 | 2.4× |
| T cells total count (86359) | $117.86 | $142 | 3.1× |
| T3 Free (84481) range across 2 matching MRF lines |
$24.90–$179.28 | $30–$216 | varies |
| T3 reverse (84482) | $65.57 | $79 | 4.2× |
| T3 Total (84480) range across 2 matching MRF lines |
$24.90–$141.10 | $30–$170 | varies |
| T3 Uptake (84479) | $104.58 | $126 | 16.2× |
| T4 Free (84439) range across 2 matching MRF lines |
$24.90–$102.09 | $30–$123 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$19.92–$72.21 | $24–$87 | varies |
| T4-neonatal (84437) | $24.90 | $30 | 3.8× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$37.35–$133.63 | $45–$161 | varies |
| Test for acetone/ketones (82009) | $31.54 | $38 | 7.0× |
| Testosterone total (84403) range across 2 matching MRF lines |
$68.06–$137.78 | $82–$166 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$69.72–$150.23 | $84–$181 | varies |
| Theophylline (80198) range across 2 matching MRF lines |
$16.60–$37.35 | $20–$45 | varies |
| Thrombin Time (85670) range across 2 matching MRF lines |
$14.94–$57.27 | $18–$69 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $29.88 | $36 | 4.6× |
| Thyroglobulin (84432) | $97.94 | $118 | 6.1× |
| Thyroglobulin Antibody (86800) | $68.06 | $82 | 4.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $226.59 | $273 | 4.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $157.70 | $190 | 13.7× |
| Tissue culture bone marrow (88237) | $732.06 | $882 | 5.1× |
| Tobramycin peak (80200) | $15.77 | $19 | 1.0× |
| Topiramate (80201) | $53.95 | $65 | 4.5× |
| Touch prep (88161) | $97.94 | $118 | 3.3× |
| Toxoplasma ab igm (86778) | $68.06 | $82 | 4.7× |
| Toxoplasma antibody (86777) | $50.63 | $61 | 3.5× |
| Tpmt gene com variants (81335) | $189.24 | $228 | 1.1× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$14.94–$58.10 | $18–$70 | varies |
| Transferrin (84466) | $115.37 | $139 | 9.0× |
| Trichomonas vagin dir probe (87660) range across 2 matching MRF lines |
$34.86–$53.95 | $42–$65 | varies |
| Trichomonas Vaginalis Amplif (87661) | $166 | $200 | 4.7× |
| Triglycerides (84478) range across 2 matching MRF lines |
$15.77–$54.78 | $19–$66 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$27.39–$217.46 | $33–$262 | varies |
| Tumor immunohistochem/comput (88361) | $135.29 | $163 | 0.4× |
| Tumor Immunohistochem/Manual (88360) | $324.53 | $391 | 1.8× |
| Urea nitrogen urine (84540) | $68.06 | $82 | 12.2× |
| Uric acid other source (84560) | $64.74 | $78 | 12.7× |
| Urinalysis Microscopic Only (81015) | $22.41 | $27 | 7.3× |
| Urinalysis Volume Measure (81050) | $18.26 | $22 | 5.0× |
| Urine Albumin Semiquantitative (82044) range across 2 matching MRF lines |
$10.79–$13.28 | $13–$16 | varies |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$22.41–$26.56 | $27–$32 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$19.09–$39.84 | $23–$48 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 3 matching MRF lines |
$8.30–$100.43 | $10–$121 | varies |
| Valproic acid (80164) range across 2 matching MRF lines |
$39.01–$131.97 | $47–$159 | varies |
| Vancomycin (80202) | $23.24 | $28 | 1.7× |
| Varicella-zoster antibody (86787) | $122.01 | $147 | 9.5× |
| Very Long Chain Fatty Acids (82726) | $61.42 | $74 | 3.1× |
| Viral Culture (87252) | $207.50 | $250 | 8.0× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$34.86–$188.41 | $42–$227 | varies |
| Virus inoculate tissue addl (87253) | $63.08 | $76 | 3.1× |
| Virus inoculation, shell via (87254) | $82.17 | $99 | 4.2× |
| Viscosity serum (85810) | $109.56 | $132 | 9.4× |
| Vit D 1 25-Dihydroxy (82652) | $56.44 | $68 | 1.5× |
| Vitamin A (84590) range across 2 matching MRF lines |
$30.71–$115.37 | $37–$139 | varies |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$42.33–$51.46 | $51–$62 | varies |
| Vitamin B6 (84207) | $162.68 | $196 | 5.8× |
| Vitamin c (82180) | $9.96 | $12 | 1.0× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$18.26–$81.34 | $22–$98 | varies |
| Vitamin E (84446) | $107.90 | $130 | 7.6× |
| Vitamin K (84597) | $107.90 | $130 | 7.9× |
| Volatiles (84600) | $68.06 | $82 | 4.0× |
| Von willebrand factor ag (85246) | $44.82 | $54 | 2.0× |
| Wbc Alkaline Phosphatase Count (85540) | $163.51 | $197 | 19.0× |
| West nile virus ab igm (86788) | $112.88 | $136 | 6.7× |
| West Nile Virus Antibody (86789) | $112.88 | $136 | 7.8× |
| Zinc (84630) range across 2 matching MRF lines |
$14.11–$99.60 | $17–$120 | 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.