Lab & pathology prices at Childrens Hospital of Wisconsin

Milwaukee, WI · every code in this section with a posted price and a Medicare benchmark.

664 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $232.79 $423.25 10.2×
5 Nucleotidase (83915) $170.50 $310 15.3×
Acetylcholine receptor binding antibody (86041) $145.61 $264.75 7.9×
Acetylcholine receptor blocking antibody (86042) $170.23 $309.50 9.3×
Acetylcholn Rcptr Modlg Antb (86043) $203.91 $370.75 16.9×
Acth (82024) $390.78 $710.50 10.1×
Actin smooth muscle antibody each (86015) $107.66 $195.75 8.9×
Acute hepatitis panel (80074) $352.96 $641.75 7.4×
Acylcarnitines Quant (82017)
range across 3 matching MRF lines
$22.69–$579.29 $41.25–$1,053.25 varies
Albumin Fluid (82042) $19.66 $35.75 2.5×
Albumin serum (82040)
range across 2 matching MRF lines
$18.84–$44.55 $34.25–$81 varies
Aldolase (82085) $184.53 $335.50 19.0×
Aldosterone urine (82088) $440.96 $801.75 10.8×
Alkaline phosphatase isoenzymes (84080) $140.11 $254.75 9.5×
Allergen specific ige (86003)
range across 6 matching MRF lines
$13.34–$451.41 $24.25–$820.75 varies
Allg Spec Ige Recomb Ea (86008)
range across 6 matching MRF lines
$17.74–$72.05 $32.25–$131 varies
Alpha-1-antitrypsin phenotype (82104) $192.91 $350.75 13.3×
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines
$126.23–$224.81 $229.50–$408.75 varies
Alpha-Fetoprotein Amniotic Fluid (82106) $139.70 $254 8.2×
Alpha-Fetoprotein Serum (82105) $199.65 $363 11.9×
Alt (sgpt) (84460) $60.78 $110.50 11.5×
Aluminum (82108) $190.71 $346.75 7.5×
Amikacin trough (80150) $88.96 $161.75 5.9×
Amino Acids 1 Quantitative Each Specimen (82131) $303.05 $551 13.2×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $822.11 $1,494.75 48.7×
Amino Acids Quant 2-5 (82136)
range across 2 matching MRF lines
$333.85–$411.13 $607–$747.50 varies
Aminolevulinic acid (ala) (82135)
range across 2 matching MRF lines
$104.09–$117.43 $189.25–$213.50 varies
Ammonia (82140)
range across 2 matching MRF lines
$28.74–$105.60 $52.25–$192 varies
Amylase urine (82150)
range across 4 matching MRF lines
$64.21–$148.36 $116.75–$269.75 varies
Ana Titer (86039) $123.20 $224 11.0×
Androstenedione (82157) $308 $560 10.5×
Angiotensin converting enzyme csf (82164) $179.44 $326.25 12.3×
Antibody aspergillus (86606)
range across 3 matching MRF lines
$56.51–$898.29 $102.75–$1,633.25 varies
Antibody Cytomegalovirus Cmv Igm (86645) $76.04 $138.25 4.5×
Antibody Encephalitis California La Crosse (86651)
range across 3 matching MRF lines
$27.09–$107.11 $49.25–$194.75 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $51.29 $93.25 3.4×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $51.29 $93.25 2.8×
Antibody haemophilus influenza (86684) $129.66 $235.75 8.2×
Antibody Herpes Smplx Type 1 (86695) $84.29 $153.25 6.4×
Antibody HIV-1&HIV-2 single result (86703)
range across 3 matching MRF lines
$78.24–$221.10 $142.25–$402 varies
Antibody HIV-2 (86702) $61.19 $111.25 4.5×
Antibody Hla Class I High Definition Panel Qual (86832)
range across 2 matching MRF lines
$392.15–$911.35 $713–$1,657 varies
Antibody identification leukocyte antibodies (86021)
range across 4 matching MRF lines
$157.71–$282.98 $286.75–$514.50 varies
Antibody Identification Platelet Immunogl Assay (86023) $183.56 $333.75 14.7×
Antibody Lymphocytic Choriomeningitis (86727)
range across 2 matching MRF lines
$62.84–$132.55 $114.25–$241 varies
Antibody Protozoa Nes (86753)
range across 2 matching MRF lines
$81.40–$108.35 $148–$197 varies
Antibody Titer (86886) $359.15 $653 69.3×
Antibody Treponema Pallidum (86780)
range across 3 matching MRF lines
$24.89–$84.15 $45.25–$153 varies
Antibody; encephalitis, st. louis (86653)
range across 3 matching MRF lines
$27.09–$80.44 $49.25–$146.25 varies
Antigen typing (86905) $114.13 $207.50 29.8×
Antinuclear antibodies (86038) $115.36 $209.75 9.5×
Antistreptolysin o titer (86060) $172.01 $312.75 23.6×
Antithrombin iii activity (85300) $166.51 $302.75 14.1×
Antithrombin iii antigen (85301) $230.18 $418.50 21.3×
Apolipoprotein a1 (82172) $22.69 $41.25 1.1×
Arsenic (82175)
range across 3 matching MRF lines
$89.38–$312.40 $162.50–$568 varies
Aspergillus ag eia (87305) $181.64 $330.25 15.2×
Assay Blood Carbon Dioxide (82374)
range across 4 matching MRF lines
$38.36–$42.21 $69.75–$76.75 varies
Assay Duodenal Fluid Trypsin (84485) $73.98 $134.50 10.3×
Assay Nephelometry Not Spec (83883)
range across 3 matching MRF lines
$35.20–$261.39 $64–$475.25 varies
Assay of 5-hiaa (83497)
range across 3 matching MRF lines
$67.10–$144.79 $122–$263.25 varies
Assay of anti-mullerian hormone (82166) $130.90 $238 3.4×
Assay of blood/uric acid (84550) $44.55 $81 9.9×
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$11.83–$55 $21.50–$100 varies
Assay of corticosterone (82528) $310.75 $565 13.8×
Assay of cpk in blood (82552) $71.23 $129.50 5.3×
Assay of estrone (82679) $320.10 $582 12.8×
Assay of g6pd enzyme (82955) $121.55 $221 12.5×
Assay of gammaglobulin igm (82784)
range across 9 matching MRF lines
$35.61–$235.13 $64.75–$427.50 varies
Assay of lactic acid (83605) $103.95 $189 9.0×
Assay of metanephrines (83835)
range across 3 matching MRF lines
$102.99–$225.91 $187.25–$410.75 varies
Assay of phosphatase acid total (84060) $50.60 $92 6.6×
Assay of proinsulin (84206) $268.54 $488.25 10.1×
Assay of pyruvate (84210)
range across 2 matching MRF lines
$91.99–$172.56 $167.25–$313.75 varies
Assay of serotonin (84260) $538.18 $978.50 17.4×
Assay of serum potassium (84132) $53.49 $97.25 11.2×
Assay of Sialic Acid (84275) $254.51 $462.75 18.9×
Assay of sweat sodium (84302) $67.51 $122.75 13.9×
Assay of transcortin (84449) $165.69 $301.25 9.2×
Assay of Tyrosine (84510) $16.36 $29.75 1.5×
Assay of urea nitrogen (84520)
range across 3 matching MRF lines
$43.31–$60.64 $78.75–$110.25 varies
Assay of urine vma (84585)
range across 3 matching MRF lines
$65.73–$159.91 $119.50–$290.75 varies
Assay of vasoactive intestinal peptide (84586) $453.48 $824.50 12.8×
Assay of vitamin b-1 (84425) $271.01 $492.75 12.8×
Assay Ph Body Fluid Nos (83986)
range across 7 matching MRF lines
$7.01–$38.09 $12.75–$69.25 varies
Asy carbamazepin 10,11-epxid (80161) $173.66 $315.75 9.3×
Autol Bld/Component Collj Storage Predeposited (86890) $434.64 $790.25 2.6×
B cells total count (86355)
range across 10 matching MRF lines
$64.21–$111.10 $116.75–$202 varies
Babesia microti amp prb (87469) $34.51 $62.75 1.0×
Bartonella antibody (86611)
range across 5 matching MRF lines
$44.55–$49.64 $81–$90.25 varies
Bcr/abl1 gene major bp (81206)
range across 5 matching MRF lines
$74.53–$515.21 $135.50–$936.75 varies
Bcr/abl1 gene minor bp (81207)
range across 4 matching MRF lines
$74.53–$296.45 $135.50–$539 varies
Bcr/Abl1 Gene Other Bp (81208) $74.53 $135.50 0.3×
Beta 2 glycoprotein i antibody each (86146) $131.73 $239.50 5.2×
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines
$156.48–$211.20 $284.50–$384 varies
Beta Lactamase (87185)
range across 2 matching MRF lines
$37.13–$38.91 $67.50–$70.75 varies
Beta-2 Microglobulin (82232) $215.33 $391.50 13.3×
Bilirubin direct (82248) $48.81 $88.75 9.7×
Bilirubin total (82247)
range across 5 matching MRF lines
$46.75–$56.10 $85–$102 varies
Biotinidase (82261)
range across 2 matching MRF lines
$22.69–$242.28 $41.25–$440.50 varies
Blastomyces antibody (86612) $72.19 $131.25 5.6×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $51.70 $94 10.2×
Blood count reticulocyte automated (85045)
range across 2 matching MRF lines
$13.61–$57.48 $24.75–$104.50 varies
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 6 matching MRF lines
$9.49–$38.36 $17.25–$69.75 varies
Blood count spun microhematocrit (85013) $28.33 $51.50 4.0×
Blood gas (82803) $188.79 $343.25 7.2×
Blood gases w/02 saturation (82805) $209.55 $381 2.7×
Blood Type Antigen Donor Reagent Serum Each (86902) $112.06 $203.75 17.6×
Blood typing serologic abo (86900)
range across 6 matching MRF lines
$43.31–$80.30 $78.75–$146 varies
Body fluid cell count (89050) $76.86 $139.75 16.3×
Bone marrow smear interpretation (85097)
range across 2 matching MRF lines
$102.30–$115.64 $186–$210.25 varies
Bordetella antibody (86615) $222.06 $403.75 16.8×
Borrelia miyamotoi amp prb (87478) $34.51 $62.75 1.0×
Brucella antibody (86622)
range across 2 matching MRF lines
$37.13–$93.23 $67.50–$169.50 varies
C diff amplified probe (87493) $140.39 $255.25 3.8×
C-Peptide (84681) $240.08 $436.50 11.5×
C-reactive protein (86140) $70.26 $127.75 13.6×
Ca 19-9 (86301) $44.28 $80.50 2.1×
Cadmium (82300)
range across 2 matching MRF lines
$108.90–$204.46 $198–$371.75 varies
Caffeine (80155) $204.46 $371.75 5.3×
Calcitonin (82308) $189.89 $345.25 7.1×
Calcium ionized (82330) $110 $200 8.0×
Calcium total (82310) $55 $100 10.7×
Calculus Spectroscopy (82365) $194.01 $352.75 15.0×
Calprotectin Fecal (83993) $375.93 $683.50 19.2×
Cancer Antigen 125 (86304) $62.15 $113 3.0×
Carbamazepine total (80156) $171.46 $311.75 11.8×
Carbohydrate Deficient Transferrin (82373) $66.14 $120.25 3.7×
Carboxyhemoglobin (82375) $97.76 $177.75 7.9×
Carcinoembryonic antigen (82378) $237.88 $432.50 12.5×
Cardiolipin ab iga (86147) $118.66 $215.75 4.7×
Carnitine Quantitative Each Specimen (82379) $422.68 $768.50 25.1×
Carotene (82380) $249.43 $453.50 27.1×
Catecholamines fractionated (82384)
range across 3 matching MRF lines
$122.79–$360.66 $223.25–$655.75 varies
Ccp antibody (86200) $177.93 $323.50 13.7×
Cell count csf (89051) $111.65 $203 19.9×
Cellular Function Assay Stimul&Detect Biomarke (86352)
range across 4 matching MRF lines
$260.43–$419.93 $473.50–$763.50 varies
Ceruloplasmin (82390) $162.66 $295.75 15.1×
Chemiluminescent assay (82397)
range across 5 matching MRF lines
$168.03–$271.43 $305.50–$493.50 varies
Chimerism w/comp to baseline w/cell selection ea (81268)
range across 6 matching MRF lines
$775.36–$2,119.29 $1,409.75–$3,853.25 varies
Chimerism w/comp to baseline w/o cell selection (81267)
range across 4 matching MRF lines
$541.34–$600.88 $984.25–$1,092.50 varies
Chlamydia antibody (86631) $86.21 $156.75 7.3×
Chlamydia Igm Antibody (86632) $86.21 $156.75 6.8×
Chlmy trch&neisra gonor mult (87494)
range across 3 matching MRF lines
$123.20–$169.40 $224–$308 varies
Chloride other source (82438)
range across 2 matching MRF lines
$67.51–$80.71 $122.75–$146.75 varies
Chloride Serum (82435) $67.51 $122.75 14.7×
Chloride urine (82436)
range across 2 matching MRF lines
$11.41–$67.51 $20.75–$122.75 varies
Cholesterol total (82465) $61.19 $111.25 14.1×
Cholinesterase Serum (82480) $28.60 $52 3.6×
Chorionic gonadotropin test (84702)
range across 3 matching MRF lines
$64.76–$237.46 $117.75–$431.75 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267)
range across 2 matching MRF lines
$734.94–$758.73 $1,336.25–$1,379.50 varies
Chrmsm Analysis Addl Cells Counted Each Study (88285)
range across 4 matching MRF lines
$64.08–$69.44 $116.50–$126.25 varies
Chrmsm Analysis Addl High Resolution Study (88289)
range across 2 matching MRF lines
$87.73–$175.04 $159.50–$318.25 varies
Chrmsm Analysis Addl Karyotyp Each Study (88280)
range across 7 matching MRF lines
$72.74–$149.05 $132.25–$271 varies
Chrmsm Breakage Synds Score 100 Cll (88249) $667.29 $1,213.25 3.9×
Chromogenic Substrate Assay (85130)
range across 2 matching MRF lines
$233.75–$280.50 $425–$510 varies
Chromogranin a (86316) $50.46 $91.75 2.4×
Chromosome analys amniotic (88269)
range across 2 matching MRF lines
$546.15–$587.81 $993–$1,068.75 varies
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines
$294.53–$571.73 $535.50–$1,039.50 varies
Chromosome Analysis 20-25 (88264) $741.26 $1,347.75 5.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 3 matching MRF lines
$61.60–$84.70 $112–$154 varies
Citric acid urine (82507) $54.73 $99.50 2.0×
Clot Factor VIII Multimetric (85247)
range across 2 matching MRF lines
$326.29–$332.34 $593.25–$604.25 varies
Clot factor xiii fibrin stab (85290) $229.76 $417.75 14.1×
Clotting factor xii hageman (85280) $350.35 $637 18.1×
Clotting Funct Activity (85397)
range across 4 matching MRF lines
$140.39–$213.54 $255.25–$388.25 varies
Cns DNA amp probe type 12-25 (87483) $675.68 $1,228.50 1.6×
Coagulation time activated (85347)
range across 3 matching MRF lines
$29.70–$239.66 $54–$435.75 varies
Coccidioides antibody (86635) $67.51 $122.75 5.9×
Collagen crosslinks (82523)
range across 2 matching MRF lines
$67.51–$491.56 $122.75–$893.75 varies
Column Chromotography Quant (82542)
range across 16 matching MRF lines
$78.10–$750.61 $142–$1,364.75 varies
Comparative Anal Str Markers Patient&Comp Spec (81265)
range across 5 matching MRF lines
$316.66–$598.81 $575.75–$1,088.75 varies
Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) $328.49 $597.25 1.1×
Compatibility test antiglob (86922) $129.66 $235.75 0.8×
Complement Antigen Each Component (86160)
range across 5 matching MRF lines
$80.03–$335.23 $145.50–$609.50 varies
Complement Total (Ch50) (86162)
range across 2 matching MRF lines
$138.19–$314.05 $251.25–$571 varies
Complement/Function Activity (86161)
range across 2 matching MRF lines
$115.50–$199.51 $210–$362.75 varies
Consltj Compre Review Reprt Referred Matrl (88325) $978.59 $1,779.25 5.8×
Consltj&Reprt Material Requiring Prepj Slides (88323) $71.64 $130.25 1.4×
Consltj&Reprt Slides Prepared Elsewhere (88321)
range across 20 matching MRF lines
$105.88–$806.30 $192.50–$1,466 varies
Coombs direct (86880)
range across 3 matching MRF lines
$59.13–$74.66 $107.50–$135.75 varies
Copper urine (82525)
range across 4 matching MRF lines
$64.76–$303.46 $117.75–$551.75 varies
Cortisol free (82530) $233.89 $425.25 14.0×
Cortisol saliva (82533) $98.45 $179 6.0×
Creatine (82540)
range across 2 matching MRF lines
$58.30–$68.48 $106–$124.50 varies
Creatine kinase total (82550)
range across 2 matching MRF lines
$56.51–$64.76 $102.75–$117.75 varies
Creatinine blood (82565) $49.64 $90.25 9.7×
Creatinine clearance (82575) $76.45 $139 8.1×
Creatinine Urine (82570)
range across 23 matching MRF lines
$10.18–$113.03 $18.50–$205.50 varies
Crossmatch immediate spin (86920) $142.45 $259 0.8×
Crp High Sensitivity (86141) $100.93 $183.50 7.8×
Cryofibrinogen (82585) $85.66 $155.75 6.1×
Cryoglobulin (82595)
range across 2 matching MRF lines
$17.46–$84.56 $31.75–$153.75 varies
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $61.88 $112.50 4.7×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$93.36–$176.96 $169.75–$321.75 varies
Cryptosporidium (87272)
range across 3 matching MRF lines
$36.16–$89.24 $65.75–$162.25 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 5 matching MRF lines
$40.01–$75.08 $72.75–$136.50 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 4 matching MRF lines
$41.94–$61.33 $76.25–$111.50 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $98.04 $178.25 12.7×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $169.54 $308.25 0.8×
Culture aerobic quant other (87071) $116.60 $212 11.8×
Culture afb (87116) $134.75 $245 12.5×
Culture Anaerobic (87075)
range across 2 matching MRF lines
$58.30–$77.55 $106–$141 varies
Culture blood (87040) $183.70 $334 17.8×
Culture csf (87070)
range across 15 matching MRF lines
$46.06–$126.09 $83.75–$229.25 varies
Culture fungus (87102) $51.70 $94 6.1×
Culture fungus blood (87103) $98.04 $178.25 4.8×
Culture screen only (87081)
range across 12 matching MRF lines
$31.76–$102.71 $57.75–$186.75 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $38.78 $70.50 7.5×
Culture urine (87086) $105.60 $192 13.1×
Cyanide (82600) $213.68 $388.50 11.0×
Cyclosporine (80158)
range across 2 matching MRF lines
$141.76–$143.41 $257.75–$260.75 varies
Cyp2c19 gene analysis common variants (81225) $431.89 $785.25 1.5×
Cyp2c9 gene com variants (81227) $344.16 $625.75 2.0×
Cyp2d6 gene com variants (81226) $584.24 $1,062.25 1.3×
Cyp3a5 gene common variants (81231) $189.34 $344.25 1.1×
Cystatin C (82610) $106.01 $192.75 5.7×
Cytogenetics 10-30 (88273)
range across 3 matching MRF lines
$185.35–$323.54 $337–$588.25 varies
Cytogenetics 100-300 (88275)
range across 33 matching MRF lines
$144.79–$494.86 $263.25–$899.75 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229) $3,033.66 $5,515.75 2.6×
Cytogenomic neo microra alys (81277) $2,551.59 $4,639.25 2.2×
Cytomegalovirus igg (86644)
range across 7 matching MRF lines
$16.78–$117.56 $30.50–$213.75 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $76.86 $139.75 3.8×
Cytopath Cell Enhance Tech (88112) $220.41 $400.75 4.2×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $113.71 $206.75 4.3×
Cytp Concentration Smears & Interpretation (88108) $102.16 $185.75 2.7×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $139.43 $253.50 0.8×
Deoxycortisol (82634) $348.43 $633.50 11.9×
Deoxyribonuclease antibody (86215) $91.58 $166.50 6.9×
Desoxycorticosterone (82633) $388.71 $706.75 12.5×
Detect Agent Nos Dna Amp (87798)
range across 15 matching MRF lines
$34.51–$408.65 $62.75–$743 varies
Detect Agent Nos Dna Quant (87799)
range across 7 matching MRF lines
$127.46–$462.28 $231.75–$840.50 varies
Detect agnt mult DNA ampli (87801) $169.95 $309 2.4×
Dgp Antibody Each Ig Class (86258) $133.38 $242.50 11.1×
Dhea (82626) $309.65 $563 12.3×
Dhea-S (82627) $292.33 $531.50 13.2×
Dibucaine number (82638) $44.28 $80.50 3.6×
Digoxin (80162) $162.80 $296 12.3×
Dihydrotestosterone (82642) $335.91 $610.75 11.5×
Diphtheria antitoxoid (86648) $196.63 $357.50 12.9×
Dna Antibody Native/Double Stranded (86225) $157.58 $286.50 11.5×
DNA/RNA direct probe (87149) $133.24 $242.25 6.6×
Drug assay acetaminophen (80143) $183.56 $333.75 9.8×
Drug assay adalimumab (80145) $497.89 $905.25 12.9×
Drug Assay Amiodarone (80151) $120.45 $219 6.5×
Drug Assay Everolimus (80169) $95.43 $173.50 7.0×
Drug assay felbamate (80167) $150.01 $272.75 8.0×
Drug Assay Infliximab (80230) $314.46 $571.75 8.2×
Drug Assay Itraconazole (80189) $162.80 $296 6.0×
Drug Assay Lacosamide (80235) $263.86 $479.75 9.7×
Drug Assay Posaconazole (80187) $251.35 $457 9.3×
Drug assay voriconazole (80285) $242.14 $440.25 8.9×
Drug Screen Quant Zonisamide (80203) $206.25 $375 15.6×
Drug Screen Quantitative Gabapentin (80171) $122.38 $222.50 5.6×
Drug Screen Quantitative Lamotrigine (80175) $113.99 $207.25 8.6×
Drug Screen Quantitative Levetiracetam (80177) $184.53 $335.50 13.9×
Drug Screen Quantitative Oxcarbazepine (80183) $151.53 $275.50 11.4×
Drug Screen Quantitative Procainamide Metabolite (80192) $96.11 $174.75 5.7×
Drug Test Prsmv Chem Anlyzr (80307)
range across 13 matching MRF lines
$14.85–$565.95 $27–$1,029 varies
Ehrlichia antibody (86666) $120.04 $218.25 11.8×
El-1 Fecal Quantitative (82653) $492.11 $894.75 21.4×
Electrolyte panel (80051)
range across 3 matching MRF lines
$104.09–$109.45 $189.25–$199 varies
Electron Microscopy (88348)
range across 4 matching MRF lines
$411.13–$1,204.78 $747.50–$2,190.50 varies
Encephaltis East Eqne Anbdy (86652)
range across 3 matching MRF lines
$27.09–$107.11 $49.25–$194.75 varies
Encephaltis West Eqne Antbdy (86654) $27.09 $49.25 2.1×
Endomysial Antibody Each Immunoglobulin Class (86231) $300.16 $545.75 24.8×
Enterovirus PCR (87498) $178.34 $324.25 5.1×
Enzyme cell activity (82657)
range across 9 matching MRF lines
$131.18–$553.58 $238.50–$1,006.50 varies
Enzyme histochemistry (88319)
range across 11 matching MRF lines
$188.65–$1,403.88 $343–$2,552.50 varies
Erythropoietin (82668) $247.23 $449.50 13.2×
Estradiol serum (82670) $158.13 $287.50 5.7×
Estrogen total (82672) $162.39 $295.25 7.5×
Ethosuximide (80168) $87.04 $158.25 5.3×
Ethylene Glycol (82693) $32.73 $59.50 2.2×
Exam Synovial Fluid Crystals (89060) $55.69 $101.25 7.6×
F2 Gene (81240) $356.81 $648.75 5.4×
Factor ii activity (85210) $228.66 $415.75 17.6×
Factor Inhibitor Test (85335)
range across 5 matching MRF lines
$220.55–$364.65 $401–$663 varies
Factor ix activity (85250)
range across 3 matching MRF lines
$233.75–$306.49 $425–$557.25 varies
Factor v activity (85220) $228.66 $415.75 13.0×
Factor v leiden mutation (81241) $356.81 $648.75 4.9×
Factor vii assay (85230) $228.66 $415.75 12.8×
Factor viii assay (85240) $233.75 $425 13.1×
Factor X (85260) $228.66 $415.75 12.8×
Factor xi activity (85270) $302.23 $549.50 16.9×
Fat/Lipids Feces Quantitative (82710) $210.10 $382 12.5×
Fatty acids free (82725) $71.78 $130.50 3.8×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $313.09 $569.25 40.6×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415)
range across 3 matching MRF lines
$98.73–$329.45 $179.50–$599 varies
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $245.16 $445.75 24.1×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $271.01 $492.75 41.5×
Fecal Fat Qualitative (82705) $43.04 $78.25 8.4×
Ferritin (82728) $106.15 $193 7.8×
Fetal hemoglobin assay qual (83033) $64.63 $117.50 8.1×
Fibrin dgradj products d-dimer qual/semiquan (85378) $93.64 $170.25 9.6×
Fibrinogen activity (85384)
range across 2 matching MRF lines
$56.38–$83.05 $102.50–$151 varies
Flecainide level (80181) $196.49 $357.25 10.5×
Flow cytometry first marker (88184)
range across 22 matching MRF lines
$96.39–$1,122.55 $175.25–$2,041 varies
Flt3 Gene (81245) $265.93 $483.50 1.6×
Fluorescent antibody screen (86255)
range across 4 matching MRF lines
$45.24–$217.80 $82.25–$396 varies
Fmr1 gene detection (81243) $431.61 $784.75 7.6×
Folic acid rbc (82747) $271.70 $494 15.4×
Folic Acid Serum (82746) $142.59 $259.25 9.7×
Follicle Stimulating Hormone (83001)
range across 3 matching MRF lines
$146.99–$156.61 $267.25–$284.75 varies
Fresh Frozen Plasma Thawing Each Unit (86927) $23.51 $42.75 0.1×
Frozen Section (88331) $109.73 $199.50 0.6×
Fungi Identification Mold (87107) $48.81 $88.75 4.7×
Fungi Identification Yeast (87106)
range across 4 matching MRF lines
$40.01–$53.21 $72.75–$96.75 varies
Galactose-1-Phosphate Uridyl Transferase Quan (82775)
range across 2 matching MRF lines
$33–$185.49 $60–$337.25 varies
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$231.14–$294.25 $420.25–$535 varies
Gases Blood O2 Saturation Only Direct Meas (82810) $70.13 $127.50 7.2×
Gases blood ph only (82800) $38.36 $69.75 3.5×
Gastrin (82941) $152.49 $277.25 8.6×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507)
range across 2 matching MRF lines
$482.76–$506.96 $877.75–$921.75 varies
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $5,947.70 $10,814 2.0×
Gentamicin (80170) $151.94 $276.25 9.3×
Ggt (82977) $99.83 $181.50 13.9×
Gjb2 Gene Analysis Full Gene Sequence (81252) $658.90 $1,198 6.5×
Gjb6 Gene Analysis Common Variants (81254) $317.21 $576.75 9.1×
Glucagon (82943) $272.80 $496 19.1×
Glucose 2 hr pp (82950) $48.81 $88.75 10.3×
Glucose Blood Test (82962) $20.63 $37.50 6.3×
Glucose body fluid (82945) $61.46 $111.75 15.6×
Glucose Serum (82947) $48.81 $88.75 12.4×
Glucose tolerance test (gtt) (82951) $146.44 $266.25 11.4×
Glycated Protein (82985) $46.61 $84.75 2.8×
Gonadotropin Chorionic Qualitative (84703) $110.96 $201.75 14.8×
Growth hormone (83003) $169.81 $308.75 10.2×
Growth Stimulation Gene 2 (83006) $615.86 $1,119.75 8.1×
Gtt-added samples (82952) $48.81 $88.75 12.5×
Haptoglobin (83010) $82.91 $150.75 6.6×
Helicobacter Pylori Stool (87338) $100.38 $182.50 7.0×
Helminth Antibody (86682)
range across 3 matching MRF lines
$173.53–$294.66 $315.50–$535.75 varies
Hematocrit (85014)
range across 7 matching MRF lines
$6.88–$38.23 $12.50–$69.50 varies
Hemoglobin (85018)
range across 8 matching MRF lines
$28.33–$38.23 $51.50–$69.50 varies
Hemoglobin a1c (83036) $101.34 $184.25 10.4×
Hemoglobin Chromotography (83021)
range across 2 matching MRF lines
$139.01–$386.51 $252.75–$702.75 varies
Hemoglobin Copper Sulfate Method Non-Automated (83026) $36.03 $65.50 9.0×
Hemoglobin electrophoresis (83020) $6.88 $12.50 0.5×
Hemoglobin Methemoglobin Quantitative (83050) $102.99 $187.25 12.6×
Hemoglobin plasma (83051)
range across 2 matching MRF lines
$64.21–$78.93 $116.75–$143.50 varies
Hemolysins&Agglutinins Auto Screen Each (86940) $244.75 $445 27.9×
Hemolysins&Agglutinins Incubated (86941) $361.63 $657.50 29.9×
Hep a ab igm (86709)
range across 2 matching MRF lines
$133.65–$214.50 $243–$390 varies
Heparin assay (85520)
range across 4 matching MRF lines
$58.30–$192.64 $106–$350.25 varies
Heparin Neutralization (85525) $53.49 $97.25 4.5×
Heparin-Protamine Tolerance Tst (85530) $74.11 $134.75 5.7×
Hepatitis a antibody total (86708) $191.81 $348.75 15.5×
Hepatitis b core ab igm (86705) $156.61 $284.75 13.3×
Hepatitis b core ab total (86704)
range across 3 matching MRF lines
$68.89–$157.71 $125.25–$286.75 varies
Hepatitis B Surface Antibody (86706) $154 $280 14.3×
Hepatitis B Surface Antigen (87340)
range across 3 matching MRF lines
$58.99–$143.41 $107.25–$260.75 varies
Hepatitis Be Antibody (86707) $152.49 $277.25 13.2×
Hepatitis Be Antigen (87350) $152.49 $277.25 13.2×
Hepatitis C Antibody (86803)
range across 3 matching MRF lines
$81.54–$157.85 $148.25–$287 varies
Hepatitis C Genotype (87902) $755.15 $1,373 2.9×
Hepatitis C Revrs Trnscrpj (87522) $440.96 $801.75 10.3×
Hepatitis Delta Agent Antibody (86692) $167.61 $304.75 9.8×
Herpes simplex type 2 (86696) $91.58 $166.50 4.7×
Heterophile Antibody Screen (86308)
range across 4 matching MRF lines
$59.95–$113.44 $109–$206.25 varies
Histamine urine (83088)
range across 2 matching MRF lines
$72.33–$403.56 $131.50–$733.75 varies
Histoplasma antibody (86698) $71.78 $130.50 5.2×
Histoplasma antigen urine (87385) $367.40 $668 27.7×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $90.75 $165 3.8×
Hiv-1 Antibody (86701) $61.19 $111.25 6.9×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 2 matching MRF lines
$242.28–$327.11 $440.50–$594.75 varies
Hla Class I Typing High Resolution Complete (81379) $1,608.20 $2,924 4.8×
Hla Class I Typing High Resolution One Locus Ea (81380)
range across 6 matching MRF lines
$539.28–$903.10 $980.50–$1,642 varies
Hla Class I Typing Low Resolution Complete (81372)
range across 2 matching MRF lines
$303.05–$882.06 $551–$1,603.75 varies
Hla Class I Typing Low Resolution One Locus Each (81373)
range across 10 matching MRF lines
$104.50–$418.55 $190–$761 varies
Hla class i&ii antibody qual (86828)
range across 4 matching MRF lines
$141.35–$336.19 $257–$611.25 varies
Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) $1,505.49 $2,737.25 3.7×
Hla class ii high defin qual (86833)
range across 2 matching MRF lines
$392.15–$911.35 $713–$1,657 varies
Hla class ii typing high resolution one locus ea (81382)
range across 10 matching MRF lines
$202.81–$1,062.60 $368.75–$1,932 varies
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $1,014.61 $1,844.75 9.3×
Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) $338.25 $615 9.3×
Hla i&ii high resolution hla-a -b -c and -drb1 (81378)
range across 2 matching MRF lines
$2,829.89–$3,431.73 $5,145.25–$6,239.50 varies
Hla ii typing 1 locus lr (81376)
range across 11 matching MRF lines
$104.50–$410.99 $190–$747.25 varies
Hla Typing a/B/C Multiple Antigens (86813) $674.30 $1,226 11.6×
Hla Typing Dr/Dq Multiple Antigens (86817)
range across 2 matching MRF lines
$653.40–$668.80 $1,188–$1,216 varies
Hla-b27 (86812) $94.74 $172.25 3.7×
Homocysteine (83090) $269.50 $490 15.0×
Homogenization Tissue (87176) $36.30 $66 6.2×
Homovanillic acid urine (83150)
range across 4 matching MRF lines
$90.34–$156.34 $164.25–$284.25 varies
Hpa-1 genotyping gene analysis common variant (81105)
range across 2 matching MRF lines
$115.91–$569.39 $210.75–$1,035.25 varies
Hpa-15 genotyping gene analysis common variant (81112) $115.91 $210.75 0.9×
Hpa-2 genotyping gene analysis common variant (81106) $115.91 $210.75 0.9×
Hpa-3 genotyping gene analysis common variant (81107) $115.91 $210.75 0.9×
Hpa-4 genotyping gene analysis common variant (81108) $115.91 $210.75 0.9×
Hpa-5 genotyping gene analysis common variant (81109) $115.91 $210.75 0.9×
Hpa-6 genotyping gene analysis common variant (81110) $115.91 $210.75 0.9×
Hpa-9 Genotyping (81111) $115.91 $210.75 0.9×
Hpv High-Risk Types (87624) $188.65 $343 5.4×
Hpv low-risk types (87623) $194.43 $353.50 5.5×
Hsv Dna Amp Probe (87529) $115.36 $209.75 3.3×
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines
$42.08–$284.49 $76.50–$517.25 varies
Iaadi giardia (87269)
range across 3 matching MRF lines
$36.16–$54.73 $65.75–$99.50 varies
Iaadiadoo trichomonas vaginalis (87808) $28.74 $52.25 1.9×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $34.51 $62.75 1.0×
Iadna chlamydia pneumoniae amplified probe tq (87486) $243.24 $442.25 6.9×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $102.03 $185.50 2.9×
Iadna Cytomegalovirus Quantification (87497) $384.04 $698.25 9.0×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $126.64 $230.25 1.8×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $34.51 $62.75 1.0×
Iadna Hepatitis B Virus Quantification (87517) $357.23 $649.50 8.3×
Iadna Herpes Virus-6 Quantification (87533) $417.59 $759.25 10.0×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $609.68 $1,108.50 17.4×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $153.31 $278.75 4.4×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $243.24 $442.25 6.9×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 3 matching MRF lines
$61.60–$84.70 $112–$154 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $72.33 $131.50 1.4×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631)
range across 4 matching MRF lines
$215.60–$375.51 $392–$682.75 varies
Iadna-Dna/Rna Probe Tq 6-11 (87506)
range across 4 matching MRF lines
$249.43–$394.49 $453.50–$717.25 varies
Igg subclasses (82787) $80.30 $146 10.0×
Immune Complex Assay (86332) $361.90 $658 14.9×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 4 matching MRF lines
$170.36–$355.99 $309.75–$647.25 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $49.50 $90 3.3×
Immunoassay nonantibody (83516)
range across 5 matching MRF lines
$17.88–$226.74 $32.50–$412.25 varies
Immunodiffusion not elsewhere specified (86329) $35.34 $64.25 2.5×
Immunodiffusion Ouchterlony (86331)
range across 2 matching MRF lines
$214.91–$1,115.40 $390.75–$2,028 varies
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines
$35.34–$113.44 $64.25–$206.25 varies
Immunofluorescence per spec 1st singl antb stain (88346)
range across 4 matching MRF lines
$183.43–$589.74 $333.50–$1,072.25 varies
Immunohistochemistry (88342)
range across 20 matching MRF lines
$135.03–$755.15 $245.50–$1,373 varies
In situ hybridization 1st probe stain (88365)
range across 3 matching MRF lines
$144.38–$368.09 $262.50–$669.25 varies
Influenza DNA amp probe (87502) $172.29 $313.25 1.8×
Inhibin A (86336) $128.43 $233.50 8.2×
Inhibin b (83520)
range across 21 matching MRF lines
$48.95–$615.86 $89–$1,119.75 varies
Insulin antibodies (86337)
range across 2 matching MRF lines
$2.06–$223.44 $3.75–$406.25 varies
Insulin free (83527) $241.45 $439 18.6×
Insulin total (83525) $77.14 $140.25 6.7×
Intrinsic factor antibody (86340) $208.73 $379.50 13.8×
Iron (83540) $87.04 $158.25 13.5×
Iron Binding Capacity (83550) $81.13 $147.50 9.3×
Irradiation Blood Product Each Unit (86945) $102.44 $186.25 2.8×
Islet cell antibody (86341)
range across 5 matching MRF lines
$2.20–$235.68 $4–$428.50 varies
Kit Gene Analysis Targeted Sequence Analysis (81272) $760.38 $1,382.50 2.3×
Koh Prep (87220) $51.43 $93.50 12.0×
Lactate (ld) (ldh) enzyme (83615)
range across 4 matching MRF lines
$28.05–$54.31 $51–$98.75 varies
Lactoferrin Fecal Quantitative (83631) $273.90 $498 14.0×
Ldh Isoenzymes (83625) $59.13 $107.50 4.6×
Lead (83655)
range across 3 matching MRF lines
$57.20–$105.46 $104–$191.75 varies
Legionella antigen urine (87449)
range across 3 matching MRF lines
$286.83–$367.40 $521.50–$668 varies
Legionella pneumophila dfa (87278) $97.76 $177.75 6.3×
Level I Surg Pathology Gross Examination Only (88300) $66.83 $121.50 2.3×
Level ii surg pathology gross&microscopic exam (88302) $139.56 $253.75 3.8×
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines
$181.36–$379.50 $329.75–$690 varies
Lidocaine (80176) $150.29 $273.25 10.2×
Lipase (83690)
range across 3 matching MRF lines
$67.79–$105.60 $123.25–$192 varies
Lipoprotein A (83695) $103.13 $187.50 7.2×
Lithium (80178) $105.60 $192 16.0×
Luteinizing Hormone (Lh) (83002)
range across 3 matching MRF lines
$146.99–$156.61 $267.25–$284.75 varies
Lyme disease antibody (86618)
range across 3 matching MRF lines
$37.13–$98.45 $67.50–$179 varies
Lymphocyte Culture Mixed (86821) $737 $1,340 20.2×
Lymphocyte transformation (86353)
range across 7 matching MRF lines
$22.83–$1,697.58 $41.50–$3,086.50 varies
Lysozyme serum (85549) $125.40 $228 6.7×
Macroscopic exam arthropod (87168) $52.80 $96 12.4×
Magnesium Urine (83735)
range across 2 matching MRF lines
$13.34–$70.81 $24.25–$128.75 varies
Mass Spectrometry Quant (83789)
range across 2 matching MRF lines
$28.33–$632.09 $51.50–$1,149.25 varies
Mercury urine (83825)
range across 3 matching MRF lines
$59.26–$165.83 $107.75–$301.50 varies
Methotrexate (80204) $208.31 $378.75 5.4×
Methylmalonic acid serum (83921)
range across 2 matching MRF lines
$286.83–$408.10 $521.50–$742 varies
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$40.15–$55.69 $73–$101.25 varies
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$20.35–$143.14 $37–$260.25 varies
Mitochondrial Antibody Each (86381) $64.49 $117.25 2.5×
Molecular Cytogenetics Dna Probe Each (88271)
range across 38 matching MRF lines
$39.33–$249.84 $71.50–$454.25 varies
Mopath procedure level 2 (81401)
range across 2 matching MRF lines
$278.03–$408.10 $505.50–$742 varies
Mopath procedure level 4 (81403)
range across 3 matching MRF lines
$627.83–$704 $1,141.50–$1,280 varies
Mrsa Pcr (87641) $122.79 $223.25 3.5×
Mucopolysaccharides acid quantitative (83864) $254.51 $462.75 8.9×
Mumps antibody (86735)
range across 2 matching MRF lines
$87.45–$199.10 $159–$362 varies
Mycobacteric Identification (87118)
range across 3 matching MRF lines
$48.68–$141.21 $88.50–$256.75 varies
Mycophenolic Acid (80180) $312.26 $567.75 17.3×
Mycoplasma antibody (86738)
range across 2 matching MRF lines
$55.69–$95.29 $101.25–$173.25 varies
Mycoplasma culture (87109) $77.14 $140.25 5.0×
Myelin basic protein csf (83873) $219.45 $399 12.8×
Myoglobin urine (83874) $95.01 $172.75 7.4×
Natriuretic peptide (83880) $252.45 $459 6.4×
Nerve teasing preparations (88362) $5,631.86 $10,239.75 7.0×
Neutralization Test Viral (86382) $58.30 $106 3.4×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505)
range across 4 matching MRF lines
$136.68–$258.23 $248.50–$469.50 varies
Niacin (84591) $251.35 $457 14.7×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $289.03 $525.50 1.2×
Nuclear antigen antibody (86235)
range across 3 matching MRF lines
$92.95–$226.74 $169–$412.25 varies
Nuclear Mitochondrial 100 Gene Genomic Seq (81440) $978.45 $1,779 0.3×
Nudt15 Gene Common Variants (81306) $134.48 $244.50 0.5×
Nzym actv blood cells/tiss radact substrate ea (82658) $715.14 $1,300.25 16.2×
Obstetric panel (80081) $362.59 $659.25 4.8×
Occult blood feces (82272)
range across 6 matching MRF lines
$21.59–$23.79 $39.25–$43.25 varies
Occult Blood Other Sources (82271) $21.59 $39.25 4.1×
Oligoclonal bands (83916) $79.48 $144.50 2.9×
Oncoprotein dcp (83951) $388.44 $706.25 6.0×
Organic acids urine (83918)
range across 4 matching MRF lines
$533.64–$773.99 $970.25–$1,407.25 varies
Osmolality serum (83930) $57.75 $105 8.7×
Osmolality Urine (83935)
range across 2 matching MRF lines
$13.48–$57.75 $24.50–$105 varies
Osmotic fragility rbc incubated (85557) $390.91 $710.75 29.3×
Osteocalcin (83937) $139.84 $254.25 4.7×
Ova and parasites smears (87177) $27.09 $49.25 3.0×
Oxalate urine (83945)
range across 2 matching MRF lines
$28.46–$45.51 $51.75–$82.75 varies
Particle Agglutination Screen Each Antibody (86403) $93.36 $169.75 8.1×
Parvovirus antibody (86747) $65.45 $119 4.4×
Path Consltj Surg Cytologic Exam Initial Site (88333) $89.51 $162.75 0.1×
Ph urine (81003) $37.81 $68.75 16.8×
Phenobarbital Level (80184)
range across 3 matching MRF lines
$94.33–$171.46 $171.50–$311.75 varies
Phenylalanine (84030)
range across 2 matching MRF lines
$8.11–$36.03 $14.75–$65.50 varies
Phenytoin (Dilantin) (80185) $171.46 $311.75 12.9×
Phenytoin free (80186) $300.16 $545.75 21.8×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$48.95–$55 $89–$100 varies
Phospholipid Neutralization Hexagonal (85598) $48.40 $88 2.7×
Phosphorus Serum (84100) $45.51 $82.75 9.6×
Phosphorus urine (84105)
range across 2 matching MRF lines
$11.41–$60.50 $20.75–$110 varies
Pinworm exam (87172) $49.50 $90 11.6×
Platelet Aggregation (85576)
range across 3 matching MRF lines
$149.46–$181.64 $271.75–$330.25 varies
Platelet Antibodies (86022)
range across 6 matching MRF lines
$82.91–$350.63 $150.75–$637.50 varies
Platelet count automated (85049) $69.44 $126.25 15.5×
Platelet neutralization (85597) $48.40 $88 2.7×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $936.51 $1,702.75 4.5×
Pneumcysts jirovecii amp prb (87594) $245.16 $445.75 7.0×
Pooling blood platelets (86965) $56.79 $103.25 0.3×
Porphyrins Urine Quantitation & Fractionation (84120) $114.13 $207.50 7.8×
Potassium Urine (84133)
range across 2 matching MRF lines
$9.35–$67.51 $17–$122.75 varies
Prealbumin (84134) $147.68 $268.50 10.1×
Pregnenolone (84140) $194.01 $352.75 9.4×
Primidone (80188) $136.13 $247.50 8.2×
Procalcitonin (Pct) (84145) $201.71 $366.75 7.4×
Prolactin (84146) $115.23 $209.50 5.9×
Prostaglandin (84150) $66.96 $121.75 1.6×
Protein body fluid (84157)
range across 3 matching MRF lines
$38.50–$61.46 $70–$111.75 varies
Protein C Activity (85303) $399.30 $726 28.9×
Protein c antigen (85302) $248.05 $451 20.7×
Protein Electrophoresis Urine (84166)
range across 2 matching MRF lines
$80.58–$187.41 $146.50–$340.75 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $28.05 $51 2.6×
Protein S Free (85306)
range across 2 matching MRF lines
$251.08–$313.09 $456.50–$569.25 varies
Protein s total (85305) $203.50 $370 17.5×
Protein total serum (84155)
range across 2 matching MRF lines
$9.63–$44.55 $17.50–$81 varies
Protein Total Urine (84156)
range across 2 matching MRF lines
$16.64–$67.65 $30.25–$123 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $52.53 $95.50 13.3×
Protoporphyrin rbc quantitative (84202) $71.78 $130.50 5.0×
Pth Intact (83970) $250.80 $456 6.1×
Quantiferon tb gold plus (86480) $244.06 $443.75 3.9×
Quantitative assay drug (80299)
range across 6 matching MRF lines
$167.48–$553.44 $304.50–$1,006.25 varies
Rbc antibody elution (86860) $297.14 $540.25 1.8×
Rbc antibody identification (86870) $616.41 $1,120.75 1.7×
Rbc antibody screen (86850)
range across 3 matching MRF lines
$73.29–$81.13 $133.25–$147.50 varies
Renin activity plasma (84244) $138.88 $252.50 6.3×
Reptilase test (85635) $164.04 $298.25 16.7×
Reticulated Platelet Assay (85055) $54.73 $99.50 1.5×
Rh (86901)
range across 5 matching MRF lines
$43.31–$80.30 $78.75–$146 varies
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$35.34–$63.11 $64.25–$114.75 varies
Rickettsia antibody (86757)
range across 5 matching MRF lines
$86.08–$186.45 $156.50–$339 varies
Rpr qualitative (86592)
range across 2 matching MRF lines
$35.75–$59.95 $65–$109 varies
Rubella Antibody (86762)
range across 2 matching MRF lines
$53.63–$93.78 $97.50–$170.50 varies
Rubeola antibody (86765)
range across 3 matching MRF lines
$101.06–$236.78 $183.75–$430.50 varies
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$34.51–$106.84 $62.75–$194.25 varies
Salicylate Level (80179) $103.54 $188.25 5.6×
Salmonella antibody (86768) $519.48 $944.50 39.4×
Sars-Cov-2 Covid-19 Amp Prb (87635) $173.11 $314.75 3.4×
Sars-cov-2 COVID-19 antibody (86769) $47.16 $85.75 1.1×
Sarscov2&inf a&b&rsv amp prb (87637) $193.33 $351.50 1.4×
Sedimentation Rate, Automated (85652) $51.29 $93.25 19.0×
Selenium (84255) $345.13 $627.50 13.5×
Sensitivity mic (87186)
range across 2 matching MRF lines
$46.61–$267.44 $84.75–$486.25 varies
Serpina 1 gene (81332) $659.73 $1,199.50 15.1×
Sickling of rbc reduction (85660) $46.75 $85 8.5×
Sirolimus (80195)
range across 2 matching MRF lines
$143.41–$214.50 $260.75–$390 varies
Skin test tuberculosis intradermal (86580) $39.60 $72 1.4×
Smear acid fast (87206)
range across 2 matching MRF lines
$53.63–$65.86 $97.50–$119.75 varies
Smear complex stain (87209) $54.73 $99.50 3.0×
Smear gram stain (87205) $34.65 $63 8.1×
Smear Special Stain (87207)
range across 3 matching MRF lines
$44.28–$53.21 $80.50–$96.75 varies
Smn1 Gene Dos/Deletion Alys (81329) $1,618.93 $2,943.50 11.8×
Smr Prim Src Wet Mount Nfct Agt (87210) $54.31 $98.75 9.3×
Sodium Serum (84295) $67.51 $122.75 14.0×
Sodium Urine (84300)
range across 2 matching MRF lines
$9.90–$67.51 $18–$122.75 varies
Soluble Transferrin Receptor (84238) $292.46 $531.75 8.0×
Somatomedin (84305) $186.86 $339.75 8.8×
Special Stains Group 1 (88312)
range across 8 matching MRF lines
$45.79–$122.38 $83.25–$222.50 varies
Special Stains Group 2 (88313)
range across 29 matching MRF lines
$22.55–$424.19 $41–$771.25 varies
Specific gravity body fluid (84315) $18.56 $33.75 5.7×
Spectrophotometry (84311)
range across 6 matching MRF lines
$68.89–$165.41 $125.25–$300.75 varies
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $109.73 $199.50 0.6×
Stem cells total count (86367) $99.96 $181.75 1.3×
Stool cultr aerobic bact ea (87046) $24.20 $44 2.6×
Strep a DNA amp probe (87651) $49.91 $90.75 1.4×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581)
range across 2 matching MRF lines
$1,112.65–$1,827.93 $2,023–$3,323.50 varies
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $177.93 $323.50 15.4×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $254.51 $462.75 46.3×
Sugars Multiple Quant (84379) $818.68 $1,488.50 71.0×
Sugars Single Qual (84376) $33 $60 6.0×
Sulfate urine (84392) $10.86 $19.75 2.0×
Surg path level iii (88304) $164.45 $299 3.2×
Surgical pathology level IV (88305)
range across 4 matching MRF lines
$181.36–$1,024.79 $329.75–$1,863.25 varies
Surgical pathology level vi (88309)
range across 2 matching MRF lines
$523.74–$603.35 $952.25–$1,097 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 2 matching MRF lines
$31.90–$32.86 $58–$59.75 varies
Susceptibility Study Antimicrobial Disk Method (87184)
range across 3 matching MRF lines
$46.20–$148.91 $84–$270.75 varies
Sweat Collection Iontophoresis (89230) $74.25 $135 1.4×
Syphilis Test Non-Trep Quant (86593) $26.95 $49 6.1×
T cells total count (86359)
range across 11 matching MRF lines
$44.14–$76.86 $80.25–$139.75 varies
T3 Free (84481) $397.79 $723.25 23.5×
T3 reverse (84482) $131.45 $239 8.3×
T3 Total (84480) $179.16 $325.75 12.6×
T3 Uptake (84479) $41.94 $76.25 6.5×
T4 Free (84439)
range across 2 matching MRF lines
$101.34–$195.39 $184.25–$355.25 varies
T4 total (84436) $94.33 $171.50 13.7×
Tacrolimus (80197)
range across 2 matching MRF lines
$124.85–$184.66 $227–$335.75 varies
Testosterone total (84403)
range across 3 matching MRF lines
$167.75–$202.40 $305–$368 varies
Testosterone, Free (84402) $203.91 $370.75 8.0×
Tetanus antibody (86774) $281.60 $512 19.0×
Theophylline (80198) $138.60 $252 9.8×
Thiopurine methyltransferase (84433) $568.98 $1,034.50 25.7×
Thrombin Time (85670)
range across 2 matching MRF lines
$42.90–$76.86 $78–$139.75 varies
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $52.53 $95.50 8.1×
Thyroglobulin (84432)
range across 2 matching MRF lines
$17.05–$167.20 $31–$304 varies
Thyroglobulin Antibody (86800) $20.35 $37 1.3×
Thyroid Stimulating Immunoglobulin (84445) $436.01 $792.75 8.6×
Thyroxine binding globulin (84442) $241.45 $439 16.3×
Tiss cul neo disorders solid tumor (88239) $296.18 $538.50 2.0×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 2 matching MRF lines
$108.35–$124.85 $197–$227 varies
Tissue Culture (88233)
range across 3 matching MRF lines
$442.48–$1,204.78 $804.50–$2,190.50 varies
Tissue Culture Amniotic Fluid (88235)
range across 4 matching MRF lines
$386.79–$450.59 $703.25–$819.25 varies
Tissue culture bone marrow (88237) $296.18 $538.50 2.1×
Tissue Culture Lymphocyte (88230)
range across 6 matching MRF lines
$131.18–$264.55 $238.50–$481 varies
Tobramycin peak (80200) $138.60 $252 8.6×
Topiramate (80201) $124.44 $226.25 10.4×
Toxoplasma ab igm (86778) $34.65 $63 2.4×
Toxoplasma antibody (86777) $39.19 $71.25 2.7×
Tpmt gene com variants (81335) $189.34 $344.25 1.1×
Transferase Aspartate Amino Ast Sgot (84450) $57.61 $104.75 11.1×
Transferrin (84466) $187.69 $341.25 14.7×
Trichinella Antibody (86784) $162.80 $296 13.0×
Trichomonas Vaginalis Amplif (87661) $113.71 $206.75 3.2×
Triglycerides (84478) $67.51 $122.75 11.8×
Troponin Quant (84484) $80.03 $145.50 6.4×
Tumor Immunohistochem/Manual (88360) $201.44 $366.25 1.2×
Unlisted Transfusion Medicine Procedure (86999)
range across 9 matching MRF lines
$18.01–$600.88 $32.75–$1,092.50 varies
Urea nitrogen urine (84540) $11 $20 2.0×
Uric acid other source (84560) $10.04 $18.25 2.0×
Urinalysis Microscopic Only (81015) $27.09 $49.25 8.9×
Urine Bacteria Culture (87088) $46.06 $83.75 5.7×
Urine Pregnancy Test (81025)
range across 6 matching MRF lines
$58.99–$64.90 $107.25–$118 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 5 matching MRF lines
$40.15–$54.18 $73–$98.50 varies
Valproic acid (80164) $181.64 $330.25 13.4×
Vancomycin (80202) $147.68 $268.50 10.9×
Varicella-zoster antibody (86787)
range across 2 matching MRF lines
$162.25–$190.71 $295–$346.75 varies
Vasopressin (84588) $150.43 $273.50 4.4×
Very Long Chain Fatty Acids (82726) $438.63 $797.50 22.2×
Viral Culture (87252) $179.03 $325.50 6.9×
Virus antibody nos (86790)
range across 7 matching MRF lines
$47.99–$208.04 $87.25–$378.25 varies
Virus inoculate tissue addl (87253)
range across 2 matching MRF lines
$116.19–$405.21 $211.25–$736.75 varies
Virus inoculation, shell via (87254)
range across 2 matching MRF lines
$47.03–$54.31 $85.50–$98.75 varies
Vit D 1 25-Dihydroxy (82652) $432.03 $785.50 11.2×
Vitamin A (84590) $200.34 $364.25 17.3×
Vitamin b-12 (82607) $129.66 $235.75 8.6×
Vitamin B2 (Riboflavin) (84252) $271.01 $492.75 13.4×
Vitamin B6 (84207) $369.74 $672.25 13.2×
Vitamin c (82180) $170.23 $309.50 17.2×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$194.70–$373.31 $354–$678.75 varies
Vitamin E (84446) $200.34 $364.25 14.1×
Volume Reduction Blood/Blood Product Each Unit (86960) $106.70 $194 0.6×
Von willebrand factor ag (85246)
range across 4 matching MRF lines
$232.10–$482.35 $422–$877 varies
West nile virus ab igm (86788)
range across 4 matching MRF lines
$79.20–$145.48 $144–$264.50 varies
West Nile Virus Antibody (86789) $196.35 $357 13.6×
Whole Mitochondrial Genome (81460) $978.45 $1,779 0.8×
Whole mitochondrial genome analysis panel (81465) $978.45 $1,779 1.0×
Zinc (84630) $162.94 $296.25 14.3×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.