Lab & pathology prices at Childrens Medical Center Plano

Plano, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $317.25 $423 13.9×
5 Nucleotidase (83915) $235.50 $314 21.1×
Abl1 gene analysis kinase domain variants (81170) $2,151 $2,868 7.2×
Acetylcholine receptor binding antibody (86041) $61.50 $82 3.3×
Acetylcholine receptor blocking antibody (86042) $68.25 $91 3.7×
Acetylcholn Rcptr Modlg Antb (86043) $78.75 $105 6.5×
Acth (82024) $375.75 $501 9.7×
Acth Stimulation Panel Adrenal Insufficiency (80400) $47.25 $63 1.4×
Acute hepatitis panel (80074) $261.75 $349 5.5×
Acylcarnitines Quant (82017)
range across 2 matching MRF lines
$699–$745.50 $932–$994 varies
Adenovirus antibody (86603) $263.25 $351 20.5×
Albumin Fluid (82042) $91.50 $122 11.8×
Albumin serum (82040)
range across 2 matching MRF lines
$111–$126.75 $148–$169 varies
Aldolase (82085) $80.25 $107 8.3×
Aldosterone urine (82088)
range across 2 matching MRF lines
$221.25–$281.25 $295–$375 varies
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines
$53.25–$126.75 $71–$169 varies
Allergen specific ige (86003) $34.50 $46 6.6×
Allg Spec Ige Recomb Ea (86008) $84 $112 4.7×
Alpha-1-antitrypsin phenotype (82104) $141 $188 9.8×
Alpha-1-antitrypsin total (82103) $153 $204 11.4×
Alpha-Fetoprotein Serum (82105) $257.25 $343 15.3×
Alt (sgpt) (84460) $126.75 $169 23.9×
Aluminum (82108) $249 $332 9.8×
Amikacin trough (80150) $125.25 $167 8.3×
Amino Acids 1 Quantitative Each Specimen (82131) $585 $780 25.5×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 2 matching MRF lines
$510–$585 $680–$780 varies
Amino Acids Quant 2-5 (82136)
range across 2 matching MRF lines
$510–$585 $680–$780 varies
Aminolevulinic acid (ala) (82135)
range across 2 matching MRF lines
$96–$435 $128–$580 varies
Ammonia (82140) $186.75 $249 12.8×
Amylase urine (82150)
range across 2 matching MRF lines
$93–$213.75 $124–$285 varies
Ana Titer (86039) $245.25 $327 22.0×
Androstenedione (82157)
range across 3 matching MRF lines
$540–$977.25 $720–$1,303 varies
Angiotensin converting enzyme csf (82164) $157.50 $210 10.8×
Anti-Phospholipid Antibody (86148) $160.50 $214 10.0×
Antibody aspergillus (86606)
range across 2 matching MRF lines
$155.25–$211.50 $207–$282 varies
Antibody Bacterium Not Elsewhere Specified (86609) $727.50 $970 56.5×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $167.25 $223 10.8×
Antibody Cytomegalovirus Cmv Igm (86645) $279.75 $373 16.6×
Antibody Encephalitis California La Crosse (86651) $36 $48 2.7×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $213.75 $285 16.3×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $61.50 $82 4.0×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $155.25 $207 8.6×
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 2 matching MRF lines
$37.50–$155.25 $50–$207 varies
Antibody Herpes Smplx Type 1 (86695) $106.50 $142 8.1×
Antibody HIV-1&HIV-2 single result (86703)
range across 3 matching MRF lines
$171–$906 $228–$1,208 varies
Antibody HIV-2 (86702) $151.50 $202 11.2×
Antibody Hla Class I High Definition Panel Qual (86832) $1,689.75 $2,253 5.2×
Antibody Hla Class II Phenotype Panel Qual (86831) $270.75 $361 3.3×
Antibody htlv/HIV antibody confirmatory test (86689) $285 $380 14.7×
Antibody identification leukocyte antibodies (86021) $708 $944 47.0×
Antibody john cunningham virus (86711) $1,596 $2,128 94.5×
Antibody leishmania (86717) $444 $592 36.2×
Antibody Protozoa Nes (86753)
range across 3 matching MRF lines
$100.50–$193.50 $134–$258 varies
Antibody Titer (86886) $267 $356 51.5×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$257.25–$279.75 $343–$373 varies
Antibody; encephalitis, st. louis (86653) $444 $592 33.7×
Antibody; influenza virus (86710) $474.75 $633 35.0×
Antigen typing (86905) $126.75 $169 33.1×
Antinuclear antibodies (86038) $226.50 $302 18.7×
Antistreptolysin o titer (86060) $48.75 $65 6.7×
Antithrombin iii activity (85300) $299.25 $399 25.3×
Antithrombin iii antigen (85301) $162.75 $217 15.1×
Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) $1,930.50 $2,574 3.8×
Apolipoprotein a1 (82172)
range across 3 matching MRF lines
$142.50–$188.25 $190–$251 varies
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $547.50 $730 14.5×
Aquaporin-4 Antb Cba Each (86052) $44.25 $59 3.7×
Arsenic (82175)
range across 3 matching MRF lines
$72.75–$122.25 $97–$163 varies
Aspa gene analysis common variants (81200) $1,587.75 $2,117 33.6×
Aspergillus ag eia (87305) $498.75 $665 41.6×
Assay activated protein c (85307) $148.50 $198 9.7×
Assay Blood Carbon Dioxide (82374) $119.25 $159 24.4×
Assay Dir Meas Fr Estradiol (82681) $307.50 $410 11.0×
Assay Nephelometry Not Spec (83883) $113.25 $151 8.3×
Assay of 5-hiaa (83497) $269.25 $359 20.9×
Assay of anti-mullerian hormone (82166) $127.50 $170 3.3×
Assay of b-hexosaminidase each assay (83080) $347.25 $463 20.6×
Assay of blood/uric acid (84550) $146.25 $195 32.4×
Assay of calcium in urine (82340) $100.50 $134 16.7×
Assay of corticosterone (82528) $540 $720 24.0×
Assay of cpk in blood (82552) $279.75 $373 20.9×
Assay of estrone (82679) $267 $356 10.7×
Assay of g6pd enzyme (82955) $247.50 $330 25.5×
Assay of gammaglobulin igm (82784)
range across 2 matching MRF lines
$198.75–$247.50 $265–$330 varies
Assay of lactic acid (83605)
range across 4 matching MRF lines
$37.50–$215.25 $50–$287 varies
Assay of manganese (83785) $289.50 $386 10.9×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$180–$201.75 $240–$269 varies
Assay of phosphatase acid total (84060) $204.75 $273 26.8×
Assay of proinsulin (84206) $281.25 $375 10.5×
Assay of pyruvate (84210) $276 $368 19.1×
Assay of serotonin (84260) $344.25 $459 11.1×
Assay of serum potassium (84132) $128.25 $171 26.9×
Assay of sweat sodium (84302)
range across 2 matching MRF lines
$18–$131.25 $24–$175 varies
Assay of urea nitrogen (84520) $128.25 $171 32.5×
Assay of urine vma (84585) $167.25 $223 10.8×
Assay of vasoactive intestinal peptide (84586) $782.25 $1,043 22.1×
Assay of vitamin b-1 (84425) $81 $108 3.8×
Assay Ph Body Fluid Nos (83986) $68.25 $91 19.1×
Assay Phosphohexose Enzymes (84087) $376.50 $502 35.1×
Asy carbamazepin 10,11-epxid (80161) $162.75 $217 8.7×
Autol Bld/Component Collj Storage Predeposited (86890) $235.50 $314 1.4×
B cells total count (86355)
range across 3 matching MRF lines
$211.50–$351 $282–$468 varies
Bartonella antibody (86611)
range across 2 matching MRF lines
$102.75–$104.25 $137–$139 varies
Bcr/abl1 gene major bp (81206) $892.50 $1,190 5.4×
Bcr/abl1 gene minor bp (81207) $823.50 $1,098 5.7×
Beta 2 glycoprotein i antibody each (86146) $141 $188 5.5×
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines
$131.25–$466.50 $175–$622 varies
Beta Lactamase (87185)
range across 2 matching MRF lines
$51–$64.50 $68–$86 varies
Beta-2 Microglobulin (82232) $151.50 $202 9.4×
Bile acids total (82239) $183.75 $245 10.7×
Bilirubin direct (82248) $119.25 $159 23.8×
Bilirubin total (82247) $126.75 $169 25.2×
Biotinidase (82261) $333 $444 19.7×
Bl Smear W/O Diff Wbc Count (85008) $36 $48 10.5×
Blastomyces antibody (86612) $82.50 $110 6.4×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $68.25 $91 0.4×
Blm Gene (81209) $157.50 $210 4.0×
Blood Count Manual Cell Count Each (85032) $135 $180 31.3×
Blood count reticulocyte automated (85045) $91.50 $122 22.9×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 2 matching MRF lines
$64.50–$72.75 $86–$97 varies
Blood gas (82803)
range across 3 matching MRF lines
$427.50–$456.75 $570–$609 varies
Blood Type Antigen Donor Reagent Serum Each (86902) $423.75 $565 66.7×
Blood typing serologic abo (86900)
range across 2 matching MRF lines
$87–$155.25 $116–$207 varies
Body fluid cell count (89050) $162.75 $217 34.5×
Bone marrow smear interpretation (85097) $329.25 $439 0.4×
Bordetella antibody (86615) $159 $212 12.1×
Braf gene analysis (81210) $513 $684 2.9×
Brca1&2 gen full seq dup/del (81162) $6,036 $8,048 3.3×
Brucella antibody (86622)
range across 2 matching MRF lines
$50.25–$221.25 $67–$295 varies
C diff amplified probe (87493) $407.25 $543 10.9×
C-Peptide (84681) $223.50 $298 10.7×
C-reactive protein (86140) $100.50 $134 19.4×
Ca 19-9 (86301) $211.50 $282 10.2×
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) $3,573 $4,764 4.2×
Cadmium (82300)
range across 2 matching MRF lines
$88.50–$91.50 $118–$122 varies
Caffeine (80155) $195 $260 5.1×
Calcitonin (82308) $177 $236 6.6×
Calcium ionized (82330) $221.25 $295 16.2×
Calcium total (82310) $126.75 $169 24.6×
Calculus Spectroscopy (82365) $144.75 $193 11.2×
Calprotectin Fecal (83993) $900 $1,200 45.8×
Cancer Antigen 125 (86304) $219 $292 10.5×
Candida antibody (86628) $263.25 $351 21.9×
Car Ion Chnnlpath Inc 10 Gns (81413) $2,239.50 $2,986 3.8×
Car Ion Chnnlpath Inc 2 Gns (81414) $2,239.50 $2,986 3.8×
Carbamazepine free (80157) $162.75 $217 12.3×
Carbamazepine total (80156)
range across 2 matching MRF lines
$198.75–$249 $265–$332 varies
Carbohydrate Deficient Transferrin (82373) $351.75 $469 19.5×
Carboxyhemoglobin (82375)
range across 2 matching MRF lines
$93–$96.75 $124–$129 varies
Carcinoembryonic antigen (82378) $255 $340 13.4×
Cardiolipin ab iga (86147) $148.50 $198 5.8×
Carnitine Quantitative Each Specimen (82379)
range across 2 matching MRF lines
$708–$946.50 $944–$1,262 varies
Carotene (82380) $137.25 $183 14.9×
Catecholamines fractionated (82384) $257.25 $343 10.2×
Ccp antibody (86200) $138.75 $185 10.7×
Cell count csf (89051)
range across 3 matching MRF lines
$192–$197.25 $256–$263 varies
Cellular Function Assay Stimul&Detect Biomarke (86352)
range across 2 matching MRF lines
$294–$1,159.50 $392–$1,546 varies
Ceruloplasmin (82390) $160.50 $214 14.9×
Cftr gene com variants (81220) $816.75 $1,089 1.5×
Cftr gene dup/delet variants (81222) $1,441.50 $1,922 3.3×
Cftr gene full sequence (81223)
range across 3 matching MRF lines
$1,359–$2,643.75 $1,812–$3,525 varies
Chemiluminescent assay (82397)
range across 3 matching MRF lines
$151.50–$996.75 $202–$1,329 varies
Chimerism w/comp to baseline w/o cell selection (81267) $10,264.50 $13,686 49.5×
Chlamydia antibody (86631)
range across 2 matching MRF lines
$197.25–$351 $263–$468 varies
Chlamydia Igm Antibody (86632) $197.25 $263 15.6×
Chlamydia trachomatis ag if (87270) $151.50 $202 12.6×
Chloride other source (82438)
range across 3 matching MRF lines
$24–$381.75 $32–$509 varies
Chloride Serum (82435)
range across 2 matching MRF lines
$72.75–$119.25 $97–$159 varies
Chloride urine (82436) $88.50 $118 15.4×
Cholesterol total (82465) $51 $68 11.7×
Cholinesterase rbc (82482) $724.50 $966 73.9×
Chorionic gonadotropin test (84702) $281.25 $375 18.7×
Chrmsm Breakage Synds Score 100 Cll (88249) $6,267.75 $8,357 36.2×
Chromium serum (82495) $241.50 $322 11.9×
Chromogranin a (86316) $223.50 $298 10.7×
Chromosome Analysis 15-20 (88262) $957.75 $1,277 7.6×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$261.75–$279.75 $349–$373 varies
Citric acid urine (82507) $211.50 $282 7.6×
Ckmb (82553) $285 $380 24.7×
Clostridium Difficile (87324) $255 $340 21.3×
Clot Factor VIII Multimetric (85247) $313.50 $418 13.7×
Clotting factor xii hageman (85280) $579 $772 29.9×
Clotting Funct Activity (85397) $739.50 $986 24.0×
Cns DNA amp probe type 12-25 (87483) $888.75 $1,185 2.1×
Coagulation time activated (85347)
range across 2 matching MRF lines
$122.25–$193.50 $163–$258 varies
Coccidioides antibody (86635) $72.75 $97 6.3×
Cold agglutinin titer (86157) $175.50 $234 21.8×
Collagen crosslinks (82523) $237 $316 12.7×
Column Chromotography Quant (82542)
range across 7 matching MRF lines
$110.25–$1,332 $147–$1,776 varies
Comparative Anal Str Markers Patient&Comp Spec (81265) $677.25 $903 2.9×
Compatibility test antiglob (86922) $315.75 $421 1.8×
Complement Antigen Each Component (86160) $203.25 $271 16.9×
Complement Total (Ch50) (86162)
range across 3 matching MRF lines
$132.75–$245.25 $177–$327 varies
Complement/Function Activity (86161)
range across 5 matching MRF lines
$63–$786 $84–$1,048 varies
Consltj&Reprt Material Requiring Prepj Slides (88323) $159 $212 3.0×
Coombs direct (86880) $155.25 $207 28.8×
Copper urine (82525) $135 $180 10.9×
Cortisol free (82530) $240 $320 14.4×
Cortisol saliva (82533)
range across 2 matching MRF lines
$211.50–$221.25 $282–$295 varies
Creatine (82540) $185.25 $247 39.9×
Creatine kinase total (82550) $295.50 $394 45.4×
Creatinine blood (82565)
range across 2 matching MRF lines
$126.75–$168.75 $169–$225 varies
Creatinine Urine (82570)
range across 7 matching MRF lines
$119.25–$492.75 $159–$657 varies
Crossmatch electronic (86923) $144.75 $193 0.8×
Crossmatch immediate spin (86920) $287.25 $383 1.7×
Crp High Sensitivity (86141) $126.75 $169 9.8×
Cryofibrinogen (82585) $54 $72 3.8×
Cryoglobulin (82595) $102.75 $137 15.9×
Cryptococcal Antigen (87327) $94.50 $126 7.0×
Cryptococcus ag titer (87899) $82.50 $110 5.1×
Cryptosporidium ag eia (87328) $171 $228 12.4×
CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Facility (81189) $1,161 $1,548 4.2×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 4 matching MRF lines
$148.50–$299.25 $198–$399 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $192 $256 23.8×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $460.50 $614 2.1×
Culture afb (87116)
range across 2 matching MRF lines
$96–$466.50 $128–$622 varies
Culture Anaerobic (87075) $708 $944 74.8×
Culture blood (87040) $445.50 $594 43.2×
Culture chlamydia (87110) $180 $240 9.2×
Culture csf (87070)
range across 13 matching MRF lines
$297.75–$830.25 $397–$1,107 varies
Culture fungus (87102) $462 $616 54.9×
Culture fungus blood (87103) $183.75 $245 9.0×
Culture screen only (87081)
range across 4 matching MRF lines
$104.25–$283.50 $139–$378 varies
Culture stool (87045) $276 $368 29.2×
Culture typing if ea antiserum (87140) $208.50 $278 37.4×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $263.25 $351 50.8×
Culture typing other methods (87158) $195.75 $261 25.3×
Culture urine (87086) $315.75 $421 39.1×
Cyanide (82600) $468 $624 24.1×
Cyclic amp (82030) $368.25 $491 14.3×
Cyclosporine (80158) $534.75 $713 29.6×
Cyp2d6 gene com variants (81226) $1,644 $2,192 3.6×
Cyp3a4 gene common variants (81230) $578.25 $771 3.3×
Cyp3a5 gene common variants (81231) $578.25 $771 3.3×
Cystatin C (82610) $116.25 $155 6.3×
Cytogenetics 10-30 (88273) $744 $992 21.4×
Cytogenetics 100-300 (88275)
range across 3 matching MRF lines
$345.75–$463.50 $461–$618 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 3 matching MRF lines
$2,127.75–$4,980.75 $2,837–$6,641 varies
Cytogenomic neo microra alys (81277) $3,654 $4,872 3.2×
Cytomegalovirus igg (86644) $155.25 $207 10.8×
Cytotoxic Antibody Screen Std (86807) $495 $660 6.3×
Cytotoxic pra quick (86808) $2,591.25 $3,455 87.3×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $231.75 $309 8.7×
Cytp Concentration Smears & Interpretation (88108) $235.50 $314 6.3×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $351 $468 6.7×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $315.75 $421 1.8×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $217.50 $290 5.8×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $168.75 $225 5.8×
Deoxycortisol (82634)
range across 2 matching MRF lines
$357.75–$565.50 $477–$754 varies
Deoxyribonuclease antibody (86215) $185.25 $247 14.0×
Desoxycorticosterone (82633) $120 $160 3.9×
Detect Agent Nos Dna Amp (87798)
range across 10 matching MRF lines
$125.25–$1,732.50 $167–$2,310 varies
Detect Agent Nos Dna Quant (87799)
range across 3 matching MRF lines
$460.50–$828 $614–$1,104 varies
Detect agnt mult DNA ampli (87801)
range across 2 matching MRF lines
$733.50–$1,575 $978–$2,100 varies
Dhea (82626) $265.50 $354 10.5×
Dhea-S (82627) $265.50 $354 11.9×
Digoxin (80162) $226.50 $302 17.1×
Dihydrotestosterone (82642) $106.50 $142 3.6×
Dipropylacetic Acid Free (80165) $56.25 $75 4.2×
Dmd Duplication/Deletion Analysis (81161) $398.25 $531 1.4×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines
$116.25–$204.75 $155–$273 varies
Dna Antibody Single Stranded (86226) $217.50 $290 18.0×
Dna/Rna Amplified Probe (87150) $1,147.50 $1,530 32.7×
DNA/RNA direct probe (87149) $460.50 $614 23.0×
Drug assay acetaminophen (80143) $235.50 $314 12.6×
Drug assay adalimumab (80145) $596.25 $795 15.5×
Drug Assay Amiodarone (80151) $155.25 $207 8.3×
Drug Assay Everolimus (80169) $326.25 $435 23.8×
Drug assay felbamate (80167) $223.50 $298 12.0×
Drug Assay Infliximab (80230) $596.25 $795 15.5×
Drug Assay Itraconazole (80189) $252 $336 9.3×
Drug Assay Lacosamide (80235) $301.50 $402 11.1×
Drug Assay Leflunomide (80193) $144 $192 3.7×
Drug Assay Posaconazole (80187) $195 $260 7.2×
Drug Assay Vedolizumab (80280) $1,257 $1,676 32.6×
Drug assay voriconazole (80285) $155.25 $207 5.7×
Drug Screen Quant Clozapine (80159) $223.50 $298 11.1×
Drug Screen Quant Zonisamide (80203) $155.25 $207 11.7×
Drug Screen Quantitative Lamotrigine (80175) $188.25 $251 14.2×
Drug Screen Quantitative Levetiracetam (80177) $155.25 $207 11.7×
Drug Screen Quantitative Oxcarbazepine (80183) $155.25 $207 11.7×
Drug Screen Quantitative Procainamide Metabolite (80192) $383.25 $511 22.9×
Drug Test Prsmv Chem Anlyzr (80307)
range across 4 matching MRF lines
$235.50–$478.50 $314–$638 varies
Drug Test Prsmv Dir Opt Obs (80305) $64.50 $86 5.1×
Ehrlichia antibody (86666) $531 $708 52.2×
El-1 Fecal Quantitative (82653) $138.75 $185 6.0×
Electrolyte panel (80051) $333 $444 47.5×
Electron Microscopy (88348)
range across 3 matching MRF lines
$78.75–$1,422.75 $105–$1,897 varies
Electrophoretic Test - Immunofixation Electrophoresis (82664) $213.75 $285 3.5×
Encephaltis East Eqne Anbdy (86652) $36 $48 2.7×
Encephaltis West Eqne Antbdy (86654) $36 $48 2.7×
Enterovirus Antibody (86658)
range across 2 matching MRF lines
$339.75–$769.50 $453–$1,026 varies
Enterovirus PCR (87498)
range across 3 matching MRF lines
$727.50–$835.50 $970–$1,114 varies
Enzyme cell activity (82657)
range across 5 matching MRF lines
$84.75–$1,508.25 $113–$2,011 varies
Enzyme histochemistry (88319) $195 $260 0.2×
Eosinophil Smear (89190) $137.25 $183 23.7×
Epilepsy Genomic Sequence Analysis Panel (81419) $9,375 $12,500 3.8×
Erythropoietin (82668) $197.25 $263 10.5×
Estradiol serum (82670) $211.50 $282 7.6×
Estrogen total (82672) $297.75 $397 13.7×
Estrogens fractionated (82671) $297.75 $397 9.2×
Ethosuximide (80168) $257.25 $343 15.7×
Ethylene Glycol (82693) $605.25 $807 40.6×
Euglobulin lysis (85360) $184.50 $246 21.9×
Exam Synovial Fluid Crystals (89060) $135 $180 18.4×
Exome Re-Evaluation (81417) $1,167 $1,556 3.6×
Exome Sequence Analysis (81415) $4,306.50 $5,742 0.9×
Exome sequence analysis each comparator exome (81416)
unusually low: confirm this is the full procedure
$5,553 $7,404 0.5×
Ezh2 gene analysis full gene sequence (81236) $1,083.75 $1,445 3.8×
F2 Gene (81240) $295.50 $394 4.5×
Factor ii activity (85210) $540.75 $721 41.7×
Factor Inhibitor Test (85335)
range across 2 matching MRF lines
$433.50–$670.50 $578–$894 varies
Factor ix activity (85250) $495 $660 26.0×
Factor v activity (85220) $531 $708 30.1×
Factor v leiden mutation (81241) $450.75 $601 6.1×
Factor vii assay (85230) $531 $708 29.7×
Factor viii assay (85240)
range across 2 matching MRF lines
$255–$399.75 $340–$533 varies
Factor X (85260) $531 $708 29.7×
Factor xi activity (85270) $531 $708 29.7×
Factor xiii screen (85291) $495 $660 54.3×
Fat/Lipids Feces Quantitative (82710)
range across 2 matching MRF lines
$217.50–$500.25 $290–$667 varies
Fatty acids free (82725) $423.75 $565 22.6×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $327.75 $437 42.5×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $121.50 $162 7.1×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $399.75 $533 61.2×
Ferritin (82728) $146.25 $195 10.7×
Fibrin Degradation Quant (85379) $213.75 $285 21.0×
Fibrinogen activity (85384) $197.25 $263 20.3×
Fibrinogen antigen (85385) $414.75 $553 28.7×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390)
range across 3 matching MRF lines
$1.50–$204.75 $2–$273 varies
Flecainide level (80181) $155.25 $207 8.3×
Flow cytometry first marker (88184)
range across 5 matching MRF lines
$151.50–$1,114.50 $202–$1,486 varies
Flt3 Gene (81245) $633.75 $845 3.8×
Fluorescent antibody screen (86255)
range across 5 matching MRF lines
$201.75–$4,200.75 $269–$5,601 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 7 matching MRF lines
$102.75–$642.75 $137–$857 varies
Fmr1 Gene Charac Alleles (81244) $1,413 $1,884 31.5×
Fmr1 gene detection (81243)
range across 2 matching MRF lines
$280.50–$420 $374–$560 varies
Folic acid rbc (82747) $137.25 $183 7.8×
Folic Acid Serum (82746) $106.50 $142 7.2×
Follicle Stimulating Hormone (83001) $198.75 $265 10.7×
Francisella tularensis (86668) $87 $116 6.1×
Frozen Section (88331) $561 $748 3.3×
Fungi Identification Mold (87107) $148.50 $198 14.4×
Fungi Identification Yeast (87106) $120.75 $161 11.7×
Galactose (82760) $190.50 $254 17.0×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $605.25 $807 28.7×
Gammaglobulin ige (82785)
range across 3 matching MRF lines
$63–$177 $84–$236 varies
Gases Blood O2 Saturation Only Direct Meas (82810) $111 $148 11.4×
Gastrin (82941) $192 $256 10.9×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,135.50 $1,514 2.7×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455)
range across 2 matching MRF lines
$5,098.50–$9,656.25 $6,798–$12,875 varies
Genetic Tstg Severe Inh Cond (81443) $5,288.25 $7,051 2.2×
Gentamicin (80170) $144.75 $193 8.8×
Ggt (82977) $159 $212 22.1×
Giardia antigen (87329) $178.50 $238 14.9×
Gjb2 Gene Analysis Full Gene Sequence (81252)
range across 2 matching MRF lines
$1,026.75–$3,825 $1,369–$5,100 varies
Gjb6 Gene Analysis Common Variants (81254) $1,752.75 $2,337 50.1×
Gluc-6-phosphate dehydrogenase screen (82960) $87 $116 14.4×
Glucagon (82943) $326.25 $435 22.8×
Glucose body fluid (82945) $151.50 $202 38.5×
Glucose Serum (82947)
range across 2 matching MRF lines
$71.25–$100.50 $95–$134 varies
Glucose tolerance test (gtt) (82951) $160.50 $214 12.5×
Glucosidase beta (82963) $782.25 $1,043 36.4×
Glutathione (82978) $381.75 $509 24.7×
Gonadotropin Chorionic Qualitative (84703) $279.75 $373 37.2×
Growth hormone (83003)
range across 2 matching MRF lines
$155.25–$193.50 $207–$258 varies
Gtt-added samples (82952) $178.50 $238 45.5×
H Pylori (C-13) Breath (83013)
range across 2 matching MRF lines
$137.25–$170.25 $183–$227 varies
H Pylori Drug Admin (83014) $78.75 $105 10.0×
Haptoglobin (83010) $223.50 $298 17.8×
Hba1/hba2 full gene sequence (81259) $1,342.50 $1,790 2.2×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $1,239 $1,652 6.1×
Hbb duplication/deletion variants (81363) $1,505.25 $2,007 7.4×
Hbb Full Gene Sequence (81364)
range across 2 matching MRF lines
$825.75–$1,389 $1,101–$1,852 varies
Hbb Gene Com Variants (81361) $1,218.75 $1,625 7.0×
Hdl Cholesterol (83718) $75 $100 9.2×
Hearing Loss Genomic Sequence Analysis 60 Genes (81430) $6,221.25 $8,295 3.8×
Helicobacter Pylori Stool (87338) $396.75 $529 27.6×
Helminth Antibody (86682)
range across 2 matching MRF lines
$55.50–$255 $74–$340 varies
Hematocrit (85014) $68.25 $91 28.8×
Hemoglobin (85018) $68.25 $91 28.8×
Hemoglobin a1c (83036) $186.75 $249 19.2×
Hemoglobin Chromotography (83021)
range across 2 matching MRF lines
$69–$213.75 $92–$285 varies
Hemoglobin electrophoresis (83020)
range across 2 matching MRF lines
$61.50–$138.75 $82–$185 varies
Hemoglobin Methemoglobin Quantitative (83050)
range across 2 matching MRF lines
$93–$108.75 $124–$145 varies
Hemoglobin plasma (83051) $357.75 $477 48.9×
Hemoglobin stability screen (83068) $142.50 $190 15.0×
Hemoglobin-Oxygen Affinity (82820) $2,374.50 $3,166 178.0×
Hemolysins&Agglutinins Auto Screen Each (86940) $72.75 $97 8.3×
Hep a ab igm (86709)
range across 2 matching MRF lines
$40.50–$159 $54–$212 varies
Heparin assay (85520) $148.50 $198 11.3×
Heparin Neutralization (85525) $114.75 $153 9.7×
Hepatitis a antibody total (86708) $226.50 $302 18.3×
Hepatitis b core ab igm (86705)
range across 2 matching MRF lines
$80.25–$171 $107–$228 varies
Hepatitis b core ab total (86704) $131.25 $175 10.9×
Hepatitis B Surface Antibody (86706) $151.50 $202 14.1×
Hepatitis B Surface Antigen (87340) $192 $256 18.6×
Hepatitis Be Antibody (86707) $96.75 $129 8.4×
Hepatitis Be Antigen (87350) $96.75 $129 8.4×
Hepatitis C Antibody (86803) $167.25 $223 11.7×
Hepatitis c antibody confirmatory test (86804) $360.75 $481 23.3×
Hepatitis C Genotype (87902) $390 $520 1.5×
Hepatitis C Revrs Trnscrpj (87522) $547.50 $730 12.8×
Hepatitis Delta Agent Antibody (86692) $180 $240 10.5×
Herpes simplex type 2 (86696) $88.50 $118 4.6×
Heterophile Antibody Screen (86308) $177 $236 34.2×
Hgb Quantitative Transcutaneous (88738) $153 $204 30.5×
Histamine urine (83088) $405.75 $541 13.7×
Histoplasma antibody (86698) $155.25 $207 11.3×
Histoplasma antigen urine (87385) $409.50 $546 30.9×
Hiv Genotype (87901) $959.25 $1,279 3.7×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $241.50 $322 10.0×
Hiv-1 Antibody (86701) $151.50 $202 17.0×
Hiv-1 Quant&Revrse Trnscrpj (87536) $433.50 $578 5.1×
HIV-2 probe&revrse trnscripj (87538) $1,197 $1,596 34.1×
Hla class i&ii antibody qual (86828) $1,499.25 $1,999 23.4×
Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370)
range across 2 matching MRF lines
$2,629.50–$3,212.25 $3,506–$4,283 varies
Hla class i/ii antibody qual (86829) $474.75 $633 7.4×
Hla class ii high defin qual (86833) $668.25 $891 2.1×
Hla class ii typing high resolution one locus ea (81382) $831.75 $1,109 6.7×
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $510 $680 4.7×
Hla I Typing 1 Allele Hr (81381) $607.50 $810 3.6×
Hla i&ii high resolution hla-a -b -c and -drb1 (81378) $3,210.75 $4,281 9.3×
Hla ii typing 1 allele hr (81383)
range across 2 matching MRF lines
$281.25–$670.50 $375–$894 varies
Hla ii typing 1 locus lr (81376)
range across 2 matching MRF lines
$281.25–$672.75 $375–$897 varies
Hla Typing a/B/C Multiple Antigens (86813) $967.50 $1,290 16.7×
Hla Typing Dr/Dq Multiple Antigens (86817)
range across 4 matching MRF lines
$782.25–$4,101.75 $1,043–$5,469 varies
Hla-b27 (86812) $582.75 $777 22.6×
Homocysteine (83090) $245.25 $327 13.7×
Homovanillic acid urine (83150) $265.50 $354 11.8×
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines
$265.50–$447.75 $354–$597 varies
Hydroxycorticosteroids 17 (83491) $778.50 $1,038 43.5×
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines
$241.50–$341.25 $322–$455 varies
Iaad Ia Hepatitis B Surface Ag Neutralization (87341)
range across 2 matching MRF lines
$148.50–$233.25 $198–$311 varies
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $289.50 $386 20.8×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $84.75 $113 2.4×
Iaad ia shiga-like toxin (87427) $32.25 $43 2.7×
Iaad Ia Streptococcus Group A (87430) $64.50 $86 3.8×
Iaadi herpes smplx virus type 1 (87274) $132.75 $177 11.1×
Iaadi inffluenza a virus (87276) $141 $188 8.8×
Iaadi parainfluenza virus each type (87279) $137.25 $183 8.4×
Iaadi pneumocustis carinii (87281) $319.50 $426 26.7×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $221.25 $295 18.5×
Iaadi Varicella Zoster Virus (87290) $402 $536 30.0×
Iaadiadoo trichomonas vaginalis (87808) $87 $116 5.7×
Iadna Bartonella Amplified Probe Technique (87471) $791.25 $1,055 22.5×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 2 matching MRF lines
$407.25–$749.25 $543–$999 varies
Iadna Cytomegalovirus Quantification (87497)
range across 2 matching MRF lines
$204.75–$490.50 $273–$654 varies
Iadna Hepatitis B Virus Quantification (87517) $638.25 $851 14.9×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $836.25 $1,115 23.8×
Iadna Herpes Virus-6 Quantification (87533) $651 $868 15.6×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $1,702.50 $2,270 48.5×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $978.75 $1,305 27.9×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $870 $1,160 18.0×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $306 $408 7.3×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $326.25 $435 9.3×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $261.75 $349 7.5×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $524.25 $699 3.7×
Igg subclasses (82787) $183.75 $245 22.9×
Igh gene rearrange amp meth (81261) $655.50 $874 3.3×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $528.75 $705 1.5×
Immunfix e-phorsis/urine/csf (86335) $313.50 $418 10.7×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 2 matching MRF lines
$197.25–$207 $263–$276 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 3 matching MRF lines
$183–$344.25 $244–$459 varies
Immunoassay nonantibody (83516)
range across 3 matching MRF lines
$54–$119.25 $72–$159 varies
Immunofixation electrophoresis (86334) $252 $336 11.3×
Immunofluorescence per spec 1st singl antb stain (88346) $323.25 $431 1.9×
Immunohistochemistry (88342)
range across 2 matching MRF lines
$192–$528.75 $256–$705 varies
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines
$549–$629.25 $732–$839 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $243 $324 3.5×
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) $371.25 $495 27.7×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $141 $188 11.5×
Influenza assay w/optic (87804) $144.75 $193 8.7×
Influenza DNA amp probe (87502) $39.75 $53 0.4×
Inherited Cardmypthy 5 Gns (81439) $2,871.75 $3,829 4.9×
Inhibin A (86336) $271.50 $362 17.4×
Inhibin b (83520)
range across 4 matching MRF lines
$138.75–$856.50 $185–$1,142 varies
Insitu hybridization auto (88367) $975.75 $1,301 2.7×
Insulin antibodies (86337) $157.50 $210 7.4×
Insulin free (83527) $50.25 $67 3.9×
Insulin total (83525)
range across 2 matching MRF lines
$44.25–$132.75 $59–$177 varies
Interleukin-6 (83529) $227.25 $303 13.2×
Intrinsic factor antibody (86340) $54 $72 3.6×
Iron (83540) $160.50 $214 24.8×
Iron Binding Capacity (83550) $159 $212 18.2×
Irradiation Blood Product Each Unit (86945) $223.50 $298 6.0×
Islet cell antibody (86341)
range across 2 matching MRF lines
$213.75–$806.25 $285–$1,075 varies
Jak2 gene analysis p.val617phe variant (81270) $820.50 $1,094 9.0×
Ketosteroids 17 total (83586) $283.50 $378 22.1×
Koh Prep (87220) $151.50 $202 35.5×
Lactate (ld) (ldh) enzyme (83615) $175.50 $234 29.1×
Lactoferrin fecal qualitative (83630) $51.75 $69 2.6×
Ldh Isoenzymes (83625) $420 $560 32.8×
LDL direct (83721)
range across 2 matching MRF lines
$80.25–$93 $107–$124 varies
Lead (83655)
range across 4 matching MRF lines
$113.25–$131.25 $151–$175 varies
Legionella antibody (86713) $276 $368 18.0×
Legionella antigen urine (87449) $135 $180 11.3×
Leptospira antibody (86720) $134.25 $179 8.3×
Level I Surg Pathology Gross Examination Only (88300) $126.75 $169 4.4×
Level ii surg pathology gross&microscopic exam (88302) $229.50 $306 6.1×
Level V Surg Pathology Gross&Microscopic Exam (88307) $690 $920 1.9×
Lidocaine (80176)
range across 2 matching MRF lines
$51–$378.75 $68–$505 varies
Lipase (83690) $180 $240 26.1×
Lipoprotein A (83695) $193.50 $258 13.5×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $142.50 $190 12.7×
Lithium (80178) $279.75 $373 42.3×
Luteinizing Hormone (Lh) (83002) $192 $256 10.4×
Lyme disease antibody (86618) $155.25 $207 9.1×
Lymphocyte Culture Mixed (86821)
range across 2 matching MRF lines
$1,947–$4,908.75 $2,596–$6,545 varies
Lymphocyte transformation (86353) $562.50 $750 11.5×
Lymphocytotoxicity Assay (86805)
range across 3 matching MRF lines
$456.75–$924.75 $609–$1,233 varies
Lysozyme serum (85549) $142.50 $190 7.6×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $657.75 $877 3.8×
Magnesium Urine (83735)
range across 3 matching MRF lines
$64.50–$197.25 $86–$263 varies
Mass Spectrometry Quant (83789)
range across 2 matching MRF lines
$278.25–$795.75 $371–$1,061 varies
Mecp2 gene dup/delet variant (81304) $1,447.50 $1,930 9.7×
Mecp2 gene full seq (81302) $2,020.50 $2,694 3.8×
Mercury urine (83825) $87 $116 5.4×
Metabolic panel ionized ca (80047) $294 $392 21.4×
Methotrexate (80204) $155.25 $207 4.0×
Methylmalonic acid serum (83921) $98.25 $131 4.6×
Mgmt methylation analysis (81287) $393 $524 3.2×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$100.50–$119.25 $134–$159 varies
Microbe Suscept Macrobroth (87188) $24 $32 3.6×
Microsomal Antibodies Each (86376) $94.50 $126 6.5×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $1,003.50 $1,338 26.6×
Molecular Cytogenetics Dna Probe Each (88271)
range across 5 matching MRF lines
$241.50–$1,699.50 $322–$2,266 varies
Molecular Pathology Procedure Level 3 (81402) $696 $928 4.6×
Molecular Pathology Procedure Level 6 (81405)
range across 4 matching MRF lines
$618.75–$1,098 $825–$1,464 varies
Mononuclear cell antigen (86356)
range across 2 matching MRF lines
$359.25–$3,351.75 $479–$4,469 varies
Mopath procedure level 1 (81400) $5,225.25 $6,967 81.7×
Mopath procedure level 2 (81401) $2,712 $3,616 19.8×
Mopath procedure level 4 (81403)
range across 2 matching MRF lines
$744–$834 $992–$1,112 varies
Mopath procedure level 5 (81404)
range across 7 matching MRF lines
$178.50–$3,495 $238–$4,660 varies
Mopath procedure level 7 (81406)
range across 7 matching MRF lines
$427.50–$3,348 $570–$4,464 varies
Mopath procedure level 8 (81407)
range across 2 matching MRF lines
$893.25–$3,495 $1,191–$4,660 varies
Mopath procedure level 9 (81408)
range across 3 matching MRF lines
$730.50–$8,364.75 $974–$11,153 varies
Mrsa Pcr (87641) $279.75 $373 8.0×
Mthfr Gene Analysis Common Variants (81291)
range across 2 matching MRF lines
$80.25–$1,190.25 $107–$1,587 varies
Mucopolysaccharides acid quantitative (83864)
range across 2 matching MRF lines
$274.50–$478.50 $366–$638 varies
Mumps antibody (86735)
range across 2 matching MRF lines
$54–$66 $72–$88 varies
Muscle-Specific Kinase Antb (86366) $654 $872 35.5×
Mycophenolic Acid (80180) $223.50 $298 12.4×
Mycoplasma antibody (86738) $186.75 $249 14.1×
Mycoplasma culture (87109) $235.50 $314 15.3×
Myelin basic protein csf (83873) $396.75 $529 23.1×
Myoglobin urine (83874) $327.75 $437 25.4×
Natriuretic peptide (83880) $389.25 $519 9.9×
Nerve teasing preparations (88362) $171 $228 0.2×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) $1,308 $1,744 5.1×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $1,660.50 $2,214 12.9×
Niacin (84591) $267.75 $357 15.7×
Nk cells total count (86357)
range across 2 matching MRF lines
$186.75–$351 $249–$468 varies
Noonan Spectrum Disorders (81442)
range across 2 matching MRF lines
$2,187.75–$4,079.25 $2,917–$5,439 varies
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $943.50 $1,258 3.8×
Nuclear antigen antibody (86235)
range across 2 matching MRF lines
$193.50–$200.25 $258–$267 varies
Nuclear Mitochondrial 100 Gene Genomic Seq (81440) $2,514.75 $3,353 0.8×
Nzym actv blood cells/tiss radact substrate ea (82658) $723 $964 16.4×
Obstetric panel (80081) $600.75 $801 8.0×
Occult blood feces (82272) $87 $116 20.6×
Occult Blood Other Sources (82271) $78.75 $105 14.8×
Oligoclonal bands (83916) $384.75 $513 14.0×
Organic Acids Qualitative Each Specimen (83919) $1,053.75 $1,405 64.1×
Osmolality serum (83930) $131.25 $175 19.9×
Osmolality Urine (83935) $167.25 $223 24.5×
Osmotic fragility rbc incubated (85557) $126 $168 9.4×
Osmotic Fragility RBC Unincubated (85555) $441.75 $589 59.1×
Ova and parasites smears (87177) $237 $316 26.6×
Oxalate urine (83945)
range across 2 matching MRF lines
$183.75–$185.25 $245–$247 varies
Parvovirus antibody (86747) $96.75 $129 6.4×
Path Consltj Surg Cytologic Exam Initial Site (88333) $260.25 $347 0.3×
Pathology Consultation During Surgery (88329) $162.75 $217 2.7×
Ph urine (81003)
range across 2 matching MRF lines
$75–$100.50 $100–$134 varies
Phenobarbital Level (80184) $183.75 $245 12.0×
Phenotype Infect Agent Drug (87900) $327.75 $437 2.5×
Phenylalanine (84030) $347.25 $463 63.1×
Phenytoin (Dilantin) (80185) $414.75 $553 31.3×
Phenytoin free (80186) $315.75 $421 22.9×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$80.25–$175.50 $107–$234 varies
Phospholipid Neutralization Hexagonal (85598) $663 $884 36.9×
Phosphorus Serum (84100) $132.75 $177 28.0×
Phosphorus urine (84105) $102.75 $137 17.8×
Pinworm exam (87172) $195 $260 45.7×
Platelet Aggregation (85576) $243 $324 9.8×
Platelet Antibodies (86022)
range across 2 matching MRF lines
$453.75–$870 $605–$1,160 varies
Platelet count automated (85049) $106.50 $142 23.8×
Platelet neutralization (85597) $217.50 $290 12.1×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $1,110.75 $1,481 5.4×
Pms2 gene full seq analysis (81317) $2,589.75 $3,453 3.8×
Pooling blood platelets (86965) $52.50 $70 0.3×
Porphobilinogen, urine; quantitative (84110)
range across 2 matching MRF lines
$59.25–$204.75 $79–$273 varies
Porphyrins Urine Quantitation & Fractionation (84120) $306 $408 20.8×
Potassium Urine (84133) $94.50 $126 20.0×
Prealbumin (84134) $157.50 $210 10.8×
Pregnanetriol (84138) $326.25 $435 15.5×
Pregnenolone (84140) $317.25 $423 15.3×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $219 $292 1.3×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $132.75 $177 2.2×
Pretx serum rbc antibody identification dilution (86976) $219 $292 7.5×
Primidone (80188) $178.50 $238 10.8×
Procalcitonin (Pct) (84145) $109.50 $146 4.0×
Progesterone (84144) $225 $300 10.8×
Prolactin (84146) $207 $276 10.7×
Protein body fluid (84157) $162.75 $217 40.7×
Protein C Activity (85303) $137.25 $183 9.9×
Protein c antigen (85302) $113.25 $151 9.4×
Protein Electrophoresis Urine (84166) $335.25 $447 18.8×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$303.75–$378.75 $405–$505 varies
Protein S Free (85306)
range across 2 matching MRF lines
$278.25–$347.25 $371–$463 varies
Protein s total (85305) $113.25 $151 9.8×
Protein Total Refractometry Any Src (84160)
range across 2 matching MRF lines
$21–$96.75 $28–$129 varies
Protein total serum (84155)
range across 2 matching MRF lines
$75–$108.75 $100–$145 varies
Protein Total Urine (84156)
range across 3 matching MRF lines
$116.25–$135 $155–$180 varies
Protein Western Blot Test (84182)
range across 2 matching MRF lines
$106.50–$618.75 $142–$825 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $319.50 $426 81.1×
Protoporphyrin rbc quantitative (84202) $450.75 $601 31.4×
Pten Gene Analysis Full Sequence Analysis (81321) $670.50 $894 1.1×
Pth Intact (83970) $444 $592 10.8×
Pyruvate kinase (84220)
range across 2 matching MRF lines
$330.75–$335.25 $441–$447 varies
Q Fever Antibody (86638) $104.25 $139 8.6×
Quantiferon tb gold plus (86480) $193.50 $258 3.1×
Quantitative assay drug (80299)
range across 8 matching MRF lines
$72–$9,208.50 $96–$12,278 varies
Quantitative Screen Metals (83018)
range across 2 matching MRF lines
$252–$405.75 $336–$541 varies
Quinidine (80194) $93 $124 6.4×
Rbc antibody elution (86860) $309.75 $413 1.8×
Rbc antibody identification (86870) $522.75 $697 1.5×
Rbc antibody screen (86850) $331.50 $442 33.9×
Rbc pretreatment serum (86978) $315.75 $421 5.3×
Rbc pretx incubatj w/enzymes (86971) $327.75 $437 1.9×
Rbc serum pretx incubj drugs (86975) $327.75 $437 0.7×
Reagent Strip/Blood Glucose (82948) $68.25 $91 13.5×
Renin activity plasma (84244) $204.75 $273 9.3×
Reptilase test (85635) $440.25 $587 44.7×
Resp virus 12-25 targets (87633) $1,704.75 $2,273 4.1×
Resp Virus 6-11 Targets (87632) $760.50 $1,014 3.5×
Reticulated Platelet Assay (85055) $131.25 $175 3.7×
Reticulocyte Count (85046) $131.25 $175 23.6×
Reticulocyte Count Manual (85044) $229.50 $306 53.2×
Reticulocyte separation (86972) $327.75 $437 1.9×
Rh (86901) $128.25 $171 42.9×
Rheumatoid factor quant (86431) $151.50 $202 26.7×
Rickettsia antibody (86757) $73.50 $98 3.8×
Ristocetin cofactor (85245) $630.75 $841 27.5×
Rotavirus ag eia (87425) $283.50 $378 23.7×
Rpr qualitative (86592)
range across 2 matching MRF lines
$34.50–$142.50 $46–$190 varies
Rsv ab (86756) $294 $392 18.5×
Rubella Antibody (86762) $55.50 $74 3.9×
Rubeola antibody (86765)
range across 2 matching MRF lines
$46.50–$52.50 $62–$70 varies
Rufinamide (80210) $297.75 $397 11.0×
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$223.50–$319.50 $298–$426 varies
Salicylate Level (80179) $265.50 $354 14.2×
Salmonella antibody (86768) $50.25 $67 3.8×
Sars-Cov-2 Covid-19 Amp Prb (87635) $205.50 $274 4.0×
Sars-cov-2 COVID-19 antibody (86769)
range across 2 matching MRF lines
$161.25–$235.50 $215–$314 varies
Sarscov2 & inf a&b amp prb (87636) $547.50 $730 3.8×
Sarscov2&inf a&b&rsv amp prb (87637) $204 $272 1.4×
Sedimentation Rate, Automated (85652) $88.50 $118 32.8×
Selenium (84255) $273.75 $365 10.7×
Sensitivity mic (87186)
range across 3 matching MRF lines
$202.50–$252 $270–$336 varies
Serpina 1 gene (81332)
range across 2 matching MRF lines
$1,372.50–$1,596 $1,830–$2,128 varies
Sex Hormone Binding Globulin (84270) $243 $324 11.2×
Sickling of rbc reduction (85660)
range across 2 matching MRF lines
$79.50–$96.75 $106–$129 varies
Sirolimus (80195) $303.75 $405 22.1×
Skin test tuberculosis intradermal (86580) $46.50 $62 1.6×
Smear acid fast (87206) $126.75 $169 23.5×
Smear complex stain (87209) $171 $228 9.5×
Smear gram stain (87205) $142.50 $190 33.4×
Smear Special Stain (87207) $168.75 $225 28.2×
Smn1 Gene Analysis Full Gene Sequence (81336) $1,152.75 $1,537 3.8×
Smr Prim Src Wet Mount Nfct Agt (87210) $157.50 $210 27.1×
Snrpn/Ube3a Methylation Analysis (81331) $804 $1,072 15.7×
Sodium Serum (84295)
range across 2 matching MRF lines
$94.50–$126.75 $126–$169 varies
Sodium Urine (84300) $96.75 $129 19.1×
Somatomedin (84305) $137.25 $183 6.5×
Special Stains Group 1 (88312) $313.50 $418 6.0×
Special Stains Group 2 (88313) $463.50 $618 3.5×
Specimen infect agnt concntj (87015) $72.75 $97 10.9×
Spectrophotometry (84311)
range across 3 matching MRF lines
$132–$580.50 $176–$774 varies
Splitting Blood/Blood Products Each Unit (86985) $279.75 $373 1.6×
Staph a DNA amp probe (87640) $215.25 $287 6.1×
Strep a assay w/optic (87880) $197.25 $263 11.9×
Strep b DNA amp probe (87653) $60 $80 1.7×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $580.50 $774 50.3×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $381.75 $509 69.4×
Sugars Multiple Quant (84379) $141 $188 12.2×
Sugars Single Qual (84376) $78.75 $105 14.3×
Sugars, chromatographic, TLC or paper chromatography Facility (84375) $450.75 $601 11.6×
Surg path level iii (88304) $416.25 $555 8.0×
Surgical pathology level IV (88305) $585 $780 11.2×
Surgical pathology level vi (88309) $1,039.50 $1,386 1.3×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $106.50 $142 22.4×
Susceptibility Study Antimicrobial Disk Method (87184) $120.75 $161 16.1×
Sweat Collection Iontophoresis (89230)
range across 2 matching MRF lines
$380.25–$447.75 $507–$597 varies
Syphilis Test Non-Trep Quant (86593) $128.25 $171 29.1×
T cells absolute cd4 count (86361)
range across 2 matching MRF lines
$225–$237 $300–$316 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $171 $228 3.6×
T cells total count (86359)
range across 2 matching MRF lines
$211.50–$1,052.25 $282–$1,403 varies
T3 Free (84481) $65.25 $87 3.9×
T3 reverse (84482) $319.50 $426 20.3×
T3 Total (84480) $174 $232 12.3×
T3 Uptake (84479) $294 $392 45.4×
T4 Free (84439)
range across 2 matching MRF lines
$120–$192 $160–$256 varies
T4 total (84436) $138.75 $185 20.2×
Tacrolimus (80197) $450.75 $601 32.8×
Tert gene targeted seq alys (81345) $583.50 $778 3.2×
Testosterone total (84403)
range across 2 matching MRF lines
$261.75–$540 $349–$720 varies
Testosterone, Free (84402) $219 $292 8.6×
Tgsap so/hl 51/< RNA alys (81456) $5,098.50 $6,798 1.7×
Theophylline (80198) $178.50 $238 12.6×
Thiocyanate (84430) $306 $408 26.3×
Thrombin Time (85670) $94.50 $126 16.4×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 2 matching MRF lines
$96–$142.50 $128–$190 varies
Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) $119.25 $159 3.4×
Thyroglobulin (84432) $135 $180 8.4×
Thyroglobulin Antibody (86800) $128.25 $171 8.1×
Thyroid Stimulating Immunoglobulin (84445) $1,026.75 $1,369 20.2×
Thyroxine binding globulin (84442) $360.75 $481 24.4×
Tiss cul neo disorders solid tumor (88239) $2,072.25 $2,763 14.0×
Tiss Trnsgltmnase Ea Ig Clas (86364) $119.25 $159 10.3×
Tissue Culture (88233)
range across 2 matching MRF lines
$605.25–$2,979 $807–$3,972 varies
Tissue culture bone marrow (88237) $855 $1,140 5.9×
Tissue Culture Lymphocyte (88230) $843 $1,124 7.2×
Tobramycin peak (80200) $215.25 $287 13.3×
Topiramate (80201) $265.50 $354 22.3×
Touch prep (88161) $178.50 $238 6.1×
Toxin/Antitoxin Assay Tissue Culture (87230) $75.75 $101 3.8×
Toxoplasma ab igm (86778) $113.25 $151 7.9×
Toxoplasma antibody (86777) $60 $80 4.2×
Transferase Aspartate Amino Ast Sgot (84450) $82.50 $110 15.9×
Transferrin (84466) $155.25 $207 12.2×
Trb@ Rearrangement Anal Amplification Method (81340) $3,609 $4,812 17.3×
Trg gene rearrangement anal (81342) $666 $888 3.3×
Trichomonas Vaginalis Amplif (87661) $110.25 $147 3.1×
Triglycerides (84478)
range across 2 matching MRF lines
$84–$180 $112–$240 varies
Troponin Quant (84484) $265.50 $354 21.3×
Tumor immunohistochem/comput (88361) $470.25 $627 1.3×
Tumor Immunohistochem/Manual (88360) $371.25 $495 2.2×
Unlisted Surgical Pathology Procedure (88399)
range across 2 matching MRF lines
$114.75–$252 $153–$336 varies
Urea nitrogen urine (84540) $100.50 $134 18.1×
Uric acid other source (84560) $131.25 $175 25.8×
Urinalysis Microscopic Only (81015) $78.75 $105 25.8×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $37.50 $50 17.3×
Urine Bacteria Culture (87088) $56.25 $75 7.0×
Urine Pregnancy Test (81025) $183.75 $245 21.3×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $151.50 $202 47.8×
Valproic acid (80164) $260.25 $347 19.2×
Vancomycin (80202) $263.25 $351 19.4×
Varicella-zoster antibody (86787) $171 $228 13.3×
Vasopressin (84588) $450.75 $601 13.3×
Very Long Chain Fatty Acids (82726) $1,106.25 $1,475 56.0×
Viral Culture (87252)
range across 2 matching MRF lines
$170.25–$347.25 $227–$463 varies
Virus antibody nos (86790)
range across 3 matching MRF lines
$51–$1,039.50 $68–$1,386 varies
Virus inoculate tissue addl (87253) $138.75 $185 6.9×
Virus inoculation, shell via (87254) $187.50 $250 9.6×
Vit D 1 25-Dihydroxy (82652) $162.75 $217 4.2×
Vitamin A (84590) $122.25 $163 10.5×
Vitamin b-12 (82607) $106.50 $142 7.1×
Vitamin B6 (84207) $648.75 $865 23.1×
Vitamin c (82180) $267 $356 27.0×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$183.75–$317.25 $245–$423 varies
Vitamin E (84446) $111 $148 7.8×
Vitamin K (84597) $490.50 $654 35.8×
Volume Reduction Blood/Blood Product Each Unit (86960) $480.75 $641 2.8×
Von willebrand factor ag (85246)
range across 3 matching MRF lines
$444–$547.50 $592–$730 varies
West nile virus ab igm (86788)
range across 2 matching MRF lines
$207–$219 $276–$292 varies
West Nile Virus Antibody (86789) $168.75 $225 11.7×
Whole Mitochondrial Genome (81460) $2,514.75 $3,353 2.0×
Whole mitochondrial genome analysis panel (81465) $119.25 $159 0.1×
X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must… (81470) $7,134 $9,512 7.8×
Zinc (84630)
range across 3 matching MRF lines
$122.25–$262.50 $163–$350 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.