Lab & pathology prices at Childrens Medical Ctr of Dallas
Dallas, 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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted 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 grossµscopic 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.