Lab & pathology prices at Decatur County Memorial Hospital
Greensburg, IN · every code in this section with a posted price and a Medicare benchmark.
665 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $111.75 | $149 | 4.9× |
| Acetylcholine receptor binding antibody (86041) | $51 | $68 | 2.8× |
| Acetylcholine receptor blocking antibody (86042) | $51 | $68 | 2.8× |
| Acetylcholn Rcptr Modlg Antb (86043) | $33.75 | $45 | 2.8× |
| Acth (82024) | $271.50 | $362 | 7.0× |
| Actin smooth muscle antibody each (86015) | $93 | $124 | 7.7× |
| Acute hepatitis panel (80074) | $269.25 | $359 | 5.7× |
| Acylcarnitines Quant (82017) | $263.25 | $351 | 15.6× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $42.75 | $57 | 2.6× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $237 | $316 | 3.7× |
| Albumin Fluid (82042) | $300 | $400 | 38.6× |
| Albumin serum (82040) | $55.50 | $74 | 11.2× |
| Aldolase (82085) | $64.50 | $86 | 6.6× |
| Aldosterone urine (82088) | $212.25 | $283 | 5.2× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$96.75–$168 | $129–$224 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $53.25 | $71 | 6.7× |
| Allergen specific ige (86003) range across 8 matching MRF lines |
$21.75–$366.75 | $29–$489 | varies |
| Allergen specific igg (86001) range across 4 matching MRF lines |
$13.50–$54.75 | $18–$73 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$30–$165.75 | $40–$221 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $69.75 | $93 | 4.8× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$60.75–$68.25 | $81–$91 | varies |
| Alpha-Fetoprotein Serum (82105) | $110.25 | $147 | 6.6× |
| Alt (sgpt) (84460) | $62.25 | $83 | 11.7× |
| Aluminum (82108) | $69 | $92 | 2.7× |
| Amikacin trough (80150) | $208.50 | $278 | 13.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $64.50 | $86 | 2.8× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $1,326.75 | $1,769 | 78.6× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $42.75 | $57 | 3.1× |
| Ammonia (82140) | $116.25 | $155 | 8.0× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $186.75 | $249 | 1.9× |
| Amylase urine (82150) | $49.50 | $66 | 7.6× |
| Ana Titer (86039) | $63 | $84 | 5.6× |
| Anca screen each antibody (86036) | $900 | $1,200 | 74.7× |
| Androstenedione (82157) | $190.50 | $254 | 6.5× |
| Angiotensin converting enzyme csf (82164) | $115.50 | $154 | 7.9× |
| Anti-Phospholipid Antibody (86148) | $64.50 | $86 | 4.0× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$39–$40.50 | $52–$54 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $36.75 | $49 | 2.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $93.75 | $125 | 6.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $72.75 | $97 | 4.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $74.25 | $99 | 5.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $90 | $120 | 5.9× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $90 | $120 | 5.0× |
| Antibody Fungus Not Elsewhere Specified (86671) | $68.25 | $91 | 5.6× |
| Antibody haemophilus influenza (86684) | $152.25 | $203 | 9.6× |
| Antibody Herpes Smplx Type 1 (86695) | $57.75 | $77 | 4.4× |
| Antibody HIV-2 (86702) | $100.50 | $134 | 7.4× |
| Antibody identification leukocyte antibodies (86021) | $61.50 | $82 | 4.1× |
| Antibody Identification Platelet Immunogl Assay (86023) | $129 | $172 | 10.4× |
| Antibody john cunningham virus (86711) | $1,435.50 | $1,914 | 85.0× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$73.50–$102 | $98–$136 | varies |
| Antibody Titer (86886) | $303 | $404 | 58.5× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$65.25–$75 | $87–$100 | varies |
| Antigen typing (86905) range across 4 matching MRF lines |
$186–$233.25 | $248–$311 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $30 | $40 | 5.2× |
| Antinuclear antibodies (86038) | $132 | $176 | 10.9× |
| Antistreptolysin o titer (86060) | $57.75 | $77 | 7.9× |
| Antithrombin iii activity (85300) | $143.25 | $191 | 12.1× |
| Antithrombin iii antigen (85301) | $60.75 | $81 | 5.6× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$38.25–$72 | $51–$96 | varies |
| Aquaporin-4 Antb Cba Each (86052) range across 2 matching MRF lines |
$369–$1,460.25 | $492–$1,947 | varies |
| Aquaporin-4 Antb Elisa (86051) | $464.25 | $619 | 40.3× |
| Arsenic (82175) range across 2 matching MRF lines |
$78.75–$89.25 | $105–$119 | varies |
| Aspa gene analysis common variants (81200) | $1,074.75 | $1,433 | 22.7× |
| Aspergillus ag eia (87305) | $142.50 | $190 | 11.9× |
| Assay activated protein c (85307) | $102 | $136 | 6.7× |
| Assay Blood Carbon Dioxide (82374) | $101.25 | $135 | 20.7× |
| Assay Dir Meas Fr Estradiol (82681) | $65.25 | $87 | 2.3× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$108–$110.25 | $144–$147 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$33.75–$84.75 | $45–$113 | varies |
| Assay of anti-mullerian hormone (82166) | $162.75 | $217 | 4.2× |
| Assay of blood/uric acid (84550) | $76.50 | $102 | 16.9× |
| Assay of calcium in urine (82340) | $57.75 | $77 | 9.6× |
| Assay of cpk in blood (82552) | $214.50 | $286 | 16.0× |
| Assay of estrone (82679) | $76.50 | $102 | 3.1× |
| Assay of g6pd enzyme (82955) | $161.25 | $215 | 16.6× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$50.25–$87 | $67–$116 | varies |
| Assay of lactic acid (83605) | $90 | $120 | 7.8× |
| Assay of manganese (83785) | $69.75 | $93 | 2.6× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$206.25–$226.50 | $275–$302 | varies |
| Assay of proinsulin (84206) | $107.25 | $143 | 4.0× |
| Assay of pyruvate (84210) | $167.25 | $223 | 11.6× |
| Assay of serotonin (84260) | $201 | $268 | 6.5× |
| Assay of serum potassium (84132) | $73.50 | $98 | 15.4× |
| Assay of sweat sodium (84302) | $34.50 | $46 | 7.1× |
| Assay of urea nitrogen (84520) | $60.75 | $81 | 15.4× |
| Assay of urine vma (84585) | $82.50 | $110 | 5.3× |
| Assay of vasoactive intestinal peptide (84586) | $270 | $360 | 7.6× |
| Assay of vitamin b-1 (84425) | $80.25 | $107 | 3.8× |
| Assay Ph Body Fluid Nos (83986) | $26.25 | $35 | 7.3× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $337.50 | $450 | 1.9× |
| B cells total count (86355) | $111 | $148 | 2.9× |
| Babesia microti amp prb (87469) | $66.75 | $89 | 1.9× |
| Bartonella antibody (86611) | $40.50 | $54 | 4.0× |
| Bcr/abl1 gene major bp (81206) | $485.25 | $647 | 3.0× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$43.50–$162 | $58–$216 | varies |
| Beta hydroxybutyrate (82010) | $49.50 | $66 | 6.1× |
| Beta Lactamase (87185) | $32.25 | $43 | 6.8× |
| Beta-2 Microglobulin (82232) | $96.75 | $129 | 6.0× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $1,500 | $2,000 | 11.6× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $1,500 | $2,000 | 11.6× |
| Bile acids total (82239) | $51 | $68 | 3.0× |
| Bilirubin direct (82248) | $55.50 | $74 | 11.1× |
| Bilirubin total (82247) | $52.50 | $70 | 10.5× |
| Bilirubin total transcutaneous (88720) | $30.75 | $41 | 6.1× |
| Biotinidase (82261) | $54 | $72 | 3.2× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$39–$43.50 | $52–$58 | varies |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$84.75–$237.75 | $113–$317 | varies |
| Blood Count Red Blood Cell Automated (85041) | $9.75 | $13 | 3.2× |
| Blood count reticulocyte automated (85045) | $75.75 | $101 | 19.0× |
| Blood gas (82803) | $183 | $244 | 7.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $75 | $100 | 4.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$23.25–$101.25 | $31–$135 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $379.50 | $506 | 59.8× |
| Blood typing serologic abo (86900) | $76.50 | $102 | 25.6× |
| Body fluid cell count (89050) | $58.50 | $78 | 12.4× |
| Bone marrow smear interpretation (85097) | $630.75 | $841 | 0.7× |
| Borrelia miyamotoi amp prb (87478) | $173.25 | $231 | 4.9× |
| Braf gene analysis (81210) | $331.50 | $442 | 1.9× |
| Brca1&2 gen full seq dup/del (81162) | $4,500 | $6,000 | 2.5× |
| C diff amplified probe (87493) | $237 | $316 | 6.4× |
| C-Peptide (84681) | $137.25 | $183 | 6.6× |
| C-reactive protein (86140) | $57.75 | $77 | 11.1× |
| Ca 19-9 (86301) | $76.50 | $102 | 3.7× |
| Cadmium (82300) | $88.50 | $118 | 3.7× |
| Calcitonin (82308) | $102 | $136 | 3.8× |
| Calcium ionized (82330) | $61.50 | $82 | 4.5× |
| Calcium total (82310) range across 2 matching MRF lines |
$57.75–$75.75 | $77–$101 | varies |
| Calculus Spectroscopy (82365) | $177.75 | $237 | 13.8× |
| Calprotectin Fecal (83993) | $261 | $348 | 13.3× |
| Calr gene com variants (81219) | $237.75 | $317 | 2.0× |
| Cancer Antigen 125 (86304) | $212.25 | $283 | 10.2× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$65.25–$204 | $87–$272 | varies |
| Candida antibody (86628) | $54.75 | $73 | 4.6× |
| Candida Dna Dir Probe (87480) | $68.25 | $91 | 3.4× |
| Carbamazepine total (80156) | $212.25 | $283 | 14.6× |
| Carboxyhemoglobin (82375) | $98.25 | $131 | 8.0× |
| Carcinoembryonic antigen (82378) | $109.50 | $146 | 5.8× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$76.50–$80.25 | $102–$107 | varies |
| Carnitine Quantitative Each Specimen (82379) | $84 | $112 | 5.0× |
| Carotene (82380) | $101.25 | $135 | 11.0× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$93–$142.50 | $124–$190 | varies |
| Ccp antibody (86200) | $84.75 | $113 | 6.5× |
| Cell count csf (89051) | $136.50 | $182 | 24.4× |
| Ceruloplasmin (82390) | $112.50 | $150 | 10.5× |
| Cftr gene com variants (81220) | $657 | $876 | 1.2× |
| Cftr gene full sequence (81223) | $810 | $1,080 | 1.6× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$30.75–$109.50 | $41–$146 | varies |
| Chlamydia antibody (86631) | $69 | $92 | 5.8× |
| Chlamydia Igm Antibody (86632) | $36.75 | $49 | 2.9× |
| Chlmy trch&neisra gonor mult (87494) | $58.50 | $78 | 0.8× |
| Chloride Serum (82435) | $73.50 | $98 | 16.0× |
| Chloride urine (82436) | $57 | $76 | 9.9× |
| Cholesterol total (82465) | $60 | $80 | 13.8× |
| Chorionic gonadotropin test (84702) | $174.75 | $233 | 11.6× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $68.25 | $91 | 2.5× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $117 | $156 | 3.4× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $66.75 | $89 | 2.0× |
| Chromium serum (82495) | $101.25 | $135 | 5.0× |
| Chromogranin a (86316) | $137.25 | $183 | 6.6× |
| Chromosome Analysis 15-20 (88262) | $777.75 | $1,037 | 6.2× |
| Chromosome Analysis 20-25 (88264) | $705.75 | $941 | 4.9× |
| Chromosome analysis, 5 (88261) | $703.50 | $938 | 2.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $126 | $168 | 3.6× |
| Citric acid urine (82507) | $616.50 | $822 | 22.2× |
| Ckmb (82553) | $45 | $60 | 3.9× |
| Clostridium Difficile (87324) | $119.25 | $159 | 10.0× |
| Clot Factor VIII Multimetric (85247) | $135 | $180 | 5.9× |
| Clot factor xiii fibrin stab (85290) | $79.50 | $106 | 4.9× |
| Clotting Funct Activity (85397) | $84 | $112 | 2.7× |
| Coccidioides antibody (86635) | $39 | $52 | 3.4× |
| Cold agglutinin screen (86156) | $45 | $60 | 5.6× |
| Collagen crosslinks (82523) | $116.25 | $155 | 6.2× |
| Column Chromotography Quant (82542) range across 6 matching MRF lines |
$46.50–$393.75 | $62–$525 | varies |
| Compatibility test antiglob (86922) | $419.25 | $559 | 2.3× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$57.75–$120 | $77–$160 | varies |
| Complement Total (Ch50) (86162) | $124.50 | $166 | 6.1× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$50.25–$126 | $67–$168 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $390 | $520 | 9.9× |
| Coombs direct (86880) | $84.75 | $113 | 15.7× |
| Copper urine (82525) | $165.75 | $221 | 13.4× |
| Cortisol free (82530) range across 2 matching MRF lines |
$156–$238.50 | $208–$318 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$93.75–$121.50 | $125–$162 | varies |
| Creatine kinase total (82550) | $49.50 | $66 | 7.6× |
| Creatinine blood (82565) | $80.25 | $107 | 15.7× |
| Creatinine clearance (82575) | $116.25 | $155 | 12.3× |
| Creatinine Urine (82570) | $75.75 | $101 | 14.6× |
| Crossmatch immediate spin (86920) | $134.25 | $179 | 0.7× |
| Crp High Sensitivity (86141) | $84.75 | $113 | 6.5× |
| Cryoglobulin (82595) | $87 | $116 | 13.4× |
| Cryptococcus ag titer (87899) | $42 | $56 | 2.6× |
| Cryptosporidium ag eia (87328) | $79.50 | $106 | 5.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $58.50 | $78 | 7.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $87 | $116 | 10.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $101.25 | $135 | 13.1× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $564.75 | $753 | 2.6× |
| Culture aerobic quant other (87071) range across 2 matching MRF lines |
$61.50–$140.25 | $82–$187 | varies |
| Culture afb (87116) | $186.75 | $249 | 17.3× |
| Culture Anaerobic (87075) | $57.75 | $77 | 6.1× |
| Culture blood (87040) | $76.50 | $102 | 7.4× |
| Culture csf (87070) | $96.75 | $129 | 11.2× |
| Culture fungus (87102) | $114 | $152 | 13.6× |
| Culture fungus blood (87103) | $201 | $268 | 9.8× |
| Culture screen only (87081) range across 5 matching MRF lines |
$17.25–$63 | $23–$84 | varies |
| Culture stool (87045) | $60.75 | $81 | 6.4× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $30 | $40 | 2.4× |
| Culture typing if ea antiserum (87140) | $43.50 | $58 | 7.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $27.75 | $37 | 5.4× |
| Culture typing other methods (87158) | $63.75 | $85 | 8.2× |
| Culture urine (87086) | $58.50 | $78 | 7.2× |
| Cyclosporine (80158) | $216.75 | $289 | 12.0× |
| Cystatin C (82610) | $102.75 | $137 | 5.5× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$144–$333.75 | $192–$445 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$896.25–$1,679.25 | $1,195–$2,239 | varies |
| Cytomegalovirus igg (86644) | $90 | $120 | 6.3× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$189–$200.25 | $252–$267 | varies |
| Cytotoxic pra quick (86808) | $257.25 | $343 | 8.7× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $130.50 | $174 | 4.9× |
| Cytp Concentration Smears & Interpretation (88108) | $138.75 | $185 | 3.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $115.50 | $154 | 2.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $132.75 | $177 | 0.7× |
| Deoxyribonuclease antibody (86215) | $40.50 | $54 | 3.1× |
| Detect Agent Nos Dna Amp (87798) range across 7 matching MRF lines |
$88.50–$461.25 | $118–$615 | varies |
| Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines |
$261–$450 | $348–$600 | varies |
| Detect agnt mult DNA ampli (87801) | $337.50 | $450 | 4.8× |
| Dgp Antibody Each Ig Class (86258) | $84.75 | $113 | 7.0× |
| Dhea (82626) | $186.75 | $249 | 7.4× |
| Dhea-S (82627) | $220.50 | $294 | 9.9× |
| Digoxin (80162) | $212.25 | $283 | 16.0× |
| Dihydrotestosterone (82642) | $275.25 | $367 | 9.4× |
| Dipropylacetic Acid Free (80165) | $163.50 | $218 | 12.1× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $1,676.25 | $2,235 | 12.2× |
| Dna Antibody Native/Double Stranded (86225) | $174.75 | $233 | 12.7× |
| Dna/Rna Amplified Probe (87150) | $134.25 | $179 | 3.8× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$149.25–$172.50 | $199–$230 | varies |
| Dna/Rna Sequencing (87153) | $280.50 | $374 | 2.4× |
| Dpyd gene common variants (81232) | $375 | $500 | 2.1× |
| Drug assay adalimumab (80145) | $243 | $324 | 6.3× |
| Drug Assay Amiodarone (80151) | $102 | $136 | 5.5× |
| Drug Assay Infliximab (80230) | $99.75 | $133 | 2.6× |
| Drug Assay Itraconazole (80189) | $102 | $136 | 3.8× |
| Drug Assay Lacosamide (80235) | $138.75 | $185 | 5.1× |
| Drug Assay Leflunomide (80193) | $283.50 | $378 | 7.4× |
| Drug Assay Vedolizumab (80280) | $74.25 | $99 | 1.9× |
| Drug assay voriconazole (80285) | $141.75 | $189 | 5.2× |
| Drug Screen Quant Clozapine (80159) | $223.50 | $298 | 11.1× |
| Drug Screen Quant Zonisamide (80203) | $210 | $280 | 15.8× |
| Drug Screen Quantitative Gabapentin (80171) | $57 | $76 | 2.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $193.50 | $258 | 14.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $214.50 | $286 | 16.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $169.50 | $226 | 12.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 15 matching MRF lines |
$37.50–$240 | $50–$320 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $39 | $52 | 3.1× |
| Egfr Gene Analysis Common Variants (81235) | $804.75 | $1,073 | 2.5× |
| Ehrlichia antibody (86666) | $42 | $56 | 4.1× |
| El-1 Fecal Quantitative (82653) | $162 | $216 | 7.1× |
| Electrolyte panel (80051) | $124.50 | $166 | 17.8× |
| Electron Microscopy (88348) | $1,230 | $1,640 | 1.4× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $103.50 | $138 | 1.7× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $74.25 | $99 | 6.1× |
| Enterovirus Antibody (86658) | $375 | $500 | 28.8× |
| Enterovirus PCR (87498) | $315.75 | $421 | 9.0× |
| Enzyme histochemistry (88319) | $150.75 | $201 | 0.2× |
| Erythropoietin (82668) | $217.50 | $290 | 11.6× |
| Estradiol serum (82670) | $183 | $244 | 6.5× |
| Estriol (82677) range across 2 matching MRF lines |
$70.50–$109.50 | $94–$146 | varies |
| Estrogen total (82672) | $117 | $156 | 5.4× |
| Estrogens fractionated (82671) | $84 | $112 | 2.6× |
| Ethosuximide (80168) | $221.25 | $295 | 13.5× |
| Ethylene Glycol (82693) | $146.25 | $195 | 9.8× |
| Exam Synovial Fluid Crystals (89060) | $57.75 | $77 | 7.9× |
| F2 Gene (81240) | $102.75 | $137 | 1.6× |
| Factor v activity (85220) | $99 | $132 | 5.6× |
| Factor v leiden mutation (81241) | $218.25 | $291 | 3.0× |
| Factor vii assay (85230) | $439.50 | $586 | 24.6× |
| Factor viii assay (85240) | $145.50 | $194 | 8.1× |
| Fat/Lipids Feces Quantitative (82710) | $237 | $316 | 14.1× |
| Fecal Fat Qualitative (82705) | $57 | $76 | 11.2× |
| Ferritin (82728) | $123.75 | $165 | 9.1× |
| Fetal Fibronectin (82731) | $447.75 | $597 | 7.0× |
| Fetal screen rosette (85461) | $66 | $88 | 7.1× |
| Fibrin Degradation Quant (85379) | $75.75 | $101 | 7.4× |
| Fibrinogen activity (85384) | $87 | $116 | 9.0× |
| Flow cytometry first marker (88184) | $278.25 | $371 | 0.7× |
| Fluorescent antibody screen (86255) range across 14 matching MRF lines |
$36–$1,125 | $48–$1,500 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$186.75–$292.50 | $249–$390 | varies |
| Fmr1 gene detection (81243) | $168.75 | $225 | 3.0× |
| Folic acid rbc (82747) | $186 | $248 | 10.5× |
| Folic Acid Serum (82746) | $147 | $196 | 10.0× |
| Follicle Stimulating Hormone (83001) | $214.50 | $286 | 11.5× |
| Francisella tularensis (86668) | $105.75 | $141 | 7.5× |
| Frozen Section (88331) | $269.25 | $359 | 1.5× |
| Fungi Identification Mold (87107) | $67.50 | $90 | 6.5× |
| Fungi Identification Yeast (87106) | $67.50 | $90 | 6.5× |
| Galactose (82760) range across 2 matching MRF lines |
$35.25–$66.75 | $47–$89 | varies |
| Galactose transferase test (82776) | $30 | $40 | 2.6× |
| Gammaglobulin ige (82785) | $212.25 | $283 | 12.9× |
| Gardner vag DNA dir probe (87510) | $68.25 | $91 | 3.4× |
| Gastrin (82941) | $201 | $268 | 11.4× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $7,106.25 | $9,475 | 2.4× |
| Genet Virus Isolate Hsv (87255) | $84 | $112 | 2.5× |
| Genetic Tstg Severe Inh Cond (81443) | $4,966.50 | $6,622 | 2.0× |
| Gentamicin (80170) | $217.50 | $290 | 13.3× |
| Ggt (82977) | $58.50 | $78 | 8.1× |
| Giardia antigen (87329) | $79.50 | $106 | 6.6× |
| Glucose 2 hr pp (82950) | $91.50 | $122 | 19.3× |
| Glucose Blood Test (82962) | $22.50 | $30 | 6.9× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$27.75–$73.50 | $37–$98 | varies |
| Glucose Serum (82947) | $73.50 | $98 | 18.7× |
| Glucose tolerance test (gtt) (82951) | $174.75 | $233 | 13.6× |
| Glycated Protein (82985) | $44.25 | $59 | 2.6× |
| Gonadotropin Chorionic Qualitative (84703) | $63 | $84 | 8.4× |
| Growth hormone (83003) | $109.50 | $146 | 6.6× |
| Gtt-added samples (82952) | $48 | $64 | 12.2× |
| H Pylori (C-13) Breath (83013) | $335.25 | $447 | 5.0× |
| Haloperidol (80173) | $339 | $452 | 21.5× |
| Haptoglobin (83010) | $159.75 | $213 | 12.7× |
| Helicobacter Pylori Stool (87338) | $206.25 | $275 | 14.3× |
| Helminth Antibody (86682) | $147.75 | $197 | 11.4× |
| Hematocrit (85014) | $32.25 | $43 | 13.6× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$6–$32.25 | $8–$43 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$63–$72.75 | $84–$97 | varies |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$33.75–$159.75 | $45–$213 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $167.25 | $223 | 20.4× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $81 | $108 | 8.6× |
| Hep a ab igm (86709) | $167.25 | $223 | 14.9× |
| Heparin assay (85520) | $111 | $148 | 8.5× |
| Hepatitis a antibody total (86708) | $105 | $140 | 8.5× |
| Hepatitis b core ab igm (86705) | $112.50 | $150 | 9.6× |
| Hepatitis b core ab total (86704) | $92.25 | $123 | 7.7× |
| Hepatitis B Surface Antibody (86706) | $76.50 | $102 | 7.1× |
| Hepatitis B Surface Antigen (87340) | $111.75 | $149 | 10.8× |
| Hepatitis Be Antibody (86707) | $51.75 | $69 | 4.5× |
| Hepatitis Be Antigen (87350) | $63 | $84 | 5.5× |
| Hepatitis C Antibody (86803) | $65.25 | $87 | 4.6× |
| Hepatitis C Genotype (87902) | $873.75 | $1,165 | 3.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $326.25 | $435 | 7.6× |
| Hepatitis Delta Agent Antibody (86692) | $115.50 | $154 | 6.7× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$64.50–$315 | $86–$420 | varies |
| Heterophile Antibody Screen (86308) | $92.25 | $123 | 17.8× |
| Hfe Gene (81256) | $447 | $596 | 6.8× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $155.25 | $207 | 20.1× |
| Histamine urine (83088) | $69.75 | $93 | 2.4× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$39–$66.75 | $52–$89 | varies |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$210–$223.50 | $280–$298 | varies |
| Hiv Genotype (87901) | $938.25 | $1,251 | 3.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $116.25 | $155 | 4.8× |
| Hiv-1 Antibody (86701) | $75.75 | $101 | 8.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $354 | $472 | 4.2× |
| HIV-2 probe&revrse trnscripj (87538) | $82.50 | $110 | 2.4× |
| Hla class ii typing high resolution one locus ea (81382) | $436.50 | $582 | 3.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $197.25 | $263 | 2.7× |
| Hla I Typing 1 Allele Hr (81381) | $245.25 | $327 | 1.4× |
| Hla ii type 1 ag equiv lr (81377) | $222.75 | $297 | 2.4× |
| Hla ii typing 1 allele hr (81383) | $237 | $316 | 2.2× |
| Hla ii typing 1 locus lr (81376) | $306.75 | $409 | 2.5× |
| Hla Typing a/B/C Multiple Antigens (86813) | $623.25 | $831 | 10.7× |
| Hla-b27 (86812) | $107.25 | $143 | 4.2× |
| Homocysteine (83090) | $236.25 | $315 | 13.2× |
| Homogenization Tissue (87176) | $35.25 | $47 | 6.0× |
| Hpv High-Risk Types (87624) | $173.25 | $231 | 4.9× |
| Hpv Types 16 & 18 Only (87625) | $117 | $156 | 2.9× |
| Hsv Dna Amp Probe (87529) | $147 | $196 | 4.2× |
| Hsv Dna Quant (87530) | $81 | $108 | 1.9× |
| Htt Gene Detc Abnor Alleles (81271) | $610.50 | $814 | 4.5× |
| Hydroxycorticosteroids 17 (83491) | $185.25 | $247 | 10.3× |
| Hydroxyprogesterone 17-d (83498) | $57.75 | $77 | 2.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $21.75 | $29 | 2.1× |
| Iaad ia shiga-like toxin (87427) | $42 | $56 | 3.5× |
| Iaadi not otherwise specified each organism (87299) | $50.25 | $67 | 3.1× |
| Iaadi pneumocustis carinii (87281) | $30.75 | $41 | 2.6× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $66.75 | $89 | 1.9× |
| Iadna Bartonella Amplified Probe Technique (87471) | $378 | $504 | 10.8× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $240.75 | $321 | 6.9× |
| Iadna Candida Species Amplified Probe Tq (87481) | $86.25 | $115 | 2.5× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $120 | $160 | 3.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $229.50 | $306 | 6.5× |
| Iadna Cytomegalovirus Quantification (87497) | $248.25 | $331 | 5.8× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 2 matching MRF lines |
$114.75–$132 | $153–$176 | varies |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $66.75 | $89 | 1.9× |
| Iadna Hepatitis B Virus Quantification (87517) | $279.75 | $373 | 6.5× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $417 | $556 | 10.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $120 | $160 | 3.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $125.25 | $167 | 3.6× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $492 | $656 | 1.9× |
| Ig Light Chains Free Each (83521) | $47.25 | $63 | 2.7× |
| Igg subclasses (82787) range across 3 matching MRF lines |
$65.25–$170.25 | $87–$227 | varies |
| Igh gene rearrange amp meth (81261) | $664.50 | $886 | 3.4× |
| IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster… (81278) | $933 | $1,244 | 4.5× |
| Igk rearrangeabn clonal pop (81264) | $615.75 | $821 | 3.6× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $144.75 | $193 | 0.4× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$105.75–$109.50 | $141–$146 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 7 matching MRF lines |
$115.50–$964.50 | $154–$1,286 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 9 matching MRF lines |
$49.50–$385.50 | $66–$514 | varies |
| Immunoassay nonantibody (83516) range across 12 matching MRF lines |
$35.25–$327.75 | $47–$437 | varies |
| Immunodiffusion Ouchterlony (86331) | $39 | $52 | 3.3× |
| Immunofixation electrophoresis (86334) | $109.50 | $146 | 4.9× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $52.50 | $70 | 0.3× |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$245.25–$660 | $327–$880 | varies |
| In situ hybridization 1st probe stain (88365) | $166.50 | $222 | 0.9× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$238.50–$274.50 | $318–$366 | varies |
| Inhibin b (83520) range across 23 matching MRF lines |
$45–$537.75 | $60–$717 | varies |
| Insitu hybridization auto (88367) | $51 | $68 | 0.1× |
| Insitu hybridization manual (88368) | $547.50 | $730 | 1.4× |
| Insulin antibodies (86337) | $96.75 | $129 | 4.5× |
| Insulin free (83527) | $61.50 | $82 | 4.7× |
| Insulin total (83525) | $87 | $116 | 7.6× |
| Interleukin-6 (83529) | $495 | $660 | 28.7× |
| Intrinsic factor antibody (86340) | $104.25 | $139 | 6.9× |
| Iron (83540) | $57.75 | $77 | 8.9× |
| Iron Binding Capacity (83550) | $57.75 | $77 | 6.6× |
| Islet cell antibody (86341) range across 6 matching MRF lines |
$33.75–$248.25 | $45–$331 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $495 | $660 | 5.4× |
| Jak2 Gene Trgt Sequence Alys (81279) | $360.75 | $481 | 1.9× |
| Koh Prep (87220) | $25.50 | $34 | 6.0× |
| Kras Gene Analysis Additional Variant(S) (81276) | $411.75 | $549 | 2.1× |
| Kras Gene Variants Exon 2 (81275) | $427.50 | $570 | 2.2× |
| Lactate (ld) (ldh) enzyme (83615) | $87.75 | $117 | 14.5× |
| Lactoferrin fecal qualitative (83630) | $75.75 | $101 | 3.8× |
| Lactoferrin Fecal Quantitative (83631) | $48.75 | $65 | 2.5× |
| LDL direct (83721) | $105.75 | $141 | 10.1× |
| Lead (83655) range across 2 matching MRF lines |
$57–$65.25 | $76–$87 | varies |
| Legionella antibody (86713) range across 2 matching MRF lines |
$49.50–$75.75 | $66–$101 | varies |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$33–$174 | $44–$232 | varies |
| Leukocyte Histamine Release (86343) | $31.50 | $42 | 2.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $105 | $140 | 3.4× |
| Level ii surg pathology grossµscopic exam (88302) | $144 | $192 | 3.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $335.25 | $447 | 0.9× |
| Lipase (83690) | $30 | $40 | 4.4× |
| Lipoprotein A (83695) | $165.75 | $221 | 11.6× |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$131.25–$132 | $175–$176 | varies |
| Lithium (80178) | $101.25 | $135 | 15.3× |
| Liver ds alys 3 bmrk srm alg (81517) | $467.25 | $623 | 2.7× |
| Luteinizing Hormone (Lh) (83002) | $121.50 | $162 | 6.6× |
| Lyme disease antibody (86618) | $115.50 | $154 | 6.8× |
| Lysozyme serum (85549) | $43.50 | $58 | 2.3× |
| M. Genitalium Amp Probe (87563) | $210.75 | $281 | 6.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $272.25 | $363 | 1.5× |
| M/phmtrc alys ishquant/semiq (88374) | $187.50 | $250 | 1.0× |
| Macroscopic exam arthropod (87168) | $9.75 | $13 | 2.3× |
| Macroscopic Exam Parasite (87169) | $130.50 | $174 | 30.3× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$75–$113.25 | $100–$151 | varies |
| Mass Spectrometry Quant (83789) | $107.25 | $143 | 4.4× |
| Mercury urine (83825) range across 2 matching MRF lines |
$63–$75 | $84–$100 | varies |
| Methotrexate (80204) | $147.75 | $197 | 3.8× |
| Methylmalonic acid serum (83921) | $168 | $224 | 7.9× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$75.75–$124.50 | $101–$166 | varies |
| Microbe Suscept Macrobroth (87188) | $40.50 | $54 | 6.1× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$65.25–$96.75 | $87–$129 | varies |
| Mitochondrial Antibody Each (86381) | $135 | $180 | 5.3× |
| Mlh1 Gene (81288) | $403.50 | $538 | 2.1× |
| Mog-Igg1 Antb Cba Each (86362) range across 2 matching MRF lines |
$731.25–$1,950 | $975–$2,600 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) | $84 | $112 | 3.9× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $177 | $236 | 4.2× |
| Molecular Pathology Procedure Level 6 (81405) | $884.25 | $1,179 | 2.9× |
| Mononuclear cell antigen (86356) | $201.75 | $269 | 7.5× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$412.50–$1,099.50 | $550–$1,466 | varies |
| Mopath procedure level 5 (81404) | $810.75 | $1,081 | 3.0× |
| Mopath procedure level 7 (81406) | $1,004.25 | $1,339 | 3.6× |
| Mopath procedure level 9 (81408) | $3,245.25 | $4,327 | 1.6× |
| Morphometric Analysis Tumor (88358) | $385.50 | $514 | 2.1× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $313.50 | $418 | 1.7× |
| Mrsa Pcr (87641) | $66.75 | $89 | 1.9× |
| Mthfr Gene Analysis Common Variants (81291) | $271.50 | $362 | 4.2× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$30.75–$111.75 | $41–$149 | varies |
| Mycobacteric Identification (87118) | $225 | $300 | 15.4× |
| Mycophenolic Acid (80180) | $74.25 | $99 | 4.1× |
| Mycoplasma antibody (86738) | $81.75 | $109 | 6.2× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $334.50 | $446 | 1.9× |
| Myelin basic protein csf (83873) | $74.25 | $99 | 4.3× |
| Myoglobin urine (83874) | $201 | $268 | 15.6× |
| Natriuretic peptide (83880) | $210.75 | $281 | 5.4× |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$231–$403.50 | $308–$538 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $635.25 | $847 | 5.0× |
| Nfct ds chrnc hcv 6 assays (81596) | $117 | $156 | 1.6× |
| Niacin (84591) range across 2 matching MRF lines |
$145.50–$409.50 | $194–$546 | varies |
| Nk cells total count (86357) | $112.50 | $150 | 3.0× |
| Nras gene variants exon 2&3 (81311) | $708 | $944 | 2.4× |
| Nuclear antigen antibody (86235) range across 10 matching MRF lines |
$52.50–$159.75 | $70–$213 | varies |
| Occult blood feces (82272) | $78 | $104 | 18.4× |
| Oligoclonal bands (83916) | $80.25 | $107 | 2.9× |
| Oncoprotein dcp (83951) | $298.50 | $398 | 4.6× |
| Osmolality serum (83930) | $97.50 | $130 | 14.8× |
| Osmolality Urine (83935) | $93.75 | $125 | 13.7× |
| Osmotic Fragility RBC Unincubated (85555) | $170.25 | $227 | 22.8× |
| Ova and parasites smears (87177) | $78 | $104 | 8.8× |
| Oxalate urine (83945) | $96.75 | $129 | 6.7× |
| Particle Agglut Antbdy Titr (86406) | $42.75 | $57 | 4.0× |
| Particle Agglutination Screen Each Antibody (86403) | $57 | $76 | 4.9× |
| Parvovirus antibody (86747) | $69.75 | $93 | 4.6× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $630.75 | $841 | 0.7× |
| Pathology Consultation During Surgery (88329) | $251.25 | $335 | 4.0× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $537.75 | $717 | 2.1× |
| Ph urine (81003) | $21 | $28 | 9.3× |
| Phenobarbital Level (80184) | $174.75 | $233 | 11.4× |
| Phenotype Infect Agent Drug (87900) | $298.50 | $398 | 2.3× |
| Phenylalanine (84030) | $12.75 | $17 | 2.3× |
| Phenytoin (Dilantin) (80185) | $174.75 | $233 | 13.2× |
| Phenytoin free (80186) | $192.75 | $257 | 14.0× |
| Phosphatase alkaline (84075) | $73.50 | $98 | 14.2× |
| Phospholipid Neutralization Hexagonal (85598) | $112.50 | $150 | 6.3× |
| Phosphorus Serum (84100) | $52.50 | $70 | 11.1× |
| Phosphorus urine (84105) | $50.25 | $67 | 8.7× |
| Pinworm exam (87172) | $27 | $36 | 6.3× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$325.50–$343.50 | $434–$458 | varies |
| Platelet count automated (85049) | $87 | $116 | 19.4× |
| Platelet neutralization (85597) | $34.50 | $46 | 1.9× |
| Porphobilinogen, urine; quantitative (84110) | $88.50 | $118 | 10.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $97.50 | $130 | 6.6× |
| Potassium Urine (84133) | $57.75 | $77 | 12.2× |
| Prealbumin (84134) | $129.75 | $173 | 8.9× |
| Pregnenolone (84140) | $109.50 | $146 | 5.3× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $178.50 | $238 | 1.0× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 2 matching MRF lines |
$120–$180.75 | $160–$241 | varies |
| Pretx serum rbc antibody identification dilution (86976) | $27.75 | $37 | 0.9× |
| Primidone (80188) | $175.50 | $234 | 10.6× |
| Procalcitonin (Pct) (84145) | $303.75 | $405 | 11.2× |
| Progesterone (84144) | $186 | $248 | 8.9× |
| Prolactin (84146) | $207.75 | $277 | 10.7× |
| Prostaglandin (84150) | $537.75 | $717 | 12.9× |
| Protein body fluid (84157) | $58.50 | $78 | 14.6× |
| Protein C Activity (85303) | $263.25 | $351 | 19.0× |
| Protein c antigen (85302) | $111 | $148 | 9.2× |
| Protein Electrophoresis Urine (84166) | $46.50 | $62 | 2.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $87 | $116 | 8.1× |
| Protein S Free (85306) range across 2 matching MRF lines |
$192–$248.25 | $256–$331 | varies |
| Protein s total (85305) | $43.50 | $58 | 3.7× |
| Protein total serum (84155) range across 2 matching MRF lines |
$45–$57 | $60–$76 | varies |
| Protein Total Urine (84156) | $57 | $76 | 15.5× |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$98.25–$145.50 | $131–$194 | varies |
| Protoporphyrin rbc quantitative (84202) range across 2 matching MRF lines |
$91.50–$147 | $122–$196 | varies |
| PSA free (84154) | $120.75 | $161 | 6.6× |
| Pth Intact (83970) | $243.75 | $325 | 5.9× |
| Q Fever Antibody (86638) | $54.75 | $73 | 4.5× |
| Quantiferon tb gold plus (86480) | $80.25 | $107 | 1.3× |
| Quantitative assay drug (80299) range across 5 matching MRF lines |
$51–$225.75 | $68–$301 | varies |
| Quantitative Screen Metals (83018) | $79.50 | $106 | 3.6× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$419.25–$424.50 | $559–$566 | varies |
| Rbc antibody identification (86870) | $278.25 | $371 | 0.7× |
| Rbc antibody screen (86850) | $111.75 | $149 | 11.4× |
| Rbc pretreatment serum (86978) | $114.75 | $153 | 1.8× |
| Rbc pretx incubatj w/enzymes (86971) range across 3 matching MRF lines |
$150–$173.25 | $200–$231 | varies |
| Reagent Strip/Blood Glucose (82948) | $22.50 | $30 | 4.5× |
| Renin activity plasma (84244) | $134.25 | $179 | 6.1× |
| Resp virus 12-25 targets (87633) | $708 | $944 | 1.7× |
| Resp Virus 6-11 Targets (87632) | $478.50 | $638 | 2.2× |
| Reticulocyte separation (86972) | $195 | $260 | 1.1× |
| Rh (86901) | $73.50 | $98 | 24.6× |
| Rheumatoid Factor Qualitative (86430) | $58.50 | $78 | 9.5× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$32.25–$97.50 | $43–$130 | varies |
| Rickettsia antibody (86757) | $62.25 | $83 | 3.2× |
| Ristocetin cofactor (85245) | $206.25 | $275 | 9.0× |
| Rotavirus ag eia (87425) | $75.75 | $101 | 6.3× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$30–$58.50 | $40–$78 | varies |
| Rubella Antibody (86762) | $90 | $120 | 6.3× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$30.75–$84.75 | $41–$113 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$39.75–$81.75 | $53–$109 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $107.25 | $143 | 2.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $102 | $136 | 2.4× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $102 | $136 | 2.5× |
| Sedimentation Rate, Automated (85652) | $32.25 | $43 | 11.9× |
| Selenium (84255) range across 2 matching MRF lines |
$79.50–$133.50 | $106–$178 | varies |
| Semen Anal Sperm Detection (89321) | $82.50 | $110 | 6.8× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$17.25–$63 | $23–$84 | varies |
| Sept9 Methylation Analysis (81327) | $312 | $416 | 1.6× |
| Sex Hormone Binding Globulin (84270) | $80.25 | $107 | 3.7× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$47.25–$69.75 | $63–$93 | varies |
| Sirolimus (80195) | $90 | $120 | 6.6× |
| Skin test tuberculosis intradermal (86580) | $45.75 | $61 | 1.5× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$35.25–$57.75 | $47–$77 | varies |
| Smear complex stain (87209) | $62.25 | $83 | 3.5× |
| Smear gram stain (87205) | $51.75 | $69 | 12.1× |
| Smear Special Stain (87207) | $34.50 | $46 | 5.8× |
| Smn1 Gene Dos/Deletion Alys (81329) | $1,068.75 | $1,425 | 7.8× |
| Sodium Serum (84295) | $76.50 | $102 | 15.9× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$57–$57.75 | $76–$77 | varies |
| Soluble Transferrin Receptor (84238) | $63 | $84 | 1.7× |
| Somatomedin (84305) | $183.75 | $245 | 8.6× |
| Special Stains Group 1 (88312) | $174.75 | $233 | 3.2× |
| Special Stains Group 2 (88313) | $155.25 | $207 | 1.1× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$15.75–$30 | $21–$40 | varies |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$26.25–$52.50 | $35–$70 | varies |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $132 | $176 | 0.7× |
| Stool cultr aerobic bact ea (87046) | $50.25 | $67 | 5.3× |
| Strep a DNA amp probe (87651) | $148.50 | $198 | 4.2× |
| Sugars Single Qual (84376) | $25.50 | $34 | 4.6× |
| Surg path level iii (88304) | $201.75 | $269 | 3.7× |
| Surgical pathology level IV (88305) | $295.50 | $394 | 5.4× |
| Surgical pathology level vi (88309) | $615.75 | $821 | 0.7× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $10.50 | $14 | 2.2× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $47.25 | $63 | 6.3× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $108 | $144 | 14.8× |
| Syphilis Test Non-Trep Quant (86593) | $15.75 | $21 | 3.6× |
| T cells absolute cd4 count (86361) | $93.75 | $125 | 3.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$87.75–$123 | $117–$164 | varies |
| T cells total count (86359) | $101.25 | $135 | 2.7× |
| T3 Free (84481) | $162.75 | $217 | 9.6× |
| T3 reverse (84482) | $72.75 | $97 | 4.6× |
| T3 Total (84480) | $170.25 | $227 | 12.0× |
| T3 Uptake (84479) | $36 | $48 | 5.6× |
| T4 Free (84439) range across 2 matching MRF lines |
$112.50–$147.75 | $150–$197 | varies |
| T4 total (84436) | $99 | $132 | 14.4× |
| Tacrolimus (80197) | $222 | $296 | 16.2× |
| Tau phosphorylated each (84393) | $675 | $900 | 5.2× |
| Testosterone total (84403) | $141.75 | $189 | 5.5× |
| Testosterone, Free (84402) | $141.75 | $189 | 5.6× |
| Tetanus antibody (86774) | $35.25 | $47 | 2.4× |
| Theophylline (80198) | $214.50 | $286 | 15.2× |
| Thiopurine methyltransferase (84433) | $42 | $56 | 1.9× |
| Thrombin Time (85670) | $54 | $72 | 9.4× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$105.75–$124.50 | $141–$166 | varies |
| Thyroglobulin Antibody (86800) | $141.75 | $189 | 8.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $332.25 | $443 | 6.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $84.75 | $113 | 7.4× |
| Tissue Culture (88233) | $714 | $952 | 5.1× |
| Tissue culture bone marrow (88237) | $523.50 | $698 | 3.6× |
| Tissue Culture Lymphocyte (88230) | $186 | $248 | 1.6× |
| Tobramycin peak (80200) | $217.50 | $290 | 13.5× |
| Topiramate (80201) | $140.25 | $187 | 11.8× |
| Total Tau (84394) | $4,650 | $6,200 | 36.1× |
| Toxoplasma ab igm (86778) | $72.75 | $97 | 5.0× |
| Toxoplasma antibody (86777) | $90 | $120 | 6.3× |
| Tpmt gene com variants (81335) | $340.50 | $454 | 1.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $59.25 | $79 | 11.4× |
| Transferrin (84466) | $147 | $196 | 11.5× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $701.25 | $935 | 3.4× |
| Trg gene rearrangement anal (81342) | $677.25 | $903 | 3.4× |
| Trichomonas Vaginalis Amplif (87661) | $86.25 | $115 | 2.5× |
| Triglycerides (84478) range across 2 matching MRF lines |
$33.75–$56.25 | $45–$75 | varies |
| Troponin Quant (84484) | $72.75 | $97 | 5.8× |
| Tumor immunohistochem/comput (88361) | $317.25 | $423 | 0.8× |
| Tumor Immunohistochem/Manual (88360) | $317.25 | $423 | 1.8× |
| Ugt1a1 gene analysis common variants (81350) | $437.25 | $583 | 1.9× |
| Urea nitrogen urine (84540) | $75.75 | $101 | 13.6× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$27–$47.25 | $36–$63 | varies |
| Urinalysis Volume Measure (81050) | $21 | $28 | 5.8× |
| Urine Bacteria Culture (87088) | $52.50 | $70 | 6.5× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$51–$63 | $68–$84 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $22.50 | $30 | 7.1× |
| Valproic acid (80164) | $174.75 | $233 | 12.9× |
| Vancomycin (80202) | $237 | $316 | 17.5× |
| Varicella-zoster antibody (86787) | $99 | $132 | 7.7× |
| Vasopressin (84588) | $165.75 | $221 | 4.9× |
| Very Long Chain Fatty Acids (82726) | $376.50 | $502 | 19.1× |
| Viral Culture (87252) range across 2 matching MRF lines |
$65.25–$116.25 | $87–$155 | varies |
| Virus antibody nos (86790) range across 5 matching MRF lines |
$34.50–$261 | $46–$348 | varies |
| Virus inoculate tissue addl (87253) | $60.75 | $81 | 3.0× |
| Virus inoculation, shell via (87254) | $65.25 | $87 | 3.3× |
| Vit D 1 25-Dihydroxy (82652) | $123.75 | $165 | 3.2× |
| Vitamin A (84590) | $65.25 | $87 | 5.6× |
| Vitamin b-12 (82607) | $147.75 | $197 | 9.8× |
| Vitamin B2 (Riboflavin) (84252) | $273 | $364 | 13.5× |
| Vitamin B6 (84207) | $92.25 | $123 | 3.3× |
| Vitamin c (82180) | $221.25 | $295 | 22.4× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$85.50–$105 | $114–$140 | varies |
| Vitamin E (84446) | $69.75 | $93 | 4.9× |
| Vitamin K (84597) | $141.75 | $189 | 10.3× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $24 | $32 | 2.0× |
| Von willebrand factor ag (85246) | $161.25 | $215 | 7.0× |
| West nile virus ab igm (86788) | $168 | $224 | 10.0× |
| West Nile Virus Antibody (86789) | $168 | $224 | 11.7× |
| Western Blot Test (84181) | $338.25 | $451 | 19.9× |
| Xm Archive Tissue Molec Anal (88363) | $148.50 | $198 | 4.9× |
| Zika Virus Dna/Rna Amp Probe (87662) | $1,125 | $1,500 | 21.9× |
| Zinc (84630) | $134.25 | $179 | 11.8× |
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.