Lab & pathology prices at Delaware Valley Hospital, Inc
Walton, NY · every code in this section with a posted price and a Medicare benchmark.
604 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) range across 2 matching MRF lines |
$69–$260 | $69–$260 | varies |
| Acetylcholine receptor binding antibody (86041) range across 2 matching MRF lines |
$138–$214 | $138–$214 | varies |
| Acetylcholine receptor blocking antibody (86042) | $210 | $210 | 11.4× |
| Acth (82024) | $277 | $277 | 7.2× |
| Actin smooth muscle antibody each (86015) | $57 | $57 | 4.7× |
| Acylcarnitines Quant (82017) | $524 | $524 | 31.1× |
| Albumin Fluid (82042) | $33 | $33 | 4.2× |
| Albumin serum (82040) range across 2 matching MRF lines |
$29–$94 | $29–$94 | varies |
| Aldolase (82085) | $54 | $54 | 5.6× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$524–$767 | $524–$767 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$52–$140 | $52–$140 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $70 | $70 | 8.8× |
| Allergen specific ige (86003) range across 21 matching MRF lines |
$18–$596 | $18–$596 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 8 matching MRF lines |
$18–$146 | $18–$146 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $123 | $123 | 8.5× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$86–$218 | $86–$218 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$91–$155 | $91–$155 | varies |
| Alt (sgpt) (84460) | $132 | $132 | 24.9× |
| Aluminum (82108) range across 2 matching MRF lines |
$159–$411 | $159–$411 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) | $467 | $467 | 20.3× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $290 | $290 | 17.2× |
| Aminolevulinic acid (ala) (82135) | $195 | $195 | 11.9× |
| Ammonia (82140) range across 2 matching MRF lines |
$17–$255 | $17–$255 | varies |
| Amylase urine (82150) range across 3 matching MRF lines |
$177–$651 | $177–$651 | varies |
| Anca screen each antibody (86036) | $271 | $271 | 22.5× |
| Androstenedione (82157) | $271 | $271 | 9.3× |
| Angiotensin converting enzyme csf (82164) | $264 | $264 | 18.1× |
| Anti-Phospholipid Antibody (86148) | $553 | $553 | 34.4× |
| Antibody aspergillus (86606) range across 3 matching MRF lines |
$40–$93 | $40–$93 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $81 | $81 | 6.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $250 | $250 | 16.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 3 matching MRF lines |
$107–$370 | $107–$370 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $71 | $71 | 5.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $331 | $331 | 21.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $98 | $98 | 5.4× |
| Antibody Fungus Not Elsewhere Specified (86671) | $105 | $105 | 8.6× |
| Antibody haemophilus influenza (86684) | $79 | $79 | 5.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $344 | $344 | 23.9× |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$96–$341 | $96–$341 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$300–$343 | $300–$343 | varies |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$181–$206 | $181–$206 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $545 | $545 | 28.2× |
| Antibody Protozoa Nes (86753) range across 4 matching MRF lines |
$115–$264 | $115–$264 | varies |
| Antibody Titer (86886) | $250 | $250 | 48.3× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$47–$163 | $47–$163 | varies |
| Antigen typing (86905) | $126 | $126 | 32.9× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $42 | $42 | 7.3× |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$77–$254 | $77–$254 | varies |
| Antistreptolysin o titer (86060) | $189 | $189 | 25.9× |
| Antithrombin iii activity (85300) range across 3 matching MRF lines |
$140–$247 | $140–$247 | varies |
| Antithrombin iii antigen (85301) | $247 | $247 | 22.8× |
| Apolipoprotein a1 (82172) | $80 | $80 | 3.8× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $687 | $687 | 18.2× |
| Arsenic (82175) range across 9 matching MRF lines |
$71–$297 | $71–$297 | varies |
| Aspa gene analysis common variants (81200) | $297 | $297 | 6.3× |
| Aspergillus ag eia (87305) | $306 | $306 | 25.5× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$181–$434 | $181–$434 | varies |
| Assay Blood Carbon Dioxide (82374) | $87 | $87 | 17.8× |
| Assay Nephelometry Not Spec (83883) range across 5 matching MRF lines |
$216–$300 | $216–$300 | varies |
| Assay of 5-hiaa (83497) range across 3 matching MRF lines |
$54–$392 | $54–$392 | varies |
| Assay of anti-mullerian hormone (82166) | $146 | $146 | 3.8× |
| Assay of blood/uric acid (84550) | $121 | $121 | 26.8× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$25–$168 | $25–$168 | varies |
| Assay of cpk in blood (82552) | $55 | $55 | 4.1× |
| Assay of estrone (82679) | $219 | $219 | 8.8× |
| Assay of g6pd enzyme (82955) | $82 | $82 | 8.5× |
| Assay of gammaglobulin igm (82784) range across 12 matching MRF lines |
$41–$139 | $41–$139 | varies |
| Assay of lactic acid (83605) | $188 | $188 | 16.2× |
| Assay of manganese (83785) | $734 | $734 | 27.5× |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$74–$537 | $74–$537 | varies |
| Assay of proinsulin (84206) | $116 | $116 | 4.3× |
| Assay of serotonin (84260) | $236 | $236 | 7.6× |
| Assay of serum potassium (84132) | $121 | $121 | 25.4× |
| Assay of sweat sodium (84302) | $83 | $83 | 17.1× |
| Assay of urea nitrogen (84520) | $133 | $133 | 33.7× |
| Assay of urine vma (84585) | $83 | $83 | 5.4× |
| Assay of vitamin b-1 (84425) | $467 | $467 | 22.0× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$15–$37 | $15–$37 | varies |
| Asy carbamazepin 10,11-epxid (80161) | $78 | $78 | 4.2× |
| Automated Leukocyte Count (85048) | $32 | $32 | 12.6× |
| B cells total count (86355) | $279 | $279 | 7.4× |
| Babesia microti amp prb (87469) | $451 | $451 | 12.9× |
| Bartonella antibody (86611) | $260 | $260 | 25.5× |
| Bcr/abl1 gene major bp (81206) range across 4 matching MRF lines |
$635–$1,342 | $635–$1,342 | varies |
| Bcr/abl1 gene minor bp (81207) range across 3 matching MRF lines |
$867–$1,075 | $867–$1,075 | varies |
| Bcr/Abl1 Gene Other Bp (81208) | $1,154 | $1,154 | 5.4× |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$118–$129 | $118–$129 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$53–$146 | $53–$146 | varies |
| Beta Lactamase (87185) | $38 | $38 | 8.0× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$152–$196 | $152–$196 | varies |
| Bile acids total (82239) | $159 | $159 | 9.3× |
| Bilirubin direct (82248) | $121 | $121 | 24.1× |
| Bilirubin total (82247) | $171 | $171 | 34.1× |
| Bl Smear W/O Diff Wbc Count (85008) | $55 | $55 | 16.0× |
| Blastomyces antibody (86612) | $151 | $151 | 11.7× |
| Bld Typing Serologic Rh Phnt (86906) | $196 | $196 | 25.3× |
| Blood count reticulocyte automated (85045) | $117 | $117 | 29.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $82 | $82 | 21.6× |
| Blood gas (82803) | $312 | $312 | 12.0× |
| Blood gases w/02 saturation (82805) | $346 | $346 | 4.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $82 | $82 | 18.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $347 | $347 | 54.6× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$84–$130 | $84–$130 | varies |
| Body fluid cell count (89050) | $92 | $92 | 19.5× |
| Bordetella antibody (86615) | $481 | $481 | 36.5× |
| Borrelia miyamotoi amp prb (87478) | $262 | $262 | 7.5× |
| Braf gene analysis (81210) range across 4 matching MRF lines |
$748–$3,301 | $748–$3,301 | varies |
| Brucella antibody (86622) | $57 | $57 | 6.4× |
| C diff amplified probe (87493) | $308 | $308 | 8.3× |
| C-Peptide (84681) | $445 | $445 | 21.4× |
| C-reactive protein (86140) | $129 | $129 | 24.9× |
| Ca 19-9 (86301) | $318 | $318 | 15.3× |
| Cadmium (82300) range across 5 matching MRF lines |
$88–$290 | $88–$290 | varies |
| Calcitonin (82308) | $167 | $167 | 6.2× |
| Calcium ionized (82330) | $312 | $312 | 22.8× |
| Calcium total (82310) range across 2 matching MRF lines |
$40–$226 | $40–$226 | varies |
| Calculus Spectroscopy (82365) | $60 | $60 | 4.7× |
| Calprotectin Fecal (83993) | $494 | $494 | 25.2× |
| Calr gene com variants (81219) range across 3 matching MRF lines |
$1,645–$2,763 | $1,645–$2,763 | varies |
| Cancer Antigen 125 (86304) | $318 | $318 | 15.3× |
| Cancer Antigen 27.29 (86300) range across 4 matching MRF lines |
$194–$221 | $194–$221 | varies |
| Carbamazepine free (80157) | $457 | $457 | 34.5× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$132–$299 | $132–$299 | varies |
| Carboxyhemoglobin (82375) | $286 | $286 | 23.2× |
| Carcinoembryonic antigen (82378) range across 6 matching MRF lines |
$75–$536 | $75–$536 | varies |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$53–$536 | $53–$536 | varies |
| Carnitine Quantitative Each Specimen (82379) | $227 | $227 | 13.5× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$158–$527 | $158–$527 | varies |
| Ccp antibody (86200) range across 3 matching MRF lines |
$38–$281 | $38–$281 | varies |
| Cell count csf (89051) range across 3 matching MRF lines |
$104–$170 | $104–$170 | varies |
| Ceruloplasmin (82390) | $206 | $206 | 19.2× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$2,257–$2,578 | $2,257–$2,578 | varies |
| Cftr gene dup/delet variants (81222) range across 2 matching MRF lines |
$1,764–$2,016 | $1,764–$2,016 | varies |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$217–$646 | $217–$646 | varies |
| Chlamydia antibody (86631) range across 3 matching MRF lines |
$47–$93 | $47–$93 | varies |
| Chlamydia Igm Antibody (86632) | $50 | $50 | 3.9× |
| Chloride other source (82438) | $84 | $84 | 16.8× |
| Chloride Serum (82435) | $81 | $81 | 17.6× |
| Chloride urine (82436) range across 3 matching MRF lines |
$23–$132 | $23–$132 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$19–$113 | $19–$113 | varies |
| Cholinesterase Serum (82480) | $31 | $31 | 3.9× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$142–$289 | $142–$289 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $387 | $387 | 14.4× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$124–$144 | $124–$144 | varies |
| Chrmsm Analysis Addl Specialized Banding (88283) | $293 | $293 | 4.3× |
| Chromium serum (82495) range across 2 matching MRF lines |
$153–$162 | $153–$162 | varies |
| Chromogranin a (86316) | $194 | $194 | 9.3× |
| Chromosome analys amniotic (88269) | $741 | $741 | 4.3× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$536–$563 | $536–$563 | varies |
| Chromosome Analysis 20-25 (88264) | $482 | $482 | 3.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $278 | $278 | 7.9× |
| Citric acid urine (82507) | $108 | $108 | 3.9× |
| Ckmb (82553) | $289 | $289 | 25.0× |
| Clot Factor VIII Multimetric (85247) | $154 | $154 | 6.7× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$349–$700 | $349–$700 | varies |
| Coccidioides antibody (86635) | $125 | $125 | 10.9× |
| Cold agglutinin titer (86157) | $84 | $84 | 10.4× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$42–$490 | $42–$490 | varies |
| Column Chromotography Quant (82542) range across 7 matching MRF lines |
$137–$1,064 | $137–$1,064 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$230–$434 | $230–$434 | varies |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$281–$696 | $281–$696 | varies |
| Complement Total (Ch50) (86162) | $467 | $467 | 23.0× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$133–$603 | $133–$603 | varies |
| Coombs direct (86880) range across 4 matching MRF lines |
$82–$155 | $82–$155 | varies |
| Copper urine (82525) range across 3 matching MRF lines |
$52–$256 | $52–$256 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$77–$469 | $77–$469 | varies |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$279–$293 | $279–$293 | varies |
| Creatine kinase total (82550) | $146 | $146 | 22.4× |
| Creatinine blood (82565) | $133 | $133 | 26.0× |
| Creatinine clearance (82575) | $278 | $278 | 29.4× |
| Creatinine Urine (82570) range across 13 matching MRF lines |
$20–$158 | $20–$158 | varies |
| Crossmatch electronic (86923) | $618 | $618 | 2.9× |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$67–$121 | $67–$121 | varies |
| Crp High Sensitivity (86141) | $132 | $132 | 10.2× |
| Cryofibrinogen (82585) | $73 | $73 | 5.2× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$42–$154 | $42–$154 | varies |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$115–$267 | $115–$267 | varies |
| Cryptosporidium ag eia (87328) | $212 | $212 | 15.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$98–$448 | $98–$448 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $39 | $39 | 4.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $252 | $252 | 32.7× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $144 | $144 | 0.7× |
| Culture afb (87116) | $144 | $144 | 13.3× |
| Culture Anaerobic (87075) | $191 | $191 | 20.2× |
| Culture blood (87040) | $170 | $170 | 16.5× |
| Culture csf (87070) range across 6 matching MRF lines |
$184–$203 | $184–$203 | varies |
| Culture fungus (87102) | $86 | $86 | 10.2× |
| Culture screen only (87081) range across 6 matching MRF lines |
$29–$109 | $29–$109 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $53 | $53 | 10.2× |
| Culture urine (87086) range across 2 matching MRF lines |
$160–$181 | $160–$181 | varies |
| Cyclosporine (80158) | $145 | $145 | 8.0× |
| Cystatin C (82610) | $129 | $129 | 7.0× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$328–$701 | $328–$701 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 4 matching MRF lines |
$3,954–$7,461 | $3,954–$7,461 | varies |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
$66–$293 | $66–$293 | varies |
| Cytotoxic pra quick (86808) | $3,056 | $3,056 | 103.0× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $217 | $217 | 8.2× |
| Cytp Concentration Smears & Interpretation (88108) | $231 | $231 | 5.0× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $223 | $223 | 4.8× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $179 | $179 | 9.7× |
| Deoxycortisol (82634) | $91 | $91 | 3.1× |
| Deoxyribonuclease antibody (86215) | $83 | $83 | 6.3× |
| Detect Agent Nos Dna Amp (87798) range across 21 matching MRF lines |
$137–$1,386 | $137–$1,386 | varies |
| Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines |
$199–$1,008 | $199–$1,008 | varies |
| Detect agnt mult DNA ampli (87801) | $534 | $534 | 7.6× |
| Dgp Antibody Each Ig Class (86258) range across 4 matching MRF lines |
$56–$291 | $56–$291 | varies |
| Dhea (82626) | $511 | $511 | 20.2× |
| Dhea-S (82627) | $482 | $482 | 21.7× |
| Digoxin (80162) | $273 | $273 | 20.6× |
| Dihydrotestosterone (82642) | $143 | $143 | 4.9× |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$285–$370 | $285–$370 | varies |
| Dna Antibody Native/Double Stranded (86225) | $52 | $52 | 3.8× |
| Dpyd gene common variants (81232) range across 2 matching MRF lines |
$1,066–$2,580 | $1,066–$2,580 | varies |
| Drug assay adalimumab (80145) | $472 | $472 | 12.2× |
| Drug Assay Infliximab (80230) | $742 | $742 | 19.2× |
| Drug Assay Itraconazole (80189) | $133 | $133 | 4.9× |
| Drug Assay Lacosamide (80235) | $170 | $170 | 6.3× |
| Drug Assay Posaconazole (80187) | $173 | $173 | 6.4× |
| Drug Screen Quant Clozapine (80159) | $113 | $113 | 5.6× |
| Drug Screen Quant Zonisamide (80203) | $774 | $774 | 58.4× |
| Drug Screen Quantitative Gabapentin (80171) | $125 | $125 | 5.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $321 | $321 | 24.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $397 | $397 | 30.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$99–$289 | $99–$289 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) | $247 | $247 | 4.0× |
| Drug Test Prsmv Instrmnt (80306) | $435 | $435 | 25.4× |
| Egfr Gene Analysis Common Variants (81235) range across 2 matching MRF lines |
$1,382–$1,580 | $1,382–$1,580 | varies |
| Ehrlichia antibody (86666) range across 4 matching MRF lines |
$96–$159 | $96–$159 | varies |
| El-1 Fecal Quantitative (82653) | $290 | $290 | 12.6× |
| Electrolyte panel (80051) | $159 | $159 | 22.7× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $333 | $333 | 27.5× |
| Enzyme cell activity (82657) | $549 | $549 | 24.8× |
| Erythropoietin (82668) | $389 | $389 | 20.7× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$111–$521 | $111–$521 | varies |
| Estriol (82677) | $510 | $510 | 21.1× |
| Estrogen total (82672) | $363 | $363 | 16.7× |
| Estrogens fractionated (82671) | $300 | $300 | 9.3× |
| Ethosuximide (80168) | $121 | $121 | 7.4× |
| Exam Synovial Fluid Crystals (89060) | $42 | $42 | 5.7× |
| F2 Gene (81240) range across 4 matching MRF lines |
$430–$882 | $430–$882 | varies |
| Factor ii activity (85210) | $194 | $194 | 14.9× |
| Factor Inhibitor Test (85335) range across 4 matching MRF lines |
$187–$745 | $187–$745 | varies |
| Factor ix activity (85250) | $520 | $520 | 27.3× |
| Factor v activity (85220) range across 2 matching MRF lines |
$307–$451 | $307–$451 | varies |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$534–$640 | $534–$640 | varies |
| Factor vii assay (85230) | $517 | $517 | 28.9× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$252–$687 | $252–$687 | varies |
| Factor X (85260) | $450 | $450 | 25.1× |
| Factor xi activity (85270) | $495 | $495 | 27.7× |
| Fancc Gene (81242) | $230 | $230 | 6.3× |
| Fat/Lipids Feces Quantitative (82710) | $115 | $115 | 6.8× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $258 | $258 | 33.5× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $595 | $595 | 34.6× |
| Ferritin (82728) range across 2 matching MRF lines |
$191–$278 | $191–$278 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) range across 3 matching MRF lines |
$688–$1,032 | $688–$1,032 | varies |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$121–$242 | $121–$242 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$116–$125 | $116–$125 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 2 matching MRF lines |
$183–$269 | $183–$269 | varies |
| Flow cytometry first marker (88184) | $333 | $333 | 0.7× |
| Flt3 Gene (81245) range across 3 matching MRF lines |
$407–$806 | $407–$806 | varies |
| Flt3 gene analysis (81246) range across 3 matching MRF lines |
$407–$522 | $407–$522 | varies |
| Fluorescent antibody screen (86255) range across 14 matching MRF lines |
$63–$1,960 | $63–$1,960 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 4 matching MRF lines |
$57–$99 | $57–$99 | varies |
| Fmr1 Gene Charac Alleles (81244) | $552 | $552 | 12.3× |
| Fmr1 gene detection (81243) range across 2 matching MRF lines |
$557–$636 | $557–$636 | varies |
| Folic acid rbc (82747) | $428 | $428 | 24.2× |
| Folic Acid Serum (82746) | $399 | $399 | 27.1× |
| Follicle Stimulating Hormone (83001) | $340 | $340 | 18.3× |
| Francisella tularensis (86668) | $482 | $482 | 34.0× |
| Fungi Identification Mold (87107) | $172 | $172 | 16.7× |
| Fungi Identification Yeast (87106) | $204 | $204 | 19.8× |
| Gammaglobulin ige (82785) | $281 | $281 | 17.1× |
| Gases blood ph only (82800) | $204 | $204 | 18.5× |
| Gastrin (82941) | $163 | $163 | 9.2× |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $297 | $297 | 6.3× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 9 matching MRF lines |
$2,043–$10,638 | $2,043–$10,638 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $5,882 | $5,882 | 2.0× |
| Genet Virus Isolate Hsv (87255) | $209 | $209 | 6.2× |
| Genetic Tstg Severe Inh Cond (81443) | $13,129 | $13,129 | 5.4× |
| Gentamicin (80170) | $381 | $381 | 23.3× |
| Ggt (82977) | $144 | $144 | 20.0× |
| Giardia antigen (87329) | $281 | $281 | 23.5× |
| Glucagon (82943) | $176 | $176 | 12.3× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$98–$142 | $98–$142 | varies |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$63–$65 | $63–$65 | varies |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$17–$19 | $17–$19 | varies |
| Glucose Serum (82947) | $125 | $125 | 31.8× |
| Glucose tolerance test (gtt) (82951) | $213 | $213 | 16.6× |
| Glycated Protein (82985) | $143 | $143 | 8.5× |
| Gonadotropin Chorionic Qualitative (84703) | $139 | $139 | 18.5× |
| Growth hormone (83003) | $155 | $155 | 9.3× |
| Gtt-added samples (82952) | $88 | $88 | 22.4× |
| H Pylori (C-13) Breath (83013) | $545 | $545 | 8.1× |
| Haptoglobin (83010) | $231 | $231 | 18.4× |
| Hba1/hba2 full gene sequence (81259) range across 2 matching MRF lines |
$2,536–$3,380 | $2,536–$3,380 | varies |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $971 | $971 | 4.8× |
| Hbb duplication/deletion variants (81363) | $2,463 | $2,463 | 12.2× |
| Hbb Full Gene Sequence (81364) | $2,679 | $2,679 | 8.3× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$35–$163 | $35–$163 | varies |
| Hematocrit (85014) | $87 | $87 | 36.7× |
| Hemoglobin (85018) | $87 | $87 | 36.7× |
| Hemoglobin a1c (83036) | $189 | $189 | 19.5× |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$79–$250 | $79–$250 | varies |
| Hemoglobin electrophoresis (83020) | $57 | $57 | 4.4× |
| Hemoglobin urine (83069) | $258 | $258 | 65.3× |
| Hep a ab igm (86709) | $299 | $299 | 26.6× |
| Heparin assay (85520) | $184 | $184 | 14.1× |
| Hepatitis a antibody total (86708) | $47 | $47 | 3.8× |
| Hepatitis b core ab igm (86705) | $293 | $293 | 24.9× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$77–$389 | $77–$389 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$102–$206 | $102–$206 | varies |
| Hepatitis B Surface Antigen (87340) | $237 | $237 | 22.9× |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$74–$231 | $74–$231 | varies |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$70–$74 | $70–$74 | varies |
| Hepatitis C Antibody (86803) | $308 | $308 | 21.6× |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
$1,098–$1,644 | $1,098–$1,644 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$175–$202 | $175–$202 | varies |
| Hepatitis d quantification (87523) | $204 | $204 | 4.8× |
| Herpes simplex type 2 (86696) range across 5 matching MRF lines |
$73–$341 | $73–$341 | varies |
| Heterophile Antibody Screen (86308) | $171 | $171 | 33.0× |
| Hexa gene analysis common variants (81255) | $322 | $322 | 6.3× |
| Hfe Gene (81256) range across 2 matching MRF lines |
$435–$497 | $435–$497 | varies |
| Histamine urine (83088) range across 2 matching MRF lines |
$384–$443 | $384–$443 | varies |
| Histoplasma antibody (86698) range across 4 matching MRF lines |
$63–$83 | $63–$83 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $110 | $110 | 4.6× |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$115–$138 | $115–$138 | varies |
| HIV-1 p24 antigen (87390) | $389 | $389 | 16.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$682–$796 | $682–$796 | varies |
| HIV-2 probe&revrse trnscripj (87538) range across 2 matching MRF lines |
$560–$1,172 | $560–$1,172 | varies |
| Hla Class I Typing Low Resolution Complete (81372) range across 2 matching MRF lines |
$3,016–$3,447 | $3,016–$3,447 | varies |
| Hla I Typing 1 Allele Hr (81381) range across 4 matching MRF lines |
$594–$1,738 | $594–$1,738 | varies |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $2,300 | $2,300 | 10.4× |
| Hla ii typing 1 locus lr (81376) range across 4 matching MRF lines |
$549–$853 | $549–$853 | varies |
| Hla-b27 (86812) range across 2 matching MRF lines |
$283–$323 | $283–$323 | varies |
| Homocysteine (83090) | $467 | $467 | 26.1× |
| Homogenization Tissue (87176) | $87 | $87 | 14.8× |
| Hpv High-Risk Types (87624) | $154 | $154 | 4.4× |
| Hpv Types 16 & 18 Only (87625) range across 2 matching MRF lines |
$209–$297 | $209–$297 | varies |
| Hsv Dna Amp Probe (87529) range across 6 matching MRF lines |
$130–$209 | $130–$209 | varies |
| Htt Gene Detc Abnor Alleles (81271) | $959 | $959 | 7.0× |
| Human Epididymis Protein 4 (86305) | $220 | $220 | 10.6× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$140–$196 | $140–$196 | varies |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $425 | $425 | 35.5× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $196 | $196 | 5.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$137–$217 | $137–$217 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$130–$185 | $130–$185 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $166 | $166 | 4.7× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$201–$957 | $201–$957 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 3 matching MRF lines |
$280–$301 | $280–$301 | varies |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $196 | $196 | 5.6× |
| Iadna hepatitis b virus amplified probe tq (87516) | $190 | $190 | 5.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$206–$560 | $206–$560 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$130–$185 | $130–$185 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $226 | $226 | 6.4× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $225 | $225 | 4.4× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 2 matching MRF lines |
$682–$796 | $682–$796 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) range across 2 matching MRF lines |
$887–$1,518 | $887–$1,518 | varies |
| Ig Light Chains Free Each (83521) | $75 | $75 | 4.3× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$199–$237 | $199–$237 | varies |
| Igh gene rearrange amp meth (81261) range across 2 matching MRF lines |
$833–$953 | $833–$953 | varies |
| Igh@ Variable Region Somatic Mutation Analysis (81263) range across 4 matching MRF lines |
$1,138–$2,300 | $1,138–$2,300 | varies |
| Igk rearrangeabn clonal pop (81264) range across 2 matching MRF lines |
$833–$953 | $833–$953 | varies |
| Ikbkap Gene Analysis Common Variants (81260) | $246 | $246 | 6.3× |
| Immunfix e-phorsis/urine/csf (86335) | $226 | $226 | 7.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$153–$278 | $153–$278 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$110–$155 | $110–$155 | varies |
| Immunoassay nonantibody (83516) range across 21 matching MRF lines |
$48–$885 | $48–$885 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$97–$503 | $97–$503 | varies |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$341–$428 | $341–$428 | varies |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$315–$336 | $315–$336 | varies |
| Influenza DNA amp probe (87502) range across 3 matching MRF lines |
$381–$430 | $381–$430 | varies |
| Inhibin A (86336) range across 2 matching MRF lines |
$91–$800 | $91–$800 | varies |
| Inhibin b (83520) range across 17 matching MRF lines |
$116–$730 | $116–$730 | varies |
| Insitu hybridization auto (88367) | $541 | $541 | 1.2× |
| Insitu hybridization manual (88368) range across 2 matching MRF lines |
$256–$1,207 | $256–$1,207 | varies |
| Insulin antibodies (86337) | $102 | $102 | 4.8× |
| Insulin free (83527) range across 2 matching MRF lines |
$96–$293 | $96–$293 | varies |
| Insulin total (83525) range across 2 matching MRF lines |
$86–$260 | $86–$260 | varies |
| Interleukin-6 (83529) | $304 | $304 | 17.6× |
| Intrinsic factor antibody (86340) | $109 | $109 | 7.2× |
| Iron (83540) | $128 | $128 | 19.8× |
| Iron Binding Capacity (83550) | $179 | $179 | 20.5× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$110–$1,897 | $110–$1,897 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 4 matching MRF lines |
$435–$639 | $435–$639 | varies |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $2,034 | $2,034 | 6.2× |
| Kras Gene Analysis Additional Variant(S) (81276) range across 2 matching MRF lines |
$1,903–$2,174 | $1,903–$2,174 | varies |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$1,903–$2,174 | $1,903–$2,174 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$27–$132 | $27–$132 | varies |
| Lactoferrin fecal qualitative (83630) | $345 | $345 | 17.5× |
| Ldh Isoenzymes (83625) | $209 | $209 | 16.3× |
| LDL direct (83721) | $184 | $184 | 17.5× |
| Lead (83655) range across 5 matching MRF lines |
$46–$111 | $46–$111 | varies |
| Legionella antibody (86713) | $103 | $103 | 6.7× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$162–$488 | $162–$488 | varies |
| Leukocyte Assessment Fecal (89055) | $89 | $89 | 20.8× |
| Leukocyte Histamine Release (86343) | $680 | $680 | 54.6× |
| Level I Surg Pathology Gross Examination Only (88300) | $115 | $115 | 3.2× |
| Lipase (83690) | $168 | $168 | 24.4× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$62–$75 | $62–$75 | varies |
| Lipoprotein Bld Quan Part (83704) | $175 | $175 | 5.1× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $50 | $50 | 4.4× |
| Lithium (80178) | $154 | $154 | 23.3× |
| Luteinizing Hormone (Lh) (83002) | $359 | $359 | 19.4× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$155–$352 | $155–$352 | varies |
| Lymphocyte transformation (86353) range across 2 matching MRF lines |
$1,119–$1,978 | $1,119–$1,978 | varies |
| Lysozyme serum (85549) | $82 | $82 | 4.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$513–$1,127 | $513–$1,127 | varies |
| M/phmtrc alys ishquant/semiq (88374) range across 3 matching MRF lines |
$434–$1,405 | $434–$1,405 | varies |
| Magnesium Urine (83735) range across 6 matching MRF lines |
$27–$139 | $27–$139 | varies |
| Mass Spectrometry Quant (83789) | $486 | $486 | 20.2× |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $246 | $246 | 6.3× |
| Mercury urine (83825) range across 4 matching MRF lines |
$60–$131 | $60–$131 | varies |
| Methylmalonic acid serum (83921) | $603 | $603 | 28.4× |
| Mgmt methylation analysis (81287) range across 4 matching MRF lines |
$974–$2,607 | $974–$2,607 | varies |
| Microalbumin, quantitative (82043) | $135 | $135 | 23.4× |
| Microbe Suscept Macrobroth (87188) | $26 | $26 | 3.9× |
| Microsatellite instability (81301) range across 2 matching MRF lines |
$1,485–$1,696 | $1,485–$1,696 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$157–$293 | $157–$293 | varies |
| Mitochondrial Antibody Each (86381) | $271 | $271 | 10.6× |
| Mlh1 Gene (81288) range across 2 matching MRF lines |
$821–$1,379 | $821–$1,379 | varies |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $2,219 | $2,219 | 58.8× |
| Molecular Cytogenetics Dna Probe Each (88271) | $93 | $93 | 4.3× |
| Mopath procedure level 1 (81400) range across 2 matching MRF lines |
$793–$907 | $793–$907 | varies |
| Mopath procedure level 2 (81401) | $1,348 | $1,348 | 9.8× |
| Mopath procedure level 4 (81403) | $790 | $790 | 4.3× |
| Mthfr Gene Analysis Common Variants (81291) | $814 | $814 | 12.5× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$71–$237 | $71–$237 | varies |
| Muscle-Specific Kinase Antb (86366) | $1,444 | $1,444 | 78.5× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$206–$281 | $206–$281 | varies |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$88–$109 | $88–$109 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$302–$824 | $302–$824 | varies |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$311–$409 | $311–$409 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $1,165 | $1,165 | 16.1× |
| Niacin (84591) | $435 | $435 | 25.5× |
| Nickel level (83885) | $136 | $136 | 5.5× |
| Nk cells total count (86357) | $279 | $279 | 7.4× |
| Nras gene variants exon 2&3 (81311) range across 2 matching MRF lines |
$1,260–$1,440 | $1,260–$1,440 | varies |
| Ntrk translocation analysis (81194) | $2,432 | $2,432 | 4.7× |
| Nuclear antigen antibody (86235) range across 15 matching MRF lines |
$74–$1,427 | $74–$1,427 | varies |
| Obstetric panel (80081) | $305 | $305 | 4.1× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$67–$82 | $67–$82 | varies |
| Occult Blood Other Sources (82271) | $101 | $101 | 19.0× |
| Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing… (81521) range across 2 matching MRF lines |
$5,363–$7,660 | $5,363–$7,660 | varies |
| Organic Acids Qualitative Each Specimen (83919) | $103 | $103 | 6.3× |
| Osmolality serum (83930) | $142 | $142 | 21.5× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$28–$154 | $28–$154 | varies |
| Ova and parasites smears (87177) | $35 | $35 | 3.9× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$57–$264 | $57–$264 | varies |
| Parvovirus antibody (86747) | $91 | $91 | 6.1× |
| Ph urine (81003) range across 3 matching MRF lines |
$15–$67 | $15–$67 | varies |
| Phenobarbital Level (80184) range across 4 matching MRF lines |
$63–$345 | $63–$345 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$88–$344 | $88–$344 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$91–$108 | $91–$108 | varies |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$19–$121 | $19–$121 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $441 | $441 | 24.5× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$82–$125 | $82–$125 | varies |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$23–$132 | $23–$132 | varies |
| Pinworm exam (87172) | $155 | $155 | 36.3× |
| Platelet Aggregation (85576) | $144 | $144 | 5.8× |
| Platelet Antibodies (86022) | $434 | $434 | 23.6× |
| Platelet count automated (85049) | $81 | $81 | 18.1× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $765 | $765 | 3.7× |
| Pneumcysts jirovecii amp prb (87594) | $361 | $361 | 10.3× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$32–$132 | $32–$132 | varies |
| Prealbumin (84134) | $168 | $168 | 11.5× |
| Pregnancy-Associated Plasma Protein-A (84163) range across 2 matching MRF lines |
$118–$236 | $118–$236 | varies |
| Pregnenolone (84140) | $110 | $110 | 5.3× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $155 | $155 | 2.1× |
| Pretx serum rbc antibody identification dilution (86976) range across 2 matching MRF lines |
$39–$103 | $39–$103 | varies |
| Procalcitonin (Pct) (84145) | $143 | $143 | 5.3× |
| Progesterone (84144) | $308 | $308 | 14.8× |
| Prolactin (84146) | $459 | $459 | 23.7× |
| Prostaglandin (84150) | $171 | $171 | 4.1× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$17–$144 | $17–$144 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$163–$352 | $163–$352 | varies |
| Protein Electrophoresis Urine (84166) | $70 | $70 | 3.9× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $90 | $90 | 8.4× |
| Protein S Free (85306) range across 2 matching MRF lines |
$87–$181 | $87–$181 | varies |
| Protein total serum (84155) range across 2 matching MRF lines |
$90–$144 | $90–$144 | varies |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$15–$94 | $15–$94 | varies |
| PSA free (84154) | $422 | $422 | 22.9× |
| Pth Intact (83970) range across 2 matching MRF lines |
$196–$788 | $196–$788 | varies |
| Q Fever Antibody (86638) range across 5 matching MRF lines |
$73–$162 | $73–$162 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$289–$311 | $289–$311 | varies |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$138–$409 | $138–$409 | varies |
| Quantitative Screen Metals (83018) range across 6 matching MRF lines |
$162–$411 | $162–$411 | varies |
| Rbc antibody elution (86860) | $255 | $255 | 1.2× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$225–$380 | $225–$380 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$144–$209 | $144–$209 | varies |
| Rbc pretreatment serum (86978) | $301 | $301 | 4.1× |
| Rbc pretx incubatj w/enzymes (86971) | $1,207 | $1,207 | 5.7× |
| Renin activity plasma (84244) range across 4 matching MRF lines |
$205–$1,015 | $205–$1,015 | varies |
| Resp virus 12-25 targets (87633) range across 3 matching MRF lines |
$2,176–$3,475 | $2,176–$3,475 | varies |
| Resp Virus 6-11 Targets (87632) | $1,320 | $1,320 | 6.1× |
| Reticulocyte separation (86972) | $618 | $618 | 2.9× |
| Rh (86901) range across 2 matching MRF lines |
$70–$125 | $70–$125 | varies |
| Rheumatoid factor quant (86431) | $159 | $159 | 28.0× |
| Rickettsia antibody (86757) range across 12 matching MRF lines |
$103–$260 | $103–$260 | varies |
| Ristocetin cofactor (85245) | $122 | $122 | 5.3× |
| Rpr qualitative (86592) | $94 | $94 | 22.0× |
| Rubella Antibody (86762) range across 5 matching MRF lines |
$74–$344 | $74–$344 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$70–$260 | $70–$260 | varies |
| Rufinamide (80210) | $230 | $230 | 8.5× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$114–$209 | $114–$209 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 4 matching MRF lines |
$118–$304 | $118–$304 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $156 | $156 | 3.7× |
| Sedimentation Rate, Automated (85652) | $113 | $113 | 41.9× |
| Selenium (84255) | $204 | $204 | 8.0× |
| Sensitivity mic (87186) range across 10 matching MRF lines |
$33–$892 | $33–$892 | varies |
| Sex Hormone Binding Globulin (84270) | $94 | $94 | 4.3× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$87–$139 | $87–$139 | varies |
| Sirolimus (80195) | $321 | $321 | 23.4× |
| Smear acid fast (87206) | $155 | $155 | 28.8× |
| Smear complex stain (87209) | $71 | $71 | 3.9× |
| Smear gram stain (87205) | $62 | $62 | 14.5× |
| Smear Special Stain (87207) range across 3 matching MRF lines |
$87–$357 | $87–$357 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) range across 2 matching MRF lines |
$2,283–$2,518 | $2,283–$2,518 | varies |
| Smpd1 Gene Analysis Common Variants (81330) | $294 | $294 | 6.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $128 | $128 | 22.0× |
| Snrpn/Ube3a Methylation Analysis (81331) | $457 | $457 | 8.9× |
| So neo gsap DNA aly cpy nmbrµsatellite ins (81458) | $2,350 | $2,350 | 2.2× |
| Sodium Serum (84295) | $91 | $91 | 18.9× |
| Sodium Urine (84300) range across 3 matching MRF lines |
$20–$125 | $20–$125 | varies |
| Somatomedin (84305) range across 2 matching MRF lines |
$171–$422 | $171–$422 | varies |
| Special Stains Group 1 (88312) | $70 | $70 | 1.1× |
| Special Stains Group 2 (88313) | $86 | $86 | 0.5× |
| Specimen infect agnt concntj (87015) | $93 | $93 | 13.9× |
| Spectrophotometry (84311) | $366 | $366 | 45.2× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $444 | $444 | 2.1× |
| Stool cultr aerobic bact ea (87046) | $94 | $94 | 10.0× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$48–$181 | $48–$181 | varies |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$141–$152 | $141–$152 | varies |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $130 | $130 | 1.4× |
| Sulfate urine (84392) range across 2 matching MRF lines |
$21–$115 | $21–$115 | varies |
| Surg path level iii (88304) | $392 | $392 | 6.0× |
| Surgical pathology level IV (88305) | $574 | $574 | 8.8× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $104 | $104 | 21.9× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $137 | $137 | 18.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $339 | $339 | 7.2× |
| T cells total count (86359) | $279 | $279 | 7.4× |
| T3 Free (84481) | $63 | $63 | 3.7× |
| T3 reverse (84482) | $119 | $119 | 7.6× |
| T3 Total (84480) range across 2 matching MRF lines |
$133–$289 | $133–$289 | varies |
| T3 Uptake (84479) range across 2 matching MRF lines |
$29–$63 | $29–$63 | varies |
| T4 Free (84439) range across 4 matching MRF lines |
$76–$228 | $76–$228 | varies |
| T4 total (84436) range across 3 matching MRF lines |
$67–$201 | $67–$201 | varies |
| Tacrolimus (80197) | $506 | $506 | 36.9× |
| Tert gene targeted seq alys (81345) range across 2 matching MRF lines |
$3,345–$3,822 | $3,345–$3,822 | varies |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$20–$99 | $20–$99 | varies |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$219–$271 | $219–$271 | varies |
| Testosterone total (84403) range across 4 matching MRF lines |
$111–$600 | $111–$600 | varies |
| Testosterone, Free (84402) range across 3 matching MRF lines |
$110–$600 | $110–$600 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) range across 3 matching MRF lines |
$2,198–$3,282 | $2,198–$3,282 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $2,350 | $2,350 | 3.9× |
| Theophylline (80198) | $297 | $297 | 21.0× |
| Thiopurine methyltransferase (84433) | $1,023 | $1,023 | 46.1× |
| Thrombin Time (85670) range across 3 matching MRF lines |
$70–$161 | $70–$161 | varies |
| Thromboplastin Inhibition Tissue (85705) | $40 | $40 | 4.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $163 | $163 | 25.2× |
| Thyroglobulin (84432) | $370 | $370 | 23.0× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$74–$286 | $74–$286 | varies |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$269–$779 | $269–$779 | varies |
| Thyroxine binding globulin (84442) | $107 | $107 | 7.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$86–$281 | $86–$281 | varies |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$494–$920 | $494–$920 | varies |
| Tissue Culture Lymphocyte (88230) | $622 | $622 | 5.3× |
| Topiramate (80201) | $160 | $160 | 13.4× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$104–$344 | $104–$344 | varies |
| Toxoplasma antibody (86777) range across 3 matching MRF lines |
$104–$344 | $104–$344 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $139 | $139 | 26.8× |
| Transferrin (84466) | $121 | $121 | 9.5× |
| Trb@ Rearrangement Anal Amplification Method (81340) range across 4 matching MRF lines |
$689–$1,456 | $689–$1,456 | varies |
| Trg gene rearrangement anal (81342) range across 4 matching MRF lines |
$878–$1,405 | $878–$1,405 | varies |
| Trichomonas Vaginalis Amplif (87661) | $191 | $191 | 5.4× |
| Triglycerides (84478) range across 3 matching MRF lines |
$27–$517 | $27–$517 | varies |
| Troponin Quant (84484) | $324 | $324 | 26.0× |
| Tumor immunohistochem/comput (88361) | $285 | $285 | 0.6× |
| Tumor Immunohistochem/Manual (88360) range across 11 matching MRF lines |
$342–$979 | $342–$979 | varies |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$23–$139 | $23–$139 | varies |
| Uric acid other source (84560) range across 3 matching MRF lines |
$20–$144 | $20–$144 | varies |
| Urinalysis Microscopic Only (81015) | $254 | $254 | 83.3× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$27–$215 | $27–$215 | varies |
| Valproic acid (80164) | $370 | $370 | 27.3× |
| Vancomycin (80202) | $359 | $359 | 26.5× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$103–$260 | $103–$260 | varies |
| Vasopressin (84588) range across 4 matching MRF lines |
$258–$793 | $258–$793 | varies |
| Viral Culture (87252) range across 2 matching MRF lines |
$168–$381 | $168–$381 | varies |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$54–$345 | $54–$345 | varies |
| Viscosity serum (85810) | $79 | $79 | 6.8× |
| Vit D 1 25-Dihydroxy (82652) | $356 | $356 | 9.2× |
| Vitamin A (84590) | $281 | $281 | 24.2× |
| Vitamin b-12 (82607) | $352 | $352 | 23.3× |
| Vitamin B2 (Riboflavin) (84252) | $133 | $133 | 6.6× |
| Vitamin B6 (84207) | $392 | $392 | 14.0× |
| Vitamin c (82180) | $115 | $115 | 11.6× |
| Vitamin D 25-Hydroxy (82306) | $480 | $480 | 16.2× |
| Vitamin E (84446) | $293 | $293 | 20.7× |
| Vitamin K (84597) | $318 | $318 | 23.2× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $369 | $369 | 30.6× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$214–$806 | $214–$806 | varies |
| Western Blot Test (84181) range across 2 matching MRF lines |
$89–$399 | $89–$399 | varies |
| Zika Virus Dna/Rna Amp Probe (87662) | $704 | $704 | 13.7× |
| Zika Virus Igm Antibody (86794) range across 2 matching MRF lines |
$504–$533 | $504–$533 | varies |
| Zinc (84630) range across 2 matching MRF lines |
$48–$231 | $48–$231 | 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.