Lab & pathology prices at Dolly Parton Children’s Hospital
Knoxville, TN · every code in this section with a posted price and a Medicare benchmark.
805 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $126 | $210 | 8.1× |
| 17-Hydroxypregnenolone (84143) | $274.20 | $457 | 12.0× |
| 5 Nucleotidase (83915) | $180 | $300 | 16.1× |
| Acetylcholine receptor binding antibody (86041) | $90.12 | $150.20 | 4.9× |
| Acth (82024) | $429.60 | $716 | 11.1× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $594.60 | $991 | 18.2× |
| Acute hepatitis panel (80074) | $57 | $95 | 1.2× |
| Acylcarnitines Quant (82017) | $118.20 | $197 | 7.0× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $128.40 | $214 | 7.8× |
| Adenovirus antibody (86603) | $51 | $85 | 4.0× |
| Agglutinins Febrile Each Antigen (86000) | $45.60 | $76 | 6.5× |
| Albumin Fluid (82042) | $49.20 | $82 | 6.3× |
| Albumin serum (82040) | $51 | $85 | 10.3× |
| Aldolase (82085) | $150.60 | $251 | 15.5× |
| Aldosterone urine (82088) | $498 | $830 | 12.2× |
| Alkaline phosphatase isoenzymes (84080) | $247.20 | $412 | 16.7× |
| Allergen spec ige qual multiallergen screen (86005) | $36 | $60 | 4.5× |
| Allergen specific ige (86003) range across 17 matching MRF lines |
$30.60–$459 | $51–$765 | varies |
| Allergen specific igg (86001) | $44.40 | $74 | 5.7× |
| Allg Spec Ige Recomb Ea (86008) | $67.80 | $113 | 3.8× |
| Alpha-1-antitrypsin phenotype (82104) | $139.20 | $232 | 9.6× |
| Alpha-1-antitrypsin total (82103) | $129 | $215 | 9.6× |
| Alpha-Fetoprotein Serum (82105) | $235.20 | $392 | 14.0× |
| Alt (sgpt) (84460) | $90.60 | $151 | 17.1× |
| Aluminum (82108) | $274.20 | $457 | 10.8× |
| Amikacin trough (80150) | $186 | $310 | 12.3× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $337.20 | $562 | 14.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $277.80 | $463 | 16.5× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $134.40 | $224 | 9.7× |
| Aminolevulinic acid (ala) (82135) | $22.20 | $37 | 1.3× |
| Ammonia (82140) | $169.20 | $282 | 11.6× |
| Amylase urine (82150) | $107.40 | $179 | 16.6× |
| Ana Titer (86039) | $45.60 | $76 | 4.1× |
| Analysis skeletal muscle (88355) | $167.40 | $279 | 1.1× |
| Androstenedione (82157) | $321.60 | $536 | 11.0× |
| Angiotensin converting enzyme csf (82164) | $190.20 | $317 | 13.0× |
| Anti-Phospholipid Antibody (86148) | $194.40 | $324 | 12.1× |
| Antibody aspergillus (86606) | $48 | $80 | 3.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $108 | $180 | 8.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $65.40 | $109 | 4.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $126 | $210 | 7.5× |
| Antibody Encephalitis California La Crosse (86651) | $56.07 | $93.45 | 4.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $46.20 | $77 | 3.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $108 | $180 | 7.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $111 | $185 | 6.1× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$127.20–$254.40 | $212–$424 | varies |
| Antibody haemophilus influenza (86684) | $81.60 | $136 | 5.2× |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$23.40–$139.20 | $39–$232 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $103.80 | $173 | 7.2× |
| Antibody Herpes Smplx Type 1 (86695) | $112.20 | $187 | 8.5× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $49.20 | $82 | 2.5× |
| Antibody identification leukocyte antibodies (86021) | $144 | $240 | 9.6× |
| Antibody Lymphocytic Choriomeningitis (86727) range across 2 matching MRF lines |
$41.85–$62.78 | $69.75–$104.63 | varies |
| Antibody Protozoa Nes (86753) | $57.60 | $96 | 4.6× |
| Antibody Treponema Pallidum (86780) | $46.20 | $77 | 3.5× |
| Antibody yersinia (86793) | $125.40 | $209 | 9.5× |
| Antibody; encephalitis, st. louis (86653) | $56.07 | $93.45 | 4.3× |
| Antigen typing (86905) | $154.20 | $257 | 40.3× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $162 | $270 | 28.3× |
| Antinuclear antibodies (86038) | $111.60 | $186 | 9.2× |
| Antistreptolysin O Screen (86063) | $25.20 | $42 | 4.4× |
| Antistreptolysin o titer (86060) | $38.40 | $64 | 5.3× |
| Antithrombin iii antigen (85301) | $145.80 | $243 | 13.5× |
| Aortic dysfunction/dilation dup/del analysis (81411) | $7,483.20 | $12,472 | 5.5× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $2,793.60 | $4,656 | 5.5× |
| Apc gene dup/delet variants (81203) | $1,055.40 | $1,759 | 5.3× |
| Apc gene full sequence (81201) | $339 | $565 | 0.4× |
| Apolipoprotein a1 (82172) | $109.20 | $182 | 5.2× |
| Aquaporin-4 Antb Cba Each (86052) | $30 | $50 | 2.5× |
| Arsenic (82175) | $187.80 | $313 | 9.9× |
| Aspergillus ag eia (87305) | $154.80 | $258 | 12.9× |
| Assay activated protein c (85307) | $16.80 | $28 | 1.1× |
| Assay Blood Carbon Dioxide (82374) | $69 | $115 | 14.1× |
| Assay Dir Meas Fr Estradiol (82681) | $156 | $260 | 5.6× |
| Assay Duodenal Fluid Trypsin (84485) | $68.40 | $114 | 9.5× |
| Assay Nephelometry Not Spec (83883) | $132 | $220 | 9.7× |
| Assay of 5-hiaa (83497) | $226.20 | $377 | 17.5× |
| Assay of anti-mullerian hormone (82166) | $135.60 | $226 | 3.5× |
| Assay of blood/uric acid (84550) | $54.60 | $91 | 12.1× |
| Assay of calcium in urine (82340) | $70.80 | $118 | 11.7× |
| Assay of corticosterone (82528) | $179.40 | $299 | 8.0× |
| Assay of cpk in blood (82552) | $209.40 | $349 | 15.6× |
| Assay of estrone (82679) | $280.20 | $467 | 11.2× |
| Assay of g6pd enzyme (82955) | $159 | $265 | 16.4× |
| Assay of gammaglobulin igm (82784) | $139.80 | $233 | 15.0× |
| Assay of lactic acid (83605) | $121.80 | $203 | 10.5× |
| Assay of manganese (83785) | $173.40 | $289 | 6.5× |
| Assay of metanephrines (83835) | $134.40 | $224 | 7.9× |
| Assay of phosphatase acid total (84060) | $213 | $355 | 27.9× |
| Assay of proinsulin (84206) | $121.80 | $203 | 4.6× |
| Assay of pyruvate (84210) | $157.80 | $263 | 10.9× |
| Assay of serotonin (84260) | $304.80 | $508 | 9.8× |
| Assay of serum potassium (84132) | $51 | $85 | 10.7× |
| Assay of sweat sodium (84302) | $46.80 | $78 | 9.6× |
| Assay of Tyrosine (84510) | $168.60 | $281 | 15.9× |
| Assay of urea nitrogen (84520) | $37.20 | $62 | 9.4× |
| Assay of urine vma (84585) | $220.80 | $368 | 14.2× |
| Assay of vitamin b-1 (84425) | $168.60 | $281 | 7.9× |
| Assay Ph Body Fluid Nos (83986) | $51.60 | $86 | 14.4× |
| Assay spec xcp ur&breath ia (82077) | $125.40 | $209 | 7.3× |
| Asxl1 gene analysis full gene sequence (81175) | $3,909.60 | $6,516 | 5.8× |
| Asy carbamazepin 10,11-epxid (80161) | $111 | $185 | 6.0× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $301.20 | $502 | 1.9× |
| Autol bld/component collj storage salvage (86891) | $751.80 | $1,253 | 1.0× |
| Automated Leukocyte Count (85048) | $29.40 | $49 | 11.6× |
| B cells total count (86355) | $144 | $240 | 3.8× |
| Bacterial antigens 87802 (87802) | $68.40 | $114 | 5.4× |
| Bartonella antibody (86611) | $142.80 | $238 | 14.0× |
| Bcr/abl1 gene major bp (81206) | $1,122.60 | $1,871 | 6.8× |
| Bcr/abl1 gene minor bp (81207) | $991.20 | $1,652 | 6.8× |
| Beta 2 glycoprotein i antibody each (86146) | $256.20 | $427 | 10.1× |
| Beta hydroxybutyrate (82010) | $60 | $100 | 7.3× |
| Beta-2 Microglobulin (82232) | $256.80 | $428 | 15.9× |
| Bile acids total (82239) | $141.60 | $236 | 8.3× |
| Bile acids, cholylglycine (82240) | $286.80 | $478 | 10.8× |
| Bilirubin direct (82248) | $36 | $60 | 7.2× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$15–$36 | $25–$60 | varies |
| Bilirubin total transcutaneous (88720) | $12.96 | $21.60 | 2.6× |
| Biotinidase (82261) | $261.60 | $436 | 15.5× |
| Bl Smear W/O Diff Wbc Count (85008) | $18.60 | $31 | 5.4× |
| Blastomyces antibody (86612) | $42.60 | $71 | 3.3× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $46.80 | $78 | 0.3× |
| Bld Typing Serologic Rh Phnt (86906) | $259.20 | $432 | 33.4× |
| Bleeding time test (85002) | $46.80 | $78 | 9.7× |
| Blood Count Automated Differential Wbc Count (85004) | $37.80 | $63 | 5.8× |
| Blood Count Manual Cell Count Each (85032) | $23.40 | $39 | 5.4× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $18.60 | $31 | 3.7× |
| Blood Count Red Blood Cell Automated (85041) | $29.40 | $49 | 9.7× |
| Blood count reticulocyte automated (85045) | $121.20 | $202 | 30.4× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $58.20 | $97 | 15.3× |
| Blood gas (82803) | $94.80 | $158 | 3.6× |
| Blood gases w/02 saturation (82805) | $357 | $595 | 4.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$4.20–$7.20 | $7–$12 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $216 | $360 | 34.0× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $162 | $270 | 9.9× |
| Blood typing serologic abo (86900) | $128.40 | $214 | 42.9× |
| Body fluid cell count (89050) | $76.80 | $128 | 16.3× |
| Bone marrow smear interpretation (85097) | $174 | $290 | 0.2× |
| Bordetella antibody (86615) | $80.40 | $134 | 6.1× |
| Brucella antibody (86622) | $108 | $180 | 12.1× |
| C diff amplified probe (87493) | $125.40 | $209 | 3.4× |
| C-Peptide (84681) | $286.80 | $478 | 13.8× |
| C-reactive protein (86140) | $44.40 | $74 | 8.6× |
| Ca 19-9 (86301) | $18 | $30 | 0.9× |
| Caffeine (80155) | $211.80 | $353 | 5.5× |
| Calcitonin (82308) | $366.60 | $611 | 13.7× |
| Calcium ionized (82330) | $274.20 | $457 | 20.0× |
| Calcium total (82310) | $57.60 | $96 | 11.2× |
| Calculus Spectroscopy (82365) | $51.60 | $86 | 4.0× |
| Calprotectin Fecal (83993) | $378 | $630 | 19.3× |
| Calr gene com variants (81219) | $832.20 | $1,387 | 6.8× |
| Cancer Antigen 125 (86304) | $74.40 | $124 | 3.6× |
| Carbohydrate Deficient Transferrin (82373) | $211.20 | $352 | 11.7× |
| Carboxyhemoglobin (82375) | $134.40 | $224 | 10.9× |
| Carcinoembryonic antigen (82378) | $171.60 | $286 | 9.1× |
| Cardiolipin ab iga (86147) | $90 | $150 | 3.5× |
| Carnitine Quantitative Each Specimen (82379) | $72.60 | $121 | 4.3× |
| Carotene (82380) | $261.60 | $436 | 28.4× |
| Catecholamines fractionated (82384) | $393 | $655 | 15.6× |
| Catecholamines total urine (82382) | $157.20 | $262 | 5.8× |
| Ccp antibody (86200) | $47.40 | $79 | 3.7× |
| Cell count csf (89051) | $91.20 | $152 | 16.3× |
| Cell marker study (88182) | $604.80 | $1,008 | 12.8× |
| Ceruloplasmin (82390) | $157.80 | $263 | 14.7× |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | $868.20 | $1,447 | 5.1× |
| Cftr Gene Analysis Known Familial Variants (81221) | $652.80 | $1,088 | 6.7× |
| Cftr gene com variants (81220) | $1,656 | $2,760 | 3.0× |
| Cftr gene dup/delet variants (81222) | $1,585.80 | $2,643 | 3.6× |
| Cftr gene full sequence (81223) | $1,512 | $2,520 | 3.0× |
| Chemiluminescent assay (82397) | $87 | $145 | 6.2× |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $950.40 | $1,584 | 3.6× |
| Chimerism w/comp to baseline w/o cell selection (81267) | $756 | $1,260 | 3.6× |
| Chlamydia antibody (86631) | $130.20 | $217 | 11.0× |
| Chlamydia Igm Antibody (86632) | $144 | $240 | 11.4× |
| Chlamydia trachomatis ag if (87270) | $150.60 | $251 | 12.6× |
| Chlmy trch&neisra gonor mult (87494) | $54 | $90 | 0.8× |
| Chloramphenicol level (82415) | $171.60 | $286 | 13.5× |
| Chloride other source (82438) | $61.20 | $102 | 12.2× |
| Chloride Serum (82435) | $43.80 | $73 | 9.5× |
| Chloride urine (82436) | $64.80 | $108 | 11.3× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$9–$60 | $15–$100 | varies |
| Cholinesterase rbc (82482) | $171.60 | $286 | 17.5× |
| Cholinesterase Serum (82480) | $143.40 | $239 | 18.2× |
| Chorionic gonadotropin test (84702) | $108.60 | $181 | 7.2× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $1,408.80 | $2,348 | 7.5× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $171.60 | $286 | 6.4× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $270.60 | $451 | 7.9× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $212.40 | $354 | 6.3× |
| Chrmsm Analysis Addl Specialized Banding (88283) | $538.80 | $898 | 7.9× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $1,357.20 | $2,262 | 7.8× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | $1,357.20 | $2,262 | 7.8× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $478.20 | $797 | 2.8× |
| Chromium serum (82495) | $143.40 | $239 | 7.1× |
| Chromogenic Substrate Assay (85130) | $63.60 | $106 | 5.3× |
| Chromogranin a (86316) | $90.60 | $151 | 4.4× |
| Chromosome analys amniotic (88269) | $1,303.80 | $2,173 | 7.5× |
| Chromosome Analysis 15-20 (88262) | $1,189.20 | $1,982 | 9.5× |
| Chromosome Analysis 20-25 (88264) | $976.80 | $1,628 | 6.8× |
| Chromosome analysis 45 cells (88263) | $1,178.40 | $1,964 | 7.8× |
| Chromosome analysis, 5 (88261) | $1,678.80 | $2,798 | 6.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $128.40 | $214 | 3.7× |
| Citric acid urine (82507) | $309.60 | $516 | 11.1× |
| Ckmb (82553) | $118.80 | $198 | 10.3× |
| Clostridium Difficile (87324) | $74.40 | $124 | 6.2× |
| Clot Factor VIII Multimetric (85247) | $238.20 | $397 | 10.4× |
| Clot factor xiii fibrin stab (85290) | $205.20 | $342 | 12.6× |
| Clot retraction (85170) | $36 | $60 | 2.2× |
| Clotting factor xii hageman (85280) | $223.20 | $372 | 11.5× |
| Clotting Funct Activity (85397) | $118.20 | $197 | 3.8× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $158.40 | $264 | 8.4× |
| Cns DNA amp probe type 12-25 (87483) | $1,240.80 | $2,068 | 3.0× |
| Coccidioides antibody (86635) | $108 | $180 | 9.4× |
| Cold agglutinin screen (86156) | $79.20 | $132 | 9.8× |
| Cold agglutinin titer (86157) | $21.60 | $36 | 2.7× |
| Collagen crosslinks (82523) | $72 | $120 | 3.9× |
| Column Chromotography Quant (82542) | $108 | $180 | 4.5× |
| Compatibility test antiglob (86922) | $188.40 | $314 | 1.2× |
| Complement Antigen Each Component (86160) | $58.20 | $97 | 4.9× |
| Complement Total (Ch50) (86162) | $148.80 | $248 | 7.3× |
| Complement/Function Activity (86161) | $58.20 | $97 | 4.9× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $686.40 | $1,144 | 4.4× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $55.80 | $93 | 1.6× |
| Coombs direct (86880) | $97.20 | $162 | 18.0× |
| Copper urine (82525) | $201 | $335 | 16.2× |
| Cortisol free (82530) | $143.40 | $239 | 8.6× |
| Cortisol saliva (82533) | $154.20 | $257 | 9.5× |
| Creatine (82540) | $43.80 | $73 | 9.4× |
| Creatine kinase total (82550) | $107.40 | $179 | 16.5× |
| Creatinine blood (82565) | $90.60 | $151 | 17.7× |
| Creatinine clearance (82575) | $168.60 | $281 | 17.8× |
| Creatinine Urine (82570) | $90.60 | $151 | 17.5× |
| Crp High Sensitivity (86141) | $47.40 | $79 | 3.7× |
| Cryofibrinogen (82585) | $97.80 | $163 | 6.9× |
| Cryoglobulin (82595) | $30 | $50 | 4.6× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $108.60 | $181 | 8.3× |
| Cryptococcal Antigen (87327) | $43.80 | $73 | 3.3× |
| Cryptococcus ab (86641) | $42.60 | $71 | 3.0× |
| Cryptosporidium ag eia (87328) | $178.80 | $298 | 12.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $85.20 | $142 | 10.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $109.20 | $182 | 13.5× |
| Culture afb (87116) | $312 | $520 | 28.9× |
| Culture Anaerobic (87075) | $139.80 | $233 | 14.8× |
| Culture blood (87040) | $93.60 | $156 | 9.1× |
| Culture chlamydia (87110) | $245.40 | $409 | 12.5× |
| Culture csf (87070) range across 34 matching MRF lines |
$13.20–$73.20 | $22–$122 | varies |
| Culture fungus (87102) | $154.80 | $258 | 18.4× |
| Culture screen only (87081) | $73.20 | $122 | 11.0× |
| Culture stool (87045) range across 2 matching MRF lines |
$14.40–$70.80 | $24–$118 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$12.60–$15 | $21–$25 | varies |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $242.40 | $404 | 16.9× |
| Cyclosporine (80158) | $46.20 | $77 | 2.6× |
| Cyp2c19 gene analysis common variants (81225) | $133.20 | $222 | 0.5× |
| Cystatin C (82610) | $213 | $355 | 11.5× |
| Cytogenetics 10-30 (88273) | $251.40 | $419 | 7.2× |
| Cytogenetics 100-300 (88275) | $325.20 | $542 | 6.4× |
| Cytogenom Const Microarray Copy Number Variants (81228) | $1,033.80 | $1,723 | 1.1× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $5,101.80 | $8,503 | 4.4× |
| Cytogenomic neo microra alys (81277) | $2,094 | $3,490 | 1.8× |
| Cytomegalovirus igg (86644) | $121.20 | $202 | 8.4× |
| Cytopath C/V Index Add-On (88155) | $73.20 | $122 | 5.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $96 | $160 | 4.7× |
| Cytopath Cell Enhance Tech (88112) | $139.80 | $233 | 3.0× |
| Cytopath Fl Nongyn Filter (88106) | $156 | $260 | 5.9× |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) | $193.80 | $323 | 3.8× |
| Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) | $84 | $140 | 4.5× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) | $101.40 | $169 | 4.0× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166) | $73.20 | $122 | 3.9× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88167) | $73.20 | $122 | 3.9× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) | $162 | $270 | 3.8× |
| Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician… (88152) | $106.20 | $177 | 3.8× |
| Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Facility (88153) | $107.40 | $179 | 4.5× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $125.40 | $209 | 4.7× |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) | $96 | $160 | 4.2× |
| Cytp Concentration Smears & Interpretation (88108) | $132.60 | $221 | 3.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $286.20 | $477 | 6.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $84 | $140 | 0.5× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $152.40 | $254 | 4.5× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $2,030.40 | $3,384 | 13.1× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $73.20 | $122 | 3.9× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $73.20 | $122 | 3.9× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $200.40 | $334 | 4.2× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) range across 3 matching MRF lines |
$37.80–$161.40 | $63–$269 | varies |
| Cytp Urine 3-5 Probes Cmptr (88121) | $1,687.80 | $2,813 | 10.9× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) | $132 | $220 | 11.7× |
| Deoxycortisol (82634) | $108 | $180 | 3.7× |
| Deoxyribonuclease antibody (86215) | $50.40 | $84 | 3.8× |
| Desoxycorticosterone (82633) | $332.40 | $554 | 10.7× |
| Detect Agent Nos Dna Amp (87798) | $207.60 | $346 | 5.9× |
| Detect Agent Nos Dna Quant (87799) | $197.40 | $329 | 4.6× |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$120–$240 | $200–$400 | varies |
| Dhea (82626) | $456.60 | $761 | 18.1× |
| Dhea-S (82627) | $268.80 | $448 | 12.1× |
| Dibucaine number (82638) | $54.60 | $91 | 4.5× |
| Digoxin (80162) | $154.20 | $257 | 11.6× |
| Dihydrotestosterone (82642) | $106.80 | $178 | 3.6× |
| Diphtheria antitoxoid (86648) | $70.80 | $118 | 4.7× |
| Dna Antibody Native/Double Stranded (86225) | $70.80 | $118 | 5.2× |
| Dna Antibody Single Stranded (86226) | $13.20 | $22 | 1.1× |
| Drug assay acetaminophen (80143) | $102 | $170 | 5.5× |
| Drug assay adalimumab (80145) | $148.80 | $248 | 3.9× |
| Drug Assay Everolimus (80169) | $276.60 | $461 | 20.1× |
| Drug assay felbamate (80167) | $93.60 | $156 | 5.0× |
| Drug Assay Infliximab (80230) | $97.80 | $163 | 2.5× |
| Drug Assay Itraconazole (80189) | $104.40 | $174 | 3.9× |
| Drug Assay Lacosamide (80235) | $97.80 | $163 | 3.6× |
| Drug Assay Leflunomide (80193) | $93.60 | $156 | 2.4× |
| Drug Assay Posaconazole (80187) | $97.80 | $163 | 3.6× |
| Drug assay voriconazole (80285) | $97.80 | $163 | 3.6× |
| Drug Screen Quant Clozapine (80159) | $153 | $255 | 7.6× |
| Drug Screen Quant Zonisamide (80203) | $61.80 | $103 | 4.7× |
| Drug Screen Quantitative Gabapentin (80171) | $247.80 | $413 | 11.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $226.80 | $378 | 17.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $233.40 | $389 | 17.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $111.60 | $186 | 8.4× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $60.60 | $101 | 3.6× |
| Drug Test Prsmv Chem Anlyzr (80307) | $421.80 | $703 | 6.8× |
| Ehrlichia antibody (86666) | $75 | $125 | 7.4× |
| Electrolyte panel (80051) | $79.80 | $133 | 11.4× |
| Electron Microscopy (88348) | $943.80 | $1,573 | 1.3× |
| Encephaltis East Eqne Anbdy (86652) | $56.07 | $93.45 | 4.3× |
| Encephaltis West Eqne Antbdy (86654) | $112.14 | $186.90 | 8.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $37.20 | $62 | 3.1× |
| Enterovirus Antibody (86658) range across 5 matching MRF lines |
$165.60–$993.60 | $276–$1,656 | varies |
| Enterovirus PCR (87498) | $511.80 | $853 | 14.6× |
| Enzyme cell activity (82657) | $114.60 | $191 | 5.2× |
| Enzyme histochemistry (88319) | $213 | $355 | 0.3× |
| Eosinophil Smear (89190) | $109.20 | $182 | 18.9× |
| Estradiol serum (82670) | $156 | $260 | 5.6× |
| Estriol (82677) | $321.60 | $536 | 13.3× |
| Estrogen total (82672) | $72.60 | $121 | 3.3× |
| Ethosuximide (80168) | $194.40 | $324 | 11.9× |
| Ethylene Glycol (82693) | $40.20 | $67 | 2.7× |
| Exome Sequence Analysis (81415) | $25,229.40 | $42,049 | 5.3× |
| Exome sequence analysis each comparator exome (81416) | $63,337.80 | $105,563 | 5.3× |
| F2 Gene (81240) | $243.60 | $406 | 3.7× |
| Factor ii activity (85210) | $139.20 | $232 | 10.7× |
| Factor Inhibitor Test (85335) | $72.60 | $121 | 5.6× |
| Factor ix activity (85250) | $223.20 | $372 | 11.7× |
| Factor v activity (85220) | $73.80 | $123 | 4.2× |
| Factor v leiden mutation (81241) | $243.60 | $406 | 3.3× |
| Factor vii assay (85230) | $85.80 | $143 | 4.8× |
| Factor viii assay (85240) | $155.40 | $259 | 8.7× |
| Factor X (85260) | $223.20 | $372 | 12.5× |
| Factor xi activity (85270) | $223.20 | $372 | 12.5× |
| Fancc Gene (81242) | $908.40 | $1,514 | 24.8× |
| Fat/Lipids Feces Quantitative (82710) | $252 | $420 | 15.0× |
| Fatty acids free (82725) | $171.60 | $286 | 9.1× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $109.20 | $182 | 6.4× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $93 | $155 | 14.2× |
| Fecal Fat Qualitative (82705) | $69.60 | $116 | 13.6× |
| Ferritin (82728) | $150.60 | $251 | 11.0× |
| Fetal hemoglobin assay qual (83033) | $94.80 | $158 | 11.9× |
| Fibrin degradation products (85362) | $62.40 | $104 | 9.1× |
| Fibrin Degradation Quant (85379) | $61.20 | $102 | 6.0× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $43.20 | $72 | 4.4× |
| Fibrinogen activity (85384) | $54.60 | $91 | 5.6× |
| Fibrinogen antigen (85385) | $76.20 | $127 | 5.3× |
| Flecainide level (80181) | $93.60 | $156 | 5.0× |
| Flow cytometry first marker (88184) | $234 | $390 | 0.7× |
| Fluorescent antibody screen (86255) range across 10 matching MRF lines |
$92.40–$184.80 | $154–$308 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $46.20 | $77 | 3.8× |
| Fmr1 gene detection (81243) | $180 | $300 | 3.2× |
| Folic Acid Serum (82746) | $235.20 | $392 | 16.0× |
| Follicle Stimulating Hormone (83001) | $330 | $550 | 17.8× |
| Forensic Cytopathology (88125) | $57.60 | $96 | 1.2× |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) | $356.40 | $594 | 12.5× |
| Francisella tularensis (86668) | $108 | $180 | 7.6× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $164.40 | $274 | 1.1× |
| Frozen Section (88331) | $114 | $190 | 0.7× |
| Fungi Identification Mold (87107) | $105.60 | $176 | 10.2× |
| Fungi Identification Yeast (87106) | $105.60 | $176 | 10.2× |
| Galactokinase rbc (82759) | $267 | $445 | 12.4× |
| Galactose (82760) | $168.60 | $281 | 15.1× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $74.40 | $124 | 3.5× |
| Gammaglobulin ige (82785) | $195 | $325 | 11.8× |
| Gastrin (82941) | $277.80 | $463 | 15.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $2,376 | $3,960 | 5.7× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,698.80 | $4,498 | 3.6× |
| Genome Sequence Analysis (81425) | $13,800 | $23,000 | 2.7× |
| Gentamicin (80170) | $202.20 | $337 | 12.3× |
| Ggt (82977) | $107.40 | $179 | 14.9× |
| Giardia antigen (87329) | $108.60 | $181 | 9.1× |
| Giardia lamblia antibody (86674) | $46.20 | $77 | 3.1× |
| GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) | $168.60 | $281 | 2.7× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $908.40 | $1,514 | 9.0× |
| Gjb6 Gene Analysis Common Variants (81254) | $168.60 | $281 | 4.8× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $63.60 | $106 | 10.5× |
| Glucagon (82943) | $226.80 | $378 | 15.9× |
| Glucose Blood Test (82962) range across 13 matching MRF lines |
$5.40–$43.20 | $9–$72 | varies |
| Glucose body fluid (82945) | $51 | $85 | 13.0× |
| Glucose Serum (82947) range across 4 matching MRF lines |
$12–$60 | $20–$100 | varies |
| Glucose tolerance test (gtt) (82951) | $186.60 | $311 | 14.5× |
| Glutathione (82978) | $130.80 | $218 | 8.5× |
| Glycated Protein (82985) | $102 | $170 | 6.1× |
| Gonadotropin Chorionic Qualitative (84703) | $28.80 | $48 | 3.8× |
| Growth hormone (83003) | $213 | $355 | 12.8× |
| Growth Hormone Stimulation Panel (80428) | $573 | $955 | 8.6× |
| Gtt-added samples (82952) | $18.60 | $31 | 4.7× |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$105–$256.20 | $175–$427 | varies |
| Haloperidol (80173) | $359.40 | $599 | 22.8× |
| Haptoglobin (83010) | $186 | $310 | 14.8× |
| Hba1/Hba2 Gene (81257) | $540 | $900 | 5.3× |
| Hbb Full Gene Sequence (81364) | $1,713 | $2,855 | 5.3× |
| Hdl Cholesterol (83718) | $82.20 | $137 | 10.0× |
| Heavy metal qualitative any analytes (83015) | $371.40 | $619 | 17.7× |
| Helicobacter Pylori Stool (87338) | $141.60 | $236 | 9.8× |
| Helminth Antibody (86682) | $125.40 | $209 | 9.6× |
| Hemagglutination Inhibition (86280) | $45.60 | $76 | 5.6× |
| Hematocrit (85014) range across 4 matching MRF lines |
$3.60–$19.20 | $6–$32 | varies |
| Hemoglobin (85018) range across 4 matching MRF lines |
$6–$15.60 | $10–$26 | varies |
| Hemoglobin a1c (83036) | $133.20 | $222 | 13.7× |
| Hemoglobin Chromotography (83021) | $94.20 | $157 | 5.2× |
| Hemoglobin electrophoresis (83020) | $414 | $690 | 32.2× |
| Hemoglobin Methemoglobin Quantitative (83050) | $129.60 | $216 | 15.8× |
| Hemoglobin plasma (83051) | $169.80 | $283 | 23.2× |
| Hemoglobin-Oxygen Affinity (82820) | $13.20 | $22 | 1.0× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $54.60 | $91 | 6.2× |
| Hemolysins&Agglutinins Incubated (86941) | $314.40 | $524 | 26.0× |
| Hep a ab igm (86709) | $71.40 | $119 | 6.3× |
| Heparin assay (85520) | $61.20 | $102 | 4.7× |
| Hepatitis a antibody total (86708) | $78.60 | $131 | 6.3× |
| Hepatitis b core ab igm (86705) | $35.40 | $59 | 3.0× |
| Hepatitis b core ab total (86704) | $79.80 | $133 | 6.6× |
| Hepatitis B Surface Antibody (86706) | $85.20 | $142 | 7.9× |
| Hepatitis B Surface Antigen (87340) | $132 | $220 | 12.8× |
| Hepatitis Be Antibody (86707) | $68.40 | $114 | 5.9× |
| Hepatitis Be Antigen (87350) | $132 | $220 | 11.4× |
| Hepatitis C Antibody (86803) | $58.20 | $97 | 4.1× |
| Hepatitis C Genotype (87902) | $528 | $880 | 2.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $224.40 | $374 | 6.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $255.60 | $426 | 6.0× |
| Hepatitis Delta Agent Antibody (86692) | $88.80 | $148 | 5.2× |
| Heredtry Nurondcrn Tum Dsrdr (81437) | $3,003.60 | $5,006 | 2.3× |
| Herpes simplex type 2 (86696) | $84 | $140 | 4.3× |
| Heterophile Antibody Screen (86308) range across 3 matching MRF lines |
$7.80–$40.20 | $13–$67 | varies |
| Hfe Gene (81256) | $219 | $365 | 3.4× |
| Hgb Quantitative Transcutaneous (88738) | $190.80 | $318 | 38.0× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $52.80 | $88 | 6.8× |
| Histamine urine (83088) | $114 | $190 | 3.9× |
| Histoplasma antibody (86698) | $79.20 | $132 | 5.7× |
| Histoplasma antigen urine (87385) | $86.40 | $144 | 6.5× |
| Hiv Genotype (87901) | $1,291.20 | $2,152 | 5.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $108.60 | $181 | 4.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $517.80 | $863 | 6.1× |
| Hla class ii typing high resolution one locus ea (81382) | $832.80 | $1,388 | 6.7× |
| Hla I Typing 1 Allele Hr (81381) | $608.40 | $1,014 | 3.6× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $2,365.20 | $3,942 | 6.8× |
| Hla ii type 1 ag equiv lr (81377) | $345.60 | $576 | 3.6× |
| Hla ii typing 1 allele hr (81383) | $324 | $540 | 3.0× |
| Hla Typing a/B/C Multiple Antigens (86813) | $182.40 | $304 | 3.1× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $387 | $645 | 3.6× |
| Hla-b27 (86812) | $237 | $395 | 9.2× |
| Homocysteine (83090) | $173.40 | $289 | 9.7× |
| Homovanillic acid urine (83150) | $278.40 | $464 | 12.4× |
| Hsv Dna Amp Probe (87529) | $511.80 | $853 | 14.6× |
| Hsv Dna Quant (87530) | $511.80 | $853 | 11.9× |
| Human Epididymis Protein 4 (86305) | $36.06 | $60.10 | 1.7× |
| Hydroxycorticosteroids 17 (83491) | $72 | $120 | 4.0× |
| Hydroxyprogesterone 17-d (83498) | $366.60 | $611 | 13.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $21 | $35 | 1.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$38.12–$52.80 | $63.54–$88 | varies |
| Iaad ia shiga-like toxin (87427) range across 4 matching MRF lines |
$18–$123 | $30–$205 | varies |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $194.40 | $324 | 16.2× |
| Iaadi herpes smplx virus type 1 (87274) | $83.40 | $139 | 7.0× |
| Iaadi inffluenza a virus (87276) | $112.20 | $187 | 7.0× |
| Iaadi not otherwise specified each organism (87299) | $133.20 | $222 | 8.3× |
| Iaadi parainfluenza virus each type (87279) | $93.60 | $156 | 5.7× |
| Iaadi pneumocustis carinii (87281) | $409.20 | $682 | 34.2× |
| Iaadi respiratory synctial virus (87280) | $178.80 | $298 | 13.3× |
| Iaadi Varicella Zoster Virus (87290) | $73.20 | $122 | 5.5× |
| Iadna Bartonella Amplified Probe Technique (87471) | $197.10 | $328.50 | 5.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $177.60 | $296 | 5.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $227.40 | $379 | 6.5× |
| Iadna Cytomegalovirus Quantification (87497) | $226.20 | $377 | 5.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 2 matching MRF lines |
$60–$322.80 | $100–$538 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $571.20 | $952 | 13.3× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $103.20 | $172 | 2.9× |
| Iadna Herpes Virus-6 Quantification (87533) | $326.40 | $544 | 7.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $521.40 | $869 | 14.9× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $66 | $110 | 1.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$52.80–$157.20 | $88–$262 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $114 | $190 | 3.2× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,228.20 | $2,047 | 4.7× |
| Ibmfs sequence analysis panel at least 30 genes (81441) | $2,700 | $4,500 | 1.1× |
| Igg subclasses (82787) | $108 | $180 | 13.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $474 | $790 | 1.5× |
| Immune Complex Assay (86332) | $144 | $240 | 5.9× |
| Immunfix e-phorsis/urine/csf (86335) | $208.20 | $347 | 7.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $150.60 | $251 | 8.2× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $49.80 | $83 | 3.3× |
| Immunoassay nonantibody (83516) | $120 | $200 | 10.4× |
| Immunodiffusion Ouchterlony (86331) | $15 | $25 | 1.3× |
| Immunoelectrophoresis Serum (86320) | $65.40 | $109 | 2.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $199.80 | $333 | 1.3× |
| Immunohistochemistry (88342) | $229.80 | $383 | 1.5× |
| In situ hybridization 1st probe stain (88365) | $472.80 | $788 | 3.1× |
| In situ hybridization ea multiplex probe stain (88366) | $698.40 | $1,164 | 4.5× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $223.20 | $372 | 15.5× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $249 | $415 | 18.6× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $68.40 | $114 | 5.6× |
| Influenza a/b ag eia (87400) | $212.40 | $354 | 15.0× |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$18–$26.40 | $30–$44 | varies |
| Influenza DNA amp probe (87502) range across 3 matching MRF lines |
$75–$440.40 | $125–$734 | varies |
| Inhibin A (86336) | $97.80 | $163 | 6.3× |
| Inhibin b (83520) | $135.60 | $226 | 7.9× |
| Insitu hybridization auto (88367) | $252 | $420 | 0.8× |
| Insitu hybridization manual (88368) | $275.40 | $459 | 0.8× |
| Insulin antibodies (86337) | $106.80 | $178 | 5.0× |
| Insulin total (83525) | $180 | $300 | 15.7× |
| Interleukin-6 (83529) | $154.80 | $258 | 9.0× |
| Intrinsic factor antibody (86340) | $64.80 | $108 | 4.3× |
| Iron (83540) | $78 | $130 | 12.1× |
| Iron Binding Capacity (83550) | $56.40 | $94 | 6.5× |
| Irradiation Blood Product Each Unit (86945) | $128.40 | $214 | 3.8× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$141–$282 | $235–$470 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $292.50 | $487.50 | 3.2× |
| Jak2 Gene Trgt Sequence Alys (81279) | $736.80 | $1,228 | 4.0× |
| Ketosteroids 17 total (83586) | $227.40 | $379 | 17.8× |
| Kit Gene Analysis D816 Variant(S) (81273) | $413.40 | $689 | 3.3× |
| Koh Prep (87220) | $64.20 | $107 | 15.0× |
| Lactate (ld) (ldh) enzyme (83615) | $72.60 | $121 | 12.0× |
| Lactoferrin fecal qualitative (83630) | $414 | $690 | 21.0× |
| Lactoferrin Fecal Quantitative (83631) | $166.80 | $278 | 8.5× |
| Lactose urine qual (83633) | $85.80 | $143 | 7.6× |
| Ldh Isoenzymes (83625) | $143.40 | $239 | 11.2× |
| LDL direct (83721) | $90.60 | $151 | 8.6× |
| Lead (83655) range across 2 matching MRF lines |
$25.20–$180 | $42–$300 | varies |
| Legionella antibody (86713) | $533.40 | $889 | 34.9× |
| Legionella antigen urine (87449) | $61.80 | $103 | 5.2× |
| Legionella pneumophila dfa (87278) | $78 | $130 | 5.0× |
| Leptospira antibody (86720) | $144 | $240 | 8.9× |
| Leukocyte Assessment Fecal (89055) | $36 | $60 | 8.4× |
| Leukocyte Histamine Release (86343) | $37.20 | $62 | 3.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $21.60 | $36 | 0.8× |
| Level ii surg pathology grossµscopic exam (88302) | $96.60 | $161 | 2.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $635.40 | $1,059 | 2.0× |
| Lidocaine (80176) | $230.40 | $384 | 15.7× |
| Lipase (83690) | $118.20 | $197 | 17.2× |
| Lipoprotein A (83695) | $54.60 | $91 | 3.8× |
| Lipoprotein Bld Quan Part (83704) | $223.20 | $372 | 6.5× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $198 | $330 | 17.6× |
| Lithium (80178) | $177.60 | $296 | 26.9× |
| Luteinizing Hormone (Lh) (83002) | $314.40 | $524 | 17.0× |
| Lyme disease antibody (86618) range across 4 matching MRF lines |
$126–$252 | $210–$420 | varies |
| Lymphocyte Culture Mixed (86821) | $219.60 | $366 | 6.0× |
| Lymphocyte transformation (86353) | $216 | $360 | 4.4× |
| Lysozyme serum (85549) | $726 | $1,210 | 38.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $1,208.40 | $2,014 | 7.8× |
| M/phmtrc alys ishquant/semiq (88374) | $1,052.40 | $1,754 | 6.8× |
| Magnesium Urine (83735) | $69 | $115 | 10.3× |
| Mass Spectrometry Quant (83789) | $141.60 | $236 | 5.9× |
| Mechanical fragility rbc (85547) | $10.80 | $18 | 1.3× |
| Mecp2 gene full seq (81302) | $908.40 | $1,514 | 1.7× |
| Mercury urine (83825) | $150.60 | $251 | 9.3× |
| Metabolic panel ionized ca (80047) range across 2 matching MRF lines |
$21–$55.80 | $35–$93 | varies |
| Methotrexate (80204) | $142.20 | $237 | 3.7× |
| Methylmalonic acid serum (83921) | $337.20 | $562 | 15.9× |
| Microalbumin, quantitative (82043) | $145.80 | $243 | 25.2× |
| Microsomal Antibodies Each (86376) | $69 | $115 | 4.7× |
| Mog-Igg1 Antb Cba Each (86362) | $30 | $50 | 2.5× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $258.60 | $431 | 6.4× |
| Molecular Cytogenetics Dna Probe Each (88271) | $93.60 | $156 | 4.4× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $273.60 | $456 | 6.5× |
| Molecular Pathology Procedure Level 3 (81402) | $832.80 | $1,388 | 5.5× |
| Molecular Pathology Procedure Level 6 (81405) | $1,670.40 | $2,784 | 5.5× |
| Mononuclear cell antigen (86356) | $144.60 | $241 | 5.4× |
| Mopath procedure level 1 (81400) | $328.20 | $547 | 5.1× |
| Mopath procedure level 2 (81401) | $499.20 | $832 | 3.6× |
| Mopath procedure level 4 (81403) | $814.20 | $1,357 | 4.4× |
| Mopath procedure level 5 (81404) | $1,524 | $2,540 | 5.5× |
| Mopath procedure level 7 (81406) | $1,080 | $1,800 | 3.8× |
| Mopath procedure level 8 (81407) | $2,880 | $4,800 | 3.4× |
| Mopath procedure level 9 (81408) | $11,084.40 | $18,474 | 5.5× |
| Morphometric analysis nerve (88356) | $328.80 | $548 | 7.0× |
| Morphometric Analysis Tumor (88358) | $165 | $275 | 1.1× |
| Mrsa Pcr (87641) | $157.20 | $262 | 4.5× |
| Mthfr Gene Analysis Common Variants (81291) | $442.80 | $738 | 6.8× |
| Mucopolysaccharides acid quantitative (83864) | $168.60 | $281 | 5.9× |
| Mumps antibody (86735) range across 4 matching MRF lines |
$12–$51.91 | $20–$86.52 | varies |
| Mycophenolic Acid (80180) | $120.60 | $201 | 6.7× |
| Mycoplasma antibody (86738) range across 5 matching MRF lines |
$24–$108 | $40–$180 | varies |
| Mycoplasma culture (87109) | $137.40 | $229 | 8.9× |
| Myelin basic protein csf (83873) | $321.60 | $536 | 18.7× |
| Myoglobin urine (83874) | $159 | $265 | 12.3× |
| Natriuretic peptide (83880) | $358.80 | $598 | 9.1× |
| Neutralization Test Viral (86382) | $125.40 | $209 | 7.4× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $470.40 | $784 | 3.7× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $1,006.80 | $1,678 | 7.8× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $1,824 | $3,040 | 70.0× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $176.40 | $294 | 0.4× |
| Niacin (84591) | $150.60 | $251 | 8.8× |
| Nitroblue Tetrazolium Dye (86384) | $74.40 | $124 | 5.5× |
| Nk cells total count (86357) | $204 | $340 | 5.4× |
| Nuclear antigen antibody (86235) | $72 | $120 | 4.0× |
| Nzym actv blood cells/tiss radact substrate ea (82658) | $1,104.60 | $1,841 | 25.1× |
| Occult blood feces (82272) range across 4 matching MRF lines |
$6.60–$54.60 | $11–$91 | varies |
| Occult Blood Other Sources (82271) | $51.60 | $86 | 9.7× |
| Oligoclonal bands (83916) | $171.60 | $286 | 6.3× |
| Organic Acids Qualitative Each Specimen (83919) | $388.20 | $647 | 23.6× |
| Organic acids urine (83918) | $320.40 | $534 | 13.6× |
| Osmolality serum (83930) | $78 | $130 | 11.8× |
| Osmolality Urine (83935) | $78 | $130 | 11.4× |
| Osmotic fragility rbc incubated (85557) | $98.40 | $164 | 7.4× |
| Osteocalcin (83937) | $150.60 | $251 | 5.0× |
| Ova and parasites smears (87177) | $139.80 | $233 | 15.7× |
| Oxalate urine (83945) | $179.40 | $299 | 12.4× |
| Pancreatic Elastase Fecal (82656) | $356.40 | $594 | 30.9× |
| Particle Agglutination Screen Each Antibody (86403) | $49.80 | $83 | 4.3× |
| Parvovirus antibody (86747) | $91.20 | $152 | 6.1× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $100.80 | $168 | 0.1× |
| Pathology Consultation During Surgery (88329) | $51.60 | $86 | 1.0× |
| Ph urine (81003) range across 13 matching MRF lines |
$3.60–$24.60 | $6–$41 | varies |
| Phenobarbital Level (80184) | $155.40 | $259 | 10.2× |
| Phenotype Infect Agent Drug (87900) | $670.20 | $1,117 | 5.1× |
| Phenylalanine (84030) | $70.80 | $118 | 12.9× |
| Phenylketones qual (84035) | $76.20 | $127 | 19.1× |
| Phenytoin (Dilantin) (80185) | $165 | $275 | 12.5× |
| Phenytoin free (80186) | $249.60 | $416 | 18.1× |
| Phosphatase alkaline (84075) | $63.60 | $106 | 12.3× |
| Phosphorus Serum (84100) | $51 | $85 | 10.8× |
| Phosphorus urine (84105) | $51 | $85 | 8.8× |
| Platelet Aggregation (85576) | $147 | $245 | 5.9× |
| Platelet Antibodies (86022) | $80.40 | $134 | 4.4× |
| Platelet count automated (85049) | $33.60 | $56 | 7.5× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $1,419 | $2,365 | 6.8× |
| Porphobilinogen Urine Qualitative (84106) | $31.80 | $53 | 5.5× |
| Porphobilinogen, urine; quantitative (84110) | $64.80 | $108 | 7.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $154.20 | $257 | 10.5× |
| Porphyrins, urine; qualitative (84119) | $99.60 | $166 | 7.5× |
| Potassium Urine (84133) | $51 | $85 | 10.8× |
| Prealbumin (84134) | $143.40 | $239 | 9.8× |
| Pregnanediol (84135) | $337.20 | $562 | 15.9× |
| Pregnanetriol (84138) | $332.40 | $554 | 15.8× |
| Pregnenolone (84140) | $355.80 | $593 | 17.2× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $205.20 | $342 | 3.8× |
| Primidone (80188) | $158.40 | $264 | 9.5× |
| Procalcitonin (Pct) (84145) | $141.60 | $236 | 5.2× |
| Progesterone (84144) | $226.80 | $378 | 10.9× |
| Prolactin (84146) | $356.40 | $594 | 18.4× |
| Protein Alys Wstrn Blot I&R Immunological Ea (88372) | $108 | $180 | 4.1× |
| Protein body fluid (84157) | $54.60 | $91 | 13.7× |
| Protein C Activity (85303) | $102.60 | $171 | 7.4× |
| Protein c antigen (85302) | $34.20 | $57 | 2.8× |
| Protein Electrophoresis Urine (84166) | $261.60 | $436 | 14.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $261.60 | $436 | 24.4× |
| Protein S Free (85306) | $72.60 | $121 | 4.7× |
| Protein s total (85305) | $45.60 | $76 | 3.9× |
| Protein total serum (84155) | $54.60 | $91 | 14.9× |
| Protein Total Urine (84156) | $54.60 | $91 | 14.9× |
| Protein, western blot tissue (88371) | $105.60 | $176 | 4.8× |
| Protoporphyrin rbc quantitative (84202) | $150 | $250 | 10.5× |
| PSA free (84154) | $151.80 | $253 | 8.3× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $3,325.80 | $5,543 | 5.5× |
| Pth Intact (83970) | $180 | $300 | 4.4× |
| Pyruvate kinase (84220) | $166.20 | $277 | 17.6× |
| Quantiferon tb gold plus (86480) | $271.20 | $452 | 4.4× |
| Quantitative assay drug (80299) | $133.20 | $222 | 7.1× |
| Quinidine (80194) | $215.40 | $359 | 14.8× |
| Rbc antibody elution (86860) | $205.20 | $342 | 1.3× |
| Rbc antibody identification (86870) | $162 | $270 | 0.5× |
| Rbc antibody screen (86850) | $139.20 | $232 | 14.2× |
| Rbc pretreatment serum (86978) | $205.20 | $342 | 3.8× |
| Rbc pretx incubatj w/enzymes (86971) | $162 | $270 | 1.0× |
| Reagent Strip/Blood Glucose (82948) | $43.20 | $72 | 8.6× |
| Renin activity plasma (84244) | $283.80 | $473 | 12.9× |
| Resp virus 12-25 targets (87633) range across 4 matching MRF lines |
$625.20–$2,094 | $1,042–$3,490 | varies |
| Resp Virus 6-11 Targets (87632) | $1,228.20 | $2,047 | 5.6× |
| Reticulated Platelet Assay (85055) | $91.80 | $153 | 2.6× |
| Reticulocyte Count (85046) | $40.20 | $67 | 7.2× |
| Rh (86901) | $102 | $170 | 34.1× |
| Rheumatoid Factor Qualitative (86430) | $40.20 | $67 | 6.5× |
| Rheumatoid factor quant (86431) | $55.20 | $92 | 9.7× |
| Rickettsia antibody (86757) | $49.80 | $83 | 2.6× |
| Ristocetin cofactor (85245) | $238.20 | $397 | 10.4× |
| Rotavirus ag eia (87425) | $108.60 | $181 | 9.1× |
| Rpr qualitative (86592) | $37.20 | $62 | 8.7× |
| Rsv ab (86756) | $40.20 | $67 | 2.5× |
| Rsv Assay W/Optic (87807) range across 3 matching MRF lines |
$19.80–$108.60 | $33–$181 | varies |
| Rubella Antibody (86762) | $88.80 | $148 | 6.2× |
| Rubeola antibody (86765) | $79.20 | $132 | 6.1× |
| Russell Viper Venom Time Diluted (85613) | $57 | $95 | 5.9× |
| Salicylate Level (80179) | $102 | $170 | 5.5× |
| Salmonella antibody (86768) | $37.20 | $62 | 2.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$45–$137.40 | $75–$229 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $93.60 | $156 | 2.2× |
| Sedimentation rate (85651) range across 2 matching MRF lines |
$15–$18.60 | $25–$31 | varies |
| Sedimentation Rate, Automated (85652) | $49.20 | $82 | 18.2× |
| Selenium (84255) | $326.40 | $544 | 12.8× |
| Sensitivity mic (87186) | $86.40 | $144 | 10.0× |
| Serum Bactericidal Titer (87197) | $173.40 | $289 | 11.5× |
| Sex Chromatin Identification Barr Bodies (88130) | $99.60 | $166 | 5.5× |
| Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) | $50.40 | $84 | 6.3× |
| Sickling of rbc reduction (85660) | $37.80 | $63 | 6.9× |
| Sirolimus (80195) | $99.60 | $166 | 7.3× |
| Skin test tuberculosis intradermal (86580) range across 3 matching MRF lines |
$7.20–$45.60 | $12–$76 | varies |
| Smear acid fast (87206) | $86.40 | $144 | 16.0× |
| Smear gram stain (87205) | $86.40 | $144 | 20.2× |
| Smear Special Stain (87207) | $254.40 | $424 | 42.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $70.80 | $118 | 12.2× |
| Snrpn/Ube3a Methylation Analysis (81331) | $252 | $420 | 4.9× |
| Sodium Serum (84295) | $46.80 | $78 | 9.7× |
| Sodium Urine (84300) | $46.80 | $78 | 9.2× |
| Soluble Transferrin Receptor (84238) | $238.80 | $398 | 6.5× |
| Somatomedin (84305) | $285 | $475 | 13.4× |
| Special Stains Group 1 (88312) | $245.40 | $409 | 5.2× |
| Special Stains Group 2 (88313) | $204.60 | $341 | 1.7× |
| Spectrophotometry (84311) | $96 | $160 | 11.9× |
| Splitting Blood/Blood Products Each Unit (86985) | $151.20 | $252 | 1.0× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $78 | $130 | 0.5× |
| Stone Analysis (82355) | $47.40 | $79 | 4.1× |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$14.40–$70.80 | $24–$118 | varies |
| Strep a assay w/optic (87880) range across 3 matching MRF lines |
$18–$178.80 | $30–$298 | varies |
| Strep a DNA amp probe (87651) range across 3 matching MRF lines |
$52.80–$177.60 | $88–$296 | varies |
| Strep b DNA amp probe (87653) | $207.60 | $346 | 5.9× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $209.40 | $349 | 18.2× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $140.40 | $234 | 25.5× |
| Sugars Single Qual (84376) | $114.60 | $191 | 20.8× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $363.60 | $606 | 9.3× |
| Sulfate urine (84392) | $39.60 | $66 | 7.2× |
| Surg path level iii (88304) | $101.40 | $169 | 2.1× |
| Surgical pathology level IV (88305) | $103.80 | $173 | 2.2× |
| Surgical pathology level vi (88309) | $840 | $1,400 | 1.1× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $68.40 | $114 | 9.1× |
| Sweat Collection Iontophoresis (89230) | $274.80 | $458 | 5.8× |
| Syphilis Test Non-Trep Quant (86593) | $37.20 | $62 | 8.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $181.20 | $302 | 3.9× |
| T cells total count (86359) | $92.40 | $154 | 2.4× |
| T3 Free (84481) | $118.80 | $198 | 7.0× |
| T3 reverse (84482) | $127.20 | $212 | 8.1× |
| T3 Total (84480) | $223.80 | $373 | 15.8× |
| T3 Uptake (84479) | $81.60 | $136 | 12.6× |
| T4 Free (84439) | $142.80 | $238 | 15.8× |
| T4 total (84436) | $90.60 | $151 | 13.2× |
| T4-neonatal (84437) | $114.60 | $191 | 17.7× |
| Tacrolimus (80197) | $236.40 | $394 | 17.2× |
| Testosterone total (84403) | $382.20 | $637 | 14.8× |
| Testosterone, Free (84402) | $393.60 | $656 | 15.5× |
| Tetanus antibody (86774) | $46.20 | $77 | 3.1× |
| Thawing and expansion of frozen cells, each aliquot Facility (88241) | $103.80 | $173 | 8.6× |
| Theophylline (80198) | $126.60 | $211 | 9.0× |
| Thiopurine methyltransferase (84433) | $133.20 | $222 | 6.0× |
| Thrombin Time (85670) | $33.60 | $56 | 5.8× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $25.80 | $43 | 4.0× |
| Thyroglobulin (84432) | $77.40 | $129 | 4.8× |
| Thyroglobulin Antibody (86800) | $78 | $130 | 4.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $205.20 | $342 | 4.0× |
| Thyroxine binding globulin (84442) | $159 | $265 | 10.8× |
| Tiss cul neo disorders solid tumor (88239) | $1,156.20 | $1,927 | 7.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$120–$240 | $200–$400 | varies |
| Tissue Culture (88233) | $1,102.80 | $1,838 | 7.8× |
| Tissue Culture Amniotic Fluid (88235) | $1,154.40 | $1,924 | 7.7× |
| Tissue culture bone marrow (88237) | $990 | $1,650 | 6.9× |
| Tissue Culture Lymphocyte (88230) | $859.80 | $1,433 | 7.4× |
| Tobramycin peak (80200) | $195 | $325 | 12.1× |
| Topiramate (80201) | $86.40 | $144 | 7.2× |
| Touch prep (88161) | $141 | $235 | 5.4× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $219 | $365 | 11.1× |
| Toxoplasma ab igm (86778) | $121.20 | $202 | 8.4× |
| Toxoplasma antibody (86777) | $121.20 | $202 | 8.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $76.20 | $127 | 14.7× |
| Transferrin (84466) | $209.40 | $349 | 16.4× |
| Trichomonas Vaginalis Amplif (87661) | $223.20 | $372 | 6.4× |
| Triglycerides (84478) | $54.60 | $91 | 9.5× |
| Troponin Quant (84484) | $139.20 | $232 | 11.2× |
| Trypsin feces qual (84488) | $94.80 | $158 | 13.0× |
| Tumor immunohistochem/comput (88361) | $340.20 | $567 | 1.0× |
| Tumor Immunohistochem/Manual (88360) | $309 | $515 | 2.0× |
| Ugt1a1 gene analysis common variants (81350) | $816 | $1,360 | 3.5× |
| Unlisted Transfusion Medicine Procedure (86999) | $328.80 | $548 | 12.5× |
| Urea nitrogen urine (84540) | $61.20 | $102 | 11.0× |
| Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) | $39.60 | $66 | 7.7× |
| Uric acid other source (84560) | $54.60 | $91 | 10.7× |
| Urinalysis Microscopic Only (81015) | $39.60 | $66 | 13.0× |
| Urine Bacteria Culture (87088) range across 3 matching MRF lines |
$12.60–$139.80 | $21–$233 | varies |
| Urine Pregnancy Test (81025) range across 4 matching MRF lines |
$10.20–$43.20 | $17–$72 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 3 matching MRF lines |
$10.80–$70.80 | $18–$118 | varies |
| Urobilinogen urine qual (84578) | $35.40 | $59 | 7.9× |
| Urobilinogen, feces, quantitative Facility (84577) | $201 | $335 | 12.0× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) | $109.20 | $182 | 11.4× |
| Urobilinogen, urine; semiquantitative Facility (84583) | $50.40 | $84 | 8.3× |
| Valproic acid (80164) | $245.40 | $409 | 18.1× |
| Vancomycin (80202) | $195 | $325 | 14.4× |
| Varicella-zoster antibody (86787) | $79.20 | $132 | 6.1× |
| Vasopressin (84588) | $337.20 | $562 | 9.9× |
| Very Long Chain Fatty Acids (82726) | $356.40 | $594 | 18.0× |
| Viral Culture (87252) | $219.60 | $366 | 8.4× |
| Virus antibody nos (86790) | $144 | $240 | 11.2× |
| Vit D 1 25-Dihydroxy (82652) | $249.60 | $416 | 6.5× |
| Vitamin A (84590) | $195 | $325 | 16.8× |
| Vitamin b-12 (82607) | $244.80 | $408 | 16.2× |
| Vitamin B2 (Riboflavin) (84252) | $143.40 | $239 | 7.1× |
| Vitamin B6 (84207) | $33.60 | $56 | 1.2× |
| Vitamin c (82180) | $159 | $265 | 16.1× |
| Vitamin D 25-Hydroxy (82306) | $187.80 | $313 | 6.3× |
| Vitamin E (84446) | $209.40 | $349 | 14.8× |
| Vitamin K (84597) | $223.20 | $372 | 16.3× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $310.80 | $518 | 2.0× |
| Von willebrand factor ag (85246) | $238.20 | $397 | 10.4× |
| West nile virus ab igm (86788) | $16.80 | $28 | 1.0× |
| West Nile Virus Antibody (86789) | $12 | $20 | 0.8× |
| Western Blot Test (84181) | $256.80 | $428 | 15.1× |
| Whole Mitochondrial Genome (81460) | $6,793.20 | $11,322 | 5.3× |
| Xm Archive Tissue Molec Anal (88363) | $103.20 | $172 | 3.9× |
| Xylose Absorption Test (84620) | $176.40 | $294 | 13.7× |
| Zinc (84630) | $168.60 | $281 | 14.8× |
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.