Lab & pathology prices at Dorminy Medical Center
Fitzgerald, GA · every code in this section with a posted price and a Medicare benchmark.
579 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $35.75 | $71.50 | 3.2× |
| Acth (82024) | $109.63 | $219.25 | 2.8× |
| Acute hepatitis panel (80074) | $162.88 | $325.75 | 3.4× |
| Adenovirus antibody (86603) | $45.13 | $90.25 | 3.5× |
| Agglutinins Febrile Each Antigen (86000) | $250 | $500 | 35.8× |
| Albumin Fluid (82042) | $57.13 | $114.25 | 7.3× |
| Albumin serum (82040) | $24.13 | $48.25 | 4.9× |
| Aldolase (82085) | $33.50 | $67 | 3.5× |
| Aldosterone urine (82088) | $92.50 | $185 | 2.3× |
| Alkaline phosphatase isoenzymes (84080) | $47.13 | $94.25 | 3.2× |
| Allergen specific ige (86003) | $56.50 | $113 | 10.8× |
| Allg Spec Ige Recomb Ea (86008) | $56.50 | $113 | 3.2× |
| Alpha-1-antitrypsin phenotype (82104) | $105.88 | $211.75 | 7.3× |
| Alpha-1-antitrypsin total (82103) | $69.50 | $139 | 5.2× |
| Alpha-Fetoprotein Serum (82105) | $79.63 | $159.25 | 4.7× |
| Alt (sgpt) (84460) | $33.75 | $67.50 | 6.4× |
| Aluminum (82108) | $70.38 | $140.75 | 2.8× |
| Amikacin trough (80150) | $61.75 | $123.50 | 4.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $234.75 | $469.50 | 13.9× |
| Aminolevulinic acid (ala) (82135) | $105.38 | $210.75 | 6.4× |
| Ammonia (82140) | $100.13 | $200.25 | 6.9× |
| Amylase urine (82150) range across 3 matching MRF lines |
$53.88–$72.13 | $107.75–$144.25 | varies |
| Ana Titer (86039) | $33.75 | $67.50 | 3.0× |
| Anca Titer Each Antibody (86037) | $50 | $100 | 4.1× |
| Androstenedione (82157) | $84.38 | $168.75 | 2.9× |
| Angiotensin converting enzyme csf (82164) | $58 | $116 | 4.0× |
| Antibody aspergillus (86606) | $53.63 | $107.25 | 3.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $115.25 | $230.50 | 6.8× |
| Antibody Encephalitis California La Crosse (86651) | $38.63 | $77.25 | 2.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $57.25 | $114.50 | 4.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $67.25 | $134.50 | 4.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $75.63 | $151.25 | 4.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $72.25 | $144.50 | 5.9× |
| Antibody haemophilus influenza (86684) | $31.50 | $63 | 2.0× |
| Antibody helicobacter pylori (86677) | $37.88 | $75.75 | 2.2× |
| Antibody Herpes Smplx Type 1 (86695) | $58 | $116 | 4.4× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $105.50 | $211 | 5.5× |
| Antibody identification leukocyte antibodies (86021) | $140.50 | $281 | 9.3× |
| Antibody Identification Platelet Immunogl Assay (86023) | $220.88 | $441.75 | 17.7× |
| Antibody Protozoa Nes (86753) | $48.13 | $96.25 | 3.9× |
| Antibody Titer (86886) | $25.50 | $51 | 4.9× |
| Antibody Treponema Pallidum (86780) | $50 | $100 | 3.8× |
| Antibody yersinia (86793) | $22.88 | $45.75 | 1.7× |
| Antibody; encephalitis, st. louis (86653) | $38.63 | $77.25 | 2.9× |
| Antibody; influenza virus (86710) | $76.50 | $153 | 5.6× |
| Antinuclear antibodies (86038) | $60.88 | $121.75 | 5.0× |
| Antistreptolysin O Screen (86063) | $32.75 | $65.50 | 5.7× |
| Antistreptolysin o titer (86060) | $41.75 | $83.50 | 5.7× |
| Antithrombin iii activity (85300) | $104.88 | $209.75 | 8.9× |
| Antithrombin iii antigen (85301) | $185.25 | $370.50 | 17.1× |
| Apolipoprotein a1 (82172) | $46 | $92 | 2.2× |
| Aquaporin-4 Antb Cba Each (86052) | $262.50 | $525 | 21.8× |
| Arsenic (82175) | $95.50 | $191 | 5.0× |
| Assay activated protein c (85307) | $80.25 | $160.50 | 5.2× |
| Assay Blood Carbon Dioxide (82374) | $27.75 | $55.50 | 5.7× |
| Assay myeloperoxidase (83876) | $140.50 | $281 | 2.8× |
| Assay Nephelometry Not Spec (83883) | $50 | $100 | 3.7× |
| Assay of 5-hiaa (83497) | $54.50 | $109 | 4.2× |
| Assay of blood/uric acid (84550) | $33.75 | $67.50 | 7.5× |
| Assay of calcium in urine (82340) | $35.75 | $71.50 | 5.9× |
| Assay of cpk in blood (82552) | $60.38 | $120.75 | 4.5× |
| Assay of estrone (82679) | $36.88 | $73.75 | 1.5× |
| Assay of g6pd enzyme (82955) | $69.50 | $139 | 7.2× |
| Assay of gammaglobulin igm (82784) | $63.50 | $127 | 6.8× |
| Assay of lactic acid (83605) | $72.13 | $144.25 | 6.2× |
| Assay of metanephrines (83835) | $69.50 | $139 | 4.1× |
| Assay of procainamide (80190) | $40.13 | $80.25 | 0.7× |
| Assay of serotonin (84260) | $102.50 | $205 | 3.3× |
| Assay of serum potassium (84132) | $32.38 | $64.75 | 6.8× |
| Assay of Tyrosine (84510) | $85 | $170 | 8.0× |
| Assay of urea nitrogen (84520) | $35.13 | $70.25 | 8.9× |
| Assay of urine vma (84585) | $61.75 | $123.50 | 4.0× |
| Assay of vasoactive intestinal peptide (84586) | $153.13 | $306.25 | 4.3× |
| Assay of vitamin b-1 (84425) | $176.38 | $352.75 | 8.3× |
| Assay Ph Body Fluid Nos (83986) range across 5 matching MRF lines |
$11.88–$26 | $23.75–$52 | varies |
| Automated Leukocyte Count (85048) | $15.75 | $31.50 | 6.2× |
| B cells total count (86355) | $57 | $114 | 1.5× |
| Bartonella antibody (86611) | $45.25 | $90.50 | 4.4× |
| Bcr/abl1 gene major bp (81206) | $83.63 | $167.25 | 0.5× |
| Bcr/abl1 gene minor bp (81207) | $83.63 | $167.25 | 0.6× |
| Beta 2 glycoprotein i antibody each (86146) | $38 | $76 | 1.5× |
| Beta hydroxybutyrate (82010) | $79.38 | $158.75 | 9.7× |
| Beta-2 Microglobulin (82232) | $56.25 | $112.50 | 3.5× |
| Bilirubin direct (82248) | $32.75 | $65.50 | 6.5× |
| Bilirubin total (82247) | $36.13 | $72.25 | 7.2× |
| Blastomyces antibody (86612) | $53.63 | $107.25 | 4.2× |
| Bleeding time test (85002) | $36.13 | $72.25 | 7.5× |
| Blood Count Automated Differential Wbc Count (85004) | $15.75 | $31.50 | 2.4× |
| Blood Count Manual Cell Count Each (85032) | $37.50 | $75 | 8.7× |
| Blood Count Red Blood Cell Automated (85041) | $53.38 | $106.75 | 17.7× |
| Blood count reticulocyte automated (85045) | $43.38 | $86.75 | 10.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $45.13 | $90.25 | 11.9× |
| Blood gas (82803) range across 2 matching MRF lines |
$96.38–$104.25 | $192.75–$208.50 | varies |
| Blood gases w/02 saturation (82805) | $141.13 | $282.25 | 1.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $7.75 | $15.50 | 0.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $16.38 | $32.75 | 3.7× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$3.50–$52.88 | $7–$105.75 | varies |
| Bone marrow smear interpretation (85097) | $100.25 | $200.50 | 0.1× |
| Bordetella antibody (86615) | $155.63 | $311.25 | 11.8× |
| Brucella antibody (86622) | $54.25 | $108.50 | 6.1× |
| C diff amplified probe (87493) | $53 | $106 | 1.4× |
| C-Peptide (84681) | $92.25 | $184.50 | 4.4× |
| C-reactive protein (86140) | $81.75 | $163.50 | 15.8× |
| Ca 19-9 (86301) | $115.25 | $230.50 | 5.5× |
| Calcitonin (82308) | $90.75 | $181.50 | 3.4× |
| Calcium ionized (82330) | $68.88 | $137.75 | 5.0× |
| Calcium total (82310) | $33.75 | $67.50 | 6.5× |
| Calculus Spectroscopy (82365) | $86.75 | $173.50 | 6.7× |
| Calprotectin Fecal (83993) | $221.38 | $442.75 | 11.3× |
| Cancer Antigen 125 (86304) | $115.25 | $230.50 | 5.5× |
| Cancer Antigen 27.29 (86300) | $85.63 | $171.25 | 4.1× |
| Car Ion Chnnlpath Inc 2 Gns (81414) | $557.88 | $1,115.75 | 1.0× |
| Carbamazepine total (80156) | $81.75 | $163.50 | 5.6× |
| Carcinoembryonic antigen (82378) | $105.50 | $211 | 5.6× |
| Cardiolipin ab iga (86147) | $90 | $180 | 3.5× |
| Carotene (82380) | $52.63 | $105.25 | 5.7× |
| Catecholamines fractionated (82384) | $85 | $170 | 3.4× |
| Ccp antibody (86200) | $144.13 | $288.25 | 11.1× |
| Cell count csf (89051) | $52 | $104 | 9.3× |
| Cell marker study (88182) | $59 | $118 | 1.3× |
| Ceruloplasmin (82390) | $55.25 | $110.50 | 5.1× |
| Chemiluminescent assay (82397) | $77.13 | $154.25 | 5.5× |
| Chlamydia antibody (86631) | $58 | $116 | 4.9× |
| Chlamydia Igm Antibody (86632) | $58 | $116 | 4.6× |
| Chlamydia trachomatis ag if (87270) | $25.50 | $51 | 2.1× |
| Chloride Serum (82435) | $14.50 | $29 | 3.2× |
| Chloride urine (82436) | $25 | $50 | 4.3× |
| Cholesterol total (82465) | $25.75 | $51.50 | 5.9× |
| Cholinesterase rbc (82482) | $38.63 | $77.25 | 3.9× |
| Cholinesterase Serum (82480) | $50.50 | $101 | 6.4× |
| Chorionic gonadotropin test (84702) | $95.25 | $190.50 | 6.3× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $47.13 | $94.25 | 1.4× |
| Chromium serum (82495) | $70.50 | $141 | 3.5× |
| Chromogranin a (86316) | $127.13 | $254.25 | 6.1× |
| Chromosome Analysis 15-20 (88262) | $269.13 | $538.25 | 2.1× |
| Chromosome Analysis 20-25 (88264) | $144.88 | $289.75 | 1.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $84.38 | $168.75 | 2.4× |
| Citric acid urine (82507) | $77.13 | $154.25 | 2.8× |
| Ckmb (82553) | $94 | $188 | 8.1× |
| Clostridium Difficile (87324) | $102 | $204 | 8.5× |
| Clot Factor VIII Multimetric (85247) | $236.38 | $472.75 | 10.3× |
| Clotting factor xii hageman (85280) | $60.38 | $120.75 | 3.1× |
| Coccidioides antibody (86635) | $79.63 | $159.25 | 6.9× |
| Cold agglutinin screen (86156) | $38.63 | $77.25 | 4.8× |
| Collagen crosslinks (82523) | $65.75 | $131.50 | 3.5× |
| Column Chromotography Quant (82542) | $84.50 | $169 | 3.5× |
| Compatibility Each Unit Incubation (86921) | $115.25 | $230.50 | 0.8× |
| Compatibility test antiglob (86922) range across 3 matching MRF lines |
$38.63–$115.25 | $77.25–$230.50 | varies |
| Complement Antigen Each Component (86160) | $87.13 | $174.25 | 7.3× |
| Complement Total (Ch50) (86162) | $115.25 | $230.50 | 5.7× |
| Complement/Function Activity (86161) | $87.13 | $174.25 | 7.3× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$35–$64.75 | $70–$129.50 | varies |
| Coombs direct (86880) | $56.25 | $112.50 | 10.4× |
| Copper urine (82525) | $64.38 | $128.75 | 5.2× |
| Cortisol free (82530) | $111.50 | $223 | 6.7× |
| Cortisol saliva (82533) | $86.38 | $172.75 | 5.3× |
| Creatine kinase total (82550) | $39.88 | $79.75 | 6.1× |
| Creatinine blood (82565) | $38.50 | $77 | 7.5× |
| Creatinine clearance (82575) | $71.63 | $143.25 | 7.6× |
| Creatinine Urine (82570) | $39.88 | $79.75 | 7.7× |
| Crossmatch immediate spin (86920) | $115.25 | $230.50 | 0.8× |
| Crp High Sensitivity (86141) | $61.75 | $123.50 | 4.8× |
| Cryoglobulin (82595) | $78.63 | $157.25 | 12.2× |
| Cryptococcus ab (86641) | $57.25 | $114.50 | 4.0× |
| Cryptosporidium (87272) | $62.63 | $125.25 | 5.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $24.75 | $49.50 | 3.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $35.75 | $71.50 | 4.4× |
| Culture afb (87116) | $69.50 | $139 | 6.4× |
| Culture Anaerobic (87075) | $72.13 | $144.25 | 7.6× |
| Culture blood (87040) | $107.50 | $215 | 10.4× |
| Culture csf (87070) | $70.63 | $141.25 | 8.2× |
| Culture fungus (87102) | $84 | $168 | 10.0× |
| Culture screen only (87081) | $43.38 | $86.75 | 6.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $74.13 | $148.25 | 14.3× |
| Culture urine (87086) | $98 | $196 | 12.1× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $45.88 | $91.75 | 3.2× |
| Cyclic amp (82030) | $77.13 | $154.25 | 3.0× |
| Cyclosporine (80158) | $77.13 | $154.25 | 4.3× |
| Cyp2c19 gene analysis common variants (81225) | $550.13 | $1,100.25 | 1.9× |
| Cyp2c9 gene com variants (81227) | $340 | $680 | 1.9× |
| Cyp2d6 gene com variants (81226) | $877 | $1,754 | 1.9× |
| Cystatin C (82610) | $62.50 | $125 | 3.4× |
| Cytogenetics 100-300 (88275) | $139.63 | $279.25 | 2.7× |
| Cytomegalovirus igg (86644) | $115.25 | $230.50 | 8.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$23.50–$35.75 | $47–$71.50 | varies |
| Cytopath Cell Enhance Tech (88112) | $54.50 | $109 | 1.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $75.88 | $151.75 | 2.3× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) range across 2 matching MRF lines |
$7–$28.25 | $14–$56.50 | varies |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $40.88 | $81.75 | 1.6× |
| Detect Agent Nos Dna Amp (87798) | $67.75 | $135.50 | 1.9× |
| Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines |
$57.38–$217 | $114.75–$434 | varies |
| Dhea-S (82627) | $87.88 | $175.75 | 4.0× |
| Dibucaine number (82638) | $40.13 | $80.25 | 3.3× |
| Digoxin (80162) | $83.13 | $166.25 | 6.3× |
| Dihydrotestosterone (82642) | $47.13 | $94.25 | 1.6× |
| Diphtheria antitoxoid (86648) | $82.63 | $165.25 | 5.4× |
| Dna Antibody Native/Double Stranded (86225) | $93.38 | $186.75 | 6.8× |
| Drug assay adalimumab (80145) | $58 | $116 | 1.5× |
| Drug Asy Hydroxychloroquine (80220) | $80.50 | $161 | 4.3× |
| Drug Screen Quantitative Gabapentin (80171) | $88 | $176 | 4.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $88.75 | $177.50 | 6.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $172.75 | $345.50 | 13.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $78 | $156 | 5.9× |
| Drug Test Prsmv Chem Anlyzr (80307) | $155.13 | $310.25 | 2.5× |
| Drug Test Prsmv Dir Opt Obs (80305) | $77.13 | $154.25 | 6.1× |
| Ehrlichia antibody (86666) | $71.25 | $142.50 | 7.0× |
| Electrolyte panel (80051) | $61.38 | $122.75 | 8.8× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $52.38 | $104.75 | 0.9× |
| Encephaltis East Eqne Anbdy (86652) | $38.63 | $77.25 | 2.9× |
| Encephaltis West Eqne Antbdy (86654) | $38.63 | $77.25 | 2.9× |
| Enterovirus Antibody (86658) | $52.63 | $105.25 | 4.0× |
| Enterovirus PCR (87498) | $88.50 | $177 | 2.5× |
| Eosinophil Smear (89190) | $15.50 | $31 | 2.7× |
| Erythropoietin (82668) | $128.75 | $257.50 | 6.9× |
| Estradiol serum (82670) | $109.63 | $219.25 | 3.9× |
| Estriol (82677) | $56.75 | $113.50 | 2.3× |
| Estrogen total (82672) | $71.88 | $143.75 | 3.3× |
| Ethosuximide (80168) | $59.25 | $118.50 | 3.6× |
| Ethylene Glycol (82693) | $58 | $116 | 3.9× |
| Exam Synovial Fluid Crystals (89060) | $46.88 | $93.75 | 6.4× |
| F2 Gene (81240) | $169.88 | $339.75 | 2.6× |
| Factor Inhibitor Test (85335) | $91.75 | $183.50 | 7.1× |
| Factor ix activity (85250) | $56.38 | $112.75 | 3.0× |
| Factor v activity (85220) | $169.88 | $339.75 | 9.6× |
| Factor vii assay (85230) | $57.25 | $114.50 | 3.2× |
| Factor viii assay (85240) | $122 | $244 | 6.8× |
| Factor X (85260) | $43.63 | $87.25 | 2.4× |
| Factor xi activity (85270) | $60.38 | $120.75 | 3.4× |
| Fat stain feces urine/respir secretions (89125) | $61 | $122 | 10.4× |
| Fat/Lipids Feces Quantitative (82710) | $87 | $174 | 5.2× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $60 | $120 | 3.5× |
| Fecal Fat Qualitative (82705) | $65 | $130 | 12.7× |
| Ferritin (82728) | $81.75 | $163.50 | 6.0× |
| Fetal hemoglobin assay qual (83033) | $33.50 | $67 | 4.2× |
| Fibrin degradation products (85362) | $93.63 | $187.25 | 13.6× |
| Fibrin Degradation Quant (85379) | $129.13 | $258.25 | 12.7× |
| Fibrinogen activity (85384) | $96.38 | $192.75 | 9.9× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$43.63–$200 | $87.25–$400 | varies |
| Fluorescent antibody screen (86255) range across 12 matching MRF lines |
$45.88–$100 | $91.75–$200 | varies |
| Folic acid rbc (82747) | $76.25 | $152.50 | 4.3× |
| Folic Acid Serum (82746) | $81.75 | $163.50 | 5.6× |
| Follicle Stimulating Hormone (83001) | $98.25 | $196.50 | 5.3× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $52 | $104 | 0.3× |
| Frozen Section (88331) | $85 | $170 | 0.6× |
| Fungi Identification Yeast (87106) | $41.75 | $83.50 | 4.0× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $105.88 | $211.75 | 5.0× |
| Gammaglobulin ige (82785) | $61.38 | $122.75 | 3.7× |
| Gardner vag DNA dir probe (87510) | $57.38 | $114.75 | 2.9× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $69 | $138 | 7.1× |
| Gases blood ph only (82800) | $35 | $70 | 3.2× |
| Gastrin (82941) | $84 | $168 | 4.8× |
| Genet Virus Isolate Hsv (87255) | $47.75 | $95.50 | 1.4× |
| Gentamicin (80170) | $77.13 | $154.25 | 4.7× |
| Ggt (82977) | $38 | $76 | 5.3× |
| Giardia antigen (87329) | $73.63 | $147.25 | 6.1× |
| Glucagon (82943) | $61.75 | $123.50 | 4.3× |
| Glucose 2 hr pp (82950) | $31 | $62 | 6.5× |
| Glucose Blood Test (82962) range across 5 matching MRF lines |
$5.25–$12.25 | $10.50–$24.50 | varies |
| Glucose body fluid (82945) | $43.38 | $86.75 | 11.0× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$7.75–$32.38 | $15.50–$64.75 | varies |
| Glucose tolerance test (gtt) (82951) | $65.75 | $131.50 | 5.1× |
| Glycated Protein (82985) | $41.13 | $82.25 | 2.5× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$7.75–$51.25 | $15.50–$102.50 | varies |
| Gonadotropin releasing hormone (83727) | $110 | $220 | 6.4× |
| Growth hormone (83003) | $45.88 | $91.75 | 2.8× |
| Gtt-added samples (82952) | $34.88 | $69.75 | 8.9× |
| H Pylori (C-13) Breath (83013) | $114 | $228 | 1.7× |
| Haloperidol (80173) | $71.25 | $142.50 | 4.5× |
| Haptoglobin (83010) | $72.13 | $144.25 | 5.7× |
| Hdl Cholesterol (83718) | $21.88 | $43.75 | 2.7× |
| Heavy metal qualitative any analytes (83015) | $85.63 | $171.25 | 4.1× |
| Helicobacter Pylori Stool (87338) | $63.50 | $127 | 4.4× |
| Helminth Antibody (86682) | $96.38 | $192.75 | 7.4× |
| Hematocrit (85014) range across 2 matching MRF lines |
$11.13–$33.75 | $22.25–$67.50 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$10.25–$33.75 | $20.50–$67.50 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$25.75–$67.25 | $51.50–$134.50 | varies |
| Hemoglobin Chromotography (83021) | $40.38 | $80.75 | 2.2× |
| Hemoglobin electrophoresis (83020) | $65.13 | $130.25 | 5.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $35 | $70 | 4.3× |
| Hemoglobin plasma (83051) | $27.75 | $55.50 | 3.8× |
| Hemosiderin urine (83070) | $52 | $104 | 10.9× |
| Hep a ab igm (86709) | $55.25 | $110.50 | 4.9× |
| Hepatitis a antibody total (86708) | $39 | $78 | 3.1× |
| Hepatitis b core ab igm (86705) | $44.13 | $88.25 | 3.7× |
| Hepatitis b core ab total (86704) | $31 | $62 | 2.6× |
| Hepatitis B Surface Antibody (86706) | $39.75 | $79.50 | 3.7× |
| Hepatitis B Surface Antigen (87340) | $61.38 | $122.75 | 5.9× |
| Hepatitis Be Antibody (86707) | $41.13 | $82.25 | 3.6× |
| Hepatitis Be Antigen (87350) | $55.50 | $111 | 4.8× |
| Hepatitis C Antibody (86803) | $92.25 | $184.50 | 6.5× |
| Hepatitis c antibody confirmatory test (86804) | $63.38 | $126.75 | 4.1× |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
$230.88–$430.75 | $461.75–$861.50 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $215.50 | $431 | 6.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $345.13 | $690.25 | 8.1× |
| Herpes simplex type 2 (86696) | $58 | $116 | 3.0× |
| Heterophile Antibody Screen (86308) | $39.38 | $78.75 | 7.6× |
| Hfe Gene (81256) | $182.25 | $364.50 | 2.8× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $162.63 | $325.25 | 21.0× |
| Histamine urine (83088) | $110.50 | $221 | 3.7× |
| Histoplasma antibody (86698) | $53.63 | $107.25 | 3.9× |
| Histoplasma antigen urine (87385) | $53.50 | $107 | 4.0× |
| Hiv Genotype (87901) | $215.50 | $431 | 0.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $103.25 | $206.50 | 4.3× |
| HIV-1 p24 antigen (87390) | $165.50 | $331 | 6.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $80.63 | $161.25 | 0.9× |
| Hla class ii typing high resolution one locus ea (81382) | $87.50 | $175 | 0.7× |
| Hla ii type 1 ag equiv lr (81377) | $29.13 | $58.25 | 0.3× |
| Hla ii typing 1 allele hr (81383) | $29.13 | $58.25 | 0.3× |
| Hla Typing a/B/C Multiple Antigens (86813) | $152.50 | $305 | 2.6× |
| Hla-b27 (86812) | $117 | $234 | 4.5× |
| Homocysteine (83090) | $56.25 | $112.50 | 3.1× |
| Homovanillic acid urine (83150) | $115.63 | $231.25 | 5.2× |
| Hsv Dna Amp Probe (87529) | $45.88 | $91.75 | 1.3× |
| Hydroxycorticosteroids 17 (83491) | $55.50 | $111 | 3.1× |
| Hydroxyprogesterone 17-d (83498) | $83.38 | $166.75 | 3.1× |
| Hydroxyproline total (83505) | $91.13 | $182.25 | 3.8× |
| Iaad Ia Escherichia Coli 0157 (87335) | $47 | $94 | 3.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $100 | $200 | 2.8× |
| Iaad ia shiga-like toxin (87427) | $29.88 | $59.75 | 2.5× |
| Iaad Ia Streptococcus Group A (87430) range across 2 matching MRF lines |
$15.63–$45.13 | $31.25–$90.25 | varies |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $86.38 | $172.75 | 7.2× |
| Iaadi parainfluenza virus each type (87279) | $68.63 | $137.25 | 4.2× |
| Iaadi pneumocustis carinii (87281) | $47.13 | $94.25 | 3.9× |
| Iaadi respiratory synctial virus (87280) | $70 | $140 | 5.2× |
| Iadna Candida Species Amplified Probe Tq (87481) | $67.75 | $135.50 | 1.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $52.50 | $105 | 1.5× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $71.63 | $143.25 | 3.1× |
| Iadna Cytomegalovirus Quantification (87497) | $75 | $150 | 1.8× |
| Iadna hepatitis b virus amplified probe tq (87516) | $38.63 | $77.25 | 1.1× |
| Iadna Hepatitis B Virus Quantification (87517) | $85.63 | $171.25 | 2.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $239.38 | $478.75 | 6.8× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $62.63 | $125.25 | 1.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $52.50 | $105 | 1.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $84.38 | $168.75 | 2.4× |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $37.25 | $74.50 | 1.2× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $457.50 | $915 | 1.7× |
| Ig Light Chains Free Each (83521) | $60 | $120 | 3.5× |
| Igg subclasses (82787) | $109.63 | $219.25 | 13.7× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $62.38 | $124.75 | 0.2× |
| Immune Complex Assay (86332) | $109.63 | $219.25 | 4.5× |
| Immunfix e-phorsis/urine/csf (86335) | $31.88 | $63.75 | 1.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $96.38 | $192.75 | 5.2× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $172.50 | $345 | 11.5× |
| Immunoassay nonantibody (83516) | $72.50 | $145 | 6.3× |
| Immunofixation electrophoresis (86334) | $41.13 | $82.25 | 1.8× |
| Immunohistochemistry (88342) | $85.75 | $171.50 | 0.6× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $48.38 | $96.75 | 3.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) | $192.25 | $384.50 | 6.2× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $52.50 | $105 | 1.5× |
| Influenza a/b ag eia (87400) range across 3 matching MRF lines |
$23.88–$91.75 | $47.75–$183.50 | varies |
| Inhibin A (86336) | $159.13 | $318.25 | 10.2× |
| Inhibin b (83520) range across 17 matching MRF lines |
$50–$112 | $100–$224 | varies |
| Insitu hybridization manual (88368) | $126.88 | $253.75 | 0.4× |
| Insulin antibodies (86337) | $71.13 | $142.25 | 3.3× |
| Insulin total (83525) | $57.38 | $114.75 | 5.0× |
| Intrinsic factor antibody (86340) | $83.38 | $166.75 | 5.5× |
| Iron (83540) | $42.13 | $84.25 | 6.5× |
| Iron Binding Capacity (83550) | $72.13 | $144.25 | 8.3× |
| Islet cell antibody (86341) | $82 | $164 | 3.5× |
| Jak2 gene analysis p.val617phe variant (81270) | $341.38 | $682.75 | 3.7× |
| Ketosteroids 17 total (83586) | $45.13 | $90.25 | 3.5× |
| Lactate (ld) (ldh) enzyme (83615) | $38 | $76 | 6.3× |
| Lactoferrin fecal qualitative (83630) | $39.75 | $79.50 | 2.0× |
| Ldh Isoenzymes (83625) | $47.13 | $94.25 | 3.7× |
| LDL direct (83721) | $13.75 | $27.50 | 1.3× |
| Lead (83655) | $41.50 | $83 | 3.4× |
| Legionella antibody (86713) | $66.88 | $133.75 | 4.4× |
| Legionella antigen urine (87449) | $54.25 | $108.50 | 4.5× |
| Leukocyte Assessment Fecal (89055) | $46.25 | $92.50 | 10.8× |
| Leukocyte Histamine Release (86343) | $69.75 | $139.50 | 5.6× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$18.75–$23.50 | $37.50–$47 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 11 matching MRF lines |
$20.50–$76.63 | $41–$153.25 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 33 matching MRF lines |
$54.25–$380 | $108.50–$760 | varies |
| Lidocaine (80176) | $45.13 | $90.25 | 3.1× |
| Lipase (83690) | $61.38 | $122.75 | 8.9× |
| Lipoprotein A (83695) | $65.25 | $130.50 | 4.6× |
| Lipoprotein Bld Quan Part (83704) | $60.25 | $120.50 | 1.8× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $43.88 | $87.75 | 1.3× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $71.63 | $143.25 | 1.5× |
| Lithium (80178) | $51.25 | $102.50 | 7.8× |
| Luteinizing Hormone (Lh) (83002) | $98.25 | $196.50 | 5.3× |
| Lyme disease antibody (86618) | $54.88 | $109.75 | 3.2× |
| Lysozyme serum (85549) | $47.13 | $94.25 | 2.5× |
| Macroscopic Exam Parasite (87169) | $34 | $68 | 7.9× |
| Magnesium Urine (83735) | $62.63 | $125.25 | 9.3× |
| Mass Spectrometry Quant (83789) | $45.88 | $91.75 | 1.9× |
| Mercury urine (83825) | $33.75 | $67.50 | 2.1× |
| Metabolic panel ionized ca (80047) | $7.75 | $15.50 | 0.6× |
| Methylmalonic acid serum (83921) | $85.63 | $171.25 | 4.0× |
| Microalbumin, quantitative (82043) | $45.88 | $91.75 | 7.9× |
| Microsomal Antibodies Each (86376) | $62.63 | $125.25 | 4.3× |
| Mog-Igg1 Antb Cba Each (86362) | $245 | $490 | 20.3× |
| Molecular Cytogenetics Dna Probe Each (88271) | $84.63 | $169.25 | 4.0× |
| Molecular Pathology Procedure Level 3 (81402) | $563.74 | $1,127.48 | 3.8× |
| Mopath procedure level 2 (81401) | $171.25 | $342.50 | 1.3× |
| Mopath procedure level 5 (81404) | $239.85 | $479.70 | 0.9× |
| Mopath procedure level 9 (81408) | $1,500 | $3,000 | 0.8× |
| Mrsa Pcr (87641) | $52.50 | $105 | 1.5× |
| Mthfr Gene Analysis Common Variants (81291) | $115.75 | $231.50 | 1.8× |
| Mumps antibody (86735) | $75 | $150 | 5.7× |
| Mycobacteric Identification (87118) | $15.75 | $31.50 | 1.1× |
| Mycophenolic Acid (80180) | $53 | $106 | 2.9× |
| Mycoplasma antibody (86738) | $50.50 | $101 | 3.8× |
| Myelin basic protein csf (83873) | $53.63 | $107.25 | 3.1× |
| Myoglobin urine (83874) | $54.50 | $109 | 4.2× |
| Natriuretic peptide (83880) | $126.88 | $253.75 | 3.2× |
| Neisseria Dir Na Probe (87590) | $71.63 | $143.25 | 2.7× |
| Nfct ds chrnc hcv 6 assays (81596) | $150 | $300 | 2.1× |
| Niacin (84591) | $73.50 | $147 | 4.3× |
| Nk cells total count (86357) | $57 | $114 | 1.5× |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
$87.88–$117.50 | $175.75–$235 | varies |
| Occult blood feces (82272) | $32.75 | $65.50 | 7.7× |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$6.50–$30.25 | $13–$60.50 | varies |
| Oligoclonal bands (83916) | $82.13 | $164.25 | 3.0× |
| Organic acids urine (83918) | $310.75 | $621.50 | 13.2× |
| Osmolality serum (83930) | $52 | $104 | 7.9× |
| Osmolality Urine (83935) | $49 | $98 | 7.2× |
| Ova and parasites smears (87177) | $105.38 | $210.75 | 11.8× |
| Oxalate urine (83945) | $45.13 | $90.25 | 3.1× |
| Pancreatic Elastase Fecal (82656) | $159.63 | $319.25 | 13.8× |
| Particle Agglutination Screen Each Antibody (86403) | $69.13 | $138.25 | 6.0× |
| Parvovirus antibody (86747) | $76.25 | $152.50 | 5.1× |
| Ph urine (81003) | $25.75 | $51.50 | 11.4× |
| Phenobarbital Level (80184) | $83.13 | $166.25 | 5.4× |
| Phenylalanine (84030) | $56.25 | $112.50 | 10.2× |
| Phenytoin (Dilantin) (80185) | $83.88 | $167.75 | 6.3× |
| Phenytoin free (80186) | $28.50 | $57 | 2.1× |
| Phosphatase acid prostatic (84066) | $41.75 | $83.50 | 4.3× |
| Phosphatase alkaline (84075) | $69.50 | $139 | 13.4× |
| Phosphatidylglycerol (84081) | $41.75 | $83.50 | 2.5× |
| Phosphorus Serum (84100) | $32.38 | $64.75 | 6.8× |
| Phosphorus urine (84105) | $28.25 | $56.50 | 4.9× |
| Pinworm exam (87172) | $7.63 | $15.25 | 1.8× |
| Platelet Antibodies (86022) | $108 | $216 | 5.9× |
| Platelet count automated (85049) | $49 | $98 | 10.9× |
| Platelet neutralization (85597) | $44.13 | $88.25 | 2.5× |
| Porphobilinogen, urine; quantitative (84110) | $122 | $244 | 14.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $83.13 | $166.25 | 5.7× |
| Potassium Urine (84133) | $35 | $70 | 7.4× |
| Prealbumin (84134) | $57.13 | $114.25 | 3.9× |
| Pregnenolone (84140) | $86.75 | $173.50 | 4.2× |
| Primidone (80188) | $41.13 | $82.25 | 2.5× |
| Procalcitonin (Pct) (84145) | $100 | $200 | 3.7× |
| Progesterone (84144) | $86.75 | $173.50 | 4.2× |
| Prolactin (84146) | $104.75 | $209.50 | 5.4× |
| Protein body fluid (84157) | $41 | $82 | 10.3× |
| Protein C Activity (85303) | $227.88 | $455.75 | 16.5× |
| Protein c antigen (85302) | $136.25 | $272.50 | 11.3× |
| Protein Electrophoresis Urine (84166) | $59.50 | $119 | 3.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $72.13 | $144.25 | 6.7× |
| Protein S Free (85306) | $138.25 | $276.50 | 9.0× |
| Protein s total (85305) | $132.50 | $265 | 11.4× |
| Protein total serum (84155) | $33.75 | $67.50 | 9.2× |
| Protein Total Urine (84156) | $39.63 | $79.25 | 10.8× |
| Protein Western Blot Test (84182) | $102.50 | $205 | 3.5× |
| Protoporphyrin rbc quantitative (84202) | $54.88 | $109.75 | 3.8× |
| PSA free (84154) | $73.50 | $147 | 4.0× |
| Pth Intact (83970) | $109.63 | $219.25 | 2.7× |
| Pyruvate kinase (84220) | $58 | $116 | 6.1× |
| Quantiferon tb gold plus (86480) | $63.50 | $127 | 1.0× |
| Quantitative assay drug (80299) | $64 | $128 | 3.4× |
| Quantitative Screen Metals (83018) | $93.38 | $186.75 | 4.3× |
| Quinidine (80194) | $42.63 | $85.25 | 2.9× |
| Rbc antibody screen (86850) | $76.63 | $153.25 | 7.8× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$8.50–$9.75 | $17–$19.50 | varies |
| Receptor assay estrogen (84233) | $177.25 | $354.50 | 2.0× |
| Renin activity plasma (84244) | $69.50 | $139 | 3.2× |
| Rh (86901) range across 2 matching MRF lines |
$3.50–$52.88 | $7–$105.75 | varies |
| Rheumatoid factor quant (86431) | $81.38 | $162.75 | 14.4× |
| Rickettsia antibody (86757) | $65.13 | $130.25 | 3.4× |
| Ristocetin cofactor (85245) | $80.63 | $161.25 | 3.5× |
| Rotavirus ag eia (87425) | $70.38 | $140.75 | 5.9× |
| Rpr qualitative (86592) | $27.13 | $54.25 | 6.4× |
| Rubella Antibody (86762) | $44.50 | $89 | 3.1× |
| Rubeola antibody (86765) | $66.88 | $133.75 | 5.2× |
| Russell Viper Venom Time Diluted (85613) | $51.75 | $103.50 | 5.4× |
| Salmonella antibody (86768) | $54.25 | $108.50 | 4.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $100 | $200 | 1.9× |
| Sars-cov-2 COVID-19 antibody (86769) | $100 | $200 | 2.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $212.50 | $425 | 1.5× |
| Sedimentation Rate, Automated (85652) | $27.13 | $54.25 | 10.0× |
| Selenium (84255) | $50 | $100 | 2.0× |
| Semen Anal Sperm Detection (89321) | $15.75 | $31.50 | 1.3× |
| Sensitivity mic (87186) | $50.50 | $101 | 5.8× |
| Sex Hormone Binding Globulin (84270) | $86.75 | $173.50 | 4.0× |
| Sickling of rbc reduction (85660) | $43.38 | $86.75 | 7.9× |
| Smear acid fast (87206) | $57.88 | $115.75 | 10.7× |
| Smear complex stain (87209) | $55.50 | $111 | 3.1× |
| Smear gram stain (87205) | $44.13 | $88.25 | 10.3× |
| Smear Special Stain (87207) | $48.13 | $96.25 | 8.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 4 matching MRF lines |
$7.75–$27.38 | $15.50–$54.75 | varies |
| Sodium Serum (84295) | $25.50 | $51 | 5.3× |
| Sodium Urine (84300) | $35.13 | $70.25 | 6.9× |
| Somatomedin (84305) | $80.88 | $161.75 | 3.8× |
| Special Stains Group 1 (88312) | $57.88 | $115.75 | 1.3× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$46.75–$54.50 | $93.50–$109 | varies |
| Specific gravity body fluid (84315) | $4 | $8 | 1.2× |
| Specimen infect agnt concntj (87015) | $52.25 | $104.50 | 7.8× |
| Spectrophotometry (84311) | $77.13 | $154.25 | 9.5× |
| Sperm Antibodies (89325) | $115.63 | $231.25 | 10.8× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $35 | $70 | 0.2× |
| Staph a DNA amp probe (87640) | $67.75 | $135.50 | 1.9× |
| Stool cultr aerobic bact ea (87046) | $48.25 | $96.50 | 5.1× |
| Strep a DNA amp probe (87651) | $52.50 | $105 | 1.5× |
| Strep b DNA amp probe (87653) | $67.75 | $135.50 | 1.9× |
| Sugars Single Qual (84376) | $92.75 | $185.50 | 16.9× |
| Surg path level iii (88304) range across 45 matching MRF lines |
$34.25–$83 | $68.50–$166 | varies |
| Surgical pathology level IV (88305) range across 65 matching MRF lines |
$55.50–$684.75 | $2.75–$1,369.50 | varies |
| Surgical pathology level vi (88309) range across 19 matching MRF lines |
$40.50–$510.38 | $81–$1,020.75 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $43.38 | $86.75 | 5.8× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $11.88 | $23.75 | 1.6× |
| Syphilis Test Non-Trep Quant (86593) | $35 | $70 | 8.0× |
| T cells absolute cd4 count (86361) | $94.13 | $188.25 | 3.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $85 | $170 | 1.8× |
| T cells total count (86359) | $57 | $114 | 1.5× |
| T3 Free (84481) | $105.38 | $210.75 | 6.2× |
| T3 reverse (84482) | $81.38 | $162.75 | 5.2× |
| T3 Total (84480) | $78.38 | $156.75 | 5.5× |
| T3 Uptake (84479) | $78.38 | $156.75 | 12.1× |
| T4 Free (84439) | $78.38 | $156.75 | 8.7× |
| T4 total (84436) | $72.13 | $144.25 | 10.5× |
| Tacrolimus (80197) | $194.63 | $389.25 | 14.2× |
| Test for acetone/ketones (82009) | $27.38 | $54.75 | 6.1× |
| Test for urine cystines (82615) | $127.75 | $255.50 | 13.4× |
| Testosterone total (84403) | $172.50 | $345 | 6.7× |
| Testosterone, Free (84402) | $92.25 | $184.50 | 3.6× |
| Tetanus antibody (86774) | $82.63 | $165.25 | 5.6× |
| Theophylline (80198) | $78 | $156 | 5.5× |
| Thiocyanate (84430) | $41.13 | $82.25 | 3.5× |
| Thrombin Time (85670) | $41.13 | $82.25 | 7.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $52 | $104 | 8.0× |
| Thyroglobulin (84432) | $54.38 | $108.75 | 3.4× |
| Thyroglobulin Antibody (86800) | $100.38 | $200.75 | 6.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $68 | $136 | 1.3× |
| Thyroxine binding globulin (84442) | $56.38 | $112.75 | 3.8× |
| Tissue culture bone marrow (88237) | $121.88 | $243.75 | 0.8× |
| Tissue Culture Lymphocyte (88230) | $153.88 | $307.75 | 1.3× |
| Tobramycin peak (80200) | $88.75 | $177.50 | 5.5× |
| Topiramate (80201) | $85.50 | $171 | 7.2× |
| Toxoplasma ab igm (86778) | $42.63 | $85.25 | 3.0× |
| Toxoplasma antibody (86777) | $29.50 | $59 | 2.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $33.75 | $67.50 | 6.5× |
| Transferrin (84466) | $71.63 | $143.25 | 5.6× |
| Triglycerides (84478) | $41.50 | $83 | 7.2× |
| Troponin Quant (84484) | $94 | $188 | 7.5× |
| Trypsin feces qual (84488) | $84.38 | $168.75 | 11.6× |
| Tumor immunohistochem/comput (88361) | $79.88 | $159.75 | 0.3× |
| Unlisted Transfusion Medicine Procedure (86999) | $144 | $288 | 5.7× |
| Urea nitrogen urine (84540) | $22.88 | $45.75 | 4.1× |
| Uric acid other source (84560) | $27.38 | $54.75 | 5.4× |
| Urinalysis Microscopic Only (81015) | $15.75 | $31.50 | 5.2× |
| Urinalysis Volume Measure (81050) | $8.13 | $16.25 | 2.2× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$10.75–$62.63 | $21.50–$125.25 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $49.50 | $99 | 15.6× |
| Urobilinogen urine qual (84578) | $5.25 | $10.50 | 1.2× |
| Valproic acid (80164) | $49 | $98 | 3.6× |
| Vancomycin (80202) | $96.88 | $193.75 | 7.2× |
| Varicella-zoster antibody (86787) | $75 | $150 | 5.8× |
| Vasopressin (84588) | $43.63 | $87.25 | 1.3× |
| Viral Culture (87252) | $102.13 | $204.25 | 3.9× |
| Virus inoculation, shell via (87254) | $102.13 | $204.25 | 5.2× |
| Viscosity serum (85810) | $41.75 | $83.50 | 3.6× |
| Vit D 1 25-Dihydroxy (82652) | $117.75 | $235.50 | 3.1× |
| Vitamin A (84590) | $50.50 | $101 | 4.3× |
| Vitamin b-12 (82607) | $91.13 | $182.25 | 6.0× |
| Vitamin B2 (Riboflavin) (84252) | $193.50 | $387 | 9.6× |
| Vitamin B6 (84207) | $157.25 | $314.50 | 5.6× |
| Vitamin c (82180) | $38.63 | $77.25 | 3.9× |
| Vitamin D 25-Hydroxy (82306) | $78.88 | $157.75 | 2.7× |
| Vitamin E (84446) | $42.63 | $85.25 | 3.0× |
| Vitamin K (84597) | $115.63 | $231.25 | 8.4× |
| Vkorc1 gene (81355) | $330.75 | $661.50 | 3.8× |
| Von willebrand factor ag (85246) | $138.38 | $276.75 | 6.0× |
| Wbc Alkaline Phosphatase Count (85540) | $46.50 | $93 | 5.4× |
| West nile virus ab igm (86788) | $68.63 | $137.25 | 4.1× |
| West Nile Virus Antibody (86789) | $68.63 | $137.25 | 4.8× |
| Western Blot Test (84181) | $119.38 | $238.75 | 7.0× |
| Xylose Absorption Test (84620) | $78.88 | $157.75 | 6.1× |
| Zinc (84630) | $42.63 | $85.25 | 3.7× |
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.