Lab & pathology prices at Dupont Hospital LLC

Fort Wayne, IN · every code in this section with a posted price and a Medicare benchmark.

819 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $116.64 $432 5.1×
5 Nucleotidase (83915) $90.72 $336 8.1×
Acetylcholine receptor blocking antibody (86042) $112.32 $416 6.1×
Acth (82024)
range across 5 matching MRF lines
$37.80–$260.82 $140–$966 varies
Acth Stimulation Panel Adrenal Insufficiency (80400) $184.14 $682 5.6×
Actin smooth muscle antibody each (86015) $42.39 $157 3.5×
Acute hepatitis panel (80074)
range across 3 matching MRF lines
$42.66–$244.62 $158–$906 varies
Acylcarnitines Quant (82017) $240.03 $889 14.2×
Acylcarnitines; qualitative, each specimen Facility (82016) $30.51 $113 1.9×
Adenovirus antibody (86603) $44.82 $166 3.5×
Afp-l3 fraction isoform & total afp w/ratio (82107) $120.15 $445 1.9×
Albumin Fluid (82042) $20.79 $77 2.7×
Albumin serum (82040)
range across 4 matching MRF lines
$2.33–$47.25 $8.64–$175 varies
Aldolase (82085) $62.91 $233 6.5×
Aldosterone urine (82088)
range across 5 matching MRF lines
$121.77–$334.53 $451–$1,239 varies
Alkaline phosphatase isoenzymes (84080) $72.09 $267 4.9×
Allergen spec ige qual multiallergen screen (86005)
range across 3 matching MRF lines
$5.94–$15.39 $22–$57 varies
Allergen specific ige (86003)
range across 281 matching MRF lines
$17.28–$20.25 $64–$75 varies
Allergen specific igg (86001) $22.95 $85 2.9×
Allg Spec Ige Recomb Ea (86008)
range across 13 matching MRF lines
$17.28–$24.84 $64–$92 varies
Alpha-1-antitrypsin phenotype (82104) $99.90 $370 6.9×
Alpha-1-antitrypsin total (82103)
range across 3 matching MRF lines
$93.96–$100.98 $348–$374 varies
Alpha-Fetoprotein Serum (82105) $113.94 $422 6.8×
Alt (sgpt) (84460)
range across 8 matching MRF lines
$5.40–$49.41 $20–$183 varies
Aluminum (82108) $51.57 $191 2.0×
Amikacin trough (80150) $76.14 $282 5.0×
Amino Acids 1 Quantitative Each Specimen (82131) $81 $300 3.5×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $211.14 $782 12.5×
Amino Acids Multiple Qualitative Each Specimen (82128) $30.51 $113 2.2×
Aminolevulinic acid (ala) (82135) $89.64 $332 5.4×
Ammonia (82140) $130.14 $482 8.9×
Amniotic fluid protein test on cervicovaginal fluid (84112) $140.94 $522 1.4×
Amylase urine (82150)
range across 22 matching MRF lines
$2.33–$82.35 $8.64–$305 varies
Ana Titer (86039) $75.60 $280 6.8×
Anca screen each antibody (86036) $42.39 $157 3.5×
Anca Titer Each Antibody (86037)
range across 5 matching MRF lines
$19.17–$110.16 $71–$408 varies
Androstenedione (82157) $249.21 $923 8.5×
Androsterone (hormone) level (82160) $31.32 $116 1.2×
Angiotensin converting enzyme csf (82164) $133.11 $493 9.1×
Angiotensin II (82163) $39.42 $146 1.9×
Anti-Phospholipid Antibody (86148) $25.65 $95 1.6×
Antibody aspergillus (86606)
range across 5 matching MRF lines
$82.08–$87.21 $304–$323 varies
Antibody Bacterium Not Elsewhere Specified (86609)
range across 4 matching MRF lines
$47.79–$51.03 $177–$189 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $107.46 $398 6.9×
Antibody Cytomegalovirus Cmv Igm (86645)
range across 5 matching MRF lines
$122.85–$129.06 $455–$478 varies
Antibody Encephalitis California La Crosse (86651) $103.68 $384 7.9×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $33.48 $124 2.6×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $47.52 $176 3.1×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $62.37 $231 3.4×
Antibody Fungus Not Elsewhere Specified (86671) $45.09 $167 3.7×
Antibody haemophilus influenza (86684) $33.48 $124 2.1×
Antibody helicobacter pylori (86677)
range across 8 matching MRF lines
$12.15–$48.87 $45–$181 varies
Antibody Herpes Smplx Non-Specific Type Test (86694) $71.01 $263 4.9×
Antibody Herpes Smplx Type 1 (86695)
range across 4 matching MRF lines
$11.07–$86.67 $41–$321 varies
Antibody HIV-1&HIV-2 single result (86703) $9.18 $34 0.7×
Antibody Hla Class I High Definition Panel Qual (86832) $266.49 $987 0.8×
Antibody john cunningham virus (86711) $23.22 $86 1.4×
Antibody leishmania (86717) $20.52 $76 1.7×
Antibody Protozoa Nes (86753) $42.39 $157 3.4×
Antibody Titer (86886) $136.08 $504 26.3×
Antibody Treponema Pallidum (86780)
range across 3 matching MRF lines
$33.48–$87.21 $124–$323 varies
Antibody; encephalitis, st. louis (86653) $28.89 $107 2.2×
Antibody; influenza virus (86710) $78.03 $289 5.8×
Antigen typing (86905) $86.67 $321 22.6×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $18.63 $69 3.3×
Antinomyces antibody (86602)
range across 2 matching MRF lines
$38.34–$40.77 $142–$151 varies
Antinuclear antibodies (86038)
range across 9 matching MRF lines
$42.39–$99.90 $157–$370 varies
Antistreptolysin o titer (86060) $71.28 $264 9.8×
Antithrombin iii activity (85300) $78.84 $292 6.7×
Antithrombin iii antigen (85301) $129.60 $480 12.0×
Apolipoprotein a1 (82172)
range across 4 matching MRF lines
$29.70–$31.59 $110–$117 varies
Aquaporin-4 Antb Cba Each (86052) $112.86 $418 9.4×
Aquaporin-4 Antb Elisa (86051) $57.24 $212 5.0×
Arsenic (82175)
range across 6 matching MRF lines
$51.57–$56.70 $191–$210 varies
Aspergillus ag eia (87305) $129.06 $478 10.8×
Assay activated protein c (85307) $169.56 $628 11.1×
Assay Blood Carbon Dioxide (82374)
range across 4 matching MRF lines
$2.33–$28.35 $8.64–$105 varies
Assay myeloperoxidase (83876)
range across 3 matching MRF lines
$66.69–$69.93 $247–$259 varies
Assay Nephelometry Not Spec (83883)
range across 5 matching MRF lines
$25.11–$28.62 $93–$106 varies
Assay of 5-hiaa (83497) $102.06 $378 7.9×
Assay of anti-mullerian hormone (82166) $57.24 $212 1.5×
Assay of blood/uric acid (84550)
range across 3 matching MRF lines
$1.70–$30.78 $6.31–$114 varies
Assay of calcium in urine (82340) $47.52 $176 7.9×
Assay of cpk in blood (82552) $125.01 $463 9.3×
Assay of estrone (82679) $280.80 $1,040 11.3×
Assay of feces for trypsin (84490) $11.07 $41 1.1×
Assay of g6pd enzyme (82955) $90.72 $336 9.4×
Assay of gammaglobulin igm (82784)
range across 21 matching MRF lines
$8.37–$88.83 $31–$329 varies
Assay of lactic acid (83605)
range across 18 matching MRF lines
$4.13–$79.65 $15.30–$295 varies
Assay of manganese (83785) $150.39 $557 5.6×
Assay of metanephrines (83835)
range across 4 matching MRF lines
$16.74–$185.76 $62–$688 varies
Assay of proinsulin (84206) $51.57 $191 1.9×
Assay of pyruvate (84210) $93.69 $347 6.5×
Assay of semen fructose (82757) $99.36 $368 5.7×
Assay of serotonin (84260) $182.52 $676 5.9×
Assay of serum potassium (84132)
range across 28 matching MRF lines
$2.33–$32.94 $8.64–$122 varies
Assay of transcortin (84449) $53.73 $199 3.0×
Assay of urea nitrogen (84520)
range across 15 matching MRF lines
$2.33–$23.76 $8.64–$88 varies
Assay of urine vma (84585) $42.66 $158 2.8×
Assay of vasoactive intestinal peptide (84586) $384.21 $1,423 10.9×
Assay of vitamin b-1 (84425)
range across 3 matching MRF lines
$20.79–$42.66 $77–$158 varies
Assay Ph Body Fluid Nos (83986) $33.48 $124 9.4×
Assay spec xcp ur&breath ia (82077) $190.08 $704 11.0×
Autol Bld/Component Collj Storage Predeposited (86890) $159.30 $590 0.9×
Automated Leukocyte Count (85048)
range across 4 matching MRF lines
$23.76–$25.11 $88–$93 varies
B cells total count (86355) $69.39 $257 1.8×
Bacterial antigens 87802 (87802) $84.78 $314 6.7×
Bartonella antibody (86611) $48.33 $179 4.7×
Bcr/abl1 gene major bp (81206) $331.29 $1,227 2.0×
Bcr/abl1 gene minor bp (81207) $304.56 $1,128 2.1×
Beta 2 glycoprotein i antibody each (86146) $46.98 $174 1.8×
Beta hydroxybutyrate (82010) $145.26 $538 17.8×
Beta Lactamase (87185) $82.62 $306 17.4×
Beta-2 Microglobulin (82232) $93.96 $348 5.8×
Bile acids total (82239) $34.29 $127 2.0×
Bilirubin direct (82248)
range across 5 matching MRF lines
$2.33–$27.54 $8.64–$102 varies
Bilirubin total (82247)
range across 16 matching MRF lines
$1.94–$60.48 $7.19–$224 varies
Bilirubin total transcutaneous (88720) $31.59 $117 6.3×
Biotinidase (82261) $31.86 $118 1.9×
Blastomyces antibody (86612) $60.48 $224 4.7×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $151.74 $562 0.8×
Blood Count Automated Differential Wbc Count (85004) $7.29 $27 1.1×
Blood Count Manual Cell Count Each (85032) $4.59 $17 1.1×
Blood Count Red Blood Cell Automated (85041) $21.60 $80 7.2×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 4 matching MRF lines
$2.77–$19.17 $10.26–$71 varies
Blood gas (82803) $127.98 $474 4.9×
Blood gases w/02 saturation (82805) $88.83 $329 1.1×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 6 matching MRF lines
$14.58–$44.28 $54–$164 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 7 matching MRF lines
$3.24–$18.09 $12–$67 varies
Blood Type Antigen Donor Reagent Serum Each (86902) $48.60 $180 7.7×
Blood typing serologic abo (86900)
range across 7 matching MRF lines
$2.97–$28.62 $11–$106 varies
Body fluid cell count (89050)
range across 6 matching MRF lines
$6.94–$77.76 $25.70–$288 varies
Bordetella antibody (86615) $45.90 $170 3.5×
Braf gene analysis (81210)
range across 3 matching MRF lines
$40.55–$229.23 $150.19–$849 varies
Brca1&2 gen full seq dup/del (81162) $2,559.87 $9,481 1.4×
Breath Alcohol Test (82075) $61.83 $229 2.1×
Brucella antibody (86622) $82.35 $305 9.2×
C diff amplified probe (87493) $94.50 $350 2.5×
C-Peptide (84681) $88.83 $329 4.3×
C-reactive protein (86140) $71.28 $264 13.8×
Ca 19-9 (86301) $153.90 $570 7.4×
Cadmium (82300) $109.35 $405 4.6×
Caffeine (80155) $88.83 $329 2.3×
Calcitonin (82308)
range across 2 matching MRF lines
$10.36–$158.76 $38.36–$588 varies
Calcium ionized (82330)
range across 17 matching MRF lines
$2.33–$36.45 $8.64–$135 varies
Calcium total (82310)
range across 7 matching MRF lines
$5.13–$44.28 $19–$164 varies
Calculus assay quant (82360)
range across 4 matching MRF lines
$10.80–$164.97 $40–$611 varies
Calculus Spectroscopy (82365) $164.97 $611 12.8×
Calprotectin Fecal (83993) $192.24 $712 9.8×
Calr gene com variants (81219) $234.63 $869 1.9×
Cancer Antigen 125 (86304) $180.09 $667 8.7×
Cancer Antigen 27.29 (86300) $95.58 $354 4.6×
Candida antibody (86628) $31.59 $117 2.6×
Candida Dna Dir Probe (87480) $25.11 $93 1.3×
Carbamazepine total (80156)
range across 3 matching MRF lines
$2.87–$118.26 $10.63–$438 varies
Carbohydrate Deficient Transferrin (82373) $73.17 $271 4.1×
Carboxyhemoglobin (82375) $85.05 $315 6.9×
Carcinoembryonic antigen (82378) $107.73 $399 5.7×
Cardiolipin ab iga (86147) $57.24 $212 2.2×
Carnitine Quantitative Each Specimen (82379) $55.62 $206 3.3×
Carotene (82380) $71.28 $264 7.7×
Catecholamines fractionated (82384) $153.36 $568 6.1×
Ccp antibody (86200) $44.01 $163 3.4×
Cell count csf (89051) $97.20 $360 17.4×
Cellular Function Assay Stimul&Detect Biomarke (86352) $274.86 $1,018 2.0×
Ceruloplasmin (82390) $100.44 $372 9.4×
Cftr gene com variants (81220) $621 $2,300 1.1×
Cftr gene full sequence (81223) $780.30 $2,890 1.6×
Chemiluminescent assay (82397)
range across 7 matching MRF lines
$57.24–$66.96 $212–$248 varies
Chlamydia antibody (86631)
range across 3 matching MRF lines
$9.99–$126.63 $37–$469 varies
Chlamydia Igm Antibody (86632)
range across 3 matching MRF lines
$10.80–$144.99 $40–$537 varies
Chloride other source (82438) $19.98 $74 4.0×
Chloride Serum (82435)
range across 16 matching MRF lines
$2.33–$28.35 $8.64–$105 varies
Chloride urine (82436) $49.14 $182 8.5×
Chlorinated Hydrocarbons Screen (82441)
range across 2 matching MRF lines
$4.59–$7.83 $17–$29 varies
Cholesterol total (82465)
range across 5 matching MRF lines
$27.54–$42.39 $102–$157 varies
Cholinesterase rbc (82482) $25.11 $93 2.6×
Cholinesterase Serum (82480) $25.11 $93 3.2×
Chorionic gonadotropin test (84702)
range across 11 matching MRF lines
$2.80–$191.97 $10.36–$711 varies
Chrmsm Analysis Addl Cells Counted Each Study (88285) $42.12 $156 1.6×
Chrmsm Analysis Addl High Resolution Study (88289) $204.93 $759 6.0×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $257.58 $954 7.7×
Chromium serum (82495) $208.71 $773 10.3×
Chromogenic Substrate Assay (85130) $14.58 $54 1.2×
Chromogranin a (86316)
range across 6 matching MRF lines
$54–$193.59 $200–$717 varies
Chromosome Analysis 15-20 (88262)
range across 3 matching MRF lines
$434.43–$456.30 $1,609–$1,690 varies
Chromosome Analysis 20-25 (88264) $261.90 $970 1.8×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 15 matching MRF lines
$34.29–$84.24 $127–$312 varies
Citric acid urine (82507) $82.62 $306 3.0×
Ckmb (82553)
range across 3 matching MRF lines
$10.80–$89.37 $40–$331 varies
Clostridium Difficile (87324) $19.17 $71 1.6×
Clot Factor VIII Multimetric (85247) $398.52 $1,476 17.4×
Clot factor xiii fibrin stab (85290) $31.59 $117 1.9×
Clotting factor xii hageman (85280) $255.42 $946 13.2×
Clotting Funct Activity (85397) $186.57 $691 6.0×
Clotting hi molec weight kininogen assay (85293) $300.78 $1,114 15.9×
Cns DNA amp probe type 12-25 (87483) $1,359.99 $5,037 3.3×
Coagulation time activated (85347)
range across 8 matching MRF lines
$3.51–$51.03 $13–$189 varies
Coccidioides antibody (86635) $34.02 $126 3.0×
Cold agglutinin titer (86157) $72.63 $269 9.0×
Collagen crosslinks (82523) $44.28 $164 2.4×
Column Chromotography Quant (82542) $247.32 $916 10.3×
Compatibility Each Unit Incubation (86921) $33.75 $125 0.2×
Compatibility test antiglob (86922) $56.16 $208 0.3×
Complement Antigen Each Component (86160) $94.23 $349 7.9×
Complement Total (Ch50) (86162) $151.47 $561 7.5×
Complement/Function Activity (86161) $151.74 $562 12.6×
Consltj Compre Review Reprt Referred Matrl (88325) $242.19 $897 1.3×
Consltj&Reprt Material Requiring Prepj Slides (88323) $34.29 $127 0.6×
Consltj&Reprt Slides Prepared Elsewhere (88321)
range across 2 matching MRF lines
$49.61–$146.61 $183.75–$543 varies
Coombs direct (86880) $53.46 $198 9.9×
Copper urine (82525) $73.17 $271 5.9×
Cortisol free (82530) $120.69 $447 7.2×
Cortisol saliva (82533)
range across 15 matching MRF lines
$14.04–$90.72 $52–$336 varies
Creatine kinase total (82550) $36.45 $135 5.6×
Creatinine blood (82565)
range across 15 matching MRF lines
$1.54–$23.76 $5.69–$88 varies
Creatinine clearance (82575) $104.76 $388 11.1×
Creatinine Urine (82570)
range across 15 matching MRF lines
$5.13–$68.31 $19–$253 varies
Crossmatch electronic (86923) $139.86 $518 0.8×
Crossmatch immediate spin (86920) $127.98 $474 0.7×
Crp High Sensitivity (86141) $70.74 $262 5.5×
Cryofibrinogen (82585) $90.18 $334 6.4×
Cryoglobulin (82595)
range across 3 matching MRF lines
$72.90–$76.41 $270–$283 varies
Cryptococcus ab (86641) $28.08 $104 1.9×
Cryptococcus ag titer (87899)
range across 7 matching MRF lines
$18.36–$22.68 $68–$84 varies
Cryptosporidium ag eia (87328) $53.46 $198 3.9×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 17 matching MRF lines
$2.42–$42.66 $8.97–$158 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $70.20 $260 8.7×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $151.20 $560 19.6×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $280.53 $1,039 1.3×
Culture aerobic quant other (87071) $121.77 $451 12.3×
Culture afb (87116) $96.93 $359 9.0×
Culture Anaerobic (87075)
range across 2 matching MRF lines
$7.02–$83.16 $26–$308 varies
Culture blood (87040) $88.02 $326 8.5×
Culture chlamydia (87110) $85.32 $316 4.4×
Culture csf (87070)
range across 24 matching MRF lines
$7.83–$100.44 $29–$372 varies
Culture fungus (87102) $129.33 $479 15.4×
Culture fungus blood (87103) $134.19 $497 6.6×
Culture screen only (87081)
range across 7 matching MRF lines
$6.48–$41.04 $24–$152 varies
Culture stool (87045) $89.37 $331 9.5×
Culture typing if ea antiserum (87140) $84.24 $312 15.1×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $22.41 $83 4.3×
Culture urine (87086)
range across 5 matching MRF lines
$2.42–$66.96 $8.97–$248 varies
Cyanide (82600) $88.56 $328 4.6×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $140.94 $522 9.8×
Cyclic amp (82030) $570.24 $2,112 22.1×
Cyclosporine (80158) $99.90 $370 5.5×
Cyp2c19 gene analysis common variants (81225) $432.27 $1,601 1.5×
Cystatin C (82610) $180.36 $668 9.7×
Cytogenetics 10-30 (88273) $135.54 $502 3.9×
Cytogenetics 100-300 (88275)
range across 2 matching MRF lines
$80.19–$116.37 $297–$431 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229) $2,215.89 $8,207 1.9×
Cytomegalovirus igg (86644)
range across 4 matching MRF lines
$122.85–$129.06 $455–$478 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 7 matching MRF lines
$78.03–$84.24 $289–$312 varies
Cytopath Cell Enhance Tech (88112)
range across 5 matching MRF lines
$7.24–$60.21 $26.82–$223 varies
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 18 matching MRF lines
$60.48–$129.60 $224–$480 varies
Cytp Concentration Smears & Interpretation (88108)
range across 2 matching MRF lines
$11.11–$45.90 $41.13–$170 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 2 matching MRF lines
$15.63–$56.43 $57.90–$209 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172)
range across 2 matching MRF lines
$5.35–$63.99 $19.82–$237 varies
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 2 matching MRF lines
$8.89–$49.14 $32.94–$182 varies
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $245.43 $909 1.4×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $25.11 $93 1.4×
Cytp smrs any oth src extnd std > 5 slides (88162) $48.87 $181 0.9×
Deoxycortisol (82634) $54 $200 1.8×
Deoxyribonuclease antibody (86215) $137.97 $511 10.4×
Desoxycorticosterone (82633) $56.43 $209 1.8×
Detect Agent Nos Dna Amp (87798)
range across 22 matching MRF lines
$12.96–$149.31 $48–$553 varies
Detect Agent Nos Dna Quant (87799)
range across 28 matching MRF lines
$282.15–$299.16 $1,045–$1,108 varies
Detect agnt mult DNA ampli (87801) $81 $300 1.2×
Dgp Antibody Each Ig Class (86258)
range across 7 matching MRF lines
$30.51–$157.95 $113–$585 varies
Dhea (82626) $186.84 $692 7.4×
Dhea-S (82627) $140.40 $520 6.3×
Dibucaine number (82638) $26.73 $99 2.2×
Digoxin (80162) $124.20 $460 9.4×
Dipropylacetic Acid Free (80165) $15.93 $59 1.2×
Dna Antibody Native/Double Stranded (86225)
range across 12 matching MRF lines
$65.54–$99.90 $242.74–$370 varies
Dna/Rna Amplified Probe (87150) $61.56 $228 1.8×
DNA/RNA direct probe (87149) $38.07 $141 1.9×
Dna/Rna Sequencing (87153) $223.02 $826 1.9×
Drug assay acetaminophen (80143) $190.08 $704 10.2×
Drug assay adalimumab (80145) $169.02 $626 4.4×
Drug Assay Everolimus (80169) $167.13 $619 12.2×
Drug assay felbamate (80167) $82.89 $307 4.4×
Drug Assay Infliximab (80230) $169.02 $626 4.4×
Drug Assay Itraconazole (80189) $169.02 $626 6.2×
Drug Assay Lacosamide (80235) $82.89 $307 3.1×
Drug Assay Leflunomide (80193) $361.26 $1,338 9.4×
Drug Assay Posaconazole (80187) $30.51 $113 1.1×
Drug assay voriconazole (80285) $169.02 $626 6.2×
Drug Screen Quant Clozapine (80159) $208.71 $773 10.4×
Drug Screen Quant Zonisamide (80203) $165.78 $614 12.5×
Drug Screen Quantitative Gabapentin (80171) $171.45 $635 7.9×
Drug Screen Quantitative Lamotrigine (80175) $240.03 $889 18.1×
Drug Screen Quantitative Levetiracetam (80177) $292.41 $1,083 22.1×
Drug Screen Quantitative Oxcarbazepine (80183) $135.27 $501 10.2×
Drug Screen Quantitative Procainamide Metabolite (80192) $104.22 $386 6.2×
Drug Test Prsmv Chem Anlyzr (80307)
range across 60 matching MRF lines
$41.85–$190.08 $155–$704 varies
Drug Test Prsmv Dir Opt Obs (80305) $10.80 $40 0.9×
Drug Test Prsmv Instrmnt (80306) $28.35 $105 1.7×
Egfr Gene Analysis Common Variants (81235) $805.95 $2,985 2.5×
Ehrlichia antibody (86666) $36.18 $134 3.6×
El-1 Fecal Quantitative (82653) $83.16 $308 3.6×
Electrolyte panel (80051)
range across 5 matching MRF lines
$2.33–$79.65 $8.64–$295 varies
Electron Microscopy (88348) $872.37 $3,231 1.0×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $54 $200 0.9×
Encephaltis East Eqne Anbdy (86652) $28.89 $107 2.2×
Encephaltis West Eqne Antbdy (86654) $28.89 $107 2.2×
Endomysial Antibody Each Immunoglobulin Class (86231)
range across 3 matching MRF lines
$42.39–$112.86 $157–$418 varies
Enterovirus Antibody (86658)
range across 3 matching MRF lines
$42.12–$51.84 $156–$192 varies
Enterovirus PCR (87498) $210.06 $778 6.0×
Enzyme cell activity (82657)
range across 3 matching MRF lines
$120.15–$148.50 $445–$550 varies
Enzyme histochemistry (88319) $276.48 $1,024 0.3×
Eosinophil Smear (89190) $56.16 $208 9.7×
Erythropoietin (82668) $84.24 $312 4.5×
Estradiol serum (82670)
range across 6 matching MRF lines
$114.48–$128.52 $424–$476 varies
Estriol (82677) $56.43 $209 2.3×
Estrogen total (82672) $157.95 $585 7.3×
Ethosuximide (80168) $78.03 $289 4.8×
Ethylene Glycol (82693) $75.87 $281 5.1×
Euglobulin lysis (85360) $11.34 $42 1.3×
Exam Synovial Fluid Crystals (89060) $51.84 $192 7.1×
F2 Gene (81240) $189.54 $702 2.9×
Factor ii activity (85210) $78.03 $289 6.0×
Factor Inhibitor Test (85335) $260.55 $965 20.2×
Factor ix activity (85250) $316.44 $1,172 16.6×
Factor v activity (85220) $33.21 $123 1.9×
Factor v leiden mutation (81241) $506.52 $1,876 6.9×
Factor vii assay (85230) $88.83 $329 5.0×
Factor viii assay (85240) $269.73 $999 15.1×
Factor X (85260) $255.42 $946 14.3×
Factor xi activity (85270) $267.84 $992 15.0×
Factor xiii screen (85291) $14.58 $54 1.6×
Fat/Lipids Feces Quantitative (82710) $195.48 $724 11.6×
Fatty acids free (82725) $13.77 $51 0.7×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $277.56 $1,028 42.5×
Fecal Fat Qualitative (82705) $90.99 $337 17.8×
Ferritin (82728)
range across 3 matching MRF lines
$13.50–$100.44 $50–$372 varies
Fetal Chrmoml Aneuploidy (81420)
range across 5 matching MRF lines
$761.58–$855.63 $2,820.65–$3,169 varies
Fetal Fibronectin (82731) $402.57 $1,491 6.3×
Fetal hemoglobin assay qual (83033) $54 $200 6.8×
Fetal screen rosette (85461) $34.02 $126 3.6×
Fibrin degradation products (85362) $119.61 $443 17.4×
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$9.99–$88.56 $37–$328 varies
Fibrinogen activity (85384) $102.33 $379 10.5×
Fibrinogen antigen (85385) $96.66 $358 6.7×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $3.78 $14 0.2×
Flow cytometry first marker (88184)
range across 6 matching MRF lines
$7.37–$44.82 $27.30–$166 varies
Flt3 Gene (81245) $47.25 $175 0.3×
Fluorescent antibody screen (86255)
range across 10 matching MRF lines
$12.69–$112.86 $47–$418 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $110.16 $408 9.1×
Folic acid rbc (82747) $93.42 $346 5.3×
Folic Acid Serum (82746) $77.76 $288 5.3×
Follicle Stimulating Hormone (83001) $132.03 $489 7.1×
Francisella tularensis (86668) $22.41 $83 1.6×
Fresh Frozen Plasma Thawing Each Unit (86927) $163.08 $604 0.9×
Frozen Blood Each Unit Freezing (86930) $169.56 $628 0.9×
Frozen blood freeze/thaw (86932) $135.27 $501 3.4×
Frozen Section (88331)
range across 2 matching MRF lines
$9.05–$78.30 $33.52–$290 varies
Fungi Identification Mold (87107) $147.42 $546 14.3×
Fungi Identification Yeast (87106) $142.29 $527 13.8×
Galactose (82760) $21.60 $80 1.9×
Galactose transferase test (82776) $20.25 $75 1.7×
Gammaglobulin ige (82785)
range across 8 matching MRF lines
$70.47–$73.71 $261–$273 varies
Gardner vag DNA dir probe (87510) $25.11 $93 1.3×
Gases Blood O2 Saturation Only Direct Meas (82810) $59.40 $220 6.1×
Gases blood ph only (82800) $45.90 $170 4.2×
Gastrin (82941) $71.28 $264 4.0×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507)
range across 2 matching MRF lines
$209.25–$521.91 $775–$1,933 varies
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $3,177.09 $11,767 1.1×
Genet Virus Isolate Hsv (87255) $161.19 $597 4.8×
Gentamicin (80170) $230.58 $854 14.1×
Ggt (82977)
range across 6 matching MRF lines
$2.72–$60.21 $10.06–$223 varies
Giardia antigen (87329) $54 $200 4.5×
Glucagon (82943) $115.29 $427 8.1×
Glucose 2 hr pp (82950) $76.41 $283 16.1×
Glucose Blood Test (82962)
range across 4 matching MRF lines
$2.43–$3.51 $9–$13 varies
Glucose body fluid (82945)
range across 8 matching MRF lines
$2.33–$41.04 $8.64–$152 varies
Glucose Serum (82947)
range across 24 matching MRF lines
$2.33–$48.87 $8.64–$181 varies
Glucose tolerance test (gtt) (82951)
range across 5 matching MRF lines
$12.69–$93.42 $47–$346 varies
Glutathione (82978) $18.09 $67 1.2×
Glycated Protein (82985) $71.28 $264 4.3×
Gonadotropin Chorionic Qualitative (84703)
range across 5 matching MRF lines
$2.65–$72.90 $9.82–$270 varies
Gonadotropin releasing hormone (83727) $33.21 $123 1.9×
Growth hormone (83003) $146.61 $543 8.8×
Growth Stimulation Gene 2 (83006) $117.99 $437 1.6×
Gtt-added samples (82952) $26.46 $98 6.8×
H Pylori (C-13) Breath (83013) $136.08 $504 2.0×
H Pylori Drug Admin (83014)
range across 4 matching MRF lines
$13.45–$16.20 $49.82–$60 varies
Haptoglobin (83010)
range across 5 matching MRF lines
$70.74–$133.11 $262–$493 varies
Hba1/Hba2 Gene (81257) $115.02 $426 1.1×
Hbb Full Gene Sequence (81364) $366.12 $1,356 1.1×
Hdl Cholesterol (83718) $41.85 $155 5.1×
Helicobacter Pylori Stool (87338) $77.22 $286 5.4×
Helminth Antibody (86682)
range across 4 matching MRF lines
$158.22–$175.23 $586–$649 varies
Hematocrit (85014)
range across 11 matching MRF lines
$2.43–$18.63 $9–$69 varies
Hemoglobin (85018)
range across 11 matching MRF lines
$3.51–$31.32 $2.68–$116 varies
Hemoglobin a1c (83036)
range across 8 matching MRF lines
$3.66–$47.25 $13.56–$175 varies
Hemoglobin Chromotography (83021)
range across 3 matching MRF lines
$29.16–$53.19 $108–$197 varies
Hemoglobin electrophoresis (83020) $57.51 $213 4.5×
Hemoglobin Methemoglobin Quantitative (83050) $48.60 $180 5.9×
Hemoglobin plasma (83051) $111.51 $413 15.3×
Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) $9.72 $36 1.0×
Hemolysin Acid (85475) $203.04 $752 22.9×
Hemolysins&Agglutinins Auto Screen Each (86940) $15.39 $57 1.8×
Hemosiderin urine (83070) $52.38 $194 11.0×
Hep a ab igm (86709) $60.21 $223 5.3×
Heparin assay (85520) $139.86 $518 10.7×
Hepatitis a antibody total (86708)
range across 3 matching MRF lines
$47.52–$72.63 $176–$269 varies
Hepatitis b core ab igm (86705) $64.53 $239 5.5×
Hepatitis b core ab total (86704) $81 $300 6.7×
Hepatitis b surface ag quan (87467)
range across 2 matching MRF lines
$8.64–$93.15 $32–$345 varies
Hepatitis B Surface Antibody (86706)
range across 4 matching MRF lines
$34.94–$46.71 $129.42–$173 varies
Hepatitis B Surface Antigen (87340)
range across 5 matching MRF lines
$8.64–$93.15 $32–$345 varies
Hepatitis Be Antibody (86707) $54.27 $201 4.7×
Hepatitis Be Antigen (87350) $69.39 $257 6.0×
Hepatitis C Antibody (86803)
range across 12 matching MRF lines
$14.04–$134.46 $52–$498 varies
Hepatitis c antibody confirmatory test (86804) $196.02 $726 12.7×
Hepatitis C Genotype (87902) $574.29 $2,127 2.2×
Hepatitis C Probe&Rvrs Trnsc (87521) $257.85 $955 7.3×
Hepatitis C Revrs Trnscrpj (87522)
range across 9 matching MRF lines
$204.66–$249.75 $758–$925 varies
Hepatitis Delta Agent Antibody (86692) $211.68 $784 12.3×
Herpes simplex type 2 (86696)
range across 5 matching MRF lines
$18.90–$87.21 $70–$323 varies
Heterophile antibodies titer (86309) $12.69 $47 2.0×
Heterophile Antibody Screen (86308)
range across 8 matching MRF lines
$3.15–$68.58 $11.66–$254 varies
Hfe Gene (81256) $247.05 $915 3.8×
Hgb Quantitative Transcutaneous (88738) $10.53 $39 2.1×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $52.65 $195 6.8×
Histamine urine (83088) $284.58 $1,054 9.6×
Histoplasma antibody (86698)
range across 2 matching MRF lines
$67.50–$78.84 $250–$292 varies
Histoplasma antigen urine (87385)
range across 4 matching MRF lines
$137.97–$178.47 $511–$661 varies
Hiv Genotype (87901)
range across 3 matching MRF lines
$645.03–$677.16 $2,389–$2,508 varies
Hiv-1 Quant&Revrse Trnscrpj (87536) $601.02 $2,226 7.1×
HIV-2 probe&revrse trnscripj (87538) $56.43 $209 1.6×
Hla Class I Typing Low Resolution One Locus Each (81373)
range across 2 matching MRF lines
$174.76–$225.18 $647.25–$834 varies
Hla class i&ii antibody qual (86828) $149.58 $554 2.3×
Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) $352.89 $1,307 0.9×
Hla class ii high defin qual (86833) $242.46 $898 0.7×
Hla class ii typing high resolution one locus ea (81382)
range across 2 matching MRF lines
$112.32–$214.92 $416–$796 varies
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $171.45 $635 1.6×
Hla I Low Resolution One Antigen Equivalent Each (81374) $206.55 $765 2.8×
Hla I Typing 1 Allele Hr (81381) $191.43 $709 1.1×
Hla i&li low resolution hla-a -b&-drb1 (81371) $746.28 $2,764 1.8×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $932.31 $3,453 4.2×
Hla ii type 1 ag equiv lr (81377)
range across 2 matching MRF lines
$115.02–$157.95 $426–$585 varies
Homocysteine (83090) $216.54 $802 12.1×
Homogenization Tissue (87176) $95.58 $354 16.3×
Homovanillic acid urine (83150) $39.96 $148 1.8×
Hpv High-Risk Types (87624)
range across 12 matching MRF lines
$60.75–$69.66 $225–$258 varies
Hpv Types 16 & 18 Only (87625) $144.72 $536 3.6×
Hsv Dna Amp Probe (87529)
range across 5 matching MRF lines
$2.33–$95.31 $8.64–$353 varies
Hsv Dna Quant (87530) $106.92 $396 2.5×
Htlv-I Antibody (86687) $85.86 $318 9.4×
Htt Gene Detc Abnor Alleles (81271) $185.22 $686 1.4×
Human Epididymis Protein 4 (86305) $201.15 $745 9.7×
Hydroxycorticosteroids 17 (83491) $21.87 $81 1.2×
Hydroxyprogesterone 17-d (83498) $56.43 $209 2.1×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426)
range across 5 matching MRF lines
$24.84–$80.46 $92–$298 varies
Iaad ia shiga-like toxin (87427) $89.37 $331 7.5×
Iaad Ia Streptococcus Group A (87430)
range across 3 matching MRF lines
$2.67–$69.93 $9.88–$259 varies
Iaadiadoo trichomonas vaginalis (87808) $11.88 $44 0.8×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $118.80 $440 3.4×
Iadna Bartonella Amplified Probe Technique (87471) $67.50 $250 1.9×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $67.50 $250 1.9×
Iadna Candida Species Amplified Probe Tq (87481) $67.50 $250 1.9×
Iadna chlamydia pneumoniae amplified probe tq (87486)
range across 2 matching MRF lines
$117.45–$145.26 $435–$538 varies
Iadna Cytomegalovirus Amplified Probe Tq (87496) $238.41 $883 6.8×
Iadna Cytomegalovirus Quantification (87497) $387.45 $1,435 9.0×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $118.80 $440 3.4×
Iadna hepatitis b virus amplified probe tq (87516) $67.50 $250 1.9×
Iadna Hepatitis B Virus Quantification (87517) $206.55 $765 4.8×
Iadna Herpes Virus-6 Quantification (87533) $181.71 $673 4.4×
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 3 matching MRF lines
$56.43–$67.50 $209–$250 varies
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $58.86 $218 1.7×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $100.44 $372 2.4×
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 3 matching MRF lines
$61.56–$67.50 $228–$250 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 14 matching MRF lines
$34.29–$70.74 $127–$262 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $74.52 $276 1.5×
Ig Light Chains Free Each (83521) $28.08 $104 1.6×
Igg subclasses (82787)
range across 3 matching MRF lines
$21.87–$28.08 $81–$104 varies
Igh gene rearrange amp meth (81261) $270.27 $1,001 1.4×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 2 matching MRF lines
$215.73 $47.51–$799 0.6×
Immune Complex Assay (86332) $49.14 $182 2.0×
Immunfix e-phorsis/urine/csf (86335) $105.03 $389 3.6×
Immunoassay Analyte Quant Radioimmunoassay (83519) $112.32 $416 6.1×
Immunoassay infectious agent (86318) $12.69 $47 0.7×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 6 matching MRF lines
$34.94–$95.85 $129.42–$355 varies
Immunoassay nonantibody (83516)
range across 25 matching MRF lines
$11.34–$115.83 $42–$429 varies
Immunodiffusion Ouchterlony (86331)
range across 3 matching MRF lines
$42.93–$45.09 $159–$167 varies
Immunofixation electrophoresis (86334) $123.12 $456 5.5×
Immunofluorescence per spec 1st singl antb stain (88346)
range across 4 matching MRF lines
$12.66–$131.76 $46.88–$488 varies
Immunohistochemistry (88342)
range across 5 matching MRF lines
$15.59–$93.69 $57.75–$347 varies
In situ hybridization 1st probe stain (88365)
range across 3 matching MRF lines
$35.10–$142.56 $130.01–$528 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428)
range across 2 matching MRF lines
$43.20–$121.23 $160–$449 varies
Infectious Agent Dna/Rna Influenza Ea Type (87501) $119.88 $444 2.3×
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) $12.15 $45 1.0×
Influenza a/b ag eia (87400)
range across 2 matching MRF lines
$44.28–$44.55 $164–$165 varies
Influenza assay w/optic (87804)
range across 10 matching MRF lines
$10.80–$44.55 $40–$165 varies
Influenza DNA amp probe (87502) $136.89 $507 1.4×
Inhibin A (86336)
range across 4 matching MRF lines
$11.61–$82.89 $43–$307 varies
Inhibin b (83520)
range across 26 matching MRF lines
$12.96–$83.70 $48–$310 varies
Insitu hybridization manual (88368) $653.40 $2,420 1.7×
Insulin antibodies (86337) $143.10 $530 6.7×
Insulin free (83527) $26.46 $98 2.0×
Insulin total (83525) $104.49 $387 9.1×
Interleukin-6 (83529) $57.24 $212 3.3×
Intrinsic factor antibody (86340) $172.26 $638 11.4×
Iron (83540)
range across 4 matching MRF lines
$6.48–$50.49 $24–$187 varies
Iron Binding Capacity (83550)
range across 4 matching MRF lines
$8.64–$56.16 $32–$208 varies
Irradiation Blood Product Each Unit (86945) $291.06 $1,078 7.4×
Islet cell antibody (86341)
range across 7 matching MRF lines
$75.87–$98.55 $281–$365 varies
Jak2 gene analysis p.val617phe variant (81270) $277.56 $1,028 3.0×
Jak2 Gene Trgt Sequence Alys (81279) $273.24 $1,012 1.5×
Koh Prep (87220)
range across 7 matching MRF lines
$4.32–$70.20 $16–$260 varies
Kras Gene Analysis Additional Variant(S) (81276) $252.45 $935 1.3×
Kras Gene Variants Exon 2 (81275)
range across 2 matching MRF lines
$44.68–$387.99 $165.47–$1,437 varies
Lactate (ld) (ldh) enzyme (83615) $35.37 $131 5.9×
Lactoferrin fecal qualitative (83630)
range across 2 matching MRF lines
$19.17–$56.70 $71–$210 varies
Lactoferrin Fecal Quantitative (83631) $38.07 $141 1.9×
Lamellar Body Count (83664) $78.30 $290 4.1×
Ldh Isoenzymes (83625) $83.97 $311 6.6×
LDL direct (83721) $90.99 $337 8.7×
Lead (83655)
range across 12 matching MRF lines
$11.88–$80.19 $44–$297 varies
Legionella antibody (86713) $85.05 $315 5.6×
Legionella antigen urine (87449) $72.63 $269 6.1×
Legionella pneumophila dfa (87278) $73.44 $272 4.7×
Leptospira antibody (86720) $200.88 $744 12.4×
Leukocyte Assessment Fecal (89055) $8.37 $31 2.0×
Leukocyte Histamine Release (86343) $39.42 $146 3.2×
Level I Surg Pathology Gross Examination Only (88300)
range across 2 matching MRF lines
$3.06–$60.75 $11.34–$225 varies
Level ii surg pathology gross&microscopic exam (88302)
range across 2 matching MRF lines
$4.61–$87.48 $17.06–$324 varies
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines
$364.50 $34.65–$1,350 1.0×
Lidocaine (80176) $99.90 $370 6.8×
Lipase (83690)
range across 6 matching MRF lines
$1.47–$68.58 $5.46–$254 varies
Lipoprotein A (83695) $66.69 $247 4.7×
Lipoprotein Bld Quan Part (83704) $66.15 $245 1.9×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $80.73 $299 7.2×
Lipoprotein-Associated Phospholipase A2 (83698) $236.25 $875 5.1×
Lithium (80178)
range across 2 matching MRF lines
$6.48–$71.82 $24–$266 varies
Luteinizing Hormone (Lh) (83002) $149.85 $555 8.1×
Lyme disease antibody (86618)
range across 7 matching MRF lines
$14.31–$165.51 $53–$613 varies
Lymphocyte transformation (86353) $120.69 $447 2.5×
Lysozyme serum (85549) $86.40 $320 4.6×
M. Genitalium Amp Probe (87563) $119.07 $441 3.4×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 5 matching MRF lines
$52.30–$210.06 $193.71–$778 varies
M/phmtrc alys ishquant/semiq (88374)
range across 3 matching MRF lines
$59.54–$514.35 $220.50–$1,905 varies
Macroscopic exam arthropod (87168) $109.62 $406 25.7×
Macroscopic Exam Parasite (87169) $33.48 $124 7.8×
Magnesium Urine (83735)
range across 8 matching MRF lines
$6.75–$35.37 $25–$131 varies
Mass Spectrometry Quant (83789) $55.08 $204 2.3×
Mercury urine (83825) $69.39 $257 4.3×
Metabolic panel ionized ca (80047)
range across 3 matching MRF lines
$7.29–$234.63 $27–$869 varies
Methotrexate (80204) $150.66 $558 3.9×
Methylmalonic acid serum (83921) $318.60 $1,180 15.0×
Microalbumin, quantitative (82043)
range across 4 matching MRF lines
$5.67–$54.27 $21–$201 varies
Microsatellite instability (81301)
range across 3 matching MRF lines
$89.37–$585.09 $331–$2,167 varies
Microsomal Antibodies Each (86376)
range across 8 matching MRF lines
$47.52–$105.84 $176–$392 varies
Mitochondrial Antibody Each (86381) $42.39 $157 1.7×
Mlh1 Gene (81288) $75.87 $281 0.4×
Mog-Igg1 Antb Cba Each (86362) $300.78 $1,114 25.0×
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) $56.43 $209 1.4×
Molecular Cytogenetics Dna Probe Each (88271)
range across 2 matching MRF lines
$78.84–$135 $292–$500 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274)
range across 2 matching MRF lines
$66.15–$115.29 $245–$427 varies
Molecular Pathology Procedure Level 3 (81402) $234.63 $869 1.6×
Molecular Pathology Procedure Level 6 (81405) $470.88 $1,744 1.6×
Mononuclear cell antigen (86356) $54 $200 2.0×
Mopath procedure level 1 (81400) $292.41 $1,083 4.6×
Mopath procedure level 2 (81401) $1,163.70 $4,310 8.5×
Mopath procedure level 4 (81403) $289.71 $1,073 1.6×
Mopath procedure level 5 (81404) $429.57 $1,591 1.6×
Mopath procedure level 9 (81408) $2,255.04 $8,352 1.1×
Mpl gene common variants (81338) $208.98 $774 1.4×
Mrsa Pcr (87641)
range across 4 matching MRF lines
$57.24–$80.73 $212–$299 varies
Mthfr Gene Analysis Common Variants (81291) $155.79 $577 2.4×
Mumps antibody (86735)
range across 8 matching MRF lines
$3.51–$54.27 $13–$201 varies
Muscle-Specific Kinase Antb (86366) $112.32 $416 6.1×
Mycobacteric Identification (87118) $26.46 $98 1.8×
Mycophenolic Acid (80180) $335.88 $1,244 18.6×
Mycoplasma antibody (86738) $122.85 $455 9.3×
Mycoplasma culture (87109) $208.71 $773 13.6×
Myelin basic protein csf (83873) $86.13 $319 5.0×
Myoglobin urine (83874) $237.06 $878 18.3×
Natriuretic peptide (83880) $76.14 $282 1.9×
Nfct Agent Genotype Hepatitis B Virus (87912) $431.46 $1,598 1.7×
Nfct ds chrnc hcv 6 assays (81596) $153.63 $569 2.1×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $225.45 $835 1.8×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $28.62 $106 1.1×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $1,770.93 $6,559 3.6×
Niacin (84591)
range across 3 matching MRF lines
$207.63–$229.77 $769–$851 varies
Nk cells total count (86357)
range across 3 matching MRF lines
$56.43–$69.39 $209–$257 varies
Nras gene variants exon 2&3 (81311) $378.81 $1,403 1.3×
Nuclear antigen antibody (86235)
range across 30 matching MRF lines
$85.05–$98.01 $315–$363 varies
Obstetric panel (80081) $137.43 $509 1.8×
Occult blood feces (82272)
range across 6 matching MRF lines
$3.24–$18.09 $12–$67 varies
Occult Blood Other Sources (82271) $24.84 $92 4.7×
Oligoclonal bands (83916) $97.20 $360 3.5×
Onco (Ovarian) Biochemical Assay Two Proteins (81500) $335.07 $1,241 1.3×
Oncoprotein dcp (83951) $141.21 $523 2.2×
Organic Acids Qualitative Each Specimen (83919) $53.73 $199 3.3×
Organic acids urine (83918) $32.13 $119 1.4×
Osmolality serum (83930) $75.87 $281 11.5×
Osmolality Urine (83935) $75.87 $281 11.1×
Osmotic fragility rbc incubated (85557) $129.60 $480 9.7×
Osmotic Fragility RBC Unincubated (85555) $10.53 $39 1.4×
Osteocalcin (83937) $173.88 $644 5.8×
Ova and parasites smears (87177) $111.78 $414 12.6×
Oxalate urine (83945) $83.16 $308 5.8×
Particle Agglut Antbdy Titr (86406) $20.52 $76 1.9×
Particle Agglutination Screen Each Antibody (86403) $50.49 $187 4.4×
Parvovirus antibody (86747) $41.04 $152 2.7×
Path Consltj Surg Cytologic Exam Initial Site (88333) $559.17 $2,071 0.7×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $269.73 $999 4.9×
Pathology Consultation During Surgery (88329) $83.97 $311 1.3×
Ph urine (81003)
range across 27 matching MRF lines
$2.36–$24.30 $3.16–$90 varies
Phenobarbital Level (80184) $132.03 $489 8.6×
Phenotype Infect Agent Drug (87900)
range across 5 matching MRF lines
$142.56–$149.31 $528–$553 varies
Phenytoin (Dilantin) (80185)
range across 3 matching MRF lines
$2.87–$75.60 $10.63–$280 varies
Phenytoin free (80186)
range across 2 matching MRF lines
$37.53–$52.92 $139–$196 varies
Phosphatase acid prostatic (84066) $69.39 $257 7.2×
Phosphatase alkaline (84075)
range across 5 matching MRF lines
$2.33–$57.51 $8.64–$213 varies
Phospholipid Neutralization Hexagonal (85598) $106.65 $395 5.9×
Phosphorus Serum (84100)
range across 5 matching MRF lines
$1.83–$30.78 $6.79–$114 varies
Phosphorus urine (84105) $60.48 $224 10.5×
Pinworm exam (87172) $33.48 $124 7.8×
Platelet Aggregation (85576)
range across 4 matching MRF lines
$32.94–$62.64 $122–$232 varies
Platelet Antibodies (86022) $182.79 $677 10.0×
Platelet count automated (85049)
range across 3 matching MRF lines
$1.73–$41.85 $6.40–$155 varies
Platelet neutralization (85597) $96.39 $357 5.4×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $400.41 $1,483 1.9×
Pooling blood platelets (86965) $106.92 $396 0.6×
Porphobilinogen, urine; quantitative (84110) $59.94 $222 7.1×
Porphyrins Urine Quantitation & Fractionation (84120) $100.44 $372 6.8×
Potassium Urine (84133) $62.10 $230 13.1×
Prealbumin (84134) $89.64 $332 6.1×
Pregnenolone (84140) $54 $200 2.6×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $60.21 $223 0.3×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $143.37 $531 2.3×
Pretx serum rbc antibody identification dilution (86976) $135.27 $501 4.4×
Primidone (80188) $85.05 $315 5.1×
Progesterone (84144) $109.62 $406 5.3×
Prolactin (84146) $181.71 $673 9.4×
Protein body fluid (84157)
range across 4 matching MRF lines
$39.42–$46.71 $146–$173 varies
Protein C Activity (85303) $143.37 $531 10.4×
Protein c antigen (85302) $238.68 $884 19.9×
Protein Electrophoresis Urine (84166) $117.99 $437 6.6×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 4 matching MRF lines
$12.69–$101.79 $47–$377 varies
Protein S Free (85306) $223.29 $827 14.6×
Protein s total (85305) $166.86 $618 14.4×
Protein total serum (84155)
range across 6 matching MRF lines
$2.33–$50.49 $8.64–$187 varies
Protein Total Urine (84156)
range across 9 matching MRF lines
$3.78–$94.50 $14–$350 varies
Protein Western Blot Test (84182) $37.53 $139 1.3×
Prothrombin Time Substitution Plasma Frctj Each (85611) $7.56 $28 1.9×
Protoporphyrin rbc quantitative (84202) $98.28 $364 6.8×
PSA free (84154) $87.48 $324 4.8×
Pth Intact (83970)
range across 3 matching MRF lines
$40.23–$227.34 $149–$842 varies
Pyruvate kinase (84220) $62.64 $232 6.6×
Q Fever Antibody (86638) $35.37 $131 2.9×
Quantiferon tb gold plus (86480)
range across 6 matching MRF lines
$16.74–$206.01 $62–$763 varies
Quantitative assay drug (80299)
range across 9 matching MRF lines
$98.01–$169.02 $363–$626 varies
Quantitative Screen Metals (83018) $99.90 $370 4.5×
Quinidine (80194) $91.80 $340 6.3×
Rbc antibody elution (86860) $184.68 $684 1.0×
Rbc antibody identification (86870) $167.13 $619 0.4×
Rbc antibody screen (86850)
range across 12 matching MRF lines
$10.80–$56.70 $40–$210 varies
Rbc pretreatment serum (86978) $136.08 $504 2.2×
Rbc pretx incubatj w/enzymes (86971) $48.60 $180 0.3×
Rbc serum pretx incubj drugs (86975) $135.27 $501 0.3×
Renin activity plasma (84244)
range across 2 matching MRF lines
$92.07–$144.99 $341–$537 varies
Resp virus 12-25 targets (87633) $672.03 $2,489 1.6×
Resp Virus 6-11 Targets (87632) $372.33 $1,379 1.7×
Reticulated Platelet Assay (85055) $48.87 $181 1.4×
Reticulocyte Count (85046) $9.45 $35 1.7×
Reticulocyte Count Manual (85044) $48.60 $180 11.3×
Reticulocyte separation (86972) $173.61 $643 1.0×
Rh (86901)
range across 4 matching MRF lines
$2.97–$28.62 $11–$106 varies
Rheumatoid Factor Qualitative (86430) $62.10 $230 10.1×
Rheumatoid factor quant (86431)
range across 8 matching MRF lines
$35.91–$56.70 $133–$210 varies
Ristocetin cofactor (85245) $313.74 $1,162 13.7×
Rotavirus ag eia (87425) $68.31 $253 5.7×
Rpr qualitative (86592)
range across 9 matching MRF lines
$3.78–$59.94 $14–$222 varies
Rsv Assay W/Optic (87807)
range across 9 matching MRF lines
$11.88–$22.95 $44–$85 varies
Rubella Antibody (86762)
range across 9 matching MRF lines
$14.04–$54 $52–$200 varies
Rubeola antibody (86765)
range across 6 matching MRF lines
$3.51–$56.16 $13–$208 varies
Russell Viper Venom Time Diluted (85613) $111.78 $414 11.7×
Salicylate Level (80179) $190.08 $704 10.2×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 5 matching MRF lines
$41.58–$161.19 $154–$597 varies
Sars-cov-2 COVID-19 antibody (86769) $80.46 $298 1.9×
Sars-Cov-2 Covid19 W/Optic (87811) $56.70 $210 1.4×
Sedimentation rate (85651)
range across 9 matching MRF lines
$1.37–$7.29 $5.08–$27 varies
Sedimentation Rate, Automated (85652)
range across 2 matching MRF lines
$2.54–$39.15 $9.39–$145 varies
Selenium (84255) $89.64 $332 3.5×
Semen Anal Sperm Detection (89321) $43.74 $162 3.6×
Semen analysis complete (89322) $127.44 $472 8.2×
Semen analysis motility and count (89310) $132.84 $492 15.4×
Sensitivity mic (87186)
range across 21 matching MRF lines
$2.59–$91.53 $9.61–$339 varies
Serpina 1 gene (81332) $358.56 $1,328 8.2×
Sex Hormone Binding Globulin (84270) $44.01 $163 2.0×
Sickling of rbc reduction (85660)
range across 7 matching MRF lines
$55.08–$59.94 $204–$222 varies
Sirolimus (80195) $211.14 $782 15.4×
Skin test tuberculosis intradermal (86580)
range across 5 matching MRF lines
$6.75–$39.38 $25–$145.85 varies
Smear acid fast (87206) $94.50 $350 17.5×
Smear complex stain (87209) $116.37 $431 6.5×
Smear gram stain (87205)
range across 5 matching MRF lines
$3.78–$58.86 $14–$218 varies
Smear Special Stain (87207) $78.30 $290 13.1×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 8 matching MRF lines
$3.47–$43.20 $12.85–$160 varies
Snrpn/Ube3a Methylation Analysis (81331) $338.04 $1,252 6.6×
Sodium Serum (84295)
range across 23 matching MRF lines
$2.33–$36.99 $8.64–$137 varies
Sodium Urine (84300) $50.22 $186 9.9×
Soluble Transferrin Receptor (84238) $218.97 $811 6.0×
Somatomedin (84305)
range across 3 matching MRF lines
$111.24–$406.89 $412–$1,507 varies
Somatostatin (84307) $47.52 $176 2.6×
Special Stains Group 1 (88312)
range across 3 matching MRF lines
$7.79–$148.23 $28.87–$549 varies
Special Stains Group 2 (88313)
range across 3 matching MRF lines
$7.79–$87.21 $28.87–$323 varies
Specific gravity body fluid (84315) $18.09 $67 5.5×
Specimen infect agnt concntj (87015) $9.99 $37 1.5×
Spectrophotometry (84311) $27.54 $102 3.4×
Splitting Blood/Blood Products Each Unit (86985) $93.42 $346 0.5×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $95.31 $353 0.5×
Staph a DNA amp probe (87640) $59.40 $220 1.7×
Stool cultr aerobic bact ea (87046) $21.87 $81 2.3×
Strep a assay w/optic (87880)
range across 6 matching MRF lines
$11.88–$46.98 $44–$174 varies
Strep a DNA amp probe (87651)
range across 2 matching MRF lines
$61.56–$67.50 $228–$250 varies
Strep b DNA amp probe (87653)
range across 4 matching MRF lines
$34.29–$89.10 $127–$330 varies
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $34.29 $127 3.0×
Sugars Single Qual (84376) $6.75 $25 1.2×
Sulfate urine (84392) $22.68 $84 4.1×
Surg path level iii (88304)
range across 2 matching MRF lines
$4.61–$122.58 $17.06–$454 varies
Surgical pathology level IV (88305)
range across 7 matching MRF lines
$5.94–$130.68 $22–$484 varies
Surgical pathology level vi (88309)
range across 2 matching MRF lines
$414.72 $45.38–$1,536 0.5×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $42.39 $157 8.9×
Susceptibility Study Antimicrobial Disk Method (87184) $104.76 $388 14.0×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $11.07 $41 1.5×
Sweat Collection Iontophoresis (89230) $54 $200 1.0×
Syphilis Test Non-Trep Quant (86593) $62.37 $231 14.2×
T cells absolute cd4 count (86361) $169.02 $626 6.3×
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 6 matching MRF lines
$11.07–$299.16 $41–$1,108 varies
T cells total count (86359)
range across 6 matching MRF lines
$108.81–$183.87 $403–$681 varies
T3 Free (84481)
range across 4 matching MRF lines
$14.31–$90.99 $53–$337 varies
T3 reverse (84482) $247.59 $917 15.7×
T3 Total (84480) $90.99 $337 6.4×
T3 Uptake (84479) $63.45 $235 9.8×
T4 Free (84439)
range across 6 matching MRF lines
$8.91–$126.90 $33–$470 varies
T4 total (84436)
range across 3 matching MRF lines
$6.75–$83.97 $25–$311 varies
Tacrolimus (80197) $350.73 $1,299 25.5×
Tb ag response t-cell susp (86481)
range across 4 matching MRF lines
$16.67–$151.47 $61.75–$561 varies
Test for acetone/ketones (82009) $36.99 $137 8.2×
Testosterone Bioavailable (84410) $64.53 $239 1.3×
Testosterone total (84403) $92.07 $341 3.6×
Testosterone, Free (84402) $61.83 $229 2.4×
Tetanus antibody (86774) $105.84 $392 7.2×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $929.34 $3,442 1.6×
Theophylline (80198) $82.62 $306 5.8×
Thiocyanate (84430) $115.02 $426 9.9×
Thiopurine methyltransferase (84433) $148.50 $550 6.7×
Thrombin Time (85670) $114.48 $424 19.8×
Thromboplastin Inhibition Tissue (85705) $114.48 $424 11.9×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $110.70 $410 17.1×
Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) $47.79 $177 1.4×
Thyroglobulin (84432) $50.22 $186 3.1×
Thyroglobulin Antibody (86800) $90.72 $336 5.7×
Thyroid Stimulating Immunoglobulin (84445) $501.66 $1,858 9.9×
Thyroxine binding globulin (84442) $287.01 $1,063 19.4×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 7 matching MRF lines
$38.61–$112.86 $143–$418 varies
Tissue Culture (88233)
range across 3 matching MRF lines
$281.61–$295.92 $1,043–$1,096 varies
Tissue culture bone marrow (88237) $265.41 $983 1.8×
Tissue Culture Lymphocyte (88230) $467.37 $1,731 4.0×
Tobramycin peak (80200) $98.55 $365 6.1×
Topiramate (80201) $162.27 $601 13.6×
Touch prep (88161)
range across 3 matching MRF lines
$11.09–$45.90 $41.08–$170 varies
Toxin/Antitoxin Assay Tissue Culture (87230) $87.21 $323 4.4×
Toxoplasma ab igm (86778) $46.98 $174 3.3×
Toxoplasma antibody (86777)
range across 3 matching MRF lines
$26.73–$63.99 $99–$237 varies
Tpmt gene com variants (81335) $723.60 $2,680 4.1×
Transferase Aspartate Amino Ast Sgot (84450)
range across 12 matching MRF lines
$2.33–$48.33 $8.64–$179 varies
Transferrin (84466)
range across 4 matching MRF lines
$53.73–$59.40 $199–$220 varies
Trb@ Rearrangement Anal Amplification Method (81340) $194.67 $721 0.9×
Trg gene rearrangement anal (81342) $389.34 $1,442 1.9×
Trichomonas vagin dir probe (87660) $25.11 $93 1.3×
Trichomonas Vaginalis Amplif (87661)
range across 12 matching MRF lines
$34.29–$84.24 $127–$312 varies
Triglycerides (84478)
range across 5 matching MRF lines
$53.73–$57.51 $199–$213 varies
Troponin Quant (84484)
range across 21 matching MRF lines
$3.81–$96.12 $14.10–$356 varies
Tumor Immunohistochem/Manual (88360)
range across 5 matching MRF lines
$15.59–$154.17 $57.75–$571 varies
Ugt1a1 gene analysis common variants (81350) $284.04 $1,052 1.2×
Unlisted miscellaneous pathology test (89240) $80.46 $298 1.5×
Urea Nitrogen Clearance (84545) $23.76 $88 3.3×
Urea nitrogen urine (84540) $44.01 $163 7.9×
Uric acid other source (84560) $55.62 $206 10.9×
Urinalysis Microscopic Only (81015) $37.53 $139 12.3×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $31.32 $116 14.4×
Urinalysis Volume Measure (81050)
range across 4 matching MRF lines
$29.43–$33.48 $109–$124 varies
Urine Albumin Semiquantitative (82044)
range across 5 matching MRF lines
$2.97–$9.72 $11–$36 varies
Urine Bacteria Culture (87088) $15.66 $58 1.9×
Urine Pregnancy Test (81025)
range across 9 matching MRF lines
$2.49–$40.77 $9.23–$151 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 8 matching MRF lines
$2.36–$39.96 $8.74–$148 varies
Valproic acid (80164)
range across 2 matching MRF lines
$2.87–$120.42 $10.63–$446 varies
Vancomycin (80202) $210.33 $779 15.5×
Varicella-zoster antibody (86787)
range across 7 matching MRF lines
$3.51–$75.06 $13–$278 varies
Vasopressin (84588) $72.90 $270 2.1×
Very Long Chain Fatty Acids (82726) $365.31 $1,353 18.5×
Viral Culture (87252) $236.52 $876 9.1×
Virus antibody nos (86790) $127.71 $473 9.9×
Virus inoculate tissue addl (87253) $39.15 $145 1.9×
Virus inoculation, shell via (87254) $50.22 $186 2.6×
Viscosity serum (85810) $71.28 $264 6.1×
Vit D 1 25-Dihydroxy (82652) $77.76 $288 2.0×
Vitamin A (84590)
range across 3 matching MRF lines
$89.64–$117.72 $332–$436 varies
Vitamin b-12 (82607)
range across 4 matching MRF lines
$14.85–$82.89 $55–$307 varies
Vitamin B2 (Riboflavin) (84252) $65.88 $244 3.3×
Vitamin B6 (84207) $71.82 $266 2.6×
Vitamin c (82180)
range across 2 matching MRF lines
$66.96–$80.46 $248–$298 varies
Vitamin D 25-Hydroxy (82306)
range across 7 matching MRF lines
$28.89–$64.53 $107–$239 varies
Vitamin E (84446)
range across 3 matching MRF lines
$82.89–$111.78 $307–$414 varies
Vitamin K (84597) $139.86 $518 10.2×
Voltage-Gated Calcium Channel Antibody Each (86596) $115.83 $429 9.6×
Von willebrand factor ag (85246) $274.86 $1,018 12.0×
West nile virus ab igm (86788) $143.10 $530 8.5×
West Nile Virus Antibody (86789) $143.10 $530 9.9×
Western Blot Test (84181) $20.25 $75 1.2×
Xylose Absorption Test (84620) $89.37 $331 6.9×
Zinc (84630) $67.50 $250 5.9×

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.