Lab & pathology prices at Ellett Memorial Hospital
Appleton City, MO · every code in this section with a posted price and a Medicare benchmark.
523 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $78.75 | $105 | 3.5× |
| Acth (82024) range across 2 matching MRF lines |
$131.25–$136.50 | $175–$182 | varies |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$66–$93.56 | $88–$124.75 | varies |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$174–$312 | $232–$416 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$17.25–$51.94 | $23–$69.25 | varies |
| Aldolase (82085) range across 2 matching MRF lines |
$30.75–$121.69 | $41–$162.25 | varies |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$83.44–$87 | $111.25–$116 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$66.19–$66.75 | $88.25–$89 | varies |
| Allergen spec ige qual multiallergen screen (86005) range across 2 matching MRF lines |
$37.31–$37.50 | $49.75–$50 | varies |
| Allergen specific ige (86003) range across 4 matching MRF lines |
$24.94–$124.50 | $33.25–$166 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$24.94–$25.50 | $33.25–$34 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $148.31 | $197.75 | 10.3× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$52.50–$65.06 | $70–$86.75 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$87–$209.62 | $116–$279.50 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$18–$51.94 | $24–$69.25 | varies |
| Aluminum (82108) range across 2 matching MRF lines |
$66–$146.62 | $88–$195.50 | varies |
| Amikacin trough (80150) | $30.94 | $41.25 | 2.1× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $47.25 | $63 | 2.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $285 | $380 | 16.9× |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$39.94–$40.50 | $53.25–$54 | varies |
| Ammonia (82140) range across 2 matching MRF lines |
$52.50–$135.19 | $70–$180.25 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$10.31–$10.50 | $13.75–$14 | varies |
| Amylase urine (82150) range across 2 matching MRF lines |
$27–$93.94 | $36–$125.25 | varies |
| Anca Titer Each Antibody (86037) range across 2 matching MRF lines |
$183–$244.50 | $244–$326 | varies |
| Androstenedione (82157) range across 2 matching MRF lines |
$177.94–$178.50 | $237.25–$238 | varies |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$83.25–$229.50 | $111–$306 | varies |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$82.69–$83.25 | $110.25–$111 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $87 | $116 | 5.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$73.50–$148.88 | $98–$198.50 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$61.50–$116.81 | $82–$155.75 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$61.50–$114.75 | $82–$153 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$52.50–$152.62 | $70–$203.50 | varies |
| Antibody helicobacter pylori (86677) range across 3 matching MRF lines |
$74.44–$162 | $99.25–$216 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 4 matching MRF lines |
$70.31–$78.75 | $93.75–$105 | varies |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$135.56–$243.75 | $180.75–$325 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$39.75–$224.25 | $53–$299 | varies |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
$29.25–$131.25 | $39–$175 | varies |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$53.81–$54 | $71.75–$72 | varies |
| Antibody; influenza virus (86710) | $53.44 | $71.25 | 3.9× |
| Antigen typing (86905) | $9 | $12 | 2.3× |
| Antinomyces antibody (86602) range across 2 matching MRF lines |
$19.12–$19.50 | $25.50–$26 | varies |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$44.25–$112.12 | $59–$149.50 | varies |
| Antistreptolysin O Screen (86063) range across 2 matching MRF lines |
$14.25–$38.25 | $19–$51 | varies |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$42–$54.19 | $56–$72.25 | varies |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$118.88–$144.75 | $158.50–$193 | varies |
| Antithrombin iii antigen (85301) | $26.25 | $35 | 2.4× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$41.44–$42 | $55.25–$56 | varies |
| Aquaporin-4 Antb Elisa (86051) range across 2 matching MRF lines |
$91.12–$91.50 | $121.50–$122 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$101.06–$124.50 | $134.75–$166 | varies |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$107.62–$108 | $143.50–$144 | varies |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$8.25–$51.94 | $11–$69.25 | varies |
| Assay Dir Meas Fr Estradiol (82681) | $83.81 | $111.75 | 3.0× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$52.50–$79.69 | $70–$106.25 | varies |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$18–$62.44 | $24–$83.25 | varies |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$42–$57 | $56–$76 | varies |
| Assay of cpk in blood (82552) | $35.25 | $47 | 2.6× |
| Assay of estrone (82679) | $87 | $116 | 3.5× |
| Assay of g6pd enzyme (82955) | $56.25 | $75 | 5.8× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$44.25–$45.75 | $59–$61 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$112.12–$113.25 | $149.50–$151 | varies |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$178.50–$270 | $238–$360 | varies |
| Assay of proinsulin (84206) range across 2 matching MRF lines |
$43.12–$43.50 | $57.50–$58 | varies |
| Assay of serotonin (84260) range across 2 matching MRF lines |
$74.81–$75 | $99.75–$100 | varies |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$18–$56.06 | $24–$74.75 | varies |
| Assay of transcortin (84449) | $74.44 | $99.25 | 4.1× |
| Assay of urea nitrogen (84520) range across 4 matching MRF lines |
$13.50–$49.69 | $18–$66.25 | varies |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$37.69–$38.25 | $50.25–$51 | varies |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$35.25–$102.75 | $47–$137 | varies |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$9–$16.12 | $12–$21.50 | varies |
| Autol bld/component collj storage salvage (86891) | $32.25 | $43 | 0.0× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$29.06–$37.50 | $38.75–$50 | varies |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$45.56–$45.75 | $60.75–$61 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$87–$143.44 | $116–$191.25 | varies |
| Beta hydroxybutyrate (82010) | $153.75 | $205 | 18.8× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$33.75–$59.62 | $45–$79.50 | varies |
| Bile acids total (82239) range across 2 matching MRF lines |
$20.62–$21 | $27.50–$28 | varies |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$13.50–$67.69 | $18–$90.25 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$21–$51.94 | $28–$69.25 | varies |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$82.69–$83.25 | $110.25–$111 | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) range across 2 matching MRF lines |
$88.50–$122.81 | $118–$163.75 | varies |
| Bleeding time test (85002) range across 2 matching MRF lines |
$11.25–$54.19 | $15–$72.25 | varies |
| Blood Count Red Blood Cell Automated (85041) range across 2 matching MRF lines |
$12.75–$35.25 | $17–$47 | varies |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$22.50–$37.69 | $30–$50.25 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$17.25–$70.69 | $23–$94.25 | varies |
| Blood gases w/02 saturation (82805) range across 2 matching MRF lines |
$69–$187.69 | $92–$250.25 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $27 | $36 | 1.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$14.25–$43.69 | $19–$58.25 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $116.25 | $155 | 7.1× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$29.25–$307.12 | $39–$409.50 | varies |
| Bordetella antibody (86615) | $139.12 | $185.50 | 10.5× |
| Brca1&2 gen full seq dup/del (81162) | $4,522.50 | $6,030 | 2.5× |
| Brucella antibody (86622) range across 2 matching MRF lines |
$44.25–$438.75 | $59–$585 | varies |
| C diff amplified probe (87493) range across 3 matching MRF lines |
$99.38–$191.81 | $132.50–$255.75 | varies |
| C-Peptide (84681) range across 2 matching MRF lines |
$83.25–$255.75 | $111–$341 | varies |
| C-reactive protein (86140) range across 2 matching MRF lines |
$44.25–$54.38 | $59–$72.50 | varies |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$44.25–$160.50 | $59–$214 | varies |
| Cadmium (82300) range across 2 matching MRF lines |
$101.06–$103.50 | $134.75–$138 | varies |
| Calcitonin (82308) | $128.25 | $171 | 4.8× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$52.50–$125.81 | $70–$167.75 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$22.50–$51.94 | $30–$69.25 | varies |
| Calculus Spectroscopy (82365) | $28.50 | $38 | 2.2× |
| Calprotectin Fecal (83993) | $477.75 | $637 | 24.3× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$18–$128.81 | $24–$171.75 | varies |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$42.56–$42.75 | $56.75–$57 | varies |
| Candida Dna Dir Probe (87480) | $152.25 | $203 | 7.6× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$66–$148.69 | $88–$198.25 | varies |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$53.81–$54 | $71.75–$72 | varies |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$69.75–$214.50 | $93–$286 | varies |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$74.44–$111 | $99.25–$148 | varies |
| Carotene (82380) | $22.50 | $30 | 2.4× |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$60.75–$296.06 | $81–$394.75 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$70.50–$130.50 | $94–$174 | varies |
| Cell count csf (89051) range across 3 matching MRF lines |
$12.75–$52.50 | $17–$70 | varies |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$26.25–$63.75 | $35–$85 | varies |
| Chemiluminescent assay (82397) | $283.50 | $378 | 20.1× |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$114.19–$114.75 | $152.25–$153 | varies |
| Chloride other source (82438) range across 2 matching MRF lines |
$11.81–$12 | $15.75–$16 | varies |
| Chloride Serum (82435) range across 2 matching MRF lines |
$13.80–$18 | $18.40–$24 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$18–$47.25 | $24–$63 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$29.25–$89.81 | $39–$119.75 | varies |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$44.25–$104.44 | $59–$139.25 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$56.81–$57 | $75.75–$76 | varies |
| Chromogranin a (86316) range across 2 matching MRF lines |
$49.50–$160.50 | $66–$214 | varies |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$283.50–$993 | $378–$1,324 | varies |
| Chromosome Analysis 20-25 (88264) range across 2 matching MRF lines |
$281.06–$281.25 | $374.75–$375 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$82.69–$152.25 | $110.25–$203 | varies |
| Citric acid urine (82507) | $47.25 | $63 | 1.7× |
| Ckmb (82553) range across 2 matching MRF lines |
$156.75–$176.81 | $209–$235.75 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$56.25–$69.75 | $75–$93 | varies |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$27.94–$28.50 | $37.25–$38 | varies |
| Cold agglutinin titer (86157) | $19.50 | $26 | 2.4× |
| Collagen crosslinks (82523) | $145.50 | $194 | 7.8× |
| Column Chromotography Quant (82542) | $191.25 | $255 | 7.9× |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$37.50–$296.81 | $50–$395.75 | varies |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$29.25–$164.25 | $39–$219 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$49.50–$171.94 | $66–$229.25 | varies |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$29.25–$61.50 | $39–$82 | varies |
| Coombs direct (86880) range across 2 matching MRF lines |
$174–$204.75 | $232–$273 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$75–$85.31 | $100–$113.75 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$48.75–$108.56 | $65–$144.75 | varies |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$40.50–$131.81 | $54–$175.75 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$11.25–$28.12 | $15–$37.50 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$19.50–$103.50 | $26–$138 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$22.50–$68.81 | $30–$91.75 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$50.25–$64.88 | $67–$86.50 | varies |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$24.94–$70.12 | $33.25–$93.50 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$26.62–$40.50 | $35.50–$54 | varies |
| Cryoglobulin (82595) | $18 | $24 | 2.8× |
| Cryptococcus ab (86641) range across 2 matching MRF lines |
$34.88–$35.25 | $46.50–$47 | varies |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$37.31–$37.50 | $49.75–$50 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $66 | $88 | 8.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$37.50–$69.56 | $50–$92.75 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $58.50 | $78 | 7.6× |
| Culture afb (87116) range across 2 matching MRF lines |
$33.75–$57 | $45–$76 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$44.25–$105.56 | $59–$140.75 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$44.25–$141.38 | $59–$188.50 | varies |
| Culture chlamydia (87110) range across 2 matching MRF lines |
$48–$71.81 | $64–$95.75 | varies |
| Culture csf (87070) range across 7 matching MRF lines |
$44.25–$134.44 | $59–$179.25 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$59.06–$59.25 | $78.75–$79 | varies |
| Culture screen only (87081) range across 5 matching MRF lines |
$23.25–$166.50 | $31–$222 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$18–$105.56 | $24–$140.75 | varies |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$13.69–$14.25 | $18.25–$19 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$22.50–$97.69 | $30–$130.25 | varies |
| Cyclosporine (80158) range across 2 matching MRF lines |
$37.50–$60.38 | $50–$80.50 | varies |
| Cystatin C (82610) | $55.50 | $74 | 3.0× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$73.50–$135.56 | $98–$180.75 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$70.88–$71.25 | $94.50–$95 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$61.50–$146.25 | $82–$195 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$69.75–$72.94 | $93–$97.25 | varies |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) range across 2 matching MRF lines |
$25.69–$26.25 | $34.25–$35 | varies |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $145.50 | $194 | 5.0× |
| Deoxyribonuclease antibody (86215) | $56.25 | $75 | 4.2× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$103.50–$181.69 | $138–$242.25 | varies |
| Detect Agent Nos Dna Quant (87799) | $516.75 | $689 | 12.1× |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$186.19–$186.75 | $248.25–$249 | varies |
| Dgp Antibody Each Ig Class (86258) | $34.69 | $46.25 | 2.9× |
| Dhea (82626) range across 2 matching MRF lines |
$75.94–$131.25 | $101.25–$175 | varies |
| Dhea-S (82627) range across 2 matching MRF lines |
$35.25–$122.06 | $47–$162.75 | varies |
| Digoxin (80162) range across 2 matching MRF lines |
$40.50–$154.12 | $54–$205.50 | varies |
| Dihydrotestosterone (82642) | $137.81 | $183.75 | 4.7× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$87–$268.50 | $116–$358 | varies |
| Dna Antibody Single Stranded (86226) range across 2 matching MRF lines |
$15–$59.62 | $20–$79.50 | varies |
| Dna/Rna Amplified Probe (87150) | $56.25 | $75 | 1.6× |
| Dpyd gene common variants (81232) | $330.75 | $441 | 1.9× |
| Drug assay adalimumab (80145) range across 2 matching MRF lines |
$322.88–$323.25 | $430.50–$431 | varies |
| Drug Assay Amiodarone (80151) range across 2 matching MRF lines |
$62.06–$62.25 | $82.75–$83 | varies |
| Drug Assay Infliximab (80230) range across 2 matching MRF lines |
$260.81–$261 | $347.75–$348 | varies |
| Drug Assay Lacosamide (80235) range across 2 matching MRF lines |
$132.38–$132.75 | $176.50–$177 | varies |
| Drug Screen Quant Clozapine (80159) | $113.06 | $150.75 | 5.6× |
| Drug Screen Quant Zonisamide (80203) range across 2 matching MRF lines |
$66.19–$66.75 | $88.25–$89 | varies |
| Drug Screen Quantitative Gabapentin (80171) range across 2 matching MRF lines |
$62.06–$62.25 | $82.75–$83 | varies |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$139.50–$175.50 | $186–$234 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$131.25–$135.56 | $175–$180.75 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$99.75–$146.25 | $133–$195 | varies |
| Drug Screen Quantitative Procainamide Metabolite (80192) range across 2 matching MRF lines |
$40.50–$136.88 | $54–$182.50 | varies |
| Drug Screen Quantitative Tiagabine (80199) range across 2 matching MRF lines |
$88.88–$89.25 | $118.50–$119 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) range across 11 matching MRF lines |
$30–$508.69 | $40–$678.25 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $284.25 | $379 | 22.6× |
| Drug Test Prsmv Instrmnt (80306) range across 4 matching MRF lines |
$75.19–$317.81 | $100.25–$423.75 | varies |
| Ehrlichia antibody (86666) range across 3 matching MRF lines |
$107.06–$174 | $142.75–$232 | varies |
| El-1 Fecal Quantitative (82653) range across 2 matching MRF lines |
$82.69–$459.38 | $110.25–$612.50 | varies |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$22.50–$137.62 | $30–$183.50 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $83.25 | $111 | 1.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$91.50–$152.62 | $122–$203.50 | varies |
| Enterovirus Antibody (86658) | $41.25 | $55 | 3.2× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$231.56–$231.75 | $308.75–$309 | varies |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
$12–$32.62 | $16–$43.50 | varies |
| Erythropoietin (82668) range across 2 matching MRF lines |
$39–$117.38 | $52–$156.50 | varies |
| Estradiol serum (82670) range across 2 matching MRF lines |
$69.75–$214.50 | $93–$286 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$131.25–$186.75 | $175–$249 | varies |
| Estrogen total (82672) range across 2 matching MRF lines |
$78.75–$200.25 | $105–$267 | varies |
| Ethosuximide (80168) range across 2 matching MRF lines |
$39–$131.81 | $52–$175.75 | varies |
| Exam Synovial Fluid Crystals (89060) range across 3 matching MRF lines |
$16.50–$36.38 | $22–$48.50 | varies |
| F2 Gene (81240) | $144.75 | $193 | 2.2× |
| Factor v activity (85220) range across 3 matching MRF lines |
$33.94–$234.56 | $45.25–$312.75 | varies |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$144.75–$234.56 | $193–$312.75 | varies |
| Factor viii assay (85240) range across 2 matching MRF lines |
$208.50–$350.25 | $278–$467 | varies |
| Factor xi activity (85270) | $231.38 | $308.50 | 12.9× |
| Fat/Lipids Feces Quantitative (82710) range across 2 matching MRF lines |
$15.56–$15.75 | $20.75–$21 | varies |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $136.50 | $182 | 20.9× |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$9–$39.94 | $12–$53.25 | varies |
| Ferritin (82728) range across 2 matching MRF lines |
$30.75–$136.88 | $41–$182.50 | varies |
| Fetal Chrmoml Aneuploidy (81420) | $595.50 | $794 | 0.8× |
| Fetal Chrmoml Microdeltj (81422) | $595.50 | $794 | 0.8× |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
$155.62–$156 | $207.50–$208 | varies |
| Fetal screen rosette (85461) range across 2 matching MRF lines |
$16.31–$16.50 | $21.75–$22 | varies |
| Fibrin degradation products (85362) | $76.69 | $102.25 | 11.1× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$119.81–$196.50 | $159.75–$262 | varies |
| Fibrin dgradj products d-dimer qual/semiquan (85378) range across 2 matching MRF lines |
$66–$76.69 | $88–$102.25 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$21–$72.19 | $28–$96.25 | varies |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$42.75–$107.25 | $57–$143 | varies |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$66–$147 | $88–$196 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 4 matching MRF lines |
$177.94–$199.88 | $237.25–$266.50 | varies |
| Folic acid rbc (82747) | $177.75 | $237 | 10.1× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$57.75–$160.50 | $77–$214 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$61.50–$160.50 | $82–$214 | varies |
| Francisella tularensis (86668) range across 2 matching MRF lines |
$84.38–$243.75 | $112.50–$325 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) range across 2 matching MRF lines |
$9.75–$30.19 | $13–$40.25 | varies |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $51 | $68 | 2.4× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$18–$127.12 | $24–$169.50 | varies |
| Gardner vag DNA dir probe (87510) | $152.25 | $203 | 7.6× |
| Gases Blood O2 Saturation Only Direct Meas (82810) range across 2 matching MRF lines |
$21.19–$21.75 | $28.25–$29 | varies |
| Gastrin (82941) | $87 | $116 | 4.9× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$108–$127.12 | $144–$169.50 | varies |
| Gentamicin (80170) range across 2 matching MRF lines |
$33.75–$136.88 | $45–$182.50 | varies |
| Ggt (82977) range across 2 matching MRF lines |
$25.50–$79.12 | $34–$105.50 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$29.25–$80.81 | $39–$107.75 | varies |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$24.94–$25.50 | $33.25–$34 | varies |
| Glucose Blood Test (82962) | $27.75 | $37 | 8.5× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$13.50–$23.62 | $18–$31.50 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$22.50–$51.19 | $30–$68.25 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$44.25–$132.19 | $59–$176.25 | varies |
| Glycated Protein (82985) range across 2 matching MRF lines |
$18–$104.44 | $24–$139.25 | varies |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$30.75–$81.56 | $41–$108.75 | varies |
| Growth hormone (83003) | $48.75 | $65 | 2.9× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$21–$43.69 | $28–$58.25 | varies |
| Haloperidol (80173) range across 2 matching MRF lines |
$108–$120 | $144–$160 | varies |
| Haptoglobin (83010) range across 2 matching MRF lines |
$70.50–$118.88 | $94–$158.50 | varies |
| Hdl Cholesterol (83718) | $20.25 | $27 | 2.5× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$62.06–$218.25 | $82.75–$291 | varies |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$82.69–$83.25 | $110.25–$111 | varies |
| Hematocrit (85014) range across 2 matching MRF lines |
$21.75–$37.69 | $29–$50.25 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$21.75–$33.75 | $29–$45 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$44.25–$66.19 | $59–$88.25 | varies |
| Hemoglobin Chromotography (83021) | $18.75 | $25 | 1.0× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$31.12–$31.50 | $41.50–$42 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $24 | $32 | 2.9× |
| Hemoglobin plasma (83051) range across 2 matching MRF lines |
$17.81–$18 | $23.75–$24 | varies |
| Hep a ab igm (86709) range across 3 matching MRF lines |
$55.50–$58.50 | $74–$78 | varies |
| Heparin assay (85520) range across 2 matching MRF lines |
$27–$252.38 | $36–$336.50 | varies |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$40.50–$70.31 | $54–$93.75 | varies |
| Hepatitis b core ab igm (86705) range across 4 matching MRF lines |
$30.75–$96.19 | $41–$128.25 | varies |
| Hepatitis b core ab total (86704) range across 4 matching MRF lines |
$30.75–$175.50 | $41–$234 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$30.75–$112.69 | $41–$150.25 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$35.25–$78.19 | $47–$104.25 | varies |
| Hepatitis Be Antibody (86707) range across 4 matching MRF lines |
$30.75–$70.50 | $41–$94 | varies |
| Hepatitis Be Antigen (87350) range across 4 matching MRF lines |
$35.25–$67.31 | $47–$89.75 | varies |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$57.75–$110.25 | $77–$147 | varies |
| Hepatitis c antibody confirmatory test (86804) range across 2 matching MRF lines |
$31.88–$200.25 | $42.50–$267 | varies |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$305.06–$651.75 | $406.75–$869 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$231.56–$231.75 | $308.75–$309 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$348–$536.06 | $464–$714.75 | varies |
| Hepatitis Delta Agent Antibody (86692) range across 2 matching MRF lines |
$42–$68.06 | $56–$90.75 | varies |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$91.12–$91.50 | $121.50–$122 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$35.25–$54.19 | $47–$72.25 | varies |
| Hfe Gene (81256) range across 2 matching MRF lines |
$161.25–$413.25 | $215–$551 | varies |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$30.75–$111.38 | $41–$148.50 | varies |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$159–$168.75 | $212–$225 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$118.50–$118.69 | $158–$158.25 | varies |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$96.75–$124.88 | $129–$166.50 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $551.25 | $735 | 6.5× |
| HIV-2 probe&revrse trnscripj (87538) | $67.50 | $90 | 1.9× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) range across 2 matching MRF lines |
$62.44–$63 | $83.25–$84 | varies |
| Homocysteine (83090) range across 2 matching MRF lines |
$78.75–$363.94 | $105–$485.25 | varies |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$62.06–$131.25 | $82.75–$175 | varies |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$220.88–$221.25 | $294.50–$295 | varies |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$103.50–$174 | $138–$232 | varies |
| Iaad Ia Cytomegalovirus (87332) | $29.25 | $39 | 2.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $51.75 | $69 | 1.5× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$39.75–$59.06 | $53–$78.75 | varies |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $322.50 | $430 | 9.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$334.12–$334.50 | $445.50–$446 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $433.50 | $578 | 10.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 2 matching MRF lines |
$65.62–$131.25 | $87.50–$175 | varies |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) range across 2 matching MRF lines |
$103.50–$152.25 | $138–$203 | varies |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$500.25–$567.38 | $667–$756.50 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 2 matching MRF lines |
$145.69–$146.25 | $194.25–$195 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$206.81–$207 | $275.75–$276 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $351 | $468 | 8.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$87–$258.56 | $116–$344.75 | varies |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$107.62–$108 | $143.50–$144 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$45–$89.81 | $60–$119.75 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$173.81–$199.50 | $231.75–$266 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$18–$36.38 | $24–$48.50 | varies |
| Immunoassay nonantibody (83516) range across 7 matching MRF lines |
$81.56–$215.62 | $108.75–$287.50 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$49.69–$50.25 | $66.25–$67 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $45.75 | $61 | 2.0× |
| Immunoelectrophoresis Serum (86320) | $128.81 | $171.75 | 4.3× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$53.44–$108 | $71.25–$144 | varies |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$99–$117.19 | $132–$156.25 | varies |
| Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) range across 2 matching MRF lines |
$18–$28.12 | $24–$37.50 | varies |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) range across 2 matching MRF lines |
$59.06–$59.25 | $78.75–$79 | varies |
| Influenza a/b ag eia (87400) | $42.38 | $56.50 | 3.0× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$57.75–$70.31 | $77–$93.75 | varies |
| Influenza DNA amp probe (87502) | $80.25 | $107 | 0.8× |
| Inhibin A (86336) range across 2 matching MRF lines |
$78.56–$78.75 | $104.75–$105 | varies |
| Inhibin b (83520) range across 7 matching MRF lines |
$82.69–$208.50 | $110.25–$278 | varies |
| Insitu hybridization manual (88368) range across 2 matching MRF lines |
$103.31–$103.50 | $137.75–$138 | varies |
| Insulin antibodies (86337) | $135.56 | $180.75 | 6.3× |
| Insulin total (83525) range across 2 matching MRF lines |
$69.75–$70.12 | $93–$93.50 | varies |
| Intrinsic factor antibody (86340) range across 2 matching MRF lines |
$30.94–$31.50 | $41.25–$42 | varies |
| Iron (83540) range across 2 matching MRF lines |
$22.50–$76.12 | $30–$101.50 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$22.50–$107.06 | $30–$142.75 | varies |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$27.94–$174 | $37.25–$232 | varies |
| Ketosteroids 17 total (83586) range across 2 matching MRF lines |
$30.94–$31.50 | $41.25–$42 | varies |
| Koh Prep (87220) | $9 | $12 | 2.1× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$18–$66.75 | $24–$89 | varies |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$31.50–$136.88 | $42–$182.50 | varies |
| LDL direct (83721) range across 2 matching MRF lines |
$23.25–$121.69 | $31–$162.25 | varies |
| Lead (83655) range across 2 matching MRF lines |
$61.50–$101.06 | $82–$134.75 | varies |
| Legionella antibody (86713) | $362.81 | $483.75 | 23.7× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$24.75–$172.69 | $33–$230.25 | varies |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$27.38–$50.25 | $36.50–$67 | varies |
| Level ii surg pathology grossµscopic exam (88302) | $89.25 | $119 | 2.4× |
| Lipase (83690) range across 2 matching MRF lines |
$27–$99.19 | $36–$132.25 | varies |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$82.69–$208.50 | $110.25–$278 | varies |
| Lithium (80178) range across 2 matching MRF lines |
$18–$72.19 | $24–$96.25 | varies |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$48.75–$152.62 | $65–$203.50 | varies |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$87–$181.50 | $116–$242 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$484.88–$485.25 | $646.50–$647 | varies |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
$13.69–$14.25 | $18.25–$19 | varies |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$22.50–$89.81 | $30–$119.75 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$53.81–$54 | $71.75–$72 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$87–$101.06 | $116–$134.75 | varies |
| Metabolic panel ionized ca (80047) range across 2 matching MRF lines |
$21–$54.75 | $28–$73 | varies |
| Methotrexate (80204) range across 2 matching MRF lines |
$82.69–$83.25 | $110.25–$111 | varies |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$116.25–$216.38 | $155–$288.50 | varies |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$22.50–$82.31 | $30–$109.75 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$52.50–$131.81 | $70–$175.75 | varies |
| Mitochondrial Antibody Each (86381) | $22.50 | $30 | 0.9× |
| Mononuclear cell antigen (86356) range across 2 matching MRF lines |
$84.56–$84.75 | $112.75–$113 | varies |
| Mopath procedure level 7 (81406) range across 2 matching MRF lines |
$2,772.94–$2,773.50 | $3,697.25–$3,698 | varies |
| Mopath procedure level 9 (81408) range across 2 matching MRF lines |
$3,246.94–$3,247.50 | $4,329.25–$4,330 | varies |
| Mthfr Gene Analysis Common Variants (81291) range across 2 matching MRF lines |
$208.50–$273 | $278–$364 | varies |
| Mumps antibody (86735) range across 2 matching MRF lines |
$44.25–$64.88 | $59–$86.50 | varies |
| Mycophenolic Acid (80180) | $54.19 | $72.25 | 3.0× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$32.25–$196.69 | $43–$262.25 | varies |
| Myelin basic protein csf (83873) range across 2 matching MRF lines |
$41.62–$42 | $55.50–$56 | varies |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$156.75–$187.50 | $209–$250 | varies |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$115.88–$222.94 | $154.50–$297.25 | varies |
| Nk cells total count (86357) range across 2 matching MRF lines |
$119.06–$119.25 | $158.75–$159 | varies |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$66.19–$215.62 | $88.25–$287.50 | varies |
| Nudt15 Gene Common Variants (81306) | $216.19 | $288.25 | 0.7× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$22.50–$43.69 | $30–$58.25 | varies |
| Occult Blood Other Sources (82271) | $74.25 | $99 | 14.0× |
| Oligoclonal bands (83916) | $48.75 | $65 | 1.8× |
| Osmolality serum (83930) range across 2 matching MRF lines |
$14.25–$66.19 | $19–$88.25 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$54–$66.19 | $72–$88.25 | varies |
| Osteocalcin (83937) range across 2 matching MRF lines |
$61.12–$61.50 | $81.50–$82 | varies |
| Ova and parasites smears (87177) range across 4 matching MRF lines |
$57.94–$97.88 | $77.25–$130.50 | varies |
| Oxalate urine (83945) range across 2 matching MRF lines |
$31.50–$77.44 | $42–$103.25 | varies |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$36.56–$36.75 | $48.75–$49 | varies |
| Ph urine (81003) range across 2 matching MRF lines |
$23.25–$31.50 | $31–$42 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$37.50–$89.62 | $50–$119.50 | varies |
| Phenotype Infect Agent Drug (87900) range across 2 matching MRF lines |
$326.81–$327 | $435.75–$436 | varies |
| Phenylalanine (84030) | $13.50 | $18 | 2.5× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$52.50–$166.31 | $70–$221.75 | varies |
| Phenytoin free (80186) | $95.25 | $127 | 6.9× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$22.50–$65.25 | $30–$87 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$99.38–$99.75 | $132.50–$133 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$9.75–$60.19 | $13–$80.25 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$10.69–$11.25 | $14.25–$15 | varies |
| Platelet Antibodies (86022) range across 4 matching MRF lines |
$12.94–$26.25 | $17.25–$35 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$10.50–$54.19 | $14–$72.25 | varies |
| Potassium Urine (84133) range across 2 matching MRF lines |
$22.50–$69.38 | $30–$92.50 | varies |
| Prealbumin (84134) range across 2 matching MRF lines |
$45.75–$71.44 | $61–$95.25 | varies |
| Primidone (80188) | $62.25 | $83 | 3.8× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$174–$197.44 | $232–$263.25 | varies |
| Progesterone (84144) range across 2 matching MRF lines |
$100.50–$127.12 | $134–$169.50 | varies |
| Prolactin (84146) range across 2 matching MRF lines |
$35.25–$176.06 | $47–$234.75 | varies |
| Protein body fluid (84157) range across 2 matching MRF lines |
$8.25–$30.56 | $11–$40.75 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$144.75–$368.06 | $193–$490.75 | varies |
| Protein c antigen (85302) range across 2 matching MRF lines |
$148.88–$149.25 | $198.50–$199 | varies |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$66–$102.38 | $88–$136.50 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$30.75–$137.06 | $41–$182.75 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$165.38–$165.75 | $220.50–$221 | varies |
| Protein s total (85305) range across 2 matching MRF lines |
$149.25–$368.06 | $199–$490.75 | varies |
| Protein total serum (84155) range across 3 matching MRF lines |
$8.25–$50.25 | $11–$67 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$59.44–$66 | $79.25–$88 | varies |
| Protoporphyrin rbc quantitative (84202) range across 2 matching MRF lines |
$34.69–$35.25 | $46.25–$47 | varies |
| PSA free (84154) range across 2 matching MRF lines |
$110.62–$174 | $147.50–$232 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$104.44–$105 | $139.25–$140 | varies |
| Q Fever Antibody (86638) | $110.62 | $147.50 | 9.1× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$105–$337.88 | $140–$450.50 | varies |
| Quantitative assay drug (80299) range across 5 matching MRF lines |
$28.12–$87.75 | $37.50–$117 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$93.94–$94.50 | $125.25–$126 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$9.19–$9.75 | $12.25–$13 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$45.75–$79.50 | $61–$106 | varies |
| Renin activity plasma (84244) range across 3 matching MRF lines |
$35.25–$45.75 | $47–$61 | varies |
| Rh (86901) range across 2 matching MRF lines |
$29.06–$29.25 | $38.75–$39 | varies |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$22.50–$59.62 | $30–$79.50 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$22.50–$79.50 | $30–$106 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$69.75–$132 | $93–$176 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$208.50–$350.25 | $278–$467 | varies |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$29.25–$171.94 | $39–$229.25 | varies |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$22.50–$39.94 | $30–$53.25 | varies |
| Rsv ab (86756) range across 2 matching MRF lines |
$31.50–$109.31 | $42–$145.75 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$44.25–$74.81 | $59–$99.75 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$44.25–$136.88 | $59–$182.50 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$66–$104.44 | $88–$139.25 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $101.25 | $135 | 2.0× |
| Sars-cov-2 COVID-19 antibody (86769) | $97.50 | $130 | 2.3× |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$44.25–$57.56 | $59–$76.75 | varies |
| Selenium (84255) range across 2 matching MRF lines |
$115.88–$116.25 | $154.50–$155 | varies |
| Semen analysis complete (89320) | $28.50 | $38 | 2.3× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$18–$93.94 | $24–$125.25 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$52.69–$53.25 | $70.25–$71 | varies |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$13.50–$54.19 | $18–$72.25 | varies |
| Sirolimus (80195) range across 2 matching MRF lines |
$62.06–$62.25 | $82.75–$83 | varies |
| Skin test tuberculosis intradermal (86580) | $18 | $24 | 0.6× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$33.75–$181.50 | $45–$242 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$13.50–$43.31 | $18–$57.75 | varies |
| Smear Special Stain (87207) range across 3 matching MRF lines |
$14.62–$30.75 | $19.50–$41 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) range across 2 matching MRF lines |
$964.69–$965.25 | $1,286.25–$1,287 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$20.81–$39.94 | $27.75–$53.25 | varies |
| Sodium Serum (84295) range across 2 matching MRF lines |
$22.50–$44.25 | $30–$59 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$29.25–$64.88 | $39–$86.50 | varies |
| Somatomedin (84305) range across 2 matching MRF lines |
$205.31–$348 | $273.75–$464 | varies |
| Special Stains Group 1 (88312) | $131.81 | $175.75 | 2.5× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$79.69–$80.25 | $106.25–$107 | varies |
| Specific gravity body fluid (84315) range across 2 matching MRF lines |
$30.94–$31.50 | $41.25–$42 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$13.88–$14.25 | $18.50–$19 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$17.06–$17.25 | $22.75–$23 | varies |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) range across 2 matching MRF lines |
$48.38–$48.75 | $64.50–$65 | varies |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$18–$23.25 | $24–$31 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$23.25–$64.88 | $31–$86.50 | varies |
| Strep a DNA amp probe (87651) | $46.88 | $62.50 | 1.3× |
| Strep b DNA amp probe (87653) | $168 | $224 | 4.8× |
| Sulfate urine (84392) | $11.25 | $15 | 2.0× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$130.50–$153 | $174–$204 | varies |
| Syphilis Test Non-Trep Quant (86593) | $34.88 | $46.50 | 7.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$44.44–$231 | $59.25–$308 | varies |
| T3 Free (84481) range across 2 matching MRF lines |
$122.25–$170.62 | $163–$227.50 | varies |
| T3 reverse (84482) range across 2 matching MRF lines |
$157.50–$205.31 | $210–$273.75 | varies |
| T3 Total (84480) range across 2 matching MRF lines |
$52.50–$160.50 | $70–$214 | varies |
| T3 Uptake (84479) range across 2 matching MRF lines |
$23.25–$66.75 | $31–$89 | varies |
| T4 Free (84439) range across 4 matching MRF lines |
$57.75–$111.38 | $77–$148.50 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$23.25–$71.44 | $31–$95.25 | varies |
| Tacrolimus (80197) range across 2 matching MRF lines |
$197.25–$295.31 | $263–$393.75 | varies |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$11.06–$11.25 | $14.75–$15 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$44.25–$223.69 | $59–$298.25 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$174–$232.31 | $232–$309.75 | varies |
| Theophylline (80198) range across 2 matching MRF lines |
$75–$160.50 | $100–$214 | varies |
| Thrombin Time (85670) range across 2 matching MRF lines |
$59.44–$131.25 | $79.25–$175 | varies |
| Thromboplastin Inhibition Tissue (85705) range across 2 matching MRF lines |
$91.12–$131.25 | $121.50–$175 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 3 matching MRF lines |
$93.56–$602.44 | $124.75–$803.25 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$40.50–$176.06 | $54–$234.75 | varies |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$68.25–$187.88 | $91–$250.50 | varies |
| Thyroxine binding globulin (84442) | $36 | $48 | 2.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $89.25 | $119 | 7.7× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$284.81–$285 | $379.75–$380 | varies |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$281.44–$282 | $375.25–$376 | varies |
| Tobramycin peak (80200) range across 2 matching MRF lines |
$33.75–$130.50 | $45–$174 | varies |
| Topiramate (80201) range across 2 matching MRF lines |
$103.50–$183 | $138–$244 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$35.25–$167.81 | $47–$223.75 | varies |
| Tpmt gene com variants (81335) | $524.44 | $699.25 | 3.0× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$18–$51.94 | $24–$69.25 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$44.25–$96.19 | $59–$128.25 | varies |
| Trichomonas vagin dir probe (87660) | $152.25 | $203 | 7.6× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$69.75–$181.69 | $93–$242.25 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$22.50–$63 | $30–$84 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$41.44–$260.62 | $55.25–$347.50 | varies |
| Urea Nitrogen Clearance (84545) range across 2 matching MRF lines |
$33.19–$33.75 | $44.25–$45 | varies |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$9.94–$10.50 | $13.25–$14 | varies |
| Uric acid other source (84560) | $55.88 | $74.50 | 11.0× |
| Urinalysis Volume Measure (81050) range across 2 matching MRF lines |
$7.50–$12.94 | $10–$17.25 | varies |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$22.50–$72.19 | $30–$96.25 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$23.25–$71.62 | $31–$95.50 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$13.50–$36.75 | $18–$49 | varies |
| Valproic acid (80164) range across 2 matching MRF lines |
$57.75–$134.81 | $77–$179.75 | varies |
| Vancomycin (80202) range across 2 matching MRF lines |
$152.62–$153 | $203.50–$204 | varies |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$27–$125.81 | $36–$167.75 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$198.75–$314.62 | $265–$419.50 | varies |
| Viral Culture (87252) range across 2 matching MRF lines |
$131.25–$305.44 | $175–$407.25 | varies |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$31.12–$31.50 | $41.50–$42 | varies |
| Virus inoculation, shell via (87254) range across 3 matching MRF lines |
$47.25–$307.12 | $63–$409.50 | varies |
| Viscosity serum (85810) | $17.81 | $23.75 | 1.5× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$54–$194.44 | $72–$259.25 | varies |
| Vitamin A (84590) range across 2 matching MRF lines |
$60.19–$91.50 | $80.25–$122 | varies |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$48.75–$154.12 | $65–$205.50 | varies |
| Vitamin B2 (Riboflavin) (84252) | $156.94 | $209.25 | 7.8× |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$52.50–$176.81 | $70–$235.75 | varies |
| Vitamin c (82180) range across 2 matching MRF lines |
$21.75–$79.50 | $29–$106 | varies |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$52.50–$256.88 | $70–$342.50 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$78.75–$110.25 | $105–$147 | varies |
| Vitamin K (84597) range across 2 matching MRF lines |
$198.56–$198.75 | $264.75–$265 | varies |
| Volatiles (84600) | $39 | $52 | 2.3× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$208.50–$350.44 | $278–$467.25 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $21 | $28 | 2.4× |
| West nile virus ab igm (86788) | $111 | $148 | 6.6× |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$111–$137.44 | $148–$183.25 | varies |
| Zika Virus Dna/Rna Amp Probe (87662) range across 2 matching MRF lines |
$248.06–$248.25 | $330.75–$331 | varies |
| Zinc (84630) range across 2 matching MRF lines |
$53.81–$54 | $71.75–$72 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.