Lab & pathology prices at Elmhurst Memorial Hospital
Elmhurst, IL · every code in this section with a posted price and a Medicare benchmark.
869 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $335 | $335 | 14.7× |
| 5 Nucleotidase (83915) | $160 | $160 | 14.3× |
| Abl1 gene analysis kinase domain variants (81170) | $2,820 | $2,820 | 9.4× |
| Acetylcholine receptor binding antibody (86041) | $9 | $9 | 0.5× |
| Acetylcholine receptor blocking antibody (86042) | $30 | $30 | 1.6× |
| Acetylcholinesterase Assay (82013) | $140 | $140 | 11.4× |
| Acetylcholn Rcptr Modlg Antb (86043) | $60 | $60 | 5.0× |
| Acth (82024) | $553 | $553 | 14.3× |
| Actin smooth muscle antibody each (86015) | $146 | $146 | 12.1× |
| Acute hepatitis panel (80074) | $724 | $724 | 15.2× |
| Acylcarnitines Quant (82017) | $122 | $122 | 7.2× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $185 | $185 | 11.2× |
| Adenovirus antibody (86603) | $169 | $169 | 13.1× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $1,245 | $1,245 | 19.3× |
| Agglutinins Febrile Each Antigen (86000) | $258 | $258 | 37.0× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$90–$104 | $90–$104 | varies |
| Albumin serum (82040) | $74 | $74 | 14.9× |
| Aldolase (82085) | $140 | $140 | 14.4× |
| Aldosterone urine (82088) | $604 | $604 | 14.8× |
| Alkaline phosphatase isoenzymes (84080) | $184 | $184 | 12.4× |
| Allergen specific ige (86003) | $69 | $69 | 13.2× |
| Allergen specific igg (86001) | $93 | $93 | 11.9× |
| Allg Spec Ige Recomb Ea (86008) | $313 | $313 | 17.5× |
| Alpha-1-antitrypsin phenotype (82104) | $208 | $208 | 14.4× |
| Alpha-1-antitrypsin total (82103) | $193 | $193 | 14.4× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $214 | $214 | 12.6× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$214–$348 | $214–$348 | varies |
| Alt (sgpt) (84460) | $105 | $105 | 19.8× |
| Aluminum (82108) | $318 | $318 | 12.5× |
| Amikacin trough (80150) | $173 | $173 | 11.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $304 | $304 | 13.2× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $246 | $246 | 14.6× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $136 | $136 | 9.8× |
| Aminolevulinic acid (ala) (82135) | $205 | $205 | 12.5× |
| Ammonia (82140) | $294 | $294 | 20.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $955 | $955 | 9.7× |
| Amylase urine (82150) | $135 | $135 | 20.8× |
| Ana Titer (86039) | $150 | $150 | 13.4× |
| Anca screen each antibody (86036) | $80 | $80 | 6.6× |
| Anca Titer Each Antibody (86037) | $28 | $28 | 2.3× |
| Androstenedione (82157) | $296 | $296 | 10.1× |
| Angiotensin converting enzyme csf (82164) | $210 | $210 | 14.4× |
| Anti-Phospholipid Antibody (86148) | $184 | $184 | 11.4× |
| Antibody aspergillus (86606) | $219 | $219 | 14.6× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $140 | $140 | 10.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $199 | $199 | 12.8× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $198 | $198 | 11.8× |
| Antibody Encephalitis California La Crosse (86651) | $144 | $144 | 10.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $150 | $150 | 11.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$144–$202 | $144–$202 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $270 | $270 | 14.9× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$166–$229 | $166–$229 | varies |
| Antibody haemophilus influenza (86684) | $186 | $186 | 11.7× |
| Antibody helicobacter pylori (86677) | $178 | $178 | 10.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $157 | $157 | 10.9× |
| Antibody Herpes Smplx Type 1 (86695) | $178 | $178 | 13.5× |
| Antibody HIV-1&HIV-2 single result (86703) | $158 | $158 | 11.5× |
| Antibody HIV-2 (86702) | $160 | $160 | 11.8× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $3,402 | $3,402 | 10.5× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $261 | $261 | 13.5× |
| Antibody identification leukocyte antibodies (86021) | $177 | $177 | 11.8× |
| Antibody Identification Platelet Immunogl Assay (86023) | $146 | $146 | 11.7× |
| Antibody john cunningham virus (86711) | $3,058 | $3,058 | 181.1× |
| Antibody Lymphocytic Choriomeningitis (86727) | $286 | $286 | 22.2× |
| Antibody plasmodium malaria (86750) | $157 | $157 | 11.9× |
| Antibody Protozoa Nes (86753) | $100 | $100 | 8.1× |
| Antibody Titer (86886) | $1,667 | $1,667 | 321.8× |
| Antibody Treponema Pallidum (86780) | $184 | $184 | 13.9× |
| Antibody yersinia (86793) | $429 | $429 | 32.5× |
| Antibody; encephalitis, st. louis (86653) | $144 | $144 | 10.9× |
| Antibody; influenza virus (86710) | $93 | $93 | 6.9× |
| Antigen typing (86905) | $370 | $370 | 96.6× |
| Antinuclear antibodies (86038) | $169 | $169 | 14.0× |
| Antistreptolysin o titer (86060) | $98 | $98 | 13.4× |
| Antithrombin iii activity (85300) | $334 | $334 | 28.2× |
| Antithrombin iii antigen (85301) | $220 | $220 | 20.4× |
| Aortic dysfunction/dilation dup/del analysis (81411) | $4,051 | $4,051 | 3.0× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $2,888 | $2,888 | 5.7× |
| Apolipoprotein a1 (82172) | $164 | $164 | 7.8× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $893 | $893 | 23.7× |
| Aquaporin-4 Antb Cba Each (86052) | $1,038 | $1,038 | 86.1× |
| Aquaporin-4 Antb Elisa (86051) | $300 | $300 | 26.0× |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81204) | $650 | $650 | 4.7× |
| Arsenic (82175) | $218 | $218 | 11.5× |
| Aspergillus ag eia (87305) | $154 | $154 | 12.9× |
| Assay activated protein c (85307) | $202 | $202 | 13.2× |
| Assay Blood Carbon Dioxide (82374) | $48 | $48 | 9.8× |
| Assay myeloperoxidase (83876) | $569 | $569 | 11.2× |
| Assay Nephelometry Not Spec (83883) | $244 | $244 | 17.9× |
| Assay of 5-hiaa (83497) | $162 | $162 | 12.6× |
| Assay of b-hexosaminidase each assay (83080) | $210 | $210 | 12.4× |
| Assay of blood/uric acid (84550) | $94 | $94 | 20.8× |
| Assay of calcium in urine (82340) | $89 | $89 | 14.8× |
| Assay of cpk in blood (82552) | $132 | $132 | 9.9× |
| Assay of estrone (82679) | $350 | $350 | 14.0× |
| Assay of g6pd enzyme (82955) | $140 | $140 | 14.4× |
| Assay of gammaglobulin igm (82784) | $122 | $122 | 13.1× |
| Assay of lactic acid (83605) | $217 | $217 | 18.8× |
| Assay of manganese (83785) | $142 | $142 | 5.3× |
| Assay of metanephrines (83835) | $270 | $270 | 15.9× |
| Assay of proinsulin (84206) | $301 | $301 | 11.3× |
| Assay of pyruvate (84210) | $186 | $186 | 12.8× |
| Assay of semen fructose (82757) | $217 | $217 | 12.5× |
| Assay of serotonin (84260) | $385 | $385 | 12.4× |
| Assay of serum potassium (84132) | $96 | $96 | 20.2× |
| Assay of Sialic Acid (84275) | $155 | $155 | 11.5× |
| Assay of sweat sodium (84302) | $61 | $61 | 12.6× |
| Assay of urea nitrogen (84520) range across 3 matching MRF lines |
$52–$60 | $52–$60 | varies |
| Assay of urine vma (84585) | $223 | $223 | 14.4× |
| Assay of vasoactive intestinal peptide (84586) | $440 | $440 | 12.5× |
| Assay of vitamin b-1 (84425) | $315 | $315 | 14.8× |
| Assay Ph Body Fluid Nos (83986) | $53 | $53 | 14.8× |
| Assay spec xcp ur&breath ia (82077) | $262 | $262 | 15.2× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $1,486 | $1,486 | 8.1× |
| Automated Leukocyte Count (85048) | $34 | $34 | 13.4× |
| B cells total count (86355) | $495 | $495 | 13.1× |
| Babesia microti amp prb (87469) | $507 | $507 | 14.4× |
| Bartonella antibody (86611) | $119 | $119 | 11.7× |
| Bcr/abl1 gene major bp (81206) | $1,545 | $1,545 | 9.4× |
| Bcr/abl1 gene minor bp (81207) | $1,612 | $1,612 | 11.1× |
| Bcr/Abl1 Gene Other Bp (81208) | $2,203 | $2,203 | 10.3× |
| Beta 2 glycoprotein i antibody each (86146) | $289 | $289 | 11.4× |
| Beta hydroxybutyrate (82010) | $105 | $105 | 12.9× |
| Beta Lactamase (87185) | $112 | $112 | 23.6× |
| Beta-2 Microglobulin (82232) | $207 | $207 | 12.8× |
| Bile acids total (82239) | $245 | $245 | 14.3× |
| Bilirubin direct (82248) | $94 | $94 | 18.7× |
| Bilirubin total (82247) | $117 | $117 | 23.3× |
| Bilirubin total transcutaneous (88720) | $76 | $76 | 15.1× |
| Biotinidase (82261) | $210 | $210 | 12.4× |
| Blastomyces antibody (86612) | $174 | $174 | 13.5× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $1,749 | $1,749 | 9.6× |
| Bld Typing Serologic Rh Phnt (86906) | $331 | $331 | 42.7× |
| Bleeding time test (85002) | $52 | $52 | 10.8× |
| Blood Count Automated Differential Wbc Count (85004) | $80 | $80 | 12.4× |
| Blood count reticulocyte automated (85045) | $125 | $125 | 31.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $73 | $73 | 19.2× |
| Blood count spun microhematocrit (85013) | $82 | $82 | 11.7× |
| Blood gas (82803) | $531 | $531 | 20.4× |
| Blood gases w/02 saturation (82805) range across 2 matching MRF lines |
$506–$955 | $506–$955 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $222 | $222 | 13.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $52 | $52 | 11.9× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $2,472 | $2,472 | 389.3× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $112 | $112 | 6.9× |
| Blood typing serologic abo (86900) | $346 | $346 | 115.7× |
| Body fluid cell count (89050) | $98 | $98 | 20.8× |
| Bone marrow smear interpretation (85097) | $1,545 | $1,545 | 1.8× |
| Bordetella antibody (86615) | $177 | $177 | 13.4× |
| Borrelia miyamotoi amp prb (87478) | $507 | $507 | 14.4× |
| Braf gene analysis (81210) | $1,360 | $1,360 | 7.8× |
| Breath Alcohol Test (82075) | $336 | $336 | 11.2× |
| Brucella antibody (86622) range across 2 matching MRF lines |
$99–$197 | $99–$197 | varies |
| C diff amplified probe (87493) | $414 | $414 | 11.1× |
| C-Peptide (84681) | $298 | $298 | 14.3× |
| C-reactive protein (86140) | $248 | $248 | 47.9× |
| Ca 19-9 (86301) | $326 | $326 | 15.7× |
| Cadmium (82300) | $324 | $324 | 13.7× |
| Calcitonin (82308) | $384 | $384 | 14.3× |
| Calcium ionized (82330) range across 3 matching MRF lines |
$197–$277 | $197–$277 | varies |
| Calcium total (82310) | $141 | $141 | 27.3× |
| Calculus Spectroscopy (82365) | $166 | $166 | 12.9× |
| Calprotectin Fecal (83993) | $320 | $320 | 16.3× |
| Calr gene com variants (81219) | $1,545 | $1,545 | 12.7× |
| Cancer Antigen 125 (86304) | $320 | $320 | 15.4× |
| Cancer Antigen 27.29 (86300) | $316 | $316 | 15.2× |
| Candida antibody (86628) | $163 | $163 | 13.6× |
| Candida Dna Dir Probe (87480) | $181 | $181 | 9.0× |
| Carbamazepine total (80156) | $388 | $388 | 26.6× |
| Carbohydrate Deficient Transferrin (82373) | $111 | $111 | 6.1× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$195–$196 | $195–$196 | varies |
| Carcinoembryonic antigen (82378) | $373 | $373 | 19.7× |
| Cardiolipin ab iga (86147) | $366 | $366 | 14.4× |
| Carnitine Quantitative Each Specimen (82379) | $117 | $117 | 6.9× |
| Carotene (82380) | $133 | $133 | 14.4× |
| Catecholamines fractionated (82384) | $344 | $344 | 13.6× |
| Ccp antibody (86200) | $174 | $174 | 13.4× |
| Cell count csf (89051) | $106 | $106 | 18.9× |
| Cell marker study (88182) | $538 | $538 | 9.6× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $732 | $732 | 5.4× |
| Ceruloplasmin (82390) | $155 | $155 | 14.4× |
| Cftr gene com variants (81220) | $568 | $568 | 1.0× |
| Cftr gene dup/delet variants (81222) | $2,322 | $2,322 | 5.3× |
| Cftr gene full sequence (81223) | $5,121 | $5,121 | 10.3× |
| Chemiluminescent assay (82397) | $203 | $203 | 14.4× |
| Chlamydia antibody (86631) | $161 | $161 | 13.6× |
| Chlamydia Igm Antibody (86632) | $171 | $171 | 13.5× |
| Chloride other source (82438) | $61 | $61 | 12.2× |
| Chloride Serum (82435) | $60 | $60 | 13.0× |
| Chloride urine (82436) | $66 | $66 | 11.5× |
| Cholesterol total (82465) | $64 | $64 | 14.7× |
| Cholinesterase rbc (82482) | $424 | $424 | 43.2× |
| Cholinesterase Serum (82480) | $99 | $99 | 12.6× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$221–$296 | $221–$296 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $2,051 | $2,051 | 10.9× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $278 | $278 | 10.3× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $345 | $345 | 10.3× |
| Chromium serum (82495) | $238 | $238 | 11.7× |
| Chromogranin a (86316) | $251 | $251 | 12.1× |
| Chromosome Analysis 15-20 (88262) | $1,635 | $1,635 | 13.0× |
| Chromosome Analysis 20-25 (88264) | $1,347 | $1,347 | 9.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $286 | $286 | 8.2× |
| Citric acid urine (82507) | $241 | $241 | 8.7× |
| Ckmb (82553) | $147 | $147 | 12.7× |
| Clostridium Difficile (87324) | $149 | $149 | 12.4× |
| Clot Factor VIII Multimetric (85247) | $301 | $301 | 13.1× |
| Clot factor xiii fibrin stab (85290) | $300 | $300 | 18.4× |
| Clotting factor xii hageman (85280) | $255 | $255 | 13.2× |
| Clotting Funct Activity (85397) | $142 | $142 | 4.6× |
| Cns DNA amp probe type 12-25 (87483) | $3,256 | $3,256 | 7.8× |
| Coagulation time activated (85347) | $100 | $100 | 23.4× |
| Coccidioides antibody (86635) | $130 | $130 | 11.3× |
| Cold agglutinin titer (86157) | $95 | $95 | 11.8× |
| Collagen crosslinks (82523) | $228 | $228 | 12.2× |
| Column Chromotography Quant (82542) range across 8 matching MRF lines |
$298–$520 | $298–$520 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $1,054 | $1,054 | 4.5× |
| Compatibility test antiglob (86922) | $482 | $482 | 2.6× |
| Complement Antigen Each Component (86160) range across 7 matching MRF lines |
$257–$568 | $257–$568 | varies |
| Complement Total (Ch50) (86162) | $272 | $272 | 13.4× |
| Complement/Function Activity (86161) | $163 | $163 | 13.6× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $512 | $512 | 2.8× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$603–$630 | $603–$630 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 2 matching MRF lines |
$391–$485 | $391–$485 | varies |
| Coombs direct (86880) | $323 | $323 | 59.9× |
| Copper urine (82525) | $179 | $179 | 14.4× |
| Cortisol free (82530) | $245 | $245 | 14.7× |
| Cortisol saliva (82533) | $410 | $410 | 25.2× |
| Creatine (82540) | $61 | $61 | 13.1× |
| Creatine kinase total (82550) | $132 | $132 | 20.3× |
| Creatinine blood (82565) | $92 | $92 | 18.0× |
| Creatinine clearance (82575) | $186 | $186 | 19.7× |
| Creatinine Urine (82570) | $135 | $135 | 26.1× |
| Crossmatch electronic (86923) | $876 | $876 | 4.8× |
| Crossmatch immediate spin (86920) | $281 | $281 | 1.5× |
| Crp High Sensitivity (86141) | $174 | $174 | 13.4× |
| Cryofibrinogen (82585) | $178 | $178 | 12.6× |
| Cryoglobulin (82595) | $95 | $95 | 14.7× |
| Cryptococcus ab (86641) | $189 | $189 | 13.1× |
| Cryptococcus ag titer (87899) | $185 | $185 | 11.5× |
| Cryptosporidium (87272) | $179 | $179 | 14.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$136–$190 | $136–$190 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $138 | $138 | 17.1× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$96–$110 | $96–$110 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,075 | $1,075 | 4.9× |
| Culture aerobic quant other (87071) | $170 | $170 | 17.2× |
| Culture afb (87116) | $245 | $245 | 22.7× |
| Culture Anaerobic (87075) | $292 | $292 | 30.8× |
| Culture blood (87040) | $288 | $288 | 27.9× |
| Culture chlamydia (87110) | $225 | $225 | 11.5× |
| Culture csf (87070) | $340 | $340 | 39.4× |
| Culture fungus (87102) | $254 | $254 | 30.2× |
| Culture fungus blood (87103) | $230 | $230 | 11.2× |
| Culture screen only (87081) | $134 | $134 | 20.2× |
| Culture stool (87045) | $191 | $191 | 20.2× |
| Culture typing if ea antiserum (87140) | $84 | $84 | 15.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $77 | $77 | 14.9× |
| Culture typing other methods (87158) | $86 | $86 | 11.1× |
| Culture urine (87086) | $108 | $108 | 13.4× |
| Cyanide (82600) | $256 | $256 | 13.2× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $183 | $183 | 12.8× |
| Cyclosporine (80158) | $243 | $243 | 13.5× |
| Cyp2c19 gene analysis common variants (81225) | $2,991 | $2,991 | 10.3× |
| Cyp2d6 gene com variants (81226) | $885 | $885 | 2.0× |
| Cystatin C (82610) | $208 | $208 | 11.2× |
| Cytogenetics 10-30 (88273) | $367 | $367 | 10.5× |
| Cytogenetics 100-300 (88275) | $629 | $629 | 12.3× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,796 | $2,796 | 2.4× |
| Cytogenomic neo microra alys (81277) | $7,272 | $7,272 | 6.3× |
| Cytomegalovirus igg (86644) | $193 | $193 | 13.4× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $213 | $213 | 10.5× |
| Cytopath Cell Enhance Tech (88112) | $525 | $525 | 9.4× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 4 matching MRF lines |
$213–$310 | $213–$310 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $245 | $245 | 6.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $536 | $536 | 9.6× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $421 | $421 | 2.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $282 | $282 | 7.0× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $156 | $156 | 8.4× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $1,489 | $1,489 | 8.2× |
| Deoxyribonuclease antibody (86215) range across 2 matching MRF lines |
$157–$179 | $157–$179 | varies |
| Desoxycorticosterone (82633) | $385 | $385 | 12.4× |
| Detect Agent Nos Dna Amp (87798) | $522 | $522 | 14.9× |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$545–$628 | $545–$628 | varies |
| Detect agnt mult DNA ampli (87801) | $720 | $720 | 10.3× |
| Dgp Antibody Each Ig Class (86258) range across 4 matching MRF lines |
$182–$300 | $182–$300 | varies |
| Dhea (82626) | $292 | $292 | 11.6× |
| Dhea-S (82627) | $327 | $327 | 14.7× |
| Digoxin (80162) | $219 | $219 | 16.5× |
| Diphtheria antitoxoid (86648) | $205 | $205 | 13.5× |
| Dipropylacetic Acid Free (80165) | $101 | $101 | 7.5× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $620 | $620 | 4.5× |
| Dna Antibody Native/Double Stranded (86225) | $261 | $261 | 19.0× |
| Dna Antibody Single Stranded (86226) | $142 | $142 | 11.7× |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$242–$427 | $242–$427 | varies |
| DNA/RNA direct probe (87149) | $250 | $250 | 12.5× |
| Dna/Rna Sequencing (87153) | $1,400 | $1,400 | 12.1× |
| Dpyd gene common variants (81232) | $524 | $524 | 3.0× |
| Drug assay acetaminophen (80143) | $301 | $301 | 16.1× |
| Drug assay adalimumab (80145) | $279 | $279 | 7.2× |
| Drug Assay Amiodarone (80151) | $144 | $144 | 7.7× |
| Drug Assay Everolimus (80169) | $186 | $186 | 13.5× |
| Drug assay felbamate (80167) | $192 | $192 | 10.3× |
| Drug Assay Infliximab (80230) | $279 | $279 | 7.2× |
| Drug Assay Itraconazole (80189) | $365 | $365 | 13.5× |
| Drug Assay Leflunomide (80193) | $285 | $285 | 7.4× |
| Drug Assay Vedolizumab (80280) | $279 | $279 | 7.2× |
| Drug assay voriconazole (80285) | $299 | $299 | 11.0× |
| Drug Screen Quant Clozapine (80159) | $245 | $245 | 12.2× |
| Drug Screen Quant Zonisamide (80203) | $156 | $156 | 11.8× |
| Drug Screen Quantitative Gabapentin (80171) | $133 | $133 | 6.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $179 | $179 | 13.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $156 | $156 | 11.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $175 | $175 | 13.2× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $192 | $192 | 11.5× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 9 matching MRF lines |
$379–$789 | $379–$789 | varies |
| Egfr Gene Analysis Common Variants (81235) | $1,705 | $1,705 | 5.3× |
| Ehrlichia antibody (86666) | $124 | $124 | 12.2× |
| El-1 Fecal Quantitative (82653) | $143 | $143 | 6.2× |
| Electrolyte panel (80051) | $81 | $81 | 11.6× |
| Electron Microscopy (88348) | $4,953 | $4,953 | 5.7× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $773 | $773 | 12.6× |
| Encephaltis East Eqne Anbdy (86652) | $144 | $144 | 10.9× |
| Encephaltis West Eqne Antbdy (86654) | $144 | $144 | 10.9× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $310 | $310 | 25.6× |
| Enterovirus Antibody (86658) | $136 | $136 | 10.4× |
| Enterovirus PCR (87498) | $438 | $438 | 12.5× |
| Enzyme cell activity (82657) range across 3 matching MRF lines |
$255–$292 | $255–$292 | varies |
| Enzyme histochemistry (88319) | $731 | $731 | 0.8× |
| Eosinophil Smear (89190) | $68 | $68 | 11.7× |
| Erythropoietin (82668) range across 2 matching MRF lines |
$234–$270 | $234–$270 | varies |
| Estradiol serum (82670) | $494 | $494 | 17.7× |
| Estriol (82677) | $294 | $294 | 12.2× |
| Estrogen total (82672) | $278 | $278 | 12.8× |
| Estrogens fractionated (82671) | $425 | $425 | 13.2× |
| Ethosuximide (80168) | $215 | $215 | 13.2× |
| Ethylene Glycol (82693) | $191 | $191 | 12.8× |
| Exam Synovial Fluid Crystals (89060) | $98 | $98 | 13.4× |
| Exome Sequence Analysis (81415) | $5,286 | $5,286 | 1.1× |
| Exome sequence analysis each comparator exome (81416) unusually low: confirm this is the full procedure |
$5,286 | $5,286 | 0.4× |
| F2 Gene (81240) | $776 | $776 | 11.8× |
| Factor ii activity (85210) | $170 | $170 | 13.1× |
| Factor Inhibitor Test (85335) | $169 | $169 | 13.1× |
| Factor ix activity (85250) | $251 | $251 | 13.2× |
| Factor v activity (85220) | $225 | $225 | 12.7× |
| Factor v leiden mutation (81241) | $765 | $765 | 10.4× |
| Factor vii assay (85230) | $134 | $134 | 7.5× |
| Factor viii assay (85240) | $236 | $236 | 13.2× |
| Factor X (85260) | $282 | $282 | 15.8× |
| Factor xi activity (85270) | $236 | $236 | 13.2× |
| Factor xiii screen (85291) | $236 | $236 | 25.9× |
| Fat/Lipids Feces Quantitative (82710) | $210 | $210 | 12.5× |
| Fatty acids free (82725) | $211 | $211 | 11.2× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $199 | $199 | 25.8× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $198 | $198 | 11.5× |
| Fecal Fat Qualitative (82705) | $65 | $65 | 12.7× |
| Ferritin (82728) | $342 | $342 | 25.1× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $1,575 | $1,575 | 10.3× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $558 | $558 | 10.3× |
| Fetal Fibronectin (82731) | $922 | $922 | 14.3× |
| Fetal hemoglobin assay qual (83033) | $93 | $93 | 11.6× |
| Fetal screen rosette (85461) | $97 | $97 | 10.4× |
| Fibrin degradation products (85362) | $91 | $91 | 13.2× |
| Fibrin Degradation Quant (85379) | $189 | $189 | 18.6× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $189 | $189 | 19.4× |
| Fibrinogen activity (85384) | $163 | $163 | 16.8× |
| Fibrinogen antigen (85385) | $171 | $171 | 11.8× |
| Flecainide level (80181) | $100 | $100 | 5.4× |
| Flow cytometry first marker (88184) | $671 | $671 | 1.7× |
| Flt3 Gene (81245) | $1,699 | $1,699 | 10.3× |
| Flt3 gene analysis (81246) | $853 | $853 | 10.3× |
| Fluorescent antibody screen (86255) | $310 | $310 | 25.7× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $146 | $146 | 12.1× |
| Fmr1 Gene Charac Alleles (81244) | $462 | $462 | 10.3× |
| Fmr1 gene detection (81243) | $675 | $675 | 11.8× |
| Folic acid rbc (82747) | $221 | $221 | 12.5× |
| Folic Acid Serum (82746) | $270 | $270 | 18.4× |
| Follicle Stimulating Hormone (83001) | $444 | $444 | 23.9× |
| Francisella tularensis (86668) | $149 | $149 | 10.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $482 | $482 | 2.6× |
| Frozen Section (88331) | $604 | $604 | 3.3× |
| Fungi Identification Mold (87107) | $144 | $144 | 14.0× |
| Fungi Identification Yeast (87106) | $156 | $156 | 15.1× |
| Galactose (82760) | $140 | $140 | 12.5× |
| Galactose transferase test (82776) | $133 | $133 | 11.3× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $226 | $226 | 10.7× |
| Galectin-3 (82777) | $497 | $497 | 11.2× |
| Gammaglobulin ige (82785) | $331 | $331 | 20.1× |
| Gardner vag DNA dir probe (87510) | $180 | $180 | 9.0× |
| Gases blood ph only (82800) | $128 | $128 | 11.6× |
| Gastrin (82941) | $252 | $252 | 14.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,873 | $1,873 | 4.5× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $4,000 | $4,000 | 5.3× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $9,713 | $9,713 | 3.3× |
| Genet Virus Isolate Hsv (87255) | $368 | $368 | 10.9× |
| Genetic Tstg Severe Inh Cond (81443) | $7,346 | $7,346 | 3.0× |
| Gentamicin (80170) | $192 | $192 | 11.7× |
| Ggt (82977) | $107 | $107 | 14.9× |
| Giardia antigen (87329) | $145 | $145 | 12.1× |
| Giardia lamblia antibody (86674) | $293 | $293 | 19.9× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $1,138 | $1,138 | 11.3× |
| Glucagon (82943) | $205 | $205 | 14.3× |
| Glucose 2 hr pp (82950) | $98 | $98 | 20.6× |
| Glucose Blood Test (82962) | $59 | $59 | 18.0× |
| Glucose body fluid (82945) | $50 | $50 | 12.7× |
| Glucose Serum (82947) range across 3 matching MRF lines |
$50–$58 | $50–$58 | varies |
| Glucose tolerance test (gtt) (82951) | $184 | $184 | 14.3× |
| Glucosidase beta (82963) | $688 | $688 | 32.0× |
| Glutathione (82978) | $688 | $688 | 44.5× |
| Glycated Protein (82985) | $169 | $169 | 10.1× |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $189 | $189 | 12.4× |
| Gonadotropin Chorionic Qualitative (84703) | $108 | $108 | 14.4× |
| Growth hormone (83003) | $235 | $235 | 14.1× |
| Gtt-added samples (82952) | $57 | $57 | 14.5× |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$714–$818 | $714–$818 | varies |
| Haloperidol (80173) | $47 | $47 | 3.0× |
| Haptoglobin (83010) | $157 | $157 | 12.5× |
| Hba1/hba2 full gene sequence (81259) | $6,006 | $6,006 | 10.0× |
| Hba1/Hba2 Gene (81257) | $1,076 | $1,076 | 10.5× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $2,077 | $2,077 | 10.3× |
| Hbb duplication/deletion variants (81363) | $2,077 | $2,077 | 10.3× |
| Hbb Full Gene Sequence (81364) | $3,250 | $3,250 | 10.0× |
| Hbb Gene Com Variants (81361) | $1,794 | $1,794 | 10.3× |
| Hdl Cholesterol (83718) | $117 | $117 | 14.3× |
| Heavy metal qualitative any analytes (83015) | $230 | $230 | 11.0× |
| Helicobacter Pylori Stool (87338) | $290 | $290 | 20.2× |
| Helminth Antibody (86682) | $171 | $171 | 13.1× |
| Hematocrit (85014) | $28 | $28 | 11.8× |
| Hemoglobin (85018) | $66 | $66 | 27.8× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$126–$131 | $126–$131 | varies |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$227–$258 | $227–$258 | varies |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$256–$279 | $256–$279 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $126 | $126 | 15.4× |
| Hemolysins&Agglutinins Incubated (86941) | $160 | $160 | 13.2× |
| Hemosiderin urine (83070) | $60 | $60 | 12.6× |
| Hep a ab igm (86709) | $156 | $156 | 13.9× |
| Heparin assay (85520) | $151 | $151 | 11.5× |
| Heparin Neutralization (85525) | $136 | $136 | 11.5× |
| Hepatitis a antibody total (86708) | $167 | $167 | 13.5× |
| Hepatitis b core ab igm (86705) | $163 | $163 | 13.8× |
| Hepatitis b core ab total (86704) | $168 | $168 | 13.9× |
| Hepatitis B Surface Antibody (86706) | $205 | $205 | 19.1× |
| Hepatitis B Surface Antigen (87340) | $199 | $199 | 19.3× |
| Hepatitis Be Antibody (86707) | $158 | $158 | 13.7× |
| Hepatitis Be Antigen (87350) | $167 | $167 | 14.5× |
| Hepatitis C Antibody (86803) | $357 | $357 | 25.0× |
| Hepatitis c antibody confirmatory test (86804) | $181 | $181 | 11.7× |
| Hepatitis C Genotype (87902) | $3,123 | $3,123 | 12.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $448 | $448 | 12.8× |
| Hepatitis C Revrs Trnscrpj (87522) | $634 | $634 | 14.8× |
| Hepatitis Delta Agent Antibody (86692) | $216 | $216 | 12.6× |
| Herpes simplex type 2 (86696) | $261 | $261 | 13.5× |
| Heterophile Antibody Screen (86308) | $73 | $73 | 14.1× |
| Hfe Gene (81256) | $837 | $837 | 12.8× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $101 | $101 | 13.1× |
| Histamine urine (83088) | $413 | $413 | 14.0× |
| Histoplasma antibody (86698) | $159 | $159 | 11.5× |
| Histoplasma antigen urine (87385) | $149 | $149 | 11.2× |
| Hiv Genotype (87901) | $3,201 | $3,201 | 12.4× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $215 | $215 | 8.9× |
| Hiv-1 Antibody (86701) | $103 | $103 | 11.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $1,007 | $1,007 | 11.8× |
| HIV-2 probe&revrse trnscripj (87538) | $253 | $253 | 7.2× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $1,095 | $1,095 | 6.2× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $1,277 | $1,277 | 10.0× |
| Hla class ii typing high resolution one locus ea (81382) | $1,622 | $1,622 | 13.1× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $810 | $810 | 10.9× |
| Hla I Typing 1 Allele Hr (81381) | $1,787 | $1,787 | 10.5× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $662 | $662 | 3.0× |
| Hla ii type 1 ag equiv lr (81377) | $1,048 | $1,048 | 11.1× |
| Hla ii typing 1 allele hr (81383) | $1,397 | $1,397 | 12.8× |
| Hla ii typing 1 locus lr (81376) | $1,047 | $1,047 | 8.6× |
| Hla-b27 (86812) | $347 | $347 | 13.4× |
| Homocysteine (83090) | $241 | $241 | 13.4× |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
$96–$97 | $96–$97 | varies |
| Homovanillic acid urine (83150) | $256 | $256 | 11.4× |
| Hpv High-Risk Types (87624) | $386 | $386 | 11.0× |
| Hpv Types 16 & 18 Only (87625) | $456 | $456 | 11.2× |
| Hsv Dna Amp Probe (87529) | $519 | $519 | 14.8× |
| Htlv-I Antibody (86687) | $523 | $523 | 57.5× |
| Htlv-ii antibody (86688) | $523 | $523 | 37.4× |
| Human Epididymis Protein 4 (86305) | $273 | $273 | 13.1× |
| Hydroxyprogesterone 17-d (83498) | $169 | $169 | 6.2× |
| Iaad Ia Escherichia Coli 0157 (87335) | $149 | $149 | 11.8× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $110 | $110 | 10.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $355 | $355 | 10.0× |
| Iaad ia shiga-like toxin (87427) | $160 | $160 | 13.4× |
| Iaad Ia Streptococcus Group A (87430) | $213 | $213 | 12.7× |
| Iaadi giardia (87269) | $154 | $154 | 11.3× |
| Iaadi herpes smplx virus type 1 (87274) | $172 | $172 | 14.4× |
| Iaadi herpes smplx virus type 2 (87273) | $173 | $173 | 14.4× |
| Iaadi inffluenza a virus (87276) | $181 | $181 | 11.3× |
| Iaadi not otherwise specified each organism (87299) | $185 | $185 | 11.5× |
| Iaadi parainfluenza virus each type (87279) | $184 | $184 | 11.2× |
| Iaadi pneumocustis carinii (87281) | $135 | $135 | 11.3× |
| Iaadi respiratory synctial virus (87280) | $152 | $152 | 11.3× |
| Iaadiadoo trichomonas vaginalis (87808) | $144 | $144 | 9.4× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $507 | $507 | 14.4× |
| Iadna Bartonella Amplified Probe Technique (87471) | $1,465 | $1,465 | 41.7× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $504 | $504 | 14.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$142–$427 | $142–$427 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $448 | $448 | 12.8× |
| Iadna Cytomegalovirus Quantification (87497) | $613 | $613 | 14.3× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $507 | $507 | 14.4× |
| Iadna hepatitis b virus amplified probe tq (87516) | $438 | $438 | 12.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $613 | $613 | 14.3× |
| Iadna Herpes Virus-6 Quantification (87533) | $598 | $598 | 14.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $253 | $253 | 7.2× |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $306 | $306 | 11.2× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $250 | $250 | 12.5× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $479 | $479 | 11.5× |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $303 | $303 | 11.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$132–$162 | $132–$162 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $280 | $280 | 8.0× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $615 | $615 | 12.0× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $634 | $634 | 4.4× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $876 | $876 | 3.3× |
| Idh1 common variants (81120) | $2,033 | $2,033 | 10.5× |
| Idh2 common variants (81121) | $2,345 | $2,345 | 7.9× |
| Ig Light Chains Free Each (83521) | $239 | $239 | 13.8× |
| Igg subclasses (82787) | $159 | $159 | 19.8× |
| Igh gene rearrange amp meth (81261) | $2,137 | $2,137 | 10.8× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,552 | $1,552 | 5.3× |
| Igk rearrangeabn clonal pop (81264) | $1,545 | $1,545 | 8.9× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $1,453 | $1,453 | 3.8× |
| Immune Complex Assay (86332) | $329 | $329 | 13.5× |
| Immunfix e-phorsis/urine/csf (86335) | $407 | $407 | 13.9× |
| Immunoassay analyte qual/semiqual single step (83518) | $914 | $914 | 94.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 14 matching MRF lines |
$479–$1,178 | $479–$1,178 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 8 matching MRF lines |
$156–$203 | $156–$203 | varies |
| Immunoassay nonantibody (83516) | $319 | $319 | 27.7× |
| Immunodiffusion not elsewhere specified (86329) range across 2 matching MRF lines |
$165–$189 | $165–$189 | varies |
| Immunodiffusion Ouchterlony (86331) | $133 | $133 | 11.1× |
| Immunofixation electrophoresis (86334) | $414 | $414 | 18.5× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $529 | $529 | 2.9× |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$637–$765 | $637–$765 | varies |
| In situ hybridization 1st probe stain (88365) | $966 | $966 | 5.3× |
| In situ hybridization ea multiplex probe stain (88366) | $2,820 | $2,820 | 15.4× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $162 | $162 | 11.2× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $149 | $149 | 12.2× |
| Influenza assay w/optic (87804) | $130 | $130 | 7.9× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$209–$441 | $209–$441 | varies |
| Inhibin A (86336) | $210 | $210 | 13.5× |
| Inhibin b (83520) range across 43 matching MRF lines |
$182–$454 | $182–$454 | varies |
| Insitu hybridization auto (88367) | $925 | $925 | 2.4× |
| Insitu hybridization manual (88368) | $2,580 | $2,580 | 6.7× |
| Insulin antibodies (86337) | $296 | $296 | 13.8× |
| Insulin free (83527) | $347 | $347 | 26.8× |
| Insulin total (83525) | $165 | $165 | 14.4× |
| Interleukin-6 (83529) | $378 | $378 | 21.9× |
| Intrinsic factor antibody (86340) | $205 | $205 | 13.6× |
| Iron (83540) | $131 | $131 | 20.2× |
| Iron Binding Capacity (83550) | $178 | $178 | 20.4× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$188–$287 | $188–$287 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $1,174 | $1,174 | 12.8× |
| Jak2 Gene Trgt Sequence Alys (81279) | $499 | $499 | 2.7× |
| Ketosteroids 17 total (83586) | $535 | $535 | 41.8× |
| Kit Gene Analysis D816 Variant(S) (81273) | $866 | $866 | 6.9× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $3,889 | $3,889 | 11.8× |
| Kras Gene Analysis Additional Variant(S) (81276) | $1,936 | $1,936 | 10.0× |
| Kras Gene Variants Exon 2 (81275) | $1,174 | $1,174 | 6.1× |
| L/s ratio (83661) | $275 | $275 | 12.5× |
| Lactate (ld) (ldh) enzyme (83615) | $112 | $112 | 18.5× |
| Lactoferrin fecal qualitative (83630) | $233 | $233 | 11.8× |
| Lamellar Body Count (83664) | $235 | $235 | 12.2× |
| Ldh Isoenzymes (83625) | $160 | $160 | 12.5× |
| LDL direct (83721) | $169 | $169 | 16.1× |
| Lead (83655) | $174 | $174 | 14.4× |
| Legionella antibody (86713) | $179 | $179 | 11.7× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$205–$350 | $205–$350 | varies |
| Legionella pneumophila dfa (87278) | $312 | $312 | 20.0× |
| Leptospira antibody (86720) | $125 | $125 | 7.7× |
| Leukocyte Assessment Fecal (89055) | $59 | $59 | 13.8× |
| Leukocyte Histamine Release (86343) | $180 | $180 | 14.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $259 | $259 | 8.4× |
| Level ii surg pathology grossµscopic exam (88302) | $391 | $391 | 9.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 4 matching MRF lines |
$1,218–$1,523 | $1,218–$1,523 | varies |
| Lidocaine (80176) | $173 | $173 | 11.8× |
| Lipase (83690) range across 2 matching MRF lines |
$89–$319 | $89–$319 | varies |
| Lipoprotein A (83695) | $191 | $191 | 13.3× |
| Lipoprotein Bld Quan Part (83704) | $453 | $453 | 13.2× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $121 | $121 | 10.7× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $379 | $379 | 11.2× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $518 | $518 | 11.2× |
| Lithium (80178) | $103 | $103 | 15.6× |
| Liver ds alys 3 bmrk srm alg (81517) | $529 | $529 | 3.0× |
| Luteinizing Hormone (Lh) (83002) | $444 | $444 | 24.0× |
| Lyme disease antibody (86618) | $324 | $324 | 19.0× |
| Lymphocyte transformation (86353) | $573 | $573 | 11.7× |
| Lysozyme serum (85549) | $242 | $242 | 12.9× |
| M. Genitalium Amp Probe (87563) | $105 | $105 | 3.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 4 matching MRF lines |
$1,489–$1,945 | $1,489–$1,945 | varies |
| M/phmtrc alys ishquant/semiq (88374) | $1,229 | $1,229 | 6.7× |
| Macroscopic exam arthropod (87168) | $331 | $331 | 77.5× |
| Macroscopic Exam Parasite (87169) | $64 | $64 | 14.8× |
| Magnesium Urine (83735) | $131 | $131 | 19.6× |
| Mass Spectrometry Quant (83789) range across 14 matching MRF lines |
$268–$312 | $268–$312 | varies |
| Mercury urine (83825) | $215 | $215 | 13.2× |
| Metabolic panel ionized ca (80047) | $289 | $289 | 21.0× |
| Methotrexate (80204) | $192 | $192 | 5.0× |
| Methylmalonic acid serum (83921) range across 3 matching MRF lines |
$243–$753 | $243–$753 | varies |
| Mgmt methylation analysis (81287) | $1,280 | $1,280 | 10.3× |
| Microalbumin, quantitative (82043) | $106 | $106 | 18.3× |
| Microbe Suscept Macrobroth (87188) | $84 | $84 | 12.7× |
| Microsatellite instability (81301) | $3,126 | $3,126 | 9.0× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$197–$204 | $197–$204 | varies |
| Mitochondrial Antibody Each (86381) | $310 | $310 | 12.2× |
| Mlh1 Gene (81288) | $1,545 | $1,545 | 8.0× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $2,077 | $2,077 | 10.3× |
| Mlh1 Gene Analysis Known Familial Variants (81293) | $2,488 | $2,488 | 7.5× |
| Mog-Igg1 Antb Cba Each (86362) | $990 | $990 | 82.2× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $893 | $893 | 23.7× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 8 matching MRF lines |
$319–$1,138 | $319–$1,138 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $490 | $490 | 11.6× |
| Molecular Pathology Procedure Level 6 (81405) range across 2 matching MRF lines |
$2,292–$3,092 | $2,292–$3,092 | varies |
| Mononuclear cell antigen (86356) | $260 | $260 | 9.7× |
| Mopath procedure level 1 (81400) | $754 | $754 | 11.8× |
| Mopath procedure level 2 (81401) | $1,277 | $1,277 | 9.3× |
| Mopath procedure level 4 (81403) | $1,901 | $1,901 | 10.3× |
| Mopath procedure level 5 (81404) | $2,752 | $2,752 | 10.0× |
| Mopath procedure level 7 (81406) | $3,339 | $3,339 | 11.8× |
| Mopath procedure level 8 (81407) | $3,909 | $3,909 | 4.6× |
| Mpl gene common variants (81338) | $1,731 | $1,731 | 11.5× |
| Mrsa Pcr (87641) | $289 | $289 | 8.2× |
| Msh2 Gene Analysis Known Familial Variants (81296) | $2,488 | $2,488 | 7.4× |
| Msh6 Gene Known Variants (81299) | $2,488 | $2,488 | 8.1× |
| Mthfr Gene Analysis Common Variants (81291) | $772 | $772 | 11.8× |
| Mucopolysaccharides acid quantitative (83864) | $704 | $704 | 24.7× |
| Mumps antibody (86735) | $175 | $175 | 13.4× |
| Mycobacteric Identification (87118) | $165 | $165 | 11.3× |
| Mycophenolic Acid (80180) | $237 | $237 | 13.1× |
| Mycoplasma antibody (86738) | $182 | $182 | 13.7× |
| Mycoplasma culture (87109) | $221 | $221 | 14.4× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $1,255 | $1,255 | 7.2× |
| Myelin basic protein csf (83873) | $216 | $216 | 12.6× |
| Myoglobin urine (83874) | $166 | $166 | 12.8× |
| Natriuretic peptide (83880) | $386 | $386 | 9.8× |
| Neutralization Test Viral (86382) | $199 | $199 | 11.8× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $1,853 | $1,853 | 14.4× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $327 | $327 | 11.2× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $1,601 | $1,601 | 6.2× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $813 | $813 | 3.1× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $1,272 | $1,272 | 9.9× |
| Niacin (84591) | $220 | $220 | 12.9× |
| Nk cells total count (86357) | $495 | $495 | 13.1× |
| Noonan Spectrum Disorders (81442) | $10,325 | $10,325 | 4.8× |
| Nras gene variants exon 2&3 (81311) | $2,962 | $2,962 | 10.0× |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
$263–$341 | $263–$341 | varies |
| Nudt15 Gene Common Variants (81306) | $1,624 | $1,624 | 5.6× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$54–$57 | $54–$57 | varies |
| Occult Blood Other Sources (82271) | $62 | $62 | 11.7× |
| Oligoclonal bands (83916) | $353 | $353 | 12.9× |
| Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5… (81540) | $9,632 | $9,632 | 2.6× |
| Oncology breast mrna gene expression 21 genes (81519) | $6,294 | $6,294 | 1.6× |
| Oncoprotein dcp (83951) | $565 | $565 | 8.8× |
| Organic acids urine (83918) range across 2 matching MRF lines |
$258–$296 | $258–$296 | varies |
| Osmolality serum (83930) | $86 | $86 | 13.0× |
| Osmolality Urine (83935) | $88 | $88 | 12.9× |
| Osmotic Fragility RBC Unincubated (85555) | $88 | $88 | 11.8× |
| Osteocalcin (83937) | $417 | $417 | 14.0× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$180–$325 | $180–$325 | varies |
| Oxalate urine (83945) | $102 | $102 | 7.1× |
| Pancreatic Elastase Fecal (82656) | $146 | $146 | 12.7× |
| Particle Agglutination Screen Each Antibody (86403) range across 7 matching MRF lines |
$123–$140 | $123–$140 | varies |
| Parvovirus antibody (86747) | $200 | $200 | 13.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $4,953 | $4,953 | 5.7× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $3,382 | $3,382 | 10.3× |
| Ph urine (81003) | $116 | $116 | 51.6× |
| Phenobarbital Level (80184) | $163 | $163 | 10.7× |
| Phenotype Infect Agent Drug (87900) | $1,621 | $1,621 | 12.4× |
| Phenylalanine (84030) | $111 | $111 | 20.2× |
| Phenytoin (Dilantin) (80185) | $156 | $156 | 11.8× |
| Phenytoin free (80186) | $182 | $182 | 13.2× |
| Phosphatase acid prostatic (84066) | $122 | $122 | 12.6× |
| Phosphatase alkaline (84075) | $66 | $66 | 12.7× |
| Phospholipid Neutralization Hexagonal (85598) | $236 | $236 | 13.1× |
| Phosphorus Serum (84100) | $98 | $98 | 20.7× |
| Phosphorus urine (84105) | $76 | $76 | 13.1× |
| Pinworm exam (87172) | $64 | $64 | 15.0× |
| Platelet Aggregation (85576) | $319 | $319 | 12.8× |
| Platelet Antibodies (86022) | $216 | $216 | 11.8× |
| Platelet count automated (85049) | $53 | $53 | 11.8× |
| Pms2 gene analysis known familial variants (81318) | $2,488 | $2,488 | 7.5× |
| Pooling blood platelets (86965) | $1,486 | $1,486 | 8.1× |
| Porphobilinogen, urine; quantitative (84110) | $123 | $123 | 14.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $211 | $211 | 14.3× |
| Potassium Urine (84133) | $87 | $87 | 18.4× |
| Prealbumin (84134) | $209 | $209 | 14.3× |
| Pregnancy-Associated Plasma Protein-A (84163) | $173 | $173 | 11.5× |
| Pregnenolone (84140) | $295 | $295 | 14.3× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $167 | $167 | 2.6× |
| Primidone (80188) | $160 | $160 | 9.6× |
| Procalcitonin (Pct) (84145) | $397 | $397 | 14.6× |
| Progesterone (84144) | $485 | $485 | 23.3× |
| Prolactin (84146) | $365 | $365 | 18.8× |
| Prostaglandin (84150) | $1,237 | $1,237 | 29.6× |
| Protein body fluid (84157) | $48 | $48 | 12.0× |
| Protein C Activity (85303) | $182 | $182 | 13.2× |
| Protein c antigen (85302) | $180 | $180 | 15.0× |
| Protein Electrophoresis Urine (84166) | $244 | $244 | 13.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $218 | $218 | 20.3× |
| Protein S Free (85306) | $251 | $251 | 16.4× |
| Protein s total (85305) | $154 | $154 | 13.3× |
| Protein total serum (84155) | $54 | $54 | 14.7× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$48–$77 | $48–$77 | varies |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$377–$1,370 | $377–$1,370 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $47 | $47 | 11.9× |
| Protoporphyrin rbc quantitative (84202) | $343 | $343 | 23.9× |
| PSA free (84154) range across 2 matching MRF lines |
$230–$267 | $230–$267 | varies |
| Pth Intact (83970) | $290 | $290 | 7.0× |
| Pyruvate kinase (84220) | $120 | $120 | 12.7× |
| Q Fever Antibody (86638) | $143 | $143 | 11.8× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$242–$452 | $242–$452 | varies |
| Quantitative assay drug (80299) range across 13 matching MRF lines |
$192–$314 | $192–$314 | varies |
| Quantitative Screen Metals (83018) | $316 | $316 | 14.4× |
| Quinidine (80194) | $167 | $167 | 11.4× |
| Rbc antibody elution (86860) | $1,406 | $1,406 | 7.7× |
| Rbc antibody identification (86870) | $914 | $914 | 2.4× |
| Rbc antibody screen (86850) | $170 | $170 | 17.4× |
| Rbc pretreatment serum (86978) | $331 | $331 | 5.2× |
| Rbc pretx incubatj w/enzymes (86971) | $3,237 | $3,237 | 17.7× |
| Rbc serum pretx incubj drugs (86975) | $331 | $331 | 0.7× |
| Renin activity plasma (84244) | $316 | $316 | 14.4× |
| Resp virus 12-25 targets (87633) | $1,681 | $1,681 | 4.0× |
| Rh (86901) | $129 | $129 | 43.1× |
| Rheumatoid Factor Qualitative (86430) | $68 | $68 | 11.1× |
| Rheumatoid factor quant (86431) | $112 | $112 | 19.8× |
| Rickettsia antibody (86757) | $261 | $261 | 13.5× |
| Ristocetin cofactor (85245) | $301 | $301 | 13.1× |
| Rotavirus ag eia (87425) | $178 | $178 | 14.9× |
| Rpr qualitative (86592) | $52 | $52 | 12.2× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$202–$266 | $202–$266 | varies |
| Rubeola antibody (86765) | $173 | $173 | 13.4× |
| Russell Viper Venom Time Diluted (85613) | $126 | $126 | 13.2× |
| Salicylate Level (80179) | $180 | $180 | 9.7× |
| Salmonella antibody (86768) | $157 | $157 | 11.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $363 | $363 | 7.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $227 | $227 | 5.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 2 matching MRF lines |
$342–$577 | $342–$577 | varies |
| Sedimentation Rate, Automated (85652) | $170 | $170 | 63.0× |
| Selenium (84255) | $219 | $219 | 8.6× |
| Semen Anal Sperm Detection (89321) | $159 | $159 | 13.2× |
| Semen analysis complete (89320) | $163 | $163 | 13.2× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$147–$316 | $147–$316 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$271–$313 | $271–$313 | varies |
| Sickling of rbc reduction (85660) | $76 | $76 | 13.8× |
| Sirolimus (80195) | $186 | $186 | 13.5× |
| Skin test tuberculosis intradermal (86580) | $177 | $177 | 5.7× |
| Smear acid fast (87206) | $167 | $167 | 31.0× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$225–$268 | $225–$268 | varies |
| Smear gram stain (87205) range across 3 matching MRF lines |
$56–$89 | $56–$89 | varies |
| Smear Special Stain (87207) range across 3 matching MRF lines |
$78–$244 | $78–$244 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $956 | $956 | 7.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $68 | $68 | 11.7× |
| So neo gsap DNA/DNA&RNA (81459) | $10,080 | $10,080 | 3.4× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$99–$125 | $99–$125 | varies |
| Sodium Urine (84300) | $61 | $61 | 12.1× |
| Soluble Transferrin Receptor (84238) | $535 | $535 | 14.6× |
| Somatomedin (84305) | $305 | $305 | 14.3× |
| Special Stains Group 1 (88312) | $458 | $458 | 8.2× |
| Special Stains Group 2 (88313) | $374 | $374 | 2.6× |
| Specimen infect agnt concntj (87015) | $96 | $96 | 14.4× |
| Spectrophotometry (84311) | $105 | $105 | 13.0× |
| Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331) | $224 | $224 | 11.4× |
| Splitting Blood/Blood Products Each Unit (86985) | $239 | $239 | 1.3× |
| Staph a DNA amp probe (87640) | $411 | $411 | 11.7× |
| Stool cultr aerobic bact ea (87046) range across 4 matching MRF lines |
$162–$191 | $162–$191 | varies |
| Strep a assay w/optic (87880) | $185 | $185 | 11.2× |
| Strep a DNA amp probe (87651) | $272 | $272 | 7.8× |
| Strep b DNA amp probe (87653) | $268 | $268 | 7.6× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $60 | $60 | 0.7× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $167 | $167 | 14.5× |
| Sugars Single Qual (84376) | $78 | $78 | 14.2× |
| Sulfate urine (84392) | $62 | $62 | 11.3× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$470–$603 | $470–$603 | varies |
| Surgical pathology level IV (88305) | $724 | $724 | 13.0× |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$2,889–$5,598 | $2,889–$5,598 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $62 | $62 | 13.1× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $207 | $207 | 27.7× |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $452 | $452 | 11.3× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $930 | $930 | 127.2× |
| Syphilis Test Non-Trep Quant (86593) | $59 | $59 | 13.4× |
| T cells absolute cd4 count (86361) | $350 | $350 | 13.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $631 | $631 | 13.4× |
| T cells total count (86359) | $441 | $441 | 11.7× |
| T3 Free (84481) | $203 | $203 | 12.0× |
| T3 reverse (84482) | $227 | $227 | 14.4× |
| T3 Total (84480) | $205 | $205 | 14.5× |
| T4 Free (84439) | $175 | $175 | 19.4× |
| T4 total (84436) | $99 | $99 | 14.4× |
| Tacrolimus (80197) | $333 | $333 | 24.3× |
| Tau phosphorylated each (84393) | $432 | $432 | 3.4× |
| Tert gene targeted seq alys (81345) | $2,248 | $2,248 | 12.1× |
| Test for acetone/ketones (82009) | $58 | $58 | 12.8× |
| Test for urine cystines (82615) | $107 | $107 | 11.2× |
| Testosterone Bioavailable (84410) | $87 | $87 | 1.7× |
| Testosterone total (84403) | $367 | $367 | 14.2× |
| Testosterone, Free (84402) | $377 | $377 | 14.8× |
| Tetanus antibody (86774) | $105 | $105 | 7.1× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $4,377 | $4,377 | 7.3× |
| Theophylline (80198) | $186 | $186 | 13.2× |
| Thiopurine methyltransferase (84433) | $255 | $255 | 11.5× |
| Thrombin Time (85670) | $68 | $68 | 11.8× |
| Thromboplastin Inhibition Tissue (85705) | $114 | $114 | 11.8× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $77 | $77 | 11.9× |
| Thyroglobulin (84432) | $231 | $231 | 14.4× |
| Thyroglobulin Antibody (86800) | $199 | $199 | 12.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $633 | $633 | 12.4× |
| Thyroxine binding globulin (84442) | $214 | $214 | 14.5× |
| Tiss cul neo disorders solid tumor (88239) | $1,133 | $1,133 | 7.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $300 | $300 | 26.0× |
| Tissue Culture (88233) | $1,846 | $1,846 | 13.1× |
| Tissue Culture Amniotic Fluid (88235) | $1,639 | $1,639 | 10.9× |
| Tissue culture bone marrow (88237) | $2,333 | $2,333 | 16.2× |
| Tissue Culture Lymphocyte (88230) | $1,267 | $1,267 | 10.9× |
| Tobramycin peak (80200) | $185 | $185 | 11.5× |
| Topiramate (80201) | $162 | $162 | 13.6× |
| Total Tau (84394) | $432 | $432 | 3.4× |
| Touch prep (88161) | $391 | $391 | 12.6× |
| Toxoplasma ab igm (86778) | $193 | $193 | 13.4× |
| Toxoplasma antibody (86777) | $193 | $193 | 13.4× |
| Tp53 gene analysis targeted sequence analysis (81352) | $989 | $989 | 3.0× |
| Tpmt gene com variants (81335) | $1,624 | $1,624 | 9.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $105 | $105 | 20.3× |
| Transferrin (84466) | $175 | $175 | 13.7× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $1,545 | $1,545 | 7.4× |
| Trg gene rearrangement anal (81342) | $1,545 | $1,545 | 7.7× |
| Trichinella Antibody (86784) | $173 | $173 | 13.8× |
| Trichomonas vagin dir probe (87660) | $184 | $184 | 9.2× |
| Trichomonas Vaginalis Amplif (87661) | $393 | $393 | 11.2× |
| Triglycerides (84478) | $73 | $73 | 12.7× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$327–$367 | $327–$367 | varies |
| Tumor immunohistochem/comput (88361) | $2,167 | $2,167 | 5.6× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$560–$770 | $560–$770 | varies |
| Unlisted miscellaneous pathology test (89240) | $587 | $587 | 10.5× |
| Urea nitrogen urine (84540) | $64 | $64 | 11.5× |
| Uric acid other source (84560) | $70 | $70 | 13.8× |
| Urinalysis Microscopic Only (81015) | $64 | $64 | 21.0× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $33 | $33 | 15.2× |
| Urinalysis Volume Measure (81050) | $11 | $11 | 3.0× |
| Urine Bacteria Culture (87088) | $160 | $160 | 19.8× |
| Urine Pregnancy Test (81025) | $223 | $223 | 25.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $119 | $119 | 37.5× |
| Valproic acid (80164) | $252 | $252 | 18.6× |
| Vancomycin (80202) | $320 | $320 | 23.6× |
| Varicella-zoster antibody (86787) | $173 | $173 | 13.4× |
| Vasopressin (84588) | $423 | $423 | 12.5× |
| Very Long Chain Fatty Acids (82726) | $227 | $227 | 11.5× |
| Viral Culture (87252) | $373 | $373 | 14.3× |
| Virus antibody nos (86790) | $164 | $164 | 12.7× |
| Virus inoculate tissue addl (87253) | $232 | $232 | 11.5× |
| Virus inoculation, shell via (87254) | $244 | $244 | 12.5× |
| Viscosity serum (85810) | $133 | $133 | 11.4× |
| Vit D 1 25-Dihydroxy (82652) | $570 | $570 | 14.8× |
| Vitamin A (84590) | $168 | $168 | 14.5× |
| Vitamin b-12 (82607) | $219 | $219 | 14.5× |
| Vitamin B2 (Riboflavin) (84252) | $289 | $289 | 14.3× |
| Vitamin B6 (84207) | $403 | $403 | 14.3× |
| Vitamin c (82180) | $145 | $145 | 14.7× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$368–$404 | $368–$404 | varies |
| Vitamin E (84446) | $204 | $204 | 14.4× |
| Vitamin K (84597) | $172 | $172 | 12.5× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $544 | $544 | 45.1× |
| Von willebrand factor ag (85246) | $281 | $281 | 12.2× |
| Wbc Alkaline Phosphatase Count (85540) | $115 | $115 | 13.4× |
| West nile virus ab igm (86788) | $198 | $198 | 11.8× |
| West Nile Virus Antibody (86789) | $168 | $168 | 11.7× |
| Western Blot Test (84181) | $150 | $150 | 8.8× |
| Xm Archive Tissue Molec Anal (88363) | $199 | $199 | 6.4× |
| Zika Virus Dna/Rna Amp Probe (87662) | $640 | $640 | 12.5× |
| Zika Virus Igm Antibody (86794) | $226 | $226 | 13.4× |
| Zinc (84630) | $165 | $165 | 14.5× |
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.