Lab & pathology prices at Essentia Health St. Mary's Hospital - Superior
Superior, WI · every code in this section with a posted price and a Medicare benchmark.
689 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $76.86 | $104 | 6.9× |
| Abl1 gene analysis kinase domain variants (81170) | $461.88 | $625 | 1.5× |
| Acth (82024) | $167.75 | $227 | 4.3× |
| Actin smooth muscle antibody each (86015) | $17 | $23 | 1.4× |
| Acute hepatitis panel (80074) | $283.04 | $383 | 5.9× |
| Acylcarnitines Quant (82017) | $107.16 | $145 | 6.4× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$31.04–$41.38 | $42–$56 | varies |
| Albumin serum (82040) | $63.55 | $86 | 12.8× |
| Aldolase (82085) | $61.34 | $83 | 6.3× |
| Aldosterone urine (82088) | $150.76 | $204 | 3.7× |
| Alkaline phosphatase isoenzymes (84080) | $99.76 | $135 | 6.7× |
| Allergen specific ige (86003) | $50.99 | $69 | 9.8× |
| Allergen specific igg (86001) | $30.30 | $41 | 3.9× |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$26.60–$234.26 | $36–$317 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $98.29 | $133 | 6.8× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$105.68–$121.94 | $143–$165 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$22.17–$93.85 | $30–$127 | varies |
| Alt (sgpt) (84460) | $57.64 | $78 | 10.9× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $247.56 | $335 | 14.7× |
| Ammonia (82140) range across 2 matching MRF lines |
$114.54–$124.15 | $155–$168 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $190.66 | $258 | 1.9× |
| Amylase urine (82150) | $71.68 | $97 | 11.1× |
| Ana Titer (86039) | $55.42 | $75 | 5.0× |
| Anca screen each antibody (86036) | $25.86 | $35 | 2.1× |
| Angiotensin converting enzyme csf (82164) | $83.51 | $113 | 5.7× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $64.66 | $87.50 | 5.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$28.08–$98.29 | $38–$133 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $86.46 | $117 | 5.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $68.73 | $93 | 5.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$84.98–$93.11 | $115–$126 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$87.94–$104.20 | $119–$141 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $66.51 | $90 | 5.4× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$64.29–$69.47 | $87–$94 | varies |
| Antibody identification leukocyte antibodies (86021) | $141.89 | $192 | 9.4× |
| Antibody john cunningham virus (86711) | $1,339.81 | $1,813 | 79.3× |
| Antibody Protozoa Nes (86753) | $82.03 | $111 | 6.6× |
| Antibody Titer (86886) | $114.54 | $155 | 22.1× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$65.77–$71.68 | $89–$97 | varies |
| Antibody; campylobacter (86625) | $68.73 | $93 | 5.2× |
| Antigen typing (86905) range across 2 matching MRF lines |
$49.51–$183.27 | $67–$248 | varies |
| Antinuclear antibodies (86038) | $86.46 | $117 | 7.2× |
| Antistreptolysin o titer (86060) | $62.08 | $84 | 8.5× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$124.15–$143.37 | $168–$194 | varies |
| Antithrombin iii antigen (85301) | $117.50 | $159 | 10.9× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $2,283.51 | $3,090 | 4.5× |
| Apc gene full sequence (81201) | $1,378.97 | $1,866 | 1.8× |
| Apolipoprotein a1 (82172) | $61.34 | $83 | 2.9× |
| Arsenic (82175) | $110.85 | $150 | 5.8× |
| Assay activated protein c (85307) | $254.96 | $345 | 16.6× |
| Assay Blood Carbon Dioxide (82374) | $75.38 | $102 | 15.4× |
| Assay Nephelometry Not Spec (83883) | $110.85 | $150 | 8.2× |
| Assay of 5-hiaa (83497) | $113.07 | $153 | 8.8× |
| Assay of anti-mullerian hormone (82166) | $48.77 | $66 | 1.3× |
| Assay of blood/uric acid (84550) | $49.51 | $67 | 11.0× |
| Assay of calcium in urine (82340) | $54.69 | $74 | 9.1× |
| Assay of cpk in blood (82552) | $62.08 | $84 | 4.6× |
| Assay of estrone (82679) | $106.42 | $144 | 4.3× |
| Assay of g6pd enzyme (82955) | $69.47 | $94 | 7.2× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$68.73–$75.38 | $93–$102 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$14.78–$99.76 | $20–$135 | varies |
| Assay of manganese (83785) | $96.07 | $130 | 3.6× |
| Assay of metanephrines (83835) | $127.85 | $173 | 7.5× |
| Assay of procainamide (80190) | $48.04 | $65 | 0.8× |
| Assay of pyruvate (84210) | $65.03 | $88 | 4.5× |
| Assay of serum potassium (84132) | $61.34 | $83 | 12.9× |
| Assay of sweat sodium (84302) | $26.60 | $36 | 5.5× |
| Assay of urea nitrogen (84520) | $56.90 | $77 | 14.4× |
| Assay of urine vma (84585) | $87.94 | $119 | 5.7× |
| Assay of vasoactive intestinal peptide (84586) | $168.49 | $228 | 4.8× |
| Assay of vitamin b-1 (84425) | $126.37 | $171 | 6.0× |
| Assay Ph Body Fluid Nos (83986) | $36.21 | $49 | 10.1× |
| Assay Phosphohexose Enzymes (84087) | $67.25 | $91 | 6.3× |
| Assay spec xcp ur&breath ia (82077) | $28.82 | $39 | 1.7× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $297.82 | $403 | 1.8× |
| Automated Leukocyte Count (85048) | $41.38 | $56 | 16.3× |
| B cells total count (86355) range across 2 matching MRF lines |
$139.67–$148.54 | $189–$201 | varies |
| Bartonella antibody (86611) | $66.51 | $90 | 6.5× |
| Bcr/abl1 gene major bp (81206) | $527.65 | $714 | 3.2× |
| Bcr/abl1 gene minor bp (81207) | $179.58 | $243 | 1.2× |
| Bcr/Abl1 Gene Other Bp (81208) | $179.58 | $243 | 0.8× |
| Beta 2 glycoprotein i antibody each (86146) | $101.98 | $138 | 4.0× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$49.51–$65.03 | $67–$88 | varies |
| Beta Lactamase (87185) | $42.86 | $58 | 9.0× |
| Beta-2 Microglobulin (82232) | $144.10 | $195 | 8.9× |
| Bile acids total (82239) | $65.03 | $88 | 3.8× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$67.25–$69.47 | $91–$94 | varies |
| Bilirubin total (82247) | $55.42 | $75 | 11.0× |
| Bilirubin total transcutaneous (88720) | $73.16 | $99 | 14.6× |
| Blastomyces antibody (86612) | $81.29 | $110 | 6.3× |
| Bld Typing Serologic Rh Phnt (86906) | $80.55 | $109 | 10.4× |
| Blood Count Automated Differential Wbc Count (85004) | $42.86 | $58 | 6.6× |
| Blood count reticulocyte automated (85045) | $52.47 | $71 | 13.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $25.13 | $34 | 6.6× |
| Blood gas (82803) | $195.84 | $265 | 7.5× |
| Blood gases w/02 saturation (82805) | $67.25 | $91 | 0.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $83.51 | $113 | 5.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $33.99 | $46 | 7.8× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$62.82–$183.27 | $85–$248 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$36.95–$89.42 | $50–$121 | varies |
| Body fluid cell count (89050) | $75.38 | $102 | 16.0× |
| Bordetella antibody (86615) | $74.64 | $101 | 5.7× |
| Borrelia miyamotoi amp prb (87478) | $79.81 | $108 | 2.3× |
| Braf gene analysis (81210) | $294.12 | $398 | 1.7× |
| Brca1&2 gen full seq dup/del (81162) | $1,884.45 | $2,550 | 1.0× |
| Brca2 Gene Analysis Known Familial Variant (81217) | $376.15 | $509 | 1.0× |
| Breath Alcohol Test (82075) | $55.42 | $75 | 1.8× |
| Brucella antibody (86622) | $57.64 | $78 | 6.5× |
| C diff amplified probe (87493) | $164.06 | $222 | 4.4× |
| C-Peptide (84681) | $149.28 | $202 | 7.2× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$48.04–$82.03 | $65–$111 | varies |
| Ca 19-9 (86301) | $133.76 | $181 | 6.4× |
| Cadmium (82300) | $100.50 | $136 | 4.3× |
| Calcium ionized (82330) | $109.37 | $148 | 8.0× |
| Calcium total (82310) range across 2 matching MRF lines |
$10.35–$66.51 | $14–$90 | varies |
| Calculus Spectroscopy (82365) | $93.11 | $126 | 7.2× |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$17.74–$221.70 | $24–$300 | varies |
| Calr gene com variants (81219) | $365.80 | $495 | 3.0× |
| Cancer Antigen 125 (86304) | $141.15 | $191 | 6.8× |
| Cancer Antigen 27.29 (86300) | $160.36 | $217 | 7.7× |
| Candida antibody (86628) | $64.66 | $87.50 | 5.4× |
| Candida Dna Dir Probe (87480) | $69.47 | $94 | 3.5× |
| Carbamazepine total (80156) | $106.42 | $144 | 7.3× |
| Carboxyhemoglobin (82375) | $97.55 | $132 | 7.9× |
| Carcinoembryonic antigen (82378) | $129.32 | $175 | 6.8× |
| Cardiolipin ab iga (86147) | $144.84 | $196 | 5.7× |
| Carotene (82380) | $52.47 | $71 | 5.7× |
| Catecholamines fractionated (82384) | $121.94 | $165 | 4.8× |
| Ccp antibody (86200) | $133.76 | $181 | 10.3× |
| Cell count csf (89051) | $99.03 | $134 | 17.7× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $279.34 | $378 | 2.1× |
| Ceruloplasmin (82390) | $66.51 | $90 | 6.2× |
| Cftr gene com variants (81220) | $349.55 | $473 | 0.6× |
| Cftr gene dup/delet variants (81222) | $536.51 | $726 | 1.2× |
| Cftr gene full sequence (81223) | $537.25 | $727 | 1.1× |
| Chemiluminescent assay (82397) | $126.37 | $171 | 8.9× |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $443.40 | $600 | 1.7× |
| Chimerism w/comp to baseline w/o cell selection (81267) | $506.22 | $685 | 2.4× |
| Chlamydia antibody (86631) | $48.77 | $66 | 4.1× |
| Chlamydia Igm Antibody (86632) | $51.73 | $70 | 4.1× |
| Chloride other source (82438) | $32.52 | $44 | 6.5× |
| Chloride Serum (82435) | $66.51 | $90 | 14.5× |
| Chloride urine (82436) | $39.17 | $53 | 6.8× |
| Chlorinated Hydrocarbons Screen (82441) | $103.46 | $140 | 17.2× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$33.99–$45.82 | $46–$62 | varies |
| Cholinesterase Serum (82480) | $47.67 | $64.50 | 6.1× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$98.29–$100.50 | $133–$136 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $14.78 | $20 | 0.5× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $350.29 | $474 | 10.5× |
| Chromium serum (82495) | $88.68 | $120 | 4.4× |
| Chromogenic Substrate Assay (85130) | $243.87 | $330 | 20.5× |
| Chromogranin a (86316) | $127.85 | $173 | 6.1× |
| Chromosome Analysis 15-20 (88262) | $899.36 | $1,217 | 7.2× |
| Chromosome Analysis 20-25 (88264) | $397.58 | $538 | 2.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$50.99–$128.59 | $69–$174 | varies |
| Citric acid urine (82507) | $121.94 | $165 | 4.4× |
| Clostridium Difficile (87324) | $95.33 | $129 | 8.0× |
| Clot Factor VIII Multimetric (85247) | $184.75 | $250 | 8.1× |
| Clotting factor xii hageman (85280) | $147.06 | $199 | 7.6× |
| Clotting Funct Activity (85397) | $186.23 | $252 | 6.0× |
| Cns DNA amp probe type 12-25 (87483) | $514.34 | $696 | 1.2× |
| Coagulation time activated (85347) | $70.20 | $95 | 16.4× |
| Coccidioides antibody (86635) | $75.38 | $102 | 6.6× |
| Column Chromotography Quant (82542) | $135.24 | $183 | 5.6× |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $205.44 | $278 | 0.9× |
| Compatibility test antiglob (86922) | $127.85 | $173 | 0.8× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$82.77–$86.46 | $112–$117 | varies |
| Complement Total (Ch50) (86162) | $94.59 | $128 | 4.7× |
| Complement/Function Activity (86161) | $93.11 | $126 | 7.8× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $405.71 | $549 | 2.4× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$114.54–$152.23 | $155–$206 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $252 | $341 | 6.9× |
| Coombs direct (86880) range across 2 matching MRF lines |
$29.56–$61.34 | $40–$83 | varies |
| Copper urine (82525) | $132.28 | $179 | 10.7× |
| Cortisol free (82530) | $97.55 | $132 | 5.8× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$114.54–$147.06 | $155–$199 | varies |
| Creatine (82540) | $50.99 | $69 | 11.0× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$56.90–$65.03 | $77–$88 | varies |
| Creatinine blood (82565) | $69.47 | $94 | 13.6× |
| Creatinine clearance (82575) | $127.85 | $173 | 13.5× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$53.21–$54.69 | $72–$74 | varies |
| Crossmatch electronic (86923) | $110.11 | $149 | 0.7× |
| Crossmatch immediate spin (86920) | $124.15 | $168 | 0.7× |
| Crp High Sensitivity (86141) | $78.33 | $106 | 6.0× |
| Cryofibrinogen (82585) | $59.12 | $80 | 4.2× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$8.87–$76.86 | $12–$104 | varies |
| Cryptococcal Antigen (87327) | $65.03 | $88 | 4.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$71.68–$136.72 | $97–$185 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 3 matching MRF lines |
$79.81–$101.24 | $108–$137 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $75.38 | $102 | 9.8× |
| Culture aerobic quant other (87071) | $70.20 | $95 | 7.1× |
| Culture afb (87116) | $84.25 | $114 | 7.8× |
| Culture Anaerobic (87075) | $118.24 | $160 | 12.5× |
| Culture blood (87040) | $151.50 | $205 | 14.7× |
| Culture csf (87070) | $99.03 | $134 | 11.5× |
| Culture fungus (87102) range across 2 matching MRF lines |
$87.20–$110.11 | $118–$149 | varies |
| Culture fungus blood (87103) | $57.64 | $78 | 2.8× |
| Culture screen only (87081) range across 2 matching MRF lines |
$49.51–$94.59 | $67–$128 | varies |
| Culture stool (87045) | $49.51 | $67 | 5.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$24.39–$41.38 | $33–$56 | varies |
| Culture urine (87086) | $82.77 | $112 | 10.3× |
| Cyanide (82600) | $102.72 | $139 | 5.3× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $72.42 | $98 | 5.1× |
| Cyclosporine (80158) | $117.50 | $159 | 6.5× |
| Cyp2c19 gene analysis common variants (81225) | $461.88 | $625 | 1.6× |
| Cyp2c9 gene com variants (81227) | $528.38 | $715 | 3.0× |
| Cyp2d6 gene com variants (81226) | $370.24 | $501 | 0.8× |
| Cystatin C (82610) | $92.38 | $125 | 5.0× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$81.29–$84.98 | $110–$115 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) | $1,384.89 | $1,874 | 1.5× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$798.12–$1,795.77 | $1,080–$2,430 | varies |
| Cytomegalovirus igg (86644) | $81.29 | $110 | 5.6× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$91.64–$92.38 | $124–$125 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$280.82–$340.68 | $380–$461 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $147.06 | $199 | 4.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $261.61 | $354 | 5.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $116.76 | $158 | 0.7× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $116.02 | $157 | 3.2× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $325.90 | $441 | 2.0× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $132.28 | $179 | 4.7× |
| Deoxyribonuclease antibody (86215) | $82.77 | $112 | 6.2× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$187.71–$338.46 | $254–$458 | varies |
| Detect Agent Nos Dna Quant (87799) | $219.48 | $297 | 5.1× |
| Detect agnt mult DNA ampli (87801) | $77.60 | $105 | 1.1× |
| Dgp Antibody Each Ig Class (86258) | $25.86 | $35 | 2.1× |
| Dhea (82626) | $143.37 | $194 | 5.7× |
| Dhea-S (82627) | $144.10 | $195 | 6.5× |
| Digoxin (80162) | $111.59 | $151 | 8.4× |
| Dipropylacetic Acid Free (80165) | $103.46 | $140 | 7.6× |
| Dna Antibody Native/Double Stranded (86225) | $84.25 | $114 | 6.1× |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$36.95–$128.59 | $50–$174 | varies |
| Dna/Rna Sequencing (87153) | $117.50 | $159 | 1.0× |
| Dpyd gene common variants (81232) | $532.08 | $720 | 3.0× |
| Drug assay acetaminophen (80143) | $30.30 | $41 | 1.6× |
| Drug assay adalimumab (80145) | $232.78 | $315 | 6.0× |
| Drug Assay Amiodarone (80151) | $24.39 | $33 | 1.3× |
| Drug Assay Everolimus (80169) | $192.88 | $261 | 14.0× |
| Drug assay felbamate (80167) | $47.30 | $64 | 2.5× |
| Drug Assay Infliximab (80230) | $166.28 | $225 | 4.3× |
| Drug Assay Itraconazole (80189) | $48.04 | $65 | 1.8× |
| Drug Assay Lacosamide (80235) | $105.68 | $143 | 3.9× |
| Drug Assay Leflunomide (80193) | $27.34 | $37 | 0.7× |
| Drug Assay Posaconazole (80187) | $52.47 | $71 | 1.9× |
| Drug Assay Vedolizumab (80280) | $255.69 | $346 | 6.6× |
| Drug assay voriconazole (80285) | $70.94 | $96 | 2.6× |
| Drug Asy Hydroxychloroquine (80220) | $60.60 | $82 | 3.3× |
| Drug Screen Quant Clozapine (80159) | $83.51 | $113 | 4.1× |
| Drug Screen Quant Zonisamide (80203) | $96.81 | $131 | 7.3× |
| Drug Screen Quantitative Gabapentin (80171) | $79.81 | $108 | 3.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $92.38 | $125 | 7.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $107.16 | $145 | 8.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $85.72 | $116 | 6.5× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $48.04 | $65 | 2.9× |
| Drug Screen Quantitative Tiagabine (80199) | $44.34 | $60 | 1.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 6 matching MRF lines |
$55.42–$301.51 | $75–$408 | varies |
| Egfr Gene Analysis Common Variants (81235) | $1,141.75 | $1,545 | 3.5× |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$99.03–$178.84 | $134–$242 | varies |
| El-1 Fecal Quantitative (82653) range across 2 matching MRF lines |
$20.69–$88.68 | $28–$120 | varies |
| Electrolyte panel (80051) | $92.38 | $125 | 13.2× |
| Electron Microscopy (88348) | $901.58 | $1,220 | 1.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $86.09 | $116.50 | 1.4× |
| Enterovirus Antibody (86658) | $53.21 | $72 | 4.1× |
| Enterovirus PCR (87498) | $270.47 | $366 | 7.7× |
| Enzyme cell activity (82657) | $36.21 | $49 | 1.6× |
| Enzyme histochemistry (88319) | $163.32 | $221 | 0.2× |
| Eosinophil Smear (89190) | $78.33 | $106 | 13.5× |
| Erythropoietin (82668) | $130.80 | $177 | 7.0× |
| Estradiol serum (82670) | $195.84 | $265 | 7.0× |
| Estrogens fractionated (82671) | $224.66 | $304 | 7.0× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$67.25–$76.86 | $91–$104 | varies |
| F2 Gene (81240) | $448.57 | $607 | 6.8× |
| Factor ii activity (85210) range across 2 matching MRF lines |
$96.81–$139.67 | $131–$189 | varies |
| Factor ix activity (85250) | $147.06 | $199 | 7.7× |
| Factor v activity (85220) range across 2 matching MRF lines |
$135.98–$158.88 | $184–$215 | varies |
| Factor v leiden mutation (81241) | $313.34 | $424 | 4.3× |
| Factor vii assay (85230) | $171.45 | $232 | 9.6× |
| Factor viii assay (85240) | $147.06 | $199 | 8.2× |
| Factor X (85260) | $159.62 | $216 | 8.9× |
| Factor xi activity (85270) | $144.10 | $195 | 8.1× |
| Factor xiii screen (85291) | $76.12 | $103 | 8.4× |
| Fat/Lipids Feces Quantitative (82710) | $127.11 | $172 | 7.6× |
| Fatty acids free (82725) | $36.21 | $49 | 1.9× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $141.89 | $192 | 8.3× |
| Fecal Fat Qualitative (82705) | $22.91 | $31 | 4.5× |
| Ferritin (82728) range across 2 matching MRF lines |
$118.98–$161.84 | $161–$219 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $269.74 | $365 | 1.8× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $70.20 | $95 | 1.3× |
| Fetal Fibronectin (82731) | $444.88 | $602 | 6.9× |
| Fetal screen rosette (85461) | $118.98 | $161 | 12.7× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$123.41–$124.15 | $167–$168 | varies |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$8.87–$99.76 | $12–$135 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $126.37 | $171 | 8.2× |
| Flecainide level (80181) | $48.04 | $65 | 2.6× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$59.12–$242.39 | $80–$328 | varies |
| Flt3 Gene (81245) | $276.39 | $374 | 1.7× |
| Flt3 gene analysis (81246) | $496.61 | $672 | 6.0× |
| Fluorescent antibody screen (86255) | $117.50 | $159 | 9.8× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $90.90 | $123 | 7.5× |
| Fluoride serum (82735) | $110.11 | $149 | 5.9× |
| Fmr1 Gene Charac Alleles (81244) | $163.32 | $221 | 3.6× |
| Fmr1 gene detection (81243) | $322.20 | $436 | 5.6× |
| Folic acid rbc (82747) | $94.59 | $128 | 5.4× |
| Folic Acid Serum (82746) | $143.37 | $194 | 9.8× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$11.82–$104.94 | $16–$142 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $30.30 | $41 | 0.2× |
| Frozen Section (88331) | $266.04 | $360 | 1.6× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$30.30–$56.16 | $41–$76 | varies |
| Galectin-3 (82777) | $91.64 | $124 | 2.1× |
| Gammaglobulin ige (82785) | $82.03 | $111 | 5.0× |
| Gardner vag DNA dir probe (87510) | $69.47 | $94 | 3.5× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $81.29 | $110 | 8.3× |
| Gases blood ph only (82800) | $84.98 | $115 | 7.7× |
| Gastrin (82941) | $96.07 | $130 | 5.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$728.65–$758.95 | $986–$1,027 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,121.67 | $2,871 | 2.8× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $3,502.86 | $4,740 | 1.2× |
| Genetic Tstg Severe Inh Cond (81443) | $1,945.79 | $2,633 | 0.8× |
| Gentamicin (80170) | $120.46 | $163 | 7.4× |
| Ggt (82977) | $62.82 | $85 | 8.7× |
| Glucose 2 hr pp (82950) | $55.42 | $75 | 11.7× |
| Glucose Blood Test (82962) | $37.69 | $51 | 11.5× |
| Glucose body fluid (82945) | $60.60 | $82 | 15.4× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$19.21–$54.69 | $26–$74 | varies |
| Glucose tolerance test (gtt) (82951) | $117.50 | $159 | 9.1× |
| Glucosidase beta (82963) | $106.42 | $144 | 5.0× |
| Glycated Protein (82985) | $57.64 | $78 | 3.4× |
| Gonadotropin Chorionic Qualitative (84703) | $75.38 | $102 | 10.0× |
| Growth hormone (83003) | $80.55 | $109 | 4.8× |
| Gtt-added samples (82952) | $62.08 | $84 | 15.8× |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$90.90–$286.73 | $123–$388 | varies |
| Haloperidol (80173) | $62.08 | $84 | 3.9× |
| Haptoglobin (83010) | $101.98 | $138 | 8.1× |
| Hba1/hba2 full gene sequence (81259) | $562.38 | $761 | 0.9× |
| Hba1/Hba2 Gene (81257) | $94.59 | $128 | 0.9× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $309.64 | $419 | 1.5× |
| Hbb duplication/deletion variants (81363) | $310.38 | $420 | 1.5× |
| Hbb Full Gene Sequence (81364) | $89.42 | $121 | 0.3× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$39.91–$45.82 | $54–$62 | varies |
| Helicobacter Pylori Stool (87338) | $131.54 | $178 | 9.1× |
| Helminth Antibody (86682) | $96.81 | $131 | 7.4× |
| Hematocrit (85014) | $47.30 | $64 | 20.0× |
| Hemoglobin (85018) | $46.56 | $63 | 19.6× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$11.08–$73.90 | $15–$100 | varies |
| Hemoglobin Chromotography (83021) | $91.64 | $124 | 5.1× |
| Hemoglobin electrophoresis (83020) | $74.64 | $101 | 5.8× |
| Hemoglobin Methemoglobin Quantitative (83050) | $59.12 | $80 | 7.2× |
| Hemosiderin urine (83070) | $29.56 | $40 | 6.2× |
| Hep a ab igm (86709) | $84.25 | $114 | 7.5× |
| Heparin assay (85520) | $107.89 | $146 | 8.2× |
| Hepatitis a antibody total (86708) | $77.60 | $105 | 6.3× |
| Hepatitis b core ab igm (86705) | $101.24 | $137 | 8.6× |
| Hepatitis b core ab total (86704) | $137.45 | $186 | 11.4× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$12.56–$123.41 | $17–$167 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$87.20–$113.07 | $118–$153 | varies |
| Hepatitis Be Antibody (86707) | $53.21 | $72 | 4.6× |
| Hepatitis Be Antigen (87350) | $58.38 | $79 | 5.1× |
| Hepatitis C Antibody (86803) | $113.07 | $153 | 7.9× |
| Hepatitis C Genotype (87902) | $679.88 | $920 | 2.6× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$39.91–$118.24 | $54–$160 | varies |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $1,773.60 | $2,400 | 1.4× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$73.90–$81.29 | $100–$110 | varies |
| Heterophile Antibody Screen (86308) | $63.55 | $86 | 12.3× |
| Hfe Gene (81256) | $402.76 | $545 | 6.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $203.22 | $275 | 26.3× |
| Histamine urine (83088) | $95.33 | $129 | 3.2× |
| Histoplasma antibody (86698) | $99.76 | $135 | 7.2× |
| Histoplasma antigen urine (87385) | $138.93 | $188 | 10.5× |
| Hiv Genotype (87901) | $596.37 | $807 | 2.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $89.42 | $121 | 3.7× |
| Hiv-1 Antibody (86701) | $87.94 | $119 | 9.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$75.38–$342.90 | $102–$464 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $103.46 | $140 | 2.9× |
| Hla Class I Typing Low Resolution Complete (81372) | $390.93 | $529 | 1.0× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $229.83 | $311 | 1.8× |
| Hla class i&ii antibody qual (86828) | $92.38 | $125 | 1.4× |
| Hla I Typing 1 Allele Hr (81381) | $421.23 | $570 | 2.5× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $346.59 | $469 | 1.6× |
| Hla ii typing 1 locus lr (81376) | $380.58 | $515 | 3.1× |
| Hla Typing a/B/C Multiple Antigens (86813) | $316.29 | $428 | 5.5× |
| Hla-b27 (86812) | $148.54 | $201 | 5.8× |
| Homocysteine (83090) range across 2 matching MRF lines |
$118.98–$130.80 | $161–$177 | varies |
| Homogenization Tissue (87176) | $14.04 | $19 | 2.4× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$144.84–$167.01 | $196–$226 | varies |
| Hpv sep hi-rsk typ&pool rslt (87626) range across 2 matching MRF lines |
$50.99–$62.08 | $69–$84 | varies |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$164.06–$172.19 | $222–$233 | varies |
| Htt Gene Detc Abnor Alleles (81271) | $221.70 | $300 | 1.6× |
| Hydroxyprogesterone 17-d (83498) | $125.63 | $170 | 4.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $222.44 | $301 | 6.3× |
| Iadna Candida Species Amplified Probe Tq (87481) | $40.64 | $55 | 1.2× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $276.39 | $374 | 7.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $167.01 | $226 | 4.8× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$65.03–$262.34 | $88–$355 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $161.10 | $218 | 2.3× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$55.42–$261.61 | $75–$354 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $121.20 | $164 | 3.5× |
| Iadna Herpes Virus-6 Quantification (87533) | $230.57 | $312 | 5.5× |
| Iadna Hiv-2 Quant & Reverse Transcription (87539) | $287.47 | $389 | 4.9× |
| Iadna Multiple Organisms Direct Probe Tq (87800) range across 2 matching MRF lines |
$13.30–$147.80 | $18–$200 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $309.64 | $419 | 7.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $109.37 | $148 | 3.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$17.74–$125.63 | $24–$170 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $289.69 | $392 | 2.0× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $278.60 | $377 | 1.1× |
| Ig Light Chains Free Each (83521) | $55.42 | $75 | 3.2× |
| Igg subclasses (82787) | $162.58 | $220 | 20.3× |
| Igh gene rearrange amp meth (81261) | $446.36 | $604 | 2.3× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $522.47 | $707 | 1.8× |
| Igk rearrangeabn clonal pop (81264) | $310.38 | $420 | 1.8× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $266.04 | $360 | 0.8× |
| Immune Complex Assay (86332) | $115.28 | $156 | 4.7× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$120.46–$157.41 | $163–$213 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $148.54 | $201 | 8.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $70.94 | $96 | 4.7× |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$89.42–$91.64 | $121–$124 | varies |
| Immunodiffusion Ouchterlony (86331) | $67.99 | $92 | 5.7× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$145.58–$164.80 | $197–$223 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$185.49–$191.40 | $251–$259 | varies |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$162.58–$236.48 | $220–$320 | varies |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$337.72–$376.89 | $457–$510 | varies |
| In situ hybridization ea multiplex probe stain (88366) | $407.93 | $552 | 2.5× |
| Influenza assay w/optic (87804) | $62.08 | $84 | 3.8× |
| Influenza DNA amp probe (87502) | $241.65 | $327 | 2.5× |
| Inherited Cardmypthy 5 Gns (81439) | $2,616.06 | $3,540 | 4.5× |
| Inhibin b (83520) range across 2 matching MRF lines |
$118.24–$129.32 | $160–$175 | varies |
| Insulin antibodies (86337) | $149.28 | $202 | 7.0× |
| Insulin total (83525) range across 2 matching MRF lines |
$72.42–$73.16 | $98–$99 | varies |
| Interleukin-6 (83529) | $88.68 | $120 | 5.1× |
| Intrinsic factor antibody (86340) | $96.81 | $131 | 6.4× |
| Iron (83540) | $80.55 | $109 | 12.4× |
| Iron Binding Capacity (83550) | $11.82 | $16 | 1.4× |
| Islet cell antibody (86341) | $125.63 | $170 | 5.3× |
| Jak2 gene analysis p.val617phe variant (81270) | $439.70 | $595 | 4.8× |
| Kit Gene Analysis D816 Variant(S) (81273) | $617.80 | $836 | 4.9× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $877.93 | $1,188 | 2.7× |
| Koh Prep (87220) | $49.51 | $67 | 11.6× |
| Kras Gene Variants Exon 2 (81275) | $593.42 | $803 | 3.1× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$53.95–$65.77 | $73–$89 | varies |
| Lactoferrin fecal qualitative (83630) | $86.46 | $117 | 4.4× |
| LDL direct (83721) | $70.94 | $96 | 6.8× |
| Lead (83655) range across 2 matching MRF lines |
$78.33–$122.67 | $106–$166 | varies |
| Legionella antibody (86713) | $59.12 | $80 | 3.9× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$128.59–$130.06 | $174–$176 | varies |
| Leptospira antibody (86720) | $48.77 | $66 | 3.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $89.42 | $121 | 3.2× |
| Level ii surg pathology grossµscopic exam (88302) | $110.85 | $150 | 3.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $450.05 | $609 | 1.3× |
| Lipase (83690) | $78.33 | $106 | 11.4× |
| Lipoprotein A (83695) | $65.77 | $89 | 4.6× |
| Lipoprotein Bld Quan Part (83704) | $91.64 | $124 | 2.7× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $67.25 | $91 | 6.0× |
| Lithium (80178) | $70.20 | $95 | 10.6× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$104.94–$145.58 | $142–$197 | varies |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$97.55–$99.76 | $132–$135 | varies |
| Lymphocyte transformation (86353) | $218.74 | $296 | 4.5× |
| Lysozyme serum (85549) | $99.76 | $135 | 5.3× |
| M. Genitalium Amp Probe (87563) | $101.98 | $138 | 2.9× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$451.53–$1,268.12 | $611–$1,716 | varies |
| Macroscopic Exam Parasite (87169) | $53.21 | $72 | 12.3× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$85.72–$88.68 | $116–$120 | varies |
| Mass Spectrometry Quant (83789) | $171.45 | $232 | 7.1× |
| Mercury urine (83825) | $93.11 | $126 | 5.7× |
| Metabolic panel ionized ca (80047) | $158.15 | $214 | 11.5× |
| Methotrexate (80204) | $40.64 | $55 | 1.1× |
| Methylmalonic acid serum (83921) | $135.98 | $184 | 6.4× |
| Mgmt methylation analysis (81287) | $403.49 | $546 | 3.2× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$10.35–$78.33 | $14–$106 | varies |
| Microsatellite instability (81301) | $301.51 | $408 | 0.9× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$84.98–$90.16 | $115–$122 | varies |
| Mitochondrial Antibody Each (86381) | $9.61 | $13 | 0.4× |
| Mlh1 Gene (81288) | $433.05 | $586 | 2.3× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $407.93 | $552 | 0.6× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 5 matching MRF lines |
$14.04–$156.67 | $19–$212 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $167.01 | $226 | 3.9× |
| Molecular Pathology Procedure Level 3 (81402) | $665.10 | $900 | 4.4× |
| Molecular Pathology Procedure Level 6 (81405) | $991 | $1,341 | 3.3× |
| Mononuclear cell antigen (86356) | $203.96 | $276 | 7.6× |
| Mopath procedure level 1 (81400) | $311.12 | $421 | 4.9× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$188.44–$1,254.82 | $255–$1,698 | varies |
| Mopath procedure level 4 (81403) | $421.23 | $570 | 2.3× |
| Mopath procedure level 5 (81404) | $594.16 | $804 | 2.2× |
| Mopath procedure level 7 (81406) | $2,558.42 | $3,462 | 9.0× |
| Mopath procedure level 8 (81407) | $1,195.70 | $1,618 | 1.4× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$137.45–$354.72 | $186–$480 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $122.67 | $166 | 1.9× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$77.60–$82.03 | $105–$111 | varies |
| Mycophenolic Acid (80180) | $101.24 | $137 | 5.6× |
| Mycoplasma antibody (86738) | $70.94 | $96 | 5.4× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $620.76 | $840 | 3.5× |
| Myoglobin urine (83874) | $90.90 | $123 | 7.0× |
| Natriuretic peptide (83880) | $204.70 | $277 | 5.2× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $212.83 | $288 | 1.7× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $158.15 | $214 | 1.1× |
| Nfct ds bv&vaginitis DNA alg (81515) | $233.52 | $316 | 0.9× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $261.61 | $354 | 1.0× |
| Nfct ds chrnc hcv 6 assays (81596) | $221.70 | $300 | 3.1× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $341.42 | $462 | 2.7× |
| Niacin (84591) | $108.63 | $147 | 6.4× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$122.67–$127.85 | $166–$173 | varies |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $470 | $636 | 1.9× |
| Nras gene variants exon 2&3 (81311) | $1,959.09 | $2,651 | 6.6× |
| Nuclear antigen antibody (86235) | $95.33 | $129 | 5.3× |
| Occult blood feces (82272) | $40.64 | $55 | 9.6× |
| Occult Blood Other Sources (82271) | $45.82 | $62 | 8.6× |
| Oligoclonal bands (83916) | $107.16 | $145 | 3.9× |
| Organic Acids Qualitative Each Specimen (83919) | $110.85 | $150 | 6.7× |
| Osmolality serum (83930) | $68.73 | $93 | 10.4× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$14.78–$65.77 | $20–$89 | varies |
| Ova and parasites smears (87177) | $64.29 | $87 | 7.2× |
| Pancreatic Elastase Fecal (82656) | $158.88 | $215 | 13.8× |
| Parvovirus antibody (86747) | $158.88 | $215 | 10.6× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $460.40 | $623 | 0.6× |
| Ph urine (81003) range across 2 matching MRF lines |
$36.21–$36.95 | $49–$50 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$76.86–$103.46 | $104–$140 | varies |
| Phenotype Infect Agent Drug (87900) | $313.34 | $424 | 2.4× |
| Phenylalanine (84030) | $141.89 | $192 | 25.8× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$94.59–$110.11 | $128–$149 | varies |
| Phenytoin free (80186) | $76.86 | $104 | 5.6× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$63.55–$67.25 | $86–$91 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $77.60 | $105 | 4.3× |
| Phosphorus Serum (84100) range across 3 matching MRF lines |
$23.65–$64.29 | $32–$87 | varies |
| Phosphorus urine (84105) | $33.99 | $46 | 5.9× |
| Platelet Aggregation (85576) | $146.32 | $198 | 5.9× |
| Platelet Antibodies (86022) | $250.52 | $339 | 13.6× |
| Platelet count automated (85049) | $59.86 | $81 | 13.4× |
| Platelet neutralization (85597) | $86.46 | $117 | 4.8× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $515.82 | $698 | 2.5× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $526.17 | $712 | 0.7× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $252.74 | $342 | 1.2× |
| Pms2 gene full seq analysis (81317) | $890.50 | $1,205 | 1.3× |
| Pneumcysts jirovecii amp prb (87594) range across 2 matching MRF lines |
$31.04–$88.68 | $42–$120 | varies |
| Porphobilinogen, urine; quantitative (84110) | $52.47 | $71 | 6.2× |
| Porphyrins Feces Quantitative (84126) | $124.89 | $169 | 3.2× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $53.95 | $73 | 3.7× |
| Potassium Urine (84133) | $62.82 | $85 | 13.3× |
| Prealbumin (84134) | $92.38 | $125 | 6.3× |
| Pregnenolone (84140) | $96.07 | $130 | 4.6× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $51.73 | $70 | 0.3× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 2 matching MRF lines |
$44.34–$84.25 | $60–$114 | varies |
| Primidone (80188) | $104.94 | $142 | 6.3× |
| Procalcitonin (Pct) (84145) | $203.96 | $276 | 7.5× |
| Progesterone (84144) | $136.72 | $185 | 6.6× |
| Prolactin (84146) range across 2 matching MRF lines |
$107.16–$113.07 | $145–$153 | varies |
| Prostaglandin (84150) | $274.91 | $372 | 6.6× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$24.39–$51.73 | $33–$70 | varies |
| Protein C Activity (85303) | $212.09 | $287 | 15.3× |
| Protein c antigen (85302) | $141.89 | $192 | 11.8× |
| Protein Electrophoresis Urine (84166) | $107.16 | $145 | 6.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $93.11 | $126 | 8.7× |
| Protein S Free (85306) | $148.54 | $201 | 9.7× |
| Protein s total (85305) | $161.84 | $219 | 13.9× |
| Protein total serum (84155) | $54.69 | $74 | 14.9× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$22.91–$50.25 | $31–$68 | varies |
| Protein Western Blot Test (84182) | $203.96 | $276 | 7.0× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $60.60 | $82 | 15.4× |
| PSA free (84154) | $87.94 | $119 | 4.8× |
| Pth Intact (83970) | $411.62 | $557 | 10.0× |
| Pyruvate kinase (84220) | $66.51 | $90 | 7.0× |
| Q Fever Antibody (86638) | $56.16 | $76 | 4.6× |
| Quantiferon tb gold plus (86480) | $162.58 | $220 | 2.6× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$91.64–$142.63 | $124–$193 | varies |
| Quantitative Screen Metals (83018) | $121.20 | $164 | 5.5× |
| Quinidine (80194) | $36.95 | $50 | 2.5× |
| Rbc antibody elution (86860) | $50.99 | $69 | 0.3× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$172.19–$203.96 | $233–$276 | varies |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$95.33–$198.05 | $129–$268 | varies |
| Rbc pretreatment serum (86978) | $61.34 | $83 | 1.1× |
| Rbc pretx incubatj w/enzymes (86971) | $50.25 | $68 | 0.3× |
| Renin activity plasma (84244) | $129.32 | $175 | 5.9× |
| Reptilase test (85635) | $65.03 | $88 | 6.6× |
| Resp virus 12-25 targets (87633) | $454.48 | $615 | 1.1× |
| Resp Virus 6-11 Targets (87632) | $406.45 | $550 | 1.9× |
| Reticulocyte Count (85046) | $112.33 | $152 | 20.2× |
| Rh (86901) range across 2 matching MRF lines |
$36.95–$53.95 | $50–$73 | varies |
| Rheumatoid factor quant (86431) | $59.86 | $81 | 10.6× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$33.26–$45.08 | $45–$61 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$60.60–$95.33 | $82–$129 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$80.55–$81.29 | $109–$110 | varies |
| Rufinamide (80210) | $64.29 | $87 | 2.4× |
| Russell Viper Venom Time Diluted (85613) | $91.64 | $124 | 9.6× |
| Salicylate Level (80179) | $30.30 | $41 | 1.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$88.68–$133.76 | $120–$181 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$55.42–$69.47 | $75–$94 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $158.88 | $215 | 1.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $208.40 | $282 | 1.5× |
| Sedimentation Rate, Automated (85652) | $43.60 | $59 | 16.1× |
| Selenium (84255) | $111.59 | $151 | 4.4× |
| Semen Anal Sperm Detection (89321) | $83.51 | $113 | 6.9× |
| Semen analysis complete (89322) | $148.54 | $201 | 9.6× |
| Semen analysis complete (89320) | $92.38 | $125 | 7.5× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$73.90–$85.72 | $100–$116 | varies |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$42.86–$82.77 | $58–$112 | varies |
| Sirolimus (80195) | $98.29 | $133 | 7.2× |
| Skin test tuberculosis intradermal (86580) | $42.86 | $58 | 1.5× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$50.25–$50.99 | $68–$69 | varies |
| Smear complex stain (87209) | $67.25 | $91 | 3.7× |
| Smear gram stain (87205) | $51.73 | $70 | 12.1× |
| Smear Special Stain (87207) | $115.28 | $156 | 19.2× |
| Smn1 Gene Dos/Deletion Alys (81329) | $527.65 | $714 | 3.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$11.82–$53.95 | $16–$73 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $462.61 | $626 | 9.1× |
| Sodium Serum (84295) | $56.90 | $77 | 11.8× |
| Sodium Urine (84300) | $47.30 | $64 | 9.3× |
| Soluble fibrin monomer (85366) | $129.32 | $175 | 1.6× |
| Somatomedin (84305) | $129.32 | $175 | 6.1× |
| Somatostatin (84307) | $217.27 | $294 | 11.9× |
| Special Stains Group 1 (88312) | $172.93 | $234 | 3.4× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$141.15–$157.41 | $191–$213 | varies |
| Specimen infect agnt concntj (87015) | $47.30 | $64 | 7.1× |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$83.51–$184.75 | $113–$250 | varies |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $110.11 | $149 | 2.2× |
| Splitting Blood/Blood Products Each Unit (86985) | $36.21 | $49 | 0.2× |
| Strep a assay w/optic (87880) | $69.47 | $94 | 4.2× |
| Strep a DNA amp probe (87651) | $99.76 | $135 | 2.8× |
| Strep b DNA amp probe (87653) | $145.58 | $197 | 4.1× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $53.95 | $73 | 0.6× |
| Sugars Single Qual (84376) | $70.20 | $95 | 12.8× |
| Sulfate urine (84392) | $77.60 | $105 | 14.1× |
| Surg path level iii (88304) | $150.76 | $204 | 3.0× |
| Surgical pathology level IV (88305) | $207.66 | $281 | 4.1× |
| Surgical pathology level vi (88309) | $605.98 | $820 | 0.8× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $48.04 | $65 | 10.1× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $97.55 | $132 | 13.0× |
| Syphilis Test Non-Trep Quant (86593) | $13.30 | $18 | 3.0× |
| T cells absolute cd4 count (86361) | $170.71 | $231 | 6.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$158.88–$159.62 | $215–$216 | varies |
| T cells total count (86359) | $134.50 | $182 | 3.6× |
| T3 Free (84481) | $156.67 | $212 | 9.2× |
| T3 reverse (84482) | $99.76 | $135 | 6.3× |
| T3 Total (84480) | $83.51 | $113 | 5.9× |
| T4 Free (84439) range across 2 matching MRF lines |
$39.17–$80.55 | $53–$109 | varies |
| T4 total (84436) | $52.47 | $71 | 7.6× |
| Tacrolimus (80197) | $179.58 | $243 | 13.1× |
| Tb ag response t-cell susp (86481) range across 2 matching MRF lines |
$117.50–$161.84 | $159–$219 | varies |
| Testosterone Bioavailable (84410) | $74.64 | $101 | 1.5× |
| Testosterone total (84403) range across 2 matching MRF lines |
$110.85–$140.41 | $150–$190 | varies |
| Testosterone, Free (84402) | $112.33 | $152 | 4.4× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $975.48 | $1,320 | 1.6× |
| Theophylline (80198) | $126.37 | $171 | 8.9× |
| Thiopurine methyltransferase (84433) | $119.72 | $162 | 5.4× |
| Thrombin Time (85670) | $73.16 | $99 | 12.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $75.38 | $102 | 11.7× |
| Thyroglobulin (84432) | $97.55 | $132 | 6.1× |
| Thyroglobulin Antibody (86800) | $87.94 | $119 | 5.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $251.26 | $340 | 4.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$13.30–$20.69 | $18–$28 | varies |
| Tissue culture bone marrow (88237) | $625.93 | $847 | 4.4× |
| Tissue Culture Lymphocyte (88230) | $473.70 | $641 | 4.1× |
| Topiramate (80201) | $87.20 | $118 | 7.3× |
| Toxoplasma ab igm (86778) | $83.51 | $113 | 5.8× |
| Toxoplasma antibody (86777) | $78.33 | $106 | 5.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $58.38 | $79 | 11.3× |
| Transferrin (84466) | $128.59 | $174 | 10.1× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $375.41 | $508 | 1.8× |
| Trg gene rearrangement anal (81342) | $453.01 | $613 | 2.2× |
| Trichomonas vagin dir probe (87660) | $59.12 | $80 | 2.9× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$40.64–$138.19 | $55–$187 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$52.47–$59.86 | $71–$81 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$33.26–$142.63 | $45–$193 | varies |
| Tumor immunohistochem/comput (88361) | $110.11 | $149 | 0.3× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$259.39–$299.30 | $351–$405 | varies |
| Unlisted Transfusion Medicine Procedure (86999) | $92.38 | $125 | 3.3× |
| Urea nitrogen urine (84540) | $52.47 | $71 | 9.4× |
| Uric acid other source (84560) | $44.34 | $60 | 8.7× |
| Urinalysis Microscopic Only (81015) | $11.82 | $16 | 3.9× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $50.25 | $68 | 23.2× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $56.90 | $77 | 17.9× |
| Valproic acid (80164) range across 2 matching MRF lines |
$93.85–$112.33 | $127–$152 | varies |
| Vancomycin (80202) | $122.67 | $166 | 9.1× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$80.55–$102.72 | $109–$139 | varies |
| Vasopressin (84588) | $136.72 | $185 | 4.0× |
| Very Long Chain Fatty Acids (82726) | $31.78 | $43 | 1.6× |
| Viral Culture (87252) | $105.68 | $143 | 4.1× |
| Virus antibody nos (86790) | $235.74 | $319 | 18.3× |
| Virus inoculation, shell via (87254) | $322.20 | $436 | 16.5× |
| Viscosity serum (85810) | $80.55 | $109 | 6.9× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$212.09–$277.12 | $287–$375 | varies |
| Vitamin A (84590) | $84.98 | $115 | 7.3× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$10.35–$155.19 | $14–$210 | varies |
| Vitamin B2 (Riboflavin) (84252) | $130.80 | $177 | 6.5× |
| Vitamin B6 (84207) | $144.84 | $196 | 5.2× |
| Vitamin c (82180) | $76.86 | $104 | 7.8× |
| Vitamin D 25-Hydroxy (82306) | $192.14 | $260 | 6.5× |
| Vitamin E (84446) | $82.03 | $111 | 5.8× |
| Vitamin K (84597) | $123.41 | $167 | 9.0× |
| Volatiles (84600) | $90.16 | $122 | 5.3× |
| Von willebrand factor ag (85246) | $358.42 | $485 | 15.6× |
| West nile virus ab igm (86788) | $85.72 | $116 | 5.1× |
| West Nile Virus Antibody (86789) | $73.90 | $100 | 5.1× |
| Zika Virus Dna/Rna Amp Probe (87662) | $206.18 | $279 | 4.0× |
| Zinc (84630) | $81.29 | $110 | 7.1× |
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.