Lab & pathology prices at Fairfield Memorial Hospital 1
Fairfield, IL · every code in this section with a posted price and a Medicare benchmark.
731 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $206.40 | $258 | 9.0× |
| 5 Nucleotidase (83915) | $165.60 | $207 | 14.9× |
| Abl1 gene analysis kinase domain variants (81170) | $3,542.40 | $4,428 | 11.8× |
| Acetylcholinesterase Assay (82013) range across 2 matching MRF lines |
$288–$647.20 | $360–$809 | varies |
| Acth (82024) | $338.40 | $423 | 8.8× |
| Actin smooth muscle antibody each (86015) | $342.40 | $428 | 28.4× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$365.60–$402.40 | $457–$503 | varies |
| Acylcarnitines Quant (82017) | $621.60 | $777 | 36.8× |
| Adenovirus antibody (86603) | $228 | $285 | 17.7× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $325.60 | $407 | 5.1× |
| Agglutinins Febrile Each Antigen (86000) | $144.80 | $181 | 20.7× |
| Albumin Fluid (82042) range across 3 matching MRF lines |
$12–$94.40 | $15–$118 | varies |
| Albumin serum (82040) | $75.20 | $94 | 15.2× |
| Aldolase (82085) | $156 | $195 | 16.1× |
| Aldosterone urine (82088) | $302.40 | $378 | 7.4× |
| Alkaline phosphatase isoenzymes (84080) | $219.20 | $274 | 14.8× |
| Allergen spec ige qual multiallergen screen (86005) | $442.40 | $553 | 55.5× |
| Allergen specific ige (86003) range across 5 matching MRF lines |
$48–$228.80 | $60–$286 | varies |
| Allergen specific igg (86001) | $92.80 | $116 | 11.9× |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$76.80–$127.20 | $96–$159 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $230.40 | $288 | 15.9× |
| Alpha-1-antitrypsin total (82103) | $242.40 | $303 | 18.0× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$52.80–$256 | $66–$320 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$77.60–$78.40 | $97–$98 | varies |
| Aluminum (82108) | $378.40 | $473 | 14.9× |
| Amikacin trough (80150) | $196.80 | $246 | 13.1× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$279.20–$1,777.60 | $349–$2,222 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$301.60–$688.80 | $377–$861 | varies |
| Aminolevulinic acid (ala) (82135) | $228 | $285 | 13.9× |
| Ammonia (82140) | $201.60 | $252 | 13.8× |
| Amniotic fluid scan (82143) | $126.40 | $158 | 13.5× |
| Amylase urine (82150) range across 4 matching MRF lines |
$17.60–$144.80 | $22–$181 | varies |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$342.40–$360 | $428–$450 | varies |
| Androstenedione (82157) | $486.40 | $608 | 16.6× |
| Angiotensin converting enzyme csf (82164) | $242.40 | $303 | 16.6× |
| Anti-Phospholipid Antibody (86148) | $276.80 | $346 | 17.2× |
| Antibody aspergillus (86606) | $101.60 | $127 | 6.8× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$68–$157.60 | $85–$197 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $184.80 | $231 | 11.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $268.80 | $336 | 16.0× |
| Antibody Encephalitis California La Crosse (86651) range across 4 matching MRF lines |
$84.80–$385.60 | $106–$482 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $242.40 | $303 | 18.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$46.40–$242.40 | $58–$303 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$48–$242.40 | $60–$303 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 4 matching MRF lines |
$101.60–$560 | $127–$700 | varies |
| Antibody haemophilus influenza (86684) | $463.20 | $579 | 29.2× |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$257.60–$352.80 | $322–$441 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $110.40 | $138 | 7.7× |
| Antibody Herpes Smplx Type 1 (86695) | $120 | $150 | 9.1× |
| Antibody HIV-1&HIV-2 single result (86703) | $44.80 | $56 | 3.3× |
| Antibody HIV-2 (86702) | $704.80 | $881 | 52.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$288–$666.40 | $360–$833 | varies |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$522.40–$682.40 | $653–$853 | varies |
| Antibody leishmania (86717) | $65.60 | $82 | 5.4× |
| Antibody Lymphocytic Choriomeningitis (86727) | $196 | $245 | 15.2× |
| Antibody Protozoa Nes (86753) range across 6 matching MRF lines |
$196.80–$554.40 | $246–$693 | varies |
| Antibody Titer (86886) range across 3 matching MRF lines |
$242.40–$434.40 | $303–$543 | varies |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$17.60–$222.40 | $22–$278 | varies |
| Antibody yersinia (86793) | $400 | $500 | 30.3× |
| Antibody; encephalitis, st. louis (86653) range across 3 matching MRF lines |
$84.80–$376.80 | $106–$471 | varies |
| Antibody; influenza virus (86710) range across 6 matching MRF lines |
$165.60–$228 | $207–$285 | varies |
| Antigen typing (86905) | $228 | $285 | 59.5× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $84.80 | $106 | 14.8× |
| Antinomyces antibody (86602) | $101.60 | $127 | 10.0× |
| Antinuclear antibodies (86038) range across 6 matching MRF lines |
$64–$360 | $80–$450 | varies |
| Antistreptolysin o titer (86060) | $181.60 | $227 | 24.9× |
| Antithrombin iii activity (85300) | $327.20 | $409 | 27.6× |
| Antithrombin iii antigen (85301) | $270.40 | $338 | 25.0× |
| Apc gene dup/delet variants (81203) | $592 | $740 | 3.0× |
| Apc gene full sequence (81201) | $592 | $740 | 0.8× |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
$107.20–$298.40 | $134–$373 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$159.20–$340.80 | $199–$426 | varies |
| Aspa gene analysis common variants (81200) | $21.60 | $27 | 0.5× |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$856.80–$979.20 | $1,071–$1,224 | varies |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$238.40–$360.80 | $298–$451 | varies |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$90.40–$284 | $113–$355 | varies |
| Assay myeloperoxidase (83876) | $297.60 | $372 | 5.9× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$29.60–$160.80 | $37–$201 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$94.40–$259.20 | $118–$324 | varies |
| Assay of blood/uric acid (84550) | $101.60 | $127 | 22.5× |
| Assay of calcium in urine (82340) | $112 | $140 | 18.6× |
| Assay of cpk in blood (82552) | $228 | $285 | 17.0× |
| Assay of estrone (82679) | $214.40 | $268 | 8.6× |
| Assay of feces for trypsin (84490) | $340.80 | $426 | 34.3× |
| Assay of g6pd enzyme (82955) | $144.80 | $181 | 14.9× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$38.40–$159.20 | $48–$199 | varies |
| Assay of lactic acid (83605) | $214.40 | $268 | 18.5× |
| Assay of manganese (83785) | $266.40 | $333 | 10.0× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$337.60–$452 | $422–$565 | varies |
| Assay of phosphatase acid total (84060) | $126.40 | $158 | 16.5× |
| Assay of proinsulin (84206) | $521.60 | $652 | 19.5× |
| Assay of pyruvate (84210) | $228 | $285 | 15.7× |
| Assay of serotonin (84260) | $424.80 | $531 | 13.7× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$75.20–$147.20 | $94–$184 | varies |
| Assay of Sialic Acid (84275) | $496 | $620 | 36.9× |
| Assay of sweat sodium (84302) | $112 | $140 | 23.0× |
| Assay of urea nitrogen (84520) | $75.20 | $94 | 19.0× |
| Assay of urine vma (84585) | $256 | $320 | 16.5× |
| Assay of vasoactive intestinal peptide (84586) | $455.20 | $569 | 12.9× |
| Assay of vitamin b-1 (84425) | $312.80 | $391 | 14.7× |
| Assay Ph Body Fluid Nos (83986) | $112 | $140 | 31.3× |
| Atomic Absorption (82190) | $273.60 | $342 | 17.2× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$46.40–$693.60 | $58–$867 | varies |
| B cells total count (86355) | $270.40 | $338 | 7.2× |
| Bartonella antibody (86611) | $141.60 | $177 | 13.9× |
| Bcr/abl1 gene minor bp (81207) | $165.60 | $207 | 1.1× |
| Beta 2 glycoprotein i antibody each (86146) | $968 | $1,210 | 38.0× |
| Beta hydroxybutyrate (82010) range across 3 matching MRF lines |
$93.60–$302.40 | $117–$378 | varies |
| Beta Lactamase (87185) | $94.40 | $118 | 19.9× |
| Beta-2 Microglobulin (82232) | $148.80 | $186 | 9.2× |
| Bile acids, cholylglycine (82240) | $860 | $1,075 | 32.4× |
| Bilirubin direct (82248) | $75.20 | $94 | 15.0× |
| Bilirubin total (82247) range across 4 matching MRF lines |
$72–$75.20 | $90–$94 | varies |
| Biotinidase (82261) | $186.40 | $233 | 11.0× |
| Blastomyces antibody (86612) | $172.80 | $216 | 13.4× |
| Bld Typing Serologic Rh Phnt (86906) | $194.40 | $243 | 25.1× |
| Bleeding time test (85002) | $112 | $140 | 23.2× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $112 | $140 | 22.1× |
| Blood Count Red Blood Cell Automated (85041) | $46.40 | $58 | 15.4× |
| Blood count reticulocyte automated (85045) | $84.80 | $106 | 21.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $75.20 | $94 | 19.8× |
| Blood gases w/02 saturation (82805) | $196.80 | $246 | 2.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $108 | $135 | 6.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $57.60 | $72 | 13.2× |
| Blood Sulfhemoglobin Assay (83060) | $304.80 | $381 | 34.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $173.60 | $217 | 27.3× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) range across 2 matching MRF lines |
$132.80–$147.20 | $166–$184 | varies |
| Blood typing serologic abo (86900) | $60.80 | $76 | 20.3× |
| Bordetella antibody (86615) range across 4 matching MRF lines |
$107.20–$496 | $134–$620 | varies |
| Braf gene analysis (81210) | $276.80 | $346 | 1.6× |
| Brucella antibody (86622) | $173.60 | $217 | 19.4× |
| C diff amplified probe (87493) range across 3 matching MRF lines |
$46.40–$266.40 | $58–$333 | varies |
| C-Peptide (84681) | $242.40 | $303 | 11.6× |
| C-reactive protein (86140) | $90.40 | $113 | 17.5× |
| Ca 19-9 (86301) | $112 | $140 | 5.4× |
| Cadmium (82300) range across 2 matching MRF lines |
$205.60–$242.40 | $257–$303 | varies |
| Caffeine (80155) range across 2 matching MRF lines |
$196.80–$384.80 | $246–$481 | varies |
| Calcitonin (82308) | $424.80 | $531 | 15.9× |
| Calcium ionized (82330) | $242.40 | $303 | 17.7× |
| Calcium total (82310) | $77.60 | $97 | 15.0× |
| Calculus assay quant (82360) | $120 | $150 | 9.3× |
| Calprotectin Fecal (83993) | $387.20 | $484 | 19.7× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$1,055.20–$2,480.80 | $1,319–$3,101 | varies |
| Cancer Antigen 125 (86304) | $282.40 | $353 | 13.6× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$287.20–$305.60 | $359–$382 | varies |
| Candida antibody (86628) range across 2 matching MRF lines |
$312–$424 | $390–$530 | varies |
| Candida Dna Dir Probe (87480) | $317.60 | $397 | 15.8× |
| Carbamazepine free (80157) | $327.20 | $409 | 24.7× |
| Carbamazepine total (80156) | $220 | $275 | 15.1× |
| Carbohydrate Deficient Transferrin (82373) | $270.40 | $338 | 15.0× |
| Carboxyhemoglobin (82375) | $144.80 | $181 | 11.8× |
| Carcinoembryonic antigen (82378) | $201.60 | $252 | 10.6× |
| Cardiolipin ab iga (86147) | $184.80 | $231 | 7.3× |
| Carnitine Quantitative Each Specimen (82379) | $896.80 | $1,121 | 53.2× |
| Carotene (82380) | $172.80 | $216 | 18.7× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$360.80–$1,244.80 | $451–$1,556 | varies |
| Ccp antibody (86200) range across 3 matching MRF lines |
$129.60–$222.40 | $162–$278 | varies |
| Cell count csf (89051) | $112 | $140 | 20.0× |
| Cell marker study (88182) range across 8 matching MRF lines |
$144.80–$1,508 | $181–$1,885 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $616 | $770 | 4.5× |
| Ceruloplasmin (82390) | $252.80 | $316 | 23.5× |
| Cftr gene com variants (81220) | $41.60 | $52 | 0.1× |
| Cftr gene full sequence (81223) | $952.80 | $1,191 | 1.9× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$428–$592 | $535–$740 | varies |
| Chlamydia antibody (86631) | $214.40 | $268 | 18.1× |
| Chlamydia Igm Antibody (86632) | $214.40 | $268 | 16.9× |
| Chlamydia trachomatis ag if (87270) | $126.40 | $158 | 10.6× |
| Chloramphenicol level (82415) | $242.40 | $303 | 19.1× |
| Chloride Serum (82435) | $75.20 | $94 | 16.3× |
| Chloride urine (82436) | $101.60 | $127 | 17.7× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$65.60–$75.20 | $82–$94 | varies |
| Cholinesterase rbc (82482) | $118.40 | $148 | 12.1× |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$44–$172.80 | $55–$216 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$201.60–$242.40 | $252–$303 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $1,426.40 | $1,783 | 7.6× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $112 | $140 | 3.3× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$287.20–$857.60 | $359–$1,072 | varies |
| Chromium serum (82495) range across 2 matching MRF lines |
$330.40–$403.20 | $413–$504 | varies |
| Chromogranin a (86316) range across 4 matching MRF lines |
$305.60–$1,880 | $382–$2,350 | varies |
| Chromosome Analysis 15-20 (88262) range across 3 matching MRF lines |
$402.40–$2,105.60 | $503–$2,632 | varies |
| Chromosome Analysis 20-25 (88264) | $287.20 | $359 | 2.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 5 matching MRF lines |
$25.60–$1,118.40 | $32–$1,398 | varies |
| Citric acid urine (82507) | $592 | $740 | 21.3× |
| Ckmb (82553) | $172.80 | $216 | 15.0× |
| Clostridium Difficile (87324) | $52 | $65 | 4.3× |
| Clot Factor VIII Multimetric (85247) | $570.40 | $713 | 24.9× |
| Clotting factor viii related antigen (85244) | $413.60 | $517 | 20.3× |
| Clotting factor xii hageman (85280) | $413.60 | $517 | 21.4× |
| Clotting hi molec weight kininogen assay (85293) | $719.20 | $899 | 38.0× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $938.40 | $1,173 | 49.6× |
| Cns DNA amp probe type 12-25 (87483) | $968 | $1,210 | 2.3× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$300.80–$811.20 | $376–$1,014 | varies |
| Cold agglutinin titer (86157) | $112 | $140 | 13.9× |
| Collagen crosslinks (82523) range across 4 matching MRF lines |
$376–$1,050.40 | $470–$1,313 | varies |
| Column Chromotography Quant (82542) range across 10 matching MRF lines |
$138.40–$927.20 | $173–$1,159 | varies |
| Compatibility Each Unit Incubation (86921) | $75.20 | $94 | 0.4× |
| Compatibility test antiglob (86922) | $110.40 | $138 | 0.6× |
| Complement Antigen Each Component (86160) range across 14 matching MRF lines |
$180.80–$774.40 | $226–$968 | varies |
| Complement Total (Ch50) (86162) | $302.40 | $378 | 14.9× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$242.40–$268.80 | $303–$336 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$104–$434.40 | $130–$543 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $995.20 | $1,244 | 24.9× |
| Coombs direct (86880) range across 6 matching MRF lines |
$90.40–$192.80 | $113–$241 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$54.40–$196.80 | $68–$246 | varies |
| Cortisol free (82530) | $287.20 | $359 | 17.2× |
| Cortisol saliva (82533) | $201.60 | $252 | 12.4× |
| Creatine kinase total (82550) | $107.20 | $134 | 16.5× |
| Creatinine blood (82565) | $75.20 | $94 | 14.7× |
| Creatinine clearance (82575) | $196.80 | $246 | 20.8× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$20.80–$206.40 | $26–$258 | varies |
| Crossmatch immediate spin (86920) | $75.20 | $94 | 0.4× |
| Cryoglobulin (82595) | $96.80 | $121 | 15.0× |
| Cryptococcus ab (86641) | $330.40 | $413 | 22.9× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$45.60–$230.40 | $57–$288 | varies |
| Cryptosporidium ag eia (87328) | $180 | $225 | 13.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$18.40–$159.20 | $23–$199 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $157.60 | $197 | 19.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 3 matching MRF lines |
$54.40–$196.80 | $68–$246 | varies |
| Culture afb (87116) range across 2 matching MRF lines |
$50.40–$181.60 | $63–$227 | varies |
| Culture Anaerobic (87075) | $291.20 | $364 | 30.7× |
| Culture blood (87040) | $172.80 | $216 | 16.7× |
| Culture chlamydia (87110) | $340.80 | $426 | 17.4× |
| Culture csf (87070) range across 13 matching MRF lines |
$60.80–$302.40 | $76–$378 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$44–$196.80 | $55–$246 | varies |
| Culture fungus blood (87103) | $196.80 | $246 | 9.6× |
| Culture screen only (87081) range across 6 matching MRF lines |
$75.20–$172.80 | $94–$216 | varies |
| Culture stool (87045) | $141.60 | $177 | 15.0× |
| Culture typing if ea antiserum (87140) | $196.80 | $246 | 35.3× |
| Culture urine (87086) range across 2 matching MRF lines |
$84.80–$101.60 | $106–$127 | varies |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) range across 2 matching MRF lines |
$201.60–$207.20 | $252–$259 | varies |
| Cyclosporine (80158) | $230.40 | $288 | 12.8× |
| Cyp2c19 gene analysis common variants (81225) | $1,116.80 | $1,396 | 3.8× |
| Cyp2c9 gene com variants (81227) | $326.40 | $408 | 1.9× |
| Cyp2d6 gene com variants (81226) | $2,361.60 | $2,952 | 5.2× |
| Cystatin C (82610) range across 2 matching MRF lines |
$466.40–$1,812.80 | $583–$2,266 | varies |
| Cytogenetics 10-30 (88273) | $494.40 | $618 | 14.2× |
| Cytogenetics 100-300 (88275) | $148.80 | $186 | 2.9× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $60.80 | $76 | 0.1× |
| Cytomegalovirus igg (86644) | $228 | $285 | 15.8× |
| Cytopath Cell Enhance Tech (88112) | $302.40 | $378 | 5.4× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 3 matching MRF lines |
$90.40–$1,173.60 | $113–$1,467 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $259.20 | $324 | 6.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$234.40–$282.40 | $293–$353 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $259.20 | $324 | 1.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 3 matching MRF lines |
$95.20–$172.80 | $119–$216 | varies |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $180 | $225 | 3.2× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $220 | $275 | 7.1× |
| Deoxycortisol (82634) | $287.20 | $359 | 9.8× |
| Deoxyribonuclease antibody (86215) | $242.40 | $303 | 18.3× |
| Desoxycorticosterone (82633) | $741.60 | $927 | 23.9× |
| Detect Agent Nos Dna Amp (87798) range across 15 matching MRF lines |
$46.40–$1,481.60 | $58–$1,852 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$532–$1,796 | $665–$2,245 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$25.60–$284 | $32–$355 | varies |
| Dhea (82626) | $376 | $470 | 14.9× |
| Dhea-S (82627) | $207.20 | $259 | 9.3× |
| Dibucaine number (82638) | $165.60 | $207 | 13.5× |
| Digoxin (80162) | $214.40 | $268 | 16.1× |
| Dihydrotestosterone (82642) | $434.40 | $543 | 14.8× |
| Diphtheria antitoxoid (86648) | $291.20 | $364 | 19.1× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$64–$360 | $80–$450 | varies |
| Dna Antibody Single Stranded (86226) | $348 | $435 | 28.7× |
| Dna/Rna Amplified Probe (87150) | $371.20 | $464 | 10.6× |
| Drug Assay Everolimus (80169) | $832.80 | $1,041 | 60.7× |
| Drug Assay Itraconazole (80189) | $1,131.20 | $1,414 | 41.7× |
| Drug Assay Vedolizumab (80280) | $960 | $1,200 | 24.9× |
| Drug assay voriconazole (80285) | $1,715.20 | $2,144 | 63.3× |
| Drug Screen Quant Clozapine (80159) | $72.80 | $91 | 3.6× |
| Drug Screen Quant Zonisamide (80203) | $715.20 | $894 | 54.0× |
| Drug Screen Quantitative Gabapentin (80171) | $298.40 | $373 | 13.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $521.60 | $652 | 39.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $374.40 | $468 | 28.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $402.40 | $503 | 30.4× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $252 | $315 | 15.0× |
| Drug Screen Quantitative Tiagabine (80199) | $302.40 | $378 | 11.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 7 matching MRF lines |
$46.40–$488.80 | $58–$611 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$24.80–$25.60 | $31–$32 | varies |
| Drug Test Prsmv Instrmnt (80306) | $52.80 | $66 | 3.1× |
| Ehrlichia antibody (86666) range across 3 matching MRF lines |
$201.60–$441.60 | $252–$552 | varies |
| Electrolyte panel (80051) | $110.40 | $138 | 15.7× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $682.40 | $853 | 11.1× |
| Encephaltis East Eqne Anbdy (86652) range across 3 matching MRF lines |
$84.80–$376.80 | $106–$471 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 4 matching MRF lines |
$84.80–$376.80 | $106–$471 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $38.40 | $48 | 3.2× |
| Enterovirus Antibody (86658) range across 4 matching MRF lines |
$65.60–$301.60 | $82–$377 | varies |
| Enterovirus PCR (87498) | $568.80 | $711 | 16.2× |
| Enzyme cell activity (82657) range across 4 matching MRF lines |
$374.40–$829.60 | $468–$1,037 | varies |
| Eosinophil Smear (89190) | $101.60 | $127 | 17.5× |
| Erythropoietin (82668) | $338.40 | $423 | 18.0× |
| Estradiol serum (82670) | $214.40 | $268 | 7.7× |
| Estriol (82677) | $222.40 | $278 | 9.2× |
| Estrogen total (82672) | $403.20 | $504 | 18.6× |
| Ethosuximide (80168) | $242.40 | $303 | 14.8× |
| Ethylene Glycol (82693) | $220 | $275 | 14.8× |
| Exam Synovial Fluid Crystals (89060) | $196.80 | $246 | 26.8× |
| F2 Gene (81240) range across 5 matching MRF lines |
$80–$181.60 | $100–$227 | varies |
| Factor ii activity (85210) | $488.80 | $611 | 37.7× |
| Factor Inhibitor Test (85335) | $494.40 | $618 | 38.4× |
| Factor ix activity (85250) | $413.60 | $517 | 21.7× |
| Factor v activity (85220) | $520.80 | $651 | 29.5× |
| Factor v leiden mutation (81241) | $80 | $100 | 1.1× |
| Factor vii assay (85230) | $494.40 | $618 | 27.6× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$312–$544 | $390–$680 | varies |
| Factor X (85260) | $291.20 | $364 | 16.3× |
| Factor xi activity (85270) | $413.60 | $517 | 23.1× |
| Factor xiii screen (85291) | $604 | $755 | 66.3× |
| Fat differential, feces, quantitative Facility (82715) range across 3 matching MRF lines |
$242.40–$488.80 | $303–$611 | varies |
| Fat stain feces urine/respir secretions (89125) | $112 | $140 | 19.0× |
| Fat/Lipids Feces Quantitative (82710) range across 2 matching MRF lines |
$287.20–$324 | $359–$405 | varies |
| Fatty acids free (82725) | $52 | $65 | 2.8× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $784 | $980 | 45.6× |
| Fecal Fat Qualitative (82705) | $112 | $140 | 22.0× |
| Ferritin (82728) | $181.60 | $227 | 13.3× |
| Fetal Chrmoml Aneuploidy (81420) | $2,232.80 | $2,791 | 2.9× |
| Fetal Fibronectin (82731) | $787.20 | $984 | 12.2× |
| Fetal hemoglobin assay qual (83033) | $330.40 | $413 | 41.3× |
| Fetal screen rosette (85461) | $126.40 | $158 | 13.5× |
| Fibrin degradation products (85362) | $156 | $195 | 22.6× |
| Fibrin Degradation Quant (85379) | $402.40 | $503 | 39.5× |
| Fibrinogen activity (85384) | $170.40 | $213 | 17.5× |
| Fibrinogen antigen (85385) | $554.40 | $693 | 38.3× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$251.20–$392 | $314–$490 | varies |
| Fluorescent antibody screen (86255) range across 17 matching MRF lines |
$148–$4,048.80 | $185–$5,061 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$287.20–$416.80 | $359–$521 | varies |
| Folic acid rbc (82747) | $287.20 | $359 | 16.3× |
| Folic Acid Serum (82746) | $181.60 | $227 | 12.4× |
| Follicle Stimulating Hormone (83001) | $195.20 | $244 | 10.5× |
| Forensic Cytopathology (88125) | $65.60 | $82 | 1.2× |
| Francisella tularensis (86668) | $356 | $445 | 25.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $143.20 | $179 | 0.8× |
| Frozen Section (88331) range across 3 matching MRF lines |
$62.40–$640 | $78–$800 | varies |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$94.40–$196.80 | $118–$246 | varies |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$76.80–$159.20 | $96–$199 | varies |
| Gardner vag DNA dir probe (87510) | $317.60 | $397 | 15.8× |
| Gases blood ph only (82800) | $112 | $140 | 10.2× |
| Gastric Analy W/Ph Ea Spec (82930) | $228 | $285 | 34.0× |
| Gastrin (82941) | $259.20 | $324 | 14.7× |
| Gentamicin (80170) | $242.40 | $303 | 14.8× |
| Ggt (82977) range across 2 matching MRF lines |
$83.20–$107.20 | $104–$134 | varies |
| Giardia antigen (87329) | $228 | $285 | 19.0× |
| Glucagon (82943) | $312.80 | $391 | 21.9× |
| Glucose 2 hr pp (82950) | $194.40 | $243 | 40.9× |
| Glucose Blood Test (82962) | $20 | $25 | 6.1× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$12.80–$101.60 | $16–$127 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$58.40–$60.80 | $73–$76 | varies |
| Glucose tolerance test (gtt) (82951) | $172.80 | $216 | 13.4× |
| Glutathione (82978) range across 2 matching MRF lines |
$155.20–$272 | $194–$340 | varies |
| Glycated Protein (82985) | $40.80 | $51 | 2.4× |
| Gonadotropin Chorionic Qualitative (84703) | $101.60 | $127 | 13.5× |
| Growth hormone (83003) | $242.40 | $303 | 14.5× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$75.20–$124.80 | $94–$156 | varies |
| H Pylori Drug Admin (83014) | $548.80 | $686 | 69.8× |
| Haloperidol (80173) | $97.60 | $122 | 6.2× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$136.80–$214.40 | $171–$268 | varies |
| Hba1/Hba2 Gene (81257) | $1,807.20 | $2,259 | 17.7× |
| Hdl Cholesterol (83718) | $120 | $150 | 14.7× |
| Heavy metal qualitative any analytes (83015) | $282.40 | $353 | 13.5× |
| Helicobacter Pylori Stool (87338) | $400 | $500 | 27.8× |
| Helminth Antibody (86682) range across 3 matching MRF lines |
$248.80–$620 | $311–$775 | varies |
| Hematocrit (85014) | $57.60 | $72 | 24.3× |
| Hemoglobin (85018) | $57.60 | $72 | 24.3× |
| Hemoglobin a1c (83036) | $156 | $195 | 16.1× |
| Hemoglobin Chromotography (83021) range across 3 matching MRF lines |
$133.60–$402.40 | $167–$503 | varies |
| Hemoglobin electrophoresis (83020) | $95.20 | $119 | 7.4× |
| Hemoglobin plasma (83051) | $273.60 | $342 | 37.4× |
| Hemoglobin; methemoglobin, qualitative Facility (83045) | $214.40 | $268 | 33.0× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $201.60 | $252 | 23.0× |
| Hemolysins&Agglutinins Incubated (86941) range across 2 matching MRF lines |
$180–$234.40 | $225–$293 | varies |
| Hemosiderin urine (83070) | $156 | $195 | 32.8× |
| Hep a ab igm (86709) | $95.20 | $119 | 8.5× |
| Heparin assay (85520) | $833.60 | $1,042 | 63.7× |
| Hepatitis a antibody total (86708) | $196.80 | $246 | 15.9× |
| Hepatitis b core ab igm (86705) | $196.80 | $246 | 16.7× |
| Hepatitis b core ab total (86704) | $196.80 | $246 | 16.3× |
| Hepatitis B Surface Antibody (86706) | $172.80 | $216 | 16.1× |
| Hepatitis B Surface Antigen (87340) | $172.80 | $216 | 16.7× |
| Hepatitis Be Antibody (86707) | $172.80 | $216 | 14.9× |
| Hepatitis Be Antigen (87350) | $172.80 | $216 | 15.0× |
| Hepatitis C Antibody (86803) | $171.20 | $214 | 12.0× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$626.40–$1,940 | $783–$2,425 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $374.40 | $468 | 10.7× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$520.80–$756 | $651–$945 | varies |
| Hepatitis delta ag (87380) | $344.80 | $431 | 18.8× |
| Hepatitis Delta Agent Antibody (86692) range across 2 matching MRF lines |
$414.40–$479.20 | $518–$599 | varies |
| Herpes simplex type 2 (86696) | $119.20 | $149 | 6.2× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$112–$144.80 | $140–$181 | varies |
| Hfe Gene (81256) | $691.20 | $864 | 10.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $899.20 | $1,124 | 116.3× |
| Histamine urine (83088) | $486.40 | $608 | 16.5× |
| Histoplasma antibody (86698) | $256 | $320 | 18.6× |
| Histoplasma antigen urine (87385) | $476 | $595 | 35.9× |
| Hiv Genotype (87901) range across 2 matching MRF lines |
$280–$704.80 | $350–$881 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $40 | $50 | 1.7× |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$120–$348 | $150–$435 | varies |
| HIV-1 p24 antigen (87390) | $735.20 | $919 | 30.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 3 matching MRF lines |
$674.40–$857.60 | $843–$1,072 | varies |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $344.80 | $431 | 2.7× |
| Hla I Typing 1 Allele Hr (81381) | $328 | $410 | 1.9× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $1,814.40 | $2,268 | 8.2× |
| Hla ii type 1 ag equiv lr (81377) range across 2 matching MRF lines |
$455.20–$1,696 | $569–$2,120 | varies |
| Hla ii typing 1 allele hr (81383) | $21.60 | $27 | 0.2× |
| Hla Typing a/B/C Multiple Antigens (86813) | $1,384.80 | $1,731 | 23.9× |
| Hla-b27 (86812) | $379.20 | $474 | 14.7× |
| Homocysteine (83090) | $302.40 | $378 | 16.9× |
| Homovanillic acid urine (83150) | $288 | $360 | 12.9× |
| Hpv High-Risk Types (87624) | $36 | $45 | 1.0× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$284.80–$862.40 | $356–$1,078 | varies |
| Human Epididymis Protein 4 (86305) | $604 | $755 | 29.0× |
| Hydroxycorticosteroids 17 (83491) | $259.20 | $324 | 14.5× |
| Hydroxyprogesterone 17-d (83498) | $402.40 | $503 | 14.8× |
| Hydroxyproline free (83500) | $337.60 | $422 | 14.9× |
| Iaad Ia Escherichia Coli 0157 (87335) | $170.40 | $213 | 13.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $159.20 | $199 | 11.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $107.20 | $134 | 3.0× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $214.40 | $268 | 17.9× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $456 | $570 | 13.0× |
| Iadna Bartonella Amplified Probe Technique (87471) | $1,112 | $1,390 | 31.7× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$431.20–$1,141.60 | $539–$1,427 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$46.40–$863.20 | $58–$1,079 | varies |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $143.20 | $179 | 6.3× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $574.40 | $718 | 16.4× |
| Iadna Cytomegalovirus Quantification (87497) range across 3 matching MRF lines |
$312–$556.80 | $390–$696 | varies |
| Iadna hepatitis b virus amplified probe tq (87516) | $556.80 | $696 | 15.9× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$597.60–$2,351.20 | $747–$2,939 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $1,112 | $1,390 | 31.7× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $478.40 | $598 | 11.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$46.40–$1,488.80 | $58–$1,861 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines |
$24.80–$148.80 | $31–$186 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $132.80 | $166 | 4.4× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $285.60 | $357 | 5.6× |
| Ig Light Chains Free Each (83521) | $256 | $320 | 14.8× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$51.20–$356 | $64–$445 | varies |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $4,134.40 | $5,168 | 14.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $138.40 | $173 | 0.4× |
| Immune Complex Assay (86332) | $800.80 | $1,001 | 32.9× |
| Immunfix e-phorsis/urine/csf (86335) | $532 | $665 | 18.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 16 matching MRF lines |
$321.60–$1,954.40 | $402–$2,443 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$126.40–$312 | $158–$390 | varies |
| Immunoassay nonantibody (83516) range across 22 matching MRF lines |
$105.60–$3,888.80 | $132–$4,861 | varies |
| Immunodiffusion Ouchterlony (86331) | $101.60 | $127 | 8.5× |
| Immunofixation electrophoresis (86334) | $402.40 | $503 | 18.0× |
| Immunohistochemistry (88342) | $110.40 | $138 | 0.6× |
| In situ hybridization 1st probe stain (88365) | $254.40 | $318 | 1.4× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | $220 | $275 | 14.7× |
| Influenza a/b ag eia (87400) | $80 | $100 | 5.7× |
| Influenza DNA amp probe (87502) | $154.40 | $193 | 1.6× |
| Inhibin A (86336) | $97.60 | $122 | 6.3× |
| Inhibin b (83520) range across 14 matching MRF lines |
$124.80–$2,132 | $156–$2,665 | varies |
| Insitu hybridization auto (88367) | $276.80 | $346 | 0.7× |
| Insulin free (83527) range across 2 matching MRF lines |
$34.40–$273.60 | $43–$342 | varies |
| Insulin total (83525) range across 2 matching MRF lines |
$35.20–$170.40 | $44–$213 | varies |
| Interleukin-6 (83529) | $333.60 | $417 | 19.3× |
| Intrinsic factor antibody (86340) | $287.20 | $359 | 19.0× |
| Iron (83540) range across 2 matching MRF lines |
$96.80–$605.60 | $121–$757 | varies |
| Iron Binding Capacity (83550) | $156 | $195 | 17.8× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$182.40–$192 | $228–$240 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$1,011.20–$1,555.20 | $1,264–$1,944 | varies |
| Ketosteroids 17 total (83586) | $434.40 | $543 | 33.9× |
| Koh Prep (87220) | $94.40 | $118 | 22.1× |
| L/s ratio (83661) | $435.20 | $544 | 19.8× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$14.40–$112 | $18–$140 | varies |
| Lactoferrin fecal qualitative (83630) | $60.80 | $76 | 3.1× |
| Lamellar Body Count (83664) | $169.60 | $212 | 8.8× |
| Ldh Isoenzymes (83625) | $196.80 | $246 | 15.4× |
| LDL direct (83721) | $112 | $140 | 10.7× |
| Lead (83655) | $97.60 | $122 | 8.1× |
| Legionella antibody (86713) | $287.20 | $359 | 18.8× |
| Legionella antigen urine (87449) range across 6 matching MRF lines |
$173.60–$424 | $217–$530 | varies |
| Leptospira antibody (86720) | $325.60 | $407 | 20.1× |
| Leucine Aminopeptidase Lap (83670) | $960 | $1,200 | 97.9× |
| Leukocyte Histamine Release (86343) | $458.40 | $573 | 36.8× |
| Leukocyte phagocytosis (86344) | $374.40 | $468 | 36.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $136.80 | $171 | 4.4× |
| Level ii surg pathology grossµscopic exam (88302) | $241.60 | $302 | 6.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$553.60–$851.20 | $692–$1,064 | varies |
| Lidocaine (80176) | $244 | $305 | 16.6× |
| Lipase (83690) range across 2 matching MRF lines |
$126.40–$148.80 | $158–$186 | varies |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) range across 2 matching MRF lines |
$214.40–$219.20 | $268–$274 | varies |
| Lipoprotein-Associated Phospholipase A2 (83698) | $180 | $225 | 3.9× |
| Listeria Monocytogenes (86723) | $674.40 | $843 | 51.1× |
| Lithium (80178) | $148.80 | $186 | 22.5× |
| Luteinizing Hormone (Lh) (83002) | $268.80 | $336 | 14.5× |
| Lyme disease antibody (86618) range across 4 matching MRF lines |
$201.60–$690.40 | $252–$863 | varies |
| Lymphocyte transformation (86353) | $560 | $700 | 11.4× |
| Lysozyme serum (85549) | $273.60 | $342 | 14.6× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $553.60 | $692 | 3.0× |
| M/phmtrc alys ishquant/semiq (88374) range across 2 matching MRF lines |
$201.60–$428 | $252–$535 | varies |
| Macroscopic exam arthropod (87168) | $452.80 | $566 | 106.0× |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
$126.40–$181.60 | $158–$227 | varies |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$101.60–$330.40 | $127–$413 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$520.80–$1,260 | $651–$1,575 | varies |
| Meat fibers, feces (89160) | $112 | $140 | 23.1× |
| Mercury urine (83825) | $242.40 | $303 | 14.9× |
| Methylmalonic acid serum (83921) | $242.40 | $303 | 11.4× |
| Microalbumin, quantitative (82043) | $143.20 | $179 | 24.8× |
| Microsatellite instability (81301) | $2,994.40 | $3,743 | 8.6× |
| Microsomal Antibodies Each (86376) range across 6 matching MRF lines |
$62.40–$763.20 | $78–$954 | varies |
| Mitochondrial Antibody Each (86381) | $343.20 | $429 | 13.5× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $592 | $740 | 2.9× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $592 | $740 | 0.9× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $494.40 | $618 | 12.1× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 4 matching MRF lines |
$46.40–$2,134.40 | $58–$2,668 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $494.40 | $618 | 11.7× |
| Molecular Pathology Procedure Level 3 (81402) range across 3 matching MRF lines |
$651.20–$3,100.80 | $814–$3,876 | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 4 matching MRF lines |
$476–$592 | $595–$740 | varies |
| Mononuclear cell antigen (86356) | $118.40 | $148 | 4.4× |
| Mopath procedure level 4 (81403) range across 5 matching MRF lines |
$592–$4,024 | $740–$5,030 | varies |
| Mopath procedure level 5 (81404) range across 4 matching MRF lines |
$592–$952.80 | $740–$1,191 | varies |
| Mopath procedure level 7 (81406) range across 3 matching MRF lines |
$181.60–$1,959.20 | $227–$2,449 | varies |
| Mopath procedure level 8 (81407) | $60.80 | $76 | 0.1× |
| Mopath procedure level 9 (81408) range across 4 matching MRF lines |
$172.80–$1,959.20 | $216–$2,449 | varies |
| Mrsa Pcr (87641) range across 4 matching MRF lines |
$60.80–$150.40 | $76–$188 | varies |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $592 | $740 | 2.8× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $592 | $740 | 1.6× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $592 | $740 | 2.5× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $592 | $740 | 0.9× |
| Mthfr Gene Analysis Common Variants (81291) | $312 | $390 | 4.8× |
| Mucin Clot Body Fluid (83872) | $72.80 | $91 | 12.4× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$18.40–$261.60 | $23–$327 | varies |
| Mycobacteric Identification (87118) | $156 | $195 | 10.7× |
| Mycoplasma antibody (86738) | $214.40 | $268 | 16.2× |
| Mycoplasma culture (87109) range across 2 matching MRF lines |
$150.40–$402.40 | $188–$503 | varies |
| Myelin basic protein csf (83873) | $234.40 | $293 | 13.6× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$181.60–$228 | $227–$285 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$302.40–$472 | $378–$590 | varies |
| Neutralization Test Viral (86382) | $337.60 | $422 | 20.0× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $724.80 | $906 | 5.6× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $46.40 | $58 | 1.6× |
| Nfct ds bv&vaginitis DNA alg (81515) | $207.20 | $259 | 0.8× |
| Niacin (84591) | $445.60 | $557 | 26.1× |
| Nuclear antigen antibody (86235) range across 12 matching MRF lines |
$64–$468 | $80–$585 | varies |
| Obstetric panel (80081) | $373.60 | $467 | 5.0× |
| Occult blood feces (82272) | $57.60 | $72 | 13.6× |
| Occult Blood Other Sources (82271) | $101.60 | $127 | 19.1× |
| Oligoclonal bands (83916) | $300.80 | $376 | 11.0× |
| Oncoprotein Her-2/Neu (83950) | $997.60 | $1,247 | 15.5× |
| Organic Acids Qualitative Each Specimen (83919) | $382.40 | $478 | 23.2× |
| Organic acids urine (83918) | $1,140 | $1,425 | 48.3× |
| Osmolality serum (83930) | $159.20 | $199 | 24.1× |
| Osmolality Urine (83935) | $144.80 | $181 | 21.2× |
| Osmotic fragility rbc incubated (85557) | $132.80 | $166 | 9.9× |
| Ova and parasites smears (87177) | $159.20 | $199 | 17.9× |
| Oxalate urine (83945) | $214.40 | $268 | 14.8× |
| Palb2 gene full gene seq (81307) | $476 | $595 | 0.7× |
| Pancreatic Elastase Fecal (82656) | $1,725.60 | $2,157 | 149.7× |
| Particle Agglutination Screen Each Antibody (86403) | $268 | $335 | 23.2× |
| Parvovirus antibody (86747) | $196.80 | $246 | 13.1× |
| Ph urine (81003) range across 2 matching MRF lines |
$49.60–$288 | $62–$360 | varies |
| Phenobarbital Level (80184) | $214.40 | $268 | 14.0× |
| Phenotype Infect Agent Drug (87900) | $704.80 | $881 | 5.4× |
| Phenylalanine (84030) | $201.60 | $252 | 36.7× |
| Phenytoin (Dilantin) (80185) | $214.40 | $268 | 16.2× |
| Phenytoin free (80186) | $156 | $195 | 11.3× |
| Phosphatase acid prostatic (84066) | $156 | $195 | 16.1× |
| Phosphatase alkaline (84075) | $77.60 | $97 | 15.0× |
| Phosphatidylglycerol (84081) | $457.60 | $572 | 27.7× |
| Phospholipid Neutralization Hexagonal (85598) | $792.80 | $991 | 44.1× |
| Phosphorus Serum (84100) | $75.20 | $94 | 15.9× |
| Phosphorus urine (84105) | $112 | $140 | 19.4× |
| Pinworm exam (87172) | $112 | $140 | 26.2× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$487.20–$1,039.20 | $609–$1,299 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$35.20–$72.80 | $44–$91 | varies |
| Platelet neutralization (85597) | $242.40 | $303 | 13.5× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $592 | $740 | 2.9× |
| Pms2 gene full seq analysis (81317) | $592 | $740 | 0.9× |
| Pooling blood platelets (86965) | $325.60 | $407 | 1.8× |
| Porphobilinogen, urine; quantitative (84110) | $242.40 | $303 | 28.7× |
| Porphyrins Feces Quantitative (84126) | $378.40 | $473 | 9.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$219.20–$287.20 | $274–$359 | varies |
| Porphyrins, urine; qualitative (84119) | $196.80 | $246 | 14.7× |
| Potassium Urine (84133) | $121.60 | $152 | 25.7× |
| Prealbumin (84134) | $242.40 | $303 | 16.6× |
| Pregnanetriol (84138) | $402.40 | $503 | 19.1× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $172.80 | $216 | 0.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $172.80 | $216 | 2.7× |
| Pretx serum rbc antibody identification dilution (86976) | $172.80 | $216 | 5.6× |
| Primidone (80188) | $330.40 | $413 | 19.9× |
| Procalcitonin (Pct) (84145) | $184.80 | $231 | 6.8× |
| Progesterone (84144) | $220.80 | $276 | 10.6× |
| Prolactin (84146) | $219.20 | $274 | 11.3× |
| Prostaglandin (84150) | $1,173.60 | $1,467 | 28.1× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$17.60–$75.20 | $22–$94 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$544–$617.60 | $680–$772 | varies |
| Protein c antigen (85302) | $302.40 | $378 | 25.2× |
| Protein Electrophoresis Urine (84166) | $352.80 | $441 | 19.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $242.40 | $303 | 22.6× |
| Protein S Free (85306) range across 2 matching MRF lines |
$159.20–$580.80 | $199–$726 | varies |
| Protein s total (85305) | $159.20 | $199 | 13.7× |
| Protein total serum (84155) range across 3 matching MRF lines |
$75.20–$159.20 | $94–$199 | varies |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$12.80–$952.80 | $16–$1,191 | varies |
| Protoporphyrin rbc quantitative (84202) | $287.20 | $359 | 20.0× |
| PSA free (84154) | $141.60 | $177 | 7.7× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $476 | $595 | 1.6× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $476 | $595 | 0.8× |
| Pth Intact (83970) range across 3 matching MRF lines |
$360.80–$612 | $451–$765 | varies |
| Q Fever Antibody (86638) | $148 | $185 | 12.2× |
| Quantiferon tb gold plus (86480) | $424.80 | $531 | 6.9× |
| Quantitative assay drug (80299) range across 13 matching MRF lines |
$278.40–$2,141.60 | $348–$2,677 | varies |
| Quantitative Screen Metals (83018) range across 6 matching MRF lines |
$170.40–$572 | $213–$715 | varies |
| Quinidine (80194) | $287.20 | $359 | 19.7× |
| Rbc antibody elution (86860) | $521.60 | $652 | 2.9× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$259.20–$520.80 | $324–$651 | varies |
| Rbc antibody screen (86850) | $68 | $85 | 7.0× |
| Rbc pretreatment serum (86978) | $90.40 | $113 | 1.4× |
| Rbc pretx incubatj w/enzymes (86971) | $90.40 | $113 | 0.5× |
| Rbc serum pretx incubj drugs (86975) | $172.80 | $216 | 0.4× |
| Receptor assay estrogen (84233) | $1,142.40 | $1,428 | 13.0× |
| Renin activity plasma (84244) | $273.60 | $342 | 12.4× |
| Reticulocyte separation (86972) range across 2 matching MRF lines |
$90.40–$302.40 | $113–$378 | varies |
| Rh (86901) | $60.80 | $76 | 20.3× |
| Rheumatoid Factor Qualitative (86430) | $402.40 | $503 | 65.5× |
| Rheumatoid factor quant (86431) range across 6 matching MRF lines |
$120–$360 | $150–$450 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$222.40–$300.80 | $278–$376 | varies |
| Ristocetin cofactor (85245) | $413.60 | $517 | 18.0× |
| Rotavirus ag eia (87425) | $159.20 | $199 | 13.3× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$9.60–$144.80 | $12–$181 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$18.40–$147.20 | $23–$184 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$17.60–$370.40 | $22–$463 | varies |
| Russell Viper Venom Time Diluted (85613) | $201.60 | $252 | 21.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 4 matching MRF lines |
$478.40–$2,795.20 | $598–$3,494 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 5 matching MRF lines |
$107.20–$233.60 | $134–$292 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $273.60 | $342 | 1.9× |
| Sedimentation Rate, Automated (85652) | $68 | $85 | 25.2× |
| Selenium (84255) | $312 | $390 | 12.2× |
| Semen Anal Sperm Detection (89321) | $112 | $140 | 9.3× |
| Semen analysis motility and count (89310) | $336.80 | $421 | 39.1× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$56.80–$120 | $71–$150 | varies |
| Serpina 1 gene (81332) | $896 | $1,120 | 20.5× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$298.40–$312 | $373–$390 | varies |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$82.40–$95.20 | $103–$119 | varies |
| Sirolimus (80195) | $242.40 | $303 | 17.7× |
| Skin test tuberculosis intradermal (86580) | $33.32 | $41.65 | 1.1× |
| Smear acid fast (87206) range across 5 matching MRF lines |
$49.60–$214.40 | $62–$268 | varies |
| Smear complex stain (87209) | $112 | $140 | 6.2× |
| Smear gram stain (87205) range across 4 matching MRF lines |
$6.40–$101.60 | $8–$127 | varies |
| Smear Special Stain (87207) range across 5 matching MRF lines |
$144.80–$488.80 | $181–$611 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$60.80–$101.60 | $76–$127 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $471.20 | $589 | 9.2× |
| Sodium Serum (84295) | $75.20 | $94 | 15.6× |
| Sodium Urine (84300) | $112 | $140 | 22.1× |
| Somatomedin (84305) | $312.80 | $391 | 14.7× |
| Special Stains Group 1 (88312) range across 4 matching MRF lines |
$112–$374.40 | $140–$468 | varies |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$225.60–$284 | $282–$355 | varies |
| Specific gravity body fluid (84315) | $72.80 | $91 | 22.2× |
| Specimen infect agnt concntj (87015) | $126.40 | $158 | 18.9× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$172.80–$572 | $216–$715 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $120 | $150 | 0.7× |
| Stool cultr aerobic bact ea (87046) | $29.60 | $37 | 3.1× |
| Strep a assay w/optic (87880) | $80 | $100 | 4.8× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$88.80–$118.40 | $111–$148 | varies |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $1,141.60 | $1,427 | 99.0× |
| Sugars Single Qual (84376) | $156 | $195 | 28.4× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$244–$321.60 | $305–$402 | varies |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$238.40–$415.20 | $298–$519 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$753.60–$1,011.20 | $942–$1,264 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $101.60 | $127 | 21.4× |
| T cells absolute cd4 count (86361) | $165.60 | $207 | 6.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $270.40 | $338 | 5.8× |
| T cells total count (86359) | $270.40 | $338 | 7.2× |
| T3 Free (84481) | $201.60 | $252 | 11.9× |
| T3 reverse (84482) | $242.40 | $303 | 15.4× |
| T3 Total (84480) | $157.60 | $197 | 11.1× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$18.40–$107.20 | $23–$134 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$156–$442.40 | $195–$553 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$18.40–$107.20 | $23–$134 | varies |
| Tacrolimus (80197) | $376 | $470 | 27.4× |
| Test for acetone/ketones (82009) | $107.20 | $134 | 23.7× |
| Test for urine cystines (82615) | $196.80 | $246 | 20.6× |
| Testosterone total (84403) | $201.60 | $252 | 7.8× |
| Testosterone, Free (84402) | $171.20 | $214 | 6.7× |
| Tetanus antibody (86774) | $230.40 | $288 | 15.6× |
| Theophylline (80198) | $227.20 | $284 | 16.1× |
| Thrombin Time (85670) | $112 | $140 | 19.4× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 3 matching MRF lines |
$90.40–$570.40 | $113–$713 | varies |
| Thyroglobulin (84432) | $234.40 | $293 | 14.6× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$159.20–$234.40 | $199–$293 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $424 | $530 | 8.3× |
| Thyroxine binding globulin (84442) | $252 | $315 | 17.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $36.80 | $46 | 3.2× |
| Tissue culture bone marrow (88237) range across 3 matching MRF lines |
$340.80–$377.60 | $426–$472 | varies |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$184.80–$402.40 | $231–$503 | varies |
| Tobramycin peak (80200) | $214.40 | $268 | 13.3× |
| Topiramate (80201) | $324 | $405 | 27.2× |
| Touch prep (88161) | $212 | $265 | 6.8× |
| Toxoplasma ab igm (86778) | $242.40 | $303 | 16.8× |
| Toxoplasma antibody (86777) | $242.40 | $303 | 16.8× |
| Tp53 gene analysis full gene sequence (81351) | $476 | $595 | 0.7× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$76.80–$77.60 | $96–$97 | varies |
| Transferrin (84466) | $242.40 | $303 | 19.0× |
| Trg gene rearrangement anal (81342) | $884.80 | $1,106 | 4.4× |
| Trichinella Antibody (86784) range across 2 matching MRF lines |
$248.80–$473.60 | $311–$592 | varies |
| Trichomonas vagin dir probe (87660) | $317.60 | $397 | 15.8× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$44.80–$80 | $56–$100 | varies |
| Triglycerides (84478) range across 3 matching MRF lines |
$83.20–$112 | $104–$140 | varies |
| Troponin Quant (84484) | $165.60 | $207 | 13.3× |
| Trypsin feces qual (84488) | $242.40 | $303 | 33.2× |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$84–$112 | $105–$140 | varies |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$104–$338.40 | $130–$423 | varies |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$17.60–$112 | $22–$140 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$84.80–$101.60 | $106–$127 | varies |
| Urinalysis Volume Measure (81050) | $57.60 | $72 | 15.8× |
| Urine Bacteria Culture (87088) | $6.40 | $8 | 0.8× |
| Urine Pregnancy Test (81025) | $101.60 | $127 | 11.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $80 | $100 | 25.2× |
| Urobilinogen, urine; semiquantitative Facility (84583) | $183.20 | $229 | 30.3× |
| Valproic acid (80164) | $196.80 | $246 | 14.5× |
| Vancomycin (80202) | $228 | $285 | 16.8× |
| Varicella-zoster antibody (86787) | $228 | $285 | 17.7× |
| Vasopressin (84588) | $184.80 | $231 | 5.4× |
| Very Long Chain Fatty Acids (82726) | $1,057.60 | $1,322 | 53.5× |
| Viral Culture (87252) range across 3 matching MRF lines |
$312–$640 | $390–$800 | varies |
| Virus antibody nos (86790) range across 7 matching MRF lines |
$196.80–$1,715.20 | $246–$2,144 | varies |
| Viscosity serum (85810) | $228 | $285 | 19.5× |
| Vit D 1 25-Dihydroxy (82652) | $242.40 | $303 | 6.3× |
| Vitamin A (84590) | $228 | $285 | 19.6× |
| Vitamin b-12 (82607) | $159.20 | $199 | 10.6× |
| Vitamin B2 (Riboflavin) (84252) | $133.60 | $167 | 6.6× |
| Vitamin B6 (84207) | $576.80 | $721 | 20.5× |
| Vitamin c (82180) | $464.80 | $581 | 47.0× |
| Vitamin D 25-Hydroxy (82306) | $201.60 | $252 | 6.8× |
| Vitamin E (84446) | $242.40 | $303 | 17.1× |
| Vitamin K (84597) | $1,063.20 | $1,329 | 77.5× |
| Vkorc1 gene (81355) | $327.20 | $409 | 3.7× |
| Volatiles (84600) range across 3 matching MRF lines |
$108.80–$340.80 | $136–$426 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $1,587.20 | $1,984 | 131.7× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$494.40–$735.20 | $618–$919 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $196.80 | $246 | 22.9× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$375.20–$434.40 | $469–$543 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$375.20–$434.40 | $469–$543 | varies |
| Xylose Absorption Test (84620) | $708.80 | $886 | 54.9× |
| Zika Virus Dna/Rna Amp Probe (87662) | $1,240 | $1,550 | 24.2× |
| Zinc (84630) | $196.80 | $246 | 17.3× |
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.