Lab & pathology prices at Fort Memorial Hospital
Fort Atkinson, WI · every code in this section with a posted price and a Medicare benchmark.
580 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $83.52 | $261 | 5.4× |
| 17-Hydroxypregnenolone (84143) | $75.20 | $235 | 3.3× |
| 5 Nucleotidase (83915) | $17.28 | $54 | 1.5× |
| Abl1 gene analysis kinase domain variants (81170) | $194.24 | $607 | 0.6× |
| Acth (82024) | $112 | $350 | 2.9× |
| Acute hepatitis panel (80074) | $129.60 | $405 | 2.7× |
| Albumin Fluid (82042) | $29.76 | $93 | 3.8× |
| Albumin serum (82040) range across 3 matching MRF lines |
$9.92–$27.20 | $31–$85 | varies |
| Aldolase (82085) | $35.20 | $110 | 3.6× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$65.92–$112 | $206–$350 | varies |
| Alkaline phosphatase isoenzymes (84080) | $46.40 | $145 | 3.1× |
| Allergen spec ige qual multiallergen screen (86005) | $12.16 | $38 | 1.5× |
| Allergen specific ige (86003) range across 304 matching MRF lines |
$12.16–$32 | $38–$100 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $52.80 | $165 | 3.7× |
| Alpha-1-antitrypsin total (82103) | $46.40 | $145 | 3.5× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $109.76 | $343 | 6.5× |
| Alpha-Fetoprotein Serum (82105) range across 4 matching MRF lines |
$24.96–$48 | $78–$150 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$18.24–$30.72 | $57–$96 | varies |
| Amikacin trough (80150) | $73.60 | $230 | 4.9× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$26.88–$46.40 | $84–$145 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $56 | $175 | 3.3× |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$87.36–$95.36 | $273–$298 | varies |
| Ammonia (82140) | $48 | $150 | 3.3× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$92.48–$192 | $289–$600 | varies |
| Amylase urine (82150) | $27.20 | $85 | 4.2× |
| Ana Titer (86039) | $19.20 | $60 | 1.7× |
| Androstenedione (82157) | $96 | $300 | 3.3× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$48–$104.32 | $150–$326 | varies |
| Anti-Phospholipid Antibody (86148) | $37.76 | $118 | 2.3× |
| Antibody aspergillus (86606) range across 18 matching MRF lines |
$10.88–$19.84 | $34–$62 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $19.84 | $62 | 1.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 6 matching MRF lines |
$10.88–$55.04 | $34–$172 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $35.20 | $110 | 2.1× |
| Antibody Encephalitis California La Crosse (86651) | $40.96 | $128 | 3.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $46.40 | $145 | 3.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $43.20 | $135 | 2.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 6 matching MRF lines |
$32–$51.20 | $100–$160 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$19.52–$55.36 | $61–$173 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 3 matching MRF lines |
$39.68–$48 | $124–$150 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $12.80 | $40 | 1.0× |
| Antibody HIV-1&HIV-2 single result (86703) | $10.88 | $34 | 0.8× |
| Antibody HIV-2 (86702) | $40 | $125 | 3.0× |
| Antibody Protozoa Nes (86753) | $37.76 | $118 | 3.0× |
| Antibody Titer (86886) | $172.80 | $540 | 33.4× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$17.28–$28.80 | $54–$90 | varies |
| Antibody; encephalitis, st. louis (86653) | $40.96 | $128 | 3.1× |
| Antibody; influenza virus (86710) | $31.68 | $99 | 2.3× |
| Antigen typing (86905) range across 5 matching MRF lines |
$17.60–$44.48 | $55–$139 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $25.60 | $80 | 4.5× |
| Antinomyces antibody (86602) | $19.84 | $62 | 1.9× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$31.04–$32 | $97–$100 | varies |
| Antistreptolysin O Screen (86063) | $19.20 | $60 | 3.3× |
| Antithrombin iii activity (85300) range across 3 matching MRF lines |
$51.52–$64 | $161–$200 | varies |
| Antithrombin iii antigen (85301) | $64 | $200 | 5.9× |
| Apolipoprotein a1 (82172) | $48 | $150 | 2.3× |
| Arsenic (82175) range across 4 matching MRF lines |
$28.16–$65.92 | $88–$206 | varies |
| Assay activated protein c (85307) | $117.12 | $366 | 7.6× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$19.20–$19.84 | $60–$62 | varies |
| Assay Nephelometry Not Spec (83883) | $43.20 | $135 | 3.2× |
| Assay of 5-hiaa (83497) | $40 | $125 | 3.1× |
| Assay of anti-mullerian hormone (82166) | $88 | $275 | 2.3× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$24–$33.92 | $75–$106 | varies |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$24–$32 | $75–$100 | varies |
| Assay of estrone (82679) range across 2 matching MRF lines |
$48.64–$72 | $152–$225 | varies |
| Assay of gammaglobulin igm (82784) range across 20 matching MRF lines |
$25.92–$49.92 | $81–$156 | varies |
| Assay of lactic acid (83605) | $40 | $125 | 3.5× |
| Assay of metanephrines (83835) range across 4 matching MRF lines |
$15.68–$64 | $49–$200 | varies |
| Assay of proinsulin (84206) | $72 | $225 | 2.7× |
| Assay of pyruvate (84210) | $35.20 | $110 | 2.4× |
| Assay of serotonin (84260) | $53.44 | $167 | 1.7× |
| Assay of serum potassium (84132) | $22.40 | $70 | 4.7× |
| Assay of urea nitrogen (84520) | $16 | $50 | 4.1× |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$27.84–$88 | $87–$275 | varies |
| Assay of vasoactive intestinal peptide (84586) | $76.80 | $240 | 2.2× |
| Assay of vitamin b-1 (84425) | $64 | $200 | 3.0× |
| Assay Ph Body Fluid Nos (83986) range across 5 matching MRF lines |
$3.84–$16 | $12–$50 | varies |
| Automated Leukocyte Count (85048) | $17.28 | $54 | 6.8× |
| B cells total count (86355) | $41.60 | $130 | 1.1× |
| Babesia microti amp prb (87469) | $72 | $225 | 2.1× |
| Bartonella antibody (86611) range across 16 matching MRF lines |
$28.16–$32 | $88–$100 | varies |
| Bcr/abl1 gene major bp (81206) | $296 | $925 | 1.8× |
| Bcr/abl1 gene minor bp (81207) | $256 | $800 | 1.8× |
| Beta 2 glycoprotein i antibody each (86146) range across 4 matching MRF lines |
$51.20–$58.88 | $160–$184 | varies |
| Beta hydroxybutyrate (82010) | $27.20 | $85 | 3.3× |
| Beta Lactamase (87185) | $19.20 | $60 | 4.0× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$31.68–$56 | $99–$175 | varies |
| Bile acids total (82239) range across 2 matching MRF lines |
$46.40–$128.32 | $145–$401 | varies |
| Bilirubin direct (82248) | $19.20 | $60 | 3.8× |
| Bilirubin total (82247) | $16 | $50 | 3.2× |
| Bilirubin total transcutaneous (88720) | $18.56 | $58 | 3.7× |
| Bl Smear W/O Diff Wbc Count (85008) | $17.60 | $55 | 5.1× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$11.84–$30.40 | $37–$95 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $71.36 | $223 | 9.2× |
| Blood Count Red Blood Cell Automated (85041) | $9.60 | $30 | 3.2× |
| Blood count reticulocyte automated (85045) | $24 | $75 | 6.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$17.60–$23.36 | $55–$73 | varies |
| Blood count spun microhematocrit (85013) | $12.16 | $38 | 1.7× |
| Blood gas (82803) | $60.80 | $190 | 2.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $12.80 | $40 | 2.9× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 4 matching MRF lines |
$19.20–$196.48 | $60–$614 | varies |
| Blood typing serologic abo (86900) range across 4 matching MRF lines |
$22.72–$24.64 | $71–$77 | varies |
| Braf gene analysis (81210) range across 2 matching MRF lines |
$368–$368.96 | $1,150–$1,153 | varies |
| Brucella antibody (86622) | $51.20 | $160 | 5.7× |
| C diff amplified probe (87493) | $99.20 | $310 | 2.7× |
| C-Peptide (84681) | $51.20 | $160 | 2.5× |
| C-reactive protein (86140) | $32 | $100 | 6.2× |
| Ca 19-9 (86301) | $60.80 | $190 | 2.9× |
| Cadmium (82300) | $46.72 | $146 | 2.0× |
| Caffeine (80155) | $34.56 | $108 | 0.9× |
| Calcitonin (82308) | $84.80 | $265 | 3.2× |
| Calcium ionized (82330) | $43.20 | $135 | 3.2× |
| Calcium total (82310) | $25.60 | $80 | 5.0× |
| Calculus assay quant (82360) | $46.40 | $145 | 3.6× |
| Cancer Antigen 125 (86304) | $60.80 | $190 | 2.9× |
| Cancer Antigen 27.29 (86300) | $60.80 | $190 | 2.9× |
| Candida antibody (86628) | $21.76 | $68 | 1.8× |
| Carbamazepine total (80156) | $48 | $150 | 3.3× |
| Carboxyhemoglobin (82375) | $40 | $125 | 3.2× |
| Carcinoembryonic antigen (82378) | $64 | $200 | 3.4× |
| Cardiolipin ab iga (86147) | $51.20 | $160 | 2.0× |
| Carnitine Quantitative Each Specimen (82379) | $48 | $150 | 2.8× |
| Carotene (82380) | $56.64 | $177 | 6.1× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$48–$88 | $150–$275 | varies |
| Ccp antibody (86200) | $47.68 | $149 | 3.7× |
| Cell count csf (89051) range across 3 matching MRF lines |
$13.12–$32 | $41–$100 | varies |
| Cell marker study (88182) range across 2 matching MRF lines |
$138.24–$301.12 | $432–$941 | varies |
| Ceruloplasmin (82390) | $36.80 | $115 | 3.4× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$401.28–$1,115.20 | $1,254–$3,485 | varies |
| Chemiluminescent assay (82397) | $408 | $1,275 | 28.9× |
| Chlamydia antibody (86631) range across 3 matching MRF lines |
$37.12–$63.04 | $116–$197 | varies |
| Chlamydia Igm Antibody (86632) range across 3 matching MRF lines |
$40.96–$51.20 | $128–$160 | varies |
| Chloride Serum (82435) | $33.92 | $106 | 7.4× |
| Chloride urine (82436) range across 4 matching MRF lines |
$2.88–$16.64 | $9–$52 | varies |
| Cholesterol total (82465) | $16 | $50 | 3.7× |
| Cholinesterase rbc (82482) | $54.40 | $170 | 5.5× |
| Chorionic gonadotropin test (84702) range across 5 matching MRF lines |
$21.12–$67.20 | $66–$210 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $34.88 | $109 | 1.3× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $59.84 | $187 | 1.7× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | $462.08 | $1,444 | 2.7× |
| Chromium serum (82495) range across 4 matching MRF lines |
$36.80–$103.68 | $115–$324 | varies |
| Chromogranin a (86316) | $60.80 | $190 | 2.9× |
| Chromosome Analysis 15-20 (88262) | $336 | $1,050 | 2.7× |
| Chromosome analysis, 5 (88261) | $218.24 | $682 | 0.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $96 | $300 | 2.7× |
| Citric acid urine (82507) range across 5 matching MRF lines |
$34.24–$81.60 | $107–$255 | varies |
| Clostridium Difficile (87324) | $38.40 | $120 | 3.2× |
| Clotting factor xii hageman (85280) | $89.28 | $279 | 4.6× |
| Cns DNA amp probe type 12-25 (87483) | $302.08 | $944 | 0.7× |
| Coccidioides antibody (86635) | $11.84 | $37 | 1.0× |
| Cold agglutinin screen (86156) | $53.44 | $167 | 6.6× |
| Collagen crosslinks (82523) range across 4 matching MRF lines |
$34.88–$58.88 | $109–$184 | varies |
| Column Chromotography Quant (82542) range across 6 matching MRF lines |
$30.72–$78.40 | $96–$245 | varies |
| Compatibility Each Unit Incubation (86921) | $2.24 | $7 | 0.0× |
| Compatibility test antiglob (86922) range across 3 matching MRF lines |
$10.24–$116.48 | $32–$364 | varies |
| Complement Antigen Each Component (86160) | $48 | $150 | 4.0× |
| Complement Total (Ch50) (86162) | $64 | $200 | 3.1× |
| Complement/Function Activity (86161) | $35.84 | $112 | 3.0× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$42.88–$44.16 | $134–$138 | varies |
| Coombs direct (86880) range across 3 matching MRF lines |
$10.88–$32.96 | $34–$103 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$40–$74.24 | $125–$232 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$59.20–$111.68 | $185–$349 | varies |
| Cortisol saliva (82533) range across 7 matching MRF lines |
$34.88–$44.80 | $109–$140 | varies |
| Creatine kinase total (82550) | $24 | $75 | 3.7× |
| Creatinine blood (82565) range across 3 matching MRF lines |
$22.40–$33.92 | $70–$106 | varies |
| Creatinine clearance (82575) | $32 | $100 | 3.4× |
| Creatinine Urine (82570) range across 14 matching MRF lines |
$7.04–$27.20 | $22–$85 | varies |
| Crossmatch electronic (86923) | $35.20 | $110 | 0.2× |
| Crossmatch immediate spin (86920) | $7.68 | $24 | 0.0× |
| Crp High Sensitivity (86141) | $40 | $125 | 3.1× |
| Cryofibrinogen (82585) | $27.84 | $87 | 2.0× |
| Cryoglobulin (82595) | $27.20 | $85 | 4.2× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$13.12–$44.80 | $41–$140 | varies |
| Cryptosporidium ag eia (87328) | $32.96 | $103 | 2.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 9 matching MRF lines |
$17.60–$27.20 | $55–$85 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $32 | $100 | 4.0× |
| Culture afb (87116) | $38.40 | $120 | 3.6× |
| Culture Anaerobic (87075) | $51.20 | $160 | 5.4× |
| Culture blood (87040) | $72 | $225 | 7.0× |
| Culture chlamydia (87110) | $54.40 | $170 | 2.8× |
| Culture csf (87070) | $48 | $150 | 5.6× |
| Culture fungus (87102) | $27.20 | $85 | 3.2× |
| Culture fungus blood (87103) | $33.92 | $106 | 1.7× |
| Culture screen only (87081) | $25.60 | $80 | 3.9× |
| Culture typing if ea antiserum (87140) | $14.40 | $45 | 2.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $19.20 | $60 | 3.7× |
| Culture urine (87086) | $43.20 | $135 | 5.4× |
| Cyclosporine (80158) | $56 | $175 | 3.1× |
| Cystatin C (82610) | $19.20 | $60 | 1.0× |
| Cytogenetics 100-300 (88275) | $112 | $350 | 2.2× |
| Cytomegalovirus igg (86644) | $41.60 | $130 | 2.9× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 3 matching MRF lines |
$52.48–$57.60 | $164–$180 | varies |
| Cytopath Cell Enhance Tech (88112) | $96 | $300 | 1.9× |
| Cytp Concentration Smears & Interpretation (88108) | $64.32 | $201 | 1.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $112 | $350 | 2.2× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $64 | $200 | 0.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 10 matching MRF lines |
$48.96–$64.32 | $153–$201 | varies |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $44.16 | $138 | 2.4× |
| Deoxycortisol (82634) | $37.76 | $118 | 1.3× |
| Deoxyribonuclease antibody (86215) | $40 | $125 | 3.0× |
| Detect Agent Nos Dna Amp (87798) | $104 | $325 | 3.0× |
| Detect Agent Nos Dna Quant (87799) | $128 | $400 | 3.0× |
| Dhea (82626) | $76.80 | $240 | 3.0× |
| Dhea-S (82627) | $72 | $225 | 3.2× |
| Digoxin (80162) | $41.60 | $130 | 3.1× |
| Diphtheria antitoxoid (86648) | $56.64 | $177 | 3.7× |
| Dmd Duplication/Deletion Analysis (81161) | $256 | $800 | 0.9× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$20.16–$56 | $63–$175 | varies |
| DNA/RNA direct probe (87149) | $54.40 | $170 | 2.7× |
| Dna/Rna Sequencing (87153) range across 3 matching MRF lines |
$99.20–$153.60 | $310–$480 | varies |
| Drug Assay Everolimus (80169) | $61.44 | $192 | 4.5× |
| Drug Assay Lacosamide (80235) | $32 | $100 | 1.2× |
| Drug Assay Posaconazole (80187) | $36.48 | $114 | 1.3× |
| Drug Screen Quant Clozapine (80159) | $56 | $175 | 2.8× |
| Drug Screen Quant Zonisamide (80203) | $57.60 | $180 | 4.3× |
| Drug Screen Quantitative Gabapentin (80171) | $96.32 | $301 | 4.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $48 | $150 | 3.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $48 | $150 | 3.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $48 | $150 | 3.6× |
| Drug Screen Quantitative Tiagabine (80199) | $26.56 | $83 | 1.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 26 matching MRF lines |
$38.40–$160 | $120–$500 | varies |
| Drug Test Prsmv Instrmnt (80306) | $160 | $500 | 9.3× |
| Egfr Gene Analysis Common Variants (81235) | $624 | $1,950 | 1.9× |
| Ehrlichia antibody (86666) range across 5 matching MRF lines |
$21.12–$22.08 | $66–$69 | varies |
| El-1 Fecal Quantitative (82653) | $68.80 | $215 | 3.0× |
| Electrolyte panel (80051) | $48 | $150 | 6.8× |
| Electron Microscopy (88348) | $304 | $950 | 0.4× |
| Encephaltis East Eqne Anbdy (86652) | $40.96 | $128 | 3.1× |
| Enterovirus Antibody (86658) range across 21 matching MRF lines |
$10.24–$40.96 | $32–$128 | varies |
| Enzyme cell activity (82657) | $120.32 | $376 | 5.4× |
| Enzyme histochemistry (88319) | $84.80 | $265 | 0.1× |
| Eosinophil Smear (89190) | $18.88 | $59 | 3.3× |
| Erythropoietin (82668) | $56 | $175 | 3.0× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$31.68–$139.52 | $99–$436 | varies |
| Estriol (82677) range across 3 matching MRF lines |
$23.36–$45.12 | $73–$141 | varies |
| Estrogen total (82672) | $70.40 | $220 | 3.2× |
| Ethosuximide (80168) | $39.36 | $123 | 2.4× |
| Ethylene Glycol (82693) | $35.20 | $110 | 2.4× |
| Exam Synovial Fluid Crystals (89060) | $21.76 | $68 | 3.0× |
| F2 Gene (81240) | $152 | $475 | 2.3× |
| Factor ii activity (85210) | $111.04 | $347 | 8.6× |
| Factor ix activity (85250) | $104.96 | $328 | 5.5× |
| Factor v activity (85220) | $70.40 | $220 | 4.0× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$8.32–$168 | $26–$525 | varies |
| Factor vii assay (85230) range across 3 matching MRF lines |
$110.08–$128.64 | $344–$402 | varies |
| Factor viii assay (85240) | $56 | $175 | 3.1× |
| Factor X (85260) | $56 | $175 | 3.1× |
| Factor xi activity (85270) | $89.28 | $279 | 5.0× |
| Fat stain feces urine/respir secretions (89125) | $16.64 | $52 | 2.8× |
| Fat/Lipids Feces Quantitative (82710) | $81.28 | $254 | 4.8× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $27.84 | $87 | 4.3× |
| Fecal Fat Qualitative (82705) | $24 | $75 | 4.7× |
| Ferritin (82728) | $51.20 | $160 | 3.8× |
| Fetal Chrmoml Aneuploidy (81420) range across 13 matching MRF lines |
$272.96–$401.28 | $853–$1,254 | varies |
| Fetal Chrmoml Microdeltj (81422) | $416 | $1,300 | 0.5× |
| Fetal Fibronectin (82731) | $176 | $550 | 2.7× |
| Fetal screen rosette (85461) | $24 | $75 | 2.6× |
| Fibrin Degradation Quant (85379) | $48 | $150 | 4.7× |
| Fibrinogen antigen (85385) | $28.80 | $90 | 2.0× |
| Flow cytometry first marker (88184) range across 6 matching MRF lines |
$85.76–$112 | $268–$350 | varies |
| Fluorescent antibody screen (86255) range across 9 matching MRF lines |
$46.40–$48 | $145–$150 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 15 matching MRF lines |
$24–$108.80 | $75–$340 | varies |
| Fmr1 Gene Charac Alleles (81244) | $112 | $350 | 2.5× |
| Fmr1 gene detection (81243) | $160 | $500 | 2.8× |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$20.80–$48 | $65–$150 | varies |
| Folic Acid Serum (82746) | $54.40 | $170 | 3.7× |
| Follicle Stimulating Hormone (83001) | $57.60 | $180 | 3.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $13.44 | $42 | 0.1× |
| Frozen Section (88331) | $80 | $250 | 0.5× |
| Fungi Identification Yeast (87106) | $32 | $100 | 3.1× |
| Gammaglobulin ige (82785) | $87.04 | $272 | 5.3× |
| Gases blood ph only (82800) | $32 | $100 | 2.9× |
| Gastrin (82941) | $55.68 | $174 | 3.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,043.20 | $3,260 | 2.5× |
| Genetic Tstg Severe Inh Cond (81443) | $962.88 | $3,009 | 0.4× |
| Gentamicin (80170) range across 3 matching MRF lines |
$48–$74.24 | $150–$232 | varies |
| Ggt (82977) range across 2 matching MRF lines |
$32–$33.92 | $100–$106 | varies |
| Glucose 2 hr pp (82950) | $22.40 | $70 | 4.7× |
| Glucose Blood Test (82962) range across 5 matching MRF lines |
$12.80–$17.28 | $40–$54 | varies |
| Glucose body fluid (82945) | $20.80 | $65 | 5.3× |
| Glucose Serum (82947) range across 6 matching MRF lines |
$16–$21.44 | $50–$67 | varies |
| Glucose tolerance test (gtt) (82951) | $43.20 | $135 | 3.4× |
| Glycated Protein (82985) | $19.84 | $62 | 1.2× |
| Gonadotropin Chorionic Qualitative (84703) | $25.60 | $80 | 3.4× |
| Growth hormone (83003) | $30.72 | $96 | 1.8× |
| Gtt-added samples (82952) | $22.40 | $70 | 5.7× |
| H Pylori (C-13) Breath (83013) | $184 | $575 | 2.7× |
| H Pylori Drug Admin (83014) | $24 | $75 | 3.1× |
| Haloperidol (80173) | $48 | $150 | 3.0× |
| Haptoglobin (83010) | $40 | $125 | 3.2× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$28.80–$38.08 | $90–$119 | varies |
| Helicobacter Pylori Stool (87338) | $44.80 | $140 | 3.1× |
| Helminth Antibody (86682) | $46.08 | $144 | 3.5× |
| Hematocrit (85014) | $13.12 | $41 | 5.5× |
| Hemoglobin (85018) | $14.40 | $45 | 6.1× |
| Hemoglobin a1c (83036) | $41.60 | $130 | 4.3× |
| Hemoglobin Chromotography (83021) | $54.40 | $170 | 3.0× |
| Hemoglobin F Fetal Chemical (83030) | $16.32 | $51 | 1.5× |
| Hemoglobin Methemoglobin Quantitative (83050) | $20.48 | $64 | 2.5× |
| Hep a ab igm (86709) | $32 | $100 | 2.8× |
| Heparin assay (85520) | $40 | $125 | 3.1× |
| Hepatitis a antibody total (86708) | $40 | $125 | 3.2× |
| Hepatitis b core ab igm (86705) | $40 | $125 | 3.4× |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
$28.48–$36.80 | $89–$115 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$31.04–$40 | $97–$125 | varies |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$6.40–$38.72 | $20–$121 | varies |
| Hepatitis Be Antibody (86707) | $38.40 | $120 | 3.3× |
| Hepatitis Be Antigen (87350) | $33.60 | $105 | 2.9× |
| Hepatitis C Antibody (86803) | $48 | $150 | 3.4× |
| Hepatitis C Genotype (87902) | $481.60 | $1,505 | 1.9× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $88.64 | $277 | 2.5× |
| Hepatitis C Revrs Trnscrpj (87522) | $136 | $425 | 3.2× |
| Hepatitis Delta Agent Antibody (86692) | $84.48 | $264 | 4.9× |
| Herpes simplex type 2 (86696) | $56 | $175 | 2.9× |
| Heterophile Antibody Screen (86308) | $25.60 | $80 | 4.9× |
| Hfe Gene (81256) | $192 | $600 | 2.9× |
| Histamine urine (83088) | $101.12 | $316 | 3.4× |
| Histoplasma antibody (86698) | $26.56 | $83 | 1.9× |
| Histoplasma antigen urine (87385) | $64 | $200 | 4.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $72 | $225 | 3.0× |
| Hiv-1 Antibody (86701) range across 3 matching MRF lines |
$11.52–$27.20 | $36–$85 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $289.28 | $904 | 3.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $198.40 | $620 | 2.7× |
| Homocysteine (83090) | $64 | $200 | 3.6× |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
$25.28–$26.56 | $79–$83 | varies |
| Homovanillic acid urine (83150) | $37.12 | $116 | 1.7× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$56.64–$96 | $177–$300 | varies |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$73.28–$97.60 | $229–$305 | varies |
| Htlv-I Antibody (86687) | $59.20 | $185 | 6.5× |
| Human Epididymis Protein 4 (86305) | $147.52 | $461 | 7.1× |
| Hydroxycorticosteroids 17 (83491) | $113.92 | $356 | 6.4× |
| Hydroxyprogesterone 17-d (83498) | $78.40 | $245 | 2.9× |
| Hydroxyproline free (83500) | $35.20 | $110 | 1.6× |
| Iaad Ia Cytomegalovirus (87332) | $48.32 | $151 | 4.0× |
| Iaad ia shiga-like toxin (87427) range across 4 matching MRF lines |
$24–$24.32 | $75–$76 | varies |
| Iaadi Varicella Zoster Virus (87290) | $30.72 | $96 | 2.3× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $72 | $225 | 2.1× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $21.76 | $68 | 0.6× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $34.24 | $107 | 1.5× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $22.08 | $69 | 0.6× |
| Iadna Cytomegalovirus Quantification (87497) | $152 | $475 | 3.5× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $184 | $575 | 2.6× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $72 | $225 | 2.1× |
| Iadna Hepatitis B Virus Quantification (87517) | $120 | $375 | 2.8× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $22.08 | $69 | 0.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $46.40 | $145 | 1.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$21.76–$61.12 | $68–$191 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $97.60 | $305 | 2.8× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $208 | $650 | 1.5× |
| Igg subclasses (82787) range across 4 matching MRF lines |
$7.04–$40.64 | $22–$127 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $160 | $500 | 0.5× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$83.20–$88 | $260–$275 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 9 matching MRF lines |
$37.76–$46.40 | $118–$145 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 9 matching MRF lines |
$18.24–$44.80 | $57–$140 | varies |
| Immunoassay nonantibody (83516) range across 21 matching MRF lines |
$21.12–$80.96 | $66–$253 | varies |
| Immunodiffusion Ouchterlony (86331) | $27.84 | $87 | 2.3× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $40 | $125 | 1.7× |
| Immunofixation electrophoresis (86334) range across 4 matching MRF lines |
$26.56–$67.20 | $83–$210 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $96 | $300 | 0.6× |
| Immunohistochemistry (88342) | $128 | $400 | 0.8× |
| In situ hybridization 1st probe stain (88365) | $158.40 | $495 | 0.9× |
| In situ hybridization ea multiplex probe stain (88366) | $159.04 | $497 | 0.9× |
| Influenza DNA amp probe (87502) | $66.88 | $209 | 0.7× |
| Inhibin A (86336) range across 4 matching MRF lines |
$19.20–$158.72 | $60–$496 | varies |
| Inhibin b (83520) range across 16 matching MRF lines |
$30.72–$109.76 | $96–$343 | varies |
| Insulin antibodies (86337) | $64 | $200 | 3.0× |
| Insulin free (83527) | $33.92 | $106 | 2.6× |
| Insulin total (83525) range across 2 matching MRF lines |
$23.36–$50.24 | $73–$157 | varies |
| Intrinsic factor antibody (86340) | $104.64 | $327 | 6.9× |
| Iron (83540) range across 2 matching MRF lines |
$28.80–$29.76 | $90–$93 | varies |
| Iron Binding Capacity (83550) | $32 | $100 | 3.7× |
| Irradiation Blood Product Each Unit (86945) | $40 | $125 | 1.1× |
| Islet cell antibody (86341) | $64 | $200 | 2.7× |
| Jak2 gene analysis p.val617phe variant (81270) | $249.60 | $780 | 2.7× |
| Koh Prep (87220) | $14.08 | $44 | 3.3× |
| Kras Gene Variants Exon 2 (81275) | $93.12 | $291 | 0.5× |
| L/s ratio (83661) | $240 | $750 | 10.9× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$25.60–$27.84 | $80–$87 | varies |
| Lamellar Body Count (83664) | $60.48 | $189 | 3.1× |
| Ldh Isoenzymes (83625) | $40 | $125 | 3.1× |
| LDL direct (83721) | $40 | $125 | 3.8× |
| Lead (83655) range across 8 matching MRF lines |
$18.88–$38.40 | $59–$120 | varies |
| Legionella antibody (86713) | $66.56 | $208 | 4.4× |
| Legionella antigen urine (87449) | $49.60 | $155 | 4.1× |
| Legionella pneumophila dfa (87278) | $40.96 | $128 | 2.6× |
| Leptospira antibody (86720) | $35.20 | $110 | 2.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $17.60 | $55 | 0.6× |
| Level ii surg pathology grossµscopic exam (88302) | $64 | $200 | 1.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $120 | $375 | 0.3× |
| Lipase (83690) | $25.60 | $80 | 3.7× |
| Lipoprotein A (83695) | $43.20 | $135 | 3.0× |
| Lipoprotein Bld Quan Part (83704) | $96 | $300 | 2.8× |
| Lithium (80178) | $32 | $100 | 4.8× |
| Luteinizing Hormone (Lh) (83002) | $54.40 | $170 | 2.9× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$24.96–$51.20 | $78–$160 | varies |
| M. Genitalium Amp Probe (87563) | $16.32 | $51 | 0.5× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $256 | $800 | 1.5× |
| Magnesium Urine (83735) range across 5 matching MRF lines |
$24–$32 | $75–$100 | varies |
| Mass Spectrometry Quant (83789) | $53.12 | $166 | 2.2× |
| Mercury urine (83825) range across 5 matching MRF lines |
$24.64–$81.60 | $77–$255 | varies |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$25.60–$35.20 | $80–$110 | varies |
| Microbe Suscept Macrobroth (87188) range across 2 matching MRF lines |
$34.88–$135.04 | $109–$422 | varies |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$25.28–$48 | $79–$150 | varies |
| Mlh1 Gene (81288) | $224 | $700 | 1.2× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 4 matching MRF lines |
$39.36–$138.56 | $123–$433 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $88 | $275 | 2.1× |
| Mopath procedure level 2 (81401) | $95.04 | $297 | 0.7× |
| Mopath procedure level 4 (81403) | $21.44 | $67 | 0.1× |
| Mopath procedure level 9 (81408) | $1,120 | $3,500 | 0.6× |
| Mrsa Pcr (87641) | $104 | $325 | 3.0× |
| Mthfr Gene Analysis Common Variants (81291) | $128 | $400 | 2.0× |
| Mumps antibody (86735) range across 6 matching MRF lines |
$40–$53.12 | $125–$166 | varies |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
$28.48–$37.76 | $89–$118 | varies |
| Mycoplasma culture (87109) range across 2 matching MRF lines |
$15.04–$41.28 | $47–$129 | varies |
| Myelin basic protein csf (83873) | $41.60 | $130 | 2.4× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$46.40–$64 | $145–$200 | varies |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$65.92–$104 | $206–$325 | varies |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $67.20 | $210 | 2.3× |
| Nfct ds bv&vaginitis DNA alg (81515) | $56 | $175 | 0.2× |
| Niacin (84591) | $56.64 | $177 | 3.3× |
| Nuclear antigen antibody (86235) range across 12 matching MRF lines |
$50.56–$64 | $158–$200 | varies |
| Obstetric panel (80081) | $224 | $700 | 3.0× |
| Occult blood feces (82272) range across 3 matching MRF lines |
$12.80–$16.32 | $40–$51 | varies |
| Occult Blood Other Sources (82271) | $16.32 | $51 | 3.1× |
| Oligoclonal bands (83916) | $43.52 | $136 | 1.6× |
| Organic acids urine (83918) range across 5 matching MRF lines |
$56–$129.28 | $175–$404 | varies |
| Osmolality serum (83930) | $30.40 | $95 | 4.6× |
| Osmolality Urine (83935) | $24 | $75 | 3.5× |
| Osteocalcin (83937) | $74.24 | $232 | 2.5× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$32–$64.32 | $100–$201 | varies |
| Oxalate urine (83945) range across 3 matching MRF lines |
$30.08–$78.08 | $94–$244 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $17.28 | $54 | 1.5× |
| Parvovirus antibody (86747) | $66.24 | $207 | 4.4× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $16 | $50 | 0.0× |
| Pathology Consultation During Surgery (88329) | $8 | $25 | 0.1× |
| Ph urine (81003) range across 4 matching MRF lines |
$16–$22.08 | $50–$69 | varies |
| Phenobarbital Level (80184) | $48 | $150 | 3.1× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$48–$66.24 | $150–$207 | varies |
| Phosphatase acid prostatic (84066) | $21.76 | $68 | 2.3× |
| Phosphatase alkaline (84075) | $24 | $75 | 4.6× |
| Phospholipid Neutralization Hexagonal (85598) | $24 | $75 | 1.3× |
| Phosphorus Serum (84100) | $22.40 | $70 | 4.7× |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$7.04–$16 | $22–$50 | varies |
| Pinworm exam (87172) | $14.08 | $44 | 3.3× |
| Platelet Aggregation (85576) | $64 | $200 | 2.6× |
| Platelet Antibodies (86022) | $112 | $350 | 6.1× |
| Platelet count automated (85049) | $24 | $75 | 5.4× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $245.12 | $766 | 1.2× |
| Porphobilinogen, urine; quantitative (84110) range across 3 matching MRF lines |
$20.80–$24 | $65–$75 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) | $38.08 | $119 | 2.6× |
| Potassium Urine (84133) range across 4 matching MRF lines |
$6.40–$16 | $20–$50 | varies |
| Prealbumin (84134) | $30.40 | $95 | 2.1× |
| Pregnancy-Associated Plasma Protein-A (84163) | $33.92 | $106 | 2.3× |
| Primidone (80188) | $48 | $150 | 2.9× |
| Procalcitonin (Pct) (84145) | $88 | $275 | 3.2× |
| Progesterone (84144) | $64 | $200 | 3.1× |
| Prolactin (84146) range across 4 matching MRF lines |
$45.12–$60.80 | $141–$190 | varies |
| Protein body fluid (84157) | $22.40 | $70 | 5.6× |
| Protein C Activity (85303) | $64 | $200 | 4.6× |
| Protein c antigen (85302) range across 3 matching MRF lines |
$51.52–$90.88 | $161–$284 | varies |
| Protein Electrophoresis Urine (84166) | $56 | $175 | 3.1× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 4 matching MRF lines |
$16–$53.12 | $50–$166 | varies |
| Protein S Free (85306) | $64 | $200 | 4.2× |
| Protein s total (85305) range across 4 matching MRF lines |
$42.88–$170.56 | $134–$533 | varies |
| Protein total serum (84155) range across 5 matching MRF lines |
$4.80–$17.60 | $15–$55 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$20.80–$37.12 | $65–$116 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $24 | $75 | 6.1× |
| Protoporphyrin rbc quantitative (84202) | $12.16 | $38 | 0.8× |
| PSA free (84154) | $56 | $175 | 3.0× |
| Pth Intact (83970) | $120 | $375 | 2.9× |
| Q Fever Antibody (86638) | $43.52 | $136 | 3.6× |
| Quantiferon tb gold plus (86480) | $172.80 | $540 | 2.8× |
| Quantitative assay drug (80299) range across 8 matching MRF lines |
$41.60–$132.80 | $130–$415 | varies |
| Quantitative Screen Metals (83018) | $72 | $225 | 3.3× |
| Quinidine (80194) | $70.72 | $221 | 4.8× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$80.32–$87.04 | $251–$272 | varies |
| Rbc antibody identification (86870) range across 5 matching MRF lines |
$44.48–$166.40 | $139–$520 | varies |
| Rbc antibody screen (86850) range across 6 matching MRF lines |
$48.64–$52.48 | $152–$164 | varies |
| Rbc pretreatment serum (86978) range across 4 matching MRF lines |
$104.64–$207.36 | $327–$648 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $93.44 | $292 | 0.6× |
| Renin activity plasma (84244) | $64 | $200 | 2.9× |
| Resp virus 12-25 targets (87633) | $577.60 | $1,805 | 1.4× |
| Rh (86901) range across 3 matching MRF lines |
$21.44–$23.36 | $67–$73 | varies |
| Rheumatoid factor quant (86431) | $24 | $75 | 4.2× |
| Rickettsia antibody (86757) | $56 | $175 | 2.9× |
| Ristocetin cofactor (85245) | $76.80 | $240 | 3.3× |
| Rotavirus ag eia (87425) | $41.28 | $129 | 3.4× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$20.80–$33.28 | $65–$104 | varies |
| Rubella Antibody (86762) | $43.20 | $135 | 3.0× |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$29.44–$40 | $92–$125 | varies |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$26.56–$35.20 | $83–$110 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $80 | $250 | 1.6× |
| Sars-cov-2 COVID-19 antibody (86769) | $20.48 | $64 | 0.5× |
| Sarscov2 & inf a&b amp prb (87636) | $104 | $325 | 0.7× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $262.40 | $820 | 1.8× |
| Sedimentation Rate, Automated (85652) | $16 | $50 | 5.9× |
| Selenium (84255) | $64 | $200 | 2.5× |
| Semen analysis complete (89322) | $48 | $150 | 3.1× |
| Sensitivity mic (87186) | $35.20 | $110 | 4.1× |
| Sex Hormone Binding Globulin (84270) | $67.20 | $210 | 3.1× |
| Sickling of rbc reduction (85660) range across 3 matching MRF lines |
$27.20–$30.72 | $85–$96 | varies |
| Sirolimus (80195) | $64 | $200 | 4.7× |
| Smear acid fast (87206) | $17.60 | $55 | 3.3× |
| Smear gram stain (87205) | $16 | $50 | 3.7× |
| Smn1 Gene Dos/Deletion Alys (81329) | $288 | $900 | 2.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $16 | $50 | 2.7× |
| Sodium Serum (84295) | $33.92 | $106 | 7.1× |
| Sodium Urine (84300) range across 6 matching MRF lines |
$6.72–$24 | $21–$75 | varies |
| Soluble Transferrin Receptor (84238) | $83.20 | $260 | 2.3× |
| Somatomedin (84305) | $80 | $250 | 3.8× |
| Special Stains Group 1 (88312) | $44.80 | $140 | 0.9× |
| Special Stains Group 2 (88313) | $64 | $200 | 0.5× |
| Specimen infect agnt concntj (87015) | $16 | $50 | 2.4× |
| Spectrophotometry (84311) range across 4 matching MRF lines |
$32–$33.60 | $100–$105 | varies |
| Stool cultr aerobic bact ea (87046) | $32 | $100 | 3.4× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$40–$43.52 | $125–$136 | varies |
| Strep a DNA amp probe (87651) | $96 | $300 | 2.7× |
| Sulfate urine (84392) | $14.40 | $45 | 2.6× |
| Surg path level iii (88304) | $64 | $200 | 1.2× |
| Surgical pathology level IV (88305) | $72 | $225 | 1.4× |
| Surgical pathology level vi (88309) | $192 | $600 | 0.2× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $19.20 | $60 | 2.6× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) range across 2 matching MRF lines |
$24–$56 | $75–$175 | varies |
| Syphilis Test Non-Trep Quant (86593) | $22.40 | $70 | 5.1× |
| T3 Free (84481) range across 3 matching MRF lines |
$10.56–$51.20 | $33–$160 | varies |
| T3 reverse (84482) | $43.20 | $135 | 2.7× |
| T3 Total (84480) | $43.20 | $135 | 3.0× |
| T3 Uptake (84479) | $24 | $75 | 3.7× |
| T4 Free (84439) | $32 | $100 | 3.5× |
| T4 total (84436) | $24 | $75 | 3.5× |
| Tacrolimus (80197) | $64 | $200 | 4.7× |
| Testosterone total (84403) | $72 | $225 | 2.8× |
| Testosterone, Free (84402) range across 4 matching MRF lines |
$72–$74.24 | $225–$232 | varies |
| Tetanus antibody (86774) | $87.04 | $272 | 5.9× |
| Theophylline (80198) | $41.60 | $130 | 2.9× |
| Thrombin Time (85670) | $6.40 | $20 | 1.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$16.64–$32.32 | $52–$101 | varies |
| Thyroglobulin (84432) range across 4 matching MRF lines |
$20.48–$56 | $64–$175 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$48–$65.60 | $150–$205 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $80 | $250 | 1.6× |
| Thyroxine binding globulin (84442) | $45.12 | $141 | 3.1× |
| Tissue Culture (88233) | $144 | $450 | 1.0× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$86.40–$89.60 | $270–$280 | varies |
| Tissue Culture Lymphocyte (88230) | $153.92 | $481 | 1.3× |
| Tobramycin peak (80200) | $74.24 | $232 | 4.6× |
| Topiramate (80201) | $64 | $200 | 5.4× |
| Touch prep (88161) range across 4 matching MRF lines |
$44.16–$120.96 | $138–$378 | varies |
| Toxoplasma ab igm (86778) | $64.96 | $203 | 4.5× |
| Toxoplasma antibody (86777) | $34.88 | $109 | 2.4× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$17.60–$33.92 | $55–$106 | varies |
| Transferrin (84466) | $48 | $150 | 3.8× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $109.44 | $342 | 0.5× |
| Trg gene rearrangement anal (81342) | $545.60 | $1,705 | 2.7× |
| Trichomonas Vaginalis Amplif (87661) | $96 | $300 | 2.7× |
| Triglycerides (84478) | $24 | $75 | 4.2× |
| Troponin Quant (84484) | $52.80 | $165 | 4.2× |
| Tumor immunohistochem/comput (88361) | $128 | $400 | 0.4× |
| Tumor Immunohistochem/Manual (88360) | $224 | $700 | 1.3× |
| Urea nitrogen urine (84540) | $26.56 | $83 | 4.8× |
| Uric acid other source (84560) | $16 | $50 | 3.1× |
| Urinalysis Volume Measure (81050) range across 16 matching MRF lines |
$6.08–$9.60 | $19–$30 | varies |
| Urine Bacteria Culture (87088) | $30.08 | $94 | 3.7× |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$32–$41.28 | $100–$129 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $20.80 | $65 | 6.6× |
| Valproic acid (80164) | $48 | $150 | 3.5× |
| Vancomycin (80202) | $56 | $175 | 4.1× |
| Varicella-zoster antibody (86787) | $35.20 | $110 | 2.7× |
| Vasopressin (84588) | $70.72 | $221 | 2.1× |
| Viral Culture (87252) range across 5 matching MRF lines |
$35.52–$57.92 | $111–$181 | varies |
| Virus antibody nos (86790) range across 3 matching MRF lines |
$40.96–$56.64 | $128–$177 | varies |
| Viscosity serum (85810) | $43.20 | $135 | 3.7× |
| Vit D 1 25-Dihydroxy (82652) | $110.40 | $345 | 2.9× |
| Vitamin A (84590) | $84.16 | $263 | 7.2× |
| Vitamin b-12 (82607) | $56 | $175 | 3.7× |
| Vitamin B2 (Riboflavin) (84252) | $64 | $200 | 3.2× |
| Vitamin B6 (84207) | $88 | $275 | 3.1× |
| Vitamin c (82180) | $40 | $125 | 4.0× |
| Vitamin D 25-Hydroxy (82306) | $96 | $300 | 3.2× |
| Vitamin E (84446) | $66.56 | $208 | 4.7× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$102.40–$136 | $320–$425 | varies |
| Zinc (84630) | $53.12 | $166 | 4.7× |
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.