Lab & pathology prices at Frances Mahon Deaconess Hospital
Glasgow, MT · every code in this section with a posted price and a Medicare benchmark.
621 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $316.80 | $352 | 8.2× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $217.80 | $242 | 6.7× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$286.20–$388.80 | $318–$432 | varies |
| Acylcarnitines Quant (82017) | $115.20 | $128 | 6.8× |
| Adenovirus antibody (86603) | $71.10 | $79 | 5.5× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$98.10–$129.60 | $109–$144 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$47.70–$49.50 | $53–$55 | varies |
| Aldolase (82085) | $84.60 | $94 | 8.7× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$362.70–$370.80 | $403–$412 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$119.70–$168.30 | $133–$187 | varies |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$105.30–$289.80 | $117–$322 | varies |
| Allergen specific igg (86001) | $52.20 | $58 | 6.7× |
| Allg Spec Ige Recomb Ea (86008) | $88.20 | $98 | 4.9× |
| Alpha-1-antitrypsin phenotype (82104) | $108 | $120 | 7.5× |
| Alpha-1-antitrypsin total (82103) | $74.70 | $83 | 5.6× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $92.70 | $103 | 5.5× |
| Alpha-Fetoprotein Serum (82105) | $172.80 | $192 | 10.3× |
| Alt (sgpt) (84460) | $55.80 | $62 | 10.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $261.90 | $291 | 11.4× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $248.40 | $276 | 14.7× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $78.30 | $87 | 5.6× |
| Amino Acids Quant 2-5 (82136) | $108 | $120 | 5.5× |
| Amino acids; single, qualitative, each specimen Facility (82127) | $78.30 | $87 | 5.5× |
| Aminolevulinic acid (ala) (82135) | $173.70 | $193 | 10.6× |
| Ammonia (82140) | $157.50 | $175 | 10.8× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $308.70 | $343 | 3.1× |
| Amylase urine (82150) range across 3 matching MRF lines |
$72–$119.70 | $80–$133 | varies |
| Ana Titer (86039) | $78.30 | $87 | 7.0× |
| Androstenedione (82157) | $165.60 | $184 | 5.7× |
| Angiotensin converting enzyme csf (82164) | $142.20 | $158 | 9.7× |
| Anti-Phospholipid Antibody (86148) | $256.50 | $285 | 16.0× |
| Antibody aspergillus (86606) | $128.70 | $143 | 8.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $90.90 | $101 | 5.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $132.30 | $147 | 7.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $106.20 | $118 | 8.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$94.50–$122.40 | $105–$136 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$68.40–$130.50 | $76–$145 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$98.10–$132.30 | $109–$147 | varies |
| Antibody haemophilus influenza (86684) | $151.20 | $168 | 9.5× |
| Antibody helicobacter pylori (86677) | $82.80 | $92 | 4.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $63.90 | $71 | 4.4× |
| Antibody Herpes Smplx Type 1 (86695) | $106.20 | $118 | 8.1× |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$115.20–$179.10 | $128–$199 | varies |
| Antibody HIV-2 (86702) | $165.60 | $184 | 12.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $182.70 | $203 | 9.4× |
| Antibody identification leukocyte antibodies (86021) | $127.80 | $142 | 8.5× |
| Antibody Protozoa Nes (86753) | $68.40 | $76 | 5.5× |
| Antibody Titer (86886) range across 2 matching MRF lines |
$33.30–$129.60 | $37–$144 | varies |
| Antibody Treponema Pallidum (86780) | $77.40 | $86 | 5.8× |
| Antibody; encephalitis, st. louis (86653) | $104.40 | $116 | 7.9× |
| Antibody; influenza virus (86710) | $73.80 | $82 | 5.4× |
| Antigen typing (86905) | $72 | $80 | 18.8× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $146.70 | $163 | 25.6× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$81–$117 | $90–$130 | varies |
| Antistreptolysin O Screen (86063) | $93.60 | $104 | 16.2× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$81.90–$93.60 | $91–$104 | varies |
| Antithrombin iii activity (85300) | $94.50 | $105 | 8.0× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $2,670.30 | $2,967 | 5.3× |
| Apolipoprotein a1 (82172) | $112.50 | $125 | 5.3× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $344.72 | $383.02 | 9.1× |
| Arsenic (82175) | $130.50 | $145 | 6.9× |
| Aspergillus ag eia (87305) | $122.40 | $136 | 10.2× |
| Assay activated protein c (85307) | $40.05 | $44.50 | 2.6× |
| Assay Blood Carbon Dioxide (82374) | $32.40 | $36 | 6.6× |
| Assay myeloperoxidase (83876) | $205.20 | $228 | 4.0× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$84.60–$375.30 | $94–$417 | varies |
| Assay of 5-hiaa (83497) | $162 | $180 | 12.6× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$69.30–$70.20 | $77–$78 | varies |
| Assay of calcium in urine (82340) | $81 | $90 | 13.4× |
| Assay of cpk in blood (82552) | $190.80 | $212 | 14.2× |
| Assay of estrone (82679) | $126 | $140 | 5.1× |
| Assay of g6pd enzyme (82955) | $139.50 | $155 | 14.4× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$105.30–$218.70 | $117–$243 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$155.70–$765.90 | $173–$851 | varies |
| Assay of manganese (83785) | $153 | $170 | 5.7× |
| Assay of metanephrines (83835) | $195.30 | $217 | 11.5× |
| Assay of proinsulin (84206) | $245.70 | $273 | 9.2× |
| Assay of pyruvate (84210) | $130.50 | $145 | 9.0× |
| Assay of serotonin (84260) | $148.50 | $165 | 4.8× |
| Assay of serum potassium (84132) | $52.20 | $58 | 11.0× |
| Assay of sweat sodium (84302) | $36 | $40 | 7.4× |
| Assay of Tyrosine (84510) | $62.10 | $69 | 5.8× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$59.40–$60.30 | $66–$67 | varies |
| Assay of urine vma (84585) | $81.90 | $91 | 5.3× |
| Assay of vasoactive intestinal peptide (84586) | $389.70 | $433 | 11.0× |
| Assay of vitamin b-1 (84425) | $189.90 | $211 | 8.9× |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$16.20–$60.30 | $18–$67 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) | $222.30 | $247 | 1.3× |
| Automated Leukocyte Count (85048) | $20.70 | $23 | 8.1× |
| B cells total count (86355) | $150.30 | $167 | 4.0× |
| Bartonella antibody (86611) | $29.70 | $33 | 2.9× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$295.20–$479.70 | $328–$533 | varies |
| Bcr/abl1 gene minor bp (81207) | $306 | $340 | 2.1× |
| Bcr/Abl1 Gene Other Bp (81208) | $287.10 | $319 | 1.3× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$128.70–$388.80 | $143–$432 | varies |
| Beta hydroxybutyrate (82010) | $153.90 | $171 | 18.8× |
| Beta Lactamase (87185) | $32.40 | $36 | 6.8× |
| Beta-2 Microglobulin (82232) | $155.70 | $173 | 9.6× |
| Bile acids total (82239) | $119.70 | $133 | 7.0× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$54.90–$55.80 | $61–$62 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$45.90–$50.40 | $51–$56 | varies |
| Biotinidase (82261) | $63 | $70 | 3.7× |
| Bl Smear W/O Diff Wbc Count (85008) | $36 | $40 | 10.5× |
| Blastomyces antibody (86612) | $71.10 | $79 | 5.5× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $154.80 | $172 | 0.9× |
| Bld Typing Serologic Rh Phnt (86906) | $63.90 | $71 | 8.2× |
| Bleeding time test (85002) | $104.40 | $116 | 21.7× |
| Blood Count Manual Cell Count Each (85032) | $24.30 | $27 | 5.6× |
| Blood Count Red Blood Cell Automated (85041) | $19.80 | $22 | 6.6× |
| Blood count reticulocyte automated (85045) | $107.10 | $119 | 26.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $54.90 | $61 | 14.4× |
| Blood count spun microhematocrit (85013) | $43.20 | $48 | 6.2× |
| Blood gas (82803) | $286.20 | $318 | 11.0× |
| Blood gases w/02 saturation (82805) | $301.50 | $335 | 3.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $167.40 | $186 | 10.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $50.40 | $56 | 11.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $149.40 | $166 | 23.5× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $108 | $120 | 6.6× |
| Blood typing serologic abo (86900) | $116.10 | $129 | 38.8× |
| Body fluid cell count (89050) | $81 | $90 | 17.2× |
| Bordetella antibody (86615) | $205.20 | $228 | 15.6× |
| Breath Alcohol Test (82075) | $84.60 | $94 | 2.8× |
| Brucella antibody (86622) | $81.90 | $91 | 9.2× |
| C diff amplified probe (87493) | $171 | $190 | 4.6× |
| C-Peptide (84681) | $163.80 | $182 | 7.9× |
| C-reactive protein (86140) | $72.90 | $81 | 14.1× |
| Ca 19-9 (86301) | $188.10 | $209 | 9.0× |
| Cadmium (82300) | $100.80 | $112 | 4.3× |
| Calcitonin (82308) | $262.80 | $292 | 9.8× |
| Calcium ionized (82330) | $133.20 | $148 | 9.7× |
| Calcium total (82310) range across 2 matching MRF lines |
$57.60–$60.30 | $64–$67 | varies |
| Calculus Spectroscopy (82365) | $135.90 | $151 | 10.5× |
| Calculus Xray Diffraction (82370) | $126 | $140 | 10.1× |
| Calprotectin Fecal (83993) | $292.50 | $325 | 14.9× |
| Calr gene com variants (81219) | $817.20 | $908 | 6.7× |
| Cancer Antigen 125 (86304) | $189.90 | $211 | 9.1× |
| Cancer Antigen 27.29 (86300) | $196.20 | $218 | 9.4× |
| Candida Dna Dir Probe (87480) | $77.40 | $86 | 3.9× |
| Carbamazepine total (80156) | $196.20 | $218 | 13.5× |
| Carboxyhemoglobin (82375) | $171 | $190 | 13.9× |
| Carcinoembryonic antigen (82378) | $140.40 | $156 | 7.4× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$144–$152.10 | $160–$169 | varies |
| Carnitine Quantitative Each Specimen (82379) | $136.80 | $152 | 8.1× |
| Carotene (82380) | $144.90 | $161 | 15.7× |
| Catecholamines fractionated (82384) | $270.90 | $301 | 10.7× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$150.30–$154.80 | $167–$172 | varies |
| Ceruloplasmin (82390) | $114.30 | $127 | 10.6× |
| Cftr gene com variants (81220) | $283.50 | $315 | 0.5× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$90–$183.60 | $100–$204 | varies |
| Chloride other source (82438) | $29.70 | $33 | 5.9× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$32.40–$34.20 | $36–$38 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$18.90–$55.80 | $21–$62 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$32.40–$34.20 | $36–$38 | varies |
| Cholinesterase rbc (82482) | $143.10 | $159 | 14.6× |
| Cholinesterase Serum (82480) | $60.30 | $67 | 7.7× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$182.70–$184.50 | $203–$205 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) range across 2 matching MRF lines |
$73.80–$103.50 | $82–$115 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $135.90 | $151 | 4.1× |
| Chromium serum (82495) | $206.10 | $229 | 10.2× |
| Chromosome analys amniotic (88269) | $869.40 | $966 | 5.0× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$431.10–$656.10 | $479–$729 | varies |
| Chromosome Analysis 20-25 (88264) | $230.40 | $256 | 1.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$48.60–$147.60 | $54–$164 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$72–$313.20 | $80–$348 | varies |
| Ckmb (82553) range across 2 matching MRF lines |
$134.10–$139.50 | $149–$155 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$72.90–$108.90 | $81–$121 | varies |
| Clot Factor VIII Multimetric (85247) | $126 | $140 | 5.5× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$48.60–$244.80 | $54–$272 | varies |
| Coccidioides antibody (86635) | $152.10 | $169 | 13.3× |
| Collagen crosslinks (82523) | $164.70 | $183 | 8.8× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$76.50–$322.20 | $85–$358 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $450 | $500 | 1.9× |
| Compatibility test antiglob (86922) | $198 | $220 | 1.1× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$102.60–$110.70 | $114–$123 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$191.70–$206.10 | $213–$229 | varies |
| Complement/Function Activity (86161) | $175.50 | $195 | 14.6× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $502.20 | $558 | 2.9× |
| Coombs direct (86880) range across 2 matching MRF lines |
$71.10–$84.60 | $79–$94 | varies |
| Copper urine (82525) | $117 | $130 | 9.4× |
| Cortisol free (82530) | $235.80 | $262 | 14.1× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$119.70–$144 | $133–$160 | varies |
| Creatine kinase total (82550) | $87.30 | $97 | 13.4× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$56.70–$57.60 | $63–$64 | varies |
| Creatinine clearance (82575) | $141.30 | $157 | 14.9× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$18.90–$72.90 | $21–$81 | varies |
| Crossmatch immediate spin (86920) | $164.70 | $183 | 0.9× |
| Crp High Sensitivity (86141) | $98.10 | $109 | 7.6× |
| Cryoglobulin (82595) | $72.90 | $81 | 11.3× |
| Cryptococcus ab (86641) | $171 | $190 | 11.9× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$72–$72.90 | $80–$81 | varies |
| Cryptosporidium ag eia (87328) | $66.60 | $74 | 4.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$68.40–$69.30 | $76–$77 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $66.60 | $74 | 8.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $60.30 | $67 | 7.8× |
| Culture afb (87116) | $99.90 | $111 | 9.3× |
| Culture Anaerobic (87075) | $130.50 | $145 | 13.8× |
| Culture blood (87040) | $212.40 | $236 | 20.6× |
| Culture chlamydia (87110) | $101.70 | $113 | 5.2× |
| Culture csf (87070) | $117.90 | $131 | 13.7× |
| Culture fungus (87102) range across 2 matching MRF lines |
$98.10–$131.40 | $109–$146 | varies |
| Culture fungus blood (87103) | $123.30 | $137 | 6.0× |
| Culture screen only (87081) range across 2 matching MRF lines |
$54.90–$65.70 | $61–$73 | varies |
| Culture stool (87045) | $87.30 | $97 | 9.2× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $70.20 | $78 | 5.6× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $71.10 | $79 | 5.0× |
| Cyclosporine (80158) | $215.10 | $239 | 11.9× |
| Cyp2c19 gene analysis common variants (81225) | $853.20 | $948 | 2.9× |
| Cystatin C (82610) | $99.90 | $111 | 5.4× |
| Cytogenetics 100-300 (88275) range across 6 matching MRF lines |
$101.70–$375.30 | $113–$417 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,479.50 | $2,755 | 2.1× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$63.90–$107.10 | $71–$119 | varies |
| Cytopath Cell Enhance Tech (88112) | $228.60 | $254 | 4.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $184.50 | $205 | 6.9× |
| Cytp Concentration Smears & Interpretation (88108) | $74.70 | $83 | 2.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $233.10 | $259 | 4.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $99 | $110 | 2.6× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $153.90 | $171 | 2.9× |
| Deoxyribonuclease antibody (86215) | $174.60 | $194 | 13.2× |
| Detect Agent Nos Dna Amp (87798) | $182.70 | $203 | 5.2× |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$318.60–$414.90 | $354–$461 | varies |
| Detect agnt mult DNA ampli (87801) | $180 | $200 | 2.6× |
| Dhea (82626) | $279.90 | $311 | 11.1× |
| Dhea-S (82627) | $230.40 | $256 | 10.4× |
| Dibucaine number (82638) | $60.30 | $67 | 4.9× |
| Digoxin (80162) | $139.50 | $155 | 10.5× |
| Dihydrotestosterone (82642) | $47.70 | $53 | 1.6× |
| Diphtheria antitoxoid (86648) | $97.20 | $108 | 6.4× |
| Dmd Duplication/Deletion Analysis (81161) | $1,031.40 | $1,146 | 3.7× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$102.60–$123.30 | $114–$137 | varies |
| DNA/RNA direct probe (87149) | $102.60 | $114 | 5.1× |
| Drug Assay Everolimus (80169) | $313.20 | $348 | 22.8× |
| Drug Screen Quant Zonisamide (80203) | $184.50 | $205 | 13.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $141.30 | $157 | 10.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $142.20 | $158 | 10.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $188.10 | $209 | 14.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$170.10–$314.10 | $189–$349 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $265.50 | $295 | 21.1× |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$174.60–$247.50 | $194–$275 | varies |
| Ehrlichia antibody (86666) | $109.80 | $122 | 10.8× |
| Electrolyte panel (80051) | $95.40 | $106 | 13.6× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $78.30 | $87 | 1.3× |
| Enterovirus Antibody (86658) | $135.90 | $151 | 10.4× |
| Enterovirus PCR (87498) | $162 | $180 | 4.6× |
| Eosinophil Smear (89190) | $49.50 | $55 | 8.5× |
| Erythropoietin (82668) | $216.90 | $241 | 11.5× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$180–$241.20 | $200–$268 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$101.70–$135.90 | $113–$151 | varies |
| Ethosuximide (80168) | $162.90 | $181 | 10.0× |
| Exam Synovial Fluid Crystals (89060) | $64.80 | $72 | 8.8× |
| Exome Sequence Analysis (81415) | $2,751.30 | $3,057 | 0.6× |
| F2 Gene (81240) | $196.20 | $218 | 3.0× |
| Factor ii activity (85210) | $79.20 | $88 | 6.1× |
| Factor Inhibitor Test (85335) | $71.10 | $79 | 5.5× |
| Factor ix activity (85250) | $305.10 | $339 | 16.0× |
| Factor v leiden mutation (81241) | $326.70 | $363 | 4.5× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$104.40–$305.10 | $116–$339 | varies |
| Factor xi activity (85270) | $153.90 | $171 | 8.6× |
| Factor xiii screen (85291) | $48.60 | $54 | 5.3× |
| Fat stain feces urine/respir secretions (89125) | $72.90 | $81 | 12.4× |
| Fat/Lipids Feces Quantitative (82710) | $223.20 | $248 | 13.3× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $204.30 | $227 | 11.9× |
| Ferritin (82728) range across 2 matching MRF lines |
$110.70–$122.40 | $123–$136 | varies |
| Fetal Fibronectin (82731) | $215.10 | $239 | 3.3× |
| Fetal screen rosette (85461) | $102.60 | $114 | 11.0× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$48.60–$152.10 | $54–$169 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$48.60–$102.60 | $54–$114 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $46.80 | $52 | 3.0× |
| Flow cytometry first marker (88184) | $105.30 | $117 | 0.3× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$129.60–$153 | $144–$170 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$159.30–$259.20 | $177–$288 | varies |
| Fmr1 gene detection (81243) | $545.40 | $606 | 9.6× |
| Folic acid rbc (82747) | $98.10 | $109 | 5.6× |
| Folic Acid Serum (82746) | $183.60 | $204 | 12.5× |
| Follicle Stimulating Hormone (83001) | $153 | $170 | 8.2× |
| Francisella tularensis (86668) | $81.90 | $91 | 5.8× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $154.80 | $172 | 0.9× |
| Fungi Identification Mold (87107) | $64.80 | $72 | 6.3× |
| Fungi Identification Yeast (87106) | $60.30 | $67 | 5.8× |
| G6pd gene analysis full gene sequence (81249) | $77.40 | $86 | 0.1× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $88.20 | $98 | 4.2× |
| Gammaglobulin ige (82785) | $126.90 | $141 | 7.7× |
| Gardner vag DNA dir probe (87510) | $77.40 | $86 | 3.9× |
| Gases blood ph only (82800) | $127.80 | $142 | 11.6× |
| Gastrin (82941) | $168.30 | $187 | 9.5× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $856.80 | $952 | 2.1× |
| Gentamicin (80170) | $202.50 | $225 | 12.4× |
| Ggt (82977) range across 2 matching MRF lines |
$55.80–$121.50 | $62–$135 | varies |
| Giardia antigen (87329) | $92.70 | $103 | 7.7× |
| Giardia lamblia antibody (86674) | $81.90 | $91 | 5.6× |
| Glucose 2 hr pp (82950) | $80.10 | $89 | 16.9× |
| Glucose Blood Test (82962) | $16.20 | $18 | 4.9× |
| Glucose body fluid (82945) | $54 | $60 | 13.7× |
| Glucose Serum (82947) | $86.40 | $96 | 22.0× |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$124.20–$127.80 | $138–$142 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $77.40 | $86 | 10.3× |
| Growth hormone (83003) | $137.70 | $153 | 8.3× |
| Gtt-added samples (82952) | $42.30 | $47 | 10.8× |
| H Pylori (C-13) Breath (83013) | $190.80 | $212 | 2.8× |
| Haptoglobin (83010) | $99 | $110 | 7.9× |
| Hba1/Hba2 Gene (81257) | $206.10 | $229 | 2.0× |
| Hdl Cholesterol (83718) | $109.80 | $122 | 13.4× |
| Helicobacter Pylori Stool (87338) | $251.10 | $279 | 17.5× |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) | $153 | $170 | 2.3× |
| Hematocrit (85014) | $46.80 | $52 | 19.7× |
| Hemoglobin (85018) | $46.80 | $52 | 19.7× |
| Hemoglobin a1c (83036) | $151.20 | $168 | 15.6× |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$98.10–$145.80 | $109–$162 | varies |
| Hemoglobin electrophoresis (83020) | $82.80 | $92 | 6.4× |
| Hemoglobin plasma (83051) | $82.80 | $92 | 11.3× |
| Hemoglobin stability screen (83068) | $162.90 | $181 | 17.2× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $47.70 | $53 | 5.4× |
| Hemosiderin urine (83070) | $73.80 | $82 | 15.5× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$126–$132.30 | $140–$147 | varies |
| Hepatitis a antibody total (86708) | $121.50 | $135 | 9.8× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$81.90–$153 | $91–$170 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$123.30–$126 | $137–$140 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$83.70–$99 | $93–$110 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$84.60–$105.30 | $94–$117 | varies |
| Hepatitis Be Antibody (86707) | $69.30 | $77 | 6.0× |
| Hepatitis Be Antigen (87350) | $71.10 | $79 | 6.2× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$126–$171 | $140–$190 | varies |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$404.10–$531.90 | $449–$591 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$189–$733.50 | $210–$815 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$414.90–$548.10 | $461–$609 | varies |
| Herpes simplex type 2 (86696) | $110.70 | $123 | 5.7× |
| Heterophile Antibody Screen (86308) | $61.20 | $68 | 11.8× |
| Hfe Gene (81256) | $253.80 | $282 | 3.9× |
| Histamine urine (83088) | $175.50 | $195 | 5.9× |
| Histoplasma antibody (86698) | $55.80 | $62 | 4.0× |
| Histoplasma antigen urine (87385) | $159.30 | $177 | 12.0× |
| Hiv Genotype (87901) | $636.30 | $707 | 2.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $128.70 | $143 | 5.3× |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$129.60–$233.10 | $144–$259 | varies |
| HIV-1 p24 antigen (87390) | $97.20 | $108 | 4.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$150.30–$430.20 | $167–$478 | varies |
| Hla-b27 (86812) | $198.90 | $221 | 7.7× |
| Homocysteine (83090) range across 2 matching MRF lines |
$141.30–$289.80 | $157–$322 | varies |
| Homogenization Tissue (87176) | $34.20 | $38 | 5.8× |
| Hsv Dna Amp Probe (87529) | $168.30 | $187 | 4.8× |
| Hydroxyprogesterone 17-d (83498) | $143.10 | $159 | 5.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $159.30 | $177 | 15.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $76.50 | $85 | 2.2× |
| Iaad Ia Streptococcus Group A (87430) | $72.90 | $81 | 4.3× |
| Iaadi respiratory synctial virus (87280) | $67.50 | $75 | 5.0× |
| Iaadi Varicella Zoster Virus (87290) | $112.50 | $125 | 8.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $69.30 | $77 | 2.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$59.40–$375.30 | $66–$417 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $374.40 | $416 | 8.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $349.20 | $388 | 8.2× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $59.40 | $66 | 1.7× |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $85.50 | $95 | 3.1× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $85.50 | $95 | 4.3× |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $85.50 | $95 | 3.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $105.30 | $117 | 3.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$48.60–$151.20 | $54–$168 | varies |
| Igg subclasses (82787) | $256.50 | $285 | 32.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $200.70 | $223 | 0.5× |
| Immune Complex Assay (86332) | $131.40 | $146 | 5.4× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$199.80–$424.80 | $222–$472 | varies |
| Immunoassay analyte qual/semiqual single step (83518) range across 2 matching MRF lines |
$48.60–$396 | $54–$440 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$223.20–$327.60 | $248–$364 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$60.30–$219.60 | $67–$244 | varies |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$72.90–$105.30 | $81–$117 | varies |
| Immunodiffusion Ouchterlony (86331) | $67.50 | $75 | 5.6× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$132.30–$164.70 | $147–$183 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$90–$210.60 | $100–$234 | varies |
| Immunohistochemistry (88342) | $221.40 | $246 | 1.3× |
| In situ hybridization 1st probe stain (88365) | $210.60 | $234 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) | $226.80 | $252 | 4.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) | $108.90 | $121 | 3.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) | $254.70 | $283 | 5.9× |
| Influenza assay w/optic (87804) | $92.70 | $103 | 5.6× |
| Inhibin A (86336) | $116.10 | $129 | 7.4× |
| Inhibin b (83520) range across 3 matching MRF lines |
$92.70–$231.30 | $103–$257 | varies |
| Insitu hybridization auto (88367) | $728.10 | $809 | 2.0× |
| Insitu hybridization manual (88368) range across 2 matching MRF lines |
$192.60–$595.80 | $214–$662 | varies |
| Insulin antibodies (86337) | $249.30 | $277 | 11.6× |
| Insulin total (83525) | $156.60 | $174 | 13.7× |
| Intrinsic factor antibody (86340) | $171 | $190 | 11.3× |
| Iron (83540) | $91.80 | $102 | 14.2× |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$91.80–$92.70 | $102–$103 | varies |
| Irradiation Blood Product Each Unit (86945) | $190.80 | $212 | 5.0× |
| Islet cell antibody (86341) | $284.40 | $316 | 12.1× |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$522–$534.60 | $580–$594 | varies |
| Ketosteroids 17 total (83586) | $71.10 | $79 | 5.6× |
| Koh Prep (87220) range across 2 matching MRF lines |
$29.70–$70.20 | $33–$78 | varies |
| L/s ratio (83661) | $159.30 | $177 | 7.2× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$60.30–$155.70 | $67–$173 | varies |
| Lactoferrin fecal qualitative (83630) | $141.30 | $157 | 7.2× |
| Ldh Isoenzymes (83625) | $210.60 | $234 | 16.5× |
| LDL direct (83721) | $106.20 | $118 | 10.1× |
| Lead (83655) | $102.60 | $114 | 8.5× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$79.20–$156.60 | $88–$174 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $72 | $80 | 2.4× |
| Level ii surg pathology grossµscopic exam (88302) | $146.70 | $163 | 3.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $435.60 | $484 | 1.2× |
| Lipase (83690) | $122.40 | $136 | 17.8× |
| Lipoprotein A (83695) | $167.40 | $186 | 11.7× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $112.50 | $125 | 3.3× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $216.90 | $241 | 4.7× |
| Lithium (80178) | $36 | $40 | 5.4× |
| Luteinizing Hormone (Lh) (83002) | $153 | $170 | 8.3× |
| Lyme disease antibody (86618) | $149.40 | $166 | 8.8× |
| M. Genitalium Amp Probe (87563) | $135.90 | $151 | 3.9× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $545.40 | $606 | 3.1× |
| Macroscopic exam arthropod (87168) | $22.50 | $25 | 5.3× |
| Macroscopic Exam Parasite (87169) | $24.30 | $27 | 5.6× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$83.70–$84.60 | $93–$94 | varies |
| Mass Spectrometry Quant (83789) | $95.40 | $106 | 4.0× |
| Mercury urine (83825) | $118.80 | $132 | 7.3× |
| Methylmalonic acid serum (83921) | $301.50 | $335 | 14.2× |
| Microalbumin, quantitative (82043) | $80.10 | $89 | 13.9× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$99–$152.10 | $110–$169 | varies |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $291.60 | $324 | 1.4× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $291.60 | $324 | 0.4× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $344.72 | $383.02 | 9.1× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 8 matching MRF lines |
$67.50–$400.50 | $75–$445 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $81 | $90 | 1.9× |
| Mopath procedure level 2 (81401) | $206.10 | $229 | 1.5× |
| Mopath procedure level 4 (81403) | $291.60 | $324 | 1.6× |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $291.60 | $324 | 1.4× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $291.60 | $324 | 0.8× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $291.60 | $324 | 1.2× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $291.60 | $324 | 0.5× |
| Mthfr Gene Analysis Common Variants (81291) | $340.20 | $378 | 5.2× |
| Mucin Clot Body Fluid (83872) | $36 | $40 | 6.1× |
| Mucopolysaccharides acid quantitative (83864) | $108 | $120 | 3.8× |
| Mumps antibody (86735) | $82.80 | $92 | 6.3× |
| Mycophenolic Acid (80180) | $146.70 | $163 | 8.1× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$68.40–$253.80 | $76–$282 | varies |
| Mycoplasma culture (87109) | $440.10 | $489 | 28.6× |
| Myoglobin urine (83874) | $202.50 | $225 | 15.7× |
| Natriuretic peptide (83880) | $253.80 | $282 | 6.5× |
| Neutralization Test Viral (86382) | $156.60 | $174 | 9.3× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $576 | $640 | 2.2× |
| Nfct ds chrnc hcv 6 assays (81596) | $297.90 | $331 | 4.1× |
| Nickel level (83885) | $310.50 | $345 | 12.7× |
| Nk cells total count (86357) | $150.30 | $167 | 4.0× |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$126–$207 | $140–$230 | varies |
| Occult blood feces (82272) range across 3 matching MRF lines |
$16.20–$52.20 | $18–$58 | varies |
| Occult Blood Other Sources (82271) | $21.60 | $24 | 4.1× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$190.80–$214.20 | $212–$238 | varies |
| Organic Acids Qualitative Each Specimen (83919) | $129.60 | $144 | 7.9× |
| Organic acids urine (83918) | $289.80 | $322 | 12.3× |
| Osmolality serum (83930) | $67.50 | $75 | 10.2× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$21.60–$83.70 | $24–$93 | varies |
| Osmotic fragility rbc incubated (85557) | $247.50 | $275 | 18.5× |
| Osteocalcin (83937) | $193.50 | $215 | 6.5× |
| Ova and parasites smears (87177) | $172.80 | $192 | 19.4× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$39.60–$151.20 | $44–$168 | varies |
| Pancreatic Elastase Fecal (82656) | $130.50 | $145 | 11.3× |
| Particle Agglutination Screen Each Antibody (86403) | $57.60 | $64 | 5.0× |
| Parvovirus antibody (86747) | $117.90 | $131 | 7.8× |
| Ph urine (81003) | $41.40 | $46 | 18.4× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$123.30–$127.80 | $137–$142 | varies |
| Phenylalanine (84030) | $167.40 | $186 | 30.4× |
| Phenytoin (Dilantin) (80185) | $73.80 | $82 | 5.6× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$44.10–$58.50 | $49–$65 | varies |
| Phosphatidylglycerol (84081) | $159.30 | $177 | 9.6× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$72–$72.90 | $80–$81 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$18.90–$45 | $21–$50 | varies |
| Pinworm exam (87172) | $27.90 | $31 | 6.5× |
| Platelet Aggregation (85576) | $189.90 | $211 | 7.6× |
| Platelet Antibodies (86022) | $103.50 | $115 | 5.6× |
| Platelet count automated (85049) | $50.40 | $56 | 11.2× |
| Platelet neutralization (85597) | $99 | $110 | 5.5× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $873.90 | $971 | 4.2× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $291.60 | $324 | 1.4× |
| Pms2 gene full seq analysis (81317) | $291.60 | $324 | 0.4× |
| Pooling blood platelets (86965) | $97.20 | $108 | 0.6× |
| Porphobilinogen, urine; quantitative (84110) | $77.40 | $86 | 9.2× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $123.30 | $137 | 8.4× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$17.10–$48.60 | $19–$54 | varies |
| Prealbumin (84134) range across 2 matching MRF lines |
$55.17–$160.20 | $61.30–$178 | varies |
| Pregnancy-Associated Plasma Protein-A (84163) | $128.70 | $143 | 8.6× |
| Pregnenolone (84140) | $146.70 | $163 | 7.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $66.60 | $74 | 1.1× |
| Pretx serum rbc antibody identification dilution (86976) | $77.40 | $86 | 2.6× |
| Primidone (80188) | $97.20 | $108 | 5.9× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$211.50–$214.20 | $235–$238 | varies |
| Progesterone (84144) | $161.10 | $179 | 7.7× |
| Prolactin (84146) | $172.80 | $192 | 8.9× |
| Prostaglandin (84150) | $241.20 | $268 | 5.8× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$64.80–$67.50 | $72–$75 | varies |
| Protein C Activity (85303) | $310.50 | $345 | 22.4× |
| Protein c antigen (85302) | $332.10 | $369 | 27.7× |
| Protein Electrophoresis Urine (84166) | $109.80 | $122 | 6.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$91.80–$95.40 | $102–$106 | varies |
| Protein S Free (85306) | $94.50 | $105 | 6.2× |
| Protein s total (85305) | $156.60 | $174 | 13.5× |
| Protein total serum (84155) range across 2 matching MRF lines |
$29.70–$67.50 | $33–$75 | varies |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$29.70–$67.50 | $33–$75 | varies |
| Protein Western Blot Test (84182) | $108.90 | $121 | 3.7× |
| Protoporphyrin rbc quantitative (84202) | $81 | $90 | 5.6× |
| PSA free (84154) | $128.70 | $143 | 7.0× |
| Pth Intact (83970) range across 2 matching MRF lines |
$264.60–$273.60 | $294–$304 | varies |
| Pyruvate kinase (84220) | $198 | $220 | 21.0× |
| Q Fever Antibody (86638) | $110.70 | $123 | 9.1× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$220.50–$329.40 | $245–$366 | varies |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$152.10–$200.70 | $169–$223 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$132.30–$180.90 | $147–$201 | varies |
| Rbc antibody elution (86860) | $97.20 | $108 | 0.6× |
| Rbc antibody identification (86870) | $317.70 | $353 | 0.9× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$122.40–$135.90 | $136–$151 | varies |
| Rbc pretreatment serum (86978) | $141.30 | $157 | 2.3× |
| Reagent Strip/Blood Glucose (82948) | $41.40 | $46 | 8.2× |
| Renin activity plasma (84244) | $201.60 | $224 | 9.2× |
| Reptilase test (85635) | $55.80 | $62 | 5.7× |
| Resp virus 12-25 targets (87633) | $790.20 | $878 | 1.9× |
| Reticulocyte separation (86972) | $207 | $230 | 1.2× |
| Rh (86901) range across 2 matching MRF lines |
$65.70–$67.50 | $73–$75 | varies |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$67.50–$68.40 | $75–$76 | varies |
| Rheumatoid factor quant (86431) | $71.10 | $79 | 12.5× |
| Rickettsia antibody (86757) | $105.30 | $117 | 5.4× |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$241.20–$248.40 | $268–$276 | varies |
| Rotavirus ag eia (87425) | $170.10 | $189 | 14.2× |
| Rpr qualitative (86592) | $70.20 | $78 | 16.4× |
| Rsv ab (86756) | $71.10 | $79 | 4.5× |
| Rsv Assay W/Optic (87807) | $72 | $80 | 5.5× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$70.20–$79.20 | $78–$88 | varies |
| Rubeola antibody (86765) | $39.60 | $44 | 3.1× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$50.40–$127.80 | $56–$142 | varies |
| Russell Viper Venon Time Undiluted (85612) | $64.80 | $72 | 3.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $176.40 | $196 | 3.4× |
| Sars-cov-2 COVID-19 antibody (86769) | $95.40 | $106 | 2.3× |
| Sedimentation Rate, Automated (85652) | $69.30 | $77 | 25.7× |
| Semen Anal Sperm Detection (89321) | $96.30 | $107 | 8.0× |
| Semen analysis complete (89320) | $241.20 | $268 | 19.6× |
| Sensitivity mic (87186) | $99 | $110 | 11.4× |
| Sex Hormone Binding Globulin (84270) | $155.70 | $173 | 7.2× |
| Sickling of rbc reduction (85660) | $107.10 | $119 | 19.4× |
| Sirolimus (80195) | $117 | $130 | 8.5× |
| Skin test tuberculosis intradermal (86580) | $81 | $90 | 2.7× |
| Smear acid fast (87206) | $37.80 | $42 | 7.0× |
| Smear gram stain (87205) | $79.20 | $88 | 18.5× |
| Smear Special Stain (87207) | $36 | $40 | 6.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$43.20–$50.40 | $48–$56 | varies |
| Sodium Serum (84295) range across 2 matching MRF lines |
$39.60–$46.80 | $44–$52 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$18.90–$55.80 | $21–$62 | varies |
| Soluble Transferrin Receptor (84238) | $87.30 | $97 | 2.4× |
| Somatomedin (84305) range across 2 matching MRF lines |
$176.40–$230.40 | $196–$256 | varies |
| Special Stains Group 1 (88312) | $214.20 | $238 | 4.0× |
| Special Stains Group 2 (88313) | $175.50 | $195 | 1.3× |
| Specimen infect agnt concntj (87015) | $47.70 | $53 | 7.1× |
| Stool cultr aerobic bact ea (87046) | $113.40 | $126 | 12.0× |
| Strep b DNA amp probe (87653) | $144 | $160 | 4.1× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $33.30 | $37 | 6.1× |
| Sugars Single Qual (84376) | $92.70 | $103 | 16.9× |
| Sulfate urine (84392) | $18 | $20 | 3.3× |
| Surg path level iii (88304) | $182.70 | $203 | 3.4× |
| Surgical pathology level IV (88305) | $201.60 | $224 | 3.8× |
| Surgical pathology level vi (88309) | $760.50 | $845 | 0.9× |
| Syphilis Test Non-Trep Quant (86593) | $45 | $50 | 10.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $88.20 | $98 | 1.9× |
| T cells total count (86359) | $140.40 | $156 | 3.7× |
| T3 Free (84481) | $147.60 | $164 | 8.7× |
| T3 reverse (84482) | $162.90 | $181 | 10.3× |
| T3 Total (84480) range across 2 matching MRF lines |
$119.70–$142.20 | $133–$158 | varies |
| T3 Uptake (84479) | $146.70 | $163 | 22.7× |
| T4 Free (84439) range across 2 matching MRF lines |
$102.60–$131.40 | $114–$146 | varies |
| T4 total (84436) | $72 | $80 | 10.5× |
| T4-neonatal (84437) | $40.50 | $45 | 6.3× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$255.60–$405 | $284–$450 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$149.40–$211.50 | $166–$235 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$173.70–$178.20 | $193–$198 | varies |
| Tetanus antibody (86774) | $170.10 | $189 | 11.5× |
| Theophylline (80198) | $128.70 | $143 | 9.1× |
| Thrombin Time (85670) | $82.80 | $92 | 14.4× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $47.70 | $53 | 7.4× |
| Thyroglobulin (84432) | $219.60 | $244 | 13.7× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$106.20–$108 | $118–$120 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $504.90 | $561 | 9.9× |
| Thyroxine binding globulin (84442) | $193.50 | $215 | 13.1× |
| Tissue Culture (88233) | $440.10 | $489 | 3.1× |
| Tissue Culture Amniotic Fluid (88235) | $776.70 | $863 | 5.2× |
| Tissue culture bone marrow (88237) | $339.30 | $377 | 2.4× |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$593.10–$614.70 | $659–$683 | varies |
| Tobramycin peak (80200) | $167.40 | $186 | 10.4× |
| Topiramate (80201) | $117 | $130 | 9.8× |
| Touch prep (88161) | $81.90 | $91 | 2.8× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$81.90–$151.20 | $91–$168 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$73.80–$151.20 | $82–$168 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$54–$54.90 | $60–$61 | varies |
| Transferrin (84466) | $106.20 | $118 | 8.3× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $325.80 | $362 | 1.6× |
| Trg gene rearrangement anal (81342) | $337.50 | $375 | 1.7× |
| Trichomonas vagin dir probe (87660) | $77.40 | $86 | 3.9× |
| Trichomonas Vaginalis Amplif (87661) | $181.80 | $202 | 5.2× |
| Triglycerides (84478) | $86.40 | $96 | 15.1× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$137.70–$139.50 | $153–$155 | varies |
| Tumor Immunohistochem/Manual (88360) | $220.50 | $245 | 1.3× |
| Ugt1a1 gene analysis common variants (81350) | $503.10 | $559 | 2.2× |
| Unlisted Cytogenetic Study (88299) | $768.60 | $854 | 14.4× |
| Urea nitrogen urine (84540) | $46.04 | $51.16 | 8.3× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$16.20–$67.50 | $18–$75 | varies |
| Urinalysis Microscopic Only (81015) | $30.60 | $34 | 10.0× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $63.90 | $71 | 29.4× |
| Urinalysis Volume Measure (81050) | $26.10 | $29 | 7.2× |
| Urine Bacteria Culture (87088) | $156.60 | $174 | 19.4× |
| Urine Pregnancy Test (81025) | $76.50 | $85 | 8.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $57.60 | $64 | 18.2× |
| Valproic acid (80164) | $145.80 | $162 | 10.8× |
| Vancomycin (80202) | $145.80 | $162 | 10.8× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$82.80–$94.50 | $92–$105 | varies |
| Vasopressin (84588) | $163.80 | $182 | 4.8× |
| Viral Culture (87252) | $156.60 | $174 | 6.0× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$93.60–$182.70 | $104–$203 | varies |
| Viscosity serum (85810) | $177.30 | $197 | 15.2× |
| Vit D 1 25-Dihydroxy (82652) | $301.50 | $335 | 7.8× |
| Vitamin A (84590) | $171 | $190 | 14.7× |
| Vitamin b-12 (82607) | $179.10 | $199 | 11.9× |
| Vitamin B6 (84207) | $161.10 | $179 | 5.7× |
| Vitamin D 25-Hydroxy (82306) | $176.40 | $196 | 6.0× |
| Vitamin E (84446) | $91.80 | $102 | 6.5× |
| Vitamin K (84597) | $162 | $180 | 11.8× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$126–$189 | $140–$210 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $48.60 | $54 | 5.7× |
| West nile virus ab igm (86788) | $122.40 | $136 | 7.3× |
| West Nile Virus Antibody (86789) | $104.40 | $116 | 7.3× |
| Zika Virus Igm Antibody (86794) | $108 | $120 | 6.4× |
| Zinc (84630) | $95.40 | $106 | 8.4× |
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.