Lab & pathology prices at Franciscan Health Lafayette
Lafayette, IN · every code in this section with a posted price and a Medicare benchmark.
941 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) | $70.06 | $317 | 4.5× |
| 17-Hydroxypregnenolone (84143) | $57.02 | $258 | 2.5× |
| 5 Nucleotidase (83915) | $38.45 | $174 | 3.4× |
| Acetylcholine receptor binding antibody (86041) | $10.61 | $48 | 0.6× |
| Acetylcholine receptor blocking antibody (86042) | $10.61 | $48 | 0.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $7.07 | $32 | 0.6× |
| Acth (82024) | $76.25 | $345 | 2.0× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $142.55 | $645 | 4.4× |
| Actin smooth muscle antibody each (86015) | $49.06 | $222 | 4.1× |
| Acute hepatitis panel (80074) | $79.12 | $358 | 1.7× |
| Acylcarnitines Quant (82017) | $126.85 | $574 | 7.5× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $16.13 | $73 | 1.0× |
| Adenovirus antibody (86603) | $70.06 | $317 | 5.4× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $63.43 | $287 | 1.0× |
| Agglutinins Febrile Each Antigen (86000) | $76.25 | $345 | 10.9× |
| Albumin Fluid (82042) | $25.42 | $115 | 3.3× |
| Albumin serum (82040) | $19.23 | $87 | 3.9× |
| Aldolase (82085) | $51.05 | $231 | 5.3× |
| Aldosterone urine (82088) | $205.75 | $931 | 5.0× |
| Alkaline phosphatase isoenzymes (84080) | $155.14 | $702 | 10.5× |
| Allergen spec ige qual multiallergen screen (86005) | $196.47 | $889 | 24.7× |
| Allergen specific ige (86003) | $13.70 | $62 | 2.6× |
| Allergen specific igg (86001) | $16.13 | $73 | 2.1× |
| Allg Spec Ige Recomb Ea (86008) | $16.13 | $73 | 0.9× |
| Alpha-1-antitrypsin phenotype (82104) | $88.84 | $402 | 6.1× |
| Alpha-1-antitrypsin total (82103) | $85.97 | $389 | 6.4× |
| Alpha-Fetoprotein Serum (82105) | $98.35 | $445 | 5.9× |
| Alt (sgpt) (84460) | $19.23 | $87 | 3.6× |
| Aluminum (82108) | $136.14 | $616 | 5.3× |
| Amikacin trough (80150) | $19.23 | $87 | 1.3× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $82.43 | $373 | 3.6× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $727.97 | $3,294 | 43.2× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $16.13 | $73 | 1.2× |
| Aminolevulinic acid (ala) (82135) | $60.78 | $275 | 3.7× |
| Ammonia (82140) | $57.02 | $258 | 3.9× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $82.43 | $373 | 0.8× |
| Amniotic fluid scan (82143) | $19.23 | $87 | 2.1× |
| Amylase urine (82150) range across 2 matching MRF lines |
$38.45–$60.78 | $174–$275 | varies |
| Ana Titer (86039) | $38.45 | $174 | 3.4× |
| Analysis skeletal muscle (88355) | $225.20 | $1,019 | 1.2× |
| Anca screen each antibody (86036) | $66.30 | $300 | 5.5× |
| Anca Titer Each Antibody (86037) | $7.29 | $33 | 0.6× |
| Androstenedione (82157) | $190.28 | $861 | 6.5× |
| Angiotensin converting enzyme csf (82164) | $79.12 | $358 | 5.4× |
| Anti-Phospholipid Antibody (86148) | $82.43 | $373 | 5.1× |
| Antibody aspergillus (86606) | $47.52 | $215 | 3.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $161.55 | $731 | 12.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $66.96 | $303 | 4.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $114.26 | $517 | 6.8× |
| Antibody Encephalitis California La Crosse (86651) | $66.96 | $303 | 5.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $88.84 | $402 | 6.8× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $88.84 | $402 | 5.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $54.15 | $245 | 3.0× |
| Antibody Fungus Not Elsewhere Specified (86671) | $82.43 | $373 | 6.7× |
| Antibody helicobacter pylori (86677) | $126.85 | $574 | 7.5× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $31.60 | $143 | 2.2× |
| Antibody Herpes Smplx Type 1 (86695) | $35.36 | $160 | 2.7× |
| Antibody HIV-1&HIV-2 single result (86703) | $133.26 | $603 | 9.7× |
| Antibody HIV-2 (86702) | $101.66 | $460 | 7.5× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $139.67 | $632 | 7.2× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$38.45–$82.43 | $174–$373 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $28.95 | $131 | 2.3× |
| Antibody john cunningham virus (86711) | $398.68 | $1,804 | 23.6× |
| Antibody Lymphocytic Choriomeningitis (86727) | $129.95 | $588 | 10.1× |
| Antibody nocardia (86744) | $35.36 | $160 | 2.2× |
| Antibody Protozoa Nes (86753) | $107.63 | $487 | 8.7× |
| Antibody Titer (86886) | $117.79 | $533 | 22.7× |
| Antibody Treponema Pallidum (86780) | $44.64 | $202 | 3.4× |
| Antibody; encephalitis, st. louis (86653) | $70.06 | $317 | 5.3× |
| Antibody; influenza virus (86710) | $79.12 | $358 | 5.8× |
| Antigen typing (86905) range across 2 matching MRF lines |
$19.23–$22.54 | $87–$102 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $51.05 | $231 | 8.9× |
| Antinuclear antibodies (86038) | $25.42 | $115 | 2.1× |
| Antistreptolysin O Screen (86063) | $76.25 | $345 | 13.2× |
| Antistreptolysin o titer (86060) | $41.33 | $187 | 5.7× |
| Antithrombin iii activity (85300) | $129.95 | $588 | 11.0× |
| Antithrombin iii antigen (85301) | $227.85 | $1,031 | 21.1× |
| Apolipoprotein a1 (82172) | $47.52 | $215 | 2.3× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $22.10 | $100 | 0.6× |
| Aquaporin-4 Antb Cba Each (86052) | $66.30 | $300 | 5.5× |
| Aquaporin-4 Antb Elisa (86051) | $22.54 | $102 | 2.0× |
| Arsenic (82175) | $167.74 | $759 | 8.8× |
| Aspergillus ag eia (87305) | $104.31 | $472 | 8.7× |
| Assay activated protein c (85307) | $278.68 | $1,261 | 18.2× |
| Assay Blood Carbon Dioxide (82374) | $22.54 | $102 | 4.6× |
| Assay Blood Catecholamines (82383) | $196.47 | $889 | 6.8× |
| Assay Dir Meas Fr Estradiol (82681) | $88.84 | $402 | 3.2× |
| Assay Nephelometry Not Spec (83883) | $44.64 | $202 | 3.3× |
| Assay of 5-hiaa (83497) | $155.14 | $702 | 12.0× |
| Assay of anti-mullerian hormone (82166) | $22.76 | $103 | 0.6× |
| Assay of b-hexosaminidase each assay (83080) | $117.79 | $533 | 7.0× |
| Assay of blood/uric acid (84550) | $19.23 | $87 | 4.3× |
| Assay of calcium in urine (82340) | $25.42 | $115 | 4.2× |
| Assay of cpk in blood (82552) | $38.45 | $174 | 2.9× |
| Assay of estrone (82679) | $28.95 | $131 | 1.2× |
| Assay of g6pd enzyme (82955) | $101.66 | $460 | 10.5× |
| Assay of gammaglobulin igm (82784) | $38.45 | $174 | 4.1× |
| Assay of lactic acid (83605) | $51.05 | $231 | 4.4× |
| Assay of manganese (83785) | $57.02 | $258 | 2.1× |
| Assay of metanephrines (83835) | $243.98 | $1,104 | 14.4× |
| Assay of phosphatase acid total (84060) | $41.33 | $187 | 5.4× |
| Assay of procainamide (80190) | $133.26 | $603 | 2.2× |
| Assay of proinsulin (84206) | $22.54 | $102 | 0.8× |
| Assay of pyruvate (84210) | $13.04 | $59 | 0.9× |
| Assay of semen fructose (82757) | $57.02 | $258 | 3.3× |
| Assay of serotonin (84260) | $379.90 | $1,719 | 12.3× |
| Assay of serum potassium (84132) range across 4 matching MRF lines |
$16.13–$70.06 | $73–$317 | varies |
| Assay of sweat sodium (84302) | $72.93 | $330 | 15.0× |
| Assay of transcortin (84449) | $24.31 | $110 | 1.4× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$22.54–$25.42 | $102–$115 | varies |
| Assay of urine vma (84585) | $142.55 | $645 | 9.2× |
| Assay of vasoactive intestinal peptide (84586) | $250.39 | $1,133 | 7.1× |
| Assay of vitamin b-1 (84425) | $79.12 | $358 | 3.7× |
| Assay Ph Body Fluid Nos (83986) | $11.05 | $50 | 3.1× |
| Assay spec xcp ur&breath ia (82077) | $91.94 | $416 | 5.3× |
| Asy carbamazepin 10,11-epxid (80161) | $88.84 | $402 | 4.8× |
| Atomic Absorption (82190) | $82.43 | $373 | 5.2× |
| Autol Bld/Component Collj Storage Predeposited (86890) range across 2 matching MRF lines |
$71.83–$79.12 | $325–$358 | varies |
| Automated Leukocyte Count (85048) | $35.36 | $160 | 13.9× |
| B cells total count (86355) | $54.15 | $245 | 1.4× |
| Bartonella antibody (86611) | $22.54 | $102 | 2.2× |
| Bcr/abl1 gene major bp (81206) | $291.28 | $1,318 | 1.8× |
| Bcr/abl1 gene minor bp (81207) | $183.43 | $830 | 1.3× |
| Beta 2 glycoprotein i antibody each (86146) | $47.52 | $215 | 1.9× |
| Beta hydroxybutyrate (82010) | $76.25 | $345 | 9.3× |
| Beta Lactamase (87185) | $19.23 | $87 | 4.0× |
| Beta-2 Microglobulin (82232) | $117.79 | $533 | 7.3× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $113.15 | $512 | 0.9× |
| Bile acids total (82239) | $19.23 | $87 | 1.1× |
| Bilirubin direct (82248) | $19.23 | $87 | 3.8× |
| Bilirubin total (82247) | $22.54 | $102 | 4.5× |
| Biotinidase (82261) | $19.23 | $87 | 1.1× |
| Blastomyces antibody (86612) | $38.45 | $174 | 3.0× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $107.63 | $487 | 0.6× |
| Bld Typing Serologic Rh Phnt (86906) | $66.96 | $303 | 8.6× |
| Bleeding time test (85002) | $51.05 | $231 | 10.6× |
| Blood Count Automated Differential Wbc Count (85004) | $13.48 | $61 | 2.1× |
| Blood Count Red Blood Cell Automated (85041) | $8.84 | $40 | 2.9× |
| Blood count reticulocyte automated (85045) | $22.54 | $102 | 5.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $19.23 | $87 | 5.1× |
| Blood gas (82803) | $66.96 | $303 | 2.6× |
| Blood gases w/02 saturation (82805) | $133.26 | $603 | 1.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$15.03–$25.42 | $68–$115 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $13.26 | $60 | 3.0× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$38.45–$47.52 | $174–$215 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$25.42–$35.36 | $115–$160 | varies |
| Body fluid cell count (89050) | $38.45 | $174 | 8.1× |
| Bone marrow smear interpretation (85097) | $47.52 | $215 | 0.1× |
| Bordetella antibody (86615) | $41.33 | $187 | 3.1× |
| Braf gene analysis (81210) | $167.74 | $759 | 1.0× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) | $2,341.72 | $10,596 | 5.0× |
| Brca1 brca2 gene analysis full dup/del analysis (81164) | $2,341.72 | $10,596 | 4.0× |
| Brca1 gene analysis full dup/del analysis (81166) | $2,341.72 | $10,596 | 7.8× |
| Brca1 gene analysis full sequence analysis (81165) | $2,341.72 | $10,596 | 8.3× |
| Brca1&2 gen full seq dup/del (81162) | $2,025.24 | $9,164 | 1.1× |
| Brca2 gene analysis full dup/del analysis (81167) | $2,341.72 | $10,596 | 8.3× |
| Breath Alcohol Test (82075) | $19.23 | $87 | 0.6× |
| Brucella antibody (86622) | $57.02 | $258 | 6.4× |
| C diff amplified probe (87493) | $123.54 | $559 | 3.3× |
| C-Peptide (84681) | $117.79 | $533 | 5.7× |
| C-reactive protein (86140) | $51.05 | $231 | 9.9× |
| Ca 19-9 (86301) | $123.54 | $559 | 5.9× |
| Cadmium (82300) | $54.15 | $245 | 2.3× |
| Caffeine (80155) | $19.23 | $87 | 0.5× |
| Calcitonin (82308) | $158.24 | $716 | 5.9× |
| Calcium ionized (82330) | $28.95 | $131 | 2.1× |
| Calcium total (82310) | $19.23 | $87 | 3.7× |
| Calculus assay quant (82360) | $98.35 | $445 | 7.6× |
| Calculus Spectroscopy (82365) | $16.13 | $73 | 1.3× |
| Calprotectin Fecal (83993) | $133.26 | $603 | 6.8× |
| Calr gene com variants (81219) | $129.95 | $588 | 1.1× |
| Cancer Antigen 125 (86304) | $98.35 | $445 | 4.7× |
| Cancer Antigen 27.29 (86300) | $98.35 | $445 | 4.7× |
| Candida antibody (86628) | $107.63 | $487 | 9.0× |
| Candida Dna Dir Probe (87480) | $28.95 | $131 | 1.4× |
| Carbamazepine free (80157) | $19.23 | $87 | 1.5× |
| Carbamazepine total (80156) | $60.78 | $275 | 4.2× |
| Carbohydrate Deficient Transferrin (82373) | $474.93 | $2,149 | 26.3× |
| Carboxyhemoglobin (82375) | $51.05 | $231 | 4.1× |
| Carcinoembryonic antigen (82378) | $79.12 | $358 | 4.2× |
| Cardiolipin ab iga (86147) | $57.02 | $258 | 2.2× |
| Carnitine Quantitative Each Specimen (82379) | $237.13 | $1,073 | 14.1× |
| Carotene (82380) | $117.79 | $533 | 12.8× |
| Catecholamines fractionated (82384) | $193.15 | $874 | 7.6× |
| Catecholamines total urine (82382) | $133.26 | $603 | 4.9× |
| Ccp antibody (86200) | $57.02 | $258 | 4.4× |
| Cell count csf (89051) | $38.45 | $174 | 6.9× |
| Cell marker study (88182) | $95.25 | $431 | 1.7× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $177.46 | $803 | 1.3× |
| Ceruloplasmin (82390) | $104.31 | $472 | 9.7× |
| Cftr Gene Analysis Known Familial Variants (81221) | $474.93 | $2,149 | 4.9× |
| Cftr gene com variants (81220) | $664.77 | $3,008 | 1.2× |
| Cftr gene full sequence (81223) | $158.24 | $716 | 0.3× |
| Chemiluminescent assay (82397) | $19.23 | $87 | 1.4× |
| Chlamydia antibody (86631) | $22.54 | $102 | 1.9× |
| Chlamydia Igm Antibody (86632) | $38.45 | $174 | 3.0× |
| Chlamydia trachomatis ag if (87270) | $28.95 | $131 | 2.4× |
| Chlmy trch&neisra gonor mult (87494) | $38.68 | $175 | 0.6× |
| Chloride other source (82438) | $76.25 | $345 | 15.3× |
| Chloride Serum (82435) | $31.60 | $143 | 6.9× |
| Chloride urine (82436) | $14.81 | $67 | 2.6× |
| Chlorinated Hydrocarbons Screen (82441) | $180.56 | $817 | 30.0× |
| Cholesterol total (82465) | $16.13 | $73 | 3.7× |
| Cholinesterase rbc (82482) | $104.31 | $472 | 10.6× |
| Cholinesterase Serum (82480) | $95.25 | $431 | 12.1× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$82.43–$82.65 | $373–$374 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $948.97 | $4,294 | 5.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $41.33 | $187 | 1.2× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $886.21 | $4,010 | 5.1× |
| Chromium serum (82495) | $25.42 | $115 | 1.3× |
| Chromogranin a (86316) | $88.84 | $402 | 4.3× |
| Chromosome analys amniotic (88269) | $822.56 | $3,722 | 4.7× |
| Chromosome Analysis 15-20 (88262) | $601.34 | $2,721 | 4.8× |
| Chromosome Analysis 20-25 (88264) | $123.54 | $559 | 0.9× |
| Chromosome analysis, 5 (88261) | $538.14 | $2,435 | 2.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $76.25 | $345 | 2.2× |
| Citric acid urine (82507) | $252.82 | $1,144 | 9.1× |
| Ckmb (82553) | $44.64 | $202 | 3.9× |
| Clostridium Difficile (87324) | $88.84 | $402 | 7.4× |
| Clot Factor VIII Multimetric (85247) | $82.43 | $373 | 3.6× |
| Clot factor xiii fibrin stab (85290) | $107.63 | $487 | 6.6× |
| Clotting factor viii related antigen (85244) | $107.63 | $487 | 5.3× |
| Clotting factor xii hageman (85280) | $126.85 | $574 | 6.6× |
| Clotting Funct Activity (85397) | $88.84 | $402 | 2.9× |
| Cns DNA amp probe type 12-25 (87483) | $293.49 | $1,328 | 0.7× |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$38.45–$41.33 | $174–$187 | varies |
| Coagulation time; Lee and White Facility (85345) | $22.54 | $102 | 4.8× |
| Coccidioides antibody (86635) | $76.25 | $345 | 6.6× |
| Cold agglutinin titer (86157) range across 2 matching MRF lines |
$28.95–$66.96 | $131–$303 | varies |
| Collagen crosslinks (82523) | $95.25 | $431 | 5.1× |
| Column Chromotography Quant (82542) | $114.26 | $517 | 4.7× |
| Compatibility Each Unit Incubation (86921) | $25.42 | $115 | 0.1× |
| Compatibility test antiglob (86922) | $22.54 | $102 | 0.1× |
| Complement Antigen Each Component (86160) | $51.05 | $231 | 4.3× |
| Complement Fixation Tests Each Antigen (86171) | $44.64 | $202 | 4.5× |
| Complement Total (Ch50) (86162) | $155.14 | $702 | 7.6× |
| Complement/Function Activity (86161) | $35.36 | $160 | 2.9× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $411.28 | $1,861 | 2.3× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $57.02 | $258 | 1.0× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $28.95 | $131 | 0.7× |
| Coombs direct (86880) range across 2 matching MRF lines |
$47.52–$51.05 | $215–$231 | varies |
| Copper urine (82525) | $57.02 | $258 | 4.6× |
| Cortisol free (82530) | $41.33 | $187 | 2.5× |
| Cortisol saliva (82533) | $57.02 | $258 | 3.5× |
| Creatine (82540) | $85.97 | $389 | 18.5× |
| Creatine kinase total (82550) | $25.42 | $115 | 3.9× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$14.81–$25.42 | $67–$115 | varies |
| Creatinine clearance (82575) | $44.64 | $202 | 4.7× |
| Creatinine Urine (82570) | $28.95 | $131 | 5.6× |
| Crossmatch electronic (86923) range across 2 matching MRF lines |
$28.95–$47.52 | $131–$215 | varies |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$54.15–$57.02 | $245–$258 | varies |
| Crp High Sensitivity (86141) | $72.93 | $330 | 5.6× |
| Cryofibrinogen (82585) | $8.18 | $37 | 0.6× |
| Cryoglobulin (82595) | $19.23 | $87 | 3.0× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $60.78 | $275 | 4.7× |
| Cryptococcus ab (86641) | $92.16 | $417 | 6.4× |
| Cryptococcus ag titer (87899) | $113.82 | $515 | 7.1× |
| Cryptosporidium ag eia (87328) | $35.36 | $160 | 2.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $38.45 | $174 | 4.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $41.33 | $187 | 5.1× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $72.93 | $330 | 9.5× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $139.45 | $631 | 0.6× |
| Culture aerobic quant other (87071) | $9.06 | $41 | 0.9× |
| Culture afb (87116) | $54.15 | $245 | 5.0× |
| Culture Anaerobic (87075) | $54.15 | $245 | 5.7× |
| Culture blood (87040) | $104.31 | $472 | 10.1× |
| Culture chlamydia (87110) | $117.79 | $533 | 6.0× |
| Culture csf (87070) | $63.43 | $287 | 7.4× |
| Culture fungus (87102) | $72.93 | $330 | 8.7× |
| Culture fungus blood (87103) | $72.93 | $330 | 3.6× |
| Culture screen only (87081) | $38.45 | $174 | 5.8× |
| Culture stool (87045) | $47.52 | $215 | 5.0× |
| Culture typing if ea antiserum (87140) | $22.54 | $102 | 4.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $28.95 | $131 | 5.6× |
| Culture urine (87086) | $10.17 | $46 | 1.3× |
| Cyanide (82600) | $60.78 | $275 | 3.1× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $54.15 | $245 | 3.8× |
| Cyclic amp (82030) | $92.16 | $417 | 3.6× |
| Cyclosporine (80158) | $171.28 | $775 | 9.5× |
| Cyp2c19 gene analysis common variants (81225) | $161.55 | $731 | 0.6× |
| Cyp2c9 gene com variants (81227) | $130.61 | $591 | 0.7× |
| Cyp2d6 gene com variants (81226) | $221.66 | $1,003 | 0.5× |
| Cyp3a4 gene common variants (81230) | $130.61 | $591 | 0.7× |
| Cyp3a5 gene common variants (81231) | $130.61 | $591 | 0.7× |
| Cystatin C (82610) | $19.23 | $87 | 1.0× |
| Cytogenetics 10-30 (88273) | $142.55 | $645 | 4.1× |
| Cytogenetics 100-300 (88275) | $107.63 | $487 | 2.1× |
| Cytogenom Const Microarray Copy Number Variants (81228) | $576.15 | $2,607 | 0.6× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $379.90 | $1,719 | 0.3× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$92.16–$101.66 | $417–$460 | varies |
| Cytopath C/V Index Add-On (88155) | $28.95 | $131 | 2.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $22.54 | $102 | 1.1× |
| Cytopath Cell Enhance Tech (88112) | $88.84 | $402 | 1.6× |
| Cytopath Fl Nongyn Filter (88106) | $44.20 | $200 | 1.4× |
| Cytotoxic pra quick (86808) | $348.30 | $1,576 | 11.7× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $22.54 | $102 | 0.8× |
| Cytp Concentration Smears & Interpretation (88108) | $21.88 | $99 | 0.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $126.85 | $574 | 2.3× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $47.52 | $215 | 0.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $70.06 | $317 | 1.8× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $177.46 | $803 | 1.0× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $13.48 | $61 | 0.7× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $38.45 | $174 | 1.3× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $177.46 | $803 | 1.0× |
| Deoxycortisol (82634) | $21 | $95 | 0.7× |
| Deoxyribonuclease antibody (86215) | $92.16 | $417 | 7.0× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$60.78–$70.06 | $275–$317 | varies |
| Detect Agent Nos Dna Quant (87799) | $104.31 | $472 | 2.4× |
| Detect agnt mult DNA ampli (87801) | $70.06 | $317 | 1.0× |
| Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) | $92.16 | $417 | 0.6× |
| Dgp Antibody Each Ig Class (86258) | $22.54 | $102 | 1.9× |
| Dhea (82626) | $180.56 | $817 | 7.1× |
| Dhea-S (82627) | $167.74 | $759 | 7.5× |
| Digoxin (80162) | $51.05 | $231 | 3.8× |
| Dihydrotestosterone (82642) | $98.35 | $445 | 3.4× |
| Diphtheria antitoxoid (86648) | $25.86 | $117 | 1.7× |
| Dipropylacetic Acid Free (80165) | $44.64 | $202 | 3.3× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) | $104.31 | $472 | 3.1× |
| Dna Antibody Native/Double Stranded (86225) | $38.45 | $174 | 2.8× |
| Dna Antibody Single Stranded (86226) | $92.16 | $417 | 7.6× |
| Dna/Rna Amplified Probe (87150) | $76.25 | $345 | 2.2× |
| DNA/RNA direct probe (87149) | $60.78 | $275 | 3.0× |
| Dpyd gene common variants (81232) | $139.45 | $631 | 0.8× |
| Drug assay acetaminophen (80143) | $171.05 | $774 | 9.2× |
| Drug assay adalimumab (80145) | $174.81 | $791 | 4.5× |
| Drug Assay Amiodarone (80151) | $88.84 | $402 | 4.8× |
| Drug Assay Everolimus (80169) | $76.25 | $345 | 5.6× |
| Drug assay felbamate (80167) | $50.61 | $229 | 2.7× |
| Drug Assay Infliximab (80230) | $174.81 | $791 | 4.5× |
| Drug Assay Itraconazole (80189) | $88.84 | $402 | 3.3× |
| Drug Assay Lacosamide (80235) | $20.77 | $94 | 0.8× |
| Drug Assay Leflunomide (80193) | $88.84 | $402 | 2.3× |
| Drug Assay Posaconazole (80187) | $86.85 | $393 | 3.2× |
| Drug Assay Vedolizumab (80280) | $206.86 | $936 | 5.4× |
| Drug assay voriconazole (80285) range across 2 matching MRF lines |
$47.96–$88.84 | $217–$402 | varies |
| Drug Screen Quant Clozapine (80159) | $25.42 | $115 | 1.3× |
| Drug Screen Quant Zonisamide (80203) | $51.05 | $231 | 3.9× |
| Drug Screen Quantitative Gabapentin (80171) | $38.45 | $174 | 1.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $19.23 | $87 | 1.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $19.23 | $87 | 1.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $19.23 | $87 | 1.5× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $98.35 | $445 | 5.9× |
| Drug Screen Quantitative Tiagabine (80199) | $25.42 | $115 | 0.9× |
| Drug Test Prsmv Chem Anlyzr (80307) | $171.28 | $775 | 2.8× |
| Drug Test Prsmv Dir Opt Obs (80305) | $98.35 | $445 | 7.8× |
| Drug Test Prsmv Instrmnt (80306) | $101.66 | $460 | 5.9× |
| Egfr Gene Analysis Common Variants (81235) | $304.10 | $1,376 | 0.9× |
| Ehrlichia antibody (86666) | $88.84 | $402 | 8.7× |
| El-1 Fecal Quantitative (82653) | $55.03 | $249 | 2.4× |
| Electrolyte panel (80051) | $35.36 | $160 | 5.0× |
| Electron Microscopy (88348) | $790.74 | $3,578 | 0.9× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $66.96 | $303 | 1.1× |
| Encephaltis East Eqne Anbdy (86652) | $70.06 | $317 | 5.3× |
| Encephaltis West Eqne Antbdy (86654) | $70.06 | $317 | 5.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $66.30 | $300 | 5.5× |
| Enterovirus Antibody (86658) | $35.36 | $160 | 2.7× |
| Enterovirus PCR (87498) | $199.78 | $904 | 5.7× |
| Enzyme cell activity (82657) | $190.28 | $861 | 8.6× |
| Enzyme histochemistry (88319) | $129.95 | $588 | 0.2× |
| Eosinophil Smear (89190) | $25.42 | $115 | 4.4× |
| Erythropoietin (82668) | $79.12 | $358 | 4.2× |
| Estradiol serum (82670) | $136.14 | $616 | 4.9× |
| Estriol (82677) | $120.45 | $545 | 5.0× |
| Estrogen total (82672) | $193.15 | $874 | 8.9× |
| Estrogens fractionated (82671) | $38.45 | $174 | 1.2× |
| Ethosuximide (80168) | $129.95 | $588 | 8.0× |
| Ethylene Glycol (82693) | $101.66 | $460 | 6.8× |
| Euglobulin lysis (85360) | $76.25 | $345 | 9.1× |
| Exam Synovial Fluid Crystals (89060) | $66.96 | $303 | 9.1× |
| F2 Gene (81240) | $171.28 | $775 | 2.6× |
| Factor ii activity (85210) | $133.26 | $603 | 10.3× |
| Factor ix activity (85250) | $348.30 | $1,576 | 18.3× |
| Factor v activity (85220) | $183.43 | $830 | 10.4× |
| Factor v leiden mutation (81241) | $379.90 | $1,719 | 5.2× |
| Factor vii assay (85230) | $126.85 | $574 | 7.1× |
| Factor viii assay (85240) | $174.15 | $788 | 9.7× |
| Factor X (85260) | $186.97 | $846 | 10.4× |
| Factor xi activity (85270) | $22.54 | $102 | 1.3× |
| Factor xiii screen (85291) | $82.43 | $373 | 9.0× |
| Fancc Gene (81242) | $199.78 | $904 | 5.5× |
| Fat stain feces urine/respir secretions (89125) | $16.13 | $73 | 2.7× |
| Fat/Lipids Feces Quantitative (82710) | $142.55 | $645 | 8.5× |
| Fatty acids free (82725) | $190.28 | $861 | 10.1× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $63.43 | $287 | 3.7× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $101.66 | $460 | 15.6× |
| Fecal Fat Qualitative (82705) | $51.05 | $231 | 10.0× |
| Ferritin (82728) | $38.45 | $174 | 2.8× |
| Fetal Chrmoml Aneuploidy (81420) | $759.36 | $3,436 | 1.0× |
| Fetal Chrmoml Microdeltj (81422) | $600.68 | $2,718 | 0.8× |
| Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) | $48.62 | $220 | 0.7× |
| Fetal Fibronectin (82731) | $275.59 | $1,247 | 4.3× |
| Fetal hemoglobin assay qual (83033) | $22.54 | $102 | 2.8× |
| Fetal screen rosette (85461) range across 3 matching MRF lines |
$82.43–$85.97 | $373–$389 | varies |
| Fibrin degradation products (85362) | $92.16 | $417 | 13.4× |
| Fibrin Degradation Quant (85379) | $79.12 | $358 | 7.8× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $88.84 | $402 | 9.1× |
| Fibrinogen activity (85384) | $88.84 | $402 | 9.1× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $11.05 | $50 | 0.7× |
| Flecainide level (80181) | $88.84 | $402 | 4.8× |
| Flow cytometry first marker (88184) | $348.30 | $1,576 | 0.9× |
| Fluorescent antibody screen (86255) | $72.93 | $330 | 6.1× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $54.15 | $245 | 4.5× |
| Fluoride serum (82735) | $92.16 | $417 | 5.0× |
| Fmr1 gene detection (81243) | $218.57 | $989 | 3.8× |
| Folic acid rbc (82747) | $70.06 | $317 | 4.0× |
| Folic Acid Serum (82746) | $60.78 | $275 | 4.1× |
| Follicle Stimulating Hormone (83001) | $117.79 | $533 | 6.3× |
| Frozen blood freeze/thaw (86932) | $348.30 | $1,576 | 8.8× |
| Frozen Section (88331) | $155.14 | $702 | 0.9× |
| Fungi Identification Mold (87107) | $19.23 | $87 | 1.9× |
| Fungi Identification Yeast (87106) | $19.23 | $87 | 1.9× |
| Galactose (82760) | $13.26 | $60 | 1.2× |
| Galactose transferase test (82776) | $14.81 | $67 | 1.3× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $16.13 | $73 | 0.8× |
| Galectin-3 (82777) | $41.33 | $187 | 0.9× |
| Gammaglobulin ige (82785) | $35.36 | $160 | 2.1× |
| Gardner vag DNA dir probe (87510) | $28.95 | $131 | 1.4× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $5.75 | $26 | 0.6× |
| Gases blood ph only (82800) | $28.95 | $131 | 2.6× |
| Gastrin (82941) | $104.31 | $472 | 5.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $474.93 | $2,149 | 1.1× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $1,229.64 | $5,564 | 0.4× |
| Genet Virus Isolate Hsv (87255) | $20.11 | $91 | 0.6× |
| Gentamicin (80170) | $120.45 | $545 | 7.4× |
| Ggt (82977) | $35.36 | $160 | 4.9× |
| Giardia antigen (87329) | $47.52 | $215 | 4.0× |
| Giardia lamblia antibody (86674) | $82.43 | $373 | 5.6× |
| Glucagon (82943) | $16.13 | $73 | 1.1× |
| Glucose 2 hr pp (82950) | $35.36 | $160 | 7.4× |
| Glucose Blood Test (82962) | $22.54 | $102 | 6.9× |
| Glucose body fluid (82945) | $25.42 | $115 | 6.5× |
| Glucose Serum (82947) | $16.13 | $73 | 4.1× |
| Glucose tolerance test (gtt) (82951) | $57.02 | $258 | 4.4× |
| Glycated Protein (82985) | $79.12 | $358 | 4.7× |
| Gonadotropin Chorionic Qualitative (84703) | $47.52 | $215 | 6.3× |
| Gonadotropin releasing hormone (83727) | $186.97 | $846 | 10.9× |
| Growth hormone (83003) | $104.31 | $472 | 6.3× |
| Gtt-added samples (82952) | $14.81 | $67 | 3.8× |
| H Pylori (C-13) Breath (83013) | $42.87 | $194 | 0.6× |
| Haloperidol (80173) | $120.45 | $545 | 7.6× |
| Haptoglobin (83010) | $63.43 | $287 | 5.0× |
| Hba1/Hba2 Gene (81257) | $320.67 | $1,451 | 3.1× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $215.70 | $976 | 1.1× |
| Hbb duplication/deletion variants (81363) | $252.82 | $1,144 | 1.2× |
| Hbb Full Gene Sequence (81364) | $252.82 | $1,144 | 0.8× |
| Hdl Cholesterol (83718) | $63.43 | $287 | 7.7× |
| Heavy metal qualitative any analytes (83015) | $174.15 | $788 | 8.3× |
| Helicobacter Pylori Stool (87338) | $95.25 | $431 | 6.6× |
| Helminth Antibody (86682) | $70.06 | $317 | 5.4× |
| Hemagglutination Inhibition (86280) | $142.55 | $645 | 17.4× |
| Hematocrit (85014) | $10.61 | $48 | 4.5× |
| Hemoglobin (85018) | $8.40 | $38 | 3.5× |
| Hemoglobin a1c (83036) | $47.52 | $215 | 4.9× |
| Hemoglobin Chromotography (83021) | $25.42 | $115 | 1.4× |
| Hemoglobin electrophoresis (83020) | $16.13 | $73 | 1.3× |
| Hemoglobin F Fetal Chemical (83030) | $63.43 | $287 | 5.9× |
| Hemoglobin Methemoglobin Quantitative (83050) | $47.52 | $215 | 5.8× |
| Hemoglobin plasma (83051) | $44.64 | $202 | 6.1× |
| Hemolysin Acid (85475) | $158.24 | $716 | 17.8× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $9.06 | $41 | 1.0× |
| Hemosiderin urine (83070) | $60.78 | $275 | 12.8× |
| Hep a ab igm (86709) | $60.78 | $275 | 5.4× |
| Heparin assay (85520) | $123.54 | $559 | 9.4× |
| Heparin Neutralization (85525) | $13.26 | $60 | 1.1× |
| Hepatitis a antibody total (86708) | $54.15 | $245 | 4.4× |
| Hepatitis b core ab igm (86705) | $107.63 | $487 | 9.1× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$47.52–$51.05 | $215–$231 | varies |
| Hepatitis B Surface Antibody (86706) | $38.45 | $174 | 3.6× |
| Hepatitis B Surface Antigen (87340) | $38.45 | $174 | 3.7× |
| Hepatitis Be Antibody (86707) | $57.02 | $258 | 4.9× |
| Hepatitis Be Antigen (87350) | $82.43 | $373 | 7.1× |
| Hepatitis C Antibody (86803) | $54.15 | $245 | 3.8× |
| Hepatitis c antibody confirmatory test (86804) | $243.98 | $1,104 | 15.8× |
| Hepatitis C Genotype (87902) | $411.28 | $1,861 | 1.6× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $60.78 | $275 | 1.7× |
| Hepatitis C Revrs Trnscrpj (87522) | $183.43 | $830 | 4.3× |
| Hepatitis delta ag (87380) | $98.35 | $445 | 5.4× |
| Hepatitis Delta Agent Antibody (86692) | $54.15 | $245 | 3.2× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $886.21 | $4,010 | 0.7× |
| Herpes simplex type 2 (86696) | $35.36 | $160 | 1.8× |
| Heterophile Antibody Screen (86308) | $51.05 | $231 | 9.9× |
| Hfe Gene (81256) | $82.43 | $373 | 1.3× |
| Hgb Quantitative Transcutaneous (88738) | $9.72 | $44 | 1.9× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
$70.06–$72.93 | $317–$330 | varies |
| Histamine urine (83088) | $259.68 | $1,175 | 8.8× |
| Histoplasma antibody (86698) | $76.25 | $345 | 5.5× |
| Histoplasma antigen urine (87385) | $155.14 | $702 | 11.7× |
| Hiv Antigen W/Hiv Antibodies (87806) | $31.60 | $143 | 1.0× |
| Hiv Genotype (87901) | $538.14 | $2,435 | 2.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $47.52 | $215 | 2.0× |
| Hiv-1 Antibody (86701) | $57.02 | $258 | 6.4× |
| HIV-1 p24 antigen (87390) | $196.47 | $889 | 8.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $114.26 | $517 | 1.3× |
| HIV-2 probe&revrse trnscripj (87538) | $48.18 | $218 | 1.4× |
| Hla Class I Typing Low Resolution Complete (81372) | $213.49 | $966 | 0.5× |
| Hla class ii typing high resolution one locus ea (81382) | $152.49 | $690 | 1.2× |
| Hla I Typing 1 Allele Hr (81381) | $123.54 | $559 | 0.7× |
| Hla ii type 1 ag equiv lr (81377) | $76.25 | $345 | 0.8× |
| Hla ii typing 1 allele hr (81383) | $72.93 | $330 | 0.7× |
| Hla ii typing 1 locus lr (81376) | $149.18 | $675 | 1.2× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $199.78 | $904 | 1.9× |
| Hla-b27 (86812) | $209.07 | $946 | 8.1× |
| Homocysteine (83090) | $196.47 | $889 | 11.0× |
| Homogenization Tissue (87176) | $19.23 | $87 | 3.3× |
| Homovanillic acid urine (83150) | $117.79 | $533 | 5.3× |
| Hpv High-Risk Types (87624) | $54.15 | $245 | 1.5× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $40 | $181 | 0.6× |
| Hpv Types 16 & 18 Only (87625) | $23.65 | $107 | 0.6× |
| Hsv Dna Amp Probe (87529) | $227.85 | $1,031 | 6.5× |
| Hsv Dna Quant (87530) | $24.97 | $113 | 0.6× |
| Htlv-I Antibody (86687) | $101.66 | $460 | 11.2× |
| Htlv-ii antibody (86688) | $101.66 | $460 | 7.3× |
| Htt Gene Detc Abnor Alleles (81271) | $129.95 | $588 | 0.9× |
| Human Epididymis Protein 4 (86305) | $218.57 | $989 | 10.5× |
| Hydroxycorticosteroids 17 (83491) | $63.43 | $287 | 3.5× |
| Hydroxyprogesterone 17-d (83498) | $35.36 | $160 | 1.3× |
| Hydroxyproline free (83500) | $104.31 | $472 | 4.6× |
| Hydroxyproline total (83505) | $110.94 | $502 | 4.6× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $35.80 | $162 | 0.8× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $16.13 | $73 | 1.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $24.31 | $110 | 2.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $16.13 | $73 | 0.5× |
| Iaad ia shiga-like toxin (87427) | $28.95 | $131 | 2.4× |
| Iaad Ia Streptococcus Group A (87430) | $41.33 | $187 | 2.5× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $44.64 | $202 | 3.7× |
| Iaadi herpes smplx virus type 1 (87274) | $22.54 | $102 | 1.9× |
| Iaadi herpes smplx virus type 2 (87273) | $22.54 | $102 | 1.9× |
| Iaadi not otherwise specified each organism (87299) | $66.96 | $303 | 4.2× |
| Iaadi pneumocustis carinii (87281) | $126.85 | $574 | 10.6× |
| Iaadi Varicella Zoster Virus (87290) | $85.97 | $389 | 6.4× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $44.64 | $202 | 1.3× |
| Iadna Candida Species Amplified Probe Tq (87481) | $35.36 | $160 | 1.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $28.95 | $131 | 0.8× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $54.15 | $245 | 2.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $272.49 | $1,233 | 7.8× |
| Iadna Cytomegalovirus Quantification (87497) | $60.78 | $275 | 1.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $93.04 | $421 | 1.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $348.30 | $1,576 | 8.1× |
| Iadna Herpes Virus-6 Quantification (87533) | $57.02 | $258 | 1.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$51.05–$60.78 | $231–$275 | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $44.64 | $202 | 1.3× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $70.50 | $319 | 0.9× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $142.55 | $645 | 3.3× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $122.66 | $555 | 2.5× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $506.53 | $2,292 | 12.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $82.43 | $373 | 2.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $76.25 | $345 | 2.2× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $55.25 | $250 | 1.1× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $113.15 | $512 | 0.8× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $186.97 | $846 | 0.7× |
| Ig Light Chains Free Each (83521) | $55.03 | $249 | 3.2× |
| Igg subclasses (82787) | $35.36 | $160 | 4.4× |
| Igh gene rearrange amp meth (81261) | $231.17 | $1,046 | 1.2× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $379.90 | $1,719 | 1.3× |
| Igk rearrangeabn clonal pop (81264) | $174.15 | $788 | 1.0× |
| Ikbkap Gene Analysis Common Variants (81260) | $57.02 | $258 | 1.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $155.14 | $702 | 0.4× |
| Immune Complex Assay (86332) | $139.67 | $632 | 5.7× |
| Immunfix e-phorsis/urine/csf (86335) | $104.31 | $472 | 3.6× |
| Immunoassay analyte qual/semiqual single step (83518) | $167.08 | $756 | 17.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $104.31 | $472 | 5.7× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $16.13 | $73 | 1.1× |
| Immunoassay nonantibody (83516) | $22.54 | $102 | 2.0× |
| Immunodiffusion Ouchterlony (86331) | $35.36 | $160 | 3.0× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $38.45 | $174 | 1.7× |
| Immunoelectrophoresis Serum (86320) | $136.14 | $616 | 4.6× |
| Immunofixation electrophoresis (86334) | $117.79 | $533 | 5.3× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $114.26 | $517 | 0.6× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$117.79–$205.75 | $533–$931 | varies |
| In situ hybridization 1st probe stain (88365) | $54.15 | $245 | 0.3× |
| In situ hybridization ea multiplex probe stain (88366) | $281.78 | $1,275 | 1.6× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $72.93 | $330 | 5.1× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $129.95 | $588 | 9.7× |
| Influenza a/b ag eia (87400) | $47.52 | $215 | 3.4× |
| Influenza assay w/optic (87804) | $54.15 | $245 | 3.3× |
| Influenza DNA amp probe (87502) | $158.24 | $716 | 1.7× |
| Inhibin A (86336) | $72.93 | $330 | 4.7× |
| Inhibin b (83520) | $60.78 | $275 | 3.5× |
| Insitu hybridization auto (88367) | $44.64 | $202 | 0.1× |
| Insitu hybridization manual (88368) | $348.30 | $1,576 | 0.9× |
| Insulin antibodies (86337) | $123.54 | $559 | 5.8× |
| Insulin free (83527) | $66.96 | $303 | 5.2× |
| Insulin total (83525) | $76.25 | $345 | 6.7× |
| Interleukin-6 (83529) | $60.78 | $275 | 3.5× |
| Intrinsic factor antibody (86340) | $57.02 | $258 | 3.8× |
| Iron (83540) | $19.23 | $87 | 3.0× |
| Iron Binding Capacity (83550) | $38.45 | $174 | 4.4× |
| Irradiation Blood Product Each Unit (86945) | $85.97 | $389 | 2.2× |
| Islet cell antibody (86341) | $98.35 | $445 | 4.2× |
| Jak2 gene analysis p.val617phe variant (81270) | $443.11 | $2,005 | 4.8× |
| Jak2 Gene Trgt Sequence Alys (81279) | $130.39 | $590 | 0.7× |
| Ketosteroids 17 total (83586) | $22.54 | $102 | 1.8× |
| Koh Prep (87220) | $54.15 | $245 | 12.7× |
| Kras Gene Analysis Additional Variant(S) (81276) | $183.43 | $830 | 0.9× |
| Kras Gene Variants Exon 2 (81275) | $183.43 | $830 | 0.9× |
| L/s ratio (83661) | $126.85 | $574 | 5.8× |
| Lactate (ld) (ldh) enzyme (83615) | $25.42 | $115 | 4.2× |
| Lactoferrin fecal qualitative (83630) | $107.63 | $487 | 5.5× |
| Lactoferrin Fecal Quantitative (83631) | $98.35 | $445 | 5.0× |
| Ldh Isoenzymes (83625) | $104.31 | $472 | 8.2× |
| LDL direct (83721) | $38.45 | $174 | 3.7× |
| Lead (83655) | $76.25 | $345 | 6.3× |
| Legionella antibody (86713) | $120.45 | $545 | 7.9× |
| Legionella antigen urine (87449) | $60.78 | $275 | 5.1× |
| Legionella pneumophila dfa (87278) | $44.64 | $202 | 2.9× |
| Leptospira antibody (86720) | $85.97 | $389 | 5.3× |
| Leucine Aminopeptidase Lap (83670) | $41.33 | $187 | 4.2× |
| Leukocyte Assessment Fecal (89055) | $38.45 | $174 | 9.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $66.96 | $303 | 2.2× |
| Level ii surg pathology grossµscopic exam (88302) | $79.12 | $358 | 2.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $281.78 | $1,275 | 0.7× |
| Lidocaine (80176) | $38.45 | $174 | 2.6× |
| Lipase (83690) | $41.33 | $187 | 6.0× |
| Lipoprotein A (83695) | $104.31 | $472 | 7.3× |
| Lipoprotein Bld Quan Part (83704) | $47.52 | $215 | 1.4× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $44.64 | $202 | 4.0× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $95.25 | $431 | 2.8× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $57.02 | $258 | 1.2× |
| Listeria Monocytogenes (86723) | $117.79 | $533 | 8.9× |
| Lithium (80178) | $47.52 | $215 | 7.2× |
| Liver ds alys 3 bmrk srm alg (81517) | $295.26 | $1,336 | 1.7× |
| Luteinizing Hormone (Lh) (83002) | $117.79 | $533 | 6.4× |
| Lyme disease antibody (86618) | $126.85 | $574 | 7.4× |
| Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) | $60.78 | $275 | 1.3× |
| Lysozyme serum (85549) | $66.96 | $303 | 3.6× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $165.31 | $748 | 0.9× |
| M/phmtrc alys ishquant/semiq (88374) | $167.74 | $759 | 0.9× |
| Macroscopic exam arthropod (87168) | $9.06 | $41 | 2.1× |
| Macroscopic Exam Parasite (87169) | $31.60 | $143 | 7.3× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$35.36–$47.52 | $160–$215 | varies |
| Mass Spectrometry Quant (83789) | $133.26 | $603 | 5.5× |
| Meat fibers, feces (89160) | $5.53 | $25 | 1.1× |
| Mercury urine (83825) | $25.42 | $115 | 1.6× |
| Metabolic panel ionized ca (80047) | $101.66 | $460 | 7.4× |
| Methotrexate (80204) | $88.84 | $402 | 2.3× |
| Methylmalonic acid serum (83921) | $28.95 | $131 | 1.4× |
| Microalbumin, quantitative (82043) | $19.23 | $87 | 3.3× |
| Microbe Suscept Macrobroth (87188) | $13.92 | $63 | 2.1× |
| Microsatellite instability (81301) | $259.90 | $1,176 | 0.7× |
| Microsomal Antibodies Each (86376) | $38.45 | $174 | 2.6× |
| Mitochondrial Antibody Each (86381) | $49.06 | $222 | 1.9× |
| Mlh1 Gene (81288) | $112.71 | $510 | 0.6× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $316.25 | $1,431 | 1.6× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $316.25 | $1,431 | 0.5× |
| Mog-Igg1 Antb Cba Each (86362) | $66.30 | $300 | 5.5× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $25.42 | $115 | 0.6× |
| Molecular Cytogenetics Dna Probe Each (88271) | $72.93 | $330 | 3.4× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $411.28 | $1,861 | 9.7× |
| Molecular Pathology Procedure Level 3 (81402) | $379.90 | $1,719 | 2.5× |
| Molecular Pathology Procedure Level 6 (81405) | $57.02 | $258 | 0.2× |
| Mononuclear cell antigen (86356) | $35.36 | $160 | 1.3× |
| Mopath procedure level 1 (81400) | $57.02 | $258 | 0.9× |
| Mopath procedure level 2 (81401) | $177.46 | $803 | 1.3× |
| Mopath procedure level 4 (81403) | $110.94 | $502 | 0.6× |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$95.25–$948.97 | $431–$4,294 | varies |
| Mopath procedure level 7 (81406) | $95.25 | $431 | 0.3× |
| Mopath procedure level 9 (81408) | $632.94 | $2,864 | 0.3× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $108.51 | $491 | 0.6× |
| Mpl gene common variants (81338) | $379.68 | $1,718 | 2.5× |
| Mrsa Pcr (87641) | $47.52 | $215 | 1.4× |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $316.25 | $1,431 | 1.5× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $316.25 | $1,431 | 0.8× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $177.68 | $804 | 0.7× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $479.13 | $2,168 | 0.7× |
| Msh6 Gene Known Variants (81299) | $142.55 | $645 | 0.5× |
| Mthfr Gene Analysis Common Variants (81291) | $88.84 | $402 | 1.4× |
| Mucin Clot Body Fluid (83872) | $31.60 | $143 | 5.4× |
| Mumps antibody (86735) | $129.95 | $588 | 10.0× |
| Muscle-Specific Kinase Antb (86366) | $10.61 | $48 | 0.6× |
| Mycobacteric Identification (87118) | $101.66 | $460 | 7.0× |
| Mycophenolic Acid (80180) | $25.42 | $115 | 1.4× |
| Mycoplasma antibody (86738) | $101.66 | $460 | 7.7× |
| Mycoplasma culture (87109) | $51.05 | $231 | 3.3× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $134.59 | $609 | 0.8× |
| Myelin basic protein csf (83873) | $104.31 | $472 | 6.1× |
| Myoglobin urine (83874) | $136.14 | $616 | 10.5× |
| Natriuretic peptide (83880) | $126.85 | $574 | 3.2× |
| Neisseria Dir Na Probe (87590) | $54.15 | $245 | 2.0× |
| Neutralization Test Viral (86382) | $31.60 | $143 | 1.9× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $139.67 | $632 | 1.1× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $16.13 | $73 | 0.6× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $184.98 | $837 | 0.7× |
| Nfct ds chrnc hcv 6 assays (81596) | $42.21 | $191 | 0.6× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $695.93 | $3,149 | 5.4× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $22.54 | $102 | 0.9× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $601.34 | $2,721 | 1.2× |
| Niacin (84591) | $70.06 | $317 | 4.1× |
| Nk cells total count (86357) | $79.12 | $358 | 2.1× |
| Nras gene variants exon 2&3 (81311) | $196.47 | $889 | 0.7× |
| Nuclear antigen antibody (86235) | $44.64 | $202 | 2.5× |
| Obstetric panel (80081) | $95.25 | $431 | 1.3× |
| Occult blood feces (82272) | $8.62 | $39 | 2.0× |
| Occult Blood Other Sources (82271) | $19.23 | $87 | 3.6× |
| Oligoclonal bands (83916) | $98.35 | $445 | 3.6× |
| Oncology Prostate Prob Score (81539) | $365.76 | $1,655 | 0.5× |
| Oncoprotein dcp (83951) | $47.96 | $217 | 0.7× |
| Organic Acids Qualitative Each Specimen (83919) | $152.05 | $688 | 9.2× |
| Organic acids urine (83918) | $126.85 | $574 | 5.4× |
| Osmolality serum (83930) | $35.36 | $160 | 5.3× |
| Osmolality Urine (83935) | $28.95 | $131 | 4.2× |
| Osmotic fragility rbc incubated (85557) | $10.17 | $46 | 0.8× |
| Osmotic Fragility RBC Unincubated (85555) | $186.97 | $846 | 25.0× |
| Osteocalcin (83937) | $79.12 | $358 | 2.7× |
| Ova and parasites smears (87177) | $72.93 | $330 | 8.2× |
| Ova1 (81503) | $474.93 | $2,149 | 0.5× |
| Oxalate urine (83945) | $85.97 | $389 | 5.9× |
| Pancreatic Elastase Fecal (82656) | $31.60 | $143 | 2.7× |
| Particle Agglutination Screen Each Antibody (86403) | $98.35 | $445 | 8.5× |
| Parvovirus antibody (86747) | $114.26 | $517 | 7.6× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $186.97 | $846 | 0.2× |
| Pathology Consultation During Surgery (88329) | $25.42 | $115 | 0.4× |
| Ph urine (81003) | $13.04 | $59 | 5.8× |
| Phenobarbital Level (80184) | $57.02 | $258 | 3.7× |
| Phenotype Infect Agent Drug (87900) | $104.31 | $472 | 0.8× |
| Phenylalanine (84030) | $92.16 | $417 | 16.8× |
| Phenytoin (Dilantin) (80185) | $63.43 | $287 | 4.8× |
| Phenytoin free (80186) | $88.84 | $402 | 6.5× |
| Phosphatase acid prostatic (84066) | $54.15 | $245 | 5.6× |
| Phosphatase alkaline (84075) | $12.38 | $56 | 2.4× |
| Phosphatidylglycerol (84081) | $104.31 | $472 | 6.3× |
| Phospholipid Neutralization Hexagonal (85598) | $70.06 | $317 | 3.9× |
| Phosphorus Serum (84100) | $16.13 | $73 | 3.4× |
| Phosphorus urine (84105) | $16.13 | $73 | 2.8× |
| Pinworm exam (87172) | $25.42 | $115 | 6.0× |
| Platelet Aggregation (85576) | $38.45 | $174 | 1.5× |
| Platelet Antibodies (86022) | $28.95 | $131 | 1.6× |
| Platelet count automated (85049) | $14.14 | $64 | 3.2× |
| Platelet neutralization (85597) | $51.05 | $231 | 2.8× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $118.01 | $534 | 0.6× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $143.43 | $649 | 0.7× |
| Pms2 gene full seq analysis (81317) | $476.48 | $2,156 | 0.7× |
| Pneumcysts jirovecii amp prb (87594) | $59.89 | $271 | 1.7× |
| Porphobilinogen Urine Qualitative (84106) | $41.33 | $187 | 7.1× |
| Porphobilinogen, urine; quantitative (84110) | $38.45 | $174 | 4.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $92.16 | $417 | 6.3× |
| Porphyrins, urine; qualitative (84119) | $98.35 | $445 | 7.4× |
| Potassium Urine (84133) | $19.23 | $87 | 4.1× |
| Prealbumin (84134) | $47.52 | $215 | 3.3× |
| Pregnancy-Associated Plasma Protein-A (84163) | $31.60 | $143 | 2.1× |
| Pregnanediol (84135) | $161.55 | $731 | 7.6× |
| Pregnenolone (84140) | $126.85 | $574 | 6.1× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $13.48 | $61 | 0.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 2 matching MRF lines |
$304.10–$316.25 | $1,376–$1,431 | varies |
| Primidone (80188) | $104.31 | $472 | 6.3× |
| Procalcitonin (Pct) (84145) | $155.14 | $702 | 5.7× |
| Progesterone (84144) | $92.16 | $417 | 4.4× |
| Prolactin (84146) | $88.84 | $402 | 4.6× |
| Protein body fluid (84157) | $22.54 | $102 | 5.6× |
| Protein C Activity (85303) | $234.48 | $1,061 | 16.9× |
| Protein c antigen (85302) | $155.14 | $702 | 12.9× |
| Protein Electrophoresis Urine (84166) | $54.15 | $245 | 3.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $82.43 | $373 | 7.7× |
| Protein S Free (85306) | $117.79 | $533 | 7.7× |
| Protein s total (85305) | $142.55 | $645 | 12.3× |
| Protein total serum (84155) | $10.17 | $46 | 2.8× |
| Protein Total Urine (84156) | $16.13 | $73 | 4.4× |
| Protein Western Blot Test (84182) | $474.93 | $2,149 | 16.3× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $11.05 | $50 | 2.8× |
| Protoporphyrin rbc quantitative (84202) | $120.45 | $545 | 8.4× |
| PSA free (84154) | $29.84 | $135 | 1.6× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $211.28 | $956 | 0.7× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $422.33 | $1,911 | 0.7× |
| Pth Intact (83970) | $60.78 | $275 | 1.5× |
| Pyruvate kinase (84220) | $63.87 | $289 | 6.8× |
| Q Fever Antibody (86638) | $72.93 | $330 | 6.0× |
| Quantiferon tb gold plus (86480) | $47.52 | $215 | 0.8× |
| Quantitative assay drug (80299) | $88.84 | $402 | 4.8× |
| Quantitative Screen Metals (83018) | $41.33 | $187 | 1.9× |
| Quinidine (80194) | $57.02 | $258 | 3.9× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$66.96–$70.06 | $303–$317 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$54.15–$63.43 | $245–$287 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$41.33–$51.05 | $187–$231 | varies |
| Rbc pretreatment serum (86978) | $209.07 | $946 | 3.3× |
| Rbc pretx incubatj w/enzymes (86971) range across 2 matching MRF lines |
$47.52–$72.93 | $215–$330 | varies |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $145.86 | $660 | 2.0× |
| Receptor assay progesterone (84234) | $601.34 | $2,721 | 9.3× |
| Renin activity plasma (84244) | $79.12 | $358 | 3.6× |
| Reptilase test (85635) | $12.38 | $56 | 1.3× |
| Resp virus 12-25 targets (87633) | $411.28 | $1,861 | 1.0× |
| Reticulocyte separation (86972) range across 2 matching MRF lines |
$25.42–$47.52 | $115–$215 | varies |
| Rh (86901) | $25.42 | $115 | 8.5× |
| Rheumatoid Factor Qualitative (86430) | $5.08 | $23 | 0.8× |
| Rheumatoid factor quant (86431) | $47.52 | $215 | 8.4× |
| Rickettsia antibody (86757) | $88.84 | $402 | 4.6× |
| Ristocetin cofactor (85245) | $129.95 | $588 | 5.7× |
| Rotavirus ag eia (87425) | $98.35 | $445 | 8.2× |
| Rpr qualitative (86592) | $38.45 | $174 | 9.0× |
| Rsv ab (86756) | $51.05 | $231 | 3.2× |
| Rsv Assay W/Optic (87807) | $117.79 | $533 | 9.0× |
| Rubella Antibody (86762) | $82.43 | $373 | 5.7× |
| Rubeola antibody (86765) | $114.26 | $517 | 8.9× |
| Rufinamide (80210) | $88.84 | $402 | 3.3× |
| Russell Viper Venom Time Diluted (85613) | $38.45 | $174 | 4.0× |
| Salicylate Level (80179) | $171.05 | $774 | 9.2× |
| Salmonella antibody (86768) | $85.97 | $389 | 6.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 6 matching MRF lines |
$77.57–$82.21 | $351–$372 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $35.80 | $162 | 0.8× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $77.57 | $351 | 1.9× |
| Sarscov2 & inf a&b amp prb (87636) | $91.27 | $413 | 0.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $106.74 | $483 | 0.7× |
| Sedimentation rate (85651) | $47.52 | $215 | 11.1× |
| Sedimentation Rate, Automated (85652) | $35.36 | $160 | 13.1× |
| Selenium (84255) | $57.02 | $258 | 2.2× |
| Semen Anal Sperm Detection (89321) | $38.45 | $174 | 3.2× |
| Semen analysis complete (89320) | $92.16 | $417 | 7.5× |
| Semen analysis motility and count (89310) | $44.64 | $202 | 5.2× |
| Sensitivity mic (87186) | $38.45 | $174 | 4.4× |
| Sept9 Methylation Analysis (81327) | $70.06 | $317 | 0.4× |
| Serpina 1 gene (81332) | $199.78 | $904 | 4.6× |
| Serum Bactericidal Titer (87197) | $16.13 | $73 | 1.1× |
| Sex Hormone Binding Globulin (84270) | $88.84 | $402 | 4.1× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$25.42–$28.95 | $115–$131 | varies |
| Sirolimus (80195) | $44.64 | $202 | 3.3× |
| Skin test tuberculosis intradermal (86580) | $16.13 | $73 | 0.5× |
| Smear acid fast (87206) | $31.60 | $143 | 5.9× |
| Smear complex stain (87209) | $41.33 | $187 | 2.3× |
| Smear gram stain (87205) | $19.23 | $87 | 4.5× |
| Smear Special Stain (87207) | $66.96 | $303 | 11.2× |
| Smn1 Gene Dos/Deletion Alys (81329) | $129.95 | $588 | 0.9× |
| Smpd1 Gene Analysis Common Variants (81330) | $199.78 | $904 | 4.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $35.36 | $160 | 6.1× |
| So neo gsap DNA/DNA&RNA (81459) | $1,229.64 | $5,564 | 0.4× |
| Sodium Serum (84295) range across 3 matching MRF lines |
$13.48–$28.95 | $61–$131 | varies |
| Sodium Urine (84300) | $14.37 | $65 | 2.8× |
| Soluble Transferrin Receptor (84238) | $209.07 | $946 | 5.7× |
| Somatomedin (84305) | $225.20 | $1,019 | 10.6× |
| Special Stains Group 1 (88312) | $95.25 | $431 | 1.7× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$88.84–$92.16 | $402–$417 | varies |
| Specific gravity body fluid (84315) | $9.06 | $41 | 2.8× |
| Specimen infect agnt concntj (87015) | $22.54 | $102 | 3.4× |
| Spectrophotometry (84311) | $54.15 | $245 | 6.7× |
| Splitting Blood/Blood Products Each Unit (86985) | $41.33 | $187 | 0.2× |
| Staph a DNA amp probe (87640) | $47.52 | $215 | 1.4× |
| Stool cultr aerobic bact ea (87046) | $63.43 | $287 | 6.7× |
| Strep a assay w/optic (87880) | $44.64 | $202 | 2.7× |
| Strep a DNA amp probe (87651) | $24.75 | $112 | 0.7× |
| Strep b DNA amp probe (87653) | $44.64 | $202 | 1.3× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) range across 3 matching MRF lines |
$32.49–$45.53 | $147–$206 | varies |
| Sugars Single Qual (84376) | $25.42 | $115 | 4.6× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $76.25 | $345 | 2.0× |
| Sulfate urine (84392) | $5.97 | $27 | 1.1× |
| Surg path level iii (88304) | $117.79 | $533 | 2.1× |
| Surgical pathology level IV (88305) | $133.26 | $603 | 2.4× |
| Surgical pathology level vi (88309) | $304.10 | $1,376 | 0.4× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $35.36 | $160 | 7.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $31.60 | $143 | 4.2× |
| Syphilis Test Non-Trep Quant (86593) | $6.63 | $30 | 1.5× |
| T cells absolute cd4 count (86361) | $117.79 | $533 | 4.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $60.78 | $275 | 1.3× |
| T cells total count (86359) | $54.15 | $245 | 1.4× |
| T3 Free (84481) | $101.66 | $460 | 6.0× |
| T3 reverse (84482) | $101.66 | $460 | 6.5× |
| T3 Total (84480) | $63.43 | $287 | 4.5× |
| T3 Uptake (84479) | $54.15 | $245 | 8.4× |
| T4 Free (84439) | $66.96 | $303 | 7.4× |
| T4 total (84436) | $41.33 | $187 | 6.0× |
| T4-neonatal (84437) | $15.91 | $72 | 2.5× |
| Tacrolimus (80197) | $98.35 | $445 | 7.2× |
| Tau phosphorylated each (84393) | $153.60 | $695 | 1.2× |
| Tb ag response t-cell susp (86481) | $85.97 | $389 | 0.9× |
| Test for acetone/ketones (82009) | $47.52 | $215 | 10.5× |
| Test for urine cystines (82615) | $13.48 | $61 | 1.4× |
| Testosterone total (84403) | $129.95 | $588 | 5.0× |
| Testosterone, Free (84402) | $129.95 | $588 | 5.1× |
| Tetanus antibody (86774) | $101.66 | $460 | 6.9× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $917.59 | $4,152 | 1.5× |
| Theophylline (80198) | $47.52 | $215 | 3.4× |
| Thiocyanate (84430) | $76.25 | $345 | 6.6× |
| Thrombin Time (85670) | $35.36 | $160 | 6.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $28.95 | $131 | 4.5× |
| Thyroglobulin (84432) | $114.26 | $517 | 7.1× |
| Thyroglobulin Antibody (86800) | $158.24 | $716 | 9.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $281.78 | $1,275 | 5.5× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $443.11 | $2,005 | 8.8× |
| Thyroxine binding globulin (84442) | $95.25 | $431 | 6.4× |
| Tiss cul neo disorders solid tumor (88239) | $171.28 | $775 | 1.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $20.77 | $94 | 1.8× |
| Tissue Culture (88233) | $379.90 | $1,719 | 2.7× |
| Tissue Culture Amniotic Fluid (88235) | $822.56 | $3,722 | 5.5× |
| Tissue culture bone marrow (88237) | $218.57 | $989 | 1.5× |
| Tissue Culture Lymphocyte (88230) | $136.14 | $616 | 1.2× |
| Tobramycin peak (80200) | $120.45 | $545 | 7.5× |
| Topiramate (80201) | $51.05 | $231 | 4.3× |
| Touch prep (88161) | $25.42 | $115 | 0.8× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $25.42 | $115 | 1.3× |
| Toxoplasma ab igm (86778) | $142.55 | $645 | 9.9× |
| Toxoplasma antibody (86777) | $66.96 | $303 | 4.7× |
| Tp53 gene analysis full gene sequence (81351) | $452.17 | $2,046 | 0.7× |
| Tp53 gene analysis targeted sequence analysis (81352) | $512.28 | $2,318 | 1.6× |
| Tpmt gene com variants (81335) | $138.35 | $626 | 0.8× |
| Transferase Aspartate Amino Ast Sgot (84450) | $22.54 | $102 | 4.4× |
| Transferrin (84466) | $82.43 | $373 | 6.5× |
| Trg gene rearrangement anal (81342) | $695.93 | $3,149 | 3.5× |
| Trichomonas vagin dir probe (87660) | $38.45 | $174 | 1.9× |
| Trichomonas Vaginalis Amplif (87661) | $47.52 | $215 | 1.4× |
| Triglycerides (84478) | $22.54 | $102 | 3.9× |
| Troponin Quant (84484) | $136.14 | $616 | 10.9× |
| Trypsin feces qual (84488) | $66.96 | $303 | 9.2× |
| Tumor immunohistochem/comput (88361) | $51.05 | $231 | 0.1× |
| Tumor Immunohistochem/Manual (88360) | $278.68 | $1,261 | 1.5× |
| Ugt1a1 gene analysis common variants (81350) | $92.16 | $417 | 0.4× |
| Unlisted miscellaneous pathology test (89240) | $66.96 | $303 | 1.2× |
| Unlisted Transfusion Medicine Procedure (86999) | $35.36 | $160 | 1.2× |
| Urea Nitrogen Clearance (84545) | $22.54 | $102 | 3.1× |
| Urea nitrogen urine (84540) | $22.54 | $102 | 4.1× |
| Uric acid other source (84560) | $25.42 | $115 | 5.0× |
| Urinalysis Microscopic Only (81015) | $16.13 | $73 | 5.3× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $25.42 | $115 | 11.7× |
| Urinalysis Volume Measure (81050) | $10.17 | $46 | 2.8× |
| Urine Bacteria Culture (87088) | $44.64 | $202 | 5.5× |
| Urine Pregnancy Test (81025) | $35.36 | $160 | 4.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $17.90 | $81 | 5.6× |
| Urobilinogen, feces, quantitative Facility (84577) | $28.95 | $131 | 1.7× |
| Valproic acid (80164) | $70.06 | $317 | 5.2× |
| Vancomycin (80202) | $60.78 | $275 | 4.5× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$45.97–$88.84 | $208–$402 | varies |
| Vasopressin (84588) | $231.17 | $1,046 | 6.8× |
| Viral Culture (87252) | $107.63 | $487 | 4.1× |
| Virus antibody nos (86790) | $95.25 | $431 | 7.4× |
| Virus inoculate tissue addl (87253) | $139.67 | $632 | 6.9× |
| Virus inoculation, shell via (87254) | $180.56 | $817 | 9.2× |
| Viscosity serum (85810) | $38.45 | $174 | 3.3× |
| Vit D 1 25-Dihydroxy (82652) | $149.18 | $675 | 3.9× |
| Vitamin A (84590) | $70.06 | $317 | 6.0× |
| Vitamin b-12 (82607) | $63.43 | $287 | 4.2× |
| Vitamin B2 (Riboflavin) (84252) | $25.42 | $115 | 1.3× |
| Vitamin B6 (84207) | $161.55 | $731 | 5.7× |
| Vitamin c (82180) | $38.45 | $174 | 3.9× |
| Vitamin D 25-Hydroxy (82306) | $95.25 | $431 | 3.2× |
| Vitamin E (84446) | $114.26 | $517 | 8.1× |
| Vitamin K (84597) | $221.66 | $1,003 | 16.2× |
| Volatiles (84600) | $70.06 | $317 | 4.1× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $95.03 | $430 | 7.9× |
| Von willebrand factor ag (85246) | $123.54 | $559 | 5.4× |
| Wbc Alkaline Phosphatase Count (85540) | $98.35 | $445 | 11.4× |
| West nile virus ab igm (86788) | $28.95 | $131 | 1.7× |
| West Nile Virus Antibody (86789) | $28.95 | $131 | 2.0× |
| Western Blot Test (84181) | $180.56 | $817 | 10.6× |
| Xylose Absorption Test (84620) | $98.35 | $445 | 7.6× |
| Zika Virus Igm Antibody (86794) | $19.23 | $87 | 1.1× |
| Zinc (84630) | $66.96 | $303 | 5.9× |
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.