Lab & pathology prices at Franklin Hospital

Benton, IL · every code in this section with a posted price and a Medicare benchmark.

623 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $129 $172 5.7×
5 Nucleotidase (83915) $52.88 $70.50 4.7×
Acth (82024)
range across 2 matching MRF lines
$109.50–$323.63 $146–$431.50 varies
Acute hepatitis panel (80074) $190.13 $253.50 4.0×
Acylcarnitines Quant (82017) $486 $648 28.8×
Adenovirus antibody (86603)
range across 3 matching MRF lines
$34.50–$154.13 $46–$205.50 varies
Afp-l3 fraction isoform & total afp w/ratio (82107) $432.75 $577 6.7×
Agglutinins Febrile Each Antigen (86000) $39 $52 5.6×
Albumin Fluid (82042)
range across 2 matching MRF lines
$67.13–$79.88 $89.50–$106.50 varies
Albumin serum (82040)
range across 3 matching MRF lines
$22.88–$79.88 $30.50–$106.50 varies
Aldolase (82085)
range across 2 matching MRF lines
$78.75–$116.63 $105–$155.50 varies
Aldosterone urine (82088)
range across 4 matching MRF lines
$48.75–$325.50 $65–$434 varies
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines
$14.63–$118.88 $19.50–$158.50 varies
Allergen spec ige qual multiallergen screen (86005)
range across 5 matching MRF lines
$24–$148.50 $32–$198 varies
Allergen specific ige (86003)
range across 173 matching MRF lines
$14.25–$1,041 $19–$1,388 varies
Allergen specific igg (86001)
range across 5 matching MRF lines
$10.50–$139.13 $14–$185.50 varies
Alpha-1-antitrypsin phenotype (82104)
range across 2 matching MRF lines
$37.88–$67.13 $50.50–$89.50 varies
Alpha-1-antitrypsin total (82103)
range across 5 matching MRF lines
$20.63–$476.25 $27.50–$635 varies
Alpha-Fetoprotein Serum (82105)
range across 3 matching MRF lines
$63.75–$75.75 $85–$101 varies
Alt (sgpt) (84460)
range across 3 matching MRF lines
$44.63–$78.75 $59.50–$105 varies
Amikacin trough (80150)
range across 2 matching MRF lines
$111.38–$158.63 $148.50–$211.50 varies
Amino Acids 1 Quantitative Each Specimen (82131)
range across 3 matching MRF lines
$95.25–$897.75 $127–$1,197 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $521.25 $695 30.9×
Aminolevulinic acid (ala) (82135) $236.25 $315 14.4×
Ammonia (82140)
range across 2 matching MRF lines
$95.25–$190.13 $127–$253.50 varies
Amylase urine (82150)
range across 2 matching MRF lines
$83.63–$109.50 $111.50–$146 varies
Androstanediol Glucuronide (82154) $433.50 $578 15.0×
Androstenedione (82157) $283.88 $378.50 9.7×
Androsterone (hormone) level (82160) $412.50 $550 16.1×
Angiotensin converting enzyme csf (82164)
range across 2 matching MRF lines
$121.50–$197.63 $162–$263.50 varies
Anti-Phospholipid Antibody (86148) $199.13 $265.50 12.4×
Antibody aspergillus (86606)
range across 4 matching MRF lines
$25.88–$84.75 $34.50–$113 varies
Antibody Bacterium Not Elsewhere Specified (86609)
range across 2 matching MRF lines
$84.75–$240.38 $113–$320.50 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $267 $356 17.2×
Antibody Cytomegalovirus Cmv Igm (86645)
range across 2 matching MRF lines
$19.13–$149.25 $25.50–$199 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663)
range across 2 matching MRF lines
$30.38–$109.50 $40.50–$146 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 2 matching MRF lines
$30.38–$716.25 $40.50–$955 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 4 matching MRF lines
$30.38–$154.13 $40.50–$205.50 varies
Antibody Fungus Not Elsewhere Specified (86671)
range across 3 matching MRF lines
$142.50–$228.38 $190–$304.50 varies
Antibody haemophilus influenza (86684)
range across 2 matching MRF lines
$78.75–$280.88 $105–$374.50 varies
Antibody helicobacter pylori (86677)
range across 5 matching MRF lines
$40.88–$172.88 $54.50–$230.50 varies
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 2 matching MRF lines
$167.25–$172.88 $223–$230.50 varies
Antibody Herpes Smplx Type 1 (86695)
range across 4 matching MRF lines
$56.25–$197.25 $75–$263 varies
Antibody HIV-1&HIV-2 single result (86703) $201.38 $268.50 14.7×
Antibody HIV-2 (86702)
range across 2 matching MRF lines
$151.88–$217.13 $202.50–$289.50 varies
Antibody htlv/HIV antibody confirmatory test (86689) $298.13 $397.50 15.4×
Antibody identification leukocyte antibodies (86021)
range across 4 matching MRF lines
$97.13–$139.13 $129.50–$185.50 varies
Antibody Lymphocytic Choriomeningitis (86727) $86.63 $115.50 6.7×
Antibody Protozoa Nes (86753) $165.38 $220.50 13.3×
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$88.88–$418.13 $118.50–$557.50 varies
Antibody; influenza virus (86710) $154.13 $205.50 11.4×
Antigen typing (86905)
range across 2 matching MRF lines
$54.38–$520.86 $72.50–$694.48 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $136.13 $181.50 23.8×
Antinomyces antibody (86602) $84.75 $113 8.3×
Antinuclear antibodies (86038)
range across 9 matching MRF lines
$12–$178.50 $16–$238 varies
Antistreptolysin o titer (86060) $102.75 $137 14.1×
Antithrombin iii activity (85300)
range across 2 matching MRF lines
$239.25–$356.25 $319–$475 varies
Antithrombin iii antigen (85301) $239.25 $319 22.1×
Apolipoprotein a1 (82172)
range across 3 matching MRF lines
$44.63–$75.75 $59.50–$101 varies
Arsenic (82175)
range across 5 matching MRF lines
$121.13–$352.50 $161.50–$470 varies
Assay activated protein c (85307) $142.50 $190 9.3×
Assay Blood Carbon Dioxide (82374) $49.50 $66 10.1×
Assay myeloperoxidase (83876) $313.13 $417.50 6.2×
Assay Nephelometry Not Spec (83883)
range across 7 matching MRF lines
$44.63–$149.25 $59.50–$199 varies
Assay of 5-hiaa (83497)
range across 2 matching MRF lines
$90–$197.63 $120–$263.50 varies
Assay of blood/uric acid (84550) $64.88 $86.50 14.4×
Assay of calcium in urine (82340)
range across 5 matching MRF lines
$34.88–$95.25 $46.50–$127 varies
Assay of cpk in blood (82552) $53.25 $71 4.0×
Assay of estrone (82679)
range across 4 matching MRF lines
$65.63–$621.75 $87.50–$829 varies
Assay of g6pd enzyme (82955) $211.50 $282 21.8×
Assay of gammaglobulin igm (82784)
range across 17 matching MRF lines
$15.38–$160.50 $20.50–$214 varies
Assay of lactic acid (83605) $118.88 $158.50 10.3×
Assay of manganese (83785) $233.63 $311.50 8.8×
Assay of metanephrines (83835)
range across 3 matching MRF lines
$132.75–$495.38 $177–$660.50 varies
Assay of phosphatase acid total (84060) $67.13 $89.50 8.8×
Assay of procainamide (80190) $148.50 $198 2.5×
Assay of proinsulin (84206) $298.13 $397.50 11.2×
Assay of pyruvate (84210) $114 $152 7.9×
Assay of serotonin (84260) $346.88 $462.50 11.2×
Assay of serum potassium (84132) $73.50 $98 15.4×
Assay of Sialic Acid (84275) $151.13 $201.50 11.2×
Assay of sweat sodium (84302) $81.38 $108.50 16.7×
Assay of transcortin (84449)
range across 2 matching MRF lines
$57.38–$110.25 $76.50–$147 varies
Assay of urea nitrogen (84520) $63.75 $85 16.1×
Assay of urine vma (84585) $179.63 $239.50 11.6×
Assay of vitamin b-1 (84425)
range across 2 matching MRF lines
$112.13–$184.13 $149.50–$245.50 varies
Assay Ph Body Fluid Nos (83986)
range across 3 matching MRF lines
$48–$99.38 $64–$132.50 varies
Assay spec xcp ur&breath ia (82077) $168.38 $224.50 9.7×
Automated Leukocyte Count (85048) $54.38 $72.50 21.4×
B cells total count (86355)
range across 2 matching MRF lines
$264.75–$269.63 $353–$359.50 varies
Bacterial antigens 87802 (87802) $31.88 $42.50 2.5×
Bartonella antibody (86611)
range across 2 matching MRF lines
$194.25–$203.25 $259–$271 varies
Beta 2 glycoprotein i antibody each (86146)
range across 8 matching MRF lines
$39.38–$192.75 $52.50–$257 varies
Beta hydroxybutyrate (82010) $186 $248 22.8×
Beta Lactamase (87185)
range across 2 matching MRF lines
$54.38–$208.13 $72.50–$277.50 varies
Beta-2 Microglobulin (82232) $59.25 $79 3.7×
Bilirubin direct (82248)
range across 2 matching MRF lines
$22.88–$83.63 $30.50–$111.50 varies
Bilirubin total (82247)
range across 4 matching MRF lines
$22.88–$83.63 $30.50–$111.50 varies
Blastomyces antibody (86612)
range across 2 matching MRF lines
$84–$138.38 $112–$184.50 varies
Bld Typing Serologic Rh Phnt (86906) $184.83 $246.43 23.8×
Blood Count Red Blood Cell Automated (85041)
range across 2 matching MRF lines
$57.38–$60.75 $76.50–$81 varies
Blood count reticulocyte automated (85045) $88.88 $118.50 22.3×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $59.25 $79 15.6×
Blood gas (82803) $340.88 $454.50 13.1×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $70.13 $93.50 16.0×
Blood Type Antigen Donor Reagent Serum Each (86902) $111 $148 17.5×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $139.50 $186 8.5×
Blood typing serologic abo (86900)
range across 2 matching MRF lines
$136.13–$215.25 $181.50–$287 varies
Body fluid cell count (89050) $99.38 $132.50 21.1×
Bone marrow smear interpretation (85097) $70.13 $93.50 0.1×
Bordetella antibody (86615) $145.88 $194.50 11.1×
Breath Alcohol Test (82075)
range across 2 matching MRF lines
$52.13–$83.63 $69.50–$111.50 varies
C diff amplified probe (87493)
range across 2 matching MRF lines
$118.88–$190.13 $158.50–$253.50 varies
C-Peptide (84681) $109.13 $145.50 5.2×
C-reactive protein (86140)
range across 2 matching MRF lines
$70.13–$73.50 $93.50–$98 varies
Ca 19-9 (86301) $240 $320 11.5×
Cadmium (82300)
range across 2 matching MRF lines
$197.63–$227.25 $263.50–$303 varies
Caffeine (80155) $127.88 $170.50 3.3×
Calcitonin (82308) $137.25 $183 5.1×
Calcium ionized (82330)
range across 2 matching MRF lines
$45.75–$99.38 $61–$132.50 varies
Calcium total (82310)
range across 2 matching MRF lines
$84–$95.25 $112–$127 varies
Calculus Spectroscopy (82365) $148.50 $198 11.5×
Calprotectin Fecal (83993) $303.75 $405 15.5×
Cancer Antigen 125 (86304) $240 $320 11.5×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$137.25–$240 $183–$320 varies
Candida antibody (86628)
range across 2 matching MRF lines
$64.88–$216 $86.50–$288 varies
Carbamazepine total (80156) $175.13 $233.50 12.0×
Carbohydrate Deficient Transferrin (82373) $372.38 $496.50 20.6×
Carboxyhemoglobin (82375) $155.63 $207.50 12.6×
Carcinoembryonic antigen (82378) $242.63 $323.50 12.8×
Cardiolipin ab iga (86147)
range across 12 matching MRF lines
$35.25–$280.88 $47–$374.50 varies
Carnitine Quantitative Each Specimen (82379)
range across 2 matching MRF lines
$231–$446.63 $308–$595.50 varies
Carotene (82380) $1,131.75 $1,509 122.7×
Catecholamines fractionated (82384)
range across 3 matching MRF lines
$58.50–$285.75 $78–$381 varies
Ccp antibody (86200)
range across 4 matching MRF lines
$65.63–$160.50 $87.50–$214 varies
Cell count csf (89051) $99.38 $132.50 17.7×
Ceruloplasmin (82390) $16.88 $22.50 1.6×
Cftr gene com variants (81220) $747 $996 1.3×
Chemiluminescent assay (82397)
range across 2 matching MRF lines
$75.75–$219.38 $101–$292.50 varies
Chlamydia antibody (86631)
range across 3 matching MRF lines
$99.38–$162.38 $132.50–$216.50 varies
Chlamydia Igm Antibody (86632) $159.38 $212.50 12.6×
Chloride other source (82438)
range across 2 matching MRF lines
$81.38–$99.38 $108.50–$132.50 varies
Chloride Serum (82435) $78.75 $105 17.1×
Chloride urine (82436)
range across 3 matching MRF lines
$49.50–$95.25 $66–$127 varies
Cholesterol total (82465)
range across 2 matching MRF lines
$44.63–$70.13 $59.50–$93.50 varies
Cholinesterase rbc (82482)
range across 2 matching MRF lines
$57.38–$147 $76.50–$196 varies
Cholinesterase Serum (82480) $57.38 $76.50 7.3×
Chorionic gonadotropin test (84702)
range across 4 matching MRF lines
$58.50–$217.13 $78–$289.50 varies
Chrmsm Analysis Addl High Resolution Study (88289)
range across 3 matching MRF lines
$156.75–$482.25 $209–$643 varies
Chrmsm Analysis Addl Karyotyp Each Study (88280)
range across 4 matching MRF lines
$127.88–$264.75 $170.50–$353 varies
Chromium serum (82495) $61.13 $81.50 3.0×
Chromogenic Substrate Assay (85130) $227.63 $303.50 19.1×
Chromogranin a (86316)
range across 3 matching MRF lines
$301.50–$1,206.38 $402–$1,608.50 varies
Chromosome Analysis 15-20 (88262)
range across 5 matching MRF lines
$345–$990.75 $460–$1,321 varies
Chromosome Analysis 20-25 (88264)
range across 3 matching MRF lines
$164.25–$634.88 $219–$846.50 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 8 matching MRF lines
$79.13–$249 $105.50–$332 varies
Citric acid urine (82507)
range across 5 matching MRF lines
$70.13–$351.38 $93.50–$468.50 varies
Ckmb (82553) $148.50 $198 12.9×
Clostridium Difficile (87324)
range across 2 matching MRF lines
$118.88–$171 $158.50–$228 varies
Coccidioides antibody (86635)
range across 4 matching MRF lines
$76.88–$175.13 $102.50–$233.50 varies
Cold agglutinin titer (86157) $101.25 $135 12.6×
Collagen crosslinks (82523)
range across 5 matching MRF lines
$97.13–$546 $129.50–$728 varies
Column Chromotography Quant (82542)
range across 16 matching MRF lines
$115.13–$877.50 $153.50–$1,170 varies
Compatibility Each Unit Incubation (86921) $217.13 $289.50 1.2×
Compatibility test antiglob (86922) $57.38 $76.50 0.3×
Complement Antigen Each Component (86160)
range across 9 matching MRF lines
$38.25–$187.88 $51–$250.50 varies
Complement Total (Ch50) (86162)
range across 2 matching MRF lines
$89.63–$148.50 $119.50–$198 varies
Complement/Function Activity (86161) $316.88 $422.50 26.4×
Consltj&Reprt Material Requiring Prepj Slides (88323) $43.88 $58.50 0.8×
Consltj&Reprt Slides Prepared Elsewhere (88321) $43.88 $58.50 1.1×
Coombs direct (86880)
range across 3 matching MRF lines
$63.74–$95.25 $84.98–$127 varies
Copper urine (82525)
range across 2 matching MRF lines
$67.13–$95.25 $89.50–$127 varies
Cortisol free (82530)
range across 2 matching MRF lines
$76.88–$178.50 $102.50–$238 varies
Cortisol saliva (82533)
range across 8 matching MRF lines
$57.38–$237.75 $76.50–$317 varies
Creatine (82540) $95.25 $127 20.5×
Creatine kinase total (82550)
range across 2 matching MRF lines
$24.75–$109.50 $33–$146 varies
Creatinine blood (82565)
range across 2 matching MRF lines
$30.75–$64.88 $41–$86.50 varies
Creatinine clearance (82575)
range across 3 matching MRF lines
$66–$124.88 $88–$166.50 varies
Creatinine Urine (82570) $14.63 $19.50 2.8×
Crp High Sensitivity (86141)
range across 2 matching MRF lines
$85.13–$109.50 $113.50–$146 varies
Cryofibrinogen (82585) $187.88 $250.50 13.3×
Cryoglobulin (82595)
range across 2 matching MRF lines
$12.75–$393 $17–$524 varies
Cryptococcus ag titer (87899)
range across 4 matching MRF lines
$96.38–$148.88 $128.50–$198.50 varies
Cryptosporidium ag eia (87328)
range across 2 matching MRF lines
$98.25–$188.25 $131–$251 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$60.75–$107.63 $81–$143.50 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $40.88 $54.50 5.1×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101)
range across 2 matching MRF lines
$46.13–$465.75 $61.50–$621 varies
Culture afb (87116)
range across 3 matching MRF lines
$43.13–$122.25 $57.50–$163 varies
Culture Anaerobic (87075)
range across 3 matching MRF lines
$50.63–$138.38 $67.50–$184.50 varies
Culture blood (87040) $148.50 $198 14.4×
Culture chlamydia (87110) $60.38 $80.50 3.1×
Culture csf (87070)
range across 8 matching MRF lines
$92.63–$184.88 $123.50–$246.50 varies
Culture screen only (87081)
range across 6 matching MRF lines
$39.38–$106.13 $52.50–$141.50 varies
Culture stool (87045) $148.50 $198 15.7×
Culture Typing Gas/High Pres Liq Chromatography (87143) $138.38 $184.50 11.1×
Culture typing if ea antiserum (87140) $60.38 $80.50 10.8×
Culture urine (87086)
range across 2 matching MRF lines
$30–$118.88 $40–$158.50 varies
Cyanide (82600) $93.38 $124.50 4.8×
Cyclic amp (82030) $70.13 $93.50 2.7×
Cyclosporine (80158)
range across 2 matching MRF lines
$124.13–$302.63 $165.50–$403.50 varies
Cyp2c19 gene analysis common variants (81225) $65.25 $87 0.2×
Cyp2c9 gene com variants (81227) $65.25 $87 0.4×
Cyp2d6 gene com variants (81226) $65.25 $87 0.1×
Cyp3a4 gene common variants (81230) $65.25 $87 0.4×
Cyp3a5 gene common variants (81231) $65.25 $87 0.4×
Cystatin C (82610) $818.63 $1,091.50 44.2×
Cytogenetics 100-300 (88275)
range across 3 matching MRF lines
$164.25–$420.38 $219–$560.50 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229) $2,452.50 $3,270 2.1×
Cytomegalovirus igg (86644) $19.13 $25.50 1.3×
Cytopath Cell Enhance Tech (88112) $72.38 $96.50 1.3×
Cytopath Fl Nongyn Filter (88106) $84 $112 2.7×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $48 $64 1.8×
Cytp Concentration Smears & Interpretation (88108) $78.75 $105 2.0×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $109.88 $146.50 2.0×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $30.75 $41 0.2×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $62.63 $83.50 1.6×
Cytp smrs any oth src extnd std > 5 slides (88162) $72.38 $96.50 1.3×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $49.50 $66 1.6×
Deoxycortisol (82634) $124.50 $166 4.3×
Deoxyribonuclease antibody (86215)
range across 2 matching MRF lines
$99.38–$178.50 $132.50–$238 varies
Detect Agent Nos Dna Amp (87798)
range across 14 matching MRF lines
$99.38–$307.88 $132.50–$410.50 varies
Detect Agent Nos Dna Quant (87799)
range across 3 matching MRF lines
$151.88–$699.38 $202.50–$932.50 varies
Dhea (82626) $288 $384 11.4×
Dhea-S (82627)
range across 2 matching MRF lines
$84.75–$168.38 $113–$224.50 varies
Digoxin (80162) $168.38 $224.50 12.7×
Dihydrotestosterone (82642)
range across 3 matching MRF lines
$51–$156.75 $68–$209 varies
Dna Antibody Native/Double Stranded (86225)
range across 8 matching MRF lines
$12.38–$171 $16.50–$228 varies
DNA/RNA direct probe (87149) $78.75 $105 3.9×
Dpyd gene common variants (81232) $65.25 $87 0.4×
Drug assay acetaminophen (80143) $228.38 $304.50 12.3×
Drug assay adalimumab (80145) $504.75 $673 13.1×
Drug assay felbamate (80167) $225 $300 12.1×
Drug Assay Infliximab (80230) $546 $728 14.2×
Drug Assay Vedolizumab (80280) $506.63 $675.50 13.1×
Drug Screen Quant Clozapine (80159) $54.38 $72.50 2.7×
Drug Screen Quant Zonisamide (80203) $227.25 $303 17.2×
Drug Screen Quantitative Gabapentin (80171) $298.13 $397.50 13.8×
Drug Screen Quantitative Lamotrigine (80175) $88.88 $118.50 6.7×
Drug Screen Quantitative Levetiracetam (80177) $213.38 $284.50 16.1×
Drug Screen Quantitative Oxcarbazepine (80183)
range across 3 matching MRF lines
$88.88–$310.50 $118.50–$414 varies
Drug Test Prsmv Chem Anlyzr (80307)
range across 59 matching MRF lines
$14.63–$1,576.88 $4–$2,102.50 varies
Drug Test Prsmv Instrmnt (80306)
range across 3 matching MRF lines
$26.25–$331.50 $35–$442 varies
Ehrlichia antibody (86666) $204.38 $272.50 20.1×
Electrolyte panel (80051) $88.88 $118.50 12.7×
Enterovirus Antibody (86658)
range across 5 matching MRF lines
$45.75–$191.63 $61–$255.50 varies
Enterovirus PCR (87498)
range across 2 matching MRF lines
$25.50–$205.88 $34–$274.50 varies
Enzyme cell activity (82657) $909.38 $1,212.50 41.0×
Erythropoietin (82668)
range across 2 matching MRF lines
$26.25–$248.25 $35–$331 varies
Estradiol serum (82670)
range across 7 matching MRF lines
$15.38–$306 $20.50–$408 varies
Estriol (82677)
range across 5 matching MRF lines
$43.50–$443.25 $58–$591 varies
Estrogen total (82672) $44.25 $59 2.0×
Estrogens fractionated (82671) $651.75 $869 20.2×
Ethosuximide (80168) $147 $196 9.0×
Ethylene Glycol (82693) $238.88 $318.50 16.0×
Exam Synovial Fluid Crystals (89060) $42 $56 5.7×
Factor ii activity (85210) $678 $904 52.2×
Factor Inhibitor Test (85335) $101.25 $135 7.9×
Factor ix activity (85250) $217.88 $290.50 11.4×
Factor v activity (85220)
range across 2 matching MRF lines
$101.25–$377.63 $135–$503.50 varies
Factor v leiden mutation (81241) $399.38 $532.50 5.4×
Factor viii assay (85240)
range across 4 matching MRF lines
$89.63–$360 $119.50–$480 varies
Factor X (85260)
range across 2 matching MRF lines
$195.38–$485.25 $260.50–$647 varies
Factor xi activity (85270) $197.63 $263.50 11.0×
Fat/Lipids Feces Quantitative (82710) $191.63 $255.50 11.4×
Fecal Fat Qualitative (82705)
range across 2 matching MRF lines
$101.25–$109.50 $135–$146 varies
Ferritin (82728)
range across 2 matching MRF lines
$65.25–$137.25 $87–$183 varies
Fibrin degradation products (85362) $138.38 $184.50 20.1×
Fibrin Degradation Quant (85379) $178.50 $238 17.5×
Fibrinogen activity (85384) $21 $28 2.2×
Fibrinogen antigen (85385) $230.25 $307 15.9×
Flecainide level (80181) $72 $96 3.9×
Flow cytometry first marker (88184)
range across 5 matching MRF lines
$46.88–$942 $62.50–$1,256 varies
Fluorescent antibody screen (86255)
range across 15 matching MRF lines
$47.63–$329.25 $63.50–$439 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 6 matching MRF lines
$93.38–$2,367 $124.50–$3,156 varies
Fmr1 gene detection (81243)
range across 2 matching MRF lines
$345–$700.88 $460–$934.50 varies
Folic acid rbc (82747) $23.63 $31.50 1.3×
Folic Acid Serum (82746) $147 $196 10.0×
Follicle Stimulating Hormone (83001)
range across 2 matching MRF lines
$54.38–$228.38 $72.50–$304.50 varies
Francisella tularensis (86668)
range across 2 matching MRF lines
$81.75–$184.50 $109–$246 varies
Fresh Frozen Plasma Thawing Each Unit (86927) $1,356 $1,808 7.4×
Frozen Section (88331) $53.25 $71 0.3×
Fungi Identification Yeast (87106) $99.38 $132.50 9.6×
G6pd gene alys cmn variant (81247) $65.25 $87 0.4×
Gammaglobulin ige (82785)
range across 9 matching MRF lines
$19.13–$1,041 $25.50–$1,388 varies
Gardner vag DNA dir probe (87510) $122.25 $163 6.1×
Gastrin (82941) $154.13 $205.50 8.7×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $163.88 $218.50 0.4×
Genet Virus Isolate Hsv (87255)
range across 2 matching MRF lines
$144.75–$219.75 $193–$293 varies
Gentamicin (80170) $148.50 $198 9.1×
Ggt (82977)
range across 4 matching MRF lines
$44.63–$97.88 $59.50–$130.50 varies
Giardia antigen (87329)
range across 3 matching MRF lines
$49.50–$98.25 $66–$131 varies
Giardia lamblia antibody (86674) $113.25 $151 7.7×
Glucagon (82943) $405.75 $541 28.4×
Glucose 2 hr pp (82950) $101.25 $135 21.3×
Glucose Blood Test (82962)
range across 4 matching MRF lines
$30.75–$34.13 $41–$45.50 varies
Glucose body fluid (82945) $67.13 $89.50 17.1×
Glucose Serum (82947)
range across 3 matching MRF lines
$44.63–$83.63 $59.50–$111.50 varies
Glucose tolerance test (gtt) (82951) $273.75 $365 21.3×
Glutathione (82978) $532.50 $710 34.5×
Glycated Protein (82985)
range across 2 matching MRF lines
$53.63–$70.13 $71.50–$93.50 varies
Gonadotropin Chorionic Qualitative (84703) $101.25 $135 13.5×
Growth hormone (83003)
range across 4 matching MRF lines
$40.88–$554.63 $54.50–$739.50 varies
Gtt-added samples (82952) $83.63 $111.50 21.3×
H Pylori (C-13) Breath (83013) $84.75 $113 1.3×
Haloperidol (80173) $75 $100 4.8×
Haptoglobin (83010)
range across 3 matching MRF lines
$22.50–$62.63 $30–$83.50 varies
Hdl Cholesterol (83718) $115.88 $154.50 14.1×
Helicobacter Pylori Stool (87338)
range across 2 matching MRF lines
$189.38–$374.25 $252.50–$499 varies
Helminth Antibody (86682)
range across 2 matching MRF lines
$180–$501.38 $240–$668.50 varies
Hematocrit (85014)
range across 2 matching MRF lines
$23.63–$49.50 $31.50–$66 varies
Hemoglobin (85018) $9.38 $12.50 4.0×
Hemoglobin a1c (83036) $99.38 $132.50 10.2×
Hemoglobin Chromotography (83021)
range across 3 matching MRF lines
$154.13–$240.75 $205.50–$321 varies
Hemoglobin Methemoglobin Quantitative (83050) $143.25 $191 17.5×
Hemoglobin quan tc per day carboxyhemoglobin (88740) $18 $24 1.9×
Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) $18 $24 1.9×
Hep a ab igm (86709)
range across 2 matching MRF lines
$16.13–$42 $21.50–$56 varies
Heparin assay (85520) $448.13 $597.50 34.2×
Hepatitis a antibody total (86708)
range across 4 matching MRF lines
$20.63–$124.88 $27.50–$166.50 varies
Hepatitis b core ab igm (86705)
range across 5 matching MRF lines
$21–$333.75 $28–$445 varies
Hepatitis b core ab total (86704)
range across 5 matching MRF lines
$20.63–$168.38 $27.50–$224.50 varies
Hepatitis B Surface Antibody (86706)
range across 5 matching MRF lines
$20.63–$107.63 $27.50–$143.50 varies
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines
$73.13–$99.38 $97.50–$132.50 varies
Hepatitis Be Antibody (86707)
range across 2 matching MRF lines
$21.75–$99.38 $29–$132.50 varies
Hepatitis Be Antigen (87350)
range across 2 matching MRF lines
$99.38–$105 $132.50–$140 varies
Hepatitis C Antibody (86803)
range across 7 matching MRF lines
$20.63–$486.75 $27.50–$649 varies
Hepatitis c antibody confirmatory test (86804) $346.88 $462.50 22.4×
Hepatitis C Genotype (87902) $692.63 $923.50 2.7×
Hepatitis C Probe&Rvrs Trnsc (87521)
range across 3 matching MRF lines
$188.63–$733.88 $251.50–$978.50 varies
Hepatitis C Revrs Trnscrpj (87522)
range across 10 matching MRF lines
$199.50–$986.63 $266–$1,315.50 varies
Herpes simplex type 2 (86696)
range across 3 matching MRF lines
$56.25–$148.50 $75–$198 varies
Heterophile Antibody Screen (86308) $72.38 $96.50 14.0×
Hfe Gene (81256) $551.25 $735 8.4×
Histamine urine (83088)
range across 2 matching MRF lines
$360.38–$742.88 $480.50–$990.50 varies
Histoplasma antibody (86698)
range across 2 matching MRF lines
$84–$154.13 $112–$205.50 varies
Histoplasma antigen urine (87385)
range across 2 matching MRF lines
$21.38–$540 $28.50–$720 varies
Hiv Genotype (87901) $601.13 $801.50 2.3×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 3 matching MRF lines
$83.25–$138.38 $111–$184.50 varies
Hiv-1 Antibody (86701)
range across 4 matching MRF lines
$88.88–$151.88 $118.50–$202.50 varies
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 7 matching MRF lines
$248.25–$919.13 $331–$1,225.50 varies
Hla I Low Resolution One Antigen Equivalent Each (81374) $272.63 $363.50 3.7×
Hla I Typing 1 Allele Hr (81381) $65.25 $87 0.4×
Hla-b27 (86812) $182.63 $243.50 7.1×
Homocysteine (83090)
range across 2 matching MRF lines
$127.88–$217.88 $170.50–$290.50 varies
Homovanillic acid urine (83150) $167.63 $223.50 7.5×
Hpv High-Risk Types (87624)
range across 2 matching MRF lines
$66–$197.63 $88–$263.50 varies
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines
$133.50–$194.25 $178–$259 varies
Human Epididymis Protein 4 (86305) $265.50 $354 12.8×
Hydroxyprogesterone 17-d (83498)
range across 4 matching MRF lines
$120.75–$256.50 $161–$342 varies
Iaadi Bordetella Prtussis/Paraprtussis (87265) $149.25 $199 12.5×
Iaadi parainfluenza virus each type (87279) $159.38 $212.50 9.7×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $333 $444 9.5×
Iadna Candida Species Amplified Probe Tq (87481)
range across 5 matching MRF lines
$115.13–$133.50 $153.50–$178 varies
Iadna chlamydia pneumoniae amplified probe tq (87486) $196.50 $262 5.6×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490)
range across 3 matching MRF lines
$109.50–$190.13 $146–$253.50 varies
Iadna Cytomegalovirus Quantification (87497)
range across 2 matching MRF lines
$634.13–$700.13 $845.50–$933.50 varies
Iadna hepatitis b virus amplified probe tq (87516) $488.25 $651 13.9×
Iadna Hepatitis B Virus Quantification (87517)
range across 4 matching MRF lines
$69.75–$819 $93–$1,092 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 2 matching MRF lines
$41.25–$519.38 $55–$692.50 varies
Iadna Multiple Organisms Direct Probe Tq (87800) $107.63 $143.50 2.5×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $196.50 $262 5.6×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 5 matching MRF lines
$79.13–$195 $105.50–$260 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $11.25 $15 0.2×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $374.63 $499.50 2.6×
Ifnl3 gene analysis rs12979860 variant (81283) $65.25 $87 0.9×
Ig Light Chains Free Each (83521) $40.13 $53.50 2.3×
Igg subclasses (82787)
range across 3 matching MRF lines
$43.50–$149.25 $58–$199 varies
Immunfix e-phorsis/urine/csf (86335)
range across 5 matching MRF lines
$84–$248.25 $112–$331 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 10 matching MRF lines
$98.25–$638.63 $131–$851.50 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 19 matching MRF lines
$28.50–$912.38 $38–$1,216.50 varies
Immunoassay nonantibody (83516)
range across 33 matching MRF lines
$24–$729.75 $32–$973 varies
Immunodiffusion Ouchterlony (86331) $84.75 $113 7.1×
Immunofixation electrophoresis (86334)
range across 3 matching MRF lines
$12–$107.25 $16–$143 varies
Immunofluorescence per spec 1st singl antb stain (88346) $249 $332 1.4×
Immunohistochemistry (88342) $100.13 $133.50 0.5×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) $717.38 $956.50 23.0×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) $94.50 $126 4.7×
Infectious Agent Dna/Rna Influenza Ea Type (87501) $299.25 $399 5.8×
Influenza assay w/optic (87804)
range across 7 matching MRF lines
$31.88–$48 $42.50–$64 varies
Inhibin A (86336)
range across 2 matching MRF lines
$75.75–$217.13 $101–$289.50 varies
Inhibin b (83520)
range across 29 matching MRF lines
$45–$783 $60–$1,044 varies
Insitu hybridization manual (88368)
range across 2 matching MRF lines
$80.63–$245.63 $107.50–$327.50 varies
Insulin antibodies (86337) $148.50 $198 6.9×
Insulin free (83527) $117.75 $157 9.1×
Insulin total (83525)
range across 4 matching MRF lines
$73.50–$155.63 $98–$207.50 varies
Intrinsic factor antibody (86340) $205.50 $274 13.6×
Iron (83540)
range across 4 matching MRF lines
$60.38–$99.38 $80.50–$132.50 varies
Iron Binding Capacity (83550)
range across 3 matching MRF lines
$57.38–$65.25 $76.50–$87 varies
Islet cell antibody (86341)
range across 3 matching MRF lines
$114.75–$177 $153–$236 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 2 matching MRF lines
$228–$394.13 $304–$525.50 varies
Ketosteroids 17 total (83586) $148.50 $198 11.6×
Koh Prep (87220) $99.38 $132.50 23.3×
Lactate (ld) (ldh) enzyme (83615)
range across 3 matching MRF lines
$17.63–$80.63 $23.50–$107.50 varies
Lactoferrin Fecal Quantitative (83631) $184.13 $245.50 9.4×
Ldh Isoenzymes (83625) $17.63 $23.50 1.4×
LDL direct (83721)
range across 2 matching MRF lines
$88.88–$1,198.50 $118.50–$1,598 varies
Lead (83655)
range across 6 matching MRF lines
$47.25–$181.88 $63–$242.50 varies
Legionella antibody (86713) $273.75 $365 17.9×
Legionella antigen urine (87449)
range across 2 matching MRF lines
$25.88–$68.63 $34.50–$91.50 varies
Leptospira antibody (86720) $90.38 $120.50 5.6×
Leukocyte Assessment Fecal (89055) $70.13 $93.50 16.4×
Level I Surg Pathology Gross Examination Only (88300) $35.63 $47.50 1.1×
Level ii surg pathology gross&microscopic exam (88302) $76.88 $102.50 1.9×
Level V Surg Pathology Gross&Microscopic Exam (88307) $241.50 $322 0.6×
Lipase (83690)
range across 2 matching MRF lines
$68.63–$109.50 $91.50–$146 varies
Lipoprotein A (83695) $34.13 $45.50 2.4×
Lipoprotein Bld Quan Part (83704) $111.75 $149 3.3×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $356.25 $475 10.5×
Lipoprotein-Associated Phospholipase A2 (83698) $261.75 $349 5.7×
Lithium (80178) $16.13 $21.50 2.4×
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines
$54.38–$228.38 $72.50–$304.50 varies
Lyme disease antibody (86618)
range across 6 matching MRF lines
$39.38–$201 $52.50–$268 varies
Lymphocyte transformation (86353) $215.25 $287 4.4×
M. Genitalium Amp Probe (87563) $231 $308 6.6×
Macroscopic Exam Parasite (87169) $47.25 $63 11.0×
Magnesium Urine (83735)
range across 6 matching MRF lines
$70.13–$127.13 $93.50–$169.50 varies
Mass Spectrometry Quant (83789) $137.25 $183 5.7×
Meat fibers, feces (89160) $101.25 $135 20.9×
Mercury urine (83825)
range across 4 matching MRF lines
$121.13–$237.75 $161.50–$317 varies
Methylmalonic acid serum (83921)
range across 2 matching MRF lines
$228.38–$336.38 $304.50–$448.50 varies
Microalbumin, quantitative (82043) $28.13 $37.50 4.9×
Microsomal Antibodies Each (86376)
range across 4 matching MRF lines
$44.25–$155.63 $59–$207.50 varies
Molecular Cytogenetics Dna Probe Each (88271)
range across 2 matching MRF lines
$152.25–$164.25 $203–$219 varies
Mononuclear cell antigen (86356) $111 $148 4.1×
Mopath procedure level 1 (81400)
range across 2 matching MRF lines
$65.25–$582.38 $87–$776.50 varies
Mrsa Pcr (87641) $443.25 $591 12.6×
Mthfr Gene Analysis Common Variants (81291)
range across 2 matching MRF lines
$65.25–$470.63 $87–$627.50 varies
Mumps antibody (86735)
range across 2 matching MRF lines
$112.88–$142.13 $150.50–$189.50 varies
Mycophenolic Acid (80180) $240 $320 13.3×
Mycoplasma antibody (86738)
range across 4 matching MRF lines
$67.13–$154.13 $89.50–$205.50 varies
Mycoplasma culture (87109) $123 $164 8.0×
Myelin basic protein csf (83873)
range across 2 matching MRF lines
$101.25–$667.13 $135–$889.50 varies
Myoglobin urine (83874)
range across 2 matching MRF lines
$206.25–$248.25 $275–$331 varies
Natriuretic peptide (83880)
range across 2 matching MRF lines
$248.25–$403.13 $331–$537.50 varies
Nfct ds chrnc hcv 6 assays (81596)
range across 2 matching MRF lines
$70.13–$313.88 $93.50–$418.50 varies
Niacin (84591)
range across 3 matching MRF lines
$178.88–$469.13 $238.50–$625.50 varies
Nk cells total count (86357) $269.63 $359.50 7.1×
Nuclear antigen antibody (86235)
range across 42 matching MRF lines
$12.38–$710.63 $16.50–$947.50 varies
Occult blood feces (82272)
range across 4 matching MRF lines
$12.75–$24.75 $17–$33 varies
Occult Blood Other Sources (82271) $44.63 $59.50 8.4×
Oligoclonal bands (83916) $90 $120 3.3×
Organic Acids Qualitative Each Specimen (83919) $193.13 $257.50 11.7×
Osmolality serum (83930)
range across 2 matching MRF lines
$122.25–$230.25 $163–$307 varies
Osmolality Urine (83935)
range across 2 matching MRF lines
$78.75–$95.25 $105–$127 varies
Osteocalcin (83937) $107.63 $143.50 3.6×
Ova and parasites smears (87177)
range across 2 matching MRF lines
$34.88–$168.75 $46.50–$225 varies
Oxalate urine (83945)
range across 3 matching MRF lines
$70.13–$137.25 $93.50–$183 varies
Particle Agglutination Screen Each Antibody (86403) $78.75 $105 6.8×
Parvovirus antibody (86747)
range across 4 matching MRF lines
$100.50–$142.13 $134–$189.50 varies
Ph urine (81003) $18 $24 8.0×
Phenobarbital Level (80184)
range across 2 matching MRF lines
$68.63–$138.38 $91.50–$184.50 varies
Phenotype Infect Agent Drug (87900)
range across 3 matching MRF lines
$37.88–$601.13 $50.50–$801.50 varies
Phenylalanine (84030)
range across 2 matching MRF lines
$70.13–$387 $93.50–$516 varies
Phenytoin (Dilantin) (80185)
range across 3 matching MRF lines
$27.75–$148.50 $37–$198 varies
Phenytoin free (80186)
range across 2 matching MRF lines
$114–$209.63 $152–$279.50 varies
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$14.63–$70.13 $19.50–$93.50 varies
Phospholipid Neutralization Hexagonal (85598) $72.38 $96.50 4.0×
Phosphorus Serum (84100) $70.13 $93.50 14.8×
Phosphorus urine (84105)
range across 3 matching MRF lines
$70.13–$95.25 $93.50–$127 varies
Pinworm exam (87172) $59.25 $79 13.9×
Platelet Aggregation (85576) $117.75 $157 4.7×
Platelet Antibodies (86022)
range across 4 matching MRF lines
$40.88–$369.38 $54.50–$492.50 varies
Platelet count automated (85049) $73.50 $98 16.4×
Platelet neutralization (85597) $72.38 $96.50 4.0×
Porphobilinogen, urine; quantitative (84110) $129 $172 15.3×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines
$165–$211.50 $220–$282 varies
Potassium Urine (84133)
range across 3 matching MRF lines
$34.88–$95.25 $46.50–$127 varies
Prealbumin (84134) $187.88 $250.50 12.9×
Pregnenolone (84140) $111.75 $149 5.4×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $443.25 $591 7.0×
Primidone (80188) $99.38 $132.50 6.0×
Procalcitonin (Pct) (84145) $345 $460 12.7×
Progesterone (84144)
range across 2 matching MRF lines
$65.63–$228.38 $87.50–$304.50 varies
Prolactin (84146)
range across 2 matching MRF lines
$54.38–$267 $72.50–$356 varies
Prostaglandin (84150) $258.75 $345 6.2×
Protein body fluid (84157)
range across 2 matching MRF lines
$34.13–$99.38 $45.50–$132.50 varies
Protein C Activity (85303) $217.88 $290.50 15.7×
Protein c antigen (85302)
range across 2 matching MRF lines
$222.75–$346.88 $297–$462.50 varies
Protein Electrophoresis Urine (84166)
range across 5 matching MRF lines
$79.88–$165.75 $106.50–$221 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 5 matching MRF lines
$17.25–$124.13 $23–$165.50 varies
Protein S Free (85306)
range across 4 matching MRF lines
$108.75–$206.25 $145–$275 varies
Protein s total (85305)
range across 2 matching MRF lines
$155.63–$198.38 $207.50–$264.50 varies
Protein total serum (84155)
range across 6 matching MRF lines
$17.25–$923.63 $23–$1,231.50 varies
Protein Total Urine (84156)
range across 9 matching MRF lines
$10.88–$165.75 $14.50–$221 varies
Protein Western Blot Test (84182) $616.88 $822.50 21.1×
Prothrombin Time Substitution Plasma Frctj Each (85611)
range across 2 matching MRF lines
$66.75–$101.25 $89–$135 varies
Protoporphyrin rbc quantitative (84202) $521.25 $695 36.3×
PSA free (84154) $75 $100 4.1×
Pth Intact (83970)
range across 3 matching MRF lines
$84–$298.13 $112–$397.50 varies
Q Fever Antibody (86638) $56.25 $75 4.6×
Quantiferon tb gold plus (86480)
range across 3 matching MRF lines
$261.38–$1,010.63 $348.50–$1,347.50 varies
Quantitative assay drug (80299)
range across 5 matching MRF lines
$30.75–$1,198.50 $41–$1,598 varies
Quantitative Screen Metals (83018)
range across 3 matching MRF lines
$61.13–$318 $81.50–$424 varies
Quinidine (80194) $158.63 $211.50 10.9×
Rbc antibody elution (86860) $62.58 $83.43 0.3×
Rbc antibody identification (86870) $99.38 $132.50 0.3×
Rbc antibody screen (86850)
range across 2 matching MRF lines
$79.38–$210.90 $105.83–$281.19 varies
Rbc pretreatment serum (86978) $313.44 $417.92 5.0×
Rbc pretx incubatj w/enzymes (86971) $119.36 $159.14 0.7×
Rbc serum pretx incubj drugs (86975) $81.12 $108.15 0.2×
Reagent Strip/Blood Glucose (82948) $30.75 $41 6.1×
Renin activity plasma (84244)
range across 3 matching MRF lines
$48.75–$325.50 $65–$434 varies
Resp virus 12-25 targets (87633) $435.38 $580.50 1.0×
Reticulocyte separation (86972) $173.63 $231.50 1.0×
Rh (86901)
range across 2 matching MRF lines
$100.13–$132.68 $133.50–$176.90 varies
Rheumatoid factor quant (86431)
range across 4 matching MRF lines
$12.38–$118.88 $16.50–$158.50 varies
Rickettsia antibody (86757)
range across 3 matching MRF lines
$49.50–$337.13 $66–$449.50 varies
Ristocetin cofactor (85245)
range across 4 matching MRF lines
$213–$337.13 $284–$449.50 varies
Rotavirus ag eia (87425) $154.13 $205.50 12.9×
Rpr qualitative (86592)
range across 4 matching MRF lines
$58.50–$178.50 $78–$238 varies
Rsv ab (86756) $265.88 $354.50 16.7×
Rsv Assay W/Optic (87807) $48 $64 3.7×
Rubella Antibody (86762)
range across 2 matching MRF lines
$129–$178.50 $172–$238 varies
Rubeola antibody (86765)
range across 2 matching MRF lines
$118.88–$142.13 $158.50–$189.50 varies
Russell Viper Venom Time Diluted (85613)
range across 5 matching MRF lines
$72.38–$200.25 $96.50–$267 varies
Salicylate Level (80179) $148.50 $198 8.0×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$69.75–$278.25 $93–$371 varies
Sars-cov-2 COVID-19 antibody (86769) $60.75 $81 1.4×
Sars-Cov-2 Covid19 W/Optic (87811) $374.63 $499.50 9.1×
Sedimentation rate (85651) $70.13 $93.50 16.4×
Selenium (84255) $195 $260 7.6×
Semen Anal Sperm Detection (89321) $107.63 $143.50 8.9×
Sensitivity mic (87186) $115.88 $154.50 13.4×
Sept9 Methylation Analysis (81327) $327.38 $436.50 1.7×
Serpina 1 gene (81332) $264.75 $353 6.1×
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines
$22.88–$175.13 $30.50–$233.50 varies
Sickling of rbc reduction (85660)
range across 3 matching MRF lines
$47.25–$241.50 $63–$322 varies
Sirolimus (80195) $279.75 $373 20.4×
Skin test tuberculosis intradermal (86580) $29.25 $39 0.9×
SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) $65.25 $87 0.4×
Smear acid fast (87206)
range across 6 matching MRF lines
$17.63–$99.38 $23.50–$132.50 varies
Smear complex stain (87209) $73.50 $98 4.1×
Smear gram stain (87205)
range across 4 matching MRF lines
$50.63–$127.50 $67.50–$170 varies
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 3 matching MRF lines
$21.75–$55.13 $29–$73.50 varies
Snrpn/Ube3a Methylation Analysis (81331) $109.50 $146 2.1×
Sodium Serum (84295) $59.25 $79 12.3×
Sodium Urine (84300)
range across 4 matching MRF lines
$14.63–$95.25 $19.50–$127 varies
Soluble Transferrin Receptor (84238) $112.88 $150.50 3.1×
Somatomedin (84305)
range across 2 matching MRF lines
$396.75–$580.50 $529–$774 varies
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$99.38–$179.63 $132.50–$239.50 varies
Special Stains Group 2 (88313) $91.13 $121.50 0.6×
Specimen infect agnt concntj (87015)
range across 4 matching MRF lines
$36.38–$122.25 $48.50–$163 varies
Spectrophotometry (84311)
range across 2 matching MRF lines
$116.63–$256.50 $155.50–$342 varies
Stool cultr aerobic bact ea (87046)
range across 2 matching MRF lines
$59.25–$78.75 $79–$105 varies
Strep a assay w/optic (87880) $47.25 $63 2.9×
Strep a DNA amp probe (87651) $246.38 $328.50 7.0×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $70.13 $93.50 12.8×
Sulfate urine (84392)
range across 2 matching MRF lines
$70.13–$95.25 $93.50–$127 varies
Surg path level iii (88304) $80.63 $107.50 1.4×
Surgical pathology level IV (88305)
range across 3 matching MRF lines
$108–$469.13 $144–$625.50 varies
Surgical pathology level vi (88309) $334.50 $446 0.4×
Susceptibility Study Antimicrobial Disk Method (87184) $59.25 $79 7.9×
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 2 matching MRF lines
$264.75–$377.63 $353–$503.50 varies
T cells total count (86359)
range across 4 matching MRF lines
$111–$269.63 $148–$359.50 varies
T3 Free (84481) $197.63 $263.50 11.7×
T3 reverse (84482) $148.50 $198 9.4×
T3 Total (84480)
range across 2 matching MRF lines
$203.25–$1,696.50 $271–$2,262 varies
T3 Uptake (84479)
range across 2 matching MRF lines
$12.38–$58.50 $16.50–$78 varies
T4 Free (84439) $95.25 $127 10.6×
T4 total (84436)
range across 3 matching MRF lines
$9–$78.75 $12–$105 varies
Tacrolimus (80197) $277.50 $370 20.2×
Test for acetone/ketones (82009) $40.88 $54.50 9.0×
Testosterone Bioavailable (84410)
range across 3 matching MRF lines
$79.88–$164.25 $106.50–$219 varies
Testosterone total (84403)
range across 12 matching MRF lines
$9.75–$542.25 $13–$723 varies
Testosterone, Free (84402)
range across 6 matching MRF lines
$25.50–$298.13 $34–$397.50 varies
Theophylline (80198) $148.50 $198 10.5×
Thrombin Time (85670)
range across 4 matching MRF lines
$72.38–$227.25 $96.50–$303 varies
Thromboplastin Inhibition Tissue (85705) $200.25 $267 20.8×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 7 matching MRF lines
$72.38–$200.25 $96.50–$267 varies
Thyroglobulin (84432)
range across 2 matching MRF lines
$9–$173.63 $12–$231.50 varies
Thyroglobulin Antibody (86800)
range across 6 matching MRF lines
$9–$365.25 $12–$487 varies
Thyroid Stimulating Immunoglobulin (84445) $391.88 $522.50 7.7×
Thyroxine binding globulin (84442) $78.38 $104.50 5.3×
Tiss Trnsgltmnase Ea Ig Clas (86364) $38.63 $51.50 3.4×
Tissue culture bone marrow (88237)
range across 4 matching MRF lines
$164.25–$643.88 $219–$858.50 varies
Tissue Culture Lymphocyte (88230)
range across 6 matching MRF lines
$337.13–$618.38 $449.50–$824.50 varies
Tobramycin peak (80200)
range across 2 matching MRF lines
$148.50–$154.13 $198–$205.50 varies
Topiramate (80201) $95.25 $127 8.0×
Touch prep (88161) $43.88 $58.50 1.4×
Toxin/Antitoxin Assay Tissue Culture (87230) $168.75 $225 8.5×
Toxoplasma ab igm (86778) $228.38 $304.50 15.8×
Toxoplasma antibody (86777) $97.88 $130.50 6.8×
Tpmt gene com variants (81335)
range across 2 matching MRF lines
$65.25–$220.50 $87–$294 varies
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines
$44.63–$78.75 $59.50–$105 varies
Transferrin (84466) $21.75 $29 1.7×
Trichomonas vagin dir probe (87660) $122.25 $163 6.1×
Trichomonas Vaginalis Amplif (87661)
range across 5 matching MRF lines
$79.13–$318.38 $105.50–$424.50 varies
Triglycerides (84478)
range across 3 matching MRF lines
$44.63–$82.50 $59.50–$110 varies
Troponin Quant (84484)
range across 2 matching MRF lines
$192.38–$197.63 $256.50–$263.50 varies
Tumor immunohistochem/comput (88361) $147 $196 0.4×
Ugt1a1 gene analysis common variants (81350) $65.25 $87 0.3×
Unlisted reproductive medicine lab procedure (89398) $111 $148 2.0×
Urea nitrogen urine (84540)
range across 3 matching MRF lines
$29.25–$691.50 $39–$922 varies
Uric acid other source (84560)
range across 3 matching MRF lines
$54.38–$95.25 $72.50–$127 varies
Urinalysis Volume Measure (81050) $18 $24 4.9×
Urine Albumin Semiquantitative (82044) $19.88 $26.50 3.2×
Urine Bacteria Culture (87088)
range across 2 matching MRF lines
$30–$115.88 $40–$154.50 varies
Urine Pregnancy Test (81025)
range across 4 matching MRF lines
$42–$49.50 $56–$66 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $70.13 $93.50 22.1×
Valproic acid (80164)
range across 2 matching MRF lines
$78.38–$197.63 $104.50–$263.50 varies
Vancomycin (80202) $168.38 $224.50 12.4×
Varicella-zoster antibody (86787) $158.63 $211.50 12.3×
Vasopressin (84588) $230.25 $307 6.8×
Viral Culture (87252)
range across 3 matching MRF lines
$149.25–$298.13 $199–$397.50 varies
Virus antibody nos (86790) $79.88 $106.50 6.2×
Virus inoculation, shell via (87254)
range across 4 matching MRF lines
$116.63–$225 $155.50–$300 varies
Viscosity serum (85810) $91.88 $122.50 7.9×
Vit D 1 25-Dihydroxy (82652) $261.75 $349 6.8×
Vitamin A (84590) $148.50 $198 12.8×
Vitamin b-12 (82607)
range across 2 matching MRF lines
$168.38–$923.63 $224.50–$1,231.50 varies
Vitamin B2 (Riboflavin) (84252) $279.75 $373 13.8×
Vitamin B6 (84207) $277.50 $370 9.9×
Vitamin c (82180) $104.63 $139.50 10.6×
Vitamin D 25-Hydroxy (82306)
range across 3 matching MRF lines
$41.25–$391.88 $55–$522.50 varies
Vitamin E (84446) $182.25 $243 12.9×
Vitamin K (84597) $490.88 $654.50 35.8×
Vkorc1 gene (81355) $65.25 $87 0.7×
Volatiles (84600)
range across 6 matching MRF lines
$27.75–$620.63 $37–$827.50 varies
Voltage-Gated Calcium Channel Antibody Each (86596) $177 $236 14.7×
Von willebrand factor ag (85246)
range across 4 matching MRF lines
$213–$361.50 $284–$482 varies
Wbc Alkaline Phosphatase Count (85540) $138.38 $184.50 16.1×
West nile virus ab igm (86788) $142.13 $189.50 8.4×
Zinc (84630) $138.38 $184.50 12.1×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.