Lab & pathology prices at Frisbie Memorial Hospital
Rochester, NH · every code in this section with a posted price and a Medicare benchmark.
677 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $818 | $818 | 35.9× |
| 5 Nucleotidase (83915) | $111 | $111 | 10.0× |
| Acetylcholine receptor binding antibody (86041) | $1,014 | $1,014 | 55.1× |
| Acetylcholine receptor blocking antibody (86042) | $1,014 | $1,014 | 55.1× |
| Acetylcholn Rcptr Modlg Antb (86043) | $60 | $60 | 5.0× |
| Acth (82024) | $711 | $711 | 18.4× |
| Actin smooth muscle antibody each (86015) | $462 | $462 | 38.3× |
| Acute hepatitis panel (80074) | $1,114 | $1,114 | 23.4× |
| Adenovirus antibody (86603) | $437 | $437 | 34.0× |
| Albumin Fluid (82042) | $253 | $253 | 32.5× |
| Albumin serum (82040) | $47 | $47 | 9.5× |
| Aldolase (82085) | $238 | $238 | 24.5× |
| Aldosterone urine (82088) | $583 | $583 | 14.3× |
| Alkaline phosphatase isoenzymes (84080) | $218 | $218 | 14.7× |
| Allergen spec ige qual multiallergen screen (86005) | $233 | $233 | 29.2× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$119–$1,307 | $119–$1,307 | varies |
| Allg Spec Ige Recomb Ea (86008) | $75 | $75 | 4.2× |
| Alpha-1-antitrypsin phenotype (82104) | $291 | $291 | 20.1× |
| Alpha-1-antitrypsin total (82103) | $251 | $251 | 18.7× |
| Alpha-Fetoprotein Serum (82105) | $371 | $371 | 22.1× |
| Alt (sgpt) (84460) | $56 | $56 | 10.6× |
| Aluminum (82108) | $426 | $426 | 16.7× |
| Amikacin trough (80150) | $292 | $292 | 19.4× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $377 | $377 | 16.4× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $494 | $494 | 29.3× |
| Ammonia (82140) | $259 | $259 | 17.8× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $547 | $547 | 5.6× |
| Amylase urine (82150) range across 5 matching MRF lines |
$205–$216 | $205–$216 | varies |
| Ana Titer (86039) | $644 | $644 | 57.7× |
| Anca screen each antibody (86036) range across 4 matching MRF lines |
$435–$901 | $435–$901 | varies |
| Anca Titer Each Antibody (86037) | $547 | $547 | 45.4× |
| Androstenedione (82157) | $675 | $675 | 23.1× |
| Angiotensin converting enzyme csf (82164) | $443 | $443 | 30.3× |
| Anti-Phospholipid Antibody (86148) | $592 | $592 | 36.8× |
| Antibody aspergillus (86606) | $259 | $259 | 17.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 28 matching MRF lines |
$87–$1,988 | $87–$1,988 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
$680–$749 | $680–$749 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $370 | $370 | 22.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $388 | $388 | 29.6× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $298 | $298 | 19.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $280 | $280 | 15.4× |
| Antibody Fungus Not Elsewhere Specified (86671) | $277 | $277 | 22.6× |
| Antibody haemophilus influenza (86684) | $1,009 | $1,009 | 63.7× |
| Antibody helicobacter pylori (86677) | $235 | $235 | 13.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $395 | $395 | 27.4× |
| Antibody Herpes Smplx Type 1 (86695) | $496 | $496 | 37.6× |
| Antibody HIV-1&HIV-2 single result (86703) | $241 | $241 | 17.6× |
| Antibody HIV-2 (86702) | $146 | $146 | 10.8× |
| Antibody Protozoa Nes (86753) | $750 | $750 | 60.5× |
| Antibody Titer (86886) range across 2 matching MRF lines |
$657–$686 | $657–$686 | varies |
| Antibody Treponema Pallidum (86780) | $221 | $221 | 16.7× |
| Antigen typing (86905) | $1,146 | $1,146 | 299.2× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $600 | $600 | 104.9× |
| Antinomyces antibody (86602) range across 3 matching MRF lines |
$192–$210 | $192–$210 | varies |
| Antinuclear antibodies (86038) | $227 | $227 | 18.8× |
| Antistreptolysin o titer (86060) | $210 | $210 | 28.8× |
| Antithrombin iii activity (85300) | $620 | $620 | 52.3× |
| Antithrombin iii antigen (85301) | $87 | $87 | 8.0× |
| Apolipoprotein a1 (82172) | $192 | $192 | 9.1× |
| Aquaporin-4 Antb Elisa (86051) | $197 | $197 | 17.1× |
| Arsenic (82175) | $520 | $520 | 27.4× |
| Aspa gene analysis common variants (81200) | $481 | $481 | 10.2× |
| Aspergillus ag eia (87305) | $574 | $574 | 47.9× |
| Assay activated protein c (85307) | $570 | $570 | 37.2× |
| Assay Blood Carbon Dioxide (82374) | $53 | $53 | 10.9× |
| Assay Dir Meas Fr Estradiol (82681) | $221 | $221 | 7.9× |
| Assay Nephelometry Not Spec (83883) | $238 | $238 | 17.5× |
| Assay of 5-hiaa (83497) | $305 | $305 | 23.6× |
| Assay of anti-mullerian hormone (82166) | $401 | $401 | 10.4× |
| Assay of blood/uric acid (84550) | $82 | $82 | 18.1× |
| Assay of calcium in urine (82340) | $109 | $109 | 18.1× |
| Assay of cpk in blood (82552) | $312 | $312 | 23.3× |
| Assay of estrone (82679) | $352 | $352 | 14.1× |
| Assay of g6pd enzyme (82955) | $235 | $235 | 24.2× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$411–$494 | $411–$494 | varies |
| Assay of lactic acid (83605) | $187 | $187 | 16.2× |
| Assay of manganese (83785) | $437 | $437 | 16.4× |
| Assay of metanephrines (83835) | $665 | $665 | 39.3× |
| Assay of proinsulin (84206) | $377 | $377 | 14.1× |
| Assay of prostate specific antigen complexed (84152) | $261 | $261 | 14.2× |
| Assay of pyruvate (84210) | $270 | $270 | 18.6× |
| Assay of semen fructose (82757) | $269 | $269 | 15.5× |
| Assay of serotonin (84260) | $692 | $692 | 22.3× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$34–$63 | $34–$63 | varies |
| Assay of sweat sodium (84302) | $589 | $589 | 121.2× |
| Assay of transcortin (84449) | $219 | $219 | 12.2× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$56–$144 | $56–$144 | varies |
| Assay of urine vma (84585) | $423 | $423 | 27.3× |
| Assay of vasoactive intestinal peptide (84586) | $652 | $652 | 18.5× |
| Assay of vitamin b-1 (84425) | $280 | $280 | 13.2× |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$26–$98 | $26–$98 | varies |
| Assay spec xcp ur&breath ia (82077) | $428 | $428 | 24.8× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $4,120 | $4,120 | 4.9× |
| Automated Leukocyte Count (85048) | $122 | $122 | 48.0× |
| B cells total count (86355) | $256 | $256 | 6.8× |
| Bartonella antibody (86611) | $647 | $647 | 63.6× |
| Bcr/abl1 gene major bp (81206) | $1,396 | $1,396 | 8.5× |
| Bcr/abl1 gene minor bp (81207) | $1,365 | $1,365 | 9.4× |
| Beta 2 glycoprotein i antibody each (86146) | $343 | $343 | 13.5× |
| Beta hydroxybutyrate (82010) | $259 | $259 | 31.7× |
| Beta Lactamase (87185) | $799 | $799 | 168.2× |
| Beta-2 Microglobulin (82232) | $496 | $496 | 30.7× |
| Bile acids total (82239) | $281 | $281 | 16.4× |
| Bilirubin direct (82248) | $149 | $149 | 29.7× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$47–$172 | $47–$172 | varies |
| Bilirubin total transcutaneous (88720) | $87 | $87 | 17.3× |
| Blastomyces antibody (86612) | $193 | $193 | 15.0× |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$452–$472 | $452–$472 | varies |
| Blood Count Red Blood Cell Automated (85041) | $31 | $31 | 10.3× |
| Blood count reticulocyte automated (85045) | $129 | $129 | 32.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $113 | $113 | 29.7× |
| Blood gas (82803) | $650 | $650 | 24.9× |
| Blood gases w/02 saturation (82805) | $665 | $665 | 8.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $70 | $70 | 4.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $114 | $114 | 26.0× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $1,146 | $1,146 | 180.5× |
| Blood typing serologic abo (86900) | $559 | $559 | 187.0× |
| Body fluid cell count (89050) range across 3 matching MRF lines |
$111–$241 | $111–$241 | varies |
| Bone marrow smear interpretation (85097) | $2,878 | $2,878 | 3.3× |
| Bordetella antibody (86615) | $898 | $898 | 68.1× |
| Braf gene analysis (81210) | $525 | $525 | 3.0× |
| Brca1&2 gen full seq dup/del (81162) | $3,924 | $3,924 | 2.2× |
| Brucella antibody (86622) | $650 | $650 | 72.8× |
| C diff amplified probe (87493) | $395 | $395 | 10.6× |
| C-Peptide (84681) | $292 | $292 | 14.0× |
| C-reactive protein (86140) | $162 | $162 | 31.3× |
| Ca 19-9 (86301) | $467 | $467 | 22.4× |
| Cadmium (82300) | $719 | $719 | 30.4× |
| Calcitonin (82308) | $944 | $944 | 35.2× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$175–$263 | $175–$263 | varies |
| Calcium total (82310) | $34 | $34 | 6.6× |
| Calculus assay quant (82360) | $474 | $474 | 36.8× |
| Calculus Spectroscopy (82365) | $130 | $130 | 10.1× |
| Calprotectin Fecal (83993) | $635 | $635 | 32.3× |
| Cancer Antigen 125 (86304) | $364 | $364 | 17.5× |
| Cancer Antigen 27.29 (86300) | $426 | $426 | 20.5× |
| Candida Dna Dir Probe (87480) | $230 | $230 | 11.5× |
| Carbamazepine free (80157) | $78 | $78 | 5.9× |
| Carbamazepine total (80156) | $370 | $370 | 25.4× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$193–$222 | $193–$222 | varies |
| Carcinoembryonic antigen (82378) | $411 | $411 | 21.7× |
| Cardiolipin ab iga (86147) | $332 | $332 | 13.0× |
| Carnitine Quantitative Each Specimen (82379) | $180 | $180 | 10.7× |
| Carotene (82380) | $265 | $265 | 28.7× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$435–$499 | $435–$499 | varies |
| Ccp antibody (86200) | $192 | $192 | 14.8× |
| Cell count csf (89051) range across 2 matching MRF lines |
$209–$219 | $209–$219 | varies |
| Ceruloplasmin (82390) | $247 | $247 | 23.0× |
| Cftr gene com variants (81220) | $2,717 | $2,717 | 4.9× |
| Chemiluminescent assay (82397) range across 5 matching MRF lines |
$413–$1,019 | $413–$1,019 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $2,163 | $2,163 | 8.3× |
| Chlamydia antibody (86631) | $487 | $487 | 41.2× |
| Chlamydia Igm Antibody (86632) | $408 | $408 | 32.2× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$34–$57 | $34–$57 | varies |
| Chloride urine (82436) | $70 | $70 | 12.2× |
| Cholesterol total (82465) | $44 | $44 | 10.1× |
| Cholinesterase Serum (82480) | $268 | $268 | 34.1× |
| Chorionic gonadotropin test (84702) | $383 | $383 | 25.4× |
| Chromium serum (82495) | $111 | $111 | 5.5× |
| Chromogenic Substrate Assay (85130) | $813 | $813 | 68.4× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$171–$618 | $171–$618 | varies |
| Chromosome Analysis 15-20 (88262) | $1,884 | $1,884 | 15.0× |
| Chromosome Analysis 20-25 (88264) | $1,592 | $1,592 | 11.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $348 | $348 | 9.9× |
| Citric acid urine (82507) | $358 | $358 | 12.9× |
| Ckmb (82553) | $114 | $114 | 9.9× |
| Clostridium Difficile (87324) | $332 | $332 | 27.7× |
| Clot factor xiii fibrin stab (85290) | $89 | $89 | 5.4× |
| Clotting factor xii hageman (85280) | $948 | $948 | 49.0× |
| Clotting Funct Activity (85397) | $983 | $983 | 31.9× |
| Cns DNA amp probe type 12-25 (87483) | $2,720 | $2,720 | 6.5× |
| Coagulation time activated (85347) | $120 | $120 | 28.0× |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
$312–$313 | $312–$313 | varies |
| Cold agglutinin screen (86156) | $171 | $171 | 21.2× |
| Cold agglutinin titer (86157) | $223 | $223 | 27.7× |
| Collagen crosslinks (82523) | $320 | $320 | 17.1× |
| Column Chromotography Quant (82542) range across 5 matching MRF lines |
$126–$2,390 | $126–$2,390 | varies |
| Compatibility Each Unit Incubation (86921) | $746 | $746 | 4.1× |
| Compatibility test antiglob (86922) | $686 | $686 | 3.8× |
| Complement Antigen Each Component (86160) | $585 | $585 | 48.8× |
| Complement Total (Ch50) (86162) | $703 | $703 | 34.6× |
| Complement/Function Activity (86161) | $371 | $371 | 30.9× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $1,365 | $1,365 | 24.5× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $204 | $204 | 5.1× |
| Coombs direct (86880) range across 5 matching MRF lines |
$188–$216 | $188–$216 | varies |
| Copper urine (82525) range across 3 matching MRF lines |
$322–$553 | $322–$553 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$307–$1,238 | $307–$1,238 | varies |
| Cortisol saliva (82533) | $359 | $359 | 22.0× |
| Creatine (82540) | $191 | $191 | 41.2× |
| Creatine kinase total (82550) | $181 | $181 | 27.8× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$26–$85 | $26–$85 | varies |
| Creatinine clearance (82575) | $279 | $279 | 29.5× |
| Creatinine Urine (82570) | $137 | $137 | 26.4× |
| Crossmatch electronic (86923) range across 2 matching MRF lines |
$407–$686 | $407–$686 | varies |
| Crossmatch immediate spin (86920) | $686 | $686 | 3.8× |
| Crp High Sensitivity (86141) | $213 | $213 | 16.4× |
| Cryofibrinogen (82585) | $166 | $166 | 11.7× |
| Cryoglobulin (82595) | $207 | $207 | 32.0× |
| Cryptococcus ab (86641) | $82 | $82 | 5.7× |
| Cryptococcus ag titer (87899) range across 5 matching MRF lines |
$225–$258 | $225–$258 | varies |
| Cryptosporidium ag eia (87328) | $275 | $275 | 19.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $231 | $231 | 28.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $141 | $141 | 17.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $233 | $233 | 30.2× |
| Culture afb (87116) | $318 | $318 | 29.4× |
| Culture Anaerobic (87075) | $603 | $603 | 63.7× |
| Culture blood (87040) | $395 | $395 | 38.3× |
| Culture chlamydia (87110) | $307 | $307 | 15.7× |
| Culture csf (87070) range across 11 matching MRF lines |
$264–$265 | $264–$265 | varies |
| Culture fungus (87102) | $233 | $233 | 27.7× |
| Culture fungus blood (87103) | $233 | $233 | 11.4× |
| Culture screen only (87081) | $148 | $148 | 22.3× |
| Culture stool (87045) | $189 | $189 | 20.0× |
| Culture typing if ea antiserum (87140) | $109 | $109 | 19.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $120 | $120 | 23.2× |
| Culture urine (87086) | $222 | $222 | 27.5× |
| Cyanide (82600) | $230 | $230 | 11.9× |
| Cyclosporine (80158) | $560 | $560 | 31.0× |
| Cystatin C (82610) | $65 | $65 | 3.5× |
| Cytogenetics 100-300 (88275) | $790 | $790 | 15.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $5,405 | $5,405 | 4.7× |
| Cytomegalovirus igg (86644) | $382 | $382 | 26.5× |
| Cytopath Cell Enhance Tech (88112) | $354 | $354 | 6.4× |
| Cytotoxic Antibody Screen Std (86807) | $780 | $780 | 9.9× |
| Cytotoxic pra quick (86808) | $586 | $586 | 19.7× |
| Cytp Concentration Smears & Interpretation (88108) | $313 | $313 | 7.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $190 | $190 | 3.4× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $968 | $968 | 5.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $344 | $344 | 8.6× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $149 | $149 | 4.8× |
| Deoxyribonuclease antibody (86215) | $462 | $462 | 34.9× |
| Detect Agent Nos Dna Amp (87798) range across 15 matching MRF lines |
$1,098–$1,261 | $1,098–$1,261 | varies |
| Detect Agent Nos Dna Quant (87799) | $776 | $776 | 18.1× |
| Detect agnt mult DNA ampli (87801) | $384 | $384 | 5.5× |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$443–$462 | $443–$462 | varies |
| Dhea (82626) | $342 | $342 | 13.5× |
| Dhea-S (82627) | $477 | $477 | 21.5× |
| Digoxin (80162) | $268 | $268 | 20.2× |
| Dihydrotestosterone (82642) | $317 | $317 | 10.8× |
| Dipropylacetic Acid Free (80165) | $221 | $221 | 16.3× |
| Dna Antibody Native/Double Stranded (86225) | $310 | $310 | 22.6× |
| Dna Antibody Single Stranded (86226) | $175 | $175 | 14.5× |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$173–$506 | $173–$506 | varies |
| DNA/RNA direct probe (87149) | $989 | $989 | 49.3× |
| Dna/Rna Sequencing (87153) | $931 | $931 | 8.1× |
| Drug assay acetaminophen (80143) | $129 | $129 | 6.9× |
| Drug assay adalimumab (80145) | $332 | $332 | 8.6× |
| Drug Assay Amiodarone (80151) | $324 | $324 | 17.4× |
| Drug Assay Everolimus (80169) | $600 | $600 | 43.7× |
| Drug assay felbamate (80167) | $392 | $392 | 21.0× |
| Drug Assay Infliximab (80230) | $332 | $332 | 8.6× |
| Drug Assay Lacosamide (80235) | $791 | $791 | 29.2× |
| Drug Assay Posaconazole (80187) | $398 | $398 | 14.7× |
| Drug Assay Vedolizumab (80280) | $173 | $173 | 4.5× |
| Drug assay voriconazole (80285) | $247 | $247 | 9.1× |
| Drug Screen Quant Clozapine (80159) | $608 | $608 | 30.2× |
| Drug Screen Quant Zonisamide (80203) | $839 | $839 | 63.3× |
| Drug Screen Quantitative Gabapentin (80171) | $692 | $692 | 31.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $719 | $719 | 54.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $857 | $857 | 64.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $705 | $705 | 53.2× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $700 | $700 | 41.8× |
| Drug Test Prsmv Chem Anlyzr (80307) | $558 | $558 | 9.0× |
| Egfr Gene Analysis Common Variants (81235) | $2,133 | $2,133 | 6.6× |
| Ehrlichia antibody (86666) range across 5 matching MRF lines |
$1,090–$1,198 | $1,090–$1,198 | varies |
| El-1 Fecal Quantitative (82653) | $83 | $83 | 3.6× |
| Electrolyte panel (80051) | $237 | $237 | 33.8× |
| Electron Microscopy (88348) | $3,559 | $3,559 | 4.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $435 | $435 | 36.0× |
| Enterovirus Antibody (86658) | $153 | $153 | 11.7× |
| Enterovirus PCR (87498) | $359 | $359 | 10.2× |
| Enzyme cell activity (82657) | $709 | $709 | 32.0× |
| Eosinophil Smear (89190) | $213 | $213 | 36.8× |
| Erythropoietin (82668) | $423 | $423 | 22.5× |
| Estradiol serum (82670) | $1,020 | $1,020 | 36.5× |
| Estriol (82677) | $600 | $600 | 24.8× |
| Estrogen total (82672) | $585 | $585 | 27.0× |
| Ethylene Glycol (82693) | $259 | $259 | 17.4× |
| Exam Synovial Fluid Crystals (89060) | $59 | $59 | 8.0× |
| F2 Gene (81240) | $426 | $426 | 6.5× |
| Factor ii activity (85210) | $727 | $727 | 56.0× |
| Factor Inhibitor Test (85335) | $259 | $259 | 20.1× |
| Factor ix activity (85250) | $954 | $954 | 50.1× |
| Factor v activity (85220) | $542 | $542 | 30.7× |
| Factor v leiden mutation (81241) | $251 | $251 | 3.4× |
| Factor vii assay (85230) | $547 | $547 | 30.6× |
| Factor viii assay (85240) | $665 | $665 | 37.2× |
| Factor X (85260) | $803 | $803 | 44.9× |
| Factor xi activity (85270) | $455 | $455 | 25.4× |
| Factor xiii screen (85291) | $75 | $75 | 8.2× |
| Fat/Lipids Feces Quantitative (82710) | $458 | $458 | 27.3× |
| Fecal Fat Qualitative (82705) | $189 | $189 | 37.1× |
| Ferritin (82728) | $387 | $387 | 28.4× |
| Fetal Fibronectin (82731) | $1,306 | $1,306 | 20.3× |
| Fetal screen rosette (85461) | $210 | $210 | 22.4× |
| Fibrin degradation products (85362) | $275 | $275 | 39.9× |
| Fibrin Degradation Quant (85379) | $399 | $399 | 39.2× |
| Fibrinogen activity (85384) | $189 | $189 | 19.4× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $314 | $314 | 20.3× |
| Flecainide level (80181) | $373 | $373 | 20.0× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$1,076–$1,693 | $1,076–$1,693 | varies |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$435–$707 | $435–$707 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $547 | $547 | 45.4× |
| Fmr1 Gene Charac Alleles (81244) | $468 | $468 | 10.4× |
| Fmr1 gene detection (81243) | $258 | $258 | 4.5× |
| Folic acid rbc (82747) | $310 | $310 | 17.6× |
| Folic Acid Serum (82746) | $216 | $216 | 14.7× |
| Follicle Stimulating Hormone (83001) | $408 | $408 | 22.0× |
| Francisella tularensis (86668) | $371 | $371 | 26.2× |
| Frozen Section (88331) | $441 | $441 | 2.4× |
| Fungi Identification Mold (87107) | $628 | $628 | 60.9× |
| Fungi Identification Yeast (87106) | $215 | $215 | 20.8× |
| Gammaglobulin ige (82785) | $289 | $289 | 17.6× |
| Gardner vag DNA dir probe (87510) | $230 | $230 | 11.5× |
| Gases blood ph only (82800) | $59 | $59 | 5.4× |
| Gastric Analy W/Ph Ea Spec (82930) | $419 | $419 | 62.4× |
| Gastrin (82941) | $332 | $332 | 18.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $2,277 | $2,277 | 5.5× |
| Genet Virus Isolate Hsv (87255) | $446 | $446 | 13.2× |
| Gentamicin (80170) | $713 | $713 | 43.5× |
| Ggt (82977) | $157 | $157 | 21.8× |
| Giardia antigen (87329) | $277 | $277 | 23.1× |
| Glucagon (82943) | $578 | $578 | 40.4× |
| Glucose 2 hr pp (82950) | $166 | $166 | 34.9× |
| Glucose body fluid (82945) | $113 | $113 | 28.8× |
| Glucose Serum (82947) | $197 | $197 | 50.1× |
| Glucose tolerance test (gtt) (82951) | $1,173 | $1,173 | 91.1× |
| Glutathione (82978) | $395 | $395 | 25.6× |
| Glycated Protein (82985) | $291 | $291 | 17.4× |
| Gonadotropin Chorionic Qualitative (84703) | $218 | $218 | 29.0× |
| Growth hormone (83003) | $366 | $366 | 22.0× |
| Gtt-added samples (82952) | $60 | $60 | 15.3× |
| Haloperidol (80173) | $105 | $105 | 6.7× |
| Haptoglobin (83010) | $259 | $259 | 20.6× |
| Hdl Cholesterol (83718) | $124 | $124 | 15.1× |
| Helicobacter Pylori Stool (87338) | $632 | $632 | 43.9× |
| Helminth Antibody (86682) | $724 | $724 | 55.6× |
| Hematocrit (85014) | $41 | $41 | 17.3× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$92–$97 | $92–$97 | varies |
| Hemoglobin a1c (83036) | $210 | $210 | 21.6× |
| Hemoglobin Chromotography (83021) | $245 | $245 | 13.6× |
| Hemoglobin electrophoresis (83020) | $362 | $362 | 28.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $292 | $292 | 35.6× |
| Hemoglobin plasma (83051) | $107 | $107 | 14.6× |
| Hemosiderin urine (83070) | $431 | $431 | 90.7× |
| Hep a ab igm (86709) | $47 | $47 | 4.2× |
| Heparin assay (85520) | $601 | $601 | 45.9× |
| Hepatitis a antibody total (86708) | $58 | $58 | 4.7× |
| Hepatitis b core ab igm (86705) | $237 | $237 | 20.1× |
| Hepatitis b core ab total (86704) | $233 | $233 | 19.3× |
| Hepatitis B Surface Antibody (86706) | $545 | $545 | 50.7× |
| Hepatitis B Surface Antigen (87340) | $161 | $161 | 15.6× |
| Hepatitis Be Antibody (86707) | $47 | $47 | 4.1× |
| Hepatitis Be Antigen (87350) | $49 | $49 | 4.2× |
| Hepatitis C Antibody (86803) | $247 | $247 | 17.3× |
| Hepatitis c antibody confirmatory test (86804) | $682 | $682 | 44.0× |
| Hepatitis C Genotype (87902) | $1,695 | $1,695 | 6.6× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $1,152 | $1,152 | 32.8× |
| Hepatitis C Revrs Trnscrpj (87522) | $1,499 | $1,499 | 35.0× |
| Hepatitis Delta Agent Antibody (86692) | $798 | $798 | 46.5× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$117–$314 | $117–$314 | varies |
| Heterophile Antibody Screen (86308) | $164 | $164 | 31.7× |
| Hfe Gene (81256) | $416 | $416 | 6.4× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $264 | $264 | 34.2× |
| Histamine urine (83088) | $1,173 | $1,173 | 39.7× |
| Histoplasma antibody (86698) | $243 | $243 | 17.6× |
| Histoplasma antigen urine (87385) | $784 | $784 | 59.2× |
| Hiv Antigen W/Hiv Antibodies (87806) | $772 | $772 | 23.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$194–$258 | $194–$258 | varies |
| Hiv-1 Antibody (86701) | $186 | $186 | 20.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $1,383 | $1,383 | 16.3× |
| HIV-2 probe&revrse trnscripj (87538) | $221 | $221 | 6.3× |
| Hla class i&ii antibody qual (86828) | $667 | $667 | 10.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $1,271 | $1,271 | 17.1× |
| Hla I Typing 1 Allele Hr (81381) | $2,123 | $2,123 | 12.5× |
| Hla ii type 1 ag equiv lr (81377) | $778 | $778 | 8.2× |
| Hla ii typing 1 allele hr (81383) | $646 | $646 | 5.9× |
| Homocysteine (83090) | $391 | $391 | 21.8× |
| Homogenization Tissue (87176) | $531 | $531 | 90.3× |
| Hpv High-Risk Types (87624) | $354 | $354 | 10.1× |
| Hsv Dna Amp Probe (87529) | $649 | $649 | 18.5× |
| Htt Gene Detc Abnor Alleles (81271) | $650 | $650 | 4.7× |
| Hydroxyprogesterone 17-d (83498) | $462 | $462 | 17.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $409 | $409 | 29.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $118 | $118 | 3.3× |
| Iaad ia shiga-like toxin (87427) | $197 | $197 | 16.4× |
| Iaadi pneumocustis carinii (87281) | $471 | $471 | 39.3× |
| Iaadi respiratory synctial virus (87280) | $252 | $252 | 18.8× |
| Iaadi Varicella Zoster Virus (87290) | $235 | $235 | 17.5× |
| Iaadiadoo trichomonas vaginalis (87808) | $178 | $178 | 11.6× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $1,305 | $1,305 | 37.2× |
| Iadna Bartonella Amplified Probe Technique (87471) | $238 | $238 | 6.8× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $1,206 | $1,206 | 34.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $291 | $291 | 8.3× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $1,707 | $1,707 | 48.6× |
| Iadna Cytomegalovirus Quantification (87497) | $1,655 | $1,655 | 38.6× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $1,261 | $1,261 | 18.0× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $813 | $813 | 23.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $968 | $968 | 22.6× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $976 | $976 | 27.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $210 | $210 | 6.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $387 | $387 | 9.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $742 | $742 | 21.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $348 | $348 | 9.9× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $128 | $128 | 2.5× |
| Ig Light Chains Free Each (83521) | $249 | $249 | 14.4× |
| Igg subclasses (82787) | $857 | $857 | 106.9× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,598 | $1,598 | 5.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 3 matching MRF lines |
$1,076–$1,755 | $1,076–$1,755 | varies |
| Immune Complex Assay (86332) | $428 | $428 | 17.6× |
| Immunfix e-phorsis/urine/csf (86335) | $388 | $388 | 13.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $1,014 | $1,014 | 55.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 5 matching MRF lines |
$1,233–$1,988 | $1,233–$1,988 | varies |
| Immunoassay nonantibody (83516) range across 25 matching MRF lines |
$196–$703 | $196–$703 | varies |
| Immunodiffusion Ouchterlony (86331) | $166 | $166 | 13.9× |
| Immunoelectrophoresis Serum (86320) | $826 | $826 | 27.6× |
| Immunofixation electrophoresis (86334) | $494 | $494 | 22.1× |
| Immunohistochemistry (88342) range across 120 matching MRF lines |
$996–$1,076 | $996–$1,076 | varies |
| In situ hybridization 1st probe stain (88365) | $1,467 | $1,467 | 8.1× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) range across 2 matching MRF lines |
$49–$148 | $49–$148 | varies |
| Influenza a/b ag eia (87400) | $246 | $246 | 17.4× |
| Influenza assay w/optic (87804) | $246 | $246 | 14.9× |
| Influenza DNA amp probe (87502) | $506 | $506 | 5.3× |
| Inhibin A (86336) | $354 | $354 | 22.7× |
| Inhibin b (83520) range across 19 matching MRF lines |
$472–$543 | $472–$543 | varies |
| Insitu hybridization auto (88367) | $1,576 | $1,576 | 4.1× |
| Insitu hybridization manual (88368) | $1,693 | $1,693 | 4.4× |
| Insulin antibodies (86337) | $475 | $475 | 22.2× |
| Insulin total (83525) | $367 | $367 | 32.1× |
| Interleukin-6 (83529) | $518 | $518 | 30.0× |
| Intrinsic factor antibody (86340) | $425 | $425 | 28.2× |
| Iron (83540) | $134 | $134 | 20.7× |
| Iron Binding Capacity (83550) | $157 | $157 | 18.0× |
| Irradiation Blood Product Each Unit (86945) | $1,019 | $1,019 | 25.6× |
| Islet cell antibody (86341) | $416 | $416 | 17.6× |
| Jak2 gene analysis p.val617phe variant (81270) | $501 | $501 | 5.5× |
| Jak2 Gene Trgt Sequence Alys (81279) | $711 | $711 | 3.8× |
| Kras Gene Variants Exon 2 (81275) | $1,751 | $1,751 | 9.1× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$49–$179 | $49–$179 | varies |
| Lactoferrin fecal qualitative (83630) | $783 | $783 | 39.7× |
| Lactoferrin Fecal Quantitative (83631) | $342 | $342 | 17.4× |
| Ldh Isoenzymes (83625) | $379 | $379 | 29.6× |
| Lead (83655) range across 2 matching MRF lines |
$126–$129 | $126–$129 | varies |
| Legionella antibody (86713) | $755 | $755 | 49.3× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$616–$641 | $616–$641 | varies |
| Legionella pneumophila dfa (87278) | $258 | $258 | 16.5× |
| Leptospira antibody (86720) | $194 | $194 | 12.0× |
| Leukocyte Assessment Fecal (89055) | $102 | $102 | 23.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $122 | $122 | 4.0× |
| Level ii surg pathology grossµscopic exam (88302) | $457 | $457 | 11.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $723 | $723 | 1.9× |
| Lidocaine (80176) | $565 | $565 | 38.5× |
| Lipase (83690) | $187 | $187 | 27.1× |
| Lipoprotein A (83695) | $217 | $217 | 15.2× |
| Lipoprotein Bld Quan Part (83704) | $395 | $395 | 11.6× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $280 | $280 | 6.0× |
| Lithium (80178) | $209 | $209 | 31.6× |
| Luteinizing Hormone (Lh) (83002) | $393 | $393 | 21.2× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$99–$379 | $99–$379 | varies |
| Lysozyme serum (85549) | $446 | $446 | 23.8× |
| M. Genitalium Amp Probe (87563) | $1,051 | $1,051 | 30.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $806 | $806 | 4.4× |
| M/phmtrc alys ishquant/semiq (88374) | $799 | $799 | 4.4× |
| Macroscopic Exam Parasite (87169) | $173 | $173 | 40.1× |
| Magnesium Urine (83735) | $174 | $174 | 26.0× |
| Mass Spectrometry Quant (83789) | $1,318 | $1,318 | 54.7× |
| Mercury urine (83825) | $157 | $157 | 9.7× |
| Metabolic panel ionized ca (80047) | $234 | $234 | 17.0× |
| Methotrexate (80204) | $492 | $492 | 12.8× |
| Methylmalonic acid serum (83921) | $638 | $638 | 30.1× |
| Microalbumin, quantitative (82043) | $157 | $157 | 27.2× |
| Microbe Suscept Macrobroth (87188) | $487 | $487 | 73.3× |
| Microsomal Antibodies Each (86376) | $686 | $686 | 47.1× |
| Mitochondrial Antibody Each (86381) | $462 | $462 | 18.2× |
| Molecular Cytogenetics Dna Probe Each (88271) | $245 | $245 | 11.4× |
| Mopath procedure level 4 (81403) | $1,263 | $1,263 | 6.8× |
| Mrsa Pcr (87641) | $189 | $189 | 5.4× |
| Mthfr Gene Analysis Common Variants (81291) | $501 | $501 | 7.7× |
| Mumps antibody (86735) | $431 | $431 | 33.0× |
| Muscle-Specific Kinase Antb (86366) | $2,616 | $2,616 | 142.2× |
| Mycophenolic Acid (80180) | $720 | $720 | 39.9× |
| Mycoplasma antibody (86738) | $467 | $467 | 35.3× |
| Mycoplasma culture (87109) | $543 | $543 | 35.3× |
| Myoglobin urine (83874) | $217 | $217 | 16.8× |
| Natriuretic peptide (83880) | $383 | $383 | 9.8× |
| Nerve teasing preparations (88362) | $4,050 | $4,050 | 4.7× |
| Neutralization Test Viral (86382) | $251 | $251 | 14.8× |
| Nfct ds chrnc hcv 6 assays (81596) | $620 | $620 | 8.6× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $344 | $344 | 2.7× |
| Niacin (84591) range across 3 matching MRF lines |
$90–$756 | $90–$756 | varies |
| Nk cells total count (86357) | $296 | $296 | 7.8× |
| Nuclear antigen antibody (86235) | $376 | $376 | 21.0× |
| Occult blood feces (82272) | $85 | $85 | 20.1× |
| Occult Blood Other Sources (82271) | $31 | $31 | 5.8× |
| Oligoclonal bands (83916) | $592 | $592 | 21.6× |
| Organic Acids Qualitative Each Specimen (83919) | $615 | $615 | 37.4× |
| Osmolality serum (83930) | $225 | $225 | 34.0× |
| Osmolality Urine (83935) | $166 | $166 | 24.3× |
| Osteocalcin (83937) | $292 | $292 | 9.8× |
| Ova and parasites smears (87177) | $314 | $314 | 35.3× |
| Oxalate urine (83945) | $295 | $295 | 20.4× |
| Pancreatic Elastase Fecal (82656) | $1,560 | $1,560 | 135.3× |
| Parvovirus antibody (86747) | $443 | $443 | 29.5× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $3,496 | $3,496 | 4.1× |
| Pathology Consultation During Surgery (88329) | $312 | $312 | 5.0× |
| Ph urine (81003) | $88 | $88 | 39.1× |
| Phenobarbital Level (80184) | $342 | $342 | 22.4× |
| Phenotype Infect Agent Drug (87900) | $2,426 | $2,426 | 18.6× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$258–$446 | $258–$446 | varies |
| Phenytoin (Dilantin) (80185) | $268 | $268 | 20.2× |
| Phenytoin free (80186) | $70 | $70 | 5.1× |
| Phosphatase alkaline (84075) | $47 | $47 | 9.1× |
| Phospholipid Neutralization Hexagonal (85598) | $44 | $44 | 2.4× |
| Phosphorus Serum (84100) | $82 | $82 | 17.3× |
| Phosphorus urine (84105) | $77 | $77 | 13.3× |
| Pinworm exam (87172) | $225 | $225 | 52.7× |
| Platelet Aggregation (85576) | $441 | $441 | 17.7× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$848–$932 | $848–$932 | varies |
| Platelet count automated (85049) | $101 | $101 | 22.5× |
| Platelet neutralization (85597) | $53 | $53 | 2.9× |
| Porphobilinogen, urine; quantitative (84110) | $178 | $178 | 21.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $602 | $602 | 40.9× |
| Potassium Urine (84133) | $65 | $65 | 13.7× |
| Prealbumin (84134) | $205 | $205 | 14.1× |
| Pregnenolone (84140) | $90 | $90 | 4.4× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $249 | $249 | 4.0× |
| Primidone (80188) | $298 | $298 | 18.0× |
| Procalcitonin (Pct) (84145) | $1,440 | $1,440 | 52.9× |
| Progesterone (84144) | $342 | $342 | 16.4× |
| Prolactin (84146) | $292 | $292 | 15.1× |
| Prostaglandin (84150) | $893 | $893 | 21.4× |
| Protein body fluid (84157) | $132 | $132 | 33.0× |
| Protein C Activity (85303) | $480 | $480 | 34.7× |
| Protein c antigen (85302) | $692 | $692 | 57.6× |
| Protein Electrophoresis Urine (84166) | $286 | $286 | 16.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $241 | $241 | 22.4× |
| Protein S Free (85306) | $496 | $496 | 32.4× |
| Protein s total (85305) | $524 | $524 | 45.1× |
| Protein total serum (84155) | $53 | $53 | 14.4× |
| Protein Total Urine (84156) | $117 | $117 | 31.9× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $210 | $210 | 53.3× |
| Protoporphyrin rbc quantitative (84202) | $111 | $111 | 7.7× |
| PSA free (84154) | $245 | $245 | 13.3× |
| Pth Intact (83970) range across 2 matching MRF lines |
$695–$744 | $695–$744 | varies |
| Q Fever Antibody (86638) | $170 | $170 | 14.0× |
| Quantiferon tb gold plus (86480) | $475 | $475 | 7.7× |
| Quantitative assay drug (80299) range across 10 matching MRF lines |
$102–$777 | $102–$777 | varies |
| Quantitative Screen Metals (83018) | $186 | $186 | 8.5× |
| Rbc antibody elution (86860) | $600 | $600 | 3.3× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$1,609–$1,679 | $1,609–$1,679 | varies |
| Rbc antibody screen (86850) | $259 | $259 | 26.5× |
| Rbc pretreatment serum (86978) | $128 | $128 | 2.0× |
| Reagent Strip/Blood Glucose (82948) | $44 | $44 | 8.7× |
| Renin activity plasma (84244) | $416 | $416 | 18.9× |
| Resp virus 12-25 targets (87633) | $6,054 | $6,054 | 14.5× |
| Reticulocyte Count (85046) | $117 | $117 | 21.0× |
| Rh (86901) | $168 | $168 | 56.2× |
| Rheumatoid Factor Qualitative (86430) | $181 | $181 | 29.5× |
| Rheumatoid factor quant (86431) | $157 | $157 | 27.7× |
| Rickettsia antibody (86757) | $423 | $423 | 21.9× |
| Ristocetin cofactor (85245) | $520 | $520 | 22.7× |
| Rotavirus ag eia (87425) | $275 | $275 | 23.0× |
| Rpr qualitative (86592) | $108 | $108 | 25.3× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$83–$481 | $83–$481 | varies |
| Rubella Antibody (86762) | $205 | $205 | 14.2× |
| Rubeola antibody (86765) | $218 | $218 | 16.9× |
| Russell Viper Venom Time Diluted (85613) | $409 | $409 | 42.7× |
| Salicylate Level (80179) | $129 | $129 | 6.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $117 | $117 | 2.3× |
| Sars-cov-2 COVID-19 antibody (86769) | $208 | $208 | 4.9× |
| Sedimentation Rate, Automated (85652) | $19 | $19 | 7.0× |
| Selenium (84255) | $238 | $238 | 9.3× |
| Semen Anal Sperm Detection (89321) | $1,122 | $1,122 | 93.1× |
| Semen analysis complete (89322) | $1,122 | $1,122 | 72.4× |
| Semen analysis complete (89320) | $391 | $391 | 31.8× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$453–$494 | $453–$494 | varies |
| Sex Hormone Binding Globulin (84270) | $261 | $261 | 12.0× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$383–$471 | $383–$471 | varies |
| Sirolimus (80195) | $973 | $973 | 70.9× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$75–$111 | $75–$111 | varies |
| Smear acid fast (87206) range across 4 matching MRF lines |
$106–$145 | $106–$145 | varies |
| Smear complex stain (87209) | $183 | $183 | 10.2× |
| Smear gram stain (87205) | $141 | $141 | 33.0× |
| Smear Special Stain (87207) | $233 | $233 | 38.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $190 | $190 | 32.6× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$34–$35 | $34–$35 | varies |
| Sodium Urine (84300) | $95 | $95 | 18.8× |
| Soluble Transferrin Receptor (84238) | $837 | $837 | 22.9× |
| Somatomedin (84305) | $613 | $613 | 28.8× |
| Special Stains Group 1 (88312) range across 8 matching MRF lines |
$291–$313 | $291–$313 | varies |
| Special Stains Group 2 (88313) range across 12 matching MRF lines |
$204–$526 | $204–$526 | varies |
| Specific gravity body fluid (84315) | $159 | $159 | 48.5× |
| Specimen infect agnt concntj (87015) | $137 | $137 | 20.5× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$159–$438 | $159–$438 | varies |
| Staph a DNA amp probe (87640) | $280 | $280 | 8.0× |
| Stool cultr aerobic bact ea (87046) range across 4 matching MRF lines |
$137–$159 | $137–$159 | varies |
| Strep a assay w/optic (87880) | $147 | $147 | 8.9× |
| Strep a DNA amp probe (87651) | $147.38 | $147.38 | 4.2× |
| Strep b DNA amp probe (87653) | $235 | $235 | 6.7× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $210 | $210 | 18.2× |
| Sulfate urine (84392) | $72 | $72 | 13.1× |
| Surg path level iii (88304) | $441 | $441 | 7.9× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$494–$3,469 | $494–$3,469 | varies |
| Surgical pathology level vi (88309) | $2,702 | $2,702 | 3.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $120 | $120 | 25.3× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $432 | $432 | 57.8× |
| Syphilis Test Non-Trep Quant (86593) | $46 | $46 | 10.5× |
| T cells absolute cd4 count (86361) | $341 | $341 | 12.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $555 | $555 | 11.8× |
| T cells total count (86359) | $256 | $256 | 6.8× |
| T3 Free (84481) | $388 | $388 | 22.9× |
| T3 reverse (84482) | $352 | $352 | 22.3× |
| T3 Total (84480) | $227 | $227 | 16.0× |
| T3 Uptake (84479) | $138 | $138 | 21.3× |
| T4 Free (84439) | $241 | $241 | 26.7× |
| T4 total (84436) | $162 | $162 | 23.6× |
| Tacrolimus (80197) | $620 | $620 | 45.2× |
| Test for acetone/ketones (82009) | $137 | $137 | 30.3× |
| Testosterone Bioavailable (84410) | $336 | $336 | 6.6× |
| Testosterone total (84403) | $431 | $431 | 16.7× |
| Testosterone, Free (84402) | $455 | $455 | 17.9× |
| Theophylline (80198) | $269 | $269 | 19.0× |
| Thiopurine methyltransferase (84433) | $709 | $709 | 32.0× |
| Thrombin Time (85670) | $192 | $192 | 33.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $313 | $313 | 48.4× |
| Thyroglobulin (84432) | $352 | $352 | 21.9× |
| Thyroglobulin Antibody (86800) | $358 | $358 | 22.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $915 | $915 | 18.0× |
| Thyroxine binding globulin (84442) | $329 | $329 | 22.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $462 | $462 | 40.1× |
| Tissue culture bone marrow (88237) | $1,701 | $1,701 | 11.8× |
| Tissue Culture Lymphocyte (88230) | $2,279 | $2,279 | 19.6× |
| Tobramycin peak (80200) | $435 | $435 | 27.0× |
| Topiramate (80201) | $226 | $226 | 19.0× |
| Touch prep (88161) | $280 | $280 | 9.1× |
| Toxoplasma ab igm (86778) | $347 | $347 | 24.1× |
| Toxoplasma antibody (86777) | $308 | $308 | 21.4× |
| Tpmt gene com variants (81335) | $943 | $943 | 5.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $38 | $38 | 7.3× |
| Transferrin (84466) | $247 | $247 | 19.4× |
| Trichomonas vagin dir probe (87660) | $230 | $230 | 11.5× |
| Trichomonas Vaginalis Amplif (87661) | $180 | $180 | 5.1× |
| Triglycerides (84478) range across 2 matching MRF lines |
$55–$73 | $55–$73 | varies |
| Troponin Quant (84484) | $405 | $405 | 32.5× |
| Tumor immunohistochem/comput (88361) | $1,076 | $1,076 | 2.8× |
| Tumor Immunohistochem/Manual (88360) | $1,076 | $1,076 | 5.9× |
| Unlisted Surgical Pathology Procedure (88399) | $299 | $299 | 5.4× |
| Urea Nitrogen Clearance (84545) | $178 | $178 | 24.7× |
| Urea nitrogen urine (84540) | $23 | $23 | 4.1× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$57–$195 | $57–$195 | varies |
| Urinalysis Microscopic Only (81015) | $189 | $189 | 62.0× |
| Urine Pregnancy Test (81025) | $178 | $178 | 20.7× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $189 | $189 | 59.6× |
| Valproic acid (80164) | $221 | $221 | 16.3× |
| Vancomycin (80202) range across 3 matching MRF lines |
$270–$312 | $270–$312 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$281–$310 | $281–$310 | varies |
| Vasopressin (84588) | $542 | $542 | 16.0× |
| Viral Culture (87252) | $592 | $592 | 22.7× |
| Virus antibody nos (86790) range across 6 matching MRF lines |
$313–$571 | $313–$571 | varies |
| Virus inoculation, shell via (87254) | $178 | $178 | 9.1× |
| Viscosity serum (85810) | $160 | $160 | 13.7× |
| Vit D 1 25-Dihydroxy (82652) | $464 | $464 | 12.1× |
| Vitamin A (84590) | $376 | $376 | 32.4× |
| Vitamin b-12 (82607) | $268 | $268 | 17.8× |
| Vitamin B2 (Riboflavin) (84252) | $523 | $523 | 25.8× |
| Vitamin B6 (84207) | $707 | $707 | 25.2× |
| Vitamin c (82180) | $408 | $408 | 41.3× |
| Vitamin D 25-Hydroxy (82306) | $505 | $505 | 17.1× |
| Vitamin E (84446) | $388 | $388 | 27.4× |
| Vitamin K (84597) | $1,076 | $1,076 | 78.4× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $443 | $443 | 36.8× |
| Von willebrand factor ag (85246) | $577 | $577 | 25.2× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$218–$314 | $218–$314 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$165–$314 | $165–$314 | varies |
| Western Blot Test (84181) | $403 | $403 | 23.7× |
| Xm Archive Tissue Molec Anal (88363) | $148 | $148 | 4.8× |
| Zinc (84630) | $315 | $315 | 27.7× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.