Lab & pathology prices at Froedtert Holy Family Memorial Hospital
Manitowoc, WI · every code in this section with a posted price and a Medicare benchmark.
735 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $110 | $200 | 4.8× |
| 5 Nucleotidase (83915) | $54.45 | $99 | 4.9× |
| Acetylcholine receptor binding antibody (86041) | $34.10 | $62 | 1.9× |
| Acetylcholine receptor blocking antibody (86042) | $47.85 | $87 | 2.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $53.35 | $97 | 4.4× |
| Acth (82024) range across 9 matching MRF lines |
$33–$120.45 | $60–$219 | varies |
| Actin smooth muscle antibody each (86015) | $31.90 | $58 | 2.6× |
| Acute hepatitis panel (80074) | $127.60 | $232 | 2.7× |
| Acylcarnitines Quant (82017) range across 2 matching MRF lines |
$119.35–$141.90 | $217–$258 | varies |
| Albumin Fluid (82042) | $28.60 | $52 | 3.7× |
| Albumin serum (82040) | $15.40 | $28 | 3.1× |
| Aldolase (82085) | $33 | $60 | 3.4× |
| Aldosterone urine (82088) | $190.85 | $347 | 4.7× |
| Alkaline phosphatase isoenzymes (84080) | $69.30 | $126 | 4.7× |
| Allergen spec ige qual multiallergen screen (86005) | $16.50 | $30 | 2.1× |
| Allergen specific ige (86003) | $15.95 | $29 | 3.1× |
| Allg Spec Ige Recomb Ea (86008) | $44 | $80 | 2.5× |
| Alpha-1-antitrypsin phenotype (82104) | $57.20 | $104 | 4.0× |
| Alpha-1-antitrypsin total (82103) range across 4 matching MRF lines |
$43.45–$383.35 | $79–$697 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$40.15–$52.25 | $73–$95 | varies |
| Alt (sgpt) (84460) | $20.90 | $38 | 3.9× |
| Aluminum (82108) | $179.85 | $327 | 7.1× |
| Amikacin trough (80150) range across 3 matching MRF lines |
$70.40–$101.75 | $128–$185 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) | $94.60 | $172 | 4.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$79.20–$543.13 | $144–$987.50 | varies |
| Aminolevulinic acid (ala) (82135) | $111.10 | $202 | 6.8× |
| Ammonia (82140) range across 3 matching MRF lines |
$19.53–$106.70 | $35.50–$194 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $204.05 | $371 | 2.1× |
| Amylase urine (82150) range across 5 matching MRF lines |
$12.65–$77.55 | $23–$141 | varies |
| Ana Titer (86039) | $38.50 | $70 | 3.4× |
| Anca screen each antibody (86036) | $33.55 | $61 | 2.8× |
| Androstenedione (82157) | $136.95 | $249 | 4.7× |
| Angiotensin converting enzyme csf (82164) | $50.60 | $92 | 3.5× |
| Antibody aspergillus (86606) range across 3 matching MRF lines |
$18.70–$47.30 | $34–$86 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $114.95 | $209 | 8.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 6 matching MRF lines |
$48.40–$51.70 | $88–$94 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $79.20 | $144 | 4.7× |
| Antibody Encephalitis California La Crosse (86651) | $95.70 | $174 | 7.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $35.75 | $65 | 2.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $46.20 | $84 | 3.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$56.10–$74.80 | $102–$136 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $30.25 | $55 | 2.5× |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$96.25–$183.15 | $175–$333 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $101.75 | $185 | 7.1× |
| Antibody Herpes Smplx Type 1 (86695) | $61.60 | $112 | 4.7× |
| Antibody HIV-1&HIV-2 single result (86703) | $46.75 | $85 | 3.4× |
| Antibody HIV-2 (86702) | $28.60 | $52 | 2.1× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $745.80 | $1,356 | 2.3× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$122.10–$233.20 | $222–$424 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $55.55 | $101 | 4.5× |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
$36.30–$51.70 | $66–$94 | varies |
| Antibody Titer (86886) range across 2 matching MRF lines |
$196.35–$359.98 | $357–$654.50 | varies |
| Antibody Treponema Pallidum (86780) | $32.45 | $59 | 2.5× |
| Antibody; encephalitis, st. louis (86653) | $73.15 | $133 | 5.5× |
| Antigen typing (86905) | $202.95 | $369 | 53.0× |
| Antistreptolysin o titer (86060) | $25.85 | $47 | 3.5× |
| Antithrombin iii activity (85300) | $61.60 | $112 | 5.2× |
| Antithrombin iii antigen (85301) | $77 | $140 | 7.1× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$14.30–$75.90 | $26–$138 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 2 matching MRF lines |
$74.25–$289.30 | $135–$526 | varies |
| Arsenic (82175) range across 3 matching MRF lines |
$89.10–$92.95 | $162–$169 | varies |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$96.80–$119.35 | $176–$217 | varies |
| Assay activated protein c (85307) | $72.05 | $131 | 4.7× |
| Assay Blood Carbon Dioxide (82374) | $22.55 | $41 | 4.6× |
| Assay Nephelometry Not Spec (83883) range across 7 matching MRF lines |
$42.35–$71.50 | $77–$130 | varies |
| Assay of 5-hiaa (83497) | $59.95 | $109 | 4.6× |
| Assay of anti-mullerian hormone (82166) | $56.10 | $102 | 1.5× |
| Assay of b-hexosaminidase each assay (83080) | $282.70 | $514 | 16.8× |
| Assay of blood/uric acid (84550) | $14.85 | $27 | 3.3× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$10.45–$18.70 | $19–$34 | varies |
| Assay of cpk in blood (82552) | $94.60 | $172 | 7.1× |
| Assay of estrone (82679) | $116.60 | $212 | 4.7× |
| Assay of g6pd enzyme (82955) | $45.65 | $83 | 4.7× |
| Assay of gammaglobulin igm (82784) range across 13 matching MRF lines |
$9.35–$300.30 | $17–$546 | varies |
| Assay of lactic acid (83605) | $55 | $100 | 4.8× |
| Assay of manganese (83785) range across 2 matching MRF lines |
$60.50–$96.80 | $110–$176 | varies |
| Assay of metanephrines (83835) | $79.20 | $144 | 4.7× |
| Assay of phosphatase acid total (84060) | $143.83 | $261.50 | 18.8× |
| Assay of proinsulin (84206) | $188.10 | $342 | 7.0× |
| Assay of pyruvate (84210) | $82.50 | $150 | 5.7× |
| Assay of serotonin (84260) | $167.75 | $305 | 5.4× |
| Assay of serum potassium (84132) | $15.95 | $29 | 3.4× |
| Assay of sweat sodium (84302) | $20.90 | $38 | 4.3× |
| Assay of Tyrosine (84510) | $18.70 | $34 | 1.8× |
| Assay of urea nitrogen (84520) | $14.30 | $26 | 3.6× |
| Assay of urine vma (84585) | $109.45 | $199 | 7.1× |
| Assay of vasoactive intestinal peptide (84586) | $165 | $300 | 4.7× |
| Assay of vitamin b-1 (84425) | $66 | $120 | 3.1× |
| Assay Ph Body Fluid Nos (83986) range across 7 matching MRF lines |
$7.15–$24.75 | $13–$45 | varies |
| Assay spec xcp ur&breath ia (82077) | $73.70 | $134 | 4.3× |
| Asy carbamazepin 10,11-epxid (80161) | $40.15 | $73 | 2.2× |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) | $158.95 | $289 | 1.2× |
| Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) | $158.95 | $289 | 1.2× |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) | $158.95 | $289 | 1.2× |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) | $158.95 | $289 | 1.2× |
| Automated Leukocyte Count (85048) | $7.70 | $14 | 3.0× |
| B cells total count (86355) range across 2 matching MRF lines |
$75.35–$100.10 | $137–$182 | varies |
| Babesia microti amp prb (87469) | $70.95 | $129 | 2.0× |
| Bartonella antibody (86611) | $21.45 | $39 | 2.1× |
| Bcr/abl1 gene major bp (81206) range across 5 matching MRF lines |
$126.50–$1,220.45 | $230–$2,219 | varies |
| Bcr/abl1 gene minor bp (81207) range across 4 matching MRF lines |
$145.75–$1,257.85 | $265–$2,287 | varies |
| Bcr/Abl1 Gene Other Bp (81208) range across 2 matching MRF lines |
$183.70–$208.45 | $334–$379 | varies |
| Beta 2 glycoprotein i antibody each (86146) | $79.20 | $144 | 3.1× |
| Beta hydroxybutyrate (82010) | $40.70 | $74 | 5.0× |
| Beta Lactamase (87185) | $22 | $40 | 4.6× |
| Beta-2 Microglobulin (82232) | $75.35 | $137 | 4.7× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $353.10 | $642 | 2.7× |
| Bile acids total (82239) | $42.35 | $77 | 2.5× |
| Bilirubin direct (82248) | $17.05 | $31 | 3.4× |
| Bilirubin total (82247) | $18.15 | $33 | 3.6× |
| Biotinidase (82261) | $119.35 | $217 | 7.1× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$18.70–$38.50 | $34–$70 | varies |
| Bld Typing Serologic Rh Phnt (86906) range across 5 matching MRF lines |
$63.80–$66 | $116–$120 | varies |
| Blood Count Automated Differential Wbc Count (85004) | $26.95 | $49 | 4.2× |
| Blood count reticulocyte automated (85045) | $13.75 | $25 | 3.4× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$12.10–$25.30 | $22–$46 | varies |
| Blood gases w/02 saturation (82805) | $194.15 | $353 | 2.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $53.90 | $98 | 3.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $202.95 | $369 | 32.0× |
| Blood typing serologic abo (86900) | $73.98 | $134.50 | 24.7× |
| Body fluid cell count (89050) | $14.85 | $27 | 3.1× |
| Bone marrow smear interpretation (85097) | $514.25 | $935 | 0.7× |
| Bordetella antibody (86615) range across 4 matching MRF lines |
$42.90–$83.05 | $78–$151 | varies |
| Braf gene analysis (81210) | $250.25 | $455 | 1.4× |
| Brucella antibody (86622) | $21.45 | $39 | 2.4× |
| C diff amplified probe (87493) | $140.25 | $255 | 3.8× |
| C-Peptide (84681) | $64.90 | $118 | 3.1× |
| C-reactive protein (86140) | $21.45 | $39 | 4.1× |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$64.90–$68.75 | $118–$125 | varies |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) | $158.95 | $289 | 1.2× |
| Cadmium (82300) range across 2 matching MRF lines |
$73.70–$80.85 | $134–$147 | varies |
| Caffeine (80155) | $42.35 | $77 | 1.1× |
| Calcitonin (82308) | $125.40 | $228 | 4.7× |
| Calcium ionized (82330) | $42.90 | $78 | 3.1× |
| Calcium total (82310) | $15.95 | $29 | 3.1× |
| Calculus Spectroscopy (82365) | $40.15 | $73 | 3.1× |
| Calprotectin Fecal (83993) | $65.45 | $119 | 3.3× |
| Calr gene com variants (81219) | $930.60 | $1,692 | 7.7× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$64.90–$78.38 | $118–$142.50 | varies |
| Cancer Antigen 27.29 (86300) | $64.90 | $118 | 3.1× |
| Candida antibody (86628) range across 2 matching MRF lines |
$22–$30.25 | $40–$55 | varies |
| Carbamazepine total (80156) | $45.10 | $82 | 3.1× |
| Carbohydrate Deficient Transferrin (82373) | $247.50 | $450 | 13.7× |
| Carboxyhemoglobin (82375) | $57.75 | $105 | 4.7× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$56.10–$59.40 | $102–$108 | varies |
| Cardiolipin ab iga (86147) | $79.20 | $144 | 3.1× |
| Carnitine Quantitative Each Specimen (82379) | $153.45 | $279 | 9.1× |
| Carotene (82380) | $73.15 | $133 | 7.9× |
| Catecholamines fractionated (82384) | $118.25 | $215 | 4.7× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$14.85–$40.70 | $27–$74 | varies |
| Cell count csf (89051) | $37.95 | $69 | 6.8× |
| Cell marker study (88182) | $221.10 | $402 | 4.4× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $547.80 | $996 | 4.0× |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$25.30–$50.05 | $46–$91 | varies |
| Cftr gene com variants (81220) | $3,180.65 | $5,783 | 5.7× |
| Cftr gene full sequence (81223) | $835.45 | $1,519 | 1.7× |
| Chemiluminescent assay (82397) range across 5 matching MRF lines |
$66–$194.98 | $120–$354.50 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) range across 2 matching MRF lines |
$999.63–$1,089.55 | $1,817.50–$1,981 | varies |
| Chimerism w/comp to baseline w/o cell selection (81267) | $437.25 | $795 | 2.1× |
| Chloride other source (82438) range across 2 matching MRF lines |
$20.90–$81.95 | $38–$149 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$9.90–$23.10 | $18–$42 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$6.60–$20.35 | $12–$37 | varies |
| Cholinesterase rbc (82482) | $100.65 | $183 | 10.3× |
| Cholinesterase Serum (82480) | $52.80 | $96 | 6.7× |
| Chorionic gonadotropin test (84702) | $47.30 | $86 | 3.1× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $426.25 | $775 | 2.3× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $59.95 | $109 | 2.2× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $243.10 | $442 | 7.1× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $267.85 | $487 | 8.0× |
| Chromium serum (82495) range across 2 matching MRF lines |
$43.45–$94.60 | $79–$172 | varies |
| Chromogenic Substrate Assay (85130) range across 2 matching MRF lines |
$80.30–$317.35 | $146–$577 | varies |
| Chromogranin a (86316) range across 5 matching MRF lines |
$64.90–$128.15 | $118–$233 | varies |
| Chromosome Analysis 15-20 (88262) | $879.45 | $1,599 | 7.0× |
| Chromosome Analysis 20-25 (88264) | $568.70 | $1,034 | 3.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $150.15 | $273 | 4.3× |
| Citric acid urine (82507) range across 3 matching MRF lines |
$33.55–$172.70 | $61–$314 | varies |
| Ckmb (82553) | $36.30 | $66 | 3.1× |
| Clostridium Difficile (87324) | $43.45 | $79 | 3.6× |
| Clot Factor VIII Multimetric (85247) | $164.45 | $299 | 7.2× |
| Clotting factor xii hageman (85280) range across 2 matching MRF lines |
$43.45–$185.35 | $79–$337 | varies |
| Clotting Funct Activity (85397) | $83.60 | $152 | 2.7× |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) | $1,168.48 | $2,124.50 | 8.5× |
| Cns DNA amp probe type 12-25 (87483) | $607.20 | $1,104 | 1.5× |
| Coagulation time activated (85347) range across 3 matching MRF lines |
$29.70–$43.45 | $54–$79 | varies |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$18.70–$23.65 | $34–$43 | varies |
| Cold agglutinin titer (86157) | $30.25 | $55 | 3.8× |
| Collagen crosslinks (82523) range across 4 matching MRF lines |
$26.95–$58.30 | $49–$106 | varies |
| Column Chromotography Quant (82542) range across 21 matching MRF lines |
$30.25–$607.20 | $55–$1,104 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $437.25 | $795 | 1.9× |
| Compatibility test antiglob (86922) range across 3 matching MRF lines |
$156.75–$255.20 | $285–$464 | varies |
| Complement Antigen Each Component (86160) range across 11 matching MRF lines |
$37.95–$174.35 | $69–$317 | varies |
| Complement Total (Ch50) (86162) | $95.15 | $173 | 4.7× |
| Complement/Function Activity (86161) | $113.85 | $207 | 9.5× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $867.90 | $1,578 | 5.2× |
| Coombs direct (86880) range across 4 matching MRF lines |
$42.35–$48.95 | $77–$89 | varies |
| Copper urine (82525) range across 4 matching MRF lines |
$39.05–$96.25 | $71–$175 | varies |
| Cortisol free (82530) | $78.65 | $143 | 4.7× |
| Cortisol saliva (82533) range across 9 matching MRF lines |
$50.60–$71.50 | $92–$130 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$27.50–$37.40 | $50–$68 | varies |
| Creatine kinase total (82550) | $25.30 | $46 | 3.9× |
| Creatinine blood (82565) | $19.80 | $36 | 3.9× |
| Creatinine clearance (82575) | $51.70 | $94 | 5.5× |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$9.08–$102.85 | $16.50–$187 | varies |
| Crossmatch electronic (86923) | $98.45 | $179 | 0.6× |
| Crossmatch immediate spin (86920) | $147.40 | $268 | 0.9× |
| Crp High Sensitivity (86141) | $44 | $80 | 3.4× |
| Cryoglobulin (82595) | $37.40 | $68 | 5.8× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $36.30 | $66 | 2.8× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$34.65–$56.10 | $63–$102 | varies |
| Cryptosporidium (87272) | $56.65 | $103 | 4.7× |
| Cryptosporidium ag eia (87328) | $37.95 | $69 | 2.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $33.55 | $61 | 4.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $41.80 | $76 | 5.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $37.95 | $69 | 4.9× |
| Culture afb (87116) | $65.45 | $119 | 6.1× |
| Culture Anaerobic (87075) | $45.65 | $83 | 4.8× |
| Culture blood (87040) | $63.25 | $115 | 6.1× |
| Culture chlamydia (87110) | $54.45 | $99 | 2.8× |
| Culture csf (87070) range across 7 matching MRF lines |
$10.45–$67.10 | $19–$122 | varies |
| Culture fungus (87102) | $26.95 | $49 | 3.2× |
| Culture fungus blood (87103) | $117.15 | $213 | 5.7× |
| Culture screen only (87081) range across 7 matching MRF lines |
$17.60–$92.13 | $32–$167.50 | varies |
| Culture stool (87045) | $30.80 | $56 | 3.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 6 matching MRF lines |
$26.40–$26.95 | $48–$49 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$8.53–$28.60 | $15.50–$52 | varies |
| Cyanide (82600) | $128.15 | $233 | 6.6× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $59.40 | $108 | 4.1× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$63.80–$240.90 | $116–$438 | varies |
| Cyp2c19 gene analysis common variants (81225) range across 2 matching MRF lines |
$176.28–$397.65 | $320.50–$723 | varies |
| Cyp2c9 gene com variants (81227) range across 2 matching MRF lines |
$105.88–$456.50 | $192.50–$830 | varies |
| Cyp2d6 gene com variants (81226) range across 2 matching MRF lines |
$272.80–$471.35 | $496–$857 | varies |
| Cyp3a4 gene common variants (81230) | $105.88 | $192.50 | 0.6× |
| Cyp3a5 gene common variants (81231) | $105.88 | $192.50 | 0.6× |
| Cystatin C (82610) range across 2 matching MRF lines |
$81.40–$90.75 | $148–$165 | varies |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$161.15–$252.45 | $293–$459 | varies |
| Cytogenomic neo microra alys (81277) | $3,046.45 | $5,539 | 2.6× |
| Cytomegalovirus igg (86644) | $67.65 | $123 | 4.7× |
| Cytopath Cell Enhance Tech (88112) | $144.65 | $263 | 2.8× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $73.70 | $134 | 2.8× |
| Cytp Concentration Smears & Interpretation (88108) | $226.60 | $412 | 6.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $548.90 | $998 | 10.8× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $131.45 | $239 | 0.8× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $17.60 | $32 | 0.6× |
| Deoxycortisol (82634) | $205.70 | $374 | 7.0× |
| Deoxyribonuclease antibody (86215) | $85.25 | $155 | 6.4× |
| Detect Agent Nos Dna Amp (87798) range across 26 matching MRF lines |
$44.28–$762.85 | $80.50–$1,387 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$133.65–$377.85 | $243–$687 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$319.55–$1,067.55 | $581–$1,941 | varies |
| Dhea (82626) | $178.20 | $324 | 7.1× |
| Dhea-S (82627) | $69.30 | $126 | 3.1× |
| Digoxin (80162) | $48.40 | $88 | 3.6× |
| Dihydrotestosterone (82642) | $55 | $100 | 1.9× |
| Dipropylacetic Acid Free (80165) | $95.15 | $173 | 7.0× |
| Dna Antibody Native/Double Stranded (86225) | $42.90 | $78 | 3.1× |
| Dna/Rna Amplified Probe (87150) | $109.45 | $199 | 3.1× |
| Drug assay acetaminophen (80143) | $77 | $140 | 4.1× |
| Drug assay adalimumab (80145) | $1,452 | $2,640 | 37.6× |
| Drug Assay Amiodarone (80151) | $27.50 | $50 | 1.5× |
| Drug Assay Everolimus (80169) | $63.80 | $116 | 4.6× |
| Drug assay felbamate (80167) | $57.75 | $105 | 3.1× |
| Drug Assay Infliximab (80230) | $470.53 | $855.50 | 12.2× |
| Drug Assay Itraconazole (80189) | $96.25 | $175 | 3.6× |
| Drug Assay Lacosamide (80235) | $46.20 | $84 | 1.7× |
| Drug Assay Leflunomide (80193) | $100.65 | $183 | 2.6× |
| Drug Assay Posaconazole (80187) | $154 | $280 | 5.7× |
| Drug Assay Vedolizumab (80280) | $470.53 | $855.50 | 12.2× |
| Drug assay voriconazole (80285) | $214.50 | $390 | 7.9× |
| Drug Screen Quant Clozapine (80159) | $86.35 | $157 | 4.3× |
| Drug Screen Quant Zonisamide (80203) | $41.25 | $75 | 3.1× |
| Drug Screen Quantitative Gabapentin (80171) | $81.95 | $149 | 3.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $41.25 | $75 | 3.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $42.35 | $77 | 3.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $37.95 | $69 | 2.9× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $112.75 | $205 | 6.7× |
| Drug Screen Quantitative Tiagabine (80199) | $92.40 | $168 | 3.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 24 matching MRF lines |
$4.68–$337.15 | $8.50–$613 | varies |
| Egfr Gene Analysis Common Variants (81235) | $416.63 | $757.50 | 1.3× |
| Ehrlichia antibody (86666) | $45.65 | $83 | 4.5× |
| El-1 Fecal Quantitative (82653) | $50.60 | $92 | 2.2× |
| Electrolyte panel (80051) | $24.75 | $45 | 3.5× |
| Encephaltis East Eqne Anbdy (86652) | $96.80 | $176 | 7.3× |
| Enterovirus Antibody (86658) range across 3 matching MRF lines |
$18.15–$92.40 | $33–$168 | varies |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$197.45–$256.85 | $359–$467 | varies |
| Enzyme cell activity (82657) range across 5 matching MRF lines |
$71.50–$411.40 | $130–$748 | varies |
| Enzyme histochemistry (88319) | $486.48 | $884.50 | 0.6× |
| Eosinophil Smear (89190) | $52.25 | $95 | 9.0× |
| Erythropoietin (82668) | $58.30 | $106 | 3.1× |
| Estradiol serum (82670) | $87.45 | $159 | 3.1× |
| Estriol (82677) | $170.50 | $310 | 7.1× |
| Estrogen total (82672) | $152.90 | $278 | 7.0× |
| Estrogens fractionated (82671) | $53.90 | $98 | 1.7× |
| Ethosuximide (80168) | $24.20 | $44 | 1.5× |
| Ethylene Glycol (82693) | $56.65 | $103 | 3.8× |
| Exam Synovial Fluid Crystals (89060) | $41.25 | $75 | 5.6× |
| F2 Gene (81240) | $375.65 | $683 | 5.7× |
| Factor ii activity (85210) | $26.95 | $49 | 2.1× |
| Factor Inhibitor Test (85335) | $195.25 | $355 | 15.2× |
| Factor ix activity (85250) | $354.75 | $645 | 18.6× |
| Factor v activity (85220) | $46.75 | $85 | 2.6× |
| Factor v leiden mutation (81241) | $431.20 | $784 | 5.9× |
| Factor vii assay (85230) range across 3 matching MRF lines |
$41.25–$267.30 | $75–$486 | varies |
| Factor viii assay (85240) range across 3 matching MRF lines |
$56.65–$238.15 | $103–$433 | varies |
| Factor X (85260) | $48.95 | $89 | 2.7× |
| Factor xi activity (85270) | $236.50 | $430 | 13.2× |
| Fat/Lipids Feces Quantitative (82710) range across 3 matching MRF lines |
$39.05–$234.85 | $71–$427 | varies |
| Fecal Fat Qualitative (82705) | $35.20 | $64 | 6.9× |
| Ferritin (82728) | $38.50 | $70 | 2.8× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $223.30 | $406 | 1.5× |
| Fetal screen rosette (85461) | $53.35 | $97 | 5.7× |
| Fibrin Degradation Quant (85379) | $41.25 | $75 | 4.1× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$46.20–$68.75 | $84–$125 | varies |
| Fibrinogen antigen (85385) | $41.80 | $76 | 2.9× |
| Flecainide level (80181) | $39.05 | $71 | 2.1× |
| Flow cytometry first marker (88184) range across 5 matching MRF lines |
$207.90–$336.05 | $378–$611 | varies |
| Fluorescent antibody screen (86255) range across 35 matching MRF lines |
$44.55–$1,282.05 | $81–$2,331 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$67.65–$221.10 | $123–$402 | varies |
| Fluoride serum (82735) | $88 | $160 | 4.7× |
| Fmr1 Gene Charac Alleles (81244) | $153.45 | $279 | 3.4× |
| Fmr1 gene detection (81243) | $311.30 | $566 | 5.5× |
| Folic acid rbc (82747) | $77 | $140 | 4.4× |
| Folic Acid Serum (82746) | $45.65 | $83 | 3.1× |
| Follicle Stimulating Hormone (83001) | $58.30 | $106 | 3.1× |
| Frozen Section (88331) | $243.10 | $442 | 1.5× |
| Fungi Identification Mold (87107) | $28.05 | $51 | 2.7× |
| Fungi Identification Yeast (87106) | $67.10 | $122 | 6.5× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $79.20 | $144 | 3.8× |
| Galectin-3 (82777) | $187 | $340 | 4.2× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$51.15–$169.13 | $93–$307.50 | varies |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $41.25 | $75 | 4.2× |
| Gases blood ph only (82800) | $46.75 | $85 | 4.3× |
| Gastrin (82941) | $123.75 | $225 | 7.0× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $3,162.50 | $5,750 | 1.1× |
| Genetic Tstg Severe Inh Cond (81443) range across 2 matching MRF lines |
$1,986.60–$3,466.38 | $3,612–$6,302.50 | varies |
| Gentamicin (80170) | $114.95 | $209 | 7.0× |
| Ggt (82977) | $22.55 | $41 | 3.1× |
| Giardia antigen (87329) | $37.95 | $69 | 3.2× |
| GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) | $83.60 | $152 | 1.4× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $83.60 | $152 | 0.8× |
| Gjb6 Gene Analysis Common Variants (81254) | $83.60 | $152 | 2.4× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $52.25 | $95 | 8.6× |
| Glucagon (82943) | $63.80 | $116 | 4.5× |
| Glucose 2 hr pp (82950) range across 3 matching MRF lines |
$22–$57.75 | $40–$105 | varies |
| Glucose Blood Test (82962) | $7.15 | $13 | 2.2× |
| Glucose body fluid (82945) | $22 | $40 | 5.6× |
| Glucose Serum (82947) | $14.30 | $26 | 3.6× |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$82.50–$90.75 | $150–$165 | varies |
| Glucosidase beta (82963) | $259.60 | $472 | 12.1× |
| Glutathione (82978) | $84.70 | $154 | 5.5× |
| Glycated Protein (82985) | $47.30 | $86 | 2.8× |
| Gonadotropin Chorionic Qualitative (84703) | $26.40 | $48 | 3.5× |
| Gonadotropin releasing hormone (83727) | $244.75 | $445 | 14.2× |
| Growth hormone (83003) | $78.10 | $142 | 4.7× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$27.50–$29.15 | $50–$53 | varies |
| H Pylori (C-13) Breath (83013) | $172.70 | $314 | 2.6× |
| Haloperidol (80173) | $162.25 | $295 | 10.3× |
| Haptoglobin (83010) | $39.05 | $71 | 3.1× |
| Hdl Cholesterol (83718) | $58.30 | $106 | 7.1× |
| Helicobacter Pylori Stool (87338) | $44.55 | $81 | 3.1× |
| Helminth Antibody (86682) range across 3 matching MRF lines |
$36.30–$136.40 | $66–$248 | varies |
| Hematocrit (85014) | $8.25 | $15 | 3.5× |
| Hemoglobin (85018) | $8.25 | $15 | 3.5× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$9.90–$40.70 | $18–$74 | varies |
| Hemoglobin Chromotography (83021) range across 3 matching MRF lines |
$84.15–$277.20 | $153–$504 | varies |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$90.75–$386.38 | $165–$702.50 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $51.15 | $93 | 6.2× |
| Hemoglobin plasma (83051) | $64.35 | $117 | 8.8× |
| Hemosiderin urine (83070) | $36.85 | $67 | 7.8× |
| Hep a ab igm (86709) | $35.20 | $64 | 3.1× |
| Heparin assay (85520) | $92.40 | $168 | 7.1× |
| Heparin Neutralization (85525) | $17.60 | $32 | 1.5× |
| Hepatitis a antibody total (86708) | $39.05 | $71 | 3.2× |
| Hepatitis b core ab igm (86705) | $54.45 | $99 | 4.6× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$37.95–$66.55 | $69–$121 | varies |
| Hepatitis B Surface Antibody (86706) | $33 | $60 | 3.1× |
| Hepatitis B Surface Antigen (87340) | $33.55 | $61 | 3.2× |
| Hepatitis Be Antibody (86707) | $53.90 | $98 | 4.7× |
| Hepatitis Be Antigen (87350) | $53.90 | $98 | 4.7× |
| Hepatitis C Antibody (86803) | $70.40 | $128 | 4.9× |
| Hepatitis C Genotype (87902) | $1,203.40 | $2,188 | 4.7× |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$21.18–$451.55 | $38.50–$821 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $133.65 | $243 | 3.1× |
| Hepatitis Delta Agent Antibody (86692) | $19.25 | $35 | 1.1× |
| Hereditary peripheral neuropathy gen seq pnl (81448) | $1,180.85 | $2,147 | 2.0× |
| Herpes simplex type 2 (86696) | $90.75 | $165 | 4.7× |
| Heterophile Antibody Screen (86308) | $25.85 | $47 | 5.0× |
| Hfe Gene (81256) | $305.80 | $556 | 4.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $55 | $100 | 7.1× |
| Histamine urine (83088) range across 2 matching MRF lines |
$88–$103.40 | $160–$188 | varies |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$18.70–$29.15 | $34–$53 | varies |
| Histoplasma antigen urine (87385) | $42.90 | $78 | 3.2× |
| Hiv Genotype (87901) | $410.85 | $747 | 1.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$24.75–$112.20 | $45–$204 | varies |
| Hiv-1 Antibody (86701) | $19.25 | $35 | 2.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $265.10 | $482 | 3.1× |
| HIV-2 probe&revrse trnscripj (87538) | $57.20 | $104 | 1.6× |
| Hla Class I Typing Low Resolution Complete (81372) range across 2 matching MRF lines |
$308.55–$872.85 | $561–$1,587 | varies |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $175.45 | $319 | 1.4× |
| Hla class i&ii antibody qual (86828) | $132 | $240 | 2.1× |
| Hla class ii high defin qual (86833) | $748.55 | $1,361 | 2.3× |
| Hla class ii typing high resolution one locus ea (81382) range across 2 matching MRF lines |
$158.95–$227.70 | $289–$414 | varies |
| Hla ii type 1 ag equiv lr (81377) | $144.10 | $262 | 1.5× |
| Hla ii typing 1 locus lr (81376) range across 5 matching MRF lines |
$161.70–$464.20 | $294–$844 | varies |
| Hla-b27 (86812) | $104.50 | $190 | 4.0× |
| Homocysteine (83090) | $52.25 | $95 | 2.9× |
| Homogenization Tissue (87176) | $18.70 | $34 | 3.2× |
| Homovanillic acid urine (83150) | $100.38 | $182.50 | 4.5× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$109.45–$128.70 | $199–$234 | varies |
| Hpv sep hi-rsk typ&pool rslt (87626) | $109.45 | $199 | 1.6× |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$32.18–$201.30 | $58.50–$366 | varies |
| Human Epididymis Protein 4 (86305) | $78.38 | $142.50 | 3.8× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$48.40–$191.40 | $88–$348 | varies |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $66 | $120 | 5.5× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $66 | $120 | 6.4× |
| Iaad ia shiga-like toxin (87427) | $56.10 | $102 | 4.7× |
| Iaadi giardia (87269) | $36.30 | $66 | 2.7× |
| Iaadi pneumocustis carinii (87281) | $189.20 | $344 | 15.8× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) range across 2 matching MRF lines |
$62.70–$70.95 | $114–$129 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $83.60 | $152 | 2.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$75.35–$86.35 | $137–$157 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $133.65 | $243 | 3.1× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) range across 2 matching MRF lines |
$62.70–$70.95 | $114–$129 | varies |
| Iadna hepatitis b virus amplified probe tq (87516) | $28.05 | $51 | 0.8× |
| Iadna Hepatitis B Virus Quantification (87517) | $200.75 | $365 | 4.7× |
| Iadna Herpes Virus-6 Quantification (87533) range across 2 matching MRF lines |
$237.88–$308.55 | $432.50–$561 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 3 matching MRF lines |
$28.05–$163.35 | $51–$297 | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $158.95 | $289 | 4.5× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $81.40 | $148 | 2.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $92.95 | $169 | 2.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $150.15 | $273 | 4.3× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) range across 2 matching MRF lines |
$48.40–$94.60 | $88–$172 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $230.45 | $419 | 1.6× |
| Idh1 common variants (81120) | $471.90 | $858 | 2.4× |
| Idh2 common variants (81121) | $491.70 | $894 | 1.7× |
| Ig Light Chains Free Each (83521) range across 3 matching MRF lines |
$31.35–$57.75 | $57–$105 | varies |
| Igg subclasses (82787) | $25.30 | $46 | 3.2× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $343.20 | $624 | 1.0× |
| Immune Complex Assay (86332) | $118.80 | $216 | 4.9× |
| Immunfix e-phorsis/urine/csf (86335) | $113.85 | $207 | 3.9× |
| Immunoassay analyte qual/semiqual single step (83518) | $267.30 | $486 | 27.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 13 matching MRF lines |
$46.75–$526.35 | $85–$957 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 6 matching MRF lines |
$23.65–$73.70 | $43–$134 | varies |
| Immunoassay nonantibody (83516) range across 49 matching MRF lines |
$14.30–$384.45 | $26–$699 | varies |
| Immunodiffusion Ouchterlony (86331) | $24.20 | $44 | 2.0× |
| Immunofixation electrophoresis (86334) | $95.70 | $174 | 4.3× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 3 matching MRF lines |
$182.05–$2,039.95 | $331–$3,709 | varies |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$98.73–$229.35 | $179.50–$417 | varies |
| In situ hybridization 1st probe stain (88365) range across 3 matching MRF lines |
$135.03–$514.25 | $245.50–$935 | varies |
| In situ hybridization ea multiplex probe stain (88366) | $602.25 | $1,095 | 3.6× |
| Influenza a/b ag eia (87400) | $80.85 | $147 | 5.7× |
| Inhibin b (83520) range across 31 matching MRF lines |
$20.90–$693 | $38–$1,260 | varies |
| Insitu hybridization manual (88368) | $599.50 | $1,090 | 1.7× |
| Insulin antibodies (86337) | $151.25 | $275 | 7.1× |
| Insulin free (83527) | $29.15 | $53 | 2.3× |
| Insulin total (83525) | $35.20 | $64 | 3.1× |
| Interleukin-6 (83529) | $62.70 | $114 | 3.6× |
| Intrinsic factor antibody (86340) | $70.40 | $128 | 4.7× |
| Iron (83540) | $18.70 | $34 | 2.9× |
| Iron Binding Capacity (83550) | $48.95 | $89 | 5.6× |
| Islet cell antibody (86341) range across 9 matching MRF lines |
$29.15–$322.03 | $53–$585.50 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $428.45 | $779 | 4.7× |
| Jak2 Gene Trgt Sequence Alys (81279) | $343.20 | $624 | 1.9× |
| Kras Gene Analysis Additional Variant(S) (81276) | $116.88 | $212.50 | 0.6× |
| Kras Gene Variants Exon 2 (81275) | $116.88 | $212.50 | 0.6× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$18.70–$22.55 | $34–$41 | varies |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
$16.23–$54.45 | $29.50–$99 | varies |
| Lactoferrin Fecal Quantitative (83631) | $42.90 | $78 | 2.2× |
| Lamellar Body Count (83664) | $176 | $320 | 9.1× |
| Ldh Isoenzymes (83625) | $58.85 | $107 | 4.6× |
| LDL direct (83721) | $29.70 | $54 | 2.8× |
| Lead (83655) | $37.95 | $69 | 3.1× |
| Legionella antibody (86713) | $173.25 | $315 | 11.3× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$103.40–$108.63 | $188–$197.50 | varies |
| Leptospira antibody (86720) | $64.90 | $118 | 4.0× |
| Leukocyte Assessment Fecal (89055) | $50.60 | $92 | 11.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $59.95 | $109 | 2.1× |
| Level ii surg pathology grossµscopic exam (88302) | $113.85 | $207 | 3.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$885.50–$3,892.90 | $1,610–$7,078 | varies |
| Lidocaine (80176) | $146.30 | $266 | 10.0× |
| Lipase (83690) | $39.60 | $72 | 5.7× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$16.50–$60.50 | $30–$110 | varies |
| Lipoprotein Bld Quan Part (83704) | $115.50 | $210 | 3.4× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $144.10 | $262 | 12.8× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $75.35 | $137 | 1.6× |
| Lithium (80178) | $23.65 | $43 | 3.6× |
| Luteinizing Hormone (Lh) (83002) | $57.75 | $105 | 3.1× |
| Lyme disease antibody (86618) range across 4 matching MRF lines |
$47.58–$53.35 | $86.50–$97 | varies |
| Lymphocyte transformation (86353) | $89.38 | $162.50 | 1.8× |
| Lysozyme serum (85549) | $26.40 | $48 | 1.4× |
| M. Genitalium Amp Probe (87563) | $510.40 | $928 | 14.5× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$306.63–$729.58 | $557.50–$1,326.50 | varies |
| Macroscopic Exam Parasite (87169) | $34.10 | $62 | 7.9× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$11–$32.45 | $20–$59 | varies |
| Mass Spectrometry Quant (83789) range across 7 matching MRF lines |
$131.18–$444.95 | $238.50–$809 | varies |
| Mercury urine (83825) | $75.90 | $138 | 4.7× |
| Methotrexate (80204) | $42.35 | $77 | 1.1× |
| Methylmalonic acid serum (83921) | $53.35 | $97 | 2.5× |
| Mgmt methylation analysis (81287) | $128.43 | $233.50 | 1.0× |
| Microalbumin, quantitative (82043) | $18.70 | $34 | 3.2× |
| Microbe Suscept Macrobroth (87188) | $173.25 | $315 | 26.1× |
| Microsatellite instability (81301) | $1,004.58 | $1,826.50 | 2.9× |
| Microsomal Antibodies Each (86376) | $45.10 | $82 | 3.1× |
| Mitochondrial Antibody Each (86381) | $36.30 | $66 | 1.4× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) range across 3 matching MRF lines |
$74.25–$622.60 | $135–$1,132 | varies |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $56.38 | $102.50 | 1.4× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 5 matching MRF lines |
$124.30–$1,078 | $226–$1,960 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $154 | $280 | 3.6× |
| Molecular Pathology Procedure Level 6 (81405) range across 2 matching MRF lines |
$435.60–$443.58 | $792–$806.50 | varies |
| Mononuclear cell antigen (86356) range across 7 matching MRF lines |
$77.28–$117.15 | $140.50–$213 | varies |
| Mopath procedure level 2 (81401) | $298.65 | $543 | 2.2× |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$250.25–$443.30 | $455–$806 | varies |
| Mopath procedure level 5 (81404) | $1,104.95 | $2,009 | 4.0× |
| Mopath procedure level 7 (81406) | $418 | $760 | 1.5× |
| Mopath procedure level 8 (81407) | $1,210.28 | $2,200.50 | 1.4× |
| Mopath procedure level 9 (81408) | $1,573 | $2,860 | 0.8× |
| Mpl gene common variants (81338) | $325.60 | $592 | 2.2× |
| Mrsa Pcr (87641) | $90.75 | $165 | 2.6× |
| Mucopolysaccharides acid quantitative (83864) | $419.65 | $763 | 14.7× |
| Mumps antibody (86735) | $92.40 | $168 | 7.1× |
| Mycobacteric Identification (87118) | $83.05 | $151 | 5.7× |
| Mycophenolic Acid (80180) | $84.15 | $153 | 4.7× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$58.30–$62.15 | $106–$113 | varies |
| Mycoplasma culture (87109) | $76.45 | $139 | 5.0× |
| Myelin basic protein csf (83873) | $95.70 | $174 | 5.6× |
| Myoglobin urine (83874) | $60.50 | $110 | 4.7× |
| Natriuretic peptide (83880) | $103.95 | $189 | 2.6× |
| Neurofilament light chain (83884) | $684.48 | $1,244.50 | 5.9× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $460.35 | $837 | 1.8× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $863.50 | $1,570 | 3.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $159.23 | $289.50 | 0.6× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $515.90 | $938 | 4.0× |
| Niacin (84591) range across 3 matching MRF lines |
$61.05–$64.35 | $111–$117 | varies |
| Nickel level (83885) | $259.60 | $472 | 10.6× |
| Nk cells total count (86357) | $97.35 | $177 | 2.6× |
| Nuclear antigen antibody (86235) range across 18 matching MRF lines |
$22.55–$56.10 | $41–$102 | varies |
| Nudt15 Gene Common Variants (81306) | $165.28 | $300.50 | 0.6× |
| Obstetric panel (80081) | $241.45 | $439 | 3.2× |
| Occult Blood Other Sources (82271) | $22 | $40 | 4.1× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$79.20–$106.70 | $144–$194 | varies |
| Oncology Prostate Prob Score (81539) | $686.68 | $1,248.50 | 0.9× |
| Organic acids urine (83918) | $154 | $280 | 6.5× |
| Osmolality serum (83930) | $25.85 | $47 | 3.9× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$9.08–$24.75 | $16.50–$45 | varies |
| Osteocalcin (83937) | $127.05 | $231 | 4.3× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$40.15–$41.80 | $73–$76 | varies |
| Oxalate urine (83945) range across 3 matching MRF lines |
$19.53–$101.75 | $35.50–$185 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $72.05 | $131 | 6.2× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$17.05–$67.65 | $31–$123 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $486.48 | $884.50 | 0.6× |
| Ph urine (81003) range across 3 matching MRF lines |
$13.75–$30.25 | $25–$55 | varies |
| Phenobarbital Level (80184) | $39.05 | $71 | 2.6× |
| Phenotype Infect Agent Drug (87900) range across 2 matching MRF lines |
$256.85–$321.20 | $467–$584 | varies |
| Phenylalanine (84030) | $38.50 | $70 | 7.0× |
| Phenytoin (Dilantin) (80185) | $47.85 | $87 | 3.6× |
| Phenytoin free (80186) | $34.10 | $62 | 2.5× |
| Phosphatase acid prostatic (84066) | $78.10 | $142 | 8.1× |
| Phosphatase alkaline (84075) | $15.95 | $29 | 3.1× |
| Phospholipid Neutralization Hexagonal (85598) | $33 | $60 | 1.8× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$14.85–$73.98 | $27–$134.50 | varies |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$9.90–$30.25 | $18–$55 | varies |
| Pinworm exam (87172) | $55 | $100 | 12.9× |
| Platelet Aggregation (85576) range across 3 matching MRF lines |
$100.65–$159.50 | $183–$290 | varies |
| Platelet Antibodies (86022) range across 5 matching MRF lines |
$62.15–$406.45 | $113–$739 | varies |
| Platelet count automated (85049) | $13.75 | $25 | 3.1× |
| Platelet neutralization (85597) | $84.15 | $153 | 4.7× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $422.40 | $768 | 0.6× |
| Pneumcysts jirovecii amp prb (87594) | $174.35 | $317 | 5.0× |
| Porphobilinogen, urine; quantitative (84110) | $39.05 | $71 | 4.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $103.95 | $189 | 7.1× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$8.53–$42.35 | $15.50–$77 | varies |
| Prealbumin (84134) | $68.75 | $125 | 4.7× |
| Pregnenolone (84140) | $96.25 | $175 | 4.7× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $142.45 | $259 | 0.9× |
| Primidone (80188) | $77.55 | $141 | 4.7× |
| Procalcitonin (Pct) (84145) | $146.30 | $266 | 5.4× |
| Progesterone (84144) | $64.90 | $118 | 3.1× |
| Prolactin (84146) range across 2 matching MRF lines |
$30.80–$64.90 | $56–$118 | varies |
| Prostaglandin (84150) range across 2 matching MRF lines |
$149.60–$248.05 | $272–$451 | varies |
| Protein body fluid (84157) | $21.45 | $39 | 5.4× |
| Protein C Activity (85303) | $64.35 | $117 | 4.6× |
| Protein c antigen (85302) | $84.70 | $154 | 7.1× |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$80.30–$151.80 | $146–$276 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $62.15 | $113 | 5.8× |
| Protein S Free (85306) range across 2 matching MRF lines |
$19.80–$72.05 | $36–$131 | varies |
| Protein s total (85305) | $53.90 | $98 | 4.6× |
| Protein total serum (84155) | $11.55 | $21 | 3.1× |
| Protein Total Urine (84156) | $31.35 | $57 | 8.5× |
| Protein Western Blot Test (84182) range across 10 matching MRF lines |
$48.40–$215.05 | $88–$391 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $28.60 | $52 | 7.3× |
| Protoporphyrin rbc quantitative (84202) | $67.65 | $123 | 4.7× |
| PSA free (84154) | $57.20 | $104 | 3.1× |
| Pth Intact (83970) range across 2 matching MRF lines |
$118.80–$124.85 | $216–$227 | varies |
| Pyruvate kinase (84220) | $95.15 | $173 | 10.1× |
| Q Fever Antibody (86638) | $81.40 | $148 | 6.7× |
| Quantiferon tb gold plus (86480) | $194.70 | $354 | 3.1× |
| Quantitative assay drug (80299) range across 16 matching MRF lines |
$37.40–$1,332.65 | $68–$2,423 | varies |
| Quantitative Screen Metals (83018) range across 6 matching MRF lines |
$59.40–$235.95 | $108–$429 | varies |
| Rbc antibody elution (86860) | $183.15 | $333 | 1.1× |
| Rbc antibody identification (86870) | $207.90 | $378 | 0.6× |
| Rbc antibody screen (86850) | $49.50 | $90 | 5.1× |
| Rbc pretreatment serum (86978) | $141.35 | $257 | 2.5× |
| Rbc pretx incubatj w/enzymes (86971) | $251.35 | $457 | 1.5× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$102.85–$213.40 | $187–$388 | varies |
| Rh (86901) range across 3 matching MRF lines |
$23.10–$41.80 | $42–$76 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$17.60–$21.45 | $32–$39 | varies |
| Rickettsia antibody (86757) | $34.10 | $62 | 1.8× |
| Ristocetin cofactor (85245) | $136.95 | $249 | 6.0× |
| Rotavirus ag eia (87425) | $56.10 | $102 | 4.7× |
| Rpr qualitative (86592) | $19.80 | $36 | 4.6× |
| Rubella Antibody (86762) | $67.65 | $123 | 4.7× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$12.10–$59.95 | $22–$109 | varies |
| Rufinamide (80210) | $166.65 | $303 | 6.1× |
| Russell Viper Venom Time Diluted (85613) | $42.90 | $78 | 4.5× |
| Salicylate Level (80179) | $71.50 | $130 | 3.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $99.55 | $181 | 1.9× |
| Sars-cov-2 COVID-19 antibody (86769) | $64.90 | $118 | 1.5× |
| Sarscov2 & inf a&b amp prb (87636) | $196.35 | $357 | 1.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $223.85 | $407 | 1.6× |
| Sedimentation rate (85651) | $13.75 | $25 | 3.2× |
| Sedimentation Rate, Automated (85652) | $23.10 | $42 | 8.6× |
| Selenium (84255) range across 2 matching MRF lines |
$34.10–$119.90 | $62–$218 | varies |
| Semen Anal Sperm Detection (89321) | $84.70 | $154 | 7.0× |
| Sensitivity mic (87186) range across 6 matching MRF lines |
$18.15–$63.80 | $33–$116 | varies |
| Serpina 1 gene (81332) | $308 | $560 | 7.1× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$49.50–$55.55 | $90–$101 | varies |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$12.38–$20.90 | $22.50–$38 | varies |
| Sirolimus (80195) | $63.80 | $116 | 4.6× |
| Skin test tuberculosis intradermal (86580) | $56.82 | $103.30 | 2.0× |
| SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) | $146.58 | $266.50 | 0.8× |
| Smear acid fast (87206) | $17.05 | $31 | 3.2× |
| Smear complex stain (87209) | $84.15 | $153 | 4.7× |
| Smear gram stain (87205) range across 3 matching MRF lines |
$11–$105.60 | $20–$192 | varies |
| Smear Special Stain (87207) range across 3 matching MRF lines |
$44.55–$45.65 | $81–$83 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $14.85 | $27 | 2.6× |
| So neo gsap DNA mcrstl ins (81457) range across 3 matching MRF lines |
$2,205.23–$3,542.55 | $4,009.50–$6,441 | varies |
| So neo gsap DNA/DNA&RNA (81459) | $4,015.55 | $7,301 | 1.3× |
| Sodium Serum (84295) | $14.85 | $27 | 3.1× |
| Sodium Urine (84300) range across 3 matching MRF lines |
$9.08–$45.65 | $16.50–$83 | varies |
| Soluble Transferrin Receptor (84238) | $31.90 | $58 | 0.9× |
| Somatomedin (84305) range across 2 matching MRF lines |
$99.55–$209.55 | $181–$381 | varies |
| Somatostatin (84307) | $252.45 | $459 | 13.8× |
| Special Stains Group 1 (88312) | $227.15 | $413 | 4.5× |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$172.15–$172.43 | $313–$313.50 | varies |
| Specimen infect agnt concntj (87015) range across 5 matching MRF lines |
$9.90–$60.50 | $18–$110 | varies |
| Spectrophotometry (84311) | $106.15 | $193 | 13.1× |
| Staph a DNA amp probe (87640) | $127.05 | $231 | 3.6× |
| Stem cells total count (86367) | $75.90 | $138 | 1.0× |
| Stool cultr aerobic bact ea (87046) | $41.80 | $76 | 4.4× |
| Strep a assay w/optic (87880) | $54.45 | $99 | 3.3× |
| Strep a DNA amp probe (87651) | $109.45 | $199 | 3.1× |
| Strep b DNA amp probe (87653) | $165 | $300 | 4.7× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) range across 3 matching MRF lines |
$46.48–$73.98 | $84.50–$134.50 | varies |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) range across 2 matching MRF lines |
$61.88–$127.33 | $112.50–$231.50 | varies |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $99.55 | $181 | 18.1× |
| Sugars Single Qual (84376) | $38.50 | $70 | 7.0× |
| Sulfate urine (84392) range across 2 matching MRF lines |
$9.90–$17.60 | $18–$32 | varies |
| Surg path level iii (88304) | $119.90 | $218 | 2.4× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$207.90–$330 | $378–$600 | varies |
| Surgical pathology level vi (88309) | $995.50 | $1,810 | 1.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 4 matching MRF lines |
$23.10–$40.70 | $42–$74 | varies |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$14.85–$20.90 | $27–$38 | varies |
| T cells absolute cd4 count (86361) | $60.50 | $110 | 2.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $146.30 | $266 | 3.1× |
| T cells total count (86359) | $97.35 | $177 | 2.6× |
| T3 Free (84481) | $47.30 | $86 | 2.8× |
| T3 reverse (84482) | $49.50 | $90 | 3.1× |
| T3 Total (84480) | $44 | $80 | 3.1× |
| T3 Uptake (84479) | $48.40 | $88 | 7.5× |
| T4 Free (84439) | $26.40 | $48 | 2.9× |
| T4 total (84436) | $21.45 | $39 | 3.1× |
| Tacrolimus (80197) | $42.90 | $78 | 3.1× |
| Tau phosphorylated each (84393) range across 2 matching MRF lines |
$353.10–$452.93 | $642–$823.50 | varies |
| Tb ag response t-cell susp (86481) | $252.45 | $459 | 2.5× |
| Test for urine cystines (82615) | $20.90 | $38 | 2.2× |
| Testosterone total (84403) | $80.30 | $146 | 3.1× |
| Testosterone, Free (84402) range across 3 matching MRF lines |
$44.55–$102.30 | $81–$186 | varies |
| Tetanus antibody (86774) | $99.55 | $181 | 6.7× |
| Theophylline (80198) | $81.95 | $149 | 5.8× |
| Thiocyanate (84430) | $119.90 | $218 | 10.3× |
| Thiopurine methyltransferase (84433) | $88 | $160 | 4.0× |
| Thrombin Time (85670) | $28.60 | $52 | 5.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $30.25 | $55 | 4.7× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$22.55–$107.25 | $41–$195 | varies |
| Thyroglobulin Antibody (86800) | $49.50 | $90 | 3.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $158.40 | $288 | 3.1× |
| Thyroxine binding globulin (84442) | $69.30 | $126 | 4.7× |
| Tiss cul neo disorders solid tumor (88239) | $526.90 | $958 | 3.6× |
| Tissue Culture (88233) range across 2 matching MRF lines |
$369.60–$419.10 | $672–$762 | varies |
| Tissue Culture Amniotic Fluid (88235) | $1,039.50 | $1,890 | 6.9× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$393.25–$405.90 | $715–$738 | varies |
| Tissue Culture Lymphocyte (88230) | $821.70 | $1,494 | 7.1× |
| Tobramycin peak (80200) | $166.65 | $303 | 10.3× |
| Topiramate (80201) | $39.05 | $71 | 3.3× |
| Total Tau (84394) | $353.10 | $642 | 2.7× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$67.65–$83.05 | $123–$151 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$28.60–$37.40 | $52–$68 | varies |
| Tp53 gene analysis targeted sequence analysis (81352) | $1,093.40 | $1,988 | 3.3× |
| Tpmt gene com variants (81335) range across 2 matching MRF lines |
$165.28–$783.75 | $300.50–$1,425 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $22.55 | $41 | 4.4× |
| Transferrin (84466) | $40.15 | $73 | 3.1× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $587.68 | $1,068.50 | 2.8× |
| Trg gene rearrangement anal (81342) | $587.68 | $1,068.50 | 2.9× |
| Trichinella Antibody (86784) | $111.10 | $202 | 8.8× |
| Trichomonas Vaginalis Amplif (87661) | $94.05 | $171 | 2.7× |
| Triglycerides (84478) | $26.95 | $49 | 4.7× |
| Troponin Quant (84484) | $53.90 | $98 | 4.3× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$98.73–$281.05 | $179.50–$511 | varies |
| Urea nitrogen urine (84540) range across 4 matching MRF lines |
$9.90–$23.10 | $18–$42 | varies |
| Uric acid other source (84560) range across 3 matching MRF lines |
$9.08–$42.35 | $16.50–$77 | varies |
| Urinalysis Microscopic Only (81015) | $9.90 | $18 | 3.2× |
| Urinalysis Volume Measure (81050) | $12.65 | $23 | 3.5× |
| Urine Bacteria Culture (87088) | $29.70 | $54 | 3.7× |
| Urine Pregnancy Test (81025) | $39.05 | $71 | 4.5× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $18.15 | $33 | 5.7× |
| Valproic acid (80164) | $42.90 | $78 | 3.2× |
| Vancomycin (80202) | $53.35 | $97 | 3.9× |
| Varicella-zoster antibody (86787) | $59.95 | $109 | 4.7× |
| Vasopressin (84588) range across 2 matching MRF lines |
$55–$364.65 | $100–$663 | varies |
| Very Long Chain Fatty Acids (82726) | $148.50 | $270 | 7.5× |
| Viral Culture (87252) | $122.10 | $222 | 4.7× |
| Virus antibody nos (86790) range across 9 matching MRF lines |
$22–$286 | $40–$520 | varies |
| Viscosity serum (85810) | $118.80 | $216 | 10.2× |
| Vit D 1 25-Dihydroxy (82652) | $120.45 | $219 | 3.1× |
| Vitamin A (84590) | $36.30 | $66 | 3.1× |
| Vitamin b-12 (82607) | $47.30 | $86 | 3.1× |
| Vitamin B2 (Riboflavin) (84252) | $94.60 | $172 | 4.7× |
| Vitamin B6 (84207) | $88 | $160 | 3.1× |
| Vitamin c (82180) | $46.75 | $85 | 4.7× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$79.20–$151.80 | $144–$276 | varies |
| Vitamin E (84446) | $66 | $120 | 4.7× |
| Vitamin K (84597) | $75.35 | $137 | 5.5× |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 3 matching MRF lines |
$36.85–$134.20 | $67–$244 | varies |
| Von willebrand factor ag (85246) | $107.25 | $195 | 4.7× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$26.40–$71.50 | $48–$130 | varies |
| West Nile Virus Antibody (86789) range across 3 matching MRF lines |
$53.35–$64.35 | $97–$117 | varies |
| Zinc (84630) range across 2 matching MRF lines |
$41.80–$71.50 | $76–$130 | varies |
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.