Lab & pathology prices at Froedtert Memorial Lutheran Hospital

Milwaukee, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $59.40 $108 2.6×
5 Nucleotidase (83915)
range across 2 matching MRF lines		 $22–$855.80 $40–$1,556 varies
Abl1 gene analysis kinase domain variants (81170)
range across 3 matching MRF lines		 $317.90–$557.70 $578–$1,014 varies
Acetylcholine receptor binding antibody (86041) $35.20 $64 1.9×
Acetylcholine receptor blocking antibody (86042) $49.50 $90 2.7×
Acetylcholinesterase Assay (82013) $112.20 $204 9.1×
Acetylcholn Rcptr Modlg Antb (86043) $55.55 $101 4.6×
Acth (82024)
range across 9 matching MRF lines		 $59.95–$167.20 $109–$304 varies
Actin smooth muscle antibody each (86015) $33 $60 2.7×
Acute hepatitis panel (80074) $333.30 $606 7.0×
Acylcarnitines Quant (82017)
range across 3 matching MRF lines		 $68.20–$264.55 $124–$481 varies
Adenovirus antibody (86603) $125.40 $228 9.7×
Afp-l3 fraction isoform & total afp w/ratio (82107) $164.45 $299 2.6×
Albumin Fluid (82042)
range across 4 matching MRF lines		 $16.50–$91.30 $30–$166 varies
Albumin serum (82040)
range across 2 matching MRF lines		 $30.80–$48.95 $56–$89 varies
Aldolase (82085) $37.40 $68 3.9×
Aldosterone urine (82088)
range across 3 matching MRF lines		 $59.40–$221.10 $108–$402 varies
Alkaline phosphatase isoenzymes (84080)
range across 3 matching MRF lines		 $68.75–$85.25 $125–$155 varies
Allergen spec ige qual multiallergen screen (86005)
range across 2 matching MRF lines		 $17.05–$29.15 $31–$53 varies
Allergen specific ige (86003)
range across 9 matching MRF lines		 $16.50–$169.95 $30–$309 varies
Allergen specific igg (86001) $19.80 $36 2.5×
Allg Spec Ige Recomb Ea (86008)
range across 4 matching MRF lines		 $16.50–$87.45 $30–$159 varies
Alpha-1-antitrypsin phenotype (82104)
range across 2 matching MRF lines		 $36.85–$77.55 $67–$141 varies
Alpha-1-antitrypsin total (82103)
range across 4 matching MRF lines		 $41.80–$397.10 $76–$722 varies
Alpha-Fetoprotein Amniotic Fluid (82106) $37.40 $68 2.2×
Alpha-Fetoprotein Serum (82105)
range across 3 matching MRF lines		 $41.80–$186.45 $76–$339 varies
Alt (sgpt) (84460) $40.70 $74 7.7×
Aluminum (82108) $92.95 $169 3.6×
Amikacin trough (80150)
range across 3 matching MRF lines		 $72.60–$73.15 $132–$133 varies
Amino Acids 1 Quantitative Each Specimen (82131)
range across 6 matching MRF lines		 $38.50–$125.40 $70–$228 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 3 matching MRF lines		 $141.90–$543.13 $258–$987.50 varies
Amino Acids Quant 2-5 (82136)
range across 2 matching MRF lines		 $78.65–$143.55 $143–$261 varies
Aminolevulinic acid (ala) (82135)
range across 2 matching MRF lines		 $80.85–$125.95 $147–$229 varies
Ammonia (82140)
range across 3 matching MRF lines		 $20.35–$123.20 $37–$224 varies
Amylase urine (82150)
range across 9 matching MRF lines		 $13.20–$228.80 $24–$416 varies
Ana Titer (86039)
range across 2 matching MRF lines		 $61.05–$89.65 $111–$163 varies
Anca screen each antibody (86036)
range across 2 matching MRF lines		 $34.65–$53.35 $63–$97 varies
Androstanediol Glucuronide (82154) $59.95 $109 2.1×
Androstenedione (82157) $50.05 $91 1.7×
Angiotensin converting enzyme csf (82164)
range across 2 matching MRF lines		 $36.30–$75.90 $66–$138 varies
Anti-Phospholipid Antibody (86148) $78.10 $142 4.9×
Antibody aspergillus (86606)
range across 7 matching MRF lines		 $19.25–$74.25 $35–$135 varies
Antibody Bacterium Not Elsewhere Specified (86609)
range across 3 matching MRF lines		 $29.70–$136.95 $54–$249 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 7 matching MRF lines		 $27.50–$85.80 $50–$156 varies
Antibody Cytomegalovirus Cmv Igm (86645)
range across 2 matching MRF lines		 $54.45–$248.60 $99–$452 varies
Antibody Encephalitis California La Crosse (86651)
range across 3 matching MRF lines		 $34.65–$98.45 $63–$179 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $37.40 $68 2.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $47.85 $87 3.1×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 5 matching MRF lines		 $52.25–$106.70 $95–$194 varies
Antibody Fungus Not Elsewhere Specified (86671)
range across 4 matching MRF lines		 $23.10–$60.50 $42–$110 varies
Antibody helicobacter pylori (86677)
range across 3 matching MRF lines		 $111.10–$184.80 $202–$336 varies
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 2 matching MRF lines		 $21.45–$37.40 $39–$68 varies
Antibody Herpes Smplx Type 1 (86695)
range across 2 matching MRF lines		 $40.15–$55 $73–$100 varies
Antibody HIV-1&HIV-2 single result (86703)
range across 2 matching MRF lines		 $14.85–$24.20 $27–$44 varies
Antibody HIV-2 (86702) $29.70 $54 2.2×
Antibody Hla Class I High Definition Panel Qual (86832)
range across 2 matching MRF lines		 $446.05–$487.30 $811–$886 varies
Antibody htlv/HIV antibody confirmatory test (86689) $94.05 $171 4.9×
Antibody identification leukocyte antibodies (86021)
range across 6 matching MRF lines		 $31.90–$380.05 $58–$691 varies
Antibody Identification Platelet Immunogl Assay (86023) $132.55 $241 10.6×
Antibody john cunningham virus (86711)
range across 2 matching MRF lines		 $795.30–$1,796.30 $1,446–$3,266 varies
Antibody leishmania (86717) $70.40 $128 5.7×
Antibody Lymphocytic Choriomeningitis (86727)
range across 2 matching MRF lines		 $53.35–$56.65 $97–$103 varies
Antibody Protozoa Nes (86753)
range across 6 matching MRF lines		 $29.70–$105.05 $54–$191 varies
Antibody Titer (86886)
range across 5 matching MRF lines		 $101.75–$359.98 $185–$654.50 varies
Antibody Treponema Pallidum (86780)
range across 6 matching MRF lines		 $32.45–$124.85 $59–$227 varies
Antibody yersinia (86793) $64.90 $118 4.9×
Antibody; campylobacter (86625) $122.10 $222 9.3×
Antibody; encephalitis, st. louis (86653)
range across 3 matching MRF lines		 $34.65–$75.35 $63–$137 varies
Antibody; influenza virus (86710) $52.80 $96 3.9×
Antigen typing (86905)
range across 13 matching MRF lines		 $206.80–$213.95 $376–$389 varies
Antinuclear antibodies (86038) $106.70 $194 8.8×
Antistreptolysin o titer (86060) $48.40 $88 6.6×
Antithrombin iii activity (85300) $116.05 $211 9.8×
Antithrombin iii antigen (85301) $36.85 $67 3.4×
Apc gene full sequence (81201) $1,088.45 $1,979 1.4×
Apolipoprotein a1 (82172)
range across 3 matching MRF lines		 $21.45–$30.80 $39–$56 varies
Aqaprn-4 Antb Flo Cytmtry Ea (86053)
range across 3 matching MRF lines		 $88.55–$420.75 $161–$765 varies
Arsenic (82175)
range across 3 matching MRF lines		 $26.40–$139.70 $48–$254 varies
Aspa gene analysis common variants (81200) $145.75 $265 3.1×
Aspergillus ag eia (87305)
range across 2 matching MRF lines		 $99.55–$180.95 $181–$329 varies
Assay activated protein c (85307) $168.85 $307 11.0×
Assay Blood Carbon Dioxide (82374)
range across 2 matching MRF lines		 $29.15–$30.25 $53–$55 varies
Assay Dir Meas Fr Estradiol (82681) $165.55 $301 5.9×
Assay Nephelometry Not Spec (83883)
range across 14 matching MRF lines		 $41.80–$290.95 $76–$529 varies
Assay of 5-hiaa (83497)
range across 2 matching MRF lines		 $42.35–$118.80 $77–$216 varies
Assay of anti-mullerian hormone (82166) $58.30 $106 1.5×
Assay of b-hexosaminidase each assay (83080)
range across 4 matching MRF lines		 $43.45–$408.65 $79–$743 varies
Assay of blood/uric acid (84550) $51.70 $94 11.4×
Assay of calcium in urine (82340)
range across 4 matching MRF lines		 $11–$70.40 $20–$128 varies
Assay of corticosterone (82528) $75.35 $137 3.3×
Assay of cpk in blood (82552) $24.20 $44 1.8×
Assay of estrone (82679)
range across 2 matching MRF lines		 $45.65–$110 $83–$200 varies
Assay of g6pd enzyme (82955)
range across 2 matching MRF lines		 $66.55–$268.95 $121–$489 varies
Assay of gammaglobulin igm (82784)
range across 19 matching MRF lines		 $9.90–$312.40 $18–$568 varies
Assay of lactic acid (83605)
range across 6 matching MRF lines		 $28.05–$737 $51–$1,340 varies
Assay of manganese (83785)
range across 2 matching MRF lines		 $41.80–$179.85 $76–$327 varies
Assay of metanephrines (83835)
range across 2 matching MRF lines		 $58.30–$62.70 $106–$114 varies
Assay of phosphatase acid total (84060) $149.60 $272 19.6×
Assay of proinsulin (84206) $59.40 $108 2.2×
Assay of pyruvate (84210)
range across 3 matching MRF lines		 $45.65–$60.50 $83–$110 varies
Assay of serotonin (84260) $60.50 $110 2.0×
Assay of serum potassium (84132)
range across 3 matching MRF lines		 $11.55–$37.40 $21–$68 varies
Assay of Sialic Acid (84275) $196.90 $358 14.7×
Assay of sweat sodium (84302)
range across 2 matching MRF lines		 $22–$49.50 $40–$90 varies
Assay of transcortin (84449) $131.45 $239 7.3×
Assay of Tyrosine (84510) $55 $100 5.2×
Assay of urea nitrogen (84520)
range across 2 matching MRF lines		 $28.60–$38.50 $52–$70 varies
Assay of urine vma (84585) $31.90 $58 2.1×
Assay of vasoactive intestinal peptide (84586) $71.50 $130 2.0×
Assay of vitamin b-1 (84425) $86.35 $157 4.1×
Assay Ph Body Fluid Nos (83986)
range across 7 matching MRF lines		 $6.05–$39.05 $11–$71 varies
Assay Phosphohexose Enzymes (84087) $151.80 $276 14.1×
Assay spec xcp ur&breath ia (82077) $44 $80 2.5×
Asstd Fertilization Microtq > 10 Oocytes (89281) $547.25 $995 3.2×
Asstd oocyte fert 10 or less (89280) $708.40 $1,288 0.9×
Asy carbamazepin 10,11-epxid (80161) $51.70 $94 2.8×
Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) $165.55 $301 1.2×
Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) $165.55 $301 1.2×
Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) $165.55 $301 1.2×
Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) $165.55 $301 1.2×
Autol bld/component collj storage salvage (86891)
range across 2 matching MRF lines		 $598.40–$1,423.95 $1,088–$2,589 varies
Automated Leukocyte Count (85048) $19.25 $35 7.6×
B cells total count (86355)
range across 5 matching MRF lines		 $102.30–$196.90 $186–$358 varies
Babesia microti amp prb (87469)
range across 2 matching MRF lines		 $70.95–$83.60 $129–$152 varies
Bartonella antibody (86611) $31.35 $57 3.1×
Bckdhb Gene Analysis Common Variants (81205) $298.10 $542 3.1×
Bcr/abl1 gene major bp (81206)
range across 9 matching MRF lines		 $170.50–$1,175.90 $310–$2,138 varies
Bcr/abl1 gene minor bp (81207)
range across 6 matching MRF lines		 $179.85–$471.35 $327–$857 varies
Bcr/Abl1 Gene Other Bp (81208)
range across 4 matching MRF lines		 $193.05–$353.65 $351–$643 varies
Beta 2 glycoprotein i antibody each (86146) $53.35 $97 2.1×
Beta hydroxybutyrate (82010)
range across 3 matching MRF lines		 $36.30–$338.25 $66–$615 varies
Beta Lactamase (87185) $39.60 $72 8.3×
Beta-2 Microglobulin (82232)
range across 4 matching MRF lines		 $27.50–$98.45 $50–$179 varies
Beta-amyloid; 1-42 (abeta 42) (82234) $353.10 $642 2.7×
Bile acids total (82239) $62.70 $114 3.7×
Bilirubin direct (82248) $37.40 $68 7.5×
Bilirubin total (82247)
range across 2 matching MRF lines		 $11.55–$35.75 $21–$65 varies
Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5… (89291) $811.80 $1,476 4.7×
Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290) $569.80 $1,036 3.3×
Biotinidase (82261) $37.40 $68 2.2×
Blastomyces antibody (86612)
range across 2 matching MRF lines		 $19.25–$30.25 $35–$55 varies
Bld Typing Serologic Rh Phnt (86906)
range across 5 matching MRF lines		 $80.30–$115.50 $146–$210 varies
Blm Gene (81209) $88 $160 2.2×
Blood Count Automated Differential Wbc Count (85004) $40.70 $74 6.3×
Blood Count Red Blood Cell Automated (85041) $14.85 $27 4.9×
Blood count reticulocyte automated (85045)
range across 2 matching MRF lines		 $36.85–$60.50 $67–$110 varies
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 2 matching MRF lines		 $19.25–$25.30 $35–$46 varies
Blood count spun microhematocrit (85013) $10.45 $19 1.5×
Blood gases w/02 saturation (82805) $128.70 $234 1.6×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $80.30 $146 5.0×
Blood Type Antigen Donor Reagent Serum Each (86902) $209 $380 32.9×
Blood typing serologic abo (86900) $73.98 $134.50 24.7×
Body fluid cell count (89050) $50.05 $91 10.6×
Bone marrow smear interpretation (85097)
range across 2 matching MRF lines		 $499.95–$514.25 $909–$935 varies
Bordetella antibody (86615)
range across 4 matching MRF lines		 $29.15–$65.45 $53–$119 varies
Braf gene analysis (81210)
range across 6 matching MRF lines		 $250.80–$1,372.80 $456–$2,496 varies
Brca1&2 gen full seq dup/del (81162) $2,428.80 $4,416 1.3×
Brucella antibody (86622)
range across 4 matching MRF lines		 $22–$150.15 $40–$273 varies
C diff amplified probe (87493) $157.30 $286 4.2×
C-Peptide (84681) $56.10 $102 2.7×
C-reactive protein (86140)
range across 3 matching MRF lines		 $53.90–$65.45 $98–$119 varies
Ca 19-9 (86301)
range across 2 matching MRF lines		 $71.50–$102.30 $130–$186 varies
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) $165.55 $301 1.2×
Cadmium (82300)
range across 2 matching MRF lines		 $16.50–$76.45 $30–$139 varies
Caffeine (80155)
range across 2 matching MRF lines		 $44–$58.85 $80–$107 varies
Calcitonin (82308)
range across 2 matching MRF lines		 $92.40–$188.65 $168–$343 varies
Calcium ionized (82330)
range across 2 matching MRF lines		 $66.55–$71.50 $121–$130 varies
Calcium total (82310) $31.35 $57 6.1×
Calculus Spectroscopy (82365)
range across 2 matching MRF lines		 $59.40–$144.65 $108–$263 varies
Calprotectin Fecal (83993)
range across 2 matching MRF lines		 $122.10–$147.40 $222–$268 varies
Calr gene com variants (81219)
range across 2 matching MRF lines		 $457.05–$829.40 $831–$1,508 varies
Cancer Antigen 125 (86304)
range across 3 matching MRF lines		 $80.85–$283.25 $147–$515 varies
Cancer Antigen 27.29 (86300) $111.10 $202 5.3×
Candida antibody (86628)
range across 2 matching MRF lines		 $17.05–$22.55 $31–$41 varies
Car Ion Chnnlpath Inc 10 Gns (81413) $948.20 $1,724 1.6×
Car Ion Chnnlpath Inc 2 Gns (81414) $948.20 $1,724 1.6×
Carbamazepine free (80157) $38.50 $70 2.9×
Carbamazepine total (80156)
range across 2 matching MRF lines		 $41.80–$111.10 $76–$202 varies
Carbohydrate Deficient Transferrin (82373)
range across 2 matching MRF lines		 $130.90–$257.40 $238–$468 varies
Carboxyhemoglobin (82375)
range across 2 matching MRF lines		 $63.25–$74.25 $115–$135 varies
Carcinoembryonic antigen (82378)
range across 3 matching MRF lines		 $58.30–$184.25 $106–$335 varies
Cardiolipin ab iga (86147)
range across 3 matching MRF lines		 $34.65–$121.55 $63–$221 varies
Carnitine Quantitative Each Specimen (82379) $80.85 $147 4.8×
Carotene (82380) $79.20 $144 8.6×
Catecholamines fractionated (82384)
range across 3 matching MRF lines		 $62.70–$203.50 $114–$370 varies
Ccp antibody (86200)
range across 2 matching MRF lines		 $29.15–$31.90 $53–$58 varies
Cebpa Gene Analysis Full Gene Sequence (81218)
range across 2 matching MRF lines		 $381.15–$784.85 $693–$1,427 varies
Cell count csf (89051) $56.10 $102 10.0×
Cell enumeration & id (86152) $363.55 $661 1.4×
Cell marker study (88182) $235.40 $428 4.5×
Cellular Function Assay Stimul&Detect Biomarke (86352)
range across 4 matching MRF lines		 $174.35–$564.30 $317–$1,026 varies
Ceruloplasmin (82390)
range across 2 matching MRF lines		 $24.75–$26.40 $45–$48 varies
Cftr gene com variants (81220) $349.80 $636 0.6×
Cftr gene full sequence (81223)
range across 2 matching MRF lines		 $1,058.20–$1,701.15 $1,924–$3,093 varies
Chemiluminescent assay (82397)
range across 12 matching MRF lines		 $49.50–$425.70 $90–$774 varies
Chg cryopreservation mature oocyte(s) (89337) $667.70 $1,214 3.9×
Chimerism w/comp to baseline w/cell selection ea (81268)
range across 6 matching MRF lines		 $312.95–$1,051.60 $569–$1,912 varies
Chimerism w/comp to baseline w/o cell selection (81267)
range across 3 matching MRF lines		 $437.25–$634.15 $795–$1,153 varies
Chlamydia antibody (86631)
range across 5 matching MRF lines		 $36.30–$118.25 $66–$215 varies
Chlamydia Igm Antibody (86632)
range across 3 matching MRF lines		 $23.65–$81.40 $43–$148 varies
Chloride other source (82438)
range across 2 matching MRF lines		 $22–$48.95 $40–$89 varies
Chloride Serum (82435)
range across 2 matching MRF lines		 $11.55–$31.90 $21–$58 varies
Chloride urine (82436)
range across 4 matching MRF lines		 $10.45–$34.10 $19–$62 varies
Cholesterol total (82465)
range across 2 matching MRF lines		 $6.60–$36.85 $12–$67 varies
Cholinesterase rbc (82482) $104.50 $190 10.7×
Cholinesterase Serum (82480) $22 $40 2.8×
Chorionic gonadotropin test (84702)
range across 6 matching MRF lines		 $29.15–$109.45 $53–$199 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267)
range across 2 matching MRF lines		 $438.90–$733.70 $798–$1,334 varies
Chrmsm Analysis Addl Cells Counted Each Study (88285) $61.60 $112 2.3×
Chrmsm Analysis Addl High Resolution Study (88289) $146.30 $266 4.2×
Chrmsm Analysis Addl Karyotyp Each Study (88280)
range across 2 matching MRF lines		 $45.10–$76.45 $82–$139 varies
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) $382.80 $696 2.2×
Chrmsm Breakage Synds Score 100 Cll (88249) $759 $1,380 4.4×
Chromium serum (82495)
range across 3 matching MRF lines		 $52.25–$173.80 $95–$316 varies
Chromogenic Substrate Assay (85130)
range across 5 matching MRF lines		 $82.50–$326.70 $150–$594 varies
Chromogranin a (86316)
range across 10 matching MRF lines		 $71.50–$462 $130–$840 varies
Chromosome Analysis 15-20 (88262) $346.50 $630 2.8×
Chromosome Analysis 20-25 (88264) $836 $1,520 5.8×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 5 matching MRF lines		 $50.60–$386.65 $92–$703 varies
Citric acid urine (82507)
range across 4 matching MRF lines		 $34.65–$244.20 $63–$444 varies
Ckmb (82553) $84.15 $153 7.3×
Clostridium Difficile (87324) $46.75 $85 3.9×
Clot Factor VIII Multimetric (85247) $109.45 $199 4.8×
Clot factor xiii fibrin stab (85290)
range across 3 matching MRF lines		 $67.65–$174.35 $123–$317 varies
Clotting factor xii hageman (85280)
range across 3 matching MRF lines		 $44.55–$397.10 $81–$722 varies
Clotting Funct Activity (85397)
range across 3 matching MRF lines		 $86.35–$235.40 $157–$428 varies
Clotting hi molec weight kininogen assay (85293) $188.10 $342 9.9×
Clotting prekallikrein assay fletcher fact assay (85292) $133.65 $243 7.1×
Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) $1,214.95 $2,209 8.9×
Cns DNA amp probe type 12-25 (87483) $604.45 $1,099 1.5×
Coagulation time activated (85347)
range across 4 matching MRF lines		 $35.75–$44.55 $65–$81 varies
Coccidioides antibody (86635)
range across 7 matching MRF lines		 $19.25–$319.55 $35–$581 varies
Cold agglutinin screen (86156) $105.05 $191 13.0×
Cold agglutinin titer (86157) $31.35 $57 3.9×
Collagen crosslinks (82523)
range across 5 matching MRF lines		 $28.05–$241.45 $51–$439 varies
Column Chromotography Quant (82542)
range across 48 matching MRF lines		 $20.35–$597.85 $37–$1,087 varies
Comparative Anal Str Markers Patient&Comp Spec (81265)
range across 9 matching MRF lines		 $235.40–$660.55 $428–$1,201 varies
Compatibility test antiglob (86922)
range across 3 matching MRF lines		 $116.05–$189.20 $211–$344 varies
Complement Antigen Each Component (86160)
range across 41 matching MRF lines		 $48.95–$706.75 $89–$1,285 varies
Complement Total (Ch50) (86162)
range across 2 matching MRF lines		 $34.65–$384.45 $63–$699 varies
Complement/Function Activity (86161)
range across 11 matching MRF lines		 $31.90–$378.40 $58–$688 varies
Consltj Compre Review Reprt Referred Matrl (88325) $360.25 $655 2.1×
Consltj&Reprt Material Requiring Prepj Slides (88323)
range across 2 matching MRF lines		 $348.70–$1,684.10 $634–$3,062 varies
Consltj&Reprt Slides Prepared Elsewhere (88321)
range across 2 matching MRF lines		 $325.60–$355.30 $592–$646 varies
Coombs direct (86880)
range across 6 matching MRF lines		 $65.45–$67.10 $119–$122 varies
Copper urine (82525)
range across 5 matching MRF lines		 $38.50–$782.65 $70–$1,423 varies
Cortisol free (82530)
range across 2 matching MRF lines		 $115.50–$163.90 $210–$298 varies
Cortisol saliva (82533)
range across 10 matching MRF lines		 $80.30–$194.15 $146–$353 varies
Creatine (82540)
range across 2 matching MRF lines		 $36.30–$39.05 $66–$71 varies
Creatine kinase total (82550)
range across 2 matching MRF lines		 $17.05–$49.50 $31–$90 varies
Creatinine blood (82565)
range across 3 matching MRF lines		 $23.65–$54.45 $43–$99 varies
Creatinine clearance (82575) $81.40 $148 8.6×
Creatinine Urine (82570)
range across 8 matching MRF lines		 $9.35–$121.55 $17–$221 varies
Crossmatch electronic (86923) $98.45 $179 0.6×
Crossmatch immediate spin (86920) $118.25 $215 0.7×
Crp High Sensitivity (86141)
range across 2 matching MRF lines		 $92.95–$114.40 $169–$208 varies
Cryofibrinogen (82585) $45.65 $83 3.2×
Cryoglobulin (82595) $59.95 $109 9.3×
Cryopreservation, reproductive tissue, testicular (89335) $201.30 $366 3.8×
Cryopreservation; embryo(s) (89258) $823.35 $1,497 1.0×
Cryopreservation; sperm (89259) $233.20 $424 1.4×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $37.40 $68 2.9×
Cryptococcus ab (86641) $47.85 $87 3.3×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines		 $32.45–$113.30 $59–$206 varies
Cryptosporidium (87272) $58.85 $107 4.9×
Cryptosporidium ag eia (87328) $21.45 $39 1.6×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines		 $43.45–$104.50 $79–$190 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $57.75 $105 7.1×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $58.30 $106 7.6×
Culture aerobic quant other (87071) $88.55 $161 9.0×
Culture afb (87116)
range across 2 matching MRF lines		 $71.50–$135.85 $130–$247 varies
Culture Anaerobic (87075) $68.20 $124 7.2×
Culture bacteria anaerobic (87073) $34.65 $63 3.6×
Culture blood (87040) $79.20 $144 7.7×
Culture chlamydia (87110) $63.80 $116 3.3×
Culture csf (87070)
range across 8 matching MRF lines		 $11–$90.20 $20–$164 varies
Culture fungus (87102)
range across 2 matching MRF lines		 $50.05–$57.20 $91–$104 varies
Culture fungus blood (87103) $51.70 $94 2.5×
Culture oocyte/embryos<4day (89250) $414.15 $753 2.4×
Culture screen only (87081)
range across 11 matching MRF lines		 $12.10–$95.15 $22–$173 varies
Culture stool (87045) $101.20 $184 10.7×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 3 matching MRF lines		 $26.95–$32.45 $49–$59 varies
Culture urine (87086)
range across 2 matching MRF lines		 $8.53–$59.95 $15.50–$109 varies
Cyanide (82600) $74.80 $136 3.9×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $31.90 $58 2.2×
Cyclosporine (80158)
range across 2 matching MRF lines		 $165–$250.80 $300–$456 varies
Cyp2c19 gene analysis common variants (81225)
range across 2 matching MRF lines		 $176.28–$419.10 $320.50–$762 varies
Cyp2c9 gene com variants (81227)
range across 3 matching MRF lines		 $105.88–$311.85 $192.50–$567 varies
Cyp2d6 gene com variants (81226)
range across 2 matching MRF lines		 $272.80–$447.15 $496–$813 varies
Cyp3a4 gene common variants (81230)
range across 2 matching MRF lines		 $104.50–$105.88 $190–$192.50 varies
Cyp3a5 gene common variants (81231)
range across 2 matching MRF lines		 $104.50–$105.88 $190–$192.50 varies
Cystatin C (82610)
range across 2 matching MRF lines		 $76.45–$94.60 $139–$172 varies
Cytogenetics 10-30 (88273) $202.95 $369 5.8×
Cytogenetics 100-300 (88275)
range across 6 matching MRF lines		 $55.55–$496.65 $101–$903 varies
Cytogenom Const Microarray Copy Number Variants (81228)
range across 3 matching MRF lines		 $820.05–$1,705 $1,491–$3,100 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 2 matching MRF lines		 $1,880.45–$6,107.75 $3,419–$11,105 varies
Cytogenomic neo microra alys (81277)
range across 2 matching MRF lines		 $2,090–$3,046.45 $3,800–$5,539 varies
Cytomegalovirus igg (86644)
range across 6 matching MRF lines		 $83.05–$340.45 $151–$619 varies
Cytopath Cell Enhance Tech (88112) $217.80 $396 4.1×
Cytotoxic pra quick (86808) $44 $80 1.5×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $156.75 $285 5.9×
Cytp Concentration Smears & Interpretation (88108) $209.55 $381 5.5×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $84.70 $154 1.6×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $230.45 $419 1.3×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $18.15 $33 0.6×
Deoxycortisol (82634) $61.60 $112 2.1×
Deoxyribonuclease antibody (86215) $24.20 $44 1.8×
Desoxycorticosterone (82633) $45.10 $82 1.5×
Detect Agent Nos Dna Amp (87798)
range across 54 matching MRF lines		 $45.65–$1,455.85 $83–$2,647 varies
Detect Agent Nos Dna Quant (87799)
range across 17 matching MRF lines		 $152.90–$746.90 $278–$1,358 varies
Detect agnt mult DNA ampli (87801)
range across 5 matching MRF lines		 $42.90–$1,067.55 $78–$1,941 varies
Dhea (82626) $43.45 $79 1.7×
Dhea-S (82627) $98.45 $179 4.4×
Digoxin (80162) $90.75 $165 6.8×
Dihydrotestosterone (82642) $101.20 $184 3.5×
Dipropylacetic Acid Free (80165) $33.55 $61 2.5×
Dna Antibody Native/Double Stranded (86225) $92.40 $168 6.7×
Dna Antibody Single Stranded (86226) $139.70 $254 11.5×
DNA/RNA direct probe (87149)
range across 5 matching MRF lines		 $47.85–$243.65 $87–$443 varies
Dna/Rna Sequencing (87153) $294.25 $535 2.6×
Dpyd gene common variants (81232) $328.35 $597 1.9×
Drug assay acetaminophen (80143) $48.95 $89 2.6×
Drug assay adalimumab (80145) $1,510.30 $2,746 39.2×
Drug Assay Amiodarone (80151) $34.65 $63 1.9×
Drug Assay Everolimus (80169)
range across 2 matching MRF lines		 $189.75–$237.60 $345–$432 varies
Drug assay felbamate (80167) $110.55 $201 5.9×
Drug Assay Infliximab (80230) $305.80 $556 7.9×
Drug Assay Itraconazole (80189) $51.15 $93 1.9×
Drug Assay Lacosamide (80235) $61.60 $112 2.3×
Drug Assay Leflunomide (80193) $103.40 $188 2.7×
Drug Assay Posaconazole (80187) $81.40 $148 3.0×
Drug Assay Vedolizumab (80280) $325.05 $591 8.4×
Drug assay voriconazole (80285) $65.45 $119 2.4×
Drug Screen Quant Clozapine (80159) $34.10 $62 1.7×
Drug Screen Quant Zonisamide (80203) $152.90 $278 11.5×
Drug Screen Quantitative Gabapentin (80171) $39.60 $72 1.8×
Drug Screen Quantitative Lamotrigine (80175) $78.10 $142 5.9×
Drug Screen Quantitative Levetiracetam (80177) $87.45 $159 6.6×
Drug Screen Quantitative Oxcarbazepine (80183) $36.30 $66 2.7×
Drug Screen Quantitative Procainamide Metabolite (80192) $138.60 $252 8.3×
Drug Screen Quantitative Tiagabine (80199) $96.25 $175 3.6×
Drug Test Prsmv Chem Anlyzr (80307)
range across 51 matching MRF lines		 $4.68–$562.10 $8.50–$1,022 varies
Egfr Gene Analysis Common Variants (81235)
range across 4 matching MRF lines		 $350.90–$932.80 $638–$1,696 varies
Ehrlichia antibody (86666)
range across 2 matching MRF lines		 $52.80–$74.80 $96–$136 varies
El-1 Fecal Quantitative (82653) $86.35 $157 3.8×
Electrolyte panel (80051)
range across 2 matching MRF lines		 $88–$158.95 $160–$289 varies
Electron Microscopy (88348)
range across 4 matching MRF lines		 $828.30–$1,044.45 $1,506–$1,899 varies
Electrophoretic Test - Immunofixation Electrophoresis (82664)
range across 3 matching MRF lines		 $79.20–$343.75 $144–$625 varies
Embryo hatching microtechnique (89253) $196.35 $357 1.1×
Encephaltis East Eqne Anbdy (86652)
range across 3 matching MRF lines		 $34.65–$99.55 $63–$181 varies
Encephaltis West Eqne Antbdy (86654)
range across 2 matching MRF lines		 $34.65–$36.85 $63–$67 varies
Enterovirus Antibody (86658)
range across 7 matching MRF lines		 $26.40–$80.85 $48–$147 varies
Enterovirus PCR (87498)
range across 2 matching MRF lines		 $203.50–$325.60 $370–$592 varies
Enzyme cell activity (82657)
range across 24 matching MRF lines		 $37.40–$1,141.80 $68–$2,076 varies
Enzyme histochemistry (88319) $501.05 $911 0.6×
Eosinophil Smear (89190) $22.55 $41 3.9×
Erythropoietin (82668) $91.85 $167 4.9×
Estradiol serum (82670)
range across 2 matching MRF lines		 $43.45–$99.55 $79–$181 varies
Estriol (82677)
range across 2 matching MRF lines		 $31.90–$189.20 $58–$344 varies
Estrogen total (82672) $152.35 $277 7.0×
Estrogens fractionated (82671) $56.10 $102 1.7×
Ethosuximide (80168) $24.75 $45 1.5×
Ethylene Glycol (82693) $58.85 $107 3.9×
Euglobulin lysis (85360) $118.80 $216 14.1×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines		 $42.90–$150.15 $78–$273 varies
Exome Sequence Analysis (81415)
range across 2 matching MRF lines		 $4,159.10–$5,185.40 $7,562–$9,428 varies
Exome sequence analysis each comparator exome (81416) $10,440.10 $18,982 0.9×
Extnd Cul Oocyte/Embryo 4-7 Days (89272) $513.15 $933 0.6×
F2 Gene (81240) $245.30 $446 3.7×
Factor ii activity (85210)
range across 2 matching MRF lines		 $27.50–$79.20 $50–$144 varies
Factor Inhibitor Test (85335)
range across 8 matching MRF lines		 $107.80–$205.15 $196–$373 varies
Factor ix activity (85250)
range across 2 matching MRF lines		 $85.25–$125.40 $155–$228 varies
Factor v activity (85220)
range across 4 matching MRF lines		 $48.40–$187.55 $88–$341 varies
Factor v leiden mutation (81241) $210.10 $382 2.9×
Factor vii assay (85230)
range across 3 matching MRF lines		 $42.35–$209.55 $77–$381 varies
Factor viii assay (85240)
range across 2 matching MRF lines		 $58.30–$245.30 $106–$446 varies
Factor X (85260)
range across 5 matching MRF lines		 $50.60–$219.45 $92–$399 varies
Factor xi activity (85270)
range across 2 matching MRF lines		 $44.55–$191.95 $81–$349 varies
Factor xiii screen (85291) $52.25 $95 5.7×
Fancc Gene (81242)
range across 3 matching MRF lines		 $70.95–$201.30 $129–$366 varies
Fat/Lipids Feces Quantitative (82710)
range across 4 matching MRF lines		 $40.70–$244.20 $74–$444 varies
Fatty acids free (82725) $70.40 $128 3.8×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $51.15 $93 6.6×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415)
range across 3 matching MRF lines		 $182.05–$270.05 $331–$491 varies
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $114.95 $209 11.3×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $33 $60 5.1×
Fecal Fat Qualitative (82705) $29.15 $53 5.7×
Ferritin (82728) $105.05 $191 7.7×
Fetal Chrmoml Aneuploidy (81420) $902 $1,640 1.2×
Fetal Congenital Abnor Assay Four Anal (81511) $173.25 $315 1.1×
Fetal hemoglobin assay qual (83033) $64.35 $117 8.0×
Fetal screen rosette (85461) $15.40 $28 1.6×
Fibrin Degradation Quant (85379) $69.30 $126 6.8×
Fibrinogen activity (85384)
range across 2 matching MRF lines		 $50.05–$70.95 $91–$129 varies
Fibrinogen antigen (85385) $42.90 $78 3.0×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $49.50 $90 3.2×
Flecainide level (80181) $48.40 $88 2.6×
Flow cytometry first marker (88184)
range across 14 matching MRF lines		 $209–$444.95 $380–$809 varies
Flt3 Gene (81245)
range across 5 matching MRF lines		 $106.70–$383.35 $194–$697 varies
Flt3 gene analysis (81246)
range across 3 matching MRF lines		 $97.90–$200.75 $178–$365 varies
Fluorescent antibody screen (86255)
range across 74 matching MRF lines		 $25.85–$1,320.55 $47–$2,401 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 22 matching MRF lines		 $16.50–$300.30 $30–$546 varies
Fluoride serum (82735)
range across 2 matching MRF lines		 $74.25–$91.30 $135–$166 varies
Fmr1 Gene Charac Alleles (81244) $159.50 $290 3.6×
Fmr1 gene detection (81243) $323.95 $589 5.7×
Folic acid rbc (82747) $132 $240 7.5×
Folic Acid Serum (82746) $101.20 $184 6.9×
Follicle Stimulating Hormone (83001) $100.10 $182 5.4×
Francisella tularensis (86668) $23.10 $42 1.6×
Fresh Frozen Plasma Thawing Each Unit (86927) $245.30 $446 1.4×
Frozen Section (88331) $136.40 $248 0.8×
Fungi Identification Mold (87107)
range across 2 matching MRF lines		 $60.50–$323.95 $110–$589 varies
Fungi Identification Yeast (87106)
range across 2 matching MRF lines		 $56.10–$103.40 $102–$188 varies
G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) $159.50 $290 2.7×
Galactose-1-Phosphate Uridyl Transferase Quan (82775)
range across 2 matching MRF lines		 $67.10–$182.05 $122–$331 varies
Galectin-3 (82777) $187 $340 4.2×
Gammaglobulin ige (82785)
range across 5 matching MRF lines		 $40.70–$369.05 $74–$671 varies
Gases Blood O2 Saturation Only Direct Meas (82810)
range across 4 matching MRF lines		 $8.80–$56.10 $16–$102 varies
Gases blood ph only (82800) $53.90 $98 4.9×
Gastric Analy W/Ph Ea Spec (82930) $38.50 $70 5.7×
Gastrin (82941) $70.40 $128 4.0×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507)
range across 2 matching MRF lines		 $580.25–$689.70 $1,055–$1,254 varies
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $159.50 $290 3.4×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)
range across 2 matching MRF lines		 $1,434.40–$1,455.30 $2,608–$2,646 varies
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455)
range across 3 matching MRF lines		 $2,565.20–$5,225 $4,664–$9,500 varies
Genetic Tstg Severe Inh Cond (81443)
range across 5 matching MRF lines		 $1,986.60–$4,796.55 $3,612–$8,721 varies
Gentamicin (80170) $63.25 $115 3.9×
Ggt (82977) $42.35 $77 5.9×
Giardia antigen (87329) $21.45 $39 1.8×
GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) $86.90 $158 1.4×
Gjb2 Gene Analysis Full Gene Sequence (81252)
range across 2 matching MRF lines		 $86.90–$516.45 $158–$939 varies
Gjb6 Gene Analysis Common Variants (81254) $86.90 $158 2.5×
Gluc-6-phosphate dehydrogenase screen (82960) $100.65 $183 16.6×
Glucagon (82943) $118.80 $216 8.3×
Glucose 2 hr pp (82950)
range across 3 matching MRF lines		 $12.65–$35.20 $23–$64 varies
Glucose Blood Test (82962)
range across 6 matching MRF lines		 $18.70–$19.25 $34–$35 varies
Glucose body fluid (82945)
range across 6 matching MRF lines		 $19.25–$129.25 $35–$235 varies
Glucose Serum (82947)
range across 4 matching MRF lines		 $8.25–$26.40 $15–$48 varies
Glucose tolerance test (gtt) (82951)
range across 2 matching MRF lines		 $90.75–$110 $165–$200 varies
Glucosidase beta (82963)
range across 2 matching MRF lines		 $185.90–$205.15 $338–$373 varies
Glutathione (82978)
range across 2 matching MRF lines		 $108.90–$370.15 $198–$673 varies
Glycated Protein (82985)
range across 2 matching MRF lines		 $31.35–$190.85 $57–$347 varies
Gonadotropin Chorionic Qualitative (84703) $49.50 $90 6.6×
Gonadotropin releasing hormone (83727) $213.95 $389 12.4×
Growth hormone (83003) $28.60 $52 1.7×
Gtt-added samples (82952) $30.25 $55 7.7×
H Pylori (C-13) Breath (83013) $248.05 $451 3.7×
Haloperidol (80173) $34.10 $62 2.2×
Haptoglobin (83010) $68.75 $125 5.5×
Hba1/hba2 full gene sequence (81259) $870.10 $1,582 1.5×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $584.65 $1,063 2.9×
HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)… (81362) $389.40 $708 1.0×
Hbb Full Gene Sequence (81364) $756.80 $1,376 2.3×
Hbb Gene Com Variants (81361) $300.30 $546 1.7×
Hdl Cholesterol (83718) $44 $80 5.4×
Heinz Bodies Direct (85441) $71.50 $130 17.0×
Heinz Bodies Induced Acetyl Phenylhydrazine (85445) $221.65 $403 32.5×
Helicobacter Pylori Stool (87338) $58.30 $106 4.1×
Helminth Antibody (86682)
range across 7 matching MRF lines		 $37.40–$205.15 $68–$373 varies
Hematocrit (85014)
range across 4 matching MRF lines		 $22–$49.50 $40–$90 varies
Hemoglobin (85018)
range across 2 matching MRF lines		 $23.10–$31.35 $42–$57 varies
Hemoglobin a1c (83036)
range across 4 matching MRF lines		 $17.60–$127.60 $32–$232 varies
Hemoglobin Chromotography (83021)
range across 5 matching MRF lines		 $57.75–$288.20 $105–$524 varies
Hemoglobin electrophoresis (83020)
range across 5 matching MRF lines		 $62.70–$656.15 $114–$1,193 varies
Hemoglobin Methemoglobin Quantitative (83050)
range across 2 matching MRF lines		 $34.65–$35.75 $63–$65 varies
Hemoglobin plasma (83051)
range across 2 matching MRF lines		 $21.45–$31.90 $39–$58 varies
Hemoglobin stability screen (83068) $227.70 $414 24.0×
Hemoglobin urine (83069) $19.80 $36 5.0×
Hemoglobin-Oxygen Affinity (82820)
range across 2 matching MRF lines		 $207.90–$224.40 $378–$408 varies
Hemolysins&Agglutinins Auto Screen Each (86940)
range across 2 matching MRF lines		 $58.85–$63.80 $107–$116 varies
Hemolysins&Agglutinins Incubated (86941)
range across 3 matching MRF lines		 $36.30–$126.50 $66–$230 varies
Hemosiderin urine (83070) $38.50 $70 8.1×
Hep a ab igm (86709) $86.35 $157 7.7×
Heparin assay (85520)
range across 3 matching MRF lines		 $133.10–$304.15 $242–$553 varies
Heparin Neutralization (85525)
range across 3 matching MRF lines		 $22–$147.40 $40–$268 varies
Hepatitis a antibody total (86708) $84.15 $153 6.8×
Hepatitis b core ab igm (86705) $85.25 $155 7.2×
Hepatitis b core ab total (86704)
range across 2 matching MRF lines		 $116.05–$123.75 $211–$225 varies
Hepatitis B Surface Antibody (86706) $89.65 $163 8.3×
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines		 $35.75–$85.80 $65–$156 varies
Hepatitis Be Antibody (86707) $42.35 $77 3.7×
Hepatitis Be Antigen (87350) $36.85 $67 3.2×
Hepatitis C Antibody (86803) $168.30 $306 11.8×
Hepatitis C Genotype (87902)
range across 6 matching MRF lines		 $363.55–$871.75 $661–$1,585 varies
Hepatitis C Probe&Rvrs Trnsc (87521)
range across 2 matching MRF lines		 $22–$86.90 $40–$158 varies
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines		 $246.95–$350.90 $449–$638 varies
Hepatitis delta ag (87380) $173.25 $315 9.4×
Hepatitis Delta Agent Antibody (86692)
range across 2 matching MRF lines		 $19.80–$175.45 $36–$319 varies
Hereditary peripheral neuropathy gen seq pnl (81448) $1,216.05 $2,211 2.1×
Herpes simplex type 2 (86696)
range across 2 matching MRF lines		 $40.15–$56.10 $73–$102 varies
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines		 $17.60–$60.50 $32–$110 varies
Hfe Gene (81256) $249.70 $454 3.8×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $11.55 $21 1.5×
Histamine urine (83088)
range across 4 matching MRF lines		 $42.90–$166.65 $78–$303 varies
Histoplasma antibody (86698)
range across 4 matching MRF lines		 $19.25–$62.70 $35–$114 varies
Histoplasma antigen urine (87385)
range across 2 matching MRF lines		 $101.20–$183.70 $184–$334 varies
Hiv Genotype (87901)
range across 3 matching MRF lines		 $525.25–$1,061.50 $955–$1,930 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines		 $25.30–$34.65 $46–$63 varies
Hiv-1 Antibody (86701) $19.80 $36 2.2×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 2 matching MRF lines		 $256.30–$897.60 $466–$1,632 varies
HIV-2 probe&revrse trnscripj (87538)
range across 3 matching MRF lines		 $57.20–$493.35 $104–$897 varies
Hla Class I Typing High Resolution Complete (81379) $1,743.50 $3,170 5.2×
Hla Class I Typing High Resolution One Locus Ea (81380)
range across 4 matching MRF lines		 $352–$630.30 $640–$1,146 varies
Hla Class I Typing Low Resolution Complete (81372)
range across 2 matching MRF lines		 $380.05–$586.85 $691–$1,067 varies
Hla Class I Typing Low Resolution One Locus Each (81373)
range across 6 matching MRF lines		 $230.45–$1,129.70 $419–$2,054 varies
Hla class i&ii antibody qual (86828)
range across 3 matching MRF lines		 $134.75–$265.10 $245–$482 varies
Hla class ii high defin qual (86833)
range across 2 matching MRF lines		 $379.50–$447.70 $690–$814 varies
Hla class ii typing high resolution one locus ea (81382)
range across 13 matching MRF lines		 $165.55–$2,405.70 $301–$4,374 varies
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $561.55 $1,021 5.1×
Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) $128.15 $233 3.5×
Hla I Low Resolution One Antigen Equivalent Each (81374) $321.20 $584 4.3×
Hla I Typing 1 Allele Hr (81381)
range across 6 matching MRF lines		 $183.15–$562.65 $333–$1,023 varies
Hla i&ii high resolution hla-a -b -c and -drb1 (81378) $1,639.55 $2,981 4.7×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $301.95 $549 1.4×
Hla ii type 1 ag equiv lr (81377)
range across 2 matching MRF lines		 $148.50–$173.80 $270–$316 varies
Hla ii typing 1 allele hr (81383) $408.10 $742 3.7×
Hla ii typing 1 locus lr (81376)
range across 7 matching MRF lines		 $139.15–$482.90 $253–$878 varies
Hla-b27 (86812) $117.70 $214 4.6×
Homocysteine (83090) $85.80 $156 4.8×
Homogenization Tissue (87176) $38.50 $70 6.5×
Homovanillic acid urine (83150)
range across 2 matching MRF lines		 $78.10–$104.50 $142–$190 varies
Hpa-1 genotyping gene analysis common variant (81105)
range across 2 matching MRF lines		 $106.15–$298.10 $193–$542 varies
Hpa-15 genotyping gene analysis common variant (81112)
range across 2 matching MRF lines		 $163.90–$298.10 $298–$542 varies
Hpa-2 genotyping gene analysis common variant (81106)
range across 2 matching MRF lines		 $106.15–$298.10 $193–$542 varies
Hpa-3 genotyping gene analysis common variant (81107)
range across 2 matching MRF lines		 $106.15–$298.10 $193–$542 varies
Hpa-4 genotyping gene analysis common variant (81108)
range across 2 matching MRF lines		 $106.15–$298.10 $193–$542 varies
Hpa-5 genotyping gene analysis common variant (81109)
range across 2 matching MRF lines		 $106.15–$298.10 $193–$542 varies
Hpa-6 genotyping gene analysis common variant (81110)
range across 2 matching MRF lines		 $106.15–$298.10 $193–$542 varies
Hpa-9 Genotyping (81111)
range across 2 matching MRF lines		 $106.15–$298.10 $193–$542 varies
Hpv High-Risk Types (87624)
range across 5 matching MRF lines		 $66.55–$249.70 $121–$454 varies
Hpv sep hi-rsk typ&pool rslt (87626) $64.35 $117 0.9×
Hsv Dna Amp Probe (87529)
range across 9 matching MRF lines		 $33–$353.65 $60–$643 varies
Hsv Dna Quant (87530)
range across 3 matching MRF lines		 $180.95–$275.55 $329–$501 varies
Htt Gene Detc Abnor Alleles (81271) $345.95 $629 2.5×
Human Epididymis Protein 4 (86305)
range across 2 matching MRF lines		 $80.85–$200.20 $147–$364 varies
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines		 $59.40–$99.55 $108–$181 varies
Iaad Ia Entamoeba Histolytica Grp (87337) $68.20 $124 5.7×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $155.65 $283 15.1×
Iaad ia shiga-like toxin (87427) $46.20 $84 3.9×
Iaadi giardia (87269) $36.30 $66 2.7×
Iaadi pneumocustis carinii (87281) $194.70 $354 16.3×
Iadna anaplasma phagocytophilum amplifed prb tq (87468)
range across 2 matching MRF lines		 $64.35–$70.95 $117–$129 varies
Iadna Bartonella Amplified Probe Technique (87471) $310.75 $565 8.9×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476)
range across 2 matching MRF lines		 $162.25–$348.15 $295–$633 varies
Iadna chlamydia pneumoniae amplified probe tq (87486) $74.25 $135 2.1×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 4 matching MRF lines		 $75.35–$224.95 $137–$409 varies
Iadna Cytomegalovirus Quantification (87497)
range across 4 matching MRF lines		 $239.80–$1,251.80 $436–$2,276 varies
Iadna ehrlichia chaffeensis amplified probe tq (87484)
range across 2 matching MRF lines		 $64.35–$70.95 $117–$129 varies
Iadna hepatitis b virus amplified probe tq (87516) $29.15 $53 0.8×
Iadna Hepatitis B Virus Quantification (87517) $239.80 $436 5.6×
Iadna Herpes Virus-6 Amplified Probe Tq (87532)
range across 2 matching MRF lines		 $216.15–$224.40 $393–$408 varies
Iadna Herpes Virus-6 Quantification (87533)
range across 3 matching MRF lines		 $237.88–$455.95 $432.50–$829 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 3 matching MRF lines		 $29.15–$275.55 $53–$501 varies
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $111.10 $202 3.2×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $432.85 $787 9.0×
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 4 matching MRF lines		 $138.05–$682 $251–$1,240 varies
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 3 matching MRF lines		 $74.25–$385 $135–$700 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines		 $48.95–$125.95 $89–$229 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593)
range across 2 matching MRF lines		 $58.85–$126.50 $107–$230 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $237.60 $432 1.7×
Idh1 common variants (81120)
range across 4 matching MRF lines		 $143.55–$490.60 $261–$892 varies
Idh2 common variants (81121)
range across 4 matching MRF lines		 $228.80–$535.70 $416–$974 varies
Ifnl3 gene analysis rs12979860 variant (81283) $244.20 $444 3.3×
Ig Light Chains Free Each (83521)
range across 3 matching MRF lines		 $32.45–$85.25 $59–$155 varies
Igg subclasses (82787)
range across 7 matching MRF lines		 $17.60–$43.45 $32–$79 varies
Igh gene rearrange amp meth (81261)
range across 2 matching MRF lines		 $309.65–$491.15 $563–$893 varies
Igh@ Variable Region Somatic Mutation Analysis (81263) $704.55 $1,281 2.4×
Igk rearrangeabn clonal pop (81264)
range across 2 matching MRF lines		 $222.75–$223.30 $405–$406 varies
Ikbkap Gene Analysis Common Variants (81260) $199.10 $362 5.1×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 2 matching MRF lines		 $294.25–$298.65 $535–$543 varies
Immune Complex Assay (86332)
range across 2 matching MRF lines		 $109.45–$144.65 $199–$263 varies
Immunfix e-phorsis/urine/csf (86335)
range across 3 matching MRF lines		 $143.55–$371.25 $261–$675 varies
Immunoassay analyte qual/semiqual single step (83518) $277.75 $505 28.8×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 46 matching MRF lines		 $21.45–$1,183.05 $39–$2,151 varies
Immunoassay infectious agent (86318) $117.15 $213 6.5×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 8 matching MRF lines		 $13.20–$86.35 $24–$157 varies
Immunoassay nonantibody (83516)
range across 77 matching MRF lines		 $20.08–$1,447.60 $36.50–$2,632 varies
Immunodiffusion not elsewhere specified (86329) $30.80 $56 2.2×
Immunodiffusion Ouchterlony (86331)
range across 6 matching MRF lines		 $24.75–$80.30 $45–$146 varies
Immunofixation electrophoresis (86334)
range across 5 matching MRF lines		 $67.10–$326.15 $122–$593 varies
Immunofluorescence per spec 1st singl antb stain (88346)
range across 20 matching MRF lines		 $187.55–$2,101 $341–$3,820 varies
Immunohistochemistry (88342)
range across 25 matching MRF lines		 $101.75–$277.75 $185–$505 varies
In situ hybridization 1st probe stain (88365)
range across 14 matching MRF lines		 $139.15–$1,749.55 $253–$3,181 varies
In situ hybridization ea multiplex probe stain (88366)
range across 4 matching MRF lines		 $466.95–$721.60 $849–$1,312 varies
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) $30.25 $55 1.4×
Influenza a/b ag eia (87400) $91.85 $167 6.5×
Inhibin A (86336)
range across 2 matching MRF lines		 $102.85–$169.40 $187–$308 varies
Inhibin b (83520)
range across 92 matching MRF lines		 $22.55–$888.25 $41–$1,615 varies
Insemination of oocytes (89268) $284.90 $518 1.7×
Insitu hybridization auto (88367) $246.40 $448 0.7×
Insitu hybridization manual (88368)
range across 2 matching MRF lines		 $558.80–$565.95 $1,016–$1,029 varies
Insulin antibodies (86337) $69.30 $126 3.2×
Insulin free (83527) $30.25 $55 2.3×
Insulin total (83525)
range across 2 matching MRF lines		 $61.60–$62.70 $112–$114 varies
Interleukin-6 (83529)
range across 2 matching MRF lines		 $50.60–$119.90 $92–$218 varies
Intrinsic factor antibody (86340) $62.70 $114 4.2×
Iron (83540)
range across 2 matching MRF lines		 $59.40–$647.90 $108–$1,178 varies
Iron Binding Capacity (83550) $73.70 $134 8.4×
Irradiation Blood Product Each Unit (86945) $102.30 $186 2.7×
Islet cell antibody (86341)
range across 18 matching MRF lines		 $39.05–$345.95 $71–$629 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 5 matching MRF lines		 $344.85–$395.45 $627–$719 varies
Jak2 Gene Trgt Sequence Alys (81279) $345.40 $628 1.9×
Kit Gene Analysis D816 Variant(S) (81273)
range across 2 matching MRF lines		 $372.90–$514.25 $678–$935 varies
Kit Gene Analysis Targeted Sequence Analysis (81272)
range across 8 matching MRF lines		 $418–$860.75 $760–$1,565 varies
Koh Prep (87220) $49.50 $90 11.6×
Kras Gene Analysis Additional Variant(S) (81276)
range across 4 matching MRF lines		 $121.55–$276.65 $221–$503 varies
Kras Gene Variants Exon 2 (81275)
range across 7 matching MRF lines		 $121.55–$1,038.40 $221–$1,888 varies
Lactate (ld) (ldh) enzyme (83615)
range across 4 matching MRF lines		 $19.25–$50.60 $35–$92 varies
Lactoferrin fecal qualitative (83630)
range across 2 matching MRF lines		 $17.05–$56.65 $31–$103 varies
Lactoferrin Fecal Quantitative (83631) $42.90 $78 2.2×
Lamellar Body Count (83664) $78.65 $143 4.1×
Ldh Isoenzymes (83625) $37.95 $69 3.0×
LDL direct (83721)
range across 2 matching MRF lines		 $31.35–$77.55 $57–$141 varies
Lead (83655)
range across 5 matching MRF lines		 $14.30–$50.05 $26–$91 varies
Legionella antibody (86713) $48.40 $88 3.2×
Legionella antigen urine (87449)
range across 4 matching MRF lines		 $80.85–$162.25 $147–$295 varies
Leptospira antibody (86720)
range across 2 matching MRF lines		 $83.05–$116.05 $151–$211 varies
Leukocyte Histamine Release (86343) $120.45 $219 9.7×
Level I Surg Pathology Gross Examination Only (88300) $62.15 $113 2.1×
Level ii surg pathology gross&microscopic exam (88302) $140.25 $255 3.7×
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 5 matching MRF lines		 $242.55–$3,892.90 $441–$7,078 varies
Lidocaine (80176) $43.45 $79 3.0×
Lipase (83690)
range across 4 matching MRF lines		 $68.20–$91.30 $124–$166 varies
Lipoprotein A (83695)
range across 2 matching MRF lines		 $20.90–$24.75 $38–$45 varies
Lipoprotein Bld Quan Part (83704) $83.60 $152 2.4×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $67.65 $123 6.0×
Lipoprotein-Associated Phospholipase A2 (83698) $78.10 $142 1.7×
Lithium (80178) $51.15 $93 7.7×
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines		 $22–$98.45 $40–$179 varies
Lyme disease antibody (86618)
range across 7 matching MRF lines		 $40.70–$343.75 $74–$625 varies
Lymphocyte transformation (86353)
range across 2 matching MRF lines		 $89.38–$353.65 $162.50–$643 varies
Lysozyme serum (85549) $27.50 $50 1.5×
M. Genitalium Amp Probe (87563)
range across 3 matching MRF lines		 $114.40–$327.25 $208–$595 varies
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 10 matching MRF lines		 $315.70–$810.70 $574–$1,474 varies
M/phmtrc alys ishquant/semiq (88374)
range across 4 matching MRF lines		 $431.20–$541.20 $784–$984 varies
Macroscopic exam arthropod (87168) $37.95 $69 8.9×
Macroscopic Exam Parasite (87169)
range across 2 matching MRF lines		 $44–$1,499.85 $80–$2,727 varies
Magnesium Urine (83735)
range across 6 matching MRF lines		 $11.55–$51.70 $21–$94 varies
Mass Spectrometry Quant (83789)
range across 15 matching MRF lines		 $67.65–$448.25 $123–$815 varies
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) $199.10 $362 5.1×
Mercury urine (83825)
range across 2 matching MRF lines		 $24.20–$25.30 $44–$46 varies
Metabolic panel ionized ca (80047) $111.10 $202 8.1×
Methotrexate (80204) $43.45 $79 1.1×
Methylmalonic acid serum (83921)
range across 7 matching MRF lines		 $79.20–$653.95 $144–$1,189 varies
Mgmt methylation analysis (81287)
range across 3 matching MRF lines		 $133.65–$227.15 $243–$413 varies
Microalbumin, quantitative (82043)
range across 2 matching MRF lines		 $17.60–$54.45 $32–$99 varies
Microbe Suscept Macrobroth (87188)
range across 4 matching MRF lines		 $59.40–$81.95 $108–$149 varies
Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) $30.80 $56 1.4×
Microsatellite instability (81301)
range across 2 matching MRF lines		 $503.80–$1,045 $916–$1,900 varies
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines		 $35.20–$271.15 $64–$493 varies
Mitochondrial Antibody Each (86381) $37.40 $68 1.5×
Mlh1 Gene (81288) $294.80 $536 1.5×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $227.70 $414 1.1×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $771.10 $1,402 1.1×
Mog-Igg1 Antb Flo Cytmtry Ea (86363)
range across 3 matching MRF lines		 $116.05–$641.30 $211–$1,166 varies
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) $58.30 $106 1.4×
Molecular Cytogenetics Dna Probe Each (88271)
range across 27 matching MRF lines		 $90.20–$1,544.40 $164–$2,808 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $158.40 $288 3.7×
Molecular Pathology Procedure Level 3 (81402)
range across 5 matching MRF lines		 $216.15–$882.20 $393–$1,604 varies
Molecular Pathology Procedure Level 6 (81405)
range across 14 matching MRF lines		 $239.25–$796.40 $435–$1,448 varies
Mononuclear cell antigen (86356)
range across 8 matching MRF lines		 $48.40–$114.40 $88–$208 varies
Mopath procedure level 1 (81400)
range across 9 matching MRF lines		 $85.25–$464.20 $155–$844 varies
Mopath procedure level 2 (81401)
range across 15 matching MRF lines		 $171.60–$1,823.25 $312–$3,315 varies
Mopath procedure level 4 (81403)
range across 10 matching MRF lines		 $176.55–$565.40 $321–$1,028 varies
Mopath procedure level 5 (81404)
range across 14 matching MRF lines		 $354.20–$1,261.15 $644–$2,293 varies
Mopath procedure level 7 (81406)
range across 13 matching MRF lines		 $348.70–$3,094.85 $634–$5,627 varies
Mopath procedure level 8 (81407)
range across 6 matching MRF lines		 $959.75–$1,882.65 $1,745–$3,423 varies
Mopath procedure level 9 (81408)
range across 2 matching MRF lines		 $1,276–$2,428.80 $2,320–$4,416 varies
Morphometric analysis nerve (88356) $761.20 $1,384 14.4×
Mpl gene analysis sequence analysis exon 10 (81339) $279.95 $509 1.5×
Mpl gene common variants (81338) $325.60 $592 2.2×
Mrsa Pcr (87641) $176 $320 5.0×
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $185.90 $338 0.9×
Msh2 Gene Analysis Full Sequence Analysis (81295) $332.75 $605 0.9×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $207.90 $378 0.9×
Msh6 Gene Analysis Full Sequence Analysis (81298) $558.80 $1,016 0.9×
Mucopolysaccharides acid quantitative (83864) $421.85 $767 14.8×
Mumps antibody (86735)
range across 2 matching MRF lines		 $11–$52.80 $20–$96 varies
Mycobacteric Identification (87118) $46.20 $84 3.2×
Mycophenolic Acid (80180) $96.25 $175 5.3×
Mycoplasma antibody (86738)
range across 3 matching MRF lines		 $35.20–$88.55 $64–$161 varies
Mycoplasma culture (87109)
range across 2 matching MRF lines		 $78.65–$139.70 $143–$254 varies
Myd88 Gene P.Leu265pro Vrnt (81305)
range across 2 matching MRF lines		 $363.55–$751.85 $661–$1,367 varies
Myelin basic protein csf (83873) $53.35 $97 3.1×
Myoglobin urine (83874)
range across 2 matching MRF lines		 $24.20–$78.65 $44–$143 varies
Natriuretic peptide (83880) $150.70 $274 3.8×
Nerve teasing preparations (88362) $480.15 $873 0.6×
Neurofilament light chain (83884) $684.48 $1,244.50 5.9×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $407.55 $741 3.2×
Nfct Agent Genotype Hepatitis B Virus (87912) $474.10 $862 1.8×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910)
range across 2 matching MRF lines		 $229.90–$889.35 $418–$1,617 varies
Nfct ds bv&vaginitis DNA alg (81515) $159.23 $289.50 0.6×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906)
range across 2 matching MRF lines		 $199.10–$431.20 $362–$784 varies
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $57.20 $104 2.2×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $946 $1,720 1.9×
Niacin (84591)
range across 4 matching MRF lines		 $17.05–$128.70 $31–$234 varies
Nickel level (83885)
range across 2 matching MRF lines		 $39.05–$50.60 $71–$92 varies
Nk cells total count (86357)
range across 4 matching MRF lines		 $102.30–$202.95 $186–$369 varies
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310)
range across 3 matching MRF lines		 $259.05–$424.05 $471–$771 varies
Nras gene variants exon 2&3 (81311)
range across 5 matching MRF lines		 $245.30–$586.30 $446–$1,066 varies
Ntrk translocation analysis (81194) $1,245.20 $2,264 2.4×
Nuclear antigen antibody (86235)
range across 23 matching MRF lines		 $31.35–$291.50 $57–$530 varies
Nudt15 Gene Common Variants (81306) $165.28 $300.50 0.6×
Nzym actv blood cells/tiss radact substrate ea (82658) $350.35 $637 8.0×
Obstetric panel (80081) $107.80 $196 1.4×
Occult Blood Other Sources (82271) $23.65 $43 4.4×
Oligoclonal bands (83916)
range across 2 matching MRF lines		 $110–$111.10 $200–$202 varies
Oncology Prostate Prob Score (81539) $707.30 $1,286 0.9×
Oncoprotein dcp (83951)
range across 2 matching MRF lines		 $164.45–$171.60 $299–$312 varies
Oncoprotein Her-2/Neu (83950) $419.65 $763 6.5×
Oocyte identification from follicular fluid (89254) $547.25 $995 3.2×
Organic acids urine (83918)
range across 2 matching MRF lines		 $187–$408.10 $340–$742 varies
Osmolality serum (83930) $57.75 $105 8.7×
Osmolality Urine (83935)
range across 4 matching MRF lines		 $9.35–$53.35 $17–$97 varies
Osmotic fragility rbc incubated (85557) $174.35 $317 13.1×
Osmotic Fragility RBC Unincubated (85555) $67.10 $122 9.0×
Osteocalcin (83937) $58.85 $107 2.0×
Outpatient Global Laboratory, Radiology and Diagnostic Services (89346) $155.10 $282 0.9×
Ova and parasites smears (87177)
range across 2 matching MRF lines		 $42.35–$50.05 $77–$91 varies
Oxalate urine (83945)
range across 4 matching MRF lines		 $20.35–$169.95 $37–$309 varies
Particle Agglut Antbdy Titr (86406) $108.90 $198 10.2×
Particle Agglutination Screen Each Antibody (86403) $46.75 $85 4.1×
Parvovirus antibody (86747) $25.30 $46 1.7×
Path Consltj Surg Cytologic Exam Initial Site (88333) $501.05 $911 0.6×
Pca3/Klk3 Prostate Specific Antigen Ratio (81313) $370.15 $673 1.5×
Pdgfra Gene Analys Targeted Sequence Analys (81314)
range across 3 matching MRF lines		 $452.10–$776.05 $822–$1,411 varies
Ph urine (81003)
range across 4 matching MRF lines		 $33–$36.30 $60–$66 varies
Phenobarbital Level (80184) $78.10 $142 5.1×
Phenotype Infect Agent Drug (87900)
range across 6 matching MRF lines		 $328.35–$536.80 $597–$976 varies
Phenylalanine (84030) $15.40 $28 2.8×
Phenytoin (Dilantin) (80185) $96.25 $175 7.3×
Phenytoin free (80186) $56.10 $102 4.1×
Phosphatase acid prostatic (84066) $26.95 $49 2.8×
Phosphatase alkaline (84075)
range across 3 matching MRF lines		 $9.90–$65.45 $18–$119 varies
Phospholipid Neutralization Hexagonal (85598)
range across 3 matching MRF lines		 $34.10–$106.15 $62–$193 varies
Phosphorus Serum (84100)
range across 2 matching MRF lines		 $41.25–$73.98 $75–$134.50 varies
Phosphorus urine (84105)
range across 4 matching MRF lines		 $10.45–$67.65 $19–$123 varies
Pinworm exam (87172) $8.80 $16 2.1×
Platelet Aggregation (85576)
range across 8 matching MRF lines		 $73.15–$233.75 $133–$425 varies
Platelet Antibodies (86022)
range across 14 matching MRF lines		 $90.75–$418.55 $165–$761 varies
Platelet count automated (85049) $33.55 $61 7.5×
Platelet neutralization (85597)
range across 2 matching MRF lines		 $33.55–$70.95 $61–$129 varies
Pml/Raralpha Common Breakpoints Qual/Quant (81315)
range across 2 matching MRF lines		 $345.40–$522.50 $628–$950 varies
Pmp22 Gene Anal Duplication/Deletion Analysis (81324) $439.45 $799 0.6×
Pneumcysts jirovecii amp prb (87594) $174.35 $317 5.0×
Porphobilinogen, urine; quantitative (84110) $51.70 $94 6.1×
Porphyrins Feces Quantitative (84126) $222.75 $405 5.7×
Porphyrins Urine Quantitation & Fractionation (84120) $63.25 $115 4.3×
Potassium Urine (84133)
range across 3 matching MRF lines		 $8.80–$46.75 $16–$85 varies
Prealbumin (84134) $62.15 $113 4.3×
Pregnancy-Associated Plasma Protein-A (84163) $46.20 $84 3.1×
Pregnenolone (84140) $58.85 $107 2.8×
Preparation of embryo for transfer (89255) $174.90 $318 3.3×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977)
range across 2 matching MRF lines		 $129.80–$146.85 $236–$267 varies
Primidone (80188) $39.60 $72 2.4×
Procalcitonin (Pct) (84145) $156.75 $285 5.8×
Progesterone (84144) $34.10 $62 1.6×
Prolactin (84146)
range across 2 matching MRF lines		 $37.95–$110.55 $69–$201 varies
Prostaglandin (84150)
range across 2 matching MRF lines		 $155.65–$257.95 $283–$469 varies
Protein body fluid (84157)
range across 4 matching MRF lines		 $15.40–$147.95 $28–$269 varies
Protein C Activity (85303)
range across 2 matching MRF lines		 $35.20–$67.10 $64–$122 varies
Protein c antigen (85302) $40.70 $74 3.4×
Protein Electrophoresis Urine (84166)
range across 4 matching MRF lines		 $150.15–$195.25 $273–$355 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $134.75 $245 12.5×
Protein S Free (85306)
range across 3 matching MRF lines		 $37.40–$138.05 $68–$251 varies
Protein s total (85305) $105.05 $191 9.0×
Protein total serum (84155)
range across 2 matching MRF lines		 $30.25–$56.65 $55–$103 varies
Protein Total Urine (84156)
range across 3 matching MRF lines		 $32.45–$52.80 $59–$96 varies
Protein Western Blot Test (84182)
range across 25 matching MRF lines		 $41.25–$260.70 $75–$474 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $40.70 $74 10.3×
Protoporphyrin rbc quantitative (84202)
range across 5 matching MRF lines		 $17.60–$96.25 $32–$175 varies
PSA free (84154)
range across 2 matching MRF lines		 $74.25–$100.10 $135–$182 varies
Pten Gene Analysis Duplication/Deletion Variant (81323) $261.25 $475 0.9×
Pten Gene Analysis Full Sequence Analysis (81321) $715.55 $1,301 1.2×
Pten gene analysis known familial variant (81322) $67.10 $122 1.4×
Pth Intact (83970)
range across 4 matching MRF lines		 $69.85–$238.70 $127–$434 varies
Pyruvate kinase (84220)
range across 2 matching MRF lines		 $120.45–$250.80 $219–$456 varies
Q Fever Antibody (86638)
range across 5 matching MRF lines		 $41.25–$301.95 $75–$549 varies
Quantiferon tb gold plus (86480) $142.45 $259 2.3×
Quantitative assay drug (80299)
range across 38 matching MRF lines		 $32.45–$1,536.15 $59–$2,793 varies
Quantitative Screen Metals (83018)
range across 12 matching MRF lines		 $49.50–$464.75 $90–$845 varies
Quinidine (80194) $48.95 $89 3.4×
Rbc antibody elution (86860)
range across 3 matching MRF lines		 $105.05–$146.85 $191–$267 varies
Rbc antibody identification (86870) $209 $380 0.6×
Rbc antibody screen (86850)
range across 8 matching MRF lines		 $75.90–$235.95 $138–$429 varies
Rbc pretreatment serum (86978)
range across 2 matching MRF lines		 $135.85–$499.95 $247–$909 varies
Rbc pretx incubatj w/enzymes (86971) $166.65 $303 1.0×
Renin activity plasma (84244)
range across 2 matching MRF lines		 $80.30–$220 $146–$400 varies
Reptilase test (85635)
range across 2 matching MRF lines		 $33.55–$34.10 $61–$62 varies
Reticulated Platelet Assay (85055) $66.55 $121 1.9×
Reticulocyte separation (86972) $232.65 $423 1.3×
Rh (86901)
range across 6 matching MRF lines		 $28.60–$30.25 $52–$55 varies
Rheumatoid Factor Qualitative (86430) $70.40 $128 11.5×
Rheumatoid factor quant (86431)
range across 3 matching MRF lines		 $22.55–$38.50 $41–$70 varies
Rickettsia antibody (86757)
range across 2 matching MRF lines		 $35.20–$112.20 $64–$204 varies
Ristocetin cofactor (85245) $61.05 $111 2.7×
Rotavirus ag eia (87425) $79.20 $144 6.6×
Rpr qualitative (86592)
range across 2 matching MRF lines		 $13.20–$44 $24–$80 varies
Rsv ab (86756) $116.05 $211 7.3×
Rubella Antibody (86762)
range across 3 matching MRF lines		 $43.45–$58.85 $79–$107 varies
Rubeola antibody (86765)
range across 2 matching MRF lines		 $21.45–$50.60 $39–$92 varies
Rufinamide (80210) $72.05 $131 2.7×
Runx1 gene analysis targeted sequence analysis (81334) $946 $1,720 2.9×
Russell Viper Venom Time Diluted (85613)
range across 6 matching MRF lines		 $19.80–$132 $36–$240 varies
Salicylate Level (80179) $25.85 $47 1.4×
Salmonella antibody (86768) $57.75 $105 4.4×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines		 $97.35–$612.70 $177–$1,114 varies
Sars-cov-2 COVID-19 antibody (86769) $67.10 $122 1.6×
Sarscov2 & inf a&b amp prb (87636) $177.65 $323 1.2×
Sarscov2&inf a&b&rsv amp prb (87637) $206.80 $376 1.4×
Sedimentation rate (85651) $41.80 $76 9.8×
Sedimentation Rate, Automated (85652) $23.10 $42 8.6×
Selenium (84255)
range across 3 matching MRF lines		 $51.70–$135.30 $94–$246 varies
Semen Anal Sperm Detection (89321)
range across 3 matching MRF lines		 $29.70–$49.50 $54–$90 varies
Semen analysis complete (89322) $145.20 $264 9.4×
Semen analysis complete (89320)
range across 2 matching MRF lines		 $68.20–$119.35 $124–$217 varies
Semen analysis motility and count (89310)
range across 3 matching MRF lines		 $69.85–$122.10 $127–$222 varies
Sensitivity mic (87186)
range across 9 matching MRF lines		 $18.70–$392.70 $34–$714 varies
Serpina 1 gene (81332) $278.30 $506 6.4×
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines		 $21.45–$26.95 $39–$49 varies
Sickling of rbc reduction (85660)
range across 3 matching MRF lines		 $12.65–$129.80 $23–$236 varies
Sirolimus (80195) $119.35 $217 8.7×
Skin test tuberculosis intradermal (86580) $335.64 $610.24 11.5×
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)
range across 5 matching MRF lines		 $37.40–$137.50 $68–$250 varies
Smear complex stain (87209)
range across 2 matching MRF lines		 $57.20–$71.50 $104–$130 varies
Smear gram stain (87205)
range across 3 matching MRF lines		 $11.55–$79.20 $21–$144 varies
Smear Special Stain (87207)
range across 5 matching MRF lines		 $27.50–$67.65 $50–$123 varies
Smn1 Gene Dos/Deletion Alys (81329) $345.95 $629 2.5×
Smpd1 Gene Analysis Common Variants (81330) $260.70 $474 5.5×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines		 $36.85–$42.35 $67–$77 varies
Snrpn/Ube3a Methylation Analysis (81331) $337.15 $613 6.6×
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)
range across 3 matching MRF lines		 $10.45–$30.25 $19–$55 varies
Sodium Urine (84300)
range across 4 matching MRF lines		 $9.35–$35.75 $17–$65 varies
Soluble Transferrin Receptor (84238)
range across 2 matching MRF lines		 $41.25–$88.55 $75–$161 varies
Somatomedin (84305)
range across 2 matching MRF lines		 $42.35–$217.80 $77–$396 varies
Somatostatin (84307) $262.35 $477 14.4×
Special Stains Group 1 (88312)
range across 3 matching MRF lines		 $132–$370.15 $240–$673 varies
Special Stains Group 2 (88313)
range across 12 matching MRF lines		 $119.90–$394.90 $218–$718 varies
Specific gravity body fluid (84315) $30.25 $55 9.2×
Specimen infect agnt concntj (87015)
range across 5 matching MRF lines		 $10.45–$62.15 $19–$113 varies
Spectrophotometry (84311)
range across 6 matching MRF lines		 $26.40–$282.15 $48–$513 varies
Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331) $81.95 $149 4.2×
Sperm identification from aspiration (89257) $234.30 $426 4.4×
Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) $128.70 $234 2.4×
Sprm id from tstis tiss frsh/cryoprsrvd (89264) $262.35 $477 5.0×
Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261)
range across 3 matching MRF lines		 $244.75–$457.60 $445–$832 varies
Staph a DNA amp probe (87640) $175.45 $319 5.0×
Stem cells total count (86367)
range across 2 matching MRF lines		 $78.10–$240.90 $142–$438 varies
Stool cultr aerobic bact ea (87046) $18.15 $33 1.9×
Storage (per year); reproductive tissue, testicular/ovarian Facility Physician Professional Component (89344) $151.25 $275 0.9×
Storage per Year Embryo (89342) $151.25 $275 0.9×
Storage per year sperm/semen (89343) $151.25 $275 0.9×
Strep a assay w/optic (87880)
range across 2 matching MRF lines		 $48.40–$112.75 $88–$205 varies
Strep a DNA amp probe (87651) $97.35 $177 2.8×
Strep b DNA amp probe (87653) $97.35 $177 2.8×
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 3 matching MRF lines		 $61.88–$127.33 $112.50–$231.50 varies
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $127.60 $232 23.2×
Sugars Single Qual (84376) $18.70 $34 3.4×
Sulfate urine (84392)
range across 2 matching MRF lines		 $10.45–$18.15 $19–$33 varies
Surg path level iii (88304) $193.60 $352 3.7×
Surgical pathology level IV (88305)
range across 6 matching MRF lines		 $32.73–$348.70 $59.50–$634 varies
Surgical pathology level vi (88309)
range across 2 matching MRF lines		 $624.25–$636.35 $1,135–$1,157 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 6 matching MRF lines		 $18.70–$99 $34–$180 varies
Syphilis Test Non-Trep Quant (86593)
range across 2 matching MRF lines		 $15.40–$21.45 $28–$39 varies
T cells absolute cd4 count (86361) $128.70 $234 4.8×
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 2 matching MRF lines		 $65.45–$209 $119–$380 varies
T cells total count (86359)
range across 2 matching MRF lines		 $59.40–$150.15 $108–$273 varies
T3 Free (84481) $56.65 $103 3.3×
T3 reverse (84482) $40.70 $74 2.6×
T3 Total (84480) $106.15 $193 7.5×
T3 Uptake (84479) $44 $80 6.8×
T4 Free (84439) $88.55 $161 9.8×
T4 total (84436) $88.55 $161 12.9×
Tacrolimus (80197) $99 $180 7.2×
Tau phosphorylated each (84393)
range across 2 matching MRF lines		 $353.10–$457.33 $642–$831.50 varies
Tb ag response t-cell susp (86481) $184.25 $335 1.8×
Tert gene targeted seq alys (81345) $609.95 $1,109 3.3×
Test for urine cystines (82615) $22 $40 2.3×
Testosterone Bioavailable (84410) $94.05 $171 1.8×
Testosterone total (84403)
range across 4 matching MRF lines		 $50.05–$182.05 $91–$331 varies
Testosterone, Free (84402)
range across 4 matching MRF lines		 $64.35–$236.50 $117–$430 varies
Tetanus antibody (86774) $37.95 $69 2.6×
Tgsap so/hl 51/< RNA alys (81456) $2,911.70 $5,294 1.0×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445)
range across 16 matching MRF lines		 $1,109.35–$1,938.75 $2,017–$3,525 varies
Thaw cryoprsvrd reprod tiss (89354) $129.80 $236 0.8×
Thawing Cryopreserved Oocytes Each Aliquot (89356) $133.10 $242 0.8×
Thawing Cryopresrved Sperm (89353) $46.20 $84 0.9×
Thawing of cryopreserved embryos (89352) $133.10 $242 0.8×
Theophylline (80198) $75.35 $137 5.3×
Thiocyanate (84430) $94.60 $172 8.1×
Thiopurine methyltransferase (84433) $91.30 $166 4.1×
Thrombin Time (85670)
range across 2 matching MRF lines		 $29.15–$37.40 $53–$68 varies
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 6 matching MRF lines		 $19.25–$204.05 $35–$371 varies
Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) $173.80 $316 5.0×
Thyroglobulin (84432)
range across 5 matching MRF lines		 $63.80–$250.80 $116–$456 varies
Thyroglobulin Antibody (86800)
range across 4 matching MRF lines		 $30.25–$179.85 $55–$327 varies
Thyroid Stimulating Immunoglobulin (84445) $139.70 $254 2.7×
Thyroxine binding globulin (84442) $29.70 $54 2.0×
Tiss cul neo disorders solid tumor (88239)
range across 2 matching MRF lines		 $338.80–$431.20 $616–$784 varies
Tissue Culture (88233)
range across 3 matching MRF lines		 $380.60–$431.75 $692–$785 varies
Tissue Culture Amniotic Fluid (88235)
range across 2 matching MRF lines		 $336.60–$386.65 $612–$703 varies
Tissue culture bone marrow (88237) $418 $760 2.9×
Tissue Culture Lymphocyte (88230)
range across 2 matching MRF lines		 $358.60–$658.35 $652–$1,197 varies
Tobramycin peak (80200) $74.80 $136 4.6×
Topiramate (80201) $77 $140 6.5×
Total Tau (84394) $353.10 $642 2.7×
Touch prep (88161)
range across 2 matching MRF lines		 $84.15–$107.80 $153–$196 varies
Toxoplasma ab igm (86778)
range across 3 matching MRF lines		 $36.85–$360.80 $67–$656 varies
Toxoplasma antibody (86777)
range across 4 matching MRF lines		 $29.70–$304.70 $54–$554 varies
Tp53 gene analysis full gene sequence (81351) $1,584 $2,880 2.5×
Tp53 gene analysis targeted sequence analysis (81352)
range across 2 matching MRF lines		 $655.60–$1,090.65 $1,192–$1,983 varies
Tpmt gene com variants (81335)
range across 2 matching MRF lines		 $165.28–$193.60 $300.50–$352 varies
Transferase Aspartate Amino Ast Sgot (84450) $37.95 $69 7.3×
Transferrin (84466) $53.90 $98 4.2×
Trb@ Rearrangement Anal Amplification Method (81340)
range across 3 matching MRF lines		 $375.10–$587.68 $682–$1,068.50 varies
Trg gene rearrangement anal (81342)
range across 6 matching MRF lines		 $522.50–$587.68 $950–$1,068.50 varies
Trichinella Antibody (86784) $115.50 $210 9.2×
Trichomonas Vaginalis Amplif (87661)
range across 3 matching MRF lines		 $45.65–$74.80 $83–$136 varies
Triglycerides (84478)
range across 3 matching MRF lines		 $38.50–$68.20 $70–$124 varies
Troponin Quant (84484)
range across 3 matching MRF lines		 $51.70–$138.05 $94–$251 varies
Tumor immunohistochem/comput (88361) $213.95 $389 0.6×
Tumor Immunohistochem/Manual (88360)
range across 12 matching MRF lines		 $101.75–$556.60 $185–$1,012 varies
Ugt1a1 gene analysis common variants (81350) $275 $500 1.2×
Unlisted miscellaneous pathology test (89240) $31.90 $58 0.6×
Unlisted reproductive medicine lab procedure (89398) $61.60 $112 1.2×
Unlisted Transfusion Medicine Procedure (86999) $244.75 $445 8.4×
Urea nitrogen urine (84540)
range across 4 matching MRF lines		 $10.45–$39.05 $19–$71 varies
Uric acid other source (84560)
range across 4 matching MRF lines		 $9.35–$78.65 $17–$143 varies
Urinalysis Microscopic Only (81015) $23.65 $43 7.8×
Urinalysis Volume Measure (81050) $27.50 $50 7.6×
Urine Bacteria Culture (87088) $53.35 $97 6.6×
Urine Pregnancy Test (81025)
range across 6 matching MRF lines		 $58.30–$74.25 $106–$135 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $39.60 $72 12.5×
Valproic acid (80164) $104.50 $190 7.7×
Vancomycin (80202)
range across 4 matching MRF lines		 $93.50–$121 $170–$220 varies
Varicella-zoster antibody (86787)
range across 4 matching MRF lines		 $25.85–$71.50 $47–$130 varies
Vasopressin (84588)
range across 2 matching MRF lines		 $57.20–$379.50 $104–$690 varies
Very Long Chain Fatty Acids (82726) $386.65 $703 19.6×
Viral Culture (87252)
range across 7 matching MRF lines		 $53.35–$303.60 $97–$552 varies
Virus antibody nos (86790)
range across 19 matching MRF lines		 $23.10–$297.55 $42–$541 varies
Virus inoculate tissue addl (87253)
range across 4 matching MRF lines		 $25.30–$116.60 $46–$212 varies
Virus inoculation, shell via (87254) $97.90 $178 5.0×
Viscosity serum (85810) $31.35 $57 2.7×
Vit D 1 25-Dihydroxy (82652)
range across 2 matching MRF lines		 $56.10–$143.55 $102–$261 varies
Vitamin A (84590) $29.15 $53 2.5×
Vitamin b-12 (82607) $101.75 $185 6.7×
Vitamin B2 (Riboflavin) (84252) $70.40 $128 3.5×
Vitamin B6 (84207) $69.30 $126 2.5×
Vitamin c (82180) $41.25 $75 4.2×
Vitamin D 25-Hydroxy (82306)
range across 4 matching MRF lines		 $46.20–$143.55 $84–$261 varies
Vitamin E (84446) $34.65 $63 2.4×
Vitamin K (84597) $69.30 $126 5.1×
Vkorc1 gene (81355) $70.95 $129 0.8×
Volatiles (84600)
range across 3 matching MRF lines		 $133.10–$210.10 $242–$382 varies
Voltage-Gated Calcium Channel Antibody Each (86596)
range across 3 matching MRF lines		 $70.40–$223.85 $128–$407 varies
Volume Reduction Blood/Blood Product Each Unit (86960) $167.20 $304 1.0×
Von willebrand factor ag (85246)
range across 2 matching MRF lines		 $53.90–$318.45 $98–$579 varies
Wbc Alkaline Phosphatase Count (85540) $21.45 $39 2.5×
West nile virus ab igm (86788)
range across 6 matching MRF lines		 $17.60–$86.35 $32–$157 varies
West Nile Virus Antibody (86789)
range across 5 matching MRF lines		 $26.95–$81.95 $49–$149 varies
Western Blot Test (84181) $99 $180 5.8×
Whole Mitochondrial Genome (81460) $2,171.40 $3,948 1.7×
Whole mitochondrial genome analysis panel (81465)
range across 2 matching MRF lines		 $1,879.90–$1,933.25 $3,418–$3,515 varies
Zika Virus Dna/Rna Amp Probe (87662)
range across 3 matching MRF lines		 $53.35–$202.40 $97–$368 varies
Zika Virus Igm Antibody (86794) $127.05 $231 7.5×
Zinc (84630)
range across 3 matching MRF lines		 $44.55–$171.60 $81–$312 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.