Lab & pathology prices at Froedtert West Bend Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $57.75 $105 2.5×
5 Nucleotidase (83915) $21.45 $39 1.9×
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
$58.30–$162.25 $106–$295 varies
Actin smooth muscle antibody each (86015) $33 $60 2.7×
Acute hepatitis panel (80074) $323.40 $588 6.8×
Acylcarnitines Quant (82017)
range across 2 matching MRF lines
$66–$176.55 $120–$321 varies
Adenovirus antibody (86603) $123.20 $224 9.6×
Albumin Fluid (82042)
range across 3 matching MRF lines
$15.95–$88.55 $29–$161 varies
Albumin serum (82040)
range across 2 matching MRF lines
$29.70–$47.30 $54–$86 varies
Aldolase (82085) $36.30 $66 3.7×
Aldosterone urine (82088)
range across 2 matching MRF lines
$57.75–$138.05 $105–$251 varies
Alkaline phosphatase isoenzymes (84080)
range across 3 matching MRF lines
$66.55–$82.50 $121–$150 varies
Allergen spec ige qual multiallergen screen (86005) $16.50 $30 2.1×
Allergen specific ige (86003)
range across 3 matching MRF lines
$15.95–$64.35 $29–$117 varies
Allg Spec Ige Recomb Ea (86008) $64.90 $118 3.6×
Alpha-1-antitrypsin phenotype (82104) $35.75 $65 2.5×
Alpha-1-antitrypsin total (82103)
range across 3 matching MRF lines
$40.70–$381.70 $74–$694 varies
Alpha-Fetoprotein Amniotic Fluid (82106) $36.30 $66 2.1×
Alpha-Fetoprotein Serum (82105)
range across 3 matching MRF lines
$40.15–$180.95 $73–$329 varies
Alt (sgpt) (84460) $39.60 $72 7.5×
Aluminum (82108) $90.20 $164 3.5×
Amikacin trough (80150) $70.40 $128 4.7×
Amino Acids 1 Quantitative Each Specimen (82131) $121.55 $221 5.3×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 3 matching MRF lines
$137.50–$543.13 $250–$987.50 varies
Aminolevulinic acid (ala) (82135) $78.65 $143 4.8×
Ammonia (82140)
range across 3 matching MRF lines
$19.53–$119.35 $35.50–$217 varies
Amniotic fluid protein test on cervicovaginal fluid (84112) $139.98 $254.50 1.4×
Amylase urine (82150)
range across 4 matching MRF lines
$12.65–$64.35 $23–$117 varies
Ana Titer (86039)
range across 2 matching MRF lines
$59.40–$86.90 $108–$158 varies
Anca screen each antibody (86036) $33.55 $61 2.8×
Androstenedione (82157) $48.40 $88 1.7×
Angiotensin converting enzyme csf (82164)
range across 2 matching MRF lines
$35.20–$73.70 $64–$134 varies
Anti-Phospholipid Antibody (86148) $76.45 $139 4.8×
Antibody aspergillus (86606)
range across 4 matching MRF lines
$18.70–$72.05 $34–$131 varies
Antibody Bacterium Not Elsewhere Specified (86609)
range across 2 matching MRF lines
$28.60–$114.95 $52–$209 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 6 matching MRF lines
$26.95–$51.70 $49–$94 varies
Antibody Cytomegalovirus Cmv Igm (86645) $52.80 $96 3.1×
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
$50.60–$103.40 $92–$188 varies
Antibody Fungus Not Elsewhere Specified (86671) $58.85 $107 4.8×
Antibody helicobacter pylori (86677)
range across 3 matching MRF lines
$107.80–$179.30 $196–$326 varies
Antibody Herpes Smplx Non-Specific Type Test (86694) $20.90 $38 1.5×
Antibody Herpes Smplx Type 1 (86695) $53.35 $97 4.0×
Antibody HIV-1&HIV-2 single result (86703) $14.30 $26 1.0×
Antibody HIV-2 (86702) $28.60 $52 2.1×
Antibody Hla Class I High Definition Panel Qual (86832) $473.28 $860.50 1.5×
Antibody identification leukocyte antibodies (86021) $324.50 $590 21.6×
Antibody Lymphocytic Choriomeningitis (86727)
range across 2 matching MRF lines
$51.70–$55 $94–$100 varies
Antibody Protozoa Nes (86753)
range across 3 matching MRF lines
$28.60–$51.70 $52–$94 varies
Antibody Titer (86886)
range across 2 matching MRF lines
$98.73–$359.98 $179.50–$654.50 varies
Antibody Treponema Pallidum (86780)
range across 2 matching MRF lines
$52.80–$82.50 $96–$150 varies
Antigen typing (86905)
range across 8 matching MRF lines
$202.95–$207.90 $369–$378 varies
Antistreptolysin o titer (86060) $46.75 $85 6.4×
Antithrombin iii activity (85300) $112.75 $205 9.5×
Antithrombin iii antigen (85301) $35.75 $65 3.3×
Apolipoprotein a1 (82172)
range across 3 matching MRF lines
$20.90–$29.70 $38–$54 varies
Aqaprn-4 Antb Flo Cytmtry Ea (86053)
range across 2 matching MRF lines
$104.50–$408.65 $190–$743 varies
Arsenic (82175)
range across 3 matching MRF lines
$25.85–$135.85 $47–$247 varies
Aspergillus ag eia (87305)
range across 2 matching MRF lines
$96.80–$175.45 $176–$319 varies
Assay activated protein c (85307) $165.55 $301 10.8×
Assay Blood Carbon Dioxide (82374)
range across 2 matching MRF lines
$28.05–$29.15 $51–$53 varies
Assay Nephelometry Not Spec (83883) $87.45 $159 6.4×
Assay of 5-hiaa (83497) $41.25 $75 3.2×
Assay of anti-mullerian hormone (82166) $56.10 $102 1.5×
Assay of b-hexosaminidase each assay (83080) $74.25 $135 4.4×
Assay of blood/uric acid (84550) $51.70 $94 11.4×
Assay of calcium in urine (82340)
range across 3 matching MRF lines
$10.45–$68.20 $19–$124 varies
Assay of cpk in blood (82552) $23.65 $43 1.8×
Assay of estrone (82679) $44.55 $81 1.8×
Assay of g6pd enzyme (82955) $64.35 $117 6.6×
Assay of gammaglobulin igm (82784)
range across 14 matching MRF lines
$9.35–$300.30 $17–$546 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines
$67.10–$70.95 $122–$129 varies
Assay of manganese (83785) $40.70 $74 1.5×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$56.65–$61.05 $103–$111 varies
Assay of phosphatase acid total (84060) $143.83 $261.50 18.8×
Assay of proinsulin (84206) $57.75 $105 2.2×
Assay of pyruvate (84210) $44.55 $81 3.1×
Assay of serotonin (84260) $58.85 $107 1.9×
Assay of serum potassium (84132)
range across 3 matching MRF lines
$11–$36.30 $20–$66 varies
Assay of sweat sodium (84302) $20.90 $38 4.3×
Assay of Tyrosine (84510) $53.35 $97 5.0×
Assay of urea nitrogen (84520) $27.50 $50 7.0×
Assay of urine vma (84585) $30.80 $56 2.0×
Assay of vasoactive intestinal peptide (84586) $69.30 $126 2.0×
Assay of vitamin b-1 (84425) $83.60 $152 3.9×
Assay Ph Body Fluid Nos (83986)
range across 5 matching MRF lines
$6.05–$24.75 $11–$45 varies
Assay spec xcp ur&breath ia (82077) $42.90 $78 2.5×
Asy carbamazepin 10,11-epxid (80161) $50.05 $91 2.7×
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) $18.70 $34 7.4×
B cells total count (86355)
range across 2 matching MRF lines
$145.20–$196.90 $264–$358 varies
Babesia microti amp prb (87469)
range across 2 matching MRF lines
$68.75–$81.40 $125–$148 varies
Bartonella antibody (86611) $30.25 $55 3.0×
Bcr/abl1 gene major bp (81206)
range across 2 matching MRF lines
$165.55–$433.95 $301–$789 varies
Bcr/abl1 gene minor bp (81207)
range across 2 matching MRF lines
$174.35–$216.70 $317–$394 varies
Bcr/Abl1 Gene Other Bp (81208) $187.55 $341 0.9×
Beta 2 glycoprotein i antibody each (86146) $51.70 $94 2.0×
Beta hydroxybutyrate (82010) $35.20 $64 4.3×
Beta Lactamase (87185) $38.50 $70 8.1×
Beta-2 Microglobulin (82232)
range across 2 matching MRF lines
$33.55–$95.70 $61–$174 varies
Beta-amyloid; 1-42 (abeta 42) (82234) $353.10 $642 2.7×
Bile acids total (82239) $61.05 $111 3.6×
Bilirubin direct (82248) $36.30 $66 7.2×
Bilirubin total (82247)
range across 2 matching MRF lines
$11–$34.65 $20–$63 varies
Biotinidase (82261) $36.30 $66 2.2×
Blastomyces antibody (86612)
range across 2 matching MRF lines
$18.70–$29.15 $34–$53 varies
Bld Typing Serologic Rh Phnt (86906)
range across 4 matching MRF lines
$78.10–$112.20 $142–$204 varies
Blood Count Automated Differential Wbc Count (85004) $39.60 $72 6.1×
Blood count reticulocyte automated (85045) $35.75 $65 9.0×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $19.25 $35 5.1×
Blood count spun microhematocrit (85013) $9.90 $18 1.4×
Blood gases w/02 saturation (82805) $128.70 $234 1.6×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $78.10 $142 4.9×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 4 matching MRF lines
$202.95–$207.90 $369–$378 varies
Blood typing serologic abo (86900) $73.98 $134.50 24.7×
Body fluid cell count (89050) $48.40 $88 10.3×
Bone marrow smear interpretation (85097)
range across 2 matching MRF lines
$485.65–$498.30 $883–$906 varies
Bordetella antibody (86615)
range across 2 matching MRF lines
$28.05–$42.90 $51–$78 varies
Braf gene analysis (81210)
range across 2 matching MRF lines
$250.25–$254.10 $455–$462 varies
Brucella antibody (86622) $21.45 $39 2.4×
C diff amplified probe (87493) $152.90 $278 4.1×
C-Peptide (84681) $54.45 $99 2.6×
C-reactive protein (86140) $52.25 $95 10.1×
Ca 19-9 (86301) $99.55 $181 4.8×
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
$15.95–$74.25 $29–$135 varies
Caffeine (80155) $42.35 $77 1.1×
Calcitonin (82308) $89.65 $163 3.3×
Calcium ionized (82330)
range across 2 matching MRF lines
$66.55–$71.50 $121–$130 varies
Calcium total (82310) $30.25 $55 5.9×
Calculus Spectroscopy (82365) $57.75 $105 4.5×
Calprotectin Fecal (83993)
range across 2 matching MRF lines
$118.80–$143 $216–$260 varies
Calr gene com variants (81219) $443.85 $807 3.6×
Cancer Antigen 125 (86304)
range across 2 matching MRF lines
$78.38–$162.25 $142.50–$295 varies
Cancer Antigen 27.29 (86300) $107.80 $196 5.2×
Candida antibody (86628) $22 $40 1.8×
Carbamazepine total (80156)
range across 2 matching MRF lines
$40.70–$107.80 $74–$196 varies
Carbohydrate Deficient Transferrin (82373) $247.50 $450 13.7×
Carboxyhemoglobin (82375) $72.05 $131 5.8×
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines
$56.10–$138.60 $102–$252 varies
Cardiolipin ab iga (86147)
range across 3 matching MRF lines
$33.55–$118.25 $61–$215 varies
Carnitine Quantitative Each Specimen (82379) $78.65 $143 4.7×
Carotene (82380) $77 $140 8.4×
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$61.05–$130.90 $111–$238 varies
Ccp antibody (86200)
range across 2 matching MRF lines
$28.05–$30.80 $51–$56 varies
Cebpa Gene Analysis Full Gene Sequence (81218) $370.15 $673 1.5×
Cell count csf (89051) $54.45 $99 9.7×
Cellular Function Assay Stimul&Detect Biomarke (86352)
range across 3 matching MRF lines
$169.40–$547.80 $308–$996 varies
Ceruloplasmin (82390)
range across 2 matching MRF lines
$24.20–$25.30 $44–$46 varies
Cftr gene com variants (81220) $339.35 $617 0.6×
Cftr gene full sequence (81223) $1,027.40 $1,868 2.1×
Chemiluminescent assay (82397)
range across 4 matching MRF lines
$67.10–$226.60 $122–$412 varies
Chimerism w/comp to baseline w/cell selection ea (81268)
range across 2 matching MRF lines
$736.45–$999.63 $1,339–$1,817.50 varies
Chimerism w/comp to baseline w/o cell selection (81267) $437.25 $795 2.1×
Chlamydia antibody (86631)
range across 2 matching MRF lines
$36.30–$113.30 $66–$206 varies
Chlamydia Igm Antibody (86632) $29.15 $53 2.3×
Chloride other source (82438)
range across 2 matching MRF lines
$20.90–$47.30 $38–$86 varies
Chloride urine (82436)
range across 3 matching MRF lines
$9.90–$33 $18–$60 varies
Cholesterol total (82465)
range across 2 matching MRF lines
$6.60–$35.75 $12–$65 varies
Cholinesterase rbc (82482) $100.65 $183 10.3×
Cholinesterase Serum (82480) $21.45 $39 2.7×
Chorionic gonadotropin test (84702)
range across 3 matching MRF lines
$28.05–$106.15 $51–$193 varies
Chrmsm Analysis Addl High Resolution Study (88289) $141.90 $258 4.1×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $74.25 $135 2.2×
Chromium serum (82495) $50.60 $92 2.5×
Chromogenic Substrate Assay (85130) $317.35 $577 26.7×
Chromogranin a (86316)
range across 6 matching MRF lines
$69.30–$128.70 $126–$234 varies
Chromosome Analysis 15-20 (88262) $336.60 $612 2.7×
Chromosome Analysis 20-25 (88264) $811.80 $1,476 5.6×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $124.85 $227 3.6×
Citric acid urine (82507)
range across 4 matching MRF lines
$33.55–$237.05 $61–$431 varies
Ckmb (82553) $81.95 $149 7.1×
Clostridium Difficile (87324) $45.65 $83 3.8×
Clot Factor VIII Multimetric (85247) $107.25 $195 4.7×
Clot factor xiii fibrin stab (85290)
range across 2 matching MRF lines
$65.45–$127.05 $119–$231 varies
Clotting factor xii hageman (85280)
range across 2 matching MRF lines
$43.45–$385.55 $79–$701 varies
Clotting Funct Activity (85397)
range across 3 matching MRF lines
$83.60–$231 $152–$420 varies
Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) $1,168.48 $2,124.50 8.5×
Cns DNA amp probe type 12-25 (87483) $586.85 $1,067 1.4×
Coagulation time activated (85347)
range across 3 matching MRF lines
$34.65–$43.45 $63–$79 varies
Coccidioides antibody (86635)
range across 3 matching MRF lines
$18.70–$59.40 $34–$108 varies
Cold agglutinin screen (86156) $102.85 $187 12.7×
Cold agglutinin titer (86157) $30.25 $55 3.8×
Collagen crosslinks (82523)
range across 4 matching MRF lines
$26.95–$220 $49–$400 varies
Column Chromotography Quant (82542)
range across 18 matching MRF lines
$34.65–$580.25 $63–$1,055 varies
Comparative Anal Str Markers Patient&Comp Spec (81265) $437.25 $795 1.9×
Compatibility test antiglob (86922)
range across 3 matching MRF lines
$112.75–$183.70 $205–$334 varies
Complement Antigen Each Component (86160)
range across 9 matching MRF lines
$47.30–$186.45 $86–$339 varies
Complement Total (Ch50) (86162) $33.55 $61 1.7×
Complement/Function Activity (86161) $30.80 $56 2.6×
Coombs direct (86880)
range across 6 matching MRF lines
$63.80–$64.90 $116–$118 varies
Copper urine (82525)
range across 4 matching MRF lines
$37.40–$760.10 $68–$1,382 varies
Cortisol free (82530)
range across 2 matching MRF lines
$112.20–$158.95 $204–$289 varies
Cortisol saliva (82533)
range across 9 matching MRF lines
$78.10–$157.85 $142–$287 varies
Creatine kinase total (82550)
range across 2 matching MRF lines
$16.50–$47.85 $30–$87 varies
Creatinine blood (82565)
range across 3 matching MRF lines
$23.10–$52.80 $42–$96 varies
Creatinine clearance (82575) $79.20 $144 8.4×
Creatinine Urine (82570)
range across 3 matching MRF lines
$9.08–$48.40 $16.50–$88 varies
Crossmatch electronic (86923) $98.45 $179 0.6×
Crossmatch immediate spin (86920) $114.95 $209 0.7×
Crp High Sensitivity (86141)
range across 2 matching MRF lines
$90.20–$111.10 $164–$202 varies
Cryofibrinogen (82585) $50.60 $92 3.6×
Cryoglobulin (82595) $58.30 $106 9.0×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $36.30 $66 2.8×
Cryptococcus ag titer (87899)
range across 3 matching MRF lines
$31.35–$110 $57–$200 varies
Cryptosporidium (87272) $55 $100 4.6×
Cryptosporidium ag eia (87328) $20.90 $38 1.5×
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) $56.10 $102 6.9×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $56.65 $103 7.3×
Culture aerobic quant other (87071) $85.80 $156 8.7×
Culture afb (87116)
range across 2 matching MRF lines
$69.30–$132 $126–$240 varies
Culture Anaerobic (87075) $66 $120 7.0×
Culture bacteria anaerobic (87073) $33.55 $61 3.5×
Culture blood (87040) $79.20 $144 7.7×
Culture chlamydia (87110) $62.70 $114 3.2×
Culture csf (87070)
range across 8 matching MRF lines
$10.45–$87.45 $19–$159 varies
Culture fungus (87102)
range across 2 matching MRF lines
$48.40–$55.55 $88–$101 varies
Culture fungus blood (87103) $50.05 $91 2.4×
Culture screen only (87081)
range across 8 matching MRF lines
$17.60–$92.13 $32–$167.50 varies
Culture stool (87045) $98.45 $179 10.4×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 3 matching MRF lines
$22–$29.70 $40–$54 varies
Culture urine (87086)
range across 2 matching MRF lines
$8.53–$58.30 $15.50–$106 varies
Cyanide (82600) $72.60 $132 3.7×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $30.80 $56 2.2×
Cyclosporine (80158)
range across 2 matching MRF lines
$160.05–$240.90 $291–$438 varies
Cyp2c19 gene analysis common variants (81225)
range across 2 matching MRF lines
$176.28–$407 $320.50–$740 varies
Cyp2c9 gene com variants (81227)
range across 2 matching MRF lines
$105.88–$302.50 $192.50–$550 varies
Cyp2d6 gene com variants (81226) $272.80 $496 0.6×
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
$74.25–$90.75 $135–$165 varies
Cytogenetics 100-300 (88275) $382.80 $696 7.5×
Cytogenomic neo microra alys (81277) $3,046.45 $5,539 2.6×
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$87.45–$330.55 $159–$601 varies
Cytopath Cell Enhance Tech (88112) $211.20 $384 4.1×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $152.35 $277 5.7×
Cytp Concentration Smears & Interpretation (88108) $203.50 $370 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) $223.85 $407 1.3×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $30.80 $56 1.7×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $17.60 $32 0.6×
Deoxyribonuclease antibody (86215) $23.65 $43 1.8×
Detect Agent Nos Dna Amp (87798)
range across 27 matching MRF lines
$44.28–$1,413.50 $80.50–$2,570 varies
Detect Agent Nos Dna Quant (87799)
range across 5 matching MRF lines
$148.50–$377.85 $270–$687 varies
Detect agnt mult DNA ampli (87801)
range across 3 matching MRF lines
$41.80–$1,067.55 $76–$1,941 varies
Dhea (82626) $42.35 $77 1.7×
Dhea-S (82627) $95.70 $174 4.3×
Digoxin (80162) $88 $160 6.6×
Dihydrotestosterone (82642) $98.45 $179 3.4×
Dipropylacetic Acid Free (80165) $32.45 $59 2.4×
Dna Antibody Native/Double Stranded (86225) $89.65 $163 6.5×
DNA/RNA direct probe (87149)
range across 2 matching MRF lines
$46.20–$67.65 $84–$123 varies
Dpyd gene common variants (81232) $319 $580 1.8×
Drug assay acetaminophen (80143) $47.30 $86 2.5×
Drug assay adalimumab (80145) $1,466.30 $2,666 38.0×
Drug Assay Amiodarone (80151) $33.55 $61 1.8×
Drug Assay Everolimus (80169) $230.45 $419 16.8×
Drug assay felbamate (80167) $107.25 $195 5.8×
Drug Assay Infliximab (80230) $296.73 $539.50 7.7×
Drug Assay Itraconazole (80189) $49.50 $90 1.8×
Drug Assay Lacosamide (80235) $59.95 $109 2.2×
Drug Assay Posaconazole (80187) $79.20 $144 2.9×
Drug Assay Vedolizumab (80280) $315.43 $573.50 8.2×
Drug assay voriconazole (80285) $63.80 $116 2.4×
Drug Screen Quant Clozapine (80159) $33 $60 1.6×
Drug Screen Quant Zonisamide (80203) $148.50 $270 11.2×
Drug Screen Quantitative Gabapentin (80171) $38.50 $70 1.8×
Drug Screen Quantitative Lamotrigine (80175) $75.90 $138 5.7×
Drug Screen Quantitative Levetiracetam (80177) $84.70 $154 6.4×
Drug Screen Quantitative Oxcarbazepine (80183) $35.20 $64 2.7×
Drug Screen Quantitative Procainamide Metabolite (80192) $134.75 $245 8.0×
Drug Screen Quantitative Tiagabine (80199) $92.40 $168 3.4×
Drug Test Prsmv Chem Anlyzr (80307)
range across 24 matching MRF lines
$4.68–$308 $8.50–$560 varies
Drug Test Prsmv Dir Opt Obs (80305) $49.50 $90 3.9×
Egfr Gene Analysis Common Variants (81235)
range across 2 matching MRF lines
$416.63–$905.85 $757.50–$1,647 varies
Ehrlichia antibody (86666)
range across 2 matching MRF lines
$51.15–$72.60 $93–$132 varies
El-1 Fecal Quantitative (82653) $83.60 $152 3.6×
Electrolyte panel (80051)
range across 2 matching MRF lines
$88–$158.95 $160–$289 varies
Electron Microscopy (88348) $1,014.20 $1,844 1.3×
Enterovirus Antibody (86658)
range across 3 matching MRF lines
$25.85–$78.65 $47–$143 varies
Enterovirus PCR (87498)
range across 2 matching MRF lines
$197.45–$316.25 $359–$575 varies
Enzyme cell activity (82657)
range across 3 matching MRF lines
$133.65–$414.15 $243–$753 varies
Enzyme histochemistry (88319) $486.48 $884.50 0.6×
Eosinophil Smear (89190) $22 $40 3.8×
Erythropoietin (82668) $89.10 $162 4.7×
Estradiol serum (82670)
range across 2 matching MRF lines
$42.35–$96.80 $77–$176 varies
Estriol (82677) $30.80 $56 1.3×
Estrogen total (82672) $147.95 $269 6.8×
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) $36.30 $66 5.0×
F2 Gene (81240) $238.15 $433 3.6×
Factor ii activity (85210)
range across 2 matching MRF lines
$26.95–$77 $49–$140 varies
Factor Inhibitor Test (85335)
range across 2 matching MRF lines
$188.65–$195.25 $343–$355 varies
Factor ix activity (85250) $82.50 $150 4.3×
Factor v activity (85220)
range across 2 matching MRF lines
$46.75–$54.45 $85–$99 varies
Factor v leiden mutation (81241) $204.05 $371 2.8×
Factor vii assay (85230)
range across 3 matching MRF lines
$41.25–$203.23 $75–$369.50 varies
Factor viii assay (85240) $238.15 $433 13.3×
Factor X (85260)
range across 3 matching MRF lines
$48.95–$215.05 $89–$391 varies
Factor xi activity (85270) $186.45 $339 10.4×
Fat/Lipids Feces Quantitative (82710)
range across 3 matching MRF lines
$39.05–$54.45 $71–$99 varies
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $50.05 $91 6.5×
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $112.75 $205 11.1×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $32.45 $59 5.0×
Fecal Fat Qualitative (82705) $28.05 $51 5.5×
Ferritin (82728) $101.75 $185 7.5×
Fetal Congenital Abnor Assay Four Anal (81511) $168.30 $306 1.1×
Fetal screen rosette (85461) $14.85 $27 1.6×
Fibrin Degradation Quant (85379) $67.10 $122 6.6×
Fibrinogen activity (85384)
range across 2 matching MRF lines
$48.40–$68.75 $88–$125 varies
Fibrinogen antigen (85385) $41.80 $76 2.9×
Flecainide level (80181) $46.75 $85 2.5×
Flow cytometry first marker (88184)
range across 5 matching MRF lines
$202.95–$221.10 $369–$402 varies
Flt3 Gene (81245) $183.15 $333 1.1×
Flt3 gene analysis (81246) $95.15 $173 1.1×
Fluorescent antibody screen (86255)
range across 40 matching MRF lines
$64.90–$1,282.05 $118–$2,331 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 5 matching MRF lines
$15.95–$221.10 $29–$402 varies
Fmr1 Gene Charac Alleles (81244) $153.45 $279 3.4×
Fmr1 gene detection (81243) $311.30 $566 5.5×
Folic acid rbc (82747) $128.15 $233 7.3×
Folic Acid Serum (82746) $98.45 $179 6.7×
Follicle Stimulating Hormone (83001) $97.35 $177 5.2×
Francisella tularensis (86668) $22.55 $41 1.6×
Frozen Section (88331) $132.55 $241 0.8×
Fungi Identification Mold (87107) $58.85 $107 5.7×
Fungi Identification Yeast (87106)
range across 2 matching MRF lines
$54.45–$100.65 $99–$183 varies
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $64.90 $118 3.1×
Gammaglobulin ige (82785)
range across 3 matching MRF lines
$39.60–$169.13 $72–$307.50 varies
Gases Blood O2 Saturation Only Direct Meas (82810)
range across 3 matching MRF lines
$25.85–$54.45 $47–$99 varies
Gases blood ph only (82800) $52.25 $95 4.8×
Gastrin (82941) $68.20 $124 3.9×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $2,490.40 $4,528 0.9×
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) $61.60 $112 3.8×
Ggt (82977) $41.25 $75 5.7×
Giardia antigen (87329) $20.90 $38 1.7×
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) $97.90 $178 16.2×
Glucagon (82943) $115.50 $210 8.1×
Glucose 2 hr pp (82950)
range across 3 matching MRF lines
$12.10–$34.10 $22–$62 varies
Glucose Blood Test (82962) $18.70 $34 5.7×
Glucose body fluid (82945) $45.10 $82 11.5×
Glucose Serum (82947)
range across 3 matching MRF lines
$8.25–$26.40 $15–$48 varies
Glucose tolerance test (gtt) (82951)
range across 2 matching MRF lines
$90.75–$106.70 $165–$194 varies
Glutathione (82978)
range across 2 matching MRF lines
$105.60–$359.15 $192–$653 varies
Glycated Protein (82985) $30.25 $55 1.8×
Gonadotropin Chorionic Qualitative (84703) $47.85 $87 6.4×
Growth hormone (83003) $27.50 $50 1.6×
Gtt-added samples (82952) $29.15 $53 7.4×
H Pylori (C-13) Breath (83013) $240.90 $438 3.6×
Haloperidol (80173) $33 $60 2.1×
Haptoglobin (83010) $66.55 $121 5.3×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $567.60 $1,032 2.8×
Hbb Full Gene Sequence (81364) $734.80 $1,336 2.3×
Hdl Cholesterol (83718) $42.90 $78 5.2×
Helicobacter Pylori Stool (87338) $56.65 $103 3.9×
Helminth Antibody (86682)
range across 5 matching MRF lines
$36.30–$199.10 $66–$362 varies
Hematocrit (85014) $22 $40 9.3×
Hemoglobin (85018)
range across 2 matching MRF lines
$23.10–$31.35 $42–$57 varies
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$17.05–$89.65 $31–$163 varies
Hemoglobin Chromotography (83021)
range across 3 matching MRF lines
$56.10–$277.20 $102–$504 varies
Hemoglobin electrophoresis (83020)
range across 3 matching MRF lines
$61.05–$386.38 $111–$702.50 varies
Hemoglobin Methemoglobin Quantitative (83050)
range across 2 matching MRF lines
$33.55–$34.65 $61–$63 varies
Hemoglobin plasma (83051) $20.90 $38 2.9×
Hemolysins&Agglutinins Auto Screen Each (86940) $62.15 $113 7.1×
Hemolysins&Agglutinins Incubated (86941) $122.65 $223 10.1×
Hemosiderin urine (83070) $36.85 $67 7.8×
Hep a ab igm (86709) $83.60 $152 7.4×
Heparin assay (85520)
range across 2 matching MRF lines
$133.10–$304.15 $242–$553 varies
Heparin Neutralization (85525)
range across 2 matching MRF lines
$21.45–$50.05 $39–$91 varies
Hepatitis a antibody total (86708) $81.95 $149 6.6×
Hepatitis b core ab igm (86705) $82.50 $150 7.0×
Hepatitis b core ab total (86704) $112.75 $205 9.4×
Hepatitis B Surface Antibody (86706) $86.90 $158 8.1×
Hepatitis B Surface Antigen (87340) $83.05 $151 8.0×
Hepatitis Be Antibody (86707) $41.25 $75 3.6×
Hepatitis Be Antigen (87350) $35.75 $65 3.1×
Hepatitis C Antibody (86803) $163.35 $297 11.4×
Hepatitis C Genotype (87902) $460.35 $837 1.8×
Hepatitis C Probe&Rvrs Trnsc (87521)
range across 2 matching MRF lines
$21.18–$84.15 $38.50–$153 varies
Hepatitis C Revrs Trnscrpj (87522) $239.80 $436 5.6×
Hepatitis Delta Agent Antibody (86692)
range across 2 matching MRF lines
$19.25–$170.50 $35–$310 varies
Hereditary peripheral neuropathy gen seq pnl (81448) $1,180.85 $2,147 2.0×
Herpes simplex type 2 (86696) $54.45 $99 2.8×
Heterophile Antibody Screen (86308) $58.85 $107 11.4×
Hfe Gene (81256) $242.55 $441 3.7×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $11 $20 1.4×
Histamine urine (83088)
range across 2 matching MRF lines
$41.80–$161.70 $76–$294 varies
Histoplasma antibody (86698)
range across 3 matching MRF lines
$18.70–$61.05 $34–$111 varies
Histoplasma antigen urine (87385) $178.20 $324 13.4×
Hiv Genotype (87901)
range across 2 matching MRF lines
$509.85–$1,040.60 $927–$1,892 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $33.55 $61 1.4×
Hiv-1 Antibody (86701) $19.25 $35 2.2×
Hiv-1 Quant&Revrse Trnscrpj (87536) $248.60 $452 2.9×
HIV-2 probe&revrse trnscripj (87538) $57.20 $104 1.6×
Hla Class I Typing Low Resolution Complete (81372) $569.80 $1,036 1.4×
Hla Class I Typing Low Resolution One Locus Each (81373) $223.85 $407 1.8×
Hla class i&ii antibody qual (86828) $132 $240 2.1×
Hla class ii high defin qual (86833) $434.50 $790 1.3×
Hla class ii typing high resolution one locus ea (81382)
range across 2 matching MRF lines
$158.95–$227.70 $289–$414 varies
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $545.05 $991 5.0×
Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) $124.30 $226 3.4×
Hla I Typing 1 Allele Hr (81381)
range across 2 matching MRF lines
$222.20–$546.15 $404–$993 varies
Hla ii typing 1 locus lr (81376)
range across 5 matching MRF lines
$135.30–$185.35 $246–$337 varies
Hla-b27 (86812) $114.40 $208 4.4×
Homocysteine (83090) $83.05 $151 4.6×
Homogenization Tissue (87176) $37.40 $68 6.4×
Homovanillic acid urine (83150) $100.38 $182.50 4.5×
Hpv High-Risk Types (87624)
range across 3 matching MRF lines
$64.35–$128.70 $117–$234 varies
Hpv sep hi-rsk typ&pool rslt (87626) $64.35 $117 0.9×
Hsv Dna Amp Probe (87529)
range across 5 matching MRF lines
$32.18–$343.20 $58.50–$624 varies
Human Epididymis Protein 4 (86305) $78.38 $142.50 3.8×
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines
$57.75–$96.80 $105–$176 varies
Iaad Ia Entamoeba Histolytica Grp (87337) $66 $120 5.5×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $151.25 $275 14.6×
Iaad ia shiga-like toxin (87427) $45.10 $82 3.8×
Iaadi giardia (87269) $35.20 $64 2.6×
Iaadi pneumocustis carinii (87281) $189.20 $344 15.8×
Iadna anaplasma phagocytophilum amplifed prb tq (87468)
range across 2 matching MRF lines
$62.70–$68.75 $114–$125 varies
Iadna Bartonella Amplified Probe Technique (87471) $301.95 $549 8.6×
Iadna chlamydia pneumoniae amplified probe tq (87486) $72.05 $131 2.1×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 2 matching MRF lines
$75.35–$145.75 $137–$265 varies
Iadna Cytomegalovirus Quantification (87497) $232.65 $423 5.4×
Iadna ehrlichia chaffeensis amplified probe tq (87484)
range across 2 matching MRF lines
$62.70–$68.75 $114–$125 varies
Iadna hepatitis b virus amplified probe tq (87516) $28.05 $51 0.8×
Iadna Hepatitis B Virus Quantification (87517) $232.65 $423 5.4×
Iadna Herpes Virus-6 Quantification (87533)
range across 2 matching MRF lines
$237.88–$447.15 $432.50–$813 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 2 matching MRF lines
$28.05–$57.20 $51–$104 varies
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $107.80 $196 3.1×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $134.20 $244 3.2×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $72.05 $131 2.1×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $122.10 $222 3.5×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593)
range across 2 matching MRF lines
$57.20–$123.75 $104–$225 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $230.45 $419 1.6×
Idh1 common variants (81120)
range across 2 matching MRF lines
$139.15–$471.90 $253–$858 varies
Idh2 common variants (81121)
range across 2 matching MRF lines
$222.20–$491.70 $404–$894 varies
Ig Light Chains Free Each (83521)
range across 3 matching MRF lines
$31.35–$82.50 $57–$150 varies
Igg subclasses (82787)
range across 4 matching MRF lines
$18.70–$30.80 $34–$56 varies
Igh@ Variable Region Somatic Mutation Analysis (81263) $684.20 $1,244 2.3×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $285.45 $519 0.8×
Immunfix e-phorsis/urine/csf (86335)
range across 3 matching MRF lines
$139.15–$360.25 $253–$655 varies
Immunoassay analyte qual/semiqual single step (83518) $267.30 $486 27.7×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 20 matching MRF lines
$20.90–$779.35 $38–$1,417 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 6 matching MRF lines
$12.65–$83.60 $23–$152 varies
Immunoassay nonantibody (83516)
range across 35 matching MRF lines
$19.53–$479.05 $35.50–$871 varies
Immunodiffusion Ouchterlony (86331)
range across 2 matching MRF lines
$24.20–$28.05 $44–$51 varies
Immunofixation electrophoresis (86334) $237.05 $431 10.6×
Immunofluorescence per spec 1st singl antb stain (88346)
range across 2 matching MRF lines
$182.05–$2,039.95 $331–$3,709 varies
Immunohistochemistry (88342)
range across 7 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 3.5×
Influenza a/b ag eia (87400) $89.10 $162 6.3×
Inhibin A (86336) $164.45 $299 10.5×
Inhibin b (83520)
range across 39 matching MRF lines
$22–$693 $40–$1,260 varies
Insitu hybridization manual (88368) $549.45 $999 1.5×
Insulin antibodies (86337) $67.10 $122 3.1×
Insulin free (83527) $29.15 $53 2.3×
Insulin total (83525)
range across 2 matching MRF lines
$59.95–$61.05 $109–$111 varies
Interleukin-6 (83529) $48.95 $89 2.8×
Intrinsic factor antibody (86340) $61.05 $111 4.0×
Iron (83540) $57.75 $105 8.9×
Iron Binding Capacity (83550) $71.50 $130 8.2×
Irradiation Blood Product Each Unit (86945) $99.55 $181 2.7×
Islet cell antibody (86341)
range across 12 matching MRF lines
$37.95–$336.05 $69–$611 varies
Jak2 gene analysis p.val617phe variant (81270) $345.95 $629 3.8×
Jak2 Gene Trgt Sequence Alys (81279) $335.50 $610 1.8×
Kit Gene Analysis D816 Variant(S) (81273) $499.40 $908 4.0×
Kit Gene Analysis Targeted Sequence Analysis (81272)
range across 3 matching MRF lines
$405.90–$835.45 $738–$1,519 varies
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
$35.75–$50.60 $65–$92 varies
Lactoferrin fecal qualitative (83630)
range across 2 matching MRF lines
$16.23–$54.45 $29.50–$99 varies
Lactoferrin Fecal Quantitative (83631) $41.80 $76 2.1×
Lamellar Body Count (83664) $76.45 $139 4.0×
Ldh Isoenzymes (83625) $36.85 $67 2.9×
LDL direct (83721) $30.25 $55 2.9×
Lead (83655)
range across 5 matching MRF lines
$13.75–$48.40 $25–$88 varies
Legionella antibody (86713) $47.30 $86 3.1×
Legionella antigen urine (87449)
range across 3 matching MRF lines
$114.40–$158.95 $208–$289 varies
Leptospira antibody (86720) $80.85 $147 5.0×
Level I Surg Pathology Gross Examination Only (88300) $55 $100 1.9×
Level ii surg pathology gross&microscopic exam (88302) $136.40 $248 3.7×
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines
$433.40–$3,892.90 $788–$7,078 varies
Lidocaine (80176) $42.35 $77 2.9×
Lipase (83690) $66 $120 9.6×
Lipoprotein A (83695)
range across 2 matching MRF lines
$20.35–$24.20 $37–$44 varies
Lipoprotein Bld Quan Part (83704) $81.40 $148 2.4×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $65.45 $119 5.8×
Lipoprotein-Associated Phospholipase A2 (83698) $75.35 $137 1.6×
Lithium (80178) $49.50 $90 7.5×
Luteinizing Hormone (Lh) (83002) $95.70 $174 5.2×
Lyme disease antibody (86618)
range across 4 matching MRF lines
$39.60–$109.45 $72–$199 varies
Lymphocyte transformation (86353) $89.38 $162.50 1.8×
Lysozyme serum (85549) $26.40 $48 1.4×
M. Genitalium Amp Probe (87563) $317.90 $578 9.1×
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 arthropod (87168) $36.85 $67 8.6×
Macroscopic Exam Parasite (87169) $42.90 $78 10.0×
Magnesium Urine (83735)
range across 5 matching MRF lines
$11–$51.70 $20–$94 varies
Mass Spectrometry Quant (83789)
range across 6 matching MRF lines
$65.45–$363.28 $119–$660.50 varies
Mercury urine (83825)
range across 2 matching MRF lines
$23.65–$24.75 $43–$45 varies
Methotrexate (80204) $42.35 $77 1.1×
Methylmalonic acid serum (83921)
range across 2 matching MRF lines
$77–$80.85 $140–$147 varies
Mgmt methylation analysis (81287) $128.43 $233.50 1.0×
Microalbumin, quantitative (82043) $52.80 $96 9.1×
Microsatellite instability (81301)
range across 2 matching MRF lines
$488.95–$1,004.58 $889–$1,826.50 varies
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$34.10–$97.35 $62–$177 varies
Mitochondrial Antibody Each (86381) $36.30 $66 1.4×
Mog-Igg1 Antb Flo Cytmtry Ea (86363)
range across 3 matching MRF lines
$89.93–$622.60 $163.50–$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
$137.50–$1,046.10 $250–$1,902 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
$342.65–$443.58 $623–$806.50 varies
Mononuclear cell antigen (86356)
range across 2 matching MRF lines
$77.28–$86.35 $140.50–$157 varies
Mopath procedure level 2 (81401)
range across 2 matching MRF lines
$173.25–$298.65 $315–$543 varies
Mopath procedure level 4 (81403) $548.90 $998 3.0×
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) $1,238.60 $2,252 0.6×
Mpl gene common variants (81338) $315.15 $573 2.1×
Mrsa Pcr (87641) $171.05 $311 4.9×
Mumps antibody (86735)
range across 2 matching MRF lines
$10.45–$51.15 $19–$93 varies
Mycobacteric Identification (87118) $45.10 $82 3.1×
Mycophenolic Acid (80180) $93.50 $170 5.2×
Mycoplasma antibody (86738)
range across 2 matching MRF lines
$34.10–$39.60 $62–$72 varies
Mycoplasma culture (87109) $76.45 $139 5.0×
Myd88 Gene P.Leu265pro Vrnt (81305) $353.10 $642 2.0×
Myelin basic protein csf (83873) $51.70 $94 3.0×
Myoglobin urine (83874)
range across 2 matching MRF lines
$23.65–$76.45 $43–$139 varies
Natriuretic peptide (83880) $146.30 $266 3.7×
Neurofilament light chain (83884) $684.48 $1,244.50 5.9×
Nfct ds bv&vaginitis DNA alg (81515) $159.23 $289.50 0.6×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $418.55 $761 3.3×
Niacin (84591)
range across 2 matching MRF lines
$92.40–$124.85 $168–$227 varies
Nk cells total count (86357) $196.90 $358 5.2×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $305.80 $556 1.2×
Nuclear antigen antibody (86235)
range across 10 matching MRF lines
$54.45–$79.75 $99–$145 varies
Nudt15 Gene Common Variants (81306) $165.28 $300.50 0.6×
Obstetric panel (80081) $104.78 $190.50 1.4×
Occult Blood Other Sources (82271) $23.10 $42 4.3×
Oligoclonal bands (83916) $106.70 $194 3.9×
Oncology Prostate Prob Score (81539) $686.68 $1,248.50 0.9×
Organic acids urine (83918) $181.50 $330 7.7×
Osmolality serum (83930) $56.10 $102 8.5×
Osmolality Urine (83935)
range across 2 matching MRF lines
$9.08–$51.70 $16.50–$94 varies
Osteocalcin (83937) $57.20 $104 1.9×
Ova and parasites smears (87177)
range across 2 matching MRF lines
$41.25–$48.40 $75–$88 varies
Oxalate urine (83945)
range across 4 matching MRF lines
$19.53–$165 $35.50–$300 varies
Particle Agglutination Screen Each Antibody (86403) $45.65 $83 4.0×
Parvovirus antibody (86747) $24.75 $45 1.6×
Path Consltj Surg Cytologic Exam Initial Site (88333) $486.48 $884.50 0.6×
Ph urine (81003)
range across 3 matching MRF lines
$31.90–$35.20 $58–$64 varies
Phenobarbital Level (80184) $75.90 $138 5.0×
Phenotype Infect Agent Drug (87900)
range across 2 matching MRF lines
$319–$395.45 $580–$719 varies
Phenylalanine (84030) $14.85 $27 2.7×
Phenytoin (Dilantin) (80185) $93.50 $170 7.1×
Phenytoin free (80186) $54.45 $99 4.0×
Phosphatase alkaline (84075)
range across 3 matching MRF lines
$9.35–$63.80 $17–$116 varies
Phospholipid Neutralization Hexagonal (85598)
range across 2 matching MRF lines
$32.45–$67.10 $59–$122 varies
Phosphorus Serum (84100)
range across 2 matching MRF lines
$41.25–$73.98 $75–$134.50 varies
Phosphorus urine (84105)
range across 3 matching MRF lines
$9.90–$65.45 $18–$119 varies
Pinworm exam (87172) $8.80 $16 2.1×
Platelet Aggregation (85576)
range across 7 matching MRF lines
$70.95–$227.15 $129–$413 varies
Platelet Antibodies (86022)
range across 5 matching MRF lines
$89.10–$406.45 $162–$739 varies
Platelet count automated (85049) $32.45 $59 7.2×
Platelet neutralization (85597)
range across 2 matching MRF lines
$32.45–$68.75 $59–$125 varies
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $507.10 $922 2.4×
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) $50.05 $91 5.9×
Porphyrins Feces Quantitative (84126) $216.15 $393 5.5×
Porphyrins Urine Quantitation & Fractionation (84120) $61.60 $112 4.2×
Potassium Urine (84133)
range across 3 matching MRF lines
$8.53–$45.65 $15.50–$83 varies
Prealbumin (84134) $60.50 $110 4.1×
Pregnenolone (84140) $57.20 $104 2.8×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $142.45 $259 0.8×
Primidone (80188) $38.50 $70 2.3×
Procalcitonin (Pct) (84145) $152.35 $277 5.6×
Progesterone (84144) $33 $60 1.6×
Prolactin (84146)
range across 2 matching MRF lines
$36.85–$107.25 $67–$195 varies
Prostaglandin (84150) $149.60 $272 3.6×
Protein body fluid (84157)
range across 2 matching MRF lines
$40.15–$41.80 $73–$76 varies
Protein C Activity (85303)
range across 2 matching MRF lines
$34.10–$56.65 $62–$103 varies
Protein c antigen (85302) $39.60 $72 3.3×
Protein Electrophoresis Urine (84166)
range across 3 matching MRF lines
$145.75–$189.75 $265–$345 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $130.90 $238 12.2×
Protein S Free (85306)
range across 2 matching MRF lines
$36.30–$83.60 $66–$152 varies
Protein s total (85305) $102.85 $187 8.9×
Protein total serum (84155)
range across 2 matching MRF lines
$29.15–$55 $53–$100 varies
Protein Total Urine (84156)
range across 3 matching MRF lines
$31.35–$51.15 $57–$93 varies
Protein Western Blot Test (84182)
range across 11 matching MRF lines
$40.15–$253 $73–$460 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $39.60 $72 10.1×
PSA free (84154)
range across 2 matching MRF lines
$72.05–$97.35 $131–$177 varies
Pth Intact (83970) $231.55 $421 5.6×
Pyruvate kinase (84220) $117.15 $213 12.4×
Q Fever Antibody (86638) $40.15 $73 3.3×
Quantiferon tb gold plus (86480) $138.05 $251 2.2×
Quantitative assay drug (80299)
range across 18 matching MRF lines
$41.25–$1,491.60 $75–$2,712 varies
Quantitative Screen Metals (83018)
range across 4 matching MRF lines
$61.88–$199.65 $112.50–$363 varies
Quinidine (80194) $47.30 $86 3.2×
Rbc antibody elution (86860)
range across 2 matching MRF lines
$113.85–$142.45 $207–$259 varies
Rbc antibody identification (86870) $207.90 $378 0.6×
Rbc antibody screen (86850)
range across 4 matching MRF lines
$75.90–$119.35 $138–$217 varies
Rbc pretreatment serum (86978)
range across 2 matching MRF lines
$132–$485.65 $240–$883 varies
Rbc pretx incubatj w/enzymes (86971) $161.70 $294 1.0×
Renin activity plasma (84244)
range across 2 matching MRF lines
$78.10–$213.40 $142–$388 varies
Reptilase test (85635) $33 $60 3.4×
Rh (86901) $28.60 $52 9.6×
Rheumatoid factor quant (86431) $37.40 $68 6.6×
Rickettsia antibody (86757) $34.10 $62 1.8×
Ristocetin cofactor (85245) $59.40 $108 2.6×
Rotavirus ag eia (87425) $77 $140 6.4×
Rpr qualitative (86592)
range across 2 matching MRF lines
$12.65–$42.90 $23–$78 varies
Rubella Antibody (86762)
range across 2 matching MRF lines
$48.95–$57.20 $89–$104 varies
Rubeola antibody (86765)
range across 2 matching MRF lines
$20.90–$48.95 $38–$89 varies
Rufinamide (80210) $69.85 $127 2.6×
Russell Viper Venom Time Diluted (85613)
range across 3 matching MRF lines
$19.25–$71.50 $35–$130 varies
Salicylate Level (80179) $25.30 $46 1.4×
Sars-Cov-2 Covid-19 Amp Prb (87635) $94.60 $172 1.8×
Sars-cov-2 COVID-19 antibody (86769) $64.90 $118 1.5×
Sarscov2 & inf a&b amp prb (87636) $172.70 $314 1.2×
Sarscov2&inf a&b&rsv amp prb (87637) $200.75 $365 1.4×
Sedimentation rate (85651) $40.70 $74 9.5×
Sedimentation Rate, Automated (85652) $22 $40 8.1×
Selenium (84255) $131.45 $239 5.1×
Semen Anal Sperm Detection (89321) $28.60 $52 2.4×
Semen analysis complete (89320)
range across 2 matching MRF lines
$66–$116.05 $120–$211 varies
Sensitivity mic (87186)
range across 8 matching MRF lines
$18.15–$355.85 $33–$647 varies
Serpina 1 gene (81332) $270.05 $491 6.2×
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines
$20.90–$26.40 $38–$48 varies
Sickling of rbc reduction (85660)
range across 2 matching MRF lines
$12.38–$75.90 $22.50–$138 varies
Sirolimus (80195) $116.05 $211 8.5×
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)
range across 3 matching MRF lines
$36.30–$47.30 $66–$86 varies
Smear complex stain (87209) $55.55 $101 3.1×
Smear gram stain (87205)
range across 2 matching MRF lines
$11–$77 $20–$140 varies
Smear Special Stain (87207)
range across 3 matching MRF lines
$26.95–$65.45 $49–$119 varies
Smr Prim Src Wet Mount Nfct Agt (87210) $41.25 $75 7.1×
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
$9.90–$29.15 $18–$53 varies
Sodium Urine (84300)
range across 3 matching MRF lines
$9.08–$34.65 $16.50–$63 varies
Soluble Transferrin Receptor (84238)
range across 2 matching MRF lines
$40.15–$85.80 $73–$156 varies
Somatomedin (84305)
range across 2 matching MRF lines
$41.25–$209.55 $75–$381 varies
Somatostatin (84307) $252.45 $459 13.8×
Special Stains Group 1 (88312) $128.15 $233 2.5×
Special Stains Group 2 (88313)
range across 3 matching MRF lines
$128.15–$293.15 $233–$533 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) $170.50 $310 4.9×
Stem cells total count (86367) $75.90 $138 1.0×
Stool cultr aerobic bact ea (87046) $17.60 $32 1.9×
Strep a assay w/optic (87880) $46.75 $85 2.8×
Strep a DNA amp probe (87651) $94.60 $172 2.7×
Strep b DNA amp probe (87653) $95.70 $174 2.7×
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
Sulfate urine (84392)
range across 2 matching MRF lines
$9.90–$17.60 $18–$32 varies
Surg path level iii (88304) $188.10 $342 3.6×
Surgical pathology level IV (88305) $208.45 $379 4.0×
Surgical pathology level vi (88309) $606.10 $1,102 0.8×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 6 matching MRF lines
$18.15–$96.25 $33–$175 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) $122.10 $222 4.6×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $202.95 $369 4.3×
T cells total count (86359) $145.75 $265 3.9×
T3 Free (84481) $55 $100 3.2×
T3 reverse (84482) $39.60 $72 2.5×
T3 Total (84480) $102.85 $187 7.3×
T3 Uptake (84479) $42.90 $78 6.6×
T4 Free (84439) $85.80 $156 9.5×
T4 total (84436) $85.80 $156 12.5×
Tacrolimus (80197) $96.25 $175 7.0×
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) $180.40 $328 1.8×
Test for urine cystines (82615) $20.90 $38 2.2×
Testosterone total (84403)
range across 3 matching MRF lines
$48.40–$176.55 $88–$321 varies
Testosterone, Free (84402)
range across 4 matching MRF lines
$62.70–$229.35 $114–$417 varies
Tetanus antibody (86774) $36.85 $67 2.5×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $1,845.25 $3,355 3.1×
Theophylline (80198) $73.15 $133 5.2×
Thiocyanate (84430) $91.85 $167 7.9×
Thiopurine methyltransferase (84433) $88 $160 4.0×
Thrombin Time (85670) $28.60 $52 5.0×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 3 matching MRF lines
$18.70–$92.95 $34–$169 varies
Thyroglobulin (84432)
range across 2 matching MRF lines
$122.65–$222.20 $223–$404 varies
Thyroglobulin Antibody (86800) $174.35 $317 11.0×
Thyroid Stimulating Immunoglobulin (84445) $135.85 $247 2.7×
Thyroxine binding globulin (84442) $28.60 $52 1.9×
Tiss cul neo disorders solid tumor (88239)
range across 2 matching MRF lines
$328.90–$418.55 $598–$761 varies
Tissue Culture (88233)
range across 3 matching MRF lines
$369.60–$419.10 $672–$762 varies
Tissue culture bone marrow (88237) $405.90 $738 2.8×
Tissue Culture Lymphocyte (88230) $348.15 $633 3.0×
Tobramycin peak (80200) $72.60 $132 4.5×
Topiramate (80201) $74.80 $136 6.3×
Total Tau (84394) $353.10 $642 2.7×
Touch prep (88161) $81.95 $149 2.8×
Toxoplasma ab igm (86778)
range across 2 matching MRF lines
$35.75–$83.05 $65–$151 varies
Toxoplasma antibody (86777)
range across 2 matching MRF lines
$28.60–$61.05 $52–$111 varies
Tp53 gene analysis targeted sequence analysis (81352)
range across 2 matching MRF lines
$636.35–$1,058.75 $1,157–$1,925 varies
Tpmt gene com variants (81335)
range across 2 matching MRF lines
$165.28–$188.10 $300.50–$342 varies
Transferase Aspartate Amino Ast Sgot (84450) $36.85 $67 7.1×
Transferrin (84466) $52.25 $95 4.1×
Trb@ Rearrangement Anal Amplification Method (81340)
range across 2 matching MRF lines
$364.10–$587.68 $662–$1,068.50 varies
Trg gene rearrangement anal (81342)
range across 2 matching MRF lines
$519.20–$587.68 $944–$1,068.50 varies
Trichinella Antibody (86784) $111.10 $202 8.8×
Trichomonas Vaginalis Amplif (87661) $64.35 $117 1.8×
Triglycerides (84478) $37.40 $68 6.5×
Troponin Quant (84484) $91.85 $167 7.4×
Tumor Immunohistochem/Manual (88360)
range across 2 matching MRF lines
$98.73–$242.55 $179.50–$441 varies
Ugt1a1 gene analysis common variants (81350) $266.75 $485 1.1×
Unlisted miscellaneous pathology test (89240) $30.80 $56 0.6×
Urea nitrogen urine (84540)
range across 4 matching MRF lines
$9.90–$37.95 $18–$69 varies
Uric acid other source (84560)
range across 3 matching MRF lines
$9.08–$76.45 $16.50–$139 varies
Urinalysis Microscopic Only (81015) $23.10 $42 7.6×
Urinalysis Volume Measure (81050) $26.95 $49 7.4×
Urine Bacteria Culture (87088) $51.70 $94 6.4×
Urine Pregnancy Test (81025)
range across 3 matching MRF lines
$56.65–$72.05 $103–$131 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $39.60 $72 12.5×
Valproic acid (80164) $101.20 $184 7.5×
Vancomycin (80202) $90.75 $165 6.7×
Varicella-zoster antibody (86787)
range across 4 matching MRF lines
$25.30–$69.30 $46–$126 varies
Vasopressin (84588)
range across 2 matching MRF lines
$55–$364.65 $100–$663 varies
Very Long Chain Fatty Acids (82726) $375.65 $683 19.0×
Viral Culture (87252) $115.50 $210 4.4×
Virus antibody nos (86790)
range across 12 matching MRF lines
$22–$286 $40–$520 varies
Viscosity serum (85810) $30.25 $55 2.6×
Vit D 1 25-Dihydroxy (82652) $139.15 $253 3.6×
Vitamin A (84590) $28.05 $51 2.4×
Vitamin b-12 (82607) $99 $180 6.6×
Vitamin B2 (Riboflavin) (84252) $68.20 $124 3.4×
Vitamin B6 (84207) $67.10 $122 2.4×
Vitamin c (82180) $40.15 $73 4.1×
Vitamin D 25-Hydroxy (82306)
range across 3 matching MRF lines
$107.25–$143.55 $195–$261 varies
Vitamin E (84446) $33.55 $61 2.4×
Vitamin K (84597) $67.10 $122 4.9×
Voltage-Gated Calcium Channel Antibody Each (86596)
range across 2 matching MRF lines
$68.20–$134.20 $124–$244 varies
Volume Reduction Blood/Blood Product Each Unit (86960) $162.25 $295 1.0×
Von willebrand factor ag (85246) $52.25 $95 2.3×
West nile virus ab igm (86788)
range across 2 matching MRF lines
$45.10–$57.75 $82–$105 varies
West Nile Virus Antibody (86789)
range across 2 matching MRF lines
$50.60–$79.75 $92–$145 varies
Zinc (84630)
range across 2 matching MRF lines
$51.70–$166.65 $94–$303 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.