Lab & pathology prices at Gibson Community Hospital
Gibson City, IL · every code in this section with a posted price and a Medicare benchmark.
711 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $238 | $238 | 10.4× |
| 5 Nucleotidase (83915) | $161 | $161 | 14.4× |
| Abl1 gene analysis kinase domain variants (81170) | $988 | $988 | 3.3× |
| Acth (82024) | $758 | $758 | 19.6× |
| Acute hepatitis panel (80074) | $713 | $713 | 15.0× |
| Acylcarnitines Quant (82017) | $461 | $461 | 27.3× |
| Adenovirus antibody (86603) | $64 | $64 | 5.0× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $342 | $342 | 5.3× |
| Albumin Fluid (82042) | $7 | $7 | 0.9× |
| Albumin serum (82040) | $99 | $99 | 20.0× |
| Aldolase (82085) | $189 | $189 | 19.5× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$531–$613 | $531–$613 | varies |
| Alkaline phosphatase isoenzymes (84080) | $288 | $288 | 19.5× |
| Allergen spec ige qual multiallergen screen (86005) | $62 | $62 | 7.8× |
| Allergen specific ige (86003) range across 131 matching MRF lines |
$7–$180 | $7–$180 | varies |
| Allg Spec Ige Recomb Ea (86008) | $69 | $69 | 3.8× |
| Alpha-1-antitrypsin phenotype (82104) | $150 | $150 | 10.4× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$59–$240 | $59–$240 | varies |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$30.50–$313 | $30.50–$313 | varies |
| Alt (sgpt) (84460) | $162 | $162 | 30.6× |
| Aluminum (82108) | $401 | $401 | 15.7× |
| Amikacin trough (80150) | $248 | $248 | 16.4× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$398–$858 | $398–$858 | varies |
| Aminolevulinic acid (ala) (82135) | $209 | $209 | 12.7× |
| Ammonia (82140) | $308 | $308 | 21.1× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $192 | $192 | 2.0× |
| Amylase urine (82150) range across 3 matching MRF lines |
$159–$190 | $159–$190 | varies |
| Ana Titer (86039) | $201 | $201 | 18.0× |
| Androstenedione (82157) | $360 | $360 | 12.3× |
| Angiotensin converting enzyme csf (82164) | $223 | $223 | 15.3× |
| Angiotensin II (82163) | $223 | $223 | 10.9× |
| Anti-Phospholipid Antibody (86148) range across 5 matching MRF lines |
$240–$282 | $240–$282 | varies |
| Antibody aspergillus (86606) | $36 | $36 | 2.4× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$46–$77 | $46–$77 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $516 | $516 | 33.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $190 | $190 | 11.3× |
| Antibody Encephalitis California La Crosse (86651) | $173 | $173 | 13.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$117–$611 | $117–$611 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $275 | $275 | 18.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $328 | $328 | 18.1× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$154–$302 | $154–$302 | varies |
| Antibody helicobacter pylori (86677) | $217 | $217 | 12.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $32 | $32 | 2.2× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$159–$175 | $159–$175 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$237–$418 | $237–$418 | varies |
| Antibody HIV-2 (86702) | $538 | $538 | 39.8× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $552 | $552 | 28.5× |
| Antibody identification leukocyte antibodies (86021) | $51 | $51 | 3.4× |
| Antibody john cunningham virus (86711) | $83 | $83 | 4.9× |
| Antibody Protozoa Nes (86753) | $318 | $318 | 25.7× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$194–$206 | $194–$206 | varies |
| Antibody; campylobacter (86625) | $62 | $62 | 4.7× |
| Antibody; encephalitis, st. louis (86653) | $301 | $301 | 22.8× |
| Antibody; influenza virus (86710) | $203 | $203 | 15.0× |
| Antigen typing (86905) range across 2 matching MRF lines |
$146–$160 | $146–$160 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $163 | $163 | 28.5× |
| Antinuclear antibodies (86038) | $181 | $181 | 15.0× |
| Antistreptolysin o titer (86060) | $171 | $171 | 23.4× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$382–$401 | $382–$401 | varies |
| Apc gene full sequence (81201) | $2,083 | $2,083 | 2.7× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$108–$264 | $108–$264 | varies |
| Arsenic (82175) range across 3 matching MRF lines |
$44–$585 | $44–$585 | varies |
| Aspergillus ag eia (87305) | $335 | $335 | 28.0× |
| Assay activated protein c (85307) | $520 | $520 | 33.9× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$276–$710 | $276–$710 | varies |
| Assay myeloperoxidase (83876) | $265 | $265 | 5.2× |
| Assay Nephelometry Not Spec (83883) | $437 | $437 | 32.1× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$239–$265 | $239–$265 | varies |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$48–$119 | $48–$119 | varies |
| Assay of calcium in urine (82340) | $158 | $158 | 26.2× |
| Assay of cpk in blood (82552) | $344 | $344 | 25.7× |
| Assay of estrone (82679) | $313 | $313 | 12.5× |
| Assay of feces for trypsin (84490) | $153 | $153 | 15.4× |
| Assay of g6pd enzyme (82955) | $180 | $180 | 18.6× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$166–$209 | $166–$209 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$293–$978 | $293–$978 | varies |
| Assay of manganese (83785) | $227 | $227 | 8.5× |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$379–$603 | $379–$603 | varies |
| Assay of proinsulin (84206) | $357 | $357 | 13.4× |
| Assay of prostate specific antigen complexed (84152) | $130 | $130 | 7.1× |
| Assay of pyruvate (84210) | $129 | $129 | 8.9× |
| Assay of serotonin (84260) range across 2 matching MRF lines |
$319–$664 | $319–$664 | varies |
| Assay of serum potassium (84132) | $100 | $100 | 21.0× |
| Assay of sweat sodium (84302) | $117 | $117 | 24.1× |
| Assay of urea nitrogen (84520) | $97 | $97 | 24.6× |
| Assay of urine vma (84585) | $278 | $278 | 17.9× |
| Assay of vasoactive intestinal peptide (84586) range across 3 matching MRF lines |
$201–$578 | $201–$578 | varies |
| Assay of vitamin b-1 (84425) | $384 | $384 | 18.1× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$63–$79 | $63–$79 | varies |
| Assay spec xcp ur&breath ia (82077) | $324 | $324 | 18.8× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $1,869 | $1,869 | 2.2× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $569 | $569 | 3.1× |
| Automated Leukocyte Count (85048) | $65 | $65 | 25.6× |
| B cells total count (86355) | $681 | $681 | 18.0× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$60–$183 | $60–$183 | varies |
| Bcr/abl1 gene major bp (81206) | $698 | $698 | 4.3× |
| Beta 2 glycoprotein i antibody each (86146) range across 6 matching MRF lines |
$130–$194 | $130–$194 | varies |
| Beta hydroxybutyrate (82010) | $206 | $206 | 25.2× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$55–$291 | $55–$291 | varies |
| Bile acids total (82239) range across 2 matching MRF lines |
$160–$368 | $160–$368 | varies |
| Bilirubin direct (82248) | $106 | $106 | 21.1× |
| Bilirubin total (82247) | $106 | $106 | 21.1× |
| Bilirubin total transcutaneous (88720) | $108 | $108 | 21.5× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$132–$212 | $132–$212 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $146 | $146 | 18.8× |
| Blood Count Automated Differential Wbc Count (85004) | $31 | $31 | 4.8× |
| Blood Count Red Blood Cell Automated (85041) | $54 | $54 | 17.9× |
| Blood count reticulocyte automated (85045) | $128 | $128 | 32.1× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $86 | $86 | 22.6× |
| Blood gas (82803) range across 6 matching MRF lines |
$349–$722 | $349–$722 | varies |
| Blood gases w/02 saturation (82805) | $131 | $131 | 1.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$92–$321 | $92–$321 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$24–$59 | $24–$59 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $197 | $197 | 31.0× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $197 | $197 | 12.1× |
| Blood typing serologic abo (86900) | $147 | $147 | 49.2× |
| Bone marrow smear interpretation (85097) | $883 | $883 | 1.0× |
| Bordetella antibody (86615) | $198 | $198 | 15.0× |
| Braf gene analysis (81210) | $620 | $620 | 3.5× |
| Brca1&2 gen full seq dup/del (81162) | $3,681 | $3,681 | 2.0× |
| Brca2 Gene Analysis Known Familial Variant (81217) | $1,314 | $1,314 | 3.5× |
| Breath Alcohol Test (82075) | $89 | $89 | 3.0× |
| Brucella antibody (86622) | $97 | $97 | 10.9× |
| C diff amplified probe (87493) | $537 | $537 | 14.4× |
| C-Peptide (84681) | $376 | $376 | 18.1× |
| C-reactive protein (86140) range across 4 matching MRF lines |
$67–$250 | $67–$250 | varies |
| Ca 19-9 (86301) | $313 | $313 | 15.0× |
| Cadmium (82300) range across 2 matching MRF lines |
$119–$280 | $119–$280 | varies |
| Calcitonin (82308) | $418 | $418 | 15.6× |
| Calcium ionized (82330) | $206 | $206 | 15.1× |
| Calcium total (82310) range across 2 matching MRF lines |
$151–$158 | $151–$158 | varies |
| Calculus assay quant (82360) | $52 | $52 | 4.0× |
| Calculus Spectroscopy (82365) | $192 | $192 | 14.9× |
| Calprotectin Fecal (83993) | $357 | $357 | 18.2× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$732–$945 | $732–$945 | varies |
| Cancer Antigen 125 (86304) | $376 | $376 | 18.1× |
| Cancer Antigen 27.29 (86300) | $376 | $376 | 18.1× |
| Candida antibody (86628) range across 3 matching MRF lines |
$55–$78 | $55–$78 | varies |
| Carbamazepine free (80157) | $203 | $203 | 15.3× |
| Carbamazepine total (80156) | $230 | $230 | 15.8× |
| Carbohydrate Deficient Transferrin (82373) | $273 | $273 | 15.1× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$212–$282 | $212–$282 | varies |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$34–$395 | $34–$395 | varies |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$86–$384 | $86–$384 | varies |
| Carnitine Quantitative Each Specimen (82379) | $470 | $470 | 27.9× |
| Carotene (82380) | $124 | $124 | 13.4× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$366–$485 | $366–$485 | varies |
| Catecholamines total urine (82382) | $81 | $81 | 3.0× |
| Ccp antibody (86200) | $381 | $381 | 29.4× |
| Cell count csf (89051) | $148 | $148 | 26.4× |
| Ceruloplasmin (82390) | $161 | $161 | 15.0× |
| Cftr gene com variants (81220) | $827 | $827 | 1.5× |
| Cftr gene full sequence (81223) | $1,785 | $1,785 | 3.6× |
| Chemiluminescent assay (82397) range across 5 matching MRF lines |
$211–$567 | $211–$567 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $308 | $308 | 1.2× |
| Chimerism w/comp to baseline w/o cell selection (81267) | $1,307 | $1,307 | 6.3× |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$230–$294 | $230–$294 | varies |
| Chloride other source (82438) | $117 | $117 | 23.4× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$86–$100 | $86–$100 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$130–$145 | $130–$145 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$102–$154 | $102–$154 | varies |
| Cholinesterase Serum (82480) | $168 | $168 | 21.3× |
| Chorionic gonadotropin test (84702) | $266 | $266 | 17.7× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $453 | $453 | 13.2× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $380 | $380 | 11.4× |
| Chromium serum (82495) range across 3 matching MRF lines |
$203–$441 | $203–$441 | varies |
| Chromogranin a (86316) range across 2 matching MRF lines |
$79–$376 | $79–$376 | varies |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$1,174–$1,360 | $1,174–$1,360 | varies |
| Chromosome Analysis 20-25 (88264) | $1,839 | $1,839 | 12.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$46–$391 | $46–$391 | varies |
| Citric acid urine (82507) | $280 | $280 | 10.1× |
| Ckmb (82553) | $264 | $264 | 22.9× |
| Clostridium Difficile (87324) | $439 | $439 | 36.6× |
| Clot factor xiii fibrin stab (85290) | $74 | $74 | 4.5× |
| Clotting factor xii hageman (85280) | $102 | $102 | 5.3× |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
$99–$102 | $99–$102 | varies |
| Cold agglutinin titer (86157) | $154 | $154 | 19.1× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$288–$339 | $288–$339 | varies |
| Column Chromotography Quant (82542) range across 4 matching MRF lines |
$111–$668 | $111–$668 | varies |
| Compatibility Each Unit Incubation (86921) | $167 | $167 | 0.9× |
| Compatibility test antiglob (86922) | $385 | $385 | 2.1× |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$72–$406 | $72–$406 | varies |
| Complement Total (Ch50) (86162) | $306 | $306 | 15.1× |
| Complement/Function Activity (86161) | $44 | $44 | 3.7× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $530 | $530 | 2.9× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $927 | $927 | 16.6× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $316 | $316 | 7.9× |
| Coombs direct (86880) | $140 | $140 | 26.0× |
| Copper urine (82525) range across 2 matching MRF lines |
$206–$390 | $206–$390 | varies |
| Cortisol free (82530) | $345 | $345 | 20.6× |
| Cortisol saliva (82533) range across 6 matching MRF lines |
$75–$531 | $75–$531 | varies |
| Creatine (82540) | $13 | $13 | 2.8× |
| Creatine kinase total (82550) | $155 | $155 | 23.8× |
| Creatinine blood (82565) range across 4 matching MRF lines |
$97–$124 | $97–$124 | varies |
| Creatinine clearance (82575) | $222 | $222 | 23.5× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$93–$403 | $93–$403 | varies |
| Crossmatch immediate spin (86920) | $278 | $278 | 1.5× |
| Crp High Sensitivity (86141) | $300 | $300 | 23.2× |
| Cryoglobulin (82595) | $158 | $158 | 24.4× |
| Cryptococcal Antigen (87327) | $87 | $87 | 6.5× |
| Cryptococcus ab (86641) | $212 | $212 | 14.7× |
| Cryptococcus ag titer (87899) | $212 | $212 | 13.2× |
| Cryptosporidium (87272) | $190 | $190 | 15.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $174 | $174 | 21.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $127 | $127 | 15.7× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 3 matching MRF lines |
$209–$297 | $209–$297 | varies |
| Culture afb (87116) | $201 | $201 | 18.6× |
| Culture Anaerobic (87075) | $206 | $206 | 21.8× |
| Culture blood (87040) | $299 | $299 | 29.0× |
| Culture chlamydia (87110) range across 3 matching MRF lines |
$301–$311 | $301–$311 | varies |
| Culture csf (87070) range across 7 matching MRF lines |
$145–$255 | $145–$255 | varies |
| Culture fungus (87102) | $297 | $297 | 35.3× |
| Culture fungus blood (87103) | $106 | $106 | 5.2× |
| Culture screen only (87081) range across 8 matching MRF lines |
$77–$171 | $77–$171 | varies |
| Culture stool (87045) | $95 | $95 | 10.1× |
| Culture urine (87086) range across 2 matching MRF lines |
$99–$211 | $99–$211 | varies |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) | $24 | $24 | 0.9× |
| Cyanide (82600) | $303 | $303 | 15.6× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $248 | $248 | 17.3× |
| Cyclosporine (80158) | $303 | $303 | 16.8× |
| Cyp2d6 gene com variants (81226) | $1,572 | $1,572 | 3.5× |
| Cyp3a4 gene common variants (81230) | $1,890 | $1,890 | 10.8× |
| Cystatin C (82610) | $482 | $482 | 26.0× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$413–$467 | $413–$467 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$2,564–$3,354 | $2,564–$3,354 | varies |
| Cytomegalovirus igg (86644) | $159 | $159 | 11.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $303 | $303 | 15.0× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$81–$438 | $81–$438 | varies |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) | $103 | $103 | 2.0× |
| Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) | $103 | $103 | 5.6× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) | $206 | $206 | 8.1× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $397 | $397 | 14.9× |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) | $206 | $206 | 8.9× |
| Cytp Concentration Smears & Interpretation (88108) range across 3 matching MRF lines |
$35–$255 | $35–$255 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $498 | $498 | 8.9× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) range across 2 matching MRF lines |
$1,400–$1,710 | $1,400–$1,710 | varies |
| Cytp Slides C/V Mnl Scr Under Phys (88150) range across 3 matching MRF lines |
$12–$88 | $12–$88 | varies |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $159 | $159 | 8.6× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $400 | $400 | 12.9× |
| Deoxyribonuclease antibody (86215) | $198 | $198 | 14.9× |
| Detect Agent Nos Dna Amp (87798) range across 16 matching MRF lines |
$60–$874 | $60–$874 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$492–$811 | $492–$811 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$840–$1,053 | $840–$1,053 | varies |
| Dhea (82626) | $426 | $426 | 16.9× |
| Dhea-S (82627) range across 3 matching MRF lines |
$121–$406 | $121–$406 | varies |
| Digoxin (80162) | $300 | $300 | 22.6× |
| Dihydrotestosterone (82642) | $101 | $101 | 3.4× |
| Diphtheria antitoxoid (86648) | $124 | $124 | 8.2× |
| Dipropylacetic Acid Free (80165) | $203 | $203 | 15.0× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$181–$248 | $181–$248 | varies |
| Dna Antibody Single Stranded (86226) | $72 | $72 | 5.9× |
| Dna/Rna Amplified Probe (87150) | $589 | $589 | 16.8× |
| DNA/RNA direct probe (87149) | $90 | $90 | 4.5× |
| Drug assay acetaminophen (80143) | $383 | $383 | 20.5× |
| Drug Assay Amiodarone (80151) | $224 | $224 | 12.0× |
| Drug Assay Everolimus (80169) | $363 | $363 | 26.4× |
| Drug assay felbamate (80167) | $171 | $171 | 9.2× |
| Drug Assay Infliximab (80230) | $279 | $279 | 7.2× |
| Drug Assay Itraconazole (80189) | $744 | $744 | 27.4× |
| Drug Assay Lacosamide (80235) | $243 | $243 | 9.0× |
| Drug assay voriconazole (80285) | $564 | $564 | 20.8× |
| Drug Screen Quant Zonisamide (80203) | $207 | $207 | 15.6× |
| Drug Screen Quantitative Gabapentin (80171) range across 2 matching MRF lines |
$239–$509 | $239–$509 | varies |
| Drug Screen Quantitative Lamotrigine (80175) | $530 | $530 | 40.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $357 | $357 | 26.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$206–$387 | $206–$387 | varies |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $330 | $330 | 19.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 21 matching MRF lines |
$13–$504 | $13–$504 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $77 | $77 | 6.1× |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$239–$395 | $239–$395 | varies |
| Ehrlichia antibody (86666) | $224 | $224 | 22.0× |
| Electrolyte panel (80051) | $232 | $232 | 33.1× |
| Electron Microscopy (88348) | $4,667 | $4,667 | 5.4× |
| Encephaltis East Eqne Anbdy (86652) | $354 | $354 | 26.8× |
| Encephaltis West Eqne Antbdy (86654) | $135 | $135 | 10.2× |
| Enterovirus Antibody (86658) range across 4 matching MRF lines |
$105–$194 | $105–$194 | varies |
| Enterovirus PCR (87498) | $415 | $415 | 11.8× |
| Enzyme cell activity (82657) | $562 | $562 | 25.3× |
| Erythropoietin (82668) | $436 | $436 | 23.2× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$360–$578 | $360–$578 | varies |
| Estriol (82677) | $224 | $224 | 9.3× |
| Estrogen total (82672) | $390 | $390 | 18.0× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$166–$172 | $166–$172 | varies |
| Ethylene Glycol (82693) | $38 | $38 | 2.6× |
| Exam Synovial Fluid Crystals (89060) | $113 | $113 | 15.4× |
| F2 Gene (81240) range across 2 matching MRF lines |
$203–$731 | $203–$731 | varies |
| Factor ii activity (85210) | $289 | $289 | 22.3× |
| Factor ix activity (85250) | $286 | $286 | 15.0× |
| Factor v activity (85220) | $289 | $289 | 16.4× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$603–$731 | $603–$731 | varies |
| Factor vii assay (85230) | $144 | $144 | 8.0× |
| Factor viii assay (85240) | $352 | $352 | 19.7× |
| Factor X (85260) | $289 | $289 | 16.1× |
| Factor xi activity (85270) | $267 | $267 | 14.9× |
| Factor xiii screen (85291) | $102 | $102 | 11.2× |
| Fat/Lipids Feces Quantitative (82710) | $244 | $244 | 14.5× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $501 | $501 | 29.1× |
| Fecal Fat Qualitative (82705) | $244 | $244 | 47.8× |
| Ferritin (82728) | $250 | $250 | 18.3× |
| Fetal Aneuploidy Trisom Risk (81507) | $1,311 | $1,311 | 1.6× |
| Fetal Chrmoml Aneuploidy (81420) range across 3 matching MRF lines |
$984–$1,136 | $984–$1,136 | varies |
| Fetal Chrmoml Microdeltj (81422) | $984 | $984 | 1.3× |
| Fetal Fibronectin (82731) | $713 | $713 | 11.1× |
| Fibrin Degradation Quant (85379) | $211 | $211 | 20.7× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $33 | $33 | 3.4× |
| Fibrinogen activity (85384) | $194 | $194 | 20.0× |
| Fibrinogen antigen (85385) | $504 | $504 | 34.9× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$312–$695 | $312–$695 | varies |
| Flt3 Gene (81245) | $626 | $626 | 3.8× |
| Fluorescent antibody screen (86255) range across 15 matching MRF lines |
$83–$910 | $83–$910 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $71 | $71 | 5.9× |
| Fmr1 gene detection (81243) range across 2 matching MRF lines |
$594–$634 | $594–$634 | varies |
| Folic acid rbc (82747) | $261 | $261 | 14.8× |
| Folic Acid Serum (82746) | $256 | $256 | 17.4× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$77–$377 | $77–$377 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $265 | $265 | 1.5× |
| Frozen Section (88331) | $435 | $435 | 2.4× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $209 | $209 | 9.9× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$84–$246 | $84–$246 | varies |
| Gases blood ph only (82800) | $163 | $163 | 14.8× |
| Gastrin (82941) | $224 | $224 | 12.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$813–$827 | $813–$827 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $4,410 | $4,410 | 5.8× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $1,890 | $1,890 | 0.6× |
| Genet Virus Isolate Hsv (87255) | $509 | $509 | 15.0× |
| Gentamicin (80170) | $355 | $355 | 21.7× |
| Ggt (82977) range across 2 matching MRF lines |
$101–$196 | $101–$196 | varies |
| Giardia antigen (87329) | $57 | $57 | 4.8× |
| Giardia lamblia antibody (86674) | $196 | $196 | 13.3× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $40 | $40 | 6.6× |
| Glucagon (82943) | $418 | $418 | 29.3× |
| Glucose 2 hr pp (82950) | $167 | $167 | 35.2× |
| Glucose Blood Test (82962) | $18 | $18 | 5.5× |
| Glucose body fluid (82945) | $122 | $122 | 31.0× |
| Glucose Serum (82947) | $111 | $111 | 28.2× |
| Glucose tolerance test (gtt) (82951) range across 5 matching MRF lines |
$218–$258 | $218–$258 | varies |
| Glutathione (82978) | $238 | $238 | 15.4× |
| Glycated Protein (82985) | $226 | $226 | 13.5× |
| Gonadotropin Chorionic Qualitative (84703) | $194 | $194 | 25.8× |
| Gonadotropin releasing hormone (83727) | $529 | $529 | 30.8× |
| Growth hormone (83003) | $372 | $372 | 22.3× |
| Gtt-added samples (82952) range across 4 matching MRF lines |
$72–$87 | $72–$87 | varies |
| H Pylori (C-13) Breath (83013) | $713 | $713 | 10.6× |
| Haptoglobin (83010) | $288 | $288 | 22.9× |
| Hdl Cholesterol (83718) | $201 | $201 | 24.5× |
| Helicobacter Pylori Stool (87338) | $453 | $453 | 31.5× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$337–$343 | $337–$343 | varies |
| Hematocrit (85014) | $108 | $108 | 45.6× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$57–$75 | $57–$75 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$125–$250 | $125–$250 | varies |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$82–$176 | $82–$176 | varies |
| Hemoglobin electrophoresis (83020) | $154 | $154 | 12.0× |
| Hemoglobin Methemoglobin Quantitative (83050) | $61 | $61 | 7.4× |
| Hemoglobin plasma (83051) | $99 | $99 | 13.5× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $397 | $397 | 45.3× |
| Hemosiderin urine (83070) | $55 | $55 | 11.6× |
| Hep a ab igm (86709) | $274 | $274 | 24.3× |
| Heparin assay (85520) range across 2 matching MRF lines |
$282–$308 | $282–$308 | varies |
| Hepatitis a antibody total (86708) | $297 | $297 | 24.0× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$101–$317 | $101–$317 | varies |
| Hepatitis b core ab total (86704) | $244 | $244 | 20.2× |
| Hepatitis B Surface Antibody (86706) | $210 | $210 | 19.6× |
| Hepatitis B Surface Antigen (87340) | $200 | $200 | 19.4× |
| Hepatitis Be Antibody (86707) | $181 | $181 | 15.6× |
| Hepatitis Be Antigen (87350) | $203 | $203 | 17.6× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$258–$280 | $258–$280 | varies |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$1,329–$3,855 | $1,329–$3,855 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$219–$803 | $219–$803 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 5 matching MRF lines |
$539–$1,103 | $539–$1,103 | varies |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$92–$159 | $92–$159 | varies |
| Heterophile Antibody Screen (86308) | $133 | $133 | 25.7× |
| Hfe Gene (81256) | $755 | $755 | 11.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $310 | $310 | 40.1× |
| Histamine urine (83088) | $524 | $524 | 17.7× |
| Histoplasma antibody (86698) range across 4 matching MRF lines |
$187–$194 | $187–$194 | varies |
| Histoplasma antigen urine (87385) | $194 | $194 | 14.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$212–$278 | $212–$278 | varies |
| Hiv-1 Antibody (86701) | $46 | $46 | 5.2× |
| HIV-1 p24 antigen (87390) | $275 | $275 | 11.4× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$658–$677 | $658–$677 | varies |
| Hla Class I Typing Low Resolution Complete (81372) | $545 | $545 | 1.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $504 | $504 | 6.8× |
| Hla I Typing 1 Allele Hr (81381) | $504 | $504 | 3.0× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $375 | $375 | 1.7× |
| Hla ii type 1 ag equiv lr (81377) | $790.75 | $790.75 | 8.3× |
| Hla-b27 (86812) | $127 | $127 | 4.9× |
| Homocysteine (83090) range across 3 matching MRF lines |
$182–$603 | $182–$603 | varies |
| Homogenization Tissue (87176) | $87 | $87 | 14.8× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$340–$590 | $340–$590 | varies |
| Hpv Types 16 & 18 Only (87625) | $340 | $340 | 8.4× |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$80–$524 | $80–$524 | varies |
| Hsv Dna Quant (87530) | $281 | $281 | 6.6× |
| Htt Gene Detc Abnor Alleles (81271) | $511 | $511 | 3.7× |
| Human Epididymis Protein 4 (86305) | $395 | $395 | 19.0× |
| Hydroxycorticosteroids 17 (83491) | $575 | $575 | 32.1× |
| Hydroxyprogesterone 17-d (83498) range across 3 matching MRF lines |
$407–$530 | $407–$530 | varies |
| Hydroxyproline total (83505) | $520 | $520 | 21.4× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $264 | $264 | 19.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $254 | $254 | 7.2× |
| Iaad ia shiga-like toxin (87427) | $180 | $180 | 15.0× |
| Iaadi giardia (87269) | $180 | $180 | 13.2× |
| Iadna Candida Species Amplified Probe Tq (87481) | $151 | $151 | 4.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $87 | $87 | 2.5× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $95 | $95 | 4.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $385 | $385 | 11.0× |
| Iadna Cytomegalovirus Quantification (87497) range across 3 matching MRF lines |
$469–$643 | $469–$643 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $643 | $643 | 15.0× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $674 | $674 | 19.2× |
| Iadna Herpes Virus-6 Quantification (87533) | $478 | $478 | 11.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$212–$762 | $212–$762 | varies |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $185 | $185 | 4.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $87 | $87 | 2.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$46–$272 | $46–$272 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $315 | $315 | 10.5× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $103 | $103 | 2.0× |
| Idh1 common variants (81120) | $475 | $475 | 2.5× |
| Idh2 common variants (81121) range across 2 matching MRF lines |
$457–$475 | $457–$475 | varies |
| Igg subclasses (82787) | $120 | $120 | 15.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $147 | $147 | 0.4× |
| Immunfix e-phorsis/urine/csf (86335) range across 4 matching MRF lines |
$358–$530 | $358–$530 | varies |
| Immunoassay analyte qual/semiqual single step (83518) | $61 | $61 | 6.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 14 matching MRF lines |
$113–$2,105 | $113–$2,105 | varies |
| Immunoassay infectious agent (86318) | $60 | $60 | 3.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$34–$210 | $34–$210 | varies |
| Immunoassay nonantibody (83516) range across 24 matching MRF lines |
$24–$536 | $24–$536 | varies |
| Immunodiffusion Ouchterlony (86331) | $140 | $140 | 11.7× |
| Immunofixation electrophoresis (86334) | $403 | $403 | 18.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $1,557 | $1,557 | 8.5× |
| Immunohistochemistry (88342) | $498 | $498 | 2.7× |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$161–$316 | $161–$316 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $67 | $67 | 4.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $234 | $234 | 3.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) | $77 | $77 | 4.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) range across 3 matching MRF lines |
$55–$185 | $55–$185 | varies |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) range across 3 matching MRF lines |
$31–$82 | $31–$82 | varies |
| Influenza a/b ag eia (87400) range across 2 matching MRF lines |
$216–$244 | $216–$244 | varies |
| Influenza assay w/optic (87804) | $180 | $180 | 10.9× |
| Inhibin A (86336) | $322 | $322 | 20.7× |
| Inhibin b (83520) range across 11 matching MRF lines |
$186–$666 | $186–$666 | varies |
| Insitu hybridization auto (88367) | $504 | $504 | 1.3× |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$172–$453 | $172–$453 | varies |
| Insulin free (83527) | $196 | $196 | 15.1× |
| Insulin total (83525) range across 2 matching MRF lines |
$101–$295 | $101–$295 | varies |
| Intrinsic factor antibody (86340) | $237 | $237 | 15.7× |
| Iron (83540) range across 3 matching MRF lines |
$76–$185 | $76–$185 | varies |
| Iron Binding Capacity (83550) | $153 | $153 | 17.5× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$194–$568 | $194–$568 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 4 matching MRF lines |
$420–$1,272 | $420–$1,272 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $945 | $945 | 5.1× |
| Ketosteroids 17 total (83586) | $224 | $224 | 17.5× |
| Koh Prep (87220) | $131 | $131 | 30.7× |
| Lactate (ld) (ldh) enzyme (83615) range across 5 matching MRF lines |
$72–$166 | $72–$166 | varies |
| Lactoferrin Fecal Quantitative (83631) | $277 | $277 | 14.1× |
| Ldh Isoenzymes (83625) | $360 | $360 | 28.1× |
| LDL direct (83721) range across 2 matching MRF lines |
$171–$197 | $171–$197 | varies |
| Lead (83655) range across 3 matching MRF lines |
$155–$202 | $155–$202 | varies |
| Legionella antibody (86713) | $230 | $230 | 15.0× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$291–$541 | $291–$541 | varies |
| Leukocyte Assessment Fecal (89055) | $106 | $106 | 24.8× |
| Level I Surg Pathology Gross Examination Only (88300) | $113 | $113 | 3.6× |
| Level ii surg pathology grossµscopic exam (88302) | $306 | $306 | 7.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $792 | $792 | 2.1× |
| Lidocaine (80176) | $252 | $252 | 17.2× |
| Lipase (83690) | $186 | $186 | 27.0× |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$108–$182 | $108–$182 | varies |
| Lipoprotein Bld Quan Part (83704) range across 3 matching MRF lines |
$144–$329 | $144–$329 | varies |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $278 | $278 | 24.7× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $96 | $96 | 2.8× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $264 | $264 | 5.7× |
| Lithium (80178) | $180 | $180 | 27.2× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$29–$376 | $29–$376 | varies |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$27–$345 | $27–$345 | varies |
| Lymphocyte transformation (86353) | $112 | $112 | 2.3× |
| Lysozyme serum (85549) | $99 | $99 | 5.3× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $347 | $347 | 9.9× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$319–$810 | $319–$810 | varies |
| M/phmtrc alys ishquant/semiq (88374) range across 3 matching MRF lines |
$515–$1,260 | $515–$1,260 | varies |
| Macroscopic exam arthropod (87168) | $46 | $46 | 10.8× |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
$46–$97 | $46–$97 | varies |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$85–$217 | $85–$217 | varies |
| Mass Spectrometry Quant (83789) range across 5 matching MRF lines |
$114–$517 | $114–$517 | varies |
| Mercury urine (83825) range across 3 matching MRF lines |
$194–$733 | $194–$733 | varies |
| Metabolic panel ionized ca (80047) | $263 | $263 | 19.2× |
| Methylmalonic acid serum (83921) | $544 | $544 | 25.6× |
| Microalbumin, quantitative (82043) range across 4 matching MRF lines |
$108–$131 | $108–$131 | varies |
| Microsatellite instability (81301) | $322 | $322 | 0.9× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$263–$276 | $263–$276 | varies |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $2,520 | $2,520 | 12.5× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $53 | $53 | 1.3× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$186–$250 | $186–$250 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $430 | $430 | 10.1× |
| Molecular Pathology Procedure Level 3 (81402) | $284 | $284 | 1.9× |
| Molecular Pathology Procedure Level 6 (81405) range across 2 matching MRF lines |
$613–$4,169 | $613–$4,169 | varies |
| Mopath procedure level 1 (81400) | $904 | $904 | 14.1× |
| Mopath procedure level 2 (81401) | $968 | $968 | 7.1× |
| Mopath procedure level 4 (81403) | $491 | $491 | 2.7× |
| Mopath procedure level 5 (81404) | $322 | $322 | 1.2× |
| Mopath procedure level 9 (81408) | $3,400 | $3,400 | 1.7× |
| Mpl gene common variants (81338) | $882 | $882 | 5.9× |
| Mrsa Pcr (87641) | $183 | $183 | 5.2× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $2,520 | $2,520 | 6.6× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $3,111 | $3,111 | 4.8× |
| Mthfr Gene Analysis Common Variants (81291) | $632 | $632 | 9.7× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$130–$164 | $130–$164 | varies |
| Mycophenolic Acid (80180) | $290 | $290 | 16.1× |
| Mycoplasma antibody (86738) | $198 | $198 | 15.0× |
| Myelin basic protein csf (83873) | $264 | $264 | 15.3× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$231–$289 | $231–$289 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$510–$561 | $510–$561 | varies |
| Neisseria Dir Na Probe (87590) | $90 | $90 | 3.3× |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$77–$102 | $77–$102 | varies |
| Niacin (84591) range across 3 matching MRF lines |
$306–$506 | $306–$506 | varies |
| Nickel level (83885) | $288 | $288 | 11.8× |
| Nuclear antigen antibody (86235) range across 23 matching MRF lines |
$37–$341 | $37–$341 | varies |
| Occult blood feces (82272) | $24 | $24 | 5.7× |
| Occult Blood Other Sources (82271) | $63 | $63 | 11.8× |
| Oligoclonal bands (83916) | $211 | $211 | 7.7× |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) range across 2 matching MRF lines |
$722–$909 | $722–$909 | varies |
| Organic Acids Qualitative Each Specimen (83919) | $79 | $79 | 4.8× |
| Organic acids urine (83918) | $458 | $458 | 19.4× |
| Osmolality Urine (83935) | $124 | $124 | 18.2× |
| Osmotic Fragility RBC Unincubated (85555) | $602 | $602 | 80.6× |
| Osteocalcin (83937) | $498 | $498 | 16.7× |
| Ova and parasites smears (87177) | $130 | $130 | 14.6× |
| Oxalate urine (83945) | $303 | $303 | 21.0× |
| Pancreatic Elastase Fecal (82656) range across 2 matching MRF lines |
$511–$687 | $511–$687 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $27 | $27 | 2.3× |
| Parvovirus antibody (86747) | $226 | $226 | 15.0× |
| Path Clin Consltj Mod 21-40 (80504) | $105 | $105 | 0.6× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $850 | $850 | 1.0× |
| Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) | $105 | $105 | 0.6× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $105 | $105 | 1.9× |
| Ph urine (81003) range across 5 matching MRF lines |
$47–$127 | $47–$127 | varies |
| Phenobarbital Level (80184) | $317 | $317 | 20.7× |
| Phenotype Infect Agent Drug (87900) | $444 | $444 | 3.4× |
| Phenylalanine (84030) | $310 | $310 | 56.4× |
| Phenytoin (Dilantin) (80185) | $277 | $277 | 20.9× |
| Phenytoin free (80186) | $211 | $211 | 15.3× |
| Phosphatase acid prostatic (84066) | $166 | $166 | 17.2× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$95–$116 | $95–$116 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $154 | $154 | 8.6× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$45–$116 | $45–$116 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$28–$79 | $28–$79 | varies |
| Pinworm exam (87172) | $104 | $104 | 24.4× |
| Platelet Aggregation (85576) | $164 | $164 | 6.6× |
| Platelet Antibodies (86022) range across 5 matching MRF lines |
$263–$305 | $263–$305 | varies |
| Platelet count automated (85049) | $103 | $103 | 23.0× |
| Platelet neutralization (85597) | $77 | $77 | 4.3× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $809 | $809 | 3.9× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$23–$118 | $23–$118 | varies |
| Porphyrins Feces Quantitative (84126) | $902 | $902 | 23.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $252 | $252 | 17.1× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$146–$160 | $146–$160 | varies |
| Prealbumin (84134) | $263 | $263 | 18.0× |
| Pregnanediol (84135) | $68 | $68 | 3.2× |
| Pregnenolone (84140) | $375 | $375 | 18.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $146 | $146 | 2.3× |
| Primidone (80188) | $250 | $250 | 15.1× |
| Procalcitonin (Pct) (84145) | $418 | $418 | 15.4× |
| Progesterone (84144) | $403 | $403 | 19.3× |
| Prolactin (84146) range across 2 matching MRF lines |
$129–$335 | $129–$335 | varies |
| Prostaglandin (84150) | $434 | $434 | 10.4× |
| Protein body fluid (84157) | $193 | $193 | 48.3× |
| Protein C Activity (85303) | $393 | $393 | 28.4× |
| Protein c antigen (85302) range across 3 matching MRF lines |
$153–$312 | $153–$312 | varies |
| Protein Electrophoresis Urine (84166) range across 5 matching MRF lines |
$189–$320 | $189–$320 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $194 | $194 | 18.1× |
| Protein S Free (85306) range across 2 matching MRF lines |
$198–$228 | $198–$228 | varies |
| Protein s total (85305) range across 2 matching MRF lines |
$312–$329 | $312–$329 | varies |
| Protein total serum (84155) | $138 | $138 | 37.6× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$79–$182 | $79–$182 | varies |
| Protein Western Blot Test (84182) | $480 | $480 | 16.4× |
| Protoporphyrin rbc quantitative (84202) | $122 | $122 | 8.5× |
| PSA free (84154) | $378 | $378 | 20.6× |
| Pth Intact (83970) | $741 | $741 | 18.0× |
| Q Fever Antibody (86638) | $263 | $263 | 21.7× |
| Quantiferon tb gold plus (86480) | $424 | $424 | 6.8× |
| Quantitative assay drug (80299) range across 18 matching MRF lines |
$24–$768 | $24–$768 | varies |
| Quantitative Screen Metals (83018) range across 6 matching MRF lines |
$126–$397 | $126–$397 | varies |
| Quinidine (80194) | $263 | $263 | 18.0× |
| Rbc antibody elution (86860) | $179 | $179 | 1.0× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$166–$376 | $166–$376 | varies |
| Rbc antibody screen (86850) | $270 | $270 | 27.6× |
| Rbc pretreatment serum (86978) | $211 | $211 | 3.3× |
| Reagent Strip/Blood Glucose (82948) | $33 | $33 | 6.5× |
| Renin activity plasma (84244) | $433 | $433 | 19.7× |
| Reptilase test (85635) | $244 | $244 | 24.8× |
| Reticulocyte Count Manual (85044) | $29 | $29 | 6.7× |
| Rh (86901) | $151 | $151 | 50.5× |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$105–$108 | $105–$108 | varies |
| Rheumatoid factor quant (86431) | $95 | $95 | 16.8× |
| Rickettsia antibody (86757) range across 4 matching MRF lines |
$102–$372 | $102–$372 | varies |
| Ristocetin cofactor (85245) | $266 | $266 | 11.6× |
| Rotavirus ag eia (87425) range across 3 matching MRF lines |
$47.93–$254 | $47.93–$254 | varies |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$132–$135 | $132–$135 | varies |
| Rsv Assay W/Optic (87807) | $70 | $70 | 5.3× |
| Rubella Antibody (86762) | $159 | $159 | 11.0× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$194–$209 | $194–$209 | varies |
| Russell Viper Venom Time Diluted (85613) | $145 | $145 | 15.1× |
| Salicylate Level (80179) | $226 | $226 | 12.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $254 | $254 | 5.0× |
| Sars-cov-2 COVID-19 antibody (86769) range across 4 matching MRF lines |
$80–$228 | $80–$228 | varies |
| Sedimentation rate (85651) | $29 | $29 | 6.8× |
| Sedimentation Rate, Automated (85652) | $127 | $127 | 47.0× |
| Selenium (84255) | $385 | $385 | 15.1× |
| Semen Anal Sperm Detection (89321) | $181 | $181 | 15.0× |
| Semen analysis complete (89320) | $49 | $49 | 4.0× |
| Semen analysis motility and count (89310) | $57 | $57 | 6.6× |
| Sensitivity mic (87186) | $152 | $152 | 17.6× |
| Serpina 1 gene (81332) | $432 | $432 | 9.9× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$227–$391 | $227–$391 | varies |
| Sickling of rbc reduction (85660) | $91 | $91 | 16.5× |
| Sirolimus (80195) range across 2 matching MRF lines |
$81–$501 | $81–$501 | varies |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$14–$28 | $14–$28 | varies |
| Skin test; histoplasmosis (86510) | $30 | $30 | 0.7× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$29–$170 | $29–$170 | varies |
| Smear complex stain (87209) | $268 | $268 | 14.9× |
| Smear gram stain (87205) range across 4 matching MRF lines |
$82–$152 | $82–$152 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$109–$129 | $109–$129 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $131 | $131 | 22.5× |
| Snrpn/Ube3a Methylation Analysis (81331) | $461 | $461 | 9.0× |
| Sodium Serum (84295) | $103 | $103 | 21.4× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$120–$175 | $120–$175 | varies |
| Soluble Transferrin Receptor (84238) | $578 | $578 | 15.8× |
| Somatomedin (84305) | $398 | $398 | 18.7× |
| Special Stains Group 1 (88312) | $306 | $306 | 5.5× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$176–$315 | $176–$315 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$145–$168 | $145–$168 | varies |
| Spectrophotometry (84311) range across 5 matching MRF lines |
$56–$620 | $56–$620 | varies |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$143–$168 | $143–$168 | varies |
| Strep a assay w/optic (87880) | $78 | $78 | 4.7× |
| Sugars Single Qual (84376) | $82 | $82 | 14.9× |
| Sulfate urine (84392) | $235 | $235 | 42.8× |
| Surg path level iii (88304) | $322 | $322 | 5.8× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$498–$613 | $498–$613 | varies |
| Surgical pathology level vi (88309) | $2,054 | $2,054 | 2.4× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $23 | $23 | 4.8× |
| T cells absolute cd4 count (86361) | $681 | $681 | 25.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $286 | $286 | 6.1× |
| T cells total count (86359) | $681 | $681 | 18.0× |
| T3 Free (84481) | $214 | $214 | 12.6× |
| T3 reverse (84482) | $306 | $306 | 19.4× |
| T3 Total (84480) | $297 | $297 | 20.9× |
| T3 Uptake (84479) | $171 | $171 | 26.4× |
| T4 Free (84439) | $255 | $255 | 28.3× |
| T4 total (84436) | $190 | $190 | 27.7× |
| Tacrolimus (80197) | $398 | $398 | 29.0× |
| Test for acetone/ketones (82009) | $149 | $149 | 33.0× |
| Testosterone total (84403) range across 4 matching MRF lines |
$42–$387 | $42–$387 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$368–$460 | $368–$460 | varies |
| Tetanus antibody (86774) | $124 | $124 | 8.4× |
| Theophylline (80198) | $254 | $254 | 18.0× |
| Thiocyanate (84430) | $339 | $339 | 29.1× |
| Thrombin Time (85670) | $82 | $82 | 14.2× |
| Thromboplastin Inhibition Tissue (85705) | $272 | $272 | 28.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $122 | $122 | 18.9× |
| Thyroglobulin (84432) | $260 | $260 | 16.2× |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$175–$260 | $175–$260 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $762 | $762 | 15.0× |
| Thyroxine binding globulin (84442) | $290 | $290 | 19.6× |
| Tiss cul neo disorders solid tumor (88239) | $424 | $424 | 2.9× |
| Tissue culture bone marrow (88237) | $1,791 | $1,791 | 12.5× |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$300–$4,328 | $300–$4,328 | varies |
| Tobramycin peak (80200) | $320 | $320 | 19.8× |
| Topiramate (80201) | $290 | $290 | 24.3× |
| Touch prep (88161) | $365 | $365 | 11.8× |
| Toxoplasma ab igm (86778) | $216 | $216 | 15.0× |
| Toxoplasma antibody (86777) | $216 | $216 | 15.0× |
| Tpmt gene com variants (81335) | $579 | $579 | 3.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $160 | $160 | 30.9× |
| Transferrin (84466) | $192 | $192 | 15.0× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $996 | $996 | 4.8× |
| Trg gene rearrangement anal (81342) | $492 | $492 | 2.4× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$46–$276 | $46–$276 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$130–$152 | $130–$152 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$318–$379 | $318–$379 | varies |
| Tumor immunohistochem/comput (88361) | $491 | $491 | 1.3× |
| Tumor Immunohistochem/Manual (88360) range across 3 matching MRF lines |
$83–$498 | $83–$498 | varies |
| Unlisted miscellaneous pathology test (89240) | $29 | $29 | 0.5× |
| Urea nitrogen urine (84540) | $113 | $113 | 20.3× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$95–$124 | $95–$124 | varies |
| Urinalysis Volume Measure (81050) | $55 | $55 | 15.1× |
| Urine Albumin Semiquantitative (82044) | $87 | $87 | 14.0× |
| Urine Bacteria Culture (87088) | $41 | $41 | 5.1× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$168–$190 | $168–$190 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $162 | $162 | 51.1× |
| Valproic acid (80164) | $364 | $364 | 26.9× |
| Vancomycin (80202) | $380 | $380 | 28.1× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$108–$109 | $108–$109 | varies |
| Vasopressin (84588) | $550 | $550 | 16.2× |
| Viral Culture (87252) | $349 | $349 | 13.4× |
| Virus antibody nos (86790) range across 5 matching MRF lines |
$81–$490 | $81–$490 | varies |
| Virus inoculation, shell via (87254) range across 3 matching MRF lines |
$99–$297 | $99–$297 | varies |
| Viscosity serum (85810) | $203 | $203 | 17.4× |
| Vit D 1 25-Dihydroxy (82652) | $668 | $668 | 17.4× |
| Vitamin A (84590) | $209 | $209 | 18.0× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$122–$292 | $122–$292 | varies |
| Vitamin B2 (Riboflavin) (84252) | $531 | $531 | 26.2× |
| Vitamin B6 (84207) | $507 | $507 | 18.0× |
| Vitamin c (82180) | $266 | $266 | 26.9× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$126–$443 | $126–$443 | varies |
| Vitamin E (84446) | $255 | $255 | 18.0× |
| Vitamin K (84597) | $254 | $254 | 18.5× |
| Volatiles (84600) | $260 | $260 | 15.2× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $208 | $208 | 17.3× |
| Von willebrand factor ag (85246) | $420 | $420 | 18.3× |
| Wbc Alkaline Phosphatase Count (85540) | $161 | $161 | 18.7× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$124–$252 | $124–$252 | varies |
| West Nile Virus Antibody (86789) | $216 | $216 | 15.0× |
| Western Blot Test (84181) | $370 | $370 | 21.7× |
| Zinc (84630) | $204 | $204 | 17.9× |
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.