Lab & pathology prices at Good Samaritan Hospital

Vincennes, IN · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $109.20 $182 4.8×
5 Nucleotidase (83915)
range across 2 matching MRF lines
$60.60–$100.80 $101–$168 varies
Abl1 gene analysis kinase domain variants (81170) $289.20 $482 1.0×
Acetylcholn Rcptr Modlg Antb (86043) $91.20 $152 7.6×
Acth (82024) $165 $275 4.3×
Actin smooth muscle antibody each (86015) $111.60 $186 9.3×
Acute hepatitis panel (80074) $249.60 $416 5.2×
Acylcarnitines Quant (82017) $49.20 $82 2.9×
Adenovirus antibody (86603) $76.80 $128 6.0×
Afp-l3 fraction isoform & total afp w/ratio (82107) $93.60 $156 1.5×
Agglutinins Febrile Each Antigen (86000) $104.40 $174 15.0×
Albumin Fluid (82042)
range across 3 matching MRF lines
$14.40–$75.60 $24–$126 varies
Albumin serum (82040)
range across 3 matching MRF lines
$13.20–$48.60 $22–$81 varies
Aldolase (82085) $44.40 $74 4.6×
Aldosterone urine (82088) $166.80 $278 4.1×
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines
$34.20–$60.60 $57–$101 varies
Allergen spec ige qual multiallergen screen (86005) $52.20 $87 6.5×
Allergen specific ige (86003)
range across 82 matching MRF lines
$5.40–$51 $9–$85 varies
Allergen specific igg (86001) $129 $215 16.5×
Allg Spec Ige Recomb Ea (86008)
range across 6 matching MRF lines
$10.80–$57 $18–$95 varies
Alpha-1-antitrypsin phenotype (82104) $78.60 $131 5.4×
Alpha-1-antitrypsin total (82103) $89.40 $149 6.7×
Alpha-Fetoprotein Serum (82105) $71.40 $119 4.3×
Alt (sgpt) (84460) $49.20 $82 9.3×
Aluminum (82108) $116.40 $194 4.6×
Amikacin trough (80150) $85.80 $143 5.7×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 2 matching MRF lines
$141–$298.20 $235–$497 varies
Amino Acids Quant 2-5 (82136) $199.80 $333 10.2×
Aminolevulinic acid (ala) (82135)
range across 2 matching MRF lines
$105.60–$174.60 $176–$291 varies
Ammonia (82140)
range across 2 matching MRF lines
$60.60–$65.40 $101–$109 varies
Amniotic fluid protein test on cervicovaginal fluid (84112) $170.40 $284 1.7×
Amylase urine (82150)
range across 2 matching MRF lines
$19.80–$68.40 $33–$114 varies
Ana Titer (86039) $183.60 $306 16.5×
Anca screen each antibody (86036)
range across 3 matching MRF lines
$22.20–$190.20 $37–$317 varies
Androstenedione (82157) $61.80 $103 2.1×
Angiotensin converting enzyme csf (82164) $75.60 $126 5.2×
Anti-Phospholipid Antibody (86148) $37.20 $62 2.3×
Antibody aspergillus (86606)
range across 5 matching MRF lines
$29.40–$76.80 $49–$128 varies
Antibody Bacterium Not Elsewhere Specified (86609) $29.40 $49 2.3×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 3 matching MRF lines
$41.40–$178.20 $69–$297 varies
Antibody Cytomegalovirus Cmv Igm (86645)
range across 2 matching MRF lines
$54–$90.60 $90–$151 varies
Antibody Encephalitis California La Crosse (86651) $34.80 $58 2.6×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $37.80 $63 2.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $74.40 $124 4.9×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 3 matching MRF lines
$45–$59.40 $75–$99 varies
Antibody Fungus Not Elsewhere Specified (86671)
range across 3 matching MRF lines
$49.20–$66 $82–$110 varies
Antibody haemophilus influenza (86684) $25.80 $43 1.6×
Antibody helicobacter pylori (86677) $54 $90 3.2×
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 2 matching MRF lines
$37.20–$54 $62–$90 varies
Antibody Herpes Smplx Type 1 (86695)
range across 2 matching MRF lines
$49.20–$330.60 $82–$551 varies
Antibody HIV-2 (86702) $72.60 $121 5.4×
Antibody htlv/HIV antibody confirmatory test (86689) $127.20 $212 6.6×
Antibody john cunningham virus (86711) $1,230.60 $2,051 72.9×
Antibody Protozoa Nes (86753)
range across 4 matching MRF lines
$32.40–$94.20 $54–$157 varies
Antibody Titer (86886) $156.60 $261 30.2×
Antibody Treponema Pallidum (86780) $15 $25 1.1×
Antibody; encephalitis, st. louis (86653) $29.40 $49 2.2×
Antibody; influenza virus (86710) $30 $50 2.2×
Antigen typing (86905)
range across 2 matching MRF lines
$242.40–$246.60 $404–$411 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $141 $235 24.7×
Antinuclear antibodies (86038)
range across 3 matching MRF lines
$34.80–$183.60 $58–$306 varies
Antistreptolysin o titer (86060) $59.40 $99 8.1×
Antithrombin iii activity (85300) $138.60 $231 11.7×
Antithrombin iii antigen (85301) $130.20 $217 12.0×
Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) $1,996.20 $3,327 4.0×
Apc gene full sequence (81201) $925.80 $1,543 1.2×
Apolipoprotein a1 (82172) $48.60 $81 2.3×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $318.60 $531 8.4×
Arsenic (82175)
range across 3 matching MRF lines
$37.80–$109.20 $63–$182 varies
Aspergillus ag eia (87305) $155.40 $259 13.0×
Assay activated protein c (85307) $134.40 $224 8.8×
Assay Blood Carbon Dioxide (82374) $46.80 $78 9.6×
Assay Nephelometry Not Spec (83883)
range across 7 matching MRF lines
$34.80–$144 $58–$240 varies
Assay of 5-hiaa (83497) $79.20 $132 6.1×
Assay of blood/uric acid (84550) $48 $80 10.6×
Assay of calcium in urine (82340) $51.60 $86 8.6×
Assay of cpk in blood (82552) $71.40 $119 5.3×
Assay of estrone (82679) $111.60 $186 4.5×
Assay of g6pd enzyme (82955)
range across 2 matching MRF lines
$73.80–$87.60 $123–$146 varies
Assay of gammaglobulin igm (82784)
range across 8 matching MRF lines
$24.60–$149.40 $41–$249 varies
Assay of lactic acid (83605)
range across 4 matching MRF lines
$27–$88.20 $45–$147 varies
Assay of manganese (83785) $153.60 $256 5.8×
Assay of metanephrines (83835) $181.20 $302 10.7×
Assay of proinsulin (84206) $40.20 $67 1.5×
Assay of pyruvate (84210) $33.60 $56 2.3×
Assay of serotonin (84260) $100.80 $168 3.3×
Assay of serum potassium (84132) $49.80 $83 10.5×
Assay of sweat sodium (84302) $23.40 $39 4.8×
Assay of urea nitrogen (84520) $49.80 $83 12.6×
Assay of urine vma (84585) $100.80 $168 6.5×
Assay of vasoactive intestinal peptide (84586) $228.60 $381 6.5×
Assay of vitamin b-1 (84425) $116.40 $194 5.5×
Assay Ph Body Fluid Nos (83986)
range across 3 matching MRF lines
$22.20–$183.60 $37–$306 varies
Assay Phosphohexose Enzymes (84087) $84.60 $141 7.9×
Assay spec xcp ur&breath ia (82077) $21 $35 1.2×
Automated Leukocyte Count (85048) $16.20 $27 6.4×
B cells total count (86355) $97.80 $163 2.6×
Bartonella antibody (86611)
range across 5 matching MRF lines
$30.60–$32.40 $51–$54 varies
Bcr/abl1 gene major bp (81206)
range across 3 matching MRF lines
$99–$376.20 $165–$627 varies
Bcr/abl1 gene minor bp (81207)
range across 2 matching MRF lines
$96–$436.20 $160–$727 varies
Bcr/Abl1 Gene Other Bp (81208)
range across 2 matching MRF lines
$135–$220.20 $225–$367 varies
Beta 2 glycoprotein i antibody each (86146)
range across 3 matching MRF lines
$42–$65.40 $70–$109 varies
Beta hydroxybutyrate (82010) $32.40 $54 4.0×
Beta Lactamase (87185) $31.20 $52 6.6×
Beta-2 Microglobulin (82232) $84.60 $141 5.2×
Bile acids total (82239)
range across 2 matching MRF lines
$42–$45 $70–$75 varies
Bilirubin direct (82248) $49.80 $83 9.9×
Bilirubin total (82247)
range across 3 matching MRF lines
$27.60–$79.20 $46–$132 varies
Bilirubin total transcutaneous (88720) $13.20 $22 2.6×
Biotinidase (82261) $40.20 $67 2.4×
Blastomyces antibody (86612) $75.60 $126 5.9×
Bld Typing Serologic Rh Phnt (86906)
range across 2 matching MRF lines
$57–$83.40 $95–$139 varies
Blood Count Red Blood Cell Automated (85041) $15.60 $26 5.2×
Blood count reticulocyte automated (85045) $36 $60 9.0×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 2 matching MRF lines
$11.40–$21.60 $19–$36 varies
Blood gas (82803) $136.80 $228 5.2×
Blood gases w/02 saturation (82805) $136.80 $228 1.7×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $67.20 $112 4.2×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 3 matching MRF lines
$27.60–$183.60 $46–$306 varies
Blood Sulfhemoglobin Assay (83060) $44.40 $74 5.0×
Blood Type Antigen Donor Reagent Serum Each (86902) $324 $540 51.0×
Blood typing serologic abo (86900) $109.20 $182 36.5×
Bordetella antibody (86615) $98.40 $164 7.5×
Braf gene analysis (81210) $169.80 $283 1.0×
Brca1&2 gen full seq dup/del (81162) $1,642.80 $2,738 0.9×
Breath Alcohol Test (82075) $16.20 $27 0.5×
Brucella antibody (86622) $39.60 $66 4.4×
C diff amplified probe (87493) $226.80 $378 6.1×
C-Peptide (84681) $87 $145 4.2×
C-reactive protein (86140) $65.40 $109 12.6×
Ca 19-9 (86301) $106.80 $178 5.1×
Cadmium (82300) $78.60 $131 3.3×
Calcitonin (82308) $158.40 $264 5.9×
Calcium ionized (82330) $88.20 $147 6.4×
Calcium total (82310) $49.80 $83 9.7×
Calculus Spectroscopy (82365) $88.80 $148 6.9×
Calprotectin Fecal (83993)
range across 2 matching MRF lines
$70.80–$153 $118–$255 varies
Calr gene com variants (81219) $400.20 $667 3.3×
Cancer Antigen 125 (86304) $133.20 $222 6.4×
Cancer Antigen 27.29 (86300) $87.60 $146 4.2×
Carbamazepine free (80157) $112.80 $188 8.5×
Carbamazepine total (80156) $56.40 $94 3.9×
Carbohydrate Deficient Transferrin (82373) $43.20 $72 2.4×
Carboxyhemoglobin (82375) $41.40 $69 3.4×
Carcinoembryonic antigen (82378) $116.40 $194 6.1×
Cardiolipin ab iga (86147)
range across 3 matching MRF lines
$55.80–$74.40 $93–$124 varies
Carnitine Quantitative Each Specimen (82379)
range across 2 matching MRF lines
$42.60–$189.60 $71–$316 varies
Carotene (82380) $24 $40 2.6×
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$47.40–$165 $79–$275 varies
Ccp antibody (86200) $80.40 $134 6.2×
Cell count csf (89051) $183.60 $306 32.8×
Cell marker study (88182)
range across 4 matching MRF lines
$168.60–$175.20 $281–$292 varies
Cellular Function Assay Stimul&Detect Biomarke (86352) $291 $485 2.1×
Ceruloplasmin (82390) $57 $95 5.3×
Cftr gene com variants (81220) $589.20 $982 1.1×
Cftr gene dup/delet variants (81222) $825 $1,375 1.9×
Cftr gene full sequence (81223) $942.60 $1,571 1.9×
Chemiluminescent assay (82397)
range across 10 matching MRF lines
$25.20–$183 $42–$305 varies
Chlamydia antibody (86631)
range across 2 matching MRF lines
$10.80–$22.20 $18–$37 varies
Chlamydia Igm Antibody (86632)
range across 2 matching MRF lines
$11.40–$22.20 $19–$37 varies
Chloride other source (82438)
range across 2 matching MRF lines
$24–$31.20 $40–$52 varies
Chloride Serum (82435) $46.80 $78 10.2×
Chloride urine (82436) $33 $55 5.7×
Cholesterol total (82465) $48 $80 11.0×
Cholinesterase rbc (82482) $39 $65 4.0×
Cholinesterase Serum (82480) $27.60 $46 3.5×
Chorionic gonadotropin test (84702) $94.20 $157 6.3×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $36 $60 1.3×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $37.80 $63 1.1×
Chromium serum (82495) $129.60 $216 6.4×
Chromogenic Substrate Assay (85130)
range across 3 matching MRF lines
$166.80–$178.80 $278–$298 varies
Chromogranin a (86316)
range across 3 matching MRF lines
$46.80–$160.20 $78–$267 varies
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines
$181.80–$217.20 $303–$362 varies
Chromosome Analysis 20-25 (88264) $191.40 $319 1.3×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $89.40 $149 2.5×
Citric acid urine (82507) $165 $275 5.9×
Ckmb (82553) $88.20 $147 7.6×
Clostridium Difficile (87324)
range across 2 matching MRF lines
$21.60–$183.60 $36–$306 varies
Clot Factor VIII Multimetric (85247) $39 $65 1.7×
Clotting factor xii hageman (85280) $58.80 $98 3.0×
Clotting Funct Activity (85397)
range across 2 matching MRF lines
$194.40–$205.80 $324–$343 varies
Cns DNA amp probe type 12-25 (87483) $555.60 $926 1.3×
Coagulation time activated (85347)
range across 2 matching MRF lines
$40.20–$205.80 $67–$343 varies
Coccidioides antibody (86635) $51 $85 4.4×
Cold agglutinin screen (86156) $86.40 $144 10.7×
Cold agglutinin titer (86157) $102 $170 12.7×
Collagen crosslinks (82523)
range across 2 matching MRF lines
$54–$104.40 $90–$174 varies
Column Chromotography Quant (82542)
range across 26 matching MRF lines
$21–$969.60 $35–$1,616 varies
Compatibility test antiglob (86922)
range across 2 matching MRF lines
$134.40–$407.40 $224–$679 varies
Complement Antigen Each Component (86160)
range across 6 matching MRF lines
$58.80–$181.20 $98–$302 varies
Complement Total (Ch50) (86162) $108.60 $181 5.3×
Complement/Function Activity (86161)
range across 4 matching MRF lines
$36–$181.20 $60–$302 varies
Consltj Compre Review Reprt Referred Matrl (88325) $472.80 $788 2.6×
Consltj&Reprt Material Requiring Prepj Slides (88323) $156.60 $261 2.8×
Consltj&Reprt Slides Prepared Elsewhere (88321) $156.60 $261 4.0×
Coombs direct (86880)
range across 3 matching MRF lines
$36–$88.20 $60–$147 varies
Copper urine (82525)
range across 3 matching MRF lines
$69.60–$73.20 $116–$122 varies
Cortisol free (82530)
range across 3 matching MRF lines
$14.40–$120.60 $24–$201 varies
Cortisol saliva (82533)
range across 2 matching MRF lines
$78.60–$130.20 $131–$217 varies
Creatine kinase total (82550) $49.20 $82 7.6×
Creatinine blood (82565) $48 $80 9.4×
Creatinine clearance (82575) $80.40 $134 8.5×
Creatinine Urine (82570)
range across 4 matching MRF lines
$4.80–$46.80 $8–$78 varies
Crossmatch immediate spin (86920) $144.60 $241 0.8×
Crp High Sensitivity (86141) $63.60 $106 4.9×
Cryofibrinogen (82585) $29.40 $49 2.1×
Cryoglobulin (82595) $94.20 $157 14.6×
Cryptococcus ag titer (87899)
range across 7 matching MRF lines
$37.20–$188.40 $62–$314 varies
Cryptosporidium ag eia (87328) $183.60 $306 13.3×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 5 matching MRF lines
$21.60–$91.20 $36–$152 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines
$56.40–$74.40 $94–$124 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $45.60 $76 5.9×
Culture afb (87116) $91.20 $152 8.4×
Culture Anaerobic (87075) $91.20 $152 9.6×
Culture blood (87040) $121.20 $202 11.7×
Culture chlamydia (87110)
range across 3 matching MRF lines
$49.20–$298.80 $82–$498 varies
Culture csf (87070)
range across 13 matching MRF lines
$61.80–$183.60 $103–$306 varies
Culture fungus (87102) $96 $160 11.4×
Culture fungus blood (87103) $101.40 $169 5.0×
Culture screen only (87081)
range across 4 matching MRF lines
$108–$183.60 $180–$306 varies
Culture stool (87045) $94.80 $158 10.0×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $183.60 $306 35.4×
Culture urine (87086)
range across 2 matching MRF lines
$74.40–$93.60 $124–$156 varies
Cyanide (82600) $49.20 $82 2.5×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $69 $115 4.8×
Cyclosporine (80158) $106.20 $177 5.9×
Cystatin C (82610) $52.20 $87 2.8×
Cytogenetics 100-300 (88275)
range across 2 matching MRF lines
$76.80–$91.80 $128–$153 varies
Cytogenom Const Microarray Copy Number Variants (81228) $859.20 $1,432 1.0×
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 2 matching MRF lines
$1,299–$1,431.60 $2,165–$2,386 varies
Cytogenomic neo microra alys (81277) $1,680.60 $2,801 1.4×
Cytomegalovirus igg (86644)
range across 3 matching MRF lines
$33–$52.80 $55–$88 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $87 $145 4.3×
Cytopath Cell Enhance Tech (88112)
range across 5 matching MRF lines
$63.60–$126 $106–$210 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $127.20 $212 2.3×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $163.20 $272 0.9×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $691.20 $1,152 3.8×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $57 $95 1.9×
Deoxyribonuclease antibody (86215)
range across 2 matching MRF lines
$64.80–$110.40 $108–$184 varies
Detect Agent Nos Dna Amp (87798)
range across 25 matching MRF lines
$54–$346.20 $90–$577 varies
Detect Agent Nos Dna Quant (87799)
range across 6 matching MRF lines
$83.40–$282.60 $139–$471 varies
Detect agnt mult DNA ampli (87801)
range across 2 matching MRF lines
$132–$137.40 $220–$229 varies
Dgp Antibody Each Ig Class (86258) $92.40 $154 7.7×
Dhea (82626) $53.40 $89 2.1×
Dhea-S (82627) $130.80 $218 5.9×
Digoxin (80162) $70.80 $118 5.3×
Digoxin free (80163) $138.60 $231 10.4×
Dihydrotestosterone (82642) $96.60 $161 3.3×
Dipropylacetic Acid Free (80165) $65.40 $109 4.8×
Dna Antibody Native/Double Stranded (86225) $90.60 $151 6.6×
Dna Antibody Single Stranded (86226) $123 $205 10.2×
Dna/Rna Amplified Probe (87150)
range across 2 matching MRF lines
$30–$46.80 $50–$78 varies
Dna/Rna Sequencing (87153) $170.40 $284 1.5×
Dpyd gene common variants (81232) $610.80 $1,018 3.5×
Drug assay acetaminophen (80143) $154.80 $258 8.3×
Drug assay adalimumab (80145)
range across 2 matching MRF lines
$229.20–$815.40 $382–$1,359 varies
Drug Assay Amiodarone (80151) $130.20 $217 7.0×
Drug Assay Everolimus (80169) $46.80 $78 3.4×
Drug assay felbamate (80167) $43.80 $73 2.3×
Drug Assay Infliximab (80230)
range across 3 matching MRF lines
$260.40–$969.60 $434–$1,616 varies
Drug Assay Itraconazole (80189) $54 $90 2.0×
Drug Assay Lacosamide (80235) $103.80 $173 3.8×
Drug Assay Leflunomide (80193) $31.20 $52 0.8×
Drug Assay Posaconazole (80187)
range across 2 matching MRF lines
$55.80–$63 $93–$105 varies
Drug Assay Vedolizumab (80280) $160.80 $268 4.2×
Drug assay voriconazole (80285) $62.40 $104 2.3×
Drug Screen Quant Clozapine (80159) $56.40 $94 2.8×
Drug Screen Quant Zonisamide (80203) $83.40 $139 6.3×
Drug Screen Quantitative Gabapentin (80171) $79.80 $133 3.7×
Drug Screen Quantitative Lamotrigine (80175) $90.60 $151 6.8×
Drug Screen Quantitative Levetiracetam (80177) $67.20 $112 5.1×
Drug Screen Quantitative Oxcarbazepine (80183) $84 $140 6.3×
Drug Screen Quantitative Tiagabine (80199) $49.20 $82 1.8×
Drug Test Prsmv Chem Anlyzr (80307)
range across 34 matching MRF lines
$27–$210 $18–$350 varies
Egfr Gene Analysis Common Variants (81235)
range across 2 matching MRF lines
$471–$816 $785–$1,360 varies
Ehrlichia antibody (86666) $94.80 $158 9.3×
Electrolyte panel (80051) $86.40 $144 12.3×
Electron Microscopy (88348)
range across 2 matching MRF lines
$938.40–$1,096.20 $1,564–$1,827 varies
Electrophoretic Test - Immunofixation Electrophoresis (82664) $72.60 $121 1.2×
Encephaltis East Eqne Anbdy (86652) $29.40 $49 2.2×
Encephaltis West Eqne Antbdy (86654) $29.40 $49 2.2×
Endomysial Antibody Each Immunoglobulin Class (86231)
range across 2 matching MRF lines
$19.80–$96 $33–$160 varies
Enterovirus Antibody (86658) $18.60 $31 1.4×
Enterovirus PCR (87498)
range across 2 matching MRF lines
$62.40–$157.80 $104–$263 varies
Enzyme cell activity (82657)
range across 11 matching MRF lines
$78.30–$279.60 $130.50–$466 varies
Enzyme histochemistry (88319) $497.40 $829 0.6×
Eosinophil Smear (89190) $31.80 $53 5.5×
Erythropoietin (82668) $118.20 $197 6.3×
Estradiol serum (82670) $132 $220 4.7×
Estriol (82677) $75.60 $126 3.1×
Estrogen total (82672) $111.60 $186 5.1×
Estrogens fractionated (82671) $99.60 $166 3.1×
Ethosuximide (80168) $72 $120 4.4×
Ethylene Glycol (82693) $79.20 $132 5.3×
Exam Synovial Fluid Crystals (89060) $38.40 $64 5.2×
Exome Sequence Analysis (81415) $4,050 $6,750 0.8×
F2 Gene (81240)
range across 2 matching MRF lines
$416.40–$420 $694–$700 varies
F9 full gene sequence (81238) $1,563 $2,605 2.6×
Factor ii activity (85210) $39 $65 3.0×
Factor Inhibitor Test (85335)
range across 4 matching MRF lines
$36–$193.80 $60–$323 varies
Factor ix activity (85250) $138.60 $231 7.3×
Factor v activity (85220) $138.60 $231 7.9×
Factor v leiden mutation (81241) $397.80 $663 5.4×
Factor vii assay (85230) $138.60 $231 7.7×
Factor viii assay (85240) $64.80 $108 3.6×
Factor X (85260) $138.60 $231 7.7×
Factor xi activity (85270) $48.60 $81 2.7×
Factor xiii screen (85291)
range across 2 matching MRF lines
$52.20–$75 $87–$125 varies
Fat/Lipids Feces Quantitative (82710) $120 $200 7.1×
Fatty acids free (82725) $145.50 $242.50 7.8×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $122.40 $204 7.1×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $46.20 $77 7.1×
Ferritin (82728) $96.60 $161 7.1×
Fetal Chrmoml Aneuploidy (81420) $971.40 $1,619 1.3×
Fetal Congenital Abnor Assay Four Anal (81511) $110.40 $184 0.7×
Fetal Fibronectin (82731) $157.20 $262 2.4×
Fetal hemoglobin assay qual (83033) $50.40 $84 6.3×
Fibrin Degradation Quant (85379) $73.20 $122 7.2×
Fibrinogen activity (85384) $109.20 $182 11.2×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390)
range across 4 matching MRF lines
$50.40–$232.80 $84–$388 varies
Flecainide level (80181) $45.60 $76 2.4×
Flow cytometry first marker (88184)
range across 8 matching MRF lines
$232.80–$529.80 $388–$883 varies
Flt3 Gene (81245)
range across 2 matching MRF lines
$148.80–$165.60 $248–$276 varies
Flt3 gene analysis (81246)
range across 2 matching MRF lines
$94.80–$148.80 $158–$248 varies
Fluorescent antibody screen (86255)
range across 41 matching MRF lines
$21.60–$392.40 $36–$654 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 6 matching MRF lines
$13.80–$181.20 $23–$302 varies
Fmr1 gene detection (81243) $300.60 $501 5.3×
Folic Acid Serum (82746) $75 $125 5.1×
Follicle Stimulating Hormone (83001) $99 $165 5.3×
Francisella tularensis (86668) $52.80 $88 3.7×
Fresh Frozen Plasma Thawing Each Unit (86927) $308.40 $514 1.7×
Frozen Blood Each Unit Thawing (86931) $163.80 $273 0.9×
Frozen Section (88331) $247.80 $413 1.4×
Fungi Identification Mold (87107) $78 $130 7.6×
Fungi Identification Yeast (87106)
range across 4 matching MRF lines
$21–$85.80 $35–$143 varies
G6pd gene analysis full gene sequence (81249) $913.20 $1,522 1.5×
Gammaglobulin ige (82785) $61.80 $103 3.8×
Gases Blood O2 Saturation Only Direct Meas (82810) $31.80 $53 3.3×
Gases blood ph only (82800) $19.80 $33 1.8×
Gastrin (82941) $92.40 $154 5.2×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $415.80 $693 1.0×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)
range across 2 matching MRF lines
$1,561.80–$2,527.80 $2,603–$4,213 varies
Genetic Tstg Severe Inh Cond (81443)
range across 4 matching MRF lines
$2,203.80–$2,591.40 $3,673–$4,319 varies
Gentamicin (80170) $54.60 $91 3.3×
Ggt (82977) $49.80 $83 6.9×
Giardia antigen (87329) $183.60 $306 15.3×
Glucagon (82943) $41.40 $69 2.9×
Glucose 2 hr pp (82950) $40.20 $67 8.5×
Glucose Blood Test (82962) $6 $10 1.8×
Glucose body fluid (82945) $32.40 $54 8.2×
Glucose Serum (82947)
range across 2 matching MRF lines
$33–$34.20 $55–$57 varies
Glucose tolerance test (gtt) (82951)
range across 2 matching MRF lines
$86.40–$146.40 $144–$244 varies
Glutathione (82978) $140.40 $234 9.1×
Glycated Protein (82985)
range across 2 matching MRF lines
$54.60–$74.40 $91–$124 varies
Gonadotropin Chorionic Qualitative (84703) $71.40 $119 9.5×
Gonadotropin releasing hormone (83727) $234 $390 13.6×
Growth hormone (83003) $83.40 $139 5.0×
Gtt-added samples (82952) $20.40 $34 5.2×
H Pylori (C-13) Breath (83013) $199.80 $333 3.0×
Haloperidol (80173) $48 $80 3.0×
Haptoglobin (83010) $73.80 $123 5.9×
Hba1/hba2 full gene sequence (81259) $468 $780 0.8×
Hba1/Hba2 Gene Dup/Del Vrnts (81269)
range across 2 matching MRF lines
$334.80–$359.40 $558–$599 varies
Hbb duplication/deletion variants (81363) $274.20 $457 1.4×
Hbb Full Gene Sequence (81364) $566.40 $944 1.7×
Hdl Cholesterol (83718) $44.40 $74 5.4×
Helicobacter Pylori Stool (87338) $93.60 $156 6.5×
Helminth Antibody (86682)
range across 5 matching MRF lines
$39.60–$100.20 $66–$167 varies
Hematocrit (85014) $20.40 $34 8.6×
Hemoglobin (85018) $21.60 $36 9.1×
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$51.60–$63.60 $86–$106 varies
Hemoglobin Chromotography (83021)
range across 4 matching MRF lines
$34.20–$157.20 $57–$262 varies
Hemoglobin electrophoresis (83020)
range across 3 matching MRF lines
$43.80–$116.40 $73–$194 varies
Hemoglobin F Fetal Chemical (83030) $56.40 $94 5.3×
Hemoglobin Methemoglobin Quantitative (83050) $52.80 $88 6.4×
Hemoglobin plasma (83051) $21.60 $36 3.0×
Hemoglobin stability screen (83068)
range across 2 matching MRF lines
$49.20–$85.80 $82–$143 varies
Hemolysins&Agglutinins Auto Screen Each (86940) $68.40 $114 7.8×
Hemolysins&Agglutinins Incubated (86941) $68.40 $114 5.6×
Hep a ab igm (86709) $54 $90 4.8×
Heparin assay (85520) $128.40 $214 9.8×
Hepatitis a antibody total (86708)
range across 2 matching MRF lines
$30.60–$70.80 $51–$118 varies
Hepatitis b core ab igm (86705) $56.40 $94 4.8×
Hepatitis b core ab total (86704) $44.40 $74 3.7×
Hepatitis B Surface Antibody (86706) $65.40 $109 6.1×
Hepatitis B Surface Antigen (87340) $49.80 $83 4.8×
Hepatitis Be Antibody (86707) $28.80 $48 2.5×
Hepatitis Be Antigen (87350) $28.80 $48 2.5×
Hepatitis C Antibody (86803) $105.60 $176 7.4×
Hepatitis C Genotype (87902)
range across 5 matching MRF lines
$303–$472.20 $505–$787 varies
Hepatitis C Revrs Trnscrpj (87522) $366.60 $611 8.6×
Hepatitis Delta Agent Antibody (86692) $69.60 $116 4.1×
Hereditary brst ca-related gen seq analys 10 gen (81432) $2,466.60 $4,111 1.9×
Hereditary peripheral neuropathy gen seq pnl (81448) $2,700 $4,500 4.6×
Heredtry Nurondcrn Tum Dsrdr (81437) $2,084.40 $3,474 1.6×
Herpes simplex type 2 (86696) $72 $120 3.7×
Heterophile Antibody Screen (86308) $54 $90 10.4×
Hfe Gene (81256) $432.60 $721 6.6×
Hgb Quantitative Transcutaneous (88738) $8.40 $14 1.7×
Histamine urine (83088)
range across 3 matching MRF lines
$80.40–$153.60 $134–$256 varies
Histoplasma antibody (86698) $37.80 $63 2.7×
Histoplasma antigen urine (87385) $78 $130 5.9×
Hiv Genotype (87901)
range across 3 matching MRF lines
$249.60–$427.20 $416–$712 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $89.40 $149 3.7×
Hiv-1 Antibody (86701)
range across 2 matching MRF lines
$65.40–$69 $109–$115 varies
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 2 matching MRF lines
$148.80–$379.20 $248–$632 varies
HIV-2 probe&revrse trnscripj (87538)
range across 2 matching MRF lines
$166.80–$239.40 $278–$399 varies
Hla Class I Typing Low Resolution Complete (81372) $303 $505 0.8×
Hla class ii typing high resolution one locus ea (81382) $552 $920 4.5×
Hla I Typing 1 Allele Hr (81381) $169.80 $283 1.0×
Hla ii typing 1 locus lr (81376)
range across 4 matching MRF lines
$107.40–$181.80 $179–$303 varies
Hla-b27 (86812) $133.20 $222 5.2×
Homocysteine (83090) $130.80 $218 7.3×
Homogenization Tissue (87176) $76.80 $128 13.1×
Hsv Dna Amp Probe (87529)
range across 5 matching MRF lines
$65.40–$187.80 $109–$313 varies
Htt Gene Detc Abnor Alleles (81271) $204 $340 1.5×
Hydroxyprogesterone 17-d (83498) $82.80 $138 3.0×
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) $90.60 $151 7.6×
Iaad Ia Entamoeba Histolytica Grp (87337) $25.20 $42 2.1×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $46.20 $77 4.5×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $16.20 $27 0.5×
Iaad ia shiga-like toxin (87427) $77.40 $129 6.5×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $113.40 $189 3.2×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $188.40 $314 5.4×
Iadna Cytomegalovirus Quantification (87497)
range across 2 matching MRF lines
$75.60–$314.40 $126–$524 varies
Iadna Hepatitis B Virus Quantification (87517) $160.80 $268 3.8×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $110.40 $184 3.1×
Iadna Herpes Virus-6 Quantification (87533) $501 $835 12.0×
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 2 matching MRF lines
$152.40–$166.80 $254–$278 varies
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $240.60 $401 6.9×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $243.60 $406 5.8×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $177.60 $296 5.1×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $171 $285 4.9×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $69.60 $116 1.4×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631)
range across 2 matching MRF lines
$210.60–$217.80 $351–$363 varies
Iadna-Dna/Rna Probe Tq 6-11 (87506) $361.80 $603 1.4×
Idh1 common variants (81120) $192.60 $321 1.0×
Idh2 common variants (81121) $394.20 $657 1.3×
Ig Light Chains Free Each (83521)
range across 2 matching MRF lines
$52.80–$82.20 $88–$137 varies
Igg subclasses (82787) $217.20 $362 27.1×
Igh gene rearrange amp meth (81261) $196.80 $328 1.0×
Igh@ Variable Region Somatic Mutation Analysis (81263)
range across 2 matching MRF lines
$458.40–$541.80 $764–$903 varies
Igk rearrangeabn clonal pop (81264) $172.20 $287 1.0×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $364.20 $607 1.0×
Immune Complex Assay (86332) $66.60 $111 2.7×
Immunfix e-phorsis/urine/csf (86335)
range across 3 matching MRF lines
$70.80–$107.40 $118–$179 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 16 matching MRF lines
$40.20–$814.20 $67–$1,357 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 5 matching MRF lines
$8.40–$43.80 $14–$73 varies
Immunoassay nonantibody (83516)
range across 33 matching MRF lines
$25.80–$211.20 $43–$352 varies
Immunodiffusion Ouchterlony (86331)
range across 2 matching MRF lines
$29.40–$219.60 $49–$366 varies
Immunofixation electrophoresis (86334)
range across 3 matching MRF lines
$65.40–$159.60 $109–$266 varies
Immunofluorescence per spec 1st singl antb stain (88346) $213.60 $356 1.2×
Immunohistochemistry (88342) $170.40 $284 0.9×
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines
$315–$433.80 $525–$723 varies
Influenza DNA amp probe (87502) $187.20 $312 2.0×
Inherited Cardmypthy 5 Gns (81439) $2,137.80 $3,563 3.7×
Inhibin A (86336) $40.20 $67 2.6×
Inhibin b (83520)
range across 44 matching MRF lines
$30.60–$474 $51–$790 varies
Insitu hybridization manual (88368) $308.40 $514 0.8×
Insulin antibodies (86337) $59.40 $99 2.8×
Insulin total (83525) $93.60 $156 8.2×
Interleukin-6 (83529) $127.80 $213 7.4×
Intrinsic factor antibody (86340) $102 $170 6.8×
Iron (83540)
range across 2 matching MRF lines
$49.80–$54 $83–$90 varies
Iron Binding Capacity (83550) $33.60 $56 3.8×
Islet cell antibody (86341)
range across 6 matching MRF lines
$26.40–$381 $44–$635 varies
Jak2 gene analysis p.val617phe variant (81270) $477 $795 5.2×
Kit Gene Analysis D816 Variant(S) (81273) $400.80 $668 3.2×
Kit Gene Analysis Targeted Sequence Analysis (81272) $411 $685 1.2×
Kras Gene Variants Exon 2 (81275) $475.80 $793 2.5×
L/s ratio (83661) $57.60 $96 2.6×
Lactate (ld) (ldh) enzyme (83615) $46.80 $78 7.7×
Lactoferrin fecal qualitative (83630) $68.40 $114 3.5×
Lactoferrin Fecal Quantitative (83631) $111 $185 5.7×
Ldh Isoenzymes (83625) $31.80 $53 2.5×
LDL direct (83721) $51 $85 4.9×
Lead (83655)
range across 3 matching MRF lines
$23.40–$96 $39–$160 varies
Legionella antibody (86713) $40.20 $67 2.6×
Legionella antigen urine (87449)
range across 6 matching MRF lines
$43.80–$141 $73–$235 varies
Leptospira antibody (86720) $129 $215 8.0×
Leukocyte Assessment Fecal (89055) $12 $20 2.8×
Leukocyte Histamine Release (86343)
range across 2 matching MRF lines
$57–$130.80 $95–$218 varies
Level I Surg Pathology Gross Examination Only (88300)
range across 2 matching MRF lines
$45.60–$50.40 $76–$84 varies
Level ii surg pathology gross&microscopic exam (88302) $79.80 $133 2.0×
Level V Surg Pathology Gross&Microscopic Exam (88307) $507 $845 1.3×
Lidocaine (80176) $74.40 $124 5.1×
Lipase (83690)
range across 2 matching MRF lines
$28.80–$88.20 $48–$147 varies
Lipoprotein A (83695) $94.80 $158 6.6×
Lipoprotein Bld Quan Part (83704)
range across 2 matching MRF lines
$28.20–$60 $47–$100 varies
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $16.80 $28 1.5×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $38.40 $64 1.1×
Lithium (80178) $60 $100 9.1×
Luteinizing Hormone (Lh) (83002) $100.20 $167 5.4×
Lyme disease antibody (86618)
range across 3 matching MRF lines
$30.60–$166.20 $51–$277 varies
Lymphocyte transformation (86353)
range across 2 matching MRF lines
$199.20–$241.80 $332–$403 varies
Lysozyme serum (85549) $57.60 $96 3.1×
M. Genitalium Amp Probe (87563)
range across 2 matching MRF lines
$86.40–$110.40 $144–$184 varies
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 8 matching MRF lines
$193.80–$843 $323–$1,405 varies
M/phmtrc alys ishquant/semiq (88374) $490.20 $817 2.7×
Macroscopic exam arthropod (87168) $43.20 $72 10.1×
Macroscopic Exam Parasite (87169)
range across 2 matching MRF lines
$12–$43.20 $20–$72 varies
Magnesium Urine (83735)
range across 4 matching MRF lines
$25.80–$58.20 $43–$97 varies
Mass Spectrometry Quant (83789)
range across 3 matching MRF lines
$48.60–$241.80 $81–$403 varies
Mercury urine (83825) $64.20 $107 3.9×
Methotrexate (80204) $44.40 $74 1.2×
Methylmalonic acid serum (83921)
range across 2 matching MRF lines
$71.40–$153 $119–$255 varies
Mgmt methylation analysis (81287) $610.80 $1,018 4.9×
Microalbumin, quantitative (82043) $82.80 $138 14.3×
Microbe Suscept Macrobroth (87188)
range across 2 matching MRF lines
$81.60–$97.80 $136–$163 varies
Microsatellite instability (81301) $283.80 $473 0.8×
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$43.20–$138.60 $72–$231 varies
Mitochondrial Antibody Each (86381) $19.20 $32 0.8×
Mlh1 Gene (81288) $252.60 $421 1.3×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $607.80 $1,013 0.9×
Mog-Igg1 Antb Flo Cytmtry Ea (86363)
range across 2 matching MRF lines
$318.60–$490.20 $531–$817 varies
Molecular Cytogenetics Dna Probe Each (88271) $131.40 $219 6.1×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274)
range across 2 matching MRF lines
$104.40–$247.20 $174–$412 varies
Molecular Pathology Procedure Level 3 (81402) $1,884 $3,140 12.5×
Molecular Pathology Procedure Level 6 (81405)
range across 5 matching MRF lines
$271.20–$649.80 $452–$1,083 varies
Mononuclear cell antigen (86356)
range across 2 matching MRF lines
$80.40–$120 $134–$200 varies
Mopath procedure level 1 (81400) $234.60 $391 3.7×
Mopath procedure level 2 (81401) $274.20 $457 2.0×
Mopath procedure level 4 (81403)
range across 3 matching MRF lines
$169.20–$279 $282–$465 varies
Mopath procedure level 5 (81404)
range across 3 matching MRF lines
$247.20–$1,192.80 $412–$1,988 varies
Mopath procedure level 7 (81406)
range across 6 matching MRF lines
$254.70–$2,103 $424.50–$3,505 varies
Mopath procedure level 8 (81407)
range across 2 matching MRF lines
$761.40–$1,563 $1,269–$2,605 varies
Mopath procedure level 9 (81408)
range across 7 matching MRF lines
$1,560–$3,405.60 $2,600–$5,676 varies
Mpl gene analysis sequence analysis exon 10 (81339) $253.20 $422 1.4×
Mrsa Pcr (87641) $108 $180 3.1×
Msh2 Gene Analysis Full Sequence Analysis (81295) $334.80 $558 0.9×
Msh6 Gene Analysis Full Sequence Analysis (81298) $753.60 $1,256 1.2×
Msh6 Gene Known Variants (81299) $278.40 $464 0.9×
Mthfr Gene Analysis Common Variants (81291) $107.40 $179 1.6×
Mucopolysaccharides acid quantitative (83864) $238.20 $397 8.4×
Mumps antibody (86735)
range across 2 matching MRF lines
$33–$74.40 $55–$124 varies
Mycobacteric Identification (87118)
range across 2 matching MRF lines
$82.20–$110.40 $137–$184 varies
Mycophenolic Acid (80180) $156.60 $261 8.7×
Mycoplasma antibody (86738)
range across 3 matching MRF lines
$65.40–$101.40 $109–$169 varies
Mycoplasma culture (87109) $40.20 $67 2.6×
Myd88 Gene P.Leu265pro Vrnt (81305) $577.20 $962 3.3×
Myoglobin urine (83874) $46.20 $77 3.6×
Natriuretic peptide (83880) $171.60 $286 4.4×
Neutralization Test Viral (86382) $105 $175 6.2×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $361.80 $603 2.8×
Nfct Agent Genotype Hepatitis B Virus (87912) $313.80 $523 1.2×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) $527.40 $879 2.0×
Nfct ds chrnc hcv 6 assays (81596) $206.40 $344 2.9×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $27 $45 1.0×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $508.20 $847 1.0×
Niacin (84591)
range across 3 matching MRF lines
$88.80–$96.60 $148–$161 varies
Nickel level (83885) $45.60 $76 1.9×
Nk cells total count (86357) $81 $135 2.1×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $346.80 $578 1.4×
Ntrk translocation analysis (81194) $813 $1,355 1.6×
Nuclear antigen antibody (86235)
range across 16 matching MRF lines
$31.80–$153.60 $53–$256 varies
Occult blood feces (82272) $27.60 $46 6.5×
Occult Blood Other Sources (82271) $22.20 $37 4.2×
Oligoclonal bands (83916)
range across 3 matching MRF lines
$52.80–$62.40 $88–$104 varies
Oncology breast mrna gene expression 21 genes (81519) $3,486 $5,810 0.9×
Oncoprotein dcp (83951) $168 $280 2.6×
Organic Acids Qualitative Each Specimen (83919)
range across 2 matching MRF lines
$40.80–$200.40 $68–$334 varies
Osmolality serum (83930) $52.80 $88 8.0×
Osmolality Urine (83935) $58.80 $98 8.6×
Osmotic fragility rbc incubated (85557)
range across 2 matching MRF lines
$85.80–$105.60 $143–$176 varies
Osmotic Fragility RBC Unincubated (85555) $90.60 $151 12.1×
Osteocalcin (83937) $87 $145 2.9×
Ova and parasites smears (87177) $90.60 $151 10.2×
Oxalate urine (83945)
range across 2 matching MRF lines
$86.40–$114 $144–$190 varies
Palb2 gene full gene seq (81307) $609 $1,015 0.9×
Pancreatic Elastase Fecal (82656) $80.40 $134 7.0×
Parvovirus antibody (86747) $263.40 $439 17.5×
Path Consltj Surg Cytologic Exam Initial Site (88333) $597.60 $996 0.7×
Pdgfra Gene Analys Targeted Sequence Analys (81314) $411 $685 1.2×
Ph urine (81003)
range across 6 matching MRF lines
$19.80–$183.60 $33–$306 varies
Phenobarbital Level (80184) $67.20 $112 4.4×
Phenotype Infect Agent Drug (87900) $411 $685 3.2×
Phenylalanine (84030)
range across 2 matching MRF lines
$16.20–$86.40 $27–$144 varies
Phenytoin (Dilantin) (80185) $65.40 $109 4.9×
Phenytoin free (80186) $134.40 $224 9.8×
Phosphatase acid prostatic (84066) $21.60 $36 2.2×
Phosphatase alkaline (84075) $49.20 $82 9.5×
Phospholipid Neutralization Hexagonal (85598)
range across 2 matching MRF lines
$58.80–$183 $98–$305 varies
Phosphorus Serum (84100)
range across 2 matching MRF lines
$27.60–$51 $46–$85 varies
Phosphorus urine (84105)
range across 2 matching MRF lines
$16.20–$49.20 $27–$82 varies
Pinworm exam (87172) $36.60 $61 8.6×
Platelet Aggregation (85576) $69 $115 2.8×
Platelet Antibodies (86022)
range across 2 matching MRF lines
$175.80–$386.40 $293–$644 varies
Platelet count automated (85049) $35.40 $59 7.9×
Platelet neutralization (85597)
range across 3 matching MRF lines
$17.40–$52.20 $29–$87 varies
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $183 $305 0.9×
Pneumcysts jirovecii amp prb (87594) $166.80 $278 4.8×
Pooling blood platelets (86965) $96.60 $161 0.5×
Porphobilinogen, urine; quantitative (84110)
range across 2 matching MRF lines
$20.40–$21 $34–$35 varies
Porphyrins Feces Quantitative (84126) $167.40 $279 4.3×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 3 matching MRF lines
$37.20–$121.20 $62–$202 varies
Potassium Urine (84133)
range across 2 matching MRF lines
$13.80–$45.60 $23–$76 varies
Prealbumin (84134) $40.20 $67 2.8×
Pregnenolone (84140) $75.60 $126 3.7×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $156.60 $261 0.9×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970)
range across 2 matching MRF lines
$96–$101.40 $160–$169 varies
Pretx serum rbc antibody identification dilution (86976) $51 $85 1.7×
Primidone (80188) $57 $95 3.4×
Procalcitonin (Pct) (84145) $240 $400 8.8×
Progesterone (84144) $106.20 $177 5.1×
Prolactin (84146) $113.40 $189 5.9×
Prostaglandin (84150)
range across 2 matching MRF lines
$176.40–$214.80 $294–$358 varies
Protein body fluid (84157)
range across 2 matching MRF lines
$13.20–$49.80 $22–$83 varies
Protein C Activity (85303) $46.20 $77 3.3×
Protein c antigen (85302) $153.60 $256 12.8×
Protein Electrophoresis Urine (84166) $56.40 $94 3.2×
Protein Electrophoretic Fractj&Quantj Serum (84165) $51 $85 4.7×
Protein S Free (85306)
range across 2 matching MRF lines
$51.60–$83.40 $86–$139 varies
Protein s total (85305) $26.40 $44 2.3×
Protein total serum (84155) $49.80 $83 13.6×
Protein Total Urine (84156)
range across 4 matching MRF lines
$9–$69 $15–$115 varies
Protein Western Blot Test (84182)
range across 3 matching MRF lines
$60–$169.80 $100–$283 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $10.80 $18 2.7×
Protoporphyrin rbc quantitative (84202) $40.20 $67 2.8×
PSA free (84154) $60.60 $101 3.3×
Pth Intact (83970)
range across 2 matching MRF lines
$143.40–$183.60 $239–$306 varies
Pyruvate kinase (84220) $85.20 $142 9.0×
Q Fever Antibody (86638) $24.60 $41 2.0×
Quantiferon tb gold plus (86480) $163.20 $272 2.6×
Quantitative assay drug (80299)
range across 20 matching MRF lines
$36–$1,141.80 $60–$1,903 varies
Quantitative Screen Metals (83018)
range across 6 matching MRF lines
$39.60–$252.60 $66–$421 varies
Quinidine (80194) $46.20 $77 3.2×
Rbc antibody elution (86860) $156.60 $261 0.9×
Rbc antibody identification (86870)
range across 2 matching MRF lines
$211.20–$242.40 $352–$404 varies
Rbc antibody screen (86850)
range across 2 matching MRF lines
$67.80–$75.60 $113–$126 varies
Rbc pretreatment serum (86978)
range across 3 matching MRF lines
$46.80–$238.20 $78–$397 varies
Rbc pretx incubatj w/enzymes (86971)
range across 2 matching MRF lines
$188.40–$219 $314–$365 varies
Rbc serum pretx incubj drugs (86975) $297.60 $496 0.6×
Receptor assay estrogen (84233) $67.80 $113 0.8×
Receptor assay progesterone (84234) $58.80 $98 0.9×
Renin activity plasma (84244) $126.60 $211 5.8×
Reptilase test (85635) $24.60 $41 2.5×
Resp virus 12-25 targets (87633) $706.80 $1,178 1.7×
Resp Virus 6-11 Targets (87632) $361.80 $603 1.7×
Reticulocyte Count (85046) $57 $95 10.2×
Reticulocyte separation (86972) $180 $300 1.0×
Rh (86901) $76.80 $128 25.7×
Rheumatoid Factor Qualitative (86430) $183.60 $306 29.9×
Rheumatoid factor quant (86431) $43.80 $73 7.7×
Rickettsia antibody (86757)
range across 3 matching MRF lines
$46.20–$96.60 $77–$161 varies
Ristocetin cofactor (85245) $31.80 $53 1.4×
Rotavirus ag eia (87425) $183.60 $306 15.3×
Rpr qualitative (86592) $33.60 $56 7.9×
Rsv Assay W/Optic (87807) $34.80 $58 2.7×
Rubella Antibody (86762) $48.60 $81 3.4×
Rubeola antibody (86765) $70.20 $117 5.5×
Rufinamide (80210)
range across 2 matching MRF lines
$55.20–$60.60 $92–$101 varies
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$56.40–$73.20 $94–$122 varies
Salicylate Level (80179) $148.80 $248 8.0×
Sars-Cov-2 Covid-19 Amp Prb (87635) $61.80 $103 1.2×
Sars-cov-2 COVID-19 antibody (86769) $45 $75 1.1×
Sars-Cov-2 Covid19 W/Optic (87811) $30 $50 0.7×
Sarscov2&inf a&b&rsv amp prb (87637) $278.40 $464 2.0×
Sedimentation Rate, Automated (85652) $48 $80 17.8×
Selenium (84255) $113.40 $189 4.4×
Semen Anal Sperm Detection (89321) $52.20 $87 4.3×
Sensitivity mic (87186)
range across 4 matching MRF lines
$67.80–$129 $113–$215 varies
Sex Hormone Binding Globulin (84270) $78 $130 3.6×
Sickling of rbc reduction (85660) $36.60 $61 6.6×
Sirolimus (80195) $82.20 $137 6.0×
Skin Test Candida (86485) $44.40 $74 1.5×
Skin test tuberculosis intradermal (86580) $57.60 $96 1.9×
Smear acid fast (87206) $51 $85 9.5×
Smear complex stain (87209) $38.40 $64 2.1×
Smear gram stain (87205)
range across 3 matching MRF lines
$16.20–$43.80 $27–$73 varies
Smear Special Stain (87207) $15.60 $26 2.6×
Smn1 Gene Dos/Deletion Alys (81329)
range across 2 matching MRF lines
$484.80–$500.40 $808–$834 varies
Smr Prim Src Wet Mount Nfct Agt (87210) $36.60 $61 6.3×
Sodium Serum (84295) $48 $80 10.0×
Sodium Urine (84300)
range across 2 matching MRF lines
$18–$46.80 $30–$78 varies
Soluble fibrin monomer (85366) $85.20 $142 1.1×
Soluble Transferrin Receptor (84238) $78 $130 2.1×
Somatomedin (84305)
range across 2 matching MRF lines
$39.60–$116.40 $66–$194 varies
Somatostatin (84307) $190.20 $317 10.4×
Special Stains Group 1 (88312)
range across 5 matching MRF lines
$66–$100.80 $110–$168 varies
Special Stains Group 2 (88313)
range across 3 matching MRF lines
$84.60–$87.60 $141–$146 varies
Specific gravity body fluid (84315) $183.60 $306 56.0×
Specimen infect agnt concntj (87015)
range across 3 matching MRF lines
$15–$37.80 $25–$63 varies
Spectrophotometry (84311)
range across 3 matching MRF lines
$69.60–$165 $116–$275 varies
Splitting Blood/Blood Products Each Unit (86985) $156.60 $261 0.9×
Strep a assay w/optic (87880) $33 $55 2.0×
Strep a DNA amp probe (87651) $70.80 $118 2.0×
Strep b DNA amp probe (87653) $141 $235 4.0×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581)
range across 2 matching MRF lines
$15.60–$84 $26–$140 varies
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $51.60 $86 9.4×
Sugars Single Qual (84376) $69.60 $116 12.7×
Sulfate urine (84392) $19.80 $33 3.6×
Surg path level iii (88304) $114.60 $191 2.1×
Surgical pathology level IV (88305)
range across 4 matching MRF lines
$114.60–$334.20 $191–$557 varies
Surgical pathology level vi (88309) $1,034.40 $1,724 1.2×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $26.40 $44 5.6×
Susceptibility Study Antimicrobial Disk Method (87184) $36.60 $61 4.9×
Syphilis Test Non-Trep Quant (86593) $88.20 $147 20.0×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $122.40 $204 2.6×
T cells total count (86359) $92.40 $154 2.4×
T3 Free (84481) $190.20 $317 11.2×
T3 reverse (84482) $161.40 $269 10.2×
T3 Total (84480) $112.80 $188 8.0×
T3 Uptake (84479) $15.30 $25.50 2.4×
T4 Free (84439) $75 $125 8.3×
T4 total (84436) $40.20 $67 5.9×
Tacrolimus (80197) $118.20 $197 8.6×
Tau phosphorylated each (84393) $450 $750 3.5×
Tb ag response t-cell susp (86481) $190.20 $317 1.9×
Testosterone Bioavailable (84410) $51 $85 1.0×
Testosterone total (84403) $151.20 $252 5.9×
Testosterone, Free (84402) $81 $135 3.2×
Tgsap so/hl 51/< RNA alys (81456) $2,580 $4,300 0.9×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445)
range across 2 matching MRF lines
$742.20–$1,324.20 $1,237–$2,207 varies
Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) $706.80 $1,178 1.2×
Theophylline (80198) $78.60 $131 5.6×
Thiopurine methyltransferase (84433) $246 $410 11.1×
Thrombin Time (85670) $49.20 $82 8.5×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $19.20 $32 3.0×
Thyroglobulin (84432) $96 $160 6.0×
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines
$16.80–$74.40 $28–$124 varies
Thyroid Stimulating Immunoglobulin (84445) $265.20 $442 5.2×
Thyroxine binding globulin (84442) $33 $55 2.2×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 3 matching MRF lines
$92.40–$132 $154–$220 varies
Tissue Culture (88233)
range across 2 matching MRF lines
$197.40–$563.40 $329–$939 varies
Tissue culture bone marrow (88237)
range across 3 matching MRF lines
$208.20–$408 $347–$680 varies
Tissue Culture Lymphocyte (88230) $200.40 $334 1.7×
Tobramycin peak (80200) $82.20 $137 5.1×
Topiramate (80201) $79.20 $132 6.6×
Toxoplasma ab igm (86778) $30.60 $51 2.1×
Toxoplasma antibody (86777)
range across 2 matching MRF lines
$48–$51 $80–$85 varies
Tp53 gene analysis full gene sequence (81351) $607.80 $1,013 0.9×
Tp53 gene analysis targeted sequence analysis (81352) $374.40 $624 1.1×
Transferase Aspartate Amino Ast Sgot (84450) $49.20 $82 9.5×
Transferrin (84466) $66 $110 5.2×
Trb@ Rearrangement Anal Amplification Method (81340) $312.60 $521 1.5×
Trg gene rearrangement anal (81342) $298.20 $497 1.5×
Trichinella Antibody (86784) $37.20 $62 3.0×
Trichomonas Vaginalis Amplif (87661) $123 $205 3.5×
Triglycerides (84478)
range across 2 matching MRF lines
$49.20–$138.60 $82–$231 varies
Troponin Quant (84484) $104.40 $174 8.4×
Tumor immunohistochem/comput (88361)
range across 2 matching MRF lines
$308.40–$436.80 $514–$728 varies
Tumor Immunohistochem/Manual (88360)
range across 10 matching MRF lines
$170.40–$421.80 $284–$703 varies
Ugt1a1 gene analysis common variants (81350) $714.60 $1,191 3.1×
Unlisted Cytogenetic Study (88299) $342 $570 6.2×
Urea Nitrogen Clearance (84545) $85.80 $143 11.9×
Urea nitrogen urine (84540)
range across 2 matching MRF lines
$18–$42.60 $30–$71 varies
Uric acid other source (84560)
range across 2 matching MRF lines
$41.40–$69 $69–$115 varies
Urine Bacteria Culture (87088)
range across 2 matching MRF lines
$39–$54.60 $65–$91 varies
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$40.80–$76.20 $68–$127 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $211.20 $352 66.6×
Valproic acid (80164) $57.60 $96 4.3×
Vancomycin (80202) $61.80 $103 4.6×
Varicella-zoster antibody (86787)
range across 3 matching MRF lines
$33–$67.20 $55–$112 varies
Vasopressin (84588) $208.80 $348 6.2×
Viral Culture (87252)
range across 3 matching MRF lines
$68.40–$219 $114–$365 varies
Virus antibody nos (86790)
range across 5 matching MRF lines
$29.40–$65.40 $49–$109 varies
Virus inoculate tissue addl (87253) $101.40 $169 5.0×
Virus inoculation, shell via (87254) $46.80 $78 2.4×
Viscosity serum (85810) $51 $85 4.4×
Vit D 1 25-Dihydroxy (82652) $178.20 $297 4.6×
Vitamin A (84590) $42 $70 3.6×
Vitamin b-12 (82607) $97.80 $163 6.5×
Vitamin B2 (Riboflavin) (84252) $72 $120 3.6×
Vitamin B6 (84207) $164.40 $274 5.9×
Vitamin c (82180) $153 $255 15.5×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$73.20–$162.60 $122–$271 varies
Vitamin E (84446) $102.60 $171 7.2×
Vitamin K (84597) $79.80 $133 5.8×
Volatiles (84600) $17.40 $29 1.0×
Von willebrand factor ag (85246)
range across 2 matching MRF lines
$81.60–$85.80 $136–$143 varies
West nile virus ab igm (86788)
range across 2 matching MRF lines
$36.60–$69.60 $61–$116 varies
West Nile Virus Antibody (86789)
range across 2 matching MRF lines
$37.20–$80.40 $62–$134 varies
Zika Virus Dna/Rna Amp Probe (87662) $237.60 $396 4.6×
Zinc (84630) $68.40 $114 6.0×

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.