Lab & pathology prices at Goshen Hospital
Goshen, IN · every code in this section with a posted price and a Medicare benchmark.
721 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $44.10 | $63 | 1.9× |
| 5 Nucleotidase (83915) | $69.30 | $99 | 6.2× |
| Abl1 gene analysis kinase domain variants (81170) | $819 | $1,170 | 2.7× |
| Acth (82024) | $74.20 | $106 | 1.9× |
| Acute hepatitis panel (80074) | $91.70 | $131 | 1.9× |
| Acylcarnitines Quant (82017) | $200.20 | $286 | 11.9× |
| Adenovirus antibody (86603) | $24.50 | $35 | 1.9× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $116.90 | $167 | 1.8× |
| Albumin Fluid (82042) | $65.80 | $94 | 8.5× |
| Albumin serum (82040) | $11.20 | $16 | 2.3× |
| Aldolase (82085) | $18.90 | $27 | 1.9× |
| Aldosterone urine (82088) | $144.90 | $207 | 3.6× |
| Alkaline phosphatase isoenzymes (84080) | $131.60 | $188 | 8.9× |
| Allergen specific ige (86003) | $104.30 | $149 | 20.0× |
| Allergen specific igg (86001) | $80.50 | $115 | 10.3× |
| Allg Spec Ige Recomb Ea (86008) | $77.70 | $111 | 4.3× |
| Alpha-1-antitrypsin total (82103) | $105.70 | $151 | 7.9× |
| Alpha-Fetoprotein Serum (82105) | $51.80 | $74 | 3.1× |
| Alt (sgpt) (84460) | $9.80 | $14 | 1.8× |
| Aluminum (82108) | $87.50 | $125 | 3.4× |
| Amikacin trough (80150) | $153.30 | $219 | 10.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $186.90 | $267 | 8.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $124.60 | $178 | 7.4× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $26.60 | $38 | 1.9× |
| Amino Acids Quant 2-5 (82136) | $53.20 | $76 | 2.7× |
| Aminolevulinic acid (ala) (82135) | $112 | $160 | 6.8× |
| Ammonia (82140) | $27.30 | $39 | 1.9× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $244.30 | $349 | 2.5× |
| Amylase urine (82150) | $15.40 | $22 | 2.4× |
| Ana Titer (86039) | $44.80 | $64 | 4.0× |
| Anca screen each antibody (86036) | $30.80 | $44 | 2.6× |
| Androstenedione (82157) | $79.80 | $114 | 2.7× |
| Angiotensin converting enzyme csf (82164) | $41.30 | $59 | 2.8× |
| Anti-Phospholipid Antibody (86148) | $30.80 | $44 | 1.9× |
| Antibody aspergillus (86606) | $124.60 | $178 | 8.3× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $51.80 | $74 | 4.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $56.70 | $81 | 3.7× |
| Antibody Encephalitis California La Crosse (86651) | $57.40 | $82 | 4.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $68.60 | $98 | 4.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $76.30 | $109 | 4.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $23.80 | $34 | 1.9× |
| Antibody haemophilus influenza (86684) | $65.10 | $93 | 4.1× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $27.30 | $39 | 1.9× |
| Antibody Herpes Smplx Type 1 (86695) | $88.90 | $127 | 6.7× |
| Antibody HIV-1&HIV-2 single result (86703) | $96.60 | $138 | 7.0× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $263.20 | $376 | 0.8× |
| Antibody identification leukocyte antibodies (86021) | $48.30 | $69 | 3.2× |
| Antibody Identification Platelet Immunogl Assay (86023) | $132.30 | $189 | 10.6× |
| Antibody john cunningham virus (86711) | $1,409.80 | $2,014 | 83.5× |
| Antibody Lymphocytic Choriomeningitis (86727) | $76.30 | $109 | 5.9× |
| Antibody Protozoa Nes (86753) | $107.10 | $153 | 8.6× |
| Antibody Titer (86886) | $291.20 | $416 | 56.2× |
| Antibody Treponema Pallidum (86780) | $65.10 | $93 | 4.9× |
| Antibody; encephalitis, st. louis (86653) | $57.40 | $82 | 4.4× |
| Antigen typing (86905) | $567.70 | $811 | 148.2× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $291.20 | $416 | 50.9× |
| Antinuclear antibodies (86038) | $59.50 | $85 | 4.9× |
| Antistreptolysin o titer (86060) | $14.70 | $21 | 2.0× |
| Antithrombin iii activity (85300) | $190.40 | $272 | 16.1× |
| Antithrombin iii antigen (85301) | $36.40 | $52 | 3.4× |
| Apc gene full sequence (81201) | $1,782.90 | $2,547 | 2.3× |
| Apolipoprotein a1 (82172) | $1,397.20 | $1,996 | 66.2× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $81.20 | $116 | 2.2× |
| Aquaporin-4 Antb Cba Each (86052) | $1,355.20 | $1,936 | 112.5× |
| Arsenic (82175) | $88.90 | $127 | 4.7× |
| Aspergillus ag eia (87305) | $23.10 | $33 | 1.9× |
| Assay activated protein c (85307) | $51.10 | $73 | 3.3× |
| Assay Blood Carbon Dioxide (82374) | $36.40 | $52 | 7.5× |
| Assay Nephelometry Not Spec (83883) | $31.50 | $45 | 2.3× |
| Assay of 5-hiaa (83497) | $42.70 | $61 | 3.3× |
| Assay of blood/uric acid (84550) | $8.40 | $12 | 1.9× |
| Assay of calcium in urine (82340) | $11.20 | $16 | 1.9× |
| Assay of corticosterone (82528) | $143.50 | $205 | 6.4× |
| Assay of cpk in blood (82552) | $32.20 | $46 | 2.4× |
| Assay of estrone (82679) | $76.30 | $109 | 3.1× |
| Assay of g6pd enzyme (82955) | $79.80 | $114 | 8.2× |
| Assay of gammaglobulin igm (82784) | $193.90 | $277 | 20.8× |
| Assay of lactic acid (83605) | $26.60 | $38 | 2.3× |
| Assay of manganese (83785) | $144.90 | $207 | 5.4× |
| Assay of metanephrines (83835) | $39.90 | $57 | 2.4× |
| Assay of phosphatase acid total (84060) | $25.90 | $37 | 3.4× |
| Assay of proinsulin (84206) | $96.60 | $138 | 3.6× |
| Assay of prostate specific antigen complexed (84152) | $35 | $50 | 1.9× |
| Assay of pyruvate (84210) | $41.30 | $59 | 2.9× |
| Assay of serotonin (84260) | $58.80 | $84 | 1.9× |
| Assay of serum potassium (84132) | $9.10 | $13 | 1.9× |
| Assay of sweat sodium (84302) | $67.90 | $97 | 14.0× |
| Assay of Tyrosine (84510) | $93.10 | $133 | 8.8× |
| Assay of urea nitrogen (84520) | $7.70 | $11 | 1.9× |
| Assay of urine vma (84585) | $148.40 | $212 | 9.6× |
| Assay of vasoactive intestinal peptide (84586) | $67.90 | $97 | 1.9× |
| Assay of vitamin b-1 (84425) | $41.30 | $59 | 1.9× |
| Assay Ph Body Fluid Nos (83986) | $8.40 | $12 | 2.3× |
| Assay spec xcp ur&breath ia (82077) | $32.90 | $47 | 1.9× |
| Asy carbamazepin 10,11-epxid (80161) | $35.70 | $51 | 1.9× |
| B cells total count (86355) | $88.90 | $127 | 2.4× |
| Bartonella antibody (86611) | $65.10 | $93 | 6.4× |
| Bcr/abl1 gene major bp (81206) | $138.60 | $198 | 0.8× |
| Bcr/abl1 gene minor bp (81207) | $268.10 | $383 | 1.9× |
| Beta 2 glycoprotein i antibody each (86146) | $111.30 | $159 | 4.4× |
| Beta hydroxybutyrate (82010) | $19.60 | $28 | 2.4× |
| Beta-2 Microglobulin (82232) | $74.90 | $107 | 4.6× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $179.90 | $257 | 1.4× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $179.90 | $257 | 1.4× |
| Bilirubin direct (82248) | $9.80 | $14 | 2.0× |
| Bilirubin total (82247) | $175.70 | $251 | 35.0× |
| Biotinidase (82261) | $32.20 | $46 | 1.9× |
| Bl Smear W/O Diff Wbc Count (85008) | $51.80 | $74 | 15.1× |
| Blastomyces antibody (86612) | $46.20 | $66 | 3.6× |
| Bld Typing Serologic Rh Phnt (86906) | $144.90 | $207 | 18.7× |
| Blood Count Red Blood Cell Automated (85041) | $7 | $10 | 2.3× |
| Blood count reticulocyte automated (85045) | $26.60 | $38 | 6.7× |
| Blood gases w/02 saturation (82805) | $320.60 | $458 | 4.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $30.80 | $44 | 1.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $99.40 | $142 | 22.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $567.70 | $811 | 89.4× |
| Blood typing serologic abo (86900) | $220.50 | $315 | 73.7× |
| Body fluid cell count (89050) | $25.20 | $36 | 5.3× |
| Bone marrow smear interpretation (85097) range across 3 matching MRF lines |
$1,240.40–$1,737.40 | $1,772–$2,482 | varies |
| Bordetella antibody (86615) | $206.50 | $295 | 15.7× |
| Braf gene analysis (81210) | $536.20 | $766 | 3.1× |
| Brca1&2 gen full seq dup/del (81162) | $2,511.60 | $3,588 | 1.4× |
| Brucella antibody (86622) | $116.90 | $167 | 13.1× |
| C diff amplified probe (87493) | $167.30 | $239 | 4.5× |
| C-Peptide (84681) | $40.60 | $58 | 2.0× |
| C-reactive protein (86140) | $31.50 | $45 | 6.1× |
| Ca 19-9 (86301) | $88.90 | $127 | 4.3× |
| Calcitonin (82308) | $96.60 | $138 | 3.6× |
| Calcium ionized (82330) | $25.90 | $37 | 1.9× |
| Calcium total (82310) | $9.80 | $14 | 1.9× |
| Calculus Xray Diffraction (82370) | $28.70 | $41 | 2.3× |
| Calprotectin Fecal (83993) | $37.80 | $54 | 1.9× |
| Calr gene com variants (81219) | $492.10 | $703 | 4.0× |
| Cancer Antigen 125 (86304) | $40.60 | $58 | 2.0× |
| Cancer Antigen 27.29 (86300) | $96.60 | $138 | 4.6× |
| Candida antibody (86628) | $44.80 | $64 | 3.7× |
| Candida Dna Dir Probe (87480) | $74.20 | $106 | 3.7× |
| Carboxyhemoglobin (82375) | $112 | $160 | 9.1× |
| Carcinoembryonic antigen (82378) | $35.70 | $51 | 1.9× |
| Cardiolipin ab iga (86147) | $150.50 | $215 | 5.9× |
| Carnitine Quantitative Each Specimen (82379) | $39.90 | $57 | 2.4× |
| Carotene (82380) | $35 | $50 | 3.8× |
| Catecholamines fractionated (82384) | $51.80 | $74 | 2.1× |
| Catecholamines total urine (82382) | $51.80 | $74 | 1.9× |
| Ccp antibody (86200) | $98.70 | $141 | 7.6× |
| Cell count csf (89051) | $32.20 | $46 | 5.8× |
| Cell marker study (88182) | $117.60 | $168 | 2.1× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $260.40 | $372 | 1.9× |
| Ceruloplasmin (82390) | $21 | $30 | 2.0× |
| Cftr Gene Analysis Known Familial Variants (81221) | $438.90 | $627 | 4.5× |
| Cftr gene dup/delet variants (81222) | $680.40 | $972 | 1.6× |
| Cftr gene full sequence (81223) | $877.80 | $1,254 | 1.8× |
| Chemiluminescent assay (82397) | $112 | $160 | 7.9× |
| Chlamydia antibody (86631) | $144.90 | $207 | 12.3× |
| Chlamydia Igm Antibody (86632) | $60.20 | $86 | 4.7× |
| Chlmy trch&neisra gonor mult (87494) | $126 | $180 | 1.8× |
| Chloride other source (82438) | $9.80 | $14 | 2.0× |
| Chloride Serum (82435) | $36.40 | $52 | 7.9× |
| Chloride urine (82436) | $10.50 | $15 | 1.8× |
| Cholesterol total (82465) | $16.80 | $24 | 3.9× |
| Cholinesterase Serum (82480) | $112 | $160 | 14.2× |
| Chorionic gonadotropin test (84702) | $28.70 | $41 | 1.9× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $64.40 | $92 | 1.9× |
| Chromium serum (82495) | $44.80 | $64 | 2.2× |
| Chromogranin a (86316) | $40.60 | $58 | 2.0× |
| Chromosome Analysis 15-20 (88262) | $900.90 | $1,287 | 7.2× |
| Chromosome Analysis 20-25 (88264) | $454.30 | $649 | 3.1× |
| Chromosome analysis 45 cells (88263) | $315 | $450 | 2.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $97.30 | $139 | 2.8× |
| Ckmb (82553) | $22.40 | $32 | 1.9× |
| Clostridium Difficile (87324) | $23.10 | $33 | 1.9× |
| Clot Factor VIII Multimetric (85247) | $42.70 | $61 | 1.9× |
| Clot factor xiii fibrin stab (85290) | $163.80 | $234 | 10.0× |
| Clotting factor xii hageman (85280) | $101.50 | $145 | 5.2× |
| Cns DNA amp probe type 12-25 (87483) | $770 | $1,100 | 1.8× |
| Coagulation time activated (85347) | $84 | $120 | 19.6× |
| Coccidioides antibody (86635) | $126.70 | $181 | 11.0× |
| Cold agglutinin screen (86156) | $56 | $80 | 6.9× |
| Cold agglutinin titer (86157) | $104.30 | $149 | 12.9× |
| Collagen crosslinks (82523) | $112 | $160 | 6.0× |
| Column Chromotography Quant (82542) | $1,397.20 | $1,996 | 58.0× |
| Complement Antigen Each Component (86160) | $80.50 | $115 | 6.7× |
| Complement Total (Ch50) (86162) | $48.30 | $69 | 2.4× |
| Complement/Function Activity (86161) | $51.80 | $74 | 4.3× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $336 | $480 | 1.9× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $374.50 | $535 | 6.8× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $415.80 | $594 | 10.5× |
| Coombs direct (86880) | $108.50 | $155 | 20.1× |
| Copper urine (82525) | $44.80 | $64 | 3.6× |
| Cortisol free (82530) | $280 | $400 | 16.8× |
| Cortisol saliva (82533) | $172.20 | $246 | 10.6× |
| Creatine kinase total (82550) | $11.90 | $17 | 1.8× |
| Creatinine blood (82565) | $9.80 | $14 | 1.9× |
| Creatinine clearance (82575) | $18.90 | $27 | 2.0× |
| Creatinine Urine (82570) | $124.60 | $178 | 24.1× |
| Crossmatch electronic (86923) | $315 | $450 | 1.7× |
| Crossmatch immediate spin (86920) | $291.20 | $416 | 1.6× |
| Crp High Sensitivity (86141) | $31.50 | $45 | 2.4× |
| Cryofibrinogen (82585) | $70.70 | $101 | 5.0× |
| Cryoglobulin (82595) | $11.90 | $17 | 1.8× |
| Cryptococcus ag titer (87899) | $39.90 | $57 | 2.5× |
| Cryptosporidium ag eia (87328) | $56.70 | $81 | 4.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $46.90 | $67 | 5.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $15.40 | $22 | 1.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $39.90 | $57 | 5.2× |
| Culture afb (87116) | $101.50 | $145 | 9.4× |
| Culture Anaerobic (87075) | $42.70 | $61 | 4.5× |
| Culture blood (87040) | $19.60 | $28 | 1.9× |
| Culture csf (87070) | $126 | $180 | 14.6× |
| Culture fungus (87102) | $25.90 | $37 | 3.1× |
| Culture fungus blood (87103) | $90.30 | $129 | 4.4× |
| Culture screen only (87081) | $97.30 | $139 | 14.7× |
| Culture stool (87045) | $44.10 | $63 | 4.7× |
| Culture urine (87086) | $15.40 | $22 | 1.9× |
| Cyclosporine (80158) | $34.30 | $49 | 1.9× |
| Cyp2c19 gene analysis common variants (81225) | $296.80 | $424 | 1.0× |
| Cyp2c9 gene com variants (81227) | $44.80 | $64 | 0.3× |
| Cyp2d6 gene com variants (81226) | $970.90 | $1,387 | 2.2× |
| Cyp3a4 gene common variants (81230) | $44.80 | $64 | 0.3× |
| Cyp3a5 gene common variants (81231) | $44.80 | $64 | 0.3× |
| Cystatin C (82610) | $35 | $50 | 1.9× |
| Cytogenetics 10-30 (88273) | $231.70 | $331 | 6.7× |
| Cytogenetics 100-300 (88275) range across 3 matching MRF lines |
$95.20–$237.30 | $136–$339 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,576.70 | $3,681 | 2.2× |
| Cytomegalovirus igg (86644) | $312.20 | $446 | 21.7× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $39.90 | $57 | 2.0× |
| Cytopath Cell Enhance Tech (88112) range across 3 matching MRF lines |
$124.60–$252 | $178–$360 | varies |
| Cytopath unlstd proc (88199) | $184.10 | $263 | 3.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $51.10 | $73 | 1.9× |
| Cytp Concentration Smears & Interpretation (88108) | $117.60 | $168 | 3.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 3 matching MRF lines |
$85.40–$156.10 | $122–$223 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) range across 3 matching MRF lines |
$282.10–$345.80 | $403–$494 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $331.80 | $474 | 8.4× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $583.80 | $834 | 3.2× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $143.50 | $205 | 2.6× |
| Deoxyribonuclease antibody (86215) | $116.20 | $166 | 8.8× |
| Detect Agent Nos Dna Amp (87798) | $399.70 | $571 | 11.4× |
| Detect Agent Nos Dna Quant (87799) | $586.60 | $838 | 13.7× |
| Detect agnt mult DNA ampli (87801) | $268.10 | $383 | 3.8× |
| Dgp Antibody Each Ig Class (86258) | $60.90 | $87 | 5.1× |
| Dhea (82626) | $88.90 | $127 | 3.5× |
| Dhea-S (82627) | $43.40 | $62 | 2.0× |
| Digoxin (80162) | $25.20 | $36 | 1.9× |
| Diphtheria antitoxoid (86648) | $104.30 | $149 | 6.9× |
| Dipropylacetic Acid Free (80165) | $25.90 | $37 | 1.9× |
| Dna Antibody Native/Double Stranded (86225) | $68.60 | $98 | 5.0× |
| Dna/Rna Amplified Probe (87150) | $65.80 | $94 | 1.9× |
| Dpyd gene common variants (81232) | $44.80 | $64 | 0.3× |
| Drug assay acetaminophen (80143) | $35.70 | $51 | 1.9× |
| Drug assay adalimumab (80145) | $73.50 | $105 | 1.9× |
| Drug Assay Amiodarone (80151) | $156.80 | $224 | 8.4× |
| Drug Assay Everolimus (80169) | $31.50 | $45 | 2.3× |
| Drug Assay Infliximab (80230) | $73.50 | $105 | 1.9× |
| Drug Assay Itraconazole (80189) | $51.80 | $74 | 1.9× |
| Drug Assay Vedolizumab (80280) | $141.40 | $202 | 3.7× |
| Drug assay voriconazole (80285) | $35.70 | $51 | 1.3× |
| Drug Screen Quant Clozapine (80159) | $39.20 | $56 | 1.9× |
| Drug Screen Quant Zonisamide (80203) | $25.20 | $36 | 1.9× |
| Drug Screen Quantitative Gabapentin (80171) | $42 | $60 | 1.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $25.20 | $36 | 1.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $25.20 | $36 | 1.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $35.70 | $51 | 2.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$152.60–$184.10 | $218–$263 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $60.20 | $86 | 4.8× |
| Drug Test Prsmv Instrmnt (80306) | $100.10 | $143 | 5.8× |
| Ehrlichia antibody (86666) | $23.80 | $34 | 2.3× |
| Electrolyte panel (80051) | $14.70 | $21 | 2.1× |
| Electron Microscopy (88348) | $1,240.40 | $1,772 | 1.5× |
| Encephaltis East Eqne Anbdy (86652) | $148.40 | $212 | 11.3× |
| Encephaltis West Eqne Antbdy (86654) | $57.40 | $82 | 4.4× |
| Enterovirus Antibody (86658) | $436.10 | $623 | 33.5× |
| Enterovirus PCR (87498) | $65.80 | $94 | 1.9× |
| Enzyme cell activity (82657) | $147 | $210 | 6.6× |
| Enzyme histochemistry (88319) | $1,240.40 | $1,772 | 1.5× |
| Eosinophil Smear (89190) | $69.30 | $99 | 12.0× |
| Erythropoietin (82668) | $35.70 | $51 | 1.9× |
| Estradiol serum (82670) | $197.40 | $282 | 7.1× |
| Estriol (82677) | $51.80 | $74 | 2.1× |
| Estrogen total (82672) | $42 | $60 | 1.9× |
| Estrogens fractionated (82671) | $232.40 | $332 | 7.2× |
| Ethosuximide (80168) | $76.30 | $109 | 4.7× |
| Ethylene Glycol (82693) | $81.20 | $116 | 5.4× |
| Exam Synovial Fluid Crystals (89060) | $77.70 | $111 | 10.6× |
| F2 Gene (81240) | $196 | $280 | 3.0× |
| Factor ii activity (85210) | $172.20 | $246 | 13.3× |
| Factor Inhibitor Test (85335) | $104.30 | $149 | 8.1× |
| Factor ix activity (85250) | $35.70 | $51 | 1.9× |
| Factor v activity (85220) | $32.90 | $47 | 1.9× |
| Factor v leiden mutation (81241) | $207.20 | $296 | 2.8× |
| Factor vii assay (85230) | $99.40 | $142 | 5.6× |
| Factor viii assay (85240) | $114.80 | $164 | 6.4× |
| Factor X (85260) | $182 | $260 | 10.2× |
| Factor xi activity (85270) | $101.50 | $145 | 5.7× |
| Fat stain feces urine/respir secretions (89125) | $11.20 | $16 | 1.9× |
| Fat/Lipids Feces Quantitative (82710) | $294 | $420 | 17.5× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $189.70 | $271 | 11.0× |
| Ferritin (82728) | $51.80 | $74 | 3.8× |
| Fetal Chrmoml Aneuploidy (81420) | $1,712.90 | $2,447 | 2.3× |
| Fetal Fibronectin (82731) | $284.20 | $406 | 4.4× |
| Fetal screen rosette (85461) | $21 | $30 | 2.2× |
| Fibrin degradation products (85362) | $16.10 | $23 | 2.3× |
| Fibrin Degradation Quant (85379) | $18.90 | $27 | 1.9× |
| Fibrinogen activity (85384) | $18.90 | $27 | 1.9× |
| Flecainide level (80181) | $142.10 | $203 | 7.6× |
| Flow cytometry first marker (88184) | $726.60 | $1,038 | 1.9× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$27.30–$3,185.70 | $39–$4,551 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $49 | $70 | 4.1× |
| Fmr1 gene detection (81243) | $126.70 | $181 | 2.2× |
| Folic acid rbc (82747) | $33.60 | $48 | 1.9× |
| Folic Acid Serum (82746) | $30.80 | $44 | 2.1× |
| Follicle Stimulating Hormone (83001) | $44.80 | $64 | 2.4× |
| Frozen Section (88331) range across 3 matching MRF lines |
$224–$282.10 | $320–$403 | varies |
| Fungi Identification Mold (87107) | $19.60 | $28 | 1.9× |
| Fungi Identification Yeast (87106) | $19.60 | $28 | 1.9× |
| G6pd gene alys cmn variant (81247) | $44.80 | $64 | 0.3× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $124.60 | $178 | 5.9× |
| Gammaglobulin ige (82785) | $104.30 | $149 | 6.3× |
| Gardner Vag Dna Quant (87512) | $97.30 | $139 | 2.3× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $73.50 | $105 | 7.5× |
| Gastrin (82941) | $33.60 | $48 | 1.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $770 | $1,100 | 1.8× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,637.30 | $2,339 | 2.2× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $5,394.20 | $7,706 | 1.8× |
| Genet Virus Isolate Hsv (87255) | $104.30 | $149 | 3.1× |
| Genetic Tstg Severe Inh Cond (81443) | $1,940.40 | $2,772 | 0.8× |
| Gentamicin (80170) | $31.50 | $45 | 1.9× |
| Ggt (82977) | $14.70 | $21 | 2.0× |
| Giardia antigen (87329) | $53.90 | $77 | 4.5× |
| Glucagon (82943) | $51.80 | $74 | 3.6× |
| Glucose 2 hr pp (82950) | $46.20 | $66 | 9.7× |
| Glucose Blood Test (82962) | $26.60 | $38 | 8.1× |
| Glucose body fluid (82945) | $7.70 | $11 | 2.0× |
| Glucose Serum (82947) | $44.80 | $64 | 11.4× |
| Glucose tolerance test (gtt) (82951) | $24.50 | $35 | 1.9× |
| Glycated Protein (82985) | $159.60 | $228 | 9.5× |
| Gonadotropin Chorionic Qualitative (84703) | $15.40 | $22 | 2.0× |
| Growth hormone (83003) | $140.70 | $201 | 8.4× |
| Gtt-added samples (82952) | $7.70 | $11 | 2.0× |
| Haptoglobin (83010) | $23.80 | $34 | 1.9× |
| Hdl Cholesterol (83718) | $16.10 | $23 | 2.0× |
| Heavy metal qualitative any analytes (83015) | $169.40 | $242 | 8.1× |
| Helicobacter Pylori Stool (87338) | $26.60 | $38 | 1.8× |
| Helminth Antibody (86682) | $99.40 | $142 | 7.6× |
| Hematocrit (85014) | $5.60 | $8 | 2.4× |
| Hemoglobin (85018) | $5.60 | $8 | 2.4× |
| Hemoglobin a1c (83036) | $58.10 | $83 | 6.0× |
| Hemoglobin Chromotography (83021) | $60.20 | $86 | 3.3× |
| Hemoglobin electrophoresis (83020) | $103.60 | $148 | 8.0× |
| Hemoglobin Methemoglobin Quantitative (83050) | $72.80 | $104 | 8.9× |
| Hemoglobin plasma (83051) | $14.70 | $21 | 2.0× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $159.60 | $228 | 18.2× |
| Hemosiderin urine (83070) | $9.10 | $13 | 1.9× |
| Hep a ab igm (86709) | $21.70 | $31 | 1.9× |
| Heparin assay (85520) | $87.50 | $125 | 6.7× |
| Hepatitis a antibody total (86708) | $60.90 | $87 | 4.9× |
| Hepatitis b core ab igm (86705) | $22.40 | $32 | 1.9× |
| Hepatitis b core ab total (86704) | $109.20 | $156 | 9.1× |
| Hepatitis b surface ag quan (87467) | $304.50 | $435 | 12.0× |
| Hepatitis B Surface Antibody (86706) | $60.90 | $87 | 5.7× |
| Hepatitis B Surface Antigen (87340) | $60.90 | $87 | 5.9× |
| Hepatitis Be Antibody (86707) | $48.30 | $69 | 4.2× |
| Hepatitis Be Antigen (87350) | $54.60 | $78 | 4.7× |
| Hepatitis C Antibody (86803) | $84.70 | $121 | 5.9× |
| Hepatitis C Genotype (87902) | $760.90 | $1,087 | 3.0× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $233.10 | $333 | 6.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $79.10 | $113 | 1.8× |
| Hepatitis Delta Agent Antibody (86692) | $68.60 | $98 | 4.0× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $1,118.60 | $1,598 | 0.9× |
| Herpes simplex type 2 (86696) | $88.90 | $127 | 4.6× |
| Heterophile Antibody Screen (86308) | $11.90 | $17 | 2.3× |
| Hfe Gene (81256) | $616.70 | $881 | 9.4× |
| Histamine urine (83088) | $114.80 | $164 | 3.9× |
| Histoplasma antibody (86698) | $68.60 | $98 | 5.0× |
| Histoplasma antigen urine (87385) | $24.50 | $35 | 1.8× |
| Hiv Genotype (87901) | $490.70 | $701 | 1.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $272.30 | $389 | 3.2× |
| HIV-2 probe&revrse trnscripj (87538) | $281.40 | $402 | 8.0× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $268.80 | $384 | 2.1× |
| Hla class ii typing high resolution one locus ea (81382) | $419.30 | $599 | 3.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $241.50 | $345 | 3.2× |
| Hla I Typing 1 Allele Hr (81381) | $366.10 | $523 | 2.2× |
| Hla ii typing 1 allele hr (81383) | $326.20 | $466 | 3.0× |
| Hla Typing a/B/C Multiple Antigens (86813) | $616.70 | $881 | 10.6× |
| Hla-b27 (86812) | $88.90 | $127 | 3.4× |
| Homocysteine (83090) | $35 | $50 | 2.0× |
| Homovanillic acid urine (83150) | $67.20 | $96 | 3.0× |
| Hpv High-Risk Types (87624) | $67.90 | $97 | 1.9× |
| Hsv Dna Amp Probe (87529) | $380.80 | $544 | 10.9× |
| Hsv Dna Quant (87530) | $288.40 | $412 | 6.7× |
| Hydroxyprogesterone 17-d (83498) | $415.80 | $594 | 15.3× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $81.20 | $116 | 6.8× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $19.60 | $28 | 1.9× |
| Iaad ia shiga-like toxin (87427) | $88.20 | $126 | 7.4× |
| Iaadi inffluenza a virus (87276) | $70.70 | $101 | 4.4× |
| Iaadi pneumocustis carinii (87281) | $26.60 | $38 | 2.2× |
| Iadna Bartonella Amplified Probe Technique (87471) | $267.40 | $382 | 7.6× |
| Iadna Candida Species Amplified Probe Tq (87481) | $97.30 | $139 | 2.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $121.10 | $173 | 3.5× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $140 | $200 | 4.0× |
| Iadna Cytomegalovirus Quantification (87497) | $92.40 | $132 | 2.2× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $414.40 | $592 | 5.9× |
| Iadna Hepatitis B Virus Quantification (87517) | $151.90 | $217 | 3.5× |
| Iadna Herpes Virus-6 Quantification (87533) | $555.10 | $793 | 13.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $158.90 | $227 | 4.5× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $124.60 | $178 | 3.6× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $134.40 | $192 | 1.8× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $77 | $110 | 1.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $121.10 | $173 | 3.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $97.30 | $139 | 2.8× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $264.60 | $378 | 1.9× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $365.40 | $522 | 1.4× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $44.80 | $64 | 0.6× |
| Igg subclasses (82787) | $16.10 | $23 | 2.0× |
| Igh gene rearrange amp meth (81261) | $412.30 | $589 | 2.1× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $557.90 | $797 | 1.9× |
| Igk rearrangeabn clonal pop (81264) | $456.40 | $652 | 2.6× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $551.60 | $788 | 1.5× |
| Immunfix e-phorsis/urine/csf (86335) | $368.90 | $527 | 12.6× |
| Immunoassay analyte qual/semiqual single step (83518) | $361.90 | $517 | 37.5× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $434 | $620 | 23.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $68.60 | $98 | 4.6× |
| Immunoassay nonantibody (83516) | $100.10 | $143 | 8.7× |
| Immunodiffusion Ouchterlony (86331) | $23.10 | $33 | 1.9× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $107.80 | $154 | 4.7× |
| Immunofixation electrophoresis (86334) | $104.30 | $149 | 4.7× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $567.70 | $811 | 3.1× |
| Immunohistochemistry (88342) range across 4 matching MRF lines |
$282.10–$345.80 | $403–$494 | varies |
| In situ hybridization 1st probe stain (88365) | $461.30 | $659 | 2.6× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $23.10 | $33 | 1.9× |
| Inhibin A (86336) | $51.80 | $74 | 3.3× |
| Inhibin b (83520) | $2,271.50 | $3,245 | 131.5× |
| Insulin antibodies (86337) | $42 | $60 | 2.0× |
| Insulin free (83527) | $24.50 | $35 | 1.9× |
| Insulin total (83525) | $65.10 | $93 | 5.7× |
| Intrinsic factor antibody (86340) | $72.80 | $104 | 4.8× |
| Iron (83540) | $163.10 | $233 | 25.2× |
| Iron Binding Capacity (83550) | $17.50 | $25 | 2.0× |
| Irradiation Blood Product Each Unit (86945) | $116.90 | $167 | 3.0× |
| Islet cell antibody (86341) | $3,185.70 | $4,551 | 135.2× |
| Jak2 gene analysis p.val617phe variant (81270) | $536.20 | $766 | 5.8× |
| Jak2 Gene Trgt Sequence Alys (81279) | $352.80 | $504 | 1.9× |
| Kit Gene Analysis D816 Variant(S) (81273) | $618.10 | $883 | 4.9× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $492.10 | $703 | 1.5× |
| Koh Prep (87220) range across 3 matching MRF lines |
$39.20–$56 | $56–$80 | varies |
| Kras Gene Analysis Additional Variant(S) (81276) | $367.50 | $525 | 1.9× |
| Lactate (ld) (ldh) enzyme (83615) | $44.10 | $63 | 7.3× |
| Lactoferrin fecal qualitative (83630) | $65.10 | $93 | 3.3× |
| Lactoferrin Fecal Quantitative (83631) | $37.80 | $54 | 1.9× |
| Ldh Isoenzymes (83625) | $24.50 | $35 | 1.9× |
| LDL direct (83721) | $35.70 | $51 | 3.4× |
| Lead (83655) | $51.80 | $74 | 4.3× |
| Legionella antigen urine (87449) | $143.50 | $205 | 12.0× |
| Leptospira antibody (86720) | $111.30 | $159 | 6.9× |
| Leukocyte Assessment Fecal (89055) | $495.60 | $708 | 116.1× |
| Level I Surg Pathology Gross Examination Only (88300) range across 3 matching MRF lines |
$88.90–$124.60 | $127–$178 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 3 matching MRF lines |
$63–$172.20 | $90–$246 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 3 matching MRF lines |
$432.60–$551.60 | $618–$788 | varies |
| Lidocaine (80176) | $98 | $140 | 6.7× |
| Lipase (83690) | $72.80 | $104 | 10.6× |
| Lipoprotein A (83695) | $27.30 | $39 | 1.9× |
| Lipoprotein Bld Quan Part (83704) | $155.40 | $222 | 4.5× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $60.20 | $86 | 1.8× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $36.40 | $52 | 0.8× |
| Lithium (80178) | $14 | $20 | 2.1× |
| Liver ds alys 3 bmrk srm alg (81517) | $287 | $410 | 1.6× |
| Luteinizing Hormone (Lh) (83002) | $44.80 | $64 | 2.4× |
| Lyme disease antibody (86618) | $102.20 | $146 | 6.0× |
| Lysozyme serum (85549) | $90.30 | $129 | 4.8× |
| M. Genitalium Amp Probe (87563) | $107.80 | $154 | 3.1× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $1,552.60 | $2,218 | 8.6× |
| Macroscopic exam arthropod (87168) | $39.90 | $57 | 9.3× |
| Macroscopic Exam Parasite (87169) | $9.80 | $14 | 2.3× |
| Magnesium Urine (83735) | $72.80 | $104 | 10.9× |
| Mass Spectrometry Quant (83789) | $205.10 | $293 | 8.5× |
| Mercury urine (83825) | $116.90 | $167 | 7.2× |
| Methotrexate (80204) | $107.10 | $153 | 2.8× |
| Methylmalonic acid serum (83921) | $41.30 | $59 | 1.9× |
| Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) | $174.30 | $249 | 1.9× |
| Microalbumin, quantitative (82043) | $14 | $20 | 2.4× |
| Microbe Suscept Macrobroth (87188) | $89.60 | $128 | 13.5× |
| Microsomal Antibodies Each (86376) | $96.60 | $138 | 6.6× |
| Mlh1 Gene (81288) | $476 | $680 | 2.5× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $374.50 | $535 | 1.9× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $374.50 | $535 | 0.6× |
| Mog-Igg1 Antb Cba Each (86362) | $510.30 | $729 | 42.3× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $81.20 | $116 | 2.2× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 4 matching MRF lines |
$43.40–$475.30 | $62–$679 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $237.30 | $339 | 5.6× |
| Molecular Pathology Procedure Level 3 (81402) | $380.10 | $543 | 2.5× |
| Molecular Pathology Procedure Level 6 (81405) | $877.80 | $1,254 | 2.9× |
| Mononuclear cell antigen (86356) | $51.10 | $73 | 1.9× |
| Mopath procedure level 1 (81400) | $360.50 | $515 | 5.6× |
| Mopath procedure level 2 (81401) | $691.60 | $988 | 5.0× |
| Mopath procedure level 4 (81403) | $1,199.10 | $1,713 | 6.5× |
| Mopath procedure level 5 (81404) | $891.10 | $1,273 | 3.2× |
| Mopath procedure level 7 (81406) | $2,207.80 | $3,154 | 7.8× |
| Mopath procedure level 8 (81407) | $592.20 | $846 | 0.7× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $342.30 | $489 | 1.8× |
| Mrsa Pcr (87641) | $99.40 | $142 | 2.8× |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $374.50 | $535 | 1.8× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $374.50 | $535 | 1.0× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $374.50 | $535 | 1.6× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $374.50 | $535 | 0.6× |
| Mthfr Gene Analysis Common Variants (81291) | $179.90 | $257 | 2.8× |
| Mumps antibody (86735) | $41.30 | $59 | 3.2× |
| Mycoplasma antibody (86738) | $69.30 | $99 | 5.2× |
| Myelin basic protein csf (83873) | $65.10 | $93 | 3.8× |
| Myoglobin urine (83874) | $24.50 | $35 | 1.9× |
| Natriuretic peptide (83880) | $148.40 | $212 | 3.8× |
| Neurofilament light chain (83884) | $215.60 | $308 | 1.9× |
| Neutralization Test Viral (86382) | $532.70 | $761 | 31.5× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $554.40 | $792 | 2.2× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $307.30 | $439 | 2.2× |
| Nfct ds bv&vaginitis DNA alg (81515) | $462 | $660 | 1.8× |
| Nfct ds chrnc hcv 6 assays (81596) | $344.40 | $492 | 4.8× |
| Niacin (84591) | $32.90 | $47 | 1.9× |
| Nk cells total count (86357) | $128.10 | $183 | 3.4× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $502.60 | $718 | 2.0× |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$83.30–$476 | $119–$680 | varies |
| Nudt15 Gene Common Variants (81306) | $44.80 | $64 | 0.2× |
| Obstetric panel (80081) | $260.40 | $372 | 3.5× |
| Occult blood feces (82272) | $30.80 | $44 | 7.3× |
| Oligoclonal bands (83916) | $164.50 | $235 | 6.0× |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $466.90 | $667 | 1.8× |
| Oncoprotein dcp (83951) | $220.50 | $315 | 3.4× |
| Organic acids urine (83918) | $45.50 | $65 | 1.9× |
| Osmolality serum (83930) | $14 | $20 | 2.1× |
| Osmolality Urine (83935) | $14 | $20 | 2.1× |
| Osmotic fragility rbc incubated (85557) | $47.60 | $68 | 3.6× |
| Ova and parasites smears (87177) | $53.90 | $77 | 6.1× |
| Oxalate urine (83945) | $112 | $160 | 7.8× |
| Palb2 gene full gene seq (81307) | $1,183.70 | $1,691 | 1.7× |
| Pancreatic Elastase Fecal (82656) | $22.40 | $32 | 1.9× |
| Particle Agglutination Screen Each Antibody (86403) | $22.40 | $32 | 1.9× |
| Parvovirus antibody (86747) | $96.60 | $138 | 6.4× |
| Path Clin Consltj Mod 21-40 (80504) | $345.80 | $494 | 1.9× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) range across 3 matching MRF lines |
$1,240.40–$1,737.40 | $1,772–$2,482 | varies |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $109.90 | $157 | 2.0× |
| Pathology Consultation During Surgery (88329) | $116.90 | $167 | 1.9× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $909.30 | $1,299 | 2.8× |
| Ph urine (81003) | $11.20 | $16 | 5.0× |
| Phenobarbital Level (80184) | $28.70 | $41 | 1.9× |
| Phenotype Infect Agent Drug (87900) | $248.50 | $355 | 1.9× |
| Phenylalanine (84030) | $93.10 | $133 | 16.9× |
| Phenytoin (Dilantin) (80185) | $25.20 | $36 | 1.9× |
| Phenytoin free (80186) | $25.90 | $37 | 1.9× |
| Phosphatase alkaline (84075) | $9.80 | $14 | 1.9× |
| Phospholipid Neutralization Hexagonal (85598) | $60.20 | $86 | 3.3× |
| Phosphorus Serum (84100) | $9.10 | $13 | 1.9× |
| Phosphorus urine (84105) | $31.50 | $45 | 5.4× |
| Pinworm exam (87172) | $8.40 | $12 | 2.0× |
| Platelet Aggregation (85576) | $137.90 | $197 | 5.5× |
| Platelet Antibodies (86022) | $252.70 | $361 | 13.8× |
| Platelet count automated (85049) | $8.40 | $12 | 1.9× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $374.50 | $535 | 1.8× |
| Pms2 gene full seq analysis (81317) | $374.50 | $535 | 0.6× |
| Pooling blood platelets (86965) | $344.40 | $492 | 1.9× |
| Porphyrins Feces Quantitative (84126) | $371.70 | $531 | 9.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $73.50 | $105 | 5.0× |
| Porphyrins, urine; qualitative (84119) | $25.20 | $36 | 1.9× |
| Potassium Urine (84133) | $48.30 | $69 | 10.2× |
| Prealbumin (84134) | $27.30 | $39 | 1.9× |
| Pregnenolone (84140) | $72.80 | $104 | 3.5× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $67.20 | $96 | 1.1× |
| Primidone (80188) | $128.10 | $183 | 7.7× |
| Procalcitonin (Pct) (84145) | $51.80 | $74 | 1.9× |
| Progesterone (84144) | $41.30 | $59 | 2.0× |
| Prolactin (84146) | $155.40 | $222 | 8.0× |
| Prostaglandin (84150) | $267.40 | $382 | 6.4× |
| Protein body fluid (84157) | $68.60 | $98 | 17.2× |
| Protein C Activity (85303) | $190.40 | $272 | 13.8× |
| Protein c antigen (85302) | $101.50 | $145 | 8.5× |
| Protein Electrophoresis Urine (84166) | $79.80 | $114 | 4.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $35.70 | $51 | 3.3× |
| Protein S Free (85306) | $190.40 | $272 | 12.4× |
| Protein s total (85305) | $51.10 | $73 | 4.4× |
| Protein total serum (84155) | $35.70 | $51 | 9.7× |
| Protein Total Urine (84156) | $28 | $40 | 7.6× |
| Protein Western Blot Test (84182) | $476 | $680 | 16.3× |
| Protoporphyrin rbc quantitative (84202) | $42 | $60 | 2.9× |
| PSA free (84154) | $72.80 | $104 | 4.0× |
| Pth Intact (83970) | $163.80 | $234 | 4.0× |
| Pyruvate kinase (84220) | $77 | $110 | 8.2× |
| Q Fever Antibody (86638) | $157.50 | $225 | 13.0× |
| Quantiferon tb gold plus (86480) | $104.30 | $149 | 1.7× |
| Quantitative assay drug (80299) | $154.70 | $221 | 8.3× |
| Quantitative Screen Metals (83018) | $60.90 | $87 | 2.8× |
| Rbc antibody elution (86860) | $291.20 | $416 | 1.6× |
| Rbc antibody identification (86870) | $726.60 | $1,038 | 1.9× |
| Rbc antibody screen (86850) | $83.30 | $119 | 8.5× |
| Rbc pretreatment serum (86978) | $116.90 | $167 | 1.9× |
| Rbc pretx incubatj w/enzymes (86971) | $345.80 | $494 | 1.9× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $176.40 | $252 | 2.5× |
| Renin activity plasma (84244) | $42.70 | $61 | 1.9× |
| Resp Virus 6-11 Targets (87632) | $1,831.20 | $2,616 | 8.4× |
| Reticulated Platelet Assay (85055) | $63 | $90 | 1.8× |
| Reticulocyte Count (85046) | $10.50 | $15 | 1.9× |
| Reticulocyte separation (86972) | $291.20 | $416 | 1.6× |
| Rh (86901) | $51.80 | $74 | 17.3× |
| Rheumatoid Factor Qualitative (86430) | $11.20 | $16 | 1.8× |
| Rheumatoid factor quant (86431) | $98.70 | $141 | 17.4× |
| Rickettsia antibody (86757) | $84.70 | $121 | 4.4× |
| Ristocetin cofactor (85245) | $114.80 | $164 | 5.0× |
| Rotavirus ag eia (87425) | $50.40 | $72 | 4.2× |
| Rpr qualitative (86592) | $9.80 | $14 | 2.3× |
| Rsv Assay W/Optic (87807) | $24.50 | $35 | 1.9× |
| Rubella Antibody (86762) | $27.30 | $39 | 1.9× |
| Rubeola antibody (86765) | $24.50 | $35 | 1.9× |
| Rufinamide (80210) | $51.80 | $74 | 1.9× |
| Russell Viper Venom Time Diluted (85613) | $150.50 | $215 | 15.7× |
| Salicylate Level (80179) | $68.60 | $98 | 3.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $200.20 | $286 | 3.9× |
| Sars-cov-2 COVID-19 antibody (86769) | $122.50 | $175 | 2.9× |
| Sarscov2 & inf a&b amp prb (87636) | $107.10 | $153 | 0.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $104.30 | $149 | 0.7× |
| Sedimentation Rate, Automated (85652) | $6.30 | $9 | 2.3× |
| Selenium (84255) | $79.80 | $114 | 3.1× |
| Semen Anal Sperm Detection (89321) | $23.10 | $33 | 1.9× |
| Sensitivity mic (87186) | $820.40 | $1,172 | 94.8× |
| Serpina 1 gene (81332) | $82.60 | $118 | 1.9× |
| Sex Hormone Binding Globulin (84270) | $72.80 | $104 | 3.4× |
| Sickling of rbc reduction (85660) | $10.50 | $15 | 1.9× |
| Sirolimus (80195) | $25.90 | $37 | 1.9× |
| SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) | $44.80 | $64 | 0.3× |
| Smear acid fast (87206) | $25.90 | $37 | 4.8× |
| Smear complex stain (87209) | $53.90 | $77 | 3.0× |
| Smear gram stain (87205) | $63.70 | $91 | 14.9× |
| Smear Special Stain (87207) | $44.80 | $64 | 7.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $11.20 | $16 | 1.9× |
| Snrpn/Ube3a Methylation Analysis (81331) | $362.60 | $518 | 7.1× |
| Sodium Serum (84295) | $9.10 | $13 | 1.9× |
| Sodium Urine (84300) | $327.60 | $468 | 64.7× |
| Soluble Transferrin Receptor (84238) | $124.60 | $178 | 3.4× |
| Somatomedin (84305) | $157.50 | $225 | 7.4× |
| Somatostatin (84307) | $35 | $50 | 1.9× |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
$93.10–$158.90 | $133–$227 | varies |
| Special Stains Group 2 (88313) range across 4 matching MRF lines |
$76.30–$219.80 | $109–$314 | varies |
| Specimen infect agnt concntj (87015) | $44.80 | $64 | 6.7× |
| Spectrophotometry (84311) | $140.70 | $201 | 17.4× |
| Stool cultr aerobic bact ea (87046) | $47.60 | $68 | 5.0× |
| Strep a assay w/optic (87880) | $77.70 | $111 | 4.7× |
| Strep a DNA amp probe (87651) | $101.50 | $145 | 2.9× |
| Strep b DNA amp probe (87653) | $68.60 | $98 | 2.0× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $348.60 | $498 | 30.2× |
| Sugars Single Qual (84376) | $121.10 | $173 | 22.0× |
| Surg path level iii (88304) range across 3 matching MRF lines |
$94.50–$192.50 | $135–$275 | varies |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$163.80–$255.50 | $234–$365 | varies |
| Surgical pathology level vi (88309) range across 3 matching MRF lines |
$1,240.40–$1,737.40 | $1,772–$2,482 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $200.20 | $286 | 42.1× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $251.30 | $359 | 33.6× |
| Syphilis Test Non-Trep Quant (86593) | $9.80 | $14 | 2.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $88.90 | $127 | 1.9× |
| T cells total count (86359) | $117.60 | $168 | 3.1× |
| T3 Free (84481) | $39.20 | $56 | 2.3× |
| T3 reverse (84482) | $30.10 | $43 | 1.9× |
| T3 Total (84480) | $39.20 | $56 | 2.8× |
| T3 Uptake (84479) | $91.70 | $131 | 14.2× |
| T4 Free (84439) | $18.20 | $26 | 2.0× |
| T4 total (84436) | $21.70 | $31 | 3.2× |
| Tacrolimus (80197) | $25.90 | $37 | 1.9× |
| Tau phosphorylated each (84393) | $215.60 | $308 | 1.7× |
| Tb ag response t-cell susp (86481) | $244.30 | $349 | 2.4× |
| Testosterone total (84403) | $79.80 | $114 | 3.1× |
| Testosterone, Free (84402) | $147 | $210 | 5.8× |
| Tetanus antibody (86774) | $76.30 | $109 | 5.2× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $2,222.50 | $3,175 | 3.7× |
| Theophylline (80198) | $159.60 | $228 | 11.3× |
| Thrombin Time (85670) | $10.50 | $15 | 1.8× |
| Thyroglobulin (84432) | $206.50 | $295 | 12.9× |
| Thyroglobulin Antibody (86800) | $96.60 | $138 | 6.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $204.40 | $292 | 4.0× |
| Thyroxine binding globulin (84442) | $28 | $40 | 1.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $25.20 | $36 | 2.2× |
| Tissue culture bone marrow (88237) | $609.70 | $871 | 4.2× |
| Tissue Culture Lymphocyte (88230) | $217.70 | $311 | 1.9× |
| Tobramycin peak (80200) | $124.60 | $178 | 7.7× |
| Topiramate (80201) | $23.10 | $33 | 1.9× |
| Touch prep (88161) | $42.70 | $61 | 1.4× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $54.60 | $78 | 2.8× |
| Toxoplasma ab igm (86778) | $84 | $120 | 5.8× |
| Toxoplasma antibody (86777) | $68.60 | $98 | 4.8× |
| Tpmt gene com variants (81335) | $365.40 | $522 | 2.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $9.80 | $14 | 1.9× |
| Transferrin (84466) | $24.50 | $35 | 1.9× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $483.70 | $691 | 2.3× |
| Trg gene rearrangement anal (81342) | $483.70 | $691 | 2.4× |
| Trichinella Antibody (86784) | $68.60 | $98 | 5.5× |
| Trichomonas Vaginalis Amplif (87661) | $97.30 | $139 | 2.8× |
| Triglycerides (84478) | $22.40 | $32 | 3.9× |
| Troponin Quant (84484) | $63.70 | $91 | 5.1× |
| Tumor Immunohistochem/Manual (88360) range across 3 matching MRF lines |
$345.80–$407.40 | $494–$582 | varies |
| Ugt1a1 gene analysis common variants (81350) | $504 | $720 | 2.2× |
| Urea nitrogen urine (84540) | $10.50 | $15 | 1.9× |
| Uric acid other source (84560) | $70 | $100 | 13.8× |
| Urine Pregnancy Test (81025) | $66.50 | $95 | 7.7× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $4.99 | $7.13 | 1.6× |
| Valproic acid (80164) | $25.90 | $37 | 1.9× |
| Vancomycin (80202) | $25.90 | $37 | 1.9× |
| Varicella-zoster antibody (86787) | $24.50 | $35 | 1.9× |
| Vasopressin (84588) | $67.90 | $97 | 2.0× |
| Very Long Chain Fatty Acids (82726) | $306.60 | $438 | 15.5× |
| Viral Culture (87252) | $48.30 | $69 | 1.9× |
| Virus antibody nos (86790) | $161.70 | $231 | 12.6× |
| Virus inoculation, shell via (87254) | $66.50 | $95 | 3.4× |
| Viscosity serum (85810) | $35 | $50 | 3.0× |
| Vitamin A (84590) | $26.60 | $38 | 2.3× |
| Vitamin b-12 (82607) | $30.80 | $44 | 2.0× |
| Vitamin B2 (Riboflavin) (84252) | $39.90 | $57 | 2.0× |
| Vitamin B6 (84207) | $53.20 | $76 | 1.9× |
| Vitamin c (82180) | $19.60 | $28 | 2.0× |
| Vitamin D 25-Hydroxy (82306) | $144.90 | $207 | 4.9× |
| Vitamin E (84446) | $26.60 | $38 | 1.9× |
| Vitamin K (84597) | $25.90 | $37 | 1.9× |
| Vkorc1 gene (81355) | $44.80 | $64 | 0.5× |
| Volatiles (84600) | $32.90 | $47 | 1.9× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $1,355.20 | $1,936 | 112.5× |
| Von willebrand factor ag (85246) | $114.80 | $164 | 5.0× |
| West nile virus ab igm (86788) | $96.60 | $138 | 5.7× |
| West Nile Virus Antibody (86789) | $49.70 | $71 | 3.5× |
| Western Blot Test (84181) | $170.80 | $244 | 10.0× |
| Zinc (84630) | $21.70 | $31 | 1.9× |
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.