Lab & pathology prices at Graham Hospital Association
Canton, IL · every code in this section with a posted price and a Medicare benchmark.
587 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | — | $279 | — |
| Abl1 gene analysis kinase domain variants (81170) | — | $1,350 | — |
| Acetylcholinesterase Assay (82013) | — | $18.69 | — |
| Acth (82024) | — | $372 | — |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | — | $44.74 | — |
| Actin smooth muscle antibody each (86015) | — | $135.33 | — |
| Acute hepatitis panel (80074) | — | $617 | — |
| Acylcarnitines Quant (82017) | — | $259 | — |
| Albumin Fluid (82042) | — | $101.15 | — |
| Albumin serum (82040) range across 3 matching MRF lines |
— | $6.79–$87 | — |
| Aldosterone urine (82088) | — | $354 | — |
| Alkaline phosphatase isoenzymes (84080) | — | $20.28 | — |
| Allergen spec ige qual multiallergen screen (86005) | — | $13.36 | — |
| Allergen specific ige (86003) | — | $57.41 | — |
| Allergen specific igg (86001) | — | $7.16 | — |
| Allg Spec Ige Recomb Ea (86008) | — | $86 | — |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
— | $19.84–$184 | — |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
— | $18.43–$176 | — |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
— | $23.01–$225 | — |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
— | $7.27–$95.95 | — |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 3 matching MRF lines |
— | $23.14–$257.78 | — |
| Amino Acids Multiple Qualitative Each Specimen (82128) | — | $23.15 | — |
| Ammonia (82140) | — | $163.12 | — |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | — | $244.01 | — |
| Amylase urine (82150) range across 3 matching MRF lines |
— | $8.89–$181 | — |
| Ana Titer (86039) range across 2 matching MRF lines |
— | $15.31–$150 | — |
| Analysis skeletal muscle (88355) | — | $259.62 | — |
| Anca screen each antibody (86036) | — | $169.16 | — |
| Anca Titer Each Antibody (86037) | — | $169.16 | — |
| Androstenedione (82157) | — | $284 | — |
| Angiotensin converting enzyme csf (82164) | — | $188 | — |
| Anti-Phospholipid Antibody (86148) range across 4 matching MRF lines |
— | $22.04–$176 | — |
| Antibody aspergillus (86606) range across 4 matching MRF lines |
— | $20.65–$127 | — |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
— | $21.25–$190.44 | — |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
— | $23.11–$196 | — |
| Antibody Encephalitis California La Crosse (86651) | — | $18.09 | — |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
— | $20.98–$157 | — |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
— | $24.89–$190 | — |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
— | $16.81–$150.11 | — |
| Antibody haemophilus influenza (86684) | — | $21.73 | — |
| Antibody helicobacter pylori (86677) | — | $19.90 | — |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | — | $19.74 | — |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
— | $18.09–$136.34 | — |
| Antibody HIV-1&HIV-2 single result (86703) | — | $18.80 | — |
| Antibody HIV-2 (86702) | — | $157 | — |
| Antibody htlv/HIV antibody confirmatory test (86689) | — | $26.55 | — |
| Antibody identification leukocyte antibodies (86021) | — | $267 | — |
| Antibody leishmania (86717) | — | $20.47 | — |
| Antibody Protozoa Nes (86753) | — | $140 | — |
| Antibody Titer (86886) range across 3 matching MRF lines |
— | $7.10–$116 | — |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
— | $18.16–$130 | — |
| Antibody; encephalitis, st. louis (86653) | — | $18.09 | — |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | — | $7.85 | — |
| Antinuclear antibodies (86038) | — | $178 | — |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
— | $10.01–$121 | — |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
— | $16.26–$262 | — |
| Antithrombin iii antigen (85301) range across 2 matching MRF lines |
— | $14.83–$213.25 | — |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | — | $1,335 | — |
| Aspergillus ag eia (87305) | — | $16.44 | — |
| Assay Blood Carbon Dioxide (82374) | — | $6.70 | — |
| Assay Nephelometry Not Spec (83883) | — | $18.65 | — |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
— | $6.20–$103 | — |
| Assay of calcium in urine (82340) | — | $97 | — |
| Assay of cpk in blood (82552) | — | $173.50 | — |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
— | $13.30–$128 | — |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
— | $12.76–$149.71 | — |
| Assay of lactic acid (83605) | — | $119.74 | — |
| Assay of metanephrines (83835) | — | $232 | — |
| Assay of proinsulin (84206) | — | $24.43 | — |
| Assay of serotonin (84260) | — | $7.96 | — |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
— | $6.31–$51.60 | — |
| Assay of sweat sodium (84302) range across 2 matching MRF lines |
— | $6.67–$91 | — |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
— | $5.42–$90.96 | — |
| Assay of urine vma (84585) | — | $180 | — |
| Assay of vitamin b-1 (84425) | — | $225 | — |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
— | $4.91–$83 | — |
| Assay spec xcp ur&breath ia (82077) | — | $173.12 | — |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
— | $3.48–$64 | — |
| B cells total count (86355) range across 2 matching MRF lines |
— | $51.75–$249 | — |
| Bartonella antibody (86611) range across 5 matching MRF lines |
— | $13.96–$98.42 | — |
| Bcr/abl1 gene major bp (81206) | — | $725.61 | — |
| Bcr/abl1 gene minor bp (81207) | — | $724 | — |
| Beta 2 glycoprotein i antibody each (86146) range across 5 matching MRF lines |
— | $34.91–$183 | — |
| Beta hydroxybutyrate (82010) range across 3 matching MRF lines |
— | $11.21–$144 | — |
| Beta Lactamase (87185) range across 4 matching MRF lines |
— | $6.51–$72.50 | — |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
— | $22.19–$177 | — |
| Bilirubin direct (82248) range across 3 matching MRF lines |
— | $6.88–$68.75 | — |
| Bilirubin total (82247) range across 3 matching MRF lines |
— | $6.88–$68.75 | — |
| Bilirubin total transcutaneous (88720) | — | $49.50 | — |
| Biotinidase (82261) | — | $28.04 | — |
| Bl Smear W/O Diff Wbc Count (85008) | — | $4.71 | — |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
— | $17.70–$132 | — |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) | — | $109.86 | — |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | — | $110.52 | — |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | — | $110.52 | — |
| Bleeding time test (85002) | — | $6.19 | — |
| Blood Count Red Blood Cell Automated (85041) | — | $37.52 | — |
| Blood count reticulocyte automated (85045) | — | $6.68 | — |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 3 matching MRF lines |
— | $4.71–$76.40 | — |
| Blood gas (82803) | — | $429.61 | — |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 3 matching MRF lines |
— | $21.82–$112.80 | — |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | — | $42.50 | — |
| Blood Type Antigen Donor Reagent Serum Each (86902) | — | $146.20 | — |
| Blood typing serologic abo (86900) range across 4 matching MRF lines |
— | $4.10–$171 | — |
| Bone marrow smear interpretation (85097) | — | $146.30 | — |
| Bordetella antibody (86615) | — | $18.09 | — |
| C diff amplified probe (87493) range across 2 matching MRF lines |
— | $48.14–$289 | — |
| C-Peptide (84681) | — | $209.50 | — |
| C-reactive protein (86140) | — | $70.94 | — |
| Ca 19-9 (86301) range across 2 matching MRF lines |
— | $28.55–$229 | — |
| Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) | — | $478.32 | — |
| Calcium ionized (82330) | — | $193.60 | — |
| Calcium total (82310) range across 3 matching MRF lines |
— | $7.08–$92 | — |
| Calculus Xray Diffraction (82370) range across 3 matching MRF lines |
— | $14.60–$146.20 | — |
| Calprotectin Fecal (83993) | — | $361 | — |
| Calr gene com variants (81219) | — | $787.79 | — |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
— | $28.55–$259 | — |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
— | $28.55–$225.49 | — |
| Candida antibody (86628) range across 2 matching MRF lines |
— | $16.47–$96 | — |
| Carbamazepine total (80156) range across 2 matching MRF lines |
— | $19.98–$163.12 | — |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) | — | $14.07 | — |
| Carboxyhemoglobin (82375) range across 3 matching MRF lines |
— | $7.96–$176 | — |
| Carcinoembryonic antigen (82378) | — | $270.80 | — |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
— | $34.91–$208 | — |
| Carnitine Quantitative Each Specimen (82379) | — | $242 | — |
| Catecholamines fractionated (82384) | — | $34.64 | — |
| Ccp antibody (86200) | — | $164.68 | — |
| Cell count csf (89051) | — | $209 | — |
| Ceruloplasmin (82390) | — | $146 | — |
| Cftr gene com variants (81220) | — | $1,484.03 | — |
| Chemiluminescent assay (82397) | — | $236 | — |
| Chloride other source (82438) | — | $6.70 | — |
| Chloride Serum (82435) | — | $6.31 | — |
| Chloride urine (82436) | — | $96 | — |
| Cholesterol total (82465) | — | $5.97 | — |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
— | $20.65–$311 | — |
| Chrmsm Analysis Addl High Resolution Study (88289) | — | $57.39 | — |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | — | $34.42 | — |
| Chromium serum (82495) | — | $27.82 | — |
| Chromogranin a (86316) range across 3 matching MRF lines |
— | $28.55–$230 | — |
| Chromosome analys amniotic (88269) | — | $228.16 | — |
| Chromosome Analysis 15-20 (88262) | — | $170.98 | — |
| Chromosome Analysis 20-25 (88264) | — | $170.98 | — |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
— | $48.14–$252 | — |
| Ckmb (82553) | — | $15.84 | — |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
— | $16.44–$181 | — |
| Clot Factor VIII Multimetric (85247) range across 2 matching MRF lines |
— | $19.44–$328 | — |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
— | $15.74–$121.55 | — |
| Cold agglutinin titer (86157) | — | $11.06 | — |
| Collagen crosslinks (82523) | — | $211 | — |
| Column Chromotography Quant (82542) | — | $276 | — |
| Compatibility test antiglob (86922) | — | $204.21 | — |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
— | $16.46–$184 | — |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
— | $27.88–$249 | — |
| Complement/Function Activity (86161) | — | $16.46 | — |
| Consltj Compre Review Reprt Referred Matrl (88325) range across 2 matching MRF lines |
— | $358.70–$621 | — |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
— | $228.78–$310.53 | — |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | — | $199.96 | — |
| Coombs direct (86880) range across 6 matching MRF lines |
— | $7.39–$148 | — |
| Copper urine (82525) | — | $153 | — |
| Cortisol free (82530) range across 3 matching MRF lines |
— | $22.92–$203.51 | — |
| Cortisol saliva (82533) | — | $240 | — |
| Creatine kinase total (82550) range across 3 matching MRF lines |
— | $8.93–$89.17 | — |
| Creatinine blood (82565) range across 3 matching MRF lines |
— | $7.03–$70.20 | — |
| Creatinine clearance (82575) | — | $192 | — |
| Creatinine Urine (82570) | — | $58 | — |
| Crossmatch immediate spin (86920) | — | $170.80 | — |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
— | $17.76–$170 | — |
| Cryptococcal Antigen (87327) | — | $16.44 | — |
| Cryptococcus ag titer (87899) | — | $89 | — |
| Cryptosporidium (87272) | — | $20.03 | — |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 7 matching MRF lines |
— | $5.83–$66.46 | — |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 4 matching MRF lines |
— | $5.83–$154.70 | — |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
— | $10.57–$156 | — |
| Culture aerobic quant other (87071) | — | $245 | — |
| Culture afb (87116) | — | $244.28 | — |
| Culture Anaerobic (87075) | — | $12.99 | — |
| Culture bacteria anaerobic (87073) | — | $106.09 | — |
| Culture blood (87040) | — | $181.26 | — |
| Culture chlamydia (87110) | — | $26.88 | — |
| Culture csf (87070) | — | $11.82 | — |
| Culture fungus (87102) | — | $244.69 | — |
| Culture fungus blood (87103) range across 2 matching MRF lines |
— | $12.37–$243.68 | — |
| Culture screen only (87081) range across 6 matching MRF lines |
— | $9.09–$83.33 | — |
| Culture stool (87045) range across 3 matching MRF lines |
— | $12.95–$129.30 | — |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
— | $7.64–$90 | — |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
— | $7.10–$85.71 | — |
| Culture urine (87086) range across 3 matching MRF lines |
— | $11.07–$126.89 | — |
| Cyclosporine (80158) | — | $24.76 | — |
| Cystatin C (82610) | — | $162 | — |
| Cytogenetics 100-300 (88275) | — | $453 | — |
| Cytomegalovirus igg (86644) | — | $177 | — |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
— | $27.79–$171 | — |
| Cytopath Cell Enhance Tech (88112) | — | $151.86 | — |
| Cytopath Fl Nongyn Filter (88106) | — | $122.48 | — |
| Cytp Concentration Smears & Interpretation (88108) range across 3 matching MRF lines |
— | $116.26–$233.20 | — |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 3 matching MRF lines |
— | $295.32–$401.12 | — |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) range across 3 matching MRF lines |
— | $110.64–$233.20 | — |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | — | $134.84 | — |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | — | $14.49 | — |
| Cytp smrs any oth src extnd std > 5 slides (88162) | — | $184.12 | — |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | — | $136.48 | — |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) | — | $42.24 | — |
| Deoxycortisol (82634) | — | $146 | — |
| Deoxyribonuclease antibody (86215) range across 2 matching MRF lines |
— | $18.17–$132 | — |
| Detect Agent Nos Dna Amp (87798) range across 5 matching MRF lines |
— | $48.14–$335 | — |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
— | $58.76–$558 | — |
| Detect agnt mult DNA ampli (87801) | — | $387.43 | — |
| Dgp Antibody Each Ig Class (86258) | — | $158.30 | — |
| Dhea (82626) | — | $236.90 | — |
| Dhea-S (82627) | — | $239.71 | — |
| Digoxin (80162) range across 3 matching MRF lines |
— | $18.21–$148.62 | — |
| Dihydrotestosterone (82642) | — | $170 | — |
| Diphtheria antitoxoid (86648) | — | $176 | — |
| Dna Antibody Native/Double Stranded (86225) | — | $18.85 | — |
| Dna Antibody Single Stranded (86226) | — | $16.61 | — |
| Dna/Rna Amplified Probe (87150) | — | $154.47 | — |
| Drug assay acetaminophen (80143) | — | $185.89 | — |
| Drug Assay Everolimus (80169) | — | $267.54 | — |
| Drug Assay Lacosamide (80235) | — | $153.46 | — |
| Drug Screen Quant Clozapine (80159) | — | $142.50 | — |
| Drug Screen Quant Zonisamide (80203) | — | $202 | — |
| Drug Screen Quantitative Lamotrigine (80175) | — | $168.23 | — |
| Drug Screen Quantitative Levetiracetam (80177) | — | $153.46 | — |
| Drug Screen Quantitative Oxcarbazepine (80183) | — | $190 | — |
| Drug Screen Quantitative Procainamide Metabolite (80192) | — | $22.98 | — |
| Drug Test Prsmv Chem Anlyzr (80307) | — | $567 | — |
| Drug Test Prsmv Instrmnt (80306) | — | $165.60 | — |
| Ehrlichia antibody (86666) range across 5 matching MRF lines |
— | $13.96–$182 | — |
| El-1 Fecal Quantitative (82653) | — | $145 | — |
| Electrolyte panel (80051) range across 3 matching MRF lines |
— | $9.62–$96.07 | — |
| Electron Microscopy (88348) | — | $682.82 | — |
| Encephaltis East Eqne Anbdy (86652) | — | $18.09 | — |
| Encephaltis West Eqne Antbdy (86654) | — | $18.09 | — |
| Endomysial Antibody Each Immunoglobulin Class (86231) | — | $135.33 | — |
| Enzyme cell activity (82657) | — | $24.77 | — |
| Enzyme histochemistry (88319) | — | $185 | — |
| Erythropoietin (82668) | — | $219.03 | — |
| Estradiol serum (82670) | — | $155.88 | — |
| Estrogen total (82672) | — | $237 | — |
| Ethosuximide (80168) | — | $22.41 | — |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
— | $38.70–$80.24 | — |
| F2 Gene (81240) | — | $481 | — |
| Factor v leiden mutation (81241) | — | $485.90 | — |
| Factor viii assay (85240) range across 2 matching MRF lines |
— | $24.56–$329 | — |
| Fat/Lipids Feces Quantitative (82710) | — | $4.77 | — |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
— | $3.90–$91 | — |
| Ferritin (82728) range across 2 matching MRF lines |
— | $18.70–$152.24 | — |
| Fetal Lung Maturity Fluorescence Polarization (83663) | — | $25.94 | — |
| Fetal screen rosette (85461) range across 3 matching MRF lines |
— | $9.10–$101 | — |
| Fibrin degradation products (85362) | — | $9.45 | — |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
— | $13.96–$169.16 | — |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
— | $11.65–$208 | — |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | — | $75 | — |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
— | $124.94–$433.93 | — |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
— | $46.69–$223 | — |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
— | $46.24–$188 | — |
| Fmr1 gene detection (81243) | — | $456 | — |
| Folic acid rbc (82747) range across 3 matching MRF lines |
— | $23.76–$196 | — |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
— | $20.17–$164.34 | — |
| Follicle Stimulating Hormone (83001) range across 3 matching MRF lines |
— | $25.49–$237 | — |
| Forensic Cytopathology (88125) | — | $51.62 | — |
| Frozen Section (88331) range across 3 matching MRF lines |
— | $189.94–$261.33 | — |
| Fungi Identification Mold (87107) range across 3 matching MRF lines |
— | $14.16–$139 | — |
| Fungi Identification Yeast (87106) range across 3 matching MRF lines |
— | $14.16–$154 | — |
| Galactose (82760) | — | $18.69 | — |
| Galactose transferase test (82776) range across 2 matching MRF lines |
— | $7.96–$65.01 | — |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
— | $22.58–$182.36 | — |
| Gases blood ph only (82800) | — | $8.36 | — |
| Gastrin (82941) | — | $192 | — |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | — | $1,166.99 | — |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
— | $46.45–$260 | — |
| Gentamicin (80170) | — | $183.66 | — |
| Ggt (82977) range across 2 matching MRF lines |
— | $9.88–$123 | — |
| Giardia antigen (87329) range across 2 matching MRF lines |
— | $20.03–$142 | — |
| Gluc-6-phosphate dehydrogenase screen (82960) | — | $10.23 | — |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
— | $6.51–$65.13 | — |
| Glucose Blood Test (82962) range across 4 matching MRF lines |
— | $24.92–$57 | — |
| Glucose body fluid (82945) | — | $123.86 | — |
| Glucose Serum (82947) range across 5 matching MRF lines |
— | $5.39–$50 | — |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
— | $17.66–$176.42 | — |
| Glycated Protein (82985) | — | $20.68 | — |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
— | $10.32–$226.21 | — |
| Growth hormone (83003) range across 2 matching MRF lines |
— | $22.37–$172 | — |
| Gtt-added samples (82952) range across 2 matching MRF lines |
— | $5.38–$53.77 | — |
| H Pylori (C-13) Breath (83013) | — | $393 | — |
| Haloperidol (80173) | — | $19.98 | — |
| Haptoglobin (83010) range across 2 matching MRF lines |
— | $17.25–$170 | — |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
— | $11.24–$107 | — |
| Heavy metal qualitative any analytes (83015) | — | $31.14 | — |
| Helicobacter Pylori Stool (87338) range across 3 matching MRF lines |
— | $19.73–$196.96 | — |
| Helminth Antibody (86682) | — | $17.84 | — |
| Hematocrit (85014) range across 4 matching MRF lines |
— | $3.25–$71 | — |
| Hemoglobin (85018) | — | $67 | — |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
— | $13.32–$116.67 | — |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
— | $47.60–$192 | — |
| Hemolysin Acid (85475) | — | $12.17 | — |
| Hep a ab igm (86709) range across 2 matching MRF lines |
— | $15.44–$167 | — |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
— | $16.99–$156.82 | — |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
— | $16.15–$172 | — |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
— | $16.53–$165.57 | — |
| Hepatitis B Surface Antibody (86706) | — | $172 | — |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
— | $14.17–$141.38 | — |
| Hepatitis Be Antibody (86707) range across 3 matching MRF lines |
— | $15.87–$128.81 | — |
| Hepatitis Be Antigen (87350) | — | $15.81 | — |
| Hepatitis C Antibody (86803) | — | $215 | — |
| Hepatitis c antibody confirmatory test (86804) | — | $21.25 | — |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
— | $353.15–$1,310 | — |
| Hepatitis C Probe&Rvrs Trnsc (87521) | — | $48.14 | — |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
— | $58.76–$559.86 | — |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
— | $26.55–$154.29 | — |
| Heterophile Antibody Screen (86308) range across 3 matching MRF lines |
— | $7.10–$70.94 | — |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 3 matching MRF lines |
— | $4.88–$221 | — |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
— | $17.14–$119.67 | — |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
— | $16.44–$270 | — |
| Hiv Genotype (87901) | — | $353.15 | — |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | — | $198.18 | — |
| Hiv-1 Antibody (86701) range across 3 matching MRF lines |
— | $12.19–$151.39 | — |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
— | $116.73–$652 | — |
| Hla-b27 (86812) range across 2 matching MRF lines |
— | $35.40–$280 | — |
| Homocysteine (83090) | — | $189.71 | — |
| Homogenization Tissue (87176) range across 4 matching MRF lines |
— | $8.07–$85 | — |
| Homovanillic acid urine (83150) | — | $26.54 | — |
| Hpv High-Risk Types (87624) | — | $237.33 | — |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
— | $48.14–$330 | — |
| Hsv Dna Quant (87530) | — | $71.19 | — |
| Hydroxyprogesterone 17-d (83498) range across 3 matching MRF lines |
— | $37.27–$252 | — |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) range across 3 matching MRF lines |
— | $14.17–$108.06 | — |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | — | $16.44 | — |
| Iaad ia shiga-like toxin (87427) range across 3 matching MRF lines |
— | $16.44–$113 | — |
| Iaad Ia Streptococcus Group A (87430) | — | $16.44 | — |
| Iaadi herpes smplx virus type 1 (87274) | — | $20.03 | — |
| Iaadi inffluenza a virus (87276) | — | $20.03 | — |
| Iaadi Varicella Zoster Virus (87290) | — | $16.44 | — |
| Iaadiadoo trichomonas vaginalis (87808) | — | $16.44 | — |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | — | $48.14 | — |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | — | $27.51 | — |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 3 matching MRF lines |
— | $48.14–$423 | — |
| Iadna Cytomegalovirus Quantification (87497) | — | $479.69 | — |
| Iadna hepatitis b virus amplified probe tq (87516) | — | $58.30 | — |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
— | $58.76–$468.01 | — |
| Iadna Multiple Organisms Direct Probe Tq (87800) | — | $55.03 | — |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | — | $268 | — |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
— | $48.14–$248 | — |
| Ig Light Chains Free Each (83521) | — | $152.24 | — |
| Igg subclasses (82787) range across 6 matching MRF lines |
— | $11–$139 | — |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | — | $629 | — |
| Immunfix e-phorsis/urine/csf (86335) | — | $283 | — |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 8 matching MRF lines |
— | $18.53–$305.67 | — |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 26 matching MRF lines |
— | $20.56–$71.10 | — |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
— | $15.82–$164 | — |
| Immunoelectrophoresis Other Fluids Concentration (86325) | — | $63.60 | — |
| Immunoelectrophoresis Serum (86320) | — | $63.60 | — |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
— | $63.60–$266.61 | — |
| Immunofluorescence per spec 1st singl antb stain (88346) | — | $210.96 | — |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
— | $204.10–$376 | — |
| In situ hybridization 1st probe stain (88365) range across 3 matching MRF lines |
— | $310.53–$336.30 | — |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | — | $20.03 | — |
| Influenza assay w/optic (87804) | — | $16.44 | — |
| Influenza DNA amp probe (87502) | — | $256.37 | — |
| Inhibin b (83520) range across 5 matching MRF lines |
— | $17.76–$145 | — |
| Insitu hybridization auto (88367) | — | $215.93 | — |
| Insitu hybridization manual (88368) | — | $243.56 | — |
| Insulin antibodies (86337) | — | $215 | — |
| Insulin free (83527) | — | $113 | — |
| Insulin total (83525) range across 2 matching MRF lines |
— | $15.68–$155 | — |
| Intrinsic factor antibody (86340) | — | $20.68 | — |
| Iron (83540) range across 2 matching MRF lines |
— | $8.88–$88.69 | — |
| Iron Binding Capacity (83550) | — | $14.69 | — |
| Islet cell antibody (86341) | — | $233.60 | — |
| Jak2 gene analysis p.val617phe variant (81270) | — | $733 | — |
| Jak2 Gene Trgt Sequence Alys (81279) | — | $374.57 | — |
| Koh Prep (87220) range across 3 matching MRF lines |
— | $5.86–$120.70 | — |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
— | $8.28–$123 | — |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
— | $26.93–$151 | — |
| Ldh Isoenzymes (83625) | — | $15.77 | — |
| LDL direct (83721) range across 2 matching MRF lines |
— | $13.09–$111 | — |
| Lead (83655) | — | $117.04 | — |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
— | $16.44–$134.12 | — |
| Level I Surg Pathology Gross Examination Only (88300) range across 3 matching MRF lines |
— | $30.70–$126.89 | — |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
— | $58.80–$190.92 | — |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
— | $493–$513.30 | — |
| Lipase (83690) | — | $197.53 | — |
| Lipoprotein A (83695) range across 2 matching MRF lines |
— | $17.76–$139 | — |
| Lipoprotein Bld Quan Part (83704) | — | $200 | — |
| Lithium (80178) | — | $74.20 | — |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
— | $25.40–$242 | — |
| Lyme disease antibody (86618) | — | $195 | — |
| Lysozyme serum (85549) | — | $156 | — |
| M. Genitalium Amp Probe (87563) | — | $223.80 | — |
| Macroscopic exam arthropod (87168) range across 2 matching MRF lines |
— | $5.86–$95 | — |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
— | $5.86–$72.46 | — |
| Magnesium Urine (83735) range across 4 matching MRF lines |
— | $9.19–$141 | — |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
— | $24.77–$221.43 | — |
| Mercury urine (83825) | — | $151 | — |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
— | $22.57–$273.09 | — |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
— | $19.96–$170 | — |
| Mitochondrial Antibody Each (86381) | — | $135.33 | — |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | — | $1,335 | — |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | — | $44.49 | — |
| Molecular Cytogenetics Dna Probe Each (88271) range across 3 matching MRF lines |
— | $19.86–$161.92 | — |
| Mopath procedure level 4 (81403) | — | $574.57 | — |
| Morphometric analysis nerve (88356) | — | $438.18 | — |
| Morphometric Analysis Tumor (88358) | — | $245.30 | — |
| Mpl gene analysis sequence analysis exon 10 (81339) | — | $803.42 | — |
| Mthfr Gene Analysis Common Variants (81291) | — | $453 | — |
| Mumps antibody (86735) | — | $139 | — |
| Mycophenolic Acid (80180) | — | $283.70 | — |
| Mycoplasma culture (87109) range across 2 matching MRF lines |
— | $21.11–$175 | — |
| Myoglobin urine (83874) | — | $145 | — |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
— | $38.90–$362 | — |
| Neisseria Dir Na Probe (87590) | — | $27.51 | — |
| Nerve teasing preparations (88362) | — | $406.68 | — |
| Neutralization Test Viral (86382) | — | $23.20 | — |
| Niacin (84591) | — | $210 | — |
| Nk cells total count (86357) range across 3 matching MRF lines |
— | $51.75–$238.46 | — |
| Nuclear antigen antibody (86235) | — | $185.73 | — |
| Occult blood feces (82272) range across 3 matching MRF lines |
— | $42.50–$71.15 | — |
| Occult Blood Other Sources (82271) | — | $42.50 | — |
| Oncoprotein Her-2/Neu (83950) | — | $107.22 | — |
| Osmolality serum (83930) | — | $155 | — |
| Osmolality Urine (83935) | — | $142.94 | — |
| Ova and parasites smears (87177) | — | $149 | — |
| Pancreatic Elastase Fecal (82656) | — | $15.82 | — |
| Particle Agglut Antbdy Titr (86406) | — | $14.59 | — |
| Parvovirus antibody (86747) range across 3 matching MRF lines |
— | $20.62–$149 | — |
| Path Consltj Surg Cytologic Exam Initial Site (88333) range across 3 matching MRF lines |
— | $175.42–$765 | — |
| Pathology Consultation During Surgery (88329) range across 2 matching MRF lines |
— | $102.12–$234 | — |
| Ph urine (81003) | — | $86.30 | — |
| Phenobarbital Level (80184) | — | $128.08 | — |
| Phenylalanine (84030) range across 4 matching MRF lines |
— | $7.54–$150 | — |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
— | $18.18–$148.62 | — |
| Phenytoin free (80186) range across 2 matching MRF lines |
— | $18.88–$152 | — |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
— | $7.10–$86.88 | — |
| Phosphatidylglycerol (84081) | — | $22.66 | — |
| Phospholipid Neutralization Hexagonal (85598) | — | $175 | — |
| Phosphorus Serum (84100) range across 3 matching MRF lines |
— | $6.50–$53.17 | — |
| Pinworm exam (87172) range across 2 matching MRF lines |
— | $5.86–$81 | — |
| Platelet Aggregation (85576) | — | $62.27 | — |
| Platelet count automated (85049) range across 2 matching MRF lines |
— | $6.14–$107 | — |
| Platelet neutralization (85597) range across 2 matching MRF lines |
— | $24.66–$207 | — |
| Porphyrins Urine Quantitation & Fractionation (84120) | — | $20.18 | — |
| Potassium Urine (84133) | — | $99.25 | — |
| Prealbumin (84134) | — | $185.22 | — |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | — | $209.04 | — |
| Primidone (80188) | — | $139 | — |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
— | $36.75–$328 | — |
| Progesterone (84144) | — | $221 | — |
| Prolactin (84146) range across 2 matching MRF lines |
— | $26.58–$261 | — |
| Protein Alys Wstrn Blot I&R Immunological Ea (88372) | — | $64.49 | — |
| Protein body fluid (84157) | — | $133 | — |
| Protein C Activity (85303) range across 2 matching MRF lines |
— | $18.98–$293 | — |
| Protein c antigen (85302) | — | $16.48 | — |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
— | $36.82–$191 | — |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
— | $44.01–$120.33 | — |
| Protein S Free (85306) range across 2 matching MRF lines |
— | $21.02–$280 | — |
| Protein s total (85305) | — | $15.92 | — |
| Protein Total Refractometry Any Src (84160) | — | $8.46 | — |
| Protein total serum (84155) range across 4 matching MRF lines |
— | $5.03–$82.91 | — |
| Protein Total Urine (84156) range across 3 matching MRF lines |
— | $5.03–$110 | — |
| Protein Western Blot Test (84182) range across 3 matching MRF lines |
— | $56.48–$281 | — |
| Protein, western blot tissue (88371) | — | $61.80 | — |
| PSA free (84154) range across 2 matching MRF lines |
— | $25.23–$187.80 | — |
| Pth Intact (83970) | — | $399 | — |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
— | $85.02–$318.03 | — |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
— | $18.79–$153.46 | — |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
— | $30.13–$220.13 | — |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
— | $44.13–$204.21 | — |
| Rbc antibody identification (86870) | — | $280.34 | — |
| Rbc antibody screen (86850) range across 4 matching MRF lines |
— | $5.25–$146.20 | — |
| Rbc pretreatment serum (86978) | — | $282 | — |
| Rbc pretx incubatj w/enzymes (86971) | — | $178.84 | — |
| Reagent Strip/Blood Glucose (82948) | — | $5.33 | — |
| Renin activity plasma (84244) | — | $231 | — |
| Reticulocyte Count (85046) | — | $96 | — |
| Rh (86901) range across 4 matching MRF lines |
— | $4.10–$78.90 | — |
| Rheumatoid Factor Qualitative (86430) range across 3 matching MRF lines |
— | $7.78–$77.82 | — |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
— | $7.78–$77.82 | — |
| Rickettsia antibody (86757) range across 3 matching MRF lines |
— | $26.55–$199 | — |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
— | $19.44–$327 | — |
| Rotavirus ag eia (87425) | — | $16.44 | — |
| Rpr qualitative (86592) range across 3 matching MRF lines |
— | $5.86–$58.48 | — |
| Rsv Assay W/Optic (87807) | — | $205 | — |
| Rubella Antibody (86762) range across 3 matching MRF lines |
— | $19.74–$138 | — |
| Rubeola antibody (86765) | — | $138 | — |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
— | $13.14–$150.44 | — |
| Salicylate Level (80179) | — | $185.89 | — |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | — | $200 | — |
| Sedimentation rate (85651) | — | $4.87 | — |
| Sedimentation Rate, Automated (85652) | — | $50.50 | — |
| Selenium (84255) range across 2 matching MRF lines |
— | $35.02–$204 | — |
| Semen Anal Sperm Detection (89321) range across 3 matching MRF lines |
— | $20.03–$135 | — |
| Sensitivity mic (87186) range across 7 matching MRF lines |
— | $11.86–$96.91 | — |
| Sex Hormone Binding Globulin (84270) | — | $167 | — |
| Sickling of rbc reduction (85660) | — | $110 | — |
| Sirolimus (80195) range across 2 matching MRF lines |
— | $18.84–$188.50 | — |
| Skin test tuberculosis intradermal (86580) | — | $35.13 | — |
| Skin test unlisted antigen each (86486) | — | $10.14 | — |
| Skin test; histoplasmosis (86510) | — | $15.41 | — |
| Smear acid fast (87206) range across 3 matching MRF lines |
— | $7.39–$73.71 | — |
| Smear complex stain (87209) range across 3 matching MRF lines |
— | $24.66–$136 | — |
| Smear gram stain (87205) range across 4 matching MRF lines |
— | $5.86–$58.48 | — |
| Smear Special Stain (87207) range across 3 matching MRF lines |
— | $36.82–$136 | — |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
— | $5.86–$120.70 | — |
| Sodium Serum (84295) range across 3 matching MRF lines |
— | $6.60–$92 | — |
| Sodium Urine (84300) | — | $110 | — |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
— | $50.16–$323 | — |
| Somatomedin (84305) | — | $227.22 | — |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
— | $190.92–$191.02 | — |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
— | $137.60–$190.92 | — |
| Specific gravity body fluid (84315) range across 2 matching MRF lines |
— | $3.44–$60 | — |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
— | $9.16–$90 | — |
| Spectrophotometry (84311) | — | $167.18 | — |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | — | $30.68 | — |
| Stem cells total count (86367) | — | $77.78 | — |
| Stool cultr aerobic bact ea (87046) | — | $12.95 | — |
| Strep a assay w/optic (87880) | — | $166 | — |
| Strep a DNA amp probe (87651) | — | $193.38 | — |
| Sugars Single Qual (84376) | — | $7.54 | — |
| Surg path level iii (88304) range across 2 matching MRF lines |
— | $77.22–$319 | — |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
— | $146–$407.01 | — |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
— | $782.18–$1,280.82 | — |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | — | $96 | — |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 3 matching MRF lines |
— | $9.46–$129 | — |
| Sweat Collection Iontophoresis (89230) | — | $20.76 | — |
| Syphilis Test Non-Trep Quant (86593) range across 3 matching MRF lines |
— | $6.04–$99.93 | — |
| T cells absolute cd4 count (86361) | — | $18.54 | — |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
— | $64.45–$335 | — |
| T cells total count (86359) range across 2 matching MRF lines |
— | $51.75–$243 | — |
| T3 Free (84481) | — | $155.88 | — |
| T3 reverse (84482) range across 2 matching MRF lines |
— | $21.62–$193 | — |
| T3 Total (84480) range across 2 matching MRF lines |
— | $15.15–$200 | — |
| T4 Free (84439) range across 2 matching MRF lines |
— | $12.37–$116.67 | — |
| T4 total (84436) | — | $76.98 | — |
| Tacrolimus (80197) | — | $188.50 | — |
| Test for acetone/ketones (82009) | — | $6.20 | — |
| Testosterone total (84403) range across 3 matching MRF lines |
— | $35.41–$249 | — |
| Testosterone, Free (84402) range across 2 matching MRF lines |
— | $34.94–$249 | — |
| Tetanus antibody (86774) | — | $183 | — |
| Thrombin Time (85670) | — | $110 | — |
| Thyroglobulin (84432) range across 2 matching MRF lines |
— | $22.03–$182.12 | — |
| Thyroglobulin Antibody (86800) | — | $171 | — |
| Thyroid Stimulating Immunoglobulin (84445) range across 3 matching MRF lines |
— | $69.76–$444 | — |
| Thyroxine binding globulin (84442) | — | $20.28 | — |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | — | $158.30 | — |
| Tissue Culture (88233) | — | $193.04 | — |
| Tissue Culture Amniotic Fluid (88235) | — | $202.01 | — |
| Tissue culture bone marrow (88237) | — | $173.26 | — |
| Tissue Culture Lymphocyte (88230) | — | $159.80 | — |
| Tobramycin peak (80200) | — | $15.56 | — |
| Topiramate (80201) | — | $134.12 | — |
| Touch prep (88161) | — | $127.20 | — |
| Toxoplasma ab igm (86778) range across 3 matching MRF lines |
— | $19.76–$158 | — |
| Toxoplasma antibody (86777) | — | $167 | — |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
— | $7.10–$97 | — |
| Transferrin (84466) range across 2 matching MRF lines |
— | $17.51–$175 | — |
| Trichomonas Vaginalis Amplif (87661) | — | $213.84 | — |
| Triglycerides (84478) range across 2 matching MRF lines |
— | $7.88–$122 | — |
| Troponin Quant (84484) range across 3 matching MRF lines |
— | $13.50–$289.02 | — |
| Tumor immunohistochem/comput (88361) range across 6 matching MRF lines |
— | $252.58–$379.41 | — |
| Tumor Immunohistochem/Manual (88360) | — | $244.06 | — |
| Urea nitrogen urine (84540) | — | $6.51 | — |
| Uric acid other source (84560) | — | $6.51 | — |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
— | $4.18–$54 | — |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | — | $2.97 | — |
| Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) | — | $29.98 | — |
| Urine Albumin Semiquantitative (82044) range across 3 matching MRF lines |
— | $6.28–$61.60 | — |
| Urine Bacteria Culture (87088) range across 3 matching MRF lines |
— | $11.10–$126 | — |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
— | $66.67–$170 | — |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 4 matching MRF lines |
— | $4.35–$59.49 | — |
| Valproic acid (80164) range across 3 matching MRF lines |
— | $18.58–$152.24 | — |
| Vancomycin (80202) range across 3 matching MRF lines |
— | $18.58–$186.08 | — |
| Varicella-zoster antibody (86787) | — | $154.05 | — |
| Viral Culture (87252) range across 2 matching MRF lines |
— | $31.85–$259.79 | — |
| Virus antibody nos (86790) range across 2 matching MRF lines |
— | $17.67–$169 | — |
| Virus inoculation, shell via (87254) | — | $26.83 | — |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
— | $52.81–$365.02 | — |
| Vitamin A (84590) | — | $157 | — |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
— | $20.68–$150 | — |
| Vitamin B2 (Riboflavin) (84252) | — | $27.76 | — |
| Vitamin B6 (84207) | — | $261 | — |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
— | $40.61–$150 | — |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
— | $19.44–$290.30 | — |
| West nile virus ab igm (86788) | — | $139.62 | — |
| West Nile Virus Antibody (86789) | — | $150 | — |
| Xm Archive Tissue Molec Anal (88363) | — | $46.96 | — |
| Zinc (84630) | — | $138 | — |
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.