Lab & pathology prices at Great River Medical Center
Blytheville, AR · every code in this section with a posted price and a Medicare benchmark.
606 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $60.39 | $90 | 5.4× |
| Acth (82024) | $194.59 | $290 | 5.0× |
| Actin smooth muscle antibody each (86015) | $77.16 | $115 | 6.4× |
| Acute hepatitis panel (80074) | $244.24 | $364 | 5.1× |
| Acylcarnitines Quant (82017) | $32.87 | $49 | 1.9× |
| Agglutinins Febrile Each Antigen (86000) range across 14 matching MRF lines |
$11.40–$110.71 | $17–$165 | varies |
| Albumin Fluid (82042) range across 4 matching MRF lines |
$10.06–$115.41 | $15–$172 | varies |
| Albumin serum (82040) | $36.23 | $54 | 7.3× |
| Aldolase (82085) | $50.99 | $76 | 5.3× |
| Aldosterone urine (82088) | $157.01 | $234 | 3.9× |
| Alkaline phosphatase isoenzymes (84080) | $34.89 | $52 | 2.4× |
| Allergen specific ige (86003) range across 14 matching MRF lines |
$8.05–$16.77 | $12–$25 | varies |
| Allergen specific igg (86001) | $16.77 | $25 | 2.1× |
| Allg Spec Ige Recomb Ea (86008) | $71.62 | $106.75 | 4.0× |
| Alpha-1-antitrypsin phenotype (82104) | $57.70 | $86 | 4.0× |
| Alpha-1-antitrypsin total (82103) | $70.45 | $105 | 5.2× |
| Alpha-Fetoprotein Serum (82105) | $116.08 | $173 | 6.9× |
| Alt (sgpt) (84460) | $54.35 | $81 | 10.3× |
| Aluminum (82108) range across 4 matching MRF lines |
$30.19–$87.23 | $45–$130 | varies |
| Amikacin trough (80150) | $36.23 | $54 | 2.4× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 4 matching MRF lines |
$18.11–$18.78 | $27–$28 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 4 matching MRF lines |
$32.87–$110.71 | $49–$165 | varies |
| Aminolevulinic acid (ala) (82135) | $44.28 | $66 | 2.7× |
| Ammonia (82140) | $82.53 | $123 | 5.7× |
| Amylase urine (82150) range across 5 matching MRF lines |
$45.62–$73.81 | $68–$110 | varies |
| Androstenedione (82157) | $92.59 | $138 | 3.2× |
| Angiotensin converting enzyme csf (82164) | $87.23 | $130 | 6.0× |
| Anti-Phospholipid Antibody (86148) | $29.52 | $44 | 1.8× |
| Antibody aspergillus (86606) | $33.55 | $50 | 2.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 4 matching MRF lines |
$99.30–$107.36 | $148–$160 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $105.34 | $157 | 6.8× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 4 matching MRF lines |
$42.27–$64.41 | $63–$96 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $142.25 | $212 | 10.8× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $142.25 | $212 | 9.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $91.25 | $136 | 5.0× |
| Antibody Fungus Not Elsewhere Specified (86671) | $85.88 | $128 | 7.0× |
| Antibody Herpes Smplx Type 1 (86695) range across 6 matching MRF lines |
$28.85–$55.02 | $43–$82 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) | $251.62 | $375 | 0.8× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $46.97 | $70 | 2.4× |
| Antibody identification leukocyte antibodies (86021) range across 4 matching MRF lines |
$86.55–$138.89 | $129–$207 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) range across 4 matching MRF lines |
$76.15–$184.18 | $113.49–$274.50 | varies |
| Antibody plasmodium malaria (86750) | $221.43 | $330 | 16.8× |
| Antibody Protozoa Nes (86753) | $59.04 | $88 | 4.8× |
| Antibody Titer (86886) | $224.11 | $334 | 43.3× |
| Antibody Treponema Pallidum (86780) range across 5 matching MRF lines |
$26.16–$79.17 | $39–$118 | varies |
| Antibody; influenza virus (86710) | $96.62 | $144 | 7.1× |
| Antigen typing (86905) | $438.16 | $653 | 114.4× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $224.11 | $334 | 39.2× |
| Antinuclear antibodies (86038) | $74.48 | $111 | 6.2× |
| Antistreptolysin O Screen (86063) | $30.19 | $45 | 5.2× |
| Antistreptolysin o titer (86060) | $34.22 | $51 | 4.7× |
| Antithrombin iii activity (85300) | $98.63 | $147 | 8.3× |
| Apolipoprotein a1 (82172) | $81.86 | $122 | 3.9× |
| Arsenic (82175) range across 7 matching MRF lines |
$33.55–$92.59 | $50–$138 | varies |
| Aspergillus ag eia (87305) | $123.46 | $184 | 10.3× |
| Assay activated protein c (85307) | $55.02 | $82 | 3.6× |
| Assay Blood Carbon Dioxide (82374) range across 6 matching MRF lines |
$16.10–$67.10 | $24–$100 | varies |
| Assay Nephelometry Not Spec (83883) range across 4 matching MRF lines |
$34.89–$116.08 | $52–$173 | varies |
| Assay of 5-hiaa (83497) | $63.07 | $94 | 4.9× |
| Assay of anti-mullerian hormone (82166) | $88.57 | $132 | 2.3× |
| Assay of blood/uric acid (84550) | $36.23 | $54 | 8.0× |
| Assay of calcium in urine (82340) | $50.99 | $76 | 8.5× |
| Assay of cpk in blood (82552) range across 4 matching MRF lines |
$16.77–$56.36 | $25–$84 | varies |
| Assay of estrone (82679) | $26.84 | $40 | 1.1× |
| Assay of g6pd enzyme (82955) | $63.07 | $94 | 6.5× |
| Assay of gammaglobulin igm (82784) range across 8 matching MRF lines |
$26.16–$102.66 | $39–$153 | varies |
| Assay of lactic acid (83605) | $38.24 | $57 | 3.3× |
| Assay of manganese (83785) range across 4 matching MRF lines |
$58.37–$59.71 | $87–$89 | varies |
| Assay of metanephrines (83835) range across 4 matching MRF lines |
$56.36–$154.33 | $84–$230 | varies |
| Assay of phosphatase acid total (84060) | $25.49 | $38 | 3.3× |
| Assay of procainamide (80190) | $100.65 | $150 | 1.7× |
| Assay of proinsulin (84206) | $45.62 | $68 | 1.7× |
| Assay of pyruvate (84210) | $97.29 | $145 | 6.7× |
| Assay of serotonin (84260) | $26.16 | $39 | 0.8× |
| Assay of serum potassium (84132) | $40.93 | $61 | 8.6× |
| Assay of sweat sodium (84302) | $35.56 | $53 | 7.3× |
| Assay of urea nitrogen (84520) | $55.02 | $82 | 13.9× |
| Assay of urine vma (84585) range across 4 matching MRF lines |
$40.26–$83.87 | $60–$125 | varies |
| Assay of vasoactive intestinal peptide (84586) | $66.42 | $99 | 1.9× |
| Assay of vitamin b-1 (84425) | $128.83 | $192 | 6.1× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$13.42–$16.77 | $20–$25 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) | $214.72 | $320 | 1.4× |
| Automated Leukocyte Count (85048) range across 4 matching MRF lines |
$23.48–$35.56 | $35–$53 | varies |
| B cells total count (86355) | $43.61 | $65 | 1.2× |
| Bacterial antigens 87802 (87802) | $13.42 | $20 | 1.1× |
| Bartonella antibody (86611) | $147.62 | $220 | 14.5× |
| Beta 2 glycoprotein i antibody each (86146) | $42.27 | $63 | 1.7× |
| Beta hydroxybutyrate (82010) | $34.89 | $52 | 4.3× |
| Beta-2 Microglobulin (82232) | $67.10 | $100 | 4.1× |
| Bilirubin direct (82248) | $56.36 | $84 | 11.2× |
| Bilirubin total (82247) | $46.29 | $69 | 9.2× |
| Biotinidase (82261) | $32.87 | $49 | 1.9× |
| Blastomyces antibody (86612) | $42.27 | $63 | 3.3× |
| Bld Typing Serologic Rh Phnt (86906) | $40.26 | $60 | 5.2× |
| Bleeding time test (85002) | $35.56 | $53 | 7.4× |
| Blood count reticulocyte automated (85045) | $42.94 | $64 | 10.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $23.48 | $35 | 6.2× |
| Blood gas (82803) | $265.71 | $396 | 10.2× |
| Blood gases w/02 saturation (82805) range across 4 matching MRF lines |
$265.71–$273.76 | $396–$408 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $438.16 | $653 | 69.0× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $100.65 | $150 | 6.2× |
| Blood typing serologic abo (86900) | $169.76 | $253 | 56.8× |
| Bordetella antibody (86615) | $269.07 | $401 | 20.4× |
| Brca1&2 gen full seq dup/del (81162) range across 6 matching MRF lines |
$1,623.82–$3,061.10 | $2,420–$4,562 | varies |
| Breath Alcohol Test (82075) | $33.55 | $50 | 1.1× |
| C diff amplified probe (87493) | $148.96 | $222 | 4.0× |
| C-Peptide (84681) | $70.45 | $105 | 3.4× |
| C-reactive protein (86140) range across 3 matching MRF lines |
$6.03–$38.24 | $9–$57 | varies |
| Ca 19-9 (86301) | $126.81 | $189 | 6.1× |
| Cadmium (82300) | $52.33 | $78 | 2.2× |
| Calcitonin (82308) | $67.10 | $100 | 2.5× |
| Calcium ionized (82330) | $83.87 | $125 | 6.1× |
| Calcium total (82310) range across 4 matching MRF lines |
$16.10–$50.99 | $24–$76 | varies |
| Calculus Spectroscopy (82365) | $97.29 | $145 | 7.5× |
| Calprotectin Fecal (83993) | $93.94 | $140 | 4.8× |
| Calr gene com variants (81219) | $231.49 | $345 | 1.9× |
| Cancer Antigen 125 (86304) | $116.08 | $173 | 5.6× |
| Cancer Antigen 27.29 (86300) range across 6 matching MRF lines |
$16.77–$127.49 | $25–$190 | varies |
| Candida antibody (86628) | $77.16 | $115 | 6.4× |
| Carbamazepine total (80156) | $77.16 | $115 | 5.3× |
| Carboxyhemoglobin (82375) | $95.28 | $142 | 7.7× |
| Carcinoembryonic antigen (82378) | $123.46 | $184 | 6.5× |
| Cardiolipin ab iga (86147) range across 6 matching MRF lines |
$18.11–$107.36 | $27–$160 | varies |
| Carnitine Quantitative Each Specimen (82379) | $32.87 | $49 | 1.9× |
| Carotene (82380) range across 4 matching MRF lines |
$32.20–$44.28 | $48–$66 | varies |
| Catecholamines fractionated (82384) range across 6 matching MRF lines |
$58.37–$110.71 | $87–$165 | varies |
| Ccp antibody (86200) | $39.58 | $59 | 3.1× |
| Cell count csf (89051) | $48.98 | $73 | 8.7× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $191.23 | $285 | 1.4× |
| Ceruloplasmin (82390) | $42.94 | $64 | 4.0× |
| Cftr gene com variants (81220) | $933.36 | $1,391 | 1.7× |
| Chemiluminescent assay (82397) range across 6 matching MRF lines |
$50.99–$107.36 | $76–$160 | varies |
| Chlamydia antibody (86631) | $41.09 | $61.25 | 3.5× |
| Chlamydia Igm Antibody (86632) | $43.61 | $65 | 3.4× |
| Chlamydia trachomatis ag if (87270) | $50.32 | $75 | 4.2× |
| Chloride other source (82438) range across 4 matching MRF lines |
$16.10–$30.19 | $24–$45 | varies |
| Chloride Serum (82435) | $27.51 | $41 | 6.0× |
| Chloride urine (82436) range across 4 matching MRF lines |
$5.36–$38.91 | $8–$58 | varies |
| Cholesterol total (82465) | $39.58 | $59 | 9.1× |
| Cholinesterase rbc (82482) | $36.23 | $54 | 3.7× |
| Cholinesterase Serum (82480) | $24.15 | $36 | 3.1× |
| Chorionic gonadotropin test (84702) range across 4 matching MRF lines |
$24.82–$129.50 | $37–$193 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $186.53 | $278 | 5.6× |
| Chromium serum (82495) | $74.48 | $111 | 3.7× |
| Chromogranin a (86316) range across 6 matching MRF lines |
$53.68–$128.16 | $80–$191 | varies |
| Chromosome Analysis 15-20 (88262) range across 4 matching MRF lines |
$134.20–$210.02 | $200–$313 | varies |
| Chromosome Analysis 20-25 (88264) | $242.23 | $361 | 1.7× |
| Chromosome analysis 45 cells (88263) | $271.08 | $404 | 1.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 6 matching MRF lines |
$32.87–$46.97 | $49–$70 | varies |
| Citric acid urine (82507) | $105.34 | $157 | 3.8× |
| Ckmb (82553) | $77.83 | $116 | 6.7× |
| Clostridium Difficile (87324) range across 7 matching MRF lines |
$20.13–$148.96 | $30–$222 | varies |
| Clotting factor viii related antigen (85244) | $176.47 | $263 | 8.6× |
| Clotting factor xii hageman (85280) | $63.74 | $95 | 3.3× |
| Cold agglutinin titer (86157) | $52.33 | $78 | 6.5× |
| Collagen crosslinks (82523) range across 4 matching MRF lines |
$21.47–$26.84 | $32–$40 | varies |
| Column Chromotography Quant (82542) range across 18 matching MRF lines |
$24.82–$345.56 | $37–$515 | varies |
| Compatibility Each Unit Incubation (86921) | $224.78 | $335 | 1.4× |
| Compatibility test antiglob (86922) | $113.39 | $169 | 0.7× |
| Complement Antigen Each Component (86160) range across 12 matching MRF lines |
$32.47–$138.22 | $48.40–$206 | varies |
| Complement Fixation Tests Each Antigen (86171) | $75.82 | $113 | 7.6× |
| Complement Total (Ch50) (86162) | $112.05 | $167 | 5.5× |
| Complement/Function Activity (86161) range across 4 matching MRF lines |
$40.26–$43.44 | $60–$64.74 | varies |
| Coombs direct (86880) | $83.87 | $125 | 15.6× |
| Copper urine (82525) range across 6 matching MRF lines |
$38.91–$73.13 | $58–$109 | varies |
| Cortisol free (82530) range across 5 matching MRF lines |
$55.35–$77.43 | $82.50–$115.40 | varies |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$71.12–$334.82 | $106–$499 | varies |
| Creatine (82540) | $88.57 | $132 | 19.1× |
| Creatine kinase total (82550) | $58.37 | $87 | 9.0× |
| Creatinine blood (82565) | $40.26 | $60 | 7.9× |
| Creatinine Urine (82570) range across 8 matching MRF lines |
$4.69–$40.26 | $7–$60 | varies |
| Crossmatch immediate spin (86920) | $224.78 | $335 | 1.4× |
| Crp High Sensitivity (86141) | $60.39 | $90 | 4.7× |
| Cryofibrinogen (82585) | $26.16 | $39 | 1.9× |
| Cryoglobulin (82595) | $32.20 | $48 | 5.0× |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
$55.02–$60.39 | $82–$90 | varies |
| Cryptosporidium (87272) | $58.37 | $87 | 4.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $44.95 | $67 | 5.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $33.55 | $50 | 4.2× |
| Culture Anaerobic (87075) | $53.68 | $80 | 5.7× |
| Culture blood (87040) range across 4 matching MRF lines |
$9.39–$140.23 | $14–$209 | varies |
| Culture chlamydia (87110) | $87.90 | $131 | 4.5× |
| Culture csf (87070) range across 8 matching MRF lines |
$8.05–$63.74 | $12–$95 | varies |
| Culture fungus (87102) range across 4 matching MRF lines |
$74.48–$93.94 | $111–$140 | varies |
| Culture fungus blood (87103) | $55.02 | $82 | 2.7× |
| Culture screen only (87081) range across 15 matching MRF lines |
$26.84–$65.75 | $40–$98 | varies |
| Culture stool (87045) range across 4 matching MRF lines |
$13.42–$87.23 | $20–$130 | varies |
| Culture urine (87086) | $99.97 | $149 | 12.4× |
| Cyanide (82600) range across 4 matching MRF lines |
$56.36–$88.75 | $84–$132.28 | varies |
| Cyclosporine (80158) | $179.82 | $268 | 10.0× |
| Cyp3a4 gene common variants (81230) | $248.27 | $370 | 1.4× |
| Cyp3a5 gene common variants (81231) | $248.27 | $370 | 1.4× |
| Cystatin C (82610) | $126.81 | $189 | 6.8× |
| Cytogenetics 100-300 (88275) range across 4 matching MRF lines |
$120.78–$262.36 | $180–$391 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,139.35 | $1,698 | 1.0× |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
$34.22–$42.27 | $51–$63 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $57.03 | $85 | 2.8× |
| Cytopath Cell Enhance Tech (88112) range across 4 matching MRF lines |
$55.02–$75.15 | $82–$112 | varies |
| Cytopath Fl Nongyn Filter (88106) | $42.27 | $63 | 1.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 4 matching MRF lines |
$43.61–$57.03 | $65–$85 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $52.33 | $78 | 1.5× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $452.92 | $675 | 2.9× |
| Deoxyribonuclease antibody (86215) | $30.19 | $45 | 2.3× |
| Detect Agent Nos Dna Amp (87798) range across 16 matching MRF lines |
$77.83–$342.21 | $116–$510 | varies |
| Detect Agent Nos Dna Quant (87799) range across 6 matching MRF lines |
$50.32–$380.45 | $75–$567 | varies |
| Detect agnt mult DNA ampli (87801) | $167.75 | $250 | 2.4× |
| Dgp Antibody Each Ig Class (86258) | $57.70 | $86 | 4.8× |
| Dhea (82626) | $46.97 | $70 | 1.9× |
| Dhea-S (82627) | $113.39 | $169 | 5.1× |
| Digoxin (80162) | $58.37 | $87 | 4.4× |
| Dna Antibody Native/Double Stranded (86225) range across 4 matching MRF lines |
$91.92–$128.16 | $137–$191 | varies |
| Dna Antibody Single Stranded (86226) | $34.89 | $52 | 2.9× |
| Drug Assay Everolimus (80169) | $82.19 | $122.50 | 6.0× |
| Drug assay voriconazole (80285) | $179.15 | $267 | 6.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $144.26 | $215 | 10.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $58.37 | $87 | 4.4× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $30.19 | $45 | 1.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 28 matching MRF lines |
$48.98–$237.53 | $73–$354 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 4 matching MRF lines |
$60.39–$91.92 | $90–$137 | varies |
| Ehrlichia antibody (86666) range across 15 matching MRF lines |
$18.78–$108.70 | $28–$162 | varies |
| Electrolyte panel (80051) | $134.87 | $201 | 19.2× |
| Electron Microscopy (88348) | $571.79 | $852.15 | 0.8× |
| Enterovirus Antibody (86658) range across 4 matching MRF lines |
$63.74–$106.01 | $95–$158 | varies |
| Enterovirus PCR (87498) | $203.31 | $303 | 5.8× |
| Enzyme histochemistry (88319) | $987.04 | $1,471 | 1.3× |
| Erythropoietin (82668) | $73.13 | $109 | 3.9× |
| Estradiol serum (82670) | $85.88 | $128 | 3.1× |
| Estriol (82677) | $69.78 | $104 | 2.9× |
| Estrogen total (82672) | $74.48 | $111 | 3.4× |
| Estrogens fractionated (82671) range across 4 matching MRF lines |
$100.65–$179.82 | $150–$268 | varies |
| Ethosuximide (80168) | $48.98 | $73 | 3.0× |
| Ethylene Glycol (82693) | $48.31 | $72 | 3.2× |
| Exam Synovial Fluid Crystals (89060) | $23.48 | $35 | 3.2× |
| F2 Gene (81240) | $53.68 | $80 | 0.8× |
| Factor ii activity (85210) | $160.66 | $239.44 | 12.4× |
| Factor ix activity (85250) | $50.32 | $75 | 2.6× |
| Factor v activity (85220) | $61.73 | $92 | 3.5× |
| Factor v leiden mutation (81241) | $52.33 | $78 | 0.7× |
| Factor vii assay (85230) | $120.78 | $180 | 6.7× |
| Factor viii assay (85240) | $235.52 | $351 | 13.2× |
| Factor X (85260) | $61.73 | $92 | 3.4× |
| Factor xi activity (85270) | $87.23 | $130 | 4.9× |
| Fat/Lipids Feces Quantitative (82710) | $173.78 | $259 | 10.3× |
| Fatty acids free (82725) | $177.81 | $265 | 9.5× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $144.93 | $216 | 8.4× |
| Fecal Fat Qualitative (82705) | $16.77 | $25 | 3.3× |
| Ferritin (82728) | $52.33 | $78 | 3.8× |
| Fetal Fibronectin (82731) | $327.44 | $488 | 5.1× |
| Fetal screen rosette (85461) | $60.39 | $90 | 6.5× |
| Fibrin degradation products (85362) range across 5 matching MRF lines |
$45.62–$95.28 | $68–$142 | varies |
| Fibrin Degradation Quant (85379) | $48.98 | $73 | 4.8× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $97.29 | $145 | 10.0× |
| Fibrinogen activity (85384) | $81.86 | $122 | 8.4× |
| Flow cytometry first marker (88184) | $438.16 | $653 | 1.3× |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$20.13–$51.66 | $30–$77 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 13 matching MRF lines |
$30.86–$80.52 | $46–$120 | varies |
| Fluoride serum (82735) | $61.73 | $92 | 3.3× |
| Folic acid rbc (82747) | $32.20 | $48 | 1.8× |
| Folic Acid Serum (82746) | $48.98 | $73 | 3.3× |
| Follicle Stimulating Hormone (83001) | $75.82 | $113 | 4.1× |
| Francisella tularensis (86668) | $110.04 | $164 | 7.8× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $224.78 | $335 | 1.4× |
| Frozen Section (88331) | $224.11 | $334 | 1.4× |
| Galactose (82760) range across 4 matching MRF lines |
$167.75–$182.51 | $250–$272 | varies |
| Galactose transferase test (82776) | $132.18 | $197 | 11.3× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) range across 5 matching MRF lines |
$103.33–$143.59 | $154–$214 | varies |
| Gammaglobulin ige (82785) | $63.74 | $95 | 3.9× |
| Gardner Vag Dna Quant (87512) | $201.30 | $300 | 4.8× |
| Gases blood ph only (82800) | $91.25 | $136 | 8.3× |
| Gastrin (82941) | $45.62 | $68 | 2.6× |
| Gentamicin (80170) | $73.81 | $110 | 4.5× |
| Ggt (82977) | $51.66 | $77 | 7.2× |
| Giardia antigen (87329) range across 4 matching MRF lines |
$8.72–$38.24 | $13–$57 | varies |
| Glucagon (82943) | $59.71 | $89 | 4.2× |
| Glucose 2 hr pp (82950) | $88.57 | $132 | 18.6× |
| Glucose Blood Test (82962) range across 4 matching MRF lines |
$7.38–$13.42 | $11–$20 | varies |
| Glucose body fluid (82945) | $37.57 | $56 | 9.6× |
| Glucose Serum (82947) range across 5 matching MRF lines |
$43.61–$50.32 | $65–$75 | varies |
| Glucose tolerance test (gtt) (82951) range across 4 matching MRF lines |
$75.82–$88.57 | $113–$132 | varies |
| Glycated Protein (82985) | $58.37 | $87 | 3.5× |
| Gonadotropin Chorionic Qualitative (84703) | $69.11 | $103 | 9.2× |
| Gonadotropin releasing hormone (83727) | $277.79 | $414 | 16.2× |
| Growth hormone (83003) | $28.18 | $42 | 1.7× |
| Gtt-added samples (82952) | $46.97 | $70 | 12.0× |
| H Pylori (C-13) Breath (83013) | $82.53 | $123 | 1.2× |
| Haloperidol (80173) | $46.97 | $70 | 3.0× |
| Haptoglobin (83010) | $29.52 | $44 | 2.3× |
| Hba1/Hba2 Gene (81257) range across 4 matching MRF lines |
$346.90–$348.92 | $517–$520 | varies |
| Hdl Cholesterol (83718) range across 4 matching MRF lines |
$16.77–$26.16 | $25–$39 | varies |
| Helicobacter Pylori Stool (87338) | $83.20 | $124 | 5.8× |
| Helminth Antibody (86682) range across 6 matching MRF lines |
$63.07–$109.37 | $94–$163 | varies |
| Hematocrit (85014) | $40.26 | $60 | 17.0× |
| Hemoglobin (85018) | $25.49 | $38 | 10.8× |
| Hemoglobin a1c (83036) | $55.02 | $82 | 5.7× |
| Hemoglobin Chromotography (83021) | $33.55 | $50 | 1.9× |
| Hemoglobin electrophoresis (83020) range across 8 matching MRF lines |
$20.13–$58.37 | $30–$87 | varies |
| Hemoglobin F Fetal Chemical (83030) | $19.45 | $29 | 1.8× |
| Hemoglobin Methemoglobin Quantitative (83050) | $67.10 | $100 | 8.2× |
| Hemosiderin urine (83070) | $19.45 | $29 | 4.1× |
| Hep a ab igm (86709) | $46.97 | $70 | 4.2× |
| Heparin assay (85520) | $179.15 | $267 | 13.7× |
| Hepatitis a antibody total (86708) | $102.66 | $153 | 8.3× |
| Hepatitis b core ab igm (86705) | $48.98 | $73 | 4.2× |
| Hepatitis b core ab total (86704) | $28.85 | $43 | 2.4× |
| Hepatitis B Surface Antibody (86706) | $51.66 | $77 | 4.8× |
| Hepatitis B Surface Antigen (87340) | $71.12 | $106 | 6.9× |
| Hepatitis Be Antigen (87350) | $37.57 | $56 | 3.3× |
| Hepatitis C Antibody (86803) | $160.36 | $239 | 11.2× |
| Hepatitis c antibody confirmatory test (86804) | $292.55 | $436 | 18.9× |
| Hepatitis C Genotype (87902) | $351.60 | $524 | 1.4× |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 4 matching MRF lines |
$189.22–$201.30 | $282–$300 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $197.27 | $294 | 4.6× |
| Hepatitis Delta Agent Antibody (86692) | $35.95 | $53.58 | 2.1× |
| Herpes simplex type 2 (86696) range across 6 matching MRF lines |
$50.32–$55.02 | $75–$82 | varies |
| Heterophile Antibody Screen (86308) | $121.45 | $181 | 23.4× |
| Hfe Gene (81256) | $100.98 | $150.50 | 1.5× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $55.02 | $82 | 7.1× |
| Histamine urine (83088) | $102.66 | $153 | 3.5× |
| Histoplasma antibody (86698) range across 4 matching MRF lines |
$28.85–$56.36 | $43–$84 | varies |
| Histoplasma antigen urine (87385) | $93.94 | $140 | 7.1× |
| Hiv Genotype (87901) | $419.37 | $625 | 1.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 6 matching MRF lines |
$114.74–$299.93 | $171–$447 | varies |
| Hla Class I Typing Low Resolution Complete (81372) | $676.36 | $1,008 | 1.7× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $99.81 | $148.75 | 1.3× |
| Hla I Typing 1 Allele Hr (81381) | $181.17 | $270 | 1.1× |
| Hla Typing a/B/C Multiple Antigens (86813) range across 4 matching MRF lines |
$97.29–$201.30 | $145–$300 | varies |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $300.60 | $448 | 2.8× |
| Hla-b27 (86812) range across 4 matching MRF lines |
$137.55–$214.72 | $205–$320 | varies |
| Homocysteine (83090) range across 4 matching MRF lines |
$70.45–$74.48 | $105–$111 | varies |
| Homovanillic acid urine (83150) | $45.62 | $68 | 2.0× |
| Hpa-1 genotyping gene analysis common variant (81105) | $183.18 | $273 | 1.5× |
| Hpv High-Risk Types (87624) | $53.68 | $80 | 1.5× |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$126.81–$157.68 | $189–$235 | varies |
| Htlv-I Antibody (86687) | $71.12 | $106 | 7.8× |
| Hydroxycorticosteroids 17 (83491) | $33.55 | $50 | 1.9× |
| Hydroxyprogesterone 17-d (83498) range across 4 matching MRF lines |
$52.33–$100.65 | $78–$150 | varies |
| Hydroxyproline total (83505) | $50.32 | $75 | 2.1× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $36.90 | $55 | 3.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $40.93 | $61 | 1.2× |
| Iaad ia shiga-like toxin (87427) | $102.01 | $152.04 | 8.5× |
| Iaadi herpes smplx virus type 2 (87273) | $64.41 | $96 | 5.4× |
| Iaadi pneumocustis carinii (87281) range across 4 matching MRF lines |
$29.52–$150.97 | $44–$225 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) | $251.62 | $375 | 7.2× |
| Iadna Cytomegalovirus Quantification (87497) | $251.62 | $375 | 5.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $301.95 | $450 | 4.3× |
| Iadna Hepatitis B Virus Quantification (87517) range across 4 matching MRF lines |
$82.19–$117.42 | $122.50–$175 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $104.67 | $156 | 3.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $312.01 | $465 | 8.9× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 7 matching MRF lines |
$40.26–$78.50 | $60–$117 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $825.73 | $1,230.60 | 3.1× |
| Ig Light Chains Free Each (83521) | $241.56 | $360 | 14.0× |
| Igg subclasses (82787) | $165.73 | $247 | 20.7× |
| Igh gene rearrange amp meth (81261) | $152.98 | $228 | 0.8× |
| Igk rearrangeabn clonal pop (81264) | $152.98 | $228 | 0.9× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $438.16 | $653 | 1.3× |
| Immunfix e-phorsis/urine/csf (86335) range across 8 matching MRF lines |
$48.98–$264.37 | $73–$394 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 22 matching MRF lines |
$32.20–$270.41 | $48–$403 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $113.39 | $169 | 4.4× |
| Immunoassay nonantibody (83516) range across 22 matching MRF lines |
$44.28–$162.38 | $66–$242 | varies |
| Immunofixation electrophoresis (86334) range across 4 matching MRF lines |
$81.19–$82.53 | $121–$123 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $438.16 | $653 | 2.8× |
| Immunohistochemistry (88342) | $224.11 | $334 | 1.4× |
| In situ hybridization 1st probe stain (88365) | $97.96 | $146 | 0.6× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) range across 4 matching MRF lines |
$40.93–$59.04 | $61–$88 | varies |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $94.61 | $141 | 6.6× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $70.45 | $105 | 5.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) | $144.93 | $216 | 4.6× |
| Influenza a/b ag eia (87400) | $61.73 | $92 | 4.4× |
| Influenza assay w/optic (87804) range across 5 matching MRF lines |
$11.40–$124.80 | $17–$186 | varies |
| Inhibin A (86336) | $59.71 | $89 | 3.8× |
| Inhibin b (83520) range across 37 matching MRF lines |
$14.76–$289.87 | $22–$432 | varies |
| Insulin antibodies (86337) | $97.29 | $145 | 4.5× |
| Insulin total (83525) | $39.58 | $59 | 3.5× |
| Intrinsic factor antibody (86340) | $36.23 | $54 | 2.4× |
| Iron (83540) | $40.26 | $60 | 6.2× |
| Iron Binding Capacity (83550) | $41.60 | $62 | 4.8× |
| Irradiation Blood Product Each Unit (86945) | $97.96 | $146 | 2.8× |
| Islet cell antibody (86341) range across 8 matching MRF lines |
$54.35–$136.88 | $81–$204 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $218.07 | $325 | 2.4× |
| Ketosteroids 17 total (83586) | $62.40 | $93 | 4.9× |
| Koh Prep (87220) | $26.16 | $39 | 6.1× |
| Kras Gene Variants Exon 2 (81275) | $159.69 | $238 | 0.8× |
| Lactate (ld) (ldh) enzyme (83615) | $46.97 | $70 | 7.8× |
| Lactoferrin fecal qualitative (83630) | $79.17 | $118 | 4.0× |
| Ldh Isoenzymes (83625) range across 4 matching MRF lines |
$33.55–$53.68 | $50–$80 | varies |
| LDL direct (83721) range across 4 matching MRF lines |
$16.77–$19.45 | $25–$29 | varies |
| Lead (83655) | $61.06 | $91 | 5.0× |
| Legionella antibody (86713) | $44.95 | $67 | 2.9× |
| Legionella antigen urine (87449) range across 11 matching MRF lines |
$26.84–$102.66 | $40–$153 | varies |
| Leptospira antibody (86720) | $63.74 | $95 | 3.9× |
| Leukocyte Assessment Fecal (89055) | $28.85 | $43 | 6.8× |
| Level I Surg Pathology Gross Examination Only (88300) | $36.90 | $55 | 1.4× |
| Level ii surg pathology grossµscopic exam (88302) | $28.55 | $42.55 | 0.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $438.83 | $654 | 1.3× |
| Lipase (83690) | $70.45 | $105 | 10.2× |
| Lipoprotein A (83695) | $37.57 | $56 | 2.6× |
| Lipoprotein Bld Quan Part (83704) | $67.10 | $100 | 2.0× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $61.73 | $92 | 5.5× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $50.32 | $75 | 1.5× |
| Lithium (80178) | $64.41 | $96 | 9.7× |
| Luteinizing Hormone (Lh) (83002) | $134.20 | $200 | 7.2× |
| Lyme disease antibody (86618) | $184.52 | $275 | 10.8× |
| Lysozyme serum (85549) | $83.20 | $124 | 4.4× |
| M. Genitalium Amp Probe (87563) | $131.51 | $196 | 3.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $442.86 | $660 | 2.8× |
| Macroscopic Exam Parasite (87169) | $16.77 | $25 | 3.9× |
| Magnesium Urine (83735) range across 10 matching MRF lines |
$26.84–$148.96 | $40–$222 | varies |
| Mass Spectrometry Quant (83789) range across 6 matching MRF lines |
$97.29–$174.46 | $145–$260 | varies |
| Mercury urine (83825) range across 4 matching MRF lines |
$56.36–$69.78 | $84–$104 | varies |
| Methylmalonic acid serum (83921) | $46.97 | $70 | 2.2× |
| Microalbumin, quantitative (82043) range across 4 matching MRF lines |
$33.55–$46.97 | $50–$70 | varies |
| Microsomal Antibodies Each (86376) range across 7 matching MRF lines |
$44.95–$92.59 | $67–$138 | varies |
| Mitochondrial Antibody Each (86381) | $93.26 | $139 | 3.7× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 4 matching MRF lines |
$120.78–$186.53 | $180–$278 | varies |
| Mononuclear cell antigen (86356) | $76.49 | $114 | 2.9× |
| Mopath procedure level 1 (81400) | $199.28 | $297 | 3.1× |
| Mopath procedure level 2 (81401) range across 4 matching MRF lines |
$252.96–$593.83 | $377–$885 | varies |
| Mopath procedure level 4 (81403) range across 6 matching MRF lines |
$159.69–$218.07 | $238–$325 | varies |
| Mopath procedure level 5 (81404) | $460.97 | $687 | 1.7× |
| Mopath procedure level 7 (81406) | $3,355 | $5,000 | 11.9× |
| Mrsa Pcr (87641) | $61.19 | $91.20 | 1.7× |
| Mthfr Gene Analysis Common Variants (81291) | $114.07 | $170 | 1.7× |
| Mumps antibody (86735) range across 4 matching MRF lines |
$16.77–$30.19 | $25–$45 | varies |
| Mycophenolic Acid (80180) | $108.67 | $161.96 | 6.0× |
| Mycoplasma antibody (86738) | $42.27 | $63 | 3.2× |
| Mycoplasma culture (87109) | $218.07 | $325 | 14.2× |
| Myoglobin urine (83874) range across 4 matching MRF lines |
$75.82–$152.98 | $113–$228 | varies |
| Natriuretic peptide (83880) range across 6 matching MRF lines |
$31.53–$166.40 | $47–$248 | varies |
| Niacin (84591) range across 6 matching MRF lines |
$87.90–$181.77 | $131–$270.90 | varies |
| Nk cells total count (86357) | $43.61 | $65 | 1.2× |
| Nuclear antigen antibody (86235) range across 16 matching MRF lines |
$31.53–$138.89 | $47–$207 | varies |
| Occult blood feces (82272) | $22.81 | $34 | 5.4× |
| Occult Blood Other Sources (82271) | $42.94 | $64 | 8.1× |
| Oligoclonal bands (83916) | $76.49 | $114 | 2.8× |
| Organic acids urine (83918) | $261.01 | $389 | 11.1× |
| Osmolality serum (83930) | $44.95 | $67 | 6.8× |
| Osmolality Urine (83935) | $78.50 | $117 | 11.5× |
| Osmotic Fragility RBC Unincubated (85555) | $101.32 | $151 | 13.6× |
| Osteocalcin (83937) | $58.37 | $87 | 2.0× |
| Ova and parasites smears (87177) | $87.23 | $130 | 9.8× |
| Oxalate urine (83945) | $50.32 | $75 | 3.5× |
| Pancreatic Elastase Fecal (82656) | $100.65 | $150 | 8.7× |
| Particle Agglutination Screen Each Antibody (86403) range across 6 matching MRF lines |
$14.76–$55.02 | $22–$82 | varies |
| Parvovirus antibody (86747) | $23.48 | $35 | 1.6× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $987.04 | $1,471 | 1.3× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $276.78 | $412.50 | 1.1× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $397.56 | $592.50 | 1.2× |
| Ph urine (81003) range across 4 matching MRF lines |
$15.43–$24.82 | $23–$37 | varies |
| Phenobarbital Level (80184) | $77.83 | $116 | 5.1× |
| Phenotype Infect Agent Drug (87900) | $583.77 | $870 | 4.5× |
| Phenytoin (Dilantin) (80185) range across 4 matching MRF lines |
$32.20–$65.75 | $48–$98 | varies |
| Phosphatase alkaline (84075) range across 4 matching MRF lines |
$30.19–$37.57 | $45–$56 | varies |
| Phosphorus Serum (84100) range across 4 matching MRF lines |
$34.22–$77.16 | $51–$115 | varies |
| Phosphorus urine (84105) range across 4 matching MRF lines |
$20.13–$26.84 | $30–$40 | varies |
| Platelet Aggregation (85576) range across 4 matching MRF lines |
$56.36–$75.15 | $84–$112 | varies |
| Platelet Antibodies (86022) range across 4 matching MRF lines |
$84.54–$141.58 | $126–$211 | varies |
| Platelet count automated (85049) | $29.52 | $44 | 6.6× |
| Porphobilinogen, urine; quantitative (84110) | $33.55 | $50 | 4.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $25.49 | $38 | 1.7× |
| Potassium Urine (84133) range across 4 matching MRF lines |
$33.55–$50.32 | $50–$75 | varies |
| Prealbumin (84134) | $49.65 | $74 | 3.4× |
| Pregnenolone (84140) | $90.58 | $135 | 4.4× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $43.61 | $65 | 0.8× |
| Pretx serum rbc antibody identification dilution (86976) | $28.18 | $42 | 1.0× |
| Primidone (80188) | $33.55 | $50 | 2.0× |
| Procalcitonin (Pct) (84145) | $120.78 | $180 | 4.4× |
| Progesterone (84144) | $138.89 | $207 | 6.7× |
| Prolactin (84146) | $104 | $155 | 5.4× |
| Protein body fluid (84157) | $38.91 | $58 | 9.7× |
| Protein C Activity (85303) | $25.49 | $38 | 1.8× |
| Protein c antigen (85302) | $257.66 | $384 | 21.5× |
| Protein Electrophoresis Urine (84166) range across 4 matching MRF lines |
$10.06–$57.03 | $15–$85 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $77.83 | $116 | 7.2× |
| Protein S Free (85306) | $128.83 | $192 | 8.4× |
| Protein s total (85305) | $180.49 | $269 | 15.5× |
| Protein total serum (84155) | $44.28 | $66 | 12.1× |
| Protein Total Urine (84156) | $59.04 | $88 | 16.1× |
| Protoporphyrin rbc quantitative (84202) | $133.52 | $199 | 9.3× |
| PSA free (84154) | $138.89 | $207 | 7.6× |
| Pth Intact (83970) range across 6 matching MRF lines |
$138.89–$211.36 | $207–$315 | varies |
| Q Fever Antibody (86638) | $33.55 | $50 | 2.8× |
| Quantiferon tb gold plus (86480) range across 4 matching MRF lines |
$67.10–$201.30 | $100–$300 | varies |
| Quantitative assay drug (80299) range across 47 matching MRF lines |
$40.93–$264.37 | $61–$394 | varies |
| Quantitative Screen Metals (83018) range across 8 matching MRF lines |
$59.71–$118.09 | $89–$176 | varies |
| Quinidine (80194) | $47.64 | $71 | 3.3× |
| Rbc antibody elution (86860) | $224.11 | $334 | 1.4× |
| Rbc antibody identification (86870) | $438.16 | $653 | 1.3× |
| Rbc antibody screen (86850) | $43.61 | $65 | 4.5× |
| Rbc pretreatment serum (86978) | $50.32 | $75 | 0.9× |
| Rbc pretx incubatj w/enzymes (86971) | $438.16 | $653 | 2.8× |
| Renin activity plasma (84244) | $116.08 | $173 | 5.3× |
| Reticulocyte Count Manual (85044) | $40.26 | $60 | 9.3× |
| Rh (86901) | $22.81 | $34 | 7.6× |
| Rheumatoid Factor Qualitative (86430) | $46.29 | $69 | 7.5× |
| Rheumatoid factor quant (86431) range across 10 matching MRF lines |
$23.48–$99.97 | $35–$149 | varies |
| Rickettsia antibody (86757) range across 8 matching MRF lines |
$33.55–$100.65 | $50–$150 | varies |
| Ristocetin cofactor (85245) | $189.22 | $282 | 8.2× |
| Rotavirus ag eia (87425) range across 4 matching MRF lines |
$8.72–$77.83 | $13–$116 | varies |
| Rpr qualitative (86592) range across 5 matching MRF lines |
$20.80–$42.94 | $31–$64 | varies |
| Rsv ab (86756) | $12.07 | $18 | 0.8× |
| Rsv Assay W/Optic (87807) | $70.45 | $105 | 5.4× |
| Rubella Antibody (86762) | $47.64 | $71 | 3.3× |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$16.77–$41.60 | $25–$62 | varies |
| Russell Viper Venom Time Diluted (85613) | $61.73 | $92 | 6.4× |
| Salmonella antibody (86768) | $53.68 | $80 | 4.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $81.19 | $121 | 1.6× |
| Sars-cov-2 COVID-19 antibody (86769) | $75.82 | $113 | 1.8× |
| Sedimentation Rate, Automated (85652) | $64.41 | $96 | 23.9× |
| Selenium (84255) | $121.45 | $181 | 4.8× |
| Semen Anal Sperm Detection (89321) | $33.55 | $50 | 2.8× |
| Sensitivity mic (87186) | $63.74 | $95 | 7.4× |
| Sex Hormone Binding Globulin (84270) | $77.83 | $116 | 3.6× |
| Sickling of rbc reduction (85660) | $48.98 | $73 | 8.9× |
| Sirolimus (80195) | $42.94 | $64 | 3.1× |
| Skin test tuberculosis intradermal (86580) | $47.64 | $71 | 1.8× |
| Smear acid fast (87206) | $26.84 | $40 | 5.0× |
| Smear complex stain (87209) | $22.14 | $33 | 1.2× |
| Smear gram stain (87205) range across 8 matching MRF lines |
$14.76–$31.53 | $22–$47 | varies |
| Smear Special Stain (87207) range across 5 matching MRF lines |
$26.84–$27.51 | $40–$41 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 6 matching MRF lines |
$26.16–$32.87 | $39–$49 | varies |
| Sodium Serum (84295) | $30.86 | $46 | 6.4× |
| Sodium Urine (84300) | $45.62 | $68 | 9.0× |
| Soluble Transferrin Receptor (84238) range across 4 matching MRF lines |
$108.70–$134.93 | $162–$201.09 | varies |
| Somatomedin (84305) range across 4 matching MRF lines |
$83.87–$182.51 | $125–$272 | varies |
| Special Stains Group 1 (88312) | $39.21 | $58.45 | 0.8× |
| Special Stains Group 2 (88313) range across 4 matching MRF lines |
$31.53–$46.29 | $47–$69 | varies |
| Specific gravity body fluid (84315) | $14.09 | $21 | 4.3× |
| Specimen infect agnt concntj (87015) | $73.13 | $109 | 10.9× |
| Spectrophotometry (84311) range across 10 matching MRF lines |
$27.51–$178.48 | $41–$266 | varies |
| Stool cultr aerobic bact ea (87046) | $20.13 | $30 | 2.1× |
| Strep a assay w/optic (87880) | $55.02 | $82 | 3.3× |
| Sugars Single Qual (84376) | $24.82 | $37 | 4.5× |
| Sulfate urine (84392) | $118.09 | $176 | 21.5× |
| Surg path level iii (88304) | $74.48 | $111 | 1.5× |
| Surgical pathology level IV (88305) | $40.40 | $60.22 | 0.8× |
| Surgical pathology level vi (88309) | $987.04 | $1,471 | 1.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $8.05 | $12 | 1.7× |
| Syphilis Test Non-Trep Quant (86593) range across 6 matching MRF lines |
$13.42–$35.56 | $20–$53 | varies |
| T cells absolute cd4 count (86361) | $58.37 | $87 | 2.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 4 matching MRF lines |
$43.61–$174 | $65–$259.32 | varies |
| T cells total count (86359) | $43.61 | $65 | 1.2× |
| T3 Free (84481) | $81.86 | $122 | 4.8× |
| T3 reverse (84482) | $39.58 | $59 | 2.5× |
| T3 Total (84480) range across 4 matching MRF lines |
$15.43–$63.07 | $23–$94 | varies |
| T3 Uptake (84479) | $42.94 | $64 | 6.6× |
| T4 Free (84439) | $73.81 | $110 | 8.2× |
| T4 total (84436) | $51.66 | $77 | 7.5× |
| T4-neonatal (84437) | $10.06 | $15 | 1.6× |
| Tacrolimus (80197) | $279.80 | $417 | 20.4× |
| Test for acetone/ketones (82009) | $37.57 | $56 | 8.3× |
| Testosterone total (84403) | $169.76 | $253 | 6.6× |
| Testosterone, Free (84402) | $110.04 | $164 | 4.3× |
| Tetanus antibody (86774) | $36.23 | $54 | 2.4× |
| Theophylline (80198) | $65.75 | $98 | 4.6× |
| Thiocyanate (84430) | $67.10 | $100 | 5.8× |
| Thrombin Time (85670) | $40.26 | $60 | 7.0× |
| Thyroglobulin (84432) | $174.46 | $260 | 10.9× |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$38.24–$63.07 | $57–$94 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $193.91 | $289 | 3.8× |
| Thyroxine binding globulin (84442) | $97.96 | $146 | 6.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 4 matching MRF lines |
$39.58–$67.10 | $59–$100 | varies |
| Tissue culture bone marrow (88237) | $402.60 | $600 | 2.8× |
| Tissue Culture Lymphocyte (88230) range across 4 matching MRF lines |
$167.75–$186.53 | $250–$278 | varies |
| Tobramycin peak (80200) range across 6 matching MRF lines |
$15.43–$62.40 | $23–$93 | varies |
| Topiramate (80201) | $68.44 | $102 | 5.7× |
| Touch prep (88161) | $19.26 | $28.71 | 0.7× |
| Toxin/Antitoxin Assay Tissue Culture (87230) range across 4 matching MRF lines |
$79.84–$82.53 | $119–$123 | varies |
| Toxoplasma ab igm (86778) | $71.79 | $107 | 5.0× |
| Toxoplasma antibody (86777) | $89.91 | $134 | 6.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $65.08 | $97 | 12.6× |
| Transferrin (84466) | $38.91 | $58 | 3.0× |
| Trichinella Antibody (86784) | $53 | $79 | 4.2× |
| Trichomonas Vaginalis Amplif (87661) range across 4 matching MRF lines |
$39.58–$97.29 | $59–$145 | varies |
| Triglycerides (84478) range across 6 matching MRF lines |
$10.06–$50.32 | $15–$75 | varies |
| Troponin Quant (84484) | $150.97 | $225 | 12.1× |
| Tumor immunohistochem/comput (88361) | $438.16 | $653 | 1.3× |
| Tumor Immunohistochem/Manual (88360) | $224.11 | $334 | 1.4× |
| Urea Nitrogen Clearance (84545) | $12.74 | $19 | 1.8× |
| Urea nitrogen urine (84540) range across 4 matching MRF lines |
$13.42–$35.56 | $20–$53 | varies |
| Uric acid other source (84560) range across 6 matching MRF lines |
$16.77–$50.99 | $25–$76 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 6 matching MRF lines |
$15.43–$27.51 | $23–$41 | varies |
| Urinalysis Volume Measure (81050) | $16.77 | $25 | 4.6× |
| Urine Pregnancy Test (81025) | $63.74 | $95 | 7.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $42.94 | $64 | 13.5× |
| Valproic acid (80164) | $68.44 | $102 | 5.1× |
| Vancomycin (80202) | $75.82 | $113 | 5.6× |
| Varicella-zoster antibody (86787) range across 8 matching MRF lines |
$47.64–$145.60 | $71–$217 | varies |
| Vasopressin (84588) | $150.30 | $224 | 4.4× |
| Viral Culture (87252) | $159.02 | $237 | 6.1× |
| Virus antibody nos (86790) range across 11 matching MRF lines |
$43.61–$83.87 | $65–$125 | varies |
| Virus inoculation, shell via (87254) | $43.61 | $65 | 2.2× |
| Viscosity serum (85810) | $20.13 | $30 | 1.7× |
| Vit D 1 25-Dihydroxy (82652) | $157.68 | $235 | 4.1× |
| Vitamin A (84590) | $77.83 | $116 | 6.7× |
| Vitamin b-12 (82607) | $77.16 | $115 | 5.1× |
| Vitamin B2 (Riboflavin) (84252) | $32.20 | $48 | 1.6× |
| Vitamin B6 (84207) | $43.61 | $65 | 1.6× |
| Vitamin c (82180) | $34.22 | $51 | 3.5× |
| Vitamin D 25-Hydroxy (82306) range across 5 matching MRF lines |
$89.91–$248.94 | $134–$371 | varies |
| Vitamin E (84446) | $37.57 | $56 | 2.6× |
| Vitamin K (84597) | $61.06 | $91 | 4.5× |
| Von willebrand factor ag (85246) | $232.83 | $347 | 10.1× |
| Wbc Alkaline Phosphatase Count (85540) | $65.75 | $98 | 7.6× |
| West nile virus ab igm (86788) | $178.48 | $266 | 10.6× |
| West Nile Virus Antibody (86789) | $178.48 | $266 | 12.4× |
| Zinc (84630) range across 4 matching MRF lines |
$59.04–$69.11 | $88–$103 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.