Lab & pathology prices at Gundersen Tri-county Hospital and Clinics
Whitehall, WI · every code in this section with a posted price and a Medicare benchmark.
718 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $117.92 | $186 | 5.2× |
| 5 Nucleotidase (83915) | $57.69 | $91 | 5.2× |
| Acetylcholine receptor binding antibody (86041) | $95.10 | $150 | 5.2× |
| Acetylcholine receptor blocking antibody (86042) | $95.10 | $150 | 5.2× |
| Acth (82024) | $199.71 | $315 | 5.2× |
| Acylcarnitines Quant (82017) | $86.86 | $137 | 5.1× |
| Adenovirus antibody (86603) | $66.57 | $105 | 5.2× |
| Agglutinins Febrile Each Antigen (86000) | $36.14 | $57 | 5.2× |
| Albumin Fluid (82042) | $39.94 | $63 | 5.1× |
| Albumin serum (82040) | $25.36 | $40 | 5.1× |
| Aldolase (82085) | $50.09 | $79 | 5.2× |
| Aldosterone urine (82088) | $210.49 | $332 | 5.2× |
| Alkaline phosphatase isoenzymes (84080) | $76.08 | $120 | 5.1× |
| Allergen specific ige (86003) | $27.26 | $43 | 5.2× |
| Allergen specific igg (86001) | $40.58 | $64 | 5.2× |
| Alpha-1-antitrypsin phenotype (82104) | $74.81 | $118 | 5.2× |
| Alpha-1-antitrypsin total (82103) | $69.74 | $110 | 5.2× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $88.13 | $139 | 5.2× |
| Alpha-Fetoprotein Serum (82105) | $86.86 | $137 | 5.2× |
| Alt (sgpt) (84460) | $27.26 | $43 | 5.1× |
| Aluminum (82108) | $131.87 | $208 | 5.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $118.56 | $187 | 5.2× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $86.86 | $137 | 5.1× |
| Amino Acids Quant 2-5 (82136) | $101.44 | $160 | 5.2× |
| Aminolevulinic acid (ala) (82135) | $84.96 | $134 | 5.2× |
| Ammonia (82140) | $75.45 | $119 | 5.2× |
| Amylase urine (82150) | $33.60 | $53 | 5.2× |
| Ana Titer (86039) | $57.69 | $91 | 5.2× |
| Anca screen each antibody (86036) | $62.13 | $98 | 5.2× |
| Androstanediol Glucuronide (82154) | $148.99 | $235 | 5.2× |
| Androstenedione (82157) | $151.53 | $239 | 5.2× |
| Angiotensin converting enzyme csf (82164) | $75.45 | $119 | 5.2× |
| Antibody aspergillus (86606) | $77.98 | $123 | 5.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $66.57 | $105 | 5.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $79.88 | $126 | 5.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $86.86 | $137 | 5.2× |
| Antibody Encephalitis California La Crosse (86651) | $67.84 | $107 | 5.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $67.84 | $107 | 5.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $79.25 | $125 | 5.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $93.83 | $148 | 5.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $63.40 | $100 | 5.2× |
| Antibody haemophilus influenza (86684) | $81.79 | $129 | 5.2× |
| Antibody helicobacter pylori (86677) | $86.86 | $137 | 5.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $74.18 | $117 | 5.2× |
| Antibody Herpes Smplx Type 1 (86695) | $67.84 | $107 | 5.1× |
| Antibody HIV-1&HIV-2 single result (86703) | $71.01 | $112 | 5.2× |
| Antibody HIV-2 (86702) | $69.74 | $110 | 5.2× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $422.88 | $667 | 5.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $100.17 | $158 | 5.2× |
| Antibody identification leukocyte antibodies (86021) | $77.98 | $123 | 5.2× |
| Antibody leishmania (86717) | $63.40 | $100 | 5.2× |
| Antibody Lymphocytic Choriomeningitis (86727) | $66.57 | $105 | 5.2× |
| Antibody Protozoa Nes (86753) | $64.03 | $101 | 5.2× |
| Antibody Titer (86886) | $26.63 | $42 | 5.1× |
| Antibody Treponema Pallidum (86780) | $68.47 | $108 | 5.2× |
| Antibody; campylobacter (86625) | $67.84 | $107 | 5.2× |
| Antibody; encephalitis, st. louis (86653) | $67.84 | $107 | 5.1× |
| Antigen typing (86905) | $19.65 | $31 | 5.1× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $29.80 | $47 | 5.2× |
| Antinuclear antibodies (86038) | $62.77 | $99 | 5.2× |
| Antistreptolysin O Screen (86063) | $29.80 | $47 | 5.2× |
| Antistreptolysin o titer (86060) | $37.41 | $59 | 5.1× |
| Antithrombin iii activity (85300) | $61.50 | $97 | 5.2× |
| Antithrombin iii antigen (85301) | $55.79 | $88 | 5.2× |
| Apolipoprotein a1 (82172) | $109.05 | $172 | 5.2× |
| Aquaporin-4 Antb Cba Each (86052) | $62.13 | $98 | 5.2× |
| Arsenic (82175) | $98.27 | $155 | 5.2× |
| Aspergillus ag eia (87305) | $62.13 | $98 | 5.2× |
| Assay activated protein c (85307) | $79.25 | $125 | 5.2× |
| Assay Blood Carbon Dioxide (82374) | $25.36 | $40 | 5.2× |
| Assay Nephelometry Not Spec (83883) | $70.37 | $111 | 5.2× |
| Assay of 5-hiaa (83497) | $66.57 | $105 | 5.2× |
| Assay of anti-mullerian hormone (82166) | $199.71 | $315 | 5.2× |
| Assay of b-hexosaminidase each assay (83080) | $86.86 | $137 | 5.1× |
| Assay of blood/uric acid (84550) | $23.46 | $37 | 5.2× |
| Assay of calcium in urine (82340) | $31.07 | $49 | 5.2× |
| Assay of cpk in blood (82552) | $69.11 | $109 | 5.2× |
| Assay of estrone (82679) | $128.70 | $203 | 5.2× |
| Assay of g6pd enzyme (82955) | $50.09 | $79 | 5.2× |
| Assay of gammaglobulin igm (82784) | $48.18 | $76 | 5.2× |
| Assay of lactic acid (83605) | $59.60 | $94 | 5.2× |
| Assay of manganese (83785) | $137.58 | $217 | 5.2× |
| Assay of metanephrines (83835) | $87.49 | $138 | 5.2× |
| Assay of proinsulin (84206) | $138.21 | $218 | 5.2× |
| Assay of pyruvate (84210) | $74.81 | $118 | 5.2× |
| Assay of semen fructose (82757) | $89.39 | $141 | 5.2× |
| Assay of serotonin (84260) | $159.77 | $252 | 5.2× |
| Assay of serum potassium (84132) | $24.73 | $39 | 5.2× |
| Assay of sweat sodium (84302) | $25.36 | $40 | 5.2× |
| Assay of Tyrosine (84510) | $55.16 | $87 | 5.2× |
| Assay of urea nitrogen (84520) | $20.29 | $32 | 5.1× |
| Assay of vasoactive intestinal peptide (84586) | $182.59 | $288 | 5.2× |
| Assay of vitamin b-1 (84425) | $109.68 | $173 | 5.2× |
| Assay Ph Body Fluid Nos (83986) | $18.39 | $29 | 5.1× |
| Assay spec xcp ur&breath ia (82077) | $98.90 | $156 | 5.7× |
| Atomic Absorption (82190) | $82.42 | $130 | 5.2× |
| Automated Leukocyte Count (85048) | $13.31 | $21 | 5.2× |
| B cells total count (86355) | $194.64 | $307 | 5.2× |
| Babesia microti amp prb (87469) | $181.32 | $286 | 5.2× |
| Bartonella antibody (86611) | $52.62 | $83 | 5.2× |
| Bcr/abl1 gene major bp (81206) | $847.02 | $1,336 | 5.2× |
| Bcr/abl1 gene minor bp (81207) | $748.12 | $1,180 | 5.2× |
| Bcr/Abl1 Gene Other Bp (81208) | $1,108.87 | $1,749 | 5.2× |
| Beta 2 glycoprotein i antibody each (86146) | $131.24 | $207 | 5.2× |
| Beta hydroxybutyrate (82010) | $42.48 | $67 | 5.2× |
| Beta Lactamase (87185) | $24.73 | $39 | 5.2× |
| Beta-2 Microglobulin (82232) | $83.69 | $132 | 5.2× |
| Bile acids total (82239) | $88.76 | $140 | 5.2× |
| Bilirubin direct (82248) | $25.99 | $41 | 5.2× |
| Bilirubin total (82247) | $25.99 | $41 | 5.2× |
| Bl Smear W/O Diff Wbc Count (85008) | $17.75 | $28 | 5.2× |
| Blastomyces antibody (86612) | $66.57 | $105 | 5.2× |
| Bld Typing Serologic Rh Phnt (86906) | $39.94 | $63 | 5.2× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $25.99 | $41 | 5.1× |
| Blood count reticulocyte automated (85045) | $20.92 | $33 | 5.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $19.65 | $31 | 5.2× |
| Blood gas (82803) | $134.41 | $212 | 5.2× |
| Blood gases w/02 saturation (82805) | $407.03 | $642 | 5.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $82.42 | $130 | 5.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $22.82 | $36 | 5.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $32.97 | $52 | 5.2× |
| Blood typing serologic abo (86900) | $15.22 | $24 | 5.1× |
| Body fluid cell count (89050) | $24.09 | $38 | 5.1× |
| Bone marrow smear interpretation (85097) | $810.89 | $1,279 | 1.0× |
| Bordetella antibody (86615) | $67.84 | $107 | 5.1× |
| Breath Alcohol Test (82075) | $15.85 | $25 | 0.5× |
| Brucella antibody (86622) | $46.28 | $73 | 5.2× |
| C diff amplified probe (87493) | $192.74 | $304 | 5.2× |
| C-Peptide (84681) | $107.78 | $170 | 5.2× |
| C-reactive protein (86140) | $26.63 | $42 | 5.1× |
| Ca 19-9 (86301) | $107.78 | $170 | 5.2× |
| Cadmium (82300) | $122.36 | $193 | 5.2× |
| Calcitonin (82308) | $138.21 | $218 | 5.2× |
| Calcium ionized (82330) | $70.37 | $111 | 5.1× |
| Calcium total (82310) | $26.63 | $42 | 5.2× |
| Calculus Spectroscopy (82365) | $66.57 | $105 | 5.2× |
| Calprotectin Fecal (83993) | $101.44 | $160 | 5.2× |
| Cancer Antigen 125 (86304) | $107.78 | $170 | 5.2× |
| Cancer Antigen 27.29 (86300) | $107.78 | $170 | 5.2× |
| Candida antibody (86628) | $62.13 | $98 | 5.2× |
| Carbamazepine free (80157) | $68.47 | $108 | 5.2× |
| Carbamazepine total (80156) | $75.45 | $119 | 5.2× |
| Carbohydrate Deficient Transferrin (82373) | $93.20 | $147 | 5.2× |
| Carboxyhemoglobin (82375) | $63.40 | $100 | 5.1× |
| Carcinoembryonic antigen (82378) | $98.27 | $155 | 5.2× |
| Cardiolipin ab iga (86147) | $131.24 | $207 | 5.2× |
| Carnitine Quantitative Each Specimen (82379) | $86.86 | $137 | 5.1× |
| Carotene (82380) | $47.55 | $75 | 5.2× |
| Catecholamines fractionated (82384) | $130.60 | $206 | 5.2× |
| Ccp antibody (86200) | $67.20 | $106 | 5.2× |
| Cell count csf (89051) | $29.16 | $46 | 5.2× |
| Cell marker study (88182) | $138.85 | $219 | 2.7× |
| Ceruloplasmin (82390) | $55.79 | $88 | 5.2× |
| Cftr gene com variants (81220) | $2,875.82 | $4,536 | 5.2× |
| Chemiluminescent assay (82397) | $72.91 | $115 | 5.2× |
| Chlamydia antibody (86631) | $60.86 | $96 | 5.1× |
| Chlamydia Igm Antibody (86632) | $65.30 | $103 | 5.1× |
| Chlmy trch&neisra gonor mult (87494) | $362.65 | $572 | 5.2× |
| Chloride other source (82438) | $25.99 | $41 | 5.2× |
| Chloride Serum (82435) | $23.46 | $37 | 5.1× |
| Chloride urine (82436) | $29.80 | $47 | 5.2× |
| Cholesterol total (82465) | $22.19 | $35 | 5.1× |
| Cholinesterase Serum (82480) | $40.58 | $64 | 5.2× |
| Chorionic gonadotropin test (84702) | $77.98 | $123 | 5.2× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $974.46 | $1,537 | 5.2× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $138.85 | $219 | 5.2× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $173.08 | $273 | 5.2× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | $894.57 | $1,411 | 5.2× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $894.57 | $1,411 | 5.2× |
| Chromium serum (82495) | $104.61 | $165 | 5.2× |
| Chromogranin a (86316) | $107.78 | $170 | 5.2× |
| Chromosome Analysis 15-20 (88262) | $648.58 | $1,023 | 5.2× |
| Chromosome Analysis 20-25 (88264) | $747.49 | $1,179 | 5.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $181.32 | $286 | 5.2× |
| Citric acid urine (82507) | $143.92 | $227 | 5.2× |
| Ckmb (82553) | $59.60 | $94 | 5.2× |
| Clostridium Difficile (87324) | $62.13 | $98 | 5.2× |
| Clot Factor VIII Multimetric (85247) | $118.56 | $187 | 5.2× |
| Clotting factor xii hageman (85280) | $100.17 | $158 | 5.2× |
| Clotting Funct Activity (85397) | $159.77 | $252 | 5.2× |
| Coagulation time activated (85347) | $22.19 | $35 | 5.2× |
| Coccidioides antibody (86635) | $58.96 | $93 | 5.1× |
| Cold agglutinin titer (86157) | $41.84 | $66 | 5.2× |
| Collagen crosslinks (82523) | $96.37 | $152 | 5.2× |
| Column Chromotography Quant (82542) | $124.26 | $196 | 5.2× |
| Compatibility test antiglob (86922) | $164.21 | $259 | 1.0× |
| Complement Antigen Each Component (86160) | $62.13 | $98 | 5.2× |
| Complement Total (Ch50) (86162) | $105.24 | $166 | 5.2× |
| Complement/Function Activity (86161) | $62.13 | $98 | 5.2× |
| Coombs direct (86880) | $27.90 | $44 | 5.2× |
| Copper urine (82525) | $64.03 | $101 | 5.2× |
| Cortisol free (82530) | $86.22 | $136 | 5.2× |
| Cortisol saliva (82533) | $84.32 | $133 | 5.2× |
| Creatine (82540) | $24.09 | $38 | 5.2× |
| Creatine kinase total (82550) | $33.60 | $53 | 5.2× |
| Creatinine blood (82565) | $26.63 | $42 | 5.2× |
| Creatinine clearance (82575) | $48.82 | $77 | 5.2× |
| Creatinine Urine (82570) | $26.63 | $42 | 5.1× |
| Crossmatch electronic (86923) | $164.21 | $259 | 1.0× |
| Crossmatch immediate spin (86920) | $164.21 | $259 | 1.0× |
| Crp High Sensitivity (86141) | $67.20 | $106 | 5.2× |
| Cryofibrinogen (82585) | $72.91 | $115 | 5.2× |
| Cryoglobulin (82595) | $33.60 | $53 | 5.2× |
| Cryptococcal Antigen (87327) | $69.11 | $109 | 5.1× |
| Cryptococcus ag titer (87899) | $83.05 | $131 | 5.2× |
| Cryptosporidium ag eia (87328) | $71.64 | $113 | 5.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $41.84 | $66 | 5.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $41.84 | $66 | 5.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $39.94 | $63 | 5.2× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,126.62 | $1,777 | 5.2× |
| Culture afb (87116) | $55.79 | $88 | 5.2× |
| Culture Anaerobic (87075) | $48.82 | $77 | 5.2× |
| Culture blood (87040) | $53.26 | $84 | 5.2× |
| Culture chlamydia (87110) | $101.44 | $160 | 5.2× |
| Culture csf (87070) | $44.38 | $70 | 5.1× |
| Culture fungus (87102) | $43.75 | $69 | 5.2× |
| Culture fungus blood (87103) | $105.88 | $167 | 5.2× |
| Culture screen only (87081) | $34.24 | $54 | 5.2× |
| Culture stool (87045) | $48.82 | $77 | 5.2× |
| Culture typing if ea antiserum (87140) | $28.53 | $45 | 5.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $26.63 | $42 | 5.1× |
| Culture typing other methods (87158) | $39.94 | $63 | 5.2× |
| Culture urine (87086) | $41.84 | $66 | 5.2× |
| Cyclosporine (80158) | $93.20 | $147 | 5.2× |
| Cyp2c19 gene analysis common variants (81225) | $1,505.75 | $2,375 | 5.2× |
| Cyp2c9 gene com variants (81227) | $903.45 | $1,425 | 5.2× |
| Cyp2d6 gene com variants (81226) | $2,329.95 | $3,675 | 5.2× |
| Cystatin C (82610) | $95.73 | $151 | 5.2× |
| Cytogenetics 10-30 (88273) | $180.06 | $284 | 5.2× |
| Cytogenetics 100-300 (88275) | $264.38 | $417 | 5.2× |
| Cytogenom Const Microarray Copy Number Variants (81228) | $4,650.39 | $7,335 | 5.2× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,282.40 | $3,600 | 2.0× |
| Cytomegalovirus igg (86644) | $74.18 | $117 | 5.2× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $104.61 | $165 | 5.2× |
| Cytopath Cell Enhance Tech (88112) | $133.77 | $211 | 2.6× |
| Cytotoxic pra quick (86808) | $153.43 | $242 | 5.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $137.58 | $217 | 5.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $217.46 | $343 | 4.3× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $164.21 | $259 | 1.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $954.17 | $1,505 | 5.8× |
| Deoxycortisol (82634) | $151.53 | $239 | 5.2× |
| Deoxyribonuclease antibody (86215) | $68.47 | $108 | 5.2× |
| Detect Agent Nos Dna Amp (87798) | $181.32 | $286 | 5.2× |
| Detect Agent Nos Dna Quant (87799) | $221.27 | $349 | 5.2× |
| Detect agnt mult DNA ampli (87801) | $362.65 | $572 | 5.2× |
| Dgp Antibody Each Ig Class (86258) | $62.13 | $98 | 5.2× |
| Dhea (82626) | $130.60 | $206 | 5.2× |
| Dhea-S (82627) | $114.75 | $181 | 5.2× |
| Dibucaine number (82638) | $63.40 | $100 | 5.2× |
| Digoxin (80162) | $68.47 | $108 | 5.2× |
| Diphtheria antitoxoid (86648) | $78.62 | $124 | 5.2× |
| Dipropylacetic Acid Free (80165) | $69.74 | $110 | 5.2× |
| Dna Antibody Native/Double Stranded (86225) | $71.01 | $112 | 5.2× |
| Dna Antibody Single Stranded (86226) | $62.77 | $99 | 5.2× |
| Dna/Rna Amplified Probe (87150) | $181.32 | $286 | 5.2× |
| DNA/RNA direct probe (87149) | $103.34 | $163 | 5.2× |
| Dna/Rna Sequencing (87153) | $595.96 | $940 | 5.2× |
| Drug assay acetaminophen (80143) | $96.37 | $152 | 5.2× |
| Drug assay adalimumab (80145) | $199.08 | $314 | 5.2× |
| Drug Assay Infliximab (80230) | $199.08 | $314 | 5.2× |
| Drug Assay Itraconazole (80189) | $117.92 | $186 | 4.3× |
| Drug Assay Lacosamide (80235) | $140.11 | $221 | 5.2× |
| Drug Assay Posaconazole (80187) | $140.11 | $221 | 5.2× |
| Drug assay voriconazole (80285) | $140.11 | $221 | 5.2× |
| Drug Screen Quant Clozapine (80159) | $103.98 | $164 | 5.2× |
| Drug Screen Quant Zonisamide (80203) | $68.47 | $108 | 5.2× |
| Drug Screen Quantitative Gabapentin (80171) | $112.22 | $177 | 5.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $68.47 | $108 | 5.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $68.47 | $108 | 5.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $68.47 | $108 | 5.2× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $86.86 | $137 | 5.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 11 matching MRF lines |
$21.56–$320.80 | $34–$506 | varies |
| Drug Test Prsmv Instrmnt (80306) | $88.76 | $140 | 5.2× |
| Ehrlichia antibody (86666) | $52.62 | $83 | 5.2× |
| El-1 Fecal Quantitative (82653) | $118.56 | $187 | 5.2× |
| Electrolyte panel (80051) | $36.14 | $57 | 5.2× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $317.63 | $501 | 5.2× |
| Encephaltis East Eqne Anbdy (86652) | $67.84 | $107 | 5.1× |
| Encephaltis West Eqne Antbdy (86654) | $67.84 | $107 | 5.1× |
| Enterovirus Antibody (86658) | $67.20 | $106 | 5.2× |
| Enterovirus PCR (87498) | $181.32 | $286 | 5.2× |
| Enzyme cell activity (82657) | $114.75 | $181 | 5.2× |
| Enzyme histochemistry (88319) | $810.89 | $1,279 | 1.0× |
| Eosinophil Smear (89190) | $29.80 | $47 | 5.1× |
| Erythropoietin (82668) | $97 | $153 | 5.2× |
| Estradiol serum (82670) | $144.55 | $228 | 5.2× |
| Estriol (82677) | $124.90 | $197 | 5.2× |
| Estrogen total (82672) | $112.22 | $177 | 5.2× |
| Ethosuximide (80168) | $84.32 | $133 | 5.2× |
| Ethylene Glycol (82693) | $76.71 | $121 | 5.1× |
| Exam Synovial Fluid Crystals (89060) | $38.04 | $60 | 5.2× |
| F2 Gene (81240) | $339.19 | $535 | 5.2× |
| Factor ii activity (85210) | $67.20 | $106 | 5.2× |
| Factor Inhibitor Test (85335) | $66.57 | $105 | 5.2× |
| Factor ix activity (85250) | $98.27 | $155 | 5.2× |
| Factor v activity (85220) | $91.30 | $144 | 5.2× |
| Factor v leiden mutation (81241) | $379.13 | $598 | 5.2× |
| Factor vii assay (85230) | $92.56 | $146 | 5.2× |
| Factor viii assay (85240) | $92.56 | $146 | 5.2× |
| Factor X (85260) | $92.56 | $146 | 5.2× |
| Factor xi activity (85270) | $92.56 | $146 | 5.2× |
| Factor xiii screen (85291) | $46.92 | $74 | 5.2× |
| Fat stain feces urine/respir secretions (89125) | $30.43 | $48 | 5.2× |
| Fat/Lipids Feces Quantitative (82710) | $86.86 | $137 | 5.2× |
| Fatty acids free (82725) | $97 | $153 | 5.2× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $39.94 | $63 | 5.2× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $88.76 | $140 | 5.2× |
| Fecal Fat Qualitative (82705) | $26.63 | $42 | 5.2× |
| Ferritin (82728) | $70.37 | $111 | 5.2× |
| Fetal Aneuploidy Trisom Risk (81507) | $4,107.69 | $6,479 | 5.2× |
| Fetal Chrmoml Aneuploidy (81420) | $3,921.92 | $6,186 | 5.2× |
| Fetal Fibronectin (82731) | $332.85 | $525 | 5.2× |
| Fetal screen rosette (85461) | $48.18 | $76 | 5.1× |
| Fibrin Degradation Quant (85379) | $52.62 | $83 | 5.2× |
| Fibrinogen activity (85384) | $50.09 | $79 | 5.2× |
| Fibrinogen antigen (85385) | $74.81 | $118 | 5.2× |
| Flecainide level (80181) | $96.37 | $152 | 5.2× |
| Flow cytometry first marker (88184) | $337.92 | $533 | 1.0× |
| Flt3 Gene (81245) | $855.27 | $1,349 | 5.2× |
| Fluorescent antibody screen (86255) | $62.13 | $98 | 5.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $62.13 | $98 | 5.2× |
| Folic acid rbc (82747) | $91.30 | $144 | 5.2× |
| Folic Acid Serum (82746) | $76.08 | $120 | 5.2× |
| Follicle Stimulating Hormone (83001) | $95.73 | $151 | 5.2× |
| Francisella tularensis (86668) | $72.91 | $115 | 5.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $164.21 | $259 | 1.0× |
| Fungi Identification Mold (87107) | $53.26 | $84 | 5.2× |
| Fungi Identification Yeast (87106) | $53.26 | $84 | 5.2× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $109.05 | $172 | 5.2× |
| Gammaglobulin ige (82785) | $84.96 | $134 | 5.2× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $50.72 | $80 | 5.2× |
| Gases blood ph only (82800) | $57.06 | $90 | 5.2× |
| Gastrin (82941) | $91.30 | $144 | 5.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $2,153.70 | $3,397 | 5.2× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $3,924.46 | $6,190 | 5.2× |
| Gentamicin (80170) | $84.32 | $133 | 5.1× |
| Ggt (82977) | $37.41 | $59 | 5.2× |
| Giardia antigen (87329) | $62.13 | $98 | 5.2× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $522.42 | $824 | 5.2× |
| Gjb6 Gene Analysis Common Variants (81254) | $180.69 | $285 | 5.2× |
| Glucagon (82943) | $73.54 | $116 | 5.1× |
| Glucose 2 hr pp (82950) | $24.73 | $39 | 5.2× |
| Glucose Blood Test (82962) | $17.12 | $27 | 5.2× |
| Glucose body fluid (82945) | $20.29 | $32 | 5.2× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$20.29–$21.56 | $32–$34 | varies |
| Glucose tolerance test (gtt) (82951) | $66.57 | $105 | 5.2× |
| Glycated Protein (82985) | $86.86 | $137 | 5.2× |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $79.25 | $125 | 5.2× |
| Gonadotropin Chorionic Qualitative (84703) | $38.67 | $61 | 5.1× |
| Growth hormone (83003) | $86.22 | $136 | 5.2× |
| Gtt-added samples (82952) | $20.29 | $32 | 5.2× |
| H Pylori (C-13) Breath (83013) | $348.07 | $549 | 5.2× |
| Haloperidol (80173) | $81.79 | $129 | 5.2× |
| Haptoglobin (83010) | $65.30 | $103 | 5.2× |
| Hdl Cholesterol (83718) | $42.48 | $67 | 5.2× |
| Helicobacter Pylori Stool (87338) | $74.18 | $117 | 5.2× |
| Helminth Antibody (86682) | $67.20 | $106 | 5.2× |
| Hematocrit (85014) | $12.05 | $19 | 5.1× |
| Hemoglobin (85018) | $12.05 | $19 | 5.1× |
| Hemoglobin a1c (83036) | $50.09 | $79 | 5.2× |
| Hemoglobin Chromotography (83021) | $93.20 | $147 | 5.2× |
| Hemoglobin electrophoresis (83020) | $66.57 | $105 | 5.2× |
| Hemoglobin Methemoglobin Quantitative (83050) | $42.48 | $67 | 5.2× |
| Hemoglobin stability screen (83068) | $48.82 | $77 | 5.2× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $45.01 | $71 | 5.1× |
| Hemolysins&Agglutinins Incubated (86941) | $62.77 | $99 | 5.2× |
| Hep a ab igm (86709) | $58.33 | $92 | 5.2× |
| Heparin assay (85520) | $67.84 | $107 | 5.2× |
| Heparin Neutralization (85525) | $60.86 | $96 | 5.1× |
| Hepatitis a antibody total (86708) | $64.03 | $101 | 5.2× |
| Hepatitis b core ab igm (86705) | $60.86 | $96 | 5.2× |
| Hepatitis b core ab total (86704) | $62.13 | $98 | 5.2× |
| Hepatitis B Surface Antibody (86706) | $55.79 | $88 | 5.2× |
| Hepatitis B Surface Antigen (87340) | $53.26 | $84 | 5.2× |
| Hepatitis Be Antibody (86707) | $59.60 | $94 | 5.2× |
| Hepatitis Be Antigen (87350) | $59.60 | $94 | 5.2× |
| Hepatitis C Antibody (86803) | $73.54 | $116 | 5.2× |
| Hepatitis c antibody confirmatory test (86804) | $79.88 | $126 | 5.2× |
| Hepatitis C Genotype (87902) | $1,330.13 | $2,098 | 5.2× |
| Hepatitis C Revrs Trnscrpj (87522) | $221.27 | $349 | 5.2× |
| Herpes simplex type 2 (86696) | $100.17 | $158 | 5.2× |
| Heterophile Antibody Screen (86308) | $26.63 | $42 | 5.1× |
| Hfe Gene (81256) | $337.92 | $533 | 5.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $39.94 | $63 | 5.2× |
| Histamine urine (83088) | $152.79 | $241 | 5.2× |
| Histoplasma antibody (86698) | $71.01 | $112 | 5.1× |
| Histoplasma antigen urine (87385) | $68.47 | $108 | 5.2× |
| Hiv Genotype (87901) | $1,330.13 | $2,098 | 5.2× |
| Hiv-1 Antibody (86701) | $45.65 | $72 | 5.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $440 | $694 | 5.2× |
| HIV-2 probe&revrse trnscripj (87538) | $181.32 | $286 | 5.2× |
| Hla Class I Typing Low Resolution Complete (81372) | $2,085.23 | $3,289 | 5.2× |
| Hla class ii typing high resolution one locus ea (81382) | $639.07 | $1,008 | 5.2× |
| Hla I Typing 1 Allele Hr (81381) | $878.09 | $1,385 | 5.2× |
| Hla ii type 1 ag equiv lr (81377) | $489.45 | $772 | 5.2× |
| Hla ii typing 1 locus lr (81376) | $631.46 | $996 | 5.2× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $548.41 | $865 | 5.2× |
| Hla-b27 (86812) | $133.14 | $210 | 5.2× |
| Homocysteine (83090) | $92.56 | $146 | 5.2× |
| Homogenization Tissue (87176) | $30.43 | $48 | 5.2× |
| Homovanillic acid urine (83150) | $116.02 | $183 | 5.2× |
| Hpv High-Risk Types (87624) | $181.32 | $286 | 5.2× |
| Hpv Types 16 & 18 Only (87625) | $209.22 | $330 | 5.2× |
| Hsv Dna Amp Probe (87529) | $181.32 | $286 | 5.2× |
| Htlv-I Antibody (86687) | $46.92 | $74 | 5.2× |
| Hydroxyprogesterone 17-d (83498) | $140.11 | $221 | 5.2× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $62.13 | $98 | 5.2× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $53.26 | $84 | 5.2× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $71.64 | $113 | 5.2× |
| Iaad ia shiga-like toxin (87427) | $62.13 | $98 | 5.2× |
| Iaadi not otherwise specified each organism (87299) | $83.05 | $131 | 5.2× |
| Iaadi pneumocustis carinii (87281) | $62.13 | $98 | 5.2× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $181.32 | $286 | 5.2× |
| Iadna Bartonella Amplified Probe Technique (87471) | $181.32 | $286 | 5.2× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $181.32 | $286 | 5.2× |
| Iadna Candida Species Amplified Probe Tq (87481) | $181.32 | $286 | 5.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $181.32 | $286 | 5.2× |
| Iadna Cytomegalovirus Quantification (87497) | $221.27 | $349 | 5.2× |
| Iadna hepatitis b virus amplified probe tq (87516) | $181.32 | $286 | 5.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $221.27 | $349 | 5.2× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $181.32 | $286 | 5.2× |
| Iadna Herpes Virus-6 Quantification (87533) | $215.56 | $340 | 5.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $181.32 | $286 | 5.2× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $215.56 | $340 | 5.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $181.32 | $286 | 5.2× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $63.40 | $100 | 1.2× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $736.71 | $1,162 | 5.2× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,358.66 | $2,143 | 5.2× |
| Igg subclasses (82787) | $41.21 | $65 | 5.1× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $353.14 | $557 | 1.0× |
| Immune Complex Assay (86332) | $126.17 | $199 | 5.2× |
| Immunfix e-phorsis/urine/csf (86335) | $151.53 | $239 | 5.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $95.10 | $150 | 5.2× |
| Immunoassay infectious agent (86318) | $93.20 | $147 | 5.2× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $77.35 | $122 | 5.2× |
| Immunoassay nonantibody (83516) | $59.60 | $94 | 5.2× |
| Immunodiffusion Ouchterlony (86331) | $62.13 | $98 | 5.2× |
| Immunofixation electrophoresis (86334) | $115.39 | $182 | 5.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $337.92 | $533 | 2.0× |
| Immunohistochemistry (88342) | $217.46 | $343 | 1.3× |
| In situ hybridization 1st probe stain (88365) | $217.46 | $343 | 1.3× |
| Influenza DNA amp probe (87502) | $190.20 | $300 | 2.0× |
| Inhibin A (86336) | $80.52 | $127 | 5.2× |
| Inhibin b (83520) | $89.39 | $141 | 5.2× |
| Insulin antibodies (86337) | $110.32 | $174 | 5.2× |
| Insulin total (83525) | $58.96 | $93 | 5.2× |
| Intrinsic factor antibody (86340) | $77.98 | $123 | 5.2× |
| Iron (83540) | $33.60 | $53 | 5.2× |
| Iron Binding Capacity (83550) | $45.01 | $71 | 5.1× |
| Iron stain peripheral blood (85536) | $35.50 | $56 | 5.2× |
| Irradiation Blood Product Each Unit (86945) | $101.44 | $160 | 2.8× |
| Islet cell antibody (86341) | $121.73 | $192 | 5.2× |
| Jak2 gene analysis p.val617phe variant (81270) | $473.60 | $747 | 5.2× |
| Koh Prep (87220) | $22.19 | $35 | 5.2× |
| Lactate (ld) (ldh) enzyme (83615) | $31.07 | $49 | 5.1× |
| Lactoferrin fecal qualitative (83630) | $102.07 | $161 | 5.2× |
| Ldh Isoenzymes (83625) | $65.94 | $104 | 5.2× |
| LDL direct (83721) | $54.52 | $86 | 5.2× |
| Lead (83655) | $62.77 | $99 | 5.2× |
| Legionella antibody (86713) | $79.25 | $125 | 5.2× |
| Legionella antigen urine (87449) | $62.13 | $98 | 5.2× |
| Legionella pneumophila dfa (87278) | $80.52 | $127 | 5.2× |
| Leptospira antibody (86720) | $83.69 | $132 | 5.2× |
| Leukocyte Assessment Fecal (89055) | $22.19 | $35 | 5.2× |
| Leukocyte Histamine Release (86343) | $64.67 | $102 | 5.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $72.91 | $115 | 2.6× |
| Level ii surg pathology grossµscopic exam (88302) | $133.77 | $211 | 3.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $337.92 | $533 | 1.0× |
| Lidocaine (80176) | $76.08 | $120 | 5.2× |
| Lipase (83690) | $35.50 | $56 | 5.2× |
| Lipoprotein A (83695) | $74.18 | $117 | 5.2× |
| Lipoprotein Bld Quan Part (83704) | $176.89 | $279 | 5.2× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $174.98 | $276 | 5.2× |
| Lithium (80178) | $34.24 | $54 | 5.2× |
| Luteinizing Hormone (Lh) (83002) | $95.73 | $151 | 5.2× |
| Lyme disease antibody (86618) | $88.13 | $139 | 5.2× |
| Lysozyme serum (85549) | $97 | $153 | 5.2× |
| M. Genitalium Amp Probe (87563) | $181.32 | $286 | 5.2× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $235.85 | $372 | 1.4× |
| M/phmtrc alys ishquant/semiq (88374) | $925.01 | $1,459 | 5.6× |
| Macroscopic exam arthropod (87168) | $22.19 | $35 | 5.2× |
| Macroscopic Exam Parasite (87169) | $22.19 | $35 | 5.1× |
| Magnesium Urine (83735) | $34.87 | $55 | 5.2× |
| Mass Spectrometry Quant (83789) | $124.26 | $196 | 5.2× |
| Mercury urine (83825) | $84.32 | $133 | 5.2× |
| Metabolic panel ionized ca (80047) | $71.01 | $112 | 5.2× |
| Methylmalonic acid serum (83921) | $109.68 | $173 | 5.2× |
| Microalbumin, quantitative (82043) | $29.80 | $47 | 5.2× |
| Microbe Suscept Macrobroth (87188) | $34.24 | $54 | 5.2× |
| Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) | $116.02 | $183 | 5.2× |
| Microsomal Antibodies Each (86376) | $75.45 | $119 | 5.2× |
| Mitochondrial Antibody Each (86381) | $131.24 | $207 | 5.2× |
| Mog-Igg1 Antb Cba Each (86362) | $62.13 | $98 | 5.2× |
| Molecular Cytogenetics Dna Probe Each (88271) | $110.95 | $175 | 5.2× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $218.73 | $345 | 5.2× |
| Molecular Pathology Procedure Level 3 (81402) | $776.65 | $1,225 | 5.2× |
| Mononuclear cell antigen (86356) | $138.21 | $218 | 5.2× |
| Mopath procedure level 1 (81400) | $330.31 | $521 | 5.2× |
| Mopath procedure level 2 (81401) | $708.18 | $1,117 | 5.2× |
| Mopath procedure level 4 (81403) | $956.71 | $1,509 | 5.2× |
| Mopath procedure level 5 (81404) | $1,420.16 | $2,240 | 5.2× |
| Mrsa Pcr (87641) | $181.32 | $286 | 5.2× |
| Msh6 Gene Known Variants (81299) | $1,591.34 | $2,510 | 5.2× |
| Mthfr Gene Analysis Common Variants (81291) | $337.92 | $533 | 5.2× |
| Mumps antibody (86735) | $67.20 | $106 | 5.1× |
| Mycophenolic Acid (80180) | $93.20 | $147 | 5.2× |
| Mycoplasma antibody (86738) | $68.47 | $108 | 5.2× |
| Mycoplasma culture (87109) | $79.25 | $125 | 5.1× |
| Myoglobin urine (83874) | $66.57 | $105 | 5.2× |
| Natriuretic peptide (83880) | $202.88 | $320 | 5.2× |
| Neutralization Test Viral (86382) | $87.49 | $138 | 5.2× |
| Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86409) | $282.76 | $446 | 3.6× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $663.16 | $1,046 | 5.2× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $736.71 | $1,162 | 5.2× |
| Niacin (84591) | $88.13 | $139 | 5.2× |
| Nickel level (83885) | $126.80 | $200 | 5.2× |
| Nk cells total count (86357) | $194.64 | $307 | 5.2× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $1,273.71 | $2,009 | 5.2× |
| Nuclear antigen antibody (86235) | $92.56 | $146 | 5.2× |
| Occult blood feces (82272) | $21.56 | $34 | 5.1× |
| Occult Blood Other Sources (82271) | $27.26 | $43 | 5.1× |
| Oligoclonal bands (83916) | $141.38 | $223 | 5.2× |
| Organic Acids Qualitative Each Specimen (83919) | $84.96 | $134 | 5.2× |
| Organic acids urine (83918) | $121.73 | $192 | 5.2× |
| Osmolality serum (83930) | $34.24 | $54 | 5.2× |
| Osmolality Urine (83935) | $35.50 | $56 | 5.2× |
| Osmotic fragility rbc incubated (85557) | $69.11 | $109 | 5.2× |
| Osteocalcin (83937) | $154.06 | $243 | 5.2× |
| Ova and parasites smears (87177) | $46.28 | $73 | 5.2× |
| Oxalate urine (83945) | $74.81 | $118 | 5.2× |
| Pancreatic Elastase Fecal (82656) | $59.60 | $94 | 5.2× |
| Particle Agglut Antbdy Titr (86406) | $55.16 | $87 | 5.2× |
| Particle Agglutination Screen Each Antibody (86403) | $59.60 | $94 | 5.2× |
| Parvovirus antibody (86747) | $77.35 | $122 | 5.1× |
| Ph urine (81003) | $11.41 | $18 | 5.1× |
| Phenobarbital Level (80184) | $79.25 | $125 | 5.2× |
| Phenylalanine (84030) | $28.53 | $45 | 5.2× |
| Phenytoin (Dilantin) (80185) | $68.47 | $108 | 5.2× |
| Phenytoin free (80186) | $71.01 | $112 | 5.2× |
| Phosphatase acid prostatic (84066) | $50.09 | $79 | 5.2× |
| Phosphatase alkaline (84075) | $26.63 | $42 | 5.1× |
| Phospholipid Neutralization Hexagonal (85598) | $93.20 | $147 | 5.2× |
| Phosphorus Serum (84100) | $24.73 | $39 | 5.2× |
| Phosphorus urine (84105) | $29.80 | $47 | 5.2× |
| Pinworm exam (87172) | $22.19 | $35 | 5.2× |
| Platelet Aggregation (85576) | $128.70 | $203 | 5.2× |
| Platelet Antibodies (86022) | $95.10 | $150 | 5.2× |
| Platelet count automated (85049) | $23.46 | $37 | 5.2× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $3,918.75 | $6,181 | 5.2× |
| Porphobilinogen, urine; quantitative (84110) | $43.75 | $69 | 5.2× |
| Porphyrins Feces Quantitative (84126) | $202.25 | $319 | 5.2× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $76.08 | $120 | 5.2× |
| Potassium Urine (84133) | $24.73 | $39 | 5.2× |
| Prealbumin (84134) | $75.45 | $119 | 5.2× |
| Pregnancy-Associated Plasma Protein-A (84163) | $77.98 | $123 | 5.2× |
| Pregnenolone (84140) | $106.51 | $168 | 5.2× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $79.88 | $126 | 1.4× |
| Pretx serum rbc antibody identification dilution (86976) | $79.88 | $126 | 2.8× |
| Primidone (80188) | $85.59 | $135 | 5.2× |
| Procalcitonin (Pct) (84145) | $140.75 | $222 | 5.2× |
| Progesterone (84144) | $107.78 | $170 | 5.2× |
| Prolactin (84146) | $100.17 | $158 | 5.2× |
| Prostaglandin (84150) | $215.56 | $340 | 5.2× |
| Protein body fluid (84157) | $20.92 | $33 | 5.2× |
| Protein C Activity (85303) | $71.64 | $113 | 5.2× |
| Protein c antigen (85302) | $62.13 | $98 | 5.2× |
| Protein Electrophoresis Urine (84166) | $91.93 | $145 | 5.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $55.79 | $88 | 5.2× |
| Protein S Free (85306) | $79.25 | $125 | 5.2× |
| Protein s total (85305) | $60.23 | $95 | 5.2× |
| Protein total serum (84155) | $19.02 | $30 | 5.2× |
| Protein Total Urine (84156) | $19.02 | $30 | 5.2× |
| Protein Western Blot Test (84182) | $150.89 | $238 | 5.2× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $20.29 | $32 | 5.1× |
| Protoporphyrin rbc quantitative (84202) | $74.18 | $117 | 5.2× |
| PSA free (84154) | $95.10 | $150 | 5.2× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $1,550.13 | $2,445 | 5.2× |
| Pth Intact (83970) | $213.02 | $336 | 5.2× |
| Pyruvate kinase (84220) | $48.82 | $77 | 5.2× |
| Q Fever Antibody (86638) | $62.77 | $99 | 5.2× |
| Quantiferon tb gold plus (86480) | $320.17 | $505 | 5.2× |
| Quantitative assay drug (80299) | $96.37 | $152 | 5.2× |
| Quantitative Screen Metals (83018) | $113.49 | $179 | 5.2× |
| Quinidine (80194) | $75.45 | $119 | 5.2× |
| Rbc antibody elution (86860) | $164.21 | $259 | 1.0× |
| Rbc antibody identification (86870) | $337.92 | $533 | 1.0× |
| Rbc antibody screen (86850) | $50.72 | $80 | 5.2× |
| Rbc pretreatment serum (86978) | $143.28 | $226 | 2.5× |
| Rbc serum pretx incubj drugs (86975) | $394.35 | $622 | 0.9× |
| Renin activity plasma (84244) | $113.49 | $179 | 5.2× |
| Reptilase test (85635) | $50.72 | $80 | 5.1× |
| Resp Virus 6-11 Targets (87632) | $1,126.62 | $1,777 | 5.2× |
| Reticulated Platelet Assay (85055) | $184.49 | $291 | 5.2× |
| Reticulocyte Count (85046) | $28.53 | $45 | 5.1× |
| Rh (86901) | $15.22 | $24 | 5.1× |
| Rheumatoid factor quant (86431) | $29.16 | $46 | 5.1× |
| Rickettsia antibody (86757) | $100.17 | $158 | 5.2× |
| Ristocetin cofactor (85245) | $118.56 | $187 | 5.2× |
| Rotavirus ag eia (87425) | $62.13 | $98 | 5.2× |
| Rpr qualitative (86592) | $22.19 | $35 | 5.2× |
| Rsv ab (86756) | $82.42 | $130 | 5.2× |
| Rubella Antibody (86762) | $74.18 | $117 | 5.2× |
| Rubeola antibody (86765) | $66.57 | $105 | 5.2× |
| Rufinamide (80210) | $140.11 | $221 | 5.2× |
| Russell Viper Venom Time Diluted (85613) | $49.45 | $78 | 5.2× |
| Salicylate Level (80179) | $96.37 | $152 | 5.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $198.44 | $313 | 3.9× |
| Sars-cov-2 COVID-19 antibody (86769) | $162.94 | $257 | 3.9× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $164.21 | $259 | 4.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $551.58 | $870 | 3.9× |
| Sedimentation rate (85651) | $22.19 | $35 | 5.2× |
| Sedimentation Rate, Automated (85652) | $13.95 | $22 | 5.2× |
| Selenium (84255) | $131.87 | $208 | 5.2× |
| Semen Anal Sperm Detection (89321) | $62.13 | $98 | 5.2× |
| Sensitivity mic (87186) | $44.38 | $70 | 5.1× |
| Sex Hormone Binding Globulin (84270) | $112.22 | $177 | 5.2× |
| Sickling of rbc reduction (85660) | $28.53 | $45 | 5.2× |
| Sirolimus (80195) | $71.01 | $112 | 5.2× |
| Skin Test Candida (86485) | $38.67 | $61 | 1.4× |
| Skin test tuberculosis intradermal (86580) | $25.99 | $41 | 0.9× |
| Skin test unlisted antigen each (86486) | $38.67 | $61 | 1.4× |
| Smear acid fast (87206) | $27.90 | $44 | 5.2× |
| Smear complex stain (87209) | $93.20 | $147 | 5.2× |
| Smear gram stain (87205) | $22.19 | $35 | 5.2× |
| Smear Special Stain (87207) | $31.07 | $49 | 5.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $29.80 | $47 | 5.1× |
| Sodium Serum (84295) | $24.73 | $39 | 5.1× |
| Sodium Urine (84300) | $25.99 | $41 | 5.1× |
| Soluble Transferrin Receptor (84238) | $188.93 | $298 | 5.2× |
| Somatomedin (84305) | $109.68 | $173 | 5.2× |
| Special Stains Group 1 (88312) | $133.77 | $211 | 2.6× |
| Special Stains Group 2 (88313) | $133.77 | $211 | 1.0× |
| Specimen infect agnt concntj (87015) | $34.24 | $54 | 5.1× |
| Spectrophotometry (84311) | $41.84 | $66 | 5.2× |
| Splitting Blood/Blood Products Each Unit (86985) | $164.21 | $259 | 1.0× |
| Stool cultr aerobic bact ea (87046) | $48.82 | $77 | 5.2× |
| Strep a assay w/optic (87880) | $85.59 | $135 | 5.2× |
| Strep a DNA amp probe (87651) | $181.32 | $286 | 5.2× |
| Sulfate urine (84392) | $28.53 | $45 | 5.2× |
| Surg path level iii (88304) | $143.28 | $226 | 2.8× |
| Surgical pathology level IV (88305) | $217.46 | $343 | 4.3× |
| Surgical pathology level vi (88309) | $895.84 | $1,413 | 1.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $24.73 | $39 | 5.2× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $38.67 | $61 | 5.2× |
| Sweat Collection Iontophoresis (89230) | $217.46 | $343 | 4.3× |
| Syphilis Test Non-Trep Quant (86593) | $22.82 | $36 | 5.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $242.82 | $383 | 5.2× |
| T cells total count (86359) | $194.64 | $307 | 5.2× |
| T3 Free (84481) | $87.49 | $138 | 5.2× |
| T3 reverse (84482) | $81.15 | $128 | 5.1× |
| T3 Total (84480) | $73.54 | $116 | 5.2× |
| T4 Free (84439) | $46.92 | $74 | 5.2× |
| T4 total (84436) | $35.50 | $56 | 5.2× |
| Tacrolimus (80197) | $71.01 | $112 | 5.2× |
| Tb ag response t-cell susp (86481) | $516.71 | $815 | 5.2× |
| Test for acetone/ketones (82009) | $23.46 | $37 | 5.2× |
| Testosterone Bioavailable (84410) | $265.01 | $418 | 5.2× |
| Testosterone total (84403) | $133.14 | $210 | 5.2× |
| Testosterone, Free (84402) | $131.87 | $208 | 5.2× |
| Tetanus antibody (86774) | $76.71 | $121 | 5.2× |
| Theophylline (80198) | $72.91 | $115 | 5.2× |
| Thiocyanate (84430) | $60.23 | $95 | 5.2× |
| Thiopurine methyltransferase (84433) | $114.75 | $181 | 5.2× |
| Thrombin Time (85670) | $29.80 | $47 | 5.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $33.60 | $53 | 5.2× |
| Thyroglobulin (84432) | $83.05 | $131 | 5.2× |
| Thyroglobulin Antibody (86800) | $82.42 | $130 | 5.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $263.11 | $415 | 5.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $59.60 | $94 | 5.2× |
| Tissue Culture Amniotic Fluid (88235) | $776.65 | $1,225 | 5.2× |
| Tissue culture bone marrow (88237) | $743.05 | $1,172 | 5.2× |
| Tissue Culture Lymphocyte (88230) | $601.67 | $949 | 5.2× |
| Tobramycin peak (80200) | $83.05 | $131 | 5.1× |
| Topiramate (80201) | $61.50 | $97 | 5.2× |
| Toxoplasma ab igm (86778) | $74.18 | $117 | 5.1× |
| Toxoplasma antibody (86777) | $74.18 | $117 | 5.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $26.63 | $42 | 5.1× |
| Transferrin (84466) | $65.94 | $104 | 5.2× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $1,079.70 | $1,703 | 5.2× |
| Trg gene rearrangement anal (81342) | $1,041.03 | $1,642 | 5.2× |
| Trichinella Antibody (86784) | $64.67 | $102 | 5.1× |
| Trichomonas Vaginalis Amplif (87661) | $181.32 | $286 | 5.2× |
| Triglycerides (84478) | $29.80 | $47 | 5.2× |
| Troponin Quant (84484) | $64.67 | $102 | 5.2× |
| Tumor Immunohistochem/Manual (88360) | $217.46 | $343 | 1.3× |
| Unlisted miscellaneous pathology test (89240) | $57.06 | $90 | 1.1× |
| Urea nitrogen urine (84540) | $28.53 | $45 | 5.1× |
| Uric acid other source (84560) | $25.99 | $41 | 5.1× |
| Urinalysis Microscopic Only (81015) | $15.85 | $25 | 5.2× |
| Urine Bacteria Culture (87088) | $41.84 | $66 | 5.2× |
| Urine Pregnancy Test (81025) | $44.38 | $70 | 5.2× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $16.48 | $26 | 5.2× |
| Valproic acid (80164) | $69.74 | $110 | 5.2× |
| Vancomycin (80202) | $69.74 | $110 | 5.2× |
| Varicella-zoster antibody (86787) | $66.57 | $105 | 5.2× |
| Very Long Chain Fatty Acids (82726) | $102.07 | $161 | 5.2× |
| Viral Culture (87252) | $134.41 | $212 | 5.2× |
| Virus antibody nos (86790) | $66.57 | $105 | 5.2× |
| Virus inoculate tissue addl (87253) | $104.61 | $165 | 5.2× |
| Viscosity serum (85810) | $60.23 | $95 | 5.2× |
| Vit D 1 25-Dihydroxy (82652) | $199.08 | $314 | 5.2× |
| Vitamin A (84590) | $60.23 | $95 | 5.2× |
| Vitamin b-12 (82607) | $77.98 | $123 | 5.2× |
| Vitamin B2 (Riboflavin) (84252) | $104.61 | $165 | 5.2× |
| Vitamin B6 (84207) | $145.19 | $229 | 5.2× |
| Vitamin c (82180) | $51.35 | $81 | 5.2× |
| Vitamin D 25-Hydroxy (82306) | $152.79 | $241 | 5.2× |
| Vitamin E (84446) | $73.54 | $116 | 5.2× |
| Vitamin K (84597) | $71.01 | $112 | 5.2× |
| Vkorc1 gene (81355) | $455.85 | $719 | 5.2× |
| Volatiles (84600) | $88.13 | $139 | 5.2× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $62.13 | $98 | 5.2× |
| Von willebrand factor ag (85246) | $118.56 | $187 | 5.2× |
| West nile virus ab igm (86788) | $86.86 | $137 | 5.2× |
| West Nile Virus Antibody (86789) | $74.18 | $117 | 5.2× |
| Western Blot Test (84181) | $88.13 | $139 | 5.2× |
| Xylose Absorption Test (84620) | $66.57 | $105 | 5.2× |
| Zinc (84630) | $58.96 | $93 | 5.2× |
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.