Lab & pathology prices at Harlingen Medical Center
Harlingen, TX · every code in this section with a posted price and a Medicare benchmark.
898 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $15 | $128.75 | 1.0× |
| 17-Hydroxypregnenolone (84143) | $22 | $206.25 | 1.0× |
| 5 Nucleotidase (83915) | $11 | $55.75 | 1.0× |
| Acetylcholinesterase Assay (82013) | $12 | $159.50 | 1.0× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $32 | $163.10 | 1.0× |
| ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) | $86 | $787.25 | 1.0× |
| ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) | $78 | $708.50 | 1.0× |
| Actin smooth muscle antibody each (86015) | $12 | $60.25 | 1.0× |
| Acute hepatitis panel (80074) | $47 | $238.15 | 1.0× |
| Adenovirus antibody (86603) | $12 | $97.70 | 0.9× |
| Agglutinins Febrile Each Antigen (86000) | $6 | $350.97 | 0.9× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$7 | $38.90–$53.50 | 0.9× |
| Albumin serum (82040) range across 2 matching MRF lines |
$4 | $161–$165.43 | 0.8× |
| Aldolase (82085) | $9 | $48.55 | 0.9× |
| Aldosterone Suppression Evaluation Panel (80408) | $125 | $719.25 | 1.0× |
| Aldosterone urine (82088) | $40 | $203.75 | 1.0× |
| Alkaline phosphatase isoenzymes (84080) | $14 | $241.75 | 0.9× |
| Allergen spec ige qual multiallergen screen (86005) | $7 | $32.60 | 0.9× |
| Allergen specific ige (86003) range across 9 matching MRF lines |
$5 | $20–$208.55 | 1.0× |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$7 | $52.50–$53.94 | 0.9× |
| Allg Spec Ige Recomb Ea (86008) | $17 | $16.30 | 0.9× |
| Alpha-1-antitrypsin phenotype (82104) | $14 | $134.60 | 1.0× |
| Alpha-1-antitrypsin total (82103) | $13 | $67.20 | 1.0× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $17 | $136.75 | 1.0× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$16 | $83.85–$192.66 | 1.0× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$5 | $83.47–$250.71 | 0.9× |
| Amikacin trough (80150) | $15 | $50 | 1.0× |
| Amines vaginal fluid qualitative (82120) | $5 | $29.95 | 0.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $22 | $320.32 | 1.0× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$16 | $281.01–$311.75 | 0.9× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $13 | $217.66 | 0.9× |
| Amino Acids Quant 2-5 (82136) | $19 | $184.50 | 1.0× |
| Amino acids; single, qualitative, each specimen Facility (82127) | $14 | $126 | 1.0× |
| Aminolevulinic acid (ala) (82135) | $16 | $131.15 | 1.0× |
| Ammonia (82140) range across 3 matching MRF lines |
$14 | $396–$406.89 | 1.0× |
| Amniotic fluid scan (82143) | $9 | $62.25 | 1.0× |
| Amylase urine (82150) range across 3 matching MRF lines |
$6 | $244–$250.71 | 0.9× |
| Ana Titer (86039) | $11 | $237 | 1.0× |
| Analysis skeletal muscle (88355) | $170 | $126 | 1.0× |
| Androstenedione (82157) | $29 | $146.40 | 1.0× |
| Androsterone (hormone) level (82160) | $25 | $227 | 1.0× |
| Angiotensin converting enzyme csf (82164) | $14 | $171.50 | 1.0× |
| Angiotensin II (82163) | $20 | $117.75 | 1.0× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$16 | $97.75–$133 | 1.0× |
| Antibody aspergillus (86606) | $15 | $75.25 | 1.0× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$12 | $200.34–$308.15 | 0.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $15 | $133.32 | 1.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $16 | $84.25 | 0.9× |
| Antibody Encephalitis California La Crosse (86651) | $13 | $120 | 1.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $13 | $61.10 | 1.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $15 | $149.50 | 1.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $18 | $226.72 | 1.0× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$12 | $111.50–$514.05 | 1.0× |
| Antibody haemophilus influenza (86684) | $15 | $131 | 0.9× |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$16 | $88.93–$176.83 | 0.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $14 | $71.95 | 1.0× |
| Antibody Herpes Smplx Type 1 (86695) | $13 | $102.75 | 1.0× |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$13 | $245.25–$254.25 | 0.9× |
| Antibody HIV-2 (86702) | $13 | $195.25 | 1.0× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$19 | $226.14–$2,988.75 | 1.0× |
| Antibody identification leukocyte antibodies (86021) | $15 | $230.10 | 1.0× |
| Antibody Identification Platelet Immunogl Assay (86023) | $12 | $140.75 | 1.0× |
| Antibody leishmania (86717) | $12 | $28.20 | 1.0× |
| Antibody Lymphocytic Choriomeningitis (86727) | $12 | $37 | 0.9× |
| Antibody neisseria meningitidis (86741) | $13 | $120 | 1.0× |
| Antibody nocardia (86744) | $15 | $120 | 0.9× |
| Antibody plasmodium malaria (86750) | $13 | $120 | 1.0× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$12 | $185–$246.60 | 1.0× |
| Antibody rotavirus (86759) | $18 | $106.25 | 1.0× |
| Antibody Titer (86886) | $170 | $163 | 32.8× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$13 | $66.20–$131.75 | 1.0× |
| Antibody yersinia (86793) | $13 | $120 | 1.0× |
| Antibody; campylobacter (86625) | $13 | $462.10 | 1.0× |
| Antibody; encephalitis, st. louis (86653) | $13 | $120 | 1.0× |
| Antibody; influenza virus (86710) | $13 | $98.90 | 1.0× |
| Antibody; mucormycosis Facility (86732) | $15 | $120 | 1.0× |
| Antigen typing (86905) range across 4 matching MRF lines |
$358 | $74.06–$1,584.75 | 93.5× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$170 | $28–$73 | 29.7× |
| Antinomyces antibody (86602) | $10 | $92 | 1.0× |
| Antinuclear antibodies (86038) | $12 | $60.45 | 1.0× |
| Antistreptolysin O Screen (86063) | $5 | $104.50 | 0.9× |
| Antistreptolysin o titer (86060) | $7 | $37.71 | 1.0× |
| Antithrombin iii activity (85300) range across 3 matching MRF lines |
$11 | $74.49–$267.50 | 0.9× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$21 | $105.45–$140.25 | 1.0× |
| Arsenic (82175) | $18 | $172 | 0.9× |
| Assay activated protein c (85307) | $15 | $183.25 | 1.0× |
| Assay Blood Carbon Dioxide (82374) | $4 | $225 | 0.8× |
| Assay Blood Catecholamines (82383) | $29 | $101.80 | 1.0× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$13 | $143.85–$154.13 | 1.0× |
| Assay of 5-hiaa (83497) | $12 | $83.74 | 0.9× |
| Assay of blood/uric acid (84550) | $4 | $195.23 | 0.9× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$6 | $22.26–$30.15 | 1.0× |
| Assay of cpk in blood (82552) | $13 | $56.40 | 1.0× |
| Assay of estrone (82679) | $24 | $124.75 | 1.0× |
| Assay of feces for trypsin (84490) | $9 | $69.25 | 0.9× |
| Assay of g6pd enzyme (82955) | $9 | $127.75 | 0.9× |
| Assay of gammaglobulin igm (82784) range across 6 matching MRF lines |
$9 | $46.50–$132 | 1.0× |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$11 | $332–$341.13 | 1.0× |
| Assay of metanephrines (83835) | $16 | $84.70 | 0.9× |
| Assay of phosphatase acid total (84060) | $7 | $66.75 | 0.9× |
| Assay of procainamide (80190) | $60 | $300 | 1.0× |
| Assay of proinsulin (84206) | $26 | $142.35 | 1.0× |
| Assay of prostate specific antigen complexed (84152) | $18 | $174.25 | 1.0× |
| Assay of pyruvate (84210) | $14 | $98.25 | 1.0× |
| Assay of serotonin (84260) | $30 | $154.90 | 1.0× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$4 | $170–$174.68 | 0.8× |
| Assay of Sialic Acid (84275) | $13 | $121.50 | 1.0× |
| Assay of Tyrosine (84510) | $10 | $94.75 | 0.9× |
| Assay of urea nitrogen (84520) | $3 | $195.23 | 0.8× |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$15 | $57–$181.35 | 1.0× |
| Assay of vasoactive intestinal peptide (84586) | $35 | $175 | 1.0× |
| Assay of vitamin b-1 (84425) | $21 | $106.15 | 1.0× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$3 | $67.82–$1,500 | 0.8× |
| Autol bld/component collj storage salvage (86891) | $805 | $1,674.36 | 1.0× |
| Automated Leukocyte Count (85048) range across 3 matching MRF lines |
$2 | $21.25–$36 | 0.8× |
| Bacterial antigens 87802 (87802) range across 3 matching MRF lines |
$12 | $66–$123.15 | 0.9× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$10 | $75.32–$112 | 1.0× |
| Bcr/abl1 gene major bp (81206) | $163 | $819.80 | 1.0× |
| Beta 2 glycoprotein i antibody each (86146) | $25 | $127.25 | 1.0× |
| Beta hydroxybutyrate (82010) | $8 | $213.98 | 1.0× |
| Beta Lactamase (87185) | $4 | $43.75 | 0.8× |
| Beta-2 Microglobulin (82232) | $16 | $80.90 | 1.0× |
| Bilirubin direct (82248) range across 3 matching MRF lines |
$5 | $35.50–$119.19 | 1.0× |
| Bilirubin total (82247) range across 5 matching MRF lines |
$5 | $35.50–$119.19 | 1.0× |
| Bilirubin total transcutaneous (88720) | $5 | $337.84 | 1.0× |
| Bilirubin; feces, qualitative Facility (82252) | $4 | $92.75 | 0.9× |
| Biotinidase (82261) | $16 | $51.31 | 0.9× |
| Bl Smear W/O Diff Wbc Count (85008) | $3 | $2.60 | 0.9× |
| Blastomyces antibody (86612) | $12 | $115.08 | 0.9× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $28 | $139.50 | 1.0× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $170 | $753.05 | 1.0× |
| Bld Typing Serologic Rh Phnt (86906) | $37 | $176.80 | 4.8× |
| Bleeding time test (85002) | $4 | $167 | 0.8× |
| Blood Count Red Blood Cell Automated (85041) | $3 | $73 | 1.0× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$3 | $30.50–$174.68 | 0.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $3 | $114 | 0.8× |
| Blood gas (82803) range across 5 matching MRF lines |
$26 | $328.33–$359.63 | 1.0× |
| Blood gases w/02 saturation (82805) | $78 | $450 | 1.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $15 | $108.25 | 0.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$4 | $60.93–$90 | 0.9× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 4 matching MRF lines |
$358 | $80.79–$1,584.75 | 56.4× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $58 | $346 | 3.5× |
| Blood typing serologic abo (86900) range across 5 matching MRF lines |
$133 | $84.45–$563.20 | 44.5× |
| Body fluid cell count (89050) range across 4 matching MRF lines |
$4 | $127–$186 | 0.8× |
| Bone marrow smear interpretation (85097) | $805 | $2,500.60 | 1.0× |
| Bordetella antibody (86615) | $13 | $120 | 1.0× |
| Borrelia Antibody (86619) | $13 | $121.50 | 1.0× |
| Braf gene analysis (81210) | $175 | $389.80 | 1.0× |
| Breath Alcohol Test (82075) | $30 | $109.25 | 1.0× |
| Brucella antibody (86622) range across 3 matching MRF lines |
$8 | $65.15–$158 | 0.9× |
| C diff amplified probe (87493) | $37 | $186.35 | 1.0× |
| C-Peptide (84681) | $20 | $104.05 | 1.0× |
| C-reactive protein (86140) | $5 | $32.67 | 1.0× |
| Ca 19-9 (86301) | $20 | $248 | 1.0× |
| Cadmium (82300) | $23 | $209.75 | 1.0× |
| Calcitonin (82308) | $26 | $133.95 | 1.0× |
| Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) | $80 | $727.75 | 1.0× |
| Calcium ionized (82330) | $13 | $191.12 | 1.0× |
| Calcium total (82310) | $5 | $231.19 | 1.0× |
| Calcium; after calcium infusion test (82331) | $13 | $30.75 | 1.0× |
| Calculus assay quant (82360) range across 3 matching MRF lines |
$12 | $64.35–$370 | 0.9× |
| Calculus Spectroscopy (82365) | $12 | $104.50 | 0.9× |
| Calprotectin Fecal (83993) | $19 | $308.25 | 1.0× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$20 | $104.05–$248 | 1.0× |
| Cancer Antigen 27.29 (86300) | $20 | $104.05 | 1.0× |
| Candida antibody (86628) | $12 | $83 | 1.0× |
| Candida Dna Dir Probe (87480) range across 2 matching MRF lines |
$20 | $100.25–$163.75 | 1.0× |
| Carbamazepine free (80157) | $13 | $96.23 | 1.0× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$14 | $394–$404.84 | 1.0× |
| Carbohydrate Deficient Transferrin (82373) | $18 | $163.75 | 1.0× |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) | $14 | $248 | 1.0× |
| Carboxyhemoglobin (82375) | $12 | $175.81 | 1.0× |
| Carcinoembryonic antigen (82378) range across 4 matching MRF lines |
$18 | $94.80–$883.50 | 0.9× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$25 | $56.40–$127.25 | 1.0× |
| Carotene (82380) | $9 | $75.20 | 1.0× |
| Catecholamines fractionated (82384) | $25 | $259.75 | 1.0× |
| Catecholamines total urine (82382) | $27 | $136.50 | 1.0× |
| Ccp antibody (86200) | $12 | $103.98 | 0.9× |
| Cell count csf (89051) range across 4 matching MRF lines |
$5 | $147–$151.04 | 0.9× |
| Cell marker study (88182) | $52 | $111.75 | 1.0× |
| Ceruloplasmin (82390) | $10 | $53.70 | 0.9× |
| Cftr gene com variants (81220) | $556 | $171.06 | 1.0× |
| Cftr gene full sequence (81223) | $499 | $1,785 | 1.0× |
| Chemiluminescent assay (82397) | $14 | $215.78 | 1.0× |
| Chlamydia antibody (86631) range across 5 matching MRF lines |
$11 | $70.75–$492.50 | 0.9× |
| Chlamydia Igm Antibody (86632) range across 4 matching MRF lines |
$12 | $65.45–$199.40 | 0.9× |
| Chlamydia trachomatis ag if (87270) | $11 | $125.76 | 0.9× |
| Chloramphenicol level (82415) | $12 | $115.25 | 0.9× |
| Chloride other source (82438) | $5 | $141 | 1.0× |
| Chloride Serum (82435) | $4 | $174.68 | 0.9× |
| Chloride urine (82436) range across 2 matching MRF lines |
$5 | $170–$174.68 | 0.9× |
| Chlorinated Hydrocarbons Screen (82441) | $6 | $54.75 | 1.0× |
| Cholesterol total (82465) | $4 | $170 | 0.9× |
| Cholinesterase rbc (82482) | $9 | $95.25 | 0.9× |
| Cholinesterase Serum (82480) | $7 | $26.60 | 0.9× |
| Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) | $55 | $431.75 | 1.0× |
| Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) | $51 | $467 | 1.0× |
| Chorionic gonadotropin test (84702) range across 4 matching MRF lines |
$15 | $252.25–$564.10 | 1.0× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $188 | $1,060.25 | 1.0× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $26 | $112.50 | 1.0× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $34 | $200.50 | 1.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $33 | $167.35 | 1.0× |
| Chrmsm Analysis Addl Specialized Banding (88283) | $68 | $118.75 | 1.0× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $173 | $1,021.75 | 1.0× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | $173 | $878.25 | 1.0× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $173 | $1,021.75 | 1.0× |
| Chromium serum (82495) range across 3 matching MRF lines |
$20 | $60–$553.75 | 1.0× |
| Chromogranin a (86316) range across 5 matching MRF lines |
$20 | $104.05–$234.40 | 1.0× |
| Chromosome analys amniotic (88269) | $173 | $981.25 | 1.0× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$125 | $539.05–$3,000 | 1.0× |
| Chromosome Analysis 20-25 (88264) | $144 | $756.24 | 1.0× |
| Chromosome analysis 45 cells (88263) | $150 | $887 | 1.0× |
| Chromosome analysis, 5 (88261) | $264 | $1,042.75 | 1.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $35 | $175.45 | 1.0× |
| Ckmb (82553) range across 3 matching MRF lines |
$11 | $206.50–$244 | 1.0× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$11 | $217.50–$223.48 | 0.9× |
| Clot Factor VIII Multimetric (85247) | $22 | $180.81 | 1.0× |
| Clot factor xiii fibrin stab (85290) | $16 | $100 | 1.0× |
| Clotting factor viii related antigen (85244) | $20 | $171.06 | 1.0× |
| Clotting factor xii hageman (85280) | $19 | $171.06 | 1.0× |
| Clotting hi molec weight kininogen assay (85293) | $18 | $105.90 | 1.0× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $18 | $171 | 1.0× |
| Cns DNA amp probe type 12-25 (87483) | $416 | $2,083.90 | 1.0× |
| Coagulation time activated (85347) range across 4 matching MRF lines |
$4 | $30.15–$111.67 | 0.9× |
| Coccidioides antibody (86635) | $11 | $98.90 | 1.0× |
| Cold agglutinin screen (86156) range across 2 matching MRF lines |
$8 | $68.98–$136 | 1.0× |
| Cold agglutinin titer (86157) range across 2 matching MRF lines |
$8 | $40.70–$153.75 | 1.0× |
| Collagen crosslinks (82523) | $18 | $81.45 | 1.0× |
| Column Chromotography Quant (82542) range across 10 matching MRF lines |
$24 | $81.50–$937.50 | 1.0× |
| Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) | $579 | $5,228.25 | 1.0× |
| Compatibility test antiglob (86922) | $170 | $753.05 | 1.0× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$12 | $60–$281 | 1.0× |
| Complement Fixation Tests Each Antigen (86171) | $10 | $55 | 1.0× |
| Complement Total (Ch50) (86162) | $20 | $101.60 | 1.0× |
| Complement/Function Activity (86161) | $12 | $99.36 | 1.0× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $170 | $488.75 | 1.0× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $52 | $834 | 1.0× |
| Coombs direct (86880) range across 3 matching MRF lines |
$58 | $154–$269.65 | 10.8× |
| Copper urine (82525) range across 2 matching MRF lines |
$12 | $62.05–$112.40 | 1.0× |
| Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) | $801 | $2,984 | 1.0× |
| Cortisol free (82530) | $16 | $106.96 | 1.0× |
| Cortisol saliva (82533) range across 5 matching MRF lines |
$16 | $35.75–$486.01 | 1.0× |
| Creatine (82540) | $4 | $38.25 | 0.9× |
| Creatine kinase (CK), (CPK); isoforms Facility (82554) | $11 | $97.25 | 0.9× |
| Creatine kinase total (82550) | $6 | $316.47 | 0.9× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$5 | $208–$213.72 | 1.0× |
| Creatinine clearance (82575) | $9 | $355.52 | 1.0× |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$5 | $155–$345.50 | 1.0× |
| Crossmatch electronic (86923) range across 2 matching MRF lines |
$170 | $434.19–$753.05 | 1.0× |
| Crossmatch immediate spin (86920) | $170 | $717.50 | 1.0× |
| Crp High Sensitivity (86141) | $12 | $71.10 | 0.9× |
| Cryoglobulin (82595) | $6 | $47 | 0.9× |
| Cryptococcal Antigen (87327) | $13 | $154 | 1.0× |
| Cryptococcus ab (86641) | $14 | $163.42 | 1.0× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$16 | $80.35–$127.05 | 1.0× |
| Cryptosporidium (87272) | $11 | $104.50 | 0.9× |
| Cryptosporidium ag eia (87328) | $13 | $184.80 | 0.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$8 | $138.75–$172.11 | 1.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $8 | $144.88 | 1.0× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $7 | $172.36 | 0.9× |
| Culture aerobic quant other (87071) | $9 | $184.95 | 0.9× |
| Culture afb (87116) | $10 | $125.61 | 0.9× |
| Culture Anaerobic (87075) | $9 | $254 | 1.0× |
| Culture bacteria anaerobic (87073) | $9 | $82.75 | 0.9× |
| Culture blood (87040) range across 2 matching MRF lines |
$10 | $48.75–$406.89 | 1.0× |
| Culture chlamydia (87110) | $19 | $187 | 1.0× |
| Culture csf (87070) | $8 | $216.78 | 0.9× |
| Culture fungus (87102) | $8 | $254 | 1.0× |
| Culture fungus blood (87103) | $20 | $196 | 1.0× |
| Culture screen only (87081) range across 4 matching MRF lines |
$6 | $33.85–$243 | 0.9× |
| Culture stool (87045) | $9 | $346 | 1.0× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $12 | $114 | 1.0× |
| Culture typing if ea antiserum (87140) | $5 | $50.75 | 0.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $5 | $117.19 | 1.0× |
| Culture typing other methods (87158) | $7 | $47.50 | 0.9× |
| Culture urine (87086) | $8 | $307.22 | 1.0× |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) | $27 | $168.50 | 1.0× |
| Culture, typing; identification by pulse field gel typing Facility (87152) | $7 | $47.50 | 0.9× |
| Cyanide (82600) | $19 | $175.75 | 1.0× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) range across 2 matching MRF lines |
$14 | $81.50–$129.75 | 1.0× |
| Cyclic amp (82030) | $25 | $234.25 | 1.0× |
| Cyclosporine (80158) | $18 | $330.34 | 1.0× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,160 | $3,750 | 1.0× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$14 | $71.95–$162.95 | 1.0× |
| Cytopath Cell Enhance Tech (88112) | $52 | $238.90 | 1.0× |
| Cytopath Fl Nongyn Filter (88106) | $28 | $238.66 | 1.0× |
| Cytotoxic pra quick (86808) | $29 | $269.25 | 1.0× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 3 matching MRF lines |
$26 | $133.05–$139.84 | 1.0× |
| Cytp Concentration Smears & Interpretation (88108) range across 3 matching MRF lines |
$37 | $126–$291 | 1.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$52 | $331–$340.10 | 1.0× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) range across 2 matching MRF lines |
$170 | $401.50–$753.05 | 1.0× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 9 matching MRF lines |
$37 | $45.29–$213 | 1.0× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $52 | $30.50 | 1.0× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $28 | $131.25 | 1.0× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $170 | $995.90 | 1.0× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) | $10 | $57 | 0.9× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) | $11 | $102 | 1.0× |
| Deoxycortisol (82634) | $29 | $265.75 | 1.0× |
| Deoxyribonuclease antibody (86215) | $13 | $75.32 | 1.0× |
| Desoxycorticosterone (82633) | $30 | $280.25 | 1.0× |
| Detect Agent Nos Dna Amp (87798) range across 7 matching MRF lines |
$35 | $208.50–$720 | 1.0× |
| Detect Agent Nos Dna Quant (87799) | $42 | $465 | 1.0× |
| Dgp Antibody Each Ig Class (86258) | $12 | $150 | 1.0× |
| Dhea (82626) | $25 | $235.30 | 1.0× |
| Dhea-S (82627) | $22 | $167.38 | 1.0× |
| Digoxin (80162) | $13 | $375.04 | 1.0× |
| Diphtheria antitoxoid (86648) | $15 | $131 | 1.0× |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$35 | $175.45–$902.50 | 1.0× |
| DNA/RNA direct probe (87149) | $20 | $198 | 1.0× |
| Drug Assay Amiodarone (80151) | $18 | $93.20 | 1.0× |
| Drug Assay Lacosamide (80235) | $27 | $250 | 1.0× |
| Drug assay voriconazole (80285) | $27 | $320 | 1.0× |
| Drug Screen Quant Zonisamide (80203) | $13 | $66.25 | 1.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $13 | $108.81 | 1.0× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $16 | $137 | 1.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 9 matching MRF lines |
$62 | $122.34–$310.70 | 1.0× |
| Drug Test Prsmv Dir Opt Obs (80305) range across 3 matching MRF lines |
$12 | $74.30–$175 | 1.0× |
| Drug Test Prsmv Instrmnt (80306) | $17 | $227.50 | 1.0× |
| Egfr Gene Analysis Common Variants (81235) | $324 | $900 | 1.0× |
| Ehrlichia antibody (86666) | $10 | $241.50 | 1.0× |
| Electrolyte panel (80051) | $7 | $508.61 | 1.0× |
| Electron Microscopy (88348) range across 3 matching MRF lines |
$805 | $1,128.75–$1,965 | 1.0× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $61 | $871 | 1.0× |
| Encephaltis East Eqne Anbdy (86652) | $13 | $120 | 1.0× |
| Encephaltis West Eqne Antbdy (86654) | $13 | $120 | 1.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $12 | $159.76 | 1.0× |
| Enterovirus Antibody (86658) range across 6 matching MRF lines |
$13 | $123.73–$546.68 | 1.0× |
| Enterovirus PCR (87498) | $35 | $204 | 1.0× |
| Enzyme cell activity (82657) | $22 | $163.75 | 1.0× |
| Enzyme histochemistry (88319) | $805 | $3,791.15 | 1.0× |
| Eosinophil Smear (89190) | $5 | $94 | 0.9× |
| Erythropoietin (82668) | $18 | $93.95 | 1.0× |
| Estradiol serum (82670) | $27 | $139.70 | 1.0× |
| Estriol (82677) range across 2 matching MRF lines |
$24 | $120.90–$159.26 | 1.0× |
| Estrogen total (82672) | $21 | $108.50 | 1.0× |
| Estrogens fractionated (82671) | $32 | $292.25 | 1.0× |
| Ethosuximide (80168) | $16 | $148 | 1.0× |
| Ethylene Glycol (82693) | $14 | $188.38 | 0.9× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$7 | $120–$123.30 | 1.0× |
| Factor ii activity (85210) | $12 | $141.33 | 0.9× |
| Factor Inhibitor Test (85335) | $12 | $116.50 | 0.9× |
| Factor ix activity (85250) | $19 | $320.09 | 1.0× |
| Factor v activity (85220) | $17 | $88.25 | 1.0× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$73 | $366.85–$2,685 | 1.0× |
| Factor vii assay (85230) | $17 | $209.25 | 0.9× |
| Factor viii assay (85240) | $17 | $89.50 | 0.9× |
| Factor X (85260) | $17 | $102.75 | 0.9× |
| Factor xi activity (85270) | $17 | $150 | 0.9× |
| Factor xiii screen (85291) | $9 | $145.25 | 1.0× |
| Fat differential, feces, quantitative Facility (82715) | $22 | $156.50 | 1.0× |
| Fat stain feces urine/respir secretions (89125) | $5 | $98.06 | 0.9× |
| Fat/Lipids Feces Quantitative (82710) | $16 | $274 | 1.0× |
| Fatty acids free (82725) | $18 | $120 | 1.0× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $7 | $63.50 | 0.9× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $17 | $101.80 | 1.0× |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) | $10 | $215.04 | 1.0× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) range across 2 matching MRF lines |
$6 | $81.45–$324.38 | 0.9× |
| Fecal Fat Qualitative (82705) | $5 | $92 | 1.0× |
| Ferritin (82728) range across 3 matching MRF lines |
$13 | $486–$499.37 | 1.0× |
| Fetal Chrmoml Aneuploidy (81420) | $759 | $3,795.25 | 1.0× |
| Fetal Chrmoml Microdeltj (81422) | $759 | $3,795.25 | 1.0× |
| Fetal Fibronectin (82731) | $64 | $646 | 1.0× |
| Fetal hemoglobin assay qual (83033) range across 2 matching MRF lines |
$8 | $170–$174.68 | 1.0× |
| Fibrin degradation products (85362) | $6 | $195.50 | 0.9× |
| Fibrin Degradation Quant (85379) | $10 | $198 | 1.0× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $9 | $207.04 | 0.9× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) | $12 | $62.15 | 1.0× |
| Fibrinogen activity (85384) | $9 | $173.65 | 0.9× |
| Fibrinogen antigen (85385) | $14 | $83.69 | 1.0× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $15 | $47.50 | 1.0× |
| Fibrinolytic factors and inhibitors; plasmin Facility (85400) | $7 | $80 | 0.9× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$358 | $306.50–$1,584.75 | 1.0× |
| Fluorescent antibody screen (86255) range across 8 matching MRF lines |
$12 | $52.90–$270.67 | 1.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$12 | $50–$283.72 | 1.0× |
| Fluoride serum (82735) | $18 | $168.50 | 1.0× |
| Fmr1 gene detection (81243) | $57 | $450 | 1.0× |
| Folic acid rbc (82747) | $17 | $88.25 | 1.0× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$14 | $73.50–$473 | 1.0× |
| Follicle Stimulating Hormone (83001) | $18 | $92.90 | 1.0× |
| Forensic Cytopathology (88125) | $52 | $126 | 1.0× |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) | $28 | $238 | 1.0× |
| Francisella tularensis (86668) | $14 | $85 | 1.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $170 | $753.05 | 1.0× |
| Frozen Section (88331) range across 2 matching MRF lines |
$170 | $315.88–$753.05 | 1.0× |
| Fungi Identification Mold (87107) | $10 | $93.50 | 1.0× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$10 | $20–$111.97 | 1.0× |
| Galactose (82760) | $11 | $102 | 1.0× |
| Gammaglobulin ige (82785) | $16 | $82.30 | 1.0× |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
$20 | $100.25–$181.75 | 1.0× |
| Gardner Vag Dna Quant (87512) | $41 | $294.75 | 1.0× |
| Gases Blood O2 Saturation Only Direct Meas (82810) range across 3 matching MRF lines |
$9 | $61.80–$146 | 0.9× |
| Gases blood ph only (82800) | $11 | $81.75 | 1.0× |
| Gastrin (82941) | $17 | $88.15 | 1.0× |
| Gastrin after secretin stim (82938) | $17 | $168.75 | 1.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $416 | $2,083.90 | 1.0× |
| Gentamicin (80170) | $16 | $564.10 | 1.0× |
| Ggt (82977) range across 2 matching MRF lines |
$7 | $104.42–$316.47 | 1.0× |
| Gh suppression panel (80430) | $129 | $711 | 1.0× |
| Giardia antigen (87329) | $11 | $83.74 | 0.9× |
| Giardia lamblia antibody (86674) | $14 | $117.75 | 1.0× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $6 | $88.75 | 1.0× |
| Glucagon (82943) | $14 | $158.36 | 1.0× |
| Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) | $46 | $417.25 | 1.0× |
| Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) | $50 | $457.25 | 1.0× |
| Glucagon tolerance test Facility (82946) | $17 | $137 | 1.0× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$4 | $190–$195.23 | 0.8× |
| Glucose Blood Test (82962) | $3 | $108 | 0.9× |
| Glucose body fluid (82945) range across 4 matching MRF lines |
$3 | $61.65–$165.43 | 0.8× |
| Glucose Serum (82947) | $3 | $341.13 | 0.8× |
| Glucose tolerance test (gtt) (82951) | $12 | $412 | 0.9× |
| Glycated Protein (82985) | $16 | $83.80 | 1.0× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$7 | $208–$213.72 | 0.9× |
| Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) | $148 | $1,344.25 | 1.0× |
| Growth hormone (83003) | $16 | $151.50 | 1.0× |
| Growth hormone antibody (86277) | $15 | $79.40 | 1.0× |
| Growth Hormone Stimulation Panel (80428) | $66 | $604 | 1.0× |
| Gtt-added samples (82952) | $3 | $647 | 0.8× |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$67 | $336.80–$546.75 | 1.0× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$12 | $62.90–$146.93 | 1.0× |
| Haptoglobin; phenotypes Facility (83012) | $26 | $95.50 | 1.0× |
| Hdl Cholesterol (83718) | $8 | $233 | 1.0× |
| Heavy metal qualitative any analytes (83015) | $20 | $290.57 | 1.0× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$14 | $154.13–$171.75 | 1.0× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$13 | $146–$251.07 | 1.0× |
| Hemagglutination Inhibition (86280) | $8 | $86 | 1.0× |
| Hematocrit (85014) | $2 | $63.35 | 0.8× |
| Hemoglobin (85018) | $2 | $94.12 | 0.8× |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$9 | $22.80–$239.41 | 0.9× |
| Hemoglobin Chromotography (83021) | $18 | $91.60 | 1.0× |
| Hemoglobin Copper Sulfate Method Non-Automated (83026) | $4 | $41.25 | 1.0× |
| Hemoglobin electrophoresis (83020) | $12 | $94.12 | 0.9× |
| Hemoglobin Methemoglobin Quantitative (83050) | $8 | $41 | 1.0× |
| Hemoglobin plasma (83051) | $7 | $82.80 | 1.0× |
| Hemoglobin urine (83069) | $3 | $19.75 | 0.8× |
| Hemoglobin-Oxygen Affinity (82820) | $13 | $54 | 1.0× |
| Hemoglobin; methemoglobin, qualitative Facility (83045) | $6 | $86.25 | 0.9× |
| Hemosiderin urine (83070) range across 3 matching MRF lines |
$4 | $8.50–$91.75 | 0.8× |
| Hep a ab igm (86709) | $11 | $56.30 | 1.0× |
| Heparin assay (85520) | $13 | $209.25 | 1.0× |
| Heparin Neutralization (85525) | $11 | $37.25 | 0.9× |
| Heparin-Protamine Tolerance Tst (85530) | $13 | $115.75 | 1.0× |
| Hepatitis a antibody total (86708) | $12 | $61.95 | 1.0× |
| Hepatitis b core ab igm (86705) | $11 | $58.85 | 0.9× |
| Hepatitis b core ab total (86704) | $12 | $60.25 | 1.0× |
| Hepatitis B Surface Antibody (86706) | $10 | $53.70 | 0.9× |
| Hepatitis B Surface Antigen (87340) | $10 | $51.65 | 1.0× |
| Hepatitis Be Antibody (86707) | $11 | $144.62 | 1.0× |
| Hepatitis Be Antigen (87350) | $11 | $57.65 | 1.0× |
| Hepatitis C Antibody (86803) | $14 | $71.35 | 1.0× |
| Hepatitis c antibody confirmatory test (86804) | $15 | $129.75 | 1.0× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$257 | $905–$1,287.25 | 1.0× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $35 | $214.75 | 1.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $42 | $251.07 | 1.0× |
| Hepatitis delta ag (87380) | $18 | $149 | 1.0× |
| Hepatitis Delta Agent Antibody (86692) | $17 | $162.58 | 1.0× |
| Hepatitis G Dna Quant (87527) | $41 | $294.75 | 1.0× |
| Herpes simplex type 2 (86696) | $19 | $102.75 | 1.0× |
| Heterophile antibodies titer (86309) | $6 | $58.50 | 0.9× |
| Heterophile Antibody Screen (86308) | $5 | $231.19 | 1.0× |
| Hfe Gene (81256) | $65 | $326.80 | 1.0× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
$7 | $455.25–$785.52 | 0.9× |
| Histamine urine (83088) | $29 | $266.75 | 1.0× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$13 | $94–$151.50 | 0.9× |
| Histoplasma antigen urine (87385) | $13 | $215.25 | 1.0× |
| Hiv Genotype (87901) | $257 | $1,287.25 | 1.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $24 | $120.40 | 1.0× |
| Hiv-1 Antibody (86701) | $8 | $102.49 | 0.9× |
| HIV-1 p24 antigen (87390) | $24 | $330.86 | 1.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $85 | $425.50 | 1.0× |
| HIV-2 probe&revrse trnscripj (87538) | $35 | $117.75 | 1.0× |
| Hla ii type 1 ag equiv lr (81377) | $94 | $112.40 | 1.0× |
| Hla Typing a/B/C Multiple Antigens (86813) | $58 | $891.52 | 1.0× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $106 | $888.12 | 1.0× |
| Hla Typing Dr/Dq Single Antigen (86816) | $30 | $332.25 | 1.0× |
| Hla-b27 (86812) | $25 | $129.05 | 1.0× |
| Homocysteine (83090) | $17 | $89.60 | 0.9× |
| Homogenization Tissue (87176) | $5 | $53.25 | 0.9× |
| Homovanillic acid urine (83150) | $22 | $180.58 | 1.0× |
| Hpv High-Risk Types (87624) | $35 | $175.45 | 1.0× |
| Hpv low-risk types (87623) range across 3 matching MRF lines |
$35 | $175.45–$294.75 | 1.0× |
| Hsv Dna Amp Probe (87529) | $35 | $175.45 | 1.0× |
| Hsv Dna Quant (87530) | $42 | $326.25 | 1.0× |
| Htlv-I Antibody (86687) | $9 | $140 | 1.0× |
| Htlv-ii antibody (86688) | $14 | $96 | 1.0× |
| Human Epididymis Protein 4 (86305) | $20 | $554.85 | 1.0× |
| Hydroxycorticosteroids 17 (83491) | $17 | $163.93 | 0.9× |
| Hydroxyprogesterone 17-d (83498) | $27 | $253.02 | 1.0× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $45 | $90.45 | 1.0× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $11 | $109.25 | 0.9× |
| Iaad Ia Cytomegalovirus (87332) | $11 | $94 | 0.9× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $11 | $104.50 | 0.9× |
| Iaad Ia Escherichia Coli 0157 (87335) | $12 | $104.50 | 0.9× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $10 | $84.75 | 1.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $13 | $210.15 | 0.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $35 | $176.65 | 1.0× |
| Iaad ia shiga-like toxin (87427) | $11 | $104.50 | 0.9× |
| Iaad Ia Streptococcus Group A (87430) | $16 | $128.02 | 1.0× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $11 | $122.81 | 0.9× |
| Iaadi herpes smplx virus type 1 (87274) | $11 | $119.50 | 0.9× |
| Iaadi herpes smplx virus type 2 (87273) | $11 | $119.50 | 0.9× |
| Iaadi inffluenza a virus (87276) | $16 | $142.63 | 1.0× |
| Iaadi not otherwise specified each organism (87299) | $16 | $133.25 | 1.0× |
| Iaadi parainfluenza virus each type (87279) | $16 | $108.75 | 1.0× |
| Iaadi pneumocustis carinii (87281) | $11 | $162.90 | 0.9× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $11 | $52.25 | 0.9× |
| Iaadi respiratory synctial virus (87280) | $13 | $98 | 1.0× |
| Iaadi Varicella Zoster Virus (87290) | $13 | $69.25 | 1.0× |
| Iadna Bartonella Amplified Probe Technique (87471) | $35 | $205 | 1.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $35 | $270 | 1.0× |
| Iadna Candida Species Amplified Probe Tq (87481) | $35 | $199.75 | 1.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $35 | $175.45 | 1.0× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $22 | $230 | 1.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $35 | $205.50 | 1.0× |
| Iadna Cytomegalovirus Direct Probe Tq (87495) | $30 | $163.75 | 1.0× |
| Iadna Cytomegalovirus Quantification (87497) | $42 | $265.50 | 1.0× |
| Iadna hepatitis b virus amplified probe tq (87516) | $35 | $222 | 1.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $42 | $225.98 | 1.0× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $35 | $345 | 1.0× |
| Iadna Herpes Virus-6 Quantification (87533) | $41 | $345 | 1.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $35 | $117.75 | 1.0× |
| Iadna Hiv-2 Quant & Reverse Transcription (87539) | $58 | $161.50 | 1.0× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $35 | $130.75 | 1.0× |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $27 | $182 | 1.0× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $48 | $222 | 1.0× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $20 | $182 | 1.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$41 | $228.26–$654.54 | 1.0× |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $26 | $182 | 1.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $35 | $577.48 | 1.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $35 | $175.45 | 1.0× |
| Iadna Nos Direct Probe Tq Each Organism (87797) range across 2 matching MRF lines |
$30 | $150.15–$247 | 1.0× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $51 | $385 | 1.0× |
| Ig Light Chains Free Each (83521) | $17 | $143.85 | 1.0× |
| Igg subclasses (82787) | $8 | $108.09 | 1.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $358 | $1,584.75 | 1.0× |
| Immune Complex Assay (86332) | $24 | $220.75 | 1.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$18 | $193.65–$195.48 | 1.0× |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $25 | $178.25 | 1.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $14 | $74.95 | 0.9× |
| Immunoassay nonantibody (83516) range across 15 matching MRF lines |
$11 | $30–$3,495 | 1.0× |
| Immunodiffusion Ouchterlony (86331) | $11 | $109.25 | 0.9× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $23 | $187.26 | 1.0× |
| Immunoelectrophoresis Serum (86320) | $29 | $182.25 | 1.0× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$22 | $111.70–$335 | 1.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 3 matching MRF lines |
$170 | $300.19–$753.05 | 1.0× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$170 | $334.53–$1,023.29 | 1.0× |
| In situ hybridization 1st probe stain (88365) | $170 | $753.05 | 1.0× |
| In situ hybridization ea multiplex probe stain (88366) | $170 | $2,300 | 1.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) | $21 | $199.75 | 1.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) | $16 | $104.50 | 1.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | $15 | $61.50 | 1.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) | $10 | $69.25 | 1.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $16 | $116.25 | 1.0× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) | $35 | $59 | 1.0× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) | $16 | $88.25 | 1.0× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) | $24 | $104.50 | 1.0× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $14 | $127.12 | 1.0× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $12 | $28.25 | 1.0× |
| Infectious agent antigen detection by immunofluorescent technique; Rubeola Facility (87283) | $60 | $304 | 1.0× |
| Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) | $12 | $61 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) | $42 | $272.25 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475) | $20 | $221 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482) | $55 | $265.25 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) | $20 | $230 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) | $42 | $372.75 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) | $53 | $372.75 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $35 | $222 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) | $31 | $109.15 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) | $39 | $222 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) | $29 | $182 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) | $20 | $201.25 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) | $58 | $201.25 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) | $21 | $431.06 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) | $21 | $96.25 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) | $41 | $173.50 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562) | $42 | $294.75 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) | $42 | $294.75 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) | $42 | $294.75 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) | $20 | $208.25 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Facility (87582) | $302 | $337.50 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) | $20 | $68.40 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) | $41 | $294.75 | 1.0× |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$16 | $28.25–$175.58 | 1.0× |
| Influenza DNA amp probe (87502) | $95 | $495 | 1.0× |
| Inhibin A (86336) | $15 | $161.32 | 1.0× |
| Inhibin b (83520) range across 7 matching MRF lines |
$17 | $86.35–$1,500 | 1.0× |
| Insitu hybridization manual (88368) | $358 | $995.90 | 1.0× |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$21 | $91.20–$201 | 1.0× |
| Insulin free (83527) | $12 | $153.50 | 0.9× |
| Insulin tolerance panel growth horm defncy (80435) | $103 | $1,283.50 | 1.0× |
| Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) | $285 | $1,262.50 | 1.0× |
| Insulin total (83525) | $11 | $147.96 | 1.0× |
| Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) | $165 | $1,377 | 1.0× |
| Intrinsic factor (stomach protein) level (83528) | $19 | $90 | 1.0× |
| Intrinsic factor antibody (86340) | $15 | $75.40 | 1.0× |
| Iron (83540) | $6 | $206.53 | 0.9× |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$8 | $396–$406.89 | 0.9× |
| Iron stain peripheral blood (85536) | $6 | $58.50 | 0.9× |
| Irradiation Blood Product Each Unit (86945) | $37 | $176.80 | 1.0× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$23 | $117.85–$195.74 | 1.0× |
| Ketosteroids 17 total (83586) range across 2 matching MRF lines |
$12 | $116.50–$495 | 0.9× |
| Kras Gene Variants Exon 2 (81275) | $193 | $787.95 | 1.0× |
| L/s ratio (83661) | $21 | $375 | 1.0× |
| Lactate (ld) (ldh) enzyme (83615) range across 5 matching MRF lines |
$6 | $100–$250.71 | 1.0× |
| Lactoferrin fecal qualitative (83630) | $19 | $137.38 | 1.0× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$12 | $125–$153 | 0.9× |
| LDL direct (83721) | $10 | $614.45 | 1.0× |
| Lead (83655) range across 2 matching MRF lines |
$12 | $60.55–$109.25 | 1.0× |
| Legionella antibody (86713) range across 2 matching MRF lines |
$15 | $133.25–$176.87 | 1.0× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$11 | $75.32–$550 | 0.9× |
| Legionella DNA probe (87540) | $20 | $107.50 | 1.0× |
| Legionella pneumophila dfa (87278) | $15 | $172.14 | 1.0× |
| Leptospira antibody (86720) | $16 | $180 | 1.0× |
| Leukocyte Histamine Release (86343) | $12 | $112.75 | 1.0× |
| Leukocyte phagocytosis (86344) | $10 | $36.50 | 1.0× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$28 | $125–$131.25 | 1.0× |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$37 | $193.26–$198.57 | 1.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$358 | $570.55–$1,584.75 | 1.0× |
| Lidocaine (80176) | $14 | $166.06 | 1.0× |
| Lipase (83690) range across 2 matching MRF lines |
$6 | $254–$260.99 | 0.9× |
| Lipoprotein Bld Quan Part (83704) | $34 | $163.05 | 1.0× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $46 | $55 | 1.0× |
| Listeria Monocytogenes (86723) | $13 | $411 | 1.0× |
| Lithium (80178) | $6 | $34.63 | 0.9× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$18 | $92.60–$216.65 | 1.0× |
| Lyme disease antibody (86618) | $17 | $187.25 | 1.0× |
| Lymphocyte Culture Mixed (86821) | $36 | $459.75 | 1.0× |
| Lysozyme serum (85549) | $18 | $50 | 1.0× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $35 | $222 | 1.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $170 | $753.05 | 1.0× |
| M/phmtrc alys ishquant/semiq (88374) | $170 | $1,438.50 | 1.0× |
| Macroscopic exam arthropod (87168) | $4 | $35.25 | 0.9× |
| Macroscopic Exam Parasite (87169) range across 3 matching MRF lines |
$4 | $35.25–$276.25 | 0.9× |
| Magnesium Urine (83735) | $6 | $33.50 | 0.9× |
| Mass Spectrometry Quant (83789) | $24 | $231.19 | 1.0× |
| Meat fibers, feces (89160) | $4 | $34 | 0.8× |
| Mechanical fragility rbc (85547) | $8 | $308 | 0.9× |
| Mercury urine (83825) | $16 | $147 | 1.0× |
| Methemalbumin (83857) | $10 | $97.25 | 0.9× |
| Methylmalonic acid serum (83921) | $21 | $106.05 | 1.0× |
| Microalbumin, quantitative (82043) | $5 | $71.21 | 0.9× |
| Microbe Suscept Macrobroth (87188) | $6 | $60.50 | 0.9× |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$14 | $72.75–$272.76 | 1.0× |
| Mitochondrial Antibody Each (86381) | $25 | $127.25 | 1.0× |
| Molecular Cytogenetics Dna Probe Each (88271) | $21 | $692 | 1.0× |
| Mopath procedure level 5 (81404) | $274 | $1,254 | 1.0× |
| Mopath procedure level 7 (81406) | $282 | $2,880 | 1.0× |
| Morphometric analysis nerve (88356) | $52 | $132.25 | 1.0× |
| Morphometric Analysis Tumor (88358) | $170 | $41.25 | 1.0× |
| Mrsa Pcr (87641) | $35 | $175.45 | 1.0× |
| Mthfr Gene Analysis Common Variants (81291) | $65 | $171.06 | 1.0× |
| Mucin Clot Body Fluid (83872) | $5 | $100 | 0.9× |
| Mumps antibody (86735) | $13 | $65.25 | 1.0× |
| Mycobacteric Identification (87118) | $14 | $153 | 1.0× |
| Mycoplasma antibody (86738) | $13 | $66.20 | 1.0× |
| Mycoplasma culture (87109) | $15 | $189 | 1.0× |
| Myelin basic protein csf (83873) | $17 | $65.80 | 1.0× |
| Myoglobin urine (83874) | $12 | $64.60 | 0.9× |
| Natriuretic peptide (83880) | $39 | $276.40 | 1.0× |
| Nerve teasing preparations (88362) | $805 | $78.75 | 1.0× |
| Neutralization Test Viral (86382) | $16 | $153 | 0.9× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $26 | $204.25 | 1.0× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $488 | $2,463.75 | 1.0× |
| Nickel level (83885) | $24 | $222 | 1.0× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $246 | $300 | 1.0× |
| Nras gene variants exon 2&3 (81311) | $295 | $1,183.15 | 1.0× |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$17 | $89.65–$583.75 | 0.9× |
| Occult blood feces (82272) | $4 | $304.65 | 0.9× |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$5 | $66–$67.82 | 0.9× |
| Oligoclonal bands (83916) | $27 | $219 | 1.0× |
| Organic Acids Qualitative Each Specimen (83919) range across 2 matching MRF lines |
$16 | $63.25–$100 | 1.0× |
| Organic acids urine (83918) | $23 | $419.51 | 1.0× |
| Osmolality serum (83930) | $6 | $174.68 | 0.9× |
| Osmolality Urine (83935) | $6 | $195.23 | 0.9× |
| Osmotic fragility rbc incubated (85557) | $13 | $109.50 | 1.0× |
| Osmotic Fragility RBC Unincubated (85555) | $7 | $367.50 | 0.9× |
| Osteocalcin (83937) | $29 | $258.50 | 1.0× |
| Ova and parasites smears (87177) | $8 | $157.21 | 0.9× |
| Oxalate urine (83945) | $14 | $90 | 1.0× |
| Pancreatic Elastase Fecal (82656) | $11 | $539.44 | 1.0× |
| Particle Agglutination Screen Each Antibody (86403) | $11 | $136 | 1.0× |
| Parvovirus antibody (86747) | $15 | $117.14 | 1.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $805 | $73 | 1.0× |
| Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) | $43 | $207.50 | 1.0× |
| Ph urine (81003) | $2 | $83.23 | 0.9× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$15 | $394–$404.84 | 1.0× |
| Phenotype Infect Agent Drug (87900) | $130 | $1,798.13 | 1.0× |
| Phenylalanine (84030) | $5 | $117.19 | 0.9× |
| Phenylketones qual (84035) | $3 | $62.93 | 0.8× |
| Phenytoin (Dilantin) (80185) range across 3 matching MRF lines |
$13 | $394–$404.84 | 1.0× |
| Phenytoin free (80186) | $13 | $140.25 | 0.9× |
| Phosphatase acid prostatic (84066) | $9 | $67.20 | 0.9× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$5 | $360–$369.90 | 1.0× |
| Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) | $9 | $60.50 | 1.0× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$4 | $86.62–$161 | 0.8× |
| Phosphorus urine (84105) | $5 | $28.90 | 0.9× |
| Pinworm exam (87172) | $4 | $35.25 | 0.9× |
| Platelet Aggregation (85576) | $24 | $226.89 | 1.0× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$18 | $91.85–$213.79 | 1.0× |
| Platelet count automated (85049) range across 4 matching MRF lines |
$4 | $63.50–$231.19 | 0.9× |
| Platelet neutralization (85597) | $17 | $162.50 | 0.9× |
| Pooling blood platelets (86965) | $170 | $158.80 | 1.0× |
| Porphobilinogen Urine Qualitative (84106) | $5 | $57 | 0.9× |
| Porphobilinogen, urine; quantitative (84110) | $8 | $63.70 | 0.9× |
| Porphyrins Feces Quantitative (84126) range across 2 matching MRF lines |
$39 | $84.75–$230.50 | 1.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $14 | $86.50 | 1.0× |
| Porphyrins, urine; qualitative (84119) | $13 | $77.75 | 1.0× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$4 | $170–$174.68 | 0.8× |
| Pr assay of bradykinin (82286) | $5 | $63.25 | 1.0× |
| Prealbumin (84134) | $14 | $72.95 | 1.0× |
| Pregnenolone (84140) | $20 | $134.76 | 1.0× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $170 | $165.06 | 1.0× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 2 matching MRF lines |
$58 | $84.45–$184.10 | 1.0× |
| Primidone (80188) | $16 | $108.80 | 1.0× |
| Procalcitonin (Pct) (84145) | $27 | $924.75 | 1.0× |
| Progesterone (84144) | $20 | $104.30 | 1.0× |
| Prolactin (84146) range across 2 matching MRF lines |
$19 | $96.90–$526.50 | 1.0× |
| Prostaglandin (84150) | $41 | $225.75 | 1.0× |
| Protein body fluid (84157) range across 3 matching MRF lines |
$4 | $23.12–$165.43 | 1.0× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$13 | $169.49–$292.55 | 0.9× |
| Protein c antigen (85302) | $12 | $102.75 | 1.0× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$17 | $73–$89.15 | 1.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$10 | $53.70–$171.68 | 0.9× |
| Protein S Free (85306) range across 2 matching MRF lines |
$15 | $78–$164.40 | 1.0× |
| Protein s total (85305) | $11 | $137.69 | 0.9× |
| Protein total serum (84155) range across 4 matching MRF lines |
$3 | $161–$165.43 | 0.8× |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$3 | $65.80–$165.43 | 0.8× |
| Protein Western Blot Test (84182) | $29 | $312.61 | 1.0× |
| Protein, western blot tissue (88371) | $22 | $131 | 1.0× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $3 | $285 | 0.8× |
| Protoporphyrin rbc quantitative (84202) | $14 | $129.75 | 1.0× |
| Protoporphyrin, RBC; screen Facility (84203) | $9 | $60 | 0.9× |
| PSA free (84154) range across 2 matching MRF lines |
$18 | $174.25–$211.31 | 1.0× |
| Pth Intact (83970) | $41 | $206.40 | 1.0× |
| Pyruvate kinase (84220) | $9 | $86.25 | 1.0× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$12 | $63.96–$68.20 | 1.0× |
| Quantiferon tb gold plus (86480) | $61 | $309.90 | 1.0× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$18 | $123.75–$315 | 1.0× |
| Quantitative Screen Metals (83018) range across 4 matching MRF lines |
$21 | $112.97–$1,062.50 | 1.0× |
| Quinidine (80194) | $14 | $141.10 | 1.0× |
| Quinine (84228) | $11 | $105.50 | 0.9× |
| Rbc antibody elution (86860) | $170 | $753.05 | 1.0× |
| Rbc antibody identification (86870) range across 4 matching MRF lines |
$358 | $287–$1,584.75 | 1.0× |
| Rbc antibody screen (86850) range across 4 matching MRF lines |
$52 | $111.34–$238.90 | 5.3× |
| Rbc pretreatment serum (86978) | $58 | $269.65 | 1.0× |
| Rbc pretx incubatj w/enzymes (86971) range across 3 matching MRF lines |
$170 | $120.20–$753.05 | 1.0× |
| Reagent Strip/Blood Glucose (82948) | $5 | $52.42 | 1.0× |
| Receptor assay estrogen (84233) | $87 | $583.50 | 1.0× |
| Receptor assay progesterone (84234) | $64 | $587 | 1.0× |
| Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) | $209 | $623.25 | 1.0× |
| Renin activity plasma (84244) | $21 | $109.95 | 1.0× |
| Reptilase test (85635) | $9 | $90 | 0.9× |
| Resp virus 12-25 targets (87633) | $416 | $850 | 1.0× |
| Reticulocyte Count (85046) | $5 | $46 | 0.9× |
| Reticulocyte Count Manual (85044) range across 2 matching MRF lines |
$4 | $21.50–$170 | 0.9× |
| Rh (86901) range across 2 matching MRF lines |
$37 | $24.40–$176.80 | 12.4× |
| Rheumatoid Factor Qualitative (86430) | $6 | $45 | 1.0× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$5 | $30.83–$254 | 0.9× |
| Rickettsia antibody (86757) range across 6 matching MRF lines |
$19 | $132–$258.51 | 1.0× |
| Ristocetin cofactor (85245) | $22 | $305.47 | 1.0× |
| Rotavirus ag eia (87425) | $11 | $81.40 | 0.9× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$4 | $33.50–$83.22 | 0.9× |
| Rsv ab (86756) | $15 | $229 | 0.9× |
| Rsv Assay W/Optic (87807) | $13 | $83.74 | 1.0× |
| Rubella Antibody (86762) | $14 | $71.95 | 1.0× |
| Rubeola antibody (86765) | $12 | $129.23 | 0.9× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$9 | $100–$150 | 0.9× |
| Russell Viper Venon Time Undiluted (85612) | $17 | $87.25 | 1.0× |
| Salmonella antibody (86768) | $13 | $74 | 1.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 4 matching MRF lines |
$51 | $51.31–$500 | 1.0× |
| Sars-cov-2 COVID-19 antibody (86769) | $42 | $67.75 | 1.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $142 | $715 | 1.0× |
| Sedimentation rate (85651) | $4 | $127.41 | 0.9× |
| Selenium (84255) | $25 | $146.47 | 1.0× |
| Sensitivity mic (87186) | $8 | $65.25 | 0.9× |
| Serum Bactericidal Titer (87197) | $15 | $158.04 | 1.0× |
| Sex Chromatin Identification Barr Bodies (88130) | $17 | $136 | 0.9× |
| Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) | $7 | $72.75 | 0.9× |
| Sex Hormone Binding Globulin (84270) | $21 | $108.65 | 1.0× |
| Shigella Antibody (86771) range across 2 matching MRF lines |
$24 | $120–$250 | 1.0× |
| Sickling of rbc reduction (85660) | $5 | $33.70 | 0.9× |
| Silica (84285) | $25 | $213.50 | 1.0× |
| Sirolimus (80195) | $13 | $84.30 | 0.9× |
| Smear acid fast (87206) | $5 | $205.50 | 0.9× |
| Smear gram stain (87205) range across 3 matching MRF lines |
$4 | $65.80–$127.41 | 0.9× |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$5 | $23.75–$98.70 | 0.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$5 | $105–$107.89 | 0.9× |
| Sodium Serum (84295) | $4 | $86.31 | 0.8× |
| Sodium Urine (84300) | $5 | $174.68 | 1.0× |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
$36 | $122.20–$182.85 | 1.0× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$52 | $194–$238.90 | 1.0× |
| Special Stains Group 2 (88313) range across 4 matching MRF lines |
$133 | $58.50–$636.25 | 1.0× |
| Specific gravity body fluid (84315) | $3 | $116 | 0.9× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$6 | $23.75–$93.60 | 0.9× |
| Spectrophotometry (84311) | $8 | $400 | 1.0× |
| Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330) | $10 | $90 | 1.0× |
| Sperm evaluation; hamster penetration test Facility (89329) | $19 | $190.25 | 1.0× |
| Stone Analysis (82355) | $11 | $93.50 | 0.9× |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$9 | $24.90–$210.64 | 1.0× |
| Storage per Year Embryo (89342) | $170 | $160 | 1.0× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$16 | $58.50–$147.96 | 1.0× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$35 | $175.45–$222 | 1.0× |
| Strep b DNA amp probe (87653) | $35 | $175.45 | 1.0× |
| Streptokinase, antibody Facility (86590) | $12 | $99.25 | 0.9× |
| Sulfate urine (84392) | $5 | $43.75 | 0.9× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$52 | $278.19–$285.84 | 1.0× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$52 | $393.51–$407.92 | 1.0× |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$805 | $725.71–$3,791.15 | 1.0× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $4 | $43.75 | 0.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $7 | $63.25 | 0.9× |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $40 | $94.75 | 1.0× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $7 | $112 | 1.0× |
| Syphilis Test Non-Trep Quant (86593) | $4 | $219 | 0.9× |
| T cells absolute cd4 count (86361) | $26 | $249.17 | 1.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$46 | $140.25–$234.90 | 1.0× |
| T cells total count (86359) | $37 | $323.39 | 1.0× |
| T3 Free (84481) | $16 | $84.70 | 0.9× |
| T3 reverse (84482) | $15 | $78.80 | 1.0× |
| T3 Total (84480) | $14 | $70.90 | 1.0× |
| T3 Uptake (84479) | $6 | $160.03 | 0.9× |
| T4 Free (84439) range across 3 matching MRF lines |
$9 | $22–$442 | 1.0× |
| T4 total (84436) | $6 | $151.81 | 0.9× |
| Tacrolimus (80197) | $13 | $179.56 | 0.9× |
| Test for acetone/ketones (82009) | $4 | $217 | 0.9× |
| Test for urine cystines (82615) | $9 | $130.58 | 0.9× |
| Testosterone total (84403) | $25 | $129.05 | 1.0× |
| Testosterone, Free (84402) | $25 | $127.35 | 1.0× |
| Tetanus antibody (86774) | $14 | $131 | 0.9× |
| Theophylline (80198) | $14 | $404.84 | 1.0× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$5 | $78–$80 | 0.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$6 | $195.23–$308.25 | 0.9× |
| Thyroglobulin (84432) | $16 | $231.19 | 1.0× |
| Thyroglobulin Antibody (86800) | $15 | $79.55 | 0.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $50 | $254.30 | 1.0× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $50 | $442.75 | 1.0× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) | $67 | $590.75 | 1.0× |
| Thyroxine binding globulin (84442) | $14 | $93.70 | 0.9× |
| Tiss cul neo disorders solid tumor (88239) | $147 | $1,335.25 | 1.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$11 | $150–$154.13 | 1.0× |
| Tissue Culture (88233) range across 2 matching MRF lines |
$140 | $1,273.75–$3,000 | 1.0× |
| Tissue Culture Amniotic Fluid (88235) | $150 | $1,333.25 | 1.0× |
| Tissue culture bone marrow (88237) | $143 | $718.75 | 1.0× |
| Tissue Culture Lymphocyte (88230) | $116 | $1,055.25 | 1.0× |
| Tobramycin peak (80200) range across 4 matching MRF lines |
$16 | $549–$564.10 | 1.0× |
| Topiramate (80201) | $11 | $100.39 | 0.9× |
| Touch prep (88161) | $28 | $131.25 | 1.0× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $19 | $207.75 | 1.0× |
| Toxoplasma ab igm (86778) | $14 | $75.32 | 1.0× |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$14 | $172.50–$286.27 | 1.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $5 | $250.71 | 1.0× |
| Transferrin (84466) range across 3 matching MRF lines |
$12 | $337–$346.27 | 0.9× |
| Trichinella Antibody (86784) range across 2 matching MRF lines |
$12 | $114–$222.54 | 1.0× |
| Trichomonas vagin dir probe (87660) | $20 | $100.25 | 1.0× |
| Trichomonas Vaginalis Amplif (87661) | $35 | $45.39 | 1.0× |
| Triglycerides (84478) | $5 | $231.19 | 0.9× |
| Troponin Quant (84484) | $12 | $332.91 | 1.0× |
| Troponin, qualitative (84512) | $10 | $60 | 1.0× |
| Trypsin feces qual (84488) | $7 | $66.75 | 1.0× |
| Tumor immunohistochem/comput (88361) | $358 | $1,584.75 | 1.0× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$170 | $753.05–$995.90 | 1.0× |
| Unlisted Transfusion Medicine Procedure (86999) range across 3 matching MRF lines |
$28 | $205–$209.37 | 1.0× |
| Urea Nitrogen Clearance (84545) | $7 | $293 | 1.0× |
| Urea nitrogen urine (84540) | $5 | $27.80 | 0.9× |
| Uric acid other source (84560) | $5 | $217.25 | 1.0× |
| Urinalysis Microscopic Only (81015) | $3 | $110.75 | 1.0× |
| Urinalysis Volume Measure (81050) | $3 | $26.75 | 0.8× |
| Urine Albumin Semiquantitative (82044) range across 2 matching MRF lines |
$6 | $19.60–$55 | 1.0× |
| Urine Bacteria Culture (87088) | $8 | $117.65 | 1.0× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$8 | $153.50–$157.72 | 0.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $3 | $174.68 | 0.9× |
| Urobilinogen, feces, quantitative Facility (84577) | $16 | $112.75 | 1.0× |
| Valproic acid (80164) range across 2 matching MRF lines |
$13 | $275–$282.56 | 1.0× |
| Vancomycin (80202) range across 2 matching MRF lines |
$13 | $250.71–$282.56 | 1.0× |
| Varicella-zoster antibody (86787) | $12 | $132.29 | 0.9× |
| Vasopressin (84588) | $33 | $315.19 | 1.0× |
| Very Long Chain Fatty Acids (82726) | $19 | $163.75 | 1.0× |
| Viral Culture (87252) range across 3 matching MRF lines |
$26 | $261.80–$269 | 1.0× |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$12 | $136–$449.73 | 0.9× |
| Virus inoculate tissue addl (87253) | $20 | $158.49 | 1.0× |
| Virus inoculation, shell via (87254) | $19 | $30.75 | 1.0× |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) | $19 | $112 | 1.0× |
| Vit D 1 25-Dihydroxy (82652) | $38 | $192.50 | 1.0× |
| Vitamin A (84590) | $11 | $97.61 | 0.9× |
| Vitamin b-12 (82607) | $15 | $75.40 | 1.0× |
| Vitamin B2 (Riboflavin) (84252) | $20 | $203.72 | 1.0× |
| Vitamin B6 (84207) | $28 | $140.50 | 1.0× |
| Vitamin c (82180) | $9 | $57.75 | 0.9× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$29 | $148–$292.25 | 1.0× |
| Vitamin E (84446) range across 2 matching MRF lines |
$14 | $88.88–$128.75 | 1.0× |
| Vitamin K (84597) | $13 | $80.66 | 0.9× |
| Volatiles (84600) | $17 | $145.25 | 1.0× |
| Von willebrand factor ag (85246) | $22 | $269 | 1.0× |
| Wbc Alkaline Phosphatase Count (85540) | $8 | $100 | 0.9× |
| West nile virus ab igm (86788) | $16 | $195.23 | 0.9× |
| West Nile Virus Antibody (86789) | $14 | $195.23 | 1.0× |
| Western Blot Test (84181) range across 2 matching MRF lines |
$17 | $136–$438.36 | 1.0× |
| Xylose Absorption Test (84620) | $12 | $108 | 0.9× |
| Zika Virus Igm Antibody (86794) | $16 | $231.19 | 0.9× |
| Zinc (84630) | $11 | $128.44 | 1.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.