Lab & pathology prices at HealthAlliance-Clinton Hospital (Leominster and Clinton campuses)
Leominster, MA · every code in this section with a posted price and a Medicare benchmark.
926 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $190 | $190 | 8.3× |
| 5 Nucleotidase (83915) | $162 | $162 | 14.5× |
| Acetylcholine receptor binding antibody (86041) | $139 | $139 | 7.6× |
| Acetylcholine receptor blocking antibody (86042) | $139 | $139 | 7.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $139 | $139 | 11.5× |
| Acth (82024) | $383 | $383 | 9.9× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $288 | $288 | 8.8× |
| Actin smooth muscle antibody each (86015) | $105 | $105 | 8.7× |
| Acute hepatitis panel (80074) | $519 | $519 | 10.9× |
| Acylcarnitines Quant (82017) | $215 | $215 | 12.7× |
| Adenovirus antibody (86603) | $90 | $90 | 7.0× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $212 | $212 | 3.3× |
| Agglutinins Febrile Each Antigen (86000) | $55 | $55 | 7.9× |
| Albumin Fluid (82042) | $54 | $54 | 6.9× |
| Albumin serum (82040) | $32 | $32 | 6.5× |
| Aldolase (82085) | $98 | $98 | 10.1× |
| Aldosterone urine (82088) | $346 | $346 | 8.5× |
| Alkaline phosphatase isoenzymes (84080) | $93 | $93 | 6.3× |
| Allergen spec ige qual multiallergen screen (86005) | $70 | $70 | 8.8× |
| Allergen specific ige (86003) range across 4 matching MRF lines |
$45–$70 | $45–$70 | varies |
| Allergen specific igg (86001) | $46 | $46 | 5.9× |
| Allg Spec Ige Recomb Ea (86008) | $84 | $84 | 4.7× |
| Alpha-1-antitrypsin phenotype (82104) | $96 | $96 | 6.6× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$153–$165 | $153–$165 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $140 | $140 | 8.2× |
| Alpha-Fetoprotein Serum (82105) | $230 | $230 | 13.7× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$97–$105 | $97–$105 | varies |
| Aluminum (82108) | $206 | $206 | 8.1× |
| Amikacin trough (80150) | $98 | $98 | 6.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $244 | $244 | 10.6× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $188 | $188 | 11.1× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $105 | $105 | 7.6× |
| Amino Acids Quant 2-5 (82136) | $50 | $50 | 2.5× |
| Aminolevulinic acid (ala) (82135) | $129 | $129 | 7.8× |
| Ammonia (82140) | $92 | $92 | 6.3× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $580 | $580 | 5.9× |
| Amylase urine (82150) | $72 | $72 | 11.1× |
| Ana Titer (86039) | $103 | $103 | 9.2× |
| Anca screen each antibody (86036) | $143 | $143 | 11.9× |
| Anca Titer Each Antibody (86037) | $143 | $143 | 11.9× |
| Androstenedione (82157) | $175 | $175 | 6.0× |
| Angiotensin converting enzyme csf (82164) | $288 | $288 | 19.7× |
| Anti-Phospholipid Antibody (86148) | $145 | $145 | 9.0× |
| Antibody aspergillus (86606) | $127 | $127 | 8.4× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $62 | $62 | 4.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $145 | $145 | 9.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $123 | $123 | 7.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $108 | $108 | 8.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $291 | $291 | 19.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $296 | $296 | 16.3× |
| Antibody Fungus Not Elsewhere Specified (86671) | $162 | $162 | 13.2× |
| Antibody haemophilus influenza (86684) | $105 | $105 | 6.6× |
| Antibody helicobacter pylori (86677) | $119 | $119 | 7.1× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $103 | $103 | 7.2× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$243–$262 | $243–$262 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $72 | $72 | 5.3× |
| Antibody HIV-2 (86702) | $70 | $70 | 5.2× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $1,080 | $1,080 | 3.3× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $163 | $163 | 8.4× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$132–$143 | $132–$143 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $106 | $106 | 8.5× |
| Antibody john cunningham virus (86711) | $77 | $77 | 4.6× |
| Antibody Lymphocytic Choriomeningitis (86727) | $91 | $91 | 7.1× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$35.63–$108 | $35.63–$108 | varies |
| Antibody Titer (86886) | $114 | $114 | 22.0× |
| Antibody Treponema Pallidum (86780) | $107 | $107 | 8.1× |
| Antibody; campylobacter (86625) | $86 | $86 | 6.6× |
| Antibody; influenza virus (86710) | $239 | $239 | 17.6× |
| Antigen typing (86905) | $260 | $260 | 67.9× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $177 | $177 | 30.9× |
| Antinuclear antibodies (86038) | $230 | $230 | 19.0× |
| Antistreptolysin o titer (86060) | $60 | $60 | 8.2× |
| Antithrombin iii activity (85300) | $276 | $276 | 23.3× |
| Antithrombin iii antigen (85301) | $238 | $238 | 22.0× |
| Apolipoprotein a1 (82172) | $133 | $133 | 6.3× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $877 | $877 | 23.2× |
| Aquaporin-4 Antb Cba Each (86052) range across 2 matching MRF lines |
$145–$877 | $145–$877 | varies |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81204) | $906 | $906 | 6.6× |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81174) | $451 | $451 | 2.4× |
| Arsenic (82175) | $113 | $113 | 6.0× |
| Aspa gene analysis common variants (81200) | $270 | $270 | 5.7× |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$91–$226 | $91–$226 | varies |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$70.41–$379 | $70.41–$379 | varies |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$63–$68 | $63–$68 | varies |
| Assay Dir Meas Fr Estradiol (82681) | $540 | $540 | 19.3× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$31–$96 | $31–$96 | varies |
| Assay of 5-hiaa (83497) | $108 | $108 | 8.4× |
| Assay of anti-mullerian hormone (82166) | $173 | $173 | 4.5× |
| Assay of blood/uric acid (84550) | $79 | $79 | 17.5× |
| Assay of calcium in urine (82340) | $129 | $129 | 21.4× |
| Assay of cpk in blood (82552) | $117 | $117 | 8.7× |
| Assay of estrone (82679) | $224 | $224 | 9.0× |
| Assay of g6pd enzyme (82955) | $78 | $78 | 8.0× |
| Assay of gammaglobulin igm (82784) | $55 | $55 | 5.9× |
| Assay of lactic acid (83605) | $91 | $91 | 7.9× |
| Assay of manganese (83785) | $204 | $204 | 7.7× |
| Assay of metanephrines (83835) | $157 | $157 | 9.3× |
| Assay of phosphatase acid total (84060) | $51 | $51 | 6.7× |
| Assay of phosphatase alkaline heat stable (84078) | $45 | $45 | 5.4× |
| Assay of proinsulin (84206) | $154 | $154 | 5.8× |
| Assay of pyruvate (84210) | $59 | $59 | 4.1× |
| Assay of semen fructose (82757) | $134 | $134 | 7.7× |
| Assay of serotonin (84260) | $237 | $237 | 7.7× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$45–$49 | $45–$49 | varies |
| Assay of Tyrosine (84510) | $53 | $53 | 5.0× |
| Assay of urea nitrogen (84520) | $40 | $40 | 10.1× |
| Assay of urine vma (84585) | $131 | $131 | 8.5× |
| Assay of vasoactive intestinal peptide (84586) | $168 | $168 | 4.8× |
| Assay of vitamin b-1 (84425) | $288 | $288 | 13.6× |
| Assay Ph Body Fluid Nos (83986) | $36 | $36 | 10.1× |
| Assay Phosphohexose Enzymes (84087) | $81 | $81 | 7.5× |
| Assay spec xcp ur&breath ia (82077) | $186 | $186 | 10.8× |
| Asxl1 gene analysis full gene sequence (81175) | $756 | $756 | 1.1× |
| Asy carbamazepin 10,11-epxid (80161) | $49 | $49 | 2.6× |
| Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) | $451 | $451 | 3.3× |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) | $451 | $451 | 3.3× |
| ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles… (81183) | $451 | $451 | 3.3× |
| Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) | $451 | $451 | 3.3× |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) | $451 | $451 | 3.3× |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) | $451 | $451 | 3.3× |
| ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182) | $451 | $451 | 3.3× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $162 | $162 | 0.8× |
| Automated Leukocyte Count (85048) | $16 | $16 | 6.3× |
| B cells total count (86355) | $180 | $180 | 4.8× |
| Babesia microti amp prb (87469) | $122 | $122 | 3.5× |
| Bartonella antibody (86611) | $85 | $85 | 8.3× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$729–$787 | $729–$787 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$645–$697 | $645–$697 | varies |
| Bcr/Abl1 Gene Other Bp (81208) | $716 | $716 | 3.3× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$138–$149 | $138–$149 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$44–$48 | $44–$48 | varies |
| Beta-2 Microglobulin (82232) | $129 | $129 | 8.0× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $351 | $351 | 2.7× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $351 | $351 | 2.7× |
| Bile acids total (82239) | $568 | $568 | 33.2× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$40–$43 | $40–$43 | varies |
| Bilirubin total (82247) | $43 | $43 | 8.6× |
| Bilirubin total transcutaneous (88720) | $52 | $52 | 10.4× |
| Blastomyces antibody (86612) | $111 | $111 | 8.6× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $102 | $102 | 2.9× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) range across 2 matching MRF lines |
$297–$321 | $297–$321 | varies |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$54–$58 | $54–$58 | varies |
| Bleeding time test (85002) | $35 | $35 | 7.3× |
| Blm Gene (81209) | $126 | $126 | 3.2× |
| Blood Count Automated Differential Wbc Count (85004) | $153 | $153 | 23.6× |
| Blood Count Red Blood Cell Automated (85041) | $18 | $18 | 6.0× |
| Blood count reticulocyte automated (85045) | $78 | $78 | 19.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $28 | $28 | 7.4× |
| Blood count spun microhematocrit (85013) | $54 | $54 | 7.7× |
| Blood gas (82803) range across 3 matching MRF lines |
$179–$187 | $179–$187 | varies |
| Blood gases w/02 saturation (82805) | $190 | $190 | 2.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $125 | $125 | 7.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$42–$69.75 | $42–$69.75 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $170 | $170 | 26.8× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $246 | $246 | 15.1× |
| Blood typing serologic abo (86900) | $195 | $195 | 65.2× |
| Body fluid cell count (89050) | $39 | $39 | 8.3× |
| Bone marrow smear interpretation (85097) | $234 | $234 | 0.2× |
| Bordetella antibody (86615) | $108 | $108 | 8.2× |
| Borrelia Antibody (86619) | $80 | $80 | 6.0× |
| Borrelia miyamotoi amp prb (87478) | $122 | $122 | 3.5× |
| Braf gene analysis (81210) | $653 | $653 | 3.7× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) | $1,320 | $1,320 | 3.0× |
| Brca1&2 gen full seq dup/del (81162) | $9,143 | $9,143 | 5.0× |
| Brca2 gene analysis full dup/del analysis (81167) | $500 | $500 | 1.8× |
| Breath Alcohol Test (82075) range across 2 matching MRF lines |
$53–$99 | $53–$99 | varies |
| Brucella antibody (86622) | $91 | $91 | 10.2× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$212–$235 | $212–$235 | varies |
| C-Peptide (84681) | $175 | $175 | 8.4× |
| C-reactive protein (86140) | $72 | $72 | 13.9× |
| Ca 19-9 (86301) | $172 | $172 | 8.3× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) | $451 | $451 | 3.3× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) | $2,393 | $2,393 | 2.8× |
| Cadmium (82300) | $87 | $87 | 3.7× |
| Caffeine (80155) | $216 | $216 | 5.6× |
| Calcitonin (82308) | $158 | $158 | 5.9× |
| Calcium ionized (82330) range across 3 matching MRF lines |
$60.19–$84 | $60.19–$84 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$40–$43 | $40–$43 | varies |
| Calculus Spectroscopy (82365) | $111 | $111 | 8.6× |
| Calprotectin Fecal (83993) | $171 | $171 | 8.7× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$283–$469 | $283–$469 | varies |
| Cancer Antigen 125 (86304) | $359 | $359 | 17.3× |
| Cancer Antigen 27.29 (86300) | $202 | $202 | 9.7× |
| Candida antibody (86628) | $108 | $108 | 9.0× |
| Candida Dna Dir Probe (87480) | $233 | $233 | 11.6× |
| Car Ion Chnnlpath Inc 10 Gns (81413) | $600 | $600 | 1.0× |
| Carbamazepine free (80157) | $96 | $96 | 7.2× |
| Carbamazepine total (80156) | $92 | $92 | 6.3× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$100–$108 | $100–$108 | varies |
| Carcinoembryonic antigen (82378) | $151 | $151 | 8.0× |
| Cardiolipin ab iga (86147) | $131 | $131 | 5.1× |
| Carnitine Quantitative Each Specimen (82379) | $216 | $216 | 12.8× |
| Carotene (82380) | $186 | $186 | 20.2× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$348–$376 | $348–$376 | varies |
| Ccnd1/Igh Translocation Alys (81168) | $361 | $361 | 1.7× |
| Ccp antibody (86200) | $111 | $111 | 8.6× |
| Cell count csf (89051) range across 2 matching MRF lines |
$95–$103 | $95–$103 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 2 matching MRF lines |
$920–$994 | $920–$994 | varies |
| Ceruloplasmin (82390) | $65 | $65 | 6.1× |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | $554 | $554 | 3.3× |
| Cftr Gene Analysis Known Familial Variants (81221) | $807 | $807 | 8.3× |
| Cftr gene com variants (81220) | $2,700 | $2,700 | 4.9× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$162–$175 | $162–$175 | varies |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$67–$72 | $67–$72 | varies |
| Chlamydia Igm Antibody (86632) | $108 | $108 | 8.5× |
| Chlamydia trachomatis ag if (87270) | $116 | $116 | 9.7× |
| Chlmy trch&neisra gonor mult (87494) | $620 | $620 | 8.8× |
| Chloride other source (82438) | $27 | $27 | 5.4× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$30–$32 | $30–$32 | varies |
| Chloride urine (82436) | $35 | $35 | 6.1× |
| Chlorinated Hydrocarbons Screen (82441) | $52 | $52 | 8.7× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$44–$81 | $44–$81 | varies |
| Cholinesterase rbc (82482) | $58 | $58 | 5.9× |
| Cholinesterase Serum (82480) | $42 | $42 | 5.3× |
| Chorionic gonadotropin test (84702) | $143 | $143 | 9.5× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $1,572 | $1,572 | 8.3× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $146 | $146 | 5.4× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $265 | $265 | 7.9× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $876 | $876 | 5.1× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $1,755 | $1,755 | 10.1× |
| Chromium serum (82495) | $177 | $177 | 8.7× |
| Chromogenic Substrate Assay (85130) range across 2 matching MRF lines |
$63–$723 | $63–$723 | varies |
| Chromogranin a (86316) | $175 | $175 | 8.4× |
| Chromosome analys amniotic (88269) | $1,324 | $1,324 | 7.6× |
| Chromosome Analysis 15-20 (88262) | $1,548 | $1,548 | 12.3× |
| Chromosome Analysis 20-25 (88264) | $1,644 | $1,644 | 11.4× |
| Chromosome analysis, 5 (88261) | $1,624 | $1,624 | 6.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $249 | $249 | 7.1× |
| Citric acid urine (82507) | $270 | $270 | 9.7× |
| Ckmb (82553) | $270 | $270 | 23.4× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$136–$154 | $136–$154 | varies |
| Clot Factor VIII Multimetric (85247) | $205 | $205 | 8.9× |
| Clot factor xiii fibrin stab (85290) | $144 | $144 | 8.8× |
| Clotting factor viii related antigen (85244) | $50 | $50 | 2.4× |
| Clotting factor xii hageman (85280) | $293 | $293 | 15.1× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$235–$270 | $235–$270 | varies |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) | $451 | $451 | 3.3× |
| Cns DNA amp probe type 12-25 (87483) | $2,160 | $2,160 | 5.2× |
| Coagulation time activated (85347) | $28 | $28 | 6.5× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$121–$194 | $121–$194 | varies |
| Cold agglutinin screen (86156) | $135 | $135 | 16.7× |
| Cold agglutinin titer (86157) | $59 | $59 | 7.3× |
| Collagen crosslinks (82523) | $152 | $152 | 8.1× |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$141–$807 | $141–$807 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $1,077 | $1,077 | 4.6× |
| Compatibility Each Unit Incubation (86921) | $108 | $108 | 0.5× |
| Compatibility test antiglob (86922) | $201 | $201 | 1.0× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$221–$222 | $221–$222 | varies |
| Complement Total (Ch50) (86162) | $291 | $291 | 14.3× |
| Complement/Function Activity (86161) | $103 | $103 | 8.6× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $175 | $175 | 2.8× |
| Coombs direct (86880) | $93 | $93 | 17.3× |
| Copper urine (82525) | $106 | $106 | 8.5× |
| Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) | $1,902 | $1,902 | 2.4× |
| Cortisol free (82530) | $259 | $259 | 15.5× |
| Cortisol saliva (82533) | $140 | $140 | 8.6× |
| Creatine (82540) | $49 | $49 | 10.6× |
| Creatine kinase total (82550) | $65 | $65 | 10.0× |
| Creatinine blood (82565) | $48 | $48 | 9.4× |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$55–$72.20 | $55–$72.20 | varies |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$45–$52.58 | $45–$52.58 | varies |
| Crossmatch electronic (86923) | $280 | $280 | 1.4× |
| Crossmatch immediate spin (86920) | $211 | $211 | 1.0× |
| Crp High Sensitivity (86141) | $162 | $162 | 12.5× |
| Cryofibrinogen (82585) | $97 | $97 | 6.9× |
| Cryoglobulin (82595) | $55 | $55 | 8.5× |
| Cryptococcal Antigen (87327) | $102.92 | $102.92 | 7.7× |
| Cryptococcus ab (86641) | $63 | $63 | 4.4× |
| Cryptosporidium (87272) | $122 | $122 | 10.2× |
| Cryptosporidium ag eia (87328) | $139 | $139 | 10.1× |
| CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles… (81188) | $540 | $540 | 3.9× |
| CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Facility (81189) | $308 | $308 | 1.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $45 | $45 | 5.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $106 | $106 | 13.1× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $93 | $93 | 12.1× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $311 | $311 | 1.4× |
| Culture aerobic quant other (87071) | $178 | $178 | 18.0× |
| Culture afb (87116) | $104 | $104 | 9.6× |
| Culture Anaerobic (87075) | $86 | $86 | 9.1× |
| Culture blood (87040) | $104 | $104 | 10.1× |
| Culture chlamydia (87110) | $179 | $179 | 9.1× |
| Culture csf (87070) | $136 | $136 | 15.8× |
| Culture fungus (87102) | $45 | $45 | 5.4× |
| Culture fungus blood (87103) | $216 | $216 | 10.6× |
| Culture screen only (87081) | $114 | $114 | 17.2× |
| Culture stool (87045) | $91 | $91 | 9.6× |
| Culture typing if ea antiserum (87140) | $40 | $40 | 7.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $42 | $42 | 8.1× |
| Culture urine (87086) | $131 | $131 | 16.2× |
| Cyanide (82600) | $106 | $106 | 5.5× |
| Cyclic amp (82030) | $125 | $125 | 4.8× |
| Cyclosporine (80158) | $105 | $105 | 5.8× |
| Cyp2c19 gene analysis common variants (81225) | $1,702 | $1,702 | 5.8× |
| Cystatin C (82610) | $100 | $100 | 5.4× |
| Cytogenetics 100-300 (88275) | $480 | $480 | 9.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$4,114–$4,860 | $4,114–$4,860 | varies |
| Cytogenomic neo microra alys (81277) | $2,700 | $2,700 | 2.3× |
| Cytomegalovirus igg (86644) | $99 | $99 | 6.9× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $139 | $139 | 6.9× |
| Cytopath Cell Enhance Tech (88112) | $187 | $187 | 3.0× |
| Cytotoxic pra quick (86808) | $49 | $49 | 1.7× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $218 | $218 | 8.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $242 | $242 | 3.9× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $266 | $266 | 1.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $141 | $141 | 3.2× |
| Cytp Urine 3-5 Probes Cmptr (88121) range across 2 matching MRF lines |
$30–$2,378 | $30–$2,378 | varies |
| Deoxycortisol (82634) | $190 | $190 | 6.5× |
| Deoxyribonuclease antibody (86215) | $93 | $93 | 7.0× |
| Desoxycorticosterone (82633) | $180 | $180 | 5.8× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$208–$373 | $208–$373 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$415–$448 | $415–$448 | varies |
| Detect agnt mult DNA ampli (87801) | $339 | $339 | 4.8× |
| Dgp Antibody Each Ig Class (86258) | $105 | $105 | 8.7× |
| Dhea (82626) | $216 | $216 | 8.5× |
| Dhea-S (82627) | $401 | $401 | 18.0× |
| Dibucaine number (82638) | $108 | $108 | 8.8× |
| Digoxin (80162) | $140 | $140 | 10.5× |
| Dihydrotestosterone (82642) | $230 | $230 | 7.9× |
| Diphtheria antitoxoid (86648) range across 3 matching MRF lines |
$72–$130 | $72–$130 | varies |
| Dipropylacetic Acid Free (80165) | $270 | $270 | 19.9× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) | $78 | $78 | 2.3× |
| DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded… (81239) | $906 | $906 | 3.3× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $487 | $487 | 3.6× |
| Dna Antibody Native/Double Stranded (86225) | $123 | $123 | 9.0× |
| Dna Antibody Single Stranded (86226) | $134 | $134 | 11.1× |
| DNA/RNA direct probe (87149) | $254 | $254 | 12.7× |
| Dpyd gene common variants (81232) | $639 | $639 | 3.7× |
| Drug assay acetaminophen (80143) | $389 | $389 | 20.9× |
| Drug assay adalimumab (80145) | $200 | $200 | 5.2× |
| Drug Assay Amiodarone (80151) | $103 | $103 | 5.5× |
| Drug Assay Everolimus (80169) | $335 | $335 | 24.4× |
| Drug assay felbamate (80167) | $103 | $103 | 5.5× |
| Drug Assay Infliximab (80230) | $216 | $216 | 5.6× |
| Drug Assay Itraconazole (80189) | $162 | $162 | 6.0× |
| Drug Assay Lacosamide (80235) | $162 | $162 | 6.0× |
| Drug Assay Leflunomide (80193) | $216 | $216 | 5.6× |
| Drug Assay Posaconazole (80187) | $299 | $299 | 11.0× |
| Drug assay voriconazole (80285) | $146 | $146 | 5.4× |
| Drug Asy Hydroxychloroquine (80220) | $590 | $590 | 31.7× |
| Drug Screen Quant Clozapine (80159) | $132 | $132 | 6.6× |
| Drug Screen Quant Zonisamide (80203) | $81 | $81 | 6.1× |
| Drug Screen Quantitative Gabapentin (80171) | $270 | $270 | 12.5× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$91–$98 | $91–$98 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$93–$100 | $93–$100 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $93 | $93 | 7.0× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $147 | $147 | 8.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$50–$389 | $50–$389 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $229 | $229 | 18.2× |
| Egfr Gene Analysis Common Variants (81235) | $1,147 | $1,147 | 3.5× |
| Ehrlichia antibody (86666) | $84 | $84 | 8.3× |
| El-1 Fecal Quantitative (82653) | $102 | $102 | 4.4× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$55–$120 | $55–$120 | varies |
| Electron Microscopy (88348) | $2,509 | $2,509 | 2.6× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $300 | $300 | 4.9× |
| Encephaltis East Eqne Anbdy (86652) | $114 | $114 | 8.6× |
| Encephaltis West Eqne Antbdy (86654) | $127 | $127 | 9.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $105 | $105 | 8.7× |
| Enterovirus Antibody (86658) | $90 | $90 | 6.9× |
| Enterovirus PCR (87498) | $229 | $229 | 6.5× |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$164–$562 | $164–$562 | varies |
| Enzyme histochemistry (88319) | $753 | $753 | 0.8× |
| Eosinophil Smear (89190) | $35 | $35 | 6.0× |
| Erythropoietin (82668) | $111 | $111 | 5.9× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$430–$464 | $430–$464 | varies |
| Estriol (82677) | $280 | $280 | 11.6× |
| Estrogen total (82672) | $186 | $186 | 8.6× |
| Estrogens fractionated (82671) | $282 | $282 | 8.7× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$91–$98 | $91–$98 | varies |
| Ethylene Glycol (82693) | $129 | $129 | 8.7× |
| Euglobulin lysis (85360) | $45 | $45 | 5.4× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$78–$84 | $78–$84 | varies |
| Ezh2 gene analysis full gene sequence (81236) | $351 | $351 | 1.2× |
| F2 Gene (81240) | $341 | $341 | 5.2× |
| Factor ii activity (85210) | $234 | $234 | 18.0× |
| Factor Inhibitor Test (85335) range across 2 matching MRF lines |
$429–$554 | $429–$554 | varies |
| Factor ix activity (85250) | $312 | $312 | 16.4× |
| Factor v activity (85220) | $306 | $306 | 17.3× |
| Factor v leiden mutation (81241) | $422 | $422 | 5.8× |
| Factor vii assay (85230) | $306 | $306 | 17.1× |
| Factor viii assay (85240) | $319 | $319 | 17.8× |
| Factor X (85260) | $248 | $248 | 13.9× |
| Factor xi activity (85270) | $379 | $379 | 21.2× |
| Factor xiii screen (85291) | $133 | $133 | 14.6× |
| Fancc Gene (81242) | $143 | $143 | 3.9× |
| Fat stain feces urine/respir secretions (89125) | $26 | $26 | 4.4× |
| Fat/Lipids Feces Quantitative (82710) | $143 | $143 | 8.5× |
| Fatty acids free (82725) | $570 | $570 | 30.4× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $60 | $60 | 7.8× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $134 | $134 | 7.8× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $99 | $99 | 15.2× |
| Fecal Fat Qualitative (82705) | $99 | $99 | 19.4× |
| Ferritin (82728) | $105 | $105 | 7.7× |
| Fetal Chrmoml Aneuploidy (81420) | $2,931 | $2,931 | 3.9× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $483 | $483 | 3.1× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $188 | $188 | 3.5× |
| Fetal Fibronectin (82731) | $596 | $596 | 9.3× |
| Fetal hemoglobin assay qual (83033) | $87 | $87 | 10.9× |
| Fetal screen rosette (85461) | $57 | $57 | 6.1× |
| Fibrin degradation products (85362) | $48 | $48 | 7.0× |
| Fibrin Degradation Quant (85379) | $84 | $84 | 8.3× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $48 | $48 | 4.9× |
| Fibrinogen activity (85384) | $122 | $122 | 12.6× |
| Fibrinogen antigen (85385) | $87 | $87 | 6.0× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $167 | $167 | 10.8× |
| Flecainide level (80181) | $103 | $103 | 5.5× |
| Flow cytometry first marker (88184) range across 4 matching MRF lines |
$346–$1,178 | $346–$1,178 | varies |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$67–$145 | $67–$145 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $93 | $93 | 7.7× |
| Fmr1 Gene Charac Alleles (81244) | $122 | $122 | 2.7× |
| Fmr1 gene detection (81243) | $114 | $114 | 2.0× |
| Folic acid rbc (82747) | $133 | $133 | 7.5× |
| Folic Acid Serum (82746) | $177 | $177 | 12.0× |
| Follicle Stimulating Hormone (83001) | $333 | $333 | 17.9× |
| Francisella tularensis (86668) | $108 | $108 | 7.6× |
| Fresh Frozen Plasma Thawing Each Unit (86927) range across 2 matching MRF lines |
$338–$356 | $338–$356 | varies |
| Frozen Section (88331) | $309 | $309 | 1.5× |
| Fungi Identification Mold (87107) | $107 | $107 | 10.4× |
| Fungi Identification Yeast (87106) | $91 | $91 | 8.8× |
| Fxn Gene Analysis Characterization Alleles (81285) | $906 | $906 | 3.3× |
| Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) | $451 | $451 | 3.3× |
| Fxn Gene Analysis Full Gene Sequence (81286) | $2,393 | $2,393 | 8.7× |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | $180 | $180 | 3.1× |
| Gammaglobulin ige (82785) | $324 | $324 | 19.7× |
| Gardner vag DNA dir probe (87510) | $235 | $235 | 11.7× |
| Gases blood ph only (82800) range across 3 matching MRF lines |
$45.42–$86 | $45.42–$86 | varies |
| Gastrin (82941) | $148 | $148 | 8.4× |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $278 | $278 | 5.9× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $9,952 | $9,952 | 13.1× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $9,337 | $9,337 | 3.2× |
| Genet Virus Isolate Hsv (87255) | $283 | $283 | 8.4× |
| Genetic Tstg Severe Inh Cond (81443) | $3,240 | $3,240 | 1.3× |
| Gentamicin (80170) | $137 | $137 | 8.4× |
| Ggt (82977) | $53 | $53 | 7.4× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$221–$239 | $221–$239 | varies |
| Giardia lamblia antibody (86674) | $81 | $81 | 5.5× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $49 | $49 | 8.1× |
| Glucagon (82943) | $122 | $122 | 8.5× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$55.36–$68 | $55.36–$68 | varies |
| Glucose Blood Test (82962) range across 3 matching MRF lines |
$15–$21 | $15–$21 | varies |
| Glucose body fluid (82945) | $70 | $70 | 17.8× |
| Glucose Serum (82947) range across 3 matching MRF lines |
$39–$42 | $39–$42 | varies |
| Glucose tolerance test (gtt) (82951) | $90 | $90 | 7.0× |
| Glutathione (82978) | $130 | $130 | 8.4× |
| Glycated Protein (82985) | $130 | $130 | 7.8× |
| Gonadotropin Chorionic Qualitative (84703) | $100 | $100 | 13.3× |
| Growth hormone (83003) | $288 | $288 | 17.3× |
| Growth Stimulation Gene 2 (83006) | $432 | $432 | 5.7× |
| Gtt-added samples (82952) | $68 | $68 | 17.3× |
| H Pylori (C-13) Breath (83013) | $580 | $580 | 8.6× |
| Haloperidol (80173) | $130 | $130 | 8.2× |
| Haptoglobin (83010) | $105 | $105 | 8.3× |
| Hba1/Hba2 Gene (81257) | $598 | $598 | 5.8× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $1,118 | $1,118 | 5.5× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$83–$90 | $83–$90 | varies |
| Heavy metal qualitative any analytes (83015) range across 2 matching MRF lines |
$64–$111.25 | $64–$111.25 | varies |
| Helicobacter Pylori Stool (87338) | $254 | $254 | 17.7× |
| Helminth Antibody (86682) | $100 | $100 | 7.7× |
| Hematocrit (85014) | $18 | $18 | 7.6× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$15–$18 | $15–$18 | varies |
| Hemoglobin a1c (83036) | $86 | $86 | 8.9× |
| Hemoglobin Chromotography (83021) | $183 | $183 | 10.1× |
| Hemoglobin electrophoresis (83020) | $108 | $108 | 8.4× |
| Hemoglobin F Fetal Chemical (83030) | $183 | $183 | 17.0× |
| Hemoglobin Methemoglobin Quantitative (83050) | $81 | $81 | 9.9× |
| Hemoglobin plasma (83051) | $118 | $118 | 16.1× |
| Hemoglobin urine (83069) | $38 | $38 | 9.6× |
| Hemoglobin-Oxygen Affinity (82820) | $956 | $956 | 71.7× |
| Hemosiderin urine (83070) | $43 | $43 | 9.1× |
| Hep a ab igm (86709) | $121 | $121 | 10.7× |
| Heparin assay (85520) | $352 | $352 | 26.9× |
| Hepatitis a antibody total (86708) | $133 | $133 | 10.7× |
| Hepatitis b core ab igm (86705) | $135 | $135 | 11.5× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$235–$254 | $235–$254 | varies |
| Hepatitis B Surface Antibody (86706) | $151 | $151 | 14.1× |
| Hepatitis B Surface Antigen (87340) | $217 | $217 | 21.0× |
| Hepatitis Be Antibody (86707) | $122 | $122 | 10.5× |
| Hepatitis Be Antigen (87350) | $121 | $121 | 10.5× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$163–$173 | $163–$173 | varies |
| Hepatitis C Genotype (87902) | $1,238 | $1,238 | 4.8× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $422 | $422 | 12.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $456 | $456 | 10.6× |
| Hepatitis d quantification (87523) | $448 | $448 | 10.5× |
| Hepatitis delta ag (87380) | $179 | $179 | 9.7× |
| Hepatitis Delta Agent Antibody (86692) | $147 | $147 | 8.6× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$194–$210 | $194–$210 | varies |
| Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) | $48 | $48 | 6.5× |
| Heterophile Antibody Screen (86308) | $144 | $144 | 27.8× |
| Hexa gene analysis common variants (81255) | $2,422 | $2,422 | 47.1× |
| Hfe Gene (81256) | $322 | $322 | 4.9× |
| Hgb Quantitative Transcutaneous (88738) | $50 | $50 | 10.0× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $58 | $58 | 7.5× |
| Histamine urine (83088) | $246 | $246 | 8.3× |
| Histoplasma antibody (86698) | $175 | $175 | 12.7× |
| Histoplasma antigen urine (87385) | $132 | $132 | 10.0× |
| Hiv Genotype (87901) | $1,238 | $1,238 | 4.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $194 | $194 | 8.1× |
| Hiv-1 Antibody (86701) | $70 | $70 | 7.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $983 | $983 | 11.6× |
| HIV-2 probe&revrse trnscripj (87538) | $383 | $383 | 10.9× |
| Hla class ii high defin qual (86833) | $1,080 | $1,080 | 3.3× |
| Hla class ii typing high resolution one locus ea (81382) range across 2 matching MRF lines |
$569–$615 | $569–$615 | varies |
| Hla I Typing 1 Allele Hr (81381) | $1,080 | $1,080 | 6.4× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $4,722 | $4,722 | 13.7× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $1,368 | $1,368 | 6.2× |
| Hla ii typing 1 locus lr (81376) | $630 | $630 | 5.2× |
| Hla-b27 (86812) | $431 | $431 | 16.7× |
| Homocysteine (83090) | $144 | $144 | 8.0× |
| Homovanillic acid urine (83150) | $171 | $171 | 7.6× |
| Hpa-1 genotyping gene analysis common variant (81105) | $915 | $915 | 7.5× |
| Hpv High-Risk Types (87624) | $117 | $117 | 3.3× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$70–$422 | $70–$422 | varies |
| Hsv Dna Quant (87530) | $469 | $469 | 10.9× |
| Htlv-I Antibody (86687) | $65 | $65 | 7.2× |
| Htt Gene Analysis Characterization Alleles (81274) | $906 | $906 | 3.3× |
| Htt Gene Detc Abnor Alleles (81271) | $487 | $487 | 3.6× |
| Hydroxycorticosteroids 17 (83491) | $98 | $98 | 5.5× |
| Hydroxyprogesterone 17-d (83498) | $187 | $187 | 6.9× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $121 | $121 | 2.7× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $225 | $225 | 18.8× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) range across 2 matching MRF lines |
$86–$93 | $86–$93 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $132 | $132 | 9.5× |
| Iaad ia shiga-like toxin (87427) | $98 | $98 | 8.2× |
| Iaad Ia Streptococcus Group A (87430) | $96.80 | $96.80 | 5.8× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $122 | $122 | 10.2× |
| Iaadi inffluenza a virus (87276) | $97.80 | $97.80 | 6.1× |
| Iaadi not otherwise specified each organism (87299) | $122 | $122 | 7.6× |
| Iaadi pneumocustis carinii (87281) range across 2 matching MRF lines |
$91–$98 | $91–$98 | varies |
| Iaadi respiratory synctial virus (87280) | $217 | $217 | 16.2× |
| Iaadi Varicella Zoster Virus (87290) | $122 | $122 | 9.1× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $122 | $122 | 3.5× |
| Iadna Bartonella Amplified Probe Technique (87471) | $383 | $383 | 10.9× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $364 | $364 | 10.4× |
| Iadna Candida Species Amplified Probe Tq (87481) | $170 | $170 | 4.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $81 | $81 | 2.3× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $168 | $168 | 7.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $397 | $397 | 11.3× |
| Iadna Cytomegalovirus Quantification (87497) | $435 | $435 | 10.2× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $322 | $322 | 4.6× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $122 | $122 | 3.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $449 | $449 | 10.5× |
| Iadna Herpes Virus-6 Quantification (87533) | $464 | $464 | 11.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $367 | $367 | 10.5× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $540 | $540 | 7.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $366 | $366 | 8.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $915 | $915 | 26.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $246 | $246 | 7.0× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $117 | $117 | 2.3× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $636 | $636 | 4.5× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $816 | $816 | 3.1× |
| Idh1 common variants (81120) | $576 | $576 | 3.0× |
| Idh2 common variants (81121) | $880 | $880 | 3.0× |
| Ig Light Chains Free Each (83521) | $89 | $89 | 5.2× |
| Igg subclasses (82787) | $130 | $130 | 16.2× |
| Igh gene rearrange amp meth (81261) | $993 | $993 | 5.0× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,350 | $1,350 | 4.6× |
| Igk rearrangeabn clonal pop (81264) | $748 | $748 | 4.3× |
| Ikbkap Gene Analysis Common Variants (81260) | $270 | $270 | 6.9× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $375 | $375 | 0.9× |
| Immune Complex Assay (86332) | $162 | $162 | 6.6× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$232–$251 | $232–$251 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$129–$144 | $129–$144 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 4 matching MRF lines |
$54–$171 | $54–$171 | varies |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$105–$114 | $105–$114 | varies |
| Immunodiffusion Ouchterlony (86331) | $72 | $72 | 6.0× |
| Immunofixation electrophoresis (86334) | $213 | $213 | 9.5× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $252 | $252 | 1.2× |
| Immunohistochemistry (88342) | $386 | $386 | 1.9× |
| In situ hybridization 1st probe stain (88365) | $246 | $246 | 1.2× |
| In situ hybridization ea multiplex probe stain (88366) | $1,876 | $1,876 | 9.2× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $116 | $116 | 8.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) | $244 | $244 | 12.2× |
| Influenza a/b ag eia (87400) | $93 | $93 | 6.6× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$69.75–$98 | $69.75–$98 | varies |
| Influenza DNA amp probe (87502) | $586 | $586 | 6.1× |
| Inherited Cardmypthy 5 Gns (81439) | $600 | $600 | 1.0× |
| Inhibin A (86336) | $180 | $180 | 11.5× |
| Inhibin b (83520) range across 6 matching MRF lines |
$152–$730 | $152–$730 | varies |
| Insitu hybridization auto (88367) | $904 | $904 | 2.1× |
| Insitu hybridization manual (88368) | $715 | $715 | 1.7× |
| Insulin antibodies (86337) | $131 | $131 | 6.1× |
| Insulin free (83527) | $91 | $91 | 7.0× |
| Insulin total (83525) | $148 | $148 | 12.9× |
| Interleukin-6 (83529) | $152 | $152 | 8.8× |
| Intrinsic factor antibody (86340) | $106 | $106 | 7.0× |
| Iron (83540) | $72 | $72 | 11.1× |
| Iron Binding Capacity (83550) | $58 | $58 | 6.6× |
| Irradiation Blood Product Each Unit (86945) | $52 | $52 | 1.2× |
| Islet cell antibody (86341) | $122 | $122 | 5.2× |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$214–$528 | $214–$528 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) range across 2 matching MRF lines |
$432–$745 | $432–$745 | varies |
| Ketosteroids 17 total (83586) | $95 | $95 | 7.4× |
| Koh Prep (87220) range across 2 matching MRF lines |
$36.50–$52 | $36.50–$52 | varies |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$686–$974 | $686–$974 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $56 | $56 | 9.3× |
| Lactoferrin fecal qualitative (83630) | $102 | $102 | 5.2× |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) | $40 | $40 | 2.0× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$98–$106 | $98–$106 | varies |
| LDL direct (83721) | $92 | $92 | 8.8× |
| Lead (83655) range across 2 matching MRF lines |
$111–$114 | $111–$114 | varies |
| Legionella antibody (86713) | $239 | $239 | 15.6× |
| Legionella antigen urine (87449) | $126 | $126 | 10.5× |
| Leptospira antibody (86720) | $86 | $86 | 5.3× |
| Leukocyte Assessment Fecal (89055) | $38 | $38 | 8.9× |
| Leukocyte Histamine Release (86343) | $131 | $131 | 10.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $118 | $118 | 3.4× |
| Level ii surg pathology grossµscopic exam (88302) | $131 | $131 | 2.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $389 | $389 | 0.9× |
| Lidocaine (80176) | $93 | $93 | 6.3× |
| Lipase (83690) | $126 | $126 | 18.3× |
| Lipoprotein A (83695) | $114 | $114 | 8.0× |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$269–$282 | $269–$282 | varies |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $206 | $206 | 6.1× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $302 | $302 | 6.5× |
| Listeria Monocytogenes (86723) | $57 | $57 | 4.3× |
| Lithium (80178) | $58 | $58 | 8.8× |
| Liver ds alys 3 bmrk srm alg (81517) | $228 | $228 | 1.3× |
| Luteinizing Hormone (Lh) (83002) | $333 | $333 | 18.0× |
| Lyme disease antibody (86618) | $108 | $108 | 6.3× |
| Lymphocyte transformation (86353) range across 2 matching MRF lines |
$397–$429 | $397–$429 | varies |
| Lymphocytotoxicity Assay (86805) | $457 | $457 | 2.4× |
| Lysozyme serum (85549) | $175 | $175 | 9.3× |
| M. Genitalium Amp Probe (87563) | $420 | $420 | 12.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $537 | $537 | 2.6× |
| M/phmtrc alys ishquant/semiq (88374) | $563 | $563 | 2.8× |
| Macroscopic exam arthropod (87168) | $121 | $121 | 28.3× |
| Macroscopic Exam Parasite (87169) | $41 | $41 | 9.5× |
| Magnesium Urine (83735) | $59 | $59 | 8.8× |
| Mass Spectrometry Quant (83789) | $151 | $151 | 6.3× |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $143 | $143 | 3.6× |
| Mercury urine (83825) | $216 | $216 | 13.3× |
| Metabolic panel ionized ca (80047) range across 2 matching MRF lines |
$56.70–$188 | $56.70–$188 | varies |
| Methotrexate (80204) | $216 | $216 | 5.6× |
| Methylmalonic acid serum (83921) | $145 | $145 | 6.8× |
| Mgmt methylation analysis (81287) | $515 | $515 | 4.1× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$45–$49.40 | $45–$49.40 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$183–$198 | $183–$198 | varies |
| Mitochondrial Antibody Each (86381) | $145 | $145 | 5.7× |
| Mog-Igg1 Antb Cba Each (86362) | $1,095 | $1,095 | 90.9× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 8 matching MRF lines |
$259–$540 | $259–$540 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $376 | $376 | 8.9× |
| Molecular Pathology Procedure Level 3 (81402) | $549 | $549 | 3.7× |
| Molecular Pathology Procedure Level 6 (81405) range across 7 matching MRF lines |
$326–$4,465 | $326–$4,465 | varies |
| Mononuclear cell antigen (86356) | $113 | $113 | 4.2× |
| Mopath procedure level 2 (81401) range across 26 matching MRF lines |
$261–$1,103 | $261–$1,103 | varies |
| Mopath procedure level 4 (81403) range across 14 matching MRF lines |
$201–$1,470 | $201–$1,470 | varies |
| Mopath procedure level 5 (81404) range across 4 matching MRF lines |
$21–$774 | $21–$774 | varies |
| Mopath procedure level 7 (81406) range across 9 matching MRF lines |
$306–$2,723 | $306–$2,723 | varies |
| Mopath procedure level 8 (81407) | $915 | $915 | 1.1× |
| Mopath procedure level 9 (81408) range across 7 matching MRF lines |
$2,160–$3,856 | $2,160–$3,856 | varies |
| Mpl gene analysis sequence analysis exon 10 (81339) range across 2 matching MRF lines |
$343–$432 | $343–$432 | varies |
| Mrsa Pcr (87641) | $375 | $375 | 10.7× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $619 | $619 | 2.6× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $980 | $980 | 1.5× |
| Mthfr Gene Analysis Common Variants (81291) | $540 | $540 | 8.3× |
| Mucopolysaccharides acid quantitative (83864) | $162 | $162 | 5.7× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$108–$151 | $108–$151 | varies |
| Muscle-Specific Kinase Antb (86366) | $1,309 | $1,309 | 71.1× |
| Mycobacteric Identification (87118) | $335 | $335 | 22.9× |
| Mycophenolic Acid (80180) | $100 | $100 | 5.5× |
| Mycoplasma antibody (86738) | $63 | $63 | 4.8× |
| Mycoplasma culture (87109) | $135 | $135 | 8.8× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $629 | $629 | 3.6× |
| Myelin basic protein csf (83873) | $145 | $145 | 8.4× |
| Myoglobin urine (83874) | $199 | $199 | 15.4× |
| Natriuretic peptide (83880) | $283 | $283 | 7.2× |
| Neurofilament light chain (83884) | $1,187 | $1,187 | 10.2× |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$133–$144 | $133–$144 | varies |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $1,080 | $1,080 | 4.2× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $374 | $374 | 2.6× |
| Nfct ds chrnc hcv 6 assays (81596) | $544 | $544 | 7.5× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $648 | $648 | 5.0× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $213 | $213 | 8.2× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $3,993 | $3,993 | 8.2× |
| Niacin (84591) | $102 | $102 | 6.0× |
| Nk cells total count (86357) | $180 | $180 | 4.8× |
| Noonan Spectrum Disorders (81442) range across 2 matching MRF lines |
$3,829–$4,135 | $3,829–$4,135 | varies |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $800 | $800 | 3.2× |
| Nras gene variants exon 2&3 (81311) | $944 | $944 | 3.2× |
| Ntrk translocation analysis (81194) | $1,895 | $1,895 | 3.7× |
| Nuclear antigen antibody (86235) | $149 | $149 | 8.3× |
| Nudt15 Gene Common Variants (81306) | $429 | $429 | 1.5× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$33–$71 | $33–$71 | varies |
| Occult Blood Other Sources (82271) range across 3 matching MRF lines |
$29–$29.06 | $29–$29.06 | varies |
| Oligoclonal bands (83916) | $147 | $147 | 5.4× |
| Oncoprotein dcp (83951) | $437 | $437 | 6.8× |
| Organic acids urine (83918) | $173 | $173 | 7.3× |
| Osmolality serum (83930) | $41 | $41 | 6.2× |
| Osmolality Urine (83935) | $50 | $50 | 7.3× |
| Osmotic fragility rbc incubated (85557) | $294 | $294 | 22.0× |
| Osmotic Fragility RBC Unincubated (85555) | $50 | $50 | 6.7× |
| Osteocalcin (83937) | $254 | $254 | 8.5× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$145–$157 | $145–$157 | varies |
| Oxalate urine (83945) | $119 | $119 | 8.2× |
| PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect… (81312) | $810 | $810 | 5.9× |
| Pancreatic Elastase Fecal (82656) | $94 | $94 | 8.2× |
| Particle Agglutination Screen Each Antibody (86403) range across 3 matching MRF lines |
$81–$123 | $81–$123 | varies |
| Parvovirus antibody (86747) | $90 | $90 | 6.0× |
| Pathology Consultation During Surgery (88329) | $121 | $121 | 1.7× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $1,117 | $1,117 | 4.4× |
| Ph urine (81003) range across 2 matching MRF lines |
$30–$49 | $30–$49 | varies |
| Phenobarbital Level (80184) | $87 | $87 | 5.7× |
| Phenotype Infect Agent Drug (87900) | $1,098 | $1,098 | 8.4× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$67.60–$179 | $67.60–$179 | varies |
| Phenytoin (Dilantin) (80185) | $135 | $135 | 10.2× |
| Phenytoin free (80186) | $125 | $125 | 9.1× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$44–$46 | $44–$46 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $108 | $108 | 6.0× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$42–$45 | $42–$45 | varies |
| Phosphorus urine (84105) | $135 | $135 | 23.4× |
| Pik3ca gene analysis targeted sequence analysis (81309) | $877 | $877 | 3.2× |
| Pinworm exam (87172) | $40 | $40 | 9.4× |
| Platelet Aggregation (85576) | $201 | $201 | 8.1× |
| Platelet Antibodies (86022) | $158 | $158 | 8.6× |
| Platelet count automated (85049) | $56 | $56 | 12.5× |
| Platelet neutralization (85597) | $139 | $139 | 7.7× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) range across 2 matching MRF lines |
$754–$814 | $754–$814 | varies |
| Pms2 gene full seq analysis (81317) | $2,658 | $2,658 | 3.9× |
| Pneumcysts jirovecii amp prb (87594) | $554 | $554 | 15.8× |
| Pooling blood platelets (86965) | $195 | $195 | 1.0× |
| Porphobilinogen, urine; quantitative (84110) | $72 | $72 | 8.5× |
| Porphyrins Feces Quantitative (84126) | $222 | $222 | 5.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $98 | $98 | 6.7× |
| Porphyrins, urine; qualitative (84119) | $30 | $30 | 2.2× |
| Potassium Urine (84133) | $39 | $39 | 8.2× |
| PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to… (81343) | $451 | $451 | 3.3× |
| Prealbumin (84134) | $123 | $123 | 8.4× |
| Pregnancy-Associated Plasma Protein-A (84163) | $121 | $121 | 8.0× |
| Pregnenolone (84140) | $175 | $175 | 8.5× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $262 | $262 | 3.7× |
| Primidone (80188) | $99 | $99 | 6.0× |
| Procalcitonin (Pct) (84145) | $243 | $243 | 8.9× |
| Progesterone (84144) | $434 | $434 | 20.8× |
| Prolactin (84146) | $450 | $450 | 23.2× |
| Prostaglandin (84150) | $734 | $734 | 17.6× |
| Protein Alys Wstrn Blot I&R Immunological Ea (88372) | $324 | $324 | 12.4× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$71–$79 | $71–$79 | varies |
| Protein C Activity (85303) | $318 | $318 | 23.0× |
| Protein c antigen (85302) | $249 | $249 | 20.7× |
| Protein Electrophoresis Urine (84166) | $165 | $165 | 9.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $108 | $108 | 10.1× |
| Protein S Free (85306) | $306 | $306 | 20.0× |
| Protein s total (85305) | $251 | $251 | 21.6× |
| Protein total serum (84155) | $32 | $32 | 8.7× |
| Protein Total Urine (84156) | $77 | $77 | 21.0× |
| Protein Western Blot Test (84182) | $150 | $150 | 5.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $131 | $131 | 33.2× |
| Protoporphyrin rbc quantitative (84202) | $83 | $83 | 5.8× |
| PSA free (84154) | $178 | $178 | 9.7× |
| Pth Intact (83970) | $433 | $433 | 10.5× |
| Pyruvate kinase (84220) | $87 | $87 | 9.2× |
| Q Fever Antibody (86638) | $118 | $118 | 9.7× |
| Quantiferon tb gold plus (86480) | $531 | $531 | 8.6× |
| Quantitative assay drug (80299) range across 5 matching MRF lines |
$95–$565 | $95–$565 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$187–$191 | $187–$191 | varies |
| Quinidine (80194) | $113 | $113 | 7.7× |
| Quinine (84228) | $244 | $244 | 21.0× |
| Rbc antibody elution (86860) | $233 | $233 | 1.1× |
| Rbc antibody identification (86870) | $242 | $242 | 0.6× |
| Rbc antibody screen (86850) | $435 | $435 | 44.5× |
| Rbc pretreatment serum (86978) | $211 | $211 | 3.0× |
| Rbc pretx incubatj w/enzymes (86971) | $137 | $137 | 0.7× |
| Rbc serum pretx incubj drugs (86975) | $114 | $114 | 0.2× |
| Renin activity plasma (84244) | $188 | $188 | 8.5× |
| Reptilase test (85635) | $83 | $83 | 8.4× |
| Resp virus 12-25 targets (87633) | $1,770 | $1,770 | 4.2× |
| Reticulated Platelet Assay (85055) | $162 | $162 | 4.5× |
| Reticulocyte Count (85046) | $72 | $72 | 12.9× |
| Reticulocyte Count Manual (85044) | $38 | $38 | 8.8× |
| Rh (86901) | $90 | $90 | 30.1× |
| Rheumatoid factor quant (86431) | $137 | $137 | 24.2× |
| Rickettsia antibody (86757) | $173 | $173 | 8.9× |
| Ristocetin cofactor (85245) | $220 | $220 | 9.6× |
| Rotavirus ag eia (87425) | $129 | $129 | 10.8× |
| Rpr qualitative (86592) | $38 | $38 | 8.9× |
| Rsv Assay W/Optic (87807) | $89 | $89 | 6.8× |
| Rubella Antibody (86762) | $105 | $105 | 7.3× |
| Rubeola antibody (86765) | $239 | $239 | 18.6× |
| Rufinamide (80210) | $162 | $162 | 6.0× |
| Russell Viper Venom Time Diluted (85613) | $184 | $184 | 19.2× |
| Salicylate Level (80179) | $389 | $389 | 20.9× |
| Salmonella antibody (86768) | $90 | $90 | 6.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $346 | $346 | 6.7× |
| Sars-cov-2 COVID-19 antibody (86769) | $162 | $162 | 3.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $473 | $473 | 3.3× |
| Sedimentation rate (85651) | $78 | $78 | 18.3× |
| Sedimentation Rate, Automated (85652) | $18 | $18 | 6.7× |
| Selenium (84255) | $220 | $220 | 8.6× |
| Semen Anal Sperm Detection (89321) | $103 | $103 | 8.5× |
| Semen analysis complete (89320) | $147 | $147 | 11.9× |
| Semen analysis motility and count (89310) range across 2 matching MRF lines |
$67–$72 | $67–$72 | varies |
| Sensitivity mic (87186) | $129 | $129 | 14.9× |
| Serpina 1 gene (81332) range across 2 matching MRF lines |
$207–$224 | $207–$224 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$189–$221 | $189–$221 | varies |
| Sickling of rbc reduction (85660) | $145 | $145 | 26.3× |
| Sirolimus (80195) | $87 | $87 | 6.3× |
| Skin test tuberculosis intradermal (86580) | $63 | $63 | 1.8× |
| Smear acid fast (87206) | $45 | $45 | 8.3× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$141–$152 | $141–$152 | varies |
| Smear gram stain (87205) | $32 | $32 | 7.5× |
| Smear Special Stain (87207) | $45 | $45 | 7.5× |
| Smn1 Gene Analysis Full Gene Sequence (81336) | $2,393 | $2,393 | 7.9× |
| Smn1 Gene Dos/Deletion Alys (81329) | $982 | $982 | 7.2× |
| Smpd1 Gene Analysis Common Variants (81330) | $202 | $202 | 4.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$30.70–$52 | $30.70–$52 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $324 | $324 | 6.3× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$44–$48 | $44–$48 | varies |
| Sodium Urine (84300) | $33 | $33 | 6.5× |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
$443–$478 | $443–$478 | varies |
| Somatomedin (84305) | $135 | $135 | 6.3× |
| Somatostatin (84307) | $108 | $108 | 5.9× |
| Special Stains Group 1 (88312) | $285 | $285 | 4.6× |
| Special Stains Group 2 (88313) | $235 | $235 | 1.5× |
| Specific gravity body fluid (84315) | $18 | $18 | 5.5× |
| Specimen infect agnt concntj (87015) | $56 | $56 | 8.4× |
| Spectrophotometry (84311) | $135 | $135 | 16.7× |
| Splitting Blood/Blood Products Each Unit (86985) | $225 | $225 | 1.1× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $30 | $30 | 0.1× |
| Staph a DNA amp probe (87640) | $220 | $220 | 6.3× |
| Stem cells total count (86367) range across 2 matching MRF lines |
$138–$432 | $138–$432 | varies |
| Stool cultr aerobic bact ea (87046) | $46 | $46 | 4.9× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$89.25–$189 | $89.25–$189 | varies |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $90 | $90 | 1.0× |
| Sugars Multiple Quant (84379) | $27 | $27 | 2.3× |
| Sugars Single Qual (84376) | $48 | $48 | 8.7× |
| Sulfate urine (84392) | $124 | $124 | 22.6× |
| Surg path level iii (88304) | $174 | $174 | 2.8× |
| Surgical pathology level IV (88305) | $288 | $288 | 4.6× |
| Surgical pathology level vi (88309) | $1,098 | $1,098 | 1.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $42 | $42 | 8.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $59 | $59 | 7.9× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $76 | $76 | 10.4× |
| Sweat Collection Iontophoresis (89230) | $360 | $360 | 5.8× |
| Syphilis Test Non-Trep Quant (86593) | $45 | $45 | 10.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $230 | $230 | 4.9× |
| T cells total count (86359) | $180 | $180 | 4.8× |
| T3 Free (84481) | $157 | $157 | 9.3× |
| T3 reverse (84482) | $163 | $163 | 10.3× |
| T3 Total (84480) | $194 | $194 | 13.7× |
| T3 Uptake (84479) | $175 | $175 | 27.0× |
| T4 Free (84439) | $187 | $187 | 20.7× |
| T4 total (84436) range across 2 matching MRF lines |
$44–$188 | $44–$188 | varies |
| Tacrolimus (80197) | $90 | $90 | 6.6× |
| Tau phosphorylated each (84393) | $675 | $675 | 5.2× |
| Tbp Gene Analysis Eval Detect Abnormal Alleles (81344) | $451 | $451 | 3.3× |
| Test for acetone/ketones (82009) | $68 | $68 | 15.0× |
| Testosterone total (84403) | $329 | $329 | 12.7× |
| Testosterone, Free (84402) | $218 | $218 | 8.6× |
| Tetanus antibody (86774) | $90 | $90 | 6.1× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $2,773 | $2,773 | 4.6× |
| Theophylline (80198) | $145 | $145 | 10.3× |
| Thiopurine methyltransferase (84433) | $316 | $316 | 14.3× |
| Thrombin Time (85670) | $134 | $134 | 23.2× |
| Thromboplastin Inhibition Tissue (85705) | $46 | $46 | 4.8× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $193 | $193 | 29.8× |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) | $170 | $170 | 4.8× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$137–$162 | $137–$162 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$287–$310 | $287–$310 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $432 | $432 | 8.5× |
| Thyroxine binding globulin (84442) | $175 | $175 | 11.8× |
| Tiss cul neo disorders solid tumor (88239) | $1,288 | $1,288 | 8.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $105 | $105 | 9.1× |
| Tissue Culture (88233) | $522 | $522 | 3.7× |
| Tissue Culture Amniotic Fluid (88235) | $747 | $747 | 5.0× |
| Tissue culture bone marrow (88237) | $608 | $608 | 4.2× |
| Tissue Culture Lymphocyte (88230) | $580 | $580 | 5.0× |
| Tobramycin peak (80200) | $96 | $96 | 6.0× |
| Topiramate (80201) | $105 | $105 | 8.8× |
| Total Tau (84394) | $675 | $675 | 5.2× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $152 | $152 | 7.7× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$235–$270 | $235–$270 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$248–$270 | $248–$270 | varies |
| Tp53 gene analysis full gene sequence (81351) | $1,732.99 | $1,732.99 | 2.7× |
| Tp53 gene analysis targeted sequence analysis (81352) | $889.67 | $889.67 | 2.7× |
| Tpmt gene com variants (81335) | $564 | $564 | 3.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $46 | $46 | 8.9× |
| Transferrin (84466) | $106 | $106 | 8.3× |
| Trg gene rearrangement anal (81342) | $1,010 | $1,010 | 5.0× |
| Trichinella Antibody (86784) | $107 | $107 | 8.5× |
| Trichomonas vagin dir probe (87660) | $233 | $233 | 11.6× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$152–$216 | $152–$216 | varies |
| Triglycerides (84478) range across 3 matching MRF lines |
$25–$52 | $25–$52 | varies |
| Troponin Quant (84484) | $259 | $259 | 20.8× |
| Tumor immunohistochem/comput (88361) | $618 | $618 | 1.4× |
| Tumor Immunohistochem/Manual (88360) | $329 | $329 | 1.6× |
| Ugt1a1 gene analysis common variants (81350) | $704 | $704 | 3.0× |
| Unlisted reproductive medicine lab procedure (89398) | $141 | $141 | 2.3× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$30–$32 | $30–$32 | varies |
| Uric acid other source (84560) | $97 | $97 | 19.1× |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$16–$25.70 | $16–$25.70 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 2 matching MRF lines |
$10.01–$16 | $10.01–$16 | varies |
| Urinalysis Volume Measure (81050) | $29 | $29 | 8.0× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$68–$69.10 | $68–$69.10 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$23–$53 | $23–$53 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$68.25–$90 | $68.25–$90 | varies |
| Valproic acid (80164) | $92 | $92 | 6.8× |
| Vancomycin (80202) | $96 | $96 | 7.1× |
| Varicella-zoster antibody (86787) | $246 | $246 | 19.1× |
| Vasopressin (84588) | $266 | $266 | 7.8× |
| Very Long Chain Fatty Acids (82726) | $174 | $174 | 8.8× |
| Viral Culture (87252) | $188 | $188 | 7.2× |
| Virus antibody nos (86790) | $81 | $81 | 6.3× |
| Virus inoculation, shell via (87254) | $118 | $118 | 6.0× |
| Viscosity serum (85810) | $87 | $87 | 7.5× |
| Vit D 1 25-Dihydroxy (82652) | $340 | $340 | 8.8× |
| Vitamin A (84590) | $187 | $187 | 16.1× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$109.86–$239 | $109.86–$239 | varies |
| Vitamin B2 (Riboflavin) (84252) | $173 | $173 | 8.5× |
| Vitamin B6 (84207) | $150 | $150 | 5.3× |
| Vitamin c (82180) | $147 | $147 | 14.9× |
| Vitamin D 25-Hydroxy (82306) | $392 | $392 | 13.2× |
| Vitamin E (84446) | $188 | $188 | 13.3× |
| Vitamin K (84597) | $170 | $170 | 12.4× |
| Vkorc1 gene (81355) | $255 | $255 | 2.9× |
| Volatiles (84600) | $86 | $86 | 5.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $144 | $144 | 12.0× |
| Von willebrand factor ag (85246) | $232 | $232 | 10.1× |
| Wbc Alkaline Phosphatase Count (85540) | $55 | $55 | 6.4× |
| West nile virus ab igm (86788) | $92 | $92 | 5.5× |
| West Nile Virus Antibody (86789) | $108 | $108 | 7.5× |
| Western Blot Test (84181) | $144 | $144 | 8.5× |
| Whole mitochondrial genome analysis panel (81465) | $1,512 | $1,512 | 1.6× |
| X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must… (81470) | $1,166 | $1,166 | 1.3× |
| Xylose Absorption Test (84620) | $93 | $93 | 7.2× |
| Zika Virus Dna/Rna Amp Probe (87662) | $228 | $228 | 4.4× |
| Zika Virus Igm Antibody (86794) | $72 | $72 | 4.3× |
| Zinc (84630) range across 2 matching MRF lines |
$108–$145 | $108–$145 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.