Lab & pathology prices at Henry County Hospital, Inc
Napoleon, OH · every code in this section with a posted price and a Medicare benchmark.
686 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $165 | $220 | 7.2× |
| 5 Nucleotidase (83915) | $78.75 | $105 | 7.1× |
| Acth (82024) | $277.50 | $370 | 7.2× |
| Acute hepatitis panel (80074) | $341.25 | $455 | 7.2× |
| Adenovirus antibody (86603) | $101.25 | $135 | 7.9× |
| Albumin Fluid (82042) | $56.25 | $75 | 7.2× |
| Albumin serum (82040) | $33.75 | $45 | 6.8× |
| Aldolase (82085) | $71.25 | $95 | 7.3× |
| Aldosterone urine (82088) | $292.50 | $390 | 7.2× |
| Alkaline phosphatase isoenzymes (84080) | $105 | $140 | 7.1× |
| Allergen spec ige qual multiallergen screen (86005) | $63.75 | $85 | 8.0× |
| Allergen specific ige (86003) | $41.25 | $55 | 7.9× |
| Allergen specific igg (86001) | $63.75 | $85 | 8.2× |
| Alpha-1-antitrypsin phenotype (82104) | $105 | $140 | 7.3× |
| Alpha-1-antitrypsin total (82103) | $97.50 | $130 | 7.3× |
| Alpha-Fetoprotein Serum (82105) | $120 | $160 | 7.2× |
| Alt (sgpt) (84460) | $37.50 | $50 | 7.1× |
| Aluminum (82108) | $183.75 | $245 | 7.2× |
| Amikacin trough (80150) | $108.75 | $145 | 7.2× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $120 | $160 | 7.1× |
| Ammonia (82140) | $105 | $140 | 7.2× |
| Amylase urine (82150) | $45 | $60 | 6.9× |
| Ana Titer (86039) | $90 | $120 | 8.1× |
| Androstenedione (82157) | $210 | $280 | 7.2× |
| Angiotensin converting enzyme csf (82164) | $105 | $140 | 7.2× |
| Anti-Phospholipid Antibody (86148) | $127.50 | $170 | 7.9× |
| Antibody aspergillus (86606) | $120 | $160 | 8.0× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $101.25 | $135 | 7.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $123.75 | $165 | 8.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $135 | $180 | 8.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $105 | $140 | 8.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $120 | $160 | 7.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $142.50 | $190 | 7.9× |
| Antibody Fungus Not Elsewhere Specified (86671) | $97.50 | $130 | 8.0× |
| Antibody haemophilus influenza (86684) | $75 | $100 | 4.7× |
| Antibody helicobacter pylori (86677) | $135 | $180 | 8.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $112.50 | $150 | 7.8× |
| Antibody Herpes Smplx Type 1 (86695) | $105 | $140 | 8.0× |
| Antibody HIV-1&HIV-2 single result (86703) | $108.75 | $145 | 7.9× |
| Antibody HIV-2 (86702) | $108.75 | $145 | 8.0× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $153.75 | $205 | 7.9× |
| Antibody identification leukocyte antibodies (86021) | $120 | $160 | 8.0× |
| Antibody Identification Platelet Immunogl Assay (86023) | $97.50 | $130 | 7.8× |
| Antibody john cunningham virus (86711) | $135 | $180 | 8.0× |
| Antibody Titer (86886) | $41.25 | $55 | 8.0× |
| Antibody Treponema Pallidum (86780) | $105 | $140 | 7.9× |
| Antibody yersinia (86793) | $105 | $140 | 8.0× |
| Antibody; influenza virus (86710) | $108.75 | $145 | 8.0× |
| Antigen typing (86905) | $30 | $40 | 7.8× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $45 | $60 | 7.9× |
| Antinuclear antibodies (86038) | $97.50 | $130 | 8.1× |
| Antistreptolysin O Screen (86063) | $45 | $60 | 7.8× |
| Antistreptolysin o titer (86060) | $56.25 | $75 | 7.7× |
| Antithrombin iii activity (85300) | $75 | $100 | 6.3× |
| Antithrombin iii antigen (85301) | $71.25 | $95 | 6.6× |
| Apc gene full sequence (81201) | $5,610 | $7,480 | 7.2× |
| Apolipoprotein a1 (82172) | $150 | $200 | 7.1× |
| Aquaporin-4 Antb Cba Each (86052) | $97.50 | $130 | 8.1× |
| Arsenic (82175) | $135 | $180 | 7.1× |
| Assay activated protein c (85307) | $97.50 | $130 | 6.4× |
| Assay Blood Carbon Dioxide (82374) | $33.75 | $45 | 6.9× |
| Assay Nephelometry Not Spec (83883) | $97.50 | $130 | 7.2× |
| Assay of 5-hiaa (83497) | $93.75 | $125 | 7.3× |
| Assay of blood/uric acid (84550) | $33.75 | $45 | 7.5× |
| Assay of calcium in urine (82340) | $45 | $60 | 7.5× |
| Assay of corticosterone (82528) | $161.25 | $215 | 7.2× |
| Assay of cpk in blood (82552) | $97.50 | $130 | 7.3× |
| Assay of estrone (82679) | $180 | $240 | 7.2× |
| Assay of g6pd enzyme (82955) | $71.25 | $95 | 7.3× |
| Assay of gammaglobulin igm (82784) | $67.50 | $90 | 7.3× |
| Assay of lactic acid (83605) | $82.50 | $110 | 7.1× |
| Assay of manganese (83785) | $191.25 | $255 | 7.2× |
| Assay of metanephrines (83835) | $120 | $160 | 7.1× |
| Assay of proinsulin (84206) | $191.25 | $255 | 7.2× |
| Assay of pyruvate (84210) | $105 | $140 | 7.3× |
| Assay of serotonin (84260) | $221.25 | $295 | 7.1× |
| Assay of serum potassium (84132) | $33.75 | $45 | 7.1× |
| Assay of sweat sodium (84302) | $33.75 | $45 | 6.9× |
| Assay of urea nitrogen (84520) | $30 | $40 | 7.6× |
| Assay of urine vma (84585) | $112.50 | $150 | 7.3× |
| Assay of vasoactive intestinal peptide (84586) | $255 | $340 | 7.2× |
| Assay of vitamin b-1 (84425) | $153.75 | $205 | 7.2× |
| Assay Ph Body Fluid Nos (83986) | $26.25 | $35 | 7.3× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $300 | $400 | 1.9× |
| Automated Leukocyte Count (85048) | $15 | $20 | 5.9× |
| B cells total count (86355) | $300 | $400 | 8.0× |
| Bartonella antibody (86611) | $82.50 | $110 | 8.1× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$288.75–$1,177.50 | $385–$1,570 | varies |
| Bcr/abl1 gene minor bp (81207) | $255 | $340 | 1.8× |
| Bcr/Abl1 Gene Other Bp (81208) | $375 | $500 | 1.7× |
| Beta 2 glycoprotein i antibody each (86146) | $202.50 | $270 | 8.0× |
| Beta hydroxybutyrate (82010) | $60 | $80 | 7.3× |
| Beta Lactamase (87185) | $22.50 | $30 | 4.7× |
| Beta-2 Microglobulin (82232) | $116.25 | $155 | 7.2× |
| Bile acids total (82239) | $123.75 | $165 | 7.2× |
| Bilirubin direct (82248) | $37.50 | $50 | 7.5× |
| Bilirubin total (82247) | $37.50 | $50 | 7.5× |
| Bilirubin total transcutaneous (88720) | $37.50 | $50 | 7.5× |
| Blastomyces antibody (86612) | $101.25 | $135 | 7.8× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $1,102.50 | $1,470 | 6.8× |
| Bld Typing Serologic Rh Phnt (86906) | $60 | $80 | 7.7× |
| Bleeding time test (85002) | $30 | $40 | 6.2× |
| Blood Count Manual Cell Count Each (85032) | $26.25 | $35 | 6.1× |
| Blood Count Red Blood Cell Automated (85041) | $18.75 | $25 | 6.2× |
| Blood count reticulocyte automated (85045) | $26.25 | $35 | 6.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $26.25 | $35 | 6.9× |
| Blood gases w/02 saturation (82805) | $566.25 | $755 | 7.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $116.25 | $155 | 7.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $30 | $40 | 6.8× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $48.75 | $65 | 7.7× |
| Blood typing serologic abo (86900) | $22.50 | $30 | 7.5× |
| Body fluid cell count (89050) | $22.50 | $30 | 4.8× |
| Bordetella antibody (86615) | $105 | $140 | 8.0× |
| Brca1&2 gen full seq dup/del (81162) | $5,257.50 | $7,010 | 2.9× |
| Brucella antibody (86622) | $71.25 | $95 | 8.0× |
| C diff amplified probe (87493) | $176.25 | $235 | 4.7× |
| C-Peptide (84681) | $150 | $200 | 7.2× |
| C-reactive protein (86140) | $41.25 | $55 | 8.0× |
| Ca 19-9 (86301) | $165 | $220 | 7.9× |
| Cadmium (82300) | $168.75 | $225 | 7.1× |
| Calcitonin (82308) | $191.25 | $255 | 7.1× |
| Calcium ionized (82330) | $97.50 | $130 | 7.1× |
| Calcium total (82310) | $37.50 | $50 | 7.3× |
| Calculus assay quant (82360) | $93.75 | $125 | 7.3× |
| Calculus Spectroscopy (82365) | $93.75 | $125 | 7.3× |
| Calprotectin Fecal (83993) | $142.50 | $190 | 7.3× |
| Cancer Antigen 125 (86304) | $165 | $220 | 7.9× |
| Cancer Antigen 27.29 (86300) | $165 | $220 | 7.9× |
| Candida antibody (86628) | $93.75 | $125 | 7.8× |
| Candida Dna Dir Probe (87480) | $93.75 | $125 | 4.7× |
| Carbamazepine free (80157) | $93.75 | $125 | 7.1× |
| Carbamazepine total (80156) | $105 | $140 | 7.2× |
| Carbohydrate Deficient Transferrin (82373) | $131.25 | $175 | 7.3× |
| Carboxyhemoglobin (82375) | $90 | $120 | 7.3× |
| Carcinoembryonic antigen (82378) | $135 | $180 | 7.1× |
| Cardiolipin ab iga (86147) | $202.50 | $270 | 8.0× |
| Carnitine Quantitative Each Specimen (82379) | $120 | $160 | 7.1× |
| Carotene (82380) | $67.50 | $90 | 7.3× |
| Catecholamines fractionated (82384) | $180 | $240 | 7.1× |
| Ccp antibody (86200) | $101.25 | $135 | 7.8× |
| Cell count csf (89051) | $26.25 | $35 | 4.7× |
| Cell marker study (88182) | $375 | $500 | 7.6× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $1,080 | $1,440 | 7.9× |
| Ceruloplasmin (82390) | $78.75 | $105 | 7.3× |
| Cftr gene com variants (81220) | $4,005 | $5,340 | 7.2× |
| Chemiluminescent assay (82397) | $101.25 | $135 | 7.2× |
| Chlamydia antibody (86631) | $93.75 | $125 | 7.9× |
| Chlamydia Igm Antibody (86632) | $101.25 | $135 | 8.0× |
| Chloride other source (82438) | $37.50 | $50 | 7.5× |
| Chloride Serum (82435) | $33.75 | $45 | 7.3× |
| Chloride urine (82436) | $41.25 | $55 | 7.2× |
| Cholesterol total (82465) | $30 | $40 | 6.9× |
| Cholinesterase rbc (82482) | $71.25 | $95 | 7.3× |
| Cholinesterase Serum (82480) | $56.25 | $75 | 7.1× |
| Chorionic gonadotropin test (84702) | $108.75 | $145 | 7.2× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $78.75 | $105 | 2.9× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $292.50 | $390 | 8.7× |
| Chromium serum (82495) | $146.25 | $195 | 7.2× |
| Chromogranin a (86316) | $165 | $220 | 7.9× |
| Chromosome Analysis 15-20 (88262) | $877.50 | $1,170 | 7.0× |
| Chromosome Analysis 20-25 (88264) range across 2 matching MRF lines |
$255–$1,012.50 | $340–$1,350 | varies |
| Chromosome analysis, 5 (88261) | $2,298.75 | $3,065 | 8.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $165 | $220 | 4.7× |
| Citric acid urine (82507) | $198.75 | $265 | 7.1× |
| Ckmb (82553) | $82.50 | $110 | 7.1× |
| Clostridium Difficile (87324) | $56.25 | $75 | 4.7× |
| Clot Factor VIII Multimetric (85247) | $146.25 | $195 | 6.4× |
| Clot factor xiii fibrin stab (85290) | $105 | $140 | 6.4× |
| Cns DNA amp probe type 12-25 (87483) | $1,980 | $2,640 | 4.8× |
| Coccidioides antibody (86635) | $90 | $120 | 7.8× |
| Cold agglutinin titer (86157) | $63.75 | $85 | 7.9× |
| Collagen crosslinks (82523) | $135 | $180 | 7.2× |
| Column Chromotography Quant (82542) | $172.50 | $230 | 7.2× |
| Compatibility test antiglob (86922) | $1,361.25 | $1,815 | 8.4× |
| Complement Antigen Each Component (86160) | $93.75 | $125 | 7.8× |
| Complement Fixation Tests Each Antigen (86171) | $78.75 | $105 | 7.9× |
| Complement Total (Ch50) (86162) | $161.25 | $215 | 7.9× |
| Complement/Function Activity (86161) | $93.75 | $125 | 7.8× |
| Coombs direct (86880) | $41.25 | $55 | 7.7× |
| Copper urine (82525) | $90 | $120 | 7.3× |
| Cortisol free (82530) | $120 | $160 | 7.2× |
| Cortisol saliva (82533) | $116.25 | $155 | 7.1× |
| Creatine kinase total (82550) | $45 | $60 | 6.9× |
| Creatinine blood (82565) | $37.50 | $50 | 7.3× |
| Creatinine clearance (82575) | $67.50 | $90 | 7.1× |
| Creatinine Urine (82570) | $37.50 | $50 | 7.2× |
| Crp High Sensitivity (86141) | $101.25 | $135 | 7.8× |
| Cryofibrinogen (82585) | $101.25 | $135 | 7.2× |
| Cryoglobulin (82595) | $45 | $60 | 7.0× |
| Cryptococcal Antigen (87327) | $63.75 | $85 | 4.8× |
| Cryptococcus ab (86641) | $116.25 | $155 | 8.1× |
| Cryptococcus ag titer (87899) | $75 | $100 | 4.7× |
| Cryptosporidium (87272) | $56.25 | $75 | 4.7× |
| Cryptosporidium ag eia (87328) | $67.50 | $90 | 4.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $37.50 | $50 | 4.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $37.50 | $50 | 4.6× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $37.50 | $50 | 4.9× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,038.75 | $1,385 | 4.8× |
| Culture aerobic quant other (87071) | $48.75 | $65 | 4.9× |
| Culture afb (87116) | $52.50 | $70 | 4.9× |
| Culture Anaerobic (87075) | $45 | $60 | 4.8× |
| Culture blood (87040) | $48.75 | $65 | 4.7× |
| Culture chlamydia (87110) | $93.75 | $125 | 4.8× |
| Culture csf (87070) | $41.25 | $55 | 4.8× |
| Culture screen only (87081) | $30 | $40 | 4.5× |
| Culture stool (87045) | $45 | $60 | 4.8× |
| Culture typing if ea antiserum (87140) | $26.25 | $35 | 4.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $26.25 | $35 | 5.1× |
| Culture typing other methods (87158) | $37.50 | $50 | 4.8× |
| Culture urine (87086) | $37.50 | $50 | 4.6× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $101.25 | $135 | 7.1× |
| Cyclosporine (80158) | $131.25 | $175 | 7.3× |
| Cystatin C (82610) | $135 | $180 | 7.3× |
| Cytogenetics 100-300 (88275) range across 3 matching MRF lines |
$146.25–$446.25 | $195–$595 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,036.25 | $2,715 | 1.8× |
| Cytomegalovirus igg (86644) | $112.50 | $150 | 7.8× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 4 matching MRF lines |
$142.50–$176.25 | $190–$235 | varies |
| Cytopath Cell Enhance Tech (88112) | $206.25 | $275 | 4.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $187.50 | $250 | 7.0× |
| Cytp Concentration Smears & Interpretation (88108) | $273.75 | $365 | 7.7× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $273.75 | $365 | 7.7× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $495 | $660 | 3.1× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $375 | $500 | 7.6× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $157.50 | $210 | 5.8× |
| Deoxyribonuclease antibody (86215) | $105 | $140 | 7.9× |
| Desoxycorticosterone (82633) | $221.25 | $295 | 7.1× |
| Detect Agent Nos Dna Amp (87798) | $165 | $220 | 4.7× |
| Detect Agent Nos Dna Quant (87799) | $202.50 | $270 | 4.7× |
| Detect agnt mult DNA ampli (87801) | $333.75 | $445 | 4.8× |
| Dhea (82626) | $180 | $240 | 7.1× |
| Dhea-S (82627) | $161.25 | $215 | 7.3× |
| Digoxin (80162) | $93.75 | $125 | 7.1× |
| Dihydrotestosterone (82642) | $210 | $280 | 7.2× |
| Diphtheria antitoxoid (86648) | $120 | $160 | 7.9× |
| Dipropylacetic Acid Free (80165) | $97.50 | $130 | 7.2× |
| Dna Antibody Native/Double Stranded (86225) | $108.75 | $145 | 7.9× |
| Dna Antibody Single Stranded (86226) | $97.50 | $130 | 8.1× |
| DNA/RNA direct probe (87149) | $93.75 | $125 | 4.7× |
| Drug assay adalimumab (80145) | $277.50 | $370 | 7.2× |
| Drug Assay Infliximab (80230) | $277.50 | $370 | 7.2× |
| Drug Assay Vedolizumab (80280) | $277.50 | $370 | 7.2× |
| Drug assay voriconazole (80285) | $195 | $260 | 7.2× |
| Drug Screen Quant Clozapine (80159) | $146.25 | $195 | 7.3× |
| Drug Screen Quantitative Gabapentin (80171) | $157.50 | $210 | 7.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $93.75 | $125 | 7.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $93.75 | $125 | 7.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$93.75–$105 | $125–$140 | varies |
| Drug Screen Quantitative Tiagabine (80199) | $195 | $260 | 7.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$108.75–$446.25 | $145–$595 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 10 matching MRF lines |
$22.50–$90 | $30–$120 | varies |
| Drug Test Prsmv Instrmnt (80306) | $30 | $40 | 1.8× |
| Egfr Gene Analysis Common Variants (81235) | $2,336.25 | $3,115 | 7.2× |
| Electrolyte panel (80051) | $48.75 | $65 | 7.0× |
| Electron Microscopy (88348) | $1,432.50 | $1,910 | 1.9× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $442.50 | $590 | 7.2× |
| Enterovirus Antibody (86658) | $105 | $140 | 8.1× |
| Enterovirus PCR (87498) | $165 | $220 | 4.7× |
| Enzyme cell activity (82657) | $161.25 | $215 | 7.3× |
| Eosinophil Smear (89190) | $30 | $40 | 5.2× |
| Erythropoietin (82668) | $135 | $180 | 7.2× |
| Estradiol serum (82670) | $202.50 | $270 | 7.2× |
| Estriol (82677) | $172.50 | $230 | 7.1× |
| Estrogen total (82672) | $157.50 | $210 | 7.3× |
| Ethosuximide (80168) | $116.25 | $155 | 7.1× |
| Ethylene Glycol (82693) | $108.75 | $145 | 7.3× |
| Exam Synovial Fluid Crystals (89060) | $37.50 | $50 | 5.1× |
| F2 Gene (81240) | $472.50 | $630 | 7.2× |
| Factor ii activity (85210) | $82.50 | $110 | 6.4× |
| Factor Inhibitor Test (85335) | $82.50 | $110 | 6.4× |
| Factor ix activity (85250) | $123.75 | $165 | 6.5× |
| Factor v activity (85220) | $112.50 | $150 | 6.4× |
| Factor v leiden mutation (81241) | $528.75 | $705 | 7.2× |
| Factor vii assay (85230) | $116.25 | $155 | 6.5× |
| Factor viii assay (85240) | $116.25 | $155 | 6.5× |
| Factor X (85260) | $116.25 | $155 | 6.5× |
| Factor xi activity (85270) | $116.25 | $155 | 6.5× |
| Fat stain feces urine/respir secretions (89125) | $30 | $40 | 5.1× |
| Fat/Lipids Feces Quantitative (82710) | $120 | $160 | 7.1× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $112.50 | $150 | 6.5× |
| Fecal Fat Qualitative (82705) | $37.50 | $50 | 7.4× |
| Ferritin (82728) | $97.50 | $130 | 7.2× |
| Fetal Chrmoml Aneuploidy (81420) | $3,750 | $5,000 | 4.9× |
| Fetal Chrmoml Microdeltj (81422) | $5,460 | $7,280 | 7.2× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $442.50 | $590 | 2.9× |
| Fetal Fibronectin (82731) | $465 | $620 | 7.2× |
| Fetal screen rosette (85461) | $15 | $20 | 1.6× |
| Fibrin degradation products (85362) | $45 | $60 | 6.5× |
| Fibrin Degradation Quant (85379) | $63.75 | $85 | 6.3× |
| Fibrinogen activity (85384) | $63.75 | $85 | 6.6× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $101.25 | $135 | 6.5× |
| Flecainide level (80181) | $135 | $180 | 7.2× |
| Flow cytometry first marker (88184) | $2,520 | $3,360 | 7.4× |
| Fluorescent antibody screen (86255) | $97.50 | $130 | 8.1× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $97.50 | $130 | 8.1× |
| Fluoride serum (82735) | $135 | $180 | 7.3× |
| Fmr1 Gene Charac Alleles (81244) | $322.50 | $430 | 7.2× |
| Fmr1 gene detection (81243) | $408.75 | $545 | 7.2× |
| Folic acid rbc (82747) | $127.50 | $170 | 7.2× |
| Folic Acid Serum (82746) | $105 | $140 | 7.1× |
| Follicle Stimulating Hormone (83001) | $135 | $180 | 7.3× |
| Frozen Section (88331) | $300 | $400 | 1.9× |
| Fungi Identification Mold (87107) | $48.75 | $65 | 4.7× |
| Fungi Identification Yeast (87106) | $48.75 | $65 | 4.7× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $150 | $200 | 7.1× |
| Gammaglobulin ige (82785) | $120 | $160 | 7.3× |
| Gardner vag DNA dir probe (87510) | $93.75 | $125 | 4.7× |
| Gardner Vag Dna Quant (87512) | $198.75 | $265 | 4.8× |
| Gases blood ph only (82800) | $78.75 | $105 | 7.2× |
| Gastrin (82941) | $127.50 | $170 | 7.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,980 | $2,640 | 4.8× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,331.25 | $1,775 | 1.8× |
| Genet Virus Isolate Hsv (87255) | $161.25 | $215 | 4.8× |
| Gentamicin (80170) | $116.25 | $155 | 7.1× |
| Ggt (82977) | $52.50 | $70 | 7.3× |
| Giardia antigen (87329) | $56.25 | $75 | 4.7× |
| Giardia lamblia antibody (86674) | $71.25 | $95 | 4.8× |
| Glucagon (82943) | $101.25 | $135 | 7.1× |
| Glucose 2 hr pp (82950) | $33.75 | $45 | 7.1× |
| Glucose Blood Test (82962) | $22.50 | $30 | 6.9× |
| Glucose body fluid (82945) | $30 | $40 | 7.6× |
| Glucose Serum (82947) | $30 | $40 | 7.6× |
| Glucose tolerance test (gtt) (82951) | $93.75 | $125 | 7.3× |
| Glycated Protein (82985) | $120 | $160 | 7.2× |
| Gonadotropin Chorionic Qualitative (84703) | $52.50 | $70 | 7.0× |
| Growth hormone (83003) | $120 | $160 | 7.2× |
| Gtt-added samples (82952) | $30 | $40 | 7.7× |
| H Pylori (C-13) Breath (83013) | $483.75 | $645 | 7.2× |
| Haptoglobin (83010) | $90 | $120 | 7.2× |
| Hba1/hba2 full gene sequence (81259) | $4,316.25 | $5,755 | 7.2× |
| Hdl Cholesterol (83718) | $60 | $80 | 7.3× |
| Helicobacter Pylori Stool (87338) | $67.50 | $90 | 4.7× |
| Helminth Antibody (86682) | $105 | $140 | 8.1× |
| Hematocrit (85014) | $15 | $20 | 6.3× |
| Hemoglobin (85018) | $15 | $20 | 6.3× |
| Hemoglobin a1c (83036) | $71.25 | $95 | 7.3× |
| Hemoglobin Chromotography (83021) | $131.25 | $175 | 7.3× |
| Hemoglobin electrophoresis (83020) | $93.75 | $125 | 7.3× |
| Hemoglobin Methemoglobin Quantitative (83050) | $60 | $80 | 7.3× |
| Hemoglobin plasma (83051) | $52.50 | $70 | 7.2× |
| Hemoglobin urine (83069) | $30 | $40 | 7.6× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $15 | $20 | 1.7× |
| Hemolysins&Agglutinins Incubated (86941) | $97.50 | $130 | 8.1× |
| Hemosiderin urine (83070) | $33.75 | $45 | 7.1× |
| Hep a ab igm (86709) | $90 | $120 | 8.0× |
| Heparin assay (85520) | $82.50 | $110 | 6.3× |
| Hepatitis a antibody total (86708) | $97.50 | $130 | 7.9× |
| Hepatitis b core ab igm (86705) | $93.75 | $125 | 8.0× |
| Hepatitis b core ab total (86704) | $97.50 | $130 | 8.1× |
| Hepatitis B Surface Antibody (86706) | $86.25 | $115 | 8.0× |
| Hepatitis B Surface Antigen (87340) | $48.75 | $65 | 4.7× |
| Hepatitis Be Antibody (86707) | $93.75 | $125 | 8.1× |
| Hepatitis Be Antigen (87350) | $56.25 | $75 | 4.9× |
| Hepatitis C Antibody (86803) | $112.50 | $150 | 7.9× |
| Hepatitis c antibody confirmatory test (86804) | $123.75 | $165 | 8.0× |
| Hepatitis C Genotype (87902) | $1,222.50 | $1,630 | 4.7× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $165 | $220 | 4.7× |
| Hepatitis C Revrs Trnscrpj (87522) | $202.50 | $270 | 4.7× |
| Hepatitis Delta Agent Antibody (86692) | $135 | $180 | 7.9× |
| Herpes simplex type 2 (86696) | $153.75 | $205 | 7.9× |
| Heterophile Antibody Screen (86308) | $41.25 | $55 | 8.0× |
| Hfe Gene (81256) | $468.75 | $625 | 7.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $48.75 | $65 | 6.3× |
| Histamine urine (83088) | $213.75 | $285 | 7.2× |
| Histoplasma antibody (86698) | $108.75 | $145 | 7.9× |
| Histoplasma antigen urine (87385) | $63.75 | $85 | 4.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $191.25 | $255 | 7.9× |
| Hiv-1 Antibody (86701) | $71.25 | $95 | 8.0× |
| HIV-1 p24 antigen (87390) | $116.25 | $155 | 4.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $405 | $540 | 4.8× |
| Hla class i&ii antibody qual (86828) | $510 | $680 | 7.9× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $588.75 | $785 | 7.9× |
| Hla ii typing 1 allele hr (81383) | $866.25 | $1,155 | 7.9× |
| Hla ii typing 1 locus lr (81376) | $971.25 | $1,295 | 7.9× |
| Hla Typing a/B/C Multiple Antigens (86813) | $461.25 | $615 | 8.0× |
| Hla-b27 (86812) | $206.25 | $275 | 8.0× |
| Homocysteine (83090) | $127.50 | $170 | 7.1× |
| Homogenization Tissue (87176) | $26.25 | $35 | 4.5× |
| Homovanillic acid urine (83150) | $161.25 | $215 | 7.2× |
| Hpa-1 genotyping gene analysis common variant (81105) | $787.50 | $1,050 | 6.4× |
| Hpv High-Risk Types (87624) | $165 | $220 | 4.7× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $333.75 | $445 | 4.8× |
| Hpv Types 16 & 18 Only (87625) | $191.25 | $255 | 4.7× |
| Hsv Dna Amp Probe (87529) | $165 | $220 | 4.7× |
| Htlv-I Antibody (86687) | $71.25 | $95 | 7.8× |
| Htlv-ii antibody (86688) | $112.50 | $150 | 8.0× |
| Htt Gene Detc Abnor Alleles (81271) | $240 | $320 | 1.8× |
| Human Epididymis Protein 4 (86305) | $165 | $220 | 7.9× |
| Hydroxycorticosteroids 17 (83491) | $127.50 | $170 | 7.1× |
| Hydroxyprogesterone 17-d (83498) | $195 | $260 | 7.2× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $56.25 | $75 | 4.7× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $56.25 | $75 | 4.7× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $48.75 | $65 | 4.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $281.25 | $375 | 8.0× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $56.25 | $75 | 4.7× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $56.25 | $75 | 4.7× |
| Iaadi Varicella Zoster Virus (87290) | $63.75 | $85 | 4.8× |
| Iadna Candida Species Amplified Probe Tq (87481) | $165 | $220 | 4.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $165 | $220 | 4.7× |
| Iadna Cytomegalovirus Quantification (87497) | $202.50 | $270 | 4.7× |
| Iadna hepatitis b virus amplified probe tq (87516) | $165 | $220 | 4.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $202.50 | $270 | 4.7× |
| Iadna Herpes Virus-6 Quantification (87533) | $198.75 | $265 | 4.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $165 | $220 | 4.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $165 | $220 | 4.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $165 | $220 | 4.7× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,248.75 | $1,665 | 4.7× |
| Igg subclasses (82787) | $56.25 | $75 | 7.0× |
| Igh gene rearrange amp meth (81261) | $1,425 | $1,900 | 7.2× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $2,118.75 | $2,825 | 7.2× |
| Igk rearrangeabn clonal pop (81264) | $303.75 | $405 | 1.8× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $630 | $840 | 1.9× |
| Immune Complex Assay (86332) | $195 | $260 | 8.0× |
| Immunfix e-phorsis/urine/csf (86335) | $210 | $280 | 7.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $131.25 | $175 | 7.1× |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $202.50 | $270 | 7.9× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $120 | $160 | 8.0× |
| Immunoassay nonantibody (83516) range across 22 matching MRF lines |
$82.50–$90 | $110–$120 | varies |
| Immunodiffusion Ouchterlony (86331) | $93.75 | $125 | 7.8× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $183.75 | $245 | 7.9× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$161.25–$176.25 | $215–$235 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 3 matching MRF lines |
$300–$495 | $400–$660 | varies |
| Immunohistochemistry (88342) | $300 | $400 | 1.9× |
| In situ hybridization 1st probe stain (88365) | $300 | $400 | 1.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) | $93.75 | $125 | 4.7× |
| Influenza DNA amp probe (87502) range across 4 matching MRF lines |
$228.75–$453.75 | $305–$605 | varies |
| Inhibin A (86336) | $123.75 | $165 | 7.9× |
| Inhibin b (83520) range across 23 matching MRF lines |
$123.75–$150 | $165–$200 | varies |
| Insitu hybridization manual (88368) | $630 | $840 | 1.9× |
| Insulin antibodies (86337) | $153.75 | $205 | 7.2× |
| Insulin free (83527) | $93.75 | $125 | 7.2× |
| Insulin total (83525) | $82.50 | $110 | 7.2× |
| Intrinsic factor antibody (86340) | $120 | $160 | 8.0× |
| Iron (83540) | $45 | $60 | 7.0× |
| Iron Binding Capacity (83550) | $63.75 | $85 | 7.3× |
| Irradiation Blood Product Each Unit (86945) | $67.50 | $90 | 1.9× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$168.75–$187.50 | $225–$250 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $161.25 | $215 | 1.8× |
| Koh Prep (87220) | $18.75 | $25 | 4.4× |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$555–$1,391.25 | $740–$1,855 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $45 | $60 | 7.5× |
| Lactoferrin fecal qualitative (83630) | $33.75 | $45 | 1.7× |
| Lactoferrin Fecal Quantitative (83631) | $33.75 | $45 | 1.7× |
| Lamellar Body Count (83664) | $138.75 | $185 | 7.2× |
| Ldh Isoenzymes (83625) | $93.75 | $125 | 7.3× |
| LDL direct (83721) | $75 | $100 | 7.1× |
| Lead (83655) | $86.25 | $115 | 7.1× |
| Legionella antibody (86713) | $120 | $160 | 7.8× |
| Legionella antigen urine (87449) | $56.25 | $75 | 4.7× |
| Leukocyte Assessment Fecal (89055) | $22.50 | $30 | 5.3× |
| Leukocyte Histamine Release (86343) | $97.50 | $130 | 7.8× |
| Level I Surg Pathology Gross Examination Only (88300) | $41.25 | $55 | 1.5× |
| Level ii surg pathology grossµscopic exam (88302) | $67.50 | $90 | 1.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $630 | $840 | 1.9× |
| Lipase (83690) | $48.75 | $65 | 7.1× |
| Lipoprotein A (83695) | $101.25 | $135 | 7.1× |
| Lipoprotein Bld Quan Part (83704) | $247.50 | $330 | 7.2× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $82.50 | $110 | 7.3× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $243.75 | $325 | 7.2× |
| Lithium (80178) | $48.75 | $65 | 7.4× |
| Luteinizing Hormone (Lh) (83002) | $135 | $180 | 7.3× |
| Lyme disease antibody (86618) | $135 | $180 | 7.9× |
| Lysozyme serum (85549) | $120 | $160 | 6.4× |
| M. Genitalium Amp Probe (87563) | $165 | $220 | 4.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $495 | $660 | 3.1× |
| Macroscopic exam arthropod (87168) | $18.75 | $25 | 4.4× |
| Macroscopic Exam Parasite (87169) | $18.75 | $25 | 4.4× |
| Magnesium Urine (83735) | $48.75 | $65 | 7.3× |
| Mass Spectrometry Quant (83789) | $172.50 | $230 | 7.2× |
| Mercury urine (83825) | $116.25 | $155 | 7.1× |
| Methylmalonic acid serum (83921) | $153.75 | $205 | 7.2× |
| Microalbumin, quantitative (82043) | $41.25 | $55 | 7.1× |
| Microsomal Antibodies Each (86376) | $116.25 | $155 | 8.0× |
| Mog-Igg1 Antb Cba Each (86362) | $97.50 | $130 | 8.1× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 7 matching MRF lines |
$37.50–$187.50 | $50–$250 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 2 matching MRF lines |
$75–$123.75 | $100–$165 | varies |
| Molecular Pathology Procedure Level 6 (81405) | $528.75 | $705 | 1.8× |
| Mononuclear cell antigen (86356) | $191.25 | $255 | 7.1× |
| Mopath procedure level 1 (81400) | $461.25 | $615 | 7.2× |
| Mopath procedure level 2 (81401) | $986.25 | $1,315 | 7.2× |
| Mopath procedure level 4 (81403) | $326.25 | $435 | 1.8× |
| Mopath procedure level 7 (81406) | $495 | $660 | 1.7× |
| Mopath procedure level 8 (81407) | $1,485 | $1,980 | 1.8× |
| Morphometric Analysis Tumor (88358) | $495 | $660 | 3.1× |
| Mthfr Gene Analysis Common Variants (81291) | $468.75 | $625 | 7.2× |
| Mumps antibody (86735) | $105 | $140 | 8.0× |
| Mycophenolic Acid (80180) | $131.25 | $175 | 7.3× |
| Mycoplasma antibody (86738) | $105 | $140 | 7.9× |
| Mycoplasma culture (87109) | $75 | $100 | 4.9× |
| Myoglobin urine (83874) | $93.75 | $125 | 7.3× |
| Natriuretic peptide (83880) | $281.25 | $375 | 7.2× |
| Neutralization Test Viral (86382) | $135 | $180 | 8.0× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $611.25 | $815 | 4.8× |
| Niacin (84591) | $123.75 | $165 | 7.3× |
| Nickel level (83885) | $176.25 | $235 | 7.2× |
| Nk cells total count (86357) | $300 | $400 | 8.0× |
| Nuclear antigen antibody (86235) | $142.50 | $190 | 7.9× |
| Obstetric panel (80081) | $540 | $720 | 7.2× |
| Occult blood feces (82272) | $30 | $40 | 7.1× |
| Occult Blood Other Sources (82271) | $37.50 | $50 | 7.0× |
| Organic Acids Qualitative Each Specimen (83919) | $120 | $160 | 7.3× |
| Osmolality serum (83930) | $48.75 | $65 | 7.4× |
| Osmolality Urine (83935) | $48.75 | $65 | 7.1× |
| Ova and parasites smears (87177) | $41.25 | $55 | 4.6× |
| Ova1 (81503) | $2,583.75 | $3,445 | 2.9× |
| Oxalate urine (83945) | $105 | $140 | 7.3× |
| Pancreatic Elastase Fecal (82656) | $82.50 | $110 | 7.2× |
| Particle Agglut Antbdy Titr (86406) | $86.25 | $115 | 8.1× |
| Particle Agglutination Screen Each Antibody (86403) | $90 | $120 | 7.8× |
| Parvovirus antibody (86747) | $120 | $160 | 8.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $746.25 | $995 | 1.0× |
| Ph urine (81003) range across 6 matching MRF lines |
$4.50–$26.25 | $6–$35 | varies |
| Phenobarbital Level (80184) | $108.75 | $145 | 7.1× |
| Phenylalanine (84030) | $41.25 | $55 | 7.5× |
| Phenytoin (Dilantin) (80185) | $93.75 | $125 | 7.1× |
| Phenytoin free (80186) | $97.50 | $130 | 7.1× |
| Phosphatase alkaline (84075) | $37.50 | $50 | 7.2× |
| Phospholipid Neutralization Hexagonal (85598) | $116.25 | $155 | 6.5× |
| Phosphorus Serum (84100) | $33.75 | $45 | 7.1× |
| Phosphorus urine (84105) | $41.25 | $55 | 7.1× |
| Pinworm exam (87172) | $18.75 | $25 | 4.4× |
| Platelet Aggregation (85576) | $161.25 | $215 | 6.5× |
| Platelet Antibodies (86022) | $146.25 | $195 | 8.0× |
| Platelet count automated (85049) | $30 | $40 | 6.7× |
| Platelet neutralization (85597) | $116.25 | $155 | 6.5× |
| Porphobilinogen, urine; quantitative (84110) | $60 | $80 | 7.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $105 | $140 | 7.1× |
| Porphyrins, urine; qualitative (84119) | $97.50 | $130 | 7.3× |
| Potassium Urine (84133) | $33.75 | $45 | 7.1× |
| Prealbumin (84134) | $105 | $140 | 7.2× |
| Pregnancy-Associated Plasma Protein-A (84163) | $108.75 | $145 | 7.2× |
| Pregnenolone (84140) | $150 | $200 | 7.3× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $472.50 | $630 | 8.5× |
| Primidone (80188) | $120 | $160 | 7.2× |
| Procalcitonin (Pct) (84145) | $195 | $260 | 7.2× |
| Progesterone (84144) | $150 | $200 | 7.2× |
| Prolactin (84146) | $138.75 | $185 | 7.2× |
| Protein body fluid (84157) | $30 | $40 | 7.5× |
| Protein C Activity (85303) | $90 | $120 | 6.5× |
| Protein c antigen (85302) | $78.75 | $105 | 6.6× |
| Protein Electrophoresis Urine (84166) | $127.50 | $170 | 7.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $78.75 | $105 | 7.3× |
| Protein S Free (85306) | $97.50 | $130 | 6.4× |
| Protein s total (85305) | $75 | $100 | 6.5× |
| Protein test for diagnosis and monitoring of bladder cancer (86386) | $172.50 | $230 | 7.9× |
| Protein total serum (84155) | $26.25 | $35 | 7.2× |
| Protein Total Urine (84156) | $26.25 | $35 | 7.2× |
| Protein Western Blot Test (84182) | $232.50 | $310 | 8.0× |
| Protoporphyrin rbc quantitative (84202) | $105 | $140 | 7.3× |
| PSA free (84154) | $131.25 | $175 | 7.1× |
| Pth Intact (83970) | $296.25 | $395 | 7.2× |
| Q Fever Antibody (86638) | $97.50 | $130 | 8.0× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$72–$491.25 | $96–$655 | varies |
| Quantitative assay drug (80299) | $135 | $180 | 7.2× |
| Quantitative Screen Metals (83018) | $157.50 | $210 | 7.2× |
| Rbc antibody elution (86860) | $1,361.25 | $1,815 | 8.4× |
| Rbc antibody identification (86870) | $2,857.50 | $3,810 | 8.4× |
| Rbc antibody screen (86850) | $78.75 | $105 | 8.1× |
| Rbc pretreatment serum (86978) | $472.50 | $630 | 8.5× |
| Rbc pretx incubatj w/enzymes (86971) | $1,361.25 | $1,815 | 8.4× |
| Rbc serum pretx incubj drugs (86975) | $3,168.75 | $4,225 | 7.5× |
| Receptor assay estrogen (84233) | $633.75 | $845 | 7.2× |
| Receptor assay progesterone (84234) | $465 | $620 | 7.2× |
| Renin activity plasma (84244) | $157.50 | $210 | 7.2× |
| Resp virus 12-25 targets (87633) | $1,980 | $2,640 | 4.8× |
| Reticulocyte separation (86972) | $1,361.25 | $1,815 | 8.4× |
| Rh (86901) | $22.50 | $30 | 7.5× |
| Rheumatoid Factor Qualitative (86430) | $48.75 | $65 | 7.9× |
| Rheumatoid factor quant (86431) | $45 | $60 | 7.9× |
| Rickettsia antibody (86757) | $153.75 | $205 | 7.9× |
| Ristocetin cofactor (85245) | $146.25 | $195 | 6.4× |
| Rotavirus ag eia (87425) | $56.25 | $75 | 4.7× |
| Rpr qualitative (86592) | $33.75 | $45 | 7.9× |
| Rubella Antibody (86762) | $112.50 | $150 | 7.8× |
| Rubeola antibody (86765) | $101.25 | $135 | 7.9× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$60–$67.50 | $80–$90 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $243.75 | $325 | 4.8× |
| Sars-cov-2 COVID-19 antibody (86769) | $333.75 | $445 | 7.9× |
| Sedimentation Rate, Automated (85652) | $18.75 | $25 | 6.9× |
| Selenium (84255) | $183.75 | $245 | 7.2× |
| Semen analysis complete (89320) | $60 | $80 | 4.9× |
| Semen analysis motility and count (89310) | $41.25 | $55 | 4.8× |
| Sensitivity mic (87186) | $41.25 | $55 | 4.8× |
| Sex Hormone Binding Globulin (84270) | $157.50 | $210 | 7.2× |
| Sickling of rbc reduction (85660) | $33.75 | $45 | 6.1× |
| Sirolimus (80195) | $97.50 | $130 | 7.1× |
| Skin test tuberculosis intradermal (86580) range across 3 matching MRF lines |
$12–$45.75 | $16–$61 | varies |
| Smear acid fast (87206) | $26.25 | $35 | 4.9× |
| Smear complex stain (87209) | $86.25 | $115 | 4.8× |
| Smear gram stain (87205) range across 3 matching MRF lines |
$18.75–$26.25 | $25–$35 | varies |
| Smear Special Stain (87207) | $30 | $40 | 5.0× |
| Smn1 Gene Dos/Deletion Alys (81329) | $240 | $320 | 1.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $26.25 | $35 | 4.5× |
| Snrpn/Ube3a Methylation Analysis (81331) | $367.50 | $490 | 7.2× |
| Sodium Serum (84295) | $33.75 | $45 | 7.0× |
| Sodium Urine (84300) | $37.50 | $50 | 7.4× |
| Soluble Transferrin Receptor (84238) | $262.50 | $350 | 7.2× |
| Somatomedin (84305) | $153.75 | $205 | 7.2× |
| Somatostatin (84307) | $131.25 | $175 | 7.2× |
| Special Stains Group 1 (88312) | $93.75 | $125 | 1.9× |
| Special Stains Group 2 (88313) | $225 | $300 | 1.8× |
| Specific gravity body fluid (84315) | $22.50 | $30 | 6.9× |
| Specimen infect agnt concntj (87015) | $30 | $40 | 4.5× |
| Spectrophotometry (84311) | $60 | $80 | 7.4× |
| Stone Analysis (82355) | $82.50 | $110 | 7.1× |
| Stool cultr aerobic bact ea (87046) | $45 | $60 | 4.8× |
| Strep a DNA amp probe (87651) | $165 | $220 | 4.7× |
| Strep b DNA amp probe (87653) | $165 | $220 | 4.7× |
| Sulfate urine (84392) | $41.25 | $55 | 7.5× |
| Surg path level iii (88304) | $93.75 | $125 | 1.9× |
| Surgical pathology level IV (88305) | $93.75 | $125 | 1.9× |
| Surgical pathology level vi (88309) | $1,432.50 | $1,910 | 1.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $22.50 | $30 | 4.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $33.75 | $45 | 4.5× |
| T cells absolute cd4 count (86361) | $213.75 | $285 | 8.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $375 | $500 | 8.0× |
| T cells total count (86359) | $300 | $400 | 8.0× |
| T3 Free (84481) | $120 | $160 | 7.1× |
| T3 reverse (84482) | $112.50 | $150 | 7.1× |
| T3 Total (84480) | $101.25 | $135 | 7.1× |
| T3 Uptake (84479) | $45 | $60 | 7.0× |
| T4 Free (84439) | $63.75 | $85 | 7.1× |
| T4 total (84436) | $48.75 | $65 | 7.1× |
| Tacrolimus (80197) | $97.50 | $130 | 7.1× |
| Tb ag response t-cell susp (86481) range across 2 matching MRF lines |
$116.25–$795 | $155–$1,060 | varies |
| Test for acetone/ketones (82009) | $33.75 | $45 | 7.5× |
| Testosterone total (84403) | $187.50 | $250 | 7.3× |
| Testosterone, Free (84402) | $183.75 | $245 | 7.2× |
| Tetanus antibody (86774) | $116.25 | $155 | 7.9× |
| Theophylline (80198) | $101.25 | $135 | 7.2× |
| Thrombin Time (85670) | $37.50 | $50 | 6.5× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $41.25 | $55 | 6.4× |
| Thyroglobulin (84432) | $116.25 | $155 | 7.2× |
| Thyroglobulin Antibody (86800) | $127.50 | $170 | 8.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $367.50 | $490 | 7.2× |
| Thyroxine binding globulin (84442) | $105 | $140 | 7.1× |
| Tissue Culture (88233) | $1,222.50 | $1,630 | 8.7× |
| Tissue culture bone marrow (88237) | $251.25 | $335 | 1.7× |
| Tissue Culture Lymphocyte (88230) range across 3 matching MRF lines |
$333.75–$1,012.50 | $445–$1,350 | varies |
| Tobramycin peak (80200) | $116.25 | $155 | 7.2× |
| Topiramate (80201) | $86.25 | $115 | 7.2× |
| Toxoplasma ab igm (86778) | $116.25 | $155 | 8.1× |
| Toxoplasma antibody (86777) | $112.50 | $150 | 7.8× |
| Tpmt gene com variants (81335) | $307.50 | $410 | 1.8× |
| Transferase Aspartate Amino Ast Sgot (84450) | $37.50 | $50 | 7.2× |
| Transferrin (84466) | $90 | $120 | 7.1× |
| Trg gene rearrangement anal (81342) | $352.50 | $470 | 1.7× |
| Trichomonas vagin dir probe (87660) | $93.75 | $125 | 4.7× |
| Trichomonas Vaginalis Amplif (87661) | $251.25 | $335 | 7.2× |
| Triglycerides (84478) | $41.25 | $55 | 7.2× |
| Troponin Quant (84484) | $90 | $120 | 7.2× |
| Tumor immunohistochem/comput (88361) | $1,035 | $1,380 | 3.1× |
| Tumor Immunohistochem/Manual (88360) range across 4 matching MRF lines |
$300–$495 | $400–$660 | varies |
| Unlisted Transfusion Medicine Procedure (86999) | $195 | $260 | 7.1× |
| Urea nitrogen urine (84540) | $41.25 | $55 | 7.4× |
| Uric acid other source (84560) | $37.50 | $50 | 7.4× |
| Urinalysis Volume Measure (81050) | $7.50 | $10 | 2.1× |
| Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) | $56.25 | $75 | 1.9× |
| Urine Bacteria Culture (87088) | $37.50 | $50 | 4.6× |
| Urine Pregnancy Test (81025) | $108.75 | $145 | 12.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $41.25 | $55 | 13.0× |
| Valproic acid (80164) | $97.50 | $130 | 7.2× |
| Vancomycin (80202) | $97.50 | $130 | 7.2× |
| Varicella-zoster antibody (86787) | $101.25 | $135 | 7.9× |
| Vasopressin (84588) | $243.75 | $325 | 7.2× |
| Viral Culture (87252) | $123.75 | $165 | 4.7× |
| Virus antibody nos (86790) | $101.25 | $135 | 7.9× |
| Virus inoculate tissue addl (87253) | $97.50 | $130 | 4.8× |
| Virus inoculation, shell via (87254) | $33.75 | $45 | 1.7× |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) | $93.75 | $125 | 4.8× |
| Vit D 1 25-Dihydroxy (82652) | $277.50 | $370 | 7.2× |
| Vitamin A (84590) | $82.50 | $110 | 7.1× |
| Vitamin b-12 (82607) | $108.75 | $145 | 7.2× |
| Vitamin B2 (Riboflavin) (84252) | $146.25 | $195 | 7.2× |
| Vitamin B6 (84207) | $202.50 | $270 | 7.2× |
| Vitamin c (82180) | $71.25 | $95 | 7.2× |
| Vitamin D 25-Hydroxy (82306) | $213.75 | $285 | 7.2× |
| Vitamin E (84446) | $101.25 | $135 | 7.1× |
| Vitamin K (84597) | $97.50 | $130 | 7.1× |
| Von willebrand factor ag (85246) | $146.25 | $195 | 6.4× |
| Wbc Alkaline Phosphatase Count (85540) | $56.25 | $75 | 6.5× |
| West nile virus ab igm (86788) | $135 | $180 | 8.0× |
| West Nile Virus Antibody (86789) | $112.50 | $150 | 7.8× |
| Western Blot Test (84181) | $123.75 | $165 | 7.3× |
| Whole Mitochondrial Genome (81460) | $3,705 | $4,940 | 2.9× |
| Whole mitochondrial genome analysis panel (81465) | $2,696.25 | $3,595 | 2.9× |
| Zinc (84630) | $82.50 | $110 | 7.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.