Lab & pathology prices at Henry Ford Providence Southfield Hospital

Southfield, MI · every code in this section with a posted price and a Medicare benchmark.

688 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $6.72 $12 0.4×
5 Nucleotidase (83915)
range across 2 matching MRF lines
$8.96–$11.76 $16–$21 varies
Abl1 gene analysis kinase domain variants (81170) $336 $600 1.1×
Acetylcholinesterase Assay (82013) $112 $200 9.1×
Acth (82024) $73.36 $131 1.9×
Actin smooth muscle antibody each (86015) $26.88 $48 2.2×
Adenovirus antibody (86603) $5.12 $9.14 0.4×
Agglutinins Febrile Each Antigen (86000)
range across 7 matching MRF lines
$2.80–$8.40 $5–$15 varies
Albumin Fluid (82042)
range across 4 matching MRF lines
$5.04–$10.08 $9–$18 varies
Albumin serum (82040)
range across 5 matching MRF lines
$5.04–$8.40 $9–$15 varies
Aldolase (82085) $7.95 $14.20 0.8×
Aldosterone urine (82088)
range across 10 matching MRF lines
$20.78–$52.64 $37.10–$94 varies
Alkaline phosphatase isoenzymes (84080)
range across 3 matching MRF lines
$19.60–$47.60 $35–$85 varies
Allergen specific ige (86003)
range across 4 matching MRF lines
$2.24–$6.72 $4–$12 varies
Allergen specific igg (86001) $5.60 $10 0.7×
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines
$33.60–$62.72 $60–$112 varies
Alpha-Fetoprotein Amniotic Fluid (82106) $38.64 $69 2.3×
Alpha-Fetoprotein Serum (82105)
range across 6 matching MRF lines
$6.72–$61.04 $12–$109 varies
Alt (sgpt) (84460) $8.40 $15 1.6×
Aluminum (82108) $22.40 $40 0.9×
Amikacin trough (80150) $47.04 $84 3.1×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 2 matching MRF lines
$53.76–$89.60 $96–$160 varies
Amino Acids Multiple Qualitative Each Specimen (82128)
range across 2 matching MRF lines
$19.04–$55.44 $34–$99 varies
Aminolevulinic acid (ala) (82135)
range across 4 matching MRF lines
$11.20–$21.28 $20–$38 varies
Ammonia (82140) $39.20 $70 2.7×
Amniotic fluid protein test on cervicovaginal fluid (84112) $119.28 $213 1.2×
Amniotic fluid scan (82143) $6.72 $12 0.7×
Amylase urine (82150)
range across 4 matching MRF lines
$7.84–$16.24 $14–$29 varies
Ana Titer (86039)
range across 2 matching MRF lines
$26.32–$75.60 $47–$135 varies
Anca Titer Each Antibody (86037) $15.68 $28 1.3×
Androstenedione (82157) $72.24 $129 2.5×
Angiotensin converting enzyme csf (82164)
range across 4 matching MRF lines
$6.61–$47.60 $11.80–$85 varies
Antibody aspergillus (86606)
range across 7 matching MRF lines
$6.72–$19.60 $12–$35 varies
Antibody Bacterium Not Elsewhere Specified (86609)
range across 2 matching MRF lines
$15.68–$16.80 $28–$30 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 6 matching MRF lines
$8.96–$58.24 $16–$104 varies
Antibody Cytomegalovirus Cmv Igm (86645)
range across 2 matching MRF lines
$52.64–$74.48 $94–$133 varies
Antibody Encephalitis California La Crosse (86651)
range across 2 matching MRF lines
$7.73–$10.86 $13.80–$19.39 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663)
range across 2 matching MRF lines
$8.40–$17.66 $15–$31.53 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $8.40 $15 0.5×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 4 matching MRF lines
$52.64–$70 $94–$125 varies
Antibody Fungus Not Elsewhere Specified (86671) $16.24 $29 1.3×
Antibody helicobacter pylori (86677)
range across 4 matching MRF lines
$15.12–$42.56 $27–$76 varies
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 2 matching MRF lines
$16.80–$33.04 $30–$59 varies
Antibody Herpes Smplx Type 1 (86695)
range across 2 matching MRF lines
$19.60–$33.04 $35–$59 varies
Antibody HIV-1&HIV-2 single result (86703) $51.52 $92 3.8×
Antibody HIV-2 (86702)
range across 2 matching MRF lines
$12.32–$25.20 $22–$45 varies
Antibody htlv/HIV antibody confirmatory test (86689) $19.60 $35 1.0×
Antibody identification leukocyte antibodies (86021) $94.08 $168 6.3×
Antibody Identification Platelet Immunogl Assay (86023) $30.94 $55.25 2.5×
Antibody Protozoa Nes (86753) $25.20 $45 2.0×
Antibody Titer (86886) $34.16 $61 6.6×
Antibody Treponema Pallidum (86780)
range across 4 matching MRF lines
$19.60–$35.28 $35–$63 varies
Antibody yersinia (86793) $16.80 $30 1.3×
Antibody; encephalitis, st. louis (86653)
range across 2 matching MRF lines
$7.73–$10.86 $13.80–$19.39 varies
Antibody; influenza virus (86710) $35.28 $63 2.6×
Antigen typing (86905)
range across 4 matching MRF lines
$15.12–$20.16 $27–$36 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $11.76 $21 2.1×
Antinomyces antibody (86602) $12.88 $23 1.3×
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$34.72–$75.60 $62–$135 varies
Antistreptolysin O Screen (86063) $36.96 $66 6.4×
Antistreptolysin o titer (86060) $24.64 $44 3.4×
Antithrombin iii activity (85300)
range across 3 matching MRF lines
$12.32–$30.24 $22–$54 varies
Antithrombin iii antigen (85301) $15.68 $28 1.5×
Apolipoprotein a1 (82172)
range across 4 matching MRF lines
$26.32–$27.44 $47–$49 varies
Arsenic (82175)
range across 7 matching MRF lines
$8.99–$25.76 $16.06–$46 varies
Aspa gene analysis common variants (81200)
range across 2 matching MRF lines
$36.40–$257.26 $65–$459.40 varies
Aspergillus ag eia (87305)
range across 3 matching MRF lines
$15.68–$47.04 $28–$84 varies
Assay activated protein c (85307) $28.56 $51 1.9×
Assay Blood Carbon Dioxide (82374) $8.40 $15 1.7×
Assay Nephelometry Not Spec (83883)
range across 5 matching MRF lines
$14–$61.60 $25–$110 varies
Assay of 5-hiaa (83497)
range across 4 matching MRF lines
$7.84–$16.80 $14–$30 varies
Assay of b-hexosaminidase each assay (83080)
range across 4 matching MRF lines
$31.92–$92.96 $57–$166 varies
Assay of blood/uric acid (84550) $8.40 $15 1.9×
Assay of calcium in urine (82340) $20.72 $37 3.4×
Assay of g6pd enzyme (82955) $7.84 $14 0.8×
Assay of gammaglobulin igm (82784)
range across 19 matching MRF lines
$4.94–$62.72 $8.83–$112 varies
Assay of lactic acid (83605) $33.04 $59 2.9×
Assay of manganese (83785) $25.20 $45 0.9×
Assay of metanephrines (83835)
range across 6 matching MRF lines
$8.40–$103.04 $15–$184 varies
Assay of phosphatase acid total (84060) $5.60 $10 0.7×
Assay of proinsulin (84206) $48.72 $87 1.8×
Assay of pyruvate (84210)
range across 2 matching MRF lines
$8.96–$13.44 $16–$24 varies
Assay of serotonin (84260)
range across 2 matching MRF lines
$28–$39.76 $50–$71 varies
Assay of serum potassium (84132)
range across 2 matching MRF lines
$8.40–$9.52 $15–$17 varies
Assay of sweat sodium (84302)
range across 4 matching MRF lines
$6.72–$36.96 $12–$66 varies
Assay of urea nitrogen (84520) $8.40 $15 2.1×
Assay of urine vma (84585)
range across 2 matching MRF lines
$7.28–$20.16 $13–$36 varies
Assay of vasoactive intestinal peptide (84586)
range across 2 matching MRF lines
$17.02–$54.32 $30.40–$97 varies
Assay of vitamin b-1 (84425) $11.70 $20.90 0.6×
Assay Ph Body Fluid Nos (83986)
range across 5 matching MRF lines
$15.68–$16.80 $28–$30 varies
Atomic Absorption (82190) $32.48 $58 2.0×
Autol Bld/Component Collj Storage Predeposited (86890) $100.80 $180 0.6×
Autol bld/component collj storage salvage (86891) $803.60 $1,435 1.0×
Automated Leukocyte Count (85048) $7.84 $14 3.1×
B cells total count (86355)
range across 2 matching MRF lines
$48.16–$106.40 $86–$190 varies
Bartonella antibody (86611)
range across 4 matching MRF lines
$3.92–$13.26 $7–$23.68 varies
Bcr/abl1 gene major bp (81206)
range across 2 matching MRF lines
$92.40–$183.68 $165–$328 varies
Bcr/abl1 gene minor bp (81207)
range across 2 matching MRF lines
$75.60–$162.40 $135–$290 varies
Beta hydroxybutyrate (82010) $7.84 $14 1.0×
Beta-2 Microglobulin (82232)
range across 2 matching MRF lines
$17.36–$30.80 $31–$55 varies
Bile acids total (82239) $12.32 $22 0.7×
Bilirubin direct (82248) $8.40 $15 1.7×
Bilirubin total (82247) $8.40 $15 1.7×
Blastomyces antibody (86612)
range across 6 matching MRF lines
$6.72–$25.20 $12–$45 varies
Blm Gene (81209) $36.40 $65 0.9×
Blood Count Red Blood Cell Automated (85041) $9.52 $17 3.2×
Blood count reticulocyte automated (85045) $25.20 $45 6.3×
Blood gas (82803) $38.64 $69 1.5×
Blood gases w/02 saturation (82805) $80.64 $144 1.0×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $11.20 $20 2.6×
Blood Type Antigen Donor Reagent Serum Each (86902) $38.08 $68 6.0×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $36.40 $65 2.2×
Blood typing serologic abo (86900) $20.16 $36 6.7×
Bone marrow smear interpretation (85097) $115.36 $206 0.1×
Bordetella antibody (86615)
range across 2 matching MRF lines
$11.76–$39.20 $21–$70 varies
Braf gene analysis (81210)
range across 2 matching MRF lines
$196.56–$223.44 $351–$399 varies
Brucella antibody (86622)
range across 2 matching MRF lines
$10.25–$10.26 $18.31–$18.32 varies
C diff amplified probe (87493)
range across 2 matching MRF lines
$42–$62.72 $75–$112 varies
C-Peptide (84681)
range across 2 matching MRF lines
$21.28–$39.76 $38–$71 varies
C-reactive protein (86140)
range across 2 matching MRF lines
$8.12–$35.28 $14.50–$63 varies
Ca 19-9 (86301)
range across 2 matching MRF lines
$45.92–$53.20 $82–$95 varies
Cadmium (82300)
range across 2 matching MRF lines
$14.56–$28 $26–$50 varies
Calcitonin (82308) $13.59 $24.26 0.5×
Calcium ionized (82330)
range across 3 matching MRF lines
$15.68–$36.96 $28–$66 varies
Calcium total (82310)
range across 3 matching MRF lines
$5.60–$8.40 $10–$15 varies
Calculus assay quant (82360) $8.96 $16 0.7×
Calculus Spectroscopy (82365) $5.04 $9 0.4×
Calprotectin Fecal (83993) $50.40 $90 2.6×
Calr gene com variants (81219)
range across 2 matching MRF lines
$136.08–$156.80 $243–$280 varies
Cancer Antigen 125 (86304)
range across 2 matching MRF lines
$35.28–$52.08 $63–$93 varies
Cancer Antigen 27.29 (86300)
range across 3 matching MRF lines
$10.53–$47.04 $18.80–$84 varies
Candida antibody (86628)
range across 3 matching MRF lines
$11.10–$11.11 $19.83–$19.84 varies
Candida Dna Dir Probe (87480) $25.20 $45 1.3×
Carbamazepine total (80156) $39.20 $70 2.7×
Carboxyhemoglobin (82375)
range across 3 matching MRF lines
$32.48–$47.60 $58–$85 varies
Carcinoembryonic antigen (82378)
range across 4 matching MRF lines
$15.68–$61.04 $28–$109 varies
Cardiolipin ab iga (86147)
range across 7 matching MRF lines
$15.46–$57.12 $27.60–$102 varies
Carnitine Quantitative Each Specimen (82379)
range across 2 matching MRF lines
$14.34–$14.56 $25.60–$26 varies
Carotene (82380)
range across 2 matching MRF lines
$11.76–$23.52 $21–$42 varies
Catecholamines fractionated (82384)
range across 7 matching MRF lines
$11.14–$33.04 $19.90–$59 varies
Ccp antibody (86200) $9.52 $17 0.7×
Cebpa Gene Analysis Full Gene Sequence (81218) $271.04 $484 1.1×
Cell count csf (89051) $33.60 $60 6.0×
Ceruloplasmin (82390)
range across 3 matching MRF lines
$13.44–$26.88 $24–$48 varies
Cftr gene com variants (81220) $210.56 $376 0.4×
Chlamydia antibody (86631)
range across 7 matching MRF lines
$6.16–$34.72 $11–$62 varies
Chlamydia Igm Antibody (86632)
range across 11 matching MRF lines
$6.16–$33.60 $11–$60 varies
Chloramphenicol level (82415) $17.36 $31 1.4×
Chloride other source (82438)
range across 5 matching MRF lines
$6.72–$20.72 $12–$37 varies
Chloride Serum (82435) $8.40 $15 1.8×
Chloride urine (82436) $11.76 $21 2.0×
Cholesterol total (82465) $8.40 $15 1.9×
Cholinesterase rbc (82482) $8.40 $15 0.9×
Chorionic gonadotropin test (84702)
range across 4 matching MRF lines
$11.76–$43.12 $21–$77 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $142.80 $255 0.8×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $22.40 $40 0.8×
Chrmsm Analysis Addl High Resolution Study (88289) $53.20 $95 1.5×
Chrmsm Analysis Addl Karyotyp Each Study (88280)
range across 6 matching MRF lines
$22.40–$52.08 $40–$93 varies
Chromium serum (82495) $8.96 $16 0.4×
Chromogranin a (86316)
range across 2 matching MRF lines
$13.44–$17.36 $24–$31 varies
Chromosome Analysis 15-20 (88262)
range across 7 matching MRF lines
$60.48–$201.60 $108–$360 varies
Chromosome Analysis 20-25 (88264) $49.84 $89 0.3×
Chromosome analysis, 5 (88261) $112 $200 0.4×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$114.24–$122.64 $204–$219 varies
Citric acid urine (82507) $15.12 $27 0.5×
Ckmb (82553) $36.96 $66 3.2×
Clostridium Difficile (87324)
range across 2 matching MRF lines
$20.72–$22.40 $37–$40 varies
Clotting factor xii hageman (85280) $33.04 $59 1.7×
Clotting Funct Activity (85397)
range across 2 matching MRF lines
$39.76–$91.84 $71–$164 varies
Coagulation time activated (85347) $29.12 $52 6.8×
Coccidioides antibody (86635)
range across 9 matching MRF lines
$6.63–$25.20 $11.84–$45 varies
Cold agglutinin titer (86157) $12.32 $22 1.5×
Column Chromotography Quant (82542)
range across 3 matching MRF lines
$61.04–$205.07 $109–$366.20 varies
Comparative Anal Str Markers Patient&Comp Spec (81265) $141.68 $253 0.6×
Compatibility Each Unit Incubation (86921) $12.32 $22 0.1×
Compatibility test antiglob (86922) $36.96 $66 0.2×
Complement Antigen Each Component (86160)
range across 9 matching MRF lines
$8.40–$65.52 $15–$117 varies
Complement Fixation Tests Each Antigen (86171) $201.60 $360 20.1×
Complement Total (Ch50) (86162)
range across 3 matching MRF lines
$19.60–$128.80 $35–$230 varies
Complement/Function Activity (86161)
range across 4 matching MRF lines
$6.83–$21.28 $12.20–$38 varies
Consltj Compre Review Reprt Referred Matrl (88325) $194.88 $348 1.1×
Consltj&Reprt Material Requiring Prepj Slides (88323) $56.56 $101 1.1×
Consltj&Reprt Slides Prepared Elsewhere (88321)
range across 2 matching MRF lines
$90.72–$103.60 $162–$185 varies
Coombs direct (86880) $19.60 $35 3.6×
Copper urine (82525)
range across 3 matching MRF lines
$9.52–$16.24 $17–$29 varies
Cortisol free (82530) $7.56 $13.50 0.5×
Cortisol saliva (82533)
range across 15 matching MRF lines
$21.28–$112.11 $38–$200.20 varies
Creatine kinase total (82550)
range across 2 matching MRF lines
$3.92–$8.40 $7–$15 varies
Creatinine blood (82565) $8.40 $15 1.6×
Creatinine clearance (82575) $36.96 $66 3.9×
Creatinine Urine (82570)
range across 12 matching MRF lines
$2.80–$12.88 $5–$23 varies
Crossmatch electronic (86923) $12.32 $22 0.1×
Crossmatch immediate spin (86920) $36.96 $66 0.2×
Crp High Sensitivity (86141)
range across 2 matching MRF lines
$29.12–$38.08 $52–$68 varies
Cryoglobulin (82595)
range across 2 matching MRF lines
$6.16–$14.56 $11–$26 varies
Cryptococcus ab (86641) $14 $25 1.0×
Cryptococcus ag titer (87899)
range across 3 matching MRF lines
$23.05–$31.36 $41.16–$56 varies
Cryptosporidium (87272) $56 $100 4.7×
Cryptosporidium ag eia (87328) $9.24 $16.50 0.7×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $42 $75 5.2×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $68.88 $123 8.5×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $45.36 $81 5.9×
Culture afb (87116) $73.36 $131 6.8×
Culture Anaerobic (87075)
range across 3 matching MRF lines
$29.12–$55.44 $52–$99 varies
Culture blood (87040) $56.56 $101 5.5×
Culture chlamydia (87110)
range across 2 matching MRF lines
$25.20–$115.36 $45–$206 varies
Culture csf (87070)
range across 14 matching MRF lines
$25.20–$70 $45–$125 varies
Culture fungus (87102) $51.52 $92 6.1×
Culture fungus blood (87103) $60.48 $108 3.0×
Culture screen only (87081)
range across 7 matching MRF lines
$12.68–$49.84 $22.64–$89 varies
Culture stool (87045) $38.08 $68 4.0×
Culture typing if ea antiserum (87140)
range across 2 matching MRF lines
$7.28–$68.32 $13–$122 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $22.96 $41 4.4×
Culture urine (87086) $46.48 $83 5.8×
Cyanide (82600) $11.20 $20 0.6×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $22.96 $41 1.6×
Cyclosporine (80158)
range across 2 matching MRF lines
$10.08–$41.44 $18–$74 varies
Cyp2c19 gene analysis common variants (81225) $326.48 $583 1.1×
Cytogenetics 100-300 (88275)
range across 26 matching MRF lines
$19.04–$214.48 $34–$383 varies
Cytogenomic neo microra alys (81277) $1,299.20 $2,320 1.1×
Cytomegalovirus igg (86644)
range across 4 matching MRF lines
$16.80–$75.60 $30–$135 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $33.04 $59 1.6×
Cytopath Cell Enhance Tech (88112) $31.36 $56 0.6×
Cytopath Fl Nongyn Filter (88106) $43.68 $78 1.5×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $30.80 $55 1.2×
Cytp Concentration Smears & Interpretation (88108)
range across 3 matching MRF lines
$39.20–$76.16 $70–$136 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $61.04 $109 1.2×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $25.20 $45 0.1×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $81.76 $146 2.2×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $30.24 $54 1.0×
Cytp Urine 3-5 Probes Cmptr (88121) $252 $450 1.5×
Detect Agent Nos Dna Amp (87798)
range across 15 matching MRF lines
$13.40–$217.84 $23.93–$389 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$48.72–$75.60 $87–$135 varies
Detect agnt mult DNA ampli (87801)
range across 3 matching MRF lines
$90.16–$132.72 $161–$237 varies
Dgp Antibody Each Ig Class (86258)
range across 5 matching MRF lines
$15.68–$21.28 $28–$38 varies
Dhea (82626) $36.40 $65 1.4×
Dhea-S (82627)
range across 2 matching MRF lines
$50.40–$65.52 $90–$117 varies
Digoxin (80162) $38.08 $68 2.9×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines
$21.84–$63.28 $39–$113 varies
Dna Antibody Single Stranded (86226)
range across 2 matching MRF lines
$14.16–$32.48 $25.28–$58 varies
DNA/RNA direct probe (87149)
range across 2 matching MRF lines
$29.12–$49.84 $52–$89 varies
Drug Screen Quant Clozapine (80159) $11.20 $20 0.6×
Drug Screen Quantitative Gabapentin (80171) $8.96 $16 0.4×
Drug Screen Quantitative Lamotrigine (80175)
range across 2 matching MRF lines
$7.84–$24.64 $14–$44 varies
Drug Screen Quantitative Levetiracetam (80177) $24.08 $43 1.8×
Drug Screen Quantitative Procainamide Metabolite (80192) $10.64 $19 0.6×
Drug Test Prsmv Chem Anlyzr (80307)
range across 7 matching MRF lines
$40.32–$80.08 $72–$143 varies
Egfr Gene Analysis Common Variants (81235)
range across 2 matching MRF lines
$196–$223.44 $350–$399 varies
Electrolyte panel (80051) $14.56 $26 2.1×
Electron Microscopy (88348)
range across 4 matching MRF lines
$222.57–$1,927.52 $397.44–$3,442 varies
Encephaltis East Eqne Anbdy (86652)
range across 2 matching MRF lines
$7.73–$10.86 $13.80–$19.39 varies
Encephaltis West Eqne Antbdy (86654)
range across 3 matching MRF lines
$7.73–$52.92 $13.80–$94.50 varies
Enterovirus Antibody (86658)
range across 30 matching MRF lines
$6.16–$68.81 $11–$122.88 varies
Enterovirus PCR (87498)
range across 2 matching MRF lines
$24.19–$61.60 $43.20–$110 varies
Enzyme cell activity (82657)
range across 4 matching MRF lines
$21.28–$21.84 $38–$39 varies
Enzyme histochemistry (88319) $116.48 $208 0.1×
Eosinophil Smear (89190)
range across 2 matching MRF lines
$16.24–$26.32 $29–$47 varies
Erythropoietin (82668)
range across 2 matching MRF lines
$8.34–$11.76 $14.90–$21 varies
Estradiol serum (82670)
range across 2 matching MRF lines
$49.84–$71.12 $89–$127 varies
Estriol (82677)
range across 3 matching MRF lines
$10.08–$30.80 $18–$55 varies
Estrogen total (82672) $23.52 $42 1.1×
Ethylene Glycol (82693)
range across 2 matching MRF lines
$24.64–$35.28 $44–$63 varies
Exam Synovial Fluid Crystals (89060) $16.80 $30 2.3×
F2 Gene (81240) $124.32 $222 1.9×
Factor Inhibitor Test (85335)
range across 6 matching MRF lines
$8.96–$60.48 $16–$108 varies
Factor ix activity (85250) $36.96 $66 1.9×
Factor v activity (85220) $34.72 $62 2.0×
Factor v leiden mutation (81241) $124.88 $223 1.7×
Factor vii assay (85230) $44.24 $79 2.5×
Factor viii assay (85240)
range across 3 matching MRF lines
$22.96–$35.28 $41–$63 varies
Factor X (85260) $36.96 $66 2.1×
Factor xi activity (85270) $36.96 $66 2.1×
Factor xiii screen (85291) $34.72 $62 3.8×
Fancc Gene (81242)
range across 2 matching MRF lines
$36.40–$147 $65–$262.50 varies
Fat/Lipids Feces Quantitative (82710) $10.64 $19 0.6×
Fatty acids free (82725) $35.32 $63.07 1.9×
Fecal Fat Qualitative (82705) $20.72 $37 4.1×
Ferritin (82728) $41.44 $74 3.0×
Fetal Congenital Abnor Assay Four Anal (81511) $31.86 $56.90 0.2×
Fetal Fibronectin (82731) $144.48 $258 2.2×
Fetal screen rosette (85461) $16.80 $30 1.8×
Fibrin degradation products (85362) $39.20 $70 5.7×
Fibrin Degradation Quant (85379) $31.36 $56 3.1×
Fibrin dgradj products d-dimer qual/semiquan (85378) $33.60 $60 3.5×
Fibrinogen activity (85384) $24.64 $44 2.5×
Flow cytometry first marker (88184)
range across 9 matching MRF lines
$34.72–$252.56 $62–$451 varies
Flt3 Gene (81245)
range across 4 matching MRF lines
$59.36–$185.36 $106–$331 varies
Flt3 gene analysis (81246) $92.96 $166 1.1×
Fluorescent antibody screen (86255)
range across 13 matching MRF lines
$8.96–$54.88 $16–$98 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 8 matching MRF lines
$5.04–$54.32 $9–$97 varies
Fmr1 Gene Charac Alleles (81244) $67.20 $120 1.5×
Fmr1 gene detection (81243) $141.12 $252 2.5×
Folic acid rbc (82747)
range across 2 matching MRF lines
$15.68–$37.52 $28–$67 varies
Folic Acid Serum (82746) $43.12 $77 2.9×
Follicle Stimulating Hormone (83001)
range across 3 matching MRF lines
$26.88–$108.08 $48–$193 varies
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $132.16 $236 4.6×
Francisella tularensis (86668) $32.76 $58.50 2.3×
Fresh Frozen Plasma Thawing Each Unit (86927) $52.08 $93 0.3×
Frozen Section (88331) $169.12 $302 1.0×
Fungi Identification Mold (87107) $84 $150 8.1×
Fungi Identification Yeast (87106) $56.56 $101 5.5×
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$37.52–$69.44 $67–$124 varies
Gardner vag DNA dir probe (87510) $25.20 $45 1.3×
Gases Blood O2 Saturation Only Direct Meas (82810) $15.68 $28 1.6×
Gastrin (82941)
range across 3 matching MRF lines
$7.06–$16.80 $12.60–$30 varies
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $36.40 $65 0.8×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)
range across 8 matching MRF lines
$501.20–$1,226.40 $895–$2,190 varies
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455)
range across 2 matching MRF lines
$1,198.40–$2,125.20 $2,140–$3,795 varies
Gentamicin (80170) $35.28 $63 2.2×
Ggt (82977) $11.76 $21 1.6×
Giardia antigen (87329) $25.20 $45 2.1×
Gluc-6-phosphate dehydrogenase screen (82960) $28.56 $51 4.7×
Glucagon (82943) $22.40 $40 1.6×
Glucose 2 hr pp (82950) $11.76 $21 2.5×
Glucose Blood Test (82962) $9.52 $17 2.9×
Glucose body fluid (82945) $8.96 $16 2.3×
Glucose Serum (82947)
range across 5 matching MRF lines
$8.40–$9.52 $15–$17 varies
Glucose tolerance test (gtt) (82951) $36.96 $66 2.9×
Gonadotropin Chorionic Qualitative (84703) $20.16 $36 2.7×
Growth hormone (83003)
range across 2 matching MRF lines
$27.44–$31.36 $49–$56 varies
Gtt-added samples (82952) $12.32 $22 3.1×
Haptoglobin (83010) $34.72 $62 2.8×
Hdl Cholesterol (83718) $24.64 $44 3.0×
Heavy metal qualitative any analytes (83015) $18.70 $33.40 0.9×
Heinz Bodies Induced Acetyl Phenylhydrazine (85445) $19.04 $34 2.8×
Helminth Antibody (86682)
range across 2 matching MRF lines
$70–$96.88 $125–$173 varies
Hematocrit (85014)
range across 4 matching MRF lines
$3.36–$38.64 $6–$69 varies
Hemoglobin (85018) $10.08 $18 4.3×
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$25.76–$29.68 $46–$53 varies
Hemoglobin Chromotography (83021)
range across 2 matching MRF lines
$11.20–$43.12 $20–$77 varies
Hemoglobin electrophoresis (83020)
range across 3 matching MRF lines
$27.44–$52.64 $49–$94 varies
Hemoglobin F Fetal Chemical (83030)
range across 2 matching MRF lines
$8.40–$20.72 $15–$37 varies
Hemoglobin Methemoglobin Quantitative (83050) $43.12 $77 5.3×
Hemoglobin plasma (83051)
range across 3 matching MRF lines
$7.28–$31.36 $13–$56 varies
Hemolysin Acid (85475)
range across 2 matching MRF lines
$17.92–$26.88 $32–$48 varies
Hemolysins&Agglutinins Incubated (86941)
range across 2 matching MRF lines
$22.96–$73.36 $41–$131 varies
Hemosiderin urine (83070) $11.76 $21 2.5×
Hep a ab igm (86709)
range across 2 matching MRF lines
$39.20–$42.56 $70–$76 varies
Heparin assay (85520)
range across 2 matching MRF lines
$25.20–$76.16 $45–$136 varies
Hepatitis a antibody total (86708)
range across 2 matching MRF lines
$41.44–$46.48 $74–$83 varies
Hepatitis b core ab igm (86705)
range across 2 matching MRF lines
$44.24–$52.64 $79–$94 varies
Hepatitis b core ab total (86704)
range across 2 matching MRF lines
$39.20–$45.36 $70–$81 varies
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines
$29.12–$40.32 $52–$72 varies
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines
$30.80–$39.20 $55–$70 varies
Hepatitis Be Antibody (86707) $6.61 $11.80 0.6×
Hepatitis Be Antigen (87350) $6.61 $11.80 0.6×
Hepatitis C Antibody (86803)
range across 2 matching MRF lines
$41.44–$48.72 $74–$87 varies
Hepatitis c antibody confirmatory test (86804) $35.28 $63 2.3×
Hepatitis C Genotype (87902)
range across 2 matching MRF lines
$98–$331.52 $175–$592 varies
Hepatitis C Probe&Rvrs Trnsc (87521)
range across 2 matching MRF lines
$42.50–$53.76 $75.90–$96 varies
Hepatitis C Revrs Trnscrpj (87522)
range across 3 matching MRF lines
$72.80–$100.80 $130–$180 varies
Hepatitis Delta Agent Antibody (86692) $36.40 $65 2.1×
Herpes simplex type 2 (86696)
range across 3 matching MRF lines
$13.44–$48.16 $24–$86 varies
Heterophile antibodies titer (86309) $22.40 $40 3.5×
Heterophile Antibody Screen (86308) $17.92 $32 3.5×
Hexa gene analysis common variants (81255) $36.40 $65 0.7×
Hfe Gene (81256)
range across 2 matching MRF lines
$52.08–$70 $93–$125 varies
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $32.48 $58 4.2×
Histamine urine (83088)
range across 2 matching MRF lines
$61.60–$74.48 $110–$133 varies
Histoplasma antibody (86698)
range across 5 matching MRF lines
$6.72–$25.20 $12–$45 varies
Histoplasma antigen urine (87385)
range across 3 matching MRF lines
$17.36–$45.78 $31–$81.75 varies
Hiv Genotype (87901) $157.92 $282 0.6×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $16.24 $29 0.7×
Hiv-1 Antibody (86701)
range across 3 matching MRF lines
$13.44–$25.76 $24–$46 varies
HIV-1 p24 antigen (87390) $17.92 $32 0.7×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 2 matching MRF lines
$105.28–$199.92 $188–$357 varies
Hla I Low Resolution One Antigen Equivalent Each (81374) $95.76 $171 1.3×
Hla I Typing 1 Allele Hr (81381) $67.20 $120 0.4×
Hla Typing a/B/C Multiple Antigens (86813)
range across 3 matching MRF lines
$56–$274.40 $100–$490 varies
Hla Typing Dr/Dq Single Antigen (86816) $80.64 $144 2.7×
Hla-b27 (86812) $35.84 $64 1.4×
Homocysteine (83090)
range across 2 matching MRF lines
$55.44–$81.20 $99–$145 varies
Homogenization Tissue (87176) $33.60 $60 5.7×
Hpv High-Risk Types (87624) $42 $75 1.2×
Hsv Dna Amp Probe (87529)
range across 8 matching MRF lines
$26.32–$132.16 $47–$236 varies
Htlv-I Antibody (86687)
range across 2 matching MRF lines
$21.28–$50.40 $38–$90 varies
Htlv-ii antibody (86688) $50.40 $90 3.6×
Hydroxycorticosteroids 17 (83491) $8.40 $15 0.5×
Hydroxyprogesterone 17-d (83498) $20.16 $36 0.7×
Hydroxyproline total (83505) $30.28 $54.08 1.2×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $59.36 $106 5.7×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $32.48 $58 2.3×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $10.64 $19 0.9×
Iaadi herpes smplx virus type 1 (87274) $35.28 $63 2.9×
Iaadi herpes smplx virus type 2 (87273) $34.72 $62 2.9×
Iaadi inffluenza a virus (87276) $35.28 $63 2.2×
Iaadi parainfluenza virus each type (87279) $39.20 $70 2.4×
Iaadi pneumocustis carinii (87281)
range across 2 matching MRF lines
$7.71–$42 $13.77–$75 varies
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $35.28 $63 2.9×
Iaadi respiratory synctial virus (87280) $78.96 $141 5.9×
Iadna chlamydia pneumoniae amplified probe tq (87486) $42 $75 1.2×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $49.84 $89 2.2×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 4 matching MRF lines
$21.28–$71.12 $38–$127 varies
Iadna Cytomegalovirus Quantification (87497) $49.84 $89 1.2×
Iadna Hepatitis B Virus Quantification (87517) $45.64 $81.50 1.1×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $80.08 $143 2.3×
Iadna Legionella Pneumophila Amplified Probe Tq (87541)
range across 2 matching MRF lines
$45.36–$84 $81–$150 varies
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 2 matching MRF lines
$42–$51.97 $75–$92.80 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$122.64–$127.68 $219–$228 varies
Idh1 common variants (81120) $216.72 $387 1.1×
Idh2 common variants (81121) $331.52 $592 1.1×
Ig Light Chains Free Each (83521) $20.72 $37 1.2×
Igg subclasses (82787)
range across 5 matching MRF lines
$4.48–$55.44 $8–$99 varies
Igh gene rearrange amp meth (81261)
range across 2 matching MRF lines
$75.60–$221.76 $135–$396 varies
Igh@ Variable Region Somatic Mutation Analysis (81263) $329.84 $589 1.1×
Igk rearrangeabn clonal pop (81264) $84 $150 0.5×
Ikbkap Gene Analysis Common Variants (81260) $36.40 $65 0.9×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 2 matching MRF lines
$45.36–$100.80 $81–$180 varies
Immune Complex Assay (86332) $50.96 $91 2.1×
Immunfix e-phorsis/urine/csf (86335)
range across 3 matching MRF lines
$71.12–$73.36 $127–$131 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 5 matching MRF lines
$13.44–$31.36 $24–$56 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 21 matching MRF lines
$10.08–$36.96 $18–$66 varies
Immunoassay nonantibody (83516)
range across 17 matching MRF lines
$4.48–$47.31 $8–$84.48 varies
Immunodiffusion Ouchterlony (86331)
range across 3 matching MRF lines
$12.88–$15.68 $23–$28 varies
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines
$48.72–$71.12 $87–$127 varies
Immunofluorescence per spec 1st singl antb stain (88346)
range across 4 matching MRF lines
$56–$233.52 $100–$417 varies
Immunohistochemistry (88342)
range across 4 matching MRF lines
$40.17–$133.28 $71.73–$238 varies
In situ hybridization 1st probe stain (88365)
range across 5 matching MRF lines
$75.04–$98 $134–$175 varies
In situ hybridization ea multiplex probe stain (88366)
range across 2 matching MRF lines
$69.44–$98 $124–$175 varies
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $36.96 $66 2.6×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $35.28 $63 2.9×
Influenza assay w/optic (87804) $16.80 $30 1.0×
Influenza DNA amp probe (87502) $98.56 $176 1.0×
Inhibin A (86336)
range across 3 matching MRF lines
$11.76–$20.16 $21–$36 varies
Inhibin b (83520)
range across 18 matching MRF lines
$14–$130.67 $25–$233.34 varies
Insitu hybridization auto (88367)
range across 6 matching MRF lines
$84–$140 $150–$250 varies
Insitu hybridization manual (88368)
range across 7 matching MRF lines
$83.82–$158.54 $149.67–$283.10 varies
Insulin antibodies (86337)
range across 2 matching MRF lines
$16.80–$23.30 $30–$41.60 varies
Insulin total (83525)
range across 2 matching MRF lines
$20.16–$22.40 $36–$40 varies
Interleukin-6 (83529) $22.40 $40 1.3×
Intrinsic factor antibody (86340) $28.56 $51 1.9×
Iron (83540) $13.44 $24 2.1×
Iron Binding Capacity (83550) $24.08 $43 2.8×
Irradiation Blood Product Each Unit (86945) $33.60 $60 0.9×
Islet cell antibody (86341) $9.52 $17 0.4×
Jak2 gene analysis p.val617phe variant (81270)
range across 5 matching MRF lines
$86.24–$336 $154–$600 varies
Jak2 Gene Trgt Sequence Alys (81279) $207.20 $370 1.1×
Kit Gene Analysis D816 Variant(S) (81273) $223.44 $399 1.8×
Kit Gene Analysis Targeted Sequence Analysis (81272)
range across 4 matching MRF lines
$141.12–$369.04 $252–$659 varies
Koh Prep (87220) $15.68 $28 3.7×
Kras Gene Analysis Additional Variant(S) (81276) $112 $200 0.6×
Kras Gene Variants Exon 2 (81275)
range across 2 matching MRF lines
$112–$196 $200–$350 varies
L/s ratio (83661)
range across 2 matching MRF lines
$48.72–$49.28 $87–$88 varies
Lactate (ld) (ldh) enzyme (83615)
range across 7 matching MRF lines
$1.68–$8.96 $3–$16 varies
Lamellar Body Count (83664) $3.36 $6 0.2×
Ldh Isoenzymes (83625) $16.80 $30 1.3×
LDL direct (83721)
range across 2 matching MRF lines
$14.56–$17.92 $26–$32 varies
Lead (83655)
range across 6 matching MRF lines
$6.33–$21.28 $11.30–$38 varies
Legionella antibody (86713)
range across 2 matching MRF lines
$20.16–$24.08 $36–$43 varies
Legionella antigen urine (87449)
range across 5 matching MRF lines
$15.68–$77.82 $28–$138.97 varies
Legionella pneumophila dfa (87278)
range across 3 matching MRF lines
$20.72–$42.56 $37–$76 varies
Leptospira antibody (86720) $25.20 $45 1.6×
Leukocyte Assessment Fecal (89055)
range across 2 matching MRF lines
$11.20–$20.16 $20–$36 varies
Level I Surg Pathology Gross Examination Only (88300) $22.40 $40 0.8×
Level ii surg pathology gross&microscopic exam (88302) $148.96 $266 4.0×
Level V Surg Pathology Gross&Microscopic Exam (88307) $142.80 $255 0.4×
Lidocaine (80176) $8.40 $15 0.6×
Lipase (83690)
range across 2 matching MRF lines
$5.60–$21.28 $10–$38 varies
Lipoprotein A (83695)
range across 2 matching MRF lines
$17.92–$36.96 $32–$66 varies
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $70 $125 2.1×
Lipoprotein-Associated Phospholipase A2 (83698) $28 $50 0.6×
Lithium (80178) $15.68 $28 2.4×
Luteinizing Hormone (Lh) (83002)
range across 3 matching MRF lines
$26.88–$103.04 $48–$184 varies
Lyme disease antibody (86618)
range across 6 matching MRF lines
$19.60–$66.08 $35–$118 varies
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 17 matching MRF lines
$98–$1,058.40 $175–$1,890 varies
M/phmtrc alys ishquant/semiq (88374)
range across 25 matching MRF lines
$84–$1,058.40 $150–$1,890 varies
Magnesium Urine (83735)
range across 3 matching MRF lines
$12.32–$26.32 $22–$47 varies
Mass Spectrometry Quant (83789) $98 $175 4.1×
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) $36.40 $65 0.9×
Meat fibers, feces (89160) $11.76 $21 2.4×
Mercury urine (83825)
range across 7 matching MRF lines
$6.33–$21.84 $11.30–$39 varies
Methemalbumin (83857) $47.60 $85 4.4×
Methotrexate (80204) $50.40 $90 1.3×
Methylmalonic acid serum (83921)
range across 3 matching MRF lines
$10.06–$29.68 $17.97–$53 varies
Mgmt methylation analysis (81287)
range across 2 matching MRF lines
$139.44–$179.20 $249–$320 varies
Microalbumin, quantitative (82043)
range across 3 matching MRF lines
$24.64–$29.12 $44–$52 varies
Microsatellite instability (81301)
range across 4 matching MRF lines
$176.96–$390.32 $316–$697 varies
Microsomal Antibodies Each (86376)
range across 4 matching MRF lines
$9.66–$75.60 $17.25–$135 varies
Mitochondrial Antibody Each (86381) $26.88 $48 1.1×
Mlh1 Gene (81288)
range across 2 matching MRF lines
$201.60–$215.60 $360–$385 varies
Molecular Cytogenetics Dna Probe Each (88271)
range across 42 matching MRF lines
$10.64–$83.44 $19–$149 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274)
range across 4 matching MRF lines
$28–$61.60 $50–$110 varies
Molecular Pathology Procedure Level 3 (81402)
range across 3 matching MRF lines
$103.60–$254.80 $185–$455 varies
Molecular Pathology Procedure Level 6 (81405) $56 $100 0.2×
Mononuclear cell antigen (86356) $34.72 $62 1.3×
Mopath procedure level 2 (81401)
range across 6 matching MRF lines
$50.40–$428.40 $90–$765 varies
Mopath procedure level 4 (81403)
range across 5 matching MRF lines
$56.56–$179.20 $101–$320 varies
Mopath procedure level 8 (81407) $56 $100 0.1×
Mpl gene common variants (81338) $168.56 $301 1.1×
Mrsa Pcr (87641) $45.92 $82 1.3×
Mthfr Gene Analysis Common Variants (81291) $131.60 $235 2.0×
Mumps antibody (86735)
range across 4 matching MRF lines
$4.94–$25.20 $8.83–$45 varies
Mycoplasma antibody (86738)
range across 5 matching MRF lines
$5.88–$44.24 $10.50–$79 varies
Mycoplasma culture (87109)
range across 2 matching MRF lines
$8.40–$70 $15–$125 varies
Myd88 Gene P.Leu265pro Vrnt (81305) $196.56 $351 1.1×
Myelin basic protein csf (83873) $7.84 $14 0.5×
Myoglobin urine (83874) $7.71 $13.76 0.6×
Natriuretic peptide (83880) $61.04 $109 1.6×
Neisseria Dir Na Probe (87590) $49.84 $89 1.9×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $27.61 $49.30 0.9×
Nickel level (83885) $29.12 $52 1.2×
Nk cells total count (86357)
range across 2 matching MRF lines
$48.16–$106.40 $86–$190 varies
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310)
range across 2 matching MRF lines
$148.96–$276.08 $266–$493 varies
Nras gene variants exon 2&3 (81311) $223.44 $399 0.8×
Nuclear antigen antibody (86235)
range across 13 matching MRF lines
$7.28–$57.12 $13–$102 varies
Occult blood feces (82272) $5.04 $9 1.2×
Occult Blood Other Sources (82271) $9.52 $17 1.8×
Oligoclonal bands (83916)
range across 3 matching MRF lines
$21.84–$75.04 $39–$134 varies
Organic acids urine (83918) $47.04 $84 2.0×
Osmolality serum (83930) $22.96 $41 3.5×
Osmolality Urine (83935) $22.40 $40 3.3×
Osmotic fragility rbc incubated (85557) $43.12 $77 3.2×
Ova and parasites smears (87177)
range across 3 matching MRF lines
$11.76–$71.68 $21–$128 varies
Oxalate urine (83945) $6.72 $12 0.5×
Particle Agglut Antbdy Titr (86406)
range across 2 matching MRF lines
$30.80–$37.52 $55–$67 varies
Particle Agglutination Screen Each Antibody (86403)
range across 3 matching MRF lines
$24.64–$48.72 $44–$87 varies
Parvovirus antibody (86747)
range across 5 matching MRF lines
$7–$19.60 $12.50–$35 varies
Path Consltj Surg Cytologic Exam Initial Site (88333) $21.28 $38 0.0×
Pathology Consultation During Surgery (88329) $51.52 $92 0.9×
Pdgfra Gene Analys Targeted Sequence Analys (81314)
range across 2 matching MRF lines
$223.44–$369.04 $399–$659 varies
Ph urine (81003)
range across 2 matching MRF lines
$6.72–$8.40 $12–$15 varies
Phenobarbital Level (80184)
range across 2 matching MRF lines
$5.60–$39.20 $10–$70 varies
Phenytoin (Dilantin) (80185) $38.08 $68 2.9×
Phenytoin free (80186) $25.76 $46 1.9×
Phosphatase acid prostatic (84066) $4.48 $8 0.5×
Phosphatase alkaline (84075)
range across 4 matching MRF lines
$6.72–$15.85 $12–$28.30 varies
Phosphorus Serum (84100) $8.40 $15 1.8×
Phosphorus urine (84105) $13.44 $24 2.3×
Pinworm exam (87172) $26.32 $47 6.2×
Platelet Aggregation (85576)
range across 6 matching MRF lines
$42.56–$53.20 $76–$95 varies
Platelet Antibodies (86022)
range across 7 matching MRF lines
$17.66–$199.36 $31.53–$356 varies
Platelet count automated (85049) $12.88 $23 2.9×
Pml/Raralpha Common Breakpoints Qual/Quant (81315)
range across 2 matching MRF lines
$137.20–$232.40 $245–$415 varies
Pooling blood platelets (86965) $72.80 $130 0.4×
Porphobilinogen, urine; quantitative (84110)
range across 2 matching MRF lines
$3.92–$15.68 $7–$28 varies
Porphyrins Urine Quantitation & Fractionation (84120)
range across 4 matching MRF lines
$11.20–$25.76 $20–$46 varies
Potassium Urine (84133)
range across 3 matching MRF lines
$12.32–$20.72 $22–$37 varies
Prealbumin (84134) $33.04 $59 2.3×
Pregnancy-Associated Plasma Protein-A (84163)
range across 2 matching MRF lines
$11.76–$43.12 $21–$77 varies
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $34.72 $62 0.2×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $22.40 $40 0.4×
Pretx serum rbc antibody identification dilution (86976) $31.92 $57 1.1×
Primidone (80188) $8.40 $15 0.5×
Procalcitonin (Pct) (84145)
range across 2 matching MRF lines
$47.60–$100.80 $85–$180 varies
Progesterone (84144)
range across 2 matching MRF lines
$61.04–$100.24 $109–$179 varies
Prolactin (84146)
range across 2 matching MRF lines
$60.48–$70 $108–$125 varies
Protein body fluid (84157) $8.96 $16 2.2×
Protein C Activity (85303)
range across 2 matching MRF lines
$20.72–$31.36 $37–$56 varies
Protein c antigen (85302)
range across 2 matching MRF lines
$15.96–$16.24 $28.50–$29 varies
Protein Electrophoresis Urine (84166)
range across 3 matching MRF lines
$48.72–$63.84 $87–$114 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$47.60–$63.84 $85–$114 varies
Protein S Free (85306)
range across 3 matching MRF lines
$15.12–$18.48 $27–$33 varies
Protein s total (85305)
range across 4 matching MRF lines
$9.52–$51.52 $17–$92 varies
Protein total serum (84155) $8.40 $15 2.3×
Protein Total Urine (84156) $8.96 $16 2.4×
Protein Western Blot Test (84182)
range across 2 matching MRF lines
$15.68–$39.69 $28–$70.88 varies
Protoporphyrin rbc quantitative (84202)
range across 2 matching MRF lines
$8.40–$18.48 $15–$33 varies
PSA free (84154)
range across 2 matching MRF lines
$25.20–$30.80 $45–$55 varies
Pth Intact (83970)
range across 4 matching MRF lines
$48.16–$55.44 $86–$99 varies
Quantiferon tb gold plus (86480)
range across 2 matching MRF lines
$25.20–$80.08 $45–$143 varies
Quantitative assay drug (80299)
range across 14 matching MRF lines
$7.84–$87.36 $14–$156 varies
Quantitative Screen Metals (83018) $25.76 $46 1.2×
Quinidine (80194) $5.60 $10 0.4×
Rbc antibody elution (86860)
range across 2 matching MRF lines
$21.28–$60.48 $38–$108 varies
Rbc antibody identification (86870)
range across 2 matching MRF lines
$54.88–$67.20 $98–$120 varies
Rbc antibody screen (86850) $19.60 $35 2.0×
Rbc pretreatment serum (86978)
range across 2 matching MRF lines
$38.08–$92.40 $68–$165 varies
Rbc pretx incubatj w/enzymes (86971) $174.16 $311 1.0×
Renin activity plasma (84244)
range across 3 matching MRF lines
$8.96–$28.56 $16–$51 varies
Resp virus 12-25 targets (87633) $495.04 $884 1.2×
Resp Virus 6-11 Targets (87632) $495.04 $884 2.3×
Reticulocyte Count Manual (85044) $19.60 $35 4.5×
Reticulocyte separation (86972) $80.08 $143 0.5×
Rh (86901) $20.72 $37 6.9×
Rheumatoid Factor Qualitative (86430) $34.72 $62 5.7×
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$3.36–$14.56 $6–$26 varies
Ristocetin cofactor (85245)
range across 2 matching MRF lines
$19.71–$36.96 $35.20–$66 varies
Rotavirus ag eia (87425) $78.96 $141 6.6×
Rpr qualitative (86592)
range across 4 matching MRF lines
$16.24–$24.08 $29–$43 varies
Rubella Antibody (86762)
range across 3 matching MRF lines
$5.77–$32.48 $10.30–$58 varies
Rubeola antibody (86765)
range across 5 matching MRF lines
$5.04–$24.64 $9–$44 varies
Russell Viper Venom Time Diluted (85613)
range across 3 matching MRF lines
$12.88–$26.88 $23–$48 varies
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$38.64–$77.28 $69–$138 varies
Sars-cov-2 COVID-19 antibody (86769) $35.28 $63 0.8×
Sedimentation rate (85651) $11.76 $21 2.8×
Sedimentation Rate, Automated (85652) $11.76 $21 4.4×
Selenium (84255) $9.52 $17 0.4×
Semen analysis complete (89320) $43.68 $78 3.5×
Semen analysis motility and count (89310) $20.72 $37 2.4×
Sensitivity mic (87186) $20.72 $37 2.4×
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines
$11.20–$35.28 $20–$63 varies
Sickling of rbc reduction (85660)
range across 3 matching MRF lines
$12.32–$21.28 $22–$38 varies
Sirolimus (80195) $35.84 $64 2.6×
Smear acid fast (87206)
range across 2 matching MRF lines
$21.84–$29.12 $39–$52 varies
Smear complex stain (87209)
range across 2 matching MRF lines
$22.96–$78.96 $41–$141 varies
Smear gram stain (87205)
range across 3 matching MRF lines
$12.88–$26.32 $23–$47 varies
Smear Special Stain (87207)
range across 2 matching MRF lines
$24.08–$33.60 $43–$60 varies
Smpd1 Gene Analysis Common Variants (81330) $36.40 $65 0.8×
Sodium Serum (84295)
range across 2 matching MRF lines
$8.40–$9.52 $15–$17 varies
Sodium Urine (84300) $9.52 $17 1.9×
Soluble Transferrin Receptor (84238) $30.24 $54 0.8×
Somatomedin (84305)
range across 3 matching MRF lines
$9.74–$33.60 $17.40–$60 varies
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$56.83–$64.40 $101.49–$115 varies
Special Stains Group 2 (88313)
range across 5 matching MRF lines
$41.50–$205.07 $74.11–$366.20 varies
Specific gravity body fluid (84315) $11.76 $21 3.6×
Specimen infect agnt concntj (87015) $14.56 $26 2.2×
Spectrophotometry (84311)
range across 13 matching MRF lines
$4.12–$85.68 $7.36–$153 varies
Splitting Blood/Blood Products Each Unit (86985) $72.80 $130 0.4×
Staph a DNA amp probe (87640) $45.92 $82 1.3×
Stool cultr aerobic bact ea (87046) $19.60 $35 2.1×
Strep a assay w/optic (87880) $30.80 $55 1.9×
Strep a DNA amp probe (87651) $45.36 $81 1.3×
Surg path level iii (88304) $52.64 $94 1.0×
Surgical pathology level IV (88305)
range across 6 matching MRF lines
$20.35–$84.56 $36.34–$151 varies
Surgical pathology level vi (88309) $171.92 $307 0.2×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $11.20 $20 2.4×
Susceptibility Study Antimicrobial Disk Method (87184) $47.60 $85 6.4×
Syphilis Test Non-Trep Quant (86593)
range across 4 matching MRF lines
$12.32–$24.08 $22–$43 varies
T cells absolute cd4 count (86361)
range across 2 matching MRF lines
$18.48–$42.56 $33–$76 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 4 matching MRF lines
$19.04–$119.28 $34–$213 varies
T cells total count (86359)
range across 3 matching MRF lines
$48.16–$94.08 $86–$168 varies
T3 Free (84481) $47.60 $85 2.8×
T3 reverse (84482) $29.01 $51.80 1.8×
T3 Total (84480)
range across 2 matching MRF lines
$41.44–$61.04 $74–$109 varies
T3 Uptake (84479) $21.28 $38 3.3×
T4 Free (84439) $42.56 $76 4.7×
T4 total (84436) $21.84 $39 3.2×
Tacrolimus (80197)
range across 2 matching MRF lines
$30.24–$31.36 $54–$56 varies
Test for acetone/ketones (82009) $44.24 $79 9.8×
Testosterone total (84403)
range across 3 matching MRF lines
$65.52–$71.12 $117–$127 varies
Testosterone, Free (84402) $48.16 $86 1.9×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445)
range across 9 matching MRF lines
$341.60–$691.60 $610–$1,235 varies
Theophylline (80198) $38.08 $68 2.7×
Thiocyanate (84430) $10.64 $19 0.9×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 6 matching MRF lines
$8.40–$31.92 $15–$57 varies
Thyroglobulin (84432) $19.60 $35 1.2×
Thyroglobulin Antibody (86800)
range across 5 matching MRF lines
$9.66–$94.08 $17.25–$168 varies
Thyroid Stimulating Immunoglobulin (84445) $85.12 $152 1.7×
Thyroxine binding globulin (84442) $23.52 $42 1.6×
Tiss cul neo disorders solid tumor (88239) $66.64 $119 0.5×
Tiss Trnsgltmnase Ea Ig Clas (86364) $14.56 $26 1.3×
Tissue Culture (88233)
range across 2 matching MRF lines
$60.48–$119.84 $108–$214 varies
Tissue Culture Amniotic Fluid (88235)
range across 2 matching MRF lines
$61.60–$89.60 $110–$160 varies
Tissue culture bone marrow (88237)
range across 4 matching MRF lines
$49.84–$201.60 $89–$360 varies
Tissue Culture Lymphocyte (88230)
range across 4 matching MRF lines
$61.60–$100.80 $110–$180 varies
Tobramycin peak (80200) $16.80 $30 1.0×
Toxoplasma ab igm (86778)
range across 5 matching MRF lines
$33.60–$75.60 $60–$135 varies
Toxoplasma antibody (86777)
range across 6 matching MRF lines
$24.08–$75.60 $43–$135 varies
Tp53 gene analysis targeted sequence analysis (81352) $369.04 $659 1.1×
Transferase Aspartate Amino Ast Sgot (84450) $8.40 $15 1.6×
Transferrin (84466)
range across 2 matching MRF lines
$37.52–$46.48 $67–$83 varies
Trb@ Rearrangement Anal Amplification Method (81340)
range across 2 matching MRF lines
$234.08–$266.56 $418–$476 varies
Trg gene rearrangement anal (81342)
range across 2 matching MRF lines
$126–$225.68 $225–$403 varies
Trichomonas vagin dir probe (87660) $25.20 $45 1.3×
Trichomonas Vaginalis Amplif (87661) $62.72 $112 1.8×
Triglycerides (84478)
range across 3 matching MRF lines
$5.60–$13.44 $10–$24 varies
Troponin Quant (84484)
range across 3 matching MRF lines
$24.64–$42.56 $44–$76 varies
Tumor Immunohistochem/Manual (88360)
range across 6 matching MRF lines
$43.68–$82.88 $78–$148 varies
Urea nitrogen urine (84540) $11.76 $21 2.1×
Uric acid other source (84560) $8.40 $15 1.7×
Urinalysis Microscopic Only (81015)
range across 2 matching MRF lines
$7.84–$8.96 $14–$16 varies
Urinalysis Volume Measure (81050) $4.48 $8 1.2×
Urine Bacteria Culture (87088) $29.68 $53 3.7×
Urine Pregnancy Test (81025) $9.52 $17 1.1×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $12.32 $22 3.9×
Urobilinogen, urine; semiquantitative Facility (84583) $6.72 $12 1.1×
Valproic acid (80164)
range across 2 matching MRF lines
$16.80–$39.20 $30–$70 varies
Vancomycin (80202) $64.96 $116 4.8×
Varicella-zoster antibody (86787)
range across 6 matching MRF lines
$5.32–$33.60 $9.50–$60 varies
Vasopressin (84588)
range across 2 matching MRF lines
$14.34–$94.08 $25.60–$168 varies
Viral Culture (87252)
range across 4 matching MRF lines
$81.76–$240.80 $146–$430 varies
Virus antibody nos (86790) $26.88 $48 2.1×
Virus inoculation, shell via (87254)
range across 4 matching MRF lines
$47.60–$146.16 $85–$261 varies
Viscosity serum (85810)
range across 2 matching MRF lines
$6.46–$13.44 $11.54–$24 varies
Vit D 1 25-Dihydroxy (82652) $17.86 $31.90 0.5×
Vitamin A (84590) $8.40 $15 0.7×
Vitamin b-12 (82607) $39.76 $71 2.6×
Vitamin B6 (84207) $13.78 $24.60 0.5×
Vitamin c (82180) $3.86 $6.89 0.4×
Vitamin D 25-Hydroxy (82306)
range across 3 matching MRF lines
$25.20–$72.80 $45–$130 varies
Vitamin E (84446)
range across 2 matching MRF lines
$12.49–$16.24 $22.30–$29 varies
Volatiles (84600)
range across 4 matching MRF lines
$10.08–$38.08 $18–$68 varies
Von willebrand factor ag (85246)
range across 2 matching MRF lines
$15.23–$42 $27.20–$75 varies
Wbc Alkaline Phosphatase Count (85540)
range across 2 matching MRF lines
$29.12–$34.72 $52–$62 varies
West nile virus ab igm (86788)
range across 4 matching MRF lines
$12.10–$21.84 $21.60–$39 varies
West Nile Virus Antibody (86789)
range across 5 matching MRF lines
$10.86–$18.48 $19.40–$33 varies
Xylose Absorption Test (84620) $42.56 $76 3.3×
Zinc (84630)
range across 2 matching MRF lines
$4.37–$11.76 $7.80–$21 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.