Lab & pathology prices at Henry Ford Rochester Hospital
Rochester, MI · every code in this section with a posted price and a Medicare benchmark.
909 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $13.63 | $29 | 0.9× |
| Acetylcholinesterase Assay (82013) | $107.63 | $229 | 8.8× |
| Acth (82024) | $40.42 | $86 | 1.0× |
| Actin smooth muscle antibody each (86015) | $7.99 | $17 | 0.7× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$41.36–$89.30 | $88–$190 | varies |
| Acylcarnitines Quant (82017) | $40.19 | $85.50 | 2.4× |
| Adenovirus antibody (86603) | $37.13 | $79 | 2.9× |
| Albumin Fluid (82042) range across 6 matching MRF lines |
$3.21–$7.52 | $6.82–$16 | varies |
| Albumin serum (82040) range across 3 matching MRF lines |
$3.29–$7.99 | $7–$17 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 3 matching MRF lines |
$6.37–$40.89 | $13.56–$87 | varies |
| Allergen specific ige (86003) range across 53 matching MRF lines |
$5.64–$52.76 | $12–$112.25 | varies |
| Allergen specific igg (86001) | $10.05 | $21.38 | 1.3× |
| Allg Spec Ige Recomb Ea (86008) range across 3 matching MRF lines |
$3.29–$12.69 | $7–$27 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $57.34 | $122 | 4.0× |
| Alpha-1-antitrypsin total (82103) | $14.10 | $30 | 1.0× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $24.91 | $53 | 1.5× |
| Alpha-Fetoprotein Serum (82105) range across 5 matching MRF lines |
$11.75–$29.61 | $25–$63 | varies |
| Alt (sgpt) (84460) | $5.64 | $12 | 1.1× |
| Aluminum (82108) | $13.31 | $28.31 | 0.5× |
| Amikacin trough (80150) | $7.99 | $17 | 0.5× |
| Amines vaginal fluid qualitative (82120) | $2.82 | $6 | 0.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $16.76 | $35.65 | 0.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $37.60 | $80 | 2.2× |
| Amino Acids Quant 2-5 (82136) | $9.40 | $20 | 0.5× |
| Aminolevulinic acid (ala) (82135) | $19.89 | $42.32 | 1.2× |
| Ammonia (82140) | $41.36 | $88 | 2.8× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$46.06–$60.16 | $98–$128 | varies |
| Amniotic fluid scan (82143) | $4.23 | $9 | 0.5× |
| Amylase urine (82150) range across 9 matching MRF lines |
$4.08–$16.03 | $8.68–$34.10 | varies |
| Ana Titer (86039) | $11.75 | $25 | 1.1× |
| Androstenedione (82157) | $15.29 | $32.53 | 0.5× |
| Androsterone (hormone) level (82160) | $13.16 | $28 | 0.5× |
| Angiotensin converting enzyme csf (82164) | $7.62 | $16.22 | 0.5× |
| Anti-Phospholipid Antibody (86148) | $11.28 | $24 | 0.7× |
| Antibody aspergillus (86606) range across 3 matching MRF lines |
$10.81–$26.79 | $23–$57 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 4 matching MRF lines |
$8.93–$63.92 | $19–$136 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $10.81 | $23 | 0.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 6 matching MRF lines |
$8.80–$17.39 | $18.72–$37 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $13.63 | $29 | 1.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $15.98 | $34 | 1.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $18.80 | $40 | 1.0× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 4 matching MRF lines |
$8.29–$21.15 | $17.64–$45 | varies |
| Antibody haemophilus influenza (86684) | $8.46 | $18 | 0.5× |
| Antibody helicobacter pylori (86677) | $13.63 | $29 | 0.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 5 matching MRF lines |
$8.23–$14.78 | $17.50–$31.44 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $13.63 | $29 | 1.0× |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$12.22–$20.21 | $26–$43 | varies |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$10.81–$13.16 | $23–$28 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) | $152.28 | $324 | 0.5× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$24.32–$41.36 | $51.75–$88 | varies |
| Antibody identification leukocyte antibodies (86021) | $34.78 | $74 | 2.3× |
| Antibody Identification Platelet Immunogl Assay (86023) | $32.05 | $68.20 | 2.6× |
| Antibody Protozoa Nes (86753) | $17.48 | $37.20 | 1.4× |
| Antibody rotavirus (86759) | $8.46 | $18 | 0.5× |
| Antibody Titer (86886) range across 2 matching MRF lines |
$31.96–$78.49 | $68–$167 | varies |
| Antibody Treponema Pallidum (86780) | $13.63 | $29 | 1.0× |
| Antibody; campylobacter (86625) | $35.39 | $75.30 | 2.7× |
| Antibody; influenza virus (86710) range across 5 matching MRF lines |
$15.04–$21.15 | $32–$45 | varies |
| Antigen typing (86905) range across 2 matching MRF lines |
$12.22–$14.57 | $26–$31 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$5.17–$8.46 | $11–$18 | varies |
| Antinomyces antibody (86602) range across 2 matching MRF lines |
$7.05–$34.78 | $15–$74 | varies |
| Antinuclear antibodies (86038) | $12.69 | $27 | 1.0× |
| Antistreptolysin O Screen (86063) | $2.82 | $6 | 0.5× |
| Antistreptolysin o titer (86060) | $7.52 | $16 | 1.0× |
| Antithrombin iii activity (85300) | $11.28 | $24 | 1.0× |
| Antithrombin iii antigen (85301) | $6.11 | $13 | 0.6× |
| Apc Gene Analysis Known Familial Variants (81202) | $131.60 | $280 | 0.5× |
| Apc gene dup/delet variants (81203) | $94 | $200 | 0.5× |
| Apc gene full sequence (81201) | $366.60 | $780 | 0.5× |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
$9.91–$19.74 | $21.09–$42 | varies |
| Aquaporin-4 Antb Elisa (86051) | $7.99 | $17 | 0.7× |
| Aspa gene analysis common variants (81200) | $22.09 | $47 | 0.5× |
| Aspergillus ag eia (87305) | $23.50 | $50 | 2.0× |
| Assay activated protein c (85307) | $10.34 | $22 | 0.7× |
| Assay Blood Carbon Dioxide (82374) | $11.75 | $25 | 2.4× |
| Assay myeloperoxidase (83876) | $23.97 | $51 | 0.5× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$11.50–$17.51 | $24.47–$37.25 | varies |
| Assay of b-hexosaminidase each assay (83080) | $8.93 | $19 | 0.5× |
| Assay of blood/uric acid (84550) | $14.10 | $30 | 3.1× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$5.88–$7.05 | $12.50–$15 | varies |
| Assay of cpk in blood (82552) | $27.73 | $59 | 2.1× |
| Assay of estrone (82679) range across 2 matching MRF lines |
$13.03–$17.39 | $27.73–$37 | varies |
| Assay of feces for trypsin (84490) | $4.70 | $10 | 0.5× |
| Assay of g6pd enzyme (82955) range across 3 matching MRF lines |
$6.74–$30.08 | $14.34–$64 | varies |
| Assay of gammaglobulin igm (82784) range across 17 matching MRF lines |
$6.58–$28.20 | $14–$60 | varies |
| Assay of lactic acid (83605) | $31.49 | $67 | 2.7× |
| Assay of manganese (83785) range across 2 matching MRF lines |
$7.29–$12.69 | $15.50–$27 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$14.10–$27.73 | $30–$59 | varies |
| Assay of phosphatase acid total (84060) | $16.45 | $35 | 2.2× |
| Assay of phosphatase alkaline heat stable (84078) | $7.52 | $16 | 0.9× |
| Assay of procainamide (80190) | $28.20 | $60 | 0.5× |
| Assay of proinsulin (84206) | $12.69 | $27 | 0.5× |
| Assay of pyruvate (84210) range across 2 matching MRF lines |
$7.49–$26.79 | $15.93–$57 | varies |
| Assay of serotonin (84260) | $16.18 | $34.43 | 0.5× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$8.46–$38.07 | $18–$81 | varies |
| Assay of urea nitrogen (84520) | $10.81 | $23 | 2.7× |
| Assay of urine vma (84585) | $22.56 | $48 | 1.5× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$2.48–$29.61 | $5.27–$63 | varies |
| ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative… (81176) | $126.43 | $269 | 0.5× |
| Asxl1 gene analysis full gene sequence (81175) | $318.19 | $677 | 0.5× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $395.11 | $840.65 | 0.5× |
| Autol Bld/Component Collj Storage Predeposited (86890) range across 2 matching MRF lines |
$124.08–$140.53 | $264–$299 | varies |
| Automated Leukocyte Count (85048) | $9.87 | $21 | 3.9× |
| B cells total count (86355) | $31.02 | $66 | 0.8× |
| Bckdhb Gene Analysis Common Variants (81205) | $44.65 | $94.99 | 0.5× |
| Bcr/abl1 gene minor bp (81207) | $82.25 | $175 | 0.6× |
| Bcr/Abl1 Gene Other Bp (81208) | $101.05 | $215 | 0.5× |
| Beta 2 glycoprotein i antibody each (86146) | $13.29 | $28.28 | 0.5× |
| Beta hydroxybutyrate (82010) range across 3 matching MRF lines |
$6.58–$9.40 | $14–$20 | varies |
| Beta Lactamase (87185) | $2.35 | $5 | 0.5× |
| Beta-2 Microglobulin (82232) | $16.92 | $36 | 1.0× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$10.81–$14.10 | $23–$30 | varies |
| Bilirubin total (82247) | $8.93 | $19 | 1.8× |
| Bilirubin total transcutaneous (88720) | $5.64 | $12 | 1.1× |
| Biotinidase (82261) | $10.20 | $21.70 | 0.6× |
| Bl Smear W/O Diff Wbc Count (85008) range across 2 matching MRF lines |
$13.63–$14.57 | $29–$31 | varies |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$8.93–$18.10 | $19–$38.50 | varies |
| Blm Gene (81209) | $18.33 | $39 | 0.5× |
| Blood Count Automated Differential Wbc Count (85004) | $3.29 | $7 | 0.5× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $4.70 | $10 | 0.9× |
| Blood Count Red Blood Cell Automated (85041) | $2.82 | $6 | 0.9× |
| Blood count reticulocyte automated (85045) | $10.34 | $22 | 2.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $4.70 | $10 | 1.2× |
| Blood count spun microhematocrit (85013) | $3.29 | $7 | 0.5× |
| Blood gas (82803) | $24.44 | $52 | 0.9× |
| Blood gases w/02 saturation (82805) range across 3 matching MRF lines |
$220.90–$232.18 | $470–$494 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $9.87 | $21 | 2.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$5.64–$12.22 | $12–$26 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) range across 2 matching MRF lines |
$12.22–$15.04 | $26–$32 | varies |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$5.64–$28.67 | $12–$61 | varies |
| Body fluid cell count (89050) | $8.46 | $18 | 1.8× |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$8.74–$15.30 | $18.60–$32.55 | varies |
| Brca2 gene analysis full sequence analysis (81216) | $86.95 | $185 | 0.5× |
| Brca2 Gene Analysis Known Familial Variant (81217) | $176.25 | $375 | 0.5× |
| Breath Alcohol Test (82075) | $14.10 | $30 | 0.5× |
| C diff amplified probe (87493) | $45.12 | $96 | 1.2× |
| C-Peptide (84681) | $21.62 | $46 | 1.0× |
| C-reactive protein (86140) | $5.64 | $12 | 1.1× |
| Ca 19-9 (86301) | $21.62 | $46 | 1.0× |
| Cadmium (82300) | $12.22 | $26 | 0.5× |
| Caffeine (80155) | $18.33 | $39 | 0.5× |
| Calcium ionized (82330) | $30.55 | $65 | 2.2× |
| Calcium total (82310) range across 4 matching MRF lines |
$3.76–$6.58 | $8–$14 | varies |
| Calcium; after calcium infusion test (82331) | $6.11 | $13 | 0.5× |
| Calculus assay quant (82360) | $11.28 | $24 | 0.9× |
| Calprotectin Fecal (83993) | $66.06 | $140.56 | 3.4× |
| Calr gene com variants (81219) | $136.30 | $290 | 1.1× |
| Cancer Antigen 125 (86304) | $57.34 | $122 | 2.8× |
| Cancer Antigen 27.29 (86300) | $21.62 | $46 | 1.0× |
| Candida antibody (86628) | $14.06 | $29.91 | 1.2× |
| Candida Dna Dir Probe (87480) | $15.04 | $32 | 0.8× |
| Car Ion Chnnlpath Inc 10 Gns (81413) | $305.45 | $649.89 | 0.5× |
| Car Ion Chnnlpath Inc 2 Gns (81414) | $305.45 | $649.89 | 0.5× |
| Carbamazepine free (80157) range across 2 matching MRF lines |
$14.13–$21.62 | $30.07–$46 | varies |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$14.10–$31.49 | $30–$67 | varies |
| Carbohydrate Deficient Transferrin (82373) | $9.40 | $20 | 0.5× |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) | $13.16 | $28 | 0.9× |
| Carboxyhemoglobin (82375) | $16.45 | $35 | 1.3× |
| Carcinoembryonic antigen (82378) | $31.96 | $68 | 1.7× |
| Cardiolipin ab iga (86147) | $26.79 | $57 | 1.1× |
| Carnitine Quantitative Each Specimen (82379) | $47.63 | $101.34 | 2.8× |
| Catecholamines total urine (82382) | $12.69 | $27 | 0.5× |
| Ccp antibody (86200) | $13.63 | $29 | 1.1× |
| Cell count csf (89051) range across 2 matching MRF lines |
$5.64–$13.16 | $12–$28 | varies |
| Cell enumeration & id (86152) | $244.40 | $520 | 1.0× |
| Cell marker study (88182) | $273.07 | $581 | 5.3× |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$11.28–$20.80 | $24–$44.25 | varies |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | $79.43 | $169 | 0.5× |
| Cftr Gene Analysis Known Familial Variants (81221) | $45.59 | $97 | 0.5× |
| Cftr gene com variants (81220) range across 3 matching MRF lines |
$61.10–$523.11 | $130–$1,113 | varies |
| Cftr gene dup/delet variants (81222) | $204.48 | $435.07 | 0.5× |
| Cftr gene full sequence (81223) | $234.53 | $499 | 0.5× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$6.58–$30.79 | $14–$65.51 | varies |
| Chlamydia antibody (86631) range across 5 matching MRF lines |
$7.76–$26.79 | $16.50–$57 | varies |
| Chlamydia Igm Antibody (86632) | $13.40 | $28.50 | 1.1× |
| Chloride other source (82438) | $47.94 | $102 | 9.6× |
| Chloride Serum (82435) | $8.46 | $18 | 1.8× |
| Chloride urine (82436) range across 3 matching MRF lines |
$4.57–$8.46 | $9.72–$18 | varies |
| Cholesterol total (82465) | $4.23 | $9 | 1.0× |
| Cholinesterase rbc (82482) | $4.70 | $10 | 0.5× |
| Chorionic gonadotropin test (84702) range across 7 matching MRF lines |
$6.27–$18.80 | $13.33–$40 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $131.13 | $279 | 0.7× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $79.90 | $170 | 3.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 3 matching MRF lines |
$18.80–$43.71 | $40–$93 | varies |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $90.24 | $192 | 0.5× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | $90.24 | $192 | 0.5× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $90.24 | $192 | 0.5× |
| Chromium serum (82495) | $10.59 | $22.53 | 0.5× |
| Chromogenic Substrate Assay (85130) | $6.21 | $13.21 | 0.5× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$17.48–$17.98 | $37.20–$38.25 | varies |
| Chromosome Analysis 15-20 (88262) range across 3 matching MRF lines |
$108.57–$176.72 | $231–$376 | varies |
| Chromosome Analysis 20-25 (88264) | $111.86 | $238 | 0.8× |
| Chromosome analysis, 5 (88261) | $124.08 | $264 | 0.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$23.97–$36.66 | $51–$78 | varies |
| Citric acid urine (82507) | $30.82 | $65.58 | 1.1× |
| Ckmb (82553) | $15.98 | $34 | 1.4× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$10.34–$25.85 | $22–$55 | varies |
| Clot Factor VIII Multimetric (85247) | $25.85 | $55 | 1.1× |
| Clot lysis time, whole blood dilution Facility (85175) | $9.40 | $20 | 0.5× |
| Clot retraction (85170) | $7.52 | $16 | 0.5× |
| Clotting factor viii related antigen (85244) | $30.08 | $64 | 1.5× |
| Clotting factor xii hageman (85280) range across 2 matching MRF lines |
$20.21–$24.04 | $43–$51.15 | varies |
| Clotting Funct Activity (85397) | $30.55 | $65 | 1.0× |
| Clotting hi molec weight kininogen assay (85293) | $9.87 | $21 | 0.5× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $9.87 | $21 | 0.5× |
| Cns DNA amp probe type 12-25 (87483) | $217.65 | $463.09 | 0.5× |
| Coagulation time activated (85347) | $9.87 | $21 | 2.3× |
| Coccidioides antibody (86635) range across 5 matching MRF lines |
$7.05–$21.74 | $15–$46.25 | varies |
| Cold agglutinin screen (86156) range across 2 matching MRF lines |
$12.22–$14.57 | $26–$31 | varies |
| Collagen crosslinks (82523) | $31.34 | $66.69 | 1.7× |
| Column Chromotography Quant (82542) range across 8 matching MRF lines |
$16.92–$47.47 | $36–$101 | varies |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) | $143.35 | $305 | 0.5× |
| Compatibility test antiglob (86922) | $29.61 | $63 | 0.2× |
| Complement Antigen Each Component (86160) range across 7 matching MRF lines |
$7.55–$47.74 | $16.07–$101.58 | varies |
| Complement Fixation Tests Each Antigen (86171) range across 3 matching MRF lines |
$15.04–$20.68 | $32–$44 | varies |
| Complement Total (Ch50) (86162) | $49.35 | $105 | 2.4× |
| Complement/Function Activity (86161) | $7.08 | $15.06 | 0.6× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $32.90 | $70 | 0.6× |
| Coombs direct (86880) range across 2 matching MRF lines |
$11.28–$29.61 | $24–$63 | varies |
| Copper urine (82525) range across 3 matching MRF lines |
$31.02–$78.02 | $66–$166 | varies |
| Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral… (81493) | $493.50 | $1,050 | 0.5× |
| Cortisol free (82530) range across 4 matching MRF lines |
$11.75–$14.28 | $25–$30.38 | varies |
| Cortisol saliva (82533) range across 6 matching MRF lines |
$11.63–$31.49 | $24.75–$67 | varies |
| Creatine (82540) | $20.36 | $43.32 | 4.4× |
| Creatine kinase total (82550) | $6.11 | $13 | 0.9× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$5.17–$8.93 | $11–$19 | varies |
| Creatinine clearance (82575) | $19.27 | $41 | 2.0× |
| Creatinine Urine (82570) range across 6 matching MRF lines |
$2.91–$13.63 | $6.20–$29 | varies |
| Crossmatch electronic (86923) | $17.39 | $37 | 0.1× |
| Crossmatch immediate spin (86920) | $19.74 | $42 | 0.1× |
| Crp High Sensitivity (86141) | $13.16 | $28 | 1.0× |
| Cryofibrinogen (82585) | $12.22 | $26 | 0.9× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $6.11 | $13 | 0.5× |
| Cryptococcal Antigen (87327) | $9.91 | $21.08 | 0.7× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$8.46–$14.59 | $18–$31.05 | varies |
| Cryptosporidium ag eia (87328) | $36.19 | $77 | 2.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$5.17–$8.46 | $11–$18 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $10.34 | $22 | 1.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $28.67 | $61 | 3.7× |
| Culture aerobic quant other (87071) | $40.80 | $86.80 | 4.1× |
| Culture afb (87116) range across 2 matching MRF lines |
$9.40–$18.02 | $20–$38.33 | varies |
| Culture Anaerobic (87075) | $42.77 | $91 | 4.5× |
| Culture blood (87040) range across 2 matching MRF lines |
$28.67–$49.82 | $61–$106 | varies |
| Culture chlamydia (87110) range across 3 matching MRF lines |
$15.41–$32.90 | $32.78–$70 | varies |
| Culture csf (87070) range across 16 matching MRF lines |
$19.74–$59.69 | $42–$127 | varies |
| Culture fungus (87102) | $8.93 | $19 | 1.1× |
| Culture fungus blood (87103) range across 2 matching MRF lines |
$13.88–$17.86 | $29.54–$38 | varies |
| Culture screen only (87081) range across 9 matching MRF lines |
$8.46–$19.74 | $18–$42 | varies |
| Culture stool (87045) | $25.85 | $55 | 2.7× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $6.58 | $14 | 0.5× |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$12.57–$15.41 | $26.74–$32.78 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $23.97 | $51 | 4.6× |
| Culture typing other methods (87158) | $3.76 | $8 | 0.5× |
| Culture, typing; identification by pulse field gel typing Facility (87152) | $3.76 | $8 | 0.5× |
| Cyanide (82600) | $10.34 | $22 | 0.5× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$9.43–$18.80 | $20.06–$40 | varies |
| Cyp2c19 gene analysis common variants (81225) | $136.77 | $291 | 0.5× |
| Cyp2c9 gene com variants (81227) | $82.25 | $175 | 0.5× |
| Cyp2d6 gene com variants (81226) | $211.93 | $450.91 | 0.5× |
| Cyp3a4 gene common variants (81230) | $82.25 | $175 | 0.5× |
| Cyp3a5 gene common variants (81231) | $82.25 | $175 | 0.5× |
| Cystatin C (82610) | $29.14 | $62 | 1.6× |
| Cytogenom Const Microarray Copy Number Variants (81228) | $423 | $900 | 0.5× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $545.20 | $1,160 | 0.5× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$15.04–$15.60 | $32–$33.20 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$21.15–$33.84 | $45–$72 | varies |
| Cytopath Cell Enhance Tech (88112) | $56.87 | $121 | 1.1× |
| Cytotoxic Antibody Screen Std (86807) | $37.13 | $79 | 0.5× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $43.71 | $93 | 1.6× |
| Cytp Concentration Smears & Interpretation (88108) | $93.53 | $199 | 2.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $86.95 | $185 | 1.7× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $30.08 | $64 | 0.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $93.53 | $199 | 2.5× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $11.28 | $24 | 0.6× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $15.04 | $32 | 0.8× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $33.84 | $72 | 1.2× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $285.76 | $608 | 1.7× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) | $6.11 | $13 | 0.5× |
| Deoxyribonuclease antibody (86215) | $20.68 | $44 | 1.6× |
| Detect Agent Nos Dna Amp (87798) range across 8 matching MRF lines |
$28.20–$159.80 | $60–$340 | varies |
| Detect Agent Nos Dna Quant (87799) | $25.85 | $55 | 0.6× |
| Detect agnt mult DNA ampli (87801) | $118.11 | $251.30 | 1.7× |
| Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) | $76.14 | $162 | 0.5× |
| Dgp Antibody Each Ig Class (86258) | $7.99 | $17 | 0.7× |
| Dhea-S (82627) | $30.55 | $65 | 1.4× |
| Digoxin (80162) | $27.73 | $59 | 2.1× |
| Dihydrotestosterone (82642) range across 2 matching MRF lines |
$15.51–$20.68 | $33–$44 | varies |
| Diphtheria antitoxoid (86648) | $13.63 | $29 | 0.9× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) | $16.45 | $35 | 0.5× |
| Dmd Duplication/Deletion Analysis (81161) | $131.13 | $279 | 0.5× |
| Dna Antibody Native/Double Stranded (86225) | $10.34 | $22 | 0.8× |
| Dna Antibody Single Stranded (86226) | $7.57 | $16.10 | 0.6× |
| Dna/Rna Amplified Probe (87150) | $44.44 | $94.55 | 1.3× |
| Dpyd gene common variants (81232) | $82.25 | $175 | 0.5× |
| Drug Assay Amiodarone (80151) | $13.16 | $28 | 0.7× |
| Drug Assay Infliximab (80230) | $27.26 | $58 | 0.7× |
| Drug Assay Lacosamide (80235) | $19.27 | $41 | 0.7× |
| Drug Screen Quantitative Gabapentin (80171) | $10.34 | $22 | 0.5× |
| Drug Screen Quantitative Lamotrigine (80175) range across 3 matching MRF lines |
$9.40–$13.63 | $20–$29 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 3 matching MRF lines |
$9.40–$13.63 | $20–$29 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $9.40 | $20 | 0.7× |
| Drug Screen Quantitative Tiagabine (80199) | $12.69 | $27 | 0.5× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 8 matching MRF lines |
$20.40–$70.50 | $43.40–$150 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $6.11 | $13 | 0.5× |
| Drug Test Prsmv Instrmnt (80306) | $7.99 | $17 | 0.5× |
| Egfr Gene Analysis Common Variants (81235) | $152.75 | $325 | 0.5× |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$12.24–$14.10 | $26.04–$30 | varies |
| El-1 Fecal Quantitative (82653) | $33.86 | $72.04 | 1.5× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$13.63–$59.22 | $29–$126 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $29.14 | $62 | 0.5× |
| Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin,… (81506) | $35.25 | $75 | 0.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $8.46 | $18 | 0.7× |
| Enterovirus Antibody (86658) range across 2 matching MRF lines |
$48.41–$62.51 | $103–$132.99 | varies |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$39.01–$137.24 | $83–$292 | varies |
| Eosinophil Smear (89190) | $16.92 | $36 | 2.9× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$19.74–$29.14 | $42–$62 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$16.92–$44.65 | $36–$95 | varies |
| Estrogen total (82672) | $37.13 | $79 | 1.7× |
| Ethylene Glycol (82693) range across 3 matching MRF lines |
$9.39–$51.23 | $19.98–$109 | varies |
| Exam Synovial Fluid Crystals (89060) | $16.92 | $36 | 2.3× |
| Exome Re-Evaluation (81417) | $150.40 | $320 | 0.5× |
| Exome Sequence Analysis (81415) | $2,246.60 | $4,780 | 0.5× |
| Exome sequence analysis each comparator exome (81416) unusually low: confirm this is the full procedure |
$5,640 | $12,000 | 0.5× |
| Ezh2 Gene Analysis Common Variants (81237) | $82.25 | $175 | 0.5× |
| F2 Gene (81240) range across 3 matching MRF lines |
$30.87–$61.57 | $65.69–$131 | varies |
| F9 full gene sequence (81238) | $282 | $600 | 0.5× |
| Factor ii activity (85210) range across 2 matching MRF lines |
$16.52–$76.14 | $35.14–$162 | varies |
| Factor ix activity (85250) range across 3 matching MRF lines |
$17.48–$19.74 | $37.20–$42 | varies |
| Factor v activity (85220) | $9.40 | $20 | 0.5× |
| Factor v leiden mutation (81241) range across 4 matching MRF lines |
$34.48–$69.09 | $73.37–$147 | varies |
| Factor vii assay (85230) | $18.80 | $40 | 1.1× |
| Factor viii assay (85240) range across 4 matching MRF lines |
$9.75–$41.23 | $20.75–$87.73 | varies |
| Factor X (85260) range across 2 matching MRF lines |
$18.80–$76.14 | $40–$162 | varies |
| Factor xi activity (85270) range across 2 matching MRF lines |
$13.16–$18.15 | $28–$38.61 | varies |
| Factor xiii screen (85291) | $4.70 | $10 | 0.5× |
| Fancc Gene (81242) | $17.39 | $37 | 0.5× |
| Fat differential, feces, quantitative Facility (82715) | $10.81 | $23 | 0.5× |
| Fat stain feces urine/respir secretions (89125) | $2.82 | $6 | 0.5× |
| Fat/Lipids Feces Quantitative (82710) | $14.10 | $29.99 | 0.8× |
| Fatty acids free (82725) | $15.98 | $34 | 0.9× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $18.61 | $39.59 | 1.1× |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) | $5.17 | $11 | 0.5× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $34.31 | $73 | 5.3× |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$5.17–$6.64 | $11–$14.13 | varies |
| Ferritin (82728) | $32.43 | $69 | 2.4× |
| Fetal Aneuploidy Trisom Risk (81507) | $373.65 | $795 | 0.5× |
| Fetal Chrmoml Aneuploidy (81420) | $356.75 | $759.05 | 0.5× |
| Fetal Chrmoml Microdeltj (81422) | $356.75 | $759.05 | 0.5× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $72.38 | $154 | 0.5× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $25.38 | $54 | 0.5× |
| Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) | $32.90 | $70 | 0.5× |
| Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) | $26.32 | $56 | 0.5× |
| Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal… (81509) | $699.06 | $1,487.37 | 0.5× |
| Fetal Fibronectin (82731) | $81.78 | $174 | 1.3× |
| Fetal hemoglobin assay qual (83033) | $32.90 | $70 | 4.1× |
| Fetal lung maturity assessment; foam stability test Facility (83662) | $9.87 | $21.01 | 0.5× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $9.87 | $21.01 | 0.5× |
| Fetal screen rosette (85461) range across 2 matching MRF lines |
$4.23–$14.10 | $9–$30 | varies |
| Fibrin degradation products (85362) | $7.05 | $15 | 1.0× |
| Fibrin Degradation Quant (85379) | $48.88 | $104 | 4.8× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $22.56 | $48 | 2.3× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) | $6.11 | $13 | 0.5× |
| Fibrinogen activity (85384) | $20.68 | $44 | 2.1× |
| Fibrinogen antigen (85385) | $6.58 | $14 | 0.5× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $7.05 | $15 | 0.5× |
| Flow cytometry first marker (88184) | $56.87 | $121 | 0.2× |
| Flt3 Gene (81245) | $78.02 | $166 | 0.5× |
| Flt3 gene analysis (81246) | $39.01 | $83 | 0.5× |
| Fluorescent antibody screen (86255) range across 16 matching MRF lines |
$8.16–$75.76 | $17.36–$161.20 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 15 matching MRF lines |
$8.89–$111.63 | $18.91–$237.50 | varies |
| Fluoride serum (82735) | $9.87 | $21 | 0.5× |
| Fmr1 Gene Charac Alleles (81244) | $223.25 | $475 | 5.0× |
| Fmr1 gene detection (81243) | $61.57 | $131 | 1.1× |
| Folic acid rbc (82747) | $16.45 | $35 | 0.9× |
| Folic Acid Serum (82746) | $28.20 | $60 | 1.9× |
| Follicle Stimulating Hormone (83001) | $33.84 | $72 | 1.8× |
| Francisella tularensis (86668) | $6.58 | $14 | 0.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $22.09 | $47 | 0.1× |
| Frozen Section (88331) | $54.99 | $117 | 0.3× |
| Fungi Identification Mold (87107) | $10.81 | $23 | 1.0× |
| Fungi Identification Yeast (87106) range across 3 matching MRF lines |
$10.34–$11.75 | $22–$25 | varies |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | $27.26 | $58 | 0.5× |
| G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s)… (81248) | $176.25 | $375 | 0.5× |
| G6pd gene alys cmn variant (81247) range across 2 matching MRF lines |
$82.25–$94 | $175–$200 | varies |
| G6pd gene analysis full gene sequence (81249) | $282 | $600 | 0.5× |
| Galactose (82760) | $5.64 | $12 | 0.5× |
| Galactose transferase test (82776) | $5.64 | $12 | 0.5× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $41.09 | $87.42 | 2.0× |
| Galectin-3 (82777) | $20.68 | $44 | 0.5× |
| Gammaglobulin ige (82785) | $17.39 | $37 | 1.1× |
| Gardner vag DNA dir probe (87510) | $15.04 | $32 | 0.8× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $9.40 | $20 | 1.0× |
| Gases blood ph only (82800) | $5.17 | $11 | 0.5× |
| Gastrin after secretin stim (82938) | $9.40 | $20 | 0.5× |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $22.09 | $47 | 0.5× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $357.20 | $760 | 0.5× |
| Genet Virus Isolate Hsv (87255) | $23.97 | $51 | 0.7× |
| Genetic Tstg Severe Inh Cond (81443) | $1,150.82 | $2,448.56 | 0.5× |
| Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome… (81427) | $1,098.70 | $2,337.65 | 0.5× |
| Genome Sequence Analysis (81425) unusually low: confirm this is the full procedure |
$2,364.66 | $5,031.20 | 0.5× |
| Genome sequence analysis each comparator genome (81426) | $1,273.68 | $2,709.95 | 0.5× |
| Gentamicin (80170) | $36.66 | $78 | 2.2× |
| Ggt (82977) | $6.11 | $13 | 0.8× |
| Gh suppression panel (80430) | $60.63 | $129 | 0.5× |
| Giardia antigen (87329) | $36.19 | $77 | 3.0× |
| GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) | $29.14 | $62 | 0.5× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $47.47 | $101 | 0.5× |
| Gjb6 Gene Analysis Common Variants (81254) | $16.45 | $35 | 0.5× |
| Glucagon (82943) | $8.74 | $18.60 | 0.6× |
| Glucose Blood Test (82962) | $2.82 | $6 | 0.9× |
| Glucose body fluid (82945) range across 5 matching MRF lines |
$2.62–$18.33 | $5.58–$39 | varies |
| Glucose Serum (82947) | $7.05 | $15 | 1.8× |
| Glucose tolerance test (gtt) (82951) | $24.91 | $53 | 1.9× |
| Glutathione (82978) | $31.96 | $68 | 2.1× |
| Glycated Protein (82985) | $23.03 | $49 | 1.4× |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $7.99 | $17 | 0.5× |
| Gonadotropin Chorionic Qualitative (84703) | $12.69 | $27 | 1.7× |
| Growth hormone (83003) | $17.39 | $37 | 1.0× |
| Growth Stimulation Gene 2 (83006) | $35.72 | $76 | 0.5× |
| Gtt-added samples (82952) range across 4 matching MRF lines |
$4.23–$6.11 | $9–$13 | varies |
| H Pylori (C-13) Breath (83013) | $63.45 | $135 | 0.9× |
| Haptoglobin (83010) | $34.31 | $73 | 2.7× |
| HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease),… (81258) | $176.25 | $375 | 0.5× |
| Hba1/hba2 full gene sequence (81259) | $282 | $600 | 0.5× |
| Hba1/Hba2 Gene (81257) | $47.94 | $102 | 0.5× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $94.94 | $202 | 0.5× |
| HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)… (81362) | $176.25 | $375 | 0.5× |
| Hbb duplication/deletion variants (81363) | $94.94 | $202 | 0.5× |
| Hbb Full Gene Sequence (81364) | $152.75 | $325 | 0.5× |
| Hbb Gene Com Variants (81361) | $82.25 | $175 | 0.5× |
| Hdl Cholesterol (83718) | $7.05 | $15 | 0.9× |
| Hearing Loss Dup/Del Analysis (81431) | $319.60 | $680 | 0.5× |
| Hearing Loss Genomic Sequence Analysis 60 Genes (81430) | $763.75 | $1,625 | 0.5× |
| Heavy metal qualitative any analytes (83015) | $9.87 | $21 | 0.5× |
| Heinz Bodies Direct (85441) | $2.35 | $5 | 0.6× |
| Helicobacter Pylori Stool (87338) | $20.56 | $43.75 | 1.4× |
| Helminth Antibody (86682) range across 3 matching MRF lines |
$42.30–$52.17 | $90–$111 | varies |
| Hematocrit (85014) range across 3 matching MRF lines |
$2.23–$19.74 | $4.74–$42 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$14.57–$19.74 | $31–$42 | varies |
| Hemoglobin a1c (83036) | $10.34 | $22 | 1.1× |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$9.43–$18.80 | $20.06–$40 | varies |
| Hemoglobin Copper Sulfate Method Non-Automated (83026) | $1.88 | $4 | 0.5× |
| Hemoglobin electrophoresis (83020) range across 5 matching MRF lines |
$8.93–$13.84 | $19–$29.45 | varies |
| Hemoglobin F Fetal Chemical (83030) | $5.17 | $11 | 0.5× |
| Hemoglobin Methemoglobin Quantitative (83050) | $11.75 | $25 | 1.4× |
| Hemoglobin plasma (83051) | $10.34 | $22 | 1.4× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $4.23 | $9 | 0.5× |
| Hemoglobin urine (83069) | $7.43 | $15.81 | 1.9× |
| Hemoglobin-Oxygen Affinity (82820) | $12.22 | $26 | 0.9× |
| Hemolysin Acid (85475) | $4.70 | $10 | 0.5× |
| Hemolysins&Agglutinins Incubated (86941) range across 2 matching MRF lines |
$39.01–$40.89 | $83–$87 | varies |
| Hemosiderin urine (83070) | $17.86 | $38 | 3.8× |
| Hep a ab igm (86709) | $17.86 | $38 | 1.6× |
| Heparin assay (85520) | $42.30 | $90 | 3.2× |
| Heparin Neutralization (85525) range across 3 matching MRF lines |
$7.65–$12.22 | $16.28–$26 | varies |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$17.86–$22.56 | $38–$48 | varies |
| Hepatitis b core ab total (86704) | $12.69 | $27 | 1.1× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$7.99–$19.74 | $17–$42 | varies |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$19.74–$22.09 | $42–$47 | varies |
| Hepatitis C Antibody (86803) range across 4 matching MRF lines |
$8.93–$27.26 | $19–$58 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 4 matching MRF lines |
$27.73–$47.94 | $59.01–$102 | varies |
| Hepatitis delta ag (87380) | $56.87 | $121 | 3.1× |
| Hepatitis Delta Agent Antibody (86692) range across 2 matching MRF lines |
$16.92–$41.50 | $36–$88.30 | varies |
| Hereditary peripheral neuropathy gen seq pnl (81448) | $305.45 | $649.89 | 0.5× |
| Herpes simplex type 2 (86696) | $20.21 | $43 | 1.0× |
| Heterophile Antibody Screen (86308) | $12.69 | $27 | 2.4× |
| Hexa gene analysis common variants (81255) | $23.97 | $51 | 0.5× |
| Hfe Gene (81256) | $61.10 | $130 | 0.9× |
| Hgb Quantitative Transcutaneous (88738) | $2.82 | $6 | 0.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $19.74 | $42 | 2.6× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$13.16–$18.10 | $28–$38.50 | varies |
| Histoplasma antigen urine (87385) | $16.45 | $35 | 1.2× |
| Hiv Antigen W/Hiv Antibodies (87806) | $15.51 | $33 | 0.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$12.69–$22.56 | $27–$48 | varies |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$8.46–$10.81 | $18–$23 | varies |
| HIV-1 p24 antigen (87390) | $22.56 | $48 | 0.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $88.83 | $189 | 1.0× |
| HIV-2 probe&revrse trnscripj (87538) | $32.90 | $70 | 0.9× |
| Hla Class I Typing Low Resolution Complete (81372) | $189.88 | $404 | 0.5× |
| Hla class i&ii antibody qual (86828) | $30.08 | $64 | 0.5× |
| Hla class i/ii antibody qual (86829) | $30.08 | $64 | 0.5× |
| Hla class ii high defin qual (86833) | $153.22 | $326 | 0.5× |
| Hla class ii typing high resolution one locus ea (81382) range across 2 matching MRF lines |
$121.26–$166.85 | $258–$355 | varies |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $51.23 | $109 | 0.5× |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) | $17.39 | $37 | 0.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) range across 2 matching MRF lines |
$38.07–$69.09 | $81–$147 | varies |
| Hla I Typing 1 Allele Hr (81381) | $79.90 | $170 | 0.5× |
| Hla i&li low resolution hla-a -b&-drb1 (81371) | $190.35 | $405 | 0.5× |
| Hla ii typing 1 allele hr (81383) | $110.45 | $235 | 1.0× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $49.82 | $106 | 0.5× |
| Hla Typing Dr/Dq Single Antigen (86816) | $14.57 | $31 | 0.5× |
| Hla-b27 (86812) | $32.43 | $69 | 1.3× |
| Homocysteine (83090) | $23.50 | $50 | 1.3× |
| Homogenization Tissue (87176) | $23.02 | $48.98 | 3.9× |
| Hpa-1 genotyping gene analysis common variant (81105) | $63.92 | $136 | 0.5× |
| Hpa-15 genotyping gene analysis common variant (81112) | $63.92 | $136 | 0.5× |
| Hpa-2 genotyping gene analysis common variant (81106) | $63.92 | $136 | 0.5× |
| Hpa-3 genotyping gene analysis common variant (81107) | $63.92 | $136 | 0.5× |
| Hpa-4 genotyping gene analysis common variant (81108) | $63.92 | $136 | 0.5× |
| Hpa-5 genotyping gene analysis common variant (81109) | $63.92 | $136 | 0.5× |
| Hpa-6 genotyping gene analysis common variant (81110) | $63.92 | $136 | 0.5× |
| Hpa-9 Genotyping (81111) | $63.92 | $136 | 0.5× |
| Hpv High-Risk Types (87624) | $36.66 | $78 | 1.0× |
| Hpv low-risk types (87623) | $35.25 | $75 | 1.0× |
| Hpv Types 16 & 18 Only (87625) | $28.41 | $60.45 | 0.7× |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$36.66–$56.40 | $78–$120 | varies |
| Htlv-I Antibody (86687) | $70.50 | $150 | 7.8× |
| Htt Gene Detc Abnor Alleles (81271) | $64.39 | $137 | 0.5× |
| Hydroxycorticosteroids 17 (83491) range across 2 matching MRF lines |
$9.87–$21.71 | $21–$46.19 | varies |
| Hydroxyprogesterone 17-d (83498) | $14.19 | $30.19 | 0.5× |
| Hydroxyproline total (83505) | $58.28 | $124 | 2.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $8 | $17.03 | 0.8× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $28.20 | $60 | 2.0× |
| Iaad Ia Streptococcus Group A (87430) | $7.99 | $17 | 0.5× |
| Iaadi inffluenza a virus (87276) | $15.04 | $32 | 0.9× |
| Iaadi not otherwise specified each organism (87299) | $55.93 | $119 | 3.5× |
| Iaadi parainfluenza virus each type (87279) | $7.52 | $16 | 0.5× |
| Iaadi respiratory synctial virus (87280) | $12.22 | $26 | 0.9× |
| Iaadi Varicella Zoster Virus (87290) | $22 | $46.81 | 1.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $21.62 | $46 | 0.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $36.66 | $78 | 1.0× |
| Iadna Cytomegalovirus Direct Probe Tq (87495) | $14.10 | $30 | 0.5× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$28.20–$44.65 | $60–$95 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 2 matching MRF lines |
$49.35–$65.80 | $105–$140 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $39.48 | $84 | 0.9× |
| Iadna Herpes Virus-6 Quantification (87533) | $34.04 | $72.43 | 0.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $32.90 | $70 | 0.9× |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $25.85 | $55 | 0.9× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $22.56 | $48 | 0.5× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $21.15 | $45 | 1.1× |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $12.69 | $27 | 0.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $22.56 | $48 | 0.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$23.97–$36.66 | $51–$78 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $14.10 | $30 | 0.5× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $123.61 | $262.99 | 0.5× |
| Idh1 common variants (81120) | $90.71 | $193 | 0.5× |
| Idh2 common variants (81121) | $139.12 | $296 | 0.5× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $34.31 | $73 | 0.5× |
| Ig Light Chains Free Each (83521) | $12.22 | $26 | 0.7× |
| Igg subclasses (82787) | $8.46 | $18 | 1.1× |
| IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) | $211.50 | $450 | 3.1× |
| Ikbkap Gene Analysis Common Variants (81260) | $18.33 | $39 | 0.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 3 matching MRF lines |
$273.54–$342.16 | $582–$728 | varies |
| Immune Complex Assay (86332) | $12.69 | $27 | 0.5× |
| Immunfix e-phorsis/urine/csf (86335) range across 6 matching MRF lines |
$17.51–$47 | $37.25–$100 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 10 matching MRF lines |
$9.40–$263.20 | $20–$560 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $12.22 | $26 | 0.5× |
| Immunoassay infectious agent (86318) | $8.46 | $18 | 0.5× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 9 matching MRF lines |
$9–$61.57 | $19.14–$131 | varies |
| Immunoassay nonantibody (83516) range across 12 matching MRF lines |
$7.99–$173.90 | $17–$370 | varies |
| Immunodiffusion not elsewhere specified (86329) | $7.34 | $15.61 | 0.5× |
| Immunodiffusion Ouchterlony (86331) range across 6 matching MRF lines |
$7.99–$19.74 | $17–$42 | varies |
| Immunoelectrophoresis Serum (86320) | $14.10 | $30 | 0.5× |
| Immunofixation electrophoresis (86334) range across 7 matching MRF lines |
$23.50–$55.07 | $50–$117.18 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $70.50 | $150 | 0.4× |
| In situ hybridization 1st probe stain (88365) | $75.20 | $160 | 0.4× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) | $10.34 | $22 | 0.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) | $7.52 | $16 | 0.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $7.52 | $16 | 0.5× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) | $10.34 | $22 | 0.5× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) | $16.45 | $35 | 0.5× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) | $7.52 | $16 | 0.5× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) | $11.75 | $25 | 0.5× |
| Infectious agent antigen detection by immunofluorescent technique; Rubeola Facility (87283) | $28.67 | $61 | 0.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) | $14.57 | $31 | 0.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) | $14.10 | $30 | 0.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Facility (87582) | $142.41 | $303 | 0.5× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $6.58 | $14 | 0.5× |
| Influenza a/b ag eia (87400) | $14.10 | $30 | 1.0× |
| Influenza assay w/optic (87804) | $7.99 | $17 | 0.5× |
| Influenza DNA amp probe (87502) | $109.51 | $233 | 1.1× |
| Inherited Cardmypthy 5 Gns (81439) | $305.45 | $649.89 | 0.5× |
| Inhibin A (86336) range across 4 matching MRF lines |
$9.11–$10.81 | $19.39–$23 | varies |
| Inhibin b (83520) range across 12 matching MRF lines |
$12.22–$177.66 | $26–$378 | varies |
| Insitu hybridization auto (88367) range across 2 matching MRF lines |
$83.66–$123.61 | $178–$263 | varies |
| Insitu hybridization manual (88368) range across 2 matching MRF lines |
$70.97–$83.66 | $151–$178 | varies |
| Insulin antibodies (86337) | $23.03 | $49 | 1.1× |
| Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) | $133.96 | $285.03 | 0.5× |
| Insulin total (83525) range across 2 matching MRF lines |
$20.21–$306.30 | $43–$651.70 | varies |
| Intrinsic factor antibody (86340) | $9.75 | $20.75 | 0.6× |
| Iron (83540) range across 2 matching MRF lines |
$6.58–$25.95 | $14–$55.22 | varies |
| Iron Binding Capacity (83550) | $18.33 | $39 | 2.1× |
| Iron stain peripheral blood (85536) | $22.09 | $47 | 3.2× |
| Irradiation Blood Product Each Unit (86945) | $52.17 | $111 | 1.4× |
| Jak2 gene analysis p.val617phe variant (81270) | $95.88 | $204 | 1.0× |
| Jak2 Gene Trgt Sequence Alys (81279) | $172.96 | $368 | 0.9× |
| Kit Gene Analysis D816 Variant(S) (81273) | $58.75 | $125 | 0.5× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $155.10 | $330 | 0.5× |
| Koh Prep (87220) | $19.74 | $42 | 4.6× |
| Kras Gene Analysis Additional Variant(S) (81276) | $90.71 | $193 | 0.5× |
| Kras Gene Variants Exon 2 (81275) | $90.71 | $193 | 0.5× |
| L/s ratio (83661) range across 3 matching MRF lines |
$34.31–$71.44 | $73–$152 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 6 matching MRF lines |
$3.64–$8.93 | $7.75–$19 | varies |
| Lactoferrin fecal qualitative (83630) | $11.21 | $23.85 | 0.6× |
| Lactoferrin Fecal Quantitative (83631) | $10.34 | $22 | 0.5× |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) | $69.56 | $148 | 3.4× |
| Lactose urine qual (83633) | $5.17 | $11 | 0.5× |
| Lamellar Body Count (83664) | $9.87 | $21.01 | 0.5× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$10.64–$41.83 | $22.63–$89 | varies |
| LDL direct (83721) range across 2 matching MRF lines |
$11.28–$13.40 | $24–$28.52 | varies |
| Lead (83655) range across 2 matching MRF lines |
$8.46–$15.04 | $18–$32 | varies |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$10.34–$65.32 | $22–$138.97 | varies |
| Legionella pneumophila dfa (87278) | $7.52 | $16 | 0.5× |
| Leptospira antibody (86720) | $9.31 | $19.80 | 0.6× |
| Level I Surg Pathology Gross Examination Only (88300) | $31.96 | $68 | 1.1× |
| Level ii surg pathology grossµscopic exam (88302) | $141.94 | $302 | 3.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $340.75 | $725 | 1.0× |
| Lipase (83690) | $43.24 | $92 | 6.3× |
| Lipoprotein A (83695) | $13.63 | $29 | 1.0× |
| Lipoprotein Bld Quan Part (83704) | $25.85 | $55 | 0.8× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $25.85 | $55 | 0.8× |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) | $6.11 | $13 | 0.5× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $35.39 | $75.30 | 0.8× |
| Lithium (80178) | $44.18 | $94 | 6.7× |
| Luteinizing Hormone (Lh) (83002) | $37.60 | $80 | 2.0× |
| Lyme disease antibody (86618) | $17.86 | $38 | 1.0× |
| Lymphocytotoxicity Assay (86805) | $89.30 | $190 | 0.5× |
| Lysozyme serum (85549) | $23.50 | $50 | 1.3× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $168.26 | $358 | 1.0× |
| M/phmtrc alys ishquant/semiq (88374) | $168.26 | $358 | 1.0× |
| Magnesium Urine (83735) range across 6 matching MRF lines |
$6.34–$7.42 | $13.48–$15.79 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$16.92–$77.55 | $36–$165 | varies |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $18.33 | $39 | 0.5× |
| Meat fibers, feces (89160) | $2.35 | $5 | 0.5× |
| Mechanical fragility rbc (85547) | $4.70 | $10 | 0.5× |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) | $56.40 | $120 | 0.5× |
| Mecp2 gene dup/delet variant (81304) | $70.50 | $150 | 0.5× |
| Mecp2 gene full seq (81302) | $248.10 | $527.87 | 0.5× |
| Mercury urine (83825) range across 3 matching MRF lines |
$8.49–$12.64 | $18.06–$26.89 | varies |
| Metabolic panel ionized ca (80047) | $6.58 | $14 | 0.5× |
| Methylmalonic acid serum (83921) | $17.48 | $37.20 | 0.8× |
| Mgmt methylation analysis (81287) | $58.75 | $125 | 0.5× |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$5.64–$11.28 | $12–$24 | varies |
| Microsomal Antibodies Each (86376) range across 7 matching MRF lines |
$10.34–$15.04 | $22–$32 | varies |
| Mitochondrial Antibody Each (86381) | $17.86 | $38 | 0.7× |
| Mlh1 Gene Analysis Known Familial Variants (81293) | $155.57 | $331 | 0.5× |
| Molecular Cytogenetics Dna Probe Each (88271) | $11.28 | $24 | 0.5× |
| Molecular Pathology Procedure Level 3 (81402) | $185.65 | $395 | 1.2× |
| Mononuclear cell antigen (86356) range across 2 matching MRF lines |
$48.08–$54.05 | $102.30–$115 | varies |
| Mopath procedure level 4 (81403) | $117.97 | $251 | 0.6× |
| Mpl gene common variants (81338) | $140.06 | $298 | 0.9× |
| Mrsa Pcr (87641) | $66.74 | $142 | 1.9× |
| Msh6 Gene Known Variants (81299) | $144.76 | $308 | 0.5× |
| Mthfr Gene Analysis Common Variants (81291) range across 3 matching MRF lines |
$35.25–$61.57 | $75–$131 | varies |
| Mucin Clot Body Fluid (83872) | $3.29 | $7 | 0.6× |
| Mucopolysaccharides acid quantitative (83864) | $13.63 | $29 | 0.5× |
| Mumps antibody (86735) | $13.63 | $29 | 1.0× |
| Mycobacteric Identification (87118) | $13.63 | $29 | 0.9× |
| Mycophenolic Acid (80180) | $9.40 | $20 | 0.5× |
| Mycoplasma antibody (86738) | $10.81 | $23 | 0.8× |
| Mycoplasma culture (87109) | $15.28 | $32.50 | 1.0× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $82.25 | $175 | 0.5× |
| Myelin basic protein csf (83873) | $11.16 | $23.75 | 0.6× |
| Myoglobin urine (83874) | $16.45 | $35 | 1.3× |
| Natriuretic peptide (83880) | $83.19 | $177 | 2.1× |
| Neisseria Dir Na Probe (87590) | $12.69 | $27 | 0.5× |
| Neutralization Test Viral (86382) | $8.93 | $19 | 0.5× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $13.63 | $29 | 0.5× |
| Nfct ds chrnc hcv 6 assays (81596) | $33.84 | $72 | 0.5× |
| Niacin (84591) | $37.60 | $80 | 2.2× |
| Nickel level (83885) | $12.69 | $27 | 0.5× |
| Nitroblue Tetrazolium Dye (86384) | $6.58 | $14 | 0.5× |
| Nk cells total count (86357) | $31.02 | $66 | 0.8× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $116.09 | $247 | 0.5× |
| Nras gene variants exon 2&3 (81311) | $139.12 | $296 | 0.5× |
| Nuclear antigen antibody (86235) range across 10 matching MRF lines |
$12.69–$21.62 | $27–$46 | varies |
| Nuclear Mitochondrial 100 Gene Genomic Seq (81440) | $1,562.28 | $3,324 | 0.5× |
| Nzym actv blood cells/tiss radact substrate ea (82658) | $20.68 | $44 | 0.5× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$2.35–$2.82 | $5–$6 | varies |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$5.64–$22.09 | $12–$47 | varies |
| Oligoclonal bands (83916) range across 3 matching MRF lines |
$18.56–$28.20 | $39.48–$60 | varies |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $122.67 | $261 | 0.5× |
| Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping),… (81520) | $1,310.89 | $2,789.12 | 0.5× |
| Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping),… (81518) | $1,820.31 | $3,873 | 0.5× |
| Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing… (81521) | $1,820.31 | $3,873 | 0.5× |
| Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping),… (81525) | $1,464.52 | $3,116 | 0.5× |
| Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS… (81528) | $239.17 | $508.87 | 0.5× |
| Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive… (81536) | $83.66 | $178 | 0.5× |
| Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive… (81535) | $272.13 | $579 | 0.5× |
| Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and… (81538) | $1,349.37 | $2,871 | 0.5× |
| Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping),… (81541) | $1,820.31 | $3,873 | 0.5× |
| Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing… (81551) | $954.10 | $2,030 | 0.5× |
| Oncology breast mrna gene expression 21 genes (81519) | $1,820.31 | $3,873 | 0.5× |
| Organic Acids Qualitative Each Specimen (83919) | $11.75 | $25 | 0.7× |
| Organic acids urine (83918) | $35.96 | $76.50 | 1.5× |
| Osmolality serum (83930) range across 4 matching MRF lines |
$4.23–$19.74 | $9–$42 | varies |
| Osmolality Urine (83935) range across 4 matching MRF lines |
$4.37–$19.74 | $9.30–$42 | varies |
| Osmotic fragility rbc incubated (85557) | $7.05 | $15 | 0.5× |
| Osmotic Fragility RBC Unincubated (85555) range across 2 matching MRF lines |
$35.25–$39.95 | $75–$85 | varies |
| Ova and parasites smears (87177) range across 4 matching MRF lines |
$9.40–$35.72 | $20–$76 | varies |
| Ova1 (81503) | $421.59 | $897 | 0.5× |
| Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) | $6.11 | $13 | 0.5× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$7.57–$12.91 | $16.10–$27.46 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $10.81 | $23 | 0.9× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $119.87 | $255.05 | 0.5× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $155.10 | $330 | 0.5× |
| Ph urine (81003) range across 6 matching MRF lines |
$5.64–$8.93 | $12–$19 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$7.29–$39.48 | $15.50–$84 | varies |
| Phenylalanine (84030) | $56.87 | $121 | 10.3× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$9.40–$15.15 | $20–$32.24 | varies |
| Phenytoin free (80186) range across 4 matching MRF lines |
$8.93–$47.47 | $19–$101 | varies |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$6.37–$12.22 | $13.56–$26 | varies |
| Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) | $4.70 | $10 | 0.5× |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$11.17–$11.28 | $23.77–$24 | varies |
| Phosphorus Serum (84100) | $6.58 | $14 | 1.4× |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$4.57–$15.04 | $9.72–$32 | varies |
| Pinworm exam (87172) range across 2 matching MRF lines |
$4.70–$10.34 | $10–$22 | varies |
| Platelet Aggregation (85576) range across 9 matching MRF lines |
$14.10–$34.31 | $30.01–$73 | varies |
| Platelet Antibodies (86022) range across 4 matching MRF lines |
$9.87–$155.10 | $21–$330 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$4.23–$34.31 | $9–$73 | varies |
| Platelet neutralization (85597) range across 4 matching MRF lines |
$10.26–$18.80 | $21.84–$40 | varies |
| PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure… (81326) | $22.56 | $48 | 0.5× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $356.43 | $758.36 | 0.5× |
| Pmp22 Gene Analysis Full Sequence Analysis (81325) | $361.90 | $770 | 0.5× |
| Pms2 gene analysis known familial variants (81318) | $155.57 | $331 | 0.5× |
| Pooling blood platelets (86965) | $15.98 | $34 | 0.1× |
| Porphobilinogen Urine Qualitative (84106) | $2.82 | $6 | 0.5× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$11.12–$15.51 | $23.66–$33 | varies |
| Porphyrins Feces Quantitative (84126) | $18.33 | $39 | 0.5× |
| Porphyrins, urine; qualitative (84119) | $6.11 | $13 | 0.5× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$4.77–$12.69 | $10.15–$27 | varies |
| Pr assay of etiocholanolone (82696) | $12.22 | $26 | 0.5× |
| Prealbumin (84134) | $10.34 | $22 | 0.7× |
| Pregnancy-Associated Plasma Protein-A (84163) | $15.11 | $32.15 | 1.0× |
| Preparation of embryo for transfer (89255) | $17.86 | $38 | 0.3× |
| Pretx serum rbc antibody identification dilution (86976) range across 2 matching MRF lines |
$24.44–$25.85 | $52–$55 | varies |
| Primidone (80188) | $11.28 | $24 | 0.7× |
| Procalcitonin (Pct) (84145) | $28.20 | $60 | 1.0× |
| Progesterone (84144) | $25.85 | $55 | 1.2× |
| Prolactin (84146) | $16.45 | $35 | 0.8× |
| Prostaglandin (84150) | $19.74 | $42 | 0.5× |
| Protein body fluid (84157) range across 5 matching MRF lines |
$3.35–$5.17 | $7.13–$11 | varies |
| Protein C Activity (85303) range across 3 matching MRF lines |
$9.40–$14.57 | $20–$31 | varies |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$28.20–$41.36 | $60–$88 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $11.28 | $24 | 1.1× |
| Protein S Free (85306) range across 4 matching MRF lines |
$10.81–$15.98 | $23–$34 | varies |
| Protein test for diagnosis and monitoring of bladder cancer (86386) | $10.34 | $22 | 0.5× |
| Protein Total Refractometry Any Src (84160) range across 2 matching MRF lines |
$5.29–$5.64 | $11.25–$12 | varies |
| Protein total serum (84155) | $5.17 | $11 | 1.4× |
| Protein Total Urine (84156) range across 6 matching MRF lines |
$3.35–$52.64 | $7.13–$112 | varies |
| Protein Western Blot Test (84182) | $47.41 | $100.88 | 1.6× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $4.95 | $10.54 | 1.3× |
| PSA free (84154) range across 3 matching MRF lines |
$13.16–$19.27 | $28–$41 | varies |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $141 | $300 | 0.5× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $282 | $600 | 0.5× |
| Pth Intact (83970) range across 5 matching MRF lines |
$29.14–$43.24 | $62–$92 | varies |
| Pyruvate kinase (84220) | $18.94 | $40.30 | 2.0× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$17.48–$51 | $37.20–$108.50 | varies |
| Quantitative assay drug (80299) range across 8 matching MRF lines |
$8.76–$37.13 | $18.64–$79 | varies |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
$23.31–$56.87 | $49.60–$121 | varies |
| Quinine (84228) | $6.11 | $13 | 0.5× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$46.53–$80.37 | $99–$171 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$28.20–$55.46 | $60–$118 | varies |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$17.39–$53.11 | $37–$113 | varies |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
$28.20–$50.29 | $60–$107 | varies |
| Rbc serum pretx incubj drugs (86975) | $62.98 | $134 | 0.1× |
| Reagent Strip/Blood Glucose (82948) range across 9 matching MRF lines |
$10.81–$12.69 | $23–$27 | varies |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $33.37 | $71 | 0.5× |
| Receptor assay estrogen (84233) | $41.36 | $88 | 0.5× |
| Reptilase test (85635) range across 2 matching MRF lines |
$9.38–$10.34 | $19.95–$22 | varies |
| Resp virus 12-25 targets (87633) | $435.22 | $926 | 1.0× |
| Reticulated Platelet Assay (85055) | $16.92 | $36 | 0.5× |
| Reticulocyte Count (85046) | $7.52 | $16 | 1.4× |
| Reticulocyte separation (86972) | $62.98 | $134 | 0.4× |
| Rh (86901) range across 3 matching MRF lines |
$5.64–$30.55 | $12–$65 | varies |
| Rheumatoid Factor Qualitative (86430) | $14.57 | $31 | 2.4× |
| Rickettsia antibody (86757) | $15.15 | $32.24 | 0.8× |
| Ristocetin cofactor (85245) range across 4 matching MRF lines |
$8.57–$47.47 | $18.23–$101 | varies |
| Rotavirus ag eia (87425) | $45.12 | $96 | 3.8× |
| Rpr qualitative (86592) range across 6 matching MRF lines |
$2.82–$14.57 | $6–$31 | varies |
| Rubella Antibody (86762) range across 6 matching MRF lines |
$10.34–$15.04 | $22–$32 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$13.63–$49.82 | $29–$106 | varies |
| Runx1 gene analysis targeted sequence analysis (81334) | $155.10 | $330 | 0.5× |
| Russell Viper Venom Time Diluted (85613) range across 5 matching MRF lines |
$6.58–$9.87 | $14–$21 | varies |
| Russell Viper Venon Time Undiluted (85612) | $7.99 | $17 | 0.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$44.65–$61.10 | $95–$130 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$19.74–$51.70 | $42–$110 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $203.51 | $433 | 1.4× |
| Sedimentation rate (85651) | $8.46 | $18 | 2.0× |
| Selenium (84255) | $13.33 | $28.37 | 0.5× |
| Semen Anal Sperm Detection (89321) | $10.34 | $22 | 0.9× |
| Semen analysis complete (89320) | $31.49 | $67 | 2.6× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $4.70 | $10 | 0.5× |
| Sensitivity mic (87186) | $36.66 | $78 | 4.2× |
| Sept9 Methylation Analysis (81327) | $90.24 | $192 | 0.5× |
| Serum Bactericidal Titer (87197) | $22.56 | $48 | 1.5× |
| Sex Hormone Binding Globulin (84270) | $22.56 | $48 | 1.0× |
| Shigella Antibody (86771) | $11.28 | $24 | 0.5× |
| Sickling of rbc reduction (85660) range across 4 matching MRF lines |
$9.87–$10.93 | $21–$23.25 | varies |
| Silica (84285) | $12.22 | $26 | 0.5× |
| Sirolimus (80195) | $14.57 | $31 | 1.1× |
| Skin test tuberculosis intradermal (86580) | $11.28 | $24 | 0.4× |
| SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) | $82.25 | $175 | 0.5× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$6.11–$14.10 | $13–$30 | varies |
| Smear complex stain (87209) range across 3 matching MRF lines |
$10.34–$18.80 | $22–$40 | varies |
| Smear gram stain (87205) range across 4 matching MRF lines |
$4.70–$10.34 | $10–$22 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$19.74–$45.75 | $42–$97.34 | varies |
| Smpd1 Gene Analysis Common Variants (81330) | $22.09 | $47 | 0.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $19.74 | $42 | 3.4× |
| Snrpn/Ube3a Methylation Analysis (81331) | $23.97 | $51 | 0.5× |
| Sodium Serum (84295) | $8.46 | $18 | 1.8× |
| Sodium Urine (84300) range across 3 matching MRF lines |
$5.15–$9.40 | $10.96–$20 | varies |
| Soluble fibrin monomer (85366) | $75.20 | $160 | 0.9× |
| Somatomedin (84305) | $11.11 | $23.63 | 0.5× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$41.83–$47.94 | $89–$102 | varies |
| Specific gravity body fluid (84315) | $8.46 | $18 | 2.6× |
| Specimen infect agnt concntj (87015) range across 5 matching MRF lines |
$3.29–$10.05 | $7–$21.39 | varies |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$4.70–$9.32 | $10–$19.84 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $32.90 | $70 | 0.2× |
| Staph a DNA amp probe (87640) | $66.74 | $142 | 1.9× |
| Stem cells total count (86367) | $36.66 | $78 | 0.5× |
| Stone Analysis (82355) | $23.03 | $49 | 2.0× |
| Stool cultr aerobic bact ea (87046) | $9.87 | $21 | 1.0× |
| Strep a assay w/optic (87880) | $19.74 | $42 | 1.2× |
| Strep a DNA amp probe (87651) | $32.90 | $70 | 0.9× |
| Streptokinase, antibody Facility (86590) | $6.11 | $13 | 0.5× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $56.09 | $119.35 | 4.9× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $18.33 | $39 | 0.5× |
| Sulfate urine (84392) | $5.26 | $11.20 | 1.0× |
| Surg path level iii (88304) | $141.94 | $302 | 2.7× |
| Surgical pathology level IV (88305) | $46.53 | $99 | 0.9× |
| Surgical pathology level vi (88309) | $693.25 | $1,475 | 0.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $2.35 | $5 | 0.5× |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $37.60 | $80 | 0.9× |
| Syphilis Test Non-Trep Quant (86593) | $10.34 | $22.01 | 2.3× |
| T cells absolute cd4 count (86361) | $28.20 | $60 | 1.1× |
| T3 Free (84481) | $16.92 | $36 | 1.0× |
| T3 Total (84480) range across 2 matching MRF lines |
$43.71–$57.34 | $93–$122 | varies |
| T3 Uptake (84479) | $22.09 | $47 | 3.4× |
| T4 Free (84439) | $13.63 | $29 | 1.5× |
| T4 total (84436) | $82.25 | $175 | 12.0× |
| T4-neonatal (84437) | $3.29 | $7 | 0.5× |
| Tacrolimus (80197) | $14.57 | $31 | 1.1× |
| Tb ag response t-cell susp (86481) | $47 | $100 | 0.5× |
| Test for acetone/ketones (82009) | $21.62 | $46 | 4.8× |
| Test for urine cystines (82615) | $4.70 | $10 | 0.5× |
| Testosterone Bioavailable (84410) | $26.78 | $56.98 | 0.5× |
| Testosterone total (84403) range across 5 matching MRF lines |
$18.33–$95.88 | $39–$204 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$17.86–$21.62 | $38–$46 | varies |
| Tetanus antibody (86774) | $13.63 | $29 | 0.9× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $281.02 | $597.91 | 0.5× |
| Theophylline (80198) | $31.49 | $67 | 2.2× |
| Thiocyanate (84430) | $12.69 | $27 | 1.1× |
| Thiopurine methyltransferase (84433) | $20.68 | $44 | 0.9× |
| Thrombin Time (85670) range across 6 matching MRF lines |
$4.23–$6.11 | $9–$13 | varies |
| Thromboplastin Inhibition Tissue (85705) range across 2 matching MRF lines |
$5.17–$6.58 | $11–$14 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 7 matching MRF lines |
$4.70–$9.76 | $10–$20.77 | varies |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) | $16.45 | $35 | 0.5× |
| Thyroglobulin (84432) | $15.04 | $32 | 0.9× |
| Thyroglobulin Antibody (86800) | $15.04 | $32 | 0.9× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $80.37 | $171 | 1.6× |
| Tiss cul neo disorders solid tumor (88239) | $77.08 | $164 | 0.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $7.99 | $17 | 0.7× |
| Tissue Culture (88233) | $73.32 | $156 | 0.5× |
| Tissue Culture Amniotic Fluid (88235) | $77.08 | $164 | 0.5× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$103.87–$111.86 | $221–$238 | varies |
| Tissue Culture Lymphocyte (88230) | $95.88 | $204 | 0.8× |
| Tobramycin peak (80200) | $36.66 | $78 | 2.3× |
| Topiramate (80201) | $7.60 | $16.16 | 0.6× |
| Toxoplasma ab igm (86778) range across 3 matching MRF lines |
$9–$15.04 | $19.14–$32 | varies |
| Toxoplasma antibody (86777) range across 4 matching MRF lines |
$13.63–$15.04 | $29–$32 | varies |
| Tpmt gene com variants (81335) | $82.25 | $175 | 0.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $5.64 | $12 | 1.1× |
| Transferrin (84466) | $26.79 | $57 | 2.1× |
| Trichomonas vagin dir probe (87660) | $15.04 | $32 | 0.8× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$30.60–$91.18 | $65.10–$194 | varies |
| Triglycerides (84478) range across 4 matching MRF lines |
$19.27–$25.85 | $41–$55 | varies |
| Troponin Quant (84484) | $33.37 | $71 | 2.7× |
| Troponin, qualitative (84512) | $9.40 | $20 | 0.9× |
| Tumor immunohistochem/comput (88361) | $60.63 | $129 | 0.2× |
| Tyms Gene Analysis Common Variants (81346) | $82.25 | $175 | 0.5× |
| Ugt1a1 gene analysis common variants (81350) | $109.98 | $234 | 0.5× |
| Urea nitrogen urine (84540) | $10.34 | $22 | 1.9× |
| Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) | $2.35 | $5 | 0.5× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$5.15–$12.22 | $10.96–$26 | varies |
| Urinalysis Microscopic Only (81015) | $2.82 | $6 | 0.9× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $10.81 | $23 | 5.0× |
| Urinalysis Volume Measure (81050) | $1.88 | $4 | 0.5× |
| Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) | $14.10 | $30 | 0.5× |
| Urine Albumin Semiquantitative (82044) | $5.64 | $12 | 0.9× |
| Urine Bacteria Culture (87088) | $19.74 | $42 | 2.4× |
| Urine Pregnancy Test (81025) range across 5 matching MRF lines |
$4.23–$9.40 | $9–$20 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $8.93 | $19 | 2.8× |
| Urobilinogen urine qual (84578) | $3.76 | $8 | 0.8× |
| Urobilinogen, feces, quantitative Facility (84577) | $8.93 | $19 | 0.5× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) | $4.70 | $10 | 0.5× |
| Urobilinogen, urine; semiquantitative Facility (84583) | $5.64 | $12 | 0.9× |
| Valproic acid (80164) range across 2 matching MRF lines |
$15.98–$21.62 | $34–$46 | varies |
| Vancomycin (80202) | $18.33 | $39 | 1.4× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$8.93–$13.63 | $19–$29 | varies |
| Very Long Chain Fatty Acids (82726) | $9.40 | $20 | 0.5× |
| Viral Culture (87252) range across 7 matching MRF lines |
$23.50–$52.17 | $50–$111 | varies |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$21.86–$47 | $46.50–$100 | varies |
| Virus inoculate tissue addl (87253) range across 2 matching MRF lines |
$10.55–$38.61 | $22.45–$82.15 | varies |
| Virus inoculation, shell via (87254) | $23.97 | $51 | 1.2× |
| Vitamin b-12 (82607) | $15.51 | $33 | 1.0× |
| Vitamin B2 (Riboflavin) (84252) | $14.80 | $31.49 | 0.7× |
| Vitamin c (82180) | $8.39 | $17.86 | 0.8× |
| Vitamin D 25-Hydroxy (82306) | $31.02 | $66 | 1.0× |
| Vitamin K (84597) | $12.22 | $26 | 0.9× |
| Vkorc1 gene (81355) | $41.36 | $88 | 0.5× |
| Volatiles (84600) range across 5 matching MRF lines |
$10.34–$50.78 | $22–$108.05 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $13.16 | $28 | 1.1× |
| Von willebrand factor ag (85246) range across 6 matching MRF lines |
$9.99–$41.23 | $21.25–$87.73 | varies |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$11.75–$16.03 | $25–$34.10 | varies |
| West Nile Virus Antibody (86789) | $16.03 | $34.10 | 1.1× |
| Zika Virus Dna/Rna Amp Probe (87662) | $26.80 | $57.02 | 0.5× |
| Zika Virus Igm Antibody (86794) | $8.93 | $19 | 0.5× |
| Zinc (84630) range across 2 matching MRF lines |
$5.95–$33.84 | $12.65–$72 | 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.