Lab & pathology prices at HSHS Holy Family Hospital
Greenville, IL · every code in this section with a posted price and a Medicare benchmark.
602 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $105.84 | $147 | 9.5× |
| Acth (82024) | $300.96 | $418 | 7.8× |
| Actin smooth muscle antibody each (86015) | $109.44 | $152 | 9.1× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$312.48–$456.48 | $434–$634 | varies |
| Albumin Fluid (82042) | $43.92 | $61 | 5.6× |
| Albumin serum (82040) | $67.68 | $94 | 13.7× |
| Aldolase (82085) | $106.56 | $148 | 11.0× |
| Aldosterone urine (82088) | $174.24 | $242 | 4.3× |
| Alkaline phosphatase isoenzymes (84080) | $76.32 | $106 | 5.2× |
| Allergen spec ige qual multiallergen screen (86005) | $50.40 | $70 | 6.3× |
| Allergen specific ige (86003) | $56.88 | $79 | 10.9× |
| Allergen specific igg (86001) | $46.80 | $65 | 6.0× |
| Allg Spec Ige Recomb Ea (86008) | $46.80 | $65 | 2.6× |
| Alpha-1-antitrypsin phenotype (82104) | $142.56 | $198 | 9.9× |
| Alpha-1-antitrypsin total (82103) | $118.08 | $164 | 8.8× |
| Alpha-Fetoprotein Serum (82105) | $217.44 | $302 | 13.0× |
| Alt (sgpt) (84460) | $87.84 | $122 | 16.6× |
| Aluminum (82108) | $32.40 | $45 | 1.3× |
| Amikacin trough (80150) | $72 | $100 | 4.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $61.92 | $86 | 2.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $325.44 | $452 | 19.3× |
| Ammonia (82140) | $130.32 | $181 | 8.9× |
| Amylase urine (82150) | $118.08 | $164 | 18.2× |
| Ana Titer (86039) | $105.84 | $147 | 9.5× |
| Anca screen each antibody (86036) | $200.88 | $279 | 16.7× |
| Anca Titer Each Antibody (86037) | $51.12 | $71 | 4.2× |
| Androstenedione (82157) | $99.36 | $138 | 3.4× |
| Angiotensin converting enzyme csf (82164) | $87.84 | $122 | 6.0× |
| Anti-Phospholipid Antibody (86148) | $54.72 | $76 | 3.4× |
| Antibody aspergillus (86606) | $138.96 | $193 | 9.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $82.08 | $114 | 6.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $54 | $75 | 3.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $177.12 | $246 | 10.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $175.68 | $244 | 13.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $57.60 | $80 | 3.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $106.56 | $148 | 5.9× |
| Antibody Fungus Not Elsewhere Specified (86671) | $141.12 | $196 | 11.5× |
| Antibody haemophilus influenza (86684) | $410.40 | $570 | 25.9× |
| Antibody Herpes Smplx Type 1 (86695) | $164.16 | $228 | 12.4× |
| Antibody HIV-1&HIV-2 single result (86703) | $138.24 | $192 | 10.1× |
| Antibody HIV-2 (86702) | $45.36 | $63 | 3.4× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $112.32 | $156 | 5.8× |
| Antibody identification leukocyte antibodies (86021) | $250.56 | $348 | 16.6× |
| Antibody Identification Platelet Immunogl Assay (86023) | $114.48 | $159 | 9.2× |
| Antibody john cunningham virus (86711) | $2,745.36 | $3,813 | 162.5× |
| Antibody Protozoa Nes (86753) | $106.56 | $148 | 8.6× |
| Antibody Titer (86886) | $216 | $300 | 41.7× |
| Antibody Treponema Pallidum (86780) | $151.20 | $210 | 11.4× |
| Antibody; influenza virus (86710) | $131.04 | $182 | 9.7× |
| Antigen typing (86905) | $453.60 | $630 | 118.4× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $203.76 | $283 | 35.6× |
| Antinuclear antibodies (86038) | $172.08 | $239 | 14.2× |
| Antistreptolysin o titer (86060) | $97.20 | $135 | 13.3× |
| Antithrombin iii activity (85300) | $131.76 | $183 | 11.1× |
| Antithrombin iii antigen (85301) | $231.12 | $321 | 21.4× |
| Apolipoprotein a1 (82172) | $53.28 | $74 | 2.5× |
| Aquaporin-4 Antb Cba Each (86052) | $460.08 | $639 | 38.2× |
| Arsenic (82175) | $66.24 | $92 | 3.5× |
| Aspergillus ag eia (87305) | $119.52 | $166 | 10.0× |
| Assay activated protein c (85307) | $102.96 | $143 | 6.7× |
| Assay Blood Carbon Dioxide (82374) | $47.52 | $66 | 9.7× |
| Assay Nephelometry Not Spec (83883) | $123.12 | $171 | 9.1× |
| Assay of 5-hiaa (83497) | $59.04 | $82 | 4.6× |
| Assay of blood/uric acid (84550) | $87.84 | $122 | 19.4× |
| Assay of calcium in urine (82340) | $138.96 | $193 | 23.0× |
| Assay of cpk in blood (82552) | $39.60 | $55 | 3.0× |
| Assay of estrone (82679) | $149.76 | $208 | 6.0× |
| Assay of g6pd enzyme (82955) | $17.28 | $24 | 1.8× |
| Assay of gammaglobulin igm (82784) | $131.76 | $183 | 14.2× |
| Assay of lactic acid (83605) | $136.80 | $190 | 11.8× |
| Assay of manganese (83785) | $148.32 | $206 | 5.6× |
| Assay of metanephrines (83835) | $100.08 | $139 | 5.9× |
| Assay of proinsulin (84206) | $90 | $125 | 3.4× |
| Assay of serotonin (84260) | $65.52 | $91 | 2.1× |
| Assay of serum potassium (84132) | $62.64 | $87 | 13.2× |
| Assay of sweat sodium (84302) | $14.40 | $20 | 3.0× |
| Assay of urea nitrogen (84520) | $67.68 | $94 | 17.1× |
| Assay of urine vma (84585) | $88.56 | $123 | 5.7× |
| Assay of vasoactive intestinal peptide (84586) | $142.56 | $198 | 4.0× |
| Assay of vitamin b-1 (84425) | $210.96 | $293 | 9.9× |
| Assay Ph Body Fluid Nos (83986) | $22.32 | $31 | 6.2× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $333.36 | $463 | 1.8× |
| Automated Leukocyte Count (85048) | $45.36 | $63 | 17.9× |
| B cells total count (86355) | $185.76 | $258 | 4.9× |
| Babesia microti amp prb (87469) | $114.48 | $159 | 3.3× |
| Bartonella antibody (86611) | $88.56 | $123 | 8.7× |
| Bcr/abl1 gene major bp (81206) | $783.36 | $1,088 | 4.8× |
| Bcr/abl1 gene minor bp (81207) | $545.76 | $758 | 3.8× |
| Beta 2 glycoprotein i antibody each (86146) | $97.20 | $135 | 3.8× |
| Beta Lactamase (87185) | $18 | $25 | 3.8× |
| Beta-2 Microglobulin (82232) | $113.76 | $158 | 7.0× |
| Bilirubin direct (82248) | $78.48 | $109 | 15.6× |
| Bilirubin total (82247) | $69.84 | $97 | 13.9× |
| Blastomyces antibody (86612) | $74.16 | $103 | 5.7× |
| Bld Typing Serologic Rh Phnt (86906) | $85.68 | $119 | 11.1× |
| Blood Count Automated Differential Wbc Count (85004) | $54 | $75 | 8.3× |
| Blood Count Red Blood Cell Automated (85041) | $21.60 | $30 | 7.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $49.68 | $69 | 13.1× |
| Blood gas (82803) | $324.72 | $451 | 12.5× |
| Blood gases w/02 saturation (82805) | $324.72 | $451 | 4.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $453.60 | $630 | 71.4× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $74.88 | $104 | 4.6× |
| Blood typing serologic abo (86900) | $142.56 | $198 | 47.7× |
| Bordetella antibody (86615) | $97.20 | $135 | 7.4× |
| Borrelia miyamotoi amp prb (87478) | $114.48 | $159 | 3.3× |
| Brucella antibody (86622) | $84.96 | $118 | 9.5× |
| C diff amplified probe (87493) | $158.40 | $220 | 4.3× |
| C-Peptide (84681) | $130.32 | $181 | 6.3× |
| C-reactive protein (86140) | $100.80 | $140 | 19.5× |
| Ca 19-9 (86301) | $185.76 | $258 | 8.9× |
| Cadmium (82300) | $60.48 | $84 | 2.6× |
| Calcitonin (82308) | $71.28 | $99 | 2.7× |
| Calcium ionized (82330) | $142.56 | $198 | 10.4× |
| Calcium total (82310) | $74.16 | $103 | 14.4× |
| Calculus Spectroscopy (82365) | $38.16 | $53 | 3.0× |
| Calprotectin Fecal (83993) | $256.32 | $356 | 13.1× |
| Calr gene com variants (81219) | $300.24 | $417 | 2.5× |
| Cancer Antigen 125 (86304) | $198 | $275 | 9.5× |
| Cancer Antigen 27.29 (86300) | $183.60 | $255 | 8.8× |
| Candida antibody (86628) | $91.44 | $127 | 7.6× |
| Candida Dna Dir Probe (87480) | $100.08 | $139 | 5.0× |
| Carbamazepine free (80157) | $67.68 | $94 | 5.1× |
| Carbamazepine total (80156) | $123.12 | $171 | 8.5× |
| Carcinoembryonic antigen (82378) | $177.84 | $247 | 9.4× |
| Cardiolipin ab iga (86147) | $160.56 | $223 | 6.3× |
| Carnitine Quantitative Each Specimen (82379) | $196.56 | $273 | 11.7× |
| Carotene (82380) | $53.28 | $74 | 5.8× |
| Catecholamines fractionated (82384) | $326.16 | $453 | 12.9× |
| Ccp antibody (86200) | $87.84 | $122 | 6.8× |
| Cell count csf (89051) | $149.04 | $207 | 26.6× |
| Ceruloplasmin (82390) | $89.28 | $124 | 8.3× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$701.28–$1,100.88 | $974–$1,529 | varies |
| Chemiluminescent assay (82397) | $138.96 | $193 | 9.8× |
| Chlamydia antibody (86631) | $92.16 | $128 | 7.8× |
| Chlamydia Igm Antibody (86632) | $145.44 | $202 | 11.5× |
| Chloride other source (82438) | $23.04 | $32 | 4.6× |
| Chloride Serum (82435) | $47.52 | $66 | 10.3× |
| Chloride urine (82436) | $90.72 | $126 | 15.8× |
| Cholesterol total (82465) | $80.64 | $112 | 18.5× |
| Cholinesterase Serum (82480) | $62.64 | $87 | 8.0× |
| Chorionic gonadotropin test (84702) | $200.88 | $279 | 13.3× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $102.24 | $142 | 3.0× |
| Chromium serum (82495) | $90 | $125 | 4.4× |
| Chromogranin a (86316) | $401.04 | $557 | 19.3× |
| Chromosome Analysis 15-20 (88262) | $478.80 | $665 | 3.8× |
| Chromosome Analysis 20-25 (88264) | $450 | $625 | 3.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $231.12 | $321 | 6.6× |
| Citric acid urine (82507) | $276.48 | $384 | 9.9× |
| Ckmb (82553) | $36 | $50 | 3.1× |
| Clostridium Difficile (87324) range across 3 matching MRF lines |
$12.96–$137.52 | $18–$191 | varies |
| Clot Factor VIII Multimetric (85247) | $90.72 | $126 | 4.0× |
| Clotting factor xii hageman (85280) | $38.88 | $54 | 2.0× |
| Coccidioides antibody (86635) | $133.20 | $185 | 11.6× |
| Cold agglutinin titer (86157) | $199.44 | $277 | 24.7× |
| Collagen crosslinks (82523) | $126.72 | $176 | 6.8× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$172.08–$833.76 | $239–$1,158 | varies |
| Compatibility test antiglob (86922) | $216 | $300 | 1.2× |
| Complement Antigen Each Component (86160) | $146.88 | $204 | 12.2× |
| Complement Total (Ch50) (86162) | $249.84 | $347 | 12.3× |
| Complement/Function Activity (86161) | $249.12 | $346 | 20.8× |
| Coombs direct (86880) | $87.84 | $122 | 16.3× |
| Copper urine (82525) | $169.20 | $235 | 13.6× |
| Cortisol free (82530) | $207.36 | $288 | 12.4× |
| Cortisol saliva (82533) | $30.24 | $42 | 1.9× |
| Creatine kinase total (82550) | $120.24 | $167 | 18.5× |
| Creatinine blood (82565) | $71.28 | $99 | 13.9× |
| Creatinine clearance (82575) | $89.28 | $124 | 9.4× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$79.92–$87.84 | $111–$122 | varies |
| Crossmatch immediate spin (86920) | $189.36 | $263 | 1.0× |
| Crp High Sensitivity (86141) | $108 | $150 | 8.3× |
| Cryoglobulin (82595) | $86.40 | $120 | 13.4× |
| Cryptococcus ab (86641) | $18.72 | $26 | 1.3× |
| Cryptococcus ag titer (87899) | $391.68 | $544 | 24.4× |
| Cryptosporidium ag eia (87328) | $180 | $250 | 13.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $210.96 | $293 | 26.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $141.12 | $196 | 17.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $74.88 | $104 | 9.7× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) range across 2 matching MRF lines |
$732.96–$807.84 | $1,018–$1,122 | varies |
| Culture afb (87116) | $186.48 | $259 | 17.3× |
| Culture Anaerobic (87075) | $220.32 | $306 | 23.3× |
| Culture blood (87040) | $252 | $350 | 24.4× |
| Culture chlamydia (87110) | $92.16 | $128 | 4.7× |
| Culture csf (87070) | $110.88 | $154 | 12.9× |
| Culture fungus (87102) | $188.64 | $262 | 22.4× |
| Culture fungus blood (87103) | $169.92 | $236 | 8.3× |
| Culture screen only (87081) | $133.20 | $185 | 20.1× |
| Culture typing if ea antiserum (87140) | $48.96 | $68 | 8.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $156.96 | $218 | 30.3× |
| Culture urine (87086) | $156.24 | $217 | 19.4× |
| Cyanide (82600) | $64.80 | $90 | 3.3× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $55.44 | $77 | 3.9× |
| Cyclosporine (80158) | $198 | $275 | 11.0× |
| Cystatin C (82610) | $106.56 | $148 | 5.8× |
| Cytogenetics 100-300 (88275) | $136.80 | $190 | 2.7× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,461.60 | $2,030 | 1.3× |
| Cytomegalovirus igg (86644) | $56.88 | $79 | 4.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$122.40–$132.48 | $170–$184 | varies |
| Cytopath Cell Enhance Tech (88112) | $134.64 | $187 | 2.4× |
| Cytopath Fl Nongyn Filter (88106) | $72.72 | $101 | 2.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $179.28 | $249 | 6.7× |
| Cytp Concentration Smears & Interpretation (88108) | $64.80 | $90 | 1.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $171.36 | $238 | 3.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $401.04 | $557 | 2.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $114.48 | $159 | 2.9× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $67.68 | $94 | 2.2× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $313.92 | $436 | 1.7× |
| Deoxyribonuclease antibody (86215) | $125.28 | $174 | 9.5× |
| Desoxycorticosterone (82633) | $130.32 | $181 | 4.2× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$262.80–$458.64 | $365–$637 | varies |
| Detect Agent Nos Dna Quant (87799) | $480.96 | $668 | 11.2× |
| Detect agnt mult DNA ampli (87801) | $294.48 | $409 | 4.2× |
| Dgp Antibody Each Ig Class (86258) | $109.44 | $152 | 9.1× |
| Dhea (82626) | $77.76 | $108 | 3.1× |
| Dhea-S (82627) | $136.08 | $189 | 6.1× |
| Digoxin (80162) | $135.36 | $188 | 10.2× |
| Dihydrotestosterone (82642) | $304.56 | $423 | 10.4× |
| Diphtheria antitoxoid (86648) | $164.88 | $229 | 10.8× |
| Dna Antibody Native/Double Stranded (86225) | $213.84 | $297 | 15.6× |
| Dna/Rna Amplified Probe (87150) | $189.36 | $263 | 5.4× |
| DNA/RNA direct probe (87149) | $97.20 | $135 | 4.8× |
| Drug assay adalimumab (80145) | $216 | $300 | 5.6× |
| Drug Assay Everolimus (80169) | $208.08 | $289 | 15.2× |
| Drug Assay Infliximab (80230) | $336.24 | $467 | 8.7× |
| Drug Assay Lacosamide (80235) | $123.84 | $172 | 4.6× |
| Drug Assay Vedolizumab (80280) | $226.80 | $315 | 5.9× |
| Drug Screen Quant Zonisamide (80203) | $110.88 | $154 | 8.4× |
| Drug Screen Quantitative Gabapentin (80171) | $124.56 | $173 | 5.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $146.16 | $203 | 11.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $146.16 | $203 | 11.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$46.80–$181.44 | $65–$252 | varies |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $44.64 | $62 | 2.7× |
| Drug Screen Quantitative Tiagabine (80199) | $95.76 | $133 | 3.5× |
| Drug Test Prsmv Chem Anlyzr (80307) | $153.36 | $213 | 2.5× |
| Ehrlichia antibody (86666) | $136.80 | $190 | 13.4× |
| El-1 Fecal Quantitative (82653) | $291.60 | $405 | 12.7× |
| Electrolyte panel (80051) | $161.28 | $224 | 23.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $166.32 | $231 | 13.8× |
| Enterovirus Antibody (86658) | $28.08 | $39 | 2.2× |
| Enterovirus PCR (87498) | $171.36 | $238 | 4.9× |
| Erythropoietin (82668) | $152.64 | $212 | 8.1× |
| Estradiol serum (82670) | $213.84 | $297 | 7.7× |
| Estriol (82677) | $30.24 | $42 | 1.3× |
| Estrogen total (82672) | $164.88 | $229 | 7.6× |
| Estrogens fractionated (82671) | $166.32 | $231 | 5.1× |
| Ethosuximide (80168) | $43.92 | $61 | 2.7× |
| Ethylene Glycol (82693) | $110.88 | $154 | 7.4× |
| Exam Synovial Fluid Crystals (89060) | $67.68 | $94 | 9.2× |
| F2 Gene (81240) | $177.12 | $246 | 2.7× |
| Factor ii activity (85210) | $184.32 | $256 | 14.2× |
| Factor ix activity (85250) | $99.36 | $138 | 5.2× |
| Factor v activity (85220) | $113.04 | $157 | 6.4× |
| Factor v leiden mutation (81241) | $342 | $475 | 4.7× |
| Factor vii assay (85230) | $108 | $150 | 6.0× |
| Factor viii assay (85240) | $124.56 | $173 | 7.0× |
| Factor X (85260) | $113.04 | $157 | 6.3× |
| Factor xi activity (85270) | $38.88 | $54 | 2.2× |
| Fatty acids free (82725) | $97.20 | $135 | 5.2× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $160.56 | $223 | 9.3× |
| Fecal Fat Qualitative (82705) | $84.24 | $117 | 16.5× |
| Ferritin (82728) | $170.64 | $237 | 12.5× |
| Fibrin Degradation Quant (85379) | $177.84 | $247 | 17.5× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $180 | $250 | 18.5× |
| Fibrinogen activity (85384) | $117.36 | $163 | 12.1× |
| Flow cytometry first marker (88184) | $393.84 | $547 | 1.0× |
| Fluorescent antibody screen (86255) | $167.76 | $233 | 13.9× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $51.12 | $71 | 4.2× |
| Fmr1 Gene Charac Alleles (81244) | $205.20 | $285 | 4.6× |
| Fmr1 gene detection (81243) | $355.68 | $494 | 6.2× |
| Folic acid rbc (82747) | $86.40 | $120 | 4.9× |
| Folic Acid Serum (82746) | $171.36 | $238 | 11.7× |
| Follicle Stimulating Hormone (83001) | $82.80 | $115 | 4.5× |
| Francisella tularensis (86668) | $166.32 | $231 | 11.7× |
| Fungi Identification Mold (87107) | $87.84 | $122 | 8.5× |
| Fungi Identification Yeast (87106) | $147.60 | $205 | 14.3× |
| Gammaglobulin ige (82785) | $200.16 | $278 | 12.2× |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
$54.72–$103.68 | $76–$144 | varies |
| Gastrin (82941) | $101.52 | $141 | 5.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $721.44 | $1,002 | 1.7× |
| Genet Virus Isolate Hsv (87255) | $324 | $450 | 9.6× |
| Gentamicin (80170) | $146.88 | $204 | 9.0× |
| Ggt (82977) | $117.36 | $163 | 16.3× |
| Giardia antigen (87329) | $88.56 | $123 | 7.4× |
| Glucagon (82943) | $90.72 | $126 | 6.3× |
| Glucose 2 hr pp (82950) | $78.48 | $109 | 16.5× |
| Glucose Blood Test (82962) | $41.76 | $58 | 12.7× |
| Glucose body fluid (82945) | $51.12 | $71 | 13.0× |
| Glucose Serum (82947) | $59.04 | $82 | 15.0× |
| Glucose tolerance test (gtt) (82951) | $197.28 | $274 | 15.3× |
| Glycated Protein (82985) | $70.56 | $98 | 4.2× |
| Gonadotropin Chorionic Qualitative (84703) | $128.88 | $179 | 17.1× |
| Growth hormone (83003) | $154.08 | $214 | 9.2× |
| Gtt-added samples (82952) | $54.72 | $76 | 14.0× |
| H Pylori (C-13) Breath (83013) | $256.32 | $356 | 3.8× |
| Haptoglobin (83010) | $132.48 | $184 | 10.5× |
| Hdl Cholesterol (83718) | $65.52 | $91 | 8.0× |
| Helicobacter Pylori Stool (87338) | $619.20 | $860 | 43.1× |
| Hematocrit (85014) | $38.88 | $54 | 16.4× |
| Hemoglobin (85018) | $38.88 | $54 | 16.4× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$10.80–$143.28 | $15–$199 | varies |
| Hemoglobin electrophoresis (83020) | $56.88 | $79 | 4.4× |
| Hemoglobin plasma (83051) | $47.52 | $66 | 6.5× |
| Hemosiderin urine (83070) | $41.76 | $58 | 8.8× |
| Hep a ab igm (86709) | $172.80 | $240 | 15.3× |
| Heparin assay (85520) | $177.84 | $247 | 13.6× |
| Hepatitis a antibody total (86708) | $22.32 | $31 | 1.8× |
| Hepatitis b core ab igm (86705) | $87.84 | $122 | 7.5× |
| Hepatitis b core ab total (86704) | $171.36 | $238 | 14.2× |
| Hepatitis B Surface Antibody (86706) | $84.24 | $117 | 7.8× |
| Hepatitis B Surface Antigen (87340) | $272.16 | $378 | 26.3× |
| Hepatitis Be Antibody (86707) | $70.56 | $98 | 6.1× |
| Hepatitis Be Antigen (87350) | $125.28 | $174 | 10.9× |
| Hepatitis C Antibody (86803) | $103.68 | $144 | 7.3× |
| Hepatitis C Genotype (87902) | $650.88 | $904 | 2.5× |
| Hepatitis C Revrs Trnscrpj (87522) | $658.80 | $915 | 15.4× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $1,480.32 | $2,056 | 1.1× |
| Herpes simplex type 2 (86696) | $106.56 | $148 | 5.5× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$108.72–$122.40 | $151–$170 | varies |
| Hfe Gene (81256) | $259.20 | $360 | 4.0× |
| Histamine urine (83088) | $204.48 | $284 | 6.9× |
| Histoplasma antibody (86698) | $156.96 | $218 | 11.4× |
| Histoplasma antigen urine (87385) | $368.64 | $512 | 27.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $254.16 | $353 | 10.6× |
| Hiv-1 Antibody (86701) | $45.36 | $63 | 5.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $181.44 | $252 | 2.1× |
| Hla Class I Typing Low Resolution Complete (81372) | $684 | $950 | 1.7× |
| Hla class ii typing high resolution one locus ea (81382) | $360 | $500 | 2.9× |
| Hla ii type 1 ag equiv lr (81377) | $815.04 | $1,132 | 8.6× |
| Hla ii typing 1 allele hr (81383) | $815.04 | $1,132 | 7.5× |
| Hla ii typing 1 locus lr (81376) | $262.08 | $364 | 2.1× |
| Hla-b27 (86812) | $352.80 | $490 | 13.7× |
| Homocysteine (83090) | $194.40 | $270 | 10.8× |
| Homogenization Tissue (87176) | $68.40 | $95 | 11.6× |
| Hpv High-Risk Types (87624) | $256.32 | $356 | 7.3× |
| Hpv Types 16 & 18 Only (87625) | $132.48 | $184 | 3.3× |
| Hsv Dna Amp Probe (87529) | $635.76 | $883 | 18.1× |
| Hsv Dna Quant (87530) | $277.92 | $386 | 6.5× |
| Human Epididymis Protein 4 (86305) | $976.32 | $1,356 | 46.9× |
| Hydroxyprogesterone 17-d (83498) | $247.68 | $344 | 9.1× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $153.36 | $213 | 11.0× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $270.72 | $376 | 7.7× |
| Iadna Candida Species Amplified Probe Tq (87481) | $100.08 | $139 | 2.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$124.56–$207.36 | $173–$288 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $664.56 | $923 | 18.9× |
| Iadna Cytomegalovirus Quantification (87497) | $339.12 | $471 | 7.9× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $270.72 | $376 | 7.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $1,247.76 | $1,733 | 29.1× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $94.32 | $131 | 2.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$234–$479.52 | $325–$666 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $226.80 | $315 | 6.5× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $99.36 | $138 | 1.9× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $464.40 | $645 | 3.3× |
| Ig Light Chains Free Each (83521) | $152.64 | $212 | 8.8× |
| Igg subclasses (82787) | $60.48 | $84 | 7.5× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,057.68 | $1,469 | 3.6× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $555.12 | $771 | 1.4× |
| Immune Complex Assay (86332) | $47.52 | $66 | 1.9× |
| Immunfix e-phorsis/urine/csf (86335) | $266.40 | $370 | 9.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$226.80–$1,684.80 | $315–$2,340 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$166.32–$246.96 | $231–$343 | varies |
| Immunoassay nonantibody (83516) | $124.56 | $173 | 10.8× |
| Immunodiffusion Ouchterlony (86331) | $36.72 | $51 | 3.1× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$195.84–$266.40 | $272–$370 | varies |
| Immunohistochemistry (88342) | $454.32 | $631 | 2.5× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $214.56 | $298 | 14.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) | $75.60 | $105 | 1.8× |
| Influenza a/b ag eia (87400) | $131.76 | $183 | 9.3× |
| Influenza assay w/optic (87804) | $132.48 | $184 | 8.0× |
| Inhibin A (86336) | $141.12 | $196 | 9.1× |
| Inhibin b (83520) range across 2 matching MRF lines |
$174.24–$194.40 | $242–$270 | varies |
| Insulin antibodies (86337) | $138.96 | $193 | 6.5× |
| Insulin total (83525) | $126 | $175 | 11.0× |
| Interleukin-6 (83529) | $162.72 | $226 | 9.4× |
| Intrinsic factor antibody (86340) | $87.84 | $122 | 5.8× |
| Iron (83540) | $108.72 | $151 | 16.8× |
| Iron Binding Capacity (83550) | $122.40 | $170 | 14.0× |
| Islet cell antibody (86341) | $56.16 | $78 | 2.4× |
| Jak2 gene analysis p.val617phe variant (81270) | $247.68 | $344 | 2.7× |
| Jak2 Gene Trgt Sequence Alys (81279) | $501.84 | $697 | 2.7× |
| Koh Prep (87220) | $62.64 | $87 | 14.7× |
| Lactate (ld) (ldh) enzyme (83615) | $89.28 | $124 | 14.8× |
| Lactoferrin fecal qualitative (83630) | $54.72 | $76 | 2.8× |
| Lactoferrin Fecal Quantitative (83631) | $133.20 | $185 | 6.8× |
| LDL direct (83721) range across 2 matching MRF lines |
$33.12–$65.52 | $46–$91 | varies |
| Lead (83655) | $105.84 | $147 | 8.7× |
| Legionella antibody (86713) | $77.76 | $108 | 5.1× |
| Legionella antigen urine (87449) | $33.12 | $46 | 2.8× |
| Leukocyte Histamine Release (86343) | $249.84 | $347 | 20.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $59.04 | $82 | 1.9× |
| Level ii surg pathology grossµscopic exam (88302) | $75.60 | $105 | 1.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $599.04 | $832 | 1.6× |
| Lidocaine (80176) | $79.20 | $110 | 5.4× |
| Lipase (83690) | $139.68 | $194 | 20.3× |
| Lipoprotein A (83695) | $144 | $200 | 10.1× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $110.16 | $153 | 2.4× |
| Lithium (80178) | $56.88 | $79 | 8.6× |
| Luteinizing Hormone (Lh) (83002) | $82.80 | $115 | 4.5× |
| Lyme disease antibody (86618) | $203.76 | $283 | 12.0× |
| Lysozyme serum (85549) | $51.84 | $72 | 2.8× |
| M. Genitalium Amp Probe (87563) | $118.08 | $164 | 3.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $717.12 | $996 | 3.9× |
| Magnesium Urine (83735) | $114.48 | $159 | 17.1× |
| Mass Spectrometry Quant (83789) | $193.68 | $269 | 8.0× |
| Mercury urine (83825) | $73.44 | $102 | 4.5× |
| Metabolic panel ionized ca (80047) | $84.24 | $117 | 6.1× |
| Methylmalonic acid serum (83921) | $339.84 | $472 | 16.0× |
| Microalbumin, quantitative (82043) | $90 | $125 | 15.6× |
| Microsomal Antibodies Each (86376) | $156.96 | $218 | 10.8× |
| Mitochondrial Antibody Each (86381) | $166.32 | $231 | 6.5× |
| Mog-Igg1 Antb Cba Each (86362) | $1,035.36 | $1,438 | 85.9× |
| Molecular Cytogenetics Dna Probe Each (88271) | $72.72 | $101 | 3.4× |
| Mopath procedure level 1 (81400) | $446.40 | $620 | 7.0× |
| Mopath procedure level 2 (81401) | $783.36 | $1,088 | 5.7× |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$662.40–$1,016.64 | $920–$1,412 | varies |
| Mpl gene analysis sequence analysis exon 10 (81339) | $501.84 | $697 | 2.7× |
| Mrsa Pcr (87641) | $217.44 | $302 | 6.2× |
| Mthfr Gene Analysis Common Variants (81291) | $694.08 | $964 | 10.6× |
| Mumps antibody (86735) | $114.48 | $159 | 8.8× |
| Mycobacteric Identification (87118) | $90.72 | $126 | 6.2× |
| Mycoplasma antibody (86738) | $612.72 | $851 | 46.3× |
| Mycoplasma culture (87109) | $147.60 | $205 | 9.6× |
| Myelin basic protein csf (83873) | $59.76 | $83 | 3.5× |
| Myoglobin urine (83874) | $102.96 | $143 | 8.0× |
| Natriuretic peptide (83880) | $303.12 | $421 | 7.7× |
| Neutralization Test Viral (86382) | $194.40 | $270 | 11.5× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $245.52 | $341 | 1.7× |
| Nfct ds bv&vaginitis DNA alg (81515) | $378.72 | $526 | 1.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $456.48 | $634 | 6.3× |
| Niacin (84591) | $78.48 | $109 | 4.6× |
| Nk cells total count (86357) | $181.44 | $252 | 4.8× |
| Nuclear antigen antibody (86235) | $170.64 | $237 | 9.5× |
| Occult blood feces (82272) | $47.52 | $66 | 11.2× |
| Occult Blood Other Sources (82271) | $59.04 | $82 | 11.1× |
| Oligoclonal bands (83916) | $90 | $125 | 3.3× |
| Osmolality serum (83930) | $83.52 | $116 | 12.6× |
| Osmolality Urine (83935) | $70.56 | $98 | 10.3× |
| Osteocalcin (83937) | $82.80 | $115 | 2.8× |
| Ova and parasites smears (87177) | $205.20 | $285 | 23.1× |
| Oxalate urine (83945) | $136.08 | $189 | 9.4× |
| Pancreatic Elastase Fecal (82656) | $291.60 | $405 | 25.3× |
| Parvovirus antibody (86747) | $125.28 | $174 | 8.3× |
| Ph urine (81003) range across 2 matching MRF lines |
$70.56–$72.72 | $98–$101 | varies |
| Phenobarbital Level (80184) | $118.80 | $165 | 7.8× |
| Phenylalanine (84030) | $136.08 | $189 | 24.7× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$133.92–$171.36 | $186–$238 | varies |
| Phenytoin free (80186) | $43.92 | $61 | 3.2× |
| Phosphatase acid prostatic (84066) | $53.28 | $74 | 5.5× |
| Phosphatase alkaline (84075) | $68.40 | $95 | 13.2× |
| Phosphorus Serum (84100) | $95.04 | $132 | 20.1× |
| Phosphorus urine (84105) | $138.96 | $193 | 24.0× |
| Pinworm exam (87172) | $47.52 | $66 | 11.1× |
| Platelet Antibodies (86022) | $156.24 | $217 | 8.5× |
| Platelet count automated (85049) | $44.64 | $62 | 10.0× |
| Platelet neutralization (85597) | $30.24 | $42 | 1.7× |
| Porphobilinogen, urine; quantitative (84110) | $65.52 | $91 | 7.8× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $65.52 | $91 | 4.5× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$84.24–$90 | $117–$125 | varies |
| Prealbumin (84134) | $128.16 | $178 | 8.8× |
| Pregnancy-Associated Plasma Protein-A (84163) | $148.32 | $206 | 9.9× |
| Pregnenolone (84140) | $246.96 | $343 | 11.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $152.64 | $212 | 2.4× |
| Primidone (80188) | $47.52 | $66 | 2.9× |
| Procalcitonin (Pct) (84145) | $334.80 | $465 | 12.3× |
| Progesterone (84144) | $166.32 | $231 | 8.0× |
| Prolactin (84146) | $216.72 | $301 | 11.2× |
| Protein body fluid (84157) | $55.44 | $77 | 13.9× |
| Protein C Activity (85303) | $159.84 | $222 | 11.5× |
| Protein c antigen (85302) | $246.96 | $343 | 20.6× |
| Protein Electrophoresis Urine (84166) | $184.32 | $256 | 10.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $184.32 | $256 | 17.2× |
| Protein S Free (85306) | $149.76 | $208 | 9.8× |
| Protein s total (85305) | $312.48 | $434 | 26.9× |
| Protein total serum (84155) | $41.04 | $57 | 11.2× |
| Protein Total Urine (84156) | $92.16 | $128 | 25.1× |
| Protein Western Blot Test (84182) | $95.04 | $132 | 3.3× |
| Protoporphyrin rbc quantitative (84202) | $61.92 | $86 | 4.3× |
| PSA free (84154) | $114.48 | $159 | 6.2× |
| Pth Intact (83970) | $95.76 | $133 | 2.3× |
| Quantiferon tb gold plus (86480) | $271.44 | $377 | 4.4× |
| Quantitative assay drug (80299) | $116.64 | $162 | 6.3× |
| Quantitative Screen Metals (83018) | $120.96 | $168 | 5.5× |
| Rbc antibody elution (86860) | $216 | $300 | 1.2× |
| Rbc antibody identification (86870) | $453.60 | $630 | 1.2× |
| Rbc antibody screen (86850) | $85.68 | $119 | 8.8× |
| Rbc pretreatment serum (86978) | $153.36 | $213 | 2.4× |
| Rbc pretx incubatj w/enzymes (86971) | $216 | $300 | 1.2× |
| Reagent Strip/Blood Glucose (82948) | $38.16 | $53 | 7.6× |
| Renin activity plasma (84244) | $210.24 | $292 | 9.6× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$460.80–$1,321.20 | $640–$1,835 | varies |
| Resp Virus 6-11 Targets (87632) | $950.40 | $1,320 | 4.4× |
| Reticulocyte Count (85046) | $122.40 | $170 | 22.0× |
| Reticulocyte separation (86972) | $216 | $300 | 1.2× |
| Rh (86901) | $56.88 | $79 | 19.0× |
| Rheumatoid factor quant (86431) | $100.08 | $139 | 17.7× |
| Rickettsia antibody (86757) | $54 | $75 | 2.8× |
| Ristocetin cofactor (85245) | $60.48 | $84 | 2.6× |
| Rpr qualitative (86592) | $109.44 | $152 | 25.6× |
| Rubella Antibody (86762) | $103.68 | $144 | 7.2× |
| Rubeola antibody (86765) | $139.68 | $194 | 10.8× |
| Russell Viper Venom Time Diluted (85613) | $53.28 | $74 | 5.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$64.80–$342 | $90–$475 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $235.44 | $327 | 5.6× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $113.76 | $158 | 2.7× |
| Sarscov2 & inf a&b amp prb (87636) | $346.32 | $481 | 2.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $396 | $550 | 2.8× |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$65.52–$72.72 | $91–$101 | varies |
| Selenium (84255) | $202.32 | $281 | 7.9× |
| Sensitivity mic (87186) | $175.68 | $244 | 20.3× |
| Sex Hormone Binding Globulin (84270) | $72.72 | $101 | 3.3× |
| Sickling of rbc reduction (85660) | $53.28 | $74 | 9.7× |
| Sirolimus (80195) | $67.68 | $94 | 4.9× |
| Smear acid fast (87206) | $71.28 | $99 | 13.2× |
| Smear complex stain (87209) | $131.04 | $182 | 7.3× |
| Smear gram stain (87205) | $114.48 | $159 | 26.8× |
| Smear Special Stain (87207) | $104.40 | $145 | 17.4× |
| Sodium Serum (84295) | $66.96 | $93 | 13.9× |
| Sodium Urine (84300) | $108 | $150 | 21.3× |
| Soluble Transferrin Receptor (84238) | $210.24 | $292 | 5.7× |
| Somatomedin (84305) | $223.20 | $310 | 10.5× |
| Special Stains Group 1 (88312) | $176.40 | $245 | 3.2× |
| Special Stains Group 2 (88313) | $164.88 | $229 | 1.2× |
| Specimen infect agnt concntj (87015) | $71.28 | $99 | 10.7× |
| Spectrophotometry (84311) | $70.56 | $98 | 8.7× |
| Staph a DNA amp probe (87640) | $177.84 | $247 | 5.1× |
| Strep a assay w/optic (87880) | $105.12 | $146 | 6.4× |
| Strep a DNA amp probe (87651) range across 3 matching MRF lines |
$151.92–$186.48 | $211–$259 | varies |
| Sugars Single Qual (84376) | $7.20 | $10 | 1.3× |
| Sulfate urine (84392) | $390.24 | $542 | 71.1× |
| Surg path level iii (88304) | $226.80 | $315 | 4.1× |
| Surgical pathology level IV (88305) | $281.52 | $391 | 5.0× |
| Surgical pathology level vi (88309) | $1,029.60 | $1,430 | 1.2× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $44.64 | $62 | 9.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $87.12 | $121 | 11.6× |
| Syphilis Test Non-Trep Quant (86593) | $48.96 | $68 | 11.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $145.44 | $202 | 3.1× |
| T cells total count (86359) | $117.36 | $163 | 3.1× |
| T3 Free (84481) | $279.36 | $388 | 16.5× |
| T3 reverse (84482) | $347.04 | $482 | 22.0× |
| T3 Total (84480) | $156.24 | $217 | 11.0× |
| T3 Uptake (84479) | $59.04 | $82 | 9.1× |
| T4 Free (84439) | $167.04 | $232 | 18.5× |
| T4 total (84436) range across 2 matching MRF lines |
$100.08–$108.72 | $139–$151 | varies |
| Tacrolimus (80197) | $344.16 | $478 | 25.1× |
| Tau phosphorylated each (84393) | $324 | $450 | 2.5× |
| Test for acetone/ketones (82009) | $74.88 | $104 | 16.6× |
| Testosterone total (84403) | $172.08 | $239 | 6.7× |
| Testosterone, Free (84402) | $163.44 | $227 | 6.4× |
| Tetanus antibody (86774) | $119.52 | $166 | 8.1× |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $2,255.04 | $3,132 | 3.8× |
| Theophylline (80198) | $115.92 | $161 | 8.2× |
| Thiocyanate (84430) | $20.16 | $28 | 1.7× |
| Thrombin Time (85670) | $41.04 | $57 | 7.1× |
| Thyroglobulin (84432) | $59.04 | $82 | 3.7× |
| Thyroglobulin Antibody (86800) | $25.92 | $36 | 1.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $324.72 | $451 | 6.4× |
| Thyroxine binding globulin (84442) | $115.20 | $160 | 7.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $109.44 | $152 | 9.5× |
| Tissue culture bone marrow (88237) | $406.80 | $565 | 2.8× |
| Tissue Culture Lymphocyte (88230) | $1,223.28 | $1,699 | 10.5× |
| Tobramycin peak (80200) | $115.20 | $160 | 7.1× |
| Topiramate (80201) | $133.20 | $185 | 11.2× |
| Total Tau (84394) | $511.20 | $710 | 4.0× |
| Toxoplasma ab igm (86778) | $103.68 | $144 | 7.2× |
| Toxoplasma antibody (86777) | $103.68 | $144 | 7.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $94.32 | $131 | 18.2× |
| Transferrin (84466) | $126.72 | $176 | 9.9× |
| Trichomonas vagin dir probe (87660) range across 2 matching MRF lines |
$54.72–$97.20 | $76–$135 | varies |
| Trichomonas Vaginalis Amplif (87661) | $227.52 | $316 | 6.5× |
| Triglycerides (84478) | $101.52 | $141 | 17.7× |
| Troponin Quant (84484) | $203.76 | $283 | 16.3× |
| Tumor immunohistochem/comput (88361) | $453.60 | $630 | 1.2× |
| Tumor Immunohistochem/Manual (88360) | $293.04 | $407 | 1.6× |
| Unlisted Transfusion Medicine Procedure (86999) | $47.52 | $66 | 1.5× |
| Urea nitrogen urine (84540) | $92.88 | $129 | 16.7× |
| Uric acid other source (84560) | $56.88 | $79 | 11.2× |
| Urinalysis Microscopic Only (81015) | $21.60 | $30 | 7.1× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $25.20 | $35 | 11.6× |
| Urinalysis Volume Measure (81050) | $33.12 | $46 | 9.1× |
| Urine Bacteria Culture (87088) | $100.80 | $140 | 12.5× |
| Urine Pregnancy Test (81025) | $132.48 | $184 | 15.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$63.36–$94.32 | $88–$131 | varies |
| Valproic acid (80164) | $154.08 | $214 | 11.4× |
| Vancomycin (80202) | $169.20 | $235 | 12.5× |
| Varicella-zoster antibody (86787) | $266.40 | $370 | 20.7× |
| Very Long Chain Fatty Acids (82726) | $209.52 | $291 | 10.6× |
| Virus antibody nos (86790) | $167.04 | $232 | 13.0× |
| Virus inoculation, shell via (87254) | $117.36 | $163 | 6.0× |
| Viscosity serum (85810) | $95.76 | $133 | 8.2× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$10.80–$221.04 | $15–$307 | varies |
| Vitamin A (84590) | $60.48 | $84 | 5.2× |
| Vitamin b-12 (82607) | $201.60 | $280 | 13.4× |
| Vitamin B2 (Riboflavin) (84252) | $78.48 | $109 | 3.9× |
| Vitamin B6 (84207) | $184.32 | $256 | 6.6× |
| Vitamin c (82180) | $53.28 | $74 | 5.4× |
| Vitamin D 25-Hydroxy (82306) | $261.36 | $363 | 8.8× |
| Vitamin E (84446) | $86.40 | $120 | 6.1× |
| Vitamin K (84597) | $97.20 | $135 | 7.1× |
| Volatiles (84600) | $53.28 | $74 | 3.1× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $48.96 | $68 | 4.1× |
| Von willebrand factor ag (85246) | $290.88 | $404 | 12.7× |
| West Nile Virus Antibody (86789) | $93.60 | $130 | 6.5× |
| Western Blot Test (84181) | $151.20 | $210 | 8.9× |
| Zinc (84630) | $118.08 | $164 | 10.4× |
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.