Lab & pathology prices at HSHS St. Clare Memorial Hospital

Oconto Falls, WI · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $106.26 $161 4.7×
5 Nucleotidase (83915) $117.48 $178 10.5×
Abl1 gene analysis kinase domain variants (81170) $415.14 $629 1.4×
Acetylcholine receptor binding antibody (86041) $89.10 $135 4.8×
Acetylcholine receptor blocking antibody (86042) $89.10 $135 4.8×
Acetylcholn Rcptr Modlg Antb (86043) $89.10 $135 7.4×
Acth (82024) $233.64 $354 6.0×
Actin smooth muscle antibody each (86015) $67.32 $102 5.6×
Acute hepatitis panel (80074) $316.80 $480 6.7×
Acylcarnitines Quant (82017)
range across 2 matching MRF lines
$347.82–$387.42 $527–$587 varies
Agglutinins Febrile Each Antigen (86000) $38.28 $58 5.5×
Albumin Fluid (82042) $54.12 $82 7.0×
Albumin serum (82040) $31.02 $47 6.3×
Aldolase (82085) $54.12 $82 5.6×
Aldosterone urine (82088) $252.12 $382 6.2×
Alkaline phosphatase isoenzymes (84080) $89.76 $136 6.1×
Allergen specific ige (86003) $9.24 $14 1.8×
Allergen specific igg (86001) $18.48 $28 2.4×
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
$33–$33.66 $50–$51 varies
Alpha-1-antitrypsin phenotype (82104) $118.80 $180 8.2×
Alpha-1-antitrypsin total (82103) $81.18 $123 6.0×
Alpha-Fetoprotein Serum (82105) $99 $150 5.9×
Alt (sgpt) (84460)
range across 2 matching MRF lines
$32.34–$60.06 $49–$91 varies
Aluminum (82108) $126.06 $191 4.9×
Amikacin trough (80150) $95.70 $145 6.3×
Amino Acids 1 Quantitative Each Specimen (82131) $136.62 $207 5.9×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $900.90 $1,365 53.4×
Aminolevulinic acid (ala) (82135) $137.28 $208 8.3×
Ammonia (82140) $89.76 $136 6.2×
Amylase urine (82150)
range across 2 matching MRF lines
$54.12–$70.62 $82–$107 varies
Ana Titer (86039) $79.86 $121 7.2×
Androstenedione (82157) $180.18 $273 6.2×
Angiotensin converting enzyme csf (82164)
range across 2 matching MRF lines
$89.76–$157.08 $136–$238 varies
Antibody aspergillus (86606) $51.48 $78 3.4×
Antibody Bacterium Not Elsewhere Specified (86609) $31.02 $47 2.4×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $108.90 $165 7.0×
Antibody Cytomegalovirus Cmv Igm (86645) $89.10 $135 5.3×
Antibody Encephalitis California La Crosse (86651) $49.50 $75 3.8×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $89.10 $135 6.8×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $99 $150 6.5×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $118.14 $179 6.5×
Antibody Fungus Not Elsewhere Specified (86671)
range across 2 matching MRF lines
$46.20–$130.02 $70–$197 varies
Antibody haemophilus influenza (86684) $138.60 $210 8.8×
Antibody helicobacter pylori (86677) $79.86 $121 4.7×
Antibody Herpes Smplx Non-Specific Type Test (86694) $97.68 $148 6.8×
Antibody Herpes Smplx Type 1 (86695)
range across 2 matching MRF lines
$85.80–$122.76 $130–$186 varies
Antibody HIV-1&HIV-2 single result (86703) $89.10 $135 6.5×
Antibody HIV-2 (86702) $79.86 $121 5.9×
Antibody Hla Class I High Definition Panel Qual (86832) $802.56 $1,216 2.5×
Antibody htlv/HIV antibody confirmatory test (86689)
range across 2 matching MRF lines
$113.52–$312.18 $172–$473 varies
Antibody identification leukocyte antibodies (86021)
range across 3 matching MRF lines
$68.64–$108.90 $104–$165 varies
Antibody Identification Platelet Immunogl Assay (86023) $89.10 $135 7.2×
Antibody john cunningham virus (86711) $1,585.32 $2,402 93.9×
Antibody nocardia (86744) $36.30 $55 2.3×
Antibody Protozoa Nes (86753)
range across 2 matching MRF lines
$42.90–$84.48 $65–$128 varies
Antibody Titer (86886) $172.26 $261 33.3×
Antibody Treponema Pallidum (86780) $38.28 $58 2.9×
Antibody; encephalitis, st. louis (86653) $60.72 $92 4.6×
Antigen typing (86905) $361.02 $547 94.3×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $172.26 $261 30.1×
Antinomyces antibody (86602) $91.08 $138 8.9×
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$68.64–$116.82 $104–$177 varies
Antistreptolysin O Screen (86063) $93.06 $141 16.1×
Antistreptolysin o titer (86060) $108.90 $165 14.9×
Antithrombin iii activity (85300) $129.36 $196 10.9×
Antithrombin iii antigen (85301) $89.10 $135 8.2×
Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) $2,284.26 $3,461 4.5×
Apc gene dup/delet variants (81203) $905.52 $1,372 4.5×
Apc gene full sequence (81201) $905.52 $1,372 1.2×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$81.18–$96.36 $123–$146 varies
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $320.10 $485 8.5×
Aquaporin-4 Antb Cba Each (86052) $296.34 $449 24.6×
Arsenic (82175) $72.60 $110 3.8×
Aspergillus ag eia (87305) $118.14 $179 9.9×
Assay activated protein c (85307) $118.14 $179 7.7×
Assay Blood Carbon Dioxide (82374)
range across 2 matching MRF lines
$34.98–$81.18 $53–$123 varies
Assay myeloperoxidase (83876) $100.98 $153 2.0×
Assay Nephelometry Not Spec (83883) $112.20 $170 8.3×
Assay of 5-hiaa (83497) $81.18 $123 6.3×
Assay of anti-mullerian hormone (82166) $81.18 $123 2.1×
Assay of blood/uric acid (84550)
range across 2 matching MRF lines
$31.02–$67.32 $47–$102 varies
Assay of calcium in urine (82340) $36.96 $56 6.1×
Assay of cpk in blood (82552) $73.92 $112 5.5×
Assay of estrone (82679) $80.52 $122 3.2×
Assay of g6pd enzyme (82955)
range across 2 matching MRF lines
$62.70–$346.50 $95–$525 varies
Assay of gammaglobulin igm (82784)
range across 3 matching MRF lines
$31.68–$80.52 $48–$122 varies
Assay of lactic acid (83605) $72.60 $110 6.3×
Assay of manganese (83785) $126.06 $191 4.7×
Assay of metanephrines (83835) $107.58 $163 6.4×
Assay of phosphatase acid total (84060) $83.82 $127 11.0×
Assay of proinsulin (84206) $233.64 $354 8.8×
Assay of pyruvate (84210) $89.76 $136 6.2×
Assay of serotonin (84260) $152.46 $231 4.9×
Assay of serum potassium (84132)
range across 2 matching MRF lines
$29.04–$59.40 $44–$90 varies
Assay of sweat sodium (84302) $29.70 $45 6.1×
Assay of Tyrosine (84510) $114.18 $173 10.7×
Assay of urea nitrogen (84520) $25.74 $39 6.5×
Assay of urine vma (84585) $89.76 $136 5.8×
Assay of vasoactive intestinal peptide (84586) $152.46 $231 4.3×
Assay of vitamin b-1 (84425) $107.58 $163 5.1×
Assay Ph Body Fluid Nos (83986) $25.08 $38 7.0×
Assay Phosphohexose Enzymes (84087) $346.50 $525 32.3×
Asxl1 gene analysis full gene sequence (81175) $1,473.12 $2,232 2.2×
Autol Bld/Component Collj Storage Predeposited (86890) $292.38 $443 1.8×
Automated Leukocyte Count (85048) $17.16 $26 6.8×
B cells total count (86355) $256.74 $389 6.8×
Babesia microti amp prb (87469) $99.66 $151 2.8×
Bartonella antibody (86611) $50.82 $77 5.0×
Bcr/abl1 gene major bp (81206)
range across 2 matching MRF lines
$477.18–$753.06 $723–$1,141 varies
Bcr/abl1 gene minor bp (81207)
range across 2 matching MRF lines
$297–$910.80 $450–$1,380 varies
Bcr/Abl1 Gene Other Bp (81208) $273.90 $415 1.3×
Beta 2 glycoprotein i antibody each (86146) $74.58 $113 2.9×
Beta hydroxybutyrate (82010) $44.22 $67 5.4×
Beta Lactamase (87185) $49.50 $75 10.4×
Beta-2 Microglobulin (82232) $99 $150 6.1×
Bile acids total (82239) $34.32 $52 2.0×
Bilirubin direct (82248)
range across 2 matching MRF lines
$35.64–$54.12 $54–$82 varies
Bilirubin total (82247) $35.64 $54 7.1×
Biotinidase (82261) $102.30 $155 6.1×
Blastomyces antibody (86612) $68.64 $104 5.3×
Bld Typing Serologic Rh Phnt (86906) $66 $100 8.5×
Blood Count Red Blood Cell Automated (85041) $14.52 $22 4.8×
Blood count reticulocyte automated (85045) $30.36 $46 7.6×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $31.02 $47 8.2×
Blood gas (82803) $117.48 $178 4.5×
Blood gases w/02 saturation (82805) $174.90 $265 2.2×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $99 $150 6.2×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 2 matching MRF lines
$21.12–$52.14 $32–$79 varies
Blood Type Antigen Donor Reagent Serum Each (86902) $361.02 $547 56.9×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $68.64 $104 4.2×
Blood typing serologic abo (86900) $129.36 $196 43.3×
Bone marrow smear interpretation (85097) $943.80 $1,430 1.2×
Borrelia miyamotoi amp prb (87478) $99.66 $151 2.8×
Braf gene analysis (81210) $475.20 $720 2.7×
Brca1&2 gen full seq dup/del (81162) $2,108.04 $3,194 1.2×
Brucella antibody (86622) $59.40 $90 6.7×
C diff amplified probe (87493) $237.60 $360 6.4×
C-Peptide (84681) $81.18 $123 3.9×
C-reactive protein (86140)
range across 2 matching MRF lines
$39.60–$125.40 $60–$190 varies
Ca 19-9 (86301) $139.92 $212 6.7×
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) $977.46 $1,481 1.2×
Cadmium (82300) $72.60 $110 3.1×
Caffeine (80155) $125.40 $190 3.3×
Calcitonin (82308) $126.06 $191 4.7×
Calcium ionized (82330) $81.18 $123 5.9×
Calcium total (82310) $31.02 $47 6.0×
Calculus assay quant (82360) $85.14 $129 6.6×
Calculus Spectroscopy (82365)
range across 2 matching MRF lines
$95.04–$111.54 $144–$169 varies
Calprotectin Fecal (83993) $126.06 $191 6.4×
Calr gene com variants (81219)
range across 2 matching MRF lines
$415.14–$520.08 $629–$788 varies
Cancer Antigen 125 (86304)
range across 2 matching MRF lines
$138.60–$151.80 $210–$230 varies
Cancer Antigen 27.29 (86300) $138.60 $210 6.7×
Candida antibody (86628) $36.30 $55 3.0×
Candida Dna Dir Probe (87480) $138.60 $210 6.9×
Car Ion Chnnlpath Inc 10 Gns (81413) $772.20 $1,170 1.3×
Car Ion Chnnlpath Inc 2 Gns (81414) $772.20 $1,170 1.3×
Carbamazepine free (80157) $99.66 $151 7.5×
Carbamazepine total (80156)
range across 2 matching MRF lines
$87.12–$152.46 $132–$231 varies
Carbohydrate Deficient Transferrin (82373)
range across 2 matching MRF lines
$147.18–$415.80 $223–$630 varies
Carboxyhemoglobin (82375) $134.64 $204 10.9×
Carcinoembryonic antigen (82378) $135.30 $205 7.1×
Cardiolipin ab iga (86147) $68.64 $104 2.7×
Carnitine Quantitative Each Specimen (82379) $342.54 $519 20.3×
Carotene (82380) $46.20 $70 5.0×
Catecholamines fractionated (82384) $152.46 $231 6.0×
Ccnd1/Igh Translocation Alys (81168) $478.50 $725 2.3×
Ccp antibody (86200) $89.10 $135 6.9×
Cebpa Gene Analysis Full Gene Sequence (81218) $415.14 $629 1.7×
Cell count csf (89051)
range across 4 matching MRF lines
$56.10–$79.86 $85–$121 varies
Cell marker study (88182) $133.98 $203 2.6×
Ceruloplasmin (82390) $62.70 $95 5.8×
Cftr gene com variants (81220) $1,009.14 $1,529 1.8×
Chemiluminescent assay (82397) $89.76 $136 6.4×
Chimerism w/comp to baseline w/o cell selection (81267) $450.12 $682 2.2×
Chlamydia antibody (86631) $42.90 $65 3.6×
Chlamydia Igm Antibody (86632) $48.84 $74 3.9×
Chloride other source (82438) $61.38 $93 12.3×
Chloride Serum (82435) $54.12 $82 11.8×
Chloride urine (82436) $38.94 $59 6.8×
Cholesterol total (82465) $51.48 $78 11.8×
Chorionic gonadotropin test (84702) $91.08 $138 6.1×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $46.86 $71 1.7×
Chrmsm Analysis Addl High Resolution Study (88289) $240.24 $364 7.0×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $217.14 $329 6.5×
Chrmsm Breakage Synds Score 100 Cll (88249) $339.24 $514 2.0×
Chromium serum (82495) $99 $150 4.9×
Chromogenic Substrate Assay (85130)
range across 2 matching MRF lines
$108.90–$444.84 $165–$674 varies
Chromogranin a (86316) $147.84 $224 7.1×
Chromosome analys amniotic (88269) $737.22 $1,117 4.2×
Chromosome Analysis 15-20 (88262) $390.72 $592 3.1×
Chromosome Analysis 20-25 (88264) $737.22 $1,117 5.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $217.14 $329 6.2×
Citric acid urine (82507) $162.36 $246 5.8×
Ckmb (82553) $54.12 $82 4.7×
Clostridium Difficile (87324)
range across 2 matching MRF lines
$84.48–$96.36 $128–$146 varies
Clot Factor VIII Multimetric (85247) $216.48 $328 9.4×
Clot factor xiii fibrin stab (85290) $106.26 $161 6.5×
Clot lysis time, whole blood dilution Facility (85175) $68.64 $104 3.4×
Clotting factor xii hageman (85280) $108.90 $165 5.6×
Clotting Funct Activity (85397) $254.76 $386 8.3×
Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) $368.94 $559 2.7×
Cns DNA amp probe type 12-25 (87483) $1,684.32 $2,552 4.0×
Coagulation time activated (85347) $59.40 $90 13.9×
Coccidioides antibody (86635)
range across 2 matching MRF lines
$49.50–$121.44 $75–$184 varies
Cold agglutinin screen (86156) $122.10 $185 15.1×
Cold agglutinin titer (86157) $9.24 $14 1.1×
Collagen crosslinks (82523)
range across 2 matching MRF lines
$81.18–$99 $123–$150 varies
Column Chromotography Quant (82542)
range across 2 matching MRF lines
$126.06–$252.12 $191–$382 varies
Compatibility test antiglob (86922) $172.26 $261 1.0×
Complement Antigen Each Component (86160) $79.86 $121 6.7×
Complement Fixation Tests Each Antigen (86171) $281.16 $426 28.1×
Complement Total (Ch50) (86162) $129.36 $196 6.4×
Complement/Function Activity (86161) $76.56 $116 6.4×
Consltj Compre Review Reprt Referred Matrl (88325) $993.96 $1,506 6.0×
Consltj&Reprt Material Requiring Prepj Slides (88323) $366.96 $556 7.2×
Consltj&Reprt Slides Prepared Elsewhere (88321) $456.72 $692 12.6×
Coombs direct (86880) $59.40 $90 11.0×
Copper urine (82525) $72.60 $110 5.9×
Cortisol free (82530) $99 $150 5.9×
Cortisol saliva (82533) $99 $150 6.1×
Creatine (82540) $33.66 $51 7.3×
Creatine kinase total (82550) $42.24 $64 6.5×
Creatinine blood (82565)
range across 3 matching MRF lines
$31.68–$62.04 $48–$94 varies
Creatinine clearance (82575) $72.60 $110 7.7×
Creatinine Urine (82570)
range across 2 matching MRF lines
$31.68–$62.70 $48–$95 varies
Crossmatch electronic (86923) $172.26 $261 1.0×
Crossmatch immediate spin (86920) $172.26 $261 1.0×
Crp High Sensitivity (86141) $147.84 $224 11.4×
Cryofibrinogen (82585) $42.24 $64 3.0×
Cryoglobulin (82595) $134.64 $204 20.8×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $39.60 $60 3.0×
Cryptococcal Antigen (87327) $96.36 $146 7.2×
Cryptococcus ag titer (87899) $68.64 $104 4.3×
Cryptosporidium (87272) $89.10 $135 7.4×
Cryptosporidium ag eia (87328)
range across 2 matching MRF lines
$42.90–$73.26 $65–$111 varies
CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Facility (81189) $317.46 $481 1.2×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$59.40–$108.90 $90–$165 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $59.40 $90 7.4×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $118.14 $179 15.3×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $483.78 $733 2.2×
Culture afb (87116)
range across 2 matching MRF lines
$69.96–$143.22 $106–$217 varies
Culture Anaerobic (87075) $89.10 $135 9.4×
Culture blood (87040)
range across 3 matching MRF lines
$99–$124.74 $150–$189 varies
Culture csf (87070)
range across 2 matching MRF lines
$91.74–$237.60 $139–$360 varies
Culture fungus (87102) $68.64 $104 8.2×
Culture fungus blood (87103)
range across 2 matching MRF lines
$147.84–$163.02 $224–$247 varies
Culture screen only (87081)
range across 2 matching MRF lines
$49.50–$55.44 $75–$84 varies
Culture stool (87045)
range across 2 matching MRF lines
$68.64–$106.26 $104–$161 varies
Culture typing if ea antiserum (87140) $49.50 $75 8.9×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $117.48 $178 22.7×
Culture urine (87086)
range across 2 matching MRF lines
$59.40–$91.08 $90–$138 varies
Cyanide (82600) $117.48 $178 6.1×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $13.20 $20 0.9×
Cyclosporine (80158) $69.96 $106 3.9×
Cyp2d6 gene com variants (81226)
range across 2 matching MRF lines
$535.26–$1,585.32 $811–$2,402 varies
Cystatin C (82610) $99 $150 5.3×
Cytogenetics 10-30 (88273) $398.64 $604 11.5×
Cytogenetics 100-300 (88275)
range across 8 matching MRF lines
$87.12–$260.04 $132–$394 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 2 matching MRF lines
$1,882.98–$2,378.64 $2,853–$3,604 varies
Cytomegalovirus igg (86644) $99 $150 6.9×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines
$127.38–$139.26 $193–$211 varies
Cytopath Cell Enhance Tech (88112) $168.30 $255 3.3×
Cytotoxic pra quick (86808) $76.56 $116 2.6×
Cytp Concentration Smears & Interpretation (88108) $217.80 $330 6.0×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $357.72 $542 7.1×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $198 $300 1.2×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $148.50 $225 4.1×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $382.80 $580 2.3×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $168.30 $255 6.0×
Deoxycortisol (82634) $40.92 $62 1.4×
Deoxyribonuclease antibody (86215) $68.64 $104 5.2×
Desoxycorticosterone (82633) $184.14 $279 5.9×
Detect Agent Nos Dna Amp (87798)
range across 5 matching MRF lines
$237.60–$495 $360–$750 varies
Detect Agent Nos Dna Quant (87799) $287.76 $436 6.7×
Detect agnt mult DNA ampli (87801) $475.86 $721 6.8×
Dhea (82626) $152.46 $231 6.0×
Dhea-S (82627) $134.64 $204 6.1×
Digoxin (80162)
range across 2 matching MRF lines
$114.18–$140.58 $173–$213 varies
Dihydrotestosterone (82642) $143.88 $218 4.9×
Diphtheria antitoxoid (86648) $79.86 $121 5.3×
Dipropylacetic Acid Free (80165) $58.08 $88 4.3×
Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) $368.94 $559 2.7×
Dna Antibody Native/Double Stranded (86225) $89.10 $135 6.5×
Dna Antibody Single Stranded (86226) $101.64 $154 8.4×
Dna/Rna Amplified Probe (87150)
range across 2 matching MRF lines
$59.40–$173.58 $90–$263 varies
Dna/Rna Sequencing (87153) $594.66 $901 5.2×
Dpyd gene common variants (81232) $822.36 $1,246 4.7×
Drug assay adalimumab (80145) $260.04 $394 6.7×
Drug Assay Amiodarone (80151) $21.78 $33 1.2×
Drug Assay Infliximab (80230) $264.66 $401 6.9×
Drug Assay Itraconazole (80189) $48.18 $73 1.8×
Drug Assay Lacosamide (80235) $89.10 $135 3.3×
Drug Assay Leflunomide (80193) $120.12 $182 3.1×
Drug Assay Posaconazole (80187)
range across 2 matching MRF lines
$34.98–$130.02 $53–$197 varies
Drug Assay Vedolizumab (80280) $308.88 $468 8.0×
Drug assay voriconazole (80285) $100.98 $153 3.7×
Drug Screen Quant Clozapine (80159) $69.96 $106 3.5×
Drug Screen Quant Zonisamide (80203) $69.96 $106 5.3×
Drug Screen Quantitative Gabapentin (80171) $77.22 $117 3.6×
Drug Screen Quantitative Lamotrigine (80175) $63.36 $96 4.8×
Drug Screen Quantitative Levetiracetam (80177) $77.22 $117 5.8×
Drug Screen Quantitative Oxcarbazepine (80183) $69.96 $106 5.3×
Drug Screen Quantitative Procainamide Metabolite (80192) $92.40 $140 5.5×
Drug Screen Quantitative Tiagabine (80199) $83.82 $127 3.1×
Drug Test Prsmv Chem Anlyzr (80307) $258.72 $392 4.2×
Drug Test Prsmv Instrmnt (80306)
range across 2 matching MRF lines
$139.92–$209.88 $212–$318 varies
Egfr Gene Analysis Common Variants (81235) $1,189.32 $1,802 3.7×
Ehrlichia antibody (86666) $36.30 $55 3.6×
Electrolyte panel (80051) $48.84 $74 7.0×
Electron Microscopy (88348)
range across 2 matching MRF lines
$1,451.34–$2,982.54 $2,199–$4,519 varies
Electrophoretic Test - Immunofixation Electrophoresis (82664) $180.18 $273 2.9×
Encephaltis East Eqne Anbdy (86652) $60.06 $91 4.6×
Encephaltis West Eqne Antbdy (86654) $60.06 $91 4.6×
Endomysial Antibody Each Immunoglobulin Class (86231) $29.70 $45 2.5×
Enterovirus Antibody (86658)
range across 2 matching MRF lines
$59.40–$129.36 $90–$196 varies
Enterovirus PCR (87498) $237.60 $360 6.8×
Enzyme histochemistry (88319) $943.80 $1,430 1.2×
Eosinophil Smear (89190) $33 $50 5.7×
Erythropoietin (82668) $89.76 $136 4.8×
Estradiol serum (82670) $170.94 $259 6.1×
Estriol (82677) $162.36 $246 6.7×
Estrogen total (82672) $134.64 $204 6.2×
Estrogens fractionated (82671) $132 $200 4.1×
Ethosuximide (80168) $95.70 $145 5.9×
Ethylene Glycol (82693) $321.42 $487 21.6×
Exam Synovial Fluid Crystals (89060) $49.50 $75 6.8×
Exome Re-Evaluation (81417) $1,395.90 $2,115 4.4×
Exome Sequence Analysis (81415) $5,520.90 $8,365 1.2×
Exome sequence analysis each comparator exome (81416) $13,860 $21,000 1.2×
F2 Gene (81240) $237.60 $360 3.6×
Factor ii activity (85210) $89.10 $135 6.9×
Factor Inhibitor Test (85335)
range across 2 matching MRF lines
$198–$441.54 $300–$669 varies
Factor ix activity (85250) $198 $300 10.4×
Factor v activity (85220) $147.84 $224 8.4×
Factor v leiden mutation (81241) $237.60 $360 3.2×
Factor vii assay (85230) $147.84 $224 8.3×
Factor viii assay (85240) $102.30 $155 5.7×
Factor X (85260) $159.72 $242 8.9×
Factor xi activity (85270) $147.84 $224 8.3×
Factor xiii screen (85291) $49.50 $75 5.4×
Fat stain feces urine/respir secretions (89125) $31.68 $48 5.4×
Fat/Lipids Feces Quantitative (82710) $225.06 $341 13.4×
Fatty acids free (82725) $126.06 $191 6.7×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $178.86 $271 23.2×
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $126.06 $191 12.4×
Fecal Fat Qualitative (82705) $28.38 $43 5.6×
Ferritin (82728)
range across 2 matching MRF lines
$81.18–$114.18 $123–$173 varies
Fetal Fibronectin (82731) $396 $600 6.1×
Fetal hemoglobin assay qual (83033) $44.22 $67 5.5×
Fetal Lung Maturity Fluorescence Polarization (83663) $434.94 $659 23.0×
Fetal screen rosette (85461) $59.40 $90 6.3×
Fibrin degradation products (85362) $47.52 $72 6.9×
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$68.64–$130.68 $104–$198 varies
Fibrinogen activity (85384) $68.64 $104 7.1×
Fibrinogen antigen (85385) $59.40 $90 4.1×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390)
range across 2 matching MRF lines
$95.04–$294.36 $144–$446 varies
Flecainide level (80181) $21.78 $33 1.2×
Flow cytometry first marker (88184) $416.46 $631 1.2×
Flt3 Gene (81245) $247.50 $375 1.5×
Flt3 gene analysis (81246) $207.90 $315 2.5×
Fluorescent antibody screen (86255)
range across 9 matching MRF lines
$36.30–$796.62 $55–$1,207 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $79.86 $121 6.6×
Fmr1 gene detection (81243) $237.60 $360 4.2×
Folic acid rbc (82747) $73.26 $111 4.2×
Folic Acid Serum (82746) $89.76 $136 6.1×
Follicle Stimulating Hormone (83001) $117.48 $178 6.3×
Fresh Frozen Plasma Thawing Each Unit (86927) $198 $300 1.2×
Frozen Section (88331) $262.68 $398 1.6×
Fungi Identification Mold (87107) $68.64 $104 6.7×
Fungi Identification Yeast (87106) $85.14 $129 8.3×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $224.40 $340 10.7×
Galectin-3 (82777) $147.84 $224 3.3×
Gammaglobulin ige (82785) $99 $150 6.0×
Gardner vag DNA dir probe (87510) $138.60 $210 6.9×
Gases Blood O2 Saturation Only Direct Meas (82810) $121.44 $184 12.4×
Gastrin (82941) $81.18 $123 4.6×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $1,954.92 $2,962 2.6×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $4,368.54 $6,619 1.5×
Genetic Tstg Severe Inh Cond (81443) $3,915.78 $5,933 1.6×
Genome Sequence Analysis (81425) $5,811.30 $8,805 1.2×
Genome sequence analysis each comparator genome (81426) $3,129.72 $4,742 1.2×
Gentamicin (80170) $138.60 $210 8.5×
Ggt (82977) $44.22 $67 6.1×
Giardia antigen (87329)
range across 2 matching MRF lines
$59.40–$73.26 $90–$111 varies
Giardia lamblia antibody (86674) $89.10 $135 6.1×
Glucagon (82943) $50.16 $76 3.5×
Glucose 2 hr pp (82950) $72.60 $110 15.3×
Glucose Blood Test (82962) $15.84 $24 4.8×
Glucose body fluid (82945) $43.56 $66 11.1×
Glucose Serum (82947) $24.42 $37 6.2×
Glucose tolerance test (gtt) (82951) $89.76 $136 7.0×
Glutathione (82978) $208.56 $316 13.5×
Glycated Protein (82985) $72.60 $110 4.3×
Gonadotropin Chorionic Qualitative (84703) $62.04 $94 8.3×
Growth hormone (83003) $81.18 $123 4.9×
Gtt-added samples (82952) $25.08 $38 6.4×
H Pylori (C-13) Breath (83013) $220.44 $334 3.3×
Haloperidol (80173) $33.66 $51 2.1×
Haptoglobin (83010) $81.18 $123 6.5×
Hba1/hba2 full gene sequence (81259) $698.94 $1,059 1.2×
Hba1/Hba2 Gene (81257) $554.40 $840 5.4×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $684.42 $1,037 3.4×
Hbb duplication/deletion variants (81363) $641.52 $972 3.2×
Hbb Full Gene Sequence (81364) $374.88 $568 1.2×
Hdl Cholesterol (83718) $54.12 $82 6.6×
Helicobacter Pylori Stool (87338)
range across 2 matching MRF lines
$104.28–$118.14 $158–$179 varies
Helminth Antibody (86682) $141.24 $214 10.9×
Hematocrit (85014)
range across 2 matching MRF lines
$15.84–$55.44 $24–$84 varies
Hemoglobin (85018)
range across 2 matching MRF lines
$17.16–$55.44 $26–$84 varies
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$62.70–$103.62 $95–$157 varies
Hemoglobin Chromotography (83021) $152.46 $231 8.4×
Hemoglobin electrophoresis (83020) $118.14 $179 9.2×
Hemoglobin Methemoglobin Quantitative (83050) $54.12 $82 6.6×
Hemoglobin plasma (83051) $20.46 $31 2.8×
Hemoglobin stability screen (83068) $97.02 $147 10.2×
Hemolysins&Agglutinins Auto Screen Each (86940) $73.92 $112 8.4×
Hemosiderin urine (83070) $44.88 $68 9.4×
Hep a ab igm (86709) $138.60 $210 12.3×
Heparin assay (85520) $167.64 $254 12.8×
Hepatitis a antibody total (86708) $68.64 $104 5.5×
Hepatitis b core ab igm (86705)
range across 2 matching MRF lines
$96.36–$147.84 $146–$224 varies
Hepatitis b core ab total (86704)
range across 2 matching MRF lines
$79.86–$87.12 $121–$132 varies
Hepatitis B Surface Antibody (86706) $68.64 $104 6.4×
Hepatitis B Surface Antigen (87340) $68.64 $104 6.6×
Hepatitis Be Antibody (86707) $68.64 $104 5.9×
Hepatitis Be Antigen (87350) $59.40 $90 5.2×
Hepatitis C Antibody (86803) $99 $150 6.9×
Hepatitis c antibody confirmatory test (86804) $144.54 $219 9.3×
Hepatitis C Genotype (87902) $1,387.32 $2,102 5.4×
Hepatitis C Revrs Trnscrpj (87522) $287.76 $436 6.7×
Hepatitis Delta Agent Antibody (86692) $116.82 $177 6.8×
Hereditary peripheral neuropathy gen seq pnl (81448) $2,079 $3,150 3.6×
Herpes simplex type 2 (86696)
range across 3 matching MRF lines
$115.50–$129.36 $175–$196 varies
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$68.64–$80.52 $104–$122 varies
Hfe Gene (81256) $426.36 $646 6.5×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $147.84 $224 19.1×
Histamine urine (83088) $170.94 $259 5.8×
Histoplasma antibody (86698) $68.64 $104 5.0×
Histoplasma antigen urine (87385) $129.36 $196 9.8×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $99 $150 4.1×
Hiv-1 Antibody (86701) $79.86 $121 9.0×
Hiv-1 Quant&Revrse Trnscrpj (87536) $287.76 $436 3.4×
Hla Class I Typing Low Resolution One Locus Each (81373) $277.20 $420 2.2×
Hla class ii typing high resolution one locus ea (81382) $284.46 $431 2.3×
Hla I Low Resolution One Antigen Equivalent Each (81374) $161.70 $245 2.2×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $436.92 $662 2.0×
Hla ii typing 1 allele hr (81383) $629.64 $954 5.8×
Hla ii typing 1 locus lr (81376) $281.82 $427 2.3×
Hla Typing a/B/C Multiple Antigens (86813) $522.06 $791 9.0×
Hla-b27 (86812) $207.90 $315 8.1×
Homocysteine (83090)
range across 2 matching MRF lines
$107.58–$118.14 $163–$179 varies
Homovanillic acid urine (83150) $89.76 $136 4.0×
Hpa-1 genotyping gene analysis common variant (81105) $281.82 $427 2.3×
Hpa-15 genotyping gene analysis common variant (81112) $281.82 $427 2.3×
Hpa-2 genotyping gene analysis common variant (81106) $281.82 $427 2.3×
Hpa-3 genotyping gene analysis common variant (81107) $281.82 $427 2.3×
Hpa-4 genotyping gene analysis common variant (81108) $281.82 $427 2.3×
Hpa-5 genotyping gene analysis common variant (81109) $281.82 $427 2.3×
Hpa-6 genotyping gene analysis common variant (81110) $281.82 $427 2.3×
Hpa-9 Genotyping (81111) $281.82 $427 2.3×
Hpv High-Risk Types (87624) $138.60 $210 3.9×
Hpv Types 16 & 18 Only (87625) $138.60 $210 3.4×
Hsv Dna Amp Probe (87529) $158.40 $240 4.5×
Hsv Dna Quant (87530) $178.86 $271 4.2×
Human Epididymis Protein 4 (86305) $254.76 $386 12.2×
Hydroxycorticosteroids 17 (83491) $100.32 $152 5.6×
Hydroxyprogesterone 17-d (83498) $170.94 $259 6.3×
Hydroxyproline total (83505) $144.54 $219 5.9×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $68.64 $104 6.6×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $99 $150 7.1×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $73.92 $112 2.1×
Iaad Ia Streptococcus Group A (87430) $79.86 $121 4.8×
Iaadi herpes smplx virus type 1 (87274) $75.24 $114 6.3×
Iaadi herpes smplx virus type 2 (87273) $75.24 $114 6.3×
Iaadi inffluenza a virus (87276) $96.36 $146 6.0×
Iaadi parainfluenza virus each type (87279) $75.24 $114 4.6×
Iaadi pneumocustis carinii (87281) $99 $150 8.3×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $75.24 $114 6.3×
Iaadi respiratory synctial virus (87280) $99 $150 7.4×
Iaadi Varicella Zoster Virus (87290) $96.36 $146 7.2×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $237.60 $360 6.8×
Iadna Bartonella Amplified Probe Technique (87471) $351.12 $532 10.0×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $312.84 $474 8.9×
Iadna chlamydia pneumoniae amplified probe tq (87486) $198.66 $301 5.7×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 2 matching MRF lines
$139.92–$256.74 $212–$389 varies
Iadna Cytomegalovirus Quantification (87497) $227.70 $345 5.3×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $237.60 $360 6.8×
Iadna Hepatitis B Virus Quantification (87517) $327.36 $496 7.6×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $139.92 $212 4.0×
Iadna Herpes Virus-6 Quantification (87533) $436.92 $662 10.5×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $287.76 $436 8.2×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $482.46 $731 10.0×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $198 $300 4.8×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $198.66 $301 5.7×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$217.14–$237.60 $329–$360 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $87.12 $132 1.7×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $425.70 $645 3.0×
Iadna-Dna/Rna Probe Tq 6-11 (87506)
range across 2 matching MRF lines
$483.12–$535.26 $732–$811 varies
Idh1 common variants (81120) $712.80 $1,080 3.7×
Ig Light Chains Free Each (83521) $81.18 $123 4.7×
Igg subclasses (82787) $33 $50 4.1×
Igh gene rearrange amp meth (81261)
range across 3 matching MRF lines
$435.60–$1,604.46 $660–$2,431 varies
Igh@ Variable Region Somatic Mutation Analysis (81263) $683.76 $1,036 2.3×
IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster… (81278) $284.46 $431 1.4×
Immune Complex Assay (86332)
range across 2 matching MRF lines
$155.76–$166.32 $236–$252 varies
Immunfix e-phorsis/urine/csf (86335) $198 $300 6.7×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 4 matching MRF lines
$82.50–$450.12 $125–$682 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines
$79.86–$99 $121–$150 varies
Immunoassay nonantibody (83516)
range across 7 matching MRF lines
$47.52–$81.18 $72–$123 varies
Immunodiffusion Ouchterlony (86331)
range across 2 matching MRF lines
$85.80–$116.82 $130–$177 varies
Immunofixation electrophoresis (86334)
range across 3 matching MRF lines
$159.06–$207.90 $241–$315 varies
Immunofluorescence per spec 1st singl antb stain (88346) $172.26 $261 1.0×
Immunohistochemistry (88342) $297 $450 1.8×
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines
$307.56–$493.68 $466–$748 varies
In situ hybridization ea multiplex probe stain (88366) $493.68 $748 3.0×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $75.24 $114 5.2×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $96.36 $146 7.9×
Influenza a/b ag eia (87400) $71.94 $109 5.1×
Influenza assay w/optic (87804)
range across 3 matching MRF lines
$85.14–$88.44 $129–$134 varies
Inhibin A (86336) $108.90 $165 7.0×
Inhibin b (83520)
range across 5 matching MRF lines
$93.06–$269.94 $141–$409 varies
Insitu hybridization manual (88368)
range across 2 matching MRF lines
$415.80–$894.30 $630–$1,355 varies
Insulin antibodies (86337) $207.90 $315 9.7×
Insulin free (83527) $15.18 $23 1.2×
Insulin total (83525) $62.70 $95 5.5×
Interleukin-6 (83529) $87.12 $132 5.0×
Intrinsic factor antibody (86340) $99 $150 6.6×
Iron (83540)
range across 3 matching MRF lines
$39.60–$67.32 $60–$102 varies
Iron Binding Capacity (83550)
range across 2 matching MRF lines
$62.04–$89.10 $94–$135 varies
Irradiation Blood Product Each Unit (86945) $88.44 $134 2.4×
Jak2 gene analysis p.val617phe variant (81270)
range across 2 matching MRF lines
$409.86–$495 $621–$750 varies
Jak2 Gene Trgt Sequence Alys (81279) $421.74 $639 2.3×
Ketosteroids 17 total (83586) $73.92 $112 5.8×
Kit Gene Analysis D816 Variant(S) (81273) $683.10 $1,035 5.5×
Kit Gene Analysis Targeted Sequence Analysis (81272) $495 $750 1.5×
Koh Prep (87220)
range across 2 matching MRF lines
$47.52–$60.72 $72–$92 varies
Kras Gene Variants Exon 2 (81275) $931.26 $1,411 4.8×
Lactate (ld) (ldh) enzyme (83615)
range across 3 matching MRF lines
$43.56–$67.32 $66–$102 varies
Lactoferrin Fecal Quantitative (83631) $114.18 $173 5.8×
Lamellar Body Count (83664) $131.34 $199 6.8×
Ldh Isoenzymes (83625) $62.70 $95 4.9×
LDL direct (83721) $62.70 $95 6.0×
Lead (83655) $72.60 $110 6.0×
Legionella antibody (86713) $89.10 $135 5.8×
Legionella antigen urine (87449)
range across 2 matching MRF lines
$59.40–$316.80 $90–$480 varies
Legionella pneumophila dfa (87278) $59.40 $90 3.8×
Leptospira antibody (86720) $87.78 $133 5.4×
Leukocyte Assessment Fecal (89055)
range across 2 matching MRF lines
$36.30–$60.06 $55–$91 varies
Level I Surg Pathology Gross Examination Only (88300) $97.02 $147 3.5×
Level ii surg pathology gross&microscopic exam (88302) $198.66 $301 5.5×
Level V Surg Pathology Gross&Microscopic Exam (88307) $974.16 $1,476 2.8×
Lidocaine (80176) $155.76 $236 10.6×
Lipase (83690)
range across 3 matching MRF lines
$102.30–$143.88 $155–$218 varies
Lipoprotein A (83695) $64.68 $98 4.5×
Lipoprotein Bld Quan Part (83704)
range across 2 matching MRF lines
$103.62–$217.80 $157–$330 varies
Lipoprotein-Associated Phospholipase A2 (83698) $107.58 $163 2.3×
Lithium (80178) $39.60 $60 6.0×
Luteinizing Hormone (Lh) (83002) $117.48 $178 6.3×
Lyme disease antibody (86618)
range across 2 matching MRF lines
$118.14–$138.60 $179–$210 varies
Lymphocyte transformation (86353) $267.30 $405 5.5×
Lysozyme serum (85549) $77.88 $118 4.2×
M. Genitalium Amp Probe (87563) $237.60 $360 6.8×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $551.76 $836 3.3×
Macroscopic exam arthropod (87168) $68.64 $104 16.1×
Macroscopic Exam Parasite (87169) $68.64 $104 15.9×
Magnesium Urine (83735)
range across 2 matching MRF lines
$48.84–$62.04 $74–$94 varies
Mass Spectrometry Quant (83789)
range across 3 matching MRF lines
$72.60–$278.52 $110–$422 varies
Mecp2 gene full seq (81302) $1,149.72 $1,742 2.2×
Mercury urine (83825) $81.18 $123 5.0×
Methylmalonic acid serum (83921)
range across 2 matching MRF lines
$99–$152.46 $150–$231 varies
Mgmt methylation analysis (81287) $521.40 $790 4.2×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$43.56–$144.54 $66–$219 varies
Microbe Suscept Macrobroth (87188) $143.88 $218 21.7×
Microsatellite instability (81301)
range across 2 matching MRF lines
$517.44–$1,080.42 $784–$1,637 varies
Microsomal Antibodies Each (86376) $99 $150 6.8×
Mlh1 Gene (81288) $458.04 $694 2.4×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $488.40 $740 12.9×
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) $262.68 $398 6.5×
Molecular Cytogenetics Dna Probe Each (88271)
range across 6 matching MRF lines
$87.12–$357.06 $132–$541 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $173.58 $263 4.1×
Molecular Pathology Procedure Level 3 (81402) $495 $750 3.3×
Molecular Pathology Procedure Level 6 (81405) $686.40 $1,040 2.3×
Mononuclear cell antigen (86356) $114.18 $173 4.3×
Mopath procedure level 1 (81400) $370.92 $562 5.8×
Mopath procedure level 2 (81401) $495 $750 3.6×
Mopath procedure level 4 (81403) $396.66 $601 2.1×
Mopath procedure level 7 (81406) $1,016.40 $1,540 3.6×
Mopath procedure level 8 (81407) $977.46 $1,481 1.2×
Mopath procedure level 9 (81408) $2,310 $3,500 1.2×
Mpl gene analysis sequence analysis exon 10 (81339) $644.16 $976 3.5×
Mrsa Pcr (87641)
range across 2 matching MRF lines
$108.90–$199.32 $165–$302 varies
Mthfr Gene Analysis Common Variants (81291) $277.20 $420 4.2×
Mumps antibody (86735) $108.90 $165 8.3×
Muscle-Specific Kinase Antb (86366) $495 $750 26.9×
Mycobacteric Identification (87118) $138.60 $210 9.5×
Mycophenolic Acid (80180) $79.20 $120 4.4×
Mycoplasma antibody (86738) $68.64 $104 5.2×
Mycoplasma culture (87109) $79.86 $121 5.2×
Myelin basic protein csf (83873) $89.76 $136 5.2×
Myoglobin urine (83874) $89.76 $136 6.9×
Natriuretic peptide (83880)
range across 2 matching MRF lines
$174.24–$207.24 $264–$314 varies
Neutralization Test Viral (86382)
range across 2 matching MRF lines
$38.94–$138.60 $59–$210 varies
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $388.08 $588 3.0×
Nfct ds bv&vaginitis DNA alg (81515) $347.16 $526 1.3×
Nfct ds chrnc hcv 6 assays (81596) $211.86 $321 2.9×
Nk cells total count (86357) $256.74 $389 6.8×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $507.54 $769 2.1×
Nuclear antigen antibody (86235) $118.14 $179 6.6×
Obstetric panel (80081) $356.40 $540 4.8×
Occult blood feces (82272)
range across 2 matching MRF lines
$22.44–$31.02 $34–$47 varies
Occult Blood Other Sources (82271) $24.42 $37 4.6×
Oligoclonal bands (83916) $117.48 $178 4.3×
Organic acids urine (83918) $531.30 $805 22.5×
Osmolality serum (83930) $40.26 $61 6.1×
Osmolality Urine (83935) $42.90 $65 6.3×
Osmotic fragility rbc incubated (85557) $228.36 $346 17.1×
Osteocalcin (83937) $59.40 $90 2.0×
Ova and parasites smears (87177) $59.40 $90 6.7×
Oxalate urine (83945) $79.86 $121 5.5×
Pancreatic Elastase Fecal (82656) $170.94 $259 14.8×
Particle Agglut Antbdy Titr (86406) $71.28 $108 6.7×
Particle Agglutination Screen Each Antibody (86403)
range across 2 matching MRF lines
$18.48–$82.50 $28–$125 varies
Parvovirus antibody (86747) $79.86 $121 5.3×
Path Consltj Surg Cytologic Exam Initial Site (88333) $820.38 $1,243 1.0×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $107.58 $163 2.1×
Pathology Consultation During Surgery (88329) $353.10 $535 6.2×
Ph urine (81003)
range across 4 matching MRF lines
$23.10–$33 $35–$50 varies
Phenobarbital Level (80184) $77.88 $118 5.1×
Phenytoin (Dilantin) (80185) $77.88 $118 5.9×
Phenytoin free (80186) $61.38 $93 4.5×
Phosphatase alkaline (84075) $25.74 $39 5.0×
Phosphatidylglycerol (84081) $350.46 $531 21.2×
Phosphorus Serum (84100) $29.04 $44 6.1×
Phosphorus urine (84105) $31.68 $48 5.5×
Pinworm exam (87172) $23.76 $36 5.6×
Platelet Aggregation (85576)
range across 2 matching MRF lines
$188.10–$196.68 $285–$298 varies
Platelet Antibodies (86022) $178.86 $271 9.7×
Platelet count automated (85049) $34.32 $52 7.7×
Pml/Raralpha Common Breakpoints Qual/Quant (81315)
range across 2 matching MRF lines
$505.56–$861.96 $766–$1,306 varies
Pneumcysts jirovecii amp prb (87594) $165 $250 4.7×
Pooling blood platelets (86965) $198 $300 1.2×
Porphobilinogen, urine; quantitative (84110) $50.16 $76 5.9×
Porphyrins Urine Quantitation & Fractionation (84120) $134.64 $204 9.2×
Potassium Urine (84133) $25.74 $39 5.4×
Prealbumin (84134) $46.20 $70 3.2×
Pregnenolone (84140) $85.14 $129 4.1×
Primidone (80188)
range across 2 matching MRF lines
$77.88–$174.24 $118–$264 varies
Procalcitonin (Pct) (84145) $184.80 $280 6.8×
Progesterone (84144) $117.48 $178 5.6×
Prolactin (84146) $117.48 $178 6.1×
Prostaglandin (84150) $324.72 $492 7.8×
Protein body fluid (84157) $42.90 $65 10.7×
Protein C Activity (85303) $108.90 $165 7.9×
Protein c antigen (85302) $129.36 $196 10.8×
Protein Electrophoresis Urine (84166) $116.82 $177 6.6×
Protein Electrophoretic Fractj&Quantj Serum (84165) $71.94 $109 6.7×
Protein S Free (85306) $118.14 $179 7.7×
Protein s total (85305) $129.36 $196 11.1×
Protein total serum (84155) $23.76 $36 6.5×
Protein Total Urine (84156)
range across 2 matching MRF lines
$27.06–$81.18 $41–$123 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $42.90 $65 10.9×
Protoporphyrin rbc quantitative (84202) $72.60 $110 5.1×
PSA free (84154) $117.48 $178 6.4×
Pten Gene Analysis Full Sequence Analysis (81321) $1,306.80 $1,980 2.2×
Pth Intact (83970)
range across 2 matching MRF lines
$248.16–$252.12 $376–$382 varies
Pyruvate kinase (84220) $182.16 $276 19.3×
Q Fever Antibody (86638) $64.02 $97 5.3×
Quantiferon tb gold plus (86480) $415.14 $629 6.7×
Quantitative assay drug (80299)
range across 2 matching MRF lines
$102.96–$130.02 $156–$197 varies
Quantitative Screen Metals (83018) $99 $150 4.5×
Quinidine (80194) $88.44 $134 6.1×
Rbc antibody elution (86860) $198 $300 1.2×
Rbc antibody identification (86870) $415.80 $630 1.2×
Rbc antibody screen (86850) $75.24 $114 7.7×
Rbc pretreatment serum (86978) $100.32 $152 1.8×
Rbc pretx incubatj w/enzymes (86971) $413.82 $627 2.5×
Reagent Strip/Blood Glucose (82948)
range across 2 matching MRF lines
$13.86–$27.72 $21–$42 varies
Renin activity plasma (84244) $134.64 $204 6.1×
Reptilase test (85635) $108.90 $165 11.1×
Resp virus 12-25 targets (87633) $911.46 $1,381 2.2×
Reticulocyte Count Manual (85044) $129.36 $196 30.0×
Reticulocyte separation (86972) $217.14 $329 1.3×
Rh (86901) $39.60 $60 13.2×
Rheumatoid Factor Qualitative (86430)
range across 2 matching MRF lines
$42.24–$63.36 $64–$96 varies
Rheumatoid factor quant (86431) $38.94 $59 6.9×
Rickettsia antibody (86757) $99 $150 5.1×
Ristocetin cofactor (85245) $175.56 $266 7.7×
Rotavirus ag eia (87425) $68.64 $104 5.7×
Rpr qualitative (86592)
range across 2 matching MRF lines
$7.11–$32.34 $10.78–$49 varies
Rubella Antibody (86762) $99 $150 6.9×
Rubeola antibody (86765) $89.10 $135 6.9×
Russell Viper Venom Time Diluted (85613) $68.64 $104 7.2×
Salmonella antibody (86768) $66 $100 5.0×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$119.46–$126.06 $181–$191 varies
Sars-cov-2 COVID-19 antibody (86769) $77.22 $117 1.8×
Sars-Cov-2 Covid19 W/Optic (87811) $84.48 $128 2.0×
Sarscov2 & inf a&b amp prb (87636) $317.46 $481 2.2×
Sarscov2&inf a&b&rsv amp prb (87637) $363 $550 2.5×
Sedimentation Rate, Automated (85652)
range across 2 matching MRF lines
$36.96–$59.40 $56–$90 varies
Selenium (84255) $152.46 $231 6.0×
Semen Anal Sperm Detection (89321) $207.90 $315 17.3×
Semen analysis complete (89322) $310.86 $471 20.1×
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) $66.66 $101 6.8×
Sensitivity mic (87186)
range across 4 matching MRF lines
$59.40–$356.40 $90–$540 varies
Serpina 1 gene (81332) $663.30 $1,005 15.2×
Sex Hormone Binding Globulin (84270) $134.64 $204 6.2×
Sickling of rbc reduction (85660) $59.40 $90 10.8×
Sirolimus (80195) $71.28 $108 5.2×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines
$59.40–$92.40 $90–$140 varies
Smear acid fast (87206)
range across 2 matching MRF lines
$40.92–$118.14 $62–$179 varies
Smear complex stain (87209) $79.86 $121 4.4×
Smear gram stain (87205) $39.60 $60 9.3×
Smear Special Stain (87207)
range across 2 matching MRF lines
$65.34–$129.36 $99–$196 varies
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$28.38–$39.60 $43–$60 varies
Snrpn/Ube3a Methylation Analysis (81331) $327.36 $496 6.4×
So neo gsap DNA mcrstl ins (81457)
range across 2 matching MRF lines
$2,702.70–$2,972.64 $4,095–$4,504 varies
Sodium Serum (84295) $20.46 $31 4.3×
Sodium Urine (84300) $29.70 $45 5.9×
Soluble Transferrin Receptor (84238) $233.64 $354 6.4×
Somatomedin (84305) $134.64 $204 6.3×
Special Stains Group 1 (88312) $317.46 $481 6.3×
Special Stains Group 2 (88313) $258.06 $391 2.0×
Specific gravity body fluid (84315) $13.20 $20 4.0×
Specimen infect agnt concntj (87015) $40.92 $62 6.1×
Spectrophotometry (84311) $170.94 $259 21.1×
Staph a DNA amp probe (87640) $237.60 $360 6.8×
Stool cultr aerobic bact ea (87046)
range across 2 matching MRF lines
$59.40–$203.94 $90–$309 varies
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$79.86–$80.52 $121–$122 varies
Strep a DNA amp probe (87651) $219.12 $332 6.2×
Strep b DNA amp probe (87653) $237.60 $360 6.8×
Sugars Single Qual (84376) $54.12 $82 9.8×
Surg path level iii (88304) $248.16 $376 4.9×
Surgical pathology level IV (88305) $297.66 $451 5.9×
Surgical pathology level vi (88309) $1,391.94 $2,109 1.8×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $68.64 $104 14.5×
Susceptibility Study Antimicrobial Disk Method (87184) $67.32 $102 9.0×
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) $138.60 $210 3.5×
Syphilis Test Non-Trep Quant (86593) $42.24 $64 9.6×
T cells absolute cd4 count (86361) $172.92 $262 6.5×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $316.80 $480 6.7×
T cells total count (86359) $268.62 $407 7.1×
T3 Free (84481) $72.60 $110 4.3×
T3 reverse (84482) $54.12 $82 3.4×
T3 Total (84480) $89.76 $136 6.3×
T3 Uptake (84479) $54.12 $82 8.4×
T4 Free (84439)
range across 3 matching MRF lines
$54.12–$130.02 $82–$197 varies
T4 total (84436) $31.68 $48 4.6×
Tacrolimus (80197) $77.88 $118 5.7×
Tb ag response t-cell susp (86481) $295.02 $447 3.0×
Test for acetone/ketones (82009)
range across 2 matching MRF lines
$40.92–$46.86 $62–$71 varies
Testosterone total (84403)
range across 2 matching MRF lines
$152.46–$170.94 $231–$259 varies
Testosterone, Free (84402) $152.46 $231 6.0×
Tetanus antibody (86774) $99 $150 6.7×
Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) $2,178 $3,300 3.6×
Theophylline (80198)
range across 2 matching MRF lines
$69.30–$96.36 $105–$146 varies
Thiopurine methyltransferase (84433) $278.52 $422 12.6×
Thrombin Time (85670) $89.10 $135 15.4×
Thromboplastin Inhibition Tissue (85705) $49.50 $75 5.1×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $68.64 $104 10.6×
Thyroglobulin (84432)
range across 3 matching MRF lines
$99–$287.76 $150–$436 varies
Thyroglobulin Antibody (86800) $108.90 $165 6.8×
Thyroid Stimulating Immunoglobulin (84445) $233.64 $354 4.6×
Thyroxine binding globulin (84442) $65.34 $99 4.4×
Tiss cul neo disorders solid tumor (88239) $520.74 $789 3.5×
Tiss Trnsgltmnase Ea Ig Clas (86364) $32.34 $49 2.8×
Tissue Culture (88233) $320.76 $486 2.3×
Tissue Culture Amniotic Fluid (88235) $483.78 $733 3.2×
Tissue culture bone marrow (88237) $339.24 $514 2.4×
Tissue Culture Lymphocyte (88230) $450.78 $683 3.9×
Tobramycin peak (80200) $77.88 $118 4.8×
Topiramate (80201) $77.88 $118 6.5×
Total Tau (84394) $468.60 $710 3.6×
Toxin/Antitoxin Assay Tissue Culture (87230) $115.50 $175 5.9×
Toxoplasma ab igm (86778) $89.10 $135 6.2×
Toxoplasma antibody (86777) $99 $150 6.9×
Tp53 gene analysis full gene sequence (81351) $1,083.72 $1,642 1.7×
Tp53 gene analysis targeted sequence analysis (81352) $790.68 $1,198 2.4×
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines
$32.34–$60.06 $49–$91 varies
Transferrin (84466) $43.56 $66 3.4×
Trb@ Rearrangement Anal Amplification Method (81340) $455.40 $690 2.2×
Trichinella Antibody (86784) $96.36 $146 7.7×
Trichomonas vagin dir probe (87660) $138.60 $210 6.9×
Triglycerides (84478) $35.64 $54 6.2×
Troponin Quant (84484) $84.48 $128 6.8×
Tumor immunohistochem/comput (88361) $424.38 $643 1.2×
Tumor Immunohistochem/Manual (88360) $411.18 $623 2.5×
Ugt1a1 gene analysis common variants (81350) $619.08 $938 2.6×
Unlisted Cytogenetic Study (88299) $372.90 $565 7.4×
Unlisted Surgical Pathology Procedure (88399) $1,824.24 $2,764 36.0×
Urea Nitrogen Clearance (84545) $217.14 $329 30.2×
Urea nitrogen urine (84540) $54.12 $82 9.7×
Uric acid other source (84560) $31.02 $47 6.1×
Urinalysis Microscopic Only (81015) $21.78 $33 7.1×
Urine Bacteria Culture (87088)
range across 2 matching MRF lines
$59.40–$85.80 $90–$130 varies
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$59.40–$73.26 $90–$111 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 3 matching MRF lines
$38.28–$84.48 $58–$128 varies
Valproic acid (80164) $77.88 $118 5.8×
Vancomycin (80202) $95.70 $145 7.1×
Varicella-zoster antibody (86787)
range across 2 matching MRF lines
$49.50–$68.64 $75–$104 varies
Vasopressin (84588) $207.24 $314 6.1×
Very Long Chain Fatty Acids (82726) $225.06 $341 11.4×
Viral Culture (87252) $178.86 $271 6.9×
Virus antibody nos (86790)
range across 2 matching MRF lines
$68.64–$99 $104–$150 varies
Virus inoculation, shell via (87254) $129.36 $196 6.6×
Viscosity serum (85810) $89.10 $135 7.6×
Vit D 1 25-Dihydroxy (82652) $233.64 $354 6.1×
Vitamin A (84590) $72.60 $110 6.3×
Vitamin b-12 (82607)
range across 2 matching MRF lines
$89.76–$188.10 $136–$285 varies
Vitamin B2 (Riboflavin) (84252) $120.12 $182 5.9×
Vitamin B6 (84207) $170.94 $259 6.1×
Vitamin c (82180) $62.70 $95 6.3×
Vitamin D 25-Hydroxy (82306) $180.18 $273 6.1×
Vitamin E (84446) $89.76 $136 6.3×
Vitamin K (84597) $314.82 $477 22.9×
Voltage-Gated Calcium Channel Antibody Each (86596)
range across 2 matching MRF lines
$50.82–$217.80 $77–$330 varies
Von willebrand factor ag (85246) $172.92 $262 7.5×
Wbc Alkaline Phosphatase Count (85540) $123.42 $187 14.4×
West nile virus ab igm (86788) $68.64 $104 4.1×
West Nile Virus Antibody (86789) $79.86 $121 5.5×
Western Blot Test (84181) $127.38 $193 7.5×
Whole Mitochondrial Genome (81460) $2,272.38 $3,443 1.8×
Xm Archive Tissue Molec Anal (88363)
range across 2 matching MRF lines
$28.38–$110.88 $43–$168 varies
Xylose Absorption Test (84620) $124.74 $189 9.7×
Zika Virus Dna/Rna Amp Probe (87662) $495 $750 9.6×
Zinc (84630) $62.70 $95 5.5×

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.