Lab & pathology prices at HSHS St. Elizabeth's Hospital
O Fallon, IL · every code in this section with a posted price and a Medicare benchmark.
742 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $167.76 | $233 | 15.0× |
| Acetylcholine receptor binding antibody (86041) | $208.80 | $290 | 11.3× |
| Acetylcholine receptor blocking antibody (86042) | $208.80 | $290 | 11.3× |
| Acetylcholn Rcptr Modlg Antb (86043) | $208.80 | $290 | 17.3× |
| Acth (82024) | $186.48 | $259 | 4.8× |
| Actin smooth muscle antibody each (86015) | $15.12 | $21 | 1.3× |
| Acute hepatitis panel (80074) | $243.36 | $338 | 5.1× |
| Acylcarnitines Quant (82017) | $90.72 | $126 | 5.4× |
| Adenovirus antibody (86603) | $224.64 | $312 | 17.5× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $291.60 | $405 | 4.5× |
| Agglutinins Febrile Each Antigen (86000) | $99.36 | $138 | 14.2× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$63.36–$72.72 | $88–$101 | varies |
| Albumin serum (82040) | $63.36 | $88 | 12.8× |
| Aldolase (82085) | $82.80 | $115 | 8.5× |
| Aldosterone urine (82088) | $188.64 | $262 | 4.6× |
| Alkaline phosphatase isoenzymes (84080) | $51.84 | $72 | 3.5× |
| Allergen specific ige (86003) | $36 | $50 | 6.9× |
| Allergen specific igg (86001) | $50.40 | $70 | 6.4× |
| Allg Spec Ige Recomb Ea (86008) | $32.40 | $45 | 1.8× |
| Alpha-1-antitrypsin phenotype (82104) | $187.20 | $260 | 12.9× |
| Alpha-1-antitrypsin total (82103) | $36.72 | $51 | 2.7× |
| Alpha-Fetoprotein Serum (82105) | $108.72 | $151 | 6.5× |
| Alt (sgpt) (84460) | $100.08 | $139 | 18.9× |
| Aluminum (82108) | $105.84 | $147 | 4.2× |
| Amikacin trough (80150) | $51.84 | $72 | 3.4× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $120.96 | $168 | 5.3× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $266.40 | $370 | 15.8× |
| Ammonia (82140) | $93.60 | $130 | 6.4× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $131.04 | $182 | 1.3× |
| Amylase urine (82150) | $84.24 | $117 | 13.0× |
| Ana Titer (86039) | $67.68 | $94 | 6.1× |
| Anca screen each antibody (86036) | $24.48 | $34 | 2.0× |
| Anca Titer Each Antibody (86037) | $72 | $100 | 6.0× |
| Androstenedione (82157) | $78.48 | $109 | 2.7× |
| Angiotensin converting enzyme csf (82164) | $150.48 | $209 | 10.3× |
| Anti-Phospholipid Antibody (86148) | $68.40 | $95 | 4.3× |
| Antibody aspergillus (86606) | $183.60 | $255 | 12.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $84.96 | $118 | 6.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $126 | $175 | 8.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $92.16 | $128 | 5.5× |
| Antibody Encephalitis California La Crosse (86651) | $49.68 | $69 | 3.8× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $82.08 | $114 | 6.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $133.92 | $186 | 8.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $203.76 | $283 | 11.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $306 | $425 | 25.0× |
| Antibody haemophilus influenza (86684) | $106.56 | $148 | 6.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $202.32 | $281 | 14.1× |
| Antibody Herpes Smplx Type 1 (86695) | $144.72 | $201 | 11.0× |
| Antibody HIV-1&HIV-2 single result (86703) | $142.56 | $198 | 10.4× |
| Antibody HIV-2 (86702) | $133.20 | $185 | 9.9× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $316.80 | $440 | 16.4× |
| Antibody identification leukocyte antibodies (86021) | $136.08 | $189 | 9.0× |
| Antibody Identification Platelet Immunogl Assay (86023) | $41.04 | $57 | 3.3× |
| Antibody john cunningham virus (86711) | $1,828.80 | $2,540 | 108.3× |
| Antibody leishmania (86717) | $103.68 | $144 | 8.5× |
| Antibody Lymphocytic Choriomeningitis (86727) | $93.60 | $130 | 7.3× |
| Antibody nocardia (86744) | $61.92 | $86 | 3.9× |
| Antibody Protozoa Nes (86753) | $164.88 | $229 | 13.3× |
| Antibody Titer (86886) | $216 | $300 | 41.7× |
| Antibody Treponema Pallidum (86780) | $96.48 | $134 | 7.3× |
| Antibody; encephalitis, st. louis (86653) | $49.68 | $69 | 3.8× |
| Antibody; influenza virus (86710) | $75.60 | $105 | 5.6× |
| Antigen typing (86905) range across 5 matching MRF lines |
$151.92–$453.60 | $211–$630 | varies |
| Antinuclear antibodies (86038) | $162.72 | $226 | 13.5× |
| Antistreptolysin o titer (86060) | $265.68 | $369 | 36.4× |
| Antithrombin iii activity (85300) | $121.68 | $169 | 10.3× |
| Apolipoprotein a1 (82172) | $26.64 | $37 | 1.3× |
| Aquaporin-4 Antb Cba Each (86052) | $423.36 | $588 | 35.1× |
| Aquaporin-4 Antb Elisa (86051) | $451.44 | $627 | 39.2× |
| Arsenic (82175) | $105.84 | $147 | 5.6× |
| Aspergillus ag eia (87305) | $266.40 | $370 | 22.2× |
| Assay activated protein c (85307) | $146.16 | $203 | 9.5× |
| Assay Blood Carbon Dioxide (82374) | $61.20 | $85 | 12.5× |
| Assay Nephelometry Not Spec (83883) | $86.40 | $120 | 6.4× |
| Assay of 5-hiaa (83497) | $90 | $125 | 7.0× |
| Assay of anti-mullerian hormone (82166) | $92.88 | $129 | 2.4× |
| Assay of blood/uric acid (84550) | $36.72 | $51 | 8.1× |
| Assay of calcium in urine (82340) | $90 | $125 | 14.9× |
| Assay of cpk in blood (82552) | $106.56 | $148 | 8.0× |
| Assay of estrone (82679) | $54 | $75 | 2.2× |
| Assay of g6pd enzyme (82955) | $25.20 | $35 | 2.6× |
| Assay of gammaglobulin igm (82784) | $54.72 | $76 | 5.9× |
| Assay of lactic acid (83605) | $87.12 | $121 | 7.5× |
| Assay of manganese (83785) | $129.60 | $180 | 4.9× |
| Assay of metanephrines (83835) | $172.80 | $240 | 10.2× |
| Assay of proinsulin (84206) | $171.36 | $238 | 6.4× |
| Assay of serotonin (84260) | $38.88 | $54 | 1.3× |
| Assay of serum potassium (84132) | $25.92 | $36 | 5.4× |
| Assay of sweat sodium (84302) | $37.44 | $52 | 7.7× |
| Assay of urea nitrogen (84520) | $53.28 | $74 | 13.5× |
| Assay of urine vma (84585) | $107.28 | $149 | 6.9× |
| Assay of vasoactive intestinal peptide (84586) | $163.44 | $227 | 4.6× |
| Assay of vitamin b-1 (84425) | $305.28 | $424 | 14.4× |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$42.48–$61.20 | $59–$85 | varies |
| Automated Leukocyte Count (85048) | $43.92 | $61 | 17.3× |
| B cells total count (86355) | $156.24 | $217 | 4.1× |
| Babesia microti amp prb (87469) | $94.32 | $131 | 2.7× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$60.48–$80.64 | $84–$112 | varies |
| Bcr/abl1 gene major bp (81206) | $350.64 | $487 | 2.1× |
| Bcr/abl1 gene minor bp (81207) | $350.64 | $487 | 2.4× |
| Bcr/Abl1 Gene Other Bp (81208) | $487.44 | $677 | 2.3× |
| Beta 2 glycoprotein i antibody each (86146) | $146.88 | $204 | 5.8× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$51.84–$104.40 | $72–$145 | varies |
| Beta Lactamase (87185) | $76.32 | $106 | 16.1× |
| Beta-2 Microglobulin (82232) | $34.56 | $48 | 2.1× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $468 | $650 | 3.6× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $468 | $650 | 3.6× |
| Bilirubin direct (82248) | $83.52 | $116 | 16.6× |
| Bilirubin total (82247) | $36.72 | $51 | 7.3× |
| Bilirubin total transcutaneous (88720) | $23.04 | $32 | 4.6× |
| Blastomyces antibody (86612) | $166.32 | $231 | 12.9× |
| Bld Typing Serologic Rh Phnt (86906) | $69.12 | $96 | 8.9× |
| Blood Count Automated Differential Wbc Count (85004) | $61.92 | $86 | 9.6× |
| Blood Count Red Blood Cell Automated (85041) | $44.64 | $62 | 14.8× |
| Blood count reticulocyte automated (85045) | $51.12 | $71 | 12.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $36 | $50 | 9.5× |
| Blood gas (82803) | $166.32 | $231 | 6.4× |
| Blood gases w/02 saturation (82805) | $444.96 | $618 | 5.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $50.40 | $70 | 3.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $32.40 | $45 | 7.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 5 matching MRF lines |
$200.16–$453.60 | $278–$630 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $74.88 | $104 | 4.6× |
| Blood typing serologic abo (86900) | $162.72 | $226 | 54.4× |
| Body fluid cell count (89050) | $106.56 | $148 | 22.6× |
| Bone marrow smear interpretation (85097) | $1,029.60 | $1,430 | 1.2× |
| Bordetella antibody (86615) | $221.76 | $308 | 16.8× |
| Borrelia miyamotoi amp prb (87478) | $94.32 | $131 | 2.7× |
| Braf gene analysis (81210) | $221.04 | $307 | 1.3× |
| Brucella antibody (86622) | $90.72 | $126 | 10.2× |
| C diff amplified probe (87493) | $98.64 | $137 | 2.6× |
| C-Peptide (84681) | $103.68 | $144 | 5.0× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$781.20–$1,480.32 | $1,085–$2,056 | varies |
| Ca 19-9 (86301) | $185.04 | $257 | 8.9× |
| Cadmium (82300) | $61.20 | $85 | 2.6× |
| Calcitonin (82308) | $115.92 | $161 | 4.3× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$41.76–$48.96 | $58–$68 | varies |
| Calcium total (82310) | $87.12 | $121 | 16.9× |
| Calculus assay quant (82360) | $66.96 | $93 | 5.2× |
| Calculus Spectroscopy (82365) | $61.92 | $86 | 4.8× |
| Calprotectin Fecal (83993) | $137.52 | $191 | 7.0× |
| Calr gene com variants (81219) | $908.64 | $1,262 | 7.5× |
| Cancer Antigen 125 (86304) | $102.96 | $143 | 4.9× |
| Cancer Antigen 27.29 (86300) | $196.56 | $273 | 9.4× |
| Candida antibody (86628) | $36.72 | $51 | 3.1× |
| Candida Dna Dir Probe (87480) | $44.64 | $62 | 2.2× |
| Carbamazepine free (80157) | $73.44 | $102 | 5.5× |
| Carbamazepine total (80156) | $180 | $250 | 12.4× |
| Carbohydrate Deficient Transferrin (82373) | $110.88 | $154 | 6.1× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$130.32–$144.72 | $181–$201 | varies |
| Carcinoembryonic antigen (82378) | $305.28 | $424 | 16.1× |
| Cardiolipin ab iga (86147) | $100.80 | $140 | 4.0× |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$93.60–$373.68 | $130–$519 | varies |
| Carotene (82380) | $80.64 | $112 | 8.7× |
| Catecholamines fractionated (82384) | $126.72 | $176 | 5.0× |
| Ccp antibody (86200) | $203.04 | $282 | 15.7× |
| Cell count csf (89051) | $244.80 | $340 | 43.7× |
| Cell marker study (88182) | $545.76 | $758 | 9.8× |
| Ceruloplasmin (82390) | $102.96 | $143 | 9.6× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$701.28–$1,100.88 | $974–$1,529 | varies |
| Chemiluminescent assay (82397) | $92.88 | $129 | 6.6× |
| Chlamydia antibody (86631) | $224.64 | $312 | 19.0× |
| Chlamydia Igm Antibody (86632) | $383.04 | $532 | 30.2× |
| Chloride other source (82438) | $70.56 | $98 | 14.1× |
| Chloride Serum (82435) | $6,158.16 | $8,553 | 1338.7× |
| Chloride urine (82436) | $67.68 | $94 | 11.8× |
| Cholesterol total (82465) | $81.36 | $113 | 18.7× |
| Chorionic gonadotropin test (84702) | $167.04 | $232 | 11.1× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $144 | $200 | 4.2× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $330.48 | $459 | 9.9× |
| Chromium serum (82495) | $133.20 | $185 | 6.6× |
| Chromogranin a (86316) | $191.52 | $266 | 9.2× |
| Chromosome Analysis 15-20 (88262) | $469.44 | $652 | 3.7× |
| Chromosome Analysis 20-25 (88264) | $484.56 | $673 | 3.4× |
| Chromosome analysis, 5 (88261) | $333.36 | $463 | 1.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $192.24 | $267 | 5.5× |
| Citric acid urine (82507) | $139.68 | $194 | 5.0× |
| Ckmb (82553) range across 2 matching MRF lines |
$446.40–$2,304 | $620–$3,200 | varies |
| Clostridium Difficile (87324) | $35.28 | $49 | 2.9× |
| Clot Factor VIII Multimetric (85247) | $199.44 | $277 | 8.7× |
| Clotting factor xii hageman (85280) | $37.44 | $52 | 1.9× |
| Clotting Funct Activity (85397) | $181.44 | $252 | 5.9× |
| Cns DNA amp probe type 12-25 (87483) | $685.44 | $952 | 1.6× |
| Coagulation time activated (85347) | $43.20 | $60 | 10.1× |
| Coccidioides antibody (86635) | $115.92 | $161 | 10.1× |
| Cold agglutinin titer (86157) | $162 | $225 | 20.1× |
| Collagen crosslinks (82523) | $79.92 | $111 | 4.3× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$182.88–$689.04 | $254–$957 | varies |
| Compatibility test antiglob (86922) | $187.92 | $261 | 1.0× |
| Complement Antigen Each Component (86160) | $158.40 | $220 | 13.2× |
| Complement Total (Ch50) (86162) | $151.20 | $210 | 7.4× |
| Complement/Function Activity (86161) | $204.48 | $284 | 17.0× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $565.92 | $786 | 3.1× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $461.52 | $641 | 8.3× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 2 matching MRF lines |
$345.60–$348.48 | $480–$484 | varies |
| Coombs direct (86880) | $74.88 | $104 | 13.9× |
| Copper urine (82525) | $110.88 | $154 | 8.9× |
| Cortisol free (82530) | $318.96 | $443 | 19.1× |
| Cortisol saliva (82533) | $184.32 | $256 | 11.3× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$362.88–$720.72 | $504–$1,001 | varies |
| Creatinine blood (82565) | $297.36 | $413 | 58.1× |
| Creatinine clearance (82575) | $194.40 | $270 | 20.5× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$61.92–$1,074.96 | $86–$1,493 | varies |
| Crossmatch electronic (86923) | $187.92 | $261 | 1.0× |
| Crossmatch immediate spin (86920) | $187.92 | $261 | 1.0× |
| Crp High Sensitivity (86141) | $894.96 | $1,243 | 69.1× |
| Cryofibrinogen (82585) | $60.48 | $84 | 4.3× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$29.52–$262.08 | $41–$364 | varies |
| Cryptococcal Antigen (87327) | $94.32 | $131 | 7.0× |
| Cryptococcus ab (86641) | $132.48 | $184 | 9.2× |
| Cryptococcus ag titer (87899) | $150.48 | $209 | 9.4× |
| Cryptosporidium ag eia (87328) | $160.56 | $223 | 11.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$65.52–$262.08 | $91–$364 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $108.72 | $151 | 13.5× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $130.32 | $181 | 0.6× |
| Culture aerobic quant other (87071) | $123.84 | $172 | 12.5× |
| Culture afb (87116) | $245.52 | $341 | 22.7× |
| Culture Anaerobic (87075) | $208.80 | $290 | 22.0× |
| Culture blood (87040) | $241.20 | $335 | 23.4× |
| Culture chlamydia (87110) | $306.72 | $426 | 15.6× |
| Culture csf (87070) | $200.88 | $279 | 23.3× |
| Culture fungus (87102) range across 2 matching MRF lines |
$178.56–$214.56 | $248–$298 | varies |
| Culture fungus blood (87103) | $195.84 | $272 | 9.6× |
| Culture screen only (87081) | $179.28 | $249 | 27.0× |
| Culture stool (87045) | $229.68 | $319 | 24.3× |
| Culture typing if ea antiserum (87140) | $12.96 | $18 | 2.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $84.96 | $118 | 16.4× |
| Culture urine (87086) | $172.80 | $240 | 21.4× |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) | $129.60 | $180 | 4.8× |
| Cyanide (82600) | $83.52 | $116 | 4.3× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $95.04 | $132 | 6.6× |
| Cyclosporine (80158) | $109.44 | $152 | 6.1× |
| Cyp2c19 gene analysis common variants (81225) | $808.56 | $1,123 | 2.8× |
| Cyp2c9 gene com variants (81227) | $697.68 | $969 | 4.0× |
| Cystatin C (82610) | $23.04 | $32 | 1.2× |
| Cytogenetics 10-30 (88273) | $123.84 | $172 | 3.6× |
| Cytogenetics 100-300 (88275) | $282.24 | $392 | 5.5× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,563.20 | $3,560 | 2.2× |
| Cytomegalovirus igg (86644) | $112.32 | $156 | 7.8× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $133.20 | $185 | 6.6× |
| Cytopath Cell Enhance Tech (88112) | $174.24 | $242 | 3.1× |
| Cytopath Fl Nongyn Filter (88106) | $256.32 | $356 | 8.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $169.20 | $235 | 6.4× |
| Cytp Concentration Smears & Interpretation (88108) | $74.88 | $104 | 1.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $226.80 | $315 | 4.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $484.56 | $673 | 2.7× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $81.36 | $113 | 2.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $424.80 | $590 | 2.3× |
| Deoxyribonuclease antibody (86215) | $75.60 | $105 | 5.7× |
| Desoxycorticosterone (82633) | $127.44 | $177 | 4.1× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$246.96–$262.80 | $343–$365 | varies |
| Detect Agent Nos Dna Quant (87799) | $432.72 | $601 | 10.1× |
| Detect agnt mult DNA ampli (87801) | $362.88 | $504 | 5.2× |
| Dgp Antibody Each Ig Class (86258) | $90.72 | $126 | 7.5× |
| Dhea (82626) | $134.64 | $187 | 5.3× |
| Dhea-S (82627) | $24.48 | $34 | 1.1× |
| Digoxin (80162) | $99.36 | $138 | 7.5× |
| Dihydrotestosterone (82642) | $48.96 | $68 | 1.7× |
| Diphtheria antitoxoid (86648) | $116.64 | $162 | 7.7× |
| Dipropylacetic Acid Free (80165) | $57.60 | $80 | 4.3× |
| Dna Antibody Native/Double Stranded (86225) | $162 | $225 | 11.8× |
| Dna Antibody Single Stranded (86226) | $185.04 | $257 | 15.3× |
| Dna/Rna Amplified Probe (87150) | $189.36 | $263 | 5.4× |
| DNA/RNA direct probe (87149) | $58.32 | $81 | 2.9× |
| Dna/Rna Sequencing (87153) | $1,258.56 | $1,748 | 10.9× |
| Dpyd gene common variants (81232) | $1,297.44 | $1,802 | 7.4× |
| Drug assay adalimumab (80145) | $395.28 | $549 | 10.2× |
| Drug Assay Everolimus (80169) | $192.96 | $268 | 14.1× |
| Drug Assay Infliximab (80230) | $321.84 | $447 | 8.3× |
| Drug Assay Itraconazole (80189) | $180.72 | $251 | 6.7× |
| Drug Assay Vedolizumab (80280) | $426.96 | $593 | 11.1× |
| Drug assay voriconazole (80285) | $210.24 | $292 | 7.8× |
| Drug Screen Quant Clozapine (80159) | $141.12 | $196 | 7.0× |
| Drug Screen Quant Zonisamide (80203) | $155.52 | $216 | 11.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $159.12 | $221 | 12.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $71.28 | $99 | 5.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$97.92–$286.56 | $136–$398 | varies |
| Drug Test Prsmv Instrmnt (80306) | $198 | $275 | 11.6× |
| Ehrlichia antibody (86666) | $203.76 | $283 | 20.0× |
| El-1 Fecal Quantitative (82653) | $79.92 | $111 | 3.5× |
| Electrolyte panel (80051) | $117.36 | $163 | 16.7× |
| Electron Microscopy (88348) | $1,029.60 | $1,430 | 1.2× |
| Encephaltis East Eqne Anbdy (86652) | $49.68 | $69 | 3.8× |
| Encephaltis West Eqne Antbdy (86654) | $49.68 | $69 | 3.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $77.76 | $108 | 6.4× |
| Enterovirus Antibody (86658) | $48.24 | $67 | 3.7× |
| Enterovirus PCR (87498) | $444.96 | $618 | 12.7× |
| Enzyme cell activity (82657) | $311.04 | $432 | 14.0× |
| Enzyme histochemistry (88319) | $1,029.60 | $1,430 | 1.2× |
| Eosinophil Smear (89190) | $56.16 | $78 | 9.7× |
| Erythropoietin (82668) | $102.24 | $142 | 5.4× |
| Estradiol serum (82670) | $68.40 | $95 | 2.4× |
| Estriol (82677) | $76.32 | $106 | 3.2× |
| Estrogen total (82672) | $115.92 | $161 | 5.3× |
| Estrogens fractionated (82671) | $232.56 | $323 | 7.2× |
| Ethosuximide (80168) | $120.24 | $167 | 7.4× |
| Ethylene Glycol (82693) | $175.68 | $244 | 11.8× |
| Exam Synovial Fluid Crystals (89060) | $33.12 | $46 | 4.5× |
| F2 Gene (81240) range across 2 matching MRF lines |
$129.60–$603.36 | $180–$838 | varies |
| Factor ii activity (85210) | $128.16 | $178 | 9.9× |
| Factor Inhibitor Test (85335) | $142.56 | $198 | 11.1× |
| Factor ix activity (85250) | $211.68 | $294 | 11.1× |
| Factor v activity (85220) | $57.60 | $80 | 3.3× |
| Factor v leiden mutation (81241) | $192.96 | $268 | 2.6× |
| Factor vii assay (85230) | $129.60 | $180 | 7.2× |
| Factor viii assay (85240) | $192.24 | $267 | 10.7× |
| Factor X (85260) | $138.24 | $192 | 7.7× |
| Factor xi activity (85270) | $218.88 | $304 | 12.2× |
| Fat/Lipids Feces Quantitative (82710) | $77.76 | $108 | 4.6× |
| Fatty acids free (82725) | $145.44 | $202 | 7.7× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $179.28 | $249 | 10.4× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $80.64 | $112 | 12.3× |
| Fecal Fat Qualitative (82705) | $84.96 | $118 | 16.7× |
| Ferritin (82728) | $110.16 | $153 | 8.1× |
| Fetal Chrmoml Aneuploidy (81420) | $2,230.56 | $3,098 | 2.9× |
| Fetal Fibronectin (82731) | $244.80 | $340 | 3.8× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $354.24 | $492 | 18.7× |
| Fibrin Degradation Quant (85379) | $120.24 | $167 | 11.8× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $99.36 | $138 | 10.2× |
| Fibrinogen activity (85384) | $79.92 | $111 | 8.2× |
| Flow cytometry first marker (88184) | $393.84 | $547 | 1.0× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$142.56–$1,571.04 | $198–$2,182 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$133.92–$713.52 | $186–$991 | varies |
| Fmr1 Gene Charac Alleles (81244) | $260.64 | $362 | 5.8× |
| Fmr1 gene detection (81243) | $502.56 | $698 | 8.8× |
| Folic acid rbc (82747) | $78.48 | $109 | 4.4× |
| Folic Acid Serum (82746) | $321.12 | $446 | 21.8× |
| Follicle Stimulating Hormone (83001) | $193.68 | $269 | 10.4× |
| Francisella tularensis (86668) | $111.60 | $155 | 7.9× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $216 | $300 | 1.2× |
| Frozen Section (88331) | $216 | $300 | 1.2× |
| Fungi Identification Mold (87107) | $37.44 | $52 | 3.6× |
| Fungi Identification Yeast (87106) range across 3 matching MRF lines |
$123.84–$154.80 | $172–$215 | varies |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | $426.96 | $593 | 7.3× |
| Galectin-3 (82777) | $166.32 | $231 | 3.8× |
| Gammaglobulin ige (82785) | $97.92 | $136 | 5.9× |
| Gardner vag DNA dir probe (87510) | $44.64 | $62 | 2.2× |
| Gardner Vag Dna Quant (87512) | $220.32 | $306 | 5.3× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $119.52 | $166 | 12.2× |
| Gases blood ph only (82800) | $77.76 | $108 | 7.1× |
| Gastric Analy W/Ph Ea Spec (82930) | $48.24 | $67 | 7.2× |
| Gastrin (82941) | $22.32 | $31 | 1.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,198.80 | $1,665 | 2.9× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $3,486.24 | $4,842 | 4.6× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $4,404.96 | $6,118 | 1.5× |
| Genet Virus Isolate Hsv (87255) | $46.08 | $64 | 1.4× |
| Gentamicin (80170) | $1,188.72 | $1,651 | 72.6× |
| Ggt (82977) | $123.84 | $172 | 17.2× |
| Giardia antigen (87329) | $160.56 | $223 | 13.4× |
| Glucose 2 hr pp (82950) | $30.96 | $43 | 6.5× |
| Glucose Blood Test (82962) | $41.04 | $57 | 12.5× |
| Glucose body fluid (82945) | $66.96 | $93 | 17.0× |
| Glucose Serum (82947) | $51.12 | $71 | 13.0× |
| Glucose tolerance test (gtt) (82951) | $154.80 | $215 | 12.0× |
| Glycated Protein (82985) | $18.72 | $26 | 1.1× |
| Gonadotropin Chorionic Qualitative (84703) | $73.44 | $102 | 9.8× |
| Growth hormone (83003) | $68.40 | $95 | 4.1× |
| Gtt-added samples (82952) | $37.44 | $52 | 9.6× |
| H Pylori (C-13) Breath (83013) | $253.44 | $352 | 3.8× |
| Haptoglobin (83010) | $78.48 | $109 | 6.2× |
| Hba1/Hba2 Gene (81257) | $876.96 | $1,218 | 8.6× |
| Hdl Cholesterol (83718) | $77.76 | $108 | 9.5× |
| Helicobacter Pylori Stool (87338) | $270.72 | $376 | 18.8× |
| Helminth Antibody (86682) | $180.72 | $251 | 13.9× |
| Hematocrit (85014) range across 2 matching MRF lines |
$30.96–$48.24 | $43–$67 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$30.96–$48.24 | $43–$67 | varies |
| Hemoglobin a1c (83036) | $72 | $100 | 7.4× |
| Hemoglobin Chromotography (83021) | $71.28 | $99 | 3.9× |
| Hemoglobin electrophoresis (83020) | $124.56 | $173 | 9.7× |
| Hemoglobin F Fetal Chemical (83030) | $58.32 | $81 | 5.4× |
| Hemoglobin Methemoglobin Quantitative (83050) | $98.64 | $137 | 12.0× |
| Hemoglobin plasma (83051) | $60.48 | $84 | 8.3× |
| Hep a ab igm (86709) | $126 | $175 | 11.2× |
| Heparin assay (85520) | $112.32 | $156 | 8.6× |
| Hepatitis a antibody total (86708) | $156.96 | $218 | 12.7× |
| Hepatitis b core ab igm (86705) | $145.44 | $202 | 12.4× |
| Hepatitis b core ab total (86704) | $162.72 | $226 | 13.5× |
| Hepatitis B Surface Antibody (86706) | $118.08 | $164 | 11.0× |
| Hepatitis B Surface Antigen (87340) | $152.64 | $212 | 14.8× |
| Hepatitis Be Antibody (86707) | $149.76 | $208 | 12.9× |
| Hepatitis Be Antigen (87350) | $100.08 | $139 | 8.7× |
| Hepatitis C Antibody (86803) | $141.84 | $197 | 9.9× |
| Hepatitis c antibody confirmatory test (86804) | $373.68 | $519 | 24.1× |
| Hepatitis C Genotype (87902) | $978.48 | $1,359 | 3.8× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $356.40 | $495 | 10.2× |
| Hepatitis C Revrs Trnscrpj (87522) | $348.48 | $484 | 8.1× |
| Hepatitis Delta Agent Antibody (86692) | $140.40 | $195 | 8.2× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $1,480.32 | $2,056 | 1.1× |
| Herpes simplex type 2 (86696) | $75.60 | $105 | 3.9× |
| Heterophile Antibody Screen (86308) | $142.56 | $198 | 27.5× |
| Hfe Gene (81256) | $502.56 | $698 | 7.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $90 | $125 | 11.6× |
| Histoplasma antibody (86698) | $183.60 | $255 | 13.3× |
| Histoplasma antigen urine (87385) | $336.24 | $467 | 25.4× |
| Hiv Genotype (87901) | $1,926.72 | $2,676 | 7.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $182.88 | $254 | 7.6× |
| Hiv-1 Antibody (86701) | $133.20 | $185 | 15.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $475.92 | $661 | 5.6× |
| Hla Class I Typing Low Resolution Complete (81372) | $877.68 | $1,219 | 2.2× |
| Hla class i&ii antibody qual (86828) | $384.48 | $534 | 6.0× |
| Hla class ii typing high resolution one locus ea (81382) | $623.52 | $866 | 5.0× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $238.32 | $331 | 3.2× |
| Hla I Typing 1 Allele Hr (81381) | $580.32 | $806 | 3.4× |
| Hla ii type 1 ag equiv lr (81377) | $1,049.04 | $1,457 | 11.1× |
| Hla ii typing 1 allele hr (81383) | $1,049.04 | $1,457 | 9.6× |
| Hla ii typing 1 locus lr (81376) | $372.96 | $518 | 3.1× |
| Hla-b27 (86812) | $184.32 | $256 | 7.1× |
| Homocysteine (83090) | $181.44 | $252 | 10.1× |
| Homogenization Tissue (87176) | $59.76 | $83 | 10.2× |
| Hpa-1 genotyping gene analysis common variant (81105) | $463.68 | $644 | 3.8× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$187.20–$205.92 | $260–$286 | varies |
| Hpv Types 16 & 18 Only (87625) | $177.84 | $247 | 4.4× |
| Hsv Dna Amp Probe (87529) | $251.28 | $349 | 7.2× |
| Hsv Dna Quant (87530) | $238.32 | $331 | 5.6× |
| Hydroxycorticosteroids 17 (83491) | $22.32 | $31 | 1.2× |
| Hydroxyprogesterone 17-d (83498) | $34.56 | $48 | 1.3× |
| Hydroxyproline total (83505) | $129.60 | $180 | 5.3× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $113.04 | $157 | 9.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $101.52 | $141 | 9.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $74.88 | $104 | 2.1× |
| Iaad ia shiga-like toxin (87427) | $129.60 | $180 | 10.8× |
| Iaad Ia Streptococcus Group A (87430) | $95.04 | $132 | 5.7× |
| Iaadi not otherwise specified each organism (87299) | $58.32 | $81 | 3.6× |
| Iaadi pneumocustis carinii (87281) | $25.92 | $36 | 2.2× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $117.36 | $163 | 9.8× |
| Iaadi Varicella Zoster Virus (87290) | $58.32 | $81 | 4.3× |
| Iaadiadoo trichomonas vaginalis (87808) | $139.68 | $194 | 9.1× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $223.92 | $311 | 6.4× |
| Iadna Candida Species Amplified Probe Tq (87481) | $199.44 | $277 | 5.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 3 matching MRF lines |
$120.24–$207.36 | $167–$288 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $304.56 | $423 | 8.7× |
| Iadna Cytomegalovirus Quantification (87497) | $174.96 | $243 | 4.1× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $223.92 | $311 | 6.4× |
| Iadna hepatitis b virus amplified probe tq (87516) | $804.96 | $1,118 | 22.9× |
| Iadna Hepatitis B Virus Quantification (87517) | $365.04 | $507 | 8.5× |
| Iadna Herpes Virus-6 Quantification (87533) | $489.60 | $680 | 11.7× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $293.76 | $408 | 8.4× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $94.32 | $131 | 2.7× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $385.20 | $535 | 9.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 3 matching MRF lines |
$211.68–$234 | $294–$325 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $191.52 | $266 | 5.5× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $82.08 | $114 | 1.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $464.40 | $645 | 3.3× |
| Idh1 common variants (81120) | $834.48 | $1,159 | 4.3× |
| Ig Light Chains Free Each (83521) | $57.60 | $80 | 3.3× |
| Igg subclasses (82787) | $107.28 | $149 | 13.4× |
| Igh gene rearrange amp meth (81261) | $883.44 | $1,227 | 4.5× |
| Igk rearrangeabn clonal pop (81264) | $710.64 | $987 | 4.1× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $393.84 | $547 | 1.0× |
| Immune Complex Assay (86332) | $102.24 | $142 | 4.2× |
| Immunfix e-phorsis/urine/csf (86335) | $288.72 | $401 | 9.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$187.20–$1,812.96 | $260–$2,518 | varies |
| Immunoassay infectious agent (86318) | $36.72 | $51 | 2.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $16.56 | $23 | 1.1× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$171.36–$1,159.92 | $238–$1,611 | varies |
| Immunodiffusion not elsewhere specified (86329) | $18 | $25 | 1.3× |
| Immunodiffusion Ouchterlony (86331) | $86.40 | $120 | 7.2× |
| Immunofixation electrophoresis (86334) | $288.72 | $401 | 12.9× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $990.72 | $1,376 | 5.4× |
| Immunohistochemistry (88342) | $277.20 | $385 | 1.5× |
| In situ hybridization 1st probe stain (88365) | $555.84 | $772 | 3.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $221.76 | $308 | 3.2× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $70.56 | $98 | 4.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) | $75.60 | $105 | 1.8× |
| Influenza assay w/optic (87804) | $186.48 | $259 | 11.3× |
| Influenza DNA amp probe (87502) | $149.76 | $208 | 1.6× |
| Inhibin A (86336) | $122.40 | $170 | 7.9× |
| Inhibin b (83520) | $208.08 | $289 | 12.0× |
| Insitu hybridization manual (88368) | $453.60 | $630 | 1.2× |
| Insulin antibodies (86337) | $411.12 | $571 | 19.2× |
| Insulin free (83527) | $90.72 | $126 | 7.0× |
| Insulin total (83525) | $100.80 | $140 | 8.8× |
| Intrinsic factor antibody (86340) | $83.52 | $116 | 5.5× |
| Iron (83540) | $107.28 | $149 | 16.6× |
| Iron Binding Capacity (83550) | $43.92 | $61 | 5.0× |
| Islet cell antibody (86341) | $132.48 | $184 | 5.6× |
| Jak2 gene analysis p.val617phe variant (81270) | $1,044 | $1,450 | 11.4× |
| Jak2 Gene Trgt Sequence Alys (81279) | $566.64 | $787 | 3.1× |
| Ketosteroids 17 total (83586) | $68.40 | $95 | 5.3× |
| Kit Gene Analysis D816 Variant(S) (81273) | $628.56 | $873 | 5.0× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $894.96 | $1,243 | 2.7× |
| Koh Prep (87220) range across 2 matching MRF lines |
$55.44–$60.48 | $77–$84 | varies |
| L/s ratio (83661) | $396 | $550 | 18.0× |
| Lactate (ld) (ldh) enzyme (83615) | $87.12 | $121 | 14.4× |
| Lactoferrin fecal qualitative (83630) | $43.20 | $60 | 2.2× |
| Lamellar Body Count (83664) | $53.28 | $74 | 2.8× |
| Ldh Isoenzymes (83625) | $119.52 | $166 | 9.3× |
| LDL direct (83721) | $73.44 | $102 | 7.0× |
| Lead (83655) | $48.24 | $67 | 4.0× |
| Legionella antibody (86713) | $126 | $175 | 8.2× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$35.28–$150.48 | $49–$209 | varies |
| Leukocyte Assessment Fecal (89055) | $48.24 | $67 | 11.3× |
| Leukocyte Histamine Release (86343) | $238.32 | $331 | 19.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $74.88 | $104 | 2.4× |
| Level ii surg pathology grossµscopic exam (88302) | $174.24 | $242 | 4.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$598.32–$730.80 | $831–$1,015 | varies |
| Lidocaine (80176) | $77.04 | $107 | 5.2× |
| Lipase (83690) range across 2 matching MRF lines |
$122.40–$148.32 | $170–$206 | varies |
| Lithium (80178) | $60.48 | $84 | 9.1× |
| Luteinizing Hormone (Lh) (83002) | $62.64 | $87 | 3.4× |
| Lyme disease antibody (86618) | $160.56 | $223 | 9.4× |
| Lysozyme serum (85549) | $66.96 | $93 | 3.6× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $596.16 | $828 | 3.3× |
| M/phmtrc alys ishquant/semiq (88374) | $596.16 | $828 | 3.3× |
| Magnesium Urine (83735) | $105.12 | $146 | 15.7× |
| Mass Spectrometry Quant (83789) | $318.96 | $443 | 13.2× |
| Mercury urine (83825) | $77.04 | $107 | 4.7× |
| Mgmt methylation analysis (81287) | $546.48 | $759 | 4.4× |
| Microalbumin, quantitative (82043) | $95.04 | $132 | 16.4× |
| Microsomal Antibodies Each (86376) | $155.52 | $216 | 10.7× |
| Mitochondrial Antibody Each (86381) | $32.40 | $45 | 1.3× |
| Mlh1 Gene (81288) | $720.72 | $1,001 | 3.7× |
| Mog-Igg1 Antb Cba Each (86362) | $951.12 | $1,321 | 78.9× |
| Molecular Cytogenetics Dna Probe Each (88271) | $566.64 | $787 | 26.5× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $297.36 | $413 | 7.0× |
| Molecular Pathology Procedure Level 3 (81402) | $748.80 | $1,040 | 5.0× |
| Molecular Pathology Procedure Level 6 (81405) | $1,188.72 | $1,651 | 3.9× |
| Mononuclear cell antigen (86356) | $172.08 | $239 | 6.4× |
| Mopath procedure level 1 (81400) | $573.84 | $797 | 9.0× |
| Mopath procedure level 2 (81401) | $1,007.28 | $1,399 | 7.4× |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$634.32–$662.40 | $881–$920 | varies |
| Mopath procedure level 5 (81404) | $346.32 | $481 | 1.3× |
| Mopath procedure level 7 (81406) | $7,308.72 | $10,151 | 25.8× |
| Mopath procedure level 8 (81407) | $1,506.96 | $2,093 | 1.8× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $617.04 | $857 | 3.3× |
| Mrsa Pcr (87641) range across 3 matching MRF lines |
$73.44–$217.44 | $102–$302 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $443.52 | $616 | 6.8× |
| Mumps antibody (86735) | $110.88 | $154 | 8.5× |
| Mycobacteric Identification (87118) | $126 | $175 | 8.6× |
| Mycoplasma antibody (86738) | $92.16 | $128 | 7.0× |
| Mycoplasma culture (87109) | $122.40 | $170 | 8.0× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $687.60 | $955 | 3.9× |
| Myelin basic protein csf (83873) | $66.96 | $93 | 3.9× |
| Myoglobin urine (83874) | $77.04 | $107 | 6.0× |
| Natriuretic peptide (83880) | $154.80 | $215 | 3.9× |
| Neutralization Test Viral (86382) | $167.76 | $233 | 9.9× |
| Nfct ds bv&vaginitis DNA alg (81515) | $378.72 | $526 | 1.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $255.60 | $355 | 3.5× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $770.40 | $1,070 | 6.0× |
| Niacin (84591) | $61.20 | $85 | 3.6× |
| Nk cells total count (86357) | $208.08 | $289 | 5.5× |
| Nuclear antigen antibody (86235) | $162 | $225 | 9.0× |
| Occult blood feces (82272) | $36 | $50 | 8.5× |
| Occult Blood Other Sources (82271) | $23.04 | $32 | 4.3× |
| Oligoclonal bands (83916) | $90 | $125 | 3.3× |
| Organic acids urine (83918) | $290.88 | $404 | 12.3× |
| Osmolality serum (83930) | $73.44 | $102 | 11.1× |
| Osmolality Urine (83935) | $108.72 | $151 | 15.9× |
| Osteocalcin (83937) | $88.56 | $123 | 3.0× |
| Ova and parasites smears (87177) | $93.60 | $130 | 10.5× |
| Oxalate urine (83945) | $187.92 | $261 | 13.0× |
| Pancreatic Elastase Fecal (82656) | $159.12 | $221 | 13.8× |
| Particle Agglutination Screen Each Antibody (86403) | $129.60 | $180 | 11.2× |
| Parvovirus antibody (86747) | $122.40 | $170 | 8.1× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $1,103.04 | $1,532 | 3.3× |
| Ph urine (81003) | $66.24 | $92 | 29.4× |
| Phenobarbital Level (80184) | $172.80 | $240 | 11.3× |
| Phenotype Infect Agent Drug (87900) | $142.56 | $198 | 1.1× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$107.28–$109.44 | $149–$152 | varies |
| Phenytoin (Dilantin) (80185) | $182.16 | $253 | 13.7× |
| Phenytoin free (80186) | $138.24 | $192 | 10.0× |
| Phosphatase acid prostatic (84066) | $57.60 | $80 | 6.0× |
| Phosphatase alkaline (84075) | $83.52 | $116 | 16.1× |
| Phospholipid Neutralization Hexagonal (85598) | $57.60 | $80 | 3.2× |
| Phosphorus Serum (84100) | $77.76 | $108 | 16.4× |
| Phosphorus urine (84105) | $46.80 | $65 | 8.1× |
| Pinworm exam (87172) | $64.08 | $89 | 15.0× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$64.80–$87.12 | $90–$121 | varies |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$246.96–$262.08 | $343–$364 | varies |
| Platelet count automated (85049) | $62.64 | $87 | 14.0× |
| Platelet neutralization (85597) | $64.80 | $90 | 3.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $71.28 | $99 | 4.8× |
| Potassium Urine (84133) | $61.20 | $85 | 12.9× |
| Prealbumin (84134) | $106.56 | $148 | 7.3× |
| Pregnenolone (84140) | $77.76 | $108 | 3.8× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $216 | $300 | 1.2× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $86.40 | $120 | 1.4× |
| Pretx serum rbc antibody identification dilution (86976) | $38.88 | $54 | 1.3× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$68.40–$249.12 | $95–$346 | varies |
| Progesterone (84144) | $87.84 | $122 | 4.2× |
| Prolactin (84146) | $174.24 | $242 | 9.0× |
| Protein body fluid (84157) | $64.80 | $90 | 16.2× |
| Protein C Activity (85303) | $208.08 | $289 | 15.0× |
| Protein c antigen (85302) | $71.28 | $99 | 5.9× |
| Protein Electrophoresis Urine (84166) | $78.48 | $109 | 4.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $117.36 | $163 | 10.9× |
| Protein S Free (85306) | $35.28 | $49 | 2.3× |
| Protein s total (85305) | $208.08 | $289 | 17.9× |
| Protein total serum (84155) | $72.72 | $101 | 19.8× |
| Protein Total Urine (84156) | $79.20 | $110 | 21.6× |
| Protein Western Blot Test (84182) | $240.48 | $334 | 8.2× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $74.88 | $104 | 19.0× |
| PSA free (84154) | $175.68 | $244 | 9.6× |
| Pth Intact (83970) | $164.16 | $228 | 4.0× |
| Q Fever Antibody (86638) | $36 | $50 | 3.0× |
| Quantiferon tb gold plus (86480) | $252 | $350 | 4.1× |
| Quantitative assay drug (80299) | $384.48 | $534 | 20.6× |
| Quantitative Screen Metals (83018) | $97.92 | $136 | 4.5× |
| Rbc antibody elution (86860) | $216 | $300 | 1.2× |
| Rbc antibody identification (86870) | $393.84 | $547 | 1.0× |
| Rbc antibody screen (86850) | $158.40 | $220 | 16.2× |
| Rbc pretreatment serum (86978) | $74.88 | $104 | 1.2× |
| Rbc pretx incubatj w/enzymes (86971) | $216 | $300 | 1.2× |
| Renin activity plasma (84244) | $115.20 | $160 | 5.2× |
| Resp virus 12-25 targets (87633) | $1,250.64 | $1,737 | 3.0× |
| Resp Virus 6-11 Targets (87632) range across 3 matching MRF lines |
$847.44–$950.40 | $1,177–$1,320 | varies |
| Reticulocyte Count (85046) | $43.92 | $61 | 7.9× |
| Reticulocyte separation (86972) | $216 | $300 | 1.2× |
| Rh (86901) | $75.60 | $105 | 25.3× |
| Rheumatoid Factor Qualitative (86430) | $90.72 | $126 | 14.8× |
| Rheumatoid factor quant (86431) | $181.44 | $252 | 32.0× |
| Rickettsia antibody (86757) | $97.92 | $136 | 5.1× |
| Ristocetin cofactor (85245) | $150.48 | $209 | 6.6× |
| Rotavirus ag eia (87425) | $82.08 | $114 | 6.9× |
| Rpr qualitative (86592) | $99.36 | $138 | 23.3× |
| Rsv Assay W/Optic (87807) | $148.32 | $206 | 11.3× |
| Rubella Antibody (86762) | $105.12 | $146 | 7.3× |
| Rubeola antibody (86765) | $84.24 | $117 | 6.5× |
| Russell Viper Venom Time Diluted (85613) | $72.72 | $101 | 7.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 6 matching MRF lines |
$54–$382.32 | $75–$531 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $105.12 | $146 | 2.5× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $103.68 | $144 | 2.5× |
| 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) | $53.28 | $74 | 19.7× |
| Selenium (84255) | $53.28 | $74 | 2.1× |
| Semen Anal Sperm Detection (89321) | $92.88 | $129 | 7.7× |
| Semen analysis complete (89320) | $354.24 | $492 | 28.8× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$134.64–$268.56 | $187–$373 | varies |
| Serpina 1 gene (81332) | $418.32 | $581 | 9.6× |
| Sex Hormone Binding Globulin (84270) | $34.56 | $48 | 1.6× |
| Sickling of rbc reduction (85660) | $72.72 | $101 | 13.2× |
| Sirolimus (80195) | $103.68 | $144 | 7.6× |
| Smear acid fast (87206) | $89.28 | $124 | 16.6× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$70.56–$84.24 | $98–$117 | varies |
| Smear Special Stain (87207) | $85.68 | $119 | 14.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $51.12 | $71 | 8.8× |
| So neo gsap DNA aly cpy nmbrµsatellite ins (81458) | $2,304 | $3,200 | 2.2× |
| Sodium Serum (84295) | $67.68 | $94 | 14.1× |
| Sodium Urine (84300) | $61.20 | $85 | 12.1× |
| Soluble Transferrin Receptor (84238) | $360 | $500 | 9.8× |
| Somatomedin (84305) | $164.16 | $228 | 7.7× |
| Special Stains Group 1 (88312) | $203.76 | $283 | 3.6× |
| Special Stains Group 2 (88313) | $190.80 | $265 | 1.3× |
| Specimen infect agnt concntj (87015) | $154.08 | $214 | 23.1× |
| Spectrophotometry (84311) | $126.72 | $176 | 15.6× |
| Staph a DNA amp probe (87640) | $177.84 | $247 | 5.1× |
| Stool cultr aerobic bact ea (87046) | $45.36 | $63 | 4.8× |
| Strep a assay w/optic (87880) | $56.88 | $79 | 3.4× |
| Strep a DNA amp probe (87651) | $151.92 | $211 | 4.3× |
| Sugars Single Qual (84376) | $33.84 | $47 | 6.2× |
| Sulfate urine (84392) | $25.92 | $36 | 4.7× |
| Surg path level iii (88304) | $198 | $275 | 3.5× |
| Surgical pathology level IV (88305) | $351.36 | $488 | 6.3× |
| Surgical pathology level vi (88309) | $931.68 | $1,294 | 1.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$25.92–$72.72 | $36–$101 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $98.64 | $137 | 13.2× |
| Syphilis Test Non-Trep Quant (86593) | $66.96 | $93 | 15.2× |
| T cells absolute cd4 count (86361) | $177.12 | $246 | 6.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $275.04 | $382 | 5.9× |
| T cells total count (86359) | $162 | $225 | 4.3× |
| T3 Free (84481) | $119.52 | $166 | 7.1× |
| T3 reverse (84482) | $293.76 | $408 | 18.6× |
| T3 Total (84480) | $51.12 | $71 | 3.6× |
| T3 Uptake (84479) | $84.24 | $117 | 13.0× |
| T4 Free (84439) | $127.44 | $177 | 14.1× |
| T4 total (84436) | $53.28 | $74 | 7.8× |
| Tacrolimus (80197) | $80.64 | $112 | 5.9× |
| Tau phosphorylated each (84393) | $324 | $450 | 2.5× |
| Tert gene targeted seq alys (81345) | $342 | $475 | 1.8× |
| Testosterone total (84403) | $163.44 | $227 | 6.3× |
| Testosterone, Free (84402) | $200.16 | $278 | 7.9× |
| Tetanus antibody (86774) | $118.08 | $164 | 8.0× |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $2,255.04 | $3,132 | 3.8× |
| Theophylline (80198) | $172.80 | $240 | 12.2× |
| Thiocyanate (84430) | $291.60 | $405 | 25.1× |
| Thrombin Time (85670) | $89.28 | $124 | 15.5× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $7.92 | $11 | 1.2× |
| Thyroglobulin (84432) | $120.24 | $167 | 7.5× |
| Thyroglobulin Antibody (86800) | $154.80 | $215 | 9.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $72 | $100 | 1.4× |
| Thyroxine binding globulin (84442) | $23.04 | $32 | 1.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $28.08 | $39 | 2.4× |
| Tissue Culture (88233) | $177.12 | $246 | 1.3× |
| Tissue Culture Amniotic Fluid (88235) | $446.40 | $620 | 3.0× |
| Tissue culture bone marrow (88237) | $460.08 | $639 | 3.2× |
| Tissue Culture Lymphocyte (88230) | $406.80 | $565 | 3.5× |
| Tobramycin peak (80200) | $149.76 | $208 | 9.3× |
| Topiramate (80201) | $116.64 | $162 | 9.8× |
| Total Tau (84394) | $511.20 | $710 | 4.0× |
| Touch prep (88161) | $169.92 | $236 | 5.5× |
| Toxoplasma ab igm (86778) | $207.36 | $288 | 14.4× |
| Toxoplasma antibody (86777) | $207.36 | $288 | 14.4× |
| Tp53 gene analysis targeted sequence analysis (81352) | $1,349.28 | $1,874 | 4.1× |
| Tpmt gene com variants (81335) | $614.88 | $854 | 3.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $103.68 | $144 | 20.0× |
| Transferrin (84466) | $94.32 | $131 | 7.4× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $864 | $1,200 | 4.1× |
| Trg gene rearrangement anal (81342) | $753.12 | $1,046 | 3.7× |
| Trichinella Antibody (86784) | $63.36 | $88 | 5.0× |
| Trichomonas vagin dir probe (87660) | $44.64 | $62 | 2.2× |
| Trichomonas Vaginalis Amplif (87661) | $163.44 | $227 | 4.7× |
| Triglycerides (84478) | $144 | $200 | 25.1× |
| Troponin Quant (84484) | $145.44 | $202 | 11.7× |
| Tumor immunohistochem/comput (88361) | $476.64 | $662 | 1.2× |
| Tumor Immunohistochem/Manual (88360) | $434.16 | $603 | 2.4× |
| Ugt1a1 gene analysis common variants (81350) | $781.20 | $1,085 | 3.3× |
| Unlisted Transfusion Medicine Procedure (86999) | $79.92 | $111 | 2.6× |
| Urea nitrogen urine (84540) | $74.88 | $104 | 13.5× |
| Uric acid other source (84560) | $77.76 | $108 | 15.3× |
| Urinalysis Microscopic Only (81015) | $41.04 | $57 | 13.5× |
| Urinalysis Volume Measure (81050) | $38.88 | $54 | 10.7× |
| Urine Bacteria Culture (87088) | $144.72 | $201 | 17.9× |
| Urine Pregnancy Test (81025) | $49.68 | $69 | 5.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $157.68 | $219 | 49.7× |
| Valproic acid (80164) | $186.48 | $259 | 13.8× |
| Vancomycin (80202) | $180 | $250 | 13.3× |
| Varicella-zoster antibody (86787) | $120.96 | $168 | 9.4× |
| Vasopressin (84588) | $127.44 | $177 | 3.8× |
| Very Long Chain Fatty Acids (82726) | $154.80 | $215 | 7.8× |
| Viral Culture (87252) | $315.36 | $438 | 12.1× |
| Virus antibody nos (86790) | $347.04 | $482 | 26.9× |
| Virus inoculate tissue addl (87253) | $81.36 | $113 | 4.0× |
| Virus inoculation, shell via (87254) | $184.32 | $256 | 9.4× |
| Viscosity serum (85810) | $34.56 | $48 | 3.0× |
| Vit D 1 25-Dihydroxy (82652) | $176.40 | $245 | 4.6× |
| Vitamin A (84590) | $66.96 | $93 | 5.8× |
| Vitamin b-12 (82607) | $262.08 | $364 | 17.4× |
| Vitamin B2 (Riboflavin) (84252) | $234 | $325 | 11.6× |
| Vitamin B6 (84207) | $160.56 | $223 | 5.7× |
| Vitamin D 25-Hydroxy (82306) | $183.60 | $255 | 6.2× |
| Vitamin E (84446) | $89.28 | $124 | 6.3× |
| Vitamin K (84597) | $159.12 | $221 | 11.6× |
| Vkorc1 gene (81355) | $362.88 | $504 | 4.1× |
| Volatiles (84600) | $230.40 | $320 | 13.5× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $112.32 | $156 | 9.3× |
| Von willebrand factor ag (85246) | $150.48 | $209 | 6.6× |
| Wbc Alkaline Phosphatase Count (85540) | $89.28 | $124 | 10.4× |
| West nile virus ab igm (86788) | $83.52 | $116 | 5.0× |
| West Nile Virus Antibody (86789) | $83.52 | $116 | 5.8× |
| Western Blot Test (84181) | $151.20 | $210 | 8.9× |
| Xm Archive Tissue Molec Anal (88363) | $30.96 | $43 | 1.0× |
| Zinc (84630) | $92.88 | $129 | 8.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.