Lab & pathology prices at INTEGRIS Health Woodward

Woodward, OK · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $88.40 $442 7.9×
Abl1 gene analysis kinase domain variants (81170) $941.80 $4,709 3.1×
Acetylcholine receptor binding antibody (86041) $110.80 $554 6.0×
Acetylcholine receptor blocking antibody (86042) $110.80 $554 6.0×
Acetylcholn Rcptr Modlg Antb (86043) $110.80 $554 9.2×
Acth (82024) $371.80 $1,859 9.6×
Acth Stimulation Panel Adrenal Insufficiency (80400) $70.20 $351 2.2×
Acute hepatitis panel (80074) $383.60 $1,918 8.1×
Acylcarnitines Quant (82017) $61.80 $309 3.7×
Adenovirus antibody (86603) $14.60 $73 1.1×
Afp-l3 fraction isoform & total afp w/ratio (82107) $257.80 $1,289 4.0×
Agglutinins Febrile Each Antigen (86000) $61.40 $307 8.8×
Albumin Fluid (82042) $19.20 $96 2.5×
Albumin serum (82040) $41.40 $207 8.4×
Aldolase (82085) $38.60 $193 4.0×
Aldosterone urine (82088) $301.80 $1,509 7.4×
Alkaline phosphatase isoenzymes (84080) $150 $750 10.1×
Allergen specific ige (86003) $26.40 $132 5.1×
Allg Spec Ige Recomb Ea (86008) $20 $100 1.1×
Alpha-1-antitrypsin phenotype (82104) $79 $395 5.5×
Alpha-1-antitrypsin total (82103) $110.40 $552 8.2×
Alpha-Fetoprotein Serum (82105) $131.80 $659 7.9×
Alt (sgpt) (84460) $75.80 $379 14.3×
Aluminum (82108) $84 $420 3.3×
Amikacin trough (80150) $160.80 $804 10.7×
Amino Acids 1 Quantitative Each Specimen (82131) $909.40 $4,547 39.6×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 2 matching MRF lines
$83.80–$817.80 $419–$4,089 varies
Amino Acids Multiple Qualitative Each Specimen (82128) $406 $2,030 29.3×
Aminolevulinic acid (ala) (82135) $154.40 $772 9.4×
Ammonia (82140) $122 $610 8.4×
Amniotic fluid protein test on cervicovaginal fluid (84112)
range across 2 matching MRF lines
$109.40–$229.60 $547–$1,148 varies
Amylase urine (82150) $113.20 $566 17.5×
Ana Titer (86039)
range across 4 matching MRF lines
$26.80–$40 $134–$200 varies
Analysis skeletal muscle (88355) $227.20 $1,136 1.4×
Anca screen each antibody (86036) $52 $260 4.3×
Anca Titer Each Antibody (86037) $8 $40 0.7×
Androstenedione (82157) $59 $295 2.0×
Angiotensin converting enzyme csf (82164) $160.20 $801 11.0×
Anti-Phospholipid Antibody (86148) $64 $320 4.0×
Antibody aspergillus (86606) $16.80 $84 1.1×
Antibody Bacterium Not Elsewhere Specified (86609) $10.80 $54 0.8×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $61.80 $309 4.0×
Antibody Cytomegalovirus Cmv Igm (86645) $167.20 $836 9.9×
Antibody Encephalitis California La Crosse (86651) $21.60 $108 1.6×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $139.80 $699 10.7×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $61 $305 4.0×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $125.80 $629 6.9×
Antibody Fungus Not Elsewhere Specified (86671) $18.80 $94 1.5×
Antibody haemophilus influenza (86684) $63 $315 4.0×
Antibody helicobacter pylori (86677) $84.40 $422 5.0×
Antibody Herpes Smplx Non-Specific Type Test (86694) $103 $515 7.2×
Antibody Herpes Smplx Type 1 (86695)
range across 5 matching MRF lines
$59.40–$150 $297–$750 varies
Antibody HIV-1&HIV-2 single result (86703) $47.80 $239 3.5×
Antibody HIV-2 (86702) $59 $295 4.4×
Antibody Hla Class I High Definition Panel Qual (86832) $417.60 $2,088 1.3×
Antibody hla class ii semiquantitative panel (86835) $514.20 $2,571 1.6×
Antibody htlv/HIV antibody confirmatory test (86689) $121 $605 6.3×
Antibody identification leukocyte antibodies (86021)
range across 10 matching MRF lines
$38.80–$170.40 $194–$852 varies
Antibody plasmodium malaria (86750) $305.20 $1,526 23.1×
Antibody Protozoa Nes (86753) $12.80 $64 1.0×
Antibody Titer (86886) $110.20 $551 21.3×
Antibody Treponema Pallidum (86780)
range across 5 matching MRF lines
$94.80–$138 $474–$690 varies
Antibody; campylobacter (86625) $176.40 $882 13.4×
Antibody; encephalitis, st. louis (86653) $21.20 $106 1.6×
Antibody; influenza virus (86710)
range across 3 matching MRF lines
$37–$53.40 $185–$267 varies
Antigen typing (86905)
range across 6 matching MRF lines
$66.60–$230.80 $333–$1,154 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $141.40 $707 24.7×
Antinuclear antibodies (86038)
range across 6 matching MRF lines
$6–$183 $30–$915 varies
Antistreptolysin O Screen (86063) $79.20 $396 13.7×
Antistreptolysin o titer (86060) $56.40 $282 7.7×
Antithrombin iii activity (85300) $92.20 $461 7.8×
Antithrombin iii antigen (85301) $43 $215 4.0×
Apc gene dup/delet variants (81203) $204 $1,020 1.0×
Apc gene full sequence (81201) $792.40 $3,962 1.0×
Apolipoprotein a1 (82172) $68 $340 3.2×
Aquaporin-4 Antb Cba Each (86052) $45 $225 3.7×
Arsenic (82175) $83.20 $416 4.4×
Aspergillus ag eia (87305) $70 $350 5.8×
Assay activated protein c (85307) $61.20 $306 4.0×
Assay Blood Carbon Dioxide (82374) $41.40 $207 8.5×
Assay Blood Catecholamines (82383) $101 $505 3.5×
Assay Nephelometry Not Spec (83883) $36.60 $183 2.7×
Assay of 5-hiaa (83497) $179.20 $896 13.9×
Assay of blood/uric acid (84550) $71.60 $358 15.8×
Assay of calcium in urine (82340) $80.40 $402 13.3×
Assay of cpk in blood (82552) $105 $525 7.8×
Assay of estrone (82679) $99.20 $496 4.0×
Assay of g6pd enzyme (82955) $21.20 $106 2.2×
Assay of gammaglobulin igm (82784) $71.60 $358 7.7×
Assay of lactic acid (83605)
range across 4 matching MRF lines
$42.60–$67.80 $213–$339 varies
Assay of manganese (83785) $101 $505 3.8×
Assay of metanephrines (83835) $67.80 $339 4.0×
Assay of procainamide (80190) $61.40 $307 1.0×
Assay of proinsulin (84206) $110 $550 4.1×
Assay of pyruvate (84210) $108.40 $542 7.5×
Assay of serotonin (84260) $123.20 $616 4.0×
Assay of serum potassium (84132)
range across 3 matching MRF lines
$18.40–$56 $92–$280 varies
Assay of Sialic Acid (84275) $91.20 $456 6.8×
Assay of sweat sodium (84302) $40 $200 8.2×
Assay of transcortin (84449) $190.40 $952 10.6×
Assay of Tyrosine (84510) $35.40 $177 3.3×
Assay of urea nitrogen (84520)
range across 4 matching MRF lines
$15.60–$56 $78–$280 varies
Assay of urine vma (84585) $97 $485 6.3×
Assay of vasoactive intestinal peptide (84586) $127.60 $638 3.6×
Assay of vitamin b-1 (84425) $181.80 $909 8.6×
Assay Ph Body Fluid Nos (83986) $30.20 $151 8.4×
Assay spec xcp ur&breath ia (82077) $100.80 $504 5.8×
Asxl1 gene analysis full gene sequence (81175) $1,436.80 $7,184 2.1×
Autol Bld/Component Collj Storage Predeposited (86890) $329.60 $1,648 2.0×
Automated Leukocyte Count (85048) $52 $260 20.5×
B cells total count (86355) $150.20 $751 4.0×
Bartonella antibody (86611) $40.40 $202 4.0×
Bcr/abl1 gene major bp (81206) $652.80 $3,264 4.0×
Bcr/abl1 gene minor bp (81207) $576.60 $2,883 4.0×
Beta 2 glycoprotein i antibody each (86146)
range across 2 matching MRF lines
$12.80–$101.40 $64–$507 varies
Beta hydroxybutyrate (82010) $32.60 $163 4.0×
Beta Lactamase (87185) $23.60 $118 5.0×
Beta-2 Microglobulin (82232) $121.80 $609 7.5×
Bilirubin direct (82248) $73.80 $369 14.7×
Bilirubin total (82247)
range across 4 matching MRF lines
$42–$89.40 $210–$447 varies
Bilirubin total transcutaneous (88720) $10.60 $53 2.1×
Biotinidase (82261) $14.20 $71 0.8×
Bl Smear W/O Diff Wbc Count (85008) $13.60 $68 4.0×
Blastomyces antibody (86612) $116 $580 9.0×
Bld Typing Serologic Rh Phnt (86906) $154.40 $772 19.9×
Bleeding time test (85002) $122 $610 25.3×
Blood Count Automated Differential Wbc Count (85004) $58 $290 9.0×
Blood Count Red Blood Cell Automated (85041) $12 $60 4.0×
Blood count reticulocyte automated (85045) $15.80 $79 4.0×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $25.40 $127 6.7×
Blood count spun microhematocrit (85013) $63.60 $318 9.1×
Blood gas (82803)
range across 5 matching MRF lines
$156.80–$161.60 $784–$808 varies
Blood gases w/02 saturation (82805) $89.20 $446 1.1×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $55.60 $278 3.5×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $14.20 $71 3.2×
Blood Type Antigen Donor Reagent Serum Each (86902) $233.80 $1,169 36.8×
Blood typing serologic abo (86900)
range across 5 matching MRF lines
$66.40–$69.20 $332–$346 varies
Body fluid cell count (89050) $18.80 $94 4.0×
Bone marrow smear interpretation (85097) $2,817.40 $14,087 3.6×
Bordetella antibody (86615) $57 $285 4.3×
Braf gene analysis (81210)
range across 7 matching MRF lines
$34.60–$178.40 $173–$892 varies
Brucella antibody (86622) $53 $265 5.9×
Btk Gene Analysis Common Variants (81233) $188.60 $943 1.1×
C diff amplified probe (87493) $139.80 $699 3.8×
C-Peptide (84681) $151.60 $758 7.3×
C-reactive protein (86140) $65.20 $326 12.6×
Ca 19-9 (86301) $91.60 $458 4.4×
Caffeine (80155) $296.60 $1,483 7.7×
Calcitonin (82308) $185.20 $926 6.9×
Calcium ionized (82330) $54.40 $272 4.0×
Calcium total (82310)
range across 5 matching MRF lines
$69.20–$127.80 $346–$639 varies
Calculus Spectroscopy (82365) $169.40 $847 13.1×
Calprotectin Fecal (83993) $78.20 $391 4.0×
Calr gene com variants (81219) $484.20 $2,421 4.0×
Cancer Antigen 125 (86304) $210 $1,050 10.1×
Cancer Antigen 27.29 (86300) $139.60 $698 6.7×
Candida Dna Dir Probe (87480) $79.80 $399 4.0×
Carbamazepine total (80156) $153 $765 10.5×
Carboxyhemoglobin (82375)
range across 3 matching MRF lines
$22–$133.60 $110–$668 varies
Carcinoembryonic antigen (82378) $156.80 $784 8.3×
Cardiolipin ab iga (86147)
range across 5 matching MRF lines
$6–$189.20 $30–$946 varies
Carnitine Quantitative Each Specimen (82379) $133 $665 7.9×
Carotene (82380) $140.60 $703 15.2×
Catecholamines fractionated (82384) $188.60 $943 7.5×
Catecholamines total urine (82382) $82.20 $411 3.0×
Ccp antibody (86200)
range across 3 matching MRF lines
$6.40–$43 $32–$215 varies
Cebpa Gene Analysis Full Gene Sequence (81218) $304.20 $1,521 1.3×
Cell count csf (89051) $65.20 $326 11.6×
Cell marker study (88182) $162.80 $814 3.2×
Cellular Function Assay Stimul&Detect Biomarke (86352)
range across 4 matching MRF lines
$15.80–$428 $79–$2,140 varies
Ceruloplasmin (82390) $113.20 $566 10.5×
Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) $186.60 $933 1.1×
Cftr Gene Analysis Known Familial Variants (81221) $323 $1,615 3.3×
Cftr gene com variants (81220) $565.80 $2,829 1.0×
Cftr gene dup/delet variants (81222) $2,458.40 $12,292 5.7×
Cftr gene full sequence (81223) $745.40 $3,727 1.5×
Chemiluminescent assay (82397) $198.80 $994 14.1×
Chlamydia antibody (86631) $38.80 $194 3.3×
Chlamydia Igm Antibody (86632) $34.20 $171 2.7×
Chlmy trch&neisra gonor mult (87494) $286.80 $1,434 4.1×
Chloramphenicol level (82415) $100.60 $503 7.9×
Chloride other source (82438) $75.80 $379 15.2×
Chloride Serum (82435)
range across 3 matching MRF lines
$18.40–$44.80 $92–$224 varies
Chloride urine (82436) $34.60 $173 6.0×
Cholesterol total (82465) $53.40 $267 12.3×
Cholinesterase rbc (82482) $50.60 $253 5.2×
Cholinesterase Serum (82480) $43.60 $218 5.5×
Chorionic gonadotropin test (84702)
range across 6 matching MRF lines
$19.60–$146.60 $98–$733 varies
Chrmsm Analysis Addl Cells Counted Each Study (88285) $31.40 $157 1.2×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $43.20 $216 1.3×
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) $640 $3,200 3.7×
Chromium serum (82495) $80.80 $404 4.0×
Chromogranin a (86316) $82.80 $414 4.0×
Chromosome Analysis 15-20 (88262) $446.40 $2,232 3.6×
Chromosome Analysis 20-25 (88264)
range across 6 matching MRF lines
$40.40–$296.20 $202–$1,481 varies
Chromosome analysis, 5 (88261) $266.80 $1,334 1.0×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 8 matching MRF lines
$17.60–$118 $88–$590 varies
Citric acid urine (82507) $125.80 $629 4.5×
Ckmb (82553) $149.80 $749 13.0×
Clostridium Difficile (87324) $220.40 $1,102 18.4×
Clot Factor VIII Multimetric (85247) $521.60 $2,608 22.7×
Clotting factor viii related antigen (85244) $175.20 $876 8.6×
Clotting factor xii hageman (85280) $86.40 $432 4.5×
Clotting Funct Activity (85397)
range across 2 matching MRF lines
$157–$303.40 $785–$1,517 varies
Clotting prekallikrein assay fletcher fact assay (85292) $548 $2,740 28.9×
Cns DNA amp probe type 12-25 (87483) $654.20 $3,271 1.6×
Coagulation time activated (85347) $28 $140 6.5×
Coccidioides antibody (86635) $73.80 $369 6.4×
Cold agglutinin screen (86156) $115.20 $576 14.3×
Cold agglutinin titer (86157) $88.40 $442 11.0×
Collagen crosslinks (82523) $35.40 $177 1.9×
Column Chromotography Quant (82542)
range across 11 matching MRF lines
$77.60–$80.20 $388–$401 varies
Compatibility test antiglob (86922) $200.80 $1,004 1.2×
Complement Antigen Each Component (86160)
range across 12 matching MRF lines
$6–$112.80 $30–$564 varies
Complement Fixation Tests Each Antigen (86171) $70.20 $351 7.0×
Complement Total (Ch50) (86162) $168.80 $844 8.3×
Complement/Function Activity (86161) $113 $565 9.4×
Consltj&Reprt Material Requiring Prepj Slides (88323) $32.60 $163 0.6×
Consltj&Reprt Slides Prepared Elsewhere (88321) $99.60 $498 2.8×
Coombs direct (86880) $82 $410 15.2×
Copper urine (82525) $105.20 $526 8.5×
Cortisol free (82530) $66.60 $333 4.0×
Cortisol saliva (82533) $121.60 $608 7.5×
Creatine kinase total (82550) $75.80 $379 11.6×
Creatinine blood (82565) $34.20 $171 6.7×
Creatinine clearance (82575) $160.20 $801 16.9×
Creatinine Urine (82570)
range across 10 matching MRF lines
$20.60–$59.40 $103–$297 varies
Crossmatch electronic (86923) $84.80 $424 0.5×
Crossmatch immediate spin (86920) $93.80 $469 0.6×
Crp High Sensitivity (86141) $103 $515 8.0×
Cryofibrinogen (82585) $48 $240 3.4×
Cryoglobulin (82595) $13.20 $66 2.0×
Cryptococcus ab (86641) $119.20 $596 8.3×
Cryptococcus ag titer (87899) $28.60 $143 1.8×
Cryptosporidium (87272) $156 $780 13.0×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines
$32.20–$89.40 $161–$447 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $32.20 $161 4.0×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $30.60 $153 4.0×
Culture aerobic quant other (87071) $153.60 $768 15.5×
Culture afb (87116) $163.20 $816 15.1×
Culture Anaerobic (87075) $34.80 $174 3.7×
Culture blood (87040)
range across 2 matching MRF lines
$53.80–$161.60 $269–$808 varies
Culture chlamydia (87110) $75 $375 3.8×
Culture csf (87070)
range across 32 matching MRF lines
$29.20–$102.40 $146–$512 varies
Culture fungus (87102) $125 $625 14.9×
Culture fungus blood (87103) $161.60 $808 7.9×
Culture screen only (87081)
range across 9 matching MRF lines
$21–$44 $105–$220 varies
Culture stool (87045) $90.60 $453 9.6×
Culture typing if ea antiserum (87140) $68 $340 12.2×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $27.80 $139 5.4×
Culture urine (87086) $138.60 $693 17.2×
Cyanide (82600) $92.40 $462 4.8×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $62.20 $311 4.3×
Cyclic amp (82030) $180.60 $903 7.0×
Cyclosporine (80158) $159.60 $798 8.8×
Cyp2c19 gene analysis common variants (81225) $527.60 $2,638 1.8×
Cyp2c9 gene com variants (81227) $461.60 $2,308 2.6×
Cyp2d6 gene com variants (81226) $458.60 $2,293 1.0×
Cystatin C (82610) $59.60 $298 3.2×
Cytogenetics 100-300 (88275)
range across 77 matching MRF lines
$13–$165 $65–$825 varies
Cytogenom Const Microarray Copy Number Variants (81228) $1,829 $9,145 2.0×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,720.60 $8,603 1.5×
Cytomegalovirus igg (86644) $124.80 $624 8.7×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $40.40 $202 2.0×
Cytopath Cell Enhance Tech (88112) $130.40 $652 2.6×
Cytotoxic Antibody Screen Std (86807) $294.80 $1,474 3.7×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $43.20 $216 1.6×
Cytp Concentration Smears & Interpretation (88108) $102.60 $513 2.8×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $57.60 $288 1.1×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $102.40 $512 0.6×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $75 $375 2.1×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $87 $435 0.5×
Cytp smrs any oth src extnd std > 5 slides (88162) $72.40 $362 1.4×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $36.60 $183 1.3×
Cytp Urine 3-5 Probes Cmptr (88121) $162.20 $811 1.0×
Deoxycortisol (82634) $173.40 $867 5.9×
Deoxyribonuclease antibody (86215) $28.60 $143 2.2×
Desoxycorticosterone (82633) $517.80 $2,589 16.7×
Detect Agent Nos Dna Amp (87798)
range across 26 matching MRF lines
$17.60–$115 $88–$575 varies
Detect Agent Nos Dna Quant (87799)
range across 28 matching MRF lines
$93–$237.40 $465–$1,187 varies
Detect agnt mult DNA ampli (87801)
range across 4 matching MRF lines
$27.60–$283.60 $138–$1,418 varies
Dgp Antibody Each Ig Class (86258) $512 $2,560 42.5×
Dhea (82626) $100.60 $503 4.0×
Dhea-S (82627) $192.60 $963 8.7×
Dibucaine number (82638) $136.40 $682 11.1×
Digoxin (80162) $75.40 $377 5.7×
Dihydrotestosterone (82642) $48.20 $241 1.6×
Diphtheria antitoxoid (86648) $60.40 $302 4.0×
Dipropylacetic Acid Free (80165) $53.80 $269 4.0×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines
$38–$172.60 $190–$863 varies
Dna Antibody Single Stranded (86226) $48.20 $241 4.0×
Dna/Rna Amplified Probe (87150) $49.80 $249 1.4×
DNA/RNA direct probe (87149) $79.80 $399 4.0×
Dpyd gene common variants (81232) $282.80 $1,414 1.6×
Drug assay acetaminophen (80143) $100.80 $504 5.4×
Drug Assay Amiodarone (80151) $29.80 $149 1.6×
Drug Assay Everolimus (80169) $378 $1,890 27.5×
Drug assay felbamate (80167) $29.80 $149 1.6×
Drug Assay Itraconazole (80189) $31.40 $157 1.2×
Drug Assay Lacosamide (80235) $37.80 $189 1.4×
Drug Assay Posaconazole (80187) $38.20 $191 1.4×
Drug assay voriconazole (80285) $38.20 $191 1.4×
Drug Screen Quant Zonisamide (80203) $52.80 $264 4.0×
Drug Screen Quantitative Gabapentin (80171) $185.20 $926 8.5×
Drug Screen Quantitative Lamotrigine (80175) $52.80 $264 4.0×
Drug Screen Quantitative Levetiracetam (80177) $56 $280 4.2×
Drug Screen Quantitative Oxcarbazepine (80183) $259.40 $1,297 19.6×
Drug Test Prsmv Chem Anlyzr (80307)
range across 29 matching MRF lines
$31–$500.60 $155–$2,503 varies
Drug Test Prsmv Dir Opt Obs (80305) $43.40 $217 3.4×
Egfr Gene Analysis Common Variants (81235) $418 $2,090 1.3×
Ehrlichia antibody (86666)
range across 4 matching MRF lines
$30–$63.40 $150–$317 varies
El-1 Fecal Quantitative (82653) $15 $75 0.7×
Electrolyte panel (80051) $85 $425 12.1×
Electron Microscopy (88348) $544.80 $2,724 0.7×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $103.20 $516 1.7×
Encephaltis East Eqne Anbdy (86652) $21.60 $108 1.6×
Encephaltis West Eqne Antbdy (86654) $22 $110 1.7×
Endomysial Antibody Each Immunoglobulin Class (86231) $79.20 $396 6.6×
Enterovirus Antibody (86658) $26.20 $131 2.0×
Enterovirus PCR (87498) $139.80 $699 4.0×
Enzyme cell activity (82657) $15.80 $79 0.7×
Enzyme histochemistry (88319) $422.80 $2,114 0.5×
Eosinophil Smear (89190) $77.40 $387 13.4×
Erythropoietin (82668) $181.80 $909 9.7×
Estradiol serum (82670) $282.80 $1,414 10.1×
Estriol (82677) $42.20 $211 1.7×
Estrogen total (82672) $39 $195 1.8×
Ethosuximide (80168) $65 $325 4.0×
Ethylene Glycol (82693) $59.20 $296 4.0×
Euglobulin lysis (85360) $345.60 $1,728 41.1×
Exam Synovial Fluid Crystals (89060) $80.40 $402 11.0×
Exome Sequence Analysis (81415) $1,653.20 $8,266 0.3×
Exome sequence analysis each comparator exome (81416)
likely a partial charge, not the full procedure
$1,653.20 $8,266 0.1×
Ezh2 gene analysis full gene sequence (81236) $304.20 $1,521 1.1×
F2 Gene (81240) $76.80 $384 1.2×
Factor ii activity (85210) $51.80 $259 4.0×
Factor Inhibitor Test (85335) $162.20 $811 12.6×
Factor ix activity (85250) $37.20 $186 2.0×
Factor v activity (85220) $196.60 $983 11.1×
Factor v leiden mutation (81241) $95 $475 1.3×
Factor vii assay (85230) $129.40 $647 7.2×
Factor viii assay (85240) $24.40 $122 1.4×
Factor X (85260) $165 $825 9.2×
Factor xi activity (85270) $100.20 $501 5.6×
Factor xiii screen (85291) $113.80 $569 12.5×
Fat stain feces urine/respir secretions (89125) $44.80 $224 7.6×
Fat/Lipids Feces Quantitative (82710) $269 $1,345 16.0×
Fatty acids free (82725) $372.60 $1,863 19.9×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $467.80 $2,339 60.7×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $96.20 $481 5.6×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $303.40 $1,517 46.5×
Fecal Fat Qualitative (82705) $83.20 $416 16.3×
Ferritin (82728) $82.40 $412 6.0×
Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) $247.80 $1,239 3.6×
Fetal Fibronectin (82731) $256.40 $1,282 4.0×
Fetal hemoglobin assay qual (83033) $91.60 $458 11.5×
Fetal Lung Maturity Fluorescence Polarization (83663) $254.20 $1,271 13.4×
Fetal screen rosette (85461) $80.40 $402 8.6×
Fibrin degradation products (85362) $27.40 $137 4.0×
Fibrin Degradation Quant (85379) $101.60 $508 10.0×
Fibrinogen activity (85384) $106.80 $534 11.0×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $152 $760 9.8×
Flow cytometry first marker (88184)
range across 13 matching MRF lines
$176.60–$694.60 $89–$3,473 varies
Flt3 Gene (81245) $168.20 $841 1.0×
Flt3 gene analysis (81246) $150.80 $754 1.8×
Fluorescent antibody screen (86255)
range across 29 matching MRF lines
$6–$143 $30–$715 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 11 matching MRF lines
$9.20–$48 $46–$240 varies
Fmr1 gene detection (81243) $303.40 $1,517 5.3×
Folic acid rbc (82747) $182.80 $914 10.4×
Folic Acid Serum (82746) $109 $545 7.4×
Follicle Stimulating Hormone (83001) $229.20 $1,146 12.3×
Francisella tularensis (86668) $71.40 $357 5.0×
Fresh Frozen Plasma Thawing Each Unit (86927) $231 $1,155 1.4×
Frozen Section (88331) $103 $515 0.6×
Fungi Identification Mold (87107) $77 $385 7.5×
Fungi Identification Yeast (87106)
range across 3 matching MRF lines
$41–$77 $205–$385 varies
G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) $82 $410 1.4×
Galactokinase rbc (82759) $1,555.20 $7,776 72.4×
Galactose (82760) $40 $200 3.6×
Gammaglobulin ige (82785) $160.20 $801 9.7×
Gases Blood O2 Saturation Only Direct Meas (82810) $59.60 $298 6.1×
Gases blood ph only (82800)
range across 5 matching MRF lines
$71.60–$72.80 $358–$364 varies
Gastrin (82941) $130.20 $651 7.4×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $52 $260 0.1×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $3,383.40 $16,917 4.5×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $3,011.20 $15,056 1.0×
Genet Virus Isolate Hsv (87255) $134.80 $674 4.0×
Genetic Tstg Severe Inh Cond (81443) $1,083 $5,415 0.4×
Gentamicin (80170) $57 $285 3.5×
Ggt (82977) $84.40 $422 11.7×
Giardia antigen (87329) $47.80 $239 4.0×
Giardia lamblia antibody (86674) $90.40 $452 6.1×
Glucagon (82943) $372.20 $1,861 26.0×
Glucose 2 hr pp (82950) $51.80 $259 10.9×
Glucose Blood Test (82962) $23 $115 7.0×
Glucose body fluid (82945) $63.80 $319 16.2×
Glucose Serum (82947) $106.80 $534 27.2×
Glucose tolerance test (gtt) (82951) $130.80 $654 10.2×
Glycated Protein (82985) $103 $515 6.1×
Gonadotropin Chorionic Qualitative (84703) $127.80 $639 17.0×
Growth hormone (83003) $153.40 $767 9.2×
Gtt-added samples (82952) $40 $200 10.2×
H Pylori (C-13) Breath (83013) $268.20 $1,341 4.0×
Haloperidol (80173) $58 $290 3.7×
Haptoglobin (83010) $103 $515 8.2×
Hdl Cholesterol (83718) $67.80 $339 8.3×
Helicobacter Pylori Stool (87338) $25.80 $129 1.8×
Helminth Antibody (86682) $57 $285 4.4×
Hematocrit (85014)
range across 3 matching MRF lines
$9.40–$15.20 $47–$76 varies
Hemoglobin (85018)
range across 2 matching MRF lines
$15.20–$42.80 $76–$214 varies
Hemoglobin a1c (83036) $106.80 $534 11.0×
Hemoglobin Chromotography (83021) $72 $360 4.0×
Hemoglobin electrophoresis (83020) $44.80 $224 3.5×
Hemoglobin F Fetal Chemical (83030) $143.80 $719 13.4×
Hemoglobin Methemoglobin Quantitative (83050)
range across 2 matching MRF lines
$36.60–$118.60 $183–$593 varies
Hemoglobin plasma (83051) $24.80 $124 3.4×
Hemoglobin quan tc per day carboxyhemoglobin (88740) $11 $55 1.2×
Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) $38.60 $193 4.1×
Hemolysin Acid (85475) $52.40 $262 5.9×
Hemosiderin urine (83070) $42.20 $211 8.9×
Hep a ab igm (86709) $138.60 $693 12.3×
Heparin assay (85520) $52.20 $261 4.0×
Hepatitis a antibody total (86708) $44 $220 3.6×
Hepatitis b core ab igm (86705) $112.80 $564 9.6×
Hepatitis b core ab total (86704) $48 $240 4.0×
Hepatitis B Surface Antibody (86706) $77 $385 7.2×
Hepatitis B Surface Antigen (87340) $67.80 $339 6.6×
Hepatitis Be Antibody (86707) $46.20 $231 4.0×
Hepatitis Be Antigen (87350) $70.20 $351 6.1×
Hepatitis C Antibody (86803) $69.20 $346 4.8×
Hepatitis c antibody confirmatory test (86804) $153 $765 9.9×
Hepatitis C Genotype (87902) $431.80 $2,159 1.7×
Hepatitis C Probe&Rvrs Trnsc (87521) $186.60 $933 5.3×
Hepatitis C Revrs Trnscrpj (87522) $259.40 $1,297 6.1×
Hepatitis delta ag (87380) $275.40 $1,377 15.0×
Hepatitis Delta Agent Antibody (86692) $48 $240 2.8×
Hereditary brst ca-related gen seq analys 10 gen (81432) $267.20 $1,336 0.2×
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) $718.60 $3,593 0.6×
Herpes simplex type 2 (86696) $77.20 $386 4.0×
Heterophile Antibody Screen (86308) $70.60 $353 13.6×
Hfe Gene (81256) $260.20 $1,301 4.0×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $202.60 $1,013 26.2×
Histamine urine (83088) $117.60 $588 4.0×
Histoplasma antibody (86698) $54.20 $271 3.9×
Histoplasma antigen urine (87385) $47.80 $239 3.6×
Hiv Genotype (87901) $935.60 $4,678 3.6×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $31.40 $157 1.3×
Hiv-1 Antibody (86701) $18 $90 2.0×
Hiv-1 Quant&Revrse Trnscrpj (87536) $322 $1,610 3.8×
HIV-2 probe&revrse trnscripj (87538) $42 $210 1.2×
Hla class i semiquant panel (86834) $570.20 $2,851 1.6×
Hla class i&ii antibody qual (86828) $102.80 $514 1.6×
Hla class ii high defin qual (86833) $420.80 $2,104 1.3×
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $817.20 $4,086 7.5×
Hla I Typing 1 Allele Hr (81381) $173 $865 1.0×
Hla ii typing 1 allele hr (81383) $137 $685 1.3×
Hla Typing a/B/C Multiple Antigens (86813) $911.20 $4,556 15.7×
Hla Typing Dr/Dq Multiple Antigens (86817) $585 $2,925 5.5×
Hla-b27 (86812) $176.20 $881 6.8×
Homocysteine (83090) $153.40 $767 8.6×
Homovanillic acid urine (83150) $821 $4,105 36.6×
Hpv High-Risk Types (87624) $139.80 $699 4.0×
Hsv Dna Amp Probe (87529)
range across 8 matching MRF lines
$17.60–$37.80 $88–$189 varies
Hsv Dna Quant (87530) $157.40 $787 3.7×
Htlv-I Antibody (86687) $91.60 $458 10.1×
Htt Gene Detc Abnor Alleles (81271) $255.40 $1,277 1.9×
Hydroxycorticosteroids 17 (83491) $312.60 $1,563 17.5×
Hydroxyprogesterone 17-d (83498) $137.60 $688 5.1×
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) $433 $2,165 36.1×
Iaad Ia Cytomegalovirus (87332) $267.60 $1,338 22.3×
Iaad Ia Entamoeba Histolytica Grp (87337) $429 $2,145 35.8×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $40.80 $204 3.9×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $13.40 $67 1.0×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $41.60 $208 1.2×
Iaad ia shiga-like toxin (87427) $47.80 $239 4.0×
Iaad Ia Streptococcus Group A (87430) $54.20 $271 3.2×
Iaadi giardia (87269) $58.80 $294 4.3×
Iaadi herpes smplx virus type 1 (87274) $58.60 $293 4.9×
Iaadi inffluenza a virus (87276) $62.20 $311 3.9×
Iaadi parainfluenza virus each type (87279) $58.20 $291 3.5×
Iaadi pneumocustis carinii (87281) $221.60 $1,108 18.5×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $58.60 $293 4.9×
Iaadi respiratory synctial virus (87280) $202.40 $1,012 15.1×
Iaadi Varicella Zoster Virus (87290) $48 $240 3.6×
Iadna Bartonella Amplified Probe Technique (87471) $72 $360 2.1×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $301.80 $1,509 8.6×
Iadna Candida Species Amplified Probe Tq (87481)
range across 3 matching MRF lines
$17.60–$37.80 $88–$189 varies
Iadna chlamydia pneumoniae amplified probe tq (87486) $139.80 $699 4.0×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $154.40 $772 6.8×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $363 $1,815 10.3×
Iadna Cytomegalovirus Quantification (87497) $1,146.20 $5,731 26.8×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $218.20 $1,091 3.1×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $197.60 $988 5.6×
Iadna hepatitis b virus amplified probe tq (87516) $744.40 $3,722 21.2×
Iadna Hepatitis B Virus Quantification (87517) $170.40 $852 4.0×
Iadna Herpes Virus-6 Quantification (87533) $313.20 $1,566 7.5×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $38 $190 1.1×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $139.80 $699 4.0×
Iadna Multiple Organisms Direct Probe Tq (87800) $233.20 $1,166 5.3×
Iadna Mycobacteria Species Amplified Probe Tq (87551)
range across 2 matching MRF lines
$13.80–$84.60 $69–$423 varies
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 2 matching MRF lines
$13.80–$127.60 $69–$638 varies
Iadna mycoplsm pneumoniae amplified probe tq (87581) $139.80 $699 4.0×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 7 matching MRF lines
$17.60–$118 $88–$590 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $126.20 $631 2.5×
Idh1 common variants (81120) $392.80 $1,964 2.0×
Idh2 common variants (81121) $601.60 $3,008 2.0×
Ifnl3 gene analysis rs12979860 variant (81283) $415.80 $2,079 5.7×
Ig Light Chains Free Each (83521)
range across 2 matching MRF lines
$34.60–$114.40 $173–$572 varies
Igg subclasses (82787)
range across 3 matching MRF lines
$36.60–$207.40 $183–$1,037 varies
Igh gene rearrange amp meth (81261) $315.40 $1,577 1.6×
IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) $70.20 $351 1.0×
Igh@ Variable Region Somatic Mutation Analysis (81263) $497.80 $2,489 1.7×
Igk rearrangeabn clonal pop (81264) $195.20 $976 1.1×
Ikbkap Gene Analysis Common Variants (81260) $551.40 $2,757 14.0×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $207.20 $1,036 0.6×
Immune Complex Assay (86332) $116.60 $583 4.8×
Immunfix e-phorsis/urine/csf (86335) $208.60 $1,043 7.1×
Immunoassay Analyte Quant Radioimmunoassay (83519) $59.20 $296 3.2×
Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) $805 $4,025 31.5×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $59.60 $298 4.0×
Immunoassay nonantibody (83516)
range across 16 matching MRF lines
$41.40–$45.80 $207–$229 varies
Immunodiffusion Ouchterlony (86331) $24.20 $121 2.0×
Immunofixation electrophoresis (86334) $246.20 $1,231 11.0×
Immunofluorescence per spec 1st singl antb stain (88346) $166.60 $833 1.0×
Immunohistochemistry (88342) $130.40 $652 0.8×
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines
$23–$101.60 $115–$508 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $26.80 $134 1.7×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $68.40 $342 4.7×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $62.20 $311 5.1×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511)
range across 2 matching MRF lines
$17.60–$37.80 $88–$189 varies
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552)
range across 2 matching MRF lines
$84.60–$86 $423–$430 varies
Infectious Agent Dna/Rna Vancomycin Resistance (87500) $140 $700 4.0×
Influenza a/b ag eia (87400) $13.40 $67 0.9×
Influenza assay w/optic (87804) $43.20 $216 2.6×
Influenza DNA amp probe (87502) $174.40 $872 1.8×
Inhibin A (86336) $27.80 $139 1.8×
Inhibin b (83520)
range across 35 matching MRF lines
$8.60–$34.60 $43–$173 varies
Insitu hybridization auto (88367) $127.20 $636 0.4×
Insitu hybridization manual (88368) $188.60 $943 0.5×
Insulin antibodies (86337) $207.20 $1,036 9.7×
Insulin free (83527) $51.60 $258 4.0×
Insulin total (83525) $160.20 $801 14.0×
Interleukin-6 (83529) $105.40 $527 6.1×
Intrinsic factor antibody (86340) $65.20 $326 4.3×
Iron (83540) $50 $250 7.7×
Iron Binding Capacity (83550) $36.60 $183 4.2×
Islet cell antibody (86341)
range across 6 matching MRF lines
$59.20–$78.80 $296–$394 varies
Jak2 gene analysis p.val617phe variant (81270) $52.40 $262 0.6×
Jak2 Gene Trgt Sequence Alys (81279) $499.80 $2,499 2.7×
Ketosteroids 17 total (83586) $309.60 $1,548 24.2×
Kit Gene Analysis D816 Variant(S) (81273) $357.60 $1,788 2.9×
Kit Gene Analysis Targeted Sequence Analysis (81272)
range across 4 matching MRF lines
$71.40–$426.60 $357–$2,133 varies
Koh Prep (87220) $53.40 $267 12.5×
Kras Gene Analysis Additional Variant(S) (81276) $310.80 $1,554 1.6×
Kras Gene Variants Exon 2 (81275) $406 $2,030 2.1×
L/s ratio (83661) $406 $2,030 18.5×
Lactate (ld) (ldh) enzyme (83615) $67.60 $338 11.2×
Lactoferrin Fecal Quantitative (83631) $1,474.60 $7,373 75.1×
Ldh Isoenzymes (83625) $129.60 $648 10.1×
LDL direct (83721) $138.60 $693 13.2×
Lead (83655) $86.60 $433 7.2×
Legionella antibody (86713) $21.60 $108 1.4×
Legionella antigen urine (87449)
range across 5 matching MRF lines
$47.80–$109.40 $239–$547 varies
Legionella pneumophila dfa (87278) $134 $670 8.6×
Leptospira antibody (86720) $148.60 $743 9.2×
Leucine Aminopeptidase Lap (83670) $106.40 $532 10.8×
Leukocyte Assessment Fecal (89055) $17.20 $86 4.0×
Leukocyte Histamine Release (86343) $247.60 $1,238 19.9×
Level I Surg Pathology Gross Examination Only (88300)
range across 3 matching MRF lines
$31.80–$68.20 $159–$341 varies
Level ii surg pathology gross&microscopic exam (88302) $31.80 $159 0.9×
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 3 matching MRF lines
$82–$143.80 $410–$719 varies
Lidocaine (80176) $48.80 $244 3.3×
Lipase (83690) $120.20 $601 17.4×
Lipoprotein A (83695) $25.40 $127 1.8×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $72 $360 2.1×
Lipoprotein-Associated Phospholipase A2 (83698) $149.40 $747 3.2×
Lithium (80178) $87.80 $439 13.3×
Liver ds alys 3 bmrk srm alg (81517) $200.40 $1,002 1.1×
Luteinizing Hormone (Lh) (83002) $170.40 $852 9.2×
Lyme disease antibody (86618) $220.40 $1,102 12.9×
Lysozyme serum (85549) $37.80 $189 2.0×
M. Genitalium Amp Probe (87563)
range across 3 matching MRF lines
$17.60–$139.80 $88–$699 varies
M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561)
range across 3 matching MRF lines
$72–$86 $360–$430 varies
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 8 matching MRF lines
$23–$207.20 $115–$1,036 varies
M/phmtrc alys ishquant/semiq (88374) $125 $625 0.8×
Macroscopic exam arthropod (87168) $57 $285 13.3×
Macroscopic Exam Parasite (87169) $68.80 $344 16.0×
Magnesium Urine (83735) $67.80 $339 10.1×
Mass Spectrometry Quant (83789) $77.80 $389 3.2×
Meat fibers, feces (89160) $13 $65 2.7×
Mercury urine (83825) $64.60 $323 4.0×
Metabolic panel ionized ca (80047) $72.40 $362 5.3×
Methemalbumin (83857) $176.80 $884 16.5×
Methylmalonic acid serum (83921) $73.60 $368 3.5×
Mgmt methylation analysis (81287) $253.40 $1,267 2.0×
Microalbumin, quantitative (82043) $106.80 $534 18.5×
Microbe Suscept Macrobroth (87188) $147.60 $738 22.2×
Microsatellite instability (81301) $461.60 $2,308 1.3×
Microsomal Antibodies Each (86376)
range across 5 matching MRF lines
$7.20–$137.60 $36–$688 varies
Mitochondrial Antibody Each (86381) $119.60 $598 4.7×
Mlh1 Gene (81288) $189 $945 1.0×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $205.80 $1,029 1.0×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $686.20 $3,431 1.0×
Mlh1 Gene Analysis Known Familial Variants (81293) $336.60 $1,683 1.0×
Mog-Igg1 Antb Cba Each (86362)
range across 3 matching MRF lines
$20.80–$24.60 $104–$123 varies
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $257.40 $1,287 6.8×
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) $876.60 $4,383 21.5×
Molecular Cytogenetics Dna Probe Each (88271)
range across 77 matching MRF lines
$7–$85.40 $35–$427 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274)
range across 4 matching MRF lines
$218–$446.40 $1,090–$2,232 varies
Molecular Pathology Procedure Level 3 (81402) $484.80 $2,424 3.2×
Molecular Pathology Procedure Level 6 (81405) $722.20 $3,611 2.4×
Mononuclear cell antigen (86356) $106.60 $533 4.0×
Mopath procedure level 1 (81400) $206.40 $1,032 3.2×
Mopath procedure level 2 (81401) $90.20 $451 0.7×
Mopath procedure level 4 (81403) $597.20 $2,986 3.2×
Mopath procedure level 5 (81404) $690.60 $3,453 2.5×
Mopath procedure level 7 (81406) $844.40 $4,222 3.0×
Mopath procedure level 8 (81407) $949.60 $4,748 1.1×
Morphometric Analysis Tumor (88358) $180.60 $903 1.1×
Mpl gene analysis sequence analysis exon 10 (81339)
range across 5 matching MRF lines
$186.20–$409.60 $931–$2,048 varies
Mpl gene common variants (81338) $186.20 $931 1.2×
Mrsa Pcr (87641) $139.80 $699 4.0×
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $216.60 $1,083 1.0×
Msh2 Gene Analysis Full Sequence Analysis (81295) $387.80 $1,939 1.0×
Msh2 Gene Analysis Known Familial Variants (81296) $343.40 $1,717 1.0×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $281.60 $1,408 1.2×
Msh6 Gene Analysis Full Sequence Analysis (81298) $653 $3,265 1.0×
Msh6 Gene Known Variants (81299) $313.60 $1,568 1.0×
Mthfr Gene Analysis Common Variants (81291) $210.60 $1,053 3.2×
Mumps antibody (86735) $128.40 $642 9.8×
Mycobacteric Identification (87118) $82.20 $411 5.6×
Mycophenolic Acid (80180) $71.80 $359 4.0×
Mycoplasma antibody (86738)
range across 3 matching MRF lines
$82.40–$156.80 $412–$784 varies
Mycoplasma culture (87109) $93 $465 6.0×
Myd88 Gene P.Leu265pro Vrnt (81305) $178.80 $894 1.0×
Myelin basic protein csf (83873) $249.40 $1,247 14.5×
Myoglobin urine (83874) $105 $525 8.1×
Natriuretic peptide (83880) $217 $1,085 5.5×
Neisseria Dir Na Probe (87590) $80.20 $401 3.0×
Neutralization Test Viral (86382) $67.40 $337 4.0×
Nfct Agent Genotype Hepatitis B Virus (87912) $709.80 $3,549 2.8×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) $709.80 $3,549 2.8×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $71.40 $357 0.5×
Nfct ds chrnc hcv 6 assays (81596) $69 $345 1.0×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $64.40 $322 0.5×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $53.80 $269 2.1×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $1,000.60 $5,003 2.0×
Niacin (84591)
range across 2 matching MRF lines
$23.40–$44 $117–$220 varies
Nickel level (83885) $335.20 $1,676 13.7×
Nk cells total count (86357) $88.40 $442 2.3×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $250.40 $1,252 1.0×
Nras gene variants exon 2&3 (81311) $845 $4,225 2.9×
Ntrk translocation analysis (81194) $534.60 $2,673 1.0×
Ntrk2 Translocation Analysis (81192) $203.60 $1,018 1.0×
Nuclear antigen antibody (86235)
range across 17 matching MRF lines
$9–$128.40 $45–$642 varies
Obstetric panel (80081) $84.40 $422 1.1×
Occult blood feces (82272)
range across 2 matching MRF lines
$51.80–$53.40 $259–$267 varies
Occult Blood Other Sources (82271) $17.20 $86 3.2×
Oligoclonal bands (83916) $297.20 $1,486 10.9×
Oncoprotein dcp (83951) $1,809 $9,045 28.1×
Organic acids urine (83918) $76.20 $381 3.2×
Osmolality serum (83930) $69.20 $346 10.5×
Osmolality Urine (83935) $83.20 $416 12.2×
Osmotic fragility rbc incubated (85557) $167.80 $839 12.6×
Osmotic Fragility RBC Unincubated (85555) $85.40 $427 11.4×
Osteocalcin (83937) $57 $285 1.9×
Ova and parasites smears (87177) $130.80 $654 14.7×
Oxalate urine (83945) $122 $610 8.4×
Particle Agglutination Screen Each Antibody (86403) $70.80 $354 6.1×
Parvovirus antibody (86747) $60.40 $302 4.0×
Path Consltj Surg Cytologic Exam Initial Site (88333) $318.40 $1,592 0.4×
Pdgfra Gene Analys Targeted Sequence Analys (81314) $335.80 $1,679 1.0×
Ph urine (81003) $30.20 $151 13.4×
Phenobarbital Level (80184) $156.40 $782 10.2×
Phenotype Infect Agent Drug (87900) $267.60 $1,338 2.1×
Phenylalanine (84030) $171.20 $856 31.1×
Phenytoin (Dilantin) (80185) $163.20 $816 12.3×
Phenytoin free (80186) $54.80 $274 4.0×
Phosphatase acid prostatic (84066) $105 $525 10.9×
Phosphatase alkaline (84075) $48.80 $244 9.4×
Phosphorus Serum (84100) $71.60 $358 15.1×
Phosphorus urine (84105)
range across 4 matching MRF lines
$50.40–$71.60 $252–$358 varies
Pik3ca gene analysis targeted sequence analysis (81309) $266 $1,330 1.0×
Pinworm exam (87172) $46.20 $231 10.8×
Platelet Aggregation (85576)
range across 6 matching MRF lines
$76–$286 $380–$1,430 varies
Platelet Antibodies (86022) $153.20 $766 8.3×
Platelet count automated (85049) $34.60 $173 7.7×
Platelet neutralization (85597) $71.60 $358 4.0×
PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F,… (81320) $567.40 $2,837 1.9×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $367 $1,835 1.8×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $207.20 $1,036 1.0×
Pneumcysts jirovecii amp prb (87594) $36.80 $184 1.0×
Pooling blood platelets (86965) $140.20 $701 0.9×
Porphobilinogen Urine Qualitative (84106) $25.20 $126 4.3×
Porphobilinogen, urine; quantitative (84110) $33.60 $168 4.0×
Potassium Urine (84133)
range across 4 matching MRF lines
$40–$43.20 $200–$216 varies
Prealbumin (84134) $139.20 $696 9.5×
Pregnanediol (84135) $288.80 $1,444 13.6×
Pregnenolone (84140) $41.80 $209 2.0×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $140.20 $701 0.9×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $169 $845 3.0×
Primidone (80188) $27.60 $138 1.7×
Procalcitonin (Pct) (84145) $19.40 $97 0.7×
Progesterone (84144) $190 $950 9.1×
Prolactin (84146) $260.80 $1,304 13.5×
Prostaglandin (84150) $134.80 $674 3.2×
Protein body fluid (84157) $85 $425 21.3×
Protein C Activity (85303) $20.40 $102 1.5×
Protein c antigen (85302) $210 $1,050 17.5×
Protein Electrophoresis Urine (84166) $109.60 $548 6.1×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 3 matching MRF lines
$12.40–$198.60 $62–$993 varies
Protein S Free (85306) $23 $115 1.5×
Protein s total (85305) $238.20 $1,191 20.5×
Protein total serum (84155) $44.80 $224 12.2×
Protein Total Urine (84156) $76.80 $384 20.9×
Protein Western Blot Test (84182)
range across 4 matching MRF lines
$41.40–$286.80 $207–$1,434 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $21.60 $108 5.5×
Protoporphyrin rbc quantitative (84202) $97.40 $487 6.8×
PSA free (84154) $178.80 $894 9.7×
Pten Gene Analysis Duplication/Deletion Variant (81323) $305.60 $1,528 1.0×
Pten Gene Analysis Full Sequence Analysis (81321) $610.60 $3,053 1.0×
Pth Intact (83970) $554.60 $2,773 13.4×
Pyruvate kinase (84220) $349 $1,745 37.0×
Q Fever Antibody (86638) $48.20 $241 4.0×
Quantiferon tb gold plus (86480) $106.40 $532 1.7×
Quantitative assay drug (80299)
range across 15 matching MRF lines
$31–$192.20 $155–$961 varies
Quantitative Screen Metals (83018) $58.20 $291 2.7×
Quinidine (80194) $56.20 $281 3.8×
Rbc antibody elution (86860) $75.60 $378 0.5×
Rbc antibody identification (86870)
range across 3 matching MRF lines
$150–$184.60 $750–$923 varies
Rbc antibody screen (86850) $136 $680 13.9×
Rbc pretreatment serum (86978)
range across 2 matching MRF lines
$48.80–$192.20 $244–$961 varies
Rbc serum pretx incubj drugs (86975) $49.40 $247 0.1×
Renin activity plasma (84244)
range across 2 matching MRF lines
$76–$199.60 $380–$998 varies
Reptilase test (85635) $77.40 $387 7.9×
Resp virus 12-25 targets (87633) $1,659.20 $8,296 4.0×
Resp Virus 6-11 Targets (87632) $437.20 $2,186 2.0×
Rh (86901) $73.80 $369 24.7×
Rheumatoid Factor Qualitative (86430) $37.20 $186 6.1×
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$18.20–$58 $91–$290 varies
Rickettsia antibody (86757) $183 $915 9.5×
Ristocetin cofactor (85245) $39.40 $197 1.7×
Rotavirus ag eia (87425) $125.80 $629 10.5×
Rpr qualitative (86592)
range across 3 matching MRF lines
$5.60–$109.40 $28–$547 varies
Rsv ab (86756) $61.40 $307 3.9×
Rsv Assay W/Optic (87807) $217.60 $1,088 16.6×
Rubella Antibody (86762) $70.60 $353 4.9×
Rubeola antibody (86765) $118 $590 9.2×
Rufinamide (80210) $448.20 $2,241 16.5×
Runx1 gene analysis targeted sequence analysis (81334) $354.40 $1,772 1.1×
Russell Viper Venom Time Diluted (85613) $224.40 $1,122 23.4×
Salicylate Level (80179) $100.80 $504 5.4×
Salmonella antibody (86768) $53.80 $269 4.1×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 8 matching MRF lines
$28.20–$56.20 $141–$281 varies
Sars-cov-2 COVID-19 antibody (86769)
range across 4 matching MRF lines
$25.40–$52.40 $127–$262 varies
Sarscov2 & inf a&b amp prb (87636)
range across 2 matching MRF lines
$79.80–$107.80 $399–$539 varies
Sarscov2&inf a&b&rsv amp prb (87637) $79.80 $399 0.6×
Sedimentation rate (85651) $40.80 $204 9.6×
Selenium (84255) $101.60 $508 4.0×
Semen analysis complete (89322) $59.60 $298 3.8×
Sensitivity mic (87186)
range across 5 matching MRF lines
$42.60–$109.60 $213–$548 varies
Serpina 1 gene (81332) $73.80 $369 1.7×
Sex Hormone Binding Globulin (84270) $86.60 $433 4.0×
SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common… (81347) $207.40 $1,037 1.1×
Sickling of rbc reduction (85660) $18.80 $94 3.4×
Sirolimus (80195) $131.80 $659 9.6×
Skin test tuberculosis intradermal (86580) $221.83 $1,109.16 8.0×
Smear acid fast (87206)
range across 2 matching MRF lines
$24.20–$61.80 $121–$309 varies
Smear complex stain (87209) $26.40 $132 1.5×
Smear gram stain (87205) $42.40 $212 9.9×
Smear Special Stain (87207) $108.40 $542 18.1×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$46.20–$50 $231–$250 varies
Snrpn/Ube3a Methylation Analysis (81331) $125.40 $627 2.5×
So neo gsap DNA mcrstl ins (81457) $448.40 $2,242 0.5×
Sodium Serum (84295)
range across 3 matching MRF lines
$19.20–$58.80 $96–$294 varies
Sodium Urine (84300) $47.60 $238 9.4×
Soluble Transferrin Receptor (84238) $98.20 $491 2.7×
Somatomedin (84305) $293.80 $1,469 13.8×
Somatostatin (84307) $301.80 $1,509 16.5×
Special Stains Group 1 (88312) $48.80 $244 1.0×
Special Stains Group 2 (88313) $31.80 $159 0.2×
Specific gravity body fluid (84315) $22.40 $112 6.8×
Specimen infect agnt concntj (87015)
range across 3 matching MRF lines
$14–$36.60 $70–$183 varies
Spectrophotometry (84311) $27.80 $139 3.4×
Splitting Blood/Blood Products Each Unit (86985) $58 $290 0.4×
Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) $124.20 $621 2.5×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $130.80 $654 0.8×
Srsf2 gene common variants (81348) $188.60 $943 1.1×
Staph a DNA amp probe (87640) $139.80 $699 4.0×
Stone Analysis (82355) $46.20 $231 4.0×
Stool cultr aerobic bact ea (87046)
range across 4 matching MRF lines
$42.40–$84.40 $212–$422 varies
Strep a assay w/optic (87880) $104.60 $523 6.3×
Strep a DNA amp probe (87651) $25.20 $126 0.7×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $205.80 $1,029 17.8×
Sugars Single Qual (84376) $123.20 $616 22.4×
Sugars, chromatographic, TLC or paper chromatography Facility (84375) $108.40 $542 2.8×
Sulfate urine (84392) $9.60 $48 1.7×
Surg path level iii (88304) $48.80 $244 1.0×
Surgical pathology level IV (88305)
range across 6 matching MRF lines
$48.80–$331.40 $244–$1,657 varies
Surgical pathology level vi (88309) $221.60 $1,108 0.3×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 2 matching MRF lines
$3.20–$9 $16–$45 varies
Susceptibility Study Antimicrobial Disk Method (87184) $26.40 $132 3.5×
Sweat Collection Iontophoresis (89230) $98.60 $493 2.0×
T cells absolute cd4 count (86361) $139.60 $698 5.2×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $187.20 $936 4.0×
T cells total count (86359) $150.20 $751 4.0×
T3 Free (84481) $115 $575 6.8×
T3 reverse (84482)
range across 2 matching MRF lines
$32.20–$255 $161–$1,275 varies
T3 Total (84480) $165.20 $826 11.7×
T3 Uptake (84479)
range across 2 matching MRF lines
$69.20–$73.80 $346–$369 varies
T4 Free (84439) $109 $545 12.1×
T4 total (84436) $69.20 $346 10.1×
Tacrolimus (80197) $113.20 $566 8.2×
Tb ag response t-cell susp (86481) $122.20 $611 1.2×
Test for acetone/ketones (82009) $41.40 $207 9.2×
Testosterone total (84403) $337 $1,685 13.1×
Testosterone, Free (84402) $133.60 $668 5.2×
Tetanus antibody (86774) $59 $295 4.0×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445)
range across 19 matching MRF lines
$129.60–$739 $648–$3,695 varies
Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) $587.40 $2,937 1.0×
Theophylline (80198) $89.40 $447 6.3×
Thiocyanate (84430) $123 $615 10.6×
Thiopurine methyltransferase (84433) $14.60 $73 0.7×
Thrombin Time (85670) $65.20 $326 11.3×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $44 $220 6.8×
Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) $388.60 $1,943 11.1×
Thyroglobulin (84432)
range across 2 matching MRF lines
$24–$39.60 $120–$198 varies
Thyroglobulin Antibody (86800) $172.60 $863 10.8×
Thyroid Stimulating Immunoglobulin (84445) $106 $530 2.1×
Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) $207.80 $1,039 4.1×
Thyroxine binding globulin (84442) $53 $265 3.6×
Tiss cul neo disorders solid tumor (88239) $415.40 $2,077 2.8×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 4 matching MRF lines
$41.40–$490.40 $207–$2,452 varies
Tissue Culture (88233) $278.80 $1,394 2.0×
Tissue culture bone marrow (88237)
range across 8 matching MRF lines
$40.80–$382.40 $204–$1,912 varies
Tissue Culture Lymphocyte (88230)
range across 6 matching MRF lines
$270.20–$463.80 $1,351–$2,319 varies
Tobramycin peak (80200) $67.60 $338 4.2×
Topiramate (80201) $237.60 $1,188 19.9×
Touch prep (88161) $40.40 $202 1.4×
Toxoplasma ab igm (86778) $64.40 $322 4.5×
Toxoplasma antibody (86777) $75 $375 5.2×
Tp53 gene analysis targeted sequence analysis (81352) $354.40 $1,772 1.1×
Tpmt gene com variants (81335) $612.40 $3,062 3.5×
Transferase Aspartate Amino Ast Sgot (84450) $71.60 $358 13.8×
Transferrin (84466) $121.80 $609 9.5×
Trb@ Rearrangement Anal Amplification Method (81340) $550.40 $2,752 2.6×
Trg gene rearrangement anal (81342) $530.80 $2,654 2.6×
Trichinella Antibody (86784) $141.40 $707 11.3×
Trichomonas vagin dir probe (87660) $79.80 $399 4.0×
Trichomonas Vaginalis Amplif (87661)
range across 4 matching MRF lines
$17.60–$37.80 $88–$189 varies
Triglycerides (84478) $60.40 $302 10.5×
Troponin Quant (84484) $207 $1,035 16.6×
Tumor immunohistochem/comput (88361) $694.60 $3,473 2.0×
Tumor Immunohistochem/Manual (88360)
range across 6 matching MRF lines
$18.20–$67.20 $91–$336 varies
U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis,… (81357) $207.40 $1,037 1.1×
Ugt1a1 gene analysis common variants (81350) $319 $1,595 1.4×
Unlisted Surgical Pathology Procedure (88399) $4 $20 0.1×
Urea nitrogen urine (84540) $25.20 $126 4.5×
Uric acid other source (84560)
range across 5 matching MRF lines
$2.60–$63.80 $13–$319 varies
Urinalysis Microscopic Only (81015) $22.80 $114 7.5×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $11.80 $59 5.4×
Urinalysis Volume Measure (81050) $36.60 $183 10.1×
Urine Bacteria Culture (87088) $42.40 $212 5.2×
Urine Pregnancy Test (81025) $27.80 $139 3.2×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $103 $515 32.5×
Valproic acid (80164) $220.40 $1,102 16.3×
Vancomycin (80202) $217.60 $1,088 16.1×
Varicella-zoster antibody (86787) $94.80 $474 7.4×
Vasopressin (84588) $93.80 $469 2.8×
Very Long Chain Fatty Acids (82726) $180.40 $902 9.1×
Viral Culture (87252)
range across 8 matching MRF lines
$125.80–$146.60 $629–$733 varies
Virus antibody nos (86790) $51.40 $257 4.0×
Virus inoculate tissue addl (87253) $165 $825 8.2×
Virus inoculation, shell via (87254) $39.40 $197 2.0×
Viscosity serum (85810) $63.60 $318 5.4×
Vit D 1 25-Dihydroxy (82652) $116.80 $584 3.0×
Vitamin A (84590) $131.80 $659 11.4×
Vitamin b-12 (82607) $87.80 $439 5.8×
Vitamin B2 (Riboflavin) (84252) $80.60 $403 4.0×
Vitamin B6 (84207) $253.80 $1,269 9.0×
Vitamin c (82180) $121.60 $608 12.3×
Vitamin D 25-Hydroxy (82306) $318.80 $1,594 10.8×
Vitamin E (84446) $56.60 $283 4.0×
Vitamin K (84597) $54.60 $273 4.0×
Vkorc1 gene (81355) $775.20 $3,876 8.8×
Volatiles (84600) $66.80 $334 3.9×
Voltage-Gated Calcium Channel Antibody Each (86596) $117 $585 9.7×
Von willebrand factor ag (85246) $101.60 $508 4.4×
Wbc Alkaline Phosphatase Count (85540) $92.60 $463 10.8×
West nile virus ab igm (86788) $67.20 $336 4.0×
West Nile Virus Antibody (86789) $57.40 $287 4.0×
Western Blot Test (84181) $171.20 $856 10.1×
Xm Archive Tissue Molec Anal (88363) $16 $80 0.6×
Zinc (84630) $125.80 $629 11.0×

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.