Lab & pathology prices at INTEGRIS Southwest Medical Center
Oklahoma City, OK · every code in this section with a posted price and a Medicare benchmark.
912 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $47 | $235 | 4.2× |
| Abl1 gene analysis kinase domain variants (81170) | $500 | $2,500 | 1.7× |
| Acetylcholine receptor binding antibody (86041) range across 5 matching MRF lines |
$30.20–$58.80 | $151–$294 | varies |
| Acetylcholine receptor blocking antibody (86042) range across 2 matching MRF lines |
$30.20–$58.80 | $151–$294 | varies |
| Acetylcholn Rcptr Modlg Antb (86043) | $58.80 | $294 | 4.9× |
| Acth (82024) | $66.20 | $331 | 1.7× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $37.40 | $187 | 1.1× |
| Acute hepatitis panel (80074) | $65 | $325 | 1.4× |
| Acylcarnitines Quant (82017) | $292.40 | $1,462 | 17.3× |
| Adenovirus antibody (86603) | $23.60 | $118 | 1.8× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $136.80 | $684 | 2.1× |
| Agglutinins Febrile Each Antigen (86000) | $32.60 | $163 | 4.7× |
| Albumin Fluid (82042) | $38.20 | $191 | 4.9× |
| Albumin serum (82040) | $21.20 | $106 | 4.3× |
| Aldolase (82085) | $20.60 | $103 | 2.1× |
| Aldosterone urine (82088) | $49.20 | $246 | 1.2× |
| Alkaline phosphatase isoenzymes (84080) | $29.20 | $146 | 2.0× |
| Allergen specific ige (86003) | $8 | $40 | 1.5× |
| Allg Spec Ige Recomb Ea (86008) range across 3 matching MRF lines |
$11–$20 | $55–$100 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $42 | $210 | 2.9× |
| Alpha-1-antitrypsin total (82103) | $59 | $295 | 4.4× |
| Alpha-Fetoprotein Serum (82105) | $94 | $470 | 5.6× |
| Alt (sgpt) (84460) | $22.40 | $112 | 4.2× |
| Aluminum (82108) | $44.60 | $223 | 1.8× |
| Amikacin trough (80150) | $33.20 | $166 | 2.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $483 | $2,415 | 21.0× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $102.40 | $512 | 6.1× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $215.40 | $1,077 | 15.5× |
| Aminolevulinic acid (ala) (82135) | $82 | $410 | 5.0× |
| Ammonia (82140) | $57.60 | $288 | 4.0× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $229.60 | $1,148 | 2.3× |
| Amylase urine (82150) range across 7 matching MRF lines |
$23.40–$23.80 | $117–$119 | varies |
| Ana Titer (86039) range across 5 matching MRF lines |
$26.80–$50.20 | $134–$251 | varies |
| Analysis skeletal muscle (88355) | $120.60 | $603 | 0.7× |
| Anca screen each antibody (86036) | $27.60 | $138 | 2.3× |
| Androstenedione (82157) | $50.60 | $253 | 1.7× |
| Angiotensin converting enzyme csf (82164) | $55.40 | $277 | 3.8× |
| Anti-Phospholipid Antibody (86148) | $39.40 | $197 | 2.5× |
| Antibody aspergillus (86606) | $59.40 | $297 | 3.9× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $28 | $140 | 2.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$15.60–$53.20 | $78–$266 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $33.40 | $167 | 2.0× |
| Antibody Encephalitis California La Crosse (86651) | $11.40 | $57 | 0.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $35.60 | $178 | 2.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $23.20 | $116 | 1.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $25.20 | $126 | 1.4× |
| Antibody Fungus Not Elsewhere Specified (86671) | $14.80 | $74 | 1.2× |
| Antibody haemophilus influenza (86684) | $47.60 | $238 | 3.0× |
| Antibody helicobacter pylori (86677) | $20.20 | $101 | 1.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $30.60 | $153 | 2.1× |
| Antibody Herpes Smplx Type 1 (86695) | $41 | $205 | 3.1× |
| Antibody HIV-1&HIV-2 single result (86703) | $21.40 | $107 | 1.6× |
| Antibody HIV-2 (86702) | $30.80 | $154 | 2.3× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $221.80 | $1,109 | 0.7× |
| Antibody hla class ii semiquantitative panel (86835) | $273 | $1,365 | 0.8× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $64.20 | $321 | 3.3× |
| Antibody identification leukocyte antibodies (86021) | $20.60 | $103 | 1.4× |
| Antibody Identification Platelet Immunogl Assay (86023) range across 2 matching MRF lines |
$28.40–$164.60 | $142–$823 | varies |
| Antibody plasmodium malaria (86750) | $162 | $810 | 12.3× |
| Antibody Protozoa Nes (86753) | $23.80 | $119 | 1.9× |
| Antibody Titer (86886) | $87.20 | $436 | 16.8× |
| Antibody Treponema Pallidum (86780) range across 5 matching MRF lines |
$15.40–$69 | $77–$345 | varies |
| Antibody; campylobacter (86625) | $93.60 | $468 | 7.1× |
| Antibody; encephalitis, st. louis (86653) | $11.20 | $56 | 0.8× |
| Antibody; influenza virus (86710) | $19.60 | $98 | 1.4× |
| Antigen typing (86905) range across 6 matching MRF lines |
$35.40–$122.40 | $177–$612 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $75 | $375 | 13.1× |
| Antinuclear antibodies (86038) range across 6 matching MRF lines |
$6–$46.80 | $30–$234 | varies |
| Antistreptolysin O Screen (86063) | $42.20 | $211 | 7.3× |
| Antistreptolysin o titer (86060) | $47.20 | $236 | 6.5× |
| Antithrombin iii activity (85300) | $28.40 | $142 | 2.4× |
| Antithrombin iii antigen (85301) | $63.40 | $317 | 5.9× |
| Apc gene dup/delet variants (81203) | $108.20 | $541 | 0.5× |
| Apc gene full sequence (81201) | $420.80 | $2,104 | 0.5× |
| Apolipoprotein a1 (82172) | $24.80 | $124 | 1.2× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 2 matching MRF lines |
$44.40–$197.20 | $222–$986 | varies |
| Aquaporin-4 Antb Cba Each (86052) | $45 | $225 | 3.7× |
| Arsenic (82175) | $46.80 | $234 | 2.5× |
| Aspergillus ag eia (87305) | $175.80 | $879 | 14.7× |
| Assay activated protein c (85307) | $29.60 | $148 | 1.9× |
| Assay Blood Carbon Dioxide (82374) | $11 | $55 | 2.3× |
| Assay Blood Catecholamines (82383) | $53.60 | $268 | 1.8× |
| Assay Nephelometry Not Spec (83883) | $60.80 | $304 | 4.5× |
| Assay of 5-hiaa (83497) | $58.40 | $292 | 4.5× |
| Assay of blood/uric acid (84550) | $44 | $220 | 9.7× |
| Assay of calcium in urine (82340) | $13 | $65 | 2.2× |
| Assay of cpk in blood (82552) | $27.60 | $138 | 2.1× |
| Assay of estrone (82679) | $27.20 | $136 | 1.1× |
| Assay of g6pd enzyme (82955) | $42.60 | $213 | 4.4× |
| Assay of gammaglobulin igm (82784) | $42 | $210 | 4.5× |
| Assay of lactic acid (83605) | $67.80 | $339 | 5.9× |
| Assay of manganese (83785) | $53.60 | $268 | 2.0× |
| Assay of metanephrines (83835) | $34.80 | $174 | 2.1× |
| Assay of procainamide (80190) | $32.60 | $163 | 0.5× |
| Assay of proinsulin (84206) | $58.40 | $292 | 2.2× |
| Assay of pyruvate (84210) | $57.60 | $288 | 4.0× |
| Assay of serotonin (84260) | $124.80 | $624 | 4.0× |
| Assay of serum potassium (84132) | $21 | $105 | 4.4× |
| Assay of Sialic Acid (84275) | $48.40 | $242 | 3.6× |
| Assay of sweat sodium (84302) | $21.20 | $106 | 4.4× |
| Assay of transcortin (84449) | $101.20 | $506 | 5.6× |
| Assay of Tyrosine (84510) | $35.40 | $177 | 3.3× |
| Assay of urea nitrogen (84520) | $19.60 | $98 | 5.0× |
| Assay of urine vma (84585) | $27.20 | $136 | 1.8× |
| Assay of vasoactive intestinal peptide (84586) | $67.80 | $339 | 1.9× |
| Assay of vitamin b-1 (84425) | $36.60 | $183 | 1.7× |
| Assay Ph Body Fluid Nos (83986) | $13.80 | $69 | 3.9× |
| Assay spec xcp ur&breath ia (82077) | $105.60 | $528 | 6.1× |
| Asxl1 gene analysis full gene sequence (81175) | $762.80 | $3,814 | 1.1× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $175 | $875 | 1.1× |
| Automated Leukocyte Count (85048) | $9.60 | $48 | 3.8× |
| B cells total count (86355) | $40.20 | $201 | 1.1× |
| Babesia microti amp prb (87469) | $23.60 | $118 | 0.7× |
| Bartonella antibody (86611) | $9.20 | $46 | 0.9× |
| Bcr/abl1 gene major bp (81206) | $200.60 | $1,003 | 1.2× |
| Bcr/abl1 gene minor bp (81207) | $195.20 | $976 | 1.3× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$12.80–$63.60 | $64–$318 | varies |
| Beta hydroxybutyrate (82010) | $30 | $150 | 3.7× |
| Beta Lactamase (87185) | $15.20 | $76 | 3.2× |
| Beta-2 Microglobulin (82232) | $62.80 | $314 | 3.9× |
| Bilirubin direct (82248) | $9.40 | $47 | 1.9× |
| Bilirubin total (82247) range across 4 matching MRF lines |
$46.80–$62 | $234–$310 | varies |
| Bilirubin total transcutaneous (88720) | $58.20 | $291 | 11.6× |
| Biotinidase (82261) | $53.80 | $269 | 3.2× |
| Bl Smear W/O Diff Wbc Count (85008) | $33.80 | $169 | 9.9× |
| Blastomyces antibody (86612) | $61.60 | $308 | 4.8× |
| Bld Typing Serologic Rh Phnt (86906) | $82 | $410 | 10.6× |
| Bleeding time test (85002) | $68.20 | $341 | 14.1× |
| Blood Count Automated Differential Wbc Count (85004) | $26.80 | $134 | 4.1× |
| Blood Count Red Blood Cell Automated (85041) | $11.80 | $59 | 3.9× |
| Blood count reticulocyte automated (85045) | $20.40 | $102 | 5.1× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $36.80 | $184 | 9.7× |
| Blood count spun microhematocrit (85013) | $33.80 | $169 | 4.8× |
| Blood gas (82803) | $142.80 | $714 | 5.5× |
| Blood gases w/02 saturation (82805) | $47.40 | $237 | 0.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $29.60 | $148 | 1.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $16.60 | $83 | 3.8× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $124.20 | $621 | 19.6× |
| Blood typing serologic abo (86900) range across 5 matching MRF lines |
$58.20–$60.80 | $291–$304 | varies |
| Body fluid cell count (89050) | $21.60 | $108 | 4.6× |
| Bone marrow smear interpretation (85097) | $1,495.80 | $7,479 | 1.9× |
| Bordetella antibody (86615) | $30.20 | $151 | 2.3× |
| Borrelia miyamotoi amp prb (87478) | $23.60 | $118 | 0.7× |
| Braf gene analysis (81210) range across 7 matching MRF lines |
$34.60–$94.80 | $173–$474 | varies |
| Brucella antibody (86622) | $28.20 | $141 | 3.2× |
| Btk Gene Analysis Common Variants (81233) | $100.20 | $501 | 0.6× |
| C diff amplified probe (87493) | $44.80 | $224 | 1.2× |
| C-Peptide (84681) | $23.20 | $116 | 1.1× |
| C-reactive protein (86140) | $23.60 | $118 | 4.6× |
| Ca 19-9 (86301) | $57.40 | $287 | 2.8× |
| Caffeine (80155) | $157.40 | $787 | 4.1× |
| Calcitonin (82308) | $74.60 | $373 | 2.8× |
| Calcium ionized (82330) | $57.60 | $288 | 4.2× |
| Calcium total (82310) | $11.40 | $57 | 2.2× |
| Calculus assay quant (82360) | $32.60 | $163 | 2.5× |
| Calculus Spectroscopy (82365) | $82.40 | $412 | 6.4× |
| Calprotectin Fecal (83993) | $131.60 | $658 | 6.7× |
| Calr gene com variants (81219) | $182.20 | $911 | 1.5× |
| Cancer Antigen 125 (86304) | $71.40 | $357 | 3.4× |
| Cancer Antigen 27.29 (86300) | $58.80 | $294 | 2.8× |
| Carbamazepine total (80156) | $52.60 | $263 | 3.6× |
| Carboxyhemoglobin (82375) | $56.60 | $283 | 4.6× |
| Carcinoembryonic antigen (82378) | $76.40 | $382 | 4.0× |
| Cardiolipin ab iga (86147) range across 5 matching MRF lines |
$6–$47.80 | $30–$239 | varies |
| Carnitine Quantitative Each Specimen (82379) | $70.80 | $354 | 4.2× |
| Carotene (82380) | $74.60 | $373 | 8.1× |
| Catecholamines fractionated (82384) | $43.20 | $216 | 1.7× |
| Catecholamines total urine (82382) | $43.60 | $218 | 1.6× |
| Ccp antibody (86200) range across 3 matching MRF lines |
$6.40–$16.80 | $32–$84 | varies |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $161.40 | $807 | 0.7× |
| Cell count csf (89051) | $56 | $280 | 10.0× |
| Cell marker study (88182) | $86.40 | $432 | 1.7× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 4 matching MRF lines |
$84.40–$428 | $422–$2,140 | varies |
| Ceruloplasmin (82390) | $54.80 | $274 | 5.1× |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | $99 | $495 | 0.6× |
| Cftr Gene Analysis Known Familial Variants (81221) | $171.40 | $857 | 1.8× |
| Cftr gene com variants (81220) | $300.40 | $1,502 | 0.5× |
| Cftr gene dup/delet variants (81222) | $1,305.20 | $6,526 | 3.0× |
| Cftr gene full sequence (81223) | $395.80 | $1,979 | 0.8× |
| Chemiluminescent assay (82397) | $105.60 | $528 | 7.5× |
| Chlamydia antibody (86631) | $20.60 | $103 | 1.7× |
| Chlamydia Igm Antibody (86632) | $18.20 | $91 | 1.4× |
| Chlmy trch&neisra gonor mult (87494) | $286.80 | $1,434 | 4.1× |
| Chloramphenicol level (82415) | $53.40 | $267 | 4.2× |
| Chloride other source (82438) | $25.20 | $126 | 5.0× |
| Chloride Serum (82435) | $19.60 | $98 | 4.3× |
| Chloride urine (82436) | $27.20 | $136 | 4.7× |
| Cholesterol total (82465) | $24.80 | $124 | 5.7× |
| Cholinesterase rbc (82482) | $27 | $135 | 2.8× |
| Cholinesterase Serum (82480) | $23.20 | $116 | 2.9× |
| Chorionic gonadotropin test (84702) range across 6 matching MRF lines |
$19.60–$99.60 | $98–$498 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $16.60 | $83 | 0.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $23 | $115 | 0.7× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $339.80 | $1,699 | 2.0× |
| Chromium serum (82495) | $23 | $115 | 1.1× |
| Chromogranin a (86316) | $119.60 | $598 | 5.7× |
| Chromosome Analysis 15-20 (88262) | $237 | $1,185 | 1.9× |
| Chromosome Analysis 20-25 (88264) range across 6 matching MRF lines |
$40.40–$157.20 | $202–$786 | varies |
| Chromosome analysis, 5 (88261) | $141.60 | $708 | 0.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 8 matching MRF lines |
$17.60–$111.40 | $88–$557 | varies |
| Citric acid urine (82507) | $33.80 | $169 | 1.2× |
| Ckmb (82553) | $35 | $175 | 3.0× |
| Clostridium Difficile (87324) | $28 | $140 | 2.3× |
| Clot Factor VIII Multimetric (85247) | $126.60 | $633 | 5.5× |
| Clotting factor viii related antigen (85244) | $93 | $465 | 4.6× |
| Clotting factor xii hageman (85280) | $45.80 | $229 | 2.4× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$83.40–$161 | $417–$805 | varies |
| Clotting prekallikrein assay fletcher fact assay (85292) | $291 | $1,455 | 15.4× |
| Cns DNA amp probe type 12-25 (87483) | $347.40 | $1,737 | 0.8× |
| Coagulation time activated (85347) | $14.80 | $74 | 3.5× |
| Coccidioides antibody (86635) | $39.20 | $196 | 3.4× |
| Cold agglutinin screen (86156) | $61.20 | $306 | 7.6× |
| Cold agglutinin titer (86157) | $20.60 | $103 | 2.6× |
| Collagen crosslinks (82523) | $31.20 | $156 | 1.7× |
| Column Chromotography Quant (82542) range across 12 matching MRF lines |
$73.20–$80.20 | $366–$401 | varies |
| Compatibility test antiglob (86922) | $86 | $430 | 0.5× |
| Complement Antigen Each Component (86160) range across 13 matching MRF lines |
$6–$82.60 | $30–$413 | varies |
| Complement Fixation Tests Each Antigen (86171) | $37.40 | $187 | 3.7× |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$18–$139.80 | $90–$699 | varies |
| Complement/Function Activity (86161) range across 3 matching MRF lines |
$60–$82.60 | $300–$413 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $17.40 | $87 | 0.3× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $52.80 | $264 | 1.5× |
| Coombs direct (86880) | $18.80 | $94 | 3.5× |
| Copper urine (82525) | $23.20 | $116 | 1.9× |
| Cortisol free (82530) | $23.20 | $116 | 1.4× |
| Cortisol saliva (82533) | $29.40 | $147 | 1.8× |
| Creatine (82540) | $10.60 | $53 | 2.3× |
| Creatine kinase total (82550) | $27.20 | $136 | 4.2× |
| Creatinine blood (82565) | $27.20 | $136 | 5.3× |
| Creatinine clearance (82575) | $59 | $295 | 6.2× |
| Creatinine Urine (82570) | $31.20 | $156 | 6.0× |
| Crossmatch electronic (86923) | $45 | $225 | 0.3× |
| Crossmatch immediate spin (86920) | $104.40 | $522 | 0.6× |
| Crp High Sensitivity (86141) | $26.20 | $131 | 2.0× |
| Cryofibrinogen (82585) | $25.40 | $127 | 1.8× |
| Cryoglobulin (82595) | $16.40 | $82 | 2.5× |
| Cryptococcus ab (86641) | $63.20 | $316 | 4.4× |
| Cryptococcus ag titer (87899) | $28.60 | $143 | 1.8× |
| Cryptosporidium (87272) | $82.80 | $414 | 6.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $20 | $100 | 2.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $39.40 | $197 | 4.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $30.80 | $154 | 4.0× |
| Culture aerobic quant other (87071) | $81.60 | $408 | 8.3× |
| Culture afb (87116) | $29.40 | $147 | 2.7× |
| Culture Anaerobic (87075) | $99 | $495 | 10.5× |
| Culture blood (87040) range across 2 matching MRF lines |
$53.80–$138.80 | $269–$694 | varies |
| Culture chlamydia (87110) | $39.80 | $199 | 2.0× |
| Culture csf (87070) range across 34 matching MRF lines |
$29.20–$81.60 | $146–$408 | varies |
| Culture fungus (87102) | $36.80 | $184 | 4.4× |
| Culture fungus blood (87103) | $89.40 | $447 | 4.4× |
| Culture screen only (87081) range across 10 matching MRF lines |
$24–$69.20 | $120–$346 | varies |
| Culture stool (87045) | $19.80 | $99 | 2.1× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $19.20 | $96 | 1.5× |
| Culture typing if ea antiserum (87140) | $36 | $180 | 6.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $36.80 | $184 | 7.1× |
| Culture urine (87086) | $57.40 | $287 | 7.1× |
| Cyanide (82600) | $49 | $245 | 2.5× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $33 | $165 | 2.3× |
| Cyclic amp (82030) | $96 | $480 | 3.7× |
| Cyclosporine (80158) | $82 | $410 | 4.5× |
| Cyp2c19 gene analysis common variants (81225) | $258.60 | $1,293 | 0.9× |
| Cyp2c9 gene com variants (81227) | $245.20 | $1,226 | 1.4× |
| Cyp2d6 gene com variants (81226) | $243.40 | $1,217 | 0.5× |
| Cystatin C (82610) | $62.40 | $312 | 3.4× |
| Cytogenetics 100-300 (88275) range across 82 matching MRF lines |
$13–$106 | $65–$530 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) | $971 | $4,855 | 1.1× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $913.40 | $4,567 | 0.8× |
| Cytomegalovirus igg (86644) | $29.60 | $148 | 2.1× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $21.40 | $107 | 1.1× |
| Cytopath Cell Enhance Tech (88112) | $31.40 | $157 | 0.6× |
| Cytotoxic Antibody Screen Std (86807) | $156.40 | $782 | 2.0× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 3 matching MRF lines |
$13.40–$23 | $67–$115 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $52.20 | $261 | 1.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $49.60 | $248 | 1.0× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $62.80 | $314 | 0.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $39.80 | $199 | 1.1× |
| 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) | $38.40 | $192 | 0.8× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $19.40 | $97 | 0.7× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $86.20 | $431 | 0.5× |
| Deoxycortisol (82634) | $92 | $460 | 3.1× |
| Deoxyribonuclease antibody (86215) | $40.20 | $201 | 3.0× |
| Desoxycorticosterone (82633) | $275 | $1,375 | 8.9× |
| Detect Agent Nos Dna Amp (87798) range across 28 matching MRF lines |
$17.60–$91.20 | $88–$456 | varies |
| Detect Agent Nos Dna Quant (87799) range across 28 matching MRF lines |
$98.40–$237.40 | $492–$1,187 | varies |
| Detect agnt mult DNA ampli (87801) range across 4 matching MRF lines |
$27.60–$150.60 | $138–$753 | varies |
| Dgp Antibody Each Ig Class (86258) | $271.80 | $1,359 | 22.6× |
| Dhea (82626) | $25.40 | $127 | 1.0× |
| Dhea-S (82627) | $30.80 | $154 | 1.4× |
| Dibucaine number (82638) | $72.40 | $362 | 5.9× |
| Digoxin (80162) | $21 | $105 | 1.6× |
| Diphtheria antitoxoid (86648) | $43.20 | $216 | 2.8× |
| Dipropylacetic Acid Free (80165) | $39 | $195 | 2.9× |
| Dna Antibody Native/Double Stranded (86225) | $44.40 | $222 | 3.2× |
| Dna Antibody Single Stranded (86226) | $26.40 | $132 | 2.2× |
| Dna/Rna Amplified Probe (87150) | $26.40 | $132 | 0.8× |
| DNA/RNA direct probe (87149) | $45.20 | $226 | 2.3× |
| Dpyd gene common variants (81232) | $150.20 | $751 | 0.9× |
| Drug assay acetaminophen (80143) | $53.60 | $268 | 2.9× |
| Drug Assay Amiodarone (80151) | $15.80 | $79 | 0.8× |
| Drug Assay Everolimus (80169) | $200.60 | $1,003 | 14.6× |
| Drug assay felbamate (80167) | $15.80 | $79 | 0.8× |
| Drug Assay Itraconazole (80189) | $31.40 | $157 | 1.2× |
| Drug Assay Lacosamide (80235) | $20 | $100 | 0.7× |
| Drug Assay Posaconazole (80187) | $20.20 | $101 | 0.7× |
| Drug assay voriconazole (80285) | $20.20 | $101 | 0.7× |
| Drug Screen Quant Clozapine (80159) | $40.20 | $201 | 2.0× |
| Drug Screen Quant Zonisamide (80203) | $29.40 | $147 | 2.2× |
| Drug Screen Quantitative Gabapentin (80171) | $21.60 | $108 | 1.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $13.40 | $67 | 1.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $14.40 | $72 | 1.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $75.80 | $379 | 5.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 32 matching MRF lines |
$31–$192.20 | $155–$961 | varies |
| Egfr Gene Analysis Common Variants (81235) | $175 | $875 | 0.5× |
| Ehrlichia antibody (86666) range across 4 matching MRF lines |
$18.80–$63.40 | $94–$317 | varies |
| El-1 Fecal Quantitative (82653) | $115.20 | $576 | 5.0× |
| Electrolyte panel (80051) | $40.60 | $203 | 5.8× |
| Electron Microscopy (88348) | $289.40 | $1,447 | 0.4× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $54.80 | $274 | 0.9× |
| Encephaltis East Eqne Anbdy (86652) | $11.40 | $57 | 0.9× |
| Encephaltis West Eqne Antbdy (86654) | $11.60 | $58 | 0.9× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $42.20 | $211 | 3.5× |
| Enterovirus Antibody (86658) | $10.80 | $54 | 0.8× |
| Enterovirus PCR (87498) | $77.60 | $388 | 2.2× |
| Enzyme cell activity (82657) | $84.40 | $422 | 3.8× |
| Enzyme histochemistry (88319) | $224.40 | $1,122 | 0.3× |
| Eosinophil Smear (89190) | $41 | $205 | 7.1× |
| Erythropoietin (82668) | $65 | $325 | 3.5× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$33.20–$82.20 | $166–$411 | varies |
| Estriol (82677) | $27 | $135 | 1.1× |
| Estrogen total (82672) | $41.60 | $208 | 1.9× |
| Ethosuximide (80168) | $71.20 | $356 | 4.4× |
| Ethylene Glycol (82693) | $55.60 | $278 | 3.7× |
| Euglobulin lysis (85360) | $183.60 | $918 | 21.8× |
| Exam Synovial Fluid Crystals (89060) | $11.20 | $56 | 1.5× |
| 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) | $161.40 | $807 | 0.6× |
| F2 Gene (81240) | $114.80 | $574 | 1.7× |
| Factor ii activity (85210) | $141.40 | $707 | 10.9× |
| Factor Inhibitor Test (85335) | $86.20 | $431 | 6.7× |
| Factor ix activity (85250) | $59 | $295 | 3.1× |
| Factor v activity (85220) | $104.40 | $522 | 5.9× |
| Factor v leiden mutation (81241) | $49.40 | $247 | 0.7× |
| Factor vii assay (85230) | $68.60 | $343 | 3.8× |
| Factor viii assay (85240) | $25.20 | $126 | 1.4× |
| Factor X (85260) | $87.60 | $438 | 4.9× |
| Factor xi activity (85270) | $53.20 | $266 | 3.0× |
| Factor xiii screen (85291) | $60.40 | $302 | 6.6× |
| Fat stain feces urine/respir secretions (89125) | $23.80 | $119 | 4.0× |
| Fat/Lipids Feces Quantitative (82710) | $25.40 | $127 | 1.5× |
| Fatty acids free (82725) | $197.80 | $989 | 10.5× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $248.40 | $1,242 | 32.2× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $51.20 | $256 | 3.0× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $161 | $805 | 24.7× |
| Fecal Fat Qualitative (82705) | $35.60 | $178 | 7.0× |
| Ferritin (82728) | $50.20 | $251 | 3.7× |
| Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) | $131.60 | $658 | 1.9× |
| Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) | $122 | $610 | 2.2× |
| Fetal Fibronectin (82731) | $144.40 | $722 | 2.2× |
| Fetal hemoglobin assay qual (83033) | $48.60 | $243 | 6.1× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $135 | $675 | 7.1× |
| Fetal screen rosette (85461) | $30 | $150 | 3.2× |
| Fibrin degradation products (85362) | $34 | $170 | 4.9× |
| Fibrin Degradation Quant (85379) | $91.40 | $457 | 9.0× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $75.60 | $378 | 7.8× |
| Fibrinogen activity (85384) | $23 | $115 | 2.4× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $80.80 | $404 | 5.2× |
| Flow cytometry first marker (88184) range across 14 matching MRF lines |
$17.80–$96 | $89–$480 | varies |
| Flt3 Gene (81245) | $89.20 | $446 | 0.5× |
| Flt3 gene analysis (81246) | $80.20 | $401 | 1.0× |
| Fluorescent antibody screen (86255) range across 29 matching MRF lines |
$6–$51.80 | $30–$259 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 11 matching MRF lines |
$9.20–$16.60 | $46–$83 | varies |
| Fmr1 gene detection (81243) | $161 | $805 | 2.8× |
| Folic acid rbc (82747) | $97 | $485 | 5.5× |
| Folic Acid Serum (82746) | $55.60 | $278 | 3.8× |
| Follicle Stimulating Hormone (83001) | $29.40 | $147 | 1.6× |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) | $433.80 | $2,169 | 15.2× |
| Francisella tularensis (86668) | $71.40 | $357 | 5.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $124.20 | $621 | 0.8× |
| Frozen Section (88331) | $60.40 | $302 | 0.4× |
| Fungi Identification Mold (87107) | $67.60 | $338 | 6.6× |
| Fungi Identification Yeast (87106) | $16.60 | $83 | 1.6× |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | $82 | $410 | 1.4× |
| Galactokinase rbc (82759) | $825.60 | $4,128 | 38.4× |
| Galactose (82760) | $12.80 | $64 | 1.1× |
| Gammaglobulin ige (82785) | $61.60 | $308 | 3.7× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $31.80 | $159 | 3.3× |
| Gases blood ph only (82800) | $24.60 | $123 | 2.2× |
| Gastrin (82941) | $62.80 | $314 | 3.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $393.60 | $1,968 | 0.9× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,796.40 | $8,982 | 2.4× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $1,598.80 | $7,994 | 0.5× |
| Genet Virus Isolate Hsv (87255) | $190.80 | $954 | 5.6× |
| Genetic Tstg Severe Inh Cond (81443) | $1,083 | $5,415 | 0.4× |
| Gentamicin (80170) | $34.80 | $174 | 2.1× |
| Ggt (82977) | $47 | $235 | 6.5× |
| Giardia antigen (87329) | $15.40 | $77 | 1.3× |
| Giardia lamblia antibody (86674) | $48 | $240 | 3.3× |
| Glucagon (82943) | $197.60 | $988 | 13.8× |
| Glucose 2 hr pp (82950) | $28.40 | $142 | 6.0× |
| Glucose Blood Test (82962) | $28 | $140 | 8.5× |
| Glucose body fluid (82945) | $9.20 | $46 | 2.3× |
| Glucose Serum (82947) range across 5 matching MRF lines |
$15.80–$23.80 | $79–$119 | varies |
| Glucose tolerance test (gtt) (82951) | $52.40 | $262 | 4.1× |
| Glycated Protein (82985) | $29.40 | $147 | 1.8× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$86.40–$87.40 | $432–$437 | varies |
| Growth hormone (83003) | $32.60 | $163 | 2.0× |
| Gtt-added samples (82952) | $21 | $105 | 5.4× |
| H Pylori (C-13) Breath (83013) | $125.80 | $629 | 1.9× |
| Haloperidol (80173) | $26.40 | $132 | 1.7× |
| Haptoglobin (83010) | $69 | $345 | 5.5× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $404.40 | $2,022 | 2.0× |
| Hbb Full Gene Sequence (81364) | $121.60 | $608 | 0.4× |
| Hdl Cholesterol (83718) | $36.80 | $184 | 4.5× |
| Helicobacter Pylori Stool (87338) | $116.20 | $581 | 8.1× |
| Helminth Antibody (86682) | $30.20 | $151 | 2.3× |
| Hematocrit (85014) | $26.20 | $131 | 11.1× |
| Hemoglobin (85018) | $22.80 | $114 | 9.6× |
| Hemoglobin a1c (83036) | $42 | $210 | 4.3× |
| Hemoglobin Chromotography (83021) | $33 | $165 | 1.8× |
| Hemoglobin electrophoresis (83020) | $33 | $165 | 2.6× |
| Hemoglobin F Fetal Chemical (83030) | $76.40 | $382 | 7.1× |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$19.40–$23.80 | $97–$119 | varies |
| Hemoglobin plasma (83051) | $13.20 | $66 | 1.8× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $5.80 | $29 | 0.6× |
| Hemoglobin urine (83069) | $87 | $435 | 22.0× |
| Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) | $20.40 | $102 | 2.2× |
| Hemolysin Acid (85475) | $27.80 | $139 | 3.1× |
| Hemosiderin urine (83070) | $22.40 | $112 | 4.7× |
| Hep a ab igm (86709) | $94.80 | $474 | 8.4× |
| Heparin assay (85520) | $83.40 | $417 | 6.4× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$78.60–$89 | $393–$445 | varies |
| Hepatitis b core ab igm (86705) | $48 | $240 | 4.1× |
| Hepatitis b core ab total (86704) | $57.60 | $288 | 4.8× |
| Hepatitis B Surface Antibody (86706) | $57.40 | $287 | 5.3× |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$78.60–$90.60 | $393–$453 | varies |
| Hepatitis Be Antibody (86707) | $30.80 | $154 | 2.7× |
| Hepatitis Be Antigen (87350) | $37.40 | $187 | 3.2× |
| Hepatitis C Antibody (86803) | $43 | $215 | 3.0× |
| Hepatitis c antibody confirmatory test (86804) | $81.20 | $406 | 5.2× |
| Hepatitis C Genotype (87902) | $456.20 | $2,281 | 1.8× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $99 | $495 | 2.8× |
| Hepatitis C Revrs Trnscrpj (87522) | $303.40 | $1,517 | 7.1× |
| Hepatitis delta ag (87380) | $146.20 | $731 | 8.0× |
| Hepatitis Delta Agent Antibody (86692) | $25.40 | $127 | 1.5× |
| 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) | $381.60 | $1,908 | 0.3× |
| Herpes simplex type 2 (86696) | $25.20 | $126 | 1.3× |
| Heterophile Antibody Screen (86308) | $46.40 | $232 | 9.0× |
| Hfe Gene (81256) | $92.20 | $461 | 1.4× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $67.80 | $339 | 8.8× |
| Histamine urine (83088) | $34.20 | $171 | 1.2× |
| Histoplasma antibody (86698) | $28.80 | $144 | 2.1× |
| Histoplasma antigen urine (87385) | $39.20 | $196 | 3.0× |
| Hiv Genotype (87901) | $496.60 | $2,483 | 1.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $54.20 | $271 | 2.3× |
| Hiv-1 Antibody (86701) | $35 | $175 | 3.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 4 matching MRF lines |
$40.20–$92.60 | $201–$463 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $42 | $210 | 1.2× |
| Hla class i semiquant panel (86834) | $302.60 | $1,513 | 0.8× |
| Hla Class I Typing High Resolution Complete (81379) | $180.20 | $901 | 0.5× |
| Hla Class I Typing Low Resolution Complete (81372) | $210.40 | $1,052 | 0.5× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $99.80 | $499 | 0.8× |
| Hla class i&ii antibody qual (86828) | $54.60 | $273 | 0.9× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $414.40 | $2,072 | 1.0× |
| Hla class ii high defin qual (86833) | $223.40 | $1,117 | 0.7× |
| Hla class ii typing high resolution one locus ea (81382) range across 2 matching MRF lines |
$61.80–$1,721.80 | $309–$8,609 | varies |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $433.80 | $2,169 | 4.0× |
| Hla I Typing 1 Allele Hr (81381) | $91.80 | $459 | 0.5× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) range across 2 matching MRF lines |
$115.20–$1,122.60 | $576–$5,613 | varies |
| Hla ii typing 1 allele hr (81383) | $72.80 | $364 | 0.7× |
| Hla Typing a/B/C Multiple Antigens (86813) | $483.80 | $2,419 | 8.3× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $310.60 | $1,553 | 2.9× |
| Hla-b27 (86812) | $34.60 | $173 | 1.3× |
| Homocysteine (83090) | $105.40 | $527 | 5.9× |
| Homovanillic acid urine (83150) | $436 | $2,180 | 19.5× |
| Hpv High-Risk Types (87624) range across 3 matching MRF lines |
$17.60–$38.80 | $88–$194 | varies |
| Hpv Types 16 & 18 Only (87625) | $20.20 | $101 | 0.5× |
| Hsv Dna Amp Probe (87529) range across 8 matching MRF lines |
$8–$44 | $40–$220 | varies |
| Hsv Dna Quant (87530) | $83.60 | $418 | 2.0× |
| Htlv-I Antibody (86687) | $48.60 | $243 | 5.3× |
| Htlv-ii antibody (86688) | $30.60 | $153 | 2.2× |
| Htt Gene Detc Abnor Alleles (81271) | $135.60 | $678 | 1.0× |
| Hydroxycorticosteroids 17 (83491) | $166 | $830 | 9.3× |
| Hydroxyprogesterone 17-d (83498) | $30 | $150 | 1.1× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $229.80 | $1,149 | 19.2× |
| Iaad Ia Cytomegalovirus (87332) | $142 | $710 | 11.9× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $227.80 | $1,139 | 19.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $21.60 | $108 | 2.1× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $163.60 | $818 | 11.8× |
| Iaad ia shiga-like toxin (87427) | $19.80 | $99 | 1.7× |
| Iaad Ia Streptococcus Group A (87430) | $23.60 | $118 | 1.4× |
| Iaadi giardia (87269) | $36 | $180 | 2.6× |
| Iaadi herpes smplx virus type 1 (87274) | $31 | $155 | 2.6× |
| Iaadi inffluenza a virus (87276) | $33 | $165 | 2.1× |
| Iaadi parainfluenza virus each type (87279) | $30.80 | $154 | 1.9× |
| Iaadi pneumocustis carinii (87281) | $117.60 | $588 | 9.8× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $31 | $155 | 2.6× |
| Iaadi respiratory synctial virus (87280) | $107.40 | $537 | 8.0× |
| Iaadi Varicella Zoster Virus (87290) | $25.40 | $127 | 1.9× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $23.60 | $118 | 0.7× |
| Iadna Bartonella Amplified Probe Technique (87471) | $38.20 | $191 | 1.1× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $160.20 | $801 | 4.6× |
| Iadna Candida Species Amplified Probe Tq (87481) range across 3 matching MRF lines |
$17.60–$39.40 | $88–$197 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $48.40 | $242 | 1.4× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $82 | $410 | 3.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $192.80 | $964 | 5.5× |
| Iadna Cytomegalovirus Quantification (87497) | $225.20 | $1,126 | 5.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $109.80 | $549 | 1.6× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) range across 2 matching MRF lines |
$23.60–$105 | $118–$525 | varies |
| Iadna hepatitis b virus amplified probe tq (87516) | $395.20 | $1,976 | 11.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $171.40 | $857 | 4.0× |
| Iadna Herpes Virus-6 Quantification (87533) | $166.20 | $831 | 4.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $38.40 | $192 | 1.1× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $110.80 | $554 | 3.2× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $94 | $470 | 2.2× |
| 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–$67.80 | $69–$339 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $44.60 | $223 | 1.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 7 matching MRF lines |
$17.60–$113 | $88–$565 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $67 | $335 | 1.3× |
| Idh1 common variants (81120) | $208.60 | $1,043 | 1.1× |
| Idh2 common variants (81121) | $319.40 | $1,597 | 1.1× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $220.60 | $1,103 | 3.0× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$56–$60.80 | $280–$304 | varies |
| Igg subclasses (82787) | $24.80 | $124 | 3.1× |
| Igh gene rearrange amp meth (81261) | $167.60 | $838 | 0.8× |
| IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) | $37.40 | $187 | 0.5× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $264.20 | $1,321 | 0.9× |
| Igk rearrangeabn clonal pop (81264) | $103.60 | $518 | 0.6× |
| Ikbkap Gene Analysis Common Variants (81260) | $292.60 | $1,463 | 7.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $67.60 | $338 | 0.2× |
| Immune Complex Assay (86332) | $62 | $310 | 2.5× |
| Immunfix e-phorsis/urine/csf (86335) | $25.20 | $126 | 0.9× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $58.80 | $294 | 3.2× |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $427.40 | $2,137 | 16.7× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $45.20 | $226 | 3.0× |
| Immunoassay nonantibody (83516) range across 16 matching MRF lines |
$51.80–$226.20 | $259–$1,131 | varies |
| Immunodiffusion not elsewhere specified (86329) | $90.60 | $453 | 6.4× |
| Immunodiffusion Ouchterlony (86331) | $15 | $75 | 1.3× |
| Immunofixation electrophoresis (86334) | $54.20 | $271 | 2.4× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $88.40 | $442 | 0.5× |
| Immunohistochemistry (88342) | $103.20 | $516 | 0.6× |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$23–$51.40 | $115–$257 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $14.20 | $71 | 0.9× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $36.20 | $181 | 2.5× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $33 | $165 | 2.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) range across 2 matching MRF lines |
$17.60–$39.40 | $88–$197 | 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) | $74.20 | $371 | 2.1× |
| Influenza a/b ag eia (87400) | $71.60 | $358 | 5.1× |
| Influenza assay w/optic (87804) | $94.20 | $471 | 5.7× |
| Influenza DNA amp probe (87502) | $92.60 | $463 | 1.0× |
| Inhibin A (86336) | $39.20 | $196 | 2.5× |
| Inhibin b (83520) range across 41 matching MRF lines |
$8.60–$56 | $43–$280 | varies |
| Insitu hybridization auto (88367) | $67.60 | $338 | 0.2× |
| Insitu hybridization manual (88368) | $67.60 | $338 | 0.2× |
| Insulin antibodies (86337) | $38.80 | $194 | 1.8× |
| Insulin total (83525) | $23.20 | $116 | 2.0× |
| Interleukin-6 (83529) | $56 | $280 | 3.2× |
| Intrinsic factor antibody (86340) | $34.60 | $173 | 2.3× |
| Iron (83540) | $31.20 | $156 | 4.8× |
| Iron Binding Capacity (83550) | $33 | $165 | 3.8× |
| Islet cell antibody (86341) range across 6 matching MRF lines |
$23.60–$58.80 | $118–$294 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $309.80 | $1,549 | 3.4× |
| Jak2 Gene Trgt Sequence Alys (81279) | $265.40 | $1,327 | 1.4× |
| Ketosteroids 17 total (83586) | $164.40 | $822 | 12.8× |
| Kit Gene Analysis D816 Variant(S) (81273) | $189.80 | $949 | 1.5× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) range across 4 matching MRF lines |
$71.40–$226.60 | $357–$1,133 | varies |
| Koh Prep (87220) | $21 | $105 | 4.9× |
| Kras Gene Analysis Additional Variant(S) (81276) | $165 | $825 | 0.9× |
| Kras Gene Variants Exon 2 (81275) | $215.40 | $1,077 | 1.1× |
| L/s ratio (83661) | $215.40 | $1,077 | 9.8× |
| Lactate (ld) (ldh) enzyme (83615) | $28.40 | $142 | 4.7× |
| Lactoferrin Fecal Quantitative (83631) | $782.80 | $3,914 | 39.9× |
| Ldh Isoenzymes (83625) | $185.80 | $929 | 14.5× |
| LDL direct (83721) | $22.20 | $111 | 2.1× |
| Lead (83655) | $30.20 | $151 | 2.5× |
| Legionella antibody (86713) | $29 | $145 | 1.9× |
| Legionella antigen urine (87449) range across 5 matching MRF lines |
$12.40–$57 | $62–$285 | varies |
| Legionella pneumophila dfa (87278) | $71.20 | $356 | 4.6× |
| Leptospira antibody (86720) | $78.80 | $394 | 4.9× |
| Leucine Aminopeptidase Lap (83670) | $56.60 | $283 | 5.8× |
| Leukocyte Assessment Fecal (89055) | $18.40 | $92 | 4.3× |
| Leukocyte Histamine Release (86343) | $131.40 | $657 | 10.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $25.20 | $126 | 0.9× |
| Level ii surg pathology grossµscopic exam (88302) | $57.80 | $289 | 1.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $143.80 | $719 | 0.4× |
| Lidocaine (80176) | $25.80 | $129 | 1.8× |
| Lipase (83690) range across 4 matching MRF lines |
$50–$50.20 | $250–$251 | varies |
| Lipoprotein A (83695) | $24.80 | $124 | 1.7× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $38.20 | $191 | 1.1× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $71.40 | $357 | 1.5× |
| Lithium (80178) | $25.80 | $129 | 3.9× |
| Liver ds alys 3 bmrk srm alg (81517) | $106.40 | $532 | 0.6× |
| Luteinizing Hormone (Lh) (83002) | $32.40 | $162 | 1.7× |
| Lyme disease antibody (86618) | $53.40 | $267 | 3.1× |
| Lysozyme serum (85549) | $20 | $100 | 1.1× |
| M. Genitalium Amp Probe (87563) range across 3 matching MRF lines |
$17.60–$34.80 | $88–$174 | varies |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) range across 3 matching MRF lines |
$38.20–$86 | $191–$430 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 8 matching MRF lines |
$23–$153.80 | $115–$769 | varies |
| M/phmtrc alys ishquant/semiq (88374) | $66.40 | $332 | 0.4× |
| Macroscopic exam arthropod (87168) | $30.20 | $151 | 7.1× |
| Macroscopic Exam Parasite (87169) | $36.60 | $183 | 8.5× |
| Magnesium Urine (83735) | $56.40 | $282 | 8.4× |
| Mass Spectrometry Quant (83789) | $76 | $380 | 3.2× |
| Meat fibers, feces (89160) | $6.80 | $34 | 1.4× |
| Mercury urine (83825) | $74.60 | $373 | 4.6× |
| Metabolic panel ionized ca (80047) | $38.40 | $192 | 2.8× |
| Methemalbumin (83857) | $93.80 | $469 | 8.7× |
| Methylmalonic acid serum (83921) | $131 | $655 | 6.2× |
| Mgmt methylation analysis (81287) | $134.60 | $673 | 1.1× |
| Microalbumin, quantitative (82043) | $16.40 | $82 | 2.8× |
| Microbe Suscept Macrobroth (87188) | $147.60 | $738 | 22.2× |
| Microsatellite instability (81301) | $245.20 | $1,226 | 0.7× |
| Microsomal Antibodies Each (86376) range across 9 matching MRF lines |
$7.20–$52.40 | $36–$262 | varies |
| Mitochondrial Antibody Each (86381) | $63.40 | $317 | 2.5× |
| Mlh1 Gene (81288) | $100.40 | $502 | 0.5× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $109.40 | $547 | 0.5× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $364.40 | $1,822 | 0.5× |
| Mlh1 Gene Analysis Known Familial Variants (81293) | $178.80 | $894 | 0.5× |
| 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) range across 3 matching MRF lines |
$44.40–$257.40 | $222–$1,287 | varies |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $465.40 | $2,327 | 11.4× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 81 matching MRF lines |
$7–$24.80 | $35–$124 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $115.80 | $579 | 2.7× |
| Molecular Pathology Procedure Level 3 (81402) | $217.60 | $1,088 | 1.4× |
| Molecular Pathology Procedure Level 6 (81405) | $383.40 | $1,917 | 1.3× |
| Mononuclear cell antigen (86356) | $27 | $135 | 1.0× |
| Mopath procedure level 1 (81400) | $139 | $695 | 2.2× |
| Mopath procedure level 2 (81401) | $704.40 | $3,522 | 5.1× |
| Mopath procedure level 4 (81403) | $265.40 | $1,327 | 1.4× |
| Mopath procedure level 5 (81404) | $366.80 | $1,834 | 1.3× |
| Mopath procedure level 7 (81406) range across 4 matching MRF lines |
$448.20–$707.80 | $2,241–$3,539 | varies |
| Mopath procedure level 8 (81407) | $504.20 | $2,521 | 0.6× |
| Morphometric Analysis Tumor (88358) | $96 | $480 | 0.6× |
| Mpl gene analysis sequence analysis exon 10 (81339) range across 5 matching MRF lines |
$98.80–$217.60 | $494–$1,088 | varies |
| Mpl gene common variants (81338) | $98.80 | $494 | 0.7× |
| Mrsa Pcr (87641) | $40.40 | $202 | 1.2× |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $115 | $575 | 0.5× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $205.80 | $1,029 | 0.5× |
| Msh2 Gene Analysis Known Familial Variants (81296) | $182.40 | $912 | 0.5× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $149.60 | $748 | 0.6× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $346.60 | $1,733 | 0.5× |
| Msh6 Gene Known Variants (81299) | $166.40 | $832 | 0.5× |
| Mthfr Gene Analysis Common Variants (81291) | $125 | $625 | 1.9× |
| Mumps antibody (86735) | $20.20 | $101 | 1.5× |
| Mycobacteric Identification (87118) | $43.60 | $218 | 3.0× |
| Mycophenolic Acid (80180) | $26.80 | $134 | 1.5× |
| Mycoplasma antibody (86738) | $21.40 | $107 | 1.6× |
| Mycoplasma culture (87109) | $49.40 | $247 | 3.2× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $95 | $475 | 0.5× |
| Myelin basic protein csf (83873) | $21.20 | $106 | 1.2× |
| Myoglobin urine (83874) | $105.20 | $526 | 8.1× |
| Natriuretic peptide (83880) | $52.20 | $261 | 1.3× |
| Neisseria Dir Na Probe (87590) | $42.60 | $213 | 1.6× |
| Neutralization Test Viral (86382) | $175.20 | $876 | 10.4× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $377 | $1,885 | 1.5× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $377 | $1,885 | 1.5× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $71.40 | $357 | 0.5× |
| Nfct ds chrnc hcv 6 assays (81596) | $36.80 | $184 | 0.5× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $64.40 | $322 | 0.5× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $28.60 | $143 | 1.1× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $531.40 | $2,657 | 1.1× |
| Niacin (84591) | $23.40 | $117 | 1.4× |
| Nickel level (83885) | $178 | $890 | 7.3× |
| Nk cells total count (86357) | $47 | $235 | 1.2× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $132.80 | $664 | 0.5× |
| Nras gene variants exon 2&3 (81311) | $448.60 | $2,243 | 1.5× |
| Ntrk translocation analysis (81194) | $284 | $1,420 | 0.5× |
| Ntrk2 Translocation Analysis (81192) | $108 | $540 | 0.5× |
| Nuclear antigen antibody (86235) range across 17 matching MRF lines |
$9–$33.20 | $45–$166 | varies |
| Obstetric panel (80081) | $44.80 | $224 | 0.6× |
| Occult blood feces (82272) | $28.40 | $142 | 6.7× |
| Occult Blood Other Sources (82271) | $18.60 | $93 | 3.5× |
| Oligoclonal bands (83916) | $174.80 | $874 | 6.4× |
| Oncoprotein dcp (83951) | $960.40 | $4,802 | 14.9× |
| Organic acids urine (83918) | $111 | $555 | 4.7× |
| Osmolality serum (83930) | $34 | $170 | 5.1× |
| Osmolality Urine (83935) | $26.80 | $134 | 3.9× |
| Osmotic fragility rbc incubated (85557) | $89 | $445 | 6.7× |
| Osmotic Fragility RBC Unincubated (85555) | $45.20 | $226 | 6.1× |
| Osteocalcin (83937) | $121 | $605 | 4.1× |
| Ova and parasites smears (87177) | $65.80 | $329 | 7.4× |
| Oxalate urine (83945) | $32 | $160 | 2.2× |
| Particle Agglutination Screen Each Antibody (86403) | $37.60 | $188 | 3.3× |
| Parvovirus antibody (86747) | $50.20 | $251 | 3.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $169 | $845 | 0.2× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $178.40 | $892 | 0.5× |
| Ph urine (81003) | $27 | $135 | 12.0× |
| Phenobarbital Level (80184) | $14.80 | $74 | 1.0× |
| Phenotype Infect Agent Drug (87900) | $142 | $710 | 1.1× |
| Phenylalanine (84030) | $91 | $455 | 16.5× |
| Phenytoin (Dilantin) (80185) | $48.80 | $244 | 3.7× |
| Phenytoin free (80186) | $17.40 | $87 | 1.3× |
| Phosphatase acid prostatic (84066) | $55.60 | $278 | 5.8× |
| Phosphatase alkaline (84075) | $8.40 | $42 | 1.6× |
| Phosphorus Serum (84100) | $23.40 | $117 | 4.9× |
| Phosphorus urine (84105) | $93.80 | $469 | 16.2× |
| Pik3ca gene analysis targeted sequence analysis (81309) | $141.20 | $706 | 0.5× |
| Pinworm exam (87172) | $36.60 | $183 | 8.6× |
| Platelet Aggregation (85576) range across 6 matching MRF lines |
$40.20–$151.80 | $201–$759 | varies |
| Platelet Antibodies (86022) | $43.20 | $216 | 2.4× |
| Platelet count automated (85049) | $32 | $160 | 7.1× |
| Platelet neutralization (85597) | $56.40 | $282 | 3.1× |
| PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F,… (81320) | $301.20 | $1,506 | 1.0× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $194.80 | $974 | 0.9× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $110 | $550 | 0.5× |
| Pneumcysts jirovecii amp prb (87594) range across 2 matching MRF lines |
$36.80–$102.20 | $184–$511 | varies |
| Pooling blood platelets (86965) | $74.40 | $372 | 0.5× |
| Porphobilinogen Urine Qualitative (84106) | $13.40 | $67 | 2.3× |
| Porphobilinogen, urine; quantitative (84110) | $34.40 | $172 | 4.1× |
| Potassium Urine (84133) | $40.20 | $201 | 8.5× |
| Prealbumin (84134) | $69.80 | $349 | 4.8× |
| Pregnanediol (84135) | $153.40 | $767 | 7.2× |
| Pregnenolone (84140) | $110.80 | $554 | 5.4× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $74.40 | $372 | 0.5× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $42 | $210 | 0.7× |
| Primidone (80188) | $14.20 | $71 | 0.9× |
| Procalcitonin (Pct) (84145) | $46.80 | $234 | 1.7× |
| Progesterone (84144) | $34.40 | $172 | 1.6× |
| Prolactin (84146) | $64.60 | $323 | 3.3× |
| Prostaglandin (84150) | $151.80 | $759 | 3.6× |
| Protein body fluid (84157) | $27 | $135 | 6.8× |
| Protein C Activity (85303) | $20.20 | $101 | 1.5× |
| Protein c antigen (85302) | $114.20 | $571 | 9.5× |
| Protein Electrophoresis Urine (84166) | $68.60 | $343 | 3.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $86.20 | $431 | 8.0× |
| Protein S Free (85306) | $89 | $445 | 5.8× |
| Protein s total (85305) | $194.80 | $974 | 16.8× |
| Protein total serum (84155) | $14.40 | $72 | 3.9× |
| Protein Total Urine (84156) | $20.60 | $103 | 5.6× |
| Protein Western Blot Test (84182) range across 4 matching MRF lines |
$96.40–$226.20 | $482–$1,131 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $11.40 | $57 | 2.9× |
| Protoporphyrin rbc quantitative (84202) | $51.80 | $259 | 3.6× |
| PSA free (84154) | $86 | $430 | 4.7× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $162.20 | $811 | 0.5× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $324.20 | $1,621 | 0.5× |
| Pth Intact (83970) | $45 | $225 | 1.1× |
| Pyruvate kinase (84220) | $185.20 | $926 | 19.6× |
| Q Fever Antibody (86638) | $19 | $95 | 1.6× |
| Quantiferon tb gold plus (86480) | $143.40 | $717 | 2.3× |
| Quantitative assay drug (80299) | $16.40 | $82 | 0.9× |
| Quantitative Screen Metals (83018) | $30.80 | $154 | 1.4× |
| Quinidine (80194) | $29.80 | $149 | 2.0× |
| Rbc antibody elution (86860) | $74.40 | $372 | 0.5× |
| Rbc antibody identification (86870) range across 4 matching MRF lines |
$118.20–$139.20 | $591–$696 | varies |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$65–$92 | $325–$460 | varies |
| Rbc pretreatment serum (86978) | $66.80 | $334 | 1.2× |
| Rbc serum pretx incubj drugs (86975) | $26.20 | $131 | 0.1× |
| Renin activity plasma (84244) | $40.20 | $201 | 1.8× |
| Reptilase test (85635) | $41 | $205 | 4.2× |
| Resp virus 12-25 targets (87633) | $408.40 | $2,042 | 1.0× |
| Resp Virus 6-11 Targets (87632) | $232.20 | $1,161 | 1.1× |
| Rh (86901) | $56 | $280 | 18.7× |
| Rheumatoid Factor Qualitative (86430) | $28.80 | $144 | 4.7× |
| Rheumatoid factor quant (86431) | $29.60 | $148 | 5.2× |
| Rickettsia antibody (86757) | $41 | $205 | 2.1× |
| Ristocetin cofactor (85245) | $104.40 | $522 | 4.6× |
| Rotavirus ag eia (87425) | $59.40 | $297 | 5.0× |
| Rpr qualitative (86592) | $22.40 | $112 | 5.2× |
| Rsv ab (86756) | $32.60 | $163 | 2.1× |
| Rubella Antibody (86762) | $28.60 | $143 | 2.0× |
| Rubeola antibody (86765) | $31.20 | $156 | 2.4× |
| Rufinamide (80210) | $238 | $1,190 | 8.8× |
| Runx1 gene analysis targeted sequence analysis (81334) | $188.20 | $941 | 0.6× |
| Russell Viper Venom Time Diluted (85613) | $56.60 | $283 | 5.9× |
| Salicylate Level (80179) | $53.60 | $268 | 2.9× |
| Salmonella antibody (86768) | $28.60 | $143 | 2.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $50.40 | $252 | 1.0× |
| Sars-cov-2 COVID-19 antibody (86769) | $50.40 | $252 | 1.2× |
| Sarscov2 & inf a&b amp prb (87636) | $79.80 | $399 | 0.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $79.80 | $399 | 0.6× |
| Sedimentation rate (85651) | $23 | $115 | 5.4× |
| Sedimentation Rate, Automated (85652) | $30 | $150 | 11.1× |
| Selenium (84255) | $28.40 | $142 | 1.1× |
| Semen analysis complete (89322) | $31.80 | $159 | 2.1× |
| Sensitivity mic (87186) range across 6 matching MRF lines |
$19.20–$42.60 | $96–$213 | varies |
| Serpina 1 gene (81332) | $39.20 | $196 | 0.9× |
| Sex Hormone Binding Globulin (84270) | $33 | $165 | 1.5× |
| SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common… (81347) | $110.20 | $551 | 0.6× |
| Sickling of rbc reduction (85660) | $10 | $50 | 1.8× |
| Sirolimus (80195) | $66.60 | $333 | 4.9× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$9.80–$24.20 | $49–$121 | varies |
| Smear complex stain (87209) | $58.40 | $292 | 3.2× |
| Smear gram stain (87205) | $32.40 | $162 | 7.6× |
| Smear Special Stain (87207) | $57.60 | $288 | 9.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $46.40 | $232 | 8.0× |
| Snrpn/Ube3a Methylation Analysis (81331) | $66.60 | $333 | 1.3× |
| So neo gsap DNA mcrstl ins (81457) | $448.40 | $2,242 | 0.5× |
| Sodium Serum (84295) | $18.40 | $92 | 3.8× |
| Sodium Urine (84300) | $48.60 | $243 | 9.6× |
| Soluble Transferrin Receptor (84238) | $52.20 | $261 | 1.4× |
| Somatomedin (84305) | $23.60 | $118 | 1.1× |
| Somatostatin (84307) | $160.20 | $801 | 8.8× |
| Special Stains Group 1 (88312) | $53.40 | $267 | 1.1× |
| Special Stains Group 2 (88313) | $63 | $315 | 0.5× |
| Specific gravity body fluid (84315) | $11.80 | $59 | 3.6× |
| Specimen infect agnt concntj (87015) | $16.80 | $84 | 2.5× |
| Spectrophotometry (84311) | $23.80 | $119 | 2.9× |
| Splitting Blood/Blood Products Each Unit (86985) | $58 | $290 | 0.4× |
| Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) | $66 | $330 | 1.3× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $52 | $260 | 0.3× |
| Srsf2 gene common variants (81348) | $100.20 | $501 | 0.6× |
| Staph a DNA amp probe (87640) | $41.60 | $208 | 1.2× |
| Stone Analysis (82355) | $29.40 | $147 | 2.5× |
| Stool cultr aerobic bact ea (87046) | $17.20 | $86 | 1.8× |
| Strep a assay w/optic (87880) | $55.40 | $277 | 3.4× |
| Strep a DNA amp probe (87651) | $38.40 | $192 | 1.1× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $45.20 | $226 | 0.5× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $109.40 | $547 | 9.5× |
| Sugars Single Qual (84376) | $65.60 | $328 | 11.9× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $57.60 | $288 | 1.5× |
| Sulfate urine (84392) | $5.60 | $28 | 1.0× |
| Surg path level iii (88304) | $68.60 | $343 | 1.4× |
| Surgical pathology level IV (88305) | $99.60 | $498 | 2.0× |
| Surgical pathology level vi (88309) | $209.80 | $1,049 | 0.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$7.80–$9 | $39–$45 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $15.20 | $76 | 2.0× |
| Sweat Collection Iontophoresis (89230) | $20.40 | $102 | 0.4× |
| Syphilis Test Non-Trep Quant (86593) | $12.40 | $62 | 2.8× |
| T cells absolute cd4 count (86361) | $70.20 | $351 | 2.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $99.20 | $496 | 2.1× |
| T cells total count (86359) | $52.60 | $263 | 1.4× |
| T3 Free (84481) | $82.20 | $411 | 4.9× |
| T3 reverse (84482) range across 2 matching MRF lines |
$23–$192 | $115–$960 | varies |
| T3 Total (84480) | $69.80 | $349 | 4.9× |
| T3 Uptake (84479) | $48 | $240 | 7.4× |
| T4 Free (84439) | $57.60 | $288 | 6.4× |
| T4 total (84436) | $49.80 | $249 | 7.2× |
| Tacrolimus (80197) | $101.80 | $509 | 7.4× |
| Tb ag response t-cell susp (86481) | $64.80 | $324 | 0.6× |
| Test for acetone/ketones (82009) | $27.20 | $136 | 6.0× |
| Testosterone total (84403) | $40.40 | $202 | 1.6× |
| Testosterone, Free (84402) | $82.60 | $413 | 3.2× |
| Tetanus antibody (86774) | $36 | $180 | 2.4× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) range across 19 matching MRF lines |
$129.60–$392.40 | $648–$1,962 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $311.80 | $1,559 | 0.5× |
| Theophylline (80198) | $18.20 | $91 | 1.3× |
| Thiocyanate (84430) | $65.20 | $326 | 5.6× |
| Thiopurine methyltransferase (84433) | $72.60 | $363 | 3.3× |
| Thrombin Time (85670) | $34.60 | $173 | 6.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $14.60 | $73 | 2.3× |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) | $206.40 | $1,032 | 5.9× |
| Thyroglobulin (84432) | $21 | $105 | 1.3× |
| Thyroglobulin Antibody (86800) | $52.40 | $262 | 3.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $67.80 | $339 | 1.3× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $110.40 | $552 | 2.2× |
| Thyroxine binding globulin (84442) | $28.20 | $141 | 1.9× |
| Tiss cul neo disorders solid tumor (88239) | $220.40 | $1,102 | 1.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $260.40 | $1,302 | 22.6× |
| Tissue Culture (88233) | $148.20 | $741 | 1.1× |
| Tissue culture bone marrow (88237) range across 8 matching MRF lines |
$40.80–$203 | $204–$1,015 | varies |
| Tissue Culture Lymphocyte (88230) range across 8 matching MRF lines |
$96.80–$270.20 | $484–$1,351 | varies |
| Tobramycin peak (80200) | $30.60 | $153 | 1.9× |
| Topiramate (80201) | $44.40 | $222 | 3.7× |
| Touch prep (88161) | $21.40 | $107 | 0.8× |
| Toxoplasma ab igm (86778) | $34.20 | $171 | 2.4× |
| Toxoplasma antibody (86777) | $29.40 | $147 | 2.0× |
| Tp53 gene analysis targeted sequence analysis (81352) | $188.20 | $941 | 0.6× |
| Tpmt gene com variants (81335) | $325.20 | $1,626 | 1.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $29.20 | $146 | 5.6× |
| Transferrin (84466) | $76.40 | $382 | 6.0× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $292.20 | $1,461 | 1.4× |
| Trg gene rearrangement anal (81342) | $281.80 | $1,409 | 1.4× |
| Trichinella Antibody (86784) | $75 | $375 | 6.0× |
| Trichomonas Vaginalis Amplif (87661) range across 4 matching MRF lines |
$17.60–$40.80 | $88–$204 | varies |
| Triglycerides (84478) | $27 | $135 | 4.7× |
| Troponin Quant (84484) | $87.40 | $437 | 7.0× |
| Tumor immunohistochem/comput (88361) | $106.40 | $532 | 0.3× |
| Tumor Immunohistochem/Manual (88360) range across 6 matching MRF lines |
$18.20–$88.40 | $91–$442 | varies |
| U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis,… (81357) | $110.20 | $551 | 0.6× |
| Ugt1a1 gene analysis common variants (81350) | $169.40 | $847 | 0.7× |
| Unlisted Surgical Pathology Procedure (88399) | $2 | $10 | 0.0× |
| Urea nitrogen urine (84540) | $13.40 | $67 | 2.4× |
| Uric acid other source (84560) range across 5 matching MRF lines |
$2.60–$98.80 | $13–$494 | varies |
| Urinalysis Microscopic Only (81015) | $12 | $60 | 3.9× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $6.20 | $31 | 2.9× |
| Urinalysis Volume Measure (81050) | $9.40 | $47 | 2.6× |
| Urine Bacteria Culture (87088) | $13.60 | $68 | 1.7× |
| Urine Pregnancy Test (81025) | $47 | $235 | 5.5× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$56.20–$56.40 | $281–$282 | varies |
| Valproic acid (80164) | $50.60 | $253 | 3.7× |
| Vancomycin (80202) | $57.80 | $289 | 4.3× |
| Varicella-zoster antibody (86787) | $45.20 | $226 | 3.5× |
| Vasopressin (84588) | $49.80 | $249 | 1.5× |
| Very Long Chain Fatty Acids (82726) | $95.80 | $479 | 4.9× |
| Viral Culture (87252) | $39.20 | $196 | 1.5× |
| Virus antibody nos (86790) | $34.40 | $172 | 2.7× |
| Virus inoculate tissue addl (87253) | $87.60 | $438 | 4.3× |
| Virus inoculation, shell via (87254) range across 4 matching MRF lines |
$47.80–$132 | $239–$660 | varies |
| Viscosity serum (85810) | $33.80 | $169 | 2.9× |
| Vit D 1 25-Dihydroxy (82652) | $44.60 | $223 | 1.2× |
| Vitamin A (84590) | $66.20 | $331 | 5.7× |
| Vitamin b-12 (82607) | $49.40 | $247 | 3.3× |
| Vitamin B2 (Riboflavin) (84252) | $56.60 | $283 | 2.8× |
| Vitamin B6 (84207) | $36.80 | $184 | 1.3× |
| Vitamin c (82180) | $28.40 | $142 | 2.9× |
| Vitamin D 25-Hydroxy (82306) | $40.80 | $204 | 1.4× |
| Vitamin E (84446) | $64.60 | $323 | 4.6× |
| Vitamin K (84597) | $52 | $260 | 3.8× |
| Vkorc1 gene (81355) | $411.60 | $2,058 | 4.7× |
| Volatiles (84600) | $35.40 | $177 | 2.1× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $62.20 | $311 | 5.2× |
| Von willebrand factor ag (85246) | $167.80 | $839 | 7.3× |
| Wbc Alkaline Phosphatase Count (85540) | $49.20 | $246 | 5.7× |
| West nile virus ab igm (86788) | $16.60 | $83 | 1.0× |
| West Nile Virus Antibody (86789) | $21 | $105 | 1.5× |
| Western Blot Test (84181) | $91 | $455 | 5.3× |
| Xm Archive Tissue Molec Anal (88363) | $8.60 | $43 | 0.3× |
| Zinc (84630) | $53.40 | $267 | 4.7× |
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.