Lab & pathology prices at Intermountain Health Lutheran Hospital
Golden, CO · every code in this section with a posted price and a Medicare benchmark.
1031 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | — | $354.81 | — |
| 17-Hydroxypregnenolone (84143) | — | $115.76 | — |
| 5 Nucleotidase (83915) | — | $43.34 | — |
| Abl1 gene analysis kinase domain variants (81170) | — | $1,310.54 | — |
| Acetylcholine receptor binding antibody (86041) | — | $55.20 | — |
| Acetylcholine receptor blocking antibody (86042) | — | $75 | — |
| Acetylcholn Rcptr Modlg Antb (86043) | — | $117 | — |
| Acth (82024) range across 2 matching MRF lines |
— | $429.45–$657.75 | — |
| Acth Stimulation Panel Adrenal Insufficiency (80400) range across 2 matching MRF lines |
— | $119–$606.46 | — |
| Actin smooth muscle antibody each (86015) | — | $50.37 | — |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
— | $624.21–$720.15 | — |
| Acylcarnitines Quant (82017) | — | $385.30 | — |
| Acylcarnitines; qualitative, each specimen Facility (82016) | — | $88.46 | — |
| Adenovirus antibody (86603) | — | $249.05 | — |
| Agglutinins Febrile Each Antigen (86000) range across 2 matching MRF lines |
— | $113.14–$175.14 | — |
| Albumin Fluid (82042) range across 2 matching MRF lines |
— | $68.76–$88.80 | — |
| Albumin serum (82040) range across 2 matching MRF lines |
— | $87.70–$111.38 | — |
| Aldolase (82085) | — | $192.04 | — |
| Aldosterone urine (82088) | — | $617.22 | — |
| Alkaline phosphatase isoenzymes (84080) | — | $303.06 | — |
| Allergen spec ige qual multiallergen screen (86005) range across 2 matching MRF lines |
— | $31.90–$47.79 | — |
| Allergen specific ige (86003) range across 2 matching MRF lines |
— | $18.27–$233.81 | — |
| Allergen specific igg (86001) | — | $40.71 | — |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
— | $62.69–$71.70 | — |
| Alpha-1-antitrypsin phenotype (82104) | — | $66.44 | — |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
— | $182.55–$228.78 | — |
| Alpha-Fetoprotein Amniotic Fluid (82106) | — | $300 | — |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
— | $249.25–$272.42 | — |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
— | $89.20–$119.25 | — |
| Aluminum (82108) range across 2 matching MRF lines |
— | $263.60–$717.17 | — |
| Amikacin trough (80150) | — | $188.15 | — |
| Amino Acids 1 Quantitative Each Specimen (82131) | — | $530.20 | — |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | — | $1,026.77 | — |
| Amino Acids Multiple Qualitative Each Specimen (82128) | — | $230.58 | — |
| Aminolevulinic acid (ala) (82135) | — | $206.82 | — |
| Ammonia (82140) range across 2 matching MRF lines |
— | $72.38–$275.35 | — |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
— | $287.70–$295.30 | — |
| Amniotic fluid scan (82143) | — | $115.61 | — |
| Amylase urine (82150) range across 2 matching MRF lines |
— | $137.20–$169.85 | — |
| Ana Titer (86039) | — | $149.06 | — |
| Anca screen each antibody (86036) | — | $42.11 | — |
| Androstenedione (82157) | — | $94.05 | — |
| Angiotensin converting enzyme csf (82164) | — | $271.15 | — |
| Anti-Phospholipid Antibody (86148) | — | $205.27 | — |
| Antibody aspergillus (86606) | — | $189.94 | — |
| Antibody Bacterium Not Elsewhere Specified (86609) | — | $240.75 | — |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
— | $112.01–$221.36 | — |
| Antibody Cytomegalovirus Cmv Igm (86645) | — | $230.59 | — |
| Antibody Encephalitis California La Crosse (86651) | — | $118.52 | — |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | — | $175.13 | — |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
— | $61.15–$175.13 | — |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
— | $85.58–$175.13 | — |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
— | $73.87–$676.02 | — |
| Antibody haemophilus influenza (86684) | — | $76.38 | — |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
— | $221.10–$308.45 | — |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 3 matching MRF lines |
— | $61.44–$832.80 | — |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
— | $52.75–$416.36 | — |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
— | $272.45–$288.58 | — |
| Antibody HIV-2 (86702) | — | $192.69 | — |
| Antibody Hla Class I High Definition Panel Qual (86832) range across 2 matching MRF lines |
— | $1,070.40–$1,536.60 | — |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | — | $483.55 | — |
| Antibody Hla Class II Phenotype Panel Qual (86831) | — | $414.13 | — |
| Antibody hla class ii semiquantitative panel (86835) | — | $2,998.51 | — |
| Antibody htlv/HIV antibody confirmatory test (86689) | — | $379.53 | — |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
— | $407.10–$1,166.55 | — |
| Antibody Identification Platelet Immunogl Assay (86023) range across 2 matching MRF lines |
— | $146.17–$903.20 | — |
| Antibody john cunningham virus (86711) | — | $86.98 | — |
| Antibody Lymphocytic Choriomeningitis (86727) range across 3 matching MRF lines |
— | $110–$284.26 | — |
| Antibody neisseria meningitidis (86741) | — | $107.81 | — |
| Antibody Protozoa Nes (86753) | — | $319.69 | — |
| Antibody Titer (86886) range across 2 matching MRF lines |
— | $507.65–$669.31 | — |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
— | $182.69–$297.90 | — |
| Antibody yersinia (86793) | — | $172.86 | — |
| Antibody; campylobacter (86625) | — | $509.75 | — |
| Antibody; encephalitis, st. louis (86653) | — | $118.52 | — |
| Antibody; influenza virus (86710) | — | $192 | — |
| Antigen typing (86905) range across 2 matching MRF lines |
— | $403.34–$423.50 | — |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | — | $254.20 | — |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
— | $240.75–$316.89 | — |
| Antistreptolysin O Screen (86063) range across 2 matching MRF lines |
— | $142.25–$185.76 | — |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
— | $32.15–$315.35 | — |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
— | $222.35–$433.70 | — |
| Antithrombin iii antigen (85301) | — | $77.72 | — |
| Aortic dysfunction/dilation dup/del analysis (81411) | — | $4,718.61 | — |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | — | $1,761.37 | — |
| Apc Gene Analysis Known Familial Variants (81202) | — | $358.13 | — |
| Apc gene dup/delet variants (81203) | — | $1,046.73 | — |
| Apc gene full sequence (81201) | — | $2,050.96 | — |
| Apolipoprotein a1 (82172) | — | $51.71 | — |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | — | $256.69 | — |
| Aquaporin-4 Antb Cba Each (86052) | — | $309.64 | — |
| Aquaporin-4 Antb Elisa (86051) | — | $305.79 | — |
| Arsenic (82175) range across 3 matching MRF lines |
— | $88–$185.14 | — |
| Aspergillus ag eia (87305) | — | $494.81 | — |
| Assay activated protein c (85307) | — | $490.62 | — |
| Assay Blood Carbon Dioxide (82374) | — | $144.35 | — |
| Assay Dir Meas Fr Estradiol (82681) | — | $369 | — |
| Assay myeloperoxidase (83876) | — | $158.88 | — |
| Assay Nephelometry Not Spec (83883) | — | $379.76 | — |
| Assay of 5-hiaa (83497) | — | $259.71 | — |
| Assay of anti-mullerian hormone (82166) | — | $150 | — |
| Assay of blood/uric acid (84550) | — | $85.45 | — |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
— | $32.81–$133.75 | — |
| Assay of cpk in blood (82552) | — | $116.99 | — |
| Assay of estrone (82679) | — | $87.19 | — |
| Assay of g6pd enzyme (82955) | — | $207.85 | — |
| Assay of gammaglobulin igm (82784) range across 10 matching MRF lines |
— | $157.20–$287.80 | — |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
— | $267.95–$303.26 | — |
| Assay of manganese (83785) | — | $230.52 | — |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
— | $67.75–$342.36 | — |
| Assay of phosphatase acid total (84060) | — | $123.63 | — |
| Assay of procainamide (80190) | — | $323.22 | — |
| Assay of proinsulin (84206) | — | $286.31 | — |
| Assay of pyruvate (84210) | — | $135.63 | — |
| Assay of semen fructose (82757) | — | $355.38 | — |
| Assay of serotonin (84260) | — | $730.80 | — |
| Assay of serum potassium (84132) | — | $89.95 | — |
| Assay of sweat sodium (84302) | — | $40.05 | — |
| Assay of Tyrosine (84510) | — | $175.39 | — |
| Assay of urea nitrogen (84520) range across 3 matching MRF lines |
— | $66.50–$88.88 | — |
| Assay of urine vma (84585) | — | $155.43 | — |
| Assay of vasoactive intestinal peptide (84586) | — | $765.97 | — |
| Assay of vitamin b-1 (84425) | — | $228.04 | — |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
— | $38.92–$113.30 | — |
| Assay spec xcp ur&breath ia (82077) | — | $125 | — |
| Asxl1 gene analysis full gene sequence (81175) | — | $2,536.88 | — |
| Asy carbamazepin 10,11-epxid (80161) | — | $77.06 | — |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | — | $3,068.25 | — |
| Autol bld/component collj storage salvage (86891) | — | $864.85 | — |
| Automated Leukocyte Count (85048) | — | $132.50 | — |
| B cells total count (86355) | — | $530.54 | — |
| Babesia microti amp prb (87469) | — | $153.29 | — |
| Bartonella antibody (86611) range across 5 matching MRF lines |
— | $52.88–$157.56 | — |
| Bcr/abl1 gene major bp (81206) | — | $1,264.25 | — |
| Bcr/abl1 gene minor bp (81207) | — | $1,264.25 | — |
| Bcr/Abl1 Gene Other Bp (81208) | — | $787.59 | — |
| Beta 2 glycoprotein i antibody each (86146) | — | $235.94 | — |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
— | $62.45–$93.08 | — |
| Beta Lactamase (87185) range across 4 matching MRF lines |
— | $42.25–$65.35 | — |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
— | $108.80–$227.25 | — |
| Beta-amyloid; 1-42 (abeta 42) (82234) | — | $995 | — |
| Bile acids total (82239) | — | $155.43 | — |
| Bilirubin direct (82248) | — | $91.20 | — |
| Bilirubin total (82247) range across 2 matching MRF lines |
— | $88.95–$112.95 | — |
| Bilirubin total transcutaneous (88720) | — | $217.60 | — |
| Biotinidase (82261) | — | $61.16 | — |
| Bl Smear W/O Diff Wbc Count (85008) | — | $96.60 | — |
| Blastomyces antibody (86612) | — | $42.94 | — |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | — | $256.30 | — |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
— | $208.07–$240.05 | — |
| Blood Count Red Blood Cell Automated (85041) | — | $69.80 | — |
| Blood count reticulocyte automated (85045) | — | $188.40 | — |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
— | $16.78–$100.25 | — |
| Blood count spun microhematocrit (85013) | — | $79.65 | — |
| Blood gas (82803) range across 2 matching MRF lines |
— | $189.15–$262.65 | — |
| Blood gases w/02 saturation (82805) | — | $293.65 | — |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
— | $87.90–$91.43 | — |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
— | $61.80–$62.10 | — |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
— | $403.34–$423.50 | — |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | — | $321.50 | — |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
— | $74.75–$98.10 | — |
| Body fluid cell count (89050) range across 4 matching MRF lines |
— | $23.35–$130.85 | — |
| Bone marrow smear interpretation (85097) | — | $1,029.62 | — |
| Bordetella antibody (86615) | — | $78 | — |
| Braf gene analysis (81210) | — | $705.60 | — |
| Brca1&2 gen full seq dup/del (81162) | — | $5,993.73 | — |
| Breath Alcohol Test (82075) | — | $101 | — |
| Brucella antibody (86622) | — | $114.32 | — |
| C diff amplified probe (87493) range across 2 matching MRF lines |
— | $660.40–$838.58 | — |
| C-Peptide (84681) | — | $217.99 | — |
| C-reactive protein (86140) range across 2 matching MRF lines |
— | $134–$135.77 | — |
| Ca 19-9 (86301) range across 2 matching MRF lines |
— | $237.03–$244.45 | — |
| Cadmium (82300) | — | $169.84 | — |
| Caffeine (80155) | — | $84.70 | — |
| Calcitonin (82308) | — | $154.38 | — |
| Calcium ionized (82330) range across 3 matching MRF lines |
— | $358.56–$391.75 | — |
| Calcium total (82310) range across 2 matching MRF lines |
— | $86.85–$116.10 | — |
| Calculus assay quant (82360) | — | $225.17 | — |
| Calculus Spectroscopy (82365) | — | $342.84 | — |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
— | $68.70–$265.87 | — |
| Calr gene com variants (81219) | — | $838.05 | — |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
— | $206.84–$217.20 | — |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
— | $350.30–$468.23 | — |
| Candida antibody (86628) | — | $34.07 | — |
| Candida Dna Dir Probe (87480) range across 2 matching MRF lines |
— | $201.12–$239.25 | — |
| Car Ion Chnnlpath Inc 2 Gns (81414) | — | $1,754.70 | — |
| Carbamazepine total (80156) range across 2 matching MRF lines |
— | $113.06–$325.10 | — |
| Carbohydrate Deficient Transferrin (82373) | — | $479.35 | — |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
— | $44.95–$191 | — |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
— | $358.35–$496.96 | — |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
— | $162.89–$237.03 | — |
| Carnitine Quantitative Each Specimen (82379) | — | $426.63 | — |
| Carotene (82380) | — | $200.91 | — |
| Catecholamines fractionated (82384) | — | $437.85 | — |
| Catecholamines total urine (82382) | — | $437.85 | — |
| Ccnd1/Igh Translocation Alys (81168) | — | $497.54 | — |
| Ccp antibody (86200) range across 2 matching MRF lines |
— | $234.75–$291.38 | — |
| Cebpa Gene Analysis Full Gene Sequence (81218) | — | $864.35 | — |
| Cell count csf (89051) range across 4 matching MRF lines |
— | $37.80–$275.65 | — |
| Cell enumeration & id (86152) | — | $762.90 | — |
| Cell marker study (88182) | — | $438.60 | — |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | — | $792.53 | — |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
— | $116.60–$166.20 | — |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | — | $199.07 | — |
| Cftr Gene Analysis Known Familial Variants (81221) | — | $161.37 | — |
| Cftr gene com variants (81220) | — | $2,356.31 | — |
| Cftr gene dup/delet variants (81222) | — | $1,132.14 | — |
| Cftr gene full sequence (81223) | — | $2,311.28 | — |
| Chemiluminescent assay (82397) | — | $392.99 | — |
| Chimerism w/comp to baseline w/o cell selection (81267) | — | $925.20 | — |
| Chlamydia antibody (86631) range across 5 matching MRF lines |
— | $101.17–$285.96 | — |
| Chlamydia Igm Antibody (86632) range across 5 matching MRF lines |
— | $101.17–$285.96 | — |
| Chlamydia trachomatis ag if (87270) | — | $304.66 | — |
| Chloride other source (82438) range across 2 matching MRF lines |
— | $31.75–$245.38 | — |
| Chloride Serum (82435) | — | $52.60 | — |
| Chloride urine (82436) range across 2 matching MRF lines |
— | $91.21–$93.20 | — |
| Chlorinated Hydrocarbons Screen (82441) | — | $487.78 | — |
| Cholesterol total (82465) range across 2 matching MRF lines |
— | $15.87–$72.20 | — |
| Cholinesterase rbc (82482) | — | $309.99 | — |
| Cholinesterase Serum (82480) | — | $475.99 | — |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
— | $394.47–$424.20 | — |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | — | $2,721.13 | — |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | — | $110.48 | — |
| Chrmsm Analysis Addl High Resolution Study (88289) | — | $322.31 | — |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | — | $275.06 | — |
| Chrmsm Analysis Addl Specialized Banding (88283) range across 2 matching MRF lines |
— | $205.80–$216.10 | — |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) range across 2 matching MRF lines |
— | $519.50–$545.50 | — |
| Chromium serum (82495) | — | $93.19 | — |
| Chromogenic Substrate Assay (85130) | — | $710.15 | — |
| Chromogranin a (86316) | — | $109.38 | — |
| Chromosome analys amniotic (88269) | — | $686.33 | — |
| Chromosome Analysis 15-20 (88262) | — | $1,133.71 | — |
| Chromosome Analysis 20-25 (88264) | — | $1,449.38 | — |
| Chromosome analysis 45 cells (88263) | — | $790.10 | — |
| Chromosome analysis, 5 (88261) | — | $1,109.98 | — |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
— | $193.91–$203.60 | — |
| Citric acid urine (82507) | — | $621.72 | — |
| Ckmb (82553) range across 2 matching MRF lines |
— | $72.13–$212.05 | — |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
— | $53.09–$306.90 | — |
| Clot Factor VIII Multimetric (85247) | — | $903.36 | — |
| Clot factor xiii fibrin stab (85290) | — | $534.61 | — |
| Clot lysis time, whole blood dilution Facility (85175) | — | $67.90 | — |
| Clotting factor viii related antigen (85244) | — | $70.53 | — |
| Clotting factor xii hageman (85280) | — | $456.64 | — |
| Clotting Funct Activity (85397) | — | $326.54 | — |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
— | $1,179.32–$1,428.65 | — |
| Coagulation time activated (85347) range across 3 matching MRF lines |
— | $156.20–$268.84 | — |
| Coccidioides antibody (86635) range across 5 matching MRF lines |
— | $53.75–$152.59 | — |
| Cold agglutinin screen (86156) range across 2 matching MRF lines |
— | $181.65–$270.85 | — |
| Cold agglutinin titer (86157) | — | $185.62 | — |
| Collagen crosslinks (82523) | — | $226.49 | — |
| Column Chromotography Quant (82542) | — | $409.63 | — |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | — | $890.03 | — |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
— | $883.40–$885.60 | — |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
— | $72.44–$166.15 | — |
| Complement Total (Ch50) (86162) | — | $363.83 | — |
| Complement/Function Activity (86161) | — | $215.76 | — |
| Consltj Compre Review Reprt Referred Matrl (88325) | — | $412.17 | — |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | — | $280.85 | — |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | — | $279.58 | — |
| Coombs direct (86880) range across 5 matching MRF lines |
— | $108.65–$118.56 | — |
| Copper urine (82525) | — | $163.92 | — |
| Cortisol free (82530) | — | $315.53 | — |
| Cortisol saliva (82533) range across 2 matching MRF lines |
— | $308.05–$425.06 | — |
| Creatine kinase total (82550) range across 2 matching MRF lines |
— | $51.19–$123.05 | — |
| Creatinine blood (82565) | — | $86.20 | — |
| Creatinine clearance (82575) | — | $462.05 | — |
| Creatinine Urine (82570) range across 2 matching MRF lines |
— | $135.77–$141.95 | — |
| Crossmatch electronic (86923) | — | $301.65 | — |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
— | $306.95–$307.58 | — |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
— | $113.30–$114.32 | — |
| Cryofibrinogen (82585) | — | $639.63 | — |
| Cryoglobulin (82595) | — | $151.85 | — |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | — | $442.50 | — |
| Cryptococcal Antigen (87327) range across 2 matching MRF lines |
— | $113.76–$208.30 | — |
| Cryptococcus ab (86641) | — | $247.10 | — |
| Cryptococcus ag titer (87899) range across 6 matching MRF lines |
— | $66.63–$393.10 | — |
| Cryptosporidium (87272) | — | $132.65 | — |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
— | $56.31–$241.25 | — |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
— | $211.49–$254.50 | — |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
— | $191.84–$201.45 | — |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | — | $166.55 | — |
| Culture aerobic quant other (87071) | — | $998.50 | — |
| Culture afb (87116) range across 2 matching MRF lines |
— | $283.08–$313.40 | — |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
— | $44.61–$286.40 | — |
| Culture bacteria anaerobic (87073) | — | $705.65 | — |
| Culture blood (87040) range across 2 matching MRF lines |
— | $320.08–$336.10 | — |
| Culture chlamydia (87110) range across 2 matching MRF lines |
— | $252.06–$388.65 | — |
| Culture csf (87070) range across 11 matching MRF lines |
— | $271.55–$356.86 | — |
| Culture fungus (87102) range across 2 matching MRF lines |
— | $125.86–$251.15 | — |
| Culture fungus blood (87103) range across 2 matching MRF lines |
— | $195.50–$425.65 | — |
| Culture screen only (87081) range across 12 matching MRF lines |
— | $61.06–$186.75 | — |
| Culture stool (87045) range across 2 matching MRF lines |
— | $332.75–$354.55 | — |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | — | $76.16 | — |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
— | $49.40–$123.73 | — |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
— | $100.32–$112.55 | — |
| Culture typing other methods (87158) | — | $213.09 | — |
| Culture urine (87086) range across 2 matching MRF lines |
— | $30.37–$218.15 | — |
| Culture, typing; identification by pulse field gel typing Facility (87152) | — | $315.46 | — |
| Cyanide (82600) | — | $203.35 | — |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | — | $210.94 | — |
| Cyclosporine (80158) range across 2 matching MRF lines |
— | $257–$269.85 | — |
| Cyp2c19 gene analysis common variants (81225) range across 2 matching MRF lines |
— | $510.75–$874.10 | — |
| Cyp2c9 gene com variants (81227) | — | $521.81 | — |
| Cyp2d6 gene com variants (81226) | — | $1,352.75 | — |
| Cyp3a4 gene common variants (81230) | — | $524.45 | — |
| Cyp3a5 gene common variants (81231) | — | $524.45 | — |
| Cystatin C (82610) range across 2 matching MRF lines |
— | $74.10–$197.02 | — |
| Cytogenetics 10-30 (88273) | — | $679.69 | — |
| Cytogenetics 100-300 (88275) | — | $705.81 | — |
| Cytogenom Const Microarray Copy Number Variants (81228) | — | $6,488.85 | — |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | — | $3,450.36 | — |
| Cytogenomic neo microra alys (81277) | — | $3,547.21 | — |
| Cytomegalovirus igg (86644) | — | $242 | — |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | — | $205.84 | — |
| Cytopath Cell Enhance Tech (88112) | — | $227.01 | — |
| Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) | — | $119.75 | — |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
— | $111.75–$196.10 | — |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) | — | $200.30 | — |
| Cytp Concentration Smears & Interpretation (88108) | — | $222.71 | — |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | — | $1,115.77 | — |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | — | $244.09 | — |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | — | $123.23 | — |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | — | $623 | — |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | — | $41.02 | — |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | — | $205.49 | — |
| Cytp smrs any oth src extnd std > 5 slides (88162) | — | $177.06 | — |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | — | $123.06 | — |
| Cytp Urine 3-5 Probes Cmptr (88121) | — | $436.48 | — |
| Deoxycortisol (82634) | — | $92.25 | — |
| Deoxyribonuclease antibody (86215) | — | $167.18 | — |
| Desoxycorticosterone (82633) | — | $264.52 | — |
| Detect Agent Nos Dna Amp (87798) range across 14 matching MRF lines |
— | $128.04–$789.53 | — |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
— | $390–$689.81 | — |
| Detect agnt mult DNA ampli (87801) range across 3 matching MRF lines |
— | $223.39–$954.98 | — |
| Dgp Antibody Each Ig Class (86258) | — | $50.37 | — |
| Dhea (82626) | — | $343.62 | — |
| Dhea-S (82627) range across 2 matching MRF lines |
— | $77.80–$352.10 | — |
| Dibucaine number (82638) | — | $175.39 | — |
| Digoxin (80162) range across 2 matching MRF lines |
— | $58.75–$190.85 | — |
| Dihydrotestosterone (82642) | — | $244.85 | — |
| Diphtheria antitoxoid (86648) | — | $73.31 | — |
| Dipropylacetic Acid Free (80165) | — | $158.31 | — |
| Dna Antibody Native/Double Stranded (86225) | — | $78.94 | — |
| Dna Antibody Single Stranded (86226) | — | $776.06 | — |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
— | $98.75–$164.44 | — |
| DNA/RNA direct probe (87149) | — | $101.67 | — |
| Dna/Rna Sequencing (87153) | — | $357.39 | — |
| Dpyd gene common variants (81232) | — | $610.93 | — |
| Drug assay acetaminophen (80143) | — | $139.81 | — |
| Drug assay adalimumab (80145) | — | $690.35 | — |
| Drug Assay Amiodarone (80151) | — | $204.14 | — |
| Drug Assay Everolimus (80169) | — | $306.12 | — |
| Drug assay felbamate (80167) | — | $67.62 | — |
| Drug Assay Infliximab (80230) | — | $690.35 | — |
| Drug Assay Itraconazole (80189) | — | $165.78 | — |
| Drug Assay Lacosamide (80235) | — | $300.95 | — |
| Drug Assay Leflunomide (80193) | — | $229.75 | — |
| Drug Assay Posaconazole (80187) | — | $209.16 | — |
| Drug Assay Vedolizumab (80280) | — | $505.48 | — |
| Drug assay voriconazole (80285) | — | $194.48 | — |
| Drug Asy Hydroxychloroquine (80220) | — | $756.90 | — |
| Drug Screen Quant Clozapine (80159) | — | $110.92 | — |
| Drug Screen Quant Zonisamide (80203) | — | $156.04 | — |
| Drug Screen Quantitative Gabapentin (80171) | — | $79.24 | — |
| Drug Screen Quantitative Lamotrigine (80175) | — | $79.24 | — |
| Drug Screen Quantitative Levetiracetam (80177) | — | $79.24 | — |
| Drug Screen Quantitative Oxcarbazepine (80183) | — | $113.38 | — |
| Drug Screen Quantitative Procainamide Metabolite (80192) | — | $271.98 | — |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
— | $208.80–$295.79 | — |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
— | $93.95–$417.01 | — |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
— | $188.10–$214.54 | — |
| Egfr Gene Analysis Common Variants (81235) | — | $581.95 | — |
| Ehrlichia antibody (86666) | — | $45.17 | — |
| El-1 Fecal Quantitative (82653) | — | $180.64 | — |
| Electrolyte panel (80051) | — | $106 | — |
| Electron Microscopy (88348) | — | $3,186.45 | — |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | — | $174.90 | — |
| Encephaltis East Eqne Anbdy (86652) | — | $118.52 | — |
| Encephaltis West Eqne Antbdy (86654) | — | $118.52 | — |
| Endomysial Antibody Each Immunoglobulin Class (86231) | — | $128.08 | — |
| Enterovirus Antibody (86658) range across 14 matching MRF lines |
— | $68.50–$511.16 | — |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
— | $424.30–$828.05 | — |
| Enzyme cell activity (82657) range across 3 matching MRF lines |
— | $205.60–$1,005 | — |
| Enzyme histochemistry (88319) | — | $823.69 | — |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
— | $23.42–$46.75 | — |
| Erythropoietin (82668) | — | $248.17 | — |
| Estradiol serum (82670) range across 2 matching MRF lines |
— | $470.30–$628.65 | — |
| Estriol (82677) | — | $230.92 | — |
| Estrogen total (82672) | — | $241.85 | — |
| Estrogens fractionated (82671) | — | $396.34 | — |
| Ethosuximide (80168) | — | $183.30 | — |
| Ethylene Glycol (82693) | — | $469.96 | — |
| Euglobulin lysis (85360) | — | $297.80 | — |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
— | $210–$248.09 | — |
| F2 Gene (81240) | — | $214.93 | — |
| Factor ii activity (85210) | — | $456.64 | — |
| Factor Inhibitor Test (85335) range across 3 matching MRF lines |
— | $434.62–$575.90 | — |
| Factor ix activity (85250) | — | $609.93 | — |
| Factor v activity (85220) | — | $69.37 | — |
| Factor v leiden mutation (81241) | — | $270.76 | — |
| Factor vii assay (85230) | — | $623.29 | — |
| Factor viii assay (85240) range across 2 matching MRF lines |
— | $500.15–$563.12 | — |
| Factor X (85260) | — | $466.42 | — |
| Factor xi activity (85270) | — | $377.04 | — |
| Factor xiii screen (85291) | — | $225.59 | — |
| Fat stain feces urine/respir secretions (89125) range across 2 matching MRF lines |
— | $81.28–$138.55 | — |
| Fat/Lipids Feces Quantitative (82710) | — | $226.03 | — |
| Fatty acids free (82725) | — | $151.72 | — |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | — | $122.71 | — |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | — | $171.44 | — |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) | — | $322.66 | — |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | — | $61.55 | — |
| Fecal Fat Qualitative (82705) | — | $150.56 | — |
| Ferritin (82728) range across 2 matching MRF lines |
— | $257.60–$306.68 | — |
| Fetal Aneuploidy Trisom Risk (81507) | — | $2,374 | — |
| Fetal Chrmoml Aneuploidy (81420) | — | $2,193.46 | — |
| Fetal Chrmoml Microdeltj (81422) | — | $2,193.46 | — |
| Fetal Congenital Abnor Assay Four Anal (81511) | — | $1,032.67 | — |
| Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) | — | $156.48 | — |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
— | $222.49–$833.70 | — |
| Fetal hemoglobin assay qual (83033) range across 2 matching MRF lines |
— | $172.69–$191.20 | — |
| Fetal Lung Maturity Fluorescence Polarization (83663) range across 2 matching MRF lines |
— | $649.59–$731.60 | — |
| Fetal screen rosette (85461) | — | $200.85 | — |
| Fibrin degradation products (85362) range across 2 matching MRF lines |
— | $101.31–$231.30 | — |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
— | $111.84–$306 | — |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | — | $336.90 | — |
| Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) | — | $156 | — |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
— | $57.18–$183.70 | — |
| Fibrinogen antigen (85385) | — | $153.16 | — |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 2 matching MRF lines |
— | $46.02–$65.40 | — |
| Flecainide level (80181) | — | $100.13 | — |
| Flow cytometry first marker (88184) | — | $378.18 | — |
| Flt3 Gene (81245) | — | $358.13 | — |
| Flt3 gene analysis (81246) | — | $290.07 | — |
| Fluorescent antibody screen (86255) range across 14 matching MRF lines |
— | $200.99–$959.20 | — |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 5 matching MRF lines |
— | $92.52–$210.08 | — |
| Fmr1 Gene Charac Alleles (81244) | — | $570 | — |
| Fmr1 gene detection (81243) | — | $285.20 | — |
| Folic acid rbc (82747) | — | $385.24 | — |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
— | $178.43–$368.25 | — |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
— | $351.15–$418.05 | — |
| Forensic Cytopathology (88125) | — | $144.36 | — |
| Francisella tularensis (86668) | — | $162.03 | — |
| Frozen Blood Each Unit Thawing (86931) | — | $534.10 | — |
| Frozen Section (88331) | — | $1,672.31 | — |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
— | $199.60–$209.60 | — |
| Fungi Identification Yeast (87106) range across 4 matching MRF lines |
— | $140.98–$173.65 | — |
| Galactose transferase test (82776) | — | $37.50 | — |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | — | $294.52 | — |
| Galectin-3 (82777) | — | $86.71 | — |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
— | $161.85–$240.86 | — |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
— | $201.12–$239.25 | — |
| Gases Blood O2 Saturation Only Direct Meas (82810) | — | $255.90 | — |
| Gases blood ph only (82800) | — | $263.90 | — |
| Gastrin (82941) | — | $252.63 | — |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
— | $1,523.70–$1,805.06 | — |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | — | $1,289.27 | — |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | — | $2,278.50 | — |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | — | $7,652.53 | — |
| Genet Virus Isolate Hsv (87255) | — | $103.53 | — |
| Genetic Tstg Severe Inh Cond (81443) | — | $7,345.70 | — |
| Gentamicin (80170) range across 2 matching MRF lines |
— | $59.75–$167 | — |
| Ggt (82977) range across 2 matching MRF lines |
— | $188.72–$198.40 | — |
| Giardia antigen (87329) range across 2 matching MRF lines |
— | $70.69–$251.65 | — |
| Giardia lamblia antibody (86674) | — | $50.85 | — |
| GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) | — | $358.13 | — |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | — | $358.13 | — |
| Gjb6 Gene Analysis Common Variants (81254) | — | $358.13 | — |
| Glucagon (82943) | — | $79.33 | — |
| Glucose 2 hr pp (82950) | — | $221.55 | — |
| Glucose body fluid (82945) range across 2 matching MRF lines |
— | $103.01–$119.90 | — |
| Glucose Serum (82947) range across 3 matching MRF lines |
— | $30.60–$40.85 | — |
| Glucose tolerance test (gtt) (82951) | — | $75.50 | — |
| Glutathione (82978) | — | $140.19 | — |
| Glycated Protein (82985) | — | $77 | — |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | — | $51.37 | — |
| Gonadotropin Chorionic Qualitative (84703) range across 3 matching MRF lines |
— | $27.45–$236.90 | — |
| Growth hormone (83003) | — | $279.34 | — |
| Gtt-added samples (82952) | — | $71.75 | — |
| H Pylori (C-13) Breath (83013) | — | $220.28 | — |
| Haloperidol (80173) | — | $214.62 | — |
| Haptoglobin (83010) range across 2 matching MRF lines |
— | $57.75–$165.05 | — |
| Hba1/hba2 full gene sequence (81259) | — | $2,358.98 | — |
| Hba1/Hba2 Gene (81257) | — | $2,340 | — |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | — | $795.76 | — |
| Hbb duplication/deletion variants (81363) | — | $795.76 | — |
| Hbb Full Gene Sequence (81364) | — | $1,276.12 | — |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
— | $36.59–$144 | — |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
— | $323.55–$340.20 | — |
| Helminth Antibody (86682) | — | $182.54 | — |
| Hematocrit (85014) | — | $71.65 | — |
| Hemoglobin (85018) | — | $74.65 | — |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
— | $204.70–$254.51 | — |
| Hemoglobin Chromotography (83021) | — | $719.44 | — |
| Hemoglobin electrophoresis (83020) | — | $185.12 | — |
| Hemoglobin F Fetal Chemical (83030) | — | $168.05 | — |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
— | $32.78–$163.20 | — |
| Hemoglobin plasma (83051) range across 2 matching MRF lines |
— | $38.40–$258.55 | — |
| Hemoglobin stability screen (83068) | — | $29.23 | — |
| Hemolysin Acid (85475) | — | $297.80 | — |
| Hemolysins&Agglutinins Incubated (86941) range across 2 matching MRF lines |
— | $97.25–$179.87 | — |
| Hemosiderin urine (83070) | — | $95.45 | — |
| Hep a ab igm (86709) range across 2 matching MRF lines |
— | $192.36–$263.45 | — |
| Heparin assay (85520) range across 3 matching MRF lines |
— | $343.10–$412.35 | — |
| Heparin Neutralization (85525) | — | $47.09 | — |
| Heparin-Protamine Tolerance Tst (85530) | — | $823.75 | — |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
— | $49.55–$73.56 | — |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
— | $310.85–$320.38 | — |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
— | $71.94–$113.30 | — |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
— | $204.90–$241.65 | — |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
— | $270.76–$312.40 | — |
| Hepatitis Be Antibody (86707) | — | $298.80 | — |
| Hepatitis Be Antigen (87350) | — | $326.89 | — |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
— | $290.80–$374.03 | — |
| Hepatitis c antibody confirmatory test (86804) | — | $700.14 | — |
| Hepatitis C Genotype (87902) | — | $797.51 | — |
| Hepatitis C Probe&Rvrs Trnsc (87521) | — | $802.07 | — |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
— | $409.45–$800.29 | — |
| Hepatitis Delta Agent Antibody (86692) | — | $243.63 | — |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | — | $2,373.13 | — |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | — | $2,133.81 | — |
| Hereditary peripheral neuropathy gen seq pnl (81448) | — | $4,312.50 | — |
| Heredtry Nurondcrn Tum Dsrdr (81437) | — | $1,533.95 | — |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
— | $77.40–$249.05 | — |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
— | $240.14–$265.70 | — |
| Hfe Gene (81256) | — | $731.46 | — |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
— | $157.32–$462.15 | — |
| Histamine urine (83088) | — | $356.60 | — |
| Histoplasma antibody (86698) | — | $128.24 | — |
| Histoplasma antigen urine (87385) | — | $670.78 | — |
| Hiv Antigen W/Hiv Antibodies (87806) | — | $123.80 | — |
| Hiv Genotype (87901) | — | $1,513.90 | — |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
— | $148.25–$225.35 | — |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
— | $37.26–$114.85 | — |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 3 matching MRF lines |
— | $1,053.20–$1,513.90 | — |
| HIV-2 probe&revrse trnscripj (87538) | — | $214.62 | — |
| Hla class i semiquant panel (86834) | — | $3,319.34 | — |
| Hla Class I Typing High Resolution One Locus Ea (81380) | — | $1,065 | — |
| Hla Class I Typing Low Resolution One Locus Each (81373) | — | $449.75 | — |
| Hla class i&ii antibody qual (86828) | — | $341.63 | — |
| Hla class i/ii antibody qual (86829) range across 2 matching MRF lines |
— | $179.11–$1,099.20 | — |
| Hla class ii high defin qual (86833) | — | $1,070.93 | — |
| Hla class ii typing high resolution one locus ea (81382) | — | $1,309.09 | — |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | — | $1,168.39 | — |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) | — | $386.04 | — |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | — | $365.42 | — |
| Hla I Typing 1 Allele Hr (81381) | — | $687.34 | — |
| Hla ii type 1 ag equiv lr (81377) | — | $1,112.91 | — |
| Hla ii typing 1 allele hr (81383) | — | $838.05 | — |
| Hla ii typing 1 locus lr (81376) | — | $838.05 | — |
| Hla Typing a/B/C Multiple Antigens (86813) | — | $348.21 | — |
| Hla-b27 (86812) range across 2 matching MRF lines |
— | $103.25–$288.95 | — |
| Homocysteine (83090) range across 2 matching MRF lines |
— | $85.81–$195.05 | — |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
— | $127.70–$461.36 | — |
| Homovanillic acid urine (83150) | — | $155.43 | — |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
— | $136.51–$140.35 | — |
| Hpv low-risk types (87623) | — | $154.80 | — |
| Hpv sep hi-rsk typ&pool rslt (87626) | — | $210.60 | — |
| Hpv Types 16 & 18 Only (87625) | — | $162.03 | — |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
— | $566.65–$642.08 | — |
| Htt Gene Detc Abnor Alleles (81271) | — | $642.75 | — |
| Human Epididymis Protein 4 (86305) | — | $274.91 | — |
| Hydroxycorticosteroids 17 (83491) | — | $302.92 | — |
| Hydroxyprogesterone 17-d (83498) | — | $108.29 | — |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) range across 2 matching MRF lines |
— | $115.20–$118.68 | — |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | — | $304 | — |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | — | $132 | — |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) range across 2 matching MRF lines |
— | $53.09–$388.60 | — |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | — | $66.75 | — |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
— | $143.85–$172.90 | — |
| Iaad Ia Streptococcus Group A (87430) | — | $142.45 | — |
| Iaadi giardia (87269) | — | $91.97 | — |
| Iaadi herpes smplx virus type 1 (87274) | — | $65.90 | — |
| Iaadi herpes smplx virus type 2 (87273) | — | $65.90 | — |
| Iaadi pneumocustis carinii (87281) | — | $258.55 | — |
| Iaadi Varicella Zoster Virus (87290) | — | $205.50 | — |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | — | $153.29 | — |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | — | $502.11 | — |
| Iadna Candida Species Amplified Probe Tq (87481) | — | $256.99 | — |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
— | $153.29–$176.85 | — |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | — | $88.74 | — |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | — | $518.13 | — |
| Iadna Cytomegalovirus Quantification (87497) | — | $652.16 | — |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | — | $283.05 | — |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | — | $153.29 | — |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
— | $171.35–$347.81 | — |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | — | $153.17 | — |
| Iadna Herpes Virus-6 Quantification (87533) | — | $493.75 | — |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | — | $214.62 | — |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) range across 2 matching MRF lines |
— | $184.20–$1,302.03 | — |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | — | $480 | — |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | — | $168.58 | — |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
— | $362.30–$631.07 | — |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
— | $153.29–$184.20 | — |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
— | $190.60–$789.53 | — |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | — | $480.62 | — |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 2 matching MRF lines |
— | $303.25–$1,111.82 | — |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | — | $804.24 | — |
| Idh1 common variants (81120) | — | $651.52 | — |
| Idh2 common variants (81121) | — | $651.52 | — |
| Ig Light Chains Free Each (83521) | — | $60.37 | — |
| Igg subclasses (82787) range across 5 matching MRF lines |
— | $167.51–$243.68 | — |
| Igh gene rearrange amp meth (81261) | — | $613.33 | — |
| IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) | — | $202.83 | — |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | — | $1,044.25 | — |
| Igk rearrangeabn clonal pop (81264) | — | $462.58 | — |
| Ikbkap Gene Analysis Common Variants (81260) | — | $1,289.27 | — |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | — | $792.44 | — |
| Immune Complex Assay (86332) range across 2 matching MRF lines |
— | $64.52–$97.50 | — |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
— | $295.69–$363.25 | — |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | — | $390.24 | — |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 13 matching MRF lines |
— | $56.88–$242.93 | — |
| Immunoassay nonantibody (83516) range across 18 matching MRF lines |
— | $117.69–$226.03 | — |
| Immunodiffusion Ouchterlony (86331) | — | $128.74 | — |
| Immunoelectrophoresis Other Fluids Concentration (86325) | — | $175.10 | — |
| Immunoelectrophoresis Serum (86320) range across 2 matching MRF lines |
— | $336.29–$391.70 | — |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
— | $126.19–$206.85 | — |
| Immunofluorescence per spec 1st singl antb stain (88346) | — | $1,068.86 | — |
| Immunohistochemistry (88342) | — | $1,672.31 | — |
| In situ hybridization 1st probe stain (88365) | — | $279.54 | — |
| In situ hybridization ea multiplex probe stain (88366) | — | $1,418.53 | — |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | — | $156.80 | — |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) range across 2 matching MRF lines |
— | $184.75–$206.02 | — |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | — | $93.66 | — |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | — | $826.12 | — |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | — | $35.60 | — |
| Influenza a/b ag eia (87400) | — | $305.35 | — |
| Influenza assay w/optic (87804) | — | $264.90 | — |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
— | $241.09–$277.30 | — |
| Inherited Cardmypthy 5 Gns (81439) | — | $3,066.15 | — |
| Inhibin A (86336) | — | $124.20 | — |
| Inhibin b (83520) range across 10 matching MRF lines |
— | $69.13–$584.14 | — |
| Insitu hybridization auto (88367) | — | $715.69 | — |
| Insitu hybridization manual (88368) | — | $708.39 | — |
| Insulin antibodies (86337) | — | $68.76 | — |
| Insulin free (83527) | — | $60.68 | — |
| Insulin total (83525) range across 2 matching MRF lines |
— | $140.35–$199.99 | — |
| Interleukin-6 (83529) | — | $210 | — |
| Intrinsic factor antibody (86340) | — | $174.78 | — |
| Iron (83540) range across 2 matching MRF lines |
— | $169.58–$203.80 | — |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
— | $165.20–$207.87 | — |
| Irradiation Blood Product Each Unit (86945) | — | $214.40 | — |
| Islet cell antibody (86341) | — | $118.56 | — |
| Jak2 gene analysis p.val617phe variant (81270) | — | $1,337.75 | — |
| Jak2 Gene Trgt Sequence Alys (81279) | — | $740.80 | — |
| Ketosteroids 17 total (83586) | — | $354.81 | — |
| Kit Gene Analysis D816 Variant(S) (81273) | — | $978.54 | — |
| Kit Gene Analysis Targeted Sequence Analysis (81272) range across 2 matching MRF lines |
— | $702.05–$1,137.30 | — |
| Koh Prep (87220) | — | $139.65 | — |
| Kras Gene Analysis Additional Variant(S) (81276) range across 2 matching MRF lines |
— | $445.59–$510 | — |
| Kras Gene Variants Exon 2 (81275) range across 3 matching MRF lines |
— | $448.73–$513.60 | — |
| L/s ratio (83661) | — | $802.36 | — |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
— | $107.05–$135.90 | — |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
— | $101–$170.16 | — |
| Lamellar Body Count (83664) range across 2 matching MRF lines |
— | $75.20–$99.34 | — |
| Ldh Isoenzymes (83625) | — | $252.63 | — |
| LDL direct (83721) range across 2 matching MRF lines |
— | $198.45–$236.25 | — |
| Lead (83655) | — | $116.33 | — |
| Legionella antibody (86713) | — | $67.62 | — |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
— | $314.01–$377.35 | — |
| Legionella pneumophila dfa (87278) | — | $118.04 | — |
| Leptospira antibody (86720) | — | $137.04 | — |
| Leucine Aminopeptidase Lap (83670) | — | $127.72 | — |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
— | $15.05–$20.83 | — |
| Level I Surg Pathology Gross Examination Only (88300) | — | $276.59 | — |
| Level ii surg pathology grossµscopic exam (88302) | — | $288.75 | — |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | — | $2,466 | — |
| Lidocaine (80176) range across 2 matching MRF lines |
— | $139.75–$224.02 | — |
| Lipase (83690) range across 2 matching MRF lines |
— | $151.20–$180.59 | — |
| Lipoprotein A (83695) | — | $65.75 | — |
| Lipoprotein Bld Quan Part (83704) | — | $109.78 | — |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | — | $838.66 | — |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | — | $126.03 | — |
| Lipoprotein-Associated Phospholipase A2 (83698) | — | $177.83 | — |
| Lithium (80178) range across 2 matching MRF lines |
— | $75.10–$181.55 | — |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
— | $216.30–$253.94 | — |
| Lyme disease antibody (86618) | — | $345.02 | — |
| Lymphocyte transformation (86353) | — | $296.30 | — |
| Lysozyme serum (85549) | — | $60.68 | — |
| M. Genitalium Amp Probe (87563) | — | $218.42 | — |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | — | $1,339.54 | — |
| M/phmtrc alys ishquant/semiq (88374) | — | $453.06 | — |
| Macroscopic exam arthropod (87168) | — | $36.45 | — |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
— | $58.55–$72.19 | — |
| Magnesium Urine (83735) range across 3 matching MRF lines |
— | $86.89–$175.61 | — |
| Mass Spectrometry Quant (83789) range across 4 matching MRF lines |
— | $70.77–$168.96 | — |
| Meat fibers, feces (89160) | — | $60.15 | — |
| Mercury urine (83825) | — | $154.16 | — |
| Metabolic panel ionized ca (80047) | — | $260.40 | — |
| Methotrexate (80204) | — | $249 | — |
| Methylmalonic acid serum (83921) | — | $492.80 | — |
| Mgmt methylation analysis (81287) | — | $334.60 | — |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
— | $121.35–$151.50 | — |
| Microbe Suscept Macrobroth (87188) | — | $160.15 | — |
| Microsatellite instability (81301) | — | $897.02 | — |
| Microsomal Antibodies Each (86376) range across 5 matching MRF lines |
— | $115.88–$277.60 | — |
| Mitochondrial Antibody Each (86381) | — | $111.18 | — |
| Mlh1 Gene (81288) range across 2 matching MRF lines |
— | $555.80–$1,201.20 | — |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | — | $433.05 | — |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | — | $1,467.46 | — |
| Mlh1 Gene Analysis Known Familial Variants (81293) | — | $588.22 | — |
| Mog-Igg1 Antb Cba Each (86362) | — | $380.06 | — |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | — | $256.69 | — |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | — | $371.41 | — |
| Molecular Cytogenetics Dna Probe Each (88271) range across 7 matching MRF lines |
— | $152.13–$279.19 | — |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | — | $425.36 | — |
| Molecular Pathology Procedure Level 3 (81402) range across 2 matching MRF lines |
— | $476.16–$545 | — |
| Molecular Pathology Procedure Level 6 (81405) | — | $650 | — |
| Mononuclear cell antigen (86356) range across 4 matching MRF lines |
— | $107.10–$598.64 | — |
| Mopath procedure level 1 (81400) | — | $123.72 | — |
| Mopath procedure level 2 (81401) | — | $301.51 | — |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
— | $581.01–$829.75 | — |
| Mopath procedure level 5 (81404) | — | $621.20 | — |
| Mopath procedure level 7 (81406) | — | $698.39 | — |
| Mopath procedure level 8 (81407) | — | $2,185.11 | — |
| Mopath procedure level 9 (81408) | — | $5,242.18 | — |
| Morphometric Analysis Tumor (88358) | — | $454.54 | — |
| Mpl gene analysis sequence analysis exon 10 (81339) | — | $660.51 | — |
| Mpl gene common variants (81338) | — | $1,135.80 | — |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
— | $271.50–$525 | — |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | — | $358.13 | — |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | — | $450.35 | — |
| Msh2 Gene Analysis Known Familial Variants (81296) | — | $441.22 | — |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | — | $659.73 | — |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | — | $757.23 | — |
| Msh6 Gene Known Variants (81299) | — | $547.65 | — |
| Mthfr Gene Analysis Common Variants (81291) | — | $365.25 | — |
| Mucopolysaccharides acid quantitative (83864) | — | $308.33 | — |
| Mumps antibody (86735) range across 3 matching MRF lines |
— | $129.90–$305.29 | — |
| Muscle-Specific Kinase Antb (86366) | — | $885 | — |
| Mycobacteric Identification (87118) | — | $210.56 | — |
| Mycophenolic Acid (80180) | — | $85.88 | — |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
— | $188.89–$209 | — |
| Mycoplasma culture (87109) | — | $131.40 | — |
| Myd88 Gene P.Leu265pro Vrnt (81305) range across 2 matching MRF lines |
— | $438.60–$875.65 | — |
| Myelin basic protein csf (83873) | — | $199.03 | — |
| Myoglobin urine (83874) range across 2 matching MRF lines |
— | $157.18–$471.90 | — |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
— | $160.45–$742 | — |
| Neisseria Dir Na Probe (87590) | — | $98.91 | — |
| Neutralization Test Viral (86382) | — | $208.73 | — |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | — | $431.10 | — |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | — | $66.75 | — |
| Nfct Agent Genotype Hepatitis B Virus (87912) | — | $1,077.14 | — |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | — | $797.51 | — |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | — | $534.86 | — |
| Nfct ds bv&vaginitis DNA alg (81515) range across 2 matching MRF lines |
— | $427.90–$1,580 | — |
| Nfct ds chrnc hcv 6 assays (81596) range across 2 matching MRF lines |
— | $567.64–$649.70 | — |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | — | $449.87 | — |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | — | $1,950.60 | — |
| Niacin (84591) | — | $320.56 | — |
| Nickel level (83885) | — | $78.72 | — |
| Nk cells total count (86357) | — | $190.81 | — |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) range across 3 matching MRF lines |
— | $493.95–$1,590.65 | — |
| Nras gene variants exon 2&3 (81311) range across 2 matching MRF lines |
— | $1,098.10–$1,256.85 | — |
| Ntrk translocation analysis (81194) | — | $905.64 | — |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
— | $71.75–$321.48 | — |
| Nudt15 Gene Common Variants (81306) | — | $1,272.80 | — |
| Nzym actv blood cells/tiss radact substrate ea (82658) | — | $928.39 | — |
| Obstetric panel (80081) range across 2 matching MRF lines |
— | $1,169.70–$1,345.95 | — |
| Occult blood feces (82272) | — | $14.80 | — |
| Occult Blood Other Sources (82271) | — | $64.15 | — |
| Oligoclonal bands (83916) | — | $231.44 | — |
| Oncology breast mrna gene expression 21 genes (81519) | — | $10,151.47 | — |
| Oncology Prostate Prob Score (81539) | — | $2,269 | — |
| Oncoprotein dcp (83951) | — | $313.83 | — |
| Organic Acids Qualitative Each Specimen (83919) | — | $530.20 | — |
| Organic acids urine (83918) | — | $526.11 | — |
| Osmolality serum (83930) range across 2 matching MRF lines |
— | $220.70–$250.71 | — |
| Osmolality Urine (83935) range across 2 matching MRF lines |
— | $77.69–$162.15 | — |
| Osmotic Fragility RBC Unincubated (85555) | — | $389.80 | — |
| Osteocalcin (83937) | — | $444.84 | — |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
— | $132.31–$279.75 | — |
| Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) range across 2 matching MRF lines |
— | $38.10–$40 | — |
| Oxalate urine (83945) | — | $237.30 | — |
| Pancreatic Elastase Fecal (82656) | — | $37.87 | — |
| Particle Agglut Antbdy Titr (86406) range across 2 matching MRF lines |
— | $51.26–$84.73 | — |
| Particle Agglutination Screen Each Antibody (86403) range across 3 matching MRF lines |
— | $49.14–$264.07 | — |
| Parvovirus antibody (86747) range across 3 matching MRF lines |
— | $228.64–$282.82 | — |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | — | $823.69 | — |
| Pathology Consultation During Surgery (88329) | — | $350.59 | — |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | — | $761.32 | — |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | — | $952.24 | — |
| Ph urine (81003) range across 2 matching MRF lines |
— | $52.10–$58.97 | — |
| pH; exhaled breath condensate Facility (83987) | — | $124.20 | — |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
— | $131.81–$155.85 | — |
| Phenotype Infect Agent Drug (87900) | — | $455.55 | — |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
— | $51.25–$263.35 | — |
| Phenytoin free (80186) | — | $205.27 | — |
| Phosphatase acid prostatic (84066) | — | $42.99 | — |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
— | $55.85–$64.30 | — |
| Phosphatidylglycerol (84081) | — | $802.36 | — |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
— | $235.37–$487.55 | — |
| Phosphorus Serum (84100) | — | $89.60 | — |
| Phosphorus urine (84105) range across 2 matching MRF lines |
— | $21.23–$151.05 | — |
| Pik3ca gene analysis targeted sequence analysis (81309) | — | $882.43 | — |
| Pinworm exam (87172) range across 2 matching MRF lines |
— | $69.84–$130.15 | — |
| Platelet Aggregation (85576) range across 13 matching MRF lines |
— | $106.90–$663.41 | — |
| Platelet Antibodies (86022) | — | $244.63 | — |
| Platelet count automated (85049) | — | $83.35 | — |
| Platelet neutralization (85597) range across 2 matching MRF lines |
— | $341.05–$375.50 | — |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | — | $1,503.54 | — |
| PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure… (81326) | — | $358.13 | — |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | — | $861.25 | — |
| Pmp22 Gene Analysis Full Sequence Analysis (81325) | — | $907.95 | — |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | — | $433.35 | — |
| Pms2 gene full seq analysis (81317) | — | $1,480.91 | — |
| Pneumcysts jirovecii amp prb (87594) | — | $600 | — |
| Pooling blood platelets (86965) | — | $248.90 | — |
| Porphobilinogen, urine; quantitative (84110) | — | $223.05 | — |
| Porphyrins Feces Quantitative (84126) | — | $365.85 | — |
| Porphyrins Urine Quantitation & Fractionation (84120) | — | $369.05 | — |
| Porphyrins, urine; qualitative (84119) | — | $37.39 | — |
| Potassium Urine (84133) range across 2 matching MRF lines |
— | $41.50–$93.20 | — |
| Prealbumin (84134) range across 2 matching MRF lines |
— | $164.59–$180.40 | — |
| Pregnancy-Associated Plasma Protein-A (84163) range across 2 matching MRF lines |
— | $47.40–$135 | — |
| Pregnenolone (84140) | — | $121.49 | — |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) range across 2 matching MRF lines |
— | $308.90–$334.65 | — |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | — | $576.65 | — |
| Primidone (80188) | — | $143.50 | — |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
— | $482.30–$612.45 | — |
| Progesterone (84144) range across 2 matching MRF lines |
— | $351.15–$469.35 | — |
| Prolactin (84146) range across 2 matching MRF lines |
— | $426.30–$507.97 | — |
| Prostaglandin (84150) | — | $851.85 | — |
| Protein body fluid (84157) range across 2 matching MRF lines |
— | $106.01–$126 | — |
| Protein C Activity (85303) | — | $623.29 | — |
| Protein c antigen (85302) | — | $434.01 | — |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
— | $258.05–$475.77 | — |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
— | $281.50–$338.30 | — |
| Protein S Free (85306) | — | $534.79 | — |
| Protein s total (85305) | — | $402.51 | — |
| Protein Total Refractometry Any Src (84160) | — | $384.47 | — |
| Protein total serum (84155) range across 2 matching MRF lines |
— | $69.35–$85.32 | — |
| Protein Total Urine (84156) range across 2 matching MRF lines |
— | $96.19–$115.60 | — |
| Protein Western Blot Test (84182) | — | $231.14 | — |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
— | $47.38–$324.50 | — |
| Protoporphyrin rbc quantitative (84202) | — | $222.09 | — |
| Protoporphyrin, RBC; screen Facility (84203) | — | $38.46 | — |
| PSA free (84154) range across 2 matching MRF lines |
— | $73.55–$260.06 | — |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | — | $358.13 | — |
| Pten Gene Analysis Full Sequence Analysis (81321) | — | $981.08 | — |
| Pten gene analysis known familial variant (81322) | — | $358.13 | — |
| Pth Intact (83970) range across 3 matching MRF lines |
— | $696.35–$928.80 | — |
| Pyruvate kinase (84220) | — | $105 | — |
| Q Fever Antibody (86638) | — | $212.53 | — |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
— | $247.90–$336.63 | — |
| Quantitative assay drug (80299) range across 8 matching MRF lines |
— | $144.22–$424.97 | — |
| Quantitative Screen Metals (83018) | — | $111.69 | — |
| Quinidine (80194) range across 2 matching MRF lines |
— | $46.87–$176 | — |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
— | $343.58–$396.40 | — |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
— | $3,257.30–$4,353.96 | — |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
— | $170.72–$179.85 | — |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
— | $467.82–$539.75 | — |
| Receptor assay estrogen (84233) | — | $343.62 | — |
| Receptor assay progesterone (84234) | — | $343.62 | — |
| Renin activity plasma (84244) | — | $343.35 | — |
| Reptilase test (85635) | — | $89.55 | — |
| Resp virus 12-25 targets (87633) | — | $1,466.75 | — |
| Resp Virus 6-11 Targets (87632) range across 2 matching MRF lines |
— | $547–$796.99 | — |
| Reticulated Platelet Assay (85055) | — | $154.37 | — |
| Reticulocyte Count (85046) | — | $83.35 | — |
| Reticulocyte Count Manual (85044) | — | $158.60 | — |
| Rh (86901) range across 2 matching MRF lines |
— | $52.25–$60.30 | — |
| Rheumatoid Factor Qualitative (86430) | — | $157 | — |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
— | $108.20–$148.62 | — |
| Rickettsia antibody (86757) range across 5 matching MRF lines |
— | $55.96–$229.13 | — |
| Ristocetin cofactor (85245) | — | $523.08 | — |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
— | $35.95–$322.10 | — |
| Rpr qualitative (86592) range across 5 matching MRF lines |
— | $38.27–$111.92 | — |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
— | $208.39–$391.15 | — |
| Rubella Antibody (86762) range across 2 matching MRF lines |
— | $274.55–$369.21 | — |
| Rubeola antibody (86765) range across 4 matching MRF lines |
— | $52.44–$339.69 | — |
| Russell Viper Venom Time Diluted (85613) | — | $268.24 | — |
| Russell Viper Venon Time Undiluted (85612) | — | $184.52 | — |
| Rx metab gen seq alys pnl 6 (81418) range across 2 matching MRF lines |
— | $3,800.10–$3,996.15 | — |
| Salicylate Level (80179) | — | $139.81 | — |
| Salmonella antibody (86768) | — | $63.58 | — |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
— | $80.40–$82.82 | — |
| Sarscov2&inf a&b&rsv amp prb (87637) | — | $413.75 | — |
| Sedimentation rate (85651) | — | $76 | — |
| Sedimentation Rate, Automated (85652) | — | $101.30 | — |
| Selenium (84255) | — | $313.83 | — |
| Semen Anal Sperm Detection (89321) | — | $144.25 | — |
| Semen analysis complete (89320) range across 2 matching MRF lines |
— | $41.63–$272.90 | — |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | — | $31.05 | — |
| Sensitivity mic (87186) range across 4 matching MRF lines |
— | $272.50–$277.75 | — |
| Serpina 1 gene (81332) | — | $140.18 | — |
| Serum Bactericidal Titer (87197) | — | $515.48 | — |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
— | $86.90–$131.86 | — |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
— | $168.38–$260.05 | — |
| Sirolimus (80195) | — | $294.79 | — |
| Skin Test Candida (86485) | — | $142.65 | — |
| Skin test tuberculosis intradermal (86580) | — | $99.10 | — |
| Smear acid fast (87206) range across 3 matching MRF lines |
— | $30.31–$169.80 | — |
| Smear complex stain (87209) range across 2 matching MRF lines |
— | $105.89–$229.55 | — |
| Smear gram stain (87205) range across 3 matching MRF lines |
— | $120.74–$134.50 | — |
| Smear Special Stain (87207) range across 4 matching MRF lines |
— | $102.60–$236.35 | — |
| Smn1 Gene Dos/Deletion Alys (81329) | — | $687 | — |
| Smr Prim Src Wet Mount Nfct Agt (87210) | — | $153.85 | — |
| Snrpn/Ube3a Methylation Analysis (81331) | — | $153.20 | — |
| Sodium Serum (84295) | — | $97.45 | — |
| Sodium Urine (84300) range across 2 matching MRF lines |
— | $115–$132.63 | — |
| Soluble fibrin monomer (85366) | — | $241.40 | — |
| Soluble Transferrin Receptor (84238) | — | $169.93 | — |
| Somatomedin (84305) | — | $350.36 | — |
| Somatostatin (84307) | — | $440.69 | — |
| Special Stains Group 1 (88312) | — | $258.40 | — |
| Special Stains Group 2 (88313) | — | $782.10 | — |
| Specific gravity body fluid (84315) | — | $90.50 | — |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
— | $109.47–$210.10 | — |
| Spectrophotometry (84311) range across 2 matching MRF lines |
— | $46.50–$55.69 | — |
| Sperm Antibodies (89325) | — | $92.64 | — |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | — | $123.20 | — |
| Splitting Blood/Blood Products Each Unit (86985) | — | $324.20 | — |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | — | $317.25 | — |
| Staph a DNA amp probe (87640) range across 2 matching MRF lines |
— | $271.50–$330.94 | — |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
— | $136.10–$157.18 | — |
| Strep a assay w/optic (87880) | — | $278.25 | — |
| Strep a DNA amp probe (87651) | — | $149.50 | — |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
— | $162.50–$260.60 | — |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | — | $211.05 | — |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | — | $114 | — |
| Sugars Single Qual (84376) | — | $21.23 | — |
| Sulfate urine (84392) | — | $66.14 | — |
| Surg path level iii (88304) | — | $544.06 | — |
| Surgical pathology level IV (88305) | — | $819 | — |
| Surgical pathology level vi (88309) | — | $2,715 | — |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 7 matching MRF lines |
— | $82.10–$262.31 | — |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
— | $119.20–$198.40 | — |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | — | $658.42 | — |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | — | $46.31 | — |
| Syphilis Test Non-Trep Quant (86593) range across 3 matching MRF lines |
— | $105.50–$108.03 | — |
| T cells absolute cd4 count (86361) | — | $108.63 | — |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | — | $226.49 | — |
| T cells total count (86359) | — | $164.95 | — |
| T3 Free (84481) range across 2 matching MRF lines |
— | $320.15–$412.65 | — |
| T3 reverse (84482) | — | $69.81 | — |
| T3 Total (84480) range across 2 matching MRF lines |
— | $209.08–$212.90 | — |
| T3 Uptake (84479) range across 2 matching MRF lines |
— | $159.97–$184.55 | — |
| T4 Free (84439) range across 2 matching MRF lines |
— | $32.89–$193.20 | — |
| T4 total (84436) range across 2 matching MRF lines |
— | $124.50–$190.81 | — |
| T4-neonatal (84437) | — | $23.46 | — |
| Tacrolimus (80197) range across 2 matching MRF lines |
— | $257.44–$337.90 | — |
| Tau phosphorylated each (84393) | — | $995 | — |
| Tert gene targeted seq alys (81345) | — | $647.23 | — |
| Test for acetone/ketones (82009) | — | $145.80 | — |
| Testosterone Bioavailable (84410) | — | $168.49 | — |
| Testosterone total (84403) range across 2 matching MRF lines |
— | $463.40–$580.73 | — |
| Testosterone, Free (84402) range across 2 matching MRF lines |
— | $101.90–$366.23 | — |
| Tetanus antibody (86774) | — | $71.33 | — |
| Tgsap so/hl 51/< RNA alys (81456) | — | $8,758.80 | — |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | — | $6,688.69 | — |
| Theophylline (80198) range across 2 matching MRF lines |
— | $60.02–$227.85 | — |
| Thiocyanate (84430) | — | $343.62 | — |
| Thiopurine methyltransferase (84433) | — | $152.90 | — |
| Thrombin Time (85670) range across 2 matching MRF lines |
— | $64.69–$178.55 | — |
| Thromboplastin Inhibition Tissue (85705) | — | $210.37 | — |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | — | $61.81 | — |
| Thyroglobulin (84432) | — | $377.14 | — |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
— | $185.62–$191.45 | — |
| Thyroid Stimulating Immunoglobulin (84445) | — | $810.79 | — |
| Thyroxine binding globulin (84442) | — | $266.65 | — |
| Tiss cul neo disorders solid tumor (88239) | — | $917.25 | — |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | — | $60.46 | — |
| Tissue Culture (88233) | — | $534.48 | — |
| Tissue Culture Amniotic Fluid (88235) | — | $686.33 | — |
| Tissue culture bone marrow (88237) | — | $1,160.50 | — |
| Tissue Culture Lymphocyte (88230) | — | $378.62 | — |
| Tobramycin peak (80200) range across 2 matching MRF lines |
— | $167–$296.64 | — |
| Topiramate (80201) | — | $216.75 | — |
| Total Tau (84394) | — | $995 | — |
| Touch prep (88161) | — | $141.50 | — |
| Toxin/Antitoxin Assay Tissue Culture (87230) | — | $84.15 | — |
| Toxoplasma ab igm (86778) | — | $322.06 | — |
| Toxoplasma antibody (86777) | — | $195.01 | — |
| Tp53 gene analysis full gene sequence (81351) | — | $757.23 | — |
| Tp53 gene analysis targeted sequence analysis (81352) range across 2 matching MRF lines |
— | $1,038–$3,657 | — |
| Tpmt gene com variants (81335) range across 2 matching MRF lines |
— | $587.35–$699.24 | — |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
— | $68.55–$108.79 | — |
| Transferrin (84466) range across 2 matching MRF lines |
— | $215.85–$228.47 | — |
| Trb@ Rearrangement Anal Amplification Method (81340) | — | $730.15 | — |
| Trg gene rearrangement anal (81342) | — | $1,364.45 | — |
| Trichomonas vagin dir probe (87660) range across 2 matching MRF lines |
— | $201.12–$239.25 | — |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
— | $109.20–$156.26 | — |
| Triglycerides (84478) range across 2 matching MRF lines |
— | $108.50–$129.15 | — |
| Troponin Quant (84484) range across 3 matching MRF lines |
— | $46.53–$377.10 | — |
| Troponin, qualitative (84512) range across 2 matching MRF lines |
— | $31.80–$483.30 | — |
| Trypsin feces qual (84488) | — | $76.06 | — |
| Tumor immunohistochem/comput (88361) | — | $408.80 | — |
| Tumor Immunohistochem/Manual (88360) | — | $1,672.31 | — |
| Urea Nitrogen Clearance (84545) | — | $40.15 | — |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
— | $58.21–$93.20 | — |
| Uric acid other source (84560) range across 2 matching MRF lines |
— | $65.31–$147.75 | — |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
— | $14.06–$64.45 | — |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | — | $7.50 | — |
| Urinalysis Volume Measure (81050) range across 2 matching MRF lines |
— | $35.85–$50.45 | — |
| Urinalysis; 2 or 3 glass test Facility (81020) range across 2 matching MRF lines |
— | $14.10–$14.80 | — |
| Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) range across 2 matching MRF lines |
— | $89.95–$94.45 | — |
| Urine Bacteria Culture (87088) range across 3 matching MRF lines |
— | $89.46–$234.45 | — |
| Urine Pregnancy Test (81025) | — | $183.10 | — |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | — | $78.10 | — |
| Valproic acid (80164) range across 2 matching MRF lines |
— | $271.50–$285.65 | — |
| Vancomycin (80202) range across 2 matching MRF lines |
— | $168.63–$294.85 | — |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
— | $199.03–$337.60 | — |
| Vasopressin (84588) | — | $406.92 | — |
| Very Long Chain Fatty Acids (82726) | — | $363.60 | — |
| Viral Culture (87252) range across 2 matching MRF lines |
— | $38.57–$636.30 | — |
| Virus antibody nos (86790) range across 4 matching MRF lines |
— | $146.34–$324.93 | — |
| Virus inoculate tissue addl (87253) range across 2 matching MRF lines |
— | $508.05–$588.90 | — |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
— | $164.74–$327.40 | — |
| Viscosity serum (85810) | — | $176.53 | — |
| Vit D 1 25-Dihydroxy (82652) | — | $482.74 | — |
| Vitamin A (84590) | — | $325.41 | — |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
— | $138.67–$285 | — |
| Vitamin B2 (Riboflavin) (84252) | — | $115.33 | — |
| Vitamin B6 (84207) | — | $374.55 | — |
| Vitamin c (82180) | — | $164.95 | — |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
— | $524.50–$666 | — |
| Vitamin E (84446) | — | $252.63 | — |
| Vitamin K (84597) | — | $242.13 | — |
| Volatiles (84600) | — | $512.38 | — |
| Voltage-Gated Calcium Channel Antibody Each (86596) | — | $128.61 | — |
| Von willebrand factor ag (85246) | — | $603.86 | — |
| Wbc Alkaline Phosphatase Count (85540) range across 2 matching MRF lines |
— | $360.84–$411.20 | — |
| West nile virus ab igm (86788) | — | $62.03 | — |
| West Nile Virus Antibody (86789) | — | $54.30 | — |
| Western Blot Test (84181) | — | $601.45 | — |
| Xm Archive Tissue Molec Anal (88363) | — | $54.82 | — |
| Zika Virus Dna/Rna Amp Probe (87662) | — | $313.79 | — |
| Zika Virus Igm Antibody (86794) | — | $251.41 | — |
| Zinc (84630) | — | $245.68 | — |
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.