Lab & pathology prices at Ira Davenport Memorial Hospital
Bath, NY · every code in this section with a posted price and a Medicare benchmark.
633 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $30.86 | $154.30 | 1.4× |
| Acetylcholine receptor binding antibody (86041) range across 2 matching MRF lines |
$16.17–$49.77 | $80.85–$248.85 | varies |
| Acth (82024) | $93.49 | $467.46 | 2.4× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$9.66–$13.23 | $48.30–$66.15 | varies |
| Acute hepatitis panel (80074) | $148.52 | $742.61 | 3.1× |
| Acylcarnitines Quant (82017) | $23.52 | $117.60 | 1.4× |
| Albumin Fluid (82042) | $19.39 | $96.97 | 2.5× |
| Albumin serum (82040) range across 2 matching MRF lines |
$3.78–$23.93 | $18.90–$119.64 | varies |
| Aldolase (82085) | $32.93 | $164.66 | 3.4× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$28.35–$89.20 | $141.75–$445.99 | varies |
| Alkaline phosphatase isoenzymes (84080) | $37.82 | $189.11 | 2.6× |
| Allergen specific ige (86003) | $12.84 | $64.19 | 2.5× |
| Allg Spec Ige Recomb Ea (86008) range across 6 matching MRF lines |
$10.92–$24.36 | $54.60–$121.80 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $93 | $465 | 6.4× |
| Alpha-1-antitrypsin total (82103) | $39.46 | $197.32 | 2.9× |
| Alpha-Fetoprotein Serum (82105) | $65.68 | $328.38 | 3.9× |
| Alt (sgpt) (84460) | $21.87 | $109.33 | 4.1× |
| Aluminum (82108) | $90.23 | $451.17 | 3.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $265.23 | $1,326.17 | 15.7× |
| Ammonia (82140) | $42.49 | $212.46 | 2.9× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $82.51 | $412.56 | 0.8× |
| Amylase urine (82150) | $34.66 | $173.28 | 5.3× |
| Ana Titer (86039) | $78.60 | $393 | 7.0× |
| Anca screen each antibody (86036) | $17.01 | $85.05 | 1.4× |
| Androstenedione (82157) | $80.91 | $404.57 | 2.8× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$26.04–$53.61 | $130.20–$268.07 | varies |
| Antibody aspergillus (86606) | $16.92 | $84.59 | 1.1× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$9.66–$28.61 | $48.30–$143.05 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $35.44 | $177.19 | 2.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $10.92 | $54.60 | 0.8× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $24.75 | $123.73 | 1.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$18.96–$18.98 | $94.82–$94.91 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$21.42–$68.20 | $107.10–$341.01 | varies |
| Antibody haemophilus influenza (86684) | $15.47 | $77.34 | 1.0× |
| Antibody helicobacter pylori (86677) | $57.75 | $288.77 | 3.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $42.33 | $211.64 | 2.9× |
| Antibody Herpes Smplx Type 1 (86695) | $33.02 | $165.11 | 2.5× |
| Antibody HIV-1&HIV-2 single result (86703) | $86.50 | $432.51 | 6.3× |
| Antibody HIV-2 (86702) | $16.80 | $84 | 1.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $122.27 | $611.35 | 6.3× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$14.70–$21.42 | $73.50–$107.10 | varies |
| Antibody Titer (86886) | $33.38 | $166.92 | 6.4× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$29.61–$38.22 | $148.05–$191.10 | varies |
| Antigen typing (86905) | $44.15 | $220.73 | 11.5× |
| Antinuclear antibodies (86038) | $53.22 | $266.08 | 4.4× |
| Antistreptolysin O Screen (86063) | $22.01 | $110.04 | 3.8× |
| Antistreptolysin o titer (86060) | $25.17 | $125.83 | 3.4× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$13.44–$47.68 | $67.20–$238.41 | varies |
| Antithrombin iii antigen (85301) | $20.16 | $100.80 | 1.9× |
| Apolipoprotein a1 (82172) | $45.70 | $228.52 | 2.2× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $60.90 | $304.50 | 1.6× |
| Arsenic (82175) | $45.78 | $228.90 | 2.4× |
| Aspergillus ag eia (87305) | $74.75 | $373.75 | 6.2× |
| Assay activated protein c (85307) | $69.21 | $346.06 | 4.5× |
| Assay Blood Carbon Dioxide (82374) | $5.50 | $27.52 | 1.1× |
| Assay Dir Meas Fr Estradiol (82681) | $13.65 | $68.25 | 0.5× |
| Assay Nephelometry Not Spec (83883) | $9.87 | $49.35 | 0.7× |
| Assay of 5-hiaa (83497) | $13.65 | $68.25 | 1.1× |
| Assay of anti-mullerian hormone (82166) | $62.16 | $310.80 | 1.6× |
| Assay of blood/uric acid (84550) | $23.52 | $117.58 | 5.2× |
| Assay of calcium in urine (82340) | $22.47 | $112.35 | 3.7× |
| Assay of cpk in blood (82552) | $55.69 | $278.47 | 4.2× |
| Assay of estrone (82679) | $36.68 | $183.39 | 1.5× |
| Assay of g6pd enzyme (82955) | $26.22 | $131.08 | 2.7× |
| Assay of gammaglobulin igm (82784) | $30.95 | $154.73 | 3.3× |
| Assay of lactic acid (83605) | $67.25 | $336.26 | 5.8× |
| Assay of metanephrines (83835) | $122.97 | $614.85 | 7.3× |
| Assay of proinsulin (84206) | $112.47 | $562.37 | 4.2× |
| Assay of pyruvate (84210) | $75.64 | $378.20 | 5.2× |
| Assay of serotonin (84260) | $70.14 | $350.69 | 2.3× |
| Assay of serum potassium (84132) | $22.69 | $113.45 | 4.8× |
| Assay of urea nitrogen (84520) | $21.87 | $109.33 | 5.5× |
| Assay of urine vma (84585) | $58.75 | $293.76 | 3.8× |
| Assay of vitamin b-1 (84425) | $31.76 | $158.81 | 1.5× |
| Assay Ph Body Fluid Nos (83986) | $6.19 | $30.95 | 1.7× |
| Assay spec xcp ur&breath ia (82077) | $56.94 | $284.68 | 3.3× |
| Automated Leukocyte Count (85048) | $8.24 | $41.22 | 3.2× |
| B cells total count (86355) | $95.33 | $476.63 | 2.5× |
| Babesia microti amp prb (87469) | $15.90 | $79.50 | 0.5× |
| Bartonella antibody (86611) | $14.67 | $73.36 | 1.4× |
| Bcr/abl1 gene major bp (81206) | $165.39 | $826.97 | 1.0× |
| Bcr/abl1 gene minor bp (81207) | $165.39 | $826.97 | 1.1× |
| Bcr/Abl1 Gene Other Bp (81208) | $174.67 | $873.35 | 0.8× |
| Beta 2 glycoprotein i antibody each (86146) | $39.90 | $199.52 | 1.6× |
| Beta hydroxybutyrate (82010) range across 3 matching MRF lines |
$15.39–$17.64 | $76.95–$88.20 | varies |
| Beta Lactamase (87185) | $17.51 | $87.54 | 3.7× |
| Beta-2 Microglobulin (82232) | $35.07 | $175.33 | 2.2× |
| Bile acids total (82239) | $42.58 | $212.91 | 2.5× |
| Bilirubin direct (82248) | $25.57 | $127.87 | 5.1× |
| Bilirubin total (82247) | $18.42 | $92.10 | 3.7× |
| Bilirubin total transcutaneous (88720) | $4.22 | $21.08 | 0.8× |
| Biotinidase (82261) | $18.48 | $92.40 | 1.1× |
| Blastomyces antibody (86612) | $48.48 | $242.38 | 3.8× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $18.86 | $94.29 | 0.1× |
| Blood Count Automated Differential Wbc Count (85004) | $27.77 | $138.87 | 4.3× |
| Blood Count Red Blood Cell Automated (85041) | $7.72 | $38.61 | 2.6× |
| Blood count reticulocyte automated (85045) | $16.92 | $84.62 | 4.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $8.66 | $43.32 | 2.3× |
| Blood count spun microhematocrit (85013) | $8.13 | $40.67 | 1.2× |
| Blood gas (82803) | $44.16 | $220.82 | 1.7× |
| Blood gases w/02 saturation (82805) | $37.13 | $185.65 | 0.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $9.92 | $49.61 | 0.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $8.66 | $43.32 | 2.0× |
| Blood Sulfhemoglobin Assay (83060) | $13.65 | $68.25 | 1.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $44.15 | $220.73 | 7.0× |
| Blood typing serologic abo (86900) | $18.98 | $94.91 | 6.3× |
| Body fluid cell count (89050) | $19.74 | $98.70 | 4.2× |
| Bordetella antibody (86615) | $34.23 | $171.15 | 2.6× |
| Borrelia miyamotoi amp prb (87478) | $129.32 | $646.59 | 3.7× |
| Brucella antibody (86622) | $14.91 | $74.55 | 1.7× |
| C diff amplified probe (87493) | $49.90 | $249.52 | 1.3× |
| C-Peptide (84681) | $32.18 | $160.91 | 1.5× |
| C-reactive protein (86140) | $29.53 | $147.66 | 5.7× |
| Ca 19-9 (86301) | $30.40 | $151.98 | 1.5× |
| Cadmium (82300) | $54.81 | $274.05 | 2.3× |
| Calcitonin (82308) | $72.61 | $363.07 | 2.7× |
| Calcium ionized (82330) | $32.18 | $160.91 | 2.4× |
| Calcium total (82310) range across 2 matching MRF lines |
$19.04–$19.80 | $95.20–$99.02 | varies |
| Calculus Spectroscopy (82365) | $46.62 | $233.11 | 3.6× |
| Calprotectin Fecal (83993) | $110.54 | $552.71 | 5.6× |
| Calr gene com variants (81219) | $164.01 | $820.05 | 1.3× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$82.51–$115.50 | $412.55–$577.50 | varies |
| Cancer Antigen 27.29 (86300) | $53.97 | $269.85 | 2.6× |
| Candida Dna Dir Probe (87480) | $37.54 | $187.71 | 1.9× |
| Carbamazepine free (80157) | $18.42 | $92.12 | 1.4× |
| Carbamazepine total (80156) | $53.63 | $268.15 | 3.7× |
| Carboxyhemoglobin (82375) | $39.19 | $195.96 | 3.2× |
| Carcinoembryonic antigen (82378) | $83.34 | $416.69 | 4.4× |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$9.66–$34.85 | $48.30–$174.25 | varies |
| Carnitine Quantitative Each Specimen (82379) | $76.54 | $382.71 | 4.5× |
| Carotene (82380) | $34.59 | $172.96 | 3.8× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$64.41–$89.83 | $322.06–$449.15 | varies |
| Ccp antibody (86200) | $34.60 | $173.01 | 2.7× |
| Cell count csf (89051) | $30.12 | $150.59 | 5.4× |
| Ceruloplasmin (82390) | $35.07 | $175.35 | 3.3× |
| Cftr gene com variants (81220) | $281.70 | $1,408.52 | 0.5× |
| Chemiluminescent assay (82397) | $93.13 | $465.66 | 6.6× |
| Chlamydia antibody (86631) | $12.47 | $62.36 | 1.1× |
| Chlamydia Igm Antibody (86632) | $12.47 | $62.36 | 1.0× |
| Chlmy trch&neisra gonor mult (87494) | $15 | $75 | 0.2× |
| Chloride Serum (82435) | $11.96 | $59.81 | 2.6× |
| Chloride urine (82436) range across 2 matching MRF lines |
$5.67–$22.28 | $28.35–$111.38 | varies |
| Cholesterol total (82465) | $20.21 | $101.06 | 4.6× |
| Chorionic gonadotropin test (84702) | $100.26 | $501.29 | 6.7× |
| Chromium serum (82495) | $52.32 | $261.59 | 2.6× |
| Chromogranin a (86316) | $55.69 | $278.47 | 2.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $46.84 | $234.21 | 1.3× |
| Citric acid urine (82507) | $50.43 | $252.17 | 1.8× |
| Ckmb (82553) | $46.20 | $231 | 4.0× |
| Clostridium Difficile (87324) | $66.42 | $332.09 | 5.5× |
| Clot Factor VIII Multimetric (85247) | $13.56 | $67.81 | 0.6× |
| Clotting factor xii hageman (85280) | $104.99 | $524.93 | 5.4× |
| Clotting Funct Activity (85397) | $55.02 | $275.11 | 1.8× |
| Cns DNA amp probe type 12-25 (87483) | $166.33 | $831.65 | 0.4× |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$15.80–$47.45 | $79.01–$237.25 | varies |
| Cold agglutinin titer (86157) | $14.49 | $72.45 | 1.8× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$12.81–$40.78 | $64.05–$203.91 | varies |
| Column Chromotography Quant (82542) | $97.73 | $488.63 | 4.1× |
| Compatibility test antiglob (86922) | $39.63 | $198.15 | 0.2× |
| Complement Antigen Each Component (86160) | $56.94 | $284.68 | 4.7× |
| Complement Total (Ch50) (86162) | $81.27 | $406.35 | 4.0× |
| Complement/Function Activity (86161) | $21 | $105 | 1.8× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $34.96 | $174.79 | 0.5× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $75.18 | $375.90 | 1.6× |
| Coombs direct (86880) range across 2 matching MRF lines |
$39.90–$39.92 | $199.50–$199.62 | varies |
| Copper urine (82525) | $14.86 | $74.28 | 1.2× |
| Cortisol free (82530) range across 3 matching MRF lines |
$15.33–$81.07 | $76.65–$405.37 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$62.80–$92.58 | $314.01–$462.89 | varies |
| Creatine kinase total (82550) | $32.59 | $162.96 | 5.0× |
| Creatinine blood (82565) | $20.63 | $103.14 | 4.0× |
| Creatinine clearance (82575) | $57.45 | $287.25 | 6.1× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$23.52 | $117.58–$117.60 | 4.5× |
| Crossmatch electronic (86923) | $42.52 | $212.60 | 0.2× |
| Crossmatch immediate spin (86920) | $35.89 | $179.43 | 0.2× |
| Crp High Sensitivity (86141) | $40.54 | $202.68 | 3.1× |
| Cryofibrinogen (82585) | $10.50 | $52.50 | 0.7× |
| Cryoglobulin (82595) | $38.25 | $191.23 | 5.9× |
| Cryptococcus ag titer (87899) | $55.49 | $277.44 | 3.5× |
| Cryptosporidium ag eia (87328) | $44.56 | $222.78 | 3.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $31.76 | $158.81 | 3.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $24.48 | $122.38 | 3.0× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $35.05 | $175.23 | 4.5× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $183.17 | $915.85 | 0.8× |
| Culture aerobic quant other (87071) | $8.31 | $41.54 | 0.8× |
| Culture afb (87116) | $40.44 | $202.18 | 3.7× |
| Culture Anaerobic (87075) | $56.11 | $280.54 | 5.9× |
| Culture bacteria anaerobic (87073) range across 2 matching MRF lines |
$24.48–$56.11 | $122.38–$280.54 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$53.22–$53.23 | $266.08–$266.14 | varies |
| Culture chlamydia (87110) | $27.50 | $137.49 | 1.4× |
| Culture csf (87070) range across 6 matching MRF lines |
$43.31–$43.32 | $216.57–$216.60 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$14.84–$34.65 | $74.20–$173.25 | varies |
| Culture fungus blood (87103) | $26.40 | $132.02 | 1.3× |
| Culture screen only (87081) | $46.62 | $233.11 | 7.0× |
| Culture stool (87045) | $51.57 | $257.84 | 5.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $17.26 | $86.32 | 3.3× |
| Culture typing other methods (87158) | $13.82 | $69.08 | 1.8× |
| Culture urine (87086) | $47.85 | $239.26 | 5.9× |
| Cyclosporine (80158) | $48.35 | $241.77 | 2.7× |
| Cystatin C (82610) | $21 | $105 | 1.1× |
| Cytogenetics 100-300 (88275) | $79.43 | $397.13 | 1.6× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $799.76 | $3,998.81 | 0.7× |
| Cytomegalovirus igg (86644) | $21.63 | $108.16 | 1.5× |
| Cytopath Cell Enhance Tech (88112) | $49.90 | $249.52 | 0.8× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $36.12 | $180.60 | 1.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $39.19 | $195.96 | 0.6× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $44.56 | $222.78 | 0.2× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $317.35 | $1,586.77 | 1.5× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $3.78 | $18.90 | 0.2× |
| Deoxyribonuclease antibody (86215) | $10.92 | $54.60 | 0.8× |
| Detect Agent Nos Dna Amp (87798) range across 8 matching MRF lines |
$4.83–$73.36 | $24.15–$366.81 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$37.17–$78.35 | $185.85–$391.74 | varies |
| Dgp Antibody Each Ig Class (86258) | $10.08 | $50.40 | 0.8× |
| Dhea (82626) | $108.51 | $542.55 | 4.3× |
| Dhea-S (82627) | $60.36 | $301.81 | 2.7× |
| Digoxin (80162) | $53.63 | $268.15 | 4.0× |
| Dihydrotestosterone (82642) | $14.75 | $73.76 | 0.5× |
| Dipropylacetic Acid Free (80165) | $21.79 | $108.95 | 1.6× |
| Dna Antibody Native/Double Stranded (86225) | $30.12 | $150.59 | 2.2× |
| Dna/Rna Amplified Probe (87150) | $47.53 | $237.64 | 1.4× |
| Dna/Rna Sequencing (87153) | $28.98 | $144.90 | 0.3× |
| Dpyd gene common variants (81232) | $201.81 | $1,009.05 | 1.2× |
| Drug assay acetaminophen (80143) | $72.19 | $360.96 | 3.9× |
| Drug Assay Amiodarone (80151) | $79.40 | $397.02 | 4.3× |
| Drug Assay Infliximab (80230) | $53.21 | $266.07 | 1.4× |
| Drug Assay Lacosamide (80235) | $70.81 | $354.04 | 2.6× |
| Drug Assay Leflunomide (80193) | $14.07 | $70.35 | 0.4× |
| Drug Assay Posaconazole (80187) | $17.69 | $88.44 | 0.7× |
| Drug assay voriconazole (80285) | $43.91 | $219.54 | 1.6× |
| Drug Asy Hydroxychloroquine (80220) | $52.50 | $262.50 | 2.8× |
| Drug Screen Quant Clozapine (80159) | $34.91 | $174.56 | 1.7× |
| Drug Screen Quant Zonisamide (80203) | $29.10 | $145.49 | 2.2× |
| Drug Screen Quantitative Gabapentin (80171) | $57.98 | $289.91 | 2.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $50.33 | $251.63 | 3.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $73.16 | $365.81 | 5.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $54.05 | $270.24 | 4.1× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 11 matching MRF lines |
$43.89–$98.21 | $219.45–$491.07 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $8.30 | $41.50 | 0.7× |
| Drug Test Prsmv Instrmnt (80306) | $54.74 | $273.71 | 3.2× |
| Ehrlichia antibody (86666) | $93 | $465 | 9.1× |
| El-1 Fecal Quantitative (82653) | $48.54 | $242.72 | 2.1× |
| Electrolyte panel (80051) | $37.54 | $187.71 | 5.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $13.02 | $65.10 | 1.1× |
| Enterovirus Antibody (86658) | $100.43 | $502.14 | 7.7× |
| Enterovirus PCR (87498) | $135.91 | $679.57 | 3.9× |
| Enzyme cell activity (82657) | $30.45 | $152.25 | 1.4× |
| Erythropoietin (82668) | $49.51 | $247.55 | 2.6× |
| Estradiol serum (82670) | $79.89 | $399.44 | 2.9× |
| Estriol (82677) | $70.81 | $354.07 | 2.9× |
| Estrogens fractionated (82671) | $72.54 | $362.70 | 2.2× |
| Ethosuximide (80168) | $58.82 | $294.09 | 3.6× |
| Ethylene Glycol (82693) | $26.30 | $131.51 | 1.8× |
| Exam Synovial Fluid Crystals (89060) | $21.29 | $106.43 | 2.9× |
| Exome Re-Evaluation (81417) | $530.25 | $2,651.25 | 1.7× |
| F2 Gene (81240) | $58.22 | $291.11 | 0.9× |
| F9 full gene sequence (81238) | $369.81 | $1,849.05 | 0.6× |
| Factor ii activity (85210) | $10.90 | $54.52 | 0.8× |
| Factor Inhibitor Test (85335) | $122.27 | $611.35 | 9.5× |
| Factor ix activity (85250) | $121.78 | $608.90 | 6.4× |
| Factor v activity (85220) | $86.08 | $430.41 | 4.9× |
| Factor v leiden mutation (81241) | $58.22 | $291.11 | 0.8× |
| Factor vii assay (85230) | $119.56 | $597.82 | 6.7× |
| Factor viii assay (85240) | $121.78 | $608.90 | 6.8× |
| Factor X (85260) | $110.72 | $553.58 | 6.2× |
| Factor xi activity (85270) | $121.78 | $608.90 | 6.8× |
| Fat/Lipids Feces Quantitative (82710) | $69.69 | $348.46 | 4.1× |
| Fatty acids free (82725) | $13.65 | $68.25 | 0.7× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $47.68 | $238.41 | 7.3× |
| Ferritin (82728) | $54.87 | $274.34 | 4.0× |
| Fetal Fibronectin (82731) | $207.91 | $1,039.56 | 3.2× |
| Fetal screen rosette (85461) | $14.55 | $72.77 | 1.6× |
| Fibrin degradation products (85362) | $29.57 | $147.86 | 4.3× |
| Fibrin Degradation Quant (85379) | $31.61 | $158.04 | 3.1× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $46.22 | $231.12 | 4.8× |
| Fibrinogen activity (85384) | $35.15 | $175.77 | 3.6× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $64.63 | $323.14 | 4.2× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$30.66–$224.70 | $153.30–$1,123.50 | varies |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$36.68–$200.13 | $183.39–$1,000.65 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $44.29 | $221.45 | 3.7× |
| Folic acid rbc (82747) | $51.37 | $256.84 | 2.9× |
| Folic Acid Serum (82746) | $55.38 | $276.92 | 3.8× |
| Follicle Stimulating Hormone (83001) | $56.11 | $280.54 | 3.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $59.82 | $299.12 | 0.3× |
| Frozen Section (88331) | $78.39 | $391.97 | 0.4× |
| Fungi Identification Mold (87107) | $16.07 | $80.34 | 1.6× |
| Fungi Identification Yeast (87106) | $30.12 | $150.59 | 2.9× |
| Gammaglobulin ige (82785) | $40.76 | $203.82 | 2.5× |
| Gardner vag DNA dir probe (87510) | $35.89 | $179.43 | 1.8× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $15.25 | $76.26 | 1.6× |
| Gases blood ph only (82800) | $11.24 | $56.22 | 1.0× |
| Gastrin (82941) | $52.02 | $260.11 | 3.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $137.76 | $688.80 | 0.3× |
| Genetic Tstg Severe Inh Cond (81443) | $635.25 | $3,176.25 | 0.3× |
| Gentamicin (80170) | $46 | $230.02 | 2.8× |
| Ggt (82977) | $21.04 | $105.21 | 2.9× |
| Giardia antigen (87329) | $43.32 | $216.60 | 3.6× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $20.93 | $104.63 | 3.5× |
| Glucose 2 hr pp (82950) | $16.50 | $82.50 | 3.5× |
| Glucose Blood Test (82962) | $1.53 | $7.64 | 0.5× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$18.48–$18.56 | $92.40–$92.82 | varies |
| Glucose Serum (82947) | $21.04 | $105.21 | 5.4× |
| Glucose tolerance test (gtt) (82951) | $47.85 | $239.26 | 3.7× |
| Glycated Protein (82985) | $32.18 | $160.91 | 1.9× |
| Gonadotropin Chorionic Qualitative (84703) | $55.22 | $276.10 | 7.3× |
| Growth hormone (83003) | $61.06 | $305.30 | 3.7× |
| Gtt-added samples (82952) | $8.73 | $43.64 | 2.2× |
| H Pylori (C-13) Breath (83013) | $120.52 | $602.58 | 1.8× |
| H pylri clrthmcn rst amp prb (87513) | $22.26 | $111.30 | 0.6× |
| Haptoglobin (83010) | $32.18 | $160.91 | 2.6× |
| Hdl Cholesterol (83718) | $20.63 | $103.14 | 2.5× |
| Helicobacter Pylori Stool (87338) | $54.34 | $271.68 | 3.8× |
| Hematocrit (85014) | $8.66 | $43.32 | 3.7× |
| Hemoglobin (85018) range across 4 matching MRF lines |
$1.53–$11.55 | $7.64–$57.76 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$5.90–$44.56 | $29.48–$222.78 | varies |
| Hemoglobin Chromotography (83021) | $14.70 | $73.50 | 0.8× |
| Hemoglobin electrophoresis (83020) | $42.91 | $214.55 | 3.3× |
| Hemoglobin Methemoglobin Quantitative (83050) | $8.24 | $41.22 | 1.0× |
| Hemoglobin plasma (83051) | $26.89 | $134.47 | 3.7× |
| Hemosiderin urine (83070) | $19.97 | $99.86 | 4.2× |
| Hep a ab igm (86709) | $33.86 | $169.32 | 3.0× |
| Heparin assay (85520) range across 2 matching MRF lines |
$31.92–$57.76 | $159.60–$288.78 | varies |
| Hepatitis a antibody total (86708) | $22.69 | $113.45 | 1.8× |
| Hepatitis b core ab igm (86705) | $38.26 | $191.29 | 3.3× |
| Hepatitis b core ab total (86704) | $26.30 | $131.51 | 2.2× |
| Hepatitis B Surface Antibody (86706) | $48.27 | $241.35 | 4.5× |
| Hepatitis B Surface Antigen (87340) | $39.31 | $196.56 | 3.8× |
| Hepatitis Be Antibody (86707) | $25.17 | $125.83 | 2.2× |
| Hepatitis Be Antigen (87350) | $24.75 | $123.73 | 2.1× |
| Hepatitis C Antibody (86803) | $79.21 | $396.06 | 5.6× |
| Hepatitis C Genotype (87902) | $152.34 | $761.68 | 0.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $56.56 | $282.80 | 1.3× |
| Herpes simplex type 2 (86696) | $33.02 | $165.11 | 1.7× |
| Heterophile Antibody Screen (86308) | $25.99 | $129.96 | 5.0× |
| Hfe Gene (81256) | $157.20 | $786.01 | 2.4× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $33.81 | $169.06 | 4.4× |
| Histamine urine (83088) | $32.55 | $162.75 | 1.1× |
| Hiv Antigen W/Hiv Antibodies (87806) | $7.21 | $36.04 | 0.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $86.50 | $432.51 | 3.6× |
| Hiv-1 Antibody (86701) | $16.80 | $84 | 1.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $129.54 | $647.72 | 1.5× |
| HIV-2 probe&revrse trnscripj (87538) | $48.72 | $243.60 | 1.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $58.70 | $293.52 | 0.8× |
| Hla ii typing 1 locus lr (81376) | $31.50 | $157.50 | 0.3× |
| Hla-b27 (86812) | $21.63 | $108.15 | 0.8× |
| Homocysteine (83090) | $51.98 | $259.91 | 2.9× |
| Homogenization Tissue (87176) | $14.26 | $71.28 | 2.4× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$36.33–$105.84 | $181.65–$529.20 | varies |
| Hpv sep hi-rsk typ&pool rslt (87626) | $58.97 | $294.84 | 0.8× |
| Hpv Types 16 & 18 Only (87625) | $72.45 | $362.25 | 1.8× |
| Hsv Dna Amp Probe (87529) | $73.36 | $366.81 | 2.1× |
| Htt Gene Detc Abnor Alleles (81271) | $115.08 | $575.40 | 0.8× |
| Human Epididymis Protein 4 (86305) | $87.05 | $435.24 | 4.2× |
| Hydroxyprogesterone 17-d (83498) | $108.12 | $540.61 | 4.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $16.38 | $81.90 | 1.6× |
| Iaad ia shiga-like toxin (87427) | $19.93 | $99.63 | 1.7× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $15.90 | $79.50 | 0.5× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $130.38 | $651.88 | 3.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $37.30 | $186.49 | 1.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $19.95 | $99.75 | 0.6× |
| Iadna Cytomegalovirus Quantification (87497) | $108.29 | $541.46 | 2.5× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 2 matching MRF lines |
$43.91–$47.39 | $219.54–$236.96 | varies |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $15.29 | $76.44 | 0.4× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$38.22–$64.75 | $191.10–$323.73 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $62.16 | $310.80 | 1.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $23.21 | $116.07 | 0.7× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $31.61 | $158.06 | 0.9× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $36.68 | $183.41 | 0.8× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $93 | $464.99 | 2.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $38.32 | $191.61 | 1.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $33.27 | $166.35 | 0.9× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $79.27 | $396.34 | 0.6× |
| Ig Light Chains Free Each (83521) | $30.87 | $154.35 | 1.8× |
| Igg subclasses (82787) | $23.53 | $117.67 | 2.9× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $174.27 | $871.35 | 0.4× |
| Immunfix e-phorsis/urine/csf (86335) | $42.18 | $210.92 | 1.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$52.50–$102.78 | $262.50–$513.88 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$20.16–$35.27 | $100.80–$176.33 | varies |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$10.50–$55.23 | $52.50–$276.15 | varies |
| Immunodiffusion Ouchterlony (86331) | $41.59 | $207.94 | 3.5× |
| Immunofixation electrophoresis (86334) | $83.17 | $415.86 | 3.7× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $11.97 | $59.85 | 0.1× |
| Immunohistochemistry (88342) | $90.76 | $453.81 | 0.4× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $12.12 | $60.61 | 0.8× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$49.74–$57.44 | $248.71–$287.20 | varies |
| Inhibin A (86336) | $30.62 | $153.09 | 2.0× |
| Inhibin b (83520) range across 5 matching MRF lines |
$15.33–$108.81 | $76.65–$544.07 | varies |
| Insitu hybridization manual (88368) | $195.97 | $979.84 | 0.4× |
| Insulin antibodies (86337) | $47.09 | $235.43 | 2.2× |
| Insulin total (83525) | $39.88 | $199.38 | 3.5× |
| Interleukin-6 (83529) | $14.51 | $72.53 | 0.8× |
| Intrinsic factor antibody (86340) | $29.04 | $145.20 | 1.9× |
| Iron (83540) | $25.99 | $129.96 | 4.0× |
| Iron Binding Capacity (83550) | $37.95 | $189.76 | 4.3× |
| Islet cell antibody (86341) | $44.97 | $224.87 | 1.9× |
| Jak2 gene analysis p.val617phe variant (81270) | $151.37 | $756.87 | 1.7× |
| Kit Gene Analysis D816 Variant(S) (81273) | $116.55 | $582.75 | 0.9× |
| Koh Prep (87220) | $16.92 | $84.62 | 4.0× |
| Lactate (ld) (ldh) enzyme (83615) | $19.39 | $96.97 | 3.2× |
| Lactoferrin fecal qualitative (83630) | $29.01 | $145.07 | 1.5× |
| Lamellar Body Count (83664) | $20.43 | $102.13 | 1.1× |
| LDL direct (83721) | $26.79 | $133.94 | 2.6× |
| Lead (83655) range across 2 matching MRF lines |
$7.43–$41.67 | $37.13–$208.33 | varies |
| Legionella antigen urine (87449) | $59.82 | $299.12 | 5.0× |
| Leukocyte Assessment Fecal (89055) | $19.39 | $96.97 | 4.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $27.23 | $136.15 | 0.8× |
| Level ii surg pathology grossµscopic exam (88302) | $32.59 | $162.96 | 0.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $140.69 | $703.44 | 0.3× |
| Lidocaine (80176) | $25.34 | $126.72 | 1.7× |
| Lipase (83690) | $35.07 | $175.35 | 5.1× |
| Lipoprotein A (83695) | $27.30 | $136.50 | 1.9× |
| Lipoprotein Bld Quan Part (83704) | $28.72 | $143.60 | 0.8× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $8.59 | $42.93 | 0.8× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $16.59 | $82.95 | 0.5× |
| Lithium (80178) | $26.47 | $132.34 | 4.0× |
| Luteinizing Hormone (Lh) (83002) | $54.87 | $274.34 | 3.0× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$34.23–$35.71 | $171.15–$178.54 | varies |
| Lymphocyte transformation (86353) | $53.34 | $266.70 | 1.1× |
| Lysozyme serum (85549) | $13.44 | $67.20 | 0.7× |
| M. Genitalium Amp Probe (87563) | $73.36 | $366.81 | 2.1× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $158.43 | $792.15 | 0.7× |
| Macroscopic exam arthropod (87168) | $11.96 | $59.79 | 2.8× |
| Macroscopic Exam Parasite (87169) | $6.39 | $31.93 | 1.5× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$27.23–$56.70 | $136.15–$283.50 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$17.64–$104.80 | $88.20–$524.01 | varies |
| Mercury urine (83825) range across 3 matching MRF lines |
$10.29–$44.02 | $51.45–$220.09 | varies |
| Metabolic panel ionized ca (80047) | $49.92 | $249.62 | 3.6× |
| Methotrexate (80204) | $31.36 | $156.78 | 0.8× |
| Methylmalonic acid serum (83921) | $92.45 | $462.27 | 4.4× |
| Microalbumin, quantitative (82043) range across 4 matching MRF lines |
$28.35–$30.80 | $141.75–$153.99 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$39.67 | $198.35–$198.37 | 2.7× |
| Mitochondrial Antibody Each (86381) | $21.21 | $106.05 | 0.8× |
| Mlh1 Gene (81288) | $108.15 | $540.75 | 0.6× |
| Molecular Cytogenetics Dna Probe Each (88271) | $82.51 | $412.56 | 3.9× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $68.88 | $344.40 | 1.6× |
| Molecular Pathology Procedure Level 6 (81405) | $993.30 | $4,966.50 | 3.3× |
| Mopath procedure level 5 (81404) | $258.30 | $1,291.50 | 0.9× |
| Mopath procedure level 7 (81406) | $107.10 | $535.50 | 0.4× |
| Mopath procedure level 8 (81407) | $319.90 | $1,599.49 | 0.4× |
| Mopath procedure level 9 (81408) | $614.25 | $3,071.25 | 0.3× |
| Mrsa Pcr (87641) | $31.61 | $158.06 | 0.9× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$10.50–$30.12 | $52.50–$150.59 | varies |
| Muscle-Specific Kinase Antb (86366) | $120.75 | $603.75 | 6.6× |
| Mycobacteric Identification (87118) | $22.05 | $110.25 | 1.5× |
| Mycophenolic Acid (80180) | $11.20 | $56.02 | 0.6× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$9.66–$37.16 | $48.30–$185.81 | varies |
| Myoglobin urine (83874) | $36.15 | $180.75 | 2.8× |
| Natriuretic peptide (83880) | $54.05 | $270.24 | 1.4× |
| Neisseria Dir Na Probe (87590) | $30.12 | $150.59 | 1.1× |
| Neutralization Test Viral (86382) | $47.88 | $239.40 | 2.8× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $82.84 | $414.21 | 0.6× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $59.43 | $297.15 | 0.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $142.97 | $714.87 | 2.0× |
| Niacin (84591) | $26.25 | $131.25 | 1.5× |
| Nk cells total count (86357) | $62.50 | $312.50 | 1.7× |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
$22.01–$26.51 | $110.05–$132.53 | varies |
| Occult blood feces (82272) | $9.90 | $49.52 | 2.3× |
| Occult Blood Other Sources (82271) | $16.70 | $83.48 | 3.1× |
| Oligoclonal bands (83916) | $48.89 | $244.44 | 1.8× |
| Organic Acids Qualitative Each Specimen (83919) | $137.81 | $689.07 | 8.4× |
| Organic acids urine (83918) | $16.28 | $81.42 | 0.7× |
| Osmolality serum (83930) | $28.88 | $144.41 | 4.4× |
| Osmolality Urine (83935) | $38.78 | $193.89 | 5.7× |
| Osmotic fragility rbc incubated (85557) | $14.03 | $70.15 | 1.1× |
| Osteocalcin (83937) | $30.83 | $154.16 | 1.0× |
| Ova and parasites smears (87177) | $45.79 | $228.96 | 5.1× |
| Oxalate urine (83945) | $33.10 | $165.52 | 2.3× |
| Particle Agglut Antbdy Titr (86406) | $21 | $105.01 | 2.0× |
| Particle Agglutination Screen Each Antibody (86403) | $9.69 | $48.47 | 0.8× |
| Parvovirus antibody (86747) | $18.56 | $92.82 | 1.2× |
| Ph urine (81003) range across 3 matching MRF lines |
$1.53–$12.60 | $7.64–$63 | varies |
| Phenobarbital Level (80184) | $63.95 | $319.74 | 4.2× |
| Phenylalanine (84030) | $9.47 | $47.33 | 1.7× |
| Phenytoin (Dilantin) (80185) | $49.48 | $247.42 | 3.7× |
| Phenytoin free (80186) | $11.03 | $55.15 | 0.8× |
| Phosphatase acid prostatic (84066) | $16.63 | $83.15 | 1.7× |
| Phosphatase alkaline (84075) | $21.45 | $107.27 | 4.1× |
| Phospholipid Neutralization Hexagonal (85598) | $35.70 | $178.50 | 2.0× |
| Phosphorus Serum (84100) | $21.45 | $107.27 | 4.5× |
| Phosphorus urine (84105) | $5.88 | $29.40 | 1.0× |
| Pinworm exam (87172) | $26.82 | $134.10 | 6.3× |
| Platelet Antibodies (86022) | $86.64 | $433.20 | 4.7× |
| Platelet count automated (85049) | $14.95 | $74.76 | 3.3× |
| Platelet neutralization (85597) | $34.44 | $172.20 | 1.9× |
| Pneumcysts jirovecii amp prb (87594) | $35.70 | $178.50 | 1.0× |
| Pooling blood platelets (86965) | $12.51 | $62.57 | 0.1× |
| Potassium Urine (84133) | $18.24 | $91.19 | 3.9× |
| Prealbumin (84134) | $47.03 | $235.17 | 3.2× |
| Pregnenolone (84140) | $28.15 | $140.77 | 1.4× |
| Primidone (80188) | $25.67 | $128.36 | 1.5× |
| Procalcitonin (Pct) (84145) | $30.89 | $154.47 | 1.1× |
| Progesterone (84144) | $55.29 | $276.43 | 2.7× |
| Prolactin (84146) | $65.37 | $326.83 | 3.4× |
| Prostaglandin (84150) | $12.39 | $61.95 | 0.3× |
| Protein body fluid (84157) | $21.04 | $105.21 | 5.3× |
| Protein C Activity (85303) | $66.03 | $330.13 | 4.8× |
| Protein c antigen (85302) | $30.24 | $151.20 | 2.5× |
| Protein Electrophoresis Urine (84166) | $33.02 | $165.08 | 1.9× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $36.68 | $183.39 | 3.4× |
| Protein S Free (85306) range across 2 matching MRF lines |
$65.97–$66.03 | $329.85–$330.13 | varies |
| Protein total serum (84155) | $23.93 | $119.64 | 6.5× |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$25.62–$30.95 | $128.10–$154.73 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $16.50 | $82.50 | 4.2× |
| Protoporphyrin rbc quantitative (84202) | $11.64 | $58.22 | 0.8× |
| PSA free (84154) | $39.67 | $198.37 | 2.2× |
| Pth Intact (83970) | $112.47 | $562.37 | 2.7× |
| Q Fever Antibody (86638) | $19.32 | $96.60 | 1.6× |
| Quantiferon tb gold plus (86480) | $59.41 | $297.05 | 1.0× |
| Quantitative assay drug (80299) | $70.35 | $351.75 | 3.8× |
| Quantitative Screen Metals (83018) | $28.77 | $143.85 | 1.3× |
| Quinidine (80194) | $42.60 | $213 | 2.9× |
| Rbc antibody elution (86860) | $46.41 | $232.05 | 0.2× |
| Rbc antibody identification (86870) | $61.89 | $309.44 | 0.1× |
| Rbc antibody screen (86850) | $26.82 | $134.10 | 2.7× |
| Rbc pretreatment serum (86978) | $531.66 | $2,658.29 | 7.2× |
| Reagent Strip/Blood Glucose (82948) | $9.08 | $45.39 | 1.8× |
| Renin activity plasma (84244) | $66.40 | $331.99 | 3.0× |
| Reptilase test (85635) | $15.88 | $79.39 | 1.6× |
| Resp virus 12-25 targets (87633) | $78.53 | $392.64 | 0.2× |
| Resp Virus 6-11 Targets (87632) | $178.85 | $894.23 | 0.8× |
| Reticulocyte Count (85046) | $16.92 | $84.62 | 3.0× |
| Rh (86901) | $23.52 | $117.58 | 7.9× |
| Rheumatoid factor quant (86431) | $34.66 | $173.28 | 6.1× |
| Ristocetin cofactor (85245) | $78.60 | $393 | 3.4× |
| Rotavirus ag eia (87425) | $39.90 | $199.50 | 3.3× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$20.21–$20.27 | $101.06–$101.35 | varies |
| Rubella Antibody (86762) | $29.30 | $146.48 | 2.0× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$23.52 | $117.58–$117.60 | 1.8× |
| Russell Viper Venom Time Diluted (85613) | $9.63 | $48.15 | 1.0× |
| Salicylate Level (80179) | $37.54 | $187.71 | 2.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$18.56–$21.72 | $92.82–$108.59 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $15.33 | $76.66 | 0.4× |
| Sarscov2 & inf a&b amp prb (87636) | $56.28 | $281.40 | 0.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $85.18 | $425.88 | 0.6× |
| Sedimentation rate (85651) | $23.10 | $115.52 | 5.4× |
| Sedimentation Rate, Automated (85652) | $23.10 | $115.52 | 8.6× |
| Selenium (84255) | $27.63 | $138.17 | 1.1× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$22.68–$37.77 | $113.40–$188.84 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$15.75–$27.23 | $78.75–$136.15 | varies |
| Sickling of rbc reduction (85660) | $52.40 | $262.02 | 9.5× |
| Sirolimus (80195) | $21.26 | $106.31 | 1.5× |
| Skin test tuberculosis intradermal (86580) | $5.68 | $28.39 | 0.2× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$15.68–$22.47 | $78.38–$112.35 | varies |
| Smear complex stain (87209) | $36.02 | $180.08 | 2.0× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$18.06–$18.56 | $90.30–$92.82 | varies |
| Smear Special Stain (87207) | $19.53 | $97.65 | 3.3× |
| Sodium Serum (84295) | $16.27 | $81.36 | 3.4× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$21.84–$21.87 | $109.20–$109.33 | varies |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
$19.32–$55.26 | $96.60–$276.29 | varies |
| Somatomedin (84305) | $58.05 | $290.26 | 2.7× |
| Special Stains Group 1 (88312) | $40.85 | $204.23 | 0.6× |
| Special Stains Group 2 (88313) | $40.85 | $204.23 | 0.2× |
| Specimen infect agnt concntj (87015) | $33.59 | $167.95 | 5.0× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$15–$23.93 | $75–$119.65 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $20.63 | $103.14 | 0.1× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $25.55 | $127.73 | 0.1× |
| Staph a DNA amp probe (87640) | $31.61 | $158.06 | 0.9× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$24.15–$24.34 | $120.75–$121.68 | varies |
| Strep a assay w/optic (87880) | $6.99 | $34.94 | 0.4× |
| Strep a DNA amp probe (87651) | $60.98 | $304.91 | 1.7× |
| Strep b DNA amp probe (87653) | $91.70 | $458.51 | 2.6× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $18.06 | $90.30 | 0.2× |
| Sulfate urine (84392) | $5.88 | $29.40 | 1.1× |
| Surg path level iii (88304) | $64.36 | $321.80 | 1.0× |
| Surgical pathology level IV (88305) | $21.40 | $107.02 | 0.3× |
| Surgical pathology level vi (88309) | $124.60 | $622.98 | 0.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $26.82 | $134.10 | 5.6× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $38.78 | $193.89 | 5.2× |
| Syphilis Test Non-Trep Quant (86593) | $15.95 | $79.74 | 3.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $33.68 | $168.38 | 0.7× |
| T cells total count (86359) | $27.18 | $135.92 | 0.7× |
| T3 Free (84481) | $94.55 | $472.74 | 5.6× |
| T3 reverse (84482) | $109.09 | $545.43 | 6.9× |
| T3 Total (84480) | $54.85 | $274.27 | 3.9× |
| T3 Uptake (84479) | $11.14 | $55.69 | 1.7× |
| T4 Free (84439) | $75.09 | $375.45 | 8.3× |
| T4 total (84436) | $36.31 | $181.55 | 5.3× |
| Tacrolimus (80197) | $28.46 | $142.31 | 2.1× |
| Tb ag response t-cell susp (86481) | $84 | $420 | 0.8× |
| Test for urine cystines (82615) | $8.02 | $40.11 | 0.8× |
| Testosterone Bioavailable (84410) | $17.85 | $89.25 | 0.3× |
| Testosterone total (84403) | $86.87 | $434.35 | 3.4× |
| Testosterone, Free (84402) | $30.12 | $150.59 | 1.2× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $157.64 | $788.20 | 0.3× |
| Theophylline (80198) | $47.45 | $237.25 | 3.4× |
| Thiopurine methyltransferase (84433) | $66.15 | $330.75 | 3.0× |
| Thrombin Time (85670) | $12.17 | $60.83 | 2.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $31.92 | $159.60 | 4.9× |
| Thyroglobulin (84432) | $17.74 | $88.70 | 1.1× |
| Thyroglobulin Antibody (86800) | $31.74 | $158.69 | 2.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $169.38 | $846.89 | 3.3× |
| Thyroxine binding globulin (84442) | $45.71 | $228.55 | 3.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $9.87 | $49.35 | 0.9× |
| Tissue culture bone marrow (88237) | $120.75 | $603.75 | 0.8× |
| Tissue Culture Lymphocyte (88230) | $91.98 | $459.90 | 0.8× |
| Tobramycin peak (80200) | $44.24 | $221.20 | 2.7× |
| Topiramate (80201) | $55.59 | $277.95 | 4.7× |
| Toxoplasma ab igm (86778) | $20.04 | $100.22 | 1.4× |
| Toxoplasma antibody (86777) | $20.38 | $101.89 | 1.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $21.87 | $109.33 | 4.2× |
| Transferrin (84466) | $37.15 | $185.75 | 2.9× |
| Trg gene rearrangement anal (81342) | $116.64 | $583.20 | 0.6× |
| Trichomonas vagin dir probe (87660) | $36.73 | $183.65 | 1.8× |
| Trichomonas Vaginalis Amplif (87661) | $27.64 | $138.18 | 0.8× |
| Triglycerides (84478) | $18.89 | $94.46 | 3.3× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$15.75–$47.03 | $78.75–$235.17 | varies |
| Tumor Immunohistochem/Manual (88360) | $60.75 | $303.73 | 0.3× |
| Ugt1a1 gene analysis common variants (81350) | $219.35 | $1,096.73 | 0.9× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$5.88–$17.75 | $29.40–$88.75 | varies |
| Uric acid other source (84560) range across 4 matching MRF lines |
$15.96–$16.09 | $79.80–$80.44 | varies |
| Urinalysis Microscopic Only (81015) | $12.38 | $61.90 | 4.1× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $8.79 | $43.96 | 4.1× |
| Urinalysis Volume Measure (81050) | $13.30 | $66.52 | 3.7× |
| Urine Bacteria Culture (87088) | $11.94 | $59.70 | 1.5× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$3.93–$31.76 | $19.66–$158.81 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 4 matching MRF lines |
$1.97–$16.09 | $9.83–$80.44 | varies |
| Valproic acid (80164) | $60.65 | $303.23 | 4.5× |
| Vancomycin (80202) | $47.03 | $235.17 | 3.5× |
| Varicella-zoster antibody (86787) | $27.23 | $136.15 | 2.1× |
| Virus antibody nos (86790) | $9.45 | $47.25 | 0.7× |
| Viscosity serum (85810) | $43.73 | $218.67 | 3.7× |
| Vit D 1 25-Dihydroxy (82652) | $130.23 | $651.14 | 3.4× |
| Vitamin A (84590) | $62.09 | $310.47 | 5.3× |
| Vitamin b-12 (82607) | $55.65 | $278.25 | 3.7× |
| Vitamin B2 (Riboflavin) (84252) | $19.95 | $99.75 | 1.0× |
| Vitamin B6 (84207) | $124.76 | $623.82 | 4.4× |
| Vitamin c (82180) | $30.08 | $150.39 | 3.0× |
| Vitamin D 25-Hydroxy (82306) | $40.85 | $204.23 | 1.4× |
| Vitamin E (84446) | $25.48 | $127.41 | 1.8× |
| Vitamin K (84597) | $34.68 | $173.39 | 2.5× |
| Volatiles (84600) | $34.54 | $172.71 | 2.0× |
| Von willebrand factor ag (85246) | $40.03 | $200.14 | 1.7× |
| West nile virus ab igm (86788) | $11.55 | $57.75 | 0.7× |
| West Nile Virus Antibody (86789) | $11.55 | $57.75 | 0.8× |
| Zinc (84630) range across 2 matching MRF lines |
$29.87–$30.45 | $149.35–$152.25 | varies |
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.