Lab & pathology prices at Jefferson Healthcare
Port Townsend, WA · every code in this section with a posted price and a Medicare benchmark.
564 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | $82.40 | $103 | 4.5× |
| Acetylcholine receptor blocking antibody (86042) range across 2 matching MRF lines |
$82.40–$248.80 | $103–$311 | varies |
| Acetylcholn Rcptr Modlg Antb (86043) | $82.40 | $103 | 6.8× |
| Acth (82024) | $183.20 | $229 | 4.7× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $136.80 | $171 | 4.2× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$60–$69.60 | $75–$87 | varies |
| Acute hepatitis panel (80074) | $288 | $360 | 6.0× |
| Albumin Fluid (82042) range across 3 matching MRF lines |
$9.60–$56.80 | $12–$71 | varies |
| Albumin serum (82040) range across 4 matching MRF lines |
$12.53–$44.80 | $15.66–$56 | varies |
| Aldolase (82085) | $60 | $75 | 6.2× |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$44.80–$183.20 | $56–$229 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$96.80–$112 | $121–$140 | varies |
| Allergen specific ige (86003) range across 5 matching MRF lines |
$4.80–$34.40 | $6–$43 | varies |
| Allg Spec Ige Recomb Ea (86008) | $28.80 | $36 | 1.6× |
| Alpha-1-antitrypsin phenotype (82104) | $100.80 | $126 | 7.0× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$77.60–$78.40 | $97–$98 | varies |
| Alpha-Fetoprotein Serum (82105) range across 4 matching MRF lines |
$80.80–$128.80 | $101–$161 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$50.40–$51.20 | $63–$64 | varies |
| Aluminum (82108) | $120.80 | $151 | 4.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $124.80 | $156 | 7.4× |
| Ammonia (82140) | $136.80 | $171 | 9.4× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$192–$214.40 | $240–$268 | varies |
| Amylase urine (82150) range across 3 matching MRF lines |
$65.60–$77.60 | $82–$97 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$13.60–$51.20 | $17–$64 | varies |
| Androstenedione (82157) | $123.20 | $154 | 4.2× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$77.60–$89.60 | $97–$112 | varies |
| Anti-Phospholipid Antibody (86148) | $83.20 | $104 | 5.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $45.60 | $57 | 2.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $133.60 | $167 | 7.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $46.40 | $58 | 3.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $79.20 | $99 | 5.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$88–$97.60 | $110–$122 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $44 | $55 | 3.6× |
| Antibody helicobacter pylori (86677) | $83.20 | $104 | 4.9× |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$67.20–$79.20 | $84–$99 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$82.40–$98.40 | $103–$123 | varies |
| Antibody HIV-2 (86702) | $116 | $145 | 8.6× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $320 | $400 | 1.0× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $100.80 | $126 | 5.2× |
| Antibody identification leukocyte antibodies (86021) | $146.40 | $183 | 9.7× |
| Antibody john cunningham virus (86711) | $1,090.40 | $1,363 | 64.6× |
| Antibody Treponema Pallidum (86780) | $8.80 | $11 | 0.7× |
| Antigen typing (86905) | $296 | $370 | 77.3× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$13.60–$92.80 | $17–$116 | varies |
| Antistreptolysin o titer (86060) | $59.20 | $74 | 8.1× |
| Antithrombin iii activity (85300) | $120 | $150 | 10.1× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$17.60–$106.40 | $22–$133 | varies |
| Arsenic (82175) | $112 | $140 | 5.9× |
| Assay activated protein c (85307) | $160.80 | $201 | 10.5× |
| Assay Blood Carbon Dioxide (82374) | $32.80 | $41 | 6.7× |
| Assay Dir Meas Fr Estradiol (82681) | $73.60 | $92 | 2.6× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$94.40–$98.40 | $118–$123 | varies |
| Assay of 5-hiaa (83497) | $80 | $100 | 6.2× |
| Assay of anti-mullerian hormone (82166) | $128.80 | $161 | 3.3× |
| Assay of blood/uric acid (84550) | $44.80 | $56 | 9.9× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$57.60–$64 | $72–$80 | varies |
| Assay of cpk in blood (82552) | $112.80 | $141 | 8.4× |
| Assay of estrone (82679) | $106.40 | $133 | 4.3× |
| Assay of g6pd enzyme (82955) | $66.40 | $83 | 6.8× |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$20.80–$100 | $26–$125 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$128–$131.20 | $160–$164 | varies |
| Assay of manganese (83785) | $104 | $130 | 3.9× |
| Assay of metanephrines (83835) range across 4 matching MRF lines |
$22.40–$165.60 | $28–$207 | varies |
| Assay of phosphatase alkaline heat stable (84078) | $38.40 | $48 | 4.6× |
| Assay of proinsulin (84206) | $109.60 | $137 | 4.1× |
| Assay of serotonin (84260) | $192 | $240 | 6.2× |
| Assay of serum potassium (84132) | $48 | $60 | 10.1× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$36–$40.80 | $45–$51 | varies |
| Assay of vasoactive intestinal peptide (84586) | $218.40 | $273 | 6.2× |
| Assay of vitamin b-1 (84425) | $121.60 | $152 | 5.7× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$47.20–$51.20 | $59–$64 | varies |
| Assay spec xcp ur&breath ia (82077) | $180 | $225 | 10.4× |
| Asy carbamazepin 10,11-epxid (80161) | $75.20 | $94 | 4.0× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $688.80 | $861 | 3.6× |
| Automated Leukocyte Count (85048) | $46.40 | $58 | 18.3× |
| Bacterial antigens 87802 (87802) | $18.40 | $23 | 1.4× |
| Bartonella antibody (86611) | $58.40 | $73 | 5.7× |
| Bcr/abl1 gene major bp (81206) | $569.60 | $712 | 3.5× |
| Bcr/abl1 gene minor bp (81207) | $323.20 | $404 | 2.2× |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$92–$124 | $115–$155 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$10.40–$63.20 | $13–$79 | varies |
| Beta Lactamase (87185) | $48 | $60 | 10.1× |
| Beta-2 Microglobulin (82232) | $88.80 | $111 | 5.5× |
| Bile acids total (82239) | $20.80 | $26 | 1.2× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$38.40–$44 | $48–$55 | varies |
| Bilirubin total (82247) | $44.80 | $56 | 8.9× |
| Bilirubin total transcutaneous (88720) | $34.40 | $43 | 6.9× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $239.20 | $299 | 1.3× |
| Bld Typing Serologic Rh Phnt (86906) | $250.40 | $313 | 32.3× |
| Bleeding time test (85002) | $63.20 | $79 | 13.1× |
| Blood Count Red Blood Cell Automated (85041) | $37.60 | $47 | 12.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $38.40 | $48 | 10.1× |
| Blood gas (82803) | $198.40 | $248 | 7.6× |
| Blood gases w/02 saturation (82805) | $232.80 | $291 | 3.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $88 | $110 | 5.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $36 | $45 | 8.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $296.80 | $371 | 46.7× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$106.40–$124 | $133–$155 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$67.20–$80 | $84–$100 | varies |
| Brca1&2 gen full seq dup/del (81162) | $2,756.80 | $3,446 | 1.5× |
| Breath Alcohol Test (82075) | $108.80 | $136 | 3.6× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$177.60–$186.40 | $222–$233 | varies |
| C-Peptide (84681) range across 2 matching MRF lines |
$88–$104 | $110–$130 | varies |
| C-reactive protein (86140) | $63.20 | $79 | 12.2× |
| Ca 19-9 (86301) | $110.40 | $138 | 5.3× |
| Cadmium (82300) range across 2 matching MRF lines |
$92.80–$109.60 | $116–$137 | varies |
| Calcitonin (82308) | $112 | $140 | 4.2× |
| Calcium ionized (82330) | $76 | $95 | 5.6× |
| Calcium total (82310) range across 5 matching MRF lines |
$8–$50.40 | $10–$63 | varies |
| Calculus assay quant (82360) | $84 | $105 | 6.5× |
| Calculus Spectroscopy (82365) | $107.20 | $134 | 8.3× |
| Calprotectin Fecal (83993) | $206.40 | $258 | 10.5× |
| Cancer Antigen 125 (86304) | $135.20 | $169 | 6.5× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$100–$104 | $125–$130 | varies |
| Candida Dna Dir Probe (87480) range across 2 matching MRF lines |
$66.40–$79.20 | $83–$99 | varies |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$12–$104.80 | $15–$131 | varies |
| Carboxyhemoglobin (82375) | $130.40 | $163 | 10.6× |
| Carcinoembryonic antigen (82378) | $148.80 | $186 | 7.8× |
| Cardiolipin ab iga (86147) range across 6 matching MRF lines |
$103.20–$117.60 | $129–$147 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$161.60–$162.40 | $202–$203 | varies |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$105.60–$119.20 | $132–$149 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$24–$104.80 | $30–$131 | varies |
| Cell count csf (89051) range across 3 matching MRF lines |
$67.20–$80 | $84–$100 | varies |
| Cell marker study (88182) | $358.40 | $448 | 6.2× |
| Ceruloplasmin (82390) | $77.60 | $97 | 7.2× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$458.40–$591.20 | $573–$739 | varies |
| Chemiluminescent assay (82397) | $94.40 | $118 | 6.7× |
| Chlamydia antibody (86631) | $57.60 | $72 | 4.9× |
| Chloride other source (82438) | $23.20 | $29 | 4.6× |
| Chloride urine (82436) range across 2 matching MRF lines |
$59.20–$70.40 | $74–$88 | varies |
| Cholesterol total (82465) | $36.80 | $46 | 8.5× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$116.80–$129.60 | $146–$162 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $22.40 | $28 | 0.8× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $144.80 | $181 | 4.3× |
| Chromium serum (82495) range across 3 matching MRF lines |
$93.60–$119.20 | $117–$149 | varies |
| Chromogranin a (86316) | $184.80 | $231 | 8.9× |
| Chromosome Analysis 15-20 (88262) | $663.20 | $829 | 5.3× |
| Chromosome Analysis 20-25 (88264) | $421.60 | $527 | 2.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$49.60–$126.40 | $62–$158 | varies |
| Ckmb (82553) | $173.60 | $217 | 15.0× |
| Clostridium Difficile (87324) | $112.80 | $141 | 9.4× |
| Clot Factor VIII Multimetric (85247) | $179.20 | $224 | 7.8× |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
$20–$85.60 | $25–$107 | varies |
| Cold agglutinin titer (86157) | $55.20 | $69 | 6.8× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$69.60–$136.80 | $87–$171 | varies |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$116.80–$120 | $146–$150 | varies |
| Compatibility Each Unit Incubation (86921) | $296.80 | $371 | 1.6× |
| Compatibility test antiglob (86922) | $196.80 | $246 | 1.0× |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$17.60–$76.80 | $22–$96 | varies |
| Complement Total (Ch50) (86162) | $145.60 | $182 | 7.2× |
| Complement/Function Activity (86161) | $84 | $105 | 7.0× |
| Coombs direct (86880) range across 3 matching MRF lines |
$99.20–$103.20 | $124–$129 | varies |
| Copper urine (82525) | $73.60 | $92 | 5.9× |
| Cortisol free (82530) range across 4 matching MRF lines |
$98.40–$126.40 | $123–$158 | varies |
| Cortisol saliva (82533) range across 6 matching MRF lines |
$13.60–$130.40 | $17–$163 | varies |
| Creatine (82540) | $173.60 | $217 | 37.4× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$58.40–$66.40 | $73–$83 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$45.60–$47.20 | $57–$59 | varies |
| Creatinine clearance (82575) | $83.20 | $104 | 8.8× |
| Creatinine Urine (82570) range across 10 matching MRF lines |
$8–$109.60 | $10–$137 | varies |
| Crossmatch immediate spin (86920) | $165.60 | $207 | 0.9× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$10.40–$88 | $13–$110 | varies |
| Cryoglobulin (82595) | $54.40 | $68 | 8.4× |
| Cryptococcal Antigen (87327) | $107.20 | $134 | 8.0× |
| Cryptococcus ag titer (87899) | $44 | $55 | 2.7× |
| Cryptosporidium ag eia (87328) | $123.20 | $154 | 8.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $75.20 | $94 | 9.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $74.40 | $93 | 9.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $90.40 | $113 | 11.7× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $269.60 | $337 | 1.2× |
| Culture afb (87116) range across 2 matching MRF lines |
$78.40–$80.80 | $98–$101 | varies |
| Culture Anaerobic (87075) | $107.20 | $134 | 11.3× |
| Culture blood (87040) range across 2 matching MRF lines |
$26.40–$161.60 | $33–$202 | varies |
| Culture csf (87070) range across 2 matching MRF lines |
$96–$110.40 | $120–$138 | varies |
| Culture fungus (87102) | $88.80 | $111 | 10.6× |
| Culture fungus blood (87103) | $92 | $115 | 4.5× |
| Culture screen only (87081) range across 3 matching MRF lines |
$79.20–$86.40 | $99–$108 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$52.80–$101.60 | $66–$127 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$50.40–$53.60 | $63–$67 | varies |
| Culture typing other methods (87158) | $129.60 | $162 | 16.7× |
| Culture urine (87086) range across 2 matching MRF lines |
$72–$86.40 | $90–$108 | varies |
| Cyclosporine (80158) | $143.20 | $179 | 7.9× |
| Cyp2d6 gene com variants (81226) | $1,034.40 | $1,293 | 2.3× |
| Cystatin C (82610) range across 2 matching MRF lines |
$45.60–$99.20 | $57–$124 | varies |
| Cytogenetics 100-300 (88275) | $222.40 | $278 | 4.3× |
| Cytomegalovirus igg (86644) | $92 | $115 | 6.4× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 3 matching MRF lines |
$46.40–$104 | $58–$130 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$162.40–$172.80 | $203–$216 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 3 matching MRF lines |
$124.80–$148 | $156–$185 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $228.80 | $286 | 5.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$225.60–$248 | $282–$310 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $213.60 | $267 | 1.1× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $108 | $135 | 2.6× |
| Deoxyribonuclease antibody (86215) | $101.60 | $127 | 7.7× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$76–$191.20 | $95–$239 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$355.20–$466.40 | $444–$583 | varies |
| Detect agnt mult DNA ampli (87801) | $256.80 | $321 | 3.7× |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$35.20–$60 | $44–$75 | varies |
| Dhea (82626) range across 2 matching MRF lines |
$149.60–$150.40 | $187–$188 | varies |
| Dhea-S (82627) | $109.60 | $137 | 4.9× |
| Digoxin (80162) | $97.60 | $122 | 7.3× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$83.20–$140.80 | $104–$176 | varies |
| Dna/Rna Amplified Probe (87150) | $66.40 | $83 | 1.9× |
| DNA/RNA direct probe (87149) | $150.40 | $188 | 7.5× |
| Drug assay acetaminophen (80143) | $179.20 | $224 | 9.6× |
| Drug Assay Amiodarone (80151) | $84 | $105 | 4.5× |
| Drug Assay Everolimus (80169) | $168 | $210 | 12.2× |
| Drug assay felbamate (80167) | $46.40 | $58 | 2.5× |
| Drug Assay Itraconazole (80189) | $73.60 | $92 | 2.7× |
| Drug Assay Lacosamide (80235) | $73.60 | $92 | 2.7× |
| Drug Assay Leflunomide (80193) | $140.80 | $176 | 3.7× |
| Drug Screen Quant Clozapine (80159) | $77.60 | $97 | 3.9× |
| Drug Screen Quant Zonisamide (80203) | $40.80 | $51 | 3.1× |
| Drug Screen Quantitative Gabapentin (80171) | $93.60 | $117 | 4.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $18.40 | $23 | 1.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $101.60 | $127 | 7.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $124.80 | $156 | 9.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 5 matching MRF lines |
$183.20–$266.40 | $229–$333 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 3 matching MRF lines |
$58.55–$90.40 | $73.19–$113 | varies |
| Drug Test Prsmv Instrmnt (80306) | $108.80 | $136 | 6.3× |
| Egfr Gene Analysis Common Variants (81235) | $984.80 | $1,231 | 3.0× |
| El-1 Fecal Quantitative (82653) | $137.60 | $172 | 6.0× |
| Electrolyte panel (80051) | $42.40 | $53 | 6.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $74.40 | $93 | 6.2× |
| Enterovirus PCR (87498) | $336.80 | $421 | 9.6× |
| Erythropoietin (82668) | $100 | $125 | 5.3× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$116–$137.60 | $145–$172 | varies |
| Estriol (82677) | $75.20 | $94 | 3.1× |
| Estrogen total (82672) | $140.80 | $176 | 6.5× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$70.40–$72.80 | $88–$91 | varies |
| F2 Gene (81240) | $279.20 | $349 | 4.3× |
| Factor Inhibitor Test (85335) | $136 | $170 | 10.6× |
| Factor ix activity (85250) | $239.20 | $299 | 12.6× |
| Factor v activity (85220) | $152.80 | $191 | 8.7× |
| Factor v leiden mutation (81241) | $274.40 | $343 | 3.7× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$113.60–$114.40 | $142–$143 | varies |
| Fat/Lipids Feces Quantitative (82710) | $110.40 | $138 | 6.6× |
| Fecal Fat Qualitative (82705) | $55.20 | $69 | 10.8× |
| Ferritin (82728) | $152 | $190 | 11.2× |
| Fetal Chrmoml Aneuploidy (81420) range across 2 matching MRF lines |
$2,276–$2,321.60 | $2,845–$2,902 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $205.60 | $257 | 1.3× |
| Fetal Fibronectin (82731) | $553.60 | $692 | 8.6× |
| Fibrin Degradation Quant (85379) | $163.20 | $204 | 16.0× |
| Fibrinogen activity (85384) | $113.60 | $142 | 11.7× |
| Flecainide level (80181) | $96 | $120 | 5.2× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$280–$349.60 | $350–$437 | varies |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$86.40–$202.40 | $108–$253 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $73.60 | $92 | 6.1× |
| Fmr1 gene detection (81243) | $554.40 | $693 | 9.7× |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$85.60–$109.60 | $107–$137 | varies |
| Folic Acid Serum (82746) | $112 | $140 | 7.6× |
| Follicle Stimulating Hormone (83001) | $114.40 | $143 | 6.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $148.80 | $186 | 0.8× |
| Frozen Blood Each Unit Thawing (86931) | $192 | $240 | 1.0× |
| Frozen Section (88331) | $261.60 | $327 | 1.4× |
| Fungi Identification Mold (87107) | $76 | $95 | 7.4× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$72.80–$76.80 | $91–$96 | varies |
| Galactose (82760) | $80.80 | $101 | 7.2× |
| Gammaglobulin ige (82785) range across 5 matching MRF lines |
$4.80–$114.40 | $6–$143 | varies |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
$66.40–$79.20 | $83–$99 | varies |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $61.60 | $77 | 6.3× |
| Gases blood ph only (82800) | $60.80 | $76 | 5.5× |
| Gastrin (82941) | $95.20 | $119 | 5.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$1,060–$1,195.20 | $1,325–$1,494 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $4,810.40 | $6,013 | 1.6× |
| Genet Virus Isolate Hsv (87255) | $196 | $245 | 5.8× |
| Gentamicin (80170) | $156.80 | $196 | 9.6× |
| Ggt (82977) range across 2 matching MRF lines |
$51.20–$58.40 | $64–$73 | varies |
| Giardia antigen (87329) | $86.40 | $108 | 7.2× |
| Glucose 2 hr pp (82950) range across 3 matching MRF lines |
$44.80–$56 | $56–$70 | varies |
| Glucose Blood Test (82962) | $32 | $40 | 9.8× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$49.60–$52 | $62–$65 | varies |
| Glucose Serum (82947) | $38.40 | $48 | 9.8× |
| Glucose tolerance test (gtt) (82951) | $73.60 | $92 | 5.7× |
| Glycated Protein (82985) | $59.20 | $74 | 3.5× |
| Gonadotropin Chorionic Qualitative (84703) | $97.60 | $122 | 13.0× |
| Gtt-added samples (82952) | $35.20 | $44 | 9.0× |
| H Pylori (C-13) Breath (83013) | $344 | $430 | 5.1× |
| H Pylori Drug Admin (83014) | $44.80 | $56 | 5.7× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$103.20–$109.60 | $129–$137 | varies |
| Hdl Cholesterol (83718) | $47.20 | $59 | 5.8× |
| Helicobacter Pylori Stool (87338) | $121.60 | $152 | 8.5× |
| Hematocrit (85014) range across 3 matching MRF lines |
$35.20–$41.60 | $44–$52 | varies |
| Hemoglobin (85018) range across 3 matching MRF lines |
$32.80–$39.20 | $41–$49 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$73.60–$82.40 | $92–$103 | varies |
| Hemoglobin Chromotography (83021) | $130.40 | $163 | 7.2× |
| Hemoglobin Methemoglobin Quantitative (83050) | $68 | $85 | 8.3× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$73.60–$84.80 | $92–$106 | varies |
| Heparin assay (85520) | $128.80 | $161 | 9.8× |
| Hepatitis a antibody total (86708) range across 4 matching MRF lines |
$64.80–$75.20 | $81–$94 | varies |
| Hepatitis b core ab igm (86705) | $74.40 | $93 | 6.3× |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
$69.60–$72 | $87–$90 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$4.80–$71.20 | $6–$89 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$75.20–$76.80 | $94–$96 | varies |
| Hepatitis Be Antigen (87350) | $93.60 | $117 | 8.1× |
| Hepatitis C Antibody (86803) | $72.80 | $91 | 5.1× |
| Hepatitis C Genotype (87902) | $1,196.80 | $1,496 | 4.6× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $224 | $280 | 6.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$313.60–$322.40 | $392–$403 | varies |
| Herpes simplex type 2 (86696) range across 4 matching MRF lines |
$88–$104 | $110–$130 | varies |
| Heterophile Antibody Screen (86308) | $68 | $85 | 13.1× |
| Hfe Gene (81256) | $277.60 | $347 | 4.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
$35.20–$36 | $44–$45 | varies |
| Histoplasma antibody (86698) | $51.20 | $64 | 3.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $112.80 | $141 | 4.7× |
| Hiv-1 Antibody (86701) | $72.80 | $91 | 8.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$386.40–$387.20 | $483–$484 | varies |
| Hla class ii high defin qual (86833) | $1,059.20 | $1,324 | 3.3× |
| Hla ii typing 1 locus lr (81376) | $301.60 | $377 | 2.5× |
| Hla-b27 (86812) | $144.80 | $181 | 5.6× |
| Homocysteine (83090) range across 3 matching MRF lines |
$121.60–$204.80 | $152–$256 | varies |
| Hpv High-Risk Types (87624) range across 4 matching MRF lines |
$45.60–$124.80 | $57–$156 | varies |
| Hpv low-risk types (87623) | $49.60 | $62 | 1.4× |
| Hpv Types 16 & 18 Only (87625) | $136 | $170 | 3.4× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$174.40–$213.60 | $218–$267 | varies |
| Human Epididymis Protein 4 (86305) | $168.80 | $211 | 8.1× |
| Hydroxyprogesterone 17-d (83498) | $128.80 | $161 | 4.7× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $104 | $130 | 10.1× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $71.20 | $89 | 5.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $86.40 | $108 | 2.4× |
| Iaad ia shiga-like toxin (87427) range across 4 matching MRF lines |
$11.20–$72.80 | $14–$91 | varies |
| Iaad Ia Streptococcus Group A (87430) | $84 | $105 | 5.0× |
| Iadna Candida Species Amplified Probe Tq (87481) | $106.40 | $133 | 3.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $76 | $95 | 2.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $308 | $385 | 8.8× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$360.80–$418.40 | $451–$523 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $459.20 | $574 | 10.7× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $268 | $335 | 7.6× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $44 | $55 | 1.3× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $229.60 | $287 | 5.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $76 | $95 | 2.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$49.60–$127.20 | $62–$159 | varies |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$48–$60 | $60–$75 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$45.60–$46.40 | $57–$58 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $343.20 | $429 | 0.9× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$120–$123.20 | $150–$154 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$113.60–$952 | $142–$1,190 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$78.40–$85.60 | $98–$107 | varies |
| Immunoassay nonantibody (83516) range across 6 matching MRF lines |
$40.80–$140 | $51–$175 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$124–$124.80 | $155–$156 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $248 | $310 | 1.3× |
| Immunohistochemistry (88342) | $250.40 | $313 | 1.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) | $60.80 | $76 | 5.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $88.80 | $111 | 2.5× |
| Influenza a/b ag eia (87400) | $104 | $130 | 7.4× |
| Influenza assay w/optic (87804) | $108 | $135 | 6.5× |
| Influenza DNA amp probe (87502) | $178.40 | $223 | 1.9× |
| Inhibin A (86336) | $83.20 | $104 | 5.3× |
| Inhibin b (83520) range across 8 matching MRF lines |
$34.40–$208.80 | $43–$261 | varies |
| Insitu hybridization auto (88367) | $296.80 | $371 | 0.7× |
| Insulin antibodies (86337) | $165.60 | $207 | 7.7× |
| Insulin total (83525) range across 2 matching MRF lines |
$70.40–$73.60 | $88–$92 | varies |
| Intrinsic factor antibody (86340) | $16 | $20 | 1.1× |
| Iron (83540) | $51.20 | $64 | 7.9× |
| Iron Binding Capacity (83550) | $64.80 | $81 | 7.4× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$19.20–$172 | $24–$215 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $260 | $325 | 2.8× |
| Koh Prep (87220) | $58.40 | $73 | 13.7× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$9.60–$53.60 | $12–$67 | varies |
| Lactoferrin fecal qualitative (83630) | $113.60 | $142 | 5.8× |
| Lactoferrin Fecal Quantitative (83631) | $304.80 | $381 | 15.5× |
| LDL direct (83721) range across 2 matching MRF lines |
$60.80–$71.20 | $76–$89 | varies |
| Lead (83655) range across 4 matching MRF lines |
$66.40–$78.40 | $83–$98 | varies |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$12–$98.40 | $15–$123 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $90.40 | $113 | 2.8× |
| Level ii surg pathology grossµscopic exam (88302) | $168.80 | $211 | 4.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $465.60 | $582 | 1.2× |
| Lipase (83690) range across 2 matching MRF lines |
$105.60–$106.40 | $132–$133 | varies |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$16–$89.60 | $20–$112 | varies |
| Lipoprotein Bld Quan Part (83704) range across 3 matching MRF lines |
$25.60–$135.20 | $32–$169 | varies |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $72.80 | $91 | 2.2× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $38.40 | $48 | 0.8× |
| Lithium (80178) | $72.80 | $91 | 11.0× |
| Luteinizing Hormone (Lh) (83002) | $110.40 | $138 | 6.0× |
| Lyme disease antibody (86618) | $80.80 | $101 | 4.7× |
| M/phmtrc alys ishquant/semiq (88374) | $576 | $720 | 3.0× |
| Macroscopic Exam Parasite (87169) | $64.80 | $81 | 15.0× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$47.20–$52 | $59–$65 | varies |
| Mass Spectrometry Quant (83789) | $198.40 | $248 | 8.2× |
| Mercury urine (83825) | $122.40 | $153 | 7.5× |
| Methotrexate (80204) | $95.20 | $119 | 2.5× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$98.40–$204.80 | $123–$256 | varies |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$47.20–$56.80 | $59–$71 | varies |
| Microsatellite instability (81301) | $626.40 | $783 | 1.8× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$78.40–$85.60 | $98–$107 | varies |
| Mitochondrial Antibody Each (86381) | $76.80 | $96 | 3.0× |
| Mrsa Pcr (87641) | $216 | $270 | 6.2× |
| Mthfr Gene Analysis Common Variants (81291) | $361.60 | $452 | 5.5× |
| Mumps antibody (86735) range across 4 matching MRF lines |
$4.80–$82.40 | $6–$103 | varies |
| Muscle-Specific Kinase Antb (86366) | $980 | $1,225 | 53.3× |
| Mycophenolic Acid (80180) | $115.20 | $144 | 6.4× |
| Mycoplasma antibody (86738) | $66.40 | $83 | 5.0× |
| Mycoplasma culture (87109) | $111.20 | $139 | 7.2× |
| Myoglobin urine (83874) | $90.40 | $113 | 7.0× |
| Natriuretic peptide (83880) range across 4 matching MRF lines |
$163.20–$192 | $204–$240 | varies |
| Nfct ds bv&vaginitis DNA alg (81515) | $230.40 | $288 | 0.9× |
| Nfct ds chrnc hcv 6 assays (81596) | $248 | $310 | 3.4× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $628.80 | $786 | 4.9× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$140.80–$144 | $176–$180 | varies |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$84–$140.80 | $105–$176 | varies |
| Occult blood feces (82272) | $36.80 | $46 | 8.7× |
| Occult Blood Other Sources (82271) | $51.20 | $64 | 9.6× |
| Osmolality serum (83930) | $69.60 | $87 | 10.5× |
| Osmolality Urine (83935) | $8 | $10 | 1.2× |
| Ova and parasites smears (87177) | $48 | $60 | 5.4× |
| Pancreatic Elastase Fecal (82656) | $123.20 | $154 | 10.7× |
| Particle Agglutination Screen Each Antibody (86403) | $68 | $85 | 5.9× |
| Parvovirus antibody (86747) | $80 | $100 | 5.3× |
| Ph urine (81003) range across 3 matching MRF lines |
$25.60–$32.80 | $32–$41 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$94.40–$112 | $118–$140 | varies |
| Phenylalanine (84030) | $35.20 | $44 | 6.4× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$100.80–$120 | $126–$150 | varies |
| Phenytoin free (80186) | $92.80 | $116 | 6.7× |
| Phosphatase acid prostatic (84066) | $64 | $80 | 6.6× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$44–$45.60 | $55–$57 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$132–$139.20 | $165–$174 | varies |
| Phosphorus Serum (84100) | $40 | $50 | 8.4× |
| Phosphorus urine (84105) | $38.40 | $48 | 6.6× |
| Pinworm exam (87172) | $34.40 | $43 | 8.1× |
| Platelet Aggregation (85576) | $143.20 | $179 | 5.7× |
| Platelet Antibodies (86022) | $219.20 | $274 | 11.9× |
| Platelet count automated (85049) range across 2 matching MRF lines |
$36.80–$37.60 | $46–$47 | varies |
| Platelet neutralization (85597) | $89.60 | $112 | 5.0× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$58.40–$64.80 | $73–$81 | varies |
| Prealbumin (84134) | $80 | $100 | 5.5× |
| Pregnenolone (84140) | $140.80 | $176 | 6.8× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $115.20 | $144 | 1.8× |
| Primidone (80188) | $94.40 | $118 | 5.7× |
| Procalcitonin (Pct) (84145) | $92.80 | $116 | 3.4× |
| Progesterone (84144) | $85.60 | $107 | 4.1× |
| Prolactin (84146) | $82.40 | $103 | 4.3× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$69.60–$76 | $87–$95 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$110.40–$200.80 | $138–$251 | varies |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$124.80–$127.20 | $156–$159 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$24.80–$92.80 | $31–$116 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$110.40–$214.40 | $138–$268 | varies |
| Protein total serum (84155) range across 4 matching MRF lines |
$36.80–$40.80 | $46–$51 | varies |
| Protein Total Urine (84156) range across 5 matching MRF lines |
$36.80–$44.80 | $46–$56 | varies |
| Protein Western Blot Test (84182) | $192 | $240 | 6.6× |
| Protoporphyrin rbc quantitative (84202) | $53.60 | $67 | 3.7× |
| PSA free (84154) | $104.80 | $131 | 5.7× |
| Pth Intact (83970) range across 2 matching MRF lines |
$209.60–$228.80 | $262–$286 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$64.80–$207.20 | $81–$259 | varies |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$50.40–$148 | $63–$185 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$113.60–$120 | $142–$150 | varies |
| Quinidine (80194) | $192 | $240 | 13.2× |
| Rbc antibody elution (86860) | $209.60 | $262 | 1.1× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$310.40–$390.40 | $388–$488 | varies |
| Rbc antibody screen (86850) | $105.60 | $132 | 10.8× |
| Rbc pretreatment serum (86978) | $449.60 | $562 | 6.8× |
| Reagent Strip/Blood Glucose (82948) | $28.80 | $36 | 5.7× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$44–$104.80 | $55–$131 | varies |
| Resp virus 12-25 targets (87633) | $813.60 | $1,017 | 2.0× |
| Resp Virus 6-11 Targets (87632) | $352 | $440 | 1.6× |
| Reticulocyte Count Manual (85044) | $47.20 | $59 | 11.0× |
| Rh (86901) range across 3 matching MRF lines |
$56–$70.40 | $70–$88 | varies |
| Rheumatoid Factor Qualitative (86430) | $69.60 | $87 | 11.3× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$56.80–$60 | $71–$75 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$144–$147.20 | $180–$184 | varies |
| Rotavirus ag eia (87425) | $80.80 | $101 | 6.7× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$36.80–$44 | $46–$55 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$6.40–$64 | $8–$80 | varies |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$6.40–$76 | $8–$95 | varies |
| Rufinamide (80210) | $66.40 | $83 | 2.4× |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$4.80–$108 | $6–$135 | varies |
| Salicylate Level (80179) | $171.20 | $214 | 9.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$215.20–$218.40 | $269–$273 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$50.40–$127.20 | $63–$159 | varies |
| Sars-Cov-2 Covid19 W/Optic (87811) | $39.20 | $49 | 0.9× |
| Sarscov2 & inf a&b amp prb (87636) | $142.40 | $178 | 1.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 2 matching MRF lines |
$113.60–$142.40 | $142–$178 | varies |
| Sedimentation Rate, Automated (85652) | $51.20 | $64 | 19.0× |
| Selenium (84255) | $37.60 | $47 | 1.5× |
| Semen Anal Sperm Detection (89321) | $5.60 | $7 | 0.5× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $81.60 | $102 | 8.3× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$74.40–$78.40 | $93–$98 | varies |
| Serum Bactericidal Titer (87197) | $164 | $205 | 10.9× |
| Sex Hormone Binding Globulin (84270) range across 5 matching MRF lines |
$8.64–$108.80 | $10.80–$136 | varies |
| Sirolimus (80195) range across 2 matching MRF lines |
$106.40–$109.60 | $133–$137 | varies |
| Skin test tuberculosis intradermal (86580) | $35.20 | $44 | 1.1× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$55.20–$66.40 | $69–$83 | varies |
| Smear complex stain (87209) | $105.60 | $132 | 5.9× |
| Smear gram stain (87205) range across 3 matching MRF lines |
$41.60–$56 | $52–$70 | varies |
| Smear Special Stain (87207) range across 3 matching MRF lines |
$57.60–$68.80 | $72–$86 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $380 | $475 | 2.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$52–$54.40 | $65–$68 | varies |
| Sodium Serum (84295) | $35.20 | $44 | 7.3× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$44–$48.80 | $55–$61 | varies |
| Somatomedin (84305) | $148 | $185 | 7.0× |
| Special Stains Group 1 (88312) | $176 | $220 | 3.0× |
| Special Stains Group 2 (88313) | $196 | $245 | 1.3× |
| Specific gravity body fluid (84315) | $19.20 | $24 | 5.9× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$48–$49.60 | $60–$62 | varies |
| Staph a DNA amp probe (87640) | $200.80 | $251 | 5.7× |
| Stone Analysis (82355) | $40 | $50 | 3.5× |
| Stool cultr aerobic bact ea (87046) | $61.60 | $77 | 6.5× |
| Strep a assay w/optic (87880) | $59.20 | $74 | 3.6× |
| Strep a DNA amp probe (87651) | $53.60 | $67 | 1.5× |
| Strep b DNA amp probe (87653) | $131.20 | $164 | 3.7× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $152.80 | $191 | 13.3× |
| Sugars Single Qual (84376) | $81.60 | $102 | 14.8× |
| Surg path level iii (88304) | $208.80 | $261 | 3.6× |
| Surgical pathology level IV (88305) | $231.20 | $289 | 4.0× |
| Surgical pathology level vi (88309) | $752.80 | $941 | 0.8× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $72.80 | $91 | 15.3× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $71.20 | $89 | 9.5× |
| T cells absolute cd4 count (86361) | $108.80 | $136 | 4.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$180–$351.20 | $225–$439 | varies |
| T3 Free (84481) | $87.20 | $109 | 5.1× |
| T3 reverse (84482) | $119.20 | $149 | 7.6× |
| T3 Total (84480) range across 2 matching MRF lines |
$80–$81.60 | $100–$102 | varies |
| T3 Uptake (84479) | $52.80 | $66 | 8.2× |
| T4 Free (84439) range across 2 matching MRF lines |
$76.80–$88.80 | $96–$111 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$56.80–$57.60 | $71–$72 | varies |
| Tacrolimus (80197) range across 2 matching MRF lines |
$71.20–$128.80 | $89–$161 | varies |
| Tb ag response t-cell susp (86481) | $319.20 | $399 | 3.2× |
| Test for acetone/ketones (82009) | $67.20 | $84 | 14.9× |
| Testosterone total (84403) range across 4 matching MRF lines |
$8.64–$131.20 | $10.80–$164 | varies |
| Testosterone, Free (84402) range across 4 matching MRF lines |
$8.64–$124 | $10.80–$155 | varies |
| Theophylline (80198) | $101.60 | $127 | 7.2× |
| Thrombin Time (85670) | $66.40 | $83 | 11.5× |
| Thyroglobulin (84432) | $119.20 | $149 | 7.4× |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$72–$89.60 | $90–$112 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $292.80 | $366 | 5.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 5 matching MRF lines |
$44–$101.60 | $55–$127 | varies |
| Tissue culture bone marrow (88237) | $503.20 | $629 | 3.5× |
| Tissue Culture Lymphocyte (88230) | $584 | $730 | 5.0× |
| Topiramate (80201) | $116 | $145 | 9.7× |
| Touch prep (88161) | $99.20 | $124 | 3.1× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $136.80 | $171 | 6.9× |
| Toxoplasma antibody (86777) | $67.20 | $84 | 4.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $45.60 | $57 | 8.8× |
| Transferrin (84466) | $76.80 | $96 | 6.0× |
| Trichomonas vagin dir probe (87660) range across 2 matching MRF lines |
$66.40–$79.20 | $83–$99 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$111.20–$116 | $139–$145 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$43.20–$54.40 | $54–$68 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$136.80–$156 | $171–$195 | varies |
| Tumor Immunohistochem/Manual (88360) | $300 | $375 | 1.6× |
| Uric acid other source (84560) | $41.60 | $52 | 8.2× |
| Urinalysis Microscopic Only (81015) | $32.80 | $41 | 10.8× |
| Urinalysis Volume Measure (81050) range across 2 matching MRF lines |
$20–$28.80 | $25–$36 | varies |
| Urine Bacteria Culture (87088) | $79.20 | $99 | 9.8× |
| Urine Pregnancy Test (81025) | $62.40 | $78 | 7.2× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$40.80–$48 | $51–$60 | varies |
| Valproic acid (80164) | $104.80 | $131 | 7.7× |
| Vancomycin (80202) range across 2 matching MRF lines |
$125.60–$138.40 | $157–$173 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$4.80–$77.60 | $6–$97 | varies |
| Viral Culture (87252) | $150.40 | $188 | 5.8× |
| Virus antibody nos (86790) range across 3 matching MRF lines |
$65.60–$143.20 | $82–$179 | varies |
| Virus inoculation, shell via (87254) | $108.80 | $136 | 5.6× |
| Viscosity serum (85810) | $68.80 | $86 | 5.9× |
| Vit D 1 25-Dihydroxy (82652) | $169.60 | $212 | 4.4× |
| Vitamin A (84590) | $104 | $130 | 9.0× |
| Vitamin b-12 (82607) | $96.80 | $121 | 6.4× |
| Vitamin B2 (Riboflavin) (84252) | $66.40 | $83 | 3.3× |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$120.80–$138.40 | $151–$173 | varies |
| Vitamin c (82180) | $87.20 | $109 | 8.8× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$30.40–$144.80 | $38–$181 | varies |
| Vitamin E (84446) | $117.60 | $147 | 8.3× |
| Vitamin K (84597) | $19.20 | $24 | 1.4× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$132–$156.80 | $165–$196 | varies |
| Western Blot Test (84181) | $196 | $245 | 11.5× |
| Xm Archive Tissue Molec Anal (88363) | $39.20 | $49 | 1.2× |
| Zinc (84630) range across 2 matching MRF lines |
$84.80–$86.40 | $106–$108 | 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.