Lab & pathology prices at Kaiser Foundation Hospital-santa Rosa

Santa Rosa, CA · every code in this section with a posted price and a Medicare benchmark.

1537 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $145.60 $260 9.4×
17-Hydroxypregnenolone (84143) $64.40 $115 2.8×
5 Nucleotidase (83915) $30.24 $54 2.7×
Abl1 gene analysis kinase domain variants (81170) $683.20 $1,220 2.3×
Acetylcholine receptor binding antibody (86041) $40.32 $72 2.2×
Acetylcholine receptor blocking antibody (86042) $40.32 $72 2.2×
Acetylcholinesterase Assay (82013) $33.60 $60 2.7×
Acetylcholn Rcptr Modlg Antb (86043) $22.96 $41 1.9×
Acth (82024) $67.76 $121 1.8×
Acth Stimulation Panel Adrenal Insufficiency (80400) $220.64 $394 6.8×
ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) $834.40 $1,490 9.6×
ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) $750.40 $1,340 9.6×
Actin smooth muscle antibody each (86015) $21.84 $39 1.8×
Acute hepatitis panel (80074) $272.16 $486 5.7×
Acylcarnitines Quant (82017) $223.44 $399 13.2×
Acylcarnitines; qualitative, each specimen Facility (82016) $141.12 $252 8.6×
Adenovirus antibody (86603) $33.60 $60 2.6×
AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis;… (81171) $313.60 $560 2.3×
AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis;… (81172) $627.20 $1,120 2.3×
Afp-l3 fraction isoform & total afp w/ratio (82107) $113.68 $203 1.8×
Agglutinins Febrile Each Antigen (86000) $38.64 $69 5.5×
Albumin Fluid (82042) $99.68 $178 12.8×
Albumin ischemia modified (82045) $347.20 $620 10.2×
Albumin serum (82040) $45.36 $81 9.2×
Aldolase (82085) $18.48 $33 1.9×
Aldosterone Suppression Evaluation Panel (80408) $1,187.20 $2,120 9.5×
Aldosterone urine (82088) $70.56 $126 1.7×
Alkaline phosphatase isoenzymes (84080) $33.04 $59 2.2×
Allergen spec ige qual multiallergen screen (86005) $71.68 $128 9.0×
Allergen specific ige (86003) $28 $50 5.4×
Allergen specific igg (86001) $18.48 $33 2.4×
Allg Spec Ige Recomb Ea (86008)
range across 3 matching MRF lines		 $31.36–$36.40 $56–$65 varies
Alpha-1-antitrypsin phenotype (82104) $24.64 $44 1.7×
Alpha-1-antitrypsin total (82103) $24.64 $44 1.8×
Alpha-Fetoprotein Amniotic Fluid (82106) $204.40 $365 12.0×
Alpha-Fetoprotein Serum (82105) $117.04 $209 7.0×
Alt (sgpt) (84460) $43.12 $77 8.1×
Aluminum (82108) $66.64 $119 2.6×
Amikacin trough (80150) $80.08 $143 5.3×
Amines vaginal fluid qualitative (82120) $38.64 $69 6.5×
Amino Acids 1 Quantitative Each Specimen (82131) $63.28 $113 2.8×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $109.20 $195 6.5×
Amino Acids Multiple Qualitative Each Specimen (82128) $169.12 $302 12.2×
Amino Acids Quant 2-5 (82136) $55.44 $99 2.8×
Amino acids; single, qualitative, each specimen Facility (82127) $141.12 $252 10.0×
Aminolevulinic acid (ala) (82135) $45.92 $82 2.8×
Ammonia (82140) $222.88 $398 15.3×
Amniotic fluid protein test on cervicovaginal fluid (84112) $750.40 $1,340 7.6×
Amniotic fluid scan (82143) $84 $150 9.0×
Amylase urine (82150) $148.96 $266 23.0×
Ana Titer (86039) $49.28 $88 4.4×
Analysis skeletal muscle (88355) $509.60 $910 2.2×
Anca screen each antibody (86036) $21.84 $39 1.8×
Anca Titer Each Antibody (86037) $29.68 $53 2.5×
Androstanediol Glucuronide (82154) $352.80 $630 12.2×
Androstenedione (82157) $80.08 $143 2.7×
Androsterone (hormone) level (82160) $254.24 $454 10.0×
Angiotensin converting enzyme csf (82164) $24.64 $44 1.7×
Angiotensin II (82163) $55.44 $99 2.7×
Animal inoculation, small animal, with observation and dissection Facility (87003) $171.36 $306 10.2×
Anti-Phospholipid Antibody (86148) $58.24 $104 3.6×
Antibody aspergillus (86606) $28 $50 1.9×
Antibody Bacterium Not Elsewhere Specified (86609)
range across 4 matching MRF lines		 $28–$33.60 $50–$60 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $28 $50 1.8×
Antibody Cytomegalovirus Cmv Igm (86645) $186.48 $333 11.1×
Antibody Encephalitis California La Crosse (86651) $161.28 $288 12.2×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $38.64 $69 2.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 2 matching MRF lines		 $41.44–$94.64 $74–$169 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 3 matching MRF lines		 $41.44–$122.08 $74–$218 varies
Antibody Fungus Not Elsewhere Specified (86671)
range across 7 matching MRF lines		 $31.92–$61.60 $57–$110 varies
Antibody haemophilus influenza (86684) $42 $75 2.7×
Antibody helicobacter pylori (86677) $128.80 $230 7.6×
Antibody Herpes Smplx Non-Specific Type Test (86694) $42.56 $76 3.0×
Antibody Herpes Smplx Type 1 (86695) $58.80 $105 4.5×
Antibody HIV-1&HIV-2 single result (86703) $30.80 $55 2.2×
Antibody HIV-2 (86702) $75.04 $134 5.6×
Antibody Hla Class I High Definition Panel Qual (86832) $1,489.60 $2,660 4.6×
Antibody Hla Class I Phenotype Panel Qualitative (86830) $756 $1,350 7.9×
Antibody Hla Class II Phenotype Panel Qual (86831) $655.20 $1,170 8.0×
Antibody hla class ii semiquantitative panel (86835) $873.60 $1,560 2.7×
Antibody htlv/HIV antibody confirmatory test (86689) $48.16 $86 2.5×
Antibody identification leukocyte antibodies (86021) $28 $50 1.9×
Antibody Identification Platelet Immunogl Assay (86023) $33.60 $60 2.7×
Antibody john cunningham virus (86711) $176.40 $315 10.4×
Antibody leishmania (86717) $124.32 $222 10.1×
Antibody Lymphocytic Choriomeningitis (86727) $42 $75 3.3×
Antibody neisseria meningitidis (86741) $161.28 $288 12.2×
Antibody nocardia (86744) $134.40 $240 8.4×
Antibody plasmodium malaria (86750) $134.40 $240 10.2×
Antibody Protozoa Nes (86753)
range across 5 matching MRF lines		 $21.28–$22.96 $38–$41 varies
Antibody rotavirus (86759) $134.40 $240 7.4×
Antibody Titer (86886) $347.20 $620 67.0×
Antibody Treponema Pallidum (86780) $57.68 $103 4.4×
Antibody yersinia (86793) $33.60 $60 2.5×
Antibody; campylobacter (86625) $133.84 $239 10.2×
Antibody; encephalitis, st. louis (86653) $33.60 $60 2.5×
Antibody; influenza virus (86710) $33.60 $60 2.5×
Antibody; mucormycosis Facility (86732) $134.40 $240 9.0×
Antigen typing (86905) $733.60 $1,310 191.5×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $347.20 $620 60.7×
Antinomyces antibody (86602) $84.56 $151 8.3×
Antinuclear antibodies (86038) $53.20 $95 4.4×
Antistreptolysin O Screen (86063) $71.12 $127 12.3×
Antistreptolysin o titer (86060) $33.60 $60 4.6×
Antithrombin iii activity (85300) $157.92 $282 13.3×
Antithrombin iii antigen (85301) $29.68 $53 2.7×
Aortic dysfunction/dilation dup/del analysis (81411) $3,085.60 $5,510 2.3×
Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) $1,153.60 $2,060 2.3×
Apc Gene Analysis Known Familial Variants (81202) $638.40 $1,140 2.3×
Apc gene dup/delet variants (81203) $980 $1,750 4.9×
Apc gene full sequence (81201) $1,780.80 $3,180 2.3×
Apolipoprotein a1 (82172) $36.96 $66 1.8×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $104.72 $187 2.8×
Aquaporin-4 Antb Cba Each (86052) $29.68 $53 2.5×
Aquaporin-4 Antb Elisa (86051) $28 $50 2.4×
AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81173) $688.80 $1,230 2.3×
AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81204) $313.60 $560 2.3×
AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81174) $425.60 $760 2.3×
Arsenic (82175) $34.16 $61 1.8×
Ashkenazi Jewish Assoc Dis (81412) $5,594.40 $9,990 2.3×
Aspa gene analysis common variants (81200) $133.84 $239 2.8×
Aspergillus ag eia (87305) $66.08 $118 5.5×
Assay activated protein c (85307) $43.68 $78 2.9×
Assay Blood Carbon Dioxide (82374) $76.72 $137 15.7×
Assay Blood Catecholamines (82383) $254.80 $455 8.8×
Assay Dir Meas Fr Estradiol (82681) $66.64 $119 2.4×
Assay Duodenal Fluid Trypsin (84485) $76.72 $137 10.7×
Assay myeloperoxidase (83876) $132.16 $236 2.6×
Assay Nephelometry Not Spec (83883)
range across 9 matching MRF lines		 $39.20–$61.04 $70–$109 varies
Assay of 5-hiaa (83497) $21.84 $39 1.7×
Assay of anti-mullerian hormone (82166) $80.08 $143 2.1×
Assay of b-hexosaminidase each assay (83080)
range across 2 matching MRF lines		 $185.92–$205.52 $332–$367 varies
Assay of blood/uric acid (84550) $67.20 $120 14.9×
Assay of calcium in urine (82340) $59.92 $107 9.9×
Assay of corticosterone (82528) $58.24 $104 2.6×
Assay of cpk in blood (82552) $193.20 $345 14.4×
Assay of estrone (82679) $66.64 $119 2.7×
Assay of feces for trypsin (84490) $77.84 $139 7.8×
Assay of g6pd enzyme (82955) $18.48 $33 1.9×
Assay of gammaglobulin igm (82784) $54.88 $98 5.9×
Assay of lactic acid (83605) $205.52 $367 17.8×
Assay of manganese (83785) $71.68 $128 2.7×
Assay of metanephrines (83835) $30.80 $55 1.8×
Assay of phosphatase acid total (84060) $21.28 $38 2.8×
Assay of phosphatase alkaline heat stable (84078) $80.08 $143 9.7×
Assay of procainamide (80190) $170.80 $305 2.8×
Assay of proinsulin (84206) $46.48 $83 1.7×
Assay of prostate specific antigen complexed (84152) $50.96 $91 2.8×
Assay of pyruvate (84210) $38.08 $68 2.6×
Assay of semen fructose (82757) $177.52 $317 10.2×
Assay of serotonin (84260) $55.44 $99 1.8×
Assay of serum potassium (84132) $104.16 $186 21.9×
Assay of Sialic Acid (84275) $164.08 $293 12.2×
Assay of sweat sodium (84302) $42.56 $76 8.8×
Assay of transcortin (84449) $109.20 $195 6.1×
Assay of Tyrosine (84510) $53.76 $96 5.1×
Assay of urea nitrogen (84520) $19.04 $34 4.8×
Assay of urine vma (84585) $43.68 $78 2.8×
Assay of vasoactive intestinal peptide (84586) $61.60 $110 1.7×
Assay of vitamin b-1 (84425) $36.96 $66 1.7×
Assay Ph Body Fluid Nos (83986)
range across 15 matching MRF lines		 $41.44–$57.68 $74–$103 varies
Assay Phosphohexose Enzymes (84087) $125.44 $224 11.7×
Assay spec xcp ur&breath ia (82077) $82.32 $147 4.8×
Asstd Fertilization Microtq > 10 Oocytes (89281) $1,344 $2,400 5.7×
Asstd oocyte fert 10 or less (89280) $2,094.40 $3,740 1.9×
ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative… (81176) $963.20 $1,720 4.0×
Asxl1 gene analysis full gene sequence (81175) $1,545.60 $2,760 2.3×
Asy carbamazepin 10,11-epxid (80161) $43.68 $78 2.3×
Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) $313.60 $560 2.3×
Atomic Absorption (82190) $182.56 $326 11.5×
Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) $313.60 $560 2.3×
ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles… (81183) $313.60 $560 2.3×
Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) $313.60 $560 2.3×
Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) $313.60 $560 2.3×
Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) $313.60 $560 2.3×
ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182) $313.60 $560 2.3×
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) $1,920.80 $3,430 2.3×
Autol Bld/Component Collj Storage Predeposited (86890) $487.20 $870 2.1×
Autol bld/component collj storage salvage (86891) $1,982.40 $3,540 1.8×
Automated Leukocyte Count (85048) $72.24 $129 28.4×
B cells total count (86355) $159.04 $284 4.2×
Babesia microti amp prb (87469) $68.88 $123 2.0×
Bacterial antigens 87802 (87802) $113.12 $202 8.9×
Bartonella antibody (86611) $18.48 $33 1.8×
Bckdhb Gene Analysis Common Variants (81205) $217.28 $388 2.3×
Bcr/abl1 gene major bp (81206) $275.52 $492 1.7×
Bcr/abl1 gene minor bp (81207) $243.60 $435 1.7×
Bcr/Abl1 Gene Other Bp (81208) $940.80 $1,680 4.4×
Beta 2 glycoprotein i antibody each (86146) $89.04 $159 3.5×
Beta hydroxybutyrate (82010) $142.80 $255 17.5×
Beta Lactamase (87185) $40.32 $72 8.5×
Beta-2 Microglobulin (82232) $72.24 $129 4.5×
Beta-amyloid 1-40 (abeta 40) (82233) $19.04 $34 0.1×
Beta-amyloid; 1-42 (abeta 42) (82234) $19.04 $34 0.1×
Bile acids total (82239) $45.92 $82 2.7×
Bile acids, cholylglycine (82240) $270.48 $483 10.2×
Bilirubin direct (82248) $85.68 $153 17.1×
Bilirubin total (82247) $63.28 $113 12.6×
Bilirubin total transcutaneous (88720) $56 $100 11.2×
Bilirubin; feces, qualitative Facility (82252) $45.92 $82 10.1×
Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5… (89291) $1,120 $2,000 4.8×
Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290) $1,120 $2,000 4.8×
Biotinidase (82261) $45.92 $82 2.7×
Bl Smear W/O Diff Wbc Count (85008) $17.36 $31 5.1×
Blastomyces antibody (86612) $33.60 $60 2.6×
Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) $273.28 $488 3.8×
Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) $129.92 $232 3.3×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $403.20 $720 1.7×
Bld Typing Serologic Rh Phnt (86906) $89.04 $159 11.5×
Bleeding time test (85002) $71.68 $128 14.9×
Blm Gene (81209) $133.84 $239 3.4×
Blood Count Automated Differential Wbc Count (85004) $85.12 $152 13.2×
Blood Count Manual Cell Count Each (85032) $57.12 $102 13.3×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $45.36 $81 8.9×
Blood Count Red Blood Cell Automated (85041) $11.20 $20 3.7×
Blood count reticulocyte automated (85045) $81.76 $146 20.5×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $50.40 $90 13.3×
Blood count spun microhematocrit (85013) $32.48 $58 4.6×
Blood gas (82803) $565.60 $1,010 21.7×
Blood gases w/02 saturation (82805) $470.40 $840 6.0×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $70.56 $126 4.4×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $52.08 $93 11.9×
Blood Sulfhemoglobin Assay (83060) $84 $150 9.5×
Blood Type Antigen Donor Reagent Serum Each (86902) $739.20 $1,320 116.4×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $145.60 $260 8.9×
Blood typing serologic abo (86900) $261.52 $467 87.5×
Body fluid cell count (89050)
range across 8 matching MRF lines		 $75.04–$152.88 $134–$273 varies
Bone marrow smear interpretation (85097) $1,758.40 $3,140 1.6×
Bordetella antibody (86615) $33.60 $60 2.5×
Borrelia Antibody (86619) $77.84 $139 5.8×
Borrelia miyamotoi amp prb (87478) $68.88 $123 2.0×
Braf gene analysis (81210) $795.20 $1,420 4.5×
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) $1,220.80 $2,180 2.8×
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) $3,908.80 $6,980 8.4×
Brca1 brca2 gene analysis full dup/del analysis (81164) $3,908.80 $6,980 6.7×
Brca1 gene analysis full dup/del analysis (81166) $5,952.80 $10,630 19.8×
Brca1 gene analysis full sequence analysis (81165) $5,952.80 $10,630 21.0×
Brca1 Gene Analysis Known Familial Variant (81215) $856.80 $1,530 2.3×
Brca1&2 gen full seq dup/del (81162) $6,736.80 $12,030 3.7×
Brca2 gene analysis full dup/del analysis (81167) $5,952.80 $10,630 21.0×
Brca2 gene analysis full sequence analysis (81216) $2,469.60 $4,410 13.3×
Brca2 Gene Analysis Known Familial Variant (81217) $856.80 $1,530 2.3×
Breath Alcohol Test (82075) $147.84 $264 4.9×
Brucella antibody (86622) $22.40 $40 2.5×
Btk Gene Analysis Common Variants (81233) $403.20 $720 2.3×
C diff amplified probe (87493) $341.60 $610 9.2×
C-Peptide (84681) $63.84 $114 3.1×
C-reactive protein (86140) $116.48 $208 22.5×
Ca 19-9 (86301) $173.60 $310 8.3×
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) $313.60 $560 2.3×
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) $1,932 $3,450 2.3×
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial… (81186) $425.60 $760 2.3×
Cadmium (82300) $40.32 $72 1.7×
Caffeine (80155) $187.60 $335 4.9×
Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) $436.80 $780 1.9×
Calcitonin (82308) $46.48 $83 1.7×
Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) $772.80 $1,380 9.6×
Calcium ionized (82330) $162.96 $291 11.9×
Calcium total (82310) $64.96 $116 12.6×
Calcium; after calcium infusion test (82331) $52.64 $94 3.9×
Calculus assay quant (82360) $33.60 $60 2.6×
Calculus Spectroscopy (82365) $21.84 $39 1.7×
Calculus Xray Diffraction (82370) $33.60 $60 2.7×
Calprotectin Fecal (83993) $72.80 $130 3.7×
Calr gene com variants (81219) $1,657.60 $2,960 13.6×
Cancer Antigen 125 (86304) $172.48 $308 8.3×
Cancer Antigen 27.29 (86300) $67.20 $120 3.2×
Candida antibody (86628) $33.60 $60 2.8×
Candida Dna Dir Probe (87480) $55.44 $99 2.8×
Car Ion Chnnlpath Inc 10 Gns (81413) $1,764 $3,150 3.0×
Car Ion Chnnlpath Inc 2 Gns (81414) $1,764 $3,150 3.0×
Carbamazepine free (80157) $38.08 $68 2.9×
Carbamazepine total (80156) $184.24 $329 12.6×
Carbohydrate Deficient Transferrin (82373) $219.52 $392 12.2×
Carbon monoxide, (carboxyhemoglobin); qualitative (82376) $61.60 $110 4.4×
Carboxyhemoglobin (82375) $141.12 $252 11.5×
Carcinoembryonic antigen (82378) $192.08 $343 10.1×
Cardiolipin ab iga (86147) $67.76 $121 2.7×
Cardiology Hrt Trnspl Mrna (81595) $7,403.20 $13,220 2.3×
Carnitine Quantitative Each Specimen (82379) $58.80 $105 3.5×
Carotene (82380) $24.64 $44 2.7×
Catecholamines fractionated (82384)
range across 3 matching MRF lines		 $43.12–$54.88 $77–$98 varies
Catecholamines total urine (82382) $174.72 $312 6.4×
Cathepsin-d (82387) $51.52 $92 2.9×
Ccnd1/Igh Translocation Alys (81168) $347.20 $620 1.7×
Ccp antibody (86200)
range across 2 matching MRF lines		 $29.68–$54.32 $53–$97 varies
Cebpa Gene Analysis Full Gene Sequence (81218) $2,699.20 $4,820 11.2×
Cell count csf (89051)
range across 10 matching MRF lines		 $74.48–$146.72 $133–$262 varies
Cell enumeration & id (86152) $672 $1,200 2.7×
Cell marker study (88182) $320.32 $572 4.5×
Cellular Function Assay Stimul&Detect Biomarke (86352) $236.88 $423 1.7×
Ceruloplasmin (82390) $79.52 $142 7.4×
Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) $386.40 $690 2.3×
Cftr Gene Analysis Known Familial Variants (81221) $223.44 $399 2.3×
Cftr gene com variants (81220) $1,271.20 $2,270 2.3×
Cftr gene dup/delet variants (81222) $996.80 $1,780 2.3×
Cftr gene full sequence (81223) $3,326.40 $5,940 6.7×
Chemiluminescent assay (82397)
range across 2 matching MRF lines		 $36.40–$60.48 $65–$108 varies
Chemotaxis Assay (86155) $162.96 $291 10.2×
Chg cryopreservation mature oocyte(s) (89337) $733.60 $1,310 3.1×
Chimerism w/comp to baseline w/cell selection ea (81268) $1,685.60 $3,010 6.5×
Chimerism w/comp to baseline w/o cell selection (81267) $347.20 $620 1.7×
Chlamydia antibody (86631) $33.60 $60 2.8×
Chlamydia Igm Antibody (86632) $33.60 $60 2.6×
Chlamydia trachomatis ag if (87270) $113.12 $202 9.4×
Chlmy trch&neisra gonor mult (87494) $459.76 $821 6.6×
Chloramphenicol level (82415) $33.60 $60 2.7×
Chloride other source (82438) $42 $75 8.4×
Chloride Serum (82435) $75.60 $135 16.4×
Chloride urine (82436) $65.52 $117 11.4×
Chlorinated Hydrocarbons Screen (82441) $61.60 $110 10.2×
Cholesterol total (82465) $25.76 $46 5.9×
Cholinesterase rbc (82482) $25.76 $46 2.6×
Cholinesterase Serum (82480) $21.28 $38 2.7×
Chondroitin B sulfate, quantitative Facility (82485) $210.56 $376 10.2×
Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) $548.80 $980 9.8×
Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) $509.60 $910 9.9×
Chorionic gonadotropin test (84702) $291.20 $520 19.3×
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $1,680 $3,000 8.9×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $71.68 $128 2.7×
Chrmsm Analysis Addl High Resolution Study (88289) $159.04 $284 4.6×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $235.76 $421 7.0×
Chrmsm Analysis Addl Specialized Banding (88283) $184.24 $329 2.7×
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) $1,618.40 $2,890 9.3×
Chrmsm Breakage Baseline Sister 20-25 Cll (88245) $1,226.40 $2,190 7.1×
Chrmsm Breakage Synds Score 100 Cll (88249) $1,618.40 $2,890 9.3×
Chromium serum (82495) $36.96 $66 1.8×
Chromogenic Substrate Assay (85130) $132.16 $236 11.1×
Chromogranin a (86316) $36.96 $66 1.8×
Chromosome analys amniotic (88269) $470.40 $840 2.7×
Chromosome Analysis 15-20 (88262) $324.80 $580 2.6×
Chromosome Analysis 20-25 (88264) $369.60 $660 2.6×
Chromosome analysis 45 cells (88263) $985.60 $1,760 6.6×
Chromosome analysis, 5 (88261) $711.20 $1,270 2.7×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $128.80 $230 3.7×
Citric acid urine (82507) $49.28 $88 1.8×
Ckmb (82553) $291.20 $520 25.2×
Clostridium Difficile (87324)
range across 2 matching MRF lines		 $82.88–$84.56 $148–$151 varies
Clot Factor VIII Multimetric (85247) $72.80 $130 3.2×
Clot factor xiii fibrin stab (85290) $146.72 $262 9.0×
Clot lysis time, whole blood dilution Facility (85175) $55.44 $99 2.7×
Clot retraction (85170) $42 $75 2.6×
Clotting factor viii related antigen (85244) $208.88 $373 10.2×
Clotting factor xii hageman (85280) $155.68 $278 8.0×
Clotting Funct Activity (85397)
range across 2 matching MRF lines		 $101.36–$128.80 $181–$230 varies
Clotting hi molec weight kininogen assay (85293) $192.64 $344 10.2×
Clotting prekallikrein assay fletcher fact assay (85292) $192.64 $344 10.2×
Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) $313.60 $560 2.3×
Cns DNA amp probe type 12-25 (87483) $1,125.60 $2,010 2.7×
Coagulation time activated (85347) $145.04 $259 33.9×
Coagulation time other methods (85348) $57.12 $102 12.7×
Coagulation time; Lee and White Facility (85345) $43.68 $78 9.3×
Coccidioides antibody (86635)
range across 3 matching MRF lines		 $25.76–$29.12 $46–$52 varies
Cold agglutinin screen (86156) $43.12 $77 5.3×
Cold agglutinin titer (86157) $20.16 $36 2.5×
Collagen crosslinks (82523) $34.16 $61 1.8×
Column Chromotography Quant (82542)
range across 4 matching MRF lines		 $43.12–$44.80 $77–$80 varies
Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) $4,687.20 $8,370 8.1×
Comparative Anal Str Markers Patient&Comp Spec (81265) $4,099.20 $7,320 17.6×
Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) $694.40 $1,240 2.3×
Compatibility Each Unit Incubation (86921) $347.20 $620 1.5×
Compatibility test antiglob (86922) $392 $700 1.7×
Complement Antigen Each Component (86160)
range across 2 matching MRF lines		 $56.56–$60.48 $101–$108 varies
Complement Fixation Tests Each Antigen (86171) $29.12 $52 2.9×
Complement Total (Ch50) (86162) $43.12 $77 2.1×
Complement/Function Activity (86161) $32.48 $58 2.7×
Consltj Compre Review Reprt Referred Matrl (88325) $403.20 $720 1.7×
Consltj&Reprt Material Requiring Prepj Slides (88323) $476 $850 6.6×
Consltj&Reprt Slides Prepared Elsewhere (88321) $156.80 $280 3.1×
Coombs direct (86880) $126 $225 23.4×
Copper urine (82525) $21.84 $39 1.8×
Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral… (81493) $2,402.40 $4,290 2.3×
Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) $3,052 $5,450 3.8×
Cortisol free (82530) $33.04 $59 2.0×
Cortisol saliva (82533) $302.40 $540 18.6×
Creatine (82540) $27.44 $49 5.9×
Creatine kinase (CK), (CPK); isoforms Facility (82554) $120.96 $216 10.2×
Creatine kinase total (82550) $137.76 $246 21.2×
Creatinine blood (82565) $67.20 $120 13.1×
Creatinine clearance (82575) $166.88 $298 17.6×
Creatinine Urine (82570) $66.64 $119 12.9×
Crossmatch electronic (86923) $347.20 $620 1.5×
Crossmatch immediate spin (86920) $403.20 $720 1.7×
Crp High Sensitivity (86141) $142.24 $254 11.0×
Cryofibrinogen (82585) $64.40 $115 4.6×
Cryoglobulin (82595) $114.80 $205 17.7×
Cryopreservation, reproductive tissue, testicular (89335) $296.80 $530 4.1×
Cryopreservation; embryo(s) (89258) $1,730.40 $3,090 1.6×
Cryopreservation; sperm (89259) $397.60 $710 1.7×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $62.72 $112 4.8×
Cryptococcal Antigen (87327) $114.80 $205 8.6×
Cryptococcus ab (86641) $176.40 $315 12.2×
Cryptococcus ag titer (87899)
range across 3 matching MRF lines		 $92.40–$130.48 $165–$233 varies
Cryptosporidium (87272) $52.08 $93 4.3×
Cryptosporidium ag eia (87328) $38.08 $68 2.8×
CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles… (81188) $313.60 $560 2.3×
CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Facility (81189) $627.20 $1,120 2.3×
CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) Facility (81190) $425.60 $760 2.3×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $100.80 $180 12.5×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $118.16 $211 14.6×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101)
range across 2 matching MRF lines		 $29.12–$70 $52–$125 varies
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $565.60 $1,010 2.6×
Culture aerobic quant other (87071) $173.60 $310 17.6×
Culture afb (87116) $94.64 $169 8.8×
Culture Anaerobic (87075) $147.28 $263 15.6×
Culture bacteria anaerobic (87073) $154 $275 15.9×
Culture blood (87040) $272.16 $486 26.4×
Culture chlamydia (87110) $239.12 $427 12.2×
Culture csf (87070) $254.80 $455 29.6×
Culture fungus (87102) $174.16 $311 20.7×
Culture fungus blood (87103) $55.44 $99 2.7×
Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos (89251) $2,178.40 $3,890 9.3×
Culture oocyte/embryos<4day (89250) $2,094.40 $3,740 8.9×
Culture screen only (87081) $104.72 $187 15.8×
Culture stool (87045) $125.44 $224 13.3×
Culture Typing Gas/High Pres Liq Chromatography (87143) $152.32 $272 12.2×
Culture typing if ea antiserum (87140) $50.96 $91 9.1×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $56.56 $101 10.9×
Culture typing other methods (87158) $49.28 $88 6.4×
Culture urine (87086) $157.92 $282 19.6×
Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) $89.04 $159 3.3×
Culture, typing; identification by pulse field gel typing Facility (87152) $53.76 $96 6.9×
Cyanide (82600) $237.44 $424 12.2×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $38.08 $68 2.7×
Cyclic amp (82030) $262.64 $469 10.2×
Cyclosporine (80158) $176.40 $315 9.8×
Cyp2c19 gene analysis common variants (81225) $666.40 $1,190 2.3×
Cyp2c9 gene com variants (81227) $1,209.60 $2,160 6.9×
Cyp2d6 gene com variants (81226) $3,063.20 $5,470 6.8×
Cyp3a4 gene common variants (81230) $1,209.60 $2,160 6.9×
Cyp3a5 gene common variants (81231) $1,209.60 $2,160 6.9×
Cystatin C (82610) $68.32 $122 3.7×
Cytog genom-wid alys hem mal (81195) $1,259.44 $2,249 0.7×
Cytogenetics 10-30 (88273) $392 $700 11.3×
Cytogenetics 100-300 (88275) $313.60 $560 6.1×
Cytogenom Const Microarray Copy Number Variants (81228) $2,055.20 $3,670 2.3×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $2,648.80 $4,730 2.3×
Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for… (81349) $1,383.20 $2,470 1.2×
Cytogenomic neo microra alys (81277) $2,648.80 $4,730 2.3×
Cytomegalovirus igg (86644) $64.40 $115 4.5×
Cytopath C/V Index Add-On (88155) $61.60 $110 4.2×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $105.28 $188 5.2×
Cytopath Cell Enhance Tech (88112) $280 $500 3.9×
Cytopath Fl Nongyn Filter (88106) $319.20 $570 8.0×
Cytopath unlstd proc (88199) $199.92 $357 2.8×
Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) $144.48 $258 2.9×
Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) $153.44 $274 8.3×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) $217.84 $389 8.6×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166) $107.52 $192 5.8×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88167) $107.52 $192 5.8×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) $107.52 $192 2.5×
Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician… (88152) $107.52 $192 3.9×
Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Facility (88153) $107.52 $192 4.5×
Cytotoxic Antibody Screen Std (86807) $260.96 $466 3.3×
Cytotoxic pra quick (86808) $264.32 $472 8.9×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $91.84 $164 3.5×
Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) $94.08 $168 4.1×
Cytp Concentration Smears & Interpretation (88108) $126 $225 2.5×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $431.20 $770 6.0×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $347.20 $620 1.5×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $156.80 $280 3.1×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $1,528.80 $2,730 6.5×
Cytp Slides C/V Mnl Scr Under Phys (88150) $56.56 $101 3.1×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $138.88 $248 7.5×
Cytp smrs any oth src extnd std > 5 slides (88162) $223.44 $399 3.1×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $152.88 $273 3.8×
Cytp Urine 3-5 Probes Cmptr (88121) $1,215.20 $2,170 5.2×
Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) $108.64 $194 10.1×
Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) $115.92 $207 10.3×
Deoxycortisol (82634) $84.56 $151 2.9×
Deoxyribonuclease antibody (86215) $38.08 $68 2.9×
Desoxycorticosterone (82633) $84 $150 2.7×
Detect Agent Nos Dna Amp (87798)
range across 31 matching MRF lines		 $65.52–$174.72 $117–$312 varies
Detect Agent Nos Dna Quant (87799)
range across 7 matching MRF lines		 $101.36–$193.20 $181–$345 varies
Detect agnt mult DNA ampli (87801) $220.64 $394 3.1×
Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) $694.40 $1,240 4.3×
Dgp Antibody Each Ig Class (86258) $33.04 $59 2.7×
Dhea (82626) $87.92 $157 3.5×
Dhea-S (82627) $132.72 $237 6.0×
Dibucaine number (82638) $124.32 $222 10.1×
Digoxin (80162) $183.68 $328 13.8×
Digoxin free (80163) $38.08 $68 2.9×
Dihydrotestosterone (82642) $80.08 $143 2.7×
Diphtheria antitoxoid (86648) $42 $75 2.8×
Dipropylacetic Acid Free (80165) $38.64 $69 2.9×
Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) $96.32 $172 2.8×
Dmd Duplication/Deletion Analysis (81161) $638.40 $1,140 2.3×
DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded… (81239) $627.20 $1,120 2.3×
Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) $313.60 $560 2.3×
Dna Antibody Native/Double Stranded (86225) $71.12 $127 5.2×
Dna Antibody Single Stranded (86226) $33.60 $60 2.8×
Dna/Rna Amplified Probe (87150) $308 $550 8.8×
DNA/RNA direct probe (87149) $93.52 $167 4.7×
Dna/Rna Sequencing (87153) $599.20 $1,070 5.2×
Dpyd gene common variants (81232) $1,209.60 $2,160 6.9×
Drug assay acetaminophen (80143) $63.84 $114 3.4×
Drug assay adalimumab (80145) $94.08 $168 2.4×
Drug Assay Amiodarone (80151) $43.68 $78 2.3×
Drug Assay Everolimus (80169) $45.92 $82 3.3×
Drug assay felbamate (80167) $43.68 $78 2.3×
Drug Assay Infliximab (80230) $91.28 $163 2.4×
Drug Assay Itraconazole (80189) $46.48 $83 1.7×
Drug Assay Lacosamide (80235) $46.48 $83 1.7×
Drug Assay Leflunomide (80193) $89.04 $159 2.3×
Drug Assay Posaconazole (80187) $46.48 $83 1.7×
Drug Assay Vedolizumab (80280) $136.08 $243 3.5×
Drug assay voriconazole (80285) $46.48 $83 1.7×
Drug Asy Hydroxychloroquine (80220) $43.68 $78 2.3×
Drug Screen Quant Zonisamide (80203) $28 $50 2.1×
Drug Screen Quantitative Gabapentin (80171) $56 $100 2.6×
Drug Screen Quantitative Lamotrigine (80175) $24.64 $44 1.9×
Drug Screen Quantitative Levetiracetam (80177) $24.64 $44 1.9×
Drug Screen Quantitative Oxcarbazepine (80183) $24.64 $44 1.9×
Drug Screen Quantitative Procainamide Metabolite (80192) $204.40 $365 12.2×
Drug Screen Quantitative Tiagabine (80199) $219.52 $392 8.1×
Drug Test Prsmv Chem Anlyzr (80307) $515.20 $920 8.3×
Drug Test Prsmv Dir Opt Obs (80305) $85.68 $153 6.8×
Drug Test Prsmv Instrmnt (80306) $481.60 $860 28.1×
Egfr Gene Analysis Common Variants (81235) $834.40 $1,490 2.6×
Ehrlichia antibody (86666) $29.68 $53 2.9×
El-1 Fecal Quantitative (82653) $60.48 $108 2.6×
Electrolyte panel (80051) $71.68 $128 10.2×
Electron Microscopy (88348) $1,758.40 $3,140 1.6×
Electrophoretic Test - Immunofixation Electrophoresis (82664)
range across 4 matching MRF lines		 $375.20–$436.80 $670–$780 varies
Embryo hatching microtechnique (89253) $733.60 $1,310 3.1×
Encephaltis East Eqne Anbdy (86652) $33.60 $60 2.5×
Encephaltis West Eqne Antbdy (86654) $33.60 $60 2.5×
Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin,… (81506) $157.36 $281 2.3×
Endomysial Antibody Each Immunoglobulin Class (86231) $21.84 $39 1.8×
Enterovirus Antibody (86658) $29.12 $52 2.2×
Enterovirus PCR (87498) $196.56 $351 5.6×
Enzyme cell activity (82657)
range across 7 matching MRF lines		 $100.24–$185.36 $179–$331 varies
Enzyme histochemistry (88319) $1,758.40 $3,140 1.6×
Eosinophil Smear (89190) $29.68 $53 5.1×
Epilepsy Genomic Sequence Analysis Panel (81419) $4,116 $7,350 1.7×
Erythropoietin (82668) $34.16 $61 1.8×
Estradiol serum (82670) $179.20 $320 6.4×
Estriol (82677) $66.64 $119 2.8×
Estrogen total (82672) $58.24 $104 2.7×
Estrogens fractionated (82671) $84 $150 2.6×
Ethosuximide (80168) $45.92 $82 2.8×
Ethylene Glycol (82693) $72.24 $129 4.8×
Euglobulin lysis (85360) $63.84 $114 7.6×
Exam Synovial Fluid Crystals (89060) $102.48 $183 14.0×
Exome Re-Evaluation (81417) $733.60 $1,310 2.3×
Exome Sequence Analysis (81415) $10,925.60 $19,510 2.3×
Exome sequence analysis each comparator exome (81416) $27,423.20 $48,970 2.3×
Extnd Cul Oocyte/Embryo 4-7 Days (89272) $1,730.40 $3,090 1.6×
Ezh2 Gene Analysis Common Variants (81237) $403.20 $720 2.3×
Ezh2 gene analysis full gene sequence (81236) $644 $1,150 2.3×
F2 Gene (81240) $119.84 $214 1.8×
F9 full gene sequence (81238) $1,372 $2,450 2.3×
Factor ii activity (85210) $291.20 $520 22.4×
Factor Inhibitor Test (85335) $197.12 $352 15.3×
Factor ix activity (85250) $341.60 $610 17.9×
Factor v activity (85220) $184.24 $329 10.4×
Factor v leiden mutation (81241) $123.20 $220 1.7×
Factor vii assay (85230) $172.48 $308 9.6×
Factor viii assay (85240) $91.84 $164 5.1×
Factor X (85260) $226.80 $405 12.7×
Factor xi activity (85270) $254.24 $454 14.2×
Factor xiii screen (85291) $55.44 $99 6.1×
Fancc Gene (81242) $133.84 $239 3.7×
Fat differential, feces, quantitative Facility (82715) $174.72 $312 7.6×
Fat stain feces urine/respir secretions (89125) $80.08 $143 13.6×
Fat/Lipids Feces Quantitative (82710) $43.68 $78 2.6×
Fatty acids free (82725) $50.96 $91 2.7×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $72.80 $130 9.4×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $45.92 $82 2.7×
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $103.60 $185 10.2×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $64.96 $116 9.9×
Fecal Fat Qualitative (82705) $9.52 $17 1.9×
Ferritin (82728) $127.68 $228 9.4×
Fetal Aneuploidy Trisom Risk (81507) $1,814.40 $3,240 2.3×
Fetal Chrmoml Aneuploidy (81420) $1,736 $3,100 2.3×
Fetal Chrmoml Microdeltj (81422) $1,736 $3,100 2.3×
Fetal Congenital Abnor Assay Four Anal (81511) $1,428 $2,550 9.3×
Fetal Congenital Abnor Assay Two Proteins (81508) $1,428 $2,550 26.3×
Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) $159.04 $284 2.3×
Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) $126.56 $226 2.3×
Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal… (81509) $3,399.20 $6,070 2.3×
Fetal Fibronectin (82731) $812 $1,450 12.6×
Fetal hemoglobin assay qual (83033) $63.84 $114 8.0×
Fetal lung maturity assessment; foam stability test Facility (83662) $192.64 $344 10.2×
Fetal Lung Maturity Fluorescence Polarization (83663) $199.36 $356 10.5×
Fetal screen rosette (85461) $67.20 $120 7.2×
Fibrin degradation products (85362) $57.12 $102 8.3×
Fibrin Degradation Quant (85379) $199.92 $357 19.6×
Fibrin dgradj products d-dimer qual/semiquan (85378) $425.60 $760 43.8×
Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) $124.32 $222 12.2×
Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) $137.76 $246 11.1×
Fibrinogen activity (85384) $174.72 $312 18.0×
Fibrinogen antigen (85385) $87.92 $157 6.1×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $118.72 $212 7.7×
Fibrinolytic factors and inhibitors; plasmin Facility (85400) $90.72 $162 11.8×
Flecainide level (80181) $34.16 $61 1.8×
Flow cytometry first marker (88184) $733.60 $1,310 1.5×
Flt3 Gene (81245) $380.80 $680 2.3×
Flt3 gene analysis (81246) $213.92 $382 2.6×
Fluorescent antibody screen (86255) $51.52 $92 4.3×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $21.84 $39 1.8×
Fluoride serum (82735) $226.24 $404 12.2×
Fmr1 Gene Charac Alleles (81244) $120.96 $216 2.7×
Fmr1 gene detection (81243) $130.48 $233 2.3×
Folic acid rbc (82747) $38.64 $69 2.2×
Folic Acid Serum (82746) $109.20 $195 7.4×
Follicle Stimulating Hormone (83001) $138.32 $247 7.4×
Forensic Cytopathology (88125) $132.16 $236 1.8×
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $268.24 $479 9.4×
Francisella tularensis (86668) $38.08 $68 2.7×
Fresh Frozen Plasma Thawing Each Unit (86927) $476 $850 2.0×
Frozen Blood Each Unit Freezing (86930) $828.80 $1,480 3.5×
Frozen Blood Each Unit Thawing (86931) $828.80 $1,480 3.5×
Frozen blood freeze/thaw (86932) $212.24 $379 4.1×
Frozen Section (88331) $347.20 $620 1.5×
Fungi Identification Mold (87107) $161.84 $289 15.7×
Fungi Identification Yeast (87106) $129.36 $231 12.5×
FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) Facility (81289) $425.60 $760 2.3×
Fxn Gene Analysis Characterization Alleles (81285) $627.20 $1,120 2.3×
Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) $313.60 $560 2.3×
Fxn Gene Analysis Full Gene Sequence (81286) $627.20 $1,120 2.3×
G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) $162.40 $290 2.8×
G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s)… (81248) $856.80 $1,530 2.3×
G6pd gene alys cmn variant (81247) $1,209.60 $2,160 6.9×
G6pd gene analysis full gene sequence (81249) $1,372 $2,450 2.3×
Galactokinase rbc (82759) $218.40 $390 10.2×
Galactose (82760) $115.36 $206 10.3×
Galactose transferase test (82776) $85.12 $152 7.3×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $255.92 $457 12.1×
Galectin-3 (82777) $155.12 $277 3.5×
Gammaglobulin ige (82785) $104.72 $187 6.4×
Gardner vag DNA dir probe (87510) $55.44 $99 2.8×
Gardner Vag Dna Quant (87512) $504 $900 12.1×
Gases Blood O2 Saturation Only Direct Meas (82810) $124.88 $223 12.8×
Gases blood ph only (82800) $73.92 $132 6.7×
Gastric Analy W/Ph Ea Spec (82930) $53.76 $96 8.0×
Gastrin (82941) $30.80 $55 1.7×
Gastrin after secretin stim (82938) $215.60 $385 12.2×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $884.80 $1,580 2.1×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $160.72 $287 3.4×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $3,242.40 $5,790 4.3×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $6,675.20 $11,920 2.3×
Genet Virus Isolate Hsv (87255) $132.72 $237 3.9×
Genetic Tstg Severe Inh Cond (81443) $5,594.40 $9,990 2.3×
Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome… (81427) $5,342.40 $9,540 2.3×
Genome Sequence Analysis (81425) $11,496.80 $20,530 2.3×
Genome sequence analysis each comparator genome (81426) $6,193.60 $11,060 2.3×
Gentamicin (80170) $197.12 $352 12.0×
Ggt (82977) $98.56 $176 13.7×
Gh suppression panel (80430) $756 $1,350 5.8×
Giardia antigen (87329) $38.64 $69 3.2×
Giardia lamblia antibody (86674) $83.44 $149 5.7×
GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) $141.12 $252 2.3×
Gjb2 Gene Analysis Full Gene Sequence (81252) $230.16 $411 2.3×
Gjb6 Gene Analysis Common Variants (81254) $106.40 $190 3.0×
Gluc-6-phosphate dehydrogenase screen (82960) $114.80 $205 19.0×
Glucagon (82943) $25.76 $46 1.8×
Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) $459.20 $820 10.0×
Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) $498.40 $890 9.9×
Glucagon tolerance test Facility (82946) $152.88 $273 8.6×
Glucose 2 hr pp (82950) $26.32 $47 5.5×
Glucose Blood Test (82962) $73.36 $131 22.4×
Glucose body fluid (82945) $98.56 $176 25.1×
Glucose Serum (82947) $37.52 $67 9.5×
Glucose tolerance test (gtt) (82951) $137.20 $245 10.7×
Glucosidase beta (82963) $218.40 $390 10.2×
Glutamate dehydrogenase Facility (82965) $78.96 $141 6.0×
Glutathione (82978) $173.60 $310 11.2×
Glutathione reductase, RBC Facility (82979) $70 $125 7.4×
Glycated Protein (82985) $30.80 $55 1.8×
Gonadotropin Chorionic Hcg Free Beta Chain (84704) $183.68 $328 12.0×
Gonadotropin Chorionic Qualitative (84703) $174.16 $311 23.2×
Gonadotropin releasing hormone (83727) $174.72 $312 10.2×
Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) $1,394.40 $2,490 9.4×
Growth hormone (83003) $118.16 $211 7.1×
Growth hormone antibody (86277) $192.64 $344 12.2×
Growth Hormone Stimulation Panel (80428) $644 $1,150 9.7×
Growth Stimulation Gene 2 (83006) $205.52 $367 2.7×
Gtt-added samples (82952) $52.64 $94 13.4×
H Pylori (C-13) Breath (83013) $117.04 $209 1.7×
H Pylori Drug Admin (83014) $28.56 $51 3.6×
H pylri clrthmcn rst amp prb (87513) $72.80 $130 2.1×
Haloperidol (80173) $42 $75 2.7×
Haptoglobin (83010) $106.96 $191 8.5×
Haptoglobin; phenotypes Facility (83012) $174.72 $312 6.5×
HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease),… (81258) $856.80 $1,530 2.3×
Hba1/hba2 full gene sequence (81259) $1,372 $2,450 2.3×
Hba1/Hba2 Gene (81257) $252 $450 2.5×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $459.20 $820 2.3×
HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)… (81362) $856.80 $1,530 2.3×
Hbb duplication/deletion variants (81363) $459.20 $820 2.3×
Hbb Full Gene Sequence (81364) $744.80 $1,330 2.3×
Hbb Gene Com Variants (81361) $1,209.60 $2,160 6.9×
Hdl Cholesterol (83718) $38.64 $69 4.7×
Hearing Loss Dup/Del Analysis (81431) $1,551.20 $2,770 2.3×
Hearing Loss Genomic Sequence Analysis 60 Genes (81430) $3,712.80 $6,630 2.3×
Heavy metal qualitative any analytes (83015) $68.88 $123 3.3×
Heinz Bodies Direct (85441) $52.08 $93 12.4×
Heinz Bodies Induced Acetyl Phenylhydrazine (85445) $69.44 $124 10.2×
Helicobacter Pylori Stool (87338) $84 $150 5.8×
Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) $655.20 $1,170 9.7×
Helminth Antibody (86682)
range across 12 matching MRF lines		 $23.52–$73.36 $42–$131 varies
Hemagglutination Inhibition (86280) $82.88 $148 10.1×
Hematocrit (85014) $74.48 $133 31.4×
Hemoglobin (85018) $40.32 $72 17.0×
Hemoglobin a1c (83036) $79.52 $142 8.2×
Hemoglobin Chromotography (83021) $90.72 $162 5.0×
Hemoglobin Copper Sulfate Method Non-Automated (83026) $25.20 $45 6.3×
Hemoglobin electrophoresis (83020) $68.32 $122 5.3×
Hemoglobin F Fetal Chemical (83030) $42 $75 3.9×
Hemoglobin Methemoglobin Quantitative (83050) $38.64 $69 4.7×
Hemoglobin plasma (83051) $13.44 $24 1.8×
Hemoglobin quan tc per day carboxyhemoglobin (88740) $51.52 $92 5.5×
Hemoglobin stability screen (83068) $103.60 $185 10.9×
Hemoglobin Thermolabile (83065) $84 $150 9.3×
Hemoglobin urine (83069) $12.32 $22 3.1×
Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) $51.52 $92 5.5×
Hemoglobin-Oxygen Affinity (82820) $123.20 $220 9.2×
Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) $119.84 $214 12.3×
Hemoglobin; methemoglobin, qualitative Facility (83045) $51.52 $92 7.9×
Hemolysin Acid (85475) $90.72 $162 10.2×
Hemolysins&Agglutinins Auto Screen Each (86940) $82.88 $148 9.5×
Hemolysins&Agglutinins Incubated (86941) $33.60 $60 2.8×
Hemosiderin urine (83070) $57.68 $103 12.1×
Hep a ab igm (86709) $83.44 $149 7.4×
Heparin assay (85520) $273.84 $489 20.9×
Heparin Neutralization (85525) $113.12 $202 9.6×
Heparin-Protamine Tolerance Tst (85530) $173.04 $309 13.2×
Hepatitis a antibody total (86708) $141.12 $252 11.4×
Hepatitis b core ab igm (86705) $109.76 $196 9.3×
Hepatitis b core ab total (86704) $58.80 $105 4.9×
Hepatitis b surface ag quan (87467) $54.88 $98 2.2×
Hepatitis B Surface Antibody (86706) $71.12 $127 6.6×
Hepatitis B Surface Antigen (87340) $81.20 $145 7.9×
Hepatitis Be Antibody (86707) $21.84 $39 1.9×
Hepatitis Be Antigen (87350) $21.84 $39 1.9×
Hepatitis C Antibody (86803) $111.44 $199 7.8×
Hepatitis c antibody confirmatory test (86804) $80.08 $143 5.2×
Hepatitis C Genotype (87902) $660.80 $1,180 2.6×
Hepatitis C Probe&Rvrs Trnsc (87521) $61.60 $110 1.8×
Hepatitis C Revrs Trnscrpj (87522) $229.60 $410 5.4×
Hepatitis d quantification (87523) $91.28 $163 2.1×
Hepatitis delta ag (87380) $130.48 $233 7.1×
Hepatitis Delta Agent Antibody (86692) $45.92 $82 2.7×
Hepatitis G Dna Quant (87527) $420 $750 10.1×
Hereditary brst ca-related gen seq analys 10 gen (81432) $1,803.20 $3,220 1.4×
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) $1,976.80 $3,530 1.5×
Hereditary peripheral neuropathy gen seq pnl (81448) $2,346.40 $4,190 4.0×
Hereditary Retinal Disorders (81434) $1,400 $2,500 2.3×
Heredtry Nurondcrn Tum Dsrdr (81437) $1,629.60 $2,910 1.2×
Herpes simplex type 2 (86696) $66.08 $118 3.4×
Heterophile antibodies titer (86309) $66.08 $118 10.2×
Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) $75.04 $134 10.2×
Heterophile Antibody Screen (86308) $157.36 $281 30.4×
Hexa gene analysis common variants (81255) $133.84 $239 2.6×
Hfe Gene (81256) $266 $475 4.1×
Hgb Quantitative Transcutaneous (88738) $31.92 $57 6.4×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $94.08 $168 12.2×
Histamine urine (83088) $52.08 $93 1.8×
Histoplasma antibody (86698) $24.64 $44 1.8×
Histoplasma antigen urine (87385) $35.28 $63 2.7×
Hiv Antigen W/Hiv Antibodies (87806) $89.04 $159 2.7×
Hiv Genotype (87901) $694.40 $1,240 2.7×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $169.68 $303 7.0×
Hiv-1 Antibody (86701) $35.28 $63 4.0×
HIV-1 p24 antigen (87390) $215.60 $385 9.0×
Hiv-1 Quant&Revrse Trnscrpj (87536) $272.16 $486 3.2×
HIV-2 probe&revrse trnscripj (87538) $352.80 $630 10.1×
Hla class i semiquant panel (86834) $963.20 $1,720 2.7×
Hla Class I Typing High Resolution Complete (81379) $3,724 $6,650 11.1×
Hla Class I Typing High Resolution One Locus Ea (81380) $1,988 $3,550 11.2×
Hla Class I Typing Low Resolution Complete (81372) $924 $1,650 2.3×
Hla Class I Typing Low Resolution One Locus Each (81373) $1,551.20 $2,770 12.2×
Hla class i&ii antibody qual (86828) $481.60 $860 7.5×
Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) $4,328.80 $7,730 10.8×
Hla class i/ii antibody qual (86829) $171.92 $307 2.7×
Hla class ii high defin qual (86833) $1,556.80 $2,780 4.8×
Hla class ii typing high resolution one locus ea (81382) $217.84 $389 1.8×
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $924 $1,650 8.4×
Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) $341.60 $610 9.4×
Hla I Low Resolution One Antigen Equivalent Each (81374) $178.64 $319 2.4×
Hla I Typing 1 Allele Hr (81381) $386.40 $690 2.3×
Hla i&ii high resolution hla-a -b -c and -drb1 (81378) $7,336 $13,100 21.2×
Hla i&li low resolution hla-a -b&-drb1 (81371) $2,682.40 $4,790 6.6×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $2,464 $4,400 11.2×
Hla ii type 1 ag equiv lr (81377) $225.12 $402 2.4×
Hla ii typing 1 allele hr (81383) $267.68 $478 2.5×
Hla ii typing 1 locus lr (81376) $739.20 $1,320 6.0×
Hla Typing a/B/C Multiple Antigens (86813) $364 $650 6.3×
Hla Typing Dr/Dq Multiple Antigens (86817) $750.40 $1,340 7.1×
Hla Typing Dr/Dq Single Antigen (86816) $341.60 $610 11.3×
Hla-b27 (86812) $45.92 $82 1.8×
Homocysteine (83090) $143.36 $256 8.0×
Homogenization Tissue (87176) $92.96 $166 15.8×
Homovanillic acid urine (83150) $58.24 $104 2.6×
Hpa-1 genotyping gene analysis common variant (81105) $1,209.60 $2,160 9.9×
Hpa-15 genotyping gene analysis common variant (81112) $1,209.60 $2,160 9.9×
Hpa-2 genotyping gene analysis common variant (81106) $1,209.60 $2,160 9.9×
Hpa-3 genotyping gene analysis common variant (81107) $1,209.60 $2,160 9.9×
Hpa-4 genotyping gene analysis common variant (81108) $1,209.60 $2,160 9.9×
Hpa-5 genotyping gene analysis common variant (81109) $1,209.60 $2,160 9.9×
Hpa-6 genotyping gene analysis common variant (81110) $1,209.60 $2,160 9.9×
Hpa-9 Genotyping (81111) $1,209.60 $2,160 9.9×
Hpv High-Risk Types (87624) $250.32 $447 7.1×
Hpv low-risk types (87623) $96.32 $172 2.7×
Hpv sep hi-rsk typ&pool rslt (87626) $149.52 $267 2.1×
Hpv Types 16 & 18 Only (87625) $156.80 $280 3.9×
Hsv Dna Amp Probe (87529) $193.20 $345 5.5×
Hsv Dna Quant (87530) $250.88 $448 5.9×
Htlv-I Antibody (86687) $15.68 $28 1.7×
Htlv-ii antibody (86688) $24.64 $44 1.8×
Htt Gene Analysis Characterization Alleles (81274) $627.20 $1,120 2.3×
Htt Gene Detc Abnor Alleles (81271) $313.60 $560 2.3×
Human Epididymis Protein 4 (86305) $110.32 $197 5.3×
Hydroxycorticosteroids 17 (83491) $50.96 $91 2.8×
Hydroxyprogesterone 17-d (83498) $78.40 $140 2.9×
Hydroxyproline free (83500) $229.60 $410 10.1×
Hydroxyproline total (83505) $246.96 $441 10.2×
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $117.04 $209 2.6×
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) $104.72 $187 8.7×
Iaad Ia Cytomegalovirus (87332) $94.08 $168 7.9×
Iaad Ia Entamoeba Histolytica Grp (87337) $33.60 $60 2.8×
Iaad Ia Escherichia Coli 0157 (87335) $113.12 $202 8.9×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $68.88 $123 6.7×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $131.04 $234 9.4×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $61.60 $110 1.7×
Iaad ia shiga-like toxin (87427) $38.08 $68 3.2×
Iaad Ia Streptococcus Group A (87430) $112.56 $201 6.7×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $94.08 $168 7.9×
Iaadi giardia (87269) $51.52 $92 3.8×
Iaadi herpes smplx virus type 1 (87274) $78.96 $141 6.6×
Iaadi herpes smplx virus type 2 (87273) $89.60 $160 7.5×
Iaadi inffluenza a virus (87276) $56.56 $101 3.5×
Iaadi not otherwise specified each organism (87299)
range across 3 matching MRF lines		 $102.48–$113.12 $183–$202 varies
Iaadi parainfluenza virus each type (87279) $113.12 $202 6.9×
Iaadi pneumocustis carinii (87281)
range across 2 matching MRF lines		 $30.24–$53.76 $54–$96 varies
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $142.80 $255 11.9×
Iaadi respiratory synctial virus (87280) $118.72 $212 8.8×
Iaadi Varicella Zoster Virus (87290) $75.04 $134 5.6×
Iaadiadoo trichomonas vaginalis (87808) $54.32 $97 3.6×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $68.88 $123 2.0×
Iadna Bartonella Amplified Probe Technique (87471) $210 $375 6.0×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $96.32 $172 2.7×
Iadna Candida Species Amplified Probe Tq (87481) $118.72 $212 3.4×
Iadna chlamydia pneumoniae amplified probe tq (87486) $90.16 $161 2.6×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $63.28 $113 2.8×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $134.40 $240 3.8×
Iadna Cytomegalovirus Direct Probe Tq (87495) $245.28 $438 8.2×
Iadna Cytomegalovirus Quantification (87497) $178.08 $318 4.2×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $271.04 $484 3.9×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $68.88 $123 2.0×
Iadna hepatitis b virus amplified probe tq (87516) $61.60 $110 1.8×
Iadna Hepatitis B Virus Quantification (87517) $198.80 $355 4.6×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $425.60 $760 12.1×
Iadna Herpes Virus-6 Quantification (87533) $254.80 $455 6.1×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $61.60 $110 1.8×
Iadna Hiv-2 Quant & Reverse Transcription (87539) $431.20 $770 7.4×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $425.60 $760 12.1×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $164.08 $293 2.1×
Iadna Multiple Organisms Direct Probe Tq (87800) $487.20 $870 11.2×
Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) $149.52 $267 5.5×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $210 $375 4.4×
Iadna Mycobacteria Species Direct Probe Tq (87550) $245.28 $438 12.2×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $179.76 $321 4.3×
Iadna Mycobacteria Tuberculosis Dir Prb (87555) $71.68 $128 2.7×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $76.72 $137 2.2×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $154.56 $276 4.4×
Iadna Nos Direct Probe Tq Each Organism (87797)
range across 2 matching MRF lines		 $71.68–$80.08 $128–$143 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $313.60 $560 2.2×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $761.60 $1,360 2.9×
Ibmfs sequence analysis panel at least 30 genes (81441) $2,828 $5,050 1.2×
Idh1 common variants (81120) $806.40 $1,440 4.2×
Idh2 common variants (81121) $806.40 $1,440 2.7×
Ifnl3 gene analysis rs12979860 variant (81283) $425.60 $760 5.8×
Ig Light Chains Free Each (83521) $30.80 $55 1.8×
Igg subclasses (82787) $15.68 $28 2.0×
Igh gene rearrange amp meth (81261) $504 $900 2.5×
IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) $436.80 $780 6.4×
Igh@ Variable Region Somatic Mutation Analysis (81263) $957.60 $1,710 3.3×
IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster… (81278) $347.20 $620 1.7×
Igk rearrangeabn clonal pop (81264) $481.60 $860 2.8×
Ikbkap Gene Analysis Common Variants (81260) $193.76 $346 4.9×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $733.60 $1,310 1.5×
Immune Complex Assay (86332) $72.80 $130 3.0×
Immunfix e-phorsis/urine/csf (86335) $161.28 $288 5.5×
Immunoassay analyte qual/semiqual single step (83518) $35.28 $63 3.7×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 2 matching MRF lines		 $52.64–$111.44 $94–$199 varies
Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) $199.36 $356 7.8×
Immunoassay infectious agent (86318) $58.24 $104 3.2×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 48 matching MRF lines		 $28–$102.48 $50–$183 varies
Immunoassay nonantibody (83516)
range across 4 matching MRF lines		 $29.68–$67.76 $53–$121 varies
Immunodiffusion not elsewhere specified (86329)
range across 2 matching MRF lines		 $31.92–$38.08 $57–$68 varies
Immunodiffusion Ouchterlony (86331) $21.84 $39 1.8×
Immunoelectrophoresis Other Fluids Concentration (86325) $107.52 $192 4.6×
Immunoelectrophoresis Serum (86320) $151.76 $271 5.1×
Immunofixation electrophoresis (86334) $117.60 $210 5.3×
Immunofluorescence per spec 1st singl antb stain (88346) $492.80 $880 2.1×
Immunohistochemistry (88342) $347.20 $620 1.5×
In situ hybridization 1st probe stain (88365) $520.80 $930 2.2×
In situ hybridization ea multiplex probe stain (88366) $828.80 $1,480 3.5×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) $215.60 $385 9.8×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) $94.08 $168 5.9×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) $113.12 $202 7.5×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) $31.92 $57 3.0×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $62.72 $112 3.9×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $248.08 $443 3.5×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) $94.08 $168 4.3×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) $96.32 $172 2.7×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) $94.08 $168 5.9×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) $94.08 $168 3.8×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $113.12 $202 7.8×
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) $94.08 $168 7.0×
Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)… (87267) $94.08 $168 7.0×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $56.56 $101 4.6×
Infectious agent antigen detection by immunofluorescent technique; Rubeola Facility (87283) $163.52 $292 2.7×
Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) $33.60 $60 2.8×
Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) $431.20 $770 10.1×
Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475) $203.28 $363 10.1×
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482) $420 $750 7.5×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) $203.28 $363 10.1×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) $431.20 $770 10.1×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) $352.80 $630 6.6×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $352.80 $630 10.1×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) $203.28 $363 6.5×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) $352.80 $630 9.0×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) $203.28 $363 6.8×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) $203.28 $363 10.1×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) $203.28 $363 3.5×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) $203.28 $363 9.3×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) $203.28 $363 9.3×
Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) $420 $750 10.1×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562) $431.20 $770 10.1×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) $431.20 $770 10.1×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) $431.20 $770 10.1×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) $203.28 $363 10.1×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Facility (87582) $817.60 $1,460 2.7×
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) $431.20 $770 10.1×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) $245.28 $438 12.2×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) $420 $750 10.1×
Infectious Agent Dna/Rna Influenza Ea Type (87501) $610.40 $1,090 11.9×
Infectious Agent Dna/Rna Vancomycin Resistance (87500) $352.80 $630 10.1×
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) $62.72 $112 5.1×
Influenza a/b ag eia (87400) $36.96 $66 2.6×
Influenza assay w/optic (87804) $170.24 $304 10.3×
Influenza DNA amp probe (87502) $187.60 $335 2.0×
Inherited Cardmypthy 5 Gns (81439)
range across 3 matching MRF lines		 $1,702.40–$4,569.60 $3,040–$8,160 varies
Inhibin A (86336)
range across 2 matching MRF lines		 $48.16–$55.44 $86–$99 varies
Inhibin b (83520)
range across 61 matching MRF lines		 $31.36–$146.72 $56–$262 varies
Insemination of oocytes (89268) $632.80 $1,130 2.7×
Insitu hybridization auto (88367) $828.80 $1,480 1.7×
Insitu hybridization manual (88368) $828.80 $1,480 1.7×
Insulin antibodies (86337) $58.24 $104 2.7×
Insulin free (83527) $29.12 $52 2.2×
Insulin tolerance panel growth horm defncy (80435) $980 $1,750 9.5×
Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) $963.20 $1,720 3.4×
Insulin total (83525) $66.64 $119 5.8×
Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) $1,271.20 $2,270 7.7×
Interleukin-6 (83529) $35.84 $64 2.1×
Intrinsic factor (stomach protein) level (83528) $162.40 $290 8.2×
Intrinsic factor antibody (86340) $28 $50 1.9×
Iron (83540) $80.08 $143 12.4×
Iron Binding Capacity (83550) $84 $150 9.6×
Iron stain peripheral blood (85536) $105.84 $189 15.4×
Irradiation Blood Product Each Unit (86945) $83.44 $149 1.6×
Islet cell antibody (86341) $40.32 $72 1.7×
Isocitric dehydrogenase (IDH) Facility (83570) $90.72 $162 10.3×
Jak2 gene analysis p.val617phe variant (81270) $593.60 $1,060 6.5×
Jak2 Gene Trgt Sequence Alys (81279) $313.60 $560 1.7×
Jt spc pthgn&rx rsist gen26+ (87627) $4,453.68 $7,953 6.6×
Ketosteroids 17 total (83586) $156.24 $279 12.2×
Kit Gene Analysis D816 Variant(S) (81273) $660.80 $1,180 5.3×
Kit Gene Analysis Targeted Sequence Analysis (81272) $1,159.20 $2,070 3.5×
Koh Prep (87220) $254.80 $455 59.7×
Kras Gene Analysis Additional Variant(S) (81276) $3,875.20 $6,920 20.1×
Kras Gene Variants Exon 2 (81275) $442.40 $790 2.3×
L/s ratio (83661) $224.56 $401 10.2×
Lactate (ld) (ldh) enzyme (83615) $87.36 $156 14.5×
Lactoferrin fecal qualitative (83630) $80.08 $143 4.1×
Lactoferrin Fecal Quantitative (83631) $199.36 $356 10.2×
Lactogen Hpl Human Chorionic Somatomammotropin (83632) $205.52 $367 10.2×
Lactose urine qual (83633) $56 $100 5.0×
Lamellar Body Count (83664) $240.24 $429 12.4×
Ldh Isoenzymes (83625) $33.60 $60 2.6×
LDL direct (83721) $61.60 $110 5.9×
Lead (83655) $21.84 $39 1.8×
Legionella antibody (86713) $42 $75 2.7×
Legionella antigen urine (87449)
range across 5 matching MRF lines		 $72.24–$73.92 $129–$132 varies
Legionella DNA probe (87540) $203.28 $363 10.1×
Legionella pneumophila dfa (87278) $42 $75 2.7×
Leptospira antibody (86720) $78.96 $141 4.9×
Leucine Aminopeptidase Lap (83670) $110.88 $198 11.3×
Leukocyte Assessment Fecal (89055) $64.96 $116 15.2×
Leukocyte Histamine Release (86343) $48.72 $87 3.9×
Leukocyte phagocytosis (86344) $80.64 $144 7.8×
Leukocyte transfusion (86950) $403.20 $720 1.7×
Level I Surg Pathology Gross Examination Only (88300) $71.68 $128 1.8×
Level ii surg pathology gross&microscopic exam (88302) $167.44 $299 3.3×
Level V Surg Pathology Gross&Microscopic Exam (88307) $789.60 $1,410 1.6×
Lidocaine (80176) $112 $200 7.6×
Lipase (83690) $185.36 $331 26.9×
Lipoprotein A (83695) $51.52 $92 3.6×
Lipoprotein Bld Quan Part (83704) $58.80 $105 1.7×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $29.68 $53 2.6×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $92.40 $165 2.7×
Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) $119.28 $213 9.4×
Lipoprotein-Associated Phospholipase A2 (83698) $80.08 $143 1.7×
Listeria Monocytogenes (86723) $134.40 $240 10.2×
Lithium (80178) $145.60 $260 22.0×
Liver ds alys 3 bmrk srm alg (81517) $174.72 $312 1.0×
Luteinizing Hormone (Lh) (83002) $182 $325 9.8×
Lyme disease antibody (86618) $30.80 $55 1.8×
Lymphocyte Culture Mixed (86821) $554.40 $990 15.2×
Lymphocyte transformation (86353) $582.40 $1,040 11.9×
Lymphocytotoxicity Assay (86805) $509.60 $910 2.7×
Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) $203.28 $363 4.3×
Lysozyme serum (85549) $34.16 $61 1.8×
M. Genitalium Amp Probe (87563) $425.60 $760 12.1×
M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) $425.60 $760 12.1×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $888.16 $1,586 3.8×
M/phmtrc alys ishquant/semiq (88374) $604.80 $1,080 2.6×
Macroscopic exam arthropod (87168) $21.84 $39 5.1×
Macroscopic Exam Parasite (87169) $57.12 $102 13.3×
Magnesium Urine (83735) $120.40 $215 18.0×
Malate dehydrogenase Facility (83775) $75.04 $134 10.2×
Mass Spectrometry Quant (83789)
range across 7 matching MRF lines		 $62.16–$62.72 $111–$112 varies
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) $133.84 $239 3.4×
Meat fibers, feces (89160) $38.08 $68 7.9×
Mechanical fragility rbc (85547) $89.04 $159 10.4×
MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) $273.84 $489 2.3×
Mecp2 gene dup/delet variant (81304) $341.60 $610 2.3×
Mecp2 gene full seq (81302) $1,209.60 $2,160 2.3×
Mercury urine (83825) $28 $50 1.7×
Metabolic panel ionized ca (80047) $204.40 $365 14.9×
Methemalbumin (83857) $108.64 $194 10.1×
Methotrexate (80204) $89.04 $159 2.3×
Methylmalonic acid serum (83921) $36.96 $66 1.7×
Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) $873.60 $1,560 9.6×
Mgmt methylation analysis (81287) $285.60 $510 2.3×
Microalbumin, quantitative (82043) $47.60 $85 8.2×
Microbe Suscept Macrobroth (87188) $68.32 $122 10.3×
Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) $166.88 $298 7.4×
Microsatellite instability (81301) $795.20 $1,420 2.3×
Microsomal Antibodies Each (86376) $63.28 $113 4.3×
Mitochondrial Antibody Each (86381) $43.12 $77 1.7×
Mlh1 Gene (81288) $442.40 $790 2.3×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $459.20 $820 2.3×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $1,545.60 $2,760 2.3×
Mlh1 Gene Analysis Known Familial Variants (81293) $1,775.20 $3,170 5.4×
Mog-Igg1 Antb Cba Each (86362) $29.68 $53 2.5×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $104.72 $187 2.8×
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) $272.16 $486 6.7×
Molecular Cytogenetics Dna Probe Each (88271) $167.44 $299 7.8×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $347.20 $620 8.2×
Molecular Pathology Procedure Level 3 (81402) $347.20 $620 2.3×
Molecular Pathology Procedure Level 6 (81405)
range across 4 matching MRF lines		 $627.20–$873.60 $1,120–$1,560 varies
Mononuclear cell antigen (86356) $107.52 $192 4.0×
Mopath procedure level 1 (81400) $146.72 $262 2.3×
Mopath procedure level 2 (81401) $313.60 $560 2.3×
Mopath procedure level 4 (81403)
range across 4 matching MRF lines		 $212.80–$425.60 $380–$760 varies
Mopath procedure level 5 (81404)
range across 4 matching MRF lines		 $425.60–$627.20 $760–$1,120 varies
Mopath procedure level 7 (81406)
range across 5 matching MRF lines		 $873.60–$1,136.80 $1,560–$2,030 varies
Mopath procedure level 8 (81407)
range across 5 matching MRF lines		 $1,422.40–$1,932 $2,540–$3,450 varies
Mopath procedure level 9 (81408)
range across 4 matching MRF lines		 $2,777.60–$4,569.60 $4,960–$8,160 varies
Morphometric analysis nerve (88356) $672 $1,200 9.4×
Morphometric Analysis Tumor (88358) $700 $1,250 3.0×
Mpl gene analysis sequence analysis exon 10 (81339) $313.60 $560 1.7×
Mpl gene common variants (81338) $252.56 $451 1.7×
Mrsa Pcr (87641) $221.76 $396 6.3×
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $487.20 $870 2.3×
Msh2 Gene Analysis Full Sequence Analysis (81295) $873.60 $1,560 2.3×
Msh2 Gene Analysis Known Familial Variants (81296) $907.20 $1,620 2.7×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $543.20 $970 2.3×
Msh6 Gene Analysis Full Sequence Analysis (81298) $1,467.20 $2,620 2.3×
Msh6 Gene Known Variants (81299) $1,120 $2,000 3.6×
Mthfr Gene Analysis Common Variants (81291) $142.24 $254 2.2×
Mucin Clot Body Fluid (83872) $58.24 $104 9.9×
Mucopolysaccharides acid quantitative (83864) $202.16 $361 7.1×
Mumps antibody (86735) $64.40 $115 4.9×
Muscle-Specific Kinase Antb (86366) $40.32 $72 2.2×
Mycobacteric Identification (87118) $134.40 $240 9.2×
Mycophenolic Acid (80180) $50.40 $90 2.8×
Mycoplasma antibody (86738) $24.64 $44 1.9×
Mycoplasma culture (87109) $42 $75 2.7×
Myd88 Gene P.Leu265pro Vrnt (81305) $498.40 $890 2.8×
Myelin basic protein csf (83873) $50.96 $91 3.0×
Myoglobin urine (83874) $121.52 $217 9.4×
Natriuretic peptide (83880) $302.40 $540 7.7×
Neisseria Dir Na Probe (87590) $71.68 $128 2.7×
Nerve teasing preparations (88362) $1,982.40 $3,540 1.8×
Neurofilament light chain (83884) $19.04 $34 0.2×
Neutralization Test Viral (86382)
range across 2 matching MRF lines		 $86.80–$116.48 $155–$208 varies
Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86408) $108.64 $194 2.6×
Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86409) $341.60 $610 4.3×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $364 $650 2.8×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $53.20 $95 1.8×
Nfct Agent Genotype Hepatitis B Virus (87912) $694.40 $1,240 2.7×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) $700 $1,250 2.7×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $262.64 $469 1.8×
Nfct ds bv&vaginitis DNA alg (81515) $262.08 $468 1.0×
Nfct Ds Bv&Vaginitis Dna Alg (81514) $453.60 $810 1.7×
Nfct ds chrnc hcv 6 assays (81596) $121.52 $217 1.7×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $386.40 $690 3.0×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $68.32 $122 2.6×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $1,316 $2,350 2.7×
Niacin (84591) $63.84 $114 3.7×
Nickel level (83885) $66.64 $119 2.7×
Nitroblue Tetrazolium Dye (86384) $117.04 $209 8.6×
Nk cells total count (86357) $175.28 $313 4.6×
Noonan Spectrum Disorders (81442) $4,900 $8,750 2.3×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $565.60 $1,010 2.3×
Nras gene variants exon 2&3 (81311) $2,245.60 $4,010 7.6×
Ntrk translocation analysis (81194) $873.60 $1,560 1.7×
Ntrk1 Translocation Analysis (81191) $347.20 $620 1.7×
Ntrk2 Translocation Analysis (81192) $347.20 $620 1.7×
Ntrk3 Translocation Analysis (81193) $347.20 $620 1.7×
Nuclear antigen antibody (86235) $38.08 $68 2.1×
Nuclear Mitochondrial 100 Gene Genomic Seq (81440) $7,593.60 $13,560 2.3×
Nudt15 Gene Common Variants (81306) $666.40 $1,190 2.3×
Nzym actv blood cells/tiss radact substrate ea (82658) $183.12 $327 4.2×
Obstetric panel (80081) $364 $650 4.9×
Occult blood feces (82272) $77.28 $138 18.3×
Occult Blood Other Sources (82271) $43.12 $77 8.1×
Oligoclonal bands (83916) $66.64 $119 2.4×
Onc breast mrna 12 genes (81522) $8,853.60 $15,810 2.3×
Onc Brst Mrna 70 Cnt 31 Gene (81523) $6,507.20 $11,620 1.7×
Onco (Ovarian) Biochemical Assay Two Proteins (81500) $593.60 $1,060 2.3×
Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping),… (81520) $5,740 $10,250 2.3×
Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping),… (81518) $8,853.60 $15,810 2.3×
Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing… (81521) $8,853.60 $15,810 2.3×
Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping),… (81525) $7,123.20 $12,720 2.3×
Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS… (81528) $4,379.20 $7,820 8.6×
Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3… (81529) $12,084.80 $21,580 1.7×
Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive… (81536) $4,379.20 $7,820 24.7×
Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive… (81535) $4,379.20 $7,820 7.6×
Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and… (81538) $6,563.20 $11,720 2.3×
Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping),… (81541) $8,853.60 $15,810 2.3×
Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed… (81542) $7,806.40 $13,940 2.0×
Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing… (81551) $4,642.40 $8,290 2.3×
Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported… (81546) $8,226.40 $14,690 2.3×
Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed… (81504) $1,187.20 $2,120 2.3×
Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5… (81540) $8,568 $15,300 2.3×
Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3… (81552) $14,924 $26,650 1.9×
Oncology breast mrna gene expression 21 genes (81519) $8,853.60 $15,810 2.3×
Oncology Prostate Prob Score (81539) $1,736 $3,100 2.3×
Oncoprotein dcp (83951) $113.68 $203 1.8×
Oncoprotein Her-2/Neu (83950) $750.40 $1,340 11.7×
Oocyte identification from follicular fluid (89254) $632.80 $1,130 2.7×
Organic Acids Qualitative Each Specimen (83919) $200.48 $358 12.2×
Organic acids urine (83918) $73.92 $132 3.1×
Osmolality serum (83930) $114.80 $205 17.4×
Osmolality Urine (83935) $105.84 $189 15.5×
Osmotic fragility rbc incubated (85557) $162.96 $291 12.2×
Osmotic Fragility RBC Unincubated (85555) $75.04 $134 10.0×
Osteocalcin (83937) $52.64 $94 1.8×
Outpatient Global Laboratory, Radiology and Diagnostic Services (89346) $767.20 $1,370 3.3×
Ova and parasites smears (87177) $17.92 $32 2.0×
Ova1 (81503) $2,049.60 $3,660 2.3×
Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) $78.96 $141 6.2×
Oxalate urine (83945) $24.64 $44 1.7×
PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect… (81312) $313.60 $560 2.3×
Palb2 gene analysis known familial variant (81308) $2,469.60 $4,410 8.2×
Palb2 gene full gene seq (81307) $2,469.60 $4,410 3.7×
Pancreatic Elastase Fecal (82656) $48.72 $87 4.2×
Particle Agglut Antbdy Titr (86406) $76.72 $137 7.2×
Particle Agglutination Screen Each Antibody (86403) $43.68 $78 3.8×
Parvovirus antibody (86747) $28 $50 1.9×
Path Clin Consltj Mod 21-40 (80504) $414.40 $740 1.8×
Path Consltj Surg Cytologic Exam Initial Site (88333) $1,758.40 $3,140 1.6×
Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) $414.40 $740 1.8×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $139.44 $249 1.9×
Pathology Consultation During Surgery (88329) $126 $225 1.6×
Pca3/Klk3 Prostate Specific Antigen Ratio (81313) $582.40 $1,040 2.3×
Pdgfra Gene Analys Targeted Sequence Analys (81314) $756 $1,350 2.3×
Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) $442.40 $790 10.1×
Ph urine (81003) $56 $100 24.9×
pH; exhaled breath condensate Facility (83987) $162.40 $290 45.4×
Phenobarbital Level (80184) $61.04 $109 4.0×
Phenotype Infect Agent Drug (87900) $352.80 $630 2.7×
Phenylalanine (84030) $53.76 $96 9.8×
Phenylketones qual (84035) $36.96 $66 9.3×
Phenytoin (Dilantin) (80185) $219.52 $392 16.6×
Phenytoin free (80186) $24.64 $44 1.8×
Phosphatase acid prostatic (84066) $25.76 $46 2.7×
Phosphatase alkaline (84075) $36.96 $66 7.1×
Phosphatidylglycerol (84081) $166.88 $298 10.1×
Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) $68.88 $123 7.3×
Phospholipid Neutralization Hexagonal (85598) $50.96 $91 2.8×
Phosphorus Serum (84100) $75.60 $135 15.9×
Phosphorus urine (84105) $14.56 $26 2.5×
Pik3ca gene analysis targeted sequence analysis (81309) $2,469.60 $4,410 9.0×
Pinworm exam (87172) $57.12 $102 13.4×
Platelet Aggregation (85576) $173.60 $310 7.0×
Platelet Antibodies (86022) $92.40 $165 5.0×
Platelet count automated (85049) $122.64 $219 27.4×
Platelet neutralization (85597) $109.20 $195 6.1×
PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F,… (81320) $666.40 $1,190 2.3×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $548.80 $980 2.6×
PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia)… (81316) $2,928.80 $5,230 14.1×
PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure… (81326) $133.84 $239 2.9×
Pmp22 Gene Anal Duplication/Deletion Analysis (81324) $1,736 $3,100 2.3×
Pmp22 Gene Analysis Full Sequence Analysis (81325) $1,758.40 $3,140 2.3×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $464.80 $830 2.3×
Pms2 gene analysis known familial variants (81318) $1,276.80 $2,280 3.9×
Pms2 gene full seq analysis (81317) $1,545.60 $2,760 2.3×
Pneumcysts jirovecii amp prb (87594) $72.80 $130 2.1×
Pooling blood platelets (86965) $403.20 $720 1.7×
Porphobilinogen Urine Qualitative (84106) $16.80 $30 2.9×
Porphobilinogen, urine; quantitative (84110) $24.08 $43 2.9×
Porphyrins Feces Quantitative (84126) $257.60 $460 6.6×
Porphyrins Urine Quantitation & Fractionation (84120) $38.08 $68 2.6×
Porphyrins, urine; qualitative (84119) $89.04 $159 6.7×
Potassium Urine (84133) $62.16 $111 13.1×
PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to… (81343) $313.60 $560 2.3×
Pr assay of bradykinin (82286) $70 $125 13.6×
Pr assay of etiocholanolone (82696) $240.24 $429 9.2×
Prealbumin (84134) $114.24 $204 7.8×
Pregnancy-Associated Plasma Protein-A (84163) $152.88 $273 10.2×
Pregnanediol (84135) $195.44 $349 9.2×
Pregnanetriol (84138) $192.64 $344 9.2×
Pregnenolone (84140) $55.44 $99 2.7×
Preparation of embryo for transfer (89255) $273.28 $488 3.8×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $470.40 $840 2.0×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $162.40 $290 2.0×
Pretx serum rbc antibody identification dilution (86976) $210.56 $376 5.3×
Primidone (80188) $45.92 $82 2.8×
Procalcitonin (Pct) (84145) $201.60 $360 7.4×
Progesterone (84144) $206.08 $368 9.9×
Prolactin (84146) $133.28 $238 6.9×
Prostaglandin (84150) $108.08 $193 2.6×
Protein Alys Wstrn Blot I&R Immunological Ea (88372) $230.16 $411 8.8×
Protein body fluid (84157) $106.40 $190 26.6×
Protein C Activity (85303) $116.48 $208 8.4×
Protein c antigen (85302) $33.04 $59 2.8×
Protein Electrophoresis Urine (84166) $31.36 $56 1.8×
Protein Electrophoretic Fractj&Quantj Serum (84165) $32.48 $58 3.0×
Protein S Free (85306) $123.76 $221 8.1×
Protein s total (85305) $62.72 $112 5.4×
Protein test for diagnosis and monitoring of bladder cancer (86386) $162.96 $291 7.5×
Protein Total Refractometry Any Src (84160) $16.80 $30 3.0×
Protein total serum (84155) $20.72 $37 5.6×
Protein Total Urine (84156) $53.20 $95 14.5×
Protein Western Blot Test (84182) $52.08 $93 1.8×
Protein, western blot tissue (88371) $225.68 $403 10.2×
Prothrombin Time Substitution Plasma Frctj Each (85611) $52.64 $94 13.4×
Protoporphyrin rbc quantitative (84202) $38.08 $68 2.7×
Protoporphyrin, RBC; screen Facility (84203) $105.84 $189 10.9×
PSA free (84154) $127.68 $228 6.9×
Pten Gene Analysis Duplication/Deletion Variant (81323) $683.20 $1,220 2.3×
Pten Gene Analysis Full Sequence Analysis (81321) $3,836 $6,850 6.4×
Pten gene analysis known familial variant (81322) $425.60 $760 9.1×
Pth Intact (83970) $240.80 $430 5.8×
Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing… (81554) $9,150.40 $16,340 1.7×
Pyruvate kinase (84220) $116.48 $208 12.3×
Q Fever Antibody (86638) $21.84 $39 1.8×
Quantiferon tb gold plus (86480) $302.40 $540 4.9×
Quantitative assay drug (80299)
range across 88 matching MRF lines		 $50.96–$161.28 $91–$288 varies
Quantitative Screen Metals (83018) $51.52 $92 2.3×
Quinidine (80194) $178.64 $319 12.2×
Quinine (84228) $119.28 $213 10.3×
Rbc antibody elution (86860) $347.20 $620 1.5×
Rbc antibody identification (86870) $733.60 $1,310 1.5×
Rbc antibody screen (86850) $146.16 $261 15.0×
Rbc pretreatment serum (86978) $199.92 $357 2.5×
Rbc pretx incubatj w/enzymes (86971) $828.80 $1,480 3.5×
Rbc serum pretx incubj drugs (86975) $918.40 $1,640 1.5×
Reagent Strip/Blood Glucose (82948) $31.92 $57 6.3×
Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) $515.20 $920 7.2×
Receptor assay estrogen (84233) $627.20 $1,120 7.1×
Receptor assay progesterone (84234) $627.20 $1,120 9.7×
Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) $1,243.20 $2,220 5.9×
Renin activity plasma (84244) $36.96 $66 1.7×
Reptilase test (85635) $84.56 $151 8.6×
Resp virus 12-25 targets (87633) $924 $1,650 2.2×
Resp Virus 6-11 Targets (87632) $952 $1,700 4.4×
Reticulated Platelet Assay (85055) $136.08 $243 3.8×
Reticulocyte Count (85046) $35.84 $64 6.4×
Reticulocyte Count Manual (85044) $90.16 $161 20.9×
Reticulocyte separation (86972) $403.20 $720 1.7×
Rh (86901) $89.60 $160 30.0×
Rheumatoid Factor Qualitative (86430) $67.76 $121 11.0×
Rheumatoid factor quant (86431) $45.36 $81 8.0×
Rickettsia antibody (86757) $34.16 $61 1.8×
Ristocetin cofactor (85245) $122.64 $219 5.3×
Rotavirus ag eia (87425) $113.12 $202 9.4×
Rpr qualitative (86592) $49.28 $88 11.5×
Rsv ab (86756) $156.80 $280 9.9×
Rsv Assay W/Optic (87807) $113.12 $202 8.6×
Rubella Antibody (86762) $63.84 $114 4.4×
Rubeola antibody (86765) $71.12 $127 5.5×
Rufinamide (80210) $63.84 $114 2.4×
Runx1 gene analysis targeted sequence analysis (81334) $963.20 $1,720 2.9×
Russell Viper Venom Time Diluted (85613) $50.40 $90 5.3×
Russell Viper Venon Time Undiluted (85612) $97.44 $174 5.6×
Rx metab gen seq alys pnl 6 (81418) $913.92 $1,632 1.0×
Salicylate Level (80179) $89.60 $160 4.8×
Salmonella antibody (86768) $33.60 $60 2.5×
Sars-Cov-2 Covid-19 Amp Prb (87635) $113.12 $202 2.2×
Sars-cov-2 COVID-19 antibody (86769) $155.68 $278 3.7×
Sars-Cov-2 Covid19 W/Optic (87811) $77.84 $139 1.9×
Sarscov2 & inf a&b amp prb (87636) $249.20 $445 1.7×
Sarscov2&inf a&b&rsv amp prb (87637) $397.60 $710 2.8×
Sarscov2&inf typ a&b w/optic (87812) $487.76 $871 6.5×
Sc std carbapenem resist gen (87183) $230.16 $411 6.6×
Sedimentation rate (85651) $91.84 $164 21.5×
Sedimentation Rate, Automated (85652) $56 $100 20.7×
Selenium (84255) $46.48 $83 1.8×
Semen Anal Sperm Detection (89321) $159.04 $284 13.2×
Semen analysis complete (89322) $189.28 $338 12.2×
Semen analysis complete (89320) $138.88 $248 11.3×
Semen analysis motility and count (89310) $115.92 $207 13.5×
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) $91.84 $164 9.3×
Sensitivity mic (87186) $149.52 $267 17.3×
Sept9 Methylation Analysis (81327) $688.80 $1,230 3.6×
Serpina 1 gene (81332) $526.40 $940 12.1×
Serum Bactericidal Titer (87197) $152.32 $272 10.1×
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative… (86413) $136.64 $244 2.7×
Sex Chromatin Identification Barr Bodies (88130) $152.88 $273 8.5×
Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) $80.64 $144 10.1×
Sex Hormone Binding Globulin (84270) $53.76 $96 2.5×
SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common… (81347) $324.80 $580 1.7×
Shigella Antibody (86771) $75.60 $135 3.1×
Sickling of rbc reduction (85660) $21.84 $39 4.0×
Silica (84285) $239.12 $427 9.5×
Sirolimus (80195)
range across 2 matching MRF lines		 $54.88–$145.04 $98–$259 varies
Skin Test Candida (86485) $84 $150 2.1×
Skin test tuberculosis intradermal (86580) $61.60 $110 1.5×
Skin test unlisted antigen each (86486) $63.84 $114 1.6×
Skin test; histoplasmosis (86510) $147.84 $264 2.9×
SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) $1,209.60 $2,160 6.9×
Smear acid fast (87206) $71.12 $127 13.2×
Smear complex stain (87209) $30.80 $55 1.7×
Smear gram stain (87205) $86.80 $155 20.3×
Smear Special Stain (87207) $110.88 $198 18.5×
Smn1 Gen Nown Famil Seq Vrnt (81337) $425.60 $760 2.3×
Smn1 Gene Analysis Full Gene Sequence (81336) $688.80 $1,230 2.3×
Smn1 Gene Dos/Deletion Alys (81329) $313.60 $560 2.3×
Smpd1 Gene Analysis Common Variants (81330) $133.84 $239 2.8×
Smr Prim Src Wet Mount Nfct Agt (87210) $110.88 $198 19.1×
Snrpn/Ube3a Methylation Analysis (81331) $151.76 $271 3.0×
So neo gsap cl fr DNA/DNA&RNA cpy nmbr mcrst ins (81464) $3,279.92 $5,857 1.0×
So neo gsap cll fr DNA alys cpy nmbr&mcrstl ins (81463) $1,343.44 $2,399 1.0×
So neo gsap cll fr DNA/DNA&RNA cpy nmbr&reargmt (81462) $1,193.92 $2,132 1.0×
So neo gsap DNA aly cpy nmbr&microsatellite ins (81458) $1,044.96 $1,866 1.0×
So neo gsap DNA mcrstl ins (81457) $895.44 $1,599 1.0×
So neo gsap DNA/DNA&RNA (81459) $2,981.44 $5,324 1.0×
Sodium Serum (84295) $95.20 $170 19.8×
Sodium Urine (84300) $89.60 $160 17.7×
Soluble fibrin monomer (85366) $217.84 $389 2.7×
Soluble Transferrin Receptor (84238) $64.96 $116 1.8×
Somatomedin (84305) $36.96 $66 1.7×
Somatostatin (84307) $202.16 $361 11.1×
Special Stains Group 1 (88312) $220.08 $393 3.1×
Special Stains Group 2 (88313) $313.04 $559 1.7×
Specific gravity body fluid (84315) $8.96 $16 2.7×
Specimen infect agnt concntj (87015) $62.72 $112 9.4×
Spectrophotometry (84311)
range across 18 matching MRF lines		 $21.28–$62.72 $38–$112 varies
Sperm Antibodies (89325) $108.64 $194 10.2×
Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331) $239.12 $427 12.2×
Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330) $100.80 $180 9.7×
Sperm evaluation; hamster penetration test Facility (89329) $213.92 $382 10.9×
Sperm identification from aspiration (89257)
range across 2 matching MRF lines		 $245.28–$272.16 $438–$486 varies
Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) $296.80 $530 4.1×
Splitting Blood/Blood Products Each Unit (86985) $364 $650 1.6×
Sprm id from tstis tiss frsh/cryoprsrvd (89264)
range across 3 matching MRF lines		 $571.20–$632.80 $1,020–$1,130 varies
Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) $296.80 $530 4.1×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $599.20 $1,070 2.6×
Srsf2 gene common variants (81348) $296.80 $530 1.7×
Staph a DNA amp probe (87640) $167.44 $299 4.8×
Stem cells total count (86367) $526.40 $940 6.8×
Stone Analysis (82355) $29.68 $53 2.6×
Stool cultr aerobic bact ea (87046) $63.84 $114 6.8×
Storage (per year); reproductive tissue, testicular/ovarian Facility Physician Professional Component (89344) $604.80 $1,080 2.6×
Storage per Year Embryo (89342) $604.80 $1,080 2.6×
Storage per year sperm/semen (89343) $397.60 $710 1.7×
Strep a assay w/optic (87880) $171.36 $306 10.4×
Strep a DNA amp probe (87651) $157.36 $281 4.5×
Strep b DNA amp probe (87653) $296.80 $530 8.5×
Streptokinase, antibody Facility (86590) $112 $200 8.8×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $19.04 $34 0.2×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $28 $50 2.4×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $66.64 $119 12.1×
Sugars Multiple Quant (84379) $118.16 $211 10.2×
Sugars Single Qual (84376) $30.24 $54 5.5×
Sugars, chromatographic, TLC or paper chromatography Facility (84375) $199.36 $356 5.1×
Sulfate urine (84392) $10.64 $19 1.9×
Surg path level iii (88304) $201.60 $360 2.8×
Surgical pathology level IV (88305) $229.60 $410 3.2×
Surgical pathology level vi (88309) $1,758.40 $3,140 1.6×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $50.40 $90 10.6×
Susceptibility Study Antimicrobial Disk Method (87184) $76.16 $136 10.2×
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) $126 $225 3.1×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $22.96 $41 3.1×
Sweat Collection Iontophoresis (89230) $218.40 $390 3.0×
Syphilis Test Non-Trep Quant (86593) $28 $50 6.4×
T cells absolute cd4 count (86361) $85.12 $152 3.2×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $143.92 $257 3.1×
T cells total count (86359) $108.64 $194 2.9×
T3 Free (84481) $114.80 $205 6.8×
T3 reverse (84482) $42 $75 2.7×
T3 Total (84480) $93.52 $167 6.6×
T3 Uptake (84479) $42.56 $76 6.6×
T4 Free (84439) $102.48 $183 11.4×
T4 total (84436) $39.20 $70 5.7×
T4-neonatal (84437) $66.08 $118 10.2×
Tacrolimus (80197) $148.96 $266 10.8×
Tau phosphorylated each (84393) $19.04 $34 0.1×
Tb ag response t-cell susp (86481) $243.04 $434 2.4×
Tbp Gene Analysis Eval Detect Abnormal Alleles (81344) $313.60 $560 2.3×
Tert gene targeted seq alys (81345) $425.60 $760 2.3×
Test for acetone/ketones (82009) $81.76 $146 18.1×
Test for urine cystines (82615) $82.88 $148 8.7×
Testosterone Bioavailable (84410) $89.60 $160 1.7×
Testosterone total (84403) $98 $175 3.8×
Testosterone, Free (84402) $43.12 $77 1.7×
Tetanus antibody (86774) $42 $75 2.8×
TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H,… (81333) $313.60 $560 2.3×
Tgsap hl neo 5-50 RNA alys (81451) $879.20 $1,570 1.2×
Tgsap so/hl 51/< RNA alys (81456) $3,371.20 $6,020 1.2×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $2,816.80 $5,030 4.7×
Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) $688.80 $1,230 1.2×
Thaw cryoprsvrd reprod tiss (89354) $632.80 $1,130 2.7×
Thawing and expansion of frozen cells, each aliquot Facility (88241) $103.04 $184 8.5×
Thawing Cryopreserved Oocytes Each Aliquot (89356) $632.80 $1,130 2.7×
Thawing Cryopresrved Sperm (89353) $296.80 $530 4.1×
Thawing of cryopreserved embryos (89352) $632.80 $1,130 2.7×
Theophylline (80198) $172.48 $308 12.2×
Thiocyanate (84430) $119.28 $213 10.3×
Thiopurine methyltransferase (84433) $68.88 $123 3.1×
Thrombin Time (85670) $53.76 $96 9.3×
Thrombin time titer (85675) $70 $125 10.2×
Thrombomodulin Facility (85337) $105.84 $189 6.1×
Thromboplastin Inhibition Tissue (85705) $126.56 $226 13.1×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $59.92 $107 9.3×
Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) $170.80 $305 4.9×
Thyroglobulin (84432) $82.32 $147 5.1×
Thyroglobulin Antibody (86800) $36.40 $65 2.3×
Thyroid Stimulating Immunoglobulin (84445) $89.60 $160 1.8×
Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) $498.40 $890 9.9×
Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) $655.20 $1,170 9.7×
Thyroxine binding globulin (84442) $42 $75 2.8×
Tiss cul neo disorders solid tumor (88239) $258.72 $462 1.8×
Tiss Trnsgltmnase Ea Ig Clas (86364) $29.12 $52 2.5×
Tissue Culture (88233) $375.20 $670 2.7×
Tissue Culture Amniotic Fluid (88235) $408.80 $730 2.7×
Tissue culture bone marrow (88237) $319.20 $570 2.2×
Tissue Culture Lymphocyte (88230) $313.60 $560 2.7×
Tobramycin peak (80200) $213.92 $382 13.3×
Topiramate (80201) $21.84 $39 1.8×
Total Tau (84394) $19.04 $34 0.1×
Touch prep (88161) $152.32 $272 3.8×
Toxin/Antitoxin Assay Tissue Culture (87230) $241.36 $431 12.2×
Toxoplasma ab igm (86778) $157.36 $281 10.9×
Toxoplasma antibody (86777) $160.16 $286 11.1×
TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant Facility (81353) $515.20 $920 1.7×
Tp53 gene analysis full gene sequence (81351) $1,080.80 $1,930 1.7×
Tp53 gene analysis targeted sequence analysis (81352) $554.40 $990 1.7×
Tpmt gene com variants (81335) $1,209.60 $2,160 6.9×
Transferase Aspartate Amino Ast Sgot (84450) $45.36 $81 8.8×
Transferrin (84466) $62.72 $112 4.9×
Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and… (81560) $739.20 $1,320 1.2×
Trb@ gene rearrange dirprobe (81341) $588 $1,050 11.9×
Trb@ Rearrangement Anal Amplification Method (81340) $660.80 $1,180 3.2×
Trg gene rearrangement anal (81342) $543.20 $970 2.7×
Trichinella Antibody (86784) $51.52 $92 4.1×
Trichomonas vagin dir probe (87660) $55.44 $99 2.8×
Trichomonas Vaginalis Amplif (87661) $99.68 $178 2.8×
Triglycerides (84478) $91.84 $164 16.0×
Trnspl rej kdn mrna qpcr 139 (81558) $3,232.32 $5,772 1.0×
Troponin Quant (84484) $285.60 $510 22.9×
Troponin, qualitative (84512) $84.56 $151 8.4×
Trypsin feces qual (84488) $90.16 $161 12.4×
Tumor immunohistochem/comput (88361) $739.20 $1,320 1.5×
Tumor Immunohistochem/Manual (88360) $347.20 $620 1.5×
Tyms Gene Analysis Common Variants (81346) $1,209.60 $2,160 6.9×
U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis,… (81357) $324.80 $580 1.7×
Ugt1a1 gene analysis common variants (81350) $537.60 $960 2.3×
Unlisted Cytogenetic Study (88299)
range across 2 matching MRF lines		 $82.32–$91.84 $147–$164 varies
Unlisted miscellaneous pathology test (89240)
range across 7 matching MRF lines		 $157.36–$173.60 $281–$310 varies
Unlisted reproductive medicine lab procedure (89398) $209.44 $374 2.9×
Unlisted Surgical Pathology Procedure (88399)
range across 2 matching MRF lines		 $141.12–$250.88 $252–$448 varies
Unlisted Transfusion Medicine Procedure (86999)
range across 3 matching MRF lines		 $105.28–$198.24 $188–$354 varies
Urea Nitrogen Clearance (84545) $80.08 $143 11.1×
Urea nitrogen urine (84540) $67.20 $120 12.1×
Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) $45.92 $82 9.0×
Uric acid other source (84560) $18.48 $33 3.6×
Urinalysis Microscopic Only (81015) $56 $100 18.4×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $30.80 $55 14.2×
Urinalysis Volume Measure (81050) $16.24 $29 4.5×
Urinalysis; 2 or 3 glass test Facility (81020) $38.08 $68 8.1×
Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) $80.08 $143 2.7×
Urine Albumin Semiquantitative (82044) $19.04 $34 3.1×
Urine Bacteria Culture (87088) $96.88 $173 12.0×
Urine Pregnancy Test (81025) $87.92 $157 10.2×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $82.88 $148 26.1×
Urobilinogen urine qual (84578) $33.60 $60 7.5×
Urobilinogen, feces, quantitative Facility (84577) $126 $225 7.5×
Urobilinogen, urine; quantitative, timed specimen Facility (84580) $72.24 $129 7.6×
Urobilinogen, urine; semiquantitative Facility (84583) $51.52 $92 8.5×
Valproic acid (80164) $194.88 $348 14.4×
Vancomycin (80202) $260.96 $466 19.3×
Varicella-zoster antibody (86787) $86.80 $155 6.7×
Vasopressin (84588) $92.40 $165 2.7×
Very Long Chain Fatty Acids (82726) $115.92 $207 5.9×
Viral Culture (87252) $67.20 $120 2.6×
Virus antibody nos (86790)
range across 18 matching MRF lines		 $22.40–$109.20 $40–$195 varies
Virus inoculate tissue addl (87253) $68.32 $122 3.4×
Virus inoculation, shell via (87254) $55.44 $99 2.8×
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) $239.12 $427 12.2×
Viscosity serum (85810) $26.88 $48 2.3×
Vit D 1 25-Dihydroxy (82652) $67.76 $121 1.8×
Vitamin A (84590) $21.84 $39 1.9×
Vitamin b-12 (82607) $120.96 $216 8.0×
Vitamin B2 (Riboflavin) (84252) $34.16 $61 1.7×
Vitamin B6 (84207) $49.28 $88 1.8×
Vitamin c (82180) $18.48 $33 1.9×
Vitamin D 25-Hydroxy (82306) $114.80 $205 3.9×
Vitamin E (84446) $24.64 $44 1.7×
Vitamin K (84597) $28 $50 2.0×
Vkorc1 gene (81355) $201.60 $360 2.3×
Volatiles (84600) $63.28 $113 3.7×
Voltage-Gated Calcium Channel Antibody Each (86596) $26.88 $48 2.2×
Volume Reduction Blood/Blood Product Each Unit (86960) $358.40 $640 1.5×
Von willebrand factor ag (85246) $77.28 $138 3.4×
Wbc Alkaline Phosphatase Count (85540) $105.84 $189 12.3×
West nile virus ab igm (86788) $45.92 $82 2.7×
West Nile Virus Antibody (86789) $38.08 $68 2.6×
Western Blot Test (84181) $92.96 $166 5.5×
Whole Mitochondrial Genome (81460) $2,940 $5,250 2.3×
Whole mitochondrial genome analysis panel (81465) $2,139.20 $3,820 2.3×
X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis,… (81471) $2,088.80 $3,730 2.3×
X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must… (81470) $2,088.80 $3,730 2.3×
Xm Archive Tissue Molec Anal (88363) $61.60 $110 1.5×
Xylose Absorption Test (84620) $120.96 $216 9.4×
Zika Virus Dna/Rna Amp Probe (87662) $174.72 $312 3.4×
Zika Virus Igm Antibody (86794) $45.92 $82 2.7×
Zinc (84630) $21.28 $38 1.9×
ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute… (81360) $324.80 $580 1.7×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.