Lab & pathology prices at Kaiser Permanente Central Hospital

Seattle, WA · every code in this section with a posted price and a Medicare benchmark.

1155 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $68.80 $86 4.4×
17-Hydroxypregnenolone (84143) $102.40 $128 4.5×
5 Nucleotidase (83915) $49.60 $62 4.4×
Acetylcholinesterase Assay (82013) $54.40 $68 4.4×
Acth (82024) $204.80 $256 5.3×
Acth Stimulation Panel Adrenal Insufficiency (80400) $200.80 $251 6.2×
ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) $390.40 $488 4.5×
ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) $352 $440 4.5×
Acute hepatitis panel (80074) $292 $365 6.1×
Acylcarnitines Quant (82017) $76 $95 4.5×
Acylcarnitines; qualitative, each specimen Facility (82016) $73.60 $92 4.5×
Adenovirus antibody (86603) $57.60 $72 4.5×
Agglutinins Febrile Each Antigen (86000) $32 $40 4.6×
Albumin Fluid (82042) $49.60 $62 6.4×
Albumin ischemia modified (82045) $152.80 $191 4.5×
Albumin serum (82040) $44 $55 8.9×
Aldolase (82085) $71.20 $89 7.3×
Aldosterone Suppression Evaluation Panel (80408) $564.80 $706 4.5×
Aldosterone urine (82088) $144 $180 3.5×
Alkaline phosphatase isoenzymes (84080) $81.60 $102 5.5×
Allergen spec ige qual multiallergen screen (86005) $35.20 $44 4.4×
Allergen specific ige (86003) $25.60 $32 4.9×
Allergen specific igg (86001) $28 $35 3.6×
Alpha-1-antitrypsin phenotype (82104) $65.60 $82 4.5×
Alpha-1-antitrypsin total (82103) $72.80 $91 5.4×
Alpha-Fetoprotein Amniotic Fluid (82106) $76.80 $96 4.5×
Alpha-Fetoprotein Serum (82105) $112.80 $141 6.7×
Alt (sgpt) (84460) $48.80 $61 9.2×
Aluminum (82108) $114.40 $143 4.5×
Amikacin trough (80150) $68 $85 4.5×
Amines vaginal fluid qualitative (82120) $27.20 $34 4.5×
Amino Acids 1 Quantitative Each Specimen (82131) $104 $130 4.5×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $76 $95 4.5×
Amino Acids Multiple Qualitative Each Specimen (82128) $62.40 $78 4.5×
Amino Acids Quant 2-5 (82136) $88 $110 4.5×
Amino acids; single, qualitative, each specimen Facility (82127) $63.20 $79 4.5×
Aminolevulinic acid (ala) (82135) $73.60 $92 4.5×
Ammonia (82140) $147.20 $184 10.1×
Amniotic fluid protein test on cervicovaginal fluid (84112) $441.60 $552 4.5×
Amniotic fluid scan (82143) $42.40 $53 4.5×
Amylase urine (82150) $49.60 $62 7.7×
Ana Titer (86039) $41.60 $52 3.7×
Analysis skeletal muscle (88355)
range across 2 matching MRF lines		 $339.20–$740.80 $424–$926 varies
Androstanediol Glucuronide (82154) $129.60 $162 4.5×
Androstenedione (82157) $131.20 $164 4.5×
Androsterone (hormone) level (82160) $115.20 $144 4.5×
Angiotensin converting enzyme csf (82164) $97.60 $122 6.7×
Angiotensin II (82163) $92 $115 4.5×
Animal inoculation, small animal, with observation and dissection Facility (87003) $76 $95 4.5×
Anti-Phospholipid Antibody (86148) $72 $90 4.5×
Antibody aspergillus (86606) $57.60 $72 3.8×
Antibody Bacterium Not Elsewhere Specified (86609) $64.80 $81 5.0×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $68.80 $86 4.4×
Antibody Cytomegalovirus Cmv Igm (86645) $76 $95 4.5×
Antibody Encephalitis California La Crosse (86651) $59.20 $74 4.5×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $58.40 $73 4.5×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $80.80 $101 5.3×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $113.60 $142 6.3×
Antibody Fungus Not Elsewhere Specified (86671) $75.20 $94 6.1×
Antibody haemophilus influenza (86684) $256.80 $321 16.2×
Antibody helicobacter pylori (86677) $76 $95 4.5×
Antibody Herpes Smplx Non-Specific Type Test (86694) $64 $80 4.4×
Antibody Herpes Smplx Type 1 (86695) $120 $150 9.1×
Antibody HIV-1&HIV-2 single result (86703)
range across 3 matching MRF lines		 $35.20–$343.20 $44–$429 varies
Antibody HIV-2 (86702) $60.80 $76 4.5×
Antibody Hla Class I High Definition Panel Qual (86832) $776.80 $971 2.4×
Antibody Hla Class I Phenotype Panel Qualitative (86830) $727.20 $909 7.6×
Antibody Hla Class II Phenotype Panel Qual (86831) $698.40 $873 8.5×
Antibody hla class ii semiquantitative panel (86835) $775.20 $969 2.4×
Antibody htlv/HIV antibody confirmatory test (86689)
range across 3 matching MRF lines		 $87.20–$240 $109–$300 varies
Antibody identification leukocyte antibodies (86021)
range across 5 matching MRF lines		 $94.40–$548.80 $118–$686 varies
Antibody Identification Platelet Immunogl Assay (86023) $56 $70 4.5×
Antibody john cunningham virus (86711) $62.40 $78 3.7×
Antibody leishmania (86717) $54.40 $68 4.4×
Antibody Lymphocytic Choriomeningitis (86727) $57.60 $72 4.5×
Antibody neisseria meningitidis (86741) $59.20 $74 4.5×
Antibody nocardia (86744) $72 $90 4.5×
Antibody plasmodium malaria (86750) $59.20 $74 4.5×
Antibody Protozoa Nes (86753)
range across 3 matching MRF lines		 $52.80–$676 $66–$845 varies
Antibody rotavirus (86759) $81.60 $102 4.5×
Antibody Titer (86886)
range across 2 matching MRF lines		 $160.80–$408 $201–$510 varies
Antibody yersinia (86793) $59.20 $74 4.5×
Antibody; campylobacter (86625) $58.40 $73 4.5×
Antibody; encephalitis, st. louis (86653) $59.20 $74 4.5×
Antibody; influenza virus (86710) $60.80 $76 4.5×
Antibody; mucormycosis Facility (86732) $67.20 $84 4.5×
Antigen typing (86905)
range across 4 matching MRF lines		 $80–$854.40 $100–$1,068 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $407.20 $509 71.2×
Antinomyces antibody (86602) $43.20 $54 4.2×
Antinuclear antibodies (86038) $80.80 $101 6.7×
Antistreptolysin O Screen (86063) $25.60 $32 4.4×
Antistreptolysin o titer (86060) $32.80 $41 4.5×
Antithrombin iii activity (85300)
range across 2 matching MRF lines		 $72–$80 $90–$100 varies
Antithrombin iii antigen (85301) $48.80 $61 4.5×
Apc Gene Analysis Known Familial Variants (81202) $870.40 $1,088 3.1×
Apc gene dup/delet variants (81203) $622.40 $778 3.1×
Apc gene full sequence (81201) $2,427.20 $3,034 3.1×
Apolipoprotein a1 (82172) $79.20 $99 3.8×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $169.60 $212 4.5×
Arsenic (82175) $107.20 $134 5.7×
Aspa gene analysis common variants (81200) $147.20 $184 3.1×
Aspergillus ag eia (87305) $184.80 $231 15.4×
Assay activated protein c (85307) $92.80 $116 6.1×
Assay Blood Carbon Dioxide (82374) $22.40 $28 4.6×
Assay Blood Catecholamines (82383) $130.40 $163 4.5×
Assay Duodenal Fluid Trypsin (84485) $32.80 $41 4.6×
Assay Nephelometry Not Spec (83883) $124.80 $156 9.2×
Assay of 5-hiaa (83497) $57.60 $72 4.5×
Assay of b-hexosaminidase each assay (83080) $76 $95 4.5×
Assay of blood/uric acid (84550) $50.40 $63 11.2×
Assay of calcium in urine (82340) $44.80 $56 7.4×
Assay of corticosterone (82528) $100.80 $126 4.5×
Assay of cpk in blood (82552) $60.80 $76 4.5×
Assay of estrone (82679) $112 $140 4.5×
Assay of feces for trypsin (84490) $44 $55 4.4×
Assay of g6pd enzyme (82955) $76.80 $96 7.9×
Assay of gammaglobulin igm (82784) $97.60 $122 10.5×
Assay of lactic acid (83605) $144.80 $181 12.5×
Assay of manganese (83785) $120 $150 4.5×
Assay of metanephrines (83835) $126.40 $158 7.5×
Assay of phosphatase acid total (84060) $34.40 $43 4.5×
Assay of phosphatase alkaline heat stable (84078) $37.60 $47 4.6×
Assay of procainamide (80190) $269.60 $337 4.5×
Assay of proinsulin (84206) $120 $150 4.5×
Assay of prostate specific antigen complexed (84152) $82.40 $103 4.5×
Assay of pyruvate (84210) $65.60 $82 4.5×
Assay of semen fructose (82757) $77.60 $97 4.5×
Assay of serotonin (84260) $214.40 $268 6.9×
Assay of serum potassium (84132) $53.60 $67 11.3×
Assay of Sialic Acid (84275) $60.80 $76 4.5×
Assay of sweat sodium (84302) $22.40 $28 4.6×
Assay of transcortin (84449) $80.80 $101 4.5×
Assay of Tyrosine (84510) $48 $60 4.5×
Assay of urea nitrogen (84520) $36.80 $46 9.3×
Assay of urine vma (84585) $70.40 $88 4.5×
Assay of vasoactive intestinal peptide (84586) $158.40 $198 4.5×
Assay of vitamin b-1 (84425) $96 $120 4.5×
Assay Ph Body Fluid Nos (83986) $52.80 $66 14.7×
Assay Phosphohexose Enzymes (84087) $48 $60 4.5×
Atomic Absorption (82190) $71.20 $89 4.5×
Autol Bld/Component Collj Storage Predeposited (86890)
range across 2 matching MRF lines		 $408–$482.40 $510–$603 varies
Autol bld/component collj storage salvage (86891) $2,048 $2,560 2.2×
Automated Leukocyte Count (85048) $20.80 $26 8.2×
B cells total count (86355) $225.60 $282 6.0×
Bartonella antibody (86611) $46.40 $58 4.6×
Bcr/abl1 gene major bp (81206) $791.20 $989 4.8×
Bcr/abl1 gene minor bp (81207) $450.40 $563 3.1×
Beta 2 glycoprotein i antibody each (86146) $151.20 $189 5.9×
Beta hydroxybutyrate (82010) $79.20 $99 9.7×
Beta Lactamase (87185) $29.60 $37 6.2×
Beta-2 Microglobulin (82232) $110.40 $138 6.8×
Bile acids total (82239) $58.40 $73 3.4×
Bile acids, cholylglycine (82240) $119.20 $149 4.5×
Bilirubin direct (82248) $61.60 $77 12.3×
Bilirubin total (82247) $47.20 $59 9.4×
Bilirubin; feces, qualitative Facility (82252) $20 $25 4.4×
Biotinidase (82261) $76 $95 4.5×
Bl Smear W/O Diff Wbc Count (85008) $15.20 $19 4.4×
Blastomyces antibody (86612) $57.60 $72 4.5×
Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) $214.40 $268 3.5×
Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) $214.40 $268 6.4×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078)
range across 2 matching MRF lines		 $84.80–$407.20 $106–$509 varies
Bld Typing Serologic Rh Phnt (86906)
range across 2 matching MRF lines		 $95.20–$122.40 $119–$153 varies
Bleeding time test (85002)
range across 2 matching MRF lines		 $20.80–$28.80 $26–$36 varies
Blm Gene (81209) $121.60 $152 3.1×
Blood Count Automated Differential Wbc Count (85004) $28.80 $36 4.5×
Blood Count Manual Cell Count Each (85032) $19.20 $24 4.5×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $23.20 $29 4.6×
Blood Count Red Blood Cell Automated (85041) $24 $30 7.9×
Blood count reticulocyte automated (85045) $51.20 $64 12.8×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $25.60 $32 6.7×
Blood count spun microhematocrit (85013) $32 $40 4.6×
Blood gas (82803) $135.20 $169 5.2×
Blood gases w/02 saturation (82805) $238.40 $298 3.0×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $84.80 $106 5.3×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $44 $55 10.0×
Blood Sulfhemoglobin Assay (83060) $58.40 $73 6.6×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 3 matching MRF lines		 $55.20–$854.40 $69–$1,068 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904)
range across 2 matching MRF lines		 $81.60–$145.60 $102–$182 varies
Blood typing serologic abo (86900)
range across 2 matching MRF lines		 $99.20–$307.20 $124–$384 varies
Body fluid cell count (89050) $43.20 $54 9.2×
Bone marrow smear interpretation (85097) $1,939.20 $2,424 2.1×
Bordetella antibody (86615) $59.20 $74 4.5×
Borrelia Antibody (86619) $60.80 $76 4.5×
Braf gene analysis (81210) $454.40 $568 2.6×
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) $1,368.80 $1,711 3.1×
Brca1 Gene Analysis Known Familial Variant (81215) $1,167.20 $1,459 3.1×
Breath Alcohol Test (82075) $195.20 $244 6.5×
Brucella antibody (86622) $40 $50 4.5×
C-Peptide (84681) $114.40 $143 5.5×
C-reactive protein (86140) $58.40 $73 11.3×
Ca 19-9 (86301) $141.60 $177 6.8×
Cadmium (82300) $113.60 $142 4.8×
Calcitonin (82308) $120 $150 4.5×
Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) $360.80 $451 4.5×
Calcium ionized (82330) $108 $135 7.9×
Calcium total (82310) $46.40 $58 9.0×
Calcium; after calcium infusion test (82331) $59.20 $74 4.4×
Calculus assay quant (82360) $57.60 $72 4.5×
Calculus Spectroscopy (82365) $98.40 $123 7.6×
Calculus Xray Diffraction (82370) $56.80 $71 4.5×
Calprotectin Fecal (83993) $163.20 $204 8.3×
Cancer Antigen 125 (86304) $168.80 $211 8.1×
Cancer Antigen 27.29 (86300) $196.80 $246 9.5×
Candida antibody (86628) $53.60 $67 4.5×
Candida Dna Dir Probe (87480) $93.60 $117 4.7×
Carbamazepine free (80157) $59.20 $74 4.5×
Carbamazepine total (80156) $103.20 $129 7.1×
Carbohydrate Deficient Transferrin (82373) $80.80 $101 4.5×
Carbon monoxide, (carboxyhemoglobin); qualitative (82376) $63.20 $79 4.5×
Carboxyhemoglobin (82375) $117.60 $147 9.5×
Carcinoembryonic antigen (82378) $195.20 $244 10.3×
Cardiolipin ab iga (86147) $148.80 $186 5.8×
Carnitine Quantitative Each Specimen (82379) $76 $95 4.5×
Carotene (82380) $41.60 $52 4.5×
Catecholamines fractionated (82384) $109.60 $137 4.3×
Catecholamines total urine (82382) $123.20 $154 4.5×
Cathepsin-d (82387) $80.80 $101 4.5×
Ccp antibody (86200) $94.40 $118 7.3×
Cebpa Gene Analysis Full Gene Sequence (81218) $419.20 $524 1.7×
Cell count csf (89051) $80 $100 14.3×
Cell enumeration & id (86152) $1,128 $1,410 4.5×
Cell marker study (88182)
range across 2 matching MRF lines		 $683.20–$1,030.40 $854–$1,288 varies
Ceruloplasmin (82390) $84 $105 7.8×
Cftr gene com variants (81220) $1,732 $2,165 3.1×
Chemiluminescent assay (82397) $63.20 $79 4.5×
Chemotaxis Assay (86155) $72 $90 4.5×
Chlamydia antibody (86631) $52.80 $66 4.5×
Chlamydia Igm Antibody (86632) $56.80 $71 4.5×
Chlamydia trachomatis ag if (87270) $53.60 $67 4.5×
Chlmy trch&neisra gonor mult (87494) $364.80 $456 5.2×
Chloramphenicol level (82415) $56.80 $71 4.5×
Chloride other source (82438) $22.40 $28 4.5×
Chloride Serum (82435) $54.40 $68 11.8×
Chloride urine (82436) $50.40 $63 8.8×
Chlorinated Hydrocarbons Screen (82441) $27.20 $34 4.5×
Cholesterol total (82465) $58.40 $73 13.4×
Cholinesterase rbc (82482) $44 $55 4.5×
Cholinesterase Serum (82480) $35.20 $44 4.5×
Chondroitin B sulfate, quantitative Facility (82485) $92.80 $116 4.5×
Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) $251.20 $314 4.5×
Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) $232 $290 4.5×
Chorionic gonadotropin test (84702) $167.20 $209 11.1×
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $848 $1,060 4.5×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $120.80 $151 4.5×
Chrmsm Analysis Addl High Resolution Study (88289) $154.40 $193 4.5×
Chrmsm Analysis Addl Karyotyp Each Study (88280)
range across 2 matching MRF lines		 $125.60–$157.60 $157–$197 varies
Chrmsm Analysis Addl Specialized Banding (88283) $308 $385 4.5×
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) $778.40 $973 4.5×
Chrmsm Breakage Baseline Sister 20-25 Cll (88245) $778.40 $973 4.5×
Chrmsm Breakage Synds Score 100 Cll (88249) $778.40 $973 4.5×
Chromium serum (82495) $91.20 $114 4.5×
Chromogenic Substrate Assay (85130) $164.80 $206 13.9×
Chromogranin a (86316) $171.20 $214 8.2×
Chromosome analys amniotic (88269) $781.60 $977 4.5×
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines		 $470.40–$564.80 $588–$706 varies
Chromosome Analysis 20-25 (88264) $1,103.20 $1,379 7.6×
Chromosome analysis 45 cells (88263) $676 $845 4.5×
Chromosome analysis, 5 (88261)
range across 2 matching MRF lines		 $990.40–$1,188.80 $1,238–$1,486 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $248 $310 7.1×
Citric acid urine (82507) $124.80 $156 4.5×
Ckmb (82553) $138.40 $173 12.0×
Clostridium Difficile (87324) $84.80 $106 7.1×
Clot Factor VIII Multimetric (85247)
range across 2 matching MRF lines		 $102.40–$172.80 $128–$216 varies
Clot factor xiii fibrin stab (85290) $72.80 $91 4.5×
Clot lysis time, whole blood dilution Facility (85175) $91.20 $114 4.5×
Clot retraction (85170) $72.80 $91 4.5×
Clotting factor viii related antigen (85244) $92 $115 4.5×
Clotting factor xii hageman (85280)
range across 2 matching MRF lines		 $87.20–$108.80 $109–$136 varies
Clotting Funct Activity (85397) $344.80 $431 11.2×
Clotting hi molec weight kininogen assay (85293) $85.60 $107 4.5×
Clotting prekallikrein assay fletcher fact assay (85292)
range across 2 matching MRF lines		 $82.40–$85.60 $103–$107 varies
Coagulation time activated (85347) $72.80 $91 17.0×
Coagulation time other methods (85348) $20 $25 4.5×
Coagulation time; Lee and White Facility (85345) $20.80 $26 4.4×
Coccidioides antibody (86635) $58.40 $73 5.1×
Cold agglutinin screen (86156) $36.80 $46 4.6×
Cold agglutinin titer (86157) $60.80 $76 7.5×
Collagen crosslinks (82523) $105.60 $132 5.7×
Column Chromotography Quant (82542) $181.60 $227 7.5×
Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) $2,606.40 $3,258 4.5×
Compatibility Each Unit Incubation (86921) $408 $510 2.1×
Compatibility test antiglob (86922)
range across 5 matching MRF lines		 $66.40–$408 $83–$510 varies
Complement Antigen Each Component (86160) $90.40 $113 7.5×
Complement Fixation Tests Each Antigen (86171) $44.80 $56 4.5×
Complement Total (Ch50) (86162) $180 $225 8.9×
Complement/Function Activity (86161) $56 $70 4.7×
Consltj Compre Review Reprt Referred Matrl (88325)
range across 2 matching MRF lines		 $563.20–$882.40 $704–$1,103 varies
Consltj&Reprt Material Requiring Prepj Slides (88323) $339.20 $424 5.6×
Consltj&Reprt Slides Prepared Elsewhere (88321) $555.20 $694 12.8×
Coombs direct (86880)
range across 4 matching MRF lines		 $52.80–$139.20 $66–$174 varies
Copper urine (82525) $90.40 $113 7.3×
Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) $3,605.60 $4,507 4.5×
Cortisol free (82530) $161.60 $202 9.7×
Cortisol saliva (82533) $137.60 $172 8.4×
Creatine (82540) $20.80 $26 4.5×
Creatine kinase (CK), (CPK); isoforms Facility (82554) $53.60 $67 4.5×
Creatine kinase total (82550) $64.80 $81 10.0×
Creatinine blood (82565) $50.40 $63 9.8×
Creatinine clearance (82575) $95.20 $119 10.1×
Creatinine Urine (82570) $48.80 $61 9.4×
Crossmatch electronic (86923)
range across 4 matching MRF lines		 $39.20–$408 $49–$510 varies
Crossmatch immediate spin (86920)
range across 3 matching MRF lines		 $28.80–$408 $36–$510 varies
Crp High Sensitivity (86141) $74.40 $93 5.7×
Cryofibrinogen (82585) $63.20 $79 4.5×
Cryoglobulin (82595) $52 $65 8.0×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $221.60 $277 17.0×
Cryptococcal Antigen (87327) $60.80 $76 4.5×
Cryptococcus ab (86641) $64 $80 4.4×
Cryptococcus ag titer (87899) $117.60 $147 7.3×
Cryptosporidium (87272) $53.60 $67 4.5×
Cryptosporidium ag eia (87328) $62.40 $78 4.5×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $81.60 $102 10.1×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $79.20 $99 9.8×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $102.40 $128 13.3×
Culture aerobic quant other (87071) $75.20 $94 7.6×
Culture afb (87116) $116.80 $146 10.8×
Culture Anaerobic (87075) $119.20 $149 12.6×
Culture bacteria anaerobic (87073) $143.20 $179 14.8×
Culture blood (87040) $160.80 $201 15.6×
Culture chlamydia (87110) $88 $110 4.5×
Culture csf (87070) $111.20 $139 12.9×
Culture fungus (87102) $118.40 $148 14.1×
Culture fungus blood (87103) $92 $115 4.5×
Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos (89251) $5,153.60 $6,442 26.0×
Culture oocyte/embryos<4day (89250) $4,954.40 $6,193 25.0×
Culture screen only (87081) $74.40 $93 11.2×
Culture stool (87045) $102.40 $128 10.8×
Culture Typing Gas/High Pres Liq Chromatography (87143) $56.80 $71 4.5×
Culture typing if ea antiserum (87140) $24.80 $31 4.5×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $55.20 $69 10.7×
Culture typing other methods (87158) $34.40 $43 4.4×
Culture urine (87086) $92.80 $116 11.5×
Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) $121.60 $152 4.5×
Culture, typing; identification by pulse field gel typing Facility (87152) $34.40 $43 4.4×
Cyanide (82600) $87.20 $109 4.5×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $64 $80 4.5×
Cyclic amp (82030) $116 $145 4.5×
Cyclosporine (80158) $136 $170 7.5×
Cyp2c19 gene analysis common variants (81225) $906.40 $1,133 3.1×
Cyp2c9 gene com variants (81227) $543.20 $679 3.1×
Cyp2d6 gene com variants (81226) $1,402.40 $1,753 3.1×
Cytog alys chrml abnor interog cpy nmbr vrnt ogm (81354) $6,570.40 $8,213 5.2×
Cytogenetics 10-30 (88273) $156.80 $196 4.5×
Cytogenetics 100-300 (88275) $536 $670 10.5×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $3,608.80 $4,511 3.1×
Cytomegalovirus igg (86644)
range across 3 matching MRF lines		 $34.40–$99.20 $43–$124 varies
Cytopath C/V Index Add-On (88155) $80 $100 5.5×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $110.40 $138 5.4×
Cytopath Cell Enhance Tech (88112) $256.80 $321 4.2×
Cytopath Fl Nongyn Filter (88106)
range across 2 matching MRF lines		 $251.20–$438.40 $314–$548 varies
Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) $274.40 $343 5.4×
Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) $94.40 $118 5.1×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) $138.40 $173 5.5×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166) $94.40 $118 5.1×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88167) $94.40 $118 5.1×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) $229.60 $287 5.4×
Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician… (88152) $149.60 $187 5.4×
Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Facility (88153) $130.40 $163 5.4×
Cytotoxic Antibody Screen Std (86807) $353.60 $442 4.5×
Cytotoxic pra quick (86808)
range across 2 matching MRF lines		 $19.20–$133.60 $24–$167 varies
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $116.80 $146 4.4×
Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) $125.60 $157 5.5×
Cytp Concentration Smears & Interpretation (88108) $222.40 $278 5.1×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $466.40 $583 7.7×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172)
range across 2 matching MRF lines		 $339.20–$408 $424–$510 varies
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 2 matching MRF lines		 $218.40–$460 $273–$575 varies
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120)
range across 2 matching MRF lines		 $2,761.60–$3,313.60 $3,452–$4,142 varies
Cytp Slides C/V Mnl Scr Under Phys (88150) $94.40 $118 5.1×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $94.40 $118 5.1×
Cytp smrs any oth src extnd std > 5 slides (88162)
range across 2 matching MRF lines		 $476.80–$788.80 $596–$986 varies
Cytp Smrs Any Oth Src Scr&Interpj (88160)
range across 2 matching MRF lines		 $278.40–$486.40 $348–$608 varies
Cytp Urine 3-5 Probes Cmptr (88121)
range across 2 matching MRF lines		 $1,964.80–$2,357.60 $2,456–$2,947 varies
Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) $140.80 $176 13.1×
Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) $51.20 $64 4.5×
Deoxycortisol (82634) $131.20 $164 4.5×
Deoxyribonuclease antibody (86215) $59.20 $74 4.5×
Desoxycorticosterone (82633) $139.20 $174 4.5×
Detect Agent Nos Dna Amp (87798)
range across 2 matching MRF lines		 $62.40–$264 $78–$330 varies
Detect Agent Nos Dna Quant (87799) $347.20 $434 8.1×
Detect agnt mult DNA ampli (87801)
range across 3 matching MRF lines		 $19.20–$391.20 $24–$489 varies
Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) $728 $910 4.5×
Dhea (82626) $113.60 $142 4.5×
Dhea-S (82627) $104 $130 4.7×
Dibucaine number (82638) $54.40 $68 4.4×
Digoxin (80162) $159.20 $199 12.0×
Digoxin free (80163) $59.20 $74 4.5×
Diphtheria antitoxoid (86648) $68 $85 4.5×
Dipropylacetic Acid Free (80165) $60.80 $76 4.5×
Dna Antibody Native/Double Stranded (86225) $97.60 $122 7.1×
Dna Antibody Single Stranded (86226) $54.40 $68 4.5×
DNA/RNA direct probe (87149) $158.40 $198 7.9×
Drug Screen Quantitative Procainamide Metabolite (80192) $75.20 $94 4.5×
Egfr Gene Analysis Common Variants (81235) $1,009.60 $1,262 3.1×
Ehrlichia antibody (86666) $46.40 $58 4.6×
Electrolyte panel (80051) $120 $150 17.1×
Electron Microscopy (88348)
range across 2 matching MRF lines		 $1,706.40–$1,807.20 $2,133–$2,259 varies
Electrophoretic Test - Immunofixation Electrophoresis (82664) $276.80 $346 4.5×
Encephaltis East Eqne Anbdy (86652) $59.20 $74 4.5×
Encephaltis West Eqne Antbdy (86654) $59.20 $74 4.5×
Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin,… (81506) $214.40 $268 3.1×
Enterovirus Antibody (86658) $58.40 $73 4.5×
Enterovirus PCR (87498) $157.60 $197 4.5×
Enzyme cell activity (82657) $100 $125 4.5×
Enzyme histochemistry (88319)
range across 2 matching MRF lines		 $1,706.40–$1,939.20 $2,133–$2,424 varies
Eosinophil Smear (89190) $32 $40 5.5×
Erythropoietin (82668) $134.40 $168 7.2×
Estradiol serum (82670) $165.60 $207 5.9×
Estriol (82677) $108.80 $136 4.5×
Estrogen total (82672) $97.60 $122 4.5×
Estrogens fractionated (82671) $144.80 $181 4.5×
Ethosuximide (80168) $72.80 $91 4.5×
Ethylene Glycol (82693) $67.20 $84 4.5×
Euglobulin lysis (85360) $37.60 $47 4.5×
Exam Synovial Fluid Crystals (89060) $88 $110 12.0×
F2 Gene (81240) $373.60 $467 5.7×
Factor ii activity (85210)
range across 2 matching MRF lines		 $58.40–$108.80 $73–$136 varies
Factor Inhibitor Test (85335)
range across 2 matching MRF lines		 $57.60–$344.80 $72–$431 varies
Factor ix activity (85250)
range across 2 matching MRF lines		 $85.60–$144 $107–$180 varies
Factor v activity (85220)
range across 2 matching MRF lines		 $80–$108.80 $100–$136 varies
Factor vii assay (85230)
range across 3 matching MRF lines		 $80.80–$108.80 $101–$136 varies
Factor viii assay (85240)
range across 3 matching MRF lines		 $105.60–$151.20 $132–$189 varies
Factor X (85260)
range across 4 matching MRF lines		 $74.40–$108.80 $93–$136 varies
Factor xi activity (85270)
range across 2 matching MRF lines		 $80.80–$108.80 $101–$136 varies
Factor xiii screen (85291)
range across 2 matching MRF lines		 $41.60–$64 $52–$80 varies
Fancc Gene (81242) $114.40 $143 3.1×
Fat differential, feces, quantitative Facility (82715) $104 $130 4.5×
Fat stain feces urine/respir secretions (89125) $32 $40 5.4×
Fat/Lipids Feces Quantitative (82710) $76 $95 4.5×
Fatty acids free (82725) $84.80 $106 4.5×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $157.60 $197 20.4×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $76.80 $96 4.5×
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $46.40 $58 4.6×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420)
range across 2 matching MRF lines		 $29.60–$74.40 $37–$93 varies
Fecal Fat Qualitative (82705) $51.20 $64 10.0×
Ferritin (82728) $119.20 $149 8.7×
Fetal Chrmoml Aneuploidy (81420) $2,361.60 $2,952 3.1×
Fetal Congenital Abnor Assay Four Anal (81511) $476.80 $596 3.1×
Fetal Congenital Abnor Assay Two Proteins (81508) $168.80 $211 3.1×
Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) $216 $270 3.1×
Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) $172.80 $216 3.1×
Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal… (81509) $4,627.20 $5,784 3.1×
Fetal Fibronectin (82731) $289.60 $362 4.5×
Fetal hemoglobin assay qual (83033) $35.20 $44 4.4×
Fetal lung maturity assessment; foam stability test Facility (83662) $85.60 $107 4.5×
Fetal Lung Maturity Fluorescence Polarization (83663) $85.60 $107 4.5×
Fetal screen rosette (85461)
range across 2 matching MRF lines		 $42.40–$78.40 $53–$98 varies
Fibrin degradation products (85362)
range across 2 matching MRF lines		 $30.40–$54.40 $38–$68 varies
Fibrin Degradation Quant (85379) $154.40 $193 15.2×
Fibrin dgradj products d-dimer qual/semiquan (85378) $43.20 $54 4.4×
Fibrin Dgradj Products D-Dimer Ultrasensitive (85380)
range across 2 matching MRF lines		 $137.60–$148 $172–$185 varies
Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) $56 $70 4.5×
Fibrinogen activity (85384)
range across 2 matching MRF lines		 $64–$110.40 $80–$138 varies
Fibrinogen antigen (85385) $65.60 $82 4.5×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $119.20 $149 7.7×
Fibrinolytic factors and inhibitors; plasmin Facility (85400) $34.40 $43 4.5×
Flow cytometry first marker (88184) $854.40 $1,068 2.1×
Flt3 Gene (81245) $514.40 $643 3.1×
Flt3 gene analysis (81246) $215.20 $269 2.6×
Fluorescent antibody screen (86255) $118.40 $148 9.8×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $71.20 $89 5.9×
Fluoride serum (82735) $83.20 $104 4.5×
Fmr1 gene detection (81243) $177.60 $222 3.1×
Folic acid rbc (82747) $72 $90 4.1×
Folic Acid Serum (82746) $116.80 $146 7.9×
Follicle Stimulating Hormone (83001) $120.80 $151 6.5×
Forensic Cytopathology (88125)
range across 2 matching MRF lines		 $107.20–$172 $134–$215 varies
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $128.80 $161 4.5×
Francisella tularensis (86668) $63.20 $79 4.5×
Fresh Frozen Plasma Thawing Each Unit (86927)
range across 2 matching MRF lines		 $40.80–$457.60 $51–$572 varies
Frozen Blood Each Unit Freezing (86930) $504.80 $631 2.6×
Frozen Blood Each Unit Thawing (86931)
range across 2 matching MRF lines		 $47.20–$407.20 $59–$509 varies
Frozen blood freeze/thaw (86932) $428.80 $536 9.9×
Frozen Section (88331) $408 $510 2.1×
Fungi Identification Mold (87107) $95.20 $119 9.2×
Fungi Identification Yeast (87106) $83.20 $104 8.1×
Galactokinase rbc (82759) $96.80 $121 4.5×
Galactose (82760) $49.60 $62 4.4×
Galactose transferase test (82776) $52.80 $66 4.5×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $95.20 $119 4.5×
Galectin-3 (82777) $198.40 $248 4.5×
Gammaglobulin ige (82785) $103.20 $129 6.3×
Gardner vag DNA dir probe (87510) $93.60 $117 4.7×
Gardner Vag Dna Quant (87512) $188 $235 4.5×
Gases Blood O2 Saturation Only Direct Meas (82810) $111.20 $139 11.4×
Gases blood ph only (82800) $48.80 $61 4.4×
Gastric Analy W/Ph Ea Spec (82930) $29.60 $37 4.4×
Gastrin (82941) $87.20 $109 4.9×
Gastrin after secretin stim (82938) $80 $100 4.5×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $147.20 $184 3.1×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $2,032 $2,540 2.7×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $7,569.60 $9,462 2.6×
Genet Virus Isolate Hsv (87255) $152.80 $191 4.5×
Gentamicin (80170) $73.60 $92 4.5×
Ggt (82977) $61.60 $77 8.6×
Gh suppression panel (80430) $581.60 $727 4.5×
Giardia antigen (87329) $84.80 $106 7.1×
Giardia lamblia antibody (86674) $66.40 $83 4.5×
GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) $191.20 $239 3.1×
Gjb2 Gene Analysis Full Gene Sequence (81252) $315.20 $394 3.1×
Gjb6 Gene Analysis Common Variants (81254) $108.80 $136 3.1×
Gluc-6-phosphate dehydrogenase screen (82960) $27.20 $34 4.5×
Glucagon (82943) $66.40 $83 4.6×
Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) $207.20 $259 4.5×
Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) $226.40 $283 4.5×
Glucagon tolerance test Facility (82946) $80 $100 4.5×
Glucose 2 hr pp (82950) $20.80 $26 4.4×
Glucose Blood Test (82962) $51.20 $64 15.6×
Glucose body fluid (82945) $51.20 $64 13.0×
Glucose Serum (82947) $26.40 $33 6.7×
Glucose tolerance test (gtt) (82951) $57.60 $72 4.5×
Glucosidase beta (82963) $96.80 $121 4.5×
Glutamate dehydrogenase Facility (82965) $58.40 $73 4.4×
Glutathione (82978) $68.80 $86 4.5×
Glutathione reductase, RBC Facility (82979) $42.40 $53 4.5×
Glycated Protein (82985) $56.80 $71 3.4×
Gonadotropin Chorionic Qualitative (84703) $91.20 $114 12.1×
Gonadotropin releasing hormone (83727) $76.80 $96 4.5×
Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) $667.20 $834 4.5×
Growth hormone (83003) $75.20 $94 4.5×
Growth hormone antibody (86277) $71.20 $89 4.5×
Growth Hormone Stimulation Panel (80428) $299.20 $374 4.5×
Gtt-added samples (82952) $17.60 $22 4.5×
H Pylori (C-13) Breath (83013) $313.60 $392 4.7×
H Pylori Drug Admin (83014) $32.80 $41 4.2×
Haloperidol (80173) $71.20 $89 4.5×
Haptoglobin (83010) $105.60 $132 8.4×
Haptoglobin; phenotypes Facility (83012) $120.80 $151 4.5×
Hba1/Hba2 Gene (81257) $317.60 $397 3.1×
Hbb Full Gene Sequence (81364) $1,009.60 $1,262 3.1×
Hdl Cholesterol (83718) $56 $70 6.8×
Heavy metal qualitative any analytes (83015) $94.40 $118 4.5×
Heinz Bodies Direct (85441) $19.20 $24 4.6×
Heinz Bodies Induced Acetyl Phenylhydrazine (85445) $30.40 $38 4.5×
Helicobacter Pylori Stool (87338) $97.60 $122 6.8×
Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) $303.20 $379 4.5×
Helminth Antibody (86682) $69.60 $87 5.3×
Hemagglutination Inhibition (86280) $36.80 $46 4.5×
Hematocrit (85014) $35.20 $44 14.9×
Hemoglobin (85018) $37.60 $47 15.9×
Hemoglobin a1c (83036) $77.60 $97 8.0×
Hemoglobin Chromotography (83021) $201.60 $252 11.2×
Hemoglobin Copper Sulfate Method Non-Automated (83026) $18.40 $23 4.6×
Hemoglobin electrophoresis (83020) $175.20 $219 13.6×
Hemoglobin F Fetal Chemical (83030) $48 $60 4.5×
Hemoglobin Methemoglobin Quantitative (83050) $68 $85 8.3×
Hemoglobin plasma (83051) $34.40 $43 4.7×
Hemoglobin stability screen (83068) $42.40 $53 4.5×
Hemoglobin Thermolabile (83065) $40 $50 4.4×
Hemoglobin urine (83069) $17.60 $22 4.5×
Hemoglobin-Oxygen Affinity (82820) $59.20 $74 4.4×
Hemoglobin; methemoglobin, qualitative Facility (83045) $28.80 $36 4.4×
Hemolysin Acid (85475) $39.20 $49 4.4×
Hemolysins&Agglutinins Auto Screen Each (86940)
range across 3 matching MRF lines		 $40–$6,634.40 $50–$8,293 varies
Hemolysins&Agglutinins Incubated (86941)
range across 2 matching MRF lines		 $56.80–$297.60 $71–$372 varies
Hemosiderin urine (83070) $20.80 $26 4.4×
Hep a ab igm (86709) $70.40 $88 6.3×
Heparin assay (85520) $193.60 $242 14.8×
Heparin Neutralization (85525) $105.60 $132 8.9×
Heparin-Protamine Tolerance Tst (85530) $58.40 $73 4.5×
Hepatitis a antibody total (86708) $82.40 $103 6.7×
Hepatitis b core ab igm (86705) $62.40 $78 5.3×
Hepatitis b core ab total (86704)
range across 2 matching MRF lines		 $35.20–$95.20 $44–$119 varies
Hepatitis B Surface Antibody (86706) $88 $110 8.2×
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines		 $35.20–$88.80 $44–$111 varies
Hepatitis Be Antibody (86707) $52 $65 4.5×
Hepatitis Be Antigen (87350) $52 $65 4.5×
Hepatitis C Antibody (86803)
range across 2 matching MRF lines		 $39.20–$96 $49–$120 varies
Hepatitis c antibody confirmatory test (86804)
range across 2 matching MRF lines		 $60–$68.80 $75–$86 varies
Hepatitis C Genotype (87902) $1,157.60 $1,447 4.5×
Hepatitis C Probe&Rvrs Trnsc (87521)
range across 2 matching MRF lines		 $62.40–$157.60 $78–$197 varies
Hepatitis C Revrs Trnscrpj (87522) $352.80 $441 8.2×
Hepatitis delta ag (87380) $82.40 $103 4.5×
Hepatitis Delta Agent Antibody (86692) $76.80 $96 4.5×
Hepatitis G Dna Quant (87527) $188 $235 4.5×
Herpes simplex type 2 (86696) $125.60 $157 6.5×
Heterophile antibodies titer (86309) $28.80 $36 4.5×
Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) $32.80 $41 4.5×
Heterophile Antibody Screen (86308) $24 $30 4.6×
Hexa gene analysis common variants (81255) $160 $200 3.1×
Hfe Gene (81256) $373.60 $467 5.7×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460)
range across 2 matching MRF lines		 $34.40–$252.80 $43–$316 varies
Histamine urine (83088) $132.80 $166 4.5×
Histoplasma antibody (86698) $41.60 $52 3.0×
Histoplasma antigen urine (87385) $59.20 $74 4.5×
Hiv Genotype (87901) $1,688.80 $2,111 6.6×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $149.60 $187 6.2×
Hiv-1 Antibody (86701) $39.20 $49 4.4×
HIV-1 p24 antigen (87390) $108.80 $136 4.5×
Hiv-1 Quant&Revrse Trnscrpj (87536) $691.20 $864 8.1×
HIV-2 probe&revrse trnscripj (87538) $157.60 $197 4.5×
Hla class i semiquant panel (86834) $858.40 $1,073 2.4×
Hla class i&ii antibody qual (86828) $288.80 $361 4.5×
Hla class i/ii antibody qual (86829) $288.80 $361 4.5×
Hla class ii high defin qual (86833) $781.60 $977 2.4×
Hla I Low Resolution One Antigen Equivalent Each (81374) $262.40 $328 3.5×
Hla I Typing 1 Allele Hr (81381) $528.80 $661 3.1×
Hla ii typing 1 allele hr (81383) $340 $425 3.1×
Hla Typing a/B/C Multiple Antigens (86813) $260.80 $326 4.5×
Hla Typing Dr/Dq Multiple Antigens (86817) $476.80 $596 4.5×
Hla Typing Dr/Dq Single Antigen (86816) $135.20 $169 4.5×
Hla-b27 (86812)
range across 3 matching MRF lines		 $127.20–$232 $159–$290 varies
Homocysteine (83090) $110.40 $138 6.2×
Homogenization Tissue (87176) $67.20 $84 11.4×
Homovanillic acid urine (83150) $100.80 $126 4.5×
Hpv High-Risk Types (87624) $147.20 $184 4.2×
Hpv low-risk types (87623) $157.60 $197 4.5×
Hpv Types 16 & 18 Only (87625) $182.40 $228 4.5×
Hsv Dna Amp Probe (87529) $184.80 $231 5.3×
Hsv Dna Quant (87530) $192.80 $241 4.5×
Htlv-I Antibody (86687) $60.80 $76 6.7×
Htlv-ii antibody (86688) $60.80 $76 4.3×
Hydroxycorticosteroids 17 (83491) $80.80 $101 4.5×
Hydroxyprogesterone 17-d (83498) $121.60 $152 4.5×
Hydroxyproline free (83500) $101.60 $127 4.5×
Hydroxyproline total (83505) $109.60 $137 4.5×
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) $53.60 $67 4.5×
Iaad Ia Cytomegalovirus (87332) $53.60 $67 4.5×
Iaad Ia Entamoeba Histolytica Grp (87337) $53.60 $67 4.5×
Iaad Ia Escherichia Coli 0157 (87335) $56.80 $71 4.5×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341)
range across 2 matching MRF lines		 $46.40–$305.60 $58–$382 varies
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $62.40 $78 4.5×
Iaad ia shiga-like toxin (87427) $172 $215 14.4×
Iaad Ia Streptococcus Group A (87430) $70.40 $88 4.2×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $53.60 $67 4.5×
Iaadi giardia (87269) $61.60 $77 4.5×
Iaadi herpes smplx virus type 1 (87274) $53.60 $67 4.5×
Iaadi herpes smplx virus type 2 (87273) $53.60 $67 4.5×
Iaadi inffluenza a virus (87276) $72 $90 4.5×
Iaadi not otherwise specified each organism (87299) $72 $90 4.5×
Iaadi parainfluenza virus each type (87279) $73.60 $92 4.5×
Iaadi pneumocustis carinii (87281) $133.60 $167 11.2×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $53.60 $67 4.5×
Iaadi respiratory synctial virus (87280) $60.80 $76 4.5×
Iaadi Varicella Zoster Virus (87290) $60.80 $76 4.5×
Iadna Bartonella Amplified Probe Technique (87471)
range across 2 matching MRF lines		 $131.20–$157.60 $164–$197 varies
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $157.60 $197 4.5×
Iadna Candida Species Amplified Probe Tq (87481) $105.60 $132 3.0×
Iadna chlamydia pneumoniae amplified probe tq (87486) $162.40 $203 4.6×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $101.60 $127 4.5×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $162.40 $203 4.6×
Iadna Cytomegalovirus Direct Probe Tq (87495) $135.20 $169 4.5×
Iadna Cytomegalovirus Quantification (87497) $411.20 $514 9.6×
Iadna hepatitis b virus amplified probe tq (87516)
range across 2 matching MRF lines		 $62.40–$157.60 $78–$197 varies
Iadna Hepatitis B Virus Quantification (87517) $299.20 $374 7.0×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $157.60 $197 4.5×
Iadna Herpes Virus-6 Quantification (87533) $423.20 $529 10.1×
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 2 matching MRF lines		 $62.40–$157.60 $78–$197 varies
Iadna Hiv-2 Quant & Reverse Transcription (87539) $264 $330 4.5×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $157.60 $197 4.5×
Iadna Multiple Organisms Direct Probe Tq (87800) $185.60 $232 4.3×
Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) $123.20 $154 4.5×
Iadna Mycobacteria Species Amplified Probe Tq (87551)
range across 2 matching MRF lines		 $186.40–$224 $233–$280 varies
Iadna Mycobacteria Species Direct Probe Tq (87550) $90.40 $113 4.5×
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 2 matching MRF lines		 $156–$189.60 $195–$237 varies
Iadna Mycobacteria Tuberculosis Dir Prb (87555) $120.80 $151 4.5×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $157.60 $197 4.5×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $244 $305 7.0×
Iadna Nos Direct Probe Tq Each Organism (87797) $135.20 $169 4.5×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $342.40 $428 2.4×
Idh1 common variants (81120) $500.80 $626 2.6×
Idh2 common variants (81121) $767.20 $959 2.6×
Igg subclasses (82787) $59.20 $74 7.4×
Igh gene rearrange amp meth (81261)
range across 2 matching MRF lines		 $512.80–$615.20 $641–$769 varies
Igh@ Variable Region Somatic Mutation Analysis (81263) $763.20 $954 2.6×
Igk rearrangeabn clonal pop (81264) $537.60 $672 3.1×
Ikbkap Gene Analysis Common Variants (81260) $121.60 $152 3.1×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 2 matching MRF lines		 $713.60–$854.40 $892–$1,068 varies
Immune Complex Assay (86332) $109.60 $137 4.5×
Immunfix e-phorsis/urine/csf (86335) $184.80 $231 6.3×
Immunoassay analyte qual/semiqual single step (83518) $43.20 $54 4.5×
Immunoassay Analyte Quant Radioimmunoassay (83519) $144.80 $181 7.9×
Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) $115.20 $144 4.5×
Immunoassay infectious agent (86318) $81.60 $102 4.5×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $68.80 $86 4.6×
Immunoassay nonantibody (83516) $104 $130 9.0×
Immunodiffusion not elsewhere specified (86329) $63.20 $79 4.5×
Immunodiffusion Ouchterlony (86331) $59.20 $74 4.9×
Immunoelectrophoresis Other Fluids Concentration (86325) $188.80 $236 8.2×
Immunoelectrophoresis Serum (86320) $220 $275 7.4×
Immunofixation electrophoresis (86334) $164.80 $206 7.4×
Immunofluorescence per spec 1st singl antb stain (88346)
range across 2 matching MRF lines		 $524.80–$607.20 $656–$759 varies
Immunohistochemistry (88342)
range across 2 matching MRF lines		 $339.20–$414.40 $424–$518 varies
In situ hybridization 1st probe stain (88365)
range across 3 matching MRF lines		 $635.20–$716.80 $794–$896 varies
In situ hybridization ea multiplex probe stain (88366)
range across 2 matching MRF lines		 $1,119.20–$1,343.20 $1,399–$1,679 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) $99.20 $124 4.5×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) $72 $90 4.5×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) $67.20 $84 4.5×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) $47.20 $59 4.5×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $72 $90 4.5×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) $110.40 $138 4.5×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $65.60 $82 4.5×
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) $60.80 $76 4.5×
Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)… (87267) $60.80 $76 4.5×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $54.40 $68 4.4×
Infectious agent antigen detection by immunofluorescent technique; Rubeola Facility (87283) $273.60 $342 4.5×
Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) $54.40 $68 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) $192.80 $241 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475) $90.40 $113 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482) $250.40 $313 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) $90.40 $113 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) $192.80 $241 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) $240 $300 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $84 $105 2.4×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) $140 $175 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) $176.80 $221 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) $133.60 $167 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) $90.40 $113 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) $260.80 $326 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) $99.20 $124 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) $99.20 $124 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) $188 $235 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562) $192.80 $241 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) $192.80 $241 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) $192.80 $241 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) $90.40 $113 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Facility (87582) $1,361.60 $1,702 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) $192.80 $241 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) $90.40 $113 4.5×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) $188 $235 4.5×
Infectious Agent Dna/Rna Influenza Ea Type (87501) $230.40 $288 4.5×
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) $54.40 $68 4.5×
Influenza a/b ag eia (87400) $89.60 $112 6.3×
Influenza DNA amp probe (87502) $431.20 $539 4.5×
Inhibin A (86336) $72 $90 4.6×
Inhibin b (83520)
range across 2 matching MRF lines		 $225.60–$449.60 $282–$562 varies
Insitu hybridization auto (88367)
range across 2 matching MRF lines		 $713.60–$856 $892–$1,070 varies
Insitu hybridization manual (88368)
range across 2 matching MRF lines		 $713.60–$856 $892–$1,070 varies
Insulin antibodies (86337) $96 $120 4.5×
Insulin free (83527) $58.40 $73 4.5×
Insulin tolerance panel growth horm defncy (80435) $462.40 $578 4.5×
Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) $1,281.60 $1,602 4.5×
Insulin total (83525) $62.40 $78 5.5×
Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) $744.80 $931 4.5×
Intrinsic factor (stomach protein) level (83528) $89.60 $112 4.5×
Intrinsic factor antibody (86340) $68 $85 4.5×
Iron (83540)
range across 2 matching MRF lines		 $24–$57.60 $30–$72 varies
Iron Binding Capacity (83550) $73.60 $92 8.4×
Iron stain peripheral blood (85536) $30.40 $38 4.4×
Irradiation Blood Product Each Unit (86945)
range across 2 matching MRF lines		 $41.60–$125.60 $52–$157 varies
Islet cell antibody (86341) $124 $155 5.3×
Isocitric dehydrogenase (IDH) Facility (83570) $39.20 $49 4.4×
Jak2 gene analysis p.val617phe variant (81270) $606.40 $758 6.6×
Jt spc pthgn&rx rsist gen26+ (87627) $3,535.20 $4,419 5.2×
Ketosteroids 17 total (83586) $57.60 $72 4.5×
Kit Gene Analysis D816 Variant(S) (81273) $324 $405 2.6×
Kit Gene Analysis Targeted Sequence Analysis (81272) $854.40 $1,068 2.6×
Koh Prep (87220) $44.80 $56 10.5×
L/s ratio (83661) $99.20 $124 4.5×
Lactate (ld) (ldh) enzyme (83615) $80 $100 13.2×
Lactoferrin fecal qualitative (83630) $120.80 $151 6.1×
Lactogen Hpl Human Chorionic Somatomammotropin (83632) $91.20 $114 4.5×
Lactose urine qual (83633) $51.20 $64 4.6×
Lamellar Body Count (83664) $86.40 $108 4.5×
Ldh Isoenzymes (83625) $57.60 $72 4.5×
LDL direct (83721) $72 $90 6.9×
Lead (83655) $84.80 $106 7.0×
Legionella antibody (86713) $68.80 $86 4.5×
Legionella antigen urine (87449) $78.40 $98 6.5×
Legionella DNA probe (87540) $90.40 $113 4.5×
Legionella pneumophila dfa (87278) $70.40 $88 4.5×
Leptospira antibody (86720) $72.80 $91 4.5×
Leucine Aminopeptidase Lap (83670) $44 $55 4.5×
Leukocyte Assessment Fecal (89055) $64 $80 15.0×
Leukocyte Histamine Release (86343) $56 $70 4.5×
Leukocyte phagocytosis (86344) $47.20 $59 4.5×
Leukocyte transfusion (86950) $407.20 $509 2.1×
Level I Surg Pathology Gross Examination Only (88300) $89.60 $112 2.7×
Level ii surg pathology gross&microscopic exam (88302) $122.40 $153 2.8×
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines		 $713.60–$993.60 $892–$1,242 varies
Lidocaine (80176) $66.40 $83 4.5×
Lipase (83690) $92.80 $116 13.5×
Lipoprotein A (83695) $68.80 $86 4.8×
Lipoprotein Bld Quan Part (83704) $122.40 $153 3.6×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $51.20 $64 4.5×
Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) $57.60 $72 4.5×
Lipoprotein-Associated Phospholipase A2 (83698) $208 $260 4.5×
Listeria Monocytogenes (86723) $59.20 $74 4.5×
Lithium (80178) $80.80 $101 12.2×
Luteinizing Hormone (Lh) (83002) $118.40 $148 6.4×
Lyme disease antibody (86618) $116 $145 6.8×
Lymphocyte Culture Mixed (86821) $164 $205 4.5×
Lymphocyte transformation (86353) $220.80 $276 4.5×
Lymphocytotoxicity Assay (86805)
range across 4 matching MRF lines		 $640–$955.20 $800–$1,194 varies
Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) $214.40 $268 4.5×
Lysozyme serum (85549) $84.80 $106 4.5×
M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) $157.60 $197 4.5×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $1,559.20 $1,949 7.9×
M/phmtrc alys ishquant/semiq (88374) $1,112 $1,390 5.6×
Macroscopic exam arthropod (87168) $19.20 $24 4.5×
Macroscopic Exam Parasite (87169) $19.20 $24 4.5×
Magnesium Urine (83735) $76 $95 11.3×
Malate dehydrogenase Facility (83775) $32.80 $41 4.5×
Mass Spectrometry Quant (83789) $69.60 $87 2.9×
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) $121.60 $152 3.1×
Meat fibers, feces (89160) $25.60 $32 5.3×
Mechanical fragility rbc (85547) $38.40 $48 4.5×
Mercury urine (83825) $99.20 $124 6.1×
Methemalbumin (83857) $48 $60 4.5×
Methylmalonic acid serum (83921) $132.80 $166 6.3×
Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) $409.60 $512 4.5×
Microalbumin, quantitative (82043) $54.40 $68 9.4×
Microbe Suscept Macrobroth (87188) $29.60 $37 4.5×
Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) $100.80 $126 4.5×
Microsomal Antibodies Each (86376) $78.40 $98 5.4×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $629.60 $787 3.1×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $2,101.60 $2,627 3.1×
Mlh1 Gene Analysis Known Familial Variants (81293) $1,030.40 $1,288 3.1×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $169.60 $212 4.5×
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) $183.20 $229 4.5×
Molecular Cytogenetics Dna Probe Each (88271) $294.40 $368 13.7×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274)
range across 2 matching MRF lines		 $159.20–$191.20 $199–$239 varies
Molecular Pathology Procedure Level 3 (81402) $467.20 $584 3.1×
Molecular Pathology Procedure Level 6 (81405) $936.80 $1,171 3.1×
Mononuclear cell antigen (86356) $120 $150 4.5×
Mopath procedure level 1 (81400) $198.40 $248 3.1×
Mopath procedure level 2 (81401) $426.40 $533 3.1×
Mopath procedure level 5 (81404) $855.20 $1,069 3.1×
Mopath procedure level 7 (81406)
range across 2 matching MRF lines		 $620–$880 $775–$1,100 varies
Mopath procedure level 8 (81407) $2,632 $3,290 3.1×
Morphometric analysis nerve (88356)
range across 2 matching MRF lines		 $614.40–$1,398.40 $768–$1,748 varies
Morphometric Analysis Tumor (88358)
range across 2 matching MRF lines		 $468.80–$834.40 $586–$1,043 varies
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $663.20 $829 3.1×
Msh2 Gene Analysis Full Sequence Analysis (81295) $1,187.20 $1,484 3.1×
Msh2 Gene Analysis Known Familial Variants (81296) $1,050.40 $1,313 3.1×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $740 $925 3.1×
Msh6 Gene Analysis Full Sequence Analysis (81298) $1,996.80 $2,496 3.1×
Msh6 Gene Known Variants (81299) $958.40 $1,198 3.1×
Mthfr Gene Analysis Common Variants (81291) $203.20 $254 3.1×
Mucin Clot Body Fluid (83872) $25.60 $32 4.4×
Mucopolysaccharides acid quantitative (83864) $128.80 $161 4.5×
Mumps antibody (86735) $74.40 $93 5.7×
Mycobacteric Identification (87118) $65.60 $82 4.5×
Mycoplasma antibody (86738) $59.20 $74 4.5×
Mycoplasma culture (87109) $37.60 $47 2.4×
Myd88 Gene P.Leu265pro Vrnt (81305) $448 $560 2.6×
Myelin basic protein csf (83873) $77.60 $97 4.5×
Myoglobin urine (83874) $57.60 $72 4.5×
Natriuretic peptide (83880) $296.80 $371 7.6×
Neisseria Dir Na Probe (87590) $120.80 $151 4.5×
Nerve teasing preparations (88362)
range across 2 matching MRF lines		 $1,706.40–$2,048 $2,133–$2,560 varies
Neutralization Test Viral (86382) $76 $95 4.5×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $131.20 $164 4.5×
Nfct Agent Genotype Hepatitis B Virus (87912) $1,157.60 $1,447 4.5×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) $1,157.60 $1,447 4.5×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $1,224 $1,530 9.5×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $116.80 $146 4.5×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $2,197.60 $2,747 4.5×
Niacin (84591) $116 $145 6.8×
Nickel level (83885) $110.40 $138 4.5×
Nitroblue Tetrazolium Dye (86384) $61.60 $77 4.5×
Nk cells total count (86357) $236 $295 6.3×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $639.20 $799 2.6×
Nuclear antigen antibody (86235) $102.40 $128 5.7×
Nzym actv blood cells/tiss radact substrate ea (82658) $197.60 $247 4.5×
Occult blood feces (82272) $38.40 $48 9.1×
Occult Blood Other Sources (82271) $24 $30 4.5×
Oligoclonal bands (83916) $123.20 $154 4.5×
Onco (Ovarian) Biochemical Assay Two Proteins (81500) $810.40 $1,013 3.1×
Oncology breast mrna gene expression 21 genes (81519) $10,040.80 $12,551 2.6×
Organic Acids Qualitative Each Specimen (83919) $73.60 $92 4.5×
Organic acids urine (83918) $106.40 $133 4.5×
Osmolality serum (83930) $76.80 $96 11.6×
Osmolality Urine (83935) $72.80 $91 10.7×
Osmotic fragility rbc incubated (85557) $60.80 $76 4.6×
Osmotic Fragility RBC Unincubated (85555) $33.60 $42 4.5×
Osteocalcin (83937) $134.40 $168 4.5×
Ova and parasites smears (87177) $90.40 $113 10.2×
Ova1 (81503) $2,790.40 $3,488 3.1×
Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) $56.80 $71 4.5×
Oxalate urine (83945) $65.60 $82 4.5×
Pancreatic Elastase Fecal (82656) $52 $65 4.5×
Particle Agglut Antbdy Titr (86406) $48 $60 4.5×
Particle Agglutination Screen Each Antibody (86403) $52 $65 4.5×
Parvovirus antibody (86747) $67.20 $84 4.5×
Path Consltj Surg Cytologic Exam Initial Site (88333)
range across 2 matching MRF lines		 $1,706.40–$1,939.20 $2,133–$2,424 varies
Pathology Consultation During Surgery (88329)
range across 2 matching MRF lines		 $121.60–$147.20 $152–$184 varies
Pca3/Klk3 Prostate Specific Antigen Ratio (81313) $792.80 $991 3.1×
Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) $197.60 $247 4.5×
Ph urine (81003) $34.40 $43 15.3×
Phenobarbital Level (80184) $68.80 $86 4.5×
Phenotype Infect Agent Drug (87900) $586.40 $733 4.5×
Phenylalanine (84030) $24.80 $31 4.5×
Phenylketones qual (84035) $18.40 $23 4.6×
Phenytoin (Dilantin) (80185) $111.20 $139 8.4×
Phenytoin free (80186) $64 $80 4.7×
Phosphatase acid prostatic (84066) $43.20 $54 4.5×
Phosphatase alkaline (84075) $40.80 $51 7.9×
Phosphatidylglycerol (84081) $73.60 $92 4.5×
Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) $42.40 $53 4.5×
Phospholipid Neutralization Hexagonal (85598) $171.20 $214 9.5×
Phosphorus Serum (84100) $56.80 $71 12.0×
Phosphorus urine (84105) $25.60 $32 4.4×
Pinworm exam (87172) $19.20 $24 4.5×
Platelet Aggregation (85576)
range across 6 matching MRF lines		 $54.40–$626.40 $68–$783 varies
Platelet Antibodies (86022)
range across 2 matching MRF lines		 $129.60–$240 $162–$300 varies
Platelet count automated (85049)
range across 2 matching MRF lines		 $24–$67.20 $30–$84 varies
Platelet neutralization (85597)
range across 2 matching MRF lines		 $80.80–$148 $101–$185 varies
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $644.80 $806 3.1×
PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure… (81326) $144.80 $181 3.1×
Pmp22 Gene Anal Duplication/Deletion Analysis (81324) $2,360 $2,950 3.1×
Pmp22 Gene Analysis Full Sequence Analysis (81325) $2,394.40 $2,993 3.1×
Pooling blood platelets (86965)
range across 3 matching MRF lines		 $46.40–$407.20 $58–$509 varies
Porphobilinogen Urine Qualitative (84106) $25.60 $32 4.4×
Porphobilinogen, urine; quantitative (84110) $39.20 $49 4.6×
Porphyrins Feces Quantitative (84126) $176 $220 4.5×
Porphyrins Urine Quantitation & Fractionation (84120) $66.40 $83 4.5×
Porphyrins, urine; qualitative (84119) $60.80 $76 4.6×
Potassium Urine (84133) $44 $55 9.3×
Pr assay of bradykinin (82286) $23.20 $29 4.5×
Pr assay of etiocholanolone (82696) $118.40 $148 4.5×
Prealbumin (84134) $120.80 $151 8.3×
Pregnancy-Associated Plasma Protein-A (84163) $67.20 $84 4.5×
Pregnanediol (84135) $96 $120 4.5×
Pregnanetriol (84138) $95.20 $119 4.5×
Pregnenolone (84140) $92.80 $116 4.5×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977)
range across 2 matching MRF lines		 $146.40–$407.20 $183–$509 varies
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970)
range across 2 matching MRF lines		 $101.60–$136 $127–$170 varies
Pretx serum rbc antibody identification dilution (86976) $152 $190 4.5×
Primidone (80188) $75.20 $94 4.5×
Progesterone (84144) $91.20 $114 4.4×
Prolactin (84146) $148.80 $186 7.7×
Prostaglandin (84150) $188 $235 4.5×
Protein Alys Wstrn Blot I&R Immunological Ea (88372) $245.60 $307 9.4×
Protein body fluid (84157) $55.20 $69 13.8×
Protein C Activity (85303)
range across 2 matching MRF lines		 $82.40–$92 $103–$115 varies
Protein c antigen (85302) $53.60 $67 4.5×
Protein Electrophoresis Urine (84166) $121.60 $152 6.8×
Protein Electrophoretic Fractj&Quantj Serum (84165) $88.80 $111 8.3×
Protein S Free (85306)
range across 2 matching MRF lines		 $82.40–$140 $103–$175 varies
Protein s total (85305) $52 $65 4.5×
Protein Total Refractometry Any Src (84160) $24.80 $31 4.4×
Protein total serum (84155) $35.20 $44 9.6×
Protein Total Urine (84156) $41.60 $52 11.3×
Protein Western Blot Test (84182) $127.20 $159 4.4×
Protein, western blot tissue (88371) $233.60 $292 10.5×
Prothrombin Time Substitution Plasma Frctj Each (85611) $18.40 $23 4.7×
Protoporphyrin rbc quantitative (84202) $64 $80 4.5×
Protoporphyrin, RBC; screen Facility (84203) $44 $55 4.5×
PSA free (84154) $92 $115 5.0×
Pten Gene Analysis Duplication/Deletion Variant (81323) $932.80 $1,166 3.1×
Pten Gene Analysis Full Sequence Analysis (81321) $1,866.40 $2,333 3.1×
Pten gene analysis known familial variant (81322) $144.80 $181 3.1×
Pth Intact (83970) $255.20 $319 6.2×
Pyruvate kinase (84220) $42.40 $53 4.5×
Q Fever Antibody (86638) $54.40 $68 4.5×
Quantiferon tb gold plus (86480) $293.60 $367 4.7×
Quantitative assay drug (80299) $338.40 $423 18.2×
Quantitative Screen Metals (83018) $99.20 $124 4.5×
Quinidine (80194) $65.60 $82 4.5×
Quinine (84228) $52 $65 4.5×
Rbc antibody elution (86860)
range across 2 matching MRF lines		 $112–$408 $140–$510 varies
Rbc antibody identification (86870)
range across 3 matching MRF lines		 $122.40–$854.40 $153–$1,068 varies
Rbc antibody screen (86850)
range across 3 matching MRF lines		 $48–$107.20 $60–$134 varies
Rbc pretreatment serum (86978)
range across 3 matching MRF lines		 $145.60–$448 $182–$560 varies
Rbc pretx incubatj w/enzymes (86971)
range across 2 matching MRF lines		 $96.80–$407.20 $121–$509 varies
Rbc serum pretx incubj drugs (86975) $948.80 $1,186 1.8×
Reagent Strip/Blood Glucose (82948) $50.40 $63 10.0×
Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) $320.80 $401 4.5×
Receptor assay estrogen (84233) $395.20 $494 4.5×
Receptor assay progesterone (84234) $292 $365 4.5×
Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) $941.60 $1,177 4.5×
Renin activity plasma (84244) $78.40 $98 3.6×
Reptilase test (85635)
range across 2 matching MRF lines		 $44–$144 $55–$180 varies
Resp virus 12-25 targets (87633) $1,200 $1,500 2.9×
Resp Virus 6-11 Targets (87632) $980 $1,225 4.5×
Reticulated Platelet Assay (85055) $86.40 $108 2.4×
Reticulocyte Count (85046) $56.80 $71 10.2×
Reticulocyte Count Manual (85044) $36.80 $46 8.5×
Reticulocyte separation (86972)
range across 2 matching MRF lines		 $166.40–$407.20 $208–$509 varies
Rh (86901) $91.20 $114 30.5×
Rheumatoid Factor Qualitative (86430) $59.20 $74 9.6×
Rheumatoid factor quant (86431) $52.80 $66 9.3×
Rickettsia antibody (86757) $87.20 $109 4.5×
Ristocetin cofactor (85245)
range across 2 matching MRF lines		 $133.60–$292.80 $167–$366 varies
Rotavirus ag eia (87425) $53.60 $67 4.5×
Rpr qualitative (86592)
range across 2 matching MRF lines		 $34.40–$53.60 $43–$67 varies
Rsv ab (86756) $71.20 $89 4.5×
Rsv Assay W/Optic (87807) $58.40 $73 4.5×
Rubella Antibody (86762) $88 $110 6.1×
Rubeola antibody (86765) $78.40 $98 6.1×
Russell Viper Venom Time Diluted (85613)
range across 3 matching MRF lines		 $94.40–$99.20 $118–$124 varies
Russell Viper Venon Time Undiluted (85612) $78.40 $98 4.5×
Salmonella antibody (86768) $59.20 $74 4.5×
Sarscov2&inf typ a&b w/optic (87812) $387.20 $484 5.2×
Sc std carbapenem resist gen (87183) $182.40 $228 5.2×
Sedimentation rate (85651) $54.40 $68 12.7×
Sedimentation Rate, Automated (85652) $32 $40 11.9×
Selenium (84255) $159.20 $199 6.2×
Semen Anal Sperm Detection (89321) $53.60 $67 4.4×
Semen analysis complete (89320) $56 $70 4.5×
Semen analysis motility and count (89310) $38.40 $48 4.5×
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) $44 $55 4.5×
Sensitivity mic (87186) $100.80 $126 11.7×
Serum Bactericidal Titer (87197) $67.20 $84 4.5×
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative… (86413) $228.80 $286 4.4×
Sex Chromatin Identification Barr Bodies (88130)
range across 2 matching MRF lines		 $81.60–$97.60 $102–$122 varies
Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140)
range across 2 matching MRF lines		 $36–$43.20 $45–$54 varies
Sex Hormone Binding Globulin (84270) $134.40 $168 6.2×
Shigella Antibody (86771) $110.40 $138 4.5×
Sickling of rbc reduction (85660)
range across 2 matching MRF lines		 $74.40–$76.80 $93–$96 varies
Silica (84285) $113.60 $142 4.5×
Sirolimus (80195) $161.60 $202 11.8×
Skin Test Candida (86485) $85.60 $107 2.5×
Skin test tuberculosis intradermal (86580) $71.20 $89 2.1×
Skin test; histoplasmosis (86510) $95.20 $119 2.2×
Smear acid fast (87206) $62.40 $78 11.6×
Smear complex stain (87209) $162.40 $203 9.0×
Smear gram stain (87205) $59.20 $74 13.9×
Smear Special Stain (87207) $40 $50 6.7×
Smpd1 Gene Analysis Common Variants (81330) $145.60 $182 3.1×
Smr Prim Src Wet Mount Nfct Agt (87210) $62.40 $78 10.7×
Snrpn/Ube3a Methylation Analysis (81331) $158.40 $198 3.1×
Sodium Serum (84295) $57.60 $72 12.0×
Sodium Urine (84300) $54.40 $68 10.8×
Soluble fibrin monomer (85366) $361.60 $452 4.5×
Soluble Transferrin Receptor (84238) $164 $205 4.5×
Somatomedin (84305) $136 $170 6.4×
Somatostatin (84307) $82.40 $103 4.5×
Special Stains Group 1 (88312) $412 $515 6.8×
Special Stains Group 2 (88313) $336.80 $421 2.2×
Specific gravity body fluid (84315) $14.40 $18 4.4×
Specimen infect agnt concntj (87015) $72.80 $91 10.9×
Spectrophotometry (84311) $36.80 $46 4.5×
Sperm Antibodies (89325) $48 $60 4.5×
Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330) $47.20 $59 4.5×
Sperm evaluation; hamster penetration test Facility (89329) $88 $110 4.5×
Splitting Blood/Blood Products Each Unit (86985) $407.20 $509 2.1×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $407.20 $509 2.1×
Stem cells total count (86367) $1,590.40 $1,988 20.4×
Stone Analysis (82355) $52 $65 4.5×
Stool cultr aerobic bact ea (87046) $76 $95 8.1×
Strep a assay w/optic (87880) $67.20 $84 4.1×
Strep a DNA amp probe (87651) $192 $240 5.5×
Streptokinase, antibody Facility (86590) $56.80 $71 4.5×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $52 $65 4.5×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $24.80 $31 4.5×
Sugars Multiple Quant (84379) $52 $65 4.5×
Sugars Single Qual (84376) $24.80 $31 4.5×
Sugars, chromatographic, TLC or paper chromatography Facility (84375) $176 $220 4.5×
Sulfate urine (84392) $24.80 $31 4.5×
Surg path level iii (88304) $225.60 $282 3.7×
Surgical pathology level IV (88305) $296 $370 4.9×
Surgical pathology level vi (88309)
range across 2 matching MRF lines		 $1,706.40–$1,939.20 $2,133–$2,424 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $65.60 $82 13.8×
Susceptibility Study Antimicrobial Disk Method (87184) $79.20 $99 10.6×
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) $180.80 $226 4.5×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $32.80 $41 4.5×
Sweat Collection Iontophoresis (89230) $128.80 $161 2.1×
Syphilis Test Non-Trep Quant (86593) $35.20 $44 8.0×
T cells absolute cd4 count (86361) $200 $250 7.5×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $304 $380 6.5×
T cells total count (86359) $251.20 $314 6.7×
T3 Free (84481) $111.20 $139 6.6×
T3 reverse (84482) $104 $130 6.6×
T3 Total (84480) $82.40 $103 5.8×
T3 Uptake (84479) $54.40 $68 8.4×
T4 Free (84439) $92 $115 10.2×
T4 total (84436) $44.80 $56 6.5×
T4-neonatal (84437) $28.80 $36 4.5×
Tacrolimus (80197) $136.80 $171 10.0×
Tb ag response t-cell susp (86481) $450.40 $563 4.5×
Test for acetone/ketones (82009) $255.20 $319 56.5×
Test for urine cystines (82615) $43.20 $54 4.5×
Testosterone total (84403) $160.80 $201 6.2×
Testosterone, Free (84402) $136.80 $171 5.4×
Tetanus antibody (86774) $230.40 $288 15.6×
Thawing and expansion of frozen cells, each aliquot Facility (88241) $53.60 $67 4.4×
Theophylline (80198) $63.20 $79 4.5×
Thiocyanate (84430) $52 $65 4.5×
Thrombin Time (85670) $65.60 $82 11.4×
Thrombin time titer (85675) $30.40 $38 4.4×
Thrombomodulin Facility (85337) $77.60 $97 4.5×
Thromboplastin Inhibition Tissue (85705)
range across 2 matching MRF lines		 $41.20–$43.20 $51.50–$54 varies
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 2 matching MRF lines		 $41.20–$76 $51.50–$95 varies
Thyroglobulin (84432) $98.40 $123 6.1×
Thyroglobulin Antibody (86800) $86.40 $108 5.4×
Thyroid Stimulating Immunoglobulin (84445) $266.40 $333 5.2×
Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) $226.40 $283 4.5×
Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) $302.40 $378 4.5×
Thyroxine binding globulin (84442) $66.40 $83 4.5×
Tiss cul neo disorders solid tumor (88239) $663.20 $829 4.5×
Tiss Trnsgltmnase Ea Ig Clas (86364) $50.40 $63 4.4×
Tissue Culture (88233)
range across 2 matching MRF lines		 $543.20–$652 $679–$815 varies
Tissue Culture Amniotic Fluid (88235) $676 $845 4.5×
Tissue culture bone marrow (88237) $966.40 $1,208 6.7×
Tissue Culture Lymphocyte (88230) $524 $655 4.5×
Tobramycin peak (80200) $72.80 $91 4.5×
Topiramate (80201) $53.60 $67 4.5×
Touch prep (88161)
range across 2 matching MRF lines		 $283.20–$497.60 $354–$622 varies
Toxin/Antitoxin Assay Tissue Culture (87230) $88 $110 4.5×
Toxoplasma ab igm (86778) $114.40 $143 7.9×
Toxoplasma antibody (86777) $88.80 $111 6.2×
Tp53 gene analysis targeted sequence analysis (81352)
range across 2 matching MRF lines		 $854.40–$1,025.60 $1,068–$1,282 varies
Transferase Aspartate Amino Ast Sgot (84450) $45.60 $57 8.8×
Transferrin (84466) $110.40 $138 8.7×
Trb@ Rearrangement Anal Amplification Method (81340) $541.60 $677 2.6×
Trg gene rearrangement anal (81342) $1,548 $1,935 7.7×
Trichinella Antibody (86784) $56.80 $71 4.5×
Trichomonas vagin dir probe (87660) $93.60 $117 4.7×
Triglycerides (84478) $53.60 $67 9.3×
Troponin Quant (84484) $168 $210 13.5×
Troponin, qualitative (84512) $44.80 $56 4.4×
Trypsin feces qual (84488) $32.80 $41 4.5×
Tumor immunohistochem/comput (88361)
range across 2 matching MRF lines		 $713.60–$854.40 $892–$1,068 varies
Tumor Immunohistochem/Manual (88360)
range across 2 matching MRF lines		 $339.20–$364 $424–$455 varies
Unlisted Transfusion Medicine Procedure (86999)
range across 42 matching MRF lines		 $20–$3,440 $25–$4,300 varies
Urea Nitrogen Clearance (84545) $32.80 $41 4.6×
Urea nitrogen urine (84540) $24.80 $31 4.5×
Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) $23.20 $29 4.5×
Uric acid other source (84560) $23.20 $29 4.6×
Urinalysis Microscopic Only (81015) $21.60 $27 7.1×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $9.60 $12 4.4×
Urinalysis Volume Measure (81050) $21.60 $27 5.9×
Urinalysis; 2 or 3 glass test Facility (81020) $20.80 $26 4.4×
Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) $134.40 $168 4.5×
Urine Albumin Semiquantitative (82044) $23.20 $29 3.7×
Urine Bacteria Culture (87088) $70.40 $88 8.7×
Urine Pregnancy Test (81025) $64.80 $81 7.5×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $43.20 $54 13.6×
Urobilinogen urine qual (84578) $20 $25 4.5×
Urobilinogen, feces, quantitative Facility (84577) $76 $95 4.5×
Urobilinogen, urine; quantitative, timed specimen Facility (84580) $43.20 $54 4.5×
Urobilinogen, urine; semiquantitative Facility (84583) $27.20 $34 4.5×
Valproic acid (80164) $131.20 $164 9.7×
Vancomycin (80202) $123.20 $154 9.1×
Varicella-zoster antibody (86787) $101.60 $127 7.9×
Vasopressin (84588) $152.80 $191 4.5×
Very Long Chain Fatty Acids (82726) $88 $110 4.5×
Viral Culture (87252) $120 $150 4.6×
Virus antibody nos (86790) $57.60 $72 4.5×
Virus inoculate tissue addl (87253) $91.20 $114 4.5×
Virus inoculation, shell via (87254) $87.20 $109 4.5×
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) $87.20 $109 4.5×
Viscosity serum (85810) $95.20 $119 8.2×
Vit D 1 25-Dihydroxy (82652) $182.40 $228 4.7×
Vitamin A (84590) $66.40 $83 5.7×
Vitamin b-12 (82607) $113.60 $142 7.5×
Vitamin B2 (Riboflavin) (84252) $91.20 $114 4.5×
Vitamin B6 (84207) $102.40 $128 3.6×
Vitamin c (82180) $44 $55 4.4×
Vitamin D 25-Hydroxy (82306) $152.80 $191 5.2×
Vitamin E (84446) $87.20 $109 6.1×
Vitamin K (84597) $90.40 $113 6.6×
Volatiles (84600) $76.80 $96 4.5×
Voltage-Gated Calcium Channel Antibody Each (86596) $108 $135 9.0×
Volume Reduction Blood/Blood Product Each Unit (86960)
range across 3 matching MRF lines		 $92–$407.20 $115–$509 varies
Von willebrand factor ag (85246)
range across 2 matching MRF lines		 $148–$172.80 $185–$216 varies
Wbc Alkaline Phosphatase Count (85540) $38.40 $48 4.5×
West nile virus ab igm (86788) $76 $95 4.5×
West Nile Virus Antibody (86789) $64 $80 4.4×
Western Blot Test (84181) $189.60 $237 11.1×
Xm Archive Tissue Molec Anal (88363)
range across 2 matching MRF lines		 $59.20–$133.60 $74–$167 varies
Xylose Absorption Test (84620) $57.60 $72 4.5×
Zinc (84630) $84.80 $106 7.4×

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.