Lab & pathology prices at Ketchikan Medical Center

Ketchikan, AK · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $104 $160 9.3×
Acth (82024) $187.20 $288 4.8×
Acth Stimulation Panel Adrenal Insufficiency (80400)
range across 2 matching MRF lines
$107.90–$163.15 $166–$251 varies
Acute hepatitis panel (80074) $141.70 $218 3.0×
Albumin Fluid (82042) $29.25 $45 3.8×
Albumin serum (82040) $44.20 $68 8.9×
Aldolase (82085) $85.15 $131 8.8×
Aldosterone urine (82088) $193.05 $297 4.7×
Alkaline phosphatase isoenzymes (84080) $124.15 $191 8.4×
Allergen specific ige (86003)
range across 2 matching MRF lines
$24.05–$384.80 $37–$592 varies
Allergen specific igg (86001) $28.60 $44 3.7×
Allg Spec Ige Recomb Ea (86008) $33.15 $51 1.8×
Alpha-1-antitrypsin phenotype (82104) $33.15 $51 2.3×
Alpha-1-antitrypsin total (82103) $120.25 $185 8.9×
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$65.65–$88.40 $101–$136 varies
Alt (sgpt) (84460) $47.45 $73 9.0×
Aluminum (82108) $118.30 $182 4.6×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $273 $420 16.2×
Ammonia (82140) $126.10 $194 8.7×
Amniotic fluid protein test on cervicovaginal fluid (84112) $213.20 $328 2.2×
Amylase urine (82150) $57.85 $89 8.9×
Ana Titer (86039) $131.30 $202 11.8×
Anca screen each antibody (86036) $19.50 $30 1.6×
Androstenedione (82157) $115.70 $178 4.0×
Angiotensin converting enzyme csf (82164) $82.55 $127 5.7×
Antibody aspergillus (86606) $38.35 $59 2.5×
Antibody Bacterium Not Elsewhere Specified (86609) $47.45 $73 3.7×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 2 matching MRF lines
$113.75–$227.50 $175–$350 varies
Antibody Cytomegalovirus Cmv Igm (86645) $39.65 $61 2.4×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $72.15 $111 5.5×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $145.60 $224 9.5×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 2 matching MRF lines
$120.90–$241.80 $186–$372 varies
Antibody Fungus Not Elsewhere Specified (86671) $86.45 $133 7.1×
Antibody Herpes Smplx Type 1 (86695) $55.90 $86 4.2×
Antibody HIV-1&HIV-2 single result (86703) $85.15 $131 6.2×
Antibody HIV-2 (86702) $32.50 $50 2.4×
Antibody htlv/HIV antibody confirmatory test (86689) $57.20 $88 3.0×
Antibody identification leukocyte antibodies (86021) $152.10 $234 10.1×
Antibody john cunningham virus (86711) $55.90 $86 3.3×
Antibody Protozoa Nes (86753) $62.40 $96 5.0×
Antibody Treponema Pallidum (86780) $86.45 $133 6.5×
Antinuclear antibodies (86038) $78 $120 6.5×
Antistreptolysin o titer (86060) $94.90 $146 13.0×
Antithrombin iii activity (85300) $99.45 $153 8.4×
Apc Gene Analysis Known Familial Variants (81202) $637 $980 2.3×
Apc gene dup/delet variants (81203) $455 $700 2.3×
Apc gene full sequence (81201) $1,774.50 $2,730 2.3×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$116.35–$232.70 $179–$358 varies
Arsenic (82175)
range across 2 matching MRF lines
$65.65–$126.10 $101–$194 varies
Aspergillus ag eia (87305) $195 $300 16.3×
Assay activated protein c (85307) $146.25 $225 9.5×
Assay Blood Carbon Dioxide (82374) $52 $80 10.7×
Assay Nephelometry Not Spec (83883)
range across 2 matching MRF lines
$137.15–$274.30 $211–$422 varies
Assay of 5-hiaa (83497) $93.60 $144 7.3×
Assay of blood/uric acid (84550) $39.65 $61 8.8×
Assay of calcium in urine (82340) $76.05 $117 12.6×
Assay of cpk in blood (82552) $31.20 $48 2.3×
Assay of estrone (82679) $71.50 $110 2.9×
Assay of g6pd enzyme (82955) $107.90 $166 11.1×
Assay of gammaglobulin igm (82784)
range across 2 matching MRF lines
$81.25–$243.75 $125–$375 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines
$126.75–$253.50 $195–$390 varies
Assay of manganese (83785) $91 $140 3.4×
Assay of metanephrines (83835) $290.55 $447 17.2×
Assay of proinsulin (84206) $33.80 $52 1.3×
Assay of serotonin (84260) $194.35 $299 6.3×
Assay of serum potassium (84132) $40.30 $62 8.5×
Assay of sweat sodium (84302) $16.90 $26 3.5×
Assay of urea nitrogen (84520) $35.10 $54 8.9×
Assay of urine vma (84585) $51.35 $79 3.3×
Assay of vasoactive intestinal peptide (84586)
range across 2 matching MRF lines
$120.90–$138.45 $186–$213 varies
Assay of vitamin b-1 (84425) $141.05 $217 6.6×
Assay Ph Body Fluid Nos (83986) $50.70 $78 14.2×
Automated Leukocyte Count (85048) $22.10 $34 8.7×
B cells total count (86355) $126.10 $194 3.3×
Bartonella antibody (86611) $65.65 $101 6.4×
Bcr/abl1 gene major bp (81206) $300.95 $463 1.8×
Bcr/abl1 gene minor bp (81207) $365.95 $563 2.5×
Bcr/Abl1 Gene Other Bp (81208) $476.45 $733 2.2×
Beta 2 glycoprotein i antibody each (86146)
range across 2 matching MRF lines
$79.30–$237.90 $122–$366 varies
Beta hydroxybutyrate (82010) $26 $40 3.2×
Beta Lactamase (87185) $32.50 $50 6.8×
Beta-2 Microglobulin (82232) $111.80 $172 6.9×
Beta-amyloid 1-40 (abeta 40) (82233) $208 $320 1.6×
Beta-amyloid; 1-42 (abeta 42) (82234) $321.75 $495 2.5×
Bile acids total (82239) $72.80 $112 4.3×
Bilirubin direct (82248) $44.20 $68 8.8×
Bilirubin total (82247) $44.20 $68 8.8×
Bilirubin total transcutaneous (88720) $37.05 $57 7.4×
Biotinidase (82261) $40.30 $62 2.4×
Bl Smear W/O Diff Wbc Count (85008) $20.80 $32 6.1×
Blastomyces antibody (86612) $55.25 $85 4.3×
Bld Typing Serologic Rh Phnt (86906) $187.20 $288 24.2×
Blood Count Automated Differential Wbc Count (85004) $19.50 $30 3.0×
Blood Count Manual Cell Count Each (85032) $13 $20 3.0×
Blood Count Red Blood Cell Automated (85041)
range across 2 matching MRF lines
$9.75–$25.35 $15–$39 varies
Blood count reticulocyte automated (85045) $46.15 $71 11.6×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $25.35 $39 6.7×
Blood count spun microhematocrit (85013) $18.85 $29 2.7×
Blood gas (82803) $136.50 $210 5.2×
Blood gases w/02 saturation (82805) $169 $260 2.1×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 2 matching MRF lines
$15.60–$64.35 $24–$99 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 2 matching MRF lines
$29.25–$30.55 $45–$47 varies
Blood Sulfhemoglobin Assay (83060) $111.80 $172 12.7×
Blood Type Antigen Donor Reagent Serum Each (86902) $105.95 $163 16.7×
Blood typing serologic abo (86900) $46.80 $72 15.7×
Body fluid cell count (89050)
range across 2 matching MRF lines
$93.60–$187.20 $144–$288 varies
Braf gene analysis (81210) $141.05 $217 0.8×
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) $1,001 $1,540 2.3×
Brca1 Gene Analysis Known Familial Variant (81215) $853.45 $1,313 2.3×
Brca1&2 gen full seq dup/del (81162) $2,372.50 $3,650 1.3×
Brca2 gene analysis full sequence analysis (81216) $421.20 $648 2.3×
Brca2 Gene Analysis Known Familial Variant (81217) $853.45 $1,313 2.3×
Brucella antibody (86622) $91 $140 10.2×
C diff amplified probe (87493) $303.55 $467 8.1×
C-Peptide (84681)
range across 2 matching MRF lines
$102.70–$147.55 $158–$227 varies
C-reactive protein (86140) $45.50 $70 8.8×
Ca 19-9 (86301) $185.90 $286 8.9×
Cadmium (82300) $31.85 $49 1.3×
Calcitonin (82308) $160.55 $247 6.0×
Calcium ionized (82330) $121.55 $187 8.9×
Calcium total (82310) $46.80 $72 9.1×
Calculus Spectroscopy (82365) $122.85 $189 9.5×
Calprotectin Fecal (83993) $447.85 $689 22.8×
Calr gene com variants (81219) $360.10 $554 3.0×
Cancer Antigen 125 (86304)
range across 2 matching MRF lines
$85.15–$163.15 $131–$251 varies
Cancer Antigen 27.29 (86300)
range across 3 matching MRF lines
$62.40–$124.80 $96–$192 varies
Candida antibody (86628) $53.30 $82 4.4×
Candida Dna Dir Probe (87480) $39 $60 1.9×
Carbamazepine free (80157) $61.75 $95 4.7×
Carbamazepine total (80156) $129.35 $199 8.9×
Carboxyhemoglobin (82375) $116.35 $179 9.4×
Carcinoembryonic antigen (82378) $111.15 $171 5.9×
Cardiolipin ab iga (86147)
range across 2 matching MRF lines
$135.20–$487.50 $208–$750 varies
Carnitine Quantitative Each Specimen (82379) $117 $180 6.9×
Carotene (82380) $52 $80 5.6×
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$156–$180.05 $240–$277 varies
Ccp antibody (86200) $63.05 $97 4.9×
Cell count csf (89051) $85.80 $132 15.3×
Cell enumeration & id (86152) $727.35 $1,119 2.9×
Ceruloplasmin (82390) $94.90 $146 8.8×
Cftr gene com variants (81220) $622.70 $958 1.1×
Chemiluminescent assay (82397) $152.10 $234 10.8×
Chlamydia antibody (86631)
range across 2 matching MRF lines
$24.70–$49.40 $38–$76 varies
Chlamydia Igm Antibody (86632) $46.15 $71 3.6×
Chloride Serum (82435) $46.80 $72 10.2×
Chloride urine (82436) $40.95 $63 7.1×
Cholesterol total (82465)
range across 2 matching MRF lines
$41.60–$42.25 $64–$65 varies
Cholinesterase Serum (82480) $58.50 $90 7.4×
Chorionic gonadotropin test (84702) $133.25 $205 8.9×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $46.80 $72 1.7×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $120.90 $186 3.6×
Chromium serum (82495) $84.50 $130 4.2×
Chromogranin a (86316) $118.95 $183 5.7×
Chromosome Analysis 15-20 (88262) $252.20 $388 2.0×
Chromosome Analysis 20-25 (88264) $202.80 $312 1.4×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $197.60 $304 5.6×
Citric acid urine (82507) $112.45 $173 4.0×
Ckmb (82553) $99.45 $153 8.6×
Clostridium Difficile (87324)
range across 2 matching MRF lines
$49.40–$72.80 $76–$112 varies
Clot Factor VIII Multimetric (85247) $315.90 $486 13.8×
Clotting factor viii related antigen (85244) $111.15 $171 5.4×
Clotting factor xii hageman (85280) $113.10 $174 5.8×
Clotting Funct Activity (85397) $338.65 $521 11.0×
Coccidioides antibody (86635) $57.20 $88 5.0×
Cold agglutinin titer (86157) $53.95 $83 6.7×
Collagen crosslinks (82523)
range across 2 matching MRF lines
$55.25–$127.40 $85–$196 varies
Column Chromotography Quant (82542) $153.40 $236 6.4×
Comparative Anal Str Markers Patient&Comp Spec (81265) $637 $980 2.7×
Compatibility Each Unit Incubation (86921) $282.10 $434 1.5×
Compatibility test antiglob (86922) $282.10 $434 1.5×
Complement Antigen Each Component (86160)
range across 2 matching MRF lines
$106.60–$213.20 $164–$328 varies
Complement Total (Ch50) (86162) $177.45 $273 8.7×
Complement/Function Activity (86161) $39 $60 3.3×
Coombs direct (86880) $87.10 $134 16.2×
Copper urine (82525) $32.50 $50 2.6×
Cortisol free (82530)
range across 2 matching MRF lines
$88.40–$148.20 $136–$228 varies
Cortisol saliva (82533) $155.35 $239 9.5×
Creatine kinase total (82550) $56.55 $87 8.7×
Creatinine blood (82565) $126.75 $195 24.8×
Creatinine clearance (82575) $84.50 $130 8.9×
Creatinine Urine (82570) $45.50 $70 8.8×
Crossmatch electronic (86923) $62.40 $96 0.3×
Crossmatch immediate spin (86920) $282.10 $434 1.5×
Crp High Sensitivity (86141) $33.80 $52 2.6×
Cryofibrinogen (82585) $16.90 $26 1.2×
Cryoglobulin (82595) $64.35 $99 9.9×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$230.75–$461.50 $355–$710 varies
Cryptosporidium (87272) $35.75 $55 3.0×
Cryptosporidium ag eia (87328) $111.80 $172 8.1×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$108.55–$217.10 $167–$334 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $81.90 $126 10.1×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $66.95 $103 8.7×
Culture aerobic quant other (87071)
range across 2 matching MRF lines
$47.45–$76.70 $73–$118 varies
Culture afb (87116) $106.60 $164 9.9×
Culture Anaerobic (87075) $148.85 $229 15.7×
Culture blood (87040)
range across 2 matching MRF lines
$88.40–$176.80 $136–$272 varies
Culture csf (87070) $163.80 $252 19.0×
Culture fungus (87102) $98.80 $152 11.7×
Culture fungus blood (87103) $219.70 $338 10.7×
Culture screen only (87081) $58.50 $90 8.8×
Culture stool (87045) $81.25 $125 8.6×
Culture Typing Gas/High Pres Liq Chromatography (87143) $27.30 $42 2.2×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $44.85 $69 8.7×
Culture urine (87086) $124.15 $191 15.4×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $78.65 $121 5.5×
Cyclosporine (80158) $143.65 $221 8.0×
Cyp2c19 gene analysis common variants (81225) $633.10 $974 2.2×
Cyp2c9 gene com variants (81227) $380.25 $585 2.2×
Cyp2d6 gene com variants (81226) $980.20 $1,508 2.2×
Cystatin C (82610) $40.95 $63 2.2×
Cytogenetics 100-300 (88275) $196.95 $303 3.8×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $2,145 $3,300 1.8×
Cytomegalovirus igg (86644) $125.45 $193 8.7×
Cytopath Cell Enhance Tech (88112) $83.85 $129 1.4×
Cytp Concentration Smears & Interpretation (88108) $125.45 $193 3.0×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $219.70 $338 3.8×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $94.90 $146 0.5×
Deoxyribonuclease antibody (86215) $85.80 $132 6.5×
Detect Agent Nos Dna Amp (87798) $299.65 $461 8.5×
Detect Agent Nos Dna Quant (87799) $399.75 $615 9.3×
Detect agnt mult DNA ampli (87801) $212.55 $327 3.0×
Dgp Antibody Each Ig Class (86258) $19.50 $30 1.6×
Dhea (82626) $128.05 $197 5.1×
Dhea-S (82627) $120.90 $186 5.4×
Dibucaine number (82638) $65 $100 5.3×
Digoxin (80162) $114.40 $176 8.6×
Dihydrotestosterone (82642) $42.25 $65 1.4×
Diphtheria antitoxoid (86648) $66.30 $102 4.4×
Dipropylacetic Acid Free (80165) $38.35 $59 2.8×
Dmd Duplication/Deletion Analysis (81161) $635.05 $977 2.3×
Dna Antibody Native/Double Stranded (86225) $122.20 $188 8.9×
Dna Antibody Single Stranded (86226) $37.05 $57 3.1×
Dna/Rna Amplified Probe (87150)
range across 2 matching MRF lines
$55.90–$111.80 $86–$172 varies
DNA/RNA direct probe (87149) $243.10 $374 12.1×
Dna/Rna Sequencing (87153) $288.60 $444 2.5×
Drug assay adalimumab (80145) $61.75 $95 1.6×
Drug Assay Everolimus (80169) $42.25 $65 3.1×
Drug Assay Infliximab (80230) $192.40 $296 5.0×
Drug Assay Lacosamide (80235) $35.10 $54 1.3×
Drug Assay Vedolizumab (80280) $80.60 $124 2.1×
Drug assay voriconazole (80285) $35.10 $54 1.3×
Drug Screen Quant Clozapine (80159) $42.25 $65 2.1×
Drug Screen Quant Zonisamide (80203) $53.95 $83 4.1×
Drug Screen Quantitative Gabapentin (80171) $73.45 $113 3.4×
Drug Screen Quantitative Lamotrigine (80175) $144.95 $223 10.9×
Drug Screen Quantitative Levetiracetam (80177) $162.50 $250 12.3×
Drug Screen Quantitative Oxcarbazepine (80183) $147.55 $227 11.1×
Drug Test Prsmv Chem Anlyzr (80307) $153.40 $236 2.5×
Drug Test Prsmv Dir Opt Obs (80305) $75.40 $116 6.0×
Drug Test Prsmv Instrmnt (80306) $43.55 $67 2.5×
Ehrlichia antibody (86666)
range across 2 matching MRF lines
$100.10–$200.20 $154–$308 varies
Electrolyte panel (80051) $62.40 $96 8.9×
Enterovirus Antibody (86658) $45.50 $70 3.5×
Enterovirus PCR (87498) $368.55 $567 10.5×
Enzyme cell activity (82657) $253.50 $390 11.4×
Eosinophil Smear (89190) $45.50 $70 7.9×
Erythropoietin (82668)
range across 2 matching MRF lines
$44.20–$104.65 $68–$161 varies
Estradiol serum (82670) $185.90 $286 6.7×
Estriol (82677) $109.85 $169 4.5×
Estrogen total (82672) $144.95 $223 6.7×
Estrogens fractionated (82671) $79.30 $122 2.5×
Ethylene Glycol (82693) $133.25 $205 8.9×
Exam Synovial Fluid Crystals (89060) $63.70 $98 8.7×
F2 Gene (81240) $143 $220 2.2×
Factor ii activity (85210) $43.55 $67 3.4×
Factor Inhibitor Test (85335) $208 $320 16.2×
Factor ix activity (85250) $154.70 $238 8.1×
Factor v activity (85220) $115.05 $177 6.5×
Factor v leiden mutation (81241) $180.05 $277 2.5×
Factor vii assay (85230) $315.90 $486 17.6×
Factor viii assay (85240)
range across 2 matching MRF lines
$96.20–$128.05 $148–$197 varies
Factor X (85260)
range across 2 matching MRF lines
$128.70–$174.20 $198–$268 varies
Factor xi activity (85270) $123.50 $190 6.9×
Fat/Lipids Feces Quantitative (82710) $79.30 $122 4.7×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $98.80 $152 5.7×
Fecal Fat Qualitative (82705) $44.20 $68 8.7×
Ferritin (82728)
range across 3 matching MRF lines
$72.15–$144.30 $111–$222 varies
Fetal Fibronectin (82731)
range across 2 matching MRF lines
$403.65–$443.30 $621–$682 varies
Fetal screen rosette (85461) $59.80 $92 6.4×
Fibrin degradation products (85362) $50.05 $77 7.3×
Fibrin Degradation Quant (85379) $183.95 $283 18.1×
Fibrinogen activity (85384) $81.25 $125 8.4×
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$169–$182 $260–$280 varies
Flt3 Gene (81245) $360.10 $554 2.2×
Flt3 gene analysis (81246) $180.70 $278 2.2×
Fluorescent antibody screen (86255) $960.70 $1,478 79.7×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $290.55 $447 24.1×
Fmr1 gene detection (81243) $264.55 $407 4.6×
Folic acid rbc (82747) $154.05 $237 8.7×
Folic Acid Serum (82746) $98.15 $151 6.7×
Follicle Stimulating Hormone (83001) $123.50 $190 6.6×
Fresh Frozen Plasma Thawing Each Unit (86927) $348.40 $536 1.8×
Frozen Section (88331) $89.70 $138 0.5×
Fungi Identification Mold (87107) $224.90 $346 21.8×
Fungi Identification Yeast (87106) $93.60 $144 9.1×
Gammaglobulin ige (82785) $116.35 $179 7.1×
Gardner vag DNA dir probe (87510) $39 $60 1.9×
Gardner Vag Dna Quant (87512) $43.55 $67 1.0×
Gases Blood O2 Saturation Only Direct Meas (82810) $82.55 $127 8.4×
Gastrin (82941) $206.05 $317 11.7×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $338 $520 0.8×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $1,409.85 $2,169 1.9×
Genet Virus Isolate Hsv (87255) $230.10 $354 6.8×
Gentamicin (80170) $156 $240 9.5×
Ggt (82977) $28.60 $44 4.0×
Giardia antigen (87329) $79.95 $123 6.7×
Giardia lamblia antibody (86674) $97.50 $150 6.6×
Glucagon (82943) $28.60 $44 2.0×
Glucose 2 hr pp (82950) $48.75 $75 10.3×
Glucose Blood Test (82962) $10.40 $16 3.2×
Glucose body fluid (82945) $55.25 $85 14.1×
Glucose Serum (82947)
range across 2 matching MRF lines
$35.10–$140.40 $54–$216 varies
Glucose tolerance test (gtt) (82951) $53.95 $83 4.2×
Glycated Protein (82985) $61.75 $95 3.7×
Gonadotropin Chorionic Qualitative (84703) $70.85 $109 9.4×
Growth hormone (83003) $135.20 $208 8.1×
Gtt-added samples (82952) $23.40 $36 6.0×
H Pylori (C-13) Breath (83013) $108.55 $167 1.6×
Haptoglobin (83010) $123.50 $190 9.8×
Helicobacter Pylori Stool (87338) $183.95 $283 12.8×
Helminth Antibody (86682) $65 $100 5.0×
Hematocrit (85014) $25.35 $39 10.7×
Hemoglobin (85018) $25.35 $39 10.7×
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$27.95–$35.75 $43–$55 varies
Hemoglobin Chromotography (83021)
range across 2 matching MRF lines
$79.30–$94.90 $122–$146 varies
Hemoglobin Methemoglobin Quantitative (83050) $100.10 $154 12.2×
Hep a ab igm (86709) $100.75 $155 8.9×
Heparin assay (85520) $194.35 $299 14.8×
Hepatitis a antibody total (86708) $115.70 $178 9.3×
Hepatitis b core ab igm (86705) $96.85 $149 8.2×
Hepatitis b core ab total (86704) $85.15 $131 7.1×
Hepatitis B Surface Antibody (86706) $94.90 $146 8.8×
Hepatitis B Surface Antigen (87340) $61.10 $94 5.9×
Hepatitis Be Antibody (86707) $31.20 $48 2.7×
Hepatitis Be Antigen (87350) $55.90 $86 4.8×
Hepatitis C Antibody (86803) $81.90 $126 5.7×
Hepatitis C Genotype (87902) $994.50 $1,530 3.9×
Hepatitis C Probe&Rvrs Trnsc (87521) $104.65 $161 3.0×
Hepatitis C Revrs Trnscrpj (87522) $377.65 $581 8.8×
Hepatitis Delta Agent Antibody (86692) $78 $120 4.5×
Hereditary brst ca-related gen seq analys 10 gen (81432) $1,430 $2,200 1.1×
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) $760.50 $1,170 0.6×
Herpes simplex type 2 (86696) $79.30 $122 4.1×
Heterophile Antibody Screen (86308) $46.80 $72 9.0×
Hfe Gene (81256) $250.25 $385 3.8×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $63.05 $97 8.2×
Histamine urine (83088) $123.50 $190 4.2×
Histoplasma antibody (86698) $54.60 $84 4.0×
Histoplasma antigen urine (87385) $70.85 $109 5.3×
Hiv Genotype (87901) $945.75 $1,455 3.7×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $61.75 $95 2.6×
Hiv-1 Antibody (86701) $120.90 $186 13.6×
HIV-1 p24 antigen (87390) $52 $80 2.2×
Hiv-1 Quant&Revrse Trnscrpj (87536) $419.25 $645 4.9×
HIV-2 probe&revrse trnscripj (87538) $104 $160 3.0×
Hla Class I Typing High Resolution Complete (81379) $993.85 $1,529 3.0×
Hla Class I Typing High Resolution One Locus Ea (81380) $524.55 $807 3.0×
Hla Class I Typing Low Resolution Complete (81372) $653.90 $1,006 1.6×
Hla Class I Typing Low Resolution One Locus Each (81373) $330.20 $508 2.6×
Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) $1,190.80 $1,832 3.0×
Hla class ii typing high resolution one locus ea (81382) $312.65 $481 2.5×
Hla I Low Resolution One Antigen Equivalent Each (81374) $213.20 $328 2.9×
Hla I Typing 1 Allele Hr (81381) $272.35 $419 1.6×
Hla i&ii high resolution hla-a -b -c and -drb1 (81378) $1,023.10 $1,574 3.0×
Hla i&li low resolution hla-a -b&-drb1 (81371) $713.05 $1,097 1.8×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $649.35 $999 2.9×
Hla ii type 1 ag equiv lr (81377) $271.70 $418 2.9×
Hla ii typing 1 allele hr (81383) $323.05 $497 3.0×
Hla ii typing 1 locus lr (81376) $308.75 $475 2.5×
Hla-b27 (86812) $185.25 $285 7.2×
Homocysteine (83090) $98.80 $152 5.5×
Homogenization Tissue (87176) $42.90 $66 7.3×
Hsv Dna Amp Probe (87529) $250.25 $385 7.1×
Human Epididymis Protein 4 (86305) $111.15 $171 5.3×
Hydroxyprogesterone 17-d (83498) $108.55 $167 4.0×
Iaad Ia Entamoeba Histolytica Grp (87337) $68.90 $106 5.8×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $113.75 $175 8.2×
Iaad ia shiga-like toxin (87427)
range across 2 matching MRF lines
$31.85–$55.90 $49–$86 varies
Iaad Ia Streptococcus Group A (87430) $58.50 $90 3.5×
Iaadi inffluenza a virus (87276) $36.40 $56 2.3×
Iaadi not otherwise specified each organism (87299) $32.50 $50 2.0×
Iaadi parainfluenza virus each type (87279) $31.20 $48 1.9×
Iaadi pneumocustis carinii (87281) $78.65 $121 6.6×
Iaadi respiratory synctial virus (87280) $63.05 $97 4.7×
Iaadiadoo trichomonas vaginalis (87808) $70.85 $109 4.6×
Iadna Candida Species Amplified Probe Tq (87481)
range across 2 matching MRF lines
$55.25–$110.50 $85–$170 varies
Iadna chlamydia pneumoniae amplified probe tq (87486) $150.15 $231 4.3×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $197.60 $304 5.6×
Iadna Cytomegalovirus Quantification (87497) $513.50 $790 12.0×
Iadna Hepatitis B Virus Quantification (87517) $267.80 $412 6.3×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $90.35 $139 2.6×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $278.20 $428 7.9×
Iadna Hiv-2 Quant & Reverse Transcription (87539) $127.40 $196 2.2×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $345.80 $532 9.9×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $211.25 $325 4.4×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $280.80 $432 6.7×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $226.85 $349 6.5×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $130.65 $201 3.7×
Iadna Nos Direct Probe Tq Each Organism (87797) $144.95 $223 4.8×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $278.20 $428 2.0×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $438.10 $674 1.7×
Ig Light Chains Free Each (83521) $141.70 $218 8.2×
Igg subclasses (82787)
range across 2 matching MRF lines
$111.80–$447.20 $172–$688 varies
Igh gene rearrange amp meth (81261) $500.50 $770 2.5×
IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) $129.35 $199 1.9×
Igh@ Variable Region Somatic Mutation Analysis (81263) $1,073.80 $1,652 3.6×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $320.45 $493 0.8×
Immune Complex Assay (86332) $118.30 $182 4.9×
Immunfix e-phorsis/urine/csf (86335) $154.05 $237 5.2×
Immunoassay Analyte Quant Radioimmunoassay (83519) $120.25 $185 6.5×
Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) $58.50 $90 2.3×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $139.75 $215 9.3×
Immunoassay nonantibody (83516) $79.95 $123 6.9×
Immunodiffusion not elsewhere specified (86329) $85.15 $131 6.1×
Immunofixation electrophoresis (86334) $126.10 $194 5.6×
Immunofluorescence per spec 1st singl antb stain (88346) $260 $400 1.4×
Immunohistochemistry (88342) $189.80 $292 1.0×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) $52 $80 2.4×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) $348.40 $536 23.2×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $30.55 $47 2.1×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $32.50 $50 2.7×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) $59.15 $91 2.7×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) $59.15 $91 2.7×
Influenza DNA amp probe (87502) $236.60 $364 2.5×
Inhibin A (86336) $160.55 $247 10.3×
Inhibin b (83520) $79.95 $123 4.6×
Insulin antibodies (86337) $95.55 $147 4.5×
Insulin free (83527) $27.30 $42 2.1×
Insulin total (83525) $98.15 $151 8.6×
Intrinsic factor antibody (86340) $140.40 $216 9.3×
Iron (83540)
range across 3 matching MRF lines
$56.55–$113.10 $87–$174 varies
Iron Binding Capacity (83550)
range across 3 matching MRF lines
$75.40–$150.80 $116–$232 varies
Islet cell antibody (86341) $463.45 $713 19.7×
Jak2 gene analysis p.val617phe variant (81270) $273 $420 3.0×
Jak2 Gene Trgt Sequence Alys (81279) $241.15 $371 1.3×
Koh Prep (87220) $35.75 $55 8.4×
Kras Gene Variants Exon 2 (81275) $439.40 $676 2.3×
Lactate (ld) (ldh) enzyme (83615) $53.30 $82 8.8×
Lactoferrin fecal qualitative (83630) $87.75 $135 4.5×
Ldh Isoenzymes (83625) $31.20 $48 2.4×
LDL direct (83721) $46.15 $71 4.4×
Lead (83655) $107.25 $165 8.9×
Legionella antibody (86713) $82.55 $127 5.4×
Legionella antigen urine (87449) $43.55 $67 3.6×
Leptospira antibody (86720) $73.45 $113 4.5×
Leukocyte Histamine Release (86343) $70.20 $108 5.6×
Level I Surg Pathology Gross Examination Only (88300)
range across 2 matching MRF lines
$50.05–$78.65 $77–$121 varies
Level ii surg pathology gross&microscopic exam (88302) $139.10 $214 3.4×
Level V Surg Pathology Gross&Microscopic Exam (88307) $354.90 $546 0.9×
Lipase (83690) $59.15 $91 8.6×
Lipoprotein A (83695) $32.50 $50 2.3×
Lipoprotein Bld Quan Part (83704) $79.95 $123 2.3×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $28.60 $44 2.5×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $73.45 $113 2.2×
Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) $34.45 $53 2.7×
Lipoprotein-Associated Phospholipase A2 (83698) $100.75 $155 2.2×
Lithium (80178) $58.50 $90 8.9×
Luteinizing Hormone (Lh) (83002) $122.85 $189 6.6×
Lyme disease antibody (86618) $117 $180 6.9×
Lysozyme serum (85549) $40.30 $62 2.1×
M. Genitalium Amp Probe (87563) $85.80 $132 2.4×
M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) $126.75 $195 3.6×
M/phmtrc alys ishquant/semiq (88374) $219.70 $338 1.2×
Macroscopic Exam Parasite (87169) $61.10 $94 14.2×
Magnesium Urine (83735) $64.35 $99 9.6×
Mercury urine (83825) $85.15 $131 5.2×
Metabolic panel ionized ca (80047) $78.65 $121 5.7×
Methylmalonic acid serum (83921) $206.05 $317 9.7×
Mgmt methylation analysis (81287) $283.40 $436 2.3×
Microalbumin, quantitative (82043) $89.70 $138 15.5×
Microsatellite instability (81301) $857.35 $1,319 2.5×
Microsomal Antibodies Each (86376) $100.10 $154 6.9×
Mitochondrial Antibody Each (86381) $41.60 $64 1.6×
Mlh1 Gene (81288) $437.45 $673 2.3×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $414.05 $637 2.0×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $1,402.70 $2,158 2.1×
Mlh1 Gene Analysis Known Familial Variants (81293) $562.25 $865 1.7×
Molecular Cytogenetics Dna Probe Each (88271) $148.85 $229 6.9×
Molecular Pathology Procedure Level 3 (81402) $341.90 $526 2.3×
Molecular Pathology Procedure Level 6 (81405) $685.75 $1,055 2.3×
Mononuclear cell antigen (86356) $121.55 $187 4.5×
Mopath procedure level 1 (81400) $152.10 $234 2.4×
Mopath procedure level 2 (81401) $312 $480 2.3×
Mopath procedure level 4 (81403) $328.25 $505 1.8×
Mopath procedure level 5 (81404) $625.30 $962 2.3×
Mopath procedure level 7 (81406) $643.50 $990 2.3×
Mopath procedure level 8 (81407) $852.80 $1,312 1.0×
Mpl gene analysis sequence analysis exon 10 (81339) $300.95 $463 1.6×
Mrsa Pcr (87641) $242.45 $373 6.9×
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $485.55 $747 2.3×
Msh2 Gene Analysis Full Sequence Analysis (81295) $868.40 $1,336 2.3×
Msh2 Gene Analysis Known Familial Variants (81296) $768.30 $1,182 2.3×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $541.45 $833 2.3×
Msh6 Gene Analysis Full Sequence Analysis (81298) $625.30 $962 1.0×
Msh6 Gene Known Variants (81299) $700.70 $1,078 2.3×
Mthfr Gene Analysis Common Variants (81291) $204.75 $315 3.1×
Mucopolysaccharides acid quantitative (83864) $377 $580 13.2×
Mumps antibody (86735) $123.50 $190 9.5×
Mycobacteric Identification (87118) $50.70 $78 3.5×
Mycophenolic Acid (80180) $71.50 $110 4.0×
Mycoplasma antibody (86738)
range across 2 matching MRF lines
$93.60–$360.10 $144–$554 varies
Mycoplasma culture (87109) $102.05 $157 6.6×
Myoglobin urine (83874) $130.65 $201 10.1×
Natriuretic peptide (83880) $291.20 $448 7.4×
Neutralization Test Viral (86382) $105.30 $162 6.2×
Nfct ds chrnc hcv 6 assays (81596) $117 $180 1.6×
Niacin (84591) $221.65 $341 13.0×
Nk cells total count (86357) $129.35 $199 3.4×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $532.35 $819 2.2×
Nuclear antigen antibody (86235)
range across 2 matching MRF lines
$42.25–$338 $65–$520 varies
Obstetric panel (80081) $347.10 $534 4.6×
Occult blood feces (82272) $26 $40 6.1×
Occult Blood Other Sources (82271) $27.95 $43 5.3×
Oligoclonal bands (83916) $115.70 $178 4.2×
Onco (Ovarian) Biochemical Assay Two Proteins (81500) $428.35 $659 1.6×
Oncology Prostate Prob Score (81539) $409.50 $630 0.5×
Organic acids urine (83918) $109.20 $168 4.6×
Osmolality serum (83930) $57.20 $88 8.7×
Osmolality Urine (83935) $59.15 $91 8.7×
Osteocalcin (83937) $120.25 $185 4.0×
Ova and parasites smears (87177) $62.40 $96 7.0×
Oxalate urine (83945) $122.85 $189 8.5×
Pancreatic Elastase Fecal (82656) $37.70 $58 3.3×
Particle Agglutination Screen Each Antibody (86403) $95.55 $147 8.3×
Parvovirus antibody (86747)
range across 2 matching MRF lines
$78.65–$240.50 $121–$370 varies
Path Clin Consltj Mod 21-40 (80504) $84.50 $130 0.4×
Path Consltj Surg Cytologic Exam Initial Site (88333) $765.05 $1,177 0.9×
Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) $126.75 $195 0.7×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $42.25 $65 0.7×
Pathology Consultation During Surgery (88329) $40.95 $63 0.6×
Ph urine (81003)
range across 2 matching MRF lines
$16.25–$29.90 $25–$46 varies
Phenobarbital Level (80184) $101.40 $156 6.6×
Phenotype Infect Agent Drug (87900) $308.75 $475 2.4×
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines
$106.60–$118.30 $164–$182 varies
Phenytoin free (80186) $62.40 $96 4.5×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$24.05–$46.80 $37–$72 varies
Phospholipid Neutralization Hexagonal (85598) $91.65 $141 5.1×
Phosphorus Serum (84100) $41.60 $64 8.8×
Phosphorus urine (84105) $76.05 $117 13.2×
Pinworm exam (87172) $33.80 $52 7.9×
Platelet Antibodies (86022)
range across 2 matching MRF lines
$389.35–$778.70 $599–$1,198 varies
Platelet count automated (85049) $39 $60 8.7×
Platelet neutralization (85597) $46.80 $72 2.6×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $618.15 $951 3.0×
PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia)… (81316) $936.65 $1,441 4.5×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $481.65 $741 2.4×
Pms2 gene analysis known familial variants (81318) $401.05 $617 1.2×
Pms2 gene full seq analysis (81317) $1,696.50 $2,610 2.5×
Porphobilinogen, urine; quantitative (84110) $82.55 $127 9.8×
Porphyrins Urine Quantitation & Fractionation (84120) $31.20 $48 2.1×
Potassium Urine (84133) $40.95 $63 8.7×
Prealbumin (84134) $136.50 $210 9.4×
Pregnenolone (84140) $183.30 $282 8.9×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $102.70 $158 1.6×
Primidone (80188) $70.20 $108 4.2×
Procalcitonin (Pct) (84145) $230.75 $355 8.5×
Progesterone (84144) $78 $120 3.7×
Prolactin (84146)
range across 2 matching MRF lines
$96.20–$129.35 $148–$199 varies
Prostaglandin (84150) $102.70 $158 2.5×
Protein body fluid (84157) $68.90 $106 17.2×
Protein C Activity (85303) $116.35 $179 8.4×
Protein Electrophoresis Urine (84166) $94.90 $146 5.3×
Protein Electrophoretic Fractj&Quantj Serum (84165) $61.75 $95 5.7×
Protein S Free (85306) $182 $280 11.9×
Protein s total (85305) $55.25 $85 4.8×
Protein test for diagnosis and monitoring of bladder cancer (86386) $42.90 $66 2.0×
Protein total serum (84155) $33.15 $51 9.0×
Protein Total Urine (84156) $35.10 $54 9.6×
Protein Western Blot Test (84182)
range across 2 matching MRF lines
$105.30–$631.80 $162–$972 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $21.45 $33 5.4×
Protoporphyrin rbc quantitative (84202) $84.50 $130 5.9×
PSA free (84154) $122.20 $188 6.6×
Pten Gene Analysis Duplication/Deletion Variant (81323) $512.85 $789 1.7×
Pten Gene Analysis Full Sequence Analysis (81321) $1,304.55 $2,007 2.2×
Pten gene analysis known familial variant (81322) $126.10 $194 2.7×
Pth Intact (83970) $185.90 $286 4.5×
Q Fever Antibody (86638) $48.75 $75 4.0×
Quantiferon tb gold plus (86480) $94.25 $145 1.5×
Quantitative assay drug (80299) $70.85 $109 3.8×
Quantitative Screen Metals (83018) $100.10 $154 4.6×
Rbc antibody elution (86860) $99.45 $153 0.5×
Rbc antibody identification (86870) $534.95 $823 1.3×
Rbc antibody screen (86850) $194.35 $299 19.9×
Renin activity plasma (84244)
range across 2 matching MRF lines
$128.05–$157.30 $197–$242 varies
Resp virus 12-25 targets (87633) $548.60 $844 1.3×
Resp Virus 6-11 Targets (87632) $348.40 $536 1.6×
Reticulated Platelet Assay (85055) $85.15 $131 2.4×
Rh (86901) $46.80 $72 15.7×
Rheumatoid Factor Qualitative (86430) $55.90 $86 9.1×
Rheumatoid factor quant (86431) $50.05 $77 8.8×
Rickettsia antibody (86757) $111.80 $172 5.8×
Ristocetin cofactor (85245) $142.35 $219 6.2×
Rotavirus ag eia (87425) $151.45 $233 12.6×
Rpr qualitative (86592) $38.35 $59 9.0×
Rsv Assay W/Optic (87807) $49.40 $76 3.8×
Rubella Antibody (86762) $137.80 $212 9.6×
Rubeola antibody (86765) $122.85 $189 9.5×
Russell Viper Venom Time Diluted (85613) $123.50 $190 12.9×
Sars-Cov-2 Covid-19 Amp Prb (87635) $66.95 $103 1.3×
Sars-cov-2 COVID-19 antibody (86769) $54.60 $84 1.3×
Sarscov2 & inf a&b amp prb (87636) $108.55 $167 0.8×
Sarscov2&inf a&b&rsv amp prb (87637) $195 $300 1.4×
Sedimentation Rate, Automated (85652) $24.05 $37 8.9×
Selenium (84255) $130 $200 5.1×
Semen Anal Sperm Detection (89321) $49.40 $76 4.1×
Semen analysis complete (89322) $140.40 $216 9.1×
Semen analysis motility and count (89310) $47.45 $73 5.5×
Sensitivity mic (87186) $74.75 $115 8.6×
Sept9 Methylation Analysis (81327) $260 $400 1.4×
Sex Hormone Binding Globulin (84270) $58.50 $90 2.7×
Sickling of rbc reduction (85660) $48.10 $74 8.7×
Sirolimus (80195) $91 $140 6.6×
Skin test tuberculosis intradermal (86580)
range across 3 matching MRF lines
$47.45–$281.18 $73–$432.59 varies
Smear acid fast (87206) $31.20 $48 5.8×
Smear complex stain (87209) $32.50 $50 1.8×
Smear gram stain (87205) $36.40 $56 8.5×
Smear Special Stain (87207) $76.05 $117 12.7×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$17.55–$38.35 $27–$59 varies
Sodium Serum (84295) $41.60 $64 8.6×
Sodium Urine (84300) $41.60 $64 8.2×
Soluble Transferrin Receptor (84238) $114.40 $176 3.1×
Somatomedin (84305) $85.15 $131 4.0×
Somatostatin (84307) $162.50 $250 8.9×
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$193.05–$386.10 $297–$594 varies
Special Stains Group 2 (88313)
range across 2 matching MRF lines
$154.70–$928.20 $238–$1,428 varies
Specimen infect agnt concntj (87015) $64.35 $99 9.6×
Spectrophotometry (84311) $75.40 $116 9.3×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $367.25 $565 1.9×
Stool cultr aerobic bact ea (87046) $71.50 $110 7.6×
Strep a assay w/optic (87880) $44.20 $68 2.7×
Strep b DNA amp probe (87653) $191.10 $294 5.4×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $61.10 $94 5.3×
Sugars Single Qual (84376) $37.05 $57 6.7×
Sulfate urine (84392) $42.25 $65 7.7×
Surg path level iii (88304) $157.95 $243 2.7×
Surgical pathology level IV (88305)
range across 3 matching MRF lines
$189.80–$404.30 $292–$622 varies
Surgical pathology level vi (88309) $485.55 $747 0.5×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $31.20 $48 6.6×
Susceptibility Study Antimicrobial Disk Method (87184) $61.75 $95 8.3×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $20.15 $31 2.8×
Syphilis Test Non-Trep Quant (86593) $16.90 $26 3.8×
T cells absolute cd4 count (86361) $91.65 $141 3.4×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $164.45 $253 3.5×
T cells total count (86359) $145.60 $224 3.9×
T3 Free (84481) $79.95 $123 4.7×
T3 reverse (84482) $96.20 $148 6.1×
T3 Total (84480) $96.85 $149 6.8×
T3 Uptake (84479) $85.80 $132 13.3×
T4 Free (84439) $61.75 $95 6.8×
T4 total (84436) $61.75 $95 9.0×
Tacrolimus (80197) $59.15 $91 4.3×
Testosterone total (84403) $100.75 $155 3.9×
Testosterone, Free (84402) $133.90 $206 5.3×
Tetanus antibody (86774) $44.20 $68 3.0×
Theophylline (80198) $112.45 $173 8.0×
Thrombin Time (85670) $50.70 $78 8.8×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $55.90 $86 8.6×
Thyroglobulin (84432) $109.85 $169 6.8×
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines
$65.65–$73.45 $101–$113 varies
Thyroid Stimulating Immunoglobulin (84445) $115.70 $178 2.3×
Thyroxine binding globulin (84442)
range across 2 matching MRF lines
$31.20–$40.95 $48–$63 varies
Tiss Trnsgltmnase Ea Ig Clas (86364) $21.45 $33 1.9×
Tissue culture bone marrow (88237) $289.25 $445 2.0×
Tissue Culture Lymphocyte (88230) $385.45 $593 3.3×
Topiramate (80201) $88.40 $136 7.4×
Toxin/Antitoxin Assay Tissue Culture (87230) $110.50 $170 5.6×
Toxoplasma ab igm (86778) $93.60 $144 6.5×
Toxoplasma antibody (86777) $68.25 $105 4.7×
Transferase Aspartate Amino Ast Sgot (84450) $46.80 $72 9.0×
Transferrin (84466)
range across 2 matching MRF lines
$82.55–$94.25 $127–$145 varies
Trb@ gene rearrange dirprobe (81341) $146.90 $226 3.0×
Trb@ Rearrangement Anal Amplification Method (81340) $618.80 $952 3.0×
Trg gene rearrangement anal (81342) $596.70 $918 3.0×
Trichinella Antibody (86784) $52.65 $81 4.2×
Trichomonas vagin dir probe (87660) $39 $60 1.9×
Trichomonas Vaginalis Amplif (87661) $157.30 $242 4.5×
Triglycerides (84478) $53.95 $83 9.4×
Troponin Quant (84484)
range across 2 matching MRF lines
$157.30–$314.60 $242–$484 varies
Tumor Immunohistochem/Manual (88360)
range across 2 matching MRF lines
$220.35–$881.40 $339–$1,356 varies
Unlisted reproductive medicine lab procedure (89398) $95.55 $147 1.7×
Urea nitrogen urine (84540) $57.20 $88 10.3×
Uric acid other source (84560) $40.95 $63 8.1×
Urinalysis Microscopic Only (81015)
range across 2 matching MRF lines
$16.25–$27.30 $25–$42 varies
Urine Bacteria Culture (87088) $80.60 $124 10.0×
Urine Pregnancy Test (81025) $63.05 $97 7.3×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $42.25 $65 13.3×
Valproic acid (80164) $120.90 $186 8.9×
Vancomycin (80202) $116.35 $179 8.6×
Varicella-zoster antibody (86787) $82.55 $127 6.4×
Viral Culture (87252) $244.40 $376 9.4×
Virus antibody nos (86790)
range across 2 matching MRF lines
$63.05–$126.10 $97–$194 varies
Virus inoculation, shell via (87254) $111.15 $171 5.7×
Viscosity serum (85810) $53.30 $82 4.6×
Vit D 1 25-Dihydroxy (82652) $170.30 $262 4.4×
Vitamin A (84590) $74.10 $114 6.4×
Vitamin b-12 (82607) $129.35 $199 8.6×
Vitamin B2 (Riboflavin) (84252) $167.05 $257 8.3×
Vitamin B6 (84207) $34.45 $53 1.2×
Vitamin c (82180) $58.50 $90 5.9×
Vitamin D 25-Hydroxy (82306) $117 $180 4.0×
Vitamin E (84446) $134.55 $207 9.5×
Vitamin K (84597) $162.50 $250 11.8×
Vkorc1 gene (81355) $200.85 $309 2.3×
Von willebrand factor ag (85246) $196.30 $302 8.6×
West nile virus ab igm (86788) $87.10 $134 5.2×
West Nile Virus Antibody (86789) $72.80 $112 5.1×
Western Blot Test (84181) $61.75 $95 3.6×
Xm Archive Tissue Molec Anal (88363) $125.45 $193 3.9×
Zinc (84630)
range across 2 matching MRF lines
$50.70–$108.55 $78–$167 varies

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