Lab & pathology prices at Lallie Kemp Regional Medical Center
Independence, LA · every code in this section with a posted price and a Medicare benchmark.
1030 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $52.59 | $87.65 | 3.4× |
| Abl1 gene analysis kinase domain variants (81170) | $308.26 | $513.76 | 1.0× |
| Acetylcholine receptor binding antibody (86041) | $28.70 | $47.84 | 1.6× |
| Acetylcholinesterase Assay (82013) | $39.24 | $65.40 | 3.2× |
| Acth (82024) range across 2 matching MRF lines |
$131.81–$137.09 | $219.69–$228.48 | varies |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $117.69 | $196.15 | 3.6× |
| ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) | $212.03 | $353.38 | 2.4× |
| ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) | $212.03 | $353.38 | 2.7× |
| Actin smooth muscle antibody each (86015) | $20.77 | $34.61 | 1.7× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$168.38–$175.12 | $280.63–$291.86 | varies |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $58.38 | $97.30 | 3.5× |
| Adenovirus antibody (86603) | $44.74 | $74.57 | 3.5× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $445.29 | $742.15 | 6.9× |
| Agglutinins Febrile Each Antigen (86000) | $17.72 | $29.53 | 2.5× |
| Albumin Fluid (82042) | $19.10 | $31.83 | 2.5× |
| Albumin serum (82040) | $18.79 | $31.32 | 3.8× |
| Aldolase (82085) range across 3 matching MRF lines |
$39.10–$40.81 | $65.16–$68.02 | varies |
| Aldosterone Suppression Evaluation Panel (80408) | $260.45 | $434.08 | 2.1× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$141.08–$146.72 | $235.13–$244.54 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 3 matching MRF lines |
$55.22–$58.17 | $92.04–$96.95 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $40.99 | $68.31 | 5.1× |
| Allergen specific ige (86003) range across 6 matching MRF lines |
$7.83–$240.90 | $13.05–$401.50 | varies |
| Allergen specific igg (86001) | $15.68 | $26.14 | 2.0× |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$49.16–$51.12 | $81.94–$85.20 | varies |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$47.02–$47.68 | $78.36–$79.47 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) range across 2 matching MRF lines |
$43.58–$43.93 | $72.64–$73.21 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$57.25–$59.54 | $95.41–$99.23 | varies |
| Alt (sgpt) (84460) | $20.83 | $34.72 | 3.9× |
| Aluminum (82108) | $73.79 | $122.98 | 2.9× |
| Amikacin trough (80150) range across 2 matching MRF lines |
$51.32–$51.44 | $85.54–$85.74 | varies |
| Amines vaginal fluid qualitative (82120) | $37.16 | $61.94 | 6.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $79.53 | $132.55 | 3.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $441.01 | $735.02 | 26.1× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $32.56 | $54.26 | 2.3× |
| Amino Acids Quant 2-5 (82136) | $227.74 | $379.56 | 11.6× |
| Amino acids; single, qualitative, each specimen Facility (82127) | $58.02 | $96.70 | 4.1× |
| Aminolevulinic acid (ala) (82135) | $64.28 | $107.14 | 3.9× |
| Ammonia (82140) range across 2 matching MRF lines |
$56.02–$58.26 | $93.37–$97.10 | varies |
| Amniotic fluid scan (82143) | $44.25 | $73.75 | 4.7× |
| Amylase urine (82150) range across 6 matching MRF lines |
$16.88–$36.84 | $28.13–$61.40 | varies |
| Ana Titer (86039) | $27.47 | $45.78 | 2.5× |
| Analysis skeletal muscle (88355) | $166.95 | $278.25 | 1.1× |
| Anca Titer Each Antibody (86037) range across 3 matching MRF lines |
$7.50–$29.85 | $12.50–$49.75 | varies |
| Androstanediol Glucuronide (82154) | $56.39 | $93.98 | 2.0× |
| Androstenedione (82157) | $103.90 | $173.16 | 3.5× |
| Androsterone (hormone) level (82160) | $101.84 | $169.73 | 4.0× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$49.82–$51.81 | $83.03–$86.35 | varies |
| Angiotensin II (82163) | $65.94 | $109.90 | 3.2× |
| Anti-Phospholipid Antibody (86148) | $60.37 | $100.62 | 3.8× |
| Antibody aspergillus (86606) | $53.38 | $88.96 | 3.5× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$50.92–$51.32 | $84.87–$85.54 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $53.38 | $88.96 | 3.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 3 matching MRF lines |
$57.83–$60.90 | $96.38–$101.50 | varies |
| Antibody Encephalitis California La Crosse (86651) | $66.92 | $111.53 | 5.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $46.57 | $77.62 | 3.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $54.31 | $90.51 | 3.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$64.10–$64.39 | $106.84–$107.32 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $77.36 | $128.93 | 6.3× |
| Antibody haemophilus influenza (86684) | $56.39 | $93.98 | 3.6× |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$51.22–$51.50 | $85.36–$85.83 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $51.10 | $85.17 | 3.6× |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$44.82–$46.80 | $74.70–$78 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $39.85 | $66.41 | 2.9× |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$67.96–$70.68 | $113.27–$117.80 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $66.07 | $110.12 | 3.4× |
| Antibody identification leukocyte antibodies (86021) | $64.28 | $107.14 | 4.3× |
| Antibody Identification Platelet Immunogl Assay (86023) | $44.25 | $73.75 | 3.6× |
| Antibody leishmania (86717) | $75.92 | $126.53 | 6.2× |
| Antibody Lymphocytic Choriomeningitis (86727) | $43.38 | $72.30 | 3.4× |
| Antibody neisseria meningitidis (86741) | $38.68 | $64.47 | 2.9× |
| Antibody nocardia (86744) | $57.11 | $95.19 | 3.6× |
| Antibody plasmodium malaria (86750) | $35.97 | $59.95 | 2.7× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$34.32–$69.17 | $57.20–$115.29 | varies |
| Antibody rotavirus (86759) | $41.93 | $69.88 | 2.3× |
| Antibody Titer (86886) | $21.70 | $36.17 | 4.2× |
| Antibody Treponema Pallidum (86780) range across 4 matching MRF lines |
$45–$47 | $75–$78.33 | varies |
| Antibody yersinia (86793) | $58.56 | $97.60 | 4.4× |
| Antibody; campylobacter (86625) | $51.32 | $85.54 | 3.9× |
| Antibody; encephalitis, st. louis (86653) | $66.92 | $111.53 | 5.1× |
| Antibody; influenza virus (86710) | $52.06 | $86.77 | 3.8× |
| Antibody; mucormycosis Facility (86732) | $43.02 | $71.70 | 2.9× |
| Antigen typing (86905) | $13.89 | $23.15 | 3.6× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $32.54 | $54.23 | 5.7× |
| Antinomyces antibody (86602) | $43.02 | $71.70 | 4.2× |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$7.96–$48.80 | $13.26–$81.34 | varies |
| Antistreptolysin O Screen (86063) | $34.22 | $57.04 | 5.9× |
| Antistreptolysin o titer (86060) | $25.56 | $42.60 | 3.5× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$41.16–$42.06 | $68.60–$70.10 | varies |
| Apolipoprotein a1 (82172) | $56.43 | $94.05 | 2.7× |
| Arsenic (82175) range across 2 matching MRF lines |
$64.75–$67.34 | $107.91–$112.23 | varies |
| Aspergillus ag eia (87305) | $149.83 | $249.72 | 12.5× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$51.69–$54.38 | $86.15–$90.64 | varies |
| Assay Blood Carbon Dioxide (82374) | $17.30 | $28.84 | 3.5× |
| Assay Blood Catecholamines (82383) | $96.84 | $161.40 | 3.3× |
| Assay Duodenal Fluid Trypsin (84485) | $23.37 | $38.95 | 3.2× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$67.67–$94.10 | $112.78–$156.83 | varies |
| Assay of 5-hiaa (83497) range across 3 matching MRF lines |
$43.97–$45.74 | $73.29–$76.24 | varies |
| Assay of b-hexosaminidase each assay (83080) | $47.50 | $79.16 | 2.8× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$18.37–$19.10 | $30.61–$31.83 | varies |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$20.59–$21.41 | $34.31–$35.68 | varies |
| Assay of corticosterone (82528) | $62.60 | $104.34 | 2.8× |
| Assay of cpk in blood (82552) | $52.96 | $88.26 | 4.0× |
| Assay of estrone (82679) range across 2 matching MRF lines |
$85.18–$88.59 | $141.97–$147.65 | varies |
| Assay of feces for trypsin (84490) | $23.37 | $38.95 | 2.4× |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$28.57–$29.16 | $47.61–$48.60 | varies |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$31.74–$95.22 | $52.90–$158.70 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$36.45–$113.72 | $60.75–$189.54 | varies |
| Assay of manganese (83785) | $95.50 | $159.16 | 3.6× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$66.04–$66.86 | $110.06–$111.43 | varies |
| Assay of phosphatase acid total (84060) | $25.19 | $41.98 | 3.3× |
| Assay of phosphatase alkaline heat stable (84078) | $30.05 | $50.09 | 3.6× |
| Assay of proinsulin (84206) | $225 | $375 | 8.4× |
| Assay of prostate specific antigen complexed (84152) | $54.53 | $90.89 | 3.0× |
| Assay of pyruvate (84210) | $39.24 | $65.40 | 2.7× |
| Assay of semen fructose (82757) | $55.93 | $93.22 | 3.2× |
| Assay of serotonin (84260) | $109.95 | $183.25 | 3.5× |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
$16.69–$17.36 | $27.82–$28.93 | varies |
| Assay of Sialic Acid (84275) | $57.60 | $96 | 4.3× |
| Assay of transcortin (84449) | $68.68 | $114.46 | 3.8× |
| Assay of Tyrosine (84510) | $35.50 | $59.16 | 3.3× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$18.37–$19.10 | $30.61–$31.83 | varies |
| Assay of urine vma (84585) | $58.17 | $96.95 | 3.8× |
| Assay of vasoactive intestinal peptide (84586) | $125.40 | $209 | 3.5× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$72.48–$75.38 | $120.80–$125.63 | varies |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$13.36–$13.89 | $22.26–$23.15 | varies |
| Assay Phosphohexose Enzymes (84087) | $40.90 | $68.17 | 3.8× |
| Assay spec xcp ur&breath ia (82077) range across 3 matching MRF lines |
$50.92–$105.91 | $84.87–$176.52 | varies |
| Atomic Absorption (82190) | $72.29 | $120.49 | 4.5× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $90.37 | $150.62 | 0.6× |
| Autol bld/component collj storage salvage (86891) | $27.63 | $46.05 | 0.0× |
| Automated Leukocyte Count (85048) | $12.15 | $20.25 | 4.8× |
| B cells total count (86355) range across 2 matching MRF lines |
$128.72–$133.87 | $214.54–$223.12 | varies |
| Bacterial antigens 87802 (87802) | $40.94 | $68.24 | 3.2× |
| Bartonella antibody (86611) | $36.12 | $60.20 | 3.5× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$203.76–$212.81 | $339.60–$354.68 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$169.92–$180.76 | $283.20–$301.27 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 5 matching MRF lines |
$33.04–$94.16 | $55.06–$156.94 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$31.45–$32.71 | $52.42–$54.52 | varies |
| Beta Lactamase (87185) | $14.29 | $23.82 | 3.0× |
| Beta-2 Microglobulin (82232) range across 3 matching MRF lines |
$55.09–$57.43 | $91.81–$95.72 | varies |
| Bile acids total (82239) | $60.81 | $101.35 | 3.6× |
| Bile acids, cholylglycine (82240) | $76.79 | $127.99 | 2.9× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$12.97–$13.49 | $21.62–$22.48 | varies |
| Bilirubin total (82247) range across 4 matching MRF lines |
$20.83–$713.93 | $34.72–$1,189.88 | varies |
| Bilirubin total transcutaneous (88720) | $9.08 | $15.13 | 1.8× |
| Bilirubin; feces, qualitative Facility (82252) | $16.69 | $27.82 | 3.7× |
| Biotinidase (82261) range across 2 matching MRF lines |
$61.64–$64.10 | $102.73–$106.84 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $4.34 | $7.23 | 1.3× |
| Blastomyces antibody (86612) | $53.38 | $88.96 | 4.1× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $146.72 | $244.54 | 1.0× |
| Bld Typing Serologic Rh Phnt (86906) | $76.47 | $127.45 | 9.9× |
| Bleeding time test (85002) | $28.91 | $48.19 | 6.0× |
| Blood Count Manual Cell Count Each (85032) | $29.93 | $49.88 | 6.9× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $13.43 | $22.38 | 2.6× |
| Blood Count Red Blood Cell Automated (85041) | $12.15 | $20.25 | 4.0× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$14.47–$15.05 | $24.12–$25.08 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $10.02 | $16.70 | 2.6× |
| Blood count spun microhematocrit (85013) | $10.85 | $18.08 | 1.6× |
| Blood gas (82803) | $125.57 | $209.28 | 4.8× |
| Blood gases w/02 saturation (82805) range across 2 matching MRF lines |
$137.59–$348.38 | $229.32–$580.63 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $61.65 | $102.75 | 3.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$23.50–$24.44 | $39.16–$40.73 | varies |
| Blood Sulfhemoglobin Assay (83060) | $35.90 | $59.83 | 4.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $23.50 | $39.16 | 3.7× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $30.05 | $50.09 | 1.8× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$16.69–$17.36 | $27.82–$28.93 | varies |
| Body fluid cell count (89050) | $21.80 | $36.34 | 4.6× |
| Bone marrow smear interpretation (85097) | $93.49 | $155.82 | 0.1× |
| Bordetella antibody (86615) | $51.69 | $86.15 | 3.9× |
| Borrelia Antibody (86619) | $80.62 | $134.36 | 6.0× |
| Braf gene analysis (81210) | $262.83 | $438.05 | 1.5× |
| Breath Alcohol Test (82075) | $49.25 | $82.08 | 1.6× |
| Brucella antibody (86622) | $30.37 | $50.61 | 3.4× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$94.38–$97.75 | $157.30–$162.91 | varies |
| C-Peptide (84681) range across 3 matching MRF lines |
$65.52–$79.46 | $109.20–$132.44 | varies |
| C-reactive protein (86140) range across 2 matching MRF lines |
$21.84–$22.72 | $36.40–$37.86 | varies |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$71.02–$73.86 | $118.37–$123.10 | varies |
| Cadmium (82300) range across 2 matching MRF lines |
$78.97–$82.12 | $131.61–$136.87 | varies |
| Caffeine (80155) | $66.82 | $111.36 | 1.7× |
| Calcitonin (82308) | $100.72 | $167.86 | 3.8× |
| Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) | $107.69 | $179.48 | 1.3× |
| Calcium ionized (82330) range across 3 matching MRF lines |
$46.24–$48.49 | $77.06–$80.82 | varies |
| Calcium total (82310) | $17.36 | $28.93 | 3.4× |
| Calcium; after calcium infusion test (82331) | $18.70 | $31.17 | 1.4× |
| Calculus assay quant (82360) | $49.48 | $82.47 | 3.8× |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$46.85–$48.73 | $78.09–$81.21 | varies |
| Calculus Xray Diffraction (82370) | $35.90 | $59.83 | 2.9× |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$144.59–$150.38 | $240.99–$250.63 | varies |
| Calr gene com variants (81219) | $354.53 | $590.89 | 2.9× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$71.02–$73.86 | $118.37–$123.10 | varies |
| Cancer Antigen 27.29 (86300) range across 3 matching MRF lines |
$71.02–$142.04 | $118.37–$236.74 | varies |
| Candida antibody (86628) | $51.69 | $86.15 | 4.3× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$54.26–$56.43 | $90.43–$94.05 | varies |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) | $17.36 | $28.93 | 1.2× |
| Carboxyhemoglobin (82375) | $54.70 | $91.16 | 4.4× |
| Carcinoembryonic antigen (82378) range across 3 matching MRF lines |
$58.66–$67.34 | $97.76–$112.23 | varies |
| Cardiolipin ab iga (86147) range across 6 matching MRF lines |
$37.60–$191.29 | $62.66–$318.81 | varies |
| Carnitine Quantitative Each Specimen (82379) | $57.57 | $95.95 | 3.4× |
| Carotene (82380) range across 2 matching MRF lines |
$34.28–$35.59 | $57.14–$59.32 | varies |
| Catecholamines fractionated (82384) | $100.72 | $167.86 | 4.0× |
| Catecholamines total urine (82382) | $59.27 | $98.78 | 2.2× |
| Cathepsin-d (82387) | $59.28 | $98.80 | 3.3× |
| Ccp antibody (86200) range across 4 matching MRF lines |
$19.20–$45.96 | $32–$76.60 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$25.31–$26.32 | $42.18–$43.87 | varies |
| Cell marker study (88182) | $136.07 | $226.78 | 2.9× |
| Ceruloplasmin (82390) | $40.81 | $68.02 | 3.8× |
| Cftr gene com variants (81220) | $773.86 | $1,289.77 | 1.4× |
| Chemiluminescent assay (82397) | $83.72 | $139.53 | 5.9× |
| Chemotaxis Assay (86155) | $42.58 | $70.96 | 2.7× |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$39.10–$39.85 | $65.17–$66.41 | varies |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$35.59–$36.09 | $59.32–$60.15 | varies |
| Chlamydia trachomatis ag if (87270) | $40.94 | $68.24 | 3.4× |
| Chloramphenicol level (82415) | $44.25 | $73.75 | 3.5× |
| Chloride other source (82438) range across 2 matching MRF lines |
$16.69–$17.35 | $27.81–$28.92 | varies |
| Chloride Serum (82435) | $18.05 | $30.08 | 3.9× |
| Chloride urine (82436) range across 2 matching MRF lines |
$18.18–$18.91 | $30.30–$31.51 | varies |
| Chlorinated Hydrocarbons Screen (82441) | $21.71 | $36.18 | 3.6× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$15.39–$16.01 | $25.65–$26.68 | varies |
| Cholinesterase Serum (82480) | $26.72 | $44.53 | 3.4× |
| Chondroitin B sulfate, quantitative Facility (82485) | $74.51 | $124.19 | 3.6× |
| Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) | $210.35 | $350.59 | 3.8× |
| Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) | $255.43 | $425.71 | 4.9× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$23.48–$56.41 | $39.14–$94.01 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $50.92 | $84.87 | 1.9× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $95.17 | $158.62 | 2.8× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $85.66 | $142.76 | 2.6× |
| Chrmsm Analysis Addl Specialized Banding (88283) | $186.99 | $311.65 | 2.7× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $391.51 | $652.51 | 2.3× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | $399.85 | $666.42 | 2.3× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $453.30 | $755.50 | 2.6× |
| Chromium serum (82495) | $75.13 | $125.22 | 3.7× |
| Chromogranin a (86316) | $138.23 | $230.38 | 6.6× |
| Chromosome analys amniotic (88269) | $408.20 | $680.33 | 2.4× |
| Chromosome Analysis 15-20 (88262) | $458.65 | $764.42 | 3.7× |
| Chromosome Analysis 20-25 (88264) | $426.55 | $710.91 | 2.9× |
| Chromosome analysis 45 cells (88263) | $408.20 | $680.33 | 2.7× |
| Chromosome analysis, 5 (88261) | $503.36 | $838.93 | 1.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$102.34–$292.50 | $170.57–$487.50 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$94.89–$98.69 | $158.15–$164.48 | varies |
| Ckmb (82553) | $47.18 | $78.64 | 4.1× |
| Clostridium Difficile (87324) range across 4 matching MRF lines |
$40.90–$42.58 | $68.17–$70.97 | varies |
| Clot lysis time, whole blood dilution Facility (85175) | $15.02 | $25.03 | 0.7× |
| Clot retraction (85170) | $15.02 | $25.03 | 0.9× |
| Clotting factor viii related antigen (85244) | $85.15 | $141.91 | 4.2× |
| Clotting Funct Activity (85397) | $133.04 | $221.73 | 4.3× |
| Clotting hi molec weight kininogen assay (85293) | $80.14 | $133.57 | 4.2× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $80.14 | $133.56 | 4.2× |
| Cns DNA amp probe type 12-25 (87483) | $536.64 | $894.40 | 1.3× |
| Coagulation time activated (85347) | $15.39 | $25.65 | 3.6× |
| Coagulation time other methods (85348) | $13.43 | $22.38 | 3.0× |
| Coagulation time; Lee and White Facility (85345) | $18.37 | $30.61 | 3.9× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$45.11–$151.94 | $75.19–$253.24 | varies |
| Cold agglutinin screen (86156) | $28.55 | $47.59 | 3.5× |
| Cold agglutinin titer (86157) | $44.28 | $73.80 | 5.5× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$70.24–$95.03 | $117.06–$158.39 | varies |
| Column Chromotography Quant (82542) range across 5 matching MRF lines |
$74.88–$157.50 | $124.80–$262.50 | varies |
| Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) | $111.34 | $185.57 | 0.2× |
| Compatibility Each Unit Incubation (86921) | $37.57 | $62.62 | 0.2× |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$37.57–$39.07 | $62.62–$65.12 | varies |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$40.94–$42.62 | $68.24–$71.04 | varies |
| Complement Fixation Tests Each Antigen (86171) | $40.90 | $68.17 | 4.1× |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$85.15–$88.55 | $141.91–$147.59 | varies |
| Complement/Function Activity (86161) | $48.65 | $81.08 | 4.1× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $93.27 | $155.45 | 2.0× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $42.54 | $70.90 | 1.3× |
| Coombs direct (86880) | $22.57 | $37.62 | 4.2× |
| Copper urine (82525) range across 3 matching MRF lines |
$52.59–$92.93 | $87.65–$154.88 | varies |
| Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) | $475.82 | $793.03 | 0.6× |
| Cortisol free (82530) range across 2 matching MRF lines |
$58.90–$59.33 | $98.16–$98.88 | varies |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$54.26–$56.43 | $90.43–$94.05 | varies |
| Creatine (82540) | $15.02 | $25.03 | 3.2× |
| Creatine kinase (CK), (CPK); isoforms Facility (82554) | $41.86 | $69.77 | 3.5× |
| Creatine kinase total (82550) range across 4 matching MRF lines |
$27.08–$54.16 | $45.13–$90.26 | varies |
| Creatinine blood (82565) range across 3 matching MRF lines |
$20.03–$20.83 | $33.38–$34.72 | varies |
| Creatinine clearance (82575) | $42.54 | $70.90 | 4.5× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$20.03–$199.25 | $33.38–$332.08 | varies |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$32.56–$33.86 | $54.26–$56.43 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$44.19–$45.96 | $73.65–$76.60 | varies |
| Cryofibrinogen (82585) | $23.37 | $38.95 | 1.7× |
| Cryoglobulin (82595) | $27.79 | $46.31 | 4.3× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $108.80 | $181.34 | 8.3× |
| Cryptococcal Antigen (87327) | $37.22 | $62.04 | 2.8× |
| Cryptococcus ab (86641) | $51.16 | $85.27 | 3.6× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$63.28–$65.81 | $105.46–$109.68 | varies |
| Cryptosporidium (87272) | $58.02 | $96.70 | 4.8× |
| Cryptosporidium ag eia (87328) | $35.72 | $59.53 | 2.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$27.58–$28.68 | $45.96–$47.80 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$40.81–$78.48 | $68.02–$130.80 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$33–$60.84 | $55–$101.40 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $301.13 | $501.88 | 1.4× |
| Culture aerobic quant other (87071) | $14.66 | $24.43 | 1.5× |
| Culture afb (87116) range across 2 matching MRF lines |
$40.90–$42.54 | $68.17–$70.90 | varies |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$34.70–$36.09 | $57.84–$60.15 | varies |
| Culture bacteria anaerobic (87073) | $14.09 | $23.49 | 1.5× |
| Culture blood (87040) range across 4 matching MRF lines |
$18–$115.69 | $30–$192.82 | varies |
| Culture chlamydia (87110) | $79.89 | $133.15 | 4.1× |
| Culture csf (87070) range across 2 matching MRF lines |
$29.39–$30.56 | $48.98–$50.94 | varies |
| Culture fungus (87102) | $33 | $55 | 3.9× |
| Culture fungus blood (87103) range across 2 matching MRF lines |
$49.16–$49.25 | $81.94–$82.08 | varies |
| Culture screen only (87081) | $23.53 | $39.22 | 3.5× |
| Culture stool (87045) range across 2 matching MRF lines |
$35.90–$37.33 | $59.83–$62.22 | varies |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $52.59 | $87.65 | 4.2× |
| Culture typing if ea antiserum (87140) | $19.03 | $31.72 | 3.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $42.58 | $70.96 | 8.2× |
| Culture typing other methods (87158) | $15.02 | $25.03 | 1.9× |
| Culture urine (87086) range across 3 matching MRF lines |
$12–$32.49 | $20–$54.15 | varies |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) | $31.13 | $51.88 | 1.1× |
| Culture, typing; identification by pulse field gel typing Facility (87152) | $15.68 | $26.14 | 2.0× |
| Cyanide (82600) | $62.60 | $104.34 | 3.2× |
| Cyclic amp (82030) | $68.45 | $114.09 | 2.7× |
| Cyclosporine (80158) | $74.44 | $124.06 | 4.1× |
| Cytogenetics 10-30 (88273) | $361.48 | $602.47 | 10.4× |
| Cytogenetics 100-300 (88275) | $105.47 | $175.79 | 2.1× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$52.56–$54.89 | $87.60–$91.48 | varies |
| Cytopath C/V Index Add-On (88155) | $18.37 | $30.61 | 1.3× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $51.88 | $86.47 | 2.6× |
| Cytopath Cell Enhance Tech (88112) | $45.11 | $75.19 | 1.0× |
| Cytopath Fl Nongyn Filter (88106) | $85.15 | $141.91 | 3.3× |
| Cytopath unlstd proc (88199) | $36.15 | $60.25 | 0.8× |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) | $37.95 | $63.25 | 0.8× |
| Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) | $37.95 | $63.25 | 2.0× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) | $31.63 | $52.72 | 0.7× |
| Cytotoxic Antibody Screen Std (86807) | $114.36 | $190.60 | 1.5× |
| Cytotoxic pra quick (86808) | $81.80 | $136.34 | 2.8× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$37.95–$39.47 | $63.25–$65.78 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $32.92 | $54.86 | 1.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$106.85–$111.13 | $178.09–$185.21 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $111.13 | $185.21 | 0.7× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $60.95 | $101.58 | 1.8× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $31.63 | $52.72 | 1.7× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $119.37 | $198.95 | 2.5× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $60.95 | $101.58 | 2.3× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) | $39.24 | $65.40 | 3.7× |
| Deoxycortisol (82634) | $126.05 | $210.08 | 4.3× |
| Deoxyribonuclease antibody (86215) | $58.17 | $96.95 | 4.4× |
| Detect Agent Nos Dna Amp (87798) range across 5 matching MRF lines |
$56.93–$242.45 | $94.89–$404.09 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$275.81–$292.03 | $459.68–$486.72 | varies |
| Detect agnt mult DNA ampli (87801) | $90.91 | $151.52 | 1.3× |
| Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) | $164.45 | $274.08 | 1.0× |
| Dgp Antibody Each Ig Class (86258) | $61.46 | $102.44 | 5.1× |
| Dhea-S (82627) range across 2 matching MRF lines |
$56.92–$59.20 | $94.87–$98.66 | varies |
| Dibucaine number (82638) | $37.57 | $62.62 | 3.1× |
| Digoxin (80162) | $52.96 | $88.26 | 4.0× |
| Diphtheria antitoxoid (86648) | $52.78 | $87.96 | 3.5× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) | $56.43 | $94.05 | 1.7× |
| Dna Antibody Native/Double Stranded (86225) range across 5 matching MRF lines |
$46.75–$93.50 | $77.92–$155.84 | varies |
| Dna/Rna Amplified Probe (87150) | $440.97 | $734.95 | 12.6× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$53.50–$53.76 | $89.17–$89.60 | varies |
| Dna/Rna Sequencing (87153) | $86.46 | $144.10 | 0.7× |
| Dpyd gene common variants (81232) | $288.79 | $481.31 | 1.7× |
| Drug assay acetaminophen (80143) range across 2 matching MRF lines |
$50.92–$52.96 | $84.87–$88.26 | varies |
| Drug Assay Itraconazole (80189) | $60.84 | $101.40 | 2.2× |
| Drug Assay Lacosamide (80235) | $82.68 | $137.80 | 3.0× |
| Drug Screen Quant Clozapine (80159) | $79.87 | $133.11 | 4.0× |
| Drug Screen Quant Zonisamide (80203) | $86.46 | $144.10 | 6.5× |
| Drug Screen Quantitative Gabapentin (80171) | $69.49 | $115.81 | 3.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $94.55 | $157.58 | 7.1× |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$66.82–$69.49 | $111.36–$115.81 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $69.49 | $115.81 | 5.2× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $57.05 | $95.08 | 3.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$133.37–$266.75 | $222.29–$444.58 | varies |
| Ehrlichia antibody (86666) | $31.71 | $52.85 | 3.1× |
| El-1 Fecal Quantitative (82653) range across 2 matching MRF lines |
$162.24–$168.73 | $270.40–$281.22 | varies |
| Electrolyte panel (80051) | $74.07 | $123.45 | 10.6× |
| Electron Microscopy (88348) | $1,301.35 | $2,168.92 | 1.8× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $62.60 | $104.34 | 1.0× |
| Encephaltis East Eqne Anbdy (86652) | $66.92 | $111.53 | 5.1× |
| Encephaltis West Eqne Antbdy (86654) | $46.80 | $78 | 3.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$41.65–$45 | $69.42–$75 | varies |
| Enterovirus Antibody (86658) | $44.47 | $74.11 | 3.4× |
| Enterovirus PCR (87498) | $217.40 | $362.34 | 6.2× |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$97.67–$484.71 | $162.78–$807.85 | varies |
| Enzyme histochemistry (88319) | $69.64 | $116.06 | 0.1× |
| Eosinophil Smear (89190) | $16.22 | $27.03 | 2.8× |
| Erythropoietin (82668) range across 2 matching MRF lines |
$70.95–$73.79 | $118.25–$122.98 | varies |
| Estradiol serum (82670) range across 2 matching MRF lines |
$95.17–$98.98 | $158.62–$164.96 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$81.80–$85.07 | $136.34–$141.79 | varies |
| Estrogen total (82672) range across 2 matching MRF lines |
$74.02–$76.97 | $123.36–$128.29 | varies |
| Ethosuximide (80168) | $68.45 | $114.09 | 4.2× |
| Ethylene Glycol (82693) | $154.14 | $256.90 | 10.3× |
| Euglobulin lysis (85360) | $25.04 | $41.74 | 3.0× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$24.40–$25.37 | $40.66–$42.29 | varies |
| F2 Gene (81240) range across 3 matching MRF lines |
$84.24–$101.51 | $140.40–$169.19 | varies |
| Factor Inhibitor Test (85335) | $120.56 | $200.93 | 9.4× |
| Factor ix activity (85250) | $75.96 | $126.60 | 4.0× |
| Factor v activity (85220) | $73.46 | $122.44 | 4.2× |
| Factor v leiden mutation (81241) | $112.36 | $187.26 | 1.5× |
| Factor vii assay (85230) range across 2 matching MRF lines |
$72.63–$75.53 | $121.05–$125.89 | varies |
| Factor viii assay (85240) | $75.13 | $125.22 | 4.2× |
| Factor X (85260) | $75.96 | $126.60 | 4.2× |
| Factor xi activity (85270) | $75.96 | $126.60 | 4.2× |
| Factor xiii screen (85291) | $25.31 | $42.18 | 2.8× |
| Fat differential, feces, quantitative Facility (82715) | $58.75 | $97.91 | 2.6× |
| Fat stain feces urine/respir secretions (89125) | $21.70 | $36.17 | 3.7× |
| Fat/Lipids Feces Quantitative (82710) | $59.62 | $99.36 | 3.5× |
| Fatty acids free (82725) | $236.25 | $393.75 | 12.6× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $18.37 | $30.61 | 2.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) | $60.95 | $101.58 | 6.0× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $26.72 | $44.53 | 4.1× |
| Fecal Fat Qualitative (82705) | $18.07 | $30.11 | 3.5× |
| Ferritin (82728) range across 3 matching MRF lines |
$47.96–$50.08 | $79.94–$83.47 | varies |
| Fetal Fibronectin (82731) | $131.58 | $219.30 | 2.0× |
| Fetal hemoglobin assay qual (83033) range across 2 matching MRF lines |
$23.37–$215.13 | $38.95–$358.55 | varies |
| Fetal lung maturity assessment; foam stability test Facility (83662) | $68.34 | $113.90 | 3.6× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $34.18 | $56.97 | 1.8× |
| Fetal screen rosette (85461) | $23.99 | $39.99 | 2.6× |
| Fibrin degradation products (85362) | $29.51 | $49.19 | 4.3× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$72.12–$75.01 | $120.20–$125.01 | varies |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $31.58 | $52.64 | 3.2× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) | $33.43 | $55.72 | 2.7× |
| Fibrinogen activity (85384) | $32.33 | $53.89 | 3.3× |
| Fibrinogen antigen (85385) | $30.70 | $51.16 | 2.1× |
| Fibrinolytic factors and inhibitors; plasmin Facility (85400) | $18.37 | $30.61 | 2.4× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$46.80–$48.67 | $78–$81.12 | varies |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$40.99–$42.79 | $68.31–$71.32 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$29.85–$183.87 | $49.75–$306.45 | varies |
| Fluoride serum (82735) | $55.93 | $93.22 | 3.0× |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$60.90–$61.46 | $101.50–$102.44 | varies |
| Folic Acid Serum (82746) range across 3 matching MRF lines |
$60.86–$63.38 | $101.43–$105.64 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$59.28–$61.65 | $98.80–$102.75 | varies |
| Forensic Cytopathology (88125) | $107.69 | $179.48 | 2.3× |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) | $93.49 | $155.82 | 3.3× |
| Francisella tularensis (86668) range across 2 matching MRF lines |
$23.14–$219.72 | $38.56–$366.20 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $18.79 | $31.32 | 0.1× |
| Frozen Blood Each Unit Freezing (86930) | $238.75 | $397.91 | 1.5× |
| Frozen Blood Each Unit Thawing (86931) | $238.75 | $397.91 | 1.5× |
| Frozen blood freeze/thaw (86932) | $247.09 | $411.82 | 7.3× |
| Frozen Section (88331) | $198.12 | $330.20 | 1.3× |
| Fungi Identification Mold (87107) | $24.44 | $40.73 | 2.4× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$40.90–$42.54 | $68.17–$70.90 | varies |
| Galactokinase rbc (82759) | $59.27 | $98.78 | 2.8× |
| Galactose (82760) | $42.58 | $70.96 | 3.8× |
| Galactose transferase test (82776) | $21.70 | $36.17 | 1.8× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $72.63 | $121.05 | 3.4× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$55.95–$58.45 | $93.25–$97.42 | varies |
| Gardner Vag Dna Quant (87512) | $44.82 | $74.70 | 1.1× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $31.52 | $52.53 | 3.2× |
| Gases blood ph only (82800) range across 2 matching MRF lines |
$56.39–$58.64 | $93.98–$97.74 | varies |
| Gastrin (82941) range across 2 matching MRF lines |
$62.03–$62.59 | $103.39–$104.32 | varies |
| Gastrin after secretin stim (82938) | $60.38 | $100.64 | 3.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $193.44 | $322.40 | 0.5× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$115.55–$120.17 | $192.59–$200.29 | varies |
| Gentamicin (80170) range across 3 matching MRF lines |
$55.95–$58.19 | $93.25–$96.98 | varies |
| Ggt (82977) range across 2 matching MRF lines |
$25.04–$26.05 | $41.74–$43.41 | varies |
| Gh suppression panel (80430) | $152.77 | $254.61 | 1.2× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$31.81–$32.29 | $53.02–$53.82 | varies |
| Giardia lamblia antibody (86674) | $67.24 | $112.06 | 4.6× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $21.70 | $36.17 | 3.6× |
| Glucagon (82943) | $61.46 | $102.44 | 4.3× |
| Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) | $96.84 | $161.40 | 2.1× |
| Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) | $111.34 | $185.57 | 2.2× |
| Glucagon tolerance test Facility (82946) | $45.91 | $76.51 | 2.6× |
| Glucose 2 hr pp (82950) | $18.37 | $30.61 | 3.9× |
| Glucose Blood Test (82962) | $15.04 | $25.06 | 4.6× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$16.69–$33.38 | $27.82–$55.64 | varies |
| Glucose Serum (82947) range across 5 matching MRF lines |
$14.89–$74.43 | $24.81–$124.05 | varies |
| Glucose tolerance test (gtt) (82951) | $45.70 | $76.17 | 3.6× |
| Glucosidase beta (82963) | $85.15 | $141.91 | 4.0× |
| Glutamate dehydrogenase Facility (82965) | $30.05 | $50.09 | 2.3× |
| Glutathione (82978) | $56.16 | $93.60 | 3.6× |
| Glutathione reductase, RBC Facility (82979) | $28.38 | $47.30 | 3.0× |
| Glycated Protein (82985) | $54.89 | $91.48 | 3.3× |
| Gonadotropin Chorionic Qualitative (84703) | $59.27 | $98.78 | 7.9× |
| Gonadotropin releasing hormone (83727) | $67.61 | $112.68 | 3.9× |
| Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) | $111.34 | $185.57 | 0.8× |
| Growth hormone (83003) range across 2 matching MRF lines |
$55.93–$58.17 | $93.22–$96.95 | varies |
| Growth hormone antibody (86277) | $34.92 | $58.20 | 2.2× |
| Growth Hormone Stimulation Panel (80428) | $142.75 | $237.91 | 2.1× |
| Gtt-added samples (82952) | $13.91 | $23.18 | 3.5× |
| H Pylori Drug Admin (83014) | $3.61 | $6.02 | 0.5× |
| Haloperidol (80173) | $36.25 | $60.41 | 2.3× |
| Haptoglobin (83010) range across 3 matching MRF lines |
$40.94–$44.28 | $68.23–$73.80 | varies |
| Haptoglobin; phenotypes Facility (83012) | $55.93 | $93.22 | 2.1× |
| Hba1/Hba2 Gene (81257) range across 3 matching MRF lines |
$310.82–$525 | $518.03–$875 | varies |
| Hdl Cholesterol (83718) | $31.25 | $52.09 | 3.8× |
| Heavy metal qualitative any analytes (83015) | $80.14 | $133.56 | 3.8× |
| Heinz Bodies Direct (85441) | $11.68 | $19.47 | 2.8× |
| Heinz Bodies Induced Acetyl Phenylhydrazine (85445) | $25.04 | $41.74 | 3.7× |
| Helicobacter Pylori Stool (87338) | $34.96 | $58.26 | 2.4× |
| Helminth Antibody (86682) range across 5 matching MRF lines |
$56.20–$264 | $93.67–$440 | varies |
| Hemagglutination Inhibition (86280) | $23.37 | $38.95 | 2.9× |
| Hematocrit (85014) range across 3 matching MRF lines |
$8.09–$8.41 | $13.48–$14.02 | varies |
| Hemoglobin (85018) range across 3 matching MRF lines |
$8.34–$8.68 | $13.90–$14.46 | varies |
| Hemoglobin a1c (83036) range across 4 matching MRF lines |
$38.32–$40.60 | $63.86–$67.67 | varies |
| Hemoglobin Chromotography (83021) range across 3 matching MRF lines |
$29.30–$64.10 | $48.84–$106.84 | varies |
| Hemoglobin Copper Sulfate Method Non-Automated (83026) | $8.53 | $14.21 | 2.1× |
| Hemoglobin electrophoresis (83020) | $45.70 | $76.17 | 3.6× |
| Hemoglobin F Fetal Chemical (83030) | $28.38 | $47.30 | 2.6× |
| Hemoglobin Methemoglobin Quantitative (83050) | $30.05 | $50.09 | 3.7× |
| Hemoglobin plasma (83051) | $30.05 | $50.09 | 4.1× |
| Hemoglobin stability screen (83068) | $32.56 | $54.26 | 3.4× |
| Hemoglobin Thermolabile (83065) | $26.22 | $43.70 | 2.9× |
| Hemoglobin urine (83069) | $14.24 | $23.74 | 3.6× |
| Hemoglobin-Oxygen Affinity (82820) | $36.14 | $60.23 | 2.7× |
| Hemoglobin; methemoglobin, qualitative Facility (83045) | $20.03 | $33.38 | 3.1× |
| Hemolysin Acid (85475) | $23.14 | $38.56 | 2.6× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $28.38 | $47.30 | 3.2× |
| Hemolysins&Agglutinins Incubated (86941) | $47.58 | $79.30 | 3.9× |
| Hemosiderin urine (83070) | $20.03 | $33.38 | 4.2× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$47.68–$47.74 | $79.47–$79.57 | varies |
| Heparin assay (85520) range across 2 matching MRF lines |
$45.96–$46.46 | $76.60–$77.44 | varies |
| Heparin Neutralization (85525) | $64.42 | $107.36 | 5.4× |
| Heparin-Protamine Tolerance Tst (85530) | $60.95 | $101.58 | 4.7× |
| Hepatitis a antibody total (86708) range across 3 matching MRF lines |
$41.57–$43.97 | $69.28–$73.29 | varies |
| Hepatitis b core ab igm (86705) range across 3 matching MRF lines |
$46.99–$49.10 | $78.32–$81.84 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$49.16–$51.13 | $81.94–$85.22 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$39.24–$40.81 | $65.40–$68.02 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$39.74–$41.33 | $66.24–$68.89 | varies |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$42.58–$44.28 | $70.96–$73.80 | varies |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$42.58–$44.28 | $70.96–$73.80 | varies |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$22.27–$57.29 | $37.11–$95.48 | varies |
| Hepatitis c antibody confirmatory test (86804) | $139.10 | $231.83 | 9.0× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$264.76–$275.35 | $441.27–$458.92 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $56.93 | $94.89 | 1.6× |
| Hepatitis C Revrs Trnscrpj (87522) range across 4 matching MRF lines |
$55.34–$152.03 | $92.23–$253.39 | varies |
| Hepatitis delta ag (87380) | $31.09 | $51.82 | 1.7× |
| Hepatitis G Dna Quant (87527) | $80.97 | $134.95 | 1.9× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$66.07–$68.71 | $110.12–$114.52 | varies |
| Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) | $30.05 | $50.09 | 4.1× |
| Heterophile Antibody Screen (86308) range across 4 matching MRF lines |
$23.14–$100.36 | $38.56–$167.26 | varies |
| Hfe Gene (81256) | $139.52 | $232.54 | 2.1× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $23.37 | $38.95 | 3.0× |
| Histoplasma antibody (86698) | $43.61 | $72.68 | 3.2× |
| Histoplasma antigen urine (87385) | $100 | $166.67 | 7.5× |
| Hiv Genotype (87901) range across 3 matching MRF lines |
$52.78–$552.38 | $87.96–$920.64 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$51.81–$53.88 | $86.35–$89.80 | varies |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$49.16–$51.13 | $81.94–$85.22 | varies |
| HIV-1 p24 antigen (87390) | $60.20 | $100.34 | 2.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 3 matching MRF lines |
$290.38–$302 | $483.97–$503.33 | varies |
| HIV-2 probe&revrse trnscripj (87538) range across 4 matching MRF lines |
$43.23–$54.74 | $72.05–$91.24 | varies |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $315 | $525 | 2.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) range across 3 matching MRF lines |
$26.32–$45.24 | $43.87–$75.40 | varies |
| Hla I Typing 1 Allele Hr (81381) range across 2 matching MRF lines |
$37.60–$551.25 | $62.66–$918.75 | varies |
| Hla Typing a/B/C Multiple Antigens (86813) | $156.10 | $260.17 | 2.7× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $205.36 | $342.26 | 1.9× |
| Hla Typing Dr/Dq Single Antigen (86816) | $99.34 | $165.57 | 3.3× |
| Homocysteine (83090) range across 3 matching MRF lines |
$57.25–$59.87 | $95.41–$99.79 | varies |
| Homogenization Tissue (87176) range across 3 matching MRF lines |
$24.91–$52.09 | $41.52–$86.82 | varies |
| Homovanillic acid urine (83150) | $76.79 | $127.99 | 3.4× |
| Hpa-1 genotyping gene analysis common variant (81105) | $262.24 | $437.06 | 2.1× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$90.23–$93.85 | $150.39–$156.41 | varies |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$68.04–$130.85 | $113.40–$218.08 | varies |
| Hsv Dna Quant (87530) | $65.42 | $109.04 | 1.5× |
| Htlv-I Antibody (86687) | $16.69 | $27.82 | 1.8× |
| Htlv-ii antibody (86688) | $112.06 | $186.77 | 8.0× |
| Human Epididymis Protein 4 (86305) | $166.84 | $278.06 | 8.0× |
| Hydroxycorticosteroids 17 (83491) | $59.77 | $99.62 | 3.3× |
| Hydroxyprogesterone 17-d (83498) | $100.72 | $167.86 | 3.7× |
| Hydroxyproline free (83500) | $106.02 | $176.70 | 4.7× |
| Hydroxyproline total (83505) | $119.37 | $198.95 | 4.9× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $56.39 | $93.98 | 4.7× |
| Iaad Ia Cytomegalovirus (87332) | $101.94 | $169.90 | 8.5× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $35.79 | $59.65 | 3.0× |
| Iaad Ia Escherichia Coli 0157 (87335) | $44.11 | $73.51 | 3.5× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) range across 3 matching MRF lines |
$37.57–$39.10 | $62.62–$65.17 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $56.39 | $93.98 | 4.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$49.92–$51.92 | $83.20–$86.53 | varies |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$40.94–$42.58 | $68.24–$70.97 | varies |
| Iaad Ia Streptococcus Group A (87430) | $28.55 | $47.59 | 1.7× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $118.57 | $197.61 | 9.9× |
| Iaadi herpes smplx virus type 1 (87274) | $65.42 | $109.04 | 5.5× |
| Iaadi herpes smplx virus type 2 (87273) | $35.79 | $59.65 | 3.0× |
| Iaadi inffluenza a virus (87276) | $60.73 | $101.21 | 3.8× |
| Iaadi parainfluenza virus each type (87279) | $35.79 | $59.65 | 2.2× |
| Iaadi pneumocustis carinii (87281) range across 3 matching MRF lines |
$31.51–$302 | $52.51–$503.33 | varies |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $18.07 | $30.12 | 1.5× |
| Iaadi respiratory synctial virus (87280) | $56.39 | $93.98 | 4.2× |
| Iaadi Varicella Zoster Virus (87290) | $55.67 | $92.78 | 4.1× |
| Iadna Bartonella Amplified Probe Technique (87471) | $95.43 | $159.05 | 2.7× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $95.43 | $159.05 | 2.7× |
| Iadna Candida Species Amplified Probe Tq (87481) | $23.14 | $38.56 | 0.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $58.02 | $96.70 | 1.7× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $50.64 | $84.40 | 2.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $124.58 | $207.63 | 3.6× |
| Iadna Cytomegalovirus Direct Probe Tq (87495) | $101.94 | $169.90 | 3.4× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$106.02–$243.36 | $176.70–$405.60 | varies |
| Iadna hepatitis b virus amplified probe tq (87516) range across 2 matching MRF lines |
$119.78–$124.58 | $199.64–$207.63 | varies |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$187.83–$195.34 | $313.05–$325.57 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $65.42 | $109.04 | 1.9× |
| Iadna Herpes Virus-6 Quantification (87533) | $65.42 | $109.04 | 1.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 3 matching MRF lines |
$173.79–$180.74 | $289.65–$301.24 | varies |
| Iadna Hiv-2 Quant & Reverse Transcription (87539) | $41.57 | $69.28 | 0.7× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $126.83 | $211.38 | 3.6× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $58.56 | $97.60 | 1.3× |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $73.93 | $123.21 | 2.7× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $73.93 | $123.21 | 1.5× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $73.93 | $123.21 | 3.7× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $76.88 | $128.14 | 1.8× |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $73.93 | $123.21 | 2.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $40.42 | $67.36 | 1.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$99.05–$103.01 | $165.09–$171.69 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $65.06 | $108.44 | 2.2× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) range across 2 matching MRF lines |
$66.19–$132.38 | $110.32–$220.64 | varies |
| Ifnl3 gene analysis rs12979860 variant (81283) | $207.21 | $345.35 | 2.8× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$94.10–$180.96 | $156.83–$301.60 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$22.72–$93.98 | $37.86–$156.64 | varies |
| Igh gene rearrange amp meth (81261) | $654.14 | $1,090.24 | 3.3× |
| Igk rearrangeabn clonal pop (81264) | $280.24 | $467.06 | 1.6× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
$185.60–$356.93 | $309.34–$594.88 | varies |
| Immune Complex Assay (86332) | $85.15 | $141.91 | 3.5× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$29.17–$30.33 | $48.61–$50.55 | varies |
| Immunoassay analyte qual/semiqual single step (83518) | $68.68 | $114.46 | 7.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$178.46–$240.11 | $297.44–$400.19 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $111.34 | $185.57 | 4.4× |
| Immunoassay infectious agent (86318) | $41.79 | $69.65 | 2.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$49.48–$704.03 | $82.47–$1,173.38 | varies |
| Immunoassay nonantibody (83516) range across 8 matching MRF lines |
$22.50–$484.22 | $37.50–$807.04 | varies |
| Immunodiffusion not elsewhere specified (86329) | $57.60 | $96 | 4.1× |
| Immunodiffusion Ouchterlony (86331) | $50.92 | $84.87 | 4.3× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $76.79 | $127.99 | 3.3× |
| Immunoelectrophoresis Serum (86320) | $76.79 | $127.99 | 2.6× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$101–$105.04 | $168.34–$175.07 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $43.38 | $72.30 | 0.3× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$122.32–$127.21 | $203.87–$212.02 | varies |
| In situ hybridization 1st probe stain (88365) | $40.81 | $68.02 | 0.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) | $63.74 | $106.24 | 2.9× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) | $35.79 | $59.65 | 2.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | $58.02 | $96.70 | 3.9× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) | $13.37 | $22.29 | 1.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $37.22 | $62.04 | 2.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) range across 2 matching MRF lines |
$131.83–$137.11 | $219.72–$228.51 | varies |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) | $28.55 | $47.59 | 0.8× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) | $28.55 | $47.59 | 1.2× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $54.77 | $91.28 | 3.8× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $35.79 | $59.65 | 2.9× |
| Infectious agent antigen detection by immunofluorescent technique; Rubeola Facility (87283) | $35.79 | $59.65 | 0.6× |
| Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) | $36.33 | $60.55 | 3.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) | $95.43 | $159.05 | 2.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475) | $95.43 | $159.05 | 4.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482) | $23.14 | $38.56 | 0.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) | $58.02 | $96.70 | 2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) | $58.02 | $96.70 | 1.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) | $58.02 | $96.70 | 1.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $44.82 | $74.70 | 1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) | $61.46 | $102.43 | 2.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) | $80.97 | $134.95 | 2.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) | $80.97 | $134.95 | 2.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) | $65.42 | $109.04 | 3.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) | $65.42 | $109.04 | 1.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) | $41.57 | $69.28 | 1.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) | $41.57 | $69.28 | 1.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) | $82.42 | $137.36 | 2.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562) | $73.93 | $123.21 | 1.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) | $73.93 | $123.21 | 1.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) | $73.93 | $123.21 | 1.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) | $38.86 | $64.77 | 1.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Facility (87582) | $38.86 | $64.77 | 0.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) | $28.55 | $47.59 | 0.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) | $28.55 | $47.59 | 1.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) | $28.55 | $47.59 | 0.7× |
| Influenza a/b ag eia (87400) | $17.89 | $29.82 | 1.3× |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$40.94–$81.89 | $68.24–$136.48 | varies |
| Influenza DNA amp probe (87502) | $191.59 | $319.31 | 2.0× |
| Inhibin b (83520) range across 12 matching MRF lines |
$26.95–$851.25 | $44.91–$1,418.75 | varies |
| Insitu hybridization manual (88368) | $123.31 | $205.51 | 0.4× |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$85.15–$88.55 | $141.91–$147.59 | varies |
| Insulin tolerance panel growth horm defncy (80435) | $111.34 | $185.57 | 1.1× |
| Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) | $183.65 | $306.08 | 0.6× |
| Insulin total (83525) range across 2 matching MRF lines |
$39.03–$40.59 | $65.05–$67.65 | varies |
| Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) | $373.97 | $623.28 | 2.3× |
| Intrinsic factor (stomach protein) level (83528) | $67.61 | $112.68 | 3.4× |
| Intrinsic factor antibody (86340) | $53.50 | $89.17 | 3.5× |
| Iron (83540) range across 4 matching MRF lines |
$26.05–$27.79 | $43.41–$46.31 | varies |
| Iron Binding Capacity (83550) range across 3 matching MRF lines |
$32.18–$33.47 | $53.64–$55.79 | varies |
| Iron stain peripheral blood (85536) | $19.17 | $31.95 | 2.8× |
| Irradiation Blood Product Each Unit (86945) | $54.26 | $90.43 | 1.6× |
| Islet cell antibody (86341) range across 7 matching MRF lines |
$43.10–$1,260 | $71.83–$2,100 | varies |
| Isocitric dehydrogenase (IDH) Facility (83570) | $37.57 | $62.62 | 4.2× |
| Jak2 gene analysis p.val617phe variant (81270) | $288.49 | $480.82 | 3.1× |
| Jak2 Gene Trgt Sequence Alys (81279) | $296.40 | $494 | 1.6× |
| Ketosteroids 17 total (83586) | $43.69 | $72.81 | 3.4× |
| Koh Prep (87220) | $34.58 | $57.64 | 8.1× |
| Kras Gene Variants Exon 2 (81275) | $657.90 | $1,096.50 | 3.4× |
| L/s ratio (83661) | $79.53 | $132.55 | 3.6× |
| Lactate (ld) (ldh) enzyme (83615) range across 5 matching MRF lines |
$20.16–$22.06 | $33.60–$36.77 | varies |
| Lactoferrin Fecal Quantitative (83631) | $93.98 | $156.64 | 4.8× |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) | $65.94 | $109.90 | 3.3× |
| Lactose urine qual (83633) | $23.37 | $38.95 | 2.1× |
| Lamellar Body Count (83664) | $17.07 | $28.45 | 0.9× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$36.86–$39.07 | $61.44–$65.12 | varies |
| LDL direct (83721) | $42.11 | $70.19 | 4.0× |
| Lead (83655) range across 4 matching MRF lines |
$47.58–$68.14 | $79.30–$113.57 | varies |
| Legionella antibody (86713) | $56.02 | $93.36 | 3.7× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$65.06–$180.23 | $108.44–$300.39 | varies |
| Legionella DNA probe (87540) | $82.42 | $137.36 | 4.1× |
| Legionella pneumophila dfa (87278) | $85.71 | $142.85 | 5.5× |
| Leptospira antibody (86720) | $45 | $75 | 2.8× |
| Leucine Aminopeptidase Lap (83670) | $28.38 | $47.30 | 2.9× |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$22.42–$23.31 | $37.36–$38.85 | varies |
| Leukocyte Histamine Release (86343) | $50.92 | $84.87 | 4.1× |
| Leukocyte phagocytosis (86344) | $33.39 | $55.65 | 3.2× |
| Leukocyte transfusion (86950) | $152.77 | $254.61 | 1.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $27.63 | $46.05 | 1.1× |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$48.16–$92.60 | $80.26–$154.34 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$166.84–$320.84 | $278.06–$534.74 | varies |
| Lidocaine (80176) | $54.26 | $90.43 | 3.7× |
| Lipase (83690) range across 2 matching MRF lines |
$23.50–$24.44 | $39.16–$40.73 | varies |
| Lipoprotein A (83695) | $31.71 | $52.85 | 2.2× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $34.22 | $57.04 | 3.0× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $51.32 | $85.54 | 1.5× |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) | $65.94 | $109.90 | 5.2× |
| Listeria Monocytogenes (86723) | $75.92 | $126.53 | 5.8× |
| Lithium (80178) | $27.79 | $46.31 | 4.2× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$65.94–$68.58 | $109.90–$114.30 | varies |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$66.52–$69.17 | $110.86–$115.29 | varies |
| Lymphocyte Culture Mixed (86821) | $188.66 | $314.43 | 5.2× |
| Lymphocyte transformation (86353) | $157.76 | $262.94 | 3.2× |
| Lymphocytotoxicity Assay (86805) | $149.43 | $249.05 | 0.8× |
| Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) | $134.39 | $223.98 | 2.8× |
| Lysozyme serum (85549) | $74.66 | $124.43 | 4.0× |
| M. Genitalium Amp Probe (87563) range across 2 matching MRF lines |
$141.75–$776.25 | $236.25–$1,293.75 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $198.10 | $330.16 | 1.3× |
| M/phmtrc alys ishquant/semiq (88374) | $204.69 | $341.15 | 1.3× |
| Macroscopic exam arthropod (87168) | $10.85 | $18.08 | 2.5× |
| Macroscopic Exam Parasite (87169) | $10.85 | $18.08 | 2.5× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$24.31–$168.30 | $40.51–$280.50 | varies |
| Malate dehydrogenase Facility (83775) | $26.72 | $44.53 | 3.6× |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$52.78–$54.22 | $87.97–$90.37 | varies |
| Meat fibers, feces (89160) | $10.02 | $16.70 | 2.1× |
| Mechanical fragility rbc (85547) | $37.57 | $62.62 | 4.4× |
| Mercury urine (83825) range across 2 matching MRF lines |
$59.84–$59.96 | $99.73–$99.94 | varies |
| Methemalbumin (83857) | $42.58 | $70.96 | 4.0× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$37.50–$82.94 | $62.50–$138.24 | varies |
| Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) | $111.34 | $185.57 | 1.2× |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$23.37–$24.44 | $38.95–$40.73 | varies |
| Microbe Suscept Macrobroth (87188) range across 2 matching MRF lines |
$28.04–$28.38 | $46.73–$47.30 | varies |
| Microsatellite instability (81301) | $690.30 | $1,150.50 | 2.0× |
| Microsomal Antibodies Each (86376) | $56.43 | $94.05 | 3.9× |
| Mitochondrial Antibody Each (86381) | $46.46 | $77.44 | 1.8× |
| Mlh1 Gene (81288) | $454.27 | $757.12 | 2.4× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $216.89 | $361.48 | 5.3× |
| Molecular Cytogenetics Dna Probe Each (88271) | $76.02 | $126.70 | 3.5× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $86.49 | $144.15 | 2.0× |
| Molecular Pathology Procedure Level 3 (81402) range across 2 matching MRF lines |
$352.56–$366.66 | $587.60–$611.10 | varies |
| Mononuclear cell antigen (86356) | $53.61 | $89.35 | 2.0× |
| Mopath procedure level 1 (81400) | $165.41 | $275.69 | 2.6× |
| Mopath procedure level 2 (81401) | $250.50 | $417.50 | 1.8× |
| Morphometric analysis nerve (88356) | $166.95 | $278.25 | 3.5× |
| Morphometric Analysis Tumor (88358) | $166.95 | $278.25 | 1.1× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$62.08–$64.56 | $103.46–$107.60 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $93.98 | $156.64 | 1.4× |
| Mucin Clot Body Fluid (83872) | $20.03 | $33.38 | 3.4× |
| Mucopolysaccharides acid quantitative (83864) | $49.25 | $82.08 | 1.7× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$46.88–$48.87 | $78.14–$81.45 | varies |
| Mycobacteric Identification (87118) | $40.90 | $68.17 | 2.8× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$45.21–$68.79 | $75.35–$114.65 | varies |
| Mycoplasma culture (87109) range across 2 matching MRF lines |
$42.58–$193.34 | $70.96–$322.23 | varies |
| Myoglobin urine (83874) | $45.84 | $76.40 | 3.5× |
| Natriuretic peptide (83880) range across 4 matching MRF lines |
$85.73–$171.46 | $142.88–$285.76 | varies |
| Neisseria Dir Na Probe (87590) | $28.55 | $47.59 | 1.1× |
| Nerve teasing preparations (88362) | $56.47 | $94.12 | 0.1× |
| Neutralization Test Viral (86382) | $63.28 | $105.46 | 3.7× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $255.85 | $426.41 | 1.0× |
| Nfct ds chrnc hcv 6 assays (81596) range across 2 matching MRF lines |
$220.41–$229.22 | $367.35–$382.04 | varies |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) range across 2 matching MRF lines |
$176.77–$183.83 | $294.61–$306.39 | varies |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) range across 2 matching MRF lines |
$50.45–$506.08 | $84.09–$843.46 | varies |
| Niacin (84591) range across 2 matching MRF lines |
$36.13–$149.83 | $60.21–$249.72 | varies |
| Nickel level (83885) | $92.08 | $153.46 | 3.8× |
| Nitroblue Tetrazolium Dye (86384) | $39.24 | $65.40 | 2.9× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$133.03–$138.35 | $221.71–$230.58 | varies |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$61.20–$734.40 | $102–$1,224 | varies |
| Obstetric panel (80081) | $251.53 | $419.22 | 3.4× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$11.09–$11.54 | $18.49–$19.23 | varies |
| Occult Blood Other Sources (82271) | $15.18 | $25.30 | 2.9× |
| Oligoclonal bands (83916) | $88.55 | $147.59 | 3.2× |
| Oncoprotein dcp (83951) | $307.68 | $512.80 | 4.8× |
| Organic Acids Qualitative Each Specimen (83919) | $88.21 | $147.01 | 5.4× |
| Organic acids urine (83918) | $64.28 | $107.14 | 2.7× |
| Osmolality serum (83930) range across 2 matching MRF lines |
$26.72–$27.79 | $44.53–$46.31 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$26.72–$27.79 | $44.53–$46.31 | varies |
| Osmotic fragility rbc incubated (85557) | $52.59 | $87.65 | 3.9× |
| Osmotic Fragility RBC Unincubated (85555) | $26.72 | $44.53 | 3.6× |
| Osteocalcin (83937) | $62.54 | $104.23 | 2.1× |
| Ova and parasites smears (87177) range across 3 matching MRF lines |
$30.29–$31.58 | $50.49–$52.63 | varies |
| Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) | $35.42 | $59.04 | 2.8× |
| Oxalate urine (83945) range across 3 matching MRF lines |
$41.15–$43.23 | $68.58–$72.05 | varies |
| Particle Agglut Antbdy Titr (86406) range across 3 matching MRF lines |
$15.96–$53.38 | $26.60–$88.96 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $17.11 | $28.52 | 1.5× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$54.38–$54.66 | $90.64–$91.10 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $46.51 | $77.52 | 0.1× |
| Pathology Consultation During Surgery (88329) | $36.82 | $61.36 | 0.7× |
| Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) | $180.74 | $301.24 | 4.1× |
| Ph urine (81003) range across 2 matching MRF lines |
$7.66–$7.96 | $12.76–$13.27 | varies |
| Phenobarbital Level (80184) range across 4 matching MRF lines |
$39.04–$48.67 | $65.07–$81.12 | varies |
| Phenotype Infect Agent Drug (87900) range across 3 matching MRF lines |
$21.70–$223.73 | $36.17–$372.89 | varies |
| Phenylalanine (84030) | $16.69 | $27.82 | 3.0× |
| Phenylketones qual (84035) | $18.37 | $30.61 | 4.6× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$45.24–$47.05 | $75.40–$78.42 | varies |
| Phosphatase acid prostatic (84066) range across 2 matching MRF lines |
$33.86–$34.28 | $56.43–$57.14 | varies |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$19.10–$183.83 | $31.83–$306.39 | varies |
| Phosphatidylglycerol (84081) | $71.78 | $119.64 | 4.3× |
| Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) | $23.37 | $38.95 | 2.5× |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$100.59–$939.26 | $167.65–$1,565.44 | varies |
| Phosphorus Serum (84100) range across 3 matching MRF lines |
$16.69–$33.38 | $27.82–$55.64 | varies |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$20.03–$21.80 | $33.38–$36.34 | varies |
| Pinworm exam (87172) | $14.57 | $24.28 | 3.4× |
| Platelet Aggregation (85576) | $34.22 | $57.04 | 1.4× |
| Platelet Antibodies (86022) range across 4 matching MRF lines |
$48.67–$403.66 | $81.12–$672.76 | varies |
| Platelet count automated (85049) | $15.86 | $26.44 | 3.5× |
| Platelet neutralization (85597) | $57.19 | $95.31 | 3.2× |
| Pooling blood platelets (86965) | $40.90 | $68.17 | 0.3× |
| Porphobilinogen Urine Qualitative (84106) | $15.62 | $26.03 | 2.7× |
| Porphobilinogen, urine; quantitative (84110) | $35.59 | $59.32 | 4.2× |
| Porphyrins Feces Quantitative (84126) | $109.35 | $182.25 | 2.8× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $61.64 | $102.73 | 4.2× |
| Porphyrins, urine; qualitative (84119) | $34.22 | $57.04 | 2.6× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$16.69–$17.36 | $27.82–$28.93 | varies |
| Pr assay of bradykinin (82286) | $24.90 | $41.50 | 4.8× |
| Pr assay of etiocholanolone (82696) | $90.16 | $150.27 | 3.4× |
| Prealbumin (84134) range across 2 matching MRF lines |
$30.73–$31.96 | $51.21–$53.26 | varies |
| Pregnanediol (84135) | $90.16 | $150.27 | 4.2× |
| Pregnanetriol (84138) | $88.48 | $147.47 | 4.2× |
| Pregnenolone (84140) range across 2 matching MRF lines |
$64.28–$81.12 | $107.14–$135.20 | varies |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $83.48 | $139.13 | 0.5× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $64.28 | $107.14 | 1.2× |
| Pretx serum rbc antibody identification dilution (86976) | $83.48 | $139.13 | 3.2× |
| Primidone (80188) range across 2 matching MRF lines |
$56.39–$58.90 | $93.98–$98.16 | varies |
| Procalcitonin (Pct) (84145) range across 3 matching MRF lines |
$47.42–$199.25 | $79.04–$332.08 | varies |
| Progesterone (84144) range across 2 matching MRF lines |
$71.20–$74.05 | $118.67–$123.42 | varies |
| Prolactin (84146) range across 2 matching MRF lines |
$66.14–$68.79 | $110.24–$114.65 | varies |
| Prostaglandin (84150) | $106.02 | $176.70 | 2.5× |
| Protein Alys Wstrn Blot I&R Immunological Ea (88372) | $48.62 | $81.04 | 1.9× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$12.50–$13 | $20.84–$21.67 | varies |
| Protein C Activity (85303) | $82.71 | $137.85 | 6.0× |
| Protein c antigen (85302) | $42.67 | $71.12 | 3.6× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$60.86–$63.29 | $101.43–$105.49 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$39.24–$40.81 | $65.40–$68.02 | varies |
| Protein S Free (85306) | $92.83 | $154.72 | 6.1× |
| Protein s total (85305) range across 2 matching MRF lines |
$40.81–$41.02 | $68.02–$68.36 | varies |
| Protein Total Refractometry Any Src (84160) | $18.37 | $30.61 | 3.3× |
| Protein total serum (84155) range across 3 matching MRF lines |
$15.18–$15.79 | $25.30–$26.31 | varies |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$12.50–$42.97 | $20.84–$71.62 | varies |
| Protein Western Blot Test (84182) | $61.42 | $102.37 | 2.1× |
| Protein, western blot tissue (88371) | $55.31 | $92.18 | 2.5× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $18.79 | $31.32 | 4.8× |
| Protoporphyrin rbc quantitative (84202) | $60.95 | $101.58 | 4.2× |
| Protoporphyrin, RBC; screen Facility (84203) | $25.04 | $41.74 | 2.6× |
| PSA free (84154) | $65.28 | $108.80 | 3.5× |
| Pth Intact (83970) range across 2 matching MRF lines |
$129.11–$134.27 | $215.18–$223.79 | varies |
| Pyruvate kinase (84220) | $40.90 | $68.17 | 4.3× |
| Q Fever Antibody (86638) | $42.62 | $71.04 | 3.5× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$166.28–$172.94 | $277.14–$288.23 | varies |
| Quantitative assay drug (80299) range across 6 matching MRF lines |
$47.58–$87.98 | $79.30–$146.64 | varies |
| Quantitative Screen Metals (83018) | $88.48 | $147.47 | 4.0× |
| Quinidine (80194) | $506.08 | $843.46 | 34.7× |
| Quinine (84228) | $49.25 | $82.08 | 4.2× |
| Rbc antibody elution (86860) | $70.12 | $116.86 | 0.5× |
| Rbc antibody identification (86870) | $66.92 | $111.53 | 0.2× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$18.37–$19.10 | $30.61–$31.83 | varies |
| Rbc pretreatment serum (86978) | $101 | $168.34 | 1.9× |
| Rbc pretx incubatj w/enzymes (86971) | $32.56 | $54.26 | 0.2× |
| Rbc serum pretx incubj drugs (86975) | $64.49 | $107.49 | 0.2× |
| Reagent Strip/Blood Glucose (82948) | $19.92 | $33.20 | 4.0× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $176.96 | $294.94 | 2.5× |
| Receptor assay estrogen (84233) | $219.81 | $366.35 | 2.5× |
| Receptor assay progesterone (84234) | $221.40 | $369 | 3.4× |
| Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) | $180.74 | $301.24 | 0.9× |
| Renin activity plasma (84244) | $83.34 | $138.90 | 3.8× |
| Reticulocyte Count (85046) | $24.44 | $40.73 | 4.4× |
| Reticulocyte Count Manual (85044) | $15.02 | $25.03 | 3.5× |
| Reticulocyte separation (86972) | $31.73 | $52.88 | 0.2× |
| Rh (86901) range across 2 matching MRF lines |
$18.37–$19.10 | $30.61–$31.83 | varies |
| Rheumatoid Factor Qualitative (86430) | $20.03 | $33.38 | 3.3× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$26.72–$27.79 | $44.53–$46.31 | varies |
| Rickettsia antibody (86757) range across 3 matching MRF lines |
$66.07–$132.14 | $110.12–$220.24 | varies |
| Ristocetin cofactor (85245) | $81.46 | $135.76 | 3.6× |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$77.36–$80.45 | $128.93–$134.09 | varies |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$14.51–$15.15 | $24.18–$25.25 | varies |
| Rsv ab (86756) | $58.64 | $97.74 | 3.7× |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$48.16–$51.10 | $80.26–$85.17 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$43.93–$45.73 | $73.21–$76.22 | varies |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$62.03–$112.50 | $103.39–$187.50 | varies |
| Russell Viper Venon Time Undiluted (85612) | $35.90 | $59.83 | 2.1× |
| Salicylate Level (80179) range across 2 matching MRF lines |
$50.92–$52.96 | $84.87–$88.26 | varies |
| Salmonella antibody (86768) | $37.60 | $62.66 | 2.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $49.32 | $82.20 | 1.0× |
| Sars-cov-2 COVID-19 antibody (86769) | $48.67 | $81.12 | 1.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 3 matching MRF lines |
$240.24–$249.85 | $400.40–$416.42 | varies |
| Sedimentation rate (85651) range across 2 matching MRF lines |
$13.36–$13.89 | $22.26–$23.15 | varies |
| Sedimentation Rate, Automated (85652) | $9.74 | $16.23 | 3.6× |
| Semen Anal Sperm Detection (89321) | $36.14 | $60.23 | 3.0× |
| Semen analysis complete (89320) | $35.90 | $59.83 | 2.9× |
| Semen analysis motility and count (89310) | $30.05 | $50.09 | 3.5× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $35.90 | $59.83 | 3.6× |
| Sensitivity mic (87186) range across 4 matching MRF lines |
$63.50–$127 | $105.83–$211.66 | varies |
| Serum Bactericidal Titer (87197) | $45.91 | $76.51 | 3.1× |
| Sex Chromatin Identification Barr Bodies (88130) | $40.90 | $68.17 | 2.3× |
| Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) | $28.38 | $47.30 | 3.6× |
| Sex Hormone Binding Globulin (84270) range across 4 matching MRF lines |
$40.56–$73.66 | $67.60–$122.76 | varies |
| Shigella Antibody (86771) | $37.60 | $62.66 | 1.5× |
| Sickling of rbc reduction (85660) range across 3 matching MRF lines |
$18.83–$19.59 | $31.39–$32.65 | varies |
| Silica (84285) | $93.49 | $155.82 | 3.7× |
| Sirolimus (80195) | $225 | $375 | 16.4× |
| Skin Test Candida (86485) | $24.22 | $40.36 | 0.9× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$40.81–$42.44 | $68.02–$70.74 | varies |
| Smear acid fast (87206) range across 3 matching MRF lines |
$23.37–$24.31 | $38.95–$40.51 | varies |
| Smear complex stain (87209) range across 3 matching MRF lines |
$34.04–$63.78 | $56.73–$106.30 | varies |
| Smear gram stain (87205) range across 3 matching MRF lines |
$16.69–$17.36 | $27.82–$28.93 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$29.10–$30.26 | $48.50–$50.44 | varies |
| Sodium Serum (84295) | $17.06 | $28.44 | 3.5× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$16.58–$17.25 | $27.64–$28.75 | varies |
| Soluble fibrin monomer (85366) | $28.96 | $48.26 | 0.4× |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
$155.41–$184.04 | $259.01–$306.74 | varies |
| Somatomedin (84305) | $75.44 | $125.73 | 3.5× |
| Somatostatin (84307) | $49.21 | $82.02 | 2.7× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$53.50–$55.64 | $89.17–$92.74 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$68.48–$263.38 | $114.13–$438.96 | varies |
| Specific gravity body fluid (84315) | $8.34 | $13.90 | 2.5× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$28.16–$28.57 | $46.94–$47.61 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$37.60–$43.93 | $62.66–$73.22 | varies |
| Sperm Antibodies (89325) | $30.05 | $50.09 | 2.8× |
| Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330) | $35.78 | $59.64 | 3.4× |
| Sperm evaluation; hamster penetration test Facility (89329) | $106.85 | $178.09 | 5.5× |
| Splitting Blood/Blood Products Each Unit (86985) | $14.46 | $24.10 | 0.1× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) range across 2 matching MRF lines |
$50.60–$52.63 | $84.34–$87.71 | varies |
| Stone Analysis (82355) | $47.58 | $79.30 | 4.1× |
| Stool cultr aerobic bact ea (87046) range across 4 matching MRF lines |
$32.18–$33.47 | $53.64–$55.79 | varies |
| Strep a assay w/optic (87880) | $59.39 | $98.99 | 3.6× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$54.74–$56.93 | $91.24–$94.89 | varies |
| Streptokinase, antibody Facility (86590) | $28.38 | $47.30 | 2.2× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $43.28 | $72.14 | 3.8× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $19.88 | $33.14 | 3.6× |
| Sugars Multiple Quant (84379) | $41.62 | $69.37 | 3.6× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $57.60 | $96 | 1.5× |
| Sulfate urine (84392) | $62.18 | $103.63 | 11.3× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$80.21–$83.42 | $133.68–$139.03 | varies |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$104.27–$601.60 | $173.79–$1,002.66 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$195.50–$375.96 | $325.83–$626.60 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 3 matching MRF lines |
$29.41–$30.59 | $49.02–$50.98 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$52.13–$54.22 | $86.89–$90.37 | varies |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $32.56 | $54.26 | 0.8× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $11.68 | $19.47 | 1.6× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$15.04–$15.64 | $25.07–$26.07 | varies |
| T cells absolute cd4 count (86361) | $31.20 | $52 | 1.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$160.34–$166.76 | $267.24–$277.93 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$133.03–$138.35 | $221.71–$230.58 | varies |
| T3 Free (84481) range across 3 matching MRF lines |
$57.66–$60.14 | $96.10–$100.24 | varies |
| T3 reverse (84482) range across 2 matching MRF lines |
$44.35–$45.11 | $73.92–$75.19 | varies |
| T3 Total (84480) range across 3 matching MRF lines |
$44.03–$45.87 | $73.38–$76.45 | varies |
| T3 Uptake (84479) range across 2 matching MRF lines |
$23.37–$24.31 | $38.95–$40.51 | varies |
| T4 Free (84439) range across 3 matching MRF lines |
$31.81–$38.93 | $53.02–$64.88 | varies |
| T4 total (84436) | $18.56 | $30.93 | 2.7× |
| T4-neonatal (84437) | $20.03 | $33.38 | 3.1× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$46.83–$48.70 | $78.05–$81.17 | varies |
| Test for acetone/ketones (82009) | $15.42 | $25.70 | 3.4× |
| Test for urine cystines (82615) | $26.72 | $44.53 | 2.8× |
| Testosterone total (84403) range across 2 matching MRF lines |
$88.12–$91.64 | $146.86–$152.73 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$86.89–$90.37 | $144.82–$150.61 | varies |
| Tetanus antibody (86774) | $71.57 | $119.29 | 4.8× |
| Thawing and expansion of frozen cells, each aliquot Facility (88241) | $72.29 | $120.49 | 6.0× |
| Theophylline (80198) range across 2 matching MRF lines |
$42.58–$44.28 | $70.96–$73.80 | varies |
| Thiocyanate (84430) | $47.58 | $79.30 | 4.1× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$20.83–$55.16 | $34.72–$91.94 | varies |
| Thrombin time titer (85675) | $20.03 | $33.38 | 2.9× |
| Thrombomodulin Facility (85337) | $143.94 | $239.90 | 8.3× |
| Thromboplastin Inhibition Tissue (85705) | $90.22 | $150.37 | 9.4× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $27.79 | $46.31 | 4.3× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$56.43–$57.01 | $94.05–$95.01 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$62.09–$64.57 | $103.48–$107.62 | varies |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$173.54–$180.48 | $289.23–$300.80 | varies |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $74.29 | $123.81 | 1.5× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) | $99.34 | $165.57 | 1.5× |
| Thyroxine binding globulin (84442) | $51.50 | $85.83 | 3.5× |
| Tiss cul neo disorders solid tumor (88239) | $391.51 | $652.51 | 2.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$17.99–$41.65 | $29.98–$69.42 | varies |
| Tissue Culture (88233) | $373.97 | $623.28 | 2.7× |
| Tissue Culture Amniotic Fluid (88235) | $391.51 | $652.51 | 2.6× |
| Tissue culture bone marrow (88237) | $216.89 | $361.48 | 1.5× |
| Tissue Culture Lymphocyte (88230) | $327.29 | $545.48 | 2.8× |
| Tobramycin peak (80200) range across 2 matching MRF lines |
$54.82–$55 | $91.36–$91.67 | varies |
| Topiramate (80201) | $42.32 | $70.53 | 3.6× |
| Touch prep (88161) | $88.55 | $147.59 | 3.4× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $67.38 | $112.30 | 3.4× |
| Toxoplasma ab igm (86778) range across 3 matching MRF lines |
$49.13–$51.12 | $81.89–$85.20 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$49.13–$51.10 | $81.89–$85.17 | varies |
| Tpmt gene com variants (81335) | $294.96 | $491.60 | 1.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $19.54 | $32.57 | 3.8× |
| Transferrin (84466) range across 4 matching MRF lines |
$43.38–$45.33 | $72.30–$75.55 | varies |
| Trichinella Antibody (86784) | $113.36 | $188.94 | 9.0× |
| Trichomonas Vaginalis Amplif (87661) | $73.12 | $121.86 | 2.1× |
| Triglycerides (84478) range across 3 matching MRF lines |
$12.20–$20.42 | $20.33–$34.03 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$71.42–$137.35 | $119.04–$228.92 | varies |
| Troponin, qualitative (84512) | $50.60 | $84.34 | 5.0× |
| Trypsin feces qual (84488) | $23.37 | $38.95 | 3.2× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$90.22–$260.26 | $150.37–$433.77 | varies |
| Unlisted Cytogenetic Study (88299) | $72.29 | $120.49 | 1.5× |
| Unlisted miscellaneous pathology test (89240) | $103.75 | $172.91 | 2.2× |
| Unlisted Surgical Pathology Procedure (88399) | $54.22 | $90.37 | 1.1× |
| Urea Nitrogen Clearance (84545) | $28.38 | $47.30 | 3.9× |
| Urea nitrogen urine (84540) | $20.03 | $33.38 | 3.6× |
| Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) | $11.68 | $19.47 | 2.3× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$16.22–$16.87 | $27.03–$28.11 | varies |
| Urinalysis Microscopic Only (81015) | $11.46 | $19.10 | 3.8× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 2 matching MRF lines |
$7.40–$7.69 | $12.33–$12.82 | varies |
| Urinalysis Volume Measure (81050) | $10.24 | $17.06 | 2.8× |
| Urinalysis; 2 or 3 glass test Facility (81020) | $13.31 | $22.19 | 2.8× |
| Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) | $9.29 | $15.48 | 0.3× |
| Urine Albumin Semiquantitative (82044) | $18.07 | $30.12 | 2.9× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$48.80–$50.75 | $81.33–$84.58 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$21.58–$22.44 | $35.96–$37.40 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 4 matching MRF lines |
$24.22–$48.43 | $40.36–$80.72 | varies |
| Urobilinogen urine qual (84578) | $11.68 | $19.47 | 2.6× |
| Urobilinogen, feces, quantitative Facility (84577) | $52.59 | $87.65 | 3.1× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) | $26.72 | $44.53 | 2.8× |
| Urobilinogen, urine; semiquantitative Facility (84583) | $16.69 | $27.82 | 2.8× |
| Valproic acid (80164) range across 3 matching MRF lines |
$46.63–$48.62 | $77.71–$81.04 | varies |
| Vancomycin (80202) range across 3 matching MRF lines |
$46.24–$48.08 | $77.06–$80.14 | varies |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$43.97–$45.73 | $73.29–$76.22 | varies |
| Vasopressin (84588) | $120.48 | $200.80 | 3.5× |
| Viral Culture (87252) range across 2 matching MRF lines |
$88.96–$92.51 | $148.26–$154.19 | varies |
| Virus antibody nos (86790) | $21.86 | $36.43 | 1.7× |
| Virus inoculate tissue addl (87253) | $50.92 | $84.87 | 2.5× |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$66.73–$69.40 | $111.21–$115.66 | varies |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) | $50.92 | $84.87 | 2.6× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$137.74–$143.24 | $229.56–$238.74 | varies |
| Vitamin A (84590) range across 3 matching MRF lines |
$39.44–$41.16 | $65.73–$68.60 | varies |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$64.28–$66.86 | $107.14–$111.43 | varies |
| Vitamin B2 (Riboflavin) (84252) | $75.53 | $125.89 | 3.7× |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$95.87–$99.70 | $159.78–$166.17 | varies |
| Vitamin c (82180) range across 3 matching MRF lines |
$40.44–$42.54 | $67.40–$70.90 | varies |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$101.02–$352.50 | $168.37–$587.50 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$53.66–$55.81 | $89.44–$93.02 | varies |
| Vitamin K (84597) range across 3 matching MRF lines |
$127.76–$289.41 | $212.94–$482.35 | varies |
| Von willebrand factor ag (85246) | $86.04 | $143.40 | 3.8× |
| Wbc Alkaline Phosphatase Count (85540) range across 2 matching MRF lines |
$36.84–$37.33 | $61.40–$62.22 | varies |
| West nile virus ab igm (86788) | $73.69 | $122.81 | 4.4× |
| West Nile Virus Antibody (86789) | $51.10 | $85.17 | 3.6× |
| Western Blot Test (84181) | $67.24 | $112.06 | 3.9× |
| Xylose Absorption Test (84620) | $45.91 | $76.51 | 3.6× |
| Zinc (84630) range across 4 matching MRF lines |
$42.28–$44.28 | $70.47–$73.80 | 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.