Lab & pathology prices at Las Palmas Medical Center A Campus of Lpds Healthc
El Paso, TX · every code in this section with a posted price and a Medicare benchmark.
812 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) | $765 | $765 | 49.5× |
| 5 Nucleotidase (83915) | $208 | $208 | 18.7× |
| Abl1 gene analysis kinase domain variants (81170) | $823 | $823 | 2.7× |
| Acetylcholine receptor binding antibody (86041) | $687 | $687 | 37.3× |
| Acetylcholine receptor blocking antibody (86042) | $687 | $687 | 37.3× |
| Acetylcholn Rcptr Modlg Antb (86043) | $969 | $969 | 80.4× |
| Acth (82024) | $2,355 | $2,355 | 61.0× |
| Actin smooth muscle antibody each (86015) | $1,192 | $1,192 | 98.9× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$690–$2,105 | $690–$2,105 | varies |
| Acylcarnitines Quant (82017) | $2,530 | $2,530 | 150.0× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $2,498 | $2,498 | 151.5× |
| Adenovirus antibody (86603) | $1,028 | $1,028 | 79.9× |
| Agglutinins Febrile Each Antigen (86000) range across 8 matching MRF lines |
$166–$536 | $166–$536 | varies |
| Albumin Fluid (82042) | $1,309 | $1,309 | 168.3× |
| Albumin serum (82040) | $297 | $297 | 60.0× |
| Aldolase (82085) | $811 | $811 | 83.5× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$1,907–$3,037 | $1,907–$3,037 | varies |
| Alkaline phosphatase isoenzymes (84080) | $922 | $922 | 62.4× |
| Allergen spec ige qual multiallergen screen (86005) | $3,371 | $3,371 | 423.0× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$117–$693 | $117–$693 | varies |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$195–$1,002 | $195–$1,002 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $1,218 | $1,218 | 71.6× |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$247–$1,297 | $247–$1,297 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$82–$879 | $82–$879 | varies |
| Aluminum (82108) | $536 | $536 | 21.0× |
| Amikacin trough (80150) range across 2 matching MRF lines |
$264–$1,299 | $264–$1,299 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 3 matching MRF lines |
$733–$2,419 | $733–$2,419 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$2,754–$4,053 | $2,754–$4,053 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $1,156 | $1,156 | 83.3× |
| Amino Acids Quant 2-5 (82136) | $3,101 | $3,101 | 158.1× |
| Amino acids; single, qualitative, each specimen Facility (82127) | $318 | $318 | 22.4× |
| Aminolevulinic acid (ala) (82135) | $453 | $453 | 27.5× |
| Ammonia (82140) range across 2 matching MRF lines |
$218–$1,240 | $218–$1,240 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$623–$624 | $623–$624 | varies |
| Amylase urine (82150) range across 6 matching MRF lines |
$99–$1,313 | $99–$1,313 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$161–$1,649 | $161–$1,649 | varies |
| Analysis skeletal muscle (88355) | $590 | $590 | 3.4× |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$181–$2,034 | $181–$2,034 | varies |
| Anca Titer Each Antibody (86037) range across 2 matching MRF lines |
$1,988–$2,023 | $1,988–$2,023 | varies |
| Androstenedione (82157) | $1,792 | $1,792 | 61.2× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$218–$1,269 | $218–$1,269 | varies |
| Anti-Phospholipid Antibody (86148) range across 3 matching MRF lines |
$1,703–$1,794 | $1,703–$1,794 | varies |
| Antibody aspergillus (86606) range across 4 matching MRF lines |
$1,152–$1,176 | $1,152–$1,176 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $1,013 | $1,013 | 78.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $3,595 | $3,595 | 213.4× |
| Antibody Encephalitis California La Crosse (86651) range across 3 matching MRF lines |
$259–$1,414 | $259–$1,414 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $1,374 | $1,374 | 104.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$225–$1,374 | $225–$1,374 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 5 matching MRF lines |
$242–$1,269 | $242–$1,269 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 4 matching MRF lines |
$448–$585 | $448–$585 | varies |
| Antibody haemophilus influenza (86684) | $1,291 | $1,291 | 81.5× |
| Antibody helicobacter pylori (86677) range across 7 matching MRF lines |
$124–$1,241 | $124–$1,241 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 3 matching MRF lines |
$1,190–$1,236 | $1,190–$1,236 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$226–$408 | $226–$408 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$201–$1,040 | $201–$1,040 | varies |
| Antibody HIV-2 (86702) | $1,528 | $1,528 | 113.0× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $1,803 | $1,803 | 5.6× |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $1,803 | $1,803 | 18.9× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $1,803 | $1,803 | 22.0× |
| Antibody hla class ii semiquantitative panel (86835) | $1,803 | $1,803 | 5.6× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$1,596–$2,168 | $1,596–$2,168 | varies |
| Antibody identification leukocyte antibodies (86021) | $2,197 | $2,197 | 146.0× |
| Antibody Identification Platelet Immunogl Assay (86023) | $2,306 | $2,306 | 185.1× |
| Antibody Lymphocytic Choriomeningitis (86727) | $984 | $984 | 76.5× |
| Antibody neisseria meningitidis (86741) | $1,048 | $1,048 | 79.5× |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
$181–$1,431 | $181–$1,431 | varies |
| Antibody Titer (86886) | $1,477 | $1,477 | 285.1× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$148–$1,080 | $148–$1,080 | varies |
| Antibody; campylobacter (86625) | $1,482 | $1,482 | 113.0× |
| Antibody; encephalitis, st. louis (86653) | $1,461 | $1,461 | 110.8× |
| Antibody; influenza virus (86710) | $1,537 | $1,537 | 113.4× |
| Antigen typing (86905) | $498 | $498 | 130.0× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $811 | $811 | 141.8× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$126–$164 | $126–$164 | varies |
| Antistreptolysin O Screen (86063) | $1,029 | $1,029 | 178.3× |
| Antistreptolysin o titer (86060) | $647 | $647 | 88.6× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$175–$441 | $175–$441 | varies |
| Antithrombin iii antigen (85301) | $1,580 | $1,580 | 146.2× |
| Apolipoprotein a1 (82172) | $1,002 | $1,002 | 47.5× |
| Aquaporin-4 Antb Elisa (86051) | $1,584 | $1,584 | 137.4× |
| Arsenic (82175) range across 4 matching MRF lines |
$1,091–$1,865 | $1,091–$1,865 | varies |
| Aspergillus ag eia (87305) | $515 | $515 | 43.0× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$363–$767 | $363–$767 | varies |
| Assay Blood Carbon Dioxide (82374) | $702 | $702 | 143.9× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$174–$224 | $174–$224 | varies |
| Assay of 5-hiaa (83497) | $958 | $958 | 74.3× |
| Assay of anti-mullerian hormone (82166) | $275 | $275 | 7.1× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$69–$778 | $69–$778 | varies |
| Assay of calcium in urine (82340) | $702 | $702 | 116.4× |
| Assay of corticosterone (82528) | $1,260 | $1,260 | 56.0× |
| Assay of cpk in blood (82552) | $904 | $904 | 67.5× |
| Assay of estrone (82679) | $513 | $513 | 20.6× |
| Assay of g6pd enzyme (82955) | $415 | $415 | 42.8× |
| Assay of gammaglobulin igm (82784) range across 9 matching MRF lines |
$136–$784 | $136–$784 | varies |
| Assay of lactic acid (83605) range across 4 matching MRF lines |
$852–$893 | $852–$893 | varies |
| Assay of manganese (83785) | $362 | $362 | 13.6× |
| Assay of metanephrines (83835) | $1,062 | $1,062 | 62.7× |
| Assay of phosphatase acid total (84060) | $616 | $616 | 80.6× |
| Assay of proinsulin (84206) | $657 | $657 | 24.6× |
| Assay of pyruvate (84210) | $1,611 | $1,611 | 111.3× |
| Assay of serotonin (84260) | $981 | $981 | 31.7× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$70–$384 | $70–$384 | varies |
| Assay of sweat sodium (84302) | $663 | $663 | 136.4× |
| Assay of transcortin (84449) | $186 | $186 | 10.3× |
| Assay of urea nitrogen (84520) range across 3 matching MRF lines |
$59–$445 | $59–$445 | varies |
| Assay of urine vma (84585) | $1,921 | $1,921 | 123.9× |
| Assay of vasoactive intestinal peptide (84586) | $1,578 | $1,578 | 44.7× |
| Assay of vitamin b-1 (84425) | $2,116 | $2,116 | 99.7× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$166–$197 | $166–$197 | varies |
| Assay spec xcp ur&breath ia (82077) | $1,413 | $1,413 | 81.8× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$602–$1,077 | $602–$1,077 | varies |
| Bacterial antigens 87802 (87802) | $415 | $415 | 32.6× |
| Bartonella antibody (86611) range across 4 matching MRF lines |
$907–$1,106 | $907–$1,106 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$428–$1,903 | $428–$1,903 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$378–$1,526 | $378–$1,526 | varies |
| Bcr/Abl1 Gene Other Bp (81208) | $424 | $424 | 2.0× |
| Beta 2 glycoprotein i antibody each (86146) | $725 | $725 | 28.5× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$64–$224 | $64–$224 | varies |
| Beta-2 Microglobulin (82232) | $433 | $433 | 26.8× |
| Bile acids total (82239) | $186 | $186 | 10.9× |
| Bilirubin direct (82248) | $777 | $777 | 154.8× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$76–$828 | $76–$828 | varies |
| Bilirubin total transcutaneous (88720) | $102 | $102 | 20.3× |
| Biotinidase (82261) | $859 | $859 | 50.9× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$1,182–$1,382 | $1,182–$1,382 | varies |
| Bleeding time test (85002) | $445 | $445 | 92.3× |
| Blood Count Manual Cell Count Each (85032) | $530 | $530 | 123.0× |
| Blood count reticulocyte automated (85045) | $513 | $513 | 128.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$53–$742 | $53–$742 | varies |
| Blood count spun microhematocrit (85013) range across 2 matching MRF lines |
$554–$602 | $554–$602 | varies |
| Blood gas (82803) range across 2 matching MRF lines |
$427–$464 | $427–$464 | varies |
| Blood gases w/02 saturation (82805) | $1,461 | $1,461 | 18.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $338 | $338 | 21.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$50–$338 | $50–$338 | varies |
| Blood Sulfhemoglobin Assay (83060) | $1,727 | $1,727 | 196.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $569 | $569 | 89.6× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$546–$856 | $546–$856 | varies |
| Body fluid cell count (89050) | $70 | $70 | 14.8× |
| Bordetella antibody (86615) | $284 | $284 | 21.5× |
| Braf gene analysis (81210) | $1,198 | $1,198 | 6.8× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) | $1,313 | $1,313 | 3.0× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) | $4,304 | $4,304 | 9.2× |
| Brca1 Gene Analysis Known Familial Variant (81215) | $939 | $939 | 2.5× |
| Brca1&2 gen full seq dup/del (81162) range across 2 matching MRF lines |
$870–$4,954 | $870–$4,954 | varies |
| Brca2 Gene Analysis Known Familial Variant (81217) | $939 | $939 | 2.5× |
| Brucella antibody (86622) range across 3 matching MRF lines |
$450–$1,107 | $450–$1,107 | varies |
| C diff amplified probe (87493) | $618 | $618 | 16.6× |
| C-Peptide (84681) | $1,314 | $1,314 | 63.1× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$76–$813 | $76–$813 | varies |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$181–$1,734 | $181–$1,734 | varies |
| Cadmium (82300) | $1,826 | $1,826 | 77.2× |
| Caffeine (80155) | $1,516 | $1,516 | 39.3× |
| Calcitonin (82308) | $1,764 | $1,764 | 65.8× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$556–$1,109 | $556–$1,109 | varies |
| Calcium total (82310) | $778 | $778 | 150.8× |
| Calculus assay quant (82360) | $350 | $350 | 27.2× |
| Calculus Xray Diffraction (82370) | $1,300 | $1,300 | 103.8× |
| Calprotectin Fecal (83993) | $582 | $582 | 29.6× |
| Cancer Antigen 125 (86304) | $1,771 | $1,771 | 85.1× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$1,189–$1,764 | $1,189–$1,764 | varies |
| Candida antibody (86628) | $1,158 | $1,158 | 96.4× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$218–$929 | $218–$929 | varies |
| Carboxyhemoglobin (82375) | $136 | $136 | 11.0× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$184–$1,158 | $184–$1,158 | varies |
| Cardiolipin ab iga (86147) | $1,055 | $1,055 | 41.5× |
| Carnitine Quantitative Each Specimen (82379) | $1,660 | $1,660 | 98.4× |
| Carotene (82380) | $684 | $684 | 74.2× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$1,577–$2,358 | $1,577–$2,358 | varies |
| Catecholamines total urine (82382) | $1,106 | $1,106 | 40.5× |
| Ccp antibody (86200) | $350 | $350 | 27.0× |
| Cell count csf (89051) range across 3 matching MRF lines |
$85–$647 | $85–$647 | varies |
| Cell enumeration & id (86152) | $129 | $129 | 0.5× |
| Cell marker study (88182) | $590 | $590 | 11.3× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 2 matching MRF lines |
$307–$666 | $307–$666 | varies |
| Ceruloplasmin (82390) | $687 | $687 | 64.0× |
| Cftr gene com variants (81220) | $2,415 | $2,415 | 4.3× |
| Chlamydia antibody (86631) range across 4 matching MRF lines |
$105–$1,167 | $105–$1,167 | varies |
| Chlamydia Igm Antibody (86632) range across 3 matching MRF lines |
$105–$1,578 | $105–$1,578 | varies |
| Chlamydia trachomatis ag if (87270) | $908 | $908 | 75.8× |
| Chloride other source (82438) range across 2 matching MRF lines |
$591–$637 | $591–$637 | varies |
| Chloride Serum (82435) | $644 | $644 | 140.0× |
| Chloride urine (82436) | $767 | $767 | 133.4× |
| Cholesterol total (82465) | $778 | $778 | 178.9× |
| Cholinesterase rbc (82482) | $1,029 | $1,029 | 104.9× |
| Cholinesterase Serum (82480) | $591 | $591 | 75.1× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$127–$2,003 | $127–$2,003 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $292 | $292 | 10.9× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $90 | $90 | 2.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $414 | $414 | 12.4× |
| Chromium serum (82495) | $1,485 | $1,485 | 73.2× |
| Chromogranin a (86316) range across 4 matching MRF lines |
$428–$880 | $428–$880 | varies |
| Chromosome analys amniotic (88269) | $2,706 | $2,706 | 15.6× |
| Chromosome Analysis 15-20 (88262) | $2,602 | $2,602 | 20.7× |
| Chromosome Analysis 20-25 (88264) | $996 | $996 | 6.9× |
| Chromosome analysis 45 cells (88263) | $1,310 | $1,310 | 8.7× |
| Chromosome analysis, 5 (88261) range across 3 matching MRF lines |
$1,112–$2,723 | $1,112–$2,723 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$513–$835 | $513–$835 | varies |
| Citric acid urine (82507) | $1,045 | $1,045 | 37.6× |
| Ckmb (82553) range across 3 matching MRF lines |
$82–$1,592 | $82–$1,592 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$178–$1,134 | $178–$1,134 | varies |
| Clot Factor VIII Multimetric (85247) | $1,331 | $1,331 | 58.0× |
| Clot lysis time, whole blood dilution Facility (85175) | $322 | $322 | 15.8× |
| Clotting factor viii related antigen (85244) | $1,803 | $1,803 | 88.3× |
| Clotting factor xii hageman (85280) | $1,687 | $1,687 | 87.2× |
| Clotting Funct Activity (85397) | $453 | $453 | 14.7× |
| Coagulation time activated (85347) range across 3 matching MRF lines |
$852–$1,048 | $852–$1,048 | varies |
| Coagulation time; Lee and White Facility (85345) | $716 | $716 | 152.7× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$161–$1,182 | $161–$1,182 | varies |
| Cold agglutinin titer (86157) | $807 | $807 | 100.1× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$637–$1,243 | $637–$1,243 | varies |
| Column Chromotography Quant (82542) range across 6 matching MRF lines |
$282–$2,130 | $282–$2,130 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$1,675–$1,882 | $1,675–$1,882 | varies |
| Complement Antigen Each Component (86160) range across 9 matching MRF lines |
$234–$1,346 | $234–$1,346 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$271–$1,442 | $271–$1,442 | varies |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$1,029–$1,048 | $1,029–$1,048 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $338 | $338 | 6.5× |
| Coombs direct (86880) | $748 | $748 | 138.8× |
| Copper urine (82525) range across 3 matching MRF lines |
$282–$1,091 | $282–$1,091 | varies |
| Cortisol free (82530) | $889 | $889 | 53.2× |
| Cortisol saliva (82533) range across 5 matching MRF lines |
$148–$883 | $148–$883 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$99–$880 | $99–$880 | varies |
| Creatinine blood (82565) range across 3 matching MRF lines |
$76–$510 | $76–$510 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$137–$716 | $137–$716 | varies |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$283–$503 | $283–$503 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$192–$824 | $192–$824 | varies |
| Cryofibrinogen (82585) | $95 | $95 | 6.7× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$282–$753 | $282–$753 | varies |
| Cryptococcal Antigen (87327) | $1,371 | $1,371 | 102.2× |
| Cryptococcus ab (86641) range across 2 matching MRF lines |
$908–$958 | $908–$958 | varies |
| Cryptococcus ag titer (87899) range across 6 matching MRF lines |
$415–$958 | $415–$958 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$360–$794 | $360–$794 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $922 | $922 | 114.1× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $716 | $716 | 92.9× |
| Culture afb (87116) | $781 | $781 | 72.3× |
| Culture Anaerobic (87075) | $1,051 | $1,051 | 111.0× |
| Culture blood (87040) range across 2 matching MRF lines |
$156–$1,158 | $156–$1,158 | varies |
| Culture chlamydia (87110) | $1,051 | $1,051 | 53.6× |
| Culture csf (87070) range across 18 matching MRF lines |
$127–$1,166 | $127–$1,166 | varies |
| Culture fungus (87102) | $718 | $718 | 85.4× |
| Culture fungus blood (87103) | $985 | $985 | 48.1× |
| Culture screen only (87081) range across 10 matching MRF lines |
$389–$1,117 | $389–$1,117 | varies |
| Culture stool (87045) | $926 | $926 | 98.1× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $122 | $122 | 9.7× |
| Culture typing if ea antiserum (87140) | $1,395 | $1,395 | 250.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $491 | $491 | 94.8× |
| Culture urine (87086) range across 2 matching MRF lines |
$122–$918 | $122–$918 | varies |
| Cyanide (82600) | $1,554 | $1,554 | 80.1× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $975 | $975 | 68.1× |
| Cyclosporine (80158) | $2,481 | $2,481 | 137.5× |
| Cyp2c19 gene analysis common variants (81225) | $1,437 | $1,437 | 4.9× |
| Cyp2c9 gene com variants (81227) | $674 | $674 | 3.9× |
| Cystatin C (82610) | $536 | $536 | 28.9× |
| Cytogenetics 10-30 (88273) | $486 | $486 | 14.0× |
| Cytogenetics 100-300 (88275) | $486 | $486 | 9.5× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$4,698–$4,726 | $4,698–$4,726 | varies |
| Cytomegalovirus igg (86644) | $1,463 | $1,463 | 101.7× |
| Cytopath C/V Index Add-On (88155) | $360 | $360 | 24.6× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $642 | $642 | 31.7× |
| Cytopath Cell Enhance Tech (88112) | $623 | $623 | 11.9× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) | $457 | $457 | 10.8× |
| Cytotoxic Antibody Screen Std (86807) | $1,803 | $1,803 | 22.9× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $248 | $248 | 9.3× |
| Cytp Concentration Smears & Interpretation (88108) | $624 | $624 | 16.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $723 | $723 | 13.8× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $453 | $453 | 2.6× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $712 | $712 | 19.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $5,266 | $5,266 | 30.8× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $397 | $397 | 21.4× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $384 | $384 | 20.7× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $505 | $505 | 9.6× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $726 | $726 | 25.0× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $1,889 | $1,889 | 11.0× |
| Deoxycortisol (82634) | $2,284 | $2,284 | 78.0× |
| Deoxyribonuclease antibody (86215) | $1,152 | $1,152 | 86.9× |
| Detect Agent Nos Dna Amp (87798) range across 10 matching MRF lines |
$531–$1,899 | $531–$1,899 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$795–$1,719 | $795–$1,719 | varies |
| Detect agnt mult DNA ampli (87801) | $374 | $374 | 5.3× |
| Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) | $3,286 | $3,286 | 20.3× |
| Dgp Antibody Each Ig Class (86258) | $432 | $432 | 35.9× |
| Dhea (82626) | $2,039 | $2,039 | 80.7× |
| Dhea-S (82627) | $1,299 | $1,299 | 58.4× |
| Digoxin (80162) | $761 | $761 | 57.3× |
| Dna Antibody Native/Double Stranded (86225) | $877 | $877 | 63.8× |
| Dna Antibody Single Stranded (86226) | $1,118 | $1,118 | 92.3× |
| Drug assay acetaminophen (80143) | $1,007 | $1,007 | 54.0× |
| Drug Assay Amiodarone (80151) | $2,654 | $2,654 | 142.4× |
| Drug assay felbamate (80167) | $1,967 | $1,967 | 105.5× |
| Drug Screen Quant Clozapine (80159) range across 2 matching MRF lines |
$761–$1,604 | $761–$1,604 | varies |
| Drug Screen Quant Zonisamide (80203) | $296 | $296 | 22.3× |
| Drug Screen Quantitative Gabapentin (80171) | $1,580 | $1,580 | 72.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $530 | $530 | 40.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $445 | $445 | 33.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $453 | $453 | 34.2× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $471 | $471 | 28.1× |
| Drug Test Prsmv Chem Anlyzr (80307) | $309 | $309 | 5.0× |
| Egfr Gene Analysis Common Variants (81235) | $548 | $548 | 1.7× |
| Ehrlichia antibody (86666) | $1,218 | $1,218 | 119.6× |
| Electrolyte panel (80051) range across 4 matching MRF lines |
$103–$835 | $103–$835 | varies |
| Electron Microscopy (88348) | $11,308 | $11,308 | 14.0× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 3 matching MRF lines |
$282–$666 | $282–$666 | varies |
| Encephaltis East Eqne Anbdy (86652) range across 5 matching MRF lines |
$1,461–$1,570 | $1,461–$1,570 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 5 matching MRF lines |
$1,461–$1,570 | $1,461–$1,570 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $271 | $271 | 22.4× |
| Enterovirus Antibody (86658) range across 23 matching MRF lines |
$334–$2,320 | $334–$2,320 | varies |
| Enterovirus PCR (87498) | $932 | $932 | 26.6× |
| Enzyme cell activity (82657) range across 3 matching MRF lines |
$413–$2,142 | $413–$2,142 | varies |
| Enzyme histochemistry (88319) range across 2 matching MRF lines |
$197–$811 | $197–$811 | varies |
| Erythropoietin (82668) | $1,939 | $1,939 | 103.2× |
| Estradiol serum (82670) | $2,301 | $2,301 | 82.4× |
| Estriol (82677) range across 2 matching MRF lines |
$285–$579 | $285–$579 | varies |
| Estrogen total (82672) | $1,691 | $1,691 | 77.9× |
| Estrogens fractionated (82671) | $2,190 | $2,190 | 67.8× |
| Ethosuximide (80168) | $1,189 | $1,189 | 72.8× |
| Ethylene Glycol (82693) | $2,623 | $2,623 | 176.0× |
| Euglobulin lysis (85360) | $334 | $334 | 39.7× |
| Exam Synovial Fluid Crystals (89060) | $926 | $926 | 126.3× |
| F2 Gene (81240) | $136 | $136 | 2.1× |
| Factor ii activity (85210) | $1,764 | $1,764 | 135.9× |
| Factor Inhibitor Test (85335) range across 2 matching MRF lines |
$1,081–$1,644 | $1,081–$1,644 | varies |
| Factor ix activity (85250) | $1,190 | $1,190 | 62.5× |
| Factor v activity (85220) | $1,207 | $1,207 | 68.4× |
| Factor v leiden mutation (81241) | $126 | $126 | 1.7× |
| Factor vii assay (85230) | $1,123 | $1,123 | 62.7× |
| Factor viii assay (85240) | $1,865 | $1,865 | 104.2× |
| Factor X (85260) | $1,190 | $1,190 | 66.5× |
| Factor xi activity (85270) | $1,189 | $1,189 | 66.4× |
| Factor xiii screen (85291) | $1,147 | $1,147 | 125.9× |
| Fat stain feces urine/respir secretions (89125) | $693 | $693 | 117.9× |
| Fat/Lipids Feces Quantitative (82710) | $1,508 | $1,508 | 89.8× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $503 | $503 | 65.2× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $433 | $433 | 25.2× |
| Fecal Fat Qualitative (82705) | $778 | $778 | 152.5× |
| Ferritin (82728) range across 2 matching MRF lines |
$201–$742 | $201–$742 | varies |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
$842–$1,544 | $842–$1,544 | varies |
| Fetal hemoglobin assay qual (83033) | $1,867 | $1,867 | 233.4× |
| Fetal screen rosette (85461) | $446 | $446 | 47.6× |
| Fibrin degradation products (85362) | $761 | $761 | 110.4× |
| Fibrin Degradation Quant (85379) | $989 | $989 | 97.2× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $1,032 | $1,032 | 106.2× |
| Fibrinogen activity (85384) | $1,055 | $1,055 | 108.5× |
| Flecainide level (80181) | $408 | $408 | 21.9× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$480–$519 | $480–$519 | varies |
| Flt3 Gene (81245) | $500 | $500 | 3.0× |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$575–$2,031 | $575–$2,031 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 8 matching MRF lines |
$178–$2,822 | $178–$2,822 | varies |
| Fmr1 gene detection (81243) | $651 | $651 | 11.4× |
| Folic acid rbc (82747) | $1,280 | $1,280 | 72.5× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$218–$958 | $218–$958 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$269–$958 | $269–$958 | varies |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) | $2,149 | $2,149 | 75.4× |
| Francisella tularensis (86668) | $1,263 | $1,263 | 89.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $299 | $299 | 1.7× |
| Frozen Section (88331) | $4,782 | $4,782 | 27.9× |
| Fungi Identification Yeast (87106) | $658 | $658 | 63.8× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $1,260 | $1,260 | 59.8× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$244–$858 | $244–$858 | varies |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $177 | $177 | 18.1× |
| Gases blood ph only (82800) | $166 | $166 | 15.1× |
| Gastric Analy W/Ph Ea Spec (82930) range across 2 matching MRF lines |
$335–$929 | $335–$929 | varies |
| Gastrin (82941) | $942 | $942 | 53.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,731 | $1,731 | 4.2× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,071 | $1,071 | 1.4× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $1,065 | $1,065 | 0.4× |
| Genet Virus Isolate Hsv (87255) | $345 | $345 | 10.2× |
| Gentamicin (80170) | $1,528 | $1,528 | 93.3× |
| Ggt (82977) | $1,048 | $1,048 | 145.6× |
| Giardia antigen (87329) | $1,286 | $1,286 | 107.3× |
| Giardia lamblia antibody (86674) range across 4 matching MRF lines |
$939–$1,156 | $939–$1,156 | varies |
| Glucagon (82943) | $1,691 | $1,691 | 118.3× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$954–$1,051 | $954–$1,051 | varies |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$59–$522 | $59–$522 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$219–$513 | $219–$513 | varies |
| Glucose tolerance test (gtt) (82951) | $557 | $557 | 43.3× |
| Glucosidase beta (82963) | $1,828 | $1,828 | 85.1× |
| Glycated Protein (82985) | $922 | $922 | 55.0× |
| Gonadotropin Chorionic Qualitative (84703) range across 3 matching MRF lines |
$109–$1,554 | $109–$1,554 | varies |
| Growth hormone antibody (86277) | $1,005 | $1,005 | 63.9× |
| Gtt-added samples (82952) range across 5 matching MRF lines |
$1,051–$3,421 | $1,051–$3,421 | varies |
| H Pylori (C-13) Breath (83013) | $1,246 | $1,246 | 18.5× |
| H Pylori Drug Admin (83014) | $159 | $159 | 20.2× |
| Haloperidol (80173) | $1,744 | $1,744 | 110.5× |
| Haptoglobin (83010) | $1,051 | $1,051 | 83.5× |
| Hba1/Hba2 Gene (81257) | $1,214 | $1,214 | 11.9× |
| Hdl Cholesterol (83718) | $1,096 | $1,096 | 133.8× |
| Heavy metal qualitative any analytes (83015) | $1,496 | $1,496 | 71.4× |
| Helicobacter Pylori Stool (87338) | $908 | $908 | 63.1× |
| Helminth Antibody (86682) range across 3 matching MRF lines |
$1,247–$1,317 | $1,247–$1,317 | varies |
| Hematocrit (85014) range across 3 matching MRF lines |
$36–$604 | $36–$604 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$36–$505 | $36–$505 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$143–$612 | $143–$612 | varies |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$1,176–$1,216 | $1,176–$1,216 | varies |
| Hemoglobin F Fetal Chemical (83030) | $835 | $835 | 77.7× |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$948–$5,242 | $948–$5,242 | varies |
| Hemoglobin plasma (83051) | $819 | $819 | 112.0× |
| Hemolysin Acid (85475) | $1,275 | $1,275 | 143.7× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $1,055 | $1,055 | 120.3× |
| Hemosiderin urine (83070) | $554 | $554 | 116.6× |
| Hep a ab igm (86709) | $1,337 | $1,337 | 118.7× |
| Heparin assay (85520) | $1,439 | $1,439 | 109.9× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$181–$1,300 | $181–$1,300 | varies |
| Hepatitis b core ab igm (86705) | $1,005 | $1,005 | 85.4× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$178–$852 | $178–$852 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$160–$982 | $160–$982 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$156–$1,839 | $156–$1,839 | varies |
| Hepatitis Be Antibody (86707) | $748 | $748 | 64.6× |
| Hepatitis Be Antigen (87350) | $929 | $929 | 80.6× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$208–$1,170 | $208–$1,170 | varies |
| Hepatitis c antibody confirmatory test (86804) | $1,691 | $1,691 | 109.2× |
| Hepatitis C Genotype (87902) | $2,232 | $2,232 | 8.7× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $1,339 | $1,339 | 38.2× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$414–$2,068 | $414–$2,068 | varies |
| Hepatitis delta ag (87380) | $1,291 | $1,291 | 70.3× |
| Hepatitis Delta Agent Antibody (86692) | $1,225 | $1,225 | 71.4× |
| Herpes simplex type 2 (86696) | $1,190 | $1,190 | 61.5× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$76–$753 | $76–$753 | varies |
| Hfe Gene (81256) | $245 | $245 | 3.7× |
| Hgb Quantitative Transcutaneous (88738) | $85 | $85 | 16.9× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $1,034 | $1,034 | 133.8× |
| Histamine urine (83088) range across 2 matching MRF lines |
$1,644–$1,849 | $1,644–$1,849 | varies |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$869–$1,444 | $869–$1,444 | varies |
| Histoplasma antigen urine (87385) | $313 | $313 | 23.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $377 | $377 | 15.7× |
| Hiv-1 Antibody (86701) | $1,005 | $1,005 | 113.0× |
| HIV-1 p24 antigen (87390) | $380 | $380 | 15.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 3 matching MRF lines |
$1,236–$1,493 | $1,236–$1,493 | varies |
| Hla class i semiquant panel (86834) | $1,803 | $1,803 | 5.0× |
| Hla Class I Typing Low Resolution Complete (81372) | $2,367 | $2,367 | 5.9× |
| Hla Class I Typing Low Resolution One Locus Each (81373) range across 5 matching MRF lines |
$480–$1,176 | $480–$1,176 | varies |
| Hla class i&ii antibody qual (86828) range across 2 matching MRF lines |
$575–$1,803 | $575–$1,803 | varies |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $1,931 | $1,931 | 4.8× |
| Hla class ii high defin qual (86833) | $1,803 | $1,803 | 5.5× |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $2,170 | $2,170 | 19.8× |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) | $2,170 | $2,170 | 59.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $1,176 | $1,176 | 15.8× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $1,624 | $1,624 | 4.7× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $2,367 | $2,367 | 10.7× |
| Hla ii type 1 ag equiv lr (81377) range across 2 matching MRF lines |
$858–$1,270 | $858–$1,270 | varies |
| Hla ii typing 1 allele hr (81383) | $858 | $858 | 7.9× |
| Hla ii typing 1 locus lr (81376) | $1,270 | $1,270 | 10.4× |
| Hla Typing a/B/C Multiple Antigens (86813) range across 3 matching MRF lines |
$2,367–$4,585 | $2,367–$4,585 | varies |
| Hla Typing Dr/Dq Multiple Antigens (86817) range across 3 matching MRF lines |
$2,367–$3,991 | $2,367–$3,991 | varies |
| Hla Typing Dr/Dq Single Antigen (86816) | $1,270 | $1,270 | 42.1× |
| Hla-b27 (86812) range across 4 matching MRF lines |
$1,167–$1,665 | $1,167–$1,665 | varies |
| Homocysteine (83090) | $1,584 | $1,584 | 88.4× |
| Homovanillic acid urine (83150) | $1,687 | $1,687 | 75.3× |
| Hpv High-Risk Types (87624) | $285 | $285 | 8.1× |
| Hpv Types 16 & 18 Only (87625) | $702 | $702 | 17.3× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$513–$637 | $513–$637 | varies |
| Htlv-I Antibody (86687) | $859 | $859 | 94.5× |
| Htlv-ii antibody (86688) | $859 | $859 | 61.4× |
| Htt Gene Detc Abnor Alleles (81271) | $1,310 | $1,310 | 9.6× |
| Human Epididymis Protein 4 (86305) | $497 | $497 | 23.9× |
| Hydroxycorticosteroids 17 (83491) | $1,574 | $1,574 | 87.9× |
| Hydroxyprogesterone 17-d (83498) | $1,862 | $1,862 | 68.5× |
| Hydroxyproline free (83500) | $1,578 | $1,578 | 69.7× |
| Hydroxyproline total (83505) | $1,798 | $1,798 | 74.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $955 | $955 | 68.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $29 | $29 | 0.8× |
| Iaad Ia Streptococcus Group A (87430) range across 2 matching MRF lines |
$178–$723 | $178–$723 | varies |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $1,045 | $1,045 | 87.2× |
| Iaadi inffluenza a virus (87276) | $458 | $458 | 28.5× |
| Iaadi parainfluenza virus each type (87279) range across 3 matching MRF lines |
$459–$572 | $459–$572 | varies |
| Iaadi respiratory synctial virus (87280) | $458 | $458 | 34.1× |
| Iaadi Varicella Zoster Virus (87290) | $1,109 | $1,109 | 82.6× |
| Iadna Bartonella Amplified Probe Technique (87471) | $725 | $725 | 20.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $1,080 | $1,080 | 30.8× |
| Iadna Cytomegalovirus Quantification (87497) | $1,331 | $1,331 | 31.1× |
| Iadna hepatitis b virus amplified probe tq (87516) | $1,212 | $1,212 | 34.5× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$414–$1,405 | $414–$1,405 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $702 | $702 | 20.0× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $1,299 | $1,299 | 26.9× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $1,189 | $1,189 | 28.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $1,003 | $1,003 | 28.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$513–$807 | $513–$807 | varies |
| Ig Light Chains Free Each (83521) | $363 | $363 | 21.0× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$66–$3,002 | $66–$3,002 | varies |
| Igh gene rearrange amp meth (81261) | $518 | $518 | 2.6× |
| Igk rearrangeabn clonal pop (81264) | $392 | $392 | 2.3× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $147 | $147 | 0.4× |
| Immune Complex Assay (86332) range across 3 matching MRF lines |
$414–$1,857 | $414–$1,857 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $428 | $428 | 14.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$248–$4,518 | $248–$4,518 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $1,271 | $1,271 | 49.7× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$748–$1,032 | $748–$1,032 | varies |
| Immunoassay nonantibody (83516) range across 6 matching MRF lines |
$325–$1,063 | $325–$1,063 | varies |
| Immunodiffusion not elsewhere specified (86329) | $1,032 | $1,032 | 73.5× |
| Immunodiffusion Ouchterlony (86331) | $195 | $195 | 16.3× |
| Immunoelectrophoresis Other Fluids Concentration (86325) range across 2 matching MRF lines |
$1,597–$2,284 | $1,597–$2,284 | varies |
| Immunoelectrophoresis Serum (86320) | $1,606 | $1,606 | 53.7× |
| Immunofixation electrophoresis (86334) | $201 | $201 | 9.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $1,512 | $1,512 | 8.8× |
| Immunohistochemistry (88342) range across 4 matching MRF lines |
$224–$1,112 | $224–$1,112 | varies |
| In situ hybridization 1st probe stain (88365) | $1,533 | $1,533 | 9.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) | $1,458 | $1,458 | 66.6× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | $852 | $852 | 56.8× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $432 | $432 | 29.9× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $487 | $487 | 39.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) | $1,054 | $1,054 | 24.6× |
| Influenza a/b ag eia (87400) | $178 | $178 | 12.6× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$111–$407 | $111–$407 | varies |
| Influenza DNA amp probe (87502) | $838 | $838 | 8.7× |
| Inhibin A (86336) | $972 | $972 | 62.3× |
| Inhibin b (83520) range across 24 matching MRF lines |
$181–$2,577 | $181–$2,577 | varies |
| Insitu hybridization auto (88367) | $2,004 | $2,004 | 5.6× |
| Insitu hybridization manual (88368) | $918 | $918 | 2.5× |
| Insulin antibodies (86337) | $1,668 | $1,668 | 77.9× |
| Insulin total (83525) | $1,182 | $1,182 | 103.4× |
| Interleukin-6 (83529) | $219 | $219 | 12.7× |
| Intrinsic factor antibody (86340) | $1,167 | $1,167 | 77.4× |
| Iron (83540) range across 2 matching MRF lines |
$99–$794 | $99–$794 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$127–$929 | $127–$929 | varies |
| Irradiation Blood Product Each Unit (86945) | $284 | $284 | 7.6× |
| Islet cell antibody (86341) | $413 | $413 | 17.5× |
| Jak2 gene analysis p.val617phe variant (81270) | $1,310 | $1,310 | 14.3× |
| Ketosteroids 17 total (83586) | $1,147 | $1,147 | 89.6× |
| Kit Gene Analysis D816 Variant(S) (81273) | $430 | $430 | 3.4× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $823 | $823 | 2.5× |
| Kras Gene Analysis Additional Variant(S) (81276) | $325 | $325 | 1.7× |
| Kras Gene Variants Exon 2 (81275) | $1,243 | $1,243 | 6.4× |
| L/s ratio (83661) | $1,485 | $1,485 | 67.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$92–$644 | $92–$644 | varies |
| Lactoferrin Fecal Quantitative (83631) | $308 | $308 | 15.7× |
| Ldh Isoenzymes (83625) | $886 | $886 | 69.3× |
| Lead (83655) range across 2 matching MRF lines |
$835–$1,096 | $835–$1,096 | varies |
| Legionella antibody (86713) | $554 | $554 | 36.2× |
| Legionella antigen urine (87449) | $19 | $19 | 1.6× |
| Legionella pneumophila dfa (87278) | $1,012 | $1,012 | 64.9× |
| Leptospira antibody (86720) | $334 | $334 | 20.6× |
| Leukocyte Assessment Fecal (89055) | $1,091 | $1,091 | 255.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $483 | $483 | 16.6× |
| Level ii surg pathology grossµscopic exam (88302) | $1,144 | $1,144 | 30.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $2,565 | $2,565 | 7.1× |
| Lidocaine (80176) | $1,207 | $1,207 | 82.2× |
| Lipase (83690) | $1,417 | $1,417 | 205.7× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $403 | $403 | 35.8× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $219 | $219 | 4.7× |
| Listeria Monocytogenes (86723) | $1,331 | $1,331 | 100.9× |
| Lithium (80178) | $1,118 | $1,118 | 169.1× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$269–$1,413 | $269–$1,413 | varies |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$293–$1,420 | $293–$1,420 | varies |
| Lymphocytotoxicity Assay (86805) | $2,385 | $2,385 | 12.6× |
| Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) | $2,170 | $2,170 | 45.6× |
| Lysozyme serum (85549) | $1,565 | $1,565 | 83.5× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $284 | $284 | 1.7× |
| M/phmtrc alys ishquant/semiq (88374) | $529 | $529 | 3.1× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$232–$662 | $232–$662 | varies |
| Mercury urine (83825) range across 3 matching MRF lines |
$252–$328 | $252–$328 | varies |
| Metabolic panel ionized ca (80047) range across 2 matching MRF lines |
$318–$1,758 | $318–$1,758 | varies |
| Methotrexate (80204) range across 2 matching MRF lines |
$1,329–$1,442 | $1,329–$1,442 | varies |
| Methylmalonic acid serum (83921) | $2,197 | $2,197 | 103.6× |
| Mgmt methylation analysis (81287) | $138 | $138 | 1.1× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$85–$716 | $85–$716 | varies |
| Microbe Suscept Macrobroth (87188) | $380 | $380 | 57.2× |
| Microsatellite instability (81301) | $653 | $653 | 1.9× |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$507–$1,675 | $507–$1,675 | varies |
| Mitochondrial Antibody Each (86381) | $1,291 | $1,291 | 50.7× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $364 | $364 | 1.8× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,238 | $1,238 | 1.8× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $160 | $160 | 3.9× |
| Molecular Cytogenetics Dna Probe Each (88271) | $261 | $261 | 12.2× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $350 | $350 | 8.3× |
| Molecular Pathology Procedure Level 6 (81405) | $2,481 | $2,481 | 8.2× |
| Mononuclear cell antigen (86356) | $69 | $69 | 2.6× |
| Mopath procedure level 1 (81400) | $843 | $843 | 13.2× |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$1,054–$2,481 | $1,054–$2,481 | varies |
| Mopath procedure level 5 (81404) range across 3 matching MRF lines |
$450–$2,481 | $450–$2,481 | varies |
| Mopath procedure level 7 (81406) | $2,481 | $2,481 | 8.8× |
| Morphometric analysis nerve (88356) | $527 | $527 | 10.1× |
| Morphometric Analysis Tumor (88358) | $498 | $498 | 2.9× |
| Mrsa Pcr (87641) | $261 | $261 | 7.4× |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $291 | $291 | 1.4× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $291 | $291 | 0.8× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $311 | $311 | 1.3× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $553 | $553 | 0.9× |
| Mthfr Gene Analysis Common Variants (81291) | $234 | $234 | 3.6× |
| Mucin Clot Body Fluid (83872) | $144 | $144 | 24.6× |
| Mucopolysaccharides acid quantitative (83864) | $1,740 | $1,740 | 61.1× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$428–$1,093 | $428–$1,093 | varies |
| Mycobacteric Identification (87118) | $621 | $621 | 42.5× |
| Mycophenolic Acid (80180) range across 2 matching MRF lines |
$264–$360 | $264–$360 | varies |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$781–$1,339 | $781–$1,339 | varies |
| Mycoplasma culture (87109) range across 2 matching MRF lines |
$1,020–$1,792 | $1,020–$1,792 | varies |
| Myelin basic protein csf (83873) | $1,516 | $1,516 | 88.1× |
| Myoglobin urine (83874) range across 4 matching MRF lines |
$122–$1,592 | $122–$1,592 | varies |
| Natriuretic peptide (83880) range across 4 matching MRF lines |
$296–$745 | $296–$745 | varies |
| Nerve teasing preparations (88362) | $735 | $735 | 0.9× |
| Neutralization Test Viral (86382) | $156 | $156 | 9.2× |
| Niacin (84591) range across 2 matching MRF lines |
$515–$839 | $515–$839 | varies |
| Nickel level (83885) | $1,207 | $1,207 | 49.2× |
| Nitroblue Tetrazolium Dye (86384) | $918 | $918 | 67.5× |
| Nk cells total count (86357) | $99 | $99 | 2.6× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $1,012 | $1,012 | 4.1× |
| Nras gene variants exon 2&3 (81311) | $569 | $569 | 1.9× |
| Nuclear antigen antibody (86235) range across 10 matching MRF lines |
$225–$1,355 | $225–$1,355 | varies |
| Obstetric panel (80081) | $1,385 | $1,385 | 18.5× |
| Occult blood feces (82272) | $338 | $338 | 79.9× |
| Occult Blood Other Sources (82271) | $338 | $338 | 63.5× |
| Oligoclonal bands (83916) | $957 | $957 | 34.9× |
| Organic Acids Qualitative Each Specimen (83919) | $865 | $865 | 52.6× |
| Organic acids urine (83918) | $2,836 | $2,836 | 120.2× |
| Osmolality serum (83930) | $328 | $328 | 49.6× |
| Osmolality Urine (83935) | $328 | $328 | 48.1× |
| Osmotic fragility rbc incubated (85557) | $985 | $985 | 73.7× |
| Osteocalcin (83937) | $1,739 | $1,739 | 58.3× |
| Ova and parasites smears (87177) | $996 | $996 | 111.9× |
| Oxalate urine (83945) | $644 | $644 | 44.6× |
| Pancreatic Elastase Fecal (82656) | $562 | $562 | 48.7× |
| Particle Agglutination Screen Each Antibody (86403) range across 7 matching MRF lines |
$415–$937 | $415–$937 | varies |
| Parvovirus antibody (86747) | $869 | $869 | 57.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,768 | $1,768 | 2.2× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $1,093 | $1,093 | 4.3× |
| Ph urine (81003) range across 5 matching MRF lines |
$33–$378 | $33–$378 | varies |
| Phenobarbital Level (80184) | $1,080 | $1,080 | 70.6× |
| Phenytoin (Dilantin) (80185) | $1,648 | $1,648 | 124.4× |
| Phosphatase acid prostatic (84066) | $916 | $916 | 94.8× |
| Phosphatase alkaline (84075) | $692 | $692 | 133.6× |
| Phosphatidylglycerol (84081) | $957 | $957 | 57.9× |
| Phospholipid Neutralization Hexagonal (85598) | $569 | $569 | 31.6× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$735–$828 | $735–$828 | varies |
| Phosphorus urine (84105) | $723 | $723 | 125.1× |
| Pinworm exam (87172) | $285 | $285 | 66.7× |
| Platelet Aggregation (85576) range across 4 matching MRF lines |
$424–$666 | $424–$666 | varies |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$689–$1,942 | $689–$1,942 | varies |
| Platelet count automated (85049) | $408 | $408 | 91.1× |
| Platelet neutralization (85597) | $462 | $462 | 25.7× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $541 | $541 | 2.6× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $2,481 | $2,481 | 3.3× |
| Pmp22 Gene Analysis Full Sequence Analysis (81325) | $2,481 | $2,481 | 3.2× |
| Pooling blood platelets (86965) range across 4 matching MRF lines |
$221–$508 | $221–$508 | varies |
| Porphobilinogen Urine Qualitative (84106) | $1,034 | $1,034 | 177.7× |
| Porphobilinogen, urine; quantitative (84110) | $1,055 | $1,055 | 125.0× |
| Porphyrins Feces Quantitative (84126) | $3,632 | $3,632 | 92.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $1,907 | $1,907 | 129.6× |
| Porphyrins, urine; qualitative (84119) | $658 | $658 | 49.3× |
| Potassium Urine (84133) | $470 | $470 | 99.4× |
| Prealbumin (84134) | $775 | $775 | 53.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $207 | $207 | 3.5× |
| Primidone (80188) | $1,321 | $1,321 | 79.6× |
| Procalcitonin (Pct) (84145) | $762 | $762 | 28.0× |
| Progesterone (84144) range across 2 matching MRF lines |
$308–$1,293 | $308–$1,293 | varies |
| Prolactin (84146) range across 2 matching MRF lines |
$284–$1,479 | $284–$1,479 | varies |
| Protein body fluid (84157) range across 2 matching MRF lines |
$289–$706 | $289–$706 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$201–$1,051 | $201–$1,051 | varies |
| Protein c antigen (85302) | $1,899 | $1,899 | 158.1× |
| Protein Electrophoresis Urine (84166) range across 4 matching MRF lines |
$260–$2,220 | $260–$2,220 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$160–$1,458 | $160–$1,458 | varies |
| Protein S Free (85306) range across 3 matching MRF lines |
$201–$1,351 | $201–$1,351 | varies |
| Protein s total (85305) | $2,204 | $2,204 | 189.8× |
| Protein total serum (84155) | $742 | $742 | 202.2× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$55–$702 | $55–$702 | varies |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$1,220–$1,417 | $1,220–$1,417 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $824 | $824 | 209.1× |
| Protoporphyrin rbc quantitative (84202) range across 3 matching MRF lines |
$742–$1,399 | $742–$1,399 | varies |
| PSA free (84154) range across 2 matching MRF lines |
$269–$761 | $269–$761 | varies |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $168 | $168 | 0.6× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $1,071 | $1,071 | 1.8× |
| Pth Intact (83970) range across 4 matching MRF lines |
$603–$2,430 | $603–$2,430 | varies |
| Pyruvate kinase (84220) | $1,360 | $1,360 | 144.1× |
| Q Fever Antibody (86638) | $608 | $608 | 50.2× |
| Quantiferon tb gold plus (86480) | $671 | $671 | 10.8× |
| Quantitative assay drug (80299) range across 25 matching MRF lines |
$181–$2,960 | $181–$2,960 | varies |
| Quantitative Screen Metals (83018) range across 5 matching MRF lines |
$85–$1,081 | $85–$1,081 | varies |
| Quinidine (80194) | $399 | $399 | 27.3× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$624–$702 | $624–$702 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$1,969–$2,212 | $1,969–$2,212 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$1,321–$1,337 | $1,321–$1,337 | varies |
| Rbc pretreatment serum (86978) | $579 | $579 | 9.8× |
| Rbc pretx incubatj w/enzymes (86971) | $269 | $269 | 1.6× |
| Receptor assay estrogen (84233) | $4,535 | $4,535 | 51.6× |
| Receptor assay progesterone (84234) | $4,535 | $4,535 | 69.9× |
| Renin activity plasma (84244) | $1,335 | $1,335 | 60.7× |
| Reptilase test (85635) | $893 | $893 | 90.7× |
| Resp virus 12-25 targets (87633) | $1,409 | $1,409 | 3.4× |
| Reticulocyte Count (85046) | $164 | $164 | 29.4× |
| Reticulocyte Count Manual (85044) | $811 | $811 | 188.2× |
| Rh (86901) range across 2 matching MRF lines |
$546–$616 | $546–$616 | varies |
| Rheumatoid Factor Qualitative (86430) | $733 | $733 | 119.4× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$85–$1,251 | $85–$1,251 | varies |
| Rickettsia antibody (86757) range across 4 matching MRF lines |
$778–$1,002 | $778–$1,002 | varies |
| Ristocetin cofactor (85245) | $1,399 | $1,399 | 61.0× |
| Rotavirus ag eia (87425) | $1,431 | $1,431 | 119.4× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$66–$741 | $66–$741 | varies |
| Rsv ab (86756) | $972 | $972 | 61.2× |
| Rsv Assay W/Optic (87807) | $132 | $132 | 10.1× |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$624–$742 | $624–$742 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$759–$1,925 | $759–$1,925 | varies |
| Russell Viper Venom Time Diluted (85613) | $440 | $440 | 45.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $56 | $56 | 1.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $59 | $59 | 1.4× |
| Sedimentation rate (85651) range across 2 matching MRF lines |
$598–$658 | $598–$658 | varies |
| Sedimentation Rate, Automated (85652) | $42 | $42 | 15.6× |
| Selenium (84255) | $907 | $907 | 35.5× |
| Semen Anal Sperm Detection (89321) | $1,055 | $1,055 | 87.6× |
| Semen analysis complete (89320) | $1,172 | $1,172 | 95.2× |
| Sensitivity mic (87186) | $1,190 | $1,190 | 137.6× |
| Serpina 1 gene (81332) | $759 | $759 | 17.4× |
| Serum Bactericidal Titer (87197) | $1,574 | $1,574 | 104.8× |
| Sex Chromatin Identification Barr Bodies (88130) | $464 | $464 | 25.8× |
| Sex Hormone Binding Globulin (84270) | $255 | $255 | 11.7× |
| Sickling of rbc reduction (85660) | $745 | $745 | 135.2× |
| Sirolimus (80195) | $1,483 | $1,483 | 108.0× |
| Skin Test Candida (86485) range across 3 matching MRF lines |
$124–$137 | $124–$137 | varies |
| Skin test tuberculosis intradermal (86580) range across 3 matching MRF lines |
$31–$137 | $31–$137 | varies |
| Skin test unlisted antigen each (86486) range across 2 matching MRF lines |
$132–$137 | $132–$137 | varies |
| Smear acid fast (87206) range across 4 matching MRF lines |
$111–$328 | $111–$328 | varies |
| Smear gram stain (87205) range across 3 matching MRF lines |
$289–$840 | $289–$840 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$168–$576 | $168–$576 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$283–$308 | $283–$308 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $1,005 | $1,005 | 19.7× |
| Sodium Serum (84295) | $624 | $624 | 129.7× |
| Sodium Urine (84300) | $592 | $592 | 117.0× |
| Somatomedin (84305) | $1,643 | $1,643 | 77.3× |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
$618–$752 | $618–$752 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$725–$907 | $725–$907 | varies |
| Specific gravity body fluid (84315) | $268 | $268 | 81.7× |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$99–$362 | $99–$362 | varies |
| Spectrophotometry (84311) range across 9 matching MRF lines |
$369–$1,596 | $369–$1,596 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $410 | $410 | 2.4× |
| Staph a DNA amp probe (87640) | $261 | $261 | 7.4× |
| Stool cultr aerobic bact ea (87046) | $781 | $781 | 82.7× |
| Strep a assay w/optic (87880) | $719 | $719 | 43.5× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $186 | $186 | 16.1× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $362 | $362 | 65.8× |
| Sulfate urine (84392) | $178 | $178 | 32.4× |
| Surg path level iii (88304) | $1,709 | $1,709 | 32.6× |
| Surgical pathology level IV (88305) | $1,992 | $1,992 | 38.1× |
| Surgical pathology level vi (88309) | $2,756 | $2,756 | 3.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $748 | $748 | 100.0× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $260 | $260 | 35.6× |
| Sweat Collection Iontophoresis (89230) | $1,212 | $1,212 | 23.2× |
| Syphilis Test Non-Trep Quant (86593) | $955 | $955 | 217.0× |
| T cells absolute cd4 count (86361) | $616 | $616 | 23.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $658 | $658 | 14.0× |
| T cells total count (86359) | $658 | $658 | 17.4× |
| T3 Free (84481) range across 2 matching MRF lines |
$162–$1,118 | $162–$1,118 | varies |
| T3 reverse (84482) | $2,164 | $2,164 | 137.3× |
| T3 Total (84480) range across 2 matching MRF lines |
$208–$1,034 | $208–$1,034 | varies |
| T3 Uptake (84479) range across 2 matching MRF lines |
$99–$1,133 | $99–$1,133 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$132–$1,323 | $132–$1,323 | varies |
| T4 total (84436) | $1,065 | $1,065 | 155.0× |
| Tacrolimus (80197) | $2,321 | $2,321 | 169.0× |
| Tb ag response t-cell susp (86481) | $671 | $671 | 6.7× |
| Test for acetone/ketones (82009) | $687 | $687 | 152.0× |
| Testosterone total (84403) range across 3 matching MRF lines |
$351–$378 | $351–$378 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$351–$2,222 | $351–$2,222 | varies |
| Tetanus antibody (86774) | $1,482 | $1,482 | 100.1× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $988 | $988 | 1.7× |
| Theophylline (80198) range across 2 matching MRF lines |
$208–$865 | $208–$865 | varies |
| Thiocyanate (84430) | $471 | $471 | 40.5× |
| Thiopurine methyltransferase (84433) | $1,085 | $1,085 | 48.9× |
| Thrombin Time (85670) | $297 | $297 | 51.5× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$306–$982 | $306–$982 | varies |
| Thyroglobulin (84432) | $1,554 | $1,554 | 96.8× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$230–$1,096 | $230–$1,096 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $2,699 | $2,699 | 53.1× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $893 | $893 | 17.7× |
| Thyroxine binding globulin (84442) | $794 | $794 | 53.7× |
| Tiss cul neo disorders solid tumor (88239) | $1,374 | $1,374 | 9.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$432–$572 | $432–$572 | varies |
| Tissue Culture (88233) range across 2 matching MRF lines |
$1,310–$7,664 | $1,310–$7,664 | varies |
| Tissue Culture Amniotic Fluid (88235) | $5,449 | $5,449 | 36.3× |
| Tissue culture bone marrow (88237) | $1,310 | $1,310 | 9.1× |
| Tissue Culture Lymphocyte (88230) | $5,691 | $5,691 | 48.9× |
| Tobramycin peak (80200) | $1,341 | $1,341 | 83.1× |
| Topiramate (80201) | $384 | $384 | 32.2× |
| Touch prep (88161) | $1,691 | $1,691 | 58.2× |
| Toxoplasma ab igm (86778) | $955 | $955 | 66.3× |
| Toxoplasma antibody (86777) | $1,107 | $1,107 | 76.9× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$76–$1,133 | $76–$1,133 | varies |
| Transferrin (84466) | $975 | $975 | 76.4× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $507 | $507 | 2.4× |
| Trg gene rearrangement anal (81342) | $528 | $528 | 2.6× |
| Trichinella Antibody (86784) | $1,029 | $1,029 | 81.9× |
| Triglycerides (84478) | $1,084 | $1,084 | 188.9× |
| Troponin Quant (84484) range across 3 matching MRF lines |
$144–$1,592 | $144–$1,592 | varies |
| Tumor immunohistochem/comput (88361) | $2,907 | $2,907 | 8.1× |
| Tumor Immunohistochem/Manual (88360) | $471 | $471 | 2.8× |
| Urea Nitrogen Clearance (84545) | $762 | $762 | 105.8× |
| Urea nitrogen urine (84540) | $932 | $932 | 167.6× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$301–$487 | $301–$487 | varies |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$166–$255 | $166–$255 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 2 matching MRF lines |
$342–$1,029 | $342–$1,029 | varies |
| Urinalysis Volume Measure (81050) | $197 | $197 | 54.1× |
| Urine Albumin Semiquantitative (82044) range across 2 matching MRF lines |
$70–$725 | $70–$725 | varies |
| Urine Bacteria Culture (87088) | $553 | $553 | 68.4× |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$95–$1,554 | $95–$1,554 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$50–$658 | $50–$658 | varies |
| Valproic acid (80164) range across 2 matching MRF lines |
$195–$1,658 | $195–$1,658 | varies |
| Vancomycin (80202) | $1,458 | $1,458 | 107.7× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$1,341–$1,400 | $1,341–$1,400 | varies |
| Vasopressin (84588) | $1,739 | $1,739 | 51.2× |
| Very Long Chain Fatty Acids (82726) | $1,597 | $1,597 | 80.9× |
| Viral Culture (87252) range across 3 matching MRF lines |
$1,029–$1,943 | $1,029–$1,943 | varies |
| Virus antibody nos (86790) range across 9 matching MRF lines |
$239–$2,427 | $239–$2,427 | varies |
| Viscosity serum (85810) | $351 | $351 | 30.1× |
| Vit D 1 25-Dihydroxy (82652) | $1,889 | $1,889 | 49.1× |
| Vitamin A (84590) | $1,346 | $1,346 | 115.9× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$197–$996 | $197–$996 | varies |
| Vitamin B2 (Riboflavin) (84252) | $2,064 | $2,064 | 102.0× |
| Vitamin B6 (84207) | $761 | $761 | 27.1× |
| Vitamin c (82180) | $1,283 | $1,283 | 129.7× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$671–$1,803 | $671–$1,803 | varies |
| Vitamin E (84446) | $1,323 | $1,323 | 93.3× |
| Vitamin K (84597) | $1,976 | $1,976 | 144.0× |
| Vkorc1 gene (81355) | $674 | $674 | 7.6× |
| Wbc Alkaline Phosphatase Count (85540) | $955 | $955 | 111.0× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$259–$322 | $259–$322 | varies |
| West Nile Virus Antibody (86789) | $322 | $322 | 22.4× |
| Western Blot Test (84181) | $893 | $893 | 52.4× |
| Xylose Absorption Test (84620) | $1,426 | $1,426 | 110.5× |
| Zika Virus Dna/Rna Amp Probe (87662) | $1,494 | $1,494 | 29.1× |
| Zinc (84630) | $1,081 | $1,081 | 94.9× |
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.