Lab & pathology prices at LewisGale Medical Center
Salem, VA · every code in this section with a posted price and a Medicare benchmark.
889 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $933 | $933 | 40.9× |
| 5 Nucleotidase (83915) | $159 | $159 | 14.3× |
| Acetylcholine receptor binding antibody (86041) | $54 | $54 | 2.9× |
| Acetylcholine receptor blocking antibody (86042) | $54 | $54 | 2.9× |
| Acetylcholn Rcptr Modlg Antb (86043) | $34 | $34 | 2.8× |
| Acth (82024) | $962 | $962 | 24.9× |
| Actin smooth muscle antibody each (86015) | $469 | $469 | 38.9× |
| Acute hepatitis panel (80074) | $767 | $767 | 16.1× |
| Acylcarnitines Quant (82017) | $567 | $567 | 33.6× |
| Adenovirus antibody (86603) | $182 | $182 | 14.1× |
| Agglutinins Febrile Each Antigen (86000) range across 10 matching MRF lines |
$78–$378 | $78–$378 | varies |
| Albumin Fluid (82042) | $182 | $182 | 23.4× |
| Albumin serum (82040) | $182 | $182 | 36.8× |
| Aldolase (82085) | $305 | $305 | 31.4× |
| Aldosterone urine (82088) | $564 | $564 | 13.8× |
| Alkaline phosphatase isoenzymes (84080) | $742 | $742 | 50.2× |
| Allergen specific ige (86003) | $103 | $103 | 19.7× |
| Allergen specific igg (86001) | $117 | $117 | 15.0× |
| Allg Spec Ige Recomb Ea (86008) | $119 | $119 | 6.6× |
| Alpha-1-antitrypsin phenotype (82104) | $406 | $406 | 28.1× |
| Alpha-1-antitrypsin total (82103) | $189 | $189 | 14.1× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $910 | $910 | 53.5× |
| Alpha-Fetoprotein Serum (82105) | $1,248 | $1,248 | 74.4× |
| Alt (sgpt) (84460) | $542 | $542 | 102.3× |
| Aluminum (82108) | $382 | $382 | 15.0× |
| Amikacin trough (80150) range across 3 matching MRF lines |
$212–$289 | $212–$289 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 3 matching MRF lines |
$233–$775 | $233–$775 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $394 | $394 | 23.4× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $200 | $200 | 14.4× |
| Amino Acids Quant 2-5 (82136) | $326 | $326 | 16.6× |
| Aminolevulinic acid (ala) (82135) | $212 | $212 | 12.9× |
| Ammonia (82140) | $489 | $489 | 33.6× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $229 | $229 | 2.3× |
| Amylase urine (82150) | $576 | $576 | 88.9× |
| Analysis skeletal muscle (88355) | $656 | $656 | 3.9× |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$121–$1,651 | $121–$1,651 | varies |
| Anca Titer Each Antibody (86037) range across 3 matching MRF lines |
$121–$564 | $121–$564 | varies |
| Androstenedione (82157) | $622 | $622 | 21.2× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$435–$754 | $435–$754 | varies |
| Anti-Phospholipid Antibody (86148) | $523 | $523 | 32.5× |
| Antibody aspergillus (86606) | $212 | $212 | 14.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 3 matching MRF lines |
$169–$1,302 | $169–$1,302 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $1,386 | $1,386 | 89.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $641 | $641 | 38.0× |
| Antibody Encephalitis California La Crosse (86651) | $250 | $250 | 19.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $478 | $478 | 36.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $351 | $351 | 23.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$251–$1,319 | $251–$1,319 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 6 matching MRF lines |
$169–$310 | $169–$310 | varies |
| Antibody helicobacter pylori (86677) range across 3 matching MRF lines |
$865–$1,952 | $865–$1,952 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $201 | $201 | 14.0× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$186–$220 | $186–$220 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $468 | $468 | 34.1× |
| Antibody HIV-2 (86702) | $201 | $201 | 14.9× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $3,269 | $3,269 | 10.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $271 | $271 | 14.0× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$212–$683 | $212–$683 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $251 | $251 | 20.1× |
| Antibody john cunningham virus (86711) | $1,753 | $1,753 | 103.8× |
| Antibody Lymphocytic Choriomeningitis (86727) | $250 | $250 | 19.4× |
| Antibody nocardia (86744) | $1,642 | $1,642 | 102.7× |
| Antibody Protozoa Nes (86753) range across 5 matching MRF lines |
$171–$518 | $171–$518 | varies |
| Antibody rotavirus (86759) | $384 | $384 | 21.1× |
| Antibody Titer (86886) | $421 | $421 | 81.3× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$42–$186 | $42–$186 | varies |
| Antibody; campylobacter (86625) | $1,239 | $1,239 | 94.4× |
| Antibody; encephalitis, st. louis (86653) | $226 | $226 | 17.1× |
| Antibody; influenza virus (86710) range across 6 matching MRF lines |
$193–$282 | $193–$282 | varies |
| Antigen typing (86905) | $473 | $473 | 123.5× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $47 | $47 | 8.2× |
| Antinomyces antibody (86602) range across 2 matching MRF lines |
$193–$305 | $193–$305 | varies |
| Antinuclear antibodies (86038) | $533 | $533 | 44.1× |
| Antistreptolysin o titer (86060) | $683 | $683 | 93.6× |
| Antithrombin iii activity (85300) | $1,087 | $1,087 | 91.7× |
| Antithrombin iii antigen (85301) | $693 | $693 | 64.1× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$305–$318 | $305–$318 | varies |
| Aquaporin-4 Antb Cba Each (86052) | $42 | $42 | 3.5× |
| Aquaporin-4 Antb Elisa (86051) range across 2 matching MRF lines |
$144–$2,072 | $144–$2,072 | varies |
| Arsenic (82175) | $265 | $265 | 14.0× |
| Aspa gene analysis common variants (81200) | $734 | $734 | 15.5× |
| Aspergillus ag eia (87305) | $131 | $131 | 10.9× |
| Assay activated protein c (85307) | $837 | $837 | 54.6× |
| Assay Blood Carbon Dioxide (82374) | $530 | $530 | 108.6× |
| Assay myeloperoxidase (83876) | $318 | $318 | 6.3× |
| Assay Nephelometry Not Spec (83883) | $189 | $189 | 13.9× |
| Assay of 5-hiaa (83497) | $899 | $899 | 69.7× |
| Assay of anti-mullerian hormone (82166) | $112 | $112 | 2.9× |
| Assay of blood/uric acid (84550) | $523 | $523 | 115.7× |
| Assay of calcium in urine (82340) | $351 | $351 | 58.2× |
| Assay of cpk in blood (82552) | $228 | $228 | 17.0× |
| Assay of estrone (82679) | $926 | $926 | 37.1× |
| Assay of g6pd enzyme (82955) | $382 | $382 | 39.4× |
| Assay of gammaglobulin igm (82784) range across 6 matching MRF lines |
$129–$332 | $129–$332 | varies |
| Assay of lactic acid (83605) | $307 | $307 | 26.5× |
| Assay of manganese (83785) | $363 | $363 | 13.6× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$280–$784 | $280–$784 | varies |
| Assay of phosphatase acid total (84060) | $992 | $992 | 129.8× |
| Assay of proinsulin (84206) | $479 | $479 | 17.9× |
| Assay of prostate specific antigen complexed (84152) | $591 | $591 | 32.1× |
| Assay of pyruvate (84210) | $156 | $156 | 10.8× |
| Assay of serotonin (84260) | $251 | $251 | 8.1× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$226–$228 | $226–$228 | varies |
| Assay of Sialic Acid (84275) | $189 | $189 | 14.1× |
| Assay of sweat sodium (84302) | $170 | $170 | 35.0× |
| Assay of urea nitrogen (84520) | $229 | $229 | 58.0× |
| Assay of urine vma (84585) | $246 | $246 | 15.9× |
| Assay of vasoactive intestinal peptide (84586) | $507 | $507 | 14.4× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$294–$1,367 | $294–$1,367 | varies |
| Assay Ph Body Fluid Nos (83986) | $73 | $73 | 20.4× |
| Assay spec xcp ur&breath ia (82077) | $678 | $678 | 39.3× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $2,346 | $2,346 | 14.1× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$255–$332 | $255–$332 | varies |
| B cells total count (86355) | $101 | $101 | 2.7× |
| Bacterial antigens 87802 (87802) | $386 | $386 | 30.3× |
| Bartonella antibody (86611) | $143 | $143 | 14.0× |
| Bcr/abl1 gene major bp (81206) | $647 | $647 | 3.9× |
| Bcr/abl1 gene minor bp (81207) | $647 | $647 | 4.5× |
| Beta 2 glycoprotein i antibody each (86146) | $324 | $324 | 12.7× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$66–$738 | $66–$738 | varies |
| Beta Lactamase (87185) | $85 | $85 | 17.9× |
| Beta-2 Microglobulin (82232) | $301 | $301 | 18.6× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $312 | $312 | 2.4× |
| Bile acids total (82239) | $353 | $353 | 20.6× |
| Bilirubin direct (82248) | $523 | $523 | 104.2× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$294–$489 | $294–$489 | varies |
| Bilirubin total transcutaneous (88720) | $49 | $49 | 9.8× |
| Blastomyces antibody (86612) | $246 | $246 | 19.1× |
| Bld Typing Serologic Rh Phnt (86906) | $292 | $292 | 37.7× |
| Bleeding time test (85002) | $494 | $494 | 102.5× |
| Blm Gene (81209) | $607 | $607 | 15.4× |
| Blood Count Manual Cell Count Each (85032) | $246 | $246 | 57.1× |
| Blood Count Red Blood Cell Automated (85041) | $139 | $139 | 46.0× |
| Blood count reticulocyte automated (85045) | $233 | $233 | 58.4× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $307 | $307 | 80.8× |
| Blood gas (82803) | $866 | $866 | 33.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $105 | $105 | 6.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $189 | $189 | 43.2× |
| Blood Sulfhemoglobin Assay (83060) | $24 | $24 | 2.7× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $439 | $439 | 69.1× |
| Blood typing serologic abo (86900) | $293 | $293 | 98.0× |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$307–$661 | $307–$661 | varies |
| Bordetella antibody (86615) range across 3 matching MRF lines |
$186–$282 | $186–$282 | varies |
| Braf gene analysis (81210) | $722 | $722 | 4.1× |
| Brca2 Gene Analysis Known Familial Variant (81217) | $1,084 | $1,084 | 2.9× |
| Brucella antibody (86622) | $326 | $326 | 36.5× |
| C diff amplified probe (87493) | $452 | $452 | 12.1× |
| C-Peptide (84681) | $289 | $289 | 13.9× |
| C-reactive protein (86140) | $664 | $664 | 128.2× |
| Ca 19-9 (86301) | $882 | $882 | 42.4× |
| Cadmium (82300) | $561 | $561 | 23.7× |
| Caffeine (80155) | $203 | $203 | 5.3× |
| Calcitonin (82308) | $842 | $842 | 31.4× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$491–$507 | $491–$507 | varies |
| Calcium total (82310) | $254 | $254 | 49.2× |
| Calculus assay quant (82360) | $285 | $285 | 22.1× |
| Calculus Spectroscopy (82365) | $148 | $148 | 11.5× |
| Calprotectin Fecal (83993) | $662 | $662 | 33.7× |
| Calr gene com variants (81219) | $469 | $469 | 3.9× |
| Cancer Antigen 125 (86304) | $1,152 | $1,152 | 55.4× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$291–$1,015 | $291–$1,015 | varies |
| Candida antibody (86628) | $758 | $758 | 63.1× |
| Candida Dna Dir Probe (87480) | $389 | $389 | 19.4× |
| Carbamazepine free (80157) | $707 | $707 | 53.4× |
| Carbamazepine total (80156) | $784 | $784 | 53.8× |
| Carbohydrate Deficient Transferrin (82373) | $1,289 | $1,289 | 71.4× |
| Carboxyhemoglobin (82375) | $707 | $707 | 57.4× |
| Carcinoembryonic antigen (82378) | $926 | $926 | 48.8× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$661–$1,045 | $661–$1,045 | varies |
| Carnitine Quantitative Each Specimen (82379) | $491 | $491 | 29.1× |
| Carotene (82380) | $200 | $200 | 21.7× |
| Catecholamines fractionated (82384) | $641 | $641 | 25.4× |
| Ccp antibody (86200) | $617 | $617 | 47.6× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $647 | $647 | 2.7× |
| Cell count csf (89051) range across 2 matching MRF lines |
$530–$661 | $530–$661 | varies |
| Cell marker study (88182) | $330 | $330 | 6.5× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $393 | $393 | 2.9× |
| Ceruloplasmin (82390) | $386 | $386 | 35.9× |
| Cftr gene com variants (81220) | $3,928 | $3,928 | 7.1× |
| Chemiluminescent assay (82397) range across 11 matching MRF lines |
$119–$463 | $119–$463 | varies |
| Chlamydia antibody (86631) range across 5 matching MRF lines |
$85–$654 | $85–$654 | varies |
| Chlamydia Igm Antibody (86632) range across 3 matching MRF lines |
$327–$999 | $327–$999 | varies |
| Chlmy trch&neisra gonor mult (87494) | $176 | $176 | 2.5× |
| Chloride other source (82438) | $139 | $139 | 27.8× |
| Chloride Serum (82435) | $221 | $221 | 48.0× |
| Chloride urine (82436) | $148 | $148 | 25.7× |
| Cholesterol total (82465) | $542 | $542 | 124.6× |
| Cholinesterase Serum (82480) | $382 | $382 | 48.5× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$526–$1,242 | $526–$1,242 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $2,445 | $2,445 | 13.0× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $475 | $475 | 13.8× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$350–$394 | $350–$394 | varies |
| Chromium serum (82495) | $356 | $356 | 17.6× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$948–$967 | $948–$967 | varies |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$1,709–$1,971 | $1,709–$1,971 | varies |
| Chromosome Analysis 20-25 (88264) | $1,709 | $1,709 | 11.8× |
| Chromosome analysis, 5 (88261) | $4,277 | $4,277 | 16.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $459 | $459 | 13.1× |
| Citric acid urine (82507) | $452 | $452 | 16.3× |
| Ckmb (82553) | $342 | $342 | 29.6× |
| Clostridium Difficile (87324) | $416 | $416 | 34.7× |
| Clot Factor VIII Multimetric (85247) | $630 | $630 | 27.5× |
| Clotting factor xii hageman (85280) | $962 | $962 | 49.7× |
| Clotting Funct Activity (85397) | $842 | $842 | 27.3× |
| Clotting hi molec weight kininogen assay (85293) | $274 | $274 | 14.5× |
| Cns DNA amp probe type 12-25 (87483) | $1,115 | $1,115 | 2.7× |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$98–$270 | $98–$270 | varies |
| Coccidioides antibody (86635) | $705 | $705 | 61.5× |
| Cold agglutinin screen (86156) | $493 | $493 | 61.1× |
| Cold agglutinin titer (86157) | $493 | $493 | 61.2× |
| Collagen crosslinks (82523) | $1,149 | $1,149 | 61.5× |
| Column Chromotography Quant (82542) range across 6 matching MRF lines |
$265–$1,266 | $265–$1,266 | varies |
| Compatibility Each Unit Incubation (86921) | $518 | $518 | 3.1× |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$518–$1,731 | $518–$1,731 | varies |
| Complement Antigen Each Component (86160) range across 10 matching MRF lines |
$169–$1,069 | $169–$1,069 | varies |
| Complement Fixation Tests Each Antigen (86171) | $135 | $135 | 13.5× |
| Complement Total (Ch50) (86162) | $792 | $792 | 39.0× |
| Complement/Function Activity (86161) | $212 | $212 | 17.7× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $519 | $519 | 10.2× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $1,194 | $1,194 | 32.8× |
| Coombs direct (86880) range across 5 matching MRF lines |
$162–$438 | $162–$438 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$389–$661 | $389–$661 | varies |
| Cortisol free (82530) | $230 | $230 | 13.8× |
| Cortisol saliva (82533) | $406 | $406 | 24.9× |
| Creatine (82540) | $146 | $146 | 31.5× |
| Creatine kinase total (82550) | $406 | $406 | 62.4× |
| Creatinine blood (82565) | $349 | $349 | 68.2× |
| Creatinine clearance (82575) | $443 | $443 | 46.8× |
| Creatinine Urine (82570) | $273 | $273 | 52.7× |
| Crossmatch electronic (86923) range across 2 matching MRF lines |
$389–$411 | $389–$411 | varies |
| Crossmatch immediate spin (86920) | $557 | $557 | 3.4× |
| Crp High Sensitivity (86141) | $473 | $473 | 36.5× |
| Cryofibrinogen (82585) | $139 | $139 | 9.8× |
| Cryoglobulin (82595) | $606 | $606 | 93.7× |
| Cryptococcus ab (86641) | $357 | $357 | 24.8× |
| Cryptococcus ag titer (87899) range across 11 matching MRF lines |
$89–$682 | $89–$682 | varies |
| Cryptosporidium ag eia (87328) | $365 | $365 | 26.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$386–$1,035 | $386–$1,035 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $489 | $489 | 60.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $168 | $168 | 21.8× |
| Culture aerobic quant other (87071) | $343 | $343 | 34.7× |
| Culture afb (87116) | $784 | $784 | 72.6× |
| Culture Anaerobic (87075) | $839 | $839 | 88.6× |
| Culture blood (87040) | $606 | $606 | 58.7× |
| Culture chlamydia (87110) | $1,471 | $1,471 | 75.1× |
| Culture csf (87070) range across 22 matching MRF lines |
$414–$899 | $414–$899 | varies |
| Culture fungus (87102) | $468 | $468 | 55.6× |
| Culture fungus blood (87103) | $128 | $128 | 6.3× |
| Culture screen only (87081) range across 11 matching MRF lines |
$112–$143 | $112–$143 | varies |
| Culture stool (87045) | $669 | $669 | 70.9× |
| Culture typing if ea antiserum (87140) | $61 | $61 | 11.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $318 | $318 | 61.4× |
| Culture typing other methods (87158) | $23 | $23 | 3.0× |
| Culture urine (87086) | $116 | $116 | 14.4× |
| Cyanide (82600) | $271 | $271 | 14.0× |
| Cyclic amp (82030) | $775 | $775 | 30.0× |
| Cyclosporine (80158) | $357 | $357 | 19.8× |
| Cyp2c19 gene analysis common variants (81225) | $779 | $779 | 2.7× |
| Cyp2d6 gene com variants (81226) | $1,063 | $1,063 | 2.4× |
| Cystatin C (82610) | $213 | $213 | 11.5× |
| Cytogenetics 10-30 (88273) | $674 | $674 | 19.4× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$1,168–$1,189 | $1,168–$1,189 | varies |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$378–$478 | $378–$478 | varies |
| Cytopath C/V Index Add-On (88155) | $178 | $178 | 12.2× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $394 | $394 | 19.4× |
| Cytopath Cell Enhance Tech (88112) | $1,930 | $1,930 | 38.0× |
| Cytopath Fl Nongyn Filter (88106) | $141 | $141 | 5.0× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $230 | $230 | 8.6× |
| Cytp Concentration Smears & Interpretation (88108) | $637 | $637 | 17.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $567 | $567 | 11.2× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $567 | $567 | 3.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $303 | $303 | 8.3× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $170 | $170 | 9.2× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $439 | $439 | 8.6× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $291 | $291 | 10.3× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $2,260 | $2,260 | 13.6× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) | $767 | $767 | 67.9× |
| Deoxycortisol (82634) | $414 | $414 | 14.1× |
| Deoxyribonuclease antibody (86215) | $550 | $550 | 41.5× |
| Detect Agent Nos Dna Amp (87798) range across 16 matching MRF lines |
$105–$2,899 | $105–$2,899 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$2,315–$2,584 | $2,315–$2,584 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$211–$2,431 | $211–$2,431 | varies |
| Dgp Antibody Each Ig Class (86258) | $254 | $254 | 21.1× |
| Dhea (82626) | $400 | $400 | 15.8× |
| Dhea-S (82627) | $309 | $309 | 13.9× |
| Dibucaine number (82638) | $171 | $171 | 14.0× |
| Digoxin (80162) | $186 | $186 | 14.0× |
| Dihydrotestosterone (82642) | $610 | $610 | 20.8× |
| Dipropylacetic Acid Free (80165) | $104 | $104 | 7.7× |
| Dna Antibody Native/Double Stranded (86225) | $221 | $221 | 16.1× |
| Dna Antibody Single Stranded (86226) | $254 | $254 | 21.0× |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$94–$234 | $94–$234 | varies |
| DNA/RNA direct probe (87149) | $461 | $461 | 23.0× |
| Dna/Rna Sequencing (87153) | $1,630 | $1,630 | 14.1× |
| Dpyd gene common variants (81232) | $386 | $386 | 2.2× |
| Drug assay acetaminophen (80143) | $857 | $857 | 46.0× |
| Drug assay adalimumab (80145) | $456 | $456 | 11.8× |
| Drug Assay Amiodarone (80151) | $203 | $203 | 10.9× |
| Drug Assay Everolimus (80169) | $445 | $445 | 32.4× |
| Drug assay felbamate (80167) | $193 | $193 | 10.4× |
| Drug Assay Infliximab (80230) | $606 | $606 | 15.7× |
| Drug Assay Itraconazole (80189) | $378 | $378 | 13.9× |
| Drug Assay Lacosamide (80235) | $1,266 | $1,266 | 46.7× |
| Drug Assay Vedolizumab (80280) | $242 | $242 | 6.3× |
| Drug Screen Quant Clozapine (80159) | $251 | $251 | 12.5× |
| Drug Screen Quant Zonisamide (80203) | $561 | $561 | 42.3× |
| Drug Screen Quantitative Gabapentin (80171) | $1,125 | $1,125 | 51.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $1,283 | $1,283 | 96.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $663 | $663 | 50.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $519 | $519 | 39.2× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $819 | $819 | 48.9× |
| Drug Screen Quantitative Tiagabine (80199) | $518 | $518 | 19.1× |
| Drug Test Prsmv Chem Anlyzr (80307) | $939 | $939 | 15.1× |
| Drug Test Prsmv Dir Opt Obs (80305) | $931 | $931 | 73.9× |
| Egfr Gene Analysis Common Variants (81235) | $651 | $651 | 2.0× |
| Ehrlichia antibody (86666) range across 4 matching MRF lines |
$529–$544 | $529–$544 | varies |
| El-1 Fecal Quantitative (82653) | $1,663 | $1,663 | 72.4× |
| Electrolyte panel (80051) | $434 | $434 | 61.9× |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$1,439–$2,643 | $1,439–$2,643 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $439 | $439 | 7.1× |
| Encephaltis East Eqne Anbdy (86652) | $226 | $226 | 17.1× |
| Encephaltis West Eqne Antbdy (86654) | $226 | $226 | 17.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $564 | $564 | 46.7× |
| Enterovirus Antibody (86658) range across 6 matching MRF lines |
$184–$687 | $184–$687 | varies |
| Enterovirus PCR (87498) | $1,455 | $1,455 | 41.5× |
| Enzyme cell activity (82657) | $592 | $592 | 26.7× |
| Enzyme histochemistry (88319) | $407 | $407 | 0.5× |
| Eosinophil Smear (89190) | $201 | $201 | 34.7× |
| Erythropoietin (82668) | $1,068 | $1,068 | 56.8× |
| Estradiol serum (82670) | $794 | $794 | 28.4× |
| Estriol (82677) | $518 | $518 | 21.4× |
| Estrogen total (82672) | $303 | $303 | 14.0× |
| Ethosuximide (80168) | $326 | $326 | 20.0× |
| Ethylene Glycol (82693) | $213 | $213 | 14.3× |
| Euglobulin lysis (85360) | $387 | $387 | 46.0× |
| Exam Synovial Fluid Crystals (89060) | $307 | $307 | 41.9× |
| F2 Gene (81240) | $2,206 | $2,206 | 33.6× |
| Factor ii activity (85210) | $406 | $406 | 31.3× |
| Factor Inhibitor Test (85335) | $1,402 | $1,402 | 108.9× |
| Factor ix activity (85250) | $265 | $265 | 13.9× |
| Factor v activity (85220) | $1,079 | $1,079 | 61.1× |
| Factor v leiden mutation (81241) | $1,483 | $1,483 | 20.2× |
| Factor vii assay (85230) | $486 | $486 | 27.2× |
| Factor viii assay (85240) | $445 | $445 | 24.9× |
| Factor X (85260) | $962 | $962 | 53.7× |
| Factor xi activity (85270) | $962 | $962 | 53.7× |
| Factor xiii screen (85291) | $255 | $255 | 28.0× |
| Fancc Gene (81242) | $561 | $561 | 15.3× |
| Fat stain feces urine/respir secretions (89125) | $193 | $193 | 32.8× |
| Fat/Lipids Feces Quantitative (82710) | $493 | $493 | 29.3× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $213 | $213 | 32.6× |
| Fecal Fat Qualitative (82705) | $447 | $447 | 87.6× |
| Ferritin (82728) | $434 | $434 | 31.8× |
| Fetal Chrmoml Aneuploidy (81420) range across 2 matching MRF lines |
$2,132–$2,194 | $2,132–$2,194 | varies |
| Fetal Chrmoml Microdeltj (81422) | $2,277 | $2,277 | 3.0× |
| Fetal Fibronectin (82731) | $1,927 | $1,927 | 29.9× |
| Fetal screen rosette (85461) | $1,793 | $1,793 | 191.6× |
| Fibrin degradation products (85362) | $138 | $138 | 20.0× |
| Fibrin Degradation Quant (85379) | $577 | $577 | 56.7× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $1,422 | $1,422 | 146.3× |
| Fibrinogen activity (85384) | $593 | $593 | 61.0× |
| Fibrinogen antigen (85385) | $196 | $196 | 13.6× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $91 | $91 | 5.9× |
| Flecainide level (80181) | $193 | $193 | 10.4× |
| Flow cytometry first marker (88184) range across 71 matching MRF lines |
$697–$758 | $697–$758 | varies |
| Flt3 Gene (81245) | $1,978 | $1,978 | 12.0× |
| Flt3 gene analysis (81246) | $448 | $448 | 5.4× |
| Fluorescent antibody screen (86255) range across 38 matching MRF lines |
$36–$2,072 | $36–$2,072 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 13 matching MRF lines |
$36–$861 | $36–$861 | varies |
| Fmr1 Gene Charac Alleles (81244) | $112 | $112 | 2.5× |
| Fmr1 gene detection (81243) | $1,578 | $1,578 | 27.7× |
| Folic acid rbc (82747) | $273 | $273 | 15.5× |
| Folic Acid Serum (82746) | $332 | $332 | 22.6× |
| Follicle Stimulating Hormone (83001) | $1,248 | $1,248 | 67.2× |
| Forensic Cytopathology (88125) | $132 | $132 | 2.6× |
| Francisella tularensis (86668) | $124 | $124 | 8.8× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $184 | $184 | 1.1× |
| Frozen Section (88331) | $1,194 | $1,194 | 7.2× |
| Fungi Identification Mold (87107) | $445 | $445 | 43.1× |
| Fungi Identification Yeast (87106) | $601 | $601 | 58.2× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $1,980 | $1,980 | 94.0× |
| Galectin-3 (82777) | $597 | $597 | 13.5× |
| Gammaglobulin ige (82785) | $414 | $414 | 25.2× |
| Gardner vag DNA dir probe (87510) | $389 | $389 | 19.4× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $182 | $182 | 18.6× |
| Gastric Analy W/Ph Ea Spec (82930) | $83 | $83 | 12.4× |
| Gastrin (82941) | $1,257 | $1,257 | 71.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $561 | $561 | 1.3× |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $734 | $734 | 15.5× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,048 | $2,048 | 2.7× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $6,316 | $6,316 | 2.2× |
| Genet Virus Isolate Hsv (87255) | $389 | $389 | 11.5× |
| Genetic Tstg Severe Inh Cond (81443) | $7,629 | $7,629 | 3.1× |
| Gentamicin (80170) range across 3 matching MRF lines |
$758–$811 | $758–$811 | varies |
| Ggt (82977) | $544 | $544 | 75.6× |
| Giardia antigen (87329) | $737 | $737 | 61.5× |
| Glucagon (82943) | $899 | $899 | 62.9× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$400–$799 | $400–$799 | varies |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$400–$428 | $400–$428 | varies |
| Glucose Serum (82947) | $428 | $428 | 108.9× |
| Glucose tolerance test (gtt) (82951) | $1,290 | $1,290 | 100.2× |
| Glycated Protein (82985) | $211 | $211 | 12.6× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$202–$358 | $202–$358 | varies |
| Gonadotropin releasing hormone (83727) | $1,442 | $1,442 | 83.9× |
| Growth hormone (83003) | $389 | $389 | 23.3× |
| Gtt-added samples (82952) | $273 | $273 | 69.6× |
| H Pylori Drug Admin (83014) | $1,356 | $1,356 | 172.5× |
| H pylri clrthmcn rst amp prb (87513) | $94 | $94 | 2.7× |
| Haloperidol (80173) | $229 | $229 | 14.5× |
| Haptoglobin (83010) | $375 | $375 | 29.8× |
| Hba1/Hba2 Gene (81257) | $1,311 | $1,311 | 12.8× |
| Hbb duplication/deletion variants (81363) | $631 | $631 | 3.1× |
| Hbb Gene Com Variants (81361) | $1,512 | $1,512 | 8.6× |
| Hdl Cholesterol (83718) | $617 | $617 | 75.3× |
| Hearing Loss Dup/Del Analysis (81431) | $4,901 | $4,901 | 7.2× |
| Hearing Loss Genomic Sequence Analysis 60 Genes (81430) | $11,719 | $11,719 | 7.2× |
| Heavy metal qualitative any analytes (83015) | $503 | $503 | 24.0× |
| Heinz Bodies Direct (85441) | $168 | $168 | 40.0× |
| Helicobacter Pylori Stool (87338) | $1,127 | $1,127 | 78.4× |
| Helminth Antibody (86682) range across 4 matching MRF lines |
$577–$1,022 | $577–$1,022 | varies |
| Hematocrit (85014) | $156 | $156 | 65.8× |
| Hemoglobin (85018) | $156 | $156 | 65.8× |
| Hemoglobin a1c (83036) | $265 | $265 | 27.3× |
| Hemoglobin Chromotography (83021) | $404 | $404 | 22.4× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$153–$794 | $153–$794 | varies |
| Hemoglobin F Fetal Chemical (83030) | $119 | $119 | 11.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $22 | $22 | 2.7× |
| Hemoglobin plasma (83051) | $55 | $55 | 7.5× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $73 | $73 | 7.8× |
| Hemolysin Acid (85475) | $372 | $372 | 41.9× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $139 | $139 | 15.8× |
| Hemolysins&Agglutinins Incubated (86941) | $36 | $36 | 3.0× |
| Hemosiderin urine (83070) | $293 | $293 | 61.7× |
| Hep a ab igm (86709) | $508 | $508 | 45.1× |
| Heparin assay (85520) range across 3 matching MRF lines |
$284–$548 | $284–$548 | varies |
| Hepatitis a antibody total (86708) | $221 | $221 | 17.8× |
| Hepatitis b core ab igm (86705) | $285 | $285 | 24.2× |
| Hepatitis b core ab total (86704) | $811 | $811 | 67.3× |
| Hepatitis B Surface Antibody (86706) | $755 | $755 | 70.3× |
| Hepatitis B Surface Antigen (87340) | $580 | $580 | 56.1× |
| Hepatitis Be Antibody (86707) | $742 | $742 | 64.1× |
| Hepatitis Be Antigen (87350) | $698 | $698 | 60.5× |
| Hepatitis C Antibody (86803) | $907 | $907 | 63.6× |
| Hepatitis c antibody confirmatory test (86804) | $1,079 | $1,079 | 69.7× |
| Hepatitis C Genotype (87902) | $3,150 | $3,150 | 12.2× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $1,552 | $1,552 | 44.2× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$1,044–$2,027 | $1,044–$2,027 | varies |
| Hepatitis delta ag (87380) | $617 | $617 | 33.6× |
| Hepatitis Delta Agent Antibody (86692) | $584 | $584 | 34.0× |
| Herpes simplex type 2 (86696) | $271 | $271 | 14.0× |
| Heterophile Antibody Screen (86308) | $303 | $303 | 58.5× |
| Hexa gene analysis common variants (81255) | $795 | $795 | 15.5× |
| Hfe Gene (81256) | $927 | $927 | 14.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $2,500 | $2,500 | 323.4× |
| Histamine urine (83088) | $519 | $519 | 17.6× |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$193–$254 | $193–$254 | varies |
| Histoplasma antigen urine (87385) | $1,223 | $1,223 | 92.3× |
| Hiv Antigen W/Hiv Antibodies (87806) | $595 | $595 | 18.2× |
| Hiv Genotype (87901) | $3,150 | $3,150 | 12.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$200–$720 | $200–$720 | varies |
| Hiv-1 Antibody (86701) | $950 | $950 | 106.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $2,200 | $2,200 | 25.9× |
| HIV-2 probe&revrse trnscripj (87538) | $122 | $122 | 3.5× |
| Hla Class I Typing High Resolution Complete (81379) | $1,339 | $1,339 | 4.0× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $1,286 | $1,286 | 10.1× |
| Hla class i&ii antibody qual (86828) | $561 | $561 | 8.7× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $3,251 | $3,251 | 8.1× |
| Hla class ii high defin qual (86833) | $872 | $872 | 2.7× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $1,328 | $1,328 | 17.9× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $476 | $476 | 2.2× |
| Hla ii type 1 ag equiv lr (81377) | $1,688 | $1,688 | 17.8× |
| Hla ii typing 1 allele hr (81383) | $193 | $193 | 1.8× |
| Hla Typing a/B/C Multiple Antigens (86813) | $2,557 | $2,557 | 44.1× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $3,345 | $3,345 | 31.5× |
| Hla-b27 (86812) | $357 | $357 | 13.8× |
| Homocysteine (83090) | $702 | $702 | 39.2× |
| Homogenization Tissue (87176) | $103 | $103 | 17.5× |
| Hpa-1 genotyping gene analysis common variant (81105) | $784 | $784 | 6.4× |
| Hpv High-Risk Types (87624) | $305 | $305 | 8.7× |
| Hpv low-risk types (87623) | $305 | $305 | 8.7× |
| Hsv Dna Amp Probe (87529) | $1,058 | $1,058 | 30.2× |
| Hsv Dna Quant (87530) | $578 | $578 | 13.5× |
| Htlv-I Antibody (86687) | $182 | $182 | 20.0× |
| Htlv-ii antibody (86688) | $194 | $194 | 13.9× |
| Human Epididymis Protein 4 (86305) | $516 | $516 | 24.8× |
| Hydroxyprogesterone 17-d (83498) | $831 | $831 | 30.6× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $67 | $67 | 1.5× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $42 | $42 | 3.5× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $1,319 | $1,319 | 110.1× |
| Iaad Ia Escherichia Coli 0157 (87335) | $171 | $171 | 13.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $737 | $737 | 53.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $52 | $52 | 1.5× |
| Iaad ia shiga-like toxin (87427) | $241 | $241 | 20.1× |
| Iaad Ia Streptococcus Group A (87430) | $416 | $416 | 24.7× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $212 | $212 | 17.7× |
| Iaadi inffluenza a virus (87276) | $232 | $232 | 14.4× |
| Iaadi not otherwise specified each organism (87299) | $232 | $232 | 14.4× |
| Iaadi parainfluenza virus each type (87279) | $238 | $238 | 14.5× |
| Iaadi pneumocustis carinii (87281) | $533 | $533 | 44.5× |
| Iaadi respiratory synctial virus (87280) | $194 | $194 | 14.5× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $533 | $533 | 15.2× |
| Iadna Bartonella Amplified Probe Technique (87471) | $813 | $813 | 23.2× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $2,293 | $2,293 | 65.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $438 | $438 | 12.5× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $273 | $273 | 12.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $1,588 | $1,588 | 45.3× |
| Iadna Cytomegalovirus Quantification (87497) | $1,390 | $1,390 | 32.4× |
| Iadna hepatitis b virus amplified probe tq (87516) | $596 | $596 | 17.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $956 | $956 | 22.3× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $1,710 | $1,710 | 48.7× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $1,402 | $1,402 | 40.0× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $473 | $473 | 13.5× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $205 | $205 | 2.7× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $557 | $557 | 11.5× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $273 | $273 | 13.6× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $494 | $494 | 11.9× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $1,164 | $1,164 | 33.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $459 | $459 | 13.1× |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $389 | $389 | 13.0× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $113 | $113 | 2.2× |
| Idh1 common variants (81120) | $446 | $446 | 2.3× |
| Idh2 common variants (81121) | $683 | $683 | 2.3× |
| Ig Light Chains Free Each (83521) | $193 | $193 | 11.2× |
| Igg subclasses (82787) | $443 | $443 | 55.2× |
| Igh gene rearrange amp meth (81261) | $2,414 | $2,414 | 12.2× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $2,651 | $2,651 | 9.0× |
| Ikbkap Gene Analysis Common Variants (81260) | $607 | $607 | 15.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $824 | $824 | 2.4× |
| Immune Complex Assay (86332) | $902 | $902 | 37.0× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$408–$1,721 | $408–$1,721 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 11 matching MRF lines |
$52–$3,608 | $52–$3,608 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 8 matching MRF lines |
$204–$2,336 | $204–$2,336 | varies |
| Immunoassay nonantibody (83516) range across 12 matching MRF lines |
$32–$557 | $32–$557 | varies |
| Immunodiffusion not elsewhere specified (86329) | $307 | $307 | 21.9× |
| Immunodiffusion Ouchterlony (86331) range across 11 matching MRF lines |
$169–$330 | $169–$330 | varies |
| Immunoelectrophoresis Serum (86320) | $580 | $580 | 19.4× |
| Immunofixation electrophoresis (86334) | $228 | $228 | 10.2× |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$784–$794 | $784–$794 | varies |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$882–$943 | $882–$943 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) | $342 | $342 | 21.4× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $211 | $211 | 3.0× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $667 | $667 | 46.2× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $610 | $610 | 45.5× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $185 | $185 | 15.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) | $3,086 | $3,086 | 98.8× |
| Influenza a/b ag eia (87400) range across 3 matching MRF lines |
$241–$407 | $241–$407 | varies |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$241–$386 | $241–$386 | varies |
| Influenza DNA amp probe (87502) | $630 | $630 | 6.6× |
| Inhibin A (86336) | $1,709 | $1,709 | 109.6× |
| Inhibin b (83520) range across 17 matching MRF lines |
$201–$5,546 | $201–$5,546 | varies |
| Insitu hybridization auto (88367) | $1,818 | $1,818 | 5.2× |
| Insitu hybridization manual (88368) | $1,483 | $1,483 | 4.2× |
| Insulin antibodies (86337) | $280 | $280 | 13.1× |
| Insulin free (83527) | $184 | $184 | 14.2× |
| Insulin total (83525) | $193 | $193 | 16.9× |
| Interleukin-6 (83529) | $1,097 | $1,097 | 63.5× |
| Intrinsic factor antibody (86340) | $212 | $212 | 14.1× |
| Iron (83540) | $254 | $254 | 39.3× |
| Iron Binding Capacity (83550) | $125 | $125 | 14.3× |
| Irradiation Blood Product Each Unit (86945) | $497 | $497 | 13.6× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$43–$1,072 | $43–$1,072 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $468 | $468 | 5.1× |
| Jak2 Gene Trgt Sequence Alys (81279) | $800 | $800 | 4.3× |
| Ketosteroids 17 total (83586) | $182 | $182 | 14.2× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $1,775 | $1,775 | 5.4× |
| Koh Prep (87220) | $119 | $119 | 27.9× |
| Kras Gene Analysis Additional Variant(S) (81276) | $1,137 | $1,137 | 5.9× |
| Kras Gene Variants Exon 2 (81275) | $1,775 | $1,775 | 9.2× |
| L/s ratio (83661) | $899 | $899 | 40.9× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$342–$389 | $342–$389 | varies |
| Lactoferrin fecal qualitative (83630) | $221 | $221 | 11.2× |
| Lactoferrin Fecal Quantitative (83631) | $1,515 | $1,515 | 77.2× |
| Lamellar Body Count (83664) | $584 | $584 | 30.2× |
| Ldh Isoenzymes (83625) | $518 | $518 | 40.5× |
| Lead (83655) range across 2 matching MRF lines |
$305–$767 | $305–$767 | varies |
| Legionella antibody (86713) range across 17 matching MRF lines |
$330–$1,173 | $330–$1,173 | varies |
| Legionella antigen urine (87449) range across 6 matching MRF lines |
$169–$1,871 | $169–$1,871 | varies |
| Legionella pneumophila dfa (87278) | $523 | $523 | 33.5× |
| Leptospira antibody (86720) | $737 | $737 | 45.5× |
| Leukocyte Assessment Fecal (89055) | $235 | $235 | 55.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $439 | $439 | 15.6× |
| Level ii surg pathology grossµscopic exam (88302) | $862 | $862 | 23.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $1,673 | $1,673 | 4.8× |
| Lidocaine (80176) | $564 | $564 | 38.4× |
| Lipase (83690) | $576 | $576 | 83.6× |
| Lipoprotein A (83695) | $852 | $852 | 59.5× |
| Lipoprotein Bld Quan Part (83704) | $530 | $530 | 15.5× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $363 | $363 | 32.2× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $1,142 | $1,142 | 24.7× |
| Lithium (80178) | $661 | $661 | 100.0× |
| Luteinizing Hormone (Lh) (83002) | $255 | $255 | 13.8× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$463–$664 | $463–$664 | varies |
| Lysozyme serum (85549) | $157 | $157 | 8.4× |
| M. Genitalium Amp Probe (87563) | $505 | $505 | 14.4× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $494 | $494 | 14.1× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $1,216 | $1,216 | 7.3× |
| M/phmtrc alys ishquant/semiq (88374) | $284 | $284 | 1.7× |
| Macroscopic exam arthropod (87168) | $387 | $387 | 90.6× |
| Macroscopic Exam Parasite (87169) | $387 | $387 | 89.8× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$198–$315 | $198–$315 | varies |
| Mass Spectrometry Quant (83789) | $163 | $163 | 6.8× |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $607 | $607 | 15.4× |
| Meat fibers, feces (89160) | $83 | $83 | 17.1× |
| Mercury urine (83825) range across 2 matching MRF lines |
$305–$889 | $305–$889 | varies |
| Metabolic panel ionized ca (80047) | $618 | $618 | 45.0× |
| Methotrexate (80204) | $914 | $914 | 23.7× |
| Methylmalonic acid serum (83921) | $746 | $746 | 35.2× |
| Mgmt methylation analysis (81287) | $1,679 | $1,679 | 13.5× |
| Microalbumin, quantitative (82043) | $332 | $332 | 57.4× |
| Microbe Suscept Macrobroth (87188) | $342 | $342 | 51.5× |
| Microsatellite instability (81301) | $2,615 | $2,615 | 7.5× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$201–$351 | $201–$351 | varies |
| Mitochondrial Antibody Each (86381) range across 3 matching MRF lines |
$163–$282 | $163–$282 | varies |
| Mlh1 Gene (81288) | $1,387 | $1,387 | 7.2× |
| Mog-Igg1 Antb Cba Each (86362) | $150 | $150 | 12.4× |
| Molecular Cytogenetics Dna Probe Each (88271) | $294 | $294 | 13.7× |
| Molecular Pathology Procedure Level 6 (81405) | $2,171 | $2,171 | 7.2× |
| Mononuclear cell antigen (86356) | $682 | $682 | 25.5× |
| Mopath procedure level 2 (81401) | $1,573 | $1,573 | 11.5× |
| Mopath procedure level 4 (81403) | $6,572 | $6,572 | 35.5× |
| Mopath procedure level 5 (81404) | $3,954 | $3,954 | 14.4× |
| Mopath procedure level 8 (81407) | $13,146 | $13,146 | 15.5× |
| Mopath procedure level 9 (81408) | $14,792 | $14,792 | 7.4× |
| Morphometric analysis nerve (88356) | $921 | $921 | 18.1× |
| Morphometric Analysis Tumor (88358) | $811 | $811 | 4.9× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $1,498 | $1,498 | 8.1× |
| Mpl gene common variants (81338) | $1,335 | $1,335 | 8.9× |
| Mrsa Pcr (87641) | $439 | $439 | 12.5× |
| Mthfr Gene Analysis Common Variants (81291) | $221 | $221 | 3.4× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$184–$221 | $184–$221 | varies |
| Muscle-Specific Kinase Antb (86366) | $54 | $54 | 2.9× |
| Mycobacteric Identification (87118) | $157 | $157 | 10.7× |
| Mycophenolic Acid (80180) | $230 | $230 | 12.7× |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
$203–$478 | $203–$478 | varies |
| Mycoplasma culture (87109) | $238 | $238 | 15.5× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $1,891 | $1,891 | 10.8× |
| Myelin basic protein csf (83873) | $273 | $273 | 15.9× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$416–$552 | $416–$552 | varies |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$442–$473 | $442–$473 | varies |
| Neisseria Dir Na Probe (87590) | $273 | $273 | 10.2× |
| Nerve teasing preparations (88362) | $959 | $959 | 1.2× |
| Neurofilament light chain (83884) | $175 | $175 | 1.5× |
| Neutralization Test Viral (86382) range across 3 matching MRF lines |
$663–$5,069 | $663–$5,069 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $2,948 | $2,948 | 40.8× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $935 | $935 | 35.9× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $3,877 | $3,877 | 7.9× |
| Niacin (84591) | $301 | $301 | 17.6× |
| Nickel level (83885) | $534 | $534 | 21.8× |
| Nk cells total count (86357) | $739 | $739 | 19.6× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $2,946 | $2,946 | 12.0× |
| Nras gene variants exon 2&3 (81311) range across 2 matching MRF lines |
$1,594–$1,708 | $1,594–$1,708 | varies |
| Ntrk translocation analysis (81194) | $3,235 | $3,235 | 6.2× |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
$52–$1,472 | $52–$1,472 | varies |
| Obstetric panel (80081) | $503 | $503 | 6.7× |
| Occult Blood Other Sources (82271) | $46 | $46 | 8.6× |
| Oligoclonal bands (83916) | $746 | $746 | 27.2× |
| Oncoprotein Her-2/Neu (83950) | $1,372 | $1,372 | 21.3× |
| Organic Acids Qualitative Each Specimen (83919) | $553 | $553 | 33.6× |
| Organic acids urine (83918) | $311 | $311 | 13.2× |
| Osmolality serum (83930) | $285 | $285 | 43.1× |
| Osmolality Urine (83935) | $184 | $184 | 27.0× |
| Ova and parasites smears (87177) | $273 | $273 | 30.7× |
| Oxalate urine (83945) | $163 | $163 | 11.3× |
| Pancreatic Elastase Fecal (82656) | $1,663 | $1,663 | 144.2× |
| Particle Agglutination Screen Each Antibody (86403) | $709 | $709 | 61.4× |
| Parvovirus antibody (86747) range across 3 matching MRF lines |
$542–$659 | $542–$659 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $351 | $351 | 0.4× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $950 | $950 | 2.9× |
| Ph urine (81003) range across 8 matching MRF lines |
$52–$213 | $52–$213 | varies |
| Phenobarbital Level (80184) | $953 | $953 | 62.3× |
| Phenylalanine (84030) | $562 | $562 | 102.2× |
| Phenytoin (Dilantin) (80185) | $807 | $807 | 60.9× |
| Phenytoin free (80186) | $193 | $193 | 14.0× |
| Phosphatase acid prostatic (84066) | $309 | $309 | 32.0× |
| Phosphatase alkaline (84075) | $431 | $431 | 83.2× |
| Phosphatidylglycerol (84081) | $966 | $966 | 58.5× |
| Phospholipid Neutralization Hexagonal (85598) | $754 | $754 | 41.9× |
| Phosphorus Serum (84100) | $128 | $128 | 27.0× |
| Phosphorus urine (84105) | $230 | $230 | 39.8× |
| Pik3ca gene analysis targeted sequence analysis (81309) | $1,190 | $1,190 | 4.3× |
| Pinworm exam (87172) | $184 | $184 | 43.1× |
| Platelet Aggregation (85576) range across 7 matching MRF lines |
$285–$337 | $285–$337 | varies |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$794–$850 | $794–$850 | varies |
| Platelet count automated (85049) | $213 | $213 | 47.5× |
| Platelet neutralization (85597) | $508 | $508 | 28.3× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $259 | $259 | 1.2× |
| Pneumcysts jirovecii amp prb (87594) | $94 | $94 | 2.7× |
| Porphobilinogen Urine Qualitative (84106) | $307 | $307 | 52.7× |
| Porphobilinogen, urine; quantitative (84110) | $120 | $120 | 14.2× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $235 | $235 | 16.0× |
| Porphyrins, urine; qualitative (84119) | $596 | $596 | 44.6× |
| Potassium Urine (84133) | $184 | $184 | 38.9× |
| Prealbumin (84134) | $273 | $273 | 18.7× |
| Pregnancy-Associated Plasma Protein-A (84163) | $138 | $138 | 9.2× |
| Pregnenolone (84140) | $289 | $289 | 14.0× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $393 | $393 | 2.4× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $1,210 | $1,210 | 21.0× |
| Pretx serum rbc antibody identification dilution (86976) | $61 | $61 | 2.2× |
| Primidone (80188) | $233 | $233 | 14.0× |
| Procalcitonin (Pct) (84145) | $794 | $794 | 29.2× |
| Progesterone (84144) | $243 | $243 | 11.6× |
| Prolactin (84146) | $1,422 | $1,422 | 73.4× |
| Prostaglandin (84150) | $844 | $844 | 20.2× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$386–$462 | $386–$462 | varies |
| Protein C Activity (85303) | $683 | $683 | 49.3× |
| Protein c antigen (85302) | $357 | $357 | 29.7× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$333–$530 | $333–$530 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $414 | $414 | 38.5× |
| Protein S Free (85306) range across 3 matching MRF lines |
$269–$632 | $269–$632 | varies |
| Protein s total (85305) | $163 | $163 | 14.0× |
| Protein total serum (84155) | $462 | $462 | 125.9× |
| Protein Total Urine (84156) | $462 | $462 | 125.9× |
| Protein Western Blot Test (84182) range across 12 matching MRF lines |
$88–$2,778 | $88–$2,778 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $416 | $416 | 105.6× |
| Protoporphyrin rbc quantitative (84202) | $200 | $200 | 13.9× |
| PSA free (84154) | $758 | $758 | 41.2× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $3,962 | $3,962 | 6.6× |
| Pth Intact (83970) range across 4 matching MRF lines |
$569–$720 | $569–$720 | varies |
| Pyruvate kinase (84220) | $593 | $593 | 62.8× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$171–$398 | $171–$398 | varies |
| Quantiferon tb gold plus (86480) | $973 | $973 | 15.7× |
| Quantitative assay drug (80299) range across 31 matching MRF lines |
$193–$1,485 | $193–$1,485 | varies |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
$200–$245 | $200–$245 | varies |
| Quinidine (80194) | $233 | $233 | 16.0× |
| Rbc antibody elution (86860) | $1,552 | $1,552 | 9.3× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$1,270–$1,323 | $1,270–$1,323 | varies |
| Rbc antibody screen (86850) | $780 | $780 | 79.8× |
| Rbc pretreatment serum (86978) | $349 | $349 | 6.1× |
| Rbc pretx incubatj w/enzymes (86971) | $2,041 | $2,041 | 12.3× |
| Receptor assay progesterone (84234) | $2,260 | $2,260 | 34.8× |
| Renin activity plasma (84244) | $1,386 | $1,386 | 63.0× |
| Reptilase test (85635) | $811 | $811 | 82.3× |
| Resp virus 12-25 targets (87633) | $1,299 | $1,299 | 3.1× |
| Reticulocyte Count (85046) | $233 | $233 | 41.8× |
| Reticulocyte Count Manual (85044) | $182 | $182 | 42.2× |
| Reticulocyte separation (86972) | $1,535 | $1,535 | 9.2× |
| Rh (86901) | $280 | $280 | 93.6× |
| Rheumatoid Factor Qualitative (86430) | $489 | $489 | 79.6× |
| Rheumatoid factor quant (86431) | $489 | $489 | 86.2× |
| Rickettsia antibody (86757) range across 6 matching MRF lines |
$271–$557 | $271–$557 | varies |
| Ristocetin cofactor (85245) | $1,053 | $1,053 | 45.9× |
| Rotavirus ag eia (87425) | $169 | $169 | 14.1× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$111–$462 | $111–$462 | varies |
| Rsv ab (86756) | $182 | $182 | 11.5× |
| Rsv Assay W/Optic (87807) | $737 | $737 | 56.3× |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$201–$638 | $201–$638 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$173–$184 | $173–$184 | varies |
| Rufinamide (80210) | $73 | $73 | 2.7× |
| Russell Viper Venom Time Diluted (85613) | $500 | $500 | 52.2× |
| Salicylate Level (80179) | $617 | $617 | 33.1× |
| Salmonella antibody (86768) | $1,289 | $1,289 | 97.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $76 | $76 | 1.5× |
| Sars-cov-2 COVID-19 antibody (86769) | $62 | $62 | 1.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $111 | $111 | 0.8× |
| Sedimentation rate (85651) | $375 | $375 | 87.8× |
| Sedimentation Rate, Automated (85652) | $78 | $78 | 28.9× |
| Selenium (84255) | $581 | $581 | 22.8× |
| Semen Anal Sperm Detection (89321) | $171 | $171 | 14.2× |
| Semen analysis complete (89320) | $862 | $862 | 70.0× |
| Semen analysis motility and count (89310) | $518 | $518 | 60.2× |
| Sensitivity mic (87186) | $342 | $342 | 39.5× |
| Serpina 1 gene (81332) | $632 | $632 | 14.5× |
| Sex Chromatin Identification Barr Bodies (88130) | $48 | $48 | 2.7× |
| Sex Hormone Binding Globulin (84270) | $294 | $294 | 13.5× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$278–$529 | $278–$529 | varies |
| Sirolimus (80195) | $569 | $569 | 41.4× |
| Smear acid fast (87206) range across 5 matching MRF lines |
$94–$584 | $94–$584 | varies |
| Smear complex stain (87209) | $251 | $251 | 14.0× |
| Smear gram stain (87205) range across 3 matching MRF lines |
$90–$307 | $90–$307 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$128–$254 | $128–$254 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $2,136 | $2,136 | 15.6× |
| Smpd1 Gene Analysis Common Variants (81330) | $734 | $734 | 15.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$273–$357 | $273–$357 | varies |
| Sodium Serum (84295) range across 2 matching MRF lines |
$280–$287 | $280–$287 | varies |
| Sodium Urine (84300) | $184 | $184 | 36.4× |
| Soluble Transferrin Receptor (84238) | $661 | $661 | 18.1× |
| Somatomedin (84305) | $1,378 | $1,378 | 64.8× |
| Somatostatin (84307) | $54 | $54 | 3.0× |
| Special Stains Group 1 (88312) | $1,002 | $1,002 | 19.7× |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$299–$767 | $299–$767 | varies |
| Specific gravity body fluid (84315) | $73 | $73 | 22.3× |
| Specimen infect agnt concntj (87015) | $95 | $95 | 14.2× |
| Spectrophotometry (84311) range across 7 matching MRF lines |
$104–$870 | $104–$870 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $518 | $518 | 3.1× |
| Staph a DNA amp probe (87640) | $439 | $439 | 12.5× |
| Stool cultr aerobic bact ea (87046) | $664 | $664 | 70.3× |
| Strep a assay w/optic (87880) | $416 | $416 | 25.2× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $2,007 | $2,007 | 21.8× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $196 | $196 | 17.0× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $307 | $307 | 55.8× |
| Sulfate urine (84392) | $81 | $81 | 14.8× |
| Surg path level iii (88304) | $1,220 | $1,220 | 24.0× |
| Surgical pathology level IV (88305) | $1,378 | $1,378 | 27.1× |
| Surgical pathology level vi (88309) | $2,019 | $2,019 | 2.6× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 3 matching MRF lines |
$25–$100 | $25–$100 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$148–$432 | $148–$432 | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $647 | $647 | 88.5× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$13–$114 | $13–$114 | varies |
| T cells absolute cd4 count (86361) | $1,488 | $1,488 | 55.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $1,488 | $1,488 | 31.7× |
| T cells total count (86359) | $523 | $523 | 13.9× |
| T3 Free (84481) | $235 | $235 | 13.9× |
| T3 reverse (84482) | $273 | $273 | 17.3× |
| T3 Total (84480) | $889 | $889 | 62.7× |
| T3 Uptake (84479) | $264 | $264 | 40.8× |
| T4 Free (84439) | $365 | $365 | 40.5× |
| T4 total (84436) | $303 | $303 | 44.1× |
| Tacrolimus (80197) | $792 | $792 | 57.7× |
| Tau phosphorylated each (84393) | $564 | $564 | 4.4× |
| Tb ag response t-cell susp (86481) | $309 | $309 | 3.1× |
| Tert gene targeted seq alys (81345) | $215 | $215 | 1.2× |
| Test for acetone/ketones (82009) | $365 | $365 | 80.8× |
| Testosterone total (84403) | $1,498 | $1,498 | 58.0× |
| Testosterone, Free (84402) | $664 | $664 | 26.1× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $3,444 | $3,444 | 5.8× |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $1,605 | $1,605 | 2.7× |
| Theophylline (80198) | $601 | $601 | 42.5× |
| Thiocyanate (84430) | $163 | $163 | 14.0× |
| Thiopurine methyltransferase (84433) | $323 | $323 | 14.6× |
| Thrombin Time (85670) | $255 | $255 | 44.2× |
| Thromboplastin Inhibition Tissue (85705) | $378 | $378 | 39.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$548–$690 | $548–$690 | varies |
| Thyroglobulin (84432) | $285 | $285 | 17.7× |
| Thyroglobulin Antibody (86800) | $351 | $351 | 22.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $1,331 | $1,331 | 26.2× |
| Thyroxine binding globulin (84442) | $211 | $211 | 14.3× |
| Tiss cul neo disorders solid tumor (88239) | $1,854 | $1,854 | 12.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$229–$1,054 | $229–$1,054 | varies |
| Tissue Culture (88233) range across 2 matching MRF lines |
$836–$1,773 | $836–$1,773 | varies |
| Tissue Culture Amniotic Fluid (88235) | $737 | $737 | 4.9× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$1,992–$3,347 | $1,992–$3,347 | varies |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$836–$1,544 | $836–$1,544 | varies |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$461–$493 | $461–$493 | varies |
| Topiramate (80201) | $933 | $933 | 78.3× |
| Total Tau (84394) | $293 | $293 | 2.3× |
| Touch prep (88161) | $410 | $410 | 14.5× |
| Toxoplasma ab igm (86778) | $201 | $201 | 13.9× |
| Toxoplasma antibody (86777) | $301 | $301 | 20.9× |
| Tp53 gene analysis full gene sequence (81351) | $4,628 | $4,628 | 7.2× |
| Tp53 gene analysis targeted sequence analysis (81352) | $882 | $882 | 2.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $601 | $601 | 116.0× |
| Transferrin (84466) | $291 | $291 | 22.8× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $1,483 | $1,483 | 7.1× |
| Trg gene rearrangement anal (81342) | $1,255 | $1,255 | 6.2× |
| Trichinella Antibody (86784) | $851 | $851 | 67.8× |
| Trichomonas vagin dir probe (87660) | $389 | $389 | 19.4× |
| Trichomonas Vaginalis Amplif (87661) | $389 | $389 | 11.1× |
| Triglycerides (84478) range across 2 matching MRF lines |
$386–$534 | $386–$534 | varies |
| Troponin Quant (84484) | $524 | $524 | 42.0× |
| Tumor immunohistochem/comput (88361) | $947 | $947 | 2.7× |
| Tumor Immunohistochem/Manual (88360) | $645 | $645 | 3.9× |
| Ugt1a1 gene analysis common variants (81350) | $1,687 | $1,687 | 7.2× |
| Unlisted reproductive medicine lab procedure (89398) | $186 | $186 | 3.7× |
| Urea Nitrogen Clearance (84545) | $221 | $221 | 30.7× |
| Urea nitrogen urine (84540) | $243 | $243 | 43.7× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$73–$375 | $73–$375 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $95 | $95 | 43.8× |
| Urinalysis Volume Measure (81050) | $52 | $52 | 14.3× |
| Urine Bacteria Culture (87088) | $419 | $419 | 51.8× |
| Urine Pregnancy Test (81025) | $173 | $173 | 20.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $238 | $238 | 75.1× |
| Valproic acid (80164) | $639 | $639 | 47.2× |
| Vancomycin (80202) range across 3 matching MRF lines |
$717–$767 | $717–$767 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$182–$705 | $182–$705 | varies |
| Vasopressin (84588) | $468 | $468 | 13.8× |
| Viral Culture (87252) range across 5 matching MRF lines |
$358–$1,207 | $358–$1,207 | varies |
| Virus antibody nos (86790) range across 8 matching MRF lines |
$143–$1,029 | $143–$1,029 | varies |
| Virus inoculate tissue addl (87253) | $282 | $282 | 14.0× |
| Virus inoculation, shell via (87254) range across 3 matching MRF lines |
$229–$388 | $229–$388 | varies |
| Viscosity serum (85810) | $221 | $221 | 18.9× |
| Vit D 1 25-Dihydroxy (82652) | $889 | $889 | 23.1× |
| Vitamin A (84590) | $351 | $351 | 30.2× |
| Vitamin b-12 (82607) | $357 | $357 | 23.7× |
| Vitamin B2 (Riboflavin) (84252) | $843 | $843 | 41.7× |
| Vitamin B6 (84207) | $387 | $387 | 13.8× |
| Vitamin c (82180) | $139 | $139 | 14.1× |
| Vitamin D 25-Hydroxy (82306) | $408 | $408 | 13.8× |
| Vitamin E (84446) | $462 | $462 | 32.6× |
| Vitamin K (84597) | $373 | $373 | 27.2× |
| Volatiles (84600) | $962 | $962 | 56.2× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $1,456 | $1,456 | 120.8× |
| Von willebrand factor ag (85246) | $1,068 | $1,068 | 46.6× |
| Wbc Alkaline Phosphatase Count (85540) | $301 | $301 | 35.0× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$254–$468 | $254–$468 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$254–$468 | $254–$468 | varies |
| Whole Mitochondrial Genome (81460) | $9,280 | $9,280 | 7.2× |
| Whole mitochondrial genome analysis panel (81465) | $6,750 | $6,750 | 7.2× |
| Zika Virus Dna/Rna Amp Probe (87662) | $1,002 | $1,002 | 19.5× |
| Zika Virus Igm Antibody (86794) | $132 | $132 | 7.8× |
| Zinc (84630) | $289 | $289 | 25.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.