Lab & pathology prices at Lone Peak Hospital
Draper, UT · every code in this section with a posted price and a Medicare benchmark.
672 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $101.79 | $101.79 | 4.5× |
| 5 Nucleotidase (83915) | $205.07 | $205.07 | 18.4× |
| Acetylcholinesterase Assay (82013) | $576.54 | $576.54 | 46.9× |
| Acth (82024) range across 2 matching MRF lines |
$31.56–$599.39 | $31.56–$599.39 | varies |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $1,005.74 | $1,005.74 | 30.8× |
| Actin smooth muscle antibody each (86015) range across 4 matching MRF lines |
$29.01–$446.99 | $29.01–$446.99 | varies |
| Acute hepatitis panel (80074) | $662.87 | $662.87 | 13.9× |
| Acylcarnitines Quant (82017) | $706.04 | $706.04 | 41.9× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $411.21 | $411.21 | 6.4× |
| Albumin Fluid (82042) | $161.91 | $161.91 | 20.8× |
| Albumin serum (82040) range across 2 matching MRF lines |
$36.46–$161.91 | $36.46–$161.91 | varies |
| Aldolase (82085) range across 2 matching MRF lines |
$10.96–$220.98 | $10.96–$220.98 | varies |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$23.20–$464.77 | $23.20–$464.77 | varies |
| Alkaline phosphatase isoenzymes (84080) | $378.42 | $378.42 | 25.6× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$17.90–$106.68 | $17.90–$106.68 | varies |
| Allergen specific igg (86001) | $17.90 | $17.90 | 2.3× |
| Alpha-1-antitrypsin phenotype (82104) | $149.83 | $149.83 | 10.4× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$24.69–$363.15 | $24.69–$363.15 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $201.26 | $201.26 | 11.8× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$67.01–$314.92 | $67.01–$314.92 | varies |
| Alt (sgpt) (84460) | $161.91 | $161.91 | 30.5× |
| Aluminum (82108) range across 2 matching MRF lines |
$73.04–$584.12 | $73.04–$584.12 | varies |
| Amikacin trough (80150) | $314.92 | $314.92 | 20.9× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $304.79 | $304.79 | 13.3× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $509.89 | $509.89 | 30.2× |
| Aminolevulinic acid (ala) (82135) | $347.95 | $347.95 | 21.2× |
| Ammonia (82140) | $350.45 | $350.45 | 24.1× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$322.97–$906.67 | $322.97–$906.67 | varies |
| Amylase urine (82150) range across 3 matching MRF lines |
$56.92–$161.91 | $56.92–$161.91 | varies |
| Ana Titer (86039) | $322.54 | $322.54 | 28.9× |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$30.78–$1,704.15 | $30.78–$1,704.15 | varies |
| Anca Titer Each Antibody (86037) | $36.89 | $36.89 | 3.1× |
| Androstanediol Glucuronide (82154) | $240.65 | $240.65 | 8.3× |
| Androstenedione (82157) | $586.66 | $586.66 | 20.0× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$20.14–$492.70 | $20.14–$492.70 | varies |
| Anti-Phospholipid Antibody (86148) | $67.49 | $67.49 | 4.2× |
| Antibody aspergillus (86606) | $173.35 | $173.35 | 11.5× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $366.13 | $366.13 | 28.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 4 matching MRF lines |
$24.08–$462.23 | $24.08–$462.23 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$23.45–$426.65 | $23.45–$426.65 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$67.01–$260.30 | $67.01–$260.30 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$21.93–$260.30 | $21.93–$260.30 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 4 matching MRF lines |
$44.70–$260.30 | $44.70–$260.30 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 6 matching MRF lines |
$27.42–$363.15 | $27.42–$363.15 | varies |
| Antibody haemophilus influenza (86684) | $299.69 | $299.69 | 18.9× |
| Antibody helicobacter pylori (86677) range across 5 matching MRF lines |
$47.47–$314.92 | $47.47–$314.92 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $102.86 | $102.86 | 7.1× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$54.84–$208.88 | $54.84–$208.88 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $103.08 | $103.08 | 7.5× |
| Antibody HIV-2 (86702) | $88.75 | $88.75 | 6.6× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $95.87 | $95.87 | 5.0× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$363.15–$863.50 | $363.15–$863.50 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $525.72 | $525.72 | 42.2× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$104.28–$647.62 | $104.28–$647.62 | varies |
| Antibody Titer (86886) | $446.99 | $446.99 | 86.3× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$66.38–$314.92 | $66.38–$314.92 | varies |
| Antibody; encephalitis, st. louis (86653) | $142.21 | $142.21 | 10.8× |
| Antibody; influenza virus (86710) range across 6 matching MRF lines |
$82.54–$314.92 | $82.54–$314.92 | varies |
| Antigen typing (86905) range across 2 matching MRF lines |
$79.83–$161.91 | $79.83–$161.91 | varies |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$15.47–$322.54 | $15.47–$322.54 | varies |
| Antistreptolysin O Screen (86063) | $34.92 | $34.92 | 6.1× |
| Antistreptolysin o titer (86060) | $401.27 | $401.27 | 55.0× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$79.50–$899.05 | $79.50–$899.05 | varies |
| Antithrombin iii antigen (85301) range across 2 matching MRF lines |
$44.70–$622.25 | $44.70–$622.25 | varies |
| Apolipoprotein a1 (82172) | $94.64 | $94.64 | 4.5× |
| Arsenic (82175) range across 4 matching MRF lines |
$37.67–$98.45 | $37.67–$98.45 | varies |
| Aspergillus ag eia (87305) | $713.66 | $713.66 | 59.6× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$200.97–$365.70 | $200.97–$365.70 | varies |
| Assay Blood Carbon Dioxide (82374) | $102.86 | $102.86 | 21.1× |
| Assay Blood Catecholamines (82383) | $741.59 | $741.59 | 25.5× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$44.70–$479.98 | $44.70–$479.98 | varies |
| Assay of blood/uric acid (84550) | $102.86 | $102.86 | 22.8× |
| Assay of calcium in urine (82340) | $173.35 | $173.35 | 28.7× |
| Assay of cpk in blood (82552) | $627.29 | $627.29 | 46.8× |
| Assay of estrone (82679) range across 2 matching MRF lines |
$84.97–$252.71 | $84.97–$252.71 | varies |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$40.20–$159.79 | $40.20–$159.79 | varies |
| Assay of gammaglobulin igm (82784) range across 8 matching MRF lines |
$24.73–$322.54 | $24.73–$322.54 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$262.98–$284.44 | $262.98–$284.44 | varies |
| Assay of manganese (83785) | $102.86 | $102.86 | 3.9× |
| Assay of metanephrines (83835) range across 4 matching MRF lines |
$43.87–$1,277.46 | $43.87–$1,277.46 | varies |
| Assay of phosphatase acid total (84060) | $62.85 | $62.85 | 8.2× |
| Assay of proinsulin (84206) range across 2 matching MRF lines |
$156.09–$177.12 | $156.09–$177.12 | varies |
| Assay of pyruvate (84210) | $365.70 | $365.70 | 25.3× |
| Assay of serotonin (84260) | $657.77 | $657.77 | 21.2× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$161.91–$173.35 | $161.91–$173.35 | varies |
| Assay of sweat sodium (84302) | $777.17 | $777.17 | 159.9× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$73.67–$161.91 | $73.67–$161.91 | varies |
| Assay of urine vma (84585) | $365.70 | $365.70 | 23.6× |
| Assay of vasoactive intestinal peptide (84586) | $655.25 | $655.25 | 18.5× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$66.56–$365.70 | $66.56–$365.70 | varies |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$39.33–$106.68 | $39.33–$106.68 | varies |
| Assay spec xcp ur&breath ia (82077) | $86.72 | $86.72 | 5.0× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$106.68–$193.03 | $106.68–$193.03 | varies |
| Bartonella antibody (86611) range across 6 matching MRF lines |
$22.33–$149.83 | $22.33–$149.83 | varies |
| Bcr/abl1 gene major bp (81206) | $1,325 | $1,325 | 8.1× |
| Bcr/abl1 gene minor bp (81207) | $1,325 | $1,325 | 9.1× |
| Beta 2 glycoprotein i antibody each (86146) range across 5 matching MRF lines |
$22.31–$217.14 | $22.31–$217.14 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$197.47–$214.62 | $197.47–$214.62 | varies |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$21.93–$314.92 | $21.93–$314.92 | varies |
| Bile acids total (82239) | $133.97 | $133.97 | 7.8× |
| Bilirubin direct (82248) | $102.86 | $102.86 | 20.5× |
| Bilirubin total (82247) | $161.91 | $161.91 | 32.3× |
| Bilirubin total transcutaneous (88720) | $43.19 | $43.19 | 8.6× |
| Biotinidase (82261) | $1,104.76 | $1,104.76 | 65.5× |
| Bl Smear W/O Diff Wbc Count (85008) | $106.89 | $106.89 | 31.2× |
| Blastomyces antibody (86612) | $102.86 | $102.86 | 8.0× |
| Bld Typing Serologic Rh Phnt (86906) | $159.11 | $159.11 | 20.5× |
| Bleeding time test (85002) | $284.44 | $284.44 | 59.0× |
| Blood Count Red Blood Cell Automated (85041) | $5.49 | $5.49 | 1.8× |
| Blood count reticulocyte automated (85045) | $177.80 | $177.80 | 44.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $137.79 | $137.79 | 36.3× |
| Blood gas (82803) range across 3 matching MRF lines |
$24.33–$462.23 | $24.33–$462.23 | varies |
| Blood gases w/02 saturation (82805) | $462.23 | $462.23 | 5.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$29.88–$157.50 | $29.88–$157.50 | varies |
| Blood typing serologic abo (86900) | $22.47 | $22.47 | 7.5× |
| Body fluid cell count (89050) | $133.97 | $133.97 | 28.4× |
| Bone marrow smear interpretation (85097) | $213.79 | $213.79 | 0.3× |
| Bordetella antibody (86615) | $322.54 | $322.54 | 24.5× |
| Borrelia Antibody (86619) | $419.04 | $419.04 | 31.3× |
| Brucella antibody (86622) | $208.88 | $208.88 | 23.4× |
| C diff amplified probe (87493) | $263.94 | $263.94 | 7.1× |
| C-Peptide (84681) range across 2 matching MRF lines |
$20.02–$413.94 | $20.02–$413.94 | varies |
| C-reactive protein (86140) | $181.60 | $181.60 | 35.1× |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$21.93–$571.43 | $21.93–$571.43 | varies |
| Cadmium (82300) | $102.86 | $102.86 | 4.4× |
| Caffeine (80155) range across 3 matching MRF lines |
$67.78–$220.98 | $67.78–$220.98 | varies |
| Calcitonin (82308) | $135.99 | $135.99 | 5.1× |
| Calcium ionized (82330) | $378.42 | $378.42 | 27.7× |
| Calcium total (82310) | $161.91 | $161.91 | 31.4× |
| Calculus assay quant (82360) | $173.35 | $173.35 | 13.5× |
| Calprotectin Fecal (83993) | $981.41 | $981.41 | 50.0× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$25.78–$657.77 | $25.78–$657.77 | varies |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$181.60–$446.99 | $181.60–$446.99 | varies |
| Candida antibody (86628) range across 7 matching MRF lines |
$177.15–$323.79 | $177.15–$323.79 | varies |
| Candida Dna Dir Probe (87480) range across 2 matching MRF lines |
$30.49–$139.04 | $30.49–$139.04 | varies |
| Carbamazepine total (80156) | $363.15 | $363.15 | 24.9× |
| Carcinoembryonic antigen (82378) | $335.24 | $335.24 | 17.7× |
| Cardiolipin ab iga (86147) range across 5 matching MRF lines |
$15.47–$217.14 | $15.47–$217.14 | varies |
| Carotene (82380) | $556.20 | $556.20 | 60.3× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$88.23–$167.34 | $88.23–$167.34 | varies |
| Catecholamines total urine (82382) | $741.59 | $741.59 | 27.2× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$55.49–$130.30 | $55.49–$130.30 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$201.26–$252.71 | $201.26–$252.71 | varies |
| Cell marker study (88182) | $2,224.79 | $2,224.79 | 42.2× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $967.49 | $967.49 | 7.1× |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$25.70–$386.05 | $25.70–$386.05 | varies |
| Cftr gene full sequence (81223) | $5,482.74 | $5,482.74 | 11.0× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$454.77–$1,361.30 | $454.77–$1,361.30 | varies |
| Chlamydia antibody (86631) | $201.26 | $201.26 | 17.0× |
| Chlamydia Igm Antibody (86632) | $201.26 | $201.26 | 15.9× |
| Chlamydia trachomatis ag if (87270) | $276.84 | $276.84 | 23.1× |
| Chloride other source (82438) | $462.23 | $462.23 | 92.4× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$149.79–$161.91 | $149.79–$161.91 | varies |
| Chloride urine (82436) | $161.91 | $161.91 | 28.2× |
| Cholesterol total (82465) | $102.86 | $102.86 | 23.6× |
| Cholinesterase rbc (82482) | $462.23 | $462.23 | 47.1× |
| Cholinesterase Serum (82480) | $825.39 | $825.39 | 104.9× |
| Chorionic gonadotropin test (84702) range across 4 matching MRF lines |
$27.42–$75.48 | $27.42–$75.48 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $5,076.84 | $5,076.84 | 26.9× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $1,429.83 | $1,429.83 | 42.7× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $4,800.01 | $4,800.01 | 27.7× |
| Chromium serum (82495) | $72.39 | $72.39 | 3.6× |
| Chromogranin a (86316) | $446.99 | $446.99 | 21.5× |
| Chromosome analys amniotic (88269) | $1,429.83 | $1,429.83 | 8.2× |
| Chromosome Analysis 15-20 (88262) | $4,091.45 | $4,091.45 | 32.6× |
| Chromosome Analysis 20-25 (88264) | $4,563.82 | $4,563.82 | 31.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$54.84–$240.65 | $54.84–$240.65 | varies |
| Citric acid urine (82507) | $90.80 | $90.80 | 3.3× |
| Ckmb (82553) | $217.14 | $217.14 | 18.8× |
| Clostridium Difficile (87324) | $413.94 | $413.94 | 34.6× |
| Cns DNA amp probe type 12-25 (87483) | $3,205.13 | $3,205.13 | 7.7× |
| Coagulation time activated (85347) | $73.67 | $73.67 | 17.2× |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
$193.03–$599.39 | $193.03–$599.39 | varies |
| Cold agglutinin titer (86157) | $228.57 | $228.57 | 28.4× |
| Collagen crosslinks (82523) | $406.34 | $406.34 | 21.8× |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$55.26–$1,170.81 | $55.26–$1,170.81 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $627.21 | $627.21 | 2.7× |
| Compatibility Each Unit Incubation (86921) | $205.07 | $205.07 | 1.2× |
| Complement Antigen Each Component (86160) range across 7 matching MRF lines |
$15.65–$401.27 | $15.65–$401.27 | varies |
| Complement Total (Ch50) (86162) | $698.43 | $698.43 | 34.4× |
| Complement/Function Activity (86161) | $205.07 | $205.07 | 17.1× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $1,734.60 | $1,734.60 | 10.1× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $106.01 | $106.01 | 2.0× |
| Coombs direct (86880) | $133.97 | $133.97 | 24.9× |
| Copper urine (82525) range across 3 matching MRF lines |
$27.42–$406.34 | $27.42–$406.34 | varies |
| Cortisol free (82530) | $208.88 | $208.88 | 12.5× |
| Cortisol saliva (82533) | $335.24 | $335.24 | 20.6× |
| Creatine kinase total (82550) | $48.96 | $48.96 | 7.5× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$56.47–$181.60 | $56.47–$181.60 | varies |
| Creatinine clearance (82575) | $314.92 | $314.92 | 33.3× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$9.98–$173.35 | $9.98–$173.35 | varies |
| Crossmatch immediate spin (86920) | $161.91 | $161.91 | 0.9× |
| Crp High Sensitivity (86141) | $833.03 | $833.03 | 64.3× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$21.49–$205.07 | $21.49–$205.07 | varies |
| Cryptococcal Antigen (87327) range across 2 matching MRF lines |
$264.14–$464.77 | $264.14–$464.77 | varies |
| Cryptococcus ag titer (87899) range across 6 matching MRF lines |
$161.57–$344.11 | $161.57–$344.11 | varies |
| Cryptosporidium ag eia (87328) | $101.97 | $101.97 | 7.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$55.23–$220.98 | $55.23–$220.98 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $205.07 | $205.07 | 25.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $67.32 | $67.32 | 8.7× |
| Culture afb (87116) range across 2 matching MRF lines |
$228.57–$457.12 | $228.57–$457.12 | varies |
| Culture Anaerobic (87075) | $434.30 | $434.30 | 45.9× |
| Culture blood (87040) | $479.98 | $479.98 | 46.5× |
| Culture chlamydia (87110) | $386.05 | $386.05 | 19.7× |
| Culture csf (87070) range across 24 matching MRF lines |
$260.30–$543.49 | $260.30–$543.49 | varies |
| Culture fungus (87102) range across 4 matching MRF lines |
$67.32–$660.32 | $67.32–$660.32 | varies |
| Culture fungus blood (87103) | $469.85 | $469.85 | 23.0× |
| Culture screen only (87081) range across 6 matching MRF lines |
$142.21–$576.54 | $142.21–$576.54 | varies |
| Culture stool (87045) | $406.34 | $406.34 | 43.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$51.46–$149.83 | $51.46–$149.83 | varies |
| Culture urine (87086) | $94.64 | $94.64 | 11.7× |
| Culture, typing; identification by pulse field gel typing Facility (87152) | $1,267.28 | $1,267.28 | 163.7× |
| Cyanide (82600) | $386.05 | $386.05 | 19.9× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $44.70 | $44.70 | 3.1× |
| Cyclosporine (80158) | $228.57 | $228.57 | 12.7× |
| Cystatin C (82610) | $339.93 | $339.93 | 18.4× |
| Cytogenetics 10-30 (88273) | $307.34 | $307.34 | 8.8× |
| Cytogenetics 100-300 (88275) range across 5 matching MRF lines |
$300.52–$685.35 | $300.52–$685.35 | varies |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$25.22–$398.74 | $25.22–$398.74 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $314.92 | $314.92 | 15.5× |
| Cytopath Cell Enhance Tech (88112) | $789.88 | $789.88 | 15.0× |
| Cytopath Fl Nongyn Filter (88106) | $307.34 | $307.34 | 10.5× |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) | $173.35 | $173.35 | 3.4× |
| Cytotoxic Antibody Screen Std (86807) | $2,311.12 | $2,311.12 | 29.4× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$120.95–$383.49 | $120.95–$383.49 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $789.88 | $789.88 | 20.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$172.80–$406.34 | $172.80–$406.34 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $177.80 | $177.80 | 1.0× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $153.64 | $153.64 | 4.1× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $165.73 | $165.73 | 5.7× |
| Deoxycortisol (82634) | $579.04 | $579.04 | 19.8× |
| Deoxyribonuclease antibody (86215) | $358.08 | $358.08 | 27.0× |
| Detect Agent Nos Dna Amp (87798) range across 17 matching MRF lines |
$162.66–$2,120.67 | $162.66–$2,120.67 | varies |
| Detect Agent Nos Dna Quant (87799) | $420.69 | $420.69 | 9.8× |
| Detect agnt mult DNA ampli (87801) | $1,208.92 | $1,208.92 | 17.2× |
| Dgp Antibody Each Ig Class (86258) range across 6 matching MRF lines |
$20.14–$299.69 | $20.14–$299.69 | varies |
| Dhea (82626) range across 2 matching MRF lines |
$26.82–$698.43 | $26.82–$698.43 | varies |
| Dhea-S (82627) range across 2 matching MRF lines |
$27.42–$548.60 | $27.42–$548.60 | varies |
| Digoxin (80162) | $347.95 | $347.95 | 26.2× |
| Diphtheria antitoxoid (86648) | $365.70 | $365.70 | 24.0× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$31.24–$165.73 | $31.24–$165.73 | varies |
| Dna Antibody Single Stranded (86226) | $640.02 | $640.02 | 52.9× |
| Dna/Rna Amplified Probe (87150) | $1,901.44 | $1,901.44 | 54.2× |
| DNA/RNA direct probe (87149) | $86.22 | $86.22 | 4.3× |
| Drug assay acetaminophen (80143) | $127.02 | $127.02 | 6.8× |
| Drug Assay Amiodarone (80151) | $272.38 | $272.38 | 14.6× |
| Drug Assay Everolimus (80169) | $616.33 | $616.33 | 44.9× |
| Drug Screen Quant Clozapine (80159) | $163.04 | $163.04 | 8.1× |
| Drug Screen Quant Zonisamide (80203) range across 3 matching MRF lines |
$43.87–$647.62 | $43.87–$647.62 | varies |
| Drug Screen Quantitative Gabapentin (80171) | $464.77 | $464.77 | 21.4× |
| Drug Screen Quantitative Lamotrigine (80175) range across 3 matching MRF lines |
$49.13–$713.66 | $49.13–$713.66 | varies |
| Drug Screen Quantitative Levetiracetam (80177) | $673.01 | $673.01 | 50.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$35.76–$330.19 | $35.76–$330.19 | varies |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $335.24 | $335.24 | 20.0× |
| Drug Screen Quantitative Tiagabine (80199) | $486.64 | $486.64 | 18.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 5 matching MRF lines |
$29.89–$606.79 | $29.89–$606.79 | varies |
| Egfr Gene Analysis Common Variants (81235) | $1,130.82 | $1,130.82 | 3.5× |
| Ehrlichia antibody (86666) range across 3 matching MRF lines |
$187.48–$276.84 | $187.48–$276.84 | varies |
| Electrolyte panel (80051) | $244.46 | $244.46 | 34.9× |
| Electron Microscopy (88348) | $5,826.07 | $5,826.07 | 7.1× |
| Encephaltis East Eqne Anbdy (86652) | $142.21 | $142.21 | 10.8× |
| Encephaltis West Eqne Antbdy (86654) | $142.21 | $142.21 | 10.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 3 matching MRF lines |
$144.50–$378.42 | $144.50–$378.42 | varies |
| Enterovirus Antibody (86658) range across 13 matching MRF lines |
$106.68–$325.07 | $106.68–$325.07 | varies |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$207.31–$448.90 | $207.31–$448.90 | varies |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$304.61–$451.21 | $304.61–$451.21 | varies |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
$68.54–$127.62 | $68.54–$127.62 | varies |
| Erythropoietin (82668) range across 2 matching MRF lines |
$40.20–$406.34 | $40.20–$406.34 | varies |
| Estradiol serum (82670) range across 2 matching MRF lines |
$84.97–$507.93 | $84.97–$507.93 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$111.19–$759.35 | $111.19–$759.35 | varies |
| Estrogens fractionated (82671) | $769.55 | $769.55 | 23.8× |
| Ethosuximide (80168) | $411.43 | $411.43 | 25.2× |
| Ethylene Glycol (82693) | $998.08 | $998.08 | 67.0× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$165.73–$201.26 | $165.73–$201.26 | varies |
| F2 Gene (81240) | $385.39 | $385.39 | 5.9× |
| Factor ii activity (85210) | $584.12 | $584.12 | 45.0× |
| Factor Inhibitor Test (85335) | $139.03 | $139.03 | 10.8× |
| Factor ix activity (85250) | $548.60 | $548.60 | 28.8× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$248.69–$306.37 | $248.69–$306.37 | varies |
| Factor vii assay (85230) | $571.43 | $571.43 | 31.9× |
| Factor viii assay (85240) | $749.24 | $749.24 | 41.9× |
| Factor X (85260) | $591.74 | $591.74 | 33.1× |
| Factor xi activity (85270) | $591.74 | $591.74 | 33.1× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $220.98 | $220.98 | 33.8× |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$15.24–$153.64 | $15.24–$153.64 | varies |
| Ferritin (82728) | $68.34 | $68.34 | 5.0× |
| Fetal Fibronectin (82731) | $1,823.50 | $1,823.50 | 28.3× |
| Fetal hemoglobin assay qual (83033) | $576.54 | $576.54 | 72.1× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $294.60 | $294.60 | 15.6× |
| Fetal screen rosette (85461) | $220.98 | $220.98 | 23.6× |
| Fibrin degradation products (85362) | $446.99 | $446.99 | 64.9× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$70.88–$76.54 | $70.88–$76.54 | varies |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $358.08 | $358.08 | 36.8× |
| Fibrinogen activity (85384) | $477.46 | $477.46 | 49.1× |
| Flecainide level (80181) | $276.84 | $276.84 | 14.9× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$320–$551.12 | $320–$551.12 | varies |
| Fluorescent antibody screen (86255) range across 10 matching MRF lines |
$118.09–$1,962.13 | $118.09–$1,962.13 | varies |
| Fmr1 gene detection (81243) | $527.72 | $527.72 | 9.3× |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$27.42–$520.65 | $27.42–$520.65 | varies |
| Folic Acid Serum (82746) | $73.72 | $73.72 | 5.0× |
| Follicle Stimulating Hormone (83001) | $335.24 | $335.24 | 18.0× |
| Francisella tularensis (86668) | $208.88 | $208.88 | 14.8× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $244.46 | $244.46 | 1.4× |
| Frozen Section (88331) | $51.82 | $51.82 | 0.3× |
| Fungi Identification Mold (87107) | $1,048.89 | $1,048.89 | 101.6× |
| Fungi Identification Yeast (87106) | $934.60 | $934.60 | 90.6× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$23.30–$406.34 | $23.30–$406.34 | varies |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
$30.49–$139.04 | $30.49–$139.04 | varies |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $228.57 | $228.57 | 23.4× |
| Gases blood ph only (82800) | $264.14 | $264.14 | 24.0× |
| Gastrin (82941) range across 2 matching MRF lines |
$25.88–$462.23 | $25.88–$462.23 | varies |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $463.32 | $463.32 | 1.1× |
| Genet Virus Isolate Hsv (87255) | $156.78 | $156.78 | 4.6× |
| Gentamicin (80170) | $252.71 | $252.71 | 15.4× |
| Ggt (82977) | $161.91 | $161.91 | 22.5× |
| Giardia antigen (87329) | $51.68 | $51.68 | 4.3× |
| Giardia lamblia antibody (86674) | $1,089.53 | $1,089.53 | 74.0× |
| Glucagon (82943) | $292.05 | $292.05 | 20.4× |
| Glucose 2 hr pp (82950) | $177.80 | $177.80 | 37.4× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$64.76–$165.73 | $64.76–$165.73 | varies |
| Glucose Serum (82947) | $165.73 | $165.73 | 42.2× |
| Glucose tolerance test (gtt) (82951) | $398.74 | $398.74 | 31.0× |
| Glycated Protein (82985) | $165.73 | $165.73 | 9.9× |
| Gonadotropin Chorionic Qualitative (84703) range across 3 matching MRF lines |
$18.30–$118.09 | $18.30–$118.09 | varies |
| Growth hormone (83003) range across 2 matching MRF lines |
$43.51–$469.85 | $43.51–$469.85 | varies |
| Gtt-added samples (82952) | $118.09 | $118.09 | 30.1× |
| H Pylori (C-13) Breath (83013) range across 4 matching MRF lines |
$299.06–$438.11 | $299.06–$438.11 | varies |
| Haptoglobin (83010) range across 2 matching MRF lines |
$20.14–$193.03 | $20.14–$193.03 | varies |
| Hdl Cholesterol (83718) | $217.14 | $217.14 | 26.5× |
| Helicobacter Pylori Stool (87338) | $733.97 | $733.97 | 51.0× |
| Helminth Antibody (86682) range across 4 matching MRF lines |
$464.77–$690.81 | $464.77–$690.81 | varies |
| Hematocrit (85014) range across 3 matching MRF lines |
$49.54–$256.53 | $49.54–$256.53 | varies |
| Hemoglobin (85018) | $193.03 | $193.03 | 81.4× |
| Hemoglobin a1c (83036) | $73.04 | $73.04 | 7.5× |
| Hemoglobin Chromotography (83021) range across 3 matching MRF lines |
$27.93–$149.83 | $27.93–$149.83 | varies |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$149.83–$690.81 | $149.83–$690.81 | varies |
| Hemoglobin plasma (83051) | $358.08 | $358.08 | 49.0× |
| Hemosiderin urine (83070) | $217.14 | $217.14 | 45.7× |
| Hep a ab igm (86709) | $217.14 | $217.14 | 19.3× |
| Heparin assay (85520) range across 2 matching MRF lines |
$43.24–$1,214.01 | $43.24–$1,214.01 | varies |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$17.54–$398.74 | $17.54–$398.74 | varies |
| Hepatitis b core ab igm (86705) | $173.35 | $173.35 | 14.7× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$27.42–$252.71 | $27.42–$252.71 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$17.54–$193.03 | $17.54–$193.03 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$17.54–$77.70 | $17.54–$77.70 | varies |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$12.90–$193.03 | $12.90–$193.03 | varies |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$10.74–$193.03 | $10.74–$193.03 | varies |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$17.54–$276.84 | $17.54–$276.84 | varies |
| Hepatitis c antibody confirmatory test (86804) | $1,478.11 | $1,478.11 | 95.4× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$240.83–$2,095.25 | $240.83–$2,095.25 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $1,655.91 | $1,655.91 | 47.2× |
| Hepatitis C Revrs Trnscrpj (87522) | $1,142.86 | $1,142.86 | 26.7× |
| Hepatitis delta ag (87380) | $1,076.82 | $1,076.82 | 58.7× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$54.84–$208.88 | $54.84–$208.88 | varies |
| Heterophile Antibody Screen (86308) | $193.03 | $193.03 | 37.3× |
| Hfe Gene (81256) | $1,028.02 | $1,028.02 | 15.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $327.63 | $327.63 | 42.4× |
| Histamine urine (83088) range across 2 matching MRF lines |
$411.43–$711.12 | $411.43–$711.12 | varies |
| Histoplasma antibody (86698) | $181.60 | $181.60 | 13.2× |
| Histoplasma antigen urine (87385) | $962.55 | $962.55 | 72.6× |
| Hiv Genotype (87901) | $3,471.79 | $3,471.79 | 13.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$38.11–$44.54 | $38.11–$44.54 | varies |
| Hiv-1 Antibody (86701) range across 3 matching MRF lines |
$88.75–$252.71 | $88.75–$252.71 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $1,488.27 | $1,488.27 | 17.5× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $963.41 | $963.41 | 5.4× |
| Hla class ii typing high resolution one locus ea (81382) | $1,339.70 | $1,339.70 | 10.8× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $102.83 | $102.83 | 1.4× |
| Hla Typing a/B/C Multiple Antigens (86813) range across 2 matching MRF lines |
$1,668.59–$3,202.59 | $1,668.59–$3,202.59 | varies |
| Hla Typing Dr/Dq Single Antigen (86816) | $197.47 | $197.47 | 6.5× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$515.57–$1,655.91 | $515.57–$1,655.91 | varies |
| Homocysteine (83090) range across 2 matching MRF lines |
$223.31–$386.05 | $223.31–$386.05 | varies |
| Homogenization Tissue (87176) | $59.68 | $59.68 | 10.1× |
| Homovanillic acid urine (83150) | $406.34 | $406.34 | 18.1× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$212.46–$662.87 | $212.46–$662.87 | varies |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$376.07–$584.12 | $376.07–$584.12 | varies |
| Htlv-I Antibody (86687) | $335.24 | $335.24 | 36.9× |
| Hydroxycorticosteroids 17 (83491) | $528.23 | $528.23 | 29.5× |
| Hydroxyprogesterone 17-d (83498) range across 3 matching MRF lines |
$54.84–$540.93 | $54.84–$540.93 | varies |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $252.07 | $252.07 | 21.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $690.81 | $690.81 | 66.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$30.06–$32.45 | $30.06–$32.45 | varies |
| Iaad ia shiga-like toxin (87427) | $168.89 | $168.89 | 14.1× |
| Iaadi giardia (87269) | $479.98 | $479.98 | 35.3× |
| Iaadi herpes smplx virus type 1 (87274) | $507.93 | $507.93 | 42.4× |
| Iaadi inffluenza a virus (87276) | $86.98 | $86.98 | 5.4× |
| Iaadi not otherwise specified each organism (87299) | $436.36 | $436.36 | 27.1× |
| Iaadi parainfluenza virus each type (87279) | $86.98 | $86.98 | 5.3× |
| Iaadi pneumocustis carinii (87281) | $99.34 | $99.34 | 8.3× |
| Iaadi respiratory synctial virus (87280) | $86.98 | $86.98 | 6.5× |
| Iaadi Varicella Zoster Virus (87290) | $75.95 | $75.95 | 5.7× |
| Iadna Bartonella Amplified Probe Technique (87471) | $502.83 | $502.83 | 14.3× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$323.48–$792.41 | $323.48–$792.41 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) range across 2 matching MRF lines |
$111.29–$162.66 | $111.29–$162.66 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $235.76 | $235.76 | 6.7× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $469.85 | $469.85 | 20.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 3 matching MRF lines |
$172.45–$815.27 | $172.45–$815.27 | varies |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$222.54–$920.65 | $222.54–$920.65 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $421.61 | $421.61 | 6.0× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$401.93–$1,048.89 | $401.93–$1,048.89 | varies |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $1,003.18 | $1,003.18 | 36.8× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $789.88 | $789.88 | 19.0× |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $1,003.18 | $1,003.18 | 37.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$235.76–$453.23 | $235.76–$453.23 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$54.84–$208.88 | $54.84–$208.88 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,641.30 | $1,641.30 | 6.2× |
| Ig Light Chains Free Each (83521) range across 6 matching MRF lines |
$42.67–$202.75 | $42.67–$202.75 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$24.73–$718.71 | $24.73–$718.71 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $614.06 | $614.06 | 1.7× |
| Immune Complex Assay (86332) | $479.98 | $479.98 | 19.7× |
| Immunfix e-phorsis/urine/csf (86335) | $749.24 | $749.24 | 25.5× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$299.69–$1,640.65 | $299.69–$1,640.65 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$15.47–$1,010.77 | $15.47–$1,010.77 | varies |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$40.20–$197.47 | $40.20–$197.47 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$41.71–$540.93 | $41.71–$540.93 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $812.74 | $812.74 | 4.7× |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$268.15–$998.08 | $268.15–$998.08 | varies |
| In situ hybridization 1st probe stain (88365) | $4,604.45 | $4,604.45 | 26.7× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $86.98 | $86.98 | 6.0× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $86.98 | $86.98 | 7.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $111.29 | $111.29 | 3.2× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $342.87 | $342.87 | 6.7× |
| Influenza a/b ag eia (87400) range across 4 matching MRF lines |
$221.03–$238.70 | $221.03–$238.70 | varies |
| Influenza DNA amp probe (87502) | $421.61 | $421.61 | 4.4× |
| Inhibin A (86336) range across 2 matching MRF lines |
$111.19–$191.17 | $111.19–$191.17 | varies |
| Inhibin b (83520) range across 13 matching MRF lines |
$36.89–$690.81 | $36.89–$690.81 | varies |
| Insitu hybridization auto (88367) | $1,220.98 | $1,220.98 | 3.4× |
| Insitu hybridization manual (88368) | $1,980.96 | $1,980.96 | 5.5× |
| Insulin antibodies (86337) | $70.21 | $70.21 | 3.3× |
| Insulin free (83527) | $26.81 | $26.81 | 2.1× |
| Insulin total (83525) range across 2 matching MRF lines |
$26.81–$118.09 | $26.81–$118.09 | varies |
| Interleukin-6 (83529) | $228.65 | $228.65 | 13.2× |
| Intrinsic factor antibody (86340) | $133.97 | $133.97 | 8.9× |
| Iron (83540) range across 2 matching MRF lines |
$48.70–$1,104.76 | $48.70–$1,104.76 | varies |
| Iron Binding Capacity (83550) | $65.74 | $65.74 | 7.5× |
| Irradiation Blood Product Each Unit (86945) range across 2 matching MRF lines |
$792.41–$863.50 | $792.41–$863.50 | varies |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$54.64–$320 | $54.64–$320 | varies |
| Ketosteroids 17 total (83586) | $599.39 | $599.39 | 46.8× |
| Kit Gene Analysis D816 Variant(S) (81273) | $1,535.16 | $1,535.16 | 12.3× |
| Koh Prep (87220) | $244.46 | $244.46 | 57.3× |
| L/s ratio (83661) | $921.88 | $921.88 | 41.9× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$65.40–$161.91 | $65.40–$161.91 | varies |
| Lactoferrin fecal qualitative (83630) | $249.52 | $249.52 | 12.7× |
| Lead (83655) range across 3 matching MRF lines |
$20.02–$118.09 | $20.02–$118.09 | varies |
| Legionella antibody (86713) range across 3 matching MRF lines |
$44.57–$44.70 | $44.57–$44.70 | varies |
| Legionella antigen urine (87449) | $225.72 | $225.72 | 18.8× |
| Legionella pneumophila dfa (87278) range across 2 matching MRF lines |
$276.84–$812.74 | $276.84–$812.74 | varies |
| Leptospira antibody (86720) | $252.71 | $252.71 | 15.6× |
| Leucine Aminopeptidase Lap (83670) | $314.92 | $314.92 | 32.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $126.33 | $126.33 | 4.3× |
| Level ii surg pathology grossµscopic exam (88302) | $193.03 | $193.03 | 5.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $754.27 | $754.27 | 2.1× |
| Lidocaine (80176) | $462.23 | $462.23 | 31.5× |
| Lipase (83690) range across 2 matching MRF lines |
$116.53–$304.79 | $116.53–$304.79 | varies |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$48.02–$94.64 | $48.02–$94.64 | varies |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$72.91–$89.38 | $72.91–$89.38 | varies |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $711.12 | $711.12 | 21.0× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $120.61 | $120.61 | 2.6× |
| Listeria Monocytogenes (86723) | $751.13 | $751.13 | 56.9× |
| Lithium (80178) | $193.03 | $193.03 | 29.2× |
| Luteinizing Hormone (Lh) (83002) | $335.24 | $335.24 | 18.1× |
| Lyme disease antibody (86618) | $177.80 | $177.80 | 10.4× |
| Lysozyme serum (85549) | $177.80 | $177.80 | 9.5× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$1,174.05–$1,220.98 | $1,174.05–$1,220.98 | varies |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$17.90–$102.86 | $17.90–$102.86 | varies |
| Mass Spectrometry Quant (83789) | $247.98 | $247.98 | 10.3× |
| Mercury urine (83825) range across 4 matching MRF lines |
$43.87–$165.73 | $43.87–$165.73 | varies |
| Methotrexate (80204) | $535.89 | $535.89 | 13.9× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$61.85–$998.08 | $61.85–$998.08 | varies |
| Microalbumin, quantitative (82043) | $43.48 | $43.48 | 7.5× |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$63–$1,178.41 | $63–$1,178.41 | varies |
| Mitochondrial Antibody Each (86381) | $378.42 | $378.42 | 14.9× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 4 matching MRF lines |
$300.52–$685.35 | $300.52–$685.35 | varies |
| Mononuclear cell antigen (86356) range across 3 matching MRF lines |
$212.70–$1,777.81 | $212.70–$1,777.81 | varies |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$518.24–$639.64 | $518.24–$639.64 | varies |
| Mopath procedure level 4 (81403) | $328.99 | $328.99 | 1.8× |
| Mopath procedure level 5 (81404) | $5,482.74 | $5,482.74 | 19.9× |
| Mrsa Pcr (87641) | $599.39 | $599.39 | 17.1× |
| Mthfr Gene Analysis Common Variants (81291) range across 2 matching MRF lines |
$312.64–$454 | $312.64–$454 | varies |
| Mumps antibody (86735) | $335.24 | $335.24 | 25.7× |
| Mycobacteric Identification (87118) | $1,206.38 | $1,206.38 | 82.6× |
| Mycophenolic Acid (80180) | $292.58 | $292.58 | 16.2× |
| Mycoplasma antibody (86738) | $181.60 | $181.60 | 13.7× |
| Mycoplasma culture (87109) range across 2 matching MRF lines |
$137.79–$584.12 | $137.79–$584.12 | varies |
| Myelin basic protein csf (83873) | $276.84 | $276.84 | 16.1× |
| Myoglobin urine (83874) | $398.74 | $398.74 | 30.9× |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$74.46–$1,340.96 | $74.46–$1,340.96 | varies |
| Neisseria Dir Na Probe (87590) | $208.88 | $208.88 | 7.8× |
| Niacin (84591) | $422.17 | $422.17 | 24.7× |
| Nuclear antigen antibody (86235) range across 14 matching MRF lines |
$26.15–$256.53 | $26.15–$256.53 | varies |
| Occult Blood Other Sources (82271) | $118.09 | $118.09 | 22.2× |
| Oligoclonal bands (83916) | $260.30 | $260.30 | 9.5× |
| Organic acids urine (83918) range across 2 matching MRF lines |
$881.27–$1,823.50 | $881.27–$1,823.50 | varies |
| Osmolality serum (83930) | $217.14 | $217.14 | 32.9× |
| Osmolality Urine (83935) | $217.14 | $217.14 | 31.8× |
| Osmotic Fragility RBC Unincubated (85555) | $716.21 | $716.21 | 95.9× |
| Osteocalcin (83937) | $355.56 | $355.56 | 11.9× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$31.72–$365.70 | $31.72–$365.70 | varies |
| Oxalate urine (83945) range across 2 matching MRF lines |
$49.35–$276.84 | $49.35–$276.84 | varies |
| Parvovirus antibody (86747) range across 4 matching MRF lines |
$62.51–$244.46 | $62.51–$244.46 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $143.34 | $143.34 | 0.2× |
| Ph urine (81003) range across 2 matching MRF lines |
$124.05–$133.97 | $124.05–$133.97 | varies |
| Phenobarbital Level (80184) | $276.84 | $276.84 | 18.1× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$43.04–$201.26 | $43.04–$201.26 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$43.04–$252.71 | $43.04–$252.71 | varies |
| Phosphatase acid prostatic (84066) | $281.92 | $281.92 | 29.2× |
| Phosphatase alkaline (84075) | $161.91 | $161.91 | 31.3× |
| Phosphatidylglycerol (84081) | $335.24 | $335.24 | 20.3× |
| Phosphorus Serum (84100) | $161.91 | $161.91 | 34.2× |
| Phosphorus urine (84105) | $193.03 | $193.03 | 33.4× |
| Pinworm exam (87172) | $118.09 | $118.09 | 27.7× |
| Platelet Aggregation (85576) range across 3 matching MRF lines |
$184.76–$349.55 | $184.76–$349.55 | varies |
| Platelet Antibodies (86022) range across 4 matching MRF lines |
$62.08–$2,714.94 | $62.08–$2,714.94 | varies |
| Platelet count automated (85049) | $185.39 | $185.39 | 41.4× |
| Pooling blood platelets (86965) | $244.46 | $244.46 | 1.4× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$34.92–$90.80 | $34.92–$90.80 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$87.72–$1,462.86 | $87.72–$1,462.86 | varies |
| Potassium Urine (84133) | $102.86 | $102.86 | 21.7× |
| Prealbumin (84134) | $217.14 | $217.14 | 14.9× |
| Pregnenolone (84140) | $706.04 | $706.04 | 34.2× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $446.99 | $446.99 | 2.6× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $240.65 | $240.65 | 4.0× |
| Primidone (80188) | $391.12 | $391.12 | 23.6× |
| Procalcitonin (Pct) (84145) | $321.40 | $321.40 | 11.8× |
| Progesterone (84144) | $104.61 | $104.61 | 5.0× |
| Prolactin (84146) | $97.16 | $97.16 | 5.0× |
| Protein body fluid (84157) range across 3 matching MRF lines |
$20.17–$161.91 | $20.17–$161.91 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$77.32–$1,186.06 | $77.32–$1,186.06 | varies |
| Protein c antigen (85302) range across 2 matching MRF lines |
$54.84–$1,153.03 | $54.84–$1,153.03 | varies |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$20.17–$93.44 | $20.17–$93.44 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$21.43–$252.71 | $21.43–$252.71 | varies |
| Protein S Free (85306) range across 4 matching MRF lines |
$67.01–$1,186.06 | $67.01–$1,186.06 | varies |
| Protein s total (85305) range across 2 matching MRF lines |
$108.43–$492.70 | $108.43–$492.70 | varies |
| Protein Total Refractometry Any Src (84160) | $98.81 | $98.81 | 17.6× |
| Protein total serum (84155) range across 2 matching MRF lines |
$10.96–$161.91 | $10.96–$161.91 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$10.96–$193.03 | $10.96–$193.03 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $165.73 | $165.73 | 42.1× |
| Protoporphyrin rbc quantitative (84202) range across 2 matching MRF lines |
$32.90–$107.88 | $32.90–$107.88 | varies |
| PSA free (84154) | $391.12 | $391.12 | 21.3× |
| Pth Intact (83970) range across 2 matching MRF lines |
$33.96–$690.81 | $33.96–$690.81 | varies |
| Q Fever Antibody (86638) | $307.34 | $307.34 | 25.4× |
| Quantiferon tb gold plus (86480) range across 3 matching MRF lines |
$182.91–$1,026.04 | $182.91–$1,026.04 | varies |
| Quantitative assay drug (80299) range across 12 matching MRF lines |
$152.42–$1,330.80 | $152.42–$1,330.80 | varies |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
$80.63–$140.31 | $80.63–$140.31 | varies |
| Quinidine (80194) | $30.15 | $30.15 | 2.1× |
| Rbc antibody elution (86860) | $244.46 | $244.46 | 1.4× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$176.75–$863.50 | $176.75–$863.50 | varies |
| Rbc antibody screen (86850) | $28.79 | $28.79 | 2.9× |
| Rbc pretreatment serum (86978) | $1,274.92 | $1,274.92 | 21.3× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$27.42–$619.68 | $27.42–$619.68 | varies |
| Resp virus 12-25 targets (87633) | $235.76 | $235.76 | 0.6× |
| Reticulocyte Count Manual (85044) | $177.80 | $177.80 | 41.3× |
| Rh (86901) | $22.47 | $22.47 | 7.5× |
| Rheumatoid Factor Qualitative (86430) | $177.80 | $177.80 | 29.0× |
| Rheumatoid factor quant (86431) | $228.57 | $228.57 | 40.3× |
| Rickettsia antibody (86757) range across 4 matching MRF lines |
$132.69–$398.74 | $132.69–$398.74 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$245.64–$749.24 | $245.64–$749.24 | varies |
| Rotavirus ag eia (87425) | $599.39 | $599.39 | 50.0× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$8.93–$193.03 | $8.93–$193.03 | varies |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$138.74–$149.83 | $138.74–$149.83 | varies |
| Rubella Antibody (86762) range across 5 matching MRF lines |
$33.49–$264.14 | $33.49–$264.14 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$193.03–$197.47 | $193.03–$197.47 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$31.05–$60.89 | $31.05–$60.89 | varies |
| Salicylate Level (80179) | $129.85 | $129.85 | 7.0× |
| Salmonella antibody (86768) | $112.38 | $112.38 | 8.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $52.23 | $52.23 | 1.0× |
| Sedimentation rate (85651) | $26.70 | $26.70 | 6.3× |
| Selenium (84255) | $314.92 | $314.92 | 12.3× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$434.30–$713.66 | $434.30–$713.66 | varies |
| Serum Bactericidal Titer (87197) | $479.98 | $479.98 | 32.0× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$54.84–$181.60 | $54.84–$181.60 | varies |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$34.34–$151.12 | $34.34–$151.12 | varies |
| Sirolimus (80195) range across 2 matching MRF lines |
$92.44–$561.29 | $92.44–$561.29 | varies |
| Skin Test Candida (86485) | $197.47 | $197.47 | 6.7× |
| Skin test tuberculosis intradermal (86580) | $185.39 | $185.39 | 6.3× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$201.26–$685.74 | $201.26–$685.74 | varies |
| Smear complex stain (87209) | $31.72 | $31.72 | 1.8× |
| Smear gram stain (87205) range across 3 matching MRF lines |
$65.59–$244.46 | $65.59–$244.46 | varies |
| Smear Special Stain (87207) range across 3 matching MRF lines |
$60.34–$1,010.77 | $60.34–$1,010.77 | varies |
| Smn1 Gene Analysis Full Gene Sequence (81336) | $5,482.74 | $5,482.74 | 18.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$62.85–$133.97 | $62.85–$133.97 | varies |
| Sodium Serum (84295) range across 2 matching MRF lines |
$161.91–$173.35 | $161.91–$173.35 | varies |
| Sodium Urine (84300) | $102.86 | $102.86 | 20.3× |
| Soluble Transferrin Receptor (84238) | $187.33 | $187.33 | 5.1× |
| Somatomedin (84305) range across 3 matching MRF lines |
$27.94–$800 | $27.94–$800 | varies |
| Somatostatin (84307) | $2,052.06 | $2,052.06 | 112.3× |
| Special Stains Group 1 (88312) | $233.03 | $233.03 | 4.4× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$205.07–$347.95 | $205.07–$347.95 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$93.97–$205.07 | $93.97–$205.07 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$61.06–$1,071.76 | $61.06–$1,071.76 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $599.39 | $599.39 | 3.5× |
| Stool cultr aerobic bact ea (87046) | $406.34 | $406.34 | 43.0× |
| Strep a assay w/optic (87880) range across 3 matching MRF lines |
$161.91–$208.88 | $161.91–$208.88 | varies |
| Strep b DNA amp probe (87653) | $345.42 | $345.42 | 9.8× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $1,094.60 | $1,094.60 | 199.0× |
| Sugars Multiple Quant (84379) | $513.04 | $513.04 | 44.5× |
| Sugars Single Qual (84376) | $161.91 | $161.91 | 29.4× |
| Surg path level iii (88304) | $591.74 | $591.74 | 11.2× |
| Surgical pathology level IV (88305) | $675.54 | $675.54 | 12.8× |
| Surgical pathology level vi (88309) | $1,226.69 | $1,226.69 | 1.5× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $267.90 | $267.90 | 56.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$485.08–$591.74 | $485.08–$591.74 | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $711.12 | $711.12 | 97.3× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$16.46–$187.65 | $16.46–$187.65 | varies |
| T cells absolute cd4 count (86361) | $807.61 | $807.61 | 30.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $212.70 | $212.70 | 4.5× |
| T cells total count (86359) range across 2 matching MRF lines |
$212.70–$746.69 | $212.70–$746.69 | varies |
| T3 Free (84481) | $105.56 | $105.56 | 6.2× |
| T3 reverse (84482) | $749.24 | $749.24 | 47.5× |
| T3 Total (84480) | $105.56 | $105.56 | 7.4× |
| T3 Uptake (84479) | $197.47 | $197.47 | 30.5× |
| T4 Free (84439) | $67.82 | $67.82 | 7.5× |
| T4 total (84436) | $197.47 | $197.47 | 28.7× |
| Tacrolimus (80197) | $789.88 | $789.88 | 57.5× |
| Test for acetone/ketones (82009) | $133.97 | $133.97 | 29.6× |
| Testosterone Bioavailable (84410) | $833.03 | $833.03 | 16.2× |
| Testosterone total (84403) range across 2 matching MRF lines |
$36.46–$129.42 | $36.46–$129.42 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$45.24–$127.71 | $45.24–$127.71 | varies |
| Tetanus antibody (86774) | $335.24 | $335.24 | 22.7× |
| Theophylline (80198) | $161.91 | $161.91 | 11.5× |
| Thiocyanate (84430) | $74.93 | $74.93 | 6.4× |
| Thiopurine methyltransferase (84433) | $1,493.50 | $1,493.50 | 67.4× |
| Thrombin Time (85670) | $217.14 | $217.14 | 37.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 3 matching MRF lines |
$31.05–$228.57 | $31.05–$228.57 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$36.95–$391.12 | $36.95–$391.12 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $833.03 | $833.03 | 16.4× |
| Thyroxine binding globulin (84442) | $462.23 | $462.23 | 31.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 4 matching MRF lines |
$29.01–$378.42 | $29.01–$378.42 | varies |
| Tissue Culture (88233) | $5,290.16 | $5,290.16 | 37.6× |
| Tissue Culture Amniotic Fluid (88235) | $1,429.83 | $1,429.83 | 9.5× |
| Tissue culture bone marrow (88237) | $594.30 | $594.30 | 4.1× |
| Tobramycin peak (80200) | $406.34 | $406.34 | 25.2× |
| Topiramate (80201) | $507.93 | $507.93 | 42.6× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$40.20–$365.70 | $40.20–$365.70 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$29.01–$276.84 | $29.01–$276.84 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $161.91 | $161.91 | 31.3× |
| Transferrin (84466) range across 2 matching MRF lines |
$13.37–$335.24 | $13.37–$335.24 | varies |
| Trg gene rearrangement anal (81342) | $552.50 | $552.50 | 2.7× |
| Trichomonas vagin dir probe (87660) range across 2 matching MRF lines |
$30.49–$139.04 | $30.49–$139.04 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$58.34–$162.66 | $58.34–$162.66 | varies |
| Triglycerides (84478) | $161.91 | $161.91 | 28.2× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$68.53–$74 | $68.53–$74 | varies |
| Tumor immunohistochem/comput (88361) range across 3 matching MRF lines |
$310.94–$741.59 | $310.94–$741.59 | varies |
| Tumor Immunohistochem/Manual (88360) range across 3 matching MRF lines |
$381.07–$685.74 | $381.07–$685.74 | varies |
| Urea nitrogen urine (84540) | $161.91 | $161.91 | 29.1× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$14.54–$106.68 | $14.54–$106.68 | varies |
| Urinalysis Volume Measure (81050) | $71.11 | $71.11 | 19.5× |
| Urine Bacteria Culture (87088) | $220.98 | $220.98 | 27.3× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$18.30–$197.47 | $18.30–$197.47 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $21.88 | $21.88 | 6.9× |
| Valproic acid (80164) | $217.14 | $217.14 | 16.0× |
| Vancomycin (80202) | $252.71 | $252.71 | 18.7× |
| Varicella-zoster antibody (86787) range across 4 matching MRF lines |
$18.99–$398.74 | $18.99–$398.74 | varies |
| Vasopressin (84588) | $515.57 | $515.57 | 15.2× |
| Viral Culture (87252) range across 2 matching MRF lines |
$77.89–$871.13 | $77.89–$871.13 | varies |
| Virus antibody nos (86790) range across 8 matching MRF lines |
$43.19–$713.66 | $43.19–$713.66 | varies |
| Virus inoculate tissue addl (87253) range across 2 matching MRF lines |
$77.89–$204.44 | $77.89–$204.44 | varies |
| Virus inoculation, shell via (87254) | $130.37 | $130.37 | 6.7× |
| Viscosity serum (85810) range across 2 matching MRF lines |
$57.53–$133.97 | $57.53–$133.97 | varies |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$53.57–$741.59 | $53.57–$741.59 | varies |
| Vitamin A (84590) range across 2 matching MRF lines |
$52.08–$197.47 | $52.08–$197.47 | varies |
| Vitamin b-12 (82607) | $75.60 | $75.60 | 5.0× |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$39.77–$378.42 | $39.77–$378.42 | varies |
| Vitamin D 25-Hydroxy (82306) | $48.85 | $48.85 | 1.7× |
| Vitamin E (84446) range across 2 matching MRF lines |
$47.43–$181.60 | $47.43–$181.60 | varies |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$312.64–$711.12 | $312.64–$711.12 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $1,018.43 | $1,018.43 | 118.4× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$194.93–$576.54 | $194.93–$576.54 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$189.84–$576.54 | $189.84–$576.54 | varies |
| Western Blot Test (84181) | $800 | $800 | 47.0× |
| Xylose Absorption Test (84620) | $446.99 | $446.99 | 34.6× |
| Zika Virus Dna/Rna Amp Probe (87662) | $753.11 | $753.11 | 14.7× |
| Zinc (84630) range across 2 matching MRF lines |
$23.45–$276.84 | $23.45–$276.84 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.