Lab & pathology prices at Los Robles Hospital & Medical Center
Thousand Oaks, CA · every code in this section with a posted price and a Medicare benchmark.
818 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $22.25 | $22.25 | 1.4× |
| 17-Hydroxypregnenolone (84143) | $50.25 | $50.25 | 2.2× |
| 5 Nucleotidase (83915) | $4.89 | $4.89 | 0.4× |
| Acetylcholine receptor binding antibody (86041) | $11.40 | $11.40 | 0.6× |
| Acetylcholine receptor blocking antibody (86042) | $30 | $30 | 1.6× |
| Acth (82024) | $7.25 | $7.25 | 0.2× |
| Actin smooth muscle antibody each (86015) | $6.50 | $6.50 | 0.5× |
| Acute hepatitis panel (80074) | $14 | $14 | 0.3× |
| Acylcarnitines Quant (82017) | $147 | $147 | 8.7× |
| Adenovirus antibody (86603) range across 6 matching MRF lines |
$10–$95.50 | $10–$95.50 | varies |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $219.25 | $219.25 | 3.4× |
| Agglutinins Febrile Each Antigen (86000) range across 18 matching MRF lines |
$2.75–$19.50 | $2.75–$19.50 | varies |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$12.25–$18.75 | $12.25–$18.75 | varies |
| Albumin serum (82040) range across 5 matching MRF lines |
$12.25–$1,132.28 | $12.25–$1,132.28 | varies |
| Aldolase (82085) | $2.25 | $2.25 | 0.2× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$7.75–$21 | $7.75–$21 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$6.25–$37 | $6.25–$37 | varies |
| Allergen specific ige (86003) range across 7 matching MRF lines |
$4–$14.75 | $4–$14.75 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $27 | $27 | 1.9× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$5.25–$75.50 | $5.25–$75.50 | varies |
| Alpha-Fetoprotein Serum (82105) | $5 | $5 | 0.3× |
| Alt (sgpt) (84460) range across 6 matching MRF lines |
$7.50–$1,201.98 | $7.50–$1,201.98 | varies |
| Aluminum (82108) | $16.25 | $16.25 | 0.6× |
| Amikacin trough (80150) | $22.25 | $22.25 | 1.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$5.25–$8.50 | $5.25–$8.50 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $114.75 | $114.75 | 6.8× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $124.75 | $124.75 | 9.0× |
| Aminolevulinic acid (ala) (82135) | $32.25 | $32.25 | 2.0× |
| Ammonia (82140) range across 3 matching MRF lines |
$8.50–$2,254.94 | $8.50–$2,254.94 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $1,072.21 | $1,072.21 | 10.9× |
| Amylase urine (82150) range across 8 matching MRF lines |
$4.50–$1,540.23 | $4.50–$1,540.23 | varies |
| Anca screen each antibody (86036) range across 5 matching MRF lines |
$4.50–$122.50 | $4.50–$122.50 | varies |
| Anca Titer Each Antibody (86037) range across 3 matching MRF lines |
$11–$67.50 | $11–$67.50 | varies |
| Androstenedione (82157) | $12.25 | $12.25 | 0.4× |
| Angiotensin converting enzyme csf (82164) | $4.50 | $4.50 | 0.3× |
| Anti-Phospholipid Antibody (86148) | $88.25 | $88.25 | 5.5× |
| Antibody aspergillus (86606) range across 8 matching MRF lines |
$5.50–$143.25 | $5.50–$143.25 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 26 matching MRF lines |
$4.75–$311.25 | $4.75–$311.25 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 8 matching MRF lines |
$13.75–$99.25 | $13.75–$99.25 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 6 matching MRF lines |
$5–$149.75 | $5–$149.75 | varies |
| Antibody Encephalitis California La Crosse (86651) range across 9 matching MRF lines |
$10–$176.50 | $10–$176.50 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$6.25–$15 | $6.25–$15 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 3 matching MRF lines |
$4.75–$72.25 | $4.75–$72.25 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 7 matching MRF lines |
$6.25–$72.25 | $6.25–$72.25 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 8 matching MRF lines |
$16.75–$31.75 | $16.75–$31.75 | varies |
| Antibody haemophilus influenza (86684) | $70 | $70 | 4.4× |
| Antibody helicobacter pylori (86677) range across 4 matching MRF lines |
$7.25–$62.50 | $7.25–$62.50 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$10–$19.25 | $10–$19.25 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 16 matching MRF lines |
$10–$199.75 | $10–$199.75 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 6 matching MRF lines |
$79.32–$268.56 | $79.32–$268.56 | varies |
| Antibody HIV-2 (86702) | $13.75 | $13.75 | 1.0× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$6.25–$45.75 | $6.25–$45.75 | varies |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$16–$83 | $16–$83 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) range across 4 matching MRF lines |
$38–$214.50 | $38–$214.50 | varies |
| Antibody john cunningham virus (86711) | $1,671 | $1,671 | 98.9× |
| Antibody Lymphocytic Choriomeningitis (86727) range across 11 matching MRF lines |
$10–$136.25 | $10–$136.25 | varies |
| Antibody neisseria meningitidis (86741) | $42.75 | $42.75 | 3.2× |
| Antibody plasmodium malaria (86750) | $220.75 | $220.75 | 16.7× |
| Antibody Protozoa Nes (86753) range across 5 matching MRF lines |
$78.50–$169.25 | $78.50–$169.25 | varies |
| Antibody Titer (86886) range across 4 matching MRF lines |
$85.75–$1,742.60 | $85.75–$1,742.60 | varies |
| Antibody Treponema Pallidum (86780) range across 5 matching MRF lines |
$20.50–$249 | $20.50–$249 | varies |
| Antibody yersinia (86793) | $126.25 | $126.25 | 9.6× |
| Antibody; campylobacter (86625) | $127.50 | $127.50 | 9.7× |
| Antibody; encephalitis, st. louis (86653) range across 6 matching MRF lines |
$10–$173 | $10–$173 | varies |
| Antibody; influenza virus (86710) range across 9 matching MRF lines |
$10–$115 | $10–$115 | varies |
| Antigen typing (86905) range across 3 matching MRF lines |
$63–$275.75 | $63–$275.75 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $22 | $22 | 3.8× |
| Antinuclear antibodies (86038) range across 6 matching MRF lines |
$3.50–$73.50 | $3.50–$73.50 | varies |
| Antistreptolysin O Screen (86063) range across 3 matching MRF lines |
$117.81–$841.85 | $117.81–$841.85 | varies |
| Antistreptolysin o titer (86060) | $3.67 | $3.67 | 0.5× |
| Antithrombin iii activity (85300) range across 4 matching MRF lines |
$21–$252.50 | $21–$252.50 | varies |
| Apolipoprotein a1 (82172) range across 6 matching MRF lines |
$5.25–$398.50 | $5.25–$398.50 | varies |
| Aquaporin-4 Antb Cba Each (86052) | $588.20 | $588.20 | 48.8× |
| Aquaporin-4 Antb Elisa (86051) | $518 | $518 | 44.9× |
| Arsenic (82175) range across 3 matching MRF lines |
$12.25–$12.50 | $12.25–$12.50 | varies |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$133.50–$226.25 | $133.50–$226.25 | varies |
| Assay activated protein c (85307) range across 3 matching MRF lines |
$40.75–$49 | $40.75–$49 | varies |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$156.30–$1,132.28 | $156.30–$1,132.28 | varies |
| Assay Nephelometry Not Spec (83883) range across 4 matching MRF lines |
$24.25–$862.26 | $24.25–$862.26 | varies |
| Assay of 5-hiaa (83497) | $10 | $10 | 0.8× |
| Assay of anti-mullerian hormone (82166) | $42 | $42 | 1.1× |
| Assay of b-hexosaminidase each assay (83080) | $17.25 | $17.25 | 1.0× |
| Assay of blood/uric acid (84550) range across 3 matching MRF lines |
$82.81–$1,132.28 | $82.81–$1,132.28 | varies |
| Assay of calcium in urine (82340) range across 4 matching MRF lines |
$2.75–$1,401.43 | $2.75–$1,401.43 | varies |
| Assay of corticosterone (82528) | $61.25 | $61.25 | 2.7× |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$6.25–$8.50 | $6.25–$8.50 | varies |
| Assay of estrone (82679) | $12.25 | $12.25 | 0.5× |
| Assay of feces for trypsin (84490) | $84.50 | $84.50 | 8.5× |
| Assay of g6pd enzyme (82955) | $7.33 | $7.33 | 0.8× |
| Assay of gammaglobulin igm (82784) range across 20 matching MRF lines |
$3–$23.25 | $3–$23.25 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$182.25–$1,310.45 | $182.25–$1,310.45 | varies |
| Assay of manganese (83785) range across 2 matching MRF lines |
$41.50–$50.25 | $41.50–$50.25 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$15–$40 | $15–$40 | varies |
| Assay of phosphatase acid total (84060) range across 2 matching MRF lines |
$27.12–$39.37 | $27.12–$39.37 | varies |
| Assay of phosphatase alkaline heat stable (84078) | $20.50 | $20.50 | 2.5× |
| Assay of proinsulin (84206) | $34.75 | $34.75 | 1.3× |
| Assay of prostate specific antigen complexed (84152) | $15.75 | $15.75 | 0.9× |
| Assay of semen fructose (82757) | $18.50 | $18.50 | 1.1× |
| Assay of serotonin (84260) | $15 | $15 | 0.5× |
| Assay of serum potassium (84132) range across 4 matching MRF lines |
$67.94–$1,001.06 | $67.94–$1,001.06 | varies |
| Assay of Sialic Acid (84275) | $37 | $37 | 2.8× |
| Assay of sweat sodium (84302) range across 3 matching MRF lines |
$34.25–$908.33 | $34.25–$908.33 | varies |
| Assay of transcortin (84449) | $46.50 | $46.50 | 2.6× |
| Assay of Tyrosine (84510) range across 2 matching MRF lines |
$18.50–$59.75 | $18.50–$59.75 | varies |
| Assay of urea nitrogen (84520) range across 3 matching MRF lines |
$67.94–$1,001.06 | $67.94–$1,001.06 | varies |
| Assay of urine vma (84585) | $7.25 | $7.25 | 0.5× |
| Assay of vasoactive intestinal peptide (84586) | $42.75 | $42.75 | 1.2× |
| Assay of vitamin b-1 (84425) | $14.75 | $14.75 | 0.7× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$2.75–$576.20 | $2.75–$576.20 | varies |
| Assay spec xcp ur&breath ia (82077) range across 2 matching MRF lines |
$309.39–$2,243.28 | $309.39–$2,243.28 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) | $547.92 | $547.92 | 2.5× |
| Automated Leukocyte Count (85048) range across 5 matching MRF lines |
$39.37–$803.65 | $39.37–$803.65 | varies |
| B cells total count (86355) | $25.75 | $25.75 | 0.7× |
| Bacterial antigens 87802 (87802) range across 2 matching MRF lines |
$99.44–$726.08 | $99.44–$726.08 | varies |
| Bartonella antibody (86611) | $38 | $38 | 3.7× |
| Bcr/abl1 gene major bp (81206) | $214.50 | $214.50 | 1.3× |
| Bcr/abl1 gene minor bp (81207) | $122.50 | $122.50 | 0.8× |
| Beta 2 glycoprotein i antibody each (86146) | $5.50 | $5.50 | 0.2× |
| Beta hydroxybutyrate (82010) range across 3 matching MRF lines |
$44.25–$881.22 | $44.25–$881.22 | varies |
| Beta-2 Microglobulin (82232) | $4.75 | $4.75 | 0.3× |
| Bile acids total (82239) | $4.75 | $4.75 | 0.3× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$58.90–$1,132.28 | $58.90–$1,132.28 | varies |
| Bilirubin total (82247) range across 3 matching MRF lines |
$24.25–$1,132.28 | $24.25–$1,132.28 | varies |
| Bilirubin total transcutaneous (88720) range across 2 matching MRF lines |
$36.74–$40.24 | $36.74–$40.24 | varies |
| Biotinidase (82261) | $19.50 | $19.50 | 1.2× |
| Blastomyces antibody (86612) | $127.50 | $127.50 | 9.9× |
| Bld Typing Serologic Rh Phnt (86906) | $95 | $95 | 12.3× |
| Bleeding time test (85002) range across 3 matching MRF lines |
$189.83–$1,948.18 | $189.83–$1,948.18 | varies |
| Blood Count Red Blood Cell Automated (85041) | $8.50 | $8.50 | 2.8× |
| Blood count reticulocyte automated (85045) range across 3 matching MRF lines |
$195.66–$1,412.80 | $195.66–$1,412.80 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 4 matching MRF lines |
$45.78–$367.42 | $45.78–$367.42 | varies |
| Blood gas (82803) | $1,833.87 | $1,833.87 | 70.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 3 matching MRF lines |
$71.44–$518.17 | $71.44–$518.17 | varies |
| Blood Sulfhemoglobin Assay (83060) | $108 | $108 | 12.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$184.58–$1,336.69 | $184.58–$1,336.69 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $77.75 | $77.75 | 4.8× |
| Blood typing serologic abo (86900) range across 6 matching MRF lines |
$12.25–$633.65 | $12.25–$633.65 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$239.11–$862.26 | $239.11–$862.26 | varies |
| Bone marrow smear interpretation (85097) | $102.93 | $102.93 | 0.1× |
| Bordetella antibody (86615) range across 5 matching MRF lines |
$20–$102 | $20–$102 | varies |
| Borrelia Antibody (86619) | $148.25 | $148.25 | 11.1× |
| Braf gene analysis (81210) range across 3 matching MRF lines |
$136.25–$968.40 | $136.25–$968.40 | varies |
| Brucella antibody (86622) | $115.75 | $115.75 | 13.0× |
| C diff amplified probe (87493) | $386.66 | $386.66 | 10.4× |
| C-Peptide (84681) | $4.50 | $4.50 | 0.2× |
| C-reactive protein (86140) range across 6 matching MRF lines |
$3.75–$436.23 | $3.75–$436.23 | varies |
| Ca 19-9 (86301) | $4 | $4 | 0.2× |
| Cadmium (82300) | $18.50 | $18.50 | 0.8× |
| Caffeine (80155) | $15.50 | $15.50 | 0.4× |
| Calcitonin (82308) | $10 | $10 | 0.4× |
| Calcium ionized (82330) range across 3 matching MRF lines |
$4.25–$548.50 | $4.25–$548.50 | varies |
| Calcium total (82310) range across 8 matching MRF lines |
$2.75–$1,201.98 | $2.75–$1,201.98 | varies |
| Calculus assay quant (82360) | $12.25 | $12.25 | 1.0× |
| Calculus Spectroscopy (82365) | $12.50 | $12.50 | 1.0× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$214.50–$829.31 | $214.50–$829.31 | varies |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$5.50–$228 | $5.50–$228 | varies |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$3.75–$14.25 | $3.75–$14.25 | varies |
| Candida antibody (86628) | $195 | $195 | 16.2× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$195.66–$1,851.95 | $195.66–$1,851.95 | varies |
| Carbohydrate Deficient Transferrin (82373) | $190 | $190 | 10.5× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$22.25–$481.14 | $22.25–$481.14 | varies |
| Carcinoembryonic antigen (82378) range across 3 matching MRF lines |
$14–$1,236.38 | $14–$1,236.38 | varies |
| Cardiolipin ab iga (86147) range across 8 matching MRF lines |
$3.25–$25.75 | $3.25–$25.75 | varies |
| Carnitine Quantitative Each Specimen (82379) | $24.25 | $24.25 | 1.4× |
| Carotene (82380) | $9 | $9 | 1.0× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$19.75–$25 | $19.75–$25 | varies |
| Catecholamines total urine (82382) | $50.25 | $50.25 | 1.8× |
| Ccp antibody (86200) | $12.50 | $12.50 | 1.0× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $1,649 | $1,649 | 6.8× |
| Cell count csf (89051) range across 3 matching MRF lines |
$189.83–$1,721.90 | $189.83–$1,721.90 | varies |
| Cell enumeration & id (86152) | $490.50 | $490.50 | 2.0× |
| Cell marker study (88182) range across 2 matching MRF lines |
$121.50–$171.50 | $121.50–$171.50 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $337 | $337 | 2.5× |
| Ceruloplasmin (82390) | $5 | $5 | 0.5× |
| Cftr gene com variants (81220) | $70 | $70 | 0.1× |
| Chemiluminescent assay (82397) range across 12 matching MRF lines |
$17.25–$245.25 | $17.25–$245.25 | varies |
| Chlamydia antibody (86631) range across 11 matching MRF lines |
$19.50–$234.25 | $19.50–$234.25 | varies |
| Chlamydia Igm Antibody (86632) | $19.50 | $19.50 | 1.5× |
| Chlamydia trachomatis ag if (87270) | $77 | $77 | 6.4× |
| Chloramphenicol level (82415) | $60.25 | $60.25 | 4.8× |
| Chloride other source (82438) range across 5 matching MRF lines |
$34.25–$1,230.84 | $34.25–$1,230.84 | varies |
| Chloride Serum (82435) range across 2 matching MRF lines |
$156.30–$1,132.28 | $156.30–$1,132.28 | varies |
| Chloride urine (82436) range across 7 matching MRF lines |
$2.25–$1,012.44 | $2.25–$1,012.44 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$39.37–$1,132.28 | $39.37–$1,132.28 | varies |
| Cholinesterase rbc (82482) | $17.25 | $17.25 | 1.8× |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$8–$48.11 | $8–$48.11 | varies |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$18.50–$1,027.60 | $18.50–$1,027.60 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $311.25 | $311.25 | 1.7× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) range across 2 matching MRF lines |
$33.25–$310.25 | $33.25–$310.25 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 3 matching MRF lines |
$42.75–$311.25 | $42.75–$311.25 | varies |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $331 | $331 | 1.9× |
| Chromium serum (82495) range across 3 matching MRF lines |
$7.50–$42.75 | $7.50–$42.75 | varies |
| Chromogranin a (86316) range across 3 matching MRF lines |
$30.50–$39 | $30.50–$39 | varies |
| Chromosome Analysis 15-20 (88262) range across 5 matching MRF lines |
$213.50–$708.75 | $213.50–$708.75 | varies |
| Chromosome Analysis 20-25 (88264) | $213.50 | $213.50 | 1.5× |
| Chromosome analysis 45 cells (88263) | $310.25 | $310.25 | 2.1× |
| Chromosome analysis, 5 (88261) range across 3 matching MRF lines |
$302.75–$606.75 | $302.75–$606.75 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$18–$22.25 | $18–$22.25 | varies |
| Citric acid urine (82507) range across 3 matching MRF lines |
$12.25–$40.75 | $12.25–$40.75 | varies |
| Ckmb (82553) range across 2 matching MRF lines |
$189.83–$1,540.23 | $189.83–$1,540.23 | varies |
| Clostridium Difficile (87324) range across 4 matching MRF lines |
$110.52–$1,542.56 | $110.52–$1,542.56 | varies |
| Clot Factor VIII Multimetric (85247) | $147 | $147 | 6.4× |
| Clot factor xiii fibrin stab (85290) | $12.25 | $12.25 | 0.7× |
| Clotting factor viii related antigen (85244) | $84.75 | $84.75 | 4.2× |
| Clotting factor xii hageman (85280) | $70 | $70 | 3.6× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$153.25–$582.25 | $153.25–$582.25 | varies |
| Clotting hi molec weight kininogen assay (85293) | $202.50 | $202.50 | 10.7× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $202.50 | $202.50 | 10.7× |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$63.28–$1,332.03 | $63.28–$1,332.03 | varies |
| Coccidioides antibody (86635) range across 10 matching MRF lines |
$37–$1,615.76 | $37–$1,615.76 | varies |
| Cold agglutinin screen (86156) range across 2 matching MRF lines |
$133.84–$983.86 | $133.84–$983.86 | varies |
| Cold agglutinin titer (86157) | $4.50 | $4.50 | 0.6× |
| Collagen crosslinks (82523) range across 4 matching MRF lines |
$19.75–$251.50 | $19.75–$251.50 | varies |
| Column Chromotography Quant (82542) range across 12 matching MRF lines |
$34.75–$289.50 | $34.75–$289.50 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$203.54–$1,478.41 | $203.54–$1,478.41 | varies |
| Complement Antigen Each Component (86160) range across 9 matching MRF lines |
$3.50–$53.75 | $3.50–$53.75 | varies |
| Complement Fixation Tests Each Antigen (86171) | $53.75 | $53.75 | 5.4× |
| Complement Total (Ch50) (86162) | $4 | $4 | 0.2× |
| Complement/Function Activity (86161) | $23.75 | $23.75 | 2.0× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$158–$694.30 | $158–$694.30 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $306.50 | $306.50 | 6.4× |
| Coombs direct (86880) range across 7 matching MRF lines |
$41–$415.53 | $41–$415.53 | varies |
| Copper urine (82525) range across 3 matching MRF lines |
$7.25–$235.25 | $7.25–$235.25 | varies |
| Cortisol free (82530) | $12.75 | $12.75 | 0.8× |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$8.50–$438.57 | $8.50–$438.57 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$6.25–$8.50 | $6.25–$8.50 | varies |
| Creatine kinase total (82550) range across 4 matching MRF lines |
$6.75–$1,225.01 | $6.75–$1,225.01 | varies |
| Creatinine blood (82565) range across 3 matching MRF lines |
$67.94–$1,001.06 | $67.94–$1,001.06 | varies |
| Creatinine clearance (82575) range across 3 matching MRF lines |
$154.84–$1,919.31 | $154.84–$1,919.31 | varies |
| Creatinine Urine (82570) range across 13 matching MRF lines |
$3.50–$1,225.01 | $3.50–$1,225.01 | varies |
| Crossmatch electronic (86923) | $871.30 | $871.30 | 4.0× |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$172.63–$1,244.55 | $172.63–$1,244.55 | varies |
| Crp High Sensitivity (86141) range across 3 matching MRF lines |
$99.44–$436.23 | $99.44–$436.23 | varies |
| Cryofibrinogen (82585) | $2.25 | $2.25 | 0.2× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$3.50–$13.75 | $3.50–$13.75 | varies |
| Cryptococcus ab (86641) range across 2 matching MRF lines |
$85.75–$95.50 | $85.75–$95.50 | varies |
| Cryptococcus ag titer (87899) range across 6 matching MRF lines |
$10.50–$3,045.47 | $10.50–$3,045.47 | varies |
| Cryptosporidium ag eia (87328) range across 5 matching MRF lines |
$79.32–$807.73 | $79.32–$807.73 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 6 matching MRF lines |
$39.37–$529.55 | $39.37–$529.55 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $229.75 | $229.75 | 28.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $9.39 | $9.39 | 1.2× |
| Culture aerobic quant other (87071) range across 2 matching MRF lines |
$189.83–$2,529.92 | $189.83–$2,529.92 | varies |
| Culture afb (87116) range across 2 matching MRF lines |
$244.94–$1,770.01 | $244.94–$1,770.01 | varies |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$17.10–$2,419.41 | $17.10–$2,419.41 | varies |
| Culture blood (87040) range across 6 matching MRF lines |
$11.37–$2,529.92 | $11.37–$2,529.92 | varies |
| Culture chlamydia (87110) range across 2 matching MRF lines |
$61.25–$127.50 | $61.25–$127.50 | varies |
| Culture csf (87070) range across 46 matching MRF lines |
$5.78–$1,945.85 | $5.78–$1,945.85 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$167.09–$1,514.57 | $167.09–$1,514.57 | varies |
| Culture fungus blood (87103) range across 2 matching MRF lines |
$189.83–$1,517.49 | $189.83–$1,517.49 | varies |
| Culture screen only (87081) range across 11 matching MRF lines |
$57.50–$1,294.70 | $57.50–$1,294.70 | varies |
| Culture stool (87045) range across 3 matching MRF lines |
$144.93–$1,926.89 | $144.93–$1,926.89 | varies |
| Culture typing if ea antiserum (87140) | $29.50 | $29.50 | 5.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$18.50–$79.32 | $18.50–$79.32 | varies |
| Culture urine (87086) range across 4 matching MRF lines |
$7.89–$1,770.01 | $7.89–$1,770.01 | varies |
| Cyanide (82600) | $33.25 | $33.25 | 1.7× |
| Cyclic amp (82030) range across 2 matching MRF lines |
$34.75–$44.25 | $34.75–$44.25 | varies |
| Cyclosporine (80158) | $16.25 | $16.25 | 0.9× |
| Cyp2c19 gene analysis common variants (81225) | $249.75 | $249.75 | 0.9× |
| Cystatin C (82610) | $47 | $47 | 2.5× |
| Cytogenetics 10-30 (88273) range across 3 matching MRF lines |
$23.25–$190 | $23.25–$190 | varies |
| Cytogenetics 100-300 (88275) range across 3 matching MRF lines |
$56.50–$153.25 | $56.50–$153.25 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$910.25–$3,310.25 | $910.25–$3,310.25 | varies |
| Cytomegalovirus igg (86644) range across 5 matching MRF lines |
$5–$55.25 | $5–$55.25 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$102.93–$1,401.43 | $102.93–$1,401.43 | varies |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$73.19–$1,401.43 | $73.19–$1,401.43 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $1,012.44 | $1,012.44 | 15.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $1,517.49 | $1,517.49 | 6.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 2 matching MRF lines |
$73.19–$1,308.12 | $73.19–$1,308.12 | varies |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $491.05 | $491.05 | 26.5× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $1,536.44 | $1,536.44 | 22.9× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $1,177.19 | $1,177.19 | 31.6× |
| Cytp Urine 3-5 Probes Cmptr (88121) range across 2 matching MRF lines |
$490.50–$1,874.70 | $490.50–$1,874.70 | varies |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) range across 2 matching MRF lines |
$158.63–$1,143.95 | $158.63–$1,143.95 | varies |
| Deoxycortisol (82634) | $66.25 | $66.25 | 2.3× |
| Deoxyribonuclease antibody (86215) range across 2 matching MRF lines |
$18–$88.25 | $18–$88.25 | varies |
| Desoxycorticosterone (82633) | $80.75 | $80.75 | 2.6× |
| Detect Agent Nos Dna Amp (87798) range across 29 matching MRF lines |
$6.25–$462.25 | $6.25–$462.25 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$245.25–$364 | $245.25–$364 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$154.50–$310.25 | $154.50–$310.25 | varies |
| Dgp Antibody Each Ig Class (86258) range across 11 matching MRF lines |
$3.50–$120 | $3.50–$120 | varies |
| Dhea (82626) | $6 | $6 | 0.2× |
| Dhea-S (82627) | $6.25 | $6.25 | 0.3× |
| Digoxin (80162) range across 3 matching MRF lines |
$152.80–$1,953.72 | $152.80–$1,953.72 | varies |
| Dihydrotestosterone (82642) | $27 | $27 | 0.9× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$6.25–$52.75 | $6.25–$52.75 | varies |
| Dna/Rna Amplified Probe (87150) range across 9 matching MRF lines |
$110.22–$119.56 | $110.22–$119.56 | varies |
| Drug assay acetaminophen (80143) | $70.42 | $70.42 | 3.8× |
| Drug Assay Amiodarone (80151) | $10 | $10 | 0.5× |
| Drug Assay Everolimus (80169) | $106.75 | $106.75 | 7.8× |
| Drug assay felbamate (80167) | $14.25 | $14.25 | 0.8× |
| Drug Assay Infliximab (80230) range across 2 matching MRF lines |
$153.25–$490.50 | $153.25–$490.50 | varies |
| Drug Assay Itraconazole (80189) | $103 | $103 | 3.8× |
| Drug Assay Lacosamide (80235) | $191.25 | $191.25 | 7.1× |
| Drug Assay Posaconazole (80187) | $72.50 | $72.50 | 2.7× |
| Drug assay voriconazole (80285) | $72.50 | $72.50 | 2.7× |
| Drug Screen Quant Zonisamide (80203) | $50 | $50 | 3.8× |
| Drug Screen Quantitative Gabapentin (80171) | $10 | $10 | 0.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $11 | $11 | 0.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $13 | $13 | 1.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $8 | $8 | 0.6× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $14.75 | $14.75 | 0.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$50.25–$1,843.50 | $50.25–$1,843.50 | varies |
| Egfr Gene Analysis Common Variants (81235) range across 2 matching MRF lines |
$187.21–$1,534 | $187.21–$1,534 | varies |
| Ehrlichia antibody (86666) range across 5 matching MRF lines |
$78.50–$457.50 | $78.50–$457.50 | varies |
| El-1 Fecal Quantitative (82653) | $300 | $300 | 13.1× |
| Electrolyte panel (80051) range across 4 matching MRF lines |
$71.44–$964.61 | $71.44–$964.61 | varies |
| Electron Microscopy (88348) | $223 | $223 | 0.2× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 2 matching MRF lines |
$29–$65 | $29–$65 | varies |
| Encephaltis East Eqne Anbdy (86652) range across 8 matching MRF lines |
$10–$173 | $10–$173 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 8 matching MRF lines |
$10–$184 | $10–$184 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 4 matching MRF lines |
$3.50–$71.25 | $3.50–$71.25 | varies |
| Enterovirus Antibody (86658) range across 53 matching MRF lines |
$4.75–$150.75 | $4.75–$150.75 | varies |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$100.02–$338.50 | $100.02–$338.50 | varies |
| Enzyme cell activity (82657) range across 4 matching MRF lines |
$78.50–$187.75 | $78.50–$187.75 | varies |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
$76.98–$564.25 | $76.98–$564.25 | varies |
| Erythropoietin (82668) | $9 | $9 | 0.5× |
| Estradiol serum (82670) | $6.25 | $6.25 | 0.2× |
| Estriol (82677) range across 2 matching MRF lines |
$7.50–$31.75 | $7.50–$31.75 | varies |
| Estrogen total (82672) range across 2 matching MRF lines |
$7.25–$121.50 | $7.25–$121.50 | varies |
| Estrogens fractionated (82671) | $487.75 | $487.75 | 15.1× |
| Ethosuximide (80168) | $12 | $12 | 0.7× |
| Ethylene Glycol (82693) | $16.75 | $16.75 | 1.1× |
| Euglobulin lysis (85360) | $60.75 | $60.75 | 7.2× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$171.17–$1,230.84 | $171.17–$1,230.84 | varies |
| F2 Gene (81240) | $245.25 | $245.25 | 3.7× |
| Factor ii activity (85210) | $18.50 | $18.50 | 1.4× |
| Factor Inhibitor Test (85335) | $153.25 | $153.25 | 11.9× |
| Factor ix activity (85250) | $19.75 | $19.75 | 1.0× |
| Factor v activity (85220) | $15 | $15 | 0.8× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$32.25–$146.75 | $32.25–$146.75 | varies |
| Factor vii assay (85230) | $50 | $50 | 2.8× |
| Factor viii assay (85240) range across 4 matching MRF lines |
$18.50–$103 | $18.50–$103 | varies |
| Factor X (85260) | $24.25 | $24.25 | 1.4× |
| Factor xi activity (85270) | $37 | $37 | 2.1× |
| Fat differential, feces, quantitative Facility (82715) | $38 | $38 | 1.7× |
| Fat stain feces urine/respir secretions (89125) | $5.25 | $5.25 | 0.9× |
| Fat/Lipids Feces Quantitative (82710) | $15 | $15 | 0.9× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) range across 2 matching MRF lines |
$25–$30.50 | $25–$30.50 | varies |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $19.75 | $19.75 | 3.0× |
| Fecal Fat Qualitative (82705) range across 4 matching MRF lines |
$6.25–$568.33 | $6.25–$568.33 | varies |
| Ferritin (82728) range across 3 matching MRF lines |
$158.63–$438.57 | $158.63–$438.57 | varies |
| Fetal Fibronectin (82731) range across 3 matching MRF lines |
$358–$1,549.56 | $358–$1,549.56 | varies |
| Fetal hemoglobin assay qual (83033) | $38 | $38 | 4.8× |
| Fetal screen rosette (85461) range across 2 matching MRF lines |
$49.57–$363.33 | $49.57–$363.33 | varies |
| Fibrin degradation products (85362) | $37 | $37 | 5.4× |
| Fibrin Degradation Quant (85379) range across 6 matching MRF lines |
$149.01–$1,901.82 | $149.01–$1,901.82 | varies |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$63.28–$1,514.57 | $63.28–$1,514.57 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $224.82 | $224.82 | 14.5× |
| Flecainide level (80181) | $15 | $15 | 0.8× |
| Flow cytometry first marker (88184) range across 8 matching MRF lines |
$15.75–$121.50 | $15.75–$121.50 | varies |
| Flt3 Gene (81245) range across 2 matching MRF lines |
$203.50–$914.17 | $203.50–$914.17 | varies |
| Fluorescent antibody screen (86255) range across 25 matching MRF lines |
$11–$588.50 | $11–$588.50 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 12 matching MRF lines |
$10–$153.25 | $10–$153.25 | varies |
| Fluoride serum (82735) | $79.75 | $79.75 | 4.3× |
| Folic acid rbc (82747) | $1.75 | $1.75 | 0.1× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$119.56–$438.57 | $119.56–$438.57 | varies |
| Follicle Stimulating Hormone (83001) | $4.75 | $4.75 | 0.3× |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) | $19.50 | $19.50 | 0.7× |
| Francisella tularensis (86668) | $114 | $114 | 8.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $245.24 | $245.24 | 1.1× |
| Frozen blood freeze/thaw (86932) | $739.50 | $739.50 | 15.4× |
| Frozen Section (88331) range across 3 matching MRF lines |
$106.14–$1,451 | $106.14–$1,451 | varies |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$14–$62.50 | $14–$62.50 | varies |
| Galactose transferase test (82776) | $19.50 | $19.50 | 1.7× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $91.75 | $91.75 | 4.4× |
| Galectin-3 (82777) | $184 | $184 | 4.2× |
| Gammaglobulin ige (82785) | $5 | $5 | 0.3× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $363.33 | $363.33 | 37.2× |
| Gastric Analy W/Ph Ea Spec (82930) | $24.25 | $24.25 | 3.6× |
| Gastrin (82941) | $5.50 | $5.50 | 0.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,126.74 | $1,126.74 | 2.7× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $16,120.81 | $16,120.81 | 5.5× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$29.50–$182.75 | $29.50–$182.75 | varies |
| Gentamicin (80170) range across 2 matching MRF lines |
$189.83–$1,517.49 | $189.83–$1,517.49 | varies |
| Ggt (82977) range across 3 matching MRF lines |
$24.25–$1,310.45 | $24.25–$1,310.45 | varies |
| Giardia antigen (87329) range across 3 matching MRF lines |
$147.55–$935.45 | $147.55–$935.45 | varies |
| Giardia lamblia antibody (86674) | $231.50 | $231.50 | 15.7× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $18.50 | $18.50 | 3.1× |
| Glucagon (82943) | $21 | $21 | 1.5× |
| Glucose 2 hr pp (82950) range across 9 matching MRF lines |
$75.23–$1,027.60 | $75.23–$1,027.60 | varies |
| Glucose body fluid (82945) range across 8 matching MRF lines |
$3–$1,225.01 | $3–$1,225.01 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$82.81–$1,201.98 | $82.81–$1,201.98 | varies |
| Glucose tolerance test (gtt) (82951) range across 12 matching MRF lines |
$149.01–$4,760.37 | $149.01–$4,760.37 | varies |
| Glycated Protein (82985) | $7.50 | $7.50 | 0.4× |
| Gonadotropin Chorionic Qualitative (84703) range across 3 matching MRF lines |
$99.44–$1,201.98 | $99.44–$1,201.98 | varies |
| Growth hormone (83003) | $9.75 | $9.75 | 0.6× |
| Growth hormone antibody (86277) | $102 | $102 | 6.5× |
| H Pylori (C-13) Breath (83013) | $182.75 | $182.75 | 2.7× |
| Haloperidol (80173) | $15.75 | $15.75 | 1.0× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$4.50–$24.25 | $4.50–$24.25 | varies |
| Hba1/Hba2 Gene (81257) | $349.50 | $349.50 | 3.4× |
| Hdl Cholesterol (83718) range across 3 matching MRF lines |
$70.28–$363.33 | $70.28–$363.33 | varies |
| Heinz Bodies Direct (85441) | $176.50 | $176.50 | 42.0× |
| Helicobacter Pylori Stool (87338) | $85.75 | $85.75 | 6.0× |
| Helminth Antibody (86682) range across 7 matching MRF lines |
$36–$208.25 | $36–$208.25 | varies |
| Hematocrit (85014) range across 5 matching MRF lines |
$1.75–$633.65 | $1.75–$633.65 | varies |
| Hemoglobin (85018) range across 4 matching MRF lines |
$30.03–$633.65 | $30.03–$633.65 | varies |
| Hemoglobin a1c (83036) range across 4 matching MRF lines |
$2.75–$141.72 | $2.75–$141.72 | varies |
| Hemoglobin Chromotography (83021) range across 3 matching MRF lines |
$11.25–$19.50 | $11.25–$19.50 | varies |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$6.25–$46.50 | $6.25–$46.50 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $435.07 | $435.07 | 53.1× |
| Hemoglobin plasma (83051) | $10.25 | $10.25 | 1.4× |
| Hemolysin Acid (85475) range across 2 matching MRF lines |
$189.83–$1,517.49 | $189.83–$1,517.49 | varies |
| Hemolysins&Agglutinins Incubated (86941) | $196 | $196 | 16.2× |
| Hemosiderin urine (83070) | $64 | $64 | 13.5× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$5.50–$140.55 | $5.50–$140.55 | varies |
| Heparin assay (85520) range across 4 matching MRF lines |
$40.73–$1,074.55 | $40.73–$1,074.55 | varies |
| Hepatitis a antibody total (86708) | $2.25 | $2.25 | 0.2× |
| Hepatitis b core ab igm (86705) range across 3 matching MRF lines |
$3.50–$147.55 | $3.50–$147.55 | varies |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
$3.50–$7.50 | $3.50–$7.50 | varies |
| Hepatitis B Surface Antibody (86706) range across 4 matching MRF lines |
$3.50–$134.14 | $3.50–$134.14 | varies |
| Hepatitis B Surface Antigen (87340) range across 4 matching MRF lines |
$3–$129.47 | $3–$129.47 | varies |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$3.50–$4.75 | $3.50–$4.75 | varies |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$3–$4.75 | $3–$4.75 | varies |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$6.25–$179.04 | $6.25–$179.04 | varies |
| Hepatitis c antibody confirmatory test (86804) range across 3 matching MRF lines |
$25.75–$110.25 | $25.75–$110.25 | varies |
| Hepatitis C Genotype (87902) | $96.75 | $96.75 | 0.4× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $91.75 | $91.75 | 2.6× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$82–$147 | $82–$147 | varies |
| Hepatitis delta ag (87380) | $49 | $49 | 2.7× |
| Hepatitis Delta Agent Antibody (86692) | $22 | $22 | 1.3× |
| Herpes simplex type 2 (86696) range across 14 matching MRF lines |
$10–$77 | $10–$77 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$93.90–$1,074.55 | $93.90–$1,074.55 | varies |
| Hfe Gene (81256) | $121.50 | $121.50 | 1.9× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $47.08 | $47.08 | 6.1× |
| Histamine urine (83088) range across 3 matching MRF lines |
$10.50–$34.25 | $10.50–$34.25 | varies |
| Histoplasma antibody (86698) range across 4 matching MRF lines |
$18.25–$95.50 | $18.25–$95.50 | varies |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$71.75–$133.50 | $71.75–$133.50 | varies |
| Hiv Antigen W/Hiv Antibodies (87806) range across 2 matching MRF lines |
$90.40–$268.56 | $90.40–$268.56 | varies |
| Hiv Genotype (87901) range across 3 matching MRF lines |
$150–$796.75 | $150–$796.75 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $20.50 | $20.50 | 0.9× |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$6.25–$7.50 | $6.25–$7.50 | varies |
| HIV-1 p24 antigen (87390) | $10 | $10 | 0.4× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 6 matching MRF lines |
$91.75–$275.75 | $91.75–$275.75 | varies |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $94.75 | $94.75 | 0.4× |
| Hla ii type 1 ag equiv lr (81377) range across 2 matching MRF lines |
$69–$81.50 | $69–$81.50 | varies |
| Hla ii typing 1 allele hr (81383) range across 2 matching MRF lines |
$69–$81.50 | $69–$81.50 | varies |
| Hla Typing a/B/C Multiple Antigens (86813) | $429.25 | $429.25 | 7.4× |
| Hla Typing Dr/Dq Multiple Antigens (86817) range across 2 matching MRF lines |
$349.50–$367.75 | $349.50–$367.75 | varies |
| Hla-b27 (86812) range across 2 matching MRF lines |
$22–$87 | $22–$87 | varies |
| Homocysteine (83090) range across 4 matching MRF lines |
$15–$49 | $15–$49 | varies |
| Homogenization Tissue (87176) | $79.32 | $79.32 | 13.5× |
| Homovanillic acid urine (83150) | $14.75 | $14.75 | 0.7× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$19.75–$306.50 | $19.75–$306.50 | varies |
| Htlv-I Antibody (86687) range across 4 matching MRF lines |
$7.50–$110.25 | $7.50–$110.25 | varies |
| Htlv-ii antibody (86688) | $110.25 | $110.25 | 7.9× |
| Human Epididymis Protein 4 (86305) range across 3 matching MRF lines |
$228–$313.75 | $228–$313.75 | varies |
| Hydroxycorticosteroids 17 (83491) | $20.50 | $20.50 | 1.1× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$12.25–$19.50 | $12.25–$19.50 | varies |
| Hydroxyproline free (83500) | $39 | $39 | 1.7× |
| Hydroxyproline total (83505) | $185.25 | $185.25 | 7.6× |
| Iaad Ia Entamoeba Histolytica Grp (87337) range across 2 matching MRF lines |
$90.75–$106.75 | $90.75–$106.75 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $34.12 | $34.12 | 1.0× |
| Iaad ia shiga-like toxin (87427) range across 4 matching MRF lines |
$47.82–$127.50 | $47.82–$127.50 | varies |
| Iaad Ia Streptococcus Group A (87430) range across 3 matching MRF lines |
$88.35–$624.61 | $88.35–$624.61 | varies |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $67.50 | $67.50 | 5.6× |
| Iaadi herpes smplx virus type 1 (87274) range across 2 matching MRF lines |
$44.25–$77 | $44.25–$77 | varies |
| Iaadi herpes smplx virus type 2 (87273) | $44.25 | $44.25 | 3.7× |
| Iaadi inffluenza a virus (87276) range across 2 matching MRF lines |
$53.75–$66.25 | $53.75–$66.25 | varies |
| Iaadi not otherwise specified each organism (87299) | $136.25 | $136.25 | 8.5× |
| Iaadi parainfluenza virus each type (87279) | $66.25 | $66.25 | 4.0× |
| Iaadi pneumocustis carinii (87281) | $88.40 | $88.40 | 7.4× |
| Iaadi respiratory synctial virus (87280) range across 2 matching MRF lines |
$55.25–$66.25 | $55.25–$66.25 | varies |
| Iaadi Varicella Zoster Virus (87290) range across 2 matching MRF lines |
$102–$115 | $102–$115 | varies |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $310.25 | $310.25 | 8.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 5 matching MRF lines |
$108.18–$361.29 | $108.18–$361.29 | varies |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $3.75 | $3.75 | 0.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$100.02–$310.25 | $100.02–$310.25 | varies |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$40.73–$364 | $40.73–$364 | varies |
| Iadna hepatitis b virus amplified probe tq (87516) | $315 | $315 | 9.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $90 | $90 | 2.1× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 2 matching MRF lines |
$100.02–$365.25 | $100.02–$365.25 | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) range across 3 matching MRF lines |
$110.22–$214.50 | $110.22–$214.50 | varies |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $88.25 | $88.25 | 3.2× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $310.25 | $310.25 | 7.4× |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $34.25 | $34.25 | 1.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 6 matching MRF lines |
$108.18–$361.29 | $108.18–$361.29 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$18–$22.25 | $18–$22.25 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $77 | $77 | 1.5× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $787.90 | $787.90 | 5.5× |
| Ig Light Chains Free Each (83521) | $17.25 | $17.25 | 1.0× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$5.25–$70 | $5.25–$70 | varies |
| Igh gene rearrange amp meth (81261) | $363 | $363 | 1.8× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) range across 2 matching MRF lines |
$767.49–$2,007.37 | $767.49–$2,007.37 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $276.44 | $276.44 | 0.6× |
| Immune Complex Assay (86332) range across 2 matching MRF lines |
$16–$32.25 | $16–$32.25 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$19.75–$367.75 | $19.75–$367.75 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 16 matching MRF lines |
$12–$1,332.03 | $12–$1,332.03 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 7 matching MRF lines |
$9–$167.50 | $9–$167.50 | varies |
| Immunoassay nonantibody (83516) range across 12 matching MRF lines |
$7.50–$398.50 | $7.50–$398.50 | varies |
| Immunodiffusion not elsewhere specified (86329) range across 2 matching MRF lines |
$19.50–$100.50 | $19.50–$100.50 | varies |
| Immunodiffusion Ouchterlony (86331) | $44.25 | $44.25 | 3.7× |
| Immunoelectrophoresis Other Fluids Concentration (86325) range across 2 matching MRF lines |
$24–$27 | $24–$27 | varies |
| Immunoelectrophoresis Serum (86320) | $40.75 | $40.75 | 1.4× |
| Immunofixation electrophoresis (86334) range across 5 matching MRF lines |
$3–$117.75 | $3–$117.75 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 3 matching MRF lines |
$17.25–$318.50 | $17.25–$318.50 | varies |
| Immunohistochemistry (88342) range across 101 matching MRF lines |
$29.50–$781.20 | $29.50–$781.20 | varies |
| In situ hybridization 1st probe stain (88365) range across 5 matching MRF lines |
$77–$943.03 | $77–$943.03 | varies |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $66.25 | $66.25 | 4.6× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $70 | $70 | 5.2× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) range across 2 matching MRF lines |
$53.75–$66.25 | $53.75–$66.25 | varies |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) range across 2 matching MRF lines |
$310.25–$361.50 | $310.25–$361.50 | varies |
| Influenza a/b ag eia (87400) range across 3 matching MRF lines |
$80.75–$765.16 | $80.75–$765.16 | varies |
| Influenza assay w/optic (87804) range across 6 matching MRF lines |
$55.40–$395.99 | $55.40–$395.99 | varies |
| Influenza DNA amp probe (87502) | $120 | $120 | 1.3× |
| Inhibin A (86336) | $99.75 | $99.75 | 6.4× |
| Inhibin b (83520) range across 83 matching MRF lines |
$6.25–$862.26 | $6.25–$862.26 | varies |
| Insitu hybridization auto (88367) range across 7 matching MRF lines |
$199.75–$531.30 | $199.75–$531.30 | varies |
| Insitu hybridization manual (88368) range across 10 matching MRF lines |
$154.50–$943.03 | $154.50–$943.03 | varies |
| Insulin antibodies (86337) | $27 | $27 | 1.3× |
| Insulin total (83525) | $4.25 | $4.25 | 0.4× |
| Interleukin-6 (83529) range across 2 matching MRF lines |
$149.50–$619.25 | $149.50–$619.25 | varies |
| Intrinsic factor antibody (86340) | $6.25 | $6.25 | 0.4× |
| Iron (83540) range across 5 matching MRF lines |
$58.75–$1,310.45 | $58.75–$1,310.45 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$95.94–$694.30 | $95.94–$694.30 | varies |
| Iron stain peripheral blood (85536) | $1,404.93 | $1,404.93 | 204.2× |
| Irradiation Blood Product Each Unit (86945) | $254.86 | $254.86 | 5.3× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$22–$89 | $22–$89 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$92.25–$199.75 | $92.25–$199.75 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) range across 2 matching MRF lines |
$586.99–$613 | $586.99–$613 | varies |
| Ketosteroids 17 total (83586) | $38.50 | $38.50 | 3.0× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $1,819.29 | $1,819.29 | 5.5× |
| Koh Prep (87220) range across 2 matching MRF lines |
$37.91–$268.56 | $37.91–$268.56 | varies |
| Kras Gene Analysis Additional Variant(S) (81276) | $1,067.26 | $1,067.26 | 5.5× |
| Kras Gene Variants Exon 2 (81275) range across 3 matching MRF lines |
$361.50–$1,863.03 | $361.50–$1,863.03 | varies |
| L/s ratio (83661) | $73.50 | $73.50 | 3.3× |
| Lactate (ld) (ldh) enzyme (83615) range across 5 matching MRF lines |
$3–$1,132.28 | $3–$1,132.28 | varies |
| Lactoferrin fecal qualitative (83630) | $39 | $39 | 2.0× |
| Ldh Isoenzymes (83625) | $7.50 | $7.50 | 0.6× |
| Lead (83655) range across 4 matching MRF lines |
$4–$14.25 | $4–$14.25 | varies |
| Legionella antibody (86713) | $10 | $10 | 0.7× |
| Legionella antigen urine (87449) range across 8 matching MRF lines |
$55–$533.34 | $55–$533.34 | varies |
| Legionella pneumophila dfa (87278) range across 2 matching MRF lines |
$57.50–$89.50 | $57.50–$89.50 | varies |
| Leptospira antibody (86720) | $96.75 | $96.75 | 6.0× |
| Leucine Aminopeptidase Lap (83670) | $27 | $27 | 2.8× |
| Leukocyte Histamine Release (86343) | $34.25 | $34.25 | 2.7× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$40.24–$633.65 | $40.24–$633.65 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$73.19–$438.57 | $73.19–$438.57 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$495.43–$1,712.28 | $495.43–$1,712.28 | varies |
| Lidocaine (80176) | $14.75 | $14.75 | 1.0× |
| Lipase (83690) range across 5 matching MRF lines |
$14–$1,230.84 | $14–$1,230.84 | varies |
| Lipoprotein A (83695) | $10.75 | $10.75 | 0.8× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) range across 2 matching MRF lines |
$11.50–$15.75 | $11.50–$15.75 | varies |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) range across 2 matching MRF lines |
$13.75–$18 | $13.75–$18 | varies |
| Lipoprotein-Associated Phospholipase A2 (83698) | $14.75 | $14.75 | 0.3× |
| Lithium (80178) range across 2 matching MRF lines |
$128.89–$1,132.28 | $128.89–$1,132.28 | varies |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$4–$52.75 | $4–$52.75 | varies |
| Lyme disease antibody (86618) range across 4 matching MRF lines |
$12.25–$79.75 | $12.25–$79.75 | varies |
| Lymphocyte transformation (86353) | $360.25 | $360.25 | 7.3× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $122.50 | $122.50 | 3.5× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $839.52 | $839.52 | 3.8× |
| M/phmtrc alys ishquant/semiq (88374) range across 2 matching MRF lines |
$747.66–$987.36 | $747.66–$987.36 | varies |
| Macroscopic Exam Parasite (87169) | $99.25 | $99.25 | 23.0× |
| Magnesium Urine (83735) range across 11 matching MRF lines |
$4–$1,190.60 | $4–$1,190.60 | varies |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$19.50–$133.50 | $19.50–$133.50 | varies |
| Mercury urine (83825) range across 4 matching MRF lines |
$12.50–$57.50 | $12.50–$57.50 | varies |
| Metabolic panel ionized ca (80047) | $1,684.86 | $1,684.86 | 122.7× |
| Methemalbumin (83857) | $50.25 | $50.25 | 4.7× |
| Methotrexate (80204) range across 2 matching MRF lines |
$22.25–$30.50 | $22.25–$30.50 | varies |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$14–$241.50 | $14–$241.50 | varies |
| Mgmt methylation analysis (81287) range across 3 matching MRF lines |
$688.18–$1,397.64 | $688.18–$1,397.64 | varies |
| Microalbumin, quantitative (82043) range across 6 matching MRF lines |
$3.50–$481.14 | $3.50–$481.14 | varies |
| Microbe Suscept Macrobroth (87188) | $414.50 | $414.50 | 62.4× |
| Microsatellite instability (81301) | $342 | $342 | 1.0× |
| Microsomal Antibodies Each (86376) range across 6 matching MRF lines |
$2.75–$199.75 | $2.75–$199.75 | varies |
| Mitochondrial Antibody Each (86381) | $6.50 | $6.50 | 0.3× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 7 matching MRF lines |
$23.25–$190 | $23.25–$190 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $98.25 | $98.25 | 2.3× |
| Molecular Pathology Procedure Level 3 (81402) range across 2 matching MRF lines |
$270.25–$271 | $270.25–$271 | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 4 matching MRF lines |
$441.25–$1,663.58 | $441.25–$1,663.58 | varies |
| Mononuclear cell antigen (86356) | $184 | $184 | 6.9× |
| Mopath procedure level 1 (81400) | $272.25 | $272.25 | 4.3× |
| Mopath procedure level 2 (81401) range across 7 matching MRF lines |
$58–$756.70 | $58–$756.70 | varies |
| Mopath procedure level 4 (81403) range across 6 matching MRF lines |
$299–$1,022.64 | $299–$1,022.64 | varies |
| Mopath procedure level 5 (81404) range across 5 matching MRF lines |
$346–$2,469 | $346–$2,469 | varies |
| Mopath procedure level 7 (81406) | $441.25 | $441.25 | 1.6× |
| Mthfr Gene Analysis Common Variants (81291) | $70 | $70 | 1.1× |
| Mumps antibody (86735) range across 10 matching MRF lines |
$3.25–$55.25 | $3.25–$55.25 | varies |
| Mycophenolic Acid (80180) | $49 | $49 | 2.7× |
| Mycoplasma antibody (86738) range across 7 matching MRF lines |
$6.25–$149.75 | $6.25–$149.75 | varies |
| Mycoplasma culture (87109) range across 3 matching MRF lines |
$73.50–$99.25 | $73.50–$99.25 | varies |
| Myelin basic protein csf (83873) range across 2 matching MRF lines |
$12.25–$56.50 | $12.25–$56.50 | varies |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$5–$798.40 | $5–$798.40 | varies |
| Natriuretic peptide (83880) range across 5 matching MRF lines |
$45–$968.11 | $45–$968.11 | varies |
| Neisseria Dir Na Probe (87590) | $3.75 | $3.75 | 0.1× |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$55.25–$282.25 | $55.25–$282.25 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $115.75 | $115.75 | 1.6× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $594.50 | $594.50 | 22.8× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $594.50 | $594.50 | 1.2× |
| Niacin (84591) | $60.25 | $60.25 | 3.5× |
| Nitroblue Tetrazolium Dye (86384) | $282.25 | $282.25 | 20.7× |
| Nk cells total count (86357) | $25.75 | $25.75 | 0.7× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) range across 3 matching MRF lines |
$312.75–$1,361.19 | $312.75–$1,361.19 | varies |
| Nras gene variants exon 2&3 (81311) | $1,632.96 | $1,632.96 | 5.5× |
| Nuclear antigen antibody (86235) range across 23 matching MRF lines |
$5.50–$92.75 | $5.50–$92.75 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$71.44–$518.17 | $71.44–$518.17 | varies |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$88.35–$633.65 | $88.35–$633.65 | varies |
| Oligoclonal bands (83916) range across 3 matching MRF lines |
$12.25–$36.75 | $12.25–$36.75 | varies |
| Oncoprotein dcp (83951) | $219.25 | $219.25 | 3.4× |
| Organic acids urine (83918) | $24.25 | $24.25 | 1.0× |
| Osmolality serum (83930) range across 5 matching MRF lines |
$6–$1,132.28 | $6–$1,132.28 | varies |
| Osmolality Urine (83935) range across 4 matching MRF lines |
$6.25–$1,132.28 | $6.25–$1,132.28 | varies |
| Osmotic fragility rbc incubated (85557) | $138 | $138 | 10.3× |
| Osteocalcin (83937) | $25 | $25 | 0.8× |
| Ova and parasites smears (87177) range across 4 matching MRF lines |
$4.38–$2,104.77 | $4.38–$2,104.77 | varies |
| Oxalate urine (83945) range across 2 matching MRF lines |
$8.50–$11 | $8.50–$11 | varies |
| Pancreatic Elastase Fecal (82656) range across 2 matching MRF lines |
$244.75–$300 | $244.75–$300 | varies |
| Particle Agglutination Screen Each Antibody (86403) range across 7 matching MRF lines |
$66.25–$605.36 | $66.25–$605.36 | varies |
| Parvovirus antibody (86747) | $28 | $28 | 1.9× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) range across 2 matching MRF lines |
$297.14–$1,432.05 | $297.14–$1,432.05 | varies |
| Ph urine (81003) range across 7 matching MRF lines |
$8.50–$1,132.28 | $8.50–$1,132.28 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$189.83–$2,254.94 | $189.83–$2,254.94 | varies |
| Phenylalanine (84030) range across 2 matching MRF lines |
$18.50–$62.75 | $18.50–$62.75 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$178.46–$2,254.94 | $178.46–$2,254.94 | varies |
| Phenytoin free (80186) | $8.25 | $8.25 | 0.6× |
| Phosphatase acid prostatic (84066) | $8.50 | $8.50 | 0.9× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$82.81–$1,132.28 | $82.81–$1,132.28 | varies |
| Phosphatidylglycerol (84081) | $29.50 | $29.50 | 1.8× |
| Phospholipid Neutralization Hexagonal (85598) range across 4 matching MRF lines |
$10–$31.75 | $10–$31.75 | varies |
| Phosphorus Serum (84100) range across 5 matching MRF lines |
$82.81–$1,201.98 | $82.81–$1,201.98 | varies |
| Phosphorus urine (84105) range across 5 matching MRF lines |
$8.50–$1,225.01 | $8.50–$1,225.01 | varies |
| Pinworm exam (87172) range across 2 matching MRF lines |
$88.35–$633.65 | $88.35–$633.65 | varies |
| Platelet Aggregation (85576) range across 8 matching MRF lines |
$63.28–$1,244.55 | $63.28–$1,244.55 | varies |
| Platelet Antibodies (86022) range across 6 matching MRF lines |
$12.50–$318.50 | $12.50–$318.50 | varies |
| Platelet count automated (85049) range across 4 matching MRF lines |
$30.03–$701.88 | $30.03–$701.88 | varies |
| Platelet neutralization (85597) | $25.75 | $25.75 | 1.4× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $122.50 | $122.50 | 0.6× |
| Porphobilinogen Urine Qualitative (84106) | $15.75 | $15.75 | 2.7× |
| Porphobilinogen, urine; quantitative (84110) | $8 | $8 | 0.9× |
| Porphyrins Feces Quantitative (84126) | $251.50 | $251.50 | 6.4× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $6 | $6 | 0.4× |
| Potassium Urine (84133) range across 4 matching MRF lines |
$2.25–$1,012.44 | $2.25–$1,012.44 | varies |
| Prealbumin (84134) range across 3 matching MRF lines |
$6.25–$1,271.96 | $6.25–$1,271.96 | varies |
| Pregnenolone (84140) | $32.25 | $32.25 | 1.6× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $77 | $77 | 0.4× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $75 | $75 | 1.0× |
| Pretx serum rbc antibody identification dilution (86976) | $53.50 | $53.50 | 1.4× |
| Primidone (80188) | $17.75 | $17.75 | 1.1× |
| Procalcitonin (Pct) (84145) | $270.60 | $270.60 | 9.9× |
| Progesterone (84144) | $4.25 | $4.25 | 0.2× |
| Prolactin (84146) | $4 | $4 | 0.2× |
| Prostaglandin (84150) | $398.50 | $398.50 | 9.5× |
| Protein body fluid (84157) range across 5 matching MRF lines |
$3–$1,283.33 | $3–$1,283.33 | varies |
| Protein C Activity (85303) range across 3 matching MRF lines |
$17.50–$25.75 | $17.50–$25.75 | varies |
| Protein c antigen (85302) range across 2 matching MRF lines |
$6–$35.50 | $6–$35.50 | varies |
| Protein Electrophoresis Urine (84166) range across 5 matching MRF lines |
$8–$19.50 | $8–$19.50 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$6.25–$7.50 | $6.25–$7.50 | varies |
| Protein S Free (85306) range across 5 matching MRF lines |
$13.75–$49 | $13.75–$49 | varies |
| Protein s total (85305) | $19.50 | $19.50 | 1.7× |
| Protein total serum (84155) range across 3 matching MRF lines |
$6.25–$1,132.28 | $6.25–$1,132.28 | varies |
| Protein Total Urine (84156) range across 5 matching MRF lines |
$10–$1,230.84 | $10–$1,230.84 | varies |
| Protein Western Blot Test (84182) range across 7 matching MRF lines |
$108–$533.25 | $108–$533.25 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 3 matching MRF lines |
$25.75–$589.62 | $25.75–$589.62 | varies |
| Protoporphyrin rbc quantitative (84202) | $7.50 | $7.50 | 0.5× |
| PSA free (84154) range across 6 matching MRF lines |
$7.50–$1,580.76 | $7.50–$1,580.76 | varies |
| Pth Intact (83970) range across 9 matching MRF lines |
$6–$694.30 | $6–$694.30 | varies |
| Pyruvate kinase (84220) | $11.37 | $11.37 | 1.2× |
| Q Fever Antibody (86638) | $146 | $146 | 12.0× |
| Quantiferon tb gold plus (86480) range across 3 matching MRF lines |
$37–$620.23 | $37–$620.23 | varies |
| Quantitative assay drug (80299) range across 34 matching MRF lines |
$12.50–$862.26 | $12.50–$862.26 | varies |
| Quantitative Screen Metals (83018) range across 4 matching MRF lines |
$13.75–$55.25 | $13.75–$55.25 | varies |
| Quinidine (80194) | $12.25 | $12.25 | 0.8× |
| Rbc antibody elution (86860) range across 3 matching MRF lines |
$56.50–$2,254.94 | $56.50–$2,254.94 | varies |
| Rbc antibody identification (86870) range across 7 matching MRF lines |
$20.50–$2,783.03 | $20.50–$2,783.03 | varies |
| Rbc antibody screen (86850) range across 6 matching MRF lines |
$12.25–$726.08 | $12.25–$726.08 | varies |
| Rbc pretreatment serum (86978) | $56.50 | $56.50 | 0.7× |
| Rbc pretx incubatj w/enzymes (86971) | $35.50 | $35.50 | 0.2× |
| Renin activity plasma (84244) | $7.75 | $7.75 | 0.4× |
| Reptilase test (85635) | $90.75 | $90.75 | 9.2× |
| Resp virus 12-25 targets (87633) range across 3 matching MRF lines |
$92.44–$4,262.32 | $92.44–$4,262.32 | varies |
| Rh (86901) range across 5 matching MRF lines |
$12.25–$633.65 | $12.25–$633.65 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$2.75–$29.74 | $2.75–$29.74 | varies |
| Rickettsia antibody (86757) range across 4 matching MRF lines |
$79.75–$192.50 | $79.75–$192.50 | varies |
| Ristocetin cofactor (85245) | $55.25 | $55.25 | 2.4× |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$45.78–$334.47 | $45.78–$334.47 | varies |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$4–$715 | $4–$715 | varies |
| Rsv ab (86756) | $44.25 | $44.25 | 2.8× |
| Rsv Assay W/Optic (87807) | $347.59 | $347.59 | 26.5× |
| Rubella Antibody (86762) range across 9 matching MRF lines |
$3.25–$206.74 | $3.25–$206.74 | varies |
| Rubeola antibody (86765) range across 10 matching MRF lines |
$3.50–$66.25 | $3.50–$66.25 | varies |
| Russell Viper Venom Time Diluted (85613) range across 5 matching MRF lines |
$10–$73.50 | $10–$73.50 | varies |
| Salicylate Level (80179) | $70.42 | $70.42 | 3.8× |
| Salmonella antibody (86768) | $18.50 | $18.50 | 1.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$59.78–$71.44 | $59.78–$71.44 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $53.50 | $53.50 | 1.3× |
| Sarscov2 & inf a&b amp prb (87636) | $64.15 | $64.15 | 0.4× |
| Sedimentation rate (85651) range across 3 matching MRF lines |
$55.40–$568.33 | $55.40–$568.33 | varies |
| Sedimentation Rate, Automated (85652) range across 3 matching MRF lines |
$55.40–$70.86 | $55.40–$70.86 | varies |
| Selenium (84255) | $34.75 | $34.75 | 1.4× |
| Semen analysis complete (89320) range across 2 matching MRF lines |
$189.83–$2,641.60 | $189.83–$2,641.60 | varies |
| Semen analysis motility and count (89310) range across 2 matching MRF lines |
$149.01–$1,253.01 | $149.01–$1,253.01 | varies |
| Sensitivity mic (87186) range across 8 matching MRF lines |
$8.50–$647.94 | $8.50–$647.94 | varies |
| Serum Bactericidal Titer (87197) | $94.50 | $94.50 | 6.3× |
| Sex Chromatin Identification Barr Bodies (88130) | $610.61 | $610.61 | 34.0× |
| Sex Hormone Binding Globulin (84270) | $19.75 | $19.75 | 0.9× |
| Sickling of rbc reduction (85660) | $4.25 | $4.25 | 0.8× |
| Sirolimus (80195) | $20.50 | $20.50 | 1.5× |
| Skin Test Candida (86485) range across 2 matching MRF lines |
$82.81–$605.36 | $82.81–$605.36 | varies |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$82.81–$605.36 | $82.81–$605.36 | varies |
| Skin test unlisted antigen each (86486) range across 2 matching MRF lines |
$99.44–$715 | $99.44–$715 | varies |
| Skin test; histoplasmosis (86510) | $56.50 | $56.50 | 1.2× |
| Smear acid fast (87206) range across 4 matching MRF lines |
$108.77–$1,362.65 | $108.77–$1,362.65 | varies |
| Smear complex stain (87209) range across 3 matching MRF lines |
$4.37–$129.18 | $4.37–$129.18 | varies |
| Smear gram stain (87205) range across 8 matching MRF lines |
$6.91–$803.65 | $6.91–$803.65 | varies |
| Smear Special Stain (87207) range across 4 matching MRF lines |
$94.50–$1,517.49 | $94.50–$1,517.49 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $510.75 | $510.75 | 3.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 6 matching MRF lines |
$37.91–$1,412.80 | $37.91–$1,412.80 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $160 | $160 | 3.1× |
| Sodium Serum (84295) range across 3 matching MRF lines |
$66.48–$1,001.06 | $66.48–$1,001.06 | varies |
| Sodium Urine (84300) range across 5 matching MRF lines |
$2.25–$1,012.44 | $2.25–$1,012.44 | varies |
| Somatomedin (84305) | $7.50 | $7.50 | 0.4× |
| Somatostatin (84307) | $139.75 | $139.75 | 7.6× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$1,190.60–$2,254.94 | $1,190.60–$2,254.94 | varies |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$97.39–$1,401.43 | $97.39–$1,401.43 | varies |
| Specific gravity body fluid (84315) range across 2 matching MRF lines |
$60.65–$438.57 | $60.65–$438.57 | varies |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$79.32–$1,770.01 | $79.32–$1,770.01 | varies |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$9–$983.86 | $9–$983.86 | varies |
| Sperm Antibodies (89325) | $62.50 | $62.50 | 5.9× |
| Splitting Blood/Blood Products Each Unit (86985) | $776.82 | $776.82 | 3.5× |
| Stool cultr aerobic bact ea (87046) range across 15 matching MRF lines |
$14.29–$104.68 | $14.29–$104.68 | varies |
| Strep a DNA amp probe (87651) | $132.65 | $132.65 | 3.8× |
| Strep b DNA amp probe (87653) | $100.02 | $100.02 | 2.9× |
| Streptokinase, antibody Facility (86590) | $77 | $77 | 6.1× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $61.25 | $61.25 | 5.3× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $6 | $6 | 1.1× |
| Sulfate urine (84392) | $8.50 | $8.50 | 1.5× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$102.93–$610.61 | $102.93–$610.61 | varies |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$84.50–$1,011.27 | $84.50–$1,011.27 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$1,244.55–$2,181.75 | $1,244.55–$2,181.75 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $254.25 | $254.25 | 53.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$90.40–$647.94 | $90.40–$647.94 | varies |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) range across 4 matching MRF lines |
$30.50–$187.75 | $30.50–$187.75 | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) range across 2 matching MRF lines |
$118.75–$310.25 | $118.75–$310.25 | varies |
| Sweat Collection Iontophoresis (89230) range across 2 matching MRF lines |
$189.83–$2,753.87 | $189.83–$2,753.87 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$24.25–$25.75 | $24.25–$25.75 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$25.75–$77 | $25.75–$77 | varies |
| T3 Free (84481) range across 4 matching MRF lines |
$11–$968.11 | $11–$968.11 | varies |
| T3 reverse (84482) | $7.25 | $7.25 | 0.5× |
| T3 Total (84480) range across 3 matching MRF lines |
$4.50–$375.87 | $4.50–$375.87 | varies |
| T3 Uptake (84479) | $3 | $3 | 0.5× |
| T4 Free (84439) range across 5 matching MRF lines |
$18.50–$1,362.65 | $18.50–$1,362.65 | varies |
| T4 total (84436) | $3 | $3 | 0.4× |
| Tacrolimus (80197) | $36.25 | $36.25 | 2.6× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$34.25–$56 | $34.25–$56 | varies |
| Testosterone total (84403) | $3.26 | $3.26 | 0.1× |
| Testosterone, Free (84402) | $23.75 | $23.75 | 0.9× |
| Theophylline (80198) range across 2 matching MRF lines |
$195.66–$1,768.26 | $195.66–$1,768.26 | varies |
| Thiocyanate (84430) range across 2 matching MRF lines |
$37–$40.75 | $37–$40.75 | varies |
| Thiopurine methyltransferase (84433) | $102 | $102 | 4.6× |
| Thrombin Time (85670) | $34.25 | $34.25 | 5.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 9 matching MRF lines |
$10–$589.62 | $10–$589.62 | varies |
| Thyroglobulin (84432) | $2.75 | $2.75 | 0.2× |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$2.75–$34.25 | $2.75–$34.25 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $30 | $30 | 0.6× |
| Thyroxine binding globulin (84442) | $11.25 | $11.25 | 0.8× |
| Tiss cul neo disorders solid tumor (88239) | $252.50 | $252.50 | 1.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 5 matching MRF lines |
$3.50–$70 | $3.50–$70 | varies |
| Tissue Culture (88233) range across 2 matching MRF lines |
$224.25–$241.50 | $224.25–$241.50 | varies |
| Tissue Culture Amniotic Fluid (88235) range across 2 matching MRF lines |
$252.50–$311.25 | $252.50–$311.25 | varies |
| Tissue culture bone marrow (88237) range across 6 matching MRF lines |
$102–$860.80 | $102–$860.80 | varies |
| Tissue Culture Lymphocyte (88230) range across 3 matching MRF lines |
$125–$310.25 | $125–$310.25 | varies |
| Tobramycin peak (80200) range across 2 matching MRF lines |
$41.99–$45.78 | $41.99–$45.78 | varies |
| Topiramate (80201) | $12 | $12 | 1.0× |
| Touch prep (88161) range across 2 matching MRF lines |
$73.19–$1,517.49 | $73.19–$1,517.49 | varies |
| Toxin/Antitoxin Assay Tissue Culture (87230) range across 6 matching MRF lines |
$142.30–$1,485.70 | $142.30–$1,485.70 | varies |
| Toxoplasma ab igm (86778) range across 4 matching MRF lines |
$9–$87 | $9–$87 | varies |
| Toxoplasma antibody (86777) range across 5 matching MRF lines |
$6.50–$98.25 | $6.50–$98.25 | varies |
| Tpmt gene com variants (81335) | $245.25 | $245.25 | 1.4× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 4 matching MRF lines |
$3–$1,225.01 | $3–$1,225.01 | varies |
| Transferrin (84466) range across 4 matching MRF lines |
$6.25–$1,115.08 | $6.25–$1,115.08 | varies |
| Trb@ Rearrangement Anal Amplification Method (81340) range across 4 matching MRF lines |
$402.75–$685.75 | $402.75–$685.75 | varies |
| Trg gene rearrangement anal (81342) range across 4 matching MRF lines |
$162–$411.75 | $162–$411.75 | varies |
| Trichinella Antibody (86784) range across 2 matching MRF lines |
$105.50–$211 | $105.50–$211 | varies |
| Triglycerides (84478) range across 6 matching MRF lines |
$13.75–$1,310.45 | $13.75–$1,310.45 | varies |
| Troponin Quant (84484) range across 4 matching MRF lines |
$104.25–$983.86 | $104.25–$983.86 | varies |
| Trypsin feces qual (84488) | $19.25 | $19.25 | 2.6× |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$181.25–$306.50 | $181.25–$306.50 | varies |
| Tumor Immunohistochem/Manual (88360) range across 13 matching MRF lines |
$49–$715 | $49–$715 | varies |
| Unlisted miscellaneous pathology test (89240) | $613 | $613 | 9.1× |
| Urea Nitrogen Clearance (84545) range across 2 matching MRF lines |
$189.83–$2,195.46 | $189.83–$2,195.46 | varies |
| Urea nitrogen urine (84540) range across 6 matching MRF lines |
$2.75–$1,012.44 | $2.75–$1,012.44 | varies |
| Uric acid other source (84560) range across 8 matching MRF lines |
$3.25–$1,230.84 | $3.25–$1,230.84 | varies |
| Urinalysis Microscopic Only (81015) | $458.40 | $458.40 | 150.3× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 2 matching MRF lines |
$60.65–$438.57 | $60.65–$438.57 | varies |
| Urinalysis Volume Measure (81050) range across 2 matching MRF lines |
$39.37–$129.18 | $39.37–$129.18 | varies |
| Urine Bacteria Culture (87088) range across 3 matching MRF lines |
$123.35–$1,926.89 | $123.35–$1,926.89 | varies |
| Urine Pregnancy Test (81025) range across 6 matching MRF lines |
$32.37–$1,225.01 | $32.37–$1,225.01 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 4 matching MRF lines |
$88.35–$943.03 | $88.35–$943.03 | varies |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) | $5.25 | $5.25 | 0.5× |
| Valproic acid (80164) range across 2 matching MRF lines |
$41.70–$301.51 | $41.70–$301.51 | varies |
| Vancomycin (80202) range across 2 matching MRF lines |
$108.77–$798.40 | $108.77–$798.40 | varies |
| Varicella-zoster antibody (86787) range across 9 matching MRF lines |
$4.25–$90.75 | $4.25–$90.75 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$36.25–$206.25 | $36.25–$206.25 | varies |
| Very Long Chain Fatty Acids (82726) | $233 | $233 | 11.8× |
| Viral Culture (87252) range across 5 matching MRF lines |
$40.50–$839.52 | $40.50–$839.52 | varies |
| Virus antibody nos (86790) range across 25 matching MRF lines |
$8–$211 | $8–$211 | varies |
| Virus inoculate tissue addl (87253) range across 5 matching MRF lines |
$40.75–$474.50 | $40.75–$474.50 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$121.50–$312 | $121.50–$312 | varies |
| Viscosity serum (85810) | $12.75 | $12.75 | 1.1× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$12–$858.76 | $12–$858.76 | varies |
| Vitamin A (84590) | $11.50 | $11.50 | 1.0× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$130.93–$438.57 | $130.93–$438.57 | varies |
| Vitamin B2 (Riboflavin) (84252) | $9.25 | $9.25 | 0.5× |
| Vitamin B6 (84207) | $8.75 | $8.75 | 0.3× |
| Vitamin c (82180) | $14 | $14 | 1.4× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$7.95–$322.22 | $7.95–$322.22 | varies |
| Vitamin E (84446) | $10.50 | $10.50 | 0.7× |
| Vitamin K (84597) | $70 | $70 | 5.1× |
| Volatiles (84600) range across 2 matching MRF lines |
$30–$49 | $30–$49 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 3 matching MRF lines |
$128.75–$192.75 | $128.75–$192.75 | varies |
| Von willebrand factor ag (85246) | $70 | $70 | 3.1× |
| Wbc Alkaline Phosphatase Count (85540) | $2.25 | $2.25 | 0.3× |
| West nile virus ab igm (86788) range across 3 matching MRF lines |
$25–$72.25 | $25–$72.25 | varies |
| West Nile Virus Antibody (86789) range across 3 matching MRF lines |
$17.25–$90.75 | $17.25–$90.75 | varies |
| Western Blot Test (84181) | $138.50 | $138.50 | 8.1× |
| Xm Archive Tissue Molec Anal (88363) | $48.11 | $48.11 | 1.3× |
| Xylose Absorption Test (84620) range across 2 matching MRF lines |
$13.75–$23.25 | $13.75–$23.25 | varies |
| Zinc (84630) | $5 | $5 | 0.4× |
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.