Lab & pathology prices at Lost Rivers Medical Center
Arco, ID · every code in this section with a posted price and a Medicare benchmark.
614 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $120.80 | $151 | 5.3× |
| Acetylcholine receptor binding antibody (86041) | $97.60 | $122 | 5.3× |
| Acetylcholine receptor blocking antibody (86042) | $97.60 | $122 | 5.3× |
| Acetylcholn Rcptr Modlg Antb (86043) | $64 | $80 | 5.3× |
| Acth (82024) | $221.60 | $277 | 5.7× |
| Actin smooth muscle antibody each (86015) | $61.60 | $77 | 5.1× |
| Acute hepatitis panel (80074) | $272.80 | $341 | 5.7× |
| Acylcarnitines Quant (82017) | $94.40 | $118 | 5.6× |
| Albumin serum (82040) | $32.80 | $41 | 6.6× |
| Aldolase (82085) | $61.60 | $77 | 6.3× |
| Aldosterone urine (82088) | $268.80 | $336 | 6.6× |
| Alkaline phosphatase isoenzymes (84080) | $76.80 | $96 | 5.2× |
| Allergen spec ige qual multiallergen screen (86005) | $41.60 | $52 | 5.2× |
| Allergen specific ige (86003) | $36 | $45 | 6.9× |
| Allergen specific igg (86001) | $39.20 | $49 | 5.0× |
| Allg Spec Ige Recomb Ea (86008) | $111.20 | $139 | 6.2× |
| Alpha-1-antitrypsin phenotype (82104) | $80 | $100 | 5.5× |
| Alpha-1-antitrypsin total (82103) | $180.80 | $226 | 13.5× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $96.80 | $121 | 5.7× |
| Alpha-Fetoprotein Serum (82105) | $96.80 | $121 | 5.8× |
| Alt (sgpt) (84460) | $33.60 | $42 | 6.3× |
| Aluminum (82108) | $115.20 | $144 | 4.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $78.40 | $98 | 4.6× |
| Aminolevulinic acid (ala) (82135) | $86.40 | $108 | 5.3× |
| Ammonia (82140) | $106.40 | $133 | 7.3× |
| Amylase urine (82150) | $73.60 | $92 | 11.4× |
| Ana Titer (86039) | $70.40 | $88 | 6.3× |
| Anca screen each antibody (86036) | $64 | $80 | 5.3× |
| Androstenedione (82157) | $162.40 | $203 | 5.5× |
| Angiotensin converting enzyme csf (82164) | $84.80 | $106 | 5.8× |
| Anti-Phospholipid Antibody (86148) | $87.20 | $109 | 5.4× |
| Antibody aspergillus (86606) range across 3 matching MRF lines |
$78.40–$80 | $98–$100 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $68.80 | $86 | 5.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $106.40 | $133 | 6.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $88 | $110 | 5.2× |
| Antibody Encephalitis California La Crosse (86651) | $73.60 | $92 | 5.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $287.20 | $359 | 21.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $162.40 | $203 | 10.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $101.60 | $127 | 5.6× |
| Antibody Fungus Not Elsewhere Specified (86671) | $65.60 | $82 | 5.4× |
| Antibody helicobacter pylori (86677) | $102.40 | $128 | 6.1× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $80 | $100 | 5.6× |
| Antibody Herpes Smplx Type 1 (86695) | $109.60 | $137 | 8.3× |
| Antibody HIV-1&HIV-2 single result (86703) | $95.20 | $119 | 6.9× |
| Antibody HIV-2 (86702) | $63.20 | $79 | 4.7× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $358.40 | $448 | 4.4× |
| Antibody identification leukocyte antibodies (86021) | $71.20 | $89 | 4.7× |
| Antibody john cunningham virus (86711) | $1,110.40 | $1,388 | 65.7× |
| Antibody neisseria meningitidis (86741) | $68 | $85 | 5.2× |
| Antibody Protozoa Nes (86753) | $67.20 | $84 | 5.4× |
| Antibody rotavirus (86759) | $75.20 | $94 | 4.1× |
| Antibody Titer (86886) | $113.60 | $142 | 21.9× |
| Antibody Treponema Pallidum (86780) | $76 | $95 | 5.7× |
| Antibody yersinia (86793) | $68 | $85 | 5.2× |
| Antibody; campylobacter (86625) | $69.60 | $87 | 5.3× |
| Antigen typing (86905) | $84 | $105 | 21.9× |
| Antinuclear antibodies (86038) | $80 | $100 | 6.6× |
| Antistreptolysin O Screen (86063) | $30.40 | $38 | 5.3× |
| Antistreptolysin o titer (86060) | $56 | $70 | 7.7× |
| Antithrombin iii activity (85300) | $137.60 | $172 | 11.6× |
| Antithrombin iii antigen (85301) | $57.60 | $72 | 5.3× |
| Apolipoprotein a1 (82172) | $88.80 | $111 | 4.2× |
| Arsenic (82175) | $108.80 | $136 | 5.7× |
| Assay activated protein c (85307) | $80 | $100 | 5.2× |
| Assay Blood Carbon Dioxide (82374) | $28.80 | $36 | 5.9× |
| Assay Nephelometry Not Spec (83883) | $91.20 | $114 | 6.7× |
| Assay of 5-hiaa (83497) | $76 | $95 | 5.9× |
| Assay of anti-mullerian hormone (82166) | $122.40 | $153 | 3.2× |
| Assay of blood/uric acid (84550) | $32.80 | $41 | 7.3× |
| Assay of calcium in urine (82340) | $55.20 | $69 | 9.2× |
| Assay of cpk in blood (82552) | $63.20 | $79 | 4.7× |
| Assay of estrone (82679) | $178.40 | $223 | 7.2× |
| Assay of g6pd enzyme (82955) | $51.20 | $64 | 5.3× |
| Assay of gammaglobulin igm (82784) | $61.60 | $77 | 6.6× |
| Assay of lactic acid (83605) | $76 | $95 | 6.6× |
| Assay of metanephrines (83835) | $97.60 | $122 | 5.8× |
| Assay of phosphatase alkaline heat stable (84078) | $37.60 | $47 | 4.6× |
| Assay of proinsulin (84206) | $111.20 | $139 | 4.2× |
| Assay of serotonin (84260) | $139.20 | $174 | 4.5× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$27.20–$39.20 | $34–$49 | varies |
| Assay of sweat sodium (84302) | $28 | $35 | 5.8× |
| Assay of urea nitrogen (84520) | $44 | $55 | 11.1× |
| Assay of urine vma (84585) | $80 | $100 | 5.2× |
| Assay of vitamin b-1 (84425) | $121.60 | $152 | 5.7× |
| Assay Ph Body Fluid Nos (83986) | $17.60 | $22 | 4.9× |
| Automated Leukocyte Count (85048) | $29.60 | $37 | 11.7× |
| B cells total count (86355) | $216.80 | $271 | 5.7× |
| Bartonella antibody (86611) | $59.20 | $74 | 5.8× |
| Bcr/abl1 gene major bp (81206) | $832.80 | $1,041 | 5.1× |
| Bcr/abl1 gene minor bp (81207) | $741.60 | $927 | 5.1× |
| Beta 2 glycoprotein i antibody each (86146) | $146.40 | $183 | 5.8× |
| Beta hydroxybutyrate (82010) | $42.40 | $53 | 5.2× |
| Beta Lactamase (87185) | $49.60 | $62 | 10.4× |
| Beta-2 Microglobulin (82232) | $93.60 | $117 | 5.8× |
| Bile acids total (82239) | $98.40 | $123 | 5.7× |
| Bilirubin direct (82248) | $35.20 | $44 | 7.0× |
| Bilirubin total (82247) | $49.60 | $62 | 9.9× |
| Blastomyces antibody (86612) | $68.80 | $86 | 5.3× |
| Blood Count Manual Cell Count Each (85032) | $69.60 | $87 | 16.1× |
| Blood Count Red Blood Cell Automated (85041) | $18.40 | $23 | 6.1× |
| Blood count reticulocyte automated (85045) | $20 | $25 | 5.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $38.40 | $48 | 10.1× |
| Blood gas (82803) | $171.20 | $214 | 6.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $81.60 | $102 | 5.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$12.80–$26.40 | $16–$33 | varies |
| Blood typing serologic abo (86900) | $228 | $285 | 76.3× |
| Body fluid cell count (89050) | $70.40 | $88 | 14.9× |
| Bordetella antibody (86615) | $63.20 | $79 | 4.8× |
| Braf gene analysis (81210) | $880 | $1,100 | 5.0× |
| Brca1&2 gen full seq dup/del (81162) | $9,376.80 | $11,721 | 5.1× |
| C-Peptide (84681) | $134.40 | $168 | 6.5× |
| C-reactive protein (86140) | $52 | $65 | 10.0× |
| Ca 19-9 (86301) | $119.20 | $149 | 5.7× |
| Cadmium (82300) | $133.60 | $167 | 5.7× |
| Calcitonin (82308) | $153.60 | $192 | 5.7× |
| Calcium ionized (82330) | $92 | $115 | 6.7× |
| Calcium total (82310) | $37.60 | $47 | 7.3× |
| Calculus Spectroscopy (82365) | $80.80 | $101 | 6.3× |
| Calprotectin Fecal (83993) | $319.20 | $399 | 16.3× |
| Calr gene com variants (81219) | $645.60 | $807 | 5.3× |
| Cancer Antigen 125 (86304) | $120.80 | $151 | 5.8× |
| Cancer Antigen 27.29 (86300) | $119.20 | $149 | 5.7× |
| Candida antibody (86628) | $63.20 | $79 | 5.3× |
| Candida Dna Dir Probe (87480) | $104 | $130 | 5.2× |
| Carbamazepine free (80157) | $67.20 | $84 | 5.1× |
| Carbamazepine total (80156) | $100.80 | $126 | 6.9× |
| Carboxyhemoglobin (82375) | $71.20 | $89 | 5.8× |
| Carcinoembryonic antigen (82378) | $109.60 | $137 | 5.8× |
| Cardiolipin ab iga (86147) | $146.40 | $183 | 5.8× |
| Carnitine Quantitative Each Specimen (82379) | $90.40 | $113 | 5.4× |
| Catecholamines fractionated (82384) | $144.80 | $181 | 5.7× |
| Ccp antibody (86200) | $105.60 | $132 | 8.2× |
| Cell count csf (89051) | $104 | $130 | 18.6× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $367.20 | $459 | 2.7× |
| Ceruloplasmin (82390) | $62.40 | $78 | 5.8× |
| Chemiluminescent assay (82397) | $80.80 | $101 | 5.7× |
| Chlamydia antibody (86631) | $61.60 | $77 | 5.2× |
| Chlamydia Igm Antibody (86632) | $66.40 | $83 | 5.2× |
| Chloride other source (82438) | $28 | $35 | 5.6× |
| Chloride Serum (82435) | $27.20 | $34 | 5.9× |
| Chloride urine (82436) | $29.60 | $37 | 5.1× |
| Cholesterol total (82465) | $42.40 | $53 | 9.7× |
| Cholinesterase Serum (82480) | $42.40 | $53 | 5.4× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$71.20–$87.20 | $89–$109 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $139.20 | $174 | 5.2× |
| Chromium serum (82495) | $100 | $125 | 4.9× |
| Chromogranin a (86316) | $119.20 | $149 | 5.7× |
| Chromosome Analysis 15-20 (88262) | $657.60 | $822 | 5.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $200 | $250 | 5.7× |
| Citric acid urine (82507) | $159.20 | $199 | 5.7× |
| Ckmb (82553) | $128.80 | $161 | 11.2× |
| Clostridium Difficile (87324) | $88.80 | $111 | 7.4× |
| Clot Factor VIII Multimetric (85247) | $120 | $150 | 5.2× |
| Clotting factor xii hageman (85280) | $95.20 | $119 | 4.9× |
| Clotting Funct Activity (85397) | $308.80 | $386 | 10.0× |
| Coccidioides antibody (86635) | $61.60 | $77 | 5.4× |
| Cold agglutinin titer (86157) | $46.40 | $58 | 5.8× |
| Collagen crosslinks (82523) | $128 | $160 | 6.9× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$147.20–$160.80 | $184–$201 | varies |
| Compatibility Each Unit Incubation (86921) | $432.80 | $541 | 2.6× |
| Complement Antigen Each Component (86160) | $117.60 | $147 | 9.8× |
| Complement Total (Ch50) (86162) | $320 | $400 | 15.7× |
| Complement/Function Activity (86161) | $68.80 | $86 | 5.7× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $408 | $510 | 2.4× |
| Coombs direct (86880) | $118.40 | $148 | 22.0× |
| Copper urine (82525) | $88 | $110 | 7.1× |
| Cortisol free (82530) | $96.80 | $121 | 5.8× |
| Cortisol saliva (82533) | $93.60 | $117 | 5.7× |
| Creatine (82540) | $27.20 | $34 | 5.9× |
| Creatine kinase total (82550) | $51.20 | $64 | 7.9× |
| Creatinine blood (82565) | $36.80 | $46 | 7.2× |
| Creatinine clearance (82575) | $97.60 | $122 | 10.3× |
| Creatinine Urine (82570) | $46.40 | $58 | 9.0× |
| Crp High Sensitivity (86141) | $96.80 | $121 | 7.5× |
| Cryofibrinogen (82585) | $50.40 | $63 | 3.6× |
| Cryoglobulin (82595) | $36.80 | $46 | 5.7× |
| Cryptococcus ag titer (87899) | $67.20 | $84 | 4.2× |
| Cryptosporidium (87272) | $67.20 | $84 | 5.6× |
| Cryptosporidium ag eia (87328) | $79.20 | $99 | 5.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $54.40 | $68 | 6.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $58.40 | $73 | 7.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $93.60 | $117 | 12.1× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,120 | $1,400 | 5.1× |
| Culture aerobic quant other (87071) | $68 | $85 | 6.9× |
| Culture afb (87116) | $57.60 | $72 | 5.3× |
| Culture Anaerobic (87075) | $66.40 | $83 | 7.0× |
| Culture blood (87040) | $115.20 | $144 | 11.2× |
| Culture chlamydia (87110) | $112 | $140 | 5.7× |
| Culture csf (87070) | $73.60 | $92 | 8.5× |
| Culture fungus (87102) | $105.60 | $132 | 12.6× |
| Culture fungus blood (87103) | $108.80 | $136 | 5.3× |
| Culture screen only (87081) | $28.80 | $36 | 4.3× |
| Culture stool (87045) | $72.80 | $91 | 7.7× |
| Culture typing if ea antiserum (87140) | $28.80 | $36 | 5.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $36.80 | $46 | 7.1× |
| Culture urine (87086) | $60 | $75 | 7.4× |
| Cyclosporine (80158) | $84 | $105 | 4.7× |
| Cyp2c19 gene analysis common variants (81225) | $329.60 | $412 | 1.1× |
| Cyp3a4 gene common variants (81230) | $852.80 | $1,066 | 4.9× |
| Cystatin C (82610) | $53.60 | $67 | 2.9× |
| Cytomegalovirus igg (86644) | $181.60 | $227 | 12.6× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $104.80 | $131 | 5.2× |
| Cytopath Cell Enhance Tech (88112) | $248.80 | $311 | 4.8× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $146.40 | $183 | 5.5× |
| Cytp Concentration Smears & Interpretation (88108) | $118.40 | $148 | 3.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $248.80 | $311 | 4.8× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $169.60 | $212 | 4.6× |
| Deoxycortisol (82634) | $155.20 | $194 | 5.3× |
| Deoxyribonuclease antibody (86215) | $68.80 | $86 | 5.2× |
| Detect Agent Nos Dna Amp (87798) | $184 | $230 | 5.2× |
| Detect Agent Nos Dna Quant (87799) | $451.20 | $564 | 10.5× |
| Detect agnt mult DNA ampli (87801) | $640 | $800 | 9.1× |
| Dgp Antibody Each Ig Class (86258) | $64 | $80 | 5.3× |
| Dhea (82626) | $128 | $160 | 5.1× |
| Dhea-S (82627) | $130.40 | $163 | 5.9× |
| Digoxin (80162) | $97.60 | $122 | 7.3× |
| Dihydrotestosterone (82642) | $155.20 | $194 | 5.3× |
| Dipropylacetic Acid Free (80165) | $70.40 | $88 | 5.2× |
| Dna Antibody Native/Double Stranded (86225) | $78.40 | $98 | 5.7× |
| Dna Antibody Single Stranded (86226) | $69.60 | $87 | 5.7× |
| Dna/Rna Amplified Probe (87150) | $200 | $250 | 5.7× |
| Drug assay adalimumab (80145) | $204 | $255 | 5.3× |
| Drug Assay Everolimus (80169) | $356.80 | $446 | 26.0× |
| Drug Assay Vedolizumab (80280) | $204 | $255 | 5.3× |
| Drug assay voriconazole (80285) | $144 | $180 | 5.3× |
| Drug Screen Quant Clozapine (80159) | $106.40 | $133 | 5.3× |
| Drug Screen Quant Zonisamide (80203) | $65.60 | $82 | 5.0× |
| Drug Screen Quantitative Gabapentin (80171) | $91.20 | $114 | 4.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $128.80 | $161 | 9.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $142.40 | $178 | 10.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $68.80 | $86 | 5.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$126.40–$332.80 | $158–$416 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $87.20 | $109 | 6.9× |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$83.20–$84 | $104–$105 | varies |
| Ehrlichia antibody (86666) | $86.40 | $108 | 8.5× |
| El-1 Fecal Quantitative (82653) | $121.60 | $152 | 5.3× |
| Electrolyte panel (80051) | $95.20 | $119 | 13.6× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $196.80 | $246 | 3.2× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $64.80 | $81 | 5.4× |
| Enterovirus Antibody (86658) | $59.20 | $74 | 4.5× |
| Enterovirus PCR (87498) | $186.40 | $233 | 5.3× |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$92.80–$93.60 | $116–$117 | varies |
| Erythropoietin (82668) | $128.80 | $161 | 6.9× |
| Estradiol serum (82670) | $180 | $225 | 6.4× |
| Estriol (82677) | $139.20 | $174 | 5.8× |
| Estrogen total (82672) | $156 | $195 | 7.2× |
| Estrogens fractionated (82671) | $167.20 | $209 | 5.2× |
| Ethylene Glycol (82693) | $79.20 | $99 | 5.3× |
| Exam Synovial Fluid Crystals (89060) | $83.20 | $104 | 11.4× |
| F2 Gene (81240) | $271.20 | $339 | 4.1× |
| Factor ii activity (85210) | $75.20 | $94 | 5.8× |
| Factor Inhibitor Test (85335) | $188 | $235 | 14.6× |
| Factor v activity (85220) | $94.40 | $118 | 5.3× |
| Factor v leiden mutation (81241) | $416.80 | $521 | 5.7× |
| Factor vii assay (85230) | $95.20 | $119 | 5.3× |
| Factor viii assay (85240) | $60 | $75 | 3.4× |
| Factor X (85260) | $96 | $120 | 5.4× |
| Fat/Lipids Feces Quantitative (82710) | $89.60 | $112 | 5.3× |
| Fatty acids free (82725) | $104.80 | $131 | 5.6× |
| Fecal Fat Qualitative (82705) | $36 | $45 | 7.1× |
| Ferritin (82728) | $88 | $110 | 6.5× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $751.20 | $939 | 4.9× |
| Fibrin Degradation Quant (85379) | $57.60 | $72 | 5.7× |
| Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) | $126.40 | $158 | 12.4× |
| Fibrinogen activity (85384) | $94.40 | $118 | 9.7× |
| Flow cytometry first marker (88184) | $171.20 | $214 | 0.5× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$69.60–$152.80 | $87–$191 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $95.20 | $119 | 7.9× |
| Folic acid rbc (82747) | $85.60 | $107 | 4.8× |
| Folic Acid Serum (82746) | $87.20 | $109 | 5.9× |
| Follicle Stimulating Hormone (83001) | $120 | $150 | 6.5× |
| Fungi Identification Mold (87107) | $76 | $95 | 7.4× |
| Fungi Identification Yeast (87106) | $88 | $110 | 8.5× |
| Galectin-3 (82777) | $120.80 | $151 | 2.7× |
| Gammaglobulin ige (82785) | $120.80 | $151 | 7.3× |
| Gardner vag DNA dir probe (87510) | $104 | $130 | 5.2× |
| Gardner Vag Dna Quant (87512) | $216 | $270 | 5.2× |
| Gastrin (82941) | $87.20 | $109 | 4.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $2,142.40 | $2,678 | 5.1× |
| Gentamicin (80170) | $87.20 | $109 | 5.3× |
| Ggt (82977) | $40.80 | $51 | 5.7× |
| Giardia antigen (87329) | $79.20 | $99 | 6.6× |
| Giardia lamblia antibody (86674) | $85.60 | $107 | 5.8× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $34.40 | $43 | 5.7× |
| Glucagon tolerance test Facility (82946) | $87.20 | $109 | 4.9× |
| Glucose 2 hr pp (82950) | $28 | $35 | 5.9× |
| Glucose body fluid (82945) | $56 | $70 | 14.2× |
| Glucose Serum (82947) | $37.60 | $47 | 9.6× |
| Glucose tolerance test (gtt) (82951) | $73.60 | $92 | 5.7× |
| Glutathione (82978) | $81.60 | $102 | 5.3× |
| Glycated Protein (82985) | $92.80 | $116 | 5.5× |
| Gonadotropin Chorionic Qualitative (84703) | $90.40 | $113 | 12.0× |
| Growth hormone (83003) | $87.20 | $109 | 5.2× |
| Gtt-added samples (82952) | $36.80 | $46 | 9.4× |
| H Pylori (C-13) Breath (83013) | $346.40 | $433 | 5.1× |
| Haloperidol (80173) | $84 | $105 | 5.3× |
| Haptoglobin (83010) | $72 | $90 | 5.7× |
| Hdl Cholesterol (83718) | $48 | $60 | 5.9× |
| Helicobacter Pylori Stool (87338) | $110.40 | $138 | 7.7× |
| Helminth Antibody (86682) | $68 | $85 | 5.2× |
| Hematocrit (85014) | $24 | $30 | 10.1× |
| Hemoglobin (85018) | $24.80 | $31 | 10.5× |
| Hemoglobin a1c (83036) | $70.40 | $88 | 7.3× |
| Hemoglobin Chromotography (83021) | $104 | $130 | 5.8× |
| Hemoglobin electrophoresis (83020) | $73.60 | $92 | 5.7× |
| Hemoglobin stability screen (83068) | $49.60 | $62 | 5.2× |
| Hep a ab igm (86709) | $73.60 | $92 | 6.5× |
| Hepatitis a antibody total (86708) | $71.20 | $89 | 5.7× |
| Hepatitis b core ab igm (86705) | $90.40 | $113 | 7.7× |
| Hepatitis b core ab total (86704) | $72 | $90 | 6.0× |
| Hepatitis B Surface Antibody (86706) | $75.20 | $94 | 7.0× |
| Hepatitis B Surface Antigen (87340) | $72 | $90 | 7.0× |
| Hepatitis Be Antibody (86707) | $66.40 | $83 | 5.7× |
| Hepatitis Be Antigen (87350) | $61.60 | $77 | 5.3× |
| Hepatitis C Antibody (86803) | $82.40 | $103 | 5.8× |
| Hepatitis C Genotype (87902) | $795.20 | $994 | 3.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $200.80 | $251 | 5.7× |
| Hepatitis C Revrs Trnscrpj (87522) | $341.60 | $427 | 8.0× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $6,800 | $8,500 | 5.2× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $3,005.60 | $3,757 | 2.3× |
| Herpes simplex type 2 (86696) | $111.20 | $139 | 5.7× |
| Heterophile Antibody Screen (86308) | $46.40 | $58 | 9.0× |
| Hfe Gene (81256) | $374.40 | $468 | 5.7× |
| Histamine urine (83088) | $156.80 | $196 | 5.3× |
| Histoplasma antibody (86698) | $72.80 | $91 | 5.3× |
| Histoplasma antigen urine (87385) | $70.40 | $88 | 5.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $124 | $155 | 5.1× |
| Hiv-1 Antibody (86701) | $42.40 | $53 | 4.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $437.60 | $547 | 5.1× |
| Hla class ii high defin qual (86833) | $1,356.80 | $1,696 | 4.2× |
| Hla class ii typing high resolution one locus ea (81382) | $636 | $795 | 5.1× |
| Hla ii typing 1 locus lr (81376) | $628.80 | $786 | 5.1× |
| Hla-b27 (86812) | $157.60 | $197 | 6.1× |
| Homocysteine (83090) | $120 | $150 | 6.7× |
| Hpv High-Risk Types (87624) | $194.40 | $243 | 5.5× |
| Hpv low-risk types (87623) | $192 | $240 | 5.5× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $336 | $420 | 4.8× |
| Hpv Types 16 & 18 Only (87625) | $200 | $250 | 4.9× |
| Hsv Dna Amp Probe (87529) | $244.80 | $306 | 7.0× |
| Hydroxyprogesterone 17-d (83498) | $155.20 | $194 | 5.7× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $100 | $102 | 2.2× |
| Iaad Ia Escherichia Coli 0157 (87335) | $62.40 | $78 | 4.9× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$65.60–$67.20 | $82–$84 | varies |
| Iaadi giardia (87269) | $68 | $85 | 5.0× |
| Iaadi respiratory synctial virus (87280) | $67.20 | $84 | 5.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $200.80 | $251 | 5.7× |
| Iadna Candida Species Amplified Probe Tq (87481) | $183.20 | $229 | 5.2× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $172 | $215 | 4.9× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $113.60 | $142 | 5.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $200 | $250 | 5.7× |
| Iadna Cytomegalovirus Quantification (87497) | $472.80 | $591 | 11.0× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $143.20 | $179 | 2.0× |
| Iadna hepatitis b virus amplified probe tq (87516) | $200.80 | $251 | 5.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $244.80 | $306 | 5.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $172 | $215 | 4.9× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $200 | $250 | 5.7× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $592 | $740 | 4.2× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,176.80 | $1,471 | 4.5× |
| Ig Light Chains Free Each (83521) | $92 | $115 | 5.3× |
| Igg subclasses (82787) | $82.40 | $103 | 10.3× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,200 | $1,500 | 4.1× |
| Immune Complex Assay (86332) | $129.60 | $162 | 5.3× |
| Immunfix e-phorsis/urine/csf (86335) | $168.80 | $211 | 5.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$77.60–$220.80 | $97–$276 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $48 | $60 | 3.2× |
| Immunoassay nonantibody (83516) | $84.80 | $106 | 7.4× |
| Immunodiffusion Ouchterlony (86331) | $62.40 | $78 | 5.2× |
| Immunofixation electrophoresis (86334) | $128.80 | $161 | 5.8× |
| Immunohistochemistry (88342) | $207.20 | $259 | 1.2× |
| In situ hybridization 1st probe stain (88365) | $432.80 | $541 | 2.6× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) | $67.20 | $84 | 4.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $195.20 | $244 | 5.6× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $95.20 | $119 | 2.7× |
| Influenza a/b ag eia (87400) | $60 | $75 | 4.2× |
| Influenza DNA amp probe (87502) | $236 | $295 | 2.5× |
| Inhibin A (86336) | $84 | $105 | 5.4× |
| Inhibin b (83520) | $95.20 | $119 | 5.5× |
| Insulin antibodies (86337) | $114.40 | $143 | 5.3× |
| Insulin free (83527) | $63.20 | $79 | 4.9× |
| Insulin total (83525) | $75.20 | $94 | 6.6× |
| Interleukin-6 (83529) | $92 | $115 | 5.3× |
| Intrinsic factor antibody (86340) | $87.20 | $109 | 5.8× |
| Iron (83540) | $44.80 | $56 | 6.9× |
| Iron Binding Capacity (83550) | $61.60 | $77 | 7.0× |
| Islet cell antibody (86341) | $113.60 | $142 | 4.8× |
| Jak2 gene analysis p.val617phe variant (81270) | $524 | $655 | 5.7× |
| Jak2 Gene Trgt Sequence Alys (81279) | $963.20 | $1,204 | 5.2× |
| Ketosteroids 17 total (83586) | $73.60 | $92 | 5.7× |
| Kit Gene Analysis D816 Variant(S) (81273) | $326.40 | $408 | 2.6× |
| Koh Prep (87220) | $24.80 | $31 | 5.8× |
| Kras Gene Analysis Additional Variant(S) (81276) | $960 | $1,200 | 5.0× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$34.40–$46.40 | $43–$58 | varies |
| Lactoferrin fecal qualitative (83630) | $112.80 | $141 | 5.7× |
| Ldh Isoenzymes (83625) | $60.80 | $76 | 4.8× |
| LDL direct (83721) | $55.20 | $69 | 5.3× |
| Lead (83655) | $69.60 | $87 | 5.7× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$67.20–$84.80 | $84–$106 | varies |
| Leptospira antibody (86720) | $84 | $105 | 5.2× |
| Leukocyte Assessment Fecal (89055) | $42.40 | $53 | 9.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $108.80 | $136 | 3.8× |
| Level ii surg pathology grossµscopic exam (88302) | $133.60 | $167 | 3.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $476.80 | $596 | 1.3× |
| Lipase (83690) | $72 | $90 | 10.4× |
| Lipoprotein A (83695) | $73.60 | $92 | 5.1× |
| Lipoprotein Bld Quan Part (83704) | $162.40 | $203 | 4.7× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $167.20 | $209 | 4.9× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $192 | $240 | 4.1× |
| Lithium (80178) | $61.60 | $77 | 9.3× |
| Luteinizing Hormone (Lh) (83002) | $96 | $120 | 5.2× |
| Lyme disease antibody (86618) | $95.20 | $119 | 5.6× |
| Lysozyme serum (85549) | $100 | $125 | 5.3× |
| M. Genitalium Amp Probe (87563) | $172 | $215 | 4.9× |
| M/phmtrc alys ishquant/semiq (88374) | $880 | $1,100 | 5.2× |
| Magnesium Urine (83735) | $48.80 | $61 | 7.3× |
| Mass Spectrometry Quant (83789) | $136 | $170 | 5.6× |
| Mercury urine (83825) | $94.40 | $118 | 5.8× |
| Metabolic panel ionized ca (80047) | $69.60 | $87 | 5.1× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$122.40–$160 | $153–$200 | varies |
| Microalbumin, quantitative (82043) | $38.40 | $48 | 6.6× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$80–$95.20 | $100–$119 | varies |
| Mitochondrial Antibody Each (86381) | $135.20 | $169 | 5.3× |
| Mononuclear cell antigen (86356) | $138.40 | $173 | 5.2× |
| Mopath procedure level 1 (81400) | $19.20 | $24 | 0.3× |
| Mopath procedure level 2 (81401) | $162.40 | $203 | 1.2× |
| Mopath procedure level 4 (81403) | $771.20 | $964 | 4.2× |
| Mopath procedure level 5 (81404) | $1,144.80 | $1,431 | 4.2× |
| Mopath procedure level 9 (81408) | $486.40 | $608 | 0.2× |
| Mpl gene common variants (81338) | $775.20 | $969 | 5.2× |
| Mrsa Pcr (87641) | $200.80 | $251 | 5.7× |
| Mthfr Gene Analysis Common Variants (81291) | $229.60 | $287 | 3.5× |
| Mucin Clot Body Fluid (83872) | $37.60 | $47 | 6.4× |
| Mumps antibody (86735) | $75.20 | $94 | 5.8× |
| Muscle-Specific Kinase Antb (86366) | $92 | $115 | 5.0× |
| Mycophenolic Acid (80180) | $88.80 | $111 | 4.9× |
| Mycoplasma antibody (86738) | $94.40 | $118 | 7.1× |
| Mycoplasma culture (87109) | $80 | $100 | 5.2× |
| Myoglobin urine (83874) | $84.80 | $106 | 6.6× |
| Natriuretic peptide (83880) | $204 | $255 | 5.2× |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$76.80–$78.40 | $96–$98 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $732.80 | $916 | 5.7× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $720 | $900 | 5.0× |
| Nfct ds bv&vaginitis DNA alg (81515) range across 2 matching MRF lines |
$738.40–$1,368 | $923–$1,710 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $360.80 | $451 | 5.0× |
| Niacin (84591) | $71.20 | $89 | 4.2× |
| Nk cells total count (86357) | $216.80 | $271 | 5.7× |
| Nras gene variants exon 2&3 (81311) | $1,520 | $1,900 | 5.1× |
| Nuclear antigen antibody (86235) | $104.80 | $131 | 5.8× |
| Occult blood feces (82272) | $20.80 | $26 | 4.9× |
| Organic acids urine (83918) | $125.60 | $157 | 5.3× |
| Osmolality serum (83930) | $80.80 | $101 | 12.2× |
| Osmolality Urine (83935) | $80.80 | $101 | 11.8× |
| Osmotic fragility rbc incubated (85557) | $69.60 | $87 | 5.2× |
| Osteocalcin (83937) | $154.40 | $193 | 5.2× |
| Ova and parasites smears (87177) | $93.60 | $117 | 10.5× |
| Oxalate urine (83945) | $73.60 | $92 | 5.1× |
| Pancreatic Elastase Fecal (82656) | $62.40 | $78 | 5.4× |
| Particle Agglutination Screen Each Antibody (86403) | $61.60 | $77 | 5.3× |
| Parvovirus antibody (86747) | $77.60 | $97 | 5.2× |
| Ph urine (81003) | $13.60 | $17 | 6.0× |
| Phenobarbital Level (80184) | $76.80 | $96 | 5.0× |
| Phenotype Infect Agent Drug (87900) | $356 | $445 | 2.7× |
| Phenytoin (Dilantin) (80185) | $90.40 | $113 | 6.8× |
| Phosphatase alkaline (84075) | $33.60 | $42 | 6.5× |
| Phospholipid Neutralization Hexagonal (85598) | $93.60 | $117 | 5.2× |
| Phosphorus Serum (84100) | $35.20 | $44 | 7.4× |
| Platelet Antibodies (86022) | $102.40 | $128 | 5.6× |
| Platelet count automated (85049) | $26.40 | $33 | 5.9× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $3,944 | $4,930 | 5.2× |
| Porphobilinogen, urine; quantitative (84110) | $44.80 | $56 | 5.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $78.40 | $98 | 5.3× |
| Potassium Urine (84133) | $56 | $70 | 11.8× |
| Prealbumin (84134) | $88.80 | $111 | 6.1× |
| Pregnenolone (84140) | $118.40 | $148 | 5.7× |
| Primidone (80188) | $88 | $110 | 5.3× |
| Procalcitonin (Pct) (84145) | $144 | $180 | 5.3× |
| Progesterone (84144) | $120.80 | $151 | 5.8× |
| Prolactin (84146) | $135.20 | $169 | 7.0× |
| Protein body fluid (84157) | $63.20 | $79 | 15.8× |
| Protein C Activity (85303) | $177.60 | $222 | 12.8× |
| Protein c antigen (85302) | $98.40 | $123 | 8.2× |
| Protein Electrophoresis Urine (84166) | $102.40 | $128 | 5.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $79.20 | $99 | 7.4× |
| Protein S Free (85306) | $188.80 | $236 | 12.3× |
| Protein s total (85305) | $60.80 | $76 | 5.2× |
| Protein total serum (84155) | $46.40 | $58 | 12.6× |
| Protein Total Urine (84156) | $36 | $45 | 9.8× |
| Protein Western Blot Test (84182) | $121.60 | $152 | 4.2× |
| PSA free (84154) | $105.60 | $132 | 5.7× |
| Pth Intact (83970) | $236 | $295 | 5.7× |
| Pyruvate kinase (84220) | $50.40 | $63 | 5.3× |
| Quantiferon tb gold plus (86480) | $328.80 | $411 | 5.3× |
| Quantitative assay drug (80299) | $78.40 | $98 | 4.2× |
| Quantitative Screen Metals (83018) | $113.60 | $142 | 5.2× |
| Rbc antibody identification (86870) | $267.20 | $334 | 0.8× |
| Rbc antibody screen (86850) | $166.40 | $208 | 17.0× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$15.20–$28 | $19–$35 | varies |
| Renin activity plasma (84244) | $114.40 | $143 | 5.2× |
| Resp virus 12-25 targets (87633) | $2,040 | $2,550 | 4.9× |
| Reticulocyte Count (85046) | $47.20 | $59 | 8.5× |
| Rh (86901) | $118.40 | $148 | 39.6× |
| Rheumatoid Factor Qualitative (86430) | $58.40 | $73 | 9.5× |
| Rheumatoid factor quant (86431) | $32.80 | $41 | 5.8× |
| Rickettsia antibody (86757) | $100.80 | $126 | 5.2× |
| Ristocetin cofactor (85245) | $132 | $165 | 5.8× |
| Rotavirus ag eia (87425) | $104.80 | $131 | 8.7× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$22.40–$50.40 | $28–$63 | varies |
| Rubella Antibody (86762) | $56.80 | $71 | 3.9× |
| Rubeola antibody (86765) | $73.60 | $92 | 5.7× |
| Russell Viper Venom Time Diluted (85613) | $50.40 | $63 | 5.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 4 matching MRF lines |
$75–$150 | $100–$160 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $100 | $102 | 2.4× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $43.20 | $54 | 1.0× |
| Sarscov2 & inf a&b amp prb (87636) | $265.60 | $332 | 1.9× |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 2 matching MRF lines |
$285.60–$287.20 | $357–$359 | varies |
| Sedimentation rate (85651) | $38.40 | $48 | 9.0× |
| Selenium (84255) | $146.40 | $183 | 5.7× |
| Semen Anal Sperm Detection (89321) | $67.20 | $84 | 5.6× |
| Sensitivity mic (87186) | $96 | $120 | 11.1× |
| Sex Hormone Binding Globulin (84270) | $124.80 | $156 | 5.7× |
| Sickling of rbc reduction (85660) | $33.60 | $42 | 6.1× |
| Sirolimus (80195) | $78.40 | $98 | 5.7× |
| Skin test tuberculosis intradermal (86580) | $53.60 | $67 | 1.9× |
| Smear acid fast (87206) | $28 | $35 | 5.2× |
| Smear complex stain (87209) | $138.40 | $173 | 7.7× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$29.60–$77.60 | $37–$97 | varies |
| Smear Special Stain (87207) | $33.60 | $42 | 5.6× |
| Smn1 Gene Dos/Deletion Alys (81329) | $320 | $400 | 2.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$4.80–$36.80 | $6–$46 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $271.20 | $339 | 5.3× |
| Sodium Serum (84295) | $56 | $70 | 11.6× |
| Sodium Urine (84300) | $28 | $35 | 5.5× |
| Somatomedin (84305) | $160 | $200 | 7.5× |
| Special Stains Group 1 (88312) | $166.40 | $208 | 3.2× |
| Special Stains Group 2 (88313) | $133.60 | $167 | 1.0× |
| Specimen infect agnt concntj (87015) | $37.60 | $47 | 5.6× |
| Staph a DNA amp probe (87640) | $186.40 | $233 | 5.3× |
| Stool cultr aerobic bact ea (87046) | $49.60 | $62 | 5.3× |
| Strep a DNA amp probe (87651) | $113.60 | $142 | 3.2× |
| Strep b DNA amp probe (87653) | $195.20 | $244 | 5.6× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $61.60 | $77 | 5.3× |
| Surg path level iii (88304) | $248.80 | $311 | 4.8× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$117.60–$244.80 | $147–$306 | varies |
| Surgical pathology level vi (88309) | $571.20 | $714 | 0.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $36 | $45 | 4.8× |
| Syphilis Test Non-Trep Quant (86593) | $23.20 | $29 | 5.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $268.80 | $336 | 5.7× |
| T cells total count (86359) | $216.80 | $271 | 5.7× |
| T3 Free (84481) | $105.60 | $132 | 6.2× |
| T3 reverse (84482) | $184.80 | $231 | 11.7× |
| T3 Total (84480) | $93.60 | $117 | 6.6× |
| T3 Uptake (84479) | $56 | $70 | 8.7× |
| T4 Free (84439) | $68.80 | $86 | 7.6× |
| T4 total (84436) | $55.20 | $69 | 8.0× |
| Tacrolimus (80197) | $109.60 | $137 | 8.0× |
| Test for acetone/ketones (82009) | $24 | $30 | 5.3× |
| Testosterone Bioavailable (84410) | $264.80 | $331 | 5.2× |
| Testosterone total (84403) | $143.20 | $179 | 5.5× |
| Testosterone, Free (84402) | $135.20 | $169 | 5.3× |
| Theophylline (80198) | $80.80 | $101 | 5.7× |
| Thiopurine methyltransferase (84433) | $118.40 | $148 | 5.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $33.60 | $42 | 5.2× |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) | $216.80 | $271 | 6.2× |
| Thyroglobulin (84432) | $149.60 | $187 | 9.3× |
| Thyroglobulin Antibody (86800) | $92 | $115 | 5.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $262.40 | $328 | 5.2× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $81.60 | $102 | 1.6× |
| Thyroxine binding globulin (84442) | $91.20 | $114 | 6.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $61.60 | $77 | 5.3× |
| Tissue Culture Lymphocyte (88230) | $612 | $765 | 5.3× |
| Tobramycin peak (80200) | $92.80 | $116 | 5.8× |
| Topiramate (80201) | $61.60 | $77 | 5.2× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $67.20 | $84 | 3.4× |
| Toxoplasma ab igm (86778) | $63.20 | $79 | 4.4× |
| Toxoplasma antibody (86777) | $35.20 | $44 | 2.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $33.60 | $42 | 6.5× |
| Transferrin (84466) | $94.40 | $118 | 7.4× |
| Trichomonas vagin dir probe (87660) | $104 | $130 | 5.2× |
| Trichomonas Vaginalis Amplif (87661) | $200 | $250 | 5.7× |
| Triglycerides (84478) | $53.60 | $67 | 9.3× |
| Troponin Quant (84484) | $80 | $100 | 6.4× |
| Tumor Immunohistochem/Manual (88360) | $766.40 | $958 | 4.6× |
| Ugt1a1 gene analysis common variants (81350) | $1,146.40 | $1,433 | 4.9× |
| Uric acid other source (84560) | $28 | $35 | 5.5× |
| Urinalysis Microscopic Only (81015) | $29.60 | $37 | 9.7× |
| Urinalysis Volume Measure (81050) | $24.80 | $31 | 6.8× |
| Urine Bacteria Culture (87088) | $47.20 | $59 | 5.8× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$28.80–$75.20 | $36–$94 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $49.60 | $62 | 15.6× |
| Valproic acid (80164) | $104.80 | $131 | 7.7× |
| Vancomycin (80202) | $120 | $150 | 8.9× |
| Varicella-zoster antibody (86787) | $76.80 | $96 | 6.0× |
| Vasopressin (84588) | $180 | $225 | 5.3× |
| Very Long Chain Fatty Acids (82726) | $98.40 | $123 | 5.0× |
| Viral Culture (87252) | $145.60 | $182 | 5.6× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$73.60–$82.40 | $92–$103 | varies |
| Viscosity serum (85810) | $67.20 | $84 | 5.8× |
| Vit D 1 25-Dihydroxy (82652) | $160 | $200 | 4.2× |
| Vitamin A (84590) | $68.80 | $86 | 5.9× |
| Vitamin b-12 (82607) | $88.80 | $111 | 5.9× |
| Vitamin B2 (Riboflavin) (84252) | $100 | $125 | 4.9× |
| Vitamin B6 (84207) | $144.80 | $181 | 5.2× |
| Vitamin c (82180) | $52 | $65 | 5.3× |
| Vitamin D 25-Hydroxy (82306) | $178.40 | $223 | 6.0× |
| Vitamin E (84446) | $80.80 | $101 | 5.7× |
| Vitamin K (84597) | $84 | $105 | 6.1× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $64 | $80 | 5.3× |
| Von willebrand factor ag (85246) | $131.20 | $164 | 5.7× |
| West nile virus ab igm (86788) | $94.40 | $118 | 5.6× |
| West Nile Virus Antibody (86789) | $75.20 | $94 | 5.2× |
| Western Blot Test (84181) | $200 | $250 | 11.7× |
| Xm Archive Tissue Molec Anal (88363) | $128 | $160 | 4.5× |
| Zika Virus Dna/Rna Amp Probe (87662) | $288 | $360 | 5.6× |
| Zika Virus Igm Antibody (86794) | $90.40 | $113 | 5.4× |
| Zinc (84630) | $87.20 | $109 | 7.7× |
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.