Lab & pathology prices at Loyola Gottlieb Memorial Hospital
Melrose Park, IL · every code in this section with a posted price and a Medicare benchmark.
703 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) range across 2 matching MRF lines |
$18.81–$58.33 | $99–$307 | varies |
| 5 Nucleotidase (83915) | $26.60 | $140 | 2.4× |
| Acetylcholine receptor binding antibody (86041) | $30.97 | $163 | 1.7× |
| Acetylcholine receptor blocking antibody (86042) | $30.97 | $163 | 1.7× |
| Acetylcholn Rcptr Modlg Antb (86043) | $30.97 | $163 | 2.6× |
| Acth (82024) | $41.61 | $219 | 1.1× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$8.17–$8.36 | $43–$44 | varies |
| Acute hepatitis panel (80074) | $144.97 | $763 | 3.0× |
| Acylcarnitines Quant (82017) | $83.41 | $439 | 4.9× |
| Adenovirus antibody (86603) | $11.78 | $62 | 0.9× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$10.07–$19 | $53–$100 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$10.07–$16.53 | $53–$87 | varies |
| Aldolase (82085) range across 2 matching MRF lines |
$9.50–$36.48 | $50–$192 | varies |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$25.27–$43.32 | $133–$228 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$21.09–$34.96 | $111–$184 | varies |
| Allergen specific ige (86003) range across 28 matching MRF lines |
$6.65–$19.19 | $35–$101 | varies |
| Allergen specific igg (86001) range across 5 matching MRF lines |
$7.03–$11.21 | $37–$59 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $12.92 | $68 | 0.9× |
| Alpha-1-antitrypsin total (82103) range across 3 matching MRF lines |
$21.47–$44.27 | $113–$233 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $26.03 | $137 | 1.5× |
| Alpha-Fetoprotein Serum (82105) range across 5 matching MRF lines |
$23.37–$49.02 | $123–$258 | varies |
| Alt (sgpt) (84460) | $21.09 | $111 | 4.0× |
| Aluminum (82108) | $28.69 | $151 | 1.1× |
| Amikacin trough (80150) | $44.08 | $232 | 2.9× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$89.87–$135.09 | $473–$711 | varies |
| Aminolevulinic acid (ala) (82135) | $12.35 | $65 | 0.8× |
| Ammonia (82140) range across 2 matching MRF lines |
$31.54–$43.13 | $166–$227 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $84.55 | $445 | 0.9× |
| Amylase urine (82150) range across 2 matching MRF lines |
$10.83–$29.07 | $57–$153 | varies |
| Ana Titer (86039) | $16.91 | $89 | 1.5× |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$13.49–$13.68 | $71–$72 | varies |
| Anca Titer Each Antibody (86037) range across 3 matching MRF lines |
$27.17–$41.80 | $143–$220 | varies |
| Androstanediol Glucuronide (82154) | $63.65 | $335 | 2.2× |
| Androstenedione (82157) range across 2 matching MRF lines |
$24.51–$37.05 | $129–$195 | varies |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$21.47–$22.80 | $113–$120 | varies |
| Anti-Phospholipid Antibody (86148) | $15.01 | $79 | 0.9× |
| Antibody aspergillus (86606) | $30.97 | $163 | 2.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $25.08 | $132 | 1.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $23.75 | $125 | 1.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $32.49 | $171 | 1.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $8.55 | $45 | 0.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $10.07 | $53 | 0.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 4 matching MRF lines |
$9.88–$35.34 | $52–$186 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $9.31 | $49 | 0.8× |
| Antibody haemophilus influenza (86684) | $25.84 | $136 | 1.6× |
| Antibody Herpes Smplx Type 1 (86695) range across 4 matching MRF lines |
$16.91–$22.23 | $89–$117 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 3 matching MRF lines |
$17.86–$23.94 | $94–$126 | varies |
| Antibody HIV-2 (86702) | $19.38 | $102 | 1.4× |
| Antibody Hla Class I High Definition Panel Qual (86832) range across 4 matching MRF lines |
$119.32–$122.55 | $628–$645 | varies |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $63.84 | $336 | 0.7× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $59.85 | $315 | 0.7× |
| Antibody hla class ii semiquantitative panel (86835) | $278.92 | $1,468 | 0.9× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 3 matching MRF lines |
$27.55–$56.62 | $145–$298 | varies |
| Antibody identification leukocyte antibodies (86021) range across 11 matching MRF lines |
$9.31–$37.81 | $49–$199 | varies |
| Antibody Protozoa Nes (86753) range across 4 matching MRF lines |
$9.88–$54.53 | $52–$287 | varies |
| Antibody Titer (86886) | $36.29 | $191 | 7.0× |
| Antibody Treponema Pallidum (86780) range across 4 matching MRF lines |
$11.59–$22.99 | $61–$121 | varies |
| Antibody; influenza virus (86710) | $23.18 | $122 | 1.7× |
| Antigen typing (86905) | $130.91 | $689 | 34.2× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $63.65 | $335 | 11.1× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$8.36–$38.38 | $44–$202 | varies |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$6.65–$33.06 | $35–$174 | varies |
| Antithrombin iii activity (85300) | $67.07 | $353 | 5.7× |
| Apolipoprotein a1 (82172) range across 6 matching MRF lines |
$13.68–$31.54 | $72–$166 | varies |
| Aquaporin-4 Antb Elisa (86051) | $254.60 | $1,340 | 22.1× |
| Arsenic (82175) | $19.76 | $104 | 1.0× |
| Aspa gene analysis common variants (81200) | $103.36 | $544 | 2.2× |
| Aspergillus ag eia (87305) | $64.03 | $337 | 5.3× |
| Assay activated protein c (85307) | $38.95 | $205 | 2.5× |
| Assay Blood Carbon Dioxide (82374) | $9.69 | $51 | 2.0× |
| Assay Nephelometry Not Spec (83883) range across 4 matching MRF lines |
$19.57–$41.61 | $103–$219 | varies |
| Assay of 5-hiaa (83497) | $18.62 | $98 | 1.4× |
| Assay of b-hexosaminidase each assay (83080) | $89.87 | $473 | 5.3× |
| Assay of blood/uric acid (84550) | $15.96 | $84 | 3.5× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$8.55–$22.42 | $45–$118 | varies |
| Assay of cpk in blood (82552) | $17.48 | $92 | 1.3× |
| Assay of estrone (82679) | $18.81 | $99 | 0.8× |
| Assay of g6pd enzyme (82955) | $20.14 | $106 | 2.1× |
| Assay of gammaglobulin igm (82784) range across 6 matching MRF lines |
$7.22–$27.17 | $38–$143 | varies |
| Assay of lactic acid (83605) range across 6 matching MRF lines |
$23.94–$30.78 | $126–$162 | varies |
| Assay of manganese (83785) | $30.97 | $163 | 1.2× |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$23.75–$48.45 | $125–$255 | varies |
| Assay of phosphatase acid total (84060) | $10.07 | $53 | 1.3× |
| Assay of proinsulin (84206) | $41.42 | $218 | 1.6× |
| Assay of pyruvate (84210) | $11.78 | $62 | 0.8× |
| Assay of semen fructose (82757) | $39.52 | $208 | 2.3× |
| Assay of serotonin (84260) | $26.79 | $141 | 0.9× |
| Assay of serum potassium (84132) | $19.57 | $103 | 4.1× |
| Assay of sweat sodium (84302) | $19 | $100 | 3.9× |
| Assay of Tyrosine (84510) range across 2 matching MRF lines |
$54.15–$60.80 | $285–$320 | varies |
| Assay of urea nitrogen (84520) | $12.54 | $66 | 3.2× |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$11.97–$18.62 | $63–$98 | varies |
| Assay of vasoactive intestinal peptide (84586) | $64.03 | $337 | 1.8× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$21.09–$22.04 | $111–$116 | varies |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$4.94–$14.25 | $26–$75 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) | $117.42 | $618 | 0.6× |
| Automated Leukocyte Count (85048) | $14.82 | $78 | 5.8× |
| B cells total count (86355) | $45.98 | $242 | 1.2× |
| Bartonella antibody (86611) range across 6 matching MRF lines |
$12.92–$16.15 | $68–$85 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$71.25–$133.38 | $375–$702 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$65.17–$89.30 | $343–$470 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$15.20–$16.72 | $80–$88 | varies |
| Beta hydroxybutyrate (82010) | $19.95 | $105 | 2.4× |
| Beta Lactamase (87185) | $8.93 | $47 | 1.9× |
| Beta-2 Microglobulin (82232) | $24.32 | $128 | 1.5× |
| Bile acids total (82239) | $16.34 | $86 | 1.0× |
| Bilirubin direct (82248) | $14.06 | $74 | 2.8× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$14.63–$18.81 | $77–$99 | varies |
| Bilirubin total transcutaneous (88720) | $6.08 | $32 | 1.2× |
| Bleeding time test (85002) | $28.50 | $150 | 5.9× |
| Blm Gene (81209) | $147.25 | $775 | 3.7× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $8.74 | $46 | 1.7× |
| Blood count reticulocyte automated (85045) | $18.62 | $98 | 4.7× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $12.73 | $67 | 3.4× |
| Blood gas (82803) | $61.18 | $322 | 2.3× |
| Blood gases w/02 saturation (82805) range across 18 matching MRF lines |
$53.77–$54.91 | $283–$289 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $14.25 | $75 | 0.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $15.77 | $83 | 3.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $130.91 | $689 | 20.6× |
| Blood typing serologic abo (86900) | $47.12 | $248 | 15.8× |
| Braf gene analysis (81210) | $107.35 | $565 | 0.6× |
| Brucella antibody (86622) range across 2 matching MRF lines |
$7.79–$22.61 | $41–$119 | varies |
| C diff amplified probe (87493) | $37.24 | $196 | 1.0× |
| C-Peptide (84681) | $24.32 | $128 | 1.2× |
| C-reactive protein (86140) | $29.26 | $154 | 5.6× |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$30.21–$33.06 | $159–$174 | varies |
| Calcitonin (82308) | $22.61 | $119 | 0.8× |
| Calcium ionized (82330) range across 7 matching MRF lines |
$27.93–$34.96 | $147–$184 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$11.97–$18.05 | $63–$95 | varies |
| Calculus assay quant (82360) | $29.83 | $157 | 2.3× |
| Calprotectin Fecal (83993) | $92.34 | $486 | 4.7× |
| Calr gene com variants (81219) | $68.02 | $358 | 0.6× |
| Cancer Antigen 125 (86304) | $64.98 | $342 | 3.1× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$10.64–$29.26 | $56–$154 | varies |
| Candida antibody (86628) | $18.05 | $95 | 1.5× |
| Candida Dna Dir Probe (87480) | $28.31 | $149 | 1.4× |
| Carbamazepine total (80156) | $49.97 | $263 | 3.4× |
| Carcinoembryonic antigen (82378) | $64.22 | $338 | 3.4× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$10.26–$23.18 | $54–$122 | varies |
| Carotene (82380) | $10.07 | $53 | 1.1× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$30.02–$36.29 | $158–$191 | varies |
| Ccp antibody (86200) | $29.26 | $154 | 2.3× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $209 | $1,100 | 0.9× |
| Cell count csf (89051) range across 2 matching MRF lines |
$20.33–$38.38 | $107–$202 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $122.17 | $643 | 0.9× |
| Ceruloplasmin (82390) | $39.71 | $209 | 3.7× |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | $216.60 | $1,140 | 1.3× |
| Cftr gene com variants (81220) range across 4 matching MRF lines |
$144.02–$337.25 | $758–$1,775 | varies |
| Cftr gene full sequence (81223) | $1,603.98 | $8,442 | 3.2× |
| Chemiluminescent assay (82397) range across 6 matching MRF lines |
$12.16–$54.34 | $64–$286 | varies |
| Chimerism w/comp to baseline w/o cell selection (81267) | $155.80 | $820 | 0.8× |
| Chlamydia antibody (86631) | $20.14 | $106 | 1.7× |
| Chlamydia Igm Antibody (86632) range across 4 matching MRF lines |
$10.64–$16.15 | $56–$85 | varies |
| Chloride other source (82438) | $20.90 | $110 | 4.2× |
| Chloride Serum (82435) | $16.53 | $87 | 3.6× |
| Chloride urine (82436) | $17.67 | $93 | 3.1× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$15.77–$19.95 | $83–$105 | varies |
| Cholinesterase rbc (82482) | $9.69 | $51 | 1.0× |
| Cholinesterase Serum (82480) | $17.86 | $94 | 2.3× |
| Chorionic gonadotropin test (84702) range across 4 matching MRF lines |
$22.61–$51.30 | $119–$270 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $240.73 | $1,267 | 1.3× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $26.03 | $137 | 0.8× |
| Chromium serum (82495) | $18.81 | $99 | 0.9× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$32.87–$36.29 | $173–$191 | varies |
| Chromosome Analysis 15-20 (88262) | $167.01 | $879 | 1.3× |
| Chromosome Analysis 20-25 (88264) | $126.92 | $668 | 0.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$6.67–$42.94 | $35.09–$226 | varies |
| Citric acid urine (82507) range across 3 matching MRF lines |
$15.58–$26.41 | $82–$139 | varies |
| Ckmb (82553) | $30.78 | $162 | 2.7× |
| Clot Factor VIII Multimetric (85247) | $66.69 | $351 | 2.9× |
| Clot factor xiii fibrin stab (85290) | $80.37 | $423 | 4.9× |
| Clotting factor xii hageman (85280) | $24.89 | $131 | 1.3× |
| Cns DNA amp probe type 12-25 (87483) | $255.17 | $1,343 | 0.6× |
| Coagulation time activated (85347) | $20.71 | $109 | 4.8× |
| Coccidioides antibody (86635) | $19.57 | $103 | 1.7× |
| Cold agglutinin titer (86157) | $11.78 | $62 | 1.5× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$18.62–$54.91 | $98–$289 | varies |
| Column Chromotography Quant (82542) range across 4 matching MRF lines |
$10.83–$45.03 | $57–$237 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 2 matching MRF lines |
$177.27–$185.63 | $933–$977 | varies |
| Compatibility Each Unit Incubation (86921) | $47.88 | $252 | 0.3× |
| Compatibility test antiglob (86922) | $57.19 | $301 | 0.3× |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$19.57–$46.74 | $103–$246 | varies |
| Complement Total (Ch50) (86162) | $26.79 | $141 | 1.3× |
| Complement/Function Activity (86161) | $24.51 | $129 | 2.0× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $77.90 | $410 | 1.4× |
| Coombs direct (86880) | $29.83 | $157 | 5.5× |
| Copper urine (82525) range across 3 matching MRF lines |
$14.25–$26.79 | $75–$141 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$21.66–$41.23 | $114–$217 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$31.54–$48.64 | $166–$256 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$8.93–$21.85 | $47–$115 | varies |
| Creatinine blood (82565) | $24.51 | $129 | 4.8× |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$42.37–$52.82 | $223–$278 | varies |
| Creatinine Urine (82570) range across 16 matching MRF lines |
$7.22–$21.47 | $38–$113 | varies |
| Crossmatch electronic (86923) | $47.88 | $252 | 0.3× |
| Crossmatch immediate spin (86920) | $49.21 | $259 | 0.3× |
| Crp High Sensitivity (86141) | $28.69 | $151 | 2.2× |
| Cryoglobulin (82595) | $11.21 | $59 | 1.7× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$16.91–$58.14 | $89–$306 | varies |
| Cryptosporidium ag eia (87328) | $22.80 | $120 | 1.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $19.76 | $104 | 2.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $30.97 | $163 | 3.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $41.23 | $217 | 5.3× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $243.20 | $1,280 | 1.1× |
| Culture aerobic quant other (87071) | $40.66 | $214 | 4.1× |
| Culture afb (87116) | $57.95 | $305 | 5.4× |
| Culture Anaerobic (87075) | $48.26 | $254 | 5.1× |
| Culture blood (87040) | $48.64 | $256 | 4.7× |
| Culture chlamydia (87110) | $58.14 | $306 | 3.0× |
| Culture csf (87070) range across 8 matching MRF lines |
$15.39–$47.12 | $81–$248 | varies |
| Culture fungus (87102) | $34.01 | $179 | 4.0× |
| Culture fungus blood (87103) | $45.41 | $239 | 2.2× |
| Culture screen only (87081) | $18.62 | $98 | 2.8× |
| Culture stool (87045) | $60.80 | $320 | 6.4× |
| Culture typing if ea antiserum (87140) | $14.06 | $74 | 2.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $14.06 | $74 | 2.7× |
| Culture urine (87086) | $31.54 | $166 | 3.9× |
| Cyanide (82600) | $18.81 | $99 | 1.0× |
| Cyclosporine (80158) range across 3 matching MRF lines |
$23.75–$66.31 | $125–$349 | varies |
| Cystatin C (82610) | $48.07 | $253 | 2.6× |
| Cytogenetics 100-300 (88275) range across 9 matching MRF lines |
$72.20–$148.77 | $380–$783 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $701.10 | $3,690 | 0.6× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$17.86–$29.45 | $94–$155 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $30.97 | $163 | 1.5× |
| Cytopath Cell Enhance Tech (88112) | $67.64 | $356 | 1.2× |
| Cytopath Fl Nongyn Filter (88106) | $48.26 | $254 | 1.6× |
| Cytotoxic Antibody Screen Std (86807) | $412.87 | $2,173 | 5.2× |
| Cytotoxic pra quick (86808) range across 2 matching MRF lines |
$99.18–$170.24 | $522–$896 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $49.40 | $260 | 1.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $119.32 | $628 | 2.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $78.47 | $413 | 0.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $47.12 | $248 | 1.2× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $15.58 | $82 | 0.8× |
| Deoxycortisol (82634) | $36.48 | $192 | 1.2× |
| Deoxyribonuclease antibody (86215) | $17.10 | $90 | 1.3× |
| Detect Agent Nos Dna Amp (87798) range across 16 matching MRF lines |
$5.98–$42.94 | $31.46–$226 | varies |
| Detect Agent Nos Dna Quant (87799) range across 7 matching MRF lines |
$32.51–$116.66 | $171.09–$614 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$35.34–$93.29 | $186–$491 | varies |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$6.46–$7.22 | $34–$38 | varies |
| Dhea (82626) range across 2 matching MRF lines |
$28.69–$34.77 | $151–$183 | varies |
| Dhea-S (82627) | $69.92 | $368 | 3.1× |
| Dibucaine number (82638) | $10.07 | $53 | 0.8× |
| Digoxin (80162) | $29.64 | $156 | 2.2× |
| Diphtheria antitoxoid (86648) | $25.84 | $136 | 1.7× |
| Dna Antibody Native/Double Stranded (86225) range across 4 matching MRF lines |
$21.47–$72.96 | $113–$384 | varies |
| Dna Antibody Single Stranded (86226) | $24.32 | $128 | 2.0× |
| Dna/Rna Amplified Probe (87150) range across 11 matching MRF lines |
$12.92–$30.21 | $68–$159 | varies |
| DNA/RNA direct probe (87149) | $60.99 | $321 | 3.0× |
| Drug assay acetaminophen (80143) | $52.25 | $275 | 2.8× |
| Drug Assay Everolimus (80169) | $21.66 | $114 | 1.6× |
| Drug Assay Infliximab (80230) | $28.69 | $151 | 0.7× |
| Drug Assay Itraconazole (80189) | $48.26 | $254 | 1.8× |
| Drug Assay Lacosamide (80235) | $62.51 | $329 | 2.3× |
| Drug Assay Leflunomide (80193) | $67.64 | $356 | 1.8× |
| Drug Assay Posaconazole (80187) | $67.64 | $356 | 2.5× |
| Drug assay voriconazole (80285) | $67.64 | $356 | 2.5× |
| Drug Screen Quant Zonisamide (80203) | $47.88 | $252 | 3.6× |
| Drug Screen Quantitative Gabapentin (80171) | $33.06 | $174 | 1.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $17.67 | $93 | 1.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $12.92 | $68 | 1.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $25.65 | $135 | 1.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 6 matching MRF lines |
$38.95–$118.94 | $205–$626 | varies |
| Egfr Gene Analysis Common Variants (81235) | $115.90 | $610 | 0.4× |
| El-1 Fecal Quantitative (82653) | $38.76 | $204 | 1.7× |
| Electrolyte panel (80051) | $30.21 | $159 | 4.3× |
| Electron Microscopy (88348) | $339.72 | $1,788 | 0.4× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $48.64 | $256 | 0.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $21.47 | $113 | 1.8× |
| Enterovirus Antibody (86658) range across 3 matching MRF lines |
$8.74–$13.68 | $46–$72 | varies |
| Enterovirus PCR (87498) | $57.57 | $303 | 1.6× |
| Enzyme cell activity (82657) | $49.97 | $263 | 2.3× |
| Enzyme histochemistry (88319) | $338.01 | $1,779 | 0.4× |
| Eosinophil Smear (89190) | $12.92 | $68 | 2.2× |
| Erythropoietin (82668) | $24.89 | $131 | 1.3× |
| Estradiol serum (82670) | $68.40 | $360 | 2.4× |
| Estriol (82677) range across 2 matching MRF lines |
$14.06–$25.65 | $74–$135 | varies |
| Estrogens fractionated (82671) | $41.23 | $217 | 1.3× |
| Ethosuximide (80168) | $15.58 | $82 | 1.0× |
| Ethylene Glycol (82693) | $15.58 | $82 | 1.0× |
| Exam Synovial Fluid Crystals (89060) | $20.71 | $109 | 2.8× |
| F2 Gene (81240) | $40.85 | $215 | 0.6× |
| Factor ii activity (85210) | $53.58 | $282 | 4.1× |
| Factor Inhibitor Test (85335) | $35.34 | $186 | 2.7× |
| Factor ix activity (85250) | $53.96 | $284 | 2.8× |
| Factor v activity (85220) | $57.95 | $305 | 3.3× |
| Factor v leiden mutation (81241) | $63.46 | $334 | 0.9× |
| Factor vii assay (85230) | $61.56 | $324 | 3.4× |
| Factor viii assay (85240) | $54.91 | $289 | 3.1× |
| Factor X (85260) | $64.22 | $338 | 3.6× |
| Factor xi activity (85270) | $24.89 | $131 | 1.4× |
| Fat/Lipids Feces Quantitative (82710) | $37.81 | $199 | 2.3× |
| Fatty acids free (82725) | $11.40 | $60 | 0.6× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $62.32 | $328 | 3.6× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $37.43 | $197 | 5.7× |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$11.78–$12.16 | $62–$64 | varies |
| Ferritin (82728) | $44.08 | $232 | 3.2× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $51.11 | $269 | 0.3× |
| Fetal Fibronectin (82731) | $116.47 | $613 | 1.8× |
| Fetal hemoglobin assay qual (83033) | $7.22 | $38 | 0.9× |
| Fetal screen rosette (85461) | $27.93 | $147 | 3.0× |
| Fibrin degradation products (85362) | $34.96 | $184 | 5.1× |
| Fibrin Degradation Quant (85379) | $35.15 | $185 | 3.5× |
| Fibrinogen activity (85384) | $28.69 | $151 | 3.0× |
| Flecainide level (80181) | $15.58 | $82 | 0.8× |
| Flow cytometry first marker (88184) range across 4 matching MRF lines |
$88.35–$129.96 | $465–$684 | varies |
| Flt3 Gene (81245) | $116.28 | $612 | 0.7× |
| Flt3 gene analysis (81246) | $50.16 | $264 | 0.6× |
| Fluorescent antibody screen (86255) range across 14 matching MRF lines |
$9.88–$61.56 | $52–$324 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 10 matching MRF lines |
$7.41–$46.17 | $39–$243 | varies |
| Fluoride serum (82735) | $30.59 | $161 | 1.6× |
| Fmr1 Gene Charac Alleles (81244) | $301.91 | $1,589 | 6.7× |
| Fmr1 gene detection (81243) | $69.92 | $368 | 1.2× |
| Folic acid rbc (82747) | $8.74 | $46 | 0.5× |
| Folic Acid Serum (82746) | $37.05 | $195 | 2.5× |
| Follicle Stimulating Hormone (83001) | $58.14 | $306 | 3.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $115.33 | $607 | 0.6× |
| Frozen Blood Each Unit Freezing (86930) | $130.91 | $689 | 0.7× |
| Frozen Section (88331) | $69.16 | $364 | 0.4× |
| Fungi Identification Mold (87107) | $27.55 | $145 | 2.7× |
| Fungi Identification Yeast (87106) | $14.25 | $75 | 1.4× |
| Galactose transferase test (82776) | $25.84 | $136 | 2.2× |
| Gammaglobulin ige (82785) range across 5 matching MRF lines |
$10.45–$16.15 | $55–$85 | varies |
| Gardner vag DNA dir probe (87510) | $28.31 | $149 | 1.4× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $18.62 | $98 | 1.9× |
| Gases blood ph only (82800) | $12.73 | $67 | 1.2× |
| Gastrin (82941) | $19 | $100 | 1.1× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $298.87 | $1,573 | 0.7× |
| Gentamicin (80170) | $43.89 | $231 | 2.7× |
| Ggt (82977) range across 3 matching MRF lines |
$16.91–$19.95 | $89–$105 | varies |
| Giardia lamblia antibody (86674) | $19.76 | $104 | 1.3× |
| Glucagon (82943) | $32.49 | $171 | 2.3× |
| Glucose 2 hr pp (82950) | $19.38 | $102 | 4.1× |
| Glucose Blood Test (82962) | $12.35 | $65 | 3.8× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$17.67–$22.99 | $93–$121 | varies |
| Glucose Serum (82947) range across 6 matching MRF lines |
$12.16–$21.66 | $64–$114 | varies |
| Glucose tolerance test (gtt) (82951) | $41.80 | $220 | 3.2× |
| Glycated Protein (82985) | $15.20 | $80 | 0.9× |
| Gonadotropin Chorionic Qualitative (84703) | $26.98 | $142 | 3.6× |
| Growth hormone (83003) | $41.80 | $220 | 2.5× |
| Gtt-added samples (82952) | $10.64 | $56 | 2.7× |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$66.69–$93.86 | $351–$494 | varies |
| H Pylori Drug Admin (83014) | $29.45 | $155 | 3.7× |
| Haptoglobin (83010) range across 3 matching MRF lines |
$25.08–$42.37 | $132–$223 | varies |
| Hba1/Hba2 Gene (81257) | $253.65 | $1,335 | 2.5× |
| Hdl Cholesterol (83718) | $18.05 | $95 | 2.2× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$15.20–$48.26 | $80–$254 | varies |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$16.91–$29.26 | $89–$154 | varies |
| Hematocrit (85014) | $10.07 | $53 | 4.2× |
| Hemoglobin (85018) | $15.20 | $80 | 6.4× |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$16.53–$38.57 | $87–$203 | varies |
| Hemoglobin Chromotography (83021) | $21.47 | $113 | 1.2× |
| Hemoglobin electrophoresis (83020) | $69.35 | $365 | 5.4× |
| Hemoglobin plasma (83051) range across 2 matching MRF lines |
$10.64–$23.94 | $56–$126 | varies |
| Hep a ab igm (86709) | $44.84 | $236 | 4.0× |
| Heparin assay (85520) | $12.35 | $65 | 0.9× |
| Hepatitis a antibody total (86708) | $35.34 | $186 | 2.9× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$44.08–$45.98 | $232–$242 | varies |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
$15.77–$35.34 | $83–$186 | varies |
| Hepatitis B Surface Antibody (86706) | $44.84 | $236 | 4.2× |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$14.63–$40.85 | $77–$215 | varies |
| Hepatitis Be Antibody (86707) | $17.67 | $93 | 1.5× |
| Hepatitis Be Antigen (87350) | $16.72 | $88 | 1.5× |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$17.10–$71.82 | $90–$378 | varies |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
$50.16–$299.06 | $264–$1,574 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$32.87–$52.25 | $173–$275 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$54.53–$143.07 | $287–$753 | varies |
| Hepatitis Delta Agent Antibody (86692) | $16.53 | $87 | 1.0× |
| Herpes simplex type 2 (86696) range across 4 matching MRF lines |
$20.90–$22.80 | $110–$120 | varies |
| Heterophile Antibody Screen (86308) | $22.23 | $117 | 4.3× |
| Hexa gene analysis common variants (81255) | $71.63 | $377 | 1.4× |
| Hfe Gene (81256) | $90.06 | $474 | 1.4× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $41.42 | $218 | 5.4× |
| Histamine urine (83088) range across 2 matching MRF lines |
$13.68–$24.51 | $72–$129 | varies |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$57.95–$65.93 | $305–$347 | varies |
| Hiv Antigen W/Hiv Antibodies (87806) | $16.15 | $85 | 0.5× |
| Hiv Genotype (87901) | $151.05 | $795 | 0.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $37.43 | $197 | 1.6× |
| Hiv-1 Antibody (86701) | $19.38 | $102 | 2.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $127.68 | $672 | 1.5× |
| Hla class i semiquant panel (86834) | $308.56 | $1,624 | 0.9× |
| Hla Class I Typing High Resolution Complete (81379) range across 2 matching MRF lines |
$73.34–$228.38 | $386–$1,202 | varies |
| Hla Class I Typing Low Resolution Complete (81372) range across 3 matching MRF lines |
$186.77–$199.69 | $983–$1,051 | varies |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $96.71 | $509 | 0.8× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $316.54 | $1,666 | 0.8× |
| Hla class ii high defin qual (86833) range across 4 matching MRF lines |
$120.27–$121.41 | $633–$639 | varies |
| Hla class ii typing high resolution one locus ea (81382) range across 7 matching MRF lines |
$27.17–$245.86 | $143–$1,294 | varies |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) range across 2 matching MRF lines |
$142.50–$162.64 | $750–$856 | varies |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) | $39.90 | $210 | 1.1× |
| Hla I Typing 1 Allele Hr (81381) | $134.71 | $709 | 0.8× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) range across 3 matching MRF lines |
$259.16–$559.36 | $1,364–$2,944 | varies |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $165.49 | $871 | 0.7× |
| Hla ii typing 1 locus lr (81376) range across 11 matching MRF lines |
$63.84–$91.58 | $336–$482 | varies |
| Hla Typing a/B/C Multiple Antigens (86813) range across 3 matching MRF lines |
$235.79–$393.11 | $1,241–$2,069 | varies |
| Hla Typing Dr/Dq Multiple Antigens (86817) range across 3 matching MRF lines |
$235.79–$393.11 | $1,241–$2,069 | varies |
| Homocysteine (83090) | $55.48 | $292 | 3.1× |
| Homogenization Tissue (87176) | $21.66 | $114 | 3.7× |
| Homovanillic acid urine (83150) | $21.66 | $114 | 1.0× |
| Hpv High-Risk Types (87624) range across 3 matching MRF lines |
$25.27–$55.67 | $133–$293 | varies |
| Hpv Types 16 & 18 Only (87625) | $40.66 | $214 | 1.0× |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$5.98–$34.58 | $31.45–$182 | varies |
| Htt Gene Detc Abnor Alleles (81271) | $149.34 | $786 | 1.1× |
| Hydroxyprogesterone 17-d (83498) range across 3 matching MRF lines |
$23.75–$28.31 | $125–$149 | varies |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $40.85 | $215 | 4.0× |
| Iaad Ia Streptococcus Group A (87430) | $21.85 | $115 | 1.3× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $38.76 | $204 | 3.2× |
| Iaadi pneumocustis carinii (87281) | $33.06 | $174 | 2.8× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $39.90 | $210 | 3.3× |
| Iaadi Varicella Zoster Virus (87290) | $36.29 | $191 | 2.7× |
| Iaadiadoo trichomonas vaginalis (87808) | $11.78 | $62 | 0.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$14.06–$27.55 | $74–$145 | varies |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $26.98 | $142 | 1.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $45.22 | $238 | 1.3× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$75.24–$79.23 | $396–$417 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $21.47 | $113 | 0.3× |
| Iadna hepatitis b virus amplified probe tq (87516) range across 2 matching MRF lines |
$16.15–$28.69 | $85–$151 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $72.20 | $380 | 1.7× |
| Iadna Herpes Virus-6 Quantification (87533) range across 2 matching MRF lines |
$133.38–$176.70 | $702–$930 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 4 matching MRF lines |
$16.91–$107.92 | $89–$568 | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $16.15 | $85 | 0.5× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $37.43 | $197 | 0.5× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $28.31 | $149 | 0.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$16.15–$30.21 | $85–$159 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$6.67–$46.17 | $35.09–$243 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $23.75 | $125 | 0.5× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $98.23 | $517 | 0.7× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $73.34 | $386 | 1.0× |
| Ig Light Chains Free Each (83521) range across 4 matching MRF lines |
$11.78–$24.32 | $62–$128 | varies |
| Igg subclasses (82787) | $12.35 | $65 | 1.5× |
| Ikbkap Gene Analysis Common Variants (81260) | $128.25 | $675 | 3.3× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $128.06 | $674 | 0.3× |
| Immune Complex Assay (86332) range across 2 matching MRF lines |
$21.28–$37.24 | $112–$196 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$69.54–$114.57 | $366–$603 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 10 matching MRF lines |
$30.02–$105.83 | $158–$557 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$5.70–$36.67 | $30–$193 | varies |
| Immunoassay nonantibody (83516) range across 19 matching MRF lines |
$9.31–$60.42 | $49–$318 | varies |
| Immunodiffusion Ouchterlony (86331) | $10.45 | $55 | 0.9× |
| Immunofixation electrophoresis (86334) | $76.57 | $403 | 3.4× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$100.32–$115.33 | $528–$607 | varies |
| Immunohistochemistry (88342) range across 13 matching MRF lines |
$37.81–$115.33 | $199–$607 | varies |
| In situ hybridization 1st probe stain (88365) | $75.24 | $396 | 0.4× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $26.41 | $139 | 0.8× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $9.12 | $48 | 0.7× |
| Influenza assay w/optic (87804) | $23.75 | $125 | 1.4× |
| Influenza DNA amp probe (87502) range across 4 matching MRF lines |
$38.95–$41.61 | $205–$219 | varies |
| Inhibin A (86336) range across 2 matching MRF lines |
$14.25–$41.61 | $75–$219 | varies |
| Inhibin b (83520) range across 22 matching MRF lines |
$11.97–$242.44 | $63–$1,276 | varies |
| Insulin antibodies (86337) range across 3 matching MRF lines |
$24.51–$43.77 | $129–$230.35 | varies |
| Insulin total (83525) | $39.52 | $208 | 3.5× |
| Interleukin-6 (83529) range across 3 matching MRF lines |
$20.71–$67.07 | $109–$353 | varies |
| Intrinsic factor antibody (86340) | $15.77 | $83 | 1.0× |
| Iron (83540) | $26.22 | $138 | 4.1× |
| Irradiation Blood Product Each Unit (86945) | $47.69 | $251 | 1.2× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$15.20–$39.97 | $80–$210.38 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$48.26–$185.06 | $254–$974 | varies |
| Ketosteroids 17 total (83586) | $11.78 | $62 | 0.9× |
| Kit Gene Analysis D816 Variant(S) (81273) | $368.60 | $1,940 | 3.0× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $368.60 | $1,940 | 1.1× |
| Koh Prep (87220) | $17.10 | $90 | 4.0× |
| Kras Gene Analysis Additional Variant(S) (81276) | $49.02 | $258 | 0.3× |
| Kras Gene Variants Exon 2 (81275) | $49.02 | $258 | 0.3× |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$7.79–$24.89 | $41–$131 | varies |
| Lactoferrin fecal qualitative (83630) | $26.98 | $142 | 1.4× |
| Lamellar Body Count (83664) | $13.68 | $72 | 0.7× |
| Ldh Isoenzymes (83625) | $11.40 | $60 | 0.9× |
| LDL direct (83721) | $20.90 | $110 | 2.0× |
| Lead (83655) range across 3 matching MRF lines |
$15.20–$24.89 | $80–$131 | varies |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$32.30–$161.12 | $170–$848 | varies |
| Leptospira antibody (86720) range across 2 matching MRF lines |
$34.01–$49.21 | $179–$259 | varies |
| Leukocyte Assessment Fecal (89055) | $14.82 | $78 | 3.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $47.50 | $250 | 1.5× |
| Level ii surg pathology grossµscopic exam (88302) | $63.84 | $336 | 1.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $173.47 | $913 | 0.5× |
| Lidocaine (80176) | $17.10 | $90 | 1.2× |
| Lipase (83690) | $35.15 | $185 | 5.1× |
| Lipoprotein A (83695) | $19.57 | $103 | 1.4× |
| Lipoprotein Bld Quan Part (83704) | $27.74 | $146 | 0.8× |
| Lithium (80178) | $26.41 | $139 | 4.0× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$55.86–$59.09 | $294–$311 | varies |
| Lyme disease antibody (86618) | $24.32 | $128 | 1.4× |
| Lymphocytotoxicity Assay (86805) range across 2 matching MRF lines |
$134.33–$222.68 | $707–$1,172 | varies |
| Lysozyme serum (85549) | $17.48 | $92 | 0.9× |
| M. Genitalium Amp Probe (87563) | $6.67 | $35.09 | 0.2× |
| Magnesium Urine (83735) range across 5 matching MRF lines |
$11.02–$25.08 | $58–$132 | varies |
| Mass Spectrometry Quant (83789) range across 6 matching MRF lines |
$15.77–$99.37 | $83–$523 | varies |
| Mercury urine (83825) | $20.52 | $108 | 1.3× |
| Metabolic panel ionized ca (80047) | $52.25 | $275 | 3.8× |
| Methotrexate (80204) | $42.94 | $226 | 1.1× |
| Methylmalonic acid serum (83921) | $32.49 | $171 | 1.5× |
| Microalbumin, quantitative (82043) | $25.84 | $136 | 4.5× |
| Microbe Suscept Macrobroth (87188) range across 3 matching MRF lines |
$22.61–$27.17 | $119–$143 | varies |
| Microsomal Antibodies Each (86376) range across 5 matching MRF lines |
$18.24–$37.24 | $96–$196 | varies |
| Mitochondrial Antibody Each (86381) range across 3 matching MRF lines |
$9.88–$53.96 | $52–$284 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) range across 10 matching MRF lines |
$22.61–$148.77 | $119–$783 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $69.35 | $365 | 1.6× |
| Molecular Pathology Procedure Level 3 (81402) | $294.31 | $1,549 | 2.0× |
| Mopath procedure level 2 (81401) range across 6 matching MRF lines |
$185.63–$333.26 | $977–$1,754 | varies |
| Mopath procedure level 4 (81403) | $104.69 | $551 | 0.6× |
| Mopath procedure level 7 (81406) | $605.72 | $3,188 | 2.1× |
| Morphometric Analysis Tumor (88358) | $115.33 | $607 | 0.6× |
| Mpl gene analysis sequence analysis exon 10 (81339) range across 3 matching MRF lines |
$54.53–$112.48 | $287–$592 | varies |
| Mpl gene common variants (81338) | $294.31 | $1,549 | 2.0× |
| Mthfr Gene Analysis Common Variants (81291) range across 2 matching MRF lines |
$47.31–$63.27 | $249–$333 | varies |
| Mucopolysaccharides acid quantitative (83864) | $16.53 | $87 | 0.6× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$37.05–$38.76 | $195–$204 | varies |
| Mycobacteric Identification (87118) | $37.43 | $197 | 2.6× |
| Mycophenolic Acid (80180) | $26.60 | $140 | 1.5× |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
$13.68–$14.82 | $72–$78 | varies |
| Mycoplasma culture (87109) | $80.18 | $422 | 5.2× |
| Myelin basic protein csf (83873) | $19 | $100 | 1.1× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$18.81–$34.39 | $99–$181 | varies |
| Natriuretic peptide (83880) | $53.77 | $283 | 1.4× |
| Neisseria Dir Na Probe (87590) | $26.98 | $142 | 1.0× |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$27.36–$37.24 | $144–$196 | varies |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $98.23 | $517 | 0.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $49.40 | $260 | 0.2× |
| Nk cells total count (86357) | $45.98 | $242 | 1.2× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $146.49 | $771 | 0.6× |
| Nras gene variants exon 2&3 (81311) | $121.98 | $642 | 0.4× |
| Nuclear antigen antibody (86235) range across 8 matching MRF lines |
$15.58–$31.92 | $82–$168 | varies |
| Occult blood feces (82272) | $12.92 | $68 | 3.1× |
| Occult Blood Other Sources (82271) | $9.12 | $48 | 1.7× |
| Oligoclonal bands (83916) | $27.36 | $144 | 1.0× |
| Organic acids urine (83918) | $83.22 | $438 | 3.5× |
| Osmolality serum (83930) | $29.64 | $156 | 4.5× |
| Osmolality Urine (83935) | $30.21 | $159 | 4.4× |
| Osmotic fragility rbc incubated (85557) | $9.69 | $51 | 0.7× |
| Osteocalcin (83937) | $37.43 | $197 | 1.3× |
| Ova and parasites smears (87177) | $6.84 | $36 | 0.8× |
| Oxalate urine (83945) range across 3 matching MRF lines |
$17.86–$22.42 | $94–$118 | varies |
| Pancreatic Elastase Fecal (82656) | $55.48 | $292 | 4.8× |
| Particle Agglutination Screen Each Antibody (86403) | $35.15 | $185 | 3.0× |
| Parvovirus antibody (86747) | $18.62 | $98 | 1.2× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $338.01 | $1,779 | 0.4× |
| Ph urine (81003) | $13.49 | $71 | 6.0× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$25.84–$36.67 | $136–$193 | varies |
| Phenotype Infect Agent Drug (87900) | $61.56 | $324 | 0.5× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$27.55–$31.16 | $145–$164 | varies |
| Phenytoin (Dilantin) (80185) | $44.27 | $233 | 3.3× |
| Phenytoin free (80186) | $29.45 | $155 | 2.1× |
| Phosphatase acid prostatic (84066) | $16.34 | $86 | 1.7× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$11.21–$14.82 | $59–$78 | varies |
| Phosphorus Serum (84100) | $17.29 | $91 | 3.6× |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$7.22–$19.95 | $38–$105 | varies |
| Pinworm exam (87172) | $19 | $100 | 4.4× |
| Platelet Aggregation (85576) | $47.50 | $250 | 1.9× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$42.75–$49.59 | $225–$261 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$13.49–$14.06 | $71–$74 | varies |
| Platelet neutralization (85597) | $37.05 | $195 | 2.1× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $199.31 | $1,049 | 1.0× |
| Pneumcysts jirovecii amp prb (87594) | $68.21 | $359 | 1.9× |
| Pooling blood platelets (86965) | $52.25 | $275 | 0.3× |
| Porphobilinogen, urine; quantitative (84110) | $9.50 | $50 | 1.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $17.29 | $91 | 1.2× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$5.89–$19.38 | $31–$102 | varies |
| Prealbumin (84134) | $31.35 | $165 | 2.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $52.06 | $274 | 0.8× |
| Primidone (80188) | $17.86 | $94 | 1.1× |
| Procalcitonin (Pct) (84145) | $12.92 | $68 | 0.5× |
| Progesterone (84144) | $50.92 | $268 | 2.4× |
| Prolactin (84146) | $59.47 | $313 | 3.1× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$19–$19.19 | $100–$101 | varies |
| Protein C Activity (85303) | $76.38 | $402 | 5.5× |
| Protein c antigen (85302) | $31.16 | $164 | 2.6× |
| Protein Electrophoresis Urine (84166) | $43.13 | $227 | 2.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $62.13 | $327 | 5.8× |
| Protein S Free (85306) | $26.79 | $141 | 1.7× |
| Protein s total (85305) | $24.70 | $130 | 2.1× |
| Protein total serum (84155) | $15.01 | $79 | 4.1× |
| Protein Total Urine (84156) | $17.86 | $94 | 4.9× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $29.26 | $154 | 7.4× |
| PSA free (84154) | $36.29 | $191 | 2.0× |
| Pth Intact (83970) | $78.47 | $413 | 1.9× |
| Quantiferon tb gold plus (86480) | $39.14 | $206 | 0.6× |
| Quantitative assay drug (80299) range across 8 matching MRF lines |
$16.91–$67.64 | $89–$356 | varies |
| Quantitative Screen Metals (83018) | $19 | $100 | 0.9× |
| Rbc antibody elution (86860) | $57.95 | $305 | 0.3× |
| Rbc antibody identification (86870) | $120.27 | $633 | 0.3× |
| Rbc antibody screen (86850) | $40.66 | $214 | 4.2× |
| Renin activity plasma (84244) | $28.31 | $149 | 1.3× |
| Resp virus 12-25 targets (87633) | $313.31 | $1,649 | 0.8× |
| Resp Virus 6-11 Targets (87632) | $81.89 | $431 | 0.4× |
| Reticulocyte Count Manual (85044) | $13.87 | $73 | 3.2× |
| Rh (86901) range across 2 matching MRF lines |
$8.93–$20.52 | $47–$108 | varies |
| Rheumatoid factor quant (86431) | $26.22 | $138 | 4.6× |
| Rickettsia antibody (86757) range across 5 matching MRF lines |
$16.15–$46.17 | $85–$243 | varies |
| Ristocetin cofactor (85245) | $31.54 | $166 | 1.4× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$11.59–$18.81 | $61–$99 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$17.67–$39.90 | $93–$210 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$23.75–$34.96 | $125–$184 | varies |
| Russell Viper Venom Time Diluted (85613) | $31.16 | $164 | 3.3× |
| Salicylate Level (80179) | $38.95 | $205 | 2.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$40.66–$76 | $214–$400 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$40.66–$41.61 | $214–$219 | varies |
| Sedimentation Rate, Automated (85652) | $17.67 | $93 | 6.5× |
| Semen Anal Sperm Detection (89321) | $16.34 | $86 | 1.4× |
| Semen analysis complete (89322) | $124.26 | $654 | 8.0× |
| Semen analysis complete (89320) | $87.21 | $459 | 7.1× |
| Semen analysis motility and count (89310) range across 2 matching MRF lines |
$41.80–$48.26 | $220–$254 | varies |
| Sensitivity mic (87186) | $33.63 | $177 | 3.9× |
| Sex Hormone Binding Globulin (84270) | $36.86 | $194 | 1.7× |
| Sickling of rbc reduction (85660) | $22.23 | $117 | 4.0× |
| Sirolimus (80195) range across 2 matching MRF lines |
$24.51–$45.98 | $129–$242 | varies |
| Skin Test Candida (86485) range across 2 matching MRF lines |
$10.07–$162.02 | $53–$852.75 | varies |
| Skin test tuberculosis intradermal (86580) range across 6 matching MRF lines |
$2.09–$9.31 | $11–$49 | varies |
| Skin test unlisted antigen each (86486) | $12.54 | $66 | 0.4× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$23.75–$24.70 | $125–$130 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$11.40–$30.21 | $60–$159 | varies |
| Smear gram stain (87205) | $19 | $100 | 4.4× |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$22.99–$25.08 | $121–$132 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$8.93–$23.75 | $47–$125 | varies |
| Sodium Serum (84295) | $20.52 | $108 | 4.3× |
| Sodium Urine (84300) range across 3 matching MRF lines |
$7.03–$18.62 | $37–$98 | varies |
| Soluble Transferrin Receptor (84238) | $69.16 | $364 | 1.9× |
| Somatomedin (84305) | $28.50 | $150 | 1.3× |
| Special Stains Group 1 (88312) | $63.84 | $336 | 1.1× |
| Special Stains Group 2 (88313) | $46.93 | $247 | 0.3× |
| Specific gravity body fluid (84315) | $47.69 | $251 | 14.5× |
| Specimen infect agnt concntj (87015) | $18.24 | $96 | 2.7× |
| Spectrophotometry (84311) | $22.99 | $121 | 2.8× |
| Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331) | $73.34 | $386 | 3.7× |
| Splitting Blood/Blood Products Each Unit (86985) | $47.88 | $252 | 0.3× |
| Staph a DNA amp probe (87640) | $44.08 | $232 | 1.3× |
| Stem cells total count (86367) | $57.19 | $301 | 0.7× |
| Strep a assay w/optic (87880) | $33.25 | $175 | 2.0× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$18.24–$21.28 | $96–$112 | varies |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$26.41–$34.39 | $139–$181 | varies |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $63.45 | $333.95 | 0.7× |
| Sugars Single Qual (84376) | $6.65 | $35 | 1.2× |
| Sulfate urine (84392) | $12.92 | $68 | 2.4× |
| Surg path level iii (88304) | $98.04 | $516 | 1.8× |
| Surgical pathology level IV (88305) | $121.60 | $640 | 2.2× |
| Surgical pathology level vi (88309) | $273.41 | $1,439 | 0.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $9.31 | $49 | 2.0× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $20.71 | $109 | 2.8× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $7.03 | $37 | 1.0× |
| Sweat Collection Iontophoresis (89230) | $83.79 | $441 | 1.5× |
| T cells absolute cd4 count (86361) | $41.61 | $219 | 1.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $82.08 | $432 | 1.7× |
| T cells total count (86359) | $45.79 | $241 | 1.2× |
| T3 Free (84481) | $51.87 | $273 | 3.1× |
| T3 reverse (84482) | $16.91 | $89 | 1.1× |
| T3 Total (84480) | $42.56 | $224 | 3.0× |
| T4 Free (84439) range across 2 matching MRF lines |
$19–$36.67 | $100–$193 | varies |
| T4 total (84436) | $26.22 | $138 | 3.8× |
| Tacrolimus (80197) range across 3 matching MRF lines |
$19.57–$63.08 | $103–$332 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$15.77–$63.08 | $83–$332 | varies |
| Testosterone, Free (84402) | $15.77 | $83 | 0.6× |
| Tetanus antibody (86774) | $20.14 | $106 | 1.4× |
| Theophylline (80198) range across 2 matching MRF lines |
$12.92–$42.37 | $68–$223 | varies |
| Thiocyanate (84430) | $11.21 | $59 | 1.0× |
| Thiopurine methyltransferase (84433) | $119.70 | $630 | 5.4× |
| Thrombin Time (85670) | $9.12 | $48 | 1.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $32.49 | $171 | 5.0× |
| Thyroglobulin (84432) range across 3 matching MRF lines |
$35.91–$37.43 | $189–$197 | varies |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$27.36–$40.28 | $144–$212 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $43.89 | $231 | 0.9× |
| Thyroxine binding globulin (84442) | $15.58 | $82 | 1.1× |
| Tiss cul neo disorders solid tumor (88239) | $117.42 | $618 | 0.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 4 matching MRF lines |
$6.46–$14.25 | $34–$75 | varies |
| Tissue Culture (88233) | $164.54 | $866 | 1.2× |
| Tissue Culture Amniotic Fluid (88235) | $197.22 | $1,038 | 1.3× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$167.58–$181.26 | $882–$954 | varies |
| Tissue Culture Lymphocyte (88230) | $141.74 | $746 | 1.2× |
| Tobramycin peak (80200) | $55.29 | $291 | 3.4× |
| Topiramate (80201) | $15.96 | $84 | 1.3× |
| Touch prep (88161) | $35.15 | $185 | 1.1× |
| Toxoplasma ab igm (86778) | $21.28 | $112 | 1.5× |
| Toxoplasma antibody (86777) | $39.90 | $210 | 2.8× |
| Tpmt gene com variants (81335) | $139.08 | $732 | 0.8× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$17.67–$22.23 | $93–$117 | varies |
| Transferrin (84466) | $29.83 | $157 | 2.3× |
| Trg gene rearrangement anal (81342) | $153.33 | $807 | 0.8× |
| Trichomonas vagin dir probe (87660) | $28.31 | $149 | 1.4× |
| Trichomonas Vaginalis Amplif (87661) range across 4 matching MRF lines |
$6.67–$21.85 | $35.09–$115 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$16.15–$19.95 | $85–$105 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$13.30–$48.45 | $70–$255 | varies |
| Tumor Immunohistochem/Manual (88360) range across 9 matching MRF lines |
$81.51–$109.82 | $429–$578 | varies |
| Urea nitrogen urine (84540) | $18.24 | $96 | 3.3× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$6.84–$23.94 | $36–$126 | varies |
| Urinalysis Microscopic Only (81015) range across 3 matching MRF lines |
$9.12–$10.64 | $48–$56 | varies |
| Urinalysis Volume Measure (81050) | $8.93 | $47 | 2.5× |
| Urine Albumin Semiquantitative (82044) | $19.19 | $101 | 3.1× |
| Urine Bacteria Culture (87088) | $17.67 | $93 | 2.2× |
| Urine Pregnancy Test (81025) range across 6 matching MRF lines |
$33.06–$37.24 | $174–$196 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $53.39 | $281 | 16.8× |
| Valproic acid (80164) | $38.57 | $203 | 2.8× |
| Vancomycin (80202) | $45.79 | $241 | 3.4× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$17.10–$394.63 | $90–$2,077 | varies |
| Vasopressin (84588) | $23.75 | $125 | 0.7× |
| Viral Culture (87252) | $48.83 | $257 | 1.9× |
| Virus antibody nos (86790) range across 3 matching MRF lines |
$20.71–$39.71 | $109–$209 | varies |
| Virus inoculate tissue addl (87253) | $29.26 | $154 | 1.4× |
| Viscosity serum (85810) | $13.87 | $73 | 1.2× |
| Vit D 1 25-Dihydroxy (82652) | $37.62 | $198 | 1.0× |
| Vitamin A (84590) | $22.23 | $117 | 1.9× |
| Vitamin b-12 (82607) | $40.85 | $215 | 2.7× |
| Vitamin B6 (84207) | $29.45 | $155 | 1.0× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$11.40–$56.43 | $60–$297 | varies |
| Vitamin E (84446) | $24.32 | $128 | 1.7× |
| Vitamin K (84597) | $37.24 | $196 | 2.7× |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 2 matching MRF lines |
$22.23–$48.26 | $117–$254 | varies |
| Von willebrand factor ag (85246) | $36.67 | $193 | 1.6× |
| Western Blot Test (84181) | $42.75 | $225 | 2.5× |
| Zinc (84630) | $12.35 | $65 | 1.1× |
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.