Lab & pathology prices at Lucile Salter Packard Children's Hsp at Stanford

Palo Alto, CA · every code in this section with a posted price and a Medicare benchmark.

890 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143)
range across 4 matching MRF lines		 $16.62–$34.79 $33.25–$69.59 varies
5 Nucleotidase (83915) $7.01 $14.03 0.6×
Abl1 gene analysis kinase domain variants (81170) $992 $1,984 3.3×
Acetylcholine receptor binding antibody (86041) $53.04 $106.08 2.9×
Acetylcholine receptor blocking antibody (86042) $17.50 $35 1.0×
Acetylcholinesterase Assay (82013)
range across 2 matching MRF lines		 $40.74–$165 $81.48–$330 varies
Acetylcholn Rcptr Modlg Antb (86043) $20.87 $41.75 1.7×
Acth (82024) $180 $360 4.7×
Actin smooth muscle antibody each (86015)
range across 2 matching MRF lines		 $6.45–$8.46 $12.90–$16.93 varies
Acute hepatitis panel (80074) $595 $1,190 12.5×
Acylcarnitines Quant (82017)
range across 3 matching MRF lines		 $90.60–$166.50 $181.21–$333 varies
Adenovirus antibody (86603)
range across 3 matching MRF lines		 $7–$39.50 $14–$79 varies
Afp-l3 fraction isoform & total afp w/ratio (82107)
range across 2 matching MRF lines		 $51.98–$63.44 $103.96–$126.88 varies
Agglutinins Febrile Each Antigen (86000) $50 $100 7.2×
Albumin Fluid (82042)
range across 4 matching MRF lines		 $4.35–$151.50 $8.70–$303 varies
Albumin serum (82040) $123.50 $247 24.9×
Aldolase (82085) $3.84 $7.69 0.4×
Aldosterone urine (82088)
range across 2 matching MRF lines		 $11.25–$23.36 $22.50–$46.72 varies
Alkaline phosphatase isoenzymes (84080)
range across 3 matching MRF lines		 $4.59–$10 $9.19–$20 varies
Allergen specific ige (86003)
range across 104 matching MRF lines		 $4.69–$47.50 $9.38–$95 varies
Allergen specific igg (86001)
range across 3 matching MRF lines		 $9.58–$9.60 $19.17–$19.21 varies
Allg Spec Ige Recomb Ea (86008)
range across 3 matching MRF lines		 $1.21–$18.50 $1.87–$37 varies
Alpha-1-antitrypsin phenotype (82104) $5.52 $11.05 0.4×
Alpha-1-antitrypsin total (82103)
range across 3 matching MRF lines		 $5.52–$17.52 $11.05–$35.04 varies
Alpha-Fetoprotein Amniotic Fluid (82106)
range across 2 matching MRF lines		 $17.50–$31.50 $35–$63 varies
Alpha-Fetoprotein Serum (82105) $237 $474 14.1×
Alt (sgpt) (84460)
range across 5 matching MRF lines		 $24.66–$209 $49.32–$418 varies
Aluminum (82108) $11.13 $22.27 0.4×
Amikacin trough (80150) $126 $252 8.4×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $547 $1,094 32.4×
Amino Acids Quant 2-5 (82136)
range across 3 matching MRF lines		 $41.83–$189 $83.66–$378 varies
Amino acids; single, qualitative, each specimen Facility (82127) $50.96 $101.93 3.6×
Aminolevulinic acid (ala) (82135)
range across 3 matching MRF lines		 $6.31–$44.67 $12.62–$89.35 varies
Ammonia (82140)
range across 4 matching MRF lines		 $7.50–$419 $15–$838 varies
Amniotic fluid protein test on cervicovaginal fluid (84112) $543.50 $1,087 5.5×
Amniotic fluid scan (82143) $83 $166 8.9×
Amylase urine (82150)
range across 14 matching MRF lines		 $5.80–$353.50 $11.60–$707 varies
Ana Titer (86039)
range across 4 matching MRF lines		 $7.27–$9.06 $14.55–$18.12 varies
Anca screen each antibody (86036)
range across 4 matching MRF lines		 $5.78–$12.50 $11.57–$25 varies
Androstanediol Glucuronide (82154) $32.25 $64.50 1.1×
Androstenedione (82157)
range across 4 matching MRF lines		 $14.21–$198.50 $28.43–$397 varies
Angiotensin converting enzyme csf (82164)
range across 6 matching MRF lines		 $5–$250 $10–$500 varies
Anti-Phospholipid Antibody (86148)
range across 18 matching MRF lines		 $6.69–$89 $13.38–$178 varies
Antibody aspergillus (86606)
range across 18 matching MRF lines		 $9.45–$27.50 $18.90–$55 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 9 matching MRF lines		 $7.50–$40.50 $15–$81 varies
Antibody Cytomegalovirus Cmv Igm (86645)
range across 2 matching MRF lines		 $27.90–$210.50 $55.81–$421 varies
Antibody Encephalitis California La Crosse (86651) $31.54 $63.09 2.4×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663)
range across 4 matching MRF lines		 $2.50–$44.50 $5–$89 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 4 matching MRF lines		 $2.50–$148 $5–$296 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 6 matching MRF lines		 $2.50–$195 $5–$390 varies
Antibody Fungus Not Elsewhere Specified (86671)
range across 4 matching MRF lines		 $9.38–$14.39 $18.76–$28.78 varies
Antibody haemophilus influenza (86684)
range across 2 matching MRF lines		 $12.50–$23.97 $25–$47.95 varies
Antibody helicobacter pylori (86677)
range across 4 matching MRF lines		 $18.50–$171 $37–$342 varies
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 3 matching MRF lines		 $16.04–$28 $32.08–$56 varies
Antibody Herpes Smplx Type 1 (86695)
range across 5 matching MRF lines		 $14.69–$46.50 $29.39–$93 varies
Antibody HIV-1&HIV-2 single result (86703)
range across 6 matching MRF lines		 $25.50–$261.50 $51–$523 varies
Antibody HIV-2 (86702)
range across 2 matching MRF lines		 $40–$49.50 $80–$99 varies
Antibody Hla Class I High Definition Panel Qual (86832)
range across 10 matching MRF lines		 $1,054.50–$1,895.50 $2,109–$3,791 varies
Antibody htlv/HIV antibody confirmatory test (86689)
range across 5 matching MRF lines		 $50–$65.12 $100–$130.25 varies
Antibody identification leukocyte antibodies (86021)
range across 4 matching MRF lines		 $10.51–$111.35 $21.03–$222.70 varies
Antibody leishmania (86717)
range across 4 matching MRF lines		 $5.01–$40 $10.03–$80 varies
Antibody Lymphocytic Choriomeningitis (86727)
range across 2 matching MRF lines		 $9.97–$24.75 $19.95–$49.50 varies
Antibody Protozoa Nes (86753)
range across 15 matching MRF lines		 $5.67–$200 $11.35–$400 varies
Antibody Titer (86886) $257.50 $515 49.7×
Antibody Treponema Pallidum (86780)
range across 4 matching MRF lines		 $12.98–$123.50 $25.96–$247 varies
Antibody yersinia (86793)
range across 2 matching MRF lines		 $23.43–$23.44 $46.87–$46.88 varies
Antibody; encephalitis, st. louis (86653) $31.54 $63.09 2.4×
Antigen typing (86905) $285 $570 74.4×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $257.50 $515 45.0×
Antinomyces antibody (86602) $7.79 $15.58 0.8×
Antinuclear antibodies (86038)
range across 2 matching MRF lines		 $27.50–$102 $55–$204 varies
Antistreptolysin o titer (86060) $22 $44 3.0×
Antithrombin iii activity (85300) $146.50 $293 12.4×
Antithrombin iii antigen (85301) $17.84 $35.69 1.7×
Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) $3,106.50 $6,213 6.2×
Apc Gene Analysis Known Familial Variants (81202) $351.50 $703 1.3×
Apolipoprotein a1 (82172)
range across 4 matching MRF lines		 $7.07–$24.66 $14.15–$49.33 varies
Aqaprn-4 Antb Flo Cytmtry Ea (86053)
range across 6 matching MRF lines		 $40–$159.12 $80–$318.24 varies
AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81174) $351.50 $703 1.9×
Arsenic (82175)
range across 8 matching MRF lines		 $5.89–$48.39 $11.79–$96.79 varies
Aspa gene analysis common variants (81200) $79 $158 1.7×
Aspergillus ag eia (87305) $91 $182 7.6×
Assay activated protein c (85307) $112.50 $225 7.3×
Assay Blood Carbon Dioxide (82374)
range across 5 matching MRF lines		 $4.51–$97 $9.03–$194 varies
Assay Duodenal Fluid Trypsin (84485) $8.70 $17.40 1.2×
Assay Nephelometry Not Spec (83883)
range across 7 matching MRF lines		 $8.35–$121 $16.70–$242 varies
Assay of 5-hiaa (83497)
range across 2 matching MRF lines		 $7.30–$37.50 $14.61–$75 varies
Assay of b-hexosaminidase each assay (83080)
range across 3 matching MRF lines		 $25.24–$45.50 $50.49–$91 varies
Assay of blood/uric acid (84550)
range across 2 matching MRF lines		 $212.50–$219.50 $425–$439 varies
Assay of calcium in urine (82340)
range across 2 matching MRF lines		 $5.90–$96.50 $11.80–$193 varies
Assay of cpk in blood (82552) $5.68 $11.37 0.4×
Assay of estrone (82679)
range across 4 matching MRF lines		 $4.13–$106.50 $8.26–$213 varies
Assay of g6pd enzyme (82955) $45 $90 4.6×
Assay of gammaglobulin igm (82784)
range across 10 matching MRF lines		 $11.69–$73 $23.38–$146 varies
Assay of lactic acid (83605)
range across 6 matching MRF lines		 $50–$369 $100–$738 varies
Assay of manganese (83785)
range across 2 matching MRF lines		 $10–$14.50 $20–$29 varies
Assay of metanephrines (83835)
range across 4 matching MRF lines		 $4.72–$17.50 $9.45–$35 varies
Assay of procainamide (80190) $123.50 $247 2.1×
Assay of proinsulin (84206)
range across 2 matching MRF lines		 $17.50–$49.50 $35–$99 varies
Assay of pyruvate (84210)
range across 2 matching MRF lines		 $11.93–$24.50 $23.87–$49 varies
Assay of semen fructose (82757) $27.29 $54.59 1.6×
Assay of serotonin (84260) $15 $30 0.5×
Assay of serum potassium (84132)
range across 8 matching MRF lines		 $25–$379 $50–$758 varies
Assay of sweat sodium (84302)
range across 5 matching MRF lines		 $4.26–$17.21 $8.53–$34.43 varies
Assay of transcortin (84449)
range across 2 matching MRF lines		 $27–$38.50 $54–$77 varies
Assay of urea nitrogen (84520)
range across 7 matching MRF lines		 $14.75–$204 $29.50–$408 varies
Assay of urine vma (84585)
range across 4 matching MRF lines		 $8.51–$13.07 $17.03–$26.15 varies
Assay of vasoactive intestinal peptide (84586) $27.68 $55.37 0.8×
Assay of vitamin b-1 (84425)
range across 2 matching MRF lines		 $5–$14.79 $10–$29.58 varies
Assay Ph Body Fluid Nos (83986)
range across 5 matching MRF lines		 $3.14–$100 $6.28–$200 varies
Asy carbamazepin 10,11-epxid (80161) $9.56 $19.13 0.5×
Autol Bld/Component Collj Storage Predeposited (86890) $292.50 $585 1.2×
Automated Leukocyte Count (85048) $12.50 $25 4.9×
B cells total count (86355)
range across 6 matching MRF lines		 $14.52–$458 $29.05–$916 varies
Bartonella antibody (86611)
range across 7 matching MRF lines		 $5–$26.44 $10–$52.88 varies
Bckdhb Gene Analysis Common Variants (81205) $139 $278 1.5×
Bcr/abl1 gene major bp (81206) $610.50 $1,221 3.7×
Bcr/abl1 gene minor bp (81207) $522 $1,044 3.6×
Beta 2 glycoprotein i antibody each (86146) $113 $226 4.4×
Beta hydroxybutyrate (82010) $198.50 $397 24.3×
Beta Lactamase (87185) $158.50 $317 33.4×
Beta-2 Microglobulin (82232)
range across 3 matching MRF lines		 $7.19–$150.50 $14.38–$301 varies
Bile acids total (82239) $4.50 $9 0.3×
Bilirubin direct (82248)
range across 5 matching MRF lines		 $85.50–$286 $171–$572 varies
Bilirubin total (82247)
range across 8 matching MRF lines		 $4.40–$281 $8.80–$562 varies
Biotinidase (82261)
range across 2 matching MRF lines		 $10.08–$448 $20.17–$896 varies
Bl Smear W/O Diff Wbc Count (85008) $96.50 $193 28.1×
Blastomyces antibody (86612)
range across 12 matching MRF lines		 $20.74–$28.35 $41.49–$56.70 varies
Blm Gene (81209) $52.50 $105 1.3×
Blood Count Manual Cell Count Each (85032) $30.83 $61.66 7.2×
Blood count reticulocyte automated (85045)
range across 3 matching MRF lines		 $95–$258.50 $190–$517 varies
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $228.50 $457 60.1×
Blood count spun microhematocrit (85013)
range across 2 matching MRF lines		 $42–$48 $84–$96 varies
Blood gas (82803)
range across 6 matching MRF lines		 $50–$853 $100–$1,706 varies
Blood gases w/02 saturation (82805) $1,019.50 $2,039 12.9×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $179 $358 11.2×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $112.50 $225 25.7×
Blood Type Antigen Donor Reagent Serum Each (86902) $269 $538 42.4×
Blood typing serologic abo (86900)
range across 4 matching MRF lines		 $73.50–$245 $147–$490 varies
Body fluid cell count (89050) $137.50 $275 29.1×
Bordetella antibody (86615) $53.85 $107.70 4.1×
Borrelia Antibody (86619) $42.50 $85 3.2×
Braf gene analysis (81210)
range across 4 matching MRF lines		 $628–$1,011.50 $1,256–$2,023 varies
Brca1 Gene Analysis Known Familial Variant (81215) $351.50 $703 0.9×
Brca2 Gene Analysis Known Familial Variant (81217) $351.50 $703 0.9×
Brucella antibody (86622)
range across 10 matching MRF lines		 $10.22–$69.30 $20.45–$138.60 varies
C diff amplified probe (87493) $542.50 $1,085 14.6×
C-Peptide (84681) $173.50 $347 8.3×
C-reactive protein (86140)
range across 5 matching MRF lines		 $8.98–$222.50 $17.97–$445 varies
Ca 19-9 (86301) $225 $450 10.8×
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial… (81186) $351.50 $703 1.9×
Cadmium (82300)
range across 4 matching MRF lines		 $5.89–$20.18 $11.79–$40.36 varies
Caffeine (80155) $14.31 $28.63 0.4×
Calcitonin (82308) $21.21 $42.43 0.8×
Calcium ionized (82330)
range across 4 matching MRF lines		 $25–$337 $50–$674 varies
Calcium total (82310)
range across 3 matching MRF lines		 $4.53–$181.50 $9.06–$363 varies
Calculus Spectroscopy (82365)
range across 2 matching MRF lines		 $8.45–$10.71 $16.90–$21.42 varies
Calprotectin Fecal (83993)
range across 2 matching MRF lines		 $106.50–$110 $213–$220 varies
Calr gene com variants (81219)
range across 2 matching MRF lines		 $801–$1,847 $1,602–$3,694 varies
Cancer Antigen 125 (86304) $285.50 $571 13.7×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines		 $7.75–$16.50 $15.50–$33 varies
Candida antibody (86628) $22.12 $44.25 1.8×
Car Ion Chnnlpath Inc 10 Gns (81413)
range across 3 matching MRF lines		 $1,011–$3,106.50 $2,022–$6,213 varies
Car Ion Chnnlpath Inc 2 Gns (81414)
range across 2 matching MRF lines		 $150–$1,011 $300–$2,022 varies
Carbamazepine free (80157) $15.09 $30.19 1.1×
Carbamazepine total (80156)
range across 3 matching MRF lines		 $9.56–$462 $19.13–$924 varies
Carbohydrate Deficient Transferrin (82373) $24.24 $48.48 1.3×
Carboxyhemoglobin (82375) $239.50 $479 19.4×
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines		 $38.16–$406.50 $76.32–$813 varies
Cardiolipin ab iga (86147)
range across 3 matching MRF lines		 $5.77–$93 $11.55–$186 varies
Carnitine Quantitative Each Specimen (82379) $103 $206 6.1×
Carotene (82380) $61.37 $122.75 6.7×
Catecholamines fractionated (82384)
range across 5 matching MRF lines		 $14–$77.39 $28–$154.78 varies
Ccp antibody (86200)
range across 2 matching MRF lines		 $68.50–$110.50 $137–$221 varies
Cebpa Gene Analysis Full Gene Sequence (81218) $385 $770 1.6×
Cell count csf (89051)
range across 2 matching MRF lines		 $218–$257.50 $436–$515 varies
Cellular Function Assay Stimul&Detect Biomarke (86352)
range across 15 matching MRF lines		 $39.62–$401.50 $79.25–$803 varies
Ceruloplasmin (82390) $137 $274 12.8×
Cftr Gene Analysis Intron 8 Poly-T Analysis (81224)
range across 4 matching MRF lines		 $160.41–$497.50 $320.82–$995 varies
Cftr Gene Analysis Known Familial Variants (81221)
range across 4 matching MRF lines		 $122.50–$670 $245–$1,340 varies
Cftr gene com variants (81220)
range across 3 matching MRF lines		 $107.50–$1,791.50 $215–$3,583 varies
Cftr gene dup/delet variants (81222) $1,834.50 $3,669 4.2×
Cftr gene full sequence (81223)
range across 5 matching MRF lines		 $160.41–$4,171.50 $320.82–$8,343 varies
Chemiluminescent assay (82397)
range across 13 matching MRF lines		 $14.32–$155.35 $28.65–$310.70 varies
Chimerism w/comp to baseline w/cell selection ea (81268)
range across 2 matching MRF lines		 $1,596.50–$1,657.50 $3,193–$3,315 varies
Chimerism w/comp to baseline w/o cell selection (81267)
range across 8 matching MRF lines		 $603.50–$2,216 $1,207–$4,432 varies
Chlamydia antibody (86631)
range across 3 matching MRF lines		 $3.21–$36.60 $6.43–$73.21 varies
Chlamydia Igm Antibody (86632)
range across 3 matching MRF lines		 $3.21–$39.29 $6.43–$78.58 varies
Chloride other source (82438)
range across 4 matching MRF lines		 $4.36–$99.50 $8.73–$199 varies
Chloride Serum (82435)
range across 4 matching MRF lines		 $141.50–$143.50 $283–$287 varies
Chloride urine (82436)
range across 3 matching MRF lines		 $4.41–$137.50 $8.83–$275 varies
Cholesterol total (82465)
range across 4 matching MRF lines		 $16.31–$160 $32.62–$320 varies
Cholinesterase rbc (82482)
range across 2 matching MRF lines		 $21.01–$30.38 $42.03–$60.77 varies
Cholinesterase Serum (82480) $6.86 $13.73 0.9×
Chorionic gonadotropin test (84702)
range across 4 matching MRF lines		 $8.22–$372 $16.44–$744 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267)
range across 2 matching MRF lines		 $2,568–$3,095.50 $5,136–$6,191 varies
Chrmsm Analysis Addl Cells Counted Each Study (88285)
range across 2 matching MRF lines		 $30.83–$147 $61.66–$294 varies
Chrmsm Analysis Addl High Resolution Study (88289)
range across 2 matching MRF lines		 $62–$64.50 $124–$129 varies
Chrmsm Analysis Addl Karyotyp Each Study (88280)
range across 2 matching MRF lines		 $446.50–$463 $893–$926 varies
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) $1,356 $2,712 7.8×
Chrmsm Breakage Synds Score 100 Cll (88249)
range across 2 matching MRF lines		 $2,711.50–$2,812 $5,423–$5,624 varies
Chromium serum (82495) $12.08 $24.16 0.6×
Chromogenic Substrate Assay (85130)
range across 4 matching MRF lines		 $8.31–$133.50 $16.62–$267 varies
Chromogranin a (86316)
range across 5 matching MRF lines		 $8.82–$47.20 $17.65–$94.40 varies
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines		 $573–$690.50 $1,146–$1,381 varies
Chromosome Analysis 20-25 (88264)
range across 2 matching MRF lines		 $962.50–$1,160 $1,925–$2,320 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 7 matching MRF lines		 $25.50–$274 $51–$548 varies
Citric acid urine (82507)
range across 6 matching MRF lines		 $5.93–$24.41 $11.87–$48.82 varies
Ckmb (82553)
range across 4 matching MRF lines		 $19.29–$527 $38.59–$1,054 varies
Clostridium Difficile (87324)
range across 2 matching MRF lines		 $137–$234 $274–$468 varies
Clot Factor VIII Multimetric (85247)
range across 4 matching MRF lines		 $34.79–$150 $69.58–$300 varies
Clot factor xiii fibrin stab (85290) $176.50 $353 10.8×
Clotting factor xii hageman (85280) $213.50 $427 11.0×
Clotting Funct Activity (85397) $285.50 $571 9.3×
Cns DNA amp probe type 12-25 (87483)
range across 2 matching MRF lines		 $2,306–$2,369.50 $4,612–$4,739 varies
Coagulation time activated (85347)
range across 12 matching MRF lines		 $274–$356 $548–$712 varies
Coccidioides antibody (86635)
range across 3 matching MRF lines		 $20–$83 $40–$166 varies
Cold agglutinin screen (86156)
range across 2 matching MRF lines		 $13–$15 $26–$30 varies
Cold agglutinin titer (86157) $18 $36 2.2×
Collagen crosslinks (82523)
range across 5 matching MRF lines		 $10–$69.50 $20–$139 varies
Column Chromotography Quant (82542)
range across 70 matching MRF lines		 $24.66–$154 $49.33–$308 varies
Comparative Anal Str Markers Patient&Comp Spec (81265)
range across 9 matching MRF lines		 $372–$1,401 $744–$2,802 varies
Compatibility test antiglob (86922) $521.50 $1,043 2.1×
Complement Antigen Each Component (86160)
range across 13 matching MRF lines		 $6.52–$126.50 $13.05–$253 varies
Complement Fixation Tests Each Antigen (86171)
range across 3 matching MRF lines		 $20–$22 $40–$44 varies
Complement Total (Ch50) (86162)
range across 2 matching MRF lines		 $9.87–$68 $19.75–$136 varies
Complement/Function Activity (86161)
range across 7 matching MRF lines		 $8.23–$114.49 $16.46–$228.98 varies
Consltj Compre Review Reprt Referred Matrl (88325) $90.51 $181.03 0.4×
Consltj&Reprt Material Requiring Prepj Slides (88323)
range across 3 matching MRF lines		 $90.51–$551.50 $181.03–$1,103 varies
Consltj&Reprt Slides Prepared Elsewhere (88321) $90.51 $181.03 1.6×
Coombs direct (86880)
range across 4 matching MRF lines		 $54.50–$143.50 $109–$287 varies
Copper urine (82525)
range across 6 matching MRF lines		 $3.25–$25 $6.50–$50 varies
Cortisol free (82530)
range across 2 matching MRF lines		 $31.56–$51 $63.13–$102 varies
Cortisol saliva (82533)
range across 7 matching MRF lines		 $4.51–$411.50 $9.03–$823 varies
Creatine (82540)
range across 3 matching MRF lines		 $30.06–$44 $60.13–$88 varies
Creatine kinase total (82550)
range across 2 matching MRF lines		 $5.68–$223.50 $11.36–$447 varies
Creatinine blood (82565)
range across 5 matching MRF lines		 $128.50–$307.50 $257–$615 varies
Creatinine clearance (82575) $313 $626 33.1×
Creatinine Urine (82570)
range across 20 matching MRF lines		 $3.25–$153.50 $6.50–$307 varies
Crossmatch electronic (86923) $391.50 $783 1.6×
Crossmatch immediate spin (86920) $506 $1,012 2.0×
Crp High Sensitivity (86141) $221 $442 17.1×
Cryoglobulin (82595) $102.50 $205 15.8×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240)
range across 5 matching MRF lines		 $30.83–$872.50 $61.66–$1,745 varies
Cryptococcus ag titer (87899)
range across 5 matching MRF lines		 $11.92–$215 $23.85–$430 varies
Cryptosporidium ag eia (87328) $138.50 $277 10.0×
CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) Facility (81190) $351.50 $703 1.9×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 5 matching MRF lines		 $260–$296.50 $520–$593 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $268 $536 33.2×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $169 $338 21.9×
Culture afb (87116)
range across 3 matching MRF lines		 $218.50–$273.50 $437–$547 varies
Culture Anaerobic (87075)
range across 4 matching MRF lines		 $26.76–$498 $53.53–$996 varies
Culture blood (87040)
range across 4 matching MRF lines		 $396–$745.50 $792–$1,491 varies
Culture chlamydia (87110)
range across 4 matching MRF lines		 $12.94–$42.03 $25.88–$84.07 varies
Culture csf (87070)
range across 19 matching MRF lines		 $348–$452 $696–$904 varies
Culture fungus (87102)
range across 2 matching MRF lines		 $316–$335 $632–$670 varies
Culture fungus blood (87103)
range across 2 matching MRF lines		 $403–$590 $806–$1,180 varies
Culture screen only (87081)
range across 16 matching MRF lines		 $24.75–$390.50 $49.50–$781 varies
Culture typing if ea antiserum (87140)
range across 4 matching MRF lines		 $4.63–$12.93 $9.26–$25.87 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $17 $34 3.3×
Culture urine (87086)
range across 3 matching MRF lines		 $299.50–$508 $599–$1,016 varies
Culture, typing; identification by pulse field gel typing Facility (87152) $12 $24 1.6×
Cyanide (82600)
range across 2 matching MRF lines		 $22.61–$44.50 $45.23–$89 varies
Cyclosporine (80158) $266 $532 14.7×
Cyp2c19 gene analysis common variants (81225) $1,711.50 $3,423 5.9×
Cyp2d6 gene com variants (81226) $238.65 $477.30 0.5×
Cystatin C (82610)
range across 3 matching MRF lines		 $18.61–$96 $37.23–$192 varies
Cytogenetics 10-30 (88273)
range across 4 matching MRF lines		 $433–$541.50 $866–$1,083 varies
Cytogenetics 100-300 (88275)
range across 61 matching MRF lines		 $60.55–$539.50 $121.11–$1,079 varies
Cytogenom Const Microarray Copy Number Variants (81228)
range across 3 matching MRF lines		 $4,459–$5,549 $62.40–$11,098 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 3 matching MRF lines		 $1,050–$4,941.50 $2,100–$9,883 varies
Cytomegalovirus igg (86644)
range across 8 matching MRF lines		 $12.50–$223 $25–$446 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 3 matching MRF lines		 $97–$213.50 $194–$427 varies
Cytopath Cell Enhance Tech (88112) $440.50 $881 5.7×
Cytp Concentration Smears & Interpretation (88108)
range across 2 matching MRF lines		 $28.53–$455 $57.07–$910 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $952.50 $1,905 12.4×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $413.50 $827 1.7×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 2 matching MRF lines		 $79.50–$423 $159–$846 varies
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164)
range across 3 matching MRF lines		 $24–$25 $48–$50 varies
Deoxycortisol (82634)
range across 4 matching MRF lines		 $17.45–$200.50 $34.90–$401 varies
Deoxyribonuclease antibody (86215) $5.82 $11.65 0.4×
Desoxycorticosterone (82633)
range across 3 matching MRF lines		 $23.10–$31.23 $46.20–$62.47 varies
Detect Agent Nos Dna Amp (87798)
range across 62 matching MRF lines		 $22.50–$437 $45–$874 varies
Detect Agent Nos Dna Quant (87799)
range across 14 matching MRF lines		 $76.12–$391 $152.25–$782 varies
Detect agnt mult DNA ampli (87801)
range across 3 matching MRF lines		 $70–$265.50 $140–$531 varies
Dhea (82626)
range across 4 matching MRF lines		 $11.05–$113 $22.10–$226 varies
Dhea-S (82627)
range across 6 matching MRF lines		 $8–$144 $16–$288 varies
Digoxin (80162) $463 $926 34.9×
Diphtheria antitoxoid (86648)
range across 2 matching MRF lines		 $15.96–$23.03 $31.92–$46.06 varies
Dna Antibody Native/Double Stranded (86225) $139 $278 10.1×
Dna/Rna Amplified Probe (87150)
range across 14 matching MRF lines		 $385–$444 $770–$888 varies
DNA/RNA direct probe (87149)
range across 2 matching MRF lines		 $233.23–$490 $466.47–$980 varies
Dna/Rna Sequencing (87153)
range across 6 matching MRF lines		 $644.50–$1,971 $1,289–$3,942 varies
Dpyd gene common variants (81232) $338.03 $676.06 1.9×
Drug assay adalimumab (80145)
range across 4 matching MRF lines		 $85–$511.50 $170–$1,023 varies
Drug Assay Amiodarone (80151) $10.95 $21.90 0.6×
Drug Assay Everolimus (80169)
range across 3 matching MRF lines		 $20.71–$254.50 $41.42–$509 varies
Drug assay felbamate (80167) $21.34 $42.68 1.1×
Drug Assay Infliximab (80230)
range across 3 matching MRF lines		 $82.35–$155.35 $164.70–$310.70 varies
Drug Assay Itraconazole (80189) $19.17 $38.35 0.7×
Drug Assay Lacosamide (80235) $38 $76 1.4×
Drug Assay Posaconazole (80187)
range across 2 matching MRF lines		 $22.99–$38.17 $45.98–$76.35 varies
Drug Assay Vedolizumab (80280)
range across 2 matching MRF lines		 $95–$105 $190–$210 varies
Drug assay voriconazole (80285) $20.15 $40.31 0.7×
Drug Screen Quant Clozapine (80159) $13.11 $26.22 0.7×
Drug Screen Quant Zonisamide (80203)
range across 2 matching MRF lines		 $23.05–$56.50 $46.10–$113 varies
Drug Screen Quantitative Gabapentin (80171)
range across 2 matching MRF lines		 $9.50–$33 $19–$66 varies
Drug Screen Quantitative Lamotrigine (80175) $30.50 $61 2.3×
Drug Screen Quantitative Levetiracetam (80177)
range across 2 matching MRF lines		 $28–$120.50 $56–$241 varies
Drug Screen Quantitative Oxcarbazepine (80183)
range across 2 matching MRF lines		 $10–$20.50 $20–$41 varies
Drug Screen Quantitative Procainamide Metabolite (80192) $123.50 $247 7.4×
Drug Screen Quantitative Tiagabine (80199)
range across 2 matching MRF lines		 $25.71–$44.33 $51.42–$88.66 varies
Drug Test Prsmv Chem Anlyzr (80307)
range across 16 matching MRF lines		 $5–$1,628 $10–$3,256 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 3 matching MRF lines		 $19.50–$47.87 $39–$95.75 varies
Drug Test Prsmv Instrmnt (80306)
range across 4 matching MRF lines		 $16.22–$1,417.50 $32.45–$2,835 varies
Egfr Gene Analysis Common Variants (81235) $1,198 $2,396 3.7×
Ehrlichia antibody (86666)
range across 5 matching MRF lines		 $7.09–$38.44 $14.19–$76.88 varies
El-1 Fecal Quantitative (82653) $39 $78 1.7×
Electrolyte panel (80051)
range across 3 matching MRF lines		 $482–$714 $964–$1,428 varies
Electron Microscopy (88348)
range across 2 matching MRF lines		 $2,619–$3,195 $5,238–$6,390 varies
Encephaltis East Eqne Anbdy (86652) $31.54 $63.09 2.4×
Encephaltis West Eqne Antbdy (86654)
range across 2 matching MRF lines		 $31.54–$31.56 $63.09–$63.12 varies
Endomysial Antibody Each Immunoglobulin Class (86231) $12.50 $25 1.0×
Enterovirus Antibody (86658)
range across 5 matching MRF lines		 $8.25–$13 $16.51–$26 varies
Enterovirus PCR (87498)
range across 4 matching MRF lines		 $30–$180.50 $60–$361 varies
Enzyme cell activity (82657)
range across 58 matching MRF lines		 $19.93–$350 $39.87–$700 varies
Enzyme histochemistry (88319) $1,506 $3,012 1.3×
Eosinophil Smear (89190) $32.50 $65 5.6×
Erythropoietin (82668)
range across 2 matching MRF lines		 $11.92–$52.50 $23.85–$105 varies
Estradiol serum (82670)
range across 5 matching MRF lines		 $4.62–$240 $9.24–$480 varies
Estriol (82677) $10.24 $20.49 0.4×
Estrogen total (82672)
range across 2 matching MRF lines		 $14.94–$15.25 $29.88–$30.50 varies
Estrogens fractionated (82671) $97 $194 3.0×
Ethosuximide (80168)
range across 2 matching MRF lines		 $8.51–$17.50 $17.03–$35 varies
Ethylene Glycol (82693) $48.50 $97 3.3×
Euglobulin lysis (85360) $130.50 $261 15.5×
Exam Synovial Fluid Crystals (89060) $250 $500 34.1×
Exome Re-Evaluation (81417) $1,962.50 $3,925 6.1×
Exome Sequence Analysis (81415) $5,590 $11,180 1.2×
Exome sequence analysis each comparator exome (81416)
likely a partial charge, not the full procedure		 $3,207 $6,414 0.3×
F2 Gene (81240)
range across 2 matching MRF lines		 $187–$706 $374–$1,412 varies
Factor ii activity (85210) $211.50 $423 16.3×
Factor Inhibitor Test (85335)
range across 3 matching MRF lines		 $192.50–$221 $385–$442 varies
Factor ix activity (85250) $303.50 $607 15.9×
Factor v activity (85220) $147 $294 8.3×
Factor v leiden mutation (81241)
range across 2 matching MRF lines		 $187–$670.50 $374–$1,341 varies
Factor vii assay (85230) $264 $528 14.7×
Factor viii assay (85240) $161.50 $323 9.0×
Factor X (85260) $296.50 $593 16.6×
Factor xi activity (85270) $298.50 $597 16.7×
Factor xiii screen (85291) $13.50 $27 1.5×
Fancc Gene (81242) $52.50 $105 1.4×
Fat stain feces urine/respir secretions (89125) $185.50 $371 31.5×
Fat/Lipids Feces Quantitative (82710)
range across 2 matching MRF lines		 $15–$22.11 $30–$44.23 varies
Fatty acids free (82725) $20.13 $40.26 1.1×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410)
range across 2 matching MRF lines		 $37.98–$73.50 $75.96–$147 varies
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415)
range across 7 matching MRF lines		 $31.75–$82.50 $63.50–$165 varies
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $84.50 $169 12.9×
Ferritin (82728)
range across 2 matching MRF lines		 $103.50–$336 $207–$672 varies
Fetal Chrmoml Microdeltj (81422) $1,180.50 $2,361 1.6×
Fetal Fibronectin (82731) $663.50 $1,327 10.3×
Fetal hemoglobin assay qual (83033) $56.50 $113 7.1×
Fibrin degradation products (85362) $65.50 $131 9.5×
Fibrin Degradation Quant (85379)
range across 3 matching MRF lines		 $451–$500.50 $902–$1,001 varies
Fibrinogen activity (85384)
range across 6 matching MRF lines		 $132.50–$350 $265–$700 varies
Fibrinogen antigen (85385)
range across 3 matching MRF lines		 $23.85–$216 $47.70–$432 varies
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $154 $308 9.9×
Flecainide level (80181)
range across 2 matching MRF lines		 $14.32–$21.47 $28.65–$42.94 varies
Flow cytometry first marker (88184)
range across 68 matching MRF lines		 $16–$275 $20.74–$550 varies
Flt3 Gene (81245)
range across 3 matching MRF lines		 $75–$623 $150–$1,246 varies
Flt3 gene analysis (81246) $344 $688 4.1×
Fluorescent antibody screen (86255)
range across 128 matching MRF lines		 $3.56–$249.60 $7.13–$499.20 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 38 matching MRF lines		 $20–$72 $40–$144 varies
Fluoride serum (82735) $5.88 $11.76 0.3×
Fmr1 Gene Charac Alleles (81244) $71.50 $143 1.6×
Fmr1 gene detection (81243)
range across 2 matching MRF lines		 $175–$345.50 $350–$691 varies
Folic acid rbc (82747)
range across 3 matching MRF lines		 $3.50–$15.50 $7–$31 varies
Folic Acid Serum (82746) $283.50 $567 19.3×
Follicle Stimulating Hormone (83001)
range across 2 matching MRF lines		 $11.81–$282 $23.62–$564 varies
Francisella tularensis (86668) $23.75 $47.50 1.7×
Frozen Section (88331) $496.50 $993 2.0×
Fungi Identification Mold (87107) $227 $454 22.0×
Fungi Identification Yeast (87106)
range across 2 matching MRF lines		 $135–$279.50 $270–$559 varies
FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) Facility (81289) $351.50 $703 1.9×
G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) $75 $150 1.3×
G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s)… (81248) $373 $746 1.0×
Galactose transferase test (82776) $10.08 $20.17 0.9×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $61.39 $122.78 2.9×
Gammaglobulin ige (82785) $157.50 $315 9.6×
Gases blood ph only (82800) $45 $90 4.1×
Gastrin (82941) $7.85 $15.70 0.4×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,366.50 $2,733 3.3×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $79 $158 1.7×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)
range across 2 matching MRF lines		 $1,050–$5,114 $2,100–$10,228 varies
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455)
range across 6 matching MRF lines		 $1,350–$5,265.50 $2,700–$10,531 varies
Genet Virus Isolate Hsv (87255) $7.09 $14.19 0.2×
Genome Sequence Analysis (81425) $5,992 $11,984 1.2×
Gentamicin (80170)
range across 4 matching MRF lines		 $315–$508 $630–$1,016 varies
Ggt (82977)
range across 2 matching MRF lines		 $24.66–$175 $49.33–$350 varies
Giardia antigen (87329) $234 $468 19.5×
GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) $351.50 $703 5.7×
Gjb2 Gene Analysis Full Gene Sequence (81252)
range across 3 matching MRF lines		 $225–$810 $450–$1,620 varies
Gjb6 Gene Analysis Common Variants (81254)
range across 2 matching MRF lines		 $95–$452 $190–$904 varies
Gluc-6-phosphate dehydrogenase screen (82960) $88 $176 14.5×
Glucagon (82943) $23.30 $46.60 1.6×
Glucose 2 hr pp (82950)
range across 3 matching MRF lines		 $142–$205.50 $284–$411 varies
Glucose Blood Test (82962)
range across 2 matching MRF lines		 $25–$285 $50–$570 varies
Glucose body fluid (82945)
range across 8 matching MRF lines		 $3.90–$282 $7.80–$564 varies
Glucose Serum (82947)
range across 5 matching MRF lines		 $120–$194.50 $240–$389 varies
Glucose tolerance test (gtt) (82951)
range across 8 matching MRF lines		 $393–$544 $786–$1,088 varies
Glucosidase beta (82963) $65.75 $131.50 3.1×
Glutathione (82978) $292 $584 18.9×
Glycated Protein (82985)
range across 2 matching MRF lines		 $5.35–$16.50 $10.70–$33 varies
Gonadotropin Chorionic Qualitative (84703)
range across 3 matching MRF lines		 $80.50–$428.50 $161–$857 varies
Growth hormone (83003)
range across 3 matching MRF lines		 $10.59–$92.50 $21.19–$185 varies
Growth hormone antibody (86277) $30 $60 1.9×
Growth Stimulation Gene 2 (83006) $237.50 $475 3.1×
Gtt-added samples (82952) $88 $176 22.4×
H Pylori (C-13) Breath (83013)
range across 3 matching MRF lines		 $32.12–$50 $64.24–$100 varies
Haloperidol (80173) $26.08 $52.17 1.7×
Haptoglobin (83010)
range across 2 matching MRF lines		 $24.66–$230.50 $49.33–$461 varies
HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease),… (81258) $351.50 $703 0.9×
Hba1/Hba2 Gene (81257)
range across 3 matching MRF lines		 $504.50–$804.50 $1,009–$1,609 varies
HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)… (81362) $351.50 $703 0.9×
Hdl Cholesterol (83718)
range across 2 matching MRF lines		 $16.31–$162 $32.62–$324 varies
Hearing Loss Dup/Del Analysis (81431) $2,729 $5,458 4.0×
Hearing Loss Genomic Sequence Analysis 60 Genes (81430) $5,374 $10,748 3.3×
Heinz Bodies Direct (85441) $40.50 $81 9.6×
Helicobacter Pylori Stool (87338) $203 $406 14.1×
Helminth Antibody (86682)
range across 12 matching MRF lines		 $15.92–$96 $31.85–$192 varies
Hematocrit (85014)
range across 3 matching MRF lines		 $25–$198.50 $50–$397 varies
Hemoglobin (85018)
range across 2 matching MRF lines		 $34.50–$91 $69–$182 varies
Hemoglobin a1c (83036)
range across 3 matching MRF lines		 $30–$157.50 $60–$315 varies
Hemoglobin Chromotography (83021)
range across 4 matching MRF lines		 $14.40–$108.50 $28.80–$217 varies
Hemoglobin electrophoresis (83020) $84.50 $169 6.6×
Hemoglobin Methemoglobin Quantitative (83050) $101.50 $203 12.4×
Hemoglobin plasma (83051) $15 $30 2.1×
Hemoglobin stability screen (83068) $37 $74 3.9×
Hemoglobin urine (83069) $8.70 $17.40 2.2×
Hemoglobin-Oxygen Affinity (82820) $71.35 $142.70 5.3×
Hemolysins&Agglutinins Incubated (86941) $68 $136 5.6×
Hemosiderin urine (83070) $78 $156 16.4×
Hep a ab igm (86709) $278 $556 24.7×
Heparin assay (85520)
range across 5 matching MRF lines		 $490.50–$506 $981–$1,012 varies
Hepatitis a antibody total (86708) $217 $434 17.5×
Hepatitis b core ab igm (86705) $189 $378 16.1×
Hepatitis b core ab total (86704)
range across 3 matching MRF lines		 $17.50–$188 $35–$376 varies
Hepatitis b surface ag quan (87467) $199.22 $398.44 7.9×
Hepatitis B Surface Antibody (86706)
range across 3 matching MRF lines		 $4.90–$201 $9.80–$402 varies
Hepatitis B Surface Antigen (87340)
range across 5 matching MRF lines		 $17.50–$235 $35–$470 varies
Hepatitis Be Antibody (86707)
range across 2 matching MRF lines		 $10–$117.50 $20–$235 varies
Hepatitis Be Antigen (87350)
range across 2 matching MRF lines		 $7.85–$117.50 $15.70–$235 varies
Hepatitis C Antibody (86803)
range across 4 matching MRF lines		 $31.50–$226.50 $63–$453 varies
Hepatitis c antibody confirmatory test (86804)
range across 3 matching MRF lines		 $35–$75 $70–$150 varies
Hepatitis C Genotype (87902)
range across 4 matching MRF lines		 $56.60–$547 $113.21–$1,094 varies
Hepatitis C Probe&Rvrs Trnsc (87521)
range across 3 matching MRF lines		 $110.50–$336.50 $221–$673 varies
Hepatitis C Revrs Trnscrpj (87522)
range across 4 matching MRF lines		 $198–$336.50 $396–$673 varies
Hepatitis Delta Agent Antibody (86692)
range across 2 matching MRF lines		 $30.77–$41.20 $61.55–$82.40 varies
Hereditary brst ca-related gen seq analys 10 gen (81432) $3,096 $6,192 2.4×
Herpes simplex type 2 (86696)
range across 5 matching MRF lines		 $21.56–$67.50 $43.12–$135 varies
Heterophile Antibody Screen (86308) $276.50 $553 53.4×
Hexa gene analysis common variants (81255) $79 $158 1.5×
Hfe Gene (81256)
range across 2 matching MRF lines		 $59.37–$696 $118.75–$1,392 varies
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $156 $312 20.2×
Histamine urine (83088) $13.70 $27.40 0.5×
Histoplasma antibody (86698)
range across 14 matching MRF lines		 $4.26–$36 $8.52–$72 varies
Histoplasma antigen urine (87385)
range across 5 matching MRF lines		 $37.50–$103.50 $75–$207 varies
Hiv Antigen W/Hiv Antibodies (87806) $284 $568 8.7×
Hiv Genotype (87901) $2,106 $4,212 8.2×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $298 $596 12.4×
Hiv-1 Antibody (86701) $40 $80 4.5×
HIV-1 p24 antigen (87390) $220.50 $441 9.2×
Hiv-1 Quant&Revrse Trnscrpj (87536) $434.50 $869 5.1×
Hla Class I Typing High Resolution One Locus Ea (81380)
range across 4 matching MRF lines		 $872.50–$1,047.50 $1,745–$2,095 varies
Hla Class I Typing Low Resolution One Locus Each (81373)
range across 9 matching MRF lines		 $605–$2,944.50 $1,210–$5,889 varies
Hla class i&ii antibody qual (86828) $62.50 $125 1.0×
Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) $4,420.50 $8,841 11.0×
Hla class ii high defin qual (86833)
range across 10 matching MRF lines		 $1,052.50–$1,641.50 $2,105–$3,283 varies
Hla class ii typing high resolution one locus ea (81382)
range across 8 matching MRF lines		 $43.64–$2,597 $87.28–$5,194 varies
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825)
range across 8 matching MRF lines		 $990–$1,095 $1,980–$2,190 varies
Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826)
range across 8 matching MRF lines		 $413.50–$523.50 $827–$1,047 varies
Hla i&ii high resolution hla-a -b -c and -drb1 (81378) $4,346.50 $8,693 12.6×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $1,550 $3,100 7.0×
Hla ii typing 1 locus lr (81376)
range across 15 matching MRF lines		 $621–$1,688 $1,242–$3,376 varies
Hla Typing a/B/C Multiple Antigens (86813) $228.50 $457 3.9×
Homocysteine (83090)
range across 2 matching MRF lines		 $10.24–$284 $20.48–$568 varies
Homogenization Tissue (87176) $205.50 $411 34.9×
Homovanillic acid urine (83150)
range across 5 matching MRF lines		 $11–$37.50 $22–$75 varies
Hpv High-Risk Types (87624)
range across 2 matching MRF lines		 $27.50–$514 $55–$1,028 varies
Hpv low-risk types (87623) $461 $922 13.1×
Hpv Types 16 & 18 Only (87625)
range across 4 matching MRF lines		 $461–$662 $922–$1,324 varies
Hsv Dna Amp Probe (87529)
range across 8 matching MRF lines		 $54.84–$314.50 $109.69–$629 varies
Htlv-I Antibody (86687)
range across 2 matching MRF lines		 $7.68–$18.50 $15.36–$37 varies
Htlv-ii antibody (86688)
range across 2 matching MRF lines		 $12.82–$18.50 $25.64–$37 varies
Human Epididymis Protein 4 (86305) $128 $256 6.2×
Hydroxycorticosteroids 17 (83491) $18.02 $36.04 1.0×
Hydroxyprogesterone 17-d (83498)
range across 5 matching MRF lines		 $10.08–$180.50 $20.17–$361 varies
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) $26 $52 2.2×
Iaad Ia Entamoeba Histolytica Grp (87337) $32.62 $65.25 2.7×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $97.50 $195 9.4×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $168 $336 4.8×
Iaadi not otherwise specified each organism (87299) $227 $454 14.1×
Iaadi pneumocustis carinii (87281) $65.50 $131 5.5×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $380.50 $761 31.8×
Iaadiadoo trichomonas vaginalis (87808) $113 $226 7.4×
Iadna Bartonella Amplified Probe Technique (87471) $105 $210 3.0×
Iadna chlamydia pneumoniae amplified probe tq (87486)
range across 3 matching MRF lines		 $32.50–$452 $65–$904 varies
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 4 matching MRF lines		 $40–$173.50 $80–$347 varies
Iadna Cytomegalovirus Quantification (87497) $250.50 $501 5.8×
Iadna hepatitis b virus amplified probe tq (87516) $110.50 $221 3.1×
Iadna Hepatitis B Virus Quantification (87517)
range across 2 matching MRF lines		 $67.77–$226.50 $135.55–$453 varies
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $413 $826 11.8×
Iadna Herpes Virus-6 Quantification (87533)
range across 2 matching MRF lines		 $59.55–$345 $119.11–$690 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 3 matching MRF lines		 $63.44–$178.86 $126.88–$357.73 varies
Iadna Mycobacteria Species Amplified Probe Tq (87551)
range across 3 matching MRF lines		 $87–$675.50 $174–$1,351 varies
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 5 matching MRF lines		 $32.50–$451.50 $65–$903 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 7 matching MRF lines		 $25.50–$280 $51–$560 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $883.50 $1,767 6.2×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $394.50 $789 1.5×
Idh1 common variants (81120) $480.50 $961 2.5×
Idh2 common variants (81121) $799.50 $1,599 2.7×
Ig Light Chains Free Each (83521)
range across 2 matching MRF lines		 $27.22–$47.54 $54.44–$95.08 varies
Igg subclasses (82787) $37.50 $75 4.7×
Igh gene rearrange amp meth (81261) $315 $630 1.6×
Igh@ Variable Region Somatic Mutation Analysis (81263) $776 $1,552 2.6×
Igk rearrangeabn clonal pop (81264)
range across 2 matching MRF lines		 $274.50–$1,200.50 $549–$2,401 varies
Ikbkap Gene Analysis Common Variants (81260) $70 $140 1.8×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 2 matching MRF lines		 $362.50–$680.50 $725–$1,361 varies
Immune Complex Assay (86332)
range across 5 matching MRF lines		 $7.50–$65 $15–$130 varies
Immunfix e-phorsis/urine/csf (86335)
range across 4 matching MRF lines		 $27.22–$204 $54.44–$408 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 33 matching MRF lines		 $13.50–$386.75 $27–$773.50 varies
Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) $13.70 $27.41 0.5×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 17 matching MRF lines		 $1.17–$37.50 $2.35–$75 varies
Immunoassay nonantibody (83516)
range across 28 matching MRF lines		 $6.35–$466.50 $12.70–$933 varies
Immunodiffusion Ouchterlony (86331)
range across 2 matching MRF lines		 $17–$18 $34–$36 varies
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines		 $45.94–$167.50 $91.88–$335 varies
Immunofluorescence per spec 1st singl antb stain (88346)
range across 6 matching MRF lines		 $14.37–$789 $28.74–$1,578 varies
Immunohistochemistry (88342)
range across 3 matching MRF lines		 $32.33–$485 $64.66–$970 varies
In situ hybridization 1st probe stain (88365) $865.50 $1,731 3.5×
In situ hybridization ea multiplex probe stain (88366) $1,179.50 $2,359 4.7×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $338 $676 23.4×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $196.50 $393 16.0×
Influenza a/b ag eia (87400) $217 $434 15.4×
Influenza DNA amp probe (87502) $738.50 $1,477 7.7×
Inherited Cardmypthy 5 Gns (81439)
range across 3 matching MRF lines		 $1,011–$3,106.50 $2,022–$6,213 varies
Inhibin A (86336)
range across 2 matching MRF lines		 $13.70–$15 $27.40–$30 varies
Inhibin b (83520)
range across 79 matching MRF lines		 $3.56–$237.50 $7.13–$475 varies
Insitu hybridization manual (88368)
range across 24 matching MRF lines		 $812–$1,750 $1,624–$3,500 varies
Insulin antibodies (86337)
range across 7 matching MRF lines		 $7.12–$28.67 $14.25–$57.34 varies
Insulin total (83525) $149.50 $299 13.1×
Interleukin-6 (83529)
range across 3 matching MRF lines		 $11.50–$86.45 $23–$172.90 varies
Intrinsic factor antibody (86340) $10.09 $20.19 0.7×
Iron (83540)
range across 3 matching MRF lines		 $33.32–$148 $66.65–$296 varies
Iron Binding Capacity (83550) $201 $402 23.0×
Irradiation Blood Product Each Unit (86945) $87.50 $175 1.6×
Islet cell antibody (86341)
range across 44 matching MRF lines		 $11.37–$200 $22.75–$400 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 3 matching MRF lines		 $145.86–$754 $291.72–$1,508 varies
Kit Gene Analysis D816 Variant(S) (81273) $478 $956 3.8×
Kit Gene Analysis Targeted Sequence Analysis (81272) $1,100.50 $2,201 3.3×
Kras Gene Analysis Additional Variant(S) (81276) $1,286 $2,572 6.7×
Kras Gene Variants Exon 2 (81275)
range across 5 matching MRF lines		 $1,060.50–$1,106.50 $2,121–$2,213 varies
L/s ratio (83661) $36.75 $73.51 1.7×
Lactate (ld) (ldh) enzyme (83615)
range across 7 matching MRF lines		 $4.40–$219 $8.80–$438 varies
Lactoferrin fecal qualitative (83630) $14.30 $28.60 0.7×
Lactogen Hpl Human Chorionic Somatomammotropin (83632) $66.50 $133 3.3×
Lamellar Body Count (83664) $111.50 $223 5.8×
Ldh Isoenzymes (83625)
range across 2 matching MRF lines		 $5.17–$6.39 $10.35–$12.79 varies
LDL direct (83721) $107 $214 10.2×
Lead (83655)
range across 5 matching MRF lines		 $3.64–$9.50 $7.28–$19 varies
Legionella antibody (86713)
range across 3 matching MRF lines		 $5.25–$25.69 $10.51–$51.38 varies
Legionella antigen urine (87449)
range across 9 matching MRF lines		 $22.61–$78.75 $45.22–$157.50 varies
Leptospira antibody (86720)
range across 4 matching MRF lines		 $22.27–$36 $44.54–$72 varies
Leukocyte Assessment Fecal (89055) $114.50 $229 26.8×
Leukocyte Histamine Release (86343) $40.62 $81.25 3.3×
Leukocyte phagocytosis (86344)
range across 2 matching MRF lines		 $28.70–$37.14 $57.40–$74.29 varies
Level I Surg Pathology Gross Examination Only (88300) $292 $584 6.9×
Level ii surg pathology gross&microscopic exam (88302) $601.50 $1,203 10.9×
Level V Surg Pathology Gross&Microscopic Exam (88307) $1,694 $3,388 3.2×
Lidocaine (80176) $174 $348 11.8×
Lipase (83690)
range across 10 matching MRF lines		 $8.70–$306 $17.40–$612 varies
Lipoprotein A (83695)
range across 2 matching MRF lines		 $6–$115.50 $12–$231 varies
Lipoprotein Bld Quan Part (83704)
range across 2 matching MRF lines		 $8–$25 $16–$50 varies
Lipoprotein Blood High Resoltj&Quantj Subclass (83701)
range across 3 matching MRF lines		 $10.15–$198.50 $20.30–$397 varies
Lipoprotein-Associated Phospholipase A2 (83698)
range across 3 matching MRF lines		 $25–$78 $50–$156 varies
Lithium (80178) $320 $640 48.4×
Liver ds alys 3 bmrk srm alg (81517) $196 $392 1.1×
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines		 $11.81–$308.50 $23.62–$617 varies
Lyme disease antibody (86618)
range across 4 matching MRF lines		 $6.85–$39.75 $13.70–$79.50 varies
Lymphocyte Culture Mixed (86821) $30.83 $61.66 0.8×
Lymphocyte transformation (86353)
range across 14 matching MRF lines		 $22.93–$550 $45.86–$1,100 varies
Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806)
range across 12 matching MRF lines		 $231.50–$317 $463–$634 varies
Lysozyme serum (85549) $10 $20 0.5×
M. Genitalium Amp Probe (87563) $57.62 $115.25 1.6×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 38 matching MRF lines		 $812–$890.50 $1,624–$1,781 varies
Macroscopic exam arthropod (87168) $111 $222 26.0×
Macroscopic Exam Parasite (87169) $86.50 $173 20.1×
Magnesium Urine (83735)
range across 10 matching MRF lines		 $5.90–$340 $11.80–$680 varies
Mass Spectrometry Quant (83789)
range across 9 matching MRF lines		 $10.11–$225 $20.23–$450 varies
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) $70 $140 1.8×
MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) $351.50 $703 2.9×
Mecp2 gene dup/delet variant (81304) $335 $670 2.2×
Mecp2 gene full seq (81302)
range across 2 matching MRF lines		 $335–$450 $670–$900 varies
Mercury urine (83825)
range across 4 matching MRF lines		 $5.25–$7.83 $10.50–$15.67 varies
Metabolic panel ionized ca (80047)
range across 2 matching MRF lines		 $455–$555.50 $910–$1,111 varies
Methotrexate (80204) $129 $258 3.3×
Methylmalonic acid serum (83921)
range across 2 matching MRF lines		 $32–$55 $64–$110 varies
Mgmt methylation analysis (81287) $810 $1,620 6.5×
Microbe Suscept Macrobroth (87188)
range across 3 matching MRF lines		 $53–$114 $106–$228 varies
Microsatellite instability (81301) $2,076.50 $4,153 6.0×
Microsomal Antibodies Each (86376)
range across 6 matching MRF lines		 $6.50–$129.50 $13–$259 varies
Mitochondrial Antibody Each (86381) $5.41 $10.82 0.2×
Mlh1 Gene (81288)
range across 3 matching MRF lines		 $226.85–$773.50 $453.70–$1,547 varies
Mlh1 Gene Analysis Known Familial Variants (81293) $351.50 $703 1.1×
Mog-Igg1 Antb Flo Cytmtry Ea (86363)
range across 4 matching MRF lines		 $37.50–$225 $75–$450 varies
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) $364.50 $729 9.0×
Molecular Cytogenetics Dna Probe Each (88271)
range across 7 matching MRF lines		 $30.27–$304.50 $60.55–$609 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $570.50 $1,141 13.5×
Molecular Pathology Procedure Level 3 (81402)
range across 2 matching MRF lines		 $210–$227.50 $420–$455 varies
Molecular Pathology Procedure Level 6 (81405)
range across 59 matching MRF lines		 $25–$684.50 $50–$1,369 varies
Mononuclear cell antigen (86356)
range across 9 matching MRF lines		 $14.52–$423.50 $29.05–$847 varies
Mopath procedure level 1 (81400)
range across 4 matching MRF lines		 $25.35–$725.50 $50.71–$1,451 varies
Mopath procedure level 2 (81401)
range across 20 matching MRF lines		 $25.47–$835.50 $50.95–$1,671 varies
Mopath procedure level 4 (81403)
range across 22 matching MRF lines		 $25.47–$943.50 $50.95–$1,887 varies
Mopath procedure level 5 (81404)
range across 74 matching MRF lines		 $60.71–$1,131.50 $121.42–$2,263 varies
Mopath procedure level 7 (81406)
range across 107 matching MRF lines		 $25.42–$4,592.50 $50.85–$9,185 varies
Mopath procedure level 8 (81407)
range across 27 matching MRF lines		 $99.83–$2,440 $199.66–$4,880 varies
Mopath procedure level 9 (81408)
range across 9 matching MRF lines		 $83.19–$1,497.50 $166.38–$2,995 varies
Morphometric Analysis Tumor (88358) $32.31 $64.62 0.1×
Mrsa Pcr (87641) $427.50 $855 12.2×
Msh2 Gene Analysis Known Familial Variants (81296) $351.50 $703 1.0×
Msh6 Gene Known Variants (81299) $351.50 $703 1.1×
Mthfr Gene Analysis Common Variants (81291) $39.69 $79.38 0.6×
Mucopolysaccharides acid quantitative (83864) $577 $1,154 20.2×
Mumps antibody (86735) $140.50 $281 10.8×
Mycobacteric Identification (87118) $50 $100 3.4×
Mycophenolic Acid (80180) $64 $128 3.5×
Mycoplasma antibody (86738)
range across 5 matching MRF lines		 $4.91–$27.48 $9.83–$54.97 varies
Mycoplasma culture (87109)
range across 2 matching MRF lines		 $37.46–$114.75 $74.93–$229.50 varies
Myd88 Gene P.Leu265pro Vrnt (81305) $1,661 $3,322 9.5×
Myelin basic protein csf (83873) $14.62 $29.24 0.9×
Myoglobin urine (83874)
range across 3 matching MRF lines		 $9.35–$225 $18.70–$450 varies
Natriuretic peptide (83880) $734.50 $1,469 18.7×
Nerve teasing preparations (88362) $658 $1,316 0.6×
Neutralization Test Viral (86382)
range across 4 matching MRF lines		 $33.83–$178.72 $67.66–$357.45 varies
Nfct Agent Genotype Hepatitis B Virus (87912)
range across 2 matching MRF lines		 $127.06–$198 $254.12–$396 varies
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910)
range across 4 matching MRF lines		 $202.95–$555 $405.90–$1,110 varies
Nfct ds bv&vaginitis DNA alg (81515) $246 $492 0.9×
Nfct ds chrnc hcv 6 assays (81596) $70 $140 1.0×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $3,445 $6,890 26.8×
Niacin (84591)
range across 2 matching MRF lines		 $30–$75 $60–$150 varies
Nickel level (83885) $25.63 $51.27 1.0×
Nitroblue Tetrazolium Dye (86384) $68 $136 5.0×
Nk cells total count (86357)
range across 8 matching MRF lines		 $14.52–$167 $29.05–$334 varies
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $710.50 $1,421 2.9×
Nras gene variants exon 2&3 (81311) $1,739 $3,478 5.9×
Nuclear antigen antibody (86235)
range across 12 matching MRF lines		 $2.50–$101.50 $5–$203 varies
Nuclear Mitochondrial 100 Gene Genomic Seq (81440) $971.83 $1,943.66 0.3×
Nudt15 Gene Common Variants (81306) $174.50 $349 0.6×
Nzym actv blood cells/tiss radact substrate ea (82658) $141.90 $283.81 3.2×
Occult blood feces (82272) $179 $358 42.3×
Occult Blood Other Sources (82271) $50.50 $101 9.5×
Oligoclonal bands (83916) $93.50 $187 3.4×
Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3… (81552) $4,320 $8,640 0.6×
Oncology Prostate Prob Score (81539) $1,182 $2,364 1.6×
Oncoprotein dcp (83951) $73 $146 1.1×
Oncoprotein Her-2/Neu (83950) $169.62 $339.25 2.6×
Organic Acids Qualitative Each Specimen (83919) $314.50 $629 19.1×
Osmolality serum (83930)
range across 2 matching MRF lines		 $258–$376.50 $516–$753 varies
Osmolality Urine (83935)
range across 4 matching MRF lines		 $5.90–$228.50 $11.80–$457 varies
Osmotic fragility rbc incubated (85557) $122 $244 9.1×
Osteocalcin (83937) $20.50 $41 0.7×
Ova and parasites smears (87177)
range across 4 matching MRF lines		 $6.65–$16.69 $13.31–$33.38 varies
Oxalate urine (83945)
range across 4 matching MRF lines		 $5.25–$11.30 $10.51–$22.60 varies
Pancreatic Elastase Fecal (82656) $45.82 $91.65 4.0×
Particle Agglut Antbdy Titr (86406)
range across 4 matching MRF lines		 $32.50–$313.50 $65–$627 varies
Particle Agglutination Screen Each Antibody (86403)
range across 3 matching MRF lines		 $27.66–$293.50 $55.32–$587 varies
Parvovirus antibody (86747)
range across 4 matching MRF lines		 $5.04–$11.75 $10.08–$23.50 varies
Path Clin Consltj Mod 21-40 (80504) $637.50 $1,275 2.5×
Path Consltj Surg Cytologic Exam Initial Site (88333) $704.50 $1,409 0.6×
Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) $590.50 $1,181 2.4×
Ph urine (81003) $183 $366 81.3×
Phenobarbital Level (80184)
range across 4 matching MRF lines		 $8.74–$272.50 $17.49–$545 varies
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines		 $6.80–$462 $13.61–$924 varies
Phenytoin free (80186) $6.88 $13.76 0.5×
Phosphatase acid prostatic (84066) $10.90 $21.80 1.1×
Phosphatase alkaline (84075)
range across 4 matching MRF lines		 $4.59–$131 $9.19–$262 varies
Phosphorus Serum (84100)
range across 5 matching MRF lines		 $9.51–$291 $19.03–$582 varies
Phosphorus urine (84105)
range across 3 matching MRF lines		 $4.54–$35.50 $9.09–$71 varies
Pinworm exam (87172)
range across 2 matching MRF lines		 $24.23–$95 $48.46–$190 varies
Platelet Aggregation (85576)
range across 34 matching MRF lines		 $397–$515.50 $794–$1,031 varies
Platelet Antibodies (86022)
range across 6 matching MRF lines		 $25.32–$255.50 $50.64–$511 varies
Platelet count automated (85049) $223.50 $447 49.9×
Platelet neutralization (85597) $210 $420 11.7×
Pml/Raralpha Common Breakpoints Qual/Quant (81315)
range across 4 matching MRF lines		 $1,678–$1,852.50 $3,356–$3,705 varies
PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure… (81326) $351.50 $703 7.5×
Pmp22 Gene Anal Duplication/Deletion Analysis (81324)
range across 3 matching MRF lines		 $233.23–$369.81 $466.47–$739.63 varies
Pmp22 Gene Analysis Full Sequence Analysis (81325)
range across 3 matching MRF lines		 $233.23–$369.81 $466.47–$739.62 varies
Pms2 gene analysis known familial variants (81318) $351.50 $703 1.1×
Pooling blood platelets (86965) $2,036.50 $4,073 8.1×
Porphobilinogen, urine; quantitative (84110)
range across 4 matching MRF lines		 $9.46–$30.42 $18.93–$60.84 varies
Porphyrins Feces Quantitative (84126) $61.47 $122.95 1.6×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines		 $9.46–$14.27 $18.93–$28.55 varies
Potassium Urine (84133)
range across 3 matching MRF lines		 $3.78–$176 $7.57–$352 varies
Prealbumin (84134) $333 $666 22.8×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977)
range across 2 matching MRF lines		 $391.50–$551.50 $783–$1,103 varies
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $166.50 $333 1.9×
Primidone (80188) $8.74 $17.49 0.5×
Procalcitonin (Pct) (84145) $358.50 $717 13.2×
Progesterone (84144)
range across 3 matching MRF lines		 $14.31–$226.50 $28.62–$453 varies
Prolactin (84146) $293 $586 15.1×
Prostaglandin (84150)
range across 3 matching MRF lines		 $23.47–$152.50 $46.95–$305 varies
Protein body fluid (84157)
range across 8 matching MRF lines		 $4.35–$240 $8.70–$480 varies
Protein C Activity (85303)
range across 2 matching MRF lines		 $162–$286 $324–$572 varies
Protein c antigen (85302) $59.50 $119 5.0×
Protein Electrophoresis Urine (84166) $12.58 $25.17 0.7×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines		 $12.81–$75.50 $25.63–$151 varies
Protein S Free (85306) $161.50 $323 10.5×
Protein s total (85305) $36.50 $73 3.1×
Protein total serum (84155)
range across 5 matching MRF lines		 $12.81–$70.50 $25.62–$141 varies
Protein Total Urine (84156)
range across 3 matching MRF lines		 $12.58–$191 $25.17–$382 varies
Protein Western Blot Test (84182)
range across 25 matching MRF lines		 $14.81–$152.29 $29.63–$304.58 varies
Prothrombin Time Substitution Plasma Frctj Each (85611)
range across 3 matching MRF lines		 $81–$106.50 $162–$213 varies
Protoporphyrin rbc quantitative (84202) $5 $10 0.3×
PSA free (84154)
range across 3 matching MRF lines		 $205.50–$240 $411–$480 varies
Pten Gene Analysis Duplication/Deletion Variant (81323) $237.50 $475 0.8×
Pten Gene Analysis Full Sequence Analysis (81321) $237.50 $475 0.4×
Pten gene analysis known familial variant (81322) $351.50 $703 7.5×
Pth Intact (83970)
range across 3 matching MRF lines		 $42.50–$703.50 $85–$1,407 varies
Pyruvate kinase (84220) $82 $164 8.7×
Q Fever Antibody (86638)
range across 10 matching MRF lines		 $6.87–$34.87 $13.75–$69.75 varies
Quantiferon tb gold plus (86480) $477.50 $955 7.7×
Quantitative assay drug (80299)
range across 36 matching MRF lines		 $6–$129 $12–$258 varies
Quantitative Screen Metals (83018)
range across 5 matching MRF lines		 $30.64–$44.50 $61.28–$89 varies
Quinidine (80194) $20.76 $41.52 1.4×
Rbc antibody elution (86860) $272 $544 1.1×
Rbc antibody identification (86870) $550.50 $1,101 1.0×
Rbc antibody screen (86850) $313.50 $627 32.1×
Rbc pretreatment serum (86978) $224.50 $449 2.6×
Rbc pretx incubatj w/enzymes (86971) $704.50 $1,409 2.8×
Renin activity plasma (84244)
range across 3 matching MRF lines		 $6.86–$19 $13.72–$38.01 varies
Reptilase test (85635) $124 $248 12.6×
Resp virus 12-25 targets (87633) $1,326.50 $2,653 3.2×
Resp Virus 6-11 Targets (87632)
range across 5 matching MRF lines		 $202–$1,241.50 $404–$2,483 varies
Rh (86901)
range across 2 matching MRF lines		 $214.50–$221.50 $429–$443 varies
Rheumatoid factor quant (86431)
range across 2 matching MRF lines		 $115.50–$131 $231–$262 varies
Rickettsia antibody (86757)
range across 6 matching MRF lines		 $17.90–$64.50 $35.81–$129 varies
Ristocetin cofactor (85245)
range across 2 matching MRF lines		 $105–$133 $210–$266 varies
Rotavirus ag eia (87425) $204.50 $409 17.1×
Rpr qualitative (86592)
range across 6 matching MRF lines		 $9.42–$78.50 $18.84–$157 varies
Rubella Antibody (86762)
range across 2 matching MRF lines		 $25.87–$162.50 $51.75–$325 varies
Rubeola antibody (86765)
range across 3 matching MRF lines		 $12.02–$117.50 $24.04–$235 varies
Rufinamide (80210) $36.25 $72.50 1.3×
Russell Viper Venom Time Diluted (85613) $46 $92 4.8×
Rx metab gen seq alys pnl 6 (81418) $2,234.50 $4,469 2.4×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 5 matching MRF lines		 $202–$208.50 $404–$417 varies
Sars-cov-2 COVID-19 antibody (86769)
range across 6 matching MRF lines		 $78–$204.50 $156–$409 varies
Sars-Cov-2 Covid19 W/Optic (87811) $61.50 $123 1.5×
Sarscov2 & inf a&b amp prb (87636) $426.50 $853 3.0×
Sarscov2&inf a&b&rsv amp prb (87637) $517 $1,034 3.6×
Sedimentation rate (85651) $206 $412 48.2×
Sedimentation Rate, Automated (85652) $117.50 $235 43.5×
Selenium (84255)
range across 2 matching MRF lines		 $12.88–$43 $25.76–$86 varies
Sensitivity mic (87186)
range across 11 matching MRF lines		 $32.50–$380.50 $65–$761 varies
Sex Hormone Binding Globulin (84270)
range across 4 matching MRF lines		 $1.66–$118 $3.33–$236 varies
Sickling of rbc reduction (85660) $64.50 $129 11.7×
Sirolimus (80195)
range across 2 matching MRF lines		 $9.51–$145 $19.02–$290 varies
Skin Test Candida (86485)
range across 2 matching MRF lines		 $216.47–$295.67 $432.95–$591.35 varies
Skin test tuberculosis intradermal (86580)
range across 6 matching MRF lines		 $79.20–$174 $158.40–$348 varies
Smear acid fast (87206)
range across 5 matching MRF lines		 $114–$141 $228–$282 varies
Smear complex stain (87209)
range across 3 matching MRF lines		 $8.86–$66.50 $17.73–$133 varies
Smear gram stain (87205)
range across 5 matching MRF lines		 $24.75–$224 $49.50–$448 varies
Smear Special Stain (87207)
range across 8 matching MRF lines		 $4.93–$168.50 $9.87–$337 varies
Smn1 Gen Nown Famil Seq Vrnt (81337) $351.50 $703 1.9×
Smn1 Gene Dos/Deletion Alys (81329)
range across 4 matching MRF lines		 $100–$530.50 $200–$1,061 varies
Smpd1 Gene Analysis Common Variants (81330)
range across 2 matching MRF lines		 $61.50–$100 $123–$200 varies
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 4 matching MRF lines		 $29.50–$388 $59–$776 varies
Snrpn/Ube3a Methylation Analysis (81331) $175 $350 3.4×
Sodium Serum (84295)
range across 7 matching MRF lines		 $25–$351.50 $50–$703 varies
Sodium Urine (84300)
range across 4 matching MRF lines		 $4.26–$216 $8.53–$432 varies
Soluble Transferrin Receptor (84238) $16.65 $33.31 0.5×
Somatomedin (84305)
range across 5 matching MRF lines		 $10.10–$114.52 $20.20–$229.05 varies
Somatostatin (84307) $122.50 $245 6.7×
Special Stains Group 1 (88312)
range across 3 matching MRF lines		 $445–$461.50 $890–$923 varies
Special Stains Group 2 (88313)
range across 8 matching MRF lines		 $32.95–$249.50 $65.91–$499 varies
Specific gravity body fluid (84315) $37 $74 11.3×
Specimen infect agnt concntj (87015)
range across 3 matching MRF lines		 $4.93–$145 $9.86–$290 varies
Spectrophotometry (84311)
range across 19 matching MRF lines		 $4.60–$379.69 $9.20–$759.39 varies
Sperm Antibodies (89325) $24.12 $48.25 2.3×
Splitting Blood/Blood Products Each Unit (86985) $286.50 $573 1.1×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $173.50 $347 0.7×
Stem cells total count (86367) $547 $1,094 7.0×
Strep a assay w/optic (87880) $268 $536 16.2×
Strep a DNA amp probe (87651) $1,166 $2,332 33.2×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378)
range across 3 matching MRF lines		 $21.50–$59.59 $43–$119.18 varies
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377)
range across 4 matching MRF lines		 $5.50–$93 $11–$186 varies
Sugars Single Qual (84376) $10 $20 1.8×
Sugars, chromatographic, TLC or paper chromatography Facility (84375)
range across 2 matching MRF lines		 $219–$567.50 $438–$1,135 varies
Sulfate urine (84392)
range across 2 matching MRF lines		 $4.16–$5.90 $8.33–$11.80 varies
Surg path level iii (88304) $710 $1,420 9.3×
Surgical pathology level IV (88305) $969 $1,938 12.6×
Surgical pathology level vi (88309) $2,265.50 $4,531 1.9×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 10 matching MRF lines		 $19.93–$147 $39.87–$294 varies
Susceptibility Study Antimicrobial Disk Method (87184) $173.50 $347 23.2×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $33 $66 4.5×
Sweat Collection Iontophoresis (89230) $228.50 $457 3.0×
Syphilis Test Non-Trep Quant (86593)
range across 4 matching MRF lines		 $9.30–$109.50 $18.60–$219 varies
T cells absolute cd4 count (86361) $82 $164 3.1×
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 8 matching MRF lines		 $14.52–$149 $29.05–$298 varies
T cells total count (86359)
range across 7 matching MRF lines		 $14.56–$114.50 $29.12–$229 varies
T3 Free (84481)
range across 2 matching MRF lines		 $13.32–$255 $26.65–$510 varies
T3 reverse (84482)
range across 3 matching MRF lines		 $13.50–$17.76 $27–$35.52 varies
T3 Total (84480)
range across 2 matching MRF lines		 $16.28–$249.50 $32.57–$499 varies
T3 Uptake (84479)
range across 5 matching MRF lines		 $2.12–$424.50 $4.24–$849 varies
T4 Free (84439)
range across 3 matching MRF lines		 $13.50–$287.50 $27–$575 varies
T4 total (84436)
range across 4 matching MRF lines		 $10.64–$53 $21.29–$106 varies
Tacrolimus (80197) $190.50 $381 13.9×
Tau phosphorylated each (84393) $250 $500 1.9×
Test for urine cystines (82615) $9.10 $18.20 1.0×
Testosterone Bioavailable (84410) $88.50 $177 1.7×
Testosterone total (84403)
range across 9 matching MRF lines		 $1.66–$154 $3.33–$308 varies
Testosterone, Free (84402)
range across 7 matching MRF lines		 $5.30–$51 $10.61–$102 varies
Tetanus antibody (86774)
range across 2 matching MRF lines		 $14.08–$22.38 $28.17–$44.77 varies
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $5,719.50 $11,439 9.6×
Thawing and expansion of frozen cells, each aliquot Facility (88241)
range across 2 matching MRF lines		 $18.50–$30.83 $37–$61.66 varies
Theophylline (80198) $345 $690 24.4×
Thiocyanate (84430)
range across 2 matching MRF lines		 $17–$53 $34–$106 varies
Thiopurine methyltransferase (84433) $67.50 $135 3.0×
Thrombin Time (85670)
range across 2 matching MRF lines		 $57–$65 $114–$130 varies
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 8 matching MRF lines		 $59–$82 $118–$164 varies
Thyroglobulin (84432)
range across 4 matching MRF lines		 $8.50–$178.50 $17–$357 varies
Thyroglobulin Antibody (86800)
range across 4 matching MRF lines		 $4.50–$154 $9–$308 varies
Thyroid Stimulating Immunoglobulin (84445)
range across 2 matching MRF lines		 $19.57–$47.50 $39.15–$95 varies
Thyroxine binding globulin (84442)
range across 3 matching MRF lines		 $8.50–$10.86 $17–$21.73 varies
Tiss cul neo disorders solid tumor (88239)
range across 2 matching MRF lines		 $1,847.50–$1,916 $3,695–$3,832 varies
Tissue Culture (88233)
range across 4 matching MRF lines		 $31.50–$1,906 $63–$3,812 varies
Tissue Culture Amniotic Fluid (88235)
range across 5 matching MRF lines		 $63.11–$1,974.50 $126.23–$3,949 varies
Tissue culture bone marrow (88237)
range across 4 matching MRF lines		 $555–$572.50 $1,110–$1,145 varies
Tissue Culture Lymphocyte (88230)
range across 8 matching MRF lines		 $30.83–$1,544 $61.66–$3,088 varies
Tobramycin peak (80200) $206.50 $413 12.8×
Topiramate (80201)
range across 2 matching MRF lines		 $14.06–$39 $28.13–$78 varies
Touch prep (88161) $285 $570 6.7×
Toxoplasma ab igm (86778)
range across 6 matching MRF lines		 $50.47–$205.50 $100.95–$411 varies
Toxoplasma antibody (86777)
range across 11 matching MRF lines		 $50.45–$228 $100.91–$456 varies
Tpmt gene com variants (81335)
range across 2 matching MRF lines		 $148.12–$174.50 $296.25–$349 varies
Transferase Aspartate Amino Ast Sgot (84450)
range across 3 matching MRF lines		 $91.50–$214 $183–$428 varies
Transferrin (84466) $237.50 $475 18.6×
Trb@ Rearrangement Anal Amplification Method (81340)
range across 2 matching MRF lines		 $651–$1,208.50 $1,302–$2,417 varies
Trg gene rearrangement anal (81342) $605.50 $1,211 3.0×
Trichinella Antibody (86784)
range across 2 matching MRF lines		 $20–$26.11 $40–$52.22 varies
Trichomonas Vaginalis Amplif (87661) $267.50 $535 7.6×
Triglycerides (84478)
range across 5 matching MRF lines		 $2.35–$188.50 $4.70–$377 varies
Troponin Quant (84484)
range across 5 matching MRF lines		 $25–$560 $50–$1,120 varies
Trypsin feces qual (84488) $22.71 $45.43 3.1×
Tumor Immunohistochem/Manual (88360) $373.50 $747 1.5×
Urea nitrogen urine (84540)
range across 2 matching MRF lines		 $5.95–$157.50 $11.91–$315 varies
Uric acid other source (84560)
range across 4 matching MRF lines		 $3.67–$54.50 $7.35–$109 varies
Urinalysis Microscopic Only (81015)
range across 2 matching MRF lines		 $138–$140.50 $276–$281 varies
Urine Bacteria Culture (87088) $277.50 $555 34.3×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines		 $66–$143.50 $132–$287 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines		 $213–$334.50 $426–$669 varies
Valproic acid (80164)
range across 2 matching MRF lines		 $25.83–$462 $51.67–$924 varies
Vancomycin (80202)
range across 3 matching MRF lines		 $445–$549.50 $890–$1,099 varies
Varicella-zoster antibody (86787)
range across 7 matching MRF lines		 $10.58–$126 $21.16–$252 varies
Vasopressin (84588)
range across 2 matching MRF lines		 $12–$50 $24–$100 varies
Very Long Chain Fatty Acids (82726) $45.81 $91.62 2.3×
Viral Culture (87252)
range across 8 matching MRF lines		 $18.85–$133.50 $37.71–$267 varies
Virus antibody nos (86790)
range across 30 matching MRF lines		 $15.09–$110.50 $30.19–$221 varies
Virus inoculate tissue addl (87253)
range across 3 matching MRF lines		 $86.25–$213.47 $172.50–$426.94 varies
Virus inoculation, shell via (87254)
range across 5 matching MRF lines		 $30.50–$65 $61–$130 varies
Viscosity serum (85810) $40.50 $81 3.5×
Vit D 1 25-Dihydroxy (82652)
range across 3 matching MRF lines		 $10.72–$30.15 $21.45–$60.30 varies
Vitamin A (84590)
range across 2 matching MRF lines		 $6.69–$8.75 $13.38–$17.50 varies
Vitamin b-12 (82607) $276.50 $553 18.3×
Vitamin B2 (Riboflavin) (84252) $21.42 $42.85 1.1×
Vitamin B6 (84207) $8.86 $17.73 0.3×
Vitamin c (82180) $12.50 $25 1.3×
Vitamin D 25-Hydroxy (82306) $371 $742 12.5×
Vitamin E (84446)
range across 2 matching MRF lines		 $8.75–$9.78 $17.50–$19.57 varies
Vitamin K (84597)
range across 2 matching MRF lines		 $21.75–$37.50 $43.50–$75 varies
Volatiles (84600) $24 $48 1.4×
Voltage-Gated Calcium Channel Antibody Each (86596)
range across 4 matching MRF lines		 $13.97–$53.04 $27.94–$106.08 varies
Volume Reduction Blood/Blood Product Each Unit (86960)
range across 2 matching MRF lines		 $337.50–$405 $675–$810 varies
Von willebrand factor ag (85246) $113.50 $227 4.9×
West nile virus ab igm (86788)
range across 4 matching MRF lines		 $8.52–$28.91 $17.05–$57.83 varies
West Nile Virus Antibody (86789)
range across 4 matching MRF lines		 $8.52–$24.71 $17.05–$49.42 varies
Western Blot Test (84181)
range across 8 matching MRF lines		 $71.31–$152.31 $142.63–$304.63 varies
Whole Mitochondrial Genome (81460) $971.83 $1,943.66 0.8×
Whole mitochondrial genome analysis panel (81465)
range across 2 matching MRF lines		 $765–$971.83 $1,530–$1,943.66 varies
Xm Archive Tissue Molec Anal (88363) $153.50 $307 3.6×
Zinc (84630) $35.50 $71 3.1×

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.