Lab & pathology prices at Madison Health
London, OH · every code in this section with a posted price and a Medicare benchmark.
639 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $95.20 | $119 | 4.2× |
| Acth (82024) | $112 | $140 | 2.9× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$29.60–$192 | $37–$240 | varies |
| Albumin Fluid (82042) | $34.40 | $43 | 4.4× |
| Albumin serum (82040) | $44.80 | $56 | 9.1× |
| Aldolase (82085) | $102.40 | $128 | 10.5× |
| Aldosterone urine (82088) | $388 | $485 | 9.5× |
| Alkaline phosphatase isoenzymes (84080) | $206.40 | $258 | 14.0× |
| Allergen specific ige (86003) | $20 | $25 | 3.8× |
| Allergen specific igg (86001) | $69.60 | $87 | 8.9× |
| Allg Spec Ige Recomb Ea (86008) | $24 | $30 | 1.3× |
| Alpha-1-antitrypsin phenotype (82104) | $50.40 | $63 | 3.5× |
| Alpha-1-antitrypsin total (82103) | $123.20 | $154 | 9.2× |
| Alpha-Fetoprotein Serum (82105) | $56 | $70 | 3.3× |
| Alt (sgpt) (84460) | $57.60 | $72 | 10.9× |
| Amikacin trough (80150) range across 2 matching MRF lines |
$52–$104 | $65–$130 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $55.20 | $69 | 3.3× |
| Ammonia (82140) | $219.20 | $274 | 15.0× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $401.60 | $502 | 4.1× |
| Amylase urine (82150) | $104 | $130 | 16.0× |
| Ana Titer (86039) | $45.60 | $57 | 4.1× |
| Androstenedione (82157) | $112 | $140 | 3.8× |
| Angiotensin converting enzyme csf (82164) | $60 | $75 | 4.1× |
| Antibody aspergillus (86606) | $56 | $70 | 3.7× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $45.60 | $57 | 3.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $54.40 | $68 | 3.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$40–$43.20 | $50–$54 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $100.80 | $126 | 7.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $52.80 | $66 | 3.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $89.60 | $112 | 4.9× |
| Antibody Fungus Not Elsewhere Specified (86671) | $100.80 | $126 | 8.2× |
| Antibody helicobacter pylori (86677) | $102.40 | $128 | 6.1× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $99.20 | $124 | 6.9× |
| Antibody Herpes Smplx Type 1 (86695) | $145.60 | $182 | 11.0× |
| Antibody HIV-1&HIV-2 single result (86703) | $39.20 | $49 | 2.9× |
| Antibody HIV-2 (86702) range across 4 matching MRF lines |
$12–$97.60 | $15–$122 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) range across 2 matching MRF lines |
$449.60–$895.20 | $562–$1,119 | varies |
| Antibody identification leukocyte antibodies (86021) | $291.20 | $364 | 19.3× |
| Antibody Identification Platelet Immunogl Assay (86023) | $133.60 | $167 | 10.7× |
| Antibody Protozoa Nes (86753) | $113.60 | $142 | 9.2× |
| Antibody Titer (86886) | $65.60 | $82 | 12.7× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$12–$219.20 | $15–$274 | varies |
| Antibody; campylobacter (86625) | $55.20 | $69 | 4.2× |
| Antibody; influenza virus (86710) | $56.80 | $71 | 4.2× |
| Antigen typing (86905) | $40 | $50 | 10.4× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $45.60 | $57 | 8.0× |
| Antinuclear antibodies (86038) | $85.60 | $107 | 7.1× |
| Antistreptolysin O Screen (86063) | $82.40 | $103 | 14.3× |
| Antistreptolysin o titer (86060) range across 3 matching MRF lines |
$25.60–$52 | $32–$65 | varies |
| Antithrombin iii activity (85300) | $580.80 | $726 | 49.0× |
| Apolipoprotein a1 (82172) | $68.80 | $86 | 3.3× |
| Arsenic (82175) | $65.60 | $82 | 3.5× |
| Aspergillus ag eia (87305) | $47.20 | $59 | 3.9× |
| Assay Blood Carbon Dioxide (82374) | $50.40 | $63 | 10.3× |
| Assay myeloperoxidase (83876) | $43.20 | $54 | 0.8× |
| Assay Nephelometry Not Spec (83883) | $34.40 | $43 | 2.5× |
| Assay of 5-hiaa (83497) | $198.40 | $248 | 15.4× |
| Assay of anti-mullerian hormone (82166) | $130.40 | $163 | 3.4× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$4.80–$50.40 | $6–$63 | varies |
| Assay of calcium in urine (82340) | $37.60 | $47 | 6.2× |
| Assay of cpk in blood (82552) | $56 | $70 | 4.2× |
| Assay of estrone (82679) | $93.60 | $117 | 3.8× |
| Assay of g6pd enzyme (82955) | $37.60 | $47 | 3.9× |
| Assay of gammaglobulin igm (82784) | $57.60 | $72 | 6.2× |
| Assay of lactic acid (83605) | $133.60 | $167 | 11.5× |
| Assay of manganese (83785) | $88 | $110 | 3.3× |
| Assay of metanephrines (83835) | $176.80 | $221 | 10.4× |
| Assay of proinsulin (84206) | $168 | $210 | 6.3× |
| Assay of serotonin (84260) | $264.80 | $331 | 8.5× |
| Assay of serum potassium (84132) | $65.60 | $82 | 13.8× |
| Assay of urea nitrogen (84520) | $38.40 | $48 | 9.7× |
| Assay of urine vma (84585) | $63.20 | $79 | 4.1× |
| Assay of vasoactive intestinal peptide (84586) | $157.60 | $197 | 4.5× |
| Assay of vitamin b-1 (84425) | $284.80 | $356 | 13.4× |
| Assay Ph Body Fluid Nos (83986) | $22.40 | $28 | 6.3× |
| Assay spec xcp ur&breath ia (82077) | $55.20 | $69 | 3.2× |
| Asy carbamazepin 10,11-epxid (80161) | $72.80 | $91 | 3.9× |
| Automated Leukocyte Count (85048) | $28.80 | $36 | 11.3× |
| Bartonella antibody (86611) | $42.40 | $53 | 4.2× |
| Bcr/abl1 gene major bp (81206) | $64.80 | $81 | 0.4× |
| Bcr/abl1 gene minor bp (81207) | $64.80 | $81 | 0.4× |
| Beta 2 glycoprotein i antibody each (86146) | $170.40 | $213 | 6.7× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$23.20–$47.20 | $29–$59 | varies |
| Beta Lactamase (87185) | $46.40 | $58 | 9.8× |
| Beta-2 Microglobulin (82232) | $40.80 | $51 | 2.5× |
| Bile acids total (82239) | $68.80 | $86 | 4.0× |
| Bilirubin direct (82248) | $49.60 | $62 | 9.9× |
| Bilirubin total (82247) | $64 | $80 | 12.7× |
| Blastomyces antibody (86612) | $54.40 | $68 | 4.2× |
| Bld Typing Serologic Rh Phnt (86906) | $130.40 | $163 | 16.8× |
| Bleeding time test (85002) | $57.60 | $72 | 12.0× |
| Blood count reticulocyte automated (85045) | $68 | $85 | 17.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $37.60 | $47 | 9.9× |
| Blood count spun microhematocrit (85013) | $33.60 | $42 | 4.8× |
| Blood gas (82803) | $216.80 | $271 | 8.3× |
| Blood gases w/02 saturation (82805) | $200.80 | $251 | 2.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $76.80 | $96 | 17.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $66.40 | $83 | 10.5× |
| Blood typing serologic abo (86900) | $74.40 | $93 | 24.9× |
| Body fluid cell count (89050) | $65.60 | $82 | 13.9× |
| Bordetella antibody (86615) | $193.60 | $242 | 14.7× |
| Braf gene analysis (81210) | $895.20 | $1,119 | 5.1× |
| Brca1&2 gen full seq dup/del (81162) | $4,172 | $5,215 | 2.3× |
| C diff amplified probe (87493) | $95.20 | $119 | 2.6× |
| C-Peptide (84681) | $34.40 | $43 | 1.7× |
| C-reactive protein (86140) | $64 | $80 | 12.4× |
| Ca 19-9 (86301) | $169.60 | $212 | 8.1× |
| Cadmium (82300) | $80 | $100 | 3.4× |
| Calcitonin (82308) range across 2 matching MRF lines |
$82.40–$166.40 | $103–$208 | varies |
| Calcium ionized (82330) | $168 | $210 | 12.3× |
| Calcium total (82310) | $55.20 | $69 | 10.7× |
| Calculus Spectroscopy (82365) | $45.60 | $57 | 3.5× |
| Calprotectin Fecal (83993) | $70.40 | $88 | 3.6× |
| Calr gene com variants (81219) | $828.80 | $1,036 | 6.8× |
| Cancer Antigen 125 (86304) | $124.80 | $156 | 6.0× |
| Cancer Antigen 27.29 (86300) | $94.40 | $118 | 4.5× |
| Candida Dna Dir Probe (87480) range across 2 matching MRF lines |
$65.60–$104 | $82–$130 | varies |
| Carbamazepine total (80156) | $169.60 | $212 | 11.6× |
| Carboxyhemoglobin (82375) | $245.60 | $307 | 19.9× |
| Carcinoembryonic antigen (82378) | $112 | $140 | 5.9× |
| Cardiolipin ab iga (86147) | $44 | $55 | 1.7× |
| Carnitine Quantitative Each Specimen (82379) | $229.60 | $287 | 13.6× |
| Carotene (82380) | $38.40 | $48 | 4.2× |
| Catecholamines fractionated (82384) | $151.20 | $189 | 6.0× |
| Catecholamines total urine (82382) | $76.80 | $96 | 2.8× |
| Ccp antibody (86200) | $35.20 | $44 | 2.7× |
| Cell count csf (89051) | $33.60 | $42 | 6.0× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $464 | $580 | 3.4× |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$38.40–$128 | $48–$160 | varies |
| Cftr gene com variants (81220) | $1,876.80 | $2,346 | 3.4× |
| Chemiluminescent assay (82397) | $59.20 | $74 | 4.2× |
| Chloride Serum (82435) | $50.40 | $63 | 11.0× |
| Chloride urine (82436) | $49.60 | $62 | 8.6× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$20–$20.80 | $25–$26 | varies |
| Cholinesterase rbc (82482) | $68.80 | $86 | 7.0× |
| Cholinesterase Serum (82480) | $37.60 | $47 | 4.8× |
| Chorionic gonadotropin test (84702) | $56 | $70 | 3.7× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $2,884.80 | $3,606 | 15.3× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $260.80 | $326 | 7.6× |
| Chromium serum (82495) | $73.60 | $92 | 3.6× |
| Chromogranin a (86316) | $76.80 | $96 | 3.7× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$293.60–$308.80 | $367–$386 | varies |
| Chromosome Analysis 20-25 (88264) | $704.80 | $881 | 4.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$15.20–$159.20 | $19–$199 | varies |
| Citric acid urine (82507) | $88.80 | $111 | 3.2× |
| Ckmb (82553) | $94.40 | $118 | 8.2× |
| Clostridium Difficile (87324) | $216.80 | $271 | 18.1× |
| Clot Factor VIII Multimetric (85247) range across 2 matching MRF lines |
$77.60–$157.60 | $97–$197 | varies |
| Clotting Funct Activity (85397) | $448.80 | $561 | 14.5× |
| Cns DNA amp probe type 12-25 (87483) | $3,102.40 | $3,878 | 7.4× |
| Coccidioides antibody (86635) | $285.60 | $357 | 24.9× |
| Cold agglutinin screen (86156) | $42.40 | $53 | 5.3× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$277.60–$291.20 | $347–$364 | varies |
| Column Chromotography Quant (82542) range across 4 matching MRF lines |
$54.40–$111.20 | $68–$139 | varies |
| Compatibility Each Unit Incubation (86921) | $84.80 | $106 | 0.5× |
| Compatibility test antiglob (86922) | $93.60 | $117 | 0.6× |
| Complement Antigen Each Component (86160) | $214.40 | $268 | 17.9× |
| Complement Total (Ch50) (86162) | $251.20 | $314 | 12.4× |
| Coombs direct (86880) | $68.80 | $86 | 12.8× |
| Copper urine (82525) | $143.20 | $179 | 11.5× |
| Cortisol free (82530) range across 2 matching MRF lines |
$52–$103.20 | $65–$129 | varies |
| Cortisol saliva (82533) | $122.40 | $153 | 7.5× |
| Creatine kinase total (82550) | $90.40 | $113 | 13.9× |
| Creatinine blood (82565) | $38.40 | $48 | 7.5× |
| Creatinine clearance (82575) | $90.40 | $113 | 9.6× |
| Creatinine Urine (82570) | $30.40 | $38 | 5.9× |
| Crossmatch immediate spin (86920) | $88 | $110 | 0.5× |
| Crp High Sensitivity (86141) | $132 | $165 | 10.2× |
| Cryofibrinogen (82585) | $92.80 | $116 | 6.6× |
| Cryoglobulin (82595) | $25.60 | $32 | 4.0× |
| Cryptococcal Antigen (87327) | $33.60 | $42 | 2.5× |
| Cryptosporidium ag eia (87328) | $70.40 | $88 | 5.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $72 | $90 | 8.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $50.40 | $63 | 6.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $48 | $60 | 6.2× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $767.20 | $959 | 3.5× |
| Culture afb (87116) | $161.60 | $202 | 15.0× |
| Culture Anaerobic (87075) | $240.80 | $301 | 25.4× |
| Culture blood (87040) | $151.20 | $189 | 14.7× |
| Culture chlamydia (87110) | $100 | $125 | 5.1× |
| Culture csf (87070) | $160 | $200 | 18.6× |
| Culture fungus (87102) | $233.60 | $292 | 27.8× |
| Culture fungus blood (87103) | $48 | $60 | 2.3× |
| Culture screen only (87081) | $68.80 | $86 | 10.4× |
| Culture stool (87045) | $164 | $205 | 17.4× |
| Culture typing if ea antiserum (87140) | $50.40 | $63 | 9.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $69.60 | $87 | 13.4× |
| Culture urine (87086) | $128.80 | $161 | 16.0× |
| Cyanide (82600) | $123.20 | $154 | 6.4× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $52 | $65 | 3.6× |
| Cyclosporine (80158) | $231.20 | $289 | 12.8× |
| Cystatin C (82610) range across 2 matching MRF lines |
$56.80–$57.60 | $71–$72 | varies |
| Cytogenetics 100-300 (88275) | $170.40 | $213 | 3.3× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$156–$164.80 | $195–$206 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 3 matching MRF lines |
$9.60–$120.80 | $12–$151 | varies |
| Cytopath Cell Enhance Tech (88112) | $198.40 | $248 | 3.9× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $96 | $120 | 3.6× |
| Cytp Concentration Smears & Interpretation (88108) | $81.60 | $102 | 2.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $173.60 | $217 | 3.5× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $133.60 | $167 | 0.8× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $122.40 | $153 | 3.4× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $44 | $55 | 2.4× |
| Deoxyribonuclease antibody (86215) | $55.20 | $69 | 4.2× |
| Detect Agent Nos Dna Amp (87798) | $246.40 | $308 | 7.0× |
| Detect Agent Nos Dna Quant (87799) | $121.60 | $152 | 2.8× |
| Dgp Antibody Each Ig Class (86258) | $38.40 | $48 | 3.2× |
| Dhea (82626) | $137.60 | $172 | 5.4× |
| Dhea-S (82627) | $229.60 | $287 | 10.3× |
| Digoxin (80162) | $104.80 | $131 | 7.9× |
| Dihydrotestosterone (82642) | $312 | $390 | 10.7× |
| Diphtheria antitoxoid (86648) | $207.20 | $259 | 13.6× |
| Dipropylacetic Acid Free (80165) | $58.40 | $73 | 4.3× |
| Dna Antibody Native/Double Stranded (86225) | $259.20 | $324 | 18.9× |
| Dna/Rna Amplified Probe (87150) | $52.80 | $66 | 1.5× |
| DNA/RNA direct probe (87149) | $155.20 | $194 | 7.7× |
| Dna/Rna Sequencing (87153) | $164 | $205 | 1.4× |
| Drug assay acetaminophen (80143) | $65.60 | $82 | 3.5× |
| Drug assay adalimumab (80145) | $554.40 | $693 | 14.4× |
| Drug Assay Everolimus (80169) range across 2 matching MRF lines |
$46.40–$93.60 | $58–$117 | varies |
| Drug Screen Quant Clozapine (80159) | $81.60 | $102 | 4.0× |
| Drug Screen Quant Zonisamide (80203) | $64.80 | $81 | 4.9× |
| Drug Screen Quantitative Gabapentin (80171) | $76.80 | $96 | 3.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $60.80 | $76 | 4.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $60.80 | $76 | 4.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $60.80 | $76 | 4.6× |
| Drug Test Prsmv Chem Anlyzr (80307) | $67.20 | $84 | 1.1× |
| Egfr Gene Analysis Common Variants (81235) | $1,324.80 | $1,656 | 4.1× |
| Ehrlichia antibody (86666) | $166.40 | $208 | 16.3× |
| El-1 Fecal Quantitative (82653) | $73.60 | $92 | 3.2× |
| Electrolyte panel (80051) | $43.20 | $54 | 6.2× |
| Electron Microscopy (88348) | $638.40 | $798 | 0.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $38.40 | $48 | 3.2× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$248–$274.40 | $310–$343 | varies |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$132.80–$541.60 | $166–$677 | varies |
| Enzyme histochemistry (88319) | $292.80 | $366 | 0.4× |
| Erythropoietin (82668) | $67.20 | $84 | 3.6× |
| Estradiol serum (82670) | $67.20 | $84 | 2.4× |
| Estriol (82677) range across 2 matching MRF lines |
$64–$65.60 | $80–$82 | varies |
| Estrogens fractionated (82671) | $116 | $145 | 3.6× |
| Ethosuximide (80168) | $68.80 | $86 | 4.2× |
| Ethylene Glycol (82693) | $94.40 | $118 | 6.3× |
| Exam Synovial Fluid Crystals (89060) | $47.20 | $59 | 6.4× |
| F2 Gene (81240) | $528 | $660 | 8.0× |
| Factor ii activity (85210) range across 2 matching MRF lines |
$16.80–$32 | $21–$40 | varies |
| Factor ix activity (85250) range across 2 matching MRF lines |
$16.80–$32 | $21–$40 | varies |
| Factor v activity (85220) range across 2 matching MRF lines |
$16.80–$32 | $21–$40 | varies |
| Factor v leiden mutation (81241) | $86.40 | $108 | 1.2× |
| Factor vii assay (85230) range across 2 matching MRF lines |
$16.80–$32 | $21–$40 | varies |
| Factor viii assay (85240) range across 2 matching MRF lines |
$63.20–$69.60 | $79–$87 | varies |
| Factor X (85260) | $81.60 | $102 | 4.6× |
| Factor xi activity (85270) | $100 | $125 | 5.6× |
| Factor xiii screen (85291) | $62.40 | $78 | 6.8× |
| Fancc Gene (81242) | $354.40 | $443 | 9.7× |
| Fat/Lipids Feces Quantitative (82710) | $76.80 | $96 | 4.6× |
| Fatty acids free (82725) | $96 | $120 | 5.1× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $160.80 | $201 | 9.4× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $252.80 | $316 | 38.7× |
| Ferritin (82728) | $210.40 | $263 | 15.4× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $123.20 | $154 | 0.8× |
| Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) | $114.40 | $143 | 2.1× |
| Fetal Fibronectin (82731) | $288.80 | $361 | 4.5× |
| Fetal screen rosette (85461) | $72 | $90 | 7.7× |
| Fibrin Degradation Quant (85379) | $161.60 | $202 | 15.9× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $256 | $320 | 26.3× |
| Fibrinogen activity (85384) | $180.80 | $226 | 18.6× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$57.60–$60.80 | $72–$76 | varies |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$125.60–$132 | $157–$165 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $42.40 | $53 | 3.5× |
| Fmr1 Gene Charac Alleles (81244) | $424.80 | $531 | 9.5× |
| Fmr1 gene detection (81243) | $424.80 | $531 | 7.4× |
| Folic acid rbc (82747) | $96 | $120 | 5.4× |
| Folic Acid Serum (82746) | $115.20 | $144 | 7.8× |
| Follicle Stimulating Hormone (83001) | $76.80 | $96 | 4.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $85.60 | $107 | 0.5× |
| Frozen Section (88331) | $370.40 | $463 | 2.3× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$42.40–$80.80 | $53–$101 | varies |
| Fungi Identification Yeast (87106) | $62.40 | $78 | 6.0× |
| Gammaglobulin ige (82785) | $185.60 | $232 | 11.3× |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
$65.60–$104 | $82–$130 | varies |
| Gases blood ph only (82800) | $220 | $275 | 20.0× |
| Gastrin (82941) | $78.40 | $98 | 4.4× |
| Gastrin after secretin stim (82938) range across 2 matching MRF lines |
$56–$109.60 | $70–$137 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,673.60 | $3,342 | 3.5× |
| Gentamicin (80170) | $308 | $385 | 18.8× |
| Ggt (82977) | $52 | $65 | 7.2× |
| Giardia antigen (87329) | $63.20 | $79 | 5.3× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $39.20 | $49 | 6.5× |
| Glucagon (82943) range across 2 matching MRF lines |
$44–$88 | $55–$110 | varies |
| Glucose 2 hr pp (82950) | $59.20 | $74 | 12.5× |
| Glucose Blood Test (82962) | $16 | $20 | 4.9× |
| Glucose body fluid (82945) | $15.20 | $19 | 3.9× |
| Glucose Serum (82947) | $35.20 | $44 | 9.0× |
| Glucose tolerance test (gtt) (82951) | $167.20 | $209 | 13.0× |
| Glycated Protein (82985) | $69.60 | $87 | 4.2× |
| Gonadotropin Chorionic Qualitative (84703) | $60.80 | $76 | 8.1× |
| Growth hormone (83003) | $40 | $50 | 2.4× |
| Gtt-added samples (82952) | $59.20 | $74 | 15.1× |
| H Pylori (C-13) Breath (83013) | $416 | $520 | 6.2× |
| H Pylori Drug Admin (83014) | $50.40 | $63 | 6.4× |
| H pylri clrthmcn rst amp prb (87513) | $113.60 | $142 | 3.2× |
| Haptoglobin (83010) | $93.60 | $117 | 7.4× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$50.40–$52.80 | $63–$66 | varies |
| Helicobacter Pylori Stool (87338) | $64.80 | $81 | 4.5× |
| Helminth Antibody (86682) | $55.20 | $69 | 4.2× |
| Hematocrit (85014) | $63.20 | $79 | 26.7× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$44–$48 | $55–$60 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$4.44–$93.60 | $5.55–$117 | varies |
| Hemoglobin Chromotography (83021) | $48 | $60 | 2.7× |
| Hemoglobin electrophoresis (83020) | $30.40 | $38 | 2.4× |
| Hemoglobin plasma (83051) | $47.20 | $59 | 6.5× |
| Hep a ab igm (86709) | $154.40 | $193 | 13.7× |
| Heparin assay (85520) range across 2 matching MRF lines |
$44.80–$88.80 | $56–$111 | varies |
| Hepatitis a antibody total (86708) | $173.60 | $217 | 14.0× |
| Hepatitis b core ab igm (86705) | $38.40 | $48 | 3.3× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$42.40–$44 | $53–$55 | varies |
| Hepatitis B Surface Antibody (86706) | $173.60 | $217 | 16.2× |
| Hepatitis B Surface Antigen (87340) | $187.20 | $234 | 18.1× |
| Hepatitis Be Antibody (86707) | $40 | $50 | 3.5× |
| Hepatitis Be Antigen (87350) | $44 | $55 | 3.8× |
| Hepatitis C Antibody (86803) | $172 | $215 | 12.1× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$528–$1,158.40 | $660–$1,448 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $491.20 | $614 | 11.5× |
| Hepatitis Delta Agent Antibody (86692) | $148.80 | $186 | 8.7× |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$4.80–$113.60 | $6–$142 | varies |
| Heterophile Antibody Screen (86308) | $147.20 | $184 | 28.4× |
| Hfe Gene (81256) | $468.80 | $586 | 7.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $73.60 | $92 | 9.5× |
| Histoplasma antibody (86698) | $57.60 | $72 | 4.2× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$60.80–$231.20 | $76–$289 | varies |
| Hiv Antigen W/Hiv Antibodies (87806) | $142.40 | $178 | 4.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$42.40–$52 | $53–$65 | varies |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$12–$113.60 | $15–$142 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $841.60 | $1,052 | 9.9× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $62.40 | $78 | 0.4× |
| Hla Class I Typing Low Resolution Complete (81372) | $1,503.20 | $1,879 | 3.7× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $649.60 | $812 | 5.1× |
| Hla class i&ii antibody qual (86828) range across 2 matching MRF lines |
$140.80–$280 | $176–$350 | varies |
| Hla class ii high defin qual (86833) range across 2 matching MRF lines |
$408–$815.20 | $510–$1,019 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) range across 2 matching MRF lines |
$62.40–$77.60 | $78–$97 | varies |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $2,350.40 | $2,938 | 6.8× |
| Hla ii typing 1 locus lr (81376) range across 2 matching MRF lines |
$420–$833.60 | $525–$1,042 | varies |
| Hla-b27 (86812) | $105.60 | $132 | 4.1× |
| Homocysteine (83090) | $57.60 | $72 | 3.2× |
| Hpv High-Risk Types (87624) | $137.60 | $172 | 3.9× |
| Hpv sep hi-rsk typ&pool rslt (87626) range across 2 matching MRF lines |
$247.20–$248.80 | $309–$311 | varies |
| Hpv Types 16 & 18 Only (87625) | $62.40 | $78 | 1.5× |
| Hsv Dna Amp Probe (87529) | $99.20 | $124 | 2.8× |
| Hsv Dna Quant (87530) | $364.80 | $456 | 8.5× |
| Htlv-I Antibody (86687) | $104 | $130 | 11.4× |
| Htt Gene Detc Abnor Alleles (81271) | $486.40 | $608 | 3.6× |
| Hydroxyprogesterone 17-d (83498) | $112 | $140 | 4.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $81.60 | $102 | 7.9× |
| Iaad ia shiga-like toxin (87427) | $57.60 | $72 | 4.8× |
| Iaad Ia Streptococcus Group A (87430) | $69.60 | $87 | 4.1× |
| Iaadi herpes smplx virus type 2 (87273) | $95.20 | $119 | 7.9× |
| Iaadi respiratory synctial virus (87280) | $95.20 | $119 | 7.1× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $237.60 | $297 | 6.8× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $95.20 | $119 | 4.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $237.60 | $297 | 6.8× |
| Iadna Cytomegalovirus Quantification (87497) | $151.20 | $189 | 3.5× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $273.60 | $342 | 3.9× |
| Iadna Hepatitis B Virus Quantification (87517) | $170.40 | $213 | 4.0× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $262.40 | $328 | 7.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $139.20 | $174 | 4.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 3 matching MRF lines |
$137.60–$273.60 | $172–$342 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 3 matching MRF lines |
$216–$237.60 | $270–$297 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$15.20–$159.20 | $19–$199 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $582.40 | $728 | 4.1× |
| Ig Light Chains Free Each (83521) | $55.20 | $69 | 3.2× |
| Igg subclasses (82787) | $28.80 | $36 | 3.6× |
| Igh gene rearrange amp meth (81261) | $1,153.60 | $1,442 | 5.8× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) range across 2 matching MRF lines |
$1,633.60–$1,716 | $2,042–$2,145 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $272.80 | $341 | 0.8× |
| Immune Complex Assay (86332) | $88 | $110 | 3.6× |
| Immunfix e-phorsis/urine/csf (86335) | $73.60 | $92 | 2.5× |
| Immunoassay analyte qual/semiqual single step (83518) | $34.40 | $43 | 3.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$42.40–$84 | $53–$105 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $322.40 | $403 | 21.5× |
| Immunoassay nonantibody (83516) | $304.80 | $381 | 26.4× |
| Immunodiffusion Ouchterlony (86331) | $43.20 | $54 | 3.6× |
| Immunoelectrophoresis Serum (86320) | $132 | $165 | 4.4× |
| Immunofixation electrophoresis (86334) | $80 | $100 | 3.6× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $74.40 | $93 | 0.5× |
| Immunohistochemistry (88342) | $200 | $250 | 1.2× |
| In situ hybridization 1st probe stain (88365) | $555.20 | $694 | 3.4× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) | $63.20 | $79 | 4.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) | $80 | $100 | 4.0× |
| Influenza assay w/optic (87804) | $81.60 | $102 | 4.9× |
| Influenza DNA amp probe (87502) | $100 | $125 | 1.0× |
| Inhibin A (86336) range across 2 matching MRF lines |
$72–$76.80 | $90–$96 | varies |
| Inhibin b (83520) | $40 | $50 | 2.3× |
| Insulin antibodies (86337) | $88 | $110 | 4.1× |
| Insulin free (83527) | $135.20 | $169 | 10.4× |
| Insulin total (83525) range across 2 matching MRF lines |
$48–$50.40 | $60–$63 | varies |
| Intrinsic factor antibody (86340) | $23.20 | $29 | 1.5× |
| Iron (83540) | $34.40 | $43 | 5.3× |
| Iron Binding Capacity (83550) | $50.40 | $63 | 5.8× |
| Islet cell antibody (86341) | $97.60 | $122 | 4.1× |
| Jak2 gene analysis p.val617phe variant (81270) | $624.80 | $781 | 6.8× |
| Kras Gene Analysis Additional Variant(S) (81276) | $984.80 | $1,231 | 5.1× |
| Kras Gene Variants Exon 2 (81275) | $984.80 | $1,231 | 5.1× |
| Lactate (ld) (ldh) enzyme (83615) | $81.60 | $102 | 13.5× |
| Lactoferrin fecal qualitative (83630) range across 3 matching MRF lines |
$60.80–$121.60 | $76–$152 | varies |
| Lactoferrin Fecal Quantitative (83631) | $199.20 | $249 | 10.1× |
| LDL direct (83721) | $27.20 | $34 | 2.6× |
| Lead (83655) | $57.60 | $72 | 4.8× |
| Legionella antibody (86713) | $85.60 | $107 | 5.6× |
| Legionella antigen urine (87449) | $129.60 | $162 | 10.8× |
| Leptospira antibody (86720) | $66.40 | $83 | 4.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $66.40 | $83 | 2.4× |
| Level ii surg pathology grossµscopic exam (88302) | $148 | $185 | 4.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $334.40 | $418 | 1.0× |
| Lipase (83690) | $52 | $65 | 7.5× |
| Lipoprotein A (83695) | $47.20 | $59 | 3.3× |
| Lipoprotein Bld Quan Part (83704) | $114.40 | $143 | 3.3× |
| Lithium (80178) | $67.20 | $84 | 10.2× |
| Luteinizing Hormone (Lh) (83002) | $57.60 | $72 | 3.1× |
| Lyme disease antibody (86618) | $179.20 | $224 | 10.5× |
| Lymphocyte transformation (86353) | $520.80 | $651 | 10.6× |
| Lysozyme serum (85549) | $85.60 | $107 | 4.6× |
| M/phmtrc alys ishquant/semiq (88374) | $553.60 | $692 | 3.4× |
| Macroscopic exam arthropod (87168) | $50.40 | $63 | 11.8× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$6.40–$44 | $8–$55 | varies |
| Mass Spectrometry Quant (83789) | $99.20 | $124 | 4.1× |
| Mercury urine (83825) | $56.80 | $71 | 3.5× |
| Methylmalonic acid serum (83921) | $68.80 | $86 | 3.2× |
| Microalbumin, quantitative (82043) | $63.20 | $79 | 10.9× |
| Microsatellite instability (81301) | $1,031.20 | $1,289 | 3.0× |
| Microsomal Antibodies Each (86376) | $84.80 | $106 | 5.8× |
| Mitochondrial Antibody Each (86381) | $90.40 | $113 | 3.6× |
| Mlh1 Gene (81288) | $747.20 | $934 | 3.9× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $120.80 | $151 | 3.2× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 34 matching MRF lines |
$100–$984 | $125–$1,230 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $273.60 | $342 | 6.5× |
| Molecular Pathology Procedure Level 6 (81405) | $882.40 | $1,103 | 2.9× |
| Mopath procedure level 1 (81400) | $515.20 | $644 | 8.1× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$333.60–$528 | $417–$660 | varies |
| Mpl gene analysis sequence analysis exon 10 (81339) | $755.20 | $944 | 4.1× |
| Mpl gene common variants (81338) | $873.60 | $1,092 | 5.8× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$137.60–$273.60 | $172–$342 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $615.20 | $769 | 9.4× |
| Mumps antibody (86735) | $47.20 | $59 | 3.6× |
| Muscle-Specific Kinase Antb (86366) | $62.40 | $78 | 3.4× |
| Mycobacteric Identification (87118) | $86.40 | $108 | 5.9× |
| Mycophenolic Acid (80180) | $76.80 | $96 | 4.3× |
| Mycoplasma antibody (86738) | $98.40 | $123 | 7.4× |
| Mycoplasma culture (87109) | $60.80 | $76 | 4.0× |
| Myelin basic protein csf (83873) | $61.60 | $77 | 3.6× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$27.20–$28.80 | $34–$36 | varies |
| Natriuretic peptide (83880) | $162.40 | $203 | 4.1× |
| Neisseria Dir Na Probe (87590) | $130.40 | $163 | 4.9× |
| Neutralization Test Viral (86382) | $170.40 | $213 | 10.1× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) range across 2 matching MRF lines |
$497.60–$994.40 | $622–$1,243 | varies |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $1,000 | $1,250 | 3.9× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $485.60 | $607 | 1.8× |
| Nfct ds chrnc hcv 6 assays (81596) | $369.60 | $462 | 5.1× |
| Niacin (84591) | $189.60 | $237 | 11.1× |
| Nras gene variants exon 2&3 (81311) | $1,478.40 | $1,848 | 5.0× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$56.80–$60 | $71–$75 | varies |
| Occult blood feces (82272) | $80 | $100 | 18.9× |
| Occult Blood Other Sources (82271) | $32 | $40 | 6.0× |
| Oligoclonal bands (83916) | $89.60 | $112 | 3.3× |
| Organic Acids Qualitative Each Specimen (83919) | $114.40 | $143 | 7.0× |
| Osmolality serum (83930) | $96 | $120 | 14.5× |
| Osmolality Urine (83935) | $80 | $100 | 11.7× |
| Osmotic fragility rbc incubated (85557) | $61.60 | $77 | 4.6× |
| Osteocalcin (83937) | $136 | $170 | 4.6× |
| Ova and parasites smears (87177) | $166.40 | $208 | 18.7× |
| Oxalate urine (83945) | $100 | $125 | 6.9× |
| Pancreatic Elastase Fecal (82656) | $42.40 | $53 | 3.7× |
| Parvovirus antibody (86747) | $56 | $70 | 3.7× |
| Ph urine (81003) | $88 | $110 | 39.1× |
| Phenobarbital Level (80184) | $160 | $200 | 10.5× |
| Phenylalanine (84030) | $116 | $145 | 21.1× |
| Phenytoin (Dilantin) (80185) | $137.60 | $172 | 10.4× |
| Phenytoin free (80186) | $29.60 | $37 | 2.2× |
| Phosphatase acid prostatic (84066) | $36.80 | $46 | 3.8× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$52.80–$56 | $66–$70 | varies |
| Phosphorus Serum (84100) | $62.40 | $78 | 13.2× |
| Phosphorus urine (84105) | $27.20 | $34 | 4.7× |
| Pinworm exam (87172) | $33.60 | $42 | 7.9× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$35.20–$68 | $44–$85 | varies |
| Platelet Antibodies (86022) | $220.80 | $276 | 12.0× |
| Platelet count automated (85049) | $63.20 | $79 | 14.1× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $685.60 | $857 | 3.3× |
| Pooling blood platelets (86965) | $164 | $205 | 1.0× |
| Porphobilinogen, urine; quantitative (84110) | $63.20 | $79 | 7.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $63.20 | $79 | 4.3× |
| Potassium Urine (84133) | $60.80 | $76 | 12.9× |
| Prealbumin (84134) | $52.80 | $66 | 3.6× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $60 | $75 | 1.1× |
| Primidone (80188) | $68.80 | $86 | 4.1× |
| Procalcitonin (Pct) (84145) | $144 | $180 | 5.3× |
| Progesterone (84144) | $104 | $130 | 5.0× |
| Prolactin (84146) | $196.80 | $246 | 10.2× |
| Prostaglandin (84150) | $306.40 | $383 | 7.3× |
| Protein body fluid (84157) | $14.40 | $18 | 3.6× |
| Protein C Activity (85303) | $76.80 | $96 | 5.5× |
| Protein c antigen (85302) | $76.80 | $96 | 6.4× |
| Protein Electrophoresis Urine (84166) | $72.80 | $91 | 4.1× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $77.60 | $97 | 7.2× |
| Protein S Free (85306) | $68 | $85 | 4.4× |
| Protein s total (85305) | $80.80 | $101 | 7.0× |
| Protein total serum (84155) | $50.40 | $63 | 13.7× |
| Protein Total Urine (84156) | $44 | $55 | 12.0× |
| Protein Western Blot Test (84182) | $439.20 | $549 | 15.0× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$16–$40.80 | $20–$51 | varies |
| PSA free (84154) | $155.20 | $194 | 8.4× |
| Pth Intact (83970) | $129.60 | $162 | 3.1× |
| Quantiferon tb gold plus (86480) | $64 | $80 | 1.0× |
| Quantitative assay drug (80299) range across 5 matching MRF lines |
$67.20–$85.60 | $84–$107 | varies |
| Quantitative Screen Metals (83018) | $80 | $100 | 3.6× |
| Rbc antibody identification (86870) | $228 | $285 | 0.7× |
| Rbc antibody screen (86850) | $68.80 | $86 | 7.0× |
| Rbc pretreatment serum (86978) | $144 | $180 | 2.5× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$6.40–$20 | $8–$25 | varies |
| Renin activity plasma (84244) | $292 | $365 | 13.3× |
| Resp virus 12-25 targets (87633) | $272 | $340 | 0.7× |
| Rh (86901) | $60.80 | $76 | 20.3× |
| Rheumatoid Factor Qualitative (86430) | $155.20 | $194 | 25.3× |
| Rheumatoid factor quant (86431) | $62.40 | $78 | 11.0× |
| Rickettsia antibody (86757) | $72.80 | $91 | 3.8× |
| Ristocetin cofactor (85245) | $108.80 | $136 | 4.7× |
| Rotavirus ag eia (87425) | $54.40 | $68 | 4.5× |
| Rpr qualitative (86592) | $97.60 | $122 | 22.9× |
| Rsv Assay W/Optic (87807) | $205.60 | $257 | 15.7× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$67.20–$116.80 | $84–$146 | varies |
| Rubeola antibody (86765) | $40.80 | $51 | 3.2× |
| Russell Viper Venom Time Diluted (85613) | $208 | $260 | 21.7× |
| Salicylate Level (80179) | $65.60 | $82 | 3.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $231.20 | $289 | 4.5× |
| Sars-cov-2 COVID-19 antibody (86769) | $329.60 | $412 | 7.8× |
| Sedimentation rate (85651) | $47.20 | $59 | 11.1× |
| Sedimentation Rate, Automated (85652) | $46.40 | $58 | 17.2× |
| Selenium (84255) | $93.60 | $117 | 3.7× |
| Semen Anal Sperm Detection (89321) | $76 | $95 | 6.3× |
| Semen analysis motility and count (89310) range across 2 matching MRF lines |
$80.80–$88.80 | $101–$111 | varies |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$126.40–$147.20 | $158–$184 | varies |
| Sex Hormone Binding Globulin (84270) | $67.20 | $84 | 3.1× |
| Sickling of rbc reduction (85660) | $151.20 | $189 | 27.4× |
| Sirolimus (80195) range across 2 matching MRF lines |
$114.40–$121.60 | $143–$152 | varies |
| Smear acid fast (87206) | $48 | $60 | 8.9× |
| Smear complex stain (87209) | $52 | $65 | 2.9× |
| Smear gram stain (87205) | $52.80 | $66 | 12.4× |
| Smear Special Stain (87207) | $90.40 | $113 | 15.1× |
| Smn1 Gene Dos/Deletion Alys (81329) | $532.80 | $666 | 3.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $57.60 | $72 | 9.9× |
| Sodium Serum (84295) | $40.80 | $51 | 8.5× |
| Sodium Urine (84300) | $61.60 | $77 | 12.2× |
| Soluble Transferrin Receptor (84238) | $150.40 | $188 | 4.1× |
| Somatomedin (84305) | $190.40 | $238 | 9.0× |
| Special Stains Group 1 (88312) | $393.60 | $492 | 7.8× |
| Special Stains Group 2 (88313) | $180.80 | $226 | 1.4× |
| Specific gravity body fluid (84315) | $44 | $55 | 13.4× |
| Specimen infect agnt concntj (87015) | $67.20 | $84 | 10.1× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$25.60–$27.20 | $32–$34 | varies |
| Staph a DNA amp probe (87640) range across 2 matching MRF lines |
$137.60–$273.60 | $172–$342 | varies |
| Stone Analysis (82355) | $179.20 | $224 | 15.5× |
| Stool cultr aerobic bact ea (87046) | $44 | $55 | 4.7× |
| Strep a assay w/optic (87880) | $80.80 | $101 | 4.9× |
| Strep a DNA amp probe (87651) | $68.80 | $86 | 2.0× |
| Strep b DNA amp probe (87653) | $96.80 | $121 | 2.8× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $63.20 | $79 | 0.7× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $80 | $100 | 6.9× |
| Surg path level iii (88304) | $171.20 | $214 | 3.4× |
| Surgical pathology level IV (88305) | $364.80 | $456 | 7.3× |
| Surgical pathology level vi (88309) | $472.80 | $591 | 0.6× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $48 | $60 | 10.1× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $52 | $65 | 7.0× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$2.40–$34.40 | $3–$43 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $200 | $250 | 4.3× |
| T3 Free (84481) | $188.80 | $236 | 11.1× |
| T3 reverse (84482) | $55.20 | $69 | 3.5× |
| T3 Total (84480) | $43.20 | $54 | 3.0× |
| T3 Uptake (84479) | $35.20 | $44 | 5.4× |
| T4 Free (84439) range across 2 matching MRF lines |
$120–$126.40 | $150–$158 | varies |
| T4 total (84436) | $44 | $55 | 6.4× |
| Tacrolimus (80197) | $181.60 | $227 | 13.2× |
| Tb ag response t-cell susp (86481) | $55.20 | $69 | 0.6× |
| Test for acetone/ketones (82009) | $81.60 | $102 | 18.1× |
| Testosterone total (84403) | $84 | $105 | 3.3× |
| Testosterone, Free (84402) | $148.80 | $186 | 5.8× |
| Tetanus antibody (86774) | $88 | $110 | 5.9× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) range across 3 matching MRF lines |
$2,009.60–$2,437.60 | $2,512–$3,047 | varies |
| Theophylline (80198) | $128.80 | $161 | 9.1× |
| Thrombin Time (85670) | $108.80 | $136 | 18.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $52 | $65 | 8.0× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$64–$71.36 | $80–$89.20 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$64–$102.40 | $80–$128 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $315.20 | $394 | 6.2× |
| Thyroxine binding globulin (84442) | $57.60 | $72 | 3.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $311.20 | $389 | 27.0× |
| Tissue culture bone marrow (88237) | $308.80 | $386 | 2.1× |
| Tissue Culture Lymphocyte (88230) | $569.60 | $712 | 4.9× |
| Tobramycin peak (80200) | $288 | $360 | 17.9× |
| Topiramate (80201) | $50.40 | $63 | 4.2× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $77.60 | $97 | 3.9× |
| Toxoplasma ab igm (86778) | $65.60 | $82 | 4.6× |
| Toxoplasma antibody (86777) | $257.60 | $322 | 17.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $55.20 | $69 | 10.7× |
| Transferrin (84466) | $34.40 | $43 | 2.7× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $808 | $1,010 | 3.9× |
| Trg gene rearrangement anal (81342) | $999.20 | $1,249 | 5.0× |
| Trichomonas vagin dir probe (87660) range across 2 matching MRF lines |
$65.60–$104 | $82–$130 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$139.20–$237.60 | $174–$297 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$61.60–$64 | $77–$80 | varies |
| Troponin Quant (84484) | $89.60 | $112 | 7.2× |
| Tumor Immunohistochem/Manual (88360) | $104.80 | $131 | 0.6× |
| Ugt1a1 gene analysis common variants (81350) | $955.20 | $1,194 | 4.1× |
| Urea nitrogen urine (84540) | $27.20 | $34 | 4.9× |
| Uric acid other source (84560) | $80.80 | $101 | 15.9× |
| Urinalysis Microscopic Only (81015) | $40 | $50 | 13.1× |
| Urinalysis Volume Measure (81050) | $38.40 | $48 | 10.5× |
| Urine Bacteria Culture (87088) | $65.60 | $82 | 8.1× |
| Urine Pregnancy Test (81025) | $105.60 | $132 | 12.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $16 | $20 | 5.0× |
| Valproic acid (80164) | $123.20 | $154 | 9.1× |
| Vancomycin (80202) | $166.40 | $208 | 12.3× |
| Varicella-zoster antibody (86787) | $79.20 | $99 | 6.1× |
| Vasopressin (84588) | $116.80 | $146 | 3.4× |
| Viral Culture (87252) | $398.40 | $498 | 15.3× |
| Virus antibody nos (86790) | $45.60 | $57 | 3.5× |
| Viscosity serum (85810) | $33.60 | $42 | 2.9× |
| Vit D 1 25-Dihydroxy (82652) | $229.60 | $287 | 6.0× |
| Vitamin A (84590) | $42.40 | $53 | 3.7× |
| Vitamin b-12 (82607) | $102.40 | $128 | 6.8× |
| Vitamin B2 (Riboflavin) (84252) | $82.40 | $103 | 4.1× |
| Vitamin B6 (84207) | $100.80 | $126 | 3.6× |
| Vitamin c (82180) | $36.80 | $46 | 3.7× |
| Vitamin D 25-Hydroxy (82306) | $164.80 | $206 | 5.6× |
| Vitamin E (84446) | $52 | $65 | 3.7× |
| Vitamin K (84597) | $56.80 | $71 | 4.1× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $80.80 | $101 | 6.7× |
| Von willebrand factor ag (85246) | $158.40 | $198 | 6.9× |
| West nile virus ab igm (86788) | $61.60 | $77 | 3.7× |
| West Nile Virus Antibody (86789) | $52 | $65 | 3.6× |
| Western Blot Test (84181) | $259.20 | $324 | 15.2× |
| Xm Archive Tissue Molec Anal (88363) | $43.20 | $54 | 1.5× |
| Zinc (84630) | $57.60 | $72 | 5.1× |
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.