Lab & pathology prices at MaineHealth Memorial Hospital
North Conway, NH · every code in this section with a posted price and a Medicare benchmark.
615 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $230.40 | $230.40 | 10.1× |
| 5 Nucleotidase (83915) | $97.85 | $97.85 | 8.8× |
| Acetylcholine receptor binding antibody (86041) | $57.40 | $57.40 | 3.1× |
| Acetylcholine receptor blocking antibody (86042) | $153.10 | $153.10 | 8.3× |
| Acetylcholn Rcptr Modlg Antb (86043) | $100.25 | $100.25 | 8.3× |
| Acth (82024) | $417.30 | $417.30 | 10.8× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $410.80 | $410.80 | 12.6× |
| Actin smooth muscle antibody each (86015) | $127.85 | $127.85 | 10.6× |
| Acute hepatitis panel (80074) | $584.80 | $584.80 | 12.3× |
| Acylcarnitines Quant (82017) | $119.80 | $119.80 | 7.1× |
| Albumin Fluid (82042) | $65.40 | $65.40 | 8.4× |
| Albumin serum (82040) | $64.10 | $64.10 | 12.9× |
| Aldolase (82085) | $108.30 | $108.30 | 11.2× |
| Aldosterone urine (82088) | $449.30 | $449.30 | 11.0× |
| Alkaline phosphatase isoenzymes (84080) | $163.60 | $163.60 | 11.1× |
| Allergen spec ige qual multiallergen screen (86005) | $98.10 | $98.10 | 12.3× |
| Allergen specific ige (86003) | $64.25 | $64.25 | 12.3× |
| Allergen specific igg (86001) | $48.25 | $48.25 | 6.2× |
| Allg Spec Ige Recomb Ea (86008) | $90.30 | $90.30 | 5.0× |
| Alpha-1-antitrypsin phenotype (82104) | $144 | $144 | 10.0× |
| Alpha-1-antitrypsin total (82103) | $174.20 | $174.20 | 13.0× |
| Alpha-Fetoprotein Serum (82105) | $194.65 | $194.65 | 11.6× |
| Alt (sgpt) (84460) | $67.85 | $67.85 | 12.8× |
| Aluminum (82108) | $193.75 | $193.75 | 7.6× |
| Amikacin trough (80150) | $163.55 | $163.55 | 10.8× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $119.80 | $119.80 | 7.1× |
| Aminolevulinic acid (ala) (82135) | $279.75 | $279.75 | 17.0× |
| Ammonia (82140) | $183.20 | $183.20 | 12.6× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $812.50 | $812.50 | 8.3× |
| Amylase urine (82150) | $81.10 | $81.10 | 12.5× |
| Ana Titer (86039) | $128.45 | $128.45 | 11.5× |
| Anca screen each antibody (86036) | $115.20 | $115.20 | 9.6× |
| Androstenedione (82157) | $314.50 | $314.50 | 10.7× |
| Angiotensin converting enzyme csf (82164) | $162.45 | $162.45 | 11.1× |
| Antibody aspergillus (86606) | $163.60 | $163.60 | 10.9× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $108.30 | $108.30 | 8.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $193.65 | $193.65 | 12.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $180.55 | $180.55 | 10.7× |
| Antibody Encephalitis California La Crosse (86651) | $43.20 | $43.20 | 3.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $164.85 | $164.85 | 12.6× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $180.55 | $180.55 | 11.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $172 | $172 | 9.5× |
| Antibody Fungus Not Elsewhere Specified (86671) | $52.70 | $52.70 | 4.3× |
| Antibody haemophilus influenza (86684) | $57.05 | $57.05 | 3.6× |
| Antibody helicobacter pylori (86677) | $183.20 | $183.20 | 10.9× |
| Antibody Herpes Smplx Type 1 (86695) | $146.35 | $146.35 | 11.1× |
| Antibody HIV-1&HIV-2 single result (86703) | $129.55 | $129.55 | 9.4× |
| Antibody HIV-2 (86702) | $120.70 | $120.70 | 8.9× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $841.80 | $841.80 | 2.6× |
| Antibody identification leukocyte antibodies (86021) | $132.10 | $132.10 | 8.8× |
| Antibody Identification Platelet Immunogl Assay (86023) | $256.65 | $256.65 | 20.6× |
| Antibody john cunningham virus (86711) | $35.15 | $35.15 | 2.1× |
| Antibody Protozoa Nes (86753) | $103.70 | $103.70 | 8.4× |
| Antibody Titer (86886) | $65.40 | $65.40 | 12.6× |
| Antibody Treponema Pallidum (86780) | $171.35 | $171.35 | 12.9× |
| Antibody; encephalitis, st. louis (86653) | $43.20 | $43.20 | 3.3× |
| Antigen typing (86905) | $208 | $208 | 54.3× |
| Antinuclear antibodies (86038) | $153.20 | $153.20 | 12.7× |
| Antistreptolysin o titer (86060) | $81.80 | $81.80 | 11.2× |
| Antithrombin iii activity (85300) | $149.20 | $149.20 | 12.6× |
| Apolipoprotein a1 (82172) | $167.35 | $167.35 | 7.9× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $301.85 | $301.85 | 8.0× |
| Arsenic (82175) | $140.45 | $140.45 | 7.4× |
| Ashkenazi Jewish Assoc Dis (81412) | $4,203.30 | $4,203.30 | 1.7× |
| Aspa gene analysis common variants (81200) | $381.30 | $381.30 | 8.1× |
| Aspergillus ag eia (87305) | $123.30 | $123.30 | 10.3× |
| Assay Blood Carbon Dioxide (82374) | $62.80 | $62.80 | 12.9× |
| Assay Nephelometry Not Spec (83883) | $118.65 | $118.65 | 8.7× |
| Assay of 5-hiaa (83497) | $141.70 | $141.70 | 11.0× |
| Assay of anti-mullerian hormone (82166) | $160.70 | $160.70 | 4.2× |
| Assay of blood/uric acid (84550) | $58.90 | $58.90 | 13.0× |
| Assay of calcium in urine (82340) | $77.15 | $77.15 | 12.8× |
| Assay of estrone (82679) | $276.50 | $276.50 | 11.1× |
| Assay of g6pd enzyme (82955) | $108.30 | $108.30 | 11.2× |
| Assay of gammaglobulin igm (82784) | $115.75 | $115.75 | 12.4× |
| Assay of lactic acid (83605) | $136.05 | $136.05 | 11.8× |
| Assay of manganese (83785) | $220.05 | $220.05 | 8.3× |
| Assay of metanephrines (83835) | $186.65 | $186.65 | 11.0× |
| Assay of proinsulin (84206) | $172.80 | $172.80 | 6.5× |
| Assay of serotonin (84260) | $277.65 | $277.65 | 9.0× |
| Assay of serum potassium (84132) | $60.10 | $60.10 | 12.6× |
| Assay of sweat sodium (84302) | $93.35 | $93.35 | 19.2× |
| Assay of urea nitrogen (84520) | $49.70 | $49.70 | 12.6× |
| Assay of urine vma (84585) | $170.50 | $170.50 | 11.0× |
| Assay of vasoactive intestinal peptide (84586) | $293.95 | $293.95 | 8.3× |
| Assay of vitamin b-1 (84425) | $201.60 | $201.60 | 9.5× |
| Assay Ph Body Fluid Nos (83986) | $44.50 | $44.50 | 12.4× |
| Automated Leukocyte Count (85048) | $28.80 | $28.80 | 11.3× |
| B cells total count (86355) | $134.40 | $134.40 | 3.6× |
| Babesia microti amp prb (87469) | $328.40 | $328.40 | 9.4× |
| Bartonella antibody (86611) | $108.30 | $108.30 | 10.6× |
| Bcr/abl1 gene major bp (81206) | $684.75 | $684.75 | 4.2× |
| Bcr/abl1 gene minor bp (81207) | $641.70 | $641.70 | 4.4× |
| Bcr/Abl1 Gene Other Bp (81208) | $576.05 | $576.05 | 2.7× |
| Beta 2 glycoprotein i antibody each (86146) | $172.70 | $172.70 | 6.8× |
| Beta hydroxybutyrate (82010) | $103.45 | $103.45 | 12.7× |
| Beta Lactamase (87185) | $36.95 | $36.95 | 7.8× |
| Beta-2 Microglobulin (82232) | $179.70 | $179.70 | 11.1× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $81.10 | $81.10 | 0.6× |
| Bile acids total (82239) | $190.10 | $190.10 | 11.1× |
| Bilirubin direct (82248) | $64.10 | $64.10 | 12.8× |
| Bilirubin total (82247) | $63.95 | $63.95 | 12.7× |
| Bilirubin total transcutaneous (88720) | $52.30 | $52.30 | 10.4× |
| Bl Smear W/O Diff Wbc Count (85008) | $65.40 | $65.40 | 19.1× |
| Blm Gene (81209) | $316.85 | $316.85 | 8.1× |
| Blood count reticulocyte automated (85045) | $51 | $51 | 12.8× |
| Blood gas (82803) | $244.65 | $244.65 | 9.4× |
| Blood gases w/02 saturation (82805) | $345.60 | $345.60 | 4.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $149.90 | $149.90 | 9.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $65.40 | $65.40 | 10.3× |
| Blood typing serologic abo (86900) | $39.20 | $39.20 | 13.1× |
| Body fluid cell count (89050) | $44.50 | $44.50 | 9.4× |
| Borrelia miyamotoi amp prb (87478) | $140.35 | $140.35 | 4.0× |
| Braf gene analysis (81210) | $575.70 | $575.70 | 3.3× |
| C diff amplified probe (87493) | $353.25 | $353.25 | 9.5× |
| C-Peptide (84681) | $225.40 | $225.40 | 10.8× |
| C-reactive protein (86140) | $65.40 | $65.40 | 12.6× |
| Ca 19-9 (86301) | $261.65 | $261.65 | 12.6× |
| Cadmium (82300) | $230.40 | $230.40 | 9.7× |
| Calcitonin (82308) | $297.25 | $297.25 | 11.1× |
| Calcium ionized (82330) | $172.70 | $172.70 | 12.6× |
| Calcium total (82310) | $64.75 | $64.75 | 12.5× |
| Calculus Spectroscopy (82365) | $144 | $144 | 11.2× |
| Calprotectin Fecal (83993) | $247.30 | $247.30 | 12.6× |
| Calr gene com variants (81219) | $1,065.65 | $1,065.65 | 8.8× |
| Cancer Antigen 125 (86304) | $261.65 | $261.65 | 12.6× |
| Cancer Antigen 27.29 (86300) | $230.40 | $230.40 | 11.1× |
| Candida antibody (86628) | $105.40 | $105.40 | 8.8× |
| Carbamazepine total (80156) | $183.20 | $183.20 | 12.6× |
| Carboxyhemoglobin (82375) | $128.25 | $128.25 | 10.4× |
| Carcinoembryonic antigen (82378) | $239.45 | $239.45 | 12.6× |
| Cardiolipin ab iga (86147) | $172.70 | $172.70 | 6.8× |
| Carnitine Quantitative Each Specimen (82379) | $119.80 | $119.80 | 7.1× |
| Carotene (82380) | $172.80 | $172.80 | 18.7× |
| Catecholamines fractionated (82384) | $278.80 | $278.80 | 11.0× |
| Ccp antibody (86200) | $162.25 | $162.25 | 12.5× |
| Cell count csf (89051) | $65.40 | $65.40 | 11.7× |
| Ceruloplasmin (82390) | $119.80 | $119.80 | 11.2× |
| Chemiluminescent assay (82397) | $123.15 | $123.15 | 8.7× |
| Chlamydia antibody (86631) | $106 | $106 | 9.0× |
| Chlamydia Igm Antibody (86632) | $106 | $106 | 8.4× |
| Chloride Serum (82435) | $60.10 | $60.10 | 13.1× |
| Chloride urine (82436) | $64.10 | $64.10 | 11.1× |
| Cholesterol total (82465) | $56.25 | $56.25 | 12.9× |
| Chorionic gonadotropin test (84702) | $186.50 | $186.50 | 12.4× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $392.25 | $392.25 | 2.1× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $293.80 | $293.80 | 8.8× |
| Chromium serum (82495) | $225.80 | $225.80 | 11.1× |
| Chromogranin a (86316) | $230.40 | $230.40 | 11.1× |
| Chromosome analys amniotic (88269) | $361.20 | $361.20 | 2.1× |
| Chromosome Analysis 15-20 (88262) | $335.50 | $335.50 | 2.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $328.40 | $328.40 | 9.4× |
| Citric acid urine (82507) | $183 | $183 | 6.6× |
| Ckmb (82553) | $98.10 | $98.10 | 8.5× |
| Clostridium Difficile (87324) | $144.55 | $144.55 | 12.1× |
| Clotting factor xii hageman (85280) | $243.35 | $243.35 | 12.6× |
| Clotting Funct Activity (85397) | $100.30 | $100.30 | 3.3× |
| Coccidioides antibody (86635) | $367.35 | $367.35 | 32.0× |
| Collagen crosslinks (82523) | $140.55 | $140.55 | 7.5× |
| Column Chromotography Quant (82542) | $152.25 | $152.25 | 6.3× |
| Compatibility test antiglob (86922) | $176.65 | $176.65 | 1.0× |
| Complement Antigen Each Component (86160) | $150.70 | $150.70 | 12.6× |
| Complement Total (Ch50) (86162) | $225.80 | $225.80 | 11.1× |
| Coombs direct (86880) range across 5 matching MRF lines |
$43.10–$67.80 | $43.10–$67.80 | varies |
| Copper urine (82525) | $137.05 | $137.05 | 11.0× |
| Cortisol free (82530) | $184.35 | $184.35 | 11.0× |
| Cortisol saliva (82533) | $196.75 | $196.75 | 12.1× |
| Creatine kinase total (82550) | $82.45 | $82.45 | 12.7× |
| Creatinine blood (82565) | $65.40 | $65.40 | 12.8× |
| Creatinine clearance (82575) | $119.05 | $119.05 | 12.6× |
| Creatinine Urine (82570) | $65.05 | $65.05 | 12.6× |
| Crossmatch electronic (86923) | $261.65 | $261.65 | 1.4× |
| Crossmatch immediate spin (86920) | $176.65 | $176.65 | 1.0× |
| Crp High Sensitivity (86141) | $162.25 | $162.25 | 12.5× |
| Cryofibrinogen (82585) | $95.65 | $95.65 | 6.8× |
| Cryoglobulin (82595) | $71.45 | $71.45 | 11.0× |
| Cryptococcus ag titer (87899) | $55.05 | $55.05 | 3.4× |
| Cryptosporidium ag eia (87328) | $145.25 | $145.25 | 10.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $98.55 | $98.55 | 12.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $67.25 | $67.25 | 8.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $98.10 | $98.10 | 12.7× |
| Culture afb (87116) | $137.40 | $137.40 | 12.7× |
| Culture Anaerobic (87075) | $119.05 | $119.05 | 12.6× |
| Culture blood (87040) | $132.15 | $132.15 | 12.8× |
| Culture chlamydia (87110) | $217.70 | $217.70 | 11.1× |
| Culture csf (87070) | $92.10 | $92.10 | 10.7× |
| Culture fungus (87102) | $98.10 | $98.10 | 11.7× |
| Culture fungus blood (87103) | $98.10 | $98.10 | 4.8× |
| Culture screen only (87081) | $71.90 | $71.90 | 10.8× |
| Culture stool (87045) | $119.05 | $119.05 | 12.6× |
| Culture urine (87086) | $81.10 | $81.10 | 10.0× |
| Cyclosporine (80158) | $228.95 | $228.95 | 12.7× |
| Cystatin C (82610) | $86.70 | $86.70 | 4.7× |
| Cytogenetics 100-300 (88275) | $101.60 | $101.60 | 2.0× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,304.10 | $2,304.10 | 2.0× |
| Cytomegalovirus igg (86644) | $174.95 | $174.95 | 12.2× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$255.10–$261.65 | $255.10–$261.65 | varies |
| Cytopath Cell Enhance Tech (88112) | $197.60 | $197.60 | 3.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$72.70–$73 | $72.70–$73 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $222.45 | $222.45 | 4.0× |
| Deoxyribonuclease antibody (86215) | $147.45 | $147.45 | 11.1× |
| Detect Agent Nos Dna Amp (87798) | $287.20 | $287.20 | 8.2× |
| Detect Agent Nos Dna Quant (87799) | $392.85 | $392.85 | 9.2× |
| Detect agnt mult DNA ampli (87801) | $523.35 | $523.35 | 7.5× |
| Dgp Antibody Each Ig Class (86258) | $117.30 | $117.30 | 9.7× |
| Dhea (82626) | $230.40 | $230.40 | 9.1× |
| Dhea-S (82627) | $246.25 | $246.25 | 11.1× |
| Digoxin (80162) | $167.45 | $167.45 | 12.6× |
| Dihydrotestosterone (82642) | $260.35 | $260.35 | 8.9× |
| Dipropylacetic Acid Free (80165) | $94.80 | $94.80 | 7.0× |
| Dna Antibody Native/Double Stranded (86225) | $170.20 | $170.20 | 12.4× |
| DNA/RNA direct probe (87149) | $196.25 | $196.25 | 9.8× |
| Drug assay acetaminophen (80143) | $349.30 | $349.30 | 18.7× |
| Drug assay adalimumab (80145) | $409 | $409 | 10.6× |
| Drug Assay Infliximab (80230) | $361.75 | $361.75 | 9.4× |
| Drug Assay Posaconazole (80187) | $258.95 | $258.95 | 9.6× |
| Drug Assay Vedolizumab (80280) | $80.25 | $80.25 | 2.1× |
| Drug assay voriconazole (80285) | $219.45 | $219.45 | 8.1× |
| Drug Screen Quant Clozapine (80159) | $201.60 | $201.60 | 10.0× |
| Drug Screen Quant Zonisamide (80203) | $117.15 | $117.15 | 8.8× |
| Drug Screen Quantitative Gabapentin (80171) | $175.15 | $175.15 | 8.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $145.20 | $145.20 | 11.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $142.85 | $142.85 | 10.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $142.85 | $142.85 | 10.8× |
| Drug Test Prsmv Chem Anlyzr (80307) | $182.10 | $182.10 | 2.9× |
| Drug Test Prsmv Instrmnt (80306) | $183.20 | $183.20 | 10.7× |
| Ehrlichia antibody (86666) | $108.30 | $108.30 | 10.6× |
| El-1 Fecal Quantitative (82653) | $240.75 | $240.75 | 10.5× |
| Electrolyte panel (80051) | $88.90 | $88.90 | 12.7× |
| Encephaltis East Eqne Anbdy (86652) | $36.70 | $36.70 | 2.8× |
| Encephaltis West Eqne Antbdy (86654) | $43.20 | $43.20 | 3.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $133.65 | $133.65 | 11.1× |
| Enterovirus PCR (87498) | $328.40 | $328.40 | 9.4× |
| Eosinophil Smear (89190) | $45 | $45 | 7.8× |
| Erythropoietin (82668) | $209.65 | $209.65 | 11.2× |
| Estradiol serum (82670) | $346.60 | $346.60 | 12.4× |
| Estriol (82677) | $266.15 | $266.15 | 11.0× |
| Estrogen total (82672) | $238.45 | $238.45 | 11.0× |
| Estrogens fractionated (82671) | $356 | $356 | 11.0× |
| Ethosuximide (80168) | $135.95 | $135.95 | 8.3× |
| Ethylene Glycol (82693) | $163.55 | $163.55 | 11.0× |
| Exam Synovial Fluid Crystals (89060) | $90.20 | $90.20 | 12.3× |
| F2 Gene (81240) | $804.60 | $804.60 | 12.2× |
| Factor ii activity (85210) | $162.25 | $162.25 | 12.5× |
| Factor Inhibitor Test (85335) | $230.40 | $230.40 | 17.9× |
| Factor ix activity (85250) | $240.70 | $240.70 | 12.6× |
| Factor v activity (85220) | $196.25 | $196.25 | 11.1× |
| Factor v leiden mutation (81241) | $503.70 | $503.70 | 6.9× |
| Factor vii assay (85230) | $196.25 | $196.25 | 11.0× |
| Factor viii assay (85240) | $226.30 | $226.30 | 12.6× |
| Factor X (85260) | $226.30 | $226.30 | 12.6× |
| Factor xi activity (85270) | $226.30 | $226.30 | 12.6× |
| Fancc Gene (81242) | $294.95 | $294.95 | 8.1× |
| Fat/Lipids Feces Quantitative (82710) | $144 | $144 | 8.6× |
| Fatty acids free (82725) | $150.90 | $150.90 | 8.0× |
| Fecal Fat Qualitative (82705) | $57.60 | $57.60 | 11.3× |
| Ferritin (82728) | $171.45 | $171.45 | 12.6× |
| Fetal Chrmoml Aneuploidy (81420) | $2,290.80 | $2,290.80 | 3.0× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $460.80 | $460.80 | 3.0× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $216.60 | $216.60 | 4.0× |
| Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal… (81509) | $2,552.95 | $2,552.95 | 1.7× |
| Fetal Fibronectin (82731) | $805.95 | $805.95 | 12.5× |
| Fetal screen rosette (85461) | $83.70 | $83.70 | 8.9× |
| Fibrin Degradation Quant (85379) | $130.85 | $130.85 | 12.9× |
| Fibrinogen activity (85384) | $106 | $106 | 10.9× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $128.80 | $128.80 | 8.3× |
| Flecainide level (80181) | $155.05 | $155.05 | 8.3× |
| Flow cytometry first marker (88184) | $361.65 | $361.65 | 0.9× |
| Flt3 Gene (81245) | $688.55 | $688.55 | 4.2× |
| Flt3 gene analysis (81246) | $345.30 | $345.30 | 4.2× |
| Fluorescent antibody screen (86255) | $138.80 | $138.80 | 11.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $161.15 | $161.15 | 13.4× |
| Fmr1 gene detection (81243) | $459.70 | $459.70 | 8.1× |
| Folic acid rbc (82747) | $150.90 | $150.90 | 8.5× |
| Folic Acid Serum (82746) | $185.75 | $185.75 | 12.6× |
| Follicle Stimulating Hormone (83001) | $230.35 | $230.35 | 12.4× |
| Frozen Section (88331) | $191.05 | $191.05 | 1.1× |
| Fungi Identification Mold (87107) | $64.40 | $64.40 | 6.2× |
| Fungi Identification Yeast (87106) | $130.85 | $130.85 | 12.7× |
| Gammaglobulin ige (82785) | $204.65 | $204.65 | 12.4× |
| Gases blood ph only (82800) | $88.90 | $88.90 | 8.1× |
| Gastrin (82941) | $194.70 | $194.70 | 11.0× |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $381.30 | $381.30 | 8.1× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $6,125.50 | $6,125.50 | 8.1× |
| Genetic Tstg Severe Inh Cond (81443) | $4,202.70 | $4,202.70 | 1.7× |
| Gentamicin (80170) | $206.65 | $206.65 | 12.6× |
| Ggt (82977) | $90.05 | $90.05 | 12.5× |
| Giardia antigen (87329) | $145.25 | $145.25 | 12.1× |
| Glucagon (82943) | $127.85 | $127.85 | 8.9× |
| Glucose 2 hr pp (82950) | $61.45 | $61.45 | 12.9× |
| Glucose Blood Test (82962) | $32.70 | $32.70 | 10.0× |
| Glucose body fluid (82945) | $49.70 | $49.70 | 12.6× |
| Glucose Serum (82947) | $48.95 | $48.95 | 12.5× |
| Glucose tolerance test (gtt) (82951) | $160.90 | $160.90 | 12.5× |
| Glycated Protein (82985) | $167 | $167 | 10.0× |
| Gonadotropin Chorionic Qualitative (84703) | $95.50 | $95.50 | 12.7× |
| Growth hormone (83003) | $177.75 | $177.75 | 10.7× |
| Gtt-added samples (82952) | $49.70 | $49.70 | 12.7× |
| Haptoglobin (83010) | $155.75 | $155.75 | 12.4× |
| Hba1/Hba2 Gene (81257) | $824.90 | $824.90 | 8.1× |
| Hbb Gene Com Variants (81361) | $1,410.15 | $1,410.15 | 8.1× |
| Hdl Cholesterol (83718) | $98.10 | $98.10 | 12.0× |
| Helicobacter Pylori Stool (87338) | $127.85 | $127.85 | 8.9× |
| Helminth Antibody (86682) | $150.90 | $150.90 | 11.6× |
| Hematocrit (85014) | $32.70 | $32.70 | 13.8× |
| Hemoglobin (85018) | $32.65 | $32.65 | 13.8× |
| Hemoglobin a1c (83036) | $116.15 | $116.15 | 12.0× |
| Hemoglobin Chromotography (83021) | $39.50 | $39.50 | 2.2× |
| Hemoglobin electrophoresis (83020) | $59.90 | $59.90 | 4.7× |
| Hemoglobin Methemoglobin Quantitative (83050) | $32.70 | $32.70 | 4.0× |
| Hemosiderin urine (83070) | $41.70 | $41.70 | 8.8× |
| Hep a ab igm (86709) | $143.90 | $143.90 | 12.8× |
| Hepatitis a antibody total (86708) | $155.65 | $155.65 | 12.6× |
| Hepatitis b core ab igm (86705) | $149.20 | $149.20 | 12.7× |
| Hepatitis b core ab total (86704) | $147.85 | $147.85 | 12.3× |
| Hepatitis B Surface Antibody (86706) | $188.45 | $188.45 | 17.5× |
| Hepatitis B Surface Antigen (87340) | $132.15 | $132.15 | 12.8× |
| Hepatitis Be Antibody (86707) | $129 | $129 | 11.1× |
| Hepatitis Be Antigen (87350) | $125.60 | $125.60 | 10.9× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$163.55–$167.10 | $163.55–$167.10 | varies |
| Hepatitis C Genotype (87902) | $1,029.65 | $1,029.65 | 4.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $539 | $539 | 12.6× |
| Hepatitis Delta Agent Antibody (86692) | $150.65 | $150.65 | 8.8× |
| Herpes simplex type 2 (86696) | $215.45 | $215.45 | 11.1× |
| Heterophile Antibody Screen (86308) | $65.40 | $65.40 | 12.6× |
| Hexa gene analysis common variants (81255) | $414.75 | $414.75 | 8.1× |
| Hfe Gene (81256) | $1,075.45 | $1,075.45 | 16.5× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $98.10 | $98.10 | 12.7× |
| Histamine urine (83088) | $330 | $330 | 11.2× |
| Histoplasma antibody (86698) | $110.30 | $110.30 | 8.0× |
| Histoplasma antigen urine (87385) | $106 | $106 | 8.0× |
| Hiv Genotype (87901) | $915.90 | $915.90 | 3.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $241.85 | $241.85 | 10.0× |
| Hiv-1 Antibody (86701) | $82.30 | $82.30 | 9.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $686.25 | $686.25 | 8.1× |
| Hla class ii high defin qual (86833) | $847.10 | $847.10 | 2.6× |
| Hla ii typing 1 locus lr (81376) | $280.35 | $280.35 | 2.3× |
| Hla Typing a/B/C Multiple Antigens (86813) | $464 | $464 | 8.0× |
| Homocysteine (83090) | $211.90 | $211.90 | 11.8× |
| Homovanillic acid urine (83150) | $196.70 | $196.70 | 8.8× |
| Hpv High-Risk Types (87624) | $283.90 | $283.90 | 8.1× |
| Hsv Dna Amp Probe (87529) | $272.15 | $272.15 | 7.8× |
| Hydroxyprogesterone 17-d (83498) | $280.95 | $280.95 | 10.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $34.60 | $34.60 | 3.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $145.25 | $145.25 | 10.4× |
| Iaad ia shiga-like toxin (87427) | $130.85 | $130.85 | 10.9× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $328.40 | $328.40 | 9.4× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $289.15 | $289.15 | 8.2× |
| Iadna Candida Species Amplified Probe Tq (87481) | $328.40 | $328.40 | 9.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $137.20 | $137.20 | 3.9× |
| Iadna Cytomegalovirus Quantification (87497) | $556.70 | $556.70 | 13.0× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $192.55 | $192.55 | 2.7× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $328.40 | $328.40 | 9.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $520.75 | $520.75 | 12.2× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $359.75 | $359.75 | 8.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $328.40 | $328.40 | 9.4× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $266.15 | $266.15 | 5.2× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $380.20 | $380.20 | 2.7× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $432.85 | $432.85 | 1.6× |
| Ig Light Chains Free Each (83521) | $126.70 | $126.70 | 7.3× |
| Igg subclasses (82787) | $449.30 | $449.30 | 56.0× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,382.45 | $1,382.45 | 4.7× |
| Ikbkap Gene Analysis Common Variants (81260) | $316.85 | $316.85 | 8.1× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $1,046.65 | $1,046.65 | 2.7× |
| Immunfix e-phorsis/urine/csf (86335) | $367.35 | $367.35 | 12.5× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $435.95 | $435.95 | 23.7× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $109.80 | $109.80 | 7.3× |
| Immunoassay nonantibody (83516) | $128.75 | $128.75 | 11.2× |
| Immunodiffusion Ouchterlony (86331) | $161.45 | $161.45 | 13.5× |
| Immunofixation electrophoresis (86334) | $261.60 | $261.60 | 11.7× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $230.40 | $230.40 | 1.3× |
| Immunohistochemistry (88342) | $157.45 | $157.45 | 0.9× |
| In situ hybridization 1st probe stain (88365) | $178.85 | $178.85 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $489.30 | $489.30 | 13.9× |
| Influenza assay w/optic (87804) | $130.85 | $130.85 | 7.9× |
| Influenza DNA amp probe (87502) | $346.75 | $346.75 | 3.6× |
| Inhibin A (86336) | $171.65 | $171.65 | 11.0× |
| Inhibin b (83520) | $151.55 | $151.55 | 8.8× |
| Insulin antibodies (86337) | $236.20 | $236.20 | 11.0× |
| Insulin total (83525) | $145.25 | $145.25 | 12.7× |
| Interleukin-6 (83529) | $136.35 | $136.35 | 7.9× |
| Intrinsic factor antibody (86340) | $144 | $144 | 9.5× |
| Iron (83540) | $81.10 | $81.10 | 12.5× |
| Iron Binding Capacity (83550) | $36.60 | $36.60 | 4.2× |
| Islet cell antibody (86341) | $221.90 | $221.90 | 9.4× |
| Jak2 gene analysis p.val617phe variant (81270) | $611.55 | $611.55 | 6.7× |
| Kit Gene Analysis D816 Variant(S) (81273) | $1,096.05 | $1,096.05 | 8.8× |
| Lactate (ld) (ldh) enzyme (83615) | $77.15 | $77.15 | 12.8× |
| Ldh Isoenzymes (83625) | $115.20 | $115.20 | 9.0× |
| LDL direct (83721) | $126.35 | $126.35 | 12.0× |
| Lead (83655) | $134.80 | $134.80 | 11.1× |
| Legionella antibody (86713) | $57.60 | $57.60 | 3.8× |
| Legionella antigen urine (87449) | $474.65 | $474.65 | 39.6× |
| Legionella pneumophila dfa (87278) | $136.90 | $136.90 | 8.8× |
| Leukocyte Assessment Fecal (89055) | $51 | $51 | 11.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $147.85 | $147.85 | 4.8× |
| Level ii surg pathology grossµscopic exam (88302) | $338.90 | $338.90 | 8.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $860.85 | $860.85 | 2.2× |
| Lipase (83690) | $87.60 | $87.60 | 12.7× |
| Lipoprotein A (83695) | $259.20 | $259.20 | 18.1× |
| Lipoprotein Bld Quan Part (83704) | $288.05 | $288.05 | 8.4× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $93.70 | $93.70 | 8.3× |
| Lithium (80178) | $83.70 | $83.70 | 12.7× |
| Luteinizing Hormone (Lh) (83002) | $231.05 | $231.05 | 12.5× |
| Lyme disease antibody (86618) | $180.20 | $180.20 | 10.6× |
| M. Genitalium Amp Probe (87563) | $287.45 | $287.45 | 8.2× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $883.25 | $883.25 | 4.9× |
| Macroscopic Exam Parasite (87169) | $51 | $51 | 11.8× |
| Magnesium Urine (83735) | $83.70 | $83.70 | 12.5× |
| Mass Spectrometry Quant (83789) | $170.25 | $170.25 | 7.1× |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $316.85 | $316.85 | 8.1× |
| Mercury urine (83825) | $167 | $167 | 10.3× |
| Methylmalonic acid serum (83921) | $172.85 | $172.85 | 8.1× |
| Microalbumin, quantitative (82043) | $68 | $68 | 11.8× |
| Microsomal Antibodies Each (86376) | $181.70 | $181.70 | 12.5× |
| Mitochondrial Antibody Each (86381) | $130.85 | $130.85 | 5.1× |
| Mlh1 Gene (81288) | $441.05 | $441.05 | 2.3× |
| Molecular Cytogenetics Dna Probe Each (88271) | $214.95 | $214.95 | 10.0× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $423.90 | $423.90 | 10.0× |
| Mopath procedure level 4 (81403) | $740.80 | $740.80 | 4.0× |
| Mopath procedure level 5 (81404) | $1,714.95 | $1,714.95 | 6.2× |
| Mumps antibody (86735) | $164.85 | $164.85 | 12.6× |
| Muscle-Specific Kinase Antb (86366) | $814.30 | $814.30 | 44.3× |
| Mycoplasma antibody (86738) | $115.20 | $115.20 | 8.7× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $701.60 | $701.60 | 4.0× |
| Myelin basic protein csf (83873) | $154.40 | $154.40 | 9.0× |
| Myoglobin urine (83874) | $141.70 | $141.70 | 11.0× |
| Natriuretic peptide (83880) | $427.80 | $427.80 | 10.9× |
| Neurofilament light chain (83884) | $151.55 | $151.55 | 1.3× |
| Neutralization Test Viral (86382) | $143.75 | $143.75 | 8.5× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $211.15 | $211.15 | 1.6× |
| Nfct ds chrnc hcv 6 assays (81596) | $633.60 | $633.60 | 8.8× |
| Niacin (84591) | $252.35 | $252.35 | 14.8× |
| Nickel level (83885) | $259.20 | $259.20 | 10.6× |
| Nk cells total count (86357) | $145.25 | $145.25 | 3.8× |
| Nras gene variants exon 2&3 (81311) | $968.15 | $968.15 | 3.3× |
| Nuclear antigen antibody (86235) | $192.10 | $192.10 | 10.7× |
| Occult blood feces (82272) | $41.75 | $41.75 | 9.9× |
| Occult Blood Other Sources (82271) | $41.85 | $41.85 | 7.9× |
| Oligoclonal bands (83916) | $80.65 | $80.65 | 2.9× |
| Organic Acids Qualitative Each Specimen (83919) | $182 | $182 | 11.1× |
| Osmolality serum (83930) | $83.70 | $83.70 | 12.7× |
| Osmolality Urine (83935) | $86.35 | $86.35 | 12.7× |
| Osmotic fragility rbc incubated (85557) | $106.90 | $106.90 | 8.0× |
| Osteocalcin (83937) | $238.80 | $238.80 | 8.0× |
| Ova and parasites smears (87177) | $98.10 | $98.10 | 11.0× |
| Oxalate urine (83945) | $136.75 | $136.75 | 9.5× |
| Particle Agglutination Screen Each Antibody (86403) | $41.85 | $41.85 | 3.6× |
| Parvovirus antibody (86747) | $224.65 | $224.65 | 14.9× |
| Ph urine (81003) | $23.55 | $23.55 | 10.5× |
| Phenobarbital Level (80184) | $115.30 | $115.30 | 7.5× |
| Phenotype Infect Agent Drug (87900) | $518.45 | $518.45 | 4.0× |
| Phenylalanine (84030) | $68 | $68 | 12.4× |
| Phenylketones qual (84035) | $61.45 | $61.45 | 15.4× |
| Phenytoin (Dilantin) (80185) | $166.20 | $166.20 | 12.5× |
| Phenytoin free (80186) | $163.55 | $163.55 | 11.9× |
| Phosphatase alkaline (84075) | $73.25 | $73.25 | 14.1× |
| Phosphorus Serum (84100) | $368.95 | $368.95 | 77.8× |
| Phosphorus urine (84105) | $65.40 | $65.40 | 11.3× |
| Pinworm exam (87172) | $38.60 | $38.60 | 9.0× |
| Platelet Antibodies (86022) | $84.55 | $84.55 | 4.6× |
| Platelet count automated (85049) | $58.90 | $58.90 | 13.1× |
| Porphobilinogen, urine; quantitative (84110) | $76.90 | $76.90 | 9.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $162.45 | $162.45 | 11.0× |
| Potassium Urine (84133) | $53.65 | $53.65 | 11.3× |
| Prealbumin (84134) | $184.45 | $184.45 | 12.6× |
| Pregnenolone (84140) | $95.65 | $95.65 | 4.6× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $150.80 | $150.80 | 2.4× |
| Primidone (80188) | $40.85 | $40.85 | 2.5× |
| Procalcitonin (Pct) (84145) | $89.60 | $89.60 | 3.3× |
| Progesterone (84144) | $261.65 | $261.65 | 12.5× |
| Prolactin (84146) | $240.95 | $240.95 | 12.4× |
| Prostaglandin (84150) | $100.95 | $100.95 | 2.4× |
| Protein body fluid (84157) | $65.40 | $65.40 | 16.4× |
| Protein C Activity (85303) | $142.70 | $142.70 | 10.3× |
| Protein Electrophoresis Urine (84166) | $226.30 | $226.30 | 12.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $135.70 | $135.70 | 12.6× |
| Protein S Free (85306) | $141.25 | $141.25 | 9.2× |
| Protein s total (85305) | $134.45 | $134.45 | 11.6× |
| Protein total serum (84155) | $45.55 | $45.55 | 12.4× |
| Protein Total Urine (84156) | $45.80 | $45.80 | 12.5× |
| Protein Western Blot Test (84182) | $427.90 | $427.90 | 14.6× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $65.40 | $65.40 | 16.6× |
| Protoporphyrin rbc quantitative (84202) | $144 | $144 | 10.0× |
| PSA free (84154) | $183.20 | $183.20 | 10.0× |
| Pth Intact (83970) | $515.70 | $515.70 | 12.5× |
| Pyruvate kinase (84220) | $83.45 | $83.45 | 8.8× |
| Q Fever Antibody (86638) | $115.20 | $115.20 | 9.5× |
| Quantiferon tb gold plus (86480) | $552.80 | $552.80 | 8.9× |
| Quantitative assay drug (80299) | $324.05 | $324.05 | 17.4× |
| Quantitative Screen Metals (83018) | $244.85 | $244.85 | 11.1× |
| Rbc antibody elution (86860) range across 3 matching MRF lines |
$257.05–$285.10 | $257.05–$285.10 | varies |
| Rbc antibody identification (86870) | $206.65 | $206.65 | 0.5× |
| Rbc antibody screen (86850) | $100.70 | $100.70 | 10.3× |
| Rbc pretreatment serum (86978) | $316.45 | $316.45 | 5.0× |
| Reagent Strip/Blood Glucose (82948) | $32.70 | $32.70 | 6.5× |
| Renin activity plasma (84244) | $244.25 | $244.25 | 11.1× |
| Reptilase test (85635) | $95.90 | $95.90 | 9.7× |
| Rh (86901) | $39.20 | $39.20 | 13.1× |
| Rheumatoid factor quant (86431) | $71.65 | $71.65 | 12.6× |
| Rickettsia antibody (86757) | $49.35 | $49.35 | 2.6× |
| Ristocetin cofactor (85245) | $289.15 | $289.15 | 12.6× |
| Rotavirus ag eia (87425) | $145.25 | $145.25 | 12.1× |
| Rpr qualitative (86592) | $43.95 | $43.95 | 10.3× |
| Rubella Antibody (86762) | $181.85 | $181.85 | 12.6× |
| Rubeola antibody (86765) | $160.90 | $160.90 | 12.5× |
| Russell Viper Venom Time Diluted (85613) | $120.45 | $120.45 | 12.6× |
| Salicylate Level (80179) | $115.15 | $115.15 | 6.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $82.50 | $82.50 | 1.6× |
| Sars-cov-2 COVID-19 antibody (86769) | $81.65 | $81.65 | 1.9× |
| Sarscov2 & inf a&b amp prb (87636) | $164.60 | $164.60 | 1.2× |
| Sedimentation rate (85651) | $45.80 | $45.80 | 10.7× |
| Sedimentation Rate, Automated (85652) | $36.60 | $36.60 | 13.6× |
| Selenium (84255) | $251.15 | $251.15 | 9.8× |
| Semen Anal Sperm Detection (89321) | $151.80 | $151.80 | 12.6× |
| Semen analysis complete (89320) | $151.80 | $151.80 | 12.3× |
| Sensitivity mic (87186) | $109.95 | $109.95 | 12.7× |
| Sex Hormone Binding Globulin (84270) | $210.35 | $210.35 | 9.7× |
| Sickling of rbc reduction (85660) | $69.35 | $69.35 | 12.6× |
| Silica (84285) | $261.65 | $261.65 | 10.4× |
| Sirolimus (80195) | $78.35 | $78.35 | 5.7× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$39.20–$46.45 | $39.20–$46.45 | varies |
| Smear acid fast (87206) | $58.25 | $58.25 | 10.8× |
| Smear complex stain (87209) | $112.55 | $112.55 | 6.3× |
| Smear gram stain (87205) | $53.65 | $53.65 | 12.6× |
| Smear Special Stain (87207) | $65.40 | $65.40 | 10.9× |
| Smn1 Gene Dos/Deletion Alys (81329) | $1,104.85 | $1,104.85 | 8.1× |
| Smpd1 Gene Analysis Common Variants (81330) | $379.05 | $379.05 | 8.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $51 | $51 | 8.8× |
| Sodium Serum (84295) | $60.10 | $60.10 | 12.5× |
| Sodium Urine (84300) | $62.80 | $62.80 | 12.4× |
| Somatomedin (84305) | $182.45 | $182.45 | 8.6× |
| Special Stains Group 1 (88312) | $61.45 | $61.45 | 1.1× |
| Special Stains Group 2 (88313) | $567.80 | $567.80 | 4.0× |
| Specific gravity body fluid (84315) | $13.05 | $13.05 | 4.0× |
| Specimen infect agnt concntj (87015) | $81.10 | $81.10 | 12.1× |
| Spectrophotometry (84311) | $792.85 | $792.85 | 97.9× |
| Stool cultr aerobic bact ea (87046) | $130.85 | $130.85 | 13.9× |
| Strep a assay w/optic (87880) | $77.90 | $77.90 | 4.7× |
| Sugars Single Qual (84376) | $33.05 | $33.05 | 6.0× |
| Sulfate urine (84392) | $45.65 | $45.65 | 8.3× |
| Surg path level iii (88304) | $427.80 | $427.80 | 7.7× |
| Surgical pathology level IV (88305) | $550.80 | $550.80 | 9.9× |
| Surgical pathology level vi (88309) | $1,184.05 | $1,184.05 | 1.4× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $32.70 | $32.70 | 6.9× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $87.60 | $87.60 | 11.7× |
| Syphilis Test Non-Trep Quant (86593) | $53.35 | $53.35 | 12.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $172.70 | $172.70 | 3.7× |
| T cells total count (86359) | $138.65 | $138.65 | 3.7× |
| T3 Free (84481) | $211.90 | $211.90 | 12.5× |
| T3 reverse (84482) | $161.30 | $161.30 | 10.2× |
| T3 Total (84480) | $179.25 | $179.25 | 12.6× |
| T3 Uptake (84479) | $71.90 | $71.90 | 11.1× |
| T4 Free (84439) | $115.15 | $115.15 | 12.8× |
| T4 total (84436) | $71.90 | $71.90 | 10.5× |
| Tacrolimus (80197) | $88.90 | $88.90 | 6.5× |
| Tau phosphorylated each (84393) | $180.45 | $180.45 | 1.4× |
| Test for acetone/ketones (82009) | $58.90 | $58.90 | 13.0× |
| Testosterone Bioavailable (84410) | $303.50 | $303.50 | 5.9× |
| Testosterone total (84403) | $278.05 | $278.05 | 10.8× |
| Testosterone, Free (84402) | $202.80 | $202.80 | 8.0× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $4,768.95 | $4,768.95 | 8.0× |
| Theophylline (80198) | $179.25 | $179.25 | 12.7× |
| Thrombin Time (85670) | $73.25 | $73.25 | 12.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $258 | $258 | 39.9× |
| Thyroglobulin (84432) | $141.95 | $141.95 | 8.8× |
| Thyroglobulin Antibody (86800) | $157.70 | $157.70 | 9.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $562.20 | $562.20 | 11.1× |
| Thyroxine binding globulin (84442) | $144 | $144 | 9.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $93.35 | $93.35 | 8.1× |
| Tissue Culture (88233) | $1,069.80 | $1,069.80 | 7.6× |
| Tissue Culture Amniotic Fluid (88235) | $312.60 | $312.60 | 2.1× |
| Tissue culture bone marrow (88237) | $460.80 | $460.80 | 3.2× |
| Tissue Culture Lymphocyte (88230) | $308.65 | $308.65 | 2.6× |
| Tobramycin peak (80200) | $202.75 | $202.75 | 12.6× |
| Topiramate (80201) | $132.50 | $132.50 | 11.1× |
| Total Tau (84394) | $151.55 | $151.55 | 1.2× |
| Toxoplasma ab igm (86778) | $160.15 | $160.15 | 11.1× |
| Toxoplasma antibody (86777) | $160.15 | $160.15 | 11.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $65.40 | $65.40 | 12.6× |
| Transferrin (84466) | $159.65 | $159.65 | 12.5× |
| Trichomonas Vaginalis Amplif (87661) | $320.55 | $320.55 | 9.1× |
| Triglycerides (84478) | $71.90 | $71.90 | 12.5× |
| Troponin Quant (84484) | $124.35 | $124.35 | 10.0× |
| Tumor Immunohistochem/Manual (88360) | $697.85 | $697.85 | 3.8× |
| Urea Nitrogen Clearance (84545) | $63.20 | $63.20 | 8.8× |
| Urea nitrogen urine (84540) | $61.45 | $61.45 | 11.1× |
| Uric acid other source (84560) | $62.80 | $62.80 | 12.4× |
| Urinalysis Microscopic Only (81015) | $32.90 | $32.90 | 10.8× |
| Urine Pregnancy Test (81025) | $35.25 | $35.25 | 4.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $41.80 | $41.80 | 13.2× |
| Valproic acid (80164) | $171.45 | $171.45 | 12.7× |
| Vancomycin (80202) | $171.45 | $171.45 | 12.7× |
| Varicella-zoster antibody (86787) | $158.20 | $158.20 | 12.3× |
| Vasopressin (84588) | $316.85 | $316.85 | 9.3× |
| Viral Culture (87252) | $328.40 | $328.40 | 12.6× |
| Virus antibody nos (86790) | $75.15 | $75.15 | 5.8× |
| Virus inoculation, shell via (87254) | $228.95 | $228.95 | 11.7× |
| Viscosity serum (85810) | $130.20 | $130.20 | 11.2× |
| Vit D 1 25-Dihydroxy (82652) | $425.10 | $425.10 | 11.0× |
| Vitamin A (84590) | $129 | $129 | 11.1× |
| Vitamin b-12 (82607) | $151.80 | $151.80 | 10.1× |
| Vitamin B2 (Riboflavin) (84252) | $217.70 | $217.70 | 10.8× |
| Vitamin B6 (84207) | $311.05 | $311.05 | 11.1× |
| Vitamin c (82180) | $88.70 | $88.70 | 9.0× |
| Vitamin D 25-Hydroxy (82306) | $296.25 | $296.25 | 10.0× |
| Vitamin E (84446) | $157.80 | $157.80 | 11.1× |
| Vitamin K (84597) | $218.35 | $218.35 | 15.9× |
| Volatiles (84600) | $150.25 | $150.25 | 8.8× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $150.90 | $150.90 | 12.5× |
| Von willebrand factor ag (85246) | $289.15 | $289.15 | 12.6× |
| West nile virus ab igm (86788) | $56.40 | $56.40 | 3.3× |
| West Nile Virus Antibody (86789) | $48.65 | $48.65 | 3.4× |
| Western Blot Test (84181) | $141.70 | $141.70 | 8.3× |
| Zinc (84630) | $115.20 | $115.20 | 10.1× |
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.