Lab & pathology prices at Major Hospital
Shelbyville, IN · every code in this section with a posted price and a Medicare benchmark.
690 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $20.15 | $65 | 1.8× |
| Acetylcholine receptor binding antibody (86041) | $26.35 | $85 | 1.4× |
| Acetylcholine receptor blocking antibody (86042) | $26.35 | $85 | 1.4× |
| Acetylcholn Rcptr Modlg Antb (86043) | $17.36 | $56 | 1.4× |
| Acth (82024) | $161.20 | $520 | 4.2× |
| Actin smooth muscle antibody each (86015) | $7.44 | $24 | 0.6× |
| Acute hepatitis panel (80074) | $256.37 | $827 | 5.4× |
| Acylcarnitines Quant (82017) | $102.92 | $332 | 6.1× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $94.86 | $306 | 1.5× |
| Albumin Fluid (82042) | $26.97 | $87 | 3.5× |
| Albumin serum (82040) | $15.50 | $50 | 3.1× |
| Aldolase (82085) | $52.39 | $169 | 5.4× |
| Aldosterone urine (82088) | $19.53 | $63 | 0.5× |
| Alkaline phosphatase isoenzymes (84080) | $53.32 | $172 | 3.6× |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$5.58–$20.77 | $18–$67 | varies |
| Allergen specific igg (86001) | $18.29 | $59 | 2.3× |
| Allg Spec Ige Recomb Ea (86008) | $24.49 | $79 | 1.4× |
| Alpha-1-antitrypsin phenotype (82104) | $95.48 | $308 | 6.6× |
| Alpha-1-antitrypsin total (82103) | $81.84 | $264 | 6.1× |
| Alpha-Fetoprotein Serum (82105) | $89.59 | $289 | 5.3× |
| Alt (sgpt) (84460) | $26.97 | $87 | 5.1× |
| Amikacin trough (80150) range across 2 matching MRF lines |
$30.38–$60.14 | $98–$194 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) | $26.35 | $85 | 1.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $67.89 | $219 | 4.0× |
| Aminolevulinic acid (ala) (82135) | $33.17 | $107 | 2.0× |
| Ammonia (82140) | $54.56 | $176 | 3.7× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $100.13 | $323 | 1.0× |
| Amylase urine (82150) range across 2 matching MRF lines |
$36.58–$47.12 | $118–$152 | varies |
| Ana Titer (86039) | $47.12 | $152 | 4.2× |
| Anca screen each antibody (86036) | $8.06 | $26 | 0.7× |
| Anca Titer Each Antibody (86037) | $7.44 | $24 | 0.6× |
| Androstenedione (82157) | $111.29 | $359 | 3.8× |
| Angiotensin converting enzyme csf (82164) | $64.79 | $209 | 4.4× |
| Anti-Phospholipid Antibody (86148) | $25.11 | $81 | 1.6× |
| Antibody aspergillus (86606) | $42.16 | $136 | 2.8× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $55.80 | $180 | 4.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $26.35 | $85 | 1.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $74.09 | $239 | 4.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $19.22 | $62 | 1.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $24.80 | $80 | 1.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $46.50 | $150 | 2.6× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$9.61–$40.61 | $31–$131 | varies |
| Antibody helicobacter pylori (86677) | $58.28 | $188 | 3.5× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$30.38–$60.45 | $98–$195 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $27.59 | $89 | 2.1× |
| Antibody HIV-2 (86702) | $36.89 | $119 | 2.7× |
| Antibody identification leukocyte antibodies (86021) | $86.49 | $279 | 5.7× |
| Antibody Protozoa Nes (86753) | $39.37 | $127 | 3.2× |
| Antibody Titer (86886) | $69.75 | $225 | 13.5× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$27.90–$52.39 | $90–$169 | varies |
| Antibody; influenza virus (86710) | $12.71 | $41 | 0.9× |
| Antigen typing (86905) | $48.98 | $158 | 12.8× |
| Antinomyces antibody (86602) | $4.65 | $15 | 0.5× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$13.95–$69.44 | $45–$224 | varies |
| Antistreptolysin O Screen (86063) | $20.15 | $65 | 3.5× |
| Antistreptolysin o titer (86060) | $52.08 | $168 | 7.1× |
| Antithrombin iii activity (85300) | $139.50 | $450 | 11.8× |
| Antithrombin iii antigen (85301) | $60.45 | $195 | 5.6× |
| Apolipoprotein a1 (82172) | $22.32 | $72 | 1.1× |
| Aquaporin-4 Antb Cba Each (86052) range across 2 matching MRF lines |
$158.10–$316.20 | $510–$1,020 | varies |
| Aquaporin-4 Antb Elisa (86051) | $155 | $500 | 13.4× |
| Arsenic (82175) range across 2 matching MRF lines |
$28.83–$75.02 | $93–$242 | varies |
| Aspergillus ag eia (87305) | $26.66 | $86 | 2.2× |
| Assay activated protein c (85307) | $71.61 | $231 | 4.7× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$17.67–$116.87 | $57–$377 | varies |
| Assay Dir Meas Fr Estradiol (82681) | $39.06 | $126 | 1.4× |
| Assay myeloperoxidase (83876) | $70.68 | $228 | 1.4× |
| Assay Nephelometry Not Spec (83883) | $49.91 | $161 | 3.7× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$17.98–$76.57 | $58–$247 | varies |
| Assay of blood/uric acid (84550) | $28.21 | $91 | 6.2× |
| Assay of calcium in urine (82340) | $41.85 | $135 | 6.9× |
| Assay of cpk in blood (82552) | $61.07 | $197 | 4.6× |
| Assay of estrone (82679) | $33.79 | $109 | 1.4× |
| Assay of feces for trypsin (84490) | $15.50 | $50 | 1.6× |
| Assay of g6pd enzyme (82955) | $58.90 | $190 | 6.1× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$17.36–$51.77 | $56–$167 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$56.11–$70.68 | $181–$228 | varies |
| Assay of manganese (83785) | $63.24 | $204 | 2.4× |
| Assay of metanephrines (83835) | $98.27 | $317 | 5.8× |
| Assay of proinsulin (84206) | $86.49 | $279 | 3.2× |
| Assay of serotonin (84260) | $191.89 | $619 | 6.2× |
| Assay of serum potassium (84132) | $13.95 | $45 | 2.9× |
| Assay of transcortin (84449) | $55.80 | $180 | 3.1× |
| Assay of urea nitrogen (84520) | $11.16 | $36 | 2.8× |
| Assay of urine vma (84585) | $73.16 | $236 | 4.7× |
| Assay of vasoactive intestinal peptide (84586) | $25.42 | $82 | 0.7× |
| Assay of vitamin b-1 (84425) | $91.45 | $295 | 4.3× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$27.59–$29.76 | $89–$96 | varies |
| Automated Leukocyte Count (85048) | $22.63 | $73 | 8.9× |
| B cells total count (86355) | $50.84 | $164 | 1.3× |
| Babesia microti amp prb (87469) | $21.70 | $70 | 0.6× |
| Bartonella antibody (86611) | $24.80 | $80 | 2.4× |
| Bcr/abl1 gene major bp (81206) | $286.13 | $923 | 1.7× |
| Bcr/abl1 gene minor bp (81207) | $198.09 | $639 | 1.4× |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$11.47–$89.59 | $37–$289 | varies |
| Beta hydroxybutyrate (82010) | $36.58 | $118 | 4.5× |
| Beta-2 Microglobulin (82232) | $24.80 | $80 | 1.5× |
| Bile acids total (82239) | $36.27 | $117 | 2.1× |
| Bilirubin direct (82248) | $17.67 | $57 | 3.5× |
| Bilirubin total (82247) | $18.29 | $59 | 3.6× |
| Bilirubin total transcutaneous (88720) | $18.29 | $59 | 3.6× |
| Bl Smear W/O Diff Wbc Count (85008) | $40.30 | $130 | 11.7× |
| Blastomyces antibody (86612) | $55.18 | $178 | 4.3× |
| Bld Typing Serologic Rh Phnt (86906) | $110.98 | $358 | 14.3× |
| Blood Count Red Blood Cell Automated (85041) | $5.89 | $19 | 2.0× |
| Blood count spun microhematocrit (85013) | $8.06 | $26 | 1.2× |
| Blood gas (82803) range across 2 matching MRF lines |
$62.93–$81.84 | $203–$264 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $15.50 | $50 | 3.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $63.86 | $206 | 10.1× |
| Blood typing serologic abo (86900) | $18.29 | $59 | 6.1× |
| Bordetella antibody (86615) | $25.42 | $82 | 1.9× |
| Braf gene analysis (81210) | $228.78 | $738 | 1.3× |
| Brca1&2 gen full seq dup/del (81162) | $1,027.03 | $3,313 | 0.6× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$56.42–$66.34 | $182–$214 | varies |
| C-Peptide (84681) | $99.20 | $320 | 4.8× |
| C-reactive protein (86140) | $21.08 | $68 | 4.1× |
| Ca 19-9 (86301) | $97.65 | $315 | 4.7× |
| Cadmium (82300) | $31.31 | $101 | 1.3× |
| Calcitonin (82308) | $114.39 | $369 | 4.3× |
| Calcium ionized (82330) | $68.51 | $221 | 5.0× |
| Calcium total (82310) range across 2 matching MRF lines |
$20.46–$24.49 | $66–$79 | varies |
| Calculus Spectroscopy (82365) | $100.13 | $323 | 7.8× |
| Calprotectin Fecal (83993) | $114.39 | $369 | 5.8× |
| Calr gene com variants (81219) | $231.57 | $747 | 1.9× |
| Cancer Antigen 125 (86304) | $84.32 | $272 | 4.1× |
| Cancer Antigen 27.29 (86300) | $93 | $300 | 4.5× |
| Candida antibody (86628) | $27.59 | $89 | 2.3× |
| Candida Dna Dir Probe (87480) | $22.94 | $74 | 1.1× |
| Car Ion Chnnlpath Inc 10 Gns (81413) | $775 | $2,500 | 1.3× |
| Car Ion Chnnlpath Inc 2 Gns (81414) | $775 | $2,500 | 1.3× |
| Carbamazepine total (80156) | $78.12 | $252 | 5.4× |
| Carbohydrate Deficient Transferrin (82373) | $63.55 | $205 | 3.5× |
| Carboxyhemoglobin (82375) | $63.86 | $206 | 5.2× |
| Carcinoembryonic antigen (82378) | $94.55 | $305 | 5.0× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$17.98–$68.82 | $58–$222 | varies |
| Carnitine Quantitative Each Specimen (82379) | $75.95 | $245 | 4.5× |
| Carotene (82380) | $28.21 | $91 | 3.1× |
| Catecholamines fractionated (82384) | $29.76 | $96 | 1.2× |
| Ccp antibody (86200) | $43.09 | $139 | 3.3× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $204.29 | $659 | 0.8× |
| Cell count csf (89051) | $61.07 | $197 | 10.9× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $84.63 | $273 | 0.6× |
| Ceruloplasmin (82390) | $55.49 | $179 | 5.2× |
| Cftr gene com variants (81220) | $314.65 | $1,015 | 0.6× |
| Cftr gene full sequence (81223) | $465 | $1,500 | 0.9× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$54.56–$201.50 | $176–$650 | varies |
| Chlamydia antibody (86631) | $13.64 | $44 | 1.2× |
| Chloride other source (82438) | $24.80 | $80 | 5.0× |
| Chloride Serum (82435) | $15.81 | $51 | 3.4× |
| Chloride urine (82436) | $28.52 | $92 | 5.0× |
| Cholesterol total (82465) | $29.76 | $96 | 6.8× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$63.86–$81.84 | $206–$264 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $25.42 | $82 | 0.9× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $33.48 | $108 | 1.0× |
| Chromium serum (82495) | $27.59 | $89 | 1.4× |
| Chromogranin a (86316) | $114.08 | $368 | 5.5× |
| Chromosome Analysis 15-20 (88262) | $168.02 | $542 | 1.3× |
| Chromosome Analysis 20-25 (88264) | $246.14 | $794 | 1.7× |
| Chromosome analysis, 5 (88261) | $172.98 | $558 | 0.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $40.61 | $131 | 1.2× |
| Citric acid urine (82507) range across 2 matching MRF lines |
$37.20–$81.84 | $120–$264 | varies |
| Ckmb (82553) | $67.27 | $217 | 5.8× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$16.43–$54.87 | $53–$177 | varies |
| Clot Factor VIII Multimetric (85247) | $32.86 | $106 | 1.4× |
| Clot factor xiii fibrin stab (85290) | $41.23 | $133 | 2.5× |
| Clotting factor xii hageman (85280) | $47.43 | $153 | 2.5× |
| Clotting Funct Activity (85397) | $97.34 | $314 | 3.2× |
| Cns DNA amp probe type 12-25 (87483) | $351.85 | $1,135 | 0.8× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$13.95–$49.60 | $45–$160 | varies |
| Cold agglutinin screen (86156) | $46.81 | $151 | 5.8× |
| Cold agglutinin titer (86157) | $9.61 | $31 | 1.2× |
| Collagen crosslinks (82523) | $57.35 | $185 | 3.1× |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$84.94–$211.73 | $274–$683 | varies |
| Compatibility Each Unit Incubation (86921) | $57.35 | $185 | 0.3× |
| Compatibility test antiglob (86922) | $57.35 | $185 | 0.3× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$19.53–$91.14 | $63–$294 | varies |
| Complement Total (Ch50) (86162) | $42.47 | $137 | 2.1× |
| Complement/Function Activity (86161) | $72.54 | $234 | 6.0× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $87.42 | $282 | 1.6× |
| Coombs direct (86880) range across 2 matching MRF lines |
$23.25–$30.69 | $75–$99 | varies |
| Copper urine (82525) | $58.90 | $190 | 4.7× |
| Cortisol free (82530) | $71.30 | $230 | 4.3× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$52.39–$93.31 | $169–$301 | varies |
| Creatine (82540) | $57.97 | $187 | 12.5× |
| Creatine kinase total (82550) | $31.62 | $102 | 4.9× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$20.15–$29.76 | $65–$96 | varies |
| Creatinine clearance (82575) | $63.55 | $205 | 6.7× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$8.37–$31.31 | $27–$101 | varies |
| Crp High Sensitivity (86141) | $32.24 | $104 | 2.5× |
| Cryofibrinogen (82585) | $9.92 | $32 | 0.7× |
| Cryoglobulin (82595) | $38.13 | $123 | 5.9× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$13.95–$67.27 | $45–$217 | varies |
| Cryptosporidium ag eia (87328) | $8.68 | $28 | 0.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $26.97 | $87 | 3.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $8.68 | $28 | 1.1× |
| Culture aerobic quant other (87071) | $82.46 | $266 | 8.3× |
| Culture afb (87116) | $17.05 | $55 | 1.6× |
| Culture Anaerobic (87075) | $65.10 | $210 | 6.9× |
| Culture blood (87040) | $70.37 | $227 | 6.8× |
| Culture chlamydia (87110) | $30.38 | $98 | 1.5× |
| Culture csf (87070) range across 2 matching MRF lines |
$55.80–$68.20 | $180–$220 | varies |
| Culture fungus (87102) | $62 | $200 | 7.4× |
| Culture screen only (87081) | $43.40 | $140 | 6.5× |
| Culture stool (87045) | $61.69 | $199 | 6.5× |
| Culture typing if ea antiserum (87140) | $14.88 | $48 | 2.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $18.91 | $61 | 3.7× |
| Culture urine (87086) | $48.98 | $158 | 6.1× |
| Cyanide (82600) | $46.50 | $150 | 2.4× |
| Cyclosporine (80158) | $93.93 | $303 | 5.2× |
| Cystatin C (82610) | $47.74 | $154 | 2.6× |
| Cytogenetics 100-300 (88275) | $62.93 | $203 | 1.2× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,915.80 | $6,180 | 1.7× |
| Cytomegalovirus igg (86644) | $58.90 | $190 | 4.1× |
| Cytopath Cell Enhance Tech (88112) | $86.80 | $280 | 1.6× |
| Cytopath Fl Nongyn Filter (88106) | $8.99 | $29 | 0.3× |
| Cytp Concentration Smears & Interpretation (88108) | $87.42 | $282 | 2.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $130.51 | $421 | 2.4× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $70.99 | $229 | 0.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $44.64 | $144 | 1.1× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $17.67 | $57 | 0.3× |
| Deoxyribonuclease antibody (86215) | $51.77 | $167 | 3.9× |
| Detect Agent Nos Dna Amp (87798) range across 6 matching MRF lines |
$26.66–$157.05 | $86–$506.60 | varies |
| Detect Agent Nos Dna Quant (87799) | $138.26 | $446 | 3.2× |
| Dgp Antibody Each Ig Class (86258) | $9.30 | $30 | 0.8× |
| Dhea (82626) | $62.62 | $202 | 2.5× |
| Dhea-S (82627) | $117.80 | $380 | 5.3× |
| Digoxin (80162) | $41.54 | $134 | 3.1× |
| Dihydrotestosterone (82642) | $35.03 | $113 | 1.2× |
| Dna Antibody Native/Double Stranded (86225) | $84.32 | $272 | 6.1× |
| Dna Antibody Single Stranded (86226) | $74.09 | $239 | 6.1× |
| Dna/Rna Amplified Probe (87150) | $25.42 | $82 | 0.7× |
| Dpyd gene common variants (81232) | $217 | $700 | 1.2× |
| Drug assay adalimumab (80145) | $37.51 | $121 | 1.0× |
| Drug Assay Amiodarone (80151) | $27.90 | $90 | 1.5× |
| Drug Assay Everolimus (80169) | $36.27 | $117 | 2.6× |
| Drug Assay Infliximab (80230) | $47.43 | $153 | 1.2× |
| Drug Assay Itraconazole (80189) | $45.57 | $147 | 1.7× |
| Drug Assay Vedolizumab (80280) | $36.27 | $117 | 0.9× |
| Drug assay voriconazole (80285) | $71.61 | $231 | 2.6× |
| Drug Screen Quant Clozapine (80159) | $110.05 | $355 | 5.5× |
| Drug Screen Quant Zonisamide (80203) | $101.06 | $326 | 7.6× |
| Drug Screen Quantitative Gabapentin (80171) | $108.50 | $350 | 5.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $73.78 | $238 | 5.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $82.77 | $267 | 6.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $76.26 | $246 | 5.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 6 matching MRF lines |
$27.90–$390.60 | $90–$1,260 | varies |
| Drug Test Prsmv Instrmnt (80306) | $43.09 | $139 | 2.5× |
| Egfr Gene Analysis Common Variants (81235) | $324.26 | $1,046 | 1.0× |
| Ehrlichia antibody (86666) | $35.65 | $115 | 3.5× |
| Electrolyte panel (80051) | $45.26 | $146 | 6.5× |
| Electron Microscopy (88348) | $507.47 | $1,637 | 0.6× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $43.71 | $141 | 0.7× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $9.61 | $31 | 0.8× |
| Enterovirus Antibody (86658) range across 2 matching MRF lines |
$16.12–$35.65 | $52–$115 | varies |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$23.87–$127.41 | $77–$411 | varies |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$144.46–$144.77 | $466–$467 | varies |
| Enzyme histochemistry (88319) | $1,952.38 | $6,298 | 2.3× |
| Erythropoietin (82668) | $88.97 | $287 | 4.7× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$21.08–$43.71 | $68–$141 | varies |
| Estriol (82677) | $59.21 | $191 | 2.4× |
| Estrogen total (82672) | $25.42 | $82 | 1.2× |
| Ethosuximide (80168) | $30.38 | $98 | 1.9× |
| Ethylene Glycol (82693) | $51.77 | $167 | 3.5× |
| Exam Synovial Fluid Crystals (89060) | $40.61 | $131 | 5.5× |
| F2 Gene (81240) | $85.87 | $277 | 1.3× |
| Factor ii activity (85210) | $87.11 | $281 | 6.7× |
| Factor Inhibitor Test (85335) | $112.53 | $363 | 8.7× |
| Factor ix activity (85250) | $93.62 | $302 | 4.9× |
| Factor v activity (85220) | $104.16 | $336 | 5.9× |
| Factor v leiden mutation (81241) | $106.33 | $343 | 1.4× |
| Factor vii assay (85230) | $31 | $100 | 1.7× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$25.11–$121.83 | $81–$393 | varies |
| Factor X (85260) | $54.25 | $175 | 3.0× |
| Factor xi activity (85270) | $78.12 | $252 | 4.4× |
| Factor xiii screen (85291) | $39.06 | $126 | 4.3× |
| Fat/Lipids Feces Quantitative (82710) | $23.87 | $77 | 1.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $15.50 | $50 | 0.9× |
| Fecal Fat Qualitative (82705) | $8.06 | $26 | 1.6× |
| Ferritin (82728) | $15.81 | $51 | 1.2× |
| Fetal Fibronectin (82731) | $97.03 | $313 | 1.5× |
| Fetal screen rosette (85461) | $13.64 | $44 | 1.5× |
| Fibrin Degradation Quant (85379) | $85.25 | $275 | 8.4× |
| Fibrinogen activity (85384) | $53.01 | $171 | 5.5× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $24.80 | $80 | 1.6× |
| Flecainide level (80181) | $16.74 | $54 | 0.9× |
| Flow cytometry first marker (88184) | $120.28 | $388 | 0.3× |
| Flt3 Gene (81245) | $135.78 | $438 | 0.8× |
| Flt3 gene analysis (81246) | $159.96 | $516 | 1.9× |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$63.24–$250.17 | $204–$807 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$18.29–$70.37 | $59–$227 | varies |
| Fluoride serum (82735) | $52.08 | $168 | 2.8× |
| Fmr1 Gene Charac Alleles (81244) | $111.60 | $360 | 2.5× |
| Fmr1 gene detection (81243) | $220.26 | $710.50 | 3.9× |
| Folic acid rbc (82747) | $80.91 | $261 | 4.6× |
| Folic Acid Serum (82746) | $17.36 | $56 | 1.2× |
| Follicle Stimulating Hormone (83001) | $97.65 | $315 | 5.3× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $57.35 | $185 | 0.3× |
| Frozen Section (88331) | $89.28 | $288 | 0.5× |
| Fungi Identification Mold (87107) | $32.24 | $104 | 3.1× |
| Fungi Identification Yeast (87106) | $44.95 | $145 | 4.4× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$46.50–$78.12 | $150–$252 | varies |
| Gardner vag DNA dir probe (87510) | $22.94 | $74 | 1.1× |
| Gases blood ph only (82800) | $51.46 | $166 | 4.7× |
| Gastrin (82941) | $95.79 | $309 | 5.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $364.87 | $1,177 | 0.9× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $333.56 | $1,076 | 0.4× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $2,083.20 | $6,720 | 0.7× |
| Genet Virus Isolate Hsv (87255) | $35.65 | $115 | 1.1× |
| Gentamicin (80170) | $71.92 | $232 | 4.4× |
| Ggt (82977) | $32.55 | $105 | 4.5× |
| Giardia antigen (87329) | $18.29 | $59 | 1.5× |
| Glucagon (82943) | $16.43 | $53 | 1.1× |
| Glucose 2 hr pp (82950) | $14.57 | $47 | 3.1× |
| Glucose Blood Test (82962) | $18.91 | $61 | 5.8× |
| Glucose body fluid (82945) | $32.24 | $104 | 8.2× |
| Glucose Serum (82947) | $12.71 | $41 | 3.2× |
| Glucose tolerance test (gtt) (82951) | $9.92 | $32 | 0.8× |
| Glutathione (82978) | $46.22 | $149.10 | 3.0× |
| Glycated Protein (82985) | $48.98 | $158 | 2.9× |
| Gonadotropin Chorionic Qualitative (84703) | $39.06 | $126 | 5.2× |
| Growth hormone (83003) | $48.98 | $158 | 2.9× |
| Gtt-added samples (82952) | $12.71 | $41 | 3.2× |
| H Pylori (C-13) Breath (83013) | $131.13 | $423 | 1.9× |
| H Pylori Drug Admin (83014) | $25.42 | $82 | 3.2× |
| Haloperidol (80173) | $45.26 | $146 | 2.9× |
| Haptoglobin (83010) | $67.27 | $217 | 5.3× |
| Hba1/Hba2 Gene (81257) | $95.79 | $309 | 0.9× |
| Hdl Cholesterol (83718) | $39.68 | $128 | 4.8× |
| Helicobacter Pylori Stool (87338) | $80.60 | $260 | 5.6× |
| Helminth Antibody (86682) range across 3 matching MRF lines |
$19.53–$77.19 | $63–$249 | varies |
| Hematocrit (85014) | $14.57 | $47 | 6.1× |
| Hemoglobin (85018) | $13.95 | $45 | 5.9× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$60.45–$75.33 | $195–$243 | varies |
| Hemoglobin Chromotography (83021) | $17.36 | $56 | 1.0× |
| Hemoglobin electrophoresis (83020) | $55.18 | $178 | 4.3× |
| Hemoglobin Methemoglobin Quantitative (83050) | $59.21 | $191 | 7.2× |
| Hemoglobin plasma (83051) | $38.75 | $125 | 5.3× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $29.14 | $94 | 3.3× |
| Hemolysins&Agglutinins Incubated (86941) | $29.14 | $94 | 2.4× |
| Hemosiderin urine (83070) | $24.80 | $80 | 5.2× |
| Hep a ab igm (86709) | $89.90 | $290 | 8.0× |
| Heparin assay (85520) | $77.19 | $249 | 5.9× |
| Hepatitis a antibody total (86708) | $69.13 | $223 | 5.6× |
| Hepatitis b core ab igm (86705) | $77.19 | $249 | 6.6× |
| Hepatitis b core ab total (86704) | $61.38 | $198 | 5.1× |
| Hepatitis B Surface Antibody (86706) | $51.46 | $166 | 4.8× |
| Hepatitis B Surface Antigen (87340) | $42.47 | $137 | 4.1× |
| Hepatitis Be Antibody (86707) | $89.28 | $288 | 7.7× |
| Hepatitis Be Antigen (87350) | $78.74 | $254 | 6.8× |
| Hepatitis C Antibody (86803) | $42.47 | $137 | 3.0× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$388.74–$464.07 | $1,254–$1,497 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $90.21 | $291 | 2.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $237.46 | $766 | 5.5× |
| Hepatitis Delta Agent Antibody (86692) | $30.38 | $98 | 1.8× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$27.59–$36.89 | $89–$119 | varies |
| Heterophile Antibody Screen (86308) | $21.70 | $70 | 4.2× |
| Hfe Gene (81256) | $127.72 | $412 | 2.0× |
| Hgb Quantitative Transcutaneous (88738) | $8.06 | $26 | 1.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $108.50 | $350 | 14.0× |
| Histamine urine (83088) | $33.48 | $108 | 1.1× |
| Histoplasma antibody (86698) | $35.03 | $113 | 2.5× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$105.40–$122.14 | $340–$394 | varies |
| Hiv Genotype (87901) | $191.58 | $618 | 0.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $31.31 | $101 | 1.3× |
| Hiv-1 Antibody (86701) | $12.09 | $39 | 1.4× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$88.35–$330.77 | $285–$1,067 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $20.15 | $65 | 0.6× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $114.70 | $370 | 0.6× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $78.74 | $254 | 0.6× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $105.09 | $339 | 1.4× |
| Hla I Typing 1 Allele Hr (81381) | $129.58 | $418 | 0.8× |
| Hla ii type 1 ag equiv lr (81377) | $125.86 | $406 | 1.3× |
| Hla ii typing 1 allele hr (81383) | $125.86 | $406 | 1.2× |
| Hla ii typing 1 locus lr (81376) | $73.16 | $236 | 0.6× |
| Hla Typing a/B/C Multiple Antigens (86813) | $92.38 | $298 | 1.6× |
| Homocysteine (83090) range across 2 matching MRF lines |
$128.65–$135.16 | $415–$436 | varies |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$47.43–$115.32 | $153–$372 | varies |
| Hsv Dna Quant (87530) | $93 | $300 | 2.2× |
| Htt Gene Detc Abnor Alleles (81271) | $169.88 | $548 | 1.2× |
| Hydroxyprogesterone 17-d (83498) | $59.52 | $192 | 2.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $62 | $200 | 1.8× |
| Iaad ia shiga-like toxin (87427) | $50.22 | $162 | 4.2× |
| Iaadi pneumocustis carinii (87281) | $80.29 | $259 | 6.7× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $111.60 | $360 | 3.2× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $51.15 | $165 | 1.5× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$166.78–$181.97 | $538–$587 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $176.70 | $570 | 4.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $34.10 | $110 | 0.5× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $21.70 | $70 | 0.6× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$85.87–$300.70 | $277–$970 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $21.08 | $68 | 0.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$20.15–$168.64 | $65–$544 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $110.67 | $357 | 2.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $66.03 | $213 | 1.9× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $40.61 | $131 | 1.2× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $72.85 | $235 | 1.4× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $237.15 | $765 | 0.9× |
| Ig Light Chains Free Each (83521) | $25.11 | $81 | 1.5× |
| Igg subclasses (82787) | $61.38 | $198 | 7.7× |
| Igh gene rearrange amp meth (81261) | $150.04 | $484 | 0.8× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $297.29 | $959 | 1.0× |
| IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster… (81278) | $204.60 | $660 | 1.0× |
| Igk rearrangeabn clonal pop (81264) | $127.72 | $412 | 0.7× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $196.85 | $635 | 0.5× |
| Immune Complex Assay (86332) | $56.42 | $182 | 2.3× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$39.68–$112.22 | $128–$362 | varies |
| Immunoassay analyte qual/semiqual single step (83518) | $248 | $800 | 25.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 5 matching MRF lines |
$54.25–$155 | $175–$500 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$17.98–$24.18 | $58–$78 | varies |
| Immunoassay nonantibody (83516) range across 5 matching MRF lines |
$19.22–$263.50 | $62–$850 | varies |
| Immunodiffusion Ouchterlony (86331) | $38.75 | $125 | 3.2× |
| Immunofixation electrophoresis (86334) | $34.10 | $110 | 1.5× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $153.14 | $494 | 0.8× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$76.88–$465 | $248–$1,500 | varies |
| In situ hybridization 1st probe stain (88365) | $77.19 | $249 | 0.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) | $41.54 | $134 | 1.4× |
| Influenza DNA amp probe (87502) | $131.44 | $424 | 1.4× |
| Inhibin A (86336) | $63.24 | $204 | 4.1× |
| Inhibin b (83520) range across 6 matching MRF lines |
$36.89–$305.66 | $119–$986 | varies |
| Insulin antibodies (86337) | $119.35 | $385 | 5.6× |
| Insulin total (83525) | $57.04 | $184 | 5.0× |
| Intrinsic factor antibody (86340) | $18.91 | $61 | 1.3× |
| Iron (83540) | $35.03 | $113 | 5.4× |
| Iron Binding Capacity (83550) | $10.23 | $33 | 1.2× |
| Irradiation Blood Product Each Unit (86945) | $67.27 | $217 | 1.7× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$29.45–$116.25 | $95–$375 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $237.77 | $767 | 2.6× |
| Jak2 Gene Trgt Sequence Alys (81279) | $265.98 | $858 | 1.4× |
| Kit Gene Analysis D816 Variant(S) (81273) | $186 | $600 | 1.5× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $204.29 | $659 | 0.6× |
| Kras Gene Analysis Additional Variant(S) (81276) | $193.44 | $624 | 1.0× |
| Kras Gene Variants Exon 2 (81275) | $252.34 | $814 | 1.3× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$29.14–$31.93 | $94–$103 | varies |
| Lactoferrin fecal qualitative (83630) | $21.39 | $69 | 1.1× |
| Ldh Isoenzymes (83625) | $53.32 | $172 | 4.2× |
| LDL direct (83721) | $34.41 | $111 | 3.3× |
| Lead (83655) range across 2 matching MRF lines |
$16.43–$20.46 | $53–$66 | varies |
| Legionella antibody (86713) | $33.17 | $107 | 2.2× |
| Legionella antigen urine (87449) | $68.51 | $221 | 5.7× |
| Legionella pneumophila dfa (87278) | $40.61 | $131 | 2.6× |
| Leptospira antibody (86720) | $40.30 | $130 | 2.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $46.19 | $149 | 1.5× |
| Level ii surg pathology grossµscopic exam (88302) | $81.84 | $264 | 2.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $346.27 | $1,117 | 0.9× |
| Lipase (83690) | $43.71 | $141 | 6.3× |
| Lipoprotein A (83695) | $22.32 | $72 | 1.6× |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$45.57–$78.74 | $147–$254 | varies |
| Lipoprotein-Associated Phospholipase A2 (83698) | $37.20 | $120 | 0.8× |
| Listeria Monocytogenes (86723) | $116.25 | $375 | 8.8× |
| Lithium (80178) | $49.60 | $160 | 7.5× |
| Liver ds alys 3 bmrk srm alg (81517) | $186 | $600 | 1.1× |
| Luteinizing Hormone (Lh) (83002) | $67.89 | $219 | 3.7× |
| Lyme disease antibody (86618) | $81.84 | $264 | 4.8× |
| Lysozyme serum (85549) | $97.34 | $314 | 5.2× |
| M. Genitalium Amp Probe (87563) | $26.66 | $86 | 0.8× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $132.68 | $428 | 0.7× |
| M/phmtrc alys ishquant/semiq (88374) | $189.10 | $610 | 1.0× |
| Macroscopic exam arthropod (87168) | $13.90 | $44.85 | 3.3× |
| Macroscopic Exam Parasite (87169) | $7.13 | $23 | 1.7× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$24.49–$44.95 | $79–$145 | varies |
| Mass Spectrometry Quant (83789) | $57.35 | $185 | 2.4× |
| Mercury urine (83825) | $21.70 | $70 | 1.3× |
| Methotrexate (80204) | $57.35 | $185 | 1.5× |
| Methylmalonic acid serum (83921) | $135.16 | $436 | 6.4× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$42.78–$51.46 | $138–$166 | varies |
| Microsatellite instability (81301) | $217 | $700 | 0.6× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$14.88–$66.96 | $48–$216 | varies |
| Mitochondrial Antibody Each (86381) | $39.68 | $128 | 1.6× |
| Mlh1 Gene (81288) | $266.29 | $859 | 1.4× |
| Mog-Igg1 Antb Cba Each (86362) | $310 | $1,000 | 25.7× |
| Molecular Cytogenetics Dna Probe Each (88271) | $21.70 | $70 | 1.0× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $31.93 | $103 | 0.8× |
| Molecular Pathology Procedure Level 3 (81402) | $139.50 | $450 | 0.9× |
| Molecular Pathology Procedure Level 6 (81405) range across 2 matching MRF lines |
$306.28–$396.18 | $988–$1,278 | varies |
| Mononuclear cell antigen (86356) | $44.33 | $143 | 1.7× |
| Mopath procedure level 1 (81400) | $127.10 | $410 | 2.0× |
| Mopath procedure level 2 (81401) | $77.19 | $249 | 0.6× |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$135.47–$500.96 | $437–$1,616 | varies |
| Mopath procedure level 5 (81404) | $281.17 | $907 | 1.0× |
| Mopath procedure level 7 (81406) | $465 | $1,500 | 1.6× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $150.66 | $486 | 0.8× |
| Mrsa Pcr (87641) | $53.32 | $172 | 1.5× |
| Mthfr Gene Analysis Common Variants (81291) | $127.72 | $412 | 2.0× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$15.50–$39.99 | $50–$129 | varies |
| Mycophenolic Acid (80180) | $50.53 | $163 | 2.8× |
| Mycoplasma antibody (86738) | $47.12 | $152 | 3.6× |
| Mycoplasma culture (87109) | $23.25 | $75 | 1.5× |
| Myelin basic protein csf (83873) | $16.43 | $53 | 1.0× |
| Myoglobin urine (83874) | $63.24 | $204 | 4.9× |
| Natriuretic peptide (83880) | $97.03 | $313 | 2.5× |
| Neutralization Test Viral (86382) | $57.04 | $184 | 3.4× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $186 | $600 | 0.7× |
| Nfct ds chrnc hcv 6 assays (81596) | $173.60 | $560 | 2.4× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $81.22 | $262 | 0.6× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $20.15 | $65 | 0.8× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $310 | $1,000 | 0.6× |
| Niacin (84591) | $93 | $300 | 5.5× |
| Nickel level (83885) | $45.88 | $148 | 1.9× |
| Nk cells total count (86357) | $42.47 | $137 | 1.1× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $180.42 | $582 | 0.7× |
| Nras gene variants exon 2&3 (81311) | $279.93 | $903 | 0.9× |
| Nuclear antigen antibody (86235) range across 4 matching MRF lines |
$15.19–$83.39 | $49–$269 | varies |
| Nudt15 Gene Common Variants (81306) | $139.50 | $450 | 0.5× |
| Occult blood feces (82272) | $32.24 | $104 | 7.6× |
| Occult Blood Other Sources (82271) | $18.91 | $61 | 3.6× |
| Oligoclonal bands (83916) | $93.62 | $302 | 3.4× |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $181.04 | $584 | 0.7× |
| Oncoprotein dcp (83951) | $106.64 | $344 | 1.7× |
| Osmolality serum (83930) | $40.61 | $131 | 6.1× |
| Osmolality Urine (83935) | $35.96 | $116 | 5.3× |
| Osmotic Fragility RBC Unincubated (85555) | $85.25 | $275 | 11.4× |
| Osteocalcin (83937) | $27.59 | $89 | 0.9× |
| Ova and parasites smears (87177) | $51.46 | $166 | 5.8× |
| Oxalate urine (83945) | $17.67 | $57 | 1.2× |
| Parvovirus antibody (86747) | $49.29 | $159 | 3.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $388.12 | $1,252 | 0.5× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $46.50 | $150 | 0.8× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $204.29 | $659 | 0.6× |
| Ph urine (81003) | $17.36 | $56 | 7.7× |
| Phenobarbital Level (80184) | $70.06 | $226 | 4.6× |
| Phenotype Infect Agent Drug (87900) | $76.88 | $248 | 0.6× |
| Phenylalanine (84030) | $6.20 | $20 | 1.1× |
| Phenytoin (Dilantin) (80185) | $54.56 | $176 | 4.1× |
| Phosphatase alkaline (84075) | $27.90 | $90 | 5.4× |
| Phospholipid Neutralization Hexagonal (85598) | $63.86 | $206 | 3.6× |
| Phosphorus Serum (84100) | $13.95 | $45 | 2.9× |
| Phosphorus urine (84105) | $17.05 | $55 | 2.9× |
| Pik3ca gene analysis targeted sequence analysis (81309) | $348.13 | $1,123 | 1.3× |
| Pinworm exam (87172) | $8.53 | $27.50 | 2.0× |
| Platelet Aggregation (85576) | $79.05 | $255 | 3.2× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$13.95–$163.68 | $45–$528 | varies |
| Platelet count automated (85049) | $26.04 | $84 | 5.8× |
| Platelet neutralization (85597) | $30.38 | $98 | 1.7× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $181.97 | $587 | 0.9× |
| Porphobilinogen, urine; quantitative (84110) | $30.07 | $97 | 3.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $59.52 | $192 | 4.0× |
| Potassium Urine (84133) | $31.31 | $101 | 6.6× |
| Prealbumin (84134) | $13.95 | $45 | 1.0× |
| Pregnenolone (84140) | $85.56 | $276 | 4.1× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $104.16 | $336 | 0.6× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $99.20 | $320 | 1.6× |
| Primidone (80188) | $62 | $200 | 3.7× |
| Procalcitonin (Pct) (84145) | $105.09 | $339 | 3.9× |
| Progesterone (84144) | $82.15 | $265 | 3.9× |
| Prolactin (84146) range across 4 matching MRF lines |
$15.19–$110.36 | $49–$356 | varies |
| Prostaglandin (84150) | $155 | $500 | 3.7× |
| Protein body fluid (84157) | $30.69 | $99 | 7.7× |
| Protein C Activity (85303) | $112.22 | $362 | 8.1× |
| Protein c antigen (85302) | $13.02 | $42 | 1.1× |
| Protein Electrophoresis Urine (84166) | $55.80 | $180 | 3.1× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $47.43 | $153 | 4.4× |
| Protein S Free (85306) range across 2 matching MRF lines |
$63.55–$73.16 | $205–$236 | varies |
| Protein s total (85305) | $13.02 | $42 | 1.1× |
| Protein total serum (84155) | $24.18 | $78 | 6.6× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$5.89–$28.83 | $19–$93 | varies |
| Protein Western Blot Test (84182) | $126.48 | $408 | 4.3× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $6.51 | $21 | 1.7× |
| Protoporphyrin rbc quantitative (84202) | $48.36 | $156 | 3.4× |
| PSA free (84154) | $69.13 | $223 | 3.8× |
| Pth Intact (83970) | $92.07 | $297 | 2.2× |
| Pyruvate kinase (84220) | $34.41 | $111 | 3.6× |
| Quantiferon tb gold plus (86480) | $110.98 | $358 | 1.8× |
| Quantitative assay drug (80299) | $90.21 | $291 | 4.8× |
| Quantitative Screen Metals (83018) | $24.18 | $78 | 1.1× |
| Rbc antibody elution (86860) | $137.02 | $442 | 0.8× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$120.28–$121.52 | $388–$392 | varies |
| Rbc antibody screen (86850) | $34.41 | $111 | 3.5× |
| Rbc pretreatment serum (86978) | $58.59 | $189 | 0.9× |
| Rbc pretx incubatj w/enzymes (86971) | $76.88 | $248 | 0.4× |
| Renin activity plasma (84244) | $106.64 | $344 | 4.8× |
| Resp virus 12-25 targets (87633) | $297.29 | $959 | 0.7× |
| Reticulocyte Count Manual (85044) | $16.12 | $52 | 3.7× |
| Rh (86901) | $18.91 | $61 | 6.3× |
| Rheumatoid Factor Qualitative (86430) | $38.75 | $125 | 6.3× |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$11.78–$62 | $38–$200 | varies |
| Rickettsia antibody (86757) | $33.79 | $109 | 1.7× |
| Ristocetin cofactor (85245) | $91.76 | $296 | 4.0× |
| Rotavirus ag eia (87425) | $71.92 | $232 | 6.0× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$27.59–$32.24 | $89–$104 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$19.53–$33.48 | $63–$108 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$17.67–$77.50 | $57–$250 | varies |
| Rufinamide (80210) | $27.90 | $90 | 1.0× |
| Russell Viper Venom Time Diluted (85613) | $42.16 | $136 | 4.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $63.86 | $206 | 1.2× |
| Sars-cov-2 COVID-19 antibody (86769) | $62 | $200 | 1.5× |
| Sedimentation rate (85651) | $23.87 | $77 | 5.6× |
| Selenium (84255) | $34.41 | $111 | 1.3× |
| Semen Anal Sperm Detection (89321) | $29.14 | $94 | 2.4× |
| Semen analysis complete (89320) | $77.81 | $251 | 6.3× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$34.41–$44.33 | $111–$143 | varies |
| Sex Hormone Binding Globulin (84270) | $65.10 | $210 | 3.0× |
| Sickling of rbc reduction (85660) | $33.17 | $107 | 6.0× |
| Sirolimus (80195) | $91.45 | $295 | 6.7× |
| Skin test tuberculosis intradermal (86580) | $17.36 | $56 | 0.6× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$9.92–$39.06 | $32–$126 | varies |
| Smear complex stain (87209) | $24.49 | $79 | 1.4× |
| Smear gram stain (87205) | $24.80 | $80 | 5.8× |
| Smear Special Stain (87207) | $12.40 | $40 | 2.1× |
| Sodium Serum (84295) | $15.81 | $51 | 3.3× |
| Sodium Urine (84300) | $29.45 | $95 | 5.8× |
| Soluble Transferrin Receptor (84238) | $26.97 | $87 | 0.7× |
| Somatomedin (84305) | $95.17 | $307 | 4.5× |
| Special Stains Group 1 (88312) | $76.57 | $247 | 1.4× |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$56.11–$90.21 | $181–$291 | varies |
| Specimen infect agnt concntj (87015) | $49.60 | $160 | 7.4× |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$17.36–$59.52 | $56–$192 | varies |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$31.62–$57.66 | $102–$186 | varies |
| Strep a DNA amp probe (87651) | $26.97 | $87 | 0.8× |
| Strep b DNA amp probe (87653) | $53.32 | $172 | 1.5× |
| Sugars Single Qual (84376) | $31.93 | $103 | 5.8× |
| Surg path level iii (88304) | $112.84 | $364 | 2.0× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$86.80–$188.17 | $280–$607 | varies |
| Surgical pathology level vi (88309) | $419.12 | $1,352 | 0.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $23.87 | $77 | 3.2× |
| Syphilis Test Non-Trep Quant (86593) | $32.86 | $106 | 7.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $63.55 | $205 | 1.4× |
| T cells total count (86359) | $50.84 | $164 | 1.3× |
| T3 Free (84481) | $149.73 | $483 | 8.8× |
| T3 reverse (84482) | $91.14 | $294 | 5.8× |
| T3 Total (84480) | $85.87 | $277 | 6.1× |
| T3 Uptake (84479) | $35.34 | $114 | 5.5× |
| T4 Free (84439) range across 2 matching MRF lines |
$64.48–$65.41 | $208–$211 | varies |
| T4 total (84436) | $35.03 | $113 | 5.1× |
| T4-neonatal (84437) | $7.13 | $23 | 1.1× |
| Tacrolimus (80197) | $76.88 | $248 | 5.6× |
| Tau phosphorylated each (84393) | $217 | $700 | 1.7× |
| Testosterone Bioavailable (84410) | $31 | $100 | 0.6× |
| Testosterone total (84403) range across 3 matching MRF lines |
$39.06–$94.24 | $126–$304 | varies |
| Testosterone, Free (84402) | $80.60 | $260 | 3.2× |
| Theophylline (80198) | $63.24 | $204 | 4.5× |
| Thrombin Time (85670) | $40.61 | $131 | 7.0× |
| Thromboplastin Inhibition Tissue (85705) | $34.41 | $111 | 3.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $11.47 | $37 | 1.8× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$48.98–$85.33 | $158–$275.27 | varies |
| Thyroglobulin Antibody (86800) | $61.07 | $197 | 3.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $170.19 | $549 | 3.3× |
| Thyroxine binding globulin (84442) | $40.61 | $131 | 2.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $9.30 | $30 | 0.8× |
| Tissue Culture (88233) | $151.90 | $490 | 1.1× |
| Tissue culture bone marrow (88237) | $225.06 | $726 | 1.6× |
| Tobramycin peak (80200) | $24.80 | $80 | 1.5× |
| Topiramate (80201) | $70.68 | $228 | 5.9× |
| Touch prep (88161) | $34.10 | $110 | 1.1× |
| Toxoplasma ab igm (86778) | $43.09 | $139 | 3.0× |
| Toxoplasma antibody (86777) | $37.51 | $121 | 2.6× |
| Tp53 gene analysis targeted sequence analysis (81352) | $341 | $1,100 | 1.0× |
| Tpmt gene com variants (81335) | $81.22 | $262 | 0.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $24.80 | $80 | 4.8× |
| Transferrin (84466) | $14.88 | $48 | 1.2× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $235.60 | $760 | 1.1× |
| Trg gene rearrangement anal (81342) | $213.28 | $688 | 1.1× |
| Trichinella Antibody (86784) | $62 | $200 | 4.9× |
| Trichomonas vagin dir probe (87660) | $40.61 | $131 | 2.0× |
| Trichomonas Vaginalis Amplif (87661) | $27.90 | $90 | 0.8× |
| Triglycerides (84478) range across 2 matching MRF lines |
$8.37–$31.62 | $27–$102 | varies |
| Troponin Quant (84484) | $82.46 | $266 | 6.6× |
| Tumor immunohistochem/comput (88361) | $140.43 | $453 | 0.4× |
| Tumor Immunohistochem/Manual (88360) | $136.40 | $440 | 0.8× |
| Ugt1a1 gene analysis common variants (81350) | $108.50 | $350 | 0.5× |
| Urea nitrogen urine (84540) | $31.62 | $102 | 5.7× |
| Uric acid other source (84560) | $30.38 | $98 | 6.0× |
| Urinalysis Volume Measure (81050) | $12.09 | $39 | 3.3× |
| Urine Bacteria Culture (87088) | $26.66 | $86 | 3.3× |
| Urine Pregnancy Test (81025) | $30.69 | $99 | 3.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $24.49 | $79 | 7.7× |
| Valproic acid (80164) | $67.27 | $217 | 5.0× |
| Vancomycin (80202) | $79.36 | $256 | 5.9× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$15.81–$71.92 | $51–$232 | varies |
| Vasopressin (84588) | $137.02 | $442 | 4.0× |
| Very Long Chain Fatty Acids (82726) | $139.50 | $450 | 7.1× |
| Viral Culture (87252) | $64.17 | $207 | 2.5× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$30.07–$95.48 | $97–$308 | varies |
| Virus inoculation, shell via (87254) | $62.93 | $203 | 3.2× |
| Viscosity serum (85810) | $79.05 | $255 | 6.8× |
| Vit D 1 25-Dihydroxy (82652) | $152.83 | $493 | 4.0× |
| Vitamin A (84590) | $62 | $200 | 5.3× |
| Vitamin b-12 (82607) | $54.25 | $175 | 3.6× |
| Vitamin B2 (Riboflavin) (84252) | $119.97 | $387 | 5.9× |
| Vitamin B6 (84207) | $37.51 | $121 | 1.3× |
| Vitamin c (82180) | $40.92 | $132 | 4.1× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$34.41–$58.59 | $111–$189 | varies |
| Vitamin E (84446) | $74.71 | $241 | 5.3× |
| Vitamin K (84597) | $54.25 | $175 | 4.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $46.50 | $150 | 3.9× |
| Von willebrand factor ag (85246) | $95.79 | $309 | 4.2× |
| West nile virus ab igm (86788) | $41.85 | $135 | 2.5× |
| West Nile Virus Antibody (86789) | $42.78 | $138 | 3.0× |
| Western Blot Test (84181) | $24.80 | $80 | 1.5× |
| Xm Archive Tissue Molec Anal (88363) | $30.07 | $97 | 1.0× |
| Zinc (84630) range across 2 matching MRF lines |
$42.47–$62 | $137–$200 | varies |
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.