Lab & pathology prices at Dartmouth Hitchcock Medical Center

Lebanon, NH · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143)
range across 2 matching MRF lines
$42.84–$117.50 $140–$384 varies
5 Nucleotidase (83915) $31.82 $104 2.9×
Abl1 gene analysis kinase domain variants (81170) $182.07 $595 0.6×
Acetylcholine receptor binding antibody (86041) $24.48 $80 1.3×
Acetylcholine receptor blocking antibody (86042) $27.85 $91 1.5×
Acetylcholinesterase Assay (82013) $45.29 $148 3.7×
Acetylcholn Rcptr Modlg Antb (86043) $115.67 $378 9.6×
Acth (82024)
range across 2 matching MRF lines
$24.48–$26.93 $80–$88 varies
Actin smooth muscle antibody each (86015) $8.26 $27 0.7×
Acylcarnitines Quant (82017) $28.46 $93 1.7×
Albumin Fluid (82042)
range across 3 matching MRF lines
$18.36–$72.52 $60–$237 varies
Albumin serum (82040)
range across 3 matching MRF lines
$12.85–$30.60 $42–$100 varies
Aldolase (82085) $18.05 $59 1.9×
Aldosterone urine (82088)
range across 3 matching MRF lines
$27.23–$34.58 $89–$113 varies
Alkaline phosphatase isoenzymes (84080)
range across 4 matching MRF lines
$10.71–$33.35 $35–$109 varies
Allergen specific ige (86003)
range across 88 matching MRF lines
$2.75–$65.48 $9–$214 varies
Allg Spec Ige Recomb Ea (86008)
range across 10 matching MRF lines
$2.75–$60.28 $9–$197 varies
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines
$12.85–$25.40 $42–$83 varies
Alpha-Fetoprotein Amniotic Fluid (82106) $29.68 $97 1.7×
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$16.83–$19.58 $55–$64 varies
Alt (sgpt) (84460)
range across 2 matching MRF lines
$12.85–$18.67 $42–$61 varies
Amikacin trough (80150)
range across 2 matching MRF lines
$14.08–$18.36 $46–$60 varies
Amino Acids 1 Quantitative Each Specimen (82131)
range across 2 matching MRF lines
$32.13–$70.38 $105–$230 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 3 matching MRF lines
$60.89–$97.31 $199–$318 varies
Amino Acids Quant 2-5 (82136) $43.45 $142 2.2×
Ammonia (82140) $12.85 $42 0.9×
Amylase urine (82150) $12.85 $42 2.0×
Ana Titer (86039)
range across 2 matching MRF lines
$14.38–$57.53 $47–$188 varies
Anca screen each antibody (86036) $11.93 $39 1.0×
Androstenedione (82157)
range across 3 matching MRF lines
$21.11–$39.17 $69–$128 varies
Angiotensin converting enzyme csf (82164)
range across 2 matching MRF lines
$19.58–$30.29 $64–$99 varies
Antibody aspergillus (86606)
range across 2 matching MRF lines
$24.79–$25.40 $81–$83 varies
Antibody Bacterium Not Elsewhere Specified (86609) $24.79 $81 1.9×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 3 matching MRF lines
$50.18–$54.16 $164–$177 varies
Antibody Cytomegalovirus Cmv Igm (86645) $51.41 $168 3.1×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $48.96 $160 3.2×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $48.96 $160 2.7×
Antibody Fungus Not Elsewhere Specified (86671) $29.99 $98 2.4×
Antibody haemophilus influenza (86684) $34.58 $113 2.2×
Antibody Herpes Smplx Non-Specific Type Test (86694) $15.61 $51 1.1×
Antibody Herpes Smplx Type 1 (86695) $50.49 $165 3.8×
Antibody HIV-1&HIV-2 single result (86703)
range across 2 matching MRF lines
$37.03–$75.89 $121–$248 varies
Antibody HIV-2 (86702) $154.53 $505 11.4×
Antibody Hla Class I High Definition Panel Qual (86832) $150.86 $493 0.5×
Antibody Hla Class I Phenotype Panel Qualitative (86830) $263.77 $862 2.8×
Antibody Hla Class II Phenotype Panel Qual (86831) $225.22 $736 2.8×
Antibody hla class ii semiquantitative panel (86835) $741.44 $2,423 2.3×
Antibody htlv/HIV antibody confirmatory test (86689) $125.46 $410 6.5×
Antibody identification leukocyte antibodies (86021)
range across 2 matching MRF lines
$30.91–$39.47 $101–$129 varies
Antibody Protozoa Nes (86753)
range across 2 matching MRF lines
$37.03–$75.89 $121–$248 varies
Antibody Titer (86886) $282.13 $922 54.5×
Antibody Treponema Pallidum (86780)
range across 3 matching MRF lines
$4.24–$53.55 $13.84–$175 varies
Antibody; influenza virus (86710)
range across 4 matching MRF lines
$16.83–$17.44 $55–$57 varies
Antigen typing (86905)
range across 3 matching MRF lines
$7.96–$300.80 $26–$983 varies
Antinuclear antibodies (86038) $68.24 $223 5.6×
Antistreptolysin o titer (86060) $17.75 $58 2.4×
Antithrombin iii activity (85300) $94.86 $310 8.0×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$20.50–$42.84 $67–$140 varies
Aqaprn-4 Antb Flo Cytmtry Ea (86053)
range across 7 matching MRF lines
$41.62–$208.08 $136–$680 varies
Arsenic (82175)
range across 4 matching MRF lines
$16.83–$52.94 $55–$173 varies
Aspergillus ag eia (87305)
range across 2 matching MRF lines
$36.41–$39.17 $119–$128 varies
Assay activated protein c (85307) $61.81 $202 4.0×
Assay Blood Carbon Dioxide (82374) $12.85 $42 2.6×
Assay myeloperoxidase (83876) $31.52 $103 0.6×
Assay Nephelometry Not Spec (83883)
range across 3 matching MRF lines
$11.93–$41.92 $39–$137 varies
Assay of 5-hiaa (83497)
range across 4 matching MRF lines
$7.65–$39.17 $25–$128 varies
Assay of anti-mullerian hormone (82166) $46.21 $151 1.2×
Assay of b-hexosaminidase each assay (83080) $31.82 $104 1.9×
Assay of blood/uric acid (84550) $12.85 $42 2.8×
Assay of calcium in urine (82340) $60.59 $198 10.0×
Assay of estrone (82679) $7.04 $23 0.3×
Assay of g6pd enzyme (82955) $21.73 $71 2.2×
Assay of gammaglobulin igm (82784)
range across 8 matching MRF lines
$17.75–$48.04 $58–$157 varies
Assay of lactic acid (83605)
range across 3 matching MRF lines
$14.38–$35.80 $47–$117 varies
Assay of manganese (83785) $24.79 $81 0.9×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$21.11–$24.48 $69–$80 varies
Assay of proinsulin (84206) $24.48 $80 0.9×
Assay of pyruvate (84210)
range across 2 matching MRF lines
$21.42–$29.38 $70–$96 varies
Assay of serotonin (84260) $28.15 $92 0.9×
Assay of serum potassium (84132) $12.85 $42 2.7×
Assay of Sialic Acid (84275)
range across 2 matching MRF lines
$91.49–$191.25 $299–$625 varies
Assay of urea nitrogen (84520)
range across 2 matching MRF lines
$12.85–$72.52 $42–$237 varies
Assay of urine vma (84585)
range across 2 matching MRF lines
$20.81–$23.56 $68–$77 varies
Assay of vasoactive intestinal peptide (84586)
range across 2 matching MRF lines
$31.82–$44.37 $104–$145 varies
Assay of vitamin b-1 (84425) $23.56 $77 1.1×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$14.38–$22.34 $47–$73 varies
Atomic Absorption (82190) $23.56 $77 1.5×
Automated Leukocyte Count (85048) $16.52 $54 6.5×
B cells total count (86355)
range across 4 matching MRF lines
$18.05–$104.04 $59–$340 varies
Babesia microti amp prb (87469) $40.09 $131 1.1×
Bartonella antibody (86611) $18.36 $60 1.8×
Bcr/abl1 gene major bp (81206) $563.65 $1,842 3.4×
Bcr/abl1 gene minor bp (81207) $234.09 $765 1.6×
Beta 2 glycoprotein i antibody each (86146) $49.27 $161 1.9×
Beta hydroxybutyrate (82010) $37.03 $121 4.5×
Beta Lactamase (87185) $40.70 $133 8.6×
Beta-2 Microglobulin (82232) $24.48 $80 1.5×
Beta-amyloid; 1-42 (abeta 42) (82234) $350.98 $1,147 2.7×
Bile acids total (82239)
range across 2 matching MRF lines
$31.82–$82.62 $104–$270 varies
Bilirubin direct (82248) $12.85 $42 2.6×
Bilirubin total (82247)
range across 2 matching MRF lines
$12.85–$18.67 $42–$61 varies
Bilirubin total transcutaneous (88720) $15.30 $50 3.0×
Biotinidase (82261) $14.38 $47 0.9×
Blastomyces antibody (86612) $22.03 $72 1.7×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $25.40 $83 6.7×
Blood count spun microhematocrit (85013) $44.98 $147 6.4×
Blood gas (82803)
range across 2 matching MRF lines
$45.90–$70.07 $150–$229 varies
Blood gases w/02 saturation (82805) $27.85 $91 0.4×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 2 matching MRF lines
$37.33–$62.73 $122–$205 varies
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 2 matching MRF lines
$31.52–$117.81 $103–$385 varies
Blood typing serologic abo (86900)
range across 3 matching MRF lines
$60.59–$154.53 $198–$505 varies
Body fluid cell count (89050)
range across 4 matching MRF lines
$63.65–$118.42 $208–$387 varies
Bordetella antibody (86615) $87.21 $285 6.6×
Borrelia miyamotoi amp prb (87478) $40.09 $131 1.1×
Braf gene analysis (81210) $165.85 $542 0.9×
Brca1&2 gen full seq dup/del (81162) $410.35 $1,341 0.2×
Brucella antibody (86622)
range across 2 matching MRF lines
$23.87–$26.01 $78–$85 varies
C diff amplified probe (87493) $83.84 $274 2.2×
C-Peptide (84681) $70.99 $232 3.4×
C-reactive protein (86140) $12.85 $42 2.5×
Ca 19-9 (86301) $31.21 $102 1.5×
Cadmium (82300)
range across 2 matching MRF lines
$18.05–$18.67 $59–$61 varies
Calcitonin (82308) $23.56 $77 0.9×
Calcium ionized (82330) $14.38 $47 1.1×
Calcium total (82310) $12.85 $42 2.5×
Calculus Spectroscopy (82365) $21.73 $71 1.7×
Calprotectin Fecal (83993)
range across 2 matching MRF lines
$44.37–$81.09 $145–$265 varies
Calr gene com variants (81219)
range across 2 matching MRF lines
$186.05–$339.66 $608–$1,110 varies
Cancer Antigen 125 (86304) $27.23 $89 1.3×
Cancer Antigen 27.29 (86300) $33.05 $108 1.6×
Carbamazepine total (80156)
range across 2 matching MRF lines
$20.20–$30.91 $66–$101 varies
Carbohydrate Deficient Transferrin (82373) $29.38 $96 1.6×
Carboxyhemoglobin (82375) $14.38 $47 1.2×
Carcinoembryonic antigen (82378) $17.44 $57 0.9×
Cardiolipin ab iga (86147) $46.21 $151 1.8×
Cardiology Hrt Trnspl Mrna (81595) $90.58 $296 0.0×
Carnitine Quantitative Each Specimen (82379) $24.79 $81 1.5×
Carotene (82380) $20.81 $68 2.3×
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$25.40–$33.05 $83–$108 varies
Ccp antibody (86200) $44.98 $147 3.5×
Cell count csf (89051)
range across 4 matching MRF lines
$80.48–$179.32 $263–$586 varies
Cellular Function Assay Stimul&Detect Biomarke (86352)
range across 4 matching MRF lines
$51.41–$58.14 $168–$190 varies
Ceruloplasmin (82390) $17.75 $58 1.7×
Cftr gene com variants (81220) $444.62 $1,453 0.8×
Chemiluminescent assay (82397)
range across 6 matching MRF lines
$10.10–$122.71 $33–$401 varies
Chimerism w/comp to baseline w/cell selection ea (81268)
range across 2 matching MRF lines
$378.83–$796.52 $1,238–$2,603 varies
Chimerism w/comp to baseline w/o cell selection (81267)
range across 2 matching MRF lines
$362–$796.52 $1,183–$2,603 varies
Chlamydia antibody (86631) $18.67 $61 1.6×
Chlamydia Igm Antibody (86632) $18.97 $62 1.5×
Chloride other source (82438) $142.90 $467 28.6×
Chloride Serum (82435) $12.85 $42 2.8×
Chloride urine (82436) $60.28 $197 10.5×
Cholesterol total (82465) $12.85 $42 3.0×
Cholinesterase rbc (82482) $31.52 $103 3.2×
Chorionic gonadotropin test (84702)
range across 3 matching MRF lines
$18.97–$31.52 $62–$103 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $83.23 $272 0.4×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $30.29 $99 1.1×
Chrmsm Analysis Addl Karyotyp Each Study (88280)
range across 3 matching MRF lines
$24.48–$134.03 $80–$438 varies
Chrmsm Analysis Addl Specialized Banding (88283) $11.63 $38 0.2×
Chromium serum (82495) $22.64 $74 1.1×
Chromogenic Substrate Assay (85130) $242.66 $793 20.4×
Chromogranin a (86316)
range across 3 matching MRF lines
$25.70–$42.84 $84–$140 varies
Chromosome Analysis 15-20 (88262)
range across 4 matching MRF lines
$89.05–$624.24 $291–$2,040 varies
Chromosome Analysis 20-25 (88264)
range across 7 matching MRF lines
$105.88–$279.07 $346–$912 varies
Chromosome analysis 45 cells (88263) $442.17 $1,445 2.9×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 3 matching MRF lines
$12.85–$63.34 $42–$207 varies
Citric acid urine (82507) $26.93 $88 1.0×
Clostridium Difficile (87324) $43.45 $142 3.6×
Clot Factor VIII Multimetric (85247) $40.09 $131 1.7×
Clot factor xiii fibrin stab (85290) $57.83 $189 3.5×
Clotting factor xii hageman (85280) $52.94 $173 2.7×
Clotting Funct Activity (85397) $77.72 $254 2.5×
Cns DNA amp probe type 12-25 (87483) $401.78 $1,313 1.0×
Coccidioides antibody (86635)
range across 2 matching MRF lines
$8.57–$19.58 $28–$64 varies
Collagen crosslinks (82523)
range across 2 matching MRF lines
$11.63–$20.20 $38–$66 varies
Column Chromotography Quant (82542)
range across 22 matching MRF lines
$30.91–$106.18 $101–$347 varies
Comparative Anal Str Markers Patient&Comp Spec (81265)
range across 2 matching MRF lines
$312.43–$383.42 $1,021–$1,253 varies
Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266)
range across 2 matching MRF lines
$98.23–$156.67 $321–$512 varies
Compatibility test antiglob (86922) $100.67 $329 0.6×
Complement Antigen Each Component (86160)
range across 8 matching MRF lines
$10.40–$39.17 $34–$128 varies
Complement Total (Ch50) (86162) $58.75 $192 2.9×
Complement/Function Activity (86161)
range across 4 matching MRF lines
$25.09–$56.30 $82–$184 varies
Consltj&Reprt Material Requiring Prepj Slides (88323) $55.69 $182 1.0×
Consltj&Reprt Slides Prepared Elsewhere (88321) $87.82 $287 2.2×
Coombs direct (86880)
range across 3 matching MRF lines
$84.15–$94.25 $275–$308 varies
Copper urine (82525)
range across 3 matching MRF lines
$19.28–$35.50 $63–$116 varies
Cortisol free (82530) $21.73 $71 1.3×
Cortisol saliva (82533)
range across 4 matching MRF lines
$12.85–$22.34 $42–$73 varies
Creatine kinase total (82550) $12.85 $42 2.0×
Creatinine blood (82565)
range across 2 matching MRF lines
$8.87–$12.85 $29–$42 varies
Creatinine clearance (82575) $63.65 $208 6.7×
Creatinine Urine (82570)
range across 6 matching MRF lines
$5.51–$60.28 $18–$197 varies
Crossmatch immediate spin (86920) $91.49 $299 0.5×
Crp High Sensitivity (86141) $27.23 $89 2.1×
Cryofibrinogen (82585) $61.81 $202 4.4×
Cryoglobulin (82595) $62.12 $203 9.6×
Cryopreservation; sperm (89259) $125.46 $410 0.7×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240)
range across 3 matching MRF lines
$21.11–$277.24 $69–$906 varies
Cryptosporidium ag eia (87328) $79.25 $259 5.7×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 5 matching MRF lines
$19.58–$46.82 $64–$153 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $84.46 $276 10.5×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $87.21 $285 11.3×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $126.68 $414 0.6×
Culture aerobic quant other (87071)
range across 2 matching MRF lines
$55.69–$82.01 $182–$268 varies
Culture afb (87116) $81.40 $266 7.5×
Culture Anaerobic (87075) $78.95 $258 8.3×
Culture blood (87040)
range across 2 matching MRF lines
$61.20–$114.44 $200–$374 varies
Culture csf (87070)
range across 25 matching MRF lines
$41–$97 $134–$317 varies
Culture fungus (87102) $88.74 $290 10.6×
Culture fungus blood (87103) $77.72 $254 3.8×
Culture screen only (87081)
range across 6 matching MRF lines
$30.29–$72.52 $99–$237 varies
Culture stool (87045) $50.80 $166 5.4×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $44.37 $145 8.6×
Culture urine (87086) $54.16 $177 6.7×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $33.97 $111 2.4×
Cyclosporine (80158)
range across 2 matching MRF lines
$16.22–$86.90 $53–$284 varies
Cyp2c19 gene analysis common variants (81225) $623.93 $2,039 2.1×
Cystatin C (82610) $27.23 $89 1.5×
Cytog genom-wid alys hem mal (81195) $686.66 $2,244 0.4×
Cytogenetics 10-30 (88273) $306.31 $1,001 8.8×
Cytogenetics 100-300 (88275)
range across 6 matching MRF lines
$15.61–$345.47 $51–$1,129 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229) $469.10 $1,533 0.4×
Cytogenomic neo microra alys (81277)
range across 3 matching MRF lines
$576.20–$768.06 $1,883–$2,510 varies
Cytomegalovirus igg (86644)
range across 3 matching MRF lines
$37.03–$75.89 $121–$248 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $90.88 $297 4.5×
Cytopath Cell Enhance Tech (88112) $79.87 $261 1.4×
Cytotoxic Antibody Screen Std (86807) $128.83 $421 1.6×
Cytotoxic pra quick (86808) $97 $317 3.3×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 2 matching MRF lines
$85.07–$95.17 $278–$311 varies
Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) $76.19 $249 3.3×
Cytp Concentration Smears & Interpretation (88108)
range across 2 matching MRF lines
$68.24–$84.76 $223–$277 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $78.03 $255 1.4×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $195.53 $639 1.1×
Deoxycortisol (82634) $23.87 $78 0.8×
Deoxyribonuclease antibody (86215) $18.97 $62 1.4×
Desoxycorticosterone (82633)
range across 2 matching MRF lines
$29.07–$29.99 $95–$98 varies
Detect Agent Nos Dna Amp (87798)
range across 20 matching MRF lines
$12.24–$290.70 $40–$950 varies
Detect agnt mult DNA ampli (87801)
range across 2 matching MRF lines
$73.75–$207.47 $241–$678 varies
Dgp Antibody Each Ig Class (86258)
range across 4 matching MRF lines
$7.65–$66.40 $25–$217 varies
Dhea (82626)
range across 3 matching MRF lines
$23.26–$37.94 $76–$124 varies
Dhea-S (82627)
range across 2 matching MRF lines
$24.79–$30.29 $81–$99 varies
Digoxin (80162) $39.78 $130 3.0×
Dihydrotestosterone (82642) $23.56 $77 0.8×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines
$11.32–$71.30 $37–$233 varies
Dna/Rna Amplified Probe (87150) $71.30 $233 2.0×
Dna/Rna Sequencing (87153)
range across 5 matching MRF lines
$58.14–$287.33 $190–$939 varies
Dpyd gene common variants (81232) $79.56 $260 0.5×
Drug assay acetaminophen (80143) $18.67 $61 1.0×
Drug assay adalimumab (80145) $137.39 $449 3.6×
Drug Assay Amiodarone (80151) $11.32 $37 0.6×
Drug Assay Everolimus (80169)
range across 2 matching MRF lines
$25.70–$96.70 $84–$316 varies
Drug assay felbamate (80167) $20.81 $68 1.1×
Drug Assay Infliximab (80230) $79.56 $260 2.1×
Drug Assay Itraconazole (80189) $19.89 $65 0.7×
Drug Assay Lacosamide (80235) $60.89 $199 2.2×
Drug Assay Posaconazole (80187) $44.37 $145 1.6×
Drug Assay Vedolizumab (80280) $78.64 $257 2.0×
Drug assay voriconazole (80285) $36.72 $120 1.4×
Drug Asy Hydroxychloroquine (80220) $90.58 $296 4.9×
Drug Screen Quant Clozapine (80159) $22.64 $74 1.1×
Drug Screen Quant Zonisamide (80203) $30.29 $99 2.3×
Drug Screen Quantitative Gabapentin (80171) $21.73 $71 1.0×
Drug Screen Quantitative Lamotrigine (80175) $19.58 $64 1.5×
Drug Screen Quantitative Levetiracetam (80177) $22.03 $72 1.7×
Drug Screen Quantitative Oxcarbazepine (80183) $21.42 $70 1.6×
Drug Test Prsmv Chem Anlyzr (80307)
range across 10 matching MRF lines
$22.64–$119.03 $74–$389 varies
Drug Test Prsmv Instrmnt (80306) $93.02 $304 5.4×
Egfr Gene Analysis Common Variants (81235) $334.15 $1,092 1.0×
Ehrlichia antibody (86666)
range across 2 matching MRF lines
$24.79–$44.06 $81–$144 varies
El-1 Fecal Quantitative (82653)
range across 2 matching MRF lines
$31.21–$94.25 $102–$308 varies
Electrolyte panel (80051) $51.41 $168 7.3×
Electron Microscopy (88348) $390.46 $1,276 0.5×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $29.07 $95 0.5×
Encephaltis East Eqne Anbdy (86652)
range across 2 matching MRF lines
$14.08–$15.61 $46–$51 varies
Endomysial Antibody Each Immunoglobulin Class (86231)
range across 2 matching MRF lines
$18.67–$81.09 $61–$265 varies
Enterovirus PCR (87498) $243.27 $795 6.9×
Enzyme cell activity (82657)
range across 5 matching MRF lines
$24.17–$240.21 $79–$785 varies
Enzyme histochemistry (88319)
range across 2 matching MRF lines
$100.67–$108.32 $329–$354 varies
Erythropoietin (82668) $20.20 $66 1.1×
Estradiol serum (82670)
range across 4 matching MRF lines
$7.04–$34.27 $23–$112 varies
Estriol (82677)
range across 2 matching MRF lines
$21.42–$22.34 $70–$73 varies
Estrogens fractionated (82671) $12.55 $41 0.4×
Ethosuximide (80168) $26.32 $86 1.6×
Ethylene Glycol (82693)
range across 2 matching MRF lines
$29.99–$69.16 $98–$226 varies
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines
$56.61–$60.59 $185–$198 varies
Exome Sequence Analysis (81415) $1,689.43 $5,521 0.4×
Exome sequence analysis each comparator exome (81416)
likely a partial charge, not the full procedure
$1,689.43 $5,521 0.1×
F2 Gene (81240) $288.56 $943 4.4×
Factor ii activity (85210) $108.63 $355 8.4×
Factor Inhibitor Test (85335)
range across 6 matching MRF lines
$109.55–$147.49 $358–$482 varies
Factor ix activity (85250) $99.76 $326 5.2×
Factor v activity (85220) $55.69 $182 3.2×
Factor v leiden mutation (81241) $288.56 $943 3.9×
Factor vii assay (85230) $56.92 $186 3.2×
Factor viii assay (85240) $98.53 $322 5.5×
Factor X (85260) $56 $183 3.1×
Factor xi activity (85270) $106.49 $348 5.9×
Factor xiii screen (85291) $58.75 $192 6.4×
Fat/Lipids Feces Quantitative (82710) $24.17 $79 1.4×
Fatty acids free (82725) $27.23 $89 1.5×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $85.68 $280 5.0×
Fecal Fat Qualitative (82705) $82.31 $269 16.1×
Ferritin (82728)
range across 2 matching MRF lines
$29.07–$90.27 $95–$295 varies
Fetal Congenital Abnor Assay Four Anal (81511) $35.50 $116 0.2×
Fetal Fibronectin (82731) $144.74 $473 2.2×
Fetal screen rosette (85461) $111.69 $365 11.9×
Fibrin Degradation Quant (85379) $63.65 $208 6.3×
Fibrinogen activity (85384) $23.26 $76 2.4×
Flecainide level (80181) $22.34 $73 1.2×
Flow cytometry first marker (88184)
range across 9 matching MRF lines
$29.07–$119.95 $95–$392 varies
Flt3 Gene (81245) $705.94 $2,307 4.3×
Fluorescent antibody screen (86255)
range across 34 matching MRF lines
$15.91–$220.63 $52–$721 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 16 matching MRF lines
$14.99–$104.65 $49–$342 varies
Fmr1 gene detection (81243) $845.48 $2,763 14.8×
Folic Acid Serum (82746) $31.82 $104 2.2×
Follicle Stimulating Hormone (83001)
range across 2 matching MRF lines
$12.85–$14.38 $42–$47 varies
Frozen Section (88331) $96.08 $314 0.5×
Fungi Identification Mold (87107)
range across 5 matching MRF lines
$26.93–$58.45 $88–$191 varies
Fungi Identification Yeast (87106) $53.86 $176 5.2×
Galactose (82760) $14.38 $47 1.3×
Galactose transferase test (82776) $13.46 $44 1.1×
Gammaglobulin ige (82785) $53.24 $174 3.2×
Gases blood ph only (82800) $14.38 $47 1.3×
Gastrin (82941) $20.50 $67 1.2×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $669.53 $2,188 1.6×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)
range across 3 matching MRF lines
$312.43–$1,136.18 $1,021–$3,713 varies
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455)
range across 14 matching MRF lines
$185.13–$1,306.01 $605–$4,268 varies
Genetic Tstg Severe Inh Cond (81443)
range across 3 matching MRF lines
$376.69–$865.37 $1,231–$2,828 varies
Gentamicin (80170) $65.48 $214 4.0×
Ggt (82977)
range across 2 matching MRF lines
$12.85–$18.67 $42–$61 varies
Giardia antigen (87329) $48.96 $160 4.1×
Gluc-6-phosphate dehydrogenase screen (82960) $120.56 $394 19.9×
Glucagon (82943) $31.82 $104 2.2×
Glucose 2 hr pp (82950) $12.85 $42 2.7×
Glucose Blood Test (82962)
range across 2 matching MRF lines
$11.32–$14.08 $37–$46 varies
Glucose body fluid (82945)
range across 4 matching MRF lines
$56–$72.52 $183–$237 varies
Glucose Serum (82947) $14.08 $46 3.6×
Glucose tolerance test (gtt) (82951) $27.23 $89 2.1×
Glucosidase beta (82963) $188.19 $615 8.8×
Glycated Protein (82985) $24.17 $79 1.4×
Growth hormone (83003) $34.88 $114 2.1×
Gtt-added samples (82952) $12.85 $42 3.3×
H pylri clrthmcn rst amp prb (87513) $253.98 $830 7.2×
Haloperidol (80173) $32.44 $106 2.1×
Haptoglobin (83010)
range across 2 matching MRF lines
$18.67–$40.09 $61–$131 varies
Hba1/hba2 full gene sequence (81259) $185.74 $607 0.3×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $201.96 $660 1.0×
Hbb Full Gene Sequence (81364) $185.74 $607 0.6×
Hdl Cholesterol (83718) $17.75 $58 2.2×
Helicobacter Pylori Stool (87338) $86.29 $282 6.0×
Helminth Antibody (86682)
range across 3 matching MRF lines
$30.91–$56.61 $101–$185 varies
Hematocrit (85014) $16.22 $53 6.8×
Hemoglobin (85018) $16.22 $53 6.8×
Hemoglobin a1c (83036) $20.81 $68 2.1×
Hemoglobin Chromotography (83021)
range across 2 matching MRF lines
$9.18–$119.34 $30–$390 varies
Hemoglobin electrophoresis (83020)
range across 5 matching MRF lines
$6.43–$372.40 $21–$1,217 varies
Hemoglobin Methemoglobin Quantitative (83050) $32.13 $105 3.9×
Hemoglobin plasma (83051) $26.62 $87 3.6×
Hemoglobin stability screen (83068) $24.79 $81 2.6×
Hemoglobin-Oxygen Affinity (82820) $42.84 $140 3.2×
Hemosiderin urine (83070) $26.01 $85 5.5×
Hep a ab igm (86709) $59.67 $195 5.3×
Heparin assay (85520)
range across 2 matching MRF lines
$56.61–$94.86 $185–$310 varies
Hepatitis a antibody total (86708) $21.42 $70 1.7×
Hepatitis b core ab igm (86705) $63.65 $208 5.4×
Hepatitis b core ab total (86704)
range across 3 matching MRF lines
$25.70–$75.89 $84–$248 varies
Hepatitis B Surface Antibody (86706) $22.95 $75 2.1×
Hepatitis B Surface Antigen (87340)
range across 3 matching MRF lines
$21.73–$75.89 $71–$248 varies
Hepatitis Be Antibody (86707) $19.58 $64 1.7×
Hepatitis Be Antigen (87350) $19.58 $64 1.7×
Hepatitis C Antibody (86803)
range across 3 matching MRF lines
$30.29–$75.89 $99–$248 varies
Hepatitis C Genotype (87902)
range across 9 matching MRF lines
$57.83–$420.44 $189–$1,374 varies
Hepatitis C Probe&Rvrs Trnsc (87521)
range across 3 matching MRF lines
$37.03–$123.62 $121–$404 varies
Hepatitis C Revrs Trnscrpj (87522) $104.35 $341 2.4×
Hepatitis Delta Agent Antibody (86692) $76.81 $251 4.5×
Hereditary brst ca-related gen seq analys 10 gen (81432)
range across 5 matching MRF lines
$185.13–$410.35 $605–$1,341 varies
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) $185.13 $605 0.1×
Heredtry Nurondcrn Tum Dsrdr (81437) $185.13 $605 0.1×
Herpes simplex type 2 (86696) $50.49 $165 2.6×
Heterophile Antibody Screen (86308) $49.88 $163 9.6×
Hexa gene analysis common variants (81255) $119.95 $392 2.3×
Hfe Gene (81256) $266.22 $870 4.1×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $444.01 $1,451 57.4×
Histamine urine (83088)
range across 2 matching MRF lines
$61.81–$96.39 $202–$315 varies
Histoplasma antibody (86698) $8.26 $27 0.6×
Histoplasma antigen urine (87385) $119.34 $390 9.0×
Hiv Genotype (87901) $180.85 $591 0.7×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines
$13.77–$48.65 $45–$159 varies
Hiv-1 Antibody (86701)
range across 4 matching MRF lines
$27.54–$154.53 $90–$505 varies
Hiv-1 Quant&Revrse Trnscrpj (87536) $97.92 $320 1.2×
Hla class i semiquant panel (86834) $824.67 $2,695 2.3×
Hla Class I Typing High Resolution Complete (81379) $758.27 $2,478 2.3×
Hla Class I Typing High Resolution One Locus Ea (81380)
range across 4 matching MRF lines
$85.07–$273.26 $278–$893 varies
Hla Class I Typing Low Resolution Complete (81372) $499.39 $1,632 1.2×
Hla Class I Typing Low Resolution One Locus Each (81373)
range across 5 matching MRF lines
$51.41–$357.10 $168–$1,167 varies
Hla class i&ii antibody qual (86828) $126.68 $414 2.0×
Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) $908.82 $2,970 2.3×
Hla class ii high defin qual (86833) $150.86 $493 0.5×
Hla class ii typing high resolution one locus ea (81382)
range across 3 matching MRF lines
$109.24–$330.48 $357–$1,080 varies
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $119.03 $389 1.1×
Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) $38.86 $127 1.1×
Hla I Low Resolution One Antigen Equivalent Each (81374) $233.17 $762 3.1×
Hla I Typing 1 Allele Hr (81381)
range across 2 matching MRF lines
$175.34–$201.35 $573–$658 varies
Hla i&ii high resolution hla-a -b -c and -drb1 (81378)
range across 2 matching MRF lines
$369.95–$399.64 $1,209–$1,306 varies
Hla i&li low resolution hla-a -b&-drb1 (81371) $350.06 $1,144 0.9×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375)
range across 3 matching MRF lines
$85.37–$320.99 $279–$1,049 varies
Hla ii typing 1 allele hr (81383) $161.87 $529 1.5×
Hla ii typing 1 locus lr (81376)
range across 4 matching MRF lines
$42.23–$391.68 $138–$1,280 varies
Hla Typing a/B/C Multiple Antigens (86813) $212.98 $696 3.7×
Hla Typing Dr/Dq Multiple Antigens (86817) $209.61 $685 2.0×
Hla-b27 (86812)
range across 2 matching MRF lines
$67.63–$84.46 $221–$276 varies
Homocysteine (83090) $55.08 $180 3.1×
Homogenization Tissue (87176)
range across 2 matching MRF lines
$7.34–$65.18 $24–$213 varies
Homovanillic acid urine (83150)
range across 2 matching MRF lines
$23.56–$39.17 $77–$128 varies
Hpv High-Risk Types (87624) $328.03 $1,072 9.3×
Hpv sep hi-rsk typ&pool rslt (87626) $89.66 $293 1.3×
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines
$11.32–$97.61 $37–$319 varies
Hsv Dna Quant (87530) $130.97 $428 3.1×
Htlv-I Antibody (86687)
range across 2 matching MRF lines
$37.03–$75.89 $121–$248 varies
Htlv-ii antibody (86688)
range across 2 matching MRF lines
$37.03–$75.89 $121–$248 varies
Hydroxyprogesterone 17-d (83498)
range across 4 matching MRF lines
$20.20–$56 $66–$183 varies
Iaad Ia Entamoeba Histolytica Grp (87337) $68.54 $224 5.7×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $81.40 $266 7.9×
Iaad ia shiga-like toxin (87427) $80.48 $263 6.7×
Iaad Ia Streptococcus Group A (87430) $49.88 $163 3.0×
Iaadi Varicella Zoster Virus (87290) $63.65 $208 4.7×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $40.09 $131 1.1×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $45.29 $148 1.3×
Iadna Candida Species Amplified Probe Tq (87481) $26.93 $88 0.8×
Iadna chlamydia pneumoniae amplified probe tq (87486) $18.67 $61 0.5×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 2 matching MRF lines
$37.64–$110.16 $123–$360 varies
Iadna Cytomegalovirus Quantification (87497) $133.72 $437 3.1×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $40.09 $131 1.1×
Iadna hepatitis b virus amplified probe tq (87516) $123.62 $404 3.5×
Iadna Hepatitis B Virus Quantification (87517) $165.24 $540 3.9×
Iadna Herpes Virus-6 Quantification (87533) $156.98 $513 3.8×
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 5 matching MRF lines
$37.03–$123.62 $121–$404 varies
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 2 matching MRF lines
$68.54–$87.82 $224–$287 varies
Iadna mycoplsm pneumoniae amplified probe tq (87581) $18.67 $61 0.5×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 3 matching MRF lines
$12.85–$43.45 $42–$142 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $31.21 $102 0.6×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $86.29 $282 0.6×
Ig Light Chains Free Each (83521) $79.56 $260 4.6×
Igg subclasses (82787)
range across 2 matching MRF lines
$39.47–$45.90 $129–$150 varies
Igh gene rearrange amp meth (81261)
range across 2 matching MRF lines
$685.13–$688.19 $2,239–$2,249 varies
Igh@ Variable Region Somatic Mutation Analysis (81263)
range across 2 matching MRF lines
$312.12–$937.89 $1,020–$3,065 varies
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $80.78 $264 0.2×
Immune Complex Assay (86332)
range across 2 matching MRF lines
$22.34–$140.76 $73–$460 varies
Immunfix e-phorsis/urine/csf (86335)
range across 2 matching MRF lines
$43.76–$120.26 $143–$393 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 8 matching MRF lines
$30.60–$133.42 $100–$436 varies
Immunoassay infectious agent (86318) $64.57 $211 3.6×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 4 matching MRF lines
$24.17–$104.96 $79–$343 varies
Immunoassay nonantibody (83516)
range across 22 matching MRF lines
$7.65–$138.01 $25–$451 varies
Immunodiffusion Ouchterlony (86331)
range across 2 matching MRF lines
$24.79–$41 $81–$134 varies
Immunofixation electrophoresis (86334) $85.07 $278 3.8×
Immunofluorescence per spec 1st singl antb stain (88346)
range across 4 matching MRF lines
$31.82–$117.20 $104–$383 varies
Immunohistochemistry (88342)
range across 3 matching MRF lines
$39.17–$100.06 $128–$327 varies
In situ hybridization 1st probe stain (88365) $100.98 $330 0.6×
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) $50.18 $164 4.1×
Influenza DNA amp probe (87502) $85.68 $280 0.9×
Inhibin A (86336)
range across 2 matching MRF lines
$19.28–$24.48 $63–$80 varies
Inhibin b (83520)
range across 32 matching MRF lines
$17.14–$109.24 $56–$357 varies
Insitu hybridization manual (88368) $301.10 $984 0.8×
Insulin antibodies (86337)
range across 5 matching MRF lines
$11.93–$24.79 $39–$81 varies
Insulin total (83525) $29.99 $98 2.6×
Interleukin-6 (83529) $73.13 $239 4.2×
Intrinsic factor antibody (86340) $21.42 $70 1.4×
Iron (83540)
range across 2 matching MRF lines
$12.85–$36.11 $42–$118 varies
Iron Binding Capacity (83550) $19.28 $63 2.2×
Islet cell antibody (86341)
range across 19 matching MRF lines
$13.16–$71.30 $43–$233 varies
Jak2 gene analysis p.val617phe variant (81270) $151.78 $496 1.7×
Jak2 Gene Trgt Sequence Alys (81279)
range across 2 matching MRF lines
$186.05–$557.84 $608–$1,823 varies
Kit Gene Analysis D816 Variant(S) (81273)
range across 2 matching MRF lines
$471.85–$531.22 $1,542–$1,736 varies
Kras Gene Variants Exon 2 (81275) $227.05 $742 1.2×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$12.85–$60.59 $42–$198 varies
Lactoferrin fecal qualitative (83630) $87.82 $287 4.5×
LDL direct (83721) $22.64 $74 2.2×
Lead (83655)
range across 4 matching MRF lines
$15.61–$18.67 $51–$61 varies
Legionella antigen urine (87449)
range across 6 matching MRF lines
$43.45–$92.41 $142–$302 varies
Leptospira antibody (86720) $45.29 $148 2.8×
Leukocyte Histamine Release (86343) $37.94 $124 3.0×
Level I Surg Pathology Gross Examination Only (88300) $51.71 $169 1.7×
Level ii surg pathology gross&microscopic exam (88302) $57.53 $188 1.4×
Level V Surg Pathology Gross&Microscopic Exam (88307) $137.39 $449 0.4×
Lipase (83690) $14.69 $48 2.1×
Lipoprotein A (83695)
range across 2 matching MRF lines
$10.40–$19.58 $34–$64 varies
Lithium (80178) $32.13 $105 4.9×
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines
$12.85–$22.64 $42–$74 varies
Lyme disease antibody (86618)
range across 4 matching MRF lines
$29.07–$79.25 $95–$259 varies
Lymphocyte Culture Mixed (86821) $1,632.51 $5,335 44.7×
Lymphocyte transformation (86353)
range across 4 matching MRF lines
$28.76–$290.70 $94–$950 varies
Lymphocytotoxicity Assay (86805) $174.73 $571 0.9×
Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) $155.14 $507 3.3×
Lysozyme serum (85549) $21.11 $69 1.1×
M. Genitalium Amp Probe (87563) $59.98 $196 1.7×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $303.55 $992 1.7×
Macroscopic exam arthropod (87168) $59.98 $196 14.0×
Macroscopic Exam Parasite (87169) $41.62 $136 9.7×
Magnesium Urine (83735)
range across 5 matching MRF lines
$7.04–$60.59 $23–$198 varies
Mass Spectrometry Quant (83789)
range across 3 matching MRF lines
$17.14–$85.07 $56–$278 varies
MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) $141.37 $462 1.2×
Mercury urine (83825)
range across 3 matching MRF lines
$16.22–$22.03 $53–$72 varies
Metabolic panel ionized ca (80047) $64.87 $212 4.7×
Methotrexate (80204) $81.40 $266 2.1×
Methylmalonic acid serum (83921)
range across 4 matching MRF lines
$15.61–$74.36 $51–$243 varies
Mgmt methylation analysis (81287)
range across 3 matching MRF lines
$305.69–$934.52 $999–$3,054 varies
Microalbumin, quantitative (82043) $64.87 $212 11.2×
Microbe Suscept Macrobroth (87188)
range across 3 matching MRF lines
$50.49–$151.16 $165–$494 varies
Microsatellite instability (81301) $227.05 $742 0.7×
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$18.97–$49.88 $62–$163 varies
Mitochondrial Antibody Each (86381)
range across 2 matching MRF lines
$7.96–$36.72 $26–$120 varies
Mlh1 Gene (81288) $889.54 $2,907 4.6×
Mog-Igg1 Antb Flo Cytmtry Ea (86363)
range across 5 matching MRF lines
$41.62–$273.26 $136–$893 varies
Molecular Cytogenetics Dna Probe Each (88271)
range across 27 matching MRF lines
$10.40–$381.89 $34–$1,248 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274)
range across 2 matching MRF lines
$15.61–$87.52 $51–$286 varies
Molecular Pathology Procedure Level 3 (81402) $1,192.48 $3,897 7.9×
Mononuclear cell antigen (86356)
range across 3 matching MRF lines
$12.85–$70.69 $42–$231 varies
Mopath procedure level 2 (81401)
range across 3 matching MRF lines
$116.89–$257.65 $382–$842 varies
Mopath procedure level 5 (81404)
range across 3 matching MRF lines
$142.90–$450.13 $467–$1,471 varies
Mopath procedure level 7 (81406) $331.40 $1,083 1.2×
Mopath procedure level 8 (81407) $331.40 $1,083 0.4×
Morphometric analysis nerve (88356) $313.04 $1,023 5.6×
Mpl gene analysis sequence analysis exon 10 (81339)
range across 2 matching MRF lines
$186.05–$387.09 $608–$1,265 varies
Mrsa Pcr (87641) $164.32 $537 4.7×
Mthfr Gene Analysis Common Variants (81291)
range across 2 matching MRF lines
$165.24–$294.37 $540–$962 varies
Mucopolysaccharides acid quantitative (83864) $35.50 $116 1.2×
Mumps antibody (86735) $47.74 $156 3.7×
Muscle-Specific Kinase Antb (86366) $208.08 $680 11.3×
Mycobacteric Identification (87118)
range across 4 matching MRF lines
$41.92–$90.58 $137–$296 varies
Mycophenolic Acid (80180) $33.97 $111 1.9×
Mycoplasma antibody (86738)
range across 3 matching MRF lines
$18.36–$30.60 $60–$100 varies
Myelin basic protein csf (83873) $24.79 $81 1.4×
Myoglobin urine (83874) $16.52 $54 1.3×
Natriuretic peptide (83880)
range across 2 matching MRF lines
$44.37–$46.51 $145–$152 varies
Neutralization Test Viral (86382)
range across 2 matching MRF lines
$49.57–$72.52 $162–$237 varies
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $58.45 $191 0.4×
Nfct ds chrnc hcv 6 assays (81596) $85.99 $281 1.2×
Nk cells total count (86357)
range across 2 matching MRF lines
$18.05–$104.04 $59–$340 varies
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $182.07 $595 0.7×
Nras gene variants exon 2&3 (81311) $165.85 $542 0.6×
Nuclear antigen antibody (86235)
range across 16 matching MRF lines
$8.87–$27.54 $29–$90 varies
Occult blood feces (82272) $16.52 $54 3.9×
Occult Blood Other Sources (82271) $76.50 $250 14.4×
Oligoclonal bands (83916) $22.03 $72 0.8×
Organic Acids Qualitative Each Specimen (83919) $26.62 $87 1.6×
Osmolality serum (83930) $44.06 $144 6.7×
Osmolality Urine (83935) $44.06 $144 6.5×
Osteocalcin (83937) $23.56 $77 0.8×
Oxalate urine (83945) $21.11 $69 1.5×
Parvovirus antibody (86747) $18.05 $59 1.2×
Path Consltj Surg Cytologic Exam Initial Site (88333) $114.75 $375 0.1×
Ph urine (81003)
range across 2 matching MRF lines
$35.19–$37.03 $115–$121 varies
Phenobarbital Level (80184)
range across 2 matching MRF lines
$20.20–$26.01 $66–$85 varies
Phenytoin (Dilantin) (80185) $23.26 $76 1.8×
Phenytoin free (80186) $28.15 $92 2.0×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$3.67–$12.85 $12–$42 varies
Phosphorus Serum (84100)
range across 2 matching MRF lines
$12.85–$41.92 $42–$137 varies
Phosphorus urine (84105) $60.59 $198 10.5×
Pinworm exam (87172) $48.65 $159 11.4×
Platelet Aggregation (85576)
range across 8 matching MRF lines
$56.61–$276.32 $185–$903 varies
Platelet Antibodies (86022)
range across 7 matching MRF lines
$87.52–$590.27 $286–$1,929 varies
Platelet count automated (85049) $26.01 $85 5.8×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $276.32 $903 1.3×
Pneumcysts jirovecii amp prb (87594) $67.01 $219 1.9×
Porphobilinogen, urine; quantitative (84110) $18.97 $62 2.2×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines
$22.03–$26.32 $72–$86 varies
Potassium Urine (84133) $60.28 $197 12.7×
Prealbumin (84134) $25.09 $82 1.7×
Pregnancy-Associated Plasma Protein-A (84163) $18.97 $62 1.3×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970)
range across 3 matching MRF lines
$114.75–$330.17 $375–$1,079 varies
Pretx serum rbc antibody identification dilution (86976) $85.99 $281 2.8×
Primidone (80188) $19.58 $64 1.2×
Progesterone (84144)
range across 2 matching MRF lines
$25.70–$27.85 $84–$91 varies
Prolactin (84146)
range across 2 matching MRF lines
$16.52–$40.70 $54–$133 varies
Prostaglandin (84150) $28.76 $94 0.7×
Protein body fluid (84157)
range across 4 matching MRF lines
$59.67–$72.52 $195–$237 varies
Protein C Activity (85303) $104.96 $343 7.6×
Protein Electrophoresis Urine (84166)
range across 2 matching MRF lines
$85.99–$87.52 $281–$286 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $69.77 $228 6.5×
Protein S Free (85306)
range across 2 matching MRF lines
$22.03–$56.61 $72–$185 varies
Protein s total (85305) $21.11 $69 1.8×
Protein total serum (84155) $12.85 $42 3.5×
Protein Total Urine (84156)
range across 2 matching MRF lines
$59.36–$63.95 $194–$209 varies
Protein Western Blot Test (84182)
range across 10 matching MRF lines
$38.56–$129.44 $126–$423 varies
PSA free (84154)
range across 2 matching MRF lines
$23.87–$64.26 $78–$210 varies
Pten Gene Analysis Full Sequence Analysis (81321) $319.46 $1,044 0.5×
Pth Intact (83970)
range across 3 matching MRF lines
$21.11–$52.94 $69–$173 varies
Q Fever Antibody (86638) $24.79 $81 2.0×
Quantiferon tb gold plus (86480) $130.66 $427 2.1×
Quantitative Screen Metals (83018) $26.01 $85 1.2×
Quinidine (80194) $21.73 $71 1.5×
Rbc antibody elution (86860) $423.81 $1,385 2.3×
Rbc antibody identification (86870)
range across 4 matching MRF lines
$352.82–$376.99 $1,153–$1,232 varies
Rbc antibody screen (86850)
range across 3 matching MRF lines
$60.28–$119.65 $197–$391 varies
Rbc pretreatment serum (86978) $113.83 $372 1.8×
Reagent Strip/Blood Glucose (82948) $14.99 $49 3.0×
Renin activity plasma (84244)
range across 2 matching MRF lines
$21.42–$26.32 $70–$86 varies
Resp virus 12-25 targets (87633) $152.39 $498 0.4×
Reticulated Platelet Assay (85055) $4.90 $16 0.1×
Reticulocyte Count (85046) $21.73 $71 3.9×
Rh (86901)
range across 2 matching MRF lines
$66.71–$73.44 $218–$240 varies
Rheumatoid factor quant (86431) $12.85 $42 2.3×
Rickettsia antibody (86757) $21.73 $71 1.1×
Ristocetin cofactor (85245) $93.94 $307 4.1×
Rotavirus ag eia (87425) $82.93 $271 6.9×
Rpr qualitative (86592)
range across 3 matching MRF lines
$15.61–$75.89 $51–$248 varies
Rubella Antibody (86762) $30.60 $100 2.1×
Rubeola antibody (86765)
range across 2 matching MRF lines
$12.55–$42.53 $41–$139 varies
Rufinamide (80210) $33.66 $110 1.2×
Russell Viper Venom Time Diluted (85613) $91.80 $300 9.6×
Rx metab gen seq alys pnl 6 (81418)
range across 2 matching MRF lines
$235.93–$247.86 $771–$810 varies
Salicylate Level (80179) $19.89 $65 1.1×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 11 matching MRF lines
$19.28–$311 $63–$476 varies
Sars-cov-2 COVID-19 antibody (86769)
range across 4 matching MRF lines
$52.02–$79 $79–$170 varies
Sarscov2 & inf a&b amp prb (87636) $239 $239 1.7×
Sarscov2&inf a&b&rsv amp prb (87637) $83.84 $274 0.6×
Sedimentation Rate, Automated (85652) $32.44 $106 12.0×
Selenium (84255) $23.26 $76 0.9×
Semen Anal Sperm Detection (89321) $59.36 $194 4.9×
Semen analysis complete (89322) $65.79 $215 4.2×
Semen analysis motility and count (89310) $27.54 $90 3.2×
Sensitivity mic (87186)
range across 15 matching MRF lines
$31.21–$109.55 $102–$358 varies
Serpina 1 gene (81332) $300.80 $983 6.9×
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines
$18.05–$24.48 $59–$80 varies
Sickling of rbc reduction (85660)
range across 2 matching MRF lines
$23.56–$61.20 $77–$200 varies
Sirolimus (80195)
range across 2 matching MRF lines
$11.02–$89.35 $36–$292 varies
Smear acid fast (87206) $68.24 $223 12.7×
Smear complex stain (87209) $79.87 $261 4.4×
Smear gram stain (87205)
range across 2 matching MRF lines
$52.63–$53.86 $172–$176 varies
Smear Special Stain (87207)
range across 2 matching MRF lines
$22.34–$56.92 $73–$186 varies
Smn1 Gene Dos/Deletion Alys (81329) $423.50 $1,384 3.1×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$27.23–$46.82 $89–$153 varies
So neo gsap cl fr DNA/DNA&RNA cpy nmbr mcrst ins (81464) $685.75 $2,241 0.2×
So neo gsap DNA mcrstl ins (81457) $1,477.37 $4,828 1.6×
So neo gsap DNA/DNA&RNA (81459) $720.02 $2,353 0.2×
Sodium Serum (84295) $12.85 $42 2.7×
Sodium Urine (84300) $60.28 $197 11.9×
Soluble Transferrin Receptor (84238) $34.88 $114 1.0×
Somatomedin (84305)
range across 2 matching MRF lines
$9.79–$21.42 $32–$70 varies
Special Stains Group 1 (88312) $75.58 $247 1.4×
Special Stains Group 2 (88313)
range across 4 matching MRF lines
$57.83–$100.06 $189–$327 varies
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$23.56–$68.24 $77–$223 varies
Spectrophotometry (84311) $31.82 $104 3.9×
Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331) $65.79 $215 3.4×
Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) $33.35 $109 0.6×
Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) $130.05 $425 2.3×
Stem cells total count (86367) $266.83 $872 3.4×
Stool cultr aerobic bact ea (87046) $58.45 $191 6.2×
Storage per Year Embryo (89342) $153 $500 0.8×
Storage per year sperm/semen (89343) $123.93 $405 0.7×
Strep a assay w/optic (87880) $31.52 $103 1.9×
Strep a DNA amp probe (87651) $47.43 $155 1.4×
Strep b DNA amp probe (87653) $35.50 $116 1.0×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $26.93 $88 0.3×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $168.61 $551 30.7×
Sugars Single Qual (84376) $29.68 $97 5.4×
Sulfate urine (84392) $36.41 $119 6.6×
Surg path level iii (88304) $91.80 $300 1.6×
Surgical pathology level IV (88305) $94.86 $310 1.7×
Surgical pathology level vi (88309) $287.03 $938 0.3×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 3 matching MRF lines
$17.44–$55.39 $57–$181 varies
Susceptibility Study Antimicrobial Disk Method (87184) $49.88 $163 6.7×
Syphilis Test Non-Trep Quant (86593)
range across 2 matching MRF lines
$26.01–$27.54 $85–$90 varies
T cells absolute cd4 count (86361) $103.73 $339 3.9×
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 2 matching MRF lines
$22.34–$101.90 $73–$333 varies
T cells total count (86359)
range across 4 matching MRF lines
$18.05–$132.19 $59–$432 varies
T3 Free (84481) $12.85 $42 0.8×
T3 reverse (84482) $23.87 $78 1.5×
T3 Total (84480) $30.29 $99 2.1×
T3 Uptake (84479) $41 $134 6.3×
T4 Free (84439)
range across 3 matching MRF lines
$15.91–$39.17 $52–$128 varies
T4 total (84436) $12.85 $42 1.9×
Tacrolimus (80197) $64.87 $212 4.7×
Testosterone total (84403)
range across 5 matching MRF lines
$21.42–$56.61 $70–$185 varies
Testosterone, Free (84402)
range across 2 matching MRF lines
$18.67–$21.11 $61–$69 varies
Tgsap so/hl 51/< RNA alys (81456) $1,056.01 $3,451 0.4×
Theophylline (80198) $77.11 $252 5.5×
Thiopurine methyltransferase (84433) $70.38 $230 3.2×
Thrombin Time (85670) $21.42 $70 3.7×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 2 matching MRF lines
$82.93–$108.02 $271–$353 varies
Thyroglobulin (84432)
range across 3 matching MRF lines
$23.87–$48.35 $78–$158 varies
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines
$8.87–$47.43 $29–$155 varies
Thyroid Stimulating Immunoglobulin (84445) $37.94 $124 0.7×
Thyroxine binding globulin (84442) $24.48 $80 1.7×
Tiss cul neo disorders solid tumor (88239)
range across 2 matching MRF lines
$111.38–$512.24 $364–$1,674 varies
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 3 matching MRF lines
$7.04–$66.40 $23–$217 varies
Tissue Culture (88233)
range across 3 matching MRF lines
$226.44–$308.75 $740–$1,009 varies
Tissue Culture Amniotic Fluid (88235)
range across 2 matching MRF lines
$427.18–$464.81 $1,396–$1,519 varies
Tissue culture bone marrow (88237)
range across 3 matching MRF lines
$97.92–$277.85 $320–$908 varies
Tissue Culture Lymphocyte (88230)
range across 2 matching MRF lines
$89.05–$288.56 $291–$943 varies
Tobramycin peak (80200) $36.11 $118 2.2×
Topiramate (80201) $24.17 $79 2.0×
Touch prep (88161) $63.95 $209 2.1×
Toxoplasma ab igm (86778) $50.80 $166 3.5×
Toxoplasma antibody (86777) $48.35 $158 3.4×
Tp53 gene analysis targeted sequence analysis (81352) $221.24 $723 0.7×
Tpmt gene com variants (81335) $141.98 $464 0.8×
Transferase Aspartate Amino Ast Sgot (84450) $12.85 $42 2.5×
Trb@ Rearrangement Anal Amplification Method (81340)
range across 2 matching MRF lines
$264.08–$573.14 $863–$1,873 varies
Trg gene rearrangement anal (81342)
range across 2 matching MRF lines
$264.08–$560.59 $863–$1,832 varies
Trichomonas Vaginalis Amplif (87661)
range across 2 matching MRF lines
$14.08–$42.23 $46–$138 varies
Triglycerides (84478) $16.83 $55 2.9×
Troponin Quant (84484)
range across 2 matching MRF lines
$27.23–$118.12 $89–$386 varies
Tumor Immunohistochem/Manual (88360)
range across 2 matching MRF lines
$92.72–$130.05 $303–$425 varies
Ugt1a1 gene analysis common variants (81350) $618.12 $2,020 2.6×
Urea nitrogen urine (84540) $60.28 $197 10.8×
Uric acid other source (84560) $60.59 $198 11.9×
Urinalysis Volume Measure (81050) $9.18 $30 2.5×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$25.70–$94.25 $84–$308 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $50.18 $164 15.8×
Valproic acid (80164) $18.97 $62 1.4×
Vancomycin (80202) $25.40 $83 1.9×
Varicella-zoster antibody (86787) $47.74 $156 3.7×
Very Long Chain Fatty Acids (82726) $33.05 $108 1.7×
Virus antibody nos (86790)
range across 4 matching MRF lines
$13.16–$41 $43–$134 varies
Viscosity serum (85810) $220.01 $719 18.9×
Vit D 1 25-Dihydroxy (82652)
range across 3 matching MRF lines
$9.18–$26.62 $30–$87 varies
Vitamin A (84590) $21.42 $70 1.8×
Vitamin b-12 (82607) $31.82 $104 2.1×
Vitamin B2 (Riboflavin) (84252) $29.99 $98 1.5×
Vitamin B6 (84207)
range across 2 matching MRF lines
$24.48–$91.49 $80–$299 varies
Vitamin c (82180) $24.79 $81 2.5×
Vitamin D 25-Hydroxy (82306) $62.73 $205 2.1×
Vitamin E (84446) $21.42 $70 1.5×
Vitamin K (84597) $51.10 $167 3.7×
Voltage-Gated Calcium Channel Antibody Each (86596)
range across 3 matching MRF lines
$19.28–$143.21 $63–$468 varies
Von willebrand factor ag (85246) $82.62 $270 3.6×
West nile virus ab igm (86788)
range across 3 matching MRF lines
$11.02–$75.89 $36–$248 varies
West Nile Virus Antibody (86789) $9.49 $31 0.7×
Western Blot Test (84181)
range across 2 matching MRF lines
$56.30–$84.46 $184–$276 varies
Zinc (84630) $19.58 $64 1.7×

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.