Lab & pathology prices at Melissa Memorial Hospital
Holyoke, CO · every code in this section with a posted price and a Medicare benchmark.
570 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | $90.40 | $113 | 4.9× |
| Acetylcholine receptor blocking antibody (86042) | $162.40 | $203 | 8.8× |
| Acetylcholn Rcptr Modlg Antb (86043) | $162.40 | $203 | 13.5× |
| Acth (82024) | $202.40 | $253 | 5.2× |
| Acute hepatitis panel (80074) | $264 | $330 | 5.5× |
| Agglutinins Febrile Each Antigen (86000) | $20.80 | $26 | 3.0× |
| Albumin Fluid (82042) | $12 | $15 | 1.5× |
| Albumin serum (82040) | $41.60 | $52 | 8.4× |
| Aldolase (82085) | $86.40 | $108 | 8.9× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$112.80–$262.40 | $141–$328 | varies |
| Alkaline phosphatase isoenzymes (84080) | $20 | $25 | 1.4× |
| Allergen specific ige (86003) range across 29 matching MRF lines |
$11.31–$214.95 | $14.14–$268.69 | varies |
| Allergen specific igg (86001) range across 6 matching MRF lines |
$59.26–$218.40 | $74.08–$273 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $115.20 | $144 | 8.0× |
| Alpha-1-antitrypsin total (82103) | $133.60 | $167 | 9.9× |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$28–$97.60 | $35–$122 | varies |
| Alt (sgpt) (84460) | $41.60 | $52 | 7.8× |
| Amikacin trough (80150) | $110.40 | $138 | 7.3× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $318.40 | $398 | 13.9× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $212 | $265 | 12.6× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $70.40 | $88 | 5.1× |
| Amino Acids Quant 2-5 (82136) | $241.60 | $302 | 12.3× |
| Aminolevulinic acid (ala) (82135) | $327.20 | $409 | 19.9× |
| Ammonia (82140) | $114.40 | $143 | 7.9× |
| Amylase urine (82150) | $98.40 | $123 | 15.2× |
| Ana Titer (86039) | $82.40 | $103 | 7.4× |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$42–$52.80 | $52.50–$66 | varies |
| Androstenedione (82157) | $132 | $165 | 4.5× |
| Angiotensin converting enzyme csf (82164) | $119.20 | $149 | 8.2× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$147.20–$231.20 | $184–$289 | varies |
| Antibody aspergillus (86606) | $130.40 | $163 | 8.7× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $85.60 | $107 | 6.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $140.80 | $176 | 9.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $119.20 | $149 | 7.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $52.80 | $66 | 4.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $63.20 | $79 | 4.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $72.80 | $91 | 4.0× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$75.26–$242.40 | $94.08–$303 | varies |
| Antibody haemophilus influenza (86684) | $89.60 | $112 | 5.7× |
| Antibody helicobacter pylori (86677) | $95.20 | $119 | 5.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$72–$84.80 | $90–$106 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$32–$147.20 | $40–$184 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $82.40 | $103 | 6.0× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $188.80 | $236 | 9.8× |
| Antibody identification leukocyte antibodies (86021) range across 4 matching MRF lines |
$51.60–$150.40 | $64.50–$188 | varies |
| Antibody john cunningham virus (86711) | $1,635.60 | $2,044.50 | 96.8× |
| Antibody Protozoa Nes (86753) | $196.80 | $246 | 15.9× |
| Antibody Titer (86886) | $104.80 | $131 | 20.2× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$13.79–$84 | $17.24–$105 | varies |
| Antibody; influenza virus (86710) | $54.40 | $68 | 4.0× |
| Antigen typing (86905) | $130.40 | $163 | 34.0× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $111.20 | $139 | 19.4× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$89.60–$105.60 | $112–$132 | varies |
| Antistreptolysin O Screen (86063) | $60 | $75 | 10.4× |
| Antistreptolysin o titer (86060) | $88.80 | $111 | 12.2× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$155.20–$159.20 | $194–$199 | varies |
| Antithrombin iii antigen (85301) | $76 | $95 | 7.0× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$108–$134.40 | $135–$168 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$120–$224 | $150–$280 | varies |
| Aspergillus ag eia (87305) | $126.24 | $157.80 | 10.5× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$115.20–$184.80 | $144–$231 | varies |
| Assay Blood Carbon Dioxide (82374) | $23.20 | $29 | 4.8× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$113.60–$257.60 | $142–$322 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$22.40–$92.80 | $28–$116 | varies |
| Assay of blood/uric acid (84550) range across 3 matching MRF lines |
$15.20–$41.60 | $19–$52 | varies |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$62.40–$154.64 | $78–$193.30 | varies |
| Assay of cpk in blood (82552) | $96.80 | $121 | 7.2× |
| Assay of estrone (82679) | $231.20 | $289 | 9.3× |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$41.60–$177.60 | $52–$222 | varies |
| Assay of lactic acid (83605) | $104 | $130 | 9.0× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$156.80–$176 | $196–$220 | varies |
| Assay of phosphatase acid total (84060) | $89.60 | $112 | 11.7× |
| Assay of proinsulin (84206) | $320.80 | $401 | 12.0× |
| Assay of serotonin (84260) | $200 | $250 | 6.5× |
| Assay of serum potassium (84132) | $34.40 | $43 | 7.2× |
| Assay of sweat sodium (84302) | $89.60 | $112 | 18.4× |
| Assay of urea nitrogen (84520) | $47.20 | $59 | 11.9× |
| Assay of urine vma (84585) | $160.80 | $201 | 10.4× |
| Assay of vasoactive intestinal peptide (84586) | $165.60 | $207 | 4.7× |
| Assay of vitamin b-1 (84425) | $181.60 | $227 | 8.6× |
| Assay Ph Body Fluid Nos (83986) | $115.20 | $144 | 32.2× |
| Automated Leukocyte Count (85048) | $34.40 | $43 | 13.5× |
| Bartonella antibody (86611) | $73.60 | $92 | 7.2× |
| Bcr/abl1 gene major bp (81206) | $900.80 | $1,126 | 5.5× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$80.80–$96.80 | $101–$121 | varies |
| Beta hydroxybutyrate (82010) | $112.80 | $141 | 13.8× |
| Beta-2 Microglobulin (82232) | $124 | $155 | 7.7× |
| Bilirubin direct (82248) | $34.40 | $43 | 6.9× |
| Bilirubin total (82247) | $42.40 | $53 | 8.4× |
| Blastomyces antibody (86612) | $476 | $595 | 36.9× |
| Bld Typing Serologic Rh Phnt (86906) | $172 | $215 | 22.2× |
| Bleeding time test (85002) | $72 | $90 | 14.9× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$16–$32 | $20–$40 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $56 | $70 | 14.7× |
| Blood count spun microhematocrit (85013) | $64.80 | $81 | 9.3× |
| Blood gas (82803) | $496.80 | $621 | 19.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $35.20 | $44 | 2.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $32 | $40 | 7.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $130.40 | $163 | 20.5× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) range across 2 matching MRF lines |
$99.20–$136.80 | $124–$171 | varies |
| Blood typing serologic abo (86900) | $56.80 | $71 | 19.0× |
| Body fluid cell count (89050) | $69.60 | $87 | 14.7× |
| Bordetella antibody (86615) | $48.80 | $61 | 3.7× |
| Breath Alcohol Test (82075) | $24.80 | $31 | 0.8× |
| C diff amplified probe (87493) | $160 | $200 | 4.3× |
| C-Peptide (84681) | $121.60 | $152 | 5.8× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$36–$89.60 | $45–$112 | varies |
| Ca 19-9 (86301) | $144 | $180 | 6.9× |
| Cadmium (82300) | $123.20 | $154 | 5.2× |
| Calcitonin (82308) | $52 | $65 | 1.9× |
| Calcium ionized (82330) | $115.20 | $144 | 8.4× |
| Calcium total (82310) | $64.80 | $81 | 12.6× |
| Calculus Spectroscopy (82365) | $120 | $150 | 9.3× |
| Calprotectin Fecal (83993) | $380.80 | $476 | 19.4× |
| Cancer Antigen 125 (86304) | $136 | $170 | 6.5× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$140.80–$144 | $176–$180 | varies |
| Candida antibody (86628) range across 2 matching MRF lines |
$48.80–$145.60 | $61–$182 | varies |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$72–$102.40 | $90–$128 | varies |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$30.40–$167.20 | $38–$209 | varies |
| Carcinoembryonic antigen (82378) | $138.40 | $173 | 7.3× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$99.20–$132.80 | $124–$166 | varies |
| Catecholamines fractionated (82384) | $219.20 | $274 | 8.7× |
| Catecholamines total urine (82382) | $119.20 | $149 | 4.4× |
| Ccp antibody (86200) | $98.40 | $123 | 7.6× |
| Cell count csf (89051) | $76 | $95 | 13.6× |
| Cell marker study (88182) range across 2 matching MRF lines |
$38.40–$644.80 | $48–$806 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 2 matching MRF lines |
$332.80–$580.80 | $416–$726 | varies |
| Ceruloplasmin (82390) | $74.40 | $93 | 6.9× |
| Cftr gene com variants (81220) | $340 | $425 | 0.6× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$141.60–$320 | $177–$400 | varies |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$158.40–$280 | $198–$350 | varies |
| Chlamydia Igm Antibody (86632) | $140 | $175 | 11.0× |
| Chlamydia trachomatis ag if (87270) | $24 | $30 | 2.0× |
| Chloride Serum (82435) | $40.80 | $51 | 8.9× |
| Chloride urine (82436) | $42.40 | $53 | 7.4× |
| Cholesterol total (82465) | $52.80 | $66 | 12.1× |
| Cholinesterase rbc (82482) | $128 | $160 | 13.0× |
| Cholinesterase Serum (82480) | $115.20 | $144 | 14.6× |
| Chorionic gonadotropin test (84702) | $117.60 | $147 | 7.8× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $225.60 | $282 | 8.4× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $131.20 | $164 | 3.8× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $125.60 | $157 | 3.8× |
| Chromium serum (82495) range across 2 matching MRF lines |
$75.20–$152 | $94–$190 | varies |
| Chromogenic Substrate Assay (85130) | $60.80 | $76 | 5.1× |
| Chromogranin a (86316) | $152 | $190 | 7.3× |
| Chromosome Analysis 15-20 (88262) | $646.40 | $808 | 5.2× |
| Chromosome analysis, 5 (88261) range across 2 matching MRF lines |
$128–$492 | $160–$615 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $70.40 | $88 | 2.0× |
| Citric acid urine (82507) range across 2 matching MRF lines |
$28.80–$222.40 | $36–$278 | varies |
| Ckmb (82553) | $163.20 | $204 | 14.1× |
| Clostridium Difficile (87324) range across 3 matching MRF lines |
$38.40–$102.40 | $48–$128 | varies |
| Clotting factor xii hageman (85280) | $227.20 | $284 | 11.7× |
| Coccidioides antibody (86635) | $119.20 | $149 | 10.4× |
| Cold agglutinin titer (86157) | $95.20 | $119 | 11.8× |
| Collagen crosslinks (82523) | $130.40 | $163 | 7.0× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$56.51–$276.80 | $70.64–$346 | varies |
| Compatibility Each Unit Incubation (86921) | $37.60 | $47 | 0.2× |
| Compatibility test antiglob (86922) | $156.80 | $196 | 0.9× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$104–$135.20 | $130–$169 | varies |
| Complement Total (Ch50) (86162) | $175.20 | $219 | 8.6× |
| Complement/Function Activity (86161) | $180.80 | $226 | 15.1× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $114.40 | $143 | 2.1× |
| Coombs direct (86880) | $82.40 | $103 | 15.3× |
| Copper urine (82525) | $20 | $25 | 1.6× |
| Cortisol free (82530) range across 2 matching MRF lines |
$68–$134.40 | $85–$168 | varies |
| Cortisol saliva (82533) | $136 | $170 | 8.3× |
| Creatine kinase total (82550) | $85.60 | $107 | 13.1× |
| Creatinine blood (82565) | $60.80 | $76 | 11.9× |
| Creatinine clearance (82575) | $82.40 | $103 | 8.7× |
| Creatinine Urine (82570) | $70.40 | $88 | 13.6× |
| Crossmatch immediate spin (86920) | $198.40 | $248 | 1.1× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$46.40–$120 | $58–$150 | varies |
| Cryofibrinogen (82585) | $49.60 | $62 | 3.5× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$20–$65.60 | $25–$82 | varies |
| Cryptococcus ag titer (87899) | $127.20 | $159 | 7.9× |
| Cryptosporidium ag eia (87328) | $116.80 | $146 | 8.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $56.80 | $71 | 7.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $11.20 | $14 | 1.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $67.20 | $84 | 8.7× |
| Culture afb (87116) | $108 | $135 | 10.0× |
| Culture Anaerobic (87075) | $90.40 | $113 | 9.5× |
| Culture blood (87040) | $190.40 | $238 | 18.4× |
| Culture chlamydia (87110) | $81.60 | $102 | 4.2× |
| Culture csf (87070) | $114.40 | $143 | 13.3× |
| Culture fungus (87102) | $104.80 | $131 | 12.5× |
| Culture screen only (87081) range across 2 matching MRF lines |
$70.40–$80.80 | $88–$101 | varies |
| Culture stool (87045) | $120.80 | $151 | 12.8× |
| Culture typing if ea antiserum (87140) | $19.20 | $24 | 3.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $71.20 | $89 | 13.7× |
| Culture typing other methods (87158) | $356.80 | $446 | 46.1× |
| Culture urine (87086) | $85.60 | $107 | 10.6× |
| Cyanide (82600) | $154.40 | $193 | 8.0× |
| Cyclosporine (80158) | $165.60 | $207 | 9.2× |
| Cyp2c19 gene analysis common variants (81225) | $48.50 | $60.63 | 0.2× |
| Cyp2c9 gene com variants (81227) | $48.50 | $60.63 | 0.3× |
| Cyp2d6 gene com variants (81226) range across 2 matching MRF lines |
$48.50–$857.60 | $60.63–$1,072 | varies |
| Cyp3a4 gene common variants (81230) | $48.50 | $60.63 | 0.3× |
| Cyp3a5 gene common variants (81231) | $48.50 | $60.63 | 0.3× |
| Cystatin C (82610) | $149.60 | $187 | 8.1× |
| Cytogenetics 100-300 (88275) | $172 | $215 | 3.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,440 | $1,800 | 1.2× |
| Cytomegalovirus igg (86644) | $76 | $95 | 5.3× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $60 | $75 | 3.0× |
| Cytopath Cell Enhance Tech (88112) | $100 | $125 | 1.8× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $86.40 | $108 | 3.2× |
| Cytp Concentration Smears & Interpretation (88108) | $73.60 | $92 | 1.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $167.20 | $209 | 3.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $312 | $390 | 1.7× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $69.60 | $87 | 3.8× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$188.80–$463.20 | $236–$579 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$61.58–$632.80 | $76.97–$791 | varies |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$23.20–$24 | $29–$30 | varies |
| Dhea (82626) | $179.20 | $224 | 7.1× |
| Dhea-S (82627) | $164.80 | $206 | 7.4× |
| Digoxin (80162) | $122.40 | $153 | 9.2× |
| Dihydrotestosterone (82642) | $54.61 | $68.26 | 1.9× |
| Diphtheria antitoxoid (86648) | $76 | $95 | 5.0× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$89.60–$102.40 | $112–$128 | varies |
| Dpyd gene common variants (81232) | $48.50 | $60.63 | 0.3× |
| Drug Assay Everolimus (80169) range across 2 matching MRF lines |
$121.60–$151.20 | $152–$189 | varies |
| Drug Screen Quant Zonisamide (80203) range across 2 matching MRF lines |
$124–$168 | $155–$210 | varies |
| Drug Screen Quantitative Lamotrigine (80175) | $135.20 | $169 | 10.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $135.20 | $169 | 10.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $174.40 | $218 | 13.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$72.80–$185.60 | $91–$232 | varies |
| Drug Test Prsmv Instrmnt (80306) | $168 | $210 | 9.8× |
| El-1 Fecal Quantitative (82653) | $338.40 | $423 | 14.7× |
| Electrolyte panel (80051) | $89.60 | $112 | 12.8× |
| Enzyme cell activity (82657) | $223.20 | $279 | 10.1× |
| Eosinophil Smear (89190) | $52.80 | $66 | 9.1× |
| Erythropoietin (82668) | $148.80 | $186 | 7.9× |
| Estradiol serum (82670) | $149.60 | $187 | 5.4× |
| Estriol (82677) | $43.68 | $54.60 | 1.8× |
| Estrogen total (82672) | $70.40 | $88 | 3.2× |
| Estrogens fractionated (82671) | $103.20 | $129 | 3.2× |
| Exam Synovial Fluid Crystals (89060) | $72 | $90 | 9.8× |
| F2 Gene (81240) range across 2 matching MRF lines |
$248.80–$355.20 | $311–$444 | varies |
| Factor ii activity (85210) | $84 | $105 | 6.5× |
| Factor v leiden mutation (81241) | $404.80 | $506 | 5.5× |
| Factor vii assay (85230) | $262.40 | $328 | 14.7× |
| Factor viii assay (85240) | $67.20 | $84 | 3.8× |
| Fat stain feces urine/respir secretions (89125) | $38.40 | $48 | 6.5× |
| Fat/Lipids Feces Quantitative (82710) | $176.80 | $221 | 10.5× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $152 | $190 | 19.7× |
| Fecal Fat Qualitative (82705) | $63.20 | $79 | 12.4× |
| Ferritin (82728) range across 3 matching MRF lines |
$39.20–$114.40 | $49–$143 | varies |
| Fetal Chrmoml Aneuploidy (81420) | $2,284.80 | $2,856 | 3.0× |
| Fetal Fibronectin (82731) | $387.20 | $484 | 6.0× |
| Fibrin degradation products (85362) | $18.40 | $23 | 2.7× |
| Fibrin Degradation Quant (85379) | $154.40 | $193 | 15.2× |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$18.40–$144.80 | $23–$181 | varies |
| Fibrinogen antigen (85385) | $15.20 | $19 | 1.1× |
| Flow cytometry first marker (88184) | $240 | $300 | 0.6× |
| Fluorescent antibody screen (86255) range across 8 matching MRF lines |
$62.26–$3,681.60 | $77.82–$4,602 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 5 matching MRF lines |
$80.80–$264.80 | $101–$331 | varies |
| Fmr1 gene detection (81243) | $292.80 | $366 | 5.1× |
| Folic acid rbc (82747) | $128.80 | $161 | 7.3× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$47.20–$120.80 | $59–$151 | varies |
| Follicle Stimulating Hormone (83001) | $111.20 | $139 | 6.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $53.60 | $67 | 0.3× |
| G6pd gene alys cmn variant (81247) | $48.50 | $60.63 | 0.3× |
| Galectin-3 (82777) | $114.54 | $143.18 | 2.6× |
| Gammaglobulin ige (82785) | $50.40 | $63 | 3.1× |
| Gardner Vag Dna Quant (87512) | $61.58 | $76.97 | 1.5× |
| Gases blood ph only (82800) range across 2 matching MRF lines |
$74.40–$92 | $93–$115 | varies |
| Gastrin (82941) | $125.60 | $157 | 7.1× |
| Genet Virus Isolate Hsv (87255) | $36 | $45 | 1.1× |
| Gentamicin (80170) | $164 | $205 | 10.0× |
| Ggt (82977) | $66.40 | $83 | 9.2× |
| Giardia antigen (87329) | $138.40 | $173 | 11.6× |
| Glucagon (82943) | $126.40 | $158 | 8.8× |
| Glucose 2 hr pp (82950) | $34.40 | $43 | 7.2× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$17.60–$20 | $22–$25 | varies |
| Glucose body fluid (82945) | $34.40 | $43 | 8.8× |
| Glucose Serum (82947) | $34.40 | $43 | 8.8× |
| Glucose tolerance test (gtt) (82951) | $45.60 | $57 | 3.5× |
| Glycated Protein (82985) | $40.80 | $51 | 2.4× |
| Gonadotropin Chorionic Qualitative (84703) | $157.60 | $197 | 21.0× |
| Growth hormone (83003) | $129.60 | $162 | 7.8× |
| Gtt-added samples (82952) | $34.40 | $43 | 8.8× |
| H Pylori (C-13) Breath (83013) | $232 | $290 | 3.4× |
| Haptoglobin (83010) | $100 | $125 | 7.9× |
| Hdl Cholesterol (83718) | $62.40 | $78 | 7.6× |
| Helicobacter Pylori Stool (87338) | $186.40 | $233 | 13.0× |
| Helminth Antibody (86682) | $329.60 | $412 | 25.3× |
| Hematocrit (85014) | $35.20 | $44 | 14.9× |
| Hemoglobin (85018) | $33.60 | $42 | 14.2× |
| Hemoglobin a1c (83036) | $95.20 | $119 | 9.8× |
| Hemoglobin Chromotography (83021) | $168.80 | $211 | 9.3× |
| Hemoglobin electrophoresis (83020) | $119.20 | $149 | 9.3× |
| Hemoglobin F Fetal Chemical (83030) | $70.40 | $88 | 6.6× |
| Hemoglobin Methemoglobin Quantitative (83050) | $72.80 | $91 | 8.9× |
| Hemoglobin plasma (83051) | $76.80 | $96 | 10.5× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $14.40 | $18 | 1.5× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) | $17.60 | $22 | 1.8× |
| Hep a ab igm (86709) | $103.20 | $129 | 9.2× |
| Heparin assay (85520) | $268 | $335 | 20.5× |
| Hepatitis a antibody total (86708) | $78.40 | $98 | 6.3× |
| Hepatitis b core ab igm (86705) | $86.40 | $108 | 7.3× |
| Hepatitis b core ab total (86704) | $65.60 | $82 | 5.4× |
| Hepatitis B Surface Antibody (86706) | $76 | $95 | 7.1× |
| Hepatitis B Surface Antigen (87340) | $70.40 | $88 | 6.8× |
| Hepatitis C Antibody (86803) | $102.40 | $128 | 7.2× |
| Hepatitis c antibody confirmatory test (86804) | $219.20 | $274 | 14.2× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$163.80–$1,011.20 | $204.75–$1,264 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$144–$308.80 | $180–$386 | varies |
| Herpes simplex type 2 (86696) | $135.20 | $169 | 7.0× |
| Heterophile Antibody Screen (86308) | $73.60 | $92 | 14.2× |
| Hfe Gene (81256) | $373.60 | $467 | 5.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $130.40 | $163 | 16.9× |
| Histamine urine (83088) | $114.24 | $142.80 | 3.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $84.80 | $106 | 3.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $424.80 | $531 | 5.0× |
| Hla class ii typing high resolution one locus ea (81382) | $200 | $250 | 1.6× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $155.20 | $194 | 2.1× |
| Hla I Typing 1 Allele Hr (81381) | $194.05 | $242.56 | 1.1× |
| Hla-b27 (86812) | $384.80 | $481 | 14.9× |
| Homocysteine (83090) | $104.80 | $131 | 5.8× |
| Hpv High-Risk Types (87624) | $155.20 | $194 | 4.4× |
| Hpv Types 16 & 18 Only (87625) | $152 | $190 | 3.7× |
| Hsv Dna Amp Probe (87529) | $294.40 | $368 | 8.4× |
| Hydroxyprogesterone 17-d (83498) | $121.60 | $152 | 4.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $79.20 | $99 | 5.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $90.40 | $113 | 2.6× |
| Iaad ia shiga-like toxin (87427) | $64 | $80 | 5.3× |
| Iaad Ia Streptococcus Group A (87430) | $58.40 | $73 | 3.5× |
| Iadna Candida Species Amplified Probe Tq (87481) | $52.80 | $66 | 1.5× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$302.40–$317.60 | $378–$397 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $148 | $185 | 3.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $150 | $187.50 | 4.3× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $436.80 | $546 | 10.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$58.40–$121.60 | $73–$152 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $946.80 | $1,183.50 | 3.6× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $48.50 | $60.63 | 0.7× |
| Ig Light Chains Free Each (83521) | $184 | $230 | 10.7× |
| Igg subclasses (82787) | $84.80 | $106 | 10.6× |
| Immune Complex Assay (86332) | $132.80 | $166 | 5.4× |
| Immunfix e-phorsis/urine/csf (86335) | $107.20 | $134 | 3.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$159.20–$340 | $199–$425 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 4 matching MRF lines |
$36.80–$301.60 | $46–$377 | varies |
| Immunoassay nonantibody (83516) range across 10 matching MRF lines |
$28–$191.20 | $35–$239 | varies |
| Immunofixation electrophoresis (86334) | $136 | $170 | 6.1× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$305.60–$319.20 | $382–$399 | varies |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $73.42 | $91.78 | 5.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $52.80 | $66 | 1.5× |
| Influenza a/b ag eia (87400) | $110.40 | $138 | 7.8× |
| Inhibin A (86336) | $62.40 | $78 | 4.0× |
| Inhibin b (83520) range across 17 matching MRF lines |
$53.46–$518.40 | $66.82–$648 | varies |
| Insulin antibodies (86337) | $380 | $475 | 17.7× |
| Insulin total (83525) | $85.60 | $107 | 7.5× |
| Iron (83540) range across 3 matching MRF lines |
$19.20–$58.40 | $24–$73 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$23.20–$80.80 | $29–$101 | varies |
| Irradiation Blood Product Each Unit (86945) | $151.20 | $189 | 3.8× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$32–$380 | $40–$475 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $299.20 | $374 | 3.3× |
| Koh Prep (87220) | $40 | $50 | 9.4× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$12–$58.40 | $15–$73 | varies |
| Ldh Isoenzymes (83625) | $28.80 | $36 | 2.3× |
| LDL direct (83721) | $84.80 | $106 | 8.1× |
| Lead (83655) range across 2 matching MRF lines |
$65.60–$76 | $82–$95 | varies |
| Legionella antibody (86713) | $177.60 | $222 | 11.6× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$37.60–$206.40 | $47–$258 | varies |
| Leucine Aminopeptidase Lap (83670) | $242.40 | $303 | 24.7× |
| Leukocyte Assessment Fecal (89055) | $50.40 | $63 | 11.8× |
| Leukocyte Histamine Release (86343) range across 2 matching MRF lines |
$299.20–$313.60 | $374–$392 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $59.20 | $74 | 1.9× |
| Level ii surg pathology grossµscopic exam (88302) | $135.20 | $169 | 3.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $462.40 | $578 | 1.2× |
| Lipase (83690) | $112 | $140 | 16.3× |
| Lipoprotein A (83695) | $90.40 | $113 | 6.3× |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$76–$76.37 | $95–$95.46 | varies |
| Lipoprotein-Associated Phospholipase A2 (83698) range across 2 matching MRF lines |
$76–$76.80 | $95–$96 | varies |
| Lithium (80178) | $38.40 | $48 | 5.8× |
| Luteinizing Hormone (Lh) (83002) | $111.20 | $139 | 6.0× |
| Lyme disease antibody (86618) | $100 | $125 | 5.9× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $210.38 | $262.98 | 1.2× |
| M/phmtrc alys ishquant/semiq (88374) | $500.80 | $626 | 2.8× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$46.40–$58.40 | $58–$73 | varies |
| Mass Spectrometry Quant (83789) | $300.80 | $376 | 12.5× |
| Mercury urine (83825) range across 2 matching MRF lines |
$143.20–$179.20 | $179–$224 | varies |
| Metabolic panel ionized ca (80047) | $133.60 | $167 | 9.7× |
| Methylmalonic acid serum (83921) | $207.20 | $259 | 9.8× |
| Microalbumin, quantitative (82043) | $110.40 | $138 | 19.1× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$100–$102.40 | $125–$128 | varies |
| Mitochondrial Antibody Each (86381) | $95.20 | $119 | 3.7× |
| Molecular Cytogenetics Dna Probe Each (88271) | $76 | $95 | 3.5× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $212.80 | $266 | 5.0× |
| Mononuclear cell antigen (86356) range across 2 matching MRF lines |
$146.40–$192 | $183–$240 | varies |
| Mopath procedure level 1 (81400) | $48.50 | $60.63 | 0.8× |
| Mopath procedure level 2 (81401) | $529.60 | $662 | 3.9× |
| Mopath procedure level 5 (81404) | $748.80 | $936 | 2.7× |
| Mthfr Gene Analysis Common Variants (81291) | $48.50 | $60.63 | 0.7× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$72.80–$115.20 | $91–$144 | varies |
| Mycophenolic Acid (80180) | $148.08 | $185.10 | 8.2× |
| Mycoplasma antibody (86738) | $84.80 | $106 | 6.4× |
| Mycoplasma culture (87109) | $70.40 | $88 | 4.6× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$28.56–$92.80 | $35.70–$116 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$155.16–$228 | $193.95–$285 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $346.50 | $433.12 | 4.8× |
| Niacin (84591) | $212.80 | $266 | 12.5× |
| Nuclear antigen antibody (86235) range across 9 matching MRF lines |
$70.40–$184 | $88–$230 | varies |
| Nudt15 Gene Common Variants (81306) | $48.50 | $60.63 | 0.2× |
| Occult blood feces (82272) | $28.80 | $36 | 6.8× |
| Occult Blood Other Sources (82271) | $44.80 | $56 | 8.4× |
| Organic acids urine (83918) | $284.80 | $356 | 12.1× |
| Osmolality serum (83930) | $60.80 | $76 | 9.2× |
| Osmolality Urine (83935) | $76 | $95 | 11.1× |
| Ova and parasites smears (87177) | $63.20 | $79 | 7.1× |
| Oxalate urine (83945) | $56 | $70 | 3.9× |
| Particle Agglutination Screen Each Antibody (86403) | $230.40 | $288 | 20.0× |
| Parvovirus antibody (86747) | $77.60 | $97 | 5.2× |
| Ph urine (81003) | $39.20 | $49 | 17.4× |
| Phenobarbital Level (80184) | $105.60 | $132 | 6.9× |
| Phenotype Infect Agent Drug (87900) | $308.70 | $385.87 | 2.4× |
| Phenylalanine (84030) | $100.80 | $126 | 18.3× |
| Phenytoin (Dilantin) (80185) | $118.40 | $148 | 8.9× |
| Phenytoin free (80186) | $115.20 | $144 | 8.4× |
| Phosphatase acid prostatic (84066) | $96 | $120 | 9.9× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$40.34–$41.60 | $50.42–$52 | varies |
| Phosphorus Serum (84100) | $41.60 | $52 | 8.8× |
| Pinworm exam (87172) | $44 | $55 | 10.3× |
| Platelet Antibodies (86022) | $467.20 | $584 | 25.4× |
| Platelet count automated (85049) | $50.40 | $63 | 11.2× |
| Potassium Urine (84133) | $24 | $30 | 5.1× |
| Prealbumin (84134) | $127.20 | $159 | 8.7× |
| Pregnenolone (84140) | $104 | $130 | 5.0× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $87.20 | $109 | 1.4× |
| Primidone (80188) | $80.80 | $101 | 4.9× |
| Procalcitonin (Pct) (84145) | $231.20 | $289 | 8.5× |
| Progesterone (84144) | $115.20 | $144 | 5.5× |
| Prolactin (84146) | $136 | $170 | 7.0× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$60.80–$82.40 | $76–$103 | varies |
| Protein C Activity (85303) range across 3 matching MRF lines |
$52.08–$192.80 | $65.10–$241 | varies |
| Protein c antigen (85302) range across 2 matching MRF lines |
$108–$264.80 | $135–$331 | varies |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$88.80–$108 | $111–$135 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $79.20 | $99 | 7.4× |
| Protein S Free (85306) range across 3 matching MRF lines |
$44–$228.80 | $55–$286 | varies |
| Protein s total (85305) | $186.40 | $233 | 16.1× |
| Protein total serum (84155) | $48.80 | $61 | 13.3× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$33.60–$44.80 | $42–$56 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $40 | $50 | 10.2× |
| PSA free (84154) | $107.20 | $134 | 5.8× |
| Pth Intact (83970) | $206.40 | $258 | 5.0× |
| Quantiferon tb gold plus (86480) | $249.60 | $312 | 4.0× |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$88–$240.80 | $110–$301 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$84–$84.80 | $105–$106 | varies |
| Rbc antibody elution (86860) | $137.60 | $172 | 0.8× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$121.60–$330.40 | $152–$413 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$118.40–$128.80 | $148–$161 | varies |
| Receptor assay estrogen (84233) | $272 | $340 | 3.1× |
| Receptor assay progesterone (84234) | $272 | $340 | 4.2× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$132.80–$149.60 | $166–$187 | varies |
| Resp virus 12-25 targets (87633) | $801.60 | $1,002 | 1.9× |
| Reticulocyte Count (85046) | $52 | $65 | 9.3× |
| Reticulocyte Count Manual (85044) | $38.40 | $48 | 8.9× |
| Reticulocyte separation (86972) | $151.20 | $189 | 0.8× |
| Rh (86901) | $56.80 | $71 | 19.0× |
| Rheumatoid Factor Qualitative (86430) | $56 | $70 | 9.1× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$56.80–$58.40 | $71–$73 | varies |
| Rickettsia antibody (86757) | $144 | $180 | 7.4× |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$95.76–$276.80 | $119.70–$346 | varies |
| Rotavirus ag eia (87425) | $90.40 | $113 | 7.5× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$28–$36.80 | $35–$46 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$68.80–$90.40 | $86–$113 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$72.80–$88 | $91–$110 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$36–$92 | $45–$115 | varies |
| Russell Viper Venon Time Undiluted (85612) | $235.20 | $294 | 13.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$102.40–$119.20 | $128–$149 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $84 | $105 | 2.0× |
| Sedimentation rate (85651) | $48.80 | $61 | 11.4× |
| Sedimentation Rate, Automated (85652) | $56.80 | $71 | 21.0× |
| Selenium (84255) | $67.20 | $84 | 2.6× |
| Semen Anal Sperm Detection (89321) | $38.40 | $48 | 3.2× |
| Semen analysis complete (89320) | $117.60 | $147 | 9.6× |
| Semen analysis motility and count (89310) | $38.40 | $48 | 4.5× |
| Sensitivity mic (87186) | $104.80 | $131 | 12.1× |
| Sex Hormone Binding Globulin (84270) | $147.20 | $184 | 6.8× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$17.95–$50.40 | $22.44–$63 | varies |
| Sirolimus (80195) | $81.60 | $102 | 5.9× |
| Skin test tuberculosis intradermal (86580) | $51.20 | $64 | 1.7× |
| SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) | $48.50 | $60.63 | 0.3× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$66.40–$92.80 | $83–$116 | varies |
| Smear complex stain (87209) | $72 | $90 | 4.0× |
| Smear gram stain (87205) | $63.20 | $79 | 14.8× |
| Smear Special Stain (87207) | $73.60 | $92 | 12.3× |
| Smn1 Gene Analysis Full Gene Sequence (81336) | $482.40 | $603 | 1.6× |
| Smn1 Gene Dos/Deletion Alys (81329) | $876.80 | $1,096 | 6.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $57.60 | $72 | 9.9× |
| Snrpn/Ube3a Methylation Analysis (81331) | $434.40 | $543 | 8.5× |
| Sodium Serum (84295) | $56.80 | $71 | 11.8× |
| Sodium Urine (84300) | $32 | $40 | 6.3× |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
$247.20–$288 | $309–$360 | varies |
| Somatomedin (84305) | $193.60 | $242 | 9.1× |
| Somatostatin (84307) | $141.12 | $176.40 | 7.7× |
| Special Stains Group 1 (88312) | $131.20 | $164 | 2.4× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$104.80–$131.20 | $131–$164 | varies |
| Specimen infect agnt concntj (87015) | $36 | $45 | 5.4× |
| Stool cultr aerobic bact ea (87046) | $62.40 | $78 | 6.6× |
| Strep b DNA amp probe (87653) | $197.60 | $247 | 5.6× |
| Streptokinase, antibody Facility (86590) | $113.60 | $142 | 9.0× |
| Surg path level iii (88304) | $126.40 | $158 | 2.3× |
| Surgical pathology level IV (88305) | $179.20 | $224 | 3.3× |
| Surgical pathology level vi (88309) | $528.80 | $661 | 0.6× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $233.67 | $292.09 | 49.2× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $12 | $15 | 1.6× |
| Syphilis Test Non-Trep Quant (86593) | $76.80 | $96 | 17.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$139.20–$179.20 | $174–$224 | varies |
| T cells total count (86359) | $328.80 | $411 | 8.7× |
| T3 Free (84481) | $162.40 | $203 | 9.6× |
| T3 reverse (84482) | $183.20 | $229 | 11.6× |
| T3 Total (84480) | $70.40 | $88 | 5.0× |
| T3 Uptake (84479) | $30.40 | $38 | 4.7× |
| T4 Free (84439) | $96.80 | $121 | 10.7× |
| T4 total (84436) | $54.40 | $68 | 7.9× |
| Tacrolimus (80197) | $193.60 | $242 | 14.1× |
| Tb ag response t-cell susp (86481) | $168 | $210 | 1.7× |
| Test for acetone/ketones (82009) | $23.20 | $29 | 5.1× |
| Testosterone total (84403) | $136.80 | $171 | 5.3× |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$130.40–$143.20 | $163–$179 | varies |
| Tetanus antibody (86774) range across 2 matching MRF lines |
$76–$106.40 | $95–$133 | varies |
| Theophylline (80198) | $114.40 | $143 | 8.1× |
| Thrombin Time (85670) | $35.20 | $44 | 6.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $168.80 | $211 | 26.1× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$100.80–$150.40 | $126–$188 | varies |
| Thyroglobulin Antibody (86800) | $72 | $90 | 4.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $238.40 | $298 | 4.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$76–$96 | $95–$120 | varies |
| Tissue Culture (88233) | $539.20 | $674 | 3.8× |
| Tissue culture bone marrow (88237) | $616 | $770 | 4.3× |
| Tissue Culture Lymphocyte (88230) | $336 | $420 | 2.9× |
| Tobramycin peak (80200) | $121.60 | $152 | 7.5× |
| Topiramate (80201) | $136.80 | $171 | 11.5× |
| Toxoplasma antibody (86777) | $23.52 | $29.40 | 1.6× |
| Tpmt gene com variants (81335) | $48.50 | $60.63 | 0.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $41.60 | $52 | 8.0× |
| Transferrin (84466) | $104 | $130 | 8.2× |
| Trichomonas Vaginalis Amplif (87661) | $95.20 | $119 | 2.7× |
| Triglycerides (84478) range across 2 matching MRF lines |
$12–$73.60 | $15–$92 | varies |
| Troponin Quant (84484) | $172 | $215 | 13.8× |
| Tumor immunohistochem/comput (88361) | $85.84 | $107.30 | 0.2× |
| Tumor Immunohistochem/Manual (88360) | $240 | $300 | 1.3× |
| Ugt1a1 gene analysis common variants (81350) | $48.50 | $60.63 | 0.2× |
| Urea nitrogen urine (84540) | $26.40 | $33 | 4.7× |
| Uric acid other source (84560) | $52.80 | $66 | 10.4× |
| Urinalysis Microscopic Only (81015) | $31.20 | $39 | 10.2× |
| Urinalysis Volume Measure (81050) | $36 | $45 | 9.9× |
| Urine Bacteria Culture (87088) | $69.60 | $87 | 8.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $57.60 | $72 | 18.2× |
| Valproic acid (80164) | $84.80 | $106 | 6.3× |
| Vancomycin (80202) | $164.80 | $206 | 12.2× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$92–$100.80 | $115–$126 | varies |
| Viral Culture (87252) | $144 | $180 | 5.5× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$149.60–$204.80 | $187–$256 | varies |
| Vit D 1 25-Dihydroxy (82652) | $240 | $300 | 6.2× |
| Vitamin A (84590) | $80.80 | $101 | 7.0× |
| Vitamin b-12 (82607) | $127.20 | $159 | 8.4× |
| Vitamin B2 (Riboflavin) (84252) | $305.60 | $382 | 15.1× |
| Vitamin B6 (84207) | $224 | $280 | 8.0× |
| Vitamin c (82180) | $91.20 | $114 | 9.2× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$112–$168.80 | $140–$211 | varies |
| Vitamin E (84446) | $111.20 | $139 | 7.8× |
| Vitamin K (84597) | $291.20 | $364 | 21.2× |
| Vkorc1 gene (81355) | $48.50 | $60.63 | 0.5× |
| Volatiles (84600) | $100.80 | $126 | 5.9× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$147.84–$276.80 | $184.80–$346 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $118.40 | $148 | 13.8× |
| West nile virus ab igm (86788) | $101.60 | $127 | 6.0× |
| West Nile Virus Antibody (86789) | $100.80 | $126 | 7.0× |
| Western Blot Test (84181) | $357.60 | $447 | 21.0× |
| Zinc (84630) | $103.20 | $129 | 9.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.