Lab & pathology prices at Memorial Hospital & Manor
Bainbridge, GA · every code in this section with a posted price and a Medicare benchmark.
666 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $53.90 | $77 | 2.4× |
| 5 Nucleotidase (83915) | $95.20 | $136 | 8.5× |
| Acetylcholine receptor binding antibody (86041) | $194.60 | $278 | 10.6× |
| Acetylcholine receptor blocking antibody (86042) | $226.10 | $323 | 12.3× |
| Acetylcholn Rcptr Modlg Antb (86043) | $63.70 | $91 | 5.3× |
| Acth (82024) | $170.10 | $243 | 4.4× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $205.10 | $293 | 6.3× |
| Actin smooth muscle antibody each (86015) | $75.60 | $108 | 6.3× |
| Acute hepatitis panel (80074) | $203.70 | $291 | 4.3× |
| Acylcarnitines Quant (82017) | $138.60 | $198 | 8.2× |
| Adenovirus antibody (86603) | $23.10 | $33 | 1.8× |
| Agglutinins Febrile Each Antigen (86000) range across 3 matching MRF lines |
$89.60–$97.30 | $128–$139 | varies |
| Albumin Fluid (82042) | $46.90 | $67 | 6.0× |
| Albumin serum (82040) | $10.50 | $15 | 2.1× |
| Aldolase (82085) | $14.70 | $21 | 1.5× |
| Aldosterone urine (82088) | $93.80 | $134 | 2.3× |
| Alkaline phosphatase isoenzymes (84080) | $24.50 | $35 | 1.7× |
| Allergen specific ige (86003) range across 155 matching MRF lines |
$7.70–$169.40 | $11–$242 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 5 matching MRF lines |
$26.60–$80.50 | $38–$115 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $139.30 | $199 | 9.6× |
| Alpha-1-antitrypsin total (82103) | $77 | $110 | 5.7× |
| Alpha-Fetoprotein Serum (82105) | $46.20 | $66 | 2.8× |
| Alt (sgpt) (84460) | $29.40 | $42 | 5.5× |
| Aluminum (82108) | $72.10 | $103 | 2.8× |
| Amikacin trough (80150) | $67.90 | $97 | 4.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 6 matching MRF lines |
$77.70–$80.50 | $111–$115 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $291.20 | $416 | 21.0× |
| Aminolevulinic acid (ala) (82135) | $154 | $220 | 9.4× |
| Ammonia (82140) | $152.60 | $218 | 10.5× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $200.90 | $287 | 2.0× |
| Amylase urine (82150) | $117.60 | $168 | 18.1× |
| Anca screen each antibody (86036) | $35 | $50 | 2.9× |
| Anca Titer Each Antibody (86037) | $17.50 | $25 | 1.5× |
| Androstenedione (82157) | $105 | $150 | 3.6× |
| Angiotensin converting enzyme csf (82164) | $23.10 | $33 | 1.6× |
| Anti-Phospholipid Antibody (86148) | $74.90 | $107 | 4.7× |
| Antibody aspergillus (86606) range across 5 matching MRF lines |
$11.90–$17.50 | $17–$25 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $19.60 | $28 | 1.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $115.50 | $165 | 7.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $25.90 | $37 | 1.5× |
| Antibody Encephalitis California La Crosse (86651) | $54.60 | $78 | 4.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $86.10 | $123 | 6.6× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $79.10 | $113 | 5.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $90.30 | $129 | 5.0× |
| Antibody Fungus Not Elsewhere Specified (86671) | $11.90 | $17 | 1.0× |
| Antibody helicobacter pylori (86677) | $81.20 | $116 | 4.8× |
| Antibody Herpes Smplx Type 1 (86695) | $57.40 | $82 | 4.4× |
| Antibody HIV-1&HIV-2 single result (86703) | $144.20 | $206 | 10.5× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $106.40 | $152 | 5.5× |
| Antibody identification leukocyte antibodies (86021) range across 6 matching MRF lines |
$63–$175 | $90–$250 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $37.80 | $54 | 3.0× |
| Antibody neisseria meningitidis (86741) | $89.60 | $128 | 6.8× |
| Antibody Protozoa Nes (86753) | $30.10 | $43 | 2.4× |
| Antibody rotavirus (86759) | $92.40 | $132 | 5.1× |
| Antibody Titer (86886) | $205.10 | $293 | 39.6× |
| Antibody Treponema Pallidum (86780) | $70 | $100 | 5.3× |
| Antibody; encephalitis, st. louis (86653) | $54.60 | $78 | 4.1× |
| Antibody; influenza virus (86710) | $102.90 | $147 | 7.6× |
| Antinuclear antibodies (86038) | $90.30 | $129 | 7.5× |
| Antistreptolysin O Screen (86063) | $46.20 | $66 | 8.0× |
| Antistreptolysin o titer (86060) | $37.80 | $54 | 5.2× |
| Antithrombin iii activity (85300) | $176.40 | $252 | 14.9× |
| Apolipoprotein a1 (82172) | $41.30 | $59 | 2.0× |
| Arsenic (82175) | $101.50 | $145 | 5.4× |
| Aspergillus ag eia (87305) | $157.50 | $225 | 13.1× |
| Assay activated protein c (85307) | $90.30 | $129 | 5.9× |
| Assay Blood Carbon Dioxide (82374) | $15.40 | $22 | 3.2× |
| Assay Nephelometry Not Spec (83883) | $35 | $50 | 2.6× |
| Assay of 5-hiaa (83497) | $99.40 | $142 | 7.7× |
| Assay of anti-mullerian hormone (82166) | $88.20 | $126 | 2.3× |
| Assay of blood/uric acid (84550) | $64.40 | $92 | 14.2× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$46.90–$48.30 | $67–$69 | varies |
| Assay of corticosterone (82528) | $126.70 | $181 | 5.6× |
| Assay of estrone (82679) | $123.20 | $176 | 4.9× |
| Assay of feces for trypsin (84490) | $84 | $120 | 8.5× |
| Assay of g6pd enzyme (82955) | $51.80 | $74 | 5.3× |
| Assay of gammaglobulin igm (82784) | $72.80 | $104 | 7.8× |
| Assay of lactic acid (83605) | $78.40 | $112 | 6.8× |
| Assay of manganese (83785) | $93.80 | $134 | 3.5× |
| Assay of metanephrines (83835) | $45.50 | $65 | 2.7× |
| Assay of phosphatase acid total (84060) | $25.20 | $36 | 3.3× |
| Assay of proinsulin (84206) | $35 | $50 | 1.3× |
| Assay of pyruvate (84210) | $63.70 | $91 | 4.4× |
| Assay of semen fructose (82757) | $57.40 | $82 | 3.3× |
| Assay of serotonin (84260) | $254.10 | $363 | 8.2× |
| Assay of serum potassium (84132) | $32.20 | $46 | 6.8× |
| Assay of Sialic Acid (84275) | $335.30 | $479 | 24.9× |
| Assay of sweat sodium (84302) | $32.90 | $47 | 6.8× |
| Assay of Tyrosine (84510) | $83.30 | $119 | 7.8× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$58.80–$59.50 | $84–$85 | varies |
| Assay of urine vma (84585) | $32.90 | $47 | 2.1× |
| Assay of vasoactive intestinal peptide (84586) | $200.90 | $287 | 5.7× |
| Assay of vitamin b-1 (84425) | $103.60 | $148 | 4.9× |
| Assay Ph Body Fluid Nos (83986) | $10.50 | $15 | 2.9× |
| Automated Leukocyte Count (85048) | $11.20 | $16 | 4.4× |
| Bacterial antigens 87802 (87802) | $69.30 | $99 | 5.4× |
| Bcr/abl1 gene major bp (81206) | $222.60 | $318 | 1.4× |
| Bcr/abl1 gene minor bp (81207) | $224.70 | $321 | 1.6× |
| Beta 2 glycoprotein i antibody each (86146) | $24.50 | $35 | 1.0× |
| Beta hydroxybutyrate (82010) | $32.20 | $46 | 3.9× |
| Beta-2 Microglobulin (82232) | $24.50 | $35 | 1.5× |
| Bile acids total (82239) | $25.90 | $37 | 1.5× |
| Bilirubin direct (82248) | $36.40 | $52 | 7.3× |
| Bilirubin total (82247) | $30.10 | $43 | 6.0× |
| Bilirubin total transcutaneous (88720) | $36.40 | $52 | 7.3× |
| Blastomyces antibody (86612) | $46.20 | $66 | 3.6× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $493.50 | $705 | 3.3× |
| Bleeding time test (85002) | $18.20 | $26 | 3.8× |
| Blood Count Red Blood Cell Automated (85041) | $24.50 | $35 | 8.1× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $46.20 | $66 | 12.2× |
| Blood count spun microhematocrit (85013) | $23.10 | $33 | 3.3× |
| Blood gas (82803) range across 2 matching MRF lines |
$37.80–$44.10 | $54–$63 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $60.90 | $87 | 3.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $35 | $50 | 8.0× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $48.30 | $69 | 3.0× |
| Blood typing serologic abo (86900) | $172.20 | $246 | 57.6× |
| Body fluid cell count (89050) | $39.20 | $56 | 8.3× |
| Bordetella antibody (86615) | $84 | $120 | 6.4× |
| Braf gene analysis (81210) | $58.80 | $84 | 0.3× |
| C diff amplified probe (87493) | $116.20 | $166 | 3.1× |
| C-Peptide (84681) | $37.10 | $53 | 1.8× |
| C-reactive protein (86140) | $91.70 | $131 | 17.7× |
| Ca 19-9 (86301) | $117.60 | $168 | 5.7× |
| Cadmium (82300) | $149.80 | $214 | 6.3× |
| Caffeine (80155) | $68.60 | $98 | 1.8× |
| Calcitonin (82308) | $58.80 | $84 | 2.2× |
| Calcium ionized (82330) | $99.40 | $142 | 7.3× |
| Calcium total (82310) | $18.90 | $27 | 3.7× |
| Calculus assay quant (82360) | $152.60 | $218 | 11.9× |
| Calprotectin Fecal (83993) | $127.40 | $182 | 6.5× |
| Cancer Antigen 125 (86304) | $158.90 | $227 | 7.6× |
| Cancer Antigen 27.29 (86300) | $35 | $50 | 1.7× |
| Candida antibody (86628) | $65.80 | $94 | 5.5× |
| Carbamazepine total (80156) | $42 | $60 | 2.9× |
| Carboxyhemoglobin (82375) | $131.60 | $188 | 10.7× |
| Carcinoembryonic antigen (82378) | $38.50 | $55 | 2.0× |
| Cardiolipin ab iga (86147) | $123.90 | $177 | 4.9× |
| Carnitine Quantitative Each Specimen (82379) | $133.70 | $191 | 7.9× |
| Carotene (82380) | $46.20 | $66 | 5.0× |
| Catecholamines fractionated (82384) | $50.40 | $72 | 2.0× |
| Catecholamines total urine (82382) | $113.40 | $162 | 4.2× |
| Ccp antibody (86200) | $141.40 | $202 | 10.9× |
| Cell count csf (89051) | $70.70 | $101 | 12.6× |
| Cell marker study (88182) | $329 | $470 | 7.2× |
| Ceruloplasmin (82390) | $75.60 | $108 | 7.0× |
| Cftr gene com variants (81220) | $702.10 | $1,003 | 1.3× |
| Cftr gene full sequence (81223) | $852.60 | $1,218 | 1.7× |
| Chemiluminescent assay (82397) | $221.90 | $317 | 15.7× |
| Chlamydia antibody (86631) | $136.50 | $195 | 11.5× |
| Chlamydia Igm Antibody (86632) | $143.50 | $205 | 11.3× |
| Chloramphenicol level (82415) | $63.70 | $91 | 5.0× |
| Chloride other source (82438) | $39.20 | $56 | 7.8× |
| Chloride Serum (82435) | $44.10 | $63 | 9.6× |
| Chloride urine (82436) | $11.20 | $16 | 1.9× |
| Cholesterol total (82465) | $15.40 | $22 | 3.5× |
| Cholinesterase rbc (82482) | $49.70 | $71 | 5.1× |
| Cholinesterase Serum (82480) | $60.90 | $87 | 7.7× |
| Chorionic gonadotropin test (84702) | $248.50 | $355 | 16.5× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $188.30 | $269 | 5.6× |
| Chromium serum (82495) | $30.10 | $43 | 1.5× |
| Chromogranin a (86316) | $197.40 | $282 | 9.5× |
| Chromosome Analysis 15-20 (88262) | $146.30 | $209 | 1.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $30.10 | $43 | 0.9× |
| Citric acid urine (82507) | $258.30 | $369 | 9.3× |
| Ckmb (82553) | $79.10 | $113 | 6.8× |
| Clostridium Difficile (87324) | $105 | $150 | 8.8× |
| Clot Factor VIII Multimetric (85247) | $105.70 | $151 | 4.6× |
| Clotting factor xii hageman (85280) | $121.80 | $174 | 6.3× |
| Coagulation time other methods (85348) | $37.80 | $54 | 8.4× |
| Coagulation time; Lee and White Facility (85345) | $37.80 | $54 | 8.1× |
| Coccidioides antibody (86635) | $46.20 | $66 | 4.0× |
| Cold agglutinin titer (86157) | $69.30 | $99 | 8.6× |
| Collagen crosslinks (82523) | $136.50 | $195 | 7.3× |
| Column Chromotography Quant (82542) | $151.20 | $216 | 6.3× |
| Complement Antigen Each Component (86160) | $216.30 | $309 | 18.0× |
| Complement Total (Ch50) (86162) | $165.20 | $236 | 8.1× |
| Complement/Function Activity (86161) | $166.60 | $238 | 13.9× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $298.90 | $427 | 6.5× |
| Coombs direct (86880) | $114.10 | $163 | 21.2× |
| Copper urine (82525) | $66.50 | $95 | 5.4× |
| Cortisol free (82530) | $113.40 | $162 | 6.8× |
| Cortisol saliva (82533) | $90.30 | $129 | 5.5× |
| Creatine kinase total (82550) | $64.40 | $92 | 9.9× |
| Creatinine blood (82565) | $36.40 | $52 | 7.1× |
| Creatinine clearance (82575) | $70.70 | $101 | 7.5× |
| Creatinine Urine (82570) | $51.10 | $73 | 9.9× |
| Crossmatch immediate spin (86920) | $150.50 | $215 | 1.0× |
| Crp High Sensitivity (86141) | $101.50 | $145 | 7.8× |
| Cryoglobulin (82595) | $54.60 | $78 | 8.4× |
| Cryptococcal Antigen (87327) | $55.30 | $79 | 4.1× |
| Cryptococcus ab (86641) | $142.10 | $203 | 9.9× |
| Cryptococcus ag titer (87899) | $107.10 | $153 | 6.7× |
| Cryptosporidium (87272) | $49 | $70 | 4.1× |
| Cryptosporidium ag eia (87328) | $45.50 | $65 | 3.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$39.20–$42.70 | $56–$61 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $70 | $100 | 8.7× |
| Culture afb (87116) | $77.70 | $111 | 7.2× |
| Culture Anaerobic (87075) | $130.20 | $186 | 13.7× |
| Culture blood (87040) | $149.10 | $213 | 14.4× |
| Culture chlamydia (87110) | $198.80 | $284 | 10.1× |
| Culture csf (87070) | $103.60 | $148 | 12.0× |
| Culture fungus (87102) | $147 | $210 | 17.5× |
| Culture fungus blood (87103) | $175.70 | $251 | 8.6× |
| Culture screen only (87081) | $21.70 | $31 | 3.3× |
| Culture stool (87045) | $53.90 | $77 | 5.7× |
| Culture urine (87086) | $88.90 | $127 | 11.0× |
| Cyanide (82600) | $71.40 | $102 | 3.7× |
| Cyclic amp (82030) | $83.30 | $119 | 3.2× |
| Cyclosporine (80158) | $46.90 | $67 | 2.6× |
| Cystatin C (82610) | $101.50 | $145 | 5.5× |
| Cytogenetics 10-30 (88273) | $452.20 | $646 | 13.0× |
| Cytogenetics 100-300 (88275) | $79.10 | $113 | 1.5× |
| Cytomegalovirus igg (86644) | $44.10 | $63 | 3.1× |
| Cytotoxic pra quick (86808) | $175 | $250 | 5.9× |
| Cytp Concentration Smears & Interpretation (88108) | $48.30 | $69 | 1.5× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $46.20 | $66 | 2.5× |
| Deoxyribonuclease antibody (86215) | $75.60 | $108 | 5.7× |
| Detect Agent Nos Dna Amp (87798) | $368.90 | $527 | 10.5× |
| Detect Agent Nos Dna Quant (87799) | $336 | $480 | 7.8× |
| Dgp Antibody Each Ig Class (86258) | $88.20 | $126 | 7.3× |
| Dhea (82626) | $137.90 | $197 | 5.5× |
| Dhea-S (82627) | $87.50 | $125 | 3.9× |
| Digoxin (80162) | $23.10 | $33 | 1.7× |
| Dihydrotestosterone (82642) | $195.30 | $279 | 6.7× |
| Diphtheria antitoxoid (86648) | $146.30 | $209 | 9.6× |
| Dna Antibody Native/Double Stranded (86225) | $88.20 | $126 | 6.4× |
| Dna Antibody Single Stranded (86226) | $83.30 | $119 | 6.9× |
| Dna/Rna Amplified Probe (87150) | $64.40 | $92 | 1.8× |
| Drug assay adalimumab (80145) | $184.80 | $264 | 4.8× |
| Drug Assay Everolimus (80169) | $189 | $270 | 13.8× |
| Drug Assay Infliximab (80230) | $221.90 | $317 | 5.8× |
| Drug Assay Lacosamide (80235) | $85.40 | $122 | 3.2× |
| Drug Screen Quant Clozapine (80159) | $56 | $80 | 2.8× |
| Drug Screen Quant Zonisamide (80203) | $99.40 | $142 | 7.5× |
| Drug Screen Quantitative Gabapentin (80171) | $79.10 | $113 | 3.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $28.70 | $41 | 2.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $51.10 | $73 | 3.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $49.70 | $71 | 3.8× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $68.60 | $98 | 4.1× |
| Drug Screen Quantitative Tiagabine (80199) | $192.50 | $275 | 7.1× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 14 matching MRF lines |
$14–$291.90 | $20–$417 | varies |
| Drug Test Prsmv Instrmnt (80306) | $203 | $290 | 11.8× |
| Ehrlichia antibody (86666) | $98 | $140 | 9.6× |
| El-1 Fecal Quantitative (82653) | $105.70 | $151 | 4.6× |
| Electrolyte panel (80051) | $18.20 | $26 | 2.6× |
| Encephaltis East Eqne Anbdy (86652) | $54.60 | $78 | 4.1× |
| Encephaltis West Eqne Antbdy (86654) | $54.60 | $78 | 4.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $88.20 | $126 | 7.3× |
| Enterovirus Antibody (86658) range across 14 matching MRF lines |
$19.60–$245.70 | $28–$351 | varies |
| Enterovirus PCR (87498) | $134.40 | $192 | 3.8× |
| Enzyme cell activity (82657) | $196 | $280 | 8.8× |
| Enzyme histochemistry (88319) range across 8 matching MRF lines |
$56.70–$359.10 | $81–$513 | varies |
| Eosinophil Smear (89190) | $41.30 | $59 | 7.1× |
| Erythropoietin (82668) | $39.90 | $57 | 2.1× |
| Estradiol serum (82670) | $175.70 | $251 | 6.3× |
| Estriol (82677) | $94.50 | $135 | 3.9× |
| Estrogen total (82672) | $48.30 | $69 | 2.2× |
| Ethosuximide (80168) | $93.80 | $134 | 5.7× |
| Ethylene Glycol (82693) | $75.60 | $108 | 5.1× |
| Euglobulin lysis (85360) | $75.60 | $108 | 9.0× |
| Exam Synovial Fluid Crystals (89060) | $75.60 | $108 | 10.3× |
| F2 Gene (81240) | $191.80 | $274 | 2.9× |
| F9 full gene sequence (81238) | $1,890 | $2,700 | 3.2× |
| Factor ii activity (85210) | $158.90 | $227 | 12.2× |
| Factor ix activity (85250) | $74.90 | $107 | 3.9× |
| Factor v activity (85220) | $199.50 | $285 | 11.3× |
| Factor v leiden mutation (81241) | $118.30 | $169 | 1.6× |
| Factor vii assay (85230) | $170.10 | $243 | 9.5× |
| Factor viii assay (85240) | $102.90 | $147 | 5.7× |
| Factor xiii screen (85291) | $142.80 | $204 | 15.7× |
| Fat/Lipids Feces Quantitative (82710) | $134.40 | $192 | 8.0× |
| Fatty acids free (82725) | $105 | $150 | 5.6× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $113.40 | $162 | 14.7× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $61.60 | $88 | 3.6× |
| Fecal Fat Qualitative (82705) | $49.70 | $71 | 9.7× |
| Ferritin (82728) | $139.30 | $199 | 10.2× |
| Fetal Chrmoml Aneuploidy (81420) | $1,252.30 | $1,789 | 1.6× |
| Fetal Fibronectin (82731) | $182 | $260 | 2.8× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $98 | $140 | 5.2× |
| Fibrin degradation products (85362) | $145.60 | $208 | 21.1× |
| Fibrin Degradation Quant (85379) | $179.90 | $257 | 17.7× |
| Fibrinogen activity (85384) | $23.80 | $34 | 2.4× |
| Flow cytometry first marker (88184) | $231.70 | $331 | 0.7× |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$105–$210 | $150–$300 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $75.60 | $108 | 6.3× |
| Fmr1 Gene Charac Alleles (81244) | $574 | $820 | 12.8× |
| Folic acid rbc (82747) | $142.80 | $204 | 8.1× |
| Folic Acid Serum (82746) | $133 | $190 | 9.0× |
| Follicle Stimulating Hormone (83001) | $147.70 | $211 | 7.9× |
| Fungi Identification Yeast (87106) | $42 | $60 | 4.1× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $231.70 | $331 | 11.0× |
| Gammaglobulin ige (82785) | $27.30 | $39 | 1.7× |
| Gastrin after secretin stim (82938) | $153.30 | $219 | 8.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,026.90 | $1,467 | 2.5× |
| Gentamicin (80170) | $93.80 | $134 | 5.7× |
| Ggt (82977) | $58.10 | $83 | 8.1× |
| Giardia antigen (87329) | $54.60 | $78 | 4.6× |
| Glucose 2 hr pp (82950) | $67.90 | $97 | 14.3× |
| Glucose Blood Test (82962) range across 4 matching MRF lines |
$8.40–$24.50 | $12–$35 | varies |
| Glucose body fluid (82945) | $46.20 | $66 | 11.8× |
| Glucose Serum (82947) | $51.10 | $73 | 13.0× |
| Glucose tolerance test (gtt) (82951) | $147.70 | $211 | 11.5× |
| Glycated Protein (82985) | $45.50 | $65 | 2.7× |
| Gonadotropin Chorionic Qualitative (84703) | $163.80 | $234 | 21.8× |
| Gonadotropin releasing hormone (83727) | $540.40 | $772 | 31.4× |
| Growth hormone (83003) | $92.40 | $132 | 5.5× |
| Gtt-added samples (82952) | $72.10 | $103 | 18.4× |
| Haptoglobin (83010) | $54.60 | $78 | 4.3× |
| Hba1/Hba2 Gene (81257) | $546.70 | $781 | 5.3× |
| Helminth Antibody (86682) | $116.20 | $166 | 8.9× |
| Hematocrit (85014) | $54.60 | $78 | 23.0× |
| Hemoglobin (85018) | $36.40 | $52 | 15.4× |
| Hemoglobin a1c (83036) | $109.90 | $157 | 11.3× |
| Hemoglobin Chromotography (83021) | $63.70 | $91 | 3.5× |
| Hemoglobin electrophoresis (83020) | $93.10 | $133 | 7.2× |
| Hemoglobin Methemoglobin Quantitative (83050) | $39.90 | $57 | 4.9× |
| Hemoglobin plasma (83051) | $63.70 | $91 | 8.7× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $147 | $210 | 16.8× |
| Hemolysins&Agglutinins Incubated (86941) | $61.60 | $88 | 5.1× |
| Hemosiderin urine (83070) | $32.90 | $47 | 6.9× |
| Hep a ab igm (86709) | $88.20 | $126 | 7.8× |
| Heparin assay (85520) | $297.50 | $425 | 22.7× |
| Hepatitis a antibody total (86708) | $91.70 | $131 | 7.4× |
| Hepatitis b core ab igm (86705) | $86.10 | $123 | 7.3× |
| Hepatitis b core ab total (86704) | $90.30 | $129 | 7.5× |
| Hepatitis B Surface Antibody (86706) | $116.20 | $166 | 10.8× |
| Hepatitis B Surface Antigen (87340) | $76.30 | $109 | 7.4× |
| Hepatitis Be Antibody (86707) | $72.80 | $104 | 6.3× |
| Hepatitis Be Antigen (87350) | $92.40 | $132 | 8.0× |
| Hepatitis C Antibody (86803) | $175.70 | $251 | 12.3× |
| Hepatitis C Genotype (87902) | $462.70 | $661 | 1.8× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $421.40 | $602 | 12.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $109.90 | $157 | 2.6× |
| Hepatitis Delta Agent Antibody (86692) | $88.20 | $126 | 5.1× |
| Herpes simplex type 2 (86696) | $58.80 | $84 | 3.0× |
| Hfe Gene (81256) | $278.60 | $398 | 4.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $131.60 | $188 | 17.0× |
| Histamine urine (83088) | $365.40 | $522 | 12.4× |
| Histoplasma antibody (86698) | $52.50 | $75 | 3.8× |
| Histoplasma antigen urine (87385) | $264.60 | $378 | 20.0× |
| Hiv Genotype (87901) | $171.50 | $245 | 0.7× |
| Hiv-1 Antibody (86701) | $216.30 | $309 | 24.3× |
| HIV-1 p24 antigen (87390) | $67.90 | $97 | 2.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $82.60 | $118 | 1.0× |
| Hla I Typing 1 Allele Hr (81381) | $56 | $80 | 0.3× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $192.50 | $275 | 0.9× |
| Hla ii type 1 ag equiv lr (81377) | $262.50 | $375 | 2.8× |
| Hla Typing a/B/C Multiple Antigens (86813) | $599.20 | $856 | 10.3× |
| Hla-b27 (86812) | $184.10 | $263 | 7.1× |
| Homovanillic acid urine (83150) | $85.40 | $122 | 3.8× |
| Hsv Dna Amp Probe (87529) | $105.70 | $151 | 3.0× |
| Human Epididymis Protein 4 (86305) | $365.40 | $522 | 17.6× |
| Hydroxycorticosteroids 17 (83491) | $96.60 | $138 | 5.4× |
| Hydroxyprogesterone 17-d (83498) | $56.70 | $81 | 2.1× |
| Hydroxyproline total (83505) | $76.30 | $109 | 3.1× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $105.70 | $151 | 8.8× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $51.80 | $74 | 5.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$65.80–$76.30 | $94–$109 | varies |
| Iaad ia shiga-like toxin (87427) | $52.50 | $75 | 4.4× |
| Iaadi giardia (87269) | $68.60 | $98 | 5.0× |
| Iaadi herpes smplx virus type 1 (87274) | $105.70 | $151 | 8.8× |
| Iaadi herpes smplx virus type 2 (87273) | $35 | $50 | 2.9× |
| Iaadi pneumocustis carinii (87281) | $228.90 | $327 | 19.1× |
| Iaadi respiratory synctial virus (87280) | $75.60 | $108 | 5.6× |
| Iadna Bartonella Amplified Probe Technique (87471) | $210 | $300 | 6.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $189.70 | $271 | 5.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $175 | $250 | 5.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $105 | $150 | 3.0× |
| Iadna Cytomegalovirus Direct Probe Tq (87495) | $105 | $150 | 3.5× |
| Iadna Cytomegalovirus Quantification (87497) | $219.10 | $313 | 5.1× |
| Iadna Hepatitis B Virus Quantification (87517) | $304.50 | $435 | 7.1× |
| Iadna Herpes Virus-6 Quantification (87533) | $84 | $120 | 2.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $54.60 | $78 | 1.6× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $111.30 | $159 | 2.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $175 | $250 | 5.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $97.30 | $139 | 2.8× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $105 | $150 | 2.0× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $276.50 | $395 | 1.1× |
| Ig Light Chains Free Each (83521) | $33.60 | $48 | 1.9× |
| Igg subclasses (82787) | $150.50 | $215 | 18.8× |
| Igh gene rearrange amp meth (81261) | $619.50 | $885 | 3.1× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $389.90 | $557 | 1.3× |
| Igk rearrangeabn clonal pop (81264) | $602.70 | $861 | 3.5× |
| Immune Complex Assay (86332) | $35.70 | $51 | 1.5× |
| Immunfix e-phorsis/urine/csf (86335) | $42 | $60 | 1.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 16 matching MRF lines |
$63.70–$194.60 | $91–$278 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $202.30 | $289 | 13.5× |
| Immunoassay nonantibody (83516) range across 28 matching MRF lines |
$88.20–$331.10 | $126–$473 | varies |
| Immunodiffusion not elsewhere specified (86329) | $32.90 | $47 | 2.3× |
| Immunodiffusion Ouchterlony (86331) | $11.90 | $17 | 1.0× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $117.60 | $168 | 5.1× |
| Immunoelectrophoresis Serum (86320) | $90.30 | $129 | 3.0× |
| Immunofixation electrophoresis (86334) | $126 | $180 | 5.6× |
| Immunohistochemistry (88342) | $368.20 | $526 | 2.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) | $31.50 | $45 | 2.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $113.40 | $162 | 1.6× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $136.50 | $195 | 10.2× |
| Influenza assay w/optic (87804) range across 4 matching MRF lines |
$41.30–$65.80 | $59–$94 | varies |
| Inhibin A (86336) | $98 | $140 | 6.3× |
| Inhibin b (83520) range across 20 matching MRF lines |
$75.60–$338.10 | $108–$483 | varies |
| Insitu hybridization manual (88368) | $354.90 | $507 | 1.1× |
| Insulin antibodies (86337) | $37.10 | $53 | 1.7× |
| Insulin free (83527) | $79.80 | $114 | 6.2× |
| Insulin total (83525) | $45.50 | $65 | 4.0× |
| Interleukin-6 (83529) | $193.90 | $277 | 11.2× |
| Intrinsic factor antibody (86340) | $113.40 | $162 | 7.5× |
| Iron (83540) | $91 | $130 | 14.1× |
| Iron Binding Capacity (83550) | $114.80 | $164 | 13.1× |
| Irradiation Blood Product Each Unit (86945) | $130.20 | $186 | 4.0× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$98–$189 | $140–$270 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $632.10 | $903 | 6.9× |
| Ketosteroids 17 total (83586) | $33.60 | $48 | 2.6× |
| Koh Prep (87220) | $13.30 | $19 | 3.1× |
| L/s ratio (83661) | $203 | $290 | 9.2× |
| Lactate (ld) (ldh) enzyme (83615) | $48.30 | $69 | 8.0× |
| Lactoferrin Fecal Quantitative (83631) | $232.40 | $332 | 11.8× |
| Ldh Isoenzymes (83625) | $80.50 | $115 | 6.3× |
| LDL direct (83721) | $9.10 | $13 | 0.9× |
| Lead (83655) | $18.20 | $26 | 1.5× |
| Legionella antibody (86713) | $81.20 | $116 | 5.3× |
| Legionella antigen urine (87449) | $146.30 | $209 | 12.2× |
| Leptospira antibody (86720) | $79.10 | $113 | 4.9× |
| Leucine Aminopeptidase Lap (83670) | $119.70 | $171 | 12.2× |
| Leukocyte Histamine Release (86343) | $114.80 | $164 | 9.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $54.60 | $78 | 2.2× |
| Level ii surg pathology grossµscopic exam (88302) | $125.30 | $179 | 3.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $473.20 | $676 | 1.5× |
| Lidocaine (80176) | $63.70 | $91 | 4.3× |
| Lipase (83690) | $133.70 | $191 | 19.4× |
| Lipoprotein A (83695) | $50.40 | $72 | 3.5× |
| Lipoprotein Bld Quan Part (83704) | $30.80 | $44 | 0.9× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $37.10 | $53 | 1.1× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $42 | $60 | 0.9× |
| Lithium (80178) | $30.80 | $44 | 4.7× |
| Luteinizing Hormone (Lh) (83002) | $158.20 | $226 | 8.5× |
| Lyme disease antibody (86618) | $268.80 | $384 | 15.8× |
| Lymphocyte transformation (86353) | $240.80 | $344 | 4.9× |
| Lysozyme serum (85549) | $44.80 | $64 | 2.4× |
| M. Genitalium Amp Probe (87563) | $30.10 | $43 | 0.9× |
| Macroscopic Exam Parasite (87169) | $70 | $100 | 16.2× |
| Magnesium Urine (83735) | $61.60 | $88 | 9.2× |
| Mass Spectrometry Quant (83789) | $236.60 | $338 | 9.8× |
| Mercury urine (83825) | $25.20 | $36 | 1.5× |
| Microalbumin, quantitative (82043) | $73.50 | $105 | 12.7× |
| Microsomal Antibodies Each (86376) | $170.80 | $244 | 11.7× |
| Mitochondrial Antibody Each (86381) | $75.60 | $108 | 3.0× |
| Mog-Igg1 Antb Cba Each (86362) | $700 | $1,000 | 58.1× |
| Molecular Cytogenetics Dna Probe Each (88271) | $452.20 | $646 | 21.1× |
| Molecular Pathology Procedure Level 3 (81402) | $367.50 | $525 | 2.4× |
| Molecular Pathology Procedure Level 6 (81405) | $965.30 | $1,379 | 3.2× |
| Mononuclear cell antigen (86356) | $70 | $100 | 2.6× |
| Mopath procedure level 2 (81401) | $341.60 | $488 | 2.5× |
| Mopath procedure level 4 (81403) | $347.90 | $497 | 1.9× |
| Mopath procedure level 5 (81404) | $853.30 | $1,219 | 3.1× |
| Mopath procedure level 7 (81406) | $1,050 | $1,500 | 3.7× |
| Mumps antibody (86735) | $14 | $20 | 1.1× |
| Muscle-Specific Kinase Antb (86366) | $787.50 | $1,125 | 42.8× |
| Mycophenolic Acid (80180) | $63.70 | $91 | 3.5× |
| Mycoplasma antibody (86738) | $68.60 | $98 | 5.2× |
| Mycoplasma culture (87109) | $102.20 | $146 | 6.6× |
| Myelin basic protein csf (83873) | $44.10 | $63 | 2.6× |
| Myoglobin urine (83874) | $60.20 | $86 | 4.7× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$132.30–$182 | $189–$260 | varies |
| Neisseria Dir Na Probe (87590) | $71.40 | $102 | 2.7× |
| Neutralization Test Viral (86382) | $167.30 | $239 | 9.9× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $280 | $400 | 2.2× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $467.60 | $668 | 1.8× |
| Nfct ds chrnc hcv 6 assays (81596) | $210 | $300 | 2.9× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $308.70 | $441 | 2.4× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $1,274 | $1,820 | 2.6× |
| Niacin (84591) | $212.80 | $304 | 12.5× |
| Nitroblue Tetrazolium Dye (86384) | $338.10 | $483 | 24.8× |
| Nk cells total count (86357) | $70 | $100 | 1.9× |
| Nuclear antigen antibody (86235) range across 18 matching MRF lines |
$35.70–$210 | $51–$300 | varies |
| Obstetric panel (80081) | $392 | $560 | 5.2× |
| Occult blood feces (82272) | $35.70 | $51 | 8.4× |
| Occult Blood Other Sources (82271) | $42 | $60 | 7.9× |
| Oligoclonal bands (83916) | $30.80 | $44 | 1.1× |
| Oncoprotein dcp (83951) | $210 | $300 | 3.3× |
| Oncoprotein Her-2/Neu (83950) | $273 | $390 | 4.2× |
| Organic acids urine (83918) | $451.50 | $645 | 19.1× |
| Osmolality serum (83930) | $21.70 | $31 | 3.3× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$16.10–$18.90 | $23–$27 | varies |
| Osmotic fragility rbc incubated (85557) | $329 | $470 | 24.6× |
| Osmotic Fragility RBC Unincubated (85555) | $44.10 | $63 | 5.9× |
| Ova and parasites smears (87177) | $105.70 | $151 | 11.9× |
| Oxalate urine (83945) | $65.80 | $94 | 4.6× |
| Particle Agglutination Screen Each Antibody (86403) | $151.90 | $217 | 13.2× |
| Parvovirus antibody (86747) | $86.10 | $123 | 5.7× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $43.40 | $62 | 0.1× |
| Ph urine (81003) range across 10 matching MRF lines |
$6.30–$18.90 | $9–$27 | varies |
| Phenobarbital Level (80184) | $36.40 | $52 | 2.4× |
| Phenylalanine (84030) | $63.70 | $91 | 11.6× |
| Phenytoin (Dilantin) (80185) | $45.50 | $65 | 3.4× |
| Phenytoin free (80186) | $29.40 | $42 | 2.1× |
| Phosphatase acid prostatic (84066) | $84.70 | $121 | 8.8× |
| Phosphatase alkaline (84075) | $10.50 | $15 | 2.0× |
| Phosphatidylglycerol (84081) | $165.90 | $237 | 10.0× |
| Phospholipid Neutralization Hexagonal (85598) | $105 | $150 | 5.8× |
| Phosphorus Serum (84100) | $30.80 | $44 | 6.5× |
| Phosphorus urine (84105) | $29.40 | $42 | 5.1× |
| Pinworm exam (87172) | $18.90 | $27 | 4.4× |
| Platelet Antibodies (86022) | $247.10 | $353 | 13.5× |
| Platelet count automated (85049) | $11.20 | $16 | 2.5× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $293.30 | $419 | 1.4× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $519.40 | $742 | 0.7× |
| Porphobilinogen, urine; quantitative (84110) | $63 | $90 | 7.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $74.90 | $107 | 5.1× |
| Potassium Urine (84133) | $7 | $10 | 1.5× |
| Prealbumin (84134) | $22.40 | $32 | 1.5× |
| Pregnanetriol (84138) | $422.10 | $603 | 20.1× |
| Pregnenolone (84140) | $97.30 | $139 | 4.7× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $93.10 | $133 | 0.6× |
| Primidone (80188) | $102.90 | $147 | 6.2× |
| Procalcitonin (Pct) (84145) | $78.40 | $112 | 2.9× |
| Progesterone (84144) | $189 | $270 | 9.1× |
| Prolactin (84146) | $138.60 | $198 | 7.2× |
| Prostaglandin (84150) | $452.20 | $646 | 10.8× |
| Protein body fluid (84157) | $53.90 | $77 | 13.5× |
| Protein C Activity (85303) | $105 | $150 | 7.6× |
| Protein c antigen (85302) | $90.30 | $129 | 7.5× |
| Protein Electrophoresis Urine (84166) | $75.60 | $108 | 4.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $112 | $160 | 10.4× |
| Protein S Free (85306) | $100.10 | $143 | 6.5× |
| Protein s total (85305) | $90.30 | $129 | 7.8× |
| Protein total serum (84155) | $26.60 | $38 | 7.2× |
| Protein Total Urine (84156) | $91.70 | $131 | 25.0× |
| Protein Western Blot Test (84182) | $300.30 | $429 | 10.3× |
| Protoporphyrin rbc quantitative (84202) | $93.10 | $133 | 6.5× |
| PSA free (84154) | $133.70 | $191 | 7.3× |
| Pth Intact (83970) | $156.10 | $223 | 3.8× |
| Quantiferon tb gold plus (86480) | $87.50 | $125 | 1.4× |
| Quantitative assay drug (80299) range across 20 matching MRF lines |
$56.70–$227.50 | $81–$325 | varies |
| Quantitative Screen Metals (83018) | $126 | $180 | 5.7× |
| Quinidine (80194) | $76.30 | $109 | 5.2× |
| Rbc antibody elution (86860) | $97.30 | $139 | 0.7× |
| Rbc antibody identification (86870) | $495.60 | $708 | 1.6× |
| Rbc antibody screen (86850) | $172.90 | $247 | 17.7× |
| Renin activity plasma (84244) | $68.60 | $98 | 3.1× |
| Resp virus 12-25 targets (87633) | $175 | $250 | 0.4× |
| Reticulocyte Count Manual (85044) | $10.50 | $15 | 2.4× |
| Rh (86901) | $93.80 | $134 | 31.4× |
| Rheumatoid Factor Qualitative (86430) | $39.20 | $56 | 6.4× |
| Rheumatoid factor quant (86431) | $91.70 | $131 | 16.2× |
| Rickettsia antibody (86757) | $19.60 | $28 | 1.0× |
| Ristocetin cofactor (85245) | $131.60 | $188 | 5.7× |
| Rpr qualitative (86592) | $84 | $120 | 19.7× |
| Rsv ab (86756) | $57.40 | $82 | 3.6× |
| Rsv Assay W/Optic (87807) | $34.30 | $49 | 2.6× |
| Rubella Antibody (86762) | $66.50 | $95 | 4.6× |
| Rubeola antibody (86765) | $60.20 | $86 | 4.7× |
| Russell Viper Venom Time Diluted (85613) | $37.10 | $53 | 3.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $77.70 | $111 | 1.5× |
| Sars-cov-2 COVID-19 antibody (86769) | $98 | $140 | 2.3× |
| Sedimentation rate (85651) | $56.70 | $81 | 13.3× |
| Selenium (84255) | $67.90 | $97 | 2.7× |
| Semen Anal Sperm Detection (89321) | $77.70 | $111 | 6.4× |
| Semen analysis complete (89320) | $180.60 | $258 | 14.7× |
| Sensitivity mic (87186) range across 4 matching MRF lines |
$65.80–$1,050 | $94–$1,500 | varies |
| Sex Hormone Binding Globulin (84270) | $179.90 | $257 | 8.3× |
| Sickling of rbc reduction (85660) | $52.50 | $75 | 9.5× |
| Skin test tuberculosis intradermal (86580) range across 4 matching MRF lines |
$23.80–$30.80 | $34–$44 | varies |
| Skin test unlisted antigen each (86486) | $30.80 | $44 | 1.2× |
| Smear acid fast (87206) | $70.70 | $101 | 13.1× |
| Smear complex stain (87209) | $17.50 | $25 | 1.0× |
| Smear gram stain (87205) | $46.20 | $66 | 10.8× |
| Smear Special Stain (87207) range across 5 matching MRF lines |
$63.70–$65.10 | $91–$93 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $700 | $1,000 | 5.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $64.40 | $92 | 11.1× |
| Sodium Serum (84295) | $11.20 | $16 | 2.3× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$8.40–$9.80 | $12–$14 | varies |
| Soluble Transferrin Receptor (84238) | $226.10 | $323 | 6.2× |
| Somatomedin (84305) | $178.50 | $255 | 8.4× |
| Special Stains Group 1 (88312) | $95.90 | $137 | 2.1× |
| Special Stains Group 2 (88313) | $135.10 | $193 | 1.2× |
| Specific gravity body fluid (84315) | $27.30 | $39 | 8.3× |
| Specimen infect agnt concntj (87015) | $46.20 | $66 | 6.9× |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$49–$63.70 | $70–$91 | varies |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$52.50–$72.10 | $75–$103 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$38.50–$69.30 | $55–$99 | varies |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $120.40 | $172 | 10.4× |
| Sugars Single Qual (84376) | $58.80 | $84 | 10.7× |
| Sulfate urine (84392) | $18.90 | $27 | 3.4× |
| Surg path level iii (88304) | $113.40 | $162 | 2.5× |
| Surgical pathology level IV (88305) | $182 | $260 | 4.0× |
| Surgical pathology level vi (88309) | $359.10 | $513 | 0.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $44.10 | $63 | 5.9× |
| Syphilis Test Non-Trep Quant (86593) | $85.40 | $122 | 19.4× |
| T cells absolute cd4 count (86361) | $73.50 | $105 | 2.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $81.20 | $116 | 1.7× |
| T cells total count (86359) | $73.50 | $105 | 1.9× |
| T3 Free (84481) | $124.60 | $178 | 7.4× |
| T3 reverse (84482) | $81.90 | $117 | 5.2× |
| T3 Total (84480) | $117.60 | $168 | 8.3× |
| T3 Uptake (84479) | $59.50 | $85 | 9.2× |
| T4 Free (84439) | $108.50 | $155 | 12.0× |
| T4 total (84436) | $94.50 | $135 | 13.8× |
| Tacrolimus (80197) | $200.90 | $287 | 14.6× |
| Test for acetone/ketones (82009) | $51.10 | $73 | 11.3× |
| Testosterone Bioavailable (84410) | $130.20 | $186 | 2.5× |
| Testosterone total (84403) | $184.10 | $263 | 7.1× |
| Testosterone, Free (84402) | $115.50 | $165 | 4.5× |
| Tetanus antibody (86774) | $107.10 | $153 | 7.2× |
| Theophylline (80198) | $54.60 | $78 | 3.9× |
| Thiocyanate (84430) | $75.60 | $108 | 6.5× |
| Thiopurine methyltransferase (84433) | $443.10 | $633 | 20.0× |
| Thrombin Time (85670) | $46.90 | $67 | 8.1× |
| Thromboplastin Inhibition Tissue (85705) | $154 | $220 | 16.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $168 | $240 | 26.0× |
| Thyroglobulin Antibody (86800) | $107.10 | $153 | 6.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $380.80 | $544 | 7.5× |
| Thyroxine binding globulin (84442) | $27.30 | $39 | 1.8× |
| Tiss cul neo disorders solid tumor (88239) | $188.30 | $269 | 1.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $114.80 | $164 | 10.0× |
| Tissue culture bone marrow (88237) | $33.60 | $48 | 0.2× |
| Tissue Culture Lymphocyte (88230) | $146.30 | $209 | 1.3× |
| Tobramycin peak (80200) | $79.10 | $113 | 4.9× |
| Topiramate (80201) | $41.30 | $59 | 3.5× |
| Touch prep (88161) | $38.50 | $55 | 1.5× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $138.60 | $198 | 7.0× |
| Toxoplasma ab igm (86778) | $116.20 | $166 | 8.1× |
| Toxoplasma antibody (86777) | $86.10 | $123 | 6.0× |
| Tpmt gene com variants (81335) | $350 | $500 | 2.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $49.70 | $71 | 9.6× |
| Transferrin (84466) | $86.10 | $123 | 6.7× |
| Trichinella Antibody (86784) | $110.60 | $158 | 8.8× |
| Trichomonas Vaginalis Amplif (87661) | $97.30 | $139 | 2.8× |
| Triglycerides (84478) | $8.40 | $12 | 1.5× |
| Troponin Quant (84484) | $145.60 | $208 | 11.7× |
| Trypsin feces qual (84488) | $60.90 | $87 | 8.3× |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$181.30–$737.10 | $259–$1,053 | varies |
| Tumor Immunohistochem/Manual (88360) range across 4 matching MRF lines |
$110.60–$277.20 | $158–$396 | varies |
| Urea Nitrogen Clearance (84545) | $12.60 | $18 | 1.8× |
| Urea nitrogen urine (84540) | $46.20 | $66 | 8.3× |
| Uric acid other source (84560) | $46.20 | $66 | 9.1× |
| Urine Bacteria Culture (87088) | $56 | $80 | 6.9× |
| Urine Pregnancy Test (81025) range across 4 matching MRF lines |
$25.90–$51.80 | $37–$74 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $59.50 | $85 | 18.8× |
| Valproic acid (80164) | $24.50 | $35 | 1.8× |
| Vancomycin (80202) | $114.10 | $163 | 8.4× |
| Varicella-zoster antibody (86787) | $73.50 | $105 | 5.7× |
| Vasopressin (84588) | $202.30 | $289 | 6.0× |
| Very Long Chain Fatty Acids (82726) | $271.60 | $388 | 13.8× |
| Viral Culture (87252) | $60.20 | $86 | 2.3× |
| Virus antibody nos (86790) | $249.90 | $357 | 19.4× |
| Virus inoculate tissue addl (87253) | $46.90 | $67 | 2.3× |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) | $66.50 | $95 | 3.4× |
| Viscosity serum (85810) | $30.80 | $44 | 2.6× |
| Vit D 1 25-Dihydroxy (82652) | $208.60 | $298 | 5.4× |
| Vitamin A (84590) | $49 | $70 | 4.2× |
| Vitamin b-12 (82607) | $130.20 | $186 | 8.6× |
| Vitamin B2 (Riboflavin) (84252) | $158.20 | $226 | 7.8× |
| Vitamin B6 (84207) | $169.40 | $242 | 6.0× |
| Vitamin c (82180) | $46.20 | $66 | 4.7× |
| Vitamin D 25-Hydroxy (82306) | $154.70 | $221 | 5.2× |
| Vitamin E (84446) | $35 | $50 | 2.5× |
| Vitamin K (84597) | $73.50 | $105 | 5.4× |
| Volatiles (84600) | $67.90 | $97 | 4.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $451.50 | $645 | 37.5× |
| Von willebrand factor ag (85246) | $131.60 | $188 | 5.7× |
| Wbc Alkaline Phosphatase Count (85540) | $184.10 | $263 | 21.4× |
| West nile virus ab igm (86788) | $25.90 | $37 | 1.5× |
| West Nile Virus Antibody (86789) | $17.50 | $25 | 1.2× |
| Western Blot Test (84181) | $300.30 | $429 | 17.6× |
| Xylose Absorption Test (84620) | $120.40 | $172 | 9.3× |
| Zinc (84630) | $58.80 | $84 | 5.2× |
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.