Lab & pathology prices at Memorial Hospital

Dumas, TX · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $128 $160 11.5×
Acetylcholinesterase Assay (82013) $365.60 $457 29.7×
Acth (82024) $299.20 $374 7.7×
Acute hepatitis panel (80074) $784.80 $981 16.5×
Acylcarnitines Quant (82017)
range across 3 matching MRF lines
$220.80–$550.40 $276–$688 varies
Adenovirus antibody (86603) $117.60 $147 9.1×
Afp-l3 fraction isoform & total afp w/ratio (82107) $115.20 $144 1.8×
Agglutinins Febrile Each Antigen (86000) $103.20 $129 14.8×
Albumin Fluid (82042)
range across 5 matching MRF lines
$84–$128 $105–$160 varies
Albumin serum (82040)
range across 4 matching MRF lines
$52.80–$97.60 $66–$122 varies
Aldolase (82085) $116 $145 11.9×
Aldosterone urine (82088)
range across 3 matching MRF lines
$153.60–$315.20 $192–$394 varies
Alkaline phosphatase isoenzymes (84080)
range across 3 matching MRF lines
$28.80–$300 $36–$375 varies
Allergen specific ige (86003)
range across 15 matching MRF lines
$27.20–$528 $34–$660 varies
Allergen specific igg (86001)
range across 7 matching MRF lines
$38.40–$42.40 $48–$53 varies
Alpha-1-antitrypsin phenotype (82104) $159.20 $199 11.0×
Alpha-1-antitrypsin total (82103) $159.20 $199 11.8×
Alpha-Fetoprotein Amniotic Fluid (82106) $188.80 $236 11.1×
Alpha-Fetoprotein Serum (82105)
range across 4 matching MRF lines
$60–$207.20 $75–$259 varies
Alt (sgpt) (84460)
range across 3 matching MRF lines
$22.40–$100 $28–$125 varies
Aluminum (82108) $116.80 $146 4.6×
Amikacin trough (80150) $120 $150 8.0×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $516 $645 30.6×
Ammonia (82140)
range across 3 matching MRF lines
$24.80–$155.20 $31–$194 varies
Amniotic fluid protein test on cervicovaginal fluid (84112) $288.80 $361 2.9×
Amylase urine (82150)
range across 4 matching MRF lines
$172–$223.20 $215–$279 varies
Ana Titer (86039)
range across 3 matching MRF lines
$72.80–$90.40 $91–$113 varies
Androstenedione (82157) $128.80 $161 4.4×
Angiotensin converting enzyme csf (82164)
range across 2 matching MRF lines
$65.60–$146.40 $82–$183 varies
Anti-Phospholipid Antibody (86148)
range across 9 matching MRF lines
$101.60–$144.80 $127–$181 varies
Antibody aspergillus (86606)
range across 2 matching MRF lines
$42.40–$264.80 $53–$331 varies
Antibody Bacterium Not Elsewhere Specified (86609)
range across 11 matching MRF lines
$42.40–$93.60 $53–$117 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $108 $135 7.0×
Antibody Cytomegalovirus Cmv Igm (86645)
range across 3 matching MRF lines
$49.60–$98.40 $62–$123 varies
Antibody Encephalitis California La Crosse (86651) $60.80 $76 4.6×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663)
range across 2 matching MRF lines
$117.60–$193.60 $147–$242 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $117.60 $147 7.7×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 5 matching MRF lines
$84–$124 $105–$155 varies
Antibody Fungus Not Elsewhere Specified (86671) $109.60 $137 8.9×
Antibody helicobacter pylori (86677) $63.20 $79 3.8×
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 2 matching MRF lines
$91.20–$121.60 $114–$152 varies
Antibody Herpes Smplx Type 1 (86695)
range across 8 matching MRF lines
$49.60–$120 $62–$150 varies
Antibody HIV-2 (86702) $159.20 $199 11.8×
Antibody identification leukocyte antibodies (86021)
range across 5 matching MRF lines
$61.60–$436 $77–$545 varies
Antibody Identification Platelet Immunogl Assay (86023) $571.20 $714 45.8×
Antibody Lymphocytic Choriomeningitis (86727) $193.60 $242 15.0×
Antibody plasmodium malaria (86750)
range across 5 matching MRF lines
$97.60–$371.20 $122–$464 varies
Antibody Protozoa Nes (86753) $184.80 $231 14.9×
Antibody rotavirus (86759) $169.60 $212 9.3×
Antibody Titer (86886) $78.40 $98 15.1×
Antibody Treponema Pallidum (86780)
range across 3 matching MRF lines
$14.40–$120 $18–$150 varies
Antibody yersinia (86793) $176 $220 13.3×
Antibody; encephalitis, st. louis (86653) $60.80 $76 4.6×
Antibody; influenza virus (86710) $90.40 $113 6.7×
Antigen typing (86905)
range across 3 matching MRF lines
$66.40–$320.80 $83–$401 varies
Antinuclear antibodies (86038)
range across 7 matching MRF lines
$21.60–$116 $27–$145 varies
Antistreptolysin o titer (86060) $97.60 $122 13.4×
Antithrombin iii activity (85300)
range across 4 matching MRF lines
$116.80–$151.20 $146–$189 varies
Antithrombin iii antigen (85301)
range across 3 matching MRF lines
$121.60–$151.20 $152–$189 varies
Apolipoprotein a1 (82172)
range across 5 matching MRF lines
$52–$85.60 $65–$107 varies
Aquaporin-4 Antb Cba Each (86052) $654.40 $818 54.3×
Arsenic (82175)
range across 5 matching MRF lines
$76.80–$188.80 $96–$236 varies
Assay activated protein c (85307)
range across 2 matching MRF lines
$99.20–$135.20 $124–$169 varies
Assay Blood Carbon Dioxide (82374) $22.40 $28 4.6×
Assay Nephelometry Not Spec (83883)
range across 7 matching MRF lines
$68.80–$209.60 $86–$262 varies
Assay of 5-hiaa (83497)
range across 4 matching MRF lines
$48–$201.60 $60–$252 varies
Assay of blood/uric acid (84550)
range across 3 matching MRF lines
$22.40–$103.20 $28–$129 varies
Assay of calcium in urine (82340)
range across 3 matching MRF lines
$24.80–$78.40 $31–$98 varies
Assay of corticosterone (82528) $193.60 $242 8.6×
Assay of estrone (82679)
range across 2 matching MRF lines
$47.20–$135.20 $59–$169 varies
Assay of g6pd enzyme (82955) $151.20 $189 15.6×
Assay of gammaglobulin igm (82784)
range across 12 matching MRF lines
$24.80–$132.80 $31–$166 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines
$129.60–$412 $162–$515 varies
Assay of metanephrines (83835)
range across 2 matching MRF lines
$75.20–$132.80 $94–$166 varies
Assay of phosphatase acid total (84060) $91.20 $114 11.9×
Assay of procainamide (80190) $153.60 $192 2.6×
Assay of proinsulin (84206) $101.60 $127 3.8×
Assay of prostate specific antigen complexed (84152) $112 $140 6.1×
Assay of serotonin (84260) $299.20 $374 9.7×
Assay of serum potassium (84132) $73.60 $92 15.5×
Assay of Sialic Acid (84275) $133.60 $167 9.9×
Assay of sweat sodium (84302) $95.20 $119 19.6×
Assay of transcortin (84449) $164.80 $206 9.2×
Assay of Tyrosine (84510) $219.20 $274 20.6×
Assay of urea nitrogen (84520)
range across 3 matching MRF lines
$25.60–$111.20 $32–$139 varies
Assay of urine vma (84585)
range across 2 matching MRF lines
$20–$135.20 $25–$169 varies
Assay of vasoactive intestinal peptide (84586) $139.20 $174 3.9×
Assay of vitamin b-1 (84425)
range across 3 matching MRF lines
$116.80–$187.20 $146–$234 varies
Assay Ph Body Fluid Nos (83986)
range across 5 matching MRF lines
$24.80–$76.80 $31–$96 varies
Autol Bld/Component Collj Storage Predeposited (86890) $158.40 $198 0.9×
Automated Leukocyte Count (85048)
range across 3 matching MRF lines
$22.40–$65.60 $28–$82 varies
B cells total count (86355)
range across 2 matching MRF lines
$90.40–$124.80 $113–$156 varies
Bartonella antibody (86611)
range across 6 matching MRF lines
$64–$104 $80–$130 varies
Bcr/abl1 gene major bp (81206) $348.80 $436 2.1×
Beta 2 glycoprotein i antibody each (86146)
range across 8 matching MRF lines
$111.20–$322.40 $139–$403 varies
Beta hydroxybutyrate (82010)
range across 3 matching MRF lines
$91.20–$152.80 $114–$191 varies
Beta-2 Microglobulin (82232) $150.40 $188 9.3×
Bile acids total (82239) $104 $130 6.1×
Bilirubin direct (82248)
range across 2 matching MRF lines
$22.40–$84.80 $28–$106 varies
Bilirubin total (82247)
range across 4 matching MRF lines
$12.80–$91.20 $16–$114 varies
Biotinidase (82261) $141.60 $177 8.4×
Blastomyces antibody (86612) $84.80 $106 6.6×
Bld Typing Serologic Rh Phnt (86906)
range across 3 matching MRF lines
$125.60–$503.20 $157–$629 varies
Bleeding time test (85002) $88.80 $111 18.4×
Blood Count Manual Cell Count Each (85032) $76.80 $96 17.8×
Blood Count Red Blood Cell Automated (85041)
range across 2 matching MRF lines
$30.40–$45.60 $38–$57 varies
Blood count reticulocyte automated (85045) $72.80 $91 18.2×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 2 matching MRF lines
$45.60–$50.40 $57–$63 varies
Blood gas (82803)
range across 3 matching MRF lines
$229.60–$254.40 $287–$318 varies
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 2 matching MRF lines
$112.80–$320.80 $141–$401 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904) $104 $130 6.4×
Blood typing serologic abo (86900)
range across 3 matching MRF lines
$47.20–$127.20 $59–$159 varies
Body fluid cell count (89050) $116 $145 24.6×
Bordetella antibody (86615)
range across 4 matching MRF lines
$104–$319.20 $130–$399 varies
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) $768 $960 1.7×
Brucella antibody (86622)
range across 3 matching MRF lines
$104.80–$377.60 $131–$472 varies
C diff amplified probe (87493) $41.60 $52 1.1×
C-Peptide (84681) $184 $230 8.8×
C-reactive protein (86140)
range across 2 matching MRF lines
$151.20–$231.20 $189–$289 varies
Ca 19-9 (86301) $236.80 $296 11.4×
Calcitonin (82308) $141.60 $177 5.3×
Calcium ionized (82330) $174.40 $218 12.7×
Calcium total (82310)
range across 3 matching MRF lines
$78.40–$117.60 $98–$147 varies
Calculus Spectroscopy (82365) $116.80 $146 9.1×
Calprotectin Fecal (83993) $314.40 $393 16.0×
Cancer Antigen 125 (86304) $223.20 $279 10.7×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$136.80–$193.60 $171–$242 varies
Candida antibody (86628)
range across 2 matching MRF lines
$117.60–$128 $147–$160 varies
Carbamazepine free (80157) $119.20 $149 9.0×
Carbamazepine total (80156) $231.20 $289 15.9×
Carbohydrate Deficient Transferrin (82373)
range across 2 matching MRF lines
$316.80–$398.40 $396–$498 varies
Carboxyhemoglobin (82375)
range across 2 matching MRF lines
$53.60–$68 $67–$85 varies
Carcinoembryonic antigen (82378) $200 $250 10.5×
Cardiolipin ab iga (86147)
range across 7 matching MRF lines
$107.20–$155.20 $134–$194 varies
Carnitine Quantitative Each Specimen (82379)
range across 3 matching MRF lines
$90.40–$152.80 $113–$191 varies
Carotene (82380)
range across 3 matching MRF lines
$73.60–$95.20 $92–$119 varies
Catecholamines fractionated (82384)
range across 3 matching MRF lines
$120.80–$266.40 $151–$333 varies
Catecholamines total urine (82382) $219.20 $274 8.0×
Cathepsin-d (82387) $295.20 $369 16.3×
Ccp antibody (86200) $82.40 $103 6.4×
Cell count csf (89051) $116 $145 20.7×
Cell marker study (88182) $51.20 $64 1.0×
Cellular Function Assay Stimul&Detect Biomarke (86352) $359.20 $449 2.6×
Ceruloplasmin (82390) $91.20 $114 8.5×
Cftr gene com variants (81220) $272.80 $341 0.5×
Cftr gene full sequence (81223) $2,673.60 $3,342 5.4×
Chemiluminescent assay (82397)
range across 3 matching MRF lines
$101.60–$236.80 $127–$296 varies
Chlamydia antibody (86631)
range across 3 matching MRF lines
$98.40–$188.80 $123–$236 varies
Chlamydia Igm Antibody (86632)
range across 3 matching MRF lines
$24.80–$141.60 $31–$177 varies
Chloride other source (82438) $73.60 $92 14.7×
Chloride Serum (82435) $91.20 $114 19.8×
Chloride urine (82436)
range across 2 matching MRF lines
$70.40–$91.20 $88–$114 varies
Cholesterol total (82465)
range across 3 matching MRF lines
$22.40–$88 $28–$110 varies
Cholinesterase rbc (82482) $76 $95 7.7×
Cholinesterase Serum (82480) $76 $95 9.7×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$146.40–$169.60 $183–$212 varies
Chrmsm Analysis Addl Karyotyp Each Study (88280) $236.80 $296 7.1×
Chromium serum (82495) $78.40 $98 3.9×
Chromogranin a (86316) $119.20 $149 5.7×
Chromosome Analysis 15-20 (88262) $270.40 $338 2.2×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 3 matching MRF lines
$54.40–$193.60 $68–$242 varies
Citric acid urine (82507)
range across 3 matching MRF lines
$24.80–$127.20 $31–$159 varies
Ckmb (82553) $97.60 $122 8.5×
Clostridium Difficile (87324) $174.40 $218 14.6×
Clot Factor VIII Multimetric (85247)
range across 2 matching MRF lines
$20.80–$212.80 $26–$266 varies
Clotting factor viii related antigen (85244) $225.60 $282 11.0×
Clotting factor xii hageman (85280) $346.40 $433 17.9×
Cns DNA amp probe type 12-25 (87483) $1,640.80 $2,051 3.9×
Coccidioides antibody (86635) $228 $285 19.9×
Cold agglutinin titer (86157) $112 $140 13.9×
Collagen crosslinks (82523)
range across 5 matching MRF lines
$95.20–$245.60 $119–$307 varies
Column Chromotography Quant (82542)
range across 5 matching MRF lines
$155.20–$320 $194–$400 varies
Compatibility test antiglob (86922) $156 $195 0.9×
Complement Antigen Each Component (86160)
range across 10 matching MRF lines
$21.60–$198.40 $27–$248 varies
Complement Total (Ch50) (86162)
range across 2 matching MRF lines
$63.20–$327.20 $79–$409 varies
Complement/Function Activity (86161) $209.60 $262 17.5×
Coombs direct (86880)
range across 6 matching MRF lines
$24.80–$262.40 $31–$328 varies
Copper urine (82525)
range across 2 matching MRF lines
$103.20–$141.60 $129–$177 varies
Cortisol free (82530)
range across 3 matching MRF lines
$64–$177.60 $80–$222 varies
Cortisol saliva (82533)
range across 6 matching MRF lines
$68.80–$185.60 $86–$232 varies
Creatine (82540)
range across 2 matching MRF lines
$119.20–$166.40 $149–$208 varies
Creatine kinase (CK), (CPK); isoforms Facility (82554) $226.40 $283 19.1×
Creatine kinase total (82550)
range across 2 matching MRF lines
$22.40–$97.60 $28–$122 varies
Creatinine blood (82565)
range across 2 matching MRF lines
$25.60–$103.20 $32–$129 varies
Creatinine clearance (82575) $128.80 $161 13.6×
Creatinine Urine (82570)
range across 17 matching MRF lines
$24.80–$185.60 $31–$232 varies
Crp High Sensitivity (86141) $151.20 $189 11.7×
Cryofibrinogen (82585) $88.80 $111 6.3×
Cryoglobulin (82595)
range across 2 matching MRF lines
$82.40–$98.40 $103–$123 varies
Cryptococcal Antigen (87327) $172 $215 12.8×
Cryptococcus ab (86641) $120 $150 8.3×
Cryptococcus ag titer (87899) $188 $235 11.7×
Cryptosporidium (87272) $74.40 $93 6.2×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 6 matching MRF lines
$54.40–$119.20 $68–$149 varies
Culture afb (87116)
range across 3 matching MRF lines
$132.80–$135.20 $166–$169 varies
Culture Anaerobic (87075)
range across 6 matching MRF lines
$93.60–$179.20 $117–$224 varies
Culture blood (87040) $209.60 $262 20.3×
Culture chlamydia (87110)
range across 2 matching MRF lines
$108–$112.80 $135–$141 varies
Culture csf (87070)
range across 10 matching MRF lines
$117.60–$180 $147–$225 varies
Culture fungus (87102) $236.80 $296 28.2×
Culture fungus blood (87103)
range across 2 matching MRF lines
$61.60–$209.60 $77–$262 varies
Culture screen only (87081)
range across 6 matching MRF lines
$32–$148 $40–$185 varies
Culture stool (87045)
range across 3 matching MRF lines
$77.60–$223.20 $97–$279 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $196.80 $246 38.0×
Culture typing other methods (87158) $264.80 $331 34.2×
Culture urine (87086) $184 $230 22.8×
Culture, typing; identification by pulse field gel typing Facility (87152) $179.20 $224 23.2×
Cyclic amp (82030) $464 $580 18.0×
Cyclosporine (80158) $299.20 $374 16.6×
Cystatin C (82610) $230.40 $288 12.4×
Cytogenetics 10-30 (88273) $270.40 $338 7.8×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $2,378.40 $2,973 2.1×
Cytomegalovirus igg (86644)
range across 5 matching MRF lines
$49.60–$487.20 $62–$609 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $116 $145 5.7×
Cytopath Cell Enhance Tech (88112) $45.60 $57 0.9×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $115.20 $144 4.3×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $94.40 $118 1.8×
Cytp Slides C/V Mnl Scr Under Phys (88150) $82.40 $103 4.4×
Deoxyribonuclease antibody (86215)
range across 2 matching MRF lines
$104.80–$132.80 $131–$166 varies
Detect Agent Nos Dna Amp (87798)
range across 7 matching MRF lines
$219.20–$624 $274–$780 varies
Detect Agent Nos Dna Quant (87799)
range across 5 matching MRF lines
$253.60–$508.80 $317–$636 varies
Dgp Antibody Each Ig Class (86258) $38.40 $48 3.2×
Dhea (82626) $219.20 $274 8.7×
Dhea-S (82627) $209.60 $262 9.4×
Digoxin (80162) $163.20 $204 12.3×
Dihydrotestosterone (82642) $111.20 $139 3.8×
Dipropylacetic Acid Free (80165) $108 $135 8.0×
Dna Antibody Native/Double Stranded (86225)
range across 4 matching MRF lines
$21.60–$184 $27–$230 varies
Dna Antibody Single Stranded (86226) $228 $285 18.8×
Drug assay adalimumab (80145) $276.80 $346 7.2×
Drug Assay Everolimus (80169) $180 $225 13.1×
Drug Assay Infliximab (80230) $272 $340 7.1×
Drug Screen Quant Zonisamide (80203) $141.60 $177 10.7×
Drug Screen Quantitative Gabapentin (80171) $223.20 $279 10.3×
Drug Screen Quantitative Lamotrigine (80175) $119.20 $149 9.0×
Drug Screen Quantitative Levetiracetam (80177) $298.40 $373 22.5×
Drug Test Prsmv Chem Anlyzr (80307)
range across 7 matching MRF lines
$78.40–$188.80 $98–$236 varies
Drug Test Prsmv Dir Opt Obs (80305) $91.20 $114 7.2×
Drug Test Prsmv Instrmnt (80306)
range across 2 matching MRF lines
$108–$231.20 $135–$289 varies
Electrolyte panel (80051)
range across 3 matching MRF lines
$61.60–$145.60 $77–$182 varies
Encephaltis East Eqne Anbdy (86652) $189.60 $237 14.4×
Encephaltis West Eqne Antbdy (86654) $60.80 $76 4.6×
Enterovirus Antibody (86658)
range across 13 matching MRF lines
$33.60–$113.60 $42–$142 varies
Enzyme cell activity (82657) $384 $480 17.3×
Erythropoietin (82668) $201.60 $252 10.7×
Estradiol serum (82670)
range across 2 matching MRF lines
$47.20–$212.80 $59–$266 varies
Estriol (82677)
range across 2 matching MRF lines
$47.20–$135.20 $59–$169 varies
Estrogen total (82672)
range across 2 matching MRF lines
$146.40–$299.20 $183–$374 varies
Ethosuximide (80168) $75.20 $94 4.6×
Ethylene Glycol (82693) $184 $230 12.3×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines
$88.80–$95.20 $111–$119 varies
F2 Gene (81240)
range across 2 matching MRF lines
$181.60–$500 $227–$625 varies
Factor ii activity (85210) $112.80 $141 8.7×
Factor ix activity (85250)
range across 3 matching MRF lines
$112.80–$246.40 $141–$308 varies
Factor v activity (85220) $297.60 $372 16.9×
Factor v leiden mutation (81241) $514.40 $643 7.0×
Factor vii assay (85230) $295.20 $369 16.5×
Factor viii assay (85240)
range across 3 matching MRF lines
$20.80–$256.80 $26–$321 varies
Factor X (85260) $160 $200 8.9×
Factor xi activity (85270) $248.80 $311 13.9×
Fat stain feces urine/respir secretions (89125) $117.60 $147 20.0×
Fatty acids free (82725) $171.20 $214 9.1×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $217.60 $272 12.7×
Fecal Fat Qualitative (82705) $209.60 $262 41.1×
Ferritin (82728) $155.20 $194 11.4×
Fetal Fibronectin (82731) $294.40 $368 4.6×
Fetal screen rosette (85461) $82.40 $103 8.8×
Fibrin degradation products (85362) $120 $150 17.4×
Fibrin Degradation Quant (85379) $209.60 $262 20.6×
Fibrinogen activity (85384) $124 $155 12.8×
Flecainide level (80181) $64.80 $81 3.5×
Flow cytometry first marker (88184) $120 $150 0.3×
Fluorescent antibody screen (86255)
range across 17 matching MRF lines
$19.20–$691.20 $24–$864 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 5 matching MRF lines
$51.20–$252.80 $64–$316 varies
Fmr1 gene detection (81243) $376 $470 6.6×
Folic acid rbc (82747)
range across 2 matching MRF lines
$236.80–$255.20 $296–$319 varies
Folic Acid Serum (82746) $151.20 $189 10.3×
Follicle Stimulating Hormone (83001)
range across 4 matching MRF lines
$38.40–$285.60 $48–$357 varies
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $315.20 $394 11.1×
Francisella tularensis (86668) $103.20 $129 7.3×
Fresh Frozen Plasma Thawing Each Unit (86927) $115.20 $144 0.7×
Fungi Identification Yeast (87106) $146.40 $183 14.2×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $324 $405 15.4×
Gammaglobulin ige (82785)
range across 5 matching MRF lines
$12–$91.20 $15–$114 varies
Gases blood ph only (82800) $68 $85 6.2×
Gastrin (82941) $128 $160 7.3×
Genet Virus Isolate Hsv (87255) $160.80 $201 4.7×
Gentamicin (80170) $124 $155 7.6×
Ggt (82977)
range across 2 matching MRF lines
$91.20–$96.80 $114–$121 varies
Giardia antigen (87329) $74.40 $93 6.2×
Giardia lamblia antibody (86674) $120 $150 8.2×
Glucagon (82943) $216 $270 15.1×
Glucose 2 hr pp (82950)
range across 2 matching MRF lines
$78.40–$128 $98–$160 varies
Glucose Blood Test (82962) $72.80 $91 22.2×
Glucose body fluid (82945)
range across 4 matching MRF lines
$78.40–$98.40 $98–$123 varies
Glucose Serum (82947)
range across 6 matching MRF lines
$25.60–$78.40 $32–$98 varies
Glucose tolerance test (gtt) (82951)
range across 6 matching MRF lines
$82.40–$204.80 $103–$256 varies
Glycated Protein (82985)
range across 2 matching MRF lines
$98.40–$270.40 $123–$338 varies
Gonadotropin Chorionic Qualitative (84703) $119.20 $149 15.9×
Growth hormone (83003) $153.60 $192 9.2×
Gtt-added samples (82952)
range across 6 matching MRF lines
$19.20–$82.40 $24–$103 varies
H Pylori (C-13) Breath (83013) $197.60 $247 2.9×
Haptoglobin (83010) $146.40 $183 11.6×
Hba1/Hba2 Gene (81257)
range across 2 matching MRF lines
$525.60–$654.40 $657–$818 varies
Hdl Cholesterol (83718)
range across 2 matching MRF lines
$23.20–$56.80 $29–$71 varies
Helicobacter Pylori Stool (87338) $124 $155 8.6×
Helminth Antibody (86682)
range across 4 matching MRF lines
$154.40–$292 $193–$365 varies
Hemagglutination Inhibition (86280) $64 $80 7.8×
Hematocrit (85014)
range across 3 matching MRF lines
$30.40–$45.60 $38–$57 varies
Hemoglobin (85018)
range across 3 matching MRF lines
$30.40–$45.60 $38–$57 varies
Hemoglobin a1c (83036) $117.60 $147 12.1×
Hemoglobin Chromotography (83021)
range across 7 matching MRF lines
$56.80–$240.80 $71–$301 varies
Hemoglobin electrophoresis (83020) $56.80 $71 4.4×
Hemoglobin Methemoglobin Quantitative (83050) $117.60 $147 14.3×
Hemoglobin plasma (83051) $61.60 $77 8.4×
Hemoglobin urine (83069) $48 $60 12.2×
Hep a ab igm (86709)
range across 2 matching MRF lines
$128.80–$135.20 $161–$169 varies
Heparin assay (85520) $280 $350 21.4×
Hepatitis a antibody total (86708)
range across 2 matching MRF lines
$71.20–$124 $89–$155 varies
Hepatitis b core ab igm (86705) $116.80 $146 9.9×
Hepatitis b core ab total (86704) $98.40 $123 8.2×
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines
$104–$233.60 $130–$292 varies
Hepatitis Be Antibody (86707)
range across 2 matching MRF lines
$51.20–$98.40 $64–$123 varies
Hepatitis Be Antigen (87350)
range across 2 matching MRF lines
$51.20–$98.40 $64–$123 varies
Hepatitis C Antibody (86803)
range across 2 matching MRF lines
$61.60–$117.60 $77–$147 varies
Hepatitis C Genotype (87902) $471.20 $589 1.8×
Hepatitis C Probe&Rvrs Trnsc (87521) $135.20 $169 3.9×
Hepatitis C Revrs Trnscrpj (87522)
range across 4 matching MRF lines
$209.60–$676.80 $262–$846 varies
Hepatitis delta ag (87380) $188.80 $236 10.3×
Hepatitis Delta Agent Antibody (86692)
range across 4 matching MRF lines
$109.60–$208 $137–$260 varies
Herpes simplex type 2 (86696)
range across 9 matching MRF lines
$49.60–$120 $62–$150 varies
Heterophile antibodies titer (86309) $124 $155 19.2×
Heterophile Antibody Screen (86308) $82.40 $103 15.9×
Hexa gene analysis common variants (81255) $263.20 $329 5.1×
Hfe Gene (81256) $210.40 $263 3.2×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $144.80 $181 18.7×
Histamine urine (83088)
range across 2 matching MRF lines
$164.80–$204.80 $206–$256 varies
Histoplasma antibody (86698) $61.60 $77 4.5×
Histoplasma antigen urine (87385) $175.20 $219 13.2×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines
$175.20–$303.20 $219–$379 varies
Hiv-1 Antibody (86701) $159.20 $199 17.9×
Hiv-1 Quant&Revrse Trnscrpj (87536) $413.60 $517 4.9×
Hla ii type 1 ag equiv lr (81377) $212.80 $266 2.2×
Hla ii typing 1 allele hr (81383) $212.80 $266 1.9×
Hla Typing a/B/C Multiple Antigens (86813) $445.60 $557 7.7×
Hla-b27 (86812) $201.60 $252 7.8×
Homocysteine (83090) $136 $170 7.6×
Hpv High-Risk Types (87624) $76 $95 2.2×
Hpv Types 16 & 18 Only (87625)
range across 2 matching MRF lines
$76–$97.60 $95–$122 varies
Hsv Dna Amp Probe (87529) $324 $405 9.2×
Htlv-I Antibody (86687) $136 $170 15.0×
Htlv-ii antibody (86688) $136 $170 9.7×
Htt Gene Detc Abnor Alleles (81271) $441.60 $552 3.2×
Hydroxycorticosteroids 17 (83491) $172 $215 9.6×
Hydroxyprogesterone 17-d (83498) $186.40 $233 6.9×
Hydroxyproline total (83505) $413.60 $517 17.0×
Iaad Ia Entamoeba Histolytica Grp (87337) $96.80 $121 8.1×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $104 $130 10.1×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $48 $60 1.4×
Iaad ia shiga-like toxin (87427) $201.60 $252 16.8×
Iaad Ia Streptococcus Group A (87430) $81.60 $102 4.9×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $116 $145 9.7×
Iaadi inffluenza a virus (87276)
range across 2 matching MRF lines
$15.20–$101.60 $19–$127 varies
Iaadi not otherwise specified each organism (87299) $133.60 $167 8.3×
Iaadi parainfluenza virus each type (87279) $164 $205 10.0×
Iaadi pneumocustis carinii (87281) $240.80 $301 20.1×
Iaadi respiratory synctial virus (87280)
range across 2 matching MRF lines
$23.20–$101.60 $29–$127 varies
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 4 matching MRF lines
$296–$598.40 $370–$748 varies
Iadna Cytomegalovirus Quantification (87497)
range across 2 matching MRF lines
$131.20–$396 $164–$495 varies
Iadna hepatitis b virus amplified probe tq (87516) $568 $710 16.2×
Iadna Hepatitis B Virus Quantification (87517)
range across 2 matching MRF lines
$174.40–$216.80 $218–$271 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $365.60 $457 10.4×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $428.80 $536 10.3×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$56–$90.40 $70–$113 varies
Igg subclasses (82787)
range across 2 matching MRF lines
$128–$246.40 $160–$308 varies
Immune Complex Assay (86332)
range across 2 matching MRF lines
$103.20–$150.40 $129–$188 varies
Immunfix e-phorsis/urine/csf (86335)
range across 4 matching MRF lines
$81.60–$328.80 $102–$411 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 12 matching MRF lines
$88–$1,496.80 $110–$1,871 varies
Immunoassay infectious agent (86318) $121.60 $152 6.7×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 3 matching MRF lines
$129.60–$283.20 $162–$354 varies
Immunoassay nonantibody (83516)
range across 22 matching MRF lines
$21.60–$624.80 $27–$781 varies
Immunofixation electrophoresis (86334)
range across 6 matching MRF lines
$61.60–$337.60 $77–$422 varies
Immunohistochemistry (88342)
range across 2 matching MRF lines
$119.20–$128.80 $149–$161 varies
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines
$154.40–$838.40 $193–$1,048 varies
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260)
range across 2 matching MRF lines
$23.20–$101.60 $29–$127 varies
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $15.20 $19 1.2×
Influenza a/b ag eia (87400) $101.60 $127 7.2×
Influenza assay w/optic (87804) $91.20 $114 5.5×
Inhibin A (86336)
range across 2 matching MRF lines
$75.20–$162.40 $94–$203 varies
Inhibin b (83520)
range across 26 matching MRF lines
$20.80–$475.20 $26–$594 varies
Insulin antibodies (86337) $188.80 $236 8.8×
Insulin free (83527) $49.60 $62 3.8×
Insulin total (83525) $128 $160 11.2×
Intrinsic factor antibody (86340) $229.60 $287 15.2×
Iron (83540) $100 $125 15.5×
Iron Binding Capacity (83550) $135.20 $169 15.5×
Irradiation Blood Product Each Unit (86945) $117.60 $147 3.1×
Islet cell antibody (86341)
range across 4 matching MRF lines
$92–$146.40 $115–$183 varies
Jak2 gene analysis p.val617phe variant (81270) $243.20 $304 2.7×
Ketosteroids 17 total (83586) $337.60 $422 26.4×
Koh Prep (87220) $68.80 $86 16.1×
Lactate (ld) (ldh) enzyme (83615)
range across 7 matching MRF lines
$22.40–$100 $28–$125 varies
Lactoferrin fecal qualitative (83630) $100.80 $126 5.1×
Ldh Isoenzymes (83625) $228 $285 17.8×
LDL direct (83721)
range across 3 matching MRF lines
$13.60–$103.20 $17–$129 varies
Lead (83655)
range across 4 matching MRF lines
$65.60–$124 $82–$155 varies
Legionella antibody (86713)
range across 27 matching MRF lines
$43.20–$45.60 $54–$57 varies
Legionella antigen urine (87449)
range across 4 matching MRF lines
$90.40–$318.40 $113–$398 varies
Leukocyte Assessment Fecal (89055) $88 $110 20.6×
Leukocyte Histamine Release (86343) $31.20 $39 2.5×
Level I Surg Pathology Gross Examination Only (88300) $4.80 $6 0.2×
Level ii surg pathology gross&microscopic exam (88302) $32 $40 0.9×
Level V Surg Pathology Gross&Microscopic Exam (88307) $320.80 $401 0.9×
Lidocaine (80176) $144.80 $181 9.9×
Lipase (83690) $153.60 $192 22.3×
Lipoprotein A (83695)
range across 2 matching MRF lines
$52.80–$56.80 $66–$71 varies
Lipoprotein Bld Quan Part (83704) $56.80 $71 1.7×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $158.40 $198 4.7×
Lipoprotein-Associated Phospholipase A2 (83698) $100.80 $126 2.2×
Listeria Monocytogenes (86723) $148 $185 11.2×
Lithium (80178) $121.60 $152 18.4×
Liver ds alys 3 bmrk srm alg (81517) $466.40 $583 2.6×
Luteinizing Hormone (Lh) (83002)
range across 3 matching MRF lines
$38.40–$148.80 $48–$186 varies
Lyme disease antibody (86618)
range across 6 matching MRF lines
$54.40–$223.20 $68–$279 varies
Lysozyme serum (85549) $59.20 $74 3.2×
M. Genitalium Amp Probe (87563) $191.20 $239 5.4×
Magnesium Urine (83735)
range across 6 matching MRF lines
$24.80–$120 $31–$150 varies
Mass Spectrometry Quant (83789)
range across 4 matching MRF lines
$180–$278.40 $225–$348 varies
Meat fibers, feces (89160) $64 $80 13.2×
Mercury urine (83825)
range across 4 matching MRF lines
$117.60–$172 $147–$215 varies
Methylmalonic acid serum (83921) $255.20 $319 12.0×
Microalbumin, quantitative (82043) $127.20 $159 22.0×
Microsomal Antibodies Each (86376)
range across 7 matching MRF lines
$21.60–$229.60 $27–$287 varies
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $190.40 $238 0.9×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $633.60 $792 0.9×
Mog-Igg1 Antb Cba Each (86362)
range across 2 matching MRF lines
$598.40–$654.40 $748–$818 varies
Molecular Cytogenetics Dna Probe Each (88271) $270.40 $338 12.6×
Mopath procedure level 2 (81401)
range across 3 matching MRF lines
$580–$818.40 $725–$1,023 varies
Mopath procedure level 4 (81403)
range across 3 matching MRF lines
$174.40–$340 $218–$425 varies
Mopath procedure level 5 (81404) $1,034.40 $1,293 3.8×
Mrsa Pcr (87641) $107.20 $134 3.1×
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $200.80 $251 0.9×
Msh2 Gene Analysis Full Sequence Analysis (81295) $358.40 $448 0.9×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $224 $280 0.9×
Msh6 Gene Analysis Full Sequence Analysis (81298) $602.40 $753 0.9×
Mthfr Gene Analysis Common Variants (81291) $313.60 $392 4.8×
Mumps antibody (86735)
range across 3 matching MRF lines
$106.40–$120 $133–$150 varies
Mycoplasma antibody (86738)
range across 3 matching MRF lines
$209.60–$216 $262–$270 varies
Mycoplasma culture (87109) $160.80 $201 10.4×
Myelin basic protein csf (83873) $97.60 $122 5.7×
Myoglobin urine (83874)
range across 2 matching MRF lines
$150.40–$155.20 $188–$194 varies
Natriuretic peptide (83880) $144.80 $181 3.7×
Neutralization Test Viral (86382)
range across 2 matching MRF lines
$72.80–$151.20 $91–$189 varies
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $152.80 $191 1.2×
Nfct Agent Genotype Hepatitis B Virus (87912) $569.60 $712 2.2×
Nfct Ds Bv&Vaginitis Dna Alg (81514) $309.60 $387 1.2×
Nfct ds chrnc hcv 6 assays (81596) $418.40 $523 5.8×
Niacin (84591) $190.40 $238 11.2×
Nitroblue Tetrazolium Dye (86384) $187.20 $234 13.8×
Nk cells total count (86357) $90.40 $113 2.4×
Nuclear antigen antibody (86235)
range across 21 matching MRF lines
$21.60–$376 $27–$470 varies
Obstetric panel (80081) $745.60 $932 10.0×
Occult blood feces (82272) $71.20 $89 16.8×
Occult Blood Other Sources (82271) $88 $110 16.5×
Oligoclonal bands (83916) $97.60 $122 3.6×
Organic Acids Qualitative Each Specimen (83919) $392.80 $491 23.9×
Organic acids urine (83918)
range across 2 matching MRF lines
$175.20–$349.60 $219–$437 varies
Osmolality serum (83930)
range across 2 matching MRF lines
$78.40–$119.20 $98–$149 varies
Osmolality Urine (83935) $91.20 $114 13.4×
Osmotic fragility rbc incubated (85557) $285.60 $357 21.4×
Osteocalcin (83937) $127.20 $159 4.3×
Ova and parasites smears (87177) $73.60 $92 8.3×
Ova1 (81503) $1,067.20 $1,334 1.2×
Oxalate urine (83945)
range across 5 matching MRF lines
$24.80–$122.40 $31–$153 varies
Pancreatic Elastase Fecal (82656) $312.80 $391 27.1×
Particle Agglutination Screen Each Antibody (86403) $117.60 $147 10.2×
Parvovirus antibody (86747) $111.20 $139 7.4×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $121.60 $152 2.3×
Ph urine (81003)
range across 5 matching MRF lines
$38.40–$54.40 $48–$68 varies
Phenobarbital Level (80184)
range across 2 matching MRF lines
$119.20–$141.60 $149–$177 varies
Phenylalanine (84030)
range across 3 matching MRF lines
$87.20–$153.60 $109–$192 varies
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines
$72.80–$175.20 $91–$219 varies
Phenytoin free (80186) $72.80 $91 5.3×
Phosphatase acid prostatic (84066) $98.40 $123 10.2×
Phosphatase alkaline (84075) $91.20 $114 17.6×
Phospholipid Neutralization Hexagonal (85598)
range across 2 matching MRF lines
$52.80–$111.20 $66–$139 varies
Phosphorus Serum (84100)
range across 2 matching MRF lines
$22.40–$107.20 $28–$134 varies
Phosphorus urine (84105)
range across 6 matching MRF lines
$24.80–$93.60 $31–$117 varies
Pinworm exam (87172) $96.80 $121 22.7×
Platelet Aggregation (85576) $61.60 $77 2.5×
Platelet Antibodies (86022)
range across 4 matching MRF lines
$152.80–$583.20 $191–$729 varies
Platelet count automated (85049)
range across 3 matching MRF lines
$24.80–$111.20 $31–$139 varies
Platelet neutralization (85597) $63.20 $79 3.5×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $191.20 $239 0.9×
Pms2 gene full seq analysis (81317) $634.40 $793 0.9×
Pooling blood platelets (86965) $88 $110 0.5×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines
$209.60–$228 $262–$285 varies
Potassium Urine (84133)
range across 3 matching MRF lines
$24.80–$73.60 $31–$92 varies
Prealbumin (84134) $144.80 $181 9.9×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $334.40 $418 5.6×
Primidone (80188)
range across 2 matching MRF lines
$117.60–$230.40 $147–$288 varies
Procalcitonin (Pct) (84145) $356 $445 13.1×
Progesterone (84144) $98.40 $123 4.7×
Prolactin (84146) $172 $215 8.9×
Prostaglandin (84150) $307.20 $384 7.4×
Protein body fluid (84157) $98.40 $123 24.6×
Protein C Activity (85303) $202.40 $253 14.6×
Protein c antigen (85302) $349.60 $437 29.1×
Protein Electrophoresis Urine (84166)
range across 2 matching MRF lines
$54.40–$69.60 $68–$87 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 6 matching MRF lines
$102.40–$204.80 $128–$256 varies
Protein S Free (85306)
range across 2 matching MRF lines
$197.60–$202.40 $247–$253 varies
Protein s total (85305)
range across 2 matching MRF lines
$336–$564 $420–$705 varies
Protein total serum (84155)
range across 5 matching MRF lines
$54.40–$202.40 $68–$253 varies
Protein Total Urine (84156)
range across 6 matching MRF lines
$54.40–$120 $68–$150 varies
Protein Western Blot Test (84182)
range across 2 matching MRF lines
$96–$278.40 $120–$348 varies
Protoporphyrin rbc quantitative (84202) $76.80 $96 5.4×
PSA free (84154) $203.20 $254 11.0×
Pth Intact (83970)
range across 2 matching MRF lines
$197.60–$272.80 $247–$341 varies
Q Fever Antibody (86638)
range across 7 matching MRF lines
$76–$243.20 $95–$304 varies
Quantiferon tb gold plus (86480) $217.60 $272 3.5×
Quantitative assay drug (80299)
range across 21 matching MRF lines
$48.80–$327.20 $61–$409 varies
Quantitative Screen Metals (83018) $150.40 $188 6.8×
Quinidine (80194) $153.60 $192 10.5×
Rbc antibody elution (86860)
range across 2 matching MRF lines
$76–$156 $95–$195 varies
Rbc antibody identification (86870)
range across 2 matching MRF lines
$488–$906.40 $610–$1,133 varies
Rbc antibody screen (86850)
range across 3 matching MRF lines
$81.60–$128 $102–$160 varies
Rbc pretreatment serum (86978)
range across 3 matching MRF lines
$221.60–$433.60 $277–$542 varies
Rbc serum pretx incubj drugs (86975) $97.60 $122 0.2×
Renin activity plasma (84244) $119.20 $149 5.4×
Reptilase test (85635) $115.20 $144 11.7×
Resp virus 12-25 targets (87633) $857.60 $1,072 2.1×
Rh (86901) $56.80 $71 19.0×
Rheumatoid Factor Qualitative (86430) $91.20 $114 14.9×
Rheumatoid factor quant (86431)
range across 3 matching MRF lines
$21.60–$116 $27–$145 varies
Rickettsia antibody (86757) $243.20 $304 12.6×
Ristocetin cofactor (85245)
range across 3 matching MRF lines
$20.80–$80.80 $26–$101 varies
Rpr qualitative (86592)
range across 2 matching MRF lines
$78.40–$88.80 $98–$111 varies
Rsv Assay W/Optic (87807) $179.20 $224 13.7×
Rubella Antibody (86762)
range across 6 matching MRF lines
$49.60–$106.40 $62–$133 varies
Rubeola antibody (86765)
range across 3 matching MRF lines
$116.80–$146.40 $146–$183 varies
Russell Viper Venom Time Diluted (85613)
range across 6 matching MRF lines
$36.80–$231.20 $46–$289 varies
Salmonella antibody (86768)
range across 6 matching MRF lines
$103.20–$240.80 $129–$301 varies
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines
$20.80–$119.20 $26–$149 varies
Sars-cov-2 COVID-19 antibody (86769)
range across 2 matching MRF lines
$107.20–$214.40 $134–$268 varies
Sedimentation rate (85651) $76.80 $96 18.0×
Selenium (84255) $100.80 $126 3.9×
Semen Anal Sperm Detection (89321) $52.80 $66 4.4×
Sensitivity mic (87186)
range across 5 matching MRF lines
$78.40–$316.80 $98–$396 varies
Sex Hormone Binding Globulin (84270)
range across 3 matching MRF lines
$58.40–$191.20 $73–$239 varies
Sickling of rbc reduction (85660) $155.20 $194 28.2×
Sirolimus (80195) $193.60 $242 14.1×
Skin test tuberculosis intradermal (86580) $70.40 $88 2.4×
Smear acid fast (87206)
range across 4 matching MRF lines
$61.60–$132.80 $77–$166 varies
Smear complex stain (87209) $68.80 $86 3.8×
Smear gram stain (87205)
range across 3 matching MRF lines
$66.40–$80.80 $83–$101 varies
Smear Special Stain (87207)
range across 2 matching MRF lines
$80–$186.40 $100–$233 varies
Smn1 Gene Dos/Deletion Alys (81329) $543.20 $679 4.0×
Smr Prim Src Wet Mount Nfct Agt (87210) $61.60 $77 10.6×
Sodium Serum (84295) $100 $125 20.8×
Sodium Urine (84300)
range across 4 matching MRF lines
$24.80–$100 $31–$125 varies
Somatomedin (84305) $186.40 $233 8.8×
Somatostatin (84307) $162.40 $203 8.9×
Special Stains Group 1 (88312) $211.20 $264 4.0×
Special Stains Group 2 (88313) $66.40 $83 0.5×
Specimen infect agnt concntj (87015)
range across 3 matching MRF lines
$18.40–$74.40 $23–$93 varies
Spectrophotometry (84311)
range across 2 matching MRF lines
$78.40–$135.20 $98–$169 varies
Stool cultr aerobic bact ea (87046) $154.40 $193 16.4×
Strep a assay w/optic (87880) $94.40 $118 5.7×
Strep b DNA amp probe (87653) $148 $185 4.2×
Sulfate urine (84392)
range across 3 matching MRF lines
$24.80–$197.60 $31–$247 varies
Surg path level iii (88304) $44 $55 0.8×
Surgical pathology level IV (88305) $44 $55 0.8×
Surgical pathology level vi (88309) $766.40 $958 0.9×
Susceptibility Study Antimicrobial Disk Method (87184)
range across 2 matching MRF lines
$33.60–$179.20 $42–$224 varies
Syphilis Test Non-Trep Quant (86593) $88.80 $111 20.2×
T cells absolute cd4 count (86361)
range across 2 matching MRF lines
$113.60–$233.60 $142–$292 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 5 matching MRF lines
$90.40–$158.40 $113–$198 varies
T cells total count (86359)
range across 3 matching MRF lines
$72.80–$124.80 $91–$156 varies
T3 Free (84481) $146.40 $183 8.6×
T3 reverse (84482) $145.60 $182 9.2×
T3 Total (84480) $150.40 $188 10.6×
T3 Uptake (84479) $100 $125 15.5×
T4 Free (84439) $166.40 $208 18.4×
T4 total (84436) $123.20 $154 17.9×
Tacrolimus (80197) $242.40 $303 17.7×
Test for acetone/ketones (82009) $76.80 $96 17.0×
Test for urine cystines (82615) $112 $140 11.7×
Testosterone total (84403)
range across 3 matching MRF lines
$104.80–$120 $131–$150 varies
Testosterone, Free (84402)
range across 2 matching MRF lines
$72.80–$204 $91–$255 varies
Theophylline (80198) $160 $200 11.3×
Thrombin Time (85670) $98.40 $123 17.1×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 2 matching MRF lines
$98.40–$187.20 $123–$234 varies
Thyroglobulin (84432) $103.20 $129 6.4×
Thyroglobulin Antibody (86800)
range across 3 matching MRF lines
$35.20–$120.80 $44–$151 varies
Thyroid Stimulating Immunoglobulin (84445) $637.60 $797 12.5×
Thyroxine binding globulin (84442) $188.80 $236 12.8×
Tiss Trnsgltmnase Ea Ig Clas (86364) $38.40 $48 3.3×
Tissue Culture Lymphocyte (88230)
range across 3 matching MRF lines
$236.80–$270.40 $296–$338 varies
Tobramycin peak (80200) $128 $160 7.9×
Topiramate (80201) $214.40 $268 18.0×
Toxoplasma ab igm (86778)
range across 2 matching MRF lines
$49.60–$128 $62–$160 varies
Toxoplasma antibody (86777)
range across 2 matching MRF lines
$49.60–$91.20 $62–$114 varies
Transferase Aspartate Amino Ast Sgot (84450)
range across 3 matching MRF lines
$22.40–$100 $28–$125 varies
Transferrin (84466) $120.80 $151 9.5×
Trichomonas Vaginalis Amplif (87661) $43.20 $54 1.2×
Triglycerides (84478)
range across 4 matching MRF lines
$24–$100 $30–$125 varies
Troponin Quant (84484)
range across 3 matching MRF lines
$108–$174.40 $135–$218 varies
Tumor immunohistochem/comput (88361)
range across 2 matching MRF lines
$145.60–$148 $182–$185 varies
Tumor Immunohistochem/Manual (88360) $145.60 $182 0.9×
Ugt1a1 gene analysis common variants (81350) $340.80 $426 1.5×
Unlisted Transfusion Medicine Procedure (86999)
range across 7 matching MRF lines
$56.80–$221.60 $71–$277 varies
Urea nitrogen urine (84540)
range across 2 matching MRF lines
$91.20–$112.80 $114–$141 varies
Uric acid other source (84560)
range across 5 matching MRF lines
$24.80–$103.20 $31–$129 varies
Urinalysis Microscopic Only (81015) $43.20 $54 14.2×
Urinalysis Qual/Semiquant Except Immunoassays (81005)
range across 2 matching MRF lines
$54.40–$73.60 $68–$92 varies
Urinalysis Volume Measure (81050) $43.20 $54 11.9×
Urine Bacteria Culture (87088)
range across 2 matching MRF lines
$16–$54.40 $20–$68 varies
Urine Pregnancy Test (81025) $101.60 $127 11.8×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $68 $85 21.5×
Valproic acid (80164) $188.80 $236 13.9×
Vancomycin (80202) $80.80 $101 6.0×
Varicella-zoster antibody (86787) $188.80 $236 14.7×
Very Long Chain Fatty Acids (82726)
range across 2 matching MRF lines
$172–$208.80 $215–$261 varies
Viral Culture (87252) $428 $535 16.4×
Virus antibody nos (86790)
range across 6 matching MRF lines
$125.60–$203.20 $157–$254 varies
Virus inoculate tissue addl (87253) $260.80 $326 12.9×
Vit D 1 25-Dihydroxy (82652) $377.60 $472 9.8×
Vitamin A (84590) $90.40 $113 7.8×
Vitamin b-12 (82607) $136 $170 9.0×
Vitamin B2 (Riboflavin) (84252) $141.60 $177 7.0×
Vitamin B6 (84207) $297.60 $372 10.6×
Vitamin c (82180) $148 $185 15.0×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$119.20–$252 $149–$315 varies
Vitamin E (84446) $188.80 $236 13.3×
Vitamin K (84597) $228 $285 16.6×
Volatiles (84600)
range across 2 matching MRF lines
$124–$175.20 $155–$219 varies
Von willebrand factor ag (85246)
range across 3 matching MRF lines
$20.80–$458.40 $26–$573 varies
Wbc Alkaline Phosphatase Count (85540) $144.80 $181 16.8×
West nile virus ab igm (86788)
range across 2 matching MRF lines
$59.20–$148 $74–$185 varies
West Nile Virus Antibody (86789) $148 $185 10.3×
Western Blot Test (84181) $347.20 $434 20.4×
Zinc (84630) $104 $130 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.