Lab & pathology prices at Memorial Hospital of Gardena

Gardena, CA · every code in this section with a posted price and a Medicare benchmark.

1100 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $52.64 $52.64 3.4×
17-Hydroxypregnenolone (84143) $84.23 $84.23 3.7×
5 Nucleotidase (83915)
range across 5 matching MRF lines		 $6–$42.11 $6–$42.11 varies
Acetylcholinesterase Assay (82013) $42.11 $42.11 3.4×
Acth (82024)
range across 3 matching MRF lines		 $5.50–$28.20 $5.50–$28.20 varies
Acth Stimulation Panel Adrenal Insufficiency (80400) $121.08 $121.08 3.7×
ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) $321.12 $321.12 3.7×
ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) $289.54 $289.54 3.7×
Actin smooth muscle antibody each (86015)
range across 2 matching MRF lines		 $6–$87.15 $6–$87.15 varies
Acute hepatitis panel (80074)
range across 4 matching MRF lines		 $16.25–$101.85 $16.25–$101.85 varies
Acylcarnitines Quant (82017) $63.17 $63.17 3.7×
Acylcarnitines; qualitative, each specimen Facility (82016) $52.64 $52.64 3.2×
Adenovirus antibody (86603)
range across 3 matching MRF lines		 $11.23–$16.26 $11.23–$16.26 varies
Afp-l3 fraction isoform & total afp w/ratio (82107) $239.53 $239.53 3.7×
Agglutinins Febrile Each Antigen (86000) $9.63 $9.63 1.4×
Albumin Fluid (82042)
range across 6 matching MRF lines		 $3–$57.75 $3–$57.75 varies
Albumin ischemia modified (82045) $126.34 $126.34 3.7×
Albumin serum (82040)
range across 3 matching MRF lines		 $6.02–$141.24 $6.02–$141.24 varies
Aldolase (82085)
range across 6 matching MRF lines		 $2.25–$14.70 $2.25–$14.70 varies
Aldosterone Suppression Evaluation Panel (80408) $129.47 $129.47 1.0×
Aldosterone urine (82088)
range across 8 matching MRF lines		 $6.75–$24.30 $6.75–$24.30 varies
Alkaline phosphatase isoenzymes (84080)
range across 4 matching MRF lines		 $4.20–$55.27 $4.20–$55.27 varies
Allergen spec ige qual multiallergen screen (86005) $21.05 $21.05 2.6×
Allergen specific ige (86003)
range across 20 matching MRF lines		 $4.45–$175.29 $4.45–$175.29 varies
Allergen specific igg (86001) $224.70 $224.70 28.7×
Alpha-1-antitrypsin phenotype (82104)
range across 5 matching MRF lines		 $8.86–$52.64 $8.86–$52.64 varies
Alpha-1-antitrypsin total (82103)
range across 6 matching MRF lines		 $6–$13.30 $6–$13.30 varies
Alpha-Fetoprotein Amniotic Fluid (82106) $63.17 $63.17 3.7×
Alpha-Fetoprotein Serum (82105)
range across 6 matching MRF lines		 $5.65–$45.15 $5.65–$45.15 varies
Alt (sgpt) (84460)
range across 2 matching MRF lines		 $3.74–$196.35 $3.74–$196.35 varies
Aluminum (82108)
range across 2 matching MRF lines		 $14.60–$94.75 $14.60–$94.75 varies
Amikacin trough (80150)
range across 7 matching MRF lines		 $5–$40.95 $5–$40.95 varies
Amines vaginal fluid qualitative (82120) $13.16 $13.16 2.2×
Amino Acids 1 Quantitative Each Specimen (82131) $74.90 $74.90 3.3×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $30.89 $30.89 1.8×
Amino Acids Multiple Qualitative Each Specimen (82128) $6.22 $6.22 0.4×
Amino Acids Quant 2-5 (82136) $63.17 $63.17 3.2×
Amino acids; single, qualitative, each specimen Facility (82127) $52.64 $52.64 3.7×
Aminolevulinic acid (ala) (82135) $60.54 $60.54 3.7×
Ammonia (82140)
range across 2 matching MRF lines		 $6.09–$372.75 $6.09–$372.75 varies
Amniotic fluid protein test on cervicovaginal fluid (84112)
range across 2 matching MRF lines		 $239.53–$346.50 $239.53–$346.50 varies
Amniotic fluid scan (82143) $8.69 $8.69 0.9×
Amylase urine (82150)
range across 9 matching MRF lines		 $3.25–$236.25 $3.25–$236.25 varies
Ana Titer (86039)
range across 4 matching MRF lines		 $3.25–$13.50 $3.25–$13.50 varies
Analysis skeletal muscle (88355) $220.50 $220.50 1.0×
Anca screen each antibody (86036) $77.50 $77.50 6.4×
Anca Titer Each Antibody (86037)
range across 5 matching MRF lines		 $6.08–$24.23 $6.08–$24.23 varies
Androstanediol Glucuronide (82154) $107.92 $107.92 3.7×
Androstenedione (82157) $107.92 $107.92 3.7×
Androsterone (hormone) level (82160) $92.12 $92.12 3.6×
Angiotensin converting enzyme csf (82164)
range across 4 matching MRF lines		 $4.50–$19.26 $4.50–$19.26 varies
Angiotensin II (82163) $76.33 $76.33 3.7×
Animal inoculation, small animal, with observation and dissection Facility (87003) $63.17 $63.17 3.8×
Anti-Phospholipid Antibody (86148)
range across 6 matching MRF lines		 $16.05–$29 $16.05–$29 varies
Antibody aspergillus (86606)
range across 6 matching MRF lines		 $6.28–$28.69 $6.28–$28.69 varies
Antibody Bacterium Not Elsewhere Specified (86609) $47.37 $47.37 3.7×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 5 matching MRF lines		 $14.26–$57.90 $14.26–$57.90 varies
Antibody Cytomegalovirus Cmv Igm (86645)
range across 2 matching MRF lines		 $6.43–$35.31 $6.43–$35.31 varies
Antibody Encephalitis California La Crosse (86651) $50.01 $50.01 3.8×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $36.38 $36.38 2.8×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 4 matching MRF lines		 $11.73–$36.38 $11.73–$36.38 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 9 matching MRF lines		 $11.61–$60.59 $11.61–$60.59 varies
Antibody Fungus Not Elsewhere Specified (86671)
range across 6 matching MRF lines		 $24.23–$253.59 $24.23–$253.59 varies
Antibody haemophilus influenza (86684) $57.90 $57.90 3.7×
Antibody helicobacter pylori (86677)
range across 3 matching MRF lines		 $9.54–$12.84 $9.54–$12.84 varies
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 6 matching MRF lines		 $6.42–$44.94 $6.42–$44.94 varies
Antibody Herpes Smplx Type 1 (86695)
range across 6 matching MRF lines		 $5.99–$84.63 $5.99–$84.63 varies
Antibody HIV-1&HIV-2 single result (86703)
range across 4 matching MRF lines		 $11.50–$165.90 $11.50–$165.90 varies
Antibody HIV-2 (86702)
range across 3 matching MRF lines		 $20.90–$142.80 $20.90–$142.80 varies
Antibody htlv/HIV antibody confirmatory test (86689)
range across 5 matching MRF lines		 $13–$83.46 $13–$83.46 varies
Antibody identification leukocyte antibodies (86021) $121.98 $121.98 8.1×
Antibody Identification Platelet Immunogl Assay (86023)
range across 2 matching MRF lines		 $31.03–$63.40 $31.03–$63.40 varies
Antibody leishmania (86717) $44.74 $44.74 3.7×
Antibody Lymphocytic Choriomeningitis (86727) $47.37 $47.37 3.7×
Antibody neisseria meningitidis (86741) $50.01 $50.01 3.8×
Antibody nocardia (86744) $50.01 $50.01 3.1×
Antibody plasmodium malaria (86750)
range across 2 matching MRF lines		 $50.01–$94.16 $50.01–$94.16 varies
Antibody Protozoa Nes (86753)
range across 5 matching MRF lines		 $11.80–$194 $11.80–$194 varies
Antibody rotavirus (86759) $50.01 $50.01 2.7×
Antibody Titer (86886) $374.85 $374.85 72.4×
Antibody Treponema Pallidum (86780)
range across 8 matching MRF lines		 $4–$67.41 $4–$67.41 varies
Antibody yersinia (86793) $50.01 $50.01 3.8×
Antibody; campylobacter (86625) $101.65 $101.65 7.7×
Antibody; encephalitis, st. louis (86653) $50.01 $50.01 3.8×
Antibody; influenza virus (86710)
range across 6 matching MRF lines		 $8.50–$127.05 $8.50–$127.05 varies
Antibody; mucormycosis Facility (86732) $50.01 $50.01 3.3×
Antigen typing (86905)
range across 2 matching MRF lines		 $27.82–$246.75 $27.82–$246.75 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $341.25 $341.25 59.7×
Antinomyces antibody (86602) $36.85 $36.85 3.6×
Antinuclear antibodies (86038)
range across 4 matching MRF lines		 $3.25–$42.40 $3.25–$42.40 varies
Antistreptolysin O Screen (86063) $21.05 $21.05 3.6×
Antistreptolysin o titer (86060)
range across 4 matching MRF lines		 $3.65–$16.31 $3.65–$16.31 varies
Antithrombin iii activity (85300)
range across 7 matching MRF lines		 $14.50–$47.60 $14.50–$47.60 varies
Antithrombin iii antigen (85301)
range across 4 matching MRF lines		 $17.55–$60.99 $17.55–$60.99 varies
Apolipoprotein a1 (82172)
range across 7 matching MRF lines		 $8.25–$284.58 $8.25–$284.58 varies
Aquaporin-4 Antb Elisa (86051)
range across 3 matching MRF lines		 $31–$900 $31–$900 varies
Arsenic (82175)
range across 2 matching MRF lines		 $27.82–$36.20 $27.82–$36.20 varies
Aspergillus ag eia (87305)
range across 4 matching MRF lines		 $38–$89.88 $38–$89.88 varies
Assay activated protein c (85307)
range across 4 matching MRF lines		 $19.26–$171.41 $19.26–$171.41 varies
Assay Blood Carbon Dioxide (82374)
range across 2 matching MRF lines		 $3.74–$244.65 $3.74–$244.65 varies
Assay Blood Catecholamines (82383) $39.59 $39.59 1.4×
Assay Duodenal Fluid Trypsin (84485) $28.95 $28.95 4.0×
Assay myeloperoxidase (83876) $126.34 $126.34 2.5×
Assay Nephelometry Not Spec (83883)
range across 2 matching MRF lines		 $36.38–$80.25 $36.38–$80.25 varies
Assay of 5-hiaa (83497)
range across 4 matching MRF lines		 $10–$18.19 $10–$18.19 varies
Assay of b-hexosaminidase each assay (83080) $63.17 $63.17 3.7×
Assay of blood/uric acid (84550)
range across 2 matching MRF lines		 $3.74–$147 $3.74–$147 varies
Assay of calcium in urine (82340)
range across 5 matching MRF lines		 $5.08–$105 $5.08–$105 varies
Assay of corticosterone (82528) $84.23 $84.23 3.7×
Assay of cpk in blood (82552) $17.12 $17.12 1.3×
Assay of estrone (82679)
range across 2 matching MRF lines		 $15.23–$92.12 $15.23–$92.12 varies
Assay of feces for trypsin (84490) $28.95 $28.95 2.9×
Assay of g6pd enzyme (82955)
range across 4 matching MRF lines		 $10–$96.08 $10–$96.08 varies
Assay of gammaglobulin igm (82784)
range across 33 matching MRF lines		 $2.50–$59.60 $2.50–$59.60 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines		 $8.56–$222.60 $8.56–$222.60 varies
Assay of manganese (83785) $92.12 $92.12 3.5×
Assay of metanephrines (83835)
range across 7 matching MRF lines		 $10.18–$55 $10.18–$55 varies
Assay of phosphatase acid total (84060) $6.95 $6.95 0.9×
Assay of phosphatase alkaline heat stable (84078) $13.91 $13.91 1.7×
Assay of procainamide (80190) $63.17 $63.17 1.1×
Assay of proinsulin (84206)
range across 4 matching MRF lines		 $29.32–$97.45 $29.32–$97.45 varies
Assay of prostate specific antigen complexed (84152)
range across 4 matching MRF lines		 $12–$129.47 $12–$129.47 varies
Assay of pyruvate (84210) $21.42 $21.42 1.5×
Assay of semen fructose (82757) $32.10 $32.10 1.9×
Assay of serotonin (84260)
range across 4 matching MRF lines		 $9–$115.81 $9–$115.81 varies
Assay of serum potassium (84132)
range across 2 matching MRF lines		 $16.05–$131.25 $16.05–$131.25 varies
Assay of Sialic Acid (84275) $50.01 $50.01 3.7×
Assay of sweat sodium (84302)
range across 2 matching MRF lines		 $3.74–$13.80 $3.74–$13.80 varies
Assay of transcortin (84449) $63.17 $63.17 3.5×
Assay of Tyrosine (84510) $20.23 $20.23 1.9×
Assay of urea nitrogen (84520)
range across 4 matching MRF lines		 $3.74–$119.70 $3.74–$119.70 varies
Assay of urine vma (84585)
range across 3 matching MRF lines		 $16.50–$19.26 $16.50–$19.26 varies
Assay of vasoactive intestinal peptide (84586) $47.37 $47.37 1.3×
Assay of vitamin b-1 (84425)
range across 4 matching MRF lines		 $12.50–$34.24 $12.50–$34.24 varies
Assay Ph Body Fluid Nos (83986)
range across 4 matching MRF lines		 $2.56–$72.45 $2.56–$72.45 varies
Assay Phosphohexose Enzymes (84087) $39.48 $39.48 3.7×
Atomic Absorption (82190) $3.74 $3.74 0.2×
Automated Leukocyte Count (85048)
range across 2 matching MRF lines		 $17.12–$88.20 $17.12–$88.20 varies
B cells total count (86355)
range across 3 matching MRF lines		 $33.17–$96.50 $33.17–$96.50 varies
Bacterial antigens 87802 (87802) $34.21 $34.21 2.7×
Bartonella antibody (86611)
range across 3 matching MRF lines		 $11.80–$36.85 $11.80–$36.85 varies
Bcr/abl1 gene major bp (81206)
range across 3 matching MRF lines		 $212–$364 $212–$364 varies
Bcr/abl1 gene minor bp (81207)
range across 2 matching MRF lines		 $212–$270 $212–$270 varies
Beta 2 glycoprotein i antibody each (86146)
range across 7 matching MRF lines		 $2.99–$29.96 $2.99–$29.96 varies
Beta hydroxybutyrate (82010)
range across 5 matching MRF lines		 $18–$46.20 $18–$46.20 varies
Beta Lactamase (87185)
range across 3 matching MRF lines		 $6.90–$56.20 $6.90–$56.20 varies
Beta-2 Microglobulin (82232)
range across 5 matching MRF lines		 $6–$15.50 $6–$15.50 varies
Bile acids total (82239)
range across 4 matching MRF lines		 $4.50–$22.47 $4.50–$22.47 varies
Bile acids, cholylglycine (82240) $97.39 $97.39 3.7×
Bilirubin direct (82248)
range across 2 matching MRF lines		 $3.74–$111.30 $3.74–$111.30 varies
Bilirubin total (82247)
range across 5 matching MRF lines		 $5.36–$122.85 $5.36–$122.85 varies
Bilirubin total transcutaneous (88720) $18.42 $18.42 3.7×
Bilirubin; feces, qualitative Facility (82252) $15.79 $15.79 3.5×
Biotinidase (82261) $63.17 $63.17 3.7×
Bl Smear W/O Diff Wbc Count (85008)
range across 2 matching MRF lines		 $6.42–$27.30 $6.42–$27.30 varies
Blastomyces antibody (86612)
range across 4 matching MRF lines		 $14.60–$62.80 $14.60–$62.80 varies
Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) $109.14 $109.14 1.6×
Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) $111.28 $111.28 3.0×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078)
range across 2 matching MRF lines		 $108.07–$455.70 $108.07–$455.70 varies
Bld Typing Serologic Rh Phnt (86906)
range across 2 matching MRF lines		 $58.80–$74.90 $58.80–$74.90 varies
Bleeding time test (85002)
range across 2 matching MRF lines		 $49.22–$166.95 $49.22–$166.95 varies
Blood Count Automated Differential Wbc Count (85004)
range across 2 matching MRF lines		 $23.68–$32.55 $23.68–$32.55 varies
Blood Count Manual Cell Count Each (85032) $8.45 $8.45 2.0×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009)
range across 2 matching MRF lines		 $13.16–$17.85 $13.16–$17.85 varies
Blood Count Red Blood Cell Automated (85041)
range across 2 matching MRF lines		 $4.28–$6.30 $4.28–$6.30 varies
Blood count reticulocyte automated (85045)
range across 5 matching MRF lines		 $3.49–$188.32 $3.49–$188.32 varies
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 2 matching MRF lines		 $3.85–$142.80 $3.85–$142.80 varies
Blood count spun microhematocrit (85013)
range across 2 matching MRF lines		 $172.27–$234.15 $172.27–$234.15 varies
Blood gas (82803) $909.30 $909.30 34.9×
Blood gases w/02 saturation (82805) $716.90 $716.90 9.1×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 3 matching MRF lines		 $16–$57.90 $16–$57.90 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 2 matching MRF lines		 $5.35–$47.25 $5.35–$47.25 varies
Blood Sulfhemoglobin Assay (83060) $31.58 $31.58 3.6×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 5 matching MRF lines		 $64.20–$240 $64.20–$240 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904) $86.10 $86.10 5.3×
Blood typing serologic abo (86900)
range across 2 matching MRF lines		 $21.40–$145.95 $21.40–$145.95 varies
Body fluid cell count (89050) $150.15 $150.15 31.8×
Bone marrow smear interpretation (85097)
range across 3 matching MRF lines		 $15.78–$224.70 $15.78–$224.70 varies
Bordetella antibody (86615)
range across 7 matching MRF lines		 $31.30–$39.59 $31.30–$39.59 varies
Borrelia Antibody (86619) $50.01 $50.01 3.7×
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) $1,525 $1,525 3.3×
Breath Alcohol Test (82075) $35.31 $35.31 1.2×
Brucella antibody (86622)
range across 4 matching MRF lines		 $11.73–$81.32 $11.73–$81.32 varies
C diff amplified probe (87493)
range across 6 matching MRF lines		 $57–$345.61 $57–$345.61 varies
C-Peptide (84681)
range across 8 matching MRF lines		 $4.75–$49 $4.75–$49 varies
C-reactive protein (86140)
range across 4 matching MRF lines		 $6–$142.80 $6–$142.80 varies
Ca 19-9 (86301)
range across 4 matching MRF lines		 $6.55–$12.41 $6.55–$12.41 varies
Cadmium (82300) $22.47 $22.47 1.0×
Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) $47.25 $47.25 0.2×
Calcitonin (82308)
range across 4 matching MRF lines		 $8–$36.38 $8–$36.38 varies
Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) $297.43 $297.43 3.7×
Calcium ionized (82330)
range across 4 matching MRF lines		 $3.79–$10.80 $3.79–$10.80 varies
Calcium total (82310)
range across 2 matching MRF lines		 $3.74–$107.10 $3.74–$107.10 varies
Calcium; after calcium infusion test (82331) $18.42 $18.42 1.4×
Calculus assay quant (82360) $34.24 $34.24 2.7×
Calculus Spectroscopy (82365)
range across 4 matching MRF lines		 $14.75–$29.70 $14.75–$29.70 varies
Calculus Xray Diffraction (82370) $47.37 $47.37 3.8×
Calprotectin Fecal (83993)
range across 2 matching MRF lines		 $73.70–$164 $73.70–$164 varies
Calr gene com variants (81219) $395 $395 3.2×
Cancer Antigen 125 (86304)
range across 4 matching MRF lines		 $5.50–$16.10 $5.50–$16.10 varies
Cancer Antigen 27.29 (86300)
range across 7 matching MRF lines		 $7.50–$23.40 $7.50–$23.40 varies
Candida antibody (86628) $44.74 $44.74 3.7×
Candida Dna Dir Probe (87480) $73.70 $73.70 3.7×
Carbamazepine free (80157) $50.01 $50.01 3.8×
Carbamazepine total (80156)
range across 3 matching MRF lines		 $7–$371.29 $7–$371.29 varies
Carbohydrate Deficient Transferrin (82373) $65.80 $65.80 3.6×
Carbon monoxide, (carboxyhemoglobin); qualitative (82376) $21.05 $21.05 1.5×
Carboxyhemoglobin (82375)
range across 2 matching MRF lines		 $5–$5.40 $5–$5.40 varies
Carcinoembryonic antigen (82378)
range across 7 matching MRF lines		 $3.75–$79.80 $3.75–$79.80 varies
Cardiolipin ab iga (86147)
range across 5 matching MRF lines		 $10.05–$24.80 $10.05–$24.80 varies
Carnitine Quantitative Each Specimen (82379) $63.17 $63.17 3.7×
Carotene (82380) $62.38 $62.38 6.8×
Catecholamines fractionated (82384)
range across 4 matching MRF lines		 $19.75–$33.30 $19.75–$33.30 varies
Catecholamines total urine (82382) $49.22 $49.22 1.8×
Cathepsin-d (82387) $76.33 $76.33 4.2×
Ccp antibody (86200)
range across 7 matching MRF lines		 $10–$50.29 $10–$50.29 varies
Cell count csf (89051)
range across 4 matching MRF lines		 $15.08–$228.90 $15.08–$228.90 varies
Cell marker study (88182) $220.50 $220.50 3.3×
Cellular Function Assay Stimul&Detect Biomarke (86352) $502.75 $502.75 3.7×
Ceruloplasmin (82390)
range across 3 matching MRF lines		 $5.75–$8.80 $5.75–$8.80 varies
Chemiluminescent assay (82397)
range across 2 matching MRF lines		 $22.94–$97.37 $22.94–$97.37 varies
Chemotaxis Assay (86155) $57.90 $57.90 3.6×
Chlamydia antibody (86631)
range across 13 matching MRF lines		 $8.87–$28.80 $8.87–$28.80 varies
Chlamydia Igm Antibody (86632)
range across 8 matching MRF lines		 $8.87–$21.40 $8.87–$21.40 varies
Chlamydia trachomatis ag if (87270) $14.76 $14.76 1.2×
Chloramphenicol level (82415) $47.37 $47.37 3.7×
Chloride other source (82438) $3.74 $3.74 0.7×
Chloride Serum (82435)
range across 2 matching MRF lines		 $3.74–$147 $3.74–$147 varies
Chloride urine (82436)
range across 7 matching MRF lines		 $2.25–$151.20 $2.25–$151.20 varies
Chlorinated Hydrocarbons Screen (82441) $21.05 $21.05 3.5×
Cholesterol total (82465)
range across 2 matching MRF lines		 $3.74–$97.65 $3.74–$97.65 varies
Cholinesterase rbc (82482) $28.95 $28.95 3.0×
Cholinesterase Serum (82480) $19.26 $19.26 2.4×
Chondroitin B sulfate, quantitative Facility (82485) $76.33 $76.33 3.7×
Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) $207.94 $207.94 3.7×
Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) $192.15 $192.15 3.7×
Chorionic gonadotropin test (84702)
range across 4 matching MRF lines		 $4.86–$350.70 $4.86–$350.70 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $495.60 $495.60 2.6×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $71.40 $71.40 2.7×
Chrmsm Analysis Addl High Resolution Study (88289) $69.30 $69.30 2.0×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $89.25 $89.25 2.7×
Chrmsm Analysis Addl Specialized Banding (88283) $69.30 $69.30 1.0×
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) $873.60 $873.60 5.0×
Chrmsm Breakage Baseline Sister 20-25 Cll (88245) $747.60 $747.60 4.3×
Chrmsm Breakage Synds Score 100 Cll (88249) $873.60 $873.60 5.0×
Chromium serum (82495) $76.33 $76.33 3.8×
Chromogenic Substrate Assay (85130) $44.74 $44.74 3.8×
Chromogranin a (86316)
range across 7 matching MRF lines		 $28–$79 $28–$79 varies
Chromosome analys amniotic (88269)
range across 2 matching MRF lines		 $401.25–$836.85 $401.25–$836.85 varies
Chromosome Analysis 15-20 (88262) $411.60 $411.60 3.3×
Chromosome Analysis 20-25 (88264) $381.15 $381.15 2.6×
Chromosome analysis 45 cells (88263) $754.95 $754.95 5.0×
Chromosome analysis, 5 (88261) $695.10 $695.10 2.6×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 8 matching MRF lines		 $8–$93.45 $8–$93.45 varies
Citric acid urine (82507)
range across 5 matching MRF lines		 $13.70–$143 $13.70–$143 varies
Ckmb (82553)
range across 2 matching MRF lines		 $8.13–$393.75 $8.13–$393.75 varies
Clostridium Difficile (87324)
range across 4 matching MRF lines		 $7.50–$185.11 $7.50–$185.11 varies
Clot Factor VIII Multimetric (85247) $84.23 $84.23 3.7×
Clot factor xiii fibrin stab (85290) $60.54 $60.54 3.7×
Clot lysis time, whole blood dilution Facility (85175) $15.79 $15.79 0.8×
Clot retraction (85170) $13.16 $13.16 0.8×
Clotting factor viii related antigen (85244) $65.27 $65.27 3.2×
Clotting factor xii hageman (85280) $33.73 $33.73 1.7×
Clotting Funct Activity (85397)
range across 5 matching MRF lines		 $84.23–$168 $84.23–$168 varies
Clotting hi molec weight kininogen assay (85293) $71.06 $71.06 3.8×
Clotting prekallikrein assay fletcher fact assay (85292) $71.06 $71.06 3.8×
Cns DNA amp probe type 12-25 (87483)
range across 2 matching MRF lines		 $365–$525 $365–$525 varies
Coagulation time activated (85347) $12.84 $12.84 3.0×
Coagulation time other methods (85348) $13.16 $13.16 2.9×
Coagulation time; Lee and White Facility (85345) $335.98 $335.98 71.6×
Coccidioides antibody (86635)
range across 16 matching MRF lines		 $11.70–$47.50 $11.70–$47.50 varies
Cold agglutinin screen (86156)
range across 2 matching MRF lines		 $117.70–$174.41 $117.70–$174.41 varies
Cold agglutinin titer (86157)
range across 4 matching MRF lines		 $9.18–$14.70 $9.18–$14.70 varies
Collagen crosslinks (82523) $68.43 $68.43 3.7×
Column Chromotography Quant (82542)
range across 6 matching MRF lines		 $15–$99 $15–$99 varies
Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) $2,147.87 $2,147.87 3.7×
Compatibility Each Unit Incubation (86921) $374.85 $374.85 1.7×
Compatibility test antiglob (86922) $374.85 $374.85 1.7×
Complement Antigen Each Component (86160)
range across 10 matching MRF lines		 $4–$29.50 $4–$29.50 varies
Complement Fixation Tests Each Antigen (86171)
range across 2 matching MRF lines		 $36.85–$56.10 $36.85–$56.10 varies
Complement Total (Ch50) (86162)
range across 4 matching MRF lines		 $5.04–$19.58 $5.04–$19.58 varies
Complement/Function Activity (86161) $44.74 $44.74 3.7×
Consltj Compre Review Reprt Referred Matrl (88325) $343.35 $343.35 1.6×
Consltj&Reprt Material Requiring Prepj Slides (88323) $148.05 $148.05 2.2×
Consltj&Reprt Slides Prepared Elsewhere (88321) $85.05 $85.05 1.8×
Coombs direct (86880)
range across 5 matching MRF lines		 $12–$134.40 $12–$134.40 varies
Copper urine (82525)
range across 4 matching MRF lines		 $5.75–$18 $5.75–$18 varies
Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) $1,221.34 $1,221.34 1.5×
Cortisol free (82530)
range across 5 matching MRF lines		 $10.91–$114.49 $10.91–$114.49 varies
Cortisol saliva (82533)
range across 9 matching MRF lines		 $4.75–$45.32 $4.75–$45.32 varies
Creatine (82540)
range across 2 matching MRF lines		 $18.42–$62.20 $18.42–$62.20 varies
Creatine kinase (CK), (CPK); isoforms Facility (82554) $44.74 $44.74 3.8×
Creatine kinase total (82550)
range across 2 matching MRF lines		 $3.74–$195.30 $3.74–$195.30 varies
Creatinine blood (82565)
range across 2 matching MRF lines		 $16.05–$137.55 $16.05–$137.55 varies
Creatinine clearance (82575)
range across 2 matching MRF lines		 $5.45–$257.25 $5.45–$257.25 varies
Creatinine Urine (82570)
range across 10 matching MRF lines		 $3.25–$93.45 $3.25–$93.45 varies
Crossmatch electronic (86923) $67.20 $67.20 0.3×
Crossmatch immediate spin (86920)
range across 2 matching MRF lines		 $126.26–$442.05 $126.26–$442.05 varies
Crp High Sensitivity (86141)
range across 6 matching MRF lines		 $3.65–$52.50 $3.65–$52.50 varies
Cryofibrinogen (82585) $12.84 $12.84 0.9×
Cryoglobulin (82595)
range across 5 matching MRF lines		 $3.82–$7.90 $3.82–$7.90 varies
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $32.55 $32.55 2.5×
Cryptococcal Antigen (87327)
range across 5 matching MRF lines		 $14.98–$21.82 $14.98–$21.82 varies
Cryptococcus ab (86641)
range across 2 matching MRF lines		 $40.66–$81.10 $40.66–$81.10 varies
Cryptococcus ag titer (87899)
range across 7 matching MRF lines		 $8.46–$190.67 $8.46–$190.67 varies
Cryptosporidium (87272) $29.96 $29.96 2.5×
Cryptosporidium ag eia (87328)
range across 4 matching MRF lines		 $19.26–$78.50 $19.26–$78.50 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 12 matching MRF lines		 $9–$110 $9–$110 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 6 matching MRF lines		 $23.50–$242.14 $23.50–$242.14 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $28.89 $28.89 3.7×
Culture aerobic quant other (87071)
range across 2 matching MRF lines		 $34.21–$253.05 $34.21–$253.05 varies
Culture afb (87116)
range across 9 matching MRF lines		 $7.50–$447.30 $7.50–$447.30 varies
Culture Anaerobic (87075)
range across 5 matching MRF lines		 $10.10–$193.20 $10.10–$193.20 varies
Culture bacteria anaerobic (87073)
range across 2 matching MRF lines		 $143.38–$185.85 $143.38–$185.85 varies
Culture blood (87040)
range across 4 matching MRF lines		 $9.75–$507.15 $9.75–$507.15 varies
Culture chlamydia (87110)
range across 3 matching MRF lines		 $20.06–$86.10 $20.06–$86.10 varies
Culture csf (87070)
range across 8 matching MRF lines		 $6.50–$320.25 $6.50–$320.25 varies
Culture fungus (87102)
range across 4 matching MRF lines		 $10.43–$66.83 $10.43–$66.83 varies
Culture fungus blood (87103) $34.24 $34.24 1.7×
Culture screen only (87081)
range across 7 matching MRF lines		 $9.63–$275.10 $9.63–$275.10 varies
Culture stool (87045)
range across 6 matching MRF lines		 $9–$323.40 $9–$323.40 varies
Culture Typing Gas/High Pres Liq Chromatography (87143) $47.37 $47.37 3.8×
Culture typing if ea antiserum (87140)
range across 2 matching MRF lines		 $20.33–$21.05 $20.33–$21.05 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 3 matching MRF lines		 $5.88–$48 $5.88–$48 varies
Culture typing other methods (87158)
range across 12 matching MRF lines		 $12.84–$249.63 $12.84–$249.63 varies
Culture urine (87086)
range across 3 matching MRF lines		 $4.50–$306.60 $4.50–$306.60 varies
Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084)
range across 2 matching MRF lines		 $31.58–$47.25 $31.58–$47.25 varies
Culture, typing; identification by pulse field gel typing Facility (87152) $18.42 $18.42 2.4×
Cyanide (82600)
range across 3 matching MRF lines		 $69.73–$212.30 $69.73–$212.30 varies
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $52.64 $52.64 3.7×
Cyclic amp (82030) $34.24 $34.24 1.3×
Cyclosporine (80158)
range across 6 matching MRF lines		 $14.98–$29 $14.98–$29 varies
Cystatin C (82610) $50.01 $50.01 2.7×
Cytogenetics 10-30 (88273) $160.65 $160.65 4.6×
Cytogenetics 100-300 (88275) $143.85 $143.85 2.8×
Cytogenomic neo microra alys (81277) $1,704.15 $1,704.15 1.5×
Cytomegalovirus igg (86644)
range across 9 matching MRF lines		 $5.59–$30 $5.59–$30 varies
Cytopath C/V Index Add-On (88155) $39.90 $39.90 2.7×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $135.45 $135.45 6.7×
Cytopath Cell Enhance Tech (88112)
range across 3 matching MRF lines		 $31.24–$212.10 $31.24–$212.10 varies
Cytopath Fl Nongyn Filter (88106) $137.55 $137.55 3.7×
Cytopath unlstd proc (88199) $43.05 $43.05 0.6×
Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) $86.10 $86.10 1.7×
Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) $75.60 $75.60 4.1×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) $107.10 $107.10 4.2×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166) $53.55 $53.55 2.9×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88167) $53.55 $53.55 2.9×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) $80.85 $80.85 1.9×
Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician… (88152) $73.50 $73.50 2.7×
Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Facility (88153) $64.05 $64.05 2.7×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $132.30 $132.30 5.0×
Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) $154.35 $154.35 6.7×
Cytp Concentration Smears & Interpretation (88108)
range across 3 matching MRF lines		 $17.38–$133.35 $17.38–$133.35 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 2 matching MRF lines		 $35.20–$184.80 $35.20–$184.80 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172)
range across 2 matching MRF lines		 $23.80–$374.85 $23.80–$374.85 varies
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 2 matching MRF lines		 $16.05–$162.75 $16.05–$162.75 varies
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $343.35 $343.35 1.6×
Cytp Slides C/V Mnl Scr Under Phys (88150) $76.65 $76.65 4.1×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $53.55 $53.55 2.9×
Cytp smrs any oth src extnd std > 5 slides (88162) $81.90 $81.90 1.2×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $401.10 $401.10 10.8×
Cytp Urine 3-5 Probes Cmptr (88121) $237.30 $237.30 1.1×
Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) $39.48 $39.48 3.7×
Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) $42.11 $42.11 3.7×
Deoxycortisol (82634) $107.92 $107.92 3.7×
Deoxyribonuclease antibody (86215) $17.12 $17.12 1.3×
Desoxycorticosterone (82633) $115.81 $115.81 3.7×
Detect Agent Nos Dna Amp (87798)
range across 13 matching MRF lines		 $30–$520 $30–$520 varies
Detect Agent Nos Dna Quant (87799) $147.58 $147.58 3.4×
Detect agnt mult DNA ampli (87801)
range across 2 matching MRF lines		 $47.08–$243 $47.08–$243 varies
Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) $265.85 $265.85 1.6×
Dgp Antibody Each Ig Class (86258) $3.97 $3.97 0.3×
Dhea (82626)
range across 2 matching MRF lines		 $14.30–$94.75 $14.30–$94.75 varies
Dhea-S (82627)
range across 3 matching MRF lines		 $7–$8.56 $7–$8.56 varies
Dibucaine number (82638) $44.74 $44.74 3.7×
Digoxin (80162)
range across 3 matching MRF lines		 $5.25–$214.20 $5.25–$214.20 varies
Diphtheria antitoxoid (86648) $47.37 $47.37 3.1×
Dna Antibody Native/Double Stranded (86225)
range across 5 matching MRF lines		 $6–$21.40 $6–$21.40 varies
Dna Antibody Single Stranded (86226) $44.74 $44.74 3.7×
Dna/Rna Amplified Probe (87150)
range across 3 matching MRF lines		 $128.97–$235.40 $128.97–$235.40 varies
DNA/RNA direct probe (87149)
range across 6 matching MRF lines		 $40–$165.85 $40–$165.85 varies
Dna/Rna Sequencing (87153)
range across 16 matching MRF lines		 $75–$426.41 $75–$426.41 varies
Drug Assay Amiodarone (80151) $10 $10 0.5×
Drug Assay Lacosamide (80235)
range across 2 matching MRF lines		 $56–$112.50 $56–$112.50 varies
Drug Screen Quant Clozapine (80159)
range across 3 matching MRF lines		 $12–$35 $12–$35 varies
Drug Screen Quant Zonisamide (80203)
range across 3 matching MRF lines		 $48.90–$50 $48.90–$50 varies
Drug Screen Quantitative Gabapentin (80171)
range across 3 matching MRF lines		 $15–$25 $15–$25 varies
Drug Screen Quantitative Lamotrigine (80175)
range across 3 matching MRF lines		 $8.96–$19.40 $8.96–$19.40 varies
Drug Screen Quantitative Levetiracetam (80177)
range across 3 matching MRF lines		 $15.50–$30 $15.50–$30 varies
Drug Screen Quantitative Oxcarbazepine (80183)
range across 2 matching MRF lines		 $12.50–$28.60 $12.50–$28.60 varies
Drug Screen Quantitative Procainamide Metabolite (80192) $12.30 $12.30 0.7×
Drug Test Prsmv Chem Anlyzr (80307)
range across 16 matching MRF lines		 $11.72–$559.65 $11.72–$559.65 varies
Drug Test Prsmv Dir Opt Obs (80305) $189 $189 15.0×
Ehrlichia antibody (86666)
range across 3 matching MRF lines		 $14.75–$36.85 $14.75–$36.85 varies
Electrolyte panel (80051)
range across 2 matching MRF lines		 $6.48–$349.65 $6.48–$349.65 varies
Electron Microscopy (88348)
range across 2 matching MRF lines		 $396.90–$521 $396.90–$521 varies
Electrophoretic Test - Immunofixation Electrophoresis (82664) $29.96 $29.96 0.5×
Encephaltis East Eqne Anbdy (86652) $50.01 $50.01 3.8×
Encephaltis West Eqne Antbdy (86654) $50.01 $50.01 3.8×
Endomysial Antibody Each Immunoglobulin Class (86231) $11.97 $11.97 1.0×
Enterovirus Antibody (86658)
range across 18 matching MRF lines		 $4.51–$117.60 $4.51–$117.60 varies
Enterovirus PCR (87498)
range across 5 matching MRF lines		 $96.68–$251.45 $96.68–$251.45 varies
Enzyme cell activity (82657)
range across 3 matching MRF lines		 $65.80–$337.90 $65.80–$337.90 varies
Enzyme histochemistry (88319) $1,631.70 $1,631.70 1.6×
Eosinophil Smear (89190) $64.05 $64.05 11.1×
Erythropoietin (82668)
range across 4 matching MRF lines		 $4.49–$27.80 $4.49–$27.80 varies
Estradiol serum (82670)
range across 5 matching MRF lines		 $6.50–$120 $6.50–$120 varies
Estriol (82677) $41.73 $41.73 1.7×
Estrogen total (82672)
range across 2 matching MRF lines		 $8–$81.59 $8–$81.59 varies
Estrogens fractionated (82671)
range across 3 matching MRF lines		 $38–$42.80 $38–$42.80 varies
Ethosuximide (80168) $18.19 $18.19 1.1×
Ethylene Glycol (82693)
range across 4 matching MRF lines		 $15.65–$55.27 $15.65–$55.27 varies
Euglobulin lysis (85360) $31.58 $31.58 3.8×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines		 $9.20–$113.40 $9.20–$113.40 varies
F2 Gene (81240)
range across 3 matching MRF lines		 $35–$67 $35–$67 varies
Factor ii activity (85210)
range across 3 matching MRF lines		 $18–$75 $18–$75 varies
Factor Inhibitor Test (85335) $33.63 $33.63 2.6×
Factor ix activity (85250)
range across 3 matching MRF lines		 $19.34–$75 $19.34–$75 varies
Factor v activity (85220)
range across 5 matching MRF lines		 $18–$75 $18–$75 varies
Factor v leiden mutation (81241)
range across 3 matching MRF lines		 $29–$75 $29–$75 varies
Factor vii assay (85230)
range across 5 matching MRF lines		 $22.08–$55 $22.08–$55 varies
Factor viii assay (85240)
range across 5 matching MRF lines		 $18–$188.87 $18–$188.87 varies
Factor X (85260)
range across 3 matching MRF lines		 $29.99–$75 $29.99–$75 varies
Factor xi activity (85270)
range across 3 matching MRF lines		 $25.87–$75 $25.87–$75 varies
Factor xiii screen (85291) $28.20 $28.20 3.1×
Fat differential, feces, quantitative Facility (82715) $63.17 $63.17 2.8×
Fat stain feces urine/respir secretions (89125)
range across 2 matching MRF lines		 $21–$24.40 $21–$24.40 varies
Fat/Lipids Feces Quantitative (82710) $46.01 $46.01 2.7×
Fatty acids free (82725) $50.01 $50.01 2.7×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $28.95 $28.95 3.8×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $63.17 $63.17 3.7×
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $36.85 $36.85 3.6×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $8.56 $8.56 1.3×
Fecal Fat Qualitative (82705)
range across 4 matching MRF lines		 $7.98–$89.39 $7.98–$89.39 varies
Ferritin (82728)
range across 4 matching MRF lines		 $4.89–$227.85 $4.89–$227.85 varies
Fetal Congenital Abnor Assay Four Anal (81511)
range across 3 matching MRF lines		 $58.55–$119.50 $58.55–$119.50 varies
Fetal Congenital Abnor Assay Two Proteins (81508) $49.20 $49.20 0.9×
Fetal Fibronectin (82731)
range across 2 matching MRF lines		 $210–$351.75 $210–$351.75 varies
Fetal hemoglobin assay qual (83033) $5.35 $5.35 0.7×
Fetal lung maturity assessment; foam stability test Facility (83662) $71.06 $71.06 3.8×
Fetal Lung Maturity Fluorescence Polarization (83663) $41.73 $41.73 2.2×
Fetal screen rosette (85461)
range across 2 matching MRF lines		 $20.33–$214.20 $20.33–$214.20 varies
Fibrin degradation products (85362)
range across 5 matching MRF lines		 $11.50–$81.25 $11.50–$81.25 varies
Fibrin Degradation Quant (85379)
range across 6 matching MRF lines		 $14–$166.95 $14–$166.95 varies
Fibrin dgradj products d-dimer qual/semiquan (85378)
range across 2 matching MRF lines		 $9.42–$155.40 $9.42–$155.40 varies
Fibrin Dgradj Products D-Dimer Ultrasensitive (85380)
range across 2 matching MRF lines		 $36.85–$50.40 $36.85–$50.40 varies
Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370)
range across 2 matching MRF lines		 $188.32–$190.05 $188.32–$190.05 varies
Fibrinogen activity (85384)
range across 3 matching MRF lines		 $4.28–$14.70 $4.28–$14.70 varies
Fibrinogen antigen (85385)
range across 3 matching MRF lines		 $260.40–$303.88 $260.40–$303.88 varies
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $18.42 $18.42 1.2×
Fibrinolytic factors and inhibitors; plasmin Facility (85400) $31.58 $31.58 4.1×
Flow cytometry first marker (88184)
range across 4 matching MRF lines		 $35–$518.50 $35–$518.50 varies
Fluorescent antibody screen (86255)
range across 32 matching MRF lines		 $6–$775 $6–$775 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 9 matching MRF lines		 $6–$42.80 $6–$42.80 varies
Fluoride serum (82735) $68.43 $68.43 3.7×
Folic acid rbc (82747)
range across 4 matching MRF lines		 $5.25–$56.71 $5.25–$56.71 varies
Folic Acid Serum (82746)
range across 3 matching MRF lines		 $6.31–$110.25 $6.31–$110.25 varies
Follicle Stimulating Hormone (83001)
range across 4 matching MRF lines		 $4–$18.80 $4–$18.80 varies
Forensic Cytopathology (88125) $101.85 $101.85 1.5×
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $97.39 $97.39 3.4×
Francisella tularensis (86668) $7.93 $7.93 0.6×
Fresh Frozen Plasma Thawing Each Unit (86927) $61.95 $61.95 0.3×
Frozen Blood Each Unit Thawing (86931) $216.30 $216.30 1.0×
Frozen Section (88331) $374.85 $374.85 1.7×
Fungi Identification Mold (87107)
range across 7 matching MRF lines		 $29.96–$112.35 $29.96–$112.35 varies
Fungi Identification Yeast (87106)
range across 5 matching MRF lines		 $13.37–$242.14 $13.37–$242.14 varies
Galactokinase rbc (82759) $78.96 $78.96 3.7×
Galactose (82760) $42.11 $42.11 3.8×
Galactose transferase test (82776) $31.58 $31.58 2.7×
Galactose-1-Phosphate Uridyl Transferase Quan (82775)
range across 2 matching MRF lines		 $78.96–$107.10 $78.96–$107.10 varies
Gammaglobulin ige (82785)
range across 5 matching MRF lines		 $6.38–$51.57 $6.38–$51.57 varies
Gardner vag DNA dir probe (87510) $73.70 $73.70 3.7×
Gardner Vag Dna Quant (87512) $155.29 $155.29 3.7×
Gases Blood O2 Saturation Only Direct Meas (82810) $802.50 $802.50 82.1×
Gases blood ph only (82800) $31.58 $31.58 2.9×
Gastric Analy W/Ph Ea Spec (82930)
range across 2 matching MRF lines		 $9.80–$21.05 $9.80–$21.05 varies
Gastrin (82941)
range across 4 matching MRF lines		 $7.99–$26.75 $7.99–$26.75 varies
Gastrin after secretin stim (82938) $65.80 $65.80 3.7×
Genet Virus Isolate Hsv (87255)
range across 2 matching MRF lines		 $12–$126.34 $12–$126.34 varies
Gentamicin (80170)
range across 2 matching MRF lines		 $8.02–$298.20 $8.02–$298.20 varies
Ggt (82977)
range across 5 matching MRF lines		 $3–$143.85 $3–$143.85 varies
Gh suppression panel (80430) $289.54 $289.54 2.2×
Giardia antigen (87329)
range across 4 matching MRF lines		 $12.84–$19.26 $12.84–$19.26 varies
Giardia lamblia antibody (86674) $55.27 $55.27 3.8×
Gluc-6-phosphate dehydrogenase screen (82960) $11.68 $11.68 1.9×
Glucagon (82943)
range across 3 matching MRF lines		 $23.60–$87.15 $23.60–$87.15 varies
Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) $171.09 $171.09 3.7×
Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) $186.88 $186.88 3.7×
Glucagon tolerance test Facility (82946)
range across 2 matching MRF lines		 $55.27–$75.60 $55.27–$75.60 varies
Glucose 2 hr pp (82950) $3.74 $3.74 0.8×
Glucose Blood Test (82962) $9.63 $9.63 2.9×
Glucose body fluid (82945)
range across 6 matching MRF lines		 $3.25–$108.15 $3.25–$108.15 varies
Glucose Serum (82947)
range across 3 matching MRF lines		 $3.74–$112.35 $3.74–$112.35 varies
Glucose tolerance test (gtt) (82951)
range across 3 matching MRF lines		 $37.45–$368.55 $37.45–$368.55 varies
Glucosidase beta (82963) $78.96 $78.96 3.7×
Glutamate dehydrogenase Facility (82965) $28.95 $28.95 2.2×
Glutathione (82978) $52.64 $52.64 3.4×
Glutathione reductase, RBC Facility (82979) $26.32 $26.32 2.8×
Glycated Protein (82985) $55.27 $55.27 3.3×
Gonadotropin Chorionic Hcg Free Beta Chain (84704)
range across 3 matching MRF lines		 $18.25–$75.60 $18.25–$75.60 varies
Gonadotropin Chorionic Qualitative (84703)
range across 2 matching MRF lines		 $5.02–$231 $5.02–$231 varies
Gonadotropin releasing hormone (83727) $63.17 $63.17 3.7×
Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) $550.12 $550.12 3.7×
Growth hormone (83003)
range across 4 matching MRF lines		 $8.19–$17.60 $8.19–$17.60 varies
Growth hormone antibody (86277) $57.90 $57.90 3.7×
Growth Hormone Stimulation Panel (80428) $247.42 $247.42 3.7×
Gtt-added samples (82952)
range across 2 matching MRF lines		 $98.44–$116.55 $98.44–$116.55 varies
H Pylori (C-13) Breath (83013)
range across 2 matching MRF lines		 $74–$195.81 $74–$195.81 varies
H Pylori Drug Admin (83014) $28.95 $28.95 3.7×
Haloperidol (80173)
range across 2 matching MRF lines		 $16–$52.64 $16–$52.64 varies
Haptoglobin (83010)
range across 4 matching MRF lines		 $5–$11.60 $5–$11.60 varies
Haptoglobin; phenotypes Facility (83012) $63.17 $63.17 2.3×
Hba1/Hba2 Gene (81257) $378 $378 3.7×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $450 $450 2.2×
Hdl Cholesterol (83718) $182.97 $182.97 22.3×
Heavy metal qualitative any analytes (83015) $5.35 $5.35 0.3×
Heinz Bodies Direct (85441) $15.79 $15.79 3.8×
Heinz Bodies Induced Acetyl Phenylhydrazine (85445) $26.32 $26.32 3.9×
Helicobacter Pylori Stool (87338)
range across 5 matching MRF lines		 $27–$61 $27–$61 varies
Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) $250.05 $250.05 3.7×
Helminth Antibody (86682)
range across 4 matching MRF lines		 $21.60–$123.05 $21.60–$123.05 varies
Hemagglutination Inhibition (86280) $31.58 $31.58 3.9×
Hematocrit (85014)
range across 3 matching MRF lines		 $3.21–$63 $3.21–$63 varies
Hemoglobin (85018)
range across 2 matching MRF lines		 $73.50–$86.67 $73.50–$86.67 varies
Hemoglobin a1c (83036)
range across 5 matching MRF lines		 $4–$199.50 $4–$199.50 varies
Hemoglobin Chromotography (83021)
range across 7 matching MRF lines		 $4.50–$32.10 $4.50–$32.10 varies
Hemoglobin Copper Sulfate Method Non-Automated (83026) $7.89 $7.89 2.0×
Hemoglobin electrophoresis (83020)
range across 6 matching MRF lines		 $8.34–$32.74 $8.34–$32.74 varies
Hemoglobin F Fetal Chemical (83030) $31.58 $31.58 2.9×
Hemoglobin Methemoglobin Quantitative (83050)
range across 2 matching MRF lines		 $5.35–$24.61 $5.35–$24.61 varies
Hemoglobin plasma (83051)
range across 2 matching MRF lines		 $8.56–$19.20 $8.56–$19.20 varies
Hemoglobin quan tc per day carboxyhemoglobin (88740) $18.42 $18.42 2.0×
Hemoglobin stability screen (83068)
range across 2 matching MRF lines		 $14–$175 $14–$175 varies
Hemoglobin Thermolabile (83065) $26.32 $26.32 2.9×
Hemoglobin urine (83069) $8.56 $8.56 2.2×
Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) $18.42 $18.42 2.0×
Hemoglobin-Oxygen Affinity (82820) $36.85 $36.85 2.8×
Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) $37.45 $37.45 3.9×
Hemoglobin; methemoglobin, qualitative Facility (83045) $18.42 $18.42 2.8×
Hemolysin Acid (85475) $31.58 $31.58 3.6×
Hemosiderin urine (83070)
range across 3 matching MRF lines		 $5.88–$13.50 $5.88–$13.50 varies
Hep a ab igm (86709)
range across 4 matching MRF lines		 $4.70–$92.40 $4.70–$92.40 varies
Heparin assay (85520)
range across 2 matching MRF lines		 $32.10–$85 $32.10–$85 varies
Heparin Neutralization (85525) $34.21 $34.21 2.9×
Heparin-Protamine Tolerance Tst (85530) $52.64 $52.64 4.0×
Hepatitis a antibody total (86708)
range across 3 matching MRF lines		 $8.19–$97.65 $8.19–$97.65 varies
Hepatitis b core ab igm (86705)
range across 4 matching MRF lines		 $4.50–$43.05 $4.50–$43.05 varies
Hepatitis b core ab total (86704)
range across 6 matching MRF lines		 $4–$32.55 $4–$32.55 varies
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines		 $8.75–$92.40 $8.75–$92.40 varies
Hepatitis B Surface Antigen (87340)
range across 4 matching MRF lines		 $3.50–$36.75 $3.50–$36.75 varies
Hepatitis Be Antibody (86707)
range across 5 matching MRF lines		 $5–$31.50 $5–$31.50 varies
Hepatitis Be Antigen (87350)
range across 5 matching MRF lines		 $5.25–$31.50 $5.25–$31.50 varies
Hepatitis C Antibody (86803)
range across 6 matching MRF lines		 $3.75–$84 $3.75–$84 varies
Hepatitis c antibody confirmatory test (86804) $104.86 $104.86 6.8×
Hepatitis C Genotype (87902)
range across 4 matching MRF lines		 $105–$148.22 $105–$148.22 varies
Hepatitis C Probe&Rvrs Trnsc (87521)
range across 2 matching MRF lines		 $59.40–$64.20 $59.40–$64.20 varies
Hepatitis C Revrs Trnscrpj (87522)
range across 7 matching MRF lines		 $50–$126.26 $50–$126.26 varies
Hepatitis delta ag (87380)
range across 2 matching MRF lines		 $60.54–$81.90 $60.54–$81.90 varies
Hepatitis Delta Agent Antibody (86692) $63.17 $63.17 3.7×
Hepatitis G Dna Quant (87527) $155.29 $155.29 3.7×
Herpes simplex type 2 (86696)
range across 6 matching MRF lines		 $5.99–$40.66 $5.99–$40.66 varies
Heterophile antibodies titer (86309) $23.68 $23.68 3.7×
Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) $26.32 $26.32 3.6×
Heterophile Antibody Screen (86308)
range across 5 matching MRF lines		 $7.50–$207.90 $7.50–$207.90 varies
Hfe Gene (81256) $97 $97 1.5×
Hgb Quantitative Transcutaneous (88738) $18.42 $18.42 3.7×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460)
range across 2 matching MRF lines		 $6.50–$112.35 $6.50–$112.35 varies
Histamine urine (83088)
range across 2 matching MRF lines		 $29.20–$110.55 $29.20–$110.55 varies
Histoplasma antibody (86698)
range across 5 matching MRF lines		 $11.10–$21.25 $11.10–$21.25 varies
Histoplasma antigen urine (87385)
range across 7 matching MRF lines		 $55–$140.17 $55–$140.17 varies
Hiv Genotype (87901)
range across 4 matching MRF lines		 $138–$952.85 $138–$952.85 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 4 matching MRF lines		 $5.98–$26.70 $5.98–$26.70 varies
Hiv-1 Antibody (86701)
range across 6 matching MRF lines		 $20.91–$127.05 $20.91–$127.05 varies
HIV-1 p24 antigen (87390)
range across 2 matching MRF lines		 $240.45–$348.82 $240.45–$348.82 varies
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 5 matching MRF lines		 $50–$128.40 $50–$128.40 varies
HIV-2 probe&revrse trnscripj (87538) $128.97 $128.97 3.7×
Hla I Low Resolution One Antigen Equivalent Each (81374) $21.54 $21.54 0.3×
Hla I Typing 1 Allele Hr (81381) $62.50 $62.50 0.4×
Hla Typing a/B/C Multiple Antigens (86813) $292.95 $292.95 5.1×
Hla-b27 (86812)
range across 3 matching MRF lines		 $30–$69.30 $30–$69.30 varies
Homocysteine (83090)
range across 4 matching MRF lines		 $8–$23.54 $8–$23.54 varies
Homogenization Tissue (87176) $19.26 $19.26 3.3×
Homovanillic acid urine (83150) $12.84 $12.84 0.6×
Hsv Dna Amp Probe (87529)
range across 11 matching MRF lines		 $22.50–$212.75 $22.50–$212.75 varies
Hsv Dna Quant (87530) $157.93 $157.93 3.7×
Htlv-I Antibody (86687) $31.58 $31.58 3.5×
Htlv-ii antibody (86688) $52.64 $52.64 3.8×
Human Epididymis Protein 4 (86305) $76.33 $76.33 3.7×
Hydroxycorticosteroids 17 (83491) $65.80 $65.80 3.7×
Hydroxyprogesterone 17-d (83498) $64.20 $64.20 2.4×
Hydroxyproline free (83500) $84.23 $84.23 3.7×
Hydroxyproline total (83505) $89.49 $89.49 3.7×
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $135 $135 3.0×
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) $34.21 $34.21 2.9×
Iaad Ia Cytomegalovirus (87332) $34.21 $34.21 2.9×
Iaad Ia Entamoeba Histolytica Grp (87337) $34.21 $34.21 2.9×
Iaad Ia Escherichia Coli 0157 (87335)
range across 2 matching MRF lines		 $34.21–$46.20 $34.21–$46.20 varies
Iaad Ia Hepatitis B Surface Ag Neutralization (87341)
range across 4 matching MRF lines		 $4.75–$38.20 $4.75–$38.20 varies
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420)
range across 2 matching MRF lines		 $34.24–$56.70 $34.24–$56.70 varies
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $94.50 $94.50 2.7×
Iaad ia shiga-like toxin (87427)
range across 4 matching MRF lines		 $15.40–$97.65 $15.40–$97.65 varies
Iaad Ia Streptococcus Group A (87430)
range across 2 matching MRF lines		 $147–$178.69 $147–$178.69 varies
Iaadi Bordetella Prtussis/Paraprtussis (87265) $15.51 $15.51 1.3×
Iaadi giardia (87269) $26.75 $26.75 2.0×
Iaadi herpes smplx virus type 1 (87274) $25.68 $25.68 2.1×
Iaadi herpes smplx virus type 2 (87273) $34.21 $34.21 2.9×
Iaadi inffluenza a virus (87276)
range across 4 matching MRF lines		 $13.16–$87.68 $13.16–$87.68 varies
Iaadi not otherwise specified each organism (87299)
range across 2 matching MRF lines		 $22.47–$39 $22.47–$39 varies
Iaadi parainfluenza virus each type (87279) $13.16 $13.16 0.8×
Iaadi pneumocustis carinii (87281)
range across 3 matching MRF lines		 $29.96–$44.55 $29.96–$44.55 varies
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $34.21 $34.21 2.9×
Iaadi respiratory synctial virus (87280)
range across 3 matching MRF lines		 $12.94–$36.75 $12.94–$36.75 varies
Iaadi Varicella Zoster Virus (87290) $20.36 $20.36 1.5×
Iaadiadoo trichomonas vaginalis (87808) $18.19 $18.19 1.2×
Iadna Bartonella Amplified Probe Technique (87471) $128.97 $128.97 3.7×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476)
range across 3 matching MRF lines		 $102.72–$128.97 $102.72–$128.97 varies
Iadna Candida Species Amplified Probe Tq (87481) $128.97 $128.97 3.7×
Iadna chlamydia pneumoniae amplified probe tq (87486)
range across 3 matching MRF lines		 $45–$140 $45–$140 varies
Iadna Chlamydia Trachomatis Direct Probe Tq (87490)
range across 2 matching MRF lines		 $342.40–$465.15 $342.40–$465.15 varies
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 4 matching MRF lines		 $52–$106.37 $52–$106.37 varies
Iadna Cytomegalovirus Direct Probe Tq (87495) $73.70 $73.70 2.5×
Iadna Cytomegalovirus Quantification (87497)
range across 3 matching MRF lines		 $70–$269.88 $70–$269.88 varies
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $73.50 $73.50 1.0×
Iadna hepatitis b virus amplified probe tq (87516) $128.97 $128.97 3.7×
Iadna Hepatitis B Virus Quantification (87517)
range across 5 matching MRF lines		 $65–$103 $65–$103 varies
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $128.97 $128.97 3.7×
Iadna Herpes Virus-6 Quantification (87533) $155.29 $155.29 3.7×
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 5 matching MRF lines		 $59.34–$239.68 $59.34–$239.68 varies
Iadna Hiv-2 Quant & Reverse Transcription (87539) $157.93 $157.93 2.7×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $128.97 $128.97 3.7×
Iadna Multiple Organisms Direct Probe Tq (87800) $18.19 $18.19 0.4×
Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) $73.70 $73.70 2.7×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $128.97 $128.97 2.7×
Iadna Mycobacteria Species Direct Probe Tq (87550) $73.70 $73.70 3.7×
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 8 matching MRF lines		 $30–$211.10 $30–$211.10 varies
Iadna Mycobacteria Tuberculosis Dir Prb (87555) $73.70 $73.70 2.7×
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 5 matching MRF lines		 $45–$234.50 $45–$234.50 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 6 matching MRF lines		 $8–$65.10 $8–$65.10 varies
Iadna Nos Direct Probe Tq Each Organism (87797) $73.70 $73.70 2.5×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593)
range across 2 matching MRF lines		 $64–$85 $64–$85 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631)
range across 3 matching MRF lines		 $132–$184 $132–$184 varies
Ig Light Chains Free Each (83521)
range across 3 matching MRF lines		 $9.50–$133.66 $9.50–$133.66 varies
Igg subclasses (82787)
range across 6 matching MRF lines		 $7.80–$69.60 $7.80–$69.60 varies
Igk rearrangeabn clonal pop (81264) $406.60 $406.60 2.4×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $413.70 $413.70 0.9×
Immune Complex Assay (86332)
range across 2 matching MRF lines		 $19.50–$89.49 $19.50–$89.49 varies
Immunfix e-phorsis/urine/csf (86335)
range across 4 matching MRF lines		 $10.65–$133.66 $10.65–$133.66 varies
Immunoassay analyte qual/semiqual single step (83518) $311.37 $311.37 32.3×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 10 matching MRF lines		 $16–$800 $16–$800 varies
Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) $73.70 $73.70 2.9×
Immunoassay infectious agent (86318) $47.37 $47.37 2.6×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 8 matching MRF lines		 $3.51–$23 $3.51–$23 varies
Immunoassay nonantibody (83516)
range across 62 matching MRF lines		 $6.08–$292 $6.08–$292 varies
Immunodiffusion not elsewhere specified (86329) $16.05 $16.05 1.1×
Immunodiffusion Ouchterlony (86331) $23.54 $23.54 2.0×
Immunoelectrophoresis Other Fluids Concentration (86325) $239.68 $239.68 10.4×
Immunoelectrophoresis Serum (86320) $373.43 $373.43 12.5×
Immunofixation electrophoresis (86334)
range across 6 matching MRF lines		 $2.50–$28.89 $2.50–$28.89 varies
Immunofluorescence per spec 1st singl antb stain (88346)
range across 2 matching MRF lines		 $248–$360.15 $248–$360.15 varies
Immunohistochemistry (88342)
range across 8 matching MRF lines		 $51.52–$374.85 $51.52–$374.85 varies
In situ hybridization 1st probe stain (88365) $343.35 $343.35 1.6×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391)
range across 2 matching MRF lines		 $65.80–$89.25 $65.80–$89.25 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) $34.21 $34.21 2.1×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320)
range across 2 matching MRF lines		 $34.21–$46.20 $34.21–$46.20 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) $28.95 $28.95 2.8×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339)
range across 2 matching MRF lines		 $34.21–$46.20 $34.21–$46.20 varies
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) $34.21 $34.21 1.6×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) $34.21 $34.21 1.0×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) $87.74 $87.74 5.5×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) $34.21 $34.21 1.4×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $14.19 $14.19 1.0×
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) $34.21 $34.21 2.5×
Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)… (87267) $34.21 $34.21 2.5×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275)
range across 2 matching MRF lines		 $42.80–$87.67 $42.80–$87.67 varies
Infectious agent antigen detection by immunofluorescent technique; Rubeola Facility (87283) $34.21 $34.21 0.6×
Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) $34.21 $34.21 2.8×
Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) $157.93 $157.93 3.7×
Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475) $73.70 $73.70 3.7×
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482) $155.29 $155.29 2.8×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) $73.70 $73.70 3.7×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) $157.93 $157.93 3.7×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492)
range across 2 matching MRF lines		 $128.97–$175.35 $128.97–$175.35 varies
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $128.97 $128.97 3.7×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) $73.70 $73.70 2.4×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) $128.97 $128.97 3.3×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) $73.70 $73.70 2.5×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) $73.70 $73.70 3.7×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) $73.70 $73.70 1.3×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) $73.70 $73.70 3.4×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) $73.70 $73.70 3.4×
Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) $155.29 $155.29 3.7×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562) $157.93 $157.93 3.7×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) $157.93 $157.93 3.7×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) $157.93 $157.93 3.7×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) $73.70 $73.70 3.7×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Facility (87582) $155.29 $155.29 0.5×
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592)
range across 2 matching MRF lines		 $157.93–$214.20 $157.93–$214.20 varies
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650)
range across 2 matching MRF lines		 $73.70–$99.75 $73.70–$99.75 varies
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652)
range across 2 matching MRF lines		 $155.29–$211.05 $155.29–$211.05 varies
Infectious Agent Dna/Rna Influenza Ea Type (87501) $189.51 $189.51 3.7×
Infectious Agent Dna/Rna Vancomycin Resistance (87500) $128.97 $128.97 3.7×
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) $44.74 $44.74 3.7×
Influenza a/b ag eia (87400)
range across 2 matching MRF lines		 $34.24–$142.80 $34.24–$142.80 varies
Influenza assay w/optic (87804)
range across 2 matching MRF lines		 $39.71–$1,056.21 $39.71–$1,056.21 varies
Influenza DNA amp probe (87502)
range across 5 matching MRF lines		 $96–$625.95 $96–$625.95 varies
Inhibin A (86336) $57.90 $57.90 3.7×
Inhibin b (83520)
range across 5 matching MRF lines		 $49.32–$318.44 $49.32–$318.44 varies
Insitu hybridization auto (88367) $220.50 $220.50 0.5×
Insitu hybridization manual (88368) $366.45 $366.45 0.8×
Insulin antibodies (86337)
range across 7 matching MRF lines		 $20.95–$301.55 $20.95–$301.55 varies
Insulin free (83527) $47.37 $47.37 3.7×
Insulin tolerance panel growth horm defncy (80435) $381.66 $381.66 3.7×
Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) $373.77 $373.77 1.3×
Insulin total (83525)
range across 5 matching MRF lines		 $3.98–$12.84 $3.98–$12.84 varies
Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) $455.37 $455.37 2.7×
Intrinsic factor (stomach protein) level (83528) $57.90 $57.90 2.9×
Intrinsic factor antibody (86340)
range across 4 matching MRF lines		 $10.07–$51.36 $10.07–$51.36 varies
Iron (83540)
range across 2 matching MRF lines		 $64.20–$95.55 $64.20–$95.55 varies
Iron Binding Capacity (83550)
range across 2 matching MRF lines		 $5.58–$145.95 $5.58–$145.95 varies
Iron stain peripheral blood (85536) $23.68 $23.68 3.4×
Islet cell antibody (86341)
range across 6 matching MRF lines		 $21.31–$174.34 $21.31–$174.34 varies
Isocitric dehydrogenase (IDH) Facility (83570)
range across 2 matching MRF lines		 $31.58–$43.05 $31.58–$43.05 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 8 matching MRF lines		 $150–$250 $150–$250 varies
Ketosteroids 17 total (83586) $47.37 $47.37 3.7×
Koh Prep (87220) $84.53 $84.53 19.8×
L/s ratio (83661) $53.50 $53.50 2.4×
Lactate (ld) (ldh) enzyme (83615)
range across 5 matching MRF lines		 $2.25–$139.65 $2.25–$139.65 varies
Lactoferrin fecal qualitative (83630) $73.70 $73.70 3.7×
Lactoferrin Fecal Quantitative (83631) $73.70 $73.70 3.8×
Lactogen Hpl Human Chorionic Somatomammotropin (83632) $73.70 $73.70 3.6×
Lactose urine qual (83633) $21.05 $21.05 1.9×
Lamellar Body Count (83664) $21.40 $21.40 1.1×
Ldh Isoenzymes (83625)
range across 2 matching MRF lines		 $16.05–$53.55 $16.05–$53.55 varies
LDL direct (83721) $316.72 $316.72 30.2×
Lead (83655)
range across 4 matching MRF lines		 $3.49–$13.46 $3.49–$13.46 varies
Legionella antibody (86713)
range across 9 matching MRF lines		 $9–$24.30 $9–$24.30 varies
Legionella antigen urine (87449)
range across 10 matching MRF lines		 $11.94–$140 $11.94–$140 varies
Legionella DNA probe (87540) $73.70 $73.70 3.7×
Legionella pneumophila dfa (87278) $19.26 $19.26 1.2×
Leptospira antibody (86720)
range across 2 matching MRF lines		 $34.21–$54 $34.21–$54 varies
Leucine Aminopeptidase Lap (83670)
range across 2 matching MRF lines		 $28.89–$108.46 $28.89–$108.46 varies
Leukocyte Assessment Fecal (89055) $126 $126 29.5×
Leukocyte Histamine Release (86343) $47.37 $47.37 3.8×
Leukocyte phagocytosis (86344) $28.95 $28.95 2.8×
Level I Surg Pathology Gross Examination Only (88300)
range across 2 matching MRF lines		 $12.84–$120.75 $12.84–$120.75 varies
Level ii surg pathology gross&microscopic exam (88302)
range across 2 matching MRF lines		 $14.98–$173.25 $14.98–$173.25 varies
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines		 $729.75–$820 $729.75–$820 varies
Lidocaine (80176)
range across 4 matching MRF lines		 $13.48–$26.60 $13.48–$26.60 varies
Lipase (83690)
range across 5 matching MRF lines		 $5.13–$213.15 $5.13–$213.15 varies
Lipoprotein A (83695) $16.05 $16.05 1.1×
Lipoprotein Bld Quan Part (83704) $115.81 $115.81 3.4×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $15.12 $15.12 1.3×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $44.94 $44.94 1.3×
Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) $39.48 $39.48 3.1×
Lipoprotein-Associated Phospholipase A2 (83698) $126.34 $126.34 2.7×
Listeria Monocytogenes (86723) $50.01 $50.01 3.8×
Lithium (80178)
range across 4 matching MRF lines		 $3.75–$11.60 $3.75–$11.60 varies
Luteinizing Hormone (Lh) (83002)
range across 4 matching MRF lines		 $4.50–$18.80 $4.50–$18.80 varies
Lyme disease antibody (86618)
range across 5 matching MRF lines		 $13.50–$102.21 $13.50–$102.21 varies
Lymphocyte transformation (86353) $181.62 $181.62 3.7×
Lysozyme serum (85549) $24.61 $24.61 1.3×
M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) $128.97 $128.97 3.7×
Macroscopic exam arthropod (87168) $15.79 $15.79 3.7×
Macroscopic Exam Parasite (87169)
range across 4 matching MRF lines		 $7–$19.26 $7–$19.26 varies
Magnesium Urine (83735)
range across 2 matching MRF lines		 $3.74–$274.05 $3.74–$274.05 varies
Malate dehydrogenase Facility (83775) $26.32 $26.32 3.6×
Mass Spectrometry Quant (83789) $23.54 $23.54 1.0×
Meat fibers, feces (89160) $17.85 $17.85 3.7×
Mechanical fragility rbc (85547) $31.58 $31.58 3.7×
Mercury urine (83825) $25.68 $25.68 1.6×
Metabolic panel ionized ca (80047)
range across 2 matching MRF lines		 $33.79–$417.90 $33.79–$417.90 varies
Methemalbumin (83857) $9.63 $9.63 0.9×
Methylmalonic acid serum (83921)
range across 4 matching MRF lines		 $10–$60.99 $10–$60.99 varies
Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) $336.92 $336.92 3.7×
Mgmt methylation analysis (81287)
range across 21 matching MRF lines		 $14.98–$642 $14.98–$642 varies
Microalbumin, quantitative (82043)
range across 5 matching MRF lines		 $4.90–$64.05 $4.90–$64.05 varies
Microbe Suscept Macrobroth (87188)
range across 8 matching MRF lines		 $24.61–$216 $24.61–$216 varies
Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) $63.17 $63.17 2.8×
Microsomal Antibodies Each (86376)
range across 7 matching MRF lines		 $5.49–$16.60 $5.49–$16.60 varies
Mitochondrial Antibody Each (86381) $65 $65 2.6×
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) $135.45 $135.45 3.3×
Molecular Cytogenetics Dna Probe Each (88271) $90.30 $90.30 4.2×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $112.35 $112.35 2.7×
Molecular Pathology Procedure Level 3 (81402)
range across 2 matching MRF lines		 $395–$475 $395–$475 varies
Molecular Pathology Procedure Level 6 (81405) $642 $642 2.1×
Mononuclear cell antigen (86356)
range across 2 matching MRF lines		 $100.02–$208.65 $100.02–$208.65 varies
Mopath procedure level 2 (81401) $251.45 $251.45 1.8×
Mopath procedure level 4 (81403) $300 $300 1.6×
Mopath procedure level 5 (81404)
range across 3 matching MRF lines		 $350–$561.75 $350–$561.75 varies
Mopath procedure level 7 (81406) $1,166 $1,166 4.1×
Morphometric analysis nerve (88356) $343.35 $343.35 5.1×
Morphometric Analysis Tumor (88358) $220.50 $220.50 1.0×
Mrsa Pcr (87641)
range across 2 matching MRF lines		 $190.46–$259.35 $190.46–$259.35 varies
Mucin Clot Body Fluid (83872) $4.28 $4.28 0.7×
Mucopolysaccharides acid quantitative (83864) $73.70 $73.70 2.6×
Mumps antibody (86735)
range across 10 matching MRF lines		 $2.75–$121.50 $2.75–$121.50 varies
Mycobacteric Identification (87118)
range across 3 matching MRF lines		 $26.75–$242.14 $26.75–$242.14 varies
Mycoplasma antibody (86738)
range across 7 matching MRF lines		 $6.25–$33.04 $6.25–$33.04 varies
Mycoplasma culture (87109) $57.90 $57.90 3.8×
Myelin basic protein csf (83873)
range across 4 matching MRF lines		 $13.56–$55.75 $13.56–$55.75 varies
Myoglobin urine (83874)
range across 8 matching MRF lines		 $6.50–$35.70 $6.50–$35.70 varies
Natriuretic peptide (83880)
range across 4 matching MRF lines		 $27.12–$281.40 $27.12–$281.40 varies
Neisseria Dir Na Probe (87590)
range across 2 matching MRF lines		 $58.80–$376.64 $58.80–$376.64 varies
Nerve teasing preparations (88362) $343.35 $343.35 0.3×
Neutralization Test Viral (86382) $131.61 $131.61 7.8×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $76.33 $76.33 2.6×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $476.42 $476.42 3.7×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $97.39 $97.39 3.7×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903)
range across 2 matching MRF lines		 $187.73–$1,186.63 $187.73–$1,186.63 varies
Niacin (84591)
range across 2 matching MRF lines		 $42.11–$80 $42.11–$80 varies
Nickel level (83885) $89.49 $89.49 3.7×
Nitroblue Tetrazolium Dye (86384) $42.11 $42.11 3.1×
Nk cells total count (86357) $139.50 $139.50 3.7×
Nuclear antigen antibody (86235)
range across 20 matching MRF lines		 $4.70–$108.41 $4.70–$108.41 varies
Nzym actv blood cells/tiss radact substrate ea (82658) $65.80 $65.80 1.5×
Occult blood feces (82272) $57.75 $57.75 13.7×
Occult Blood Other Sources (82271)
range across 4 matching MRF lines		 $2.56–$84 $2.56–$84 varies
Oligoclonal bands (83916)
range across 2 matching MRF lines		 $19.26–$25 $19.26–$25 varies
Oncoprotein dcp (83951) $239.53 $239.53 3.7×
Oncoprotein Her-2/Neu (83950) $239.53 $239.53 3.7×
Organic Acids Qualitative Each Specimen (83919) $60.54 $60.54 3.7×
Organic acids urine (83918) $60.54 $60.54 2.6×
Osmolality serum (83930)
range across 4 matching MRF lines		 $3.25–$12.70 $3.25–$12.70 varies
Osmolality Urine (83935)
range across 4 matching MRF lines		 $3.25–$11.90 $3.25–$11.90 varies
Osmotic fragility rbc incubated (85557) $50.01 $50.01 3.7×
Osmotic Fragility RBC Unincubated (85555)
range across 2 matching MRF lines		 $23.68–$150 $23.68–$150 varies
Osteocalcin (83937) $47.37 $47.37 1.6×
Ova and parasites smears (87177)
range across 7 matching MRF lines		 $4.38–$130.54 $4.38–$130.54 varies
Ova1 (81503) $292 $292 0.3×
Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) $36.85 $36.85 2.9×
Oxalate urine (83945)
range across 4 matching MRF lines		 $7.49–$21.40 $7.49–$21.40 varies
Pancreatic Elastase Fecal (82656) $34.21 $34.21 3.0×
Particle Agglut Antbdy Titr (86406) $39.48 $39.48 3.7×
Particle Agglutination Screen Each Antibody (86403) $74.55 $74.55 6.5×
Parvovirus antibody (86747)
range across 3 matching MRF lines		 $14.75–$34.81 $14.75–$34.81 varies
Path Consltj Surg Cytologic Exam Initial Site (88333) $261.45 $261.45 0.3×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503)
range across 2 matching MRF lines		 $54.57–$78.75 $54.57–$78.75 varies
Pathology Consultation During Surgery (88329) $138.60 $138.60 1.8×
Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) $163.19 $163.19 3.7×
Ph urine (81003)
range across 2 matching MRF lines		 $6.93–$120 $6.93–$120 varies
pH; exhaled breath condensate Facility (83987) $57.90 $57.90 16.2×
Phenobarbital Level (80184)
range across 4 matching MRF lines		 $6.95–$254.10 $6.95–$254.10 varies
Phenotype Infect Agent Drug (87900) $481.69 $481.69 3.7×
Phenylalanine (84030) $20.33 $20.33 3.7×
Phenylketones qual (84035) $13.16 $13.16 3.3×
Phenytoin (Dilantin) (80185)
range across 8 matching MRF lines		 $6.95–$43.05 $6.95–$43.05 varies
Phenytoin free (80186)
range across 3 matching MRF lines		 $13.80–$23.54 $13.80–$23.54 varies
Phosphatase acid prostatic (84066) $11.77 $11.77 1.2×
Phosphatase alkaline (84075)
range across 5 matching MRF lines		 $3.74–$70.35 $3.74–$70.35 varies
Phosphatidylglycerol (84081) $66.34 $66.34 4.0×
Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) $23.68 $23.68 2.5×
Phospholipid Neutralization Hexagonal (85598)
range across 3 matching MRF lines		 $57.93–$77 $57.93–$77 varies
Phosphorus Serum (84100)
range across 2 matching MRF lines		 $3.74–$199.50 $3.74–$199.50 varies
Phosphorus urine (84105)
range across 4 matching MRF lines		 $3.57–$7.80 $3.57–$7.80 varies
Pinworm exam (87172) $4.28 $4.28 1.0×
Platelet Aggregation (85576) $108.07 $108.07 4.3×
Platelet Antibodies (86022)
range across 10 matching MRF lines		 $33–$428 $33–$428 varies
Platelet count automated (85049)
range across 4 matching MRF lines		 $3.74–$230.90 $3.74–$230.90 varies
Platelet neutralization (85597)
range across 5 matching MRF lines		 $33.17–$116.23 $33.17–$116.23 varies
Porphobilinogen Urine Qualitative (84106) $14.89 $14.89 2.6×
Porphobilinogen, urine; quantitative (84110)
range across 2 matching MRF lines		 $27.34–$31.58 $27.34–$31.58 varies
Porphyrins Feces Quantitative (84126) $94.75 $94.75 2.4×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines		 $16–$55.27 $16–$55.27 varies
Porphyrins, urine; qualitative (84119) $15.46 $15.46 1.2×
Potassium Urine (84133)
range across 5 matching MRF lines		 $5.15–$147 $5.15–$147 varies
Pr assay of bradykinin (82286) $26.32 $26.32 5.1×
Pr assay of etiocholanolone (82696) $86.86 $86.86 3.3×
Prealbumin (84134)
range across 4 matching MRF lines		 $5.88–$108.15 $5.88–$108.15 varies
Pregnancy-Associated Plasma Protein-A (84163) $55.27 $55.27 3.7×
Pregnanediol (84135) $71.06 $71.06 3.3×
Pregnanetriol (84138) $71.06 $71.06 3.4×
Pregnenolone (84140)
range across 2 matching MRF lines		 $32.90–$76.33 $32.90–$76.33 varies
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $321 $321 1.5×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $107 $107 1.4×
Pretx serum rbc antibody identification dilution (86976) $117.70 $117.70 3.2×
Primidone (80188)
range across 3 matching MRF lines		 $7.18–$17.60 $7.18–$17.60 varies
Procalcitonin (Pct) (84145)
range across 5 matching MRF lines		 $90–$186.90 $90–$186.90 varies
Progesterone (84144)
range across 4 matching MRF lines		 $5–$29 $5–$29 varies
Prolactin (84146)
range across 4 matching MRF lines		 $3.50–$18.90 $3.50–$18.90 varies
Prostaglandin (84150) $92.12 $92.12 2.2×
Protein Alys Wstrn Blot I&R Immunological Ea (88372) $114.45 $114.45 4.4×
Protein body fluid (84157)
range across 9 matching MRF lines		 $3.25–$131.25 $3.25–$131.25 varies
Protein C Activity (85303)
range across 6 matching MRF lines		 $10–$374.50 $10–$374.50 varies
Protein c antigen (85302)
range across 4 matching MRF lines		 $7–$97.37 $7–$97.37 varies
Protein Electrophoresis Urine (84166)
range across 3 matching MRF lines		 $8.77–$23.54 $8.77–$23.54 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines		 $2.50–$9.63 $2.50–$9.63 varies
Protein S Free (85306)
range across 7 matching MRF lines		 $9.88–$58 $9.88–$58 varies
Protein s total (85305)
range across 6 matching MRF lines		 $17.94–$66 $17.94–$66 varies
Protein Total Refractometry Any Src (84160)
range across 3 matching MRF lines		 $13.90–$18.42 $13.90–$18.42 varies
Protein total serum (84155)
range across 6 matching MRF lines		 $2.37–$86.10 $2.37–$86.10 varies
Protein Total Urine (84156)
range across 12 matching MRF lines		 $2.38–$108.15 $2.38–$108.15 varies
Protein Western Blot Test (84182) $138.93 $138.93 4.8×
Protein, western blot tissue (88371) $111.30 $111.30 5.0×
Prothrombin Time Substitution Plasma Frctj Each (85611)
range across 4 matching MRF lines		 $24.21–$115.50 $24.21–$115.50 varies
Protoporphyrin rbc quantitative (84202) $52.64 $52.64 3.7×
Protoporphyrin, RBC; screen Facility (84203) $31.58 $31.58 3.2×
PSA free (84154)
range across 2 matching MRF lines		 $6–$22.89 $6–$22.89 varies
Pth Intact (83970)
range across 6 matching MRF lines		 $5.49–$109.20 $5.49–$109.20 varies
Pyruvate kinase (84220)
range across 3 matching MRF lines		 $34.21–$58 $34.21–$58 varies
Q Fever Antibody (86638)
range across 2 matching MRF lines		 $44.74–$70 $44.74–$70 varies
Quantiferon tb gold plus (86480)
range across 7 matching MRF lines		 $29–$104.86 $29–$104.86 varies
Quantitative assay drug (80299)
range across 11 matching MRF lines		 $15–$183 $15–$183 varies
Quantitative Screen Metals (83018) $81.59 $81.59 3.7×
Quinidine (80194) $55.27 $55.27 3.8×
Quinine (84228) $42.11 $42.11 3.6×
Rbc antibody elution (86860) $74.90 $74.90 0.3×
Rbc antibody identification (86870)
range across 3 matching MRF lines		 $80.25–$483 $80.25–$483 varies
Rbc antibody screen (86850)
range across 3 matching MRF lines		 $6.67–$126 $6.67–$126 varies
Rbc pretreatment serum (86978) $74.90 $74.90 1.0×
Rbc serum pretx incubj drugs (86975) $117.70 $117.70 0.2×
Reagent Strip/Blood Glucose (82948)
range across 2 matching MRF lines		 $59.92–$70.35 $59.92–$70.35 varies
Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) $194.78 $194.78 2.7×
Receptor assay estrogen (84233) $239.53 $239.53 2.7×
Receptor assay progesterone (84234) $239.53 $239.53 3.7×
Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) $489.58 $489.58 2.3×
Renin activity plasma (84244)
range across 5 matching MRF lines		 $5–$36.38 $5–$36.38 varies
Reptilase test (85635)
range across 3 matching MRF lines		 $29–$75.54 $29–$75.54 varies
Resp virus 12-25 targets (87633) $45 $45 0.1×
Resp Virus 6-11 Targets (87632) $632.50 $632.50 2.9×
Reticulated Platelet Assay (85055) $100.02 $100.02 2.8×
Reticulocyte Count (85046)
range across 2 matching MRF lines		 $161.57–$219.45 $161.57–$219.45 varies
Reticulocyte Count Manual (85044)
range across 2 matching MRF lines		 $7.10–$93.45 $7.10–$93.45 varies
Rh (86901)
range across 2 matching MRF lines		 $19.26–$195 $19.26–$195 varies
Rheumatoid Factor Qualitative (86430)
range across 2 matching MRF lines		 $21.40–$139.65 $21.40–$139.65 varies
Rheumatoid factor quant (86431)
range across 7 matching MRF lines		 $3.50–$25.97 $3.50–$25.97 varies
Rickettsia antibody (86757)
range across 3 matching MRF lines		 $16.30–$59.92 $16.30–$59.92 varies
Ristocetin cofactor (85245)
range across 2 matching MRF lines		 $32.20–$145.37 $32.20–$145.37 varies
Rotavirus ag eia (87425)
range across 4 matching MRF lines		 $9.30–$13.28 $9.30–$13.28 varies
Rpr qualitative (86592)
range across 12 matching MRF lines		 $2.25–$10.16 $2.25–$10.16 varies
Rsv ab (86756) $147.12 $147.12 9.3×
Rsv Assay W/Optic (87807)
range across 2 matching MRF lines		 $34.21–$187.95 $34.21–$187.95 varies
Rubella Antibody (86762)
range across 8 matching MRF lines		 $4.84–$103.95 $4.84–$103.95 varies
Rubeola antibody (86765)
range across 11 matching MRF lines		 $4.84–$121.50 $4.84–$121.50 varies
Russell Viper Venom Time Diluted (85613)
range across 8 matching MRF lines		 $8.75–$48.35 $8.75–$48.35 varies
Russell Viper Venon Time Undiluted (85612) $34.21 $34.21 2.0×
Salmonella antibody (86768)
range across 2 matching MRF lines		 $50.01–$168 $50.01–$168 varies
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 7 matching MRF lines		 $51.31–$150 $51.31–$150 varies
Sars-cov-2 COVID-19 antibody (86769) $111.30 $111.30 2.6×
Sedimentation rate (85651)
range across 2 matching MRF lines		 $14.98–$106.05 $14.98–$106.05 varies
Sedimentation Rate, Automated (85652)
range across 3 matching MRF lines		 $3.18–$180.60 $3.18–$180.60 varies
Selenium (84255) $94.75 $94.75 3.7×
Sensitivity mic (87186)
range across 23 matching MRF lines		 $5.35–$540 $5.35–$540 varies
Serum Bactericidal Titer (87197) $85.60 $85.60 5.7×
Sex Chromatin Identification Barr Bodies (88130) $75.60 $75.60 4.2×
Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) $38.85 $38.85 4.9×
Sex Hormone Binding Globulin (84270) $28.89 $28.89 1.3×
Shigella Antibody (86771)
range across 2 matching MRF lines		 $50.01–$165.90 $50.01–$165.90 varies
Sickling of rbc reduction (85660)
range across 5 matching MRF lines		 $4.12–$41.73 $4.12–$41.73 varies
Silica (84285) $86.86 $86.86 3.4×
Sirolimus (80195) $21.40 $21.40 1.6×
Skin Test Candida (86485) $15.79 $15.79 0.4×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines		 $41–$161.57 $41–$161.57 varies
Skin test unlisted antigen each (86486) $15.79 $15.79 0.4×
Skin test; histoplasmosis (86510) $15.79 $15.79 0.3×
Smear acid fast (87206)
range across 10 matching MRF lines		 $5–$87.15 $5–$87.15 varies
Smear complex stain (87209)
range across 2 matching MRF lines		 $4.37–$16.47 $4.37–$16.47 varies
Smear gram stain (87205)
range across 9 matching MRF lines		 $4.50–$131.25 $4.50–$131.25 varies
Smear Special Stain (87207)
range across 4 matching MRF lines		 $13.48–$87.15 $13.48–$87.15 varies
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines		 $14.98–$111.30 $14.98–$111.30 varies
Sodium Serum (84295)
range across 2 matching MRF lines		 $3.74–$99.75 $3.74–$99.75 varies
Sodium Urine (84300)
range across 5 matching MRF lines		 $2.25–$121.80 $2.25–$121.80 varies
Soluble fibrin monomer (85366)
range across 2 matching MRF lines		 $31.58–$49 $31.58–$49 varies
Soluble Transferrin Receptor (84238)
range across 4 matching MRF lines		 $22–$134.24 $22–$134.24 varies
Somatomedin (84305)
range across 2 matching MRF lines		 $6–$23.54 $6–$23.54 varies
Somatostatin (84307) $68.43 $68.43 3.7×
Special Stains Group 1 (88312)
range across 4 matching MRF lines		 $15.78–$273 $15.78–$273 varies
Special Stains Group 2 (88313)
range across 4 matching MRF lines		 $15.78–$217.35 $15.78–$217.35 varies
Specific gravity body fluid (84315)
range across 2 matching MRF lines		 $23.10–$23.54 $23.10–$23.54 varies
Specimen infect agnt concntj (87015)
range across 9 matching MRF lines		 $9–$175 $9–$175 varies
Spectrophotometry (84311)
range across 8 matching MRF lines		 $19.26–$80 $19.26–$80 varies
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $74.55 $74.55 0.3×
Staph a DNA amp probe (87640)
range across 2 matching MRF lines		 $128.97–$175.35 $128.97–$175.35 varies
Stem cells total count (86367) $139.50 $139.50 1.8×
Stone Analysis (82355) $42.11 $42.11 3.6×
Stool cultr aerobic bact ea (87046)
range across 2 matching MRF lines		 $9.72–$184.80 $9.72–$184.80 varies
Strep a assay w/optic (87880)
range across 2 matching MRF lines		 $9.95–$12.49 $9.95–$12.49 varies
Strep a DNA amp probe (87651)
range across 2 matching MRF lines		 $128.97–$175.35 $128.97–$175.35 varies
Strep b DNA amp probe (87653)
range across 3 matching MRF lines		 $75–$488.25 $75–$488.25 varies
Streptokinase, antibody Facility (86590) $42.11 $42.11 3.3×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $42.11 $42.11 3.7×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $21.05 $21.05 3.8×
Sugars Multiple Quant (84379) $42.11 $42.11 3.7×
Sugars Single Qual (84376) $21.05 $21.05 3.8×
Sugars, chromatographic, TLC or paper chromatography Facility (84375) $73.70 $73.70 1.9×
Sulfate urine (84392) $18.42 $18.42 3.4×
Surg path level iii (88304)
range across 2 matching MRF lines		 $16.31–$237.30 $16.31–$237.30 varies
Surgical pathology level IV (88305)
range across 3 matching MRF lines		 $60–$379 $60–$379 varies
Surgical pathology level vi (88309)
range across 2 matching MRF lines		 $1,304–$1,522.50 $1,304–$1,522.50 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 2 matching MRF lines		 $57.75–$128.40 $57.75–$128.40 varies
Susceptibility Study Antimicrobial Disk Method (87184)
range across 2 matching MRF lines		 $6.42–$38.40 $6.42–$38.40 varies
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) $39.48 $39.48 1.0×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190)
range across 2 matching MRF lines		 $69.55–$125.92 $69.55–$125.92 varies
Sweat Collection Iontophoresis (89230) $147 $147 2.2×
Syphilis Test Non-Trep Quant (86593)
range across 6 matching MRF lines		 $2.25–$78.75 $2.25–$78.75 varies
T cells absolute cd4 count (86361)
range across 7 matching MRF lines		 $15–$50.29 $15–$50.29 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 3 matching MRF lines		 $18.33–$310.30 $18.33–$310.30 varies
T cells total count (86359)
range across 5 matching MRF lines		 $18.33–$58.50 $18.33–$58.50 varies
T3 Free (84481)
range across 5 matching MRF lines		 $6.09–$107.10 $6.09–$107.10 varies
T3 reverse (84482)
range across 4 matching MRF lines		 $15–$38.52 $15–$38.52 varies
T3 Total (84480)
range across 5 matching MRF lines		 $4.65–$127.05 $4.65–$127.05 varies
T3 Uptake (84479)
range across 2 matching MRF lines		 $3.20–$236.47 $3.20–$236.47 varies
T4 Free (84439)
range across 4 matching MRF lines		 $4.65–$165.90 $4.65–$165.90 varies
T4 total (84436)
range across 2 matching MRF lines		 $5.24–$158.55 $5.24–$158.55 varies
T4-neonatal (84437) $23.68 $23.68 3.7×
Tacrolimus (80197)
range across 4 matching MRF lines		 $17.12–$28.80 $17.12–$28.80 varies
Tb ag response t-cell susp (86481) $229 $229 2.3×
Test for acetone/ketones (82009)
range across 2 matching MRF lines		 $120.75–$128.40 $120.75–$128.40 varies
Test for urine cystines (82615) $5.24 $5.24 0.5×
Testosterone total (84403)
range across 7 matching MRF lines		 $3.90–$27 $3.90–$27 varies
Testosterone, Free (84402)
range across 5 matching MRF lines		 $13.50–$30 $13.50–$30 varies
Tetanus antibody (86774) $55.27 $55.27 3.7×
Thawing and expansion of frozen cells, each aliquot Facility (88241) $32.55 $32.55 2.7×
Theophylline (80198)
range across 3 matching MRF lines		 $5.88–$207.90 $5.88–$207.90 varies
Thiocyanate (84430) $42.11 $42.11 3.6×
Thrombin Time (85670)
range across 6 matching MRF lines		 $11.68–$23.20 $11.68–$23.20 varies
Thrombin time titer (85675) $26.32 $26.32 3.8×
Thrombomodulin Facility (85337) $39.48 $39.48 2.3×
Thromboplastin Inhibition Tissue (85705) $36.85 $36.85 3.8×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 12 matching MRF lines		 $8.75–$95 $8.75–$95 varies
Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) $63.17 $63.17 1.8×
Thyroglobulin (84432)
range across 5 matching MRF lines		 $9.63–$264.60 $9.63–$264.60 varies
Thyroglobulin Antibody (86800) $16.05 $16.05 1.0×
Thyroid Stimulating Immunoglobulin (84445)
range across 4 matching MRF lines		 $32–$69.55 $32–$69.55 varies
Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) $83.46 $83.46 1.7×
Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) $250.05 $250.05 3.7×
Thyroxine binding globulin (84442) $55.27 $55.27 3.7×
Tiss cul neo disorders solid tumor (88239) $744.45 $744.45 5.0×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 2 matching MRF lines		 $11.61–$13.56 $11.61–$13.56 varies
Tissue Culture (88233) $375.90 $375.90 2.7×
Tissue Culture Amniotic Fluid (88235) $406.35 $406.35 2.7×
Tissue culture bone marrow (88237)
range across 2 matching MRF lines		 $378–$508.25 $378–$508.25 varies
Tissue Culture Lymphocyte (88230) $359.10 $359.10 3.1×
Tobramycin peak (80200)
range across 2 matching MRF lines		 $10.70–$242.55 $10.70–$242.55 varies
Topiramate (80201)
range across 4 matching MRF lines		 $9.77–$48 $9.77–$48 varies
Touch prep (88161)
range across 2 matching MRF lines		 $17.22–$59.85 $17.22–$59.85 varies
Toxin/Antitoxin Assay Tissue Culture (87230)
range across 2 matching MRF lines		 $22.47–$55.65 $22.47–$55.65 varies
Toxoplasma ab igm (86778)
range across 2 matching MRF lines		 $7.50–$52.64 $7.50–$52.64 varies
Toxoplasma antibody (86777)
range across 4 matching MRF lines		 $5.99–$98.44 $5.99–$98.44 varies
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines		 $3.74–$158.55 $3.74–$158.55 varies
Transferrin (84466)
range across 5 matching MRF lines		 $3.50–$76.65 $3.50–$76.65 varies
Trg gene rearrangement anal (81342)
range across 2 matching MRF lines		 $186.38–$380 $186.38–$380 varies
Trichinella Antibody (86784) $47.37 $47.37 3.8×
Trichomonas vagin dir probe (87660) $73.70 $73.70 3.7×
Triglycerides (84478)
range across 4 matching MRF lines		 $3–$149.10 $3–$149.10 varies
Troponin Quant (84484)
range across 2 matching MRF lines		 $13.48–$331.80 $13.48–$331.80 varies
Troponin, qualitative (84512) $28.95 $28.95 2.9×
Trypsin feces qual (84488) $26.32 $26.32 3.6×
Tumor immunohistochem/comput (88361) $575.40 $575.40 1.2×
Tumor Immunohistochem/Manual (88360)
range across 2 matching MRF lines		 $74.41–$220.50 $74.41–$220.50 varies
Unlisted Cytogenetic Study (88299) $43.05 $43.05 0.6×
Unlisted miscellaneous pathology test (89240) $43.05 $43.05 0.6×
Unlisted Surgical Pathology Procedure (88399) $43.05 $43.05 0.6×
Unlisted Transfusion Medicine Procedure (86999) $160.50 $160.50 4.3×
Urea Nitrogen Clearance (84545) $23.68 $23.68 3.3×
Urea nitrogen urine (84540)
range across 4 matching MRF lines		 $3–$8.70 $3–$8.70 varies
Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) $13.16 $13.16 2.6×
Uric acid other source (84560)
range across 6 matching MRF lines		 $3.25–$7.80 $3.25–$7.80 varies
Urinalysis Microscopic Only (81015)
range across 2 matching MRF lines		 $10.70–$90.30 $10.70–$90.30 varies
Urinalysis Qual/Semiquant Except Immunoassays (81005)
range across 2 matching MRF lines		 $79.18–$118.65 $79.18–$118.65 varies
Urinalysis Volume Measure (81050)
range across 2 matching MRF lines		 $39.90–$46.01 $39.90–$46.01 varies
Urinalysis; 2 or 3 glass test Facility (81020)
range across 2 matching MRF lines		 $13.16–$17.85 $13.16–$17.85 varies
Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007)
range across 2 matching MRF lines		 $10.52–$15.75 $10.52–$15.75 varies
Urine Albumin Semiquantitative (82044)
range across 2 matching MRF lines		 $37.45–$50.40 $37.45–$50.40 varies
Urine Bacteria Culture (87088)
range across 2 matching MRF lines		 $6.42–$171.15 $6.42–$171.15 varies
Urine Pregnancy Test (81025) $176.40 $176.40 20.5×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines		 $6.42–$181.65 $6.42–$181.65 varies
Urobilinogen urine qual (84578) $13.16 $13.16 2.9×
Urobilinogen, feces, quantitative Facility (84577) $47.37 $47.37 2.8×
Urobilinogen, urine; quantitative, timed specimen Facility (84580) $26.32 $26.32 2.8×
Urobilinogen, urine; semiquantitative Facility (84583)
range across 2 matching MRF lines		 $17.85–$18.42 $17.85–$18.42 varies
Valproic acid (80164)
range across 2 matching MRF lines		 $214.20–$363.80 $214.20–$363.80 varies
Vancomycin (80202)
range across 2 matching MRF lines		 $8.56–$351.75 $8.56–$351.75 varies
Varicella-zoster antibody (86787)
range across 9 matching MRF lines		 $4.84–$88.20 $4.84–$88.20 varies
Vasopressin (84588)
range across 4 matching MRF lines		 $30–$126.34 $30–$126.34 varies
Very Long Chain Fatty Acids (82726)
range across 2 matching MRF lines		 $125–$165 $125–$165 varies
Viral Culture (87252)
range across 10 matching MRF lines		 $12.34–$123.58 $12.34–$123.58 varies
Virus antibody nos (86790)
range across 13 matching MRF lines		 $12.84–$130 $12.84–$130 varies
Virus inoculate tissue addl (87253)
range across 3 matching MRF lines		 $27.82–$46.54 $27.82–$46.54 varies
Virus inoculation, shell via (87254)
range across 11 matching MRF lines		 $4.30–$70.62 $4.30–$70.62 varies
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) $73.70 $73.70 3.8×
Viscosity serum (85810)
range across 2 matching MRF lines		 $13.50–$14.24 $13.50–$14.24 varies
Vit D 1 25-Dihydroxy (82652)
range across 4 matching MRF lines		 $15–$54.57 $15–$54.57 varies
Vitamin A (84590)
range across 3 matching MRF lines		 $11.75–$20.33 $11.75–$20.33 varies
Vitamin b-12 (82607)
range across 3 matching MRF lines		 $6.63–$113.40 $6.63–$113.40 varies
Vitamin B2 (Riboflavin) (84252) $77.04 $77.04 3.8×
Vitamin B6 (84207)
range across 3 matching MRF lines		 $9–$28.89 $9–$28.89 varies
Vitamin c (82180)
range across 2 matching MRF lines		 $23.58–$36.85 $23.58–$36.85 varies
Vitamin D 25-Hydroxy (82306)
range across 8 matching MRF lines		 $6–$74.55 $6–$74.55 varies
Vitamin E (84446)
range across 2 matching MRF lines		 $17.20–$138.54 $17.20–$138.54 varies
Vitamin K (84597)
range across 3 matching MRF lines		 $48–$230.05 $48–$230.05 varies
Volatiles (84600) $17.67 $17.67 1.0×
Voltage-Gated Calcium Channel Antibody Each (86596) $31 $31 2.6×
Von willebrand factor ag (85246)
range across 3 matching MRF lines		 $29.20–$75 $29.20–$75 varies
Wbc Alkaline Phosphatase Count (85540)
range across 3 matching MRF lines		 $62.60–$82.39 $62.60–$82.39 varies
West nile virus ab igm (86788)
range across 4 matching MRF lines		 $18.29–$63.17 $18.29–$63.17 varies
West Nile Virus Antibody (86789)
range across 8 matching MRF lines		 $17.65–$52.64 $17.65–$52.64 varies
Western Blot Test (84181) $39.84 $39.84 2.3×
Xm Archive Tissue Molec Anal (88363) $63 $63 1.7×
Xylose Absorption Test (84620) $44.74 $44.74 3.5×
Zinc (84630)
range across 4 matching MRF lines		 $4.28–$22.47 $4.28–$22.47 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.