Lab & pathology prices at Memorial Hospital of South Bend

South Bend, IN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $327.60 $504 14.4×
5 Nucleotidase (83915) $159.90 $246 14.3×
Abl1 gene analysis kinase domain variants (81170) $2,743 $4,220 9.1×
Acetylcholine receptor binding antibody (86041) $89.70 $138 4.9×
Acetylcholine receptor blocking antibody (86042) $136.50 $210 7.4×
Acetylcholinesterase Assay (82013) $130 $200 10.6×
Acetylcholn Rcptr Modlg Antb (86043) $89.70 $138 7.4×
Acth (82024) $498.55 $767 12.9×
Acth Stimulation Panel Adrenal Insufficiency (80400) $267.80 $412 8.2×
Actin smooth muscle antibody each (86015) $158.60 $244 13.2×
Acute hepatitis panel (80074) $598.65 $921 12.6×
Acylcarnitines Quant (82017) $199.55 $307 11.8×
Adenovirus antibody (86603) $111.15 $171 8.6×
Albumin Fluid (82042) $70.85 $109 9.1×
Albumin serum (82040) $54.60 $84 11.0×
Aldolase (82085) $131.95 $203 13.6×
Aldosterone urine (82088) $557.70 $858 13.7×
Alkaline phosphatase isoenzymes (84080) $202.80 $312 13.7×
Allergen spec ige qual multiallergen screen (86005) $109.20 $168 13.7×
Allergen specific ige (86003) $70.85 $109 13.6×
Allergen specific igg (86001) $66.95 $103 8.6×
Allg Spec Ige Recomb Ea (86008) $172.90 $266 9.6×
Alpha-1-antitrypsin phenotype (82104) $197.60 $304 13.7×
Alpha-1-antitrypsin total (82103) $183.95 $283 13.7×
Alpha-Fetoprotein Amniotic Fluid (82106) $240.50 $370 14.1×
Alpha-Fetoprotein Serum (82105) $222.30 $342 13.3×
Alt (sgpt) (84460) $71.50 $110 13.5×
Amikacin trough (80150) $217.10 $334 14.4×
Amino Acids 1 Quantitative Each Specimen (82131) $209.95 $323 9.1×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $204.10 $314 12.1×
Amino Acids Quant 2-5 (82136) $168.35 $259 8.6×
Aminolevulinic acid (ala) (82135) $225.55 $347 13.7×
Ammonia (82140) $176.80 $272 12.1×
Amniotic fluid protein test on cervicovaginal fluid (84112) $832 $1,280 8.5×
Amylase urine (82150) $93.60 $144 14.4×
Ana Titer (86039) $144.30 $222 12.9×
Anca screen each antibody (86036) $92.95 $143 7.7×
Anca Titer Each Antibody (86037) $98.80 $152 8.2×
Androstenedione (82157) $251.55 $387 8.6×
Angiotensin converting enzyme csf (82164) $200.20 $308 13.7×
Anti-Phospholipid Antibody (86148) $218.40 $336 13.6×
Antibody aspergillus (86606) $139.10 $214 9.2×
Antibody Bacterium Not Elsewhere Specified (86609) $139.10 $214 10.8×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $104 $160 6.7×
Antibody Cytomegalovirus Cmv Igm (86645) $139.10 $214 8.3×
Antibody Encephalitis California La Crosse (86651) $141.70 $218 10.7×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $180.05 $277 13.7×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $210.60 $324 13.8×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $245.70 $378 13.5×
Antibody Fungus Not Elsewhere Specified (86671) $139.10 $214 11.4×
Antibody helicobacter pylori (86677) $138.45 $213 8.2×
Antibody Herpes Smplx Non-Specific Type Test (86694) $207.35 $319 14.4×
Antibody Herpes Smplx Type 1 (86695) $170.30 $262 12.9×
Antibody HIV-2 (86702) $174.85 $269 12.9×
Antibody Hla Class I High Definition Panel Qual (86832) $2,874.95 $4,423 8.9×
Antibody htlv/HIV antibody confirmatory test (86689) $279.50 $430 14.4×
Antibody identification leukocyte antibodies (86021) $133.25 $205 8.9×
Antibody Identification Platelet Immunogl Assay (86023) $156 $240 12.5×
Antibody john cunningham virus (86711) $142.35 $219 8.4×
Antibody leishmania (86717) $105.30 $162 8.6×
Antibody Protozoa Nes (86753) $79.30 $122 6.4×
Antibody Titer (86886) $128.70 $198 24.8×
Antibody Treponema Pallidum (86780) $183.30 $282 13.8×
Antibody; encephalitis, st. louis (86653) $141.70 $218 10.7×
Antibody; influenza virus (86710) $195 $300 14.4×
Antigen typing (86905) $129.35 $199 33.8×
Antinomyces antibody (86602) $98.15 $151 9.6×
Antinuclear antibodies (86038) $98.80 $152 8.2×
Antistreptolysin o titer (86060) $99.45 $153 13.6×
Antithrombin iii activity (85300) $161.85 $249 13.7×
Antithrombin iii antigen (85301) $148.20 $228 13.7×
Apolipoprotein a1 (82172) $65 $100 3.1×
Aquaporin-4 Antb Cba Each (86052) $161.85 $249 13.4×
Aquaporin-4 Antb Elisa (86051) $178.10 $274 15.4×
Arsenic (82175) $260.65 $401 13.7×
Aspa gene analysis common variants (81200) $406.25 $625 8.6×
Aspergillus ag eia (87305) $167.05 $257 13.9×
Assay activated protein c (85307) $210.60 $324 13.7×
Assay Blood Carbon Dioxide (82374) $48.75 $75 10.0×
Assay myeloperoxidase (83876) $415.35 $639 8.2×
Assay Nephelometry Not Spec (83883) $165.10 $254 12.1×
Assay of 5-hiaa (83497) $176.80 $272 13.7×
Assay of blood/uric acid (84550) $60.45 $93 13.4×
Assay of calcium in urine (82340) $57.20 $88 9.5×
Assay of cpk in blood (82552) $191.75 $295 14.3×
Assay of estrone (82679) $241.15 $371 9.7×
Assay of g6pd enzyme (82955) $131.95 $203 13.6×
Assay of gammaglobulin igm (82784) $96.20 $148 10.3×
Assay of lactic acid (83605) $154.70 $238 13.4×
Assay of manganese (83785) $336.70 $518 12.6×
Assay of metanephrines (83835) $229.45 $353 13.5×
Assay of phosphatase acid total (84060) $101.40 $156 13.3×
Assay of pyruvate (84210) $128.05 $197 8.8×
Assay of serotonin (84260) $389.35 $599 12.6×
Assay of serum potassium (84132) $70.85 $109 14.9×
Assay of sweat sodium (84302) $48.75 $75 10.0×
Assay of urea nitrogen (84520) $57.85 $89 14.6×
Assay of urine vma (84585) $143 $220 9.2×
Assay of vasoactive intestinal peptide (84586) $462.80 $712 13.1×
Assay of vitamin b-1 (84425) $291.20 $448 13.7×
Assay Ph Body Fluid Nos (83986) $40.95 $63 11.4×
Assay spec xcp ur&breath ia (82077) $128.70 $198 7.5×
Asy carbamazepin 10,11-epxid (80161) $152.10 $234 8.2×
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) $7,228.65 $11,121 8.6×
B cells total count (86355) $486.85 $749 12.9×
Babesia microti amp prb (87469) $284.70 $438 8.1×
Bartonella antibody (86611) $137.80 $212 13.5×
Bcr/abl1 gene major bp (81206) $732.55 $1,127 4.5×
Bcr/abl1 gene minor bp (81207) $261.30 $402 1.8×
Beta 2 glycoprotein i antibody each (86146) $94.25 $145 3.7×
Beta hydroxybutyrate (82010) $111.80 $172 13.7×
Beta-2 Microglobulin (82232) $220.35 $339 13.6×
Bile acids total (82239) $193.70 $298 11.3×
Bilirubin direct (82248) $69.55 $107 13.9×
Bilirubin total (82247) $69.55 $107 13.9×
Bilirubin total transcutaneous (88720) $73.45 $113 14.6×
Blastomyces antibody (86612) $139.10 $214 10.8×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $332.80 $512 1.8×
Bld Typing Serologic Rh Phnt (86906) $112.45 $173 14.5×
Blm Gene (81209) $338 $520 8.6×
Blood count reticulocyte automated (85045) $53.95 $83 13.5×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $51.35 $79 13.5×
Blood gas (82803) $224.90 $346 8.6×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $217.10 $334 13.6×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $12.35 $19 2.8×
Blood Type Antigen Donor Reagent Serum Each (86902) $55.25 $85 8.7×
Blood typing serologic abo (86900) $87.75 $135 29.3×
Body fluid cell count (89050) $65 $100 13.8×
Bordetella antibody (86615) $139.10 $214 10.5×
Braf gene analysis (81210) $1,432.60 $2,204 8.2×
Brca1&2 gen full seq dup/del (81162) $3,727.10 $5,734 2.0×
Brucella antibody (86622) $122.85 $189 13.8×
C diff amplified probe (87493) $497.90 $766 13.4×
C-Peptide (84681) $284.70 $438 13.7×
C-reactive protein (86140) $70.85 $109 13.7×
Ca 19-9 (86301) $284.70 $438 13.7×
Cadmium (82300) $317.20 $488 13.4×
Caffeine (80155) $187.20 $288 4.9×
Calcium ionized (82330) $115.70 $178 8.5×
Calcium total (82310) $70.85 $109 13.7×
Calculus Spectroscopy (82365) $169 $260 13.1×
Calprotectin Fecal (83993) $178.10 $274 9.1×
Calr gene com variants (81219) $1,450.15 $2,231 11.9×
Cancer Antigen 125 (86304) $256.75 $395 12.3×
Cancer Antigen 27.29 (86300) $284.70 $438 13.7×
Candida antibody (86628) $92.95 $143 7.7×
Candida Dna Dir Probe (87480) $274.30 $422 13.7×
Car Ion Chnnlpath Inc 10 Gns (81413) $5,029.70 $7,738 8.6×
Carbamazepine free (80157) $127.40 $196 9.6×
Carbamazepine total (80156) $199.55 $307 13.7×
Carboxyhemoglobin (82375) $169 $260 13.7×
Carcinoembryonic antigen (82378) $192.40 $296 10.1×
Cardiolipin ab iga (86147) $94.25 $145 3.7×
Carnitine Quantitative Each Specimen (82379) $199.55 $307 11.8×
Carotene (82380) $133.25 $205 14.5×
Catecholamines fractionated (82384) $344.50 $530 13.6×
Ccp antibody (86200) $105.95 $163 8.2×
Cebpa Gene Analysis Full Gene Sequence (81218) $2,948.40 $4,536 12.2×
Cell count csf (89051) $79.95 $123 14.3×
Cell marker study (88182) $104 $160 1.9×
Ceruloplasmin (82390) $147.55 $227 13.7×
Cftr gene com variants (81220) $8,260.85 $12,709 14.8×
Cftr gene dup/delet variants (81222) $4,097.60 $6,304 9.4×
Cftr gene full sequence (81223) $4,563 $7,020 9.1×
Chemiluminescent assay (82397) $122.85 $189 8.7×
Chlamydia antibody (86631) $139.10 $214 11.8×
Chlamydia Igm Antibody (86632) $139.10 $214 11.0×
Chloride other source (82438) $71.50 $110 14.3×
Chloride Serum (82435) $51.35 $79 11.2×
Chloride urine (82436) $51.35 $79 8.9×
Chlorinated Hydrocarbons Screen (82441) $51.35 $79 8.5×
Cholesterol total (82465) $57.85 $89 13.3×
Chorionic gonadotropin test (84702) $84.50 $130 5.6×
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $1,625 $2,500 8.6×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $274.95 $423 10.2×
Chrmsm Analysis Addl High Resolution Study (88289) $494.65 $761 14.4×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $343.20 $528 10.3×
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) $2,525.90 $3,886 14.6×
Chrmsm Breakage Synds Score 100 Cll (88249) $2,510.30 $3,862 14.5×
Chromium serum (82495) $166.40 $256 8.2×
Chromogranin a (86316) $268.45 $413 12.9×
Chromosome analys amniotic (88269) $2,393.95 $3,683 13.8×
Chromosome Analysis 15-20 (88262) $1,202.50 $1,850 9.6×
Chromosome Analysis 20-25 (88264) $1,255.80 $1,932 8.7×
Chromosome analysis, 5 (88261) $2,544.75 $3,915 9.6×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $230.75 $355 6.6×
Citric acid urine (82507) $380.90 $586 13.7×
Ckmb (82553) $96.20 $148 8.3×
Clostridium Difficile (87324) $116.35 $179 9.7×
Clot Factor VIII Multimetric (85247) $315.25 $485 13.7×
Clot factor xiii fibrin stab (85290) $224.90 $346 13.8×
Clot lysis time, whole blood dilution Facility (85175) $34.45 $53 1.7×
Clotting factor xii hageman (85280) $279.50 $430 14.4×
Clotting Funct Activity (85397) $327.60 $504 10.6×
Clotting hi molec weight kininogen assay (85293) $163.15 $251 8.6×
Clotting prekallikrein assay fletcher fact assay (85292) $167.70 $258 8.9×
Cns DNA amp probe type 12-25 (87483) $6,605.30 $10,162 15.8×
Coagulation time activated (85347)
range across 5 matching MRF lines
$31.85–$80.60 $49–$124 varies
Coccidioides antibody (86635) $139.10 $214 12.1×
Cold agglutinin titer (86157) $104 $160 12.9×
Collagen crosslinks (82523) $138.45 $213 7.4×
Column Chromotography Quant (82542) $238.55 $367 9.9×
Compatibility Each Unit Incubation (86921) $146.25 $225 0.8×
Compatibility test antiglob (86922) $241.80 $372 1.3×
Complement Antigen Each Component (86160) $98.15 $151 8.2×
Complement Total (Ch50) (86162) $269.75 $415 13.3×
Complement/Function Activity (86161) $163.80 $252 13.7×
Consltj Compre Review Reprt Referred Matrl (88325) $334.10 $514 1.9×
Consltj&Reprt Material Requiring Prepj Slides (88323) $104 $160 1.9×
Consltj&Reprt Slides Prepared Elsewhere (88321) $76.70 $118 1.9×
Coombs direct (86880) $87.75 $135 16.3×
Copper urine (82525) $170.30 $262 13.7×
Cortisol free (82530) $226.20 $348 13.5×
Cortisol saliva (82533) $195.65 $301 12.0×
Creatine (82540) $64.35 $99 13.9×
Creatine kinase total (82550) $92.95 $143 14.3×
Creatinine blood (82565) $63.70 $98 12.4×
Creatinine clearance (82575) $129.35 $199 13.7×
Creatinine Urine (82570) $70.85 $109 13.7×
Crossmatch electronic (86923) $304.85 $469 1.7×
Crossmatch immediate spin (86920) $169 $260 0.9×
Crp High Sensitivity (86141) $178.10 $274 13.8×
Cryofibrinogen (82585) $118.95 $183 8.4×
Cryoglobulin (82595) $89.05 $137 13.8×
Cryptococcus ag titer (87899) $163.80 $252 10.2×
Cryptosporidium ag eia (87328) $159.25 $245 11.5×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $111.15 $171 13.8×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $111.15 $171 13.8×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $105.30 $162 13.7×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $1,781.65 $2,741 8.2×
Culture aerobic quant other (87071) $117.65 $181 11.9×
Culture afb (87116) $147.55 $227 13.7×
Culture Anaerobic (87075) $88.40 $136 9.3×
Culture blood (87040) $148.85 $229 14.4×
Culture chlamydia (87110) $80.60 $124 4.1×
Culture csf (87070) $128.70 $198 14.9×
Culture fungus blood (87103) $131.30 $202 6.4×
Culture screen only (87081) $90.35 $139 13.6×
Culture stool (87045) $129.35 $199 13.7×
Culture typing if ea antiserum (87140) $80.60 $124 14.5×
Culture typing other methods (87158) $74.10 $114 9.6×
Culture urine (87086) $100.10 $154 12.4×
Cyanide (82600) $280.15 $431 14.4×
Cyclosporine (80158) $238.55 $367 13.2×
Cyp2c19 gene analysis common variants (81225) $2,379.65 $3,661 8.2×
Cyp2c9 gene com variants (81227) $1,551.55 $2,387 8.9×
Cystatin C (82610) $182.65 $281 9.9×
Cytogenetics 10-30 (88273) $439.40 $676 12.6×
Cytogenetics 100-300 (88275) $549.90 $846 10.7×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $3,582.80 $5,512 3.1×
Cytogenomic neo microra alys (81277) $10,297.95 $15,843 8.9×
Cytomegalovirus igg (86644) $196.95 $303 13.7×
Cytopath Cell Enhance Tech (88112) $332.80 $512 6.0×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $332.15 $511 12.5×
Cytp Concentration Smears & Interpretation (88108) $167.05 $257 4.2×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $195.65 $301 3.5×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $195.65 $301 1.1×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $158.60 $244 4.0×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $1,178.45 $1,813 6.5×
Cytp smrs any oth src extnd std > 5 slides (88162) $158.60 $244 2.9×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $167.05 $257 5.5×
Deoxycortisol (82634) $418.60 $644 14.3×
Deoxyribonuclease antibody (86215) $180.70 $278 13.6×
Desoxycorticosterone (82633) $266.50 $410 8.6×
Detect Agent Nos Dna Amp (87798) $480.35 $739 13.7×
Detect Agent Nos Dna Quant (87799) $590.20 $908 13.8×
Detect agnt mult DNA ampli (87801) $1,004.90 $1,546 14.3×
Dgp Antibody Each Ig Class (86258) $158.60 $244 13.2×
Dhea (82626) $344.50 $530 13.6×
Dhea-S (82627) $304.20 $468 13.7×
Dibucaine number (82638) $174.85 $269 14.3×
Digoxin (80162) $182.65 $281 13.8×
Dihydrotestosterone (82642) $239.85 $369 8.2×
Dipropylacetic Acid Free (80165) $185.25 $285 13.7×
Dna Antibody Native/Double Stranded (86225) $189.15 $291 13.8×
Dna/Rna Amplified Probe (87150) $57.85 $89 1.6×
DNA/RNA direct probe (87149) $259.35 $399 12.9×
Dna/Rna Sequencing (87153) $1,492.40 $2,296 12.9×
Dpyd gene common variants (81232) $1,474.20 $2,268 8.4×
Drug assay acetaminophen (80143) $152.10 $234 8.2×
Drug assay adalimumab (80145) $315.90 $486 8.2×
Drug Assay Amiodarone (80151) $152.10 $234 8.2×
Drug Assay Everolimus (80169) $105.95 $163 7.7×
Drug assay felbamate (80167) $152.10 $234 8.2×
Drug Assay Infliximab (80230) $167.05 $257 4.3×
Drug Assay Itraconazole (80189) $178.10 $274 6.6×
Drug Assay Lacosamide (80235) $758.55 $1,167 28.0×
Drug Assay Posaconazole (80187) $209.30 $322 7.7×
Drug Assay Vedolizumab (80280) $297.70 $458 7.7×
Drug assay voriconazole (80285) $178.10 $274 6.6×
Drug Screen Quant Clozapine (80159) $239.20 $368 11.9×
Drug Screen Quantitative Gabapentin (80171) $238.55 $367 11.0×
Drug Screen Quantitative Lamotrigine (80175) $238.55 $367 18.0×
Drug Screen Quantitative Levetiracetam (80177) $186.55 $287 14.1×
Drug Screen Quantitative Oxcarbazepine (80183) $186.55 $287 14.1×
Drug Screen Quantitative Tiagabine (80199) $234 $360 8.6×
Drug Test Prsmv Chem Anlyzr (80307) $192.40 $296 3.1×
Ehrlichia antibody (86666) $144.95 $223 14.2×
El-1 Fecal Quantitative (82653) $118.30 $182 5.2×
Electrolyte panel (80051) $86.45 $133 12.3×
Electron Microscopy (88348) $1,526.85 $2,349 1.8×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $418.60 $644 6.8×
Encephaltis East Eqne Anbdy (86652) $141.70 $218 10.7×
Encephaltis West Eqne Antbdy (86654) $141.70 $218 10.7×
Endomysial Antibody Each Immunoglobulin Class (86231) $172.25 $265 14.2×
Enterovirus Antibody (86658) $148.85 $229 11.4×
Enterovirus PCR (87498) $491.40 $756 14.0×
Enzyme cell activity (82657) $250.25 $385 11.3×
Enzyme histochemistry (88319) $520.65 $801 0.6×
Eosinophil Smear (89190) $68.25 $105 11.8×
Erythropoietin (82668) $256.75 $395 13.7×
Estradiol serum (82670) $359.45 $553 12.9×
Estriol (82677) $208 $320 8.6×
Estrogen total (82672) $209.30 $322 9.6×
Ethosuximide (80168) $236.60 $364 14.5×
Ethylene Glycol (82693) $203.45 $313 13.7×
Euglobulin lysis (85360) $72.15 $111 8.6×
Exam Synovial Fluid Crystals (89060) $97.50 $150 13.3×
F2 Gene (81240) $401.70 $618 6.1×
Factor ii activity (85210) $187.20 $288 14.4×
Factor Inhibitor Test (85335) $87.10 $134 6.8×
Factor ix activity (85250) $274.95 $423 14.4×
Factor v activity (85220) $241.80 $372 13.7×
Factor v leiden mutation (81241) $401.70 $618 5.5×
Factor vii assay (85230) $245.70 $378 13.7×
Factor viii assay (85240) $245.70 $378 13.7×
Factor X (85260) $245.70 $378 13.7×
Factor xi activity (85270) $258.70 $398 14.5×
Fancc Gene (81242) $314.60 $484 8.6×
Fat/Lipids Feces Quantitative (82710) $155.35 $239 9.2×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $68.90 $106 8.9×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $140.40 $216 8.2×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $55.90 $86 8.6×
Fecal Fat Qualitative (82705) $24.05 $37 4.7×
Ferritin (82728) $160.55 $247 11.8×
Fetal Chrmoml Aneuploidy (81420) $6,527.30 $10,042 8.6×
Fetal Chrmoml Microdeltj (81422) $6,527.30 $10,042 8.6×
Fetal Congenital Abnor Assay Four Anal (81511) $94.90 $146 0.6×
Fetal Fibronectin (82731) $880.75 $1,355 13.7×
Fetal hemoglobin assay qual (83033) $74.75 $115 9.3×
Fetal screen rosette (85461) $98.15 $151 10.5×
Fibrin degradation products (85362) $71.50 $110 10.4×
Fibrin Degradation Quant (85379) $128.70 $198 12.6×
Fibrinogen activity (85384) $111.15 $171 11.4×
Fibrinogen antigen (85385) $118.30 $182 8.2×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $48.75 $75 3.1×
Flecainide level (80181) $152.10 $234 8.2×
Flow cytometry first marker (88184) $217.10 $334 0.6×
Flt3 Gene (81245) $1,573.65 $2,421 9.5×
Flt3 gene analysis (81246) $2,171.65 $3,341 26.2×
Fluorescent antibody screen (86255) $160.55 $247 13.3×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $163.80 $252 13.6×
Fmr1 Gene Charac Alleles (81244) $356.20 $548 7.9×
Fmr1 gene detection (81243) $356.20 $548 6.2×
Folic acid rbc (82747) $229.45 $353 13.0×
Folic Acid Serum (82746) $202.15 $311 13.8×
Follicle Stimulating Hormone (83001) $253.50 $390 13.6×
Francisella tularensis (86668) $130 $200 9.2×
Frozen Blood Each Unit Thawing (86931) $490.75 $755 2.7×
Frozen blood freeze/thaw (86932) $490.75 $755 12.4×
Frozen Section (88331) $332.80 $512 1.8×
Fungi Identification Mold (87107) $139.75 $215 13.5×
Fungi Identification Yeast (87106) $139.75 $215 13.5×
Gammaglobulin ige (82785) $225.55 $347 13.7×
Gardner vag DNA dir probe (87510) $274.30 $422 13.7×
Gases blood ph only (82800) $117 $180 10.6×
Gastric Analy W/Ph Ea Spec (82930) $16.25 $25 2.4×
Gastrin (82941) $241.80 $372 13.7×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $4,022.85 $6,189 9.7×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $406.25 $625 8.6×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $1,328.60 $2,044 1.7×
Genet Virus Isolate Hsv (87255) $326.95 $503 9.7×
Genetic Tstg Severe Inh Cond (81443) $21,054.80 $32,392 8.6×
Gentamicin (80170) $224.90 $346 13.7×
Ggt (82977) $105.95 $163 14.7×
Giardia antigen (87329) $154.70 $238 12.9×
Giardia lamblia antibody (86674) $212.55 $327 14.4×
Glucagon (82943) $206.05 $317 14.4×
Glucose 2 hr pp (82950) $65 $100 13.7×
Glucose Blood Test (82962) $19.50 $30 5.9×
Glucose body fluid (82945) $55.90 $86 14.2×
Glucose Serum (82947) $64.35 $99 16.4×
Glucose tolerance test (gtt) (82951) $176.80 $272 13.7×
Glycated Protein (82985) $189.80 $292 11.3×
Gonadotropin Chorionic Qualitative (84703) $67.60 $104 9.0×
Growth hormone (83003) $228.15 $351 13.7×
Gtt-added samples (82952) $53.30 $82 13.6×
H Pylori (C-13) Breath (83013) $920.40 $1,416 13.7×
H Pylori Drug Admin (83014) $107.25 $165 13.6×
Haptoglobin (83010) $137.80 $212 11.0×
Hba1/Hba2 Gene (81257) $888.55 $1,367 8.7×
Hbb duplication/deletion variants (81363) $1,641.90 $2,526 8.1×
Hbb Full Gene Sequence (81364) $1,808.30 $2,782 5.6×
Hbb Gene Com Variants (81361) $1,503.45 $2,313 8.6×
Hdl Cholesterol (83718) $111.80 $172 13.7×
Helicobacter Pylori Stool (87338) $196.95 $303 13.7×
Helminth Antibody (86682) $178.10 $274 13.7×
Hematocrit (85014) $38.35 $59 16.2×
Hemoglobin (85018) $80.60 $124 34.0×
Hemoglobin a1c (83036) $131.95 $203 13.6×
Hemoglobin Chromotography (83021) $147.55 $227 8.2×
Hemoglobin electrophoresis (83020) $181.35 $279 14.1×
Hemoglobin Methemoglobin Quantitative (83050) $99.45 $153 12.1×
Hemoglobin plasma (83051) $70.85 $109 9.7×
Hemolysins&Agglutinins Auto Screen Each (86940) $79.30 $122 9.0×
Hemolysins&Agglutinins Incubated (86941) $168.35 $259 13.9×
Hemosiderin urine (83070) $65 $100 13.7×
Hep a ab igm (86709) $154.70 $238 13.7×
Heparin assay (85520) $161.20 $248 12.3×
Heparin Neutralization (85525) $134.55 $207 11.4×
Hepatitis a antibody total (86708) $170.30 $262 13.7×
Hepatitis b core ab igm (86705) $161.20 $248 13.7×
Hepatitis b core ab total (86704) $163.80 $252 13.6×
Hepatitis b surface ag quan (87467) $260 $400 10.3×
Hepatitis B Surface Antibody (86706) $147.55 $227 13.7×
Hepatitis B Surface Antigen (87340) $89.05 $137 8.6×
Hepatitis Be Antibody (86707) $64.35 $99 5.6×
Hepatitis Be Antigen (87350) $158.60 $244 13.8×
Hepatitis C Antibody (86803) $194.35 $299 13.6×
Hepatitis C Genotype (87902) $3,521.05 $5,417 13.7×
Hepatitis C Probe&Rvrs Trnsc (87521) $505.70 $778 14.4×
Hepatitis C Revrs Trnscrpj (87522) $553.15 $851 12.9×
Hepatitis Delta Agent Antibody (86692) $234 $360 13.6×
Herpes simplex type 2 (86696) $265.85 $409 13.7×
Heterophile Antibody Screen (86308) $70.85 $109 13.7×
Hexa gene analysis common variants (81255) $442 $680 8.6×
Hfe Gene (81256) $732.55 $1,127 11.2×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $63.05 $97 8.2×
Histamine urine (83088) $276.90 $426 9.4×
Histoplasma antibody (86698) $139.10 $214 10.1×
Histoplasma antigen urine (87385) $163.15 $251 12.3×
Hiv Genotype (87901) $3,521.05 $5,417 13.7×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $321.10 $494 13.3×
Hiv-1 Antibody (86701) $98.15 $151 11.0×
Hiv-1 Quant&Revrse Trnscrpj (87536) $1,165.45 $1,793 13.7×
HIV-2 probe&revrse trnscripj (87538) $301.60 $464 8.6×
Hla Class I Typing High Resolution One Locus Ea (81380) $1,573.65 $2,421 8.9×
Hla Class I Typing Low Resolution One Locus Each (81373) $1,132.30 $1,742 8.9×
Hla class i&ii antibody qual (86828) $551.85 $849 8.6×
Hla class ii typing high resolution one locus ea (81382) $1,043.25 $1,605 8.4×
Hla I Low Resolution One Antigen Equivalent Each (81374) $607.75 $935 8.2×
Hla I Typing 1 Allele Hr (81381) $1,287 $1,980 7.6×
Hla ii type 1 ag equiv lr (81377) $885.95 $1,363 9.4×
Hla ii typing 1 allele hr (81383) $1,411.80 $2,172 12.9×
Hla ii typing 1 locus lr (81376) $943.15 $1,451 7.7×
Homocysteine (83090) $228.80 $352 12.8×
Homogenization Tissue (87176) $78 $120 13.3×
Homovanillic acid urine (83150) $193.05 $297 8.6×
Hpv High-Risk Types (87624) $338.65 $521 9.7×
Hpv Types 16 & 18 Only (87625) $341.25 $525 8.4×
Hsv Dna Amp Probe (87529) $453.70 $698 12.9×
Htlv-I Antibody (86687) $78.65 $121 8.7×
Htlv-ii antibody (86688) $120.90 $186 8.6×
Htt Gene Detc Abnor Alleles (81271) $1,121.90 $1,726 8.2×
Hydroxyprogesterone 17-d (83498) $371.80 $572 13.7×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $113.75 $175 8.2×
Iaad ia shiga-like toxin (87427) $161.20 $248 13.5×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $172.25 $265 14.4×
Iaadi herpes smplx virus type 1 (87274) $172.25 $265 14.4×
Iaadi herpes smplx virus type 2 (87273) $172.25 $265 14.4×
Iaadi pneumocustis carinii (87281) $120.25 $185 10.0×
Iaadi respiratory synctial virus (87280) $172.25 $265 12.8×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $284.70 $438 8.1×
Iadna Bartonella Amplified Probe Technique (87471) $356.20 $548 10.2×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $480.35 $739 13.7×
Iadna chlamydia pneumoniae amplified probe tq (87486) $500.50 $770 14.3×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $480.35 $739 13.7×
Iadna Cytomegalovirus Quantification (87497) $553.15 $851 12.9×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $284.70 $438 8.1×
Iadna Hepatitis B Virus Quantification (87517) $586.95 $903 13.7×
Iadna Herpes Virus-6 Quantification (87533) $586.30 $902 14.0×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $466.70 $718 13.3×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $338.65 $521 9.7×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $598.65 $921 7.8×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $453.70 $698 10.9×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $480.35 $739 13.7×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $289.25 $445 8.2×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $71.50 $110 1.4×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $466.70 $718 3.3×
Idh1 common variants (81120) $1,678.95 $2,583 8.7×
Idh2 common variants (81121) $2,570.10 $3,954 8.7×
Ig Light Chains Free Each (83521) $96.20 $148 5.6×
Igg subclasses (82787) $63.70 $98 7.9×
Igh gene rearrange amp meth (81261) $596.70 $918 3.0×
Igh@ Variable Region Somatic Mutation Analysis (81263) $3,723.85 $5,729 12.6×
Igk rearrangeabn clonal pop (81264) $2,412.80 $3,712 14.0×
Ikbkap Gene Analysis Common Variants (81260) $338 $520 8.6×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $1,723.15 $2,651 4.5×
Immunfix e-phorsis/urine/csf (86335) $146.25 $225 5.0×
Immunoassay Analyte Quant Radioimmunoassay (83519) $185.25 $285 10.1×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $224.90 $346 15.0×
Immunoassay nonantibody (83516) $158.60 $244 13.8×
Immunodiffusion Ouchterlony (86331) $98.15 $151 8.2×
Immunofixation electrophoresis (86334) $256.75 $395 11.5×
Immunofluorescence per spec 1st singl antb stain (88346) $332.80 $512 1.8×
Immunohistochemistry (88342) $314.60 $484 1.7×
In situ hybridization 1st probe stain (88365) $1,246.05 $1,917 6.9×
Influenza assay w/optic (87804) $163.80 $252 9.9×
Influenza DNA amp probe (87502) $480.35 $739 5.0×
Inherited Cardmypthy 5 Gns (81439) $5,029.70 $7,738 8.6×
Inhibin A (86336) $204.10 $314 13.1×
Inhibin b (83520) $178.10 $274 10.3×
Insitu hybridization manual (88368) $332.80 $512 0.9×
Insulin antibodies (86337) $278.85 $429 13.0×
Insulin free (83527) $111.80 $172 8.6×
Insulin total (83525) $156 $240 13.6×
Interleukin-6 (83529) $178.10 $274 10.3×
Intrinsic factor antibody (86340) $206.05 $317 13.7×
Iron (83540) $89.05 $137 13.8×
Iron Binding Capacity (83550) $118.95 $183 13.6×
Irradiation Blood Product Each Unit (86945) $313.95 $483 7.9×
Islet cell antibody (86341) $256.75 $395 10.9×
Jak2 gene analysis p.val617phe variant (81270) $622.70 $958 6.8×
Jak2 Gene Trgt Sequence Alys (81279) $1,516.45 $2,333 8.2×
Kit Gene Analysis Targeted Sequence Analysis (81272) $2,286.05 $3,517 6.9×
Koh Prep (87220) $56.55 $87 13.2×
Lactate (ld) (ldh) enzyme (83615) $81.25 $125 13.5×
Lactoferrin fecal qualitative (83630) $282.10 $434 14.3×
Ldh Isoenzymes (83625) $175.50 $270 13.7×
LDL direct (83721) $130.65 $201 12.4×
Lead (83655) $165.10 $254 13.6×
Legionella antibody (86713) $146.25 $225 9.6×
Legionella antigen urine (87449) $163.80 $252 13.7×
Legionella pneumophila dfa (87278) $163.80 $252 10.5×
Leptospira antibody (86720) $146.25 $225 9.0×
Level I Surg Pathology Gross Examination Only (88300) $158.60 $244 5.2×
Level ii surg pathology gross&microscopic exam (88302) $167.05 $257 4.2×
Level V Surg Pathology Gross&Microscopic Exam (88307) $517.40 $796 1.4×
Lidocaine (80176) $212.55 $327 14.5×
Lipase (83690) $33.80 $52 4.9×
Lipoprotein A (83695) $172.25 $265 12.0×
Lipoprotein Bld Quan Part (83704) $278.85 $429 8.2×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $92.30 $142 8.2×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $232.05 $357 6.9×
Lithium (80178) $90.35 $139 13.7×
Luteinizing Hormone (Lh) (83002) $253.50 $390 13.7×
Lyme disease antibody (86618) $215.15 $331 12.6×
Lymphocyte transformation (86353) $397.80 $612 8.1×
Lysozyme serum (85549) $207.35 $319 11.1×
M. Genitalium Amp Probe (87563) $286.65 $441 8.2×
M/phmtrc alys ishquant/semiq (88374) $332.80 $512 1.8×
Macroscopic exam arthropod (87168) $54.60 $84 12.8×
Macroscopic Exam Parasite (87169) $59.80 $92 13.9×
Magnesium Urine (83735) $96.20 $148 14.4×
Mass Spectrometry Quant (83789) $238.55 $367 9.9×
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) $338 $520 8.6×
Meat fibers, feces (89160) $45.50 $70 9.4×
Mecp2 gene dup/delet variant (81304) $895.70 $1,378 6.0×
Mecp2 gene full seq (81302) $3,011.45 $4,633 5.7×
Mercury urine (83825) $222.30 $342 13.7×
Metabolic panel ionized ca (80047) $183.95 $283 13.4×
Methotrexate (80204) $192.40 $296 5.0×
Methylmalonic acid serum (83921) $225.55 $347 10.6×
Microalbumin, quantitative (82043) $79.30 $122 13.7×
Microbe Suscept Macrobroth (87188) $76.70 $118 11.6×
Microsatellite instability (81301) $3,199.95 $4,923 9.2×
Microsomal Antibodies Each (86376) $118.95 $183 8.2×
Mitochondrial Antibody Each (86381) $172.25 $265 6.8×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $1,957.15 $3,011 9.7×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $6,633.90 $10,206 9.8×
Mog-Igg1 Antb Cba Each (86362) $104 $160 8.6×
Molecular Cytogenetics Dna Probe Each (88271) $197.60 $304 9.2×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $347.75 $535 8.2×
Molecular Pathology Procedure Level 3 (81402) $897.65 $1,381 6.0×
Molecular Pathology Procedure Level 6 (81405) $2,591.55 $3,987 8.6×
Mononuclear cell antigen (86356) $358.80 $552 13.4×
Mopath procedure level 1 (81400) $231.40 $356 3.6×
Mopath procedure level 2 (81401) $676.65 $1,041 4.9×
Mopath procedure level 4 (81403) $676.65 $1,041 3.7×
Mopath procedure level 5 (81404) $2,136.55 $3,287 7.8×
Mopath procedure level 7 (81406) $2,432.95 $3,743 8.6×
Mopath procedure level 8 (81407) $7,276.75 $11,195 8.6×
Mpl gene common variants (81338) $1,230.45 $1,893 8.2×
Mrsa Pcr (87641) $497.90 $766 14.2×
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $1,557.40 $2,396 7.3×
Msh2 Gene Analysis Full Sequence Analysis (81295) $1,557.40 $2,396 4.1×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $1,660.10 $2,554 7.0×
Msh6 Gene Analysis Full Sequence Analysis (81298) $2,954.90 $4,546 4.6×
Mthfr Gene Analysis Common Variants (81291) $784.55 $1,207 12.0×
Mumps antibody (86735) $146.25 $225 11.2×
Mycophenolic Acid (80180) $186.55 $287 10.3×
Mycoplasma antibody (86738) $180.70 $278 13.6×
Myd88 Gene P.Leu265pro Vrnt (81305) $1,436.50 $2,210 8.2×
Myelin basic protein csf (83873) $228.80 $352 13.3×
Myoglobin urine (83874) $176.80 $272 13.7×
Natriuretic peptide (83880) $361.40 $556 9.2×
Neisseria Dir Na Probe (87590) $231.40 $356 8.6×
Neutralization Test Viral (86382) $224.90 $346 13.3×
Nfct Agent Genotype Hepatitis B Virus (87912) $1,081.60 $1,664 4.2×
Nfct ds bv&vaginitis DNA alg (81515) $512.85 $789 2.0×
Nfct ds chrnc hcv 6 assays (81596) $627.25 $965 8.7×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $1,242.15 $1,911 9.6×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $257.40 $396 9.9×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $7,034.30 $10,822 14.4×
Niacin (84591) $139.75 $215 8.2×
Nk cells total count (86357) $515.45 $793 13.7×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $2,414.75 $3,715 9.8×
Nuclear antigen antibody (86235) $245.70 $378 13.7×
Nudt15 Gene Common Variants (81306) $2,363.40 $3,636 8.1×
Occult blood feces (82272) $47.45 $73 11.2×
Occult Blood Other Sources (82271)
range across 2 matching MRF lines
$46.80–$47.45 $72–$73 varies
Oligoclonal bands (83916) $267.15 $411 9.8×
Organic acids urine (83918) $237.25 $365 10.1×
Osmolality serum (83930) $90.35 $139 13.7×
Osmolality Urine (83935) $76.05 $117 11.2×
Osteocalcin (83937) $58.50 $90 2.0×
Ova and parasites smears (87177) $72.80 $112 8.2×
Oxalate urine (83945) $176.80 $272 12.2×
Particle Agglut Antbdy Titr (86406) $91.65 $141 8.6×
Parvovirus antibody (86747) $189.15 $291 12.6×
Path Consltj Surg Cytologic Exam Initial Site (88333) $412.75 $635 0.5×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $436.80 $672 7.9×
Ph urine (81003) $30.55 $47 13.6×
Phenobarbital Level (80184) $156.65 $241 10.2×
Phenotype Infect Agent Drug (87900) $1,257.75 $1,935 9.6×
Phenylalanine (84030) $101.40 $156 18.4×
Phenytoin (Dilantin) (80185) $182.65 $281 13.8×
Phenytoin free (80186) $189.15 $291 13.7×
Phosphatase alkaline (84075) $70.85 $109 13.7×
Phospholipid Neutralization Hexagonal (85598) $146.90 $226 8.2×
Phosphorus Serum (84100) $83.20 $128 17.6×
Phosphorus urine (84105) $74.75 $115 12.9×
Pinworm exam (87172) $59.80 $92 14.0×
Platelet Aggregation (85576) $295.10 $454 11.8×
Platelet Antibodies (86022) $76.70 $118 4.2×
Platelet count automated (85049) $60.45 $93 13.5×
Platelet neutralization (85597) $146.90 $226 8.2×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $2,275.65 $3,501 11.2×
Pms2 gene full seq analysis (81317) $8,021 $12,340 11.9×
Pneumcysts jirovecii amp prb (87594) $273.65 $421 7.8×
Pooling blood platelets (86965) $121.55 $187 0.7×
Porphobilinogen, urine; quantitative (84110) $80.60 $124 9.5×
Porphyrins Feces Quantitative (84126) $336.05 $517 8.6×
Porphyrins Urine Quantitation & Fractionation (84120) $202.15 $311 13.7×
Potassium Urine (84133) $51.35 $79 10.9×
Prealbumin (84134) $81.90 $126 5.6×
Pregnenolone (84140) $174.20 $268 8.4×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $490.75 $755 2.7×
Primidone (80188) $227.50 $350 13.7×
Procalcitonin (Pct) (84145) $385.45 $593 14.2×
Progesterone (84144) $284.70 $438 13.6×
Prolactin (84146) $265.85 $409 13.7×
Protein body fluid (84157) $53.95 $83 13.5×
Protein C Activity (85303) $189.80 $292 13.7×
Protein c antigen (85302) $172.25 $265 14.3×
Protein Electrophoresis Urine (84166) $145.60 $224 8.2×
Protein Electrophoretic Fractj&Quantj Serum (84165) $137.15 $211 12.8×
Protein S Free (85306) $210.60 $324 13.7×
Protein s total (85305) $158.60 $244 13.7×
Protein total serum (84155) $51.35 $79 14.0×
Protein Total Urine (84156) $230.10 $354 62.7×
Protein Western Blot Test (84182) $246.35 $379 8.4×
Prothrombin Time Substitution Plasma Frctj Each (85611) $55.90 $86 14.2×
Protoporphyrin rbc quantitative (84202) $191.10 $294 13.3×
PSA free (84154) $251.55 $387 13.7×
Pth Intact (83970) $481.65 $741 11.7×
Q Fever Antibody (86638) $161.20 $248 13.3×
Quantitative assay drug (80299) $178.10 $274 9.6×
Quantitative Screen Metals (83018) $126.10 $194 5.7×
Rbc antibody elution (86860) $254.80 $392 1.4×
Rbc antibody identification (86870) $267.15 $411 0.7×
Rbc antibody screen (86850) $134.55 $207 13.8×
Rbc pretreatment serum (86978) $243.10 $374 3.9×
Rbc pretx incubatj w/enzymes (86971) $144.95 $223 0.8×
Reagent Strip/Blood Glucose (82948)
range across 4 matching MRF lines
$27.95–$28.60 $43–$44 varies
Renin activity plasma (84244) $300.30 $462 13.7×
Reptilase test (85635) $71.50 $110 7.3×
Resp virus 12-25 targets (87633) $2,339.35 $3,599 5.6×
Reticulocyte Count (85046) $76.70 $118 13.8×
Reticulocyte separation (86972) $146.25 $225 0.8×
Rh (86901) $61.10 $94 20.4×
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$75.40–$77.35 $116–$119 varies
Rickettsia antibody (86757) $265.85 $409 13.7×
Ristocetin cofactor (85245) $315.25 $485 13.7×
Rotavirus ag eia (87425) $172.25 $265 14.4×
Rpr qualitative (86592) $59.80 $92 14.0×
Rsv Assay W/Optic (87807) $163.80 $252 12.5×
Rubella Antibody (86762) $196.95 $303 13.7×
Rubeola antibody (86765) $183.95 $283 14.3×
Rufinamide (80210) $222.30 $342 8.2×
Russell Viper Venom Time Diluted (85613) $80.60 $124 8.4×
Salicylate Level (80179) $182.65 $281 9.8×
Salmonella antibody (86768) $146.25 $225 11.1×
Sars-Cov-2 Covid-19 Amp Prb (87635) $76.70 $118 1.5×
Sars-cov-2 COVID-19 antibody (86769) $70.20 $108 1.7×
Sarscov2 & inf a&b amp prb (87636) $106.60 $164 0.7×
Sarscov2&inf a&b&rsv amp prb (87637) $192.40 $296 1.3×
Sedimentation Rate, Automated (85652) $44.85 $69 16.6×
Selenium (84255) $215.15 $331 8.4×
Semen Anal Sperm Detection (89321) $121.55 $187 10.1×
Semen analysis motility and count (89310) $125.45 $193 14.6×
Sensitivity mic (87186) $117.65 $181 13.6×
Sex Hormone Binding Globulin (84270) $297.70 $458 13.7×
Sickling of rbc reduction (85660) $70.85 $109 12.9×
Sirolimus (80195) $196.30 $302 14.3×
Skin test tuberculosis intradermal (86580) $24.70 $38 0.8×
Smear acid fast (87206) $72.80 $112 13.5×
Smear complex stain (87209) $146.90 $226 8.2×
Smear gram stain (87205) $56.55 $87 13.2×
Smear Special Stain (87207) $80.60 $124 13.5×
Smn1 Gene Dos/Deletion Alys (81329) $1,178.45 $1,813 8.6×
Smpd1 Gene Analysis Common Variants (81330) $404.30 $622 8.6×
Smr Prim Src Wet Mount Nfct Agt (87210) $55.90 $86 9.6×
Snrpn/Ube3a Methylation Analysis (81331) $466.70 $718 9.1×
Sodium Serum (84295) $68.25 $105 14.2×
Sodium Urine (84300) $48.75 $75 9.6×
Soluble Transferrin Receptor (84238) $458.25 $705 12.5×
Somatomedin (84305) $226.85 $349 10.7×
Somatostatin (84307) $236.60 $364 12.9×
Special Stains Group 1 (88312) $167.05 $257 3.0×
Special Stains Group 2 (88313) $167.05 $257 1.2×
Specimen infect agnt concntj (87015) $92.30 $142 13.8×
Spectrophotometry (84311) $100.10 $154 12.4×
Splitting Blood/Blood Products Each Unit (86985) $139.10 $214 0.8×
Stool cultr aerobic bact ea (87046) $122.85 $189 13.0×
Strep a assay w/optic (87880) $163.80 $252 9.9×
Strep a DNA amp probe (87651) $230.75 $355 6.6×
Strep b DNA amp probe (87653) $480.35 $739 13.7×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $122.85 $189 1.3×
Sulfate urine (84392) $65 $100 11.8×
Surg path level iii (88304) $314.60 $484 5.7×
Surgical pathology level IV (88305) $219.70 $338 4.0×
Surgical pathology level vi (88309) $547.95 $843 0.6×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $63.05 $97 13.3×
Susceptibility Study Antimicrobial Disk Method (87184) $94.25 $145 12.6×
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) $96.20 $148 2.4×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $67.60 $104 9.2×
Sweat Collection Iontophoresis (89230) $78 $120 1.4×
Syphilis Test Non-Trep Quant (86593) $57.20 $88 13.0×
T cells absolute cd4 count (86361) $364.65 $561 13.6×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $642.20 $988 13.7×
T cells total count (86359) $515.45 $793 13.7×
T3 Free (84481) $224.90 $346 13.3×
T3 Total (84480) $141.70 $218 10.0×
T3 Uptake (84479) $63.70 $98 9.8×
T4 Free (84439) $117.65 $181 13.0×
T4 total (84436) $98.80 $152 14.4×
Tacrolimus (80197) $186.55 $287 13.6×
Tau phosphorylated each (84393) $421.20 $648 3.3×
Tb ag response t-cell susp (86481) $869.70 $1,338 8.7×
Test for urine cystines (82615) $78 $120 8.2×
Testosterone Bioavailable (84410) $432.25 $665 8.4×
Testosterone total (84403) $333.45 $513 12.9×
Testosterone, Free (84402) $350.35 $539 13.8×
Theophylline (80198) $193.70 $298 13.7×
Thiopurine methyltransferase (84433) $160.55 $247 7.2×
Thrombin Time (85670) $47.45 $73 8.2×
Thromboplastin Inhibition Tissue (85705) $131.30 $202 13.6×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $82.55 $127 12.8×
Thyroglobulin (84432) $218.40 $336 13.6×
Thyroglobulin Antibody (86800) $130 $200 8.2×
Thyroid Stimulating Immunoglobulin (84445) $695.50 $1,070 13.7×
Tiss cul neo disorders solid tumor (88239) $799.50 $1,230 5.4×
Tiss Trnsgltmnase Ea Ig Clas (86364) $158.60 $244 13.8×
Tissue Culture (88233) $1,920.75 $2,955 13.6×
Tissue Culture Amniotic Fluid (88235) $1,054.95 $1,623 7.0×
Tissue culture bone marrow (88237) $871 $1,340 6.1×
Tissue Culture Lymphocyte (88230) $761.15 $1,171 6.5×
Tobramycin peak (80200) $219.70 $338 13.6×
Topiramate (80201) $163.15 $251 13.7×
Total Tau (84394) $421.20 $648 3.3×
Toxin/Antitoxin Assay Tissue Culture (87230) $256.10 $394 13.0×
Toxoplasma ab igm (86778) $139.10 $214 9.7×
Toxoplasma antibody (86777) $196.95 $303 13.7×
Tpmt gene com variants (81335) $676.65 $1,041 3.9×
Transferase Aspartate Amino Ast Sgot (84450) $70.85 $109 13.7×
Transferrin (84466) $179.40 $276 14.1×
Trb@ Rearrangement Anal Amplification Method (81340) $482.30 $742 2.3×
Trg gene rearrangement anal (81342) $2,752.10 $4,234 13.7×
Trichomonas vagin dir probe (87660) $274.30 $422 13.7×
Trichomonas Vaginalis Amplif (87661) $428.35 $659 12.2×
Triglycerides (84478) $86.45 $133 15.1×
Troponin Quant (84484) $118.30 $182 9.5×
Tumor Immunohistochem/Manual (88360)
range across 5 matching MRF lines
$202.80–$314.60 $312–$484 varies
Ugt1a1 gene analysis common variants (81350) $1,974.05 $3,037 8.4×
Urea nitrogen urine (84540) $42.90 $66 7.7×
Uric acid other source (84560) $68.25 $105 13.4×
Urinalysis Microscopic Only (81015) $43.55 $67 14.3×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $5.85 $9 2.7×
Urinalysis Volume Measure (81050) $42.25 $65 11.6×
Urine Albumin Semiquantitative (82044) $42.90 $66 6.9×
Urine Pregnancy Test (81025)
range across 3 matching MRF lines
$45.50–$90.35 $70–$139 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $33.80 $52 10.7×
Valproic acid (80164) $186.55 $287 13.8×
Vancomycin (80202) $195.65 $301 14.4×
Varicella-zoster antibody (86787) $139.10 $214 10.8×
Vasopressin (84588) $397.80 $612 11.7×
Very Long Chain Fatty Acids (82726) $183.30 $282 9.3×
Viral Culture (87252) $244.40 $376 9.4×
Virus antibody nos (86790) $139.10 $214 10.8×
Virus inoculate tissue addl (87253) $291.20 $448 14.4×
Virus inoculation, shell via (87254) $267.80 $412 13.7×
Viscosity serum (85810) $160.55 $247 13.8×
Vit D 1 25-Dihydroxy (82652) $513.50 $790 13.3×
Vitamin A (84590)
range across 2 matching MRF lines
$55.90–$167.05 $86–$257 varies
Vitamin b-12 (82607) $211.90 $326 14.1×
Vitamin B2 (Riboflavin) (84252) $276.90 $426 13.7×
Vitamin B6 (84207) $383.50 $590 13.6×
Vitamin c (82180) $135.20 $208 13.7×
Vitamin D 25-Hydroxy (82306) $414.05 $637 14.0×
Vitamin E (84446)
range across 2 matching MRF lines
$64.77–$193.70 $99.65–$298 varies
Vitamin K (84597) $186.55 $287 13.6×
Vkorc1 gene (81355) $783.25 $1,205 8.9×
Voltage-Gated Calcium Channel Antibody Each (86596) $150.15 $231 12.5×
Von willebrand factor ag (85246) $315.25 $485 13.7×
West nile virus ab igm (86788) $139.10 $214 8.3×
West Nile Virus Antibody (86789) $196.95 $303 13.7×
Zinc (84630) $65 $100 5.7×

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