Lab & pathology prices at Memorial Medical Center

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $168 $240 7.4×
5 Nucleotidase (83915) $56 $80 5.0×
Acth (82024) $217 $310 5.6×
Acute hepatitis panel (80074) $290.50 $415 6.1×
Acylcarnitines Quant (82017) $393.40 $562 23.3×
Afp-l3 fraction isoform & total afp w/ratio (82107) $349.30 $499 5.4×
Agglutinins Febrile Each Antigen (86000) $150.50 $215 21.6×
Albumin Fluid (82042)
range across 3 matching MRF lines
$38.50–$48.30 $55–$69 varies
Albumin serum (82040)
range across 2 matching MRF lines
$30.10–$35 $43–$50 varies
Aldolase (82085) $66.50 $95 6.8×
Aldosterone urine (82088)
range across 2 matching MRF lines
$232.40–$309.40 $332–$442 varies
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines
$77–$81.20 $110–$116 varies
Allergen specific ige (86003)
range across 8 matching MRF lines
$14–$662.20 $20–$946 varies
Alpha-1-antitrypsin phenotype (82104) $49 $70 3.4×
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines
$82.60–$266 $118–$380 varies
Alpha-Fetoprotein Serum (82105) $106.40 $152 6.3×
Alt (sgpt) (84460) $58.80 $84 11.1×
Amikacin trough (80150)
range across 2 matching MRF lines
$33.60–$42.70 $48–$61 varies
Amino Acids 1 Quantitative Each Specimen (82131)
range across 3 matching MRF lines
$77.70–$144.90 $111–$207 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 2 matching MRF lines
$79.10–$352.80 $113–$504 varies
Amino Acids Multiple Qualitative Each Specimen (82128) $75.60 $108 5.5×
Aminolevulinic acid (ala) (82135) $70 $100 4.3×
Ammonia (82140) $135.80 $194 9.3×
Amniotic fluid protein test on cervicovaginal fluid (84112)
range across 3 matching MRF lines
$167.30–$345.80 $239–$494 varies
Amylase urine (82150)
range across 2 matching MRF lines
$51.10–$79.10 $73–$113 varies
Androstenedione (82157) $162.40 $232 5.5×
Angiotensin converting enzyme csf (82164) $91.70 $131 6.3×
Angiotensin II (82163) $46.20 $66 2.3×
Antibody aspergillus (86606)
range across 2 matching MRF lines
$38.50–$51.10 $55–$73 varies
Antibody Bacterium Not Elsewhere Specified (86609) $104.30 $149 8.1×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $112.70 $161 7.3×
Antibody Cytomegalovirus Cmv Igm (86645) $113.40 $162 6.7×
Antibody Encephalitis California La Crosse (86651)
range across 2 matching MRF lines
$57.40–$114.10 $82–$163 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $81.20 $116 6.2×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $86.10 $123 5.6×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 3 matching MRF lines
$114.10–$168.70 $163–$241 varies
Antibody Fungus Not Elsewhere Specified (86671)
range across 3 matching MRF lines
$129.50–$1,449 $185–$2,070 varies
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 2 matching MRF lines
$90.30–$143.50 $129–$205 varies
Antibody Herpes Smplx Type 1 (86695) $87.50 $125 6.6×
Antibody htlv/HIV antibody confirmatory test (86689)
range across 3 matching MRF lines
$146.30–$562.80 $209–$804 varies
Antibody Identification Platelet Immunogl Assay (86023) $136.50 $195 11.0×
Antibody neisseria meningitidis (86741) $163.80 $234 12.4×
Antibody Protozoa Nes (86753)
range across 2 matching MRF lines
$91–$112 $130–$160 varies
Antibody rotavirus (86759) $116.20 $166 6.4×
Antibody Titer (86886) $53.90 $77 10.4×
Antibody Treponema Pallidum (86780)
range across 3 matching MRF lines
$48.30–$58.80 $69–$84 varies
Antibody yersinia (86793) $263.20 $376 20.0×
Antibody; encephalitis, st. louis (86653)
range across 2 matching MRF lines
$57.40–$114.10 $82–$163 varies
Antigen typing (86905) $198.80 $284 51.9×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $359.10 $513 62.8×
Antinuclear antibodies (86038)
range across 3 matching MRF lines
$84–$95.20 $120–$136 varies
Antistreptolysin o titer (86060) $45.50 $65 6.2×
Antithrombin iii activity (85300)
range across 2 matching MRF lines
$85.40–$113.40 $122–$162 varies
Antithrombin iii antigen (85301) $115.50 $165 10.7×
Apolipoprotein a1 (82172) $107.80 $154 5.1×
Arsenic (82175)
range across 2 matching MRF lines
$115.50–$476.70 $165–$681 varies
Aspa gene analysis common variants (81200) $34.30 $49 0.7×
Aspergillus ag eia (87305) $288.40 $412 24.1×
Assay activated protein c (85307) $126 $180 8.2×
Assay Blood Carbon Dioxide (82374) $31.50 $45 6.5×
Assay Nephelometry Not Spec (83883)
range across 3 matching MRF lines
$136.50–$402.50 $195–$575 varies
Assay of 5-hiaa (83497) $51.80 $74 4.0×
Assay of blood/uric acid (84550) $48.30 $69 10.7×
Assay of calcium in urine (82340)
range across 4 matching MRF lines
$44.80–$819 $64–$1,170 varies
Assay of cpk in blood (82552) $91 $130 6.8×
Assay of estrone (82679) $116.20 $166 4.7×
Assay of g6pd enzyme (82955) $58.80 $84 6.1×
Assay of gammaglobulin igm (82784)
range across 3 matching MRF lines
$58.80–$72.10 $84–$103 varies
Assay of lactic acid (83605) $81.20 $116 7.0×
Assay of metanephrines (83835) $178.50 $255 10.5×
Assay of phosphatase acid total (84060) $118.30 $169 15.5×
Assay of procainamide (80190) $89.60 $128 1.5×
Assay of proinsulin (84206) $101.50 $145 3.8×
Assay of pyruvate (84210) $20.30 $29 1.4×
Assay of serotonin (84260)
range across 2 matching MRF lines
$124.60–$149.10 $178–$213 varies
Assay of serum potassium (84132)
range across 2 matching MRF lines
$39.20–$44.10 $56–$63 varies
Assay of sweat sodium (84302) $120.40 $172 24.8×
Assay of transcortin (84449) $47.60 $68 2.6×
Assay of urea nitrogen (84520)
range across 2 matching MRF lines
$4.90–$42 $7–$60 varies
Assay of urine vma (84585) $74.20 $106 4.8×
Assay of vasoactive intestinal peptide (84586) $102.90 $147 2.9×
Assay of vitamin b-1 (84425) $97.30 $139 4.6×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$25.90–$28 $37–$40 varies
Atomic Absorption (82190)
range across 3 matching MRF lines
$62.30–$108.50 $89–$155 varies
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) $1,575 $2,250 1.9×
Autol Bld/Component Collj Storage Predeposited (86890) $142.80 $204 0.8×
Automated Leukocyte Count (85048)
range across 2 matching MRF lines
$23.80–$30.10 $34–$43 varies
Bartonella antibody (86611)
range across 2 matching MRF lines
$86.10–$108.50 $123–$155 varies
Bcr/abl1 gene major bp (81206) $206.50 $295 1.3×
Bcr/abl1 gene minor bp (81207) $380.10 $543 2.6×
Beta 2 glycoprotein i antibody each (86146) $95.20 $136 3.7×
Beta hydroxybutyrate (82010) $56.70 $81 6.9×
Beta-2 Microglobulin (82232) $99.40 $142 6.1×
Bile acids total (82239) $352.80 $504 20.6×
Bilirubin direct (82248) $57.40 $82 11.4×
Bilirubin total (82247) $42.70 $61 8.5×
Bilirubin; feces, qualitative Facility (82252) $23.80 $34 5.2×
Biotinidase (82261) $51.10 $73 3.0×
Bl Smear W/O Diff Wbc Count (85008) $23.80 $34 6.9×
Bleeding time test (85002) $49.70 $71 10.3×
Blood Count Automated Differential Wbc Count (85004) $58.80 $84 9.1×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $32.20 $46 6.4×
Blood Count Red Blood Cell Automated (85041) $21 $30 7.0×
Blood count reticulocyte automated (85045) $46.20 $66 11.6×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 3 matching MRF lines
$16.10–$68.60 $23–$98 varies
Blood gas (82803) $236.60 $338 9.1×
Blood gases w/02 saturation (82805)
range across 3 matching MRF lines
$168.70–$210.70 $241–$301 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 2 matching MRF lines
$49.70–$79.80 $71–$114 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 2 matching MRF lines
$39.20–$40.60 $56–$58 varies
Blood Type Antigen Donor Reagent Serum Each (86902) $131.60 $188 20.7×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $205.80 $294 12.6×
Blood typing serologic abo (86900) $205.80 $294 68.8×
Body fluid cell count (89050)
range across 2 matching MRF lines
$44.10–$58.80 $63–$84 varies
Bordetella antibody (86615) $449.27 $641.82 34.1×
Borrelia Antibody (86619) $697.20 $996 52.1×
Brca1 brca2 gene analysis full dup/del analysis (81164) $610.40 $872 1.0×
Brca1&2 gen full seq dup/del (81162) $3,336.90 $4,767 1.8×
Breath Alcohol Test (82075)
range across 3 matching MRF lines
$21.70–$46.90 $31–$67 varies
Brucella antibody (86622) $27.30 $39 3.1×
C diff amplified probe (87493) $496.30 $709 13.3×
C-Peptide (84681) $112 $160 5.4×
C-reactive protein (86140) $49 $70 9.5×
Ca 19-9 (86301) $92.40 $132 4.4×
Cadmium (82300) $100.10 $143 4.2×
Caffeine (80155) $42 $60 1.1×
Calcitonin (82308) $189.70 $271 7.1×
Calcium ionized (82330) $88.90 $127 6.5×
Calcium total (82310) $51.10 $73 9.9×
Calculus assay quant (82360) $76.30 $109 5.9×
Calculus Spectroscopy (82365) $28.70 $41 2.2×
Calprotectin Fecal (83993) $441 $630 22.5×
Cancer Antigen 125 (86304) $102.90 $147 4.9×
Cancer Antigen 27.29 (86300) $119 $170 5.7×
Candida antibody (86628) $210 $300 17.5×
Carbamazepine free (80157) $121.80 $174 9.2×
Carbamazepine total (80156) $122.50 $175 8.4×
Carboxyhemoglobin (82375) $113.40 $162 9.2×
Carcinoembryonic antigen (82378) $84 $120 4.4×
Cardiolipin ab iga (86147)
range across 4 matching MRF lines
$62.30–$198.80 $89–$284 varies
Carnitine Quantitative Each Specimen (82379) $68.60 $98 4.1×
Carotene (82380) $25.20 $36 2.7×
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$146.30–$152.60 $209–$218 varies
Catecholamines total urine (82382) $80.50 $115 2.9×
Ccp antibody (86200) $96.60 $138 7.5×
Cell count csf (89051)
range across 2 matching MRF lines
$67.20–$70.70 $96–$101 varies
Ceruloplasmin (82390) $67.20 $96 6.3×
Cftr gene com variants (81220) $389.90 $557 0.7×
Chemiluminescent assay (82397)
range across 3 matching MRF lines
$110.25–$245.70 $157.50–$351 varies
Chlamydia antibody (86631)
range across 3 matching MRF lines
$86.10–$119 $123–$170 varies
Chlamydia Igm Antibody (86632)
range across 2 matching MRF lines
$74.20–$91.70 $106–$131 varies
Chloride other source (82438)
range across 3 matching MRF lines
$28–$73.50 $40–$105 varies
Chloride Serum (82435) $49.70 $71 10.8×
Chloride urine (82436)
range across 2 matching MRF lines
$32.20–$50.40 $46–$72 varies
Cholesterol total (82465) $51.80 $74 11.9×
Cholinesterase rbc (82482) $21 $30 2.1×
Cholinesterase Serum (82480) $77 $110 9.8×
Chorionic gonadotropin test (84702) $114.10 $163 7.6×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $84 $120 3.1×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $396.20 $566 11.8×
Chromium serum (82495) $149.10 $213 7.4×
Chromogranin a (86316)
range across 2 matching MRF lines
$147–$182 $210–$260 varies
Chromosome Analysis 15-20 (88262) $458.50 $655 3.7×
Chromosome analysis 45 cells (88263) $652.40 $932 4.3×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 3 matching MRF lines
$126–$170.37 $180–$243.38 varies
Citric acid urine (82507) $128.10 $183 4.6×
Ckmb (82553) $166.60 $238 14.4×
Clot Factor VIII Multimetric (85247) $224.70 $321 9.8×
Clotting factor viii related antigen (85244) $180.60 $258 8.8×
Clotting factor xii hageman (85280) $245 $350 12.7×
Coagulation time other methods (85348) $23.80 $34 5.3×
Cold agglutinin titer (86157) $34.30 $49 4.3×
Collagen crosslinks (82523)
range across 3 matching MRF lines
$100.80–$504 $144–$720 varies
Column Chromotography Quant (82542)
range across 3 matching MRF lines
$155.40–$551.60 $222–$788 varies
Compatibility Each Unit Incubation (86921) $205.80 $294 1.2×
Compatibility test antiglob (86922) $123.90 $177 0.7×
Complement Antigen Each Component (86160)
range across 5 matching MRF lines
$77.70–$338.10 $111–$483 varies
Complement Total (Ch50) (86162) $140 $200 6.9×
Consltj Compre Review Reprt Referred Matrl (88325) $694.40 $992 4.1×
Consltj&Reprt Material Requiring Prepj Slides (88323) $172.20 $246 3.3×
Coombs direct (86880) $116.90 $167 21.7×
Copper urine (82525)
range across 2 matching MRF lines
$67.20–$70 $96–$100 varies
Cortisol free (82530)
range across 2 matching MRF lines
$98.70–$176.40 $141–$252 varies
Cortisol saliva (82533)
range across 3 matching MRF lines
$75.60–$120.40 $108–$172 varies
Creatine (82540) $207.20 $296 44.7×
Creatine kinase total (82550) $91.70 $131 14.1×
Creatinine blood (82565)
range across 2 matching MRF lines
$30.10–$46.90 $43–$67 varies
Creatinine clearance (82575) $116.20 $166 12.3×
Creatinine Urine (82570)
range across 2 matching MRF lines
$51.10–$67.90 $73–$97 varies
Crossmatch immediate spin (86920) $123.90 $177 0.7×
Crp High Sensitivity (86141) $79.10 $113 6.1×
Cryoglobulin (82595) $23.10 $33 3.6×
Cryptococcal Antigen (87327)
range across 2 matching MRF lines
$16.10–$35 $23–$50 varies
Cryptococcus ag titer (87899)
range across 4 matching MRF lines
$72.80–$324.80 $104–$464 varies
Cryptosporidium ag eia (87328) $100.10 $143 7.2×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$79.10–$162.40 $113–$232 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $312.20 $446 38.6×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $67.90 $97 8.8×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $818.94 $1,169.91 3.8×
Culture afb (87116) $95.90 $137 8.9×
Culture Anaerobic (87075) $97.30 $139 10.3×
Culture blood (87040) $128.10 $183 12.4×
Culture chlamydia (87110) $41.30 $59 2.1×
Culture csf (87070)
range across 5 matching MRF lines
$44.10–$135.80 $63–$194 varies
Culture screen only (87081)
range across 4 matching MRF lines
$54.60–$102.90 $78–$147 varies
Culture stool (87045) $137.20 $196 14.5×
Culture urine (87086) $87.50 $125 10.8×
Cyanide (82600) $146.30 $209 7.5×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $70.70 $101 4.9×
Cyclic amp (82030) $88.90 $127 3.4×
Cyclosporine (80158) $175.70 $251 9.7×
Cystatin C (82610) $219.10 $313 11.8×
Cytomegalovirus igg (86644) $128.10 $183 8.9×
Cytopath C/V Index Add-On (88155) $30.10 $43 2.1×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 2 matching MRF lines
$82.60–$132.30 $118–$189 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $255.50 $365 4.9×
Cytp Slides C/V Mnl Scr Under Phys (88150) $45.50 $65 2.5×
Deoxycortisol (82634) $51.10 $73 1.7×
Deoxyribonuclease antibody (86215) $118.30 $169 8.9×
Detect Agent Nos Dna Amp (87798)
range across 6 matching MRF lines
$142.10–$1,082.20 $203–$1,546 varies
Detect Agent Nos Dna Quant (87799)
range across 3 matching MRF lines
$368.90–$847 $527–$1,210 varies
Detect agnt mult DNA ampli (87801) $258.30 $369 3.7×
Dgp Antibody Each Ig Class (86258)
range across 2 matching MRF lines
$88.90–$147 $127–$210 varies
Dhea (82626) $147.70 $211 5.8×
Dhea-S (82627) $96.60 $138 4.3×
Digoxin (80162)
range across 2 matching MRF lines
$100.10–$105 $143–$150 varies
Dna Antibody Native/Double Stranded (86225)
range across 3 matching MRF lines
$63–$123.20 $90–$176 varies
Dna/Rna Amplified Probe (87150) $818.94 $1,169.91 23.3×
Dna/Rna Sequencing (87153) $402.50 $575 3.5×
Drug assay acetaminophen (80143) $208.60 $298 11.2×
Drug Assay Amiodarone (80151) $230.30 $329 12.4×
Drug Assay Lacosamide (80235) $152.60 $218 5.6×
Drug Assay Leflunomide (80193) $188.30 $269 4.9×
Drug Screen Quant Clozapine (80159) $86.10 $123 4.3×
Drug Screen Quant Zonisamide (80203) $86.80 $124 6.6×
Drug Screen Quantitative Gabapentin (80171) $67.20 $96 3.1×
Drug Screen Quantitative Lamotrigine (80175) $105.70 $151 8.0×
Drug Screen Quantitative Levetiracetam (80177) $140.70 $201 10.6×
Drug Screen Quantitative Oxcarbazepine (80183) $116.20 $166 8.8×
Drug Screen Quantitative Procainamide Metabolite (80192) $84 $120 5.0×
Drug Test Prsmv Chem Anlyzr (80307)
range across 11 matching MRF lines
$31.50–$497.70 $45–$711 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 3 matching MRF lines
$28.70–$383.04 $41–$547.20 varies
Drug Test Prsmv Instrmnt (80306) $200.20 $286 11.7×
Electrolyte panel (80051) $98.70 $141 14.1×
Electron Microscopy (88348) $1,600.20 $2,286 2.0×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $44.10 $63 0.7×
Encephaltis East Eqne Anbdy (86652)
range across 2 matching MRF lines
$57.40–$114.10 $82–$163 varies
Encephaltis West Eqne Antbdy (86654)
range across 2 matching MRF lines
$57.40–$114.10 $82–$163 varies
Enterovirus Antibody (86658) $55.13 $78.75 4.2×
Enzyme cell activity (82657) $219.10 $313 9.9×
Eosinophil Smear (89190) $29.40 $42 5.1×
Erythropoietin (82668) $109.20 $156 5.8×
Estradiol serum (82670)
range across 2 matching MRF lines
$145.60–$155.40 $208–$222 varies
Estriol (82677) $185.50 $265 7.7×
Estrogen total (82672) $222.60 $318 10.3×
Estrogens fractionated (82671) $140 $200 4.3×
Ethosuximide (80168)
range across 2 matching MRF lines
$28.70–$67.20 $41–$96 varies
Ethylene Glycol (82693) $98 $140 6.6×
Exam Synovial Fluid Crystals (89060) $48.30 $69 6.6×
F2 Gene (81240) $202.30 $289 3.1×
Factor ii activity (85210) $153.30 $219 11.8×
Factor Inhibitor Test (85335) $204.40 $292 15.9×
Factor ix activity (85250) $245 $350 12.9×
Factor v activity (85220) $156.10 $223 8.8×
Factor v leiden mutation (81241) $259.70 $371 3.5×
Factor vii assay (85230) $189.70 $271 10.6×
Factor X (85260) $113.40 $162 6.3×
Factor xi activity (85270) $203.70 $291 11.4×
Factor xiii screen (85291) $84 $120 9.2×
Fat stain feces urine/respir secretions (89125) $19.60 $28 3.3×
Fat/Lipids Feces Quantitative (82710) $72.10 $103 4.3×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $295.40 $422 45.2×
Fecal Fat Qualitative (82705) $41.30 $59 8.1×
Ferritin (82728) $118.30 $169 8.7×
Fetal Fibronectin (82731) $402.50 $575 6.2×
Fibrin Degradation Quant (85379) $189.70 $271 18.6×
Fibrinogen activity (85384) $75.60 $108 7.8×
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$259.70–$615.30 $371–$879 varies
Fluorescent antibody screen (86255)
range across 5 matching MRF lines
$88.90–$195.30 $127–$279 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 5 matching MRF lines
$31.50–$154.70 $45–$221 varies
Fmr1 gene detection (81243) $210 $300 3.7×
Folic acid rbc (82747) $77 $110 4.4×
Folic Acid Serum (82746) $98.70 $141 6.7×
Follicle Stimulating Hormone (83001) $89.60 $128 4.8×
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $60.90 $87 2.1×
Fresh Frozen Plasma Thawing Each Unit (86927) $203 $290 1.2×
Frozen Section (88331) $308.70 $441 1.8×
Fungi Identification Mold (87107)
range across 2 matching MRF lines
$377.30–$499.10 $539–$713 varies
Fungi Identification Yeast (87106) $66.50 $95 6.4×
Galactose transferase test (82776)
range across 2 matching MRF lines
$17.50–$135.80 $25–$194 varies
Gammaglobulin ige (82785) $72.80 $104 4.4×
Gardner Vag Dna Quant (87512) $66.50 $95 1.6×
Gases blood ph only (82800) $60.20 $86 5.5×
Gastrin (82941) $65.10 $93 3.7×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507)
range across 2 matching MRF lines
$300.30–$676.20 $429–$966 varies
Gentamicin (80170) $108.50 $155 6.6×
Ggt (82977) $53.90 $77 7.5×
Giardia antigen (87329) $137.90 $197 11.5×
Giardia lamblia antibody (86674) $268.10 $383 18.2×
Glucagon (82943) $333.20 $476 23.3×
Glucose 2 hr pp (82950)
range across 3 matching MRF lines
$77–$86.80 $110–$124 varies
Glucose Blood Test (82962)
range across 2 matching MRF lines
$14.70–$17.50 $21–$25 varies
Glucose body fluid (82945)
range across 2 matching MRF lines
$44.10–$53.20 $63–$76 varies
Glucose Serum (82947)
range across 3 matching MRF lines
$30.80–$44.10 $44–$63 varies
Glucose tolerance test (gtt) (82951)
range across 4 matching MRF lines
$86.10–$123.90 $123–$177 varies
Glycated Protein (82985)
range across 2 matching MRF lines
$55.30–$180.60 $79–$258 varies
Gonadotropin Chorionic Qualitative (84703)
range across 3 matching MRF lines
$33.60–$75.60 $48–$108 varies
Growth hormone (83003) $62.30 $89 3.7×
Gtt-added samples (82952)
range across 2 matching MRF lines
$61.60–$63.70 $88–$91 varies
H Pylori (C-13) Breath (83013)
range across 2 matching MRF lines
$275.10–$440.30 $393–$629 varies
Haptoglobin (83010) $78.40 $112 6.2×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $354.20 $506 1.8×
Hdl Cholesterol (83718) $70.70 $101 8.6×
Helicobacter Pylori Stool (87338) $116.90 $167 8.1×
Helminth Antibody (86682)
range across 2 matching MRF lines
$252–$402.50 $360–$575 varies
Hematocrit (85014) $26.60 $38 11.2×
Hemoglobin (85018)
range across 2 matching MRF lines
$11.90–$21.70 $17–$31 varies
Hemoglobin a1c (83036) $105 $150 10.8×
Hemoglobin Chromotography (83021) $97.30 $139 5.4×
Hemoglobin Methemoglobin Quantitative (83050) $61.60 $88 7.5×
Hemoglobin plasma (83051) $40.60 $58 5.6×
Hemosiderin urine (83070) $18.90 $27 4.0×
Hep a ab igm (86709) $52.50 $75 4.7×
Heparin Neutralization (85525) $66.50 $95 5.6×
Hepatitis a antibody total (86708) $68.60 $98 5.5×
Hepatitis b core ab igm (86705)
range across 2 matching MRF lines
$84.70–$100.10 $121–$143 varies
Hepatitis b core ab total (86704)
range across 2 matching MRF lines
$64.40–$69.30 $92–$99 varies
Hepatitis B Surface Antibody (86706) $63 $90 5.9×
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines
$37.80–$85.40 $54–$122 varies
Hepatitis Be Antibody (86707) $88.90 $127 7.7×
Hepatitis Be Antigen (87350) $79.80 $114 6.9×
Hepatitis C Antibody (86803)
range across 2 matching MRF lines
$52.50–$88.90 $75–$127 varies
Hepatitis C Genotype (87902) $781.90 $1,117 3.0×
Hepatitis C Probe&Rvrs Trnsc (87521) $325.50 $465 9.3×
Hepatitis C Revrs Trnscrpj (87522)
range across 3 matching MRF lines
$423.50–$504.70 $605–$721 varies
Hepatitis Delta Agent Antibody (86692) $127.40 $182 7.4×
Herpes simplex type 2 (86696) $120.40 $172 6.2×
Heterophile Antibody Screen (86308) $63.70 $91 12.3×
Hfe Gene (81256) $399 $570 6.1×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $57.40 $82 7.4×
Histamine urine (83088) $251.30 $359 8.5×
Histoplasma antibody (86698) $35 $50 2.5×
Histoplasma antigen urine (87385) $158.90 $227 12.0×
Hiv Genotype (87901) $450.80 $644 1.8×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $92.40 $132 3.8×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 2 matching MRF lines
$385.70–$615.30 $551–$879 varies
Hla Typing a/B/C Multiple Antigens (86813)
range across 2 matching MRF lines
$92.40–$93.10 $132–$133 varies
Hla-b27 (86812) $143.50 $205 5.6×
Homocysteine (83090) $147 $210 8.2×
Homovanillic acid urine (83150) $62.30 $89 2.8×
Hsv Dna Amp Probe (87529) $161 $230 4.6×
Htlv-I Antibody (86687) $175.61 $250.87 19.3×
Hydroxycorticosteroids 17 (83491) $60.90 $87 3.4×
Hydroxyprogesterone 17-d (83498) $135.10 $193 5.0×
Hydroxyproline free (83500) $104.30 $149 4.6×
Hydroxyproline total (83505) $100.10 $143 4.1×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $114.80 $164 11.1×
Iaad ia shiga-like toxin (87427) $76.30 $109 6.4×
Iaad Ia Streptococcus Group A (87430) $75.60 $108 4.5×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $66.50 $95 5.6×
Iaadiadoo trichomonas vaginalis (87808) $59.50 $85 3.9×
Iadna Candida Species Amplified Probe Tq (87481) $115.50 $165 3.3×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $72.10 $103 3.2×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 2 matching MRF lines
$294–$790.30 $420–$1,129 varies
Iadna Cytomegalovirus Quantification (87497) $790.30 $1,129 18.4×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $108.50 $155 1.5×
Iadna Hepatitis B Virus Quantification (87517) $490.70 $701 11.5×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $77 $110 2.2×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $372.40 $532 8.9×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $164.50 $235 4.7×
Igg subclasses (82787)
range across 3 matching MRF lines
$80.50–$264.60 $115–$378 varies
Immunfix e-phorsis/urine/csf (86335) $179.20 $256 6.1×
Immunoassay analyte qual/semiqual single step (83518)
range across 2 matching MRF lines
$137.20–$198.80 $196–$284 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 5 matching MRF lines
$126.70–$545.30 $181–$779 varies
Immunoassay infectious agent (86318) $71.40 $102 3.9×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 4 matching MRF lines
$25.20–$102.90 $36–$147 varies
Immunoassay nonantibody (83516)
range across 10 matching MRF lines
$127.40–$436.02 $182–$622.88 varies
Immunodiffusion not elsewhere specified (86329) $54.60 $78 3.9×
Immunoelectrophoresis Other Fluids Concentration (86325) $54.60 $78 2.4×
Immunoelectrophoresis Serum (86320) $147.70 $211 4.9×
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines
$114.10–$117.60 $163–$168 varies
Immunofluorescence per spec 1st singl antb stain (88346) $798.70 $1,141 4.7×
Immunohistochemistry (88342)
range across 2 matching MRF lines
$364.70–$419.30 $521–$599 varies
In situ hybridization 1st probe stain (88365) $361.20 $516 2.1×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) $17.56 $25.08 1.2×
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) $60.90 $87 5.0×
Influenza assay w/optic (87804) $40.40 $57.72 2.4×
Influenza DNA amp probe (87502)
range across 3 matching MRF lines
$162.40–$312.90 $232–$447 varies
Inhibin A (86336) $103.60 $148 6.6×
Inhibin b (83520)
range across 10 matching MRF lines
$126.70–$643.30 $181–$919 varies
Insulin antibodies (86337) $154 $220 7.2×
Insulin free (83527) $88.20 $126 6.8×
Insulin total (83525) $87.50 $125 7.7×
Intrinsic factor antibody (86340)
range across 2 matching MRF lines
$105.70–$115.50 $151–$165 varies
Iron (83540)
range across 2 matching MRF lines
$58.80–$114.10 $84–$163 varies
Irradiation Blood Product Each Unit (86945) $84 $120 2.2×
Islet cell antibody (86341)
range across 2 matching MRF lines
$140–$170.80 $200–$244 varies
Jak2 gene analysis p.val617phe variant (81270) $1,043 $1,490 11.4×
Koh Prep (87220) $51.10 $73 12.0×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$70–$280 $100–$400 varies
Lactoferrin fecal qualitative (83630) $133 $190 6.8×
Ldh Isoenzymes (83625) $63.70 $91 5.0×
Lead (83655)
range across 2 matching MRF lines
$76.30–$94.50 $109–$135 varies
Legionella antibody (86713) $61.60 $88 4.0×
Legionella antigen urine (87449) $132.30 $189 11.0×
Leptospira antibody (86720) $28 $40 1.7×
Leukocyte Assessment Fecal (89055) $45.50 $65 10.7×
Leukocyte phagocytosis (86344) $97.30 $139 9.4×
Level I Surg Pathology Gross Examination Only (88300) $44.10 $63 1.5×
Level ii surg pathology gross&microscopic exam (88302) $111.30 $159 3.0×
Level V Surg Pathology Gross&Microscopic Exam (88307) $420 $600 1.2×
Lidocaine (80176) $77.70 $111 5.3×
Lipase (83690) $88.90 $127 12.9×
Lipoprotein A (83695) $132.57 $189.39 9.3×
Lipoprotein Bld Quan Part (83704) $147 $210 4.3×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $60.20 $86 5.3×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $114.80 $164 3.4×
Lipoprotein-Associated Phospholipase A2 (83698) $251.30 $359 5.4×
Listeria Monocytogenes (86723) $121.80 $174 9.2×
Lithium (80178)
range across 2 matching MRF lines
$86.80–$147 $124–$210 varies
Luteinizing Hormone (Lh) (83002) $99.40 $142 5.4×
Lyme disease antibody (86618) $123.20 $176 7.2×
Lymphocyte transformation (86353) $268.80 $384 5.5×
Lysozyme serum (85549) $53.20 $76 2.8×
M. Genitalium Amp Probe (87563) $348.60 $498 9.9×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $464.10 $663 2.7×
M/phmtrc alys ishquant/semiq (88374) $284.90 $407 1.7×
Magnesium Urine (83735)
range across 3 matching MRF lines
$63.70–$393.40 $91–$562 varies
Mass Spectrometry Quant (83789)
range across 3 matching MRF lines
$116.20–$422.80 $166–$604 varies
Mercury urine (83825)
range across 2 matching MRF lines
$95.90–$109.20 $137–$156 varies
Methylmalonic acid serum (83921)
range across 3 matching MRF lines
$109.20–$131.60 $156–$188 varies
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$49.70–$63.70 $71–$91 varies
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$91–$92.40 $130–$132 varies
Mopath procedure level 1 (81400) $410.90 $587 6.4×
Mopath procedure level 2 (81401) $788.20 $1,126 5.8×
Mopath procedure level 4 (81403)
range across 2 matching MRF lines
$731.50–$1,346.10 $1,045–$1,923 varies
Mthfr Gene Analysis Common Variants (81291) $224.70 $321 3.4×
Mucin Clot Body Fluid (83872) $26.60 $38 4.5×
Mumps antibody (86735)
range across 2 matching MRF lines
$41.30–$79.10 $59–$113 varies
Muscle-Specific Kinase Antb (86366) $1,023.75 $1,462.50 55.6×
Mycophenolic Acid (80180) $144.90 $207 8.0×
Mycoplasma antibody (86738) $95.90 $137 7.2×
Mycoplasma culture (87109) $82.60 $118 5.4×
Myelin basic protein csf (83873) $72.80 $104 4.2×
Myoglobin urine (83874) $163.10 $233 12.6×
Natriuretic peptide (83880)
range across 2 matching MRF lines
$186.90–$505.40 $267–$722 varies
Neutralization Test Viral (86382) $79.80 $114 4.7×
Nfct ds chrnc hcv 6 assays (81596) $399 $570 5.5×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $225.40 $322 1.8×
Niacin (84591)
range across 2 matching MRF lines
$90.30–$251.30 $129–$359 varies
Nuclear antigen antibody (86235)
range across 4 matching MRF lines
$92.40–$273.70 $132–$391 varies
Occult blood feces (82272) $39.20 $56 9.3×
Occult Blood Other Sources (82271)
range across 2 matching MRF lines
$30.80–$36.40 $44–$52 varies
Oligoclonal bands (83916) $148.40 $212 5.4×
Oncoprotein dcp (83951) $386.40 $552 6.0×
Organic acids urine (83918) $159.60 $228 6.8×
Osmolality serum (83930) $51.80 $74 7.8×
Osmolality Urine (83935) $66.50 $95 9.8×
Osteocalcin (83937) $168 $240 5.6×
Ova and parasites smears (87177)
range across 2 matching MRF lines
$70.70–$151.62 $101–$216.60 varies
Oxalate urine (83945) $28 $40 1.9×
Pancreatic Elastase Fecal (82656) $385.70 $551 33.5×
Particle Agglut Antbdy Titr (86406) $44.80 $64 4.2×
Particle Agglutination Screen Each Antibody (86403)
range across 2 matching MRF lines
$65.80–$101.50 $94–$145 varies
Parvovirus antibody (86747)
range across 2 matching MRF lines
$79.10–$120.40 $113–$172 varies
Ph urine (81003) $20.30 $29 9.0×
Phenobarbital Level (80184) $89.60 $128 5.9×
Phenylalanine (84030) $164.50 $235 29.9×
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines
$102.20–$124.60 $146–$178 varies
Phenytoin free (80186) $105 $150 7.6×
Phosphatase alkaline (84075) $53.90 $77 10.4×
Phosphorus Serum (84100) $46.90 $67 9.9×
Phosphorus urine (84105) $50.40 $72 8.7×
Pinworm exam (87172) $41.30 $59 9.7×
Platelet Aggregation (85576) $196 $280 7.9×
Platelet Antibodies (86022)
range across 2 matching MRF lines
$172.20–$700.88 $246–$1,001.25 varies
Platelet count automated (85049) $46.90 $67 10.5×
Platelet neutralization (85597)
range across 2 matching MRF lines
$214.20–$415.80 $306–$594 varies
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines
$35–$67.20 $50–$96 varies
Potassium Urine (84133)
range across 2 matching MRF lines
$25.20–$35.70 $36–$51 varies
Prealbumin (84134) $58.80 $84 4.0×
Pregnancy-Associated Plasma Protein-A (84163) $323.40 $462 21.5×
Pregnenolone (84140) $134.40 $192 6.5×
Primidone (80188) $91 $130 5.5×
Procalcitonin (Pct) (84145) $420 $600 15.4×
Progesterone (84144) $77.70 $111 3.7×
Prolactin (84146)
range across 4 matching MRF lines
$125.30–$402.50 $179–$575 varies
Protein body fluid (84157)
range across 2 matching MRF lines
$43.40–$58.10 $62–$83 varies
Protein C Activity (85303) $79.80 $114 5.8×
Protein c antigen (85302)
range across 2 matching MRF lines
$184.80–$480.90 $264–$687 varies
Protein Electrophoresis Urine (84166)
range across 2 matching MRF lines
$63–$109.90 $90–$157 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$63.70–$88.90 $91–$127 varies
Protein S Free (85306)
range across 2 matching MRF lines
$126.70–$138.60 $181–$198 varies
Protein s total (85305) $108.50 $155 9.3×
Protein Total Refractometry Any Src (84160) $30.10 $43 5.4×
Protein total serum (84155) $40.60 $58 11.1×
Protein Total Urine (84156)
range across 2 matching MRF lines
$53.90–$71.40 $77–$102 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $32.20 $46 8.2×
PSA free (84154) $113.40 $162 6.2×
Pth Intact (83970) $308 $440 7.5×
Quantiferon tb gold plus (86480) $235.90 $337 3.8×
Quantitative Screen Metals (83018)
range across 4 matching MRF lines
$130.20–$224 $186–$320 varies
Quinidine (80194) $93.10 $133 6.4×
Rbc antibody identification (86870) $247.10 $353 0.7×
Reagent Strip/Blood Glucose (82948) $13.30 $19 2.6×
Renin activity plasma (84244) $141.40 $202 6.4×
Reptilase test (85635)
range across 2 matching MRF lines
$121.80–$422.80 $174–$604 varies
Resp virus 12-25 targets (87633) $779.11 $1,113.01 1.9×
Rh (86901) $205.80 $294 68.8×
Rheumatoid Factor Qualitative (86430) $162.40 $232 26.4×
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$25.20–$226.80 $36–$324 varies
Rickettsia antibody (86757)
range across 2 matching MRF lines
$58.80–$70 $84–$100 varies
Ristocetin cofactor (85245)
range across 2 matching MRF lines
$145.60–$157.50 $208–$225 varies
Rpr qualitative (86592)
range across 3 matching MRF lines
$38.50–$92.40 $55–$132 varies
Rsv Assay W/Optic (87807)
range across 2 matching MRF lines
$31.50–$40.40 $45–$57.72 varies
Rubella Antibody (86762) $109.20 $156 7.6×
Rubeola antibody (86765)
range across 3 matching MRF lines
$32.90–$105 $47–$150 varies
Russell Viper Venom Time Diluted (85613) $123.20 $176 12.9×
Salicylate Level (80179) $101.50 $145 5.4×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines
$99.40–$147 $142–$210 varies
Sars-cov-2 COVID-19 antibody (86769) $88.20 $126 2.1×
Sedimentation Rate, Automated (85652) $46.20 $66 17.1×
Selenium (84255) $128.10 $183 5.0×
Semen analysis complete (89320) $83.30 $119 6.8×
Semen analysis motility and count (89310) $39.20 $56 4.6×
Sensitivity mic (87186)
range across 2 matching MRF lines
$83.30–$352.80 $119–$504 varies
Sex Hormone Binding Globulin (84270) $111.30 $159 5.1×
Sickling of rbc reduction (85660)
range across 2 matching MRF lines
$44.80–$47.60 $64–$68 varies
Silica (84285) $402.50 $575 16.0×
Sirolimus (80195) $135.80 $194 9.9×
Skin test tuberculosis intradermal (86580)
range across 4 matching MRF lines
$9.80–$40.60 $14–$58 varies
Smear acid fast (87206) $57.40 $82 10.6×
Smear complex stain (87209) $115.50 $165 6.4×
Smear gram stain (87205) $51.10 $73 12.0×
Smear Special Stain (87207)
range across 3 matching MRF lines
$44.10–$58.80 $63–$84 varies
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$21–$27.30 $30–$39 varies
Sodium Serum (84295) $43.40 $62 9.0×
Sodium Urine (84300)
range across 2 matching MRF lines
$31.50–$37.80 $45–$54 varies
Soluble Transferrin Receptor (84238)
range across 2 matching MRF lines
$189.70–$231.70 $271–$331 varies
Somatomedin (84305) $223.30 $319 10.5×
Special Stains Group 1 (88312) $147 $210 2.8×
Special Stains Group 2 (88313) $844.20 $1,206 6.3×
Specific gravity body fluid (84315) $16.10 $23 4.9×
Specimen infect agnt concntj (87015) $50.40 $72 7.5×
Spectrophotometry (84311)
range across 2 matching MRF lines
$127.40–$353.96 $182–$505.65 varies
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $123.90 $177 0.7×
Stool cultr aerobic bact ea (87046) $70.70 $101 7.5×
Strep a assay w/optic (87880) $40.40 $57.72 2.4×
Strep a DNA amp probe (87651)
range across 3 matching MRF lines
$79.80–$149.10 $114–$213 varies
Strep b DNA amp probe (87653) $174.30 $249 5.0×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $308 $440 26.7×
Sugars Single Qual (84376) $44.10 $63 8.0×
Surg path level iii (88304) $147 $210 2.8×
Surgical pathology level IV (88305) $185.50 $265 3.5×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $91.70 $131 19.3×
T cells absolute cd4 count (86361) $138.60 $198 5.2×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $266.70 $381 5.7×
T cells total count (86359) $149.80 $214 4.0×
T3 Free (84481) $123.20 $176 7.3×
T3 reverse (84482)
range across 2 matching MRF lines
$105–$116.20 $150–$166 varies
T3 Total (84480) $100.10 $143 7.1×
T3 Uptake (84479) $66.50 $95 10.3×
T4 Free (84439)
range across 2 matching MRF lines
$107.10–$402.50 $153–$575 varies
T4 total (84436) $67.90 $97 9.9×
Tacrolimus (80197) $196.70 $281 14.3×
Testosterone total (84403)
range across 2 matching MRF lines
$153.30–$178.50 $219–$255 varies
Testosterone, Free (84402) $121.10 $173 4.8×
Theophylline (80198) $90.30 $129 6.4×
Thiocyanate (84430) $28.70 $41 2.5×
Thiopurine methyltransferase (84433) $687.40 $982 31.0×
Thrombin Time (85670) $74.90 $107 13.0×
Thromboplastin Inhibition Tissue (85705) $90.30 $129 9.4×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $53.20 $76 8.2×
Thyroglobulin (84432) $82.60 $118 5.1×
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines
$91–$97.30 $130–$139 varies
Thyroid Stimulating Immunoglobulin (84445) $221.90 $317 4.4×
Thyroxine binding globulin (84442) $84 $120 5.7×
Tissue culture bone marrow (88237) $505.40 $722 3.5×
Tissue Culture Lymphocyte (88230) $506.10 $723 4.3×
Tobramycin peak (80200)
range across 2 matching MRF lines
$97.30–$146.30 $139–$209 varies
Topiramate (80201) $102.90 $147 8.6×
Toxoplasma ab igm (86778) $77.70 $111 5.4×
Toxoplasma antibody (86777)
range across 2 matching MRF lines
$84.70–$103.60 $121–$148 varies
Transferase Aspartate Amino Ast Sgot (84450) $58.80 $84 11.4×
Transferrin (84466) $105 $150 8.2×
Trichinella Antibody (86784) $157.50 $225 12.5×
Trichomonas Vaginalis Amplif (87661) $156.10 $223 4.4×
Triglycerides (84478) $58.80 $84 10.2×
Troponin Quant (84484) $176.40 $252 14.1×
Tumor immunohistochem/comput (88361) $599.20 $856 1.7×
Tumor Immunohistochem/Manual (88360) $263.20 $376 1.5×
Unlisted miscellaneous pathology test (89240) $147 $210 2.8×
Urea nitrogen urine (84540) $51.80 $74 9.3×
Uric acid other source (84560)
range across 3 matching MRF lines
$21.70–$48.30 $31–$69 varies
Urinalysis Microscopic Only (81015) $16.80 $24 5.5×
Urinalysis Qual/Semiquant Except Immunoassays (81005)
range across 2 matching MRF lines
$28–$34.30 $40–$49 varies
Urinalysis Volume Measure (81050)
range across 2 matching MRF lines
$19.60–$23.80 $28–$34 varies
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$24.50–$74.20 $35–$106 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $60.90 $87 19.2×
Urobilinogen urine qual (84578) $28.70 $41 6.4×
Valproic acid (80164)
range across 2 matching MRF lines
$97.30–$105 $139–$150 varies
Vancomycin (80202) $98.70 $141 7.3×
Varicella-zoster antibody (86787) $105 $150 8.2×
Vasopressin (84588)
range across 2 matching MRF lines
$249.20–$672.70 $356–$961 varies
Viral Culture (87252)
range across 2 matching MRF lines
$175–$289.80 $250–$414 varies
Virus antibody nos (86790)
range across 5 matching MRF lines
$121.10–$220.50 $173–$315 varies
Viscosity serum (85810) $83.30 $119 7.1×
Vit D 1 25-Dihydroxy (82652) $251.30 $359 6.5×
Vitamin A (84590) $86.80 $124 7.5×
Vitamin b-12 (82607) $99.40 $142 6.6×
Vitamin B2 (Riboflavin) (84252) $154 $220 7.6×
Vitamin B6 (84207) $164.50 $235 5.9×
Vitamin c (82180) $142.28 $203.25 14.4×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$177.80–$210.70 $254–$301 varies
Vitamin E (84446) $84 $120 5.9×
Vitamin K (84597) $203 $290 14.8×
Von willebrand factor ag (85246) $91 $130 4.0×
Xylose Absorption Test (84620) $39.20 $56 3.0×
Zika Virus Dna/Rna Amp Probe (87662) $236.25 $337.50 4.6×
Zinc (84630) $79.80 $114 7.0×

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.