Lab & pathology prices at Mercy Hospital Healdton, Inc.

Healdton, OK · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041) $155.35 $239 8.4×
Acetylcholine receptor blocking antibody (86042) $159.90 $246 8.7×
Acetylcholinesterase Assay (82013) $161.85 $249 13.2×
Acetylcholn Rcptr Modlg Antb (86043) $109.85 $169 9.1×
Acth (82024) $208.65 $321 5.4×
Actin smooth muscle antibody each (86015) $91.65 $141 7.6×
Acute hepatitis panel (80074) $294.45 $453 6.2×
Acylcarnitines Quant (82017) $16.90 $26 1.0×
Albumin Fluid (82042) $42.90 $66 5.5×
Albumin serum (82040) $40.95 $63 8.3×
Aldolase (82085) $59.80 $92 6.2×
Aldosterone urine (82088) $167.70 $258 4.1×
Alkaline phosphatase isoenzymes (84080) $86.45 $133 5.8×
Allergen specific ige (86003)
range across 6 matching MRF lines
$27.95–$55.25 $43–$85 varies
Allergen specific igg (86001) $27.95 $43 3.6×
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
$30.55–$45.50 $47–$70 varies
Alpha-1-antitrypsin phenotype (82104) $85.15 $131 5.9×
Alpha-1-antitrypsin total (82103) $98.80 $152 7.4×
Alpha-Fetoprotein Amniotic Fluid (82106) $79.30 $122 4.7×
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$35.10–$87.10 $54–$134 varies
Alt (sgpt) (84460) $37.05 $57 7.0×
Aluminum (82108) $102.70 $158 4.0×
Amikacin trough (80150) $114.40 $176 7.6×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 3 matching MRF lines
$16.25–$155.35 $25–$239 varies
Amino Acids Multiple Qualitative Each Specimen (82128) $94.90 $146 6.8×
Aminolevulinic acid (ala) (82135) $111.80 $172 6.8×
Ammonia (82140) $106.60 $164 7.3×
Amniotic fluid protein test on cervicovaginal fluid (84112) $172.25 $265 1.8×
Amylase urine (82150) $83.20 $128 12.8×
Ana Titer (86039) $85.15 $131 7.6×
Anca screen each antibody (86036) $92.30 $142 7.7×
Anca Titer Each Antibody (86037) $89.70 $138 7.4×
Androstenedione (82157) $116.35 $179 4.0×
Angiotensin converting enzyme csf (82164) $89.05 $137 6.1×
Anti-Phospholipid Antibody (86148) $83.85 $129 5.2×
Antibody aspergillus (86606)
range across 4 matching MRF lines
$46.15–$91 $71–$140 varies
Antibody Bacterium Not Elsewhere Specified (86609) $49.40 $76 3.8×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $79.95 $123 5.2×
Antibody Cytomegalovirus Cmv Igm (86645) $94.90 $146 5.6×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $89.70 $138 6.8×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $79.95 $123 5.2×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $96.20 $148 5.3×
Antibody Fungus Not Elsewhere Specified (86671) $97.50 $150 8.0×
Antibody haemophilus influenza (86684) $134.55 $207 8.5×
Antibody helicobacter pylori (86677) $97.50 $150 5.8×
Antibody Herpes Smplx Non-Specific Type Test (86694) $79.95 $123 5.6×
Antibody Herpes Smplx Type 1 (86695) $73.45 $113 5.6×
Antibody HIV-1&HIV-2 single result (86703) $87.75 $135 6.4×
Antibody HIV-2 (86702) $100.75 $155 7.5×
Antibody htlv/HIV antibody confirmatory test (86689) $141.70 $218 7.3×
Antibody Identification Platelet Immunogl Assay (86023) $165.75 $255 13.3×
Antibody john cunningham virus (86711)
range across 2 matching MRF lines
$544.70–$1,034.80 $838–$1,592 varies
Antibody Protozoa Nes (86753)
range across 3 matching MRF lines
$53.95–$79.30 $83–$122 varies
Antibody Titer (86886) $101.40 $156 19.6×
Antibody Treponema Pallidum (86780)
range across 4 matching MRF lines
$52–$80.60 $80–$124 varies
Antibody; influenza virus (86710) $78 $120 5.8×
Antigen typing (86905) $59.15 $91 15.4×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $93.60 $144 16.4×
Antinuclear antibodies (86038) $94.25 $145 7.8×
Antistreptolysin o titer (86060) $66.30 $102 9.1×
Antithrombin iii activity (85300) $93.60 $144 7.9×
Antithrombin iii antigen (85301) $104 $160 9.6×
Apolipoprotein a1 (82172) $80.60 $124 3.8×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $258.05 $397 6.8×
Aquaporin-4 Antb Cba Each (86052) $261.30 $402 21.7×
Aquaporin-4 Antb Elisa (86051) $115.05 $177 10.0×
Arsenic (82175)
range across 3 matching MRF lines
$114.40–$143.65 $176–$221 varies
Aspergillus ag eia (87305) $161.20 $248 13.5×
Assay Blood Carbon Dioxide (82374) $37.05 $57 7.6×
Assay Nephelometry Not Spec (83883)
range across 3 matching MRF lines
$91.65–$152.10 $141–$234 varies
Assay of 5-hiaa (83497) $96.20 $148 7.5×
Assay of b-hexosaminidase each assay (83080) $156 $240 9.2×
Assay of blood/uric acid (84550) $40.95 $63 9.1×
Assay of calcium in urine (82340) $55.25 $85 9.2×
Assay of cpk in blood (82552) $72.80 $112 5.4×
Assay of estrone (82679) $100.75 $155 4.0×
Assay of g6pd enzyme (82955) $68.90 $106 7.1×
Assay of gammaglobulin igm (82784)
range across 6 matching MRF lines
$68.90–$98.80 $106–$152 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines
$79.30–$183.30 $122–$282 varies
Assay of metanephrines (83835)
range across 2 matching MRF lines
$114.40–$176.15 $176–$271 varies
Assay of proinsulin (84206) $126.10 $194 4.7×
Assay of pyruvate (84210) $70.20 $108 4.8×
Assay of serotonin (84260) $187.20 $288 6.0×
Assay of serum potassium (84132) $40.95 $63 8.6×
Assay of sweat sodium (84302) $39.65 $61 8.2×
Assay of urea nitrogen (84520) $40.95 $63 10.4×
Assay of urine vma (84585) $89.70 $138 5.8×
Assay of vasoactive intestinal peptide (84586) $167.70 $258 4.7×
Assay of vitamin b-1 (84425) $133.90 $206 6.3×
Assay Ph Body Fluid Nos (83986) $51.35 $79 14.3×
Assay spec xcp ur&breath ia (82077) $103.35 $159 6.0×
Autol Bld/Component Collj Storage Predeposited (86890) $269.75 $415 1.6×
Automated Leukocyte Count (85048)
range across 2 matching MRF lines
$31.85–$32.50 $49–$50 varies
B cells total count (86355) $134.55 $207 3.6×
Babesia microti amp prb (87469) $182 $280 5.2×
Bartonella antibody (86611) $45.50 $70 4.5×
Bcr/abl1 gene major bp (81206)
range across 3 matching MRF lines
$433.55–$562.90 $667–$866 varies
Bcr/abl1 gene minor bp (81207) $450.45 $693 3.1×
Bcr/Abl1 Gene Other Bp (81208) $338.65 $521 1.6×
Beta 2 glycoprotein i antibody each (86146) $109.20 $168 4.3×
Beta hydroxybutyrate (82010) $62.40 $96 7.6×
Beta Lactamase (87185) $32.50 $50 6.8×
Beta-2 Microglobulin (82232) $91 $140 5.6×
Bile acids total (82239) $63.70 $98 3.7×
Bilirubin direct (82248) $40.95 $63 8.2×
Bilirubin total (82247) $81.90 $126 16.3×
Bilirubin total transcutaneous (88720) $31.20 $48 6.2×
Biotinidase (82261) $16.25 $25 1.0×
Blastomyces antibody (86612) $96.85 $149 7.5×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $110.50 $170 0.7×
Bld Typing Serologic Rh Phnt (86906) $115.05 $177 14.8×
Bleeding time test (85002) $71.50 $110 14.8×
Blood Count Red Blood Cell Automated (85041) $19.50 $30 6.5×
Blood count reticulocyte automated (85045) $52 $80 13.0×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $33.15 $51 8.7×
Blood gas (82803) $159.90 $246 6.1×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $48.10 $74 3.0×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $33.15 $51 7.6×
Blood Type Antigen Donor Reagent Serum Each (86902) $131.95 $203 20.8×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $57.20 $88 3.5×
Blood typing serologic abo (86900) $65.65 $101 22.0×
Bordetella antibody (86615) $79.95 $123 6.1×
Borrelia miyamotoi amp prb (87478) $157.95 $243 4.5×
Braf gene analysis (81210)
range across 2 matching MRF lines
$369.85–$427.05 $569–$657 varies
Breath Alcohol Test (82075) $48.75 $75 1.6×
Brucella antibody (86622)
range across 3 matching MRF lines
$68.25–$83.85 $105–$129 varies
C diff amplified probe (87493) $157.30 $242 4.2×
C-Peptide (84681) $118.30 $182 5.7×
C-reactive protein (86140) $50.70 $78 9.8×
Ca 19-9 (86301) $120.25 $185 5.8×
Cadmium (82300) $79.95 $123 3.4×
Caffeine (80155) $110.50 $170 2.9×
Calcitonin (82308) $136.50 $210 5.1×
Calcium ionized (82330) $108.55 $167 7.9×
Calcium total (82310)
range across 2 matching MRF lines
$46.15–$53.95 $71–$83 varies
Calculus assay quant (82360) $87.10 $134 6.8×
Calculus Spectroscopy (82365) $130 $200 10.1×
Calprotectin Fecal (83993) $195.65 $301 10.0×
Calr gene com variants (81219) $594.10 $914 4.9×
Cancer Antigen 125 (86304) $125.45 $193 6.0×
Cancer Antigen 27.29 (86300) $141.05 $217 6.8×
Candida antibody (86628) $71.50 $110 6.0×
Candida Dna Dir Probe (87480) $70.85 $109 3.5×
Carbamazepine total (80156) $115.05 $177 7.9×
Carboxyhemoglobin (82375) $75.40 $116 6.1×
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines
$128.70–$132.60 $198–$204 varies
Cardiolipin ab iga (86147) $84.50 $130 3.3×
Carotene (82380) $104.65 $161 11.4×
Catecholamines fractionated (82384)
range across 3 matching MRF lines
$135.20–$145.60 $208–$224 varies
Ccp antibody (86200) $105.95 $163 8.2×
Cebpa Gene Analysis Full Gene Sequence (81218) $455 $700 1.9×
Cell count csf (89051) $104 $160 18.6×
Cell marker study (88182) $215.15 $331 4.3×
Ceruloplasmin (82390) $75.40 $116 7.0×
Cftr gene dup/delet variants (81222) $744.25 $1,145 1.7×
Cftr gene full sequence (81223) $1,190.80 $1,832 2.4×
Chemiluminescent assay (82397)
range across 4 matching MRF lines
$42.25–$173.55 $65–$267 varies
Chlamydia antibody (86631)
range across 3 matching MRF lines
$55.90–$58.50 $86–$90 varies
Chlamydia Igm Antibody (86632) $66.95 $103 5.3×
Chlmy trch&neisra gonor mult (87494) $210.60 $324 3.0×
Chloride other source (82438)
range across 3 matching MRF lines
$40.30–$44.20 $62–$68 varies
Chloride Serum (82435) $40.95 $63 8.9×
Chloride urine (82436)
range across 3 matching MRF lines
$40.30–$53.30 $62–$82 varies
Cholesterol total (82465) $46.15 $71 10.6×
Cholinesterase rbc (82482) $59.15 $91 6.0×
Cholinesterase Serum (82480) $46.15 $71 5.9×
Chorionic gonadotropin test (84702)
range across 4 matching MRF lines
$40.30–$113.75 $62–$175 varies
Chrmsm Analysis Addl Cells Counted Each Study (88285) $49.40 $76 1.8×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $40.95 $63 1.2×
Chromium serum (82495) $75.40 $116 3.7×
Chromogenic Substrate Assay (85130) $209.95 $323 17.7×
Chromogranin a (86316) $157.95 $243 7.6×
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines
$295.10–$585.65 $454–$901 varies
Chromosome Analysis 20-25 (88264) $376.35 $579 2.6×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$83.20–$156 $128–$240 varies
Citric acid urine (82507) $94.90 $146 3.4×
Ckmb (82553) $114.40 $176 9.9×
Clostridium Difficile (87324) $112.45 $173 9.4×
Clot Factor VIII Multimetric (85247) $160.55 $247 7.0×
Clot factor xiii fibrin stab (85290) $126.10 $194 7.7×
Clotting factor xii hageman (85280) $128.05 $197 6.6×
Clotting Funct Activity (85397)
range across 2 matching MRF lines
$94.90–$103.35 $146–$159 varies
Cns DNA amp probe type 12-25 (87483) $700.70 $1,078 1.7×
Coagulation time activated (85347) $75.40 $116 17.6×
Coccidioides antibody (86635) $66.30 $102 5.8×
Cold agglutinin titer (86157) $53.30 $82 6.6×
Collagen crosslinks (82523)
range across 2 matching MRF lines
$107.90–$108.55 $166–$167 varies
Column Chromotography Quant (82542)
range across 6 matching MRF lines
$87.10–$239.85 $134–$369 varies
Comparative Anal Str Markers Patient&Comp Spec (81265) $843.05 $1,297 3.6×
Compatibility Each Unit Incubation (86921) $143.65 $221 0.9×
Compatibility test antiglob (86922) $166.40 $256 1.0×
Complement Antigen Each Component (86160) $99.45 $153 8.3×
Complement Total (Ch50) (86162) $114.40 $176 5.6×
Complement/Function Activity (86161)
range across 3 matching MRF lines
$148.85–$211.90 $229–$326 varies
Consltj&Reprt Slides Prepared Elsewhere (88321) $183.30 $282 5.1×
Coombs direct (86880) $72.80 $112 13.5×
Copper urine (82525) $85.15 $131 6.9×
Cortisol free (82530) $99.45 $153 6.0×
Cortisol saliva (82533)
range across 2 matching MRF lines
$79.30–$126.10 $122–$194 varies
Creatine kinase total (82550) $76.05 $117 11.7×
Creatinine blood (82565) $40.30 $62 7.9×
Creatinine clearance (82575) $94.25 $145 10.0×
Creatinine Urine (82570) $54.60 $84 10.5×
Crossmatch immediate spin (86920) $128.05 $197 0.8×
Crp High Sensitivity (86141) $100.75 $155 7.8×
Cryofibrinogen (82585) $48.10 $74 3.4×
Cryoglobulin (82595) $59.15 $91 9.1×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $78 $120 6.0×
Cryptococcal Antigen (87327) $65 $100 4.8×
Cryptococcus ag titer (87899)
range across 9 matching MRF lines
$53.95–$65.65 $83–$101 varies
Cryptosporidium ag eia (87328) $69.55 $107 5.0×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $69.55 $107 8.6×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $100.75 $155 12.5×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $84.50 $130 11.0×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $754.65 $1,161 3.5×
Culture afb (87116) $122.85 $189 11.4×
Culture Anaerobic (87075) $123.50 $190 13.0×
Culture bacteria anaerobic (87073) $104.65 $161 10.8×
Culture blood (87040) $128.70 $198 12.5×
Culture chlamydia (87110) $94.90 $146 4.8×
Culture csf (87070)
range across 16 matching MRF lines
$124.15–$125.45 $191–$193 varies
Culture fungus (87102) $105.95 $163 12.6×
Culture fungus blood (87103) $90.35 $139 4.4×
Culture screen only (87081)
range across 10 matching MRF lines
$87.10–$87.75 $134–$135 varies
Culture stool (87045) $141.70 $218 15.0×
Culture Typing Gas/High Pres Liq Chromatography (87143) $66.30 $102 5.3×
Culture typing if ea antiserum (87140) $38.35 $59 6.9×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 8 matching MRF lines
$39–$41.60 $60–$64 varies
Culture typing other methods (87158) $57.20 $88 7.4×
Culture urine (87086) $86.45 $133 10.7×
Cyanide (82600) $85.80 $132 4.4×
Cyclic amp (82030) $127.40 $196 4.9×
Cyclosporine (80158) $180.70 $278 10.0×
Cyp2c19 gene analysis common variants (81225) $510.90 $786 1.8×
Cyp3a4 gene common variants (81230) $368.55 $567 2.1×
Cystatin C (82610) $92.30 $142 5.0×
Cytogenetics 10-30 (88273) $87.75 $135 2.5×
Cytogenetics 100-300 (88275) $126.10 $194 2.5×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,539.20 $2,368 1.3×
Cytomegalovirus igg (86644) $102.70 $158 7.1×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $72.80 $112 3.6×
Cytopath Cell Enhance Tech (88112) $169 $260 3.4×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $76.70 $118 2.9×
Cytp Concentration Smears & Interpretation (88108) $141.70 $218 3.9×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $149.50 $230 3.0×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $132.60 $204 3.7×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $489.45 $753 3.0×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $49.40 $76 2.7×
Deoxycortisol (82634) $97.50 $150 3.3×
Deoxyribonuclease antibody (86215)
range across 2 matching MRF lines
$61.75–$82.55 $95–$127 varies
Detect Agent Nos Dna Amp (87798)
range across 25 matching MRF lines
$72.15–$248.95 $111–$383 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$138.45–$381.55 $213–$587 varies
Detect agnt mult DNA ampli (87801)
range across 3 matching MRF lines
$214.50–$221 $330–$340 varies
Dgp Antibody Each Ig Class (86258) $93.60 $144 7.8×
Dhea (82626) $119.60 $184 4.7×
Dhea-S (82627) $109.20 $168 4.9×
Digoxin (80162) $80.60 $124 6.1×
Dihydrotestosterone (82642) $101.40 $156 3.5×
Dipropylacetic Acid Free (80165) $84.50 $130 6.2×
Dna Antibody Native/Double Stranded (86225) $104 $160 7.6×
Dna Antibody Single Stranded (86226) $81.25 $125 6.7×
Dna/Rna Amplified Probe (87150) $31.20 $48 0.9×
Drug assay acetaminophen (80143) $136.50 $210 7.3×
Drug assay adalimumab (80145) $220.35 $339 5.7×
Drug Assay Amiodarone (80151) $130 $200 7.0×
Drug Assay Everolimus (80169) $221 $340 16.1×
Drug assay felbamate (80167) $119.60 $184 6.4×
Drug Assay Infliximab (80230) $174.20 $268 4.5×
Drug Assay Itraconazole (80189) $126.75 $195 4.7×
Drug Assay Lacosamide (80235) $124.80 $192 4.6×
Drug Assay Leflunomide (80193) $150.80 $232 3.9×
Drug Assay Posaconazole (80187) $143.65 $221 5.3×
Drug assay voriconazole (80285) $102.70 $158 3.8×
Drug Screen Quant Clozapine (80159) $120.25 $185 6.0×
Drug Screen Quant Zonisamide (80203) $111.15 $171 8.4×
Drug Screen Quantitative Gabapentin (80171) $73.45 $113 3.4×
Drug Screen Quantitative Lamotrigine (80175) $118.95 $183 9.0×
Drug Screen Quantitative Levetiracetam (80177) $115.05 $177 8.7×
Drug Screen Quantitative Oxcarbazepine (80183) $144.30 $222 10.9×
Drug Test Prsmv Chem Anlyzr (80307)
range across 16 matching MRF lines
$62.40–$236.60 $96–$364 varies
Drug Test Prsmv Instrmnt (80306) $98.80 $152 5.8×
Egfr Gene Analysis Common Variants (81235) $726.70 $1,118 2.2×
Ehrlichia antibody (86666) $94.25 $145 9.3×
El-1 Fecal Quantitative (82653) $123.50 $190 5.4×
Electrolyte panel (80051) $97.50 $150 13.9×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $147.55 $227 2.4×
Endomysial Antibody Each Immunoglobulin Class (86231)
range across 2 matching MRF lines
$91–$130 $140–$200 varies
Enterovirus Antibody (86658) $65 $100 5.0×
Enterovirus PCR (87498) $165.75 $255 4.7×
Enzyme cell activity (82657) $21.45 $33 1.0×
Enzyme histochemistry (88319) $387.40 $596 0.5×
Eosinophil Smear (89190) $49.40 $76 8.5×
Erythropoietin (82668) $126.75 $195 6.7×
Estradiol serum (82670) $137.15 $211 4.9×
Estriol (82677) $86.45 $133 3.6×
Estrogen total (82672) $148.20 $228 6.8×
Estrogens fractionated (82671) $123.50 $190 3.8×
Ethosuximide (80168) $69.55 $107 4.3×
Ethylene Glycol (82693) $108.55 $167 7.3×
Exam Synovial Fluid Crystals (89060) $57.85 $89 7.9×
F2 Gene (81240) $304.20 $468 4.6×
Factor ii activity (85210) $94.90 $146 7.3×
Factor Inhibitor Test (85335)
range across 3 matching MRF lines
$131.30–$167.05 $202–$257 varies
Factor ix activity (85250) $139.75 $215 7.3×
Factor v activity (85220) $119.60 $184 6.8×
Factor v leiden mutation (81241) $280.80 $432 3.8×
Factor vii assay (85230) $124.80 $192 7.0×
Factor viii assay (85240) $138.45 $213 7.7×
Factor X (85260) $131.95 $203 7.4×
Factor xi activity (85270) $131.95 $203 7.4×
Factor xiii screen (85291)
range across 2 matching MRF lines
$83.85–$120.25 $129–$185 varies
Fat/Lipids Feces Quantitative (82710) $106.60 $164 6.3×
Fatty acids free (82725) $79.30 $122 4.2×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $69.55 $107 9.0×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $75.40 $116 4.4×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $86.45 $133 13.2×
Fecal Fat Qualitative (82705) $38.35 $59 7.5×
Ferritin (82728) $92.30 $142 6.8×
Fetal Chrmoml Aneuploidy (81420) $1,140.10 $1,754 1.5×
Fetal Chrmoml Microdeltj (81422)
range across 2 matching MRF lines
$76.70–$304.20 $118–$468 varies
Fetal Congenital Abnor Assay Four Anal (81511) $200.85 $309 1.3×
Fetal Fibronectin (82731) $354.25 $545 5.5×
Fetal hemoglobin assay qual (83033) $61.75 $95 7.7×
Fetal screen rosette (85461) $65 $100 6.9×
Fibrin Degradation Quant (85379) $137.80 $212 13.5×
Fibrin dgradj products d-dimer qual/semiquan (85378) $89.70 $138 9.2×
Fibrinogen activity (85384) $91.65 $141 9.4×
Fibrinogen antigen (85385) $103.35 $159 7.1×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $53.95 $83 3.5×
Flecainide level (80181) $130 $200 7.0×
Flow cytometry first marker (88184)
range across 4 matching MRF lines
$189.80–$229.45 $292–$353 varies
Flt3 Gene (81245) $421.20 $648 2.5×
Flt3 gene analysis (81246) $460.85 $709 5.6×
Fluorescent antibody screen (86255)
range across 24 matching MRF lines
$96.20–$209.30 $148–$322 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 9 matching MRF lines
$53.95–$124.80 $83–$192 varies
Fluoride serum (82735) $96.85 $149 5.2×
Folic acid rbc (82747) $111.15 $171 6.3×
Folic Acid Serum (82746) $81.90 $126 5.6×
Follicle Stimulating Hormone (83001) $115.05 $177 6.2×
Francisella tularensis (86668) $77.35 $119 5.5×
Fresh Frozen Plasma Thawing Each Unit (86927) $83.85 $129 0.5×
Frozen blood freeze/thaw (86932) $209.95 $323 5.8×
Frozen Section (88331) $254.15 $391 1.6×
Fungi Identification Mold (87107) $87.10 $134 8.4×
Fungi Identification Yeast (87106) $87.10 $134 8.4×
Galactose (82760) $11.05 $17 1.0×
Gammaglobulin ige (82785) $87.10 $134 5.3×
Gardner vag DNA dir probe (87510) $70.85 $109 3.5×
Gardner Vag Dna Quant (87512) $96.20 $148 2.3×
Gases blood ph only (82800)
range across 2 matching MRF lines
$38.35–$40.30 $59–$62 varies
Gastrin (82941) $114.40 $176 6.5×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $602.55 $927 1.4×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)
range across 2 matching MRF lines
$1,463.15–$1,759.55 $2,251–$2,707 varies
Gentamicin (80170) $84.50 $130 5.2×
Ggt (82977) $66.30 $102 9.2×
Giardia antigen (87329) $73.45 $113 6.1×
Glucagon (82943) $91 $140 6.4×
Glucose 2 hr pp (82950) $44.20 $68 9.3×
Glucose Blood Test (82962) $28.60 $44 8.7×
Glucose body fluid (82945) $66.30 $102 16.9×
Glucose Serum (82947) $42.25 $65 10.8×
Glucose tolerance test (gtt) (82951) $143.65 $221 11.2×
Glycated Protein (82985) $63.05 $97 3.8×
Gonadotropin Chorionic Qualitative (84703)
range across 2 matching MRF lines
$37.05–$115.05 $57–$177 varies
Growth hormone (83003) $87.10 $134 5.2×
Gtt-added samples (82952) $40.95 $63 10.4×
H Pylori (C-13) Breath (83013) $200.85 $309 3.0×
H Pylori Drug Admin (83014) $29.25 $45 3.7×
Haptoglobin (83010) $105.30 $162 8.4×
Hba1/hba2 full gene sequence (81259) $500.50 $770 0.8×
Hbb duplication/deletion variants (81363) $475.15 $731 2.3×
Hbb Full Gene Sequence (81364) $481.65 $741 1.5×
Hdl Cholesterol (83718) $48.10 $74 5.9×
Helicobacter Pylori Stool (87338) $146.90 $226 10.2×
Hematocrit (85014) $37.05 $57 15.6×
Hemoglobin (85018) $36.40 $56 15.4×
Hemoglobin a1c (83036) $84.50 $130 8.7×
Hemoglobin Chromotography (83021) $75.40 $116 4.2×
Hemoglobin electrophoresis (83020)
range across 2 matching MRF lines
$12.35–$139.10 $19–$214 varies
Hemoglobin Methemoglobin Quantitative (83050) $48.75 $75 5.9×
Hemoglobin plasma (83051) $79.30 $122 10.8×
Hemoglobin stability screen (83068) $82.55 $127 8.7×
Hep a ab igm (86709) $116.35 $179 10.3×
Heparin assay (85520)
range across 2 matching MRF lines
$144.95–$154.70 $223–$238 varies
Heparin Neutralization (85525)
range across 3 matching MRF lines
$54.60–$59.15 $84–$91 varies
Hepatitis a antibody total (86708) $117.65 $181 9.5×
Hepatitis b core ab igm (86705) $85.80 $132 7.3×
Hepatitis b core ab total (86704) $94.90 $146 7.9×
Hepatitis B Surface Antibody (86706) $96.85 $149 9.0×
Hepatitis B Surface Antigen (87340) $87.75 $135 8.5×
Hepatitis Be Antibody (86707) $66.95 $103 5.8×
Hepatitis Be Antigen (87350) $66.30 $102 5.8×
Hepatitis C Antibody (86803) $117 $180 8.2×
Hepatitis C Genotype (87902)
range across 2 matching MRF lines
$631.15–$752.70 $971–$1,158 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $280.80 $432 8.0×
Hepatitis C Revrs Trnscrpj (87522) $354.25 $545 8.3×
Hepatitis Delta Agent Antibody (86692) $117 $180 6.8×
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) $2,642.25 $4,065 2.0×
Herpes simplex type 2 (86696) $94.25 $145 4.9×
Heterophile Antibody Screen (86308) $68.90 $106 13.3×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $113.75 $175 14.7×
Histamine urine (83088) $185.90 $286 6.3×
Histoplasma antibody (86698) $48.75 $75 3.5×
Histoplasma antigen urine (87385) $176.80 $272 13.3×
Hiv Antigen W/Hiv Antibodies (87806) $89.70 $138 2.7×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $73.45 $113 3.1×
Hiv-1 Antibody (86701) $71.50 $110 8.0×
Hiv-1 Quant&Revrse Trnscrpj (87536) $215.80 $332 2.5×
Hla I Typing 1 Allele Hr (81381) $304.20 $468 1.8×
Hla ii type 1 ag equiv lr (81377) $271.70 $418 2.9×
Hla ii typing 1 locus lr (81376)
range across 2 matching MRF lines
$271.05–$289.25 $417–$445 varies
Hla Typing a/B/C Multiple Antigens (86813) $330.85 $509 5.7×
Hla Typing Dr/Dq Multiple Antigens (86817) $507.65 $781 4.8×
Hla Typing Dr/Dq Single Antigen (86816) $221 $340 7.3×
Hla-b27 (86812) $133.90 $206 5.2×
Homocysteine (83090) $133.90 $206 7.5×
Homogenization Tissue (87176) $41.60 $64 7.1×
Homovanillic acid urine (83150) $76.05 $117 3.4×
Hpv High-Risk Types (87624) $117.65 $181 3.4×
Hpv Types 16 & 18 Only (87625) $91.65 $141 2.3×
Hsv Dna Amp Probe (87529)
range across 3 matching MRF lines
$91.65–$161.85 $141–$249 varies
Htlv-I Antibody (86687) $65 $100 7.2×
Hydroxycorticosteroids 17 (83491) $83.85 $129 4.7×
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines
$26–$98.15 $40–$151 varies
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $72.80 $112 7.0×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $136.50 $210 9.8×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $71.50 $110 2.0×
Iaad ia shiga-like toxin (87427) $53.95 $83 4.5×
Iaad Ia Streptococcus Group A (87430) $96.85 $149 5.8×
Iaadi Varicella Zoster Virus (87290) $75.40 $116 5.6×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $154.05 $237 4.4×
Iadna Candida Species Amplified Probe Tq (87481) $96.85 $149 2.8×
Iadna chlamydia pneumoniae amplified probe tq (87486) $133.25 $205 3.8×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $215.80 $332 6.1×
Iadna Cytomegalovirus Quantification (87497) $336.05 $517 7.8×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $141.05 $217 2.0×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $130.65 $201 3.7×
Iadna Hepatitis B Virus Quantification (87517) $298.35 $459 7.0×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $126.10 $194 3.6×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $133.25 $205 3.8×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$83.20–$156 $128–$240 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $143.65 $221 2.8×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $285.35 $439 2.0×
Idh1 common variants (81120) $417.30 $642 2.2×
Idh2 common variants (81121) $472.55 $727 1.6×
Ig Light Chains Free Each (83521) $124.15 $191 7.2×
Igg subclasses (82787) $53.30 $82 6.6×
Igh gene rearrange amp meth (81261) $434.20 $668 2.2×
Igh@ Variable Region Somatic Mutation Analysis (81263) $657.80 $1,012 2.2×
Igk rearrangeabn clonal pop (81264) $389.35 $599 2.3×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $216.45 $333 0.6×
Immune Complex Assay (86332)
range across 2 matching MRF lines
$105.30–$117 $162–$180 varies
Immunfix e-phorsis/urine/csf (86335) $134.55 $207 4.6×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 9 matching MRF lines
$66.30–$414.70 $102–$638 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 3 matching MRF lines
$77.35–$113.10 $119–$174 varies
Immunoassay nonantibody (83516)
range across 11 matching MRF lines
$11.05–$93.60 $17–$144 varies
Immunodiffusion not elsewhere specified (86329) $105.95 $163 7.5×
Immunofixation electrophoresis (86334)
range across 3 matching MRF lines
$142.35–$157.30 $219–$242 varies
Immunohistochemistry (88342) $290.55 $447 1.8×
In situ hybridization 1st probe stain (88365) $280.80 $432 1.7×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $125.45 $193 1.8×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $83.20 $128 2.4×
Influenza a/b ag eia (87400) $91.65 $141 6.5×
Influenza assay w/optic (87804)
range across 5 matching MRF lines
$65.65–$72.80 $101–$112 varies
Influenza DNA amp probe (87502) $185.90 $286 1.9×
Inhibin A (86336) $83.20 $128 5.3×
Inhibin b (83520)
range across 18 matching MRF lines
$51.35–$270.40 $79–$416 varies
Insulin antibodies (86337) $126.10 $194 5.9×
Insulin free (83527) $75.40 $116 5.8×
Insulin total (83525) $79.30 $122 6.9×
Interleukin-6 (83529) $141.70 $218 8.2×
Intrinsic factor antibody (86340) $85.80 $132 5.7×
Iron (83540) $65 $100 10.0×
Iron Binding Capacity (83550) $70.20 $108 8.0×
Irradiation Blood Product Each Unit (86945) $91.65 $141 2.6×
Islet cell antibody (86341)
range across 3 matching MRF lines
$79.95–$343.20 $123–$528 varies
Jak2 gene analysis p.val617phe variant (81270) $453.70 $698 4.9×
Kit Gene Analysis Targeted Sequence Analysis (81272) $564.20 $868 1.7×
Koh Prep (87220) $55.90 $86 13.1×
Kras Gene Analysis Additional Variant(S) (81276) $374.40 $576 1.9×
Kras Gene Variants Exon 2 (81275) $644.80 $992 3.3×
L/s ratio (83661) $179.40 $276 8.2×
Lactate (ld) (ldh) enzyme (83615) $49.40 $76 8.2×
Lactoferrin fecal qualitative (83630) $53.95 $83 2.7×
Ldh Isoenzymes (83625) $79.30 $122 6.2×
LDL direct (83721) $45.50 $70 4.3×
Lead (83655) $65 $100 5.4×
Legionella antibody (86713) $98.15 $151 6.4×
Legionella antigen urine (87449)
range across 5 matching MRF lines
$85.80–$146.25 $132–$225 varies
Leptospira antibody (86720) $81.25 $125 5.0×
Leukocyte Assessment Fecal (89055) $44.20 $68 10.4×
Level I Surg Pathology Gross Examination Only (88300) $91.65 $141 3.3×
Level ii surg pathology gross&microscopic exam (88302) $144.30 $222 4.0×
Level V Surg Pathology Gross&Microscopic Exam (88307) $420.55 $647 1.2×
Lidocaine (80176) $83.85 $129 5.7×
Lipase (83690) $83.20 $128 12.1×
Lipoprotein A (83695) $85.80 $132 6.0×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $70.85 $109 2.1×
Lithium (80178) $71.50 $110 10.8×
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines
$97.50–$100.75 $150–$155 varies
Lyme disease antibody (86618)
range across 2 matching MRF lines
$98.80–$133.90 $152–$206 varies
Lysozyme serum (85549) $79.30 $122 4.2×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $416.65 $641 2.5×
Macroscopic exam arthropod (87168) $34.45 $53 8.1×
Macroscopic Exam Parasite (87169) $34.45 $53 8.0×
Magnesium Urine (83735)
range across 4 matching MRF lines
$57.20–$73.45 $88–$113 varies
Mass Spectrometry Quant (83789)
range across 3 matching MRF lines
$16.90–$148.20 $26–$228 varies
Mercury urine (83825) $71.50 $110 4.4×
Metabolic panel ionized ca (80047) $140.40 $216 10.2×
Methotrexate (80204) $130 $200 3.4×
Methylmalonic acid serum (83921) $155.35 $239 7.3×
Mgmt methylation analysis (81287) $415.35 $639 3.3×
Microalbumin, quantitative (82043) $68.25 $105 11.8×
Microsatellite instability (81301) $611 $940 1.8×
Microsomal Antibodies Each (86376) $79.95 $123 5.5×
Mitochondrial Antibody Each (86381) $35.10 $54 1.4×
Mlh1 Gene (81288) $441.35 $679 2.3×
Mog-Igg1 Antb Cba Each (86362) $446.55 $687 37.1×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $560.30 $862 14.9×
Molecular Cytogenetics Dna Probe Each (88271)
range across 14 matching MRF lines
$59.15–$266.50 $91–$410 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $104.65 $161 2.5×
Molecular Pathology Procedure Level 6 (81405)
range across 2 matching MRF lines
$768.30–$1,020.50 $1,182–$1,570 varies
Mononuclear cell antigen (86356) $91.65 $141 3.4×
Mopath procedure level 2 (81401)
range across 2 matching MRF lines
$497.25–$527.15 $765–$811 varies
Mopath procedure level 4 (81403)
range across 2 matching MRF lines
$167.05–$547.30 $257–$842 varies
Mopath procedure level 5 (81404)
range across 3 matching MRF lines
$206.70–$748.80 $318–$1,152 varies
Mopath procedure level 7 (81406)
range across 2 matching MRF lines
$1,099.15–$1,332.50 $1,691–$2,050 varies
Mopath procedure level 9 (81408) $844.35 $1,299 0.4×
Mpl gene analysis sequence analysis exon 10 (81339) $541.45 $833 2.9×
Mrsa Pcr (87641) $119.60 $184 3.4×
Mthfr Gene Analysis Common Variants (81291) $246.35 $379 3.8×
Mumps antibody (86735) $79.95 $123 6.1×
Mycobacteric Identification (87118) $75.40 $116 5.2×
Mycophenolic Acid (80180) $111.15 $171 6.2×
Mycoplasma antibody (86738) $92.30 $142 7.0×
Mycoplasma culture (87109) $172.25 $265 11.2×
Myd88 Gene P.Leu265pro Vrnt (81305) $451.75 $695 2.6×
Myelin basic protein csf (83873) $115.05 $177 6.7×
Myoglobin urine (83874) $113.75 $175 8.8×
Natriuretic peptide (83880) $130.65 $201 3.3×
Neisseria Dir Na Probe (87590) $89.05 $137 3.3×
Neutralization Test Viral (86382) $104 $160 6.2×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $250.90 $386 1.8×
Nfct ds chrnc hcv 6 assays (81596) $244.40 $376 3.4×
Niacin (84591)
range across 2 matching MRF lines
$99.45–$107.90 $153–$166 varies
Nk cells total count (86357) $106.60 $164 2.8×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $516.10 $794 2.1×
Nras gene variants exon 2&3 (81311) $572.65 $881 1.9×
Nuclear antigen antibody (86235)
range across 9 matching MRF lines
$95.55–$101.40 $147–$156 varies
Occult blood feces (82272) $33.15 $51 7.8×
Occult Blood Other Sources (82271) $40.30 $62 7.6×
Oligoclonal bands (83916) $119.60 $184 4.4×
Organic Acids Qualitative Each Specimen (83919) $137.80 $212 8.4×
Organic acids urine (83918)
range across 2 matching MRF lines
$16.25–$131.95 $25–$203 varies
Osmolality serum (83930) $79.30 $122 12.0×
Osmolality Urine (83935) $71.50 $110 10.5×
Osmotic fragility rbc incubated (85557) $89.05 $137 6.7×
Ova and parasites smears (87177) $87.10 $134 9.8×
Oxalate urine (83945)
range across 3 matching MRF lines
$66.30–$70.20 $102–$108 varies
Particle Agglut Antbdy Titr (86406) $84.50 $130 7.9×
Particle Agglutination Screen Each Antibody (86403) $75.40 $116 6.5×
Parvovirus antibody (86747) $49.40 $76 3.3×
Pdgfra Gene Analys Targeted Sequence Analys (81314) $570.70 $878 1.7×
Ph urine (81003)
range across 4 matching MRF lines
$44.20–$48.75 $68–$75 varies
Phenobarbital Level (80184) $98.15 $151 6.4×
Phenotype Infect Agent Drug (87900) $374.40 $576 2.9×
Phenylalanine (84030) $33.15 $51 6.0×
Phenytoin (Dilantin) (80185) $107.90 $166 8.1×
Phenytoin free (80186) $73.45 $113 5.3×
Phosphatase acid prostatic (84066) $56.55 $87 5.9×
Phosphatase alkaline (84075) $37.05 $57 7.2×
Phospholipid Neutralization Hexagonal (85598) $124.80 $192 6.9×
Phosphorus Serum (84100) $53.95 $83 11.4×
Phosphorus urine (84105) $40.30 $62 7.0×
Pinworm exam (87172) $28.60 $44 6.7×
Platelet Aggregation (85576) $118.30 $182 4.7×
Platelet Antibodies (86022)
range across 4 matching MRF lines
$104.65–$312 $161–$480 varies
Platelet count automated (85049) $54.60 $84 12.2×
Platelet neutralization (85597) $111.80 $172 6.2×
Pooling blood platelets (86965) $93.60 $144 0.6×
Porphobilinogen, urine; quantitative (84110) $66.95 $103 7.9×
Porphyrins Feces Quantitative (84126) $176.80 $272 4.5×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines
$83.20–$86.45 $128–$133 varies
Potassium Urine (84133)
range across 3 matching MRF lines
$44.85–$50.70 $69–$78 varies
Prealbumin (84134) $101.40 $156 6.9×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $128.05 $197 0.8×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $154.70 $238 2.7×
Pretx serum rbc antibody identification dilution (86976) $57.85 $89 2.1×
Primidone (80188) $79.30 $122 4.8×
Procalcitonin (Pct) (84145) $153.40 $236 5.6×
Progesterone (84144) $98.15 $151 4.7×
Prolactin (84146) $118.95 $183 6.1×
Prostaglandin (84150) $289.25 $445 6.9×
Protein body fluid (84157) $53.95 $83 13.5×
Protein C Activity (85303) $146.90 $226 10.6×
Protein c antigen (85302) $157.95 $243 13.2×
Protein Electrophoresis Urine (84166)
range across 2 matching MRF lines
$80.60–$102.70 $124–$158 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $103.35 $159 9.6×
Protein S Free (85306) $139.10 $214 9.1×
Protein s total (85305) $148.20 $228 12.8×
Protein total serum (84155) $32.50 $50 8.9×
Protein Total Urine (84156) $46.15 $71 12.6×
Protein Western Blot Test (84182) $178.10 $274 6.1×
Prothrombin Time Substitution Plasma Frctj Each (85611) $37.05 $57 9.4×
Protoporphyrin rbc quantitative (84202) $72.15 $111 5.0×
PSA free (84154) $105.30 $162 5.7×
Pth Intact (83970) $195.65 $301 4.7×
Q Fever Antibody (86638) $73.45 $113 6.1×
Quantiferon tb gold plus (86480) $205.40 $316 3.3×
Quantitative assay drug (80299)
range across 3 matching MRF lines
$85.80–$182.65 $132–$281 varies
Quantitative Screen Metals (83018)
range across 4 matching MRF lines
$117.65–$122.20 $181–$188 varies
Quinidine (80194) $62.40 $96 4.3×
Rbc antibody elution (86860) $218.40 $336 1.3×
Rbc antibody identification (86870) $212.55 $327 0.6×
Rbc antibody screen (86850)
range across 3 matching MRF lines
$113.10–$119.60 $174–$184 varies
Rbc pretreatment serum (86978) $165.75 $255 2.9×
Rbc pretx incubatj w/enzymes (86971) $139.75 $215 0.9×
Rbc serum pretx incubj drugs (86975) $73.45 $113 0.2×
Renin activity plasma (84244) $124.80 $192 5.7×
Reptilase test (85635) $68.25 $105 6.9×
Resp virus 12-25 targets (87633) $628.55 $967 1.5×
Rh (86901) $59.80 $92 20.0×
Rheumatoid Factor Qualitative (86430) $65 $100 10.6×
Rheumatoid factor quant (86431) $55.90 $86 9.9×
Rickettsia antibody (86757) $93.60 $144 4.8×
Ristocetin cofactor (85245) $171.60 $264 7.5×
Rotavirus ag eia (87425) $104.65 $161 8.7×
Rpr qualitative (86592) $44.20 $68 10.4×
Rsv Assay W/Optic (87807) $98.80 $152 7.5×
Rubella Antibody (86762) $79.30 $122 5.5×
Rubeola antibody (86765) $79.30 $122 6.2×
Russell Viper Venom Time Diluted (85613) $62.40 $96 6.5×
Salicylate Level (80179) $105.95 $163 5.7×
Sars-Cov-2 Covid-19 Amp Prb (87635) $143.65 $221 2.8×
Sars-cov-2 COVID-19 antibody (86769) $71.50 $110 1.7×
Sarscov2 & inf a&b amp prb (87636) $243.75 $375 1.7×
Sarscov2&inf a&b&rsv amp prb (87637) $332.80 $512 2.3×
Sc std carbapenem resist gen (87183) $90.35 $139 2.6×
Sedimentation rate (85651) $56.55 $87 13.2×
Sedimentation Rate, Automated (85652) $48.75 $75 18.1×
Semen Anal Sperm Detection (89321) $113.10 $174 9.4×
Semen analysis complete (89322) $158.60 $244 10.2×
Semen analysis complete (89320) $119.60 $184 9.7×
Sensitivity mic (87186) $81.90 $126 9.5×
Sex Hormone Binding Globulin (84270) $84.50 $130 3.9×
Sickling of rbc reduction (85660) $75.40 $116 13.7×
Sirolimus (80195) $152.75 $235 11.1×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines
$33.15–$36.40 $51–$56 varies
Smear acid fast (87206) $57.20 $88 10.6×
Smear complex stain (87209) $91.65 $141 5.1×
Smear gram stain (87205) $66.30 $102 15.5×
Smear Special Stain (87207)
range across 3 matching MRF lines
$76.05–$79.30 $117–$122 varies
Smn1 Gene Dos/Deletion Alys (81329) $414.70 $638 3.0×
Smr Prim Src Wet Mount Nfct Agt (87210) $66.95 $103 11.5×
Snrpn/Ube3a Methylation Analysis (81331) $380.90 $586 7.5×
Sodium Serum (84295) $40.95 $63 8.5×
Sodium Urine (84300) $46.15 $71 9.1×
Somatomedin (84305) $145.60 $224 6.8×
Special Stains Group 1 (88312) $154.05 $237 3.1×
Special Stains Group 2 (88313) $136.50 $210 1.1×
Specific gravity body fluid (84315) $24.70 $38 7.5×
Specimen infect agnt concntj (87015) $44.85 $69 6.7×
Spectrophotometry (84311) $87.10 $134 10.8×
Splitting Blood/Blood Products Each Unit (86985) $104 $160 0.6×
Staph a DNA amp probe (87640) $109.20 $168 3.1×
Stool cultr aerobic bact ea (87046) $50.70 $78 5.4×
Strep a assay w/optic (87880) $83.20 $128 5.0×
Strep a DNA amp probe (87651) $84.50 $130 2.4×
Strep b DNA amp probe (87653)
range across 2 matching MRF lines
$83.20–$110.50 $128–$170 varies
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $105.95 $163 1.2×
Sugars Single Qual (84376) $53.30 $82 9.7×
Sulfate urine (84392) $36.40 $56 6.6×
Surg path level iii (88304) $203.45 $313 4.1×
Surgical pathology level IV (88305)
range across 4 matching MRF lines
$298.35–$304.85 $459–$469 varies
Surgical pathology level vi (88309) $432.90 $666 0.6×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $28.60 $44 6.0×
Susceptibility Study Antimicrobial Disk Method (87184)
range across 2 matching MRF lines
$70.20–$76.05 $108–$117 varies
Sweat Collection Iontophoresis (89230) $126.10 $194 2.5×
Syphilis Test Non-Trep Quant (86593) $49.40 $76 11.2×
T cells absolute cd4 count (86361) $181.35 $279 6.8×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $230.75 $355 4.9×
T cells total count (86359) $117.65 $181 3.1×
T3 Free (84481) $131.95 $203 7.8×
T3 reverse (84482) $100.75 $155 6.4×
T3 Total (84480) $100.75 $155 7.1×
T3 Uptake (84479) $65 $100 10.0×
T4 Free (84439) $101.40 $156 11.2×
T4 total (84436) $62.40 $96 9.1×
T4-neonatal (84437) $13 $20 2.0×
Tacrolimus (80197) $173.55 $267 12.6×
Tb ag response t-cell susp (86481) $131.95 $203 1.3×
Testosterone Bioavailable (84410) $98.80 $152 1.9×
Testosterone total (84403) $141.05 $217 5.5×
Testosterone, Free (84402) $120.90 $186 4.7×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445)
range across 3 matching MRF lines
$1,437.80–$2,072.85 $2,212–$3,189 varies
Theophylline (80198) $103.35 $159 7.3×
Thiocyanate (84430) $59.80 $92 5.1×
Thrombin Time (85670) $63.70 $98 11.0×
Thromboplastin Inhibition Tissue (85705)
range across 2 matching MRF lines
$60.45–$66.95 $93–$103 varies
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $44.85 $69 6.9×
Thyroglobulin (84432)
range across 2 matching MRF lines
$89.05–$109.85 $137–$169 varies
Thyroglobulin Antibody (86800) $85.15 $131 5.4×
Thyroxine binding globulin (84442) $77.35 $119 5.2×
Tiss Trnsgltmnase Ea Ig Clas (86364) $93.60 $144 8.1×
Tissue Culture (88233) $295.10 $454 2.1×
Tissue Culture Amniotic Fluid (88235) $462.80 $712 3.1×
Tissue culture bone marrow (88237) $295.10 $454 2.1×
Tissue Culture Lymphocyte (88230) $355.55 $547 3.1×
Tobramycin peak (80200) $131.30 $202 8.1×
Topiramate (80201) $113.75 $175 9.5×
Touch prep (88161) $87.75 $135 3.2×
Toxoplasma ab igm (86778) $85.80 $132 6.0×
Toxoplasma antibody (86777) $85.80 $132 6.0×
Transferase Aspartate Amino Ast Sgot (84450) $37.05 $57 7.2×
Transferrin (84466) $91 $140 7.1×
Trb@ Rearrangement Anal Amplification Method (81340) $456.30 $702 2.2×
Trg gene rearrangement anal (81342) $474.50 $730 2.4×
Trichinella Antibody (86784) $72.15 $111 5.7×
Trichomonas vagin dir probe (87660) $75.40 $116 3.8×
Trichomonas Vaginalis Amplif (87661) $157.30 $242 4.5×
Triglycerides (84478) $55.90 $86 9.7×
Troponin Quant (84484)
range across 2 matching MRF lines
$122.85–$128.70 $189–$198 varies
Tumor immunohistochem/comput (88361)
range across 2 matching MRF lines
$300.95–$378.95 $463–$583 varies
Tumor Immunohistochem/Manual (88360)
range across 3 matching MRF lines
$245.70–$328.25 $378–$505 varies
Ugt1a1 gene analysis common variants (81350) $700.70 $1,078 3.0×
Urea nitrogen urine (84540)
range across 3 matching MRF lines
$31.85–$55.90 $49–$86 varies
Uric acid other source (84560) $40.95 $63 8.1×
Urinalysis Microscopic Only (81015) $26 $40 8.5×
Urinalysis Volume Measure (81050) $20.80 $32 5.7×
Urine Pregnancy Test (81025) $79.30 $122 9.2×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $59.80 $92 18.9×
Valproic acid (80164) $84.50 $130 6.2×
Vancomycin (80202)
range across 3 matching MRF lines
$122.20–$128.05 $188–$197 varies
Varicella-zoster antibody (86787) $103.35 $159 8.0×
Vasopressin (84588) $149.50 $230 4.4×
Very Long Chain Fatty Acids (82726) $134.55 $207 6.8×
Viral Culture (87252)
range across 3 matching MRF lines
$184.60–$190.45 $284–$293 varies
Virus antibody nos (86790)
range across 6 matching MRF lines
$91.65–$100.75 $141–$155 varies
Virus inoculation, shell via (87254) $126.10 $194 6.4×
Viscosity serum (85810) $72.80 $112 6.2×
Vit D 1 25-Dihydroxy (82652) $226.85 $349 5.9×
Vitamin A (84590) $83.20 $128 7.2×
Vitamin b-12 (82607) $86.45 $133 5.7×
Vitamin B6 (84207) $127.40 $196 4.5×
Vitamin c (82180) $61.75 $95 6.2×
Vitamin D 25-Hydroxy (82306) $187.20 $288 6.3×
Vitamin E (84446) $81.90 $126 5.8×
Voltage-Gated Calcium Channel Antibody Each (86596) $151.45 $233 12.6×
Von willebrand factor ag (85246) $163.80 $252 7.1×
West nile virus ab igm (86788) $81.90 $126 4.9×
West Nile Virus Antibody (86789) $81.90 $126 5.7×
Western Blot Test (84181) $146.90 $226 8.6×
Zika Virus Dna/Rna Amp Probe (87662) $276.90 $426 5.4×
Zika Virus Igm Antibody (86794) $188.50 $290 11.2×
Zinc (84630)
range across 4 matching MRF lines
$57.20–$69.55 $88–$107 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.