Lab & pathology prices at Mercy Hospital Logan County, Inc

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

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

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ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $71.50 $110 6.4×
Acetylcholine receptor binding antibody (86041) $148.20 $228 8.1×
Acetylcholinesterase Assay (82013) $168.35 $259 13.7×
Acetylcholn Rcptr Modlg Antb (86043) $96.85 $149 8.0×
Acth (82024) $194.35 $299 5.0×
Acth Stimulation Panel Adrenal Insufficiency (80400) $199.55 $307 6.1×
Actin smooth muscle antibody each (86015) $91.65 $141 7.6×
Acute hepatitis panel (80074) $272.35 $419 5.7×
Acylcarnitines Quant (82017)
range across 2 matching MRF lines
$16.25–$124.15 $25–$191 varies
Agglutinins Febrile Each Antigen (86000) $58.50 $90 8.4×
Albumin Fluid (82042) $40.95 $63 5.3×
Albumin serum (82040) $31.85 $49 6.4×
Aldolase (82085) $57.20 $88 5.9×
Aldosterone urine (82088) $156 $240 3.8×
Alkaline phosphatase isoenzymes (84080) $83.85 $129 5.7×
Allergen specific ige (86003)
range across 8 matching MRF lines
$29.90–$55.90 $46–$86 varies
Allergen specific igg (86001) $26 $40 3.3×
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
$29.90–$44.85 $46–$69 varies
Alpha-1-antitrypsin phenotype (82104) $76.70 $118 5.3×
Alpha-1-antitrypsin total (82103) $87.75 $135 6.5×
Alpha-Fetoprotein Amniotic Fluid (82106) $72.15 $111 4.2×
Alpha-Fetoprotein Serum (82105) $76.70 $118 4.6×
Alt (sgpt) (84460) $32.50 $50 6.1×
Aluminum (82108) $90.35 $139 3.5×
Amikacin trough (80150) $98.15 $151 6.5×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 3 matching MRF lines
$16.25–$138.45 $25–$213 varies
Ammonia (82140) $99.45 $153 6.8×
Amniotic fluid protein test on cervicovaginal fluid (84112) $144.95 $223 1.5×
Amylase urine (82150) $76.70 $118 11.8×
Ana Titer (86039) $53.95 $83 4.8×
Anca screen each antibody (86036) $85.80 $132 7.1×
Anca Titer Each Antibody (86037) $108.55 $167 9.0×
Androstenedione (82157) $110.50 $170 3.8×
Angiotensin converting enzyme csf (82164) $84.50 $130 5.8×
Anti-Phospholipid Antibody (86148) $82.55 $127 5.1×
Antibody aspergillus (86606)
range across 4 matching MRF lines
$46.80–$89.70 $72–$138 varies
Antibody Bacterium Not Elsewhere Specified (86609) $48.10 $74 3.7×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $73.45 $113 4.7×
Antibody Cytomegalovirus Cmv Igm (86645) $100.75 $155 6.0×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $91.65 $141 7.0×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $76.05 $117 5.0×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $89.70 $138 4.9×
Antibody Fungus Not Elsewhere Specified (86671) $96.85 $149 7.9×
Antibody haemophilus influenza (86684) $118.30 $182 7.5×
Antibody helicobacter pylori (86677) $91 $140 5.4×
Antibody Herpes Smplx Non-Specific Type Test (86694) $81.90 $126 5.7×
Antibody Herpes Smplx Type 1 (86695) $72.15 $111 5.5×
Antibody HIV-1&HIV-2 single result (86703) $89.70 $138 6.5×
Antibody HIV-2 (86702) $94.90 $146 7.0×
Antibody htlv/HIV antibody confirmatory test (86689) $137.80 $212 7.1×
Antibody identification leukocyte antibodies (86021) $90.35 $139 6.0×
Antibody Identification Platelet Immunogl Assay (86023) $159.90 $246 12.8×
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 2 matching MRF lines
$55.25–$70.85 $85–$109 varies
Antibody Titer (86886) $103.35 $159 20.0×
Antibody Treponema Pallidum (86780)
range across 4 matching MRF lines
$50.70–$75.40 $78–$116 varies
Antibody; influenza virus (86710) $76.70 $118 5.7×
Antigen typing (86905) $196.95 $303 51.4×
Antinuclear antibodies (86038) $91.65 $141 7.6×
Antistreptolysin o titer (86060) $66.95 $103 9.2×
Antithrombin iii activity (85300) $136.50 $210 11.5×
Antithrombin iii antigen (85301) $104 $160 9.6×
Apolipoprotein a1 (82172) $74.10 $114 3.5×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $258.05 $397 6.8×
Aquaporin-4 Antb Cba Each (86052)
range across 2 matching MRF lines
$248.95–$261.30 $383–$402 varies
Aquaporin-4 Antb Elisa (86051) $135.20 $208 11.7×
Arsenic (82175)
range across 3 matching MRF lines
$98.15–$147.55 $151–$227 varies
Aspergillus ag eia (87305) $143.65 $221 12.0×
Assay activated protein c (85307) $89.70 $138 5.9×
Assay Blood Carbon Dioxide (82374) $35.10 $54 7.2×
Assay Nephelometry Not Spec (83883)
range across 3 matching MRF lines
$87.75–$128.70 $135–$198 varies
Assay of 5-hiaa (83497) $85.15 $131 6.6×
Assay of b-hexosaminidase each assay (83080) $156 $240 9.2×
Assay of blood/uric acid (84550) $42.25 $65 9.3×
Assay of calcium in urine (82340) $62.40 $96 10.3×
Assay of cpk in blood (82552) $72.15 $111 5.4×
Assay of estrone (82679) $93.60 $144 3.8×
Assay of g6pd enzyme (82955) $62.40 $96 6.4×
Assay of gammaglobulin igm (82784)
range across 6 matching MRF lines
$63.70–$98.80 $98–$152 varies
Assay of lactic acid (83605)
range across 3 matching MRF lines
$73.45–$177.45 $113–$273 varies
Assay of manganese (83785) $81.90 $126 3.1×
Assay of metanephrines (83835)
range across 3 matching MRF lines
$105.95–$174.20 $163–$268 varies
Assay of proinsulin (84206) $122.20 $188 4.6×
Assay of pyruvate (84210) $63.05 $97 4.4×
Assay of serotonin (84260) $174.20 $268 5.6×
Assay of serum potassium (84132) $36.40 $56 7.6×
Assay of sweat sodium (84302) $40.30 $62 8.3×
Assay of Tyrosine (84510) $66.95 $103 6.3×
Assay of urea nitrogen (84520) $36.40 $56 9.2×
Assay of urine vma (84585) $89.05 $137 5.7×
Assay of vasoactive intestinal peptide (84586) $161.85 $249 4.6×
Assay of vitamin b-1 (84425) $117.65 $181 5.5×
Assay Ph Body Fluid Nos (83986) $45.50 $70 12.7×
Assay spec xcp ur&breath ia (82077) $113.10 $174 6.5×
Autol Bld/Component Collj Storage Predeposited (86890) $261.30 $402 1.6×
Automated Leukocyte Count (85048) $36.40 $56 14.3×
B cells total count (86355) $118.30 $182 3.1×
Babesia microti amp prb (87469) $186.55 $287 5.3×
Bartonella antibody (86611) $45.50 $70 4.5×
Bcr/abl1 gene major bp (81206)
range across 3 matching MRF lines
$416.65–$599.30 $641–$922 varies
Bcr/abl1 gene minor bp (81207) $478.40 $736 3.3×
Bcr/Abl1 Gene Other Bp (81208) $381.55 $587 1.8×
Beta 2 glycoprotein i antibody each (86146) $117 $180 4.6×
Beta hydroxybutyrate (82010) $58.50 $90 7.2×
Beta Lactamase (87185) $31.85 $49 6.7×
Beta-2 Microglobulin (82232) $91.65 $141 5.7×
Bile acids total (82239) $63.70 $98 3.7×
Bilirubin direct (82248) $36.40 $56 7.3×
Bilirubin total (82247) $69.55 $107 13.9×
Biotinidase (82261) $16.25 $25 1.0×
Blastomyces antibody (86612) $90.35 $139 7.0×
Bld Typing Serologic Rh Phnt (86906) $109.85 $169 14.2×
Bleeding time test (85002) $68.25 $105 14.2×
Blood Count Red Blood Cell Automated (85041) $18.85 $29 6.2×
Blood count reticulocyte automated (85045) $54.60 $84 13.7×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $37.05 $57 9.8×
Blood gas (82803) $160.55 $247 6.2×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $53.95 $83 3.4×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $36.40 $56 8.3×
Blood Type Antigen Donor Reagent Serum Each (86902) $196.95 $303 31.0×
Blood typing serologic abo (86900) $85.15 $131 28.5×
Body fluid cell count (89050) $55.90 $86 11.8×
Bordetella antibody (86615) $73.45 $113 5.6×
Borrelia miyamotoi amp prb (87478) $149.50 $230 4.3×
Braf gene analysis (81210)
range across 2 matching MRF lines
$328.25–$377 $505–$580 varies
Breath Alcohol Test (82075) $53.30 $82 1.8×
Brucella antibody (86622)
range across 3 matching MRF lines
$61.75–$69.55 $95–$107 varies
C diff amplified probe (87493) $148.20 $228 4.0×
C-Peptide (84681) $124.15 $191 6.0×
C-reactive protein (86140) $62.40 $96 12.0×
Ca 19-9 (86301) $137.80 $212 6.6×
Cadmium (82300) $72.15 $111 3.1×
Caffeine (80155) $105.30 $162 2.7×
Calcitonin (82308) $125.45 $193 4.7×
Calcium ionized (82330) $81.90 $126 6.0×
Calcium total (82310) $36.40 $56 7.1×
Calculus Spectroscopy (82365) $124.15 $191 9.6×
Calprotectin Fecal (83993) $194.35 $299 9.9×
Calr gene com variants (81219) $677.95 $1,043 5.6×
Cancer Antigen 125 (86304) $137.80 $212 6.6×
Cancer Antigen 27.29 (86300) $137.80 $212 6.6×
Candida antibody (86628) $61.75 $95 5.1×
Candida Dna Dir Probe (87480) $68.25 $105 3.4×
Carbamazepine total (80156) $114.40 $176 7.9×
Carboxyhemoglobin (82375) $72.15 $111 5.9×
Carcinoembryonic antigen (82378) $125.45 $193 6.6×
Cardiolipin ab iga (86147) $85.15 $131 3.3×
Carnitine Quantitative Each Specimen (82379) $94.90 $146 5.6×
Carotene (82380) $106.60 $164 11.6×
Catecholamines fractionated (82384) $147.55 $227 5.8×
Ccp antibody (86200) $105.95 $163 8.2×
Cebpa Gene Analysis Full Gene Sequence (81218) $485.55 $747 2.0×
Cell count csf (89051) $95.55 $147 17.1×
Ceruloplasmin (82390) $78 $120 7.3×
Cftr gene dup/delet variants (81222) $779.35 $1,199 1.8×
Cftr gene full sequence (81223) $1,190.80 $1,832 2.4×
Chemiluminescent assay (82397)
range across 5 matching MRF lines
$41.60–$165.10 $64–$254 varies
Chlamydia antibody (86631)
range across 4 matching MRF lines
$52–$57.85 $80–$89 varies
Chlamydia Igm Antibody (86632) $61.75 $95 4.9×
Chlmy trch&neisra gonor mult (87494) $220.35 $339 3.1×
Chloride other source (82438) $46.15 $71 9.2×
Chloride Serum (82435) $36.40 $56 7.9×
Chloride urine (82436) $44.20 $68 7.7×
Cholesterol total (82465) $35.10 $54 8.1×
Cholinesterase rbc (82482) $55.90 $86 5.7×
Cholinesterase Serum (82480) $49.40 $76 6.3×
Chorionic gonadotropin test (84702) $105.30 $162 7.0×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $46.15 $71 1.7×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $41.60 $64 1.2×
Chromium serum (82495) $68.90 $106 3.4×
Chromogenic Substrate Assay (85130) $220.35 $339 18.5×
Chromogranin a (86316) $178.10 $274 8.6×
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines
$273.65–$562.25 $421–$865 varies
Chromosome Analysis 20-25 (88264) $328.25 $505 2.3×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$76.70–$130 $118–$200 varies
Citric acid urine (82507) $94.90 $146 3.4×
Ckmb (82553) $105.95 $163 9.2×
Clostridium Difficile (87324) $102.70 $158 8.6×
Clot Factor VIII Multimetric (85247) $149.50 $230 6.5×
Clotting factor xii hageman (85280) $131.95 $203 6.8×
Clotting Funct Activity (85397)
range across 2 matching MRF lines
$104–$109.85 $160–$169 varies
Cns DNA amp probe type 12-25 (87483) $711.75 $1,095 1.7×
Coccidioides antibody (86635) $68.25 $105 6.0×
Cold agglutinin screen (86156) $44.85 $69 5.6×
Cold agglutinin titer (86157) $54.60 $84 6.8×
Collagen crosslinks (82523) $104 $160 5.6×
Column Chromotography Quant (82542)
range across 8 matching MRF lines
$153.40–$260 $236–$400 varies
Comparative Anal Str Markers Patient&Comp Spec (81265) $811.20 $1,248 3.5×
Compatibility Each Unit Incubation (86921) $109.85 $169 0.7×
Compatibility test antiglob (86922) $118.95 $183 0.7×
Complement Antigen Each Component (86160) $96.85 $149 8.1×
Complement Total (Ch50) (86162) $110.50 $170 5.4×
Complement/Function Activity (86161)
range across 3 matching MRF lines
$143.65–$211.90 $221–$326 varies
Consltj Compre Review Reprt Referred Matrl (88325) $179.40 $276 1.1×
Coombs direct (86880)
range across 3 matching MRF lines
$66.95–$72.80 $103–$112 varies
Copper urine (82525) $85.80 $132 6.9×
Cortisol free (82530) $96.20 $148 5.8×
Cortisol saliva (82533)
range across 2 matching MRF lines
$81.25–$113.10 $125–$174 varies
Creatine (82540) $48.10 $74 10.4×
Creatine kinase total (82550) $56.55 $87 8.7×
Creatinine blood (82565) $36.40 $56 7.1×
Creatinine clearance (82575) $91.65 $141 9.7×
Creatinine Urine (82570) $53.30 $82 10.3×
Crossmatch immediate spin (86920) $118.95 $183 0.7×
Crp High Sensitivity (86141) $93.60 $144 7.2×
Cryoglobulin (82595) $58.50 $90 9.0×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $78 $120 6.0×
Cryptococcal Antigen (87327) $74.10 $114 5.5×
Cryptococcus ag titer (87899)
range across 8 matching MRF lines
$56.55–$62.40 $87–$96 varies
Cryptosporidium ag eia (87328) $71.50 $110 5.2×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $46.80 $72 5.8×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $92.30 $142 11.4×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $75.40 $116 9.8×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $754.65 $1,161 3.5×
Culture afb (87116) $113.75 $175 10.5×
Culture Anaerobic (87075) $117 $180 12.4×
Culture bacteria anaerobic (87073) $93.60 $144 9.7×
Culture blood (87040) $117 $180 11.3×
Culture chlamydia (87110) $94.90 $146 4.8×
Culture csf (87070) $122.85 $189 14.3×
Culture fungus (87102) $109.20 $168 13.0×
Culture fungus blood (87103) $87.75 $135 4.3×
Culture screen only (87081)
range across 12 matching MRF lines
$77.35–$82.55 $119–$127 varies
Culture stool (87045) $102.70 $158 10.9×
Culture Typing Gas/High Pres Liq Chromatography (87143) $59.80 $92 4.8×
Culture typing if ea antiserum (87140) $39.65 $61 7.1×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $46.15 $71 8.9×
Culture urine (87086) $84.50 $130 10.5×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $68.90 $106 4.8×
Cyclic amp (82030) $126.75 $195 4.9×
Cyclosporine (80158) $160.55 $247 8.9×
Cystatin C (82610) $91.65 $141 4.9×
Cytogenetics 10-30 (88273) $81.25 $125 2.3×
Cytogenetics 100-300 (88275) $109.20 $168 2.1×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,480.05 $2,277 1.3×
Cytomegalovirus igg (86644) $106.60 $164 7.4×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $70.20 $108 3.5×
Cytopath Cell Enhance Tech (88112) $146.25 $225 2.9×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $71.50 $110 2.7×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $424.45 $653 2.6×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $53.30 $82 2.9×
Deoxycortisol (82634) $96.20 $148 3.3×
Deoxyribonuclease antibody (86215) $74.10 $114 5.6×
Detect Agent Nos Dna Amp (87798)
range across 26 matching MRF lines
$69.55–$252.85 $107–$389 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$128.70–$356.20 $198–$548 varies
Detect agnt mult DNA ampli (87801)
range across 3 matching MRF lines
$200.20–$231.40 $308–$356 varies
Dgp Antibody Each Ig Class (86258) $91.65 $141 7.6×
Dhea (82626) $116.35 $179 4.6×
Dhea-S (82627) $99.45 $153 4.5×
Digoxin (80162) $74.10 $114 5.6×
Dihydrotestosterone (82642) $94.90 $146 3.2×
Dipropylacetic Acid Free (80165) $70.85 $109 5.2×
Dna Antibody Native/Double Stranded (86225) $86.45 $133 6.3×
Dna Antibody Single Stranded (86226) $75.40 $116 6.2×
Dna/Rna Amplified Probe (87150) $32.50 $50 0.9×
Drug assay acetaminophen (80143) $146.90 $226 7.9×
Drug assay adalimumab (80145) $215.15 $331 5.6×
Drug Assay Amiodarone (80151) $126.75 $195 6.8×
Drug Assay Everolimus (80169) $206.05 $317 15.0×
Drug assay felbamate (80167) $117.65 $181 6.3×
Drug Assay Infliximab (80230) $167.05 $257 4.3×
Drug Assay Itraconazole (80189) $126.75 $195 4.7×
Drug Assay Lacosamide (80235) $124.80 $192 4.6×
Drug Assay Leflunomide (80193) $146.90 $226 3.8×
Drug Assay Posaconazole (80187) $130 $200 4.8×
Drug assay voriconazole (80285) $102.70 $158 3.8×
Drug Screen Quant Clozapine (80159) $140.40 $216 7.0×
Drug Screen Quant Zonisamide (80203) $110.50 $170 8.3×
Drug Screen Quantitative Gabapentin (80171) $69.55 $107 3.2×
Drug Screen Quantitative Lamotrigine (80175) $113.75 $175 8.6×
Drug Screen Quantitative Levetiracetam (80177) $120.90 $186 9.1×
Drug Screen Quantitative Oxcarbazepine (80183) $133.25 $205 10.1×
Drug Test Prsmv Chem Anlyzr (80307)
range across 15 matching MRF lines
$114.40–$250.90 $176–$386 varies
Drug Test Prsmv Dir Opt Obs (80305) $79.95 $123 6.3×
Drug Test Prsmv Instrmnt (80306)
range across 2 matching MRF lines
$39.65–$72.80 $61–$112 varies
Egfr Gene Analysis Common Variants (81235) $644.15 $991 2.0×
Ehrlichia antibody (86666) $94.90 $146 9.3×
El-1 Fecal Quantitative (82653) $126.10 $194 5.5×
Electrolyte panel (80051) $85.15 $131 12.1×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $133.90 $206 2.2×
Endomysial Antibody Each Immunoglobulin Class (86231)
range across 2 matching MRF lines
$91–$117 $140–$180 varies
Enterovirus Antibody (86658)
range across 2 matching MRF lines
$63.05–$66.30 $97–$102 varies
Enterovirus PCR (87498) $163.15 $251 4.6×
Enzyme cell activity (82657) $21.45 $33 1.0×
Eosinophil Smear (89190) $45.50 $70 7.9×
Erythropoietin (82668) $122.85 $189 6.5×
Estradiol serum (82670) $124.15 $191 4.4×
Estriol (82677) $83.85 $129 3.5×
Estrogen total (82672) $137.15 $211 6.3×
Estrogens fractionated (82671) $119.60 $184 3.7×
Ethosuximide (80168) $70.20 $108 4.3×
Ethylene Glycol (82693) $103.35 $159 6.9×
Exam Synovial Fluid Crystals (89060) $58.50 $90 8.0×
F2 Gene (81240) $271.70 $418 4.1×
Factor ii activity (85210) $89.05 $137 6.9×
Factor Inhibitor Test (85335)
range across 3 matching MRF lines
$105.30–$158.60 $162–$244 varies
Factor ix activity (85250) $130.65 $201 6.9×
Factor v activity (85220) $116.35 $179 6.6×
Factor v leiden mutation (81241) $263.90 $406 3.6×
Factor vii assay (85230) $120.25 $185 6.7×
Factor viii assay (85240) $128.05 $197 7.2×
Factor X (85260) $130.65 $201 7.3×
Factor xi activity (85270) $134.55 $207 7.5×
Factor xiii screen (85291)
range across 2 matching MRF lines
$84.50–$116.35 $130–$179 varies
Fat/Lipids Feces Quantitative (82710) $99.45 $153 5.9×
Fatty acids free (82725) $82.55 $127 4.4×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $68.90 $106 8.9×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $72.15 $111 4.2×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $79.95 $123 12.2×
Fecal Fat Qualitative (82705) $39 $60 7.6×
Ferritin (82728) $86.45 $133 6.3×
Fetal Chrmoml Aneuploidy (81420) $1,217.45 $1,873 1.6×
Fetal Congenital Abnor Assay Four Anal (81511) $200.85 $309 1.3×
Fetal Fibronectin (82731) $346.45 $533 5.4×
Fetal screen rosette (85461) $63.05 $97 6.7×
Fibrin Degradation Quant (85379) $126.10 $194 12.4×
Fibrinogen activity (85384) $84.50 $130 8.7×
Fibrinogen antigen (85385) $100.10 $154 6.9×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $52 $80 3.4×
Flecainide level (80181) $128.05 $197 6.9×
Flow cytometry first marker (88184)
range across 3 matching MRF lines
$196.95–$203.45 $303–$313 varies
Flt3 Gene (81245) $392.60 $604 2.4×
Flt3 gene analysis (81246) $461.50 $710 5.6×
Fluorescent antibody screen (86255)
range across 22 matching MRF lines
$98.80–$211.90 $152–$326 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 9 matching MRF lines
$58.50–$141.70 $90–$218 varies
Folic acid rbc (82747) $98.15 $151 5.6×
Folic Acid Serum (82746) $83.85 $129 5.7×
Follicle Stimulating Hormone (83001) $101.40 $156 5.5×
Francisella tularensis (86668) $79.30 $122 5.6×
Fungi Identification Mold (87107) $81.25 $125 7.9×
Fungi Identification Yeast (87106) $81.25 $125 7.9×
Galactose (82760) $11.05 $17 1.0×
Gammaglobulin ige (82785) $94.90 $146 5.8×
Gardner vag DNA dir probe (87510) $68.25 $105 3.4×
Gases blood ph only (82800) $48.75 $75 4.4×
Gastrin (82941) $110.50 $170 6.3×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)
range across 2 matching MRF lines
$1,224.60–$1,636.70 $1,884–$2,518 varies
Genet Virus Isolate Hsv (87255) $118.30 $182 3.5×
Gentamicin (80170) $74.10 $114 4.5×
Ggt (82977) $61.75 $95 8.6×
Giardia antigen (87329) $75.40 $116 6.3×
Glucagon (82943) $89.05 $137 6.2×
Glucose 2 hr pp (82950) $41.60 $64 8.8×
Glucose Blood Test (82962) $24.70 $38 7.5×
Glucose body fluid (82945) $72.80 $112 18.5×
Glucose Serum (82947)
range across 2 matching MRF lines
$28.60–$34.45 $44–$53 varies
Glucose tolerance test (gtt) (82951) $137.15 $211 10.7×
Glycated Protein (82985) $55.90 $86 3.3×
Gonadotropin Chorionic Qualitative (84703) $72.80 $112 9.7×
Growth hormone (83003) $81.25 $125 4.9×
Gtt-added samples (82952) $34.45 $53 8.8×
H Pylori (C-13) Breath (83013) $219.05 $337 3.3×
H Pylori Drug Admin (83014) $29.25 $45 3.7×
Haloperidol (80173) $70.20 $108 4.4×
Haptoglobin (83010) $115.05 $177 9.1×
Hba1/hba2 full gene sequence (81259) $456.30 $702 0.8×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $250.90 $386 1.2×
Hbb duplication/deletion variants (81363) $489.45 $753 2.4×
Hbb Full Gene Sequence (81364) $445.90 $686 1.4×
Hdl Cholesterol (83718) $48.75 $75 6.0×
Helicobacter Pylori Stool (87338) $125.45 $193 8.7×
Helminth Antibody (86682) $89.05 $137 6.8×
Hematocrit (85014) $31.20 $48 13.2×
Hemoglobin (85018) $31.20 $48 13.2×
Hemoglobin a1c (83036) $69.55 $107 7.2×
Hemoglobin Chromotography (83021) $69.55 $107 3.9×
Hemoglobin electrophoresis (83020)
range across 2 matching MRF lines
$12.35–$117 $19–$180 varies
Hemoglobin Methemoglobin Quantitative (83050) $49.40 $76 6.0×
Hemoglobin plasma (83051) $68.90 $106 9.4×
Hemoglobin stability screen (83068) $79.95 $123 8.4×
Hep a ab igm (86709) $111.80 $172 9.9×
Heparin assay (85520)
range across 2 matching MRF lines
$141.05–$157.95 $217–$243 varies
Heparin Neutralization (85525)
range across 3 matching MRF lines
$52.65–$59.80 $81–$92 varies
Hepatitis a antibody total (86708) $111.80 $172 9.0×
Hepatitis b core ab igm (86705) $79.95 $123 6.8×
Hepatitis b core ab total (86704) $79.95 $123 6.6×
Hepatitis B Surface Antibody (86706) $79.95 $123 7.4×
Hepatitis B Surface Antigen (87340) $79.95 $123 7.7×
Hepatitis Be Antibody (86707) $68.25 $105 5.9×
Hepatitis Be Antigen (87350) $68.25 $105 5.9×
Hepatitis C Antibody (86803) $110.50 $170 7.7×
Hepatitis C Genotype (87902)
range across 2 matching MRF lines
$557.70–$809.90 $858–$1,246 varies
Hepatitis C Revrs Trnscrpj (87522) $356.85 $549 8.3×
Hepatitis Delta Agent Antibody (86692) $102.70 $158 6.0×
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) $2,508.35 $3,859 1.9×
Herpes simplex type 2 (86696) $85.80 $132 4.4×
Heterophile Antibody Screen (86308) $67.60 $104 13.1×
Hfe Gene (81256) $284.70 $438 4.4×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $106.60 $164 13.8×
Histamine urine (83088)
range across 2 matching MRF lines
$174.85–$198.25 $269–$305 varies
Histoplasma antibody (86698) $50.70 $78 3.7×
Histoplasma antigen urine (87385) $169 $260 12.8×
Hiv Antigen W/Hiv Antibodies (87806) $93.60 $144 2.9×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $69.55 $107 2.9×
Hiv-1 Antibody (86701) $75.40 $116 8.5×
Hiv-1 Quant&Revrse Trnscrpj (87536) $191.10 $294 2.2×
Hla I Typing 1 Allele Hr (81381) $304.20 $468 1.8×
Hla ii type 1 ag equiv lr (81377) $254.80 $392 2.7×
Hla ii typing 1 locus lr (81376) $250.90 $386 2.1×
Hla-b27 (86812) $118.30 $182 4.6×
Homocysteine (83090) $131.30 $202 7.3×
Homogenization Tissue (87176) $48.10 $74 8.2×
Homovanillic acid urine (83150) $79.95 $123 3.6×
Hpv High-Risk Types (87624) $113.75 $175 3.2×
Hpv Types 16 & 18 Only (87625) $91 $140 2.2×
Hsv Dna Amp Probe (87529)
range across 3 matching MRF lines
$81.25–$166.40 $125–$256 varies
Htlv-I Antibody (86687) $61.75 $95 6.8×
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines
$26–$91 $40–$140 varies
Iaad Ia Entamoeba Histolytica Grp (87337) $62.40 $96 5.2×
Iaad Ia Escherichia Coli 0157 (87335) $76.70 $118 6.1×
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) $48.10 $74 4.0×
Iaad Ia Streptococcus Group A (87430) $96.85 $149 5.8×
Iaadi inffluenza a virus (87276) $51.35 $79 3.2×
Iaadi respiratory synctial virus (87280) $79.30 $122 5.9×
Iaadi Varicella Zoster Virus (87290) $68.25 $105 5.1×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $133.90 $206 3.8×
Iadna Candida Species Amplified Probe Tq (87481) $89.05 $137 2.5×
Iadna chlamydia pneumoniae amplified probe tq (87486) $115.05 $177 3.3×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $87.75 $135 3.9×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $240.50 $370 6.9×
Iadna Cytomegalovirus Quantification (87497) $299.65 $461 7.0×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $158.60 $244 2.3×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $133.90 $206 3.8×
Iadna Hepatitis B Virus Quantification (87517) $284.70 $438 6.6×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $125.45 $193 3.6×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $124.15 $191 3.5×
Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) $83.85 $129 3.1×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $176.15 $271 4.2×
Iadna Mycobacteria Tuberculosis Dir Prb (87555) $84.50 $130 3.1×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $126.10 $194 3.6×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$76.70–$130 $118–$200 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $143.65 $221 2.8×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $304.20 $468 2.1×
Idh1 common variants (81120) $412.10 $634 2.1×
Idh2 common variants (81121) $475.80 $732 1.6×
Ig Light Chains Free Each (83521) $109.85 $169 6.4×
Igg subclasses (82787) $50.70 $78 6.3×
Igh gene rearrange amp meth (81261) $414.70 $638 2.1×
Igh@ Variable Region Somatic Mutation Analysis (81263) $585.65 $901 2.0×
Igk rearrangeabn clonal pop (81264) $356.20 $548 2.1×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $196.95 $303 0.6×
Immune Complex Assay (86332) $119.60 $184 4.9×
Immunfix e-phorsis/urine/csf (86335)
range across 3 matching MRF lines
$128.05–$132.60 $197–$204 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 9 matching MRF lines
$85.15–$414.05 $131–$637 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $100.10 $154 6.7×
Immunoassay nonantibody (83516)
range across 11 matching MRF lines
$11.05–$109.20 $17–$168 varies
Immunodiffusion not elsewhere specified (86329) $105.95 $163 7.5×
Immunofixation electrophoresis (86334)
range across 3 matching MRF lines
$124.15–$159.90 $191–$246 varies
Immunofluorescence per spec 1st singl antb stain (88346) $198.25 $305 1.2×
Immunohistochemistry (88342) $271.05 $417 1.7×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $128.70 $198 1.8×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $70.85 $109 4.9×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $51.35 $79 4.2×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $76.70 $118 2.2×
Influenza a/b ag eia (87400)
range across 4 matching MRF lines
$94.25–$103.35 $145–$159 varies
Influenza assay w/optic (87804) $65 $100 3.9×
Influenza DNA amp probe (87502) $172.25 $265 1.8×
Inhibin A (86336) $72.80 $112 4.7×
Inhibin b (83520)
range across 24 matching MRF lines
$55.25–$289.25 $85–$445 varies
Insulin antibodies (86337) $122.20 $188 5.7×
Insulin free (83527) $72.80 $112 5.6×
Insulin total (83525) $76.70 $118 6.7×
Interleukin-6 (83529) $107.90 $166 6.2×
Intrinsic factor antibody (86340) $79.30 $122 5.3×
Iron (83540) $60.45 $93 9.3×
Iron Binding Capacity (83550) $65 $100 7.4×
Irradiation Blood Product Each Unit (86945) $79.30 $122 2.2×
Islet cell antibody (86341)
range across 3 matching MRF lines
$77.35–$366.60 $119–$564 varies
Jak2 gene analysis p.val617phe variant (81270) $421.85 $649 4.6×
Jak2 Gene Trgt Sequence Alys (81279) $449.15 $691 2.4×
Kit Gene Analysis Targeted Sequence Analysis (81272) $488.15 $751 1.5×
Koh Prep (87220) $58.50 $90 13.7×
Kras Gene Analysis Additional Variant(S) (81276) $384.80 $592 2.0×
Kras Gene Variants Exon 2 (81275) $664.30 $1,022 3.4×
L/s ratio (83661) $176.15 $271 8.0×
Lactate (ld) (ldh) enzyme (83615) $46.15 $71 7.6×
Lactoferrin fecal qualitative (83630) $80.60 $124 4.1×
Ldh Isoenzymes (83625) $65.65 $101 5.1×
LDL direct (83721) $48.75 $75 4.6×
Lead (83655) $58.50 $90 4.8×
Legionella antibody (86713) $91 $140 5.9×
Legionella antigen urine (87449)
range across 5 matching MRF lines
$83.20–$146.25 $128–$225 varies
Leptospira antibody (86720) $70.85 $109 4.4×
Leukocyte Assessment Fecal (89055) $51.35 $79 12.0×
Level I Surg Pathology Gross Examination Only (88300) $79.95 $123 2.9×
Level ii surg pathology gross&microscopic exam (88302) $128.05 $197 3.6×
Lidocaine (80176) $80.60 $124 5.5×
Lipase (83690) $85.80 $132 12.5×
Lipoprotein A (83695) $75.40 $116 5.3×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $62.40 $96 5.5×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $70.85 $109 2.1×
Lithium (80178) $72.15 $111 10.9×
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines
$96.85–$99.45 $149–$153 varies
Lyme disease antibody (86618)
range across 3 matching MRF lines
$95.55–$130.65 $147–$201 varies
Lysozyme serum (85549) $83.20 $128 4.4×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $386.75 $595 2.4×
Macroscopic exam arthropod (87168) $36.40 $56 8.5×
Macroscopic Exam Parasite (87169) $36.40 $56 8.4×
Magnesium Urine (83735)
range across 5 matching MRF lines
$50.70–$68.25 $78–$105 varies
Mass Spectrometry Quant (83789)
range across 3 matching MRF lines
$16.90–$144.95 $26–$223 varies
Mercury urine (83825) $69.55 $107 4.3×
Methotrexate (80204) $126.75 $195 3.3×
Methylmalonic acid serum (83921) $153.40 $236 7.2×
Mgmt methylation analysis (81287) $407.55 $627 3.3×
Microalbumin, quantitative (82043) $59.80 $92 10.3×
Microsatellite instability (81301) $570.05 $877 1.6×
Microsomal Antibodies Each (86376) $89.05 $137 6.1×
Mitochondrial Antibody Each (86381) $40.95 $63 1.6×
Mlh1 Gene (81288) $432.90 $666 2.3×
Mog-Igg1 Antb Cba Each (86362) $446.55 $687 37.1×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $572 $880 15.2×
Molecular Cytogenetics Dna Probe Each (88271)
range across 17 matching MRF lines
$52.65–$308.75 $81–$475 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $91.65 $141 2.2×
Molecular Pathology Procedure Level 6 (81405)
range across 2 matching MRF lines
$768.30–$976.30 $1,182–$1,502 varies
Mononuclear cell antigen (86356) $91.65 $141 3.4×
Mopath procedure level 2 (81401)
range across 2 matching MRF lines
$440.05–$516.10 $677–$794 varies
Mopath procedure level 4 (81403)
range across 2 matching MRF lines
$152.75–$481 $235–$740 varies
Mopath procedure level 5 (81404)
range across 3 matching MRF lines
$223.60–$696.80 $344–$1,072 varies
Mopath procedure level 7 (81406)
range across 2 matching MRF lines
$1,214.20–$1,332.50 $1,868–$2,050 varies
Mopath procedure level 9 (81408) $1,129.05 $1,737 0.6×
Mpl gene analysis sequence analysis exon 10 (81339) $481 $740 2.6×
Mrsa Pcr (87641) $120.90 $186 3.4×
Mthfr Gene Analysis Common Variants (81291) $236.60 $364 3.6×
Mumps antibody (86735) $72.15 $111 5.5×
Mycobacteric Identification (87118) $73.45 $113 5.0×
Mycophenolic Acid (80180) $99.45 $153 5.5×
Mycoplasma antibody (86738) $82.55 $127 6.2×
Mycoplasma culture (87109) $153.40 $236 10.0×
Myd88 Gene P.Leu265pro Vrnt (81305) $447.20 $688 2.5×
Myelin basic protein csf (83873) $114.40 $176 6.7×
Myoglobin urine (83874) $120.90 $186 9.4×
Natriuretic peptide (83880) $137.80 $212 3.5×
Neisseria Dir Na Probe (87590) $86.45 $133 3.2×
Neutralization Test Viral (86382) $109.20 $168 6.5×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $263.25 $405 1.8×
Nfct ds chrnc hcv 6 assays (81596) $253.50 $390 3.5×
Niacin (84591)
range across 3 matching MRF lines
$89.05–$115.05 $137–$177 varies
Nk cells total count (86357) $95.55 $147 2.5×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $510.25 $785 2.1×
Nras gene variants exon 2&3 (81311) $550.55 $847 1.9×
Nuclear antigen antibody (86235)
range across 11 matching MRF lines
$79.95–$94.25 $123–$145 varies
Occult blood feces (82272) $36.40 $56 8.6×
Occult Blood Other Sources (82271) $36.40 $56 6.8×
Oligoclonal bands (83916) $116.35 $179 4.2×
Organic Acids Qualitative Each Specimen (83919) $136.50 $210 8.3×
Organic acids urine (83918)
range across 2 matching MRF lines
$16.25–$117 $25–$180 varies
Osmolality serum (83930) $76.70 $118 11.6×
Osmolality Urine (83935) $76.05 $117 11.2×
Ova and parasites smears (87177) $83.20 $128 9.3×
Oxalate urine (83945) $63.70 $98 4.4×
Pancreatic Elastase Fecal (82656) $182 $280 15.8×
Particle Agglut Antbdy Titr (86406) $89.70 $138 8.4×
Particle Agglutination Screen Each Antibody (86403) $69.55 $107 6.0×
Parvovirus antibody (86747) $53.30 $82 3.5×
Pdgfra Gene Analys Targeted Sequence Analys (81314) $539.50 $830 1.6×
Ph urine (81003) $39.65 $61 17.6×
Phenobarbital Level (80184) $85.15 $131 5.6×
Phenotype Infect Agent Drug (87900) $382.20 $588 2.9×
Phenylalanine (84030) $32.50 $50 5.9×
Phenytoin (Dilantin) (80185) $105.95 $163 8.0×
Phenytoin free (80186) $69.55 $107 5.1×
Phosphatase acid prostatic (84066) $53.95 $83 5.6×
Phosphatase alkaline (84075) $33.15 $51 6.4×
Phosphorus Serum (84100) $44.85 $69 9.5×
Phosphorus urine (84105) $40.30 $62 7.0×
Pinworm exam (87172) $29.90 $46 7.0×
Platelet Aggregation (85576) $108.55 $167 4.4×
Platelet Antibodies (86022)
range across 5 matching MRF lines
$124.80–$305.50 $192–$470 varies
Platelet count automated (85049) $57.85 $89 12.9×
Platelet neutralization (85597) $98.80 $152 5.5×
Porphobilinogen, urine; quantitative (84110) $66.30 $102 7.9×
Porphyrins Feces Quantitative (84126) $165.10 $254 4.2×
Porphyrins Urine Quantitation & Fractionation (84120) $85.15 $131 5.8×
Potassium Urine (84133)
range across 3 matching MRF lines
$49.40–$52 $76–$80 varies
Prealbumin (84134) $99.45 $153 6.8×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $152.75 $235 2.7×
Primidone (80188) $75.40 $116 4.5×
Procalcitonin (Pct) (84145) $159.25 $245 5.9×
Progesterone (84144) $100.10 $154 4.8×
Prolactin (84146) $117 $180 6.0×
Prostaglandin (84150) $296.40 $456 7.1×
Protein body fluid (84157) $55.25 $85 13.8×
Protein C Activity (85303) $142.35 $219 10.3×
Protein c antigen (85302) $137.80 $212 11.5×
Protein Electrophoresis Urine (84166) $74.10 $114 4.2×
Protein Electrophoretic Fractj&Quantj Serum (84165) $106.60 $164 9.9×
Protein S Free (85306) $134.55 $207 8.8×
Protein s total (85305) $138.45 $213 11.9×
Protein total serum (84155) $46.80 $72 12.8×
Protein Total Urine (84156) $42.90 $66 11.7×
Protein Western Blot Test (84182) $189.80 $292 6.5×
Prothrombin Time Substitution Plasma Frctj Each (85611) $36.40 $56 9.2×
Protoporphyrin rbc quantitative (84202) $70.20 $108 4.9×
PSA free (84154) $95.55 $147 5.2×
Pth Intact (83970) $201.50 $310 4.9×
Q Fever Antibody (86638)
range across 4 matching MRF lines
$62.40–$70.20 $96–$108 varies
Quantiferon tb gold plus (86480) $192.40 $296 3.1×
Quantitative assay drug (80299)
range across 3 matching MRF lines
$117.65–$195.65 $181–$301 varies
Quantitative Screen Metals (83018)
range across 4 matching MRF lines
$94.90–$109.85 $146–$169 varies
Quinidine (80194) $63.70 $98 4.4×
Rbc antibody elution (86860) $187.20 $288 1.1×
Rbc antibody identification (86870) $198.25 $305 0.6×
Rbc antibody screen (86850) $109.20 $168 11.2×
Rbc pretreatment serum (86978) $160.55 $247 2.8×
Renin activity plasma (84244) $122.20 $188 5.6×
Reptilase test (85635) $62.40 $96 6.3×
Reticulated Platelet Assay (85055) $83.85 $129 2.3×
Reticulocyte Count (85046) $37.05 $57 6.7×
Rh (86901) $66.95 $103 22.4×
Rheumatoid factor quant (86431) $56.55 $87 10.0×
Rickettsia antibody (86757)
range across 3 matching MRF lines
$19.50–$82.55 $30–$127 varies
Ristocetin cofactor (85245) $170.95 $263 7.5×
Rotavirus ag eia (87425) $100.75 $155 8.4×
Rpr qualitative (86592) $52 $80 12.2×
Rsv Assay W/Optic (87807) $81.90 $126 6.3×
Rubella Antibody (86762) $79.30 $122 5.5×
Rubeola antibody (86765) $76.70 $118 6.0×
Russell Viper Venom Time Diluted (85613)
range across 3 matching MRF lines
$77.35–$79.30 $119–$122 varies
Salicylate Level (80179) $104 $160 5.6×
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) $250.90 $386 1.8×
Sarscov2&inf a&b&rsv amp prb (87637) $340.60 $524 2.4×
Sc std carbapenem resist gen (87183) $76.05 $117 2.2×
Sedimentation rate (85651) $49.40 $76 11.6×
Sedimentation Rate, Automated (85652) $41.60 $64 15.4×
Selenium (84255) $75.40 $116 3.0×
Semen Anal Sperm Detection (89321) $120.90 $186 10.0×
Semen analysis complete (89322) $159.25 $245 10.3×
Sensitivity mic (87186) $46.80 $72 5.4×
Sex Hormone Binding Globulin (84270) $91.65 $141 4.2×
Sickling of rbc reduction (85660) $72.15 $111 13.1×
Sirolimus (80195) $161.20 $248 11.7×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines
$39–$49.40 $60–$76 varies
Smear acid fast (87206) $59.15 $91 11.0×
Smear complex stain (87209) $79.30 $122 4.4×
Smear gram stain (87205) $61.75 $95 14.5×
Smear Special Stain (87207) $69.55 $107 11.6×
Smn1 Gene Dos/Deletion Alys (81329) $398.45 $613 2.9×
Smr Prim Src Wet Mount Nfct Agt (87210) $62.40 $96 10.7×
Snrpn/Ube3a Methylation Analysis (81331) $380.90 $586 7.5×
Sodium Serum (84295) $36.40 $56 7.6×
Sodium Urine (84300) $48.75 $75 9.6×
Soluble Transferrin Receptor (84238) $111.80 $172 3.1×
Somatomedin (84305) $127.40 $196 6.0×
Special Stains Group 1 (88312)
range across 3 matching MRF lines
$143.65–$414.70 $221–$638 varies
Specific gravity body fluid (84315) $26 $40 7.9×
Specimen infect agnt concntj (87015) $49.40 $76 7.4×
Spectrophotometry (84311)
range across 3 matching MRF lines
$55.25–$109.20 $85–$168 varies
Staph a DNA amp probe (87640) $110.50 $170 3.1×
Stone Analysis (82355) $98.15 $151 8.5×
Stool cultr aerobic bact ea (87046) $59.15 $91 6.3×
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$58.50–$60.45 $90–$93 varies
Strep a DNA amp probe (87651) $99.45 $153 2.8×
Strep b DNA amp probe (87653)
range across 2 matching MRF lines
$72.80–$102.70 $112–$158 varies
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $105.95 $163 1.2×
Sugars Single Qual (84376) $48.10 $74 8.7×
Sulfate urine (84392) $42.90 $66 7.8×
Surg path level iii (88304) $201.50 $310 4.0×
Surgical pathology level IV (88305)
range across 3 matching MRF lines
$271.05–$300.30 $417–$462 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $31.20 $48 6.6×
Susceptibility Study Antimicrobial Disk Method (87184) $63.05 $97 8.4×
Syphilis Test Non-Trep Quant (86593) $52.65 $81 12.0×
T cells absolute cd4 count (86361) $167.70 $258 6.3×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $214.50 $330 4.6×
T cells total count (86359) $113.10 $174 3.0×
T3 Free (84481) $122.85 $189 7.3×
T3 reverse (84482) $87.75 $135 5.6×
T3 Total (84480) $94.90 $146 6.7×
T3 Uptake (84479) $65 $100 10.0×
T4 Free (84439) $96.20 $148 10.7×
T4 total (84436) $59.80 $92 8.7×
Tacrolimus (80197) $185.90 $286 13.5×
Tb ag response t-cell susp (86481) $130.65 $201 1.3×
Test for acetone/ketones (82009) $31.85 $49 7.0×
Testosterone Bioavailable (84410) $94.25 $145 1.8×
Testosterone total (84403) $106.60 $164 4.1×
Testosterone, Free (84402) $106.60 $164 4.2×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445)
range across 3 matching MRF lines
$1,390.35–$2,342.60 $2,139–$3,604 varies
Theophylline (80198) $100.10 $154 7.1×
Thiocyanate (84430) $59.15 $91 5.1×
Thiopurine methyltransferase (84433) $262.60 $404 11.8×
Thrombin Time (85670) $63.05 $97 10.9×
Thromboplastin Inhibition Tissue (85705) $56.55 $87 5.9×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $44.85 $69 6.9×
Thyroglobulin (84432) $98.80 $152 6.2×
Thyroglobulin Antibody (86800) $87.75 $135 5.5×
Thyroid Stimulating Immunoglobulin (84445) $167.70 $258 3.3×
Thyroxine binding globulin (84442) $75.40 $116 5.1×
Tiss Trnsgltmnase Ea Ig Clas (86364) $96.20 $148 8.3×
Tissue Culture (88233) $273.65 $421 1.9×
Tissue Culture Amniotic Fluid (88235) $438.10 $674 2.9×
Tissue culture bone marrow (88237)
range across 2 matching MRF lines
$273.65–$356.85 $421–$549 varies
Tissue Culture Lymphocyte (88230) $355.55 $547 3.1×
Tobramycin peak (80200) $124.15 $191 7.7×
Topiramate (80201) $100.75 $155 8.5×
Toxoplasma ab igm (86778) $89.05 $137 6.2×
Toxoplasma antibody (86777) $86.45 $133 6.0×
Transferase Aspartate Amino Ast Sgot (84450) $32.50 $50 6.3×
Transferrin (84466) $95.55 $147 7.5×
Trb@ Rearrangement Anal Amplification Method (81340) $449.15 $691 2.1×
Trg gene rearrangement anal (81342) $358.80 $552 1.8×
Trichomonas vagin dir probe (87660) $71.50 $110 3.6×
Trichomonas Vaginalis Amplif (87661) $152.10 $234 4.3×
Triglycerides (84478)
range across 2 matching MRF lines
$41.60–$95.55 $64–$147 varies
Troponin Quant (84484)
range across 2 matching MRF lines
$110.50–$137.15 $170–$211 varies
Tumor immunohistochem/comput (88361) $391.30 $602 1.1×
Tumor Immunohistochem/Manual (88360)
range across 3 matching MRF lines
$219.70–$388.05 $338–$597 varies
Urea nitrogen urine (84540)
range across 3 matching MRF lines
$31.85–$52 $49–$80 varies
Uric acid other source (84560) $42.25 $65 8.3×
Urinalysis Microscopic Only (81015) $27.95 $43 9.2×
Urinalysis Volume Measure (81050) $19.50 $30 5.4×
Urine Bacteria Culture (87088) $58.50 $90 7.2×
Urine Pregnancy Test (81025) $57.20 $88 6.6×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $51.35 $79 16.2×
Valproic acid (80164) $72.80 $112 5.4×
Vancomycin (80202) $131.30 $202 9.7×
Varicella-zoster antibody (86787) $98.80 $152 7.7×
Vasopressin (84588) $144.95 $223 4.3×
Very Long Chain Fatty Acids (82726) $133.25 $205 6.7×
Viral Culture (87252) $174.20 $268 6.7×
Virus antibody nos (86790)
range across 7 matching MRF lines
$86.45–$94.90 $133–$146 varies
Virus inoculation, shell via (87254) $128.70 $198 6.6×
Viscosity serum (85810) $69.55 $107 6.0×
Vit D 1 25-Dihydroxy (82652) $211.90 $326 5.5×
Vitamin A (84590) $79.95 $123 6.9×
Vitamin b-12 (82607) $95.55 $147 6.3×
Vitamin B6 (84207) $114.40 $176 4.1×
Vitamin c (82180) $60.45 $93 6.1×
Vitamin D 25-Hydroxy (82306) $165.75 $255 5.6×
Vitamin E (84446) $91.65 $141 6.5×
Vitamin K (84597) $168.35 $259 12.3×
Voltage-Gated Calcium Channel Antibody Each (86596) $141.70 $218 11.8×
Von willebrand factor ag (85246) $162.50 $250 7.1×
West nile virus ab igm (86788) $78 $120 4.6×
West Nile Virus Antibody (86789) $78 $120 5.4×
Western Blot Test (84181) $135.20 $208 7.9×
Zika Virus Dna/Rna Amp Probe (87662) $296.40 $456 5.8×
Zika Virus Igm Antibody (86794) $201.50 $310 12.0×
Zinc (84630) $68.90 $106 6.0×

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.